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 11-01-2021 , and ending 10-31-2022
Name of foundation
HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 803878
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60680
A Employer identification number

20-7449840
B Telephone number (see instructions)

(312) 630-6000
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$14,368,593
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... 369,750 368,036  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 305,426
b Gross sales price for all assets on line 6a 4,001,054
7 Capital gain net income (from Part IV, line 2)... 305,426
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........ 675,176 673,462  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 180,207 30,052   150,155
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 709 0 0 709
b Accounting fees (attach schedule)....... 2,500 1,250 0 1,250
c Other professional fees (attach schedule).... 32,105 32,105   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 27,196 8,026   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings....... 9,601 0 0 9,601
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 795     795
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 253,113 71,433 0 162,510
25 Contributions, gifts, grants paid....... 668,000 668,000
26 Total expenses and disbursements. Add lines 24 and 25 921,113 71,433 0 830,510
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -245,937
b Net investment income (if negative, enter -0-) 602,029
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 242,452 146,804 146,804
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)....... 8,595,647 Click to see attachment8,634,793 10,195,947
c Investments—corporate bonds (attach schedule)....... 3,137,748 Click to see attachment2,898,872 2,571,714
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 961,636 Click to see attachment942,549 1,387,041
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)   Click to see attachment67,087 Click to see attachment67,087
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 12,937,483 12,690,105 14,368,593
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........ 12,937,483 12,690,105
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)..... 12,937,483 12,690,105
30 Total liabilities and net assets/fund balances (see instructions). 12,937,483 12,690,105
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
12,937,483
2
Enter amount from Part I, line 27a .....................
2
-245,937
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
12,691,546
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,441
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
12,690,105
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 21. AFLAC INC   2021-05-21 2022-09-08
b 11. AGCO CORP   2019-01-11 2022-01-07
c 10. ABBOTT LABORATORIES   2020-08-04 2022-03-08
d 392. ABBOTT LABORATORIES   2020-08-04 2022-05-16
e 6. ABBVIE INC COM USD0.01   2020-11-20 2022-07-26
38. ABBVIE INC COM USD0.01   2018-03-29 2022-09-08
20. ACTIVISION BLIZZARD INC COM STK   2021-09-15 2022-01-07
16. ACTIVISION BLIZZARD INC COM STK   2021-09-15 2022-09-08
43. ACTIVISION BLIZZARD INC COM STK   2019-10-17 2022-09-08
7. ACUITY BRANDS INC   2021-09-15 2022-01-07
5. ACUITY BRANDS INC   2020-01-07 2022-01-07
11. ALBEMARLE CORP   2022-01-31 2022-06-01
4. ALBEMARLE CORP   2022-01-31 2022-06-09
3. ALBEMARLE CORP   2022-01-31 2022-08-24
80. ALLY FINL INC COM   2019-10-17 2022-09-08
1. ALPHABET INC CAP STK USD0.001 CL C   2019-10-17 2022-02-25
15. ALPHABET INC CAP STK USD0.001 CL C   2020-08-17 2022-09-08
14. ALPHABET INC CAPITAL STOCK USD0.001 CL A   2019-10-17 2022-01-04
16. ALPHABET INC CAPITAL STOCK USD0.001 CL A   2017-02-23 2022-02-09
46. ALPHABET INC CAPITAL STOCK USD0.001 CL A   2019-10-17 2022-09-08
1. AMAZON COM INC   2020-08-17 2022-01-07
1. AMAZON COM INC   2021-02-03 2022-03-08
11. AMEDISYS INC COM   2021-05-21 2022-09-08
7. AMEDISYS INC COM   2021-09-15 2022-09-09
26. AMEDISYS INC COM   2021-05-21 2022-09-09
36. AMEDISYS INC COM   2021-09-15 2022-09-12
4. AMERICAN EXPRESS CO   2021-09-15 2022-01-07
4. AMERICAN EXPRESS CO   2021-09-15 2022-09-08
