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 01-01-2021 , and ending 12-31-2021
Name of foundation
ELLIS FAMILY CHARITABLE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)5200 E LA PALMA AVENUE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ANAHEIM, CA92807
A Employer identification number

02-0788743
B Telephone number (see instructions)

(213) 488-7345
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$4,053,018J 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) 192,351
2 Check bullet.............
3 Interest on savings and temporary cash investments 2,671 2,671  
4 Dividends and interest from securities... 84,307 76,667  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 250,660
b Gross sales price for all assets on line 6a 920,121
7 Capital gain net income (from Part IV, line 2)... 250,660
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)....... Click to see attachment 7,466 7,466  
12 Total. Add lines 1 through 11........ 537,455 337,464  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 4,474 0   4,474
c Other professional fees (attach schedule).... Click to see attachment 30,679 30,679   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 3,745 3,735   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 57,774 0   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 96,672 34,414   4,474
25 Contributions, gifts, grants paid....... 899,340 899,340
26 Total expenses and disbursements. Add lines 24 and 25 996,012 34,414   903,814
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -458,557
b Net investment income (if negative, enter -0-) 303,050
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Page 2
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............. 57,468 53,354 53,354
2 Savings and temporary cash investments......... 167,974 104,585 104,585
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)      
b Investments—corporate stock (attach schedule)....... 785,082 Click to see attachment625,304 853,763
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,425,608 Click to see attachment2,195,082 3,040,713
14 Land, buildings, and equipment: basis bullet12,613
Less: accumulated depreciation (attach schedule) bullet12,249 1,205 Click to see attachment364 364
15 Other assets (describe bullet) Click to see attachment200 Click to see attachment239 Click to see attachment239
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,437,537 2,978,928 4,053,018
Liabilities 17 Accounts payable and accrued expenses.......... 52  
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)......... 52 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........... 3,437,485 2,978,928
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........    
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)..... 3,437,485 2,978,928
30 Total liabilities and net assets/fund balances (see instructions). 3,437,537 2,978,928
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
3,437,485
2
Enter amount from Part I, line 27a .....................
2
-458,557
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,978,928
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
2,978,928
Form 990-PF (2021)
Page 3
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 25 SHS ABBVIE INC P 2020-12-11 2021-03-01
b 10 SHS AMGEN INC P 2020-09-15 2021-03-01
c 164.44 SHS BLACKROCK GL L/S CREDIT-K #1940 P 2020-08-06 2021-06-03
d 25 SHS COSTCO WHOLESALE CORP P 2020-09-15 2021-03-01
e 50 SHS I SHARE MSCI USA ESG SELECT ETF P 2020-08-06 2021-01-05
50 SHS I SHARE MSCI USA ESG SELECT ETF P 2020-08-06 2021-01-27
50 SHS I SHARE MSCI USA ESG SELECT ETF P 2020-08-06 2021-06-29
