TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

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

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

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

OMB No. 1545-0047

2021

Open to Public Inspection

For calendar year 2021, or tax year beginning 10-01-2021 , and ending 09-30-2022

Name of foundation
GODDARD CRIPPLED CH AZ TW XXXXX5001

Number and street (or P.O. box number if mail is not delivered to street address)10 S DEARBORN IL1-0111
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60603

A Employer identification number

86-6071658

B Telephone number (see instructions)

(800) 496-2583

C If exemption application is pending, check here bullet

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

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

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

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

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

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

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

$1,704,368J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

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


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	65,230		65,230
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		50,348
b	Gross sales price for all assets on line 6a 392,971
7	Capital gain net income (from Part IV, line 2)...			50,348
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........	115,578		115,578
13	Compensation of officers, directors, trustees, etc.	28,073		16,808		11,265
14	Other employee salaries and wages......			0	0	0
15	Pension plans, employee benefits.......			0	0
16a	Legal fees (attach schedule).........		900	0	0	900
b	Accounting fees (attach schedule).......
c	Other professional fees (attach schedule)....					0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		3,741	976		0
19	Depreciation (attach schedule) and depletion...		0	0
20	Occupancy..............
21	Travel, conferences, and meetings.......			0	0
22	Printing and publications..........			0	0
23	Other expenses (attach schedule).......
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	32,714		17,784	0	12,165
25	Contributions, gifts, grants paid.......	87,387				87,387
26	Total expenses and disbursements. Add lines 24 and 25	120,101		17,784	0	99,552
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-4,523
b	Net investment income (if negative, enter -0-)			97,794
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	5,732	12,724	12,724
	2	Savings and temporary cash investments.........	25,368	15,471	15,471
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts 0
	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).......	1,099,436	1,042,367	1,288,403
	c	Investments—corporate bonds (attach schedule).......	385,170	440,612	387,770
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........			0
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	1,515,706	1,511,174	1,704,368
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	1,515,706	1,511,174
	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).....	1,515,706	1,511,174
	30	Total liabilities and net assets/fund balances (see instructions).	1,515,706	1,511,174

