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

23-6215425
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$1,294,527J 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... 37,947 37,827  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 12,263
b Gross sales price for all assets on line 6a 296,034
7 Capital gain net income (from Part IV, line 2)... 12,263
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
810    
12 Total. Add lines 1 through 11........ 51,020 50,090  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 17,981 16,183   1,798
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment
List of Attached Documents:
// Content
4,100 0 0 4,100
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
872 872   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
796 796   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
10 10    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 24,949 17,861 0 7,088
25 Contributions, gifts, grants paid....... 66,000 66,000
26 Total expenses and disbursements. Add lines 24 and 25 90,949 17,861 0 73,088
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -39,929
b Net investment income (if negative, enter -0-) 32,229
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 44,608 40,521 40,521
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)....... 274,378 Click to see attachment
List of Attached Documents:
// Content
205,936 		444,492
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).......... 791,467 Click to see attachment
List of Attached Documents:
// Content
822,529 		809,514
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) 1,110,453 1,068,986 1,294,527
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........ 1,110,453 1,068,986
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)..... 1,110,453 1,068,986
30 Total liabilities and net assets/fund balances (see instructions). 1,110,453 1,068,986
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
1,110,453
2
Enter amount from Part I, line 27a .....................
2
-39,929
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,070,524
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
1,538
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,068,986
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 29. ALPHABET INC CL C   2021-07-26 2023-01-25
b 4. APPLE INC   2022-10-18 2023-01-25
c 26. APPLE INC   2019-08-09 2023-01-25
d 1. BLACKROCK INC   2018-12-28 2023-01-25
e 9. BLACKSTONE INC   2020-06-03 2023-01-25
3. BOEING CO   2022-10-25 2023-01-25
12. CELANESE CORP   2022-08-10 2023-01-25
25. CITIGROUP INC.   2019-06-17 2023-01-25
13. COGNIZANT TECH SOLUTIONS CRP COM   2019-08-09 2023-01-25
4. WALT DISNEY CO   2022-06-24 2023-01-25
6. WALT DISNEY CO   2020-04-06 2023-01-25
5. META PLATFORMS INC   2021-04-08 2023-01-25
97.785 FIDELITY NEW MRKTS INC-Z #3323   2015-07-29 2023-01-25
64. ISHARES CORE MSCI EMERGING ETF   2021-07-26 2023-01-25
2. LAM RESEARCH CORP COM   2022-10-25 2023-01-25
15. LAS VEGAS SANDS CORP   2016-08-29 2023-01-25
48. MANULIFE FINANCIAL CORP   2021-07-06 2023-01-25
2. MICROSOFT CORP   2022-10-18 2023-01-25
2. MICROSOFT CORP   2015-08-10 2023-01-25
286.801 T ROWE PR OVERSEAS STOCK-I #521   2021-07-26 2023-01-25
5. SUNCOR ENERGY INC NEW F   2022-10-18 2023-01-25
34. SUNCOR ENERGY INC NEW F   2015-07-13 2023-01-25
384.482 TCW EMRG MRKTS INC-PLAN #5721   2019-10-25 2023-01-25
7. TOTAL S.A. - ADR   2022-06-24 2023-01-25
3. TOTAL S.A. - ADR   2022-10-18 2023-01-25
53.23 TOUCHSTONE MID CAP-R6 #355   2020-02-20 2023-01-25
53. VANGUARD MIDCAP VIPER   2021-10-19 2023-01-25
3. VISA INC-CLASS A SHRS   2021-12-17 2023-01-25
5. TE CONNECTIVITY LTD   2021-11-19 2023-01-25
2. BLACKROCK INC   2018-12-28 2023-02-09
2. COGNIZANT TECH SOLUTIONS CRP COM   2022-10-18 2023-02-09
20. COGNIZANT TECH SOLUTIONS CRP COM   2016-08-29 2023-02-09
42. FIDELITY NATL INFORMATION SVCS INC   2022-02-18 2023-02-09
51. FIDELITY NATL INFORMATION SVCS INC   2019-06-17 2023-02-09
34. INTERPUBLIC GROUP COS INC   2021-02-16 2023-02-09
9. JPMORGAN CHASE & CO   2021-03-23 2023-02-09
41. LAS VEGAS SANDS CORP   2015-09-01 2023-02-09
1. UNION PACIFIC CORP   2022-10-18 2023-02-09
