TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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
PFEFFERKORN FOUNDATION INC

Number and street (or P.O. box number if mail is not delivered to street address)4625 COUNTRY CLUB ROAD
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
WINSTON SALEM, NC27104

A Employer identification number

20-3275894

B Telephone number (see instructions)

(800) 352-3705

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$5,621,812J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)	136,038
2	Check .............
3	Interest on savings and temporary cash investments	98		98
4	Dividends and interest from securities...	230,341		230,341
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		391,846
b	Gross sales price for all assets on line 6a 1,606,541
7	Capital gain net income (from Part IV, line 2)...			391,846
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).......		1,379	1,379
12	Total. Add lines 1 through 11........	759,702		623,664
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)....		26,694	26,694	0
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		4,197	924	0
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		18	18	0
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	30,909		27,636	0
25	Contributions, gifts, grants paid.......	300,500			300,500
26	Total expenses and disbursements. Add lines 24 and 25	331,409		27,636	300,500
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	428,293
b	Net investment income (if negative, enter -0-)			596,028
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............		19	19
	2	Savings and temporary cash investments.........	207,795	49,556	49,556
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	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).......	3,084,053	3,219,456	3,332,072
	c	Investments—corporate bonds (attach schedule).......	1,678,417	1,973,633	1,746,898
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	304,559	460,453	493,267
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	5,274,824	5,703,117	5,621,812
	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 )
	23	Total liabilities (add lines 17 through 22).........	0	0
		Foundations that follow FASB ASC 958, check here
		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
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	0	0
	27	Paid-in or capital surplus, or land, bldg., and equipment fund	0	0
	28	Retained earnings, accumulated income, endowment, or other funds	5,274,824	5,703,117
	29	Total net assets or fund balances (see instructions).....	5,274,824	5,703,117
	30	Total liabilities and net assets/fund balances (see instructions).	5,274,824	5,703,117

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

5,274,824

Enter amount from Part I, line 27a .....................

428,293

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

5,703,117

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

5,703,117

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
1 a	PUBLICLY TRADED SECURITIES	P
b	GPB HOLDINGS LP	P
c	GPB HOLDINGS LP	P
d	CAPITAL GAINS DIVIDENDS	P
e

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,438,403	1,214,629	223,774
b		66	-66
c	302		302
d	167,836		167,836
e

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			223,774
b			-66
c			302
d			167,836
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	391,846
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 ...................		3

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 and enter “N/A" on line 1.
	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	8,285
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	8,285
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	5,000
b	Exempt foreign organizations—tax withheld at source......	6b	0
c	Tax paid with application for extension of time to file (Form 8868)...	6c	5,500
d	Backup withholding erroneously withheld ...........	6d	0

7	Total credits and payments. Add lines 6a through 6d..............		7	10,500
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.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	2,215
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax2,215	Refunded	11	0

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

WELLS FARGO BANK Telephone no. bullet

(800) 352-3705

Located at bullet

1 WEST FOURTH STREETWINSTON SALEMNC ZIP+4 bullet

27101

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

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............

1a(4)

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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? .............

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)):

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?....................

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

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.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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? ..

Form 990-PF (2021)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check here ......... bullet

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? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

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? .........................

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
SUSAN D PFEFFERKORN	DIRECTOR 0.00	0	0	0
1 WEST FOURTH STREET WINSTON SALEM,NC27101	DIRECTOR 0.00	0	0	0
RICHARD G PFEFFERKORN	DIRECTOR 0.00	0	0	0
1 WEST FOURTH STREET WINSTON SALEM,NC27101	DIRECTOR 0.00	0	0	0

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...................				0

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
WELLS FARGO BANK	INVESTMENT MANAGEMENT AND CUSTODIAN	26,694
1 WEST FOURTH STREET WINSTON SALEM,NC27101	INVESTMENT MANAGEMENT AND CUSTODIAN	26,694

Total number of others receiving over $50,000 for professional services............. bullet

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)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

6,163,509

Average of monthly cash balances.......................

