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 04-01-2023 , and ending 03-31-2024
Name of foundation
NABHOLZ CHARITABLE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 2090
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CONWAY, AR72033
A Employer identification number

58-1748037
B Telephone number (see instructions)

(501) 327-7781
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$807,309
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) 322,415
2 Check right arrow.............
3 Interest on savings and temporary cash investments 3,528 3,528  
4 Dividends and interest from securities... 22,425 22,425  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 215,880
b Gross sales price for all assets on line 6a 820,087
7 Capital gain net income (from Part IV, line 2)... 215,880
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)....... -2,173 -2,173  
12 Total. Add lines 1 through 11........ 562,075 239,660  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 3,095      
c Other professional fees (attach schedule).... 1,500 1,500    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 1,303      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 85      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 5,983 1,500   0
25 Contributions, gifts, grants paid....... 867,200 867,200
26 Total expenses and disbursements. Add lines 24 and 25 873,183 1,500   867,200
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -311,108
b Net investment income (if negative, enter -0-) 238,160
c Adjusted net income (if negative, enter -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............. 69,819 47,571 47,571
2 Savings and temporary cash investments......... 131,748 1,404 1,404
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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 arrow        
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)....... 951,658 Click to see attachment
List of Attached Documents:
// Content
758,334
758,334
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)..........      
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) 1,153,225 807,309 807,309
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........ 1,153,225 807,309
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)..... 1,153,225 807,309
30 Total liabilities and net assets/fund balances (see instructions). 1,153,225 807,309
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
1,153,225
2
Enter amount from Part I, line 27a .....................
2
-311,108
3
Other increases not included in line 2 (itemize) right arrow
3
 
4
Add lines 1, 2, and 3 ..........................
4
842,117
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
34,808
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
807,309
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 AM CAR MART P 2022-04-08 2023-06-13
b COUCHBASE INC. P 2022-09-16 2023-05-12
c DRAFT KINGS P 2022-06-08 2023-05-05
d J B HUNT P 2022-04-01 2023-10-31
e GARMIN P 2022-03-08 2023-10-31
HCA HEALTHCARE P 2020-07-07 2023-05-04
HCA HEALTHCARE P 2022-04-25 2023-06-25
REGIONS P 2022-06-10 2023-12-14
REGIONS P 2022-06-10 2024-01-05
REGIONS P 2024-02-05 2024-02-15
SIMMONS P 2023-05-04 2023-06-02
SIMMONS P 2023-05-04 2023-10-31
TRADE DESK P 2022-06-30 2023-09-13
TRADE DESK P 2022-06-30 2023-10-31
(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 35,975   32,641 3,334
b 8,111   7,203 908
c 36,669   21,424 15,245
d 33,747   36,886 -3,139
e 25,415   27,271 -1,856
111,550   39,114 72,436
230,888   156,115 74,773
38,860   41,675 -2,815
104,267   112,894 -8,627
46,640   19,418 27,222
35,621   30,989 4,632
34,854   37,874 -3,020
42,905   20,503 22,402
34,585   20,200 14,385
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       3,334
b       908
c       15,245
d       -3,139
e       -1,856
      72,436
      74,773
      -2,815
      -8,627
      27,222
      4,632
      -3,020
      22,402
      14,385
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 2 215,880
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 44,987
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 3,310
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 3,310
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 3,310
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a  
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c 1,850
d Backup withholding erroneously withheld .......... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,850
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment
List of Attached Documents:
// Content
8 72
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9 1,532
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10  
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow   Refundedright arrow 11  
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 arrow
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 .Click to see attachment
List of Attached Documents:
// Content
8b
 
No
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 arrowBRAD HEGEMAN Telephone no.right arrow (501) 505-5800

Located atright arrow612 GARLAND ST612 GARLAND STCONWAYAR ZIP+4right arrow72032
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)
 
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
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
 
 
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)
 
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
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
DON GREENLAND DIRECTOR
000.00
0 0 0
612 GARLAND ST
CONWAY,AR72032
CHARLES NABHOLZ DIRECTOR
000.00
0 0 0
612 GARLAND ST
CONWAY,AR72032
BRAD HEGEMAN DIRECTOR
000.00
0 0 0
612 GARLAND ST
CONWAY,AR72032
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  
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 arrow  
Part VIII-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
1  
2  
3  
4  
Part VIII-B
Summary of Program-Related Investments (see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
1 N/A  
2  
All other program-related investments. See instructions.
3  
Total. Add lines 1 through 3.........................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
931,271
b
Average of monthly cash balances.......................
1b
115,359
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
1,046,630
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) .............
1e
 
