TY 2021 Form 990PF

- TIN:

Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

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

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

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

For calendar year 2021, or tax year beginning 12-01-2021 , and ending 11-30-2022

Name of foundation
ANN E ONYMOUS FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)1200 MAIN CHESTNUT BLDG
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
HAYS, KS67601

A Employer identification number

11-3831019

B Telephone number (see instructions)

(785) 628-8226

C If exemption application is pending, check here bullet

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

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

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

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

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

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

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

$1,474,213J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments	155		155
4	Dividends and interest from securities...	28,242		28,242
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		416,752
b	Gross sales price for all assets on line 6a 1,500,094
7	Capital gain net income (from Part IV, line 2)...			416,752
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........	445,149		445,149
13	Compensation of officers, directors, trustees, etc.	1,500		1,500
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		3,105	3,105
c	Other professional fees (attach schedule)....
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		58
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		10,275	10,275
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	14,938		14,880	0
25	Contributions, gifts, grants paid.......	60,500			60,500
26	Total expenses and disbursements. Add lines 24 and 25	75,438		14,880	60,500
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	369,711
b	Net investment income (if negative, enter -0-)			430,269
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

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

Form 990-PF (2021)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	369,210	65,271	65,271
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......	527,108	1,192,140	1,408,942
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	896,318	1,257,411	1,474,213
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds	896,318	1,257,411
	29	Total net assets or fund balances (see instructions).....	896,318	1,257,411
	30	Total liabilities and net assets/fund balances (see instructions).	896,318	1,257,411

Part III

Analysis of Changes in Net Assets or Fund Balances

Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............

