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
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
THE MCCORMICK FAMILY FOUNDATIONINC
 
Number and street (or P.O. box number if mail is not delivered to street address)2500 GRANDVIEW DR
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
VINCENNES, IN47591
A Employer identification number

35-2016398
B Telephone number (see instructions)

C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$3,441,236
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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 6 6 6
4 Dividends and interest from securities... 70,068 70,068 70,068
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)...  
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).......      
12 Total. Add lines 1 through 11........ 70,074 70,074 70,074
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 1,780      
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 2,055      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications.......... 125      
23 Other expenses (attach schedule)....... 157      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 4,117 0   0
25 Contributions, gifts, grants paid....... 184,965 184,965
26 Total expenses and disbursements. Add lines 24 and 25 189,082 0   184,965
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -119,008
b Net investment income (if negative, enter -0-) 70,074
c Adjusted net income (if negative, enter -0-)... 70,074
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
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............. 35,853    
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 850,383 Click to see attachment850,383 3,441,236
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)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 886,236 850,383 3,441,236
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................   83,155
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).........   83,155
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 886,236 767,228
30 Total net assets or fund balances (see instructions)..... 886,236 767,228
31 Total liabilities and net assets/fund balances (see instructions). 886,236 850,383
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
886,236
2
Enter amount from Part I, line 27a .....................
2
-119,008
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
767,228
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
767,228
Form 990-PF (2015)
Form 990-PF (2015)
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))
2014 114,575 2,910,784 0.039362
2013 118,772 2,615,350 0.045413
2012 119,100 2,264,575 0.052593
2011 81,347 1,904,583 0.042711
2010 75,568 1,827,683 0.041346
2
Total of line 1, column (d) .....................
20.221425
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
0.044285
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
3,099,122
5
Multiply line 4 by line 3......................
5
137,245
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
701
7
Add lines 5 and 6........................
7
137,946
8
Enter qualifying distributions from Part XII, line 4.............
8
184,965
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 (2015)
Form 990-PF (2015)
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 Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 701
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........................... 3 701
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- ..... 5 701
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,360
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 1,360
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 10 659
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet659 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
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)
    bulletIN
    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 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    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 ofbulletJANE WISSEL Telephone no.bullet (812) 882-4360

