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
LIFEWORKS FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)P O BOX 50276
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NASHVILLE, TN372050276
A Employer identification number

62-1428468
B Telephone number (see instructions)

(615) 269-6663
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$3,352,166
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check right arrow.............
3 Interest on savings and temporary cash investments 4 4  
4 Dividends and interest from securities... 77,299 77,299  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -14,490
b Gross sales price for all assets on line 6a 35,415
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 62,813 77,303  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 81,250 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 1,219 0   0
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 33,150 0   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 8,275 0   0
19 Depreciation (attach schedule) and depletion... 455 0  
20 Occupancy.............. 743 0   0
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 30,719 0   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 155,811 0   0
25 Contributions, gifts, grants paid....... 215,900 215,900
26 Total expenses and disbursements. Add lines 24 and 25 371,711 0   215,900
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -308,898
b Net investment income (if negative, enter -0-) 77,303
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............. 67,814 16,464 16,464
2 Savings and temporary cash investments......... 575,061 370,146 370,146
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)....... 1,946,555 Click to see attachment
List of Attached Documents:
// Content
1,896,651
2,961,760
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 arrow103,973
Less: accumulated depreciation (attach schedule) right arrow102,900 1,528 Click to see attachment
List of Attached Documents:
// Content
1,073
1,073
15 Other assets (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
2,723
Click to see attachment
List of Attached Documents:
// Content
2,723
Click to see attachment
List of Attached Documents:
// Content
2,723
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,593,681 2,287,057 3,352,166
Liabilities 17 Accounts payable and accrued expenses..........   2,274
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 2,274
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........ 2,593,681 2,284,783
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 2,593,681 2,284,783
30 Total liabilities and net assets/fund balances (see instructions). 2,593,681 2,287,057
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
2,593,681
2
Enter amount from Part I, line 27a .....................
2
-308,898
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,284,783
5
Decreases not included in line 2 (itemize) right arrow
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,284,783
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 ACCELLERON INDUSTRIES AG ADR 00449R109 P 2020-06-16 2023-05-23
b ACCELLERON INDUSTRIES AG ADR 00449R109 P 2020-06-17 2023-05-23
c ACCELLERON INDUSTRIES AG ADR 00449R109 P 2020-06-19 2023-05-23
d ACCELLERON INDUSTRIES AG ADR 00449R109 P 2020-07-15 2023-05-23
e ACCELLERON INDUSTRIES AG ADR 00449R109 P 2020-07-17 2023-05-23
ACCELLERON INDUSTRIES AG ADR 00449R109 P 2020-08-06 2023-05-23
ACCELLERON INDUSTRIES AG ADR 00449R109 P 2020-08-27 2023-05-23
ACCELLERON INDUSTRIES AG ADR 00449R109 P 2020-11-19 2023-05-23
ACCELLERON INDUSTRIES AG ADR 00449R109 P 2021-02-08 2023-05-23
NEXTERA ENERGY INC 65339F101 P 2021-06-09 2023-10-02
NEXTERA ENERGY INC 65339F101 P 2021-06-09 2023-10-02
NEXTERA ENERGY INC 65339F101 P 2021-06-10 2023-10-02
NEXTERA ENERGY INC 65339F101 P 2021-07-07 2023-10-02
NEXTERA ENERGY INC 65339F101 P 2021-07-14 2023-10-02
NEXTERA ENERGY INC 65339F101 P 2021-10-20 2023-10-02
VERALTO CORP 92338C103 P 2019-10-02 2023-10-12
(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 247   151 96
b 493   304 189
c 493   305 188
d 308   217 91
e 185   130 55
129   96 33
123   90 33
247   189 58
117   98 19
7,627   10,893 -3,266
7,627   10,893 -3,266
5,084   7,281 -2,197
5,084   7,551 -2,467
5,084   7,552 -2,468
2,542   4,139 -1,597
25   16 9
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       96
b       189
c       188
d       91
e       55
      33
      33
      58
      19
      -3,266
      -3,266
      -2,197
      -2,467
      -2,468
      -1,597
      9
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 -14,490
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 1,075
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 1,075
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 1,075
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 2,290
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 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,290
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 1,215
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow1,215 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$ 0(2) On foundation managers.right arrow$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
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 arrowTN
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 arrowBAKER SULLIVAN HOOVER PLC Telephone no.right arrow (615) 255-6143

