Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 09-01-2021 , and ending 08-31-2022
Name of foundation
BLACK FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)POBOX 1532 AFT
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PENNINGTON, NJ08534
A Employer identification number

87-0651267
B Telephone number (see instructions)

(888) 866-3275
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$3,146,549
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 38,262 38,262  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 317,482
b Gross sales price for all assets on line 6a 958,624
7 Capital gain net income (from Part IV, line 2)... 317,482
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........ 355,744 355,744  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
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)....... 1,500 0 0 1,500
c Other professional fees (attach schedule).... 51,023 30,614   20,409
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 9,200 1,200   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)....... 246     246
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 61,969 31,814 0 22,155
25 Contributions, gifts, grants paid....... 109,500 109,500
26 Total expenses and disbursements. Add lines 24 and 25 171,469 31,814 0 131,655
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 184,275
b Net investment income (if negative, enter -0-) 323,930
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............. 1 1 1
2 Savings and temporary cash investments......... 68,542 67,679 67,679
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 2,175,683 Click to see attachment2,364,118 3,078,869
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)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,244,226 2,431,798 3,146,549
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 2,244,226 2,431,798
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 2,244,226 2,431,798
30 Total liabilities and net assets/fund balances (see instructions). 2,244,226 2,431,798
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
2,244,226
2
Enter amount from Part I, line 27a .....................
2
184,275
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
3,298
4
Add lines 1, 2, and 3 ..........................
4
2,431,799
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,431,798
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 35. ALIBABA GROUP HOLDING LT   2019-09-17 2021-09-16
b 36. ALIBABA GROUP HOLDING LT   2019-09-18 2021-09-16
c 35. ALIBABA GROUP HOLDING LT   2020-03-09 2021-09-16
d 37. ALIBABA GROUP HOLDING LT   2019-09-10 2021-09-16
e 17. ALIBABA GROUP HOLDING LT   2019-09-05 2021-09-16
67. ALLY FINANCIAL INC   2018-02-09 2022-01-07
32. ALLY FINANCIAL INC   2018-02-10 2022-01-07
31. ALLY FINANCIAL INC   2018-02-12 2022-01-07
61. ALLY FINANCIAL INC   2018-02-12 2022-01-10
123. ALLY FINANCIAL INC   2018-06-04 2022-03-14
42. ALLY FINANCIAL INC   2018-02-12 2022-03-14
63. ALLY FINANCIAL INC   2018-02-13 2022-03-14
38. ALLY FINANCIAL INC   2018-06-04 2022-03-15
81. ALLY FINANCIAL INC   2018-06-05 2022-03-15
60. ALLY FINANCIAL INC   2018-08-09 2022-03-15
62. ALLY FINANCIAL INC   2018-08-09 2022-03-31
44. ALLY FINANCIAL INC   2018-08-09 2022-04-01
60. ALLY FINANCIAL INC   2019-07-09 2022-04-01
43. ALLY FINANCIAL INC   2018-08-10 2022-04-01
85. ALLY FINANCIAL INC   2019-07-09 2022-04-12
51. ALLY FINANCIAL INC   2019-07-10 2022-04-12
54. ALLY FINANCIAL INC   2019-10-22 2022-04-12
131. ALLY FINANCIAL INC   2019-10-22 2022-04-13
2. ALPHABET INC SHS CL C   2012-08-28 2022-04-11
44. ALPHABET INC SHS CL C   2012-08-28 2022-08-18
70. ALPHABET INC SHS CL C   2012-08-28 2022-08-23
3. ALPHABET INC SHS CL A   2012-06-28 2021-10-13
33. ALPHABET INC SHS CL A   2012-06-28 2022-08-18
44. AMAZON COM INC   2020-01-07 2022-08-18
18. ANALOG DEVICES INC   2021-07-09 2022-08-18
28. ANTHEM INC   2020-01-09 2022-05-10
20. ANTHEM INC   2020-01-09 2022-05-12
4. ANTHEM INC   2020-01-09 2022-07-25
36. APPLE INC   2016-03-31 2022-05-25
