Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
MILLER DON FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

35-2004527
B Telephone number (see instructions)

(888) 730-4933
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$1,156,254
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check right arrow.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 33,739 33,627  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 14,932
b Gross sales price for all assets on line 6a 258,773
7 Capital gain net income (from Part IV, line 2)... 14,932
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)....... 1,773    
12 Total. Add lines 1 through 11........ 50,444 48,559  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 16,339 12,254   4,085
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)....... 1,190 0 0 1,190
c Other professional fees (attach schedule).... 4,408 768   3,640
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 845 845   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)....... 8 8    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 22,790 13,875 0 8,915
25 Contributions, gifts, grants paid....... 52,000 52,000
26 Total expenses and disbursements. Add lines 24 and 25 74,790 13,875 0 60,915
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -24,346
b Net investment income (if negative, enter -0-) 34,684
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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............. 890 258 258
2 Savings and temporary cash investments......... 46,021 30,374 30,374
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow     0 0
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow0      
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)....... 212,013 Click to see attachment
List of Attached Documents:
// Content
169,471
401,612
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 738,187 Click to see attachment
List of Attached Documents:
// Content
771,328
724,010
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 997,111 971,431 1,156,254
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 right arrow)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
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 right arrow
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 997,111 971,431
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)..... 997,111 971,431
30 Total liabilities and net assets/fund balances (see instructions). 997,111 971,431
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
997,111
2
Enter amount from Part I, line 27a .....................
2
-24,346
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
3
4
Add lines 1, 2, and 3 ..........................
4
972,768
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
1,337
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
971,431
Form 990-PF (2023)
Form 990-PF (2023)
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 5. ALPHABET INC CL C   2022-10-18 2023-01-25
b 16. ALPHABET INC CL C   2014-10-29 2023-01-25
c 2.00075 APPLE INC   2022-10-18 2023-01-25
d 2.99925 APPLE INC   2022-10-18 2023-01-25
e 16. APPLE INC   2009-11-19 2023-01-25
1. BOOKING HOLDINGS INC   2020-05-28 2023-01-25
12. CELANESE CORP   2022-08-10 2023-01-25
18. CITIGROUP INC.   2014-06-11 2023-01-25
9. COGNIZANT TECH SOLUTIONS CRP COM   2021-12-17 2023-01-25
4. WALT DISNEY CO   2022-06-24 2023-01-25
2. WALT DISNEY CO   2010-09-09 2023-01-25
4. META PLATFORMS INC   2021-04-08 2023-01-25
44. ISHARES CORE MSCI EMERGING ETF   2021-10-21 2023-01-25
2. LAM RESEARCH CORP COM   2022-10-25 2023-01-25
10. LAS VEGAS SANDS CORP   2019-09-10 2023-01-25
29. MANULIFE FINANCIAL CORP   2021-07-06 2023-01-25
198.352 T ROWE PR OVERSEAS STOCK-I #521   2021-10-21 2023-01-25
