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
Chase Family Foundation
 
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

31-6038352
B Telephone number (see instructions)

(800) 839-1754
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$18,459,223J 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) 0
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 1,514 1,514  
4 Dividends and interest from securities... 436,392 436,392  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 900,912
b Gross sales price for all assets on line 6a 4,310,084
7 Capital gain net income (from Part IV, line 2)... 926,952
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........ 1,338,818 1,364,858  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 1,500 0 0 1,500
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 84,526 84,043   483
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 19,369 526    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 4,045     4,045
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 70,182 433   69,749
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 179,622 85,002 0 75,777
25 Contributions, gifts, grants paid....... 1,079,500 1,079,500
26 Total expenses and disbursements. Add lines 24 and 25 1,259,122 85,002 0 1,155,277
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 79,696
b Net investment income (if negative, enter -0-) 1,279,856
c Adjusted net income (if negative, enter -0-)...  
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.............      
2 Savings and temporary cash investments......... 735,906 197,979 197,979
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)....... 10,381,740 Click to see attachment10,999,363 18,261,244
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) 11,117,646 11,197,342 18,459,223
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
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 11,117,646 11,197,342
30 Total net assets or fund balances (see instructions)..... 11,117,646 11,197,342
31 Total liabilities and net assets/fund balances (see instructions). 11,117,646 11,197,342
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
11,117,646
2
Enter amount from Part I, line 27a .....................
2
79,696
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
11,197,342
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
11,197,342
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.)
1 a Publicly-traded Securities      
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 4,310,084   3,383,132 926,952
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       926,952
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 2 926,952
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 906,187 19,427,045 0.046646
2013 833,989 17,861,777 0.046691
2012 781,997 16,588,422 0.047141
2011 712,052 16,091,365 0.044251
2010 643,461 15,105,610 0.042597
2
Total of line 1, column (d) .....................
20.227326
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
0.045465
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
19,268,552
5
Multiply line 4 by line 3......................
5
876,045
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
12,799
7
Add lines 5 and 6........................
7
888,844
8
Enter qualifying distributions from Part XII, line 4.............
8
1,155,277
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 12,799
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 12,799
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 12,799
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 12,700
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 12,700
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 99
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (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)
    bulletOH
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 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 addressbullet  
    14
    The books are in care ofbulletFoundation Source Telephone no.bullet (800) 839-1754

    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    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
     
    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 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 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
    Alison M Chase VP/trustee
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Barbara K Chase Trustee
    3.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Dave Chase Pres/ trustee
    2.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Dawn K Chase Trustee
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Lee Molen Chase Jr. Trustee / Sec
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Joseph C Hill Trustee
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Andrew Chase jr trustee
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    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
     
