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
ESSENDANT CHARITABLE FOUNDATION
ATTN TAX
Number and street (or P.O. box number if mail is not delivered to street address)ONE PARKWAY NORTH BLVD 100
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DEERFIELD, IL600152559
A Employer identification number

06-6547406
B Telephone number (see instructions)

(847) 627-7000
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$1,736,212J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 1,024,072
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,024,072 0 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 9,201 0 0 0
b Accounting fees (attach schedule)....... Click to see attachment 16,909 0 0 0
c Other professional fees (attach schedule).... Click to see attachment 25,435 0 0 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 173,579 1,661 0 168,934
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 225,124 1,661 0 168,934
25 Contributions, gifts, grants paid....... 262,757 262,757
26 Total expenses and disbursements. Add lines 24 and 25 487,881 1,661 0 431,691
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 536,191
b Net investment income (if negative, enter -0-) 0
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............. 906,050 1,600,648 1,600,648
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet28,312
Less: allowance for doubtful accounts bullet   18,586 28,312 28,312
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).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment95,220 Click to see attachment107,252 Click to see attachment107,252
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,019,856 1,736,212 1,736,212
Liabilities 17 Accounts payable and accrued expenses.......... 641,646 821,811
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 641,646 821,811
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........... 369,142 905,333
25 Net assets with donor restrictions............ 9,068 9,068
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)..... 378,210 914,401
30 Total liabilities and net assets/fund balances (see instructions). 1,019,856 1,736,212
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
378,210
2
Enter amount from Part I, line 27a .....................
2
536,191
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
914,401
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
914,401
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  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 0
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 0
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
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$ 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)
    bulletAL, AR, CA, CO, FL, GA, IL, KS, KY, LA, MD, MA, MI, MN, NH, NJ, NY, NC, OH, OK, OR, PA, SC, TN, UT, WA, WI, AK, DC, CT, HI, ME, MS, MO, NM, ND, RI, VA, WV
    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 addressbulletHTTPS://WWW.ESSENDANT.COM/ESSENDANT
    14
    The books are in care ofbulletSTEVE CHIAPPETTA Telephone no.bullet (847) 627-7000

