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
SMITH GEN WA TR UW - ITEM XXII
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 919798
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLANDO, FL328919798
A Employer identification number

56-6042630
B Telephone number (see instructions)

(804) 273-7445
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$5,428,303
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) 36,831
2 Check right arrow.............
3 Interest on savings and temporary cash investments 164 164  
4 Dividends and interest from securities... 128,763 128,386  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 111,763
b Gross sales price for all assets on line 6a 1,389,732
7 Capital gain net income (from Part IV, line 2)... 111,763
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)....... 2,806    
12 Total. Add lines 1 through 11........ 280,327 240,313  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 59,047 29,523   29,524
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)....... 400 0 0 400
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 495 495   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)....... 223 23   200
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 60,165 30,041 0 30,124
25 Contributions, gifts, grants paid....... 238,403 238,403
26 Total expenses and disbursements. Add lines 24 and 25 298,568 30,041 0 268,527
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -18,241
b Net investment income (if negative, enter -0-) 210,272
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............. 73 50 50
2 Savings and temporary cash investments......... 67,138 82,242 82,242
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)....... 1,045,203 Click to see attachment
List of Attached Documents:
// Content
1,062,368
1,796,223
c Investments—corporate bonds (attach schedule)....... 2,474,555 Click to see attachment
List of Attached Documents:
// Content
2,429,951
2,324,971
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).......... 669,227 Click to see attachment
List of Attached Documents:
// Content
618,430
1,224,817
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) 4,256,196 4,193,041 5,428,303
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........ 4,256,196 4,193,041
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)..... 4,256,196 4,193,041
30 Total liabilities and net assets/fund balances (see instructions). 4,256,196 4,193,041
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
4,256,196
2
Enter amount from Part I, line 27a .....................
2
-18,241
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
21,769
4
Add lines 1, 2, and 3 ..........................
4
4,259,724
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
66,683
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,193,041
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 30000. FNMA 2.375% 1/19/23   2018-02-28 2023-01-19
b 24000. JPMORGAN CHASE & CO 3.200% 01/25/23   2017-11-15 2023-01-25
c 26000. BANK OF NY MELLN MTN 2.950% 1/29/23   2018-10-05 2023-01-29
d 9000. U.S. TREASURY NOTES 2.000% 2/15/23   2019-05-10 2023-02-15
e 65. ISHARES TR S&P MIDCAP 400/BARRA GROWTH   2009-07-22 2023-02-21
85. ISHARES TR S&P MIDCAP 400/BARRA VALUE     2023-02-21
26000. U.S. TREASURY NOTES 1.750% 5/15/23   2023-02-16 2023-02-21
12000. U.S. TREASURY NOTES 1.750% 5/15/23   2023-02-16 2023-02-28
30000. NEW YORK ST URBAN 2.670% 3/15/23   2020-12-16 2023-03-15
23000. GEN MOTORS FINL CO 4.150% 6/19/23   2020-12-16 2023-04-03
25000. U.S. TREASURY NOTES 1.500% 2/15/30   2022-05-09 2023-04-03
26000. MERCK & CO INC 1.450% 6/24/30   2020-06-16 2023-04-27
24000. REGIONS FINL CORP 2.250% 5/18/25   2020-05-13 2023-04-27
21000. SHERWIN-WILLIAMS CO 3.450% 6/01/27   2017-05-02 2023-04-27
22000. VENTAS REALTY LP 4.400% 1/15/29   2019-04-30 2023-04-27
400. ISHARES HIGH DIVIDEND ETF   2022-04-21 2023-05-15
30000. MICHIGAN ST 3.450% 5/15/23   2012-05-10 2023-05-15
56000. U.S. TREASURY NOTES 1.750% 5/15/23   2023-02-16 2023-05-15
30000. LEXINGTON CNTY SC 2.066% 6/01/23   2021-06-09 2023-06-01
100. ISHARES HIGH DIVIDEND ETF   2022-08-09 2023-06-28
600. ISHARES HIGH DIVIDEND ETF   2022-04-21 2023-06-28
50. ISHARES HIGH DIVIDEND ETF   2022-12-29 2023-06-29
24000. AT&T INC 2.300% 6/01/27   2020-11-20 2023-07-10
20000. VERIZON COMM INC 1.450% 3/20/26   2021-03-11 2023-07-12
50. ISHARES TR S&P MIDCAP 400/BARRA VALUE   2010-08-17 2023-07-13
