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
EVERGREEN PHILANTHROPIC FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)2179 BELTANE RD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
TOMS RIVER, NJ087550810
A Employer identification number

22-6628017
B Telephone number (see instructions)

(732) 804-1590
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$326,484J 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 1 1  
4 Dividends and interest from securities... 5,849 5,849  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 33,990
b Gross sales price for all assets on line 6a 125,916
7 Capital gain net income (from Part IV, line 2)... 33,990
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 39,840 39,840  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 15,000 7,500   7,500
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 2,475     2,475
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 48 48    
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 4,363 4,363    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 21,886 11,911   9,975
25 Contributions, gifts, grants paid....... 18,500 18,500
26 Total expenses and disbursements. Add lines 24 and 25 40,386 11,911   28,475
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -546
b Net investment income (if negative, enter -0-) 27,929
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............. 35,838 30,018 30,018
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) 35,564 Click to see attachment45,804 47,667
b Investments—corporate stock (attach schedule)....... 152,016 Click to see attachment144,642 197,844
c Investments—corporate bonds (attach schedule)....... 52,205 Click to see attachment54,613 50,955
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
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) 275,623 275,077 326,484
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 275,623 275,077
29 Total net assets or fund balances (see instructions)..... 275,623 275,077
30 Total liabilities and net assets/fund balances (see instructions). 275,623 275,077
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
275,623
2
Enter amount from Part I, line 27a .....................
2
-546
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
275,077
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
275,077
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 MERRILL-PUBLICALLY TRADED SECURITIES P   2021-12-31
b MERRILL-PUBLICALLY TRADED SECURITIES P   2021-12-31
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 11,905   12,348 -443
b 113,881   79,578 34,303
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       -443
b       34,303
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 33,990
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  
3 Add lines 1 and 2........................... 3 388
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 388
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 62
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c 425
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 487
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
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 99
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet99 RefundedBullet 11  
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)
    bulletDE, NJ
    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 ofbulletJOHN IGNOZZA Telephone no.bullet (732) 804-1590

    Located atbullet2179 BELTANE RDTOMS RIVERNJ ZIP+4bullet087550810
    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
     
     
    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 IGNOZZA TRUSTEE
    1.00     		5,000 0 0
    2179 BELTANE RD
    TOMS RIVER,NJ087550810
    SUSAN SEYMOUR TRUSTEE
    1.00     		5,000 0 0
    12067 5TH AVE
    BURIEN,WA98168
    MICHELLE IGNOZZA TRUSTEE
    1.00     		5,000 0 0
    207 PASSAIC AVE
    POINT PLEASANT,NJ08742
    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  
    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.............bullet  
    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 N/A  
    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
    300,240
    b
    Average of monthly cash balances.......................
    1b
    21,523
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    321,763
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    321,763
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    4,826
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    316,937
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    15,847
    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
    15,847
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    388
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    388
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    15,459
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    15,459
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    15,459
    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 15,459
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 31,756
    b From 2017...... 38,458
    c From 2018...... 15,664
    d From 2019...... 7,650
    e From 2020...... 20,101
    f Total of lines 3a through e ........ 113,629
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 28,475
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2021 distributable amount..... 15,459
    e Remaining amount distributed out of corpus 13,016
    5 Excess distributions carryover applied to 2021.    
    (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 5 126,645
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    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......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		31,756
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		94,889
    10 Analysis of line 9:
    a Excess from 2017.... 38,458
    b Excess from 2018.... 15,664
    c Excess from 2019.... 7,650
    d Excess from 2020.... 20,101
    e Excess from 2021.... 13,016
    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
    STRENGTHEN OUR SISTERS
    PO BOX 1089
    HEWITT,NJ07421     		  501 (C) 3 ASSISTANCE TO BATTERED WOMEN/CHILDRE 15,000
    AMERICAN FOUNDATION FOR SUICIDE PRE
    120 WALL ST 29TH FL
    NEW YORK,NY10005     		  501(C)(3) SUICIDE PREVENTION 1,000
    COLLIER HIGH SCHOOL
    160 CONOVER RD
    WICKATUNK,NJ07765     		  501(C)(3) EDUCATION STUDENTS W/ DISABILITIES 2,500
    Total .................................bullet 3a 18,500
    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 ...........     		    14 1  
    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 33,990  
    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) ..   39,840  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    39,840
    (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:
    EVERGREEN PHILANTHROPIC FOUNDATION
    EIN:
    22-6628017
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 2,475     2,475

