Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
THE JS MACK FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 34
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
INDIANA, PA15701
A Employer identification number

25-6002036
B Telephone number (see instructions)

(724) 465-7769
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$4,898,819J Accounting method:
MODIFIED CASH
(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) 101,525
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 11,608 11,608 11,608
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 34,699
b Gross sales price for all assets on line 6a 142,877
7 Capital gain net income (from Part IV, line 2)... 398
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 23,430   23,430
12 Total. Add lines 1 through 11........ 171,262 12,006 35,038
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 37,821   5,673 32,148
15 Pension plans, employee benefits....... 5,545   787 4,758
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 13,520 3,000 3,000 9,600
c Other professional fees (attach schedule).... Click to see attachment 6,365 6,365 3,183  
17 Interest............... 8,202     8,202
18 Taxes (attach schedule) (see instructions)... Click to see attachment 412     412
19 Depreciation (attach schedule) and depletion... Click to see attachment 133,095    
20 Occupancy..............        
21 Travel, conferences, and meetings....... 618     618
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 84,078   6,603 77,475
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 289,656 9,365 19,246 133,213
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 289,656 9,365 19,246 133,213
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -118,394
b Net investment income (if negative, enter -0-) 2,641
c Adjusted net income (if negative, enter -0-)... 15,792
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............. 13,894 23,667 23,667
2 Savings and temporary cash investments......... 22,041 26,136 26,136
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)....... 363,831 Click to see attachment399,597 399,597
c Investments—corporate bonds (attach schedule)....... 173,855 Click to see attachment161,219 161,219
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 bullet6,137,785
Less: accumulated depreciation (attach schedule) bullet4,543,073 1,727,812 Click to see attachment1,594,712 4,288,200
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,301,433 2,205,331 4,898,819
Liabilities 17 Accounts payable and accrued expenses.......... 1,435 1,050
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 193,817 Click to see attachment168,540
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 195,252 169,590
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........... 2,106,181 2,035,741
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    
29 Total net assets or fund balances (see instructions)..... 2,106,181 2,035,741
30 Total liabilities and net assets/fund balances (see instructions). 2,301,433 2,205,331
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
2,106,181
2
Enter amount from Part I, line 27a .....................
2
-118,394
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
47,954
4
Add lines 1, 2, and 3 ..........................
4
2,035,741
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
2,035,741
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.)
1a
b
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
b
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
b
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 2 398
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 37
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 37
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a  
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
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 37
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   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)
    bulletPA
    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
    Yes
     
    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 ofbulletJONATHAN MACK Telephone no.bullet (724) 465-7769

    Located atbullet156 TIMBERSPRINGS DRIVE156 TIMBERSPRINGS DRIVEINDIANAPA ZIP+4bullet15701
    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
    JONATHAN MACK PRESIDENT
    5.00     		0 0 0
    156 TIMBERSPRINGS DRIVE
    156 TIMBERSPRINGS DRIVE
    INDIANA,PA15701
    GREGORY HOLSINGER SEC/TREAS
    0.25     		0 0 0
    86 MERRICK ST
    86 MERRICK ST
    INDIANA,PA15701
    DAVID MOORE TRUSTEE
    0.25     		0 0 0
    147 POND STREET
    147 POND STREET
    INDIANA,PA15701
    WILLIAM SIMMONS TRUSTEE
    0.10     		0 0 0
    291 LOCUST STREET
    291 LOCUST STREET
    INDIANA,PA15701
    MICHAEL CLARK TRUSTEE
    0.10     		0 0 0
    327 HERITAGE RUN ROAD
    327 HERITAGE RUN ROAD
    INDIANA,PA15701
    ROBERT POLLOCK TRUSTEE
    0.10     		0 0 0
    1190 WATER STREET
    1190 WATER STREET
    INDIANA,PA15701
    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 THE FOUNDATION OWNS A PARK WHICH IS LOCATED IN INDIANA BOROUGH, PA AND WHITE TOWNSHIP, PA. THE PARK INCLUDES A SWIMMING POOL, PICNIC AREAS, CHILDRENS'RECREATIONAL EQUIPMENT, PAVILLIONS,LVESTOCK BARNS, EXHIBIT BUILDINGS, TRACK, GRANDSTANDS, AND ATHLETIC FIELDS. THE SWIMMING POOL IS OPERATED BY THE COUNTY YMCA. VARIOUS SPORTS ACTIVITIES FOR BOTH YOUTH AND ADULTS TAKE PLACE WITHIN THE PARK. IN 2010, THE FOUNDATION COMPLETED WORK ON A 1,226,000 RENOVATION TO ITS SWIMMING POOL. IN 2013, THE SWIMMING POOL BUILDING, WHICH INCLUDES BATHROOMS, CHANGING AREAS, LIFE GUARD FACILITIES, AND A CONCESSION AREA WERE RENOVATED AT A COST OF 639,000. THESE MAJOR UPGRADES WERE FUNDED WITH PUBLIC AND CORPORATE DONATIONS, STATE AND LOCAL GRANTS, AND DEBT. A LINE OF CREDIT WAS ESTABLISHED WITH A LOCAL BANK TO PROVIDE BRIDGE FINANCING FOR THESE PROJECTS. IN 2015, A PORTION OF THIS LINE WAS CONVERTED INTO A TERM LOAN BEING REPAID OVER A TEN YEAR PERIOD. 133,213
    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
    552,288
    b
    Average of monthly cash balances.......................
    1b
    54,841
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    607,129
    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
    607,129
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    9,107
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    598,022
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    29,901
    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
     
