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 08-01-2021 , and ending 07-31-2022
Name of foundation
THE DEAVER PHOENIX FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)1300 S OCEAN BLVD APT PH-1
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
POMPANO BEACH, FL33062
A Employer identification number

26-1146782
B Telephone number (see instructions)

(954) 563-1400
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$3,755,482
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 67 67  
4 Dividends and interest from securities... 83,955 83,955  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 229,256
b Gross sales price for all assets on line 6a 480,377
7 Capital gain net income (from Part IV, line 2)... 229,256
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).......      
12 Total. Add lines 1 through 11........ 313,278 313,278  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 52,000 15,600   36,400
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 764 229   535
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 2,104      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 27,065 26,225   840
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 81,933 42,054   37,775
25 Contributions, gifts, grants paid....... 212,665 212,665
26 Total expenses and disbursements. Add lines 24 and 25 294,598 42,054   250,440
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 18,680
b Net investment income (if negative, enter -0-) 271,224
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............. 246,238 27,599 27,599
2 Savings and temporary cash investments......... 18,275 13,599 13,598
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)      
b Investments—corporate stock (attach schedule)....... 3,069,643 Click to see attachment3,311,638 3,714,285
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)..........      
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) 3,334,156 3,352,836 3,755,482
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 3,334,156 3,352,836
29 Total net assets or fund balances (see instructions)..... 3,334,156 3,352,836
30 Total liabilities and net assets/fund balances (see instructions). 3,334,156 3,352,836
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
3,334,156
2
Enter amount from Part I, line 27a .....................
2
18,680
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
3,352,836
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
3,352,836
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 TAKE-TWO INTERACTIVE SOFTWRE P 2021-09-16 2022-07-28
b TJX COMPANIES INC P 2020-11-05 2022-07-05
c META PLATFORMS INC-CLASS A P 2016-12-30 2022-06-08
d APPLE INC P 2015-03-10 2022-04-22
e MID-AMERICA APARTMENT COMM P 2018-11-07 2022-04-05
CHEVRON CORP P 2018-01-22 2022-03-22
OSHKOSH CORP P 2021-10-27 2022-03-03
CITRIX SYSTEMS INC P 2020-12-11 2022-02-14
CITRIX SYSTEMS INC P 2020-10-28 2022-01-18
CITIGROUP INC P 2018-01-17 2022-01-03
ELECTRONIC ARTS INC P 2020-09-22 2021-11-03
MAGNA INTERNATIONAL INC P 2018-10-19 2021-10-19
L3HARRIS TECHNOLOGIES INC P 2020-03-13 2021-10-04
TEXAS INSTRUMENTS INC P 2019-01-24 2021-09-15
LYONDELLBASELL INDU-CL A P 2020-10-12 2021-08-27
ALLIANCEBERNSTEIN GLBL RE-II P 2009-03-11 2021-08-04
TAKE-TWO INTERACTIVE SOFTWRE P 2021-09-15 2022-07-28
TJX COMPANIES INC P 2020-05-01 2022-07-05
STELLANTIS NV P 2021-02-25 2022-06-06