896,318

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

369,711

Other increases not included in line 2 (itemize) bullet

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

1,266,029

Decreases not included in line 2 (itemize) bullet

8,618

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

1,257,411

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	CAPITAL GAIN DISTRIBUTIONS	P	2000-01-01	2022-01-01
b	270.000 ABBOT LABS	P	2012-01-17	2021-12-29
c	270.000 ABBVIE INC	P	2012-01-17	2021-12-29
d	14.000 ALPHABET INC CAP STK CL C	P	2015-01-08	2021-12-29
e	4.000 ALPHABET INC CAP STK CL C	P	2018-09-26	2021-12-29
	400.000 APPLE	P	2016-05-16	2021-12-29
	100.000 BK OF AMERICA CORP	P	2018-12-27	2021-12-29
	360.000 BK OF AMERICA CORP	P	2020-08-27	2021-12-29
	48.000 BERKSHIRE HATHAWAY INC CLASS B	P	2016-12-21	2021-12-29
	63.000 BERKSHIRE HATHAWAY INC CLASS B	P	2018-09-26	2021-12-29
	20.000 COSTCO WHSL CORP NEW	P	2018-09-26	2021-12-29
	217.000 DAVITA INC	P	2018-01-29	2021-12-29
	42.000 Disney (Walt) Co Hldgs	P	2018-09-26	2021-12-29
	62.704 AMERICAN FUNDS EUROPACIFIC GROWTH	P	2000-01-01	2021-12-29
	515.680 AMERICAN FUNDS EUROPACIFIC GROWTH	P	2016-12-21	2021-12-29
	55000.000 FIMM GOVERNMENT PORT MMKT INSTL CL MM	P	2019-03-27	2021-12-29
	402.000 GENERAL MILLS INC	P	2018-12-27	2021-12-29
	59759.040 GOLDMAN SACHS	P	2020-08-27	2021-12-29
	591.000 HANCOCK JOHN PREFERRED INC FD III	P	2008-08-27	2021-12-29
	133.000 INTEL CORPORATION	P	2012-01-17	2021-12-29
	113.000 INVESCO QQQ	P	2014-01-23	2021-12-29
	141.000 JPMORGAN CHASE & CO	P	2006-09-03	2021-12-29
	216.000 JPMORGAN CHASE & CO	P	2013-01-18	2021-12-29
	38.000 JPMORGAN CHASE & CO	P	2018-09-26	2021-12-29
	200.000 MICROSOFT CORPORATION	P	2011-09-23	2021-12-29
	45.000 MICROSOFT CORPORATION	P	2013-02-06	2021-12-29
	230.000 PEPSICO INCORPORATED	P	2012-01-17	2021-12-29
	89.000 SPDR BLOOMBERG 1-3 MONTH T-BILL ETF	P	2018-09-26	2021-12-29
	520.000 SPDR FINANCIAL SELECT	P	2013-06-26	2021-12-29
	1152.000 SPDR FINANCIAL SELECT	P	2013-12-24	2021-12-29
	485.000 VANGUARD FTSE EMERGING MKTS ETF	P	2008-08-27	2021-12-29
	90.000 VERIZON COMM INC	P	2016-10-26	2021-12-29
	30.000 VERIZON COMM INC	P	2018-09-26	2021-12-29
	.768 WARNER BROS DISCOVER INC	P	2022-01-27	2022-04-21
	13316.379 DOUBLELINE LOW DURATION BOND	P	2021-12-29	2022-05-26
	2987.223 VANGUARD ULTRA ST BOND	P	2021-12-29	2022-05-26
	8910.588 VANGUARD SHORT TERM INVTMT GRADE	P	2021-12-29	2022-05-26
	3.000 CALL-BRITISH AMERN TOB PLC JUN 45	P	2022-01-27	2022-06-17
	1.000 CALL-ATMOS ENERGY	P	2022-01-27	2022-07-15
	2.000 CALL EXXON MOBIL	P	2022-01-27	2022-07-15
	3.000 CALL-FRANKLIN RES	P	2022-01-27	2022-07-15
	1.000 CALL-FEDERAL RLTY INVT TR	P	2022-01-27	2021-08-19
	100.000 GENUINE PARTS CO	P	2022-01-27	2022-08-19
	59.000 M&T BK CORP	P	2022-01-27	2022-08-19
	167.300 AMERICAN FUNDS AMERICAN MUTUAL FUND	P	2021-12-29	2022-09-20
	308.000 BANK NEW YORK MELLON CORP	P	2021-12-29	2022-09-20
	17.000 CIGNA CORP	P	2021-12-29	2022-09-20
	3.000 CVS HEALTH CORP	P	2021-12-29	2022-09-20
	355.000 COMCAST CORP	P	2021-12-29	2022-09-20
	2498.122 DFA INTERNATIONAL VALUE	P	2021-12-29	2022-09-20
	260.000 EXXON MOBIL CORP	P	2021-12-29	2022-09-20
	396.837 AMERICAN FUNDS INVESTMENT CO OF AMERICA	P	2021-12-29	2022-09-20
	5.000 POLARIS INC	P	2021-12-29	2022-09-20
	9416.872 AMERICAN FUNDS SHORT TERM BOND FUND	P	2021-12-29	2022-09-20
	238.000 US BANCORP	P	2021-12-29	2022-09-20
	69.000 CHEVRON CORP	P	2020-08-27	2022-09-20
	100.000 DAVITA INC	P	2018-01-29	2022-09-20
	60.000 DAVITA INC	P	2018-09-26	2022-09-20
	72.000 EXXON MOBIL CORP	P	2017-12-20	2022-09-20
	60.000 EXXON MOBIL CORP	P	2018-09-26	2022-09-20
	51.000 KROGER CO	P	2020-08-27	2022-09-20
	80.000 US BANCORP	P	2018-09-26	2022-09-20
	154.000 VERIZON COMM INC	P	2016-10-26	2022-09-20
	3.000 CALL-LEGGETT & PLATT INC	P	2022-01-27	2022-09-15
	116.000 SPDR BLOOMBERG 1-3 MONTH T-BILL ETF	P	2022-05-26	2022-10-31
	103.000 SPDR BLOOMBERG 1-3 MONTH T-BILL ETF	P	2022-09-20	2022-10-31
	47.308 AMERICAN FUNDS EUROPACIFIC GROWTH	P	2000-01-01	2021-12-29
	.550 FIMM GOVERNMENT PORT MMKT INSTL CL MM	P	2021-12-02	2021-12-29
	281.000 CISCO SYSTEMS INC	P	2021-12-29	2022-11-22
	121.000 CISCO SYSTEMS INC	P	2022-09-20	2022-11-22
	52.000 META PLATFORMS INC CLASS A	P	2021-12-29	2022-11-22
	64.000 META PLATFORMS INC CLASS A	P	2022-09-20	2022-11-22
	123.000 INTEL CORPORATION	P	2022-09-20	2022-11-22
	467.000 INTEL CORPORATION	P	2012-01-17	2022-11-22
	424.000 VERIZON COMM INC	P	2016-10-26	2022-11-22

