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
MILLSDAVIS FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)30 EAST SEVENTH STREET 2000
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SAINT PAUL, MN551014930
A Employer identification number

81-3141868
B Telephone number (see instructions)

(651) 228-0935
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$17,201,896J 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) 600
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 482,243 372,521  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 446,287
b Gross sales price for all assets on line 6a 1,956,803
7 Capital gain net income (from Part IV, line 2)... 1,003,376
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)....... Click to see attachment 259,429 161,291  
12 Total. Add lines 1 through 11........ 1,188,559 1,537,188  
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 67,895 8,576   57,820
c Other professional fees (attach schedule)....        
17 Interest...............   1,872    
18 Taxes (attach schedule) (see instructions)... Click to see attachment 23,437 8,791   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 5,241 54,812   5,241
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 96,573 74,051   63,061
25 Contributions, gifts, grants paid....... 570,246 570,246
26 Total expenses and disbursements. Add lines 24 and 25 666,819 74,051   633,307
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 521,740
b Net investment income (if negative, enter -0-) 1,463,137
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.............      
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)....... 8,165,156 Click to see attachment7,973,567 11,411,991
c Investments—corporate bonds (attach schedule)....... 1,660,716 Click to see attachment2,529,330 2,529,985
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,696,838 Click to see attachment1,508,176 3,259,920
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) 11,522,710 12,011,073 17,201,896
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 11,522,710 12,011,073
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 11,522,710 12,011,073
30 Total liabilities and net assets/fund balances (see instructions). 11,522,710 12,011,073
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
11,522,710
2
Enter amount from Part I, line 27a .....................
2
521,740
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
12,044,450
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
33,377
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
12,011,073
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 LONG TERM DISTRIBUTIONS P    
b LONG TERM DISTRIBUTIONS BOOK TO TAX DIFFERENCE P    
c PUBLICLY TRADED SECURITIES P    
d PUBLICLY TRADED SECURITIES P    
e NON-MARKETABLE GAIN/LOSS P    
SPELL CAPITAL MEZZANINE PARTNERS - LTCG P    
SPELL CAPITAL MEZZANINE PARTNERS - SEC 1231 LOSS P    
SPELL CAPITAL MEZZANINE PARTNERS II - STCL P    
SPELL CAPITAL MEZZANINE PARTNERS II - LTCG P    
SPELL CAPITAL MEZZANINE PARTNERS II - SEC 1231 GAIN P    
CPOF III - STCG P    
CPOF III - LTCG P    
CPOF III - SEC 1231 GAIN P    
CPOF III - SEC 1256 GAIN P    
CPOF IV - STCL P    
CPOF IV - LTCG P    
CPOF IV - SEC 1231 GAIN P    
CPOF IV - SEC 1256 GAIN P    
CPOF V - STCG P    
CPOF V - LTCG P    
CPOF V - SEC 1231 LOSS P    
CPOF V - SEC 1256 GAIN P    
CPOF VI - STCL P    
CPOF VI - LTCG P    
CPOF VI - SEC 1231 LOSS P    
CPOF VII - STCG P    
COF - STCG P    
COF - LTCG P    
HARVEST MLP INCOME FUND - STCG P    
HARVEST MLP INCOME FUND - LTCG P    
HARVEST MLP INCOME FUND - SEC 1231 LOSS P    
LOSS ON PARTNERSHIP DISPOSITION - HARVEST MLP INCOME FUND P    
POTLATCHDELTIC - NONDIVIDEND DISTRIBUTION IN EXCESS OF BASIS P    
(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 328,315     328,315
b 78,661     78,661
c 85,888   75,450 10,438
d 1,068,052   874,237 193,815
e       0
15,268     15,268
    42 -42
    3 -3
24,680     24,680
22     22
57     57
40,741     40,741
102     102
84     84
    3,278 -3,278
57,061     57,061
9     9
279     279
4,206     4,206
137,701     137,701
    214 -214
227     227
    195 -195
17,744     17,744
    4 -4
12     12
9,892     9,892
33,762     33,762
49,921     49,921
1,648     1,648
    1 -1
    3 -3
2,471     2,471
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       328,315
b       78,661
c       10,438
d       193,815
e       0
      15,268
      -42
      -3
      24,680
      22
      57
      40,741
      102
      84
      -3,278
      57,061
      9
      279