58. AMERICAN EXPRESS CO   2019-10-17 2022-09-08
3. AMERIPRISE FINANCIAL INC   2019-10-17 2022-01-07
2. AMERIPRISE FINANCIAL INC   2017-04-17 2022-09-08
11. AMGEN INC   2020-01-07 2022-09-08
191. ANTERO MIDSTREAM CORPORATION COM USD1.00   2021-05-21 2022-01-07
19. ANTERO MIDSTREAM CORPORATION COM USD1.00   2021-05-21 2022-01-10
136. ANTERO MIDSTREAM CORPORATION COM USD1.00   2021-05-21 2022-09-08
16. APA CORP COM   2022-01-07 2022-09-08
183. APA CORP COM   2021-05-21 2022-09-08
9. APPLE COMPUTER INC   2019-10-17 2022-01-07
6. APPLE COMPUTER INC   2019-10-17 2022-02-01
20. APPLIED MATERIALS INC   2019-10-17 2022-01-07
16. AUTOMATIC DATA PROCESSING INC   2019-11-18 2022-02-14
13. AUTOMATIC DATA PROCESSING INC   2019-11-18 2022-05-26
34. AVALONBAY CMNTYS INC REIT   2020-01-07 2022-01-07
21. BALL CORPORATION   2022-01-31 2022-10-26
32. BALL CORPORATION   2022-01-31 2022-10-31
492. BK AMER CORP COM   2019-10-17 2022-09-08
7. BANK OF HAWAII CORPORATION   2022-01-10 2022-09-08
34. BANK NEW YORK MELLON CORP COM STK   2021-09-15 2022-01-07
10. BEST BUY INC   2019-10-17 2022-09-08
62.99992 BEST BUY INC   2021-04-06 2022-09-26
2.00008 BEST BUY INC   2021-03-19 2022-09-26
36. BEST BUY INC   2021-03-19 2022-10-10
68. BEST BUY INC   2021-07-15 2022-10-24
41. BEST BUY INC   2022-02-14 2022-10-31
11. BEST BUY INC   2021-07-15 2022-10-31
5. CBRE GROUP INC CL A CL A   2021-01-22 2022-01-07
135. CSX CORP   2020-08-17 2022-01-07
16. CARDINAL HEALTH INC   2022-01-07 2022-09-08
39. CARDINAL HEALTH INC   2017-09-26 2022-09-08
1. CARTER INC FORMERLY CARTER HLDGS INC TO 09/13/2003 COM   2021-05-21 2022-09-08
29. CERNER CORP   2021-05-21 2022-01-07
21. CERNER CORP   2021-09-15 2022-06-09
148. CERNER CORP   2021-05-21 2022-06-09
116. CISCO SYS INC   2019-10-17 2022-08-11
57. CISCO SYS INC   2019-10-17 2022-08-25
15. CITIGROUP INC COM NEW COM NEW   2021-05-21 2022-01-07
17. CITIGROUP INC COM NEW COM NEW   2021-09-15 2022-09-08
25. CITIGROUP INC COM NEW COM NEW   2021-05-21 2022-09-08
1. CITRIX SYS INC   2022-01-07 2022-09-08
110. CITRIX SYS INC   2021-01-22 2022-09-08
1. CLOROX CO   2022-01-07 2022-09-08
100. COCA COLA CO   2022-01-07 2022-09-08
6. COLGATE PALMOLIVE CO   2021-09-15 2022-01-07
10. COLGATE PALMOLIVE CO   2021-09-15 2022-09-08
3. COMCAST CORP NEW CL A   2021-01-22 2022-01-07
52. COMCAST CORP NEW CL A   2020-08-17 2022-01-07
129. COMCAST CORP NEW CL A   2019-10-17 2022-08-18
190. COMCAST CORP NEW CL A   2019-10-17 2022-08-25
.33 CONSTELLATION ENERGY CORPORATION COM NPV WI   2019-10-17 2022-05-25
102. CONSTELLATION ENERGY CORPORATION COM NPV WI   2020-08-17 2022-09-08
1. QUIDELORTHO CORPORATION COM USD0.001   2022-01-07 2022-09-08
10. QUIDELORTHO CORPORATION COM USD0.001   2020-08-17 2022-09-08
7. CUMMINS ENGINE INC   2022-01-31 2022-03-11
8. CUMMINS ENGINE INC   2022-01-31 2022-04-19
7. CUMMINS ENGINE INC   2022-01-07 2022-09-08
4332.76 MFO DFA INVT DIMENSIONS GROUP INC EMERGING MKTS CORE EQUITY PO   2017-02-22 2022-03-07
2411.96 MFO DFA INVT DIMENSIONS GROUP INC EMERGING MKTS CORE EQUITY PO   2021-03-25 2022-07-05
65. ADR MERCEDES-BENZ GROUP AG ADR   2022-01-31 2022-06-23
86. ADR MERCEDES-BENZ GROUP AG ADR   2022-01-31 2022-07-11
5. DANAHER CORP   2022-01-31 2022-08-24
36. ADR DASSAULT SYS S A SPONSORED ADR   2022-01-31 2022-07-25
63. ADR DENSO CORP ADR   2022-01-31 2022-03-29
49. ADR DENSO CORP ADR   2022-01-31 2022-04-04
50247.04 MFO DOUBLELINE CORE FIXED INCOME FUND I   2019-06-10 2022-03-07
27. DOW INC COM USD0.01 WI   2021-09-15 2022-09-08
47. EBAY INC   2016-12-14 2022-01-07
10. ENPHASE ENERGY INC COM   2021-01-22 2022-01-07
7. ENPHASE ENERGY INC COM   2021-02-15 2022-04-25
1. ENPHASE ENERGY INC COM   2022-07-20 2022-08-04
3. ENPHASE ENERGY INC COM   2021-02-15 2022-08-04
10. ENPHASE ENERGY INC COM   2021-01-22 2022-09-08
32. ETSY INC COM   2021-09-15 2022-01-07
15. ETSY INC COM   2020-08-17 2022-01-07
13. EXELON CORP   2020-01-07 2022-01-07
192. META PLATFORMS INC   2019-10-17 2021-11-09
7. META PLATFORMS INC   2019-10-17 2022-01-07
60. META PLATFORMS INC   2019-10-17 2022-09-08
158. META PLATFORMS INC   2022-02-09 2022-10-28
552.99981 META PLATFORMS INC   2020-03-19 2022-10-28
1.00019 META PLATFORMS INC   2016-03-30 2022-10-28
24. FASTENAL CO   2021-09-15 2022-01-07