    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
    PNC Bank Investment Mgmt 84,043
    201 E 5th street
    CINCINNATI,OH06824
    Foundation Source Administrative 69,549
    55 Walls Drive 3rd floor
    Fairfield,CT06824
    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  
    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
    19,022,620
    b
    Average of monthly cash balances.......................
    1b
    539,362
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    19,561,982
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    19,561,982
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    293,430
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    19,268,552
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    963,428
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    963,428
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    12,799
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    12,799
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    950,629
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    950,629
    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
    950,629
    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
    1,155,277
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,155,277
    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
    12,799
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,142,478
    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 7 950,629
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 926,202
    b Total for prior years:2013, 2012, 2011  
    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$ 1,155,277
    a Applied to 2014, but not more than line 2a 926,202
    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..... 229,075
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........     		721,554
    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 ......     		0
    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.... 0
    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).)
    NONE
    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
    ADVENTURE CYCLING ASSOCIATION
    150 E PINE ST
    MISSOULA,MT59802     		N/A PC General & Unrestricted 1,000
    AMERICAN INDIAN COLLEGE FUND
    8333 GREENWOOD BLVD
    DENVER,CO80221     		N/A PC General & Unrestricted 2,000
    ANIMAL HAVEN INC
    200 CENTRE ST
    NEW YORK,NY10013     		N/A PC General & Unrestricted 12,000
    APPALACHIAN MOUNTAIN CLUB
    5 JOY ST
    BOSTON,MA02108     		N/A PC General & Unrestricted 2,000
    ARTISTS FOR HUMANITY INC
    100 W 2ND ST
    BOSTON,MA02127     		N/A PC General & Unrestricted 1,500
    BABYREAD
    PO BOX 8184
    SENECA,SC29678     		N/A PC General & Unrestricted 500
    BARD COLLEGE
    PO BOX 5000
    ANNANDALEONHUDSON,NY12504     		N/A PC General & Unrestricted 5,000
    BIG CAT RESCUE CORP
    12802 EASY ST
    TAMPA,FL33625     		N/A PC General & Unrestricted 500
    BOSTON CAMERATA INC
    PO BOX 120751
    BOSTON,MA02112     		N/A PC General & Unrestricted 500
    BOSTON COLLEGE ANNUAL FUND
    140 COMMONWEALTH AVE
    CHESTNUT HILL,MA02467     		N/A PC Dr. J C Hill Fund for the Integrated Sciences 30,000
    BOSTON COLLEGE HIGH SCHOOL
    150 MORRISSEY BLVD
    DORCHESTER,MA02125     		N/A PC General & Unrestricted 5,000
