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
HAYNER FOUNDATION TA
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

35-6064431
B Telephone number (see instructions)

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

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$2,249,065J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check right arrow.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 66,957 66,761  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 25,382
b Gross sales price for all assets on line 6a 501,482
7 Capital gain net income (from Part IV, line 2)... 25,382
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
945    
12 Total. Add lines 1 through 11........ 93,284 92,143  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 31,470 23,603   7,868
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
1,190 0 0 1,190
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
3,657 1,517   2,140
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
1,940 1,940   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
21 21    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 38,278 27,081 0 11,198
25 Contributions, gifts, grants paid....... 100,000 100,000
26 Total expenses and disbursements. Add lines 24 and 25 138,278 27,081 0 111,198
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -44,994
b Net investment income (if negative, enter -0-) 65,062
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............. 105 93 93
2 Savings and temporary cash investments......... 92,067 58,190 58,190
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)....... 482,757 Click to see attachment
List of Attached Documents:
// Content
399,507 		832,639
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).......... 1,257,522 Click to see attachment
List of Attached Documents:
// Content
1,329,118 		1,358,143
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,832,451 1,786,908 2,249,065
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe right arrow)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here right arrow
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 1,832,451 1,786,908
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,832,451 1,786,908
30 Total liabilities and net assets/fund balances (see instructions). 1,832,451 1,786,908
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,832,451
2
Enter amount from Part I, line 27a .....................
2
-44,994
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
6
4
Add lines 1, 2, and 3 ..........................
4
1,787,463
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
555
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,786,908
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 4. ALPHABET INC CL C   2022-10-18 2023-01-25
b 28. ALPHABET INC CL C     2023-01-25
c 1. APPLE INC   2022-10-18 2023-01-25
d 33. APPLE INC     2023-01-25
e 1. BOOKING HOLDINGS INC   2021-07-27 2023-01-25
10. CELANESE CORP   2022-08-24 2023-01-25
11. CELANESE CORP     2023-01-25
30. CITIGROUP INC.     2023-01-25
171. GOLDMAN SACHS ACTIVEBETA INT ETF   2021-07-26 2023-01-25
35. INTERPUBLIC GROUP COS INC   2021-10-19 2023-01-25
32. ISHARES JP MORGAN USD EMERGING   2022-04-21 2023-01-25
84. ISHARES CORE MSCI EMERGING ETF   2019-08-08 2023-01-25
4. LAM RESEARCH CORP COM   2022-08-10 2023-01-25
78. MANULIFE FINANCIAL CORP   2021-10-19 2023-01-25
59. SUNCOR ENERGY INC NEW F   2022-04-21 2023-01-25
