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
CONTRIBUTORS TO PA HOSP BAKER T W
 
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

23-6211311
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$3,327,034J 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... 98,286 97,902  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 41,779
b Gross sales price for all assets on line 6a 763,299
7 Capital gain net income (from Part IV, line 2)... 41,779
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)....... Click to see attachment
List of Attached Documents:
// Content
2,489    
12 Total. Add lines 1 through 11........ 142,554 139,681  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 38,830 34,947   3,883
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)....... Click to see attachment
List of Attached Documents:
// Content
1,072 0 0 1,072
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
2,232 2,232   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
1,953 1,953   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)....... Click to see attachment
List of Attached Documents:
// Content
25 25    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 44,112 39,157 0 4,955
25 Contributions, gifts, grants paid....... 157,500 157,500
26 Total expenses and disbursements. Add lines 24 and 25 201,612 39,157 0 162,455
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -59,058
b Net investment income (if negative, enter -0-) 100,524
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.............      
2 Savings and temporary cash investments......... 102,980 104,652 104,652
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)....... 694,592 Click to see attachment
List of Attached Documents:
// Content
523,206 		1,134,903
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).......... 2,014,508 Click to see attachment
List of Attached Documents:
// Content
2,121,191 		2,087,479
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) 2,812,080 2,749,049 3,327,034
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........ 2,812,080 2,749,049
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)..... 2,812,080 2,749,049
30 Total liabilities and net assets/fund balances (see instructions). 2,812,080 2,749,049
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
2,812,080
2
Enter amount from Part I, line 27a .....................
2
-59,058
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,753,022
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
3,973
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,749,049
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 10. ALPHABET INC CL C   2022-10-18 2023-01-25
b 61. ALPHABET INC CL C   2020-06-08 2023-01-25
c 1.00075 APPLE INC   2022-10-18 2023-01-25
d 8.99925 APPLE INC   2022-10-18 2023-01-25
e 61. APPLE INC   2020-04-06 2023-01-25
3. BLACKSTONE INC   2022-10-18 2023-01-25
20. BLACKSTONE INC   2020-06-03 2023-01-25
1. BOOKING HOLDINGS INC   2021-07-26 2023-01-25
1. BROADCOM INC   2022-10-18 2023-01-25
2. BROADCOM INC   2019-08-09 2023-01-25
31. CELANESE CORP   2019-08-09 2023-01-25
61. CITIGROUP INC.   2019-08-09 2023-01-25
30. COGNIZANT TECH SOLUTIONS CRP COM   2021-10-19 2023-01-25
26. WALT DISNEY CO   2019-09-27 2023-01-25
12. META PLATFORMS INC   2021-04-08 2023-01-25
201.336 FIDELITY NEW MRKTS INC-Z #3323   2018-06-20 2023-01-25
154. ISHARES CORE MSCI EMERGING ETF   2021-03-25 2023-01-25
6. LAM RESEARCH CORP COM   2022-10-25 2023-01-25
35. LAS VEGAS SANDS CORP   2015-09-01 2023-01-25
112. MANULIFE FINANCIAL CORP   2021-07-06 2023-01-25
682.656 T ROWE PR OVERSEAS STOCK-I #521   2021-07-27 2023-01-25
13. SUNCOR ENERGY INC NEW F   2022-10-18 2023-01-25
79. SUNCOR ENERGY INC NEW F   2015-07-13 2023-01-25