      4,206
      137,701
      -214
      227
      -195
      17,744
      -4
      12
      9,892
      33,762
      49,921
      1,648
      -1
      -3
      2,471
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 1,003,376
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 20,338
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 20,338
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 18,437
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 4,800
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 23,237
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 2,899
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet2,899 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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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 ofbulletFIDUCIARY COUNSELLING INC Telephone no.bullet (651) 228-0935

    Located atbullet30 E 7TH ST STE 2000ST PAULMN ZIP+4bullet551014930
    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
    JOHN L DAVIS PRESIDENT/DIRECTOR
    1.00     		0 0 0
    30 E 7TH ST STE 2000
    ST PAUL,MN55101
    JOEL FC DAVIS VICE PRESIDENT/DIRECTOR
    1.00     		0 0 0
    30 E 7TH ST STE 2000
    ST PAUL,MN55101
    JAINA A DAVIS SECRETARY/DIRECTOR
    1.00     		0 0 0
    30 E 7TH ST STE 2000
    ST PAUL,MN55101
    CHRYSTAL VANG DIRECTOR
    1.00     		0 0 0
    30 E 7TH ST STE 2000
    ST PAUL,MN55101
    BETTE D MOORMAN DECEASED 2015 FORMER PRESIDENT/DIRECTOR
    0.00     		0 0 0
    30 E 7TH ST STE 2000
    ST PAUL,MN55101
    HALEY D DAVIS TREASURER/DIRECTOR
    1.00     		0 0 0
    30 E 7TH ST STE 2000
    ST PAUL,MN55101
    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 Click to see attachment 0
    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
    12,672,530
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    3,798,101
    d
    Total (add lines 1a, b, and c).........................
    1d
    16,470,631
    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
    16,470,631
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    247,059
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    16,223,572
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    811,179
    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
    811,179
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    20,338
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
    6,349
    c
    Add lines 2a and 2b............................
    2c
    26,687
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    784,492
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    784,492
    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
    784,492
    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 7 784,492
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 604,228
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 633,307
    a Applied to 2020, but not more than line 2a 604,228
    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..... 29,079
    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 ..........     		755,413
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    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).)
    BETTE D MOORMAN DECEASED 2015
    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 e-mail address of the person to whom applications should be addressed:
    MILLSDAVIS FOUNDATION
    30 EAST SEVENTH STREET SUITE 2000
    ST PAUL,MN55101
    (651) 228-0935
    MILLSDAVISFOUNDATION@FIDCOUNS.COM
    bThe form in which applications should be submitted and information and materials they should include:
    ALL APPLICATIONS MUST BE SUBMITTED THROUGH THE FOUNDATIONS ONLINE APPLICATION PORTAL TO BE CONSIDERED FOR FUNDING.
    cAny submission deadlines:
    THE APPLICATION PROCESS IS OPEN FROM SEPTEMBER 1 THROUGH JANUARY 1 ANNUALLY.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    PROGRAM GOAL: THE GOAL OF THE MILLSDAVIS FOUNDATION IS TO PROMOTE A SUSTAINABLE FUTURE THROUGH THE AMELIORATION OF SOCIAL AND ENVIRONMENTAL CHALLENGES. PROGRAM FUNDING: THE MILLSDAVIS FOUNDATION'S AREAS OF INTEREST ARE PROGRAMS THAT PROVIDE INNOVATIVE SOLUTIONS OR ADVANCEMENTS TO THE FOLLOWING SOCIAL AND ENVIRONMENTAL CHALLENGES: PROGRAMS THAT FOCUS ON ECOLOGICAL FORESTRY AND SUSTAINABLE COMMUNITIES OR PROGRAMS THAT FOCUS ON SOCIAL INEQUALITIES, PARTICULARLY THE NEEDS OF UNDERSERVED YOUTH THROUGH HEALTH, EDUCATION, OR ART. A PREFERENCE MAY BE GIVEN TO APPLICANTS THAT SHOW THEIR PROGRAM IS INFORMED BY PEOPLE OR ORGANIZATIONS IN THE COMMUNITY THEIR PROGRAM IS SERVING.