Located atright arrow35 PEABODY STREET SUITE 310NASHVILLETN ZIP+4right arrow37210
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
 
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
GEORGE N BULLARD DIRECTOR
10.00
0 0 0
PO BOX 50276
NASHVILLE,TN37205
PATRICIA BULLARD TRUSTEE
25.00
0 0 0
PO BOX 50276
NASHVILLE,TN37205
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 LIFEWORKS IS PRIMARILY A GRANT MAKING FOUNDATION ENABLING OTHER CHARITABLE ORGANIZATIONS TO FURTHER THEIR CHARITABLE ACTIVITIES. EXPENSES LISTED HERE ARE ACTUAL GRANTS MADE DURING YEAR. 0
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 arrow0
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
2,768,530
b
Average of monthly cash balances.......................
1b
505,108
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
3,273,638
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
3,273,638
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
49,105
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
3,224,533
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
161,227
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
161,227
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
1,075
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
1,075
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
160,152
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
160,152
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
160,152
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
215,900
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
 
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
215,900
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 7 160,152
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 0
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 20,025
b From 2019......  
c From 2020......  
d From 2021......  
e From 2022......  
f Total of lines 3a through e ........ 20,025
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 215,900
a Applied to 2022, but not more than line 2a 0
b Applied to undistributed income of prior years
(Election required—see instructions).....
0
c Treated as distributions out of corpus (Election
required—see instructions)........
0
d Applied to 2023 distributable amount..... 160,152
e Remaining amount distributed out of corpus 55,748
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 75,773
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 ..........
0
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) .......
0
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ...
20,025
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ......
55,748
10 Analysis of line 9:
a Excess from 2019....  
b Excess from 2020....  
c Excess from 2021....  
d Excess from 2022....  
e Excess from 2023.... 55,748
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 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

CARTERVILLE BAPTIST CHURCH

1115 CARTERVILLE RD
PETAL,MS39465
  PUBLIC FURTHER CHARITY PURPOSE 8,000

HEALING STONES FOUNDATION

PO BOX 50276
NASHVILLE,TN37205
  PUBLIC FURTHER CHARITY PURPOSE 192,000

NASHVILLE BALLET

3630 REDMON ST
NASHVILLE,TN37209
  PUBLIC FURTHER CHARITY PURPOSE 5,000

PAWS ANGEL DOG RESCUE

3256 MILLER FERRY RD SW
CALHOUN,GA30701
  PUBLIC FURTHER CHARITY PURPOSE 1,000

SWAN BALL

1200 FORREST PARK DR
NASHVILLE,TN37205
  PUBLIC FURTHER CHARITY PURPOSE 2,400

UNIVERSITY OF TN

1502 CUMBERLAND AVENUE
KNOXVILLE,TN37996
  PUBLIC FURTHER CHARITY PURPOSE 7,500
Total .................................right arrow 3a 215,900
bApproved for future payment
Total ................................. right arrow 3b 0
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 4  
4 Dividends and interest from securities ....     14 77,299  
5 Net rental income or (loss) from real estate:
aDebt-financed property......          
bNot debt-financed property.....          
6 Net rental income or (loss) from personal property          
7 Other investment income .....          
8 Gain or (loss) from sales of assets other than
inventory ............
    18 -14,490  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) .. 0 62,813 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
62,813
(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:
LIFEWORKS FOUNDATION
EIN:
62-1428468
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BAKER, SULLIVAN & HOOVER, PLC 21,500 0   0
MARIE SWINFORD, CPA 11,650 0   0

