Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
EDWARD P AND MARY KLEIN SMITH
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 919798
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLANDO, FL328919798
A Employer identification number

90-0587749
B Telephone number (see instructions)

(407) 237-5986
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$20,786,350
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 36 36  
4 Dividends and interest from securities... 328,464 328,168  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,160,472
b Gross sales price for all assets on line 6a 3,214,857
7 Capital gain net income (from Part IV, line 2)... 1,160,472
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........ 1,488,972 1,488,676  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 179,672 89,836   89,836
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)... 1,439 1,439   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 42 42    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 181,153 91,317 0 89,836
25 Contributions, gifts, grants paid....... 866,614 866,614
26 Total expenses and disbursements. Add lines 24 and 25 1,047,767 91,317 0 956,450
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 441,205
b Net investment income (if negative, enter -0-) 1,397,359
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.........   257,184 257,184
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)   Click to see attachment1,657,893 1,671,169
b Investments—corporate stock (attach schedule)....... 12,869,611 Click to see attachment3,521,307 9,412,625
c Investments—corporate bonds (attach schedule).......   Click to see attachment4,667,067 4,811,163
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   Click to see attachment3,090,934 4,634,209
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) 12,869,611 13,194,385 20,786,350
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........ 13,434,516 13,194,385
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds -564,905  
29 Total net assets or fund balances (see instructions)..... 12,869,611 13,194,385
30 Total liabilities and net assets/fund balances (see instructions). 12,869,611 13,194,385
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
12,869,611
2
Enter amount from Part I, line 27a .....................
2
441,205
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
5,317
4
Add lines 1, 2, and 3 ..........................
4
13,316,133
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
121,748
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
13,194,385
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 79000. U.S. TREASURY NOTES 0.625% 8/15/30   2020-09-30 2021-01-06
b 17000. PEPSICO INC SR NT 3.000% 08/25/21   2019-02-12 2021-01-15
c 65000. FED NATL MTG ASSN DTD 02/05/2016 1.375%   2018-12-12 2021-02-11
d 48000. PEPSICO INC SR NT 3.000% 08/25/21   2019-02-12 2021-02-11
e 75000. U S TREASURY NOTES 3.125% 05/15/21   2021-01-06 2021-02-22
65000. VIRGINIA ELEC & PWR 2.950% 1/15/22   2018-12-12 2021-04-09
116. VARIAN MED SYS INC   2019-03-11 2021-04-15
2937.96 ALLY AUTO RECEI ABS 1.930% 5/15/24   2019-09-10 2021-04-16
33000. U.S. TREASURY NOTES 0.625% 5/15/30   2020-07-02 2021-04-16
35000. U.S. TREASURY NOTES 0.625% 8/15/30   2020-10-07 2021-04-16
65000. CATERPILLAR INC 3.400% 5/15/24   2020-08-07 2021-04-26
5012.36 ALLY AUTO RECEI ABS 1.930% 5/15/24   2019-09-10 2021-05-15
1184. APPLE COMPUTER CORPORATION COMMON   2012-12-11 2021-05-27
551. ISHARES S&P MIDCAP 400 INDEX FUND   2020-09-14 2021-05-27
365. ISHARES S&P MIDCAP 400 INDEX FUND   2018-03-06 2021-05-27
883. CEF ISHARES TR S&P   2020-12-09 2021-05-27
82. LAM RESH CORP   2019-03-11 2021-05-27
398. MICROSOFT CORPORATION   2009-10-27 2021-05-27
183. SHERWIN WILLIAMS   2016-06-27 2021-05-27