6. UNION PACIFIC CORP   2014-02-25 2023-02-09
9. WASTE MANAGEMENT INC   2020-04-06 2023-02-09
9. WALT DISNEY CO   2022-06-24 2023-03-17
110. MANULIFE FINANCIAL CORP   2019-05-16 2023-03-17
1. ABBVIE INC   2022-10-18 2023-05-09
5. ABBVIE INC   2023-01-25 2023-05-09
5. ABBVIE INC   2021-10-12 2023-05-09
2. BROADCOM INC   2019-08-09 2023-05-09
2. CVS HEALTH CORPORATION   2022-10-18 2023-05-09
7. CVS HEALTH CORPORATION   2014-02-25 2023-05-09
3. CISCO SYSTEMS INC   2022-10-18 2023-05-09
15. CISCO SYSTEMS INC   2014-02-25 2023-05-09
5.85 DELAWARE SMALL CAP CORE-R6   2022-10-18 2023-05-09
912.247 DELAWARE SMALL CAP CORE-R6   2022-04-22 2023-05-09
1. DIAGEO PLC - ADR   2022-10-18 2023-05-09
4. DIAGEO PLC - ADR   2019-08-09 2023-05-09
6. ELECTRONIC ARTS INC   2021-04-08 2023-05-09
2. JPMORGAN CHASE & CO   2022-10-18 2023-05-09
8. JPMORGAN CHASE & CO   2019-08-09 2023-05-09
3. ELI LILLY & CO COM   2022-08-10 2023-05-09
1. ELI LILLY & CO COM   2016-10-03 2023-05-09
9. MERCK & CO INC NEW   2021-08-30 2023-05-09
2. MICROSOFT CORP   2022-11-02 2023-05-09
6. MICROSOFT CORP   2023-02-09 2023-05-09
1. MICROSOFT CORP   2015-08-10 2023-05-09
12. MONDELEZ INTERNATIONAL INC   2018-07-27 2023-05-09
5. NIKE INC CL B   2020-04-06 2023-05-09
12. RTX CORP   2023-02-09 2023-05-09
8. SYSCO CORP   2020-06-03 2023-05-09
4. TARGET CORP   2019-08-09 2023-05-09
17. TORONTO DOMINION BK ONT COM NEW   2023-02-09 2023-05-09
278.479 TOUCHSTONE MID CAP-R6 #355   2020-02-20 2023-05-09
6. UNITED PARCEL SERVICE-CL B   2023-02-09 2023-05-09
3. UNITEDHEALTH GROUP INC   2022-08-10 2023-05-09
27. VANGUARD MIDCAP VIPER   2022-10-18 2023-05-09
356. VANGUARD MIDCAP VIPER   2019-10-21 2023-05-09
4. WASTE MANAGEMENT INC   2020-04-06 2023-05-09
8. EATON CORP PLC   2022-08-22 2023-05-09
7. GARMIN LTD   2020-08-27 2023-05-09
80. CVS HEALTH CORPORATION   2018-08-08 2023-06-15
8. WALT DISNEY CO   2022-06-24 2023-06-15
34. WALT DISNEY CO   2014-02-25 2023-06-15
1. ELECTRONIC ARTS INC   2022-10-18 2023-06-15
9. ELECTRONIC ARTS INC   2020-04-06 2023-06-15
88. HASBRO INC   2021-04-08 2023-06-15
3. LAS VEGAS SANDS CORP   2022-10-18 2023-06-15
61. LAS VEGAS SANDS CORP   2020-04-06 2023-06-15
3. ELI LILLY & CO COM   2016-10-03 2023-06-15
80. SYSCO CORP   2020-04-06 2023-06-15
1. EATON CORP PLC   2022-10-18 2023-06-15
4. EATON CORP PLC   2021-04-08 2023-06-15
2. ADVANCED MICRO DEVICES INC   2023-02-09 2023-09-13
9. ADVANCED MICRO DEVICES INC   2023-06-15 2023-09-13
63.226 GLDMN SCHS GQP PRT INTL-R6 #4946   2023-05-10 2023-09-13
3. HOME DEPOT INC   2022-12-06 2023-09-13
37. MANULIFE FINANCIAL CORP   2018-11-19 2023-09-13
4. MCDONALDS CORP   2023-06-15 2023-09-13
135.407 PIMCO COMMODITY REAL RET STRAT-I45   2022-08-11 2023-09-13
44. REGIONS FINL CORP NEW   2022-08-22 2023-09-13
17. TOTAL S.A. - ADR   2023-06-15 2023-09-13
72.799 TOUCHSTONE MID CAP-R6 #355   2020-05-15 2023-09-13
13. UNILEVER PLC - ADR   2020-04-06 2023-09-13
12. VANGUARD MIDCAP VIPER   2019-10-21 2023-09-13
3. VISA INC-CLASS A SHRS   2023-02-09 2023-09-13
3. ALPHABET INC CL C   2022-10-18 2023-10-18
11. ALPHABET INC CL C   2014-02-25 2023-10-18
4. APPLE INC   2022-11-02 2023-10-18
6. APPLE INC   2023-05-09 2023-10-18
5. APPLE INC   2018-11-19 2023-10-18
6. BLACKSTONE INC   2023-02-09 2023-10-18
4. BOEING CO   2020-04-06 2023-10-18
2. BROADCOM INC   2019-08-09 2023-10-18
13. CISCO SYSTEMS INC   2014-02-25 2023-10-18
2. META PLATFORMS INC   2021-04-23 2023-10-18
25. INTERPUBLIC GROUP COS INC   2021-02-16 2023-10-18
7. JPMORGAN CHASE & CO   2019-02-26 2023-10-18
2. ELI LILLY & CO COM   2016-10-03 2023-10-18
7. MERCK & CO INC NEW   2023-06-15 2023-10-18
13. MICROSOFT CORP   2014-08-06 2023-10-18
10. MONDELEZ INTERNATIONAL INC   2018-07-27 2023-10-18
3. RTX CORP   2023-02-09 2023-10-18
9. RTX CORP   2022-08-22 2023-10-18
2. THERMO FISHER SCIENTIFIC INC   2023-06-15 2023-10-18
6. TORONTO DOMINION BK ONT COM NEW   2022-10-18 2023-10-18
5. TORONTO DOMINION BK ONT COM NEW   2019-08-09 2023-10-18
5. UNION PACIFIC CORP   2015-09-01 2023-10-18
2. UNITED PARCEL SERVICE-CL B   2022-10-18 2023-10-18
3. UNITED PARCEL SERVICE-CL B   2014-02-25 2023-10-18
2. UNITEDHEALTH GROUP INC   2023-06-15 2023-10-18
5. EATON CORP PLC   2021-04-08 2023-10-18
