TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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 06-01-2021 , and ending 05-31-2022

Name of foundation
DOUG AND TAMRA ADAMS FAMILY FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)1665 BROAD STREET ROAD
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
MAIDENS, VA23102

A Employer identification number

26-3862362

B Telephone number (see instructions)

(804) 784-4908

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$565,599J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	12,801		12,801
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		25,806
b	Gross sales price for all assets on line 6a 167,508
7	Capital gain net income (from Part IV, line 2)...			25,806
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........	38,607		38,607
13	Compensation of officers, directors, trustees, etc.	0		0	0
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		2,950	2,950	0
c	Other professional fees (attach schedule)....		7,691	7,691	0
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		546	0	0
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	11,187		10,641	0
25	Contributions, gifts, grants paid.......	28,300			28,300
26	Total expenses and disbursements. Add lines 24 and 25	39,487		10,641	28,300
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-880
b	Net investment income (if negative, enter -0-)			27,966
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2021)

Form 990-PF (2021)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	9,210	40,702	40,702
	2	Savings and temporary cash investments.........
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	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).......	342,317	333,441	431,355
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	123,271	99,775	93,542
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	474,798	473,918	565,599
	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 )
	23	Total liabilities (add lines 17 through 22).........	0	0
		Foundations that follow FASB ASC 958, check here
		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
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	0	0
	27	Paid-in or capital surplus, or land, bldg., and equipment fund	0	0
	28	Retained earnings, accumulated income, endowment, or other funds	474,798	473,918
	29	Total net assets or fund balances (see instructions).....	474,798	473,918
	30	Total liabilities and net assets/fund balances (see instructions).	474,798	473,918

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

474,798

Enter amount from Part I, line 27a .....................

