2022-03-28T16:28:36-05:00 2021-06-30 470526649 DANA F COLE & COMPANY LLP 1650 W FOURTH PO BOX 426 COLBY KS 677010426 990PF 2020-07-01 481201942 THE PETE HENRY FOUNDATION PETE 7854626553 PO BOX 504 COLBY KS 67701 WILLIAM A DOWELL SECRETARY 7854626553 2022-03-28 1 WILLIAM DOWELL 999009999 JERRY ARENSDORF P01367442 7854623919 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X 10204668 X X 150234 150234 104445 104445 88793 225881 563312 225881 480560 480560 20000 5000 15000 7408 1852 5556 18144 15252 0 366 366 6710 1977 4732 52628 24447 25288 398633 398633 451261 24447 423921 29299 456113 21708 55255 55257 55882 107434 107434 18676 18676 31776 244009 244009 286161 827550 827550 827550 2645000 2379 2059 737 5002192 4947078 7076580 3659 1936 2089 1723 1723 6174485 6203784 10204668 0 0 X 6174485 6174485 0 0 0 29299 6174485 6203784 6174485 6203784 6174485 29299 0 6203784 0 6203784 VARIOUS MARKETABLE SECURITIES P 2021-06-30 2021-06-30 393445 337431 56014 56014 CAPITAL GAINS DIVIDENDS P 169867 169867 169867 225881 6340 0 6340 0 6340 4280 0 0 0 4280 0 2060 0 0 0 0 0 0 0 0 0 0 0 1 CO 1 0 0 0 0 1 WWW.PETEHENRYFOUNDATION.COM BILL DOWELL 7854433260 4 COTTONWOOD DRIVE COLBY KS 67701 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DARRELL PABST 2308 K 25 COLBY KS 67701 DIRECTOR 5.00 5000 0 0 RICHARD EPARD 1380 COUNTY ROAD 21 COLBY KS 67701 DIRECTOR 5.00 5000 0 0 WAYNE L CARPENTER 2257 COUNTY ROAD 2 BREWSTER KS 67732 PRESIDENT, DIRECTOR 5.00 5000 0 0 WILLIAM DOWELL 4 COTTONDWOOD DRIVE COLBY KS 67701 SECRETARY/TREASURER,DIRECTOR 5.00 5000 0 0 NONE 0 NONE 0 0 6710038 117737 2646000 9473775 0 0 9473775 142107 9331668 466583 466583 6340 6340 460243 0 460243 0 460243 423921 0 423921 0 423921 460243 387959 0 0 423921 387959 0 0 35962 0 0 0 0 0 0 0 0 424281 0 0 0 THE PETE HENRY FOUNDATION PO BOX 504 COLBY KS 67701 7854626553 HTTPS://WWW.SIGNNOW.COM/FILL-AND-SIGN-PDF-FORM/10406-PETE-HENRY-SCHOLARSHIP MARCH 1 SCHOLARSHIPS WILL BE LIMITED TO INDIVIDUALS WHO LIVE IN THE KANSAS COUNTIES OF WALLACE, LOGAN, GOVE, DECATUR, SHERIDAN, THOMAS, SHERMAN, CHEYENNE, AND RAWLINS. CHEYLIN PLAYGROUND IMPROVEMENT PROJECT P O BOX 28 BIRD CITY KS 67731 PLAYGROUND EQUIPMENT 4000 COLBY COMMUNITY COLLEGE ENDOWMENT ASSN 1255 S RANGE COLBY KS 67701 MEMORIAL FOR KENTON KREHBIEL 500 DSNWK P O BOX 310 HAYS KS 67601 RENOVATION PROJECT IN HOXIE 4000 HEARTLAND RURAL COUNSELING SERVICES 485 W 4TH ST COLBY KS 67701 NEEDS OF THE SERVICE 4000 HIGH PLAINS PUBLIC RADIO 210 N 7TH ST GARDEN CITY KS 67846 NEEDS FOR REGIONAL PROGRAMMING 4000 LITTLE PAWS DAYCARE USD 316 207 6TH ST SELDEN KS 67757 NEEDS OF THE ENTER 15500 PIONEER MEMORIAL LIBRARY 375 W 4TH ST COLBY KS 67701 EARLY LITERACY PROGRAM 1483 SMOKEY HILLS PUBLIC TELEVISION P O