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 07-01-2021 , and ending 06-30-2022
Name of foundation
THOMAS JACK N TUA
 
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

95-6836176
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$1,877,091J 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... 53,823 53,823  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 12,728
b Gross sales price for all assets on line 6a 763,007
7 Capital gain net income (from Part IV, line 2)... 12,728
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........ 66,551 66,551  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 32,343 29,109   3,234
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)....... Click to see attachment 1,027 0 0 1,027
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,862 910   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)....... Click to see attachment 14 14    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 36,246 30,033 0 4,261
25 Contributions, gifts, grants paid....... 184,689 184,689
26 Total expenses and disbursements. Add lines 24 and 25 220,935 30,033 0 188,950
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -154,384
b Net investment income (if negative, enter -0-) 36,518
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............. 50 65 65
2 Savings and temporary cash investments......... 22,861 47,284 47,284
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)....... 315,873 Click to see attachment402,938 667,487
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).......... 1,316,729 Click to see attachment1,150,194 1,162,255
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) 1,655,513 1,600,481 1,877,091
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........ 1,655,513 1,600,481
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)..... 1,655,513 1,600,481
30 Total liabilities and net assets/fund balances (see instructions). 1,655,513 1,600,481
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
1,655,513
2
Enter amount from Part I, line 27a .....................
2
-154,384
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
99,602
4
Add lines 1, 2, and 3 ..........................
4
1,600,731
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
250
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,600,481
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 6. ELI LILLY & CO COM   2019-08-16 2021-07-06
b 7. UNITEDHEALTH GROUP INC     2021-07-06
c 311.27 EV GL MACR ABS RTRN ADV-R6 #1072   2021-02-24 2021-07-29
d 3929.619 EV GL MACR ABS RTRN ADV-R6 #1072     2021-07-29
e 2319. INVESCO OPTIMUM YIELD DIVERSIF ETF     2021-07-29
381. ISHARES CORE U.S. AGGREGATE ETF   2019-12-05 2021-07-29
189. ISHARES RUSSELL 2000 ETF   2021-02-23 2021-07-29
152. VANGUARD MIDCAP VIPER   2020-02-13 2021-07-29
13. BLACKSTONE INC   2021-07-29 2021-08-30
2. CISCO SYSTEMS INC   2021-07-29 2021-08-30
33. CISCO SYSTEMS INC     2021-08-30
7. GARMIN LTD   2021-07-29 2021-08-30
4. GARMIN LTD   2020-05-29 2021-08-30
17. ISHARES CORE U.S. AGGREGATE ETF   2019-12-05 2021-09-30
24. ISHARES RUSSELL 2000 ETF   2021-02-23 2021-09-30
20. ISHARES CORE S&P SMALL-CAP E     2021-09-30
60. ISHARES CORE MSCI EMERGING ETF   2021-02-23 2021-09-30
21. ISHARES CORE TOTAL BOND ETF     2021-09-30
241.829 PIMCO COMMODITY REAL RET STRAT-I45   2021-07-30 2021-09-30
784.501 PGIM HIGH YIELD-Q 1067   2021-07-30 2021-09-30
42. VANGUARD MIDCAP VIPER   2020-02-13 2021-09-30
16. AMGEN INC     2021-10-12
19. AMGEN INC   2020-09-14 2021-10-12
23. BLACKSTONE INC   2020-05-12 2021-10-21
5. DIAGEO PLC - ADR   2021-07-29 2021-10-21
1. DIAGEO PLC - ADR   2020-04-03 2021-10-21
374. FLEXTRONICS INTL LTD     2021-11-19
89. ISHARES RUSSELL 2000 ETF   2021-02-23 2021-12-13
2. BLACKROCK INC   2019-08-16 2021-12-17
18. BLACKSTONE INC   2020-05-12 2021-12-17
7. MICROSOFT CORP   2021-07-29 2021-12-17
3. MICROSOFT CORP   2015-08-28 2021-12-17
11. NIKE INC CL B   2017-10-23 2021-12-17
29. INTERPUBLIC GROUP COS INC   2021-07-29 2022-02-10
60. INTERPUBLIC GROUP COS INC   2020-11-02 2022-02-10
12. ABBVIE INC     2022-02-18
41.48 FIDELITY NEW MRKTS INC-Z #3323   2021-07-30 2022-04-26
3027.096 FIDELITY NEW MRKTS INC-Z #3323     2022-04-26
296. ISHARES RUSSELL 2000 ETF     2022-04-26
397. ISHARES CORE S&P SMALL-CAP E   2021-03-25 2022-04-26
309. ISHARES CORE MSCI EMERGING ETF   2021-07-29 2022-04-26
2439. ISHARES CORE MSCI EMERGING ETF     2022-04-26
6968.874 PIMCO COMMODITY REAL RET STRAT-I45   2021-07-30 2022-04-26
2850.583 PGIM HIGH YIELD-Q 1067   2021-07-30 2022-04-26
274.142 TCW EMRG MRKTS INC-PLAN #5721   2021-07-30 2022-04-26
10763.121 TCW EMRG MRKTS INC-PLAN #5721     2022-04-26
1. ALPHABET INC CL C   2021-07-29 2022-06-03
230. INVESCO OPTIMUM YIELD DIVERSIF ETF   2022-04-26 2022-06-03
66. ISHARES CORE U.S. AGGREGATE ETF   2019-12-05 2022-06-03
23. ISHARES JP MORGAN USD EMERGING   2022-04-26 2022-06-03
53. ISHARES CORE MSCI EMERGING ETF   2018-09-25 2022-06-03
52. ISHARES CORE TOTAL BOND ETF   2021-02-23 2022-06-03
277.137 PGIM HIGH YIELD-Q 1067   2021-07-30 2022-06-03
3. CELANESE CORP   2021-07-29 2022-06-24
8. CELANESE CORP   2021-03-25 2022-06-24
12. HAIN CELESTIAL GROUP INC   2022-04-26 2022-06-24
88. HAIN CELESTIAL GROUP INC   2019-08-16 2022-06-24
10. ELI LILLY & CO COM     2022-06-24
1. ELI LILLY & CO COM   2019-08-16 2022-06-24
3. UNITEDHEALTH GROUP INC   2022-04-26 2022-06-24
5. UNITEDHEALTH GROUP INC   2011-09-08 2022-06-24
15. EATON CORP PLC   2021-12-17 2022-06-24
12. MEDTRONIC PLC     2022-06-24
10. MEDTRONIC PLC   2019-07-19 2022-06-24
CAPITAL GAIN DIVIDENDS P    
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(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 1,406   661 745
b 2,855   1,095 1,760
c 3,306   3,259 47
d 41,733   41,521 212
e 47,270   27,473 19,797
44,291   42,928 1,363
42,159   41,195 964
36,624   28,167 8,457
1,629   1,491 138
118   110 8
1,948   1,417 531
1,247   1,100 147
713   363 350
1,951   1,915 36
5,288   5,231 57
2,204   2,150 54
3,712   4,021 -309
1,117   1,126 -9
1,545   1,514 31
4,385   4,385  
10,029   7,783 2,246
3,219   3,843 -624
3,822   4,675 -853
3,042   1,237 1,805
996   986 10
199   121 78
6,631   3,506 3,125
19,394   19,399 -5
1,842   841 1,001
2,219   968 1,251
2,264   2,007 257
970   132 838
1,786   585 1,201
1,035   1,031 4
2,140   1,134 1,006
1,725   1,415 310
519   611 -92
37,869   43,829 -5,960
56,784   50,696 6,088
40,566   41,133 -567
15,855   19,735 -3,880
125,145   149,073 -23,928
53,312   43,625 9,687
14,253   15,935 -1,682
1,845   2,237 -392
72,436   85,746 -13,310
2,287   2,723 -436
4,600   4,241 359
6,784   7,436 -652
2,088   2,144 -56
2,766   2,744 22
2,471   2,783 -312
1,369   1,549 -180
367   465 -98
978   1,144 -166
276   413 -137
2,027   1,915 112
3,217   2,433 784
322   110 212
1,482   1,575 -93
2,470   237 2,233
1,943   2,495 -552
1,068   1,455 -387
890   1,012 -122
      204
      204
      204
      204
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      204
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      204
      204
      204
      204
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      204
      204
      204
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      204
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      204
      204
      204
      204
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       745
b       1,760
c       47
d       212
e       19,797
      1,363
      964
      8,457
      138
      8
      531
      147
      350
      36
      57
      54
      -309
      -9
      31
       