218.29 SHS MERGER FUND - INST #301 P 2020-08-06 2021-03-15
160 SHS COMM SERV SELECT SECTOR SPDR P 2020-08-06 2021-01-05
150 SHS COMM SERV SELECT SECTOR SPDR P 2020-08-06 2021-03-01
20 SHS WASTE MANAGEMENT INC P 2020-03-04 2021-03-01
91.07 SHS INV OPP DEVELOP MRKTS-R6 7038 P 2013-06-10 2021-01-27
6.87 SHS INV OPP DEVELOP MRKTS-R6 7038 P 2013-11-25 2021-01-27
33 SHS AT&T INC P 2018-07-13 2021-03-01
47 SHS AT&T INC P 2018-11-02 2021-03-01
101 SHS AT&T INC P 2019-08-13 2021-03-01
156 SHS AT&T INC P 2019-12-03 2021-03-01
1 SH ALPHABET INC CL C P 2019-05-10 2021-03-01
3 SHS AMAZON COM INC COM P 2014-08-05 2021-03-01
54 SHS APPLE INC P 2016-01-05 2021-03-01
15 SHS APPLE INC P 2017-12-21 2021-03-01
40 SHS APPLE INC P 2018-04-12 2021-03-01
3 SHS BLACKROCK INC P 2015-07-23 2021-03-01
807.05 SHS BLACKROCK INC GL L/S CREDIT-K #1940 P 2018-11-06 2021-06-03
557.40 SHS BLACKROCK INC GL L/S CREDIT-K #1940 P 2019-03-12 2021-06-03
5 SHS BOEING CO P 2011-01-04 2021-03-01
2 SHS BOEING CO P 2013-02-28 2021-03-01
8 SHS BOEING CO P 2016-07-18 2021-03-01
1 SHS BROADCOM INC P 2019-07-09 2021-03-01
5 SHS BROADCOM INC P 2019-09-11 2021-03-01
5 SHS CVS HEALTH CORPORATION P 2013-02-19 2021-03-01
18 SHS CVS HEALTH CORPORATION P 2019-06-12 2021-03-01
30 SHS CVS HEALTH CORPORATION P 2019-08-14 2021-03-01
10 SHS CVS HEALTH CORPORATION P 2019-09-11 2021-03-01
9 SHS CELANESE CORP P 2019-02-15 2021-03-01
5 SHS CHEVRON CORP P 2010-09-28 2021-03-01
5 SHS CHEVRON CORP P 2011-01-04 2021-03-01
1 SHS CHEVRON CORP P 2012-10-25 2021-03-01
10 SHS CHEVRON CORP P 2015-01-29 2021-03-01
7 SHS CHEVRON CORP P 2017-05-25 2021-03-01
18 SHS CITIGROUP INC P 2015-01-29 2021-03-01
9 SHS CITIGROUP INC P 2016-01-05 2021-03-01
10 SHS COGNIZANT TECH SOLUTIONS CRP COM P 2017-12-21 2021-03-01
55 SHS COGNIZANT TECH SOLUTIONS CRP COM P 2019-05-10 2021-03-01
25 SHS CONSTELLATION BRANDS INC P 2015-07-16 2021-03-01
10 SHS CONSTELLATION BRANDS INC P 2015-07-23 2021-03-01
5 SHS CONSTELLATION BRANDS INC P 2017-02-01 2021-03-01
7 SHS WALT DISNEY CO P 2011-01-04 2021-03-01
3 SHS WALT DISNEY CO P 2011-10-19 2021-03-01
2 SHS WALT DISNEY CO P 2013-02-28 2021-03-01
3 SHS WALT DISNEY CO P 2013-11-25 2021-03-01
5 SHS WALT DISNEY CO P 2015-01-29 2021-03-01
5 SHS WALT DISNEY CO P 2016-01-05 2021-03-01
8 SHS WALT DISNEY CO P 2016-07-18 2021-03-01
17 SHS WALT DISNEY CO P 2018-03-21 2021-03-01
38 SHS ELECTRONIC ARTS INC P 2019-01-08 2021-03-01
18 SHS ELECTRONIC ARTS INC P 2019-04-23 2021-03-01
15 SHS FIDELITY NATL INFORMATION SVCS INC P 2019-06-12 2021-03-01
50 SHS ISHARES TIPS BOND ETF P 2018-11-30 2021-06-29
5 SHS ISHARES MSCI EMERGING MARKETS P 2014-08-05 2021-01-27
52 SHS ISHARES MSCI EMERGING MARKETS P 2015-07-23 2021-01-27
5 SHS ISHARES MSCI EMERGING MARKETS P 2013-06-10 2021-01-27
50 SHS ISHARES CORE S&P MIDCAP ETF P 2009-09-21 2021-01-27
45 SHS ISHARES CORE S&P MIDCAP ETF P 2009-09-21 2021-06-29
5 SHS ISHARES CORE S&P MIDCAP ETF P 2011-01-04 2021-06-29
93 SHS ISHARES CORE S&P SMALL-CAP ETF P 2009-09-21 2021-01-27
47 SHS ISHARES CORE S&P SMALL-CAP ETF P 2009-09-21 2021-06-29
3 SHS ISHARES CORE S&P SMALL-CAP ETF P 2009-10-13 2021-06-29
19 SHS JPMORGAN CHASE & CO P 2019-04-23 2021-03-01
8 SHS LAM RESEARCH CORP COM P 2018-12-10 2021-03-01
6 SHS LAM RESEARCH CORP COM P 2019-01-08 2021-03-01
78 SHS MERCK & CO INC NEW P 2019-12-03 2021-03-01
536.42 SHS MERGER FUND-INST #301 P 2014-02-26 2021-03-15
113.34 SHS MERGER FUND-INST #301 P 2015-01-29 2021-03-15
20 SHS MICROSOFT CORP P 2016-07-18 2021-07-22
97 SH MONDELEZ INTERNATIONAL INC P 2018-07-19 2021-03-01
15 SHS NIKE INC CL B P 2017-10-13 2021-03-01
45 SHS NIKE INC CL B P 2017-11-01 2021-03-01
