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 10-01-2021 , and ending 09-30-2022
Name of foundation
ALPIN J & ALPIN W CAMERON MEMORIAL
 
Number and street (or P.O. box number if mail is not delivered to street address)116 ALLEGHENY CENTER MALL P8YB3502L
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PITTSBURGH, PA15212
A Employer identification number

23-6213225
B Telephone number (see instructions)

(412) 494-3011
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$4,318,641
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 144,416 144,416  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 151,157
b Gross sales price for all assets on line 6a 1,794,113
7 Capital gain net income (from Part IV, line 2)... 151,157
8 Net short-term capital gain......... 0
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........ 295,573 295,573  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 31,477 22,858   8,619
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 8,613 1,252   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings....... 369 0 0 369
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 40,459 24,110 0 8,988
25 Contributions, gifts, grants paid....... 270,000 270,000
26 Total expenses and disbursements. Add lines 24 and 25 310,459 24,110 0 278,988
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -14,886
b Net investment income (if negative, enter -0-) 271,463
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.............      
2 Savings and temporary cash investments......... 31,470 63,106 63,106
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
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)....... 597,117 Click to see attachment566,928 727,793
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).......... 4,086,551 Click to see attachment4,076,403 3,527,742
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 4,715,138 4,706,437 4,318,641
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 4,715,138 4,706,437
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)..... 4,715,138 4,706,437
30 Total liabilities and net assets/fund balances (see instructions). 4,715,138 4,706,437
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
4,715,138
2
Enter amount from Part I, line 27a .....................
2
-14,886
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
11,882
4
Add lines 1, 2, and 3 ..........................
4
4,712,134
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
5,697
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,706,437
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 35. AMGEN INC   2014-08-07 2021-10-20
b 84. ACTIVISION BLIZZARD INC   2020-05-11 2021-11-05
c 6. ACTIVISION BLIZZARD INC   2020-05-11 2021-11-05
d 117. INTERPUBLIC GROUP COS INC COM   2020-11-20 2021-11-05
e 3. INTERPUBLIC GROUP COS INC COM   2020-11-24 2021-11-05
4. INTERPUBLIC GROUP COS INC COM   2020-11-24 2021-11-05
60. ALLSTATE CORP   2019-10-04 2021-11-22
10. FORTINET INC   2020-05-12 2021-11-22
15. J P MORGAN CHASE & CO COM   2014-09-30 2021-11-22
6. MICROSOFT CORP   2018-09-14 2021-11-22
12. MICROSOFT CORP   2018-09-14 2021-11-22
26. MORGAN STANLEY   2020-01-27 2021-11-22
3. MORGAN STANLEY   2020-01-27 2021-11-22
7. PAYPAL HOLDINGS INC-W/I   2021-02-22 2021-11-22
45. PAYPAL HOLDINGS INC-W/I   2020-05-13 2021-11-22
5. S&P GLOBAL INC   2016-05-23 2021-11-22
83. DENTSPLY SIRONA INC   2021-04-16 2021-12-17
27. DENTSPLY SIRONA INC   2021-04-19 2021-12-17
92. POLARIS INDS INC   2021-03-12 2021-12-17
28. DENTSPLY SIRONA INC   2021-04-20 2021-12-20
2. DENTSPLY SIRONA INC   2021-04-20 2021-12-20
9. LAM RESEARCH CORP   2020-01-17 2022-01-31
38. META PLATFORMS INC   2016-05-06 2022-02-09
63. BERRY GLOBAL GROUP INC   2021-06-14 2022-03-03
20. BERRY GLOBAL GROUP INC   2021-06-14 2022-03-03
12. BERRY GLOBAL GROUP INC   2021-06-15 2022-03-04
44. BERRY GLOBAL GROUP INC   2021-06-15 2022-03-04
6. BERRY GLOBAL GROUP INC   2021-06-15 2022-03-07
100. D R HORTON INC   2020-08-19 2022-04-08
1. SIGNET JEWELERS LIMITED G81276100 CLASS ACTION   2001-01-01 2022-04-08
1. HD SUPPLY HOLDINGS INC. 40416M105 CLASS ACTION   2001-01-01 2022-04-11
12. NETFLIX.COM INC   2022-01-31 2022-04-20
15. NETFLIX.COM INC   2020-05-12 2022-04-20
3. NETFLIX.COM INC   2022-01-31 2022-04-20
58. QUANTA SVCS INC   2020-09-01 2022-05-11
12. QUANTA SVCS INC   2020-09-03 2022-05-11
11. QUANTA SVCS INC   2020-09-03 2022-05-12
39. CATERPILLAR INC   2021-05-26 2022-06-02
11. DOVER CORP COM   2021-02-24 2022-06-02
59. DOVER CORP COM   2021-02-24 2022-06-02
95. EMERSON ELEC CO COM   2021-02-23 2022-06-02
44666.749 BLACKROCK TOTAL RETURN-I   2018-06-25 2022-07-11
2484.518 DOUBLELINE FLEXIBLE INC-R6   2019-04-11 2022-07-11
4405. FIDELITY REAL ESTATE ETF ETF   2020-08-06 2022-07-11