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	5,400		5,400
b	38,168	7,234	30,934
c	36,588	7,845	28,743
d	40,971	7,004	33,967
e	11,706	4,720	6,986
	71,816	9,371	62,445
	4,470	2,376	2,094
	16,092	9,365	6,727
	14,409	7,989	6,420
	18,911	13,610	5,301
	11,363	4,682	6,681
	24,652	17,171	7,481
	6,506	4,851	1,655
	4,024	3,270	754
	33,096	23,577	9,519
	55,000	55,000
	27,028	15,407	11,621
	59,759	59,759
	11,075	9,671	1,404
	6,895	3,329	3,566
	45,373	9,970	35,403
	22,386	5,514	16,872
	34,294	10,038	24,256
	6,033	4,362	1,671
	68,368	4,996	63,372
	15,383	1,228	14,155
	39,877	14,905	24,972
	8,137	8,149	-12
	20,412	8,484	11,928
	45,219	21,608	23,611
	23,738	20,010	3,728
	4,719	4,320	399
	1,573	1,594	-21
	18	18
	127,704	131,832	-4,128
	59,267	59,924	-657
	91,244	95,878	-4,634
	390		390
	220		220
	543	228	315
	515		515
	510		510
	14,910	13,410	1,500
	11,738	10,121	1,617
	8,019	8,899	-880
	13,232	17,999	-4,767
	4,895	3,934	961
	303	311	-8
	12,027	17,959	-5,932
	41,169	47,939	-6,770
	23,934	15,948	7,986
	16,302	20,624	-4,322
	534	544	-10
	89,366	91,155	-1,789
	10,648	13,509	-2,861
	10,702	5,826	4,876
	9,111	7,913	1,198
	5,466	4,207	1,259
	6,628	5,977	651
	5,523	5,150	373
	2,384	1,858	526
	3,579	4,286	-707
	6,247	7,392	-1,145
	330	15	315
	10,625	10,610	15
	9,435	9,427	8
	3,036	3,188	-152
	1	1
	13,578	17,985	-4,407
	5,847	5,124	723
	5,726	17,837	-12,111
	7,047	9,330	-2,283
	3,623	3,534	89
	13,754	11,689	2,065
	16,523	20,352	-3,829

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			5,400
b			30,934
c			28,743
d			33,967
e			6,986
			62,445
			2,094
			6,727
			6,420
			5,301
			6,681
			7,481
			1,655
			754
			9,519

			11,621

			1,404
			3,566
			35,403
			16,872
			24,256
			1,671
			63,372
			14,155
			24,972
			-12
			11,928
			23,611
			3,728
			399
			-21

			-4,128
			-657
			-4,634
			390
			220
			315
			515
			510
			1,500
			1,617
			-880
			-4,767
			961
			-8
			-5,932
			-6,770
			7,986
			-4,322
			-10
			-1,789
			-2,861
			4,876
			1,198
			1,259
			651
			373
			526
			-707
			-1,145
			315
			15
			8
			-152

			-4,407
			723
			-12,111
			-2,283
			89
			2,065
			-3,829

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	416,752
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3	-40,395

Form 990-PF (2021)

Page 4

Part V

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2
3	Add lines 1 and 2...........................	3	5,981
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	5,981
6	Credits/Payments:

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

7	Total credits and payments. Add lines 6a through 6d..............		7
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	1
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9	5,982
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax0	Refunded	11

Part VI-A

Statements Regarding Activities

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

Yes

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

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

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

If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

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

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

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

on foundation managers. bullet

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

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

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....

