efile Public Visual Render
ObjectId: 202322989349100317 - Submission: 2023-10-25
TIN: 63-0516927
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
22
Open to Public Inspection
For calendar year 2022, or tax year beginning
07-01-2022
, and ending
06-30-2023
Name of foundation
HILL CREST FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 530507
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MOUNTAIN BROOK
,
AL
35253
A Employer identification number
63-0516927
B
Telephone number (see instructions)
(205) 870-0400
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)
$
64,888,894
J
Accounting method:
Cash
Accrual
Other (specify)
SEE STATEMENT
(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)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
1,713,089
1,713,089
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
700,902
b
Gross sales price for all assets on line 6a
902,786
7
Capital gain net income (from Part IV, line 2)
...
700,902
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
2,413,991
2,413,991
13
Compensation of officers, directors, trustees, etc.
60,000
30,000
30,000
14
Other employee salaries and wages
......
64,150
32,075
32,075
15
Pension plans, employee benefits
.......
9,239
4,619
4,620
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
List of Attached Documents:
// Content
14,465
7,232
7,233
c
Other professional fees (attach schedule)
....
List of Attached Documents:
// Content
299,090
299,090
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
List of Attached Documents:
// Content
22,927
22,927
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
1,735
867
868
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
List of Attached Documents:
// Content
27,860
21,429
6,431
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
499,466
418,239
81,227
25
Contributions, gifts, grants paid
.......
3,085,200
3,085,200
26
Total expenses and disbursements.
Add lines 24 and 25
3,584,666
418,239
3,166,427
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-1,170,675
b
Net investment income
(if negative, enter -0-)
1,995,752
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2022)
Page 2
Form 990-PF (2022)
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
.........
143,189
204,552
204,552
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
1,160,149
List of Attached Documents:
// Content
129,995
129,995
b
Investments—corporate stock (attach schedule)
.......
60,860,508
List of Attached Documents:
// Content
64,554,347
64,554,347
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
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)
62,163,846
64,888,894
64,888,894
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
62,163,846
64,888,894
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
........
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)
.....
62,163,846
64,888,894
30
Total liabilities and net assets/fund balances
(see instructions)
.
62,163,846
64,888,894
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
62,163,846
2
Enter amount from Part I, line 27a
.....................
2
-1,170,675
3
Other increases not included in line 2 (itemize)
List of Attached Documents:
// Content
3
3,895,723
4
Add lines 1, 2, and 3
..........................
4
64,888,894
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
64,888,894
Form
990-PF
(2022)
Page 3
Form 990-PF (2022)
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
DEERE & CO COM
P
2023-03-09
b
WEYERHAEUSER CO COM
P
2023-05-31
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
632,057
7,080
624,977
b
270,729
194,804
75,925
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
624,977
b
75,925
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
700,902
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
(2022)
Page 4
Form 990-PF (2022)
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)
1
27,741
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
27,741
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
27,741
6
Credits/Payments:
a
2022 estimated tax payments and 2021 overpayment credited to 2022
6a
31,186
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
31,186
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2221 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
3,445
11
Enter the amount of line 10 to be:
Credited to 2023 estimated tax
3,445
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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:
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)
AL
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 2022 or the taxable year beginning in 2022? 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
(2022)
Page 5
Form 990-PF (2022)
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
CHARLES TERRY JR
Telephone no.
(205) 870-0400
Located at
PO BOX 530507
MOUNTAIN BROOK
AL
ZIP+4
35253
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 2022, 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 2022?
.............
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 2022, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2022?
....................
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 2022 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 2022.)
.....................
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 2022?
..