7. SUNCOR ENERGY INC NEW F   2022-10-18 2023-01-25
20. SUNCOR ENERGY INC NEW F   2015-07-07 2023-01-25
138.625 TCW EMRG MRKTS INC-PLAN #5721   2021-02-05 2023-01-25
1. THERMO FISHER SCIENTIFIC INC   2009-11-19 2023-01-25
28. VANGUARD MIDCAP VIPER   2021-10-21 2023-01-25
2. BLACKROCK INC   2014-10-29 2023-02-09
2. COGNIZANT TECH SOLUTIONS CRP COM   2022-10-18 2023-02-09
18. COGNIZANT TECH SOLUTIONS CRP COM   2016-03-16 2023-02-09
44. FIDELITY NATL INFORMATION SVCS INC   2022-02-18 2023-02-09
2. FIDELITY NATL INFORMATION SVCS INC   2022-10-18 2023-02-09
37. FIDELITY NATL INFORMATION SVCS INC   2019-06-11 2023-02-09
29. INTERPUBLIC GROUP COS INC   2020-10-26 2023-02-09
2. JPMORGAN CHASE & CO   2022-10-18 2023-02-09
6. JPMORGAN CHASE & CO   2016-05-17 2023-02-09
37. LAS VEGAS SANDS CORP   2016-04-25 2023-02-09
1. UNION PACIFIC CORP   2022-10-18 2023-02-09
5. UNION PACIFIC CORP   2009-11-19 2023-02-09
7. WASTE MANAGEMENT INC   2020-03-03 2023-02-09
8. WALT DISNEY CO   2010-09-09 2023-03-17
12. MANULIFE FINANCIAL CORP   2022-10-18 2023-03-17
88. MANULIFE FINANCIAL CORP   2015-12-18 2023-03-17
1. ABBVIE INC   2022-10-18 2023-05-17
6. ABBVIE INC   2023-01-25 2023-05-17
3. ABBVIE INC   2021-10-13 2023-05-17
5. ADVANCED MICRO DEVICES INC   2023-02-09 2023-05-17
4. BLACKSTONE INC   2023-02-09 2023-05-17
2. BOEING CO   2022-10-25 2023-05-17
1. BROADCOM INC   2019-07-03 2023-05-17
2. CVS HEALTH CORPORATION   2022-10-18 2023-05-17
3. CVS HEALTH CORPORATION   2019-07-19 2023-05-17
3. CISCO SYSTEMS INC   2022-10-18 2023-05-17
8. CISCO SYSTEMS INC   1997-07-11 2023-05-17
11.236 DELAWARE SMALL CAP CORE-R6   2022-10-18 2023-05-17
795.273 DELAWARE SMALL CAP CORE-R6   2022-04-27 2023-05-17
1. DIAGEO PLC - ADR   2022-10-18 2023-05-17
2. DIAGEO PLC - ADR   2016-04-25 2023-05-17
1. ELECTRONIC ARTS INC   2022-10-18 2023-05-17
3. ELECTRONIC ARTS INC   2019-10-16 2023-05-17
5. HASBRO INC   2021-04-08 2023-05-17
2. HOME DEPOT INC   2022-12-06 2023-05-17
6. INTERPUBLIC GROUP COS INC   2020-10-26 2023-05-17
6. JPMORGAN CHASE & CO   2016-05-17 2023-05-17
2. ELI LILLY & CO COM   2022-08-10 2023-05-17
2. ELI LILLY & CO COM   2023-01-25 2023-05-17
6. MANULIFE FINANCIAL CORP   2020-10-26 2023-05-17
7. MERCK & CO INC NEW   2021-08-30 2023-05-17
1. MICROSOFT CORP   2022-10-18 2023-05-17
8. MICROSOFT CORP   2023-02-09 2023-05-17
6. MONDELEZ INTERNATIONAL INC   2018-07-17 2023-05-17
2. NIKE INC CL B   2017-10-23 2023-05-17
14. RTX CORP   2023-01-25 2023-05-17
13. REGIONS FINL CORP NEW   2022-08-22 2023-05-17
4. SYSCO CORP   2020-08-25 2023-05-17
1. TARGET CORP   2022-10-18 2023-05-17
1. TARGET CORP   2011-07-13 2023-05-17
13. TORONTO DOMINION BK ONT COM NEW   2023-02-09 2023-05-17
10. TOTAL S.A. - ADR   2022-06-24 2023-05-17
1. TOTAL S.A. - ADR   2017-08-09 2023-05-17
263.939 TOUCHSTONE MID CAP-R6 #355   2021-10-21 2023-05-17
3. UNILEVER PLC - ADR   2020-02-03 2023-05-17
2. UNION PACIFIC CORP   2009-11-19 2023-05-17
4. UNITED PARCEL SERVICE-CL B   2023-02-09 2023-05-17
2. UNITEDHEALTH GROUP INC   2023-01-25 2023-05-17
2. UNITEDHEALTH GROUP INC   2022-08-10 2023-05-17
345. VANGUARD MIDCAP VIPER   2021-05-28 2023-05-17
2. VISA INC-CLASS A SHRS   2023-02-09 2023-05-17
3. WASTE MANAGEMENT INC   2020-03-03 2023-05-17
4. EATON CORP PLC   2022-08-10 2023-05-17
4. GARMIN LTD   2021-12-17 2023-05-17
4. TE CONNECTIVITY LTD   2021-11-19 2023-05-17
4. ABBVIE INC   2021-10-13 2023-06-02
6. ALPHABET INC CL C   2023-05-17 2023-06-02
7. ALPHABET INC CL C   2014-10-29 2023-06-02
3. APPLE INC   2022-11-02 2023-06-02
7. APPLE INC   2023-05-17 2023-06-02
2. APPLE INC   2009-11-19 2023-06-02
689.64808 BAIRD AGGREGATE BOND FUND-INST 72   2021-10-21 2023-06-02
233.43492 BAIRD AGGREGATE BOND FUND-INST 72   2021-10-21 2023-06-02
7. BLACKSTONE INC   2023-02-09 2023-06-02
2. BOEING CO   2022-10-25 2023-06-02