    Located atbulletONE PARKWAY NORTH BLVD STE 100DEERFIELDIL ZIP+4bullet600152559
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    JEFF LANCASTER TRUSTEE
    0.25     		0 0 0
    1260 W 58TH STREET
    CLEVELAND,OH44102
    MARCELA SZTAINBERG TRUSTEE
    0.25     		0 0 0
    ONE PARKWAY NORTH BLVD
    DEERFIELD,IL60015
    ALLISON WADHAMS PRESIDENT
    0.25     		0 0 0
    ONE PARKWAY NORTH BLVD
    DEERFIELD,IL50015
    MOLLY WHATLEY PROGRAM DIRECTOR AND LIAISON
    0.25     		0 0 0
    ONE PARKWAY NORTH BLVD
    DEERFIELD,IL60015
    STEVEN CHIAPPETTA TREASURER
    1.00     		0 0 0
    ONE PARKWAY NORTH BLVD
    DEERFIELD,IL60015
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    952,077
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    952,077
    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
    952,077
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    14,281
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    937,796
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    46,890
    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
    46,890
    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
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    46,890
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    46,890
    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
    46,890
    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 46,890
    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 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 1,167,357
    b From 2017...... 861,889
    c From 2018...... 855,174
    d From 2019...... 815,947
    e From 2020...... 383,352
    f Total of lines 3a through e ........ 4,083,719
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 431,691
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 46,890
    e Remaining amount distributed out of corpus 384,801
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 4,468,520
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		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) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		1,167,357
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		3,301,163
    10 Analysis of line 9:
    a Excess from 2017.... 861,889
    b Excess from 2018.... 855,174
    c Excess from 2019.... 815,947
    d Excess from 2020.... 383,352
    e Excess from 2021.... 384,801
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    MOLLY WHATLEY
    ONE PARKWAY NORTH BLVD SUITE 100
    DEERFIELD,IL60015
    (847) 627-7000
    bThe form in which applications should be submitted and information and materials they should include:
    NO SPECIFIC FORM REQUIRED
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    A SOLDIER'S CHILD INC
    PO BOX 11242
    MURFREESBORO,TN37129     		    GENERAL FUND 400
    ACRES OF HOPE
    13675 BOWMAN RD
    AUBURN,CA95603     		    GENERAL FUND 500
    ACTIVE HEROES INC
    5809 BARDSTOWN ROAD
    LOUISVILLE,KY40291     		    GENERAL FUND 100
    ALZHEIMER ASSOCIATION NEASTERN NY CHAPTER
    4 PINE WEST PLAZA
    ALBANY,NY12205     		    GENERAL FUND 500
    ALZHEIMERS DISEASE & RELATED DISORDER ST LOUIS CHAPTER
    9370 OLIVE BOULEVARD
    SAINT LOUIS,MO63132     		    GENERAL FUND 200
    AMERICAN CANCER SOCIETY INC
    225 N MICHIGAN AVE SUITE 1200
    CHICAGO,IL60601     		    GENERAL FUND 840
    AMERICAN FOUNDATION FOR SUICIDE PREVENTION
    199 WATER ST 11TH FLOOR
    NEW YORK,NY10038     		    GENERAL FUND 700
    AMERICAN HEART ASSOCIATION
    300 5TH AVENUE SUITE 6
    WALTHAM,MA02451     		    GENERAL FUND 250
    AMERICAN HEART ASSOCIATION INC
    PO BOX 3049
    SYRACUSE,NY13202     		    GENERAL FUND 250
    AMERICAN HEART ASSOCIATIONAMERICAN STROKE ASSOCIATION
    3816 PAYSPHERE CIRCLE
    CHICAGO,IL60674     		    GENERAL FUND 710
    AMERICAN NATIONAL RED CROSS
    786 DELAWARE AVENUE
    BUFFALO,NY14209     		    GENERAL FUND 100
    AMERICAN RED CROSS
    2200 W HARRISON ST
    CHICAGO,IL60612     		    GENERAL FUND 16,700
    AMERICAN RED CROSS - CHICAGO