Part III

Analysis of Changes in Net Assets or Fund Balances

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

1,515,706

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

-4,523

Other increases not included in line 2 (itemize) bullet

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

1,511,185

Decreases not included in line 2 (itemize) bullet

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

1,511,174

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	13. FISERV INC		2019-01-25	2021-10-12
b	6. MASTERCARD INC - CLASS A		2021-02-24	2021-10-12
c	8. PAYPAL HOLDINGS INC		2019-01-23	2021-10-12
d	2. LAM RESEARCH CORPORATION COMMON		2020-11-04	2021-10-21
e	2. LAM RESEARCH CORPORATION COMMON		2020-11-03	2021-10-21
	6. LAM RESEARCH CORPORATION COMMON		2020-11-03	2021-10-21
	24. RAYTHEON TECHNOLOGIES CORP		2020-11-24	2021-10-21
	5. RAYTHEON TECHNOLOGIES CORP		2020-12-03	2021-10-21
	3. RAYTHEON TECHNOLOGIES CORP		2020-12-03	2021-10-21
	1. RAYTHEON TECHNOLOGIES CORP		2021-01-28	2021-10-21
	21. RAYTHEON TECHNOLOGIES CORP		2021-01-28	2021-10-21
	81. ISHARES CORE MSCI EMERGING		2020-10-23	2021-10-26
	13. ISHARES CORE MSCI EMERGING		2020-10-23	2021-10-26
	4. ISHARES CORE MSCI EMERGING		2020-10-23	2021-10-26
	144. ISHARES CORE MSCI EMERGING		2020-10-23	2021-10-26
	98. ISHARES CORE MSCI EMERGING		2020-10-23	2021-10-26
	211. ISHARES CORE MSCI EMERGING		2020-10-23	2021-10-26
	124. ISHARES CORE MSCI EMERGING		2020-10-23	2021-10-26
	175. JPMORGAN BETABUILDERS JAPAN ETF		2021-01-26	2021-10-26
	50. COMCAST CORP NEW CL A		2021-04-16	2021-10-27
	4. COMCAST CORP NEW CL A		2018-10-19	2021-10-27
	3. YUM BRANDS INC		2020-10-15	2021-10-27
	8. YUM BRANDS INC		2020-10-13	2021-10-27
	3. YUM BRANDS INC		2018-11-28	2021-10-27
	9. YUM BRANDS INC		2018-11-27	2021-10-27
	6. YUM BRANDS INC		2018-11-27	2021-10-27
	1. YUM BRANDS INC		2020-03-11	2021-10-27
	6. YUM BRANDS INC		2020-03-11	2021-10-27
	9. YUM BRANDS INC		2020-03-11	2021-10-28
	1. YUM BRANDS INC		2020-03-11	2021-10-28
	2. YUM BRANDS INC		2020-03-11	2021-10-28
	2. YUM BRANDS INC		2020-03-11	2021-10-28
	1. PAYPAL HOLDINGS INC		2019-01-23	2021-10-29
	14. PAYPAL HOLDINGS INC		2018-01-26	2021-10-29
	9. PAYPAL HOLDINGS INC		2018-01-26	2021-11-01
	2. COMCAST CORP NEW CL A		2018-10-19	2021-11-02
	66. COMCAST CORP NEW CL A		2010-02-02	2021-11-02
	17. COMCAST CORP NEW CL A		2010-02-02	2021-11-02
	3. ZIMMER HLDGS INC		2020-06-30	2021-11-02
	6. ZIMMER HLDGS INC		2018-04-26	2021-11-02
	3. ZIMMER HLDGS INC		2018-04-26	2021-11-02
	1. ZIMMER HLDGS INC		2018-04-26	2021-11-02
	4. ZIMMER HLDGS INC		2017-11-14	2021-11-02
	3. ZIMMER HLDGS INC		2017-11-20	2021-11-03
	8. STANLEY BLACK & DECKER,INC.		2016-02-12	2021-11-05
	1. STANLEY BLACK & DECKER,INC.		2016-02-12	2021-11-05
	3. STANLEY BLACK & DECKER,INC.		2016-02-11	2021-11-08
	5. STANLEY BLACK & DECKER,INC.		2016-02-11	2021-11-08
	3. STANLEY BLACK & DECKER,INC.		2016-02-11	2021-11-08
	1. ANALOG DEVICES INC		2021-09-09	2021-11-19
	3. ANALOG DEVICES INC		2021-09-09	2021-11-19
	1. ANALOG DEVICES INC		2021-09-09	2021-11-22
	2. ANALOG DEVICES INC		2021-09-09	2021-11-22
	1. ANALOG DEVICES INC		2021-09-09	2021-11-22
	1. ANALOG DEVICES INC		2021-09-09	2021-11-22
	1. ANALOG DEVICES INC		2021-09-09	2021-11-22
	1. ANALOG DEVICES INC		2021-09-09	2021-12-06
	16. ANALOG DEVICES INC		2020-12-17	2021-12-06
	2. NETFLIX.COM INC		2018-09-13	2021-12-06
	2. ANALOG DEVICES INC		2020-12-17	2021-12-07
	3. ZIMMER HLDGS INC		2017-11-20	2021-12-29
	4. ZIMMER HLDGS INC		2017-11-15	2021-12-29
	9. ZIMMER HLDGS INC		2017-11-10	2021-12-29
	12. ZIMMER HLDGS INC		2017-11-10	2021-12-29
	2. NETFLIX.COM INC		2019-05-16	2022-01-05
	2. NETFLIX.COM INC		2019-05-16	2022-01-05
	2. SNAP INC - A		2021-10-27	2022-01-21
	1. SNAP INC - A		2021-10-27	2022-01-21
	54. SNAP INC - A		2021-10-27	2022-01-21
	10. SNAP INC - A		2021-12-06	2022-01-21
	18. SNAP INC - A		2021-12-06	2022-01-21
	525. VANGUARD BD INDEX FD INC		2021-07-22	2022-01-28
	4. SHOPIFY INC - CLASS A		2021-09-09	2022-02-03
	6. WORKDAY INC-CLASS A		2021-10-21	2022-02-04
	1. WORKDAY INC-CLASS A		2021-10-21	2022-02-04