327.99 SHS NUVEEN HIGH YLD MUNI BND-R6 #7000 P 2012-06-04 2021-03-01
719.81 SHS NUVEEN HIGH YLD MUNI BND-R6 #7000 P 2012-07-02 2021-03-01
448.55 SHS NUVEEN HIGH YLD MUNI BND-R6 #7000 P 2012-07-02 2021-06-29
535.31 SHS NUVEEN HIGH YLD MUNI BND R6 #7000 P 2012-08-16 2021-06-29
11 SHS PROCTER & GAMBLE CO P 2011-01-04 2021-03-01
684.25 SHS BOSTON P LNG/SHRT RES-INS 7015 P 2013-08-13 2021-06-03
40.19 SHS BOSTON P LNG/SHRT RES-INS 7015 P 2013-11-25 2021-06-03
33.72 SHS BOSTON P LNG/SHRT RES-INS 7015 P 2016-07-18 2021-06-03
386 SHS BOSTON P LNG/SHRT RES-INS 7015 P 2019-03-12 2021-06-03
43.33 SHS RAYTHEON TECHNOLOGIES CORP P 2019-08-14 2021-03-01
11.67 SHS RAYTHEON TECHNOLOGIES CORP P 2019-09-11 2021-03-01
1107.09 SHS T ROWE PRICE INST FLOAT RATE 170 P 2015-04-02 2021-06-29
100 SHS AMEX TECHNOLOGY SELECT SPDR P 2017-05-25 2021-06-29
9 SHS AMEX UTILITES SPDR P 2013-08-13 2021-06-29
1 SHS AMEX UTILITIES SPDR P 2015-07-23 2021-06-29
67 SHS AMEX UTILITIES SPDR P 2015-07-23 2021-06-29
23 SHS AMEX UTILITIES SPDR P 2017-02-01 2021-06-29
72 SHS SUNCOR ENERGY INC NEW F P 2015-08-05 2021-03-01
17 SHS SUNCOR ENERGY INC P 2017-05-25 2021-03-01
113 SHS SUNCOR ENERGY INC P 2015-08-05 2021-04-13
3 SHS SUNCOR ENERGY INC P 2016-01-05 2021-04-13
2 SHS TARGET CORP P 2010-09-28 2021-07-22
13 SHS TARGET CORP P 2017-05-25 2021-07-22
1 SHS UNITED PARCEL SERVICE-CL B P 2010-09-28 2021-07-22
12 SHS UNITED PARCEL SERVICE-CL B P 2017-02-01 2021-03-01
4 SHS UNITEDHEALTH GROUP INC P 2013-06-10 2021-03-01
7 SHS UNITEDHEALTH GROUP INC P 2013-11-25 2021-03-01
3 SHS UNITEDHEALTH GROUP P 2015-07-23 2021-03-01
150 SHS VANGUARD INTERMEDIATE TERM B P 2012-08-16 2021-03-01
100 SHS VANGUARD INTERMEDIATE TERM B P 2012-09-18 2021-03-01
100 SHS VANGUARD INTERMEDIATE TERM B P 2012-09-18 2021-06-29
80 SHS VANGUARD FTSE DEVELOPED ETF P 2016-01-05 2021-01-27
200 SHS VANGUARD FTSE DEVELOPED ETF P 2016-01-05 2021-06-29
42 SHS VANGUARD GROWTH VIPER P 2018-05-15 2021-01-05
29 SHS VISA INC-CLASS A SHRS P 2015-08-05 2021-03-01
720 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-08-05
4 SHS CHEVRON CORP P 2009-09-21 2021-03-01
5 SHS MSCI EMERGING MARKETS P 2016-01-05 2021-01-27
8 SHS ISHARES MSCI EAFE ETF P 2015-01-29 2021-01-27
50 SHS ISHARES MSCI EAFE ETF P 2015-01-29 2021-06-29
81 SHS AT&T INC P 2020-11-11 2021-04-13
9 SHS ORGANON & CO P 2020-11-11 2021-06-16
.5 SHS ORGANON &CO P 2020-11-11 2021-06-28
90 SHS SPDR GOLD SHARES ETF P 2020-12-01 2021-09-14
141.61 SHS INV OPP DEVELOP MRKTS-R6 7038 P 2013-06-10 2021-11-23
58.27 SHS INV OPP DEVELOP MRKTS-R6 7038 P 2013-11-25 2021-11-23
32 SHS AT&T INC P 2018-07-13 2021-04-13
48 SHS AT&T INC P 2018-11-02 2021-04-13
100 SHS AT&T INC P 2019-08-13 2021-04-13
5 SHS WALT DISNEY CO P 2011-01-04 2021-03-05
3 SHS WALT DISNEY CO P 2013-02-28 2021-03-05
2 SHS WALT DISNEY CO P 2013-11-25 2021-03-05
5 SHS WALT DISNEY CO P 2015-01-29 2021-03-05
5 SHS WALT DISNEY CO P 2016-01-05 2021-03-05
7 SHS WALT DISNEY CO P 2016-07-18 2021-03-05
18 SHS WALT DISNEY CO P 2018-03-21 2021-03-05
5 SHS HOME DEPOT INC P 2010-09-28 2021-12-10
100 SHS ISHARES CORE S&P MIDCAP ETF P 2009-09-21 2021-09-14
5 SHS LAM RESEARCH CORP COM P 2018-12-10 2021-04-13
536.42 SHS MERGER FUND-INST #301 P 2014-07-15 2021-03-15
113.34 SHS MERGER FUND-INST #301 P 2015-01-29 2021-03-15
44.89 PIMCO INTL BND USD HGD-INS 103 P 2014-07-15 2021-03-02
1583.88 PINCO INTL BND USD HGD-INS 103 P 2015-04-02 2021-03-02
15 SHS PNC FINANCIAL SERVICES GROUP P 2015-05-29 2021-09-24
25 SHS PNC FINANCIAL SERVICES GROUP P 2015-05-29 2021-12-10
15 SHS PALO ALTO NETWORKS INC P 2016-07-18 2021-03-05
7 SHS PALO ALTO NETWORKS P 2017-05-25 2021-03-05
825.17 BOSTON P LNG/SHRT RES-INS 7015 P 2013-08-13 2021-06-03
