Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 11-01-2021 , and ending 10-31-2022
Name of foundation
WESTERSTROM CHARITABLE TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)3414 PEACHTREE ROAD SUITE 722
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ATLANTA, GA30326
A Employer identification number

58-6249967
B Telephone number (see instructions)

(404) 842-1870
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$3,258,251
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 79,292 79,225  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 94,995
b Gross sales price for all assets on line 6a 586,842
7 Capital gain net income (from Part IV, line 2)... 94,995
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........ 174,287 174,220  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 17,177 12,883   4,294
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 1,250 750 0 500
c Other professional fees (attach schedule).... 19,662 19,662   3,000
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 5,219 785   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)....... 133     133
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 43,441 34,080 0 7,927
25 Contributions, gifts, grants paid....... 179,000 179,000
26 Total expenses and disbursements. Add lines 24 and 25 222,441 34,080 0 186,927
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -48,154
b Net investment income (if negative, enter -0-) 140,140
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 96,953 166,375 166,375
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 2,825,092 Click to see attachment2,707,597 3,091,876
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,922,045 2,873,972 3,258,251
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 2,922,045 2,873,972
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 2,922,045 2,873,972
30 Total liabilities and net assets/fund balances (see instructions). 2,922,045 2,873,972
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
2,922,045
2
Enter amount from Part I, line 27a .....................
2
-48,154
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
296
4
Add lines 1, 2, and 3 ..........................
4
2,874,187
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
215
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,873,972
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 4. AT&T INC   2017-07-20 2021-12-02
b 1. ABBOTT LABORATORIES   2020-08-06 2021-12-02
c 1. ABBVIE INC SHS   2020-09-29 2021-12-02
d 1. AIR PRODUCTS AND CHEMICALS INC   2020-08-06 2021-12-02
e 1. AMERICAN ELECTRIC POWER CO   2020-08-06 2021-12-02
2. APPLE INC COM   2020-08-06 2021-12-02
2. BRISTOL MYERS SQUIBB CO COM   2020-08-06 2021-12-02
1. CVS CAREMARK CORP COM   2020-08-06 2021-12-02
1. CHEVRONTEXACO CORP COM   2017-07-20 2021-12-02
2. CISCO SYSTEMS INCORPORATED   2020-04-22 2021-12-02
2. CITIGROUP INC COM NEW   2020-08-06 2021-12-02
1. COCA COLA CO COM   2020-08-20 2021-12-02
2. DOMINION ENERGY INC COM   2017-07-20 2021-12-02
2. DOW INC REG SHS   2020-08-06 2021-12-02
2. EMERSON ELEC CO   2020-08-06 2021-12-02
3. EXXON MOBIL CORPORATION   2018-03-05 2021-12-02
2. GENERAL MILLS INC   2020-08-06 2021-12-02
7. HOME DEPOT INC   2020-08-06 2021-12-02
1. HUNTINGTON BANCSHARES INCORPORATED   2021-10-20 2021-12-02
2. INTEL CORPORATION   2020-08-06 2021-12-02
1. INTERNATIONAL BUSINESS MACHS   2020-05-12 2021-12-02
1. KIMBERLY CLARK CORP COM   2020-08-06 2021-12-02
.8 KYNDRYL HOLDINGS INCORP REGISTERED   2020-05-12 2021-12-02
3.4 KYNDRYL HOLDINGS INCORP REGISTERED   2020-05-06 2021-12-02
5.6 KYNDRYL HOLDINGS INCORP REGISTERED   2020-05-04 2021-12-02
3.2 KYNDRYL HOLDINGS INCORP REGISTERED   2021-02-16 2021-12-02
1. MASTERCARD INC   2020-08-06 2021-12-02
5. MCDONALDS CORP   2020-12-22 2021-12-02
1. MERCK AND CO INC SHS   2020-03-05 2021-12-02
1. MICROSOFT CORPORATION   2020-08-06 2021-12-02
1. MORGAN STANLEY DEAN WITTER DISCOVER & CO   2020-08-06 2021-12-02
1. NEWMONT MINING CORP   2021-05-18 2021-12-02
1. PEPSICO INCORPORATED   2012-06-13 2021-12-02
3. PFIZER INC   2020-01-10 2021-12-02
1. PHILIP MORRIS INTL INC   2018-08-15 2021-12-02
1. RAYTHEON TECHNOLOGIES CORP   2021-08-17 2021-12-02
1. STARBUCKS CORP COM   2020-08-20 2021-12-02
1. TARGET CORP   2020-08-06 2021-12-02
1. TEXAS INSTRS INC   2020-08-06 2021-12-02
1. TRUIST FINL CORP   2021-03-24 2021-12-02
1. UNION PAC CORP COM   2020-08-06 2021-12-02
2. VERIZON COMMUNICATIONS   2021-03-24 2021-12-02
1. VISA INC CL A SHRS   2020-08-06 2021-12-02
