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 11-01-2021 , and ending 10-31-2022
Name of foundation
DAVID R CLARE & MARGARET C CLARE
FOUNDATION C/O PORZIO BROMBERG & NEWMAN
Number and street (or P.O. box number if mail is not delivered to street address)100 SOUTHGATE PARKWAY PO BOX 199
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MORRISTOWN, NJ079621997
A Employer identification number

65-0300004
B Telephone number (see instructions)

(973) 538-4006
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$46,489,888
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 1,368,149 1,368,149  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 5,294,817
b Gross sales price for all assets on line 6a 29,215,960
7 Capital gain net income (from Part IV, line 2)... 5,235,160
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 6,662,966 6,603,309  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 1,033,606 436,181   597,425
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 93,705 46,853   46,852
16a Legal fees (attach schedule)......... 234,192 117,096   117,096
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 118,038 59,019   59,019
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 55,218 218   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 150,636 75,318   75,318
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 209,907 204,753   5,154
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,895,302 939,438   900,864
25 Contributions, gifts, grants paid....... 13,467,167 13,467,167
26 Total expenses and disbursements. Add lines 24 and 25 15,362,469 939,438   14,368,031
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -8,699,503
b Net investment income (if negative, enter -0-) 5,663,871
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets 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 -2
2 Savings and temporary cash investments......... 3,748,574 3,574,380 3,574,380
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 110,370 72 72
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 71,293 Click to see attachment1,480 17,397
c Investments—corporate bonds (attach schedule)....... 51,416,608 Click to see attachment46,733,630 42,898,041
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 3,971,457 0 0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment-24,564 Click to see attachment0 Click to see attachment0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 59,293,738 50,309,560 46,489,888
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) Click to see attachment0 Click to see attachment2,384
23 Total liabilities (add lines 17 through 22)......... 0 2,384
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........ 46,385,695 59,293,738
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 12,908,043 -8,986,562
29 Total net assets or fund balances (see instructions)..... 59,293,738 50,307,176
30 Total liabilities and net assets/fund balances (see instructions). 59,293,738 50,309,560
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
59,293,738
2
Enter amount from Part I, line 27a .....................
2
-8,699,503
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
50,594,235
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
287,059
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
50,307,176
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 2,500,000 SHS UST NTS 2.125% 12/31/22 P 2021-11-15 2022-08-31
b 1,700,000 SHS UST NTS 2.125% 12/31/22 P 2022-01-28 2022-08-31
c 2,500,000 SHS UST NTS .125% 1/31/23 P 2022-01-24 2022-08-31
d 200,000 SHS AGILENT 3.875% 7/15/23 P 2020-09-14 2022-05-04
e 100,000 SHS ALTERA COR 4.1% 11/15/23 P 2020-02-27 2022-09-06
1,170,000 SHS UTS NTS .125% 11/30/22 P 2021-07-26 2022-08-31
1,500,000 SHS UST NTS .125% 1/31/23 P 2021-07-26 2022-08-31
750,000 SHS AFLAC INC 3.625% 11/15/24 P 2021-07-26 2022-09-30
100,000 SHS UNIONBANCA 3.5% 6/18/22 P 2020-09-18 2021-11-16
50,000 SHS 8VFC 2.05% 4/23/22 P 2020-08-07 2021-12-06
500,000 SHS SYNCHRONY 2,85% 7/25/22 P 2021-10-26 2022-06-27
100,000 SHS ARES CAP 3.625% 1/19/22 P 2020-02-06 2021-12-23
200,000 SHS ASTRAZEN 2.375% 6/12/22 P 2020-09-18 2022-06-13
100,000 SHS BP CAP MA 2.75% 5/10/23 P 2020-02-04 2022-08-24
100,000 SHS BB&T CORP 2.75% 4/1/22 P 2020-02-05 2022-03-01
200,000 SHS BLACKROCK 3.375% 6/1/22 P 2020-09-15 2022-06-01
250,000 SHS WALT DISNEY 1.65% 9/1/22 P 2020-11-20 2022-09-01
250,000 SHS FRC 2.5% 6/6/22 P 2021-01-13 2022-05-06
415,000 SHS UST NTS 2.625% 12/15/21 P 2020-01-22 2021-12-15
500,000 SHS UST NTS 2.875% 11/15/21 P 2020-04-17 2021-11-15
100,000 SHS CVS HEALTH 3.5% 7/20/22 P 2020-02-06 2022-05-31
500,000 SHS ORIX CORP 2.9% 7/18/22 P 2021-04-12 2022-07-19
150,000 SHS ERP OPERATIN 3% 4/15/23 P 2020-10-30 2022-08-19
100,000 SHS IBM 2.85% 5/13/22 P 2020-02-05 2022-05-13
100,000 SHS LLOYD'S BA 2.25% 8/14/22 P 2020-12-30 2022-08-15
650,000 SHS LLOYD'S BA 2.25% 8/14/22 P 2021-07-26 2022-08-15
250,000 SHS KEY BANK 2.3% 9/14/22 P 2020-09-15 2022-09-14
500,000 SHS KEY BANK 2.3% 4/15/22 P 2021-07-26 2022-09-14
200,000 SHS KROGER CO 3.4% 4/15/22 P 2020-08-26 2022-01-18
100,000 SHS MORGAN 2.625% 11/17/21 P 2020-01-23 2021-11-17
100,000 SHS TD AMERI 2.95% 4/1/22 P 2020-02-04 2022-04-01
475,000 SHS PACCAR FINAN 2% 9/26/22 P 2021-01-28 2022-09-26
100,000 SHS PUBLIC STOR 2.37% 9/15/22 P 2020-01-24 2022-08-15
100,000 SHS US BANCORP 2.95% 7/15/22 P 2020-07-22 2022-06-15
100,000 SHS MUFG UNIO 3.15% 4/1/22 P 2020-02-27 2022-03-01
50,000 SHS VFC 2.05% 4/23/22 P 2020-08-07 2021-11-09
50,000 SHS VFC 2.05% 4/23/22 P 2020-08-07 2022-04-25
CALL 44 JNJ $170 11/19/21 P 2021-10-19 2021-11-15
CALL 44 JNJ $170 12/17/21 P 2021-11-15 2021-11-30
CALL 110 JNJ $175 12/17/21 P 2021-09-20 2021-11-29
CALL 44 JNJ $175 12/17/21 P 2021-11-02 2021-11-29
4,321 SHS JNJ P 1992-12-08 2021-12-17
