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 10-01-2021 , and ending 09-30-2022

Name of foundation
FERN C HILL CHARITABLE TRUST IN MEMORY OF N

Number and street (or P.O. box number if mail is not delivered to street address)10 S DEARBORN IL1-0111
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60603

A Employer identification number

43-6902153

B Telephone number (see instructions)

(800) 496-2583

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

$3,196,417J 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	(c) Adjusted net 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...	115,924		115,924
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		56,366
b	Gross sales price for all assets on line 6a 845,478
7	Capital gain net income (from Part IV, line 2)...			56,366
8	Net short-term capital gain.........				0
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	172,290		172,290
13	Compensation of officers, directors, trustees, etc.	47,842		30,342		17,500
14	Other employee salaries and wages......			0	0	0
15	Pension plans, employee benefits.......			0	0
16a	Legal fees (attach schedule).........					0
b	Accounting fees (attach schedule).......
c	Other professional fees (attach schedule)....					0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		5,941	1,456		0
19	Depreciation (attach schedule) and depletion...		0	0
20	Occupancy..............
21	Travel, conferences, and meetings.......			0	0
22	Printing and publications..........			0	0
23	Other expenses (attach schedule).......
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	53,783		31,798	0	17,500
25	Contributions, gifts, grants paid.......	173,937				173,937
26	Total expenses and disbursements. Add lines 24 and 25	227,720		31,798	0	191,437
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-55,430
b	Net investment income (if negative, enter -0-)			140,492
c	Adjusted net income (if negative, enter -0-)...				0

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2021)

Form 990-PF (2021)

Page 2

Part II		Balance Sheets	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.............	11,900	14,572	14,572
	2	Savings and temporary cash investments.........	53,285	42,888	42,888
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	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 0
	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).......	1,646,507	1,634,648	1,825,688
	c	Investments—corporate bonds (attach schedule).......	1,298,911	1,263,299	1,134,060
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	189,251	188,693	179,209
	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)	3,199,854	3,144,100	3,196,417
	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........	3,199,854	3,144,100
	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).....	3,199,854	3,144,100
	30	Total liabilities and net assets/fund balances (see instructions).	3,199,854	3,144,100

