Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 07-01-2021 , and ending 06-30-2022
Name of foundation
EARL B & LORAINE H MILLER FOUNDATION
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)192 MARINA DRIVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LONG BEACH, CA90803
A Employer identification number

95-2500545
B Telephone number (see instructions)

(562) 493-4711
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$36,109,556J 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 bullet.............
3 Interest on savings and temporary cash investments 216 216  
4 Dividends and interest from securities... 767,749 767,749  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,139,044
b Gross sales price for all assets on line 6a 3,438,737
7 Capital gain net income (from Part IV, line 2)... 1,139,044
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)....... 65,644 85,014  
12 Total. Add lines 1 through 11........ 1,972,653 1,992,023  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 175,000 10,937   164,063
14 Other employee salaries and wages...... 53,904 3,369   50,535
15 Pension plans, employee benefits....... 17,589 1,099   16,490
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 44,320 0   44,320
c Other professional fees (attach schedule).... 106,478 105,628   850
17 Interest............... 54 0   54
18 Taxes (attach schedule) (see instructions)... 43,298 3,364   14,834
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 22,500 1,406   21,094
21 Travel, conferences, and meetings....... 8,005 0   8,005
22 Printing and publications.......... 1,087 68   1,019
23 Other expenses (attach schedule)....... 38,064 542   37,522
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 510,299 126,413   358,786
25 Contributions, gifts, grants paid....... 2,691,629 2,691,629
26 Total expenses and disbursements. Add lines 24 and 25 3,201,928 126,413   3,050,415
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,229,275
b Net investment income (if negative, enter -0-) 1,865,610
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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......... 4,199,983 3,283,649 3,283,649
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 1,005,834 1,005,834 1,012,762
b Investments—corporate stock (attach schedule)....... 15,831,265 16,139,408 21,718,369
c Investments—corporate bonds (attach schedule)....... 8,810,414 8,810,414 7,872,049
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,186,141 1,565,057 2,222,727
14 Land, buildings, and equipment: basis bullet20,349
Less: accumulated depreciation (attach schedule) bullet20,349      
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 32,033,637 30,804,362 36,109,556
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 bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
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 bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 32,033,637 30,804,362
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 32,033,637 30,804,362
30 Total liabilities and net assets/fund balances (see instructions). 32,033,637 30,804,362
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
32,033,637
2
Enter amount from Part I, line 27a .....................
2
-1,229,275
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
30,804,362
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
30,804,362
Form 990-PF (2021)
Form 990-PF (2021)
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 EQUITY SECURITIES   2012-06-08 2021-12-31
b MUTUAL FUNDS   2012-06-08 2021-12-31
c CAPITAL GAINS DIVIDENDS P    
d
e
(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 2,752,400   2,079,027 673,373
b 500,000   220,666 279,334
c 186,337     186,337
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       673,373
b       279,334
c       186,337
d
e
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 1,139,044
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
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 Bullet 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)
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 25,932
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 25,932
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 20,468
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 14,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 34,468
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 2
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 8,534
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet8,534 RefundedBullet 11 0
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. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
round bullet By language in the governing instrument, or
round bullet By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument? ................
6
Yes
 
7
Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
and Part XIV..................................
7
Yes
 
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
bulletCA
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 2021 or the taxable year beginning in 2021? 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
Form 990-PF (2021)
Form 990-PF (2021)
Page 5
Part VI-A
Statements Regarding Activities (continued)
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 addressbulletEANDLMILLERFDN.COM
14
The books are in care ofbulletDARICK J SIMPSON Telephone no.bullet (562) 493-4711

Located atbullet192 MARINA DRIVELONG BEACHCA ZIP+4bullet90803
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
and enter the amount of tax-exempt interest received or accrued during the year ........bullet
15
 
16 At any time during calendar year 2021, 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 bullet
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 ........bullet
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 2021? .............
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 2021, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2021?....................
2a
 
No
If "Yes," list the years bullet20, 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.
bullet20, 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 2021 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 2021.) .....................
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 2021? ..
4b
 
No
Form 990-PF (2021)
Form 990-PF (2021)
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 .........bullet
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
DARICK J SIMPSON PRESIDENT
40.00 		175,000 0 17,589
192 MARINA DRIVE
LONG BEACH,CA90803
RON R ARIAS CHAIR OF THE BOARD
1.00 		0 0 0
192 MARINA DRIVE
LONG BEACH,CA90803
MARGARET FARWELL SMITH SECRETARY
1.00 		0 0 0
192 MARINA DRIVE
LONG BEACH,CA90803
MARK SCHULTEN CHIEF INVESTMENT OFFICER
1.00 		0 0 0
192 MARINA DRIVE
LONG BEACH,CA90803
RANDY MIZER VICE CHAIR OF THE BOARD
1.00 		0 0 0
192 MARINA DRIVE
LONG BEACH,CA90803
RENITA SMITH TRUSTEE
1.00 		0 0 0
192 MARINA DRIVE
LONG BEACH,CA90803
ANNETTE KASHIWBARA TRUSTEE
1.00 		0 0 0
192 MARINA DRIVE
LONG BEACH,CA90803
TRACY M COLUNGA TRUSTEE
1.00 		0 0 0
192 MARINA DRIVE
LONG BEACH,CA90803
CYNTHIA D TERRY TRUSTEE
1.00 		0 0 0
192 MARINA DRIVE
LONG BEACH,CA90803
MALCOLM TURNER TRUSTEE
1.00 		0 0 0
192 MARINA DRIVE
LONG BEACH,CA90803
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...................bullet 0
Form 990-PF (2021)
Form 990-PF (2021)
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
ARISTOTLE INVESTMENTS INVESTMENT MANAGEMENT 55,628
11100 SANTA MONICA BLVD SUITE 1700
LOS ANGELES,CA90025
VERUS INVESTMENTS INVESTMENT MANAGEMENT 50,000
2321 ROSECRANS AVENUE SUITE 2250
EL SEGUNDO,CA90245
Total number of others receiving over $50,000 for professional services.............bullet0
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.........................bullet0
Form 990-PF (2021)
Form 990-PF (2021)
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
35,670,325
b
Average of monthly cash balances.......................
1b
3,270,900
c
Fair market value of all other assets (see instructions)................
1c
2,326,383
d
Total (add lines 1a, b, and c).........................
1d
41,267,608
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
41,267,608
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
619,014
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
40,648,594
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
2,032,430
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
2,032,430
2a
Tax on investment income for 2021 from Part V, line 5.......
2a
25,932
b
Income tax for 2021. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
25,932
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
2,006,498
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
2,006,498
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
2,006,498
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
3,050,415
b
Program-related investments—total from Part VIII-B..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
 