800. ISHARES HIGH DIVIDEND ETF     2023-07-13
300. VANGUARD FTSE DEVELOPED MARKETS ETF   2021-12-16 2023-07-20
35000. LOS ANGELES CA CMNT 3.009% 8/01/23   2015-01-28 2023-08-01
55000. U.S. TREASURY NOTES 2.500% 8/15/23     2023-08-15
75000. U.S. TREASURY BILLS 8/17/23   2023-05-23 2023-08-17
16000. BAT CAPITAL CORP 3.557% 8/15/27   2020-02-03 2023-08-18
68. AKAMAI TECHNOLOGIES COMMON     2023-08-21
90. ALPHABET INC CL C   2021-12-16 2023-08-21
70. AMPHENOL CORP   2021-08-23 2023-08-21
5. AUTOZONE INC   2021-03-12 2023-08-21
190. BALL CORPORATION COMMON     2023-08-21
1. BOOKING HOLDINGS INC   2021-12-16 2023-08-21
84. BRISTOL MYERS SQUIBB COMPANY     2023-08-21
19. DANAHER CORP COMMON   2017-08-25 2023-08-21
5. DOORDASH INC CL A   2021-12-16 2023-08-21
14. FACEBOOK INC CL A   2021-12-16 2023-08-21
62. FEDEX CORPORATION     2023-08-21
145. FISERV     2023-08-21
3. GENERAC HOLDINGS INC   2021-12-16 2023-08-21
40. GENERAL DYNAMICS   2021-03-12 2023-08-21
4. HCA HOLDINGS INC   2021-12-16 2023-08-21
40. HOLOGIC INC COMMON   2018-02-22 2023-08-21
2. INTUITIVE SURGICAL INC   2021-12-16 2023-08-21
19. LAS VEGAS SANDS CORP   2021-12-16 2023-08-21
95. LENNAR CORPORATION COMMON   2014-06-18 2023-08-21
2. LULULEMON ATHLETICA INC   2021-12-16 2023-08-21
10. MATCH GROUP INC   2021-12-16 2023-08-21
40. PTC INC   2020-01-13 2023-08-21
15. REGENERON PHARMACEUTICALS INC   2021-03-12 2023-08-21
34. RIVIAN AUTOMOTIVE INC CL A   2021-12-16 2023-08-21
13. ROSS STORES INC COM   2021-12-16 2023-08-21
2. SALESFORCE INC   2021-12-16 2023-08-21
18. SEA LTD SPONS ADR   2021-12-16 2023-08-21
5. STRYKER CORP COMMON   2021-12-16 2023-08-21
10. UNITED HEALTH GROUP INC     2023-08-21
4. FERRARI NV   2021-12-16 2023-08-21
18. NXP SEMICONDUCTORS N V   2018-11-28 2023-08-21
23000. ADVANCE AUTO PARTS 3.900% 4/15/30   2023-04-27 2023-09-13
150. ISHARES TR S&P MIDCAP 400/BARRA GROWTH   2009-07-22 2023-09-13
250. ISHARES TR S&P MIDCAP 400/BARRA VALUE   2010-08-17 2023-09-13
23000. U.S. TREASURY BILLS 10/10/23   2023-08-17 2023-09-22
69.979 STERLING CAP SPEC OPP-R6   2015-10-27 2023-10-10
272.48 STERLING CAP EQTY INC-R6     2023-10-10
82000. U.S. TREASURY BILLS 10/10/23   2023-08-17 2023-10-10
135. ACTIVISION BLIZZARD INC     2023-10-13
13000. U.S. TREASURY NOTES 3.500% 2/15/33     2023-11-01
35000. U.S. TREASURY NOTES 3.875% 8/15/33   2023-08-11 2023-11-01
23000. RYDER SYSTEM INC MTN 3.875% 12/01/23   2018-10-30 2023-12-01
44000. U.S. TREASURY BILLS 12/12/23   2023-11-01 2023-12-12
400. ISHARES TR S&P MIDCAP 400/BARRA GROWTH   2009-07-22 2023-12-28
450. ISHARES TR S&P MIDCAP 400/BARRA VALUE     2023-12-28
112.233 STERLING CAP SPEC OPP-R6     2023-12-29
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 30,000   30,000  
b 24,000   24,000  
c 26,000   26,000  
d 9,000   9,000  
e 4,700   1,057 3,643
9,309   2,879 6,430
25,821   25,823 -2
11,923   11,925 -2
30,000   30,000  
22,921   23,089 -168
22,031   22,625 -594
21,514   25,777 -4,263
22,333   23,927 -1,594
20,074   20,924 -850
20,898   22,714 -1,816
39,634   44,266 -4,632
30,000   30,102 -102
56,000   56,000  
30,000   30,000  
9,916   10,267 -351
59,499   66,399 -6,900
4,990   5,204 -214
21,511   24,811 -3,300
18,195   19,997 -1,802
5,524   1,688 3,836
80,798   82,053 -1,255
14,188   15,326 -1,138
35,000   35,000  
55,000   55,000  
74,095   74,095  
14,969   16,426 -1,457
6,834   6,324 510
11,612   13,085 -1,473
5,982   5,241 741
12,282   6,346 5,936
10,068   14,935 -4,867
3,039   2,182 857
5,217   4,999 218
4,765   1,561 3,204
377   729 -352
4,038   4,716 -678
16,060   10,935 5,125
17,236   15,442 1,794
344   1,060 -716
8,966   7,011 1,955
1,092   1,023 69
3,004   1,557 1,447
570   675 -105
1,005   677 328
10,981   3,863 7,118
763   783 -20
438   1,247 -809
5,643   3,081 2,562
12,553   7,012 5,541
715   3,740 -3,025
1,536   1,435 101
413   509 -96
689   3,847 -3,158
1,381   1,266 115
4,973   1,694 3,279
1,244   1,031 213
3,643   1,481 2,162
19,070   21,059 -1,989
11,172   2,439 8,733
26,005   8,440 17,565
22,822   22,821 1
2,000   1,777 223
7,000   5,043 1,957
81,364   81,364  
12,825   3,575 9,250
11,736   12,582 -846
32,486   34,181 -1,695
23,000   22,986 14
43,742   43,742  
31,926   6,505 25,421
51,705   12,823 38,882
3,000   2,771 229
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
      2,573
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        
b        
c        
d        
e       3,643
      6,430
      -2
      -2
       
