| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION | 2,200 | 0 | 0 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| AMENDED RETURN | FORM 990-PF PART XII LINE 7 | AMENDED RETURN CHANGESTHE 2021 RETURN WAS AMENDED TO ADD $40,000 TO PART XII LINE 7 ON PAGE 9 OF FORM 990-PF. THIS CHANGE WAS NEEDED BECAUSE THESE WERE DISTRIBUTIONS WHOSE SOURCE OF REVENUE WAS A DONATION FROM ANOTHER PRIVATE FOUNDATION, THE HATFIELD FOUNDATION. LINE 8 CHANGED FROM $803 TO $0 AND THERE ARE NO EXCESS DISTRIBUTIONS CARRYOVERS TO 2022. |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| INVESTMENT SECURITIES | AT COST | 606,796 | 812,508 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| DIVIDENDS IN TRANSIT BUT REPORTED ON 1099 | 262 | 65 | 65 |
| Description | Amount |
|---|---|
| CHANGES IN ACCRUED INTEREST AND BASIS OF ASSETS | 2,295 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MANAGEMENT FEES | 5,689 | 5,689 | 0 |
| Name | Address |
|---|---|
| SEE SCHEDULE B |
|