2
Acquisition indebtedness applicable to line 1 assets..................
2
 
3
Subtract line 2 from line 1d.........................
3
1,046,630
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
15,699
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
1,030,931
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
51,547
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
51,547
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
3,310
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
3,310
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
48,237
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
48,237
6
Deduction from distributable amount (see instructions).................
6
 
7
Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
7
48,237
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
867,200
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
867,200
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 48,237
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only.......  
b Total for prior years:20 , 20, 20  
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 730,159
b From 2019...... 599,743
c From 2020...... 630,559
d From 2021...... 602,539
e From 2022...... 658,459
f Total of lines 3a through e ........ 3,221,459
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 867,200
a Applied to 2022, but not more than line 2a  
b Applied to undistributed income of prior years
(Election required—see instructions).....
 
c Treated as distributions out of corpus (Election
required—see instructions)........
 
d Applied to 2023 distributable amount..... 48,237
e Remaining amount distributed out of corpus 818,963
5 Excess distributions carryover applied to 2023.    
(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 4,040,422
b Prior years’ undistributed income. Subtract
line 4b from line 2b ..........
 
c Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed......
 
d Subtract line 6c from line 6b. Taxable amount
—see instructions ...........
 
e Undistributed income for 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions .............
 
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 ..........
0
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) .......
 
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ...
730,159
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ......
3,310,263
10 Analysis of line 9:
a Excess from 2019.... 599,743
b Excess from 2020.... 630,559
c Excess from 2021.... 602,539
d Excess from 2022.... 658,459
e Excess from 2023.... 818,963
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).)
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 right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
BRAD HEGEMAN
PO BOX 2090
CONWAY,AR72033
(501) 505-5800
bThe form in which applications should be submitted and information and materials they should include:
N/A
cAny submission deadlines:
N/A
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
N/A
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
AR CHILDREN'S HOSPITAL


1 CHILDRENS WAY
1 CHILDRENS WAY
LITTLE ROCK,AR72202
NONE PC CHARITABLE-MEDICAL RESOURCES 80,000

ARK BLACK HALL OF FAME FOUNDATION
ARK BLACK HALL OF FAME FOUNDATION
21 BASCOM DRIVE
21 BASCOM DRIVE
LITTLE ROCK,AR72223
NONE PC CHARITABLE FOR PROGRAM EXPENSE 2,000

ARK MILITARY VETERANS HALL OF GAME
ARK MILITARY VETERANS HALL OF FAME
PO BOX 11011
PO BOX 11011
CONWAY,AR72034
NONE PC CHARITABLE FOR PROGRAM EXPENSE 7,500

ARK MUSEUM OF FINE ARTS
ARK MUSEUM OF FINE ARTS
501 E NINTH ST
501 E NINTH ST
LITTLE ROCK,AR72202
NONE PC CHARITABLE FOR PROGRAM EXPENSE 70,000

ARK NATIONAL GUARD FOUNDATION
ARK NATIONAL GUARD FOUNDATION
PO BOX 663
PO BOX 663
LITTLE ROCK,AR72215
NONE PC CHARITABLE-FOR PROGRAM EXP 2,000

ARK PBS FOUNDATION
ARK PBS FOUDATION
350 S DONAGHEY
350 S DONAGHEY
CONWAY,AR72034
NONE PC CHARITABLE FOR PROGRAM EXP 250

ARKANSAS CATHOLIC
ARKANSAS CATHOLIC
PO BOX 7869
PO BOX 7869
LITTLE ROCK,AR72217
NONE PC CHARITABLE-FOR PROGRAM EXP 100

ARKANSAS COMMUNITY FOUNDATION
ARKANSAS COMMUNITY FOUNDATION
5 ALLIED DR STE 51110
5 ALLIED DR STE 51110
LITTLE ROCK,AR72202
NONE PC CHARITABLE SERVICES FOR THE HUNGRY 1,600

ARKANSAS KIDS READ
ARKANSAS KIDS READ
PO BOX 2271
PO BOX 2271
LITTLE ROCK,AR72221
NONE PC CHARITABLE-FOR PROGRAM EXP 1,500

ARKANSAS SHERIFFS YOUTH RANCHES INC
ARKANSAS SHERIFFS YOUTH RANCHES INC
PO BOX 3964
PO BOX 3964
BATESVILLE,AR72503
NONE PC CHARITABLE-FOR PROGRAM EXPENSES 30,000

