Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
HUBBELL-WATERMAN FNDN
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

42-6126467
B Telephone number (see instructions)

(888) 730-4933
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$47,172,075J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 356,703
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 807,990 802,947  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 3,780,017
b Gross sales price for all assets on line 6a 7,886,013
7 Capital gain net income (from Part IV, line 2)... 3,780,017
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 362,020 309,544  
12 Total. Add lines 1 through 11........ 5,306,730 4,892,508  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 170,818 136,654   34,164
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 2,250 0 0 2,250
b Accounting fees (attach schedule)....... Click to see attachment 1,585 0 0 1,585
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 64,407 15,715   0
19 Depreciation (attach schedule) and depletion... Click to see attachment 2,156 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 127,192 62,199   64,807
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 368,408 214,568 0 102,806
25 Contributions, gifts, grants paid....... 1,498,946 1,498,946
26 Total expenses and disbursements. Add lines 24 and 25 1,867,354 214,568 0 1,601,752
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 3,439,376
b Net investment income (if negative, enter -0-) 4,677,940
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 52,582    
2 Savings and temporary cash investments......... 639,883 1,449,960 1,449,960
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 3,513,160 Click to see attachment28,336,827 45,722,115
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet   0    
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 22,143,567   0
14 Land, buildings, and equipment: basis bullet9,700
Less: accumulated depreciation (attach schedule) bullet4,312 0 Click to see attachment5,388  
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 26,349,192 29,792,175 47,172,075
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 26,349,192 29,792,175
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 26,349,192 29,792,175
30 Total liabilities and net assets/fund balances (see instructions). 26,349,192 29,792,175
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
26,349,192
2
Enter amount from Part I, line 27a .....................
2
3,439,376
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
18,934
4
Add lines 1, 2, and 3 ..........................
4
29,807,502
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
15,327
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
29,792,175
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a 9511.767 ARTISAN INTERNATIONAL FD INS #662   2015-11-25 2021-02-12
b 2500. ISHARES MSCI EMERGING MARKET ETF   2020-12-30 2021-02-12
c 18000. ISHARES MSCI EMERGING MARKET ETF   2019-03-26 2021-02-12
d 3500. TOTAL S.A. - ADR   2012-09-13 2021-02-12
e 50. AMAZON COM INC COM   2016-06-24 2021-03-01
1400. ANHEUSER-BUSCH INBEV SPN ADR   2012-01-11 2021-03-01
1050. APPLE INC   2008-11-05 2021-03-01
500. BERKSHIRE HATHAWAY INC.   2016-06-24 2021-03-01
1250. CVS HEALTH CORPORATION   2004-01-06 2021-03-01
1750. COCA COLA CO   2013-09-24 2021-03-01
250. DANAHER CORP   2005-04-18 2021-03-01
300. WALT DISNEY CO   2008-11-05 2021-03-01
500. JPMORGAN CHASE & CO   2010-10-06 2021-03-01
350. MICROSOFT CORP   2000-02-03 2021-03-01
279. SNAP INC   2016-05-06 2021-03-01
200. THERMO FISHER SCIENTIFIC INC   2010-11-04 2021-03-01
250. UNITEDHEALTH GROUP INC   2010-11-04 2021-03-01
2000. VANGUARD REAL ESTATE ETF   2011-02-28 2021-03-01
450. DANAHER CORP   2005-04-18 2021-04-08
1301. SUMO LOGIC INC   2015-05-15 2021-04-08
6557.452 ARTISAN INTERNATIONAL FD INS #662   2015-11-25 2021-05-10
2000. COMCAST CORP CLASS A   2008-11-05 2021-05-10
1000. FORTIVE CORP   2005-04-18 2021-05-10
2400. GILEAD SCIENCES INC   2012-01-11 2021-05-10
2343. COINBASE GLOBAL INC   2017-07-28 2021-05-11
1395. SUMO LOGIC INC   2015-05-15 2021-06-16
25. AMAZON COM INC COM   2016-06-24 2021-07-29
1250. APPLE INC   2008-11-05 2021-07-29
1700. BRISTOL MYERS SQUIBB CO   2019-11-22 2021-07-29
250. MICROSOFT CORP   1999-12-03 2021-07-29
13146.363 VANGUARD TOTL BD MKT INDX - ADM 584   2020-07-06 2021-07-29
12798. WISE PLC 1P CLASS A   2017-08-07 2021-08-17
531. AMPLITUDE INC   2017-09-07 2021-10-08
139. AMPLITUDE INC   2020-05-07 2021-10-21