    2200 W HARRISON ST
    CHICAGO,IL60612     		    GENERAL FUND 6,850
    AMERICAN THYROID ASSOCIATION INC
    6066 LEESBURG PIKE SUITE 550
    FALLS CHURCH,VA22041     		    GENERAL FUND 100
    AUTISM SOCIETY OF AMERICA-ALBANY CHAPTER
    433 STATE STREET
    SCHENECTADY,NY12305     		    GENERAL FUND 500
    AUTISM SPEAKS
    1060 STATE ROAD 2ND FLOOR
    PRINCETON,NJ08540     		    GENERAL FUND 600
    BIG BROTHERS BIG SISTERS OF THE GREATER SACRAMENTO AREA
    800 HOWE AVE 440
    SACRAMENTO,CA95825     		    GENERAL FUND 2,000
    BLUE STAR MOTHERS OF AMERICA INC
    417 VOSENKILL RD
    ATHENS,NY12015     		    GENERAL FUND 500
    BOND COUNTY HABITAT FOR HUMANITY
    PO BOX 496
    GREENVILLE,IL62246     		    GENERAL FUND 100
    BOYS AND GIRLS CLUB
    1275 PEACHTREE ST NE
    ATLANTA,GA30309     		    GENERAL FUND 5,000
    BOYS AND GIRLS CLUB OF METRO BALTIMORE
    1201 S SHARP ST UNIT 302
    BALTIMORE,MD21230     		    GENERAL FUND 500
    CARNBURY VOLUNTEER FIRE COMPANY INC
    4133 HUBERTUS RD
    HUBERTUS,WI53033     		    GENERAL FUND 500
    CHILDREN'S HEALTHCARE OF ATLANTA
    3395 NE EXPRESSWAY SUITE 100
    ATLANTA,GA30041     		    GENERAL FUND 400
    CHILDREN'S HOME & AID SOCIETY OF IL
    2133 JOHNSON RD
    GRANITE CITY,IL62040     		    GENERAL FUND 100
    CHILDRENS ORGAN TRANSPLANT ASSOCIATION
    2501 COTA DR
    BLOOMINGTON,IN47403     		    GENERAL FUND 400
    CHILDRENS RECEIVING HOME OF SACRAMENTO
    3555 AUBURN BLVD
    SACRAMENTO,CA95821     		    GENERAL FUND 500
    CHILDRENS TUMOR FOUNDATION
    370 LEXINGTON AVENUE SUITE 2100
    NEW YORK,NY10017     		    GENERAL FUND 100
    CHRISTIAN ACTIVITY CENTER
    PO BOX 2525
    EAST ST LOUIS,IL62201     		    GENERAL FUND 100
    CHRISTIAN SOCIAL SERVICES OF ILLINOIS
    1901 S 4TH ST
    EFFINGHAM,IL62401     		    GENERAL FUND 100
    CITY OF HOPE
    1500 E DUARTE ROAD
    DUARTE,CA91010     		    GENERAL FUND 54,200
    COMMUNITY FOUNDATION OF MIDDLE TENNESSEE
    3833 CLEGHORN AVENUE
    NASHVILLE,TN37215     		    GENERAL FUND 20,000
    COMMUNITY LINK INC
    1655 NORTH 4TH STREET
    BREESE,IL62230     		    GENERAL FUND 100
    CONNECTION HOMES INC
    337 WEST PIKE ST
    LAWRENCEVILLE,GA30046     		    GENERAL FUND 500
    CYSTIC FIBROSIS FOUNDATION
    6931 ARLINGTON ROAD 2ND FL
    BETHESDA,MD20814     		    GENERAL FUND 500
    DANA FARBER CANCER INSTITUTE INC
    PO BOX 849168
    BOSTON,MA02284     		    GENERAL FUND 1,500
    DUPAGE P A D S INC
    601 W LIBERTY DRIVE
    WHEATON,IL60187     		    GENERAL FUND 1,000
    EASTER SEALS
    141 W JACKSON BLVD SUITE 1400A
    CHICAGO,IL60604     		    GENERAL FUND 250
    EDENS GLORY
    PO BOX 164
    MARYVILLE,IL62062     		    GENERAL FUND 300
    ELIJAHS PROMISE INC
    211 LIVINGSTON AVE
    NEW BRUNSWICK,NJ08901     		    GENERAL FUND 500
    EMERALD CARE INTERNATIONAL INC
    1200 DEL MAR CLUB DRIVE
    DACULA,GA30019     		    GENERAL FUND 300
    FAMILY AND COMMUNITY SERVICES INC
    750 OAKWOOD ST 221
    RAVENNA,OH44266     		    GENERAL FUND 750
    FAMILY SERVICE OF LAKE COUNTY
    777 CENTRAL AVE SUITE 17
    HIGHLAND PARK,IL60035     		    GENERAL FUND 2,500
    FATHER AND SONS TOGETHER
    9276 SPEAR PLACE SOUTH
    SEATTLE,WA98118     		    GENERAL FUND 400
    FAYETTE COUNTY CANCER FUND
    PO BOX 84
    VANDALIA,IL62471     		    GENERAL FUND 100
    FOUNDATION AIDING THE ELDERLY
    3430 AMERICAN RIVER DR 105
    SACRAMENTO,CA65864     		    GENERAL FUND 500
    FOUR PAWS TO FREEDOM
    2376 ZINFANDEL DR
    RANCHO CORDOVA,CA95670     		    GENERAL FUND 500
    FREE WHEELCHAIR MISSION
    15279 ALTON PKWY SUITE 300
    IRVINE,CA92618     		    GENERAL FUND 100
    GIFT OF HOPE ORGAN & TISSUE DONOR NETWORK
    425 SPRING LAKE DRIVE
    ITASCA,IL60143     		    GENERAL FUND 100
    GREENE COUNTY WOMEN'S LEAGUE CANCER
    PO BOX 341
    ROUND TOP,NY12473     		    GENERAL FUND 500
    GWINNETT MEDICAL CENTER FOUNDATION
    1755 NORTH BROWN ST SUITE 100
    LAWRENCEVILLE,GA30043     		    GENERAL FUND 350
    HABITAT FOR HUMANITY OF GREATER SACRAMENTO
