Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 12-01-2021 , and ending 11-30-2022
Name of foundation
THE FULLERTON FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 2208
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GAFFNEY, SC293422208
A Employer identification number

57-0847444
B Telephone number (see instructions)

(864) 489-6678
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$35,593,928
J Accounting method:
MODIFIED CASH
(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) 0
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 2,435,439 2,435,439  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 355,269
b Gross sales price for all assets on line 6a 21,796,909
7 Capital gain net income (from Part IV, line 2)... 355,269
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 28,196 28,196  
12 Total. Add lines 1 through 11........ 2,818,904 2,818,904  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 199,252 49,813   149,439
14 Other employee salaries and wages...... 46,947 11,737   35,210
15 Pension plans, employee benefits....... 19,429 4,857   14,572
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 23,513 5,878   17,635
c Other professional fees (attach schedule).... 154,756 154,756   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 87,671 21,616   10,832
19 Depreciation (attach schedule) and depletion... 6,054 1,514  
20 Occupancy..............        
21 Travel, conferences, and meetings....... 26,614 0   26,614
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 59,791 24,454   35,337
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 624,027 274,625   289,639
25 Contributions, gifts, grants paid....... 1,684,853 1,684,853
26 Total expenses and disbursements. Add lines 24 and 25 2,308,880 274,625   1,974,492
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 510,024
b Net investment income (if negative, enter -0-) 2,544,279
c Adjusted net income (if negative, enter -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............. 24,449 11,270 11,270
2 Savings and temporary cash investments......... 1,033,070 877,344 877,344
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 2,144,494 Click to see attachment1,582,961 1,582,961
b Investments—corporate stock (attach schedule)....... 26,706,553 Click to see attachment24,966,414 24,966,414
c Investments—corporate bonds (attach schedule)....... 1,301,949 Click to see attachment662,581 662,581
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 3,992,755 Click to see attachment7,401,459 7,401,459
14 Land, buildings, and equipment: basis bullet350,221
Less: accumulated depreciation (attach schedule) bullet258,322 97,953 Click to see attachment91,899 91,899
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 35,301,223 35,593,928 35,593,928
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 35,301,223 35,593,928
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........    
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)..... 35,301,223 35,593,928
30 Total liabilities and net assets/fund balances (see instructions). 35,301,223 35,593,928
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
35,301,223
2
Enter amount from Part I, line 27a .....................
2
510,024
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
35,811,247
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
217,319
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
35,593,928
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 TOTAL CAPITAL GAINS P    
b
c
d
e
(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 21,796,909   21,441,640 355,269
b
c
d
e
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       355,269
b
c
d
e
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 2 355,269
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 35,365
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 35,365
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 59,000
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 59,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 23,635
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet23,635 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletSC
    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
     
    No
    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 ofbulletW CARLISLE HAMRICK Telephone no.bullet (864) 489-6678