1. EATON CORP PLC   2020-08-06 2021-12-02
5. BROADCOM INC   2020-08-06 2021-12-14
39. HILL ROM HLDGS   2020-04-30 2021-12-14
55. HILL ROM HLDGS   2020-06-29 2021-12-14
26. ACTIVISION BLIZZARD INC   2020-06-29 2021-12-20
16. ACTIVISION BLIZZARD INC   2020-06-29 2021-12-20
12. ACTIVISION BLIZZARD INC   2020-06-29 2021-12-20
22. AMERICAN WTR WKS CO INC NEW   2020-06-29 2021-12-20
36. MONDELEZ INTERNATIONAL INC   2020-06-29 2021-12-20
49. TENCENT HOLDINGS LTD ADR   2020-06-29 2021-12-20
50. NEWMONT MINING CORP   2021-05-18 2021-12-22
31. NEWMONT MINING CORP   2021-05-18 2021-12-22
.4 KYNDRYL HOLDINGS INCORP REGISTERED   2021-02-16 2022-01-06
31. FORTIVE CORP SHS   2019-11-20 2022-02-07
17. FORTIVE CORP SHS   2019-11-20 2022-02-07
18. FORTIVE CORP SHS   2020-06-29 2022-02-07
14. IDEXX LABS INC   2020-06-29 2022-02-07
66. INTERCONTINENTAL EXCHANGE INC   2019-11-20 2022-02-07
6. REPLIGEN CORP COM   2020-04-29 2022-02-07
6. SHOPIFY INC CL A   2020-06-29 2022-02-07
75. TENCENT HOLDINGS LTD ADR   2020-06-29 2022-02-07
14. IDEXX LABS INC   2020-06-29 2022-02-08
16. REPLIGEN CORP COM   2020-04-29 2022-02-08
3. AT&T INC   2017-07-20 2022-03-03
1. ABBVIE INC SHS   2020-09-29 2022-03-03
24. ACTIVISION BLIZZARD INC   2021-04-06 2022-03-03
8. ACTIVISION BLIZZARD INC   2021-03-25 2022-03-03
1. AMERICAN ELECTRIC POWER CO   2020-08-06 2022-03-03
1. AMGEN INC COM   2020-04-01 2022-03-03
1. ANALOG DEVICES INC   2020-08-06 2022-03-03
3. APPLE INC COM   2020-08-06 2022-03-03
1. BLACKROCK INC CL A   2020-08-06 2022-03-03
1. BLACKSTONE INC   2021-02-09 2022-03-03
1. BRISTOL MYERS SQUIBB CO COM   2020-08-06 2022-03-03
1. BROADCOM INC   2020-08-06 2022-03-03
1. CVS CAREMARK CORP COM   2020-08-06 2022-03-03
1. CHEVRONTEXACO CORP COM   2017-07-20 2022-03-03
2. CISCO SYSTEMS INCORPORATED   2020-04-22 2022-03-03
1. CITIGROUP INC COM NEW   2020-08-06 2022-03-03
1. COCA COLA CO COM   2020-08-20 2022-03-03
2. COMCAST CORP NEW CL A COM   2021-10-12 2022-03-03
1. CROWN CASTLE INC SHS   2020-08-06 2022-03-03
1. DIGITAL RLTY TR INC REITS   2020-08-06 2022-03-03
1. DOMINION ENERGY INC COM   2017-07-20 2022-03-03
1. DOW INC REG SHS   2020-08-06 2022-03-03
1. EXXON MOBIL CORPORATION   2018-03-05 2022-03-03
4. HUNTINGTON BANCSHARES INCORPORATED   2021-10-20 2022-03-03
1. INTEL CORPORATION   2020-08-06 2022-03-03
1. J P MORGAN CHASE & CO COM   2020-08-06 2022-03-03
1. JOHNSON & JOHNSON   2020-08-06 2022-03-03
1. LILLY ELI & COMPANY   2020-08-06 2022-03-03
1. MERCK AND CO INC SHS   2020-03-05 2022-03-03
1. MICROSOFT CORPORATION   2020-08-06 2022-03-03
2. PFIZER INC   2020-01-10 2022-03-03
1. PHILIP MORRIS INTL INC   2018-08-15 2022-03-03
1. PROCTER & GAMBLE CO COM   2020-08-06 2022-03-03
1. STARBUCKS CORP COM   2020-08-20 2022-03-03
1. TJX COMPANIES INCORPORATED NEW   2021-12-02 2022-03-03
2. TRUIST FINL CORP   2021-03-24 2022-03-03
1. UNITED PARCEL SERVICE CL B   2019-01-14 2022-03-03
2. VERIZON COMMUNICATIONS   2021-03-24 2022-03-03
1. PARAMOUNT GLOBAL   2021-07-21 2022-03-03
1. WAL-MART STORES INCORPORATED   2020-08-06 2022-03-03
9. CITIGROUP INC COM NEW   2020-08-06 2022-03-15
62. CITIGROUP INC COM NEW   2020-08-06 2022-03-15
50. CITIGROUP INC COM NEW   2020-08-06 2022-03-16
20. CITIGROUP INC COM NEW   2020-10-13 2022-03-16
2. ABBVIE INC SHS   2020-09-29 2022-03-29
18. ABBVIE INC SHS   2017-07-20 2022-03-29
15. J P MORGAN CHASE & CO COM   2020-08-06 2022-03-29
22. MORGAN STANLEY DEAN WITTER DISCOVER & CO   2020-08-06 2022-03-29
3. MCDONALDS CORP   2020-12-22 2022-05-19
13. MCDONALDS CORP   2020-08-06 2022-05-19
6. LILLY ELI & COMPANY   2020-08-06 2022-05-31
.765 WARNER BROS DISCOVERY INC SERIES SER -A- CL A   2017-07-20 2022-06-01
32.861 WARNER BROS DISCOVERY INC SERIES SER -A- CL A   2017-07-20 2022-06-07
14.757 WARNER BROS DISCOVERY INC SERIES SER -A- CL A   2017-08-03 2022-06-07
34.11 WARNER BROS DISCOVERY INC SERIES SER -A- CL A   2017-10-30 2022-06-07
3.871 WARNER BROS DISCOVERY INC SERIES SER -A- CL A   2018-10-02 2022-06-07
4.838 WARNER BROS DISCOVERY INC SERIES SER -A- CL A   2017-11-02 2022-06-07
10.402 WARNER BROS DISCOVERY INC SERIES SER -A- CL A   2021-03-24 2022-06-07
9.677 WARNER BROS DISCOVERY INC SERIES SER -A- CL A   2021-02-09 2022-06-07
.484 WARNER BROS DISCOVERY INC SERIES SER -A- CL A   2021-02-09 2022-06-07
757.412 MORGAN STANLEY INSTL FD INC GROWTH PORT CL R6   2020-12-31 2022-06-23
184.723 PIMCO ALL ASSET ALL AUTHORITY FUND CL INST   2012-10-03 2022-06-23
2248.201 PIMCO ALL ASSET ALL AUTHORITY FUND CL INST   2013-01-31 2022-06-23
40. SPDR S P BIOTECH   2020-07-21 2022-06-23