6,000 SHS JNJ P 1993-12-01 2021-12-17
1,479 SHS JNJ P 1993-12-01 2021-12-17
2,183 SHS JNJ P 1991-12-06 2021-12-23
5,817 SHS JNJ P 1992-12-08 2021-12-23
2,575 SHS AT&T INC P 2021-05-18 2021-12-29
1,550 SHS AT&T INC P 2021-05-18 2021-12-29
675 SHS AT&T INC P 2021-11-08 2021-12-29
2,725 SHS BARRICK GOLD CORP P 2021-03-04 2021-12-29
400 SHS DISCOVERY INC P 2021-03-26 2021-12-29
2,175 SHS DISCOVERY INC P 2021-04-29 2021-12-29
700 SHS EXELON CORP P 2021-03-17 2021-12-29
1,280 SHS EXELON CORP P 2021-03-17 2021-12-29
88 SHS META PLATFORMS INC P 2021-10-28 2021-12-29
550 SHS DOLLAR TREE STORES INC P 2021-06-10 2021-12-29
29 SHS DOLLAR TREE STORES INC P 2021-06-09 2021-12-29
546 SHS DOLLAR TREE STORES INC P 2021-06-03 2021-12-29
550 SHS GLOBAL PAYMENTS INC P 2021-11-17 2021-12-29
225 SHS GLOBE LIFE INC P 2021-11-16 2021-12-29
1,565 SHS HONDA MOTOR CO LTD P 2021-03-24 2021-12-29
375 RAYTHEON TECH P 2021-02-12 2021-12-29
2,050 SHS SANOFI ADR P 2021-04-06 2021-12-29
2,027 SHS TOTAL ENERGIES SE ADR P 2021-03-15 2021-12-29
2,000 SHS VERIZON COMM P 2021-01-14 2021-12-29
3,775 SHS WILLIAMS CO P 2021-03-15 2021-12-29
4,010 SHS AGNC INVESTMENT CORP P 2020-05-18 2021-12-29
470 SHS AMERICAN EXPRESS CO P 2020-04-24 2021-12-29
2,275 SHS COTERRA ENERCOTTERA P 2020-10-19 2021-12-29
1,450 SHS CISCO SYSTEMS INC P 2020-11-09 2021-12-29
6,350 SHS EMPIRE STATE REALTY P 2020-05-14 2021-12-29
555 SHS EXXON MOBIL CORP P 2020-08-10 2021-12-29
81 SHS META PLATFORMS INC A P 2018-12-28 2021-12-29
50 SHS META PLATFORMS INC A P 2020-04-22 2021-12-29
25 SHS GENL DYNAMICS CORP COM P 2020-04-24 2021-12-29
475 SHS GENL DYNAMICS CORP COM P 2020-09-23 2021-12-29
2,550 SHS GLAXOSMITHKLINE PLC P 2020-10-21 2021-12-29
1,250 SHS GLAXOSMITHKLINE PLC P 2020-12-09 2021-12-29
1,400 SHS HARTFORD FINL SVCS GRP P 2020-09-21 2021-12-29
72 SHS GLOBE LIFE INC P 2020-08-25 2021-12-29
813 SHS GLOBE LIFE INC P 2020-06-26 2021-12-29
658 SHS AMERISOURCEBERGEN CORP P 2018-12-28 2021-12-29
1,100 SHS INGREDION INC P 2020-12-03 2021-12-29
80 SHS JNJ P 1992-12-08 2021-12-29
520 SHS JNJ P 1992-12-08 2021-12-29
1,605 SHS KROGER CO P 2020-12-09 2021-12-29
225 SHS LOWES CO P 2020-04-24 2021-11-08
310 SHS MCKESSON CORP P 2017-03-09 2021-12-29
900 SHS NATL FUEL GAS CO P 2020-04-24 2021-12-29
1,430 SHS OGE ENERGY CO P 2020-12-28 2021-12-29
250 SHS PPL CORP P 2020-04-22 2021-12-29
1,300 SHS PPL CORP P 2020-04-24 2021-12-29
1,300 SHS PPL CORP P 2020-06-12 2021-12-29
415 SHS PNC FINL SRVCS P 2020-09-04 2021-12-29
340 SHS PPG INDS INC P 2020-04-24 2021-12-29
1,050 SHS SCHWAB CHARLES CORP P 2020-03-12 2021-12-29
625 SHS TRAVELERS COS INC P 2020-04-24 2021-12-29
1,093 SHS TRUIST FINL CORP P 2020-04-24 2021-12-29
140 SHS UPS P 2020-03-03 2021-12-29
300 SHS UPS P 2020-04-24 2021-12-29
1,595 SHS US BANCORP P 2020-09-04 2021-12-29
385 SHS VERIZON COMM P 2020-05-28 2021-12-29
200 SHS VERIZON COMM P 2020-03-19 2021-12-29
1,675 SHS WALGREEN BOOTS P 2020-09-25 2021-12-29
230 SHS WELLS FARGO & CO P 2020-04-24 2021-12-29
1,800 SHS WELLS FARGO & CO P 2020-11-13 2021-12-29
173 SHS ADOBE SYSTEMS INC P 2021-06-10 2021-12-29
55 SHS ADVANCED MICRO DEVICES P 2021-10-22 2021-12-29
11 SHS ALPHABET INC CL A P 2021-07-23 2021-12-29
4 SHS ALPHABET INC CL A P 2021-10-22 2021-12-29
29 SHS ALPHABET INC CL A P 2021-12-22 2021-12-29
15 SHS AMAZON COM INC P 2021-11-18 2021-12-29
7 SHS AMAZON COM INC P 2021-11-19 2021-12-29
7 SHS APPLE INC P 2021-11-18 2021-12-29
65 SHS APPLE INC P 2021-12-10 2021-12-29
9 SHS AUTODESK INC P 2021-10-22 2021-11-24
12 SHS BILL.COM HLDGS INC P 2021-08-30 2021-12-23
6 SHS BILL.COM HLDGS INC P 2021-11-18 2021-12-23
87 SHS BILL.COM HLDGS INC P 2021-08-30 2021-12-29
142 SHS CDW CORP P 2021-05-13 2021-12-29
11 SHS CHIPOTLE MEXICAN GRILL P 2021-06-24 2021-12-29
9 SHS CHIPOTLE MEXICAN GRILL P 2021-06-24 2021-12-29
21 SHS CONSTELLATION BRANDS A P 2021-09-19 2021-12-29
9 SHS COSTAR GRP INC P 2021-07-30 2021-12-29
26 SHS DANAHER CORP P 2021-11-23 2021-12-29
120 SHS DATADOG INC CL A P 2021-12-23 2021-12-29
13 SHS DEXCOM INC P 2020-12-08 2021-11-23
145 SHS DIAMONDBACK ENERGY INC P 2021-09-28 2021-12-29
17 DIAMONDBACK ENERGY INC P 2021-10-08 2021-12-29
46 SHS DISCOVER FINL P 2021-06-25 2021-11-04
78 SHS DISCOVER FINL P 2021-09-03 2021-11-04
261 SHS EATON CORP P 2021-02-01 2021-12-29
37 SHS ENTEGRIS INC P 2021-10-22 2021-12-29
96 SHS GARTNER INC NEW P 2021-08-12 2021-12-29
4 SHS MONOLITHIC POWER SYSTEMS P 2021-10-22 2021-11-04
23 SHS CROWN HLDGS INC P 2021-09-26 2021-12-29
4 SHS INTUIT INC P 2021-10-22 2021-12-29
72 SHS MSCI INC P 2021-03-02 2021-12-29
10 SHS MSCI INC P 2021-10-04 2021-12-29
4 SHS MSCI INC P 2021-10-29 2021-12-29
381 SHS LKQ CORP P 2021-10-14 2021-12-29
117 SHS LKQ CORP P 2021-11-17 2021-12-29
49 SHS LPL FINL HLDGS P 2021-09-28 2021-12-29
784 SHS MARVELL TECH INC P 2021-01-08 2021-12-29
36 SHS MICROSOFT CORP P 2021-12-22 2021-12-29
8 SHS MOTOROLA SOLUTIONS INC P 2021-05-06 2021-12-29
94 SHS MOTOROLA SOLUTIONS INC P 2021-05-06 2021-12-29
309 SHS NVIDIA CORP P 2021-11-04 2021-12-29
21 SHS NVIDIA CORP P 2021-11-18 2021-12-29
64 SHS NETFLIX.COM INC P 2021-10-05 2021-12-29
19 SHS NETFLIX.COM INC P 2021-10-22 2021-12-29
157 SHS NIKE INC CL B P 2021-06-25 2021-12-15
331 SHS NIKE INC CL B P 2021-06-25 2021-12-29
65 SHS PALO ALTO NETWORKS INC P 2021-12-22 2021-12-29
193 SHS QUALCOMM INC P 2021-04-29 2021-12-29
296 SHS QUANTA SVCS INC P 2021-03-10 2021-12-29
163 SHS ROBLOX CORP P 2021-06-23 2021-12-29
20 SHS ROYAL CARRIBEAN CRUISES P 2021-06-23 2021-11-26
99 SHS ROYAL CARRIBEAN CRUISES P 2021-07-09 2021-11-26
3 SHS ROYAL CARRIBEAN CRUISES P 2021-07-30 2021-11-26
227 SHS ROYAL CARRIBEAN CRUISES P 2021-07-30 2021-12-29
140 SHS ROYAL CARRIBEAN CRUISES P 2021-08-05 2021-12-29
42 SHS TAKE-TWO INTERACTIVE P 2021-10-22 2021-12-29
18 SHS TELEFLEX INC P 2021-06-25 2021-12-29
18 SHS TELEFLEX INC P 2021-06-25 2021-12-29