202,804

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

6,366,313

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

6,366,313

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

95,495

Net value of noncharitable-use assets. Subtract line 4 from line 3. .......

6,270,818

Minimum investment return. Enter 5% (0.05) of line 5................

313,541

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.)

Minimum investment return from Part IX, line 6..................

313,541

Tax on investment income for 2021 from Part V, line 5.......

8,285

Income tax for 2021. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

8,285

Distributable amount before adjustments. Subtract line 2c from line 1............

305,256

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

305,256

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

305,256

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.

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				305,256
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......			286,294
b Total for prior years:20, 20, 20		0
3 Excess distributions carryover, if any, to 2021:
a From 2016......
b From 2017......
c From 2018......
d From 2019......
e From 2020......
f Total of lines 3a through e ........	0
4Qualifying distributions for 2021 from Part
XI, line 4: $ 300,500
a Applied to 2020, but not more than line 2a			286,294
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.....				14,206
e Remaining amount distributed out of corpus	0
5 Excess distributions carryover applied to 2021.	0			0
(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 ..........				291,050
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....
b Excess from 2018....
c Excess from 2019....
d Excess from 2020....
e Excess from 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 4942(j)(3) or4942(j)(5)

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	(e) Total

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

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)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
ARBOR ACRES 1240 ARBOR ROAD WINSTON SALEM,NC27104	NONE	PC	GENERAL SUPPORT	12,000
BOOKMARKS 251 N SPRUCE STREET WINSTON SALEM,NC27101	NONE	PC	PROGRAM SUPPORT	5,000
CANCER SERVICES 3175 MAPLEWOOD AVENUE WINSTON SALEM,NC27103	NONE	PC	PROGRAM SUPPORT	5,000
CENTENARY UNITED METHODIST CHURCH 646 W FIFTH STREET WINSTON SALEM,NC27101	NONE	PC	GENERAL SUPPORT	7,000
CROSBY SCHOLARS 2100 UNIVERSITY PARKWAY WINSTON SALEM,NC27105	NONE	PC	PROGRAM SUPPORT	10,000
EXCHANGE CLUB CENTER - PARENTING PATH 500 NORTHWEST BOULEVARD WINSTON SALEM,NC27105	NONE	PC	GENERAL SUPPORT	40,000
FORSYTH COUNTRY DAY SCHOOL 5501 SHALLOWFORD ROAD LEWISVILLE,NC27023	NONE	PC	GENERAL SUPPORT	3,000
FORSYTH TECHNICAL COMMUNITY COLLEGE 2100 SILAS CREEK PARKWAY WINSTON SALEM,NC27103	NONE	PC	GENERAL SUPPORT	10,000
HABITAT FOR HUMANITY 1023 W 14TH STREET WINSTON SALEM,NC27105	NONE	PC	PROGRAM SUPPORT	5,000
HISTORIC FLAT ROCK PO BOX 295 FLAT ROCK,NC28731	NONE	PC	GENERAL SUPPORT	5,000
HOSPICE & PALLIATIVE CARECENTER 101 HOSPICE LANE WINSTON SALEM,NC27103	NONE	PC	PROGRAM SUPPORT	17,000
HOSPITAL HOSPITALITY HOUSE 1970 BALDWIN LANE WINSTON SALEM,NC27103	NONE	PC	PROGRAM SUPPORT	5,000
JUNIOR LEAGUE OF WINSTON SALEM 390 S LIBERTY STREET WINSTON SALEM,NC27101	NONE	PC	GENERAL SUPPORT	1,000
MUSEUM OF EARLY SOUTHERN DECORATIVE ARTS 924 S MAIN STREET WINSTON SALEM,NC27101	NONE	PC	PROGRAM SUPPORT	1,000
OLD SALEM 600 S MAIN STREET WINSTON SALEM,NC27101	NONE	PC	GENERAL SUPPORT	3,000
PIEDMONT LAND CONSERVANCY PO BOX 4025 GREENSBORO,NC27404	NONE	PC	GENERAL SUPPORT	5,000
PROTESTANT EPISCOPAL HIGH SCHOOL 1200 NORTH QUAKER LANE ALEXANDRIA,VA22302	NONE	PC	GENERAL SUPPORT	45,000
SALVATION ARMY 1225 N TRADE STREET WINSTON SALEM,NC27101	NONE	PC	GENERAL SUPPORT	6,000
SECOND HARVEST FOOD BANK NWNC 3655 REED STREET WINSTON SALEM,NC27107	NONE	PC	GENERAL SUPPORT	6,000
SENIOR SERVICES 2895 SHOREFAIR DRIVE WINSTON SALEM,NC27105	NONE	PC	PROGRAM SUPPORT	5,000
SHEPHERD'S CENTER 1700 EBERT STREET WINSTON SALEM,NC27103	NONE	PC	GENERAL SUPPORT	2,000
ST CATHERINES SCHOOL FOUNDATION 6001 GROVE AVENUE RICHMOND,VA23226	NONE	PC	GENERAL SUPPORT	65,000
SUMMIT SCHOOL 2100 REYNOLDS ROAD WINSTON SALEM,NC27106	NONE	PC	GENERAL SUPPORT	8,000
UNC CHAPEL HILL PO BOX 309 CHAPEL HILL,NC27514	NONE	PC	GENERAL SUPPORT	7,000
WAKE FOREST UNIVERSITY 1834 WAKE FOREST ROAD WINSTON SALEM,NC27109	NONE	PC	GENERAL SUPPORT	1,000
WINSTON SALEM INDUSTRIES FOR THE BLIND 7730 NORTH POINT DRIVE WINSTON SALEM,NC27106	NONE	PC	GENERAL SUPPORT	2,000
YMCA OF NORTHWEST NC 301 N MAIN STREET WINSTON SALEM,NC27101	NONE	PC	GENERAL SUPPORT	5,000
IFB SOLUTIONS FOUNDATION 7730 NORTH POINT DRIVE WINSTON SALEM,NC27106	NONE	PC	GENERAL SUPPORT	10,000
NOVANT HEALTH 2085 FRONTIS PLAZA BLVD WINSTON SALEM,NC27103	NONE	PC	GENERAL SUPPORT	3,500
WEST CENTRAL COMMUNITY CENTER 6130 YADKINVILLE ROAD PFAFFTOWN,NC27040	NONE	PC	GENERAL SUPPORT	1,000
Total ................................. 3a				300,500

