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 04-01-2021 , and ending 12-31-2021
Name of foundation
THE BANK OF CLARKE COUNTY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)2 E MAIN ST
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BERRYVILLE, VA22611
A Employer identification number

86-3570714
B Telephone number (see instructions)

(800) 650-8723
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$43,235J 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) 280,553
2 Check bullet.............
3 Interest on savings and temporary cash investments 350 350  
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 280,903 350  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 10,091 0   0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 20,377 0   19,646
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications.......... 3,451 0   3,451
23 Other expenses (attach schedule)....... Click to see attachment 26,134 0   9,383
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 60,053 0   32,480
25 Contributions, gifts, grants paid....... 181,615 181,615
26 Total expenses and disbursements. Add lines 24 and 25 241,668 0   214,095
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 39,235
b Net investment income (if negative, enter -0-) 350
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............   43,235 43,235
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
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)..........      
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) 0 43,235 43,235
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment0 Click to see attachment4,000
23 Total liabilities (add lines 17 through 22)......... 0 4,000
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........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 39,235
29 Total net assets or fund balances (see instructions)..... 0 39,235
30 Total liabilities and net assets/fund balances (see instructions). 0 43,235
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
0
2
Enter amount from Part I, line 27a .....................
2
39,235
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
39,235
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
39,235
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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  
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 5
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 5
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
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 5
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletVA
    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 ofbulletKATHLEEN CHAPPELL Telephone no.bullet (540) 955-5226

    Located atbullet2 E MAIN STBERRYVILLEVA ZIP+4bullet22611
    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
    JOHN HUDSON PRESIDENT, DIRECTOR
    0.00     		0 0 0
    2 E MAIN ST
    BERRYVILLE,VA22611
    BRANDON LOREY DIRECTOR
    0.00     		0 0 0
    2 E MAIN ST
    BERRYVILLE,VA22611
    KATHLEEN CHAPPELL TREASURER, DIRECTOR
    0.00     		0 0 0
    2 E MAIN ST
    BERRYVILLE,VA22611
    MARY BRUCE GLAIZE DIRECTOR
    0.00     		0 0 0
    2 E MAIN ST
    BERRYVILLE,VA22611
    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 SHENANDOAH VALLEY DISCOVERY MUSEUM 35,000
    2 TIMBER RIDGE SCHOOL 10,000
    3 CLARKE COUNTY EDUCATION FOUNDATION 5,000
    4 FREDERICK COUNTY EDUCATION ASSOCIATION 5,000
    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.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    55,691
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    55,691
    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
    55,691
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    835
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    54,856
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    2,066
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    2,066
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    5
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,061
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,061
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    2,061
