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 09-01-2021 , and ending 08-31-2022
Name of foundation
HELEN DAVIS SCHOLARSHIP TRUST MED SCHOOL
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

81-6056734
B Telephone number (see instructions)

(888) 730-4933
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$1,719,234J 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... 51,809 51,809  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 33,847
b Gross sales price for all assets on line 6a 142,361
7 Capital gain net income (from Part IV, line 2)... 33,847
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 85,656 85,656  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 29,371 22,028   7,343
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 1,250 0 0 1,250
c Other professional fees (attach schedule).... Click to see attachment 5,222 532   4,690
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 4,452 1,662   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 292 291   1
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 40,587 24,513 0 13,284
25 Contributions, gifts, grants paid....... 67,000 67,000
26 Total expenses and disbursements. Add lines 24 and 25 107,587 24,513 0 80,284
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -21,931
b Net investment income (if negative, enter -0-) 61,143
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......... 50,566 24,679 24,679
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)....... 1,229,120 Click to see attachment511,601 815,044
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 484 Click to see attachment724,586 879,511
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) 1,280,170 1,260,866 1,719,234
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........ 1,280,170 1,260,866
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)..... 1,280,170 1,260,866
30 Total liabilities and net assets/fund balances (see instructions). 1,280,170 1,260,866
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
1,280,170
2
Enter amount from Part I, line 27a .....................
2
-21,931
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2,796
4
Add lines 1, 2, and 3 ..........................
4
1,261,035
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
169
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,260,866
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 93.162 INV OPP DEVELOP MRKTS-R6 7038     2021-09-09
b 20. ISHARES RUSSELL 1000 GROWTH ETF   2015-12-16 2021-09-09
c 103.178 T ROWE PRICE INST EM MKT EQ 146   2010-10-20 2021-09-09
d 180.288 BOSTON P LNG/SHRT RES-INS 7015   2013-11-15 2021-09-09
e 25. VANGUARD REAL ESTATE ETF   2009-11-11 2021-09-09
29. VIVENDI SE ADR     2021-09-15
2. JACKSON FINANCIAL INC   2021-09-13 2021-09-23
3.6 VITESCO TECHNOLOGIES GROUP AG ADR   2021-05-21 2021-09-30
8.4 VITESCO TECHNOLOGIES GROUP AG ADR   2020-08-13 2021-09-30
21. EQUINOR ASA-SPON ADR   2016-12-21 2021-10-06
.8 JACKSON FINANCIAL INC   2021-09-13 2021-10-08
15. AMGEN INC   2021-07-06 2021-10-13
25. AMGEN INC   2020-09-15 2021-10-13
36. VESTAS WIND SYS A/S UTD KINGDOM ADR     2021-10-18
3. AON PLC   2016-12-21 2021-10-18
98. HEXAGON AB- UNSP ADR     2021-10-19
56. VIVENDI SE ADR     2021-10-19
25. BLACKSTONE INC   2020-08-25 2021-10-21
26. ABB LTD - ADR     2021-11-01
33. BHP BILLITON LIMITED - ADR   2016-12-21 2021-11-01
5. NEXON CO LTD-UNSP ADR   2020-05-22 2021-11-01
