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.
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
PETER J BLOSSER SCHOLARSHIP TRUST
 

Number and street (or P.O. box number if mail is not delivered to street address)P O BOX 6160 60 RIVERSIDE ST NO 130   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHILLICOTHE, OH45601
A Employer identification number

31-0629687
B Telephone number (see instructions)

(740) 773-0043
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$2,458,950
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).............. 136
2 Check bullet
Sch. B ...............
3 Interest on savings and temporary cash investments 4,985 4,985  
4 Dividends and interest from securities...... 72,427 72,427  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 56,313
b Gross sales price for all assets on line 6a 326,152
7 Capital gain net income (from Part IV, line 2)... 56,313
8 Net short-term capital gain.........  
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)....... 25,227 23,127  
12 Total. Add lines 1 through 11........ 159,088 156,852  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 10,500 5,250   5,250
14 Other employee salaries and wages...... 21,945 10,972   10,973
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 620 0   620
b Accounting fees (attach schedule)....... 3,000 3,000   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 4,248 866   867
19 Depreciation (attach schedule) and depletion... 187 0  
20 Occupancy.............. 6,000 3,000   3,000
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 40,052 12,855   5,173
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 86,552 35,943   25,883
25 Contributions, gifts, grants paid........ 16,750 16,750
26 Total expenses and disbursements. Add lines 24 and 25 103,302 35,943   42,633
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 55,786
b Net investment income (if negative, enter -0-) 120,909
c Adjusted net income (if negative, enter -0-)...  
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............... 115,637 85,499 85,499
2 Savings and temporary cash investments.......... 53,336 32,631 32,631
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) bullet104
Less: allowance for doubtful accounts bullet0 85 104 104
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)........ 606,298 Click to see attachment700,603 839,948
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)........... 642,347 Click to see attachment675,137 655,072
14 Land, buildings, and equipment: basis bullet5,923
Less: accumulated depreciation (attach schedule) bullet5,605 505 Click to see attachment318 318
15 Other assets (describe bullet) Click to see attachment864,888 Click to see attachment845,378 Click to see attachment845,378
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,283,096 2,339,670 2,458,950
Liabilities 17 Accounts payable and accrued expenses.......... 1,151 1,649
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) Click to see attachment0 Click to see attachment290
23 Total liabilities (add lines 17 through 22).......... 1,151 1,939
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted................... 2,281,945 2,337,731
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)...... 2,281,945 2,337,731
31 Total liabilities and net assets/fund balances (see instructions).. 2,283,096 2,339,670
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 2,281,945
2 Enter amount from Part I, line 27a..................... 2 55,786
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 2,337,731
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 2,337,731
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.)
1 a FNMA 05-84TH REDEEMED P 2005-09-29 2014-05-27
b SASC 05-5 2A3 P 2005-04-18 2014-11-03
c BAAL T03-104A2 RETURN OF PRINICPAL P 2005-03-30 2014-12-25
d FNMA 1997-46PL RETURN OF PRINCIPAL P 1999-05-27 2014-12-18
e FHLMC 4077HA P 2014-01-14 2014-11-15
FNMA 04-60JB RETURN OF PRINCIPAL P 2004-07-30 2014-07-25
FNMA 05-84TH RETURN OF PRINCIPAL P 2005-09-30 2014-04-25
FNMA 05109GD RETURN OF PRINCIPAL P 2006-12-06 2014-11-25