1. BROADCOM INC   2019-07-03 2023-06-02
7. CVS HEALTH CORPORATION   2019-07-19 2023-06-02
3. CELANESE CORP   2023-05-17 2023-06-02
10. CISCO SYSTEMS INC   1997-07-11 2023-06-02
6.99861 CITIGROUP INC.   2015-01-27 2023-06-02
6.00139 CITIGROUP INC.   2014-06-11 2023-06-02
3. DIAGEO PLC - ADR   2016-04-25 2023-06-02
4. ELECTRONIC ARTS INC   2019-10-16 2023-06-02
1. META PLATFORMS INC   2021-04-23 2023-06-02
1. META PLATFORMS INC   2021-04-23 2023-06-02
52.08674 FIDELITY NEW MRKTS INC-Z #3323   2018-07-31 2023-06-02
71.48026 FIDELITY NEW MRKTS INC-Z #3323   2014-01-31 2023-06-02
90.499 GLDMN SCHS GQP PRT INTL-R6 #4946   2023-05-18 2023-06-02
8. HASBRO INC   2021-04-08 2023-06-02
2. HOME DEPOT INC   2022-12-06 2023-06-02
18. ISHARES CORE MSCI EMERGING ETF   2021-10-21 2023-06-02
5. JPMORGAN CHASE & CO   2009-11-19 2023-06-02
1. LAM RESEARCH CORP COM   2023-05-17 2023-06-02
1. ELI LILLY & CO COM   2022-08-10 2023-06-02
1. ELI LILLY & CO COM   2016-10-03 2023-06-02
35. MANULIFE FINANCIAL CORP   2020-10-26 2023-06-02
5. MERCK & CO INC NEW   2021-08-30 2023-06-02
2. MICROSOFT CORP   2022-10-18 2023-06-02
5. MICROSOFT CORP   2015-01-27 2023-06-02
8. MONDELEZ INTERNATIONAL INC   2018-07-17 2023-06-02
297.35993 PIMCO TOTAL RET FD-INST #35   2021-05-28 2023-06-02
122.71607 PIMCO TOTAL RET FD-INST #35   2021-05-28 2023-06-02
42.82 PIMCO COMMODITY REAL RET STRAT-I45   2022-08-11 2023-06-02
15. PIMCO ENHANCED SHORT MATURITY ETF   2023-05-17 2023-06-02
145.09925 PGIM HIGH YIELD-Q 1067   2022-01-24 2023-06-02
145.63675 PGIM HIGH YIELD-Q 1067   2022-01-24 2023-06-02
1. RTX CORP   2022-08-22 2023-06-02
6. RTX CORP   2023-02-09 2023-06-02
165.737 T ROWE PR OVERSEAS STOCK-I #521   2021-10-21 2023-06-02
19. SUNCOR ENERGY INC NEW F   2023-03-17 2023-06-02
21.10646 TCW EMRG MRKTS INC-PLAN #5721   2021-02-05 2023-06-02
327.73954 TCW EMRG MRKTS INC-PLAN #5721   2021-02-05 2023-06-02
8. TORONTO DOMINION BK ONT COM NEW   2023-02-09 2023-06-02
8. TOTAL S.A. - ADR   2022-06-24 2023-06-02
46.558 TOUCHSTONE MID CAP-R6 #355   2021-10-21 2023-06-02
2. UNITED PARCEL SERVICE-CL B   2023-02-09 2023-06-02
1. UNITEDHEALTH GROUP INC   2011-07-13 2023-06-02
5.99967 VANGUARD LONG-TERM BOND ETF   2023-01-25 2023-06-02
10.00033 VANGUARD LONG-TERM BOND ETF   2023-01-25 2023-06-02
11. VANGUARD MIDCAP VIPER   2022-01-24 2023-06-02
2. VISA INC-CLASS A SHRS   2023-02-09 2023-06-02
1. VISA INC-CLASS A SHRS   2021-12-17 2023-06-02
2. WASTE MANAGEMENT INC   2020-03-03 2023-06-02
5. EATON CORP PLC   2022-08-22 2023-06-02
5. GARMIN LTD   2020-05-28 2023-06-02
3. TE CONNECTIVITY LTD   2021-11-19 2023-06-02
66. CVS HEALTH CORPORATION   2007-01-10 2023-06-15
2. WALT DISNEY CO   2023-05-17 2023-06-15
39. WALT DISNEY CO   2010-09-09 2023-06-15
8. ELECTRONIC ARTS INC   2018-12-21 2023-06-15
2. HASBRO INC   2022-10-18 2023-06-15
63. HASBRO INC   2021-04-08 2023-06-15
3. LAS VEGAS SANDS CORP   2022-10-18 2023-06-15
2. LAS VEGAS SANDS CORP   2023-05-17 2023-06-15
55. LAS VEGAS SANDS CORP   2015-12-24 2023-06-15
2. ELI LILLY & CO COM   2016-10-03 2023-06-15
73. SYSCO CORP   2020-04-01 2023-06-15
1. EATON CORP PLC   2022-10-18 2023-06-15
4. EATON CORP PLC   2021-02-10 2023-06-15
1. ADOBE SYS INC   2023-06-15 2023-10-18
6. ADVANCED MICRO DEVICES INC   2023-06-15 2023-10-18
9. ALPHABET INC CL C   2014-10-29 2023-10-18
6. APPLE INC   2009-11-19 2023-10-18
1. BROADCOM INC   2019-07-03 2023-10-18
2. META PLATFORMS INC   2021-04-23 2023-10-18
2. ELI LILLY & CO COM   2016-10-03 2023-10-18
7. MICROSOFT CORP   2014-08-06 2023-10-18
6. NIKE INC CL B   2017-10-23 2023-10-18
162. PIMCO COMMODITY REAL RET STRAT-I45   2022-07-27 2023-10-18
44. REGIONS FINL CORP NEW   2022-10-25 2023-10-18
2. THERMO FISHER SCIENTIFIC INC   2023-06-15 2023-10-18
9. TOTAL S.A. - ADR   2022-06-24 2023-10-18
