Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
THE MARK E AND MARY A DAVIS FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)805 ENTERPRISE DRIVE EAST
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BELLE PLAINE, MN56011
A Employer identification number

32-6369521
B Telephone number (see instructions)

(952) 873-4821
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$34,901,881J 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) 1,003,352
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 654,921 654,921  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,445,254
b Gross sales price for all assets on line 6a 4,131,458
7 Capital gain net income (from Part IV, line 2)... 1,445,254
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 3,103,527 2,100,175  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 4,900 2,450   2,450
c Other professional fees (attach schedule).... Click to see attachment 209,971 209,971   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 22,176 9,892   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 25 0   25
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 237,072 222,313   2,475
25 Contributions, gifts, grants paid....... 2,175,349 2,175,349
26 Total expenses and disbursements. Add lines 24 and 25 2,412,421 222,313   2,177,824
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 691,106
b Net investment income (if negative, enter -0-) 1,877,862
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 364,842 304,263 304,263
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 20,626,348 Click to see attachment25,705,252 25,705,252
c Investments—corporate bonds (attach schedule)....... 2,691,378 Click to see attachment2,649,688 2,649,688
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 5,672,859 Click to see attachment6,242,678 6,242,678
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) 29,355,427 34,901,881 34,901,881
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 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 29,355,427 34,901,881
29 Total net assets or fund balances (see instructions)..... 29,355,427 34,901,881
30 Total liabilities and net assets/fund balances (see instructions). 29,355,427 34,901,881
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
29,355,427
2
Enter amount from Part I, line 27a .....................
2
691,106
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
4,855,348
4
Add lines 1, 2, and 3 ..........................
4
34,901,881
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
34,901,881
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 PUBLICLY TRADED SECURITIES      
b CAPITAL GAINS DIVIDENDS P    
c
d
e
(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 3,436,392   2,686,204 750,188
b 695,066     695,066
c
d
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       750,188
b       695,066
c
d
e
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 1,445,254
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 26,102
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 26,102
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 6,000
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 50,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 56,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 29,898
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet29,898 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMN
    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 ofbulletJAMES WARD Telephone no.bullet (952) 873-4821

    Located atbullet805 ENTERPRISE DRIVE EAST SUITE HBELLE PLAINEMN ZIP+4bullet56011
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
    Yes
     