80. SPDR S P BIOTECH   2020-06-23 2022-06-23
50. SPDR S P BIOTECH   2020-08-19 2022-06-23
45. SPDR S P BIOTECH   2020-08-31 2022-06-23
55. SPDR S P BIOTECH   2020-08-28 2022-06-23
150. VANGUARD SMALL CAP   2020-08-19 2022-06-23
27. ALCOA CORP REG   2022-03-18 2022-08-03
96. COMCAST CORP NEW CL A COM   2020-06-29 2022-08-03
1. COMCAST CORP NEW CL A COM   2020-06-29 2022-08-03
13. DUPONT DE NEMOURS INC   2022-02-07 2022-08-03
18. DUPONT DE NEMOURS INC   2022-02-07 2022-08-03
35. DUPONT DE NEMOURS INC   2020-10-05 2022-08-03
11. HOME DEPOT INC   2019-11-20 2022-08-03
2. HOME DEPOT INC   2019-11-20 2022-08-03
21. ILLINOIS TOOL WORKS INCORPORATED   2020-06-29 2022-08-03
5. PAYPAL HOLDINGS INC SHS   2022-02-07 2022-08-03
12. PAYPAL HOLDINGS INC SHS   2022-02-07 2022-08-03
20. PAYPAL HOLDINGS INC SHS   2017-05-01 2022-08-03
9. UNITED PARCEL SERVICE CL B   2020-12-21 2022-08-03
11. UNITED PARCEL SERVICE CL B   2020-10-05 2022-08-03
11. UNITED PARCEL SERVICE CL B   2020-10-05 2022-08-03
1. UNITED PARCEL SERVICE CL B   2020-10-05 2022-08-03
40. VULCAN MATERIALS COMPANY   2020-06-29 2022-08-03
22. LYONDELLBASELL INDUSTRIE   2019-11-20 2022-08-03
6. AT&T INC   2017-07-20 2022-09-08
1. ABBOTT LABORATORIES   2020-08-06 2022-09-08
1. ABBVIE INC SHS   2017-07-20 2022-09-08
1. ACTIVISION BLIZZARD INC   2021-03-25 2022-09-08
1. AMERICAN ELECTRIC POWER CO   2020-08-06 2022-09-08
1. ANALOG DEVICES INC   2020-08-06 2022-09-08
4. APPLE INC COM   2020-08-06 2022-09-08
3. BLACKROCK INC CL A   2020-08-06 2022-09-08
2. BLACKSTONE INC   2021-02-09 2022-09-08
2. BRISTOL MYERS SQUIBB CO COM   2020-08-06 2022-09-08
2. CVS CAREMARK CORP COM   2020-08-06 2022-09-08
1. CHEVRONTEXACO CORP COM   2017-07-20 2022-09-08
2. CISCO SYSTEMS INCORPORATED   2022-06-07 2022-09-08
3. COCA COLA CO COM   2020-08-20 2022-09-08
4. COMCAST CORP NEW CL A COM   2021-10-12 2022-09-08
1. CROWN CASTLE INC SHS   2020-08-06 2022-09-08
2. DOMINION ENERGY INC COM   2017-07-20 2022-09-08
1. DOW INC REG SHS   2022-03-29 2022-09-08
2. EMERSON ELEC CO   2020-08-06 2022-09-08
2. EXXON MOBIL CORPORATION   2022-03-29 2022-09-08
2. GENERAL MILLS INC   2020-08-06 2022-09-08
1. HOME DEPOT INC   2020-08-06 2022-09-08
4. HUNTINGTON BANCSHARES INCORPORATED   2021-11-15 2022-09-08
5. HUNTINGTON BANCSHARES INCORPORATED   2021-10-20 2022-09-08
1. INTEL CORPORATION   2020-08-06 2022-09-08
1. INTERNATIONAL BUSINESS MACHS   2022-06-07 2022-09-08
1. J P MORGAN CHASE & CO COM   2020-08-06 2022-09-08
1. JOHNSON & JOHNSON   2020-08-06 2022-09-08
1. KIMBERLY CLARK CORP COM   2020-08-06 2022-09-08
2. MERCK AND CO INC SHS   2020-03-05 2022-09-08
3. MICROSOFT CORPORATION   2020-08-06 2022-09-08
2. MICROCHIP TECHNOLOGY INC COM   2021-12-22 2022-09-08
1. MORGAN STANLEY DEAN WITTER DISCOVER & CO   2020-08-06 2022-09-08
1. PEPSICO INCORPORATED   2012-06-13 2022-09-08
4. PFIZER INC   2020-01-10 2022-09-08
1. PHILIP MORRIS INTL INC   2018-08-15 2022-09-08
1. PROCTER & GAMBLE CO COM   2020-08-06 2022-09-08
1. RAYTHEON TECHNOLOGIES CORP   2021-08-17 2022-09-08
2. RESTAURANT BRANDS INTL INC SHS   2021-12-02 2022-09-08
1. SEMPRA ENERGY   2020-08-06 2022-09-08
1. STARBUCKS CORP COM   2020-08-20 2022-09-08
2. TJX COMPANIES INCORPORATED NEW   2021-12-02 2022-09-08
1. TARGET CORP   2022-05-19 2022-09-08
1. TEXAS INSTRS INC   2020-08-06 2022-09-08
3. TRUIST FINL CORP   2021-03-24 2022-09-08
3. VERIZON COMMUNICATIONS   2021-03-24 2022-09-08
1. VISA INC CL A SHRS   2020-08-06 2022-09-08
1. ACCENTURE PLC SHS   2020-08-06 2022-09-08
1. EATON CORP PLC   2020-08-06 2022-09-08
12. ABBOTT LABORATORIES   2020-06-29 2022-09-15
2. ADOBE SYS INC   2019-11-20 2022-09-15
1. AIR PRODUCTS AND CHEMICALS INC   2022-08-03 2022-09-15
34. ALPHABET INC SHS CL A   2021-12-20 2022-09-15
14. AMAZON COM INC   2011-03-10 2022-09-15
2. AMERICAN WTR WKS CO INC NEW   2020-06-29 2022-09-15
36. APPLE INC COM   2019-11-20 2022-09-15
6. BERKSHIRE HATHAWAYINC DEL CL B NEW   2020-06-29 2022-09-15
1. BLACKROCK INC CL A   2020-06-29 2022-09-15
12. BOSTON SCIENTIFIC CORPORATION   2020-06-29 2022-09-15
4. BRISTOL MYERS SQUIBB CO COM   2022-08-03 2022-09-15
1. BROADCOM INC   2020-06-29 2022-09-15
1. BROADCOM INC   2020-04-30 2022-09-15
18. CVS CAREMARK CORP COM   2022-02-07 2022-09-15
7. CATERPILLAR INCORPORATED   2022-02-07 2022-09-15
8. CHEVRONTEXACO CORP COM   2021-09-27 2022-09-15
13. CISCO SYSTEMS INCORPORATED   2020-06-29 2022-09-15
19. CITIGROUP INC COM NEW   2020-06-29 2022-09-15
20. COCA COLA CO COM   2019-11-20 2022-09-15
7. COMCAST CORP NEW CL A COM   2020-06-29 2022-09-15