13. GARMIN LTD   2020-08-27 2023-10-18
5. TE CONNECTIVITY LTD   2021-11-19 2023-10-18
5. ABBVIE INC   2021-10-12 2023-11-14
2. ADOBE SYS INC   2023-06-15 2023-11-14
4. APPLE INC   2018-11-19 2023-11-14
208. BAIRD AGGREGATE BOND FUND-INST 72   2021-09-23 2023-11-14
1. BLACKROCK INC   2016-11-01 2023-11-14
3. BOEING CO   2022-10-25 2023-11-14
1. BOOKING HOLDINGS INC   2021-02-16 2023-11-14
14. CITIGROUP INC.   2019-08-09 2023-11-14
5. DIAGEO PLC - ADR   2019-08-09 2023-11-14
5. ELECTRONIC ARTS INC   2020-04-06 2023-11-14
107. PIMCO TOTAL RET FD-INST #35   2019-12-10 2023-11-14
26. SUNCOR ENERGY INC NEW F   2015-07-13 2023-11-14
137. TCW EMRG MRKTS INC-PLAN #5721   2019-10-25 2023-11-14
10. TOTAL S.A. - ADR   2022-06-24 2023-11-14
2. UNITEDHEALTH GROUP INC   2014-02-25 2023-11-14
1. VISA INC-CLASS A SHRS   2023-02-09 2023-11-14
2. VISA INC-CLASS A SHRS   2021-12-17 2023-11-14
4. WASTE MANAGEMENT INC   2020-04-06 2023-11-14
11. CELANESE CORP   2023-06-15 2023-12-15
110. INTERPUBLIC GROUP COS INC   2021-02-16 2023-12-15
4. ELI LILLY & CO COM   2016-12-02 2023-12-15
29. RTX CORP   2021-07-06 2023-12-15
5. EATON CORP PLC   2021-04-08 2023-12-15
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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 2,818   4,004 -1,186
b 561   582 -21
c 3,644   1,316 2,328
d 742   389 353
e 780   504 276
618   438 180
1,437   1,275 162
1,273   1,661 -388
822   950 -128
418   389 29
626   589 37
714   1,558 -844
1,167   1,472 -305
3,276   4,054 -778
939   761 178
819   764 55
918   937 -19
469   486 -17
469   95 374
3,413   3,782 -369
166   158 8
1,129   925 204
2,430   3,219 -789
442   359 83
190   157 33
2,377   2,240 137
11,294   13,215 -1,921
665   638 27
609   824 -215
1,432   778 654
133   122 11
1,328   1,242 86
3,092   4,070 -978
3,755   6,024 -2,269
1,255   836 419
1,260   1,352 -92
2,359   1,915 444
203   203  
1,216   519 697
1,370   877 493
840   874 -34
1,928   1,905 23
147   146 1
735   737 -2
735   542 193
1,245   555 690
140   185 -45
489   485 4
138   127 11
689   327 362
147   151 -4
22,989   25,716 -2,727
186   170 16
744   657 87
753   848 -95
272   240 32
1,087   1,121 -34
1,294   913 381
431   81 350
1,064   689 375
616   547 69
1,847   1,587 260
308   47 261
932   516 416
625   418 207
1,147   1,170 -23
605   478 127
623   330 293
1,031   1,168 -137
12,395   11,498 897
1,036   1,110 -74
1,481   1,612 -131
5,553   5,276 277
73,213   81,841 -8,628
679   365 314
1,353   1,184 169
721   844 -123
5,442   4,901 541
737   777 -40
3,133   2,726 407
128   123 5
1,155   988 167
5,411   8,413 -3,002
177   110 67
3,591   2,533 1,058
1,360   242 1,118
5,838   3,816 2,022
193   142 51
773   561 212
215   167 48
967   1,116 -149
1,167   1,129 38
976   953 23
696   617 79
1,127   1,165 -38
1,863   2,718 -855
782   974 -192
1,117   1,000 117
3,499   2,425 1,074
655   639 16
2,586   2,027 559
743   688 55
422   311 111
1,548   657 891
702   627 75
1,054   1,039 15
878   241 637
624   547 77
750   583 167
1,760   555 1,205
699   284 415
643   695 -52
739   615 124
1,028   765 263
1,214   149 1,065
728   765 -37
4,318   576 3,742
637   430 207
222   292 -70
666   834 -168
962   1,056 -94
357   401 -44
297   283 14
1,051   418 633
311   354 -43
466   286 180
1,086   936 150
1,027   701 326
1,376   1,340 36
617   824 -207
692   542 150
1,208   958 250
751   186 565
1,961   2,400 -439
698   341 357
622   438 184
3,175   2,175 1,000
623   927 -304
727   821 -94
672   529 143
885   1,116 -231
874   702 172
821   1,130 -309
676   514 162
1,081   151 930
247   229 18
494   425 69
688   365 323
1,665   1,269 396
3,598   2,705 893
2,255   273 1,982
2,328   2,493 -165
1,174   701 473
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
      171
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       -1,186
b       -21
c       2,328
d       353
e       276
      180
      162
      -388
      -128
      29
      37
      -844
      -305
      -778
      178
      55
      -19
      -17
      374
      -369
      8
      204
      -789
      83
      33
      137
      -1,921
      27
      -215
      654
      11
      86
      -978
      -2,269
      419
      -92
      444
       