    Located atbulletPO BOX 2208GAFFNEYSC ZIP+4bullet293422208
    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
    CHRIS M STEED EXECUTIVE DIRECTOR
    40.00
    151,252 15,125 0
    PO BOX 2208
    GAFFNEY,SC293422208
    HELEN B ATWOOD DIRECTOR
    0.25
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    A WARDLAW HAMRICK VICE CHAIRMAN
    1.00
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    ELAINE H SHIELDS DIRECTOR
    0.25
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    THOMAS J BADEN DIRECTOR
    0.25
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    PACE H BEATTIE DIRECTOR
    0.25
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    MARY CARLISLE BENSON DIRECTOR
    0.25
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    ANSLEY H CHEATHAM DIRECTOR
    0.25
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    CATHERINE H HAMPTON DIRECTOR
    0.25
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    CHARLES F HAMRICK III DIRECTOR
    0.25
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    FRANCES R ROSS DIRECTOR
    0.25
    0 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    CHARLES F HAMRICK II CHAIRMAN
    1.00
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    LYMAN W HAMRICK SECRETARY
    1.00
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    W CARLISLE HAMRICK TREASURER
    1.00
    4,000 0 0
    PO BOX 2208
    GAFFNEY,SC293422208
    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 N/A 0
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    34,061,062
    b
    Average of monthly cash balances.......................
    1b
    1,145,338
    c
    Fair market value of all other assets (see instructions)................
    1c
    97,953
    d
    Total (add lines 1a, b, and c).........................
    1d
    35,304,353
    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
    35,304,353
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    529,565
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    34,774,788
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,738,739
    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
    1,738,739
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    35,365
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    35,365
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,703,374
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,703,374
    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
    1,703,374
    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 1,703,374
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 1,683,597
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,974,492
    a Applied to 2020, but not more than line 2a 1,683,597
    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..... 290,895
    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 ..........
    1,412,479
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    CHRISTOPHER M STEED
    PO BOX 2208
    GAFFNEY,SC293422208
    (864) 489-6678
    bThe form in which applications should be submitted and information and materials they should include:
    INITIAL LETTER OF APPLICATION SHOULD BE BRIEF AND CONTAIN BACKGROUND OF GRANT REQUESTOR, PURPOSE OF THE GRANT, GENERAL FINANCIAL INFORMATION AND DOCUMENTATION OF SECTION 501(C)(3) FEDERAL TAX EXEMPT STATUS.
    cAny submission deadlines:
