TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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 01-01-2021 , and ending 12-31-2021

Name of foundation
AC AND MARGARET MILLER NURSING SCHOLARSHIP TRUST

% SOUTHWEST NATIONAL BANK

Number and street (or P.O. box number if mail is not delivered to street address)400 E DOUGLAS AVE
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
WICHITA, KS67202

A Employer identification number

47-7439090

B Telephone number (see instructions)

(316) 291-5205

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$292,515J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	4,999		4,999
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		40,881
b	Gross sales price for all assets on line 6a 176,339
7	Capital gain net income (from Part IV, line 2)...			40,881
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........	45,880		45,880
13	Compensation of officers, directors, trustees, etc.	2,554		1,277	1,277
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		215	108	107
c	Other professional fees (attach schedule)....
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		56	56
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		1,095	1,095
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	3,920		2,536	1,384
25	Contributions, gifts, grants paid.......	11,171			11,171
26	Total expenses and disbursements. Add lines 24 and 25	15,091		2,536	12,555
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	30,789
b	Net investment income (if negative, enter -0-)			43,344
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	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).......	217,659	248,418	292,515
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	217,659	248,418	292,515
	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 )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		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
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	217,659	248,418
	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).....	217,659	248,418
	30	Total liabilities and net assets/fund balances (see instructions).	217,659	248,418

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

217,659

Enter amount from Part I, line 27a .....................