4b
No
Form
990-PF
(2022)
Page 6
Form 990-PF (2022)
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
CHARLES R TERRY JR
TRUSTEE/CHAIRMAN
20.00
60,000
0
0
PO BOX 530507
BIRMINGHAM
,
AL
35253
DOUGLAS D EDDLEMAN
TRUSTEE
1.00
0
0
0
2700 HIGHWAY 280 SUITE 425
BIRMINGHAM
,
AL
35223
MARVIN B CLEAGE
TRUSTEE
1.00
0
0
0
PO BOX 131396
BIRMINGHAM
,
AL
35213
ELIZABETH H BAKER
TRUSTEE
1.00
0
0
0
3005 CANTERBURY LANE
BIRMINGHAM
,
AL
35223
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
(2022)
Page 7
Form 990-PF (2022)
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
BIRMINGHAM CAPITAL MANAGEMENT COMPANY INC
INVESTMENT SERVICES
299,090
2 PERIMETER PARK SOUTH
BIRMINGHAM
,
AL
35243
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
HILL CREST FOUNDATION DOES NOT ACTIVELY CONDUCT ITS OWN CHARITABLE ACTIVITIES. ITS SOLE FUNCTION IS TO PROVIDE GRANTS TO OTHER CHARITABLE ORGANIZATIONS.
0
2
3
4
Part VIII-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2022)
Page 8
Form 990-PF (2022)
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
64,396,942
b
Average of monthly cash balances
.......................
1b
123,241
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
64,520,183
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
64,520,183
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions)
.............................
4
967,803
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3.
............
5
63,552,380
6
Minimum investment return.
Enter 5% (0.05) of line 5
................
6
3,177,619
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
3,177,619
2a
Tax on investment income for 2022 from Part V, line 5
.......
2a
27,741
b
Income tax for 2022. (This does not include the tax from Part V.)
...
2b
c
Add lines 2a and 2b
............................
2c
27,741
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
3,149,878
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
3,149,878
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
3,149,878
Part XI
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
3,166,427
b
Program-related investments—total from Part VIII-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part XII, line 4.
.......
4
3,166,427
Form
990-PF
(2022)
Page 9
Form 990-PF (2022)
Page
9
Part XII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2021
(c)
2021
(d)
2022
1
Distributable amount for 2022 from Part X, line 7
3,149,878
2
Undistributed income, if any, as of the end of 2022:
a
Enter amount for 2021 only
.......
3,066,460
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2022:
a
From 2017
......
b
From 2018
......
c
From 2019
......
d
From 2020
......
e
From 2021
......
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2022 from Part
XI, line 4:
$
3,166,427
a
Applied to 2021, but not more than line 2a
3,066,460
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 2022 distributable amount
.....
99,967
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2022.
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
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2021. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2022. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2023
..........
3,049,911
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 2017 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2023.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2018
....
b
Excess from 2019
....
c
Excess from 2020
....
d
Excess from 2021
....
e
Excess from 2022
....
Form
990-PF
(2022)
Page 10
Form 990-PF (2022)
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 2022, 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)
2022
(b)
2021
(c)
2020
(d)
2019
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:
CHARLES R TERRY JR
PO BOX 530507
MOUNTAIN BROOK
,
AL
35253
(205) 870-0400
b
The form in which applications should be submitted and information and materials they should include:
APPLICATIONS SHOULD BE IN WRITTEN FORM AND INCLUDE INFORMATION REGARDING THE PURPOSE OF THE APPLICATION AND THE ENTITY MAKING THE APPLICATION.
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
ALL GRANTS ARE MADE ONLY TO TAX-EXEMPT ORGANIZATIONS. MOST BENEFICIARIES HAVE PROGRAMS WITHIN THE STATE OF ALABAMA.
