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 12-01-2021 , and ending 11-30-2022
Name of foundation
Max L Gibson & Jacqueline Gibson
Foundation
Number and street (or P.O. box number if mail is not delivered to street address)P O Box 9629
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Terre Haute, IN47808
A Employer identification number

35-6417568
B Telephone number (see instructions)

(812) 234-4864
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$3,962,365J 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) 8,000
2 Check bullet.............
3 Interest on savings and temporary cash investments 2,113 2,113 2,113
4 Dividends and interest from securities... 123,835 113,110 123,835
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -46,569
b Gross sales price for all assets on line 6a 422,856
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 1,127 0 1,127
12 Total. Add lines 1 through 11........ 88,506 115,223 127,075
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 2,145 0 0 0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,488 0 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 595 0 0 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 4,228 0 0 0
25 Contributions, gifts, grants paid....... 197,757 197,757
26 Total expenses and disbursements. Add lines 24 and 25 201,985 0 0 197,757
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -113,479
b Net investment income (if negative, enter -0-) 115,223
c Adjusted net income (if negative, enter -0-)... 127,075
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......... 73,985 189,278 189,278
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 609,192 Click to see attachment482,410 464,284
b Investments—corporate stock (attach schedule)....... 1,279,003 Click to see attachment1,227,422 2,922,951
c Investments—corporate bonds (attach schedule)....... 129,482 Click to see attachment129,473 108,201
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 254,512 Click to see attachment204,112 277,651
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,346,174 2,232,695 3,962,365
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 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 2,236,062 2,244,062
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 110,112 -11,367
29 Total net assets or fund balances (see instructions)..... 2,346,174 2,232,695
30 Total liabilities and net assets/fund balances (see instructions). 2,346,174 2,232,695
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
2,346,174
2
Enter amount from Part I, line 27a .....................
2
-113,479
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,232,695
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,232,695
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 Devonshire REIT#2 P 2014-07-09 2022-11-30
b Federal Gov Obligations Fund P 2022-05-16 2022-08-30
c PNC Financial Services Group P 2012-05-16 2022-11-01
d Hammond IN San District Taxable Bond P 2014-04-14 2022-07-15
e Plainfield IN Comnty Sch Corp P 2016-03-11 2022-01-18
Syracuse NY General Obligation Bond P 2013-06-10 2022-06-01
(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 6,720   50,400 -43,680
b 241,136   241,136 0
c 50,000   51,581 -1,581
d 50,000   50,897 -897
e 50,000   50,411 -411
25,000   25,000 0
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       -43,680
b       0
c       -1,581
d       -897
e       -411
      0
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 -46,569
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 0
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 1,602
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 1,602
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 65
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,667
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletTerre Haute Savings Bank Telephone no.bullet (812) 234-4864

    Located atbulletP O Box 9629Terre HauteIN ZIP+4bullet47808
    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
     
