Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 07-01-2021 , and ending 06-30-2022
Name of foundation
HISLOP FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)POBOX 1532 AFT
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PENNINGTON, NJ08534
A Employer identification number

39-6735003
B Telephone number (see instructions)

(888) 866-3275
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$448,902
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... 8,935 8,935  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 17,668
b Gross sales price for all assets on line 6a 102,122
7 Capital gain net income (from Part IV, line 2)... 17,668
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).......      
12 Total. Add lines 1 through 11........ 26,603 26,603  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
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)....... 2,500 0 0 2,500
c Other professional fees (attach schedule).... 6,653 3,992   2,661
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 140 88   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)....... 17     17
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 9,310 4,080 0 5,178
25 Contributions, gifts, grants paid....... 9,000 9,000
26 Total expenses and disbursements. Add lines 24 and 25 18,310 4,080 0 14,178
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 8,293
b Net investment income (if negative, enter -0-) 22,523
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............. 4,830 28 28
2 Savings and temporary cash investments......... 12,983 7,793 7,793
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)....... 159,840 Click to see attachment167,879 183,581
c Investments—corporate bonds (attach schedule)....... 98,692 Click to see attachment102,988 90,850
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 152,621 Click to see attachment158,693 166,650
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) 428,966 437,381 448,902
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........ 428,966 437,381
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)..... 428,966 437,381
30 Total liabilities and net assets/fund balances (see instructions). 428,966 437,381
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
428,966
2
Enter amount from Part I, line 27a .....................
2
8,293
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
214
4
Add lines 1, 2, and 3 ..........................
4
437,473
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
92
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
437,381
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 10. ALIBABA GROUP HOLDING LT   2020-06-10 2021-09-16
b 10. ALLY FINANCIAL INC   2020-06-10 2022-01-07
c 4. ALLY FINANCIAL INC   2020-06-10 2022-01-10
d 14. ALLY FINANCIAL INC   2020-06-10 2022-03-14
e 11. ALLY FINANCIAL INC   2020-06-10 2022-03-15
4. ALLY FINANCIAL INC   2020-06-10 2022-03-31
10. ALLY FINANCIAL INC   2020-06-10 2022-04-01
11. ALLY FINANCIAL INC   2020-06-10 2022-04-12
8. ALLY FINANCIAL INC   2020-06-10 2022-04-13
1. ALPHABET INC SHS CL C   2020-06-10 2021-08-03
1. ALPHABET INC SHS CL C   2020-06-10 2022-06-27
1. ALPHABET INC SHS CL A   2020-06-10 2021-10-13