    (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
     
    No
    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
    MARK E DAVIS TRUSTEE
    1.00     		0 0 0
    PO BOX 558
    ST PETER,MN56082
    MARY A DAVIS TRUSTEE
    1.00     		0 0 0
    PO BOX 558
    ST PETER,MN56082
    JAMES T WARD TREASURER
    1.00     		0 0 0
    PO BOX 558
    ST PETER,MN56082
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    31,485,691
    b
    Average of monthly cash balances.......................
    1b
    626,102
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    32,111,793
    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
    32,111,793
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    481,677
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    31,630,116
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,581,506
    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
    1,581,506
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    26,102
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    26,102
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,555,404
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,555,404
    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
    1,555,404
    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 1,555,404
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 403,044
    b From 2017...... 435,699
    c From 2018...... 495,474
    d From 2019...... 40,190
    e From 2020......  
    f Total of lines 3a through e ........ 1,374,407
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 2,177,824
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 1,555,404
    e Remaining amount distributed out of corpus 622,420
    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 1,996,827
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		403,044
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		1,593,783
    10 Analysis of line 9:
    a Excess from 2017.... 435,699
    b Excess from 2018.... 495,474
    c Excess from 2019.... 40,190
    d Excess from 2020....  
    e Excess from 2021.... 622,420
    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).)
    MARK E DAVIS
    MARY A DAVIS
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ALZHEIMER'S DISEASE RESEARCH (BRIGHTFOCUS FOUNDATION)
    22512 GATEWAY CENTER DRIVE
    CLARKSBURG,MD208711950     		NONE PC GENERAL SUPPORT 500
    AMERICAN DIABETES ASSOCIATION
    PO BOX 7017
    MERRIFIELD,VA221169704     		NONE PC GENERAL SUPPORT 500
    AMERICAN PARKINSON DISEASE ASSOCIATION
    PO BOX 97216
    WASHINGTON,DC200907216     		NONE PC GENERAL SUPPORT 500
    ANNEXSTAD FAMILY FOUNDATION
    5516 MERRITT CIRCLE
    EDINA,MN55436     		NONE PF GENERAL SUPPORT 250,000
    ARMY HISTORICAL FOUNDATION
    PO BOX 96281
    WASHINGTON,DC200906281     		NONE PC GENERAL SUPPORT 500
    BLUE EARTH COUNTY HISTORICAL SOCIETY
