Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 10-01-2021 , and ending 09-30-2022
Name of foundation
CAROLINE J S SANDERS TD
 
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

23-6781822
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$731,222J 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... 28,335 28,335  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 19,995
b Gross sales price for all assets on line 6a 321,676
7 Capital gain net income (from Part IV, line 2)... 19,995
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........ 48,330 48,330  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 13,266 9,949   3,316
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 911 0 0 911
c Other professional fees (attach schedule).... Click to see attachment 884     884
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,807 491   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 6 6    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 17,874 10,446 0 5,111
25 Contributions, gifts, grants paid....... 39,500 39,500
26 Total expenses and disbursements. Add lines 24 and 25 57,374 10,446 0 44,611
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -9,044
b Net investment income (if negative, enter -0-) 37,884
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......... 24,900 40,344 40,344
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)....... 188,150 Click to see attachment165,071 246,165
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).......... 507,249 Click to see attachment506,134 444,713
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) 720,299 711,549 731,222
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........ 720,299 711,549
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)..... 720,299 711,549
30 Total liabilities and net assets/fund balances (see instructions). 720,299 711,549
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
720,299
2
Enter amount from Part I, line 27a .....................
2
-9,044
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
294
4
Add lines 1, 2, and 3 ..........................
4
711,549
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
711,549
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 3. AMGEN INC   2020-10-20 2021-10-12
b 4. AMGEN INC   2021-07-06 2021-10-12
c 8. AMGEN INC   2020-09-14 2021-10-12
d 47.946 INV OPP DEVELOP MRKTS-R6 7038   2021-07-26 2021-10-19
e 644.654 INV OPP DEVELOP MRKTS-R6 7038   2011-08-26 2021-10-19
4. ISHARES RUSSELL 2000 ETF   2021-03-25 2021-10-19
2064.215 PIMCO HIGH YIELD FD-INST #108   2021-07-26 2021-10-19
13.246 UNDISC MGRS BEHAV VAL - R6   2021-07-26 2021-10-19
2. BLACKSTONE INC   2021-07-26 2021-10-21
9. BLACKSTONE INC   2020-06-09 2021-10-21
3. DIAGEO PLC - ADR   2021-07-26 2021-10-21
33. FLEXTRONICS INTL LTD   2021-07-26 2021-11-19
145. FLEXTRONICS INTL LTD   2018-11-19 2021-11-19
65. ISHARES RUSSELL 2000 ETF   2021-03-25 2021-12-13
59. ISHARES RUSSELL 2000 ETF   2020-09-25 2021-12-13
1. BLACKROCK INC   2021-07-26 2021-12-17
8. BLACKSTONE INC   2020-06-09 2021-12-17
5. MICROSOFT CORP   2021-07-26 2021-12-17
5. NIKE INC CL B   2021-07-26 2021-12-17