3. UNION PACIFIC CORP   2009-11-19 2023-10-18
1. UNITEDHEALTH GROUP INC   2022-09-08 2023-10-18
8. GARMIN LTD   2020-05-28 2023-10-18
12. CELANESE CORP   2023-06-15 2023-12-15
1. CELANESE CORP   2022-10-18 2023-12-15
112. INTERPUBLIC GROUP COS INC   2020-10-26 2023-12-15
3. ELI LILLY & CO COM   2016-11-30 2023-12-15
32. RTX CORP   2019-08-14 2023-12-15
5. EATON CORP PLC   2021-02-10 2023-12-15
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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    
(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 486   519 -33
b 1,555   437 1,118
c 280   291 -11
d 420   436 -16
e 2,243   115 2,128
2,298   1,672 626
1,437   1,256 181
916   879 37
569   769 -200
418   389 29
209   69 140
571   1,246 -675
2,252   2,805 -553
939   761 178
546   590 -44
555   566 -11
2,360   2,662 -302
232   222 10
664   550 114
876   1,164 -288
571   46 525
5,967   7,023 -1,056
1,432   680 752
133   122 11
1,196   1,082 114
3,239   4,269 -1,030
147   158 -11
2,724   4,341 -1,617
1,070   549 521
280   240 40
840   505 335
2,128   1,882 246
203   203  
1,013   162 851
1,065   793 272
747   275 472
210   196 14
1,542   1,351 191
142   146 -4
854   885 -31
427   326 101
504   417 87
324   366 -42
407   292 115
648   285 363
134   185 -51
202   169 33
142   127 15
378   67 311
287   290 -3
20,303   21,798 -1,495
178   170 8
356   220 136
124   123 1
373   287 86
310   481 -171
564   635 -71
218   114 104
817   370 447
871   608 263
871   692 179
115   85 30
804   536 268
312   243 69
2,500   2,115 385
465   257 208
232   108 124
1,347   1,379 -32
209   288 -79
294   232 62
158   157 1
158   51 107
790   893 -103
599   516 83
60   51 9
11,930   13,131 -1,201
162   177 -15
394   65 329
669   740 -71
961   982 -21
961   1,072 -111
70,458   80,269 -9,811
463   459 4
504   340 164
670   594 76
411   534 -123
484   659 -175
545   435 110
752   721 31
877   191 686
541   470 71
1,262   1,202 60
361   14 347
6,690   7,834 -1,144
2,264   2,652 -388
629   641 -12
429   292 137
808   285 523
490   395 95
343   312 31
500   84 416
325   340 -15
278   292 -14
512   330 182
509   383 126
273   347 -74
273   347 -74
592   791 -199
813   1,085 -272
1,610   1,611 -1
481   770 -289
590   635 -45
886   1,147 -261
706   282 424
613   564 49
441   304 137
441   81 360
672   498 174
562   383 179
669   486 183
1,674   215 1,459
593   343 250
2,536   3,069 -533
1,047   1,266 -219
541   859 -318
1,488   1,491 -3
665   781 -116
667   784 -117
96   93 3
575   585 -10
1,986   2,224 -238
550   549 1
127   177 -50
1,980   2,753 -773
469   549 -80
474   411 63
2,148   2,316 -168
341   370 -29
500   52 448
444   467 -23
741   779 -38
2,311   2,466 -155
456   459 -3
228   213 15
329   227 102
931   740 191
534   456 78
378   494 -116
4,489   2,120 2,369
184   182 2
3,594   1,341 2,253
1,027   612 415
123   137 -14
3,874   6,036 -2,162
177   110 67
118   118  
3,238   2,438 800
907   161 746
5,328   3,122 2,206
193   142 51
773   487 286
554   479 75
620   744 -124
1,266   246 1,020
1,054   43 1,011
880   285 595
643   695 -52
1,214   161 1,053
2,325   301 2,024
619   323 296
2,187   3,261 -1,074
733   930 -197
962   1,056 -94
605   462 143
630   97 533
543   528 15
847   729 118
1,816   1,385 431
151   95 56
3,664   2,119 1,545
1,691   203 1,488
2,569   2,644 -75
1,174   608 566
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
      160
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       -33
b       1,118
c       -11
d       -16
e       2,128
      626
      181
      37
      -200
      29
      140
      -675
      -553
      178
      -44
      -11
      -302
      10
      114
      -288
      525
      -1,056
      752
      11
      114
      -1,030
      -11
      -1,617
      521
      40
      335
      246
       