2 SHS TELEFLEX INC P 2021-06-25 2021-12-29
15 SHS TELEFLEX INC P 2021-08-13 2021-12-29
38 SHS TESLA INC P 2021-11-30 2021-12-29
10 SHS TRANSDIGM GRP INC P 2021-07-09 2021-12-29
7 SHS TRANSDIGM GRP INC P 2021-06-11 2021-12-29
29 SHS TRANSDIGM GRP INC P 2021-06-09 2021-12-29
34 SHS VISA INC CL A P 2021-09-08 2021-11-04
155 SHS WASTE CONNECTIONS INC P 2020-12-31 2021-12-29
13 SHS ZEBRA TECH CL A P 2021-10-22 2021-12-29
436 SHS ADVANCED MICRO DEVICES P 2019-11-19 2021-12-29
12 SHS ALPHABET INC CL A P 2015-01-09 2021-12-29
38 SHS AMAZON COM INC P 2018-11-20 2021-12-29
171 SHS AMETEK INC P 2018-11-01 2021-12-29
1,234 SHS APPLE INC P 2016-10-10 2021-12-29
63 SHS EXPEDIA INC P 2020-10-22 2021-11-26
206 SHS EXPEDIA INC P 2020-10-22 2021-12-29
123 SHS AUTODESK INC P 2020-04-22 2021-11-24
76 SHS SERVICENOW INC P 2020-07-01 2021-12-29
194 SHS CONSTELLATION BRANDS A P 2020-04-22 2021-12-29
39 SHS CONSTELLATION BRANDS A P 2020-04-22 2021-12-29
416 SHS COSTAR GROUP INC P 2020-09-15 2021-12-29
129 SHS DANAHER CORP P 2020-07-21 2021-12-29
253 SHS DARDEN RESTAURANTS P 2020-04-24 2021-12-29
98 SHS DEXCOM INC P 2020-12-28 2021-12-29
143 SHS ENTEGRIS INC P 2020-11-06 2021-12-29
43 SHS META PLATFORMS INC A P 2018-10-31 2021-11-04
204 SHS META PLATFORMS INC A P 2016-11-17 2021-12-22
212 SHS META PLATFORMS INC A P 2018-10-31 2021-12-22
91 SHS PAYCOM SOFTWARE INC P 2020-09-29 2021-12-29
364 SHS HORIZON THERAPEUTICS PLC P 2020-06-24 2021-12-29
31 SHS MONOLITHIC POWER SYSTEMS P 2020-06-25 2021-11-04
264 SHS CROWN HOLDINGS INC P 2018-10-01 2021-12-29
72 SHS INTUIT INC P 2018-06-19 2021-12-29
64 SHS INTUIT INC P 2018-06-19 2021-12-29
319 SHS ELI LILLY & CO P 2019-07-09 2021-12-29
308 SHS MICROSOFT CORP P 2016-12-01 2021-12-29
438 SHS MICROSOFT CORP P 2016-12-09 2021-12-29
70 SHS O'REILLY AUTO INC P 2018-10-25 2021-12-29
380 SHS PHILIP MORRIS INTL INC P 2020-04-22 2021-12-29
106 SHS PHILIP MORRIS INTL INC P 2020-04-24 2021-12-29
31 SHS QUALCOMM INC P 2020-12-04 2021-12-23
106 SHS QUALCOMM INC P 2020-12-04 2021-12-29
153 SHS ROSS STORES INC P 2020-04-22 2021-12-29
213 SHS ROSS STORES INC P 2020-07-17 2021-12-29
112 SHS SBA COMMUNICATIONS CRP A P 2020-06-24 2021-12-29
285 SHS SNAP INC P 2020-07-22 2021-12-29
123 SHS TAKE-TWO INTERACTIVE P 2020-06-26 2021-12-29
31 SHS VISA INC CL A P 2019-01-31 2021-11-04
379 SHS VISA INC CL A P 2019-01-31 2021-11-17
108 SHS VISA INC CL A P 2019-01-31 2021-11-18
33 SHS ZEBRA TECH CL A P 2020-11-04 2021-12-29
2,500,000 SHS UST NTS .125% 11/30/22 P 2022-01-24 2022-08-31
(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 2,492,090   2,515,520 -23,430
b 1,694,621   1,707,774 -13,153
c 2,469,433   2,487,793 -18,360
d 202,892   200,000 2,892
e 100,388   100,000 388
1,162,322   1,169,909 -7,587
1,481,660   1,499,473 -17,813
750,000   796,031 -46,031
101,834   100,000 1,834
50,316   50,170 146
500,000   500,000 0
100,000   100,000 0
200,000   200,000 0
100,000   100,000 0
100,000   100,000 0
200,000   200,000 0
250,000   250,000 0
250,000   250,000 0
415,000   415,000 0
500,000   500,000 0
100,000   100,000 0
500,000   500,000 0
150,000   150,000 0
100,000   100,000 0
100,000   100,000 0
650,000   650,000 0
250,000   250,000 0
500,000   500,000 0
200,000   200,000 0
100,000   100,000 0
100,000   100,000 0
475,000   475,000 0
100,000   100,000 0
100,000   100,000 0
100,000   100,000 0
51,330   51,330 0
50,000   50,000 0
3,118   794 2,324
4,706   702 4,004
21,446   1,104 20,342
3,079   442 2,637
716,201   40,644 675,557
980,693   14,230 966,463
245,143   3,508 241,635
362,266   4,602 357,664
965,324   54,716 910,608
64,001   76,049 -12,048
38,525   44,880 -6,355
16,777   16,943 -166
49,922   53,701 -3,779
9,504   14,309 -4,805
51,679   70,283 -18,604
37,480   30,004 7,476
71,676   54,864 16,812
30,657   8,177 22,480
76,619   54,889 21,730
4,040   3,050 990
76,062   57,680 18,382
74,439   68,781 5,658
21,292   21,327 -35
44,155   47,272 -3,117
32,055   27,129 4,926
103,084   102,913 171
102,938   100,200 2,738
105,455   114,330 -8,875
98,213   86,722 11,491
61,969   46,015 15,954
77,341   38,433 38,908
45,258   14,230 31,028
92,423   56,648 35,775
56,492   43,003 13,489
34,024   24,540 9,484
28,219   7,527 20,692
17,419   4,646 12,773
5,176   3,231 1,945
98,344   65,889 32,455
112,617   90,828 21,789
55,204   47,275 7,929
96,684   51,107 45,577
6,813   5,175 1,638
76,934   57,837 19,097
87,155   48,296 38,859
107,103   86,233 20,870
13,619   753 12,866
88,524   4,891 83,633
71,318   50,489 20,829
52,672   22,306 30,366
76,439   46,370 30,069
57,552   37,486 20,066
54,071   44,699 9,372
7,451   6,194 1,257
38,746   32,890 5,856
38,746   34,076 4,670
83,649   46,693 36,956
58,101   31,096 27,005
89,998   30,035 59,963
98,531   62,194 36,337
64,379   38,342 26,037
30,064   13,199 16,865
64,423   29,813 34,610
90,731   60,803 29,928
20,300   21,244 -944
10,545   11,234 -689
86,215   58,206 28,009
11,197   6,175 5,022
87,628   43,317 44,311
98,350   92,273 6,077
8,293   6,602 1,691
32,360   28,692 3,668
11,767   10,999 768
85,312   84,546 766
51,020   55,143 -4,123
23,809   26,138 -2,329
1,262   1,086 176
11,714   11,554 160
2,251   2,773 -522
3,074   3,366 -292
1,537   1,945 -408
20,930   24,403 -3,473
29,378   24,015 5,363
19,263   16,267 2,996
15,761   13,336 2,425
5,233   4,667 566
718   798 -80
8,429   8,089 340
21,157   21,648 -491
7,749   4,404 3,345
15,933   13,695 2,238
1,868   1,864 4
5,250   5,676 -426
8,902   9,604 -702
44,708   31,406 13,302
5,173   5,090 83
32,114   28,998 3,116
2,132   2,075 57
2,499   2,516 -17
2,583   2,347 236
44,304   30,582 13,722
6,153   5,842 311
2,461   2,634 -173
22,605   20,847 1,758
6,942   6,932 10
7,885   7,871 14
69,463   39,241 30,222
12,372   11,922 450
2,098   1,488 610
25,526   17,480 8,046
92,048   95,088 -3,040
6,256   6,769 -513
38,826   40,621 -1,795
11,526   12,466 -940