bApproved for future payment

Total ................................. 3b				0

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	(e) Related or exempt function income (See instructions.)
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	98
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 ............			01	391,846
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		623,664	0

13Total. Add line 12, columns (b), (d), and (e)..................

623,664

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

PFEFFERKORN FOUNDATION INC

Employer identification number

20-3275894

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 PFEFFERKORN FOUNDATION INC

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	L GORDON PFEFFERKORN JR ADMINISTRATIVE TRUST C/O WELLS FARGO BANK AUSTIN, TX78735	$ 136,038	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization PFEFFERKORN FOUNDATION INC		Employer identification number 20-3275894

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 PFEFFERKORN FOUNDATION INC			Employer identification number 20-3275894
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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:

- TIN:

TY 2021 InvestmentsCorpBondsSchedule

Name:

PFEFFERKORN FOUNDATION INC

EIN:

20-3275894

Name of Bond	End of Year Book Value	End of Year Fair Market Value
COHEN & STEERS PREFERRED SEC	265,000	236,901
DODGE & COX INCOME FUND	869,142	769,795
EATON VANCE FLOATING RATE	259,491	237,540
PIMCO TOTAL RETURN INSTITUTIONAL	200,000	187,695
T ROWE PRICE INSTITUTIONAL FLOAT	155,000	143,906
TCW EMERGING MARKETS INCOME	225,000	171,061

- TIN:

TY 2021 InvestmentsCorpStockSchedule

Name:

PFEFFERKORN FOUNDATION INC

EIN:

