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 07-01-2021 , and ending 06-30-2022
Name of foundation
WARREN CROSS FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)CO CROSS SERV GROUP 19 TECH CIRCL
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NATICK, MA01760
A Employer identification number

04-6557590
B Telephone number (see instructions)

(508) 652-0289
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$5,451,426J 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)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 1,687 1,687  
4 Dividends and interest from securities... 124,663 124,663  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 107,013
b Gross sales price for all assets on line 6a 811,782
7 Capital gain net income (from Part IV, line 2)... 107,013
8 Net short-term capital gain.........  
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).......      
12 Total. Add lines 1 through 11........ 233,363 233,363  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 58,141 58,141   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 9,316 9,316   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 2,769 2,769   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 70,226 70,226   0
25 Contributions, gifts, grants paid....... 282,700 282,700
26 Total expenses and disbursements. Add lines 24 and 25 352,926 70,226   282,700
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -119,563
b Net investment income (if negative, enter -0-) 163,137
c Adjusted net income (if negative, enter -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.............      
2 Savings and temporary cash investments......... 147,663 305,624 305,624
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
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)....... 3,033,695 Click to see attachment2,709,527 3,787,821
c Investments—corporate bonds (attach schedule)....... 1,422,286 Click to see attachment1,471,699 1,311,623
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment49,127 Click to see attachment46,358 Click to see attachment46,358
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 4,652,771 4,533,208 5,451,426
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 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........ 70,265 70,265
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 4,582,506 4,462,943
29 Total net assets or fund balances (see instructions)..... 4,652,771 4,533,208
30 Total liabilities and net assets/fund balances (see instructions). 4,652,771 4,533,208
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
4,652,771
2
Enter amount from Part I, line 27a .....................
2
-119,563
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
4,533,208
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,533,208
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 BNY MELLON EMERGING MKTS-M   2021-07-01 2021-09-27
b BNY MELLON EMERGING MKTS-M   2021-07-01 2022-02-11
c BNY MELLON EMERGING MKTS-M   2019-01-01 2022-05-26
d DFA EMERG MKTS CORE EQUITY   2021-07-01 2021-09-27
e DISCOVERY INC   2019-01-01 2022-04-22
GENERAL ELEC   2019-01-01 2021-08-12
ISHARES S&P 500 INDEX FUND   2019-01-01 2022-02-14
ISHARES TR S&P MIDCAP INDEX FUND   2019-01-01 2022-05-27
ISHARES S&P SMALL-CAP INDEX FUND   2019-01-01 2022-05-27
ISHARES MSCI EAFE ETF   2019-01-01 2021-09-28
ISHARES MSCI EAFE SMALL-CAP ETF   2019-01-01 2022-05-27
JOHN DEERE CAPITAL   2019-01-01 2021-10-15
CAPITAL GAINS 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 70,000   71,221 -1,221
b 10,000   10,363 -363
c 75,467   93,416 -17,949
d 70,000   71,396 -1,396
e 12   22 -10
53   41 12
67,790   38,127 29,663
33,610   19,953 13,657
97,152   84,577 12,575
69,385   45,836 23,549
132,860   164,230 -31,370
100,000   105,587 -5,587
85,453     85,453
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       -1,221
b       -363
c       -17,949
d       -1,396
e       -10
      12
      29,663
      13,657
      12,575
      23,549
      -31,370
      -5,587
      85,453
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 2 107,013
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 2,268
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 2,268
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 75
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 2,343
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletMA
    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 addressbulletN/A
    14
    The books are in care ofbulletWARREN CROSS Telephone no.bullet (508) 652-1910

    Located atbullet19 TECH CIRCLENATICKMA ZIP+4bullet01760
    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)
     