1. AMAZON COM INC   2020-06-10 2022-05-20
2. ANTHEM INC   2020-08-19 2022-05-10
1. ANTHEM INC   2020-08-19 2022-05-12
4. APPLE INC   2020-06-10 2021-07-23
3. APPLE INC   2020-06-10 2022-05-20
3. APPLE INC   2020-06-10 2022-05-26
4. APPLIED MATERIALS INCORPORATED   2020-07-28 2021-07-09
4. APPLIED MATERIALS INCORPORATED   2020-07-28 2021-08-03
2. APPLIED MATERIALS INCORPORATED   2020-08-11 2022-05-20
4. BAE SYSTEMS PLC   2020-06-10 2021-11-01
6. BAE SYSTEMS PLC   2020-06-10 2021-11-02
9. BAE SYSTEMS PLC   2020-06-10 2021-11-03
8. BAE SYSTEMS PLC   2020-06-10 2021-11-08
10. BAE SYSTEMS PLC   2020-06-10 2021-11-09
9. BAE SYSTEMS PLC   2020-06-10 2021-11-10
2. BAE SYSTEMS PLC   2020-07-06 2021-11-11
5. BAE SYSTEMS PLC   2020-06-10 2021-11-11
11. BAE SYSTEMS PLC   2020-07-06 2021-12-03
4. BAE SYSTEMS PLC   2020-07-07 2021-12-06
10. BAE SYSTEMS PLC   2020-11-16 2021-12-06
5. BAE SYSTEMS PLC   2020-11-16 2021-12-07
2. BAE SYSTEMS PLC   2020-11-16 2021-12-07
54. BP AMOCO P L C SPONSORED ADR   2020-06-10 2021-09-15
5. BP AMOCO P L C SPONSORED ADR   2020-06-10 2021-09-16
1. BERKSHIRE HATHAWAYINC   2020-06-10 2022-05-20
12. CDK GLOBAL INC   2020-06-10 2022-04-12
4. CDK GLOBAL INC   2020-06-10 2022-05-03
6. CDK GLOBAL INC   2020-06-10 2022-05-04
7. CDK GLOBAL INC   2020-06-10 2022-06-13
2. CDK GLOBAL INC   2020-06-10 2022-06-14
1. CDW CORP/DE   2021-03-22 2021-09-09
1. CDW CORP/DE   2021-03-19 2021-09-09
2. CDW CORP/DE   2021-03-22 2021-09-10
2. CDW CORP/DE   2021-03-23 2021-09-13
1. CDW CORP/DE   2021-03-23 2021-09-29
1. CDW CORP/DE   2021-05-12 2021-09-29
2. CDW CORP/DE   2021-05-12 2021-09-30
2. CH ROBINSON WORLDWIDE INC   2021-01-05 2022-05-20
4. CAPITAL ONE FINANCIAL CORPORATION   2020-12-15 2021-10-29
4. CAPITAL ONE FINANCIAL CORPORATION   2020-12-14 2021-10-29
11. CISCO SYSTEMS INCORPORATED   2020-06-10 2021-11-10
10. CISCO SYSTEMS INCORPORATED   2020-06-10 2022-01-03
37. CISCO SYSTEMS INCORPORATED   2020-06-10 2022-01-05
8. CISCO SYSTEMS INCORPORATED   2020-06-10 2022-01-24
15. CISCO SYSTEMS INCORPORATED   2020-06-10 2022-02-24
7. CISCO SYSTEMS INCORPORATED   2021-04-26 2022-02-24
1000. CITIGROUP INC   2020-06-10 2022-01-14
4. COCA-COLA CO/THE   2020-08-27 2021-09-27
6. COCA-COLA CO/THE   2020-09-01 2021-09-27
10. COCA-COLA CO/THE   2020-09-01 2021-10-13
4. COCA-COLA CO/THE   2020-09-01 2021-11-10
7. COCA-COLA CO/THE   2020-09-10 2021-11-10
3. COCA-COLA CO/THE   2020-09-10 2021-12-17
10. COCA-COLA CO/THE   2020-10-01 2021-12-17
6. COCA-COLA CO/THE   2020-11-11 2021-12-17
10. COMCAST CORP   2020-06-10 2022-05-20
5. CONOCOPHILLIPS   2020-06-10 2022-01-27
2. CONOCOPHILLIPS   2020-06-10 2022-01-28
6. CONOCOPHILLIPS   2020-06-10 2022-01-28
5. CONOCOPHILLIPS   2020-06-10 2022-02-24
8. CONOCOPHILLIPS   2020-06-10 2022-03-02
4. DOWDUPONT INC   2020-06-10 2022-05-20
7. DOWDUPONT INC   2020-06-10 2022-05-27
2. DOLLAR GENERAL CORP   2021-03-26 2022-06-27
6. DOLLAR TREE INC   2020-06-10 2021-07-09
4. DOLLAR TREE INC   2020-06-10 2022-06-10
3. DOLLAR TREE INC   2020-06-10 2022-06-21
8. EQT CORP   2021-03-05 2022-04-07
10. EQT CORP   2021-03-08 2022-04-07
11. EQT CORP   2021-03-08 2022-04-12
7. EQT CORP   2021-03-09 2022-04-12
12. EQT CORP   2021-03-09 2022-04-18
9. EQT CORP   2021-03-09 2022-05-20