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
     
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    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
     
    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  
    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......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 133,213
    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.....  
    e Remaining amount distributed out of corpus 133,213
    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 5 133,213
    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 ..........     		 
    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) ...     		 
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		 
    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
    15,792 6,534 29,700 11,973 63,999
    b 85% (0.85) of line 2a ......... 13,423 5,554 25,245 10,177 54,399
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		133,213 117,844 134,670 140,413 526,140
    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 ....     		133,213 117,844 134,670 140,413 526,140
    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 ..     		19,934 18,353 19,800 21,757 79,844
    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 e-mail address of the person to whom applications should be addressed:
    BOARD OF TRUSTEES
    THE JSMACK FOUNDATION PO BOX 34
    PO BOX 34
    INDIANA,PA15701
    (724) 465-7769
    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
    Total .................................bullet 3a  
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    14 398 34,301
    9 Net income or (loss) from special events:         3,446
    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) ..   12,006 51,128
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    63,134
    (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.)
    1A A NOMINAL RENTAL FEE IS REQUESTED FOR THE USE OF CERTAIN AREAS OF THE PARK; EG. PICNIC SHELTERS AND BUILDINGS. THESE ARE MAINLY DAY USE FEES AND MINIMALLY OFFSET A PORTION OF THE COSTS TO MAINTAIN THE PARK.
    9 THE FOUNDATION PARTICIPATES IN A JULY 4TH EVENT WITH ANOTHER NON PROFIT ORGANIZATION. THE AMOUNT ON THIS LINE DOES NOT INCLUDE 1,500 IN CONTRIBUTIONS RECEIVED BY THE FOUNDATION FOR THIS EVENT WHICH ARE REPORTED IN PART 1, LINE 1 OF THIS RETURN.
    8 X
    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:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING AND ADMINISTRATION 12,600 3,000 3,000 9,600
    AUDIT FEES 920      