1360.123 OAKMARK INTL SM CAP-R6   2019-04-11 2022-07-11
5288.207 WCM FOCUSED INTL GROWTH-INS   2019-04-11 2022-07-11
2627. ISHARES CORE MSCI EAFE ETF ETF   2019-04-11 2022-07-11
14899.676 LAZARD GLOBAL LISTED INFRASTRUCTURE PORTFOLIO   2018-06-25 2022-07-11
5774.882 PRINCIPAL MIDCAP FUND-R6   2019-04-11 2022-07-11
726.979 TRANSAMERICA SM CAP GROW-I2   2020-08-06 2022-07-11
1645.251 TRIBUTARY SMALL COMPANY FD INST PLUS FD 1705   2019-04-11 2022-07-11
7787.879 WESTERN ASSET CORE PLUS BOND FUND CLASS IS   2018-06-25 2022-07-11
11. ABBOTT LABORATORIES INC   2021-02-10 2022-08-18
15. ABBVIE INC   2020-02-12 2022-08-18
50. ALPHABET INC/CA-CL A   2015-11-02 2022-08-18
30. AMAZON.COM INC   2018-05-04 2022-08-18
4. AMERICAN WATER WORKS CO INC   2016-02-09 2022-08-18
47. APPLE INC   2017-04-28 2022-08-18
20. AVANTOR INC   2021-02-10 2022-08-18
49. BANK OF AMERICA CORP   2019-01-31 2022-08-18
1. BLACKROCK INC CLASS A   2020-08-07 2022-08-18
11. BLACKSTONE INC   2021-11-22 2022-08-18
11. BROADCOM INC   2019-02-08 2022-08-18
10. CDW CORP/DE   2019-07-11 2022-08-18
9. CHEVRON CORPORATION   2022-03-03 2022-08-18
3. CINTAS CORP   2019-04-25 2022-08-18
21. COCACOLA CO   2022-06-02 2022-08-18
22. COMCAST CORPORATION CL A   2018-10-11 2022-08-18
4. COSTCO WHSL CORP NEW COM   2018-07-27 2022-08-18
7. CROWN HOLDINGS INC   2021-02-24 2022-08-18
3. DEERE & CO   2021-01-13 2022-08-18
28. EXXON MOBIL CORP   2021-02-19 2022-08-18
5. META PLATFORMS INC   2016-05-06 2022-08-18
19. FORTINET INC   2020-05-12 2022-08-18
34. FOX CORP - CLASS A - W/I   2022-04-20 2022-08-18
2. GOLDMAN SACHS GROUP INC COM   2021-03-15 2022-08-18
6. HOME DEPOT INC COM   2015-11-09 2022-08-18
26. INTERPUBLIC GROUP COS INC COM   2020-11-24 2022-08-18
18. J P MORGAN CHASE & CO COM   2014-09-30 2022-08-18
2. LAM RESEARCH CORP   2020-01-17 2022-08-18
7. LILLY ELI & CO   2018-07-13 2022-08-18
3. LOCKHEED MARTIN CORP   2022-06-02 2022-08-18
5. MASTERCARD INC CL A   2021-11-22 2022-08-18
23. MERCK & CO INC   2019-10-10 2022-08-18
29. MICROSOFT CORP   2018-09-14 2022-08-18
20. MORGAN STANLEY   2020-01-27 2022-08-18
6. MOTOROLA SOLUTIONS INC   2019-10-07 2022-08-18
3. PARKER HANNIFIN CORP   2021-03-03 2022-08-18
14. PHILIP MORRIS INTERNAT-W/I   2021-06-14 2022-08-18
9. PROCTER & GAMBLE CO   2019-02-15 2022-08-18
10. QUANTA SVCS INC   2020-09-03 2022-08-18
4. S&P GLOBAL INC   2016-05-24 2022-08-18
35. SCHLUMBERGER LTD COM   2021-05-25 2022-08-18
5. STRYKER CORP   2019-08-08 2022-08-18
5. TAIWAN SEMICONDUCTOR MTG CO ADR   2020-12-09 2022-08-18
1. TARGET CORP   2019-08-22 2022-08-18
1. TELEDYNE TECHNOLOGIES INC   2019-11-08 2022-08-18
31. TRUIST FINANCIAL CORP   2016-06-24 2022-08-18
7. UNION PAC CORP COM   2021-09-10 2022-08-18
6. UNITEDHEALTH GROUP INC COM   2017-01-27 2022-08-18
5. VISA INC CLASS A SHARES   2013-02-08 2022-08-18
8. WEC ENERGY GROUP INC   2012-03-07 2022-08-18
8. ZOETIS INC   2021-12-17 2022-08-18
5. ACCENTURE PLC CLASS A SEDOL B4BNMY3   2019-05-10 2022-08-18
12. BUNGE LIMITED   2021-02-22 2022-08-18
18. CAPRI HLDGS LTD SEDOL   2021-12-17 2022-08-18
12. PARKER HANNIFIN CORP   2021-03-03 2022-08-30
11. QUANTA SVCS INC   2020-09-03 2022-08-30
13. PARKER HANNIFIN CORP   2021-03-03 2022-08-31
3. QUANTA SVCS INC   2020-09-03 2022-08-31
4. QUANTA SVCS INC   2020-09-03 2022-08-31
1. PARKER HANNIFIN CORP   2021-03-03 2022-09-01
258. AVANTOR INC   2021-02-10 2022-09-15
5. AVANTOR INC   2021-02-11 2022-09-15
6. LILLY ELI & CO   2018-07-13 2022-09-15
4. UNITEDHEALTH GROUP INC COM   2017-01-27 2022-09-15
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(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 7,352   4,420 2,932
b 5,690   6,336 -646
c 407   453 -46
d 4,254   2,563 1,691
e 109   69 40
145   92 53
6,784   6,470 314
3,356   1,414 1,942
2,471   906 1,565
2,093   679 1,414
4,173   1,359 2,814
2,582   1,382 1,200
297   159 138
1,314   1,964 -650
8,449   6,377 2,072
2,318   546 1,772
4,478   5,412 -934
1,452   1,762 -310
9,602   12,700 -3,098
1,471   1,832 -361
105   131 -26
5,151   2,758 2,393
8,603   4,531 4,072
3,712   4,201 -489
1,168   1,324 -156
682   793 -111
2,505   2,907 -402
325   397 -72
7,145   7,395 -250
81   25 56
60   25 35
2,682   5,007 -2,325
3,353   6,617 -3,264
667   1,252 -585
6,466   3,049 3,417
1,349   621 728
1,197   569 628
8,538   9,259 -721
1,472   1,367 105
7,915   7,353 562
8,464   8,290 174
462,301   511,913 -49,612
21,665   24,050 -2,385
120,078   106,134 13,944
19,885   19,926 -41
100,000   85,405 14,595
152,077   162,743 -10,666
239,885   231,789 8,096
180,234   160,426 19,808
4,500   5,343 -843
47,630   46,445 1,185
77,100   87,698 -10,598
1,203   1,380 -177
2,112   1,456 656
5,986   1,860 4,126
4,243   2,372 1,871
636   262 374
8,178   1,688 6,490
543   608 -65