Form
990-PF
(2022)
Page 11
Form 990-PF (2022)
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
ALABAMA HOLOCAUST EDUCATION CENTER
2100 HIGHLAND AVE SUITE 101
BIRMINGHAM
,
AL
35205
NONE
PC
SUPPORT
30,000
ALABAMA BALLET
2726 1ST AVENUE SOUTH
BIRMINGHAM
,
AL
35233
NONE
PC
SUPPORT
15,000
ALABAMA GIVING
PO BOX 530727
BIRMINGHAM
,
AL
352530727
NONE
PC
SUPPORT
800
ALABAMA HEAD INJURY FOUNDATION
500 CHASE PARK SOUTH STE 130
HOOVER
,
AL
35244
NONE
PC
SUPPORT
40,000
ALABAMA INSTITUTE FOR DEAF AND BLIND FOUNDATION
PO BOX 698
TALLADEGA
,
AL
35161
NONE
PC
SUPPORT
25,000
ALABAMA SCHOOL OF MATH AND SCIENCE FOUNDATION
1255 DAUPHIN STREET
MOBILE
,
AL
36604
NONE
PC
SUPPORT
25,000
ALABAMA SHAKESPEARE FESTIVAL
1 FESTIVAL DRIVE
MONTGOMERY
,
AL
36117
NONE
PC
SUPPORT
25,000
ALABAMA SYMPHONY ORCHESTRA
3621 6TH AVE S
BIRMINGHAM
,
AL
35222
NONE
PC
SUPPORT
50,000
ALBERT SCHWEITZER FELLOWSHIP OF ALABAMA
PO BOX 660412
BIRMINGHAM
,
AL
35266
NONE
PC
SUPPORT
20,000
ALTAMONT SCHOOL
4801 ALTAMONT RD S
BIRMINGHAM
,
AL
35222
NONE
PC
SUPPORT
500
ALZHEIMER'S ASSOCIATION
1 METROPLEX DRIVE SUITE 230
BIRMINGHAM
,
AL
35209
NONE
PC
SUPPORT
20,000
ALZHEIMER'S OF CENTRAL ALABAMA
PO BOX 2273
BIRMINGHAM
,
AL
35201
NONE
PC
SUPPORT
10,000
AMERICAN CANCER SOCIETY
250 WILLIAMS ST NW
ATLANTA
,
GA
30303
NONE
PC
SUPPORT
50,000
ATEAM MINISTRIES
1809 OXMOOR ROAD
HOMEWOOD
,
AL
35209
NONE
PC
SUPPORT
5,000
AUBURN UNIVERSITY
317 SOUTH COLLEGE STREET
AUBURN
,
AL
36849
NONE
PC
SUPPORT
100,000
BANKS ACADEMY
700 HUFFMAN ROAD
BIRMINGHAM
,
AL
35215
NONE
PC
SUPPORT
25,000
BETTER BASICS
1231 2ND AVENUE SOUTH
BIRMINGHAM
,
AL
35233
NONE
PC
SUPPORT
20,000
BIG OAK RANCH
250 JAKE MINTZ ROAD
GADSDEN
,
AL
35905
NONE
PC
SUPPORT
400,000
BIRMINGHAM BOTANICAL GARDENS
2612 LANE PARK RD
BIRMINGHAM
,
AL
35223
NONE
PC
SUPPORT
15,000
BREAKTHROUGH BIRMINGHAM
1914 4TH AVE N SUITE 330
BIRMINGHAM
,
AL
35203
NONE
PC
SUPPORT
5,000
BREAST CANCER RESEARCH FOUNDATION
1802 6TH AVENUE SOUTH SUITE NP 2519
BIRMINGHAM
,
AL
352940112
NONE
PC
SUPPORT
15,000
BROTHER BRYAN MISSION
1616 2ND AVE N
BIRMINGHAM
,
AL
35203
NONE
PC
SUPPORT
20,000
CAHABA RIVER SOCIETY
2717 7TH AVE STE 205
BIRMINGHAM
,
AL
35233
NONE
PC
SUPPORT
7,000
CAHABA RIVERKEEPER
4650 OLD LOONEY MILL ROAD
BIRMINGHAM
,
AL
35243
NONE
PC
SUPPORT
6,000
CAHABA VALLEY HEALTH CARE
1515 6TH AVE S
BIRMINGHAM
,
AL
35233
NONE
PC
SUPPORT
