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 10-01-2021 , and ending 09-30-2022
Name of foundation
GLASSBERG IRREV TUW (FOUNDATION)
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

77-6242990
B Telephone number (see instructions)

(888) 730-4933
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$2,270,749
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... 71,943 71,943  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 57,896
b Gross sales price for all assets on line 6a 123,118
7 Capital gain net income (from Part IV, line 2)... 57,896
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........ 129,839 129,839  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 36,199 32,579   3,620
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)....... 877 0 0 877
c Other professional fees (attach schedule).... 1,250 1,250   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 3,452 1,533   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)....... 367 367    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 42,145 35,729 0 4,497
25 Contributions, gifts, grants paid....... 132,304 132,304
26 Total expenses and disbursements. Add lines 24 and 25 174,449 35,729 0 136,801
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -44,610
b Net investment income (if negative, enter -0-) 94,110
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............. 305 47 47
2 Savings and temporary cash investments......... 104,292 56,774 56,774
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)....... 225,613 Click to see attachment228,468 222,618
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).......... 1,575,781 Click to see attachment1,575,781 1,991,310
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) 1,905,991 1,861,070 2,270,749
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........ 1,905,991 1,861,070
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,905,991 1,861,070
30 Total liabilities and net assets/fund balances (see instructions). 1,905,991 1,861,070
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
1,905,991
2
Enter amount from Part I, line 27a .....................
2
-44,610
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
114
4
Add lines 1, 2, and 3 ..........................
4
1,861,495
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
425
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,861,070
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 5. DASSAULT SYSTEMES S.A. - ADR   2020-12-07 2021-10-04
b 16. DASSAULT SYSTEMES S.A. - ADR   2019-12-19 2021-10-04
c 15. EQUINOR ASA-SPON ADR   2016-11-04 2021-10-06
d .2 JACKSON FINANCIAL INC   2021-09-13 2021-10-08
e 271. SPDR GOLD SHARES ETF   2000-01-01 2021-10-08
28. VESTAS WIND SYS A/S UTD KINGDOM ADR   2021-05-26 2021-10-18
1. AON PLC   2016-10-25 2021-10-18
77. HEXAGON AB- UNSP ADR     2021-10-19
18. ABB LTD - ADR   2019-06-28 2021-11-01
26. BHP BILLITON LIMITED - ADR   2016-10-25 2021-11-01
4. NEXON CO LTD-UNSP ADR   2020-04-26 2021-11-01
46. VIVENDI SE ADR     2021-11-02
.9 VITESCO TECHNOLOGIES GROUP AG ADR   2021-05-21 2021-11-02
271. SPDR GOLD SHARES ETF   2000-01-01 2021-11-04
259. ALSTOM SA-UNSPON ADR     2021-11-08
70. ITV PLC-UNSPON ADR   2021-05-05 2021-11-10
45. NEXON CO LTD-UNSP ADR     2021-11-10
29. VOLKSWAGEN AG-UNSP ADR PREF PFD     2021-11-24
14. PRUDENTIAL PLC - ADR   2016-10-25 2021-11-26
18. SUNCOR ENERGY INC NEW F   2016-11-15 2021-11-26
271. SPDR GOLD SHARES ETF   2000-01-01 2021-12-03
12. HITACHI LIMITED - ADR   2019-11-08 2021-12-07
4. ALIBABA GROUP HOLDING LTD ADR   2021-02-08 2021-12-08
10. ALIBABA GROUP HOLDING LTD ADR   2020-05-12 2021-12-08
18. FUCHS PETROLUB SE-PREF ADR   2017-04-10 2021-12-14