    424 WARREN STREET
    MANKATO,MN56001     		NONE PC GENERAL SUPPORT 500
    BOLDER OPTIONS
    2100 STEVENS AVENUE SOUTH
    MINNEAPOLIS,MN55404     		NONE PC GENERAL SUPPORT 5,000
    ST RAPHAEL'S EPISCOPAL CHURCH
    112 W VAN DUSEN ST
    SPRINGFIELD,MN56087     		NONE PC GENERAL SUPPORT 6,806
    CARING BRIDGE
    PO BOX 6032
    ALBERT LEA,MN560079854     		NONE PC GENERAL SUPPORT 500
    CATO INSTITUTE
    1000 MASSACHUSETTS AVENUE NW
    WASHINGTON,DC20001     		NONE PC GENERAL SUPPORT 15,000
    CENTER OF THE AMERICAN EXPERIMENT
    8421 WAYZATA BOULEVARD
    GOLDEN VALLEY,MN554269918     		NONE PC GENERAL SUPPORT 25,000
    CHILDREN'S MUSEUM OF SOUTHERN MINNESOTA
    224 LAMM STREET
    MANKATO,MN56001     		NONE PC GENERAL SUPPORT 2,500
    CHURCH OF SAINT PETER
    1801 W BROADWAY
    ST PETER,MN56082     		NONE PC GENERAL SUPPORT 37,500
    CHURCH OF THE HOLY COMMUNION
    118 N MINNESOTA AVE
    ST PETER,MN56082     		NONE PC GENERAL SUPPORT 12,500
    CITIZENS' COUNCIL FOR HEALTH FREEDOM
    161 ST ANTHONY AVENUE
    SAINT PAUL,MN55103     		NONE PC GENERAL SUPPORT 500
    CLUB FOR GROWTH FOUNDATION
    2001 L STREET NW
    WASHINGTON,DC20036     		NONE PC GENERAL SUPPORT 15,000
    COMMITTEE FOR A CONSTRUCTIVE TOMORROW
    PO BOX 430
    ABINGDON,MD210090430     		NONE PC GENERAL SUPPORT 1,000
    COMPETITIVE ENTERPRISE INSTITUTE
    1310 L STREET NW 7TH FLOOR
    WASHINGTON,DC20005     		NONE PC GENERAL SUPPORT 3,000
    CRAZY HORSE MEMORIAL FOUNDATION
    12151 AVENUE OF THE CHIEFS
    CRAZY HORSE,SD577308900     		NONE PC GENERAL SUPPORT 1,200
    DELTA WATERFOWL FOUNDATION
    1412 BASIN AVENUE
    BISMARCK,ND58502     		NONE PC GENERAL SUPPORT 500
    DISABLED VETERANS NATIONAL FOUNDATION
    4601 FORBES BLVD
    LANHAM,MD20706     		NONE PC GENERAL SUPPORT 250
    DUCKS UNLIMITED
    PO BOX 98113
    WASHINGTON,DC200777694     		NONE PC GENERAL SUPPORT 250
    EISENHOWER FOUNDATION
    PO BOX 35
    ABILENE,KS674100035     		NONE PC GENERAL SUPPORT 500
    EPISCOPAL HOMES FOUNDATION
    490 E LYNNHURST AVENUE
    SAINT PAUL,MN55104     		NONE PC GENERAL SUPPORT 500
    FEDERATED FOUNDATION
    121 EAST PARK SQUARE
    OWATONNA,MN55060     		NONE PC GENERAL SUPPORT 12,500
    FREEDOM FOUNDATION OF MINNESOTA
    825 NICOLLET MALL
    MINNEAPOLIS,MN55402     		NONE PC GENERAL SUPPORT 1,500
    FRIENDS OF HUNT HILL AUDUBON SANCTUARY
    N2384 HUNT HILL ROAD
    SARONA,WI54870     		NONE PC GENERAL SUPPORT 1,000
    FRIENDS OF THE SMITHSONIAN
    PO BOX 98096
    WASHINGTON,DC200908096     		NONE PC GENERAL SUPPORT 500
    GEORGE MASON UNIVERSITY FOUNDATION
    4400 UNIVERSITY DRIVE
    FAIRFAX,VA22030     		NONE PC GENERAL SUPPORT 250
    GEORGE W BUSH FOUNDATION
    2943 SMU BOULEVARD
    DALLAS,TX75205     		NONE PC GENERAL SUPPORT 25,000
    GLOBAL NETWORK FOUNDATION
    715 PEACHTREE ST NE SUITE 200
    ATLANTA,GA30308     		NONE PC GENERAL SUPPORT 10,000
