BLACKWELDER FAMILY FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BLACKWELDER FAMILY FOUNDATION (EIN 81-4320192)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-28
IRS object ID
202223019349100347
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-10-28T21:05:56-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560571159PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERNARD ROBINSON & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 E CUMBERLAND STREETAddressLine1Txt
CityDUNNCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28334ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN814320192EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLACKWELDER FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBLACBusinessNameControlTxt
Phone2523297900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13506 GREENVILLE BLVD NEAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP27834ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGARRETT BLACKWELDERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2523297900PhoneNum
Signature2022-06-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGARRETTPersonFirstNm
Person LastBLACKWELDERPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFREDDY H ROBINSONPreparerPersonNm
PTINP00174761PTIN
Phone9108921021PhoneNum
Preparation2022-06-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,287,233FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,034,597ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$12InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$12InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$72,731DividendsRevAndExpnssAmt
Dividends Net Invst Incm$72,731DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$230,628NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$230,628GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$230,628CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,337,968TotalRevAndExpnssAmt
Total Net Invst Incm$303,371TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Taxes Rev And Expnss$10,200TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$24,495OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$24,495OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$34,695TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$24,495TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$151,320ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$151,320ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$186,015TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$24,495TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$151,320TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,151,953ExcessRevenueOverExpensesAmt
Net Investment Income$278,876NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$116,960CashBOYAmt
Cash EOY$154,678CashEOYAmt
Cash EOYFMV$154,678CashEOYFMVAmt
Other Nts And Loans Rcvbl$9,090OtherNtsAndLoansRcvblAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Nts And Loans Rcvbl BOY$750OtherNtsAndLoansRcvblBOYAmt
Other Nts And Loans Rcvbl EOY$9,090OtherNtsAndLoansRcvblEOYAmt
Other Nts And Loans Rcvbl EOYFMV$9,090OtherNtsAndLoansRcvblEOYFMVAmt
Other Investments BOY$3,866,751OtherInvestmentsBOYAmt
Other Investments EOY$5,123,465OtherInvestmentsEOYAmt
Other Investments EOYFMV$5,123,465OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,984,461TotalAssetsBOYAmt
Total Assets EOY$5,287,233TotalAssetsEOYAmt
Total Assets EOYFMV$5,287,233TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$3,984,461NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$5,287,233NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$3,984,461TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$5,287,233TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,984,461TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$5,287,233TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,984,461TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,151,953ExcessRevenueOverExpensesAmt
Other Increases$150,819OtherIncreasesAmt
Subtotal$5,287,233SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$5,287,233TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIES$20,707$20,707$20,707
PUBLICLY TRADED SECURITIES$209,921$209,921$209,921
FieldValueIRS element (for citing)
Capital Gain Net Income$230,628CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,876InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,876SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,876TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$5,658EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$5,658TotalPaymentsAndCreditsAmt
Es Penalty$11EsPenaltyAmt
Overpayment$1,771OverpaymentAmt
Applied To ES Tax$1,771AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNCOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksALAN MIZELLEIndividualWithBooksNm
Phone2523297900PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13506 GREENVILLE BLVD NEAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP27834ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
GARRETT BLACKWELDER
1105 AUTUMN LAKE DRIVEGRIMESLANDNC27837PRESIDENT1.00$0$0$0
CORRIE BLACKWELDER