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
 
b
Cash distribution test (attach the required schedule) .................
3b
 
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
4
3,050,415
Form 990-PF (2021)
Form 990-PF (2021)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2020 		(c)
2020 		(d)
2021
1 Distributable amount for 2021 from Part X, line 7 2,006,498
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only....... 0
b Total for prior years:20, 20, 20 0
3 Excess distributions carryover, if any, to 2021:
a From 2016......  
b From 2017...... 311,425
c From 2018...... 481,285
d From 2019...... 819,469
e From 2020......  
f Total of lines 3a through e ........ 1,612,179
4Qualifying distributions for 2021 from Part
XI, line 4: bullet$ 3,050,415
a Applied to 2020, but not more than line 2a 0
b Applied to undistributed income of prior years
(Election required—see instructions)..... 		0
c Treated as distributions out of corpus (Election
required—see instructions)........ 		0
d Applied to 2021 distributable amount..... 2,006,498
e Remaining amount distributed out of corpus 1,043,917
5 Excess distributions carryover applied to 2021. 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 2,656,096
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 2019. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2021. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2022 .......... 		0
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) ....... 		0
8 Excess distributions carryover from 2016 not
applied on line 5 or line 7 (see instructions) ... 		0
9 Excess distributions carryover to 2022.
Subtract lines 7 and 8 from line 6a ...... 		2,656,096
10 Analysis of line 9:
a Excess from 2017.... 311,425
b Excess from 2018.... 481,285
c Excess from 2019.... 819,469
d Excess from 2020....  
e Excess from 2021.... 1,043,917
Form 990-PF (2021)
Form 990-PF (2021)
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 2021, enter the date of the ruling ...... bullet
 
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) 2021 (b) 2020 (c) 2019 (d) 2018
         
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 bullet
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
THE EARL B AND LORAINE H MILLER FOU
192 MARINA DRIVE
LONG BEACH,CA90803
(562) 493-4711
bThe form in which applications should be submitted and information and materials they should include:
NEW APPLICANTS MUST COMPLETE A LETTER OF INTENT (LOI) FOR ELIGIBILITY SCREENING PRIOR TO PROCEEDING TO THE APPLICATION STEP OF THE GRANTS PROCESS. ORGANIZATIONS WHO SUBMITTED APPLICATIONS FOR THE 2021/2022 GRANT CYCLE NEED ONLY ACCESS THEIR ONLINE ACCOUNT AND FILL OUT A NEW APPLICATION FORM. LETTERS OF INTENT MUST BE SUBMITTED ONLINE BY FEBRUARY 2022. ORGANIZATIONS CONFIRMED AS ELIGIBLE WILL RECEIVE NOTIFICATION TO PROCEED TO THE FORMAL APPLICATION PROCESS BY FEBRUARY 2022.
cAny submission deadlines:
APPLICATION: MARCH 25, 2022
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
ORGANIZATIONS MUST MEET ONE OF THE FOLLOWING BASIC ELIGIBILITY CRITERIA: - NONPROFIT ORGANIZATIONS THAT ARE TAX EXEMPT UNDER IRS SECTION 501(C)3 - COMMUNITY GROUPS THAT HAVE A 501(C)3 ORGANIZATION SERVING AS THEIR FISCAL SPONSOR - GOVERNMENT AGENCIES (E.G., CITY DEPARTMENT, PUBLIC SCHOOL) THAT ARE ABLE TO PROVIDE PROOF OF STATUS AS A GOVERNMENT ENTITY ANY ELIGIBLE NONPROFIT OR ORGANIZATION SERVING IN AT LEAST ONE OF THE FOUNDATION'S THREE PROGRAM AREAS, HEALTH, EDUCATION, AND THE ARTS, MAY APPLY. THE FOUNDATION WILL ONLY CONSIDER PROPOSALS FOR PROGRAMS AND SERVICES THAT SERVE THE GREATER LONG BEACH COMMUNITY.
Form 990-PF (2021)
Form 990-PF (2021)
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

ABILITY FIRST

3770 E WILLOW ST
LONG BEACH,CA90815 		  PC AFTERSCHOOL PROGRAM FOR YOUTH/CHILDREN WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES 45,000

ABLE ARTS WORK

3626 CA-1
LONG BEACH,CA90804 		  PC CREATIVE HEALTH AND WELLNESS CLINIC 20,000

ANGEL'S GATE CULTURAL CENTER

3601 S GAFFEY STREET
SAN PEDRO,CA90731 		  PC ARTISTS IN CLASSROOMS PROGRAM 40,000

AQUARIUM OF THE PACIFIC

320 GOLDEN SHORE SUITE 350
LONG BEACH,CA908024200 		  PC OUT-OF-SCHOOL SCIENCE LEARNING PROGRAMS 21,459

ARTS COUNCIL FOR LONG BEACH (PCA)

3350 ELM AVENUE
LONG BEACH,CA90802 		  PC ARTS LEARNING - EYE ON DESIGN AND PASSPORT OF THE ARTS 35,000

ASSISTANCE LEAGUE OF LONG BEACH

6220 E SPRING STREET
LONG BEACH,CA908150664 		  PC ORTHODONTIC PROGRAM 40,000

BOYS & GIRLS CLUB OF LONG BEACH

3635 LONG BEACH BLVD
LONG BEACH,CA90803 		  PC FIVE CORE YOUTH DEVELOPMENT INITIATIVE 35,000

CA CONF FOR EQUALITY & JUSTICE CCEG

3605 LONG BEACH BLVD SUITE 100
LONG BEACH,CA90807 		  PC REAL RESILIENCY YOUTH EDUCATION 25,000

CALIFORNIA AQUATIC THERAPY & WELLNESS CENTER (POOLS OF HOPE)

