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 05-01-2021 , and ending 04-30-2022
Name of foundation
MCCULLOUGH ENDMT FBO SHADY GR
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 1532
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PENNINGTON, NJ08534
A Employer identification number

13-4288017
B Telephone number (see instructions)

(609) 274-6834
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$1,895,849
J 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      
4 Dividends and interest from securities... 40,811 40,367  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 185,503
b Gross sales price for all assets on line 6a 650,225
7 Capital gain net income (from Part IV, line 2)... 185,503
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 2,419    
12 Total. Add lines 1 through 11........ 228,733 225,870  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 27,499 10,999   16,499
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 2,589 543   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 113 113    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 30,201 11,655 0 16,499
25 Contributions, gifts, grants paid....... 27,886 27,886
26 Total expenses and disbursements. Add lines 24 and 25 58,087 11,655 0 44,385
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 170,646
b Net investment income (if negative, enter -0-) 214,215
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 872 90 90
2 Savings and temporary cash investments......... 97,656 119,205 119,205
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,033,623 Click to see attachment1,167,688 1,381,760
c Investments—corporate bonds (attach schedule)....... 388,534 Click to see attachment403,623 372,061
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 23,644 Click to see attachment23,644 22,733
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,544,329 1,714,250 1,895,849
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 1,544,329 1,714,250
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,544,329 1,714,250
30 Total liabilities and net assets/fund balances (see instructions). 1,544,329 1,714,250
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
1,544,329
2
Enter amount from Part I, line 27a .....................
2
170,646
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
28
4
Add lines 1, 2, and 3 ..........................
4
1,715,003
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
753
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,714,250
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 5. PIONEER NAT RES CO   2020-03-31 2021-05-14
b 12. PIONEER NAT RES CO   2020-03-31 2021-05-17
c 7. PIONEER NAT RES CO   2020-04-01 2021-05-17
d 16. PIONEER NAT RES CO   2020-04-01 2021-05-18
e 2. PIONEER NAT RES CO   2020-04-16 2021-05-19
19. PIONEER NAT RES CO   2020-04-01 2021-05-19
23. PIONEER NAT RES CO   2020-08-31 2021-05-20
13. PIONEER NAT RES CO   2020-04-16 2021-05-20
20. CDW CORP/DE   2021-04-14 2021-05-28
26. DOWDUPONT INC   2020-06-18 2021-05-28
26. DOWDUPONT INC   2019-05-07 2021-05-28
6. DOWDUPONT INC   2019-06-20 2021-05-28
14. DOWDUPONT INC   2020-04-08 2021-05-28
10. DOWDUPONT INC   2011-06-06 2021-05-28
49. MARATHON PETROLEUM CORP   2019-06-04 2021-05-28
45. MARATHON PETROLEUM CORP   2019-06-06 2021-05-28
120. TJX COS INC/THE   2020-06-17 2021-05-28
2. CDW CORP/DE   2021-04-14 2021-06-01
19. CDW CORP/DE   2021-04-15 2021-06-01
2. DOWDUPONT INC   2019-06-20 2021-06-01
3. DOWDUPONT INC   2020-04-08 2021-06-01
6. DOWDUPONT INC   2019-05-07 2021-06-01
3. DOWDUPONT INC   2011-06-06 2021-06-01
6. DOWDUPONT INC   2020-06-18 2021-06-01
29. ALTRIA GROUP INC   2020-04-08 2021-06-16
50. ALTRIA GROUP INC   2019-09-24 2021-06-16
44. ALTRIA GROUP INC   2020-04-24 2021-06-16
94. ALTRIA GROUP INC   2020-04-16 2021-06-16
48. APPLIED MATERIALS INC   2020-06-17 2021-06-16
10. ARTHUR J GALLAGHER & CO   2019-02-07 2021-06-16
10. ARTHUR J GALLAGHER & CO   2020-04-08 2021-06-16
23. ARTHUR J GALLAGHER & CO   2019-02-06 2021-06-16
16. MARATHON PETROLEUM CORP   2008-02-15 2021-06-16
13. MARATHON PETROLEUM CORP   2019-06-06 2021-06-16
31. MARATHON PETROLEUM CORP   2020-04-08 2021-06-16
4. MOTOROLA SOLUTIONS INC   2013-10-03 2021-06-16
3. MOTOROLA SOLUTIONS INC   2020-04-08 2021-06-16
12. MOTOROLA SOLUTIONS INC   2013-10-02 2021-06-16
47. CHARLES SCHWAB CORP/THE   2019-11-18 2021-06-16
12. CHARLES SCHWAB CORP/THE   2019-11-19 2021-06-16
190. TJX COS INC/THE   2020-06-18 2021-06-16
1. TJX COS INC/THE   2020-06-17 2021-06-16
26. WILLIAMS COS INC/THE   2018-05-21 2021-06-16
61. WILLIAMS COS INC/THE   2018-10-11 2021-06-16
52. WILLIAMS COS INC/THE   2018-10-12 2021-06-16
32. WILLIAMS COS INC/THE   2019-01-07 2021-06-16