    No
    (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
     
     
    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
     
    No
    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
    WARREN CROSS JR TRUSTEE
    0.00     		0 0 0
    3 APPLE RIDGE DRIVE
    SOUTH NATICK,MA01760
    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.........................bullet0
    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
    6,002,612
    b
    Average of monthly cash balances.......................
    1b
    313,016
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,315,628
    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
    6,315,628
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    94,734
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    6,220,894
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    311,045
    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
    311,045
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    2,268
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,268
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    308,777
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    308,777
    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
    308,777
    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 7 308,777
    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...... 15,824
    b From 2017...... 21,378
    c From 2018...... 64,498
    d From 2019...... 11,374
    e From 2020...... 68,699
    f Total of lines 3a through e ........ 181,773
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 282,700
    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..... 282,700
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 26,077 26,077
    (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 5 155,696
    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 ..........     		0
    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 ......     		155,696
    10 Analysis of line 9:
    a Excess from 2017.... 11,125
    b Excess from 2018.... 64,498
    c Excess from 2019.... 11,374
    d Excess from 2020.... 68,699
    e Excess from 2021....  
    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).)
    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.
    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
    AMHERST COLLEGE
    220 S PLEASANT ST
    AMHERST,MA01002     		NONE PUBLIC CHARITY GENERAL FUND 4,500
    BABSON COLLEGE
    231 FOREST ST
    BABSON PARK,MA02457     		NONE PUBLIC CHARITY CAPITAL CAMPAIGN 50,000
    BELGRADE LAKES ASSOCIATION
    137 MAIN ST
    BELGRADE LAKES,ME04918     		NONE PUBLIC CHARITY GENERAL FUND 2,000
    BELMONT HILL SCHOOL
    350 PROSPECT ST
    BELMONT,MA02478     		NONE PUBLIC CHARITY GENERAL FUND 25,000
    BOSTON COLLEGE
    140 COMMONWEALTH AVE
    CHESTNUT HILL,MA02467     		NONE PUBLIC CHARITY GENERAL FUND 25,000
    BOSTON UNIVERSITY
    ONE SILBER WAY
    BOSTON,MA02215     		NONE PUBLIC CHARITY GENERAL FUND 3,500
    BROWN UNIVERSITY
    69 BROWN ST BOX 1822
    PROVIDENCE,RI02912     		NONE PUBLIC CHARITY ANNUAL FUND 1,000
    CENTER FOR COASTAL STUDIES
    5 HOLWAY AVE
    PROVINCETOWN,MA02657     		NONE PUBLIC CHARITY GENERAL FUND 2,000
