2022-02-21T13:33:37-06:00 2021-06-30 560892557 LEVIN SPINNETT & COMPANY LLP 1025 WEST FIRST STREET WINSTONSALEM NC 271013683 990PF 2020-07-01 203275894 PFEFFERKORN FOUNDATION INC PFEF 8003523705 4625 COUNTRY CLUB ROAD WINSTON SALEM NC 27104 RICHARD G PFEFFERKORN PRESIDENT 3364142775 2022-02-21 1 RICHARD PFEFFERKORN XXX-XX-XXXX HUGH L MCLENDON P00148465 3367254279 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z X 6618065 X 297075 66 66 139021 139021 148928 1372484 148928 252 252 585342 288267 0 0 0 2482 0 0 35626 35626 0 24689 627 0 56 56 0 62853 36309 0 309000 309000 371853 36309 309000 213489 251958 1267 159464 207795 207795 3108350 3084053 4384466 1487211 1678417 1706520 305043 304559 319284 5061335 5274824 6618065 0 0 X 0 0 0 0 5061335 5274824 5061335 5274824 5061335 5274824 5061335 213489 0 5274824 0 5274824 PUBLICLY TRADED SECURITIES P 1315666 1222862 92804 92804 GPB HOLDINGS LP P 694 -694 -694 CAPITAL GAINS DIVIDENDS P 56818 56818 56818 148928 3502 0 3502 0 3502 3983 0 0 0 3983 4 477 477 0 0 0 0 0 0 0 0 0 0 0 1 1 NC 1 0 0 0 0 1 N/A WELLS FARGO BANK 8003523705 1 WEST FOURTH STREET WINSTON SALEM NC 27101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SUSAN D PFEFFERKORN 1 WEST FOURTH STREET WINSTON SALEM NC 27101 DIRECTOR 0.00 0 0 0 RICHARD G PFEFFERKORN 1 WEST FOURTH STREET WINSTON SALEM NC 27101 DIRECTOR 0.00 0 0 0 NONE 0 WELLS FARGO BANK 1 WEST FOURTH STREET WINSTON SALEM NC 27101 INVESTMENT MANAGEMENT AND CUSTODIAN 35626 0 0 5868790 307056 0 6175846 0 0 6175846 92638 6083208 304160 304160 3502 3502 300658 0 300658 0 300658 309000 0 309000 0 309000 300658 261355 2018 33281 0 309000 261355 33281 0 14364 0 0 0 0 0 0 0 0 286294 0 0 0 X ARBOR ACRES 1240 ARBOR ROAD WINSTON SALEM NC 27104 NONE PC GENERAL SUPPORT 13000 BOOKMARKS 251 N SPRUCE STREET WINSTON SALEM NC 27101 NONE PC PROGRAM SUPPORT 5000 CANCER SERVICES 3175 MAPLEWOOD AVENUE WINSTON SALEM NC 27103 NONE PC PROGRAM SUPPORT 5000 CENTENARY UNITED METHODIST CHURCH 646 W FIFTH STREET WINSTON SALEM NC 27101 NONE PC GENERAL SUPPORT 2000 CROSBY SCHOLARS 2100 UNIVERSITY PARKWAY WINSTON SALEM NC 27105 NONE PC PROGRAM SUPPORT 10000 EXCHANGE CLUB 500 NORTHWEST BOULEVARD WINSTON SALEM NC 27105 NONE PC GENERAL SUPPORT 40000 FORSYTH COUNTRY DAY SCHOOL 5501 SHALLOWFORD ROAD LEWISVILLE NC 27023 NONE PC GENERAL SUPPORT 4000 FORSYTH MEDICAL CENTER FOUNDATION 1701 S HAWTHORNE ROAD WINSTON SALEM NC 27103 NONE PC GENERAL SUPPORT 10000 HABITAT FOR HUMANITY 1023 W 14TH STREET WINSTON SALEM NC 27105 NONE PC PROGRAM SUPPORT 6500 HISTORIC FLAT ROCK PO BOX 295 FLAT ROCK NC 28731 NONE PC