	1. WORKDAY INC-CLASS A		2021-10-21	2022-02-04
	243.191 SIX CIRCLES CREDIT OPPORT		2021-05-21	2022-02-07
	1855.342 SIX CIRCLES CREDIT OPPORT		2020-11-12	2022-02-07
	4. WEX INC		2021-03-05	2022-02-08
	1. WEX INC		2021-03-05	2022-02-08
	2. WEX INC		2020-04-27	2022-02-08
	2. WEX INC		2020-04-27	2022-02-08
	125.541 FIDELITY 500 INDEX FUND		2022-01-28	2022-02-09
	2. WEX INC		2020-04-27	2022-02-09
	8. WEX INC		2016-05-02	2022-02-09
	1. WEX INC		2016-06-01	2022-02-09
	2. WEX INC		2016-05-31	2022-02-09
	31.961 FIDELITY 500 INDEX FUND		2022-01-28	2022-02-10
	1. WEX INC		2016-05-27	2022-02-10
	6. WEX INC		2016-05-03	2022-02-10
	1. WEX INC		2016-05-03	2022-02-11
	1. WORKDAY INC-CLASS A		2021-10-21	2022-02-15
	4. WORKDAY INC-CLASS A		2021-10-21	2022-02-15
	2. WORKDAY INC-CLASS A		2021-10-21	2022-02-15
	4. WORKDAY INC-CLASS A		2021-10-21	2022-02-16
	1. WORKDAY INC-CLASS A		2021-10-21	2022-02-16
	1. NORFOLK SOUTHN CORP		2021-09-09	2022-03-03
	5. NORFOLK SOUTHN CORP		2021-09-09	2022-03-03
	5. PPG INDS INC		2020-11-03	2022-03-03
	18. PPG INDS INC		2020-11-02	2022-03-03
	2. PPG INDS INC		2020-11-02	2022-03-04
	6. PPG INDS INC		2020-11-02	2022-03-04
	3. INGERSOLL RAND INC COMMON STOCK		2021-10-21	2022-03-08
	42. INGERSOLL RAND INC COMMON STOCK		2021-07-07	2022-03-08
	17. PAYPAL HOLDINGS INC		2018-01-26	2022-03-08
	50. JPMORGAN BETABUILDERS JAPAN ETF		2021-01-26	2022-03-21
	30. SPDR TR UNIT SER 1		2014-10-08	2022-03-21
	527.426 SIX CIRCLES GLOBAL BOND		2020-08-19	2022-03-21
	18. MORGAN STANLEY DEAN WITTER & CO NEW		2013-01-16	2022-04-07
	18. SCHWAB CHARLES CORP NEW		2021-01-11	2022-04-07
	28. WELLS FARGO & CO NEW		2021-04-27	2022-04-07
	3. APTIV PLC		2021-11-02	2022-04-08
	1. APTIV PLC		2021-11-02	2022-04-08
	2. APTIV PLC		2021-11-02	2022-04-08
	3. APTIV PLC		2021-11-02	2022-04-08
	10. APTIV PLC		2021-11-02	2022-04-08
	1. APTIV PLC		2021-11-02	2022-04-08
	6. APTIV PLC		2022-02-15	2022-04-11
	1. LAUDER ESTEE COS INC CL A		2021-01-08	2022-05-10
	13. LAUDER ESTEE COS INC CL A		2020-11-06	2022-05-10
	4. NEXTERA ENERGY INC		2021-11-02	2022-05-10
	4. NEXTERA ENERGY INC		2021-11-02	2022-05-10
	12. NEXTERA ENERGY INC		2021-11-02	2022-05-10
	10. NEXTERA ENERGY INC		2021-11-02	2022-05-10
	7. NEXTERA ENERGY INC		2020-05-04	2022-05-10
	6. NEXTERA ENERGY INC		2020-05-04	2022-05-11
	15. NEXTERA ENERGY INC		2018-07-18	2022-05-11
	2. SCHWAB CHARLES CORP NEW		2021-01-11	2022-05-19
	13. SCHWAB CHARLES CORP NEW		2021-01-11	2022-05-19
	52. SCHWAB CHARLES CORP NEW		2021-01-11	2022-05-19
	16. SCHWAB CHARLES CORP NEW		2021-01-28	2022-05-19
	2. SCHWAB CHARLES CORP NEW		2021-01-28	2022-05-19
	4. LOWES COS INC		2020-04-16	2022-05-20
	5. LOWES COS INC		2011-09-28	2022-05-20
	8. NVIDIA CORP		2017-10-03	2022-05-20
	50. JPMORGAN BETABUILDERS EUROPE ETF		2021-10-26	2022-06-07
	678. JPMORGAN BETABUILDERS EUROPE ETF		2021-04-20	2022-06-07
	32. JPMORGAN BETABUILDERS EUROPE ETF		2020-06-11	2022-06-07
	10. AMAZON COM INC		2021-11-19	2022-06-17
	9. INTUITIVE SURGICAL INC NEW		2021-09-15	2022-06-17
	14. NIKE INC		2021-02-17	2022-06-17
	13. AMERICAN EXPRESS CO		2020-12-03	2022-06-24
	7. AMERICAN EXPRESS CO		2019-05-16	2022-06-30
	8. INGERSOLL RAND INC COMMON STOCK		2021-07-07	2022-06-30
	4. INGERSOLL RAND INC COMMON STOCK		2021-07-07	2022-06-30
	8. INGERSOLL RAND INC COMMON STOCK		2021-05-17	2022-06-30
	2. MARTIN MARIETTA MATLS INC		2022-03-03	2022-06-30
	12. MORGAN STANLEY DEAN WITTER & CO NEW		2013-01-16	2022-06-30
	3. NVIDIA CORP		2017-10-03	2022-06-30
	2. NVIDIA CORP		2017-10-03	2022-06-30
	1. TRANE TECHNOLOGIES PLC		2021-02-22	2022-06-30
	2. TRANE TECHNOLOGIES PLC		2021-02-22	2022-06-30
	6. TRANE TECHNOLOGIES PLC		2021-02-22	2022-06-30
	6. INGERSOLL RAND INC COMMON STOCK		2021-07-07	2022-07-01
	3. INGERSOLL RAND INC COMMON STOCK		2021-05-14	2022-07-01
	1. INGERSOLL RAND INC COMMON STOCK		2021-05-14	2022-07-01
	2. MARTIN MARIETTA MATLS INC		2022-03-03	2022-07-01
	1. MARTIN MARIETTA MATLS INC		2022-03-04	2022-07-01
	2. MARTIN MARIETTA MATLS INC		2022-03-04	2022-07-01
	325. ISHARES MISCI EAFE INDEX FUND		2016-09-19	2022-08-03
	2. ISHARES MISCI EAFE INDEX FUND		2016-09-19	2022-08-03