125. FORTIVE CORP COM MON STOCK   2021-09-15 2022-09-08
39. GARTNER GROUP INC NEW CL A   2018-03-20 2022-02-25
58. GARTNER GROUP INC NEW CL A   2018-03-20 2022-03-31
25. GENERAL MILLS INC   2020-01-07 2022-09-08
4. GILEAD SCIENCES INC   2022-01-07 2022-09-08
5. W W GRAINGER INC   2021-09-15 2022-01-07
7. W W GRAINGER INC   2020-01-07 2022-09-08
1. HP INC COM   2022-01-07 2022-09-08
103. HP INC COM   2018-03-10 2022-09-08
1. HANESBRANDS INC COM STK   2022-01-07 2022-09-08
637. HANESBRANDS INC COM STK   2020-01-07 2022-09-08
18. HANNON ARMSTRONG SUSTAINABLE INFRASTRUCTURE CAP INC COM   2022-01-31 2022-08-08
27. HANOVER INS GROUP INC COM   2021-05-21 2022-09-08
421. HEALTHPEAK PROPERTIES INC   2022-01-07 2022-09-08
16. HESS CORP COM STK   2022-01-07 2022-09-08
79. HEXCEL CORP NEW COM   2021-01-22 2022-01-07
31. HEXCEL CORP NEW COM   2021-01-22 2022-01-10
26. HOLOGIC INC COM   2021-09-15 2022-09-08
1. HOME DEPOT INC   2019-10-17 2022-01-07
9. HOME DEPOT INC   2019-10-17 2022-01-31
18. HONEYWELL INTL INC   2019-10-17 2021-12-06
48. HONEYWELL INTL INC   2019-10-17 2022-01-21
4. IDEXX LABS INC   2022-01-07 2022-09-08
73. INFINEON TECHNOLOGIES AG SPONSORED ADR   2022-01-31 2022-06-30
616. INTEL CORP   2022-01-07 2022-09-08
312. INTEL CORP   2021-05-21 2022-09-08
2. INTL BUSINESS MACHINES CORP   2017-04-17 2022-09-08
29. INTUIT   2019-10-17 2022-09-08
189. INTUITIVE SURGICAL INC COM NEW STK   2020-08-28 2022-08-05
106. IRON MTN INC NEW COM   2021-09-15 2022-09-08
76. J P MORGAN CHASE & CO   2021-02-19 2022-04-28
108. J P MORGAN CHASE & CO   2019-10-17 2022-05-06
105. J P MORGAN CHASE & CO   2019-10-17 2022-07-26
56. J P MORGAN CHASE & CO   2016-02-04 2022-08-02
50. KELLOGG CO   2022-01-07 2022-09-08
2. KELLOGG CO   2017-04-17 2022-09-08
57. KILROY RLTY CORP COM   2021-05-21 2022-01-07
76. KILROY RLTY CORP COM   2019-04-04 2022-01-07
49. KILROY RLTY CORP COM   2021-05-21 2022-01-10
27. ADR KINGSPAN GROUP   2022-01-31 2022-06-21
49. KOHLS CORP   2021-09-15 2022-09-08
.2 KYNDRYL HLDGS INC COM   2017-04-17 2021-11-04
18. KYNDRYL HLDGS INC COM   2021-05-21 2022-01-07
25. KYNDRYL HLDGS INC COM   2020-08-17 2022-01-07
51. LABORATORY CORP AMER HLDGS NEW   2021-09-15 2022-09-08
111. ADR LEGRAND S A ADR   2022-01-31 2022-06-21
117. ADR LEGRAND S A ADR   2022-01-31 2022-07-25
18. LENNOX INTL INC   2022-01-07 2022-09-08
26. ELI LILLY & CO   2019-11-18 2022-04-08
19. LINCOLN NATIONAL CORP IND   2021-01-22 2022-09-08
13. LOCKHEED MARTIN CORP   2019-10-17 2021-11-08
1. LOEWS CORP   2021-09-15 2022-01-07
42. LOEWS CORP   2020-08-17 2022-01-07
3. MSCI INC COMMON   2022-01-31 2022-02-03
21. MSCI INC COMMON   2019-09-12 2022-02-25
57. MSCI INC COMMON   2019-10-17 2022-03-23
1. MSCI INC COMMON   2022-01-31 2022-06-27
9. MSCI INC COMMON   2022-01-31 2022-08-25
26. MANHATTAN ASSOCS INC COM   2019-10-17 2022-01-07
16. MARSH & MCLENNAN COS INC   2019-10-17 2022-09-08
131. MASTERCARD INC CL A   2019-10-17 2022-09-28
9. MERCK & CO INC   2020-09-03 2022-05-06
10. METLIFE INC   2021-09-15 2022-01-07
34. METLIFE INC   2021-09-15 2022-09-08
2. METLIFE INC   2021-01-22 2022-09-08
4. MICROSOFT CORP COM   2018-01-16 2022-03-08
20. MICROSOFT CORP COM   2019-10-17 2022-05-26
25. MICROSOFT CORP COM   2019-10-17 2022-06-15
20. MICROSOFT CORP COM   2019-10-17 2022-09-26
3. MODERNA INC COM   2021-01-22 2022-09-08
20. MOLINA HEALTHCARE INC COM   2019-10-17 2022-01-07
7. MOLINA HEALTHCARE INC COM   2019-10-17 2022-01-10
1. MOTOROLA SOLUTIONS INC   2021-01-22 2022-01-07
37. MOTOROLA SOLUTIONS INC   2019-10-17 2022-01-07
196. NEW YORK TIMES CO CL A   2019-10-17 2022-01-07
25. NEW YORK TIMES CO CL A   2019-10-17 2022-01-10
29. NEW YORK TIMES CO CL A   2019-10-17 2022-09-08
135. NEWMONT MINING CORP   2021-01-22 2022-09-08
64. NEXTERA ENERGY INC COM   2019-10-17 2022-06-22
22. NIKE INC CLASS B   2018-10-04 2022-09-08
29261.16 MFB NORTHN INTL EQTY INDEX FD   2018-01-08 2022-01-27
24350.65 MFB NORTHN INTL EQTY INDEX FD   2017-08-08 2022-03-07
6028.94 MFB NORTHN INTL EQTY INDEX FD   2021-03-25 2022-05-20
7131.54 MFB NORTHN INTL EQTY INDEX FD   2021-03-25 2022-05-25
2354.79 MFB NORTHN INTL EQTY INDEX FD   2021-03-25 2022-06-01
2610.97 MFB NORTHN INTL EQTY INDEX FD   2017-05-04 2022-07-05
7772.02 MFB NORTHERN FUNDS BD INDEX FD   2020-08-14 2022-05-20
