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
THE PARK HOME
 

Number and street (or P.O. box number if mail is not delivered to street address)2160 WARRENSVILLE ROAD   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MONTOURSVILLE, PA17754
A Employer identification number

24-0522575
B Telephone number (see instructions)

(570) 433-4663
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$22,340,799J Accounting method:
 
(Part I, column (d) must be on cash basis.)
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach
schedule)..............  
2 Check bullet
Sch. B ...............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 503,164 503,164 503,164
5a Gross rents.............. 37,806   37,806
b Net rental income or (loss) -34,824
6a Net gain or (loss) from sale of assets not on line 10 664,547
b Gross sales price for all assets on line 6a 7,662,842
7 Capital gain net income (from Part IV, line 2)... 664,547
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)....... Click to see attachment 1,094,528   1,094,528
12 Total. Add lines 1 through 11........ 2,300,045 1,167,711 1,635,498
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 14,400     14,400
14 Other employee salaries and wages...... 416,438     416,438
15 Pension plans, employee benefits....... 110,185     110,185
16a Legal fees (attach schedule)......... Click to see attachment 9,040     9,040
b Accounting fees (attach schedule)....... Click to see attachment 14,188     14,188
c Other professional fees (attach schedule).... Click to see attachment 180,605 92,168   88,437
17 Interest............... 87,037   24,727 62,310
18 Taxes (attach schedule) (see instructions)... Click to see attachment 77,154 9,737   67,417
19 Depreciation (attach schedule) and depletion... Click to see attachment 109,996    
20 Occupancy.............. 7,444     7,444
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 441,834   47,903 393,816
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,468,321 101,905 72,630 1,183,675
25 Contributions, gifts, grants paid........ 0 0
26 Total expenses and disbursements. Add lines 24 and 25 1,468,321 101,905 72,630 1,183,675
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 831,724
b Net investment income (if negative, enter -0-) 1,065,806
c Adjusted net income (if negative, enter -0-)... 1,562,868
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............... 100 428 428
2 Savings and temporary cash investments.......... 108,570 501,240 501,240
3 Accounts receivable bullet31,504
Less: allowance for doubtful accounts bullet     31,504 31,504
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........... 13,155 31,201 31,201
10a Investments—U.S. and state government obligations (attach schedule) 3,658,180 Click to see attachment3,281,132 3,281,132
b Investments—corporate stock (attach schedule)........ 12,215,324 Click to see attachment11,449,058 11,449,058
c Investments—corporate bonds (attach schedule)........ 1,801,656 Click to see attachment2,040,617 2,040,617
11 Investments—land, buildings, and equipment: basis bullet1,017,233
Less: accumulated depreciation (attach schedule) bullet63,092 973,630 Click to see attachment954,141 1,017,233
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 23,863 Click to see attachment25,855 25,855
14 Land, buildings, and equipment: basis bullet3,962,531
Less: accumulated depreciation (attach schedule) bullet128,422 57,600 Click to see attachment3,834,109 3,962,531
15 Other assets (describe bullet)   Click to see attachment13,742  
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 18,852,078 22,163,027 22,340,799
Liabilities 17 Accounts payable and accrued expenses.......... 5,062 49,077
18 Grants payable..................    
19 Deferred revenue..................   63,131
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 1,801,311 Click to see attachment4,780,840
22 Other liabilities (describe bullet) Click to see attachment6,221 Click to see attachment8,243
23 Total liabilities (add lines 17 through 22).......... 1,812,594 4,901,291
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted................... 17,039,484 17,261,736
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)...... 17,039,484 17,261,736
31 Total liabilities and net assets/fund balances (see instructions).. 18,852,078 22,163,027
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 17,039,484
2 Enter amount from Part I, line 27a..................... 2 831,724
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 766,177
4 Add lines 1, 2, and 3.......................... 4 18,637,385
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 1,375,649
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 17,261,736
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 SEE ATTACHED SCH ACCT 888-04102 P    
b SEE ATTACHED SCH ACCT 888-04103 P    
c CLASS ACTION SETTLEMENT P    
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 6,241,257   5,591,339 649,918
b 1,421,224   1,406,956 14,268
c 361     361
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       649,918
b       14,268
c       361
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 2 664,547
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      
2012      
2011      
2010      
2009      
2 Total of line 1, column (d) ...................... 2  
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  
4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5..... 4  
5 Multiply line 4 by line 3....................... 5  
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7  
8 Enter qualifying distributions from Part XII, line 4.............. 8  
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: 1974-10-22(attach copy of letter if necessary–see instructions)
b 1 N/A
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3  
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5  
6 Credits/Payments:
a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a 13,772
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 13,772
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 13,772
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet0 RefundedBullet 11 13,772
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletPA
    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 addressbulletWWW.THEPARKHOMEMEADOWS.COM
    14
    The books are in care ofbulletBOOKKEEPER Telephone no.bullet (570) 433-4663
    Located atbullet2160 WARRENSVILLE ROADMONTOURSVILLEPA ZIP+4bullet17754
    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
     