    GREATER MANKATO AREA UNITED WAY
    127 SOUTH SECOND STREET
    MANKATO,MN56001     		NONE PC GENERAL SUPPORT 500
    GUSTAVUS - REN ANDERSON FUND
    800 WEST COLLEGE AVENUE
    SAINT PETER,MN560821498     		NONE PC GENERAL SUPPORT 1,000
    HAVE INC
    PO BOX 190
    LE SUEUR,MN56058     		NONE PC GENERAL SUPPORT 2,500
    HABITAT FOR HUMANITY
    1730 BASSETT DRIVE
    MANKATO,MN56001     		NONE PC GENERAL SUPPORT 500
    HARRY S TRUMAN LIBRARY INSTITUTE
    PO BOX 1891
    MERRIFIELD,VA221168091     		NONE PC GENERAL SUPPORT 250
    HIGH HOPES FOR HAITI - MORTEL
    PO BOX 405
    HERSHEY,PA17033     		NONE PC GENERAL SUPPORT 1,000
    HILLSDALE COLLEGE
    33 EAST COLLEGE STREET
    HILLSDALE,MI492429989     		NONE PC GENERAL SUPPORT 5,000
    JOHN IRELAND SCHOOL
    1801 WEST BROADWAY AVENUE
    SAINT PETER,MN56082     		NONE PC GENERAL SUPPORT 2,500
    JON DENZER BEAR HUG FOUNDATION
    3538 WESTBROOK RD
    CHILLICOTHE,IL61523     		NONE PC GENERAL SUPPORT 1,000
    JUDICIAL WATCH
    425 THIRD STREET SW
    WASHINGTON,DC20024     		NONE PC GENERAL SUPPORT 1,000
    JUNIOR ACHIEVEMENT OF THE UPPER MIDWEST
    210 E LIME STREET
    MANKATO,MN56001     		NONE PC GENERAL SUPPORT 60,000
    KNIGHTS TEMPLAR EYE FOUNDATION INC
    1033 LONG PRAIRIE ROAD
    FLOWER MOUND,TX750224230     		NONE PC GENERAL SUPPORT 500
    LEADERSHIP INSTITUTE
    1101 NORTH HIGHLAND STREET
    ARLINGTON,VA22201     		NONE PC GENERAL SUPPORT 500
    LEE HEALTH FOUNDATION
    9800 S HEALTHPARK DRIVE SUITE 405
    FORT MYERS,FL33908     		NONE GOV GENERAL SUPPORT 500
    MANKATO AREA FOUNDATION
    127 SOUTH SECOND STREET
    MANKATO,MN56001     		NONE PC GENERAL SUPPORT 500
    MAYO
    200 FIRST STREET SW
    ROCHESTER,MN55905     		NONE PC GENERAL SUPPORT 400,000
    MEDIA RESEARCH CENTER
    1900 CAMPUS COMMONS DRIVE
    RESTON,VA20191     		NONE PC GENERAL SUPPORT 1,000
    MINNESOTA 4-H (UNIVERSITY OF MINNESOTA FOUNDATION)
    PO BOX 860266
    MINNEAPOLIS,MN554860266     		NONE PC GENERAL SUPPORT 2,000
    MINNESOTA AGRICULTURE IN THE CLASSROOM
    PO BOX 987
    BEMIDJI,MN56619     		NONE PC GENERAL SUPPORT 500
    MINNESOTA FARM BUREAU FOUNDATION
    PO BOX 64370
    SAINT PAUL,MN55164     		NONE PC GENERAL SUPPORT 250
    MINNESOTA FFA FOUNDATION
    PO BOX 365
    PLAINVIEW,MN55964     		NONE PC GENERAL SUPPORT 1,000
    MINNESOTA HISTORICAL SOCIETY
    345 KELLOGG BOULEVARD WEST
    SAINT PAUL,MN55102     		NONE PC GENERAL SUPPORT 25,000
    MINNESOTA MASONIC CHARITIES
    11501 MASONIC HOME DRIVE
    MINNEAPOLIS,MN554373699     		NONE PC GENERAL SUPPORT 1,500
    MINNESOTA SHERIFFS' ASSOCIATION
    PO BOX 88
    LE SUEUR,MN56058     		NONE PC GENERAL SUPPORT 250
    MINNESOTA SPECIAL OLYMPICS
    PO BOX 626
    ALBERT LEA,MN560070626     		NONE PC GENERAL SUPPORT 250
    MINNESOTA STATE FAIR FOUNDATION
    1265 SNELLING AVENUE N
    SAINT PAUL,MN55108     		NONE PC GENERAL SUPPORT 7,500