    BRIDGE OVER TROUBLED WATERS INC
    47 W ST
    BOSTON,MA02111     		N/A PC General & Unrestricted 500
    BUDGET BUDDIES INC
    14 HIGH ST
    CHELMSFORD,MA01824     		N/A PC General & Unrestricted 100
    CAMP RUNOIA ALUMNAE ORGANIZATION
    PO BOX 450
    BELGRADE LAKES,ME04918     		N/A PC Camper scholarships Fund 1,000
    CHARITY NAVIGATOR
    139 HARRISTOWN RD STE 201
    GLEN ROCK,NJ07452     		N/A PC General & Unrestricted 500
    CHILDRENS MUSEUM INC
    950 TROUT BROOK DR
    WEST HARTFORD,CT06119     		N/A PC Roaring Brook Nature Center 6,000
    CHURCH WORLD SERVICE INC
    PO BOX 968
    ELKHART,IN46515     		N/A PC General & Unrestricted 20,000
    CIRCLE OF LIFE ARTS FOR ALL INC
    50 CHAPMAN PL BOX 3
    EAST HARTFORD,CT06108     		N/A PC General & Unrestricted 1,000
    CIVA CHRISTIANS IN VISUAL ARTS
    849 E WASHINGTON AVE STE 212
    MADISON,WI53703     		N/A PC General & Unrestricted 500
    COMPASSION INTERNATIONAL INCORPORATED
    12290 VOYAGER PKWY
    COLORADO SPRINGS,CO80997     		N/A PC General & Unrestricted 10,000
    COMPASSION INTERNATIONAL INCORPORATED
    12290 VOYAGER PKWY
    COLORADO SPRINGS,CO80997     		N/A PC Leadership Training Program 10,000
    CONGREGATIONAL CHURCH OF TOPSFIELD MASSACHUSETTS
    9 E COMMON ST
    TOPSFIELD,MA01983     		N/A PC general fund and maintenance fund 20,000
    COOPERATIVE FOR ASSISTANCE AND RELIEF EVERYWHERE I
    PO BOX 7039
    MERRIFIELD,VA22116     		N/A PC General & Unrestricted 3,000
    COVENANT HOUSE
    460 W 41ST ST
    NEW YORK,NY10036     		N/A PC General & Unrestricted 10,000
    COVENANT HOUSE
    460 W 41ST ST
    NEW YORK,NY10036     		N/A PC 3 to 1 challenge gift Initiative 10,000
    DARTMOUTH COLLEGE Gino Franco Luigi Zarbin MD M
    6066 DEVELOPMENT OFC
    HANOVER,NH03755     		N/A PC General & Unrestricted 100
    DISABLED SPORTS USA -NEW ENGLAND DISABLED SPORTS
    PO BOX 26
    LINCOLN,NH03251     		N/A PC General & Unrestricted 5,000
    DOCTORS WITHOUT BORDERS USA INC
    333 7TH AVE 2ND FL
    NEW YORK,NY10001     		N/A PC General & Unrestricted 20,000
    EARTHJUSTICE
    50 CALIFORNIA ST STE 500
    SAN FRANCISCO,CA94111     		N/A PC Defend against Arctic Drilling Program 10,000
    EAST COAST GREENWAY ALLIANCE INC
    5315 HIGHGATE DR STE 105
    DURHAM,NC27713     		N/A PC General & Unrestricted 5,000
    ENVIRONMENTAL DEFENSE FUND INCORPORATED
    1875 CONNECTICUT AVE NW STE 600
    WASHINGTON,DC20009     		N/A PC General & Unrestricted 5,000
    ESSEX COUNTY GREEN BELT ASSOCIATION INC
    82 EASTERN AVE
    ESSEX,MA01929     		N/A PC General & Unrestricted 5,000
    ESSEX COUNTY GREEN BELT ASSOCIATION INC
    82 EASTERN AVE
    ESSEX,MA01929     		N/A PC Endowment Fund 20,000
    FARM TO FAMILY INC
    PO BOX 463
    AVON,CT06001     		N/A PC General & Unrestricted 4,000
    FARMINGTON RIVER WATERSHED ASSOCIATION INC
    749 HOPMEADOW ST
    SIMSBURY,CT06070     		N/A PC General & Unrestricted 5,000
    FARMINGTON VALLEY TRAILS COUNCIL
    PO BOX 576
    TARIFFVILLE,CT06081     		N/A PC General & Unrestricted 1,000
    FOODSHARE INC
    450 WOODLAND AVE
    BLOOMFIELD,CT06002     		N/A PC General & Unrestricted 6,000
    FRIENDS OF MAITI NEPAL A NON-PROFIT CORPORATION
    63 COMMERCIAL WHARF
    BOSTON,MA02110     		N/A PC General & Unrestricted 4,000
    GRAMEEN AMERICA INC
