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
FM GLOBAL FOUNDATION
 
% Courtney Mazyck
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 7500 270 CENTRAL AVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
JOHNSTON, RI029190750
A Employer identification number

22-2773230
B Telephone number (see instructions)

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$37,635,282J 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) 1,963,527
2 Check bullet.............
3 Interest on savings and temporary cash investments 119 119 0
4 Dividends and interest from securities... 434 434 0
5a Gross rents............ 0 0 0
b Net rental income or (loss) 0
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 28,526,095
b Gross sales price for all assets on line 6a 30,463,022
7 Capital gain net income (from Part IV, line 2)... 28,526,095
8 Net short-term capital gain.........  
9 Income modifications........... 0
10a Gross sales less returns and allowances 0
b Less: Cost of goods sold.... 0
c Gross profit or (loss) (attach schedule)..... 0 0
11 Other income (attach schedule)....... 0 0 0
12 Total. Add lines 1 through 11........ 30,490,175 28,526,648 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages...... 0 0 0 0
15 Pension plans, employee benefits....... 0 0 0 0
16a Legal fees (attach schedule)......... 0 0 0 0
b Accounting fees (attach schedule)....... 0 0 0 0
c Other professional fees (attach schedule).... Click to see attachment 43,342 20,000 0 23,342
17 Interest............... 0 0 0 0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 127,552 0 0 0
19 Depreciation (attach schedule) and depletion... 0 0 0
20 Occupancy.............. 0 0 0 0
21 Travel, conferences, and meetings....... 0 0 0 0
22 Printing and publications.......... 0 0 0 0
23 Other expenses (attach schedule)....... Click to see list of attachments 154,912 0 0 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 325,806 20,000 0 23,342
25 Contributions, gifts, grants paid....... 6,550,725 6,550,725
26 Total expenses and disbursements. Add lines 24 and 25 6,876,531 20,000 0 6,574,067
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 23,613,644
b Net investment income (if negative, enter -0-) 28,506,648
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 10,792,349 34,405,559 34,405,559
2 Savings and temporary cash investments......... 3,229,289 3,229,723 3,229,723
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)..... 0 0  
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet   0 0  
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)   0  
b Investments—corporate stock (attach schedule).......   0  
c Investments—corporate bonds (attach schedule).......   0  
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   0  
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
15 Other assets (describe bullet) 0 0 0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 14,021,638 37,635,282 37,635,282
Liabilities 17 Accounts payable and accrued expenses.......... 0 0
18 Grants payable................. 0 0
19 Deferred revenue................. 0 0
20 Loans from officers, directors, trustees, and other disqualified persons 0 0
21 Mortgages and other notes payable (attach schedule)......   0
22 Other liabilities (describe bullet) Click to see attachment0 Click to see attachment0
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund 14,021,638 37,635,282
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 14,021,638 37,635,282
30 Total liabilities and net assets/fund balances (see instructions). 14,021,638 37,635,282
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
14,021,638
2
Enter amount from Part I, line 27a .....................
2
23,613,644
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
37,635,282
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
37,635,282
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 Common Stock- Alphabet Inc- 2,000 shares D 2021-12-16 2021-12-21
b Common Stock- Johnson & Johnson- 100,000 shares D 2021-12-16 2021-12-21
c Common Stock- Johnson & Johnson- 23,000 shares D 2021-12-20 2021-12-28
d Common Stock- Morgan Stanley- 40,000 shares D 2021-12-16 2021-12-21
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 5,686,040   283,426 5,402,614
b 16,965,323   521,500 16,443,823
c 3,863,555   119,945 3,743,610
d 3,948,104   1,012,056 2,936,048
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       5,402,614
b       16,443,823
c       3,743,610
d       2,936,048
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 28,526,095
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........................... 3 396,242
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- ..... 5 396,242
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 429
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c 397,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Tax Paid with the Original Return: 0 7 397,429
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 1,187
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,187 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletRI
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletFactory Mutual Insurance Company Telephone no.bullet (401) 415-1200

    Located atbulletPO BOX 7500270 Central AveJOHNSTONRI ZIP+4bullet029190750
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
     
    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
    Thomas A LawsonClick to see attachment Director Chairman President & CEO
    0.25     		0 0 0
    270 Central Avenue
    PO Box 7500
    Johnston,RI02919
    Angie Henderson MoncadaClick to see attachment Staff Sr. Vice President Marketing
    0.25     		0 0 0
    270 Central Avenue
    PO Box 7500
    Johnston,RI02919
    Sanjay ChawlaClick to see attachment Sr. Vice President Investments
    0.25     		0 0 0
    270 Central Avenue
    PO Box 7500
    Johnston,RI02919
    Courtney MazyckClick to see attachment Assistant Vice President Finance
    2.00     		0 0 0
    270 Central Avenue
    PO Box 7500
    Johnston,RI02919
    Andrew S BrooslinClick to see attachment Secretary
    0.25     		0 0 0
    270 Central Avenue
    PO Box 7500
    Johnston,RI02919
    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
     