     
    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
    JEFFERY B SIMS DIRECTOR/PRE
    1.00     		1,800 0 0
    1036 WASHINGTON BOULEVARD
    WILLIAMSPORT,PA17701
    ROBERT J MCKERNAN DIRECTOR/VIC
    0.50     		1,800 0 0
    1424 LOCUST STREET
    WILLIAMSPORT,PA17701
    MARY K GIBBS SMITH DIRECTOR/SEC
    0.50     		1,800 0 0
    25 WEST THIRD STREET SUITE 300
    WILLIAMSPORT,PA17701
    GEORGE D GOLDEN DIRECTOR/TRE
    0.50     		1,800 0 0
    1765 RICHARDS AVENUE
    WILLIAMSPORT,PA17701
    GEORGE BIERMAN DIRECTOR
    0.50     		1,800 0 0
    1940 ROUNDTOP ROAD
    MONTOURSVILLE,PA17754
    J BUDD BELL DIRECTOR
    0.50     		1,800 0 0
    2883 SOUTH REACH ROAD
    WILLIAMSPORT,PA17701
    LINDA DIEFFENBACH DIRECTOR
    0.50     		1,800 0 0
    2160 WARRENSVILLE ROAD
    MONTOURSVILLE,PA17754
    JAMES K GATES II DIRECTOR
    0.50     		1,800 0 0
    2160 WARRENSVILLE ROAD
    MONTOURSVILLE,PA17754
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    SUSQUEHANNA HEALTH SYSTEM MANAGEMENT 88,081
    700 HIGH STREET
    WILLIAMSPORT,PA17754
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 WITH EXCEPTION OF INVESTMENT ACTIVITY, THE ONLY ACTIVITY CARRIED ON BY THE PARK HOME IS THE OPERATION OF A PERSONAL CARE FACILITY. THIS FACILITY PROVIDES HOUSING, DINING, ENTERTAINMENT ACTIVITIES, MEDICAL SERVICES AND HYGIENE RELATED ASSISTANCE TO ITS RESIDENTS. 1,293,786
    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 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    17,371,750
    b
    Average of monthly cash balances.......................
    1b
    406,714
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,043,778
    d
    Total (add lines 1a, b, and c).........................
    1d
    18,822,242
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    1,017,235
    3
    Subtract line 2 from line 1d.........................
    3
    17,805,007
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    267,075
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    17,537,932
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    876,897
    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
    1,183,675
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    3,150,421
    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
    4,334,096
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    4,334,096
    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....... 820,107
    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$ 4,334,096
    a Applied to 2013, but not more than line 2a 820,107
    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 3,513,989
    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 3,513,989
    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
    1974-10-22
    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
    0       0
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		4,334,096 750,000 505,350 846,540 6,435,986
    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 ....     		4,334,096 750,000 505,350 846,540 6,435,986
    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...     		584,598 555,919 516,087 641,501 2,298,105
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    Total .................................bullet 3a  
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    aPERSONAL CARE FACILITY         1,094,528
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............     		         
    4 Dividends and interest from securities....     14 503,164  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property...... 531110 -34,824      
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............     		    18 664,547  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. -34,824 1,167,711 1,094,528
    13Total. Add line 12, columns (b), (d), and (e)..................
    132,227,415
    (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 OPERATION OF A PERSONAL CARE FACILITY
    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:
    THE PARK HOME
    EIN: 24-0522575
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    AUDITING & TAX SERVICES 14,188     14,188