      851
      272
      472
      14
      191
      -4
      -31
      101
      87
      -42
      115
      363
      -51
      33
      15
      311
      -3
      -1,495
      8
      136
      1
      86
      -171
      -71
      104
      447
      263
      179
      30
      268
      69
      385
      208
      124
      -32
      -79
      62
      1
      107
      -103
      83
      9
      -1,201
      -15
      329
      -71
      -21
      -111
      -9,811
      4
      164
      76
      -123
      -175
      110
      31
      686
      71
      60
      347
      -1,144
      -388
      -12
      137
      523
      95
      31
      416
      -15
      -14
      182
      126
      -74
      -74
      -199
      -272
      -1
      -289
      -45
      -261
      424
      49
      137
      360
      174
      179
      183
      1,459
      250
      -533
      -219
      -318
      -3
      -116
      -117
      3
      -10
      -238
      1
      -50
      -773
      -80
      63
      -168
      -29
      448
      -23
      -38
      -155
      -3
      15
      102
      191
      78
      -116
      2,369
      2
      2,253
      415
      -14
      -2,162
      67
       
      800
      746
      2,206
      51
      286
      75
      -124
      1,020
      1,011
      595
      -52
      1,053
      2,024
      296
      -1,074
      -197
      -94
      143
      533
      15
      118
      431
      56
      1,545
      1,488
      -75
      566
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 14,932
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  
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 right arrow 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) 1 482
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........................... 3 482
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- ..... 5 482
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 492
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.............. 7 492
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.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 10
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow10 Refundedright arrow 11 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
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. right arrow$   (2) On foundation managers.right arrow$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$  
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:
round bullet By language in the governing instrument, or
round bullet 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)
right arrowIN
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 2023 or the taxable year beginning in 2023? 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
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 addressright arrowN/A
14
The books are in care ofright arrowWELLS FARGO BANK NA Telephone no.right arrow (800) 352-3705