GNMA 01-57 D RETURN OF PRINCIPAL P 2002-01-25 2014-12-20
MAST 03-103A5 RETURN OF PRINCIPAL P 2004-11-26 2014-12-25
PIMCO TTL RET C PTTCX 3 LOTS 15.988 SHS P 2013-12-12 2014-02-11
PIMCO TTL RET C PTTCX 2283.262 SHS P 2012-12-05 2014-02-11
24 SHS BPOST SA ADR P 2014-01-24 2014-12-19
20 SHS GDF SUEZ P 2014-03-20 2014-12-19
39 SHS INDL& CMMRCL BK CHINA P 2014-06-12 2014-12-19
24 SHS MUNICH RE GROUP ADR P 2014-01-14 2014-12-19
62 SHS ORKLA ASA SPON ADR P 2014-02-10 2014-12-19
16 SHS OUTFRONT MEDIA INC P 2014-06-06 2014-12-19
28 SHS UBS AG E TRACS ALERN ETN P 2014-11-07 2014-12-11
151.489 SHS VERIZON COMMS INC P 2014-02-24 2014-03-06
8 SHS EATON CORP PLC P 2014-09-23 2014-12-19
103 SHS SEADRILL LTD 2 LOTS P 2014-11-07 2014-11-26
9 SHS SEAGATE TECHNOLOGY PLC P 2014-11-14 2014-12-19
287 SHS APPLE INC 2 LOTS P 2013-04-30 2014-10-24
77 SHS BRIT AMER TBCCO SPNS ADR 2 LOTS P 2012-06-11 2014-01-13
18 SHS CA INC P 2012-06-15 2014-12-19
148 SHS EMERSON ELECTRIC CO 2 LOTS P 2012-06-11 2014-06-06
11.125 SHS HALYARD HEALTH INC 4 LOTS P 2012-06-11 2014-11-14
141 SHS HONEYWELL INTL INC 2 LOTS P 2012-06-11 2014-02-10
20 SHS LEGGETT & PLATT INC P 2011-03-18 2014-12-19
34 SHS NEW YORK CMNTY BANCORP P 2012-02-02 2014-12-19
15 SHS PAYCHEX INC P 2011-06-17 2014-12-19
5 SHS PEPSICO INC P 2011-03-07 2014-12-19
139 SHS RPM INTERNATIONAL INC P 2012-06-11 2014-06-06
105 SHS RPM INTERNATIONAL INC 2 LOTS P 2012-06-11 2014-06-09
21 SHS SMITHS GROUP PLC ADR P 2013-04-29 2014-12-19
61 SHS TAIWAN SEMICON MFG CO P 2011-03-07 2014-01-23
406 SHS TAIWAN SEMICON MFG CO 2 LOTS P 2012-06-11 2014-01-24
99 SHS TAIWAN SEMICON MFG CO P 2012-06-11 2014-01-27
13 SHS TAL INTERNATIONAL GROUP P 2013-10-10 2014-12-19
73 SHS 3M COMPANY 2 LOTS P 2012-06-11 2014-09-23
210 SHS UBS AG E TRACS ALERN ETN P 2012-07-18 2014-03-20
649 SHS UBS AG E TRACS ALERN ETN P 2012-07-18 2014-12-11
.103 SHS VODAFONE CRP PLC NEW ADR 2 LOTS P 2012-06-11 2014-02-27
20 SHS WESTPAC BANKING CORP ADR P 2012-02-03 2014-12-19
18 SHS ZURICH INSURANCE GRP LTD P 2012-10-12 2014-12-19
418 SHS DE LA RUE PLC 4 LOTS P 2013-03-19 2014-09-29
473 SHS DE LA RUE PLC 6 LOTS P 2013-03-27 2014-09-30
417 SEADRILL LTD 3 LOTS P 2012-06-11 2014-11-26
15 SHS AT & T P 2009-04-28 2014-12-19
10 SHS ASTRAZENECA PLC ADR P 2008-05-21 2014-12-19
110 SHS BRIT AMER TBCCO SPNS ADR 4 LOTS P 2010-06-17 2014-01-13
4 SHS CHEVRON CORP P 2008-05-21 2014-12-19
8 SHS CONOCOPHILLIPS 2 LOTS P 2010-03-18 2014-12-19
7 SHS DUKE ENERGY CORP NEW P 2009-02-11 2014-12-19
192 SHS EMERSON ELECTRIC COMPANY 4 LOTS P 2010-06-17 2014-06-06
12 SHS GLAXOSMITHKLINE PLC ADR P 2008-05-21 2014-12-19
19 SHS GOVERNMENT PPTYS INC TR P 2010-07-23 2014-12-19
.048 SHS HALYARD HEALTH INC 2 LOTS P 2014-11-10 2014-11-10
6.952 SHS HALYARD HEALTH INC 2 LOT P 2010-06-17 2014-11-14
9 SHS HEALTH CARE REIT INC P 2010-07-23 2014-12-19
132 SHS HONEYWELL INTL INC 2 LOTS P 2010-06-17 2014-02-10
23 SHS INTEL CORP P 2010-07-06 2014-12-19
7 SHS JOHNSON & JOHNSON P 2009-05-19 2014-12-19
4 SHS KIMBERLY CLARK CORP P 2010-03-18 2014-12-19
13 SHS MICROSOFT CORP P 1997-04-29 2014-12-19
34 SHS ORANGE SPON ADR P 2010-12-09 2014-12-19
4 SHS PHILIP MORRIS INTL INC P 2010-06-17 2014-12-19
5 SHS PROCTER & GAMBLE COMPANY P 2010-08-20 2014-12-19
211 SHS RPM INTERNATIONAL INC P 2010-07-23 2014-03-20
35 SHS RPM INTERNATIONAL INC P 2010-07-23 2014-03-21
132 SHS RPM INTERNATIONAL INC P 2010-07-23 2014-06-09
7 SHS ROYAL DUTCH SHELL ADR B P 2010-08-20 2014-12-19
10 SHS SANOFI SPON ADR P 2008-05-21 2014-12-19
444 SHS TAIWAN SEMICON MFG CO P 2010-07-06 2014-01-23
67 SHS 3M COMPANY 2 LOTS P 2010-03-17 2014-09-23
10 SHS TOTAL S A SPONS ADR P 2010-08-20 2014-12-19
.041 VODAFONE GRP PLC NEW ADR 2 LOTS P 2009-05-19 2014-02-27
.037 VODAFONE GRP PLC NEW ADR P 2010-03-18 2014-02-27
16 SHS VODAFONE GRP PLC NEW ADR P 2009-02-11 2014-12-19
6 SHS ACCENTURE PLC IRELD CL A P 2010-03-18 2014-12-19
59 SHS DE LA RUE PLC P 2010-08-06 2014-09-26
386 SHS DE LA RUE PLC P 2010-08-06 2014-09-29
140 SHS SEADRILL LTD P 2010-07-06 2014-11-26
CAPITAL GAINS 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 109   115 -6