      2,246
      -624
      -853
      1,805
      10
      78
      3,125
      -5
      1,001
      1,251
      257
      838
      1,201
      4
      1,006
      310
      -92
      -5,960
      6,088
      -567
      -3,880
      -23,928
      9,687
      -1,682
      -392
      -13,310
      -436
      359
      -652
      -56
      22
      -312
      -180
      -98
      -166
      -137
      112
      784
      212
      -93
      2,233
      -552
      -387
      -122
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 12,728
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........................... 3 508
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- ..... 5 508
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,944
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 1,944
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,436
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet508 RefundedBullet 11 928
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     		32,343    
    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
    2,145,695
    b
    Average of monthly cash balances.......................
    1b
    60,463
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,206,158
    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
    2,206,158
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    33,092
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,173,066
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    108,653
    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
    108,653
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    508
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    508
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    108,145
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    99,170
    5
    Add lines 3 and 4............................
    5
    207,315
    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
    207,315
    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 7 207,315
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 28,900
    b From 2017...... 26,471
    c From 2018...... 27,796
    d From 2019...... 16,611
    e From 2020...... 41,472
    f Total of lines 3a through e ........ 141,250
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 188,950
    a Applied to 2020, but not more than line 2a 0
    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..... 188,950
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 18,365 18,365
    (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 5 122,885
    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 ..........     		0
    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) ...     		10,535
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		112,350
    10 Analysis of line 9:
    a Excess from 2017.... 26,471
    b Excess from 2018.... 27,796
    c Excess from 2019.... 16,611
    d Excess from 2020.... 41,472
    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).)
    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
    ST HELENA HOSPITAL
    10 WOODLAND RD
    ST HELENA,CA94574     		NONE PC GENERAL OPERATING 184,689
    Total .................................bullet 3a 184,689
    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 12,728  
    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) ..   66,551  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    66,551
    (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:
    THOMAS JACK N TUA
    EIN:
    95-6836176
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,027     1,027