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    EVERGREEN PHILANTHROPIC FOUNDATION
    EIN:
    22-6628017
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FIXED INCOME SHARES- SERIES C F CL 28,941 24,992
    FIXED INCOME SHARES- SERIES M F CL 24,881 24,909
    SPDR US FINANCIAL SECTOR 791 1,054

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    EVERGREEN PHILANTHROPIC FOUNDATION
    EIN:
    22-6628017
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ANSYS INC 725 802
    ABBOTT LABS 930 1,407
    ABBVIE INC 2,275 3,114
    ABM INDUSTRIES INC 137 245
    ACUSHNET HOLDINGS CORP 391 478
    ADDUS HOMECARE CORP 424 468
    ADVNCD MICRO D INC    
    ADYEN N V SHS 444 842
    AGREE RLTY CORP 639 642
    AGILENT TECHNOLOGIES INC    
    AIA GROUP LTD 564 686
    AIRBUS SE 810 830
    ALCOA CORP 708 1,251
    ALEXANDRIA REAL EST EQTS 501 669
    ALIBABA GROUP HOLDING 370 238
    ALLSTATE CORP DEL 463 588
    ALPHABET INC SHS CL A 1,204 2,897
    ALPHABET INC SHS CL C 1,200 2,894
    AMADEUS IT GROUP SA 795 677
    AMAZON 5,155 6,669
    AMERICAN FINL GRP HLDGS    
    AMERICAN STATES WATER CO 244 310
    AMERICAN TOWER REIT INC 2,307 2,925
    AMERICOLD RLTY TR    
    AMERIPRISE FINL INC 741 905
    AMETEK INCNEW 662 1,029
    ANSYS INC    
    ANTHEM INC 239 464
    APPLE COMPUTER INC 1,736 5,505
    APPLIED MATERIAL INC 989 1,259
    ARRAY TECHNOLOGIES INC    
    ASHTEAD GROUP PLC SHS 334 658
    ASML HLDG NV NY REG SHS 370 796
    ASPEN TECHNOLOGIES INC    
    ATLAS COPCO 412 901
    ATLASSIAN CORP PLC 419 763
    ATMOS ENERGY CORP 2,093 2,095
    AUDIOCODES LTD 307 347
    AVERY DENNISON CORP    
    BANK HAWAII CORP 186 251
    BEST BUY CO INC 1,776 1,829
    BILL COM HLDGS INC 256 249
    BLACK HILLS CORP 328 353
    BLACKROCK INC 760 916
    BLACKSTONE INC 77 259
    BLACKSTONE MORTGAGE TRUS INC 970 1,133
    BLOCK INC 1,449 1,615
    BRADY CORP WI 203 216
    BROADCOM LTD 926 1,996
    BRUKER CORP    
    CALAVO GROWERS INC    
    CALIFORNIA WTR SVC 259 359
    CANADIAN NATL RAILWAY CO 645 860
    CBIZ INC 294 430
    CELANESE CORP DEL SER A 589 840
    CHEMED CORP 931 1,058
    CHR HANSEN HLDG-SPON 540 374
    CHURCH & DWIGHT CO INC    
    CINTAS CORP OHIO 1,141 1,330
    CINN FINCL CRP OHIO    
    CISCO SYSTEMS INC COM 1,005 1,394
    CITIGROUP INCCOM NEW 1,492 1,268
    CMC MATERIALS INC    
    CME GROUP INC    
    CMNTY BANK SYS INC 715 894
    COGENT COMMUNICATIONS 585 659
    COGNEX CORP    
    COLOPOLAST A/S SHS 539 621
    COMCAST CORP NEW CL A 1,247 1,208
    COMPASS GROUP PLC 645 715
    CONMED CORP 326 425
    CORESITE REALTY CORP    
    CROWDSTRIKE HLDGS INC 661 614
    CROWN CASTLE REIT INC 1,267 1,461
    CSL LTD    
    CURTISS WRIGHT 254 277
    CYRUSONE INC    
    DAIKIN INDUSTRIES LTD 428 725
    DANAHER CORP DEL 509 658
    DATADOG INC REG SHS CL A 705 891
    DEXCOM INC 617 1,074
    DIODES INC 324 439
    DISNEY CO 304 310
    DOLLAR GENERAL CORP 575 707
    DOUGLAS DYNAMICS INC 206 234
    DOVER CORP    
    DSV ASA 336 822
    DTE ENERGY COMPANY 976 1,076
    EDWARDS LIFESCIENCES CRP 580 777
    ELI LILLY & CO 744 1,381
    EMCOR GROUP INC 347 510