19. FUCHS PETROLUB SE-PREF ADR   2017-04-10 2021-12-15
528. ITAU UNIBANCO H-SPON PRF ADR     2021-12-16
2. ACCENTURE PLC   2016-11-10 2022-01-06
44. VESTAS WIND SYS A/S UTD KINGDOM ADR     2022-01-18
8. VESTAS WIND SYS A/S UTD KINGDOM ADR   2019-10-08 2022-01-18
45. CONTINENTAL AG-SPONS ADR     2022-01-20
11. HITACHI LIMITED - ADR     2022-02-01
.1902 XP INC - CLASS A   2021-10-08 2022-02-02
3. HITACHI LIMITED - ADR   2020-02-07 2022-02-03
30. TESCO PLC ADR   2021-11-01 2022-02-04
90. TESCO PLC ADR     2022-02-04
38. FUCHS PETROLUB SE-PREF ADR   2017-04-10 2022-02-15
13. SANDVIK AB - ADR   2021-10-18 2022-02-23
1. SANDVIK AB - ADR   2020-09-09 2022-02-23
24. INDITEX-UNSPON ADR   2021-04-30 2022-02-24
16. SANDVIK AB - ADR     2022-02-25
12. ADIDAS-AG ADR     2022-03-07
40. UNIVERSAL MUSIC GROUP NV ADR   2021-11-11 2022-03-07
2. FERGUSON PLC   2016-10-25 2022-03-08
13. EQUINOR ASA-SPON ADR   2016-11-04 2022-03-23
19. VESTAS WIND SYS A/S UTD KINGDOM ADR   2019-10-08 2022-03-24
8. RYOHIN KEIKAKU CO-UNSP ADR   2021-06-28 2022-03-25
64. RYOHIN KEIKAKU CO-UNSP ADR     2022-03-25
8. TAIWAN SEMICONDUCTOR MANUFACTU - ADR   2017-04-10 2022-03-29
50. UNILEVER PLC - ADR     2022-03-29
18. INDITEX-UNSPON ADR   2021-04-30 2022-04-01
66. INDITEX-UNSPON ADR     2022-04-01
20. NOVARTIS AG - ADR   2016-10-25 2022-04-04
91. TESCO PLC ADR     2022-04-11
8. SHIMANO INC-UNSPON ADR   2021-12-02 2022-04-21
9. SHIMANO INC-UNSPON ADR   2020-11-06 2022-04-21
5. SHIMANO INC-UNSPON ADR   2020-11-06 2022-04-21
13. SAFRAN SA-UNSPON ADR   2018-02-14 2022-05-02
108. UNI CHARM CORPORATION ADR   2019-12-19 2022-05-02
8. SAFRAN SA-UNSPON ADR   2018-02-14 2022-05-03
60. SAFRAN SA-UNSPON ADR     2022-05-11
8. MEDTRONIC PLC     2022-05-26
1. LINDE PLC   2022-02-18 2022-05-27
40. CHECK POINT SOFTWARE TECH COM     2022-06-01
54. FUJITSU LIMITED - ADR     2022-06-16
.9962 WOODSIDE ENERGY GROUP LTD ADR   2022-06-01 2022-06-23
258. ENEL SOCIETA PER AZIONI - ADR     2022-06-24
15. MEDTRONIC PLC     2022-06-24
.8 AIR LIQUIDE - ADR   2017-04-10 2022-06-30
88. VOLKSWAGEN AG-UNSP ADR PREF PFD     2022-06-30
14. NESTLE S.A. REGISTERED SHARES - ADR   2017-04-10 2022-07-07
454. BANCO SANTANDER CEN-SPON - ADR   2020-05-22 2022-07-12
23. CLARIVATE PLC   2021-03-17 2022-07-12
12. DIAGEO PLC - ADR   2019-02-08 2022-07-13
6. MAKITA CORPORATION - ADR   2021-12-02 2022-07-27
12. MAKITA CORPORATION - ADR   2021-02-24 2022-07-27
41. CLARIVATE PLC     2022-07-27
13. CLARIVATE PLC   2021-03-17 2022-07-27
48. SMITH & NEPHEW PLC - ADR     2022-08-02
1. MAKITA CORPORATION - ADR   2021-12-02 2022-08-05
37. MAKITA CORPORATION - ADR   2016-10-25 2022-08-05
39. TELENOR ASA - ADR   2016-10-25 2022-08-05
59. SGS SA ADR   2019-04-01 2022-08-10
30. PRUDENTIAL PLC - ADR   2016-10-25 2022-08-11
5. SANOFI-ADR   2021-11-01 2022-08-11
10. SANOFI-ADR     2022-08-11
9. SANOFI-ADR   2019-04-26 2022-08-17
10. EQUINOR ASA-SPON ADR   2016-11-04 2022-09-07
7. SAP SE     2022-09-07
22. AKZO NOBEL NV-SPON ADR     2022-09-13
14. SANOFI-ADR     2022-09-29
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 256   187 69
b 821   520 301
c 388   243 145
d 6   5 1
e 15   16 -1
362   359 3
308   108 200
1,208   547 661
598   361 237
1,420   928 492
68   85 -17
582   1,121 -539
10   14 -4
15   16 -1
934   1,334 -400
1,166   1,238 -72
927   921 6
560   517 43
488   414 74
443   543 -100
15   16 -1
1,408   937 471
494   1,051 -557
1,236   2,041 -805
196   221 -25
207   234 -27
1,999   3,818 -1,819
766   239 527
402   539 -137
73   41 32
467   550 -83
1,121   856 265
6   8 -2
303   233 70
361   342 19
1,084   1,030 54
400   467 -67
315   320 -5
24   21 3
314   430 -116
363   339 24
1,155   2,096 -941
388   630 -242
282   113 169
475   210 265
179   97 82
99   169 -70