319. ALSTOM SA-UNSPON ADR     2021-11-08
85. ITV PLC-UNSPON ADR   2021-05-04 2021-11-10
57. NEXON CO LTD-UNSP ADR     2021-11-10
430. FLEXTRONICS INTL LTD     2021-11-19
36. VOLKSWAGEN AG-UNSP ADR PREF PFD   2018-11-02 2021-11-24
19. PRUDENTIAL PLC - ADR   2016-12-21 2021-11-26
24. SUNCOR ENERGY INC NEW F     2021-11-26
15. HITACHI LIMITED - ADR     2021-12-07
2. BLACKROCK INC   2021-02-10 2021-12-22
20. BLACKSTONE INC     2021-12-22
15. MICROSOFT CORP     2021-12-22
15. NIKE INC CL B   2017-10-12 2021-12-22
3. ACCENTURE PLC   2016-12-21 2022-01-06
40. VESTAS WIND SYS A/S UTD KINGDOM ADR     2022-01-18
23. VESTAS WIND SYS A/S UTD KINGDOM ADR     2022-01-18
56. CONTINENTAL AG-SPONS ADR     2022-01-20
13. HITACHI LIMITED - ADR     2022-02-01
4. HITACHI LIMITED - ADR   2020-02-07 2022-02-03
31. TESCO PLC ADR   2021-11-01 2022-02-04
114. TESCO PLC ADR     2022-02-04
135. INTERPUBLIC GROUP COS INC   2020-10-26 2022-02-10
14. SANDVIK AB - ADR   2021-10-18 2022-02-23
3. SANDVIK AB - ADR   2020-09-09 2022-02-23
31. INDITEX-UNSPON ADR   2021-04-30 2022-02-24
19. SANDVIK AB - ADR     2022-02-25
15. ADIDAS-AG ADR     2022-03-07
49. UNIVERSAL MUSIC GROUP NV ADR   2021-11-11 2022-03-07
4. FERGUSON PLC   2016-12-21 2022-03-08
16. EQUINOR ASA-SPON ADR   2016-12-21 2022-03-23
24. VESTAS WIND SYS A/S UTD KINGDOM ADR   2020-04-01 2022-03-24
6. RYOHIN KEIKAKU CO-UNSP ADR   2021-06-28 2022-03-28
82. RYOHIN KEIKAKU CO-UNSP ADR     2022-03-28
19. INDITEX-UNSPON ADR   2021-04-30 2022-04-01
81. INDITEX-UNSPON ADR     2022-04-01
25. NOVARTIS AG - ADR   2016-12-21 2022-04-04
109. TESCO PLC ADR     2022-04-11
16. SHIMANO INC-UNSPON ADR   2021-12-02 2022-04-21
5. SHIMANO INC-UNSPON ADR   2020-11-06 2022-04-21
6. SHIMANO INC-UNSPON ADR   2020-11-06 2022-04-21
18. SAFRAN SA-UNSPON ADR     2022-05-02
12. SAFRAN SA-UNSPON ADR     2022-05-03
72. SAFRAN SA-UNSPON ADR     2022-05-11
11. MEDTRONIC PLC     2022-05-26
1. LINDE PLC   2022-02-18 2022-05-27
66. FUJITSU LIMITED - ADR     2022-06-16
15. APPLE INC   2008-08-19 2022-06-23
10. WASTE MANAGEMENT INC   2020-03-04 2022-06-23
20. ABBVIE INC   2020-12-10 2022-06-24
320. ENEL SOCIETA PER AZIONI - ADR     2022-06-24
195. HAIN CELESTIAL GROUP INC     2022-06-24
5. ELI LILLY & CO COM   2020-09-15 2022-06-24
5. UNITEDHEALTH GROUP INC   2010-02-18 2022-06-24
15. EATON CORP PLC   2021-04-08 2022-06-24
25. MEDTRONIC PLC   2019-07-19 2022-06-24
18. MEDTRONIC PLC     2022-06-24
.5 AIR LIQUIDE - ADR   2021-09-28 2022-06-30
107. VOLKSWAGEN AG-UNSP ADR PREF PFD     2022-06-30
560. BANCO SANTANDER CEN-SPON - ADR     2022-07-12
29. CLARIVATE PLC   2021-03-17 2022-07-12
7. MAKITA CORPORATION - ADR   2021-12-02 2022-07-27
15. MAKITA CORPORATION - ADR     2022-07-27
48. CLARIVATE PLC     2022-07-27
15. CLARIVATE PLC   2021-03-17 2022-07-27
57. SMITH & NEPHEW PLC - ADR     2022-08-02
45. MAKITA CORPORATION - ADR     2022-08-05
53. TELENOR ASA - ADR     2022-08-05
37. PRUDENTIAL PLC - ADR   2016-12-21 2022-08-11
6. SANOFI-ADR   2021-11-01 2022-08-11
14. SANOFI-ADR     2022-08-11
11. SANOFI-ADR   2019-03-14 2022-08-17
70. MEDTRONIC PLC     2022-08-22
CAPITAL GAIN DIVIDENDS P    
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(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 5,000   3,546 1,454
b 5,816   2,002 3,814
c 5,000   3,226 1,774
d 3,000   2,531 469
e 2,721   923 1,798
1,084   749 335
53   54 -1
42   57 -15
98   101 -3
543   382 161