    GRANT REQUESTS: APRIL 1, AUGUST 1, DECEMBER 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GEOGRAPHICAL: PRIMARILY UPSTATE SOUTH CAROLINA AND WESTERN NORTH CAROLINA. PRIMARY FIELD OF INTEREST IS HEALTHCARE AND MEDICINE.
    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
    CHEROKEE COUNTY SCHOOLS
    175 CAMPUS DRIVE
    GAFFNEY,SC29341
    NONE GOV FIT2GETHER 20,000
    UPSTATE WARRIOR SOLUTIONS
    3 CALEDON CT SUITE A-2
    GREENVILLE,SC29615
    NONE PC VETERANS WELL 50,000
    PRESBYTERIAN COLLEGE
    503 S BROAD STREET
    CLINTON,SC29325
    NONE PC DOT CLINICAL LABS 50,000
    WAKE FOREST SCHOOL OF MEDICINE
    PO BOX 571021
    WINSTONSALEM,NC27157
    NONE PC CGC PROGRAM 56,142
    UNC CHAPEL HILL
    UNC-CHAPEL HILL SUITE 3100
    CHAPEL HILL,NC28599
    NONE GOV TELEHEALTH INNOV 55,220
    HEALTHY SMILES
    PO BOX 1441
    SPARTANBURG,SC29304
    NONE PC EXPAND DENTAL CLIN 40,000
    MARY SUNSHINE HOUSE
    6742 CHARLOTTE HWY
    YORK,SC29745
    NONE PC ADULT ASD HOUSING 50,000
    USC SOM - GREENVILLE
    607 GROVE ROAD
    GREENVILLE,SC29605
    NONE GOV STUDENT PATH TO MD 33,334
    UOFSC COLLEGE OF PHARMACY
    715 SUMTER STREET
    COLUMBIA,SC29208
    NONE GOV RURAL VACCINATION 49,292
    CLEVELAND COUNTY YMCA
    411 CHERRYVILLE ROAD
    SHELBY,NC28151
    NONE PC BEHAVIORAL HEALTH 66,000
    NORTH GREENVILLE UNIVERSITY
    7801 N TIGERVILLE ROAD
    TIGERVILLE,SC29688
    NONE PC PA SOFTWARE 36,000
    DUKE UNIVERSITY SOM
    40 DUKE MEDICINE CIRCLE
    DURHAM,NC27710
    NONE PC RURAL CANCER CARE 67,000
    CLEMSON UNIVERISTY (ICAR)
    510 EDWARDS HALL
    CLEMSON,SC29634
    NONE GOV COVID DRIVING 73,943
    GAFFNEY & CHEROKEE COUNTY
    110 RAILROAD AVE
    GAFFNEY,SC29340
    NONE GOV REV WAR CENTER 75,000
    MEDICAL UNIVERSITY OF SC
    96 JONATHAN LUCAS STREET
    CHARLESTON,SC29425
    NONE GOV HEDS RESEARCH 53,000
    VIA COLLEGE OF OSTEOPATHIC MED
    2265 KRAFT DR SW
    BLACKSBURG,VA24060
    NONE GOV DO DIABETIC ED 40,905
    LIMESTONE UNIVERSITY
    1115 COLLEGE DRIVE
    GAFFNEY,SC29341
    NONE PC HLTH SCIENCES BLDG 125,000
    ANDERSON UNIVERSITY
    316 BOULEVARD
    ANDERSON,SC29621
    NONE PC MS PATHOLOGY ASST 100,000
    USC GENETIC COUNSELING
    TWO MEDICAL PARK SUITE 103
    COLUMBIA,SC29203
    NONE GOV TELEHEALTH CURRIC 32,950
    USC COMM HEALTH ALIGN
    921 ASSEMBLY ST
    COLUMBIA,SC29208
    NONE GOV TELEHEALTH CURRIC 46,000
    AMERICAN CANCER SOCIETY
    269 CALHOUN ST
    CHARLESTON,SC29401
    NONE PC TRANSPORTATION 32,200
    REGENESIS & CCSD
    301 CRESCENT AVENUE
    SPARTANBURG,SC29304
    NONE PC 6 BH COUNSELORS 44,367
    PROJECT HOPE FOUNDATION
    200 ELFORD CT
    SPARTANBURG,SC29306
    NONE PC PROFOUND ASD 100,000
    GREENWOOD GENETIC CENTER
    106 GREGOR MENDEL CIRCLE
    GREENWOOD,SC29646
    NONE PC VIDEO STUDIO 100,000
    ST LUKE'S HOSPITAL
    162 N DEAN STREET
    SPARTANBURG,SC29302
    NONE PC CT MACHINE 75,000
    CC SENIOR CENTERS
    PO BOC 28202
    GAFFNEY,SC29342
    NONE PC STRATEGIC PLAN 25,000
    USC SCHOOL OF MEDICINE COLUMBIA
    6311 GARNERS FERRY RD
    COLUMBIA,SC29209
    NONE GOV 2019 - MEDICAL STUDENT SCHOLARSHIP - DAVIDSON 10,000
    USC SCHOOL OF MEDICINE GREENVILLE
    607 GROVE ROAD
    GREENVILLE,SC29605
    NONE GOV 2021 - MEDICAL STUDENT SCHOLARSHIP - TROUP 10,000
    WAKE FOREST BOWMAN GRAY SCHOOL OF MEDICINE
    PO BOX 571021
    WINSTONSALEM,NC27157
    NONE PC 2019 - MEDICAL STUDENT SCHOLARSHIP - HARTMAN 10,000