25,459   24,107 1,352
55,924   50,825 5,099
36,204   35,837 367
36,096   27,225 8,871
33,926   25,352 8,574
15,545   13,657 1,888
1,369   1,724 -355
6,777   8,081 -1,304
205   231 -26
17,644   17,505 139
10,882   10,768 114
7,521   7,556 -35
5,649   7,303 -1,654
5,871   7,304 -1,433
664   811 -147
4,983   5,435 -452
40,905   43,284 -2,379
6,271   6,563 -292
4,389   4,306 83
18,186   18,050 136
7,104   7,686 -582
20,942   15,907 5,035
7,788   7,045 743
65,740   17,489 48,251
35,302   964 34,338
129,250   57,408 71,842
25,131   12,230 12,901
222,380   41,918 180,462
10,015   6,414 3,601
37,169   20,973 16,196
30,769   21,547 9,222
49,534   31,675 17,859
48,342   30,080 18,262
9,718   6,181 3,537
33,164   34,963 -1,799
41,822   25,091 16,731
38,158   17,458 20,700
52,222   33,201 19,021
19,992   12,336 7,656
14,426   6,651 7,775
67,444   15,882 51,562
70,089   16,505 53,584
37,749   27,271 10,478
39,428   19,647 19,781
16,525   6,906 9,619
28,683   12,631 16,052
46,485   15,025 31,460
41,321   12,967 28,354
88,583   35,957 52,626
105,845   18,187 87,658
150,520   27,077 123,443
49,353   22,872 26,481
35,685   27,614 8,071
9,954   7,817 2,137
5,650   4,719 931
19,825   16,135 3,690
17,351   12,804 4,547
24,155   18,304 5,851
43,107   32,099 11,008
13,326   6,591 6,735
22,027   17,043 4,984
6,477   4,161 2,316
77,207   50,872 26,335
21,866   14,496 7,370
19,770   10,819 8,951
2,483,594   2,491,797 -8,203
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       -23,430
b       -13,153
c       -18,360
d       2,892
e       388
      -7,587
      -17,813
      -46,031
      1,834
      146
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      0
      2,324
      4,004
      20,342
      2,637
      675,557
      966,463
      241,635
      357,664
      910,608
      -12,048
      -6,355
      -166
      -3,779
      -4,805
      -18,604
      7,476
      16,812
      22,480
      21,730
      990
      18,382
      5,658
      -35
      -3,117
      4,926
      171
      2,738
      -8,875
      11,491
      15,954
      38,908
      31,028
      35,775
      13,489
      9,484
      20,692
      12,773
      1,945
      32,455
      21,789
      7,929
      45,577
      1,638
      19,097
      38,859
      20,870
      12,866
      83,633
      20,829
      30,366
      30,069
      20,066
      9,372
      1,257
      5,856
      4,670
      36,956
      27,005
      59,963
      36,337
      26,037
      16,865
      34,610
      29,928
      -944
      -689
      28,009
      5,022
      44,311
      6,077
      1,691
      3,668
      768
      766
      -4,123
      -2,329
      176
      160
      -522
      -292
      -408
      -3,473
      5,363
      2,996
      2,425
      566
      -80
      340
      -491
      3,345
      2,238
      4
      -426
      -702
      13,302
      83
      3,116
      57
      -17
      236
      13,722
      311
      -173
      1,758
      10
      14
      30,222
      450
      610
      8,046
      -3,040
      -513
      -1,795
      -940
      1,352
      5,099
      367
      8,871
      8,574
      1,888
      -355
      -1,304
      -26
      139
      114
      -35
      -1,654
      -1,433
      -147
      -452
      -2,379
      -292
      83
      136
      -582
      5,035
      743
      48,251
      34,338
      71,842
      12,901
      180,462
      3,601
      16,196
      9,222
      17,859
      18,262
      3,537
      -1,799
      16,731
      20,700
      19,021
      7,656
      7,775
      51,562
      53,584
      10,478
      19,781
      9,619
      16,052
      31,460
      28,354
      52,626
      87,658
      123,443
      26,481
      8,071
      2,137
      931
      3,690
      4,547
      5,851
      11,008
      6,735
      4,984
      2,316
      26,335
      7,370
      8,951
      -8,203
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 5,235,160
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 78,728
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 78,728
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 72,134
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 72,134
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 6,594
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletFL
    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 ofbulletPORZIO BROMBERG AND NEWMAN PC Telephone no.bullet (973) 538-4006

    Located atbullet100 SOUTHGATE PKWAY PO BOX 1997MORRISTOWNNJ ZIP+4bullet079621997
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    CHRISTOPHER E CLAREClick to see attachment REGIONAL DIRECTOR & TRUSTE
    30.00
    235,240 9,254 0
    C/O PORZIO ET AL PO BOX 1997
    MORRISTOWN,NJ079621997
    CAROL A CLARE MANAGING DIRECTOR & TRUSTE
    30.00
    300,600 12,024 0
    C/O PORZIO ET AL PO BOX 1997
    MORRISTOWN,NJ079621997
    DAVID R CLARE JR MANAGING DIRECTOR & TRUSTEE
    30.00
    257,477 10,299 0
    C/O PORZIO ET AL PO BOX 1997
    MORRISTOWN,NJ079621997
    ROBERT B HINTON JR REGIONAL DIRECTOR & TRUSTE
    30.00
    117,789 4,712 0
    C/O PORZIO ET AL PO BOX 1997
    MORRISTOWN,NJ079621997
    MATTHEW D HINTON REGIONAL DIRECTOR & TRUSTE
    30.00
    122,500 0 0
    C/O PORZIO ET AL PO BOX 1997
    MORRISTOWN,NJ079621997
    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
    PORZIO BROMBERG ET AL ACCOUNTING/LEGAL 234,192
    100 SOUTHGATE PKWY PO BOX 1997
    MORRISTOWN,NJ079621997
    WELLS FARGO ADVISORS LLC INVESTMENT ADVISORS 199,597
    950 E PACES FERRY ROAD NE
    ATLANTA,GA30326
    SANDRA J CHAMPION CONSULTING 94,300
    620 ROSE DHU ROAD
    SAVANNAH,GA31419
    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 N/A 0
    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 N/A 0
    2  
    All other program-related investments. See instructions.