GENERAL SUPPORT 3500 HOSPICE & PALLIATIVE CARECENTER 101 HOSPICE LANE WINSTON SALEM NC 27103 NONE PC PROGRAM SUPPORT 13000 HOSPITAL HOSPITALITY HOUSE 1970 BALDWIN LANE WINSTON SALEM NC 27103 NONE PC PROGRAM SUPPORT 5000 JUNIOR LEAGUE OF WINSTON SALEM 390 S LIBERTY STREET WINSTON SALEM NC 27101 NONE PC GENERAL SUPPORT 1000 MUSEUM OF EARLY SOUTHERN DECORATIVE ARTS 924 S MAIN STREET WINSTON SALEM NC 27101 NONE PC PROGRAM SUPPORT 1000 OLD SALEM 600 S MAIN STREET WINSTON SALEM NC 27101 NONE PC GENERAL SUPPORT 1000 PIEDMONT LAND CONSERVANCY PO BOX 4025 GREENSBORO NC 27404 NONE PC GENERAL SUPPORT 5000 PROTESTANT EPISCOPAL HIGH SCHOOL 1200 NORTH QUAKER LANE ALEXANDRIA VA 22302 NONE PC GENRAL SUPPORT 55000 SENIOR SERVICES 2895 SHOREFAIR DRIVE WINSTON SALEM NC 27105 NONE PC PROGRAM SUPPORT 5000 ST CATHERINES SCHOOL FOUNDATION 6001 GROVE AVENUE RICHMOND VA 23226 NONE PC GENERAL SUPPORT 75000 SUMMIT SCHOOL 2100 REYNOLDS ROAD WINSTON SALEM NC 27106 NONE PC GENERAL SUPPORT 8000 UNC CHAPEL HILL PO BOX 309 CHAPEL HILL NC 27514 NONE PC GENERAL SUPPORT 2000 WAKE FOREST UNIVERSITY 1834 WAKE FOREST ROAD WINSTON SALEM NC 27109 NONE PC GENERAL SUPPORT 1000 WINSTON SALEM INDUSTRIES FOR THE BLIND 7730 NORTH POINT DRIVE WINSTON SALEM NC 27106 NONE PC GENERAL SUPPORT 6000 YMCA OF NORTHWEST NC 301 N MAIN STREET WINSTON SALEM NC 27101 NONE PC GENERAL SUPPORT 3000 SECOND HARVEST FOOD BANK NWNC 3655 REED STREET WINSTON SALEM NC 27107 NONE PC GENERAL SUPPORT 10000 SALVATION ARMY 1225 N TRADE STREET WINSTON SALEM NC 27101 NONE PC GENERAL SUPPORT 8000 FORSYTH TECHNICAL COMMUNITY COLLEGE 2100 SILAS CREEK PARKWAY WINSTON SALEM NC 27103 NONE PC GENERAL SUPPORT 10000 SHEPHERD'S CENTER 1700 EBERT STREET WINSTON SALEM NC 27103 NONE PC GENERAL SUPPORT 1000 309000 0 14 66 14 139021 01 252 01 148928 0 288267 0 288267 0 0 0 0 0 0 0 0 0 0 X X 1 L GORDON PFEFFERKORN JR ADMINISTRATIVE TRUST C/O WELLS FARGO BANK AUSTIN TX 78735 297075 X ACCOUNTING 2482 0 0 SECTION 4942(H)(2) ELECTION AS TO TREATMENT OF QUALIFYING DISTRIBUTIONSPURSUANT TO IRC SEC 4942(H)(2), THE FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE OUT OF THE UNDISTRIBUTED INCOME OF THE TAX YEAR ENDING IN 2018 IN THE AMOUNT OF $33,281. SCHEDULE ATTACHED 1678417 1706520 SCHEDULE ATTACHED 3084053 4384466 SCHEDULE ATTACHED AT COST 304559 319284 GPB HOLDINGS LP 43 43 0 ADR FEES 13 13 0 BELVEDERE LIMITED PARTNERHSIP 600 600 600 GPB HOLDINGS LP -355 -355 -355 MISCELLANEOUS 7 7 7 INVESTMENT MANAGEMENT AND CUSTODIAN 35626 35626 0 FOREIGN TAXES WITHHELD 627 627 0 FEDERAL TAX PAYMENTS 19687 0 0 FEDERAL TAX ESTIMATES 4375 0 0