30,789

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

248,448

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

248,418

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.)		(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1 a	T ROWE PRICE HEALTH SCIENCES CLASS I	2016-06-28	2021-12-01
b	T ROWE PRICE HEALTH SCIENCES CLASS I	2016-09-08	2021-12-01
c	T ROWE PRICE HEALTH SCIENCES CLASS I	2016-09-19	2021-12-01
d	COLUMBIA DIVIDEND INCOME CLASS Z	2017-01-05	2021-12-01
e	COLUMBIA DIVIDEND INCOME CLASS Z	2017-03-27	2021-12-01
	COLUMBIA DIVIDEND INCOME CLASS Z	2017-04-19	2021-12-01
	COLUMBIA DIVIDEND INCOME CLASS Z	2017-05-17	2021-12-01
	COLUMBIA DIVIDEND INCOME CLASS Z	2017-08-04	2021-12-01
	COLUMBIA DIVIDEND INCOME CLASS Z	2017-09-26	2021-12-01
	FIDELITY ADVISOR GROWTH OPPORTUNITIES FU	2021-03-26	2021-12-09
	FIDELITY ADVISOR GROWTH OPPORTUNITIES FU	2021-06-23	2021-12-09
	BLACKROCK ADV SMALL CAP CORE FUND INST	2021-02-05	2021-12-09
	BLACKROCK ADV SMALL CAP CORE FUND INST	2021-03-26	2021-12-09
	BLACKROCK ADV SMALL CAP CORE FUND INST	2021-06-23	2021-12-09
	BLACKROCK ADV SMALL CAP CORE FUND INST	2021-09-27	2021-12-09
	JP MORGAN EQUITY INCOME FUND R6	2017-03-07	2021-12-09
	JP MORGAN EQUITY INCOME FUND R6	2017-03-27	2021-12-09
	JP MORGAN EQUITY INCOME FUND R6	2017-04-19	2021-12-09
	WESTERN ASSET CORE PLUS BOND FUND IS	2019-11-21	2021-12-09
	WESTERN ASSET CORE PLUS BOND FUND IS	2019-12-20	2021-12-09
	WESTERN ASSET CORE PLUS BOND FUND IS	2020-09-25	2021-12-09
	WESTERN ASSET CORE PLUS BOND FUND IS	2020-12-22	2021-12-09
	WESTERN ASSET CORE PLUS BOND FUND IS	2021-09-27	2021-12-09
	WESTERN ASSET CORE PLUS BOND FUND IS	2021-11-02	2021-12-09
	FIDELITY ADVISOR GROWTH OPPORTUNITIES FU	2021-03-26	2021-11-02
	BLACKROCK ADV SMALL CAP CORE FUND INST	2021-02-05	2021-11-02
	JP MORGAN EQUITY INCOME FUND R6	2017-03-07	2021-11-02
	MFS INTL DIVERSIFICATION R6	2019-06-21	2021-11-02
	MFS GROWTH R6	2018-11-09	2021-11-02
	T ROWE PRICE HEALTH SCIENCES CLASS I	2016-06-28	2021-11-02
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2020-05-18	2021-11-02
	COLUMBIA DIVIDEND INCOME CLASS Z	2017-01-05	2021-11-02
	VANGUARD CONSUMER STAPLES INDEX FUND	2019-03-19	2021-09-27
	VANGUARD CONSUMER STAPLES INDEX FUND	2019-12-20	2021-09-27
	VANGUARD CONSUMER STAPLES INDEX FUND	2020-02-27	2021-09-27
	VANGUARD CONSUMER STAPLES INDEX FUND	2020-09-25	2021-09-27
	VANGUARD CONSUMER STAPLES INDEX FUND	2020-12-22	2021-09-27
	FIDELITY ADVISOR GROWTH OPPORTUNITIES FU	2021-03-26	2021-09-27
	T ROWE PRICE HEALTH SCIENCES CLASS I	2016-06-28	2021-09-27
	AMERICAN FUNDS NEW WORLD CLASS F1	2016-12-21	2021-09-27
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2020-05-18	2021-09-27
	FIDELITY ADVISOR GROWTH OPPORTUNITIES FU	2021-03-26	2021-08-24
	JP MORGAN EQUITY INCOME FUND R6	2017-03-07	2021-08-24
	MFS INTL DIVERSIFICATION R6	2019-06-21	2021-08-24
	T ROWE PRICE HEALTH SCIENCES CLASS I	2016-03-18	2021-08-24
	T ROWE PRICE HEALTH SCIENCES CLASS I	2016-06-28	2021-08-24
	COLUMBIA DIVIDEND INCOME CLASS Z	2017-01-05	2021-08-24
	5 KANSAS STATE DFA REV SER A DUE 05/1/3	2014-02-06	2021-08-27
	JP MORGAN EQUITY INCOME FUND R6	2017-03-07	2021-05-14
	T ROWE PRICE HEALTH SCIENCES CLASS I	2016-03-18	2021-05-14
	VANGUARD GNMA FUND ADMIRAL	2019-11-21	2021-06-23
	VANGUARD GNMA FUND ADMIRAL	2019-12-20	2021-06-23
	VANGUARD GNMA FUND ADMIRAL	2020-05-18	2021-06-23
	VANGUARD GNMA FUND ADMIRAL	2020-12-22	2021-06-23
	JP MORGAN CORE BOND FUND CLASS R6	2020-05-20	2021-06-23
	WESTERN ASSET CORE PLUS BOND FUND IS	2019-11-21	2021-06-23
	VANGUARD CONSUMER STAPLES INDEX FUND	2018-12-19	2021-06-23
	VANGUARD CONSUMER STAPLES INDEX FUND	2019-03-19	2021-06-23
	PIMCO INCOME ADMINISTRATIVE CLASS	2019-03-19	2021-06-23
	T ROWE PRICE HEALTH SCIENCES CLASS I	2016-03-18	2021-06-23
	AMERICAN FUNDS NEW WORLD CLASS F1	2016-12-21	2021-06-23
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2020-05-18	2021-06-23
	COLUMBIA DIVIDEND INCOME CLASS Z	2017-01-05	2021-06-23
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2020-05-18	2021-05-14
	COLUMBIA DIVIDEND INCOME CLASS Z	2017-01-05	2021-05-14
	JP MORGAN EQUITY INCOME FUND R6	2017-03-07	2021-03-26
	JP MORGAN CORE BOND FUND CLASS R6	2020-05-20	2021-03-26
	WESTERN ASSET CORE PLUS BOND FUND IS	2019-09-25	2021-03-26
	WESTERN ASSET CORE PLUS BOND FUND IS	2019-11-21	2021-03-26
	VANGUARD GNMA FUND ADMIRAL	2019-03-19	2021-03-26
	VANGUARD GNMA FUND ADMIRAL	2019-06-21	2021-03-26
	VANGUARD GNMA FUND ADMIRAL	2019-07-12	2021-03-26
	VANGUARD GNMA FUND ADMIRAL	2019-11-21	2021-03-26
	VANGUARD CONSUMER STAPLES INDEX FUND	2018-12-19	2021-03-26
	MFS GROWTH R6	2018-10-11	2021-03-26
	MFS GROWTH R6	2018-11-09	2021-03-26
	PIMCO INCOME ADMINISTRATIVE CLASS	2018-11-09	2021-03-26
	PIMCO INCOME ADMINISTRATIVE CLASS	2019-03-19	2021-03-26
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2017-09-26	2021-03-26
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2017-12-28	2021-03-26
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2018-04-20	2021-03-26
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2018-09-25	2021-03-26
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2018-11-09	2021-03-26
	VANGUARD INFORMATION TECHNOLOGY INDEX AD	2020-05-18	2021-03-26
	VIRTUS KAR SMALL-CAP CORE CLASS I	2017-02-23	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2019-11-21	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2019-12-20	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2020-05-18	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2017-03-27	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2017-04-19	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2017-05-17	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2017-08-04	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2017-12-28	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2018-11-09	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2018-12-19	2021-02-05
	VIRTUS KAR SMALL-CAP CORE CLASS I	2019-07-12	2021-02-05