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 2,061
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 214,095
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 2,061
    e Remaining amount distributed out of corpus 212,034
    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 5 212,034
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		212,034
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021.... 212,034
    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
    ABILITY FITNESS CENTER
    CARE CODE INC D/B/A ABILITY FITNESS
    CENTER 18366 FAIRWAY OAKS SQ
    LEESBURG,VA20176     		  501(C)3 SPONSOR GOLF TOURNAMENT 500
    ACCESS INDEPENDENCE-2021 SPNSRROLL YOUR OWN
    324 HOPE DR
    WINCHESTER,VA22601     		  501(C)3 TO BUILD RAMPS, PROVIDE RAMPS, WALKERS AND WHEELCHAIRS FOR CLIENTS IN 5 COUTINES - CLARKE, FREDERICK, SHENANDOAH, WARREN, PAGE 2,000
    AMERICAN FOUNDATION -2021 SPONSOR-AMERICAN F
    AMERICAN NATIONAL RED CROSS SHARED
    SERVICES CENTER 561 FORTRESS DR
    WINCHESTER,VA22601     		  501(C)3 BLOOD SAVES LIVES DODGE PROMASTER PURCHASE, TOTAL NEEDED $55K. BLOOD SERVICES VEHICLE FOR 3 YEARS, CONVERTS TO SUPPORT DISASATER RESPONSE IN AREA. 500
    AMERICAN NATIONAL RE-2021 SPNSRDRIVING OUR
    AMERICAN NATIONAL RED CROSS SHARED
    SERVICES CENTER 561 FORTRESS DR
    WINCHESTER,VA22601     		  501(C)3 BLOOD SAVES LIVES DODGE PROMASTER PURCHASE, TOTAL NEEDED $55K. BLOOD SERVICES VEHICLE FOR 3 YEARS, CONVERTS TO SUPPORT DISASATER RESPONSE IN AREA. 2,000
    ASHBURN VOL FIRE & RESCUE
    20688 ASHBURN RD
    ASHBURN,VA20147     		  501(C)3 THIS EVENT IS TO HELP OUR COMMUNITY TO REMOVE EXCESS PAPER WHICH COULD BE CONSIDERED A HIGHER RISK TO AID FIRES ESPECIALLY IF FOR HOARDERS. THE FIRE DEPARTMENT IS IN NEED OF A FEW ITEMS THIS EVENT COULD HELP PURCHASE. THANK YOU, IN ADVANCE! 700
    ASHBURN VOL FIRE DEPT 2020 MATCH
    20688 ASHBURN RD
    ASHBURN,VA20147     		  501(C)3 2020 MATCH 250
    ASHBURN YOUTH FOOTBA-TEAM SPNSR-ASHBURN YOUT
    44642 GUILFORD DR STE 111
    ASHBURN,VA20147     		  501(C)3 PROVIDE YOUTH OF ASHBURN WITH OPPORTUNITY TO DEVELOP FOOTBALL AND CHEER SKILLS. 800
    MARGARET PAXTON MEMORIAL FOR CONVALESCTENT CHILDREN
    4 CORNWALL ST NE
    LEESBURG,VA20176     		  501(C)3 BENEFIT IS THE COALITION OF MUSICIANS AND COMMUNITY LEADERS UNITING PEOPLE WITH MUSIC TO RAISE FUNDS AND AWARENESS FOR NONPROFITS SERVING CHILDREN. 1,000
    BERRYVILLE MAIN STRE-2021 SUMMERS END CRUISE
    109 W MAIN ST
    BERRYVILLE,VA22611     		  501(C)3 021 SUMMERS END CRUISE 325
    BERRYVILLE MAIN STRE-DWNTWN BV YARD SALE SPN
    109 W MAIN ST
    BERRYVILLE,VA22611     		  501(C)3 FESTIVAL OF YARD SALES 20
    BLUE RIDGE EAGLES #4-GOLF TOURN SPNSR-BR EAG
    120 EAST O ST
    PURCELLVILLE,VA20132     		  501(C)3 GOLF TOURNAMENT TO BENEFIT AUTISTM SPEAKS FOUNDATION ON BEHALF OF TREASURER WHO PASSED, JAMES DECKER. 100
    BLUE RIDGE HOSPICE - BR 1 - BOYCE BR DONATIONS
    116 FEATHERBED LN
    WINCHESTER,VA22601     		  501(C)3 PROVIDING PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL CARE FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 250
    BLUE RIDGE HOSPICE BR 14 - BR HOSPICE DONATION
    116 FEATHERBED LN
    WINCHESTER,VA22601     		  501(C)3 PROVIDING PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL CARE FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 250
    BLUE RIDGE HOSPICE-19TH ANNUAL BUTTERFLY RUN
    333 W CORK ST 405
    WINCHESTER,VA22601     		  501(C)3 SPONSORSHIP WILL ALLOW US TO USE RACE PROCEEDS TO FUND CHARITY CARE (THOSE WITHOUT THE ABILITY TO PAY). IN 2020 THIS AMOUNTED TO OVER $230,000. THANK YOU. 500
    BLUE RIDGE SINGERS
    524 NORTH ROYAL AVE 43
    FRONT ROYAL,VA22630     		  501(C)3 THIS IS A REQUEST FOR PROGRAM ADVERTISING FOR OUR SEASON 13, 2021-2022 WINTER AND SPRING CONCERT PROGRAMS. BANK OF CLARKE COUNTY HAS PARTICIPATED FAITHFULLY SINCE 2015-2016 EXCEPT FOR THE COVID-19 INTERRUPTION. THE DOLLAR AMOUNT IS FOR A FULL PAGE, INSIDE BACK COVER AD TO RUN IN ALL WINTER AND SPRING SEASON 13 PROGRAMS. 315
    BLUE RIDGE WILDLIFE -2021 DONATION-BR WILDLI
    106 ISLAND FARM LN
