Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 08-01-2021 , and ending 07-31-2022
Name of foundation
CATALINA MARKETING CHARITABLE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)200 CARILLON PARKWAY
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ST PETERSBURG, FL33716
A Employer identification number

33-0489905
B Telephone number (see instructions)

(787) 579-5000
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,867,881J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 5,545
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 89,581 62,660  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 36,026
b Gross sales price for all assets on line 6a 518,484
7 Capital gain net income (from Part IV, line 2)... 36,026
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........ 131,152 98,686  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 20,995 20,995   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,331 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 2,095 0   2,095
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 24,421 20,995   2,095
25 Contributions, gifts, grants paid....... 212,147 212,147
26 Total expenses and disbursements. Add lines 24 and 25 236,568 20,995   214,242
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -105,416
b Net investment income (if negative, enter -0-) 77,691
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 34,180 67,447 67,447
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,164,497 Click to see attachment1,019,211 1,215,054
c Investments—corporate bonds (attach schedule)....... 618,466 Click to see attachment625,069 585,380
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,817,143 1,711,727 1,867,881
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 1,817,143 1,711,727
29 Total net assets or fund balances (see instructions)..... 1,817,143 1,711,727
30 Total liabilities and net assets/fund balances (see instructions). 1,817,143 1,711,727
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,817,143
2
Enter amount from Part I, line 27a .....................
2
-105,416
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,711,727
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,711,727
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a BANK OF AMERICA [8314] - PUBLICLY TRADED SECURITIES   2021-08-01 2022-07-31
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 518,484   482,458 36,026
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       36,026
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 36,026
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,080
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 1,080
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 500
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 955
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,455
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 13
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 362
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet362 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bullet
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletCYNTHIA HOFFMAN Telephone no.bullet (727) 579-5000