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

3,199,854

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

-55,430

Other increases not included in line 2 (itemize) bullet

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

3,144,449

Decreases not included in line 2 (itemize) bullet

349

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

3,144,100

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	17. FISERV INC		2019-06-13	2021-10-12
b	8. MASTERCARD INC - CLASS A		2012-10-15	2021-10-12
c	10. PAYPAL HOLDINGS INC		2019-01-23	2021-10-12
d	1. LAM RESEARCH CORPORATION COMMON		2020-11-03	2021-10-21
e	3. LAM RESEARCH CORPORATION COMMON		2020-11-03	2021-10-21
	2. LAM RESEARCH CORPORATION COMMON		2020-11-03	2021-10-21
	6. LAM RESEARCH CORPORATION COMMON		2020-11-04	2021-10-21
	30. RAYTHEON TECHNOLOGIES CORP		2020-11-24	2021-10-21
	7. RAYTHEON TECHNOLOGIES CORP		2021-01-28	2021-10-21
	3. RAYTHEON TECHNOLOGIES CORP		2021-01-28	2021-10-21
	1. RAYTHEON TECHNOLOGIES CORP		2021-01-28	2021-10-21
	26. RAYTHEON TECHNOLOGIES CORP		2021-01-28	2021-10-21
	66. COMCAST CORP NEW CL A		2019-03-14	2021-10-27
	3. YUM BRANDS INC		2018-11-28	2021-10-27
	10. YUM BRANDS INC		2018-11-28	2021-10-27
	4. YUM BRANDS INC		2018-11-29	2021-10-27
	11. YUM BRANDS INC		2020-03-11	2021-10-27
	6. YUM BRANDS INC		2020-03-11	2021-10-27
	1. YUM BRANDS INC		2020-03-11	2021-10-27
	8. YUM BRANDS INC		2020-03-11	2021-10-27
	921. ISHARES CORE MSCI EMERGING		2020-10-27	2021-10-28
	354. ISHARES CORE MSCI EMERGING		2020-10-27	2021-10-28
	12. YUM BRANDS INC		2020-10-13	2021-10-28
	1. YUM BRANDS INC		2020-10-15	2021-10-28
	3. YUM BRANDS INC		2020-10-16	2021-10-28
	2. YUM BRANDS INC		2020-10-16	2021-10-28
	1. PAYPAL HOLDINGS INC		2019-01-23	2021-10-29
	16. PAYPAL HOLDINGS INC		2019-01-23	2021-10-29
	12. PAYPAL HOLDINGS INC		2020-03-04	2021-11-01
	41. COMCAST CORP NEW CL A		2021-04-16	2021-11-02
	42. COMCAST CORP NEW CL A		2019-05-14	2021-11-02
	21. COMCAST CORP NEW CL A		2021-04-16	2021-11-02
	3. ZIMMER HLDGS INC		2018-04-26	2021-11-02
	8. ZIMMER HLDGS INC		2018-04-26	2021-11-02
	3. ZIMMER HLDGS INC		2018-04-26	2021-11-02
	1. ZIMMER HLDGS INC		2018-04-26	2021-11-02
	5. ZIMMER HLDGS INC		2018-04-26	2021-11-02
	5. ZIMMER HLDGS INC		2018-04-26	2021-11-03
	11. STANLEY BLACK & DECKER,INC.		2016-02-12	2021-11-05
	1. STANLEY BLACK & DECKER,INC.		2016-02-17	2021-11-05
	4. STANLEY BLACK & DECKER,INC.		2016-02-17	2021-11-08
	6. STANLEY BLACK & DECKER,INC.		2016-02-17	2021-11-08
	3. STANLEY BLACK & DECKER,INC.		2020-10-05	2021-11-08
	19000. US TREAS 2% 11/15/21		2012-07-16	2021-11-15
	1. ANALOG DEVICES INC		2020-11-06	2021-11-19
	3. ANALOG DEVICES INC		2020-11-06	2021-11-19
	1. ANALOG DEVICES INC		2020-11-06	2021-11-22
	1. ANALOG DEVICES INC		2020-11-06	2021-11-22
	1. ANALOG DEVICES INC		2020-11-06	2021-11-22
	2. ANALOG DEVICES INC		2020-11-06	2021-11-22
	1. ANALOG DEVICES INC		2020-11-06	2021-11-22
	1. ANALOG DEVICES INC		2020-11-06	2021-11-22
	1. ANALOG DEVICES INC		2020-11-06	2021-11-22
	1. ANALOG DEVICES INC		2020-11-06	2021-12-06
	20. ANALOG DEVICES INC		2020-11-06	2021-12-06
	2. NETFLIX.COM INC		2018-09-13	2021-12-06
	2. ANALOG DEVICES INC		2020-11-06	2021-12-07
	3. ZIMMER HLDGS INC		2018-04-26	2021-12-29
	5. ZIMMER HLDGS INC		2018-04-26	2021-12-29
	11. ZIMMER HLDGS INC		2018-10-30	2021-12-29
	15. ZIMMER HLDGS INC		2018-10-30	2021-12-29
	2. NETFLIX.COM INC		2019-05-16	2022-01-05
	3. NETFLIX.COM INC		2019-05-16	2022-01-05
	35000. FHLMC 2.375% 01/13/2022 DTD 01/13/2012		2013-08-15	2022-01-13
	2. SNAP INC - A		2021-10-27	2022-01-21
	1. SNAP INC - A		2021-10-27	2022-01-21
	67. SNAP INC - A		2021-10-27	2022-01-21
	12. SNAP INC - A		2021-12-06	2022-01-21
	23. SNAP INC - A		2021-12-06	2022-01-21
	499. VANGUARD BD INDEX FD INC		2021-05-18	2022-01-26
	452. VANGUARD BD INDEX FD INC		2021-05-18	2022-01-26
	10000. US TREAS 1.5% 01/31/22		2018-11-15	2022-01-31
	5. SHOPIFY INC - CLASS A		2021-09-09	2022-02-03
	8. WORKDAY INC-CLASS A		2021-10-21	2022-02-04
	1. WORKDAY INC-CLASS A		2021-10-21	2022-02-04
	1. WORKDAY INC-CLASS A		2021-10-21	2022-02-04
	4. WEX INC		2016-05-27	2022-02-08
	3. WEX INC		2016-05-31	2022-02-08
	3. WEX INC		2016-06-01	2022-02-08
	1. WEX INC		2016-06-02	2022-02-09
	2. WEX INC		2016-06-02	2022-02-09
	10. WEX INC		2020-04-27	2022-02-09
	1. WEX INC		2020-04-28	2022-02-09
	3. WEX INC		2020-04-28	2022-02-09
	1. WEX INC		2020-12-03	2022-02-10