4. EQT CORP   2021-03-24 2022-05-26
7. EQT CORP   2021-03-25 2022-05-26
1. FACEBOOK INC   2020-06-10 2022-05-20
1. FIRST CITIZENS BANCSHARES INC/NC   2022-01-07 2022-05-20
1. FIRST CITIZENS BANCSHARES INC/NC   2022-03-15 2022-05-20
1. FIRST CITIZENS BANCSHARES INC/NC   2022-03-16 2022-05-20
13. FOX CORP   2020-07-23 2022-02-24
2000. GOLDMAN SACHS GROUP INC   2020-06-10 2022-01-24
11. ISHARES RUSSELL 1000 GROWTH   2020-06-10 2022-06-27
49. ISHARES CORE DIVIDEND GROWTH ETF   2020-06-10 2022-05-20
27. ISHARES CORE DIVIDEND GROWTH ETF   2020-06-10 2022-06-27
4. J P MORGAN CHASE & CO COM   2020-06-10 2022-01-07
1. KONINKLIJKE PHILIPS ELECTRS N V   2020-06-10 2021-10-13
5. KONINKLIJKE PHILIPS ELECTRS N V   2020-06-10 2021-10-14
6. KONINKLIJKE PHILIPS ELECTRS N V   2020-06-10 2021-10-15
1. KONINKLIJKE PHILIPS ELECTRS N V   2020-06-10 2021-10-18
3. KONINKLIJKE PHILIPS ELECTRS N V   2020-06-10 2021-11-30
25. KONINKLIJKE PHILIPS ELECTRS N V   2020-06-10 2021-12-01
2. LABORATORY CORP AMER HLDGS COM NEW   2020-06-10 2021-07-23
1. LABORATORY CORP AMER HLDGS COM NEW   2020-06-10 2021-07-26
3. LOWES COMPANIES INC COM   2020-06-10 2021-07-23
2. LOWES COMPANIES INC COM   2020-06-10 2021-08-03
5. LOWES COMPANIES INC COM   2020-06-10 2021-08-12
2. MICROSOFT CORPORATION   2020-06-10 2022-05-20
6. MORGAN STANLEY   2020-06-10 2021-08-16
6. MORGAN STANLEY   2020-06-10 2021-10-29
4. NORFOLK SOUTHERN CORP   2020-06-10 2022-05-20
2. NOVO-NORDISK A S ADR   2020-06-10 2022-05-20
1. O'REILLY AUTOMOTIVE INC   2020-06-10 2021-08-04
1. O'REILLY AUTOMOTIVE INC   2020-06-10 2021-11-22
2. O'REILLY AUTOMOTIVE INC   2020-06-10 2022-01-19
1. O'REILLY AUTOMOTIVE INC   2020-06-10 2022-01-28
4. OTIS WORLDWIDE CORP REG   2020-06-10 2021-08-31
2. OTIS WORLDWIDE CORP REG   2020-06-10 2021-09-01
2. QUANTA SERVICES INC   2020-06-10 2021-10-13
4. QUANTA SERVICES INC   2020-06-10 2021-10-14
2. QUANTA SERVICES INC   2020-06-10 2022-03-31
3. QUANTA SERVICES INC   2020-06-10 2022-04-01
2. QUANTA SERVICES INC   2020-06-10 2022-05-20
1. ROBERT HALF INTERNATIONAL INC   2020-06-19 2021-07-09
1. ROBERT HALF INTERNATIONAL INC   2020-06-22 2021-07-09
4. ROBERT HALF INTERNATIONAL INC   2020-06-22 2021-07-12
3. ROBERT HALF INTERNATIONAL INC   2020-10-23 2021-07-13
4. ROBERT HALF INTERNATIONAL INC   2020-10-26 2021-07-14
4. ROSS STORES INC   2020-06-10 2022-06-27
3. SANOFI ADR   2020-06-10 2022-05-20
4. SEALED AIR CORP   2021-06-18 2022-05-20
6. TERADYNE INC   2022-02-24 2022-05-27
4. TERADYNE INC   2022-02-25 2022-05-27
4. UNILEVER PLC W/I (UK/USD) US9047677045   2020-06-10 2022-05-20
1000. U.S. TREASURY BOND   2020-06-10 2022-05-26
6000. U.S. TREASURY NOTE   2020-06-10 2021-12-20
2000. U.S. TREASURY NOTE   2020-11-23 2022-05-26
5000. U.S. TREASURY NOTE   2021-01-20 2022-03-25
1000. U.S. TREASURY NOTE   2021-02-23 2022-03-25
2000. U.S. TREASURY NOTE   2021-02-23 2022-05-26
2000. U.S. TREASURY NOTE   2021-03-24 2021-10-26
3000. U.S. TREASURY NOTE   2021-12-20 2022-03-25
1000. U.S. TREASURY NOTE   2022-01-27 2022-05-26
1. UNITEDHEALTH GROUP INC   2020-06-10 2022-01-28
3. UNITEDHEALTH GROUP INC   2020-06-10 2022-05-12
1. VEEVA SYS INC CL A   2021-01-05 2022-05-20
2. VISA INC   2020-06-10 2021-08-12
4. VISA INC   2020-06-10 2022-05-20
