Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 10-01-2021 , and ending 09-30-2022
Name of foundation
GEORGIA BLOSSER TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 0634
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE, WI532010634
A Employer identification number

43-6018192
B Telephone number (see instructions)

(314) 418-2643
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$2,328,606J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 68,129 68,127  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 303,093
b Gross sales price for all assets on line 6a 909,502
7 Capital gain net income (from Part IV, line 2)... 303,093
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)....... Click to see attachment 696 696  
12 Total. Add lines 1 through 11........ 371,918 371,916  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 30,413 27,372   3,041
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)....... Click to see attachment 2,500 0 0 2,500
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,381 1,198   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)....... Click to see attachment 1 1    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 34,295 28,571 0 5,541
25 Contributions, gifts, grants paid....... 159,867 159,867
26 Total expenses and disbursements. Add lines 24 and 25 194,162 28,571 0 165,408
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 177,756
b Net investment income (if negative, enter -0-) 343,345
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......... 5,799 9,136 9,136
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,237,761 Click to see attachment670,504 895,643
c Investments—corporate bonds (attach schedule)....... 573,918    
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 329,033 Click to see attachment1,644,629 1,423,827
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) 2,146,511 2,324,269 2,328,606
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........ 2,146,511 2,324,269
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 2,146,511 2,324,269
30 Total liabilities and net assets/fund balances (see instructions). 2,146,511 2,324,269
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
2,146,511
2
Enter amount from Part I, line 27a .....................
2
177,756
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2
4
Add lines 1, 2, and 3 ..........................
4
2,324,269
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,324,269
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 520. ENBRIDGE INC   2019-03-22 2021-11-09
b 20. INTUIT INC COMMON STOCK   2020-04-23 2021-11-09
c 647.723 NUVEEN REAL ESTATE SECS I   2010-03-02 2021-11-09
d 150. SPLUNK INC   2020-04-23 2021-11-09
e 242. TRADE DESK INC THE CLASS A   2020-04-23 2021-11-09
.4971 WARNER BROS DISCOVERY INC SERIES A   2019-03-22 2022-04-26
50. AMERICAN TOWER CORP     2022-04-28
110. BP PLC SPONSORED ADR   2019-03-22 2022-04-28
258. COTERRA ENERGY INC     2022-04-28
25. COSTCO WHOLESALE CORP COM   2017-07-31 2022-04-28
1. EQUIFAX INC COM   1911-11-11 2022-04-28
328. ISHARES MSCI EAFE VALUE ETF   2018-09-28 2022-04-28
40. PIONEER NAT RES CO COM W/RIGHTS ATTACHED EXP 7/31/2011   2019-01-23 2022-04-28
17. ROPER INDS INC   2020-04-23 2022-04-28
6242.718 TIAA CREF INFLATION LNKD BD FD ADV     2022-04-28
155. ATT INC   2019-03-22 2022-06-10
80. ABBVIE INC   2019-05-08 2022-06-10
17. ALPHABET INC CL A     2022-06-10
208. AMAZON COM INC COM     2022-06-10
114. BANK OF AMERICA CORP     2022-06-10
54. BOEING CO   2020-04-23 2022-06-10
184. CENTENE CORP COM   2020-04-23 2022-06-10
250. CITIGROUP INC     2022-06-10
55. COGNEX CORP     2022-06-10
13. COPART INC COM   2020-04-23 2022-06-10
20. COSTCO WHOLESALE CORP COM     2022-06-10
817. DELTA AIR LINES INC     2022-06-10
66. EDWARDS LIFESCIENCES CORP COM     2022-06-10
210. ELECTRONIC ARTS   2020-04-23 2022-06-10
75. FACEBOOK INC A     2022-06-10
86. FIDELITY NATIONAL INFO SERV   2016-12-28 2022-06-10
180. FOOT LOCKER INC COM     2022-06-10
442. HORMEL FOODS CORPORATIONCOM     2022-06-10
170. INTEL CORP   2019-03-22 2022-06-10
149. MATCH GROUP INC NEW   2020-04-23 2022-06-10
99. MICROSOFT CORP COM     2022-06-10
70. MOHAWK INDS INC COM     2022-06-10
10. PAYPAL HOLDINGS INC   2018-12-19 2022-06-10
