Form990-PF
Click to see attachment

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.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2014
Open to Public Inspection
For calendar year 2014, or tax year beginning 2014, and ending , 20
Name of foundation
Charles Lawrence Keith and
Clara Miller Foundation

Number and street (or P.O. box number if mail is not delivered to street address)567 Providence Street   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Albany, NY12208
A Employer identification number

13-2918230
B Telephone number (see instructions)

(434) 295-4461
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$9,103,721
J 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
Sch. B ...............
3 Interest on savings and temporary cash investments 263 263 263
4 Dividends and interest from securities...... 214,846 214,846 214,846
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 177,380
b Gross sales price for all assets on line 6a 2,161,911
7 Capital gain net income (from Part IV, line 2)... 177,380
8 Net short-term capital gain......... 45,953
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........ 392,489 392,489 261,062
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 143,750   71,875 71,875
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 7,500   3,750 3,750
c Other professional fees (attach schedule).... 8,400   4,200 4,200
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 4,457   2,229 2,228
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 44,394 27,324 8,536 8,534
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 208,501 27,324 90,590 90,587
25 Contributions, gifts, grants paid........ 259,000 259,000
26 Total expenses and disbursements. Add lines 24 and 25 467,501 27,324 90,590 349,587
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -75,012
b Net investment income (if negative, enter -0-) 365,165
c Adjusted net income (if negative, enter -0-)... 170,472
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2014)
Form 990-PF (2014)
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............... 635 3,112 3,112
2 Savings and temporary cash investments.......... 628,475 384,270 384,259
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 147,397 Click to see attachment147,397 154,508
b Investments—corporate stock (attach schedule)........ 2,014,796 Click to see attachment2,240,952 2,919,825
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............. 19,199 14,598 16,145
13 Investments—other (attach schedule)........... 4,224,770 Click to see attachment4,169,931 5,625,872
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) 7,035,272 6,960,260 9,103,721
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................... 7,035,272 6,960,260
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
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 instructions)...... 7,035,272 6,960,260
31 Total liabilities and net assets/fund balances (see instructions).. 7,035,272 6,960,260
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 7,035,272
2 Enter amount from Part I, line 27a..................... 2 -75,012
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 6,960,260
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 6,960,260
Form 990-PF (2014)
Form 990-PF (2014)
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.)
1a
b
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
b
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
b
c
d
e
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 2 177,380
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 45,953
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 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))
2013 388,933 8,158,609 0.04767
2012 360,399 7,393,111 0.04875
2011 334,656 7,477,596 0.04475
2010 348,417 7,176,438 0.04855
2009 299,722 6,486,390 0.04621
2 Total of line 1, column (d) ...................... 2 0.23593
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 0.04719
4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5..... 4 8,919,093
5 Multiply line 4 by line 3....................... 5 420,856
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,652
7 Add lines 5 and 6......................... 7 424,508
8 Enter qualifying distributions from Part XII, line 4.............. 8 349,587
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 (2014)
Form 990-PF (2014)
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 7,303
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  
3 Add lines 1 and 2........................... 3 7,303
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 7,303
6 Credits/Payments:
a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a 7,512
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,512
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 209
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet209 RefundedBullet 11  
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 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
 
No
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
     
    No
    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)
    bulletNY
    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 2014 or the taxable year beginning in 2014 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    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 addressbulletN/A
    14
    The books are in care ofbulletSusan Ould Telephone no.bullet (434) 295-4461
    Located atbullet2630 Palmer DriveKeswickVA ZIP+4bullet22947
    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 2014, 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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 6
    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 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 2014?.............
    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 2014, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2014?...............
    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
     
    No
    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 2014 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 2014.)....................
    3b
     
    No
    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 2014?
    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 4945(d)(4)(A)? (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
     