	5. WEX INC		2021-03-05	2022-02-10
	3. WEX INC		2020-12-03	2022-02-10
	1. WEX INC		2021-03-05	2022-02-11
	10000. U S A TREAS NOTES		2016-07-15	2022-02-15
	1. WORKDAY INC-CLASS A		2021-10-21	2022-02-15
	4. WORKDAY INC-CLASS A		2021-10-21	2022-02-15
	3. WORKDAY INC-CLASS A		2021-10-21	2022-02-15
	5. WORKDAY INC-CLASS A		2021-10-21	2022-02-16
	2. WORKDAY INC-CLASS A		2021-10-21	2022-02-16
	4069.767 SIX CIRCLES CREDIT OPPORT		2020-11-12	2022-02-23
	569. VANGUARD BD INDEX FD INC		2021-07-28	2022-02-23
	7. NORFOLK SOUTHN CORP		2018-03-09	2022-03-03
	6. PPG INDS INC		2020-11-02	2022-03-03
	22. PPG INDS INC		2020-11-02	2022-03-03
	3. PPG INDS INC		2020-11-04	2022-03-04
	7. PPG INDS INC		2020-11-04	2022-03-04
	4. INGERSOLL RAND INC COMMON STOCK		2021-05-14	2022-03-08
	52. INGERSOLL RAND INC COMMON STOCK		2021-05-14	2022-03-08
	21. PAYPAL HOLDINGS INC		2020-03-04	2022-03-08
	1750. ISHARES US TREASURY BOND ETF		2021-04-30	2022-04-06
	550. VANGUARD MORTGAGE-BACKED SEC		2021-04-30	2022-04-06
	180. VANGUARD MORTGAGE-BACKED SEC		2020-11-03	2022-04-06
	22. MORGAN STANLEY DEAN WITTER & CO NEW		2013-11-12	2022-04-07
	22. SCHWAB CHARLES CORP NEW		2021-01-11	2022-04-07
	35. WELLS FARGO & CO NEW		2020-12-15	2022-04-07
	4. APTIV PLC		2021-11-02	2022-04-08
	1. APTIV PLC		2021-11-02	2022-04-08
	3. APTIV PLC		2021-11-02	2022-04-08
	2. APTIV PLC		2021-11-02	2022-04-08
	13. APTIV PLC		2021-11-02	2022-04-08
	1. APTIV PLC		2021-11-02	2022-04-08
	8. APTIV PLC		2022-02-15	2022-04-11
	1. LAUDER ESTEE COS INC CL A		2020-11-06	2022-05-10
	17. LAUDER ESTEE COS INC CL A		2020-11-06	2022-05-10
	5. NEXTERA ENERGY INC		2018-07-18	2022-05-10
	5. NEXTERA ENERGY INC		2018-07-18	2022-05-10
	14. NEXTERA ENERGY INC		2018-07-18	2022-05-10
	22. NEXTERA ENERGY INC		2018-07-18	2022-05-10
	8. NEXTERA ENERGY INC		2018-07-18	2022-05-11
	18. NEXTERA ENERGY INC		2020-05-04	2022-05-11
	20000. US TREAS 1.75% 05/15/22		2015-04-30	2022-05-16
	2. SCHWAB CHARLES CORP NEW		2021-01-11	2022-05-19
	16. SCHWAB CHARLES CORP NEW		2021-01-11	2022-05-19
	64. SCHWAB CHARLES CORP NEW		2021-01-11	2022-05-19
	20. SCHWAB CHARLES CORP NEW		2021-01-28	2022-05-19
	2. SCHWAB CHARLES CORP NEW		2021-01-28	2022-05-19
	10. LOWES COS INC		2011-09-28	2022-05-20
	9. NVIDIA CORP		2018-10-08	2022-05-20
	500. ISHARES MISCI EAFE INDEX FUND		2016-09-19	2022-06-08
	674. JPMORGAN BETABUILDERS EUROPE ETF		2020-06-11	2022-06-08
	26. JPMORGAN BETABUILDERS EUROPE ETF		2021-04-30	2022-06-08
	750. VANGUARD MORTGAGE-BACKED SEC		2022-02-23	2022-06-16
	50. VANGUARD MORTGAGE-BACKED SEC		2021-04-30	2022-06-16
	24. AMAZON COM INC		2015-06-30	2022-06-17
	11. INTUITIVE SURGICAL INC NEW		2021-09-15	2022-06-17
	16. NIKE INC		2021-02-17	2022-06-17
	16. AMERICAN EXPRESS CO		2018-07-19	2022-06-24
	8. AMERICAN EXPRESS CO		2019-05-16	2022-06-30
	9. INGERSOLL RAND INC COMMON STOCK		2021-05-17	2022-06-30
	15. INGERSOLL RAND INC COMMON STOCK		2021-05-17	2022-06-30
	2. MARTIN MARIETTA MATLS INC		2022-03-03	2022-06-30
	2. MARTIN MARIETTA MATLS INC		2022-03-03	2022-06-30
	14. MORGAN STANLEY DEAN WITTER & CO NEW		2014-09-16	2022-06-30
	4. NVIDIA CORP		2018-10-08	2022-06-30
	2. NVIDIA CORP		2018-10-08	2022-06-30
	1. TRANE TECHNOLOGIES PLC		2021-02-18	2022-06-30
	3. TRANE TECHNOLOGIES PLC		2021-02-18	2022-06-30
	7. TRANE TECHNOLOGIES PLC		2021-02-18	2022-06-30
	12. INGERSOLL RAND INC COMMON STOCK		2021-05-17	2022-07-01
	1. INGERSOLL RAND INC COMMON STOCK		2021-05-17	2022-07-01
	2. MARTIN MARIETTA MATLS INC		2022-03-04	2022-07-01
	1. MARTIN MARIETTA MATLS INC		2022-03-04	2022-07-01
	2. MARTIN MARIETTA MATLS INC		2022-03-04	2022-07-01
	76.609 BLACKROCK EVNT DRVN EQ-INST		2019-11-25	2022-07-19
	75.988 BLACKSTONE ALT MULTI-STRAT-Y		2018-11-14	2022-07-19
	65. ISHARES MISCI EAFE INDEX FUND		2017-05-11	2022-07-19
	115. JPMORGAN BETABUILDERS CANADA		2018-08-15	2022-07-19
	3196.931 LORD ABBETT SHRT DUR INC-F3		2018-11-13	2022-07-19
	44.59 NEUBERGER BERMAN LONG SH-INS		2020-01-09	2022-07-19
	103.286 PIMCO FDS		2019-06-21	2022-07-19
	75.377 PIMCO MTGE OPPORTUNITIES IS		2020-08-14	2022-07-19
	65. SPDR TR UNIT SER 1		2015-01-30	2022-07-19
	142.857 SIX CIRCLES CREDIT OPPORT		2020-11-12	2022-07-19
	338.855 VANGUARD TTL INTL BND-ADM		2019-02-11	2022-07-19
	19. LILLY ELI & CO		2016-04-07	2022-08-03
	10. JPMORGAN BETABUILDERS EUROPE ETF		2021-04-30	2022-08-08
	37. JPMORGAN BETABUILDERS EUROPE ETF		2022-01-11	2022-08-08