6. CONOCOPHILLIPS COM   2021-07-12 2022-09-15
7. CONOCOPHILLIPS COM   2021-07-12 2022-09-15
3. COSTCO WHSL CORP NEW COM   2019-11-20 2022-09-15
1. CROWN CASTLE INC SHS   2020-06-29 2022-09-15
3. DEERE & COMPANY   2022-08-03 2022-09-15
29. DEVON ENERGY CORPORATION   2021-12-20 2022-09-15
4. DISNEY WALT CO   2021-05-10 2022-09-15
1. DISNEY WALT CO   2021-12-20 2022-09-15
5. DUPONT DE NEMOURS INC   2020-10-05 2022-09-15
2. ELECTRONIC ARTS   2020-06-29 2022-09-15
8. ENVISTA HOLDINGS CORP REG   2021-12-27 2022-09-15
1. EQUINIX INC   2020-06-29 2022-09-15
2. META PLATFORMS INC CLASS A COMMON STOCK   2013-08-20 2022-09-15
14. FREEPORT-MCMORAN COPPER & GOLD INC COM   2022-02-07 2022-09-15
14. GENERAL MOTORS CO COMMON SHARES   2020-12-21 2022-09-15
4. HILTON WORLDWIDE HOLDINGS INC REG   2021-07-12 2022-09-15
4. HOME DEPOT INC   2019-11-20 2022-09-15
5. HONEYWELL INTERNATIONAL INC   2020-06-29 2022-09-15
12. J P MORGAN CHASE & CO COM   2020-06-29 2022-09-15
4. JOHNSON & JOHNSON   2022-08-03 2022-09-15
6. KKR & CO INC CL A   2021-12-20 2022-09-15
3. L3HARRIS TECHNOLOGIES INC   2020-06-29 2022-09-15
5. LUMH MOET HENNESSY LOUIS VUITTON   2021-07-12 2022-09-15
4. LIVE NATION COM STK   2021-03-05 2022-09-15
19. MGM GRAND INCORPORATED   2021-05-10 2022-09-15
16. MARVELL TECH INC   2020-06-29 2022-09-15
15. MERCK AND CO INC SHS   2022-08-03 2022-09-15
16. MICROSOFT CORPORATION   2019-11-20 2022-09-15
13. MONDELEZ INTERNATIONAL INC   2020-06-29 2022-09-15
22. MORGAN STANLEY DEAN WITTER DISCOVER & CO   2020-06-29 2022-09-15
11. NEXTERA ENERGY INC SHS   2021-12-20 2022-09-15
4. NIKE INC CL B   2020-06-29 2022-09-15
8. NVIDIA CORP COM   2017-08-11 2022-09-15
3. PNC BK CORP   2022-02-07 2022-09-15
12. PALO ALTO NETWORKS INC COM   2020-06-29 2022-09-15
3. PAYPAL HOLDINGS INC SHS   2017-05-01 2022-09-15
7. PROLOGIS INC   2020-06-29 2022-09-15
1. QUANTA SVCS INC   2022-08-03 2022-09-15
2. RAYTHEON TECHNOLOGIES CORP   2022-08-03 2022-09-15
6. SPDR S P BIOTECH   2020-06-29 2022-09-15
5. SALESFORCE.COM INC COMMON   2016-02-18 2022-09-15
2. SEMPRA ENERGY   2022-08-03 2022-09-15
4. SYSCO CORPORATION   2022-08-03 2022-09-15
4. TARGET CORP   2020-06-29 2022-09-15
1. THERMO ELECTRON CORP   2022-08-03 2022-09-15
14. TRUIST FINL CORP   2021-12-20 2022-09-15
4. UNION PAC CORP COM   2022-02-07 2022-09-15
3. UNITEDHEALTH GROUP INC   2022-08-03 2022-09-15
5. VALERO ENERGY CORP - NEW   2021-05-10 2022-09-15
20. VANGUARD SMALL CAP   2020-08-19 2022-09-15
180. VANGUARD SMALL CAP   2020-07-15 2022-09-15
1. VERIZON COMMUNICATIONS   2019-11-20 2022-09-15
13. VERIZON COMMUNICATIONS   2019-11-20 2022-09-15
7. VISA INC CL A SHRS   2020-06-29 2022-09-15
5. WAL-MART STORES INCORPORATED   2021-02-01 2022-09-15
807.972 ALLSPRING SPECIAL SMALL CAP VALUE FUND CL INSTL   2018-08-29 2022-09-15
9. EATON CORP PLC   2020-06-29 2022-09-15
2. ASML HLDG NV NY REG SHS   2021-03-05 2022-09-15
2. LYONDELLBASELL INDUSTRIE   2019-11-20 2022-09-15
38. AT&T INC   2017-07-20 2022-09-16
6. ABBOTT LABORATORIES   2020-08-06 2022-09-16
7. ABBVIE INC SHS   2017-07-20 2022-09-16
8. ACTIVISION BLIZZARD INC   2021-03-25 2022-09-16
4. AIR PRODUCTS AND CHEMICALS INC   2020-08-06 2022-09-16
10. AMERICAN ELECTRIC POWER CO   2020-08-06 2022-09-16
3. AMGEN INC COM   2022-09-08 2022-09-16
7. ANALOG DEVICES INC   2020-08-06 2022-09-16
27. APPLE INC COM   2020-08-06 2022-09-16
1. BLACKROCK INC CL A   2020-08-06 2022-09-16
6. BLACKSTONE INC   2021-02-09 2022-09-16
3. BLACKSTONE INC   2020-11-27 2022-09-16
11. BRISTOL MYERS SQUIBB CO COM   2020-08-06 2022-09-16
2. BROADCOM INC   2020-08-06 2022-09-16
10. CVS CAREMARK CORP COM   2020-08-06 2022-09-16
10. CHEVRONTEXACO CORP COM   2017-07-20 2022-09-16
25. CISCO SYSTEMS INCORPORATED   2022-06-07 2022-09-16
15. COCA COLA CO COM   2020-08-20 2022-09-16
28. COMCAST CORP NEW CL A COM   2021-10-12 2022-09-16
5. CROWN CASTLE INC SHS   2020-08-06 2022-09-16
4. DIGITAL RLTY TR INC REITS   2020-08-06 2022-09-16
10. DOMINION ENERGY INC COM   2017-07-20 2022-09-16
14. DOW INC REG SHS   2022-03-29 2022-09-16
8. EMERSON ELEC CO   2020-08-06 2022-09-16
16. EXXON MOBIL CORPORATION   2022-03-29 2022-09-16
7. GENERAL MILLS INC   2020-08-06 2022-09-16
4. HOME DEPOT INC   2020-08-06 2022-09-16
3. HONEYWELL INTERNATIONAL INC   2020-08-06 2022-09-16
68. HUNTINGTON BANCSHARES INCORPORATED   2021-10-20 2022-09-16
11. INTEL CORPORATION   2020-08-06 2022-09-16
2. INTERNATIONAL BUSINESS MACHS   2022-06-07 2022-09-16
3. INTERNATIONAL BUSINESS MACHS   2020-05-12 2022-09-16