10. ALCON SA ACT NOM   2019-08-21 2021-06-16
9. ALCON SA ACT NOM   2019-08-22 2021-06-16
1. ALCON SA ACT NOM   2019-04-17 2021-06-16
10. NXP SEMICONDUCTORS N.V.   2019-08-14 2021-06-16
22. NXP SEMICONDUCTORS N.V.   2019-08-16 2021-06-16
1. NXP SEMICONDUCTORS N.V.   2020-02-19 2021-06-16
21. ALTRIA GROUP INC   2020-04-24 2021-06-17
1. MOTOROLA SOLUTIONS INC   2013-10-03 2021-06-17
1. MOTOROLA SOLUTIONS INC   2020-04-08 2021-06-17
4. MOTOROLA SOLUTIONS INC   2013-10-02 2021-06-17
7. ALCON SA ACT NOM   2019-08-21 2021-06-17
1. ALCON SA ACT NOM   2019-04-17 2021-06-17
6. ALCON SA ACT NOM   2019-08-22 2021-06-17
29. ALCON SA ACT NOM   2019-08-22 2021-06-18
5. ALCON SA ACT NOM   2019-04-17 2021-06-18
32. ALCON SA ACT NOM   2019-08-21 2021-06-18
7. ALCON SA ACT NOM   2019-08-22 2021-06-21
8. ALCON SA ACT NOM   2019-08-21 2021-06-21
1. ALCON SA ACT NOM   2019-04-17 2021-06-21
9000. U.S. TREASURY NOTE   2017-10-25 2021-06-29
24. BERKSHIRE HATHAWAYINC   2020-03-02 2021-07-02
26. BERKSHIRE HATHAWAYINC   2020-03-03 2021-07-02
4. BERKSHIRE HATHAWAYINC   2020-04-08 2021-07-02
31. BERKSHIRE HATHAWAYINC   2020-06-17 2021-07-02
2. ARTHUR J GALLAGHER & CO   2019-02-07 2021-07-02
22. ARTHUR J GALLAGHER & CO   2020-06-17 2021-07-02
2. ARTHUR J GALLAGHER & CO   2020-06-18 2021-07-02
57. MARATHON PETROLEUM CORP   2020-06-17 2021-07-02
5. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-04-17 2021-07-02
31. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-04-16 2021-07-02
2. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-02-19 2021-07-02
80. VERIZON COMMUNICATIONS INC   2009-02-23 2021-07-02
105. VERIZON COMMUNICATIONS INC   2006-04-20 2021-07-02
2. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-02-19 2021-07-06
28. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-04-16 2021-07-06
4. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-04-17 2021-07-06
7. BLACKSTONE GROUP INC/THE   2021-04-15 2021-07-07
42. BLACKSTONE GROUP INC/THE   2021-04-14 2021-07-07
45. BLACKSTONE GROUP INC/THE   2021-04-15 2021-07-08
13. NXP SEMICONDUCTORS N.V.   2019-08-15 2021-07-13
5. NXP SEMICONDUCTORS N.V.   2019-08-14 2021-07-13
1000. WELLS FARGO & COMPANY   2021-03-16 2021-07-26
1000. WELLS FARGO & COMPANY   2020-10-07 2021-07-26
6000. WELLS FARGO & COMPANY   2016-07-26 2021-07-26
22. AMERICAN EXPRESS CO   2020-04-28 2021-07-28
19. ARTHUR J GALLAGHER & CO   2019-01-17 2021-07-28
6. ARTHUR J GALLAGHER & CO   2019-01-18 2021-07-28
8. KONINKLIJKE PHILIPS NV   2017-04-04 2021-07-28
17. KONINKLIJKE PHILIPS NV   2020-04-08 2021-07-28
9. KONINKLIJKE PHILIPS NV   2017-04-06 2021-07-28
21. MORGAN STANLEY   2020-02-19 2021-07-28
20. MORGAN STANLEY   2019-11-18 2021-07-28
11. MORGAN STANLEY   2019-01-07 2021-07-28
12. MOTOROLA SOLUTIONS INC   2020-07-22 2021-07-28
14. KONINKLIJKE PHILIPS NV   2017-04-06 2021-07-29
13. KONINKLIJKE PHILIPS NV   2017-04-04 2021-07-29
28. KONINKLIJKE PHILIPS NV   2020-04-08 2021-07-29
.5 GENERAL ELEC CO REG SHS   2019-11-18 2021-08-04
71. VERIZON COMMUNICATIONS INC   2020-04-08 2021-08-06
48. VERIZON COMMUNICATIONS INC   2018-07-16 2021-08-06
13. VERIZON COMMUNICATIONS INC   2018-07-12 2021-08-06
44. AMERICAN EXPRESS CO   2020-04-28 2021-08-09
40. DUPONT DE NEMOURS INC   2020-01-14 2021-08-09
21. DUPONT DE NEMOURS INC   2019-05-07 2021-08-09
7. EQUINOR ASA   2021-05-19 2021-08-09
1. EQUINOR ASA   2021-05-17 2021-08-09
16. EQUINOR ASA   2021-05-18 2021-08-09
3. EQUINOR ASA   2021-05-20 2021-08-09
2. MCKESSON CORP   2017-06-23 2021-08-09
3. MCKESSON CORP   2020-04-24 2021-08-09
1. MCKESSON CORP   2020-02-19 2021-08-09
14. MCKESSON CORP   2018-03-12 2021-08-09
22. MONDELEZ INTERNATIONAL INC   2018-08-03 2021-08-09
111. MONDELEZ INTERNATIONAL INC   2018-08-02 2021-08-09
8. MONDELEZ INTERNATIONAL INC   2020-04-08 2021-08-09
39. MORGAN STANLEY   2019-01-07 2021-08-09
19. MOTOROLA SOLUTIONS INC   2013-10-02 2021-08-09
6. PPG INDUSTRIES INC   2020-12-15 2021-08-09
15. PPG INDUSTRIES INC   2020-12-14 2021-08-09
6. PPG INDUSTRIES INC   2020-10-08 2021-08-09
4. EQUINOR ASA   2021-05-20 2021-08-10
1. EQUINOR ASA   2021-05-17 2021-08-10
26. EQUINOR ASA   2021-05-18 2021-08-10
1. EQUINOR ASA   2021-05-14 2021-08-10
10. EQUINOR ASA   2021-05-19 2021-08-10
4. MOTOROLA SOLUTIONS INC   2013-10-02 2021-08-10
10. MOTOROLA SOLUTIONS INC   2020-07-22 2021-08-10
5. EQUINOR ASA   2021-05-20 2021-08-11
12. EQUINOR ASA   2021-05-19 2021-08-11
1. EQUINOR ASA   2021-05-14 2021-08-11
2. EQUINOR ASA   2021-05-17 2021-08-11
27. EQUINOR ASA   2021-05-18 2021-08-11
3. EQUINOR ASA   2021-05-17 2021-08-12
11. EQUINOR ASA   2021-05-20 2021-08-12
24. EQUINOR ASA   2021-05-19 2021-08-12
1. EQUINOR ASA   2021-05-14 2021-08-12
56. EQUINOR ASA   2021-05-18 2021-08-12
5000. BANK OF NY MELLON CORP   2016-09-23 2021-08-23