69. VANGUARD MIDCAP VIPER     2023-01-25
38. FIDELITY NATL INFORMATION SVCS INC     2023-02-14
142. FIDELITY NATL INFORMATION SVCS INC     2023-02-14
1. WASTE MANAGEMENT INC   2022-10-18 2023-02-14
17. WASTE MANAGEMENT INC     2023-02-14
211. MANULIFE FINANCIAL CORP     2023-03-21
24. ABBVIE INC     2023-05-17
9. ABBVIE INC     2023-05-17
4. ADVANCED MICRO DEVICES INC   2023-02-14 2023-05-17
1. BLACKROCK INC   2021-07-27 2023-05-17
4. BLACKSTONE INC   2023-03-21 2023-05-17
2. BOEING CO   2021-07-27 2023-05-17
3. BROADCOM INC   2021-07-27 2023-05-17
20. CVS HEALTH CORPORATION     2023-05-17
10. CVS HEALTH CORPORATION   2021-07-27 2023-05-17
27. CISCO SYSTEMS INC   2021-07-27 2023-05-17
6. COGNIZANT TECH SOLUTIONS CRP COM   2020-12-09 2023-05-17
1. DIAGEO PLC - ADR   2022-10-18 2023-05-17
2. DIAGEO PLC - ADR   2020-10-30 2023-05-17
2. WALT DISNEY CO   2021-07-27 2023-05-17
2. ELECTRONIC ARTS INC   2021-07-27 2023-05-17
13. HASBRO INC   2021-07-27 2023-05-17
1. HOME DEPOT INC   2022-12-08 2023-05-17
1. ISHARES CORE U.S. AGGREGATE ETF   2019-08-08 2023-05-17
7. ISHARES RUSSELL 2000 ETF   2022-10-18 2023-05-17
229. ISHARES RUSSELL 2000 ETF     2023-05-17
10. JPMORGAN CHASE & CO   2021-07-27 2023-05-17
4. LAS VEGAS SANDS CORP   2021-07-27 2023-05-17
6. ELI LILLY & CO COM     2023-05-17
1. ELI LILLY & CO COM   2016-10-04 2023-05-17
11. MANULIFE FINANCIAL CORP   2021-07-27 2023-05-17
14. MERCK & CO INC NEW   2021-10-19 2023-05-17
12. MICROSOFT CORP     2023-05-17
8. MONDELEZ INTERNATIONAL INC     2023-05-17
1. MONDELEZ INTERNATIONAL INC   2018-08-29 2023-05-17
2. NIKE INC CL B   2021-07-27 2023-05-17
29. RTX CORP     2023-05-17
28. REGIONS FINL CORP NEW     2023-05-17
3. SYSCO CORP   2022-10-18 2023-05-17
11. SYSCO CORP   2021-07-27 2023-05-17
6. TARGET CORP   2021-10-19 2023-05-17
1. THERMO FISHER SCIENTIFIC INC   2021-07-27 2023-05-17
5. TORONTO DOMINION BK ONT COM NEW   2022-10-18 2023-05-17
17. TORONTO DOMINION BK ONT COM NEW     2023-05-17
5. TOTAL S.A. - ADR   2022-10-18 2023-05-17
15. TOTAL S.A. - ADR   2022-04-21 2023-05-17
17. UNILEVER PLC - ADR   2020-03-05 2023-05-17
1. UNION PACIFIC CORP   2021-07-27 2023-05-17
7. UNITED PARCEL SERVICE-CL B   2021-07-27 2023-05-17
4. UNITEDHEALTH GROUP INC   2023-01-25 2023-05-17
2. UNITEDHEALTH GROUP INC   2020-05-20 2023-05-17
77. VANGUARD MIDCAP VIPER   2022-10-18 2023-05-17
703. VANGUARD MIDCAP VIPER     2023-05-17
3. VISA INC-CLASS A SHRS   2021-07-27 2023-05-17
3. WASTE MANAGEMENT INC   2020-03-17 2023-05-17
6. EATON CORP PLC   2021-07-27 2023-05-17
7. GARMIN LTD   2020-09-15 2023-05-17
6. TE CONNECTIVITY LTD   2023-02-14 2023-05-17
11. ABBVIE INC     2023-06-09
13. ALPHABET INC CL C   2023-05-17 2023-06-09
11. ALPHABET INC CL C   2020-05-20 2023-06-09
18. APPLE INC     2023-06-09
3. APPLE INC     2023-06-09
2. BLACKROCK INC     2023-06-09
14. BLACKSTONE INC   2023-03-21 2023-06-09
1. BOOKING HOLDINGS INC   2023-05-17 2023-06-09
1. BROADCOM INC   2022-10-18 2023-06-09
2. BROADCOM INC   2021-07-27 2023-06-09
18. CVS HEALTH CORPORATION     2023-06-09
11. CELANESE CORP   2022-08-24 2023-06-09
6. CISCO SYSTEMS INC   2022-10-18 2023-06-09
28. CISCO SYSTEMS INC     2023-06-09
11.99976 CITIGROUP INC.   2021-07-27 2023-06-09
13.00024 CITIGROUP INC.   2021-07-27 2023-06-09
73. GOLDMAN SACHS ACTIVEBETA INT ETF   2021-07-26 2023-06-09
18. HASBRO INC     2023-06-09
37. INTERPUBLIC GROUP COS INC     2023-06-09
227. INVESCO OPTIMUM YIELD DIVERSIF ETF   2022-04-21 2023-06-09