799.019 TCW EMRG MRKTS INC-PLAN #5721   2019-10-25 2023-01-25
1. THERMO FISHER SCIENTIFIC INC   2022-10-18 2023-01-25
2. THERMO FISHER SCIENTIFIC INC   2014-02-04 2023-01-25
103.691 TOUCHSTONE MID CAP-R6 #355   2020-02-20 2023-01-25
117. VANGUARD MIDCAP VIPER   2021-10-19 2023-01-25
8. VISA INC-CLASS A SHRS   2021-12-17 2023-01-25
5. BLACKROCK INC   2020-04-06 2023-02-09
4. COGNIZANT TECH SOLUTIONS CRP COM   2022-10-18 2023-02-09
52. COGNIZANT TECH SOLUTIONS CRP COM   2016-08-24 2023-02-09
60. FIDELITY NATL INFORMATION SVCS INC   2022-02-18 2023-02-09
4. FIDELITY NATL INFORMATION SVCS INC   2022-10-18 2023-02-09
176. FIDELITY NATL INFORMATION SVCS INC   2019-06-17 2023-02-09
7. INTERPUBLIC GROUP COS INC   2022-10-18 2023-02-09
80. INTERPUBLIC GROUP COS INC   2020-11-10 2023-02-09
4. JPMORGAN CHASE & CO   2022-10-18 2023-02-09
18. JPMORGAN CHASE & CO   2018-11-19 2023-02-09
105. LAS VEGAS SANDS CORP   2016-05-19 2023-02-09
2. UNION PACIFIC CORP   2022-10-18 2023-02-09
15. UNION PACIFIC CORP   2014-02-04 2023-02-09
22. WASTE MANAGEMENT INC   2020-04-06 2023-02-09
24. WALT DISNEY CO   2018-11-19 2023-03-17
284. MANULIFE FINANCIAL CORP   2019-06-17 2023-03-17
16. ABBVIE INC   2022-10-18 2023-04-11
12. ABBVIE INC   2021-02-05 2023-04-11
17. ADVANCED MICRO DEVICES INC   2023-02-09 2023-04-11
569.3764 BAIRD AGGREGATE BOND FUND-INST 72   2021-09-23 2023-04-11
291.9816 BAIRD AGGREGATE BOND FUND-INST 72   2021-09-23 2023-04-11
9. BOEING CO   2018-11-19 2023-04-11
3. CVS HEALTH CORPORATION   2022-10-18 2023-04-11
18. CVS HEALTH CORPORATION   2014-02-04 2023-04-11
7. CISCO SYSTEMS INC   2022-10-18 2023-04-11
33. CISCO SYSTEMS INC   2014-02-04 2023-04-11
2. DIAGEO PLC - ADR   2022-10-18 2023-04-11
9. DIAGEO PLC - ADR   2019-08-09 2023-04-11
2. ELECTRONIC ARTS INC   2022-10-18 2023-04-11
11. ELECTRONIC ARTS INC   2019-02-26 2023-04-11
22. JPMORGAN CHASE & CO   2019-08-09 2023-04-11
9. ELI LILLY & CO COM   2016-10-03 2023-04-11
24. MERCK & CO INC NEW   2021-08-30 2023-04-11
27. MICROSOFT CORP   2022-10-18 2023-04-11
4. MICROSOFT CORP   2014-10-29 2023-04-11
26. MONDELEZ INTERNATIONAL INC   2018-07-27 2023-04-11
316.167 PIMCO TOTAL RET FD-INST #35   2019-11-21 2023-04-11
30. RTX CORP   2023-02-09 2023-04-11
3. SYSCO CORP   2022-10-18 2023-04-11
18. SYSCO CORP   2020-04-06 2023-04-11
38. TORONTO DOMINION BK ONT COM NEW   2023-02-09 2023-04-11
2. TOTAL S.A. - ADR   2022-10-18 2023-04-11
40. TOTAL S.A. - ADR   2018-12-28 2023-04-11
13. UNITED PARCEL SERVICE-CL B   2023-02-09 2023-04-11
5. UNITEDHEALTH GROUP INC   2023-01-25 2023-04-11
7. UNITEDHEALTH GROUP INC   2014-02-04 2023-04-11
10. WASTE MANAGEMENT INC   2020-04-06 2023-04-11
8. EATON CORP PLC   2022-08-22 2023-04-11
9. EATON CORP PLC   2021-08-07 2023-04-11
18. GARMIN LTD   2020-06-08 2023-04-11
13. TE CONNECTIVITY LTD   2021-11-19 2023-04-11
3. BLACKROCK INC   2020-04-06 2023-05-09
1. BOOKING HOLDINGS INC   2023-04-11 2023-05-09
3. BROADCOM INC   2019-08-09 2023-05-09
15.963 DELAWARE SMALL CAP CORE-R6   2022-10-18 2023-05-09
63.418 DELAWARE SMALL CAP CORE-R6   2023-04-11 2023-05-09
2324.51 DELAWARE SMALL CAP CORE-R6   2022-04-27 2023-05-09
2. NIKE INC CL B   2022-10-18 2023-05-09
12. NIKE INC CL B   2017-10-30 2023-05-09
47.962 TOUCHSTONE MID CAP-R6 #355   2023-04-11 2023-05-09
742.234 TOUCHSTONE MID CAP-R6 #355   2020-02-20 2023-05-09
68. VANGUARD MIDCAP VIPER   2022-10-18 2023-05-09
32. VANGUARD MIDCAP VIPER   2023-04-11 2023-05-09
926. VANGUARD MIDCAP VIPER   2019-10-21 2023-05-09
100. CVS HEALTH CORPORATION   2014-02-04 2023-06-15
24. WALT DISNEY CO   2022-06-24 2023-06-15
84. WALT DISNEY CO   2014-02-04 2023-06-15
25. ELECTRONIC ARTS INC   2019-02-26 2023-06-15
100. HASBRO INC   2021-04-08 2023-06-15
7. LAS VEGAS SANDS CORP   2022-10-18 2023-06-15
158. LAS VEGAS SANDS CORP   2020-04-06 2023-06-15