    No
    .........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
     
    No
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 7
    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
    Linda Fisher President
    20.00
    50,000    
    567 Providence Street
    Albany,NY12208
    Brian O'Dwyer Vice President
    20.00
    25,000    
    52 Duane Street
    New York,NY10007
    Susan Ould Treasurer
    20.00
    25,000    
    2630 Palmer Drive
    Keswick,VA22947
    Honie Ann Peacock Director
    20.00
    25,000    
    201 E 25th Street 4H
    New York,NY10010
    Maleyne Syracuse Director
    20.00
    18,750    
    3 Hanover Sq Apt 13D
    New York,NY10004
    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  
    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.............bullet  
    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 (2014)
    Form 990-PF (2014)
    Page 8
    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 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
    8,572,734
    b
    Average of monthly cash balances.......................
    1b
    482,183
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    9,054,917
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    9,054,917
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    135,824
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    8,919,093
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    445,955
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    445,955
    2a
    Tax on investment income for 2014 from Part VI, line 5......
    2a
    7,303
    b
    Income tax for 2014. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,303
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    438,652
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    438,652
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    438,652
    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
    349,587
    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
    349,587
    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
    349,587
    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 (2014)
    Form 990-PF (2014)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2013
    (c)
    2013
    (d)
    2014
    1 Distributable amount for 2014 from Part XI, line 7 438,652
    2 Undistributed income, if any, as of the end of 2014:
    a Enter amount for 2013 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2014:
    a From 2009.......  
    b From 2010.......  
    c From 2011.......  
    d From 2012.......  
    e From 2013.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2014 from Part
    XII, line 4: bullet$ 349,587
    a Applied to 2013, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions).........
    0
    d Applied to 2014 distributable amount..... 349,587
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2014.    
    (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  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    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......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2013. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2014. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    89,065
    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) .......
     
    8Excess distributions carryover from 2009 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2015.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2010....  
    b Excess from 2011....  
    c Excess from 2012....  
    d Excess from 2013....  
    e Excess from 2014....  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 10
    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 2014, 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) 2014 (b) 2013 (c) 2012 (d) 2011
             
    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 or email address 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 (2014)
    Form 990-PF (2014)
    Page 11
    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
    Bard HS Early College
    PO Box 5000
    Annadale on the Huds,NY12504
        Program support 10,000
    Morningside Center
    475 Riverside Drive Suite 550
    New York,NY10115
        Program support 10,000
    Volunteers Legal Services
    54 Greene Street
    New York,NY10013
        Program support 15,000
    Groundswell Community
    540 President Street
    Brooklyn,NY11215
    Public   Program Support 10,000
    Race Track Chaplancy
    2150 Hempstead Tpke
    Elmont,NY11003
        Program support 10,000
    NYC Mission Society
    105 East 22nd Street 6th Floor
    New York,NY10010
        Program support 13,000
    St Johns Bread and Life
    795 Lexington Ave
    Brooklyn,NY11221
        Program support 6,000
    Sanctuary for Families
    PO Box 1406 Wall Street Station
    New York,NY10268
        Program support 13,500
    CUNY Law School
    65-21 Main Street
    Flushing,NY11367
        Program support 15,000
    Compassion and Choices
    PMB 2020 244 Fifth Ave
    New York,NY10001
        Program support 10,000
    Womens ENews
    6 Barclay Street 6th Floor
    New York,NY10007
        Program support 10,000
    Community Investment
    1710 Allied Street
    Charlottesville,VA22903
        Program support 10,000
    Independent Living
    754 Columbia Street
    Hudson,NY12534
        Program support 10,000
    Teachers and Writers
    520 Eighth Avenue Ste 2020
    New York,NY10018
        Program support 5,000
    Holy Apostles Soup Kitchen
    296 Ninth Ave
    New York,NY10001
        Program support 11,000
    Cristo Rey New York
    112 E 106th Street
    New York,NY10029
        Program support 10,000
    Womens Prison Association
    110 Second Ave
    New York,NY10003
        Program support 8,000
    Memorial Sloan Kettering
    1275 York Avenue Box 419
    New York,NY10021
        Program support 5,000
    No Surrender Breast Cancer
    PO Box 84
    Locust Valley,NY11560
        Program Support 5,000
    Youth Comm of NY
    224 West 29th Street 2nd Floor
    New York,NY10001
        Program Support 10,000
    The Possibility Project
    104 W 27th Street 12th Floor
    New York,NY10001
        Program Support 10,000
    George Washington University
    2100 M Street NW Ste 310
    Washington,DC20052
        Program Support 15,000
    Cornell Weill Medical Center
    1300 York Avenue Box 314
    New York,NY10065
        Program Support 25,000
    New Yorkers for Children
    450 Seventh Avenue Suite 403
    New York,NY10123
        Program Support 12,500
    Total .................................bullet 3a 259,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 12
    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 ............
        14 263  
    4 Dividends and interest from securities....     14 214,846  
    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 .............
            177,380
    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)..   215,109 177,380
    13Total. Add line 12, columns (b), (d), and (e)..................
    13392,489
    (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 (2014)
    Form 990-PF (2014)
    Page 13
    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) 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 (2014)
    Additional Data