132. ISHARES CORE U.S. AGGREGATE ETF   2019-08-08 2023-06-09
23.99963 ISHARES JP MORGAN USD EMERGING   2022-04-21 2023-06-09
52.00037 ISHARES JP MORGAN USD EMERGING   2022-04-21 2023-06-09
14. ISHARES CORE MSCI EAFE ETF   2023-05-17 2023-06-09
43. ISHARES CORE MSCI EMERGING ETF   2023-05-17 2023-06-09
92. ISHARES CORE TOTAL BOND ETF   2021-02-23 2023-06-09
2. JPMORGAN CHASE & CO   2022-10-18 2023-06-09
8. JPMORGAN CHASE & CO     2023-06-09
2. LAM RESEARCH CORP COM   2023-05-17 2023-06-09
3. ELI LILLY & CO COM   2016-10-04 2023-06-09
21. MANULIFE FINANCIAL CORP   2022-10-18 2023-06-09
59. MANULIFE FINANCIAL CORP     2023-06-09
19. MERCK & CO INC NEW   2021-10-19 2023-06-09
6. MICROSOFT CORP   2023-02-14 2023-06-09
9. MICROSOFT CORP     2023-06-09
31. PIMCO ENHANCED SHORT MATURITY ETF   2023-05-17 2023-06-09
498.26437 PGIM HIGH YIELD-Q 1067   2020-09-25 2023-06-09
111.76463 PGIM HIGH YIELD-Q 1067   2020-09-25 2023-06-09
8. RTX CORP   2022-08-24 2023-06-09
7. RTX CORP   2021-07-27 2023-06-09
7.99712 SUNCOR ENERGY INC NEW F   2022-10-18 2023-06-09
2.00288 SUNCOR ENERGY INC NEW F   2022-10-18 2023-06-09
16. SUNCOR ENERGY INC NEW F   2022-02-15 2023-06-09
17. SUNCOR ENERGY INC NEW F   2022-04-21 2023-06-09
15. SYSCO CORP     2023-06-09
22. TORONTO DOMINION BK ONT COM NEW   2019-10-22 2023-06-09
22. TOTAL S.A. - ADR     2023-06-09
6. UNITED PARCEL SERVICE-CL B   2023-02-14 2023-06-09
2. UNITED PARCEL SERVICE-CL B   2021-07-27 2023-06-09
3. UNITEDHEALTH GROUP INC   2020-04-06 2023-06-09
7.99977 VANGUARD LONG-TERM BOND ETF   2023-01-25 2023-06-09
14.00023 VANGUARD LONG-TERM BOND ETF   2023-01-25 2023-06-09
60. VANGUARD MIDCAP VIPER   2020-05-15 2023-06-09
2. EATON CORP PLC   2022-10-18 2023-06-09
4. EATON CORP PLC     2023-06-09
9. GARMIN LTD   2020-09-15 2023-06-09
175. CVS HEALTH CORPORATION     2023-06-16
18. WALT DISNEY CO   2022-06-24 2023-06-16
34. WALT DISNEY CO     2023-06-16
3. HASBRO INC   2022-10-18 2023-06-16
189. HASBRO INC     2023-06-16
78. LAS VEGAS SANDS CORP     2023-06-16
213. SYSCO CORP     2023-06-16
1156. INVESCO OPTIMUM YIELD DIVERSIF ETF   2022-08-10 2023-08-10
2028. INVESCO OPTIMUM YIELD DIVERSIF ETF     2023-08-10
62. ISHARES CORE U.S. AGGREGATE ETF   2019-08-08 2023-08-10
20. VANGUARD MIDCAP VIPER   2020-05-15 2023-08-10
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(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 389   415 -26
b 2,721   3,822 -1,101
c 140   146 -6
d 4,626   4,858 -232
e 2,298   2,232 66
1,197   1,161 36
1,317   1,710 -393
1,527   2,100 -573
5,285   6,021 -736
1,271   1,344 -73
2,829   3,001 -172
4,300   4,060 240
1,879   1,925 -46
1,492   1,579 -87
1,959   2,049 -90
14,704   16,276 -1,572
2,610   3,700 -1,090
9,752   16,947 -7,195
151   160 -9
2,573   2,248 325
3,814   4,127 -313
3,415   3,534 -119
1,280   1,049 231
403   336 67
643   869 -226
324   342 -18
407   449 -42
1,944   1,423 521
1,345   1,722 -377
672   835 -163
1,276   1,488 -212
374   474 -100
178   170 8
356   259 97
183   355 -172
248   283 -35
805   1,332 -527
282   322 -40
99   113 -14
1,212   1,233 -21
39,647   28,271 11,376
1,362   1,523 -161
237   175 62
2,612   1,991 621
435   81 354
211   210 1
1,607   1,102 505
3,749   3,454 295
620   502 118
78   42 36
232   328 -96
2,791   2,799 -8
451   563 -112
220   231 -11
808   812 -4
950   1,530 -580
526   534 -8
304   316 -12
1,033   1,035 -2
300   262 38
899   777 122
918   960 -42
197   219 -22
1,171   1,344 -173