40.19 SHS BOSTON P LNG/SHRT RES-INS 7015 P 2013-11-25 2021-06-03
33.72 SHS BOSTON P LNG/SHRT RES-INS 7015 P 2016-07-18 2021-06-03
386 SHS BOSTON P LNG/SHRT RES-INS 7015 P 2019-03-12 2021-06-03
90 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-01-11
90 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-02-05
90 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-03-03
90 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-04-07
90 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-05-05
90 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-06-04
90 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-07-06
90 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-08-05
90 SHS SPDR GOLD SHARES ETF P 2021-01-01 2021-09-09
185 SHS SUNCOR ENERGY INC NEW F P 2015-08-05 2021-04-13
2 SHS SUNCOR ENERGY INC NEW F P 2016-01-05 2021-04-13
18 SHS SUNCOR ENERGY INC NEW F P 2017-05-25 2021-04-13
1000.63 SHS VANGUARD SHRT-TRM TAX-EX-ADM 541 P 2014-03-18 2021-11-23
1133.72 SHS WF CA LTD-TRM TAX-FREE-INST 3178 P 2013-06-18 2021-03-02
606.06 SHS WF CA LTD-TRM TAX-FREE-INST 3178 P 2014-07-15 2021-03-02
807.05 SHS BLACKROCK INC GL L/S CREDIT-K #1940 P 2018-11-06 2021-06-03
557.40 SHS BLACKROCK GL L P 2019-03-12 2021-06-03
5.233 SHS FIDELITY ADV NEW MKTS INC P 2021-08-31 2021-09-13
5.574 SHS NUVEEN HI YLD MUNI BOND R6 P 2021-08-31 2021-09-13
2.286 SHS T ROWE PRICE INC FLTG RTE INST P 2021-08-31 2021-09-13
15 SHS CHEVRON CORP P 2021-04-13 2021-09-13
220 SHS INTERPUBLIC GROUP OF COS INC P 2020-10-28 2021-09-13
36 SHS MONDELEZ INTL INC COM P 2021-07-22 2021-10-13
1.973 SHS ALPHABET INC CL C P 2014-08-05 2021-11-15
1.027 SHS ALPHABET INC CL C P 2015-01-29 2021-11-15
3 SHS ALPHABET INC CL C P 2015-01-29 2021-12-23
26 SHS APPLE INC P 2013-02-28 2021-10-13
40 SHS APPLE INC P 2013-02-28 2021-11-15
46 SHS APPLE INC P 2013-02-28 2021-12-23
14 SHS APPLE INC P 2016-01-05 2021-12-23
13 SHS CHEVRON CORP P 2009-09-21 2021-09-13
351.124 SHS DODGE & COX INCOME FUND P 2016-06-02 2021-10-13
648 SHS ETRACS ALERIAN IN P 2015-07-23 2021-10-13
115 SHS ETRACS ALERIAN IN P 2016-01-05 2021-10-13
112 SHS ETRACS ALERIAN IN P 2017-05-25 2021-10-13
93 SHS ETRACS ALERIAN IN P 2018-05-15 2021-10-13
132 SHS ETRACS ALERIAN IN P 2019-08-27 2021-10-13
992.85 SHS FIDELITY ADV NEW MKTS INC Z P 2015-04-02 2021-09-13
729.464 SHS FIDELITY ADV NEW MKTS INC Z P 2015-04-16 2021-09-13
20 SHS FIDELITY NATL INFORMATION SE P 2019-06-12 2021-09-13
65 SHS HAIN CELESTIAL GROUP INC P 2020-03-18 2021-09-13
3121.238 SHS INVESCO BAL RISK COMM STRAT R6 P 2020-08-06 2021-09-13
15 SHS ISHARES S&P MIDCAP 400 INDEX P 2011-01-04 2021-11-15
3 SHS ISHARES S&P MIDCAP 400 INDEX P 2013-11-25 2021-11-15
5 SHS ISHAES S&P MIDCAP 400 INDEX P 2017-05-25 2021-11-15
2 SHS ISHARES S&P MIDCAP 400 INDEX P 2018-11-06 2021-11-15
25 SHS ISHARES S&P MIDCAP 400 INDEX P 2018-11-06 2021-12-23
150 SHS ISHARES TIPS BOND ETF P 2018-11-30 2021-09-13
96 SHS LAS VEGAS SANDS CORPORATION P 2020-06-11 2021-09-13
20 SHS MICROSOFT CORP P 2010-09-28 2021-10-13
10 SHS MICROSOFT CORP P 2011-01-04 2021-10-13
6 SHS MICROSOFT CORP P 2011-04-05 2021-10-13
12 SHS MICROSOFT CORP P 2011-04-05 2021-11-15
13 SHS MICROSOFT CORP P 2012-04-19 2021-11-15
2 SHS MICROSOFT CORP P 2021-04-19 2021-12-23
20 SHS MICROSOFT CORP P 2012-10-25 2021-12-23
3 SHS MICROSOFT CORP P 2013-02-28 2021-12-23
13 SHS MONDELEZ INTL INC COM P 2018-07-19 2021-10-13
45 SHS MONDELEZ INTL INC P 2018-08-09 2021-10-13
17 SHS NIKE INC B P 2017-10-13 2021-09-13
463.657 SHS NUVEEN HI YLD MUNI BOND R6 P 2012-08-16 2021-09-13
748.398 SHS NUVEEN HI YLD MUNI BOND R6 P 2012-09-18 2021-09-13