    MINNESOTA STATE MANKATO FOUNDATION
    236 WIGLEY ADMINISTRATION CENTER
    MANKATO,MN56001     		NONE PC GENERAL SUPPORT 25,000
    MINNESOTA STATE UNIVERSITY MANKATO COLLEGE OF BUSINESS
    120 MORRIS HALL
    MANKATO,MN56001     		NONE PC GENERAL SUPPORT 25,000
    MINNESOTA VOTERS ALLIANCE
    PO BOX 4602
    SAINT PAUL,MN55104     		NONE PC GENERAL SUPPORT 1,000
    MINNESOTA WELSH ASSOCIATION
    PO BOX 267
    LAKE CRYSTAL,MN56055     		NONE PC GENERAL SUPPORT 1,000
    MINNESOTANS' MILITARY APPRECIATION FUND
    PO BOX 2070
    MINNEAPOLIS,MN55402     		NONE PC GENERAL SUPPORT 25,000
    MN LANDSCAPE ARBORETUM FOUNDATION
    3675 ARBORETUM DRIVE
    CHASKA,MN55318     		NONE PC GENERAL SUPPORT 1,000
    MOUNT VERNON
    PO BOX 1594
    MERRIFIELD,VA221161594     		NONE PC GENERAL SUPPORT 250
    MULTIPLE SCLEROSIS ASSOCIATION OF AMERICA
    PO BOX 96219
    WASHINGTON,DC200906219     		NONE PC GENERAL SUPPORT 250
    MUSCULAR DYSTROPHY ASSOCIATION
    PO BOX 97075
    WASHINGTON,DC200907075     		NONE PC GENERAL SUPPORT 250
    NATIONAL D-DAY MEMORIAL FOUNDATION
    PO BOX 77
    BEDFORD,VA24523     		NONE PC GENERAL SUPPORT 500
    NATIONAL LAW ENFORCEMENT OFFICERS MEMORIAL FUND
    PO BOX 97072
    WASHINGTON,DC200907072     		NONE PC GENERAL SUPPORT 250
    NATIONAL REVIEW INSTITUTE
    PO BOX 97172
    WASHINGTON,DC200777923     		NONE PC GENERAL SUPPORT 25,000
    NATIONAL RIGHT TO WORK LEGAL DEFENSE FOUNDATION
    8001 BRADDOCK ROAD
    SPRINGFIELD,VA221519988     		NONE PC GENERAL SUPPORT 1,500
    NATIONAL TAXPAYERS UNION
    122 C STEET NW SUITE 650
    WASHINGTON,DC20001     		NONE PC GENERAL SUPPORT 500
    NEY NATURE CENTER - A LE SUEUR COUNTY PARK
    PO BOX 93
    HENDERSON,MN560440093     		NONE PC GENERAL SUPPORT 1,000
    NICOLLET COUNTY HISTORICAL SOCIETY
    1851 NORTH MINNESOTA AVENUE
    SAINT PETER,MN56082     		NONE PC GENERAL SUPPORT 10,000
    NORTHERN STAR SCOUTING
    6202 BLOOMINGTON ROAD
    FORT SNELLING,MN55111     		NONE PC GENERAL SUPPORT 2,000
    PHEASANTS FOREVER
    PO BOX 129
    KNIFE RIVER,MN556090129     		NONE PC GENERAL SUPPORT 250
    PROJECT VERITAS
    PO BOX 98217
    WASHINGTON,DC200908217     		NONE PC GENERAL SUPPORT 1,000
    SAINT ANNE'S SCHOOL
    PO BOX 162
    LE SUEUR,MN56058     		NONE PC GENERAL SUPPORT 13,893
    SCIENCE MUSEUM OF MINNESOTA
    120 WEST KELLOGG BOULEVARD
    SAINT PAUL,MN55102     		NONE PC GENERAL SUPPORT 2,500
    SDSU
    MORRILL HALL ROOM 136
    BROOKINGS,SD57007     		NONE GOV STUDENT SCHOLARSHIP 10,000
    SECOND HARVEST HEARTLAND
    7101 WINNETKA AVENUE
    BROOKLYN PARK,MN55428     		NONE PC GENERAL SUPPORT 500
    SHRINERS HEALTHCARE HOSPITAL FOR CHILDREN
    2025 EAST RIVER PARKWAY
    MINNEAPOLIS,MN55414     		NONE PC GENERAL SUPPORT 15,000
    SMILE NETWORK INTERNATIONAL
    108 W 14TH STREET
    MINNEAPOLIS,MN55403     		NONE PC GENERAL SUPPORT 1,500