15,000
CAMP BRIDGES FOUNDATION
1600 7TH AVENUE SOUTH ACC 516
BIRMINGHAM
,
AL
35233
NONE
PC
SUPPORT
25,000
CAMP SMILE-A-MILE
1600 2ND AVENUE SOUTH
BIRMINGHAM
,
AL
35233
NONE
PC
SUPPORT
20,400
CANCER WELLNESS FOUNDATION OF CENTRAL ALABAMA
4260 CARMICHAEL CT N
MONTGOMERY
,
AL
36106
NONE
PC
SUPPORT
5,000
CENTER FOR EXECUTIVE LEADERSHIP
200 UNION HILL DR STE 200
BIRMINGHAM
,
AL
35209
NONE
PC
SUPPORT
40,000
CHILDRENS HARBOR INC
1 OUR CHILDRENS HWY
ALEXANDER CITY
,
AL
35010
NONE
PC
SUPPORT
50,000
CHRIST HEALTH CENTER
5720 1ST AVE S
BIRMINGHAM
,
AL
35212
NONE
PC
SUPPORT
50,000
COLLAT JEWISH FAMILY SERVICES
3940 MONTCLAIR ROAD SUITE 205
BIRMINGHAM
,
AL
35213
NONE
PC
SUPPORT
20,000
COLLEGE CHOICE FOUNDATION
1919 OXMOOR ROAD 324
HOMEWOOD
,
AL
35209
NONE
PC
SUPPORT
7,000
COMMUNITY GRIEF SUPPORT
1119 OXMOOR ROAD
BIRMINGHAM
,
AL
35209
NONE
PC
SUPPORT
40,000
CORNERSTONE SCHOOLS OF ALABAMA
118 55TH ST N
BIRMINGHAM
,
AL
35212
NONE
PC
SUPPORT
50,000
CROHNS AND COLITIS FOUNDATION OF AMERICA
PO BOX 59486
BIRMINGHAM
,
AL
35259
NONE
PC
SUPPORT
15,000
EAST LAKE INITIATIVE
6523 1ST AVE NORTH
BIRMINGHAM
,
AL
35206
NONE
PC
SUPPORT
10,000
FAMILY COUNSELING SERVICE OF WEST AL
2020 PAUL W BRYANT DRIVE
TUSCALOOSA
,
AL
35401
NONE
PC
SUPPORT
15,000
FELLOWSHIP OF CHRISTIAN ATHLETES
PO BOX 59267
BIRMINGHAM
,
AL
35259
NONE
PC
SUPPORT
30,000
FIVE HORIZONS HEALTH SERVICES
2720 6TH STREET
TUSCALOOSA
,
AL
35401
NONE
PC
SUPPORT
20,000
FULL LIFE AHEAD FOUNDATION
2908 CLAIRMONT AVE
BIRMINGHAM
,
AL
35205
NONE
PC
SUPPORT
35,000
GIRLS INC OF CENTRAL ALABAMA
5201 8TH AVE SOUTH
BIRMINGHAM
,
AL
35212
NONE
PC
SUPPORT
15,000
GREATER BIRMINGHAM HABITAT FOR HUMANITY
4408 LLOYD NOLAND PARKWAY
FAIRFIELD
,
AL
35064
NONE
PC
SUPPORT
50,000
HEART GALLERY ALABAMA
3100 INDEPENDENCE DR STE 200
BIRMINGHAM
,
AL
35209
NONE
PC
SUPPORT
7,000
I3 ACADEMY
1 55TH PLACE SOUTH
BIRMINGHAM
,
AL
35212
NONE
PC
SUPPORT
25,000
JEFFERSON STATE COMMUNITY COLLEGE
4600 VALLEYDALE RD
BIRMINGHAM
,
AL
35242
NONE
PC
SUPPORT
50,000
JONES VALLEY TEACHING FARM
701 25TH ST N
BIRMINGHAM
,
AL
35203
NONE
PC
SUPPORT
30,000
KING'S HOME
PO BOX 162
CHELSEA
,
AL
35043
NONE
PC
SUPPORT
25,000
LAKESHORE FOUNDATION
4000 RIDGEWAY DRIVE
BIRMINGHAM
,
AL
35209
NONE
PC
SUPPORT
40,000
LEADERSHIP BIRMINGHAM
600 18TH ST N
BIRMINGHAM
,
AL
35203
NONE
PC
SUPPORT
5,000
LEVITE JEWISH COMMUNITY CENTER