    WAKE FOREST BOWMAN GRAY SCHOOL OF MEDICINE
    PO BOX 571021
    WINSTONSALEM,NC27157
    NONE PC 2020 - MEDICAL STUDENT SCHOLARSHIP - ROGERS 10,000
    WAKE FOREST BOWMAN GRAY SCHOOL OF MEDICINE
    PO BOX 571021
    WINSTONSALEM,NC27157
    NONE PC 2021 - MEDICAL STUDENT SCHOLARSHIP - WINGLER 10,000
    UNC CHAPEL HILL SCHOOL OF MEDICINE
    CB-7000 121 MACNIDER BUILDING
    CHAPEL HILL,NC27599
    NONE GOV 2022 - MEDICAL STUDENT SCHOLARSHIP - KEIM 10,000
    USC SCHOOL OF MEDICINE GREENVILLE
    607 GROVE ROAD
    GREENVILLE,SC29605
    NONE GOV 2022 - MEDICAL STUDENT SCHOLARSHIP - WATTS 10,000
    WAKE FOREST UNIVERSITY HEALTH SCIENCES
    475 VINE STREET
    WINSTONSALEM,NC27101
    NONE PC 2022 MEDICAL STUDENT STIPEND - BISHOP 1,000
    THE MEDICAL UNIVERSITY OF SC FOUNDATION
    18 BEE ST
    COLUMBIA,SC29425
    NONE GOV 2022 MEDICAL STUDENT STIPEND - ASHLEY 1,000
    WAKE FOREST UNIVERSITY HEALTH SCIENCES
    475 VINE STREET
    WINSTONSALEM,NC27101
    NONE PC 2022 MEDICAL STUDENT STIPEND - BISHOP 1,000
    WAKE FOREST BOWMAN GRAY SCHOOL OF MEDICINE
    PO BOX 571021
    WINSTONSALEM,NC27157
    NONE PC 2019 - MEDICAL STUDENT SCHOLARSHIP - HARTMAN 10,000
    WAKE FOREST BOWMAN GRAY SCHOOL OF MEDICINE
    PO BOX 571021
    WINSTONSALEM,NC27157
    NONE PC 2021 - MEDICAL STUDENT SCHOLARSHIP - WINGLER 10,000
    WAKE FOREST BOWMAN GRAY SCHOOL OF MEDICINE
    PO BOX 571021
    WINSTONSALEM,NC27157
    NONE PC 2020 - MEDICAL STUDENT SCHOLARSHIP - ROGERS 10,000
    USC SCHOOL OF MEDICINE GREENVILLE
    607 GROVE ROAD
    GREENVILLE,SC29605
    NONE GOV 2022 - MEDICAL STUDENT SCHOLARSHIP - WATTS 10,000
    USC SCHOOL OF MEDICINE GREENVILLE
    607 GROVE ROAD
    GREENVILLE,SC29605
    NONE GOV 2021 - MEDICAL STUDENT SCHOLARSHIP - TROUP 10,000
    USC SCHOOL OF MEDICINE GREENVILLE
    607 GROVE ROAD
    GREENVILLE,SC29605
    NONE GOV 2020 - MEDICAL STUDENT SCHOLARSHIP - NGUYEN 10,000
    USC SCHOOL OF MEDICINE COLUMBIA
    6311 GARNERS FERRY RD
    COLUMBIA,SC29209
    NONE GOV 2019 - MEDICAL STUDENT SCHOLARSHIP - DAVIDSON 10,000
    ANDERSON UNIVERSITY
    316 BOULEVARD
    ANDERSON,SC29621
    NONE PC 2021 - NURSE PRACTITIONER SCHOLARSHIP - DEVIN ALLEN 10,000
    WESTERN CAROLINA UNIVERSITY
    28 SCHENCK PARKWAY
    ASHEVILLE,NC28803
    NONE GOV 2021 - NURSE PRACTITIONER SCHOLARSHIP - EMILY BUTLER 10,000
    CLEMSON UNIVERSITY FOUNDATION
    155 OLD GREENVILLE HWY
    CLEMSON,SC29631
    NONE GOV 2022 - NURSE PRACTITIONER SCHOLARSHIP - KATIE THRIFT COBB 5,000
    WESTERN CAROLINA UNIVERSITY
    28 SCHENCK PARKWAY
    ASHEVILLE,NC28803
    NONE GOV 2022 - NURSE PRACTITIONER SCHOLARSHIP - SARAH GIBBS CARPENTER 5,000
    GARDNER-WEBB UNIVERSITY
    PO BOX 7309
    BOILING SPRINGS,SC28017
    NONE PC 2022 - NURSE PRACTITIONER STIPEND - COLON 500
    WESTERN CAROLINA UNIVERSITY
    28 SCHENCK PARKWAY
    ASHEVILLE,NC28803
    NONE GOV 2021 - NURSE PRACTITIONER SCHOLARSHIP - EMILY BUTLER 5,000
    ANDERSON UNIVERSITY
    316 BOULEVARD
    ANDERSON,SC29621
    NONE PC 2021 - NURSE PRACTITIONER SCHOLARSHIP - DEVIN ALLEN 5,000
    ANDERSON UNIVERSITY
    316 BOULEVARD
    ANDERSON,SC29621
    NONE PC 2021 - NURSE PRACTITIONER SCHOLARSHIP - DEVIN ALLEN 5,000
    Total .................................bullet 3a 1,684,853
    bApproved for future payment
    PRESBYTERIAN COLLEGE
    503 S BROAD STREET
    CLINTON,SC29325
    NONE PC DOT CLINICAL LABS 34,500