24. INTERPUBLIC GROUP COS INC   2021-02-26 2022-02-10
18. INTERPUBLIC GROUP COS INC   2020-10-26 2022-02-10
5. ABBVIE INC   2021-07-06 2022-02-18
1. ALPHABET INC CL C   2021-07-26 2022-04-26
4. APPLE INC   2021-10-19 2022-04-26
6. APPLE INC   2021-02-26 2022-04-26
3. BLACKSTONE INC   2020-06-09 2022-04-26
1. BROADCOM INC   2021-07-26 2022-04-26
2. CVS HEALTH CORPORATION   2021-07-26 2022-04-26
4. CELANESE CORP   2021-07-26 2022-04-26
6. CISCO SYSTEMS INC   2020-07-16 2022-04-26
7. CITIGROUP INC.   2021-07-26 2022-04-26
1. DIAGEO PLC - ADR   2021-07-26 2022-04-26
1. DIAGEO PLC - ADR   2019-02-26 2022-04-26
3. WALT DISNEY CO   2021-07-26 2022-04-26
2. ELECTRONIC ARTS INC   2021-07-26 2022-04-26
7. INTERPUBLIC GROUP COS INC   2020-10-26 2022-04-26
130. ISHARES RUSSELL 2000 ETF   2020-09-25 2022-04-26
79. ISHARES CORE MSCI EMERGING ETF   2021-02-23 2022-04-26
5. JPMORGAN CHASE & CO   2021-07-26 2022-04-26
1. LAM RESEARCH CORP COM   2021-10-19 2022-04-26
1. ELI LILLY & CO COM   2021-07-26 2022-04-26
10. MANULIFE FINANCIAL CORP   2022-02-10 2022-04-26
5. MERCK & CO INC NEW   2021-10-12 2022-04-26
6. MICROSOFT CORP   2021-07-26 2022-04-26
5. MONDELEZ INTERNATIONAL INC   2021-07-26 2022-04-26
1. NIKE INC CL B   2021-07-26 2022-04-26
1. NIKE INC CL B   2020-04-06 2022-04-26
2018.461 PIMCO COMMODITY REAL RET STRAT-I45   2021-07-26 2022-04-26
1448.008 PGIM HIGH YIELD-Q 1067   2021-07-26 2022-04-26
4. RAYTHEON TECHNOLOGIES CORP   2021-07-26 2022-04-26
4. SYSCO CORP   2021-07-26 2022-04-26
2. TARGET CORP   2021-07-26 2022-04-26
1. THERMO FISHER SCIENTIFIC INC   2014-02-25 2022-04-26
7. TORONTO DOMINION BK ONT COM NEW   2021-07-26 2022-04-26
8. TOTAL S.A. - ADR   2021-10-19 2022-04-26
30.083 TOUCHSTONE SANDS EM GR-R6 #525   2021-10-19 2022-04-26
1236.11 TOUCHSTONE SANDS EM GR-R6 #525   2020-12-15 2022-04-26
7.782 UNDISC MGRS BEHAV VAL - R6   2021-07-26 2022-04-26
220.064 UNDISC MGRS BEHAV VAL - R6   2021-02-23 2022-04-26
4. UNILEVER PLC - ADR   2020-02-03 2022-04-26
2. UNITED PARCEL SERVICE-CL B   2021-07-26 2022-04-26
1. UNITEDHEALTH GROUP INC   2019-09-27 2022-04-26
1. VISA INC-CLASS A SHRS   2021-07-26 2022-04-26
3. WASTE MANAGEMENT INC   2021-07-26 2022-04-26
4. EATON CORP PLC   2021-12-17 2022-04-26
1. GARMIN LTD   2021-07-26 2022-04-26
1. GARMIN LTD   2021-12-17 2022-04-26
1. ABBVIE INC   2021-07-06 2022-05-02
7. APPLE INC   2020-04-06 2022-05-02
1. BLACKROCK INC   2020-04-06 2022-05-02
2. BLACKSTONE INC   2020-06-09 2022-05-02
1. BOEING CO   2021-02-26 2022-05-02
3. CVS HEALTH CORPORATION   2021-07-26 2022-05-02
1. CELANESE CORP   2021-07-26 2022-05-02
1. CELANESE CORP   2021-02-26 2022-05-02
5. CISCO SYSTEMS INC   2020-07-16 2022-05-02
5. CITIGROUP INC.   2021-07-26 2022-05-02
6. COGNIZANT TECH SOLUTIONS CRP COM   2021-12-17 2022-05-02
1. DIAGEO PLC - ADR   2020-04-06 2022-05-02
1. WALT DISNEY CO   2021-07-26 2022-05-02
2. ELECTRONIC ARTS INC   2021-07-26 2022-05-02
1. META PLATFORMS INC   2021-04-08 2022-05-02
2. FIDELITY NATL INFORMATION SVCS INC   2021-07-26 2022-05-02
3. HASBRO INC   2021-04-08 2022-05-02
5. INTERPUBLIC GROUP COS INC   2020-10-26 2022-05-02