6801 LONG BEACH BLVD
LONG BEACH,CA908051133 		  PC YOUTH WELLNESS PROGRAM 20,000

CENTURY VILLAGES AT CABRILLO

2001 RIVER AVE
LONG BEACH,CA90810 		  PC YOUTH PROGRAMS AT THE VILLAGES AT CABRILLO 25,000

CHILD LANE

2545 PACIFIC AVE
LONG BEACH,CA90806 		  PC LONG BEACH ECE PROGRAM 25,000

CHILDREN TODAY

2951 LONG BEACH BLVD
LONG BEACH,CA90806 		  PC CHILD TODAY'S ECOHOUSE 25,000

CHILDREN'S DENTAL HEALTH CLINIC

455 E COLUMBIA AVENUE SUITE 32
LONG BEACH,CA908061620 		  PC MULTI-SPECIALTY PEDIATRIC DENTAL TREATMENT FOR UNDERSERVED CHILDREN 50,000

CITY FABRICK

425 E 4TH ST
LONG BEACH,CA90802 		  PC COMMUNITY LEARNING GARDENS 24,000

CITY HEART

PO BOX 1314
TOPANGA,CA90290 		  PC HEARTSY BY CITYHEART 12,000

CITY OF LB DEPT HHS

2525 GRAND AVE
LONG BEACH,CA90815 		  PC ECE DEVELOPMENTAL KIT DISTRIBUTION PROGRAM 35,000

DAYS LONG BEACH

1232 E WARDLOW RD
LONG BEACH,CA90807 		  PC YOUTH EDUCATION, DEVELOPMENT, LEADERSHIP AND ACADMIC SUCCESS 20,000

DISABLE RESOURCES CENTER

2750 E SPRING ST 100
LONG BEACH,CA90806 		  PC GET ORGANIZED - LEADERSHIP BEYOND THE CLASSROOM (GO LBC) FOR HIGH SCHOOL YOUTH 25,000

DRAMATIC RESULTS

3310 LIME AVENUE
SIGNAL HILL,CA90755 		  PC ARTS INTEGRATED STEAM PROGRAMS 40,000

EDUCATE ADVANCING EARLY CHILDHOOD EDUCATION (ECE)

2525 GRAND AVENUE
LONG BEACH,CA90815 		  PC UN MUNDO DE AMIGOS PRESCHOOL STEM PROGRAM ENHANCEMENT 20,000

ESP EDUCATION & LEADERSHIP BOSS

7941 E CRAMER
LONG BEACH,CA90808 		  PC BOSS (BUSINESS OF STUDENT SUCCESS) 25,000

EXTRAORDINARY FAMILIES

221 N ARDMORE AVE
LOS ANGELES,CA90004 		  PC CORE OPERATIONS 25,000

FOODBANK OF SOUTHERN CALIFORNIA

1444 SAN FRANCISCO AVE
LONG BEACH,CA90813 		  PC CORE SUPPORT 15,000

GOODWILL SOLAC

800 W PACIFIC COAST HWY
LONG BEACH,CA90806 		  PC HIGH SCHOOL CERTIFIED NURSE ASSISTANT (C.N.A.) TRAINING PROGRAM 25,000

GROUND EDUCATION

6475 E PACIFIC COAST HIGHWAY 294
LONG BEACH,CA90803 		  PC GARDEN LEARNING PROGRAM FOR TITLE I SCHOOLS IN LONG BEACH 20,000

HELUNA HEALTH - EARLY CHILDHOOD ED

13300 CROSSROADS PKWY N 450
CITY OF INDUSTRY,CA91746 		  PC LBECE FAMILY EDUCATION & ENGAGEMENT PROGRAMS 10,000

HELUNA HEALTH-LITTLE BY LITTLE

13300 CROSSROADS PKWY N 450
CITY OF INDUSTRY,CA91746 		  PC LITTLE BY LITTLE SCHOOL READINESS PROGRAM 20,000

INTERNATIONAL TRADE EDUCATION PROGRAM

2417 EAST CARSON STREET SUITE 200
CARSON,CA90810 		  PC CORE OPERATIONS 5,000

INTELLECTUAL VIRTUES ACADEMY

3601 LINDEN AVE
LONG BEACH,CA90807 		  PC STUDENT SOCIAL-EMOTIONAL HEALTH THROUGH ADVISORY 20,000

INTERVAL HOUSE

6615 PACIFIC COAST HWY 170
LONG BEACH,CA90803 		  PC INTERVAL HOUSE - CORE OPERATIONS 20,000

JEWISH FAMILIES & CHILDREN'S

3801 E WILLOW ST
LONG BEACH,CA90815 		  PC LOW INCOME COUNSELING FOR CHILDREN AND FAMILIES 25,000

JUNIOR LEAGUE OF LONG BEACH

3515 LINDEN AVE
LONG BEACH,CA90807 		  PC KIDS IN THE KITCHEN PROGRAM 5,000

KHMER GIRLS IN ACTION

1085 REDONDO AVE
LONG BEACH,CA90804 		  PC YOUTH LEADERSHIP DEVELOPMENT PROGRAM 20,000

LEADERSHIP LONG BEACH

4401 ATLANTIC AVE STE 200
LONG BEACH,CA90807 		  PC CORE OPERATING SUPPORT FOR YOUTH LEADERSHIP LONG BEACH PROGRAMS 25,000

LONG BEACH BAR FOUNDATION

3515 LINDEN AVE
LONG BEACH,CA90807 		  PC SHORTSTOP 15,000

LONG BEACH BLAST

4201 LONG BEACH BLVD 201
LONG BEACH,CA90807 		  PC LONG BEACH BLAST 30,000

LONG BEACH DAY NURSERY

1548 CHESTNUT AVE
LONG BEACH,CA90813 		  PC INVESTING IN STRATEGIC INITITIATIVES FOR EARLY CARE AND EDUCATION OF VULNERABLE CHILDREN 50,000

LONG BEACH OPERA

3029 E SOUTH STREET 2ND FLOOR
LONG BEACH,CA90805 		  PC LONG BEACH OPERA AT SCHOOL PROGRAM 26,650

LONG BEACH SCOTTISH RITE CHILDHOOD LNG

855 ELM AVE
LONG BEACH,CA90813 		  PC LONG BEACH RITECARE CLC INDIVIDUAL THERAPY SERVICES PROGRAM 5,000

LONG BEACH UNIFIED SCHOOL DISTRICT

1515 HUGHES WAY
LONG BEACH,CA90810 		  PC LBUSD SMART START ELEMENTARY ART PROGRAM 30,000

LONG BEACH UNITY FESTIVAL

3553 ATLANTIC AVENUE
LONG BEACH,CA90807 		  PC SKY KIDS CREATIVE ARTS, PRODUCTION AND MENTORING 25,000

LOVE BEYOND LIMITS

3515 LINDEN AVE 58
LONG BEACH,CA90807 		  PC YOUTH WELLNESS RETREAT 25,000

MAYOR'S FUND FOR EDUCATION

245 E 3RD ST
LONG BEACH,CA90802 		  PC READYROSIE LONG BEACH EARLY LEARNING PROGRAM 30,000

MUSEUM OF LATIN AMERICAN ART

628 ALAMITOS AVE
LONG BEACH,CA90802 		  PC JUDITH F. BACA MEMORIAS DE NUESTRA TIERRA COMMUNITY EDUCATION PROGRAM SERIES 25,000