    Located atbullet200 CARILLON PARKWAYST PETERSBURGFL ZIP+4bullet33716
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    DAVID GLOGOFF CHAIRMAN
    0.50     		0 0 0
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    MARSHALL STANTON BOARD MEMBER
    0.50     		0 0 0
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    MOIRA HINSON BOARD MEMBER
    0.50     		0 0 0
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    WESLEY BEAN BOARD MEMBER
    0.50     		0 0 0
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    MICHAEL BAILEY BOARD MEMBER
    0.50     		0 0 0
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    MICHAEL HUFFMASTER BOARD MEMBER
    0.50     		0 0 0
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    JOY LINSDAY BOARD MEMBER
    0.50     		0 0 0
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    JIM FLANIGAN TREASURER
    0.50     		0 0 0
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    JESSICA MENDEZ SECRETARY
    0.50     		0 0 0
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,100,888
    b
    Average of monthly cash balances.......................
    1b
    1,542
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,102,430
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,102,430
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    31,536
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,070,894
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    103,545
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    103,545
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,080
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,080
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    102,465
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    102,465
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    102,465
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 102,465
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 125,573
    b From 2017...... 124,160
    c From 2018...... 179,394
    d From 2019...... 102,696
    e From 2020...... 94,083
    f Total of lines 3a through e ........ 625,906
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 214,242
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 102,465
    e Remaining amount distributed out of corpus 111,777
    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 5 737,683
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		125,573
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		612,110
    10 Analysis of line 9:
    a Excess from 2017.... 124,160
    b Excess from 2018.... 179,394
    c Excess from 2019.... 102,696
    d Excess from 2020.... 94,083
    e Excess from 2021.... 111,777
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    JANICE NEVILLS
    200 CARILLON PARKWAY
    ST PETERSBURG,FL33716
    (727) 579-5000
    bThe form in which applications should be submitted and information and materials they should include:
    NO SPECIFIC FORM AT THIS TIME
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    1VOICE FOUNDATION
    123 BLOOMINGDALE AVE
    BRANDON,FL33511     		  PC UNRESTRICTED USE 4,075
    AMERICAN CANCER SOCIETY
    12810 USF MAGNOLIA DRIVE
    TAMPA,FL33612     		  PC UNRESTRICTED USE 2,125
    AMERICAN HEART ASSOCIATION
    7272 GREENVILLE AVE
    DALLAS,TX75231     		  PC UNRESTRICTED USE 190
    AMERICAN RED CROSS