35. APPLE INC   2016-03-31 2022-07-25
26. APPLE INC   2016-03-31 2022-08-18
25. APPLIED MATERIALS INCORPORATED   2020-07-28 2022-08-18
52. AVANTOR INC   2021-09-09 2022-08-18
61. BAE SYSTEMS PLC   2019-08-16 2021-11-01
114. BAE SYSTEMS PLC   2019-08-16 2021-11-02
151. BAE SYSTEMS PLC   2019-08-16 2021-11-03
9. BAE SYSTEMS PLC   2019-09-03 2021-11-08
34. BAE SYSTEMS PLC   2019-09-04 2021-11-08
74. BAE SYSTEMS PLC   2019-08-16 2021-11-08
5. BAE SYSTEMS PLC   2019-09-05 2021-11-08
29. BAE SYSTEMS PLC   2019-09-10 2021-11-09
46. BAE SYSTEMS PLC   2019-09-05 2021-11-09
53. BAE SYSTEMS PLC   2019-09-06 2021-11-09
31. BAE SYSTEMS PLC   2019-09-09 2021-11-09
38. BAE SYSTEMS PLC   2019-10-15 2021-11-10
16. BAE SYSTEMS PLC   2019-10-17 2021-11-10
12. BAE SYSTEMS PLC   2019-09-10 2021-11-10
36. BAE SYSTEMS PLC   2019-10-14 2021-11-10
43. BAE SYSTEMS PLC   2019-10-16 2021-11-10
70. BAE SYSTEMS PLC   2019-10-17 2021-11-11
16. BAE SYSTEMS PLC   2019-10-18 2021-11-11
31. BAE SYSTEMS PLC   2020-07-06 2021-11-11
154. BAE SYSTEMS PLC   2020-07-06 2021-12-03
16. BAE SYSTEMS PLC   2020-07-07 2021-12-03
49. BAE SYSTEMS PLC   2020-07-07 2021-12-06
169. BAE SYSTEMS PLC   2020-11-16 2021-12-06
36. BAE SYSTEMS PLC   2020-11-16 2021-12-07
82. BAE SYSTEMS PLC   2020-11-16 2021-12-07
148. BP AMOCO P L C SPONSORED ADR   2018-01-10 2021-09-15
333. BP AMOCO P L C SPONSORED ADR   2016-01-19 2021-09-15
150. BP AMOCO P L C SPONSORED ADR   2018-10-02 2021-09-15
128. BP AMOCO P L C SPONSORED ADR   2018-11-21 2021-09-15
98. BP AMOCO P L C SPONSORED ADR   2018-12-07 2021-09-15
47. BP AMOCO P L C SPONSORED ADR   2018-12-07 2021-09-16
35. BP AMOCO P L C SPONSORED ADR   2018-12-10 2021-09-16
32. BP AMOCO P L C SPONSORED ADR   2022-08-04 2022-08-18
13. BERKSHIRE HATHAWAYINC   2020-04-24 2022-07-25
16. CBRE GROUP INC   2020-06-02 2022-07-25
39. CDK GLOBAL INC   2019-04-01 2022-04-12
23. CDK GLOBAL INC   2019-04-02 2022-04-12
34. CDK GLOBAL INC   2019-04-12 2022-04-12
12. CDK GLOBAL INC   2019-04-15 2022-04-12
36. CDK GLOBAL INC   2019-03-28 2022-04-12
39. CDK GLOBAL INC   2019-03-29 2022-04-12
24. CDK GLOBAL INC   2019-04-15 2022-05-03
28. CDK GLOBAL INC   2019-04-16 2022-05-03
11. CDK GLOBAL INC   2019-04-17 2022-05-03
2. CDK GLOBAL INC   2019-04-30 2022-05-03
25. CDK GLOBAL INC   2019-05-01 2022-05-04
33. CDK GLOBAL INC   2019-05-02 2022-05-04
17. CDK GLOBAL INC   2019-05-03 2022-05-04
22. CDK GLOBAL INC   2019-04-30 2022-05-04
18. CDK GLOBAL INC   2019-05-03 2022-06-09
85. CDK GLOBAL INC   2019-12-10 2022-06-09
12. CDK GLOBAL INC   2019-12-10 2022-06-10
23. CDK GLOBAL INC   2019-12-11 2022-06-10
20. CDK GLOBAL INC   2020-02-28 2022-06-10
38. CDK GLOBAL INC   2020-03-02 2022-07-01
37. CDK GLOBAL INC   2020-02-28 2022-07-01
15. CDK GLOBAL INC   2020-03-02 2022-07-05
39. CDK GLOBAL INC   2020-03-03 2022-07-05
22. CDK GLOBAL INC   2021-02-05 2022-07-05
62. CDK GLOBAL INC   2021-02-08 2022-07-05
70. CDK GLOBAL INC   2021-02-09 2022-07-05
30. CDK GLOBAL INC   2020-10-14 2022-07-05
64. CDK GLOBAL INC   2020-10-15 2022-07-05
43. CDK GLOBAL INC   2020-10-16 2022-07-05
14. CDW CORP/DE   2021-03-22 2021-09-09
14. CDW CORP/DE   2021-03-19 2021-09-09
22. CDW CORP/DE   2021-03-22 2021-09-10
11. CDW CORP/DE   2021-03-23 2021-09-10
31. CDW CORP/DE   2021-03-23 2021-09-13
7. CDW CORP/DE   2021-03-23 2021-09-29
27. CDW CORP/DE   2021-05-12 2021-09-29
30. CDW CORP/DE   2021-05-12 2021-09-30
14. CH ROBINSON WORLDWIDE INC   2021-01-05 2022-07-25
17. CH ROBINSON WORLDWIDE INC   2021-01-05 2022-08-18
56. CAPITAL ONE FINANCIAL CORPORATION   2020-12-14 2021-10-29
60. CAPITAL ONE FINANCIAL CORPORATION   2020-12-15 2021-10-29
9. CAPITAL ONE FINANCIAL CORPORATION   2020-12-15 2022-08-18
10. CATERPILLAR INC   2022-01-05 2022-08-18
53. CIENA CORP   2020-12-01 2022-08-18
168. CISCO SYSTEMS INCORPORATED   2014-01-16 2021-11-10
155. CISCO SYSTEMS INCORPORATED   2014-01-16 2022-01-03
585. CISCO SYSTEMS INCORPORATED   2014-01-16 2022-01-05
14. CISCO SYSTEMS INCORPORATED   2018-01-24 2022-01-05
140. CISCO SYSTEMS INCORPORATED   2018-01-24 2022-01-24