2059.73 MFB NORTHERN FUNDS BD INDEX FD   2020-12-17 2022-05-25
7430.07 MFB NORTHERN FDS GLOBAL REAL ESTATE INDEX FD   2013-07-18 2022-04-25
64516.13 MFB NORTHN HI YIELD FXD INC FD   2018-10-23 2022-04-25
7352.94 MFB NORTHN FDS SMALL CAP INDEX FD   2020-12-17 2022-04-25
7961.78 MFB NORTHERN FDS FIXED INCOME FD   2020-12-17 2022-05-25
31. NVIDIA CORP   2019-10-17 2022-09-08
58. OMNICOM GROUP   2021-05-21 2022-09-08
18. ORACLE CORPORATION   2021-09-15 2022-01-07
230. ORACLE CORPORATION   2021-09-15 2022-09-08
187. ORACLE CORPORATION   2021-05-21 2022-09-08
.3 ORGANON & CO COM   2021-01-22 2022-01-07
39.7 ORGANON & CO COM   2019-10-17 2022-01-07
.7 ORION OFFICE REIT INC COM   2021-11-15 2021-11-15
32. ORION OFFICE REIT INC COM   2021-11-15 2021-11-22
18. PAYCHEX INC   2019-10-17 2022-02-16
21. PAYCHEX INC   2019-10-17 2022-05-12
18. PAYCHEX INC   2019-10-17 2022-06-08
17. PAYCHEX INC   2019-10-17 2022-06-22
7. PEPSICO INC   2020-11-20 2022-05-06
20. PFIZER INC   2021-01-22 2022-01-07
88. PFIZER INC   2020-01-07 2022-01-07
28. POOL CORP COM STK   2021-01-22 2022-09-08
6. PROLOGIS INC COM   2020-07-27 2022-07-26
13. QUALCOMM INC   2021-01-22 2022-01-07
6. QUALCOMM INC   2020-10-15 2022-07-26
.65 RENTOKIL INITIAL PLC SPONSORED ADR   2021-05-21 2022-10-20
4. RESMED INC   2022-01-07 2022-09-08
5. RESMED INC   2019-10-17 2022-09-08
7. ROBERT HALF INTL INC   2021-05-21 2022-01-07
48. ROCKWELL INTL CORP NEW   2019-10-17 2022-01-07
2. ROCKWELL INTL CORP NEW   2016-12-14 2022-01-10
3. SVB FINANCIAL GROUP COMMON STOCK   2021-09-15 2022-01-07
7. SALESFORCE INC COM USD0.001   2021-01-13 2022-03-08
100. SCHEIN HENRY INC   2019-10-17 2022-01-07
22. SCHEIN HENRY INC   2019-09-06 2022-01-10
37. SCHEIN HENRY INC   2016-12-14 2022-09-08
4. SEMPRA ENERGY INC   2019-10-17 2022-07-26
8. SHERWIN WILLIAMS CO   2021-05-21 2022-09-08
27.00032 ADR SHIMANO INC ADR   2022-01-31 2022-07-27
45.99968 ADR SHIMANO INC ADR   2022-01-31 2022-07-27
558. ADR SIEMENS GAMESA RENEWABLE ENERGY ADR   2022-01-31 2022-09-06
62. SIRIUS XM HLDGS INC COM   2022-01-07 2022-09-08
269. SIRIUS XM HLDGS INC COM   2020-01-07 2022-09-08
667. STARBUCKS CORP   2020-06-11 2022-01-11
14. SYNCHRONY FINL COM   2022-01-07 2022-09-08
81. TJX COS INC NEW   2021-09-15 2022-01-07
34. TARGET CORP   2021-01-22 2022-09-08
1. TEMPUR SEALY INTL INC COM   2021-09-15 2022-01-07
84. TEMPUR SEALY INTL INC COM   2019-10-17 2022-01-07
36. #REORG/TERMINIX STOCK MERGER RENTOKIL 0002757775 10-12-2022   2021-05-21 2022-09-08
1. #REORG/TERMINIX STOCK MERGER RENTOKIL 0002757775 10-12-2022   2022-01-07 2022-10-14
273. #REORG/TERMINIX STOCK MERGER RENTOKIL 0002757775 10-12-2022   2021-09-15 2022-10-14
24. TEXAS INSTRUMENTS INC   2019-10-17 2022-01-21
12. TEXAS INSTRUMENTS INC   2019-10-17 2022-01-31
27. TEXAS INSTRUMENTS INC   2019-10-17 2022-02-14
24. TEXAS INSTRUMENTS INC   2019-10-17 2022-04-08
4. TEXAS PAC LD CORP COM USD0.01   2022-01-07 2022-09-08
17. THERMO ELECTRON CORP   2020-08-17 2022-01-07
4. 3M CO   2021-05-21 2022-09-08
84. ADR TOMRA SYSTEMS A/S/A SPON ADR NEW   2022-01-31 2022-10-21
148. TORO CO   2022-01-10 2022-09-08
21. TREX INC   2022-01-31 2022-08-09
34. TREX INC   2022-01-31 2022-10-19
24. TRIMBLE NAVIGATION LTD   2022-01-31 2022-05-05
29. UNITEDHEALTH GROUP INC   2019-10-17 2022-01-07
46. UNITEDHEALTH GROUP INC   2020-08-04 2022-05-11
4. VALMONT INDS INC COM   2022-01-31 2022-07-05
3. VALMONT INDS INC COM   2022-01-31 2022-07-07
10. VEEVA SYS INC CL A COM CL A COM   2021-09-15 2022-09-08
11. VEEVA SYS INC CL A COM CL A COM   2021-01-22 2022-09-08
4. VERIZON COMMUNICATIONS   2021-01-22 2022-01-07
79. VERIZON COMMUNICATIONS   2020-01-07 2022-01-07
56. VERIZON COMMUNICATIONS   2020-03-19 2022-01-10
173. VERIZON COMMUNICATIONS   2020-03-24 2022-01-21
65. VERIZON COMMUNICATIONS   2017-04-17 2022-09-08
7. VERTEX PHARMACEUTICALS INC   2020-08-17 2022-09-08
199. VISA INC CLASS A SHARES   2019-10-17 2022-09-28
51. VMWARE INC CL A COM CL A COM   2020-01-07 2022-09-08
62. WARNER BROS DISCOVERY INC   2021-01-22 2022-09-08
1. WATERS CORP   2022-01-07 2022-09-08
10. WESTERN UNION CO   2019-10-17 2022-09-08
102. WOODWARD GOVERNOR COMPANY   2021-05-21 2022-09-08
71. WORLD WRESTLING FEDN ENTMT CL A   2021-01-22 2022-09-08