    Located atbullet1665 OLD US HWY 41 SOUTHVINCENNESIN ZIP+4bullet47591
    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 2015, 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  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    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 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    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 2015 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 2015.)..................
    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 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    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 (2015)
    Form 990-PF (2015)
    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
    C JAMES MCCORMICK PRESIDENT
    2.00
    0 0 0
    2500 GRANDVIEW DR
    VINCENNES,IN47591
    CRAIG JANE WISSEL OFFICER
    1.00
    0 0 0
    2289 SOUTH DAYSON DRIVE
    VINCENNES,IN47591
    PATRICK LYNN S MCCORMICK OFFICER
    1.00
    0 0 0
    2812 OLD 41 SOUTH
    VINCENNES,IN47591
    MICHAEL D MARGARET A MCCORMICK OFFICER
    1.00
    0 0 0
    11905 E COUNTY ROAD 500 S
    ZIONSVILLE,IN46077
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    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  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    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
    3,097,432
    b
    Average of monthly cash balances.......................
    1b
    48,885
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,146,317
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    3,146,317
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    47,195
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,099,122
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    154,956
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    154,956
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    701
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    701
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    154,255
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    154,255
    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
    154,255
    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
    184,965
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    184,965
    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
    701
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    184,264
    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 (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2014
    (c)
    2014
    (d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 154,255
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 46,402
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 184,965
    a Applied to 2014, but not more than line 2a 46,402
    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 2015 distributable amount..... 138,563
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015.    
    (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 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    15,692
    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 2010 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    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 2015, 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) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    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
    HEART TO HEART INC
    1404 NORTH 4TH STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 2,500
    KNOX COUNTY COMMUNITY FOUNDATION
    PO BOX 273
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 200
    HERITAGE CHRISTIAN SCHOOL
    6401 EAST 75TH STREET
    INDIANAPOLIS,IN462502799
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    VINCENNES EDUCATION FOUNDATION
    1712 SOUTH QUAIL RUN ROAD
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    SCOTTISH RITE FREE MASONRY DAVID BE
    PO BOX 519
    LEXINGTON,MA024200529
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 40
    RED SKELTON MUSEUM FOUNDATION
    20 RED SKELTON BLVD
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 600
    THE HENRY COUNTY COMMUNITY FOUNDATI
    700 SOUTH MEMORIAL DRIVE
    NEW CASTLE,IN47362
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 5,000
    RED SKELTON MUSEUM FOUNDATION
    20 RED SKELTON BLVD
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 2,000
    VINCENNES UNIVERSITY ALUMNI COMMUNI
    1002 NORTH FIRST STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,800
    RED SKELTON MUSEUM FOUNDATION
    20 RED SKELTON BLVD
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    SPECIAL OLYMPICS
    720 WEST 4TH STREET
    BICKNELL,IN47512
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    CEF
    229 CHURCH STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    KEEP VINCENNES ROLLING
    1078 NORTH ASPEN DRIVE
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 200
    ICM
    1901 NORTH ARMISTEAD AVEN
    HAMPTON,VA23666
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    SRBF-SCOTTISH RITE CHARITIES
    PO BOX 859
    LEWISTON,ME042430859
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    HADI SHRINERS
    PO BOX 1
    EVANSVILLE,IN477010001
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 60
    VINCENNES HISTORIC FARMERS MARKET
    1421 MENTOR STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 300
    ASPCA
    PO BOX 96929
    WASHINGTON,DC200777127
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 25
    SPCAI
    PO BOX 92240
    WASHINGTON,DC200902240
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 10
    HSUS
    PO BOX 96930
    WASHINGTON,DC200906930
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 10
    CEF
    229 CHURCH STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    CASA
    105 BROADWAY STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    MENTAL HEALTH AMERICA OF KNOX COUNT
    PO BOX 859
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 250
    JUNIOR ACHIEVEMENT OF SOUTHWESTERN
    431 EAST DIAMOND AVENUE
    EVANSVILLE,IN477113713
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 4,000
    KNOX COUNTY HUMANE SOCIETY
    PO BOX 64
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 10
    KNOX COUNTY HUMANE SOCIETY
    PO BOX 64
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,500
    LEAGUE OF WOMEN VOTERS OF KNOX COUN
    PO BOX 1366
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    LHSCMS BAND BOOSTERS BAND BOOSTER
    PO BOX 591
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 250
    LHS ACADEMIC SOCIETY
    1545 SOUTH HART STREET RO
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 500
    PAN AMERICAN MISSION INC
    PO BOX 429
    NEWBERG,OR971320429
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    PAN AMERICAN MISSION INC
    PO BOX 429
    NEWBERG,OR971320429
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    INDIANA GOLF FOUNDATION
    PO BOX 516
    FRANKLIN,IN46131
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 30
    HELPING HIS HANDS
    102 EAST LYNDALE AVENUE
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,500
    BOYS TOWN
    PO BOX 6000
    BOYS TOWN,NE680109988
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 250
    NATIONAL AIR AND SPACE SOCIETY-SMIT
    PO BOX 92192
    WASHINGTON,DC200902192
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 35
    UNITED STATES OLYMPIC COMMITTEE
    PO BOX 7010
    ALBERT LEA,MN560078010
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 20
    DISABLED VETERANS NATIONAL FOUNDATI
    PO BOX 96648
    WASHINGTON,DC200906648
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 15
    PARALYZED VETERANS OF AMERICA
    PO BOX 921
    WILTON,NH030860921
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 15
    RILEY CHILDREN'S FOUNDATION
    30 SOUTH MERIDIAN STREET
    INDIANAPOLIS,IN462043509
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 2,000
    SOUTH KNOX EDUCATION FOUNDATION
    6116 EAST STATE ROAD 61
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    BUFFALO TRACE COUNCIL-BOY SCOUTS OF
    3501 EAST LLOYD EXPRESSWA
    EVANSVILLE,IN477158624
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    MAKE-A-WISH OF OHIO KENTUCKY & IND