-880

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

473,918

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

473,918

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	(d) Date sold (mo., day, yr.)
1 a	1 SH EATON CORP PLC IRELAND		2021-06-15
b	1 SH MEDTRONIC PLC IRELAND		2021-06-15
c	6 SHS APTIV PLC JERSEY		2021-06-15
d	1 SH STERIS PLC IRELAND		2021-06-15
e	1 SH ABBOTT LABS		2021-06-15
	1 SH ADOBE INC		2021-06-15
	1 SH AGILENT TECHNOLOGIES INC		2021-06-15
	1 SH AIR PRODS & CHEMS INC		2021-06-15
	11 SHS AMERICAN EXPRESS CO		2021-06-15
	1 SH AMERICAN WTR WKS CO INC NEW COM		2021-06-15
	1 SH AMGEN INC		2021-06-15
	2 SHS APPLE INC		2021-06-15
	1 SH BALL CORP		2021-06-15
	5 SHS BAXTER INTL INC		2021-06-15
	1 SH CBRE GROUP INC CL A COM		2021-06-15
	1 SH CVS HEALTH CORP		2021-06-15
	3 SHS CADENCE DESIGN SYSTEM INC		2021-06-15
	1 SH CISCO SYS INC		2021-06-15
	1 SH CITIGROUP INC NEW COM		2021-06-15
	2 SHS COMCAST CORP NEW CL A COM		2021-06-15
	1 SH CONOCOPHILLIPS		2021-06-15
	1 SH DEERE & CO		2021-06-15
	1 SH DEXCOM INC COM		2021-06-15
	1 SH EBAY INC		2021-06-15
	1 SH EDWARDS LIFESCIENCES CORP		2021-06-15
	1 SH EMERSON ELEC CO		2021-06-15
	1 SH GILEAD SCIENCES INC		2021-06-15
	1 SH HOME DEPOT INC		2021-06-15
	13 SHS ISHARES RUSSELL MID-CAP ETF		2021-06-15
	20 SHS ISHARES MSCI USA ESG SELECT ETF		2021-06-15
	22 SHS ISHARES TRUST ISHARES ESG MSCI EAFE ETF		2021-06-15
	6 SHS KIMBERLY CLARK CORP		2021-06-15
	4 SHS MARSH & MCLENNAN COS INC .		2021-06-15
	2 SHS MICROSOFT CORP		2021-06-15
	1 SH MORGAN STANLEY		2021-06-15
	1 SH NEXTERA ENERGY INC		2021-06-15
	1 SH NIKE INC CL B		2021-06-15
	1 SH PHILLIPS 66		2021-06-15
	1 SH REGIONS FINL CORP NEW COM		2021-06-15
	1 SH SEMPRA ENERGY		2021-06-15
	90.482 SHS TIAA-CREF CORE IMPACT BD FUND INST CLASS		2021-09-24
	1 SH JOHNSON CONTROLS INTL PLC IRELAND		2021-09-27
	6 SHS ABBVIE INC		2021-09-27
	2 SHS AKAMAI TECHNOLOGIES INC		2021-09-27
	1 SH ANTHEM INC		2021-09-27
	3 SHS APPLE INC		2021-09-27
	1 SH BEST BUY INC		2021-09-27
	4 SHS CIGNA CORP NEW		2021-09-27
	2 SHS CISCO SYS INC		2021-09-27
	2 SHS CITIGROUP INC NEW COM		2021-09-27
	1 SH CUMMINS INC		2021-09-27
	1 SH DISNEY WALT CO COM DISNEY		2021-09-27
	1 SH EBAY INC		2021-09-27
	1 SH ELECTRONIC ARTS INC		2021-09-27
	1 SH EQUINIX INC REITS		2021-09-27
	1 SH EXPEDITORS INTL WASHINGTON INC		2021-09-27
	1 SH HASBRO INC		2021-09-27
	I6 SHS NTERCONTINENTAL EXCHANGE INC		2021-09-27
	1 SH INTERNATIONAL FLAVORS&FRAGRANC		2021-09-27
	12 SHS ISHARES RUSSELL MID-CAP ETF		2021-09-27
	27 SHS ISHARES MSCI USA ESG SELECT ETF		2021-09-27
	1 SH LOWES COS INC		2021-09-27
	1 SH MICROSOFT CORP		2021-09-27
	1 SH MORGAN STANLEY		2021-09-27
	1 SH NASDAQ INC		2021-09-27
	1 SH NEXTERA ENERGY INC		2021-09-27
	2 SHS NVIDIA CORP		2021-09-27
	1 SH PNC FINL SVCS GROUP INC		2021-09-27
	3 SHS PARKER HANNIFIN CORP		2021-09-27
	1 SH PROLOGIS INC REITS		2021-09-27
	1 SH ROCKWELL AUTOMATION INC		2021-09-27
	1 SH S&P GLOBAL INC		2021-09-27
	1 SH SALESFORCE COM INC		2021-09-27
	1 SH STANLEY BLACK & DECKER INC		2021-09-27
	1 SH STARBUCKS CORP		2021-09-27
	1 SH TJX COS INC NEW		2021-09-27
	1 SH TEXAS INSTRS INC		2021-09-27
	7 SHS VALERO ENERGY CORP		2021-09-27
	2 SHS VERIZON COMMUNICATIONS INC		2021-09-27
	1 SH VISA INC		2021-09-27
	16.273 SHS BLACKROCK HIGH YIELD BD PORT FUND CL K		2021-10-19
	18.761 SHS CRA QUALIFIED INVESTMENT FUND INSTL CL		2021-10-19
	23.122 SHS HARTFORD SCHRODERS EMERGING MARKETS EQUITY FUND CL F		2021-10-19