22   22  
3,057   3,663 -606
5,094   6,226 -1,132
465   449 16
925   337 588
1,537   746 791
1,899   1,398 501
3,311   1,323 1,988
864   549 315
1,802   1,195 607
85   107 -22
1,150   1,629 -479
1,415   1,486 -71
1,174   1,153 21
7,677   5,221 2,456
695   645 50
663   645 18
591   909 -318
1,760   1,179 581
1,830   1,459 371
2,582   1,031 1,551
4,963   665 4,298
2,473   761 1,712
1,149   354 795
366   491 -125
210   152 58
582   680 -98
1,325   1,013 312
404   311 93
373   353 20
1,373   1,350 23
4,844   2,554 2,290
339   345 -6
73   64 9
405   555 -150
431   402 29
1,444   2,607 -1,163
475   772 -297
563   257 306
585   291 294
227   130 97
71   126 -55
970   1,594 -624
208   340 -132
886   1,243 -357
2,189   1,570 619
1,163   1,213 -50
325   457 -132
102   119 -17
121   142 -21
475   525 -50
314   327 -13
1,795   1,908 -113
1,098   907 191
328   303 25
1,678   1,910 -232
2,075   95 1,980
1,471   1,200 271
3,020   2,143 877
1,828   2,717 -889
4,491   4,403 88
1,605   749 856
2,470   164 2,306
1,943   2,103 -160
2,224   2,535 -311
1,593   1,455 138
13   15 -2
1,414   1,852 -438
1,366   1,212 154
396   754 -358
168   308 -140
361   649 -288
664   1,009 -345
207   390 -183
1,427   1,954 -527
1,084   1,527 -443
622   851 -229
912   1,256 -344
261   308 -47
609   683 -74
457   488 -31
6,519   6,869 -350
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
      7,470
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       1,454
b       3,814
c       1,774
d       469
e       1,798
      335
      -1
      -15
      -3
      161
       
      -606
      -1,132
      16
      588
      791
      501
      1,988
      315
      607
      -22
      -479
      -71
      21
      2,456
      50
      18
      -318
      581
      371
      1,551
      4,298
      1,712
      795
      -125
      58
      -98
      312
      93
      20
      23
      2,290
      -6
      9
      -150
      29
      -1,163
      -297
      306
      294
      97
      -55
      -624
      -132
      -357
      619
      -50
      -132
      -17
      -21
      -50
      -13
      -113
      191
      25
      -232
      1,980
      271
      877
      -889
      88
      856
      2,306
      -160
      -311
      138
      -2
      -438
      154
      -358
      -140
      -288
      -345
      -183
      -527
      -443
      -229
      -344
      -47
      -74
      -31
      -350
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 33,847
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........................... 3 850
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- ..... 5 850
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,460
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,460
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 10 610
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet610 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)
    bulletMT
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    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)
    Yes
     
    (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
     
    No
    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
    WELLS FARGO BANK N A TRUSTEE
    1     		29,371    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    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
    1,876,268
    b
    Average of monthly cash balances.......................