51976.435 VANGUARD TOTL BD MKT INDX - ADM 584   2019-07-29 2021-10-21
11880.833 ABERDEEN EMERG MARKETS-INST 5840   2021-02-16 2021-11-29
17956.769 VIRTUS KAR SMALL-CAP CORE-R6 #2442   2019-05-02 2021-11-29
837. AMPLITUDE INC   2017-06-16 2021-12-01
251. COINBASE GLOBAL INC   2017-07-28 2021-12-01
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 346,894   278,885 68,009
b 135,582   122,957 12,625
c 976,187   766,283 209,904
d 148,298   191,377 -43,079
e 156,775   34,917 121,858
83,636   84,155 -519
133,297   4,078 129,219
124,901   70,273 54,628
86,726   75,701 11,025
87,955   67,988 19,967
56,588   4,649 51,939
58,599   7,677 50,922
75,636   19,961 55,675
82,884   17,905 64,979
18,320   4,285 14,035
91,821   10,547 81,274
84,473   9,157 75,316
177,719   101,137 76,582
103,661   8,368 95,293
24,826   11,502 13,324
240,134   192,265 47,869
117,063   17,527 99,536
73,161   9,868 63,293
163,325   87,804 75,521
672,166   19,338 652,828
27,894   9,765 18,129
90,041   17,458 72,583
182,299   4,854 177,445
116,160   95,897 20,263
71,697   12,436 59,261
150,000   152,761 -2,761
174,493   20,861 153,632
26,509   3,209 23,300
9,324   1,327 7,997
580,577   582,418 -1,841
229,062   274,922 -45,860
964,817   704,849 259,968
52,418   4,564 47,854
76,941   2,071 74,870
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
      813,154
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       68,009
b       12,625
c       209,904
d       -43,079
e       121,858
      -519
      129,219
      54,628
      11,025
      19,967
      51,939
      50,922
      55,675
      64,979
      14,035
      81,274
      75,316
      76,582
      95,293
      13,324
      47,869
      99,536
      63,293
      75,521
      652,828
      18,129
      72,583
      177,445
      20,263
      59,261
      -2,761
      153,632
      23,300
      7,997
      -1,841
      -45,860
      259,968
      47,854
      74,870
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 3,780,017
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 65,023
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 65,023
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 54,032
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 17,968
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 72,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 6,977
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet6,977 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletwww.hubbellwaterman.org
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
    Yes
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WELLS FARGO BANK N A TRUSTEE
    1     		170,818    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    C DANA WATERMAN III INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    ROBERT V P WATERMAN JR INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    LAMED A WATERMAN JR INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    LYNN WATERMAN BLUM INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    LESLIE WATERMAN BANKS INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    PETER L L LUNDY INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    DAVID W LUNDY INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    JENNIFER W WATERMAN INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    MELISSA B JACK INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    CHRISTOPHER W BERGLUND INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    MEGHAN W BAKER INDIVIDUAL CO-TRUSTEE
    0     		0    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    42,303,742
    b
    Average of monthly cash balances.......................
    1b
    795,999
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    43,099,741
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    43,099,741
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    646,496
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    42,453,245
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    2,122,662
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    2,122,662
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    65,023
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    65,023
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,057,639
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,057,639
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    2,057,639
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 2,057,639
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 50,826
    c From 2018...... 0