39. ISHARES CORE MSCI EMERGING ETF   2021-02-23 2022-05-02
3. JPMORGAN CHASE & CO   2021-07-26 2022-05-02
8. LAS VEGAS SANDS CORP   2019-08-09 2022-05-02
1. ELI LILLY & CO COM   2021-07-26 2022-05-02
17. MANULIFE FINANCIAL CORP   2022-02-10 2022-05-02
3. MERCK & CO INC NEW   2021-10-12 2022-05-02
1. MICROSOFT CORP   2021-07-26 2022-05-02
2. MICROSOFT CORP   2015-08-10 2022-05-02
3. MONDELEZ INTERNATIONAL INC   2021-07-26 2022-05-02
2. NIKE INC CL B   2020-04-06 2022-05-02
145.46 PIMCO COMMODITY REAL RET STRAT-I45   2021-07-26 2022-05-02
625.368 PGIM HIGH YIELD-Q 1067   2021-10-19 2022-05-02
11.171 PGIM HIGH YIELD-Q 1067   2020-09-25 2022-05-02
3. RAYTHEON TECHNOLOGIES CORP   2021-07-26 2022-05-02
12. SUNCOR ENERGY INC NEW F   2021-12-17 2022-05-02
3. SYSCO CORP   2021-07-26 2022-05-02
1. TARGET CORP   2021-07-26 2022-05-02
2. TORONTO DOMINION BK ONT COM NEW   2021-07-26 2022-05-02
2. TORONTO DOMINION BK ONT COM NEW   2020-06-09 2022-05-02
4. TOTAL S.A. - ADR   2021-10-19 2022-05-02
35.27 TOUCHSTONE MID CAP-R6 #355   2020-02-20 2022-05-02
3. UNILEVER PLC - ADR   2020-02-03 2022-05-02
1. UNION PACIFIC CORP   2022-04-26 2022-05-02
1. UNITED PARCEL SERVICE-CL B   2021-07-26 2022-05-02
1. VISA INC-CLASS A SHRS   2021-07-26 2022-05-02
1. VISA INC-CLASS A SHRS   2021-12-17 2022-05-02
2. WASTE MANAGEMENT INC   2021-07-26 2022-05-02
2. EATON CORP PLC   2021-12-17 2022-05-02
2. MEDTRONIC PLC   2019-07-19 2022-05-02
2. GARMIN LTD   2021-12-17 2022-05-02
11. CELANESE CORP   2020-04-06 2022-06-24
72. HAIN CELESTIAL GROUP INC   2019-02-26 2022-06-24
4. ELI LILLY & CO COM   2021-07-26 2022-06-24
7. ELI LILLY & CO COM   2016-10-03 2022-06-24
8. UNITEDHEALTH GROUP INC   2014-02-25 2022-06-24
6. EATON CORP PLC   2021-07-26 2022-06-24
9. EATON CORP PLC   2021-02-10 2022-06-24
22. MEDTRONIC PLC   2019-07-19 2022-06-24
1. ABBVIE INC   2021-10-12 2022-08-10
13. ALPHABET INC CL C   2019-09-27 2022-08-10
4. APPLE INC   2020-04-06 2022-08-10
1. BLACKSTONE INC   2020-06-09 2022-08-10
1. BOEING CO   2022-06-24 2022-08-10
11. BOEING CO   2020-04-06 2022-08-10
1. BROADCOM INC   2021-07-26 2022-08-10
1. CVS HEALTH CORPORATION   2021-07-26 2022-08-10
3. CISCO SYSTEMS INC   2020-07-16 2022-08-10
4. CITIGROUP INC.   2019-08-09 2022-08-10
1. COGNIZANT TECH SOLUTIONS CRP COM   2021-12-17 2022-08-10
5. DELAWARE SMALL CAP CORE-R6   2022-05-02 2022-08-10
1. DIAGEO PLC - ADR   2020-04-06 2022-08-10
15. WALT DISNEY CO   2020-04-06 2022-08-10
1. ELECTRONIC ARTS INC   2021-07-26 2022-08-10
6. FIDELITY NATL INFORMATION SVCS INC   2021-08-30 2022-08-10
17. FIDELITY NATL INFORMATION SVCS INC   2019-06-17 2022-08-10
1. HASBRO INC   2021-04-08 2022-08-10
3. INTERPUBLIC GROUP COS INC   2020-10-26 2022-08-10
27. ISHARES CORE MSCI EMERGING ETF   2021-10-19 2022-08-10
273. ISHARES CORE MSCI EMERGING ETF   2021-02-23 2022-08-10
1. JPMORGAN CHASE & CO   2019-02-26 2022-08-10
1. LAM RESEARCH CORP COM   2020-04-06 2022-08-10
3. LAS VEGAS SANDS CORP   2019-08-09 2022-08-10
11. MANULIFE FINANCIAL CORP   2022-02-10 2022-08-10
2. MERCK & CO INC NEW   2021-10-12 2022-08-10
3. MICROSOFT CORP   2015-01-27 2022-08-10
3. MONDELEZ INTERNATIONAL INC   2021-07-26 2022-08-10