7. ELI LILLY & CO COM   2016-10-03 2023-06-15
100. SYSCO CORP   2020-04-06 2023-06-15
7. EATON CORP PLC   2022-08-22 2023-06-15
7. EATON CORP PLC   2021-04-08 2023-06-15
105. CVS HEALTH CORPORATION   2019-08-09 2023-06-23
4. HASBRO INC   2022-10-18 2023-06-23
123. HASBRO INC   2021-04-08 2023-06-23
106. SYSCO CORP   2020-04-06 2023-06-23
15. ADVANCED MICRO DEVICES INC   2023-06-15 2023-10-18
15. ALPHABET INC CL C   2023-04-11 2023-10-18
34. ALPHABET INC CL C   2018-12-28 2023-10-18
26. APPLE INC   2022-11-02 2023-10-18
12. APPLE INC   2020-04-06 2023-10-18
18. BLACKSTONE INC   2022-11-02 2023-10-18
9. BOEING CO   2018-11-19 2023-10-18
4. BROADCOM INC   2019-08-09 2023-10-18
33. CISCO SYSTEMS INC   2014-02-04 2023-10-18
11. DIAGEO PLC - ADR   2019-02-26 2023-10-18
6. META PLATFORMS INC   2021-04-23 2023-10-18
9. HOME DEPOT INC   2022-12-06 2023-10-18
66. INTERPUBLIC GROUP COS INC   2020-11-10 2023-10-18
17. JPMORGAN CHASE & CO   2019-08-09 2023-10-18
6. ELI LILLY & CO COM   2016-10-03 2023-10-18
122. MANULIFE FINANCIAL CORP   2019-06-17 2023-10-18
8. MCDONALDS CORP   2023-06-15 2023-10-18
20. MERCK & CO INC NEW   2023-06-15 2023-10-18
32. MICROSOFT CORP   2014-08-06 2023-10-18
28. MONDELEZ INTERNATIONAL INC   2018-07-27 2023-10-18
13. RTX CORP   2022-10-18 2023-10-18
17. RTX CORP   2022-08-22 2023-10-18
154. REGIONS FINL CORP NEW   2022-10-18 2023-10-18
21. REGIONS FINL CORP NEW   2022-08-22 2023-10-18
1. TARGET CORP   2022-10-18 2023-10-18
13. TARGET CORP   2014-02-04 2023-10-18
4. THERMO FISHER SCIENTIFIC INC   2023-06-15 2023-10-18
21. TORONTO DOMINION BK ONT COM NEW   2022-10-18 2023-10-18
10. TORONTO DOMINION BK ONT COM NEW   2019-08-09 2023-10-18
32. TOTAL S.A. - ADR   2021-10-21 2023-10-18
88. TOUCHSTONE MID CAP-R6 #355   2020-05-15 2023-10-18
39. UNILEVER PLC - ADR   2020-04-06 2023-10-18
14. UNION PACIFIC CORP   2014-02-04 2023-10-18
7. UNITED PARCEL SERVICE-CL B   2022-10-18 2023-10-18
5. UNITED PARCEL SERVICE-CL B   2020-04-06 2023-10-18
6. UNITEDHEALTH GROUP INC   2023-06-15 2023-10-18
10. VISA INC-CLASS A SHRS   2023-02-09 2023-10-18
1. VISA INC-CLASS A SHRS   2021-12-17 2023-10-18
14. EATON CORP PLC   2021-04-08 2023-10-18
34. GARMIN LTD   2020-06-08 2023-10-18
14. ABBVIE INC   2021-02-05 2023-11-14
3. ADOBE SYS INC   2023-06-23 2023-11-14
12. ALPHABET INC CL C   2018-12-28 2023-11-14
12. APPLE INC   2020-04-06 2023-11-14
821. BAIRD AGGREGATE BOND FUND-INST 72   2021-09-23 2023-11-14
3. BLACKROCK INC   2019-02-26 2023-11-14
8. BOEING CO   2021-07-26 2023-11-14
36. CITIGROUP INC.   2019-08-09 2023-11-14
24. COGNIZANT TECH SOLUTIONS CRP COM   2016-08-24 2023-11-14
12. ELECTRONIC ARTS INC   2019-08-09 2023-11-14
162. GLDMN SCHS GQP PRT INTL-R6 #4946   2023-05-10 2023-11-14
11. JPMORGAN CHASE & CO   2019-08-09 2023-11-14
3. ELI LILLY & CO COM   2016-10-03 2023-11-14
2. MERCK & CO INC NEW   2023-06-15 2023-11-14
13. MERCK & CO INC NEW   2021-08-30 2023-11-14
5. MICROSOFT CORP   2014-08-06 2023-11-14
15. NIKE INC CL B   2017-10-30 2023-11-14
402. PIMCO TOTAL RET FD-INST #35   2019-12-10 2023-11-14
341. PGIM HIGH YIELD-Q 1067   2020-05-15 2023-11-14
71. SUNCOR ENERGY INC NEW F   2015-07-13 2023-11-14
451. TCW EMRG MRKTS INC-PLAN #5721   2019-10-25 2023-11-14
23. TOTAL S.A. - ADR   2021-10-21 2023-11-14
3. UNITEDHEALTH GROUP INC   2014-02-04 2023-11-14
24. VANGUARD LONG-TERM BOND ETF   2023-01-25 2023-11-14
10. WASTE MANAGEMENT INC   2020-04-06 2023-11-14
13. TE CONNECTIVITY LTD   2021-11-19 2023-11-14
27. CELANESE CORP   2019-08-09 2023-12-15
283. INTERPUBLIC GROUP COS INC   2020-11-10 2023-12-15
9. ELI LILLY & CO COM   2016-10-03 2023-12-15
77. RTX CORP   2021-07-06 2023-12-15
11. EATON CORP PLC   2021-04-08 2023-12-15
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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 972   1,038 -66