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THOMAS JACK N TUA
    EIN:
    95-6836176
    Name of Stock End of Year Book Value End of Year Fair Market Value
    512807108 LAM RESEARCH CORP CO 3,854 8,949
    907818108 UNION PACIFIC CORP 3,271 11,304
    460690100 INTERPUBLIC GROUP CO 4,894 7,130
    532457108 ELI LILLY & CO COM 3,840 16,860
    254687106 WALT DISNEY CO 6,216 9,251
    11135F101 BROADCOM INC 9,525 15,060
    00287Y109 ABBVIE INC 10,460 14,550
    02079K107 ALPHABET INC CL C 10,796 39,374
    Y2573F102 FLEX LTD    
    405217100 HAIN CELESTIAL GROUP 1,247 1,899
    H84989104 TE CONNECTIVITY LTD 8,213 9,618
    097023105 BOEING CO 8,998 8,750
    09247X101 BLACKROCK INC 6,886 12,181
    46625H100 JPMORGAN CHASE & CO 9,468 18,468
    594918104 MICROSOFT CORP 7,598 49,825
    871829107 SYSCO CORP 6,234 11,859
    17275R102 CISCO SYSTEMS INC 5,613 11,385
    56501R106 MANULIFE FINANCIAL C 14,478 16,498
    609207105 MONDELEZ INTERNATION 9,075 12,356
    87612E106 TARGET CORP 3,468 8,050
    30303M102 META PLATFORMS INC 8,937 5,483
    25243Q205 DIAGEO PLC - ADR 7,699 12,363
    418056107 HASBRO INC 13,395 11,463
    94106L109 WASTE MANAGEMENT INC 12,517 16,216
    192446102 COGNIZANT TECH SOLUT 10,392 11,473
    031162100 AMGEN INC    
    G29183103 EATON CORP PLC 11,585 12,221
    654106103 NIKE INC CL B 4,603 8,278
    517834107 LAS VEGAS SANDS CORP 12,094 8,599
    126650100 CVS HEALTH CORPORATI 7,557 12,972
    911312106 UNITED PARCEL SERVIC 6,388 13,691
    172967424 CITIGROUP INC. 14,694 13,889
    150870103 CELANESE CORP 4,945 10,938
    89151E109 TOTALENERGIES SE -SP 14,395 15,739
    G5960L103 MEDTRONIC PLC 5,837 5,565
    09857L108 BOOKING HOLDINGS INC 8,872 8,745
    904767704 UNILEVER PLC - ADR 7,600 6,325
    58933Y105 MERCK & CO INC NEW 10,516 15,681
    883556102 THERMO FISHER SCIENT 1,515 10,866
    31620M106 FIDELITY NATL INFORM 17,950 14,576
    037833100 APPLE INC 9,217 50,723
    867224107 SUNCOR ENERGY INC NE 13,112 18,587
    285512109 ELECTRONIC ARTS INC 8,248 11,070
    92826C839 VISA INC-CLASS A SHR 11,717 12,798
    75513E101 RAYTHEON TECHNOLOGIE 12,649 16,819
    891160509 TORONTO DOMINION BK 11,799 13,969
    91324P102 UNITEDHEALTH GROUP I 2,131 23,113
    09260D107 BLACKSTONE INC 5,963 9,670
    H2906T109 GARMIN LTD 8,802 8,744
    464287226 ISHARES CORE U.S. AG    
    31641Q755 FIDELITY NEW MRKTS I    
    46434V613 ISHARES CORE TOTAL B    
    464287655 ISHARES RUSSELL 2000    
    872365713 TCW EMRG MRKTS INC-P    
    464287804 ISHARES CORE S&P SMA    
    922908629 VANGUARD MIDCAP VIPE    
    722005667 PIMCO COMMODITY REAL    
    46434G103 ISHARES CORE MSCI EM    
    381430107 GOLDMAN SACHS ACTIVE    
    74440Y884 PGIM HIGH YIELD-Q 10    
    7591EP100 REGIONS FINL CORP NE 3,675 3,544