BOX 9 BUNKER HILL KS 67626 CHILDREN'S EDUCATION TELEVISION 4000 WESTERN KANSAS CHILD ADVOCACY CENTER 212 E 5TH ST SCOTT CITY KS 67871 NEEDS OF THE CENTER 10000 BAKER UNIVERSITY 618 8TH ST BALDWIN CITY KS 66006 SCHOLARSHIPS 2800 BARTON COUNTY COMMUNITY COLLEGE 245 NE 30 RD GREAT BEND KS 67530 SCHOLARSHIPS 2600 BELLUS ACADEMY 1130 WESTLOOP P MANHATTAN KS 66502 SCHOLARSHIPS 2500 BENEDICTINE COLLEGE 1020 N 2ND STREET ATCHISON KS 66002 SCHOLARSHIPS 4250 BLINN COLLEGE 902 COLLEGE AVE BRENHAM TX 77833 SCHOLARSHIPS 1000 BUTLER COMMUNITY COLLEGE 901 S HAVERHILL RD ELDORADO KS 67042 SCHOLARSHIPS 1500 CLOUD COUNTY COMMUNITY COLLEGE 2221 CAMPUS DR CONCORADIA KS 66901 SCHOLARSHIPS 1050 COLBY COMMUNITY COLLEGE 1255 S RANGE COLBY KS 67701 SCHOLARSHIPS 53950 CREIGHTON UNIVERSITY 2500 CALIFORNIA PLAZA OMAHA NE 68178 SCHOLARSHIPS 3500 GARDEN CITY COMMUNITY COLLEGE 801 CAMPUS DR GARDEN CITY KS 67846 SCHOLARSHIPS 2100 FORT HAYS STATE UNIVERSITY 600 PARK HAYS KS 67601 SCHOLARSHIPS 71500 HEARTLAND HELICOPTERS 13106 RHODUS RD ELCELSIOR SPRINGS MO 64024 SCHOLARSHIPS 1000 HUTCHINSON COMMUNITY COLLEGE 1300 N PLUM ST HUTCHINSON KS 67501 SCHOLARSHIPS 3500 KANSAS STATE POLYTECHNIC-SALINA 2310 CENTENNIAL RD SALINA KS 67401 SCHOLARSHIPS 2750 KANSAS STATE UNIVERSITY 104 FAIRCHILD HALL MANHATTAN KS 66506 SCHOLARSHIPS 60250 KANSAS WESLEYAN UNIVERSITY 100 E CLAFLIN AVE SALINA KS 67401 SCHOLARSHIPS 2800 LARAMIE COMMUNITY COLLEGE 1400 E COLLEGE DR CHEYENNE WY 82007 SCHOLARSHIPS 2000 LINN-BENTON COMMUNITY COLLEGE 6500 PACIFIC BLVD SW ALBANY OR 97321 SCHOLARSHIPS 2100 MANHATTAN AREA TECHNICAL COLLEGE 3136 DICKENS AVE MANHATTAN KS 66503 SCHOLARSHIPS 2500 MANHATTAN CHRISTIAN COLLEGE 1415 ANDERSON AVE MANHATTAN KS 66502 SCHOLARSHIPS 2100 MCPHERSON COLLEGE 1600 E EUCLID ST MCPHERSON KS 67460 SCHOLARSHIPS 2800 MID-PLAINS COMMUNITY COLLEGE 601 W STATE FARM RD NORTH PLATTE NE 69101 SCHOLARSHIPS 2100 NEBRASKA COLLEGE OF TECHNICAL AGRICULTURE 404 E 7TH ST CURTIS CURTIS NE 69025 SCHOLARSHIPS 2000 NEOSHO COUNTY COMMUNITY COLLEGE 800 W 14TH ST CHANUTE KS 66720 SCHOLARSHIPS 1000 NORTH CENTRAL KS TECHNICAL COLLEGE PO BOX 507 BELOIT KS 67420 SCHOLARSHIPS 14000 NORTHWEST KANSAS TECHNICAL COLLEGE PO BOX 668 GOODLAND KS 67735 SCHOLARSHIPS 29750 OKLAHOMA STATE UNIVERSITY 900 N PORTLAND AVE OLAHOMA CITY OK 73107 SCHOLARSHIPS 4000 PRATT COMMUNITY COLLEGE 348 KS-61 PRATT KS 67124 SCHOLARSHIPS 1400 SALINA AREA TECHNICAL COLLEGE 2562 CENTENNIAL RD SALINA KS 67401 SCHOLARSHIPS 6000 SETON HALL UNIVERSITY 400 S ORANGE SVE SOUTH ORANGE NJ 07079 SCHOLARSHIPS 4000 STERLING COLLEGE 125 W COOPER AVE STERLING KS 67579 SCHOLARSHIPS 2800 TABOR COLLEGE 400 S JEFFERSON ST HILLSBORO HILLSBORO KS 67063 SCHOLARSHIPS 3500 UNIVERSITY OF KANSAS 50 STRONG HALL 