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
LEYDEN RETARDED CENTER FOR ADULTS
 

Number and street (or P.O. box number if mail is not delivered to street address)8607 ARNOLD STREET   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RIVER GROVE, IL60171
A Employer identification number

36-2490807
B Telephone number (see instructions)

(708) 456-8407
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$2,395,043
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).............. 1,125
2 Check bullet
Sch. B ...............
3 Interest on savings and temporary cash investments 6,006 6,006 6,006
4 Dividends and interest from securities......      
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 781,497 0 781,497
12 Total. Add lines 1 through 11........ 788,628 6,006 787,503
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 50,466 0 0 50,466
14 Other employee salaries and wages...... 347,616 0 325,465 22,151
15 Pension plans, employee benefits....... 91,524 0 74,135 17,389
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 22,228 0 18,005 4,223
c Other professional fees (attach schedule).... 36,329 680 35,649 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion... 13,616 0 13,616
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 238,296 0 210,578 27,718
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 800,075 680 677,448 121,947
25 Contributions, gifts, grants paid........ 0 0
26 Total expenses and disbursements. Add lines 24 and 25 800,075 680 677,448 121,947
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -11,447
b Net investment income (if negative, enter -0-) 5,326
c Adjusted net income (if negative, enter -0-)... 110,055
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............... 64,637 52,922 52,922
2 Savings and temporary cash investments..........      
3 Accounts receivable bullet60,854
Less: allowance for doubtful accounts bullet   61,576 60,854 60,854
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........... 3,576 2,643 2,643
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
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)........... 1,947,019 Click to see attachment1,987,209 1,987,209
14 Land, buildings, and equipment: basis bullet883,085
Less: accumulated depreciation (attach schedule) bullet591,670 296,451 Click to see attachment291,415 291,415
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,373,259 2,395,043 2,395,043
Liabilities 17 Accounts payable and accrued expenses.......... 131,809 130,175
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).......... 131,809 130,175
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted................... 2,238,580 2,261,998
25 Temporarily restricted................ 2,870 2,870
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)...... 2,241,450 2,264,868
31 Total liabilities and net assets/fund balances (see instructions).. 2,373,259 2,395,043
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 2,241,450
2 Enter amount from Part I, line 27a..................... 2 -11,447
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 34,865
4 Add lines 1, 2, and 3.......................... 4 2,264,868
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 2,264,868
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  
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 107,581 1,952,768 0.055092
2012 166,318 2,042,394 0.081433
2011 214,563 2,156,563 0.099493
2010 227,577 2,162,804 0.105223
2009 863,014 2,340,729 0.368695
2 Total of line 1, column (d) ...................... 2 0.709936
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 0.141987
4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5..... 4 1,975,034
5 Multiply line 4 by line 3....................... 5 280,429
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 53
7 Add lines 5 and 6......................... 7 280,482
8 Enter qualifying distributions from Part XII, line 4.............. 8 126,926
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 1 107
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........................... 3 107
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- ..... 5 107
6 Credits/Payments:
a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a  
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 0
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 9 107
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   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$ 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)
    bulletIL
    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
    Yes
     
    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 ofbulletCAROL GUTIERREZ Telephone no.bullet (708) 456-8407
    Located atbullet8607 ARNOLD STREETRIVER GROVEIL ZIP+4bullet60171
    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
     
     
    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
    JEANNIE PATITUCCI CHAIRPERSON
    3.00
    0 0 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    BERNADINE NIEWINSKI PRESIDENT OF MEMBERSHIP
    3.00
    0 0 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    ANNETTE POTAMITIS SECRETARY
    3.00
    0 0 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    LIZ BERGL-CARIDE VICE PRESIDENT
    3.00
    0 0 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    KATE CIELOCHA DIRECTOR
    3.00
    0 0 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    MARIANNE LANG DIRECTOR
    3.00
    0 0 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    DAVID STEIK DIRECTOR
    3.00
    0 0 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    JOSEPHINE ROMANO DIRECTOR
    3.00
    0 0 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    PAUL STECHMAN DIRECTOR
    3.00
    0 0 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    CAROL GUTIERREZ DIRECTOR OF OPERATIONS
    40.00
    50,466 12,305 0
    8607 ARNOLD STREET
    RIVER GROVE,IL60171
    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 PROVIDES ON-THE-JOB TRAINING FOR DEVELOPMENTALLY DISABLED ADULTS - 25 CLIENTS SERVED DURING THE YEAR. 677,448
    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.........................bullet0
    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
    1,956,060
    b
    Average of monthly cash balances.......................
    1b
    49,051
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,005,111
    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
    2,005,111
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    30,077
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,975,034
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    98,752
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2014 from Part VI, line 5......
    2a
     
    b
    Income tax for 2014. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    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
     