	105.568 SHS TIAA-CREF CORE IMPACT BD FUND INST CLASS		2021-10-19
	1 SH EATON CORP PLC IRELAND		2021-10-20
	1 SH ABBOTT LABS		2021-10-20
	1 SH APPLIED MATLS INC.		2021-10-20
	1 SH COLGATE PALMOLIVE CO		2021-10-20
	1 SH COMCAST CORP NEW CL A COM		2021-10-20
	1 SH CONOCOPHILLIPS		2021-10-20
	1 SH DISCOVER FINL SVCS		2021-10-20
	1 SH EMERSON ELEC CO		2021-10-20
	1 SH ETSY INC		2021-10-20
	1 SH GENERAL MLS INC		2021-10-20
	1 SH HESS CORP		2021-10-20
	1 SH HUNTINGTON BANCSHARES INC		2021-10-20
	20 SHS ISHARES RUSSELL MID-CAP ETF		2021-10-20
	9 SHS ISHARES MSCI USA ESG SELECT ETF		2021-10-20
	17 SHS ISHARES TRUST ISHARES ESG MSCI EAFE ETF		2021-10-20
	1 SH LAUDER ESTEE COS INC CL A		2021-10-20
	22 SHS NUVEEN ESG SMALL-CAP ETF		2021-10-20
	1 SH PRICE T ROWE GROUP INC		2021-10-20
	1 SH PROCTER & GAMBLE CO		2021-10-20
	1 SH PROGRESSIVE CORP OHIO		2021-10-20
	4 SHS SPDR BLOOMBERG BARCLAYS 1-3 MONTH T-BILL ETF		2021-10-20
	1 SH TJX COS INC NEW		2021-10-20
	1 SH TERADYNE INC		2021-10-20
	2 SHS VANGUARD TOTAL INTL BOND INDEX FUND ETF		2021-10-20
	1 SH VERTEX PHARMACEUTICALS INC		2021-10-20
	1 SH WASTE MGMT INC DEL		2021-10-20
	1 SH EATON CORP PLC		2021-12-02
	2 SHS JOHNSON CONTROLS INTER		2021-12-02
	2 SHS MEDTRONIC PLC SHS		2021-12-02
	1 SH TRANE TECHNOLOGIES PLC		2021-12-02
	1 SH ABBOTT LABS		2021-12-02
	1 SH AMERICAN WTR WKS CO INC NEW COM		2021-12-02
	7 SHS APPLE INC		2021-12-02
	1 SH BALL CORP COM		2021-12-02
	1 SH BLACKROCK INC		2021-12-02
	1 SH BORG WARNER INC		2021-12-02
	1 SH CBRE GROUP INC CL A		2021-12-02
	1 SH CVS HEALTH CORP		2021-12-02
	4 SHS CITIGROUP INC COM		2021-12-02
	1 SH DISNEY (WALT) CO COM STK		2021-12-02
	1 SH DISCOVER FINL SVCS		2021-12-02
	1 SH ECOLAB INC		2021-12-02
	1 SH EDWARDS LIFESCIENCES CRP		2021-12-02
	1 SH GENERAL MILLS		2021-12-02
	2 SHS HESS CORP		2021-12-02
	1 SH HOLOGIC INC		2021-12-02
	1 SH HOME DEPOT INC		2021-12-02
	2 SHS MERCK AND CO INC SHS		2021-12-02
	3 SHS MICROSOFT CORP		2021-12-02
	4 SHS MORGAN STANLEY		2021-12-02
	3 SHS NEXTERA ENERGY INC		2021-12-02
	1 SH NIKE INC CL B		2021-12-02
	1 SH OTIS WORLDWIDE CORP REG SH		2021-12-02
	1 SH PNC FINCL SERVICES GROUP		2021-12-02
	2 SHS PHILLIPS 66 SHS		2021-12-02
	1 SH PROCTER & GAMBLE CO		2021-12-02
	1 SH PROLOGIS INC		2021-12-02
	1 SH SALESFORCE COM INC		2021-12-02
	2 SHS STARBUCKS CORP		2021-12-02
	1 SH TARGET CORP		2021-12-02
	1 SH TEXAS INSTRUMENTS		2021-12-02
	1 SH TRACTOR SUPPLY CO		2021-12-02
	1 SH WELLTOWER INC		2021-12-02
	1 SH XYLEM INC SHS		2021-12-02
	1 SH ZOETIS INC		2021-12-02
	1 SH ALPHABET INC SHS CL C		2021-12-02
	1 SH APPLIED MATERIAL INC		2021-12-02
	1 SH CARMAX INC		2021-12-02
	4 SHS CISCO SYSTEMS INC		2021-12-02
	1 SH CLOROX CO DEL COM		2021-12-02
	4 SHS COMCAST CORP NEW CL A		2021-12-02
	3 SHS CONOCOPHILLIPS		2021-12-02
	4 SHS EBAY INC		2021-12-02
	1 SH EMERSON ELEC CO		2021-12-02
	1 SH EXPEDITORS INTL WASH INC		2021-12-02
	1 SH GILEAD SCIENCES INC COM BARCLAYS CAPITAL LE		2021-12-02
	5 SHS HUNTNGTN BANCSHS INC		2021-12-02
	1 SH INTUIT INC COM		2021-12-02
	52 SHS ISHARES MSCI USA ESG SELECT ETF		2021-12-02
	1 SH MASTERCARD INC		2021-12-02
	2 SHS NVIDIA		2021-12-02
	2 SHS PEPSICO INC		2021-12-02
	4 SHS REGIONS FINL CORP		2021-12-02
	2 SHS TJX COS INC NEW		2021-12-02
	2 SHS VERIZON COMMUNICATNS		2021-12-02
	1 SH WASTE MANAGEMENT INC NEW		2021-12-02
	18.896 SHS HARTFORD SCHRODERS EMERG MKTS EQUITY FD CL FMUTUAL FUND AGENT		2021-12-10
	2 SHS EATON CORP PLC		2021-12-13
	4 SHS JOHNSON CONTROLS INTER		2021-12-13