MUSICAL THEATRE WEST

4350 E 7TH STREET
LONG BEACH,CA90804 		  PC VIRTUAL EDUCATION OUTREACH FOR LBUSD 20,000

NEW HOPE GRIEF SUPPORT COMMUNITY

3443 SAN ANSELINE AVENUE
LONG BEACH,CA908082729 		  PC PANDEMIC GRIEF & LOSS SUPPORT GROUPS FOR LONG BEACH YOUTH & FAMILIES 30,000

OPERATION JUMP START

3515 LINDEN AVENUE
LONG BEACH,CA90807 		  PC COLLEGE ACCESS PROGRAM 50,000

PATHWAYS VOLUNTEER HOSPICE

4645 WOODRUFF AVENUE
LAKEWOOD,CA90713 		  PC CHILDREN'S GRIEF COUNSELING AND EDUCATION PROGRAM 20,000

PEDIATRIC THERAPY NETWORK

1815 213TH ST
TORRANCE,CA90501 		  PC EARLY INTERVENTION 25,000

PRECIOUS LAMB PRESCHOOL

2005 PALO VERDE 301
LONG BEACH,CA90815 		  PC EARLY EDUCATION PROGRAMS 30,000

PROVIDENCE TRINITY CARE HOSPICE

5315 TORRANCE BLVD SUITE B-1
TORRANCE,CA90503 		  PC TRINITYKIDS CARE 25,000

PUREST ACADEMY FOR KIDS INC

12235 CENTRALIA ST
LAKEWOOD,CA90715 		  PC CORE OPERATIONAL SUPPORT FOR PUREST ACADEMY 20,000

RANCHO LOS ALAMITOS FOUNDATION

6400 BIXBY HILL ROAD
LONG BEACH,CA908154706 		  PC RANCHO LOS ALAMITOS' SCHOOL TOUR PROGRAMS 25,000

RANCHO LOS CERRITOS FOUNDATION

4600 VIRGINIA ROAD
LONG BEACH,CA908071916 		  PC LONG AGO LONG BEACH: STORYTELLING ADVENTURE 30,000

SBCC

721 CLIFF DR
SANTA BARBARA,CA93109 		  PC PRESCHOOL WITHOUT WALLS (PWW) 20,000

SHARED SCIENCE

5318 2ND ST 602
LONG BEACH,CA90803 		  PC TARGETED STEM EDUCATION LEARNING PROGRAMS 5,000

ST MARY MEDICAL CENTER FOUNDATION

1050 LINDEN AVENUE
LONG BEACH,CA90813 		  PC LOW VISION CENTER SCHOOL VISION SCREENING PROGRAM 30,000

SUCCESS IN CHALLENGES

4508 ATLANTIC AVENUE SUITE 782
LONG BEACH,CA908071520 		  PC SUCCESS IN CHALLENGES/CDF FREEDOM SCHOOL 8,000

SYMPHONIC JAZZ ORCHESTRA

110 W OCEAN BLVD SUITE 22
LONG BEACH,CA90802 		  PC MUSIC IN SCHOOLS RESIDENCY 8,500

THE CHILDREN'S CLINIC

701 E 26TH STREET SUITE 200
LONG BEACH,CA90806 		  PC TCC FAMILY HEALTH BEHAVIORAL HEALTH PROGRAM FOR CHILDREN 50,000

THE GUIDANCE CENTER

1301 PINE AVENUE
LONG BEACH,CA90813 		  PC MENTAL HEALTH SERVICES AT EDUCARE IN LONG BEACH 50,000

THE JEWEL BOX CHILDREN'S THEATRE

3371 CERRITOS AVE
SIGNAL HILL,CA90755 		  PC COMMUNITY ENGAGEMENT PROGRAM 20,000

THE LGBTQ CENTER

2017 E 4TH ST
LONG BEACH,CA90814 		  PC YOUTH AND FAMILY SERVICES 35,000

THE NONPROFIT PARTNERSHIP

4900 E CONANT STREET BLDG 0-2 SUITE
225
LONG BEACH,CA90808 		  PC CORE OPERATING SUPPORT 50,000

TICHENOR CLINIC FOR CHILDREN

1660 TERMINO AVE
LONG BEACH,CA90804 		  PC CORE OPERATIONS 25,000

YMCA - AFTERSCHOOL ENRICHMENT

525 E 7TH STREET
LONG BEACH,CA90813 		  PC FAIRFIELD YMCA 40,000

YOUNG HORIZONS

501 ATLANTIC AVENUE
LONG BEACH,CA90802 		  PC EARLY CHILDHOOD EDUCATION PROGRAMS 50,000

YOUTH LEADERSHIP INSTITUTE

4401 ATLANTIC AVE STE 200
LONG BEACH,CA90807 		  PC YOUTH-LED COMMUNICATIONS TO ACCESS HEALTH RESOURCES IN LONG BEACH 20,000