3960 MONTCLAIR RD
BIRMINGHAM
,
AL
35213
NONE
PC
SUPPORT
20,000
LIFELINE CHILDREN'S SERVICES
200 MISSIONARY RIDGE
BIRMINGHAM
,
AL
35242
NONE
PC
SUPPORT
25,000
MAGIC MOMENTS
2112 11TH AVENUE SOUTH STE 219
BIRMINGHAM
,
AL
35205
NONE
PC
SUPPORT
20,000
MASON MUSIC FOUNDATION
3187 CAHABA HEIGHTS RD
BIRMINGHAM
,
AL
35243
NONE
PC
SUPPORT
8,000
NEIGHBORHOOD HOUSING SERVICES OF BIRMINGHAM
601 19TH ST N 103
BIRMINGHAM
,
AL
35203
NONE
PC
SUPPORT
12,500
OASIS COUNSELING FOR WOMEN AND CHILDREN
1900 14TH AVENUE SOUTH
BIRMINGHAM
,
AL
35205
NONE
PC
SUPPORT
75,000
PASTORAL COUNSELING AND TRAINING CENTER INC
400 OFFICE PARK DRIVE SUITE 130
BIRMINGHAM
,
AL
35223
NONE
PC
SUPPORT
50,000
PATHWAYS INC
409 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM
,
AL
35203
NONE
PC
SUPPORT
15,000
PRESCHOOL PARTNERS
4447 MONTEVALLO ROAD
BIRMINGHAM
,
AL
35213
NONE
PC
SUPPORT
30,000
PRESCOTT HOUSE CHILD ADVOCACY CENTER
1730 14TH AVENUE SOUTH
BIRMINGHAM
,
AL
35205
NONE
PC
SUPPORT
25,000
RALEIGH'S PLACE
346 COUNTY ROAD 1028
CLANTON
,
AL
35046
NONE
PC
SUPPORT
5,000
RED BARN
2722 BAILEY ROAD
LEEDS
,
AL
35094
NONE
PC
SUPPORT
50,000
RED MOUNTAIN THEATRE COMPANY
1600 3RD AVE S
BIRMINGHAM
,
AL
35233
NONE
PC
SUPPORT
15,000
RESTORATION ACADEMY
4600 CARNEGIE AVE
FAIRFIELD
,
AL
35064
NONE
PC
SUPPORT
75,000
REV BIRMINGHAM
5529 1ST AVE S
BIRMINGHAM
,
AL
35212
NONE
PC
SUPPORT
10,000
RONALD MCDONALD HOUSE
1700 4TH AVENUE SOUTH
BIRMINGHAM
,
AL
35233
NONE
PC
SUPPORT
50,000
SAMFORDCOLLEGE OF HEALTH SCIENCES
800 LAKESHORE DR
BIRMINGHAM
,
AL
35229
NONE
PC
SUPPORT
50,000
SECOND SHIFT
2969 PELHAM PARKWAY SUITE H
PELHAM
,
AL
35124
NONE
PC
SUPPORT
5,000
SIGHT SAVERS AMERICA
337 BUSINESS CIRCLE
PELHAM
,
AL
35124
NONE
PC
SUPPORT
20,000
SOCIETY OF ST ANDREW
412 CUMBERLAND DRIVE
BIRMINGHAM
,
AL
35206
NONE
PC
SUPPORT
6,000
SOUTHEASTERN DIABETES ED SERVICES-CAMP SEALE HARRIS
500 CHASE PARK S STE 104
BIRMINGHAM
,
AL
35244
NONE
PC
SUPPORT
15,000
SPACE ONE ELEVEN ARTS CENTER
2409 2ND AVE N
BIRMINGHAM
,
AL
35203
NONE
PC
SUPPORT
5,000
SPRING VALLEY SCHOOL
2701 SYDNEY DRIVE
BIRMINGHAM
,
AL
35211
NONE
PC
SUPPORT
20,000
STAIR OF BIRMINGHAM
3703 5TH AVENUE SOUTH SUITE 400
BIRMINGHAM
,
AL
35222
NONE
PC
SUPPORT
20,000
STEPS MINISTRY
1401 CHARLSETON COURT
BIRMINGHAM
,
AL
35216
NONE
PC
SUPPORT
20,000
THE EXCEPTIONAL FOUNDATION
1616 OXMOOR ROAD
BIRMINGHAM
,
AL
35209