    819 N 10TH STREET
    SACRAMENTO,CA95811     		    GENERAL FUND 1,000
    HANOVER TOWNSHIP FOUNDATION
    7431 ASTOR AVENUE
    HANOVER PARK,IL60133     		    GENERAL FUND 1,500
    HATHAWAY-SYCAMORES CHILS AND FAMILY SERVICES
    310 S DE LACEY
    PASADENA,CA91105     		    GENERAL FUND 531
    HAVEN YOUTH AND FAMILY SERVICES
    825 GREEN BAY RD 200
    WILMETTE,IL60091     		    GENERAL FUND 600
    HEAVENS HELPING HANDS INC
    7101 KENNEDY AVE
    HAMMOND,IN46323     		    GENERAL FUND 750
    HOUSTON FOOD BANK
    535 PORTWALL ST
    HOUSTON,TX77029     		    GENERAL FUND 4,650
    INTERNATIONAL FOUNDATION FOR CDKL5 RESEARCH
    PO BOX 926
    WADSWORTH,OH44282     		    GENERAL FUND 100
    JDRF INTERNATIONAL
    26 BROADWAY FLOOR 14
    NEW YORK,NY10004     		    GENERAL FUND 100
    JOSHUA HUFFMAN GILRS TENNIS SCHOLARSHIP INC
    14198 SR 4
    MARYSVILLE,OH43040     		    GENERAL FUND 500
    KELLSIE'S HOPE FOUNDATION INC NFP
    PO BOX 331
    MARYVILLE,IL62062     		    GENERAL FUND 350
    KINGDOM CARS INC
    1247 E MICHICAN BLVD
    MICHIGAN CITY,IN46360     		    GENERAL FUND 250
    LEAPS OF LOVE INC
    907 MAIN ST
    HIGHLAND,IL62249     		    GENERAL FUND 100
    LEMUEL RHODES CANCER FOUNDATION
    1520 S FOURTH ST
    GREENVILLE,IL62246     		    GENERAL FUND 200
    LETTUM EAT INC
    1830 MEADOWCHASE CT
    SNELLVILLE,GA30078     		    GENERAL FUND 300
    LEUKEMIA & LYMPHOMA SOCIETY INC
    5 COMPUTER DRIVE STE 100
    ALBANY,NY12205     		    GENERAL FUND 200
    LIFE CHAPEL INC
    70 HINES LN
    LEXINGTON,VA24450     		    GENERAL FUND 200
    LOVE FAMILY CHRISTIAN FOUNDATION INC
    310 C CHICAGO ST
    ELGIN,IL30120     		    GENERAL FUND 800
    MAKE A WISH FOUNDATION OF ILLINOIS INC
    640 N LASALLE SUITE 280
    CHICAGO,IL60654     		    GENERAL FUND 400
    MAKE A WISH FOUNDATION OF SAC & N CA
    2800 CLUB CENTER DR
    SACRAMENTO,CA95835     		    GENERAL FUND 7,500
    MARCH OF DIMES INC
    PO BOX 18819
    ATLANTA,GA31126     		    GENERAL FUND 500
    MENDING THE GAP INC
    PO BOX 46482
    LAWRENCEVILLE,GA30044     		    GENERAL FUND 1,000
    META FOUNDATION
    8726 S SEPULVEDA BLVD STE D 612
    LOS ANGELES,CA90045     		    GENERAL FUND 5,000
    MISERICORDIA HEART OF MERCY
    6300 N RIDGE AVE
    CHICAGO,IL60660     		    GENERAL FUND 1,000
    MUSCULAR DYSTROPHY ASSOCIATION
    222 S RIVERSIDE PLAZA SUITE 1500
    CHICAGO,IL60606     		    GENERAL FUND 100
    NAMI ILLINOIS INC
    13 AUTUMN GLEN DR
    GLEN CARBON,IL62034     		    GENERAL FUND 100
    OFFICER JOSHUA MIKTARIAN MEMORIAL SCHOLARSHIP FUND
    6600 SUMMIT DR
    CANFIELS,OH44406     		    GENERAL FUND 1,500
    PANCREATIC CANCER ACTION NETWORK INC
    1500 ROSECRANS AVE STE 200
    MANHATTAN BEACH,CA90266     		    GENERAL FUND 100
    PARKINSON'S DISEASE FOUNDATION INC
    1359 BROADWAY STE 1509
    NEW YORK,NY10018     		    GENERAL FUND 100
    PEOPLE SERVING PEOPLE CHARITIES INC
    614 THIRD STREET SOUTH
    MINNEAPOLIS,MN55415     		    GENERAL FUND 345
    POCAHONTASOLD RIPLEY VOLUNTEER FIREMEN & EMS
    PO BOX 217
    POCAHONTAS,IL62275     		    GENERAL FUND 100
    RAINBOW VILLAGE INC
    3427 DULUTH HWY 120
    DULUTH,GA30096     		    GENERAL FUND 700
    RONALD MCDONALD HOUSE CHARITIES
    2555 49TH ST
    SACRAMENTO,CA95817     		    GENERAL FUND 500
    RONALD MCDONALD HOUSE CHARITIES INC
    1 KROC DR
    OAK BROOK,IL60523     		    GENERAL FUND 100
    SACRAMENTO HOSPICE CONSORTIUM
    8334 FERGUSON AVE
    SACRAMENTO,CA95828     		    GENERAL FUND 500
    SACRAMENTO LOAVES & FISHES
    1351 N C ST
    SACRAMENTO,CA95811     		    GENERAL FUND 500
    SAFE
    1410 SUNSET DRIVE SUITE G
    VANDALIA,IL62471     		    GENERAL FUND 100
    SAMARITAN'S PURSE
    PO BOX 3000
    BOONE,NC28607     		    GENERAL FUND 600
    SARCOMA FOUNDATION OF AMERICA
    9899 MAIN ST SUITE 204
    DAMASCUS,MD20872     		    GENERAL FUND 100
    SHADOW VETS
    REMOTE
    CHARLOTTE,NC28217     		    GENERAL FUND 1,000
    SHARE HOUSE INC
    PO BOX 723
    DOUGLASVILLE,GA30133     		    GENERAL FUND 1,500