ACADEMY OF IDEAS

3553 ATLANTIC AVENUE SUITE 254
LONG BEACH,CA90807 		  PC BASKETBALL SKILLS CAMP 500

4GIRLS

PO BOX 41452
LONG BEACH,CA90853 		  PC MIDDLE SCHOOL STUDENT EMPOWERMENT 1,000

ANDY STREET COMMUNITY ASSOCIATION

4000 LONG BEACH BLVD STE 305
LONG BEACH,CA90807 		  PC 2022 BLACK HISTORY MONTH CELEBRATION/EXHIBITION 1,500

AOC7PARTNERS OF PARKS

1150 E 4TH STREET STE 104
LONG BEACH,CA90802 		  PC 8TH ANNUAL LITERACY FAIR 250

BAYFRONT YOUTH AND FAMILY SERVICES

324 E BIXBY ROAD
LONG BEACH,CA90807 		  PC BEHAVIORAL/MENTAL HEALTH SUPPORT FOR YOUTH 2,000

BOYS & GIRLS CLUB OF LONG BEACH

3635 LONG BEACH BLVD
LONG BEACH,CA90803 		  PC UNRESTRICTED USE 1,000

BRAVE GLOBAL INC LEADERSHIP ACADEMY

668 OBISPO AVE
LONG BEACH,CA90814 		  PC YOUTH AND FAMILY SERVICES 500

CALIFORNIA - MEXICO STUDIES CENTER

1551 N STUDEBAKER RD
LONG BEACH,CA90815 		  PC SCHOLARSHIPS FOR STUDY ABROAD PROGRAM 1,500

CENTRO CHA

727 PINE AVENUE 2ND FLOOR
LONG BEACH,CA90813 		  PC PROMOTORAS PROGRAM 1,250

CITY HEARTS

PO BOX 1314
TOPANGA,CA90290 		  PC ARTS EDUCATION 1,000

CONSERVATION CORPS OF LONG BEACH

340 NIETO AVE
LONG BEACH,CA90814 		  PC YOUTH PROGRAMS 1,520

CSULB CARPENTER CENTER

6200 E ATHERTON ST
LONG BEACH,CA90815 		  PC BLACK SCHOLARS - WYNTON MARSALIS CONCERT 500

DESIGN MAKE LEARN

488 E OCEAN BLVD UNIT 1017
LONG BEACH,CA90802 		  PC MIDDLE SCHOOL DESIGN THINKING PROGRAM 2,747

DONORSCHOOSE

134 W 37TH ST FLOOR 11
NEW YORK,NY10018 		  PC LET'S HEAR THE GOOD NEWS/STEVENSON ELEMENTARY SCHOOL SMART ART EDUCATION 550

FOODBANK OF SOUTHERN CALIFORNIA

1444 SAN FRANCISCO AVE
LONG BEACH,CA90813 		  PC CHILDREN AND FAMILY SERVICES 1,000

FOOD FINDER

3744 N INDUSTRY AVE SUITE 401
LAKEWOOD,CA90712 		  PC UNRESTRICTED/FOOD INSECURITY FOR FAMILIES IN THE GREATER LB AREA 2,000

FOR THE CHILD

4565 CALIFORNIA AVENUE
LONG BEACH,CA908071507 		  PC UPDATED TECHNOLOGY/CHILDREN AND FAMILY SUPPORT SERVICES 6,850

JAZZ ANGELS

3258 E WILLOW ST
SIGNAL HILL,CA90755 		  PC SPONSORSHIP OF (4) ALL START COMMUNITY CONCERTS 1,000

LATINOS IN ACTION

1635 LOCUST AVE APT 303
LONG BEACH,CA90813 		  PC LEADERSHIP PROGRAM 1,000

LEADERSHIP LONG BEACH

4401 ATLANTIC AVE STE 200
LONG BEACH,CA90807 		  PC YOUTH AND FAMILY PROGRAMMING 1,000

LONG BEACH AREA COUNCIL BOY SCOUTS

401 E 37TH ST
LONG BEACH,CA90807 		  PC TRANSPORTATION OF LOW INCOME YOUTH TO SUMMER AQUATIC CAMP 703

LONG BEACH FOOD & BEVERAGE

65 PINE AVENUE 200
LONG BEACH,CA90802 		  PC CANSTRUCTION 2022 1,000

LONG BEACH PUBLIC LIBRARY FOUNDATION

PO BOX 65 PINE AVENUE SUITE 875
LONG BEACH,CA908024718 		  PC LITERACY SUPPORT 1,000

LONG BEACH RESCUE MISSION

1430 PACIFIC AVE
LONG BEACH,CA90803 		  PC CHILDREN AND FAMILY SUPPORT SERVICES 5,000

LONG BEACH RONALD MCDONALD HOUSE

4560 FOUNTAIN AVENUE
LOS ANGELES,CA90029 		  PC CHILDREN AND FAMILY SUPPORT SERVICES 2,000

LONG BEACH SYMPHONY ASSOCIATION

555 E OCEAN BLVD SUITE 106
LONG BEACH,CA90802 		  PC DIGITIZED & STREAMING YOUTH CONCERT/YOUTH ARTS EDUCATION PROGRAM 7,500

LONG BEACH UNIFIED SCHOOL DISTRICT

333 W BROADWAY SUITE 202
LONG BEACH,CA90802 		  PC BETHUNE HOMELESS EDUCATION PROGRAM 1,000

LONG BEACH UNIFIED SCHOOL DISTRICT

333 W BROADWAY SUITE 202
LONG BEACH,CA90802 		  PC STUDENT SUCCESS INITIATIVE 3,000

LONG BEACH UNIFIED SCHOOL DISTRICT

333 W BROADWAY SUITE 202
LONG BEACH,CA90802 		  PC YOUTH WELLNESS CENTER 1,000

LONG BEACH UNIFIED SCHOOL DISTRICT

1515 HUGHES WAY
LONG BEACH,CA90810 		  PC SMART START ART PROGRAM/STEVESON ELEMENTARY SCHOOL 500

LONG BEACH UNITY FESTIVAL

3553 ATLANTIC AVENUE
LONG BEACH,CA90807 		  PC SKY KIDS MENTORING PROGRAM 1,000

LONG BEACH YOUTH CHORUS

29 PETALUMA AVE
LONG BEACH,CA91105 		  PC SUMMER ART INSTITUTE 1,000

LOS ALAMITOS EDUCATION FOUNDATION (LAEF)