8. J P MORGAN CHASE & CO COM   2020-08-06 2022-09-16
8. JOHNSON & JOHNSON   2020-08-06 2022-09-16
3. KIMBERLY CLARK CORP COM   2020-08-06 2022-09-16
4. LILLY ELI & COMPANY   2020-08-06 2022-09-16
3. LOCKHEED MARTIN CORPORATION   2020-08-06 2022-09-16
4. MASTERCARD INC   2020-08-06 2022-09-16
3. MCDONALDS CORP   2020-08-06 2022-09-16
12. MERCK AND CO INC SHS   2020-03-05 2022-09-16
13. MICROSOFT CORPORATION   2020-08-06 2022-09-16
9. MICROCHIP TECHNOLOGY INC COM   2021-12-22 2022-09-16
9. MORGAN STANLEY DEAN WITTER DISCOVER & CO   2020-08-06 2022-09-16
5. PEPSICO INCORPORATED   2012-06-13 2022-09-16
24. PFIZER INC   2020-01-10 2022-09-16
9. PHILIP MORRIS INTL INC   2018-08-15 2022-09-16
8. PROCTER & GAMBLE CO COM   2020-08-06 2022-09-16
8. PRUDENTIAL FINL INC COM   2021-10-20 2022-09-16
8. RAYTHEON TECHNOLOGIES CORP   2021-08-17 2022-09-16
8. RESTAURANT BRANDS INTL INC SHS   2021-12-02 2022-09-16
3. SEMPRA ENERGY   2020-08-06 2022-09-16
13. STARBUCKS CORP COM   2020-08-20 2022-09-16
9. TJX COMPANIES INCORPORATED NEW   2021-12-02 2022-09-16
5. TJX COMPANIES INCORPORATED NEW   2021-02-09 2022-09-16
6. TARGET CORP   2022-05-19 2022-09-16
7. TEXAS INSTRS INC   2020-08-06 2022-09-16
12. TRUIST FINL CORP   2021-03-24 2022-09-16
7. TRUIST FINL CORP   2021-02-09 2022-09-16
20. US BANCORP DEL COM NEW   2022-03-16 2022-09-16
4. UNION PAC CORP COM   2020-08-06 2022-09-16
6. UNITED PARCEL SERVICE CL B   2019-01-14 2022-09-16
2. UNITEDHEALTH GROUP INC   2020-08-06 2022-09-16
17. VERIZON COMMUNICATIONS   2021-03-24 2022-09-16
3. VERIZON COMMUNICATIONS   2021-02-09 2022-09-16
27. PARAMOUNT GLOBAL   2021-07-21 2022-09-16
6. VISA INC CL A SHRS   2020-08-06 2022-09-16
5. WAL-MART STORES INCORPORATED   2020-08-06 2022-09-16
3. ACCENTURE PLC SHS   2020-08-06 2022-09-16
7. EATON CORP PLC   2020-08-06 2022-09-16
116. INTEL CORPORATION   2020-08-06 2022-09-26
16. CATERPILLAR INCORPORATED   2022-02-07 2022-10-27
52. CATERPILLAR INCORPORATED   2020-06-29 2022-10-27
191. CITIGROUP INC COM NEW   2020-06-29 2022-10-27
81. COMCAST CORP NEW CL A COM   2020-06-29 2022-10-27
28. DEVON ENERGY CORPORATION   2021-12-20 2022-10-27
39. DEVON ENERGY CORPORATION   2021-07-31 2022-10-27
9. DEVON ENERGY CORPORATION   2021-07-12 2022-10-27
14. DISNEY WALT CO   2021-12-20 2022-10-27
2. DISNEY WALT CO   2020-06-29 2022-10-27
23. VALERO ENERGY CORP - NEW   2021-05-10 2022-10-27
38. EATON CORP PLC   2020-06-29 2022-10-27
21. LYONDELLBASELL INDUSTRIE   2019-11-20 2022-10-27
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(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 90   145 -55
b 129   100 29
c 117   87 30
d 287   282 5
e 81   85 -4
320   222 98
110   122 -12
90   65 25
113   105 8
111   83 28
126   102 24
53   47 6
142   154 -12
105   83 22
177   129 48
180   226 -46
124   129 -5
2,836   1,878 958
15   17 -2
97   97  
117   119 -2
133   156 -23
13   21 -8
54   88 -34
89   141 -52
51   81 -30
311   327 -16
1,239   1,061 178
74   78 -4
331   213 118
96   50 46
53   74 -21
160   69 91
163   112 51
88   82 6
80   87 -7
111   77 34
244   129 115
191   133 58
59   57 2
235   178 57
100   114 -14
197   195 2
163   96 67
3,080   1,635 1,445
6,084   4,432 1,652
8,580   6,025 2,555
1,606   1,958 -352
988   1,205 -217
741   904 -163
4,020   2,730 1,290
2,329   1,821 508
2,688   3,081 -393
2,878   3,694 -816
1,789   2,290 -501
8   10 -2
1,979   1,877 102
1,087   1,029 58
1,151   1,046 105
7,284   4,550 2,734
8,447   6,222 2,225
1,213   664 549
5,199   5,389 -190
4,565   4,716 -151
7,320   4,550 2,770
3,073   1,771 1,302
72   109 -37
150   87 63
1,956   2,340 -384
652   726 -74
94   85 9
232   200 32
159   115 44
498   333 165
738   578 160
126   71 55
69   61 8
577   327 250
105   65 40
156   105 51
112   83 29
57   51 6
62   47 15
94   105 -11
176   161 15
137   159 -22
81   77 4
59   42 17
81   75 6
60   66 -6
48   48  
138   97 41
169   147 22
258   152 106
77   78 -1
295   213 82
96   75 21
102   82 20
155   133 22
91   77 14
66   69 -3
121   114 7
213   98 115
110   114 -4
35   41 -6
140   130 10
495   459 36
3,413   3,162 251
2,841   2,550 291
1,136   878 258
324   174 150
2,918   1,325 1,593
2,118   1,459 659
2,018   1,092 926
689   637 52
2,986   2,635 351
1,880   912 968
14   27 -13
560   1,156 -596
251   516 -265
581   1,127 -546
66   127 -61
82   157 -75
177   303 -126
165   270 -105
8   14 -6
26,487   70,000 -43,513
1,271   2,064 -793
15,468   24,936 -9,468
2,888   4,786 -1,898
5,775   9,160 -3,385
3,610   5,655 -2,045
3,249   5,021 -1,772
3,971   5,946 -1,975
26,204   23,735 2,469