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    MILLSDAVIS FOUNDATION
    30 EAST SEVENTH STREET SUITE 2000
    ST PAUL,MN55101
    (651) 228-0935
    MILLSDAVISFOUNDATION@FIDCOUNS.COM
    bThe form in which applications should be submitted and information and materials they should include:
    ALL APPLICATIONS MUST BE SUBMITTED THROUGH THE FOUNDATIONS ONLINE APPLICATION PORTAL TO BE CONSIDERED FOR FUNDING.
    cAny submission deadlines:
    THE APPLICATION PROCESS IS OPEN FROM SEPTEMBER 1 THROUGH JANUARY 1 ANNUALLY.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CONTINUED. GEOGRAPHIC FOCUS: THE MILLSDAVIS FOUNDATION WILL ONLY SUPPORT PROGRAMS IN THE FOLLOWING STATES: WASHINGTON, OREGON, CALIFORNIA, AND HAWAII. LOCALLY BASED ORGANIZATIONS WITHIN THESE GEOGRAPHIC AREAS ARE ELIGIBLE TO APPLY. REGIONAL AND NATIONAL ORGANIZATIONS OPERATING WITHIN THE FOUNDATION'S GEOGRAPHIC FOCUS ARE ALSO ELIGIBLE TO APPLY.
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    MILLSDAVIS FOUNDATION
    30 EAST SEVENTH STREET SUITE 2000
    ST PAUL,MN55101
    (651) 228-0935
    MILLSDAVISFOUNDATION@FIDCOUNS.COM
    bThe form in which applications should be submitted and information and materials they should include:
    ALL APPLICATIONS MUST BE SUBMITTED THROUGH THE FOUNDATIONS ONLINE APPLICATION PORTAL TO BE CONSIDERED FOR FUNDING.
    cAny submission deadlines:
    THE APPLICATION PROCESS IS OPEN FROM SEPTEMBER 1 THROUGH JANUARY 1 ANNUALLY.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CONTINUED. GRANT SIZE: THE MILLSDAVIS FOUNDATION WILL TYPICALLY AWARD GRANTS BETWEEN $10,000 AND $50,000. THE FOUNDATION DOES NOT MAKE PLEDGES OR MULTIYEAR COMMITMENTS. THE AVERAGE GRANT SIZE IS $25,000. THE FOUNDATION DOES NOT PROVIDE LONGTERM FUNDING SUPPORT. APPLICANTS WHO HAVE RECEIVED THREE OR MORE YEARS OF GRANT FUNDING MAY BE REPRIORITIZED. ELIGIBILITY: YOUR ORGANIZATION MUST BE CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT, NONPROFIT ORGANIZATION. THE FOUNDATION DOES NOT ACCEPT FISCAL AGENTS.
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    MILLSDAVIS FOUNDATION
    30 EAST SEVENTH STREET SUITE 2000
    ST PAUL,MN55101
    (651) 228-0935
    MILLSDAVISFOUNDATION@FIDCOUNS.COM
    bThe form in which applications should be submitted and information and materials they should include:
    ALL APPLICATIONS MUST BE SUBMITTED THROUGH THE FOUNDATIONS ONLINE APPLICATION PORTAL TO BE CONSIDERED FOR FUNDING.
    cAny submission deadlines:
    THE APPLICATION PROCESS IS OPEN FROM SEPTEMBER 1 THROUGH JANUARY 1 ANNUALLY.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CONTINUED. RESRICTIONS: THE MILLSDAVIS FOUNDATION WILL NOT CONSIDER PROPOSALS IN THE FOLLOWING AREAS: -ORGANIZATIONS USING A FISCAL AGENT -GRANTS OR SCHOLARSHIPS TO INDIVIDUALS -LOBBYING PROHIBITED BY THE INTERNAL REVENUE CODE -CONFERENCES -ENDOWMENTS -STARTUP COSTS FOR NEW ORGANIZATIONS
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    MILLSDAVIS FOUNDATION
    30 EAST SEVENTH STREET SUITE 2000
    ST PAUL,MN55101
    (651) 228-0935
    MILLSDAVISFOUNDATION@FIDCOUNS.COM
    bThe form in which applications should be submitted and information and materials they should include:
    ALL APPLICATIONS MUST BE SUBMITTED THROUGH THE FOUNDATIONS ONLINE APPLICATION PORTAL TO BE CONSIDERED FOR FUNDING.