	1. JPMORGAN BETABUILDERS EUROPE ETF		2020-06-11	2022-08-03
	151. JPMORGAN BETABUILDERS EUROPE ETF		2020-06-11	2022-08-03
	202. JPMORGAN BETABUILDERS EUROPE ETF		2020-06-11	2022-08-03
	11. JPMORGAN BETABUILDERS EUROPE ETF		2020-06-11	2022-08-03
	16. LILLY ELI & CO		2015-06-04	2022-08-03
	2. O'REILLY AUTOMOTIVE INC		2020-04-16	2022-08-24
	1. OLD DOMINION FREIGHT LINE INC COM		2021-09-15	2022-08-24
	4. OLD DOMINION FREIGHT LINE INC COM		2021-09-09	2022-08-24
	1. OLD DOMINION FREIGHT LINE INC COM		2021-09-09	2022-08-24
	3. OLD DOMINION FREIGHT LINE INC COM		2021-09-09	2022-08-25
	8. AMETEK INC NEW		2021-11-05	2022-08-31
	3. LINDE PLC		2019-04-08	2022-08-31
	2. LINDE PLC		2019-04-25	2022-08-31
	3. AMETEK INC NEW		2021-11-05	2022-09-01
	9. AMETEK INC NEW		2020-10-01	2022-09-01
	2. AMETEK INC NEW		2020-10-01	2022-09-01
	1. AMETEK INC NEW		2020-10-01	2022-09-01
	4. LINDE PLC		2019-04-25	2022-09-01
	12. AMETEK INC NEW		2020-09-30	2022-09-02
	3. AMETEK INC NEW		2020-09-30	2022-09-02
	1. AMETEK INC NEW		2020-09-30	2022-09-02
	3. AMETEK INC NEW		2020-09-30	2022-09-06
	2. CHARTER COMMUNICATIONS INC-A		2016-03-30	2022-09-29
	5. CHARTER COMMUNICATIONS INC-A		2016-02-08	2022-09-29
	2. CHARTER COMMUNICATIONS INC-A		2016-02-08	2022-09-30
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	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,356	1,100	256
b	2,073	2,198	-125
c	2,045	723	1,322
d	1,083	856	227
e	1,091	738	353
	3,308	2,211	1,097
	2,186	1,770	416
	454	366	88
	273	215	58
	91	68	23
	1,910	1,434	476
	5,161	4,489	672
	834	720	114
	255	222	33
	9,184	7,980	1,204
	6,245	5,431	814
	13,440	11,666	1,774
	7,900	6,842	1,058
	10,013	10,078	-65
	2,649	2,756	-107
	212	144	68
	381	298	83
	1,015	774	241
	377	283	94
	1,141	817	324
	757	535	222
	127	81	46
	759	488	271
	1,125	732	393
	124	81	43
	248	163	85
	251	163	88
	232	90	142
	3,270	1,218	2,052
	2,079	765	1,314
	104	72	32
	3,444	529	2,915
	889	136	753
	439	358	81
	875	683	192
	436	339	97
	146	112	34
	583	449	134
	440	337	103
	1,473	737	736
	184	91	93
	554	271	283
	919	450	469
	550	269	281
	188	170	18
	566	509	57
	192	170	22
	372	339	33
	188	170	18
	186	168	18
	188	168	20
	181	168	13
	2,897	2,369	528
	1,225	732	493
	370	286	84
	385	337	48
	515	446	69
	1,159	997	162
	1,538	1,328	210
	1,146	723	423
	1,158	723	435
	65	109	-44
	32	55	-23
	1,745	2,915	-1,170
	321	478	-157
	583	861	-278
	41,997	43,234	-1,237
	3,279	5,979	-2,700
	1,428	1,680	-252
	237	280	-43
	237	280	-43
	2,429	2,500	-71
	18,535	18,792	-257
	650	849	-199
	161	212	-51
	323	297	26
	323	232	91
	20,000	19,314	686
	333	232	101
	1,340	839	501
	167	92	75
	336	185	151
	5,000	4,917	83
	168	92	76
	1,030	548	482
	169	91	78
	235	280	-45
	941	1,120	-179
	470	560	-90
	911	1,110	-199
	228	277	-49
	272	248	24
	1,367	1,238	129
	637	685	-48
	2,301	2,440	-139
	249	270	-21
	742	807	-65
	137	163	-26
	1,941	2,249	-308
	1,589	1,426	163
	2,567	2,879	-312
	13,331	5,886	7,445
	5,000	5,374	-374
	1,475	371	1,104
	1,433	1,078	355
	1,325	1,261	64
	325	522	-197
	108	174	-66
	219	347	-128
	326	521	-195
	1,088	1,736	-648
	109	173	-64
	658	860	-202
	233	260	-27
	2,990	3,207	-217
	275	342	-67
	276	342	-66
	835	1,025	-190
	701	854	-153
	490	398	92
	421	341	80
	1,060	765	295
	127	120	7
	817	778	39
	3,264	3,074	190
	1,012	863	149
	127	108	19
	732	376	356
	915	101	814
	1,281	358	923
	2,615	2,996	-381
	35,453	39,416	-3,963
	1,682	1,518	164
	1,061	1,845	-784
	1,734	3,207	-1,473
	1,504	2,016	-512
	1,882	1,681	201
	963	844	119
	337	393	-56
	168	195	-27
	336	390	-54
	598	751	-153
	911	247	664
	455	134	321
	304	90	214
	130	155	-25
	260	310	-50
	779	925	-146
	251	292	-41
	125	146	-21
	42	49	-7
	594	750	-156
	296	372	-76
	592	743	-151
	21,172	18,830	2,342
	130	116	14
	48	43	5
	7,230	6,521	709
	9,672	8,724	948
	527	475	52
	5,000	1,357	3,643
	1,428	744	684
	292	292
	1,172	1,164	8
	293	290	3
	891	870	21
	963	1,130	-167
	849	555	294
	568	352	216
	359	423	-64
	1,078	907	171
	239	201	38
	120	100	20
	1,103	705	398
	1,427	1,195	232
	357	298	59
	119	99	20
	354	298	56
	626	496	130
	1,563	1,016	547
	620	396	224
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132
			18,132