    2200 W HARRISON STREET
    CHICAGO,IL60612     		  PC UNRESTRICTED USE 1,575
    ANGLING FOR RELIEF
    3516 W SAN JUAN STREET
    TAMPA,FL33629     		  PC UNRESTRICTED USE 1,000
    ANIMAL LEGAL DEFENSE FUND
    525 EAST COTATI AVE
    COTATI,CA94931     		  PC UNRESTRICTED USE 1,000
    APA ADOPTION CENTER
    1705 S HANLEY ROAD
    BRENTWOOD,MO63144     		  PC UNRESTRICTED USE 50
    APRAXIA KIDS
    1501 REEDSDALE STREET
    PITTSBURG,PA15233     		  PC UNRESTRICTED USE 250
    ART INSTITUTE OF CHICAGO
    111 S MICHIGAN AVE
    CHICAGO,IL60603     		  PC UNRESTRICTED USE 150
    AUTISM SPEAKS
    557 N WYMORE ROAD
    MAITLAND,FL32751     		  PC UNRESTRICTED USE 1,000
    AUTISM WOMEN'S NETWORK
    5100 VAN DORN STREET
    LINCOLN,NE68506     		  PC UNRESTRICTED USE 1,500
    AUTISTIC WOMEN AND NONBINARY NETWORK
    5100 VAN DORN STREET
    LINCOLN,NE68506     		  PC UNRESTRICTED USE 50
    BEST BUDDIES INTERNATIONAL
    100 SOUTHEAST SECOND ST
    MIAMI,FL33131     		  PC UNRESTRICTED USE 750
    BEST FRIEND'S ANIMAL SOCIETY
    5001 ANGEL CANYON ROAD
    KANAB,UT84741     		  PC UNRESTRICTED USE 2,000
    BETHUNE-COOKMAN UNIVERSITY
    640 DR MARY MCLEOD BETHUNE BLVD
    DAYTONA BEACH,FL32114     		  PC UNRESTRICTED USE 2,500
    BIG BROTHERS BIG SISTERS OF TB
    5555 W WATERS AVE
    TAMPA,FL33634     		  PC UNRESTRICTED USE 500
    BLACK AIDS INSTITUTE
    1833 WEST EIGHTH STREET
    LOS ANGELES,CA90057     		  PC UNRESTRICTED USE 1,000
    BOARD FOR BROS
    4215 E COLUMBUS DRIVE
    TAMPA,FL33605     		  PC UNRESTRICTED USE 1,500
    BOWLING GREEN STATE UNIVERSITY FOUNDATION
    136 N MERCER RD
    BOWLING GREEN,OH43403     		  PC UNRESTRICTED USE 950
    CARE
    151 ELLIS STREET
    ATLANTA,GA30303     		  PC UNRESTRICTED USE 1,068
    CASA
    PO BOX 414
    ST PETERSBURG,FL33731     		  PC UNRESTRICTED USE 2,500
    CATHOLIC RELIEF SERVICES
    PO BOX 17090
    BALTIMORE,MD21297     		  PC UNRESTRICTED USE 450
    CATMANDOO
    4712 ADMIRALTY WAY
    MARINA DEL RAY,CA90292     		  PC UNRESTRICTED USE 25
    CELMA MASTRY OVARIAN CANCER FOUNDATION
    PO BOX 48787
    ST PETERSBURG,FL33743     		  PC UNRESTRICTED USE 1,000
    CENTER FOR THIRD WORLD ORGANIZING
    1714 FRANKLIN 100-245
    OAKLAND,CA95612     		  PC UNRESTRICTED USE 1,000
    CENTER ON HALSTED
    3656 N HALSTED STREET
    CHICAGO,IL60613     		  PC UNRESTRICTED USE 1,000
    CHAMPIONS FOR CHILDREN
    3108 WEST AZEELE STREET
    TAMPA,FL33609     		  PC UNRESTRICTED USE 1,050
    CHILDREN'S CANCER RESEARCH FUND
    7301 OHMS LANE
    MINNEAPOLIS,MN55439     		  PC UNRESTRICTED USE 104
    CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION
    3401 CIVIC CENTER BLVD
    PHILADELPHIA,PA19104     		  PC UNRESTRICTED USE 500
    CLEARWATER MARINE AQUARIUM
    249 WINDWARD PASSAGE
    CLEARWATER,FL33702     		  PC UNRESTRICTED USE 52
    CMD-IT
    1244 STATE STREET
    LEMONT,IL60439     		  PC UNRESTRICTED USE 1,000
    COLON CANCER COALITION
    5666 LINCOLN DRIVE
    EDINA,MN55436     		  PC UNRESTRICTED USE 107
    COMMUNITY CRISIS CENTER INC
    PO BOX 1930
    ELGIN,IL60121     		  PC UNRESTRICTED USE 50
    COMMUNITY FOUNDATION OF THE TEXAS HILL COUNTRY
    241 EARL GARRETT STREET
    KERRVILLE,TX78028     		  PC UNRESTRICTED USE 50
    CONCERN AMERICA
    PO BOX 1790
    SANTA ANA,CA92702     		  PC UNRESTRICTED USE 50