ARKANSAS STATE POLICE FOUNDATION
ARKANSAS STATE POLICE FOUNDATION
5702 DREHER LN
5702 DREHER LN
LITTLE ROCK,AR72209
NONE PC CHARITABLE-FOR PROGRAM EXP 5,000

BOY SCOUTS OF AMERICA
BOY SCOUTS OF AMERICA
3200 CANTRELL RD
3200 CANTRELL RD
LITTLE ROCK,AR72202
NONE PC CHARITABLE- FOR PROGRAM EXPENSES 5,500

CARTI FOUNDATION INC
CARTI FOUNDATION INC
PO BOX 5210
PO BOX 5210
LITTLE ROCK,AR72215
NONE PC CHARITABLE-FOR PROGRAM EXPENSES 10,000

CASA-COURT APPOINTED SPECIAL ADV
CASA-COURT APPOINTED SPECIAL ADV
625 MARSHALL ST
625 MARSHALL ST
LITTLE ROCK,AR72201
NONE PC CHARITABLE FOR PROGRAM EXP 600

CATHOLIC CAMPUS MINISTRY
CATHOLIC CAMPUS MINISTRY
1902 SOUTH BLVD
1902 SOUTH BLVD
CONWAY,AR72034
NONE PC CHARITABLE-FOR PROGRAM EXP 25,000

CENTERS FOR YOUTH & FAMILIES
CENTERS FOR YOUTH & FAMILIES
6601 W 12TH ST
6601 W 12TH ST
LITTLE ROCK,AR72204
NONE PC CHARITABLE FOR PROGRAM EXP 2,500

CHILDREN'S SAFETY CENTER
CHILDREN'S SAFETY CENTER
614 E EMMA STE 200
614 E EMMA STE 200
SPRINGDALE,AR72764
NONE PC CHARITABLE FOR PROGRAM EXPENSE 2,500

CHILDREN'S TUMOR FOUNDATION
CHILDREN'S TUMOR FOUNDATION
370 LEXINGTON STE 2100
370 LEXINGTON STE 2100
NEW YORK,NY10017
NONE PC CHARITABLE-FOR PROGRAM EXPENSES 25,000

CHILDREN'S TUMOR FOUNDATION
CHILDREN'S TUMOR FOUNDATION
697 3RD AVESTE 418
697 3RD AVE STE 418
NEW YORK,NY10017
NONE PC CHARITABLE FOR PROGRAM EXPENSE 5,000

CITY OF HOPE OUTREACH
CITY OF HOPE OUTREACH
608 E ROBINS ST
608 E ROBINS ST
CONWAY,AR72032
NONE PC CHARITABLE-FOR PROGRAM EXP 1,000

COMMUNITY CONNECTIONS
COMMUNITY CONNECTIONS
2740 COLLEGE
2740 COLLEGE
CONWAY,AR72034
NONE PC CHARITABLE-FOR PROGRAM EXPENSES 250

CONWAY REGIONAL HEALTH FOUND INC
CONWAY REGIONAL HEALTH FOUND INC
2302 COLLEGE AVE
2302 COLLEGE AVE
CONWAY,AR72034
NONE PC CHARITABLE-FOR EXPANSION 59,000

CONWAY SYMPHONY ORCHESTRA
CONWAY SYMPHONY ORCHESTRA
201 DONAGHEY AVE
201 DONAGHEY AVE
CONWAY,AR72035
NONE PC CHARITABLE FOR PROGRAM EXP 250

CROSSOVER COMMUNITY IMPACT
CROSSOVER COMMUNITY IMPACT
1010 E 36TH N
1010 3 36TH N
TULSA,OK74106
NONE PC CHARITABLE FOR PROGRAM EXP 25,000

DRURY UNIVERSITY
DRURY UNIVERSITY
900 N BENTON AVE
900 N BENTON AVE
SPRINGFIELD,MO65802
NON PC CHARITABLE FOR PROGRAM EXP 40,000

EQUITABLE FACILITIES FUND
EQUITABLE FACILITIES FUND
228 PARK AVE S STE 61633
228 PARK AVE S STE 61633
NEW YORK,NY10003
NONE PC CHARIATABLE FOR PROGRAM EXPENSE 25,000