1250.674 SHS NUVEEN HI YLD MUNI BOND R6 P 2014-03-18 2021-09-13
775.794 SHS NUVEEN HI YLD MUNI BOND R6 P 2015-04-02 2021-09-13
323.108 SHS T ROWE PRICE INC FLTG RTE INST P 2015-04-02 2021-09-13
1212.204 SHS T ROWE PRICE INC FLTG RTE INST P 2015-04-16 2021-09-13
50 SHS VANGUARD INTERMEDIATE TERM BND P 2012-09-18 2021-09-13
50 SHS VANGUARD INTERMEDIATE TERM BND P 2013-02-28 2021-09-13
SPDR GOLD TR GOLD SHS P 2021-01-01 2021-12-03
CAPITAL GAINS 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 2,721   2,647 74
b 2,269   2,506 -237
c 1,689   1,615 74
d 8,319   8,649 -330
e 4,097   3,604 493
4,192   3,604 588
4,770   3,604 1,166
3,827   3,772 55
10,680   9,442 1,238
10,962   8,852 2,110
2,260   2,399 -139
4,988   3,153 1,835
376   256 120
930   1,045 -115
1,324   1,436 -112
2,846   3,533 -687
4,396   5,788 -1,392
2,080   1,159 921
9,406   933 8,473
6,889   1,388 5,501
1,913   660 1,253
5,103   1,746 3,357
2,164   1,040 1,124
8,288   8,385 -97
5,724   5,463 261
1,124   336 788
450   155 295
1,798   1,059 739
490   275 215
2,448   1,491 957
347   264 83
1,248   961 287
2,080   1,769 311
693   637 56
1,288   900 388
512   404 108
512   459 53
102   111 -9
1,024   1,044 -20
717   737 -20
1,257   848 409
628   458 170
750   733 17
4,126   3,244 882
5,468   2,944 2,524
2,187   1,182 1,005
1,094   750 344
1,369   269 1,100
587   103 484
391   109 282
587   210 377
978   466 512
978   505 473
1,564   800 764
3,324   1,734 1,590
5,223   3,374 1,849
2,474   1,700 774
2,101   1,816 285
6,389   5,466 923
274   219 55
2,850   1,961 889
370   302 68
11,964   3,480 8,484
12,094   3,132 8,962
1,344   454 890
9,467   2,478 6,989
5,291   1,252 4,039
338   80 258
2,874   2,159 715
4,797   1,099 3,698
3,598   817 2,781
5,681   6,777 -1,096
9,403   8,599 804
1,987   1,763 224
5,718   1,075 4,643
5,241   4,104 1,137
2,076   763 1,313
6,228   2,478 3,750
5,822   5,405 417
12,777   11,876 901
8,316   7,401 915
9,925   8,993 932
1,375   710 665
11,523   9,251 2,272
677   568 109
568   508 60
6,500   5,790 710
3,246   3,372 -126
875   965 -90
10,816   11,248 -432
14,771   5,646 9,125
570   350 220
63   42 21
4,244   2,831 1,413
1,457   1,117 340
1,457   2,020 -563
344   535 -191
2,341   3,171 -830
62   76 -14
513   109 404
3,336   708 2,628
162   99 63
1,945   1,248 697
1,355   256 1,099
2,372   519 1,853
1,016   358 658
13,529   13,278 251
9,019   8,953 66
8,987   8,953 34
3,836   2,888 948
10,354   7,220 3,134
10,551   6,185 4,366
6,303   2,184 4,119
41   42 -1
409   288 121
274   157 117
593   495 98
3,969   3,092 877
2,398   2,328 70
277   347 -70
15   19 -4
15,193   15,279 -86
7,439   4,905 2,534
3,061   2,169 892
948   1,012 -64
1,421   1,467 -46
2,961   3,498 -537
943   192 751
566   163 403
377   140 237
943   466 477
943   505 438
1,320   700 620
3,396   1,836 1,560
2,055   160 1,895
26,774   6,960 19,814
3,206   687 2,519
9,404   8,599 805
1,987   1,763 224
492   489 3
17,359   17,416 -57
2,926   1,437 1,489
5,008   2,394 2,614
4,959   1,865 3,094
2,314   825 1,489
13,896   11,156 2,740
677   568 109
568   508 60
6,500   5,790 710
5   5 0
5   5 0
5   5 0
5   5 0
5   5 0
5   5 0
5   5 0
5   5 0
5   5 0
3,832   5,191 -1,359
41   51 -10
373   566 -193
15,890   15,890 0
11,972   11,972 0
6,400   6,467 -67
8,288   8,385 -97
5,724   5,463 261
78   78 0
103   103 0
22   22 0
1,465   1,533 -68
8,088   3,960 4,128
2,156   2,299 -143
5,895   1,110 4,785
3,069   523 2,546
8,857   1,529 7,328
3,648   412 3,236
6,001   634 5,367
8,107   729 7,378
2,467   360 2,107
1,270   935 335
5,000   4,789 211
10,570   21,213 -10,643
1,876   3,037 -1,161
1,827   3,087 -1,260
1,517   2,149 -632
2,153   2,638 -485
14,744   15,187 -443