    CONNECT-IT 260
    1065 CHARLES ST
    CLEARWATER,FL33755     		  PC UNRESTRICTED USE 5,050
    COOPERATION OPERATIONFRESHER TOGETHER
    2465 E 74TH STREET
    CHICAGO,IL60649     		  PC UNRESTRICTED USE 1,500
    CREATIVE CLAY
    1846 1ST AVE SOUTH
    ST PETERSBURG,FL33712     		  PC UNRESTRICTED USE 1,000
    CRISIS CENTER OF TAMPA BAY
    ONE CRISIS CENTER PLAZA
    TAMPA,FL33613     		  PC UNRESTRICTED USE 1,000
    CULTERED BOOKS LITERACY FOUNDATION
    PO BOX 1106
    ST PETERSBURG,FL33731     		  PC UNRESTRICTED USE 1,000
    CYSTIC FIBROSIS FOUNDATION
    5100 W KENNEDY BLV
    TAMPA,FL33609     		  PC UNRESTRICTED USE 2,500
    EARTHJUSTICE
    50 CALIFORNIA STREET
    SAN FRANCISCO,CA94111     		  PC UNRESTRICTED USE 1,500
    ECKERD COLLEGE
    4200 54TH AVE SOUTH
    ST PETERSBURG,FL33711     		  PC UNRESTRICTED USE 5,000
    ECKERD YOUTH ALTERNATIVES
    100 STARCREST DRIVE
    CLEARWATER,FL33765     		  PC UNRESTRICTED USE 2,000
    EQUAL JUSTICE INITIATIVE
    122 COMMERCE STREET
    MONTGOMERY,AL36104     		  PC UNRESTRICTED USE 1,000
    EQUALITY FLORIDA INSTITUTE
    PO BOX 20786
    TAMPA,FL33622     		  PC UNRESTRICTED USE 2,500
    FAMU FOUNDATION
    625 E TENNESSEE STREET
    TALLAHASSEE,FL32308     		  PC UNRESTRICTED USE 5,000
    FEEDING NORTHEAST FLORIDA
    1116 EDGEWOOD AVE NORTH
    JACKSONVILLE,FL32254     		  PC UNRESTRICTED USE 400
    FEEDING TAMPA BAY
    4702 TRANSPORT DRIVE
    TAMPA,FL33605     		  PC UNRESTRICTED USE 1,000
    FENWICK HIGH SCHOOL
    505 WASHINGTON BLVD
    OAK PARK,IL60302     		  PC UNRESTRICTED USE 100
    FLAGSTAFF ACADEMY
    2040 MILLER DRIVE
    LONGMONT,CO80501     		  PC UNRESTRICTED USE 105
    FRAMEWORKS OF TAMPA BAY
    402 EAST OAK AVE
    TAMPA,FL33602     		  PC UNRESTRICTED USE 2,500
    FREE FAB'RIK
    433 BISHOP STREET NW
    ATLANTA,GA30318     		  PC UNRESTRICTED USE 1,500
    FREESTORE FOODBANK
    1141 CENTRAL PARKWAY
    CINCINNATI,OH45202     		  PC UNRESTRICTED USE 1,000
    FRIENDS OF HOPEWELL VALLEY OPEN SPACE
    PO BOX 395
    PENNINGTON,NJ08534     		  PC UNRESTRICTED USE 100
    FRIENDS OF STRAYS
    2911 47TH AVE N
    ST PETERSBURG,FL33714     		  PC UNRESTRICTED USE 1,010
    FROSTED FACES FOUNDATION
    1448 PINE STREET
    RAMONA,CA92065     		  PC UNRESTRICTED USE 628
    GARY SINISE FOUNDATION
    PO BOX 368
    WOODLAND HILLS,CA91365     		  PC UNRESTRICTED USE 100
    GENDER SPECTRUM
    737 CHESTNUT STREET
    SAN FRANCISCO,CA94133     		  PC UNRESTRICTED USE 1,600
    GIRL SCOUTS OF WEST CENTRAL FLORIDA
    5610 EISENHOWER BLVD
    TAMPA,FL33634     		  PC UNRESTRICTED USE 24
    GIRLS ROCK ST PETERSBURG
    3621 17TH STREET N
    ST PETERSBURG,FL33713     		  PC UNRESTRICTED USE 1,500
    GOFUNDMEORG - ROBB ELEMENTARY RELIEF FUND
    855 JEFFERSON AVE
    REDWOOD CITY,CA94063     		  PC UNRESTRICTED USE 100
    GOTR GREATER TAMPA BAY
    13194 US HWY 301 SOUTH
    RIVERVIEW,FL33578     		  PC UNRESTRICTED USE 2,600
    GOTR OF THE ROCKIES
    7000 EAST BELLEVIEW AVE
    GREENWOOD VILLAGE,CO80111     		  PC UNRESTRICTED USE 500
    GREAT EXPLORATIONS CHILDREN'S MUSEUM
    1925 4TH STREET N
    ST PETERSBURG,FL33714     		  PC UNRESTRICTED USE 750
    GREATER GOOD CHARITIES
    600 UNIVERSITY STREET
    SEATTLE,WA98101     		  PC UNRESTRICTED USE 105
    GROVE CITY COLLEGE
    100 CAMPUS DRIVE
    GROVE CITY,PA16127     		  PC UNRESTRICTED USE 250