    cAny submission deadlines:
    THE APPLICATION PROCESS IS OPEN FROM SEPTEMBER 1 THROUGH JANUARY 1 ANNUALLY.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CONTINUED. GRANT REPORTING: THE MILLSDAVIS FOUNDATION HAS A PARTICULAR INTEREST IN MEASURABLE OUTCOMES. IF FUNDED, GRANTEE ORGANIZATIONS ARE REQUIRED TO SUBMIT A REPORT ON THEIR ACTIVITIES AND ACHIEVEMENTS BY THE REQUIRED DUE DATE TO BE ELIGIBLE FOR FUTURE YEAR FUNDING. IF YOUR APPLICATION MEETS THE FOUNDATION'S GUIDELINES AND FUNDING PRIORITIES, A SITE VISIT, IN PERSON OR BY CONFERENCE CALL, MAY BE SCHEDULED. YOU WILL BE NOTIFIED OF THE FOUNDATION'S DECISION IN JUNE AND FUNDING WILL BE DISBURSED UPON RECEIPT OF A SIGNED GRANT AGREEMENT.
    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
    CASCADIA WILDLANDS
    120 SHELTON MCMURPHEY BLVD
    EUGENE,OR97401     		NONE PC ELLIOT STATE FOREST FOR FUTURE GENERATIONS 15,000
    CHILDREN'S HEALING PROJECT
    8065 SE GRAND AVENUE SUITE 160
    PORTLAND,OR97202     		NONE PC EXPAND HEALING ART CARE PACKAGE DISTRIBUTION TO 3 UNDERSERVED CLINICS 8,500
    COMMUNITY SUPPORTED SHELTERS
    1160 GRANT ST
    EUGENE,OR97402     		NONE PC REBOOT REIMAGINED PROJECT 30,000
    DIOCESE OF OLYMPIA INC
    52 ARLAND RD
    MONTESANO,WA985639624     		NONE PC SUSTAINABLE FARMING APPRENTICESHIPS FOR FORMERLY HOMELESS AND FORMERLY INCARCERATED PEOPLE 50,000
    EUGENE PEACEWORKS
    454 WILLAMETTE STREET SUITE 203
    EUGENE,OR97401     		NONE PC KEPW YOUTH RADIO - COORDINATED WITH CITYWIDE LATINX AFTERSCHOOL PROGRAM 13,430
    KWIAHT CENTER FOR THE HISTORICAL ECOLOGY OF THE SALISH SEA
    PO BOX 415
    LOPEZ ISLAND,WA98261     		NONE PC CARING FOR QEXMIN 28,454
    LAVENDER YOUTH RECREATION AND INFORMATION
    127 COLLINGWOOD STREET
    SAN FRANCISCO,CA94114     		NONE PC LYRIC TRANSITIONAL AGE YOUTH (TAY) LEADERSHIP/WORK DEVELOPMENT PIPELINE 35,000
    LOMAKATSI RESTORATION PROJECT
    645 WASHINGTON STREET
    ASHLAND,OR975200303     		NONE PC INTER-TRIBAL ECOSYSTEM RESTORATION PARTNERSHIP 25,000
    NATIONAL TROPICAL BOTANICAL GARDEN
    3530 PAPALINA RD
    KALAHEO,HI967419599     		NONE PC SUPPORT FOR THE NATIONAL TROPICAN BOTANICAL GARDEN'S PROGRAMS AND OPERATIONS 25,000
    OPERATION NIGHTWATCH
    1432 SW 13TH AVENUE
    PORTLAND,OR97201     		NONE PC MENTAL HEALTH INITITATIVE 45,512
    OREGON HEALTH & SCIENCE UNIVERSITY FOUNDATION
    707 SW GAINES ST
    PORTLAND,OR97201     		NONE PC NOVEL INTERVENTIONS IN CHILDREN'S HEALTHCARE (NICH) 5,000
    OREGON SOCIAL LEARNING CENTER COMMUNITY PROGRAMS
    1170 PEARL STREET
    EUGENE,OR97401     		NONE PC EARLY CHILDHOOD PROGRAM - PLAY TO GROW 8,470
    OSLC DEELOPMENTS INC
    10 SHELTON MCMURPHEY BLVD
    EUGENE,OR97401     		NONE PC STREET IMPACT - ADDRESSING CHALLENGES OF COVID ON YOUTH HOMELESSNESS 38,688
    OSLC DEELOPMENTS INC
    10 SHELTON MCMURPHEY BLVD
    EUGENE,OR97401     		NONE PC EXPANDING THE DELIVERY OF FAIR IN OREGON 25,000
    RURAL DEVELOPMENT INITIATIVES