1,921   1,964 -43
961   582 379
15,725   15,046 679
143,571   118,922 24,649
695   751 -56
504   327 177
1,006   941 65
720   702 18
725   789 -64
1,523   1,256 267
1,606   1,562 44
1,359   771 588
3,272   2,986 286
545   142 403
1,362   1,653 -291
1,233   1,196 37
2,609   2,662 -53
808   444 364
1,617   949 668
1,292   1,208 84
1,244   1,277 -33
298   253 45
1,390   1,443 -53
578   820 -242
626   888 -262
2,285   2,570 -285
1,091   1,791 -700
1,462   1,188 274
3,086   4,267 -1,181
12,934   14,867 -1,933
2,047   2,251 -204
4,435   4,877 -442
935   958 -23
2,131   2,081 50
4,174   4,924 -750
282   240 42
1,129   1,088 41
1,227   1,129 98
1,343   243 1,100
404   343 61
1,136   937 199
2,110   1,495 615
1,968   1,618 350
2,952   876 2,076
3,080   3,082 -2
2,287   2,626 -339
513   589 -76
793   746 47
694   622 72
242   253 -11
61   63 -2
485   464 21
515   590 -75
1,084   1,065 19
1,303   1,258 45
1,300   1,130 170
1,022   1,117 -95
341   384 -43
1,487   722 765
592   623 -31
1,035   1,090 -55
12,731   8,813 3,918
374   285 89
748   598 150
946   902 44
11,838   9,546 2,292
1,648   1,755 -107
3,112   2,139 973
184   205 -21
11,604   18,041 -6,437
4,570   3,227 1,343
15,545   9,715 5,830
17,020   19,999 -2,979
29,858   38,153 -8,295
6,020   6,983 -963
4,463   2,938 1,525
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
      25
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       -26
b       -1,101
c       -6
d       -232
e       66
      36
      -393
      -573
      -736
      -73
      -172
      240
      -46
      -87
      -90
      -1,572
      -1,090
      -7,195
      -9
      325
      -313
      -119
      231
      67
      -226
      -18
      -42
      521
      -377
      -163
      -212
      -100
      8
      97
      -172
      -35
      -527
      -40
      -14
      -21
      11,376
      -161
      62
      621
      354
      1
      505
      295
      118
      36
      -96
      -8
      -112
      -11
      -4
      -580
      -8
      -12
      -2
      38
      122
      -42
      -22
      -173
      -43
      379
      679
      24,649
      -56
      177
      65
      18
      -64
      267
      44
      588
      286
      403
      -291
      37
      -53
      364
      668
      84
      -33
      45
      -53
      -242
      -262
      -285
      -700
      274
      -1,181
      -1,933
      -204
      -442
      -23
      50
      -750
      42
      41
      98
      1,100
      61
      199
      615
      350
      2,076
      -2
      -339
      -76
      47
      72
      -11
      -2
      21
      -75
      19
      45
      170
      -95
      -43
      765
      -31
      -55
      3,918
      89
      150
      44
      2,292
      -107
      973
      -21
      -6,437
      1,343
      5,830
      -2,979
      -8,295
      -963
      1,525
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 25,382
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) 1 904
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........................... 3 904
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- ..... 5 904
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 600
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.............. 7 600
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 9 304
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 arrowIN
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
8b
Yes
 