    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
    121,947
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    4,979
    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
    126,926
    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
    126,926
    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  
    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$  
    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).........
     
    d Applied to 2014 distributable amount.....  
    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 ..........
     
    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
    98,752 87,915 32,668 10,934 230,269
    b 85% of line 2a ......... 83,939 74,728 27,768 9,294 195,729
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
    126,926 107,581 166,318 214,563 615,388
    d Amounts included in line 2c not used
    directly for active conduct of exempt activities ...........
    0 0 0 0 0
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
    126,926 107,581 166,318 214,563 615,388
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......         0
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
            0
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
    65,835 65,092 68,080 71,885 270,892
    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) ....
            0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
            0
    (3) Largest amount of support
    from an exempt organization
            0
    (4) Gross investment income         0
    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
    Total .................................bullet 3a 0
    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
    aPACKAGING SERVICES         776,005
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....         4,200
    3
    Interest on savings and temporary cash investments ............
        14 6,006  
    4 Dividends and interest from securities....          
    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 .............
             
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aMISCELLANEOUS     01 1,292  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 7,298 780,205
    13Total. Add line 12, columns (b), (d), and (e)..................
    13787,503
    (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.)
    1A PROVIDE JOB EXPERIENCE FOR DEVELOPMENTALLY DISABLED ADULTS.
    2 PROVIDE JOB EXPERIENCE FOR DEVELOPMENTALLY DISABLED ADULTS.
    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:
    LEYDEN RETARDED CENTER FOR ADULTS
    EIN: 36-2490807
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 22,228 0 18,005 4,223