    150 W 30TH ST FL 8
    NEW YORK,NY10001     		N/A PC General & Unrestricted 4,000
    GRAMEEN FOUNDATION USA
    1101 15TH ST NW 3RD FL
    WASHINGTON,DC20005     		N/A PC General & Unrestricted 4,000
    HABITAT FOR HUMANITY INTERNATIONAL INC
    1276 S 500 W
    SALT LAKE CITY,UT84101     		N/A PC General & Unrestricted 12,500
    HARTFORD CHORALE INC
    233 PEARL ST STE 17
    HARTFORD,CT06103     		N/A PC General & Unrestricted 1,000
    HARTFORD PERFORMS
    233 PEARL ST
    HARTFORD,CT06103     		N/A PC General & Unrestricted 1,000
    HARTFORD SYMPHONY ORCHESTRA INC
    166 CAPITOL AVE
    HARTFORD,CT06106     		N/A PC General & Unrestricted 1,000
    HEIFER PROJECT INTERNATIONAL
    1 WORLD AVE
    LITTLE ROCK,AR72202     		N/A PC General & Unrestricted 4,000
    HELP IS ON THE WAY TODAY
    52-30 65TH PL
    MASPETH,NY11378     		N/A PC General & Unrestricted 4,000
    HOPE FOR HAITI INC
    1021 5TH AVE N
    NAPLES,FL34102     		N/A PC General & Unrestricted 6,000
    HOSPICE CARE CORPORATION
    PO BOX 760
    ARTHURDALE,WV26520     		N/A PC General & Unrestricted 500
    INTERNATIONAL RESCUE COMMITTEE INC
    122 E 42ND ST
    NEW YORK,NY10168     		N/A PC General & Unrestricted 5,000
    INTERNATIONAL RESCUE COMMITTEE INC
    122 E 42ND ST
    NEW YORK,NY10168     		N/A PC Eastern African Goat Project 30,000
    INTERNATIONAL RESCUE COMMITTEE INC
    122 E 42ND ST
    NEW YORK,NY10168     		N/A PC Goat Project 500
    INTERVARSITY CHRISTIAN FELLOWSHIP- USA
    635 SCIENCE DR
    MADISON,WI53711     		N/A PC General & Unrestricted 1,000
    IPSWICH RIVER WATERSHED ASSOCIATION INC
    PO BOX 576
    IPSWICH,MA01938     		N/A PC General & Unrestricted 500
    LITTLE KIDS ROCK INC
    632 POMPTON AVE
    CEDAR GROVE,NJ07009     		N/A PC General & Unrestricted 1,000
    LWALA COMMUNITY ALLIANCE INC
    PO BOX 60688
    NASHVILLE,TN37206     		N/A PC General & Unrestricted 500
    MASSACHUSETTS AUDUBON SOCIETY INC
    208 S GREAT RD
    LINCOLN,MA01773     		N/A PC Ipswich River Wildlife Sanctuary Division 4,000
    MASSACHUSETTS GENERAL HOSPITAL-THE SCHWARTZ CENTER
    100 CAMBRIDGE ST STE 2100
    BOSTON,MA02114     		N/A PC General & Unrestricted 1,000
    MASSACHUSETTS LAND TRUST COALITION
    18 WOLBACH RD
    SUDBURY,MA01776     		N/A PC General & Unrestricted 1,000
    MEMORIAL UNITED METHODIST CHURCH
    867 W AVON RD
    AVON,CT06001     		N/A PC General & Unrestricted 27,000
    MEMORIAL UNITED METHODIST CHURCH
    867 W AVON RD
    AVON,CT06001     		N/A PC Debt Reduction Fund 10,000
    MEMORIAL UNITED METHODIST CHURCH
    867 W AVON RD
    AVON,CT06001     		N/A PC Debt Reduction Fund 2,000
    NATIONAL CENTER FOR LEARNING DISABILITIES INC
    32 LAIGHT ST 2ND FL
    NEW YORK,NY10013     		N/A PC General & Unrestricted 3,000
    NATIONAL PARKS CONSERVATION ASSOCIATION
    777 6TH ST NW STE 700
    WASHINGTON,DC20001     		N/A PC General & Unrestricted 1,000
    NATIONAL PUBLIC RADIO INC
    1111 N CAPITOL ST NE
    WASHINGTON,DC20002     		N/A PC General & Unrestricted 2,000
    NATURAL RESOURCES DEFENSE COUNCIL INC
    40 W 20TH ST
    NEW YORK,NY10011     		N/A PC climate change work Program 50,000
    NEW ENGLAND INSTITUTE OF RELIGIOUS RESEARCH INC
    18 CROOKED LN
    LAKEVILLE,MA02347     		N/A PC General & Unrestricted 50,000
    NEW HAMPSHIRE COMMUNITY LOAN FUND