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

    TY 2014 AmortizationSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Description of Amortized Expenses Date Acquired, Completed, or Expended Amount Amortized Deduction for Prior Years Amortization Method Current Year Amortization Net Investment Income Adjusted Net Income Total Amount of Amortization
    JSSB LOAN FEES-MEADOWS 2015-07-27 10,608   20.0000 88     88

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    TY 2014 DepreciationSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    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
    REFRIGERATOR 2011-08-17 201 81 S/L 5.0000 40      
    FOLDING TABLES & CHAIRS 2012-11-30 498 285 200DB 7.0000 61      
    COMPUTER & MONITOR 2011-05-13 526 245 S/L 5.0000 106      
    FURNITURE 2011-08-17 1,378 394 S/L 7.0000 197      
    SHARP MX-B201D COPIER 2012-04-17 1,437 395 S/L 5.0000 288      
    SHARP MX-2310U COPIER 2011-09-28 5,201 1,950 S/L 5.0000 1,041      
    MODEL HOME-FURN & FIXTURES 2012-07-26 46,623 7,493 S/L 7.0000 6,660      
    BUILDING (MEADOWS) 2014-12-31 3,104,311   S/L 39.0000 56,382      
    FURN & EQUIPMENT (MEADOWS) 2014-12-31 587,000   S/L 7.0000 41,929      
    2004 CHRYSLER 300 2014-12-31 5,000   S/L 5.0000 500      
    2000 FORD E450 VAN 2014-12-31 8,000   S/L 5.0000 800      
    10 TON HEAT PUMP-MEADOWS 2014-09-01 25,300   S/L 39.0000 622      
    BEAUTY PARLOR FURN/EQUIP UPGRADES 2015-04-08 2,030   S/L 7.0000 145      
    SURFACE PRO 3 & NETWORK 2015-04-22 12,253   S/L 5.0000 1,225      
    IMPAIRMENT LOSS - CIP 2012-09-01                
    3 METAL SHELVES 2001-08-08 245 245 S/L 10.0000        
    HP COMPUTER, PRINTER & SOFTWARE 2000-02-01 1,314 1,314 S/L 5.0000        
    PIANO DISC CFX228 PLAYBACK SYSTEM 2008-02-12 7,800 4,030 S/L 5.0000        
    LAUNDRY ROOM EQUIP - WATER HEATER 2008-06-24 10,744 2,149 S/L 10.0000        
    CIP-JVT CAPITALIZED INTEREST 2011-08-31 12,718              
    CONSTRUCTION IN PROGRESS 2011-08-31 850,979              
    LAND (MEADOWS) 2014-12-31 142,669              

    TY 2014 InvestmentsCorpBondsSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 2,040,617 2,040,617

    TY 2014 InvestmentsCorpStockSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE EQUITIES & MUTUAL FUNDS 11,449,058 11,449,058

    TY 2014 InvestmentsGovtObligationsSch
    Name:
    THE PARK HOME
    EIN: 24-0522575
    US Government Securities - End of Year Book Value:

    3,281,132
    US Government Securities - End of Year Fair Market Value:

    3,281,132
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2014 InvestmentsLandSchedule2
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    RESIDENTIAL DWELLINGS 535,430 63,092 472,338 535,430
    LAND (RESIDENTIAL DWELLINGS) 481,803   481,803 481,803

    TY 2014 InvestmentsOtherSchedule2
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ACCRUED INTEREST RECEIVABLE FMV 25,855 25,855