1000. BANK OF NY MELLON CORP   2020-10-07 2021-08-23
2000. BANK OF NY MELLON CORP   2021-03-15 2021-08-23
3000. GLAXOSMITHKLINE CAPITAL   2021-03-15 2021-08-23
10000. GLAXOSMITHKLINE CAPITAL   2018-06-08 2021-08-23
2000. GLAXOSMITHKLINE CAPITAL   2020-10-07 2021-08-23
1. MICROSOFT CORP COM   2011-12-07 2021-09-24
15. MICROSOFT CORP COM   2020-04-08 2021-09-24
20. MORGAN STANLEY   2020-04-08 2021-09-24
17. MORGAN STANLEY   2019-01-07 2021-09-24
2. FIRST AMERICAN FINANCIAL CORP   2020-11-17 2021-09-27
8. FIRST AMERICAN FINANCIAL CORP   2020-11-16 2021-09-27
.5 RAYMOND JAMES FINANCIAL INC   2020-01-14 2021-09-27
24. FIRST AMERICAN FINANCIAL CORP   2020-11-17 2021-09-28
24. FIRST AMERICAN FINANCIAL CORP   2020-11-17 2021-09-29
9. FIRST AMERICAN FINANCIAL CORP   2020-11-17 2021-09-30
2. CONOCOPHILLIPS   2020-02-19 2021-10-21
17. CONOCOPHILLIPS   2019-09-25 2021-10-21
39. CONOCOPHILLIPS   2019-09-24 2021-10-21
9. ARTHUR J GALLAGHER & CO   2020-10-09 2021-10-21
4. ARTHUR J GALLAGHER & CO   2020-10-08 2021-10-21
1. ARTHUR J GALLAGHER & CO   2019-01-17 2021-10-21
18. LOWES COMPANIES INC COM   2020-04-16 2021-10-21
20. MARATHON PETROLEUM CORP   2020-07-10 2021-10-21
37. MARATHON PETROLEUM CORP   2020-07-13 2021-10-21
4. MARATHON PETROLEUM CORP   2020-06-17 2021-10-21
32. MORGAN STANLEY   2020-04-08 2021-10-21
13. MORGAN STANLEY   2014-09-18 2021-10-21
33. MORGAN STANLEY   2014-08-25 2021-10-21
3. MORGAN STANLEY   2014-08-22 2021-10-21
72. RAYTHEON TECHNOLOGIES   2020-08-31 2021-10-21
1. ARTHUR J GALLAGHER & CO   2019-01-17 2021-10-22
5. ARTHUR J GALLAGHER & CO   2020-10-08 2021-10-22
10. ARTHUR J GALLAGHER & CO   2020-10-09 2021-10-22
1000. U.S. TREASURY NOTE   2021-03-15 2021-10-27
1000. U.S. TREASURY NOTE   2020-10-07 2021-10-27
6000. U.S. TREASURY NOTE   2018-06-08 2021-10-27
9. ANTHEM INC   2019-06-28 2021-11-16
53. J P MORGAN CHASE & CO   2008-10-10 2021-11-16
12. MICROSOFT CORP COM   2011-12-07 2021-11-16
23. VERIZON COMMUNICATIONS INC   2015-05-07 2021-11-16
36. VERIZON COMMUNICATIONS INC   2017-11-30 2021-11-16
21. VERIZON COMMUNICATIONS INC   2018-07-12 2021-11-16
53. WILLIAMS COS INC/THE   2019-01-07 2021-11-16
46. WILLIAMS COS INC/THE   2019-08-21 2021-11-16
19. WILLIAMS COS INC/THE   2019-01-07 2021-11-17
17. WILLIAMS COS INC/THE   2019-08-21 2021-11-17
6. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2019-02-25 2021-12-03
33. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2019-02-06 2021-12-03
71. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2018-06-14 2021-12-03
5. LOWES COMPANIES INC COM   2020-04-16 2021-12-03
4. LOWES COMPANIES INC COM   2017-09-18 2021-12-03
37. MORGAN STANLEY   2014-08-22 2021-12-03
1000. U.S. TREASURY NOTE   2021-08-23 2021-12-22
9000. U.S. TREASURY NOTE   2021-02-19 2021-12-22
1000. U.S. TREASURY NOTE   2020-11-24 2021-12-22
1000. CITIGROUP INC   2020-10-07 2022-01-14
1000. CITIGROUP INC   2021-03-15 2022-01-14
1000. CITIGROUP INC   2011-11-17 2022-01-14
4000. CITIGROUP INC   2011-11-17 2022-01-14
48. ACTIVISION BLIZZARD INC   2021-12-03 2022-01-25
21. DUPONT DE NEMOURS INC   2020-01-13 2022-01-25
32. DUPONT DE NEMOURS INC   2020-01-14 2022-01-25
66. EXELON CORP   2020-11-16 2022-01-25
84. EXELON CORP   2020-11-17 2022-01-25
18. LOWES COMPANIES INC COM   2021-06-16 2022-01-25
15. LOWES COMPANIES INC COM   2017-09-18 2022-01-25
26. MARATHON PETROLEUM CORP   2020-07-13 2022-01-25
86. MARATHON PETROLEUM CORP   2008-02-15 2022-01-25
65. MARATHON PETROLEUM CORP   2020-11-16 2022-01-25
50. MARATHON PETROLEUM CORP   2009-02-23 2022-01-25
51. PEPSICO INC   2021-06-16 2022-01-25
10. UNITEDHEALTH GROUP INC   2020-03-31 2022-01-25
49. WELLS FARGO & CO NEW   2018-07-12 2022-01-25
37. WELLS FARGO & CO NEW   2018-09-14 2022-01-25
3. WELLS FARGO & CO NEW   2015-05-20 2022-01-25
48. WELLS FARGO & CO NEW   2015-05-22 2022-01-25
15. AMEREN CORP   2020-12-14 2022-01-27
37. AMEREN CORP   2020-12-15 2022-01-27
61. EDISON INTERNATIONAL   2020-04-16 2022-01-27
133. EQUINOR ASA   2019-08-22 2022-01-27
9. ARTHUR J GALLAGHER & CO   2018-10-17 2022-01-27
9. ARTHUR J GALLAGHER & CO   2019-01-17 2022-01-27
7. ARTHUR J GALLAGHER & CO   2018-10-18 2022-01-27
32. INTERCONTINENTAL EXCHANGE INC   2021-04-14 2022-01-27
29. INTERCONTINENTAL EXCHANGE INC   2021-04-15 2022-01-27
42. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-04-16 2022-01-27
23. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-06-17 2022-01-27
15. AMEREN CORP   2020-12-15 2022-01-28
19. AMEREN CORP   2020-12-16 2022-01-28
43. AMEREN CORP   2021-01-19 2022-01-28
1. AMEREN CORP   2021-01-20 2022-01-28
7. EDISON INTERNATIONAL   2020-04-16 2022-01-28
10. EDISON INTERNATIONAL   2020-04-17 2022-01-28
48. EDISON INTERNATIONAL   2020-06-17 2022-01-28