157. CISCO SYSTEMS INCORPORATED   2018-02-06 2022-02-24
66. CISCO SYSTEMS INCORPORATED   2018-01-24 2022-02-24
126. CISCO SYSTEMS INCORPORATED   2021-04-26 2022-02-24
63. COCA-COLA CO/THE   2020-09-01 2021-09-27
117. COCA-COLA CO/THE   2020-08-26 2021-09-27
156. COCA-COLA CO/THE   2020-09-01 2021-10-13
71. COCA-COLA CO/THE   2020-09-01 2021-11-10
95. COCA-COLA CO/THE   2020-09-10 2021-11-10
142. COCA-COLA CO/THE   2020-10-01 2021-12-17
124. COCA-COLA CO/THE   2020-11-11 2021-12-17
41. COCA-COLA CO/THE   2020-09-10 2021-12-17
71. COMCAST CORP   2012-10-04 2022-07-25
82. CONOCOPHILLIPS   2019-07-02 2022-01-27
46. CONOCOPHILLIPS   2019-07-02 2022-01-28
26. CONOCOPHILLIPS   2019-07-09 2022-01-28
49. CONOCOPHILLIPS   2019-07-09 2022-01-28
33. CONOCOPHILLIPS   2019-07-09 2022-02-24
45. CONOCOPHILLIPS   2019-07-16 2022-02-24
66. CONOCOPHILLIPS   2019-07-16 2022-03-02
54. CONOCOPHILLIPS   2019-07-26 2022-03-02
2. CONOCOPHILLIPS   2019-07-29 2022-03-02
26. CONOCOPHILLIPS   2019-07-29 2022-07-25
121. CONOCOPHILLIPS   2020-03-26 2022-08-04
24. CONOCOPHILLIPS   2019-07-29 2022-08-04
85. CONOCOPHILLIPS   2020-11-11 2022-08-08
11. CONOCOPHILLIPS   2020-03-26 2022-08-08
24. CONOCOPHILLIPS   2020-11-11 2022-08-18
168. DOWDUPONT INC   2019-06-14 2022-05-26
64. DOWDUPONT INC   2019-06-14 2022-07-25
8. DOLLAR GENERAL CORP   2021-03-26 2022-07-25
6. DOLLAR GENERAL CORP   2021-03-26 2022-08-18
61. DOLLAR TREE INC   2019-03-13 2022-06-09
1. DOLLAR TREE INC   2019-03-19 2022-06-09
52. DOLLAR TREE INC   2019-03-19 2022-06-21
10. DOLLAR TREE INC   2019-03-19 2022-08-18
65. EQT CORP   2021-03-05 2022-04-07
153. EQT CORP   2021-03-08 2022-04-07
174. EQT CORP   2021-03-08 2022-04-12
107. EQT CORP   2021-03-09 2022-04-12
188. EQT CORP   2021-03-09 2022-04-18
154. EQT CORP   2021-03-09 2022-05-18
69. EQT CORP   2021-03-24 2022-05-18
108. EQT CORP   2021-03-25 2022-05-25
116. EQT CORP   2021-03-25 2022-07-25
64. EQT CORP   2021-03-26 2022-07-25
46. EQT CORP   2021-04-14 2022-08-23
64. EQT CORP   2021-03-26 2022-08-23
13. FACEBOOK INC   2020-02-04 2022-08-18
3. FIDELITY NATL INFORMATION SVCS INC COM   2021-03-19 2022-08-18
12. FIDELITY NATL INFORMATION SVCS INC COM   2021-03-22 2022-08-18
1. FIRST CITIZENS BANCSHARES INC/NC   2022-01-07 2022-07-25
13. FLEETCOR TECHNOLOGIS INC   2020-07-02 2022-08-18
30. FORTIVE CORP   2017-07-17 2022-08-18
20. FOX CORP   2019-12-10 2022-02-24
204. FOX CORP   2019-11-18 2022-02-24
14. FOX CORP   2019-11-19 2022-02-24
29. GENERAL MOTORS CO   2020-01-15 2022-07-25
51. GENERAL MOTORS CO   2020-01-15 2022-08-18
3. HUMANA INC   2020-11-13 2022-07-25
18. INTERCONTINENTAL EXCHANGE INC   2020-12-01 2022-08-18
53. J P MORGAN CHASE & CO COM   2012-06-15 2022-01-07
1. J P MORGAN CHASE & CO COM   2012-06-25 2022-01-07
12. J P MORGAN CHASE & CO COM   2012-06-25 2022-07-25
16. KONINKLIJKE PHILIPS ELECTRS N V   2020-01-28 2021-10-13
35.75 KONINKLIJKE PHILIPS ELECTRS N V   2020-02-06 2021-10-14
43.25 KONINKLIJKE PHILIPS ELECTRS N V   2020-01-28 2021-10-14
87. KONINKLIJKE PHILIPS ELECTRS N V   2020-02-06 2021-10-15
3.05 KONINKLIJKE PHILIPS ELECTRS N V   2020-02-25 2021-10-18
12.95 KONINKLIJKE PHILIPS ELECTRS N V   2020-02-06 2021-10-18
47. KONINKLIJKE PHILIPS ELECTRS N V   2020-02-25 2021-11-30
34.69 KONINKLIJKE PHILIPS ELECTRS N V   2020-03-12 2021-12-01
101.01 KONINKLIJKE PHILIPS ELECTRS N V   2020-02-26 2021-12-01
144.88 KONINKLIJKE PHILIPS ELECTRS N V   2020-03-13 2021-12-01
29.59 KONINKLIJKE PHILIPS ELECTRS N V   2020-03-16 2021-12-01
48.97 KONINKLIJKE PHILIPS ELECTRS N V   2020-04-01 2021-12-01
36.73 KONINKLIJKE PHILIPS ELECTRS N V   2020-04-02 2021-12-01
9.13 KONINKLIJKE PHILIPS ELECTRS N V   2020-02-25 2021-12-01
10. LABORATORY CORP AMER HLDGS COM NEW   2014-12-29 2022-07-25
39. MICROSOFT CORPORATION   2016-01-06 2022-08-18
4. MICROSOFT CORPORATION   2015-11-18 2022-08-18
33. MONDELEZ INTERNATIONAL INC   2021-12-17 2022-07-25
17. MONSTER BEVERAGE SHS   2022-04-12 2022-08-18
40.02 MORGAN STANLEY   2017-11-27 2021-10-29
27.37 MORGAN STANLEY   2018-11-06 2021-10-29