b 28,500   30,006 -1,506
c 6,077   6,015 62
d 555   537 18
e 8,576   7,933 643
1,359   1,352 7
365   365 0
2,240   2,236 4
418   418 0
3,326   3,326 0
173   172 1
24,751   26,594 -1,843
588   473 115
476   539 -63
541   492 49
484   503 -19
428   473 -45
429   520 -91
1,079   1,229 -150
7,187   7,289 -102
551   517 34
1,735   3,241 -1,506
617   566 51
30,117   18,500 11,617
7,685   7,146 539
559   472 87
10,012   7,462 2,550
415   285 130
13,108   7,849 5,259
845   455 390
547   439 108
698   445 253
478   317 161
6,184   3,647 2,537
4,702   2,581 2,121
350   409 -59
1,078   745 333
7,154   5,368 1,786
1,705   1,328 377
551   568 -17
10,568   6,370 4,198
8,169   6,950 1,219
25,018   21,479 3,539
4   5 -1
532   447 85
564   397 167
3,202   6,238 -3,036
3,645   6,960 -3,315
7,022   13,189 -6,167
503   379 124
715   445 270
10,979   7,190 3,789
443   413 30
561   279 282
581   315 266
12,989   8,688 4,301
521   541 -20
439   504 -65
2   1 1
260   144 116
686   347 339
12,272   5,650 6,622
836   450 386
741   391 350
462   235 227
621   129 492
591   719 -128
332   182 150
462   299 163
8,896   3,982 4,914
1,478   661 817
5,911   2,491 3,420
490   364 126
462   375 87
7,843   4,408 3,435
9,699   5,500 4,199
526   481 45
2   2 0
2   2 0
563   564 -1
544   254 290
489   753 -264
2,957   4,925 -1,968
2,358   2,814 -456
3,460     3,460
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       -6
b       -1,506
c       62
d       18
e       643
      7
      0
      4
      0
      0
      1
      -1,843
      115
      -63
      49
      -19
      -45
      -91
      -150
      -102
      34
      -1,506
      51
      11,617
      539
      87
      2,550
      130
      5,259
      390
      108
      253
      161
      2,537
      2,121
      -59
      333
      1,786
      377
      -17
      4,198
      1,219
      3,539
      -1
      85
      167
      -3,036
      -3,315
      -6,167
      124
      270
      3,789
      30
      282
      266
      4,301
      -20
      -65
      1
      116
      339
      6,622
      386
      350
      227
      492
      -128
      150
      163
      4,914
      817
      3,420
      126
      87
      3,435
      4,199
      45
      0
      0
      -1
      290
      -264
      -1,968
      -456
      3,460
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 56,313
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 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 106,354 1,518,458 0.070041
2012 142,726 1,388,958 0.102758
2011 130,965 1,376,392 0.095151
2010 127,638 1,283,997 0.099407
2009 152,372 1,200,917 0.126880
2 Total of line 1, column (d) ...................... 2 0.494237
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 0.098847
4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5..... 4 1,621,232
5 Multiply line 4 by line 3....................... 5 160,254
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,209
7 Add lines 5 and 6......................... 7 161,463
8 Enter qualifying distributions from Part XII, line 4.............. 8 122,996
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 2,418
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 2,418
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 2,418
6 Credits/Payments:
a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a 2,200
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 2,200
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,400
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 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 1,982
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet1,982 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 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletOH
    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 addressbulletWWW.BLOSSERTRUST.ORG
    14
    The books are in care ofbulletPEGGY GRAY Telephone no.bullet (740) 773-0043
    Located atbulletPO BOX 6160 60 RIVERSIDE ST STE 130CHILLICOTHEOH ZIP+4bullet45601
    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
     