10293 BLOOMFIELD STREET
LOS ALAMITOS,CA90720 		  PC UNRESTRICTED/YOUTH EDUCATIONAL PROGRAMMING 1,000

LUKE TATSU JOHNSON FOUNDATION

530 LOS ALTOS AVE
LONG BEACH,CA90814 		  PC UNRESTRICTED USE 1,000

MAPLE VILLAGE WALDORF SCHOOL

4017 E 6TH STREET
LONG BEACH,CA90814 		  PC UNRESTRICTED USE/CHILDREN'S EDUCATION 500

OPERATION JUMP START

3515 LINDEN AVENUE
LONG BEACH,CA90807 		  PC SUMMER INTERNSHIPS AND YOUTH PROGRAMMING 6,000

PARTNERS OF PARKS

1150 E 4TH ST
LONG BEACH,CA90802 		  PC 8TH ANNUAL LITERACY FAIR AND 2022 JUNETEENTH CELEBRATION 2,000

RANCHO LOS CERRITOS FOUNDATION

4600 VIRGINIA ROAD
LONG BEACH,CA908071916 		  PC UNRESTRICTED USE 3,500

RENAISSANCE HIGH SCHOOL

PO BOX 1076
LONG BEACH,CA90801 		  PC PHOENIX PATHFINDERS PROGRAM 1,500

ROSE PARK NEIGHBORHOOD

3350 E 7TH ST 140
LONG BEACH,CA90804 		  PC ART-WORKSLNC-AT-RISK YOUTH 1,000

ST LUKE'S EPISCOPAL CHURCH

525 E 7TH STREET PO BOX 20038
LONG BEACH,CA90813 		  PC CHILDREN'S PROGRAMMING 1,000

SUCCESS IN CHALLENGES

4508 ATLANTIC AVENUE SUITE 782
LONG BEACH,CA908071520 		  PC FREEDOM SCHOOL 2,500

THE NONPROFIT PARTNERSHIP

4900 E CONANT STREET BLDG 0-2 SUITE
225
LONG BEACH,CA90808 		  PC SUPPORT FOR 2022 LONG BEACH GIVES CAMPAIGN 5,000

TICHENOR CLINIC FOR CHILDREN

1660 TERMINO AVE
LONG BEACH,CA90804 		  PC YOUTH COFFEE CART PROJECT AND OTHER YOUTH HEALTH SERVICES 2,000

WOMENSHELTER OF LONG BEACH

PO BOX 117098
LONG BEACH,CA90807 		  PC CHILDREN AND FAMILY SUPPORT SERVICES 2,000

YOUNG HORIZONS

501 ATLANTIC AVENUE
LONG BEACH,CA90802 		  PC UPGRADED TECHNOLOGY FOR STUDENTS/STAFF 5,150

ABLE ARTS WORK

3626 CA-1
LONG BEACH,CA90804 		  PC DONATION FOR CHILDREN'S MUSIC THERAPY 247

BOOKS AND BUCKETS DBA SEE

23564 CALABASAS RD STE 201
CALABASAS,CA91302 		  PC SUMMER YOUTH ACADEMY 5,000

CALIFORNIA FAMILIES IN FOCUS

6475 CA-1
LONG BEACH,CA90803 		  PC DISCRETIONARY FUND CONTRIBUTION - ARTS MUSIC POETRY DANCE PROGRAM FOR YOUTH 2,000

DESIGN MAKE LEARN

488 E OCEAN BLVD UNIT 1017
LONG BEACH,CA90802 		  PC MIDDLE SCHOOL DESIGN THINKING PROGRAM 4,753

LONG BEACH COMMUNITY ACTION PARTNERSHIP

117 W VICTORIA ST
LONG BEACH,CA90805 		  PC LEADERSHIP ARTS MENTORING PROGRAM 2,000

LONG BEACH COMMUNITY FOUNDATION

400 OCEANGATE STE 800
LONG BEACH,CA90802 		  PC MIGRANT CHILDREN HOUSING SUPPORT 1,000

LOVE BEYOND LIMITS

3515 LINDEN AVE 58
LONG BEACH,CA90803 		  PC YOUTH PROGRAMMING 1,000

MEMORIALCARE LB MEDICAL CENTER FDN

2801 ATLANTIC AVE
LONG BEACH,CA90807 		  PC 2022 "DANCING FOR OUR STARS" PROGRAM AD IN SUPPORT OF FAMILY HEALTH SERVICES 1,000

MUSEUM OF LATIN AMERICAN ART

628 ALAMITOS AVE
LONG BEACH,CA90802 		  PC AUCTION PADDLE BID IN SUPPORT OF YOUTH PROGRAMMING 1,000

PARTNERS OF PARKS

1150 E 4TH ST
LONG BEACH,CA90802 		  PC OPERATION PLAYGROUND 5,000

RANCHO LOS ALAMITOS FOUNDATION

6400 BIXBY HILL ROAD
LONG BEACH,CA908154706 		  PC PONY UP 2022 IN SUPPORT OF YOUTH EDUCATIONAL PROGRAMMING 2,000

THE NONPROFIT PARTNERSHIP

4900 E CONANT STREET BLDG 0-2 SUITE
225
LONG BEACH,CA90808 		  PC 2022 LONG BEACH GIVES SUPPORT 10,000

CSULB RESEARCH FOUNDATION

6300 EAST STATE UNIVERSITY DRIVE
SUITE 332
LONG BEACH,CA90815 		  PC STRENGTHENING YOUTH RESILIENCY IN LONG BEACH 30,000

THE NONPROFIT PARTNERSHIP

4900 E CONANT STREET BLDG 0-2 SUITE
225
LONG BEACH,CA90808 		  PC NONPROFIT PROFESSIONAL SERVICES FUND 40,000

ASSISTANCE LEAGUE OF LONG BEACH

6220 E SPRING STREET
LONG BEACH,CA908150664 		  PC "CREATING SMILES" CAPITAL CAMPAIGN TO EXPAND CHILDREN'S SERVICES CAMPUS 208,500

THE CHILDREN'S CLINIC

701 E 26TH STREET SUITE 200
LONG BEACH,CA90806 		  PC TCC FAMILY HEALTH AND WELLNESS CENTER CAPITAL CAMPAIGN 500,000
Total ................................. bullet3a 2,691,629
bApproved for future payment

ABILITY FIRST
3770 E WILLOW ST
LONG BEACH,CA90815 		  PC ABILITYFIRST LONG BEACH CENTER AFTER SCHOOL PROGRAM 35,000

ABLE ARTS WORK
3626 CA-1
LONG BEACH,CA90804 		  PC THE ABLE ARTS WORK CREATIVE HEALTH AND WELLNESS CLINIC 22,000

AQUARIUM OF THE PACIFIC
320 GOLDEN SHORE SUITE 350
LONG BEACH,CA908024200 		  PC EARLY CHILDHOOD SCIENCE LEARNING PROGRAMS 25,143

ARTS COUNCIL FOR LONG BEACH (PCA)
110 PINE AVENUE SUITE 1100
LONG BEACH,CA90802 		  PC ARTS EDUCATION IN THE LONG BEACH UNIFIED SCHOOL DISTRICT: EYE ON DESIGN AND GO MAKE SOMETHING, KIDS! 40,000