    1b
    74,598
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,950,866
    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
    1,950,866
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    29,263
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,921,603
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    96,080
    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
    96,080
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    850
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    850
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    95,230
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    95,230
    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
    95,230
    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 95,230
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 69,345
    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$ 80,284
    a Applied to 2020, but not more than line 2a 69,345
    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..... 10,939
    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 ..........     		84,291
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    WELLS FARGO PRIVATE CLIENT SERVICES
    PO BOX 597
    HELENA,MT59624
    (888) 730-4933
    bThe form in which applications should be submitted and information and materials they should include:
    FORM AVAILABLE UPON REQUEST
    cAny submission deadlines:
    JULY 15 ANNUALLY
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    RESIDENTS OF MONTANA WHO ARE ATTENDING MEDICAL SCHOOL
    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
    REMY ARNOT CO PACIFIC NORTHWEST
    UNIVERSITY OF HEALTH SCIENCE
    200 UNIVERSITY PARKWAY
    YAKIMA,WA98901     		NONE I SCHOLARSHIP 2,000
    JESSICA BAILEY CO PACIFIC NORTHWEST
    UNIVERSITY OF HEALTH SCIENCE
    200 UNIVERSITY PARKWAY
    YAKIMA,WA98901     		NONE I SCHOLARSHIP 4,000
    BRAYDEN CROWLEY CO UNIVERSITY OF
    WASHINGTON SCHOOL OF MEDICINE
    937 HIGHLAND BLVD SUITE 5220
    BOZEMAN,MT59715     		NONE I SCHOLARSHIP 4,750
    TREY DSCHAAK CO UNIVERSITY OF
    WASHINGTON SCHOOL OF MEDICINE
    1410 NE CAMPUS PARKWAY
    SEATTLE,WA98195     		NONE I SCHOLARSHIP 4,750
    JESSICA GAGEN CO UNIVERSITY OF
    WASHINGTON SCHOOL OF MEDICINE
    1410 NE CAMPUS PKWY
    SEATTLE,WA98195     		NONE I SCHOLARSHIP 4,000
    ELLEN GUYER CO UNIVERSITY OF WASHINGTON
    SCHOOL OF MEDICINE
    937 HIGHLAND BLVD SUITE 5220
    BOZEMAN,MT59715     		NONE I SCHOLARSHIP 4,750
    NICHOLAS JOHNSON CO UNIVERSITY OF
    WASHINGTON SCHOOL OF MEDICINE
    1410 NE CAMPUS PKWY
    SEATTLE,WA98195     		NONE I SCHOLARSHIP 4,000
    JESI KENNEDY CO UNIVERSITY OF WASHINGTO
    SCHOOL OF MEDICINE
    937 HIGHLAND BLVD SUITE 5220
    BOZEMAN,MT59715     		NONE I SCHOLARSHIP 4,500
    CHLOE KOESSL CO UNIVERSITY OF WASHINGTO
    SCHOOL OF MEDICINE
    937 HIGHLAND BLVD SUITE 5220
    BOZEMAN,MT59715     		NONE I SCHOLARSHIP 4,000
    HANS MUNZING CO UNIVERSITY OF
    WASHINGTON SCHOOL OF MEDICINE
    1410 NE CAMPUS PKWY
    SEATTLE,WA98195     		NONE I SCHOLARSHIP 4,000
    BRENNA OSTERTAG CO UNIVERSITY OF
    WASHINGTON SCHOOL OF MEDICINE
    1410 NE CAMPUS PKWY
    SEATTLE,WA98195     		NONE I SCHOLARSHIP 4,000
    ERIN PETERSON CO UNIVERSITY OF
    WASHINGTON SCHOOL OF MEDICINE
    937 HIGHLAND BLVD SUITE 5220
    BOZEMAN,MT59715     		NONE I SCHOLARSHIP 4,000