10,833   11,403 -570
2,485   2,422 63
2,466   1,625 841
25,095   18,946 6,149
4,352   1,361 2,991
870   392 478
1,451   864 587
580   374 206
6,951   4,681 2,270
19,384   16,398 2,986
4,094   4,789 -695
5,888   494 5,394
2,944   280 2,664
1,766   156 1,610
4,023   312 3,711
4,358   404 3,954
672   62 610
6,717   560 6,157
1,008   84 924
779   550 229
2,696   1,900 796
2,703   865 1,838
8,568   7,789 779
13,830   12,603 1,227
23,112   20,309 2,803
14,337   13,437 900
3,157   3,283 -126
11,843   12,352 -509
4,527   4,477 50
4,527   4,398 129
20     20
5,872     5,872
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       74
b       -237
c       74
d       -330
e       493
      588
      1,166
      55
      1,238
      2,110
      -139
      1,835
      120
      -115
      -112
      -687
      -1,392
      921
      8,473
      5,501
      1,253
      3,357
      1,124
      -97
      261
      788
      295
      739
      215
      957
      83
      287
      311
      56
      388
      108
      53
      -9
      -20
      -20
      409
      170
      17
      882
      2,524
      1,005
      344
      1,100
      484
      282
      377
      512
      473
      764
      1,590
      1,849
      774
      285
      923
      55
      889
      68
      8,484
      8,962
      890
      6,989
      4,039
      258
      715
      3,698
      2,781
      -1,096
      804
      224
      4,643
      1,137
      1,313
      3,750
      417
      901
      915
      932
      665
      2,272
      109
      60
      710
      -126
      -90
      -432
      9,125
      220
      21
      1,413
      340
      -563
      -191
      -830
      -14
      404
      2,628
      63
      697
      1,099
      1,853
      658
      251
      66
      34
      948
      3,134
      4,366
      4,119
      -1
      121
      117
      98
      877
      70
      -70
      -4
      -86
      2,534
      892
      -64
      -46
      -537
      751
      403
      237
      477
      438
      620
      1,560
      1,895
      19,814
      2,519
      805
      224
      3
      -57
      1,489
      2,614
      3,094
      1,489
      2,740
      109
      60
      710
      0
      0
      0
      0
      0
      0
      0
      0
      0
      -1,359
      -10
      -193
      0
      0
      -67
      -97
      261
      0
      0
      0
      -68
      4,128
      -143
      4,785
      2,546
      7,328
      3,236
      5,367
      7,378
      2,107
      335
      211
      -10,643
      -1,161
      -1,260
      -632
      -485
      -443
      -570
      63
      841
      6,149
      2,991
      478
      587
      206
      2,270
      2,986
      -695
      5,394
      2,664
      1,610
      3,711
      3,954
      610
      6,157
      924
      229
      796
      1,838
      779
      1,227
      2,803
      900
      -126
      -509
      50
      129
      20
      5,872
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 2 250,660
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)
Page 4
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 4,212
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 4,212
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,280
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,280
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.......Bullet 9 1,932
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
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)
Page 5
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 addressbulletN/A
14
The books are in care ofbulletGREG S RUMMLER Telephone no.bullet (714) 777-8600