1. NIKE INC CL B   2020-04-06 2022-08-10
14.966 PIMCO TOTAL RET FD-INST #35   2019-12-10 2022-08-10
6596.557 PGIM HIGH YIELD-Q 1067   2020-05-15 2022-08-10
2. RAYTHEON TECHNOLOGIES CORP   2021-07-26 2022-08-10
83. REGIONS FINL CORP NEW   2022-06-24 2022-08-10
6. SUNCOR ENERGY INC NEW F   2021-12-17 2022-08-10
1. SYSCO CORP   2020-08-25 2022-08-10
2. TORONTO DOMINION BK ONT COM NEW   2020-06-09 2022-08-10
16. TOTAL S.A. - ADR   2021-10-21 2022-08-10
34. TOTAL S.A. - ADR   2022-06-24 2022-08-10
38.945 TOUCHSTONE MID CAP-R6 #355   2020-02-20 2022-08-10
2. UNILEVER PLC - ADR   2020-02-03 2022-08-10
1. UNION PACIFIC CORP   2021-02-26 2022-08-10
1. UNITED PARCEL SERVICE-CL B   2021-07-26 2022-08-10
55. VANGUARD MIDCAP VIPER   2021-10-19 2022-08-10
1. WASTE MANAGEMENT INC   2021-07-26 2022-08-10
1. GARMIN LTD   2021-12-17 2022-08-10
1. TE CONNECTIVITY LTD   2021-11-19 2022-08-10
13. MEDTRONIC PLC   2022-08-10 2022-08-22
13. MEDTRONIC PLC   2019-07-19 2022-08-22
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(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 604   692 -88
b 805   977 -172
c 1,609   1,969 -360
d 2,575   2,509 66
e 34,624   20,576 14,048
902   839 63
18,640   18,805 -165
1,113   1,051 62
265   223 42
1,190   528 662
598   573 25
585   549 36
2,571   1,239 1,332
14,164   13,632 532
12,857   9,754 3,103
921   868 53
986   470 516
1,617   1,444 173
812   829 -17
856   627 229
642   341 301
719   578 141
2,455   2,761 -306
645   588 57
967   739 228
335   176 159
576   482 94
203   167 36
569   619 -50
310   273 37
354   466 -112
205   191 14
205   157 48
353   527 -174
254   290 -36
243   132 111
24,939   18,920 6,019
4,054   5,294 -1,240
626   752 -126
466   569 -103
285   243 42
200   220 -20
429   397 32
1,659   1,733 -74
329   324 5
127   166 -39
127   84 43
15,441   13,111 2,330
7,240   8,055 -815
398   343 55
357   290 67
480   523 -43
534   124 410
506   462 44
379   419 -40
430   688 -258
17,664   26,274 -8,610
642   618 24
18,166   16,635 1,531
186   235 -49
367   422 -55
524   215 309
207   249 -42
497   439 58
584   665 -81
112   154 -42
112   134 -22
147   116 31
1,078   684 394
613   448 165
206   117 89
144   214 -70
286   250 36
144   155 -11
144   139 5
245   227 18
241   333 -92
481   512 -31
195   127 68
111   176 -65
236   290 -54
203   313 -110
192   297 -105
264   289 -25
161   95 66
2,015   2,613 -598
358   451 -93
285   433 -148
286   243 43
326   374 -48
262   238 24
279   289 -10
557   95 462
190   195 -5
247   167 80
1,110   912 198
3,077   3,477 -400
55   59 -4
279   257 22
427   280 147
252   218 34
227   261 -34
143   132 11
143   97 46
198   208 -10
1,551   1,484 67
136   177 -41
231   236 -5
176   211 -35
208   249 -41
208   213 -5
319   293 26
289   333 -44
205   203 2
220   267 -47
1,345   864 481
1,658   1,577 81
1,287   940 347
2,252   565 1,687
3,952   602 3,350
777   950 -173
1,166   1,154 12
1,958   2,231 -273
140   108 32
1,559   791 768
670   256 414
104   59 45
169   138 31
1,856   1,739 117
544   482 62
104   83 21
137   136 1
212   266 -54
69   85 -16
143   137 6
191   127 64
1,665   2,402 -737
131   145 -14
603   763 -160
1,708   2,143 -435
79   96 -17
