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. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 09-01-2013 , and ending 08-31-2014
Name of foundation
PHYLLIS W SMITH PVT FDN
 

Number and street (or P.O. box number if mail is not delivered to street address)P O BOX 1802   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PROVIDENCE, RI029011802
A Employer identification number

59-7258080
B Telephone number (see instructions)

(888) 866-3275
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$5,601,256J Accounting method:
 
(Part I, column (d) must be on cash basis.)
F bullet
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)  
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 143,744 143,257  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 207,746
b Gross sales price for all assets on line 6a 731,622
7 Capital gain net income (from Part IV, line 2)... 207,746
8 Net short-term capital gain......... 0
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).......   13,084  
12 Total. Add lines 1 through 11........ 351,490 364,087  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 44,960 26,976   17,984
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 1,250 0 0 1,250
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) Click to see attachment 1,644 520   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 4,199 4,129   70
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 52,053 31,625 0 19,304
25 Contributions, gifts, grants paid........ 437,099 437,099
26 Total expenses and disbursements. Add lines 24 and 25 489,152 31,625 0 456,403
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -137,662
b Net investment income (if negative, enter -0-) 332,462
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
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...............      
2 Savings and temporary cash investments.......... 33,269 54,867 54,867
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
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)........ 4,129,692 Click to see attachment3,931,163 5,099,087
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)........... 394,324 Click to see attachment432,761 447,302
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 4,557,285 4,418,791 5,601,256
Liabilities 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 bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 4,557,285 4,418,791
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 4,557,285 4,418,791
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 4,557,285 4,418,791
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 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 4,557,285
2 Enter amount from Part I, line 27a..................... 2 -137,662
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 4,419,623
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 832
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 4,418,791
Form 990-PF (2013)
Form 990-PF (2013)
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 50. APPLE INC COM   2008-06-04 2013-11-27
b 80. COCA COLA CO COM   2005-11-22 2013-11-27
c 250. COLGATE PALMOLIVE CO   2007-12-20 2013-11-27
d 3398.745 COLUMBIA LARGE CAP ENHANCED CORE FUND CLASS Z SHARES   2006-05-03 2013-11-27
e 7946.474 COLUMBIA LARGE CAP ENHANCED CORE FUND CLASS Z SHARES   2005-05-18 2013-11-27
2459.42 COLUMBIA LARGE CAP ENHANCED CORE FUND CLASS Z SHARES   2005-05-18 2014-08-18
10020.04 COLUMBIA SHORT TERM BOND FUND CLASS Z SHARES   2005-10-21 2013-10-22
10976.948 COLUMBIA INTERMEDIATE BOND FUND CLASS Z SHARES   2005-10-21 2013-10-22
100. DISNEY WALT CO   2008-06-04 2013-11-27
100. DISNEY WALT CO   2008-06-04 2014-08-18
160. EXPRESS SCRIPTS HLDG CO COM   2007-12-20 2013-11-27
100. EXXON MOBIL CORPORATION   2006-10-04 2013-11-27
9. EXXON MOBIL CORPORATION   2006-10-04 2014-08-18
91. EXXON MOBIL CORPORATION   2006-05-03 2014-08-18
500. GENERAL ELEC CO   2005-05-18 2014-08-18
50. INTERNATIONAL BUSINESS MACHS   2006-05-03 2013-11-27
200. ISHARES TIPS BOND ETF   2009-11-12 2013-10-22
200. J P MORGAN CHASE & CO COM   2006-10-04 2013-11-27
100. KNOWLES CORP COM   2009-11-12 2014-03-17
150. MERCK & CO INC NEW COM   2007-12-20 2013-11-27
100. PARKER HANNIFIN CORPORATION   2009-11-12 2013-10-22
50. PEPSICO INCORPORATED   2005-05-18 2013-11-27
957.854 PIMCO GLOBAL MULTI-ASSET FUND INSTL CL   2012-02-15 2013-10-22
200. UNITED TECHNOLOGIES CORP   2005-05-18 2013-11-27
160. YUM BRANDS INC COM   2005-05-18 2013-11-27
CAPITAL GAIN 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 27,097   9,307 17,790
b 3,197   1,695 1,502
c 16,457   9,777 6,680
d 62,911   48,636 14,275
e 147,089   104,099 42,990
50,000   32,218 17,782
100,000   98,096 1,904
100,000   97,805 2,195
7,096   3,437 3,659
8,997   3,437 5,560
10,794   5,563 5,231
9,401   6,556 2,845
894   590 304
9,039   5,866 3,173
12,991   18,370 -5,379
8,913   4,149 4,764
22,615   20,903 1,712
11,507   9,399 2,108
3,139   1,353 1,786
7,472   8,776 -1,304
11,486   5,532 5,954
4,210   2,828 1,382
10,000   10,900 -900
22,305   10,568 11,737
12,352   4,016 8,336
      51,660
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       17,790
b       1,502
c       6,680
d       14,275
e       42,990
      17,782
      1,904
      2,195
      3,659
      5,560
      5,231
      2,845
      304
      3,173
      -5,379
      4,764
      1,712
      2,108
      1,786
      -1,304
      5,954
      1,382
      -900
      11,737
      8,336
       