14.6 MORGAN STANLEY   2017-11-28 2021-10-29
16. MORGAN STANLEY   2018-11-06 2022-07-25
16. MORGAN STANLEY   2018-11-06 2022-08-18
3. NORFOLK SOUTHERN CORP   2017-01-12 2022-08-18
2. NORFOLK SOUTHERN CORP   2017-02-21 2022-08-18
18. NOVO-NORDISK A S ADR   2018-01-19 2022-07-25
1. NOVO-NORDISK A S ADR   2018-01-22 2022-07-25
10. O'REILLY AUTOMOTIVE INC   2018-07-31 2021-11-22
7. O'REILLY AUTOMOTIVE INC   2018-07-19 2021-11-22
12. O'REILLY AUTOMOTIVE INC   2018-10-25 2022-01-19
2. O'REILLY AUTOMOTIVE INC   2018-10-26 2022-01-19
13. O'REILLY AUTOMOTIVE INC   2018-07-31 2022-01-19
17. O'REILLY AUTOMOTIVE INC   2019-01-02 2022-01-28
1. O'REILLY AUTOMOTIVE INC   2018-10-26 2022-01-28
3. O'REILLY AUTOMOTIVE INC   2019-01-02 2022-01-31
1. OTIS WORLDWIDE CORP REG   2020-04-16 2022-08-18
15. OTIS WORLDWIDE CORP REG   2020-04-17 2022-08-18
70. PROGRESSIVE CORP OHIO COM   2021-11-08 2022-07-12
16. PROGRESSIVE CORP OHIO COM   2021-11-08 2022-08-18
13. QUANTA SERVICES INC   2020-04-14 2021-10-13
11. QUANTA SERVICES INC   2020-04-13 2021-10-13
54. QUANTA SERVICES INC   2020-04-14 2021-10-14
27. QUANTA SERVICES INC   2020-04-14 2022-03-31
4. QUANTA SERVICES INC   2020-04-14 2022-04-01
25. QUANTA SERVICES INC   2020-04-15 2022-04-01
15. QUANTA SERVICES INC   2020-04-16 2022-04-01
28. QUANTA SERVICES INC   2020-04-16 2022-07-12
69. QUANTA SERVICES INC   2020-04-17 2022-07-12
63. QUANTA SERVICES INC   2020-04-17 2022-07-27
4. QUANTA SERVICES INC   2020-04-17 2022-08-18
1. QUANTA SERVICES INC   2020-04-17 2022-08-25
8. QUANTA SERVICES INC   2020-04-20 2022-08-25
48. QUANTA SERVICES INC   2020-04-28 2022-08-25
15. REINSURANCE GROUP OF AMERICA INC   2022-04-12 2022-08-18
42. SANOFI ADR   2020-02-19 2022-07-25
23. SEALED AIR CORP   2021-06-18 2022-07-25
20. SEALED AIR CORP   2021-06-18 2022-08-18
32. TAIWAN S MANUFCTRING ADR   2018-10-31 2022-08-18
71. TERADYNE INC   2022-02-24 2022-05-25
31. TERADYNE INC   2022-02-24 2022-05-26
62. TERADYNE INC   2022-02-25 2022-05-26
42. UNILEVER PLC W/I (UK/USD) US9047677045   2019-08-15 2022-07-25
30. UNITEDHEALTH GROUP INC   2014-10-27 2022-01-28
34. UNITEDHEALTH GROUP INC   2014-10-27 2022-05-12
4. UNITEDHEALTH GROUP INC   2014-10-27 2022-07-25
5. VEEVA SYS INC CL A   2021-01-05 2022-08-18
20. VISA INC   2020-02-21 2022-08-18
98. VODAFONE GROUP PLC   2020-09-28 2021-10-29
292. VODAFONE GROUP PLC   2020-09-29 2021-10-29
85. VODAFONE GROUP PLC   2020-10-02 2021-10-29
45. VODAFONE GROUP PLC   2020-10-05 2021-10-29
170. VODAFONE GROUP PLC   2020-10-05 2021-10-29
27. VODAFONE GROUP PLC   2020-10-14 2021-11-01
332. VODAFONE GROUP PLC   2020-10-15 2021-11-01
99. VODAFONE GROUP PLC   2020-10-05 2021-11-01
108. VODAFONE GROUP PLC   2020-10-05 2021-11-01
16. VODAFONE GROUP PLC   2020-10-27 2021-11-02
101. VODAFONE GROUP PLC   2020-10-15 2021-11-02
39. VODAFONE GROUP PLC   2020-10-15 2021-11-02
9. VODAFONE GROUP PLC   2020-10-16 2021-11-02
90. VODAFONE GROUP PLC   2020-10-27 2021-11-02
347. VODAFONE GROUP PLC   2020-10-28 2021-11-02
68. VODAFONE GROUP PLC   2020-10-28 2021-11-03
227. VODAFONE GROUP PLC   2020-11-05 2021-11-03
168. VODAFONE GROUP PLC   2020-11-04 2021-11-03
45. VODAFONE GROUP PLC   2020-11-03 2021-11-03
9. VODAFONE GROUP PLC   2020-11-06 2021-11-03
22. WORLD WRESTLING ENTERTAINMENT INC   2021-03-02 2022-06-21
101. WORLD WRESTLING ENTERTAINMENT INC   2021-03-03 2022-06-21
5. WORLD WRESTLING ENTERTAINMENT INC   2021-03-04 2022-06-21
82. WORLD WRESTLING ENTERTAINMENT INC   2021-03-04 2022-06-30
52. WORLD WRESTLING ENTERTAINMENT INC   2021-03-05 2022-06-30
46. WORLD WRESTLING ENTERTAINMENT INC   2021-03-05 2022-07-12
4. WORLD WRESTLING ENTERTAINMENT INC   2021-03-05 2022-07-13
42. WORLD WRESTLING ENTERTAINMENT INC   2021-03-08 2022-07-13
3. WORLD WRESTLING ENTERTAINMENT INC   2021-05-17 2022-07-13
27. WORLD WRESTLING ENTERTAINMENT INC   2021-05-17 2022-07-14
1. WORLD WRESTLING ENTERTAINMENT INC   2021-05-18 2022-07-14
62. WORLD WRESTLING ENTERTAINMENT INC   2021-05-18 2022-07-25
32. WORLD WRESTLING ENTERTAINMENT INC   2021-05-19 2022-07-25