    BOYCE,VA22620     		  501(C)3 TO SPONSOR YEAR ROUND EDUCATIONAL PROGRAMS TO BE STEWARDS OF THE WORLD AND WILDLIFE AROUND US. 1,000
    BOCC EMPL GOLF TIX
    2 EAST MAIN STREET
    BERRYVILLE,VA22611     		  501(C)3 GOLF TICKETS FOR THE FOUNDATION'S GOLF TOURNAMENT FUNDRAISER 2,125
    BROAD RUN ATHLETIC B-2021 SPNSRTOUCHDOWN CL
    21670 ASHBURN RD
    ASHBURN,VA20147     		  501(C)3 21-22 SPONSORSHIP OF THE HS FOOTBALL TEAM VIA ADVERTISING 1,200
    CANNONS BASEBALL INC-2021 SPNSRBANNER-PCV C
    PO BOX 114
    PURCELLVILLE,VA20132     		  501(C)3 2021 BANNER SPONSOR FOR PCV CANNONS 750
    CC FAIR-2021 FAIR BROCHURE AD-CC FAIR
    890 W MAIN ST
    BERRYVILLE,VA22611     		  501(C)3 2021 FAIR BROCHURE AD-CC FAIR 1,100
    CC FAIR-2021 FAIR SPNSRDIAMOND LVL-CC FAIR
    890 W MAIN ST
    BERRYVILLE,VA22611     		  501(C)3 2021 FAIR SPNSR/DIAMOND LVL-CC FAIR 5,000
    C-CAP
    112 S KENT ST
    WINCHESTER,VA22601     		  501(C)3 CAPITAL CAMPAIGN DONATION 2,000
    CFNSV-BLUE RIDGE SPROUTS-CFNSV
    PO BOX 2391
    WINCHESTER,VA22604     		  501(C)3 DONATION TO "TICKET ANGELS" TO ALLOW DISTRIBUTION OF FREE FESTIVAL TICKETS THROUGH LOCAL ORGANIZATIONS FOR BLUE RIDGE SPROUTS. 1,000
    CLARKE COUNTY EDUCAT-2021 BOCC CHARITY GOLF
    PO BOX 1252
    BERRYVILLE,VA22611     		  501(C)3 GOLF CHARITY EVENT 2021 5,000
    CLARKE COUNTY EDUCATION FOUNDATION
    16 N BUCKMARSH ST
    BERRYVILLE,VA22611     		  501(C)3 SUPPORT ENRICHMENT PROGRAMS THAT HELP CELEBRATE A LEGACY OF EXCELLENCE IN CLARKE COUNTY PUBLIC SCHOOLS 580
    CLARKE COUNTY HIGH S-2021 SPNSRFOOTBALL BOO
    627 MOSBY BLVD
    BERRYVILLE,VA22611     		  501(C)3 HOMECOMING JERSEYS FOR FOOTBALL TEAM THAT ARE CUSTOMIZED WITH THEIR NAMES, AS WELL AS DINNER FOR HOME & AWAY GAMES. 2,000
    CLARKE COUNTY HISTORICAL ASSOCIATION-SPNSRPROCEEDINGS VOL 3
    32 E MAIN ST
    BERRYVILLE,VA22611     		  501(C)3 SPNSR/PROCEEDINGS VOL 3 1,800
    CLARKE COUNTY LITTLE-2021 TEAM SPNSR-CC LIT
    PO BOX 812
    BERRYVILLE,VA22611     		  501(C)3 SPONSOR/SUPPORT A PLAYER TO COVER NJ HOTEL ROOM & BOARD FOR STATE COMPETITION. 500
    CLARKE COUNTY RURITAN
    923 OLD WINCHESTER RD
    BOYCE,VA22620     		  501(C)3 HORSE SHOW SPONSOR 1,000
    CLARKE COUNTY YOUTH FOOTBALL LEAGUE
    PO BOX 967
    BERRYVILLE,VA22611     		  501(C)3 DONATION 500
    COMMUNITY FOUNDATION OF THE N SHENANDOAH
    PO BOX 221
    MIDDLETOWN,VA22645     		  501(C)3 CHAIN OF CHECKS 600
    CONCERN HOTLINE BR 10
    301 N CAMERON ST STE 201
    WINCHESTER,VA22601     		  501(C)3 ANONYMOUS INFORMATION & REFERRAL, CRISIS INTERVENTION, AND SUICIDE PREVENTIONHOTLINESERVING THENORTHERN SHENANDOAH VALLEYOF VIRGINIA. 250
    CRUMS UNITED METHODI-2021 CAR JEEP TRUCK S
    2832 CRUMS CHURCH RD
    BERRYVILLE,VA22611     		  501(C)3 OUR CAR SHOW IS A MAJOR FUNDRAISER FOR THE CHURCH AND ALLOWS US TO SUPPORT THE COMMUNITY WITH MISSION AND OUTREACH PROJECTS. WE PARTICIPATE WITH WATTS, SEVERAL PROGRAMS PROVIDING FOOD TO THE NEEDY, AND SERVICE PROJECTS IN THE LOCAL REGION. THIS YEAR WE PROVIDED TWO CONTINUING EDUCATION SCHOLARSHIPS TO HIGH SCHOOL SENIORS GOING TO COLLEGE. 500
    CUNNINGHAM CHAPEN PARRISH
    809 BISHOP MEADE RD
    MILLWOOD,VA22646     		  501(C)3 FRESH PRODUCE AND PROTEIN OPTIONS ARE FREQUENTLY LACKING IN THE FOOD PANTRY. THROUGH THE SUMMER MONTHS WE HAVE HAD DONATIONS FROM LOCAL FARMS. WINTER BRINGS A HALT TO THESE DONATIONS, SO WE ARE LOOKING FOR FUNDING TO PURCHASE THE OPTIONS FOR OUR CLIENTS. 1,000
    DAKOTAS DREAM ANIMAL RESCUE - BR 6
    PO BOX 1814
    WINCHESTER,VA22604     		  501(C)3 ANIMAL RESCUE SPECIALIZING IN CAT ADOPTIONS IN THE WINCHESTER, VA AREA 250
    DAKOTAS DREAM ANIMAL-CHARITY GOLF TOURN SPNS
    PO BOX 1814
    WINCHESTER,VA22604     		  501(C)3 ANIMAL RESCUE SPECIALIZING IN CAT ADOPTIONS IN THE WINCHESTER, VA AREA 500
    DANIEL MORGAN PTO
    48 S PURCELL AVE
    WINCHESTER,VA22601     		  501(C)3 ANGEL FUND, PROVIDES HEALTHY AND NUTRITIUOS FOOD FOR THE ENTIRE DAY OF WINTER BREAK. FOOD DISTRIBUTION FOR THE 60% OF STUDNETS ON FREE OR REDUCED PRICE LUNCH. 500
    DEACON ED COUNCIL #3-17TH ANN GOLF CLASSICH
    PO BOX 115
    WINCHESTER,VA22604     		  501(C)3 17TH ANN GOLF CLASSIC/H 100
    DIOCESAN -2021 CHURCH ADPD IN FULL-DIOCESAN