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 2 207,746
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  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2012 256,497 5,353,100 0.047916
2011 300,602 5,135,518 0.058534
2010 178,310 5,201,542 0.03428
2009 175,393 4,763,805 0.036818
2008 135,374 4,290,441 0.031552
2 Total of line 1, column (d) ...................... 2 0.2091
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 0.04182
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 5,480,681
5 Multiply line 4 by line 3....................... 5 229,202
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,325
7 Add lines 5 and 6......................... 7 232,527
8 Enter qualifying distributions from Part XII, line 4.............. 8 456,403
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2013)
Form 990-PF (2013)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 3,325
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% 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 3,325
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 3,325
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 1,050
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,050
8 Enter any penalty for underpayment of estimated tax. 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 2,275
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 2014 estimated taxBullet0 RefundedBullet 11 0
Part VII-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 page 19 of
the instructions for 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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 XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMA
    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 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    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
    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 addressbullet  
    14
    The books are in care ofbulletUS TRUST FIDUCIARY TAX SERVICES Telephone no.bullet (888) 866-3275
    Located atbulletPO BOX 1802PROVIDENCERI ZIP+4bullet02901
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2013, 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 instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the
    foreign country bullet  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 5
    Part VII-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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?.................
    (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.).........
    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 page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    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 2013?.............
    1c
     
    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 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    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?.........................
    b
    If "Yes," did it have excess business holdings in 2013 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 2013.)....................
    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 2013?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    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
     
     
    .........bullet
    c
    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?............
    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?........................
    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?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 6
    Part VIII
    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
    BANK OF AMERICA N A TRUSTEE
    1     		44,960    
    1 MONARCH PL
    SPRINGFIELD,MA01144
    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
    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 IX-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  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 7
    Part IX-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 page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Part X
    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
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    274,034
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    3,325
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,325
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    270,709
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    270,709
    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 XIII,
    line 1................................
    7
    270,709
    Part XII
    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
     
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    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 V, line 8, and Part XIII, line 4
    4
     
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
     
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2012     		(c)
    2012     		(d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 270,709
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 249,769
    b Total for prior years:2011, 20, 20 0
    3 Excess distributions carryover, if any, to 2013:
    a From 2008....... 0
    b From 2009....... 0
    c From 2010....... 0
    d From 2011....... 0
    e From 2012....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 456,403
    a Applied to 2012, but not more than line 2a 249,769
    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 2013 distributable amount..... 206,634
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2013. 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 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 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		64,075
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		0
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2009.... 0
    b Excess from 2010.... 0
    c Excess from 2011.... 0
    d Excess from 2012.... 0
    e Excess from 2013.... 0
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-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 2013, 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 X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2013 (b) 2012 (c) 2011 (d) 2010
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    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 X, 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 XV
    Supplementary Information (Complete this part only if the organization 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 of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 10
    Part XV
    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
    MSPCC OF FRANKLIN COUNTY
    ATTN MR SEAN R HAMLETT
    335 CHANDLER ST
    WORCESTER,MA016023441     		N/A PC UNRESTRICTED GENERAL 109,275
    BAYSTATE HEALTH
    FOUNDATION INC
    759 CHESTNUT STREET
    SPRINGFIELD,MA011991001     		N/A PC UNRESTRICTED GENERAL 109,275
    HOLYOKE HOSPITAL
    575 BEECH ST
    HOLYOKE,MA010402223     		N/A PC UNRESTRICTED GENERAL 109,275
    SYCAMORES OF S HADLEY
    HISTORICAL SOCIETY
    18 S SYCAMORE KNLS
    SOUTH HADLEY,MA010751112     		N/A PC UNRESTRICTED GENERAL 109,274
    Total .................................bullet 3a 437,099
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 11
    Part XVI-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          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............     		         
    4 Dividends and interest from securities....     14 143,744  
    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 .............     		    18 207,746  
    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)..   351,490  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13351,490
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-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 XVI-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 (2013)
    Form 990-PF (2013)
    Page 12
    Part XVII
    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) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    organizations?
    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) of the Code (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 or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2013)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2013 AccountingFeesSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN: 59-7258080
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE - BOA 1,250     1,250