    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
     
    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  
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    9,710,984
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    9,710,984
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    9,710,984
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    145,665
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    9,565,319
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    478,266
    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
    478,266
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    396,242
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
    0
    c
    Add lines 2a and 2b............................
    2c
    396,242
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    82,024
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    82,024
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    82,024
    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 82,024
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 4,763,116
    b From 2017...... 4,737,205
    c From 2018...... 7,342,263
    d From 2019...... 4,125,974
    e From 2020...... 7,288,456
    f Total of lines 3a through e ........ 28,257,014
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 6,574,067
    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..... 82,024
    e Remaining amount distributed out of corpus 6,491,983
    5 Excess distributions carryover applied to 2021. 0  
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 34,748,997
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		4,763,116
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		29,985,881
    10 Analysis of line 9:
    a Excess from 2017.... 4,737,205
    b Excess from 2018.... 7,342,263
    c Excess from 2019.... 4,125,974
    d Excess from 2020.... 7,288,456
    e Excess from 2021.... 6,491,983
    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).)
    None
    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.
    None
    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
    ALEXANDRIA FIRE DEPT
    PO BOX 277
    ALEXANDRIA,TN37012     		No Relationship GOV Contribution provided 1,200
    ALISA ANN RUCH BURN FOUNDATION
    50 N HILL AVENUE
    SUITE 305
    PASADENA,CA91106     		No Relationship PC Contribution provided 10,000
    ALTOONA FIRE DEPARTMENT
    1319 WASHINGTON AVENUE
    ALTOONA,PA16601     		No Relationship GOV Contribution provided 2,405
    American Online Giving Foundation
    2454 N McMullen Booth Rd
    Suite 431
    Clearwater,FL33759     		No Relationship PC Contribution provided 1,873,223
    AMERICAN RED CROSS
    100 NIANTIC AVE
    SUITE A
    PROVIDENCE,RI02907     		No Relationship PC Contribution provided 10,000
    AURORA FIRE DEPARTMENT
    65 W PIONEER
    AURORA,OH44202     		No Relationship GOV Contribution provided 1,416
    BEEBE FIRE DEPT
    305 W COLLEGE ST
    BEEBE,AR72012     		No Relationship GOV Contribution provided 1,365
    BETHANY FIRE PROTECTION DISTRICT
    530 E MAIN ST
    Bethany,IL61914     		No Relationship GOV Contribution provided 976
    BEVERLY FIRE DEPT
    15 HALE ST
    BEVERLY,MA01915     		No Relationship GOV Contribution provided 2,654
    BLANK CHILDREN'S HOSPITAL
    1200 PLEASANT STREET
    DES MOINES,IA50309     		No Relationship PC Contribution provided 3,700
    BOROUGH OF DARBY
    1020 RIDGE AVE
    DARBY,PA19023     		No Relationship GOV Contribution provided 3,050
    BUCHANAN VALLEY FIRE DEPARTMENT
    1180 BUCHANAN VALLEY ROAD
    ORRTANNA,PA17353     		No Relationship GOV Contribution provided 2,000
    BUENA VISTA FIRE DEPARTMENT
    3438 GENEI
    SAGINAW,MI48601     		No Relationship GOV Contribution provided 1,828
    BUSHNELL'S BASIN FIRE ASSOCIATION
    661 KREAG ROAD
    Pittsford,NY14534     		No Relationship GOV Contribution provided 3,000
    BUTTE COUNTY FIRE DEPT
    176 NELSON AVE
    OROVILLE,CA95965     		No Relationship GOV Contribution provided 1,770
    CANDIA VOLUNTEER FIRE DEPARTMENT
    PO BOX 72
    CANDIA,NH03034     		No Relationship GOV Contribution provided 3,000
    CENTRAL FALLS FIRE DEPARTMENT
    150 ILLINOIS STREET
    CENTRAL FALLS,RI02863     		No Relationship GOV Contribution provided 3,574