45. EDISON INTERNATIONAL   2020-04-24 2022-01-28
164. EQUINOR ASA   2020-09-01 2022-01-28
30. EQUINOR ASA   2020-04-08 2022-01-28
36. EQUINOR ASA   2020-06-17 2022-01-28
140. EQUINOR ASA   2020-06-18 2022-01-28
7. EQUINOR ASA   2020-02-19 2022-01-28
28. EQUINOR ASA   2021-05-20 2022-01-28
76. EQUINOR ASA   2019-08-22 2022-01-28
87. EQUINOR ASA   2019-08-23 2022-01-28
34. EQUINOR ASA   2020-08-31 2022-01-28
1. EDISON INTERNATIONAL   2020-06-17 2022-01-31
20. MCKESSON CORP   2018-11-05 2022-02-09
3. MCKESSON CORP   2020-04-08 2022-02-09
16. MCKESSON CORP   2020-04-24 2022-02-09
26. CVS HEALTH CORP   2018-12-10 2022-02-22
19. CVS HEALTH CORP   2020-04-16 2022-02-22
2. CVS HEALTH CORP   2020-02-19 2022-02-22
28. CVS HEALTH CORP   2020-04-24 2022-02-22
2. CVS HEALTH CORP   2018-11-30 2022-02-22
53. COCA-COLA CO/THE   2020-11-16 2022-02-22
169. COCA-COLA CO/THE   2020-08-31 2022-02-22
51. CONOCOPHILLIPS   2020-06-17 2022-02-22
23. CONOCOPHILLIPS   2019-09-25 2022-02-22
16. LOCKHEED MARTIN CORP   2021-10-21 2022-02-22
2. LOCKHEED MARTIN CORP   2021-10-22 2022-02-22
76. MORGAN STANLEY   2014-01-21 2022-02-22
9. MORGAN STANLEY   2014-08-22 2022-02-22
79. NISOURCE INC   2020-10-08 2022-02-22
47. WELLS FARGO & CO NEW   2018-11-05 2022-02-22
13. WELLS FARGO & CO NEW   2018-10-11 2022-02-22
13. WELLS FARGO & CO NEW   2018-09-14 2022-02-22
8. CVS HEALTH CORP   2018-12-10 2022-02-23
6. CVS HEALTH CORP   2020-04-16 2022-02-23
9. CVS HEALTH CORP   2020-04-24 2022-02-23
15. LOCKHEED MARTIN CORP   2021-10-22 2022-02-23
15. NISOURCE INC   2020-10-08 2022-02-23
34. NISOURCE INC   2020-10-09 2022-02-23
83. NISOURCE INC   2020-10-12 2022-02-23
54. NISOURCE INC   2020-10-13 2022-02-23
.7 OTHER ASSET   2020-11-16 2022-03-04
4.1 OTHER ASSET   2021-03-01 2022-03-10
1.6 OTHER ASSET   2021-07-02 2022-03-10
.8 OTHER ASSET   2020-12-14 2022-03-10
1.8 OTHER ASSET   2020-12-15 2022-03-10
.5 OTHER ASSET   2020-11-16 2022-03-10
2.6 OTHER ASSET   2021-11-16 2022-03-10
3.6 OTHER ASSET   2020-11-17 2022-03-10
1. OTHER ASSET   2020-11-18 2022-03-10
15000. U.S. TREASURY NOTE   2021-08-23 2022-03-29
28. BRITISH AMERICAN TOBACCO PLC   2021-04-16 2022-04-06
27. BRITISH AMERICAN TOBACCO PLC   2022-02-22 2022-04-06
36. BRITISH AMERICAN TOBACCO PLC   2022-02-23 2022-04-06
48. CONOCOPHILLIPS   2020-06-17 2022-04-06
19. DUPONT DE NEMOURS INC   2020-04-08 2022-04-06
57. DUPONT DE NEMOURS INC   2020-01-13 2022-04-06
17. DUPONT DE NEMOURS INC   2020-02-19 2022-04-06
8. MORGAN STANLEY   2014-01-21 2022-04-06
82. MORGAN STANLEY   2016-01-22 2022-04-06
32. NEWELL BRANDS INC   2021-12-06 2022-04-06
98. NEWELL BRANDS INC   2022-01-27 2022-04-06
56. NEWELL BRANDS INC   2022-01-28 2022-04-06
41. PROGRESSIVE CORP/THE   2021-11-16 2022-04-06
37. PROGRESSIVE CORP/THE   2021-11-17 2022-04-06
29.5 RAYMOND JAMES FINANCIAL INC   2020-01-14 2022-04-06
.5 RAYMOND JAMES FINANCIAL INC   2020-01-15 2022-04-06
2. RAYMOND JAMES FINANCIAL INC   2020-01-15 2022-04-06
16. RAYMOND JAMES FINANCIAL INC   2020-01-16 2022-04-06
6. RAYMOND JAMES FINANCIAL INC   2020-02-19 2022-04-06
85. RAYTHEON TECHNOLOGIES   2021-03-01 2022-04-06
6. OTHER ASSET   2022-01-25 2022-04-07
.8 OTHER ASSET   2022-01-25 2022-04-08
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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(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 785   349 436
b 1,909   839 1,070
c 1,114   463 651
d 2,541   1,059 1,482
e 305   143 162
2,902   1,257 1,645
3,456   2,395 1,061
1,953   930 1,023
3,307   3,561 -254
1,184   714 470
1,184   678 506
273   162 111
638   350 288
455   189 266
3,028   2,374 654
2,781   2,162 619
8,117   6,566 1,551
328   356 -28
3,119   3,418 -299
92   54 38
138   75 63
275   156 119
138   57 81
275   165 110
1,378   1,147 231
2,375   2,039 336
2,090   1,720 370
4,465   3,816 649
6,665   2,879 3,786
1,431   777 654
1,431   835 596
3,291   1,802 1,489
1,015   325 690
825   624 201
1,966   764 1,202
841   243 598
630   434 196
2,522   726 1,796
3,377   2,076 1,301
862   533 329
12,406   10,180 2,226
65   55 10
717   648 69
1,683   1,457 226
1,434   1,244 190
883   685 198
712   610 102
641   544 97
71   57 14
2,020   1,001 1,019
4,443   2,259 2,184
202   135 67
990   821 169
212   61 151
212   145 67
848   242 606
495   427 68
71   57 14
424   363 61
2,037   1,754 283
351   286 65
2,248   1,951 297
492   423 69
562   488 74
70   57 13
9,681   8,949 732
6,699   5,053 1,646
7,257   5,561 1,696
1,117   756 361
8,653   5,649 3,004
280   155 125
3,084   2,164 920
280   200 80
3,460   2,145 1,315
300   267 33
1,862   1,618 244
120   118 2
4,514   2,107 2,407
5,924   3,094 2,830
120   118 2
1,682   1,461 221
240   214 26
692   557 135
4,153   3,275 878
4,416   3,583 833
2,653   1,298 1,355
1,020   501 519
1,000   1,000  