Located atbullet5200 E LA PALMA AVENUEANAHEIMCA ZIP+4bullet92807
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)
 
No
(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
 
 
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)
Page 6
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
KENDRICK G ELLIS PRESIDENT, CEO
1.00 		0 0 0
5200 E LA PALMA AVENUE
ANAHEIM,CA92807
STANLEY J ELLIS VICE PRESIDENT
0.00 		0 0 0
5200 E LA PALMA AVENUE
ANAHEIM,CA92807
GREGORY S ELLIS VICE PRESIDENT
0.00 		0 0 0
5200 E LA PALMA AVENUE
ANAHEIM,CA92807
KENNETH M ELLIS VICE PRESIDENT
0.00 		0 0 0
5200 E LA PALMA AVENUE
ANAHEIM,CA92807
JON S ELLIS SECRETARY
0.00 		0 0 0
5200 E LA PALMA AVENUE
ANAHEIM,CA92807
GREG S RUMMLER TREASURER, CFO
1.00 		0 0 0
5200 E LA PALMA AVENUE
ANAHEIM,CA92807
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)
Page 7
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.............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 N/A 0
2  
All other program-related investments. See instructions.
3 Click to see attachment 0
Total. Add lines 1 through 3.........................bullet0
Form 990-PF (2021)
Page 8
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
2,771,828
b
Average of monthly cash balances.......................
1b
73,571
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
2,845,399
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) .............
1e
0
2
Acquisition indebtedness applicable to line 1 assets..................
2
0
3
Subtract line 2 from line 1d.........................
3
2,845,399
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
42,681
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
2,802,718
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
140,136
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
140,136
2a
Tax on investment income for 2021 from Part V, line 5.......
2a
4,212
b
Income tax for 2021. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
4,212
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
135,924
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
135,924
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
135,924
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
903,814
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
903,814
Form 990-PF (2021)
Page 9
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 7 135,924
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...... 1,011,050
b From 2017...... 1,224,030
c From 2018...... 1,314,628
d From 2019...... 1,163,230
e From 2020...... 805,054
f Total of lines 3a through e ........ 5,517,992
4Qualifying distributions for 2021 from Part
XI, line 4: bullet$ 903,814
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..... 135,924
e Remaining amount distributed out of corpus 767,890
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 6,285,882
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) ... 		1,011,050
9 Excess distributions carryover to 2022.
Subtract lines 7 and 8 from line 6a ...... 		5,274,832
10 Analysis of line 9:
a Excess from 2017.... 1,224,030
b Excess from 2018.... 1,314,628
c Excess from 2019.... 1,163,230
d Excess from 2020.... 805,054
e Excess from 2021.... 767,890
Form 990-PF (2021)
Page 10
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:
KENDRICK G ELLIS
5200 E LA PALMA AVENUE
ANAHEIM,CA92807
(714) 777-8600
bThe form in which applications should be submitted and information and materials they should include:
SEE STATEMENT 12
cAny submission deadlines:
SEE STATEMENT 12
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SEE STATEMENT 12
Form 990-PF (2021)
Page 11
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