89   57 32
1,332   1,729 -397
13,469   18,247 -4,778
118   105 13
481   245 236
111   162 -51
204   242 -38
179   159 20
865   129 736
193   195 -2
113   84 29
136   156 -20
32,125   33,422 -1,297
186   172 14
1,827   1,614 213
183   140 43
83   58 25
130   97 33
836   827 9
1,776   1,746 30
1,765   1,639 126
96   118 -22
232   208 24
200   211 -11
12,153   13,713 -1,560
171   146 25
97   134 -37
133   165 -32
1,211   1,222 -11
1,211   1,168 43
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
      949
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       -88
b       -172
c       -360
d       66
e       14,048
      63
      -165
      62
      42
      662
      25
      36
      1,332
      532
      3,103
      53
      516
      173
      -17
      229
      301
      141
      -306
      57
      228
      159
      94
      36
      -50
      37
      -112
      14
      48
      -174
      -36
      111
      6,019
      -1,240
      -126
      -103
      42
      -20
      32
      -74
      5
      -39
      43
      2,330
      -815
      55
      67
      -43
      410
      44
      -40
      -258
      -8,610
      24
      1,531
      -49
      -55
      309
      -42
      58
      -81
      -42
      -22
      31
      394
      165
      89
      -70
      36
      -11
      5
      18
      -92
      -31
      68
      -65
      -54
      -110
      -105
      -25
      66
      -598
      -93
      -148
      43
      -48
      24
      -10
      462
      -5
      80
      198
      -400
      -4
      22
      147
      34
      -34
      11
      46
      -10
      67
      -41
      -5
      -35
      -41
      -5
      26
      -44
      2
      -47
      481
      81
      347
      1,687
      3,350
      -173
      12
      -273
      32
      768
      414
      45
      31
      117
      62
      21
      1
      -54
      -16
      6
      64
      -737
      -14
      -160
      -435
      -17
      32
      -397
      -4,778
      13
      236
      -51
      -38
      20
      736
      -2
      29
      -20
      -1,297
      14
      213
      43
      25
      33
      9
      30
      126
      -22
      24
      -11
      -1,560
      25
      -37
      -32
      -11
      43
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 19,995
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........................... 3 527
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- ..... 5 527
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,248
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 1,248
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 10 721
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet528 RefundedBullet 11 193
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)
    bulletPA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care 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)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WELLS FARGO BANK N A TRUSTEE
    1     		13,266    
    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
    844,825
    b
    Average of monthly cash balances.......................