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2023 DepreciationSchedule
Name:
LIFEWORKS FOUNDATION
EIN:
62-1428468
Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
Life (# of years)
Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
EQUIPMENT 1992-12-01 2,975 2,975 200DB 5.000000000000 0 0    
EQUIPMENT 1994-07-01 1,766 1,766 200DB 5.000000000000 0 0    
EQUIPMENT 1995-07-01 723 723 200DB 5.000000000000 0 0    
COMPUTER 1996-07-01 4,262 4,262 200DB 5.000000000000 0 0    
SCANNER 1997-04-11 342 342 200DB 7.000000000000 0 0    
EQUIPMENT 1998-11-04 4,558 4,558 200DB 5.000000000000 0 0    
COMPUTER 2000-12-02 1,774 1,774 200DB 5.000000000000 0 0    
FURNITURE 1992-07-01 1,252 1,252 200DB 5.000000000000 0 0    
FURNITURE 1996-07-01 38,744 38,744 200DB 7.000000000000 0 0    
DESKS, CRENDENZA 2000-03-18 563 563 200DB 7.000000000000 0 0    
SHELVES 2000-03-18 345 345 200DB 7.000000000000 0 0    
WINDOWS XP SOFTWARE 2002-10-30 543 380 200DB 3.000000000000 0 0    
CSPG-ARTWORK 2003-02-14 320 224 200DB 7.000000000000 0 0    
FORD EXCURSION 2003-04-28 21,000 14,700 200DB 5.000000000000 0 0    
FORD EXCURSION-REGISTRATION 2003-05-08 109 55 200DB 5.000000000000 0 0    
PRINTER 2003-09-18 426 213 200DB 7.000000000000 0 0    
FILE CABINET 2003-09-18 404 202 200DB 7.000000000000 0 0    
SAFE 2004-03-04 526 263 200DB 7.000000000000 0 0    
COMPUTER MONITOR 2004-04-03 503 252 200DB 5.000000000000 0 0    
EQUIPMENT 2004-04-15 175 87 200DB 7.000000000000 0 0    
FIRE PROOF FILE DRAWER CABINET 2004-10-21 841 420 200DB 5.000000000000 0 0    
COMPUTER 2004-11-05 1,725 863 200DB 5.000000000000 0 0    
COMPUTER HARDWARE-DVDRW PLAYER 2006-04-19 238 238 200DB 5.000000000000 0 0    
COMPUTER 2006-07-10 1,621 1,621 200DB 5.000000000000 0 0    
PHONE 2006-10-18 164 164 200DB 7.000000000000 0 0    
SHELVES 2006-11-09 261 261 200DB 7.000000000000 0 0    
SHREDDER 2007-01-10 152 152 200DB 7.000000000000 0 0    
SHREDDER 2007-02-28 164 164 200DB 7.000000000000 0 0    
COMPUTER 2007-08-30 703 703 200DB 5.000000000000 0 0    
HP LASERJET COLOR PRINTER 2007-10-16 552 552 200DB 5.000000000000 0 0    
9-1 FILE CABINETS 2007-10-09 1,049 1,049 200DB 7.000000000000 0 0    
PRINTER 2007-12-05 203 203 200DB 5.000000000000 0 0    
COPIER 2009-02-09 441 220 200DB 5.000000000000 0 0    
TABLES 2008-07-10 326 163 200DB 7.000000000000 0 0    
CELL PHONE 2009-02-09 227 113 200DB 7.000000000000 0 0    
FURNITURE 2009-08-27 4,370 2,185 200DB 7.000000000000 0 0    
VIDEO CARD AND FAX 2009-10-22 248 124 200DB 5.000000000000 0 0    
I PHONE 2010-07-08 347 173 200DB 5.000000000000 0 0    
AIR CONDITIONER 2010-08-09 257 128 200DB 7.000000000000 0 0    
CABLE MODEM-BASE STATION 2010-08-25 343 172 200DB 5.000000000000 0 0    
NETWORK CARD, SURGE PROTECTOR ETHERNET CARD 2010-08-27 227 114 200DB 5.000000000000 0 0    
SOFTWARE 2010-09-10 1,377   200DB 3.000000000000 0 0    
PRINTER 2011-10-13 245   200DB 5.000000000000 0 0    
HARD DRIVE 2012-04-04 175 88 200DB 5.000000000000 0 0    
TELEPHONE 2012-09-10 435 218 200DB 5.000000000000 0 0    
AC UNIT FOR OFFICE 2013-08-08 202 101 200DB 7.000000000000 0 0    
APPLE COMPUTER 2015-11-17 2,455 2,455 200DB 5.000000000000 0 0    
SAFES 2017-01-07 679 293 200DB 7.000000000000 31 0    
FIRE SAFE 2020-10-10 1,092 461 200DB 7.000000000000 137 0    
FIRE SAFE FILING DRAWERS 2021-10-03 944 294 200DB 7.000000000000 186 0    
NEW PHONES 2021-06-08 600 248 200DB 7.000000000000 101 0    