     
    .........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
     
     
    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
     
     
    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
     
     
    .........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 (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
    LORENE C WASHINGTON TRUSTEE
    2.50
    3,500 0 0
    102 EASTLOOK DRIVE
    CHILLICOTHE,OH45601
    DONALD C GATCHELL TRUSTEE
    2.50
    3,500 0 0
    1251 BETTY LN
    CHILLICOTHE,OH45601
    TIM NUSBAUM TRUSTEE
    2.50
    3,500 0 0
    62 APPLEWOOD DR
    CHILLICOTHE,OH45601
    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 PROVIDED 9 SCHOLARSHIPS TO QUALIFYING APPLICANTS TO AID IN FURTHERING THEIR EDUCATION. 16,750
    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 PROVIDED 18 LOANS TO QUALIFYING APPLICANTS TO AID IN FURTHERING THEIR EDUCATION. 80,363
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet80,363
    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
    1,495,550
    b
    Average of monthly cash balances.......................
    1b
    150,053
    c
    Fair market value of all other assets (see instructions)................
    1c
    318
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,645,921
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,645,921
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    24,689
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,621,232
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    81,062
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    81,062
    2a
    Tax on investment income for 2014 from Part VI, line 5......
    2a
    2,418
    b
    Income tax for 2014. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,418
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    78,644
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    79,265
    5
    Add lines 3 and 4............................
    5
    157,909
    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
    157,909
    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
    42,633
    b
    Program-related investments—total from Part IX-B..................
    1b
    80,363
    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
    122,996
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    122,996
    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 7 157,909
    2 Undistributed income, if any, as of the end of 2014:
    a Enter amount for 2013 only....... 40,416
    b Total for prior years:20, 20, 20 0
    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......... 0
    4Qualifying distributions for 2014 from Part
    XII, line 4: bullet$ 122,996
    a Applied to 2013, but not more than line 2a 40,416
    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 2014 distributable amount..... 82,580
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2014. 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 2013. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2014. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    75,329
    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) .......
    0
    8Excess distributions carryover from 2009 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2015.
    Subtract lines 7 and 8 from line 6a ......
    0
    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 e-mail address of the person to whom applications should be addressed:
    PEGGY GRAY PETER J BLOSSER SCHOLARS
    60 RIVERSIDE STREET
    CHILLICOTHE,OH45601
    (740) 773-0043