    CHELTENHAM TOWNSHIP FIRE MARSHAL
    8230 OLD YORK ROAD
    ELKINS PARK,PA19027     		No Relationship GOV Contribution provided 3,048
    CHURCH HILL FIRE DEPARTMENT
    300 EAST MAIN STREET
    CHURCH HILL,TN37642     		No Relationship GOV Contribution provided 3,000
    CITY OF ARAB FIRE DEPARTMENT
    653 4TH AVE NW
    Arab,AL35016     		No Relationship GOV Contribution provided 1,670
    CITY OF BALDWIN FIRE DEPARTMENT
    P O BOX 247
    BLADWIN,GA30511     		No Relationship GOV Contribution provided 3,000
    CITY OF BETHLEHEM FIRE DEPT
    10 E CHURCH ST
    BETHLEHEM,PA18018     		No Relationship GOV Contribution provided 3,453
    CITY OF CHESTER BUREAU OF FIRE
    320 E 14TH ST
    CHESTER,PA19013     		No Relationship GOV Contribution provided 4,131
    CITY OF CLAREMONT FIRE DEPARTMENT
    100 BROAD STREET
    CLAREMONT,NH03743     		No Relationship GOV Contribution provided 2,700
    CITY OF D'IBERVILLE FIRE DEPARTMENT
    11288 LAMEY BRIDGE ROAD
    D IBERVILLE,MA39540     		No Relationship GOV Contribution provided 1,738
    CITY OF DOVER FIRE MARSHAL'S OFFICE
    15 LOOCKERMAN PLAZA
    DOVER,DE19901     		No Relationship GOV Contribution provided 2,274
    CITY OF EAST ORANGE
    468 MAIN ST
    EAST ORANGE,NJ07017     		No Relationship GOV Contribution provided 4,000
    CITY OF ERIE FIRE DEPARTMENT
    311 MARSH STREET
    Erie,PA16508     		No Relationship GOV Contribution provided 2,733
    CITY OF FREMONT FIRE DEPARTMENT
    3300 CAPITOL AVENUE
    BUILDING A
    Fremont,CA94538     		No Relationship GOV Contribution provided 2,700
    CITY OF HINESVILLE
    115 E ML KING JK DR
    HINESVILLE,GA31313     		No Relationship GOV Contribution provided 2,912
    CITY OF JESUP FIRE DEPT
    411 W BAY ST
    JESUP,GA31545     		No Relationship GOV Contribution provided 3,854
    CITY OF KENNER FIRE DEPARTMENT
    2226 WILLIAMS
    KENNER,LA70062     		No Relationship GOV Contribution provided 2,432
    CITY OF MAPLE GROVE - FIRE DEPARTMENT
    12800 ARBOR LAKES PKWY
    MAPLE GROVE,MN55369     		No Relationship GOV Contribution provided 2,535
    CITY OF MCALLEN
    P O BOX 220
    MCALLEN,TX78505     		No Relationship GOV Contribution provided 4,152
    CITY OF MISSION
    1201 E 8TH ST
    Mission,TX78572     		No Relationship GOV Contribution provided 2,230
    CITY OF MOUNT PLEASANT
    1158 N MAIN ST
    MOUNT PLEASANT,TN38474     		No Relationship GOV Contribution provided 2,796
    CITY OF NEWTON FIRE DEPARTMENT
    119 SOUTH BRADY AVENUE
    NEWTON,NC28658     		No Relationship GOV Contribution provided 2,150
    CITY OF RUSSELL FIRE DEPT
    815 NORTH MAPLE
    RUSSELL,KS67665     		No Relationship GOV Contribution provided 2,250
    CITY OF TENNESSEE RIDGE FIRE DEPARTMENT
    P O BOX 285
    TENNESSEE RIDGE,TN37178     		No Relationship GOV Contribution provided 1,500
    CLINTON TOWNSHIP FIRE DEPT
    3820 CLEVELAND AVE
    COLUMBUS,OH43224     		No Relationship GOV Contribution provided 3,000
    COLONIAL HEIGHTS FIRE AND EMS
    100B HIGHLAND AVE
    COLONIAL HEIGHTS,VA23834     		No Relationship GOV Contribution provided 1,998
    Community Preparatory School
    135 Prairie Ave
    Providence,RI02907     		No Relationship PC Contribution provided 18,000
    COOLIDGE FIRE DEPARTMENT
    130 W CENTRAL AVE
    COOLIDGE,AZ85128     		No Relationship GOV Contribution provided 1,668
    CORNERSTONE FAMILY COUNSELING SERVICES
    49370 RD 426
    SUITE B
    OASKHURST,CA93644     		No Relationship PC Contribution provided 9,000
    COUNTY OF CAMERON
    20 E 5TH STREET
    Emporium,PA15834     		No Relationship GOV Contribution provided 1,613
    CRYSTAL FIRE COMPANY NO 1
    PO BOX 195
    Jermyn,PA18433     		No Relationship GOV Contribution provided 1,755
    DEER CREEK FIRE PROTECTION DISTRICT
    PO BOX 352
    Deer Creek,IL61733     		No Relationship GOV Contribution provided 1,650
    DOWNEY FIRE DEPARTMENT
    11111 BROOKSHIRE AVE
    Downey,CA90241     		No Relationship GOV Contribution provided 1,861
    EAST 52 VOLUNTEER FIRE DEPARTMENT
    4626 LIVINGSTON HWY
    CELINA,TN38551     		No Relationship GOV Contribution provided 2,574
    EAST DUBUQUE FIRE DEPARTMENT
    183 SINSINAWA AVE
    EAST DUBUUQUE,IL61025     		No Relationship GOV Contribution provided 3,000
    EASTHAMPTON FIRE DEPARTMENT