    PO BOX 430
    NEW CUMBERLAND,PA17070     		  501(C)3 2021 CHURCH AD/PD IN FULL-DIOCESAN 595
    DISCOVER PURCELLVILL-2021 SPONSOR-DISCOVER P
    138 N 21ST ST
    PURCELLVILLE,VA20132     		  501(C)3 FOR FUTURE COMMUNITY PROJECTS AROUND PCV TO PROMOTE TOURISM IN PCV. 150
    DISCOVER PURCELLVILLE
    760 E MAIN ST
    PURCELLVILLE,VA20132     		  501(C)3 HALOWEEN PARTY SPONSOR 100
    WESTMINSTER CANTERBURY
    300 WESTMINSTER CANTERBURY DR
    WINCHESTER,VA22603     		  501(C)3 DONATED COINS FOR WESTMINSTER AUCTION 735
    DOWNTOWN FREDERICK PARTNERS
    19 E CHURCH ST
    FREDERICK,MD21701     		  501(C)3 HOLIDAY LIGHT TREE SPONSOR 500
    EAGLES ATHLETIC ASSOCIATION
    627 MOSBY BLVD
    BERRYVILLE,VA22611     		  501(C)3 CASH PARTY SPNSR 250
    EPILEPSY FOUNDATION -2021 SPONSOR-EPILEPSY F
    20205 SPOTSWOOD TRL
    ELKTON,VA22827     		  501(C)3 SUPPORT TO KEEP PROGRAMS AND SERVICES ALIVE TO INCLUDE: SUPPORT GROUPS, NEW BIKES AND HELMENTS, GRANTS FOR SEIZURE ALERT DOGS, TRANSPORTATION, MED ASSISTANCE. 500
    ESTHER BOYD SHELTER - BR 7
    161 FORT COLLIER RD
    WINCHESTER,VA22603     		  501(C)3 PROVIDE HUMANE CARE FOR THE DOGS AND CATS AT THE SHELTER, REUNITE LOST PETS WITH THEIR OWNERS, PLACE DOGS AND CATS IN NEW HOMES, AND TO EDUCATE THE PUBLIC ON RESPONSIBLE PET OWNERSHIP. 250
    EVANS HOME FOR CHILDREN - BR 3
    330 E LEICESTER ST
    WINCHESTER,VA22601     		  501(C)3 NON-PROFIT GROUP HOME FOR FOSTER AND HOMELESS CHILDREN 250
    FAIR WAYS FOR YOUTH -GOLF FNDRSRSPNSR-FAIR
    163 WIDENER DR
    WINCHESTER,VA22603     		  501(C)3 GOLF FNDRSR/SPNSR-FAIR 300
    FAMILIES REACHING OU-2021 SPNSRUNDER THE SE
    32 E PICCADILLY ST
    WINCHESTER,VA22601     		  501(C)3 SPONSORSHIP FOR 8TH ANNUAL ABNORMAL FORMAL "UNDER THE SEA" 9/11/21 2,000
    FIRST NIGHT WINCHESTER
    PO BOX 1392
    WINCHESTER,VA22604     		  501(C)3 1ST NIGHT SPONSOR 1,500
    FOUNDATION OF THE STATE ABORETUM-2021 BLUEBELL SPNSR-FOS
    400 BLANDY FARM LN
    BOYCE,VA22620     		  501(C)3 2021 BLUEBELL SPNSR-FOS 500
    FOUNDATION OF THE STATE ABORETUM
    400 BLANDY FARM LN
    BOYCE,VA22620     		  501(C)3 GINKOFEST SONSOR 2,000
    FREDERICK CO SHERIFF-VALOR 5K SPNSR-FC SHERI
    1080 COVERSTONE DR
    WINCHESTER,VA22602     		  501(C)3 VALOR 5K SPNSR-FC SHERI 200
    FREDERICK COUNTY EDU-2021 BOCC CHARITY GOLF
    PO BOX 3887
    WINCHESTER,VA22604     		  501(C)3 2021 BOCC CHARITY GOLF 5,000
    FREMONT STREET NURSE-JUNTEENTH 2020 CONTRIBU
    533 FREMONT ST
    WINCHESTER,VA22601     		  501(C)3 JUNTEENTH 2020 CONTRIBU 1,000
    FRIENDS OF THE NORTH-2021 FISH FRY AUCTION &
    PO BOX 746
    WOODSTOCK,VA22664     		  501(C)3 TO SUPPORT THE MISSION OF FRIENDS OF THE NORTH FORK THROUGH OUR COMMUNITY PROGRAMMING, EDUCATION, ADVOCACY, SCIENCE, AND DIRECT STEWARDSHIP EFFORTS TO PROTECT THE NATURAL FLOW AND BEAUTY OF THE NORTH FORK OF THE SHENANDOAH RIVER. 500
    GREENWOOD VOL FIRE &-2021 SPNSRYARD PARTY A
    PO BOX 3023
    WINCHESTER,VA22604     		  501(C)3 FUNDRAISER VIA YARD PARTY TO OPERATE 3 AMBULANCES, FIRE ENGINE AND LADDER TRUCK TO RESPOND TO CALLS IN FRED CO 500
    GREENWOOD VOL FIRE &-2021 YARD PARTY DONATIO
    809 GREENWOOD RD
    WINCHESTER,VA22602     		  501(C)3 FUNDRAISER VIA YARD PARTY TO OPERATE 3 AMBULANCES, FIRE ENGINE AND LADDER TRUCK TO RESPOND TO CALLS IN FRED CO 715
    HAGERSTOWN ROTARY FO-ROTARY GOLF TOURN SPNSR
    PO BOX 45
    HAGERSTOWN,MD21741     		  501(C)3 ROTARY GOLF TOURN SPNSR 250
    HEROES ON THE RIVER-2021 SPONSOR-HEROES ON R
    102 CARDINAL LN
    WINCHESTER,VA22602     		  501(C)3 SPONSORSHIP TO PAY FOR THE A COMBAT VETERAN TO SKYDIVE. 250
    ITALIA PERFORMING ARTS
    3031 VALLEY AVE STE 108
    WINCHESTER,VA22601     		  501(C)3 DANCE CLASS SCHOLARSHIPS 500
    JOHN H ENDERS VOLUN-2021 DONATION-ENDERS FC
    9 S BUCKMARSH ST
    BERRYVILLE,VA22611     		  501(C)3 YARD PARTY TO SUPPORT OPERATIONS OF FIRE CO. 1,000
    JOSEPHIN SCHOOL COMMUNITY
    PO BOX 423
    BERRYVILLE,VA22611     		  501(C)3 THE JOSEPHINE SCHOOL COMMUNITY MUSEUM IS PLANNING THE NORTHERN SHENANDOAH VALLEY JUNETEENTH CELEBRATION ON JUNE 18,2022. THE EVENT COMMEMORATES THE FIRST FEDERAL CELEBRATION OF JUNETEENTH IN THE SHENANDOAH VALLEY. WE ARE SEEKING AND REQUESTING SPONSORSHIPS FROM CIVIC, HISTORIC AND BUSINESS ENTITIES IN OUR COMMUNITY. 2,500