    SMITHSONIAN - NATIONAL AIR AND SPACE MUSEUM
    PO BOX 98091
    WASHINGTON,DC200908091     		NONE PC GENERAL SUPPORT 500
    SMITHSONIAN - NATIONAL MUSEUM OF AFRICAN AMERICAN HISTORY AND CULTURE
    PO BOX 98097
    WASHINGTON,DC200908097     		NONE PC GENERAL SUPPORT 500
    SOUTHERN MINNESOTA INITIATIVE FOUNDATION
    PO BOX 695
    OWATONNA,MN55060     		NONE PC GENERAL SUPPORT 20,000
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN38105     		NONE PC GENERAL SUPPORT 15,000
    ST PETER - KASOTA DOLLARS FOR SCHOLARS
    PO BOX 233
    SAINT PETER,MN56082     		NONE PC GENERAL SUPPORT 500
    STATE POLICY NETWORK
    1655 NORTH FORT MYER DRIVE
    ARLINGTON,VA22209     		NONE PC GENERAL SUPPORT 1,500
    TAX FOUNDATION
    1325 G STREET NW
    WASHINGTON,DC20005     		NONE PC GENERAL SUPPORT 500
    THE CHARLEMAGNE INSTITUTE
    8011 34TH AVENUE S
    BLOOMINGTON,MN554250905     		NONE PC GENERAL SUPPORT 2,500
    THE CLAREMONT INSTITUTE
    1317 W FOOTHILL BOULEVARD
    UPLAND,CA91786     		NONE PC GENERAL SUPPORT 2,000
    THE HERITAGE FOUNDATION
    PO BOX 97057
    WASHINGTON,DC200907057     		NONE PC GENERAL SUPPORT 2,000
    THE NATIONAL WORLD WAR II MUSEUM
    921 PENNSYLVANIA AVENUE SE NO 31
    WASHINGTON,DC20003     		NONE PC GENERAL SUPPORT 250
    THE RICHARD NIXON FOUNDATION
    18001 YORBA LINDA BOULEVARD
    YORBA LINDA,CA928863949     		NONE PC GENERAL SUPPORT 350
    THE RONALD REAGAN PRESIDENTIAL FOUNDATION
    40 PRESIDENTIAL DRIVE
    SIMI VALLEY,CA93065     		NONE PC GENERAL SUPPORT 350
    THE SALVATION ARMY
    PO BOX 7187
    SAINT PAUL,MN551070187     		NONE PC GENERAL SUPPORT 1,002,500
    TUNNEL TO TOWERS FOUNDATION
    2361 HYLAN BLVD
    STATEN ISLAND,NY10306     		NONE PC GENERAL SUPPORT 500
    UNCF
    PO BOX 55040
    BOSTON,MA022059822     		NONE PC GENERAL SUPPORT 3,750
    UNION GOSPEL MISSION
    PO BOX 64389
    SAINT PAUL,MN551640389     		NONE PC GENERAL SUPPORT 500
    UNITED STATES HOLOCAUST MEMORIAL MUSEUM
    PO BOX 1566
    MERRIFIELD,VA221169583     		NONE PC GENERAL SUPPORT 500
    UNIVERSITY OF MINNESOTA FOUNDATION (2021 DIAMOND AWARDS)
    200 OAK STREET SE
    MINNEAPOLIS,MN554552010     		NONE PC GENERAL SUPPORT 3,500
    UPPER MIDWEST LAW CENTER
    8421 WAYZATA BOULEVARD NO 105
    GOLDEN VALLEY,MN55426     		NONE PC GENERAL SUPPORT 5,000
    WOUNDED WARRIOR PROJECT
    PO BOX 758541
    TOPEKA,KS666758541     		NONE PC GENERAL SUPPORT 250
    MINNESOTA INDEPENDENT SCHOOL FORUM
    445 MINNESOTA STREET
    SAINT PAUL,MN551015000     		NONE PC GENERAL SUPPORT 1,500
    Total .................................bullet 3a 2,175,349
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    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 1,445,254  
    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 2,100,175 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    2,100,175
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