OVERLAY A PORTFOLIO CLASS 1 P 2010-07-08 2022-04-22
MID-AMERICA APARTMENT COMM P 2018-04-20 2022-04-05
OSHKOSH CORP P 2021-11-03 2022-03-16
CME GROUP INC P 2020-12-01 2022-03-03
CHEGG INC P 2021-10-18 2022-02-08
CITRIX SYSTEMS INC P 2020-10-28 2022-01-14
CITIGROUP INC P 2018-01-17 2021-12-21
ELECTRONIC ARTS INC P 2020-05-18 2021-11-03
ROBERT HALF INTL INC P 2021-01-27 2021-10-18
L3HARRIS TECHNOLOGIES INC P 2020-02-11 2021-10-04
LKQ CORP P 2021-01-07 2021-09-14
LYONDELLBASELL INDU-CL A P 2020-10-08 2021-08-27
PROCTER & GAMBLE CO/THE P 2020-06-25 2022-07-28
TJX COMPANIES INC P 2018-04-20 2022-07-05
STELLANTIS NV P 2021-02-26 2022-06-06
BERNSTEIN INTERMEDIATE DURATION PORT P 2008-01-08 2022-04-22
ROBERT HALF INTL INC P 2021-03-15 2022-04-05
EBAY INC P 2021-10-13 2022-03-14
CME GROUP INC P 2020-11-24 2022-03-03
CHEGG INC P 2021-06-23 2022-02-08
CITRIX SYSTEMS INC P 2020-10-27 2022-01-14
CITIGROUP INC P 2018-01-12 2021-12-21
CME GROUP INC P 2020-11-20 2021-10-28
SOUTHWEST AIRLINES CO P 2020-11-12 2021-10-15
MAGNA INTERNATIONAL INC P 2018-10-19 2021-10-04
ROBERT HALF INTL INC P 2021-01-27 2021-09-14
LYONDELLBASELL INDU-CL A P 2020-10-08 2021-08-26
PROCTER & GAMBLE CO/THE P 2020-06-15 2022-07-28
TJX COMPANIES INC P 2017-12-15 2022-07-05
ANALOG DEVICES INC P 2021-09-07 2022-06-02
LPL FINANCIAL HOLDINGS INC P 2020-07-27 2022-04-14
ROBERT HALF INTL INC P 2021-02-16 2022-04-05
EBAY INC P 2021-05-04 2022-03-14
ZIMVIE INC-W/I P 2021-09-16 2022-03-02
CHEGG INC P 2021-02-18 2022-02-08
CITRIX SYSTEMS INC P 2019-08-01 2022-01-14
COSTCO WHOLESALE CORP P 2017-07-14 2021-12-20
ELECTRONIC ARTS INC P 2019-12-02 2021-10-28
SOUTHWEST AIRLINES CO P 2020-11-05 2021-10-15
L3HARRIS TECHNOLOGIES INC P 2020-02-11 2021-10-01
DECKERS OUTDOOR CORP P 2020-08-07 2021-09-14
LYONDELLBASELL INDU-CL A P 2020-10-07 2021-08-26
STELLANTIS NV P 2021-02-26 2022-07-27
ALPHABET INC-CL C P 2017-06-02 2022-07-05
META PLATFORMS INC-CLASS A P 2016-12-30 2022-06-02
LPL FINANCIAL HOLDINGS INC P 2020-08-25 2022-04-14
PROLOGIS INC P 2020-03-24 2022-04-04
EBAY INC P 2021-05-03 2022-03-14
ZIMVIE INC-W/I P 2021-06-17 2022-03-02
CHEGG INC P 2021-02-18 2022-02-08
CITRIX SYSTEMS INC P 2019-06-17 2022-01-14
ZOETIS INC P 2017-09-14 2021-12-17
ELECTRONIC ARTS INC P 2019-09-10 2021-10-28
SOUTHWEST AIRLINES CO P 2020-10-23 2021-10-15
L3HARRIS TECHNOLOGIES INC P 2020-02-03 2021-10-01
TEXAS INSTRUMENTS INC P 2019-01-24 2021-09-14
EBAY INC P 2021-05-03 2021-08-16
ALPHABET INC-CL C P 2017-06-02 2022-07-26
DECKERS OUTDOOR CORP P 2020-11-10 2022-06-24
BANK OF AMERICA CORP P 2015-08-04 2022-05-31
GOLDMAN SACHS GROUP INC P 2017-03-20 2022-04-13
QUALCOMM INC P 2020-06-15 2022-04-04
NORTONLIFELOCK INC P 2021-05-24 2022-03-14
ZIMVIE INC-W/I P 2021-01-26 2022-03-02
AUTOZONE INC P 2018-06-15 2022-02-08
CITIGROUP INC P 2019-02-25 2022-01-13
MID-AMERICA APARTMENT COMM P 2018-04-20 2021-12-15
MAGNA INTERNATIONAL INC P 2020-08-07 2021-10-28
UNITED RENTALS INC P 2020-09-16 2021-10-07
L3HARRIS TECHNOLOGIES INC P 2020-01-31 2021-10-01
TEXAS INSTRUMENTS INC P 2019-01-24 2021-09-13
BANK OF AMERICA CORP P 2015-08-04 2021-08-11
BOOZ ALLEN HAMILTON HOLDINGS P 2020-07-17 2022-07-25
DECKERS OUTDOOR CORP P 2020-08-25 2022-06-24
PROCTER & GAMBLE CO/THE P 2020-05-15 2022-05-20
GENPACT LTD P 2021-02-22 2022-04-07
QUALCOMM INC P 2020-06-04 2022-04-04
OSHKOSH CORP P 2021-11-03 2022-03-11
ZIMVIE INC-W/I P 2021-01-20 2022-03-02