111. XYLEM INC COM   2022-01-07 2022-09-08
86. YETI HLDGS INC COM   2022-01-07 2022-09-08
27. YUM BRANDS INC   2021-01-22 2022-01-07
12. ZEBRA TECHNOLOGIES CORP CL A   2017-03-28 2022-09-08
215. ZIONS BANCORP   2020-01-07 2022-01-07
73. ZOETIS INC COM USD0.01 CL 'A'   2020-08-04 2022-02-09
80. ZOETIS INC COM USD0.01 CL 'A'   2019-10-17 2022-03-29
60. ZOETIS INC COM USD0.01 CL 'A'   2018-02-01 2022-03-30
2. ZOETIS INC COM USD0.01 CL 'A'   2022-01-07 2022-09-08
36. AON PLC   2021-01-22 2022-09-08
21. ACCENTURE PLC SHS CL A NEW   2019-10-17 2022-01-07
42. ACCENTURE PLC SHS CL A NEW   2017-02-23 2022-02-09
64. JOHNSON CTLS INTL PLC COM USD0.01   2019-09-06 2022-01-07
78. JOHNSON CTLS INTL PLC COM USD0.01   2019-10-17 2022-09-08
15. APTIV PLC COM USD   2022-01-31 2022-04-04
25. APTIV PLC COM USD   2022-01-31 2022-04-08
132. #REORG/NIELSEN CASH MERGER NIELSEN 10-11-2022   2021-05-21 2022-09-08
1. #REORG/NIELSEN CASH MERGER NIELSEN 10-11-2022   2022-01-07 2022-10-14
438. #REORG/NIELSEN CASH MERGER NIELSEN 10-11-2022   2021-09-15 2022-10-14
211. PENTAIR PLC COM USD0.01   2022-01-07 2022-09-08
1. TRANE TECHNOLOGIES PLC COM USD1   2021-09-15 2022-01-07
22. GARMIN LTD COMMON STOCK   2022-01-31 2022-04-27
9. GARMIN LTD COMMON STOCK   2022-01-31 2022-04-27
11. GARMIN LTD COMMON STOCK   2022-01-31 2022-06-21
7. GARMIN LTD COMMON STOCK   2022-01-31 2022-07-27
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 1,288   1,178 110
b 1,340   656 684
c 1,178   1,005 173
d 42,791   33,279 9,512
e 914   598 316
5,301   3,597 1,704
1,281   1,614 -333
1,236   1,252 -16
3,322   2,022 1,300
1,519   1,197 322
1,085   702 383
2,600   2,401 199
976   873 103
848   655 193
2,643   2,582 61
2,690   1,253 1,437
1,634   1,138 496
40,316   14,735 25,581
45,317   13,332 31,985
4,972   2,881 2,091
3,248   3,182 66
2,753   3,329 -576
1,346   3,227 -1,881
863   1,187 -324
3,204   6,708 -3,504
4,487   6,106 -1,619
700   645 55
606   645 -39
8,784   6,357 2,427
956   409 547
559   256 303
2,696   2,619 77
1,940   1,841 99
192   183 9
1,327   1,311 16
595   476 119
6,800   3,841 2,959
1,551   529 1,022
1,037   353 684
3,039   1,043 1,996
3,227   2,735 492
2,829   2,222 607
8,481   6,353 2,128
1,014   2,043 -1,029
1,570   3,113 -1,543
16,969   12,644 4,325
548   634 -86
2,103   1,760 343
736   699 37
4,143   7,572 -3,429
132   239 -107
2,271   4,295 -2,024
4,353   7,913 -3,560
2,814   4,125 -1,311
755   1,236 -481
526   330 196
5,080   3,375 1,705
1,120   868 252
2,730   2,734 -4
74   101 -27
2,677   2,256 421
1,995   1,559 436
14,060   11,085 2,975
5,340   5,433 -93
2,684   2,670 14
993   1,163 -170
844   1,198 -354
1,241   1,938 -697
104   96 8
11,387   12,734 -1,347
144   179 -35
6,159   5,594 565
509   465 44
777   772 5
151   146 5
2,614   2,264 350
4,972   5,911 -939
7,068   7,221 -153
16   12 4
8,692   3,435 5,257
82   124 -42
815   2,473 -1,658
1,372   1,535 -163
1,587   1,754 -167
1,492   1,643 -151
100,000   84,505 15,495
50,000   60,154 -10,154
1,009   1,277 -268
1,149   1,689 -540
1,427   1,426 1
1,437   1,730 -293
2,061   2,354 -293
1,556   1,831 -275
531,111   551,210 -20,099
1,330   1,626 -296
3,125   1,402 1,723
1,458   2,121 -663
1,093   1,421 -328
291   219 72
873   609 264
3,153   2,121 1,032
5,962   6,847 -885
2,795   1,946 849
740   581 159
64,478   35,992 28,486
2,331   1,333 998
9,668   10,433 -765
15,775   35,519 -19,744
55,213   78,993 -23,780
100   115 -15
1,466   1,276 190
8,110   9,338 -1,228
11,090   4,862 6,228
17,431   6,567 10,864
1,887   1,306 581
260   286 -26
2,544   2,061 483
3,987   2,365 1,622
27   39 -12
2,823   2,299 524
9   17 -8
5,514   9,287 -3,773
792   737 55
3,547   3,781 -234
11,223   14,748 -3,525
1,877   1,390 487
4,329   3,819 510
1,676   1,499 177
1,785   2,018 -233
395   237 158
3,279   2,123 1,156
3,733   3,026 707
9,888   5,721 4,167
1,436   2,216 -780
1,768   2,980 -1,212
18,768   33,957 -15,189
9,506   15,913 -6,407
256   326 -70
12,613   6,751 5,862
45,161   45,647 -486
5,581   4,778 803
9,237   9,608 -371
13,214   12,971 243
12,016   7,512 4,504
6,342   3,289 3,053
3,571   3,333 238
143   145 -2
4,054   3,919 135
5,405   5,702 -297
3,471   3,369 102
1,691   2,755 -1,064
1,448   2,569 -1,121
4   8 -4
324   619 -295
449   906 -457