    GUARDIAN AD LITEM FOUNDATION
    14250 49TH STREET NORTH
    CLEARWATER,FL33762     		  PC UNRESTRICTED USE 2,100
    GULF COAST JEWISH FAMILY COMMUNITY SERVICE
    14041 ICOT BLVD
    CLEARWATER,FL33760     		  PC UNRESTRICTED USE 100
    HABITAT FOR HUMANITY OF PINELLAS COUNTY
    13355 49TH STREET NORTH
    CLEARWATER,FL33762     		  PC UNRESTRICTED USE 1,000
    HANOVER TOWNSHIP FOUNDATION
    PO BOX 906
    STREAMWOOD,IL60107     		  PC UNRESTRICTED USE 25
    HAPPY PERIOD
    4911 MOUNTAIN VIEW DRIVE
    PALMDALE,CA93552     		  PC UNRESTRICTED USE 500
    HEART GALLERY OF TAMPA
    5463 W WATERS AVE
    TAMPA,FL33634     		  PC UNRESTRICTED USE 500
    HILLSBOROUGH EDUCATION FOUNDATION
    2306 N HOWARD AVE
    TAMPA,FL33607     		  PC UNRESTRICTED USE 2,500
    HUMANE SOCIETY INTERNATIONAL
    1255 23RD STREET
    WASHINGTON,DC20037     		  PC UNRESTRICTED USE 77
    HUMANE SOCIETY OF PINELLAS
    3040 STATE ROAD 590
    CLEARWATER,FL33759     		  PC UNRESTRICTED USE 3,920
    HUMANE SOCIETY OF TAMPA BAY
    3607 N ARMENIA AVE
    TAMPA,FL33607     		  PC UNRESTRICTED USE 1,000
    INTER PARISH MINISTRY
    3509 DEBOLT ROAD
    NEWTOWN,OH45244     		  PC UNRESTRICTED USE 250
    JAMAA BIRTH VILLAGE
    40 N FLORISSANT RD
    FERGUSON,MO63135     		  PC UNRESTRICTED USE 1,500
    JDRF
    3001 METRO DRIVE
    BLOOMINGTON,MN55425     		  PC UNRESTRICTED USE 100
    JUNIOR ACHIEVEMENT
    13707 N 22ND STREET
    TAMPA,FL33613     		  PC UNRESTRICTED USE 1,500
    LEUKEMIA & LYMPHOMA SOCIETY
    3 INTERNATIONAL DRIVE
    RYE BROOK,NY10573     		  PC UNRESTRICTED USE 1,800
    LITTLE FREE LIBRARY
    573 COUNTY ROAD A
    HUDSON,WI54016     		  PC UNRESTRICTED USE 1,500
    LUPUS FOUNDATION OF AMERICA
    2300 HIGH RIDGE ROAD
    BOYNTON BEACH,FL33426     		  PC UNRESTRICTED USE 1,000
    MAKE-A-WISH SOUTHERN FLORIDA
    1300 N WESTSHORE BLVD
    TAMPA,FL33607     		  PC UNRESTRICTED USE 1,605
    MASSACHUSETTS INSTITUTE OF TECHNOLOGY
    600 MEMORIAL DRIVE
    CAMBRIDGE,MA02139     		  PC UNRESTRICTED USE 300
    MATTHEW 25 MINISTRIES
    11060 KENWOOD RD
    BLUE ASH,OH45242     		  PC UNRESTRICTED USE 300
    MAYO CLINIC
    200 FIRST STREET SW
    ROCHESTER,MN55905     		  PC UNRESTRICTED USE 1,000
    METRO INCLUSIVE HEALTH
    3251 3RD AVE N
    ST PETERSBURG,FL33713     		  PC UNRESTRICTED USE 1,500
    METROPOLITAN CHARITIES DBA METRO INCLUSIVE HEALTH
    3251 3RD AVE N
    ST PETERSBURG,FL33713     		  PC UNRESTRICTED USE 50
    METROPOLITAN MINISTRIES
    2002 NORTH FLORIDA AVE
    TAMPA,FL33602     		  PC UNRESTRICTED USE 2,000
    MOFFITT CANCER CENTER FOUNDATION
    12902 MAGNOLIA DRIVE
    TAMPA,FL33612     		  PC UNRESTRICTED USE 2,000
    MUSEUM OF FINE ARTS
    255 BEACH DRIVE NE
    ST PETERSBURG,FL33701     		  PC UNRESTRICTED USE 100
    NATIONAL CENTER FOR VICTIMS OF CRIME
    3434 WASHINGTON BLVD
    ARLINGTON,VA22201     		  PC UNRESTRICTED USE 150
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    733 THIRD AVE
    NEW YORK,NY10017     		  PC UNRESTRICTED USE 27
    NEIGHBORLY CARE NETWORK
    13945 EVERGREEN AVE
    CLEARWATER,FL33762     		  PC UNRESTRICTED USE 100
    NEWPORT HARBOR EDUCATIONAL FOUNDATION
    600 IRVINE AVE
    NEWPORT BEACH,CA92663     		  PC UNRESTRICTED USE 500
    NONPAREIL INSTITUTE
    5085 WEST PARK BLVD
    PLANO,TX75093     		  PC UNRESTRICTED USE 500