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

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

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

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

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),

and Part XIV..................................

Yes

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

If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If "No," attach explanation .

Yes

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.

If "Yes," complete Part XIII .............................

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

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

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement. See instructions.................

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

Yes

Website address bullet

N/A

The books are in care of bullet

ANN E ONYMOUS FOUNDATION Telephone no. bullet

(785) 628-8226

Located at bullet

1200 MAIN CHESTNUT BLDGHAYSKS ZIP+4 bullet

67601

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo

a bank, securities, or other financial account in a foreign country? .................

16 No

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country bullet

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........

1a(1)

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

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

1a(2)

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

1a(3)

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

1a(4)

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)

(6) Agree to pay money or property to a government official? (Exception. Check "No"

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.) ...............

1a(6)

If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........

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

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2021? .............

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2021, did the foundation have any undistributed income (lines 6d

and 6e, Part XII) for tax year(s) beginning before 2021?....................

If "Yes," list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer "No" and attach statement—see instructions.) ..............

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

20, 20, 20, 20

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

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

If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2021.) .....................

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

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..

Form 990-PF (2021)

Page 6

Part VI-B

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

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

Yes

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

5a(1)

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive? ....................

5a(2)

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

5a(3)

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

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

5a(4)

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals? .............

5a(5)

If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........

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

If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant? .................

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

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

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

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

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

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

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

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .........................

Part VII

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

1 List all officers, directors, trustees, foundation managers and their compensation. See instructions

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)
ANN E ONYMOUS	President 1.00	500
1230 E SANDHILL LN COTTONWOOD,AZ86326	President 1.00	500
RANDY WALKER	Treasurer 1.00	500
1001 WEST 27TH STREET HAYS,KS67601	Treasurer 1.00	500
JOSEPH JETER	Secretary 4.00	500
1200 MAIN STREET HAYS,KS67601	Secretary 4.00	500

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

Form 990-PF (2021)

Page 7

Part VII

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

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

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

Part VIII-A

Summary of Direct Charitable Activities

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


2


3


4

Part VIII-B

Summary of Program-Related Investments (see instructions)

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


2


All other program-related investments. See instructions.
3

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

Form 990-PF (2021)

Page 8

Part IX

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

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

purposes:

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

1,352,727

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

144,843

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

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

1,497,570

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

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

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

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

1,497,570

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

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

22,464

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

1,475,106

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

73,755

Part X

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow

and do not complete this part.)

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

73,755

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

5,981

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

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

5,981

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

67,774

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

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

67,774

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

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

67,774

Part XI

Qualifying Distributions (see instructions)

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

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

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

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

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

Amounts set aside for specific charitable projects that satisfy the:

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

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

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

Form 990-PF (2021)

Page 9

Part XII

Undistributed Income (see instructions)

	(a) Corpus	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7			67,774
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......		55,537
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2021:
a From 2016......
b From 2017......
c From 2018......
d From 2019......
e From 2020......
f Total of lines 3a through e ........
4Qualifying distributions for 2021 from Part
XI, line 4: $ 60,500
a Applied to 2020, but not more than line 2a		55,537
b Applied to undistributed income of prior years (Election required—see instructions).....
c Treated as distributions out of corpus (Election required—see instructions)........	0
d Applied to 2021 distributable amount.....			4,963
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2021.
(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
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........
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......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........			62,811
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) .......
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......
10 Analysis of line 9:
a Excess from 2017....
b Excess from 2018....
c Excess from 2019....
d Excess from 2020....
e Excess from 2021....