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 DepreciationSchedule
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    LAND 1953-01-01 35,819              
    ROADS AND PARKING LOTS 1953-01-01 11,395 11,395 S/L 50.0000        
    DRAINAGE AND WATER LINES 1953-01-01 36,201 36,201 S/L 50.0000        
    1979 1979-01-01 46,241 38,843 S/L 50.0000 925      
    LANDSCAPING 1953-01-01 22,884 22,884 S/L 50.0000        
    FENCING 1953-01-01 26,884 26,884 S/L 50.0000        
    1979 1979-01-01 837 703 S/L 50.0000 17      
    1980 1980-01-01 10,580 8,676 S/L 50.0000 211      
    1980 1980-01-01 8,400 8,400 S/L 10.0000        
    1980 1980-01-01 20,480 16,794 S/L 50.0000 409      
    1981 1981-01-01 499 474   10.0000        
    1981 1981-01-01 22,020 22,020   19.0000        
    1982 1982-01-01 2,713 2,577   10.0000        
    1983 1983-01-01 5,000 5,000   19.0000        
    GRANDSTAND 1981-01-01 23,544 23,544   19.0000        
    1984 1984-01-01 2,553 2,553   19.0000        
    1984 1984-01-01 612 612   19.0000        
    1984 1984-01-01 266 266   19.0000        
    1985 1985-01-01 14,813 14,813   19.0000        
    1985 1985-01-01 2,990 2,990   19.0000        
    SWIMMING POOL 1953-01-01 172,526 172,526 S/L 50.0000        
    LIVESTOCK BARNS 1953-01-01 66,817 66,817 S/L 50.0000        
    MEMORIAL ENTRANCE 1953-01-01 121,359 121,359 S/L 50.0000        
    CARETAKER'S COTTAGE 1953-01-01 21,452 21,452 S/L 50.0000        
    BLEACHERS 1953-01-01 8,690 8,690 S/L 50.0000        
    EQUIPMENT 1953-01-01 676 676 S/L 10.0000        
    1954 1954-01-01 135,733 135,733 S/L 50.0000        
    1954 1954-01-01 6,835 6,835 S/L 50.0000        
    1954 1954-01-01 5,523 5,523 S/L 50.0000        
    1954 1954-01-01 2,121 2,121 S/L 50.0000        
    1954 1954-01-01 1,486 1,486 S/L 10.0000        
    1954 1954-01-01 25,125 25,125 S/L 50.0000        
    1954 1954-01-01 26,603 26,603 S/L 50.0000        
    1954 1954-01-01 29,303 29,303 S/L 50.0000        
    1955 1955-01-01 6,977 6,977 S/L 50.0000        
    1962 1962-01-01 741 741 S/L 50.0000        
    1964 1964-01-01 351 351 S/L 50.0000        
    1955 1955-01-01 1,149 1,149 S/L 50.0000        
    1960 1960-01-01 758 758 S/L 50.0000        
    1964 1964-01-01 17,243 17,243 S/L 50.0000        
    1965 1965-01-01 26,661 26,661 S/L 50.0000        
    1966 1966-01-01 620 620 S/L 50.0000        
    SKATING RINK 1957-01-01 53,479 53,479 S/L 50.0000        
    1958 1958-01-01 42,548 42,548 S/L 50.0000        
    1960 1960-01-01 2,463 2,463 S/L 50.0000        
    1964 1964-01-01 23,060 21,676 S/L 50.0000 462      
    1965 1965-01-01 2,601 2,393 S/L 50.0000 52      
    1955 1955-01-01 1,793 1,793 S/L 50.0000        
    WAREHOUSE 1960-01-01 5,275 5,275 S/L 50.0000        
    1955 1955-01-01 440 440 S/L 10.0000        
    1957 1957-01-01 246 246 S/L 10.0000        
    1961 1961-01-01 2,917 2,917 S/L 10.0000        
    1963 1963-01-01 150 150 S/L 10.0000        
    1966 1966-01-01 250 250 S/L 10.0000        
    1955 1955-01-01 2,219 2,219 S/L 50.0000        
    1956 1956-01-01 2,613 2,613 S/L 50.0000        
    1958 1958-01-01 22,194 22,194 S/L 50.0000        
    1959 1959-01-01 14,864 14,864 S/L 50.0000        
    1965 1965-01-01 4,271 4,271 S/L 50.0000        
    1966 1966-01-01 5,410 5,410 S/L 50.0000        
    1959 1959-01-01 424 424 S/L 50.0000        
    1960 1960-01-01 1,141 1,141 S/L 50.0000        
    1955 1955-01-01 2,700 2,700 S/L 50.0000        
    1959 1959-01-01 1,867 1,867 S/L 50.0000        