27. WORLD WRESTLING ENTERTAINMENT INC   2021-05-20 2022-07-25
46. AXALTA COATING SYSTEMS   2020-06-09 2022-07-25
25. AXALTA COATING SYSTEMS   2020-06-10 2022-07-25
7. APTIV PLC SHS   2022-07-12 2022-08-18
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 5,491   6,179 -688
b 5,648   6,452 -804
c 5,491   6,862 -1,371
d 5,805   6,465 -660
e 2,667   3,037 -370
3,349   1,834 1,515
1,600   905 695
1,550   868 682
3,022   1,708 1,314
5,114   3,224 1,890
1,746   1,176 570
2,619   1,785 834
1,588   996 592
3,384   2,115 1,269
2,507   1,663 844
2,703   1,718 985
1,934   1,219 715
2,637   1,882 755
1,890   1,165 725
3,669   2,666 1,003
2,201   1,606 595
2,331   1,669 662
5,671   4,050 1,621
5,219   674 4,545
5,342   741 4,601
8,054   1,179 6,875
8,257   843 7,414
3,981   464 3,517
6,263   4,182 2,081
3,069   2,987 82
13,669   8,609 5,060
9,593   6,150 3,443
1,881   1,230 651
5,086   985 4,101
5,348   957 4,391
4,534   711 3,823
2,718   1,565 1,153
1,406   2,179 -773
1,862   1,645 217
3,463   3,074 389
4,624   4,072 552
281   244 37
1,060   932 128
2,306   1,995 311
156   140 16
902   821 81
1,430   1,289 141
1,648   1,495 153
964   869 95
1,175   1,088 87
495   452 43
371   340 31
1,113   1,021 92
1,329   1,235 94
2,152   1,976 176
492   447 45
953   762 191
4,490   3,786 704
467   399 68
1,451   1,222 229
5,004   4,410 594
1,068   939 129
2,431   2,140 291
3,802   6,364 -2,562
8,554   9,673 -1,119
3,853   7,021 -3,168
3,288   5,303 -2,015
2,517   3,877 -1,360
1,192   1,859 -667
888   1,372 -484
1,021   946 75
3,730   2,411 1,319
1,322   736 586
2,124   2,312 -188
1,253   1,357 -104
1,852   2,024 -172
654   719 -65
1,961   2,079 -118
2,124   2,284 -160
1,305   1,439 -134
1,523   1,684 -161
598   664 -66
109   122 -13
1,360   1,433 -73
1,795   1,855 -60
925   950 -25
1,197   1,339 -142
983   1,006 -23
4,642   4,552 90
655   643 12
1,256   1,228 28
1,092   912 180
2,083   1,725 358
2,028   1,687 341
822   681 141
2,138   1,767 371
1,206   1,187 19
3,399   3,414 -15
3,838   3,529 309
1,645   1,316 329
3,509   2,860 649
2,358   1,944 414
2,796   2,234 562
2,796   2,216 580
4,388   3,511 877
2,194   1,727 467
6,098   4,868 1,230
1,298   1,099 199
5,008   4,424 584
5,504   4,915 589
1,410   1,281 129
2,013   1,555 458
8,495   5,067 3,428
9,101   5,507 3,594
1,025   826 199
1,971   2,206 -235
2,977   2,396 581
9,712   3,834 5,878
9,759   3,537 6,222
35,535   13,349 22,186
850   590 260
7,704   5,897 1,807
8,419   6,136 2,283
3,539   2,780 759
6,757   6,503 254
3,409   3,089 320
6,331   5,636 695
8,455   7,649 806
4,027   3,482 545
5,389   4,776 613
8,314   6,984 1,330
7,260   6,651 609
2,401   2,061 340
3,003   1,298 1,705
7,307   4,931 2,376
4,057   2,766 1,291
2,316   1,559 757
4,322   2,938 1,384
2,862   1,979 883
3,902   2,724 1,178
6,543   3,995 2,548
5,354   3,178 2,176
198   116 82
2,386   1,508 878
11,035   3,867 7,168
2,189   1,392 797
7,998   2,997 5,001
1,035   352 683
2,517   846 1,671
10,635   4,207 6,428
3,542   1,603 1,939
1,976   1,614 362
1,548   1,210 338
9,882   6,266 3,616
162   102 60
8,071   5,293 2,778
1,684   1,018 666
2,345   1,167 1,178
5,521   2,694 2,827
6,987   3,063 3,924
4,297   1,884 2,413
8,484   3,311 5,173
6,168   2,712 3,456
2,764   1,213 1,551
5,111   1,966 3,145
5,190   2,112 3,078
2,864   1,243 1,621
2,199   813 1,386
3,059   1,243 1,816
2,280   2,732 -452
301   426 -125
1,206   1,698 -492
714   896 -182
3,065   3,320 -255
2,046   1,647 399
812   714 98
8,284   7,173 1,111
569   496 73
1,001   1,019 -18
1,975   1,792 183
1,470   1,300 170
2,025   1,925 100
8,781   1,850 6,931
166   35 131
1,380   422 958
700   749 -49
1,572   1,694 -122
1,903   2,025 -122
3,877   4,123 -246
131   132 -1
556   614 -58
1,655   2,036 -381
1,217   1,183 34
3,544   4,345 -801
5,084   4,849 235
1,038   921 117
1,718   1,862 -144
1,289   1,409 -120
320   395 -75
2,457   1,085 1,372
11,360   2,114 9,246
1,165   214 951
2,062   2,153 -91
1,561   1,405 156
4,105   1,733 2,372
2,808   1,373 1,435
1,498   631 867
1,318   802 516
1,469   802 667