TY 2023 InvestmentsCorpStockSchedule
Name:
LIFEWORKS FOUNDATION
EIN:
62-1428468
Name of Stock End of Year Book Value End of Year Fair Market Value
ABB LTD ADR 43,512 84,425
ABBVIE INC 51,921 116,228
AGILENT TECHNOLOGIES INC 19,658 40,319
AIR PRODUCTS & CHEMICALS INC 60,854 61,605
ALPHABET INC CL A 44,282 209,535
APPLE COMPUTER 13,101 178,090
BERKSHIRE HATHAWAY INC CL B 35,190 62,416
BRISTOL MYERS SQUIBB 75,116 74,400
CANADIAN NATIONAL RAILWAY 47,601 53,393
CATERPILLAR INC 30,643 59,134
CIGNA CORP NEW 37,149 64,382
CISCO SYSTEMS 46,635 65,676
CLOROX CO 48,452 38,499
COMCAST CORP NEW CL A 47,574 52,620
CSX CORP 22,098 45,071
CVS HEALTH CORP 46,327 49,350
DANAHER CORP 21,212 40,485
DELL TECHNOLOGIES INC CLASS C 11,917 45,900
FEDEX CORP 39,034 54,389
GENERAL MOTORS CO 59,905 39,512
HCA HEALTHCARE INC 21,892 56,843
HILTON WORLDWIDE HOLDINGS INC 24,257 54,627
HONEYWELL INTL INC 63,781 61,864
INTEL CORP 71,541 90,450
JOHNSON & JOHNSON 41,983 39,185
JP MORGAN CHASE & CO 12,596 21,263
LOWE'S COMPANIES INC 37,226 62,314
MEDTRONIC PLC 67,284 60,137
MERCK & CO INC 31,820 46,334
MGM RESORTS INTERNATIONAL 39,318 68,137
MICROSOFT CORP 22,410 157,937
NESTLE SA ADR 42,142 57,928
NIKE INC CL B 37,322 27,143
PAYPAL HOLDINGS INC 25,146 12,282
PFIZER INC 15,229 12,668
QUALCOMM CORP 28,779 67,976
RTX CORP 33,893 65,629
SALESFORCE INC 32,043 38,155
SHELL PLC SPON ADR 28,641 46,060
STARBUCKS CORP 20,442 31,203
SYSCO CORP 41,612 49,363
UBER TECHNOLOGIES INC 28,879 57,260
UNITED PARCEL SERVICE CL B 54,214 44,811
VERIZON COMMUNICATIONS 75,606 54,665
WALMART INC 44,714 86,708
WALT DISNEY CO 56,778 46,951
WELLS FARGO & CO 58,580 61,771
WESTERN DIGITAL CORP 33,558 41,896
VERALTO CORP 2,784 4,771