213. THERMO ELECTRON COMMON   2016-06-27 2021-05-27
119. UNION PACIFIC CORP   2016-06-27 2021-05-27
242. UNITED HEALTH GROUP INC   2016-06-27 2021-05-27
39000. U.S. TREASURY NOTES 0.625% 5/15/30   2020-07-02 2021-06-08
41000. U.S. TREASURY NOTES 0.625% 8/15/30   2020-10-07 2021-06-08
4800.26 ALLY AUTO RECEI ABS 1.930% 5/15/24   2019-09-10 2021-06-15
165000. NEW JERSEY ST ECON 3.700% 6/15/21   2019-01-25 2021-06-15
4839.84 ALLY AUTO RECEI ABS 1.930% 5/15/24   2019-09-10 2021-07-15
1346. APPLE COMPUTER CORPORATION COMMON   2012-12-11 2021-07-26
318. VERTEX PHARMACEUTICALS INC   2016-06-27 2021-07-26
1624. ALTABA INC ESCROWED CUSIP     2021-08-09
65000. BANK OF MONTREAL MTN 2.500% 6/28/24   2019-06-25 2021-08-10
6000. HOLLYFRONTIER CORP 5.875% 4/01/26   2021-02-22 2021-08-12
4429.25 ALLY AUTO RECEI ABS 1.930% 5/15/24   2019-09-10 2021-08-15
30000. U.S. TREASURY NOTES 2.125% 12/31/21   2018-12-12 2021-08-31
40000. U.S. TREASURY NOTES 1.875% 1/31/22   2019-05-09 2021-08-31
1624. ALTABA INC ESCROWED CUSIP     2021-09-01
3000. HOLLYFRONTIER CORP 5.875% 4/01/26   2021-02-22 2021-09-10
5000. HOLLYFRONTIER CORP 5.875% 4/01/26   2021-02-22 2021-09-13
4443.48 ALLY AUTO RECEI ABS 1.930% 5/15/24   2019-09-10 2021-09-15
67000. AMERICAN INTL GROUP 3.900% 4/01/26   2019-01-17 2021-09-30
4005.5 ALLY AUTO RECEI ABS 1.930% 5/15/24   2019-09-10 2021-10-15
80. ADOBE SYS INC   2016-06-27 2021-10-19
52. ALPHABET INC CL C   2016-06-27 2021-10-19
682. APPLE COMPUTER CORPORATION COMMON   2013-01-24 2021-10-19
544. CISCO SYSTEMS   2021-05-27 2021-10-19
90. DEERE & COMPANY   2020-10-29 2021-10-19
405. DICKS SPORTING GOODS INC   2021-05-27 2021-10-19
946. ISHARES S&P MIDCAP 400 INDEX FUND   2008-07-24 2021-10-19
65000. SUMITOMO MITSUI FINL 2.846% 1/11/22   2018-12-12 2021-10-26
30000. ENERGY TRAN PTNR 5.200% 2/01/22   2019-04-05 2021-11-01
60000. KIMCO REALTY CORP 3.400% 11/01/22   2019-01-17 2021-11-04
67000. MORGAN STANLEY MTN 4.000% 7/23/25   2018-12-18 2021-11-12
3681.56 ALLY AUTO RECEI ABS 1.930% 5/15/24   2019-09-10 2021-11-15
65000. COMCAST CORP 3.600% 3/01/24   2019-06-12 2021-12-03
239. ALIBABA GROUP HLDG LTD   2016-06-27 2021-12-10
3728.41 ALLY AUTO RECEI ABS 1.930% 5/15/24   2019-09-10 2021-12-15
1624. ALTABA INC ESCROWED CUSIP     2021-12-30
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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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 76,099   78,542 -2,443
b 17,286   17,031 255
c 65,033   65,000 33
d 48,706   48,076 630
e 75,521   75,530 -9
65,866   64,582 1,284
20,590   15,540 5,050
2,938   2,938  
30,491   32,853 -2,362
32,218   34,467 -2,249
70,472   70,478 -6
5,012   5,012  
149,485   23,126 126,359
150,308   104,348 45,960
99,569   69,329 30,240
100,031   79,450 20,581
53,030   14,502 38,528
99,569   11,287 88,282
52,516   17,185 35,331
99,582   30,727 68,855
26,736   10,047 16,689
99,514   32,940 66,574
36,268   38,826 -2,558
37,979   40,376 -2,397
4,800   4,800  
165,000   165,000  
4,840   4,840  
199,456   24,520 174,936
63,416   25,773 37,643
12,148     12,148
68,312   64,991 3,321
6,902   6,769 133
4,429   4,429  
30,206   29,936 270
40,305   39,942 363
877     877
3,442   3,378 64
5,739   5,630 109
4,443   4,443  
74,237   65,818 8,419
4,006   4,005 1
50,019   7,290 42,729
149,022   34,847 114,175
100,243   11,199 89,044
30,059   28,639 1,420
30,141   20,396 9,745
50,242   39,975 10,267
260,768   160,098 100,670
65,339   64,879 460
30,000   30,000  
61,388   59,757 1,631
72,848   66,165 6,683
3,682   3,681 1
69,109   69,109  
29,746   18,156 11,590
3,728   3,728  
1,088     1,088
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
      58
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       -2,443
b       255
c       33
d       630
e       -9
      1,284
      5,050
       