777   332 445
518   247 271
2,079   1,036 1,043
116   58 58
6,421   3,054 3,367
4,494   2,092 2,402
7,983   3,914 4,069
1,330   646 684
8,648   3,970 4,678
10,908   5,841 5,067
642   323 319
1,938   1,031 907
80   45 35
1,207   705 502
8,305   6,736 1,569
2,049   1,540 509
1,445   436 1,009
1,223   356 867
6,085   1,813 4,272
3,559   906 2,653
528   134 394
3,301   810 2,491
1,980   489 1,491
3,593   913 2,680
8,854   2,382 6,472
8,458   2,175 6,283
579   138 441
147   35 112
1,178   275 903
7,070   1,776 5,294
1,944   1,660 284
2,108   2,139 -31
1,352   1,331 21
1,175   1,157 18
2,858   1,222 1,636
7,125   8,246 -1,121
3,239   3,600 -361
6,478   7,325 -847
1,975   2,446 -471
13,879   2,761 11,118
16,268   3,129 13,139
2,108   368 1,740
1,127   1,379 -252
4,311   4,184 127
1,475   1,325 150
4,396   3,916 480
1,280   1,145 135
677   630 47
2,544   2,381 163
407   388 19
5,003   4,700 303
1,492   1,387 105
1,640   1,513 127
240   223 17
1,513   1,442 71
584   552 32
135   128 7
1,350   1,257 93
5,205   4,693 512
1,005   920 85
3,356   3,203 153
2,484   2,340 144
665   628 37
133   126 7
1,354   1,168 186
6,214   5,251 963
308   261 47
5,157   4,282 875
3,270   2,795 475
2,934   2,473 461
252   215 37
2,644   2,357 287
189   161 28
1,689   1,451 238
63   53 10
4,448   3,298 1,150
2,296   1,681 615
1,937   1,473 464
1,192   1,125 67
648   589 59
748   630 118
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       -688
b       -804
c       -1,371
d       -660
e       -370
      1,515
      695
      682
      1,314
      1,890
      570
      834
      592
      1,269
      844
      985
      715
      755
      725
      1,003
      595
      662
      1,621
      4,545
      4,601
      6,875
      7,414
      3,517
      2,081
      82
      5,060
      3,443
      651
      4,101
      4,391
      3,823
      1,153
      -773
      217
      389
      552
      37
      128
      311
      16
      81
      141
      153
      95
      87
      43
      31
      92
      94
      176
      45
      191
      704
      68
      229
      594
      129
      291
      -2,562
      -1,119
      -3,168
      -2,015
      -1,360
      -667
      -484
      75
      1,319
      586
      -188
      -104
      -172
      -65
      -118
      -160
      -134
      -161
      -66
      -13
      -73
      -60
      -25
      -142
      -23
      90
      12
      28
      180
      358
      341
      141
      371
      19
      -15
      309
      329
      649
      414
      562
      580
      877
      467
      1,230
      199
      584
      589
      129
      458
      3,428
      3,594
      199
      -235
      581
      5,878
      6,222
      22,186
      260
      1,807
      2,283
      759
      254
      320
      695
      806
      545
      613
      1,330
      609
      340
      1,705
      2,376
      1,291
      757
      1,384
      883
      1,178
      2,548
      2,176
      82
      878
      7,168
      797
      5,001
      683
      1,671
      6,428
      1,939
      362
      338
      3,616
      60
      2,778
      666
      1,178
      2,827
      3,924
      2,413
      5,173
      3,456
      1,551
      3,145
      3,078
      1,621
      1,386
      1,816
      -452
      -125
      -492
      -182
      -255
      399
      98
      1,111
      73
      -18
      183
      170
      100
      6,931
      131
      958
      -49
      -122
      -122
      -246
      -1
      -58
      -381
      34
      -801
      235
      117
      -144
      -120
      -75
      1,372
      9,246
      951
      -91
      156
      2,372
      1,435
      867
      516
      667
      445
      271
      1,043
      58
      3,367
      2,402
      4,069
      684
      4,678
      5,067
      319
      907
      35
      502
      1,569
      509
      1,009
      867
      4,272
      2,653
      394
      2,491
      1,491
      2,680
      6,472
      6,283
      441
      112
      903
      5,294
      284
      -31
      21