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			256
b			-125
c			1,322
d			227
e			353
			1,097
			416
			88
			58
			23
			476
			672
			114
			33
			1,204
			814
			1,774
			1,058
			-65
			-107
			68
			83
			241
			94
			324
			222
			46
			271
			393
			43
			85
			88
			142
			2,052
			1,314
			32
			2,915
			753
			81
			192
			97
			34
			134
			103
			736
			93
			283
			469
			281
			18
			57
			22
			33
			18
			18
			20
			13
			528
			493
			84
			48
			69
			162
			210
			423
			435
			-44
			-23
			-1,170
			-157
			-278
			-1,237
			-2,700
			-252
			-43
			-43
			-71
			-257
			-199
			-51
			26
			91
			686
			101
			501
			75
			151
			83
			76
			482
			78
			-45
			-179
			-90
			-199
			-49
			24
			129
			-48
			-139
			-21
			-65
			-26
			-308
			163
			-312
			7,445
			-374
			1,104
			355
			64
			-197
			-66
			-128
			-195
			-648
			-64
			-202
			-27
			-217
			-67
			-66
			-190
			-153
			92
			80
			295
			7
			39
			190
			149
			19
			356
			814
			923
			-381
			-3,963
			164
			-784
			-1,473
			-512
			201
			119
			-56
			-27
			-54
			-153
			664
			321
			214
			-25
			-50
			-146
			-41
			-21
			-7
			-156
			-76
			-151
			2,342
			14
			5
			709
			948
			52
			3,643
			684

