Instrumentl eFile Render
Object ID: 202243189349103704 - Rendered 2024-12-26
TIN: 58-6036131
Form
990-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.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
For calendar year 2021, or tax year beginning
01-01-2021
, and ending
12-31-2021
Name of foundation
THE JOHN AND MARY FRANKLIN FOUNDATION THE
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 725429
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ATLANTA
,
GA
31139
A Employer identification number
58-6036131
B
Telephone number (see instructions)
(312) 630-6000
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
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 .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
42,119,281
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
1,923
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
1,002,229
1,001,991
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
1,616,500
b
Gross sales price for all assets on line 6a
10,205,139
7
Capital gain net income (from Part IV, line 2)
...
1,616,500
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
2,620,652
2,618,491
13
Compensation of officers, directors, trustees, etc.
35,700
35,700
14
Other employee salaries and wages
......
32,500
0
0
32,500
15
Pension plans, employee benefits
.......
2,486
0
0
2,486
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
2,500
1,250
0
1,250
c
Other professional fees (attach schedule)
....
113,756
113,756
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
48,762
22,262
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
8,198
0
0
8,198
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
945
113
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
244,847
137,381
0
80,134
25
Contributions, gifts, grants paid
.......
1,901,460
1,901,460
26
Total expenses and disbursements.
Add lines 24 and 25
2,146,307
137,381
0
1,981,594
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
474,345
b
Net investment income
(if negative, enter -0-)
2,481,110
c
Adjusted net income
(if negative, enter -0-)
...
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
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
139,380
735,946
735,946
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
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
0
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)
.......
19,582,942
20,103,748
30,573,622
c
Investments—corporate bonds (attach schedule)
.......
9,721,757
8,651,179
8,776,103
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
595,193
1,038,355
2,033,610
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)
30,039,272
30,529,228
42,119,281
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
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
........
30,039,272
30,529,228
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
30,039,272
30,529,228
30
Total liabilities and net assets/fund balances