    TY 2014 LandEtcSchedule2
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    FURNITURE/EQUIPMENT/VEHICLES 690,251 71,419 618,832 690,251
    BUILDING 3,129,611 57,003 3,072,608 3,129,611
    LAND 142,669   142,669 142,669


    TY 2014 LegalFeesSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 9,040     9,040


    TY 2014 MortgagesAndNotesPayableSch
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Total Mortgage Amount:  

    Item No. 1
    Lender's Name BANK OF AMERICA
    Lender's Title  
    Relationship to Insider  
    Original Amount of Loan  
    Balance Due 1680840
    Date of Note 2011-06
    Maturity Date  
    Repayment Terms MONTHLY
    Interest Rate  
    Security Provided by Borrower INVESTMENTS
    Purpose of Loan REAL ESTATE ACQUISITION/DEVELOPMENT
    Description of Lender Consideration  
    Consideration FMV  

    Item No. 2
    Lender's Name JERSEY SHORE STATE BANK
    Lender's Title  
    Relationship to Insider  
    Original Amount of Loan 3100000
    Balance Due 3100000
    Date of Note 2015-07
    Maturity Date 1935-08
    Repayment Terms MONTHLY
    Interest Rate 0.0396
    Security Provided by Borrower REAL ESTATE & OTHER TANGIBLE ASSETS
    Purpose of Loan ACQUISITION OF PERSONAL CARE HOME
    Description of Lender Consideration  
    Consideration FMV  


    TY 2014 OtherAssetsSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    LOAN FEES   13,858  
    ACCUMULATED AMORTIZATION - LOAN FEES   -116  


    TY 2014 OtherDecreasesSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Description Amount
       


    TY 2014 OtherExpensesSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    RESIDENTIAL DWELLINGS        
    UTILITIES & CABLE 1,897   1,897  
    REPAIRS & MAINTENANCE 833   833  
    INSURANCE 1,861   1,861  
    REAL ESTATE TAXES 7,587   7,587  
    INVESTMENT DEPRECIATION 35,725   35,725  
    EXPENSES        
    ADVERTISING 12,254     12,254
    BANK FEES 555     555
    DUES & SUBSCRIPTIONS 759     759
    EQUIPMENT RENTAL 176     176
    FOOD SERVICE 100,774     100,774
    HOUSEKEEPING SUPPLIES 6,114     6,114
    INSURANCE 50,882     50,882
    LAUNDRY & LINEN 16,474     16,474
    LICENSES 354     354
    MISCELLANEOUS 188     188
    MOVING & STORAGE EXPENSE 5,560     5,560
    OFFICE SUPPLIES 10,819     10,819
    PARKING 380     380
    PAYROLL SERVICE 1,528     1,528
    POSTAGE & COURIERS 482     482
    REPAIRS & MAINTENANCE 46,507     46,507
    RESIDENT SERVICES 22,534     22,534
    SANITATION 3,291     3,291
    SECURITY 636     636
    TELEPHONE 2,565     2,565
    UTILITIES 100,959     100,959
    WEBSITE DESIGN & MAINTENANCE 10,025     10,025


    TY 2014 OtherIncomeSchedule2
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PERSONAL CARE FACILITY 1,094,528   1,094,528


    TY 2014 OtherIncreasesSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Description Amount
       
       


    TY 2014 OtherLiabilitiesSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Description Beginning of Year - Book Value End of Year - Book Value
    REFUNDABLE DEPOSITS 2,800 4,700
    ACCRUED EXCISE TAX    
    ACCRUED INTEREST 3,421 3,543


    TY 2014 OtherProfessionalFeesSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PORTFOLIO MANAGEMENT FEES 92,168 92,168    
    MANAGEMENT FEES 88,081     88,081
    PENSION PLAN ADMINISTRATION FEE 356     356


    TY 2014 TaxesSchedule
    Name:
    THE PARK HOME
    EIN: 24-0522575
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES ON DIVIDENDS 8,295 8,295    
    REAL ESTATE TAXES 68,859 1,442   67,417