      -2,362
      -2,249
      -6
       
      126,359
      45,960
      30,240
      20,581
      38,528
      88,282
      35,331
      68,855
      16,689
      66,574
      -2,558
      -2,397
       
       
       
      174,936
      37,643
      12,148
      3,321
      133
       
      270
      363
      877
      64
      109
       
      8,419
      1
      42,729
      114,175
      89,044
      1,420
      9,745
      10,267
      100,670
      460
       
      1,631
      6,683
      1
       
      11,590
       
      1,088
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 1,160,472
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 19,423
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 19,423
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a  
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 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 19,423
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet0 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)
    bulletKY
    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 ofbulletTRUIST BANK Telephone no.bullet (407) 237-5986

    Located atbulletPO 919798ORLANDOFL ZIP+4bullet32891
    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
    TRUIST BANK TRUSTEE
    1
    179,672    
    PO BOX 919798
    ORLANDO,FL32891
    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
    19,979,041
    b
    Average of monthly cash balances.......................
    1b
    415,377
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    20,394,418
    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
    20,394,418
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    305,916
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    20,088,502
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,004,425
    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
    1,004,425
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    19,423
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    19,423
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    985,002
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    985,002
    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
    985,002
    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 7 985,002
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 866,616
    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$ 956,450
    a Applied to 2020, but not more than line 2a 866,616
    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..... 89,834
    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 ..........
    895,168
    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).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    RYLE HIGH SCHOOL
    10379 HIGHWAY 42
    UNION,KY41091
    NONE PC GENERAL OPERATING 17,686
    ALZHEIMER'S ASSOCIATION
    225 NORTH MICHIGAN AVENUE FL 17
    CHICAGO,IL606017633
    NONE PC GENERAL OPERATING 35,372
    THE SALVATION ARMY
    ATTN CAPTAIN MALCOLM DANIELS
    1806 SCOTT BOULEVARD
    COVINGTON,KY410141221
    NONE PC GENERAL OPERATING 17,686
    GUIDEPOSTS FOUNDATION
    SYBIL LIGHT DONOR RELATIONS
    39 OLD RIDGEBURY ROAD STE 27
    DANBURY,CT06810
    NONE PC GENERAL OPERATING 17,686
    GIDEONS OF NORTHERN KENTUCKY
    PO BOX 965
    FLORENCE,KY41022
    NONE PC GENERAL OPERATING 17,686
    CHILDREN'S HOME OF NORTHERN KY
    ATTENTION RICK WURTH VP OF DEV
    200 HOME ROAD
    COVINGTON,KY41011
    NONE PC GENERAL OPERATING 61,901
    UNIVERSITY OF LOUISVILLE
    SCHOOL OF DENTISTRY
    510 SOUTH PRESTON
    LOUISVILLE,KY40202
    NONE PC GENERAL OPERATING 88,430
    VETERANS ADMINISTRATION
    ATTN VOLUNTARY SERVICE (135)
    3200 VINE STREET
    CINCINNATI,OH45220
    NONE PC GENERAL OPERATING 17,686
    RICHWOOD PRESBYTERIAN CHURCH
    ATTENTION TREASURER
    1070 RICHWOOD ROAD
    WALTON,KY410948229
    NONE PC GENERAL OPERATING 17,686
    COMMUNITY SERVICES OF N KY
    31 SPIRAL DRIVE
    FLORENCE,KY41042
    NONE PC GENERAL OPERATING 44,215
    BILLY GRAHAM MINISTRIES
    PO BOX 1270
    CHARLOTTE,NC28201
    NONE PC GENERAL OPERATING 44,215
    BEREA COLLEGE
    101 CHESTNUT STREET
    BEREA,KY404031516
    NONE PC GENERAL OPERATING 17,686
    ST ELIZABETH MEDICAL CENTER INC
    SUCCESSOR TO ST LUKE HOSPITAL W
    4900 HOUSTON ROAD
    FLORENCE,KY410424824
    NONE PC GENERAL OPERATING 17,686
    ST ELIZABETH FOUNDATION
    ATTN TREASURY DEPARTMENT
    1 MEDICAL VILLAGE DRIVE
    EDGEWOOD,KY41017
    NONE PC GENERAL OPERATING 26,529
    MASONIC HOME
    330 MASONIC HOME DR
    MASONIC HOME,KY40041
    NONE PC GENERAL OPERATING 17,686
    ST HENRY HIGH SCHOOL
    3755 SCHEBEN DRIVE
    ERLANGER,KY41018