    No
    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
    Terre Haute Savings Bank Agent
    1.00     		0 0 0
    PO Box 9629
    Terre Haute,IN47808
    Max Gibson Foundation Mana
    1.00     		0 0 0
    3200 Haythorne Avenue
    Terre Haute,IN47805
    Gregory Gibson Foundation Mana
    1.00     		0 0 0
    3200 Haythorne Avenue
    Terre Haute,IN47805
    Jami Patterson Foundation Mana
    1.00     		0 0 0
    7849 N Miami Gardens St
    Brazil,IN47834
    Lisa Gibson Foundation Mana
    1.00     		0 0 0
    13376 E Rio Grande Ave
    Brazil,IN47834
    Jill Short Foundation Mana
    1.00     		0 0 0
    5357 West State Road 340
    Brazil,IN47834
    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.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    3,733,976
    b
    Average of monthly cash balances.......................
    1b
    153,496
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,887,472
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    3,887,472
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) Click to see attachment.............................
    4
    100,000
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    3,787,472
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    189,374
    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
    189,374
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,602
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,602
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    187,772
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    187,772
    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
    187,772
    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 7 187,772
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 192,957
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 197,757
    a Applied to 2020, but not more than line 2a 192,957
    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..... 4,800
    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 ..........     		182,972
    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....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    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).)
    Terre Haute Savings Bank
    Max Gibson
    Gregory Gibson
    Jami Patterson
    Lisa Gibson
    Jill Short
    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 e-mail address of the person to whom applications should be addressed:
    John Perry Terre Haute Savings Bank
    PO Box 9629
    Terre Haute,IN478089629
    (812) 234-4864
    bThe form in which applications should be submitted and information and materials they should include:
    Written request should include the nature of the organization, a copy of the tax exemption letter and the reason for the request.
    cAny submission deadlines:
    None
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    None
    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
    14th and Chestnut Community Center
    Various
    Terre Haute,IN47807     		None Public General Support 500
    American Red Cross
    Various
    Terre Haute,IN47807     		None Public General Support 1,000
    Applied Behavior Center for Autism
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Berean Baptist Church
    Various
    Terre Haute,IN47807     		None Public General Support 200
    Campus Ministry USA
    Various
    Lexington,KY40502     		None Public General Support 2,000
    Catholic Charities of Terre Haute
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Clay County Humane Society
    Various
    Brazil,IN47834     		None Public General Support 5,200
    Community Missionary Church
    Various
    Brazil,IN47834     		None Public General Support 500
    Council on Domestic Abuse
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Crisis Pregnancy Center
    Various
    Terre Haute,IN47807     		None Public General Support 1,000
    Eiteljorg Museum
    Various
    Indianapolis,IN46202     		None Public General Support 500
    El Shaddi Emmaus Community
    Various
    Terre Haute,IN47807     		None Public General Support 200
    Exotic Feline Rescue Center
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Faith United Methodist Church
    Various
    West Terre Haute,IN47885     		None Public General Support 500
    Families Finding Freedom
    Various
    Terre Haute,IN47803     		None Public General Support 250
    Gibault Home
    Various
    Terre Haute,IN47807     		None Public General Support 3,000
    Hamilton Center
    Various
    Terre Haute,IN47804     		None Public General Support 5,000
    Happiness Bag
    Various
    Terre Haute,IN47807     		None Public General Support 5,500
    Harvest Prayer Ministries
    Various
    Brazil,IN47834     		None Public General Support 500
    Helping Hands
    Various
    West Terre Haute,IN47885     		None Public General Support 750
    Higher Ground Christian Center
    Various
    Terre Haute,IN47807     		None Public General Support 200
    Honey Creek Middle School
    Various
    Terre Haute,IN47807     		None Public General Support 200
    House of Hope
    Various
    Terre Haute,IN47807     		None Public General Support 200
    Indiana Basketball Hall of Fame
    Various
    New Castle,IN47362     		None Public General Support 100
    Indiana Historical Society
    Various
    Indianapolis,IN46202     		None Public General Support 200
    Indiana Natural Resources Foundation
    Various
    Indianapolis,IN46202     		None Public General Support 200
    Indiana Sheriff's Youth Ranch
    Various
    Brazil,IN47834     		None Public General Support 6,000
    Indiana State Athletics
    Various
    Terre Haute,IN47807     		none Public Genera Support 5,000
    Indiana State University Foundation
    Various
    Terre Haute,IN47807     		None Public General Support 10,000
    Ivy Tech Community College
    Various
    Terre Haute,IN47802     		None Public General Support 5,000
    Judicial Watch
    Various
    Terre Haute,IN47807     		None Public General Support 250
    Lighthouse Mission
    Various
    Terre Haute,IN47807     		None Public General Support 1,000
    Maryland Community Church
    Various
    Terre Haute,IN47802     		None Public General Support 500
    Memorial United Methodist Church
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Mt Pleasant United Methodist Church
    Various