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,170	667	503
b	329	200	129
c	858	521	337
d	5,582	3,561	2,021
e	1,090	718	372
	4,996	3,281	1,715
	786	521	265
	935	645	290
	2,069	1,448	621
	16,770	15,060	1,710
	537	536	1
	11,208	12,420	-1,212
	2,186	2,420	-234
	210	242	-32
	745	814	-69
	243	162	81
	12,522	8,204	4,318
	1,841	1,199	642
	2,025	2,058	-33
	1,020	1,023	-3
	3,294	3,438	-144
	1,193	1,254	-61
	1,036	1,054	-18
	314	316	-2
	5,112	4,337	775
	2,016	1,980	36
	894	594	300
	2,626	2,018	608
	1,354	727	627
	179	94	85
	815	472	343
	2,046	1,264	782
	132	102	30
	175	153	22
	595	486	109
	1,372	1,200	172
	242	225	17
	277	239	38
	151	82	69
	123	67	56
	787	477	310
	1,368	1,194	174
	2,619	1,781	838
	1,410	1,089	321
	303	157	146
	548	293	255
	4,952	3,130	1,822
	5,000	5,264	-264
	223	153	70
	829	492	337
	291	289	2
	500	495	5
	1,990	2,021	-31
	508	513	-5
	1,242	1,263	-21
	682	682
	755	560	195
	30	24	6
	454	443	11
	565	314	251
	405	217	188
	739	480	259
	1,428	947	481
	726	506	220
	223	145	78
	2,491	1,815	676
	5,454	5,595	-141
	1,973	1,993	-20
	719	729	-10
	216	210	6
	106	105	1
	43	42	1
	879	874	5
	4,562	3,401	1,161
	13,961	9,020	4,941
	2,118	1,391	727
	769	758	11
	1,403	1,405	-2
	1,078	449	629
	459	213	246
	201	97	104
	549	310	239
	186	97	89
	151	107	44
	3,861	2,044	1,817
	98	84	14
	202	170	32
	480	365	115
	5,468	2,817	2,651
	149	77	72
	236	125	111
	2,607	1,484	1,123
	10	6	4
	493	349	144
	896	556	340
	48	39	9

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			503
b			129
c			337
d			2,021
e			372
			1,715
			265
			290
			621
			1,710
			1
			-1,212
			-234
			-32
			-69
			81
			4,318
			642
			-33
			-3
			-144
			-61
			-18
			-2
			775
			36
			300
			608
			627
			85
			343
			782
			30
			22
			109
			172
			17
			38
			69
			56
			310
			174
			838
			321
			146
			255
			1,822
			-264
			70
			337
			2
			5
			-31
			-5
			-21