      697
      493
      -34
      23
      1
      -2
      193
      690
      -45
      4
      11
      362
      -4
      -2,727
      16
      87
      -95
      32
      -34
      381
      350
      375
      69
      260
      261
      416
      207
      -23
      127
      293
      -137
      897
      -74
      -131
      277
      -8,628
      314
      169
      -123
      541
      -40
      407
      5
      167
      -3,002
      67
      1,058
      1,118
      2,022
      51
      212
      48
      -149
      38
      23
      79
      -38
      -855
      -192
      117
      1,074
      16
      559
      55
      111
      891
      75
      15
      637
      77
      167
      1,205
      415
      -52
      124
      263
      1,065
      -37
      3,742
      207
      -70
      -168
      -94
      -44
      14
      633
      -43
      180
      150
      326
      36
      -207
      150
      250
      565
      -439
      357
      184
      1,000
      -304
      -94
      143
      -231
      172
      -309
      162
      930
      18
      69
      323
      396
      893
      1,982
      -165
      473
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 12,263
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) 1 448
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........................... 3 448
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- ..... 5 448
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 508
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.............. 7 508
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 60
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow60 Refundedright arrow 11 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. right arrow$   (2) On foundation managers.right arrow$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
round bullet By language in the governing instrument, or
round bullet By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument? ................
6
Yes
 