    NONE PC GENERAL OPERATING 17,686
    UNIVERSITY OF THE CUMBERLANDS
    6191 COLLEGE STATION
    WILLIAMSBURG,KY40769
    NONE PC GENERAL OPERATING 88,430
    USPIRITUS INC FKA BELLWOOD PRES
    PAULA CAMPBELL VP OF ADVANCEMENT
    3121 BROOKLAWN CAMPUS DRIVE
    LOUISVILLE,KY402181282
    NONE PC GENERAL OPERATING 17,686
    ION CENTER FOR VIOLENCE PREVENTION
    ATTN CHRISTY BURCH CEO
    835 MADISON AVE
    COVINGTON,KY41011
    NONE PC GENERAL OPERATING 17,686
    UNIVERSITY OF KENTUCKY
    ENDOWMENT AND GIFT ACCOUNTING
    371 PETERSON SERVICES BUILDING
    LEXINGTON,KY405060005
    NONE PC GENERAL OPERATING 88,430
    BOONE COUNTY HIGH SCHOOL
    7056 BURLINGTON PIKE
    FLORENCE,KY41042
    NONE PC GENERAL OPERATING 17,686
    LLOYD MEMORIAL HIGH SCHOOL
    450 BARTLETT AVENUE
    ERLANGER,KY410181685
    NONE PC GENERAL OPERATING 17,686
    ERLANGER BAPTIST CHURCH
    116 COMMONWEALTH AVENUE
    ERLANGER,KY410181739
    NONE PC GENERAL OPERATING 17,686
    REDWOOD SCHOOL & REHABILITATION
    ATTENTION JENNY HANSEN CFO
    71 ORPHANAGE ROAD
    FORT MITCHELL,KY410173006
    NONE PC GENERAL OPERATING 44,215
    ERLANGER LIONS CLUB
    5996 BELAIR DRIVE
    ERLANGER,KY41018
    NONE PC GENERAL OPERATING 17,686
    MOTHERS AGAINST DRUNK DRIVERS
    511 E JOHN CARPENTER FWY STE 700
    IRVING,TX750623983
    NONE PC GENERAL OPERATING 17,686
    CRYSTAL CATHEDRAL MINISTRIES
    PO BOX 100
    GARDEN GROVE,CA928420100
    NONE PC GENERAL OPERATING 44,215
    Total .................................bullet 3a 866,614
    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 ...........
        14 36  
    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 1,160,472  
    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) ..   1,488,972  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,488,972
    (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 InvestmentsCorpBondsSchedule
    Name:
    EDWARD P AND MARY KLEIN SMITH
    EIN:
    90-0587749
    Name of Bond End of Year Book Value End of Year Fair Market Value
    25470DAR0 DISCOVERY COMMUNICAT 70,724 70,641
    025537AJ0 AMERICAN ELECTRIC PO 68,098 71,779
    3137EADB2 FEDERAL HOME LOAN MO 169,986 170,111
    06051GGA1 BANK OF AMERICA CORP 66,422 74,508
    22822VAR2 CROWN CASTLE INTL CO 71,789 67,508
    00206RJX1 AT&T INC 71,257 69,180
    06406RAE7 BANK OF NY MELLON CO 65,451 67,457
    26884ABA0 ERP OPERATING LP 64,526 66,476
    035240AQ3 ANHEUSER-BUSCH INBEV 66,325 73,328
    3135G0K36 FEDERAL NATIONAL MOR 134,878 145,179
    337738AT5 FISERV INC 70,094 74,012
    05526DBB0 BAT CAPITAL CORP 67,584 68,172
    26441CAL9 DUKE ENERGY CORP 65,374 67,855
    00287YBF5 ABBVIE INC 66,063 73,501
    172967LP4 CITI GROUP INC 132,363 145,603
    126650DE7 CVS HEALTH CORP 68,745 67,302
    3135G0T94 FEDERAL NATIONAL MOR 169,182 173,482
    38141GXG4 GOLDMAN SACHS GROUP 69,779 67,106
    14040HBF1 CAPITAL ONE FINANCIA 69,281 68,507
    395476BB9 GREENSBORO NORTH CAR 165,014 169,071
    437076BM3 HOME DEPOT INC 68,535 74,369
    594918BJ2 MICROSOFT CORP 69,355 74,671
    436106AC2 HOLLYFRONTIER CORP 13,978 14,001
    67066GAF1 NVIDIA CORP 62,563 63,728
    436106AA6 HOLLYFRONTIER CORP 19,121 19,065
    68609TJB5 OREGON STATE 130,000 137,721
    3135G0ZR7 FEDERAL NATIONAL MOR 169,122 177,835
    4386705Y3 HONOLULU CITY & CNTY 96,951 104,414
    670346AP0 NUCOR CORP 64,428 71,676
    313747BA4 FEDERAL REALTY INVT 71,648 71,409
    46625HJH4 JPMORGAN CHASE & CO 64,624 66,763
    69121KAG9 OWL ROCK CAPITAL COR 69,929 68,711
    49326EEJ8 KEYCORP 68,081 71,670
    64990FD43 NEW YORK STATE DORM 125,000 123,273
    723787AT4 PIONEER NAT RES CO 71,139 68,941
    74460DAH2 PUBLIC STORAGE 67,969 67,761
    78355HKK4 RYDER SYSTEM INC 65,258 68,262
    31620RAK1 FIDELITY NATL FINANC 74,798 73,599
    693475AV7 PNC FINANCIAL SERVIC 66,578 68,061
    606822AN4 MITSUBISHI UFJ FINL 64,008 70,444
    64971WTA8 NEW YORK CITY NEW YO 152,153 161,811
    717096AM3 PFLUGERVILLE TEXAS I 121,039 117,011
    6174468C6 MORGAN STANLEY 62,215 68,276
    49456BAP6 KINDER MORGAN INC 67,092 66,672
    78016EYH4 ROYAL BANK CANADA 67,921 68,317
    347622CW0 FORT LAUDERDALE FLOR 116,143 113,633
    58933YAZ8 MERCK & CO INC 77,330 74,679
    899559PZ5 TULSA CNTY OKLAHOMA 100,342 102,854
    7591EPAQ3 REGIONS FINANCIAL CO 69,787 71,370
    88213AKB0 TEXAS STATE A & M UN 74,143 77,632
    913017CY3 UNITED TECHNOLOGIES 66,698 69,349
    89114QCK2 TORONTO-DOMINION BAN 74,791 72,993
    824348AW6 SHERWIN-WILLIAMS CO 61,628 70,322
    92277GAN7 VENTAS REALTY LP 72,717 79,442
    95000U2G7 WELLS FARGO & COMPAN 71,609 69,653
    92343VGG3 VERIZON COMMUNICATIO 46,997 46,762
    822582BX9 SHELL INTERNATIONAL 68,442 73,235