Located atright arrow100 N MAIN ST FL 5D4001-052WINSTON SALEMNC ZIP+4right arrow27101
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
Yes
 
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
No
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
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 2023? .............
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
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)
Yes
 
(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
 
No
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
d
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant? .................
5d
 
 
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract? .............................
6a
 
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
6b
 
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
7a
 
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
7b
 
 
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year? .........................
8
 
No
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a) Name and address (b) Title, and average
hours per week
devoted to position
(c) Compensation
(If not paid, enter
-0-)
(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
other allowances
WELLS FARGO BANK N A TRUSTEE
1
16,339    
100 N MAIN ST FL 5D4001-052
WINSTONSALEM,NC27101
2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a) Name and address of each employee paid more than $50,000 (b) Title, and average
hours per week
devoted to position
(c) Compensation (d) Contributions to
employee benefit
plans and deferred
compensation
(e) Expense account,
other allowances
NONE
Total number of other employees paid over $50,000...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
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.............right arrow0
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.........................right arrow  
Form 990-PF (2023)
Form 990-PF (2023)
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
1,068,512
b
Average of monthly cash balances.......................
1b
24,707
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
1,093,219
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
1,093,219
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
16,398
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
1,076,821
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
53,841
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
53,841
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
482
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
482
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
53,359
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
53,359
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
53,359
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
60,915
b
Program-related investments—total from Part VIII-B..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
0
b
Cash distribution test (attach the required schedule) .................
3b
0
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
60,915
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus
(b)
Years prior to 2022
(c)
2022
(d)
2023
1 Distributable amount for 2023 from Part X, line 7 53,359
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 42,274
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 0
b From 2019...... 0
c From 2020...... 0
d From 2021...... 0
e From 2022...... 0
f Total of lines 3a through e ........ 0
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 60,915
a Applied to 2022, but not more than line 2a 42,274
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 2023 distributable amount..... 18,641
e Remaining amount distributed out of corpus 0
5 Excess distributions carryover applied to 2023. 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 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions .............
0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 ..........
34,718
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 2018 not
applied on line 5 or line 7 (see instructions) ...
0
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ......
0
10 Analysis of line 9:
a Excess from 2019.... 0
b Excess from 2020.... 0
c Excess from 2021.... 0
d Excess from 2022.... 0
e Excess from 2023.... 0
Form 990-PF (2023)
Form 990-PF (2023)
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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed ..........
Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
line 4 for each year listed .....
         
d Amounts included in line 2c not used directly
for active conduct of exempt activities ..........
         
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c ....
         
3 Complete 3a, b, or c for the
alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......          
(2) Value of assets qualifying
under section 4942(j)(3)(B)(i)
         
b “Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed ..
         
c “Support" alternative test—enter:
(1) Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties) ....
         
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)....
         
(3) Largest amount of support
from an exempt organization
         
(4) Gross investment income          
Part XIV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1Information Regarding Foundation Managers:
aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
JENNIFER KING WELLS FARGO BANK N A
111 E WAYNE ST
FORT WAYNE,IN56802
(260) 461-6458
N/A
bThe form in which applications should be submitted and information and materials they should include:
Application, Financial Need
cAny submission deadlines:
APRIL 1ST
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
High school SR in Green Springs, Ohio Community School Sys demonstrate academic achievement and rank in the upper 50% attend full-time an accredited two-year or four-year college
Form 990-PF (2023)
Form 990-PF (2023)
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