1,777   1,386 391
743   585 158
1,171   1,623 -452
6,114   3,011 3,103
1,846   1,147 699
1,428   1,399 29
1,317   643 674
1,363   1,328 35
851   753 98
2,228   879 1,349
708   693 15
1,097   907 190
2,640   1,465 1,175
874   596 278
992   537 455
1,222   1,341 -119
706   691 15
1,942   744 1,198
779   601 178
2,185   1,087 1,098
1,013   613 400
2,203   627 1,576
1,319   1,313 6
1,782   1,635 147
2,087   1,843 244
8,423   3,284 5,139
1,829   1,063 766
1,536   1,010 526
896   897 -1
1,409   1,398 11
1,339   915 424
1,443   518 925
1,550   444 1,106
1,274   1,100 174
1,102   1,085 17
445   527 -82
174   106 68
401   342 59
1,588   979 609
1,683   1,473 210
3,260   978 2,282
1,073   197 876
858   275 583
1,365   1,876 -511
1,587   869 718
1,199   932 267
965   1,106 -141
3,242   3,587 -345
1,548   569 979
3,458   3,886 -428
425   155 270
565   207 358
263   299 -36
6,049   7,827 -1,778
118   152 -34
1,852   537 1,315
2,075   652 1,423
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      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
      110,039
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       2,932
b       -646
c       -46
d       1,691
e       40
      53
      314
      1,942
      1,565
      1,414
      2,814
      1,200
      138
      -650
      2,072
      1,772
      -934
      -310
      -3,098
      -361
      -26
      2,393
      4,072
      -489
      -156
      -111
      -402
      -72
      -250
      56
      35
      -2,325
      -3,264
      -585
      3,417
      728
      628
      -721
      105
      562
      174
      -49,612
      -2,385
      13,944
      -41
      14,595
      -10,666
      8,096
      19,808
      -843
      1,185
      -10,598
      -177
      656
      4,126
      1,871
      374
      6,490
      -65
      391
      158
      -452
      3,103
      699
      29
      674
      35
      98
      1,349
      15
      190
      1,175
      278
      455
      -119
      15
      1,198
      178
      1,098
      400
      1,576
      6
      147
      244
      5,139
      766
      526
      -1
      11
      424
      925
      1,106
      174
      17
      -82
      68
      59
      609
      210
      2,282
      876
      583
      -511
      718
      267
      -141
      -345
      979
      -428
      270
      358
      -36
      -1,778
      -34
      1,315
      1,423
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 151,157
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 3,773
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 3,773
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 4,201
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  
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,201
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 428
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet428 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    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 ofbulletPNC BANK NA Telephone no.bullet (412) 494-3011

    Located atbullet116 ALLEGHENY CENTER MALL P8-YB35-PITTSBURGHPA ZIP+4bullet15212
    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)
    Yes
     
    (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
     
    No
    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
    JONATHAN H SPROGELL MEMBER BOARD OF OVERSEERS
    1
    250    
    116 ALLEGHENY CENTER MALL
    PITTSBURGH,PA15212
    MARGARET ANNE VAN DENBERGH MEMBER BOARD OF OVERSEERS
    1
    250    
    116 ALLEGHENY CENTER MALL
    PITTSBURGH,PA15212
    MARGARET WALTON-RALPH MEMBER BOARD OF OVERSEERS
    1
    250    
    116 ALLEGHENY CENTER MALL
    PITTSBURGH,PA15212
    PNC BANK NA TRUSTEE
    6
    30,477    
    116 ALLEGHENY CENTER MALL
    PITTSBURGH,PA15212
    ROSS VAN DENBERGH MEMBER BOARD OF OVERSEERS
    1
    250    
    116 ALLEGHENY CENTER MALL
    PITTSBURGH,PA15212
    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.........................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
    5,335,274
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,335,274
    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
    5,335,274
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    80,029
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    5,255,245
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    262,762
    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
    262,762
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    3,773
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,773
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    258,989
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    6,000
    5
    Add lines 3 and 4............................