7
Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
and Part XIV..................................
7
Yes
 
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
right arrowPA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
8b
Yes
 
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2023 or the taxable year beginning in 2023? See the instructions for Part XIII.
If "Yes," complete Part XIII .............................
9
 
No
10
Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
and addresses. ...............................
10
 
No
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
11
 
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions.................
12
 
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
 
Website addressright arrowN/A
14
The books are in care ofright arrowWELLS FARGO BANK NA Telephone no.right arrow (800) 352-3705

Located atright arrow100 N MAIN ST FL 5D4001-052WINSTON SALEMNC ZIP+4right arrow27101
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, did the foundation have an interest in or a signature or other authority over YesNo
a bank, securities, or other financial account in a foreign country? .................
16   No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
Yes
 
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
No
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
d
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2023? .............
1d
 
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 20, 20, 20
b
Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to all years listed, answer "No" and attach statement—see instructions.) ..............
2b
 
 
c
If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
right arrow20, 20, 20, 20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year? ..............................
3a
 
No
b
If "Yes," did it have excess business holdings in 2023 as a result of (1) any purchase by the foundation
or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2023.) .....................
3b
 
 
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
 
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
Page 6
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required (continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
 
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
b
If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
5b
 
 
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
d
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant? .................
5d
 
 
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract? .............................
6a
 
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
6b
 
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
7a
 
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
7b
 
 
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year? .........................
8
 