    SHARE OUR STRENGTH
    1030 15TH STREET NW SUITE 1100
    WASHINGTON,DC20005     		    GENERAL FUND 600
    SHARING AND CARING HANDS INC
    525 N 7TH STREET
    MINNEAPOLIS,MN55405     		    GENERAL FUND 300
    SHRINER'S HOSPITAL FOR CHILDREN
    2211 N OAK PARK AVE
    CHICAGO,IL60707     		    GENERAL FUND 500
    SHRINER'S HOSPITAL FOR CHILDREN-NORTHERN CA
    2425 STOCKTON BLVD
    SACRAMENTO,CA95817     		    GENERAL FUND 500
    SIMPLE ROOM
    405 FRANKLIN AVE
    GREENVILLE,IL62246     		    GENERAL FUND 100
    SOLDIERS ANGELS
    2700 NE LOOP 410 SUITE 310
    SAN ANTONIO,TX78217     		    GENERAL FUND 100
    SONGS OF LOVE FOUNDATION
    73-26 YELLOWSTONE BLVD
    QUEENS,NY11375     		    GENERAL FUND 200
    SOUTH CENTRAL ILLINOIS LAW DOGS
    68 EAST 1175 AVENUE
    MULBERRY GROVE,IL62262     		    GENERAL FUND 100
    SPINA BIFIDA ASSOCIATION OF AMERICA
    1600 WILSON BLVD STE 800
    ARLINGTON,VA22209     		    GENERAL FUND 100
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    2 PINE WEST PLAZA 202
    ALBANY,NY12205     		    GENERAL FUND 800
    ST MARK'S IN THE VALLEY EPISCOPAL CHURCH
    PO BOX 39
    LOS OLIVOS,CA93441     		    GENERAL FUND 1,000
    STARS FAMILY SERVICES
    332 E SEMINARY AVE
    WHEATON,IL60187     		    GENERAL FUND 500
    STUDIO TENN THEATRE COMPANY
    2000 MALLORY LN SUITE 130-624
    FRANKLIN,TN37067     		    GENERAL FUND 800
    SUPREME TEMPLE DAUGHTERS OF THE NILE FOUNDATION
    300 W WISCONSIN AVE
    MILWAUKEE,WI53208     		    GENERAL FUND 200
    TEAM RUBICON
    SUITE 310
    LOS ANGELES,CA90045     		    GENERAL FUND 4,900
    THE COMMUNITY FOUNDATION OF MIDDLE TENNESSEE INC
    3833 CLEGHORN AVENUE
    NASHVILLE,TN37215     		    GENERAL FUND 20,000
    THE DOCTOR THEODORE A ATLAS FOUNDATION INC
    543 CARY AVE
    STATEN ISLAND,NY10301     		    GENERAL FUND 500
    THE EMERGENCY ASSISTANCE CENTER INC
    2100 HIGHLAND RD
    TWINSBURG,OH44087     		    GENERAL FUND 750
    THE LAWRENCEVILLE COOPERATIVE MINISTRY INC
    PO BOX 1328
    LAWRENCEVILLE,GA30046     		    GENERAL FUND 1,200
    THE LEUKEMIA & LYMPHOMA SOCIETY INC
    954 W WASHINGTON BLVD 305
    CHICAGO,IL60607     		    GENERAL FUND 1,250
    THE OPEN DOOR
    3910 RAHN ROAD
    EAGAN,MN55122     		    GENERAL FUND 250
    THE RESTORE NETWORK
    3993 FOSTERBURG RD
    ALTON,IL62002     		    GENERAL FUND 100
    THE SHRINERS HOSPITAL FOR CHILDREN
    PO BOX 1525
    RANSON,WV25438     		    GENERAL FUND 400
    THE SIMPLE ROOM
    PO BOX 613
    GREENVILLE,IL62246     		    GENERAL FUND 200
    THIS ABLE VETERAN
    1714 WOLF CREEK RD
    CARBONDALE,IL62902     		    GENERAL FUND 100
    TIDES FOUNDATION
    1012 TORNEY AVENUE
    SAN FRANSISCO,CA94129     		    GENERAL FUND 100
    TRANSFORMING LEADERS ACADEMY INC
    1564 HERRINGTON RD APT 2124
    LAWRENCEVILLE,GA30043     		    GENERAL FUND 300
    UNION STATION HOMELESS SERVICES
    825 E ORANGE GROVE BLVD
    PASADENA,CA91104     		    GENERAL FUND 531
    UNLIMITED PLAY INC
    SUITE 230 588 MID RIVERS MALL DR
    ST PETERS,MO63304     		    GENERAL FUND 500
    WELLSPRING LIVING INC
    1040 BOULEVARD AVE SE
    ATLANTA,GA30312     		    GENERAL FUND 500
    WOMAN'S BUSINESS DEVELOPMENT CENTER
    8 S MICHIGAN AVE 400
    CHICAGO,IL60603     		    GENERAL FUND 5,000
    WORLD VISION INTERNATIONAL
    210 OVERLOOK DR
    SEWICKLEY,PA15143     		    GENERAL FUND 15,300
    WORLD VISION INC
    210 OVERLOOK DRIVE
    SEWICKLEY,PA15143     		    GENERAL FUND 43,450
    YOUTH CORE MINISTRIES INC
    211 E GARFIELD
    GREENSBURG,KS67054     		    GENERAL FUND 100
    YOUTHSPARK INC
    395 PRYOR ST SW 2117
    ATLANTA,GA30312     		    GENERAL FUND 1,500
    Total .................................bullet 3a 262,757
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 0 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    0
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    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
    ESSENDANT CHARITABLE FOUNDATION
    ATTN TAX
    Employer identification number