ELECTRONIC ARTS INC P 2020-10-30 2022-01-31
NEXTERA ENERGY INC P 2020-06-25 2022-01-10
KNIGHT-SWIFT TRANSPORTATION P 2020-11-24 2021-12-06
MAGNA INTERNATIONAL INC P 2019-11-18 2021-10-28
ORACLE CORP P 2016-08-02 2021-10-06
ELECTRONIC ARTS INC P 2019-09-10 2021-10-01
TEXAS INSTRUMENTS INC P 2017-09-22 2021-09-13
DECKERS OUTDOOR CORP P 2020-08-07 2021-08-10
AUTOZONE INC P 2018-06-15 2022-07-21
PROCTER & GAMBLE CO/THE P 2020-05-15 2022-06-16
PROCTER & GAMBLE CO/THE P 2020-05-15 2022-05-17
GENPACT LTD P 2021-01-13 2022-04-07
QUALCOMM INC P 2020-06-04 2022-03-31
OSHKOSH CORP P 2021-10-27 2022-03-11
EBAY INC P 2021-05-03 2022-02-28
ELECTRONIC ARTS INC P 2020-09-22 2022-01-31
NEXTERA ENERGY INC P 2019-11-21 2022-01-10
NEXTERA ENERGY INC P 2019-11-19 2021-12-06
ALPHABET INC-CL C P 2017-02-02 2021-10-26
QUALCOMM INC P 2020-06-04 2021-10-06
TJX COMPANIES INC P 2017-12-15 2021-09-28
ORACLE CORP P 2016-08-02 2021-09-13
TJX COMPANIES INC P 2017-12-15 2021-08-10
OVERLAY A PORTFOLIO CLASS 1 P 2010-07-08 2022-07-20
AB SMALL CAP CORE PORTFOLIO ADV CL P 2016-09-15 2022-06-14
PROCTER & GAMBLE CO/THE P 2018-09-10 2022-05-17
GENPACT LTD P 2020-12-11 2022-04-07
ROBERT HALF INTL INC P 2021-02-16 2022-03-29
ZIMVIE INC P 2022-03-09 2022-03-09
CME GROUP INC P 2020-11-24 2022-02-16
CITRIX SYSTEMS INC P 2020-12-11 2022-01-21
NEXTERA ENERGY INC P 2019-11-19 2022-01-10
CITIGROUP INC P 2018-01-12 2021-12-06
ZOETIS INC P 2017-09-14 2021-10-26
QUALCOMM INC P 2020-06-03 2021-10-06
UNITED RENTALS INC P 2020-09-16 2021-09-22
UNITED RENTALS INC P 2020-09-08 2021-09-09
TJX COMPANIES INC P 2017-06-06 2021-08-10
BERNSTEIN INTERMEDIATE DURATION PORT P 2008-01-08 2022-07-20
AB DISCOVERY GRWTH FUND- AD P 2015-05-04 2022-06-14
HOME DEPOT INC P 2012-08-17 2022-05-13
UNITEDHEALTH GROUP INC P 2015-10-08 2022-04-05
ROBERT HALF INTL INC P 2021-01-27 2022-03-29
CHEVRON CORP P 2018-01-22 2022-03-08
CME GROUP INC P 2020-11-20 2022-02-16
CITRIX SYSTEMS INC P 2020-12-09 2022-01-21
CITIGROUP INC P 2019-02-25 2022-01-07
KNIGHT-SWIFT TRANSPORTATION P 2020-11-24 2021-12-03
ZOETIS INC P 2017-08-28 2021-10-26
L3HARRIS TECHNOLOGIES INC P 2020-11-11 2021-10-05
LKQ CORP P 2021-01-26 2021-09-21
UNITED RENTALS INC P 2020-06-25 2021-09-09
L3HARRIS TECHNOLOGIES INC P 2020-01-31 2021-08-09
FLEETCOR TECHNOLOGIES INC P 2021-07-28 2022-07-19
AB DISCOVERY VALUE-ADV P 2015-11-03 2022-06-14
META PLATFORMS INC-CLASS A P 2016-12-30 2022-05-13
PROLOGIS INC P 2020-03-24 2022-04-05
OSHKOSH CORP P 2021-12-06 2022-03-24
CHEVRON CORP P 2018-01-16 2022-03-08
ROBERT HALF INTL INC P 2021-01-27 2022-02-16
OVERLAY A PORTFOLIO CLASS 1 P 2010-07-08 2022-01-20
CITIGROUP INC P 2018-02-26 2022-01-07
KNIGHT-SWIFT TRANSPORTATION P 2020-11-23 2021-12-03
EDWARDS LIFESCIENCES CORP P 2017-12-04 2021-10-26
L3HARRIS TECHNOLOGIES INC P 2020-07-06 2021-10-05
LKQ CORP P 2021-01-26 2021-09-17
TEXAS INSTRUMENTS INC P 2017-09-22 2021-09-07
MAGNA INTERNATIONAL INC P 2017-06-02 2021-08-09
TAKE-TWO INTERACTIVE SOFTWRE P 2021-09-15 2022-07-19
AB DISCOVERY VALUE-ADV P 2015-09-08 2022-06-14
META PLATFORMS INC-CLASS A P 2016-10-13 2022-05-13
GENPACT LTD P 2020-12-11 2022-04-05
OSHKOSH CORP P 2021-11-16 2022-03-24
EBAY INC P 2021-05-03 2022-03-07
ELECTRONIC ARTS INC P 2020-12-01 2022-02-16
BERNSTEIN INTERMEDIATE DURATION PORT P 2008-01-08 2022-01-20
CITRIX SYSTEMS INC P 2019-06-17 2022-01-07
ROBERT HALF INTL INC P 2021-01-27 2021-11-16