    Terre Haute,IN47807     		None Public General Support 400
    National Geographic Society
    Various
    Washington,DC20001     		None Public General Support 500
    National Park Foundation
    Various
    Terre Haute,IN47807     		None Public General Support 200
    National Right to Work Legal Defense Foundation
    Various
    Terre Haute,IN47807     		None Public General Support 200
    Navy-Marine Corps Relief Society
    Various
    Arlington,VA22201     		None Public General Support 200
    Nevins Township Volunteer Fire Department
    Various
    Fontanet,IN47851     		None Public General Support 1,000
    New Life Fellowship
    Various
    Terre Haute,IN47807     		None Public General Support 400
    Northview High School
    Various
    Brazil,IN47834     		None Public General Support 500
    Optimist Clothe a Child
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Otter Creek Middle School
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Posey Township Volunteer Fire Department
    Various
    Staunton,IN24401     		None Public General Support 500
    Project Never Broken
    Various
    Terre Haute,IN47807     		None Public General Support 5,000
    Rainbow Christian Camp
    Various
    Converse,IN46919     		None Public General Support 500
    Riley Children's Foundation
    Various
    Indianapolis,IN46202     		None Public General Support 500
    Rio Grande Elementary School
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Rio Grande Full Gospel Church
    Various
    Terre Haute,IN47807     		None Public General Support 200
    River Community Church
    Various
    Brazil,IN47834     		None Public General Support 1,000
    Rose Hulman Institute of Technology
    Various
    Terre Haute,IN47803     		None Public General Support 10,000
    Saint Patrick Church
    Various
    Terre Haute,IN47807     		None Public General Support 100
    Saint Patrick School
    Various
    Terre Haute,IN47807     		None Public General Support 100
    Salvation Army
    Various
    Terre Haute,IN47807     		None Public General Support 250
    Shriner's Hospital for Children
    Various
    Indianapolis,IN46202     		None Public General Support 500
    Silent Men
    Various
    Terre Haute,IN47807     		None Public General Support 200
    Spruce Street AME Church
    Various
    Terre Haute,IN47807     		None Public General Support 500
    St Jude Children's Research Hospital
    Various
    Indianapolis,IN46202     		None Public General Support 500
    St Mark United Church of Christ
    Various
    Terre Haute,IN47807     		None Public General Support 400
    St Mary of the Woods College
    Various
    Terre Haute,IN47807     		None Public General Support 10,000
    St Patrick Soup Kitchen
    Various
    Terre Haute,IN47807     		None Public General Support 300
    Susie's Place
    Various
    Terre Haute,IN47807     		None Public General Support 2,500
    Swope Art Museum
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Terre Haute Children's Museum
    Various
    Terre Haute,IN47807     		None Public General Support 2,500
    Terre Haute Humane Society
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Terre Haute North Vigo High School
    Various
    Terre Haute,IN47804     		None Public General Support 500
    Terre Haute South High School
    Various
    Terre Haute,IN47807     		None Public General Support 500
    Terre Haute Symphony Association
    Various
    Terre Haute,IN47807     		None Public General Support 3,000
    The Children's Bureau
    Various
    Indianapolis,IN46202     		None Public General Support 250
    The Cleveland Clinic Foundation
    Various
    Cleveland,OH44114     		None Public General Support 500
    The King's Harvest Church
    Various
    Terre Haute,IN47807     		None Public General Support 500
    The Maple Center
    Various
    Terre Haute,IN47807     		None Public General Support 5,500
    Torchhouse
    Various
    Terre Haute,IN47807     		None Public General Support 1,000
    Tree's Inc
    Various
    Terre Haute,IN47803     		None Public General Support 500
    United States Marshals Museum
    Various
    Fort Smith,AR72901     		None Public General Support 250
    USO
    Various
    Washington,DC20001     		None Public General Support 250
    Vigo County Capital Improvement Board
    Various
    Terre Haute,IN47807     		None Public General Support 2,500
    Vigo County CASA
    Various
    Terre Haute,IN47807     		None Public General Support 200
    Vigo County Education Foundation
    Various
    Terre Haute,IN47807     		None Public General Support 3,000
    Vigo County Historical Society
    Various
    Terre Haute,IN47807     		None Public General Support 3,500
    Vigo County Homes for Children
    Various
    Terre Haute,IN47802     		None Public General Support 2,500
    VNA Hospice of the Wabash Valley
    Various
    Terre Haute,IN47807     		None Public General Support 26,000
    Wabash Valley Breast Cancer Survivors
    Various
    Terre Haute,IN47802     		None Public General Support 5,000
    Wabash Valley Community Foundation
    Various
    Terre Haute,IN47807     		None Public General Support 7,000
    Wabash Valley Family Sports Center
    Various
    Seelyville,IN47878     		None Public General Support 30,157
    Wabash Valley Goodwill Industries
    Various
    Seelyville,IN47878     		None Public General Support 750
    Wabash Valley Health Center
    Various
    Terre Haute,IN47807     		None Public General Support 5,000
    Total .................................bullet 3a 197,757
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 2,113  
    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 ............     		        -46,569
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aEnterprise Products PPTNS     		    14 124  
    bMagellan Midstream Ptrs     14 1,003  
    cSpectra Energy Partner LP     14    
    dWilliams Partners LP     14    
    eAmerigas Partners LP Ltd     14    
    fTransaction correction     14    
    12 Subtotal. Add columns (b), (d), and (e) .. 0 116,350 -35,844
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    80,506
    (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.)
    4e Municipal interest income excluded under Section 103.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    Max L Gibson & Jacqueline Gibson
    Foundation
    Employer identification number