    91017 S WILLAMETE STREET
    COBURG,OR97408     		NONE PC PASOS AL EXITO: RURAL LATINX FINANCIAL LITERACY AND ENTREPRENEURSHIP EDUCATION 15,000
    SPRINGFIELD PUBLIC LIBRARY FOUNDATION
    225 5TH STREET
    SPRINGFIELD,OR97477     		NONE PC GET ON BOARD: ACCESS TO LIBRARY SERVICES 45,552
    SPRINGFIELD PUBLIC LIBRARY FOUNDATION
    225 5TH STREET
    SPRINGFIELD,OR97477     		NONE PC GENERAL OPERATING SUPPORT 5,000
    ST VINCENT DE PAUL SOCIETY OF LANE COUNTY INC
    2890 CHAD DRIVE
    EUGENE,OR97408     		NONE PC TRAUMA-INFORMED EDUCATION FOR FIRST PLACE KIDS (FPK) PROGRAM 30,000
    STREET BOOKS
    PO BOX 13642
    PORTLAND,OR97213     		NONE PC OUTPOSTS COORDINATOR POSITION 20,640
    WALLOWA RESOURCES
    401 NNE 1ST STREET SUITE A
    ENTERPRISE,OR97846     		NONE PC NORTHERN BLUES FOREST COLLABORATIVE: EXPANDING STAKEHOLDER ENGAGEMENT 26,000
    WASHINGTON TRAILS ASSOCIATION
    705 SECOND AVE SUITE 300
    SEATTLE,WA98104     		NONE PC WASHINGTON TRAILS ASSOCIATION'S YOUTH PROGRAM: CONNECTING YOUTH TO NATURE 10,000
    WESTERN REGIONAL ADVOCACY PROJECT
    2940 16TH STREET SUITE 200-2
    SAN FRANCISCO,CA94103     		NONE PC HOUSE KEYS NOT SWEEPS: ENDING THE CRIMINALIZATION OF HOMELESSNESS 50,000
    WORDCRAFTERS IN EUGENE
    438 CHAMELTON SUITE 101
    EUGENE,OR97401     		NONE PC WRITERS RESIDENCIES: ADVANCING UNERSERVED STENT SUCCESS THROUGH ART 15,000
    Total .................................bullet 3a 570,246
    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 ............     		    18 446,287  
    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 1,187,959 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,187,959
    (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:
    MILLSDAVIS FOUNDATION
    EIN:
    81-3141868
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING & TAX SERVICE 67,895 8,576   57,820

    TY 2021 AllOthProgRltdInvestmentsSch
    Name:
    MILLSDAVIS FOUNDATION
    EIN:
    81-3141868
    Category Amount
    N/A 0

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    MILLSDAVIS FOUNDATION
    EIN:
    81-3141868
    Name of Bond End of Year Book Value End of Year Fair Market Value
    GUGGENHEIM TOTAL RETURN BOND FD INSTL 836,113 841,127
    PERFORMANCE TRUST STRATEGIC BOND FD 849,968 839,786
    PIMCO INCOME FUND INSTITUTIONAL FUND 843,249 849,072

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    MILLSDAVIS FOUNDATION
    EIN:
    81-3141868
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CLEARWATER INTERNATIONAL FUND 1,739,351 2,195,452
    CLEARWATER SELECT EQUITY FUND 846,749 1,134,404
    FIDELITY GOVT CASH RESERVE 210,468 210,465
    PIMCO ALL ASSET INST CLASS 842,979 936,720
    POTLATCHDELTIC CORP 202,720 846,513
    PRIMECAP ODYSSEY STOCK FD 71,093 86,481
    ROCK ISLAND COMPANY 153,282 486,557
    THIRD AVENUE REAL ESTATE VALUE FD 378,038 581,453
    VANGUARD 500 INDEX FD ADM SHS 545,470 696,305
    VANGUARD EMERGING MKTS STK INDEX INSTL 256,582 289,344