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    EDWARD P AND MARY KLEIN SMITH
    EIN:
    90-0587749
    Name of Stock End of Year Book Value End of Year Fair Market Value
    H1467J104 CHUBB LTD 76,402 107,674
    G5960L103 MEDTRONIC PLC 70,030 66,725
    G1151C101 ACCENTURE PLC CL A 49,734 64,670
    G02602103 AMDOCS LTD 41,435 42,958
    92826C839 VISA INC CL A 28,529 387,911
    92343V104 VERIZON COMMUNICATIO 48,994 44,686
    91324P102 UNITEDHEALTH GROUP I 80,581 297,267
    79466L302 SALESFORCE COM INC 48,809 160,102
    76131D103 RESTAURANT BRANDS IN 50,088 43,750
    75886F107 REGENERON PHARMACEUT 80,424 90,307
    70450Y103 PAYPAL HOLDINGS INC 32,897 61,100
    68389X105 ORACLE CORPORATION 79,255 143,373
    67066G104 NVIDIA CORP 100,451 225,876
    58933Y105 MERCK & CO INC 49,900 49,356
    46625H100 JP MORGAN CHASE & CO 88,116 238,158
    30303M102 META PLATFORMS INC C 129,820 392,520
    17275R102 CISCO SYSTEMS INC 90,541 130,035
    021ESC017 ALTABA INC   9,630
    911312106 UNITED PARCEL SERVIC 75,844 105,241
    902494103 TYSON FOODS INC CL A 49,800 54,126
    883556102 THERMO FISHER SCIENT 48,615 224,860
    855244109 STARBUCKS CORP 40,009 41,056
    742718109 PROCTER & GAMBLE CO 47,982 73,120
    713448108 PEPSICO INC 50,007 55,240
    665859104 NORTHERN TR CORP 49,836 49,160
    620076307 MOTOROLA SOLUTIONS, 39,859 52,982
    594918104 MICROSOFT CORP 80,983 1,051,336
    502431109L3 HARRIS TECHNOLOGIE 48,839 63,759
    478160104 JOHNSON & JOHNSON 32,805 81,943
    438516106 HONEYWELL INTERNATIO 143,385 279,820
    437076102 HOME DEPOT INC 26,729 124,918
    254709108 DISCOVER FINL SVCS 57,461 130,121
    254687106 DISNEY WALT CO NEW 50,009 43,524
    244199105 DEERE & CO 59,829 90,523
    231021106 CUMMINS INC 49,714 42,101
    191216100 COCA COLA CO 49,940 53,703
    172967424 CITIGROUP INC 50,038 38,650
    127097103 COTERRA ENERGY INC 21,015 24,092
    126650100 CVS HEALTH CORP 91,077 113,167
    097023105 BOEING CO 50,055 40,264
    084670702 BERKSHIRE HATHAWAY I 118,838 255,944
    060505104 BANK OF AMERICA CORP 67,030 233,439
    052769106 AUTODESK INC 95,871 132,159
    037833100 APPLE INC 63,333 722,532
    036752103 ANTHEM INC 49,599 60,260
    032654105 ANALOG DEVICES INC 49,659 53,610
    023135106 AMAZON.COM INC 193,440 930,281
    002824100 ABBOTT LABS 40,478 68,400
    00287Y109 ABBVIE INC 49,975 57,274
    00724F101 ADOBE INC 29,342 182,593
    02079K107 ALPHABET INC CL C 233,877 1,009,863
    02079K305 ALPHABET INC CL A 39,569 168,028
    61174X109 MONSTER BEVERAGE COR 80,397 99,017
    66987V109 NOVARTIS AG SPONSORE 50,062 49,421