23. VODAFONE GROUP PLC   2020-09-28 2021-07-06
3. VODAFONE GROUP PLC   2020-09-28 2021-07-07
9. VODAFONE GROUP PLC   2020-09-29 2021-07-07
6. VODAFONE GROUP PLC   2020-10-02 2021-10-29
14. VODAFONE GROUP PLC   2020-10-05 2021-10-29
10. VODAFONE GROUP PLC   2020-10-05 2021-10-29
12. VODAFONE GROUP PLC   2020-09-29 2021-10-29
2. VODAFONE GROUP PLC   2020-10-14 2021-11-01
6. VODAFONE GROUP PLC   2020-10-15 2021-11-01
16. VODAFONE GROUP PLC   2020-10-15 2021-11-01
7. VODAFONE GROUP PLC   2020-10-15 2021-11-01
4. VODAFONE GROUP PLC   2020-10-05 2021-11-01
1. VODAFONE GROUP PLC   2020-10-15 2021-11-02
7. VODAFONE GROUP PLC   2020-10-27 2021-11-02
1. VODAFONE GROUP PLC   2020-10-16 2021-11-02
27. VODAFONE GROUP PLC   2020-10-28 2021-11-02
1. VODAFONE GROUP PLC   2020-10-28 2021-11-02
1. VODAFONE GROUP PLC   2020-11-06 2021-11-03
15. VODAFONE GROUP PLC   2020-11-05 2021-11-03
12. VODAFONE GROUP PLC   2020-11-04 2021-11-03
3. VODAFONE GROUP PLC   2020-11-03 2021-11-03
1. VODAFONE GROUP PLC   2020-10-28 2021-11-03
4. WORLD WRESTLING ENTERTAINMENT INC   2021-03-03 2022-06-22
4. WORLD WRESTLING ENTERTAINMENT INC   2021-03-04 2022-06-23
(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 1,569   2,221 -652
b 500   219 281
c 198   87 111
d 582   306 276
e 460   241 219
174   87 87
439   219 220
475   241 234
346   175 171
2,724   1,458 1,266
2,365   1,458 907
2,752   1,458 1,294
2,155   2,653 -498
976   569 407
480   285 195
593   352 241
412   264 148
432   264 168
537   250 287
568   250 318
211   129 82
122   109 13
182   163 19
276   244 32
249   217 32
311   271 40
278   244 34
61   49 12
154   136 18
321   270 51
118   100 18
296   261 35
148   130 18
59   52 7
1,387   1,439 -52
127   133 -6
302   195 107
654   538 116
218   179 39
326   269 57
381   314 67
109   90 19
200   160 40
200   158 42
399   319 80
393   314 79
185   157 28
185   164 21
367   328 39
203   183 20
607   367 240
607   362 245
636   524 112
630   476 154
2,247   1,762 485
440   381 59
804   714 90
375   361 14
1,000   1,000  
216   193 23
325   294 31
542   490 52
227   196 31
397   352 45
176   151 25
585   492 93
351   322 29
418   416 2
446   234 212
178   94 84
529   281 248
434   234 200
793   374 419
233   119 114
430   209 221
499   403 96
594   549 45
627   366 261
469   274 195
289   144 145
361   176 185
442   194 248
281   123 158
542   211 331
369   158 211
191   70 121
334   127 207
193   237 -44
628   896 -268
628   724 -96
628   752 -124
528   341 187
2,000   2,000  
2,519   2,126 393
2,367   1,954 413
1,314   1,077 237
663   433 230
44   46 -2
220   229 -9
267   275 -8
43   46 -3
106   138 -32
877   1,147 -270
568   352 216
282   176 106
603   390 213
387   260 127
958   650 308
506   388 118
621   290 331
615   290 325
899   759 140
214   133 81
606   419 187
642   419 223
1,330   837 493
642   419 223
369   239 130
183   119 64
222   80 142
451   160 291
264   80 184
396   120 276
228   80 148
88   51 37
88   51 37
352   204 148
261   155 106
350   202 148
308   400 -92
162   155 7
238   231 7
650   697 -47
434   473 -39
175   214 -39
980   1,313 -333
6,056   6,057 -1
1,943   2,001 -58
4,951   5,000 -49
990   1,000 -10
1,983   2,000 -17
1,950   1,969 -19
2,825   3,014 -189
976   994 -18