OVERLAY A PORTFOLIO CLASS 1 P 2010-07-08 2021-10-22
L3HARRIS TECHNOLOGIES INC P 2020-06-25 2021-10-05
LKQ CORP P 2021-01-07 2021-09-17
MAGNA INTERNATIONAL INC P 2018-10-19 2021-09-07
MICROSOFT CORP P 2015-04-30 2021-08-05
PROCTER & GAMBLE CO/THE P 2020-06-15 2022-07-19
DECKERS OUTDOOR CORP P 2020-08-07 2022-06-13
TJX COMPANIES INC P 2017-12-15 2022-05-09
GENPACT LTD P 2020-11-05 2022-04-05
OSHKOSH CORP P 2021-11-05 2022-03-24
CME GROUP INC P 2020-12-14 2022-03-07
ELECTRONIC ARTS INC P 2020-11-09 2022-02-16
CITIGROUP INC P 2019-09-03 2022-01-18
CITRIX SYSTEMS INC P 2019-06-14 2022-01-07
ETSY INC P 2021-05-13 2021-11-15
BERNSTEIN INTERMEDIATE DURATION PORT P 2008-01-08 2021-10-22
L3HARRIS TECHNOLOGIES INC P 2020-04-09 2021-10-05
FAURECIA SA ACT P 2021-04-20 2021-09-17
MAGNA INTERNATIONAL INC P 2017-06-02 2021-09-07
AB INTERNATIONAL STRATEGIC EQUITIES P 2008-01-08 2021-08-04
PROCTER & GAMBLE CO/THE P 2020-05-15 2022-07-19
AMERICAN CAMPUS COMMUNITIES P 2020-02-28 2022-06-13
LINDE PLC P 2021-05-14 2022-04-27
GENPACT LTD P 2020-04-06 2022-04-05
OSHKOSH CORP P 2021-11-03 2022-03-24
CME GROUP INC P 2020-12-01 2022-03-07
ELECTRONIC ARTS INC P 2020-10-30 2022-02-16
ELECTRONIC ARTS INC P 2020-09-22 2022-01-18
NXP SEMICONDUCTORS NV P 2020-03-23 2022-01-03
DECKERS OUTDOOR CORP P 2020-08-07 2021-11-15
DECKERS OUTDOOR CORP P 2020-08-07 2021-10-21
CDW CORP/DE P 2017-06-13 2021-10-04
UNITED RENTALS INC P 2020-09-08 2021-09-16
LYONDELLBASELL INDU-CL A P 2020-12-17 2021-08-30
OVERLAY A PORTFOLIO CLASS 1 P 2010-07-08 2021-08-04
TAKE-TWO INTERACTIVE SOFTWRE P 2021-09-14 2022-07-07
AMERICAN CAMPUS COMMUNITIES P 2020-02-25 2022-06-13
EDWARDS LIFESCIENCES CORP P 2017-12-04 2022-04-25
GENPACT LTD P 2020-03-26 2022-04-05
CHEVRON CORP P 2019-12-02 2022-03-22
EBAY INC P 2021-05-03 2022-03-04
CITRIX SYSTEMS INC P 2021-09-08 2022-02-14
CITRIX SYSTEMS INC P 2020-12-09 2022-01-18
CITIGROUP INC P 2018-02-26 2022-01-03
ETSY INC P 2021-05-13 2021-11-03
MAGNA INTERNATIONAL INC P 2019-11-18 2021-10-19
L3HARRIS TECHNOLOGIES INC P 2020-04-09 2021-10-04
TEXAS INSTRUMENTS INC P 2019-01-29 2021-09-15
LYONDELLBASELL INDU-CL A P 2020-10-12 2021-08-30
BERNSTEIN INTERMEDIATE DURATION PORT P 2008-01-08 2021-08-04
(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 1,433   1,673 -240
b 1,268   1,194 74
c 1,411   807 604
d 836   156 680
e 1,057   492 565
4,583   3,695 888
1,976   1,870 106
306   390 -84
1,096   1,270 -174
1,075   1,317 -242
418   389 29
2,084   1,205 879
1,962   1,532 430
588   296 292
410   311 99
2,720   956 1,764
130   153 -23
2,074   1,729 345
255   281 -26
833   656 177
423   179 244
1,524   1,564 -40
1,203   892 311
427   870 -443
95   115 -20
1,661   2,169 -508
1,392   1,169 223
1,983   1,187 796
2,180   2,279 -99
3,732   2,792 940
2,770   2,123 647
148   118 30
2,535   1,812 723
959   1,047 -88
3,276   3,632 -356
1,475   1,004 471
523   752 -229
1,684   1,205 479
366   978 -612
948   1,199 -251
593   763 -170
1,523   1,172 351
1,921   1,622 299
1,238   771 467
1,836   1,187 649
1,418   1,101 317
1,039   819 220
58   37 21
1,178   1,143 35
1,719   617 1,102
908   593 315
1,675   1,851 -176
25   40 -15
1,038   3,468 -2,430
759   755 4
1,629   461 1,168
1,402   1,003 399
1,163   934 229
439   456 -17
1,308   629 679
911   712 199
1,263   1,571 -308
2,246   974 1,272
1,400   807 593
430   163 267
818   349 469
628   697 -69
25   43 -18
946   3,167 -2,221