	1090. JPMORGAN BETABUILDERS EUROPE ETF		2021-04-30	2022-08-08
	11. JPMORGAN BETABUILDERS EUROPE ETF		2022-01-11	2022-08-08
	2. JPMORGAN BETABUILDERS EUROPE ETF		2022-01-11	2022-08-08
	10000. US TREAS 1.625% 08/15/22		2015-11-20	2022-08-15
	2. O'REILLY AUTOMOTIVE INC		2017-05-05	2022-08-24
	2. OLD DOMINION FREIGHT LINE INC COM		2021-09-09	2022-08-24
	5. OLD DOMINION FREIGHT LINE INC COM		2021-09-09	2022-08-24
	1. OLD DOMINION FREIGHT LINE INC COM		2021-09-09	2022-08-24
	4. OLD DOMINION FREIGHT LINE INC COM		2021-09-09	2022-08-25
	10. AMETEK INC NEW		2020-09-30	2022-08-31
	4. LINDE PLC		2019-01-07	2022-08-31
	3. LINDE PLC		2019-01-07	2022-08-31
	15. AMETEK INC NEW		2020-09-30	2022-09-01
	3. AMETEK INC NEW		2020-10-01	2022-09-01
	1. AMETEK INC NEW		2020-10-02	2022-09-01
	5. LINDE PLC		2019-04-08	2022-09-01
	5. AMETEK INC NEW		2021-11-05	2022-09-02
	9. AMETEK INC NEW		2020-10-02	2022-09-02
	4. AMETEK INC NEW		2021-11-05	2022-09-02
	1. AMETEK INC NEW		2021-11-05	2022-09-02
	3. AMETEK INC NEW		2021-11-05	2022-09-06
	2. CHARTER COMMUNICATIONS INC-A		2018-04-13	2022-09-29
	6. CHARTER COMMUNICATIONS INC-A		2018-04-13	2022-09-29
	3. CHARTER COMMUNICATIONS INC-A		2020-04-16	2022-09-30
	CAPITAL GAIN DIVIDENDS	P
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	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,773	1,528	245
b	2,763	384	2,379
c	2,556	904	1,652
d	539	369	170
e	1,625	1,106	519
	1,091	736	355
	3,308	2,800	508
	2,733	2,211	522
	636	478	158
	273	205	68
	91	68	23
	2,364	1,886	478
	3,497	2,645	852
	381	274	107
	1,268	918	350
	503	357	146
	1,394	895	499
	757	488	269
	127	81	46
	1,012	680	332
	58,150	50,607	7,543
	22,355	19,458	2,897
	1,500	1,169	331
	124	99	25
	372	299	73
	251	199	52
	232	90	142
	3,737	1,640	2,097
	2,771	1,376	1,395
	2,139	2,260	-121
	2,191	1,806	385
	1,099	1,157	-58
	439	340	99
	1,167	915	252
	436	345	91
	146	115	31
	728	573	155
	733	573	160
	2,026	1,012	1,014
	184	93	91
	739	372	367
	1,103	788	315
	550	508	42
	19,000	20,046	-1,046
	188	134	54
	566	401	165
	191	134	57
	190	134	56
	192	134	58
	372	267	105
	188	134	54
	186	134	52
	188	134	54
	181	133	48
	3,621	2,664	957
	1,225	732	493
	370	267	103
	385	342	43
	644	562	82
	1,417	1,256	161
	1,923	1,777	146
	1,146	723	423
	1,737	1,085	652
	35,000	34,994	6
	65	109	-44
	32	55	-23
	2,165	3,618	-1,453
	385	574	-189
	745	1,100	-355
	39,910	41,085	-1,175
	36,153	37,242	-1,089
	10,000	10,000
	4,098	7,460	-3,362
	1,904	2,223	-319
	237	280	-43
	237	280	-43
	650	369	281
	484	277	207
	484	277	207
	164	93	71
	333	189	144
	1,675	1,189	486
	167	122	45
	504	368	136
	168	181	-13
	858	1,061	-203
	515	548	-33
	169	212	-43
	10,000	10,226	-226
	235	280	-45
	941	1,120	-179
	705	840	-135
	1,139	1,400	-261
	456	560	-104
	40,250	41,145	-895
	45,040	46,882	-1,842
	1,914	1,017	897
	765	809	-44
	2,812	2,998	-186
	373	406	-33
	865	943	-78
	183	193	-10
	2,403	2,519	-116
	1,963	2,484	-521
	42,971	46,133	-3,162
	27,101	29,514	-2,413
	8,869	9,733	-864
	1,803	751	1,052
	1,751	1,316	435
	1,656	1,039	617
	433	695	-262
	108	174	-66
	329	521	-192
	218	347	-129
	1,414	2,256	-842
	109	174	-65
	877	1,146	-269
	233	239	-6
	3,909	4,245	-336
	344	212	132
	346	212	134
	974	593	381
	1,541	932	609
	561	426	135
	1,272	1,022	250
	20,000	19,945	55
	127	120	7
	1,005	957	48
	4,017	3,801	216
	1,265	1,079	186
	127	108	19
	1,831	202	1,629
	1,441	604	837
	34,685	30,405	4,280
	35,042	32,657	2,385
	1,352	1,489	-137
	35,127	38,280	-3,153
	2,342	2,683	-341
	2,548	522	2,026
	2,120	3,831	-1,711
	1,719	2,304	-585
	2,316	1,870	446
	1,101	957	144
	379	437	-58
	630	728	-98
	598	751	-153
	598	750	-152
	1,063	497	566
	607	268	339
	304	134	170
	130	150	-20
	390	449	-59
	909	1,061	-152
	502	583	-81
	42	49	-7
	594	743	-149
	296	372	-76
	592	743	-151
	750	763	-13
	750	809	-59
	4,116	4,218	-102
	6,769	5,614	1,155
	12,500	13,267	-767
	750	666	84
	1,100	1,221	-121
	750	820	-70
	25,497	12,959	12,538
	1,250	1,444	-194
	6,750	7,434	-684
	5,938	1,409	4,529
	483	573	-90
	1,774	2,216	-442
	52,276	63,690	-11,414
	527	659	-132
	96	120	-24
	10,000	10,042	-42
	1,428	505	923
	583	573	10
	1,465	1,443	22
	293	287	6
	1,188	1,161	27
	1,203	995	208
	1,131	628	503
	852	527	325
	1,796	1,497	299
	359	300	59
	120	101	19
	1,378	924	454
	595	707	-112
	1,070	908	162
	476	565	-89
	119	141	-22
	354	423	-69
	626	612	14
	1,876	2,435	-559
	931	1,519	-588
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022
			30,022