			195
			6
			11
			251
			188
			259
			481
			220
			78
			676
			-141
			-20
			-10
			6
			1
			1
			5
			1,161
			4,941
			727
			11
			-2
			629
			246
			104
			239
			89
			44
			1,817
			14
			32
			115
			2,651
			72
			111
			1,123
			4
			144
			340
			9

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	40,881
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 ...................		3	36,053

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 and enter “N/A" on line 1.
	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	602
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	602
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	602
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	602
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax	Refunded	11

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

Telephone no. bullet

(316) 291-5205

Located at bullet

400 E DOUGLAS AVEWICHITAKS ZIP+4 bullet

67202

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

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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? .............

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)):

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?....................

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

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.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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? ..

Form 990-PF (2021)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check here ......... bullet

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? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

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? .........................

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
SOUTHWEST NATIONAL BANK	TRUSTEE 002.00	2,554
400 E DOUGLAS AVE WICHITA,KS67202	TRUSTEE 002.00	2,554

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










Total number of other employees paid over $50,000...................

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

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	N/A	0
2


3


4

Part VIII-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1	N/A
2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2021)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

279,630

Average of monthly cash balances.......................

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

279,630

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

279,630

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

4,194

Net value of noncharitable-use assets. Subtract line 4 from line 3. .......

275,436

Minimum investment return. Enter 5% (0.05) of line 5................

13,772

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.)

Minimum investment return from Part IX, line 6..................

13,772

Tax on investment income for 2021 from Part V, line 5.......

602

Income tax for 2021. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

602

Distributable amount before adjustments. Subtract line 2c from line 1............

13,170

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

13,170

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

13,170

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.

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					13,170
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......
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: $ 12,555
a Applied to 2020, but not more than line 2a
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.....					12,555
e Remaining amount distributed out of corpus
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
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 ..........					615
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 ......
10 Analysis of line 9:
a Excess from 2017....
b Excess from 2018....
c Excess from 2019....
d Excess from 2020....
e Excess from 2021....

Form 990-PF (2021)

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 4942(j)(3) or4942(j)(5)

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	(e) Total

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

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)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
NEWMAN UNIVERSITY 3100 McCORMICK WICHITA,KS67213	N A	PC	GENERAL FINANCIAL SUPPORT	11,171
Total ................................. 3a				11,171

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
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	40,881
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) ..				45,880

13Total. Add line 12, columns (b), (d), and (e)..................

45,880

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2021)

Additional Data

Software ID:	21013554
Software Version:	2022.0.0
Part VI Line 7 - Tax Paid with the Original Return:	602

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2021 AccountingFeesSchedule

Name:

AC AND MARGARET MILLER NURSING SCHOLARSHIP TRUST

EIN:

47-7439090

Software ID:

21013554

Software Version:

2022.0.0

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
TAX PREP FEES	215	108		107

- TIN:

TY 2021 InvestmentsCorpStockSchedule

Name:

AC AND MARGARET MILLER NURSING SCHOLARSHIP TRUST

EIN:

47-7439090

Software ID:

21013554

Software Version:

2022.0.0

Name of Stock	End of Year Book Value	End of Year Fair Market Value
	248,418	292,515

- TIN:

TY 2021 OtherDecreasesSchedule

Name:

AC AND MARGARET MILLER NURSING SCHOLARSHIP TRUST

EIN:

47-7439090

Software ID:

21013554

Software Version:

2022.0.0

Description	Amount
POSTED SUBSEQ YR TAXED CURR YR	25
ROUNDING ADJUSTMENT	5

- TIN:

TY 2021 OtherExpensesSchedule

Name:

AC AND MARGARET MILLER NURSING SCHOLARSHIP TRUST

EIN:

47-7439090

Software ID:

21013554

Software Version:

2022.0.0

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT MGT FEES	1,095	1,095

- TIN:

TY 2021 TaxesSchedule

Name:

AC AND MARGARET MILLER NURSING SCHOLARSHIP TRUST

EIN:

47-7439090

Software ID:

21013554

Software Version:

2022.0.0

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
FOREIGN TAXES	56	56