12,113   15,285 -3,172
1,639   2,246 -607
1,840   2,368 -528
4,626   5,527 -901
8,087   2,958 5,129
914   963 -49
4,441   4,928 -487
61   54 7
2,547   1,923 624
1,615   1,579 36
10,626   4,894 5,732
28,205   13,114 15,091
430   526 -96
4,223   4,736 -513
3,632   1,727 1,905
2,645   1,335 1,310
38,150   34,394 3,756
792   745 47
675   621 54
2,265   2,111 154
133   102 31
1,120   354 766
5,313   2,790 2,523
6,236   3,488 2,748
4,769   2,790 1,979
417   393 24
5,809   2,659 3,150
2,001   851 1,150
254   174 80
9,386   4,296 5,090
8,430   5,893 2,537
1,062   739 323
879   857 22
5,718   8,582 -2,864
4,739   3,700 1,039
2,370   1,764 606
400,000   379,380 20,620
300,000   302,585 -2,585
75,000   83,501 -8,501
90,000   98,772 -8,772
30,000   30,486 -486
30,000   30,992 -992
75,000   87,979 -12,979
20,000   23,054 -3,054
85,000   75,225 9,775
400,000   423,061 -23,061
100,000   93,392 6,608
75,000   85,916 -10,916
4,279   1,506 2,773
3,919   4,813 -894
1,578   1,579 -1
17,029   20,180 -3,151
13,845   12,173 1,672
10   11 -1
1,282   1,250 32
13   19 -6
595   870 -275
2,142   1,527 615
2,454   1,782 672
2,267   1,527 740
1,957   1,443 514
1,183   1,008 175
1,111   731 380
4,888   3,393 1,495
9,814   9,389 425
767   602 165
2,362   2,112 250
901   767 134
18   65 -47
929   1,109 -180
1,161   658 503
760   617 143
15,803   7,089 8,714
641   271 370
2,208   1,794 414
1,372   1,526 -154
7,921   6,355 1,566
1,716   1,351 365
2,704   2,205 499
640   581 59
1,918   2,272 -354
426   601 -175
725   1,025 -300
1,925   2,390 -465
381   376 5
1,654   1,761 -107
69,738   42,030 27,708
450   679 -229
6,041   5,628 413
5,775   6,525 -750
45   48 -3
3,780   1,306 2,474
1,577   1,764 -187
47   44 3
12,946   12,950 -4
4,232   3,108 1,124
2,126   1,554 572
4,397   3,497 900
4,185   3,108 1,077
7,226   5,073 2,153
10,363   3,863 6,500
476   808 -332
1,219   2,092 -873
12,967   14,392 -1,425
1,145   1,878 -733
1,521   3,040 -1,519
1,571   1,717 -146
13,389   6,529 6,860
22,834   13,986 8,848
874   864 10
678   648 30
1,740   2,997 -1,257
1,914   731 1,183
216   230 -14
4,269   4,527 -258
3,022   3,025 -3
9,205   8,956 249
2,689   3,266 -577
2,014   1,917 97
35,749   32,475 3,274
5,933   6,822 -889
774   2,325 -1,551
306   348 -42
147   240 -93
9,579   12,418 -2,839
4,847   3,942 905
10,695   12,848 -2,153
3,167   8,687 -5,520
3,670   2,892 778
3,548   1,064 2,484
15,035   10,916 4,119
14,812   10,316 4,496
15,392   6,776 8,616
11,487   4,661 6,826
317   425 -108
10,434   4,287 6,147
7,814   2,811 5,003
14,906   5,137 9,769
5,097   2,741 2,356
4,438   3,323 1,115
1,780   2,040 -260
2,745   3,400 -655
3,675   3,585 90
28   21 7
12,264   10,078 2,186
9,606   15,633 -6,027
191   187 4
2,391   2,710 -319
986   1,109 -123
1,051   1,355 -304
649   862 -213
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
      130,376
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       110
b       684
c       173
d       9,512
e       316
      1,704
      -333
      -16
      1,300
      322
      383
      199
      103
      193
      61
      1,437
      496
      25,581
      31,985
      2,091
      66
      -576
      -1,881
      -324
      -3,504
      -1,619
      55
      -39
      2,427
      547
      303
      77
      99
      9
      16
      119
      2,959
      1,022
      684
      1,996
      492
      607
      2,128
      -1,029
      -1,543
      4,325
      -86
      343
      37
      -3,429
      -107
      -2,024
      -3,560
      -1,311
      -481
      196
      1,705
      252
      -4
      -27
      421
      436
      2,975
      -93
      14
      -170
      -354
      -697
      8
      -1,347
      -35
      565
      44
      5
      5
      350
      -939
      -153
      4
      5,257
      -42
      -1,658
      -163
      -167
      -151
      15,495
      -10,154
      -268
      -540
      1
      -293
      -293
      -275
      -20,099
      -296
      1,723
      -663
      -328
      72
      264
      1,032
      -885
      849
      159
      28,486
      998
      -765
      -19,744
      -23,780
      -15
      190
      -1,228
      6,228
      10,864
      581
      -26
      483
      1,622
      -12
      524
      -8
      -3,773
      55