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			245
b			2,379
c			1,652
d			170
e			519
			355
			508
			522
			158
			68
			23
			478
			852
			107
			350
			146
			499
			269
			46
			332
			7,543
			2,897
			331
			25
			73
			52
			142
			2,097
			1,395
			-121
			385
			-58
			99
			252
			91
			31
			155
			160
			1,014
			91
			367
			315
			42
			-1,046
			54
			165
			57
			56
			58
			105
			54
			52
			54
			48
			957
			493
			103
			43
			82
			161
			146
			423
			652
			6
			-44
			-23
			-1,453
			-189
			-355
			-1,175
			-1,089

			-3,362
			-319
			-43
			-43
			281
			207
			207
			71
			144
			486
			45
			136
			-13
			-203
			-33
			-43
			-226
			-45
			-179
			-135
			-261
			-104
			-895
			-1,842
			897
			-44
			-186
			-33
			-78
			-10
			-116
			-521
			-3,162
			-2,413
			-864
			1,052
			435
			617
			-262
			-66
			-192
			-129
			-842
			-65
			-269
			-6
			-336
			132
			134
			381
			609
			135
			250
			55
			7
			48
			216
			186
			19
			1,629
			837
			4,280
			2,385
			-137
			-3,153
			-341
			2,026
			-1,711
			-585
			446
			144
			-58
			-98
			-153
			-152
			566
			339
			170
			-20
			-59
			-152
			-81
			-7
			-149
			-76
			-151
			-13
			-59
			-102
			1,155
			-767
			84
			-121
			-70
			12,538
			-194
			-684
			4,529
			-90
			-442
			-11,414
			-132
			-24
			-42
			923
			10
			22
			6
			27
			208
			503
			325
			299
			59
			19
			454
			-112
			162
			-89
			-22
			-69
			14
			-559
			-588