    32 PAYSON AVENUE
    EASTHAMPTON,MA01027     		No Relationship GOV Contribution provided 3,060
    ELIZABETHTOWN FIRE DEPARTMENT
    563 E WILLOW STREET
    ELIZABETHTOWN,PA17022     		No Relationship GOV Contribution provided 4,000
    ESTILL FIRE DEPT
    824 2ND STREET EAST
    ESTILL,SC29918     		No Relationship GOV Contribution provided 2,400
    EXETER VOLUNTEER FIRE DEPARTMENT
    204 E TECUMSEH AVE
    EXETER,NE68351     		No Relationship GOV Contribution provided 685
    FASNY MUSEUM OF FIREFIGHTING
    117 HARRY HOWARD AVE
    HUDSON,NY12534     		No Relationship PC Contribution provided 1,100
    FIRE DEPARTMENT MUSEUM OF MEMPHIS
    118 ADAMS AVENUE
    MEMPHIS,TN38103     		No Relationship PC Contribution provided 17,150
    FIRE MUSEUM OF TEXAS
    400 WALNUT ST
    BEAUMONT,TX77701     		No Relationship PC Contribution provided 3,200
    FLORIDA PRESS EDUCATIONAL SERVICES
    490 FIRST AVENUE SOUTH
    SAINT PETERSBURG,FL33701     		No Relationship PC Contribution provided 6,000
    GAINSVILLE FIRE RESCUE
    1025 NE 13TH ST
    GAINESVILLE,FL32601     		No Relationship GOV Contribution provided 5,134
    GALLUP FIRE DEPARTMENT
    1800 S SECOND STREET
    Gallup,NM87301     		No Relationship GOV Contribution provided 2,970
    GANTT DISTRICT FIRE DEPT
    1201 WHITE HORSE RD
    GREENVILLE,SC29605     		No Relationship GOV Contribution provided 5,040
    GENESEE COUNTY EMERGENCY MGMT
    7690 STATE ST RD
    BATAVIA,NY14020     		No Relationship GOV Contribution provided 3,800
    GLENDALE FIRE DEPARTMENT
    80 E SHARON RD
    CINCINNATI,OH45246     		No Relationship GOV Contribution provided 2,088
    GORDONVILLE FIRE AND EMS
    PO BOX 14
    GORDONVILLE,PA17529     		No Relationship GOV Contribution provided 2,165
    GREAT FALLS FIRE RESCUE
    105 9TH STREET S
    GREAT FALLS,MT59405     		No Relationship GOV Contribution provided 3,337
    Grow Smart RI
    144 Westminster St
    No 303
    Providence,RI02903     		No Relationship PC Contribution provided 5,000
    HAMPDEN FIRE DEPARTMENT
    19 NORTH RD
    HAMPDEN,MA01036     		No Relationship GOV Contribution provided 3,090
    HANCOCK COUNTY FIRE MARSHALS OFFICE
    18333 HWY 603
    KILN,MS39556     		No Relationship GOV Contribution provided 2,500
    HOSE CO NO 1 HONESDALE FIRE DEPARTMENT
    PO BOX 174
    HONESDALE,PA18431     		No Relationship GOV Contribution provided 3,256
    HOT SULPHUR SPRINGS PARSHALL FPD
    P O BOX 45
    HOT SULPHUR SPRINGS,CO80451     		No Relationship GOV Contribution provided 1,450
    INTERCOURSE FIRE COMPANY
    10 NORTH HOLLANDER ROAD
    Intercourse,PA17534     		No Relationship GOV Contribution provided 2,500
    INTERNATIONAL SCHOLARSHIP & TUITION SERVICE
    1321 Murfreesboro Pike
    Suite 800
    Nashville,TN37217     		No Relationship N A Contribution provided 493,000
    JOHNSON COUNTY FIRE INVESTIGATION UNIT
    122 WEST YOUNG
    WARRENSBURG,MO64093     		No Relationship GOV Contribution provided 2,785
    KENAI FIRE DEPT
    105 S WILLOW ST
    KENAI,AK99611     		No Relationship GOV Contribution provided 3,158
    LAFAYETTE FIRE DEPARTMENT
    443 NORTH 4TH STREET
    LAFAYETTE,IN47901     		No Relationship GOV Contribution provided 1,645
    LAKE JACKSON VOLUNTEER FIRE DEPT
    10 OAK DR
    LAKE JACKSON,TX77566     		No Relationship GOV Contribution provided 3,395
    LEBANON TOWNSHIP FIRE DEPARTMENT
    532 WEST HILL ROAD
    GLEN GARDNER,NJ08826     		No Relationship GOV Contribution provided 1,500
    LEVEL VOLUNTEER FIRE COMPANY
    3633 LEVEL VILLAGE ROAD
    HAVRE DE GRACE,MD21078     		No Relationship GOV Contribution provided 1,500
    LINCOLNTON FIRE DEPARTMENT
    PO BOX 617
    Lincolnton,NC28093     		No Relationship GOV Contribution provided 3,389
    LITTLE CAILLOU FIRE DEPARTMENT
    5016 HIGHWAY 56
    CHAUVIN,LA70344     		No Relationship GOV Contribution provided 1,450
    LONGMEADOW FIRE DEPARTMENT
    44 WILLIAMS ST
    LONGMEADOW,MA01106     		No Relationship GOV Contribution provided 1,030
    LOWNDES COUNTY SHERIFF'S OFFICE
    120 PRISON FARM RD
    VALDOSTA,GA31601     		No Relationship GOV Contribution provided 3,027
    MANSFIELD FIRE DEPT
    140 E 3RD ST
    MANSFIELD,OH44902     		No Relationship GOV Contribution provided 2,000
    MANVILLE FIRE DISTRICT
    112 OLD MAIN STREET