Form 990-PF (2021)

Page 10

Part XIII

Private Operating Foundations (see instructions and Part VI-A, question 9)

1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section 4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2021	(b) 2020	(c) 2019	(d) 2018	(e) Total

b 85% (0.85) of line 2a .........
c Qualifying distributions from Part XI, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part IX, line 6 for each year listed ..
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XIV

Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

ANN E ONYMOUS

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

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

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

ANN E ONYMOUS
1230 E SANDHILL LN
COTTONWOOD,AZ86326
(208) 746-2575

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

LETTER OF APPLICATION, INCLUDING PROOF THAT APPLICANT ORGANIZATION IS 501(C)(3) ORGANIZATION OR PUBLIC CHARITY.

cAny submission deadlines:

NO LATER THAT OCTOBER 1ST OF EACH YEAR

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

NO RESTRICTIONS

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

JOSEPH W JETER
1200 MAIN STREET
HAYS,KS67601
(785) 628-8226

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

LETTER APPLICATION SETTING FORTH NEED AND QUALIFICATIONS

cAny submission deadlines:

NO LATER THAN OCTOBER 1ST OF EACH YEAR

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

NO RESTRICTIONS

Form 990-PF (2021)

Page 11

Part XIV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
CROSSROADS CLUB INC 1700 LAKE IDA RD DELRAY BEACH,FL33445	NONE	PC	PROVIDE A SAFE HAVEN FOR ANYONE WHO HAD BEEN ADVERSELY AFFECTED BY THE USE OF ADDICTIVE SUBSTANCES	2,000
NATIONAL MULTIPLE SCLEROSIS SOCIETY PO BOX 4594 NEW YORK,NY10163	NONE	PC	TREAMENT AND RESEARCH OF MULTIPLE SCLEROSIS	2,000
ANIMAL LEGAL DEFENSE FUND 525 EAST COTATI AVENUE COTATI,CA94931	NONE	PC	PROTECT THE LIVES AND ADVANCE THE INTERESTS OF ANIMALS THROUGH THE LEGAL SYSTEM	5,000
COMPASSION AND CHOICES PO BOX 485 ETNA,NH03750	NONE	PC	IMPROVE PATIENT RIGHTS AND INDIVIDUAL CHOICES AT THE END OF LIFE	3,000
WSU FOUNDATION VETERINARY TEACHING 255 E MAIN ST SUITE 301 PULLMAN,WA99164	NONE	PC	TO AID IN GENERAL OPERATIONS	5,000
FINCA PO BOX 98048 WASHINGTON,DC20090	NONE	PC	TO AID IN GENERAL OPERATIONS	1,000
INTERNATIONAL RESCUE COMMITTEE PO BOX 6068 ALBERT LEA,MN56007	NONE	PC	TO AID IN GENERAL OPERATIONS	2,000
INTERNATIONAL FUND FOR ANIMAL WELFA PO BOX 97105 WASHINGTON,DC20077	NONE	PC	TO PROTECT THE LIVES OF ORPHANED ELEPHANTS	3,000
4 PAWS PO BOX 426 YOUNGTOWN,AZ85363	NONE	PC	TO AID IN GENERAL OPERATIONS	4,000
SALVATION ARMY 2707 EAST VAN BUREN ST PHOENIX,AZ85008	NONE	PC	TO PREACH THE GOSPEL OF JESUS CHRIST AND TO MEET HUMAN NEEDS IN HIS NAME WITHOUT DISCRIMINATION	2,000
AMERICAN RED CROSS 707 N MAIN ST WICHITA,KS67203	NONE	PC	TO AID IN GENERAL OPERATIONS	2,000
St MARY'S FOOD BANK 13050 WEST ELM ST SURPRISE,AZ85378	NONE	PC	END HUNGER IN ARIZONA	5,000
MACULAR DEGENERATION ASSOCIATION PO BOX 96162 WASHINGTON,DC20090	NONE	PC	TO AID IN GENERAL OPERATIONS	5,000
CHRISTIAN FAMILY CARE AGENCY 2346 N CENTRAL AVE PHOENIX,AZ85004	NONE	PC	STRENGTHEN FAMILIES AND SERVE AT-RISK CHILDREN IN THE NAME OF JESUS CHRIST	500
100 CLUB OF ARIZONA 333 N 44TH ST STE 100 PHOENIX,AZ85008	NONE	PC	PROVIDE FINANCIAL ASSISTANCE AND RESOURCES TO FAMILIES OF FIRST RESPONDERS	2,000
PROJECT STREET VET PO BOX 232579 ENCINITAS,CA92023	NONE	PC	PROVIDE FREE VETERINARY CARE, TREATMENT, AND SUPPORT TO PETS OF INDIVIDUALS EXPERIENCING HOMELESSNESS	1,000
SPCA INTERNATIONAL PO BOX 2008 MILFORD,NH03055	NONE	PC	TO ADVANCE THE SAFETY AND WELL-BEING OF ANIMALS	1,000
PLANNED PARENTHOOD FEDERATION OF AM PO BOX 97166 WASHINGTON,DC20090	NONE	PC	ENSURE ALL PEOPLE HAVE ACCESS TO THE CARE & RESOURCES THEY NEED TO MAKE INFORMED DECISIONS	5,000
VERDE VALLEY SENIOR CENTER 500 E CHERRY ST COTTONWOOD,AZ86326	NONE	PC	PROVIDE MEALS TO HOME-BOUND SENIOR CITIZENS	1,000
SOCIETY OF ST VINCENT DE PAUL 825 W MINGUS AVE COTTONWOOD,AZ86326	NONE	PC	PROVIDE FOOD FOR PEOPLE IN NEED	2,000
VERDE VALLEY HUMANE SOCIETY 1540 MINGUS AVE COTTONWOOD,AZ86326	NONE	PC	FIGHT ANIMAL CRUELTY & NEGLECT	5,000
CLEMENCEAU HERITAGE MUSEUM 1 N WILLARD ST COTTONWOOD,AZ86326	NONE	PC	PRESERVE & DISPLAY THE VERDE VELLEY ARTIFACTS AND HERITAGE	2,000
Total ................................. 3a				60,500