1,138   1,173 -35
942   260 682
140   99 41
4,550   3,871 679
1,098   1,109 -11
1,949   985 964
2,186   1,684 502
1,157   536 621
1,365   1,253 112
851   410 441
963   728 235
459   259 200
812   767 45
25   43 -18
2,022   693 1,329
1,708   1,631 77
2,421   987 1,434
1,779   1,078 701
2,470   1,269 1,201
220   223 -3
1,157   591 566
1,381   589 792
1,419   1,052 367
1,911   1,461 450
1,258   1,020 238
1,809   1,684 125
1,070   601 469
648   670 -22
101   231 -130
395   357 38
168   119 49
1,685   1,164 521
2,264   1,551 713
1,094   490 604
1,128   789 339
193   88 105
1,750   839 911
2,160   693 1,467
800   680 120
463   340 123
2,197   2,102 95
1,694   944 750
756   727 29
1,825   1,975 -150
1,054   1,037 17
4,377   3,065 1,312
3,646   2,382 1,264
2,794   800 1,994
1,656   1,116 540
1,120   598 522
1,503   694 809
640   336 304
449   375 74
700   601 99
1,544   830 714
388   364 24
1,574   964 610
11     11
477   344 133
511   650 -139
168   116 52
2,012   2,443 -431
1,043   325 718
1,401   930 471
1,731   906 825
688   349 339
782   408 374
1,463   1,657 -194
1,200   1,320 -120
1,476   285 1,191
1,557   347 1,210
3,148   1,715 1,433
516   396 120
3,578   2,511 1,067
307   396 -89
853   848 5
802   582 220
626   185 441
891   757 134
1,833   1,368 465
1,719   721 998
2,521   2,449 72
1,754   2,065 -311
1,274   1,243 31
793   461 332
1,502   628 874
1,505   1,568 -63
344   265 79
1,606   857 749
362   262 100
985   1,156 -171
516   370 146
1,523   499 1,024
1,113   870 243
154   111 43
3,600   1,672 1,928
2,356   1,298 1,058
1,398   1,679 -281
461   433 28
396   254 142
1,263   1,173 90
860   923 -63
1,767   1,859 -92
1,853   1,782 71
1,730   1,760 -30
575   586 -11
828   462 366
445   275 170
2,226   1,712 514
1,947   1,453 494
644   385 259
866   147 719
720   585 135
1,262   1,049 213
1,430   897 533
2,047   1,833 214
2,795   3,001 -206
1,946   1,427 519
1,588   1,435 153
2,617   2,549 68
576   580 -4
821   476 345
1,784   1,767 17
668   578 90
509   501 8
885   510 375
8,315   9,974 -1,659
720   567 153
967   644 323
1,225   1,205 20
2,177   1,360 817
323   335 -12
973   714 259
529   476 53
1,350   1,296 54
1,157   376 781
838   420 418
1,499   839 660
915   307 608
2,109   1,047 1,062
1,526   1,353 173
20,655   12,963 7,692
2,149   2,592 -443
387   253 134
957   307 650
218   144 74
2,783   1,990 793
1,496   1,568 -72
2,141   2,278 -137
398   527 -129
1,455   1,772 -317
946   634 312
834   554 280
1,090   964 126
5,877   3,066 2,811
1,424   1,090 334
3,875   3,762 113
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       -240
b       74
c       604
d       680
e       565
      888
      106
      -84
      -174
      -242
      29
      879
      430
      292
      99
      1,764
      -23
      345
      -26
      177
      244
      -40
      311
      -443
      -20
      -508
      223
      796
      -99
      940
      647
      30
      723
      -88
      -356
      471
      -229
      479
      -612
      -251
      -170
      351
      299
      467
      649
      317
      220
      21
      35
      1,102
      315
      -176
      -15
      -2,430
      4
      1,168
      399
      229
      -17
      679
      199
      -308
      1,272
      593
      267
      469
      -69
      -18
      -2,221
      -35
      682
      41
      679
      -11
      964
      502
      621
      112