(see instructions)
.
30,039,272
30,529,228
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
30,039,272
2
Enter amount from Part I, line 27a
.....................
2
474,345
3
Other increases not included in line 2 (itemize)
3
15,611
4
Add lines 1, 2, and 3
..........................
4
30,529,228
5
Decreases not included in line 2 (itemize)
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
30,529,228
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
95. AMN HEALTHCARE SVCS INC COM
2018-04-27
2021-06-03
b
117. AMN HEALTHCARE SVCS INC COM
2019-04-04
2021-06-04
c
8. AMN HEALTHCARE SVCS INC COM
2019-04-04
2021-06-04
d
3. AMN HEALTHCARE SVCS INC COM
2019-04-04
2021-06-24
e
31. ALARM COM HLDGS INC COM
2020-01-21
2021-06-24
59. APPLIED MATERIALS INC
2019-02-11
2021-03-17
8. APPLIED MATERIALS INC
2019-02-11
2021-09-15
10. AUTODESK, INC
2017-01-12
2021-01-12
31. AUTODESK, INC
2011-04-07
2021-01-13
49. BIO-TECHNE CORP COM
2008-11-18
2021-02-11
67. BIO-TECHNE CORP COM
2008-11-18
2021-03-15
23. BLACKLINE INC COM
2018-02-21
2021-06-24
87568.69 MFO BLACKROCK FDS V HIGH YIELD BD PORT INSTLCL
2019-12-23
2021-03-24
7. #REORG/ENTEGRIS CASH AND STOCK MERGER ENTEGRIS TNT#0002307911 07-06
2008-11-18
2021-06-24
.41 CABOT OIL & GAS CORP CL A
2018-01-12
2021-10-01
149. CALAVO GROWERS INC COM
2017-05-04
2021-06-01
33. CALAVO GROWERS INC COM
2015-12-15
2021-06-02
53. CASS INFORMATION SYS INC COM
2008-11-18
2021-03-24
98. CASS INFORMATION SYS INC COM
2008-11-18
2021-03-25
8. CERENCE INC COM
2021-02-11
2021-06-24
4. CHEMED CORP NEW COM
2008-11-18
2021-06-24
10. CHEMED CORP NEW COM
2008-11-18
2021-06-25
27. DESCARTES SYS GROUP INC COM
2019-05-08
2021-06-24
140. DOLLAR TREE INC COM STK
2021-09-08
2021-12-29
71. DORMAN PRODS INC COM
2018-04-16
2021-02-24
66. DORMAN PRODS INC COM
2018-04-16
2021-02-25
25646.67 MFO DOUBLELINE CORE FIXED INCOME FUND I
2021-03-24
2021-06-24
151359.58 MFO DOUBLELINE CORE FIXED INCOME FUND I
2020-06-19
2021-06-24
22. EATON VANCE CORP
2020-08-19
2021-01-12
81. EATON VANCE CORP
2017-01-12
2021-01-12
35. ENSIGN GROUP INC COM STK
2020-04-27
2021-06-24
96. EXLSERVICE COM INC COM STK
2016-12-15
2021-03-15
104. EXLSERVICE COM INC COM STK
2016-12-15
2021-03-16
26. EXPONENT INC COM STK
2016-11-02
2021-06-24
5. FIVE BELOW INC COM USD0.01
2020-03-23
2021-06-24
153. FIVE9 INC COM
2019-06-20
2021-02-11
8. FIVE9 INC COM
2019-06-20
2021-06-24
138. FIVE9 INC COM
2019-06-20
2021-07-29
1067. MFC FLEXSHARES TR MORNINGSTAR GLOBAL UPSTREAM NAT RES INDEX FD
2017-02-24
2021-06-24
176. FLOOR & DECOR HLDGS INC CL A CL A
2018-09-19
2021-04-29
9. FLOOR & DECOR HLDGS INC CL A CL A
2018-09-19
2021-06-24
30. FLOOR & DECOR HLDGS INC CL A CL A
2018-09-19
2021-11-19
15. FRESHPET INC COM
2016-05-17
2021-06-24
50. FRESHPET INC COM
2016-05-17
2021-06-25
66. GENTEX CORP COM
2013-07-19
2021-06-24
118. GENTEX CORP COM
2008-11-18
2021-11-19
6. GLAUKOS CORP COM
2021-05-11
2021-06-24
14. GOOSEHEAD INS INC COM CL A COM CL A