791   1,243 -452
875   261 614
2,311   2,509 -198
197   322 -125
722   1,013 -291
1,751   1,275 476
971   1,010 -39
162   228 -66
183   213 -30
101   119 -18
343   345 -2
742   739 3
210   212 -2
1,496   1,588 -92
798   653 145
328   303 25
5,044   4,273 771
1,373   1,527 -154
21   21  
1,474   2,115 -641
1,328   1,203 125
21   14 7
1,163   1,492 -329
1,647   1,048 599
1,107   943 164
314   598 -284
2,086   1,853 233
144   264 -120
289   533 -244
567   859 -292
180   338 -158
1,202   1,645 -443
24   44 -20
891   1,349 -458
458   664 -206
1,403   1,474 -71
739   888 -149
217   256 -39
435   490 -55
374   384 -10
353   162 191
595   699 -104
466   932 -466
531   596 -65
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
      61,984
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       69
b       301
c       145
d       1
e       -1
      3
      200
      661
      237
      492
      -17
      -539
      -4
      -1
      -400
      -72
      6
      43
      74
      -100
      -1
      471
      -557
      -805
      -25
      -27
      -1,819
      527
      -137
      32
      -83
      265
      -2
      70
      19
      54
      -67
      -5
      3
      -116
      24
      -941
      -242
      169
      265
      82
      -70
      -452
      614
      -198
      -125
      -291
      476
      -39
      -66
      -30
      -18
      -2
      3
      -2
      -92
      145
      25
      771
      -154
       
      -641
      125
      7
      -329
      599
      164
      -284
      233
      -120
      -244
      -292
      -158
      -443
      -20
      -458
      -206
      -71
      -149
      -39
      -55
      -10
      191
      -104
      -466
      -65
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 57,896
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 1,308
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 1,308
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,088
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 1,088
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 9 220
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 taxBullet0 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)
    bulletCA
    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 ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    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
    WELLS FARGO BANK N A TRUSTEE
    1
    36,199    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    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
    2,611,019
    b
    Average of monthly cash balances.......................
    1b
    119,896
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,730,915
    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
    2,730,915
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    40,964
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,689,951
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    134,498
    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
    134,498
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,308
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,308
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    133,190
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    133,190
    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
    133,190
    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 7 133,190
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 132,303
    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$ 136,801
    a Applied to 2020, but not more than line 2a 132,303
    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..... 4,498
    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 ..........