      -168
      -594
      -4,263
      -1,594
      -850
      -1,816
      -4,632
      -102
       
       
      -351
      -6,900
      -214
      -3,300
      -1,802
      3,836
      -1,255
      -1,138
       
       
       
      -1,457
      510
      -1,473
      741
      5,936
      -4,867
      857
      218
      3,204
      -352
      -678
      5,125
      1,794
      -716
      1,955
      69
      1,447
      -105
      328
      7,118
      -20
      -809
      2,562
      5,541
      -3,025
      101
      -96
      -3,158
      115
      3,279
      213
      2,162
      -1,989
      8,733
      17,565
      1
      223
      1,957
       
      9,250
      -846
      -1,695
      14
       
      25,421
      38,882
      229
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 111,763
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 2,923
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 2,923
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 2,923
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 1,156
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 1,156
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 1,767
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 arrowNC
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 arrow  
14
The books are in care ofright arrowTRUIST BANK Telephone no.right arrow (804) 273-7445

Located atright arrowPO BOX 919798ORLANDOFL ZIP+4right arrow32891
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
TRUIST BANK TRUSTEE
12
51,847    
PO BOX 919798
ORLANDO,FL32891
JOE E GADDY DIRECTOR
12
2,400    
207 WHITE STORE AVENE
WADESBORO,NC28170
JOANNE HUNTLEY DIRECTOR
12
2,400    
216 LEAH AVENUE
WADESBORO,NC28170
FRANK F MILLS DIRECTOR
12
0    
704 PEACH STREET
WADESBORO,NC28170
JERRY JOHNSON DIRECTOR
12
2,400    
406 EAST VIEW ST
WADESBORO,NC28170
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
5,109,548
b
Average of monthly cash balances.......................
1b
99,345
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
5,208,893
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
5,208,893
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
78,133
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
5,130,760
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
256,538
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
256,538
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
2,923
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
2,923
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
253,615
4
Recoveries of amounts treated as qualifying distributions................
4
19,467
5
Add lines 3 and 4............................
5
273,082
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
273,082
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
268,527
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
268,527
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 7 273,082
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...... 0
b From 2019...... 0
c From 2020...... 59,201
d From 2021...... 0
e From 2022...... 29,632
f Total of lines 3a through e ........ 88,833
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 268,527
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)........
Click to see attachment
List of Attached Documents:
// Content
36,831
d Applied to 2023 distributable amount..... 231,696
e Remaining amount distributed out of corpus 0
5 Excess distributions carryover applied to 2023. 41,386 41,386
(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 84,278
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) ...
0
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ......
84,278
10 Analysis of line 9:
a Excess from 2019.... 0
b Excess from 2020.... 54,646
c Excess from 2021.... 0
d Excess from 2022.... 29,632
e Excess from 2023....  
Form 990-PF (2023)
Form 990-PF (2023)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-A, question 9)
1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2023, enter the date of the ruling ...... right arrow
 