    VANGUARD PRIMECAP CORE FD 213,017 441,139
    VANGUARD REIT INDEX FD ADM 466,130 635,990
    VANGUARD SELECTED VALUE FD 293,362 347,294
    WCM FOCUSED EMERGING MARKETS FUND INSTL 191,268 222,364
    WEYERHAEUSER CO 194,858 846,743
    WILLIAM BLAIR MACRO ALLOCATION FD 799,721 727,567
    AQR EMERGING MULTI STYLE II FUND CL R6 236,913 334,358
    TORTOISE MLP AND PIPELINE FD 331,566 392,842

    TY 2021 InvestmentsOtherSchedule2
    Name:
    MILLSDAVIS FOUNDATION
    EIN:
    81-3141868
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    CLEARWATER OPPORTUNITY FUND LLP FMV 488,176 625,130
    CLEARWATER PRIVATE OPPORTUNITY FUND IV FMV 7,500 247,151
    CLEARWATER PRIVATE OPPORTUNITY FUND V FMV 252,000 849,734
    CLEARWATER PRIVATE OPPORTUNITY FUND VI FMV 300,000 396,277
    CLEARWATER PRIVATE OPPORTUNITY FUND VII FMV 48,000 49,830
    SPELL CAPITAL MEZZANINE PARTNERS SBIC II, LP FMV 412,500 611,321
    SPELL CAPITAL MEZZANINE PARTNERS SBIC LP FMV 0 317,027
    CLEARWATER PRIVATE OPPORTUNITY FUND III FMV 0 163,450

    TY 2021 OtherDecreasesSchedule
    Name:
    MILLSDAVIS FOUNDATION
    EIN:
    81-3141868
    Description Amount
    OTHER ADJUSTMENTS 33,377


    TY 2021 OtherExpensesSchedule
    Name:
    MILLSDAVIS FOUNDATION
    EIN:
    81-3141868
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOUNDATION EXPENSES 5,241 0   5,241
    SPELL CAPITAL MEZZANINE PARTNERS SBIC, 37-1661465 0 0   0
    SECTION 179 DEDUCTION 0 1,018   0
    OTHER DEDUCTIONS 0 349   0
    SPELL CAPITAL MEZZANINE PARTNERS SBIC II, LP, 35-2600658 0 0   0
    SECTION 179 DEDUCTION 0 79   0
    OTHER DEDUCTIONS 0 4,597   0
    CLEARWATER OPPORTUNITY FUND LLLP, 82-2233098 0 0   0
    OTHER DEDUCTIONS 0 2,991   0
    CLEARWATER PRIVATE OPPORTUNITY FUND III, LLLP, 26-2251284 0 0   0
    ROYALTY DEDUCTIONS 0 4   0
    SECTION 59(E)(2) DEDUCTION 0 57   0
    PORTFOLIO DEDUCTIONS 0 26   0
    OTHER DEDUCTIONS 0 3,453   0
    CLEARWATER PRIVATE OPPORTUNITY FUND IV LLLP, 45-2978316 0 0   0
    SECTION 179 DEDUCTION 0 1   0
    ROYALTY DEDUCTIONS 0 2   0
    SECTION 59(E)(2) DEDUCTION 0 69   0
    PORTFOLIO DEDUCTIONS 0 14   0
    OTHER DEDUCTIONS 0 2,999   0
    CLEARWATER PRIVATE OPPORTUNITY FUND V, LLLP, 46-5036194 0 0   0
    ROYALTY DEDUCTIONS 0 90   0
    SECTION 59(E)(2) DEDUCTION 0 7,040   0
    OTHER PORTFOLIO DEDUCTIONS 0 -1   0
    SECTION 743 (B) NEGATIVE ADJ 0 50   0
    OTHER DEDUCTIONS 0 10,988   0
    HARVEST MLP INCOME FUND LLC, 27-2968896 0 0   0
    OTHER DEDUCTIONS 0 188   0
    CLEARWATER PRIVATE OPPORTUNITY FUND VI, 0 0   0
    SECTION 59(E)(2) DEDUCTION 0 982   0
    PORTFOLIO DEDUCTIONS 0 6   0
    SECTION 743 (B) NEGATIVE ADJ 0 1,929   0
    OTHER DEDUCTIONS 0 15,177   0
    CLEARWATER PRIVATE OPPORTUNITY FUND VII 0 0   0
    OTHER DEDUCTIONS 0 2,704   0


    TY 2021 OtherIncomeSchedule2
    Name:
    MILLSDAVIS FOUNDATION
    EIN:
    81-3141868
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PARTNERSHIP INCOME 217,856 0 217,856