70. RINGCENTRAL INC     2022-06-10
20. S P GLOBAL INC   2016-04-04 2022-06-10
298. SCHWAB CHARLES CORP COM NEW     2022-06-10
58. SERVICENOW INC     2022-06-10
18. SQUARE INC A   2018-04-11 2022-06-10
288. TC ENERGY CORP     2022-06-10
156. TRADE DESK INC THE CLASS A   2020-04-23 2022-06-10
57. TRANSDIGM GROUP INC     2022-06-10
29. TRANSUNION   2018-12-19 2022-06-10
48. TYLER TECHNOLOGIES INC     2022-06-10
45. UNITEDHEALTH GRP INC COM     2022-06-10
1938. VIATRIS INC   2020-04-23 2022-06-10
14. WAL MART STORES INC COM   2019-03-22 2022-06-10
37. WARNER BROS DISCOVERY INC SERIES A   2019-03-22 2022-06-10
125. WESTERN DIGITAL CORP COM   2019-01-23 2022-06-10
64. APTIV PLC     2022-06-10
48. CHUBB LTD     2022-06-10
130. LYONDELLBASELL INDUSTRIES CL A   2019-06-17 2022-06-10
58. ALBEMARLE CORP   2022-06-10 2022-09-28
36. AMGEN INC COMMON STOCK   2022-06-10 2022-09-28
34. APPLE COMPUTER INC COM   2020-04-23 2022-09-28
123. GILEAD SCIENCES INC COM   2022-06-10 2022-09-28
105. GILEAD SCIENCES INC COM   2019-05-08 2022-09-28
500. ISHARES CORE U.S. AGGREGATE BOND ETF     2022-09-28
75. NEXTERA ENERGY INC   2022-06-10 2022-09-28
10. UNITEDHEALTH GRP INC COM   2016-01-21 2022-09-28
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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 22,067   18,968 3,099
b 12,281   5,320 6,961
c 15,856   9,323 6,533
d 25,923   20,065 5,858
e 22,969   6,346 16,623
10   15 -5
12,536   5,882 6,654
3,213   4,821 -1,608
7,488   5,855 1,633
14,026   3,922 10,104
24     24
15,749   17,076 -1,327
9,418   5,830 3,588
8,243   5,412 2,831
73,477   68,816 4,661
3,214   3,680 -466
11,528   6,278 5,250
38,041   14,927 23,114
22,902   7,756 15,146
3,799   2,101 1,698
6,908   7,607 -699
14,737   12,897 1,840
11,979   15,531 -3,552
2,490   2,199 291
1,411   900 511
9,326   2,949 6,377
28,868   24,872 3,996
6,184   2,303 3,881
28,245   24,270 3,975
13,274   7,526 5,748
8,473   6,588 1,885
5,417   10,227 -4,810
20,259   13,543 6,716
6,687   9,166 -2,479
11,509   11,796 -287
25,266   7,404 17,862
9,330   8,422 908
792   871 -79
3,819   5,377 -1,558
6,706   1,968 4,738
18,674   9,875 8,799
27,543   6,905 20,638
1,280   872 408
16,360   9,820 6,540
7,707   4,091 3,616
33,293   13,253 20,040
2,313   1,653 660
16,325   8,313 8,012
21,967   6,249 15,718
21,719   30,533 -8,814
1,713   1,381 332
552   1,137 -585
6,814   4,676 2,138
6,548   4,224 2,324
9,780   6,167 3,613
13,415   11,085 2,330
15,584   13,789 1,795
8,267   8,681 -414
4,972   2,373 2,599
7,800   7,489 311
6,658   6,923 -265
48,321   51,238 -2,917
6,176   5,740 436
5,065   1,133 3,932
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
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      56,212
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      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
      56,212
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       3,099
b       6,961
c       6,533
d       5,858
e       16,623
      -5
      6,654
      -1,608
      1,633
      10,104
      24
      -1,327
      3,588
      2,831
      4,661
      -466
      5,250
      23,114
      15,146
      1,698
      -699
      1,840
      -3,552
      291
      511
      6,377
      3,996
      3,881
      3,975
      5,748
      1,885
      -4,810
      6,716
      -2,479
      -287
      17,862
      908
      -79
      -1,558
      4,738
      8,799
      20,638
      408
      6,540
      3,616
      20,040
      660
      8,012
      15,718
      -8,814
      332
      -585
      2,138
      2,324
      3,613
      2,330
      1,795
      -414
      2,599
      311
      -265
      -2,917
      436
      3,932
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 303,093
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 4,772
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 4,772
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 876
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 3,896
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,772
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
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)
    bulletMO
    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 addressbulletN/A
    14
    The books are in care ofbulletUS BANK NA Telephone no.bullet (314) 418-8330