    JOSEPHINE SCHOOL COMMUNITY MUESEUM-2021 ANN MBRSHIP DONATI
    303 JOSEPHINE STREET
    BERRYVILLE,VA22611     		  501(C)3 2021 ANN MBRSHIP DONATION 100
    JUDGES ATHLETIC ASSO-20TH ANN GOLF TOURNTWO
    PO BOX 2213
    WINCHESTER,VA22604     		  501(C)3 20TH ANN GOLF TOURN/TWO 100
    JUDGES ATHLETIC ASSO-20TH ANN GOLF TOURNTWO
    PO BOX 2213
    WINCHESTER,VA22604     		  501(C)3 20TH ANN GOLF TOURN/TWO 100
    KEN & NANCY MCKEE FOUNDATION
    420 W JUBAL EARLY DR STE 100
    WINCHESTER,VA22601     		  501(C)3 DONATION FOR THEIR ANNUAL TACKY SWEATER FUNDRAISER. 100
    KIWANIS CLUB OF WINC-2021 SPRING PANCAKE DAY
    PO BOX 2591
    WINCHESTER,VA22604     		  501(C)3 2021 SPRING PANCAKE DAY 200
    KIWANIS CLUB OF WINC-31ST ANN GOLF TOURN SPNSR
    PO BOX 2591
    WINCHESTER,VA22604     		  501(C)3 31ST ANN GOLF TOURN SPNSR 300
    KIWANIS CLUB OF WINC-BLOCK OF TICKETS (35)-K
    PO BOX 2591
    WINCHESTER,VA22604     		  501(C)3 BLOCK OF TICKETS (35)-K 175
    KIWANIS CLUB OF WINCHESTER
    PO BOX 2591
    WINCHESTER,VA22604     		  501(C)3 BLOCK OF 25 TICKETS 175
    KIWANIS CLUB OF WINCHESTER
    PO BOX 2591
    WINCHESTER,VA22604     		  501(C)3 PANCAKE DAY PLACEMAT AD 200
    LEESBURG VOLUNTEER FIRE COMPANY
    PO BOX 2577
    LEESBURG,VA20177     		  501(C)3 GOLD TOURNAMENT SPONSOR 750
    LFCC FOUNDATOIN
    173 SKIRMISHER LN
    MIDDLETOWN,VA22654     		  501(C)3 SMALL BUSINESS CONSULTING SERVICES SUPPORT AND SPONSORSHIP FOR CALENDAR YEAR 2022 TO HELP PROVIDE SEMINARS AND INCREASED COUNSELING SERVICES. 2,000
    LONG BRANCH
    PO BOX 241
    MILLWOOD,VA22646     		  501(C)3 YEAR END GIVING/ANNUAL GIVING 500
    LOUDOUN ARTS COUNCIL-2021 SPNSRFILM FESTIVA
    POBOX 4270
    LEESBURG,VA20177     		  501(C)3 SUPPORT FOR LOUDON ARTS FILM FESTIVAL TO COVER MARKETING MATERIALS, INSURANCE AND MUSICIAN PAYMENTS. 2,500
    LOUDOUN CARES
    PO BOX 83
    LEESBURG,VA20178     		  501(C)3 ART AUCTION SPONSOR 2,500
    LOUDOUN CO FAIR-2021 SPNSRLIVESTOCK AUCTION
    PO BOX 4100
    LEESBURG,VA20177     		  501(C)3 LIVESTOCK AUCTION AT LOCO FAIR. PROCEEDS TO THE 4H. 1,000
    LOUDOUN COUNTY VOLUN-HERO HUNTBRONZE SPNSR-
    LOUDOUN COUNTY
    LEESBURG,VA20177     		  501(C)3 VOLUN-HERO HUNT/BRONZE SPNSR- 500
    LOUDOUN EDUCATION FO-2021 BOCC CHARITY GOLF
    21000 EDUCATION CT
    ASHBURN,VA20148     		  501(C)3 2021 BOCC CHARITY GOLF 5,000
    LOUDOUN FREE CLINIC-2021 SPNSRFUNDRAISING-L
    224A CORNWALL ST NW
    LEESBURG,VA20176     		  501(C)3 SPONSORSHIP FOR 2 FUNDRAISING EVENTS IN AUG AND OCT; RAISE FUNDS FOR LOW INCOME AND UNISURED RESIDENTS IN LOCO. 2,000
    LOVE CHURCH
    PO BOX 199
    STEPHENS CITY,VA22655     		  501(C)3 REFRIGERATION TRUCK TO HELP WITH PICKUP OF DONATIONS AS WELL AS A MOBILE FOOD PANTRY IN THE FUTURE. 1,000
    MAIN STREET CHAMBER ORCHESTRA -SPONSOR-MAIN ST CHAMBER
    100 WEST MAIN STREET
    BERRYVILLE,VA22611     		  501(C)3 GROW THE RELEVANCE OF THIS MUSIC THROUGH COMMUNITY INVOLVEMENT, LECTURES AND SPECIAL EVENTS FOR YOUNG PEOPLE AND THEIR FAMILIES. 1,000
    MARCH OF DIMES
    1550 CRYSTAL DR STE 1300
    ARLINGTON,VA22202     		  501(C)3 FIGHT FOR THE HEALTH OF ALL MOMS AND BABIES. 250
    MARCIA BRODY
    CARRIAGES OF THE CAPITAL PO BOX 707
    MIDDLETOWN,MD21769     		  501(C)3 CARRIAGE RIDES DEC FOR BV MAIN STREET 950
    SEMPER FI FUND
    825 COLLEGE BLVD STE 102 PMB 609
    OCEANSIDE,CA92057     		  501(C)3 SEMPER FI AMERICAS FUND 250
    MIKE GREENE MEMORIAL ANNUAL GOLF TOURNAMENT-12TH ANN GLF TOURN1 HO
    748 WHISSENS RIDGE RD
    WINCHESTER,VA22602     		  501(C)3 12TH ANN GLF TOURN/1 HO 100
    MILLWOOD COMMUNITY A-COMM PICNIC SPNSR-MILLW
    PO BOX 227
    MILLWOOD,VA22646     		  501(C)3 TO FOSTER AND MONITOR THE WELFARE OF THE MILLWOOD COMMUNITY IN THE AREAS OF PUBLIC SAFETY; ENVIRONMENTAL CONCERNS AFFECTING THE HEALTH AND WELL-BEING OF RESIDENTS 500
    MOTHERS AGAINST DRUN-WALK LIKE MADDBRONZE S
    511 E JOHN CARPENTER FREEWAY
    IRVING,TX75062     		  501(C)3 WALK LIKE MADD/BRONZE S 250
    MUSEUM OF THE SHENAN-2021 DONATION-MUSEUM OF
    901 AMHERST ST