463   307 156
1,435   921 514
164   276 -112
464   401 63
790   803 -13
384   311 73
50   41 9
150   121 29
90   81 9
211   196 15
150   140 10
181   161 20
30   29 1
90   86 4
241   227 14
106   99 7
60   56 4
15   14 1
105   98 7
15   14 1
405   365 40
15   14 1
15   14 1
222   212 10
177   167 10
44   42 2
15   14 1
243   208 35
238   209 29
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       -652
b       281
c       111
d       276
e       219
      87
      220
      234
      171
      1,266
      907
      1,294
      -498
      407
      195
      241
      148
      168
      287
      318
      82
      13
      19
      32
      32
      40
      34
      12
      18
      51
      18
      35
      18
      7
      -52
      -6
      107
      116
      39
      57
      67
      19
      40
      42
      80
      79
      28
      21
      39
      20
      240
      245
      112
      154
      485
      59
      90
      14
       
      23
      31
      52
      31
      45
      25
      93
      29
      2
      212
      84
      248
      200
      419
      114
      221
      96
      45
      261
      195
      145
      185
      248
      158
      331
      211
      121
      207
      -44
      -268
      -96
      -124
      187
       
      393
      413
      237
      230
      -2
      -9
      -8
      -3
      -32
      -270
      216
      106
      213
      127
      308
      118
      331
      325
      140
      81
      187
      223
      493
      223
      130
      64
      142
      291
      184
      276
      148
      37
      37
      148
      106
      148
      -92
      7
      7
      -47
      -39
      -39
      -333
      -1
      -58
      -49
      -10
      -17
      -19
      -189
      -18
      156
      514
      -112
      63
      -13
      73
      9
      29
      9
      15
      10
      20
      1
      4
      14
      7
      4
      1
      7
      1
      40
      1
      1
      10
      10
      2
      1
      35
      29
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 17,668
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........................... 3 313
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- ..... 5 313
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,164
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 1,164
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 10 851
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet315 RefundedBullet 11 536
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)
    bulletWI
    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 addressbullet  
    14
    The books are in care ofbulletBANK OF AMERICA NA Telephone no.bullet (888) 866-3275

    Located atbulletPO BOX 1532 AFTPENNINGTONNJ 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)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    BARBARA BOARD TRUSTEE
    2
    0    
    4643 BAY SHORE DR
    STURGEON BAY,WI542359735
    MARGARET WEST TRUSTEE
    2
    0    
    3250 NORMANDY LN
    GREEN BAY,WI543011426
    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
    500,528
    b
    Average of monthly cash balances.......................