    Software ID: 14000265
    Software Version: 2014v5.0


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2014 AccountingFeesSchedule
    Name:
    Charles Lawrence Keith and
    Clara Miller Foundation
    EIN: 13-2918230
    Software ID:14000265
    Software Version:2014v5.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
      7,500 0 3,750 3,750

    TY 2014 InvestmentsCorpStockSchedule
    Name:
    Charles Lawrence Keith and
    Clara Miller Foundation
    EIN: 13-2918230
    Software ID:14000265
    Software Version:2014v5.0
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AMC Networks Inc Cl A 11,336 16,475
    Anadarko Pete 58,450 63,275
    Autodesk Inc Delaware 31,393 47,632
    Biogen IDEC Inc 28,017 66,936
    Broadcom Corp Cl A 32,053 43,156
    Cablevision Systems Corp 33,861 47,111
    Citrix Systems Inc 31,749 27,319
    Comcast Corp Cl A 58,562 99,240
    Covidien PLC    
    CREE Research Inc 45,290 45,827
    Directv Com    
    Dolby CLA A Com STK 11,740 13,153
    Fluor Corp 51,947 45,284
    Actavis PLC 36,320 77,563
    Freeport Mcmoran CP&GLD    
    Immunogen Inc 19,005 11,361
    ISIS Pharm Inc 3,843 29,185
    L-3 Communications Holding Inc    
    Liberty Interactive Co Inter A 16,035 27,497
    Liberty Media Corp 3,404 5,618
    National Oilwell Varco Inc 24,824 20,575
    NUCOR Corp 47,674 47,666
    Pall Corporation 48,391 65,797
    Pentair Ltd 18,779 19,903
    Sandisk Corp 19,159 39,170
    Seagate Technology PLC 30,923 56,045
    Starz Liberty Capital Ser A 3,325 6,494
    TE Connectivity Ltd 38,949 68,448
    The ADT Corporation 22,134 21,328
    TYCO International Ltd 29,104 39,300
    United Health GP Inc 59,772 104,763
    Vertex Pharmaceuticals 25,434 44,056
    Weatherford International Ltd 52,806 39,564
    3M Company    
    Abbvie Inc Com    
    AT&T Inc    
    Automatic Data Processing Inc    
    Berkshire Hathaway Cl-B    
    Cameron Intnl Corp 24,600 17,419
    Celanese Corp Series A    
    Cisco Sys Inc    
    Comcast Corp Cl A 19,239 30,100
    Du Pont Ei De Nemours & Co    
    Duke Energy Corp    
    Eaton Corp PLC 17,788 18,359
    Ebay Inc 29,481 32,118
    Ecolab Inc    
    EMC Corp Mass 16,908 17,218
    Exxon Mobil Corp    
    Forest CY Enterprise    
    General Electric CO 23,435 23,866
    General Mills Inc    
    Glaxosmithkline PLC    
    Google Inc 19,740 23,519
    Honeywell International Inc    
    Intl Business Machines Corp    
    Johnson & Johnson 16,220 22,532
    JPMorgan Chase & Co    
    Kimberly Clark Corp    
    Metlife Incorporated    
    Microsoft Corp 17,781 22,099
    Monsanto Co    
    Oracle Corp    
    Pepsico Inc    
    Pfizer Inc    
    PPG Industries Inc    
    Procter & Gamble    
    Raytheon Co    
    Schlumberger Ltd 34,082 33,286
    Travelers Companies Inc    
    Tyco International Ltd    
    United Parcel Service Inc 16,445 19,570
    United Technologies Corp    
    Visa Inc 26,780 39,001
    Wal Mart Stores Inc    
    Walt Disney Holding Co 14,514 27,015
    Waste Mgmt Inc    
    Wells Fargo & Co    
    AIA Group Ltd 14,029 21,731