    06-6547406
    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
    ESSENDANT CHARITABLE FOUNDATION
    ATTN TAX         		Employer identification number
    06-6547406
    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
    ESSENDANT CO
     
    1 PARKWAY NORTH BLVD
     
    DEERFIELD, IL60015

    		$ 800,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    HILL & MARKERS INC
     
    1997 STATE HIGHWAY 5S
     
    AMSTERDAM, NY12010

    		$ 14,560


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    MILLER'S SUPPLIES AT WORK
     
    8600 CINDER BED RD
     
    LORTON, VA22079

    		$ 14,000


    (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
    ESSENDANT CHARITABLE FOUNDATION
    ATTN TAX         		Employer identification number

    06-6547406
    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
     
    		$    
    (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
    ESSENDANT CHARITABLE FOUNDATION
    ATTN TAX         		Employer identification number

    06-6547406
    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 AccountingFeesSchedule
    Name:
    ESSENDANT CHARITABLE FOUNDATION
     
    ATTN TAX
    EIN:
    06-6547406
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 16,909 0 0 0

    TY 2021 LegalFeesSchedule
    Name:
    ESSENDANT CHARITABLE FOUNDATION
     
    ATTN TAX
    EIN:
    06-6547406
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 9,201 0 0 0


    TY 2021 OtherAssetsSchedule
    Name:
    ESSENDANT CHARITABLE FOUNDATION
     
    ATTN TAX
    EIN:
    06-6547406
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    UNDISTRIBUTED BACKPACKS 95,220 107,252 107,252


    TY 2021 OtherExpensesSchedule
    Name:
    ESSENDANT CHARITABLE FOUNDATION
     
    ATTN TAX
    EIN:
    06-6547406
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK FEES 1,661 1,661 0 0
    REGISTRATION & STATE FILING FEES 2,859 0 0 0
    BACKPACK SUPPLIES 168,934 0 0 168,934
    OTHER EXPENSE 125 0 0 0


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    ESSENDANT CHARITABLE FOUNDATION
     
    ATTN TAX
    EIN:
    06-6547406
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FINANCE & OPERATION 25,435 0 0 0