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    EDWARD P AND MARY KLEIN SMITH
    EIN:
    90-0587749
    US Government Securities - End of Year Book Value:

    1,657,893
    US Government Securities - End of Year Fair Market Value:

    1,671,169
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2021 InvestmentsOtherSchedule2
    Name:
    EDWARD P AND MARY KLEIN SMITH
    EIN:
    90-0587749
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    254683CM5 DISCOVER CARD EXECUT AT COST 69,985 70,768
    14043TAH9 CAPITAL ONE PRIME AU AT COST 79,978 81,162
    05522RDB1 BANK OF AMERICA CRED AT COST 104,974 105,854
    14041NFT3 CAPITAL ONE MULTI-AS AT COST 75,045 75,212
    02007RAC3 ALLY AUTO RECEIVABLE AT COST 37,120 37,333
    22822V101 CROWN CASTLE INTERNA AT COST 49,788 53,855
    464287465 ISHARES MSCI EAFE ET AT COST 819,950 948,173
    464287234 ISHARES MSCI EMERGIN AT COST 570,837 632,461
    464287804 ISHARES CORE S&P SMA AT COST 260,617 706,527
    464287507 ISHARES CORE S&P MID AT COST 173,487 647,121
    78462F103 SPDR S&P 500 ETF TRU AT COST 849,153 1,275,743

    TY 2021 OtherDecreasesSchedule
    Name:
    EDWARD P AND MARY KLEIN SMITH
    EIN:
    90-0587749
    Description Amount
    2021 TRANSACTION POSTED IN 2022 6,698
    COST BASIS ADJUSTMENT - SALES 33
    PRIOR PERIOD ADJUSTMENT 115,017


    TY 2021 OtherExpensesSchedule
    Name:
    EDWARD P AND MARY KLEIN SMITH
    EIN:
    90-0587749
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSE (NON-DEDUCTIBLE 42 42   0


    TY 2021 OtherIncreasesSchedule
    Name:
    EDWARD P AND MARY KLEIN SMITH
    EIN:
    90-0587749
    Description Amount
    2020 TRANSACTION POSTED IN 2021 5,125
    ADJUSTMENT TO INCOME 192


    TY 2021 TaxesSchedule
    Name:
    EDWARD P AND MARY KLEIN SMITH
    EIN:
    90-0587749
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 115 115   0
    FOREIGN TAXES ON QUALIFIED FOR 1,131 1,131   0
    FOREIGN TAXES ON NONQUALIFIED 193 193   0