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	56,366
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

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	0
3	Add lines 1 and 2...........................	3	1,953
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4	0
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	1,953
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	4,024
b	Exempt foreign organizations—tax withheld at source......	6b	0
c	Tax paid with application for extension of time to file (Form 8868)...	6c	0
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	4,024
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	2,071
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax1,956	Refunded	11	115

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

JP MORGAN CHASE BANK NA Telephone no. bullet

(800) 496-2583

Located at bullet

10 S DEARBORN ST MC IL 1-0111CHICAGOIL ZIP+4 bullet

60603

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
JP MORGAN CHASE BANK NA	TRUSTEE 2	47,842
10 S DEARBORN ST MC IL 1-0111 CHICAGO,IL60603	TRUSTEE 2	47,842

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...................				0

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


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

3,721,006

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

116,150

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

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

3,837,156

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

3,837,156

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

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

57,557

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

3,779,599

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

188,980

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

188,980

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

1,953

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

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

1,953

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

187,027

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

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

187,027

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

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

187,027

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					187,027
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				173,937
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2021:
a From 2016......	0
b From 2017......	0
c From 2018......	0
d From 2019......	0
e From 2020......	0
f Total of lines 3a through e ........		0
4Qualifying distributions for 2021 from Part
XI, line 4: $ 191,437
a Applied to 2020, but not more than line 2a				173,937
b Applied to undistributed income of prior years (Election required—see instructions).....			0
c Treated as distributions out of corpus (Election required—see instructions)........		0
d Applied to 2021 distributable amount.....					17,500
e Remaining amount distributed out of corpus		0
5 Excess distributions carryover applied to 2021.		0			0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		0
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........					169,527
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......		0
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...		0
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		0
10 Analysis of line 9:
a Excess from 2017....	0
b Excess from 2018....	0
c Excess from 2019....	0
d Excess from 2020....	0
e Excess from 2021....	0

Form 990-PF (2021)

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).)

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

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
SHELTERING ARMS HOSPITAL 8226 MEADOWBRIDGE RD MECHANICSVILLE,VA231162331	NONE	PC	GENERAL	173,937
Total ................................. 3a				173,937

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	56,366
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) ..				172,290

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

172,290

(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:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