    OAKHURT ELEMENTARY PTA
    10535 137TH STREET NORTH
    LARGO,FL33774     		  PC UNRESTRICTED USE 250
    OFF THE STREET CLUB
    25 N KARLOV AVE
    CHICAGO,IL60624     		  PC UNRESTRICTED USE 1,000
    OVERSEAS CHINA EDUCATION FOUNDATION
    PO BOX 772436
    HOUSTON,TX77215     		  PC UNRESTRICTED USE 125
    OWL'S NEST SANCTUARY FOR WILDLIFE
    18707 RUSTIC WOODS TRAIL
    ODESSA,FL33556     		  PC UNRESTRICTED USE 4,500
    PASCO EDUCATION FOUNDATION
    PO BOX 1248
    LAND O LAKES,FL34639     		  PC UNRESTRICTED USE 2,500
    PET PAL ANIMAL SHELTER
    405 22ND STREET S
    ST PETERSBURG,FL33712     		  PC UNRESTRICTED USE 2,000
    PINELLAS EDUCATION FOUNDATION
    12090 STARKEY ROAD
    LARGO,FL33773     		  PC UNRESTRICTED USE 13,000
    PINELLAS HOPE CATHOLIC CHARITIES
    5726 126TH AVE N
    CLEARWATER,FL33760     		  PC UNRESTRICTED USE 1,000
    QUANTUM LEAP FARM
    10401 WOODSTOCK ROAD
    ODESSA,FL33556     		  PC UNRESTRICTED USE 50
    RENEWING DIGNITY INC
    PO BOX 330885
    ATLANTIC BEACH,FL32233     		  PC UNRESTRICTED USE 500
    RILEY CHILDREN'S FOUNDATION
    30 S MERIDIAN ST
    INDIANAPOLIS,IN46204     		  PC UNRESTRICTED USE 100
    RONALD MCDONALD CHARITIES OF TB
    35 DAVIS BLVD
    TAMPA,FL33606     		  PC UNRESTRICTED USE 5,600
    ROOSEVELT ELEMENTARY SCHOOL PTA
    3205 FERDINAND AVE SOUTH
    TAMPA,FL33629     		  PC UNRESTRICTED USE 175
    SAMARITAN'S PURSE
    PO BOX 3000
    BOONE,NC28607     		  PC UNRESTRICTED USE 500
    SCHOLARSHIP AMERICA
    PO BOX 772514
    DETROIT,MI48277     		  PC UNRESTRICTED USE 30,720
    SHELTER INC
    1616 N ARLINGTON HEIGHTS RD
    ARLINGTON HEIGHTS,IL60004     		  PC UNRESTRICTED USE 50
    SOUL SISTERS LEADERSHIP COLLECTIVE
    1951 NW 7TH AVE
    MIAMI,FL33136     		  PC UNRESTRICTED USE 1,000
    SOUTHEASTERN GUIDE DOGS
    4210 77TH STREET EAST
    PALMETTO,FL34221     		  PC UNRESTRICTED USE 2,050
    SPCA TAMPA BAY
    9099 130TH AVE N
    LARGO,FL33773     		  PC UNRESTRICTED USE 2,520
    SPELMAN COLLEGE
    350 SPELMAN LANE SW
    ATLANTA,GA30314     		  PC UNRESTRICTED USE 5,000
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    1501 W CLEVELAND STREET
    TAMPA,FL33608     		  PC UNRESTRICTED USE 2,460
    ST PETERSBURG FREE CLINIC
    863 THIRD AVENUE NORTH
    ST PETERSBURG,FL33701     		  PC UNRESTRICTED USE 1,000
    STREETSIDE SHOWERS
    PO BOX 2623
    MCKINNEY,TX75070     		  PC UNRESTRICTED USE 500
    SUNCOAST HOSPICE FOUNDATION
    5771 ROOSEVELT BLVD
    CLEARWATER,FL33760     		  PC UNRESTRICTED USE 750
    SUNRISE CHILDREN'S SERVICES
    1114 WEST SLIGH AVE
    TAMPA,FL33604     		  PC UNRESTRICTED USE 2,390
    SWIM ACROSS AMERICA
    8508 PARK ROAD 389
    CHARLOTTE,NC28210     		  PC UNRESTRICTED USE 52
    TAMPA BAY WATCH
    3000 PINELLAS BAYWAY SOUTH
    TIERRE VERDE,FL33715     		  PC UNRESTRICTED USE 1,000
    TAMPA PINNACLE ACADEMY PTO
    207 COMO STREET
    TAMPA,FL33606     		  PC UNRESTRICTED USE 500
    TANA HERSCH
    1726 STEMWOOD WAY
    FENTON,MO63026     		  PC UNRESTRICTED USE 240
    TASCO
    1400 19TH STREET N
    ST PETERSBURG,FL33713     		  PC UNRESTRICTED USE 700
    TEAM RUBICON
    214 MAIN ST
    EL SEGUNDO,CA90245     		  PC UNRESTRICTED USE 129
    TEAM WESTERN KY TORNADO RELIEF FUND
    229 WEST MAIN STREET SUITE 400
    FRANKFORT,KY40601     		  PC UNRESTRICTED USE 170