2020-03-24
2021-06-24
18. GRAND CANYON ED INC COM STK
2019-11-19
2021-06-24
18. GRID DYNAMICS HOLDINGS INC COM USD0.0001CL A
2021-04-06
2021-06-24
49. HEALTHCARE SVCS GROUP INC
2018-04-16
2021-06-24
44. HEALTH CATALYST INC COM
2020-07-10
2021-06-24
8. HESKA CORP COM RESTRICTED NEW STOCK
2017-01-24
2021-06-24
10. INOGEN INC COM
2019-06-06
2021-06-24
137. INOGEN INC COM
2019-06-06
2021-11-08
49. #REORG/ INOVALON HOLDINGS CASH MERGER 11-24-2021
2020-01-22
2021-06-24
790. #REORG/ INOVALON HOLDINGS CASH MERGER 11-24-2021
2020-01-22
2021-09-07
13. INTERCONTINENTAL EXCHANGE INC COM
2017-01-12
2021-12-29
10. INTUIT
2011-04-07
2021-01-12
3058. MFC ISHARES TRUST CORE US AGGREGATE BD ETF
2020-06-18
2021-06-24
3654. MFC ISHARES TRUST CORE US AGGREGATE BD ETF
2020-05-14
2021-07-30
2047. MFC ISHARES TR GLOBAL INFRASTRUCTURE ETFINDEX FD
2020-06-18
2021-03-24
12722. MFC ISHARES TR GLOBAL INFRASTRUCTURE ETFINDEX FD
2020-03-20
2021-03-24
25453. MFC ISHARES TR 1-5 YR INVT GRADE CORPORATE BD ETF
2019-03-27
2021-03-24
10955. MFC ISHARES TR 1-5 YR INVT GRADE CORPORATE BD ETF
2018-10-18
2021-04-22
4399. MFC ISHARES TR 1-5 YR INVT GRADE CORPORATE BD ETF
2020-05-14
2021-05-26
8351. MFC ISHARES TR 1-5 YR INVT GRADE CORPORATE BD ETF
2020-05-14
2021-05-26
1050. MFC ISHARES TR 1-5 YR INVT GRADE CORPORATE BD ETF
2020-12-22
2021-07-30
6284. MFC ISHARES TR 1-5 YR INVT GRADE CORPORATE BD ETF
2020-06-18
2021-07-30
6. KADANT INC
2020-05-14
2021-06-24
2. KEYSIGHT TECHNOLOGIES INC COM
2016-12-16
2021-06-17
20. MAXIMUS INC
2008-11-07
2021-06-24
96. MAXIMUS INC
2008-11-07
2021-11-04
141. MAXIMUS INC
2008-11-07
2021-11-05
9. MEDPACE HLDGS INC COM
2021-03-02
2021-06-24
29. MODEL N INC COM USD0.00015
2021-04-23
2021-06-24
43. NATIONAL INSTRS CORP
2016-10-13
2021-06-24
28. NATIONAL VISION HLDGS INC COM
2019-05-31
2021-06-24
34. NEOGEN CORP COM
2019-09-17
2021-06-24
5335.14 MFB NORTHERN FDS GLOBAL REAL ESTATE INDEX FD
2020-03-20
2021-03-25
10. OLLIES BARGAIN OUTLET HLDGS INC COM
2020-01-30
2021-06-24
18. ORTHOPEDIATRICS CORP COM
2019-09-26
2021-06-24
49. PRA GROUP INC COM
2015-12-15
2021-06-24
15. PAYLOCITY HLDG CORP COM
2016-06-20
2021-06-24
27. PAYLOCITY HLDG CORP COM
2016-06-20
2021-10-13
42. PAYLOCITY HLDG CORP COM
2016-06-20
2021-11-04
35. PEGASYSTEMS INC COM
2013-12-06
2021-06-24
27. PENNANT GROUP INC
2021-03-02
2021-06-24
31. PETIQ INC COM CL A COM CL A
2020-05-14
2021-06-24
72. PETIQ INC COM CL A COM CL A
2020-05-14
2021-11-04
14. PETIQ INC COM CL A COM CL A
2020-12-03
2021-11-05
273. PETIQ INC COM CL A COM CL A
2020-05-14
2021-11-05
229. PETIQ INC COM CL A COM CL A
2020-12-04
2021-11-08
305. #REORG/PLURALSIGHT CASH MERGER 04-07-2021
2020-09-03
2021-03-26
974. #REORG/PLURALSIGHT CASH MERGER 04-07-2021
2019-09-16
2021-03-26
80. PORCH GROUP INC COM USD
2021-05-12
2021-06-24
30. POWER INTEGRATIONS INC
2008-11-18
2021-06-24
29. PROS HLDGS INC COM
2017-08-11
2021-06-24
142. PROTO LABS INC COM
2016-10-13