    1b
    31,260
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    876,085
    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
    876,085
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    13,141
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    862,944
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    43,147
    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
    43,147
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    527
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    527
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    42,620
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    42,620
    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
    42,620
    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 42,620
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 11,492
    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$ 44,611
    a Applied to 2020, but not more than line 2a 11,492
    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..... 33,119
    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 ..........     		9,501
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    BARN AT SPRING BROOK FARM INC
    360 LOCUST GROVE RD
    WEST CHESTER,PA193826726     		NONE PC GENERAL SUPPORT 5,000
    MAGEE REHABILITATION HOSPITAL
    SIX FRANKLIN PLAZA
    PHILADELPHIA,PA191020000     		NONE PC GENERAL SUPPORT 5,000
    EASTER SEALS EASTERN PANNSYLVANIA
    1501 LEHIGH ST STE 201
    ALLENTOWN,PA181033880     		NONE PC GENERAL SUPPORT 3,000
    MITZVAH CIRCLE FOUNDATION
    2562 BOULEVARD OF THE GENERALS
    NORRISTOWN,PA194033671     		NONE PC GENERAL OPERATING PURPOSES 5,000
    ARC ALLIANCE GUARDIANSHIP SERVICES
    3075 RIDGE PIKE
    EAGLEVILLE,PA194031534     		NONE PC GENERAL OPERATING PURPOSES 5,000
    PHILADELPHIA CHILDREN'S ALLIANCE
    300 E HUNTING PARK AVENUE
    PHILADELPHIA,PA191246018     		NONE PC GENERAL OPERATING PURPOSES 3,500
    MOMS OFFERING MOMS SUPPORT
    4805 HENRY ST
    EASTON,PA180454824     		NONE PC GENERAL OPERATING PURPOSES 3,000
    FAMILY SERVICE FOR CHESTER COUNTY
    310 N MATLACK ST
    WEST CHESTER,PA191246018     		NONE PC GENERAL OPERATING PURPOSES 5,000
    THE ARC OF CHESTER COUNTY
    900 LAWRENCE DR
    WEST CHESTER,PA19380     		NONE PC GENERAL OPERATING PURPOSES 5,000
    Total .................................bullet 3a 39,500
    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 19,995  
    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) ..   48,330  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    48,330
    (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:
    CAROLINE J S SANDERS TD
    EIN:
    23-6781822
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 911     911

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    CAROLINE J S SANDERS TD
    EIN:
    23-6781822