    d From 2019...... 152,363
    e From 2020...... 0
    f Total of lines 3a through e ........ 203,189
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,601,752
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 1,601,752
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 203,189 203,189
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		252,698
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    WQPT EDUCATION AND OUTREACH
    3300 RIVER DR
    MOLINE,IL61265     		NONE PC GENERAL OPERATING 45,000
    BALLET QUAD CITIES
    617 17TH ST
    ROCK ISLAND,IL61201     		NONE PC GENERAL OPERATING 30,000
    COMMUNITY HOUSING SERVICES
    710 CHARLOTTE AVE
    DAVENPORT,IA52804     		NONE PC GENERAL OPERATING 5,000
    ONE EIGHTY ZONE INC
    601 MARQUETTE ST
    DAVENPORT,IA52802     		NONE PC GENERAL OPERATING 15,000
    TWO RIVERS YMCA INC
    2040 53RD ST
    MOLINE,IL612653650     		NONE PC GENERAL SUPPORT 75,000
    CHRISTIAN FRIENDLINESS ASSOCIATION
    3928 12TH AVE
    MOLINE,IL61265     		NONE PC GENERAL OPERATING 10,000
    CHILDRENS THERAPY CENTER OF THE QUAD CIT
    4450 48TH AVENUE CT
    ROCK ISLAND,IL612019213     		NONE PC GENERAL OPERATING 10,000
    THE ARC OF THE QUAD CITIES AREA
    4016 9TH ST
    ROCK ISLAND,IL612016722     		NONE PC GENERAL OPERATING 18,000
    CHILD ABUSE COUNCIL
    524 15TH ST
    MOLINE,IL612652151     		NONE PC GENERAL OPERATING 25,496
    QUAD CITY BOTANICAL CENTER FOUNDATION
    2525 4TH AVE
    ROCK ISLAND,IL61201     		NONE PC GENERAL OPERATING 15,000
    FRIENDS OF EAST MOLINE PUBLIC LIBRARY
    740 16TH AVE
    EAST MOLINE,IL612442122     		NONE PC GENERAL OPERATING 20,000
    BOYS & GIRLS CLUBS OF THE MISSISSIPPI VA
    338 6TH ST
    MOLINE,IL612651160     		NONE PC GENERAL OPERATING 20,000
    DELACERDA HOUSE INC
    2827 7TH AVE
    ROCK ISLAND,IL61201     		NONE PC GENERAL OPERATING 10,000
    PUTNAM MUSEUM AND SCIENCES CENTER
    1717 W 12TH ST
    DAVENPORT,IA52804     		NONE PC GENERAL OPERATING 75,000
    SCOTT COUNTY FAMILY Y
    606 W 2ND ST
    DAVENPORT,IA52801     		NONE PC GENERAL OPERATING 120,000
    FRIENDLY HOUSE OF DAVENPORT IOWA
    1221 MYRTLE ST
    DAVENPORT,IA52804     		NONE PC GENERAL OPERATING 25,000
    FRIENDS OF THE DAVENPORT PUBLIC LIBRARY
    321 N MAIN ST
    DAVENPORT,IA528011409     		NONE PC GENERAL OPERATING 30,000
    BIG BROTHERS BIG SISTERS OF THE
    130 WEST 5TH STREET
    DAVENPORT,IA52801     		NONE PC GENERAL OPERATING 15,000
    QUAD CITY SYMPHONY ORCHESTRA ASSOCIATION
    327 BRADY ST
    DAVENPORT,IA528011508     		NONE PC GENERAL OPERATING 12,000
    RIVER MUSIC EXPERIENCE
    129 N MAIN ST
    DAVENPORT,IA528011808     		NONE PC GENERAL OPERATING 28,000
    CAFE ON VINE
    PO BOX 3375
    DAVENPORT,IA52808     		NONE PC GENERAL OPERATING 6,000
    SPRING FORWARD LEARNING CENTER
    2101 6TH AVE
    ROCK ISLAND,IL61201     		NONE PC GENERAL OPERATING 10,000
    VIRTUAL TECHNOLOGY GROUP ASSOCIATION
    3315 MIDDLE RD
    DAVENPORT,IA528033547     		NONE PC GENERAL OPERATING 5,000
    SAFE FAMILIES FOR CHILDREN ASSOCIATION
    4839 W IRVING PARK RD
    CHICAGO,IL606412719     		NONE PC GENERAL OPERATING 5,000
    UNITY HOUSE OF DAVENPORT INC
    2341 E PLEASANT ST
    DAVENPORT,IA52803     		NONE PC GENERAL OPERATING 7,500
    LIVWELL CARES
    2010 E 38TH STREET SUITE 101
    DAVENPORT,IA52807     		NONE PC GENERAL SUPPORT 5,000
    TAPESTRY FARMS
    3009 GRAND AVE
    DAVENPORT,IA528031319     		NONE PC GENERAL OPERATING 5,000
    CLOCK INC
    4102 46TH AVE
    ROCK ISLAND,IL61201     		NONE PC GENERAL OPERATING 15,000
    QUAD CITY MUSIC ACADEMY
    1103 N MAIN ST
    DAVENPORT,IA528035230     		NONE PC GENERAL OPERATING 50,000
    QUAD CITIES OPEN NETWORK
    1 MONTGOMERY DR STE 22
    MOLINE,IL612651286     		NONE PC GENERAL OPERATING 25,000
    NEST (NOURISH EVERYONE SUSTAINABLY EVERY
    830 43RD ST
    ROCK ISLAND,IL612012226     		NONE PC GENERAL OPERATING 7,500
    QUAD CITIES GOLF CLASSIC CHARITABLE
    15623 COALTOWN RD
    EAST MOLINE,IL61244     		NONE PC GENERAL OPERATING 754,450
    Total .................................bullet 3a 1,498,946
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 3,780,017  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPARTNERSHIP INCOME     		900099 52,476 1 309,544  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 52,476 4,897,551  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    4,950,027
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    HUBBELL-WATERMAN FNDN
     