1,000   1,000  
6,000   6,000  
3,752   1,943 1,809
2,617   1,400 1,217
826   445 381
364   251 113
773   660 113
409   281 128
2,024   1,180 844
1,928   981 947
1,060   460 600
2,655   1,694 961
642   438 204
596   408 188
1,285   1,086 199
51   46 5
3,927   4,066 -139
2,655   2,477 178
719   665 54
7,486   3,887 3,599
3,039   2,413 626
1,595   1,508 87
142   151 -9
20   22 -2
324   355 -31
61   64 -3
394   330 64
591   415 176
197   168 29
2,757   2,204 553
1,365   964 401
6,887   4,790 2,097
496   412 84
3,892   1,632 2,260
4,350   1,150 3,200
984   862 122
2,460   2,127 333
984   807 177
82   85 -3
21   22 -1
535   577 -42
21   22 -1
206   215 -9
919   242 677
2,298   1,412 886
104   107 -3
249   258 -9
21   22 -1
41   44 -3
560   599 -39
63   66 -3
230   234 -4
503   517 -14
21   22 -1
1,173   1,242 -69
5,168   4,979 189
1,034   1,034  
2,067   2,065 2
3,157   3,152 5
10,524   9,988 536
2,105   2,102 3
298   26 272
4,477   2,473 2,004
2,069   780 1,289
1,759   711 1,048
137   98 39
548   391 157
47   31 16
1,629   1,176 453
1,624   1,176 448
607   441 166
149   118 31
1,269   1,001 268
2,911   2,311 600
1,470   977 493
654   428 226
163   74 89
4,092   1,699 2,393
1,340   717 623
2,479   1,320 1,159
268   150 118
3,206   1,248 1,958
1,303   471 832
3,306   1,137 2,169
301   101 200
6,592   4,398 2,194
165   74 91
825   535 290
1,649   1,085 564
1,069   1,079 -10
1,069   1,091 -22
6,411   5,999 412
3,887   2,507 1,380
8,773   1,974 6,799
4,081   307 3,774
1,200   1,147 53
1,878   1,826 52
1,095   1,075 20
1,498   1,120 378
1,300   960 340
541   402 139
484   355 129
470   435 35
2,586   2,442 144
5,564   5,568 -4
1,241   472 769
993   312 681
3,621   1,241 2,380
999   1,000 -1
8,989   9,002 -13
999   999  
1,000   1,000  
1,000   1,000  
1,000   957 43
4,000   3,829 171
3,827   2,739 1,088
1,616   1,266 350
2,463   1,931 532
3,670   2,854 816
4,671   3,633 1,038
4,156   3,365 791
3,464   1,169 2,295
1,860   928 932
6,152   1,748 4,404
4,650   2,646 2,004
3,577   465 3,112
8,751   7,566 1,185
4,573   2,521 2,052
2,621   2,738 -117
1,979   2,038 -59
160   169 -9
2,568   2,698 -130
1,294   1,158 136
3,191   2,910 281
3,753   3,652 101
3,708   2,290 1,418
1,344   647 697
1,344   663 681
1,045   502 543
3,917   3,781 136
3,550   3,462 88
2,746   2,192 554
1,504   1,162 342
1,302   1,180 122
1,649   1,502 147
3,733   3,143 590
87   72 15
434   419 15
620   606 14
2,976   2,886 90
2,790   2,650 140
4,522   2,648 1,874
827   394 433
993   542 451
3,860   2,085 1,775
193   122 71
772   596 176
2,095   1,309 786
2,399   1,473 926
937   546 391
62   60 2
5,591   2,539 3,052
839   399 440
4,472   2,212 2,260
2,650   1,903 747
1,937   1,172 765
204   144 60
2,854   1,731 1,123
204   161 43
3,300   2,846 454
10,522   8,377 2,145
4,481   2,263 2,218
2,021   1,354 667
6,181   5,962 219
773   750 23
7,205   2,481 4,724
853   302 551
2,244   1,767 477
2,597   2,525 72
718   673 45
718   716 2
822   586 236
617   370 247
925   556 369
5,792   5,629 163
425   336 89
963   766 197
2,350   1,911 439
1,529   1,238 291
16   24 -8
100   155 -55
39   60 -21
19   26 -7
44   61 -17
12   17 -5
63   79 -16
88   124 -36
24   35 -11
14,907   15,001 -94
1,211   1,126 85
1,168   1,243 -75
1,557   1,672 -115
4,694   2,130 2,564
1,331   720 611
3,992   3,437 555
1,190   914 276
667   261 406
6,839   2,111 4,728
700   718 -18
2,143   2,266 -123
1,225   1,261 -36
4,753   3,852 901
4,289   3,424 865
3,167   1,849 1,318
54   31 23
215   125 90
1,718   1,017 701
644   404 240
8,382   6,368 2,014
174   179 -5
24   24  
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
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      133
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      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
      133
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       436
b       1,070
c       651
d       1,482
e       162
      1,645
      1,061
      1,023
      -254
      470
      506
      111
      288
      266
      654
      619
      1,551
      -28
      -299
      38
      63
      119
      81
      110
      231
      336
      370
      649
      3,786
      654
      596
      1,489
      690
      201
      1,202
      598
      196
      1,796
      1,301
      329
      2,226
      10
      69
      226
      190
      198
      102
      97
      14
      1,019
      2,184
      67
      169
      151
      67
      606
      68
      14
      61
      283
      65
      297
      69
      74
      13
      732
      1,646
      1,696
      361
      3,004
      125
      920
      80
      1,315
      33
      244
      2
      2,407
      2,830
      2
      221
      26
      135
      878
      833
      1,355
      519
       