    Located atbulletPO BOX 0634MILWAUKEEWI ZIP+4bullet53201
    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
    US BANK NA TRUSTEE
    1     		30,413    
    PO BOX 387
    ST LOUIS,MO63166
    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
    2,834,771
    b
    Average of monthly cash balances.......................
    1b
    38,293
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,873,064
    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
    2,873,064
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    43,096
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,829,968
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    141,498
    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
    141,498
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,772
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,772
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    136,726
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    136,726
    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
    136,726
    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 7 136,726
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 109,835
    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$ 165,408
    a Applied to 2020, but not more than line 2a 109,835
    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..... 55,573
    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 ..........     		81,153
    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
    GEORGIA BROWN BLOSSER HOME FOR AGED
    104 N BRUNSWICK
    MARSHALL,MO653403358     		NONE PC GENERAL OPERATING 159,867
    Total .................................bullet 3a 159,867
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 303,093  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER INCOME     		    1 35  
    bRBC CAPITAL INCOME     1 661  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   371,918  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    371,918
    (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 AccountingFeesSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018192
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 2,500     2,500

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018192
    Name of Bond End of Year Book Value End of Year Fair Market Value
    024932154 AMERICAN CENTURY HIG    
    31420B300 FEDERATED HERMES INS    
    024932600 AMERICAN CENTURY DIV    
    057071854 BAIRD AGGREGATE BOND    
    72369L107 PIONEER ILS INTERVAL    
    258620103 DOUBLELINE TOTAL RET    
    74440B884 PGIM TOTAL RETURN BO    
    464287226 ISHARES CORE U.S. AG    

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018192
    Name of Stock End of Year Book Value End of Year Fair Market Value
    00206R102 ATT INC    
    902252105 TYLER TECHNOLOGIES I    
    46625H100 J P MORGAN CHASE CO 22,781 23,408
    024835100 AMERICAN CAMPUS COMM    
    893641100 TRANSDIGM GROUP INC 2,769 6,823
    060505104 BANK OF AMERICA CORP 12,131 23,435
    28176E108 EDWARDS LIFESCIENCES 2,051 5,454
    81762P102 SERVICENOW INC 987 5,287
    56585A102 MARATHON PETROLEUM C 25,972 47,281
    037833100 APPLE INC 19,307 67,165
    808513105 SCHWAB CHARLES CORP 4,086 10,924
    779556109 ROWE T PRICE MID-CAP    
    03027X100 AMERICAN TOWER CORP 11,034 24,046
    57636Q104 MASTERCARD INC 10,846 15,070
    22160K105 COSTCO WHSL CORP 6,004 20,308
    30303M102 FACEBOOK INC A 5,173 7,734
    N59465109 MYLAN NV    
    701877102 PARSLEY ENERGY INC-C    
    91324P102 UNITED HEALTH GROUP 4,419 19,697
    315910620 FIDELITY INVT TR AD    
    02079K305 ALPHABET INC CL A 7,247 21,043
    023135106 AMAZON.COM INC 9,089 39,776
    149498107 CAUSEWAY EMERGING MA    
    31620M106 FIDELITY NATIONAL IN    
    78409V104 S P GLOBAL INC 3,935 12,214
    594918104 MICROSOFT CORP 10,937 58,225
    440452100 HORMEL FOODS CORP    
    931142103 WAL MART STORES INC 14,156 25,551
    127097103 CABOT OIL GAS CORP C    
    848637104 SPLUNK INC    
    247361702 DELTA AIR LINES INC    
    670678507 NUVEEN REAL ESTATE S    
    H1467J104 CHUBB LTD 9,153 16,005
    852234103 SQUARE INC A 1,066 1,210
    958102105 WESTERN DIGITAL CORP    
    15135B101 CENTENE CORP COM 6,379 7,081
    87807B107 TC ENERGY CORP    
    G6095L109 APTIV PLC 1,686 2,033
    76680R206 RINGCENTRAL INC    
    375558103 GILEAD SCIENCES INC 9,559 9,685
    N53745100 LYONDELLBASELL INDUS    
    70450Y103 PAYPAL HOLDINGS INC 6,065 6,025
    608190104 MOHAWK INDS INC CO    
    458140100 INTEL CORP    
    20030N101 COMCAST CORP CL A 23,354 16,190
    92826C839 VISA INC 15,794 15,811
    464288877 ISHARES MSCI EAFE VA    
    192422103 COGNEX CORP    
    808524847 SCHWAB US REIT ETF    
    344849104 FOOT LOCKER INC    
    055622104 BP PLC SPON A D R    
    46434G103 ISHARES CORE MSCI EM    
    89400J107 TRANSUNION 3,477 3,629
    29250N105 ENBRIDGE INC    
    172967424 CITIGROUP INC    
    00287Y109 ABBVIE INC    
    776696106 ROPER INDS INC 7,475 6,833
    57667L107 MATCH GROUP INC NEW 13,300 8,022
    88339J105 TRADE DESK INC THE C 2,150 4,900
    461202103 INTUIT INC 2,680 2,711
    285512109 ELECTRONIC ARTS INC    
    217204106 COPART INC COM 3,945 6,065
    G5960L103 MEDTRONIC PLC 21,260 18,007
    79466L302 SALESFORCE COM INC 5,859 5,466
    097023105 BOEING CO    
    92556V106 VIATRIS INC    
    723787107 PIONEER NAT RES CO    
    595112103 MICRON TECHNOLOGY IN 3,901 3,106
    G5494J103 LINDE PLC 7,813 6,740
    278865100 ECOLAB INC 6,087 5,488
    882508104 TEXAS INSTRUMENTS IN 23,222 22,598
    907818108 UNION PACIFIC CORP 6,368 5,845
    031162100 AMGEN INC 10,369 9,692
    67066G104 NVIDIA CORP 5,818 4,127
    29444U700 EQUINIX INC 3,265 2,844
    12572Q105 CME GROUP INC 6,428 5,668
    09247X101 BLACKROCK INC 23,097 20,360
    559222401 MAGNA INTL INC CL 13,542 10,385
    855244109 STARBUCKS CORP 10,220 11,291
    617446448 MORGAN STANLEY 13,332 13,511
    29786A106 ETSY INC 1,979 2,603
    20825C104 CONOCOPHILLIPS 8,419 7,368
    012653101 ALBEMARLE CORP 21,635 24,064
    149123101 CATERPILLAR INC 27,711 21,002
    717081103 PFIZER INC 16,862 14,660
    00724F101 ADOBE SYS INC 6,335 4,403
    17275R102 CISCO SYSTEMS INC 11,005 10,040
    086516101 BEST BUY CO INC 8,657 7,537
    009066101 AIRBNB INC CL A 5,421 5,147
    65339F101 NEXTERA ENERGY INC 9,108 9,331
    437076102 HOME DEPOT INC 19,747 18,764
    98419M100 XYLEM INC 5,731 6,203
    G1151C101 ACCENTURE PLC CL A 19,117 16,982
    438516106 HONEYWELL INTERNATIO 21,414 19,035
    87612E106 TARGET CORP 9,780 9,645
    92343V104 VERIZON COMMUNICATIO 9,221 6,835
    620076307 MOTOROLA SOLUTIONS I 11,173 11,870
    002824100 ABBOTT LABORATORIES 17,601 15,385