    Employer identification number

    42-6126467
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    HUBBELL-WATERMAN FNDN
          		Employer identification number
    42-6126467
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    WATERMAN MARY H - CLUT 1
    WELLS FARGO BANK
    6325 S RAINBOW BLVD STE 300
     
    LAS VEGAS, NV89118

    		$ 140,856


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    WATERMAN MARY H - CLUT 2
    WELLS FARGO BANK
    6325 S RAINBOW BLVD STE 300
     
    LAS VEGAS, NV89118

    		$ 215,846


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    HUBBELL-WATERMAN FNDN
          		Employer identification number

    42-6126467
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    HUBBELL-WATERMAN FNDN
          		Employer identification number

    42-6126467
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,585     1,585

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 DepreciationSchedule
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    COMPUTER SOFTWARE 2018-08-15 9,700 2,156 M3 3 2,156      

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Name of Stock End of Year Book Value End of Year Fair Market Value
    91324P102 UNITEDHEALTH GROUP I 49,447 677,889
    110122108 BRISTOL MYERS SQUIBB    
    907818108 UNION PACIFIC CORP 85,606 503,860
    20030N101 COMCAST CORP CLASS A 30,672 176,155
    38141G104 GOLDMAN SACHS GROUP 61,689 239,094
    231021106 CUMMINS INC. 168,903 327,210
    594918104 MICROSOFT CORP 98,684 840,800
    02079K107 ALPHABET INC CL C 58,632 506,378
    928881101 VONTIER CORP    
    902973304 US BANCORP 108,312 199,404
    46625H100 JPMORGAN CHASE & CO 109,334 443,380
    25243Q205 DIAGEO PLC - ADR 182,044 440,280
    03524A108 ANHEUSER-BUSCH INBEV    
    883556102 THERMO FISHER SCIENT 52,735 667,240
    166764100 CHEVRON CORP 128,761 234,700
    254687106 WALT DISNEY CO 38,383 232,335
    89151E109 TOTAL S.A. - ADR    
    084670702 BERKSHIRE HATHAWAY I 181,152 598,000
    191216100 COCA COLA CO 67,988 103,618
    375558103 GILEAD SCIENCES INC    
    023135106 AMAZON COM INC COM 162,859 916,944
    437076102 HOME DEPOT INC 127,020 415,010
    697435105 PALO ALTO NETWORKS I 127,504 556,760
    037833100 APPLE INC 33,008 1,509,345
    911312106 UNITED PARCEL SERVIC 85,200 246,491
    097023105 BOEING CO 56,022 221,452
    126650100 CVS HEALTH CORPORATI 22,527 128,950
    92826C839 VISA INC-CLASS A SHR 45,043 671,801
    09247X101 BLACKROCK INC 162,944 412,002
    34959J108 FORTIVE CORP    
    G29183103 EATON CORP PLC 90,784 276,512
    235851102 DANAHER CORP 24,173 427,713
    150870103 CELANESE CORP 113,966 420,150
    17275R102 CISCO SYSTEMS INC 126,438 494,286
    02079K305 ALPHABET INC CL A 59,033 506,982
    922908553 VANGUARD REAL ESTATE 248,304 580,050
    0075W0759 EDGEWOOD GROWTH INST 2,056,916 3,172,315
    7HF990313 RRG SUSTAINABLE WATE 154,224 153,687
    7HF990173 ARROWMARK GLOBAL OPP 635,070 635,070
    557492485 MADISON MID CAP FUND 1,018,188 1,698,006
    7HF990164 PARTNERS GROUP RE SE 142,309 184,941
    003021714 ABERDEEN EMERG MARKE 1,150,458 857,126
    7HC990350 STRATEGIC VALUE SER 250,000 378,291
    7HF990094 ORBIMED ISRAEL PARTN 180,246 262,214
    7HF990054 CRG PARTNERS III-PAR 312,677 284,047
    46432F842 ISHARES CORE MSCI EA 3,059,027 3,545,400
    464287200 ISHARES CORE S & P 5 2,556,926 3,291,231
    7HF990162 PORTFOLIO ADV SECOND 303,701 303,701
    92828N429 VIRTUS KAR SMALL-CAP 1,394,071 1,772,429
    74256W485 PRINCIPAL PREFERRED 817,989 857,212
    464287655 ISHARES RUSSELL 2000 784,685 778,575
    7HF990175 FRAZIER HLTHCARE GRO 194,369 281,169
    412295107 HARDING LOEVNER INTL 600,000 772,978
    949917744 WF ULTR SHORT-TRMINC 1,051,941 1,048,968
    7HF99HA12 HAYFIN DIRECT LENDIN 6,487 6,487
    7HF990323 PORT ADV SECONDARY F 152,967 152,967
    7HF990041 INSTITUTIONAL VENTUR 637,724 2,117,327
    04314H402 ARTISAN INTERNATIONA 633,850 872,325
    7HF990318 FRANCISCO PARTNERS V 98,111 109,032
    921937603 VANGUARD TOTL BD MKT 2,726,486 2,796,460
    7HF990252 CERBERUS GLBL NPL FE   181,205
    7HF990212 RESOURCE CAPITAL FUN 106,940 135,856
    464287408 ISHARES S&P 500 VALU 1,231,899 1,284,366
    56166Y636 COHO REL VALUE EQUIT 1,611,548 1,977,405
    46434G889 ISHARES MSCI EMERGIN 1,385,039 1,533,900
    7HF990169 FRANCISCO PARTNERS V 175,812 302,634