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2023 or the taxable year beginning in 2023? See the instructions for Part XIII.
If "Yes," complete Part XIII .............................
9
 
No
10
Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
and addresses. ...............................
10
 
No
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
11
 
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions.................
12
 
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
 
Website addressright arrowN/A
14
The books are in care ofright arrowWELLS FARGO BANK NA Telephone no.right arrow (800) 352-3705

Located atright arrow100 N MAIN ST FL 5D4001-052WINSTON SALEMNC ZIP+4right arrow27101
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, did the foundation have an interest in or a signature or other authority over YesNo
a bank, securities, or other financial account in a foreign country? .................
16   No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
Yes
 
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
No
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
d
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2023? .............
1d
 
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 20, 20, 20
b
Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to all years listed, answer "No" and attach statement—see instructions.) ..............
2b
 
 
c
If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
right arrow20, 20, 20, 20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year? ..............................
3a
 
No
b
If "Yes," did it have excess business holdings in 2023 as a result of (1) any purchase by the foundation
or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2023.) .....................
3b
 
 
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
 
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
Page 6
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required (continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
 
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
b
If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
5b
 
 
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
d
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant? .................
5d
 
 
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract? .............................
6a
 
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
6b
 
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
7a
 
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
7b
 
 
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year? .........................
8
 
No
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a) Name and address (b) Title, and average
hours per week
devoted to position 		(c) Compensation
 (If not paid, enter
-0-) 		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
other allowances
WELLS FARGO BANK N A TRUSTEE
1 		31,470    
100 N MAIN ST FL 5D4001-052
WINSTONSALEM,NC27101
2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a) Name and address of each employee paid more than $50,000 (b) Title, and average
hours per week
devoted to position 		(c) Compensation (d) Contributions to
employee benefit
plans and deferred
compensation 		(e) Expense account,
other allowances
NONE
Total number of other employees paid over $50,000...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 7
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)
3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
NONE
Total number of others receiving over $50,000 for professional services.............right arrow0
Part VIII-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
1  
2  
3  
4  
Part VIII-B
Summary of Program-Related Investments (see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
1  
2  
All other program-related investments. See instructions.
3  
Total. Add lines 1 through 3.........................right arrow  
Form 990-PF (2023)
Form 990-PF (2023)
Page 8
Part IX
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities...................
1a
2,101,130
b
Average of monthly cash balances.......................
1b
44,888
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
2,146,018
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
2,146,018
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
32,190
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
2,113,828
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
105,691
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
105,691
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
904
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
904
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
104,787
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
104,787
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
104,787
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
111,198
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
111,198
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 7 104,787
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 96,658
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 0
b From 2019...... 0
c From 2020...... 0
d From 2021...... 0
e From 2022...... 0
f Total of lines 3a through e ........ 0
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 111,198
a Applied to 2022, but not more than line 2a 96,658
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..... 14,540
e Remaining amount distributed out of corpus 0
5 Excess distributions carryover applied to 2023. 0 0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6Enter the net total of each column as
indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
b Prior years’ undistributed income. Subtract
line 4b from line 2b .......... 		0
c Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed...... 		0
d Subtract line 6c from line 6b. Taxable amount
—see instructions ........... 		0
e Undistributed income for 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 .......... 		90,247
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) ....... 		0
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ... 		0
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		0
10 Analysis of line 9:
a Excess from 2019.... 0
b Excess from 2020.... 0
c Excess from 2021.... 0
d Excess from 2022.... 0
e Excess from 2023.... 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-A, question 9)
1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2023, enter the date of the ruling ...... right arrow
 
b Check box to indicate whether the organization is a private operating foundation described in section or
2a Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
line 4 for each year listed ..... 		         
d Amounts included in line 2c not used directly
for active conduct of exempt activities .......... 		         
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c .... 		         
3 Complete 3a, b, or c for the
alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......          
(2) Value of assets qualifying
under section 4942(j)(3)(B)(i)		          
b “Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed .. 		         
c “Support" alternative test—enter:
(1) Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties) .... 		         
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii).... 		         
(3) Largest amount of support
from an exempt organization		          
(4) Gross investment income          
Part XIV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1Information Regarding Foundation Managers:
aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
Wells Fargo Bank N A
1 W 4th Street 4th Fl
Winston Salem,NC27101
(888) 730-4933
bThe form in which applications should be submitted and information and materials they should include:
Online Application - <https://www.wellsfargo.com/private-foundations/h
cAny submission deadlines:
May 1
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Foundation has a focus on the arts, scholarships at institutions of higher learning, and scientific research
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