    1b
    17,808
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    518,336
    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
    518,336
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    7,775
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    510,561
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    25,528
    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
    25,528
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    313
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    313
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    25,215
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    25,215
    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
    25,215
    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 25,215
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 8,926
    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$ 14,178
    a Applied to 2020, but not more than line 2a 8,926
    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..... 5,252
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    19,963
    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).)
    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
    PENINSULA PLAYERS
    4351 PENINSULA PLAYERS RD
    FISH CREEK,WI54212
    N/A PC UNRESTRICTED GENERAL 4,000
    DOOR COMMUNITY AUDITORIUM INC
    3926 WI-42
    FISH CREEK,WI54212
    N/A PC UNRESTRICTED GENERAL 4,000
    NEIGHBOR TO NEIGHBOR VOLUNTEER CAREGIVER
    OF DOOR COUNTY
    PO BOX 626
    STURGEON BAY,WI54235
    N/A PC UNRESTRICTED GENERAL 1,000
    Total .................................bullet 3a 9,000
    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 17,668  
    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) ..   26,603  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    26,603
    (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 AccountingFeesSchedule
    Name:
    HISLOP FAMILY FOUNDATION
    EIN:
    39-6735003
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE 2,500     2,500

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    HISLOP FAMILY FOUNDATION
    EIN:
    39-6735003
    Name of Bond End of Year Book Value End of Year Fair Market Value
    3135G0Q22 FEDERAL NATL MTG ASS 5,082 4,764
    38141GGS7 GOLDMAN SACHS GROUP    
    912828YV6 U.S. TREASURY NOTE 3,084 2,897
    912828Y38 U.S. TRSY INFLATION    
    912803CK7 U.S. TREASURY PRIN S 4,522 3,877
    907818EY0 UNION PACIFIC CORP 2,253 1,980
    912810QU5 U.S. TREASURY BOND 3 5,205 3,851
    912810RH3 U.S. TREASURY BOND 3,794 2,859
    912828Z94 U.S. TREASURY NOTE    
    035242AN6 ANHEUSER-BUSCH INBEV 2,410 1,890
    037833CU2 APPLE INC    
    06406RAN7 BANK OF NY MELLON CO 2,042 1,880
    912828V98 U.S. TREASURY NOTE 4,307 3,862
    9128286T2 U.S. TREASURY NOTE 3,334 2,880
    912810RT7 U.S. TREASURY BOND    
    172967FT3 CITIGROUP INC    
    92826CAC6 VISA INC    
    931142EK5 WALMART INC    