    WINCHESTER,VA22601     		  501(C)3 DONATIONS TO PRESERVE AND ENRICH THE CULTURAL LIFE AND HERITAGE OF THE VALLEY. 1,000
    NATIONAL WILD TURKEY-2021 SPONSOR-NATIONAL W
    167 WEST OAKS LN
    WINCHESTER,VA22602     		  501(C)3 JAKES FISHING EVENT AT ORNDOFF TROUT FARM; TO GET CHILDREN IN THE OUTDOORS AND HAVE A GREAT EXPERIENCE AND LEARN SOMETHING NEW. FUNDS TO SUPPORT COST OF PUTTING ON EVENT. 300
    NW WORKS INC - BR 4
    3085 SHAWNEE DR
    WINCHESTER,VA22601     		  501(C)3 TO ASSIST IN THE EMPOWERMENT OF PEOPLE WITH DISABILITIES AND OTHER BARRIERS TO EMPLOYMENT TO BUILD SKILLS AND GAIN AND MAINTAIN MEANINGFUL EMPLOYMENT. 250
    NW WORKS INC
    3085 SHAWNEE DR
    WINCHESTER,VA22601     		  501(C)3 2ND HALLOWEEN 5K SPSNR 1,000
    OUR HEALTH INC-2021 GOLF SPNSR-OUR HEALTH
    329 N CAMERON ST STE 200
    WINCHESTER,VA22601     		  501(C)3 GOLF TOURNAMENT TO OFFSET THE COSTS OF OWNING AND RUNNING THE CAMPUS; BRIDGE THE GAP BETWEEN THE RENTAL INCOME AND MANAGEMENT COSTS. 1,000
    PATRICK J RYAN FOUND-2021 SPNSRGOLF TOURN-P
    20708 SWEETAIR CT
    ASHBRUN,VA20147     		  501(C)3 COLORRECTAL CANCER RESEARCH TO SUPPORT COLERECTAL CANCER ALLIANCE VIA GOLF TOURNAMENT SPONSORSHIPS. 250
    PRESERVATION OF HISTORIC WINCHESTER
    530 AMHERST ST
    WINCHESTER,VA22601     		  501(C)3 HOLIDAY HOUSER SPONSOR 500
    PURCELLVILLE BUSINESS ASSOCIATION -2020 SPNSRMBR-PCV BUS
    PO BOX 567
    PURCELLVILLE,VA20134     		  501(C)3 SPONSOR 1,000
    PURCELLVILLE ROTARY -2021 TEAM SPNSR-PCV ROT
    PO BOX 1311
    PURCELLVILLE,VA20134     		  501(C)3 SPONSOR A TEAM OF GOLFERS AND A HOLE. GOLF TOURN BENEFICIARIES: GOOD SHEHERD ALLIANCE, MARY'S HOUSE OF HOPE, SALVATION ARY OF LOUDOU AND LOUDOUN ABUSED WOMENS SHELTER. 1,000
    READ TO THEM
    2201 W BROAD ST STE 206
    RICHMOND,VA23220     		  501(C)3 BOYCE ES AND DG COOLEY WOULD LIKE TO PARTICIPATE IN THE 2022 VIRGINIA READS ONE BOOK PROGRAM. EACH SCHOOL IS SEEKING A PARTIAL SPONSORSHIP FOR THEIR PARTICIPATION. SPONSORSHIP WOULD PROVIDE A COPY OF THE BOOK FOR EACH STUDENT/STAFF MEMBER AND ALL PROGRAM MATERIALS. 418
    READ TO THEM-BOYCECOOLEY PARTIAL SPNSR-READ
    2201 W BROAD ST STE 206
    RICHMOND,VA23220     		  501(C)3 BOYCE ES AND DG COOLEY WOULD LIKE TO PARTICIPATE IN THE 2022 VIRGINIA READS ONE BOOK PROGRAM. EACH SCHOOL IS SEEKING A PARTIAL SPONSORSHIP FOR THEIR PARTICIPATION. SPONSORSHIP WOULD PROVIDE A COPY OF THE BOOK FOR EACH STUDENT/STAFF MEMBER AND ALL PROGRAM MATERIALS. 327
    REYNOLDS STORE VOL F-2021 SPNSRYARD PARTY A
    9381 N FREDERICK PK
    CROSS JUNCTION,VA22625     		  501(C)3 YARD PARTY AUCTION 200
    ROTARY CLUB OF BROADLANDS-DULLES SOUTH
    22415 DOLOMITE HILLS DR
    ASHBURN,VA20148     		  501(C)3 GOLD TOURNAMENT FOURSOME 400
    ROTARY CLUB OF CLARKE COUNTY
    PO BOX 876
    BERRYVILLE,VA22611     		  501(C)3 HOLLIDAY BUNDLES OF JOY RAFFLE 250
    ROTARY CLUB OF CLARK-EGG MY YARD SPSNR-CC RO
    PO BOX 876
    BERRYVILLE,VA22611     		  501(C)3 EGG MY YARD SPSNR-CC RO 500
    ROUND HILL COMMUNITY FIRE & RESCUE COMPANY
    150 CORPORATE PL
    WINCHESTER,VA22603     		  501(C)3 CRUISE IN SPONSOR 500
    ROUND HILL COMMUNITY-GOLF TOURN SPNSR-RH COM
    150 CORPORATE PL
    WINCHESTER,VA22603     		  501(C)3 ANNUAL GOLF TOURNAMENT TO BENEFIT COMMUNITY FIRE. 50
    SALVATION ARMY
    300 FORT COLLIER RD
    WINCHESTER,VA22603     		  501(C)3 GOLF TOURNAMENT SPONSOR 200
    SAVVY GIVING BY DESIGN BR 1
    105 MATE CT
    WINCHESTER,VA22602     		  501(C)3 TO PROVIDE COMFORT, SUPPORT, AND HEALING TO FAMILIES WITH A CHILD FACING A MEDICAL CRISIS BY TRANSFORMING THE INTERIOR SPACES OF THEIR HOMES AT NO COST TO THEM 250
    SHENANDOAH APPLE BLOSSOM FESTIVAL-EVENTS SPNSRFAIRGRNDG
    135 N CAMERON ST
    WINCHESTER,VA22601     		  501(C)3 SPONSOR EVENTS SPNSR/FAIRGRND 7,500
    SHENANDOAH AREA COUCIL BOY SCOUTS
    107 YOUTH DEVELOPMENT CT
    WINCHESTER,VA22602     		  501(C)3 GOLF TEE SPONSOR 125
    SHENANDOAH AREA COUCIL BOY SCOUTS
    107 YOUTH DEVELOPMENT CT
    WINCHESTER,VA22602     		  501(C)3 FASHION SHOW SPONSOR 500
    SHENANDOAH ARTS COUN-COVID RELIEF-SHEN ARTS
    530 AMHERST ST
    WINCHESTER,VA22601     		  501(C)3 PROVIDE COVID RELIEF 500