    128,692
    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
    AMERICAN CANCER SOCIETY INC
    250 WILLIAMS ST NW STE 400
    ATLANTA,GA303031032
    NONE PC GENERAL OPERATING 33,076
    AMERICAN HEART ASSOCIATION
    7272 GREENVILLE AVE
    DALLAS,TX752315129
    NONE PC GENERAL OPERATING 33,076
    BREATHE CALIFORNIA
    5858 WILSHIRE BLVD STE 300
    LOS ANGELES,CA90036
    NONE PC GENERAL OPERATING 33,076
    CITY OF HOPE
    1500 DUARTE RD
    DUARTE,CA910103012
    NONE PC GENERAL OPERATING 33,076
    Total .................................bullet 3a 132,304
    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 57,896  
    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) ..   129,839  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    129,839
    (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:
    GLASSBERG IRREV TUW (FOUNDATION)
    EIN:
    77-6242990
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 877     877

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    GLASSBERG IRREV TUW (FOUNDATION)
    EIN:
    77-6242990
    Name of Stock End of Year Book Value End of Year Fair Market Value
    501173207 KUBOTA LIMITED - ADR 2,253 2,088
    78392U105 RYOHIN KEIKAKU CO-UN    
    210771200 CONTINENTAL AG-SPONS 1,775 851
    824667109 SHIONOGI & CO LTD-UN 2,710 2,227
    641069406 NESTLE S.A. REGISTER 1,722 2,475
    767204100 RIO TINTO PLC - ADR 3,052 3,138
    714264207 PERNOD-RICARD SA-UNS    
    G0403H108 AON PLC 1,183 2,947
    N97284108 YANDEX NV-A 726  
    783513203 RYANAIR HOLDINGS PLC 1,563 1,110
    867224107 SUNCOR ENERGY INC NE 1,827 2,027
    03485P300 ANGLO AMERICAN PLC-S 1,560 1,155
    05946K101 BANCO BILBAO VIZCAYA 3,360 2,118
    45662N103 INFINEON TECHNOLOGIE 5,713 5,622
    23381B106 DAIKIN INDUSTRIES-UN 1,712 1,301
    86562M209 SUMITOMO TRUST AND B 1,658 1,353
    502117203 L'OREAL - ADR 4,030 5,545
    928662501 VOLKSWAGEN AG-UNSP A    
    136375102 CANADIAN NATL RR CO 1,347 1,944
    344419106 FOMENTO ECONOMICO ME 5,106 4,016
    359590304 FUJITSU LIMITED - AD    
    45069P107 ITV PLC-UNSPON ADR    
    83569C102 SONOVA HOLDIN-UNSPON 938 1,499
    234062206 DAIWA HOUSE IND LTD 1,229 914
    87944W105 TELENOR ASA - ADR 817 441
    021244207 ALSTOM SA-UNSPON ADR    
    018820100 ALLIANZ SE - UNSP AD 6,428 4,964
    25243Q205 DIAGEO PLC - ADR    
    92852T201 VIVENDI SE    
    02319V103 AMBEV SA-SPN ADR 3,132 2,278
    771195104 ROCHE HOLDINGS LTD - 6,870 7,474
    12591J207 CSPC PHARMACEUTICAL 3,066 2,449
    G5494J103 LINDE PLC 1,999 2,696
    88032Q109 TENCENT HOLDINGS LTD 5,406 3,585
    049255706 ATLAS COPCO AB ADR 2,932 4,389
    29286D105 ENGIE-SPON ADR 2,749 2,392
    23304Y100 DBS GROUP HOLDINGS L 4,889 8,058
    80105N105 SANOFI-ADR 1,988 1,787
    881575401 TESCO PLC    
    500458401 KOMATSU LIMITED - AD 2,009 1,820
    759530108 RELX PLC ADR 2,477 3,087
    H01301128 ALCON INC 2,401 2,211
    670108109 NOVOZYMES A/S UNSPON 1,452 1,401
    428263107 HEXAGON AB- UNSP ADR    
    29429L105 EPIROC AB-UNSP ADR 1,428 2,187
    00687A107 ADIDAS-AG ADR    
    87155N109 SYMRISE AG ADR 1,546 2,286
    171269103 CHUGAI PHARMACEUTIC- 1,639 1,941
    589339209 MERCK KGAA-SPONSORED 2,033 2,038
    925458101 VESTAS WIND SYS A/S 882 889