No
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a) Name and address (b) Title, and average
hours per week
devoted to position 		(c) Compensation
 (If not paid, enter
-0-) 		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
other allowances
WELLS FARGO BANK N A TRUSTEE
1 		17,981    
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
1,200,034
b
Average of monthly cash balances.......................
1b
31,604
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
1,231,638
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) .............
1e
0
2
Acquisition indebtedness applicable to line 1 assets..................
2
0
3
Subtract line 2 from line 1d.........................
3
1,231,638
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
18,475
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
1,213,163
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
60,658
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
60,658
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
448
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
448
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
60,210
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
60,210
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
60,210
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
73,088
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
73,088
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 60,210
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 60,430
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$ 73,088
a Applied to 2022, but not more than line 2a 60,430
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..... 12,658
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 .......... 		47,552
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) ....... 		0
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ... 		0
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		0
10 Analysis of line 9:
a Excess from 2019.... 0
b Excess from 2020.... 0
c Excess from 2021.... 0
d Excess from 2022.... 0
e Excess from 2023.... 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-A, question 9)
1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2023, enter the date of the ruling ...... right arrow
 
b Check box to indicate whether the organization is a private operating foundation described in section or
2a Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
line 4 for each year listed ..... 		         
d Amounts included in line 2c not used directly
for active conduct of exempt activities .......... 		         
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c .... 		         
3 Complete 3a, b, or c for the
alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......          
(2) Value of assets qualifying
under section 4942(j)(3)(B)(i)		          
b “Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed .. 		         
c “Support" alternative test—enter:
(1) Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties) .... 		         
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii).... 		         
(3) Largest amount of support
from an exempt organization		          
(4) Gross investment income          
Part XIV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1Information Regarding Foundation Managers:
aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here right arrow
aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
bThe form in which applications should be submitted and information and materials they should include:
cAny submission deadlines:
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form 990-PF (2023)
Form 990-PF (2023)
Page 11
Part XIV
Supplementary Information (continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
 Foundation
status of
recipient 		Purpose of grant or
contribution 		Amount
Name and address (home or business)
aPaid during the year

GERMANTOWN HOME

ATTN BRENDA JACKSON
PHILADELPHIA,PA19119 		NONE PC GENERAL OPERATING 66,000
Total .................................right arrow 3a 66,000
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 37,947  
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 12,263  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aFEDERAL TAX REFUND 		    1 810  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   51,020  
13Total. Add line 12, columns (b), (d), and (e)..................
13
51,020
(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:
CHRIST CHURCH HOSPITAL T W
EIN:
23-6215425
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:
CHRIST CHURCH HOSPITAL T W
EIN:
23-6215425
Name of Stock End of Year Book Value End of Year Fair Market Value
867224107 SUNCOR ENERGY INC NE 7,500 9,612
126650100 CVS HEALTH CORPORATI    
254687106 WALT DISNEY CO    
517834107 LAS VEGAS SANDS CORP    
25243Q205 DIAGEO PLC - ADR 4,197 5,098
532457108 ELI LILLY & CO COM 1,360 11,658
89151E109 TOTALENERGIES SE -SP 7,993 10,848
11135F101 BROADCOM INC 3,978 16,744
871829107 SYSCO CORP    
G29183103 EATON CORP PLC 5,762 11,319
92826C839 VISA INC-CLASS A SHR 6,190 9,373
31620M106 FIDELITY NATL INFORM    
907818108 UNION PACIFIC CORP 2,966 6,632
17275R102 CISCO SYSTEMS INC 3,033 7,022
891160509 TORONTO DOMINION BK 6,858 8,271
883556102 THERMO FISHER SCIENT 1,429 6,369
94106L109 WASTE MANAGEMENT INC 2,829 5,552
09247X101 BLACKROCK INC 2,817 7,306
58933Y105 MERCK & CO INC NEW 4,843 9,812
609207105 MONDELEZ INTERNATION 3,818 6,446
594918104 MICROSOFT CORP 4,065 39,860
654106103 NIKE INC CL B 2,709 4,994
87612E106 TARGET CORP 1,990 4,557
192446102 COGNIZANT TECH SOLUT 4,029 5,514
56501R106 MANULIFE FINANCIAL C 5,740 9,061
H2906T109 GARMIN LTD 5,486 7,327
512807108 LAM RESEARCH CORP CO 2,027 10,182
037833100 APPLE INC 4,034 37,928
91324P102 UNITEDHEALTH GROUP I 1,807 12,635
285512109 ELECTRONIC ARTS INC 3,011 5,062
150870103 CELANESE CORP 4,104 10,099
904767704 UNILEVER PLC - ADR 3,737 3,684
09260D107 BLACKSTONE INC 5,213 10,474
H84989104 TE CONNECTIVITY LTD 3,180 6,182
911312106 UNITED PARCEL SERVIC 4,183 6,918
02079K107 ALPHABET INC CL C 5,521 27,059
46625H100 JPMORGAN CHASE & CO 5,154 13,438
172967424 CITIGROUP INC. 6,988 7,870
75513E101 RTX CORP 6,288 6,984
097023105 BOEING CO 4,680 9,123
460690100 INTERPUBLIC GROUP CO    
09857L108 BOOKING HOLDINGS INC 6,942 10,642
30303M102 META PLATFORMS INC 8,632 14,512
00287Y109 ABBVIE INC 5,170 7,594
418056107 HASBRO INC    
7591EP100 REGIONS FINL CORP NE 6,016 5,969
437076102 HOME DEPOT INC 6,648 7,278
00724F101 ADOBE INC 4,788 5,966
007903107 ADVANCED MICRO DEVIC 4,502 7,960
580135101 MCDONALDS CORP 7,269 7,413
855244109 STARBUCKS CORP COM 6,450 6,145