    TY 2021 InvestmentsOtherSchedule2
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    46432F842 ISHARES CORE MSCI EA      
    7HF990041 INSTITUTIONAL VENTUR      
    412295107 HARDING LOEVNER INTL      
    7HC990350 STRATEGIC VALUE SER      
    7HF990054 CRG PARTNERS III-PAR      
    7HF990164 PARTNERS GROUP RE SE      
    04314H402 ARTISAN INTERNATIONA      
    7HF990169 FRANCISCO PARTNERS V      
    7HF990162 PORTFOLIO ADV SECOND      
    7HF990173 ARROWMARK GLOBAL OPP      
    NT7715271 LUNA LIGHTS, INC. 4%      
    7HF99HA12 HAYFIN DIRECT LENDIN      
    922908553 VANGUARD REAL ESTATE      
    7HF990212 RESOURCE CAPITAL FUN      
    7HC991395 LAZARD EMERGING OFFS      
    7HF990094 ORBIMED ISRAEL PARTN      
    921937603 VANGUARD TOTL BD MKT      
    0075W0759 EDGEWOOD GROWTH INST      
    557492485 MADISON MID CAP FUND      
    7HF990252 CERBERUS GLBL NPL FE      
    46434G889 ISHARES EDGE MSCI MF      
    7HF990175 FRAZIER HLTHCARE GRO      
    56166Y636 COHO REL VALUE EQUIT      
    464287200 ISHARES CORE S & P 5      
    7HF990313 RRG SUSTAINABLE WATE      
    92828N429 VIRTUS KAR SMALL-CAP      
    74256W485 PRINCIPAL PREFERRED      
    7HF990323 PORT ADV SECONDARY F      

    TY 2021 LandEtcSchedule2
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    COMPUTER SOFTWARE 9,700 4,312 5,388  


    TY 2021 LegalFeesSchedule
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - INCOME (ALLOCABLE 2,250     2,250


    TY 2021 OtherDecreasesSchedule
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Description Amount
    PY RETURN OF CAPITAL ADJUSTMENT 6,935
    MUTUAL FUND TIMING ADJUSTMENT 5,144
    TAX LOT ADJUSTMENT 2,774
    COST BASIS ADJ 474


    TY 2021 OtherExpensesSchedule
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ADMINISTRATIVE EXPENSES 22,899 0   22,899
    INVESTMENT EXPENSES - ADR FEES 75 75   0
    PARTNERSHIP EXPENSES 62,310 62,124   0
    ADMINISTRATIVE EXPENSES 41,908 0   41,908


    TY 2021 OtherIncomeSchedule2
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PARTNERSHIP INCOME 362,020 309,544  


    TY 2021 OtherIncreasesSchedule
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Description Amount
    PY PENDING SALES ADJUSTMENT 11,390
    PY BALANCE SHEET ADJ 7,544


    TY 2021 TaxesSchedule
    Name:
    HUBBELL-WATERMAN FNDN
    EIN:
    42-6126467
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 13,140 13,140   0
    FEDERAL ESTIMATES - PRINCIPAL 48,692 0   0
    FOREIGN TAXES ON NONQUALIFIED 2,575 2,575   0