    Air Liquide ADR 10,225 18,101
    Allianz SE ADS 11,074 18,794
    Anheuser Busch 9,447 15,503
    Arm Holdings PLC ADR 5,650 13,162
    Atlas Copco as a ADR 3,036 10,327
    BG Group PLC 10,289 12,435
    Bunge Ltd 8,540 11,549
    Canadian Natl Railway Co 7,483 13,988
    Cochlear Ltd    
    CSL Ltd 4,634 11,232
    Dassault Systems 7,565 20,685
    DBS Group Holdings 7,050 9,885
    Fresenius Medical Care 8,100 8,902
    Gasprom O A O Spon ADR    
    ICICI Bank Ltd 11,278 16,994
    Imperial Oil Ltd 10,556 10,354
    ITAU Unibano Multiple ADR 12,061 10,023
    JGC Corp 12,097 8,526
    L Oreal Co ADR 7,514 15,846
    LVMH Moet Hennessy Louis Vuitton 3,618 6,281
    MTN GRP LTD 9,616 9,320
    Nestle Spon ADR 12,134 24,101
    Nokian Tyres OYJ    
    Roche Holdings ADR 10,305 18,095
    SAP AG 11,239 15,556
    SASOL Ltd 2,999 3,893
    Schlumberger Ltd 8,482 11,864
    Schneider Electric 9,062 12,857
    Sonova Hldg 4,647 6,788
    Svenska Handelsbanken AB ADR 4,659 6,618
    Swatch Group    
    Sysmex Corp 7,706 17,202
    Taiwan Semiconductor Mfg Co Ltd 14,947 24,572
    Tesco PLC    
    Turkiye Garanti Bankasi 12,532 9,983
    Unicharm Corp 9,316 19,404
    Unilever PLC 3,733 7,035
    WPP PLC 5,513 20,262
    Xinyi Glass Hldgs Ltd 2,007 1,971
    AMERICAN TOWER REIT COM    
    MERCK & CO    
    TJX COS INC    
    BAIDU INC 3,014 6,973
    BANCO BILBAO VIZ ARG SA 8,841 7,753
    BAYERISCHE MOTOREN WERKE 11,910 14,013
    ENN ENRGY HOLDINGS LTD    
    FANUC CORPORATION 8,382 16,698
    HONG KONG EXCHANGES & CLEARING 6,497 9,435
    MITSUBISHI EST ADR 9,364 6,262
    MONOTARO CO LTD 2,906 3,269
    NOVO NORDISK 11,645 13,724
    Liberty Broadband Corp 1,115 1,823
    Liberty Broadband Corp 2,211 3,641
    Liberty Inter Co 2,786 5,304
    Liberty Media Corp 6,501 11,260
    Medtronic PLC 25,828 24,562
    Now Inc 15,683 12,849
    Nuance Communications Inc 15,656 13,168
    Fuchs Petrolub AG 7,719 6,892
    Linde AG 6,524 6,657
    Sands China Ltd 11,581 7,301
    Shire PLC 5,344 6,578
    Symrise AG 6,418 7,844
    Akamai Technologies Inc 24,888 25,937
    Amazon Inc 33,752 38,998
    Apple Inc 22,724 30,227
    Biogen Idec Inc 33,489 45,921
    Blackrock Inc 24,257 27,241
    Bristol Myers Dqubb Co 21,041 25,856
    Celgene Corp 24,377 39,561
    Charles Schwab 14,724 14,263
    Citrix Systems Inc 19,216 19,437
    CME Group Inc 12,178 14,672
    Coca Cola Co 25,077 25,237
    CVS Health Corp 28,993 39,166
    Facebook Inc 14,471 18,067
    FMC Technologies Inc 14,578 10,270
    Google Inc 15,981 19,352
    Home Depot Inc 25,068 32,788
    Linkedin Corp 10,130 14,383
    Nasdaq OMX Group Inc 12,232 15,002
    Nike Inc 9,742 12,269
    Precision Castparts Corp 26,578 24,012
    Qualcomm Inc 14,855 11,493
    Red Hat Inc 18,212 23,539
    Regeneron Pham 7,500 10,417
    Texas Instruments 14,645 17,211
    Thermo Fisher Scientific 19,458 21,160
    Towers Watson & Co 22,223 24,767
    Twenty-First Century Fox 12,912 12,767
    Unitedhealth GP Inc 27,312 38,675
    VMWARE Inc 5,469 5,474
    WW Grainger Inc 26,265 24,527
    Xilinx Inx 24,245 21,448