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN: 59-7258080
    Name of Stock End of Year Book Value End of Year Fair Market Value
    464286103 ISHARES INC MSCI AUS 21,036 24,444
    464286400 ISHARES MSCI BRAZIL 17,194 16,110
    464286509 ISHARES MSCI CANADA 20,999 24,645
    464286673 ISHARES MSCI SINGAPO 19,337 20,940
    464287176 ISHARES TIPS BOND ET    
    464287564 ISHARES COHEN & STEE 51,300 90,430
    464287630 ISHARES RUSSELL 2000 97,244 110,605
    922042858 VANGUARD FTSE EMERGI 86,314 95,340
    922908553 VANGUARD REIT ETF 77,325 92,616
    166764100 CHEVRON CORP COM 15,445 25,890
    20825C104 CONOCOPHILLIPS COM 7,730 16,244
    30231G102 EXXON MOBIL CORP COM 54,341 99,460
    674599105 OCCIDENTAL PETE CORP 16,317 20,746
    718546104 PHILLIPS 66 COM 2,297 8,702
    806857108 SCHLUMBERGER LTD COM 17,039 25,765
    845467109 SOUTHWESTERN ENERGY 23,868 30,185
    61166W101 MONSANTO CO NEW COM 9,803 23,708
    74005P104 PRAXAIR INC COM 28,131 68,406
    767204100 RIO TINTO PLC SPONSO 15,037 26,870
    260003108 DOVER CORP COM 6,860 17,574
    369550108 GENERAL DYNAMICS COR 10,462 18,488
    369604103 GENERAL ELEC CO COM 36,740 25,980
    438516106 HONEYWELL INTL INC C 11,919 19,046
    539830109 LOCKHEED MARTIN CORP 7,397 17,400
    701094104 PARKER HANNIFIN CORP    
    854502101 STANLEY BLACK & DECK 7,564 9,150
    88579Y101 3M CO COM 13,055 21,600
    911312106 UNITED PARCEL SVC IN 11,534 14,600
    913017109 UNITED TECHNOLOGIES 52,838 107,980
    20030N101 COMCAST CORP NEW CL 4,585 16,416
    254687106 DISNEY WALT CO COM D 22,565 62,916
    548661107 LOWES COS INC COM 10,677 26,255
    872540109 TJX COS INC NEW COM 8,303 23,844
    87612E106 TARGET CORP COM 10,671 12,014
    988498101 YUM BRANDS INC COM 17,721 51,136
    191216100 COCA COLA CO COM 15,257 30,038
    194162103 COLGATE PALMOLIVE CO 33,401 65,118
    494368103 KIMBERLY CLARK CORP 18,364 34,020
    50076Q106 KRAFT FOODS GROUP IN 5,823 9,836
    609207105 MONDELEZ INTL INC CO 10,793 18,167
    641069406 NESTLE S A SPONSORED 11,843 15,559
    713448108 PEPSICO INC COM 25,450 41,621
    742718109 PROCTER & GAMBLE CO 12,951 16,622
    931142103 WAL-MART STORES INC 17,276 22,650
    002824100 ABBOTT LABS COM 9,161 16,389
    00287Y109 ABBVIE INC COM 9,934 21,449
    031162100 AMGEN INC COM 5,527 13,938
    125509109 CIGNA CORP COM 18,200 32,164
    30219G108 EXPRESS SCRIPTS HLDG 24,547 52,195
    375558103 GILEAD SCIENCES INC 4,681 21,512
    478160104 JOHNSON & JOHNSON CO 24,251 37,758
    50540R409 LABORATORY CORP AMER 21,555 29,595
    58933Y105 MERCK & CO INC NEW C 40,999 48,449
    883556102 THERMO FISHER SCIENT 6,662 18,032
    229899109 CULLEN / FROST BANKE 17,051 23,580
    38141G104 GOLDMAN SACHS GROUP 17,832 17,911
    46625H100 J P MORGAN CHASE & C 45,395 60,996