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

    TY 2014 DepreciationSchedule
    Name:
    LEYDEN RETARDED CENTER FOR ADULTS
    EIN: 36-2490807
    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
    BUILDING 1957-01-01 80,000 80,000 SL 40.000000000000 0 0 0  
    LEASEHOLD IMPROVEMENTS 1957-01-01 135,598 135,598 SL 31.500000000000 0 0 0  
    LEASEHOLD IMPROVEMENTS 2003-08-15 51,609 13,729 SL 39.000000000000 1,323 0 1,323  
    LEASEHOLD IMPROVEMENTS 2004-03-03 23,441 5,886 SL 39.000000000000 601 0 601  
    LAND 1957-01-01 14,200   L   0 0 0  
    MACHINERY & EQUIPMENT 1957-01-01 96,633 96,633 SL 7.000000000000 0 0 0  
    MACHINERY & EQUIPMENT 2003-08-15 788 788 SL 7.000000000000 0 0 0  
    WORKSHOP EQUIPMENT 2003-08-15 3,137 3,137 SL 7.000000000000 0 0 0  
    WORKSHOP EQUIPMENT 2004-01-20 2,135 2,135 SL 7.000000000000 0 0 0  
    WORKSHOP EQUIPMENT 2006-11-29 943 943 SL 7.000000000000 0 0 0  
    BUILDING 1957-01-01 90,000 90,000 SL 40.000000000000 0 0 0  
    BUILDING ADDITION 1992-07-01 52,950 28,398 SL 40.000000000000 1,324 0 1,324  
    LEASEHOLD IMPROVEMENTS 2000-07-01 70,566 24,390 SL 39.000000000000 1,809 0 1,809  
    LEASEHOLD IMPROVEMENTS 2001-12-30 5,795 1,785 SL 39.000000000000 149 0 149  
    MACHINERY & EQUIPMENT 2001-12-31 63,917 63,917 SL 7.000000000000 0 0 0  
    COMPUTER 2007-07-12 1,000 929 SL 7.000000000000 71 0 71  
    LABEL PRINTER 2007-12-26 1,728 1,502 SL 7.000000000000 226 0 226  
    COMPUTER 2008-05-25 718 574 SL 7.000000000000 103 0 103  
    REFRIGERATOR & FREEZER 2008-06-19 1,095 860 SL 7.000000000000 156 0 156  
    ROOF REPLACEMENT 2008-01-07 14,500 2,231 SL 39.000000000000 372 0 372  
    STORAGE GARAGE 2008-10-08 47,000 6,026 SL 39.000000000000 1,205 0 1,205  
    COPY MACHINE 2008-05-09 571 571 SL 5.000000000000 0 0 0  
    24" CART 2008-05-28 180 144 SL 7.000000000000 26 0 26  
    CONTAINERS & DOLLIES 2008-05-27 158 126 SL 7.000000000000 23 0 23  
    LABEL PRINTER 2008-02-22 1,595 1,329 SL 7.000000000000 228 0 228  
    SNOWBLOWER 2008-11-12 999 737 SL 7.000000000000 143 0 143  
    COMPUTER 2009-05-18 928 821 SL 5.000000000000 107 0 107  
    WORKSHOP EQUIPMENT 2009-03-10 5,705 3,939 SL 7.000000000000 815 0 815  
    GARAGE IMPROVEMENTS 2010-11-10 4,000 410 SL 39.000000000000 103 0 103  
    ROOF REPLACEMENT 2010-11-17 22,999 2,359 SL 39.000000000000 590 0 590  
    ROOF REPLACEMENT 2010-12-13 21,998 2,256 SL 39.000000000000 564 0 564  
    COMPUTER MONITOR 2010-02-23 213 163 SL 5.000000000000 43 0 43  
    VACUUM 2010-03-09 200 153 SL 5.000000000000 40 0 40  
    WORKSHOP EQUIPMENT 2010-02-02 660 369 SL 7.000000000000 94 0 94  
    EQUIPMENT REPAIRS 2010-09-17 1,337 621 SL 7.000000000000 191 0 191  
    CONCRETE 2011-04-06 2,850 195 SL 39.000000000000 73 0 73  
    GARAGE IMPROVEMENTS 2011-04-06 19,500 1,333 SL 39.000000000000 500 0 500  
    GARAGE IMPROVEMENTS 2011-06-13 19,500 1,208 SL 39.000000000000 500 0 500  
    ULINE SHIPPING SUPPLIES 2011-05-03 782 298 SL 7.000000000000 112 0 112  
    WATER HEATER 2012-01-23 2,164 106 SL 39.000000000000 216 0 216  
    LAWNMOWER 2012-06-25 806 242 SL 5.000000000000 161 0 161  
    REFRIGERATOR 2012-10-04 648 162 SL 5.000000000000 130 0 130  
    EQUIPMENT REPAIRS - JECO LIFT 2012-12-17 6,371 948 SL 7.000000000000 910 0 910  
    DELL DESKTOP 2013-10-18 759 27 SL 7.000000000000 108 0 108  
    ULINE MANAGER'S CHAIR 2013-11-14 1,830 44 SL 7.000000000000 261 0 261  
    NEW PAVEMENT 2014-08-06 3,600   SL 20.000000000000 75 0 75  
    BAG SEALING MACHINE 2014-08-15 1,780   SL 7.000000000000 106 0 106  
    PALLET TRUCK 2014-08-19 3,199   SL 7.000000000000 190 0 190  

    TY 2014 InvestmentsOtherSchedule2
    Name:
    LEYDEN RETARDED CENTER FOR ADULTS
    EIN: 36-2490807
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    PACIFIC LIFE VARIABLE ANNUITY FMV 455,203 455,203
    JOHN HANCOCK VARIABLE ANNUITY FMV 763,450 763,450
    CERTIFICATES OF DEPOSIT FMV 768,556 768,556