1,294   2,195 -901
3,669   3,707 -38
38   39 -1
756   989 -233
1,040   1,369 -329
2,023   1,969 54
3,341   2,442 899
608   444 164
4,376   3,579 797
493   619 -126
1,183   1,486 -303
1,972   950 1,022
1,741   1,567 174
2,127   1,860 267
2,136   1,860 276
194   169 25
6,625   4,664 1,961
1,892   2,043 -151
101   166 -65
107   100 7
140   74 66
77   91 -14
104   85 19
151   115 36
616   443 173
2,066   1,733 333
193   142 51
139   122 17
205   130 75
156   105 51
91   91  
187   142 45
138   210 -72
174   161 13
166   154 12
49   64 -15
167   129 38
189   164 25
152   129 23
300   268 32
56   68 -12
70   83 -13
31   48 -17
128   143 -15
118   97 21
165   147 18
126   156 -30
175   156 19
771   638 133
131   172 -41
88   50 38
173   69 104
188   149 39
96   82 14
138   133 5
86   87 -1
121   111 10
173   128 45
89   77 12
133   139 -6
171   155 16
168   133 35
143   170 -27
124   170 -46
200   195 5
287   229 58
143   96 47
1,260   1,064 196
619   601 18
248   245 3
3,493   4,816 -1,323
1,764   117 1,647
295   248 47
5,466   2,378 3,088
1,659   1,057 602
631   535 96
506   412 94
287   292 -5
498   309 189
498   273 225
1,840   1,972 -132
1,274   1,399 -125
1,283   825 458
561   597 -36
920   952 -32
1,188   1,063 125
238   270 -32
691   360 331
806   418 388
1,504   904 600
162   159 3
1,078   1,010 68
2,017   1,109 908
444   746 -302
111   146 -35
275   281 -6
248   262 -14
285   371 -86
617   688 -71
299   77 222
416   546 -130
570   578 -8
540   503 37
1,084   888 196
882   710 172
1,413   1,124 289
661   699 -38
296   423 -127
683   521 162
637   796 -159
367   355 12
652   757 -105
741   531 210
1,300   1,314 -14
3,915   2,403 1,512
771   658 113
1,934   1,034 900
942   991 -49
421   383 38
1,031   308 723
496   631 -135
2,152   901 1,251
289   142 147
817   640 177
138   137 1
171   187 -16
515   664 -149
773   314 459
342   328 14
318   346 -28
660   475 185
551   589 -38
673   780 -107
874   969 -95
1,567   1,620 -53
523   404 119
3,771   3,165 606
33,938   26,832 7,106
41   59 -18
532   771 -239
1,364   1,326 38
666   699 -33
30,000   30,751 -751
1,271   781 490
927   1,050 -123
156   186 -30
630   1,054 -424
624   600 24
997   515 482
613   726 -113
983   1,127 -144
1,005   850 155
684   736 -52
1,031   808 223
4,024   2,994 1,030
623   578 45
553   425 128
277   180 97
786   671 115
988   654 334
1,016   648 368
1,580   1,052 528
1,072   1,140 -68
893   711 182
960   1,467 -507
814   807 7
445   635 -190
813   772 41
647   898 -251
630   518 112
1,493   1,316 177
529   451 78
1,085   1,073 12
529   454 75
936   1,125 -189
317   531 -214
250   285 -35
375   357 18
931   778 153
1,333   1,176 157
365   468 -103
1,232   608 624
1,240   1,141 99
1,255   1,307 -52
761   608 153
1,046   938 108
3,154   2,764 390
580   775 -195
782   447 335
829   344 485
1,102   894 208
851   738 113
1,102   1,063 39
730   909 -179
687   692 -5
473   446 27
510   385 125
1,189   1,004 185
584   625 -41
324   346 -22
983   928 55
1,146   930 216
572   681 -109
334   374 -40
909   1,119 -210
844   714 130
1,059   589 470
1,042   622 420
697   965 -268
123   166 -43
616   1,116 -500
1,158   1,171 -13
663   649 14
814   686 128
970   670 300
3,205   5,599 -2,394
3,418   3,198 220
11,109   6,511 4,598
8,783   9,568 -785
2,728   3,128 -400
2,197   1,071 1,126
3,061   1,359 1,702
706   259 447
1,489   2,051 -562
213   221 -8
2,980   1,859 1,121
5,576   3,297 2,279
1,731   1,950 -219
      97,498
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      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
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      97,498
      97,498
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      97,498
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      97,498
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      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
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      97,498
      97,498
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      97,498
      97,498
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      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
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      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
      97,498
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       -55
b       29
c       30
d       5
e       -4
      98
      -12
      25
      8
      28
      24
      6
      -12
      22
      48
      -46
      -5
      958
      -2
       
      -2