    Manville,RI02838     		No Relationship GOV Contribution provided 1,826
    MASSILLON FIRE DEPARTMENT
    233 S ERIE
    fire station 1
    Massillion,OH44646     		No Relationship GOV Contribution provided 1,846
    MIDWEST CITY FIRE DEPARTMENT
    8201 E RENO AVENUE
    MIDWEST CITY,OK73110     		No Relationship GOV Contribution provided 15,350
    MILLERVILLE VOLUNTEER FIRE DEPARTMENT
    49 SCHOOL HOUSE ROAD
    ASHLAND,AL36251     		No Relationship GOV Contribution provided 1,029
    MILTON FIRE RESCUE
    PO BOX 256
    MILTON,KY40045     		No Relationship GOV Contribution provided 1,600
    MOUNT OLIVE FIRE PROTECTION DISTRICT
    815 WEST MAIN ST
    Mount Olive,IL62069     		No Relationship GOV Contribution provided 1,159
    MURRELLS INLET-GARDEN CITY FIRE
    3641 US 17 BUS
    MURRELLS INLET,SC29576     		No Relationship GOV Contribution provided 2,700
    MYRTLE BEACH FIRE DEPT
    921B OAK ST
    MYRTLE BEACH,SC29577     		No Relationship GOV Contribution provided 1,559
    NATIONAL VOLUNTEER FIRE COUNCIL
    712 H STREET NE
    STE 1478
    WASHINGTON,DC20002     		No Relationship PC Contribution provided 3,750
    NATRONA COUNTY FIRE PROTECTION DISTRICT
    PO BOX 820
    MILLS,WY82644     		No Relationship GOV Contribution provided 1,500
    NEW BRITAIN FIRE DEPARTMENT
    27 WEST MAIN STREET
    ROOM 309
    NEW BRITAIN,CT06051     		No Relationship GOV Contribution provided 1,716
    NEWTON COUNTY BOARD OF COMMISSIONERS
    4136A US 278 NE
    Covington,GA30014     		No Relationship GOV Contribution provided 3,235
    NICHOLS FIRE DISTRICT
    100 SHELTON RD
    TRUMBULL,CT06611     		No Relationship GOV Contribution provided 2,997
    NORTH BERRIEN FIRE RESCUE
    3061 COLOMA RD
    BENTON HARBOR,MI49022     		No Relationship GOV Contribution provided 2,287
    OKOLONA FIRE PROTECTION DISTRICT
    8501 PRESTION HIGHWAY
    LOUISVILLE,KY40219     		No Relationship GOV Contribution provided 3,120
    ORLEANS FIRE DEPT
    58 ELDREDGE PKWY
    ORLEANS,MA02653     		No Relationship GOV Contribution provided 3,410
    PENDLETON COUNTY SHERIFF'S OFFICE
    202 CHAPEL STREET
    Falmouth,KY41040     		No Relationship GOV Contribution provided 3,256
    PIERCE TOWNSHIP FIRE DEPT
    950 LOCUST CORNER RD
    CINCINNATI,OH45245     		No Relationship GOV Contribution provided 3,088
    PLAINFIELD TOWNSHIP VOLUNTEER FIRE COMPANY
    6480 SULLIVAN TRAIL
    WIND GAP,PA18091     		No Relationship GOV Contribution provided 2,033
    PLATTEVILLE FIRE DEPARTMENT INC
    275 E MAIN ST
    PLATTEVILLE,WI53818     		No Relationship GOV Contribution provided 2,338
    PLEASANT VALLEY JOINT FIRE DISTRICT
    650 W MAIN STREET
    PLAIN CITY,OH43064     		No Relationship GOV Contribution provided 1,500
    Providence Public Library
    150 Empire St
    Providence,RI02903     		No Relationship PC Contribution provided 150,000
    REDLAND VOLUNTEER FIRE DEPARTMENT
    4367 REDLAND ROAD
    WETUMPKA,AL36093     		No Relationship GOV Contribution provided 2,500
    Rhode Island Business Competition
    40 Westminster St
    Suite 702
    Providence,RI02903     		No Relationship PC Contribution provided 5,000
    Rhode Island Public Expenditure Council
    225 Dyer St
    2nd Floor
    Providence,RI02903     		No Relationship PC Contribution provided 10,000
    RI Public Expenditure Council
    225 Dyer St
    2nd Floor
    Providence,RI02903     		No Relationship PC Contribution provided 13,708
    RI Public Expenditure Council
    225 Dyer St
    2nd Floor
    Providence,RI02903     		No Relationship PC Contribution provided 13,708
    ROCKLAND COUNTY SHERIFF'S OFFICE
    55 NEW HEMPSTEAD ROAD
    New City,NY10956     		No Relationship GOV Contribution provided 2,141
    SALISBURY FIRE DEPT
    PO BOX 214
    SALISBURY,NH03268     		No Relationship GOV Contribution provided 1,552
    SEEKONK FIRE DEPARTMENT
    500 TAUNTON AVE
    SEEKONK,MA02771     		No Relationship GOV Contribution provided 2,499
    SOUTH BAY FIRE DEPARTMENT
    8817 CICERO CENTER ROAD
    CICERO,NY13039     		No Relationship GOV Contribution provided 2,995
    Spencer Educational Foundation
    1407 Broadway
    29th Floor
    New York,NY10018     		No Relationship PC Contribution provided 100,000
    Spencer Educational Foundation
    1407 Broadway
    29th Floor