	2 SHS AMERICAN WTR WKS CO INC NEW		2021-12-13
	4 SHS AMGEN INC COM		2021-12-13
	1 SH APPLE INC		2021-12-13
	29.102 SHS BLACKROCK HIGH YIELD BOND PORTFOLIO CLASS K		2021-12-13
	4 SHS COMCAST CORP NEW CL A		2021-12-13
	43.329 SHS CCM COMMUNITY IMPACT		2021-12-13
	1 SH DISCOVER FINL SVCS		2021-12-13
	1 SHS GENERAL MILLS		2021-12-13
	69.598 SHS HARTFORD SCHRODERS EMERG MKTS EQUITY FD CL F		2021-12-13
	6 SHS ISHARES MSCI USA ESG SELECT ETF		2021-12-13
	16 SHS ISHARES TRUST ISHRSESG AWARE MSCI EAFE ETF		2021-12-13
	31 SHS REGIONS FINL CORP		2021-12-13
	2 SHS STANLEY BLACK & DECKER INC		2021-12-13
	280.954 SHS TIAA CREF CORE IMPACT BOND FUND CL INSTL		2021-12-13
	1 SH TJX COS INC NEW		2021-12-13
	1 SH VERIZON COMMUNICATNS COM		2021-12-13
	1 SH ABBOTT LABS		2021-12-14
	1 SH AGILENT TECHNOLOGIES INC		2021-12-14
	1 SH APPLE INC		2021-12-14
	1 SH BEST BUY CO INC		2021-12-14
	1 SH BORG WARNER INC		2021-12-14
	1 SH BRISTOL-MYERS SQUIBB CO		2021-12-14
	1 SH CBRE GROUP INC CL A		2021-12-14
	1 SH CISCO SYSTEMS INC		2021-12-14
	1 SH CITIGROUP INC COM NEW		2021-12-14
	1 SH COLGATE PALMOLIVE		2021-12-14
	1 SH COMCAST CORP NEW CL A		2021-12-14
	1 SH CONOCOPHILLIPS		2021-12-14
	1 SH DISCOVER FINL SVCS		2021-12-14
	1 SH ELECTRONIC ARTS INC		2021-12-14
	1 SH EMERSON ELEC CO		2021-12-14
	1 SH GILEAD SCIENCES INC COM		2021-12-14
	2 SHS HUNTNGTN BANCSHS INC MD		2021-12-14
	52 SHS ISHARES RUSSELL MIDCAP		2021-12-14
	18 SHS ISHARES MSCI USA ESG SELECT ETF		2021-12-14
	46 SHS ISHARES TRUST ISHRS ESG AWARE MSCI EAFE ETF		2021-12-14
	1 SH LOWE'S COMPANIES INC		2021-12-14
	1 SH MERCK AND CO INC		2021-12-14
	1 SH MICROSOFT CORP		2021-12-14
	1 SH MORGAN STANLEY		2021-12-14
	1 SH NEXTERA ENERGY INC		2021-12-14
	1 SH NVIDIA		2021-12-14
	61 SHS NUVEEN ESG SMALL-CAP ETF		2021-12-14
	1 SH PHILLIPS 66		2021-12-14
	1 SH PROGRESSIVE CRP OHIO		2021-12-14
	1 SH QUALCOMM INC		2021-12-14
	7 SHS SPDR BLOOMBERG 1-3 MNTH T BILL ETF		2021-12-14
	1 SH SEMPRA		2021-12-14
	1 SH STARBUCKS CORP		2021-12-14
	4 SHS VANGUARD TOTAL INTERNATL BOND ETF		2021-12-14
	1 SH VERIZON COMMUNICATNS COM		2021-12-14
	1 SH VISA INC CL A		2021-12-14
	36.113 SHS BLACKROCK HIGH YIELD BOND PORTFOLIO CLASS K		2022-02-01
	642.816 SHS CCM COMMUNITY IMPACT BOND FUND CL INSTL		2022-02-01
	43.610 SHS HARTFORD SCHRODERS EMERG MKTS EQUITY FD CL F		2022-02-01
	1,562.242 SHS TIAA CREF CORE IMPACT BOND FUND CL INSTL		2022-02-01
	54 SHS SPDR BLOOMBERG 1-3 MNTH T BILL ETF		2022-02-02
	26 SHS SPDR BLOOMBERG 1-3 MNTH T BILL ETF		2022-02-02
	27 SHS ISHARES TRUST ISHRS ESG AWARE MSCI EAFE ETF		2022-02-02
	38 SHS VANGUARD TOTAL INTERNATL BOND ETF		2022-02-02
	74 SHS VANGUARD TOTAL INTERNATL BOND ETF		2022-02-02
	3 SHS ABBOTT LABS		2022-03-21
	2 SHS BECTON DICKINSON		2022-03-21
	6 SHS BORG WARNER INC		2022-03-21
	6 SHS CONOCOPHILLIPS		2022-03-21
	11 SHS DISCOVER FINL SVCS		2022-03-21
	4 SHS EMERSON ELEC CO		2022-03-21
	7 SHS EXPEDITORS INTL WASH INC		2022-03-21
	2 SHS HOME DEPOT INC		2022-03-21
	41 SHS ISHARES RUSSELL MIDCAP		2022-03-21
	5 SHS MORGAN STANLEY		2022-03-21
	4 SHS NEXTERA ENERGY INC SHS		2022-03-21
	109 SHS NUVEEN ESG SMALL-CAP ETF		2022-03-21
	15 SHS PHILLIPS 66 SHS		2022-03-21
	3 SHS PRICE T ROWE GROUP INC		2022-03-21
	3 SHS SPDR BLOOMBERG 1-3 MNTH T BILL ETF		2022-03-21
	10.917 SHS BLACKROCK HIGH YIELD BOND PORTFOLIO CLASS K		2022-06-01
	4 SHS MEDTRONIC PLC SHS		2022-06-02
	6 SHS CITIGROUP INC COM NEW		2022-06-02
	1 SH ISHARES RUSSELL MIDCAP		2022-06-02
	12 SHS ISHARES RUSSELL MIDCAP		2022-06-02