      -23
      -8
      -34
      -52
      -30
      -16
      178
      -4
      118
      46
      -21
      91
      51
      6
      -7
      34
      115
      58
      2
      57
      -14
      2
      67
      1,445
      1,652
      2,555
      -352
      -217
      -163
      1,290
      508
      -393
      -816
      -501
      -2
      102
      58
      105
      2,734
      2,225
      549
      -190
      -151
      2,770
      1,302
      -37
      63
      -384
      -74
      9
      32
      44
      165
      160
      55
      8
      250
      40
      51
      29
      6
      15
      -11
      15
      -22
      4
      17
      6
      -6
       
      41
      22
      106
      -1
      82
      21
      20
      22
      14
      -3
      7
      115
      -4
      -6
      10
      36
      251
      291
      258
      150
      1,593
      659
      926
      52
      351
      968
      -13
      -596
      -265
      -546
      -61
      -75
      -126
      -105
      -6
      -43,513
      -793
      -9,468
      -1,898
      -3,385
      -2,045
      -1,772
      -1,975
      2,469
      -901
      -38
      -1
      -233
      -329
      54
      899
      164
      797
      -126
      -303
      1,022
      174
      267
      276
      25
      1,961
      -151
      -65
      7
      66
      -14
      19
      36
      173
      333
      51
      17
      75
      51
       
      45
      -72
      13
      12
      -15
      38
      25
      23
      32
      -12
      -13
      -17
      -15
      21
      18
      -30
      19
      133
      -41
      38
      104
      39
      14
      5
      -1
      10
      45
      12
      -6
      16
      35
      -27
      -46
      5
      58
      47
      196
      18
      3
      -1,323
      1,647
      47
      3,088
      602
      96
      94
      -5
      189
      225
      -132
      -125
      458
      -36
      -32
      125
      -32
      331
      388
      600
      3
      68
      908
      -302
      -35
      -6
      -14
      -86
      -71
      222
      -130
      -8
      37
      196
      172
      289
      -38
      -127
      162
      -159
      12
      -105
      210
      -14
      1,512
      113
      900
      -49
      38
      723
      -135
      1,251
      147
      177
      1
      -16
      -149
      459
      14
      -28
      185
      -38
      -107
      -95
      -53
      119
      606
      7,106
      -18
      -239
      38
      -33
      -751
      490
      -123
      -30
      -424
      24
      482
      -113
      -144
      155
      -52
      223
      1,030
      45
      128
      97
      115
      334
      368
      528
      -68
      182
      -507
      7
      -190
      41
      -251
      112
      177
      78
      12
      75
      -189
      -214
      -35
      18
      153
      157
      -103
      624
      99
      -52
      153
      108
      390
      -195
      335
      485
      208
      113
      39
      -179
      -5
      27
      125
      185
      -41
      -22
      55
      216
      -109
      -40
      -210
      130
      470
      420
      -268
      -43
      -500
      -13
      14
      128
      300
      -2,394
      220
      4,598
      -785
      -400
      1,126
      1,702
      447
      -562
      -8
      1,121
      2,279
      -219
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 94,995
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,948
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 1,948
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 3,636
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 3,636
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,688
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,688 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletGA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletBANK OF AMERICA NA Telephone no.bullet (888) 866-3275

    Located atbulletPO BOX 653067DALLASTX ZIP+4bullet752653067
    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)
    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)
     
    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
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    LARRY B HOOKS TRUSTEE
    5
    17,177    
    3414 PEACHTREE RD NE STE 722
    ATLANTA,GA30326
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    3,500,766
    b
    Average of monthly cash balances.......................