    Name of Stock End of Year Book Value End of Year Fair Market Value
    192446102 COGNIZANT TECH SOLUT 4,098 3,906
    G5960L103 MEDTRONIC PLC    
    00287Y109 ABBVIE INC 4,043 5,100
    867224107 SUNCOR ENERGY INC NE 4,499 5,940
    883556102 THERMO FISHER SCIENT 989 4,058
    92826C839 VISA INC-CLASS A SHR 4,563 4,619
    405217100 HAIN CELESTIAL GROUP    
    609207105 MONDELEZ INTERNATION 3,544 4,332
    25243Q205 DIAGEO PLC - ADR 3,310 4,755
    94106L109 WASTE MANAGEMENT INC 4,565 6,729
    30303M102 META PLATFORMS INC 4,292 2,442
    17275R102 CISCO SYSTEMS INC 2,643 4,240
    891160509 TORONTO DOMINION BK 4,108 5,213
    871829107 SYSCO CORP 2,622 3,960
    91324P102 UNITEDHEALTH GROUP I 3,755 9,596
    Y2573F102 FLEX LTD    
    31620M106 FIDELITY NATL INFORM 6,165 4,459
    418056107 HASBRO INC 5,360 3,776
    172967424 CITIGROUP INC. 5,279 5,000
    512807108 LAM RESEARCH CORP CO 1,383 2,928
    46625H100 JPMORGAN CHASE & CO 4,591 6,897
    031162100 AMGEN INC    
    037833100 APPLE INC 3,167 20,454
    87612E106 TARGET CORP 1,351 3,413
    H2906T109 GARMIN LTD 3,554 2,811
    11135F101 BROADCOM INC 3,229 5,328
    285512109 ELECTRONIC ARTS INC 3,265 4,166
    150870103 CELANESE CORP 2,414 3,343
    460690100 INTERPUBLIC GROUP CO 2,024 2,739
    56501R106 MANULIFE FINANCIAL C 5,523 5,939
    09857L108 BOOKING HOLDINGS INC 2,617 3,286
    517834107 LAS VEGAS SANDS CORP 4,738 3,827
    89151E109 TOTALENERGIES SE -SP 5,266 5,164
    H84989104 TE CONNECTIVITY LTD 3,209 3,752
    G29183103 EATON CORP PLC 5,418 5,868
    09260D107 BLACKSTONE INC 2,391 3,515
    02079K107 ALPHABET INC CL C 5,759 14,134
    911312106 UNITED PARCEL SERVIC 2,852 4,846
    654106103 NIKE INC CL B 2,022 2,660
    58933Y105 MERCK & CO INC NEW 4,018 5,856
    097023105 BOEING CO 3,148 2,906
    532457108 ELI LILLY & CO COM 3,204 7,114
    75513E101 RAYTHEON TECHNOLOGIE 5,749 6,303
    594918104 MICROSOFT CORP 2,957 17,933
    904767704 UNILEVER PLC - ADR 3,104 2,455
    09247X101 BLACKROCK INC 2,604 4,402
    126650100 CVS HEALTH CORPORATI 3,385 5,341
    254687106 WALT DISNEY CO 3,573 3,679
    907818108 UNION PACIFIC CORP 1,818 4,091
    057071854 BAIRD AGGREGATE BOND    
    693390700 PIMCO TOTAL RET FD-I    
    922908629 VANGUARD MIDCAP VIPE    
    872365713 TCW EMRG MRKTS INC-P    
    46434G103 ISHARES CORE MSCI EM    
    77956H435 T ROWE PR OVERSEAS S    
    74440Y884 PGIM HIGH YIELD-Q 10    
    31641Q755 FIDELITY NEW MRKTS I    
    722005667 PIMCO COMMODITY REAL    
    89155T490 TOUCHSTONE MID CAP-R    
    464287655 ISHARES RUSSELL 2000    
    904504479 UNDISC MGRS BEHAV VA    
    89154M702 TOUCHSTONE SANDS EM    
    7591EP100 REGIONS FINL CORP NE 2,903 2,890

    TY 2021 InvestmentsOtherSchedule2
    Name:
    CAROLINE J S SANDERS TD
    EIN:
    23-6781822
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    405217100 HAIN CELESTIAL GROUP      