ASSISTANCE LEAGUE OF LONG BEACH
6220 E SPRING STREET
LONG BEACH,CA908150664 		  PC ORTHODONTIC PROGRAM MAKING ORTHODONTIA ACCESSIBLE FOR CHILDREN IN NEED 49,299

CALIFORNIA CONFERENCE FOR EQUALITY & JUSTICE (CCEJ)
3605 LONG BEACH BLVD SUITE 100
LONG BEACH,CA90807 		  PC BUILDING BRIDGES FOR YOUTH LEADERSHIP PROGRAMS 30,000

CALIFORNIA AQUATIC THERAPY & WELLNESS CENTER (POOLS OF HOPE)
6801 LONG BEACH BLVD
LONG BEACH,CA908051133 		  PC YOUTH WELLNESS PROGRAM 25,000

CAMP FIRE USA
1801 MAIN SUITE 200
KANSAS CITY,MO64108 		  PC CAPACITY BUILDING SUPPORT/MARKETING AND OUTREACH 30,000

CENTURY VILLAGES AT CABRILLO
2001 RIVER AVE
LONG BEACH,CA90810 		  PC YOUTH PROGRAMS AT THE VILLAGES AT CABRILLO 25,000

CHILDREN TODAY
2951 LONG BEACH BLVD
LONG BEACH,CA90806 		  PC ECOHOUSE 25,000

CHILDREN'S DENTAL HEALTH CLINIC
455 E COLUMBIA AVENUE SUITE 32
LONG BEACH,CA908061620 		  PC MULTI-SPECIALTY PEDIATRIC DENTAL TREATMENT FOR UNDERSERVED CHILDREN 70,000

CITY FABRICK
425 E 4TH ST
LONG BEACH,CA90802 		  PC BRIAN ULASZEWSKI 20,000

DAYS LONG BEACH
1232 E WARDLOW RD
LONG BEACH,CA90807 		  PC YOUTH EDUCATION DEVELOPMENT AND ACADEMIC SUCCESS 20,000

DISABLE RESOURCES CENTER
2750 E SPRING ST 100
LONG BEACH,CA90806 		  PC GET ORGANIZED - LEADERSHIP BEYOND THE CLASSROOM (GO LBC) FOR HIGH SCHOOL YOUTH 30,000

DRAMATIC RESULTS
3310 LIME AVENUE
SIGNAL HILL,CA90755 		  PC STEAM ECOSYSTEM EXPANSION DEMONSTRATION (SEED) PROJECT 50,000

EDUCATE ADVANCING EARLY CHILDHOOD EDUCATION (ECE)
2525 GRAND AVENUE
LONG BEACH,CA90815 		  PC UN MUNDO DE AMIGOS PRESCHOOL 25,000

ESP EDUCATION & LEADERSHIP BOSS
7941 E CRAMER
LONG BEACH,CA90808 		  PC BOSS (BUSINESS OF STUDENT SUCCESS) 20,000

EXTRAORDINARY FAMILIES
221 N ARDMORE AVE
LOS ANGELES,CA90004 		  PC CORE OPERATING TO SUPPORT LONG BEACH FOSTER CHILDREN & YOUTH 25,000

FOR THE CHILD
4565 CALIFORNIA AVENUE
LONG BEACH,CA908071507 		  PC EXPANDED MENTAL HEALTH TREATMENT AND FAMILY SUPPORT FOR ABUSED LOW-INCOME CHILDREN & TEENS 40,000

GROUND EDUCATION
6475 E PACIFIC COAST HIGHWAY 294
LONG BEACH,CA90803 		  PC GARDEN LEARNING PROGRAM FOR TITLE I SCHOOLS IN LONG BEACH 30,000

INTELLECTUAL VIRTUES ACADEMY
3601 LINDEN AVE
LONG BEACH,CA90807 		  PC IVA - TARGETING OUR MOST VULNERABLE STUDENTS THROUGH INTERVENTIONS 30,000

INTERNATIONAL CITY THEATRE (ICT)
67 LONG BEACH BLVD
LONG BEACH,CA90802 		  PC ICT PERFORMING ARTS CLASSROOM TEACHING (PACT) 30,000

INTERVAL HOUSE
6615 PACIFIC COAST HWY 170
LONG BEACH,CA90803 		  PC INTERVAL HOUSE CORE OPERATIONS 25,000

JAZZ ANGELS
3258 E WILLOW ST
SIGNAL HILL,CA90755 		  PC JAZZ ANGELS CAPACITY 20,000

JEWISH FAMILIES & CHILDREN'S
3801 E WILLOW ST
LONG BEACH,CA90815 		  PC JFCS LOW-INCOME COUNSELING FOR CHILDREN AND FAMILIES 25,000

KHMER GIRLS IN ACTION
1085 REDONDO AVE
LONG BEACH,CA90804 		  PC YOUTH LEADERSHIP DEVELOPMENT PROGRAM 20,000

KLEEFELD CONTEMPORARY
1250 N BELLFLOWER BLVD
LONG BEACH,CA90840 		  PC PLUGGED-IN CLASSROOM CONNECTIONS 20,000

LONG BEACH UNIFIED SCHOOL DISTRICT
333 W BROADWAY SUITE 202
LONG BEACH,CA90802 		  PC LBUSD SMART START ELEMENTARY ART PROGRAM 25,000

LINC HOUSING - SPARK AT MIDTOWN
1900 LONG BEACH BLVD
LONG BEACH,CA90806 		  PC SPARK AT MIDTOWN YOUTH ENRICHMENT PROGRAMMING 25,000

LONG BEACH ALLIANCE FOR CHILDREN WITH ASTHMA
2651 ELM STREET SUITE 100
LONG BEACH,CA90806 		  PC LBACA ASTHMA INTERVENTION AND COMMUNITY EDUCATION PROGRAM 50,000

LONG BEACH BAR FOUNDATION
3515 LINDEN AVE
LONG BEACH,CA90807 		  PC SHORTSTOP PROGRAM 20,000

LONG BEACH CITY COLLEGE FOUNDATION
SECOND FLOOR 4900 E CONANT ST
BUILDING O-2
LONG BEACH,CA90808 		  PC LONG BEACH CITY COLLEGE SUMMER RECREATION SWIM CAMP 15,000