    ENSIGN GROUP INC 239 336
    ENTERPRISE FINL SVCS CRP 770 942
    EOG RESOURCES INC 435 533
    EQT CORP 738 916
    ESCO TECHNOLOGIES INC 173 180
    EXLSERVICE HLDGS INC    
    EXPERIAN PLC 461 838
    EXPONENT INC 142 233
    FACEBOOK INC    
    FARFETCH LTD 663 435
    FID NATIONAL FINL INC 318 678
    FIRST AMERICAN FINL CORP 376 704
    FIRST INDL REALTY TR INC    
    FOMFACTOR INC 340 366
    FOX FACTORY HLDG CORP 163 340
    FTI CONSULTING INC    
    GLACIER BANCORP INC 483 680
    GLOBAL PMTS INC GEORGIA 770 541
    HAMILTON LANE INC 596 622
    HANNON ARMSTRONG 600 584
    HDFC BANK LTD 602 716
    HELEN OF TROY LTD    
    HEXAGON AB 428 889
    HILL ROM HLDGS    
    HOLLYFRONTIER CORP 319 328
    HOME DEPOT INC 1,325 2,075
    HONEYWELL INTL INC 426 626
    HORIZON THERAPEUTICS 423 862
    HOULIHAN LOKEY INC 392 725
    HOWMET AEROSPACE 552 573
    HOYA CORP 296 748
    HUBSPOT INC 152 659
    HUDSON PAC PPTYS INC    
    HUMANA INC    
    ICON PLC 428 619
    IDA CORP INC 424 453
    INFINEON TECHS AG 398 966
    INGERSOLL-RAND PLC 632 1,176
    INTEL CORP    
    INTERCONTINENTAL    
    INTUITIVE SURGICAL INC 827 1,078
    JOHNSON & JOHNSON 947 1,197
    JPMORGAN CHASE & CO 1,686 3,009
    KAISER ALUM CORP 204 282
    KB HOME 482 626
    KINSALE CAPITAL GROUP 1,457 1,903
    L3HARRIS TECHNOLOGIES    
    L OREAL CO 499 859
    LEIDOS HOLDINGS INC 641 622
    LESLIES INC 320 355
    LIFE STORAGE INC    
    LITHIA MOTORS INC CL A 300 297
    LOCKHEED MARTIN 747 711
    LONDON STK EXCHANGE GRP 648 613
    LONZA GROUP AG 450 919
    LOWES COMPANIES INC    
    LULULEMON ATHLETICA INC 424 783
    LVMH MOET HENNESSY 382 827
    L3HARRIS TECHNOLOGIES 872 1,066
    MANTECH INTL CORP    
    M D C HOLDINGS INC 1,308 1,396
    MALIBU BOATS INC 299 275
    MANTECH INTL CORP 263 292
    MARSH & MCLENNAN COS INC    
    MARVELL TECHNOLOGY GROUP 495 1,050
    MASIMO CORP 403 586
    MASTERCARD INC 597 719
    MATADOR RES CO 330 443
    MATCH GROUP INC 664 529
    MCDONALDS CORP 995 1,340
    MCGRATH RENTCORP 285 321
    MEDALLIA INC    
    MEDICAL PPTYS TR INC 1,020 1,158
    MEDPACE HLDGS INC 311 435
    MERCADOLIBRE INC 595 1,348
    MERCK & CO INC 1,253 1,226
    MERCURY SYSTEMS INC 439 385
    META PLATFORMS INC 1,029 1,682
    MICROCHIP TECHNOLOGY INC    
    MICROSOFT CORP 3,029 7,735
    MKS INSTRUMENTS INC 456 523
    MORGAN STANLEY 1,192 1,374
    MOTOROLA SOLUTIONS INC    
    MSCI INC 415 613
    M3 INC 452 330
    NATIONAL HEALTH INVS INC 673 575
    NESTE OYJ 607 417
    NETEASE COM INC    
    NEXTERA ENERGY INC 740 1,120
    NORFOLK SOUTHERN CORP 1,144 1,786
    NORTHROP GRUMMAN CORP    
    NOVO NORDISK A S ADR 422 896
    NVIDIA 658 3,235
    OLLIES BARGAIN OUTLET    
    ONE GAS INC 772 776
    ONEOK INC 561 588
    ORSTED SHS 524 470
    PACKAGING CORP AMERICA 1,047 1,089
    PAYPAL HOLDINGS INC 120 377
    PEPSICO    
    PELOTON INTERACTIVE INC 1,304 858
    PHILIP MORRIS INTL INC 547 507
    PINTEREST INC 267 473
    PJSC LUKOIL SPONSORED 1,544 1,796
    PRIMERICA INC 363 460
    PROCTOR & GAMBLE CO 1,069 1,472
    PROLOGIS INC 294 673
    QUALCOMM INC 970 1,463
