TY 2024 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
right arrow

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

For calendar year 2024, or tax year beginning 01-01-2024 , and ending 12-31-2024

Name of foundation
HOLBROOK R & SARAH M DAVIS FOUNDATION
INC

Number and street (or P.O. box number if mail is not delivered to street address)274 MARINER CIRCLE PO BOX 1120
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
COTUIT, MA02635

A Employer identification number

04-2728175

B Telephone number (see instructions)

(508) 428-5600

C If exemption application is pending, check here right arrow

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. right arrow

2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... right arrow

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... right arrow

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) right arrow

$1,236,124J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments	1,797		1,797
4	Dividends and interest from securities...	28,110		28,110
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		1,299
b	Gross sales price for all assets on line 6a 58,796
7	Capital gain net income (from Part IV, line 2)...			1,299
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	31,206		31,206
13	Compensation of officers, directors, trustees, etc.	0		0	0
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......	List of Attached Documents: // Content	2,250	0	2,250
c	Other professional fees (attach schedule)....
17	Interest...............	96		0	0
18	Taxes (attach schedule) (see instructions)...	List of Attached Documents: // Content	1,067	574	0
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......	List of Attached Documents: // Content	1,063	0	1,063
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	4,476		574	3,313
25	Contributions, gifts, grants paid.......	47,000			47,000
26	Total expenses and disbursements. Add lines 24 and 25	51,476		574	50,313
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-20,270
b	Net investment income (if negative, enter -0-)			30,632
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2024)

Form 990-PF (2024)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	7,540	14,111	14,111
	2	Savings and temporary cash investments.........
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	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).......
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	1,179,307	List of Attached Documents: // Content 1,152,466	1,222,013
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	1,186,847	1,166,577	1,236,124
	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 )
	23	Total liabilities (add lines 17 through 22).........	0	0
		Foundations that follow FASB ASC 958, check here
		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
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	0	0
	27	Paid-in or capital surplus, or land, bldg., and equipment fund	0	0
	28	Retained earnings, accumulated income, endowment, or other funds	1,186,847	1,166,577
	29	Total net assets or fund balances (see instructions).....	1,186,847	1,166,577
	30	Total liabilities and net assets/fund balances (see instructions).	1,186,847	1,166,577

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

1,186,847

Enter amount from Part I, line 27a .....................

-20,270

Other increases not included in line 2 (itemize) right arrow

Add lines 1, 2, and 3 ..........................

1,166,577

Decreases not included in line 2 (itemize) right arrow

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

1,166,577

Form 990-PF (2024)

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.)		(d) Date sold (mo., day, yr.)
1 a	VNGRD TTL STK MKT ADML - VTSAX	2024-01-11
b
c
d
e

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	58,796	57,497	1,299
b
c
d
e

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			1,299
b
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	1,299
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 ...................		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 and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)	1	426
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	426
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	426
6	Credits/Payments:

a	2024 estimated tax payments and 2023 overpayment credited to 2024	6a
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c
d	Backup withholding erroneously withheld ..........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	0
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.......		9	426
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2025 estimated tax	Refunded	11

Form 990-PF (2024)

Page 4

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. right arrow

$ 0(2) On foundation managers. right arrow

$ 0

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. right arrow

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

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? ................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 2024 or the taxable year beginning in 2024? See the instructions for Part XIII.

If "Yes," complete Part XIII .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address right arrow

N/A

The books are in care of right arrow

MAYNARD K DAVIS Telephone no. right arrow

(434) 964-8487

Located at right arrow

5357 RAVEN STONE ROADCROZETVA ZIP+4 right arrow

22932

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

16 At any time during calendar year 2024, 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 (2024)

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............

1a(4)

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here ........ right arrow

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 2024? .............

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)):

At the end of tax year 2024, did the foundation have any undistributed income (Part XII, lines 6d

and 6e) for tax year(s) beginning before 2024?....................

If "Yes," list the years right arrow

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

If "Yes," did it have excess business holdings in 2024 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 2024.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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 2024? ..

Form 990-PF (2024)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check ......... right arrow

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? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

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? .........................