1105 AUTUMN LAKE DRIVEGRIMESLANDNC27837SECRETARY0.50$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,006,113AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$136,203AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,142,316TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,142,316AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$62,135CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,080,181NetVlNoncharitableAssetsAmt
Minimum Investment Return$204,009MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$204,009MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,876TaxBasedOnInvestmentIncomeAmt
Total Tax$3,876TotalTaxAmt
Distributable Before Adj$200,133DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$200,133DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$200,133DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$151,320ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$151,320QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$200,133DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$237,105ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$74,481ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$164,723ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$476,309TotalExcessDistributionCyovAmt
Qualifying Distributions$151,320QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$151,320AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$48,813ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$48,813ExcessDistributionCyovAppCYAmt
Total Corpus$427,496TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$427,496ExcessDistriCyovToNextYrAmt
Excess From Year4$188,292ExcessFromYear4Amt
Excess From Year3$74,481ExcessFromYear3Amt
Excess From Year2$164,723ExcessFromYear2Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerGARRETT BLACKWELDERContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
3HC HOME HEALTH & HOSPICE CARE INC
2402 WAYNE MEMORIAL DRIVEGOLDSBORONC27534NONEPCUNRESTRICTED PROGRAM USE$3,295
ARENDELL PARROTT ACADEMY
PO BOX 1297KINSTONNC28503NONEPCUNRESTRICTED PROGRAM USE$970
CAMPUS CRUSADE FOR CHRIST
100 LAKE HART DRIVEORLANDOFL32832NONEPCUNRESTRICTED PROGRAM USE$600
ACES FOR AUTISM
P O BOX 3986GREENVILLENC27836NONEPCUNRESTRICTED PROGRAM USE$10,000
BOYS AND GIRLS CLUB
621 WEST FIRE TOWER ROADWINTERVILLENC28590NONEPCUNRESTRICTED PROGRAM USE$5,000
EVERY NATION
PO BOX 1787BRENTWOODTN37024NONEPCUNRESTRICTED PROGRAM USE$300
BUILDING HOPE COMMUNITY LIFE CENTER
1413 EVANS ST STE BGREENVILLENC27834NONEPCUNRESTRICTED PROGRAM USE$1,000
CENTER FOR FAMILY VIOLENCE PREVENTION
111 E 3RD STGREENVILLENC27858NONEPCUNRESTRICTED PROGRAM USE$3,000
CHRIST COVENANT CHURCH
746 WORTHINGTON ROADWINTERVILLENC28590NONEPCUNRESTRICTED PROGRAM USE$1,000
EASTERN NC POVERTY NETWORK
3738 LOBLOLLY DRROCKY MOUNTNC27804NONEPCUNRESTRICTED PROGRAM USE$6,000
FOOD BANK OF CENC
1712 UNION STGREENVILLENC27834NONEPCUNRESTRICTED PROGRAM USE$340
NATIONAL CHRISTIAN FOUNDATION OF THE CAROLINAS
PO BOX 98446RALEIGHNC27624NONEPCUNRESTRICTED PROGRAM USE$2,000
RAISING YOUNG MEN
1468 WESTPARK DRIVEGREENVILLENC27834NONEPCUNRESTRICTED PROGRAM USE$2,500
NEW MERCIES TERBANACLE
2009 PACTOLUS HWYGREENVILLENC27834NONEPCUNRESTRICTED PROGRAM USE$1,215
OPEN DOOR CHURCH
4584 REEDY BRANCH ROADWINTERVILLENC28590NONEPCUNRESTRICTED PROGRAM USE$111,000
ST PAUL'S EPISCOPAL CHURCH
PO BOX 1924GREENVILLENC27835NONEPCUNRESTRICTED PROGRAM USE$1,000
THE GREG KENNEDY CLASSIC
4584 REEDY BRANCH ROADWINTERVILLENC28590NONEPCUNRESTRICTED PROGRAM USE$600
WAYLIN FOUNDATION MT OLIVE HURRICANES
PO BOX 211MT OLIVENC28365NONEPCUNRESTRICTED PROGRAM USE$1,000
EAST CAROLINA UNIVERSITY
E 5TH STREETGREENVILLENC27858NONEPCUNRESTRICTED PROGRAM USE$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$151,320TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$12ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$72,731ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$230,628ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$303,371ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$303,371TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (5 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtNoncash ContributionNoncashContributionInd
GARRETT BLACKWELDER
11105 AUTUMN LAKES DRIVEGRIMESLANDNC27837$206,380Yes (X)
GARRETT BLACKWELDER
21105 AUTUMN LAKES DRIVEGRIMESLANDNC27837$124,172Yes (X)
GARRETT BLACKWELDER
31105 AUTUMN LAKES DRIVEGRIMESLANDNC27837$135,730Yes (X)
GARRETT BLACKWELDER
41105 AUTUMN LAKES DRIVEGRIMESLANDNC27837$342,450Yes (X)
GARRETT BLACKWELDER
51105 AUTUMN LAKES DRIVEGRIMESLANDNC27837$225,865Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp (5 entries)

ContributorContributorNumNoncash PropertyNoncashPropertyDescFair Market ValueFairMarketValueAmtReceivedReceivedDt
11000 CATERPILLAR INC$206,3802021-12-27
2320 GOLDMAN SACHS GROUP INC$124,1722021-12-27
3535 LOWES COMPANIES INC$135,7302021-12-27
41000 MICROSOFT CORP$342,4502021-12-27
51050 UNITED PARCEL SERVICE INC$225,8652021-12-27

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemOTHER INVESTMENTSCategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$5,123,465BookValueAmt
EOYFMV$5,123,465EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT FEES$22,399$22,399$0
BANK FEES$315$315$0
LEGAL FEES$1,781$1,781$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$150,819Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFORM 990-PF TAXCategoryTxt
Amt$10,200Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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