      441
      235
      200
      45
      -18
      1,329
      77
      1,434
      701
      1,201
      -3
      566
      792
      367
      450
      238
      125
      469
      -22
      -130
      38
      49
      521
      713
      604
      339
      105
      911
      1,467
      120
      123
      95
      750
      29
      -150
      17
      1,312
      1,264
      1,994
      540
      522
      809
      304
      74
      99
      714
      24
      610
      11
      133
      -139
      52
      -431
      718
      471
      825
      339
      374
      -194
      -120
      1,191
      1,210
      1,433
      120
      1,067
      -89
      5
      220
      441
      134
      465
      998
      72
      -311
      31
      332
      874
      -63
      79
      749
      100
      -171
      146
      1,024
      243
      43
      1,928
      1,058
      -281
      28
      142
      90
      -63
      -92
      71
      -30
      -11
      366
      170
      514
      494
      259
      719
      135
      213
      533
      214
      -206
      519
      153
      68
      -4
      345
      17
      90
      8
      375
      -1,659
      153
      323
      20
      817
      -12
      259
      53
      54
      781
      418
      660
      608
      1,062
      173
      7,692
      -443
      134
      650
      74
      793
      -72
      -137
      -129
      -317
      312
      280
      126
      2,811
      334
      113
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 2 229,256
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 3 259
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  
3 Add lines 1 and 2........................... 3 3,770
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 3,770
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a  
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 134
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 3,904
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (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)
    bullet
    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 ofbulletROHAN KELLEY Telephone no.bullet (954) 563-1400

    Located atbullet1300 SOUTH OCEAN DRIVEAPT PH-1POMPANO BEACHFL ZIP+4bullet33062
    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
    ROHAN KELLEY CHAIRMAN PR
    000.00
    9,000 0 0
    1300 SOUTH OCEAN DRIVE
    APT PH-1
    POMPANO BEACH,FL33062
    WAGNER KELLEY DIRECTOR
    000.00
    0 0 0
    PO BOX 138
    MINTURN,CO81645
    TAE KELLEY BRONNER DIRECTOR
    000.00
    9,000 0 0
    18113 COURTNEY BREEZE WAY
    TAMPA,FL33647
    SEAN KELLEY DIRECTOR VP
    000.00
    9,000 0 0
    505 F STREET
    ST AUGUSTINE,FL32080
    SHANE KELLEY DIRECTOR SEC
    000.00
    9,000 0 0
    5400 BE 31ST AVENUE
    FORT LAUDERDALE,FL33308
    SHANNON KELLEY DIRECTOR
    000.00
    8,000 0 0
    3344 MAPLESIDE LANE
    MURFREESBORO,TN37128
    CALVIN KELLEY DIRECTOR
    000.00
    8,000 0 0
    4370 RIDGEWAY DIRVE
    LOVELAND,CO80538
    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  
    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.............bullet  
    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 N/A  
    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
    4,019,775
    b
    Average of monthly cash balances.......................