b Check box to indicate whether the organization is a private operating foundation described in section or
2a Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part IX for each
year listed ..........
Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
line 4 for each year listed .....
         
d Amounts included in line 2c not used directly
for active conduct of exempt activities ..........
         
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c ....
         
3 Complete 3a, b, or c for the
alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......          
(2) Value of assets qualifying
under section 4942(j)(3)(B)(i)
         
b “Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed ..
         
c “Support" alternative test—enter:
(1) Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties) ....
         
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)....
         
(3) Largest amount of support
from an exempt organization
         
(4) Gross investment income          
Part XIV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1Information Regarding Foundation Managers:
aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
TRUIST BANK
PO BOX 919798
ORLANDO,FL32891
(704) 954-1125
bThe form in which applications should be submitted and information and materials they should include:
NO SPECIFIC REQUIREMENTS
cAny submission deadlines:
DECEMBER 31
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
NONE
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

ANSON COUNTY COOPERATIVE EXTENSION

PO BOX 633
WADESBORO,NC28170
NONE PC GENERAL OPERATING 1,500

ANSON COUNTY HISTORICAL SOCIETY

206 E WADE ST
WADESBORO,NC28170
NONE PC GENERAL OPERATING 5,000

ANSON COUNTY SCHOOLS

320 CAMDEN ROAD
WADESBORO,NC28170
NONE PC GENERAL OPERATING 17,000

LEADERSHIP ANSON

PO BOX 305
WADESBORO,NC28170
NONE PC GENERAL OPERATING 1,000

NC COOPERATIVE EXTENSION SERVICE

PO BOX 633
WADESBORO,NC28170
NONE PC GENERAL OPERATING 500

ANSON COUNTY HOMES OF HOPE

415 LEE AVE
WADESBORO,NC28170
NONE PC GENERAL OPERATING 20,000

ANSON COUNTY ARTS COUNCIL

PO BOX 332
WADESBORO,NC28170
NONE PC GENERAL OPERATING 11,600

CALVARY EPISCOPAL CHURCH

PO BOX 942
WADESBORO,NC28170
NONE PC GENERAL OPERATING 171,803

ANSON CRISIS MINISTRY

117 NORTH RUTHERFORD ST
WADESBORO,NC28170
NONE PC GENERAL OPERATING 10,000
Total .................................right arrow 3a 238,403
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2023)
Form 990-PF (2023)
Page 12
Part XV-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
Related or exempt
function income
(See instructions.)
1Program service revenue: (a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
gFees and contracts from government agencies          
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ...........
    14 164  
4 Dividends and interest from securities ....     14 128,763  
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 ............
    18 111,763  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aFEDERAL TAX REFUND
    1 2,806  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   243,496  
13Total. Add line 12, columns (b), (d), and (e)..................
13
243,496
(See worksheet in line 13 instructions to verify calculations.)
Part XV-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
DownArrow
Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form 990-PF (2023)
Form 990-PF (2023)
Page 13
Part XVI
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1) Cash...................................
1a(1)
 
No
(2) Other assets.................................
1a(2)
 
No
b
Other transactions:
(1) Sales of assets to a noncharitable exempt organization....................
1b(1)
 
No
(2) Purchases of assets from a noncharitable exempt organization..................
1b(2)
 
No
(3) Rental of facilities, equipment, or other assets.......................
1b(3)
 
No
(4) Reimbursement arrangements...........................
1b(4)
 
No
(5) Loans or loan guarantees.............................
1b(5)
 
No
(6) Performance of services or membership or fundraising solicitations................
1b(6)
 
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
1c
 
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
(a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
b
If "Yes," complete the following schedule.