    142795202 CARLSBERG AS-B-SPON 1,495 1,584
    65340H104 NEXON CO LTD-UNSP AD    
    204319107 COMPAGNIE FINANCIERE 1,243 918
    79588J102 SAMPO OYJ-A SHS-UNSP 1,815 1,698
    40415F101 HDFC BANK LTD. - ADR 1,319 1,753
    000375204 ABB LTD - ADR 1,372 1,848
    90460M204 UNI CHARM CORPORATIO 2,329 2,318
    904767704 UNILEVER PLC - ADR 2,031 1,885
    G1151C101 ACCENTURE PLC 717 1,544
    72341E304 PING AN INSURANCE-AD 2,469 1,179
    87184P109 SYSMEX CORP-UNSPON A 1,724 1,524
    560877300 MAKITA CORPORATION -    
    26876F102 ENN ENERGY HOLDINGS- 3,102 2,450
    524671104 LEGRAND SA-UNSP ADR 2,155 1,326
    088606108 BHP GROUP LTD-SPON A 6,511 4,153
    780259107 ROYAL DUTCH SHELL PL    
    82455C101 SHIMANO INC-UNSPON A 1,373 1,223
    433578507 HITACHI LIMITED - AD    
    818800104 SGS SA ADR    
    015393101 ALFA LAVAL AB-UNSPON 1,509 1,917
    00783V104 ADYEN NV-UNSPON ADR 3,002 4,219
    465562106 ITAU UNIBANCO H-SPON    
    786584102 SAFRAN SA-UNSPON ADR    
    74435K204 PRUDENTIAL PLC - ADR    
    010199503 AKZO NOBEL NV-SPON A 1,777 987
    46817M107 JACKSON FINANCIAL IN    
    977874205 WOLTERS KLUWER NV - 601 1,566
    45104G104 ICICI BANK LTD. - AD 1,434 3,817
    66987V109 NOVARTIS AG - ADR    
    055622104 BP PLC - ADR 2,421 2,712
    G3421J106 FERGUSON PLC 620 1,132
    M22465104 CHECK POINT SOFTWARE    
    29265W207 ENEL SOCIETA PER AZI    
    69343P105 LUKOIL PJSC-SPON ADR 3,374  
    803054204 SAP SE ADR 3,314 2,763
    G5960L103 MEDTRONIC PLC    
    29446M102 EQUINOR ASA-SPON ADR 308 629
    715684106 PT TELEKOMUNIKASI IN 2,095 2,712
    12117P109 BUREAU VERITAS SA AD 2,094 1,554
    001317205 AIA GROUP LTD-SP ADR 7,225 7,807
    800212201 SANDVIK AB - ADR 988 678
    80687P106 SCHNEIDER ELECTRIC S 3,140 3,780
    G21810109 CLARIVATE PLC    
    65479L108 NITORI HLDGS CO LTD- 2,556 1,307
    92853L108 VITESCO TECHNOLOGIES    
    009126202 AIR LIQUIDE - ADR 3,266 3,181
    455793109 INDITEX-UNSPON ADR    
    237545108 DASSAULT SYSTEMES S. 2,407 3,932
    059831107 BANDAI NAMCO HOLDING 2,015 1,694
    05964H105 BANCO SANTANDER CEN-    
    780249108 ROYAL DSM N V ADR 1,513 1,505
    54338V101 LONZA GROUP AG ADR 1,642 3,018
    01609W102 ALIBABA GROUP HOLDIN    
    307305102 FANUC CORPORATION AD 1,544 1,064
    86959X107 SUZUKI MOTOR CORP-UN 1,539 993
    06738E204 BARCLAYS PLC - ADR 2,013 1,274
    874039100 TAIWAN SEMICONDUCTOR 1,825 3,839
    35952Q106 FUCHS PETROLUB SE-PR    
    705015105 PEARSON PLC - ADR 963 1,089
    808524870 SCHWAB U.S. TIPS ETF    
    922042858 VANGUARD FTSE EMERGI    
    78463V107 SPDR GOLD SHARES ETF    
    464287606 ISHARES S&P MID-CAP    
    74256W485 PRINCIPAL PREFERRED    
    91377B109 UNIVERSAL MUSIC GROU 1,007 920
    922908553 VANGUARD REAL ESTATE    
    464287200 ISHARES CORE S & P 5    
    94988V357 WF SHORT-TERM BOND-R    
    464287705 ISHARES S&P MID-CAP    
    31421N881 FED HERM STRAT VAL D    
    693390841 PIMCO HIGH YIELD FD-    
    20449X401 COMPASS GROUP PLC AD 2,075 1,977
    714264306 PERNOD RICARD SA ADR 1,430 1,500
    880208772 TEMPLETON GLOBAL BON    
    464287655 ISHARES RUSSELL 2000    
    83175M205 SMITH & NEPHEW PLC -    
    256210105 DODGE & COX INCOME F    
    94987W794 WFA CORE BOND FUND-R    