    3 Click to see attachment 0
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    55,414,538
    b
    Average of monthly cash balances.......................
    1b
    4,515,518
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    59,930,056
    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
    59,930,056
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    898,951
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    59,031,105
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    2,951,555
    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
    2,951,555
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    78,728
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    78,728
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,872,827
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,872,827
    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
    2,872,827
    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 2,872,827
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017...... 4,327,018
    c From 2018...... 4,228,439
    d From 2019...... 4,341,781
    e From 2020...... 6,267,571
    f Total of lines 3a through e ........ 19,164,809
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 14,368,031
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 2,872,827
    e Remaining amount distributed out of corpus 11,495,204
    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 30,660,013
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    30,660,013
    10 Analysis of line 9:
    a Excess from 2017.... 4,327,018
    b Excess from 2018.... 4,228,439
    c Excess from 2019.... 4,341,781
    d Excess from 2020.... 6,267,571
    e Excess from 2021.... 11,495,204
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or 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
    ALS ASSOC OF GA INC
    5881 GLENRIDGE DR SUITE 200
    ATLANTA,GA30328
    NONE PUBLIC CHARITY GENERAL SUPPORT 200,000
    ALZHEIMERS DISEASE & RELATED DISORDERS
    41 PERIMETER CENTER EAST SUITE 550
    ATLANTA,GA30326
    NONE PUBLIC CHARITY GENERAL SUPPORT 90,000
    AUBREY ROSE FOUNDATION
    3862 RACE ROAD
    CINCINNATI,OH45211
    NONE PUBLIC CHARITY GENERAL SUPPORT 15,000
    BLIND CHILDREN'S LEARNING CTR OF ORANGE CTY
    18542-B VANDERLIP AVE
    SANTA ANA,CA92705
    NONE PUBLIC CHARITY GENERAL SUPPORT 250,000
    BUCKNELL UNIVERSITY
    1 DENT DRIVE
    LEWISBURG,PA17837
    NONE PUBLIC CHARITY GENERAL SUPPORT 350,000
    CAMP SUNSHINE
    1850 CLAIRMONT ROAD
    DECATUR,GA30033
    NONE PUBLIC CHARITY GENERAL SUPPORT 100,000
    CATERINA'S CLUB
    341 E CENTER ST
    ANAHEIM,CA92805
    NONE PUBLIC CHARITY GENERAL SUPPORT 75,000
    CCH MEDICAL CENTER
    3333 BURNET AVE MLC 9012
    CINCINNATI,OH45229
    NONE PUBLIC CHARITY GENERAL SUPPORT 200,000
    CHASTIAN HORSE PARK
    4371 POWERS FERRY RD NW
    ATLANTA,GA30327
    NONE PUBLIC CHARITY GENERAL SUPPORT 150,000
    CHILDREN'S HOSPITAL OF PHILA
    PO BOX 781352
    PHILADELPHIA,PA19178
    NONE PUBLIC CHARITY GENERAL SUPPORT 25,000
    CRISTO REY ATLANTA
    222 PIEDMONT AVENUE NE
    ATLANTA,GA30308
    NONE PUBLIC CHARITY GENERAL SUPPORT 150,000
    CRISTO REY HS SACRAMENTO
    8475 JACKSON RD
    SACREMENTO,CA95826
    NONE PUBLIC CHARITY GENERAL SUPPORT 100,000
    CROHNS & COLITIS FND
    733 THIRD AVE SUITE 510
    NEW YORK,NY10017
    NONE PUBLIC CHARITY GENERAL SUPPORT 100,000
    DE MUSEUM OF NATURE & SCIENCE
    4840 KENNETT PIKE
    WILMINGTON,DE19807
    NONE PUBLIC CHARITY GENERAL SUPPORT 250,000
    DOLORES MISSION SCHOOL
    170 SOUTH GLESS ST
    LOS ANGELES,CA90033
    NONE PUBLIC CHARITY GENERL SUPPORT 72,000
    EDUCARE CENTRAL MAINE
    56 DRUMMOND AVE
    WATERVILLE,ME04901
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    EMORY UNIVERSITY FOUNDATION
    571 SOUTH KILGO CIRCLE
    ATLANTA,GA30322
    NONE PUBLIC CHARITY GENERAL SUPPORT 15,000
    ESF DREAM CAMP FDN
    750 EAST HAVERFORD RD
    BRYN MAWR,PA19010
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    FAMILY FINANCIAL RELIEF FND INC
    2246 ROSWELL AVE
    MARIETTA,GA30062
    NONE PUBLIC CHARITY GENERAL SUPPORT 100,000
    FERNSIDE INC CTR FOR GRIEVING
    4360 COOPER RD SUITE 100
    CINCINNATI,OH45242
    NONE PUBLIC CHARITY GENERAL SUPPORT 57,500
    GLYNN COUNTY - GLYNN SCHOOL
    PO BOX 2318
    BRUNSWICK,GA31521
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    GLYNN COUNTY - NEEDWOOD SCHOOL
    PO BOX 2318
    BRUNSWICK,GA31521
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    GOLDEN ISLES LEADERSHIP FOUNDATION
    1508 BAY STREET
    BRUNSWICK,GA31520
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    GOLF FORE LIFE SKILLS
    430 N GILBERT STREET
    ANAHEIM,CA92801
    NONE PUBLIC CHARITY GENERL SUPPORT 50,000
    GREEN UMBRELLA
    PO BOX 14270
    CINCINNATI,OH45250
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    GULF COAST JUNIOR GOLF TOUR
    1370 CREEKSIDE BLVD
    NAPLES,FL34108
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    HEALTHY SMILES FOR KIDS OF ORANGE COUNTY
    17511 ARMSTRONG AVE 2ND FLOOR
    IVINE,CA92614
    NONE PUBLIC CHARITY GENERAL SUPPORT 125,000
    HOAG HOSPITAL FND
    330 PLACENTIA AVE
    NEWPORT BEACH,CA92663
    NONE PUBLIC CHARITY GENERAL SUPPORT 178,000
    HOPE HOSPICE & COMM SERV INC
    9470 HEALTHPARK CIRCLE
    FORT MYERS,FL33908
    NONE PUBLIC CHARITY GENERAL SUPPORT 100,000