FAULKNER COUNTY 4-H
FAULKNER COUNTY 4-H
844 FAULKNER
844 FAULKNER
CONWAY,AR72034
NONE PC CHARITABLE FOR PROGRAM EXP 250

FRIENDLY CHAPEL CHURCH OF NAZARENE
FRIENDLY CHAPEL CHURCH OF NAZERENE
116 S PINE ST
116 S PINE ST
NORTH LITTLE ROCK,AR72114
NONE PC CHARITABLE-FOR PROGRAM EXP 200

FRIENDS OF BERRYVILLE LIBRARY
FRIENDS OF BERRYVILLE LIBRARY
104 SPRING STREET
104 SPRING STREET
BERRYVILLE,AR72616
NONE PC CHARITABLE FOR PROGRAM EXP 10,000

GENESIS CENTRAL ARK OPEN
GENESIS CENTRAL ARK OPEN
335 KINGS ROAD
335 KINGS ROAD
DOUBLE OAK,TX75077
NONE PC CHARITABLE FOR PROGRAM EXP 500

GREATER KANSAS CITY COMMUNITY FDN
GREATER KANSAS CITY COMMUNITY FDN
1055 BROADWAY BLV STE 130
1055 BROADWAYSLV STE 130
KANSAS CITY,MO64105
NONE PC CHARIABLE FOR PROGRAM EXP 5,100

HEARTLAND FORWARD INC
HEARTLAND FORWARD INC
110 NW 2ND ST
110 NW 2ND ST
BENTONVILLE,AR72712
NONE PC CHARITABLE-FOR PROGRAM EXP 20,000

HENDRIX COLLEGE FOUNDATION
HENDRIX COLLEGE FOUNDATION
1600 WASHINGTON AVE
1600 WASHINGTON AVE
CONWAY,AR72032
NONE PC EDUCATIONAL- FOR PROGRAM EXPENSES 40,100

INDEPENDENT LIVING SERVICES INC
INDEPENDENT LIVING SERVICES INC
615 E ROBINS ST
615 E ROBINS ST
CONWAY,AR72032
NONE PC CHARITABLE-FOR PROGRAM EXP 1,000

JOHN BROWN UNIVERSITY
JOHN BROWN UNIVERSITY
2000 W UNIVERSITY ST
2000 W UNIVERSITY ST
SILOAM SPRINGS,AR72761
NONE PC EDUCATIONAL-FOR PROGRAM EXPENSES 1,000

JONESBORO ECONOMIC DEVELOPMENT
JONESBORO ECONOMIC DEVELOP CORP-JONESBORO UNLIMITE
1709 E NETTLETON AVE
1709 E NETTLETON AVE
JONESBORO,AR72403
NONE   CHARITABLE-FOR PROGRAM EXP 22,000

KNIGHTS OF COLUMBUS CHARITIES INC
KNIGHTS OF COLUMBUS CHARITIES INC
514 E 6TH ST
514 E 6TH ST
CONWAY,AR72032
NONE PC CHARITABLE-FOR PROGRAM EXP 100

LIFE CHOICES
LIFE CHOICES
1330 S DONAGHEY
1330 S DONAGHEY
CONWAY,AR72034
NONE PC CHARITABLE-FOR PROGRAM EXP 550

LITTLE ROCK COMPASSION CENTER
LITTLE ROCK COMPASSION CENTER
3618 W ROOSEVELT RD
3618 W ROOSEVELT RD
LITTLE ROCK,AR72204
NONE PC CHARITABLE-FOR PROGRAM EXP 1,400

MALIN OPITZ-JEFFERSON ELEMENTARY
MALIN OPITZ-JEFFERSON ELEMENTARY
2600 N MCKINLEY
2600 N MCKINLEY
LITTLE ROCK,AR72207
NONE PC CHARITABLE FOR PROGRAM EXP 5,000

NEW COVENANT ACADEMY
NEW COVENANT ACADEMY
3302 S COX
3304 S COX
SPRINGFIELD,MO65807
NONE PC CHARITABLE FOR PROGRAM EXP 10,000

NORTHWEST ARKANSAS FOOD BANK
NORTHWEST ARKANSAS FOOD BANK
1378 JUNE SELF DR
1378 JUNE SELF DR
BETHEL HEIGHTS,AR72764
NONE PC CHARITABLE-FOR PROGRAM EXP 20,000