    40523H106 HAIER SMART HOME CO 4,835 4,086
    411512528 HARBOR CAPITAL APPRE    
    22544R305 CREDIT SUISSE COMM R    
    G98239109 XP INC - CLASS A 2,259 1,369
    824841407 SHISEIDO CO., LTD. - 1,967 1,475
    25461D100 DISCO CORP- UNSPONSO 1,503 1,111
    492089107 KERINGIUNSPONSORED A 1,956 1,678
    42550U208 HENKEL AG AND CO. KG 963 873
    44970W103 IMCD NV ADR 628 541
    883219206 THALES SA ADR 1,769 1,578
    980228308 WOODSIDE ENERGY GROU 620 585
    04521N101 ASICS CORP ADR 672 664
    56501R106 MANULIFE FINANCIAL C 3,192 2,899
    984627109 YAMAHA CORP-SPONSORE 637 680
    62473G102 MTU AERO ENGINES-UNS 2,133 1,498
    G4705A100 ICON PLC 2,041 1,654
    92887H107 VONOVIA SE-UNSP ADR 1,726 806
    65538C206 NOMURA RESEARCH INS- 1,461 1,246
    443251103 HOYA CORP ADR 1,439 1,348
    780259305 ROYAL DUTCH SHELL PL 3,120 3,284
    68163W109 OLYMPUS CORPORATION 2,331 2,218
    233802107 DAIFUKU CO LTD - UNS 1,717 1,396
    009279100 AIRBUS SE - UNSP ADR 1,270 945
    87946F100 TELEPERFORMANCE-UNSP 1,270 1,012

    TY 2021 InvestmentsOtherSchedule2
    Name:
    GLASSBERG IRREV TUW (FOUNDATION)
    EIN:
    77-6242990
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    94987W794 ALLSPRING CORE BOND AT COST 289,889 242,374
    314172560 FEDERATED STRAT VAL      
    22544R305 CREDIT SUISSE COMM R AT COST 70,000 31,848
    500458401 KOMATSU LIMITED - AD      
    78392U105 RYOHIN KEIKAKU CO-UN      
    45672B305 INFORMA PLC-SP ADR      
    87944W105 TELENOR ASA - ADR      
    03524A108 ANHEUSER-BUSCH INBEV      
    867224107 SUNCOR ENERGY INC NE      
    65557A206 NORDEA BANK AB-SPON      
    780259206 ROYAL DUTCH SHELL PL      
    20449X401 COMPASS GROUP PLC AD      
    90348R102 UBISOFT ENTERTAIN-UN      
    234062206 DAIWA HOUSE IND LTD      
    35952Q106 FUCHS PETROLUB SE-PR      
    05946K101 BANCO BILBAO VIZCAYA      
    502117203 L'OREAL - ADR      
    87974R208 TEMENOS GROUP AG-SP      
    40052P107 GRUPO FIN BANORTE-SP      
    59410T106 MICHELIN (CGDE) ADR      
    803054204 SAP SE ADR      
    110448107 BRITISH AMERICAN TOB      
    G5960L103 MEDTRONIC PLC      
    79588J102 SAMPO OYJ-A SHS-UNSP      
    756568101 RED ELECTRICA COR-UN      
    M22465104 CHECK POINT SOFTWARE      
    780259107 ROYAL DUTCH SHELL PL      
    056752108 BAIDU COM INC      
    61022V107 MONOTARO CO LTD-UNSP      
    92937A102 WPP PLC NEW      
    464287705 ISHARES S&P MID-CAP AT COST 22,205 66,780
    204319107 COMPAGNIE FINANCIERE      
    919134304 VALEO - ADR      
    759530108 RELX PLC ADR      
    142795202 CARLSBERG AS-B-SPON      
    54338V101 LONZA GROUP AG ADR      
    404280406 HSBC - ADR      
    701491102 PARK24 CO LTD-SPN AD      
    072743305 BAYERISCHE MOTOREN      
    693390841 PIMCO HIGH YIELD FD- AT COST 51,041 43,248
    63872T885 ASG GLOBAL ALTERNATI      
    722005667 PIMCO COMMODITY REAL      
    922042858 VANGUARD FTSE EMERGI AT COST 66,842 57,107
    78463X863 SPDR DJ WILSHIRE INT      
    485537401 KAO CORP ADR      
    000375204 ABB LTD - ADR      
    783513203 RYANAIR HOLDINGS PLC      
    G0408V102 AON PLC      
    072730302 BAYER A G SPONSORED      
    771195104 ROCHE HOLDINGS LTD -      