      -234
      -3,525
      487
      510
      177
      -233
      158
      1,156
      707
      4,167
      -780
      -1,212
      -15,189
      -6,407
      -70
      5,862
      -486
      803
      -371
      243
      4,504
      3,053
      238
      -2
      135
      -297
      102
      -1,064
      -1,121
      -4
      -295
      -457
      -3,172
      -607
      -528
      -901
      5,129
      -49
      -487
      7
      624
      36
      5,732
      15,091
      -96
      -513
      1,905
      1,310
      3,756
      47
      54
      154
      31
      766
      2,523
      2,748
      1,979
      24
      3,150
      1,150
      80
      5,090
      2,537
      323
      22
      -2,864
      1,039
      606
      20,620
      -2,585
      -8,501
      -8,772
      -486
      -992
      -12,979
      -3,054
      9,775
      -23,061
      6,608
      -10,916
      2,773
      -894
      -1
      -3,151
      1,672
      -1
      32
      -6
      -275
      615
      672
      740
      514
      175
      380
      1,495
      425
      165
      250
      134
      -47
      -180
      503
      143
      8,714
      370
      414
      -154
      1,566
      365
      499
      59
      -354
      -175
      -300
      -465
      5
      -107
      27,708
      -229
      413
      -750
      -3
      2,474
      -187
      3
      -4
      1,124
      572
      900
      1,077
      2,153
      6,500
      -332
      -873
      -1,425
      -733
      -1,519
      -146
      6,860
      8,848
      10
      30
      -1,257
      1,183
      -14
      -258
      -3
      249
      -577
      97
      3,274
      -889
      -1,551
      -42
      -93
      -2,839
      905
      -2,153
      -5,520
      778
      2,484
      4,119
      4,496
      8,616
      6,826
      -108
      6,147
      5,003
      9,769
      2,356
      1,115
      -260
      -655
      90
      7
      2,186
      -6,027
      4
      -319
      -123
      -304
      -213
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 305,426
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 8,368
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 8,368
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 12,000
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 12,000
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 3,632
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet3,632 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)
    bulletFL, IL
    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
    Yes
     
    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 ofbulletTHE NORTHERN TRUST COMPANY Telephone no.bullet (312) 630-6000

    Located atbulletPO BOX 803878CHICAGOIL ZIP+4bullet60680
    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
    NORTHERN TRUST COMPANY CO-TRUSTEE
    40
    120,207    
    PO BOX 803878
    CHICAGO,IL60690
    JULIE HENDRICKSON CO-TRUSTEE
    20
    60,000    
    411 WALNUT ST 12078
    GREEN COVE SPRINGS,FL32043
    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
    16,146,790
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    16,146,790
    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
    16,146,790
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    242,202
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    15,904,588
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    795,229
    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
    795,229
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    8,368
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,368
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    786,861
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    786,861
    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
    786,861
    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 7 786,861
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 661,528
    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$ 830,510
    a Applied to 2020, but not more than line 2a 661,528
    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..... 168,982
    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 ..........