    37045XCJ3 GENERAL MOTORS FINL    
    06367WHH9 BANK OF MONTREAL 4,154 3,989
    912810SJ8 U.S. TREASURY BOND 3,488 2,482
    912828YF1 U.S. TREASURY NOTE    
    61746BEG7 MORGAN STANLEY 2,494 1,826
    78013XKG2 ROYAL BANK OF CANADA    
    91159HHP8 US BANCORP    
    94974BFC9 WELLS FARGO & COMPAN    
    05531FAX1 BB&T CORPORATION    
    20030NCS8 COMCAST CORP 4,360 4,020
    46647PBT2 JPMORGAN CHASE & CO 4,006 3,560
    92343VGH1 VERIZON COMMUNICATIO 4,050 3,560
    91282CBD2 U.S. TREASURY NOTE    
    91282CBQ3 U.S. TREASURY NOTE 4,938 4,563
    91282CAW1 U.S. TREASURY NOTE    
    05526DBR5 BAT CAPITAL CORP 4,010 3,357
    912810SR0 U.S. TREASURY BOND 1,719 1,401
    126650DJ6 CVS HEALTH CORP 3,365 2,811
    912810SS8 U.S. TREASURY BOND 1,901 1,419
    95000U2S1 WELLS FARGO & COMPAN 2,046 1,794
    912810ST6 U.S. TREASURY BOND 1,789 1,449
    912828Z78 U.S. TREASURY NOTE 1,987 1,870
    91282CED9 U.S. TREASURY NOTE 6,843 6,775
    91282CCS8 U.S. TREASURY NOTE 2,899 2,589
    91282CDN8 U.S. TREASURY NOTE 3,008 2,859
    91282CEM9 U.S. TREASURY NOTE 2,000 1,980
    91282CEN7 U.S. TREASURY NOTE 2,987 2,964
    91282CDV0 U.S. TREASURY NOTE 4,911 4,842

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HISLOP FAMILY FOUNDATION
    EIN:
    39-6735003
    Name of Stock End of Year Book Value End of Year Fair Market Value
    12508E101 CDK GLOBAL INC 1,237 1,424
    50540R409 LABORATORY CORP AMER 2,643 3,515
    904784709 UNILEVER NV    
    74762E102 QUANTA SERVICES INC 761 2,381
    778296103 ROSS STORES INC 4,534 3,301
    92826C839 VISA INC 4,809 4,725
    02079K305 ALPHABET INC SHS 2,916 4,359
    02209S103 ALTRIA GROUP INC    
    17275R102 CISCO SYSTEMS INC    
    037833100 APPLE INC 4,839 7,520
    00130H105 AES CORP/VA    
    91324P102 UNITEDHEALTH GROUP I 3,404 5,650
    20825C104 CONOCOPHILLIPS 2,179 4,131
    23331A109 DR HORTON INC    
    500472303 KONINKLIJKE PHILIPS    
    548661107 LOWES COMPANIES INC    
    594918104 MICROSOFT CORP COM 9,321 12,328
    92343V104 VERIZON COMMUNICATIO    
    37045V100 GENERAL MOTORS CO 2,455 2,700
    670100205 NOVO NORDISK A/S ADR 1,525 2,563
    68902V107 OTIS WORLDWIDE CORP 2,694 2,827
    80105N105 SANOFI-SYNTHELABO 5,159 4,953
    931142103 WAL MART STORES INC    
    05523R107 BAE SYSTEMS PLC    
    084670702 BERKSHIRE HATHAWAYIN 3,760 5,460
    09857L108 BOOKING HLDGS INC    
    166764100 CHEVRONTEXACO CORP    
    902973304 US BANCORP DEL    
    G0750C108 AXALTA COATING SYSTE 1,959 1,813
    02079K107 ALPHABET INC SHS 3,632 4,375
    269246401 E*TRADE FINANCIAL CO    
    30303M102 FACEBOOK INC 4,749 3,225
    34959J108 FORTIVE CORP 3,481 3,045
    443510607 HUBBELL INC    
    46625H100 J P MORGAN CHASE & C 2,924 3,040
    02005N100 ALLY FINANCIAL INC    
    055622104 BP P L C SPONS ADR    
    172967424 CITIGROUP INC    
    20030N101 COMCAST CORP 5,339 4,748
    22052L104 DOWDUPONT INC 3,426 5,901
    256677105 DOLLAR GENERAL CORP 3,123 3,682
    256746108 DOLLAR TREE INC 2,013 3,429