OUR HOUSE INC
OUR HOUSE INC
PO BOX 34155
PO BOX 34155
LITTLE ROCK,AR72203
NONE PC CHARITABLE-FOR PROGRAM EXP 25,000

RONALD MCDONALD HOUSE
RONALD MCDONALD HOUSE
1333 ARAPAHO AVE SUITE A
1333 ARAPAHO AVE SUITE A
SPRINGDALE,AR72764
NONE PC CHARITABLE-FOR PROGRAM EXPENSES 13,000

SALVATION ARMY
SALVATION ARMY
2125 HARKRIDER STE 10
2125 HARKRIDER STE 10
CONWAY,AR72032
NONE PC CHARITABLE-FOR PROGRAM EXP 200

SCHOOL SISTERS OF NOTRE DAME
SCHOOL SISTERS OF NOTRE DAME
320 E RIPA AVE
320 E RIPA AVE
ST LOUIS,MO63125
NONE PC CHARITABLE FOR PROGRAM EXP 200

SECOND STREET PANTRY MISSIONS
SECOND STREET PANTRY MISSIONS
PO BOX 2594
PO BOX 2594
BENTONVILLE,AR72172
NONE PC CHARITABLE- FOR PROGRAM EXPENSES 1,500

SINGLE PARENT SCHOLARSHIP FUND
SINGLE PARENT SCHOLARSHIP FUND
2102 RIVERFRONT DR ST 103
2102 RIVERFRONT DR ST 102
LITTLE ROCK,AR72202
NONE PC CHARITABLE FOR PROGRAM EXP 2,500

SISTERS OF CHARITY OF NAZARETH
SISTERS OF CHARITY OF NAZARETH
PO BOX 9
PO BOX 9
NAZARETH,KY40048
NONE PC CHARITABLE-FOR PROGRAM EXP 1,200

ST JOSEPH CHURCH
ST JOSEPH CHURCH
115 COLLEGE AVE
115 COLLEGE AVE
CONWAY,AR72032
NONE PC RELIGIOUS-FOR MINISTRIES 32,500

ST JOSEPH SCHOOL
ST JOSEPH SCHOOL
502 FRONT ST
502 FRONT ST
CONWAY,AR72032
NONE PC CHARITABLE- RELIGIOUS & EDUCATION 23,500

ST THOMAS AQUINAS CHURCH
ST THOMAS AQUINAS CHURCH
603 N LEVERETT AVE
603 N LEVERETT AVE
FAYETTEVILLE,AR72701
NONE PC CHARITABLE-FOR PROGRAM EXP 30,000

ST CECILIA FOUNDATION
ST CECILIA FOUNDATION
9821 FRANKFORD AVE
9821 FRANKFORD AVE
LUBBOCK,TX79424
NONE PC CHARITABLE-FOR PROGRAM EXP 3,500

ST VINCENT FOUNDATION
ST VINCENT FOUNDATION
2 ST VINCENT CIRCLE
2 ST VINCENT CIRCLE
LITTLE ROCK,AR72205
NONE PC CHARITABLE-FOR PROGRAM EXP 16,000

SUBIACO ABBEY
SUBIACO ABBEY
405 N SUBIACO AVE
405 N SUBIACO AVE
SUBIACO,AR72865
NONE PC CHARITABLE-FOR PROGRAM EXP 750

UNITED WAY OF CENTRAL ARK
UNITED WAY OF CENTRAL ARK
1120 OAK STREET
1120 OAK STREET
CONWAY,AR72032
NONE PC CHARITABLE-FOR PROGRAM EXP 2,750

UNIV OF CENTRAL AR FOUNDATION
UNIV OF CENTRAL AR FOUNDATION
201 DONAGHEY AVE
201 DONAGHEY AVE
CONWAY,AR72035
NONE PC CHARITABLE-FOR EDUCATION 50,000

UNIVERSITY OF ARK LR
U OF A LR
2801 S UNIVERSITY AVE
2801 S UNIVERSITY AVE
LITTLE ROCK,AR72204
NONE PC EDUCATIONAL-FOR PROGRAM EXPENSES 15,000

UNIVERSITY OF ARK MEDICAL SCIENCES
UNIVERSITY OF ARK MEDICAL SCIENCES
4301 W MARKHAM
4301 W MARKHAM
LITTLE ROCK,AR72205
NONE PC CHARITABLE FOR PROGRAM EXP 25,100

UNIVERSITY OF ARK PINE BLUFF
UNIVERSITY OF ARK PINE BLUFF
1200 N UNIVERSITY
1200 N UNIVERSITY
PINE BLUFF,AR71601
NONE PC CHARITABLE FOR PROGRAM EXP 250