BOWLING GREEN ST UNIV FBO KARLI DEEL

PO BOX 993
BOWLING GREEN,OH43402
NONE I SCHOLARSHIP 3,600

OHIO ST UNIV FBO MACOY DICKMAN

1800 CANNON DR
COLUMBUS,OH42310
NONE I SCHOLARSHIP 550

BOWLING GREEN ST UNIV FBO
JENNA DISTEL
PO BOX 993
BOWLING GREEN,OH43402
NONE I SCHOLARSHIP 3,600

BOWLING GREEN ST UNIV FBO
AURORA FIELDS
PO BOX 993
BOWLING GREEN,OH43402
NONE I SCHOLARSHIP 3,600

OHIO UNIV FBO MARIN GAMERTSFELDER

020 CHUBB HALL
ATHENS,OH45701
NONE I SCHOLARSHIP 1,350

OHIO ST UNIV FBO ROBERT GREENSLADE

1800 CANNON DR
COLUMBUS,OH42310
NONE I SCHOLARSHIP 550

HEIDELBERG UNIV FBO KRISTEN HARRAH

310 E MARKET ST
TIFFIN,OH44883
NONE I SCHOLARSHIP 550

UNIV OF AKRON FBO MARGARET HILLIKER

302 E BUCHTEL AVE
AKRON,OH44325
NONE I SCHOLARSHIP 550

UNIV OF AKRON FBO ISABELLE HOWERTON

302 E BUCHTEL AVE
AKRON,OH44325
NONE I SCHOLARSHIP 550

CLEVELAND ST UNIV FBO ADAM KAUBLE

2121 EUCLID AVE
CLEVELAND,OH44115
NONE I SCHOLARSHIP 1,350

BALDWIN WALLACE UNIV FBO ANDREW KAUBLE

275 EASTLAND RD
BEREA,OH44017
NONE I SCHOLARSHIP 550

MALONE UNIV FBO CARRIE-ANN LEIBENGOOD

515 25TH ST
CANTON,OH44709
NONE I SCHOLARSHIP 550

UNIV OF FINDLAY FBO RYAN LOZIER

1000 N MAIN ST
FINDLAY,OH45840
NONE I SCHOLARSHIP 550

TIFFIN UNIV FBO WILLIAM LOZIER

155 MIAMI STREET
TIFFIN,OH44883
NONE I SCHOLARSHIP 550

OHIO NORTHERN UNIV FBO GRAYSON MORGAN

525 S MAIN ST
ADA,OH45810
NONE I SCHOLARSHIP 2,400

BALDWIN WALLACE UNIV FBO
BROOKE NEWSOME
275 EASTLAND RD
BEREA,OH44017
NONE I SCHOLARSHIP 550

TIFFIN UNIV FBO DILLON OVERMYER

155 MIAMI STREET
TIFFIN,OH44883
NONE I SCHOLARSHIP 550

KENT ST UNIV FBO MADELYN PROFITT

PO BOX 5190
KENT,OH44242
NONE I SCHOLARSHIP 550

BOWLING GREEN ST UNIV FBO
JACKSON ROGERS
PO BOX 993
BOWLING GREEN,OH43402
NONE I SCHOLARSHIP 2,400

UNIV OF FINDLAY FBO KAMDYN TAYLOR

1000 N MAIN ST
FINDLAY,OH45840
NONE I SCHOLARSHIP 550

KENT ST UNIV FBO MCKENZIE WADSWORTH

PO BOX 5190
KENT,OH44242
NONE I SCHOLARSHIP 550

BUTLER UNIV FBO MACY CANSDALE

4600 SUNSET AVE
INDIANAPOLIS,IN46208
NONE I SCHOLARSHIP 3,800

DEPAUW UNIV FBO CARSON CARPENTER

313 S LOCUST ST
GREENCASTLE,IN46135
NONE I SCHOLARSHIP 3,800

MESSIAH UNIV FBO TRISTA GLACE

1 COLLEGE AVE SUITE 4516
MECHANICSBURG,PA17055
NONE I SCHOLARSHIP 3,800

INDIANA UNIV-PURDUE UNIV FBO
GRACE KINDRED
4601 CENTRAL AVE
COLUMBUS,IN47203
NONE I SCHOLARSHIP 3,800

UNIV OF WISCONSIN FBO ELINORE NEEVES

333 E CAMPUS MALL 10501
MADISON,WI53715
NONE I SCHOLARSHIP 3,800

BALL ST UNIV FBO SHELBY TINCHER

2000 W UNIVERSITY AVE
MUNCIE,IN47306
NONE I SCHOLARSHIP 3,200

JONES COLLEGE FBO TREMAYNE WHEATON

900 S COURT ST
ELLISVILLE,MS39437
NONE I SCHOLARSHIP 3,800
Total .................................right arrow 3a 52,000
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2023)
Form 990-PF (2023)
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 ....     14 33,739  
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 14,932  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aFEDERAL TAX REFUND
    1 1,773  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   50,444  
13Total. Add line 12, columns (b), (d), and (e)..................
13
50,444
(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 (2023)
Form 990-PF (2023)
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.
right arrow right arrow
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 Check if self-
employed right arrow
PTIN
Firm's name SmallBullet
Firm's EIN SmallBullet
Firm's address SmallBullet


Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description

TY 2023 AccountingFeesSchedule
Name:
MILLER DON FOUNDATION
EIN:
35-2004527
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
TAX PREPARATION FEE (NON-ALLOC 1,190     1,190