    35-6417568
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    Max L Gibson & Jacqueline Gibson
    Foundation         		Employer identification number
    35-6417568
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    Lisa Gibson
     
    13376 E Rio Grande Ave
     
    Brazil, IN47834

    		$ 2,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    Jill Short
     
    5357 West State Road 340
     
    Brazil, IN47834

    		$ 6,000


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

    		$  


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

    		$  


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

    		$  


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

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    Max L Gibson & Jacqueline Gibson
    Foundation         		Employer identification number

    35-6417568
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    Max L Gibson & Jacqueline Gibson
    Foundation         		Employer identification number

    35-6417568
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    Max L Gibson & Jacqueline Gibson
     
    Foundation
    EIN:
    35-6417568
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting fees 2,145 0 0 0

    TY 2021 CashDeemedCharitableExplnStmt
    Name:
    Max L Gibson & Jacqueline Gibson
     
    Foundation
    EIN:
    35-6417568
    Explanation:
    The Foundation requires $100,000 in order to pay required disbursements and expenses.

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    Max L Gibson & Jacqueline Gibson
     
    Foundation
    EIN:
    35-6417568
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Goldman Sachs Group Inc 5.00% 30,152 29,900
    USB Capital IX USb 3.5 Perp 50,000 40,426
    Goldman Sachs Capital II GS 4.0 49,321 37,875

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    Max L Gibson & Jacqueline Gibson
     