	2 SHS ISHARES ESG AWARE MSCI EAFE ETF		2022-06-02
	167 SHS ISHARES ESG AWARE MSCI EAFE ETF		2022-06-02
	3 SHS NUVEEN ESG SMALL-CAP ETF		2022-06-02
	247 SHS NUVEEN ESG SMALL-CAP ETF		2022-06-02
	5 SHS SPDR BLOOMBERG 1-3 MNTH T BILL ETF		2022-06-02
	CAPITAL GAINS DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	146	70	76
b	124	89	35
c	935	525	410
d	199	123	76
e	110	49	61
	540	484	56
	143	60	83
	300	267	33
	1,802	1,160	642
	159	154	5
	242	171	71
	255	159	96
	81	94	-13
	414	440	-26
	88	85	3
	85	78	7
	386	367	19
	55	44	11
	76	64	12
	113	114	-1
	60	60	0
	341	375	-34
	400	356	44
	67	41	26
	100	83	17
	97	76	21
	69	68	1
	310	269	41
	1,026	626	400
	1,877	1,143	734
	1,782	1,531	251
	775	777	-2
	554	319	235
	514	285	229
	92	43	49
	73	73	0
	131	137	-6
	92	112	-20
	21	16	5
	140	135	5
	966	1,002	-36
	74	35	39
	648	651	-3
	218	207	11
	381	280	101
	440	109	331
	107	61	46
	817	680	137
	113	88	25
	142	127	15
	227	252	-25
	177	104	73
	74	41	33
	128	144	-16
	838	414	424
	125	76	49
	96	97	-1
	710	556	154
	134	133	1
	974	578	396
	2,702	1,543	1,159
	210	165	45
	300	70	230
	103	43	60
	196	89	107
	82	36	46
	446	82	364
	194	143	51
	877	737	140
	129	80	49
	305	192	113
	452	208	244
	276	88	188
	185	138	47
	114	95	19
	71	56	15
	198	80	118
	470	666	-196
	109	116	-7
	228	171	57
	128	129	-1
	199	204	-5
	472	472	0
	1,117	1,169	-52
	162	70	92
	117	49	68
	132	86	46
	76	76	0
	53	57	-4
	76	60	16
	130	123	7
	96	76	20
	230	216	14
	62	50	12
	91	42	49
	16	15	1
	1,638	963	675
	902	511	391
	1,359	1,290	69
	317	153	164
	987	987	0
	201	110	91
	143	90	53
	91	77	14
	366	367	-1
	64	56	8
	115	127	-12
	113	115	-2
	180	180	0
	158	114	44
	163	70	93
	152	70	82
	216	178	38
	188	67	121
	127	49	78
	173	81	92
	1,143	254	889
	94	42	52
	906	517	389
	43	53	-10
	96	36	60
	90	78	12
	255	255	0
	144	104	40
	108	123	-15
	224	134	90
	109	51	58
	63	50	13
	150	83	67
	77	78	-1
	404	158	246
	149	146	3
	992	211	781
	377	171	206
	266	107	159
	170	83	87
	81	87	-6
	198	131	67
	137	224	-87
	147	90	57
	153	80	73
	288	88	200
	221	191	30
	244	51	193
	192	80	112
	226	171	55
	81	87	-6
	121	83	38
	223	88	135
	2,868	1,837	1,031
	147	86	61
	143	120	23
	218	176	42
	166	158	8
	201	228	-27
	212	180	32
	271	158	113
	89	76	13
	123	76	47
	70	68	2
	75	76	-1
	662	470	192
	5,318	2,702	2,616
	314	172	142
	644	82	562
	325	294	31
	92	82	10
	138	83	55
	101	112	-11
	164	120	44
	371	371	0
	336	141	195
	317	139	178
	350	162	188
	850	683	167
	175	36	139
	228	227	1
	228	201	27
	456	456	0
	123	108	15
	64	50	14
	1,363	1,363	0
	629	309	320
	1,267	1,227	40
	694	545	149
	384	277	107
	2,967	2,967	0
	74	35	39
	50	46	4
	134	49	85
	156	60	96
	178	36	142
	103	61	42
	46	53	-7
	56	58	-2
	103	36	67
	59	44	15
	60	64	-4
	79	76	3
	48	48	0
	73	60	13
	117	117	0
	125	130	-5
	92	76	16
	70	68	2
	31	30	1
	4,236	4,190	46
	1,888	927	961
	3,648	3,513	135
	260	113	147
	72	73	-1
	341	70	271
	99	43	56
	90	36	54
	302	41	261
	2,687	2,687	0
	72	112	-40
	95	77	18
	184	86	98
	640	640	0
	126	126	0
	117	95	22
	229	229	0
	50	46	4
	216	166	50
	275	281	-6
	6,672	6,914	-242
	836	925	-89
	16,107	16,926	-819
	4,935	4,949	-14
	2,377	2,382	-5
	2,046	1,878	168
	2,066	2,101	-35
	4,025	4,059	-34
	363	302	61
	524	487	37
	229	307	-78
	589	404	185
	1,238	1,333	-95
	382	333	49
	738	558	180
	666	522	144
	3,129	2,929	200
	469	390	79
	331	262	69
	4,316	4,857	-541
	1,164	1,195	-31
	441	329	112
	273	276	-3
	78	85	-7
	393	356	37
	318	382	-64
	73	48	25
	865	578	287
	141	127	14
	11,704	11,549	155
	109	88	21
	8,947	7,809	1,138
	457	457	0
	1,291		1,291