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


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


Software ID:  
Software Version:  


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

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Name of the organization
SMITH GEN WA TR UW - ITEM XXII
 
Employer identification number

56-6042630
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
SMITH GEN WA TR UW - ITEM XXII
 
Employer identification number
56-6042630
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
1
SMITH GENERAL WA TUW
C/O TRUIST BANK
PO BOX 919798
 
ORLANDO, FL32891

$ 36,831


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
SMITH GEN WA TR UW - ITEM XXII
 
Employer identification number

56-6042630
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
SMITH GEN WA TR UW - ITEM XXII
 
Employer identification number

56-6042630
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
TAX PREPARATION FEE (NON-ALLOC 400     400

TY 2023 DistributionFromCorpusElection
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Election:
Pursuant to Internal Revenue Code 4942(h)(2) and Treas. Reg. 53.4942(a)-3(d)(2), the above referenced foundation hereby elects to treat the current qualifying distributions in excess of the immediately preceding year's undistributed income as being made out of corpus: For tax year 2023 in the amount of $36,831.

TY 2023 InvestmentsCorpBondsSchedule
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Name of Bond End of Year Book Value End of Year Fair Market Value
592905764 METROPOLITAN WEST TO 5,831 4,998
3135G0K36 FEDERAL NATIONAL MOR 54,159 52,553
3135G0T94 FEDERAL NATIONAL MOR    
3135G0ZR7 FEDERAL NATIONAL MOR 45,052 44,270
9128282A7 UNITED STATES TREASU 40,134 37,438
9128285T3 UNITED STATES TREASU 28,193 27,134
912828B66 UNITED STATES TREASU 72,519 71,773
912828D56 UNITED STATES TREASU 71,938 70,824
912828N30 UNITED STATES TREASU    
912828UN8 UNITED STATES TREASU    
912828WJ5 UNITED STATES TREASU 89,274 88,130
167593S86 CHICAGO ILLINOIS O'H 30,000 28,285
347622CW0 FORT LAUDERDALE FLOR 30,191 27,305
54438CRJ3 LOS ANGELES CALIFORN    
5946107Z4 MICHIGAN STATE    
64971WF70 NEW YORK CITY NEW YO 30,725 29,291
658289J95 NORTH CAROLINA STATE 35,395 33,046
79467BDD4 SALES TAX SECURITIZA 30,090 29,167
975680EX3 WINSTON SALEM NORTH 40,000 36,158
00206RJX1 AT&T INC    
00287YBF5 ABBVIE INC 22,264 21,884
025537AJ0 AMERICAN ELECTRIC PO 23,023 21,889
05526DBB0 BAT CAPITAL CORP 13,688 13,360
06051GEU9 BANK OF AMERICA CORP    
06406RAE7 BANK OF NY MELLON CO    
126650CU2 CVS HEALTH CORP 23,280 21,965
14040HBG9 CAPITAL ONE FINANCIA 23,230 22,447
142339AG5 CARLISLE COS INC 25,007 24,523
172967HT1 CITIGROUP INC    
21036PBC1 CONSTELLATION BRANDS 24,724 24,035
22822VAR2 CROWN CASTLE INTL CO 28,485 23,310
313747BA4 FEDERAL REALTY INVT 24,239 20,832
37045XCL8 GENERAL MOTORS FINL    
38141GXG4 GOLDMAN SACHS GROUP 25,061 21,090
446150AM6 HUNTINGTON BANCSHARE 24,922 24,514
46625HJH4 JPMORGAN CHASE & CO    
49326EEJ8 KEYCORP 23,491 20,413
49456BAP6 KINDER MORGAN INC 23,808 21,692
548661DM6 LOWE'S COS INC 24,901 22,854
58933YAZ8 MERCK & CO INC    
6174468C6 MORGAN STANLEY 23,115 22,667
67066GAF1 NVIDIA CORP 23,769 21,271
7591EPAQ3 REGIONS FINANCIAL CO    
78355HKK4 RYDER SYSTEM INC    
824348AW6 SHERWIN-WILLIAMS CO    
913017CY3 RTX CORPORATION 25,341 23,447
92277GAN7 VENTAS REALTY LP    
606822AN4 MITSUBISHI UFJ FINL 22,809 22,294
822582CD2 SHELL INTERNATIONAL 23,831 21,594
949746SH5 WELLS FARGO & COMPAN 22,854 21,836
24917DBE2 DENVER COLORADO CITY 53,770 48,740
25470DAR0 DISCOVERY COMMUNICAT 24,460 21,877
258620566 DOUBLELINE TOTAL RET 11,552 9,439
31620RAK1 FIDELITY NATL FINANC 24,933 20,710
529055DH5 LEXINGTON CNTY SOUTH    
6500354T2 NEW YORK STATE URBAN    
69121KAG9 OWL ROCK CAPITAL COR 18,981 16,678
723787AT4 PIONEER NAT RES CO 25,026 23,206
74460DAH2 PUBLIC STORAGE 26,988 24,065
78016EYH4 ROYAL BANK CANADA 24,971 21,073
808513BV6 CHARLES SCHWAB CORP 23,813 22,578
9128284V9 UNITED STATES TREASU 62,411 59,333
912828VS6 UNITED STATES TREASU    
91282CCB5 UNITED STATES TREASU 73,294 66,048
92343VGG3 VERIZON COMMUNICATIO    
26441CBT1 DUKE ENERGY CORP 21,968 21,295
3135G05Q2 FEDERAL NATIONAL MOR 34,094 32,597
9128283F5 UNITED STATES TREASU 46,904 47,012
912828R36 UNITED STATES TREASU 24,532 23,588
912828XB1 UNITED STATES TREASU 19,659 19,362
912828Z94 UNITED STATES TREASU 13,711 13,068
91282CCS8 UNITED STATES TREASU 64,604 63,714
91282CDJ7 UNITED STATES TREASU 53,158 49,814
91282CDY4 UNITED STATES TREASU 48,356 42,987
91282CEM9 UNITED STATES TREASU 55,431 53,268
91282CEP2 UNITED STATES TREASU 46,964 45,127
91282CFF3 UNITED STATES TREASU 15,752 15,568
91282CFV8 UNITED STATES TREASU 72,863 72,170
037833DU1 APPLE INC 23,312 23,090
06051GGA1 BANK OF AMERICA CORP 23,510 23,786
06406RBP1 BANK OF NY MELLON CO 23,000 22,497
13063DRE0 CALIFORNIA STATE 43,116 45,263
172967LP4 CITIGROUP INC 46,711 47,652
37045XEG7 GENERAL MOTORS FINL 21,015 21,656
46647PBU9 JPMORGAN CHASE & CO 18,680 18,640
576000ZF3 MASSACHUSETTS STATE 32,055 32,076
725209NZ9 PITTSBURGH PENNSYLVA 32,433 32,982
78409VBK9 S&P GLOBAL INC 23,478 24,100
808513CJ2 CHARLES SCHWAB CORP 22,000 23,070
87264ABD6 T-MOBILE USA INC 17,191 17,459
912810FG8 UNITED STATES TREASU 22,030 22,322
9128285Z9 UNITED STATES TREASU 32,926 32,924
91282CGM7 UNITED STATES TREASU 20,273 20,364
91282CHK0 UNITED STATES TREASU 22,690 23,109
928563AC9 VMWARE INC 21,880 22,312
94106LBU2 WASTE MANAGEMENT INC 20,113 20,063