    COLBY COLLEGE
    MAYFLOWER HILL DRIVE
    WATERVILLE,ME04901     		NONE PUBLIC CHARITY GENERAL FUND 2,500
    DANA HALL SCHOOL
    45 DANA RD
    WELLESLEY,MA02482     		NONE PUBLIC CHARITY GENERAL FUND 27,500
    DANA-FARBER CANCER INSTITUTE
    450 BROOKLINE AVE
    BOSTON,MA02215     		NONE PUBLIC CHARITY GENERAL FUND 6,000
    GLOBE SANTA
    PO BOX 491
    MEDFORD,MA02155     		NONE PUBLIC CHARITY GENERAL FUND 1,000
    GREATER WASHINGTON COMMUNITY FOUNDATION
    1325 G STREET NW SUITE 480
    WASHINGTON,DC20005     		NONE PUBLIC CHARITY GENERAL FUND 70,000
    I AM ALS
    1200 PENNSYLVANIA AVENUE NW 14135
    WASHINGTON,DC20044     		NONE PUBLIC CHARITY GENERAL FUND 1,000
    JOHN'S ISLAND COMMUNITY SERVICE LEAGUE
    4445 N HWY A1A SUITE 234
    VERO BEACH,FL32963     		NONE PUBLIC CHARITY GENERAL FUND 2,000
    MAKE A WISH AMERICA
    1702 E HIGHLAND AVENUE SUITE 305
    PHOENIX,AZ85016     		NONE PUBLIC CHARITY GENERAL FUND 1,000
    MEDFIELD ANIMAL SHELTER
    101 OLD BRIDGE ST
    MEDFIELD,MA02052     		NONE PUBLIC CHARITY GENERAL FUND 1,000
    MEDFIELD FOOD CUPBOARD
    496 MAIN ST
    MEDFIELD,MA02052     		NONE PUBLIC CHARITY GENERAL FUND 1,000
    NEWTON WELLESLY HOSPITAL
    2014 WASHINGTON ST
    NEWTON,MA02462     		NONE PUBLIC CHARITY GENERAL FUND 2,000
    PAN-MASS CHALLENGE
    77 FOURTH AVENUE
    NEEDHAM,MA02494     		NONE PUBLIC CHARITY GENERAL FUND 12,000
    ROLLINS COLLEGE
    1000 HOLT AVE
    WINTER PARK,FL32789     		NONE PUBLIC CHARITY GENERAL FUND 1,000
    SEVEN LAKES ALLIANCE
    PO BOX 250
    BELGRADE LAKE,ME04918     		NONE PUBLIC CHARITY GENERAL FUND 2,500
    ST PAUL'S CHURCH
    502 WASHINGTON STREET
    WELLESLEY,MA02482     		NONE PUBLIC CHARITY GENERAL FUND 11,700
    TENACRE COUNTRY DAY SCHOOL
    78 BENVENUE ST
    WELLESLEY,MA02482     		NONE PUBLIC CHARITY PATRICIA CROSS FELLOWSHIP 9,000
    THE FESSENDEN SCHOOL
    250 WALTHAM ST
    WEST NEWTON,MA02465     		NONE PUBLIC CHARITY ANNUAL FUND 3,000
    THE MOON DOG FARM
    PO BOX 1552
    SAUK VILLAGE,IL60411     		NONE PUBLIC CHARITY GENERAL FUND 2,500
    THE TRUSTEES OF RESERVATIONS
    200 HIGH STREET
    BOSTON,MA02110     		NONE PUBLIC CHARITY GENERAL FUND 2,000
    UMLAUF SCULPTURE GARDEN AND MUSEUM
    605 ROBERT E LEE RD
    AUSTIN,TX78704     		NONE PUBLIC CHARITY GENERAL FUND 2,500
    UNIVERSITY OF RICHMOND
    28 WESTHAMPTON WAY
    RICHMOND,VA23173     		NONE PUBLIC CHARITY PRESS BOX 5,000
    UNIVERSITY OF ST JOSEPH
    1678 ASYLUM AVENUE
    HARTFORD,CT06117     		NONE PUBLIC CHARITY ANNUAL FUND 1,500
    WELCOME HOME
    PO BOX 690351
    NEWTON CENTRE,MA02459     		NONE PUBLIC CHARITY GENERAL FUND 1,000
    WELLESLEY SERVICE LEAGUE
    219 WASHINGTON STR
    WELLESLEY,MA02481     		NONE PUBLIC CHARITY GENERAL FUND 1,000
    Total .................................bullet 3a 282,700
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ...........     		    14 1,687  
    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 ............     		    18 107,013  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 233,363 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    233,363
    (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