    5
    264,989
    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
    264,989
    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 7 264,989
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 263,817
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 278,988
    a Applied to 2020, but not more than line 2a 263,817
    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..... 15,171
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    249,818
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    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:
    ROSS VAN DENBERGH ESQUIRE
    PO BOX 595
    LONG LAKE,NY12847
    (412) 768-9607
    bThe form in which applications should be submitted and information and materials they should include:
    SEE FOOTNOTE
    cAny submission deadlines:
    CONTACT THE ABOVE NAMED INDIVIDUAL
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CONTACT THE ABOVE NAMED INDIVIDUAL
    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
    MAINE MEDICAL CENTER
    22 BRAMHALL STREET
    PORTLAND,ME04102
    NONE PC GENERAL SUPPORT 1,500
    CHEWONKI FOUNDATION
    485 CHEWONKI NECK ROAD
    WISCASSET,ME04578
    NONE PC GENERAL SUPPORT 1,500
    MIGHTY WRITERS
    1501 CHRISTIAN STREET
    PHILADELPHIA,PA19146
    NONE PC GENERAL SUPPORT 3,000
    STEPHEN SILLER TUNNEL TO TOWERS
    FOUNDATION
    2361 HYLAN BLVD
    Staten Island,NY10306
    NONE PC GENERAL SUPPORT 2,500
    BREWSTER LADIES LIBRARY
    ROUTE 6A
    BREWSTER,MA02630
    NONE PC GENERAL SUPPORT 1,500
    BREWSTER CONSERVATION TRUST
    P O BOX 268
    BREWSTER,MA02631
    NONE PC GENERAL SUPPORT 6,500
    BRYN MAWR FILM INSTITUTE
    824 W LANCASTER AVENUE
    BRYN MAWR,PA19010
    NONE PC GENERAL SUPPORT 3,000
    PENN ENVIRONMENT RESEARCH
    & POLICY CENTER
    1420 WALNUT STREET
    PHILADELPHIA,PA19102
    NONE PC GENERAL SUPPORT 2,000
    AUDUBON PENNSYLVANIA
    1201 PAWLINGS ROAD
    AUDUBON,PA19403
    NONE PC GENERAL SUPPORT 6,000
    Wildlife Conservation Society
    2300 SOUTHERN BOULEVARD
    Bronx,NY10460
    NONE PC GENERAL SUPPORT 3,000
    PROJECT RENEWAL
    200 VARICK STREET 9TH FLOOR
    NEW YORK,NY10012
    NONE PC GENERAL SUPPORT 2,000
    North Country School Camp Treetops
    4382 CASCADE ROAD
    Lake Placid,NY12946
    NONE PC GENERAL SUPPORT 3,000
    THE ADIRONDACK COUNCIL
    P O BOX D-2
    ELIZABETHTOWN,NY12932
    NONE PC GENERAL SUPPORT 3,000
    NORTH COUNTRY LIFE FLIGHT INC
    P O BOX 944
    SARANAC LAKE,NY12983
    NONE PC GENERAL SUPPORT 2,000
    ADIRONDACK EXPLORER
    36 CHURCH STREET
    SARANAC LAKE,NY12983
    NONE PC GENERAL SUPPORT 2,500
    NATURAL HISTORY MUSEUM OF THE
    ADIRONDACKS-THE WILD CENTER
    45 MUSEUM DRIVE
    TUPPER LAKE,NY12986
    NONE PC GENERAL SUPPORT 4,000
    LONG LAKE RESCUE SQUAD INC
    P O BOX 415
    LONG LAKE,NY12847
    NONE PC GENERAL SUPPORT 1,000
    CORNELL LABORATORY
    159 SAPSUCKER WOODS RD
    ITHCAC,NY14850
    NONE PC GENERAL SUPPORT 2,000
    WOUNDED WARRIOR PROJECT
    4899 BELFORT ROAD
    JACKSONVILLE,FL32256
    NONE PC GENERAL PURPOSE 7,500
    THE CHESTER FUND FOR EDUCATION
    AND THE ARTS
    1500 HIGHLAND AVENUE
    CHESTER,PA19013
    NONE PC GENERAL SUPPORT 2,000
    CROSSING INC
    8855 GERMANTOWN AVENUE
    PHILADELPHIA,PA19118
    NONE PC GENERAL SUPPORT 5,000
    826 BOSTON INC
    3035 WASHINGTON ST
    ROXBURY,MA02119
    NONE PC GENERAL PURPOSE 1,000
    FRENCHMAN BAY CONSERVANCY
    P O BOX 150
    HANCOCK,ME04640
    NONE PC GENERAL SUPPORT 5,000
    ADIRONDACK PARK INSTITUTE
    P O BOX 249
    PAUL SMITHS,NY12970
    NONE PC GENERAL SUPPORT 3,000