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

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    THE MARK E AND MARY A DAVIS FOUNDATION
     
    Employer identification number

    32-6369521
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    THE MARK E AND MARY A DAVIS FOUNDATION
          		Employer identification number
    32-6369521
    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
    MARK E AND MARY A DAVIS
    805 ENTERPRISE DRIVE EAST SUITE H
     
    BELLE PLAINE, MN56011

    		$ 1,003,352


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

    		$  


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

    		$  


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

    		$  


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

    		$  


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

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    THE MARK E AND MARY A DAVIS FOUNDATION
          		Employer identification number

    32-6369521
    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
    1
    		 PUBLICLY TRADED STOCK $ 1,003,352 2021-12-29
    (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
    THE MARK E AND MARY A DAVIS FOUNDATION
          		Employer identification number

    32-6369521
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    THE MARK E AND MARY A DAVIS FOUNDATION
    EIN:
    32-6369521
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 4,900 2,450   2,450

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE MARK E AND MARY A DAVIS FOUNDATION
    EIN:
    32-6369521
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ALLSPRING INCOME OPPORTUNITIES 17,507 17,507
    ANGEL OAK DYNAMIC FINANCIAL 16,480 16,480
    ARES DYNAMIC CREDIT ALLOCATI 11,431 11,431
    BARINGS GLOBAL SHORT DURATION 22,679 22,679
    BLACKROCK CORE BOND TRUST 40,547 40,547
    BLACKROCK CREDIT ALLOCATION 160,511 160,511
    BLACKROCK ENHANCED GOVT FD 42,839 42,839
    BLACKROCK INCOME TRUST 41,496 41,496
    BLACKSTONE LONG-SHORT CREDIT I 23,830 23,830
    BLACKSTONE STRATEGIC CREDIT FU 19,102 19,102
    CREDIT SUISSE HIGH YIELD BD 22,230 22,230
    DELAWARE IVY HIGH INCOME OPPOR 6,965 6,965
    DOUBLELINE OPPORT CREDIT 72,868 72,868
    DOUBLELINE OPPORTUNISTIC 11,220 11,220
    DWS MUNICIPAL INCOME TRUST COM 21,276 21,276
    EATON VANCE LTD DURATION FD 144,101 144,101
    EATON VANCE SHORT DUR DIV IN 60,206 60,206
    FHLMC 2411 CL ZE 81,629 81,629
    FHLMC GOLD G07505 7% 02/01/39 61,339 61,339
    FHLMC GOLD G80363 7% 10/20/35 36,923 36,923
    FIRST TRUST HIGH INCOME LONG 28,062 28,062
    FIRST TRUST MORTGAGE INCOME 77,430 77,430
    FNMA 2004-T3 CL 1A1 97,733 97,733
    FNMA AL6607 6.5% 03/01/40 50,669 50,669
    FRANKLIN LIMITED DURATION IN 1,054 1,054
    INSIGHT SELECT INCOME FUND 88,307 88,307
    INVESCO BOND FD 43,190 43,190
    INVESCO HIGH INCOME 2023 TAR 15,929 15,929
    INVESCO HIGH INCOME 2024 TAR 13,804 13,804
    INVESCO PENNSYLVANIA VALUE M 22,352 22,352
    JOHN HANCOCK INCOME SECURITIES TRUST 71,749 71,749
    KKR INCOME OPPORTUNITIES 11,844 11,844
    MFS CHARTER INCOME TRUST 10,224 10,224
    MFS GOVT MARKETS INC TRUST 31,535 31,535
    MFS INTERMEDIATE INC TRUST 116,226 116,226
    NEW AMERICA HIGH INCOME FUND 15,336 15,336
    NUVEEN QUAL MUNI INC FD 21,797 21,797
    NUVEEN ENHANCED AMT-FREE QUALITY 21,840 21,840
    NUVEEN MULTI-MKT INC FD 79,817 79,817
    NUVEEN PA QUAL MUNI INC FD 11,920 11,920
    NUVEEN PFD AND INC TERM FD 23,292 23,292
    NUVEEN PREFERRED & INCOME 48,800 48,800
    NUVEEN PREFERRED & INCOME SECURITIES FUND 79,704 79,704
    NUVEEN PREFERRED INCOME 2022 12,285 12,285
    PGIM GLOBAL HIGH YIELD FUND INC 19,754 19,754
    PGIM HIGH YIELD BOND FUND INC 32,310 32,310
    PIMCO STRATEGIC INCOME FUND INC 35,573 35,573
    PUTNAM MASTER INTERMEDIATE INCOME 114,751 114,751
    PUTNAM PREMIER INCOME TRUST 105,178 105,178
    SABA CAPITAL INCOME & OPPORTUN 2,798 2,798
    STRIP PRINC 71,416 71,416
    TCW STRATEGIC INCOME FUND INC 38,477 38,477
    US TREAS RIPS 0.5% 04/15/24 116,969 116,969
    WESTERN ASSET INFLATION-LINKED 46,908 46,908
    WESTERN ASSET INFLATION-LINKED 85,859 85,859
    WESTERN ASSET INV GRA DEF OP 18,406 18,406
    WESTERN ASSET MORTGAGE OPPORTUNITY 18,252 18,252
    WESTERN ASSET PREMIER BOND FUND 32,959 32,959