			8
			3
			21
			-167
			294
			216
			-64
			171
			38
			20
			398
			232
			59
			20
			56
			130
			547
			224

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	50,348
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3

Form 990-PF (2021)

Page 4

Part V

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

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2	0
3	Add lines 1 and 2...........................	3	1,359
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	1,359
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	2,384
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	2,384
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.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	1,025
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax1,025	Refunded	11	0

Part VI-A

Statements Regarding Activities

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

Yes

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

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

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

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

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

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

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

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

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

on foundation managers. bullet

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

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

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

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

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

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

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

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

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

By language in the governing instrument, or

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

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

Yes

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

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

Yes

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

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

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

Yes

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

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

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

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

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

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

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

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

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

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

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

Yes

Website address bullet

The books are in care of bullet

JP MORGAN CHASE BANK NA Telephone no. bullet

(800) 496-2583

Located at bullet

10 S DEARBORN ST MC IL1-0111CHICAGOIL ZIP+4 bullet

60603

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

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

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

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

16 No

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

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required

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

Yes

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

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

1a(1)

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

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

1a(2)

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

1a(3)

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

1a(4)

Yes

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)? ......................

1a(5)

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

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

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

1a(6)

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

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

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

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

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

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

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

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

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

If "Yes," list the years bullet

20, 20, 20, 20

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

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

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

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

20, 20, 20, 20

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

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

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

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

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

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

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

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

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

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

Form 990-PF (2021)

Page 6

Part VI-B

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

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

Yes

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

5a(1)

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

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

5a(2)

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

5a(3)

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

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

5a(4)

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

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

5a(5)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Part VII

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

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

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
JP MORGAN CHASE BANK NA	trustee 2	28,073
10 S DEARBORN ST MC IL1-0111 Chicago,IL60603	trustee 2	28,073

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...................				0

Form 990-PF (2021)

Page 7

Part VII

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

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

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

Part VIII-A

Summary of Direct Charitable Activities

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


2


3


4

Part VIII-B

Summary of Program-Related Investments (see instructions)

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


2


All other program-related investments. See instructions.
3

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

Form 990-PF (2021)

Page 8

Part IX

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

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

purposes:

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

2,009,131

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

33,521

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

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

2,042,652

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

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

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

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

2,042,652

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

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

30,640

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

2,012,012

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

100,601

Part X

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

and do not complete this part.)