20-3275894

Name of Stock	End of Year Book Value	End of Year Fair Market Value
BOOKING HOLDINGS INC	8,081	8,745
COMCAST CORP CLASS A	14,775	14,166
COMCAST CORP CLASS B	4,059	3,492
GENERAL MOTORS CO	3,071	2,954
HASBRO INC	3,941	3,275
INTERPUBLIC GROUP COS	6,808	10,324
LAS VEGAS SANDS CORP	13,810	7,994
LOWES COS	11,067	14,847
MCDONALDS CORP	16,896	25,922
NIKE INC	10,342	8,176
TARGET CORP	9,634	7,626
VF CORP	3,604	2,120
WALT DISNEY CO	3,371	2,077
WARNER BROS DISCOVERY	3,412	1,194
CLOROX CO	3,713	2,538
COLGATE PALMOLIVE CO	2,539	2,645
CVS HEALTH CORP	16,063	23,721
HAIN CELESTIAL GROUP	3,301	3,703
MONDELEZ INTERNATIONAL	3,908	3,663
PEPISCO INC	7,489	10,000
PROCTER & GAMBLE CO	3,566	3,739
SYSCO CORP	12,049	19,060
WALMART INC	4,102	3,647
CHEVRON CORP	4,698	7,239
ERHC ENERGY	268	0
EXXON MOBIL CORP	7,081	7,451
KINDER MORGAN INC	1,805	1,592
MARATHON PETROLEUM	2,589	4,110
OCCIDENTAL PETROLEUM	324	412
PHILLIPS 66	6,080	7,297
AFLAC INC	3,140	4,648
BERKSHIRE HATHAWAY	6,446	10,648
BLACKROCK INC	14,012	19,489
BLACKSTONE INC	8,687	10,948
CITIGROUP INC	23,961	15,729
JPMORGAN CHASE & CO	28,519	29,053
TRAVELERS COMPANIES	2,597	3,552
TRUIST FINANCIAL CORP	152,546	170,985
US BANCORP	2,573	2,899
ABBOTT LABS	5,941	6,084
ABBVIE INC	4,352	4,595
AMGEN INC	13,069	14,111
BECTON DICKINSON & CO	4,220	4,684
BRISTOL MYERS SQUIBB CO	6,664	9,471
DANAHER CORP	6,751	21,296
ELI LILLY & CO	13,355	15,887
HCA HOLDINGS INC	2,974	6,050
JOHNSON & JOHNSON	5,635	6,745
MCKESSON CORP	324	652
MERK & CO	3,830	4,559
PFIZER INC	5,124	8,808
THERMO FISHER SCIENTIFIC	3,269	3,260
UNITEDHEALTH GROUP	17,648	44,686
BOEING CO	21,257	8,750
EMERSON ELECTRIC	2,762	3,182
GENERAL DYNAMICS CORP	3,177	4,868
ILLINOIS TOOL WORKS	5,419	4,921
L3HARRIS TECHNOLOGIES	4,452	5,801
NORFOLK SOUTHERN CORP	5,364	5,455
RAYTHEON TECHNOLOGIES CORP	13,777	19,606
UNION PACIFIC CORP	3,779	3,199
UNITED PARCEL SERVICE	9,290	9,857
WASTE MANAGEMENT INC	11,634	17,593
3M CO	2,760	2,071
ACTIVISION BLIZZARD INC	1,928	2,569
ALPHABET INC C	28,117	56,874
ANALOG DEVICES INC	4,359	5,551
APPLE INC	34,121	75,880
AUTOMATIC DATA PROCESSING	3,825	5,881
BROADCOM INC	12,999	21,861
CISCO SYSTEMS	16,099	19,956
COGNIZANT TECH SOLUTIONS CRP	8,960	7,829
CORNING INC	4,163	4,443
DXC TECHNOLOGY CO	1,909	849
ELECTRONICS ARTS INC	12,796	16,058
FIDELITY NATIONAL INFORMATION	10,301	7,792
INTEL CORP	7,467	7,706
LAM RESEARCH CORP	6,835	14,063
MICROSOFT CORP	60,472	65,748
PAYCHEX INC	3,721	5,352
VISA INC A	9,062	10,829
AIR PRODUCTS & CHEMICALS	4,535	3,607
CELANESE CORP	10,970	8,938
PPG INDUSTRIES	2,690	1,944
AT&T INC	11,185	7,755
EVERSOURCE ENERGY	3,272	3,379
NEXTERA ENERGY	5,637	6,274
PPL CORPORATION	2,473	1,682
SOUTHERN CO	1,868	2,638
WEC ENERGY GROUP	4,262	4,428
ACCENTURE PLC	4,496	5,275
AROWAY ENERGY INC	2	0
BRITISH AMERICAN TOBACCO PLC	7,271	4,506
CHECK POINT SOFTWARE TECH	5,570	6,089
CHUBB LIMITED	3,264	5,504
DIAGEO PLC	8,989	9,054
EATON CORP PLC	15,571	14,489
FLEX LTD	3,620	4,790
FOBI AI INC	213	8
GARMIN LTD	2,962	2,555
GSK PLC	2,671	2,699
LINDE PUBLIC LIMITED CO	4,482	5,176
MANULIFE FINANCIAL CORP	15,433	20,796
MEDTRONIC PLC	9,350	7,539
SUNCOR ENERGY	9,089	15,045
TE CONNECTIVITY LTD	6,702	5,771
TORONTO DOMINION BANK	16,667	18,690
TOTALENERGIES SE	9,661	10,002
UNILEVER PLC	2,173	1,925
VODAFONE GROUP PLC	5,374	2,804
FULLER & THALER BEHAVIORAL	234,500	197,668
GOLDMAN SACHS ACTIVE BETA	214,494	169,814
ISHARES MSCI ACWI ETF	129,748	150,163
ISHARES RUSSELL 2000 ETF	169,301	161,739
PRINCIPAL MIDCAP FUND	226,616	207,411
T ROWE PRICE BLUE CHIP GROWTH	183,445	255,122
VANGUARD MIDCAP VIPER	270,316	215,485
INVESCO OPPENHEIMER DEVELOPING	363,385	282,594
AMERICAN TOWER CORP	3,287	3,323
COHEN & STEERS INSTITUTIONAL REALTY	110,000	91,721
INVESCO OPTIMUM YIELD	195,024	254,995
PRINCIPAL RE SECURITIES FUND	100,000	111,563