1450 JAYHAWK BLVD JAYHAWK BLVD KS 66045 SCHOLARSHIPS 23050 UNIVERSITY OF NEBRASKA-KEARNEY 2504 9TH AVE KEARNEY KS 68849 SCHOLARSHIPS 3100 UNIVERSITY OF WYOMING 1000 E UNIVERSITY AVE LARAMIE WY 82071 SCHOLARSHIPS 4200 WASHBURN UNIVERSITY 1700 SW COLLEGE TOPEKA KS 66621 SCHOLARSHIPS 6000 WICHITA STATE UNIVERSITY 1845 FAIRMONT WICHITA KS 67260 SCHOLARSHIPS 15700 398633 0 14 150234 16 88793 18 225881 0 464908 0 464908 8 GAIN ON STOCK SALES 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 7408 1852 5556 COMPUTER 2016-03-15 3659 1570 SL 10.000000000000 366 0 PAGE 1, REFERENCE TO DUE DATE OF THE RETURN. THE ORIGINAL RETURN WAS SUBMITTED IN PAPER FORM TO THE IRS WITH ATTACHMENTS, BECAUSE THE SOFTWARE PROVIDER DID NOT ALLOW EFILING WITH ATTACHMENTS.THE ATTACHMENTS INCLUDED THE REQUIRED SUBMISSION OF THE GRANT REQUEST FORMS AND LISTING OF THE GRANTS APPROVED.THE IRS RECEIVED THIS RETURN ON SEPTEMBER 21, 2021, PRIOR TO ITS ORIGINAL DUE DATE.THE ORIGINAL RETURN WAS RETURNED TO THE TAXPAYER ON MARCH 24, 2022, ACCOMPANIED BY A NOTICE DATED FEB 22, 2022, AND POSTMARKED MARCH 9, 2022.THE RETURN IS BEING RESUBMITTED WITHOUT ATTACHMENTS. BANK OF AMERICA CORP INTERNOTE 100000 107124 VERIZON COMMUNICATIONS NOTE 54137 64886 MICROSOFT CORP ST NOTE 89872 114151 WELLS FARGO & CO. 14079 27361 ABERDEEN ASIA 4597 4415 AMERICAN BALANCED FUND CL A FMV 454039 699991 CAPITAL INCOME BUILDER FD CL A FMV 84131 150311 INCOME FUND OF AMERICA FMV 399793 556883 WASHINGTON MUTUAL INV FD FMV 69234 135470 BOND FUND OF AMERICA FMV 213077 217332 IVY ACCUM A FMV 122712 191798 IVY CORE EQTY A FMV 146065 201330 IVY SCIENCE AND TECH A FMV 230674 360857 IVY LARGECAP GROWTH FMV 155134 245109 ADVISORS SMALL CAP A FMV 254137 237241 AMERICAN MUTUAL FUND CL A FMV 214171 315544 CAPITAL WORLD GRTH & INCM CL A FMV 256327 443922 EURO PACIFIC GROWTH FUND CL A FMV 45311 81338 INVESTMENT CO OF AMERICAL CL A FMV 210978 315432 INVESCO AMERICAN FRANCHISE FUND FMV 17907 70569 GROWTH FUND OF AMERICA FMV 145856 305522 FUNDAMENTAL INVESTORS FD CL A FMV 160210 272927 IVY WILSHIRE GLOBAL ALL A FMV 21355 25147 FRANKLIN INCOME FUND FMV 578145 654343 VAN KAMPEN BUILD AMERICA BONDS FMV 46021 37100 INVESCO BLD AMER BONDS FMV 60221 61262 IVY SECURIAN RE FMV 50128 53947 LORD ABBETT BOND DEBENTURE A FMV 88383 96087 IVY BALANCED A FMV 172196 216739 AMERICAN HIGH INCOME TRUST CL A FMV 273719 271693 W&R IVY MICRO CAP GROWTH A FMV 134926 356825 IVY VALUE A FMV 81925 99496 IVY GLOBAL GROWTH A FMV 119718 177118 FRANKLIN RISING DIVIDENDS FD A FMV 118862 197408 IVY SMALL CAP CORE A FMV 21723 27839 COMPUTER 3659 1936 1723 SUPPLIES 3510 877 2632 CONTRACT LABOR 2800 700 2100 INSURANCE 400 400 0 PRIVATE FOUNDATION TAXES 2892 0 0 REAL ESTATE TAXES 15252 15252 0