LONG BEACH DAY NURSERY
1548 CHESTNUT AVE
LONG BEACH,CA90813 		  PC INVESTING IN STRATEGIC INITIATIVES FOR EARLY CARE AND EDUCATION OF VULNERABLE CHILDREN. 45,000

LONG BEACH MUSEUM OF ART
2300 EAST OCEAN BLVD
LONG BEACH,CA90803 		  PC PROFESSIONAL DEVELOPMENT IN ARTS INTEGRATION FOR ELEMENTARY SCHOOL TEACHERS 10,000

LONG BEACH PUBLIC LIBRARY FOUNDATION
PO BOX 65 PINE AVENUE SUITE 875
LONG BEACH,CA908024718 		  PC FAMILY LEARNING CENTER PROGRAM 35,000

LONG BEACH RONALD MCDONALD HOUSE
4560 FOUNTAIN AVENUE
LOS ANGELES,CA90029 		  PC CORE OPERATING SUPPORT 30,000

LONG BEACH SYMPHONY
249 E OCEAN BLVD SUITE 200
LONG BEACH,CA90802 		  PC MUSICAL BRIDGES COMMUNITY CONCERTS 2022-2023 25,000

LONG BEACH UNITY FESTIVAL
3553 ATLANTIC AVENUE
LONG BEACH,CA90807 		  PC SKY KIDS CREATIVE ARTS, PRODUCTION, & MENTORING 31,500

LOVE BEYOND LIMITS
3515 LINDEN AVE 58
LONG BEACH,CA90803 		  PC YOUTH WELLNESS RETREAT 20,000

MAYOR'S FUND FOR EDUCATION
245 E 3RD ST
LONG BEACH,CA90802 		  PC READYROSIELB FAMILY ENGAGEMENT PROGRAM (RRLB) PHASE 6 35,000

MUSEUM OF LATIN AMERICAN ART
628 ALAMITOS AVE
LONG BEACH,CA90802 		  PC APRENDE (LEARN): MOLAAS ARTS EDUCATION PROGRAM 40,000

NEW HOPE GRIEF SUPPORT COMMUNITY
3443 SAN ANSELINE AVENUE
LONG BEACH,CA908082729 		  PC NEW HOPE COMMUNITY BEREAVEMENT SUPPORT - CORE OPERATING SUPPORT 40,000

PATHWAYS VOLUNTEER HOSPICE
4645 WOODRUFF AVENUE
LAKEWOOD,CA90713 		  PC CHANGES, CHILDREN'S GRIEF COUNSELING AND EDUCATION PROGRAM 35,000

PRECIOUS LAMB PRESCHOOL
2005 PALO VERDE 301
LONG BEACH,CA90815 		  PC FAMILY & STAFF MENTAL HEALTH INITIATIVE 25,000

RANCHO LOS ALAMITOS FOUNDATION
6400 BIXBY HILL ROAD
LONG BEACH,CA908154706 		  PC RANCHO LOS ALAMITOS' SCHOOL PROGRAMS, 2022-23 20,000

RANCHO LOS CERRITOS FOUNDATION
4600 VIRGINIA ROAD
LONG BEACH,CA908071916 		  PC ADOBE DAYS REVISITED: A CULTURALLY RESPONSIVE AND STEAM RELAUNCH 30,000

SALVATION ARMY
3092 LONG BEACH BLVD
LONG BEACH,CA90807 		  PC THE SALVATION ARMY LONG BEACH RED SHIELD YOUTH CLUB 25,000

SHARED SCIENCE
5318 2ND ST 602
LONG BEACH,CA90803 		  PC SHARED SCIENCE 5,000

ST MARY MEDICAL CENTER FOUNDATION
1050 LINDEN AVENUE
LONG BEACH,CA90813 		  PC ST. MARY MEDICAL CENTER FOUNDATION 30,000

STRAMISKI CHILDREN'S DEVELOPMENT CENTER
2650 ELM AVENUE SUITE 301
LONG BEACH,CA90806 		  PC STRAMSKI CHILDREN'S DEVELOPMENT CENTER 50,000

SYMPHONIC JAZZ ORCHESTRA
110 W OCEAN BLVD SUITE 22
LONG BEACH,CA90802 		  PC SYMPHONIC JAZZ ORCHESTRA 12,000

THE CHILDREN'S CLINIC
2790 ATLANTIC AVENUE
LONG BEACH,CA90806 		  PC THE CHILDREN'S CLINIC 50,000

THE GUIDANCE CENTER
4335 ATLANTIC AVENUE
LONG BEACH,CA908072803 		  PC THE GUIDANCE CENTER 60,000

THE JEWEL BOX CHILDREN'S THEATRE
3371 CERRITOS AVE
SIGNAL HILL,CA90755 		  PC THE JEWEL BOX CHILDREN'S THEATER COMPANY 20,000

THE LGBTQ CENTER
2017 E 4TH ST
LONG BEACH,CA90814 		  PC THE LGBTQ CENTER LONG BEACH 40,000

THE NONPROFIT PARTNERSHIP
4900 E CONANT STREET BLDG 0-2 SUITE
225
LONG BEACH,CA90802 		  PC CORE OPERATIONAL SUPPORT 50,000

THE NONPROFIT PARTNERSHIP
4900 E CONANT STREET BLDG 0-2 SUITE
225
LONG BEACH,CA90802 		  PC AFRICAN AMERICAN CULTURAL CENTER (THROUGH LONG BEACH GIVES CAMPAIGN) 2,000

TICHENOR CLINIC FOR CHILDREN
1660 TERMINO AVE
LONG BEACH,CA90804 		  PC GENERAL OPERATIONS 25,000

UNITED CAMBODIAN COMMUNITY
2201 E ANAHEIM ST STE 200
LONG BEACH,CA908043411 		  PC LIVING ARTS LONG BEACH 25,000

YOUNG HORIZONS
501 ATLANTIC AVENUE
LONG BEACH,CA90802 		  PC EARLY CHILDHOOD EDUCATION FOR LOW-INCOME CHILDREN 60,000
Total .................................bullet 3b 1,816,942
Form 990-PF (2021)
Form 990-PF (2021)
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     14 767,749  
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ........... 		    14 216  
4 Dividends and interest from securities ....          
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 1,139,044  
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 1,972,653 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
1,972,653
(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 (2021)
Form 990-PF (2021)
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.
Bullet Bullet
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 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2021)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description