    SHENANDOAH SHOCKS-HOLE SPNSR-SHEN SHOCKS
    143 HAYVENHURST CT
    STEPHENS CITY,VA22655     		  501(C)3 GOLF TOURNAMENT PROCEEDS TO BE USED FOR COSTS ASSOCIATED WITH THE TRAVEL TEAM INCLUDING UNIFORMS, EQUIPMENT AND TOURNEY FEES. 500
    SHENANDOAH SUMMER MUSIC THEATRE-2021 PRGRM FULL PG AD-S
    1460 UNIVERSITY DR
    WINCHESTER,VA22601     		  501(C)3 2021 PRGRM FULL PG AD-S 350
    SHENANDOAH VALLEY DISCOVERY MUSEUM
    19 W CORK ST
    WINCHESTER,VA22601     		  501(C)3 FREE FRIDAYS AT DISCOVERY MUSEUM SPONSOR 35,000
    SHENVAL SWARM -SILENT AUCTION SPNSR FEB 202
    291 INDEPENDENCE DR
    WINCHESTER,VA22602     		  501(C)3 SPONSORSHIP AND/OR A DONATION FOR OUR SILENT AUCTION IN FEBRUARY 1,000
    SPECIAL LOVE-GOLF TOURN SPNSR-SPECIAL LOVE
    158 FRONT ROYAL PK STE 311
    WINCHESTER,VA22602     		  501(C)3 CHARITY GOLF TOURNEMENT TO BENEFIT THE PEDATIRC CANCER CAMP 1,250
    STEPHENS CITY CHIEFS
    140 CEDAR MOUNTAIN DR
    STEPHENS CITY,VA22655     		  501(C)3 THE CHIEFS ARE A BASEBALL TEAM BASED OUT OF STEPHENS CITY THAT COMPETES IN THE NORTHERN VIRGINIA TRAVEL BASEBALL LEAGUE AS WELL AS REGIONAL TOURNAMENTS. WE ARE CURRENTLY SEEKING SPONSORS TO HELP REDUCE THE COSTS OF OUR UPCOMING SEASON. IT TAKES A GREAT DEAL OF TIME AND MONEY TO KEEP OUR PROGRAM RUNNING, AND SPONSORS ARE KEY TO OUR SUCCESS. FUNDS ARE NEEDED TO COVER LEAGUE FEES, UMPIRE FEES, FIELD RENTALS, FIELD MAINTENANCE, TEAM EQUIPMENT, UNIFORMS AND TOURNAMENT EXPENSES. 500
    THE ALZHEIMERS ASSOC-2021 WLK TO END ALZHEIM
    PO BOX 9924
    MCLEAN,VA22102     		  501(C)3 2021 WLK TO END ALZHEIM 1,000
    THE ARC OF NORTHERN -2021 SPNSRHALLOWEEN SO
    PO BOX 2344
    WINCHESTER,VA22604     		  501(C)3 HALLOWEEN SOCIAL AT YDC FOR ARC OF NSV AS THE 9TH ANNUAL ACTIVITY NIGHT 250
    THE BARNS OF ROSE HI-SPONSOR10TH ANNIVERSAR
    95 CHALMERS CT
    BERRYVILLE,VA22611     		  501(C)3 SPONSOR/10TH ANNIVERSAR 2,500
    THE BLUEMONT CITIZEN-SPRING 2021-WINTER 2022
    PO BOX 362
    BLUEMONT,VA20135     		  501(C)3 SPRING 2021-WINTER 2022 740
    THE GEORGE C MARSHALL INTERNATIONAL CENTER
    312 E MARKET ST STE C
    LEESBURG,VA20176     		  501(C)3 VETERANS DAY SPONSOR 1,000
    THE GEORGE C MARSHALL INTERNATIONAL CENTER-2021 SPONSOR-GEORGE MAR
    312 E MARKET ST STE C
    LEESBURG,VA20176     		  501(C)3 2021 SPONSOR-GEORGE MAR 1,500
    THE LAUREL CENTER
    402 N CAMERON ST
    WINCHESTER,VA22601     		  501(C)3 WALK & WAG SPONSOR 500
    THE NORTHERN SHENANDOAH WOMEN OF WINCHESTER-2021 WOW SPNSR-N SV REG
    400 KENDRICK LN
    FRONT ROYAL,VA22630     		  501(C)3 HOSTING 8TH GRADERS AT WOW EVENT 500
    THE WINCHESTER MEDICAL CENTER FOUNDATION
    220 CAMPUST BLVD STE 402A
    WINCHESTER,VA22601     		  501(C)3 DONATION 2,500
    TIMBER RIDGE SCHOOL
    PO BOX 3160
    WINCHESTER,VA22604     		  501(C)3 TO SERVE SERIOUSLY EMOTIONALLY DISTURBED AND BEHAVIORALLY DISORDERED ADOLESCENT BOYS. 10,000
    TREE OF LIFE MINISTRIES
    210 N 21ST ST UNIT D
    PURCELLVILLE,VA20132     		  501(C)3 GOLF TOURNAMENT AWARD SPONSOR 1,500
    TRINITY UMC-IN HONOR OF PATRICIA G SATTERFI
    903 FOREST AVE
    RICHMOND,VA23229     		  501(C)3 CONTRIBUTION/DONATION TO TRINITY 500
    UNITED WAY OF NORTHERN SHENANDOAH VALLEY-2021 DAY OF CARING SPNS
    329 N CAMERON ST STE 200
    WINCHESTER,VA22601     		  501(C)3 2021 DAY OF CARING. 250
    UNITED WAY OF NORTHERN SHENANDOAH VALLEY-PROJECT CONNECTBRNZ SP
    329 N CAMERON ST STE 201
    WINCHESTER,VA22601     		  501(C)3 PROJECT CONNECT/BRNZ SP 500
    UNITED WAY OF NORTHERN SHENANDOAH VALLEY
    329 N CAMERON ST STE 200
    WINCHESTER,VA22601     		  501(C)3 TO IMPACT THE COMMUNITY HUMAN CARE NEEDS THAT MATTER MOST TO THE PEOPLE OF CLARKE, FREDERICK, PAGE, SHENANDOAH COUNTIES AND THE CITY OF WINCHESTER. 4,000
    VBA EDUCATION FOUNDATION
    4490 COX RD
    GLENN ALLEN,VA23060     		  501(C)3 ANNUAL FUNDING CAMPAIGN 2,000
    WATERFORD FOUNDATION-2021 SPNSRFAIR-WATERFO
    PO BOX 142
    WATERFORD,VA20197     		  501(C)3 FAIR SUPPORT FOR GOLF CART RENTALS TO SUPPORT FOUNDATION . PRESERVATION OF BUILDINGS IN NATL HISTORIC LANDMARK OF WATERFORD. LOCO 4TH GRADERS ATTEND SECOND STREET SCHOOL PROGRAM IN THE ONE ROOM SCHOOLHOUSE. 1,000