CAPITAL CITY CHURCH

7400 FULLERTON ROAD SUITE 200
SPRINGFIELD,VA22153 		NONE N/A CHRISTIAN CHURCH LEADING PEOPLE TO RELATIONSHIPS WITH GOD 12,000

ENLACE - EL SALVADOR

5405 ALTON PKWY SUITE 5A 458
IRVINE,CA92604 		NONE N/A TO HELP FUND CONSTRUCTON OF WATER WELLS IN FOREIGN COUNTRIES 132,000

ENLACE - NEPAL

5405 ALTON PKWY SUITE 5A 458
IRVINE,CA92604 		NONE N/A TO HELP FUND CONSTRUCTON OF WATER WELLS IN FOREIGN COUNTRIES 60,000

NEWHOPE COMMUNITY CHURCH

PO BOX 82272 HIGHLAND PARK
MANAKAU    
NZ 		NONE N/A SUPPORT CHRISTIAN MINISTRY IN NEW ZEALAND 38,500

SAVE THE WORLD FOUNDATION

48 KINGFISHER ROAD
JOHANNESBURG    
SF 		NONE N/A AIDING OUR PLANET IN MINIMIZING THE DANGER OF NATURAL DISASTER 180,000

SIDE BY SIDE CHURCH

5023 E SILVERLEAF AVE
ORANGE,CA92869 		NONE N/A TO ESTABLISH AND MAINTAIN A CHURCH, TO LICENSE AND ORDAIN MINISTERS OF THE GOSPEL AND TO SUPPORT MISSIONARIES OF THEIR ACTIVITIES 120,000

TEEN CHALLENGE - ROMANIA

5445 CHICAGO AVE
RIVERSIDE,CA92507 		NONE N/A SUPPORT AFTER-SCHOOL LEARNING CENTERS 95,040

TEEN CHALLENGE - SLOVANIA

5445 CHICAGO AVE
RIVERSIDE,CA92507 		NONE N/A SUPPORT AFTER-SCHOOL LEARNING CENTERS 120,000

TEEN CHALLENGE - SO CALIFORNIA

5445 CHICAGO AVE
RIVERSIDE,CA92507 		NONE N/A SUPPORT AFTER-SCHOOL LEARNING CENTERS 136,800

YOUNG LIFE MINISTRY

PO BOX 520
COLORADO SPRINGS,CA80901 		NONE N/A INTRODUCE ADOLESCENTS TO JESUS CHRIST 5,000
Total ................................. bullet3a 899,340
bApproved for future payment
Total .................................bullet 3b 0
Form 990-PF (2021)
Page 12
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         84,307
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ........... 		        2,671
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 ............ 		        250,660
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 0 345,104
13Total. Add line 12, columns (b), (d), and (e)..................
13
345,104
(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.)
1 N/A
Form 990-PF (2021)
Page 13
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 2022-05-11 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 nameLARRY M KANE CPA Preparer's Signature   Date   PTIN P00284803
Firm's name SmallBulletGELMAN LLP
  		Firm's EIN SmallBullet47-2310177  
Firm's address SmallBullet1 PARK PLAZA STE 950
 
IRVINE, CA92614
 Phone no. (714) 667-2600
Form 990-PF (2021)
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