    58933Y105 MERCK & CO INC NEW      
    20030N101 COMCAST CORP CLASS A      
    4812C0803 JPMORGAN HIGH YIELD      
    126650100 CVS HEALTH CORPORATI      
    26875P101 EOG RESOURCES, INC      
    04314H600 ARTISAN MID CAP FUND      
    315920702 FID ADV EMER MKTS IN      
    609207105 MONDELEZ INTERNATION      
    771195104 ROCHE HOLDINGS LTD -      
    872540109 TJX COS INC NEW      
    883556102 THERMO FISHER SCIENT      
    907818108 UNION PACIFIC CORP      
    77956H435 T ROWE PR OVERSEAS S AT COST 19,205 14,087
    03076C106 AMERIPRISE FINL INC      
    78463X863 SPDR DJ WILSHIRE INT      
    Y2573F102 FLEX LTD      
    256210105 DODGE & COX INCOME F      
    85917K546 STERLING CAPITAL STR      
    277923264 EATON VANCE GLOB MAC      
    592905764 METROPOLITAN WEST T/      
    87234N765 TCW EMRG MKTS INCM-I      
    H84989104 TE CONNECTIVITY LTD      
    172967424 CITIGROUP INC.      
    77958B402 T ROWE PRICE INST FL      
    848574109 SPIRIT AEROSYTSEMS H      
    911312106 UNITED PARCEL SERVIC      
    46625H100 JPMORGAN CHASE & CO      
    256206103 DODGE & COX INT'L ST      
    025083320 AMER CENT SMALL CAP      
    339128100 JP MORGAN MID CAP VA      
    779919307 T ROWE PR REAL ESTAT      
    63872T885 ASG GLOBAL ALTERNATI      
    517834107 LAS VEGAS SANDS CORP      
    47803M168 JOHN HANCOCK II-CURR      
    G29183103 EATON CORP PLC      
    25243Q205 DIAGEO PLC - ADR      
    532457108 ELI LILLY & CO COM      
    594918104 MICROSOFT CORP      
    693475105 PNC FINANCIAL SERVIC      
    91324P102 UNITEDHEALTH GROUP I      
    H42097107 UBS GROUP AG      
    150870103 CELANESE CORP      
    683974604 OPPENHEIMER DEVELOPI      
    64128R608 NEUBERGER BERMAN LON      
    037833100 APPLE INC      
    17275R102 CISCO SYSTEMS INC      
    375558103 GILEAD SCIENCES INC      
    512807108 LAM RESEARCH CORP CO      
    87612E106 TARGET CORP      
    09260C703 BLACKROCK GL L/S CRE      
    12572Q105 CME GROUP INC      
    192446102 COGNIZANT TECH SOLUT      
    254687106 WALT DISNEY CO      
    654106103 NIKE INC CL B      
    56501R106 MANULIFE FINANCIAL C      
    09247X101 BLACKROCK INC      
    867224107 SUNCOR ENERGY INC NE      
    084670702 BERSHIRE HATHAWAY IN      
    02079K107 ALPHABET INC CL C      
    00203H859 AQR MANAGED FUTURES      
    00206R102 AT & T INC      
    98978V103 ZOETIS INC      
    097023105 BOEING CO      
    437076102 HOME DEPOT INC      
    806857108 SCHLUMBERGER LTD      
    89151E109 TOTAL S.A. - ADR      
    G5960L103 MEDTRONIC PLC      
    11135F101 BROADCOM INC      
    693390700 PIMCO TOTAL RET FD-I AT COST 61,869 53,129
    00143W859 INV OPP DEVELOP MRKT      
    46434G103 ISHARES CORE MSCI EM AT COST 20,720 14,226
    31641Q755 FIDELITY NEW MRKTS I AT COST 20,242 14,808
    31620M106 FIDELITY NATL INFORM      
    285512109 ELECTRONIC ARTS INC      
    891160509 TORONTO DOMINION BK      
    755111507 RAYTHEON CO      
    464287655 ISHARES RUSSELL 2000      
    922908629 VANGUARD MIDCAP VIPE AT COST 86,490 84,215
    H2906T109 GARMIN LTD      
    09857L108 BOOKING HOLDINGS INC      
    904784709 UNILEVER N.V. - ADR      
    74440Y884 PGIM HIGH YIELD-Q 10 AT COST 24,658 22,494
    27830W108 EV GL MACR ABS RTRN      
    89609H704 TRIBUTARY SMALL CO-I      
    75513E101 RAYTHEON TECHNOLOGIE      
    09260D107 BLACKSTONE GROUP INC      
    92826C839 VISA INC-CLASS A SHR      
    031162100 AMGEN INC      
    46090F100 INVESCO OPTIMUM YIEL      
    89155T649 TOUCHSTONE MID CAP-I      
    871829107 SYSCO CORP      
    94106L109 WASTE MANAGEMENT INC      
    89154M702 TOUCHSTONE SANDS EM      
    057071854 BAIRD AGGREGATE BOND AT COST 154,456 136,938
    722005667 PIMCO COMMODITY REAL AT COST 32,438 25,711
    904504479 UNDISC MGRS BEHAV VA      
    693390841 PIMCO HIGH YIELD FD-      
    872365713 TCW EMRG MRKTS INC-P AT COST 40,382 28,960
    89155T490 TOUCHSTONE MID CAP-R AT COST 29,811 35,873
    24610B826 DELAWARE SMALL CAP C AT COST 15,863 14,272

    TY 2021 OtherExpensesSchedule
    Name:
    CAROLINE J S SANDERS TD
    EIN:
    23-6781822
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES - ADR FEES 6 6   0


    TY 2021 OtherIncreasesSchedule
    Name:
    CAROLINE J S SANDERS TD
    EIN:
    23-6781822
    Description Amount
    MUTUAL FUND TIMING ADJ 289
    ROUNDING 5


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    CAROLINE J S SANDERS TD
    EIN:
    23-6781822
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    GRANT ADMIN FEE 884     884


    TY 2021 TaxesSchedule
    Name:
    CAROLINE J S SANDERS TD
    EIN:
    23-6781822
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 430 430   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,068 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,248 0   0
    FOREIGN TAXES ON NONQUALIFIED 61 61   0