    Foundation
    EIN:
    35-6417568
    Name of Stock End of Year Book Value End of Year Fair Market Value
    JP Morgan Chase & Co 112,166 1,193,046
    Caterpillar Inc Del 16,797 224,590
    Cisco Systems Inc 15,591 12,430
    General Electric Co 10,115 4,384
    US Bancorp 52,554 87,330
    Republic Services Inc 80,800 348,225
    PNC Financial Services Group 53,600 13,124
    BP PLC 40,023 31,736
    Wells Fargo & Company 25,113 29,873
    Williams Partners LP 24,549 20,889
    Federal Natl Mtg Assn 8.25% 74,700 7,110
    AT&T 5,708 4,820
    Bristol-Myers Squibb Co 7,557 17,260
    Chevron Corp 7,462 12,832
    Duke Energy Corp 28,734 36,574
    First Horizon National Corp 31,716 46,246
    Illinois Tool Works Inc. 7,451 36,395
    Johnson and Johnson 24,022 44,144
    Proctor & Gamble Co. 24,469 45,195
    The Southern Company 16,277 20,968
    Kinder Morgan, Inc. 19,995 9,235
    Magellan Midstream Partners 19,954 12,701
    Altria Group Inc 16,722 11,412
    American Electric Power Co 25,322 33,202
    UGI Corp New 16,815 8,928
    Amgen Inc 16,886 28,067
    Blackrock Inc 16,860 30,072
    Boeing Company 16,816 16,815
    CSX Corporation 5,085 17,358
    Colgate-Palmolive Company 16,681 18,053
    Emerson Electric Co 16,749 26,816
    Exxon Mobil Corporation 16,888 22,491
    General Dynamics Corp 16,634 23,472
    Gilead Sciences Inc 16,908 20,025
    Home Depot Inc 16,761 37,259
    Intel Corporation 16,903 13,862
    International Business Machines 21,916 22,633
    Verizon Corporation 25,238 18,632
    Wal-mart Inc 16,955 33,990
    Ace LTD (Chubb Limited Com) 17,089 27,449
    McDonalds Corp 16,766 34,099
    Enbridge Inc Com 32,583 35,344
    Iron Mtn Inc New Com 6,786 9,942
    Enterprise Products PPTNS LP 1,749 1,637
    FlexShares TR Mornstar Upstr 24,831 33,960
    Genuine Parts Company 6,301 11,550
    Pfizer Inc 5,925 8,472
    Viatris Inc 325 228
    General Mls Inc 6,254 8,701
    Otis Worldwide Corp 4,443 5,779
    Raytheon Technologies Corp 9,378 14,611
    AES Corp 8,784 13,216
    Dominion Resources Inc 8,831 6,539
    First Energy Corp 8,830 11,671
    Truist Finl Corp 9,245 9,830
    Carrier Global Corporation 3,177 6,559
    Wells Fargo & Co and Company 50,000 33,820
    Kyndryl Holdings Inc 957 351
    Shell PLC Spon Ads 7,855 6,315
    Warner Bros Discovery Inc 1,821 684

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    Max L Gibson & Jacqueline Gibson
     
    Foundation
    EIN:
    35-6417568
    US Government Securities - End of Year Book Value:

    189
    US Government Securities - End of Year Fair Market Value:

    178
    State & Local Government Securities - End of Year Book Value:


    482,221
    State & Local Government Securities - End of Year Fair Market Value:


    464,106


    TY 2021 InvestmentsOtherSchedule2
    Name:
    Max L Gibson & Jacqueline Gibson
     
    Foundation
    EIN:
    35-6417568
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    IShares DJ US Oil & Gas Exploration AT COST 20,032 27,223
    Vanguard Energy ETF US AT COST 19,950 22,591
    First Trust Morningstar DIV INDEX AT COST 25,592 36,167
    IShares Select Dividend Index Fund AT COST 25,422 37,647
    Vanguard Div Appreciation Fund AT COST 24,970 47,399
    Schwab US Dividend Equity ETF AT COST 37,847 64,249
    First TR Exchange-Traded Fd PFD Secs Inc AT COST 50,299 42,375

    TY 2021 OtherExpensesSchedule
    Name:
    Max L Gibson & Jacqueline Gibson
     
    Foundation
    EIN:
    35-6417568
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Foreign Tax Withheld 577 0 0 0
    Management Fees 18 0 0 0


    TY 2021 OtherIncomeSchedule2
    Name:
    Max L Gibson & Jacqueline Gibson
     
    Foundation
    EIN:
    35-6417568
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Enterprise Products PPTNS 124   124
    Magellan Midstream Ptrs 1,003   1,003


    TY 2021 TaxesSchedule
    Name:
    Max L Gibson & Jacqueline Gibson
     
    Foundation
    EIN:
    35-6417568
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Federal Income Tax paid 1,488 0 0 0