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
SARAH H DAVIS	PRESIDENT 0.00	0	0	0
26 CURTIS ROAD ITHACA,NY14850	PRESIDENT 0.00	0	0	0
MAYNARD K DAVIS	TREASURER 0.00	0	0	0
5357 RAVEN STONE ROAD CROZET,VA22932	TREASURER 0.00	0	0	0
CALEB N DAVIS	VICE PRESIDENT 0.00	0	0	0
PO BOX 789 3 WHITE PINE WAY LONG LAKE,NY12847	VICE PRESIDENT 0.00	0	0	0
MARILYN A MORAN	DIRECTOR 0.00	0	0	0
PO BOX 1120 274 MARINER CIRCLE COTUIT,MA02635	DIRECTOR 0.00	0	0	0

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...................				0

Form 990-PF (2024)

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 arrow

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	THE FOUNDATION HAS NO DIRECT CHARITABLE ACTIVITIES	0
2


3


4

Part VIII-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1	THE FOUNDATION HAS NO PROGRAM-RELATED INVESTMENTS	0
2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... right arrow

Form 990-PF (2024)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

1,213,932

Average of monthly cash balances.......................

33,860

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

1,247,792

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

1,247,792

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

18,717

Net value of noncharitable-use assets. Subtract line 4 from line 3. ............

1,229,075

Minimum investment return. Enter 5% (0.05) of line 5................

61,454

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.)

Minimum investment return from Part IX, line 6..................

61,454

Tax on investment income for 2024 from Part V, line 5 .......

426

Income tax for 2024. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

426

Distributable amount before adjustments. Subtract line 2c from line 1............

61,028

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

61,028

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

61,028

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

50,313

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......

50,313

Form 990-PF (2024)

Page 9

Part XII

Undistributed Income (see instructions)

	(a) Corpus	(b) Years prior to 2023	(c) 2023	(d) 2024
1 Distributable amount for 2024 from Part X, line 7				61,028
2 Undistributed income, if any, as of the end of 2024:
a Enter amount for 2023 only.......			48,855
b Total for prior years:20 , 20, 20		0
3 Excess distributions carryover, if any, to 2024:
a From 2019......
b From 2020......
c From 2021......
d From 2022......
e From 2023......
f Total of lines 3a through e ........	0
4Qualifying distributions for 2024 from Part
XI, line 4: $ 50,313
a Applied to 2023, but not more than line 2a			48,855
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 2024 distributable amount.....				1,458
e Remaining amount distributed out of corpus	0
5 Excess distributions carryover applied to 2024.	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 2023. Subtract line 4a from line 2a. Taxable amount—see instructions .............			0
f Undistributed income for 2024. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2025 ..........				59,570
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 2019 not applied on line 5 or line 7 (see instructions) ...	0
9 Excess distributions carryover to 2025. Subtract lines 7 and 8 from line 6a ......	0
10 Analysis of line 9:
a Excess from 2020....
b Excess from 2021....
c Excess from 2022....
d Excess from 2023....
e Excess from 2024....

Form 990-PF (2024)

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 2024, enter the date of the ruling ...... right arrow

b Check box to indicate whether the organization is a private operating foundation described in section 4942(j)(3) or4942(j)(5)

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) 2024	(b) 2023	(c) 2022	(d) 2021	(e) Total

b 85% (0.85) of line 2a .........
c Qualifying distributions from Part XI, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part IX, line 6 for each year listed ..
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XIV

Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here right arrow

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

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 (2024)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
ADIRONDACK CENTER FOR LOON CONSERVATION PO BOX 195 RAY BROOK,NY12977		PC	CHARITABLE	500
ADIRONDACK FOLK SCHOOL PO BOX 2 LAKE LUZERNE,NY12846		PC	CHARITABLE	750
ADIRONDACK LAKES CENTER FOR THE ARTS 3446 STATE ROUTE 28 BLUE MOUNTAIN LAKE,NY12812		PC	CHARITABLE	500
ADIRONDACK MOUNTAIN CLUB PO BOX 4390 QUEENSBURY,NY12804		PC	CHARITABLE	500
ALLIANCE FOR TOMPOTIKA CONSERVATION 21416 86TH AVENUE SW VASHON,WA98070		PC	CHARITABLE	1,000
AMERICAN NATIONAL RED CROSS RELIEF FUND PO BOX 37839 BOONE,IA50037		PC	CHARITABLE	750
BARNSTABLE CLEAN WATER COALITION PO BOX 215 OSTERVILLE,MA02655		PC	CHARITABLE	2,000
CAPE ABILITIES INC 895 MARY DUNN ROAD HYANNIS,MA02601		PC	CHARITABLE	1,500
CAPE COD COMMUNITY COLLEGE FOUNDATION 2240 IYANNOUGH ROAD WEST BARNSTABLE,MA02668		PC	CHARITABLE	1,000
CAPE COD HEALTHCARE FOUNDATION PO BOX 370 HYANNIS,MA02601		PC	CHARITABLE	1,500
CAPE COD TIMES NEIGHBORS FUND INC PO BOX 36 HYANNIS,MA02601		PC	CHARITABLE	1,000
CHAMP HOMES 82 SCHOOL STREET HYANNIS,MA02601		PC	CHARITABLE	500
COLLIE RESCUE LEAGUE NEW ENGLAND PO BOX 3689 CRANSTON,RI02910		PC	CHARITABLE	500
CORNELL BOTANIC GARDENS 124 COMSTOCK KNOLL DRIVE ITHACA,NY14850		PC	CHARITABLE	1,000
COTUIT LIBRARY ASSOCIATION PO BOX 648 COTUIT,MA02635		PC	CHARITABLE	1,000
CURE ALZHEIMERS FUND 34 WASHINGTON STREET SUITE 310 WELLESLEY HILLS,MA02481		PC	CHARITABLE	2,000
FRIENDS OF THE CVW LONG LAKE PUBLIC LIBRARY PO BOX 181 LONG LAKE,NY12847		PC	CHARITABLE	500
DUBLIN SCHOOL 18 LAYMAN WAY DUBLIN,NH03444		PC	CHARITABLE	3,000
FINGER LAKES LAND TRUST 202 EAST COURT STREET ITHACA,NY14850		PC	CHARITABLE	1,000
FINGER LAKES TRAIL CONFERENCE 6111 VISITOR CENTER ROAD MOUNT MORRIS,NY14510		PC	CHARITABLE	500
FOOD BANK OF THE SOUTHERN TIER 388 UPPER OAKWOOD AVE ELMIRA,NY14903		PC	CHARITABLE	2,500
GEORGIA'S FRIENDS INC 405 RIDGE STREET CHARLOTTESVILLE,VA22902		PC	CHARITABLE	500
HISTORICAL SOCIETY OF SANTUIT & COTUIT PO BOX 1484 COTUIT,MA02635		PC	CHARITABLE	500
HUDSON HEADWATERS HEALTH NETWORK 9 CAREY ROAD QUEENSBURY,NY12804		PC	CHARITABLE	500
ISLAND CONSERVATION PO BOX 80709 CITY OF INDUSTRY,CA91716		PC	CHARITABLE	500
IVY CREEK FOUNDATION PO BOX 956 CHARLOTTESVILLE,VA22902		PC	CHARITABLE	500
THE KHALED HOSSEINI FOUNDATION 5655 SILVER CREEK VALLEY ROAD SAN JOSE,CA95138		PC	CHARITABLE	500
LONG LAKE WESLEYAN CHURCH FOOD PANTRY PO BOX 322 LONG LAKE,NY12847		PC	CHARITABLE	500
LONG LAKE RESCUE SQUAD PO BOX 415 LONG LAKE,NY12847		PC	CHARITABLE	500
NORTH COUNTY PUBLIC RADIO ST LAWRENCE UNIVERSITY CANTON,NY13617		PC	CHARITABLE	500
OSTERVILLE VILLAGE LIBRARY 43 WIANNO AVENUE OSTERVILLE,MA02655		PC	CHARITABLE	1,000
PATHFINDER INTERNATIONAL 9 GALEN STREET SUITE 217 WATERTOWN,MA02472		PC	CHARITABLE	1,000
PLANNED PARENTHOOD OF GREATER NEW YORK 620 WEST SENECA STREET ITHACA,NY14850		PC	CHARITABLE	1,000
PLIMOUTH PATUXET MUSEUMS PO BOX 1620 PLYMOUTH,MA02362		PC	CHARITABLE	1,000
REGIONAL FOOD BANK OF NORTHEASTERN NEW YORK 965 ALBANY SHAKER ROAD LATHAM,NY12110		PC	CHARITABLE	500
SEA EDUCATION ASSOCIATION PO BOX 6 WOODS HOLE,MA02543		PC	CHARITABLE	500
ST PETER'S EPISCOPAL CHURCH 421 WIANNO AVENUE OSTERVILLE,MA02655		PC	CHARITABLE	1,000
THE ALS ASSOCIATION 1300 WILSON BLVD SUITE 600 ARLINGTON,VA22209		PC	CHARITABLE	500
THE BHUTAN FOUNDATION 1050 CONNECTICUT AVE NW WASHINGTON,DC20035		PC	CHARITABLE	500
THE WILD CENTER 45 MUSEUM DRIVE TUPPER LAKE,NY12986		PC	CHARITABLE	500
THOMAS JEFFERSON FOUNDATION INC PO BOX 217 CHARLOTTESVILLE,VA22902		PC	CHARITABLE	500
TIOGA COUNTY RURAL MINISTRY 143 NORTH AVE OWEGO,NY13827		PC	CHARITABLE	1,000
TOMPKINS-COURTLAND HABITAT FOR HUMANITY PO BOX 4683 ITHACA,NY14852		PC	CHARITABLE	1,000
TUPPER ARTS 106 PARK STREET TUPPER LAKE,NY12986		PC	CHARITABLE	500
UNIVERSITY OF VIRGINIA BREAST CARE PROGRAM PO BOX 37963 BOONE,IA50037		PC	CHARITABLE	1,000
WOODEN CANOE HERITAGE ASSOCIATION PO BOX 117 TAMWORTH,NH03886		PC	CHARITABLE	500
XP FAMILY SUPPORT GROUP 10259 ATLANTIS DRIVE ELK GROVE,CA95624		PC	CHARITABLE	500
A MEAL AND MORE INC 25 BROADWAY ROCHESTER,NY14607		PC	CHARITABLE	1,000
BARNSTABLE LAND TRUST 1540 MAIN STREET WEST BARNSTABLE,MA02668		PC	CHARITABLE	1,000
BOTANICLE GARDEN OF THE PIEDMONT PO BOX 6224 CHARLOTTESVILLE,VA22906		PC	CHARITABLE	500
CHARLOTTESVILLE AREA COMMUNITY FOUNDATION PO BOX 1767 CHARLOTTESVILLE,VA22902		PC	CHARITABLE	500
CHESAPEAKE BAY FOUNDATION 6 HERNDON AVE ANNAPOLIS,MD21403		PC	CHARITABLE	500
CORAL RESTORATION FOUNDATION 89111 OVERSEAS HIGHWAY TAVERNIER,FL33070		PC	CHARITABLE	500
LONG LAKE ASSOCIATION PO BOX 569 LONG LAKE,NY12847		PC	CHARITABLE	500
LONG LAKE LIONS CLUB PO BOX 223 LONG LAKE,NY12847		PC	CHARITABLE	500
SPINA BIFIDA ASSOCIATION 1600 WILSON BLVD STE 800 ARLINGTON,VA22209		PC	CHARITABLE	500
VILLAGES IN PARTNERSHIP PO BOX 52 ALLENTOWN,NJ08501		PC	CHARITABLE	500
YELLOW DOOR FOUNDATION 435 MERCHANT WALK SQUARE STE 300 CHARLOTTESVILLE,VA22902		PC	CHARITABLE	500
Total ................................. 3a				47,000