    617,879
    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
    GUADALUPE CENTER
    1015 AVENIDA CESAR E CHAVEZ
    KANSAS CITY,MO64108
    N/A PUBLIC GENERAL 50,000
    NEIGHBORHOOD OUTREACH
    CONNECTION
    5325 DR MARTIN LUTHER KING DR
    ST LOUIS,MO63112
    N/A PUBLIC GENERAL 50,000
    ANTIOCH EDUCATION CENTER
    PO BOX 1930
    RIDGELAND,SC29936
    N/A PUBLIC GENERAL 40,000
    SACH'A MUNAY
    6744 DUNE DR
    MALIBU,CA90265
    N/A PUBLIC GENERAL 26,000
    ACADEMY PREP
    1407 E COLUMBUS DR
    TAMPA,FL33605
    N/A PUBLIC GENERAL 20,000
    BIG BROTHER BIG SISTER
    560 W LAKE STREET
    CHICAGO,IL60661
    NONE PUBLIC GENERAL 40,000
    WEST MARIN FUND
    65 THIRD STREET 24
    POINT REYES STATION,CA94956
    NONE PUBLIC GENERAL 45,000
    URBAN CREATORS
    2315 N 11TH STREET
    PHILADELPHIA,PA19133
    NONE PUBLIC GENERAL 35,000
    SAKALA INTERNATIONAL
    415 CONGRESS ST 202A
    PORTLAND,ME04101
    NONE PUBLIC GENERAL 25,000
    BLUFFTON SELF HELP
    39 SHERIDAN PARK CIRCLE
    Bluffton,SC29910
    NONE PUBLIC GENERAL 5,000
    GIRLS RISING SAN DIEGO
    PO BOX 161218
    San Diego,CA92176
    NONE PUBLIC GENERAL 5,000
    LETS GROW KIDS
    19 MARBLE AVE STE 4
    Burlington,VT05401
    NONE PUBLIC GENERAL 5,000
    MAKING WAVES FOUNDATION
    3043 RESEARCH DRIVE
    Richmond,CA94806
    NONE PUBLIC GENERAL 5,000
    VERMONT WOMENS FUND
    3 COURT ST
    Middlebury,VT05753
    NONE PUBLIC GENERAL 5,000
    COLLEGE FOR EVERY STUDENT INC
    1634 ROUTE 30
    CORNWALL,VT05753
    N/A PUBLIC GENERAL 50,000
    ORAL LEE BROWN FOUNDATION
    9901 MACARTHUR BLVD
    OAKLAND,CA94605
    N/A PUBLIC GENERAL 50,000
    VERMONT WORKS FOR WOMEN
    32A MALLETTS BAY AVE
    WINOOSKI,VT05404
    N/A PUBLIC GENERAL 20,000
    FIRST GRADUATE
    PB BOX 29415
    SAN FRANCISCO,CA94129
    N/A PUBLIC GENERAL 50,000
    WHAT IF FOUNDATION
    1563 SOLANO AVE 3192
    BERKELEY,CA94707
    N/A PUBLIC GENERAL 50,000
    GLOBAL IMPACT
    PO BOX 5682
    ROCKFORD,IL61125
    N/A PUBLIC GENERAL 42,000
    SAINT MARY'S UNIVERSITY
    700 TERRACE HEIGHTS 12
    WINONA,MN55987
    N/A PUBLIC GENERAL 50,000
    Total .................................bullet 3a 668,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 305,426  
    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) ..   675,176  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    675,176
    (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:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEES 2,500 1,250   1,250

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Name of Bond End of Year Book Value End of Year Fair Market Value
    SEE ATTACHMENTS 2,898,872 2,571,714

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SEE ATTACHMENTS 8,634,793 10,195,947

    TY 2021 InvestmentsOtherSchedule2
    Name:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SEE ATTACHMENTS      
    SEE ATTACHEMENT AT COST 378,808 487,770
    SEE ATTACHMENT AT COST 290,134 647,481
    SEE ATTACHMENT AT COST 273,607 251,790

    TY 2021 LegalFeesSchedule
    Name:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 709     709


    TY 2021 OtherAssetsSchedule
    Name:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    SEE ATTTACHMENT   67,087 67,087


    TY 2021 OtherDecreasesSchedule
    Name:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Description Amount
    TAX COST ADJUSTMENT 1,441


    TY 2021 OtherExpensesSchedule
    Name:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PHILANTHROPY RENEWAL FEE 780 0   780
    IL ATTORNEY GENERAL FEE 15 0   15


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGER FEES 31,871 31,871    
    SERVICE CHARGE 234 234    


    TY 2021 TaxesSchedule
    Name:
    HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
    EIN:
    20-7449840
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 7,170 0   0
    ESTIMATED TAXES 12,000 0   0
    FOREIGN TAXES 8,026 8,026   0