    HOPE HOUSE
    1 HOPE DRIVE
    TUSTIN,CA92782
    NONE PUBLIC CHARITY GENERAL SUPPORT 130,000
    ILLUMINATION FOUNDATION
    1091 NORTH BATAVIA ST
    ORANGE,CA92867
    NONE PUBLIC CHARITY GENERAL SUPPORT 150,000
    KATE'S CLUB INC
    1190 W DRUID HILLS DR NE STE T-80
    ATLANTA,GA30329
    NONE PUBLIC CHARITY GENERAL SUPPORT 150,000
    LEHIGH UNIVERSITY
    27 MEMORIAL DR W
    BETHLEHEM,PA18015
    NONE PUBLIC CHARITY GENERAL SUPPORT 153,000
    LIBERTY SCIENCE CENTER
    222 JERSEY CITY BLVD
    JERSEY CITY,NJ07301
    NONE PUBLIC CHARITY GENERAL SUPPORT 35,000
    MEDICAL UNIV OF SC
    99 JONATHAN LUCAS ST MSC 160
    CHARLESTON,SC29425
    NONE PUBLIC CHARITY GENERAL SUPPORT 300,000
    NEIGHBORHOOD HEALTH CLINIC INC
    88 12TH STREET NORTH SUITE 100
    NAPLES,FL34102
    NONE PUBLIC CHARITY GENERAL SUPPORT 260,007
    NORTH COUNTY LIFELINE INC
    3142 VISTA WAY SUITE 400
    OCEANSIDE,CA92056
    NONE PUBLIC CHARITY GENERAL SUPPORT 221,760
    OUR LADY OF ASSUMPTION CATHOLIC SCHOOL
    1320 HEARST DRIVE
    BROOKHAVEN,GA30319
    NONE PUBLIC CHARITY GENERAL SUPPORT 60,000
    PA HOME OF THE SPARROW
    969 EAST SWEDESFORD RD
    EXTON,PA19341
    NONE PUBLIC CHARITY GENERAL SUPPORT 40,000
    PHILA RONALD MCDONALD HOUSE
    3925 CHESTNUT STREET
    PHILADELPHIA,PA19104
    NONE PUBLIC CHARITY GENERAL SUPPORT 589,900
    PROJECT ACCESS INC
    2100 W ORANGEWOOD AVE SUITE 230
    ORANGE,CA92868
    NONE PUBLIC CHARITY GENERAL SUPPORT 75,000
    PROJECT HOPE SCHOOL FDN
    1954 PLACENTIA AVE SUITE 202
    COSTA MESA,CA92627
    NONE PUBLIC CHARITY GENERAL SUPPORT 150,000
    PUT ON THE BRAKES
    7148 WEDDINGTON RD NW SUITE 150
    CONCORD,NC28027
    NONE PUBLIC CHARITY GENERAL SUPPORT 60,000
    SAVE BARNEGAT BAY
    117 HAINES RD
    TOMS RIVER,NJ08753
    NONE PUBLIC CHARITY GENERAL SUPPORT 55,000
    SECOND HARVEST FOOD BANK
    8014 MARINE WAY
    IRVINE,CA92618
    NONE PUBLIC CHARITY GENERAL SUPPORT 215,000
    SESAME WORKSHOP
    1900 BROADWAY
    NEW YORK,NY10023
    NONE PUBLIC CHARITY GENERAL SUPPORT 105,000
    SISTERS OF NOTRE DAME DE NAMUR
    701 EAST COLUMBIA AVENUE
    CINCINNATI,OH45215
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    SOUTHEASTERN GUIDE DOGS
    4210 77TH STREET EAST
    PALMETTO,FL34221
    NONE PUBLIC CHARITY GENERAL SUPPORT 350,000
    SPECIAL OLYMPICS GEORGIA INC
    6046 FINANCIAL DRIVE
    NORCROSS,GA30071
    NONE PUBLIC CHARITY GENERAL SUPPORT 1,150,000
    ST JEANNE DE LESTONNAC FREE CLINIC
    1215 E CHAPMAN AVE
    ORANGE,CA92866
    NONE PUBLIC CHARITY GENERAL SUPPORT 72,000
    ST JEANNE DE LESTONNAC SCHOOL
    16791 EAST MAIN STREET
    TUSTIN,CA92780
    NONE PUBLIC CHARITY GENERAL SUPPORT 10,000
    ST MATTHEWS HOUSE
    2001 AIRPORT ROAD SOUTH
    NAPLES,FL34112
    NONE PUBLIC CHARITY GENERAL SUPPORT 100,000
    ST PIUS X CATHOLIC HS
    2674 JOHNSON RD NE
    ATLANTA,GA30345
    NONE PUBLIC CHARITY GENERAL SUPPORT 1,160,000
    ST VINCENT DE PAUL COMM PHARMACY OF CINN
    1125 BANK STREET
    CINCINNATI,OH45214
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    STEP2 MENTAL HLTH SERVICES
    3700 SAFE HARBOR WAY
    RENO,NV89512
    NONE PUBLIC CHARITY GENERAL SUPPORT 80,000
    THE DRAGONFLY FOUNDATION
    506 OAK STREET
    CINCINNATI,OH45219
    NONE PUBLIC CHARITY GENERAL SUPPORT 125,000
    THE DYNAMIC CATHOLIC INSTITUTE
    5081 OLYMPIC BLVD
    ERLANGER,KY41018
    NONE PUBLIC CHARITY GENERAL SUPPORT 55,000
    THE EPISCOPAL ACADEMY
    1785 BISHOP WHITE DR
    NEWTOWN SQUARE,PA19073
    NONE PUBLIC CHARITY GENERAL SUPPORT 70,000
    THE FOOD BANK OF NO NEVADA
    550 ITALY DR
    SPARKS,NV89437
    NONE PUBLIC CHARITY GENERAL SUPPORT 300,000
    THE GATHERING PLACE INC
    PO BOX 772
    BRUNSWICK,GA31521
    NONE PUBLIC CHARITY GENERAL SUPPORT 100,000
    THE GESU SCHOOL INC
    1700 WEST THOMPSON STREET
    PHILADELPHIA,PA19121
    NONE PUBLIC CHARITY GENERAL SUPPORT 90,000
    THE JF SHEA THERAPEUTIC RIDING CTR INC
    26284 OSO RD
    SAN JUAN CAPISTRANO,CA92675
    NONE PUBLIC CHARITY GENERAL SUPPORT 248,000
    THE SHELTER FOR ABUSED WOMEN & CHILDREN
    PO BOX 10102
    NAPLES,FL34101
    NONE PUBLIC CHARITY GENERAL SUPPORT 2,030,000
    THE SUMMIT COUNTRY DAY SCHOOL
    2161 GRANDIN ROAD
    CINCINNATI,OH45208
    NONE PUBLIC CHARITY GENERAL SUPPORT 1,010,000
    THE SUTHERS CENTER FOR CHRISTIAN FELLOWSHIP
    3110 ASHFORD DUNWOODY RD
    ATLANTA,GA30319
    NONE PUBLIC CHARITY GENERAL SUPPORT 50,000
    THE VILLAGE SCHOOL
    6000 GOODLETTE ROAD NORTH
    NAPLES,FL34109
    NONE PUBLIC CHARITY GENERAL SUPPORT 75,000
    UNIVERSITY OF CINCINNATI FOUNDATION
    PO BOX 19970
    CINCINNATI,OH45219
    NONE PUBLIC CHARITY GENERAL SUPPORT 150,000
    VERBUM DEI HS
    11100 S CENTRAL AVENUE
    LOS ANGELES,CA90059
    NONE PUBLIC CHARITY GENERAL SUPPORT 100,000
    WELLSPRING LIVING INC
    1040 BOULEVARD SE SUITE M
    ATLANTA,GA30312
    NONE PUBLIC CHARITY GENERAL SUPPORT 100,000
    WEST CHESTER FOOD CUPBOARD
    430 S BELMAR ST
    WEST CHESTER,PA19382
    NONE PUBLIC CHARITY GENERAL SUPPORT 90,000
    Total .................................bullet 3a 13,467,167
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 5,294,817  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 6,662,966 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    6,662,966
    (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.