2021-02-01
4. PROTO LABS INC COM
2013-04-23
2021-06-24
48. #REORG/REALPAGE INC COM CASH MERGER 04-22-2021
2021-01-13
2021-03-17
6. #REORG/REALPAGE INC COM CASH MERGER 04-22-2021
2021-01-13
2021-03-18
37. #REORG/REALPAGE INC COM CASH MERGER 04-22-2021
2021-01-13
2021-03-19
43. RITCHIE BROS AUCTIONEERS INC COM
2017-05-04
2021-06-24
7. ROGERS CORP
2019-10-25
2021-06-24
98. ROGERS CORP
2019-10-25
2021-11-08
869. MFC SPDR TR UNIT SER 1 STD & POORS UNIT SER 1
2017-03-17
2021-03-24
1567. MFC SPDR TR UNIT SER 1 STD & POORS UNIT SER 1
2017-03-17
2021-06-24
328. MFC SPDR TR UNIT SER 1 STD & POORS UNIT SER 1
2017-03-17
2021-07-30
54. SPS COMM INC COM
2016-08-02
2021-10-13
1. SKYWORKS SOLUTIONS INC
2019-10-18
2021-06-17
8. SYNOPSYS INC
2017-01-12
2021-09-08
24. SYNOPSYS INC
2017-01-12
2021-09-09
37. TJX COS INC NEW
2017-01-12
2021-03-17
23. #REORG/TERMINIX STOCK MERGER RENTOKIL 0002757775 10-12-2022
2020-05-01
2021-06-24
33. 2U INC COM
2018-11-27
2021-06-24
10. US PHYSICAL THERAPY INC
2018-04-27
2021-06-24
2430. VANGUARD FTSE DEVELOPED MARKETS ETF
2019-08-15
2021-03-24
787. MFC VANGUARD INTL EQUITY INDEX FDS FTSE EMERGING MKTS ETF
2020-03-20
2021-03-24
13490. MFC VANGUARD INTL EQUITY INDEX FDS FTSE EMERGING MKTS ETF
2020-03-20
2021-07-30
1299. MFC VANGUARD INDEX TR VANGUARD TOTAL STKMKT VIPERS
2019-09-26
2021-07-30
55. WILLSCOT MOBILE MINI HLDGS CORP COM USD0.01
2019-09-16
2021-05-11
551. WILLSCOT MOBILE MINI HLDGS CORP COM USD0.01
2019-09-17
2021-05-12
48. WILLSCOT MOBILE MINI HLDGS CORP COM USD0.01
2017-08-11
2021-06-24
31. WORKIVA INC COM CL A COM CL A
2018-02-28
2021-06-24
75. WORKIVA INC COM CL A COM CL A
2018-02-28
2021-11-08
15. XILINX INC
2017-01-12
2021-06-17
19. XILINX INC
2017-01-12
2021-09-10
58. GLOBANT SA USD1.20
2018-06-12
2021-06-01
11. GLOBANT SA USD1.20
2018-06-12
2021-06-24
38. GLOBANT SA USD1.20
2018-06-12
2021-09-07
5. FIVERR INTERNATIONAL LTD COM
2021-06-01
2021-06-24
22. FIVERR INTERNATIONAL LTD COM
2021-06-01
2021-06-30
27. KORNIT DIGITAL LTD COMMON STOCK
2020-02-05
2021-06-24
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CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
CAPITAL GAIN DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
8,816
6,310
2,506
b
10,833
7,450
3,383
c
744
396
348
d
282
149
133
e
2,618
1,434
1,184
6,939
2,350
4,589
1,126
319
807
3,201
692
2,509
9,843
1,340
8,503
19,131
3,356
15,775
26,582
4,463
22,119
2,593
949
1,644
678,657
672,570
6,087
1,043
158
885
9
13
-4
10,666
8,659
2,007
2,366
1,681
685
2,420
1,129
1,291
4,447
2,087
2,360
929
1,024
-95
1,928
161
1,767
4,861
402
4,459
1,826
1,098
728
19,618
14,544
5,074
7,224
4,917
2,307
6,632
3,702
2,930
285,704
288,008
-2,304
1,686,146
1,634,714
51,432
1,586
864
722
5,838
2,750
3,088
2,986
1,364
1,622
8,530
4,862
3,668
9,081
5,267
3,814
2,290
745
1,545
996
297
699
26,662
8,286
18,376
1,486
433
1,053
28,290
7,474
20,816
41,031
31,690
9,341
20,110
6,181
13,929
920
316
604
4,016
1,054