    TY 2014 InvestmentsGovtObligationsSch
    Name:
    Charles Lawrence Keith and
    Clara Miller Foundation
    EIN: 13-2918230
    Software ID:14000265
    Software Version:2014v5.0
    US Government Securities - End of Year Book Value:

     
    US Government Securities - End of Year Fair Market Value:

     
    State & Local Government Securities - End of Year Book Value:


    147,397
    State & Local Government Securities - End of Year Fair Market Value:


    154,508


    TY 2014 InvestmentsOtherSchedule2
    Name:
    Charles Lawrence Keith and
    Clara Miller Foundation
    EIN: 13-2918230
    Software ID:14000265
    Software Version:2014v5.0
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ISHARES RUSSELL 2000 INDEX FD AT COST 225,986 541,013
    ING Risk Managed Natural Resource Fund AT COST    
    Clarion Global Real Estate Income Fund AT COST    
    Ariel Appreciation Fund AT COST 315,255 396,067
    Calvert Social Invt AT COST 370,530 504,485
    Harbor Bond Fund Instl Shares AT COST    
    Henderson Intl Opportunities AT COST 221,178 256,663
    Pimco Total Return Fund AT COST    
    Guggenheim S&P 500 Pure AT COST 482,537 791,224
    ISHARES S&P 500 Grwth Index AT COST 493,183 715,241
    SPDR Trust Series 1 AT COST 259,171 370,578
    Vanguard Dividend Appreciation AT COST 426,917 567,682
    FIRST TR DOW JONES AT COST 26,879 26,374
    POWERSHARES EMERGING MKTS AT COST 24,824 23,273
    POWERSHARES DWA DEVELOP MKTS AT COST 25,187 23,870
    VANGUARD RUSSELL 1000 ETF AT COST 460,266 579,271
    SPDR EM MKTS DIV ETF AT COST 30,654 24,617
    Ishares IBOXX Invest AT COST 129,940 136,279
    Vanguard Total Bond Market AT COST 130,474 134,960
    Blackrock Hi Yield BD PTF AT COST 173,963 164,895
    Franklin Hi Yield TX FR AT COST 100,478 103,037
    High Yield Muni AT COST 100,604 103,748
    Nuveen Symphony Credit Oppt AT COST 171,905 162,595

    TY 2014 OtherExpensesSchedule
    Name:
    Charles Lawrence Keith and
    Clara Miller Foundation
    EIN: 13-2918230
    Software ID:14000265
    Software Version:2014v5.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Adninastrative 15,595   7,798 7,797
    Insurance 485   243 242
    Investment Fees 27,324 27,324    
    Miscellaneous 490   245 245
    Secretarial 500   250 250


    TY 2014 OtherProfessionalFeesSchedule
    Name:
    Charles Lawrence Keith and
    Clara Miller Foundation
    EIN: 13-2918230
    Software ID:14000265
    Software Version:2014v5.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Bookkeeping 8,400 0 4,200 4,200


    TY 2014 TaxesSchedule
    Name:
    Charles Lawrence Keith and
    Clara Miller Foundation
    EIN: 13-2918230
    Software ID:14000265
    Software Version:2014v5.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
      4,457   2,229 2,228