    New York,NY10018     		No Relationship PC Contribution provided 100,000
    STONY POINT VOLUNTEER FIRE DEPARTMENT
    P O BOX 146
    Stony Point,NC28678     		No Relationship GOV Contribution provided 2,070
    Tech Collective
    PO Box 41016
    Providence,RI02940     		No Relationship PC Contribution provided 25,000
    The American Red Cross of NE OH
    3747 Euclid Ave
    Cleveland,OH44115     		No Relationship PC Contribution provided 25,000
    THE CENTER FOR CAMPUS FIRE SAFETY
    10 STATE STREET
    Newburyport,MA01950     		No Relationship PC Contribution provided 15,000
    THE CITY OF MANASSAS PARK FIRE RESCUE
    9080 MANASSAS DRIVE
    Manassas Park,VA20111     		No Relationship GOV Contribution provided 2,302
    THE GUILFORD FIRE DEPT
    390 CHURCH ST
    GUILFORD,CT06413     		No Relationship GOV Contribution provided 2,257
    The Rhode Island Community Foundation
    One Union Station
    Providence,RI02903     		No Relationship PC Contribution provided 100,000
    THIRD DISTRICT FIRE COMPANY
    1141 HARRISON STREET
    BRISTOL,PA19007     		No Relationship GOV Contribution provided 1,500
    TOWN OF MOUNT PLEASANT
    100 ANN EDWARDS LANE
    Mount Pleasant,SC29464     		No Relationship GOV Contribution provided 1,736
    TOWN OF NORMAL FIRE DEPARTMENT
    606 S MAIN ST
    Normal,IL61761     		No Relationship GOV Contribution provided 3,500
    TOWN OF OWEGO
    2354 STATE RTE 434
    APALACHIN,NY13732     		No Relationship GOV Contribution provided 530
    TOWN OF PLAINFIELD
    8 COMMUNITY AVE
    PLAINFIELD,CT06374     		No Relationship GOV Contribution provided 700
    TOWN OF SOUTH WINDSOR FIRE MARSHAL
    1540 SULLIVAN AVENUE
    South Windsor,CT06074     		No Relationship GOV Contribution provided 2,300
    TOWN OF SUMMERVILLE
    200 SOUTH MAIN STREET
    SUMMERVILLE,SC29483     		No Relationship GOV Contribution provided 2,658
    TUSCALOOSA FIRE RESCUE
    3311 KAULOOSA AVENUE
    TUSCALOOSA,AL35401     		No Relationship GOV Contribution provided 5,000
    UKIAH VALLEY FIRE AUTHORITY
    1500 S STATE ST
    UKIAH,CA95482     		No Relationship GOV Contribution provided 3,339
    ULSTER HOSE NO 5 FIRE COMPANY
    830 ULSTER AVE
    Kinston,NY12401     		No Relationship GOV Contribution provided 2,408
    United Kingdom Online Giving Foundation
    Unit 9 Cirencester Office Park
    Tetbury Road
    Cirencester,EnglandGL7 6JJ
    AF     		No Relationship N A Contribution provided 466,050
    United Way of Greater Cleveland
    1331 Euclid Ave
    Cleveland,OH44115     		No Relationship PC Contribution provided 480
    United Way of Greater Philadelphia & Southern New Jersey
    1709 Benjamin Franklin Parkway
    Philadelphia,PA19103     		No Relationship PC Contribution provided 13,315
    United Way of Greater Philadelphia & Southern New Jersey
    1709 Benjamin Franklin Parkway
    Philadelphia,PA19103     		No Relationship PC Contribution provided 11,243
    United Way of Kentucky
    PO Box 4653
    Louisville,KY40204     		No Relationship PC Contribution provided 25,000
    United Way of King County
    720 Second Ave
    Seattle,WA98104     		No Relationship PC Contribution provided 211,654
    United Way of Metropolitan Chicago
    333 South Wabash Ave
    30th Floor
    Chicago,IL60604     		No Relationship PC Contribution provided 3,250
    United Way of Metropolitan Dallas Inc
    1800 N Lamar
    Dallas,TX75202     		No Relationship PC Contribution provided 71,348
    United Way of Metropolitan Dallas Inc
    1800 N Lamar
    Dallas,TX75202     		No Relationship PC Contribution provided 91,206
    United Way of Rhode Island
    50 Valley St
    Providence,RI02909     		No Relationship PC Contribution provided 41,000
    United Way of Rhode Island
    50 Valley St
    Providence,RI02909     		No Relationship PC Contribution provided 2,126,806
    United Way of Southern Kentucky
    1110 College Street
    Bowling Green,KY42101     		No Relationship PC Contribution provided 25,000
    United Way of Tri-County
    46 Park St
    Framingham,MA01778     		No Relationship PC Contribution provided 70,908
    UNIVERSITY OF CONNECTICUT FIRE DEPARTMENT
    126 NORTH EAGLEVILLE RD
    Storrs,CT06269     		No Relationship GOV Contribution provided 1,807
    University of Southern California
    1150 South Olive St