TY 2023 InvestmentsCorpStockSchedule
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Name of Stock End of Year Book Value End of Year Fair Market Value
002824100 ABBOTT LABS 11,848 49,532
00287Y109 ABBVIE INC 9,407 44,166
00507V109 ACTIVISION BLIZZARD    
00971T101 AKAMAI TECHNOLOGIES 4,866 13,255
02079K107 ALPHABET INC CL C 13,193 38,051
032654105 ANALOG DEVICES INC 28,620 64,532
036752103 ELEVANCE HEALTH INC 15,398 53,286
058498106 BALL CORP    
101137107 BOSTON SCIENTIFIC CO 1,964 3,180
110122108 BRISTOL MYERS SQUIBB 6,846 6,209
12504L109 CBRE GROUP INC 3,653 12,195
126650100 CVS HEALTH CORP 33,049 35,532
14040H105 CAPITAL ONE FINANCIA 5,514 10,227
17275R102 CISCO SYSTEMS INC 14,748 22,734
172967424 CITIGROUP INC 19,478 18,004
191216100 COCA COLA CO 16,320 19,152
20030N101 COMCAST CORP-CL A 3,752 15,611
219350105 CORNING INC 24,608 26,644
235851102 DANAHER CORP 4,789 15,268
254709108 DISCOVER FINL SVCS 20,110 42,712
26875P101 EOG RESOURCES INC 10,738 33,261
31428X106 FEDEX CORPORATION    
315616102 F5 INC 11,398 15,750
337738108 FISERV INC 2,611 3,454
38141G104 GOLDMAN SACHS GROUP 17,386 38,577
40412C101 HCA HEALTHCARE INC 4,690 26,797
436440101 HOLOGIC INC 6,618 12,147
437076102 HOME DEPOT INC 24,713 46,784
438516106 HONEYWELL INTERNATIO 17,520 38,796
461202103 INTUIT INC 6,937 27,501
478160104 JOHNSON & JOHNSON 21,509 34,483
502431109 L3 HARRIS TECHNOLOGI 18,725 23,168
526057104 LENNAR CORP    
58933Y105 MERCK & CO INC 23,487 51,239
594918104 MICROSOFT CORP 29,313 97,770
620076307 MOTOROLA SOLUTIONS, 7,678 17,220
665859104 NORTHERN TR CORP 14,837 16,876
69370C100 PTC INC 4,790 12,247
713448108 PEPSICO INC 17,952 43,309
750102105 RACKSPACE TECHNOLOGY 9,116 930
808513105 CHARLES SCHWAB CORP 12,940 18,920
855244109 STARBUCKS CORP 11,640 20,162
902494103 TYSON FOODS INC CL A 16,451 16,125
911312106 UNITED PARCEL SERVIC 18,242 36,949
91324P102 UNITEDHEALTH GROUP I 1,450 25,271
92343V104 VERIZON COMMUNICATIO 28,114 22,620
92345Y106 VERISK ANALYTICS INC 5,206 20,303
76131D103 RESTAURANT BRANDS IN 25,122 31,252
G02602103 AMDOCS LTD 15,924 23,730
G1151C101 ACCENTURE PLC CL A 12,934 61,409
G5960L103 MEDTRONIC PLC 25,008 26,362
G6095L109 APTIV PLC 7,856 9,869
H1467J104 CHUBB LTD 27,505 47,460
N6596X109 NXP SEMICONDUCTORS N 7,157 19,982
007903107 ADVANCED MICRO DEVIC 3,230 3,833
023135106 AMAZON.COM INC 37,040 36,314
032095101 AMPHENOL CORP    
037833100 APPLE INC 17,590 19,446
053332102 AUTOZONE INC    
09857L108 BOOKING HOLDINGS INC    
125523100 THE CIGNA GROUP 1,157 1,497
127097103 COTERRA ENERGY INC 17,740 30,624
169656105 CHIPOTLE MEXICAN GRI 3,547 4,574
172908105 CINTAS CORP 1,372 1,808
231021106 CUMMINS INC 33,805 32,342
25809K105 DOORDASH INC CL A    
30303M102 META PLATFORMS INC C 8,084 8,495
30744W107 FARFETCH LTD CL A 716 1
368736104 GENERAC HOLDINGS INC    
369550108 GENERAL DYNAMICS COR    
37940X102 GLOBAL PAYMENTS INC 18,611 15,875
46120E602 INTUITIVE SURGICAL I 3,376 3,374
517834107 LAS VEGAS SANDS CORP 535 738
532457108 LILLY ELI & CO 3,628 6,412
550021109 LULULEMON ATHLETICA 783 1,023
571748102 MARSH & MCLENNAN COS 14,712 23,684
57636Q104 MASTERCARD INC CL A 4,419 5,118
57667L107 MATCH GROUP INC    
60937P106 MONGODB INC CL A 1,458 1,227
64110L106 NETFLIX INC 3,965 3,408
654106103 NIKE INC-CLASS B 1,980 1,303
67066G104 NVIDIA CORP 10,015 12,876
70450Y103 PAYPAL HOLDINGS INC 5,422 4,913
75886F107 REGENERON PHARMACEUT    
76954A103 RIVIAN AUTOMOTIVE IN 11,109 2,369
771049103 ROBLOX CORP CL A 1,237 594
776696106 ROPER TECHNOLOGIES I 2,436 2,726
778296103 ROSS STORES INC 1,435 1,799
78409V104 S&P GLOBAL INC 10,108 11,894
79466L302 SALESFORCE INC 2,288 2,368
81141R100 SEA LTD SPONSORED    
81762P102 SERVICENOW INC 3,638 4,239
83304A106 SNAP INC CL A 3,307 1,253
863667101 STRYKER CORPORATION 1,013 1,198
874039100 TAIWAN SEMICONDUCTOR 1,520 1,352
879360105 TELEDYNE TECHNOLOGIE 2,557 2,678
89400J107 TRANSUNION 8,755 6,871
90364P105 UIPATH INC CL A 922 571
92826C839 VISA INC CL A 20,238 23,171
98980L101 ZOOM VIDEO COMMUNICA 897 360
L8681T102 SPOTIFY TECHNOLOGY S 1,936 1,691
N07059210 ASML HOLDING NV SPON 3,805 3,785
N3167Y103 FERRARI NV 1,031 1,354
009279100 AIRBUS SE UNSPONSORE 1,885 2,083
04016X101 ARGENX SE SPONSORED 1,504 1,141
049468101 ATLASSIAN CORPORATIO 735 951
19247G107 COHERENT CORP 7,849 9,577
21036P108 CONSTELLATION BRANDS 1,546 1,451
228368106 CROWN HOLDINGS INC 10,484 11,051
256677105 DOLLAR GENERAL CORP 3,230 2,719
268150109 DYNATRACE INC 787 930
444859102 HUMANA INC 1,958 1,831
46266C105 IQVIA HOLDINGS INC 8,603 9,255
512807108 LAM RESEARCH CORP 1,320 1,567
518439104 LAUDER ESTEE COS INC 605 585
573874104 MARVELL TECHNOLOGY I 10,501 10,554
58155Q103 MCKESSON CORP 848 926
72352L106 PINTEREST INC CL A 1,282 1,741
742718109 PROCTER & GAMBLE CO 1,516 1,465
82509L107 SHOPIFY INC CL A 961 1,402
872590104 T-MOBILE US INC 11,837 13,949
874054109 TAKE-TWO INTERACTIVE 9,766 11,267
88160R101 TESLA INC 2,963 3,230
92338C103 VERALTO CORPORATION 632 1,810
98980F104 ZOOMINFO TECHNOLOGIE 3,519 3,698
G3922B107 GENPACT LTD 2,140 2,048
G54950103 LINDE PLC 750 821