    THE WILLIAM PENN CHARTER SCHOOL
    3000 WEST SCHOOL HOUSE LANE
    PHILADELPHIA,PA19144
    NONE PC GENERAL SUPPORT 2,500
    THE BIG BROTHERBIG SISTER ASSOC
    OF PHILADELPHIA INC
    123 SOUTH BROAD ST SUITE 2180
    PHILADELPHIA,PA19107
    NONE PC GENERAL SUPPORT 3,000
    BRYN MAWR HOSPITAL DEVELOPMENT OFFICE
    130 SOUTH BRYN MAWR AVENUE
    BRYN MAWR,PA19010
    NONE PC GENERAL SUPPORT 2,000
    PENDLE HILL
    338 PLUSH MILL ROAD
    WALLINGFORD,PA19086
    NONE PC GENERAL SUPPORT 2,000
    THE PHILADELPHIA ZOO
    3400 WEST GIRARD AVE
    PHILADELPHIA,PA19104
    NONE PC GENERAL SUPPORT 2,000
    PLANNED PARENTHOOD OF SOUTHEASTERN
    PENNSYLVANIA
    1144 LOCUST STREET
    PHILADELPHIA,PA19107
    NONE PC GENERAL SUPPORT 4,000
    THE BALDWIN SCHOOL
    701 MONTGOMERY AVENUE
    BRYN MAWR,PA19010
    NONE PC GENERAL SUPPORT 1,500
    Friends Central School Corporation
    1101 CITY AVE
    Wynnewood,PA19096
    NONE PC GENERAL SUPPORT 1,000
    GERMANTOWN FRIENDS SCHOOL
    31 WEST COULTER STREET
    PHILADELPHIA,PA19144
    NONE PC GENERAL SUPPORT 3,000
    SETTLEMENT MUSIC SCHOOL
    416 QUEEN STREET
    PHILADELPHIA,PA19147
    NONE PC GENERAL SUPPORT 2,000
    SWARTHMORE COLLEGE
    500 COLLEGE AVENUE
    Swarthmore,PA19081
    NONE PC GENERAL PURPOSE 1,500
    UNIVERSITY OF PENNSYLVANIA LAW SCHOOL
    3400 CHESTNUT STREET
    PHILADELPHIA,PA19104
    NONE PC GENERAL SUPPORT 4,000
    PHILADELPHIA FUTURES
    215 S BROAD STREET 5TH FLOOR
    PHILADELPHIA,PA19107
    NONE PC GENERAL SUPPORT 2,000
    THE WAGNER FREE INSTITUTE OF
    SCIENCE OF PHILADELPHIA
    1700 W MONTGOMERY AVE
    PHILADELPHIA,PA19121
    NONE PC GENERAL SUPPORT 500
    WOODMERE ART MUSEUM
    9201 GERMANTOWN AVENUE
    PHILADELPHIA,PA19118
    NONE PC GENERAL SUPPORT 1,000
    BETHESDA MISSION
    P O BOX 3041
    HARRISBURG,PA17101
    NONE PC GENERAL SUPPORT 3,000
    ASSOCIATION OF INDEPENDENT COLLEGES
    & UNIVERSITIES OF PA
    101 NORTH FRONT STREET
    HARRISBURG,PA17101
    NONE PC GENERAL SUPPORT 1,000
    WHYY INC
    150 NORTH SIXTH STREET
    PHILADELPHIA,PA19106
    NONE PC GENERAL PURPOSE 1,500
    MANN CENTER FOR THE PERFORMING ART
    420 NORTH 20TH STREET
    Philadelphia,PA19130
    NONE PC GENERAL PURPOSE 2,000
    POLICE ATHLETIC LEAGUE OF
    PHILADELPHIA
    2524 EAST CLEARFIELD STREET
    PHILADELPHIA,PA19134
    NONE PC GENERAL SUPPORT 3,000
    OPERA COMPANY OF PHILADELPHIA
    1420 LOCUST STREET SUITE 210
    PHILADELPHIA,PA19102
    NONE PC GENERAL SUPPORT 5,000
    THE PENNSYLVANIA SCHOOL FOR THE DEAF
    100 WEST SCHOOL HOUSE LANE
    PHILADELPHIA,PA19144
    NONE PC GENERAL SUPPORT 3,000
    FOULKEWAYS AT GWYNEDD
    1120 MEETINGHOUSE ROAD
    GWYNEDD,PA19436
    NONE PC GENERAL SUPPORT 500
    CLEAN AIR COUNCIL
    135 S 19TH STREET 300
    PHILADELPHIA,PA19103
    NONE PC GENERAL SUPPORT 2,000
    CHOICE
    1500 WALNUT STREET
    PHILADELPHIA,PA19102
    NONE PC GENERAL SUPPORT 5,000
    MAIN LINE MEALS ON WHEELS INC
    237 WEST LANCASTER AVENUE
    DEVON,PA19333
    NONE PC GENERAL SUPPORT 1,000
    BOYS AND GIRLS CLUBS OF
    METROPOLITAN PHILADELPHIA INC
    1518 WALNUT STREET
    PHILADELPHIA,PA19102
    NONE PC GENERAL SUPPORT 2,500
    ELDER NET OF LOWER
    MERION-NARBER
    9 SOUTH BRYN MAWR AVE
    Bryn Mawr,PA19010
    NONE PC GENERAL SUPPORT 2,000
    THE DOMESTIC ABUSE PROJECT OF
    DELAWARE COUNTY INC
    14 WEST SECOND STREET
    MEDIA,PA19063
    NONE PC GENERAL SUPPORT 3,500
    TABOR CHILDREN'S SERVICES INC
    57 EAST ARMAT ST
    PHILADELPHIA,PA19144
    NONE PC GENERAL SUPPORT 1,500
    PHILABUNDANCE
    3616 SOUTH GALLOWAY STREET
    PHILADELPHIA,PA19148