    RAYTHEON TECHNOLOGIES 294 344
    RELIDANCE STL & ALUM CO    
    RENTOKIL INTL SPNSRD 572 642
    REPLIGEN CORP    
    REXFORD INDL RLTY INC 295 568
    RH    
    ROCKWELL AUTOMATION INC 315 698
    ROKU INC 619 456
    ROYAL GOLD INC 1,165 1,157
    RYANAIR HOLDINGS PLC 465 409
    S&P GLOBAL INC 345 472
    SAFRAN SA UNSPON 800 642
    SALESFORCE COM INC 865 1,525
    SAPIENS INTL CORP NV 340 310
    SAREPTA THERAPEUTICS INC    
    SCIENCE APPLICATIONS    
    SEA LTD 292 447
    SEAGEN INC 721 618
    SELECTIVE INS GRP INC 403 492
    SERVICENOW INC    
    SFL CORP LTD    
    SIKA AG-BR-ADR 625 997
    SIMPSON MFG DEL PV 179 278
    SITEONE LANDSCAPE SUPPLY 124 242
    SMC CORP JAPAN 449 712
    SNAP INC CL A 370 658
    SNOWFLAKE INC REG SHS 535 678
    SONOCO PRODUCTS CO 463 463
    SPS COMM INC 201 285
    SPDR US FINANCIAL SECTOR    
    SPIRE INC    
    SPLUNK INC    
    SQUARE INC    
    STEPAN CO 533 621
    STRATEGIC EDUCATION INC    
    STRAUMANN HLDG AG 604 648
    SUN COMMNTYS INC 427 630
    SYSCO CORPORATION 1,005 1,100
    TAIWAN S MANUFCTRING 458 842
    TAL ED GROUP ADR    
    TELADOC HEALTH INC 963 735
    TELEFLEX INC    
    TELEPERFORMANCE UNSPOND 449 891
    TEMENOS AG    
    TENCENT HOLDINGS LTD 340 466
    TERADYNE INC 492 654
    TERRENO REALTY CORP 456 597
    TESLA INC 420 1,057
    TETRA TECH INC NEW 142 340
    TEXAS INSTRUMENTS 1,968 2,073
    TFI INTERNATIONAL INC    
    THERMO FISHER SCIENTIFIC 915 1,334
    TRANE TECHNOLOGIES PLC 749 1,414
    TRANSUNION 551 711
    TWILIO INC CL A 1,096 1,317
    UBER TECHNOLOGIES INC 1,204 964
    UFP INDUSTRIES INC 180 460
    UNION PACIFIC 660 756
    UNITED COMMUNITY BANKS 477 683
    UNITED HEALTH GROUP INC 305 502
    VALERO ENERGY CORP 536 676
    VERIZON COMMUNICATNS COM 594 572
    VF CORPORATION    
    VISA INC 718 650
    WALKER & DUNLOP INC 436 905
    WALMART INC 469 579
    WASTE MANAGEMENT INC NEW 469 668
    WATTS WATER TECH INC 151 388
    WD 40 COMPANY DELAWARE 377 489
    WEC ENERGY GROUP INC 949 971
    WENDYS CO 984 1,026
    WINGSTOP INC 252 346
    WINNEBAGO INDUSTRIES 337 375
    WIX COM LTD 785 473
    WORLD FUEL SERVICES    
    WUXI BIOLOGICS CAYMAN 459 305
    WYNN RESORTS LTD    
    YETI HLDGS INC 384 497
    ZEBRA TECHNOLOGIES CRP A 395 1,190
    ZIMMER BIOMET HOLDINGS 800 635
    ZOETIS INC    
    ZOOM VIDEO 1,005 368

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    EVERGREEN PHILANTHROPIC FOUNDATION
    EIN:
    22-6628017
    US Government Securities - End of Year Book Value:

    45,804
    US Government Securities - End of Year Fair Market Value:

    47,667
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2021 OtherExpensesSchedule
    Name:
    EVERGREEN PHILANTHROPIC FOUNDATION
    EIN:
    22-6628017
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    MERRILL LYNCH- INVESTMENT FEE 4,052 4,052    
    MERRILL LYNCH WIRE FEES 210 210    
    INVESTMENT EXPENSES 101 101    


    TY 2021 TaxesSchedule
    Name:
    EVERGREEN PHILANTHROPIC FOUNDATION
    EIN:
    22-6628017
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX WITHHELD ON DIVIDEND 48 48