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			76
b			35
c			410
d			76
e			61
			56
			83
			33
			642
			5
			71
			96
			-13
			-26
			3
			7
			19
			11
			12
			-1
			0
			-34
			44
			26
			17
			21
			1
			41
			400
			734
			251
			-2
			235
			229
			49
			0
			-6
			-20
			5
			5
			-36
			39
			-3
			11
			101
			331
			46
			137
			25
			15
			-25
			73
			33
			-16
			424
			49
			-1
			154
			1
			396
			1,159
			45
			230
			60
			107
			46
			364
			51
			140
			49
			113
			244
			188
			47
			19
			15
			118
			-196
			-7
			57
			-1
			-5
			0
			-52
			92
			68
			46
			0
			-4
			16
			7
			20
			14
			12
			49
			1
			675
			391
			69
			164
			0
			91
			53
			14
			-1
			8
			-12
			-2
			0
			44
			93
			82
			38
			121
			78
			92
			889
			52
			389
			-10
			60
			12
			0
			40
			-15
			90
			58
			13
			67
			-1
			246
			3
			781
			206
			159
			87
			-6
			67
			-87
			57
			73
			200
			30
			193
			112
			55
			-6
			38
			135
			1,031
			61
			23
			42
			8
			-27
			32
			113
			13
			47
			2
			-1
			192
			2,616
			142
			562
			31
			10
			55
			-11
			44
			0
			195
			178
			188
			167
			139
			1
			27
			0
			15
			14
			0
			320
			40
			149
			107
			0
			39
			4
			85
			96
			142
			42
			-7
			-2
			67
			15
			-4
			3
			0
			13
			0
			-5
			16
			2
			1
			46
			961
			135
			147
			-1
			271
			56
			54
			261
			0
			-40
			18
			98
			0
			0
			22
			0
			4
			50
			-6
			-242
			-89
			-819
			-14
			-5
			168
			-35
			-34
			61
			37
			-78
			185
			-95
			49
			180
			144
			200
			79
			69
			-541
			-31
			112
			-3
			-7
			37
			-64
			25
			287
			14
			155
			21
			1,138
			0
			1,291