TY 2023 InvestmentsOtherSchedule2
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
464287465 ISHARES MSCI EAFE ET AT COST 2,267 2,637
464287606 ISHARES S&P MIDCAP 4 AT COST 54,132 269,348
464287630 ISHARES RUSSELL 2000 AT COST 60,383 124,264
464287705 ISHARES S&P MIDCAP 4 AT COST 67,013 279,398
464287887 ISHARES S&P SMALLCAP AT COST 37,139 131,397
464287507 ISHARES CORE S&P MID AT COST 3,340 5,543
464287655 ISHARES RUSSELL 2000 AT COST 3,842 5,018
921943858 VANGUARD FTSE DEVELO AT COST 149,080 143,700
22822V101 CROWN CASTLE INC AT COST 13,759 19,006
64128K751 NEUBERGER BERMAN STR AT COST 11,105 9,925
85918D624 STERLING CAPITAL TOT AT COST 11,368 9,868
85918D640 STERLING CAPITAL SPE AT COST 7,075 8,584
85918D657 STERLING CAPITAL EQU AT COST 6,579 10,312
46429B663 ISHARES TR CORE HIGH      
45775L408 T ROWE PRICE LARGE-C AT COST 7,000 7,601
464287200 ISHARES CORE S&P 500 AT COST 184,348 198,216