UNIVERSITY OF ARKANSAS
UNIVERSITY OF ARKANSAS
1225 W MAPLE 210
1225 W MAPLE 210
FAYETTEVILLE,AR72701
NONE PC CHARITABLE-FOR PROGRAM EXP 20,000

UNIVERSITY OF LA MONROE
UNIVERSITY OF LA MONROE
700 UNIVERSITY AVE
700 UNIVERSITY AVE
MONROE,LA71209
NONE PC CHARITABLE-FOR PROGRAM EXP 10,000

WE CAN MINISTRIES
WE CAN MINISTRIES
PO BOX 1630
PO BOX 1630
CONWAY,AR72033
NONE PC CHARITABLE FOR PROGRAM EXP 500

WEST ARK AREA COUNCIL
WEST AR AREA COUNCIL
3220 CANTRELL ROAD
3220 CANTRELL ROAD
LITTLE ROCK,AR72202
NONE PC CHARITABLE FOR PROGRAM EXP 5,000

WOMEN & CHILDREN FIRST THE CENTER A
WOMEN & CHILDREN FIRST THE CENTER AGAINST FAMILY V
PO BOX 1954
PO BOX 1954
LITTLE ROCK,AR72203
NONE PC CHARITABLE-FOR PROGRAM EXP 25,000
Total .................................right arrow 3a 867,200
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 ...........
    14 3,528  
4 Dividends and interest from securities ....     14 22,425  
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 ............
        215,880
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aENERGY TRANSFER LP
        -2,173
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   25,953 213,707
13Total. Add line 12, columns (b), (d), and (e)..................
13
239,660
(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
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
2023
Name of the organization
NABHOLZ CHARITABLE FOUNDATION
 
Employer identification number

58-1748037
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) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
NABHOLZ CHARITABLE FOUNDATION
 
Employer identification number
58-1748037
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
CHARLES NABHOLZ
612 GARLAND ST
 
CONWAY, AR72032

$ 56,185


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
2
THE NABHOLZ GROUP INC
 
PO BOX 2090
 
CONWAY, AR72033

$ 195,230


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
3
JACOB NABHOLZ
612 GARLAND ST
 
CONWAY, AR72034

$ 50,000


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
4
BRAD HEGEMAN
612 GARLAND ST
 
CONWAY, AR72034

$ 20,000


(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) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
NABHOLZ CHARITABLE FOUNDATION
 
Employer identification number

58-1748037
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
2
400 SHARES HCA HEALTHCARE INC $ 113,604 2023-05-01
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
2
800 SHARES OF HCA HEALTHCARE INC $ 228,240 2023-06-20
(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) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
NABHOLZ CHARITABLE FOUNDATION
 
Employer identification number

58-1748037
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) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
NABHOLZ CHARITABLE FOUNDATION
EIN:
58-1748037
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INDIRECT ACCOUNTING FEES 3,095      

TY 2023 ExplnOfNonFilingWithAGStmt
Name:
NABHOLZ CHARITABLE FOUNDATION
EIN:
58-1748037
Statement:
THE STATE OF ARKANSAS DOES NOT ACCEPT THE FILING OF THE 990-PF.

TY 2023 InvestmentsCorpStockSchedule
Name:
NABHOLZ CHARITABLE FOUNDATION
EIN:
58-1748037
Name of Stock End of Year Book Value End of Year Fair Market Value
STOCKS 758,334 758,334

TY 2023 OtherDecreasesSchedule
Name:
NABHOLZ CHARITABLE FOUNDATION
EIN:
58-1748037
Description Amount
UNREALIZED LOSS ON INVESTMENTS CARRIED AT MARKET 34,808


TY 2023 OtherExpensesSchedule
Name:
NABHOLZ CHARITABLE FOUNDATION
EIN:
58-1748037
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
EXPENSES        
BANK CHARGES 85      


TY 2023 OtherIncomeSchedule2
Name:
NABHOLZ CHARITABLE FOUNDATION
EIN:
58-1748037
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
ENERGY TRANSFER LP -2,173 -2,173  


TY 2023 OtherProfessionalFeesSchedule
Name:
NABHOLZ CHARITABLE FOUNDATION
EIN:
58-1748037
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BANK TRUST FEES 1,500 1,500    


TY 2023 TaxesSchedule
Name:
NABHOLZ CHARITABLE FOUNDATION
EIN:
58-1748037
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
EXCISE TAX 1,303