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	25,806
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 ...................		3

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 and enter “N/A" on line 1.
	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	389
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	389
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	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.......		9	389
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax	Refunded	11

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

TAMRA ADAMS Telephone no. bullet

(804) 784-4908

Located at bullet

1665 BROAD STREET ROADMAIDENSVA ZIP+4 bullet

23102

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

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............

1a(4)

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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? .............

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)):

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?....................

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

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.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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? ..

Form 990-PF (2021)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check here ......... bullet

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? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

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? .........................

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
DOUG ADAMS	PRESIDENT 0.00	0	0	0
1665 BROAD STREET ROAD MAIDENS,VA23102	PRESIDENT 0.00	0	0	0
TAMRA ADAMS	SECRETARY/TREASURER 0.00	0	0	0
1665 BROAD STREET ROAD MAIDENS,VA23102	SECRETARY/TREASURER 0.00	0	0	0

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...................				0

Form 990-PF (2021)

Page 7

Part VII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

Part VIII-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part VIII-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2021)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

612,635

Average of monthly cash balances.......................

22,156

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

634,791

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

634,791

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

9,522

Net value of noncharitable-use assets. Subtract line 4 from line 3. .......

625,269

Minimum investment return. Enter 5% (0.05) of line 5................

31,263

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.)

Minimum investment return from Part IX, line 6..................

31,263

Tax on investment income for 2021 from Part V, line 5.......

389

Income tax for 2021. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

389

Distributable amount before adjustments. Subtract line 2c from line 1............

30,874

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

30,874

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

30,874

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.

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				30,874
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......			21,185
b Total for prior years:20, 20, 20		0
3 Excess distributions carryover, if any, to 2021:
a From 2016......
b From 2017......
c From 2018......
d From 2019......
e From 2020......
f Total of lines 3a through e ........	0
4Qualifying distributions for 2021 from Part
XI, line 4: $ 28,300
a Applied to 2020, but not more than line 2a			21,185
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.....				7,115
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 ..........				23,759
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....
b Excess from 2018....
c Excess from 2019....
d Excess from 2020....
e Excess from 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 4942(j)(3) or4942(j)(5)

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	(e) Total

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).)