    PO BOX 97104
    WASHINGTON,DC200907104
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    SPECIAL OLYMPICS
    PO BOX 44094
    INDIANAPOLIS,IN462040094
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    VU FOUNDATION
    1002 NORTH FIRST STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 5,000
    VU FOUNDATION
    1002 NORTH FIRST STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 5,000
    VINCENNES CITY FIRE DEPARTMENT
    928 VIGO STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    VINCENNES TOWNSHIP VOLUNTEER FIRE D
    PO BOX 575
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    UNITED WAY OF KNOX COUNTY
    PO BOX 198
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 6,000
    KNOX COUNTY EXTENSION HOMEMAKERS
    VINCENNES
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 200
    COMMUNITY UNITED METHODIST CHURCH
    1548 SOUTH HART STREET RO
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 10,000
    BETTYE J MCCORMICK SENIOR CENTER
    2009 PROSPECT AVENUE
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 200
    LATVIAN LUTHERAN CHURCH
    502 WALBRIDGE ST
    CARMEL,IN46032
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 2,500
    KNOX COUNTY COMMUNITY FOUNDATION
    VINCENNES
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 5,000
    GROUSELAND FOUNDATION INC
    1421 MENTOR ST
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 50
    ST PETER LUTHERAN CHURCH
    7000 SOUTH DECKER ROAD
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 50
    GOOD SAMARITAN HOSPICE
    520 S 7TH ST
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 2,000
    ANGEL MINISTRIES
    5115 HOLLYRIDGE DRIVE
    RALEIGH,NC276123111
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 500
    ALPHA GAMMA RHO EDUCATIONAL FOUNDAT
    10101 N AMBASSADOR DR
    KASAS CITY,MO641531366
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    CHILDREN & FAMILY SERVICES CORP
    105 BROADWAY STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,500
    DECKER HIGH SCHOOL ALUMNI - CO RON
    1442 EAST BLOEBAUM ROAD
    DECKER,IN47524
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    BPO ELKS NO 291
    VINCENNES
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    SISTERS OF ST BENEDICT
    802 EAST 10TH STREET
    FERDINAND,IN475329239
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 5,000
    INDIANA MASONIC HOME FOUNDATION IN
    PO BOX 44210
    INDIANAPOLIS,IN462094489
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 500
    RADIANT CHRISTIAN LIFE - KHMM
    16162 CAREY ROAD
    WESTFIELD,IN46074
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 500
    KIWANIS INTERNATIONAL FOUNDATION
    3636 WOODVIEW TRACE
    INDIANAPOLIS,IN462683196
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    GRAND LODGE OF INDIANA F & AM
    PO BOX 44210
    INDIANAPOLIS,IN462440210
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 50
    KNIGHTS TEMPLAR EYE FOUNDATION
    VINCENNES YORK RITE
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    VINCENNES LODGE NO 1
    PO BOX 1
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    SCOTTISH RITE COMMUNITY CENTER
    203 CHESTNUT STREET
    EVANSVILLE,IN47713
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 100
    VINCENNES FOOD PANTRY
    PO BOX 1235
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,500
    VINCENNES SWIM TEAM
    VINCENNES
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 250
    VU CHRISTIAN CAMPUS FELLOWSHIP
    102 EAST LYNDALE AVENUE
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    GROUSELAND FOUNDATION INC
    3 WEST SCOTT ST
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    JOE BLACK 4-H CLUB
    PO BOX 202
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    INDIANA 4-H FOUNDATION INC
    615 WEST STATE STREET
    WEST LAFAYETTE,IN479072053
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    INDIANA MILITARY MUSEUM INC
    PO BOX 977
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    HIGHER BOUND INC
    300 NORTH 5TH STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    YMCA
    2010 COLLEGE AVENUE
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 2,500
    PACE
    525 NORTH 4TH STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    MAYO CLINIC
    200 FIRST STREET SW
    ROCHESTER,MN55905
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    MAYO CLINIC
    200 FIRST STREET SW
    ROCHESTER,MN55905
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 2,000
    THE LAWRENCEVILLE-VINCENNES AIRPORT
    VINCENNES
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    SHOP WITH A COP
    501 BUSSERON STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 350
    HADI SHRINERS
    PO BOX 1
    EVANSVILLE,IN477010001
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 50
    HADI SHRINE CIRCUS
    PO BOX 1
    EVANSVILLE,IN477010001
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 180
    HADI SHRINE CIRCUS
    PO BOX 1
    EVANSVILLE,IN477010001
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 40
    SALVATION ARMY
    VINCENNES
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    FCA - CENTRAL INDIANA FCA
    2230 STAFFORD ROAD
    PLAINFIELD,IN46168
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 500
    GOOD SAMARITAN HOSPICE
    520 SOUTH 7TH STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    THE INDIANA ACADEMY
    30 SOUTH MERIDIAN STREET
    INDIANAPOLIS,IN46204
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 500
    MIDWEST FOOD BANK
    6450 SOUTH BELMONT AVENUE
    INDIANAPOLIS,IN46217
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 500
    OLD NORTHWEST CORP
    1409 AUDUBON ROAD
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 125
    ALICE OF OLD VINCENNES
    2202 EAST SEMINOLE DRIVE
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    VINCENNES UNIVERSITY FOUNDATION
    1002 NORTH FIRST STREET
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 200
    PALM HARBOR UNITED METHODIST CHURCH
    1551 BELCHER ROAD
    PALM HARBOR,FL34683
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    INNISBROOK ASSOCIATE SCHOLARSHIP FU
    36750 US HWY 19 NORTH
    PALM HARBOR,FL34684
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 3,000
    KNOX COUNTY COMMUNITY FOUNDATION
    PO BOX 273
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,000
    OLD TOWN PLAYERS INC
    PO BOX 855
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 1,500
    COMMUNITY UMC ENDOWMENT FUND
    1548 SOUTH HART STREET RO
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 25,000
    KCARC
    VINCENNES
    VINCENNES,IN47591
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 50,000
    GRAND ALMONER'S CAMPAIGN
    PO BOX 519
    LEXINGTON,MA024200519
        SUPPORT PUBLIC PURPOSE OF RECIPIENT 5,000
    Total .................................bullet 3a 184,965
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........
            6
    4 Dividends and interest from securities....         70,068
    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: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..     70,074
    13Total. Add line 12, columns (b), (d), and (e)..................
    1370,074
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    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 organizations?
    Yes
    No
    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 name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    THE MCCORMICK FAMILY FOUNDATIONINC
    EIN:
    35-2016398
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 1,780      

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    THE MCCORMICK FAMILY FOUNDATIONINC
    EIN:
    35-2016398
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK 850,383 3,441,236

    TY 2015 OtherExpensesSchedule
    Name:
    THE MCCORMICK FAMILY FOUNDATIONINC
    EIN:
    35-2016398
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    FILING FEES 7      
    INVESTMENT FEES 150      


    TY 2015 TaxesSchedule
    Name:
    THE MCCORMICK FAMILY FOUNDATIONINC
    EIN:
    35-2016398
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL INCOME TAX 2,055