    25th Floor
    Los Angeles,CA90015     		No Relationship PC Contribution provided 20,000
    UPPER DARBY TOWNSHIP FIRE DEPARTMENT
    7216 WEST CHESTER PIKE
    Upper Darby,PA19082     		No Relationship GOV Contribution provided 3,544
    UPPER DUBLIN TWP OFFICE OF FIRE MARSHAL
    801 LOCH ALSH AVE
    FORT WASHINGTON,PA19034     		No Relationship GOV Contribution provided 2,500
    VERMONT DIVISION OF FIRE SAFETY
    1311 US ROUTE 302
    SUITE 500
    Barre,VT05641     		No Relationship GOV Contribution provided 17,669
    VICTORVILLE FIRE DEPARTMENT
    14343 CIVIC DR
    Victorville,CA92393     		No Relationship GOV Contribution provided 1,498
    VILLAGE OF HOFFMAN ESTATES
    1900 HASSELL RD
    HOFFMAN ESTATES,IL60169     		No Relationship GOV Contribution provided 1,466
    W THOMPSON INDEPENDENT FIRE ASSN NO 1 INC
    248 WEST THOMPSON ROAD
    NORTH GROSVENORDALE,CT06255     		No Relationship GOV Contribution provided 1,932
    WALLA WALLA FIRE DEPT
    200 S 12TH AVE
    WALLA WALLA,WA99362     		No Relationship GOV Contribution provided 5,000
    WATER WITCH HOSE COMPANY 2 OF NM
    8 PROSPECT HILL ROAD
    NEW MILFORD,CT06776     		No Relationship GOV Contribution provided 1,780
    WEST HARTFORD FIRE DEPARTMENT
    50 SOUTH MAIN STREET
    ROOM 204
    West Hartford,CT06107     		No Relationship GOV Contribution provided 3,468
    WHITE COUNTY FIRE SERVICES
    1241 HELEN HWY
    SUITE 100
    Cleveland,GA30528     		No Relationship GOV Contribution provided 3,000
    WHITEWATER TOWNSHIP FIRE DEPT
    311 OHIO AVE
    HOOVEN,OH45030     		No Relationship GOV Contribution provided 1,888
    WILLIAMSON COUNTY ESD 7
    301 SOUTH PATTERSON AVE
    FLORENCE,TX76527     		No Relationship GOV Contribution provided 2,200
    WORCESTER FIRE DEPT
    25 MEADE ST
    WORCESTER,MA01610     		No Relationship GOV Contribution provided 3,236
    NEW HARTFORD FIRE MARSHALS OFFICE
    530 MAIN ST
    New Hartford,CT06057     		No Relationship GOV Contribution provided 2,500
    SOUTH FAYETTE TWP VOL FIREMENS ASSOC
    P O BOX 168
    Cuddy,PA15031     		No Relationship GOV Contribution provided 2,796
    HAMBURG VOL FOREST FIRE CREW INC
    PO BOX 381
    HAMBURG,PA19526     		No Relationship PC Contribution provided 1,000
    MT HOLLY SPRINGS PA BOROUGH POLICE
    200 HARMAN ST
    MT HOLLY SPRINGS,PA17065     		No Relationship GOV Contribution provided 1,952
    CITY OF DALLAS FIRE AND RESCUE DEPT
    1500 MARILLA 4BN
    DALLAS,TX75201     		No Relationship GOV Contribution provided 6,000
    CITY OF ABBEVILLE FIRE RESUCE
    102 S MAIN ST
    ABBEVILLE,SC29620     		No Relationship GOV Contribution provided 2,400
    CENTRAL ALEXANDER FIRE DEPARTMENT INC
    PO BOX 878
    TAYLORSVILLE,NC28681     		No Relationship GOV Contribution provided 2,722
    CECIL TWP VFC NO 1 LAWRENCE
    428 GEORGETOWN ROAD
    LAWRENCE,PA15055     		No Relationship GOV Contribution provided 2,474
    BOURNE FIRE RESCUE
    51 MEETINGHOUSE LN
    SAGAMORE BEACH,MA02562     		No Relationship GOV Contribution provided 4,082
    BLAKELY HOSE COMPANY NO 2
    315 2ND STREET
    BLAKELY,PA18447     		No Relationship GOV Contribution provided 4,207
    BERRIEN SPRINGS ORONOKO TWP FIRE DEPT
    4411 E SNOW RD
    BERRIEN SPRINGS,MI49103     		No Relationship GOV Contribution provided 1,300
    Total .................................bullet 3a 6,550,725
    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 ....   0   0 0
    3 Interest on savings and temporary cash
    investments ...........     		  0 14 119 0
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......   0   0 0
    bNot debt-financed property.....   0   0 0
    6 Net rental income or (loss) from personal property   0   0 0
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		  0   0 0
    9 Net income or (loss) from special events:   0   0 0
    10 Gross profit or (loss) from sales of inventory   0   0 0
    11 Other revenue:
    a       		  0   0 0
    b     0   0 0
    c     0   0 0
    d     0   0 0
    e     0   0 0
    12 Subtotal. Add columns (b), (d), and (e) .. 0 553 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    553
    (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: 21013404
    Software Version: V1.0
    Part VI Line 7 - Tax Paid with the Original Return: 0