       
       
      1,809
      1,217
      381
      113
      113
      128
      844
      947
      600
      961
      204
      188
      199
      5
      -139
      178
      54
      3,599
      626
      87
      -9
      -2
      -31
      -3
      64
      176
      29
      553
      401
      2,097
      84
      2,260
      3,200
      122
      333
      177
      -3
      -1
      -42
      -1
      -9
      677
      886
      -3
      -9
      -1
      -3
      -39
      -3
      -4
      -14
      -1
      -69
      189
       
      2
      5
      536
      3
      272
      2,004
      1,289
      1,048
      39
      157
      16
      453
      448
      166
      31
      268
      600
      493
      226
      89
      2,393
      623
      1,159
      118
      1,958
      832
      2,169
      200
      2,194
      91
      290
      564
      -10
      -22
      412
      1,380
      6,799
      3,774
      53
      52
      20
      378
      340
      139
      129
      35
      144
      -4
      769
      681
      2,380
      -1
      -13
       
       
       
      43
      171
      1,088
      350
      532
      816
      1,038
      791
      2,295
      932
      4,404
      2,004
      3,112
      1,185
      2,052
      -117
      -59
      -9
      -130
      136
      281
      101
      1,418
      697
      681
      543
      136
      88
      554
      342
      122
      147
      590
      15
      15
      14
      90
      140
      1,874
      433
      451
      1,775
      71
      176
      786
      926
      391
      2
      3,052
      440
      2,260
      747
      765
      60
      1,123
      43
      454
      2,145
      2,218
      667
      219
      23
      4,724
      551
      477
      72
      45
      2
      236
      247
      369
      163
      89
      197
      439
      291
      -8
      -55
      -21
      -7
      -17
      -5
      -16
      -36
      -11
      -94
      85
      -75
      -115
      2,564
      611
      555
      276
      406
      4,728
      -18
      -123
      -36
      901
      865
      1,318
      23
      90
      701
      240
      2,014
      -5
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 185,503
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 2,978
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 2,978
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,046
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  
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,046
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 932
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 taxBullet0 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMS
    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 ofbulletBANK OF AMERICA NA Telephone no.bullet (212) 852-3049

    Located atbulletPO BOX 1532PENNINGTONPA ZIP+4bullet08534
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    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
    Yes
     