Name of Bond	End of Year Book Value	End of Year Fair Market Value
912828RR3 US TREAS 2% 11/15/21
3137EADB2 FHLMC 2.375% 01/13/2
912828SF8 US TREAS 2% 02/15/22
912828SV3 US TREAS 1.75% 05/15
912828TJ9 US TREAS 1.625% 08/1
912828UN8 US TREAS 2% 02/15/23	15,235	14,906
313382AX1 FHLB 2.125% 03/10/23	13,684	14,871
912828VB3 US TREAS 1.75% 05/15	9,775	9,858
912828VS6 US TREAS 2.5% 08/15/	10,445	9,849
912828WE6 US TREAS 2.75% 11/15	10,644	9,827
912828B66 US TREAS 2.75% 02/15	10,618	9,785
912828D56 US TREAS 2.375% 08/1	15,319	14,485
912828K74 US TREAS 2% 08/15/25	15,057	14,091
912828P46 US TREAS 1.625% 02/1	14,160	13,775
912828G38 US TREAS 2.25% 11/15	14,800	14,388
912828R36 US TREAS 1.625% 05/1	13,933	13,710
912828V98 US TREAS 2.25% 02/15	14,691	13,864
9128282R0 US TREAS 2.25% 08/15	14,241	13,788
9128283F5 US TREAS 2.25% 11/15	14,191	13,726
464287440 ISHARES 7-10 YEAR TR	125,165	115,188
54401E143 LORD ABBETT SHRT DUR	71,733	66,176
72201F490 PIMCO INCOME FUND-IN	42,924	37,177
83002G108 SIX CIRCLES ULTR SHR	33,385	32,585
9128284N7 US TREAS 2.875% 05/1	10,024	9,398
9128285M8 US TREAS 3.125% 11/1	8,424	7,602
9128286B1 US TREAS 2.625% 02/1	4,959	4,607
912828H86 US TREAS 1.5% 01/31/
912828M80 US TREAS 2% 11/30/22	14,478	14,971
912828S35 US TREAS 1.375% 06/3	13,999	14,698
912828XB1 US TREAS 2.125% 05/1	9,548	9,472
92203J308 VANGUARD TTL INTL BN	268,313	227,557
9128284D9 US TREAS 2.5% 03/31/	5,326	4,968
9128286T2 US TREAS 2.375% 05/1	10,687	9,049
912828X70 US TREAS 2% 04/30/24	10,152	9,646
912828YB0 US TREAS 1.625% 08/1	9,989	8,624
912828ZQ6 US TREAS 0.625% 05/1	19,957	15,755
46429B267 ISHARES US TREASURY
83002G884 SIX CIRCLES CREDIT O	75,410	66,625
9128283W8 US TREAS 2.75% 02/15	4,432	3,746
9128284V9 US TREAS 2.875% 08/1	5,598	4,691
912828J27 US TREAS 2% 02/15/25	15,972	14,234
912828YS3 US TREAS 1.75% 11/15	10,506	8,687
912828Z94 US TREAS 1.5% 02/15/	10,274	8,487
91282CAE1 US TREAS 0.625% 08/1	7,791	6,268
91282CAV3 US TREAS 0.875% 11/1	7,965	6,373
91282CBH3 US TREAS 0.375% 01/3	12,701	11,451
921937827 VANGUARD SHORT-TERM
92203J407 VANGUARD TOTAL INTL	162,052	139,610
92206C771 VANGUARD MORTGAGE-BA
3135G0Q22 FNMA 1.875% 09/24/26	14,081	12,794
912828YU8 US TREAS 1.625% 11/3	9,823	9,046
91282CBC4 US TREAS 0.375% 12/3	14,260	13,264
91282CBL4 US TREAS 1.125% 02/1	9,074	8,097
91282CCB5 US TREAS 1.625% 05/1	8,844	7,554
91282CCS8 US TREAS 1.25% 08/15	9,118	8,082
91282CDJ7 US TREAS 1.375% 11/1	4,814	4,063
91282CDY4 US TREAS 1.875% 02/1	8,207	7,626
921937835 VANGUARD TOTAL BOND	26,521	24,966