    LINDSEY RILEY CO UNIVERSITY OF
    WASHINGTON SCHOOL OF MEDICINE
    937 HIGHLAND BLVD SUITE 5220
    BOZEMAN,MT59715     		NONE I SCHOLARSHIP 4,750
    NATHANIEL SISSON CO UNIVERSITY OF
    WASHINGTON SCHOOL OF MEDICINE
    1410 NE CAMPUS PKWY
    SEATTLE,WA98195     		NONE I SCHOLARSHIP 4,750
    JENNA STARKE CO UNIVERSITY OF WASHINGTO
    SCHOOL OF MEDICINE
    1410 NE CAMPUS PKWY
    SEATTLE,WA98195     		NONE I SCHOLARSHIP 4,000
    SAVANNAH WHITFIELD CO IDAHO COLLEGE OF
    OSTEOPATHIC MEDICINE
    1401 E CENTRAL DR
    MERIDIAN,ID83642     		NONE I SCHOLARSHIP 4,750
    Total .................................bullet 3a 67,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 33,847  
    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) ..   85,656  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    85,656
    (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:
    HELEN DAVIS SCHOLARSHIP TRUST MED SCHOOL
    EIN:
    81-6056734
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,250     1,250

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HELEN DAVIS SCHOLARSHIP TRUST MED SCHOOL
    EIN:
    81-6056734
    Name of Stock End of Year Book Value End of Year Fair Market Value
    097023105 BOEING CO 11,045 9,615
    512807108 LAM RESEARCH CORP CO 4,005 9,634
    H2906T109 GARMIN LTD 9,595 8,407
    87944W105 TELENOR ASA - ADR 828 622
    800212201 SANDVIK AB - ADR 1,183 985
    142795202 CARLSBERG AS-B-SPON 1,630 2,093
    91377B109 UNIVERSAL MUSIC GROU 1,182 1,132
    234062206 DAIWA HOUSE IND LTD 1,538 1,228
    925458101 VESTAS WIND SYS A/S 1,040 1,426
    83175M205 SMITH & NEPHEW PLC -    
    192446102 COGNIZANT TECH SOLUT 10,227 11,055
    25243Q205 DIAGEO PLC - ADR 7,129 13,229
    460690100 INTERPUBLIC GROUP CO 5,450 7,325
    693390882 PIMCO INTL BND USD H    
    911312106 UNITED PARCEL SERVIC 6,338 15,561
    74144Q203 T ROWE PRICE INST EM    
    58933Y105 MERCK & CO INC NEW 10,897 15,365
    G29183103 EATON CORP PLC 14,109 15,714
    06738E204 BARCLAYS PLC - ADR 2,448 1,885
    G3421J106 FERGUSON PLC 836 1,501
    29286D105 ENGIE-SPON ADR 3,499 3,033
    03485P300 ANGLO AMERICAN PLC-S 1,882 1,498
    G0403H108 AON PLC 1,462 3,630
    021244207 ALSTOM SA-UNSPON ADR    
    45069P107 ITV PLC-UNSPON ADR    
    705015105 PEARSON PLC - ADR 1,166 1,386
    037833100 APPLE INC 2,365 58,958
    654106103 NIKE INC CL B 4,313 9,048
    09247X101 BLACKROCK INC 7,917 13,994
    464287614 ISHARES RUSSELL 1000    
    46625H100 JPMORGAN CHASE & CO 7,557 19,334
    464287507 ISHARES CORE S&P MID    
    27830W108 EV GL MACR ABS RTRN    
    86959X107 SUZUKI MOTOR CORP-UN 1,774 1,253
    560877300 MAKITA CORPORATION -    
    66987V109 NOVARTIS AG - ADR    
    524671104 LEGRAND SA-UNSP ADR 2,559 1,759
    881575401 TESCO PLC ADR    
    82455C101 SHIMANO INC-UNSPON A 1,643 1,649
    86562M209 SUMITOMO TRUST AND B 2,507 1,918
    428263107 HEXAGON AB- UNSP ADR    
    714264207 PERNOD-RICARD SA-UNS    
    Y2573F102 FLEX LTD    
    594918104 MICROSOFT CORP 6,202 52,294
    883556102 THERMO FISHER SCIENT 932 10,906
    89151E109 TOTALENERGIES SE -SP 15,104 14,900
    94106L109 WASTE MANAGEMENT INC 12,081 17,748
    09857L108 BOOKING HOLDINGS INC 8,545 9,379
    464287606 ISHARES S&P MID-CAP    
    19247U106 COHEN & STEERS INSTL    
    77957P402 T ROWE PR SHRT-TRM B    
    922908553 VANGUARD REAL ESTATE    