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    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
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    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AllOthProgRltdInvestmentsSch
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Category Amount
    N/A 0

    TY 2021 CompensationExplanation
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Person Name Explanation
    CAROL A CLARE THE TRUSTEES MEET TWICE A YEAR FOR TEN FULL DAYS OF BOARD AND COMMITTEE MEETINGS. TRUSTEES ARE ALSO REQUIRED TO MAKE SITE VISITS TO FOUNDATION SUPPORTED PROJECTS AND GRANTEES. TRUSTEES ARE ALSO CALLED ON THROUGHOUT THE YEAR FOR CONSULTATION AND TO TAKE ON SPECIAL ASSIGNMENTS. TRUSTEES TYPICALLY DEVOTE 195 FULL DAYS PER YEAR TO OVERSIGHT AND REVIEW OF THE FOUNDATION'S OPERATIONS, PROGRAMS AND INVESTMENTS. THE MANAGING DIRECTOR OF THE FOUNDATION DEVOTES AT LEAST ANOTHER 65 DAYS OR MORE ANNUALLY IN MANAGING THE WORK OF THE BOARD AND INTERFACING WITH THE OTHER TRUSTEES AND, THEREFORE, RECEIVES A SUPPLEMENTAL PAYMENT OF $90,000 ANNUALLY.
    DAVID R CLARE JR THE TRUSTEES MEET TWICE A YEAR FOR TEN FULL DAYS OF BOARD AND COMMITTEE MEETINGS. TRUSTEES ARE ALSO REQUIRED TO MAKE SITE VISITS TO FOUNDATION SUPPORTED PROJECTS AND GRANTEES. TRUSTEES ARE ALSO CALLED ON THROUGHOUT THE YEAR FOR CONSULTATION AND TO TAKE ON SPECIAL ASSIGNMENTS. TRUSTEES TYPICALLY DEVOTE 195 FULL DAYS PER YEAR TO OVERSIGHT AND REVIEW OF THE FOUNDATION'S OPERATIONS, PROGRAMS AND INVESTMENTS. THE MANAGING DIRECTOR OF THE FOUNDATION DEVOTES AT LEAST ANOTHER 65 DAYS OR MORE ANNUALLY IN MANAGING THE WORK OF THE BOARD AND INTERFACING WITH THE OTHER TRUSTEES AND, THEREFORE, RECEIVES A SUPPLEMENTAL PAYMENT OF $90,000 ANNUALLY.
    CHRISTOPHER E CLARE THE TRUSTEES MEET TWICE A YEAR FOR TEN FULL DAYS OF BOARD AND COMMITTEE MEETINGS. TRUSTEES ARE ALSO REQUIRED TO MAKE SITE VISITS TO FOUNDATION SUPPORTED PROJECTS AND GRANTEES. TRUSTEES ARE ALSO CALLED ON THROUGHOUT THE YEAR FOR CONSULTATION AND TO TAKE ON SPECIAL ASSIGNMENTS. TRUSTEES TYPICALLY DEVOTE 195 FULL DAYS PER YEAR TO OVERSIGHT AND REVIEW OF THE FOUNDATION'S OPERATIONS, PROGRAMS AND INVESTMENTS. THE MANAGING DIRECTOR OF THE FOUNDATION DEVOTES AT LEAST ANOTHER 65 DAYS OR MORE ANNUALLY IN MANAGING THE WORK OF THE BOARD AND INTERFACING WITH THE OTHER TRUSTEES AND, THEREFORE, RECEIVES A SUPPLEMENTAL PAYMENT OF $90,000 ANNUALLY.
    ROBERT B HINTON JR THE TRUSTEES MEET TWICE A YEAR FOR TEN FULL DAYS OF BOARD AND COMMITTEE MEETINGS. TRUSTEES ARE ALSO REQUIRED TO MAKE SITE VISITS TO FOUNDATION SUPPORTED PROJECTS AND GRANTEES. TRUSTEES ARE ALSO CALLED ON THROUGHOUT THE YEAR FOR CONSULTATION AND TO TAKE ON SPECIAL ASSIGNMENTS. TRUSTEES TYPICALLY DEVOTE 195 FULL DAYS PER YEAR TO OVERSIGHT AND REVIEW OF THE FOUNDATION'S OPERATIONS, PROGRAMS AND INVESTMENTS.
    MATTHEW D HINTON THE TRUSTEES MEET TWICE A YEAR FOR TEN FULL DAYS OF BOARD AND COMMITTEE MEETINGS. TRUSTEES ARE ALSO REQUIRED TO MAKE SITE VISITS TO FOUNDATION SUPPORTED PROJECTS AND GRANTEES. TRUSTEES ARE ALSO CALLED ON THROUGHOUT THE YEAR FOR CONSULTATION AND TO TAKE ON SPECIAL ASSIGNMENTS. TRUSTEES TYPICALLY DEVOTE 195 FULL DAYS PER YEAR TO OVERSIGHT AND REVIEW OF THE FOUNDATION'S OPERATIONS, PROGRAMS AND INVESTMENTS.

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Name of Bond End of Year Book Value End of Year Fair Market Value
    750,000 ABBVIE INC 2.9% 11/6/22 778,985 749,730
    100,000 ACE INA HLDGS 2.875% 1/10/23 102,872 99,994
    750,000 ACE INA HLDGS 3.35% 5/15/24 810,002 729,870
    750,000 ADOBE INC 1.7% 2/1/23 768,415 744,412
    500,000 ADOBE INC 1.9% 2/1/25 520,900 469,340
    200,000 SHS ALIBABA GRP HLDG 2.8% 6/6/23 211,280 196,550
    500,000 SHS ALEXANDRIA REAL ESTATE 3.45% 4/30/25 538,305 477,470
    500,000 AMERICAN EXPRESS CO 3% 10/30/24 530,645 477,505
    100,000 AMERICAN HONDA FINANCE 2.05% 1/10/23 100,843 99,542
    500,000 AMERICAN HONDA FINANCE 3.625% 10/10/23 530,560 493,185
    750,000 AON CORP 2.2% DUE 11/15/22 767,985 749,257
    750,000 APPLE NC 1.8% DUE 9/11/24 777,757 712,035
    500,000 ARROW ELECTRONICS INC 3.25% 9/8/24 526,835 477,060
    500,000 SHS ASTRAZENECA PLC 3.5% DUE 8/17/23 524,445 494,475
    250,000 SHS AUTOZONE INC 3.125% 4/18/24 268,615 242,465
    100,000 AVALONBAY COMM 2.85% DUE 3/15/23 103,354 99,013
    200,000 SHS BAIDU INC 3.875% 9/29/23 216,003 197,398
    500,000 SHS BANK OF AMERICA 3.875% DUE 8/1/25 547,250 482,550
    350,000 SHS BANK OF MONTREAL 3.3% DUE 2/5/24 379,221 341,432
    575,000 SHS BANK OF NOVA SCOTIA 2.2% DUE 2/3/25 594,055 534,980
    750,000 SHS BANK OF NOVA SCOTIA 2% DUE 11/15/22 771,480 749,385
    750,000 SHS BANK OF NY MELLON 2.1% DUE 10/24/24 786,240 708,517
    350,000 SHS BARCLAYS BANK 3.75% DUE 5/15/24 388,251 340,403
    400,000 SHS BB&T CORP 2.5% DUE 8/1/24 423,204 381,156
    750,000 SHS BBVA 2.5% DUE 8/27/24 791,302 714,885
    750,000 SHS BORGWARNER INC 3.375% DUE 3/15/25 812,797 716,220
    200,000 SHS BRISTOL MYERS SQUIBB CO 2.75% 2/15/23 209,848 199,038