    67103H107 O'REILLY AUTOMOTIVE    
    717081103 PFIZER INC    
    754730109 RAYMOND JAMES FINANC    
    770323103 ROBERT HALF INTERNAT    
    89832Q109 TRUIST FINL CORP    
    655844108 NORFOLK SOUTHERN COR 2,326 2,500
    874039100 TAIWAN SEMICONDUCTOR 2,777 3,597
    N6596X109 NXP SEMICONDUCTORS N    
    01609W102 ALIBABA GROUP HOLDIN    
    09062X103 BIOGEN IDEC INC    
    12504L109 CBRE GROUP INC 1,639 2,208
    192446102 COGNIZANT TECHNOLOGY    
    023135106 AMAZON COM INC 10,570 7,647
    12541W209 CH ROBINSON WORLDWID 2,407 2,534
    98156Q108 WORLD WRESTLING ENTE 2,426 2,812
    444859102 HUMANA INC 3,338 3,745
    339041105 FLEETCOR TECHNOLOGIS 3,865 3,152
    617446448 MORGAN STANLEY 2,063 3,042
    171779309 CIENA CORP 1,955 1,828
    35137L105 FOX CORP 1,272 1,544
    517834107 LAS VEGAS SANDS CORP 2,235 1,344
    26884L109 EQT CORP 2,313 4,094
    45866F104 INTERCONTINENTAL EXC 3,507 3,009
    14040H105 CAPITAL ONE FINANCIA 1,683 1,667
    31620M106 FIDELITY NATL INFO S 4,475 2,842
    12514G108 CDW CORP/DE    
    92857W308 VODAFONE GROUP PLC    
    922475108 VEEVA SYS INC 1,734 1,188
    81211K100 SEALED AIR CORP 2,205 2,193
    038222105 APPLIED MATERIALS IN 1,792 2,729
    191216100 COCA-COLA CO/THE    
    904767704 UNILEVER PLC AMER SH 2,621 2,246
    036752103 ANTHEM INC 1,707 2,895
    070830104 BATH & BODY WORKS IN 2,796 1,508
    032654105 ANALOG DEVICES INC 3,651 3,214
    05352A100 AVANTOR INC 3,578 2,799
    759351604 REINSURANCE GROUP OF 2,453 2,463
    149123101 CATERPILLAR INC 4,409 3,754
    61174X109 MONSTER BEVERAGE SHS 2,635 2,874
    609207105 MONDELEZ INTERNATION 3,232 3,105
    743315103 PROGRESSIVE CORP/THE 3,333 3,953

    TY 2021 InvestmentsOtherSchedule2
    Name:
    HISLOP FAMILY FOUNDATION
    EIN:
    39-6735003
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    464287614 ISHARES RUSSELL 1000 AT COST 38,582 43,303
    46432F842 ISHARES CORE MSCI EA AT COST 34,545 34,251
    09256H336 BLACKROCK MULTI-ASSE AT COST 48,435 44,743
    46434V621 ISHARES CORE DIVIDEN AT COST 37,131 44,353

    TY 2021 OtherDecreasesSchedule
    Name:
    HISLOP FAMILY FOUNDATION
    EIN:
    39-6735003
    Description Amount
    ACCRUED INCOME 92


    TY 2021 OtherExpensesSchedule
    Name:
    HISLOP FAMILY FOUNDATION
    EIN:
    39-6735003
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSE (NON-DEDUCTIBLE 17 0   17


    TY 2021 OtherIncreasesSchedule
    Name:
    HISLOP FAMILY FOUNDATION
    EIN:
    39-6735003
    Description Amount
    SECURITIES ADJ 214


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    HISLOP FAMILY FOUNDATION
    EIN:
    39-6735003
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 6,653 3,992   2,661


    TY 2021 TaxesSchedule
    Name:
    HISLOP FAMILY FOUNDATION
    EIN:
    39-6735003
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 86 86   0
    EXCISE TAX - PRIOR YEAR 52 0   0
    FOREIGN TAXES ON NONQUALIFIED 2 2   0