    7 WALL ST
    CONCORD,NH03301     		N/A PC General & Unrestricted 5,000
    NEW OPPORTUNITY SCHOOL FOR WOMEN INC
    204 CHESTNUT ST
    BEREA,KY40403     		N/A PC General & Unrestricted 1,000
    NEW TRIBES MISSION INC
    1000 E 1ST ST
    SANFORD,FL32771     		N/A PC Randy and Diana Smyth fund 1,000
    NEW YORK COMMON PANTRY
    8 E 109TH ST
    NEW YORK,NY10029     		N/A PC General & Unrestricted 4,000
    NEW YORK RESTORATION PROJECT
    254 W 31ST ST FL 10
    NEW YORK,NY10001     		N/A PC General & Unrestricted 4,000
    NUZZLES & CO
    PO BOX 682155
    PARK CITY,UT84068     		N/A PC General & Unrestricted 11,000
    PLATEAU RESTORATION INC
    3170 RIMROCK RD
    MOAB,UT84532     		N/A PC General & Unrestricted 1,000
    POLARIS PROJECT
    PO BOX 65323
    WASHINGTON,DC20035     		N/A PC General & Unrestricted 14,000
    PRESBYTERIANS FOR RENEWAL INC
    8134 NEW LAGRANGE RD
    LOUISVILLE,KY40222     		N/A PC General & Unrestricted 4,000
    PRISON FELLOWSHIP MINISTRIES
    44180 RIVERSIDE PKWY
    LANSDOWNE,VA20176     		N/A PC General & Unrestricted 10,000
    PRISON FELLOWSHIP MINISTRIES Angel Tree Program
    44180 RIVERSIDE PKWY
    LANSDOWNE,VA20176     		N/A PC General & Unrestricted 14,000
    PUPPIES BEHIND BARS INC
    263 W 38 ST 4TH FL
    NEW YORK,NY10018     		N/A PC General & Unrestricted 10,000
    RAILS TO TRAILS CONSERVANCY
    2121 WARD COURT NW 5TH FL
    WASHINGTON,DC20037     		N/A PC General & Unrestricted 1,000
    RAILS TO TRAILS CONSERVANCY
    2121 WARD COURT NW 5TH FL
    WASHINGTON,DC20037     		N/A PC Boxford Rail Trail Division 200
    RANDOLPH COUNTY COMMUNITY ARTS COUNCIL
    PO BOX 3111
    ELKINS,WV26241     		N/A PC General & Unrestricted 2,000
    REVELS INC
    80 MOUNT AUBURN ST
    WATERTOWN,MA02472     		N/A PC General & Unrestricted 500
    RIPON COLLEGE BOARD OF TRUSTEES
    PO BOX 248
    RIPON,WI54971     		N/A PC General & Unrestricted 5,000
    SALT LAKE CITY BICYCLE COLLECTIVE
    PO BOX 2400
    SALT LAKE CTY,UT84110     		N/A PC General & Unrestricted 10,000
    SALT LAKE CITY BICYCLE COLLECTIVE
    PO BOX 2400
    SALT LAKE CTY,UT84110     		N/A PC Ogden General Operating Division 5,000
    SALT LAKE CITY BICYCLE COLLECTIVE
    PO BOX 2400
    SALT LAKE CTY,UT84110     		N/A PC Salt Lake General Operating Division 5,000
    SALVATION ARMY - GREATER HARTFORD AREA SERVICES
    217 WASHINGTON ST
    HARTFORD,CT06106     		N/A PC General & Unrestricted 10,000
    SALVATION ARMY NATIONAL CORP
    615 SLATERS LN PO BOX 269
    ALEXANDRIA,VA22314     		N/A PC New England Area Division 10,000
    SAT-7 NORTH AMERICA
    29509 CANVASBACK DRV STE 101
    EASON,MD21601     		N/A PC General & Unrestricted 6,000
    SAVEKITTY FOUNDATION
    PO BOX 260096
    BELLEROSE,NY11426     		N/A PC General & Unrestricted 4,000
    SILENT SPRING INSTITUTE INC
    29 CRAFTS ST
    NEWTON,MA02458     		N/A PC General & Unrestricted 3,000
    SIM USA INCORPORATED
    14830 CHOATE CIR
    CHARLOTTE,NC28273     		N/A PC Corey and Katie Garrett fund 4,000
    SIMMONS COLLEGE
    300 THE FENWAY
    BOSTON,MA02115     		N/A PC School of Health Sciences, Graduate Nursing Division 20,000
    SIMSBURY LAND TRUST INC
    PO BOX 634
    SIMSBURY,CT06070     		N/A PC General & Unrestricted 25,000
    ST JOHN SCHOOL OF THE ARTS INC 108 ESTATE ENIGNED