TY 2023 LandEtcSchedule2
Name:
LIFEWORKS FOUNDATION
EIN:
62-1428468
Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
EQUIPMENT 2,975 2,975 0 0
EQUIPMENT 1,766 1,766 0 0
EQUIPMENT 723 723 0 0
COMPUTER 4,262 4,262 0 0
SCANNER 342 342 0 0
EQUIPMENT 4,558 4,558 0 0
COMPUTER 1,774 1,774 0 0
FURNITURE 1,252 1,252 0 0
FURNITURE 38,744 38,744 0 0
DESKS, CRENDENZA 563 563 0 0
SHELVES 345 345 0 0
WINDOWS XP SOFTWARE 543 543 0 0
CSPG-ARTWORK 320 320 0 0
FORD EXCURSION 21,000 21,000 0 0
FORD EXCURSION-REGISTRATION 109 109 0 0
PRINTER 426 426 0 0
FILE CABINET 404 404 0 0
SAFE 526 526 0 0
COMPUTER MONITOR 503 503 0 0
EQUIPMENT 175 175 0 0
FIRE PROOF FILE DRAWER CABINET 841 841 0 0
COMPUTER 1,725 1,725 0 0
COMPUTER HARDWARE-DVDRW PLAYER 238 238 0 0
COMPUTER 1,621 1,621 0 0
PHONE 164 164 0 0
SHELVES 261 261 0 0
SHREDDER 152 152 0 0
SHREDDER 164 164 0 0
COMPUTER 703 703 0 0
HP LASERJET COLOR PRINTER 552 552 0 0
9-1 FILE CABINETS 1,049 1,049 0 0
PRINTER 203 203 0 0
COPIER 441 441 0 0
TABLES 326 326 0 0
CELL PHONE 227 227 0 0
FURNITURE 4,370 4,370 0 0
VIDEO CARD AND FAX 248 248 0 0
I PHONE 347 347 0 0
AIR CONDITIONER 257 257 0 0
CABLE MODEM-BASE STATION 343 343 0 0
NETWORK CARD, SURGE PROTECTOR ETHERNET CARD 227 227 0 0
SOFTWARE 1,377 1,377 0 0
PRINTER 245 245 0 0
HARD DRIVE 175 175 0 0
TELEPHONE 435 435 0 0
AC UNIT FOR OFFICE 202 202 0 0
APPLE COMPUTER 2,455 2,455 0 0
SAFES 679 664 15 15
FIRE SAFE 1,092 749 343 343
FIRE SAFE FILING DRAWERS 944 480 464 464
NEW PHONES 600 349 251 251


TY 2023 OtherAssetsSchedule
Name:
LIFEWORKS FOUNDATION
EIN:
62-1428468
Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
DEPOSITS AND CREDITS 2,157 2,157 2,157
DUE FROM AFFILIATE 566 566 566


TY 2023 OtherExpensesSchedule
Name:
LIFEWORKS FOUNDATION
EIN:
62-1428468
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
AUTOMOBILE EXPENSE 238 0   0
ALARM 488 0   0
BANK CHARGES 30 0   0
OTHER LABOR COSTS 35 0   0
DUES, SUBSCRIPTIONS, & MEMBERSHIPS 320 0   0
INSURANCE EXPENSE 4,361 0   0
INVESTMENT MGT FEE 17,571 0   0
LEGAL FEES 788 0   0
OFFICE SUPPLIES 157 0   0
POSTAGE 409 0   0
ROUNDING -4 0   0
TELEPHONE/COMMUNICATIONS 6,326 0   0


TY 2023 TaxesSchedule
Name:
LIFEWORKS FOUNDATION
EIN:
62-1428468
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
PAYROLL TAXES 6,216 0   0
FOREIGN TAXES 2,059 0   0
EXCISE TAX 0 0   0