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICANT REQUIRED TO COMPLETE PREPRINTED APPLICATION REQUESTING FAMILY INCOME AND DEBTS; RECENT TAX RETURN; SCHOOL FEES OR BILLING STATEMENT; AMOUNT OF LOAN NEEDED; SCHOOL TRANSCRIPT; PRIOR EDUCATION; EXPECTED DEGREE; EXPECTED GRADUATION DATE; REFERENCES AND SIGNATURE OF APPLICANT AND A COSIGNER'S SIGNATURE.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    LOANS RESTRICTED TO RESIDENTS OF ROSS COUNTY, OHIO.
    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
    GERRI BOWDLE
    7843 ST RT 28
    FRANKFORT,OH45628
    NONE N/A EDUCATIONAL SCHOLARSHIP 2,000
    JOSHUA LEONARD
    14 CLUB DRIVE
    CHILLICOTHE,OH45601
    NONE N/A EDUCATIONAL SCHOLARSHIP 2,000
    KAYLA LEMASTER
    388 CHESTNUT STREET
    CHILLICOTHE,OH45601
    NONE N/A EDUCATIONAL SCHOLARSHIP 2,000
    XAVIER HOLLON
    610 HASTINGS DRIVE
    LYNCHBURG,OH45142
    NONE N/A EDUCATIONAL SCHOLARSHIPEDUCATIONAL SCHOLARSHIP 2,000
    CHELSEA NUNGESTER
    20544 US RT 23 LOT 22
    CHILLICOTHE,OH45601
    NONE N/A EDUCATIONAL SCHOLARSHIP 2,000
    RACHEL BALL
    22 ALLEN DRIVE
    LONDONDERRY,OH45647
    NONE N/A EDUCATIONAL SCHOLARSHIP 2,000
    LEVI DRIGGS
    2100 SULPHUR LICK ROAD
    FRANKFORT,OH45628
    NONE N/A EDUCATIONAL SCHOLARSHIP 2,000
    LEVI DAILEY
    20 WARREN DRIVE
    KINGSTON,OH45644
    NONE N/A EDUCATIONAL SCHOLARSHIP 2,000
    ZAC GRANT
    465 WILLETT ROAD
    WAVERLY,OH45690
    NONE N/A EDUCATIONAL SCHOLARSHIP 750
    Total .................................bullet 3a 16,750
    bApproved for future payment
    Total .................................bullet 3b 0
    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 4,985  
    4 Dividends and interest from securities....     14 72,427  
    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.....         23,127
    8
    Gain or (loss) from sales of assets other than inventory .............
        18 56,313  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aRECOVERY OF BAD DEBTS         600
    bRETURN OF SCHOLARSHIP         1,500
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 133,725 25,227
    13Total. Add line 12, columns (b), (d), and (e)..................
    13158,952
    (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.)
    11A RECOVERY OF STUDENT LOANS PREVIOUSLY WRITTEN OFF AS BAD DEBT EXPENSE.
    7 INTEREST EARNED ON LOANS MADE TO STUDENTS ATTENDING INSTITUTIONS OF HIGHER LEARNING
    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:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2014 AccountingFeesSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 3,000 3,000   0

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2014 DepreciationSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    TYPEWRITER 1985-12-31 737 737 SL 5.000000000000 0 0    
    SURGE PROTECTOR 2000-08-25 110 110 SL 5.000000000000 0 0    
    HP COPIER/PRINTER/FAX/SCANNER 2005-05-11 300 300 SL 5.000000000000 0 0    
    LEATHER OFFICE CHAIR 2005-04-09 110 110 SL 7.000000000000 0 0    
    CHERRY DESK 2005-04-08 484 484 SL 7.000000000000 0 0    
    4 CHAIRS 2005-04-08 512 512 SL 7.000000000000 0 0    
    LATERAL FILE 2005-04-08 140 140 SL 7.000000000000 0 0    
    MACBOOK LAPTOP 2006-07-12 1,354 1,354 SL 5.000000000000 0 0    
    FURNITURE 2006-04-13 411 411 SL 7.000000000000 0 0    
    COMPUTER CHARGER 2008-08-25 99 99 SL 5.000000000000 0 0    
    LAPTOP BATTERY 2008-09-15 142 142 SL 5.000000000000 0 0    
    PRINTER 2009-01-15 150 150 SL 5.000000000000 0 0    
    SHREDDER 2011-02-14 110 64 SL 5.000000000000 22 0    
    FAST SPEED SCANNER 2011-04-14 434 239 SL 5.000000000000 87 0    
    HARD DRIVE & FILEMAKER 2011-07-18 252 121 SL 5.000000000000 50 0    
    HP8600 PRINTER 2013-09-19 140 7 SL 5.000000000000 28 0    