    THE CHILDREN'S ADVOCACY CENTER
    640 ILLINOIS BLVD
    HOFFMAN ESTATES,IL60169     		  PC UNRESTRICTED USE 575
    THE DEPAUL SCHOOL
    2747 SUNSET POINT ROAD
    CLEARWATER,FL33759     		  PC UNRESTRICTED USE 300
    THE FRIENDS OF BOYD HILL NATURE PRESERVE
    1101 COUNTRY CLUB WAY S
    ST PETERSBURG,FL33705     		  PC UNRESTRICTED USE 2,000
    THE KIND MOUSE PRODUCTIONS INC
    1801 16TH STREET NORTH
    ST PETERSBURG,FL33704     		  PC UNRESTRICTED USE 100
    THE LYN FUND
    2811 SPRING OAK COURT
    PALM HARBOR,FL34684     		  PC UNRESTRICTED USE 3,000
    THE NATURE CONSERVANCY
    4245 NORTH FAIRFAX DRIVE
    ARLINGTON,VA22203     		  PC UNRESTRICTED USE 500
    THE SPRING OF TAMPA BAY
    PO BOX 5147
    TAMPA,FL33675     		  PC UNRESTRICTED USE 1,000
    THE TREVOR PROJECT
    PO BOX 69232
    WEST HOLLYWOOD,CA90069     		  PC UNRESTRICTED USE 172
    TIMES NEWSPAPER IN EDUCATION
    490 FIRST AVE S
    ST PETERSBURG,FL33701     		  PC UNRESTRICTED USE 300
    TO WRITE LOVE ON HER ARMS INC
    PO BOX 2203
    MELBOURNE,FL32902     		  PC UNRESTRICTED USE 83
    TRANSCANWORK INC
    1001 N MARTEL AVE
    WEST HOLLYWOOD,CA90046     		  PC UNRESTRICTED USE 500
    TRENTON AREA SOUP KITCHEN
    72 1/2 ESCHER STREET PO BOX 872
    TRENTON,NJ08605     		  PC UNRESTRICTED USE 100
    TULANE UNIVERSITY
    6823 ST CHARLES AVE
    NEW ORLEANS,LA70118     		  PC UNRESTRICTED USE 100
    TUSKEGEE UNIVERSITY
    1200 W MONTGOMERY RD
    TUSKEGEE,AL36088     		  PC UNRESTRICTED USE 2,500
    TWLOHA
    PO BOX 2203
    MELBOURNE,FL32902     		  PC UNRESTRICTED USE 2,693
    UNBOUND
    1 ELMWOOD AVE
    KANSAS CITY,KS66103     		  PC UNRESTRICTED USE 315
    UNICEF USA
    125 MAIDEN LANE
    NEW YORK,NY10038     		  PC UNRESTRICTED USE 1,646
    UNIVERSITY OF CA BERKELEY FOUNDATION
    1995 UNIVERSITY AVE
    BERKELEY,CA94704     		  PC UNRESTRICTED USE 100
    UNIVERSITY OF TAMPA
    401 W KENNEDY BLVD
    TAMPA,FL33606     		  PC UNRESTRICTED USE 250
    VETERAN COMMUNITY PROJECT
    8900 TROOST AVE
    KANSAS CITY,MO64131     		  PC UNRESTRICTED USE 850
    WASHINGTON UNIVERSITY
    700 ROSEDALE AVE
    ST LOUIS,MO63112     		  PC UNRESTRICTED USE 500
    WEST OHIO FOOD BANK
    1380 E KIBBY STREET
    LIMA,OH45802     		  PC UNRESTRICTED USE 50
    WHEELCHAIRS 4 KIDS
    1976 S PINELLAS AVE
    TARPON SPRINGS,FL34689     		  PC UNRESTRICTED USE 1,500
    WOMEN IN LINUX
    2822 54TH AVE SOUTH
    ST PETERSBURG,FL33712     		  PC UNRESTRICTED USE 1,000
    WORLD CENTRAL KITCHEN
    1655 NEW YORK AVER
    WASHINGTON,DC20001     		  PC UNRESTRICTED USE 315
    WORLD VISION
    PO BOX 9716
    FEDERAL WAY,WA98063     		  PC UNRESTRICTED USE 1,050
    WORLD WILDLIFE FUND
    1250 24TH ST
    WASHINGTON,DC20037     		  PC UNRESTRICTED USE 20
    WOUNDED WARRIORS ABILITIES RANCH
    PO BOX 1035
    PINELLAS PARK,FL33780     		  PC UNRESTRICTED USE 1,000
    YMCA OF GREATER ST PETERSBURG
    600 1ST AVE NORTH
    ST PETERSBURG,FL33701     		  PC UNRESTRICTED USE 500
    Total .................................bullet 3a 212,147
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 36,026  
    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) .. 0 125,607 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    125,607
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    CATALINA MARKETING CHARITABLE FOUNDATION
     