    PO BOX 180
    ST JOHN,VI00831     		N/A PC General & Unrestricted 200
    STUDENT CONSERVATION ASSOCIATION INC
    PO BOX 550
    CHARLESTOWN,NH03603     		N/A PC General & Unrestricted 1,000
    THE FISTULA FOUNDATION
    1922 THE ALAMEDA STE 302
    SAN JOSE,CA95126     		N/A PC General & Unrestricted 6,000
    THE GREATER BOSTON FOOD BANK INC
    70 S BAY AVE
    BOSTON,MA02118     		N/A PC General & Unrestricted 5,000
    THE NATIONAL MILITARY FAMILY ASSOCIATION INC
    3601 EISENHOWER AVE STE 425
    ALEXANDRIA,VA22304     		N/A PC General & Unrestricted 4,000
    THE NATURE CONSERVANCY - MAINE CHAPTER
    14 MAINE ST STE 401
    BRUNSWICK,ME04011     		N/A PC General & Unrestricted 10,000
    THE NATURE CONSERVANCY - MAINE CHAPTER
    14 MAINE ST STE 401
    BRUNSWICK,ME04011     		N/A PC G3 Program 37,500
    THE SEVEN HILLS SCHOOLS
    5400 RED BANK RD
    CINCINNATI,OH45227     		N/A PC General & Unrestricted 5,000
    THE TRUST FOR PUBLIC LAND
    101 WHITNEY AVE 2ND FL
    NEW HAVEN,CT06510     		N/A PC For use in Connecticut 25,000
    THE TRUST FOR PUBLIC LAND - MONTPELIER VERMONT
    3 SHIPMAN PL
    MONTPELIER,VT05602     		N/A PC northeast division for Appalachian Trail/ Long trail protection 70,000
    THE TRUST FOR PUBLIC LAND - MONTPELIER VERMONT
    3 SHIPMAN PL
    MONTPELIER,VT05602     		N/A PC Long Trails state programs 50,000
    THEATERWORKS INC
    233 PEARL ST
    HARTFORD,CT06103     		N/A PC General & Unrestricted 2,000
    TILLETT FOUNDATION INC - ARTS ALIVE
    TILLETT GARDENS
    ST THOMAS,VI00802     		N/A PC General & Unrestricted 500
    TRUSTEES OF RESERVATIONS
    572 ESSEX ST
    BEVERLY,MA01915     		N/A PC General & Unrestricted 600
    UNIVERSITY OF NEW HAMPSHIRE FOUNDATION INCORPORATE
    9 EDGEWOOD RD ELLIOTT ALUMNI CTR
    DURHAM,NH03824     		N/A PC Kingsbury Hall Atrium Project 150,000
    UNIVERSITY OF ROCHESTER
    910 GENESEE ST STE 200
    ROCHESTER,NY14611     		N/A PC General & Unrestricted 100
    WARM BLANKETS CHILDRENS FOUNDATION
    5105 TOLLVIEW DR STE 155
    ROLLING MEADOWS,IL60008     		N/A PC General & Unrestricted 2,500
    WASATCH PUBLIC MEDIA
    PO BOX 510730
    SALT LAKE CTY,UT84151     		N/A PC General & Unrestricted 17,500
    WGBH EDUCATIONAL FOUNDATION
    ONE GUEST ST
    BOSTON,MA02135     		N/A PC General & Unrestricted 3,000
    WORLD WILDLIFE FUND INC
    1250 24TH ST NW
    WASHINGTON,DC20090     		N/A PC General & Unrestricted 1,200
    ZACHARY AND ELIZABETH M FISHER CENTER FOR ALZHEIME
    110 E 42ND ST 16TH FL
    NEW YORK,NY10017     		N/A PC General & Unrestricted 4,000
    ZOOLOGICAL SOCIETY OF CINCINNATI
    3400 VINE ST
    CINCINNATI,OH45220     		N/A PC Rhino project 12,500
    ZOOLOGICAL SOCIETY OF CINCINNATI
    3400 VINE ST
    CINCINNATI,OH45220     		N/A PC Signature Rhino Project 12,000
    Total .................................bullet 3a 1,079,500
    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 ...........     		    14 1,514  
    4 Dividends and interest from securities....     14 436,392  
    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 ............     		    18 900,912  
    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)..   1,338,818  
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,338,818
    (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