    WINCHESTER CLASSICAL CHRISTIAN HOMESCHOOL
    930 S HAYFIELD RD
    WINCHESTER,VA22602     		  501(C)3 WE ARE HOSTING A CHRISTMAS BALL IN BERRYVILLE, THE HEART OF CLARKE COUNTY. WE HOPE TO HAVE 225 PEOPLE THERE. WE ARE SEEKING MONETARY DONATIONS TO PROVIDE DECORATIONS, FLOWERS, AND SNACKS. 150
    WINCHESTER EDUCATION-2021 BOCC CHARITY GOLF
    117 E PICCADILLY ST
    WINCHESTER,VA22601     		  501(C)3 2021 BOCC CHARITY GOLF 5,000
    WINCHESTER FREDERICK-2021 SPNSRVA HISTORIC
    1360 S PLEASANT VALLEY RD
    WINCHESTER,VA22601     		  501(C)3 MANUFACTURE AND MOUNTING OF VA HISTORIC MARKER FOR BROWN FAMILY ON LOUDOUN/FAIRFAX. 1,945
    WINCHESTER RESCUE MISSION-RESCUE LVL SPNSRRESCUE
    435 N CAMERON ST
    WINCHESTER,VA22601     		  501(C)3 RESCUE LVL SPNSR/RESCUE 500
    WINCHESTER ROTARY CL-2021 SPNSRSV APPLE HAR
    PO BOX 2686
    WINCHESTER,VA22604     		  501(C)3 BAND SPONSORSHIP FOR SV APPLE HARVEST FESTIVAL IN SEPT; INCLUDES SIGNANGE ON STAGE & ANNOUNCEMENT OF SPONSOR. 500
    WINCHESTER ROYALS I-FENCE SIGN SPNSR-WINC R
    PO BOX 2485
    WINCHESTER,VA22604     		  501(C)3 I-FENCE SIGN SPNSR-WINC R 600
    WOMENS RESCUE MISSION BR 8
    435 N CAMERON ST
    WINCHESTER,VA22601     		  501(C)3 TO EXPRESS CHRIST'S LOVE TO MEN IN THE COMMUNITY BY PROVIDING FOOD, SHELTER, SPIRITUAL GUIDANCE, AND VOCATIONAL INSTRUCTION, THUS ENABLING THEM TO RECLAIM A PRODUCTIVE ROLE IN THE COMMUNITY. 250
    YOUTH DEVELOPMENT CENTER INC - BR 5
    3 BATTAILE DR
    WINCHESTER,VA22601     		  501(C)3 TO HELP PROVIDE SERVICES AND YOUTH INVOLVEMENT IN OUR COMMUNITY, AND PROMOTES DIVERSITY, EQUITY, AND INCLUSION IN AN IMMERSIVE ENVIRONMENT. 250
    APPALACHIAN CHAMBER - MUSIC FESTIVAL SPNSR-AP
    APPALACHIAN CHAMBER MUSIC PO BOX
    446
    HARPERS FERRY,WV25425     		  501(C)3 ILLUMINATE THE TIES BETWEEN FOLK, BLUEGRASS AND CLASICAL CHAMBER MUSIC WITH PERFORMED WORKS. 1,500
    BAAC (BRIGGS ANIMAL ADOPTION CENTER) -2021 PEDAL FOR POOCHESSILVER SPNSR-B
    3731 BERRYVILLE PIKE
    CHARLES TOWN,WV25414     		  501(C)3 2021 PEDAL FOR POOCHES/SILVER SPNSR-BRO 250
    GEORGE MASON WOMEN IN BUSINESS INITIATIVE
    4400 UNIVERSITY DRIVE MS 6E11
    FAIRFAX,VA22030     		  501(C)3 WOMEN IN BUSINESS INITIATIVE 500
    Total .................................bullet 3a 181,615
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 350  
    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 ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 350 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    350
    (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
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    THE BANK OF CLARKE COUNTY FOUNDATION
     
    Employer identification number

    86-3570714
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    THE BANK OF CLARKE COUNTY FOUNDATION
          		Employer identification number
    86-3570714
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    BANK OF CLARKE COUNTY
     
    2 E MAIN STREE
     
    BERRYVILLE, VA22611

    		$ 280,553


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    THE BANK OF CLARKE COUNTY FOUNDATION
          		Employer identification number

    86-3570714
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    THE BANK OF CLARKE COUNTY FOUNDATION
          		Employer identification number

    86-3570714
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 LegalFeesSchedule
    Name:
    THE BANK OF CLARKE COUNTY FOUNDATION
    EIN:
    86-3570714
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    START UP AND OPERATING LEGAL COSTS 10,091 0   0


    TY 2021 OtherExpensesSchedule
    Name:
    THE BANK OF CLARKE COUNTY FOUNDATION
    EIN:
    86-3570714
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SPECIAL EVENT EXPENSES 26,134 0   9,383


    TY 2021 OtherLiabilitiesSchedule
    Name:
    THE BANK OF CLARKE COUNTY FOUNDATION
    EIN:
    86-3570714
    Description Beginning of Year - Book Value End of Year - Book Value
      0 4,000


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE BANK OF CLARKE COUNTY FOUNDATION
    EIN:
    86-3570714
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATIVE FEES 20,377 0   19,646