    If "Yes," list the years bullet2021, 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
    BANK OF AMERICA N A TRUSTEE
    2
    27,499    
    PO BOX 1532
    PENNINGTON,NJ08534
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,864,011
    b
    Average of monthly cash balances.......................
    1b
    110,936
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,974,947
    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
    1,974,947
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    29,624
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,945,323
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    97,266
    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
    97,266
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    2,978
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,978
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    94,288
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    94,288
    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
    94,288
    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 94,288
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 67,701
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 44,385
    a Applied to 2020, but not more than line 2a 44,385
    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..... 0
    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 .............
    23,316
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    94,288
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    SHADY GROVE BAPTIST CHURCH
    4056 SHADY GROVE ROAD SE
    BOGUE CHITTO,MS39629
    NONE PC GENERAL OPERATING 27,886
    Total .................................bullet 3a 27,886
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 185,503  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL TAX REFUND
        1 2,419  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   228,733  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    228,733
    (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:
    MCCULLOUGH ENDMT FBO SHADY GR
    EIN:
    13-4288017
    Name of Bond End of Year Book Value End of Year Fair Market Value
    949746SA0 WELLS FARGO & COMPAN    
    68389XBM6 ORACLE CORP 15,192 13,997
    035240AV2 ANHEUSER-BUSCH INBEV 9,560 8,581
    377372AL1 GLAXOSMITHKLINE CAPI    
    172967FT3 CITIGROUP INC    
    46625HJX9 JPMORGAN CHASE & CO 14,202 14,121
    025816CC1 AMERICAN EXPRESS CO 16,243 16,046
    037833CJ7 APPLE INC 15,534 14,939
    06406FAD5 BANK OF NY MELLON CO    
    437076BW1 HOME DEPOT INC 15,920 15,000
    6174468Q5 MORGAN STANLEY 10,127 9,436
    931142EK5 WALMART INC    
    05531FBB8 BB&T CORPORATION 15,151 14,833
    05526DBS3 BAT CAPITAL CORP 18,807 15,670
    20030NDM0 COMCAST CORP 14,927 12,698
    912810SR0 U.S. TREASURY BOND 8,977 7,950
    91282CAR2 U.S. TREASURY NOTE 21,001 20,859
    912810SP4 U.S. TREASURY BOND 9,316 6,916
    912828M56 U.S. TREASURY NOTE 29,966 28,349
    912810QU5 U.S. TREASURY BOND 3 24,980 22,916
    912810SA7 U.S. TREASURY BOND 17,635 14,801
    3135G0K36 FEDERAL NATL MTG ASS 14,975 14,544
    912810SW9 U.S. TREASURY BOND 17,612 14,735
    9128284R8 U.S. TREASURY NOTE    
    912810SH2 U.S. TREASURY BOND 17,664 15,584
    912828YH7 U.S. TREASURY NOTE 19,005 18,422
    9128285M8 U.S. TREASURY NOTE 15,142 14,142
    912828X88 U.S. TREASURY NOTE 8,424 7,793
    91282CED9 U.S. TREASURY NOTE 19,549 19,386
    91282CCS8 U.S. TREASURY NOTE 10,679 9,539
    17327CAQ6 CITIGROUP INC 9,112 7,869
    91282CDG3 U.S. TREASURY NOTE 13,923 12,935