    NONE PC GENERAL SUPPORT 3,000
    Historic Germantown Preserved
    5501 GERMANTOWN AVENUE
    Philadelphia,PA19144
    NONE PC GENERAL SUPPORT 1,000
    PHILADELPHIA CHILDREN'S ALLIANCE
    300 E HUNTING PARK AVE
    PHILADELPHIA,PA19124
    NONE PC GENERAL PURPOSE 2,000
    MANNA
    P O BOX 30181
    PHILADELPHIA,PA19103
    NONE PC GENERAL SUPPORT 3,500
    HOMELESS ADVOCACY PROJECT
    1424 CHESTNUT STREET
    PHILADELPHIA,PA19102
    NONE PC GENERAL SUPPORT 3,500
    ASTRAL ARTISTIC SERVICES
    230 SOUTH BROAD STREET
    PHILADELPHIA,PA19102
    NONE PC GENERAL SUPPORT 2,000
    GESU CATHOLIC SCHOOL
    1700 WEST THOMPSON STREET
    PHILADELPHIA,PA19121
    NONE PC GENERAL SUPPORT 2,500
    LUDINGTON LIBRARY
    5 S BRYN MAWR AVENUE
    BRYN MAWR,PA19010
    NONE PC GENERAL SUPPORT 1,000
    PROVIDENCE CENTER
    2535 NORTH 4TH STREET
    PHILADELPHIA,PA19133
    NONE PC GENERAL SUPPORT 6,000
    YOUNG SCHOLARS CHARTER SCHOOL INC
    1415 NORTH BROAD STREET 2ND FL
    PHILADELPHIA,PA19121
    NONE PC GENERAL SUPPORT 3,000
    HAVERFORD COLLEGE
    370 LANCASTER AVENUE
    HAVERFORD,PA19041
    NONE PC GENERAL SUPPORT 3,500
    NATURAL LANDS TRUST INCORPORATED
    1031 PALMERS MILL ROAD
    MEDIA,PA19063
    NONE PC GENERAL SUPPORT 2,000
    THE PENNSYLVANIA STATE UNIVERSITY
    WOMENS ENRICHMENT CENTER
    777 WEST HARRISBURG PIKE
    MIDDLETOWN,PA17057
    NONE PC GENERAL SUPPORT 3,000
    DAWNS PLACE
    PO BOX 48253
    PHILADELPHIA,PA19104
    NONE PC GENERAL SUPPORT 2,000
    INDIAN LAKE THEATER
    13 W MAIN STREET
    INDIAN LAKE,NY12842
    NONE PC GENERAL SUPPORT 1,000
    WELCOMING THE STRANGER
    P O BOX 1156
    LANGHORNE,PA19047
    NONE PC GENERAL SUPPORT 2,500
    VETRI FOUNDATION FOR CHILDREN
    1113 ADMIRAL PERRY WAY
    PHILADELPHIA,PA19112
    NONE PC GENERAL SUPPORT 1,000
    QUINTESSENCE THEATER GROUP INC
    7137 GERMANTOWN AVENUE
    PHILADELPHIA,PA19119
    NONE PC GENERAL SUPPORT 3,000
    BRUCE MONTGOMERY FOUNDATION FOR THE ARTS
    267 COOPER BEECH DRIVE P O BOX 1565
    BLUEBELL,PA19422
    NONE PC GENERAL PURPOSES 2,000
    PROTECT THE ADIRONDACKS
    PO BOX 48
    NORTH CREEK,NY12853
    NONE PC GENERAL SUPPORT 1,500
    ENDOMETRIOSIS ASSOCIATION
    8585 NORTH 76TH PLACE
    MILWAUKEE,WI53223
    NONE PC GENERAL SUPPORT 2,500
    HABITAT FOR HUMANITY
    PHILADELPHIA
    1829 N 19TH STREET
    PHILADELPHIA,PA19121
    NONE PC GENERAL SUPPORT 4,500
    Nature Walks Conservation Society
    PO BOX 116
    Tyngsborough,MA01879
    NONE PC GENERAL SUPPORT 4,500
    ARCH STREET MEETING HOUSE
    PRESERVATION TRUST
    320 ARCH STREET
    PHILADELPHIA,PA19106
    NONE PC GENERAL SUPPORT 4,000
    EARTH WIND FIRE AND WATER
    PO BOX 183
    AMBLER,PA19002
    NONE PC GENERAL SUPPORT 2,000
    Brewster Ponds Coalition
    PO BOX 459
    Brewster,MA02631
    NONE PC GENERAL SUPPORT 1,000
    Friends of New York City Nurse
    Family Partnership Inc
    1035 FIFTH AVE SUITE 10B
    New York,NY10028
    NONE PC GENERAL SUPPORT 2,000
    ST MATTHEWS CHURCH
    P O BOX 303
    OAKLAND,MD21550
    NONE PC GENERAL PURPOSE 5,000
    FREE LIBRARY OF PHILADELPHIA
    FOUNDATION
    1901 VINE STREET
    PHILADELPHIA,PA19103
    NONE PC GENERAL SUPPORT 2,500
    LCV EDUCATION FUND
    LEAGUE OF CONSERVATION VOTERS
    1920 L STREET NW
    WASHINGTON,DC20036
    NONE PC GENERAL SUPPORT 10,000
    AMERICAN BIRD CONSERVANCY
    1250-24TH STREET NW
    WASHINGTON,DC20037
    NONE PC GENERAL SUPPORT 1,500
    WORLD WILDLIFE FUND
    1250 TWENTY-FOURTH STREET NW
    WASHINGTON,DC20037
    NONE PC GENERAL SUPPORT 2,000
    FIRST BOOK-PHILADELPHIA
    P O BOX 166