    1b
    193,907
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,213,682
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    4,213,682
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    63,205
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    4,150,477
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    207,524
    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
    207,524
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    3,770
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,770
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    203,754
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    203,754
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    203,754
    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 7 203,754
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 32,846
    b Total for prior years:20, 20, 20  
    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 ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 250,440
    a Applied to 2020, but not more than line 2a 32,846
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2021 distributable amount..... 203,754
    e Remaining amount distributed out of corpus 13,840
    5 Excess distributions carryover applied to 2021.    
    (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 13,840
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    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......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    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) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
     
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    13,840
    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.... 13,840
    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 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
    FLAGLER COLLEGE INC
    74 KING STREET
    ST AUGUSTINE,FL32084
    NONE PAID SCHOLARSHIP PROGRAM FOR STUDENT 15,000
    FLORIDA SCHOOL FOR THE DEAF & BLIND
    207 SAN MARCO AVENUE
    ST AUGUSTINE,FL32084
        HELP UNDERPRIVILEGED CHILDREN 42,500
    MAKE WAY FOR BOOKS
    700 N STONE AVENUE
    TUSCON,AZ85705
        HELP UNDERPRIVILEGED CHILDREN 4,000
    UNIVERSITY OF FLORIDA FOUNDATION
    PO BOX 14425
    GAINESVILLE,FL320642425
    NONE PAID FUND GRADUATE TAX PROGRAM 38,500
    PRETTY BRAINY
    PO BOX 7812
    LOVELAND,CO80537
    NONE PAID FUND EMPOWERING GIRLS TO GAIN STEAM 10,000
    JUNIOR ACHIEVEMENT OF ARIZONA
    636 W SOUTHERN AVE
    TEMPE,AZ85252
    NONE PAID GRANT FOR JUNIOR ACHIEVEMENT 15,000
    AVIATION NATION
    4580 W 900 N
    SCIPIO,IN47273
    NONE PAID FUND MCGARVOC HS STUDENTS ATTENDENCE 58,665
    LITERACY CONNECTS
    200 E YAVAPAI RD
    TUCSON,AZ85705
    NON PAID FUND THE PROGRAMS IN GENERAL 10,000
    MIDDLE TENNESSE STATE UNIVERSITY
    PO BOX 109
    MURFREESBORO,TN37132
    NONE PAID FUND SUMMER AEROSPACE PROGRAMS 9,000
    LOVELAND YOUTH GARDENS
    PO BOX 1004
    LOVELAND,CO80539
    NONE PAID FUND AGRICULTURAL PROGRAMS 10,000
    Total .................................bullet 3a 212,665
    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 ...........
        14 67  
    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 ............
        18 229,256  
    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) ..   313,278  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    313,278
    (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 DEAVER PHOENIX FOUNDATION INC
    EIN:
    26-1146782
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 764 229   535

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE DEAVER PHOENIX FOUNDATION INC
    EIN:
    26-1146782
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SEE SANFORD BERNSTEIN STMT 3,311,638 3,714,285

    TY 2021 OtherExpensesSchedule
    Name:
    THE DEAVER PHOENIX FOUNDATION INC
    EIN:
    26-1146782
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    BROKER INVESTMENT FEES 25,959 25,959    
    D&O PROF LIAB INS 886 266   620
    OFFICE EXPENSE 220     220


    TY 2021 TaxesSchedule
    Name:
    THE DEAVER PHOENIX FOUNDATION INC
    EIN:
    26-1146782
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX 2,104