    1958 1958-01-01 16,309 16,309 S/L 50.0000        
    TENNIS COURTS 1959-01-01 12,868 12,868 S/L 50.0000        
    1960 1960-01-01 1,670 1,670 S/L 50.0000        
    1963 1963-01-01 40,240 38,630 S/L 50.0000 805      
    1967 1967-01-01 12,167 12,167 S/L 50.0000        
    1968 1968-01-01 12,167 12,167 S/L 50.0000        
    1969 1969-01-01 12,167 12,167 S/L 50.0000        
    1970 1970-01-01 12,167 12,167 S/L 50.0000        
    1970 1970-01-01 1,624 1,624 S/L 50.0000        
    1970 1970-01-01 4,550 4,550 S/L 10.0000        
    1971 1971-01-01 23,000 23,000 S/L 50.0000        
    1971 1971-01-01 5,849 5,849 S/L 10.0000        
    1972 1972-01-01 1,096 1,074 S/L 50.0000 22      
    1972 1972-01-01 1,122 1,100 S/L 50.0000 22      
    1972 1972-01-01 156 153 S/L 50.0000 3      
    1972 1972-01-01 71 71 S/L 10.0000        
    1985 1985-01-01 11,414 10,843   10.0000        
    1974 1974-01-01 2,936 2,710 S/L 50.0000 59      
    1972 1972-01-01 1,380 1,352 S/L 50.0000 28      
    1974 1974-01-01 28,734 28,734 S/L 10.0000        
    1975 1975-01-01 16,573 13,258 S/L 50.0000 332      
    1975 1975-01-01 388 357 S/L 50.0000 8      
    1975 1975-01-01 245 245 S/L 10.0000        
    1976 1976-01-01 2,596 2,596 S/L 10.0000        
    1986 1986-01-01 436,313 436,313   19.0000        
    1977 1977-01-01 6,602 6,602 S/L 10.0000        
    1978 1978-01-01 7,401 6,365 S/L 50.0000 148      
    1978 1978-01-01 4,980 4,283 S/L 50.0000 99      
    1978 1978-01-01 2,582 2,221 S/L 50.0000 51      
    1978 1978-01-01 7,806 6,713 S/L 50.0000 156      
    1978 1978-01-01 3,320 3,320 S/L 10.0000        
    1974 1974-01-01 46,523 43,732 S/L 50.0000 930      
    1986 1986-01-01 19,669 19,669   19.0000        
    1986 1986-01-01 14,424 14,424   19.0000        
    1986 1986-01-01 13,428 13,428   19.0000        
    1986 1986-01-01 10,719 10,719   10.0000        
    1987 1987-01-01 235,498 194,286 S/L 31.5000        
    1987 1987-01-01 237 196 S/L 31.5000        
    1987 1987-01-01 14,094 11,628 S/L 31.5000        
    1987 1987-01-01 1,203 993 S/L 31.5000        
    1987 1987-01-01 17,790 14,677 S/L 31.5000        
    1987 1987-01-01 10,312 10,312 S/L 10.0000        
    1987 1987-01-01 26,500 21,863 S/L 31.5000        
    1987 1987-01-01 10,600 8,745 S/L 31.5000        
    1988 1988-01-01 29,251 24,132 S/L 31.5000        
    1988 1988-01-01 1,898 1,566 S/L 31.5000        
    1988 1988-01-01 5,150 5,150 S/L 10.0000        
    1989 1989-01-01 7,533 6,027 S/L 31.5000 188      
    1989 1989-01-01 800 660 S/L 31.5000 20      
    1989 1989-01-01 8,501 8,501 S/L 10.0000        
    1989 1989-01-01 24,597 19,678 S/L 31.5000 615      
    1989 1989-01-01 11,208 8,966 S/L 31.5000 281      
    1990 1990-01-01 1,955 1,515 S/L 31.5000 49      
    1990 1990-01-01 4,900 3,798 S/L 31.5000 122      
    1990 1990-01-01 31,286 24,193 S/L 31.5000 782      
    1990 1990-01-01 42,882 32,162 S/L 31.5000 1,072      
    1990 1990-01-01 36,221 27,166 S/L 31.5000 905      
    1986 1986-01-01 5,565 5,565   19.0000        
    1991 1991-06-30 28,056 20,721 S/L 31.5000 701      
    1991 1991-06-30 12,520 9,247 S/L 31.5000 313      
    1991 1991-06-30 37,302 27,549 S/L 31.5000 933      
    1991 1991-06-30 5,767 4,259 S/L 31.5000 144      
    1991 1991-06-30 11,917 11,917 S/L 10.0000        
    SIDEWALKS 1992-06-15 3,825 2,561 S/L 31.5000 96      
    1992 1992-06-15 8,435 6,019 S/L 31.5000 211      
    1992 1992-06-15 8,613 6,146 S/L 31.5000 215      