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

100,601

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

1,359

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

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

1,359

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

99,242

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

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

99,242

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

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

99,242

Part XI

Qualifying Distributions (see instructions)

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

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

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

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

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

Amounts set aside for specific charitable projects that satisfy the:

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

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

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

Form 990-PF (2021)

Page 9

Part XII

Undistributed Income (see instructions)

		(a) Corpus	(b) Years prior to 2020	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7					99,242
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				87,387
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: $ 99,552
a Applied to 2020, but not more than line 2a				87,387
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.....					12,165
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 ..........					87,077
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)

Page 10

Part XIII

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

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

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

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

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

Part XIV

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

1Information Regarding Foundation Managers:

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

NONE

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

NONE

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

Check here bullet

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

aThe name, address, and telephone number or 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)

Page 11

Part XIV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
SQUARE AND CAMPUS CHILDRENS HOSPITAL 2600 NORTH WYATT DRIVE Tucson,AZ85712	NONE	PC	GENERAL SUPPORT	87,387
Total ................................. 3a				87,387

bApproved for future payment

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

Form 990-PF (2021)

Page 12

Part XV-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........
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	50,348
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) ..				115,578

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

115,578

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

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

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

Form 990-PF (2021)

Page 13

Part XVI

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

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

Yes

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

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

1a(1)

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

1a(2)

Other transactions:

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

1b(1)

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

1b(2)

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

1b(3)

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

1b(4)

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

1b(5)

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

1b(6)

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

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

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

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

If "Yes," complete the following schedule.

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

Sign Here

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

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

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

Name of Bond	End of Year Book Value	End of Year Fair Market Value
4812C0100 JPM CORE BD FD - USD	39,365	35,680
92203J308 VANGUARD TTL INTL BN	85,233	74,417
83002G702 SIX CIRCLES GLOBAL B	129,626	112,407
46429B267 ISHARES US TREASURY	21,791	18,777
83002G884 SIX CIRCLES CREDIT O	40,458	35,671
921937827 VANGUARD SHORT-TERM
921937835 VANGUARD TOTAL BOND	51,985	46,293
92206C771 VANGUARD MORTGAGE-BA	21,598	18,036
92203J407 VANGUARD TOTAL INTL	50,556	46,489