    TY 2014 InvestmentsCorpStockSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ACCENTURE PLC IRELAND CLA 217 SHS 10,610 19,380
    ASTRAZENECA PLC SPON ADR 356 SHS 15,712 25,055
    AT&T INC 551 SHS 16,744 18,508
    CHEVRON CORP 154 SHS 13,633 17,276
    CONOCOPHILLIPS 301 SHS 15,536 20,787
    DUKE ENERGY CORP NEW 252 SHS 14,131 21,052
    ORANGE SPON ADR 1257 SHS 18,291 21,268
    GLAXOSMITHKLINE PLC 455 SHS 18,927 19,447
    GOV'T PROPRETIES INCOME TR 719 SHS 15,984 16,544
    HEALTH CARE REIT INC 348 SHS 17,185 26,333
    INTEL CORP 877 SHS 19,791 31,826
    JOHNSON & JOHNSON 253 SHS 16,032 26,456
    KIMBERLY CLARK CORP 146 SHS 10,266 16,869
    MICROSOFT CORP 47 SHS 468 2,183
    MICROSOFT CORP 439 SHS 12,266 20,392
    PEPSICO INC 183 SHS 12,605 17,305
    PHILIP MORRIS INT'L INC 159 SHS 11,399 12,951
    PROCTER & GAMBLE CO 197 SHS 12,224 17,945
    ROYAL DUTCH SHELL PLC 277 SHS 16,961 19,268
    SANOFI AVENTIS SPON ADR 376 SHS 13,097 17,149
    TOTAL S A SPON ADR 373 SHS 17,888 19,098
    VODAFONE GRP PLC NEW SPON ADR 617 SHS 24,671 21,083
    LEGGETT & PLATT INC 733 SHS 15,479 31,233
    PAYCHEX INC 567 SHS 17,356 26,178
    CA INC 690 SHS 17,757 21,011
    NEW YORK COMMUNITY BANCORP INC 1289 SHS 16,352 20,624
    PENNYMAC MORTGAGE 794 SHS 20,313 16,745
    WESTPAC BANKING CORP SPONSORED ADR 738 SHS 16,196 19,852
    ZURICH INSURANCE GRP LTD 683 SHS 15,233 21,310
    SMITHS GROUP PLC SPON ADR 786 SHS 15,321 13,236
    TAL INT'L GROUP INC 482 SHS 21,766 21,001
    BPOST SA 913 SHS 18,214 23,261
    EATON CORP PLC 312 SHS 20,342 21,204
    GENERAL ELECTRIC CO 1705 SHS 43,614 43,085
    INDUSTRIAL & COMM BK OF CHINA 1447 SHS 18,267 21,126
    MCDONALDS CORP 232 SHS 21,712 21,738
    MUNICH RE GROUP ADR 916 SHS 19,139 18,173
    ORKLA ASA SPON ADR 2318 SHS 17,891 15,531
    OUTFRONT MEDIA/CBS OUTDOOR 608 SHS 19,671 16,319
    SEAGATE TECHNOLOGY PLC 342 SHS 21,538 22,743
    GDF SUEZ SPONSORED ADR 747 SHS 20,021 17,403