2,962
2,438
133
2,305
8,334
443
7,891
2,178
616
1,562
4,347
450
3,897
520
464
56
1,789
629
1,160
1,615
1,592
23
331
280
51
1,576
1,982
-406
2,527
1,511
1,016
1,810
632
1,178
683
632
51
5,171
8,662
-3,491
1,621
1,007
614
31,946
15,370
16,576
1,786
740
1,046
3,653
539
3,114
352,081
359,428
-7,347
425,459
417,117
8,342
91,085
80,208
10,877
566,088
483,281
82,807
1,390,668
1,322,660
68,008
599,860
566,780
33,080
241,405
236,378
5,027
458,384
432,696
25,688
57,642
57,795
-153
344,971
332,739
12,232
1,073
518
555
300
73
227
1,824
146
1,678
8,100
699
7,401
12,042
1,026
11,016
1,593
1,494
99
1,024
1,210
-186
1,808
1,188
620
1,418
764
654
1,546
1,344
202
56,392
38,093
18,299
843
549
294
1,202
650
552
1,918
1,851
67
2,894
630
2,264
7,539
1,135
6,404
12,226
1,765
10,461
4,903
859
4,044
1,143
1,411
-268
1,253
769
484
1,841
1,787
54
348
420
-72
6,787
6,774
13
5,596
6,862
-1,266
6,798
5,519
1,279
21,708
23,000
-1,292
1,611
1,171
440
2,432
245
2,187
1,419
727
692
32,263
7,330
24,933
374
191
183
4,189
4,164
25
524
520
4
3,229
3,209
20
2,623
1,378
1,245
1,351
1,062
289
26,419
14,871
11,548
340,822
206,109
134,713
666,214
371,661
294,553
143,869
77,795
66,074
8,664
1,778
6,886
172
87
85
2,696
484
2,212
8,045
1,134
6,911
2,490
1,377
1,113
1,134
764
370
1,404
1,742
-338
1,151
914
237
118,819
94,727
24,092
40,215
25,007
15,208
690,272
428,645
261,627
294,686
155,787
138,899
1,536
816
720
15,304
7,958
7,346
1,343
616
727
3,524
712
2,812
12,164
1,722
10,442
2,005
874
1,131
2,974
1,107
1,867
12,466
3,194
9,272
2,491
606
1,885
12,489
1,862
10,627
1,237
1,029
208
5,325
4,526
799
3,249
1,191
2,058
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
7,995
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
2,506
b
3,383
c
348
d
133
e
1,184
4,589
807
2,509
8,503
15,775
22,119
1,644
6,087
885
-4
2,007
685
1,291
2,360
-95
1,767
4,459
728
5,074
2,307
2,930
-2,304
51,432
722
3,088
1,622
3,668
3,814
1,545
699
18,376
1,053
20,816
9,341
13,929
604
2,962
2,305
7,891
1,562
3,897
56
1,160
23
51
-406
1,016
1,178
51
-3,491
614
16,576
1,046
3,114
-7,347
8,342
10,877
82,807
68,008
33,080
5,027
25,688
-153
12,232
555
227
1,678
7,401
11,016
99
-186
620
654
202
18,299
294
552
67
2,264
6,404
10,461
4,044
-268
484
54
-72
13
-1,266
1,279
-1,292
440
2,187
692
24,933
183
25
4
20
1,245
289
11,548
134,713
294,553
66,074
6,886
85
2,212
6,911
1,113
370
-338
237
24,092
15,208
261,627
138,899
720
7,346
727
2,812
10,442
1,131
1,867
9,272
1,885
10,627
208
799
2,058
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
1,616,500
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
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
and enter “N/A" on line 1.
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
34,487
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
34,487
6
Credits/Payments:
a
2021 estimated tax payments and 2020 overpayment credited to 2021
6a
28,249
b
Exempt foreign organizations—tax withheld at source
......