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE MARK E AND MARY A DAVIS FOUNDATION
    EIN:
    32-6369521
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABORATORIES 545,369 545,369
    ABBVIE INC 324,960 324,960
    ACCENTURE PLC-CL A 673,644 673,644
    ALLIANZ SE-SPON ADR 188,880 188,880
    ALPHABET INC/CA-CL A 854,627 854,627
    AMAZON.COM INC 20,006 20,006
    AMERIPRISE FINANCIAL INC 392,158 392,158
    ANALOG DEVICES INC 127,433 127,433
    APPLE INC 2,166,354 2,166,354
    APPLIED MATERIALS INC 723,856 723,856
    ARTHUR J GALLAGHER & CO 381,758 381,758
    ASTRAZENECA PLC - SPONS ADR 262,125 262,125
    BAE SYSTEMS PLC - SPON ADR 202,538 202,538
    BANK OF AMERICA CORP 253,593 253,593
    BAXTER INTERNATIONAL INC 221,759 221,759
    BHP GROUP LTD - SPON ADR 188,594 188,594
    BROADCOM LTD 665,410 665,410
    CHUBB LTD 242,488 242,488
    CONSTELLATION BRANDS INC - A 376,455 376,455
    CVS HEALTH CORP 417,799 417,799
    DIAGEO PLC - SPONSORED ADR 495,315 495,315
    ESTEE LAUDER COMPANIES - CL A 425,730 425,730
    FEDEX CORP 310,368 310,368
    GOLDMAN SACHS GROUP INC 328,993 328,993
    HOME DEPOT INC 796,819 796,819
    HONEYWELL INTERNATIONAL INC 380,531 380,531
    IBERDROLA S A 330,470 330,470
    JOHNSON & JOHNSON 598,745 598,745
    JP MORGAN CHASE & CO 688,823 688,823
    LINDE PLC 147,233 147,233
    LOCKHEED MARTIN CORP 284,328 284,328
    LOGITECH INTERNATIONAL - REG 181,456 181,456
    MCDONALDS CORP 288,175 288,175
    MEDTRONIC PLC 320,046 320,046
    MICROSOFT CORP 2,775,313 2,775,313
    MONDELEZ INTERNATIONAL INC - A 254,975 254,975
    NESTLE S A 442,166 442,166
    NEXTERA ENERGY INC 571,830 571,830
    NVIDIA CORP 617,631 617,631
    PEPSICO INC 629,226 629,226
    PFIZER INC 172,721 172,721
    QUALCOMM INC 152,696 152,696
    RELX NV 269,848 269,848
    ROCKWELL AUTOMATION INC 313,965 313,965
    SCOTTS MIRACLE-GRO CO-CL A 225,400 225,400
    SHERWIN-WILLIAMS CO/THE 491,263 491,263
    SIEMENS AG 352,894 352,894
    STARBUCKS CORP 558,532 558,532
    T ROWE PRICE GROUP INC 462,104 462,104
    THERMO FISHER SCIENTIFIC INC 433,875 433,875
    TRANE TECHOLOGIES PLC 227,947 227,947
    UNION PACIFIC CORP 535,351 535,351
    UNITEDHEALTH GROUP INC 401,712 401,712
    US BANKCORP DEL 225,104 225,104
    WASTE MANAGEMENT INC 475,665 475,665
    WEC ENERGY GROUP, INC 308,196 308,196

    TY 2021 InvestmentsOtherSchedule2
    Name:
    THE MARK E AND MARY A DAVIS FOUNDATION
    EIN:
    32-6369521
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    LEP XVI (LANDMARK) PRIVATE FMV 431,075 431,075
    AMERICAN TOWER CORP FMV 166,048 166,048
    RIVER NORTH DOUBLINE FMV 1,889 1,889
    SIT DEV MARKETS GROWTH FUND FMV 1,290,926 1,290,926
    SIT SMALL CAP GROWTH FUND FMV 4,352,740 4,352,740

    TY 2021 OtherExpensesSchedule
    Name:
    THE MARK E AND MARY A DAVIS FOUNDATION
    EIN:
    32-6369521
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MN AG FILING FEE 25 0   25


    TY 2021 OtherIncreasesSchedule
    Name:
    THE MARK E AND MARY A DAVIS FOUNDATION
    EIN:
    32-6369521
    Description Amount
    UNREALIZED GAINS 4,855,139
    TAX EXEMPT INCOME 209


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE MARK E AND MARY A DAVIS FOUNDATION
    EIN:
    32-6369521
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BROKERAGE FEES 209,971 209,971   0


    TY 2021 TaxesSchedule
    Name:
    THE MARK E AND MARY A DAVIS FOUNDATION
    EIN:
    32-6369521
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT 12,284 0   0
    FOREIGN TAX PAYMENT 9,892 9,892   0