    Employer identification number

    33-0489905
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    CATALINA MARKETING CHARITABLE FOUNDATION
          		Employer identification number
    33-0489905
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    CATALINA MARKETING CORPORATION
     
    200 CARILLON PARKWAY
     
    ST PETERSBURG, FL33716

    		$ 5,545


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    CATALINA MARKETING CHARITABLE FOUNDATION
          		Employer identification number

    33-0489905
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    CATALINA MARKETING CHARITABLE FOUNDATION
          		Employer identification number

    33-0489905
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    CATALINA MARKETING CHARITABLE FOUNDATION
    EIN:
    33-0489905
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BANK OF AMERICA [8314] 625,069 585,380

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    CATALINA MARKETING CHARITABLE FOUNDATION
    EIN:
    33-0489905
    Name of Stock End of Year Book Value End of Year Fair Market Value
    BANK OF AMERICA [8314] 1,019,211 1,215,054

    TY 2021 OtherExpensesSchedule
    Name:
    CATALINA MARKETING CHARITABLE FOUNDATION
    EIN:
    33-0489905
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSES 2,095 0   2,095


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    CATALINA MARKETING CHARITABLE FOUNDATION
    EIN:
    33-0489905
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISORY FEES 20,995 20,995   0


    TY 2021 TaxesSchedule
    Name:
    CATALINA MARKETING CHARITABLE FOUNDATION
    EIN:
    33-0489905
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 1,331 0   0