b 5,927   4,386 1,541
c 140   146 -6
d 1,261   1,310 -49
e 8,550   3,899 4,651
260   278 -18
1,733   1,163 570
2,298   2,204 94
578   444 134
1,155   555 600
3,712   3,394 318
3,105   4,040 -935
1,897   2,488 -591
2,714   3,966 -1,252
1,714   3,739 -2,025
2,402   3,019 -617
7,884   9,684 -1,800
2,818   2,284 534
1,910   1,557 353
2,142   2,185 -43
8,124   8,970 -846
432   412 20
2,624   2,144 480
5,050   6,802 -1,752
571   531 40
1,142   226 916
4,631   4,363 268
24,933   29,172 -4,239
1,773   1,701 72
3,580   2,239 1,341
266   244 22
3,454   3,440 14
4,417   5,790 -1,373
294   315 -21
12,958   20,987 -8,029
258   205 53
2,953   1,713 1,240
560   480 80
2,520   1,988 532
6,040   4,531 1,509
405   405  
3,040   1,299 1,741
3,348   2,232 1,116
2,240   2,860 -620
4,977   5,282 -305
2,593   2,354 239
1,945   1,305 640
1,599   1,417 182
5,620   6,571 -951
2,882   3,369 -487
1,913   2,882 -969
230   278 -48
1,379   1,190 189
355   295 60
1,672   719 953
368   339 29
1,658   1,478 180
252   245 7
1,384   1,084 300
2,822   2,418 404
3,291   726 2,565
2,710   1,856 854
7,652   7,033 619
1,134   186 948
1,835   1,118 717
2,741   3,324 -583
3,006   2,924 82
235   231 4
1,409   1,014 395
2,290   2,610 -320
127   105 22
2,550   2,095 455
2,503   2,405 98
2,605   2,455 150
3,647   494 3,153
1,636   913 723
1,270   1,184 86
1,429   1,400 29
1,778   2,119 -341
1,640   2,143 -503
1,917   1,344 573
2,625   2,568 57
1,868   833 1,035
402   412 -10
1,598   1,640 -42
58,578   63,715 -5,137
250   186 64
1,501   662 839
2,135   2,095 40
33,037   30,270 2,767
13,984   13,287 697
6,581   6,735 -154
190,436   209,530 -19,094
6,802   6,294 508
2,211   2,341 -130
7,740   6,321 1,419
3,208   2,443 765
6,149   9,625 -3,476
412   256 156
9,301   6,380 2,921
3,174   565 2,609
7,298   4,496 2,802
1,352   1,019 333
1,352   981 371
7,309   6,294 1,015
237   274 -37
7,302   11,701 -4,399
7,698   4,766 2,932
1,549   1,860 -311
2,111   1,600 511
4,784   2,348 2,436
4,566   4,156 410
2,107   767 1,340
1,873   1,659 214
1,687   2,083 -396
3,520   1,110 2,410
1,774   719 1,055
1,685   1,752 -67
1,928   2,084 -156
2,637   2,859 -222
1,950   1,414 536
2,496   1,868 628
3,643   484 3,159
2,242   2,073 169
2,026   2,331 -305
2,080   2,187 -107
10,630   1,465 9,165
1,785   1,203 582
962   1,210 -248
1,258   1,574 -316
2,565   3,260 -695
350   465 -115
112   157 -45
1,455   719 736
1,924   2,113 -189
1,249   1,409 -160
595   566 29
2,150   1,655 495
4,041   2,932 1,109
1,892   2,172 -280
2,942   1,212 1,730
1,088   1,262 -174
777   474 303
3,258   2,809 449
2,399   2,295 104
240   213 27
2,875   1,963 912
3,598   3,329 269
1,937   1,522 415
1,812   1,441 371
1,635   632 1,003
2,252   767 1,485
7,742   9,474 -1,732
2,093   1,325 768
1,659   1,510 149
1,602   2,384 -782
1,614   1,381 233
1,613   1,144 469
3,042   2,892 150
1,636   1,209 427
1,838   242 1,596
204   219 -15
1,326   995 331
1,847   214 1,633
1,591   827 764
3,325   4,193 -868
1,552   1,671 -119
2,387   1,918 469
2,701   3,735 -1,034
1,556   1,192 364
1,621   212 1,409
1,630   1,869 -239
1,720   913 807
1,692   2,143 -451
4,086   2,918 1,168
9,258   6,061 3,197
5,074   726 4,348
6,181   6,654 -473
2,583   1,542 1,041
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
      375
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       -66
b       1,541
c       -6
d       -49
e       4,651
      -18
      570
      94
      134
      600
      318
      -935
      -591
      -1,252
      -2,025
      -617
      -1,800
      534
      353
      -43
      -846
      20
      480
      -1,752
      40
      916
      268
      -4,239
      72
      1,341
      22
      14
      -1,373
      -21
      -8,029
      53
      1,240
      80
      532
      1,509
       