      18
      1,636
      -1,121
      -361
      -847
      -471
      11,118
      13,139
      1,740
      -252
      127
      150
      480
      135
      47
      163
      19
      303
      105
      127
      17
      71
      32
      7
      93
      512
      85
      153
      144
      37
      7
      186
      963
      47
      875
      475
      461
      37
      287
      28
      238
      10
      1,150
      615
      464
      67
      59
      118
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 2 317,482
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 4,503
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,503
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 5,937
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 5,937
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 1,434
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,434 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletUT
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletBANK OF AMERICA NA Telephone no.bullet (888) 866-3275

    Located atbulletPO BOX 1532 AFTPENNINGTONNJ ZIP+4bullet08534
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    BRUCE BLACK TRUSTEE
    0
    0    
    PO BOX 3475
    PARK CITY,UT84060
    GARY BLACK TRUSTEE
    0
    0    
    PO BOX 18548
    KEARNS,UT84118
    MARTA BLACK TRUSTEE
    0
    0    
    1912 SOUTH 910 WEST APT B
    SYRACUSE,UT84075
    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
    3,254,197
    b
    Average of monthly cash balances.......................
    1b
    56,000
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,310,197
    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
    3,310,197
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    49,653
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    3,260,544
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    163,027
    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
    163,027
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,503
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,503
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    158,524
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    20,000
    5
    Add lines 3 and 4............................
    5
    178,524
    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
    178,524
    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 7 178,524
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 80,410
    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$ 131,655
    a Applied to 2020, but not more than line 2a 80,410
    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..... 51,245
    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 ..........
    127,279
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or 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
    BOUNTIFUL COMMUNITY CHURCH
    PO BOX 265
    BOUNTIFUL,UT84010
    N/A PC UNRESTRICTED GENERAL 28,500
    BSA TROOP 20
    C/O BOY SCOUTS OF AMERICA
    OGDEN,UT84403
    N/A PC UNRESTRICTED GENERAL 5,000
    JUDICIAL WATCH INC
    425 THRID ST
    WASHINGTON,DC20024
    N/A PC UNRESTRICTED GENERAL 20,000
    RONALD MCDONALD HOUSE CHARITIES
    OF THE INTERMOUNTAIN AREA INC
    1135 E SOUTH TEMPLE
    SALT LAKE CITY,UT841021605
    N/A PC UNRESTRICTED GENERAL 3,000
    THE NAZARENE FUND
    565 W 465 N
    PROVIDENCE,UT84332
    N/A PC UNRESTRICTED GENERAL 2,000
    UTAH FOOD BANK
    3150 SOUTH 900 WEST
    SALT LAKE CITY,UT84119
    N/A PC UNRESTRICTED GENERAL 10,000
    YWCA UTAH
    322 EAST 300 SOUTH
    SALT LAKE CITY,UT84111
    N/A PC UNRESTRICTED GENERAL 10,000
    PREGNANCY RESOURCE CENTER
    9479 S 2805 W
    SOUTH JORDAN,UT84095
    N/A PC UNRESTRICTED GENERAL 7,000
    UTAH STATE UNIVERSITY
    8824 OLD MAIN HILL
    LOGAN,UT843220001
    N/A PC UNRESTRICTED GENERAL 24,000
    Total .................................bullet 3a 109,500
    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 ............