    150870103 CELANESE CORP 6,072 11,640
    H84989104 TE CONNECTIVITY LTD 8,612 11,359
    921937819 VANGUARD INTERMEDIAT    
    433578507 HITACHI LIMITED - AD    
    359590304 FUJITSU LIMITED - AD    
    786584102 SAFRAN SA-UNSPON ADR    
    00687A107 ADIDAS-AG ADR    
    11135F101 BROADCOM INC 8,809 15,472
    75513E101 RAYTHEON TECHNOLOGIE 15,561 17,950
    464287226 ISHARES CORE U.S. AG    
    609207105 MONDELEZ INTERNATION 8,797 12,681
    977874205 WOLTERS KLUWER NV - 717 1,951
    12117P109 BUREAU VERITAS SA AD 2,517 2,086
    928662501 VOLKSWAGEN AG-UNSP A    
    92852T201 VIVENDI SE ADR    
    001317205 AIA GROUP LTD-SP ADR 2,906 3,023
    780249108 ROYAL DSM N V ADR 1,662 1,883
    29265W207 ENEL SOCIETA PER AZI    
    418056107 HASBRO INC 13,485 11,035
    891160509 TORONTO DOMINION BK 13,218 15,120
    904767704 UNILEVER PLC - ADR 9,727 8,443
    254687106 WALT DISNEY CO 4,943 11,208
    285512109 ELECTRONIC ARTS INC 9,252 12,687
    56501R106 MANULIFE FINANCIAL C 15,140 17,290
    464287804 ISHARES CORE S&P SMA    
    G5960L103 MEDTRONIC PLC    
    09260C703 BLACKROCK GL L/S CRE    
    00143W859 INV OPP DEVELOP MRKT    
    464287234 ISHARES MSCI EMERGIN    
    92826C839 VISA INC-CLASS A SHR 11,183 12,916
    74440Y884 PGIM HIGH YIELD-Q 10    
    055622104 BP PLC - ADR 2,906 3,516
    23304Y100 DBS GROUP HOLDINGS L 1,120 1,954
    009126202 AIR LIQUIDE - ADR 2,612 2,332
    204319107 COMPAGNIE FINANCIERE 1,294 1,137
    74435K204 PRUDENTIAL PLC - ADR    
    29446M102 EQUINOR ASA-SPON ADR 617 1,358
    000375204 ABB LTD - ADR 1,690 2,399
    759530108 RELX PLC ADR 3,183 4,084
    80105N105 SANOFI-ADR 2,347 2,257
    79588J102 SAMPO OYJ-A SHS-UNSP 2,180 2,209
    059831107 BANDAI NAMCO HOLDING 2,400 2,319
    20449X401 COMPASS GROUP PLC AD 2,467 2,576
    17275R102 CISCO SYSTEMS INC 7,575 13,416
    532457108 ELI LILLY & CO COM 4,697 16,568
    871829107 SYSCO CORP 7,389 12,744
    907818108 UNION PACIFIC CORP 1,976 12,348
    91324P102 UNITEDHEALTH GROUP I 1,637 25,967
    405217100 HAIN CELESTIAL GROUP    
    46434V613 ISHARES CORE TOTAL B    
    31641Q755 FIDELITY NEW MRKTS I    
    31620M106 FIDELITY NATL INFORM 18,021 14,162
    00287Y109 ABBVIE INC 10,261 12,774
    74925K581 BOSTON P LNG/SHRT RE    
    589339209 MERCK KGAA-SPONSORED 2,385 2,581
    210771200 CONTINENTAL AG-SPONS 1,897 1,157
    23381B106 DAIKIN INDUSTRIES-UN 2,034 1,765
    45662N103 INFINEON TECHNOLOGIE 2,281 1,496
    714264306 PERNOD RICARD SA ADR 1,699 1,766
    031162100 AMGEN INC    
    126650100 CVS HEALTH CORPORATI 6,846 14,723
    87612E106 TARGET CORP 1,744 9,620
    46090F100 INVESCO OPTIMUM YIEL    
    867224107 SUNCOR ENERGY INC NE 15,816 20,071
    09260D107 BLACKSTONE INC 6,114 10,333
    02079K107 ALPHABET INC CL C 9,983 41,477
    872365713 TCW EMRG MRKTS INC-P    
    517834107 LAS VEGAS SANDS CORP 16,340 10,085
    172967424 CITIGROUP INC. 16,159 15,863
    30303M102 META PLATFORMS INC 11,066 7,332
    46434G103 ISHARES CORE MSCI EM    
    05964H105 BANCO SANTANDER CEN-    
    78392U105 RYOHIN KEIKAKU CO-UN    
    65340H104 NEXON CO LTD-UNSP AD    
    088606108 BHP GROUP LTD-SPON A    
    G1151C101 ACCENTURE PLC 827 2,019
    010199503 AKZO NOBEL NV-SPON A 3,224 1,859
    G21810109 CLARIVATE PLC    
    783513203 RYANAIR HOLDINGS PLC 1,979 1,672
    455793109 INDITEX-UNSPON ADR    