Name of Stock	End of Year Book Value	End of Year Fair Market Value
617446448 MORGAN STANLEY	1,972	7,585
949746101 WELLS FARGO & CO	7,006	8,406
09062X103 BIOGEN INC	3,198	2,937
101137107 BOSTON SCIENTIFIC CO	3,517	5,383
110122108 BRISTOL-MYERS SQUIBB	9,461	10,521
16119P108 CHARTER COMMUNICATIO
20030N101 COMCAST CORP-CLASS A
532457108 ELI LILLY & CO	1,849	8,084
548661107 LOWE'S COS INC	637	6,198
57636Q104 MASTERCARD INC - A	6,026	13,080
65339F101 NEXTERA ENERGY INC	6,471	9,409
67103H107 O'REILLY AUTOMOTIVE	2,124	5,627
713448108 PEPSICO INC	5,120	7,836
91324P102 UNITEDHEALTH GROUP I	5,484	23,232
438516106 HONEYWELL INTERNATIO	1,351	6,011
609207105 MONDELEZ INTERNATION	1,655	4,057
655844108 NORFOLK SOUTHERN COR	5,146	7,547
854502101 STANLEY BLACK & DECK
96208T104 WEX INC
02079K107 ALPHABET INC-CL C	5,935	19,230
02079K305 ALPHABET INC-CL A	1,142	7,652
30303M102 META PLATFORMS INC-C	7,207	6,377
594918104 MICROSOFT CORP	4,764	33,305
882508104 TEXAS INSTRUMENTS IN	3,410	9,442
723787107 PIONEER NATURAL RESO	3,904	7,579
78462F103 SPDR S&P 500 ETF TRU	108,808	203,593
94106B101 WASTE CONNECTIONS IN	2,549	5,405
464287465 ISHARES MSCI EAFE ET	50,560	50,297
64110L106 NETFLIX INC
67066G104 NVIDIA CORP	1,209	3,278
70450Y103 PAYPAL HOLDINGS INC
98956P102 ZIMMER BIOMET HOLDIN
337738108 FISERV INC	3,032	3,462
580135101 MCDONALD'S CORP	6,983	7,153
988498101 YUM] BRANDS INC
00287Y109 ABBVIE INC	6,928	11,139
83002G306 SIX CIRCLES US UNCON	183,014	192,358
83002G405 SIX CIRCLES INTL UNC	169,257	139,703
G5494J103 LINDE PLC	5,029	8,357
N6596X109 NXP SEMICONDUCTORS N	10,641	11,801
023135106 AMAZON.COM INC	8,521	23,730
025816109 AMERICAN EXPRESS CO	4,026	4,992
031100100 AMETEK INC
037833100 APPLE INC	785	24,461
060505104 BANK OF AMERICA CORP	2,830	6,342
09857L108 BOOKING HOLDINGS INC	6,838	6,573
315911727 FIDELITY INTL INDX-I	35,000	31,405
315911750 FIDELITY 500 INDEX F	73,943	77,031
461202103 INTUIT INC	5,016	6,197
883556102 THERMO FISHER SCIENT	8,377	11,158
N07059210 ASML HOLDING NV-NY R	1,462	2,077
007903107 ADVANCED MICRO DEVIC	5,514	3,612
032654105 ANALOG DEVICES INC	4,399	4,598
20825C104 CONOCOPHILLIPS	9,748	13,816
244199105 DEERE & CO	11,645	10,684
363576109 ARTHUR J GALLAGHER &	4,690	5,650
43300A203 HILTON WORLDWIDE HOL	4,554	4,342
45687V106 INGERSOLL RAND INC C	3,538	3,158
46120E602 INTUITIVE SURGICAL I	3,628	2,249
46434G103 ISHARES CORE MSCI EM
46641Q191 JPMORGAN BETABUILDER
46641Q217 JPMORGAN BETABUILDER	54,556	46,955
46641Q225 JPMORGAN BETABUILDER	54,470	61,468
46641Q233 JPMORGAN BETABUILDER	38,236	31,736
512807108 LAM RESEARCH CORP
518439104 ESTEE LAUDER COMPANI
654106103 NIKE INC -CL B	3,519	2,078
679580100 OLD DOMINION FREIGHT	5,088	4,478
693506107 PPG INDUSTRIES INC
75513E101 RAYTHEON TECHNOLOGIE	3,646	3,111
75886F107 REGENERON PHARMACEUT	4,413	5,511
808513105 SCHWAB (CHARLES) COR
82509L107 SHOPIFY INC - CLASS
G29183103 EATON CORP PLC	4,774	4,801
G8994E103 TRANE TECHNOLOGIES P	3,504	3,331
023608102 AMEREN CORPORATION	6,547	5,639
099502106 BOOZ ALLEN HAMILTON	4,995	5,449
22160K105 COSTCO WHOLESALE COR	5,416	5,195
61174X109 MONSTER BEVERAGE COR	5,955	5,739
743315103 PROGRESSIVE CORP	6,828	6,740
78486Q101 SVB FINANCIAL GROUP	4,136	2,015
872590104 T-MOBILE US INC	6,381	6,038

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
LEGAL FEES - PRINCIPAL (ALLOCA	450			450
LEGAL FEES - INCOME (ALLOCABLE	450			450

Category	Amount	Net Investment Income
FOREIGN TAXES	90	90
FEDERAL TAX PAYMENT - PRIOR YE	381	0
FEDERAL ESTIMATES - INCOME	2,384	0
FOREIGN TAXES ON QUALIFIED FOR	714	714
FOREIGN TAXES ON NONQUALIFIED	172	172