DOUG ADAMS

TAMRA ADAMS

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or email address of the person to whom applications should be addressed:

bThe form in which applications should be submitted and information and materials they should include:

cAny submission deadlines:

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

Form 990-PF (2021)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
AMERICAN CANCER SOCIETY PO BOX 22478 OKLAHOMA CITY,OK73123	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,000
CENTREVILLE VA FIRE & RESCUE 52 BROADSTREET RD MANAKINSABOT,VA23103	NONE	PUBLIC CHARITY	GENERAL PURPOSE	500
COURTHOUSE VOL FIRE & RESCUE 2710 FAIRGROUND ROAD GOOCHLAND,VA23063	NONE	PUBLIC CHARITY	GENERAL PURPOSE	500
GOOCHLAND CASA PO BOX 910 GOOCHLAND,VA23063	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,000
KHAN ACADEMY PO BOX 1630 MOUNTAIN VIEW,CA94042	NONE	PUBLIC CHARITY	GENERAL PURPOSE	500
MAGGIE L WALKER GOVERNOR'S SCHOOL FOUNDATION 1000 NORTH LOMBARDY STREET RICHMOND,VA23220	NONE	PUBLIC CHARITY	GENERAL PURPOSE	10,000
ST MATTHEWS UMC 1706 ST MATTHEWS LANE RICHMOND,VA23233	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,000
VA HOLOCAUST MUSEUM 2000 E CARY ST RICHMOND,VA23223	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,000
VIRGINIA MUSEUM OF FINE ARTS FOUNDATION 2000 N BOULEVARD RICHMOND,VA23220	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,000
VPM MEDIA CORPORATION PO BOX 791490 BALTIMORE,MD21279	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,200
WORLD PEDIATRIC PROJECT 7201 GLEN FOREST DR SUITE 304 RICHMOND,VA23226	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,000
YMCA OF GREATER RICHMOND 2 W FRANKLIN ST RICHMOND,VA23220	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,500
ALPHA 1 3300 PONCE DE LEON CORAL GABLES,FL33134	NONE	PUBLIC CHARITY	GENERAL PURPOSE	2,000
GOOCHLAND HIGH SCHOOL PTSA 3250-A RIVER ROAD WEST GOOCHLAND,VA23063	NONE	PUBLIC CHARITY	GENERAL PURPOSE	3,500
GOOCHLAND CHRISTMAS MOTHER PO BOX 322 GOOCHLAND,VA23063	NONE	PUBLIC CHARITY	GENERAL PURPOSE	100
IOCDF PO BOX 961029 BOSTON,MA02196	NONE	PUBLIC CHARITY	GENERAL PURPOSE	500
BON SECOURS RICHMOND HEALTHCARE FOUNDATION 5855 BREMO ROAD SUITE 100 RICHMOND,VA23226	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,000
RICHMOND SYMPHONY 612 E GRACE STREET 401 RICHMOND,VA23219	NONE	PUBLIC CHARITY	GENERAL PURPOSE	1,000
Total ................................. 3a				28,300

bApproved for future payment

Total ................................. 3b				0

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	(e) Related or exempt function income (See instructions.)
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	25,806
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		38,607	0

13Total. Add line 12, columns (b), (d), and (e)..................

38,607

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2021 AccountingFeesSchedule

Name:

DOUG AND TAMRA ADAMS FAMILY FOUNDATION

EIN:

26-3862362

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
ACCOUNTING FEE	2,950	2,950		0

- TIN:

TY 2021 InvestmentsCorpStockSchedule

Name:

DOUG AND TAMRA ADAMS FAMILY FOUNDATION

EIN:

26-3862362

Name of Stock	End of Year Book Value	End of Year Fair Market Value
EQUITIES	333,441	431,355

- TIN:

TY 2021 InvestmentsOtherSchedule2

Name:

DOUG AND TAMRA ADAMS FAMILY FOUNDATION

EIN:

26-3862362

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
FIXED INCOME	AT COST	99,775	93,542

- TIN:

TY 2021 OtherProfessionalFeesSchedule

Name:

DOUG AND TAMRA ADAMS FAMILY FOUNDATION

EIN:

26-3862362

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT MANAGEMENT FEES	7,091	7,091		0
MANAGEMENT FEE	600	600		0

- TIN:

TY 2021 TaxesSchedule

Name:

DOUG AND TAMRA ADAMS FAMILY FOUNDATION

EIN:

26-3862362

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
EXCISE TAX	546	0		0