TY 2023 OtherDecreasesSchedule
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Description Amount
2023 TRANSACTIONS POSTED IN 2024 488
2022 SALES POSTED IN 2023 269
CY ACCRUED INTEREST PAID CARRYFORWARD 885
2023 SALES POSTED IN 2024 64,531
COST BASIS ADJUSTMENTS 510


TY 2023 OtherExpensesSchedule
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
OTHER ALLOCABLE EXPENSE-PRINCI 100 0   100
OTHER ALLOCABLE EXPENSE-INCOME 100 0   100
OTHER EXPENSE (NON-DEDUCTIBLE 23 23   0


TY 2023 OtherIncomeSchedule2
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
FEDERAL TAX REFUND 2,806 0  


TY 2023 OtherIncreasesSchedule
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Description Amount
2022 TRANSACTIONS POSTED IN 2023 914
PY ACCRUED INTEREST PAID 1,386
RECOVERY OF PRIOR YEAR GRANTS 19,467
ROUNDING 2


TY 2023 TaxesSchedule
Name:
SMITH GEN WA TR UW - ITEM XXII
EIN:
56-6042630
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAXES 204 204   0
FOREIGN TAXES ON QUALIFIED FOR 234 234   0
FOREIGN TAXES ON NONQUALIFIED 57 57   0