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    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

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    TY 2015 DepreciationSchedule
    Name:
    Chase Family Foundation
    EIN:
    31-6038352
    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

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Chase Family Foundation
    EIN:
    31-6038352
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M CO 126,960 225,960
    ABBOTT LABS 103,494 179,640
    ABBVIE INC 112,230 236,960
    ACE LTD 142,817 371,392
    AMERN AADV INTL EQ FD INTL 550,000 534,545
    APPLE INC 204,941 1,157,859
    ARTISAN INTERNATIONAL FUND ADV 444,150 501,927
    AT&T, INC 139,355 172,050
    BLACKROCK STRAT INC OPP - INS 360,000 350,134
    CAMBIAR INTERNATIONAL EQUITY F 250,706 252,549
    CHEVRON CORP 165,563 314,860
    DODGE & COX INCOME FUND 450,000 441,691
    EAGLE SMALL CAP GROWTH I 180,000 235,119
    EMERSON ELECTRIC CO 138,348 172,188
    EOG RESOURCES INC 57,332 340,641
    EXPRESS SCRIPTS HOLDING CO 74,915 212,406
    EXXON MOBIL CORP 225,530 420,930
    GENERAL ELECTRIC CO 279,729 221,165
    GENERAL MILLS INC 98,074 230,640
    GOLDMAN SACHS GROUP 160,889 270,345
    HARDING LOEVNER INTL EQU 275,000 295,174
    HARDING, LOEVNER FUNDS, INC. 230,000 222,128
    ISHARES IBOXX $ INVESTMENT GRA 546,395 627,055
    ISHARES MSCI EAFE SMALL CAP IN 192,192 194,805
    ISHARES NASDAQ BIOTECHNOLOGY 137,163 676,660
    ISHARES TR S & P MIDCAP 400 IN 180,546 417,960
    JOHNSON & JOHNSON 251,886 513,600
    JP MORGAN CHASE 2,131 198,090
    MACY'S INC 78,805 90,948
    MCDONALD'S CORP 200,962 372,141
    MERCK & CO INC 93,606 105,640
    MICROSOFT CORP 244,498 377,264
    NEXTERA ENERGY, INC 147,659 477,894
    NORTHROP GRUMMAN CORP 76,373 420,102
    ORACLE CORP 6,710 189,956
    PEPSICO INC 136,041 299,760
    PROCTER GAMBLE CO 354,364 1,049,720
    QUALCOMM INC 91,730 149,955
    T ROWE PRICE MID CAP VALUE 405,456 426,704
    T. ROWE PRICE ASSOCIATES 123,668 214,470
    T. ROWE PRICE SHORT TERM BOND 1,000,000 991,579
    TARGET CORPORATION 81,666 181,525
    TEMPLETON GLOBAL BD 309,665 277,309
    TEVA PHARMECEUTICAL SP ADR 94,390 168,564
    UNITED TECHNOLOGIES CORP 169,457 403,494
    VANGUARD MSCI EUROPEAN ETF 265,090 254,388
    VANGUARD SM-CAP ETF 75,835 110,640
    VERIZON COMMUNICATIONS 114,453 184,880
    WALT DISNEY HOLDINGS CO 150,911 577,940
    WASTE MANAGEMENT INC 100,680 160,110
    WALGREENS BOOTS ALLIANCE 146,998 340,620
    WFA CORE BOND FD INST 450,000 447,168

    TY 2015 LegalFeesSchedule
    Name:
    Chase Family Foundation
    EIN:
    31-6038352
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    General Consultations 1,500     1,500


    TY 2015 OtherExpensesSchedule
    Name:
    Chase Family Foundation
    EIN:
    31-6038352
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 69,549     69,549
    Bank Charges 433 433    
    State or Local Filing Fees 200     200


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    Chase Family Foundation
    EIN:
    31-6038352
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CONSULTING SERVICES 483     483
    Investment Management Services 84,043 84,043    


    TY 2015 TaxesSchedule
    Name:
    Chase Family Foundation
    EIN:
    31-6038352
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2015 12,700      
    990-PF Extension for 2014 6,143      
    Foreign Tax Paid 526 526