    GLADWYNE,PA19035
    NONE PC GENERAL SUPPORT 6,000
    ALASKA WILDERNESS LEAGUE
    122 C STREET NW
    WASHINGTON,DC20001
    NONE PC GENERAL SUPPORT 5,000
    NATIONAL ENVIRONMENTAL EDU FDN
    4301 CONNECTICUT AVE NW 160
    WASHINGTON,DC20008
    NONE PC GENERAL SUPPORT 5,000
    CHAMPS
    THE MARSHALL LEGACY INSTITUTE
    2425 WILSON BOULEVARD
    ARLINGTON,VA22201
    NONE PC GENERAL SUPPORT 1,000
    KEY WEST LIBRARY SEMINAR
    717 LOVE LANE
    KEY WEST,FL33040
    NONE PC GENERAL SUPPORT 1,000
    WILLS EYE FOUNDATION
    840 WALNUT ST
    Philadelphia,PA19107
    NONE PC GENERAL SUPPORT 1,000
    CeaseFire Pennsylvania Education Fund
    1518 WALNUT STREET SUITE 1406
    Philadelphia,PA19102
    NONE PC GENERAL SUPPORT 2,000
    PHILADELPHIA YEARLY MEETING
    320 ARCH STREET
    PHILADELPHIA,PA19106
    NONE PC GENERAL SUPPORT 2,000
    HEALTHY NEWSWORKS
    4700 WISSAHICKON AVENUE
    PHILADELPHIA,PA19144
    NONE PC GENERAL SUPPORT 5,000
    WOMEN'S MEDICAL FUND
    PO BOX 40748
    Philadelphia,PA191025955
    NONE PC GENERAL PURPOSE 4,000
    Friends of the Charles Darwin
    Foundation for the Galapagos Island
    420 COLUMBUS AVE STE 304
    Valhalla,NY10595
    NONE PC GENERAL SUPPORT 5,000
    FOREST SERVICE EMPLOYEES FOR
    ENVIRONMENTAL ETHICS (FSEEE)
    P O BOX 11615
    EUGENE,OR97440
    NONE PC GENERAL SUPPORT 500
    Total .................................bullet 3a 270,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 151,157  
    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) ..   295,573  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    295,573
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    ALPIN J & ALPIN W CAMERON MEMORIAL
    EIN:
    23-6213225
    Name of Stock End of Year Book Value End of Year Fair Market Value
    G1151C101 ACCENTURE PLC CLASS 7,428 10,292
    02079K305 ALPHABET INC/CA-CL A 17,811 31,565
    023135106 AMAZON COM INC 22,869 30,962
    030420103 AMERICAN WATER WORKS 2,361 4,686
    031162100 AMGEN INC    
    037833100 APPLE INC 19,426 57,077
    30303M102 META PLATFORMS INC 11,237 6,377
    437076102 HOME DEPOT INC 12,724 15,453
    46625H100 JPMORGAN CHASE & CO 11,157 17,138
    58933Y105 MERCK & CO INC 16,908 17,827
    594918104 MICROSOFT CORP 28,384 58,924
    64110L106 NETFLIX INC    
    70450Y103 PAYPAL HOLDINGS INC-    
    742718109 PROCTER & GAMBLE CO 7,479 9,216
    91324P102 UNITEDHEALTH GROUP I 14,811 24,242
    92826C839 VISA INC CLASS A SHA 5,401 11,547
    92939U106 WEC ENERGY GROUP INC 2,843 6,886
    00287Y109 ABBVIE INC 12,174 17,447
    060505104 BANK OF AMERICA CORP 12,608 13,318
    11135F101 BROADCOM INC 7,962 12,876
    718172109 PHILIP MORRIS INTERN 12,285 10,210
    22160K105 COSTCO WHOLESALE COR 8,355 17,002
    38141G104 GOLDMAN SACHS GROUP 7,599 6,447
    532457108 ELI LILLY & CO 7,119 19,078
    78409V104 S&P GLOBAL INC 4,000 10,993
    874039100 TAIWAN SEMICONDUCTOR 7,394 4,799
    87612E106 TARGET CORP 6,205 8,755
    G16962105 BUNGE LIMITED 7,889 8,422
    002824100 ABBOTT LABORATORIES 17,027 13,643
    00507V109 ACTIVISION BLIZZARD    
    020002101 ALLSTATE CORP    
    053332102 AUTOZONE INC 3,328 6,426
    05352A100 AVANTOR INC    
    053611109 AVERY DENNISON CORP 8,062 7,322
    08579W103 BERRY GLOBAL GROUP I    
    09247X101 BLACKROCK INC 10,204 8,804
    12514G108 CDW CORP/DE 10,140 13,267
    149123101 CATERPILLAR INC    
    172908105 CINTAS CORP 6,105 10,481
    20030N101 COMCAST CORPORATION 8,864 6,189
    228368106 CROWN HOLDINGS INC 7,612 6,320
    23331A109 D R HORTON INC    
    244199105 DEERE & CO 7,557 8,347
    24906P109 DENTSPLY SIRONA INC    