    1b
    145,589
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,646,355
    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
    3,646,355
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    54,695
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    3,591,660
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    179,583
    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
    179,583
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,948
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,948
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    177,635
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    177,635
    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
    177,635
    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 7 177,635
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 178,923
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 186,927
    a Applied to 2020, but not more than line 2a 178,923
    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..... 8,004
    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 ..........
    169,631
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    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
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    ATLANTA HUMANE SOCIETY
    981 HOWELL MILL RD NW
    ATLANTA,GA30318
    N/A PC GENERAL OPERATING SUPPORT 12,000
    GOOD SAMARITAN HEALTH CENTER
    1015 DONALD LEE HOLLOWELL PKWY
    ATLANTA,GA303186653
    N/A PC GENERAL OPERATING SUPPORT 12,000
    THE LIONHEART SCHOOL
    225 ROSWELL ST
    ALPHARETTA,GA30009
    N/A PC GENERAL OPERATING SUPPORT 12,000
    THE ELAINE CLARK CENTER
    5130 PEACHTREE BLVD
    ATLANTA,GA30341
    N/A PC GENERAL OPERATING SUPPORT 12,000
    LUTHERAN CHURCH OF THE REDEEMER
    731 PEACHTREE STREET NE
    ATLANTA,GA303081281
    N/A PC GENERAL OPERATING SUPPORT 25,000
    CURE CHILDHOOD CANCER
    1117 PERIMETER CENTER W STE N402
    ATLANTA,GA30338
    N/A PC GENERAL OPERATING SUPPORT 12,000
    SUNSHINE HOUSE REGIONAL
    328 WEST MAIN ST
    SWAINSBORO,GA30401
    N/A PC GENERAL OPERATING SUPPORT 12,000
    NO LONGER BOUND
    2725 PINE GROVE ROAD
    CUMMING,GA300417103
    N/A PC UNRESTRICTED GENERAL 10,000
    SHEPHERDS SPINAL CENTER
    1920 PEACHTREE ROAD NE
    ATLANTA,GA30309
    N/A PC UNRESTRICTED GENERAL 12,000
    THE SALVATION ARMY
    GEORGIA DIVISION
    1000 CENTER PLACE
    NORCROSS,GA30093
    N/A PC GENERAL OPERATING SUPPORT 12,000
    VISITING NURSEHOSPICE OF ATLANTA
    5775 GLENRIDGE DR NE
    ATLANTA,GA30328
    N/A PC GENERAL OPERATING SUPPORT 12,000
    ATLANTA MISSION
    PO BOX 1807
    ATLANTA,GA30309
    N/A PC GENERAL OPERATING SUPPORT 12,000
    ALZHEIMER'S ASSOCIATION
    ATLANTA AREA CHAPTER
    41 PERIMETER CENTER EAST STE 550
    ATLANTA,GA30346
    N/A PC GENERAL OPERATING SUPPORT 12,000
    ATLANTA COMMUNITY FOOD
    BANK
    732 JOSEPH E LOWERY BLVD NW
    ATLANTA,GA303186628
    N/A PC GENERAL OPERATING SUPPORT 12,000
    Total .................................bullet 3a 179,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 94,995  
    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) ..   174,287  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    174,287
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    WESTERSTROM CHARITABLE TRUST
    EIN:
    58-6249967
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE - BOA 1,250 750   500

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    WESTERSTROM CHARITABLE TRUST
    EIN:
    58-6249967
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SCHEDULE ATTACHED 2,707,597 3,091,876

    TY 2021 OtherDecreasesSchedule
    Name:
    WESTERSTROM CHARITABLE TRUST
    EIN:
    58-6249967
    Description Amount
    COST ADJUSTMENT 187
    INCOME ADJUSTMENT 28


    TY 2021 OtherExpensesSchedule
    Name:
    WESTERSTROM CHARITABLE TRUST
    EIN:
    58-6249967
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER CHARITABLE EXPENSES 133 0   133


    TY 2021 OtherIncreasesSchedule
    Name:
    WESTERSTROM CHARITABLE TRUST
    EIN:
    58-6249967
    Description Amount
    SALES ADJUSTMENT 294
    ROUNDING 2


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    WESTERSTROM CHARITABLE TRUST
    EIN:
    58-6249967
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MGMT FEES - BOA 16,653 16,653    
    INVESTMENT ADVISORY FEES 9 9    
    OTHER PROFESSIONAL FEES - CHAR 3,000 3,000   3,000


    TY 2021 TaxesSchedule
    Name:
    WESTERSTROM CHARITABLE TRUST
    EIN:
    58-6249967
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 78 78   0
    EXCISE TAX - PRIOR YEAR 798 0   0
    EXCISE TAX ESTIMATES 3,636 0   0
    FOREIGN TAXES ON QUALIFIED FOR 566 566   0
    FOREIGN TAXES ON NONQUALIFIED 141 141   0