    UNC CHAPEL HILL
    UNC-CHAPEL HILL SUITE 3100
    CHAPEL HILL,NC285992100
    NONE GOV TELEHEALTH INNOV 55,220
    HEALTHY SMILES
    PO BOX 1441
    SPARTANBURG,SC29304
    NONE PC EXPAND DENTAL CLIN 40,000
    MARY SUNSHINE HOUSE
    6742 CHARLOTTE HWY
    YORK,SC29745
    NONE PC ADULT ASD HOUSING 50,000
    CHILDREN'S ADVOCACY CENTER
    100 WASHINGTON PLACE
    SPARTANBURG,SC29302
    NONE PC CHAPLAINCY PROGRAM 39,150
    USC SOM - GREENVILLE
    607 GROVE ROAD
    GREENVILLE,SC29605
    NONE GOV STUDENT PATH TO MD 33,334
    UOFSC COLLEGE OF PHARMACY
    715 SUMTER STREET
    COLUMBIA,SC29208
    NONE GOV RURAL VACCINATION 49,292
    CLEVELAND COUNTY YMCA
    411 CHERRYVILLE ROAD
    SHELBY,NC28151
    NONE PC BEHAVIORAL HEALTH 56,000
    NORTH GREENVILLE UNIVERSITY
    7801 N TIGERVILLE ROAD
    TIGERVILLE,SC29688
    NONE PC PA SOFTWARE 36,000
    DUKE UNIVERSITY SOM
    40 DUKE MEDICINE CIRCLE
    DURHAM,NC27710
    NONE PC RURAL CANCER CARE 66,000
    CLEMSON UNIVERISTY (ICAR)
    510 EDWARDS HALL
    CLEMSON,SC29634
    NONE GOV COVID DRIVING 76,051
    GAFFNEY & CHEROKEE COUNTY
    110 RAILROAD AVE
    GAFFNEY,SC29340
    NONE GOV REV WAR CENTER 75,000
    MEDICAL UNIVERSITY OF SC
    96 JONATHAN LUCAS STREET
    CHARLESTON,SC29425
    NONE GOV HEDS RESEARCH 65,500
    VIA COLLEGE OF OSTEOPATHIC
    2265 KRAFT DR SW
    BLACKSBURG,VA24060
    NONE GOV MEDICINE DO DIABETIC ED 40,905
    LIMESTONE UNIVERSITY
    1115 COLLEGE DRIVE
    GAFFNEY,SC29341
    NONE PC HLTH SCIENCES BLDG 125,000
    ANDERSON UNIVERSITY
    316 BOULEVARD
    ANDERSON,SC29621
    NONE PC MS PATHOLOGY ASST 100,000
    USC GENETIC COUNSELING
    TWO MEDICAL PARK SUITE 103
    COLUMBIA,SC29203
    NONE GOV TELEHEALTH CURRIC 32,950
    USC COMM HEALTH ALIGN
    921 ASSEMBLY ST
    COLUMBIA,SC29208
    NONE GOV TELEHEALTH CURRIC 46,000
    AMERICAN CANCER SOCIETY
    269 CALHOUN ST
    CHARLESTON,SC29401
    NONE PC TRANSPORTATION 32,200
    REGENESIS & CCSD
    301 CRESCENT AVENUE
    SPARTANBURG,SC29304
    NONE PC 6 BH COUNSELORS 44,367
    PROJECT HOPE FOUNDATION
    200 ELFORD CT
    SPARTANBURG,SC29306
    NONE PC PROFOUND ASD 100,000
    CHILDREN'S ADVOCACY CENTER
    900 S PINE ST SUITE F
    SPARTANBURG,SC29302
    NONE PC CHAPLAINCY PROGRAM 39,150
    GAFFNEY & CHEROKEE COUNTY
    110 RAILROAD AVE
    GAFFNEY,SC29340
    NONE GOV REV WAR CENTER 75,000
    MEDICAL UNIVERSITY OF SC
    96 JONATHAN LUCAS STREET
    CHARLESTON,SC29425
    NONE GOV HEDS RESEARCH 78,000
    ANDERSON UNIVERSITY
    316 BOULEVARD
    ANDERSON,SC29621
    NONE GOV MS PATHOLOGY ASST 100,000
    USC COMM HEALTH ALIGN
    921 ASSEMBLY ST
    COLUMBIA,SC29208
    NONE GOV TELEHEALTH CURRIC 46,000
    AMERICAN CANCER SOCIETY
    269 CALHOUN ST
    CHARLESTON,SC29401
    NONE PC TRANSPORTATION 32,200
    REGENESIS & CCSD
    301 CRESCENT AVENUE
    SPARTANBURG,SC29304
    NONE PC 6 BH COUNSELORS 44,367
    PROJECT HOPE FOUNDATION
    200 ELFORD CT
    SPARTANBURG,SC29306
    NONE PC PROFOUND ASD 100,000
    Total .................................bullet 3b 1,712,186
    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 ............
        18 355,269  
    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) .. 67,931 2,750,973 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    2,818,904
    (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:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 23,513 5,878   17,635