bApproved for future payment

Total ................................. 3b				0

Form 990-PF (2024)

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	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........			14	1,797
4 Dividends and interest from securities ....			14	28,110
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	1,299
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..		0		31,206	0

13Total. Add line 12, columns (b), (d), and (e)..................

31,206

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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 (2024)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2024)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2024 AccountingFeesSchedule

Name:

HOLBROOK R & SARAH M DAVIS FOUNDATION

INC

EIN:

04-2728175

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
TAX PREPARATION FEES	2,250	0		2,250

- TIN:

TY 2024 InvestmentsOtherSchedule2

Name:

HOLBROOK R & SARAH M DAVIS FOUNDATION

INC

EIN:

04-2728175

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
VANGUARD TOTAL BOND MARKET INDEX FUND	AT COST	315,701	307,268
VANGUARD TOTAL INTL STOCK INDEX FUND	AT COST	248,391	230,779
VANGUARD TOTAL STOCK MARKET INDEX FUND	AT COST	588,374	683,966

- TIN:

TY 2024 OtherExpensesSchedule

Name:

HOLBROOK R & SARAH M DAVIS FOUNDATION

INC

EIN:

04-2728175

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
OFFICE/POSTAGE	979	0		979
REGISTRATION FEES	84	0		84

- TIN:

TY 2024 TaxesSchedule

Name:

HOLBROOK R & SARAH M DAVIS FOUNDATION

INC

EIN:

04-2728175

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
EXCISE TAX	493	0		0
FOREIGN TAX W/H	574	574		0