    1992 1992-06-15 980 699 S/L 31.5000 25      
    1992 1992-06-15 264 188 S/L 31.5000 7      
    1992 1992-06-15 4,949 3,531 S/L 31.5000 124      
    1992 1992-06-15 265 189 S/L 31.5000 7      
    1992 1992-06-15 557 397 S/L 31.5000 14      
    1992 1992-06-15 1,933 1,379 S/L 31.5000 49      
    1992 1992-06-15 529 529 S/L 10.0000        
    1993 1993-06-22 3,308 2,264 S/L 27.5000 83      
    1993 1993-06-15 927 638 S/L 31.5000 24      
    1993 1993-09-20 1,500 1,023 S/L 39.0000 38      
    1993 1993-10-19 464 316 S/L 39.0000 11      
    1993 1993-10-29 3,500 2,381 S/L 39.0000 87      
    1993 1993-10-29 406 276 S/L 39.0000 11      
    1993 1993-07-19 14,077 14,077 S/L 10.0000        
    1993 COMPUTER 1993-01-05 3,594 3,594 S/L 10.0000        
    1993 DEHUMIDIFIER 1993-07-05 233 233 S/L 10.0000        
    1993 DESK 1993-07-26 319 319 S/L 10.0000        
    1993 1993-07-15 307 240 S/L 27.5000 8      
    1993 1993-11-15 3,305 2,241 S/L 39.0000 83      
    1993 1993-11-15 674 457 S/L 39.0000 17      
    1993 1993-11-15 7,436 5,042 S/L 39.0000 186      
    1993 1993-11-30 724 491 S/L 39.0000 18      
    1993 1993-12-15 525 355 S/L 39.0000 13      
    1993 1993-12-08 1,801 1,218 S/L 39.0000 45      
    1994 1994-06-30 1,151 763 S/L 39.0000 29      
    1994 1994-06-30 2,140 1,420 S/L 39.0000 53      
    1994 1994-01-31 56,200 37,876 S/L 39.0000 1,405      
    1994 1994-01-31 3,299 2,224 S/L 39.0000 82      
    1994 1994-01-31 1,420 957 S/L 39.0000 36      
    1994 1994-01-31 1,557 1,049 S/L 39.0000 39      
    1994 1994-01-31 4,267 2,876 S/L 39.0000 106      
    1994 1994-01-31 8,577 5,781 S/L 39.0000 214      
    1994 1994-01-31 5,800 3,909 S/L 39.0000 145      
    1994 1994-02-28 1,338 899 S/L 39.0000 33      
    1994 1994-02-28 3,000 2,016 S/L 39.0000 75      
    1994 1994-05-31 2,177 1,449 S/L 39.0000 55      
    1994 1994-07-31 327 216 S/L 39.0000 9      
    1994 1994-07-31 855 566 S/L 39.0000 21      
    1994 1994-07-31 2,963 1,960 S/L 39.0000 74      
    1995 1995-05-31 195 125 S/L 39.0000 4      
    1995 1995-12-31 17,441 10,919 S/L 39.0000 436      
    1995 1995-11-06 2,619 1,645 S/L 39.0000 65      
    1995 1995-06-30 1,352 1,352 200DB 5.0000        
    DONATED ELECTRICAL SYSTEM FAIR ASSN - PARTIAL 1995-10-31 111,080 69,425 S/L 39.0000 2,777      
    1995 1995-06-30 1,200 1,200 200DB 10.0000        
    BALANCE OF DONATED ELECTRICAL SYSTEM 1996-06-30 21,748 13,343 S/L 39.0000 544      
    1997 ADDITION 1997-11-17 923 533 S/L 39.0000 23      
    1997 ADDITION 1997-10-15 19,768 11,470 S/L 39.0000 494      
    1997 ADDITION 1997-07-11 9,884 9,884 S/L 10.0000        
    1999 ADDITION YMCA 1999-01-29 2,817 1,586 S/L 39.0000 72      
    TRUSSES FOR BARNS 1999-06-15 1,640 906 S/L 39.0000 42      
    DRAINAGE & WATER LINES 2000 2000-06-15 5,512 5,512 S/L 15.0000        
    SWIMMING POOL RENOVATION 2000 2000-07-18 2,000 2,000 S/L 10.0000        
    DONATED POLE SHED 2000-06-30 60,539 31,887 S/L 39.0000 1,552      
    PLAYGROUND EQUIPMENT 2001-03-15 95,591 95,591 S/L 10.0000        
    TRACTOR 2001-04-01 6,693 6,693 S/L 5.0000        
    RAY FISCUS 2001-09-14 100,000 96,667 S/L 20.0000 3,333      
    RAY FISCUS 2001-11-08 75,000 71,875 S/L 20.0000 3,125      
    INDIANA FAIR 2001-11-25 5,000 4,771 S/L 20.0000 229      
    DON HUEY, METAL DOORS 2001-02-27 20,209 10,020 S/L 40.0000 506      
    INSTALLATION OF PLAYGROUND 2001-06-05 31,470 31,470 S/L 10.0000        
    14000 SQ FOOT FIBAR SYSTEM 101 2001-06-05 16,100 16,100 S/L 10.0000        