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    WARREN CROSS FOUNDATION
    EIN:
    04-6557590
    Name of Bond End of Year Book Value End of Year Fair Market Value
    TCW EMERGING MARKETS INCOME FUND I 175,000 137,266
    BNY MELLON BOND MARKET INDEX FUND - CLASS I 680,000 607,750
    BNY MELLON FLOATING RATE INCOME FUND - CLASS Y 220,860 206,880
    BNY MELLON HIGH YIELD FUND - CLASS I 159,050 134,264
    BNY MELLON INTERMEDIATE BOND FUND 236,789 225,463

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    WARREN CROSS FOUNDATION
    EIN:
    04-6557590
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M COMPANY 13,612 22,647
    ABBOTT LABORATORIES 4,905 24,446
    ADOBE SYSTEMS 13,607 27,455
    ADVANCED MICRO DEVICES 7,449 19,118
    ALPHABET, INC. 16,268 32,689
    AMAZON 35,010 36,111
    AMERICAN INTERNATIONAL GROUP 5,356 6,391
    APPLE INC 11,493 41,016
    AT&T INC. 8,977 6,288
    BNY MELLON GLOBAL REAL ESTATE SECURITIES FUND 86,587 79,821
    BNY MELLON INTERNATIONAL FUND 67,688 89,313
    BNY MELLON INTL. EQUITY FUND 67,597 87,746
    BNY MELLON MID CAP MULTI-STRATEGY FUND 41,197 70,390
    BNY MELLON SELECT MANAGERS SMALL CAP VALUE FUND 93,383 95,390
    BNY MELLON SELECT MANAGERS SMALL CAP GROWTH FUND 118,117 95,630
    BNY MELLON U.S. EQUITY FUND 120,280 125,665
    BRISTOL-MYERS SQUIBB CO 12,465 38,500
    CARRIER GLOBAL CORPORATION 1,957 8,024
    CATERPILLAR INC. 15,657 53,628
    CHEVRON CORP 23,117 37,643
    CME GROUP 12,234 15,353
    COCO-COLA 9,815 18,873
    COMCAST CORP CL A 7,969 15,696
    DFA EMERGING MARKETS CORE EQUITY FUNDS 168,604 137,303
    DOW INC. 6,977 9,754
    DU PONT DE NEMOURS 10,648 10,505
    DUKE ENERGY CORP 32,053 64,326
    FIDELITY INTERNATIONAL SMALL CAP FUND 155,000 141,606
    GALLAGHER ARTHUR J & CO. 8,548 32,608
    GENERAL ELECTRIC 5,084 3,948
    G Q G PARTNERS EMERGING MARKETS EQUITY FUND 95,000 89,457
    ISHARES CORE MSCI EMERGING MARKETS ETF 129,001 133,689
    ISHARES MSCI EAFE INDEX ETF 193,961 239,649
    ISHARES S&P 500 INDEX FUND 571,899 853,088
    ISHARES TR S&P MIDCAP 400 INDEX FUND 146,431 354,050
    ISHARES TR S&P SMALLCAP 600 53,270 116,437
    JOHNSON & JOHNSON 15,941 44,378
    JP MORGAN CHASE 24,708 25,900
    LAS VEGAS SANDS CORP. 34,058 19,818
    MARVELL TECHNOLOGY GROUP LTD 6,743 14,147
    META PLATFORMS INC 19,902 20,156
    MIRCROSOFT CORP 14,914 32,104
    MONDELEZ INTERNATIONAL 5,624 12,418
    NEXTERA ENERGY INC. 7,598 54,532
    NIKE INC. 25,558 19,929
    OTIS WORLDWIDE CORPORATION 2,921 7,915
    PFIZER INC. 19,265 52,430
    PHILIP MORRIS INTERNATIONAL INC. 19,777 23,698
    PNC FINANCIAL SERVICES 5,330 11,833
    PROCTER & GAMBLE COMPANY 8,255 21,569
    QUALCOMM INC. 7,351 15,968
    RAYTHEON TECHNOLOGIES CORP 6,529 21,625
    SALESFORCE INC. 7,746 12,378
    SYNCHRONY FINANCIAL 9,773 8,286
    TEXAS INSTRUMENTS 8,409 11,524
    THERMO FISHER SCIENTIFIC INC. 8,084 16,298
    VERIZON COMMUNICATIONS 24,592 35,525
    VIATRIS 1,062 1,298
    VISA INC - CLASS A SHRS 12,988 19,689
    WALT DISNEY COMPANY 10,881 9,440
    WARNER BROS DISCOVERY INC 2,790 966
    WEYERHAUSER CO 27,512 39,744

    TY 2021 OtherAssetsSchedule
    Name:
    WARREN CROSS FOUNDATION
    EIN:
    04-6557590
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    TCD 212 CIVICA FL INVESTMENT LP 49,127 46,358 46,358


    TY 2021 OtherExpensesSchedule
    Name:
    WARREN CROSS FOUNDATION
    EIN:
    04-6557590
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NET RENTAL LOSS FROM PARTNERSHIP 2,769 2,769   0


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    WARREN CROSS FOUNDATION
    EIN:
    04-6557590
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 58,141 58,141   0


    TY 2021 TaxesSchedule
    Name:
    WARREN CROSS FOUNDATION
    EIN:
    04-6557590
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MA FILING FEE 70 70   0
    FEDERAL TAXES 9,246 9,246   0