6b
0
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
5,000
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
33,249
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
1,238
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 2022 estimated tax
0
Refunded
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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:
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?
................
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)
GA
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 address
N/A
14
The books are in care of
NORTHERN TRUST COMPANY
Telephone no.
(312) 630-6000
Located at
700 BRICKELL AVE
MIAMI
FL
ZIP+4
33131
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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
........
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
20
,
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.
20
,
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
.........
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
ROBIN M MURRAY
TRUSTEE
20
0
3333 OLD MILTON PARKWAY
ALPHARETTA
,
GA
30005
DR MARILU H MCCARTY
EXECUTIVE SECRETARY
20
35,700
4036 TUXEDO ROAD NW
ATLANTA
,
GA
30342
JOHN B CARTER JR
TRUSTEE
20
0
115 FORT LAMAR ROAD
CHARLESTON
,
SC
29412
MARION B GLOVER
TRUSTEE
20
0
506 INTERNATIONAL TOWER
PEACHTREE ST NE
,
GA
30303
JERRY W NIX
CHAIRMAN
5
0
2999 WILDWOOD PARKWAY
ATLANTA
,
GA
30339
ELIZABETH R JONES
TRUSTEE
20
0
42 W BROOKHAVEN DR NE
ATLANTA
,
GA
30319
E KENDRICK SMITH
TRUSTEE
20
0
1420 PEACHTREE STREET SUITE 800
ATLANTA
,
GA
30309
JOHN F OGLESBY
TRUSTEE
20
0
3284 NORTHSIDE PARKWAY NW
ATLANTA
,
GA
30327
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
(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
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
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
.........................
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
40,146,803
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
40,146,803
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
40,146,803
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions)
.............................
4
602,202
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3.
............
5
39,544,601
6
Minimum investment return.
Enter 5% (0.05) of line 5
................
6
1,977,230
Part X
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part IX, line 6
..................
1
1,977,230
2a
Tax on investment income for 2021 from Part V, line 5
.......
2a
34,487
b
Income tax for 2021. (This does not include the tax from Part V.)
...
2b
c
Add lines 2a and 2b
............................
2c
34,487
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,942,743
4
Recoveries of amounts treated as qualifying distributions
................
4
200
5
Add lines 3 and 4
............................
5
1,942,943
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
1,942,943
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
1,981,594
b
Program-related investments—total from Part VIII-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part XII, line 4.
4
1,981,594
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
1,942,943
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
......
0
b
From 2017
......
60,931
c
From 2018
......
193,440
d
From 2019
......
181,170
e
From 2020
......
191,676
f
Total
of lines 3a through e
........
627,217
4
Qualifying distributions for 2021 from Part
XI, line 4:
$
1,981,594
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
.....
1,942,943
e
Remaining amount distributed out of corpus
38,651
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).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
665,868
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
......
665,868
10
Analysis of line 9:
a
Excess from 2017
....
60,931
b
Excess from 2018
....
193,440
c
Excess from 2019
....
181,170
d
Excess from 2020
....
191,676
e
Excess from 2021
....
38,651
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
......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(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)
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
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
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
DR MARILU H MCCARTY
3282 NORTHSIDE PKWY 100
ATLANTA
,
GA
30327
(312) 630-6000
NONE
b
The form in which applications should be submitted and information and materials they should include:
NO SPECIFIC FORMAT
c
Any submission deadlines:
12/31
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
NONE
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)
a
Paid during the year
SEE ATTACHED SCHEDULE
SEE ATTACHED SCHEDULE
SEE ATTACHED SCHEDULE
,
IL
60680
NONE
PC
GENERAL
1,901,460
Total
.................................
3a
1,901,460
b
Approved for future payment
Total
.................................
3b
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
14
1,002,229
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
1,616,500
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)
..
2,618,729
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
2,618,729
(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
(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?
...........
Yes
No
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.
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
(2021)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description