    874039100 TAIWAN SEMICONDUCTOR      
    88031M109 TENARIS S.A. - ADR      
    411511504 HARBOR CAPITAL APRCT      
    66987V109 NOVARTIS AG - ADR      
    82481R106 SHIRE PLC ADR      
    088606108 BHP GROUP LTD-SPON A      
    31502A204 FERGUSON PLC-ADR      
    48667L106 KDDI CORP-UNSPONSORE      
    G1151C101 ACCENTURE PLC      
    927320101 VINCI SA ADR      
    35804M105 FRESENIUS SE & CO-SP      
    464287655 ISHARES RUSSELL 2000 AT COST 39,307 94,829
    464287200 ISHARES CORE S & P 5 AT COST 166,140 412,448
    00203H859 AQR MANAGED FUTURES      
    949917652 WF ADV SHORT-TERM BO      
    136375102 CANADIAN NATL RR CO      
    372303206 GENMAB A/S -SP ADR      
    904767704 UNILEVER PLC - ADR      
    23304Y100 DBS GROUP HOLDINGS L      
    977874205 WOLTERS KLUWER NV -      
    045387107 ASSA ABLOY AB-UNSP A      
    92852T201 VIVENDI SA-UNSPON AD      
    83569C102 SONOVA HOLDIN-UNSPON      
    00373L102 ABN AMRO GROUP NV-UN      
    358029106 FRESENIUS MEDICAL CA      
    501173207 KUBOTA LIMITED - ADR      
    803866300 SASOL LIMITED - ADR      
    23405X209 DAITO TRUST CONS-SPN      
    315920702 FID ADV EMER MKTS IN      
    464287606 ISHARES S&P MID-CAP AT COST 30,781 98,563
    262028855 DRIEHAUS ACTIVE INCO      
    045055100 ASHTEAD GROUP PLC-UN      
    74435K204 PRUDENTIAL PLC - ADR      
    786584102 SAFRAN SA-UNSPON ADR      
    018805101 ALLIANZ AKTIENGESELL      
    40415F101 HDFC BANK LTD. - ADR      
    466140100 JGC CORP-UNSPONSORED      
    948596101 WEIBO CORP-SPON ADR      
    307305102 FANUC CORPORATION AD      
    237545108 DASSAULT SYSTEMES S.      
    465562106 ITAU UNIBANCO H-SPON      
    015393101 ALFA LAVAL AB-UNSPON      
    502441306 LVMH MOET HENNESSY U      
    05530H100 BBA AVIATION PLC-UNS      
    880208400 TEMPLETON GLOBAL BON      
    560877300 MAKITA CORPORATION -      
    775109200 ROGERS COMMUNICATION      
    29446M102 EQUINOR ASA-SPON ADR      
    86562M209 SUMITOMO TRUST AND B      
    001317205 AIA GROUP LTD-SP ADR      
    641069406 NESTLE S.A. REGISTER      
    45662N103 INFINEON TECHNOLOGIE      
    049255706 ATLAS COPCO AB ADR      
    04530Y106 ASPEN PHARMACARE HL-      
    670108109 NOVOZYMES A/S UNSPON      
    631512209 NASPERS LTD-N SHS SP      
    806857108 SCHLUMBERGER LTD      
    009126202 AIR LIQUIDE - ADR      
    12637N204 CSL LTE-SPONSORED AD      
    45104G104 ICICI BANK LTD. - AD      
    87155N109 SYMRISE AG ADR      
    87184P109 SYSMEX CORP-UNSPON A      
    398438408 GRIFOLS SA-ADR      
    02319V103 AMBEV SA-SPN ADR      
    74256W485 PRINCIPAL PREFERRED AT COST 69,342 62,049
    922908553 VANGUARD REAL ESTATE AT COST 53,498 73,917
    04962A105 ATOS ORIGIN SA-UNSP      
    928662501 VOLKSWAGEN AG-UNSP A      
    31502A303 FERGUSON NEWCO PLC-A      
    65558R109 NORDEA BANK ABP - SP      
    98979Y106 ZOZO INC -UNSP ADR      
    25243Q205 DIAGEO PLC - ADR      
    69343P105 LUKOIL PJSC-SPON ADR      
    31641Q755 FIDELITY NEW MRKTS I      
    86959X107 SUZUKI MOTOR CORP-UN      
    02263T104 AMADEUS IT HOLDING-U      
    90460M204 UNI CHARM CORPORATIO      
    624678108 MOWI ASA - SPON ADR      
    344419106 FOMENTO ECONOMICO ME      
    H01301128 ALCON INC      