    7591EP100 REGIONS FINL CORP NE 7,562 8,126
    771195104 ROCHE HOLDINGS LTD - 3,420 2,790
    62473G102 MTU AERO ENGINES-UNS 2,464 2,030
    G5494J103 LINDE PLC 1,211 1,131
    25461D100 DISCO CORP- UNSPONSO 1,804 1,469
    009279100 AIRBUS SE - UNSP ADR 1,501 1,272
    65538C206 NOMURA RESEARCH INS- 1,687 1,592
    883219206 THALES SA ADR 1,879 1,805
    44970W103 IMCD NV ADR 775 784
    92887H107 VONOVIA SE-UNSP ADR 2,054 1,200
    42550U208 HENKEL AG AND CO. KG 1,127 1,113
    87946F100 TELEPERFORMANCE-UNSP 1,427 1,279
    68163W109 OLYMPUS CORPORATION 2,725 2,881
    G4705A100 ICON PLC 2,252 2,098
    443251103 HOYA CORP ADR 1,358 1,327

    TY 2021 InvestmentsOtherSchedule2
    Name:
    HELEN DAVIS SCHOLARSHIP TRUST MED SCHOOL
    EIN:
    81-6056734
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    REL135267 MADISON CO. MONTANA AT COST 117 1
    REL135275 MADISON CO. MONTANA AT COST 125 1
    REL135283 MADISON CO. MONTANA AT COST 242 1
    74144Q203 T ROWE PRICE INST EM AT COST 25,798 28,942
    693390882 PIMCO INTL BND USD H AT COST 25,009 22,368
    464287507 ISHARES CORE S&P MID AT COST 26,813 109,341
    27830W108 EV GL MACR ABS RTRN AT COST 32,500 30,347
    74925K581 BOSTON P LNG/SHRT RE AT COST 23,677 26,948
    464287614 ISHARES RUSSELL 1000 AT COST 13,015 30,382
    31641Q755 FIDELITY NEW MRKTS I AT COST 68,953 52,922
    46434V613 ISHARES CORE TOTAL B AT COST 18,625 16,279
    77957P402 T ROWE PR SHRT-TRM B AT COST 18,497 17,389
    19247U106 COHEN & STEERS INSTL AT COST 11,136 25,734
    922908553 VANGUARD REAL ESTATE AT COST 19,685 62,782
    464287804 ISHARES CORE S&P SMA AT COST 18,353 73,872
    464287606 ISHARES S&P MID-CAP AT COST 3,281 4,163
    74440Y884 PGIM HIGH YIELD-Q 10 AT COST 97,500 85,448
    872365713 TCW EMRG MRKTS INC-P AT COST 20,000 15,012
    921937819 VANGUARD INTERMEDIAT AT COST 52,224 46,164
    464287226 ISHARES CORE U.S. AG AT COST 100,202 87,114
    464287234 ISHARES MSCI EMERGIN AT COST 36,597 42,584
    00143W859 INV OPP DEVELOP MRKT AT COST 23,455 23,356
    46434G103 ISHARES CORE MSCI EM AT COST 47,517 33,922
    46090F100 INVESCO OPTIMUM YIEL AT COST 16,044 20,844
    09260C703 BLACKROCK GL L/S CRE AT COST 25,221 23,595

    TY 2021 OtherDecreasesSchedule
    Name:
    HELEN DAVIS SCHOLARSHIP TRUST MED SCHOOL
    EIN:
    81-6056734
    Description Amount
    ROUNDING 4
    MUTUAL FUND TIMING 165


    TY 2021 OtherExpensesSchedule
    Name:
    HELEN DAVIS SCHOLARSHIP TRUST MED SCHOOL
    EIN:
    81-6056734
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MINERAL INTEREST - FEES 88 88   0
    INVESTMENT EXPENSES - ADR FEES 203 203   0
    OTHER EXPENSE 1 0   1


    TY 2021 OtherIncreasesSchedule
    Name:
    HELEN DAVIS SCHOLARSHIP TRUST MED SCHOOL
    EIN:
    81-6056734
    Description Amount
    PY PENDING SALES 2,796


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    HELEN DAVIS SCHOLARSHIP TRUST MED SCHOOL
    EIN:
    81-6056734
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 532 532    
    SCHOLARSHIP ADMIN FEES 4,690     4,690


    TY 2021 TaxesSchedule
    Name:
    HELEN DAVIS SCHOLARSHIP TRUST MED SCHOOL
    EIN:
    81-6056734
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,520 1,520   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,330 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,460 0   0
    FOREIGN TAXES ON NONQUALIFIED 142 142   0