    TY 2014 InvestmentsOtherSchedule2
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    FNMA 1997-46 PL AT COST 2,497 2,186
    GNMA 2001-57 D AT COST 2,463 2,780
    FNMA 2004-60 JB AT COST 4,941 5,248
    GNMA 2004-101 BE AT COST 6,805 7,744
    MASTER ASSET SEC TRUST 2003-10 3A5 AT COST 1,026 1,020
    BANK OF AM ALT 2003 10 4A2 AT COST 4,217 4,395
    FNMA 2005-109 GD AT COST 8,348 8,834
    FHLM 3258 JD AT COST 1,337 1,364
    HANCOCK JOHN INCOME CL C 8145.357 SHS AT COST 54,800 53,434
    NUVEEN HIGH INCOME BD CL C 12826.527 SHS AT COST 115,506 106,973
    PIMCO INCOME CL C 16494.982 SHS AT COST 204,778 203,383
    PIMCO REAL RETURN CL C 2154.667 SHS AT COST 27,408 23,529
    PIMCO TOTAL RETURN CL C 2298.431 SHS AT COST 0 0
    PRINCIPAL PREFERRED SECURITIES CL C 5504.790 SHS AT COST 57,864 56,479
    ROWE T PRICE CORP INCOME 2754.036 SHS AT COST 28,791 26,742
    ROWE T PRICE GNMA 2713.639 SHS AT COST 27,351 26,159
    VANGUARD INFLATION ADMIRAL CL 918.034 SHS AT COST 27,152 23,750
    VANGUARD LONG TERM ADMIRAL CL 2546.128 SHS AT COST 28,182 27,371
    THORNBURG INCOME BLDR CL C 1847.789 SHS AT COST 38,410 38,526
    FHLMC 4077 CL HA AT COST 33,261 35,155

    TY 2014 LandEtcSchedule2
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    TYPEWRITER 737 737 0  
    SURGE PROTECTOR 110 110 0  
    HP COPIER/PRINTER/FAX/SCANNER 300 300 0  
    LEATHER OFFICE CHAIR 110 110 0  
    CHERRY DESK 484 484 0  
    4 CHAIRS 512 512 0  
    LATERAL FILE 140 140 0  
    MACBOOK LAPTOP 1,354 1,354 0  
    SOFTWARE 438 438 0  
    FURNITURE 411 411 0  
    COMPUTER CHARGER 99 99 0  
    LAPTOP BATTERY 142 142 0  
    PRINTER 150 150 0  
    SHREDDER 110 86 24  
    FAST SPEED SCANNER 434 326 108  
    HARD DRIVE & FILEMAKER 252 171 81  
    HP8600 PRINTER 140 35 105  


    TY 2014 LegalFeesSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 620 0   620


    TY 2014 OtherAssetsSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    STUDENT LOAN RECEIVABLE 864,197 845,378 845,378
    EXCISE TAX REFUND RECEIVABLE 691    


    TY 2014 OtherExpensesSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BAD DEBTS 22,024 0   0
    BOND 500 0   500
    INSURANCE 525 0   525
    OFFICE EXPENSE 1,771 0   1,771
    MISCELLANEOUS 11 11   0
    SAFE DEPOSIT BOX 75 75   0
    STATE FILING FEE 200 200   0
    TELEPHONE & COMMUNICATIONS 1,770 0   1,770
    COURT COSTS 32 0   32
    COLLECTION FEES 210 0   210
    P O BOX RENTAL 132 66   66
    BANK CHARGES 70 0   70
    FOREIGN TAX WITHHELD 2,095 2,095   0
    WEB HOSTING, DOMAIN FEE WEB DOMAIN 90 0   90
    INVESTMENT MANAGEMENT FEES 10,408 10,408   0
    ADVERTISING 139 0   139


    TY 2014 OtherIncomeSchedule2
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    STUDENT LOAN INTEREST 23,127 23,127 23,127
    RECOVERY OF BAD DEBTS 600   600
    RETURN OF SCHOLARSHIP 1,500   1,500


    TY 2014 OtherLiabilitiesSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Description Beginning of Year - Book Value End of Year - Book Value
    FOREIGN TAX PAYABLE 0 290


    TY 2014 TaxesSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 1,733 866   867
    EXCISE TAX 2,515 0   0