TY 2023 InvestmentsOtherSchedule2
Name:
CHRIST CHURCH HOSPITAL T W
EIN:
23-6215425
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
24610B826 DELAWARE SMALL CAP C      
722005667 PIMCO COMMODITY REAL AT COST 63,792 46,106
77956H435 T ROWE PR OVERSEAS S AT COST 77,307 78,114
872365713 TCW EMRG MRKTS INC-P AT COST 63,002 52,485
89155T490 TOUCHSTONE MID CAP-R AT COST 30,426 53,038
922908629 VANGUARD MIDCAP VIPE AT COST 39,767 67,233
46434G103 ISHARES CORE MSCI EM AT COST 30,695 25,138
693390700 PIMCO TOTAL RET FD-I AT COST 100,498 89,740
057071854 BAIRD AGGREGATE BOND AT COST 248,066 230,738
74440Y884 PGIM HIGH YIELD-Q 10 AT COST 38,326 37,124
31641Q755 FIDELITY NEW MRKTS I AT COST 30,751 26,352
38147N269 GLDMN SCHS GQP PRT I AT COST 35,342 39,203
72201R833 PIMCO ENHANCED SHORT AT COST 36,529 36,723
921937793 VANGUARD LONG-TERM B AT COST 28,028 27,520

TY 2023 LegalFeesSchedule
Name:
CHRIST CHURCH HOSPITAL T W
EIN:
23-6215425
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
LEGAL FEES - PRINCIPAL (ALLOCA 4,100     4,100


TY 2023 OtherDecreasesSchedule
Name:
CHRIST CHURCH HOSPITAL T W
EIN:
23-6215425
Description Amount
MUTUAL FUND TIMING ADJ 1,158
PY RETURN OF CAPITAL ADJUSTMENT 341
ROC ON CY SALES 5
ROUNDING 4
TAX LOT BASIS ADJUSTMENT 30


TY 2023 OtherExpensesSchedule
Name:
CHRIST CHURCH HOSPITAL T W
EIN:
23-6215425
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMENT EXPENSES - ADR FEES 10 10   0


TY 2023 OtherIncomeSchedule2
Name:
CHRIST CHURCH HOSPITAL T W
EIN:
23-6215425
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
FEDERAL TAX REFUND 810 0  


TY 2023 OtherProfessionalFeesSchedule
Name:
CHRIST CHURCH HOSPITAL T W
EIN:
23-6215425
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMNT MNGMNT FEES (NON-DED 872 872    


TY 2023 TaxesSchedule
Name:
CHRIST CHURCH HOSPITAL T W
EIN:
23-6215425
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAXES 671 671   0
FOREIGN TAXES ON NONQUALIFIED 125 125   0