    752,000 SHS CAMPBELL SOUP CO 3.3% 3/19/25 812,959 715,204
    250,000 SHS CANADIAN IMPERIAL BK 2.25% 1/28/25 261,667 232,855
    100,000 SHS CANADIAN IMPERIAL BK 3.5% DUE 9/13/23 533,376 493,280
    100,000 SHS CATERPILLAR FINL SVCE 1.95% 11/18/22 100,794 99,896
    100,000 SHS CHARLES SCHWAB CORP 2.65% 1/25/23 103,589 99,589
    400,000 SHS CHARLES SCHWAB CORP 3.55% DUE 2/1/24 432,756 392,888
    750,000 SHS CISCO 3.625% DUE 3/4/24 811,463 738,697
    400,000 SHS COMERICA INC 2.5% DUE 7/23/24 425,112 380,832
    100,000 SHS COMERICA INC 3.7% DUE 7/31/23 105,846 98,783
    750,000 SHS CME GRP INC 3% DUE 3/15/25 806,250 716,535
    250,000 SHS CREDIT SUISSE NY 3.625% 9/9/24 274,605 232,335
    100,000 SHS CUMMINS INC 3.65% 107,159 98,731
    250,000 SHS ESTEE LAUDER CO INC 2% 12/1/24 262,687 236,947
    150,000 SHS FEDERAL REALTY INVS TR 3.95% 1/15/24 162,969 147,494
    500,000 SHS FIRST AMERICAN FINL 4.6% 11/15/24 547,890 485,510
    500,000 SHS FRANKLIN RESOURCES INC 2.85% 3/30/25 536,485 475,330
    100,000 SHS GENERAL DYNAMICS 3.375% 5/15/23 105,148 99,134
    750,000 SHS GLOBAL PAYMENTS 2.65% DUE 2/15/25 791,715 695,895
    100,000 HOME DEPOT 2.7% 4/1/23 103,105 99,195
    250,000 SHS HSBC USA INC 3.5% 6/23/24 272,515 240,950
    750,000 SHS HUNTINGTON NATIONAL BANK 3.55% 10/6/23 799,493 738,135
    400,000 SHS IBM CORP 3.0% 5/15/24 738,877 679,231
    500,000 SHS ILLINOIS TOOL WORKS INC 3.5% 3/1/24 532,040 491,355
    750,000 SHS JPMORGAN CHASE CO 3.625% 5/13/24 817,001 734,678
    100,000 SHS LOWE'S CORP 2.625% DUE 5/15/23 102,281 98,695
    750,000 SHS M&T BANK CORP 3.55% 7/26/23 799,064 741,825
    400,000 SHS MANUF % TRADERS TR 2.9% 2/6/25 431,704 379,952
    500,000 SHS MARSH & MCLENNAN COS INC 3.3% 3/14/23 528,350 496,705
    750,000 SHS MASTERCARD INC 3.375% DUE 4/1/24 807,833 735,885
    500,000 SHS MOODY'S CORP 4.875% DUE 2/15/24 553,435 497,350
    750,000 SHS MORGAN STANLEY 3.875% DUE 4/29/24 818,300 734,528
    500,000 SHS MORGAN STANLEY MEDIUM TERM 4% 7/23/25 547,275 480,555
    750,000 SHS PNC BANK 2.95% DUE 2/23/25 808,403 714,773
    100,000 SHS PNC FINL SVCS 3.5% DUE 1/23/24 106,403 98,016
    750,000 SHS PRICELINE GRP INC 2.75% 3/15/23 785,081 745,140
    750,000 SHS ROYAL BANK OF CANADA 3.7% DUE 10/5/23 803,074 739,035
    500,000 SHS SIMON PROP GRP 2% DUE 9/13/24 520,840 469,900
    750,000 SHS STATE STREET CORP 3.7% 11/20/23 814,247 741,030
    750,000 SHS TARGET CORP 2.25% DUE 4/15/25 790,703 704,820
    500,000 SHS TEXAS INSTRUMENTS INC 2.625% 5/15/24 522,795 483,450
    100,000 SHS TORONTO DOMINION BANK 3.5% 7/19/23 106,522 98,971
    750,000 SHS TD AMERITRQADE HLDG CO 3.75% 4/1/24 812,783 733,680
    100,000 SHS UNITED HEALTH GROUP 2.875% 9/15/13 103,374 99,342
    400,000 SHS UNITED HEALTH GRP 2.375% 8/15/24 424,064 382,720
    400,000 SHS US BANCORP 2.4% DUE 7/30/24 423,792 382,264
    1,500,000 SHS US TREASURY NOTES 1.75% 7/31/24 3,514,004 3,333,050
    2,350,000 SHS US TREASURY NOTES .250% DUE 7/31/25 2,320,166 2,098,456
    750,000 SHS VF CORP 2.4% DUE 4/23/25 788,783 697,013
    100,000 SHS VISA INC 2.8% DUE 12/14/22 103,570 99,833
    750,000 SHS WESTPAC BANKING CORP 2.75% 1/11/23 783,413 747,488
    500,000 SHS BANK OF MONTREAL .4% 9/15/23 497,545 479,065
    800,000 SHS D.R. HORTON INC 5.75% 8/15/23 843,136 801,608
    500,000 SHS STARBUCKS CORP 3.85% 10/1/23 522,830 494,085
    700,000 SHS TJX COS INC 2.5% DUE 5/15/23 712,754 689,941
    800,000 SHS US TREASURY NOTES 2.125% DUE 12/31/22 810,156 797,520

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Name of Stock End of Year Book Value End of Year Fair Market Value
    100 SHS JOHNSON & JOHNSON 1,480 17,397

    TY 2021 LegalFeesSchedule
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PORZIO BROMBERG & NEWMAN 234,192 117,096   117,096


    TY 2021 OtherAssetsSchedule
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    CALL JNJ $175 DUE 12/17/21 -21,446 0 0
    CALL JNJ $170 DUE 11/19/21 -3,118 0 0


    TY 2021 OtherDecreasesSchedule
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Description Amount
    ABP ADJUSTMENT FOR BONDS 287,059


    TY 2021 OtherExpensesSchedule
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    WELLS FARGO INVESTMENT ADVISORY FEES 199,597 199,597   0
    PAYROLL ADMIN FEES 3,690 1,845   1,845
    INSURANCE 5,807 2,904   2,903
    OFFICE EXPENSE 239 120   119
    MEMBERSHIPS/DUES/CONVENTION FEES 574 287   287


    TY 2021 OtherLiabilitiesSchedule
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Description Beginning of Year - Book Value End of Year - Book Value
    401(K) CONTRIBUTION PAYABLE 0 2,384


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SANDRA J. CHAMPION 94,300 47,150   47,150
    REAL TALK INC. 23,738 11,869   11,869


    TY 2021 TaxesSchedule
    Name:
    DAVID R CLARE & MARGARET C CLARE
     
    FOUNDATION C/O PORZIO BROMBERG & NEWMAN
    EIN:
    65-0300004
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    UNITED STATES TREASURY 55,000 0   0
    FOREIGN TAX WITHHELD 218 218   0