      1,741
      1,116
      -620
      -305
      239
      640
      182
      -951
      -487
      -969
      -48
      189
      60
      953
      29
      180
      7
      300
      404
      2,565
      854
      619
      948
      717
      -583
      82
      4
      395
      -320
      22
      455
      98
      150
      3,153
      723
      86
      29
      -341
      -503
      573
      57
      1,035
      -10
      -42
      -5,137
      64
      839
      40
      2,767
      697
      -154
      -19,094
      508
      -130
      1,419
      765
      -3,476
      156
      2,921
      2,609
      2,802
      333
      371
      1,015
      -37
      -4,399
      2,932
      -311
      511
      2,436
      410
      1,340
      214
      -396
      2,410
      1,055
      -67
      -156
      -222
      536
      628
      3,159
      169
      -305
      -107
      9,165
      582
      -248
      -316
      -695
      -115
      -45
      736
      -189
      -160
      29
      495
      1,109
      -280
      1,730
      -174
      303
      449
      104
      27
      912
      269
      415
      371
      1,003
      1,485
      -1,732
      768
      149
      -782
      233
      469
      150
      427
      1,596
      -15
      331
      1,633
      764
      -868
      -119
      469
      -1,034
      364
      1,409
      -239
      807
      -451
      1,168
      3,197
      4,348
      -473
      1,041
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 41,779
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 1,397
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,397
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,397
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 1,080
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 1,080
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 9 317
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 arrow0 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 arrowPA
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)
 