- TIN:

TY 2021 InvestmentsOtherSchedule2

Name:

PFEFFERKORN FOUNDATION INC

EIN:

20-3275894

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
BELVEDERE LIMITED PARTNERSHIP	AT COST	2,320	2
GPB HOLDINGS	AT COST	3,808	2,446
NEUBERGER BERMAN LONG SHORT FUND	AT COST	154,325	165,488
PIMCO FLEXIBLE CREDIT INCOME	AT COST	150,000	119,064
BLACKSTONE RE INCOME TRUST	AT COST	150,000	206,267

- TIN:

TY 2021 OtherExpensesSchedule

Name:

PFEFFERKORN FOUNDATION INC

EIN:

20-3275894

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
ADR FEES	18	18		0

- TIN:

TY 2021 OtherIncomeSchedule2

Name:

PFEFFERKORN FOUNDATION INC

EIN:

20-3275894

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
BELVEDERE LIMITED PARTNERHSIP	1,084	1,084	1,084
GPB HOLDINGS LP	243	243	243
MISCELLANEOUS	52	52	52

- TIN:

TY 2021 OtherProfessionalFeesSchedule

Name:

PFEFFERKORN FOUNDATION INC

EIN:

20-3275894

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT MANAGEMENT AND CUSTODIAN	26,694	26,694		0

- TIN:

TY 2021 TaxesSchedule

Name:

PFEFFERKORN FOUNDATION INC

EIN:

20-3275894

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
FOREIGN TAXES WITHHELD	924	924		0
FEDERAL TAX ESTIMATES	3,273	0		0