        18 317,482  
    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) ..   355,744  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    355,744
    (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:
    BLACK FAMILY FOUNDATION
    EIN:
    87-0651267
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE 1,500     1,500

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    BLACK FAMILY FOUNDATION
    EIN:
    87-0651267
    Name of Stock End of Year Book Value End of Year Fair Market Value
    91324P102 UNITEDHEALTH GROUP I 38,924 92,441
    67103H107 O'REILLY AUTOMOTIVE    
    902973304 US BANCORP DEL    
    166764100 CHEVRONTEXACO CORP    
    192446102 COGNIZANT TECHNOLOGY    
    46625H100 J P MORGAN CHASE & C 20,714 47,767
    594918104 MICROSOFT CORP COM 45,529 198,194
    717081103 PFIZER INC    
    931142103 WAL MART STORES INC    
    269246401 E*TRADE FINANCIAL CO    
    444859102 HUMANA INC 54,164 62,150
    34959J108 FORTIVE CORP 63,957 62,443
    037833100 APPLE INC 21,650 137,253
    02209S103 ALTRIA GROUP INC    
    02079K305 ALPHABET INC SHS 11,389 76,512
    20030N101 COMCAST CORP 73,871 80,993
    50540R409 LABORATORY CORP AMER 36,897 54,515
    02005N100 ALLY FINANCIAL INC    
    02079K107 ALPHABET INC SHS 21,551 63,962
    09062X103 BIOGEN IDEC INC    
    548661107 LOWES COMPANIES INC    
    055622104 BP P L C SPONS ADR 24,119 24,980
    12514G108 CDW CORP/DE    
    17275R102 CISCO SYSTEMS INC    
    655844108 NORFOLK SOUTHERN COR 39,168 57,136
    670100205 NOVO NORDISK A/S ADR 18,487 40,424
    12508E101 CDK GLOBAL INC    
    256677105 DOLLAR GENERAL CORP 51,668 59,118
    256746108 DOLLAR TREE INC 40,281 52,780
    443510607 HUBBELL INC    
    904784709 UNILEVER NV    
    20825C104 CONOCOPHILLIPS 22,916 48,924
    00130H105 AES CORP/VA    
    05523R107 BAE SYSTEMS PLC    
    22052L104 DOWDUPONT INC 50,392 102,281
    874039100 TAIWAN SEMICONDUCTOR 31,664 56,428
    339041105 FLEETCOR TECHNOLOGIS 56,974 47,182
    770323103 ROBERT HALF INTERNAT    
    778296103 ROSS STORES INC 71,412 63,667
    92826C839 VISA INC 79,195 83,856
    G0750C108 AXALTA COATING SYSTE 28,873 31,518
    12504L109 CBRE GROUP INC 27,195 38,611
    35137L105 FOX CORP 22,566 26,216
    500472303 KONINKLIJKE PHILIPS    
    37045V100 GENERAL MOTORS CO 45,519 48,794
    68902V107 OTIS WORLDWIDE CORP 32,191 40,515
    80105N105 SANOFI-SYNTHELABO 78,142 64,376
    01609W102 ALIBABA GROUP HOLDIN    
    038222105 APPLIED MATERIALS IN 28,797 44,777
    N6596X109 NXP SEMICONDUCTORS N    
    191216100 COCA-COLA CO/THE    
    30303M102 FACEBOOK INC 64,434 51,323
    023135106 AMAZON COM INC 136,072 141,475
    74762E102 QUANTA SERVICES INC 4,713 17,945
    036752103 ANTHEM INC 28,930 48,511
    084670702 BERKSHIRE HATHAWAYIN 57,894 88,452
    754730109 RAYMOND JAMES FINANC    
    89832Q109 TRUIST FINL CORP    
    171779309 CIENA CORP 29,506 30,241
    517834107 LAS VEGAS SANDS CORP 33,771 22,879
    12541W209 CH ROBINSON WORLDWID 38,328 45,318
    617446448 MORGAN STANLEY 30,991 52,155
    92857W308 VODAFONE GROUP PLC    
    26884L109 EQT CORP 32,962 80,447
    032654105 ANALOG DEVICES INC 55,549 50,611
    45866F104 INTERCONTINENTAL EXC 55,077 50,627
    14040H105 CAPITAL ONE FINANCIA 33,151 33,016
    81211K100 SEALED AIR CORP 36,719 34,062
    98156Q108 WORLD WRESTLING ENTE 18,916 23,463
    904767704 UNILEVER PLC AMER SH 45,505 36,221
    31620M106 FIDELITY NATL INFO S 69,453 43,949
    922475108 VEEVA SYS INC 31,093 21,527
    070830104 BATH & BODY WORKS IN 40,127 32,253
    743315103 PROGRESSIVE CORP/THE 45,594 56,664
    609207105 MONDELEZ INTERNATION 50,758 48,622
    05352A100 AVANTOR INC 62,752 40,803
    61174X109 MONSTER BEVERAGE SHS 49,598 51,077
    759351604 REINSURANCE GROUP OF 45,518 49,016
    G6095L109 APTIV PLC SHS 30,824 30,738
    31946M103 FIRST CITIZENS BANCS 35,753 35,726
    149123101 CATERPILLAR INC 61,925 53,935

    TY 2021 OtherDecreasesSchedule
    Name:
    BLACK FAMILY FOUNDATION
    EIN:
    87-0651267
    Description Amount
    ROUNDING 1


    TY 2021 OtherExpensesSchedule
    Name:
    BLACK FAMILY FOUNDATION
    EIN:
    87-0651267
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSE (NON-DEDUCTIBLE 246 0   246


    TY 2021 OtherIncreasesSchedule
    Name:
    BLACK FAMILY FOUNDATION
    EIN:
    87-0651267
    Description Amount
    TYE SALES ADJ 3,298


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    BLACK FAMILY FOUNDATION
    EIN:
    87-0651267
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 51,023 30,614   20,409


    TY 2021 TaxesSchedule
    Name:
    BLACK FAMILY FOUNDATION
    EIN:
    87-0651267
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,200 1,200   0
    EXCISE TAX - PRIOR YEAR 2,500 0   0
    EXCISE TAX ESTIMATES 5,500 0   0