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
WELLS FARGO BANK N A TRUSTEE
1 		38,830    
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
3,077,171
b
Average of monthly cash balances.......................
1b
92,494
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
3,169,665
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
3,169,665
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
47,545
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
3,122,120
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
156,106
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
156,106
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
1,397
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
1,397
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
154,709
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
154,709
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
154,709
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
162,455
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
162,455
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 7 154,709
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 157,476
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$ 162,455
a Applied to 2022, but not more than line 2a 157,476
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..... 4,979
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 .......... 		149,730
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 email address of the person to whom applications should be addressed:
bThe form in which applications should be submitted and information and materials they should include:
cAny submission deadlines:
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form 990-PF (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

PENNSYLVANIA HOSPITAL

800 SPRUCE STREET PINE BLDG 2ND FL
PHILADELPHIA,PA19107 		NONE PC GENERAL OPERATING 157,500
Total .................................right arrow 3a 157,500
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 98,286  
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 41,779  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aFEDERAL TAX REFUND 		    1 2,489  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   142,554  
13Total. Add line 12, columns (b), (d), and (e)..................
13
142,554
(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:
CONTRIBUTORS TO PA HOSP BAKER T W
EIN:
23-6211311
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
TAX PREPARATION FEE (NON-ALLOC 1,072     1,072

TY 2023 InvestmentsCorpStockSchedule
Name:
CONTRIBUTORS TO PA HOSP BAKER T W
EIN:
23-6211311
Name of Stock End of Year Book Value End of Year Fair Market Value
89151E109 TOTALENERGIES SE -SP 20,250 27,356
09857L108 BOOKING HOLDINGS INC 13,635 28,378
532457108 ELI LILLY & CO COM 3,359 29,146
512807108 LAM RESEARCH CORP CO 5,643 26,631
91324P102 UNITEDHEALTH GROUP I 4,443 33,168
09247X101 BLACKROCK INC 7,071 17,860
891160509 TORONTO DOMINION BK 17,053 21,260
285512109 ELECTRONIC ARTS INC 7,870 13,271
126650100 CVS HEALTH CORPORATI    
097023105 BOEING CO 12,134 23,199
907818108 UNION PACIFIC CORP 7,970 16,948
87612E106 TARGET CORP 4,314 11,109
883556102 THERMO FISHER SCIENT 4,334 16,454
56501R106 MANULIFE FINANCIAL C 15,120 22,675
25243Q205 DIAGEO PLC - ADR 10,632 13,546
31620M106 FIDELITY NATL INFORM    
94106L109 WASTE MANAGEMENT INC 7,301 14,328
460690100 INTERPUBLIC GROUP CO    
609207105 MONDELEZ INTERNATION 9,825 16,586
75513E101 RTX CORP 15,892 17,838
192446102 COGNIZANT TECH SOLUT 8,880 12,462
G29183103 EATON CORP PLC 14,662 29,380
09260D107 BLACKSTONE INC 13,366 26,970
867224107 SUNCOR ENERGY INC NE 18,695 24,671
037833100 APPLE INC 9,693 97,420
58933Y105 MERCK & CO INC NEW 11,294 23,657
02079K107 ALPHABET INC CL C 15,418 68,069
254687106 WALT DISNEY CO    
594918104 MICROSOFT CORP 9,992 101,155
H84989104 TE CONNECTIVITY LTD 7,713 15,736
871829107 SYSCO CORP    
17275R102 CISCO SYSTEMS INC 7,819 18,137
150870103 CELANESE CORP 13,130 25,791
92826C839 VISA INC-CLASS A SHR 16,807 24,994
H2906T109 GARMIN LTD 13,633 18,895
654106103 NIKE INC CL B 5,682 11,183
911312106 UNITED PARCEL SERVIC 10,775 17,924
46625H100 JPMORGAN CHASE & CO 13,067 32,999
517834107 LAS VEGAS SANDS CORP    
172967424 CITIGROUP INC. 17,612 20,216
11135F101 BROADCOM INC 10,590 44,650
904767704 UNILEVER PLC - ADR 9,372 9,260
418056107 HASBRO INC    
30303M102 META PLATFORMS INC 22,222 37,520
00287Y109 ABBVIE INC 13,573 19,371
437076102 HOME DEPOT INC 17,484 19,060
7591EP100 REGIONS FINL CORP NE 15,037 14,302
00724F101 ADOBE INC 13,424 16,705
007903107 ADVANCED MICRO DEVIC 11,539 19,900
580135101 MCDONALDS CORP 18,607 18,977
855244109 STARBUCKS CORP COM 16,274 15,746