    693475105 PNC FINL SVCS GROUP 16,279 25,425
    902973304 US BANCORP DEL COM N 26,305 38,052
    949746101 WELLS FARGO & CO NEW 13,852 23,405
    G1151C101 ACCENTURE PLC CL A C 11,647 16,212
    037833100 APPLE INC COM 32,016 123,410
    17275R102 CISCO SYS INC COM 36,566 47,606
    459200101 INTERNATIONAL BUSINE 37,081 86,535
    594918104 MICROSOFT CORP COM 45,288 80,275
    882508104 TEXAS INSTRS INC COM 31,182 45,096
    00206R102 AT&T INC COM 27,652 39,225
    92343V104 VERIZON COMMUNICATIO 18,375 22,419
    29364G103 ENTERGY CORP NEW COM 30,549 20,514
    30161N101 EXELON CORP COM 41,479 27,906
    65339F101 NEXTERA ENERGY INC C 11,768 19,690
    19765H347 COLUMBIA LARGE CAP E 57,145 90,560
    19765J608 COLUMBIA MID CAP IND 81,416 109,796
    19765N245 COLUMBIA DIVIDEND IN 50,000 71,689
    19765P232 COLUMBIA MID CAP GRO 153,955 236,790
    19765P596 COLUMBIA SMALL CAP G 39,565 37,614
    693390841 PIMCO HIGH YIELD FD 100,000 104,383
    880208400 TEMPLETON GLOBAL BD 67,500 68,930
    19763T889 COLUMBIA INCOME OPPO 107,342 107,294
    19765H362 COLUMBIA SHORT TERM 352,633 361,003
    19765N468 COLUMBIA INTERMEDIAT 629,772 664,028
    19765Y886 COLUMBIA BOND FUND C 100,000 101,107
    72201P100 PIMCO GLOBAL MULTI-A 39,100 38,753
    68380L407 OPPENHEIMER INTL GRO 75,000 83,576
    885215566 THORNBURG INTL VALUE 75,000 75,538
    19765Y852 COLUMBIA EMERGING MA 75,000 78,307
    55273E640 MFS EMERGING MKTS DE 75,000 76,314
    722005220 PIMCO FOREIGN BOND F 52,125 52,131
    72201F409 PIMCO EMERGING MKT C 19,970 20,192
    466001864 IVY ASSET STRATEGY F 115,000 117,658
    315807552 FIDELITY ADVISOR FLO 75,000 74,550

    TY 2013 InvestmentsOtherSchedule2
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN: 59-7258080
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    8EQO29993 EXCELSIOR MULTI-STRA AT COST 432,761 447,302

    TY 2013 OtherDecreasesSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN: 59-7258080
    Description Amount
    ADJ CARRYING VALUE 832


    TY 2013 OtherExpensesSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN: 59-7258080
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER CHARITABLE EXPENSES 70 0   70
    OTHER INVESTMENT FEE 6 6   0
    DIVIDEND INVESTMENT EXPENSE - 4,123 4,123   0


    TY 2013 OtherIncomeSchedule2
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN: 59-7258080
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PARTNERSHIP INCOME   13,084  


    TY 2013 TaxesSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN: 59-7258080
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 73 73   0
    EXCISE TAX - PRIOR YEAR 74 0   0
    EXCISE TAX ESTIMATES 1,050 0   0
    FOREIGN TAXES ON QUALIFIED FOR 366 366   0
    FOREIGN TAXES ON NONQUALIFIED 81 81   0