Name of Stock	End of Year Book Value	End of Year Fair Market Value
617446448 MORGAN STANLEY	3,888	9,323
949746101 WELLS FARGO & CO	9,096	10,256
09062X103 BIOGEN INC	3,780	3,471
101137107 BOSTON SCIENTIFIC CO	4,281	6,584
110122108 BRISTOL-MYERS SQUIBB	11,609	12,867
16119P108 CHARTER COMMUNICATIO
20030N101 COMCAST CORP-CLASS A
532457108 ELI LILLY & CO	3,122	10,024
548661107 LOWE'S COS INC	2,017	7,700
57636Q104 MASTERCARD INC - A	11,745	15,923
65339F101 NEXTERA ENERGY INC	11,368	11,448
67103H107 O'REILLY AUTOMOTIVE	3,626	7,034
713448108 PEPSICO INC	6,521	9,632
91324P102 UNITEDHEALTH GROUP I	9,478	28,282
438516106 HONEYWELL INTERNATIO	3,276	7,347
609207105 MONDELEZ INTERNATION	3,715	4,990
655844108 NORFOLK SOUTHERN COR	7,860	9,225
854502101 STANLEY BLACK & DECK
96208T104 WEX INC
02079K107 ALPHABET INC-CL C	8,268	23,076
02079K305 ALPHABET INC-CL A	3,636	9,565
30303M102 META PLATFORMS INC-C	11,602	7,869
594918104 MICROSOFT CORP	8,896	40,758
882508104 TEXAS INSTRUMENTS IN	6,830	11,454
723787107 PIONEER NATURAL RESO	5,077	9,311
46432F842 ISHARES CORE MSCI EA	67,888	56,620
78462F103 SPDR S&P 500 ETF TRU	167,354	262,527
94106B101 WASTE CONNECTIONS IN	3,461	6,621
464287465 ISHARES MSCI EAFE ET	28,798	24,364
64110L106 NETFLIX INC
67066G104 NVIDIA CORP	2,213	4,006
70450Y103 PAYPAL HOLDINGS INC
98956P102 ZIMMER BIOMET HOLDIN
337738108 FISERV INC	4,531	4,211
580135101 MCDONALD'S CORP	8,544	8,768
988498101 YUM] BRANDS INC
00287Y109 ABBVIE INC	9,104	13,689
83002G306 SIX CIRCLES US UNCON	278,704	308,886
83002G405 SIX CIRCLES INTL UNC	283,584	229,624
G5494J103 LINDE PLC	6,739	9,975
N6596X109 NXP SEMICONDUCTORS N	13,740	14,456
023135106 AMAZON.COM INC	21,700	28,928
025816109 AMERICAN EXPRESS CO	5,594	6,071
031100100 AMETEK INC
037833100 APPLE INC	5,093	29,989
060505104 BANK OF AMERICA CORP	6,576	7,761
09857L108 BOOKING HOLDINGS INC	7,262	6,573
315911750 FIDELITY 500 INDEX F	218,403	215,460
461202103 INTUIT INC	5,860	7,359
883556102 THERMO FISHER SCIENT	10,418	13,694
N07059210 ASML HOLDING NV-NY R	1,759	2,492
007903107 ADVANCED MICRO DEVIC	6,838	4,435
032654105 ANALOG DEVICES INC	6,293	5,713
20825C104 CONOCOPHILLIPS	11,919	16,886
244199105 DEERE & CO	14,222	13,022
363576109 ARTHUR J GALLAGHER &	5,832	7,020
43300A203 HILTON WORLDWIDE HOL	5,437	5,187
45687V106 INGERSOLL RAND INC C	4,611	3,850
46120E602 INTUITIVE SURGICAL I	4,319	2,624
46434G103 ISHARES CORE MSCI EM
46641Q191 JPMORGAN BETABUILDER
46641Q217 JPMORGAN BETABUILDER	86,977	71,453
46641Q225 JPMORGAN BETABUILDER	57,661	63,338
46641Q233 JPMORGAN BETABUILDER	53,312	40,199
512807108 LAM RESEARCH CORP
518439104 ESTEE LAUDER COMPANI
654106103 NIKE INC -CL B	4,368	2,577
679580100 OLD DOMINION FREIGHT	5,947	5,224
693506107 PPG INDUSTRIES INC
75513E101 RAYTHEON TECHNOLOGIE	4,414	3,766
75886F107 REGENERON PHARMACEUT	5,467	6,889
808513105 SCHWAB (CHARLES) COR
82509L107 SHOPIFY INC - CLASS
G29183103 EATON CORP PLC	5,833	5,868
G8994E103 TRANE TECHNOLOGIES P	4,305	4,055
023608102 AMEREN CORPORATION	8,043	6,927
099502106 BOOZ ALLEN HAMILTON	6,009	6,557
22160K105 COSTCO WHOLESALE COR	6,903	6,612
61174X109 MONSTER BEVERAGE COR	7,224	6,957
743315103 PROGRESSIVE CORP	8,362	8,251
78486Q101 SVB FINANCIAL GROUP	5,533	2,686
872590104 T-MOBILE US INC	7,803	7,379

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
72201U638 PIMCO MRTG OPP & BND	AT COST	43,180	38,243
09257V508 BLACKSTONE ALT MULTI	AT COST	69,042	63,368
09250J734 BLACKROCK EVNT DRVN	AT COST	39,662	38,604
64128R608 NEUBERGER BERMAN LON	AT COST	36,809	38,994

Category	Amount	Net Investment Income
FOREIGN TAXES	110	110
FEDERAL TAX PAYMENT - PRIOR YE	461	0
FEDERAL ESTIMATES - INCOME	4,024	0
FOREIGN TAXES ON QUALIFIED FOR	1,058	1,058
FOREIGN TAXES ON NONQUALIFIED	288	288