    FILTER OVERLHAUL, PARTS & LABOR 2001-10-31 48,000 48,000 S/L 7.0000        
    REPOINTING ICE RINK BUILDING 2001-04-02 23,518 11,612 S/L 40.0000 588      
    EFCO MOWER & ACCESSORIES 2001-03-26 496 496 S/L 5.0000        
    ROADS, TERRY STILES 2002-09-10 465 465 S/L 15.0000        
    ROADS, TOM MOREAU 2002-09-10 675 675 S/L 15.0000        
    ROADS, MCCREA PAVING 2002-09-20 6,566 6,566 S/L 15.0000        
    RAY FISCUS 2002-01-09 25,000 23,750 S/L 20.0000 1,250      
    RSM SCRAP 2002-01-09 930 884 S/L 20.0000 46      
    RAY FICUS 2002-02-01 75,640 71,543 S/L 20.0000 3,782      
    KEYSTONE BLEACHER SALES 2002-02-28 11,400 10,735 S/L 20.0000 570      
    DANT CLAYTON CORP 2002-03-01 206,400 194,360 S/L 20.0000 10,320      
    RAY FICUS 2002-03-19 2,424 2,273 S/L 20.0000 121      
    KEYSTONE BLEACHER SALES 2002-03-25 26,600 24,938 S/L 20.0000 1,330      
    KEYSTONE BLEACHER SALES 2002-03-25 22,800 21,375 S/L 20.0000 1,140      
    KEYSTONE BLEACHER SALES 2002-04-30 7,600 7,093 S/L 20.0000 380      
    REA ENERGY 2002-05-01 7,329 6,841 S/L 20.0000 366      
    CORTE MASONRY 2002-05-20 1,413 1,313 S/L 20.0000 70      
    REA ENERGY 2002-05-20 3,946 3,667 S/L 20.0000 197      
    KEYSTONE BLEACHER SALES 2002-06-14 8,700 8,084 S/L 20.0000 435      
    KEYSTONE BLEACHER SALES 2002-06-14 7,600 7,062 S/L 20.0000 380      
    REA ENERGY 2002-06-24 5,638 5,215 S/L 20.0000 282      
    FAUMAN ROOF TRUSSES 2002-07-01 214 198 S/L 20.0000 11      
    SHERWIN WILLIAMS 2002-09-20 635 579 S/L 20.0000 32      
    REA ENERGY 2002-11-18 7,493 6,775 S/L 20.0000 375      
    2002 CHEVY SIVERADO W/ PLOW PKG 1GCHK 2002-01-01 31,934 31,934 S/L 5.0000        
    ROADS, MCCREA PAVING 2003-07-01 853 853 S/L 15.0000        
    PENN FENCING 2003-07-19 2,867 2,867 S/L 15.0000        
    POOL REPAIRS 2003-08-07 5,792 5,792 S/L 7.0000        
    LAZER 27HP MOWING MACHINE 2003-06-01 8,687 8,687 S/L 5.0000        
    DONATED PONY BARN 2005-03-31 33,875 13,680 S/L 39.0000 869      
    TRACK LIGHTING 2005-06-30 27,074 27,074 S/L 15.0000        
    HONDA MOWER 2005-05-10 540 540 S/L 7.0000        
    ROUNDING                  
    STAGE ROOF 2006-06-16 18,495 6,896 S/L 39.0000 474      
    REST ROOM IMPROVEMENTS 2006-05-23 14,850 5,569 S/L 39.0000 381      
    PARKING LOT RESURFACING 2007-11-01 40,625 37,027 150DB 15.0000 2,399      
    SKATEPARK FACILITY 2008-10-23 108,904 88,333 S/L 15.0000 7,260      
    MOWER 2008-08-14 895 895 S/L 7.0000        
    ELECTRIC SERVICE REPLACEMENT 2008-05-28 6,698 2,161 S/L 39.0000 172      
    SHOWER/BATHROOM FACILITIES 2009-08-01 48,279 14,133 S/L 39.0000 1,238      
    POOL RENOVATION- PHASE I 2010-06-30 1,200,239 504,100 S/L 25.0000 48,010      
    POOL LANDSCAPING-PHASE I 2010-06-30 9,546 6,682 S/L 15.0000 636      
    PAVING POOL PROJECT 2011-03-02 7,554 4,952 S/L 15.0000 504      
    POOL RENOVATION-PHASE I 2011-09-28 5,500 2,035 S/L 25.0000 220      
    CHAIN LINK FENCE-POOL 2012-05-30 6,206 3,551 S/L 15.0000 413      
    DUMP TRUCK -USED 2013-03-01 4,000 4,000 S/L 5.0000        
    2013 COUNTRY CLIPPER 2013-06-28 10,350 10,350 S/L 7.0000        
    POOL BATHHOUSE & CONCESSION RENOVATION 2013-06-01 632,915 123,067 S/L 39.0000 16,228      
    HANDICAPPED PAVING/FENCING 2014-07-01 22,866 9,909 S/L 15.0000 1,524      
    HUSTLER MOWER 2015-05-18 10,795 8,610 S/L 7.0000 1,542      
    STORAGE SHED 2015-08-07 2,458 888 S/L 15.0000 164      
    BACK HOE CASE 580 D 2020-09-15 11,000 524 S/L 7.0000 1,572      