    FEDERAL UBTI TAX REFUND 5,000 0 5,000
    FEDERAL EXCISE TAX REFUND 18,436 0 18,436
    2019 FEDERAL EXCISE TAX REFUND 18,137 0 18,137
    SPELL CAPITAL MEZZANINE PARTNERS SBIC, 37-1661465   0  
    ORDINARY BUSINESS INCOME (LOSS)   33,436  
    INTEREST   199  
    DIVIDENDS   185  
    LESS: UBTI INCOME   -14,237  
    SPELL CAPITAL MEZZANINE PARTNERS SBIC II, LP, 35-2600658   0  
    ORDINARY BUSINESS INCOME (LOSS)   105,078  
    INTEREST   37  
    LESS: UBTI INCOME   -12,496  
    CLEARWATER OPPORTUNITY FUND, LLLP, 82-2233098   0  
    INTEREST   2  
    DIVIDENDS   12,868  
    OTHER PORTFOLIO INCOME   8,395  
    CLEARWATER PRIVATE OPPORTUNITY FUND III, LLLP, 26-2251284   0  
    ORDINARY BUSINESS INCOME (LOSS)   -844  
    NET RENTAL REAL ESTATE INCOME   -62  
    OTHER NET RENTAL INCOME (LOSS)   -7  
    INTEREST   934  
    DIVIDENDS   619  
    ROYALTIES   8  
    OTHER PORTFOLIO INCOME   19  
    CANCELLATION OF DEBT   243  
    OTHER INCOME (LOSS)   -560  
    PLUS: UBTI LOSS   535  
    CLEARWATER PRIVATE OPPORTUNITY FUND IV LLLP, 45-2978316   0  
    ORDINARY BUSINESS INCOME (LOSS)   680  
    INTEREST   537  
    DIVIDENDS   1,718  
    ROYALTIES   6  
    OTHER PORTFOLIO INCOME (LOSS)   -161  
    CANCELLATION OF DEBT   23  
    OTHER INCOME (LOSS)   771  
    LESS: UBTI INCOME   -4,393  
    CLEARWATER PRIVATE OPPORTUNITY FUND V, LLLP, 46-5036194   0  
    ORDINARY BUSINESS INCOME (LOSS)   6,563  
    NET RENTAL REAL ESTATE INCOME   -18  
    OTHER NET RENTAL INCOME   -3  
    INTEREST   2,731  
    DIVIDENDS   18,771  
    ROYALTIES   1,121  
    OTHER PORTFOLIO INCOME (LOSS)   -569  
    CANCELLATION OF DEBT   -46  
    OTHER INCOME (LOSS)   671  
    LESS: UBTI INCOME   -3,793  
    CLEARWATER PRIVATE OPPORTUNITY FUND VI, LLLP   0  
    ORDINARY BUSINESS INCOME (LOSS)   3,287  
    NET RENTAL REAL ESTATE INCOME 0 -240 0
    OTHER NET RENTAL INCOME   -480  
    INTEREST   558  
    DIVIDENDS   628  
    ROYALTIES   294  
    OTHER PORTFOLIO INCOME   38  
    OTHER INCOME (LOSS)   -19  
    LESS: UBTI INCOME   -2,076  
    HARVEST MLP INCOME FUND   0  
    ORDINARY BUSINESS INCOME (LOSS)   -33  
    DIVIDENDS   13  
    PLUS: UBTI LOSS   33  
    CLEARWATER PRIVATE OPPORTUNITY FUND VII, LLC, 84-5014159   0  
    ORDINARY BUSINESS INCOME (LOSS)   22  
    NET RENTAL REAL ESTATE INCOME   -37  
    INTEREST   7  
    DIVIDENDS   1  
    PLUS: UBTI LOSS 0 334 0


    TY 2021 TaxesSchedule
    Name:
    MILLSDAVIS FOUNDATION
    EIN:
    81-3141868
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    2021 SECOND QUARTER EXCISE TAX 1 0   0
    2020 UBTI OVERPAYMENT APPLIED TO 2021 5,000 0   0
    2020 EXCISE OVERPAYMENT APPLIED TO 2021 18,436 0   0
    FOREIGN TAX PAID 0 7,559   0
    FOREIGN TAX PAID THRU COF 0 755   0
    FOREIGN TAX PAID THRU CPOF III 0 66   0
    FOREIGN TAX PAID THRU CPOF IV 0 29   0
    FOREIGN TAX PAID THRU CPOF V 0 377   0
    FOREIGN TAX PAID THRU CPOF VI 0 4   0
    HARVEST MLP INCOME FUND 0 1   0