TY 2023 InvestmentsOtherSchedule2
Name:
CONTRIBUTORS TO PA HOSP BAKER T W
EIN:
23-6211311
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
24610B826 DELAWARE SMALL CAP C      
46434G103 ISHARES CORE MSCI EM AT COST 77,577 63,883
722005667 PIMCO COMMODITY REAL AT COST 169,663 121,984
872365713 TCW EMRG MRKTS INC-P AT COST 162,235 134,838
057071854 BAIRD AGGREGATE BOND AT COST 636,214 592,779
77956H435 T ROWE PR OVERSEAS S AT COST 199,227 201,635
31641Q755 FIDELITY NEW MRKTS I AT COST 78,575 67,173
922908629 VANGUARD MIDCAP VIPE AT COST 103,432 174,247
693390700 PIMCO TOTAL RET FD-I AT COST 259,344 230,553
74440Y884 PGIM HIGH YIELD-Q 10 AT COST 100,243 97,352
89155T490 TOUCHSTONE MID CAP-R AT COST 80,841 140,308
38147N269 GLDMN SCHS GQP PRT I AT COST 90,074 99,914
72201R833 PIMCO ENHANCED SHORT AT COST 93,110 93,603
921937793 VANGUARD LONG-TERM B AT COST 70,656 69,210

TY 2023 OtherDecreasesSchedule
Name:
CONTRIBUTORS TO PA HOSP BAKER T W
EIN:
23-6211311
Description Amount
COST BASIS ADJUSTMENT 66
MUTUAL FUND TIMING ADJ 2,992
PY RETURN OF CAPITAL ADJUSTMENT 876
ROC ON CY SALES 15
TAX LOT BASIS ADJUSTMENT 24


TY 2023 OtherExpensesSchedule
Name:
CONTRIBUTORS TO PA HOSP BAKER T W
EIN:
23-6211311
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMENT EXPENSES - ADR FEES 25 25   0


TY 2023 OtherIncomeSchedule2
Name:
CONTRIBUTORS TO PA HOSP BAKER T W
EIN:
23-6211311
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
FEDERAL TAX REFUND 2,489 0  


TY 2023 OtherProfessionalFeesSchedule
Name:
CONTRIBUTORS TO PA HOSP BAKER T W
EIN:
23-6211311
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMNT MNGMNT FEES (NON-DED 2,232 2,232    


TY 2023 TaxesSchedule
Name:
CONTRIBUTORS TO PA HOSP BAKER T W
EIN:
23-6211311
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAXES 1,635 1,635   0
FOREIGN TAXES ON NONQUALIFIED 318 318   0