    TY 2021 InvestmentsOtherSchedule2
    Name:
    THOMAS JACK N TUA
    EIN:
    95-6836176
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    405217100 HAIN CELESTIAL GROUP      
    126650100 CVS HEALTH CORPORATI      
    17275R102 CISCO SYSTEMS INC      
    254687106 WALT DISNEY CO      
    89151E109 TOTAL S.A. - ADR      
    87612E106 TARGET CORP      
    91324P102 UNITEDHEALTH GROUP I      
    09247X101 BLACKROCK INC      
    464287226 ISHARES CORE U.S. AG AT COST 312,585 297,312
    H84989104 TE CONNECTIVITY LTD      
    921943858 VANGUARD FTSE DEVELO      
    31620M106 FIDELITY NATL INFORM      
    848574109 SPIRIT AEROSYTSEMS H      
    25243Q205 DIAGEO PLC - ADR      
    037833100 APPLE INC      
    172967424 CITIGROUP INC.      
    Y2573F102 FLEX LTD      
    097023105 BOEING CO      
    285512109 ELECTRONIC ARTS INC      
    907818108 UNION PACIFIC CORP      
    46625H100 JPMORGAN CHASE & CO      
    58933Y105 MERCK & CO INC NEW      
    00206R102 AT & T INC      
    12572Q105 CME GROUP INC      
    594918104 MICROSOFT CORP      
    654106103 NIKE INC CL B      
    150870103 CELANESE CORP      
    277923264 EATON VANCE GLOB MAC      
    02079K107 ALPHABET INC CL C      
    532457108 ELI LILLY & CO COM      
    891160509 TORONTO DOMINION BK      
    911312106 UNITED PARCEL SERVIC      
    46090F100 INVESCO OPTIMUM YIEL AT COST 36,912 36,116
    31641Q755 FIDELITY NEW MRKTS I      
    375558103 GILEAD SCIENCES INC      
    512807108 LAM RESEARCH CORP CO      
    883556102 THERMO FISHER SCIENT      
    56501R106 MANULIFE FINANCIAL C      
    464287655 ISHARES RUSSELL 2000 AT COST 26,709 36,074
    87234N765 TCW EMRG MKTS INCM-I      
    517834107 LAS VEGAS SANDS CORP      
    921937819 VANGUARD INTERMEDIAT      
    867224107 SUNCOR ENERGY INC NE      
    609207105 MONDELEZ INTERNATION      
    46434G103 ISHARES CORE MSCI EM AT COST 73,223 74,179
    192446102 COGNIZANT TECH SOLUT      
    G5960L103 MEDTRONIC PLC      
    09260D107 BLACKSTONE GROUP INC      
    11135F101 BROADCOM INC      
    94106L109 WASTE MANAGEMENT INC      
    74440Y884 PGIM HIGH YIELD-Q 10 AT COST 142,375 130,869
    92826C839 VISA INC-CLASS A SHR      
    871829107 SYSCO CORP      
    H2906T109 GARMIN LTD      
    75513E101 RAYTHEON TECHNOLOGIE      
    922908629 VANGUARD MIDCAP VIPE AT COST 259,107 320,864
    904784709 UNILEVER N.V. - ADR      
    09857L108 BOOKING HOLDINGS INC      
    872365713 TCW EMRG MRKTS INC-P      
    46434V613 ISHARES CORE TOTAL B AT COST 130,443 118,408
    464287804 ISHARES CORE S&P SMA      
    27830W108 EV GL MACR ABS RTRN      
    381430107 GOLDMAN SACHS ACTIVE AT COST 46,372 36,323
    464288281 ISHARES JP MORGAN US AT COST 122,468 112,110

    TY 2021 OtherDecreasesSchedule
    Name:
    THOMAS JACK N TUA
    EIN:
    95-6836176
    Description Amount
    COST BASIS ADJUSTMENT 250


    TY 2021 OtherExpensesSchedule
    Name:
    THOMAS JACK N TUA
    EIN:
    95-6836176
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES - ADR FEES 14 14   0


    TY 2021 OtherIncreasesSchedule
    Name:
    THOMAS JACK N TUA
    EIN:
    95-6836176
    Description Amount
    MUTUAL FUND TIMING ADJ 432
    REDEPOSIT OF PRIOR YEAR GRANTS 99,170


    TY 2021 TaxesSchedule
    Name:
    THOMAS JACK N TUA
    EIN:
    95-6836176
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 626 626   0
    FEDERAL TAX PAYMENT - PRIOR YE 8 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,944 0   0
    FOREIGN TAXES ON NONQUALIFIED 284 284   0