    TY 2014 LandEtcSchedule2
    Name:
    LEYDEN RETARDED CENTER FOR ADULTS
    EIN: 36-2490807
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    BUILDING 80,000 80,000 0  
    LEASEHOLD IMPROVEMENTS 135,598 135,598 0  
    LEASEHOLD IMPROVEMENTS 51,609 15,052 36,557  
    LEASEHOLD IMPROVEMENTS 23,441 6,487 16,954  
    LAND 14,200 0 14,200  
    MACHINERY & EQUIPMENT 96,633 96,633 0  
    MACHINERY & EQUIPMENT 788 788 0  
    WORKSHOP EQUIPMENT 3,137 3,137 0  
    WORKSHOP EQUIPMENT 2,135 2,135 0  
    WORKSHOP EQUIPMENT 943 943 0  
    BUILDING 90,000 90,000 0  
    BUILDING ADDITION 52,950 29,722 23,228  
    LEASEHOLD IMPROVEMENTS 70,566 26,199 44,367  
    LEASEHOLD IMPROVEMENTS 5,795 1,934 3,861  
    MACHINERY & EQUIPMENT 63,917 63,917 0  
    COMPUTER 1,000 1,000 0  
    LABEL PRINTER 1,728 1,728 0  
    COMPUTER 718 677 41  
    REFRIGERATOR & FREEZER 1,095 1,016 79  
    ROOF REPLACEMENT 14,500 2,603 11,897  
    STORAGE GARAGE 47,000 7,231 39,769  
    COPY MACHINE 571 571 0  
    24" CART 180 170 10  
    CONTAINERS & DOLLIES 158 149 9  
    LABEL PRINTER 1,595 1,557 38  
    SNOWBLOWER 999 880 119  
    COMPUTER 928 928 0  
    WORKSHOP EQUIPMENT 5,705 4,754 951  
    GARAGE IMPROVEMENTS 4,000 513 3,487  
    ROOF REPLACEMENT 22,999 2,949 20,050  
    ROOF REPLACEMENT 21,998 2,820 19,178  
    COMPUTER MONITOR 213 206 7  
    VACUUM 200 193 7  
    WORKSHOP EQUIPMENT 660 463 197  
    EQUIPMENT REPAIRS 1,337 812 525  
    CONCRETE 2,850 268 2,582  
    GARAGE IMPROVEMENTS 19,500 1,833 17,667  
    GARAGE IMPROVEMENTS 19,500 1,708 17,792  
    ULINE SHIPPING SUPPLIES 782 410 372  
    WATER HEATER 2,164 322 1,842  
    LAWNMOWER 806 403 403  
    REFRIGERATOR 648 292 356  
    EQUIPMENT REPAIRS - JECO LIFT 6,371 1,858 4,513  
    DELL DESKTOP 759 135 624  
    ULINE MANAGER'S CHAIR 1,830 305 1,525  
    NEW PAVEMENT 3,600 75 3,525  
    BAG SEALING MACHINE 1,780 106 1,674  
    PALLET TRUCK 3,199 190 3,009  


    TY 2014 OtherExpensesSchedule
    Name:
    LEYDEN RETARDED CENTER FOR ADULTS
    EIN: 36-2490807
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK SERVICE CHARGES 18 0 0 18
    CLIENT ACTIVITIES 9,366 0 9,366 0
    DUES AND SUBSCRIPTIONS 883 0 0 883
    INSURANCE 30,137 0 24,411 5,726
    MATERIALS 153,127 0 153,127 0
    MISCELLANEOUS 1,624 0 0 1,624
    POSTAGE 1,187 0 0 1,187
    REPAIRS AND MAINTENANCE 10,961 0 4,063 6,898
    SECURITY SYSTEM 1,399 0 0 1,399
    SUPPLIES 4,236 0 0 4,236
    TELEPHONE 2,635 0 2,134 501
    TRAVEL AND ENTERTAINMENT 1,146 0 0 1,146
    UTILITIES 21,577 0 17,477 4,100


    TY 2014 OtherIncomeSchedule2
    Name:
    LEYDEN RETARDED CENTER FOR ADULTS
    EIN: 36-2490807
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PACKAGING SERVICES 776,005   776,005
    MISCELLANEOUS 1,292   1,292
    MEMBERSHIP DUES AND ASSESSMENTS 4,200   4,200


    TY 2014 OtherIncreasesSchedule
    Name:
    LEYDEN RETARDED CENTER FOR ADULTS
    EIN: 36-2490807
    Description Amount
       


    TY 2014 OtherProfessionalFeesSchedule
    Name:
    LEYDEN RETARDED CENTER FOR ADULTS
    EIN: 36-2490807
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER 36,329 680 35,649 0