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

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    FM GLOBAL FOUNDATION
     
    Employer identification number

    22-2773230
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    FM GLOBAL FOUNDATION
          		Employer identification number
    22-2773230
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    Factory Mutual Insurance Company
     
    270 Central Avenue
     
    Johnston, RI02919

    		$ 30,463,022


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

    		$  


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

    		$  


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

    		$  


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

    		$  


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

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    FM GLOBAL FOUNDATION
          		Employer identification number

    22-2773230
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 Net proceeds of securities contributed and sold same day $ 30,463,022 2021-12-16
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    FM GLOBAL FOUNDATION
          		Employer identification number

    22-2773230
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 OtherExpensesSchedule
    Name:
    FM GLOBAL FOUNDATION
    EIN:
    22-2773230
    Software ID:
    21013404
    Software Version:
    V1.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Software banking filing miscellaneous 154,912 0 0 0


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    FM GLOBAL FOUNDATION
    EIN:
    22-2773230
    Software ID:
    21013404
    Software Version:
    V1.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Custody Account Fees and Scholarship Fees 43,342 20,000 0 23,342


    TY 2021 TaxesSchedule
    Name:
    FM GLOBAL FOUNDATION
    EIN:
    22-2773230
    Software ID:
    21013404
    Software Version:
    V1.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Income Tax 127,552 0 0 0