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 662,581 662,581

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Name of Stock End of Year Book Value End of Year Fair Market Value
    EQUITIES, MUTUAL FUNDS AND EXCHANGE-TRADED & CLOSED END FUNDS 24,966,414 24,966,414

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    US Government Securities - End of Year Book Value:

    1,582,961
    US Government Securities - End of Year Fair Market Value:

    1,582,961
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    HEDGE FUND OF FUNDS/MANAGED FUTURES AT COST 6,001,459 6,001,459
    REAL ESTATE INVESTMENT TRUST AT COST 1,400,000 1,400,000

    TY 2021 LandEtcSchedule2
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    BUILDING 283,145 191,246 91,899 91,899
    FURNITURE & FIXTURES 67,076 67,076 0  


    TY 2021 OtherDecreasesSchedule
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Description Amount
    ADJUSTMENT FOR TIMING DIFFERENCE BETWEEN BOOK AND TAX 217,319


    TY 2021 OtherExpensesSchedule
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SCHOLARSHIP EXPENSE 36 0   36
    DUES & SUBSCRIPTIONS 1,867 467   1,400
    OFFICE EXPENSE 7,027 1,757   5,270
    LIABILITY INSURANCE 8,623 2,156   6,467
    TELEPHONE 1,191 298   893
    WORKERS COMP 1,864 466   1,398
    UTILITIES 2,617 654   1,963
    MISCELLANEOUS 13,880 3,470   10,410
    STIPENDS 7,500 0   7,500
    SCH K-1 OTHER DEDUCTIONS - VARIOUS INVESTMENTS 15,186 15,186   0


    TY 2021 OtherIncomeSchedule2
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 9,759 9,759 9,759
    SCH K-1 OTHER LOSS - VARIOUS PTP INVESTMENTS 10,041 10,041 10,041
    EQUITY ADJUSTMENTS - MANAGED FUTURES 8,396 8,396 8,396


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 154,756 154,756   0


    TY 2021 TaxesSchedule
    Name:
    THE FULLERTON FOUNDATION
    EIN:
    57-0847444
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 18,155 18,155   0
    FEDERAL PAYROLL TAXES 13,843 3,461   10,832
    FEDERAL EXCISE TAXES 55,673 0   0