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    MCCULLOUGH ENDMT FBO SHADY GR
    EIN:
    13-4288017
    Name of Stock End of Year Book Value End of Year Fair Market Value
    35137L105 FOX CORP 18,755 19,067
    500472303 KONINKLIJKE PHILIPS 20,716 16,628
    56585A102 MARATHON PETROLEUM C    
    58155Q103 MCKESSON CORP    
    620076307 MOTOROLA SOLUTIONS I    
    91324P102 UNITEDHEALTH GROUP I 11,324 19,325
    020002101 ALLSTATE CORP/THE 8,522 10,882
    036752103 ANTHEM INC 20,034 48,185
    20030N101 COMCAST CORP 10,933 20,476
    22052L104 DOWDUPONT INC 7,793 16,499
    281020107 EDISON INTERNATIONAL    
    34959J108 FORTIVE CORP    
    487836108 KELLOGG CO    
    594918104 MICROSOFT CORP COM 7,941 14,709
    G7S00T104 PENTAIR PLC SHS    
    G96629103 WILLIS TOWERS WATSON 12,033 10,743
    21036P108 CONSTELLATION BRANDS 14,016 21,902
    49456B101 KINDER MORGAN INC/DE    
    539830109 LOCKHEED MARTIN CORP    
    H01301128 ALCON SA ACT NOM 7,914 10,041
    59156R108 METLIFE INC 20,806 29,687
    609207105 MONDELEZ INTERNATION 15,046 14,508
    713448108 PEPSICO INC    
    744573106 PUBLIC SERVICE ENTER 7,771 11,982
    754730109 RAYMOND JAMES FINANC 7,006 11,500
    92343V104 VERIZON COMMUNICATIO 20,676 21,159
    046353108 ASTRAZENECA PLC SPON 19,698 33,665
    12572Q105 CME GROUP INC    
    256677105 DOLLAR GENERAL CORP 18,367 23,040
    548661107 LOWES COMPANIES INC    
    74834L100 QUEST DIAGNOSTICS IN    
    835699307 SONY CORP ADR AMERN    
    89417E109 TRAVELERS COS INC/TH    
    904784709 UNILEVER NV    
    907818108 UNION PACIFIC CORP 11,027 17,806
    969457100 WILLIAMS COS INC/THE 24,467 33,056
    026874784 AMERICAN INTERNATION 30,504 40,781
    12626K203 CRH PLC ADR    
    31428X106 FEDEX CORP    
    369604103 GENERAL ELECTRIC CO    
    651229106 NEWELL BRANDS INC 8,859 10,533
    92826C839 VISA INC 16,621 20,460
    949746101 WELLS FARGO & CO NEW 37,619 51,003
    02209S103 ALTRIA GROUP INC    
    055622104 BP P L C SPONS ADR 36,116 32,482
    084670702 BERKSHIRE HATHAWAYIN    
    192446102 COGNIZANT TECHNOLOGY 18,803 25,403
    205887102 CONAGRA BRANDS INC    
    363576109 ARTHUR J GALLAGHER & 4,496 10,615
    46625H100 J P MORGAN CHASE & C 11,584 20,888
    565849106 MARATHON OIL CORP    
    666807102 NORTHROP GRUMMAN COR    
    723787107 PIONEER NAT RES CO    
    808513105 CHARLES SCHWAB CORP/ 10,474 19,899
    857477103 STATE ST CORP COM    
    N6596X109 NXP SEMICONDUCTORS N 6,889 9,058
    126650100 CVS HEALTH CORP 8,010 13,170
    172967424 CITIGROUP INC 40,885 39,291
    29452E101 EQUITABLE HOLDINGS I 6,235 10,321
    37045V100 GENERAL MOTORS CO 18,463 21,040
    717081103 PFIZER INC    
    89151E109 TOTAL FINA ELF S.A.    
    G5960L103 MEDTRONIC PLC SHS 23,854 28,386
    025816109 AMERICAN EXPRESS CO    
    20825C104 CONOCOPHILLIPS 13,580 26,746
    26614N102 DUPONT DE NEMOURS IN    
    478160104 JOHNSON & JOHNSON    
    617446448 MORGAN STANLEY 2,964 10,396
    68389X105 ORACLE CORP    
    80105N105 SANOFI-SYNTHELABO 29,373 31,820
    17275R102 CISCO SYSTEMS INC 36,150 38,743
    29446M102 EQUINOR ASA    
    337932107 FIRSTENERGY CORP    
    09260D107 BLACKSTONE GROUP INC    
    110448107 BRITISH AMERICAN TOB 17,089 18,007
    31620R303 FIDELITY NATIONAL FI 12,377 13,260
    31847R102 FIRST AMERICAN FINAN    
    78467J100 SS&C TECHNOLOGIES HO 17,308 15,906
    872540109 TJX COS INC/THE    
    038222105 APPLIED MATERIALS IN    
    444859102 HUMANA INC 28,616 30,230
    521865204 LEAR CORP 9,908 7,421
    191216100 COCA-COLA CO/THE 8,977 12,017
    30161N101 EXELON CORP    
    65473P105 NISOURCE INC    
    75513E101 RAYTHEON TECHNOLOGIE 15,133 21,070
    31620M106 FIDELITY NATL INFO S 34,163 26,076
    45866F104 INTERCONTINENTAL EXC    
    023608102 AMEREN CORP    
    693506107 PPG INDUSTRIES INC 15,053 14,719
    904767704 UNILEVER PLC AMER SH 34,154 31,873
    025537101 AMERICAN ELECTRIC PO 10,903 12,488
    12514G108 CDW CORP/DE    
    125523100 CIGNA CORP 23,368 26,652
    14040H105 CAPITAL ONE FINANCIA 10,921 9,471
    98956P102 ZIMMER BIOMET HOLDIN 24,663 20,165
    525327102 LEIDOS HOLDINGS INC 21,277 22,669
    854502101 STANLEY BLACK & DECK 15,843 11,895
    15189T107 CENTERPOINT ENERGY I 7,377 9,122
    446413106 HUNTINGTON INGALLS I 11,205 11,488
    03769M106 APOLLO GLOBAL MANAGE 13,076 10,599
    03073E105 AMERISOURCEBERGEN CO 10,551 11,195
    778296103 ROSS STORES INC 30,196 26,240
    816851109 SEMPRA ENERGY 10,314 12,263
    075887109 BECTON DICKINSON AND 8,573 8,404
    670100205 NOVO NORDISK A/S ADR 7,756 7,524
    369604301 GENERAL ELEC CO REG 13,286 13,866
    775109200 ROGERS COMMUNICATION 21,505 23,254
    149123101 CATERPILLAR INC 14,939 14,948
    00507V109 ACTIVISION BLIZZARD 4,223 5,594
    42809H107 HESS CORP 20,749 23,500
    032654105 ANALOG DEVICES INC 7,549 6,793
    24906P109 DENTSPLY SIRONA INC 7,449 5,359
    81211K100 SEALED AIR CORP 14,486 15,218
    50540R409 LABORATORY CORP AMER 18,377 16,579

    TY 2021 InvestmentsOtherSchedule2
    Name:
    MCCULLOUGH ENDMT FBO SHADY GR
    EIN:
    13-4288017
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    09260B382 BLACKROCK STRATEGIC AT COST 23,644 22,733

    TY 2021 OtherDecreasesSchedule
    Name:
    MCCULLOUGH ENDMT FBO SHADY GR
    EIN:
    13-4288017
    Description Amount
    CURRENT YEAR POAI 41
    AMORTIZATION ADJUSTMENT 397
    COST BASIS ADJUSTMENT 315


    TY 2021 OtherExpensesSchedule
    Name:
    MCCULLOUGH ENDMT FBO SHADY GR
    EIN:
    13-4288017
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER INVESTMENT EXPENSES 113 113   0


    TY 2021 OtherIncomeSchedule2
    Name:
    MCCULLOUGH ENDMT FBO SHADY GR
    EIN:
    13-4288017
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 2,419 0  


    TY 2021 OtherIncreasesSchedule
    Name:
    MCCULLOUGH ENDMT FBO SHADY GR
    EIN:
    13-4288017
    Description Amount
    PRIOR YEAR POAI CARRYOVER 28


    TY 2021 TaxesSchedule
    Name:
    MCCULLOUGH ENDMT FBO SHADY GR
    EIN:
    13-4288017
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 543 543   0
    FEDERAL ESTIMATES - PRINCIPAL 2,046 0   0