NONE
PC
SUPPORT
150,000
THE LOVELADY CENTER
7916 2ND AVENUE SOUTH
BIRMINGHAM
,
AL
35206
NONE
PC
SUPPORT
50,000
THE WELL HOUSE
PO BOX 868
ODENVILLE
,
AL
35120
NONE
PC
SUPPORT
25,000
UAB DEPRESSION AND SUICIDE CENTER
1720 7TH AVENUE SOUTH
BIRMINGHAM
,
AL
35233
NONE
PC
SUPPORT
200,000
UNITED ABILITY
100 OSLO CIRCLE
BIRMINGHAM
,
AL
35211
NONE
PC
SUPPORT
75,000
UNIVERSITY OF ALABAMA
PO BOX 870101
TUSCALOOSA
,
AL
35487
NONE
PC
SUPPORT
50,000
UNIVERSITY OF ALABAMA AT BIRMINGHAM SCHOOL OF NURSING
AB 1230 1720 2ND AVENUE SOUTH
BIRMINGHAM
,
AL
352940112
NONE
PC
SUPPORT
50,000
UNIVERSITY OF ALABAMA HUNTSVILLE
301 SPARKMAN DR
HUNTSVILLE
,
AL
35899
NONE
PC
SUPPORT
50,000
UNIVERSITY OF MONTEVALLO
75 COLLEGE DR
MONTEVALLO
,
AL
35115
NONE
PC
SUPPORT
30,000
UROLOGY HEALTH FOUNDATION
3485 INDEPENDENCE DR
HOMEWOOD
,
AL
35209
NONE
PC
SUPPORT
20,000
VAX 2 STOP CANCER
PO BOX 530044
BIRMINGHAM
,
AL
35253
NONE
PC
SUPPORT
5,000
VULCAN PARK AND MUSEUM
1701 VALLEYVIEW DRIVE
BIRMINGHAM
,
AL
35209
NONE
PC
SUPPORT
10,000
WILL BRIGHT FOUNDATION
204 MAIN STREET SUITE 101
TRUSSVILLE
,
AL
35173
NONE
PC
SUPPORT
40,000
WORKFAITH BIRMINGHAM
1449 MEDICAL PARK DR
BIRMINGHAM
,
AL
35213
NONE
PC
SUPPORT
15,000
WORKSHOPS EMPOWERMENT INC
4244 3RD AVE SOUTH
BIRMINGHAM
,
AL
35222
NONE
PC
SUPPORT
20,000
YOUTHSERVE INC
PO BOX 530334
BIRMINGHAM
,
AL
35253
NONE
PC
SUPPORT
25,000
Total
.................................
3a
3,085,200
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2022)
Page 12
Form 990-PF (2022)
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
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
1,713,089
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
700,902
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
2,413,991
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
2,413,991
(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
(2022)
Page 13
Form 990-PF (2022)
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.
2023-10-25
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
JESSICA WOODS
Preparer's Signature
Date
2023-10-25
Check if self-
employed
PTIN
P02351080
Firm's name
HALEY & WOODS LLP
Firm's EIN
84-4049075
Firm's address
4220 CAHABA HEIGHTS COURT SUITE 201
BIRMINGHAM
,
AL
35243
Phone no.
(205) 277-1529
Form
990-PF
(2022)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description