    TY 2021 InvestmentsOtherSchedule2
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018192
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    87245P668 TIAA CREF INFLATION      
    641224415 NEUBERGER BERMAN EME      
    464287804 ISHARES CORE S P SMA AT COST 56,855 58,679
    949915482 ALLSPRING SPECIAL MI AT COST 136,605 149,704
    06828M876 BARON EMERGING MARKE AT COST 66,757 39,987
    024932600 AMERICAN CENTURY DIV AT COST 88,205 77,126
    524686524 CLEARBRIDGE INTERNAT AT COST 84,566 63,489
    779556109 ROWE T PRICE MID-CAP AT COST 142,290 140,752
    024932154 AMERICAN CENTURY HIG AT COST 87,430 71,434
    74440B884 PGIM TOTAL RETURN BO AT COST 167,987 132,238
    149498107 CAUSEWAY EMERGING MA AT COST 51,868 35,566
    36381Y108 MONDRIAN INTERNATION AT COST 59,168 44,080
    31420B300 FEDERATED HERMES INS AT COST 81,410 70,138
    46434G103 ISHARES CORE MSCI EM AT COST 83,358 70,272
    72369L107 PIONEER ILS INTERVAL AT COST 50,000 43,446
    670678507 NUVEEN REAL ESTATE S AT COST 20,955 23,543
    808524847 SCHWAB US REIT ETF AT COST 51,927 41,679
    315910620 FIDELITY INVT TR AD AT COST 94,029 90,957
    464287226 ISHARES CORE U.S. AG AT COST 187,396 165,512
    464288877 ISHARES MSCI EAFE VA AT COST 133,823 105,225

    TY 2021 OtherExpensesSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018192
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADR FEES 1 1   0


    TY 2021 OtherIncomeSchedule2
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018192
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 35 35  
    RBC CAPITAL INCOME 661 661  


    TY 2021 OtherIncreasesSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018192
    Description Amount
    ROUNDING 2


    TY 2021 TaxesSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018192
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 692 692   0
    FEDERAL ESTIMATES - PRINCIPAL 183 0   0
    FOREIGN TAXES ON NONQUALIFIED 506 506   0