    00687A107 ADIDAS-AG ADR      
    818800104 SGS SA ADR      
    210771200 CONTINENTAL AG-SPONS      
    16941M109 DPS CHINA MOBILE LIM      
    824551105 SHIN-ETSU CHEMICAL C      
    29286D105 ENGIE-SPON ADR      
    249034109 DENTSU INC-UNSPON AD      
    171269103 CHUGAI PHARMACEUTIC-      
    94988V357 ALLSPRING SHORT-TERM AT COST 300,000 281,472
    00080Q105 ABN AMRO BANK NV-UNS      
    80105N105 SANOFI-ADR      
    767204100 RIO TINTO PLC - ADR      
    29429L105 EPIROC AB-UNSP ADR      
    72341E304 PING AN INSURANCE-AD      
    411512528 HARBOR CAPITAL APPRE AT COST 107,802 202,318
    880208772 TEMPLETON GLOBAL BON AT COST 11,980 7,449
    780249108 ROYAL DSM N V ADR      
    G5494J103 LINDE PLC      
    88032Q109 TENCENT HOLDINGS LTD      
    74365P108 PROSUS NV -SPON ADR      
    N97284108 YANDEX NV-A      
    G0403H108 AON PLC      
    01609W102 ALIBABA GROUP HOLDIN      
    018820100 ALLIANZ SE - UNSP AD      
    05565A202 BNP PARIBAS - ADR      
    29265W207 ENEL SOCIETA PER AZI      
    07724U103 BEIERSDORF AG-UNSPON      
    34379U105 FLUGHAFEN ZUERICH AG      
    428263107 HEXAGON AB- UNSP ADR      
    65479L108 NITORI HLDGS CO LTD-      
    78463V107 SPDR GOLD SHARES ETF AT COST 48,359 41,916
    256210105 DODGE & COX INCOME F AT COST 51,193 41,952
    021244207 ALSTOM SA-UNSPON ADR      
    05964H105 BANCO SANTANDER CEN-      
    31421N881 FED HERM STRAT VAL D AT COST 147,603 191,600
    824667109 SHIONOGI & CO LTD-UN      
    82621P101 GAMESA CORP TECN-UNS      
    82455C101 SHIMANO INC-UNSPON A      
    499180107 KNORR-BREMSE - UNSP      
    800212201 SANDVIK AB - ADR      
    98877X101 Z HOLDINGS CORP ADR      
    881575302 TESCO PLC - ADR      
    65340H104 NEXON CO LTD-UNSP AD      
    589339209 MERCK KGAA-SPONSORED      
    654445303 NINTENDO CO., LTD. -      
    433578507 HITACHI LIMITED - AD      
    80687P106 SCHNEIDER ELECTRIC S      
    00783V104 ADYEN NV-UNSPON ADR      
    925458101 VESTAS WIND SYS A/S      
    455793109 INDITEX-UNSPON ADR      
    808524870 SCHWAB U.S. TIPS ETF AT COST 49,799 41,440

    TY 2021 OtherDecreasesSchedule
    Name:
    GLASSBERG IRREV TUW (FOUNDATION)
    EIN:
    77-6242990
    Description Amount
    PY PENDING SALES 12
    MUTUAL FUND TIMING ADJ 413


    TY 2021 OtherExpensesSchedule
    Name:
    GLASSBERG IRREV TUW (FOUNDATION)
    EIN:
    77-6242990
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES - ADR FEES 321 321   0
    INVESTMENT EXPENSES - PROCEEDS 46 46   0


    TY 2021 OtherIncreasesSchedule
    Name:
    GLASSBERG IRREV TUW (FOUNDATION)
    EIN:
    77-6242990
    Description Amount
    CY PENDING SALES 65
    COST BASIS ADJ 49


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    GLASSBERG IRREV TUW (FOUNDATION)
    EIN:
    77-6242990
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 1,250 1,250    


    TY 2021 TaxesSchedule
    Name:
    GLASSBERG IRREV TUW (FOUNDATION)
    EIN:
    77-6242990
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,456 1,456   0
    FEDERAL TAX PAYMENT - PRIOR YE 831 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,088 0   0
    FOREIGN TAXES ON QUALIFIED FOR 29 29   0
    FOREIGN TAXES ON NONQUALIFIED 48 48   0