LUTHERAN UNIVERSITY ASSOCIATION

1700 CHAPEL DRIVE
VALPARAISO,IN463836493 		NONE PC GENERAL OPERATING 25,000

TRINE UNIVERSITY INC

1 UNIVERSITY AVE
ANGOLA,IN467031764 		NONE PC GENERAL OPERATING 25,000

INDIANA INSTITUTE OF TECHNOLOGY INC

1600 E WASHINGTON BLVD
FORT WAYNE,IN468031228 		NONE PC GENERAL OPERATING 10,000

ARTS UNITED OF GREATER FORT WAYNE

300 E MAIN ST
FORT WAYNE,IN468021919 		NONE PC GENERAL OPERATING 25,000

SUPER SHOT INC

1515 HOBSON ROAD
FORT WAYNE,IN468050000 		NONE PC GENERAL OPERATING 5,000

JUNIOR ACHIEVEMENT OF NORTHERN

550 E WALLEN RD
FORT WAYNE,IN46825 		NONE PC GENERAL OPERATING 5,000

STILLWATER HOSPICE

5910 HOMESTEAD RD
FORT WAYNE,IN46814 		NONE PC GENERAL OPERATING 5,000
Total .................................right arrow 3a 100,000
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2023)
Form 990-PF (2023)
Page 12
Part XV-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
Related or exempt
function income
(See instructions.)
1Program service revenue: (a)
Business code 		(b)
Amount 		(c)
Exclusion code 		(d)
Amount
a
b
c
d
e
f
gFees and contracts from government agencies          
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ........... 		         
4 Dividends and interest from securities ....     14 66,957  
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 25,382  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aFEDERAL TAX REFUND 		    1 945  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   93,284  
13Total. Add line 12, columns (b), (d), and (e)..................
13
93,284
(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:
HAYNER FOUNDATION TA
EIN:
35-6064431
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
TAX PREPARATION FEE (NON-ALLOC 1,190     1,190