TY 2023 InvestmentsCorpStockSchedule
Name:
MILLER DON FOUNDATION
EIN:
35-2004527
Name of Stock End of Year Book Value End of Year Fair Market Value
883556102 THERMO FISHER SCIENT 465 5,308
907818108 UNION PACIFIC CORP 615 4,667
911312106 UNITED PARCEL SERVIC 3,461 6,604
H2906T109 GARMIN LTD 4,523 6,556
512807108 LAM RESEARCH CORP CO 2,075 9,399
891160509 TORONTO DOMINION BK 6,613 7,690
654106103 NIKE INC CL B 1,935 3,909
89151E109 TOTALENERGIES SE -SP 7,511 9,905
94106L109 WASTE MANAGEMENT INC 3,336 5,373
904767704 UNILEVER PLC - ADR 3,953 3,588
867224107 SUNCOR ENERGY INC NE 7,132 9,099
H84989104 TE CONNECTIVITY LTD 3,076 5,761
254687106 WALT DISNEY CO    
G29183103 EATON CORP PLC 4,677 10,114
871829107 SYSCO CORP    
87612E106 TARGET CORP 1,535 4,273
91324P102 UNITEDHEALTH GROUP I 1,672 12,109
09857L108 BOOKING HOLDINGS INC 5,995 10,642
11135F101 BROADCOM INC 3,920 15,628
92826C839 VISA INC-CLASS A SHR 5,911 9,112
31620M106 FIDELITY NATL INFORM    
126650100 CVS HEALTH CORPORATI    
17275R102 CISCO SYSTEMS INC 1,074 6,467
25243Q205 DIAGEO PLC - ADR 2,690 4,952
532457108 ELI LILLY & CO COM 1,218 10,493
56501R106 MANULIFE FINANCIAL C 4,789 8,000
09247X101 BLACKROCK INC 2,802 7,306
46625H100 JPMORGAN CHASE & CO 3,105 12,417
58933Y105 MERCK & CO INC NEW 4,594 9,158
02079K107 ALPHABET INC CL C 3,727 23,958
150870103 CELANESE CORP 3,429 9,011
172967424 CITIGROUP INC. 6,227 7,407
097023105 BOEING CO 3,757 9,123
609207105 MONDELEZ INTERNATION 3,560 6,012
09260D107 BLACKSTONE INC 4,087 9,557
75513E101 RTX CORP 5,199 6,226
594918104 MICROSOFT CORP 2,983 35,348
00287Y109 ABBVIE INC 4,832 6,974
517834107 LAS VEGAS SANDS CORP    
037833100 APPLE INC 1,282 34,270
192446102 COGNIZANT TECH SOLUT 3,736 5,136
285512109 ELECTRONIC ARTS INC 2,677 4,788
460690100 INTERPUBLIC GROUP CO    
30303M102 META PLATFORMS INC 7,106 12,743
418056107 HASBRO INC    
437076102 HOME DEPOT INC 5,449 5,891
7591EP100 REGIONS FINL CORP NE 4,956 4,923
00724F101 ADOBE INC 4,788 5,966
007903107 ADVANCED MICRO DEVIC 3,876 6,781
580135101 MCDONALDS CORP 4,662 4,744
855244109 STARBUCKS CORP COM 4,461 4,224

TY 2023 InvestmentsOtherSchedule2
Name:
MILLER DON FOUNDATION
EIN:
35-2004527
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
24610B826 DELAWARE SMALL CAP C      
722005667 PIMCO COMMODITY REAL AT COST 57,628 41,429
46434G103 ISHARES CORE MSCI EM AT COST 25,401 22,103
74440Y884 PGIM HIGH YIELD-Q 10 AT COST 37,053 32,892
31641Q755 FIDELITY NEW MRKTS I AT COST 28,213 24,041
872365713 TCW EMRG MRKTS INC-P AT COST 55,675 47,300
77956H435 T ROWE PR OVERSEAS S AT COST 68,858 69,230
057071854 BAIRD AGGREGATE BOND AT COST 218,605 206,375
693390700 PIMCO TOTAL RET FD-I AT COST 90,206 80,378
89155T490 TOUCHSTONE MID CAP-R AT COST 44,577 48,953
922908629 VANGUARD MIDCAP VIPE AT COST 56,814 59,788
38147N269 GLDMN SCHS GQP PRT I AT COST 31,644 35,200
72201R833 PIMCO ENHANCED SHORT AT COST 31,812 31,933
921937793 VANGUARD LONG-TERM B AT COST 24,842 24,388

TY 2023 OtherDecreasesSchedule
Name:
MILLER DON FOUNDATION
EIN:
35-2004527
Description Amount
MUTUAL FUND TIMING ADJ 1,006
ROC ON CY SALES 4
PY RETURN OF CAPITAL ADJUSTMENT 323
TAX LOT BASIS ADJUSTMENT 4


TY 2023 OtherExpensesSchedule
Name:
MILLER DON FOUNDATION
EIN:
35-2004527
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMENT EXPENSES - ADR FEES 8 8   0


TY 2023 OtherIncomeSchedule2
Name:
MILLER DON FOUNDATION
EIN:
35-2004527
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
FEDERAL TAX REFUND 1,773 0  


TY 2023 OtherIncreasesSchedule
Name:
MILLER DON FOUNDATION
EIN:
35-2004527
Description Amount
ROUNDING 3


TY 2023 OtherProfessionalFeesSchedule
Name:
MILLER DON FOUNDATION
EIN:
35-2004527
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMNT MNGMNT FEES (NON-DED 768 768    
SCHOLARSHIP ADMIN FEES 3,640     3,640


TY 2023 TaxesSchedule
Name:
MILLER DON FOUNDATION
EIN:
35-2004527
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAXES 735 735   0
FOREIGN TAXES ON NONQUALIFIED 110 110   0