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    TY 2021 GainLossSaleOtherAssetsSch
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    PUBLICLY TRADED SECURITIES   PURCHASE     21,506 16,954     4,552  
    PUB;ICLY TRADED SECURITIES   PURCHASE     120,973 91,224     29,749  

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 135,278 135,278
    BOND MUTUAL FINDS 25,941 25,941

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Name of Stock End of Year Book Value End of Year Fair Market Value
    EQUITY MUTUAL FUNDS 13,155 13,155
    EQUITY SECURITIES 386,442 386,442

    TY 2021 LandEtcSchedule2
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
      6,101,966 4,543,073 1,558,893 2,903,400
    LAND 35,819   35,819 1,384,800


    TY 2021 MortgagesAndNotesPayableSch
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Total Mortgage Amount: 117,609

    Item No. 1
    Lender's Name NOTES PAYABLE TO ST BANK
    Lender's Title  
    Relationship to Insider NONE
    Original Amount of Loan 250,000
    Balance Due 38,731
    Date of Note 2015-03
    Maturity Date  
    Repayment Terms RENEWABLE LINE OF CREDIT
    Interest Rate 0.0325
    Security Provided by Borrower INVESTMENT PORTFOLIO IS PLEDGED
    Purpose of Loan LOC-POOL RENOVATIONS & ROOF REPAIR
    Description of Lender Consideration  
    Consideration FMV 38731

    Item No. 2
    Lender's Name PPP LOAN
    Lender's Title  
    Relationship to Insider  
    Original Amount of Loan 12,200
    Balance Due 12,200
    Date of Note  
    Maturity Date 2022-01
    Repayment Terms PPP LOAN FORGIVEN IN 2022
    Interest Rate  
    Security Provided by Borrower  
    Purpose of Loan PAYROLL AND OTHER COSTS
    Description of Lender Consideration  
    Consideration FMV  


    TY 2021 OtherExpensesSchedule
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FUND RAISING JULY 4TH EVENT        
    FIREWORKS 6,500   6,500  
    IINSURANCE 103   103  
    EXPENSES        
    FUEL 4,600     4,600
    INSURANCE 31,975     31,975
    MAINTENANCE, REPAIRS, AND SUP 14,257     14,257
    MISCELLANEOUS 628     628
    OFFICE SUPPLIES 250     250
    UTILITIES 25,765     25,765


    TY 2021 OtherIncomeSchedule2
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FUND RAISING JULY 4TH EVENT 10,049   10,049
    PARK FACILITIES RENTAL 13,381   13,381


    TY 2021 OtherIncreasesSchedule
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Description Amount
    INCREASE IN UNREALIZED INVESTMENT GAINS 47,954


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT/TRUSTEE FE 6,365 6,365 3,183  


    TY 2021 TaxesSchedule
    Name:
    THE JS MACK FOUNDATION
    EIN:
    25-6002036
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LICENSES 412     412