    260003108 DOVER CORP    
    291011104 EMERSON ELECTRIC CO    
    30231G102 EXXON MOBIL CORP 11,717 19,557
    34959E109 FORTINET INC 4,412 7,664
    460690100 INTERPUBLIC GROUP CO 5,178 5,760
    512807108 LAM RESEARCH CORP 5,468 6,588
    617446448 MORGAN STANLEY 10,109 13,985
    620076307 MOTOROLA SOLUTIONS I 7,387 9,855
    701094104 PARKER HANNIFIN CORP    
    731068102 POLARIS INC    
    74762E102 QUANTA SVCS INC 4,684 9,682
    806857108 SCHLUMBERGER LTD SED 8,168 9,334
    863667101 STRYKER CORP 9,455 8,102
    879360105 TELEDYNE TECHNOLOGIE 6,505 6,412
    89832Q109 TRUIST FINANCIAL COR 6,000 8,273
    907818108 UNION PACIFIC CORP 12,837 11,884
    09260D107 BLACKSTONE INC 13,400 7,617
    126650100 CVS HEALTH CORPORATI 10,680 9,918
    166764100 CHEVRON CORPORATION 10,724 9,913
    191216100 COCA COLA CO 14,799 13,109
    35137L105 FOX CORP - CLASS A - 9,084 7,118
    539830109 LOCKHEED MARTIN CORP 11,375 10,044
    57636Q104 MASTERCARD INC CL A 15,694 13,648
    94106L109 WASTE MANAGEMENT INC 9,767 9,132
    98978V103 ZOETIS INC 16,776 11,863
    G1890L107 CAPRI HLDGS LTD SEDO 9,381 5,997

    TY 2021 InvestmentsOtherSchedule2
    Name:
    ALPIN J & ALPIN W CAMERON MEMORIAL
    EIN:
    23-6213225
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    00769G543 CAMBIAR INTL EQUITY AT COST 250,000 186,197
    09252M883 BLACKROCK TOTAL RETU      
    258620533 DOUBLELINE FLEXIBLE AT COST 213,441 185,338
    316092857 FIDELITY REAL ESTATE AT COST 105,194 104,435
    317609295 SEAFARER OVERSEAS GR AT COST 168,700 153,197
    413838566 OAKMARK INTL SM CAP- AT COST 105,074 94,961
    46090E103 INVESCO QQQ TRUST ET AT COST 177,697 175,323
    461418444 WCM FOCUSED INTL GRO AT COST 139,895 150,377
    46432F842 ISHARES CORE MSCI EA      
    552746364 MFS EMERGING MKTS DE AT COST 172,610 136,960
    56170L703 SPYGLASS GROWTH FUND AT COST 247,643 115,000
    74256W584 PRINCIPAL MIDCAP FUN      
    74440Y884 PGIM HIGH YIELD FUND AT COST 208,067 173,298
    77958B402 T ROWE PRICE INSTITU AT COST 194,951 179,618
    89154Q562 TOUCHSTONE SANDS EM      
    89355J656 TRANSAMERICA SM CAP AT COST 111,883 89,963
    89609H704 TRIBUTARY SMALL COMP AT COST 85,329 89,557
    936793686 WASATCH INTL OPPORTU AT COST 124,000 97,682
    957663669 WESTERN ASSET CORE P AT COST 422,560 334,602
    52106N459 LAZARD GLOBAL LISTED      
    00769G535 LSV SMALL CAP FUND-I AT COST 71,970 69,035
    09260B382 BLACKROCK STRATEGIC AT COST 167,935 163,334
    256210105 DODGE & COX INCOME F AT COST 120,000 113,905
    464287200 ISHARES CORE S&P 500 AT COST 430,446 399,177
    46435G326 ISHARES CORE MSCI DE AT COST 189,278 172,660
    56167N712 NUANCE MID CAP VALUE AT COST 96,000 87,633
    89154M702 TOUCHSTONE SANDS EM AT COST 141,780 130,825
    89155T490 TOUCHSTONE MID CAP-R AT COST 131,950 124,665

    TY 2021 OtherDecreasesSchedule
    Name:
    ALPIN J & ALPIN W CAMERON MEMORIAL
    EIN:
    23-6213225
    Description Amount
    2021 TRANSACTION POSTED IN 2022 5,692
    ADJUSTMENT TO INCOME 5


    TY 2021 OtherIncreasesSchedule
    Name:
    ALPIN J & ALPIN W CAMERON MEMORIAL
    EIN:
    23-6213225
    Description Amount
    PRIOR YEAR ADJUSTMENT 1,283
    RECOVERY OF PRIOR YEAR GRANTS 6,000
    2020 TRANSACTION POSTED IN 2021 4,596
    ROUNDING 3


    TY 2021 TaxesSchedule
    Name:
    ALPIN J & ALPIN W CAMERON MEMORIAL
    EIN:
    23-6213225
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 74 74   0
    FEDERAL TAX PAYMENT - PRIOR YE 3,160 0   0
    FEDERAL ESTIMATES - PRINCIPAL 4,201 0   0
    FOREIGN TAXES ON QUALIFIED FOR 928 928   0
    FOREIGN TAXES ON NONQUALIFIED 250 250   0