bApproved for future payment

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

Form 990-PF (2021)

Page 12

Part XV-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........			14	155
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	416,752
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) ..				445,149

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

445,149

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

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)

Form 990-PF (2021)

Page 13

Part XVI

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

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Yes

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

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

1a(1)

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

1a(2)

Other transactions:

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

1b(1)

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

1b(2)

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

1b(3)

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

1b(4)

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

1b(5)

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

1b(6)

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

If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

If "Yes," complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

Sign Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

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

Form 990-PF (2021)

Additional Data

Software ID:	21013475
Software Version:	2021v4.1

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2021 AccountingFeesSchedule

Name:

ANN E ONYMOUS FOUNDATION

EIN:

11-3831019

Software ID:

21013475

Software Version:

2021v4.1

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Brungardt Hower Ward Elliott & Pfeifer	3,105	3,105	0	0

- TIN:

TY 2021 OtherDecreasesSchedule

Name:

ANN E ONYMOUS FOUNDATION

EIN:

11-3831019

Software ID:

21013475

Software Version:

2021v4.1

Description	Amount
Book basis over tax basis of securities sold	8,618

- TIN:

TY 2021 OtherExpensesSchedule

Name:

ANN E ONYMOUS FOUNDATION

EIN:

11-3831019

Software ID:

21013475

Software Version:

2021v4.1

Description	Revenue and Expenses per Books	Net Investment Income
ADVISORY FEES	10,234	10,234
ANNUAL REPORT FEES	40	40
MISCELLANEOUS	1	1

- TIN:

TY 2021 TaxesSchedule

Name:

ANN E ONYMOUS FOUNDATION

EIN:

11-3831019

Software ID:

21013475

Software Version:

2021v4.1

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
EXCISE TAX	58