TY 2023 InvestmentsCorpStockSchedule
Name:
HAYNER FOUNDATION TA
EIN:
35-6064431
Name of Stock End of Year Book Value End of Year Fair Market Value
25243Q205 DIAGEO PLC - ADR 9,090 11,507
75513E101 RTX CORP 14,359 17,249
92826C839 VISA INC-CLASS A SHR 6,170 9,893
94106L109 WASTE MANAGEMENT INC 5,909 10,209
609207105 MONDELEZ INTERNATION 10,505 14,486
254687106 WALT DISNEY CO    
H84989104 TE CONNECTIVITY LTD 10,075 15,034
460690100 INTERPUBLIC GROUP CO 9,797 17,234
56501R106 MANULIFE FINANCIAL C 14,706 25,459
89151E109 TOTALENERGIES SE -SP 17,168 24,594
594918104 MICROSOFT CORP 4,545 69,191
871829107 SYSCO CORP    
09857L108 BOOKING HOLDINGS INC 2,698 7,094
172967424 CITIGROUP INC. 12,402 13,117
192446102 COGNIZANT TECH SOLUT 7,135 8,913
58933Y105 MERCK & CO INC NEW 11,618 23,766
285512109 ELECTRONIC ARTS INC 2,989 4,378
126650100 CVS HEALTH CORPORATI    
867224107 SUNCOR ENERGY INC NE 14,727 19,320
512807108 LAM RESEARCH CORP CO 7,111 18,798
46625H100 JPMORGAN CHASE & CO 7,905 25,005
150870103 CELANESE CORP 12,170 22,839
09260D107 BLACKSTONE INC 6,962 16,365
17275R102 CISCO SYSTEMS INC 6,928 20,612
911312106 UNITED PARCEL SERVIC 9,979 16,352
91324P102 UNITEDHEALTH GROUP I 2,487 18,953
883556102 THERMO FISHER SCIENT 1,734 5,839
31620M106 FIDELITY NATL INFORM    
097023105 BOEING CO 3,110 8,602
G29183103 EATON CORP PLC 11,440 22,155
904767704 UNILEVER PLC - ADR 14,763 13,720
907818108 UNION PACIFIC CORP 6,830 12,527
654106103 NIKE INC CL B 2,997 5,103
09247X101 BLACKROCK INC 5,379 12,177
891160509 TORONTO DOMINION BK 16,727 21,131
037833100 APPLE INC 4,705 58,722
H2906T109 GARMIN LTD 11,634 16,453
02079K107 ALPHABET INC CL C 11,104 40,588
00287Y109 ABBVIE INC 17,993 26,035
517834107 LAS VEGAS SANDS CORP    
11135F101 BROADCOM INC 11,023 45,766
532457108 ELI LILLY & CO COM 3,487 25,066
87612E106 TARGET CORP 4,034 12,106
418056107 HASBRO INC    
30303M102 META PLATFORMS INC 7,041 12,389
7591EP100 REGIONS FINL CORP NE 9,017 8,895
437076102 HOME DEPOT INC 11,277 12,129
00724F101 ADOBE INC 7,494 8,949
007903107 ADVANCED MICRO DEVIC 5,790 10,171
580135101 MCDONALDS CORP 11,225 11,267
855244109 STARBUCKS CORP COM 13,268 12,481

TY 2023 InvestmentsOtherSchedule2
Name:
HAYNER FOUNDATION TA
EIN:
35-6064431
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
46090F100 INVESCO OPTIMUM YIEL AT COST 46,774 38,876
46434V613 ISHARES CORE TOTAL B AT COST 144,702 131,714
74440Y884 PGIM HIGH YIELD-Q 10 AT COST 70,320 65,797
464287226 ISHARES CORE U.S. AG AT COST 419,981 394,916
464287655 ISHARES RUSSELL 2000      
381430107 GOLDMAN SACHS ACTIVE AT COST 68,492 66,692
922908629 VANGUARD MIDCAP VIPE AT COST 115,350 201,699
46434G103 ISHARES CORE MSCI EM AT COST 40,960 43,044
464288281 ISHARES JP MORGAN US AT COST 138,979 132,878
33739H101 FIRST TRUST GLOBAL T AT COST 43,325 39,898
46432F842 ISHARES CORE MSCI EA AT COST 129,756 133,665
72201R833 PIMCO ENHANCED SHORT AT COST 64,126 64,365
921937793 VANGUARD LONG-TERM B AT COST 46,353 44,599

TY 2023 OtherDecreasesSchedule
Name:
HAYNER FOUNDATION TA
EIN:
35-6064431
Description Amount
MUTUAL FUND TIMING ADJ 320
ROC ON CY SALES 7
PY RETURN OF CAPITAL ADJUSTMENT 228


TY 2023 OtherExpensesSchedule
Name:
HAYNER FOUNDATION TA
EIN:
35-6064431
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMENT EXPENSES - ADR FEES 21 21   0


TY 2023 OtherIncomeSchedule2
Name:
HAYNER FOUNDATION TA
EIN:
35-6064431
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
FEDERAL TAX REFUND 945 0  


TY 2023 OtherIncreasesSchedule
Name:
HAYNER FOUNDATION TA
EIN:
35-6064431
Description Amount
ROUNDING 6


TY 2023 OtherProfessionalFeesSchedule
Name:
HAYNER FOUNDATION TA
EIN:
35-6064431
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
GRANT ADMIN FEE 2,140     2,140
INVESTMNT MNGMNT FEES (NON-DED 1,517 1,517    


TY 2023 TaxesSchedule
Name:
HAYNER FOUNDATION TA
EIN:
35-6064431
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAXES 1,658 1,658   0
FOREIGN TAXES ON NONQUALIFIED 282 282   0