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
FOSTER & EVELYN BARKEMA
CHARITABLE TRUST
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 461
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
HAMPTON, IA50441
A Employer identification number

46-6233696
B Telephone number (see instructions)

(641) 456-5196
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$20,068,677J 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 66,368 46,419  
4 Dividends and interest from securities... 67,341 61,514  
5a Gross rents............ 457,606 457,606  
b Net rental income or (loss) 337,543
6a Net gain or (loss) from sale of assets not on line 10 18,834
b Gross sales price for all assets on line 6a 976,347
7 Capital gain net income (from Part IV, line 2)... 18,834
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........ 610,149 584,373  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 50,000 37,500   12,500
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 9,670     9,670
b Accounting fees (attach schedule)....... Click to see attachment 6,100 6,100    
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,681 1,681    
19 Depreciation (attach schedule) and depletion... Click to see attachment 91,250 91,250  
20 Occupancy.............. 22,816 22,816    
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 13,713 13,636   79
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 195,230 172,983   22,249
25 Contributions, gifts, grants paid....... 852,120 852,120
26 Total expenses and disbursements. Add lines 24 and 25 1,047,350 172,983   874,369
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -437,201
b Net investment income (if negative, enter -0-) 411,390
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......... 1,619,770 1,004,566 1,004,566
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) 793,571 Click to see attachment947,894 967,032
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule)....... 264,582 Click to see attachment331,909 325,269
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,684,778 Click to see attachment2,734,254 2,626,357
14 Land, buildings, and equipment: basis bullet18,293,677
Less: accumulated depreciation (attach schedule) bullet182,500 18,202,427 Click to see attachment18,111,177 15,099,313
15 Other assets (describe bullet) Click to see attachment48,013 Click to see attachment46,140 Click to see attachment46,140
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 23,613,141 23,175,940 20,068,677
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.................. 23,613,141 23,175,940
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 23,613,141 23,175,940
31 Total liabilities and net assets/fund balances (see instructions). 23,613,141 23,175,940
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
23,613,141
2
Enter amount from Part I, line 27a .....................
2
-437,201
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
23,175,940
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
23,175,940
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 P 2015-06-01 2015-08-20
b PUBLICLY TRADED SECURITIES P 2013-10-17 2015-06-01
c PUBLICLY TRADED SECURITIES P 2013-10-17 2015-06-01
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 20,602   22,110 -1,508
b 502,961   515,234 -12,273
c 419,142   420,169 -1,027
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       -1,508
b       -12,273
c       -1,027
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 18,834
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 567,793 9,834,256 0.057736
2013 231,418 2,940,707 0.078695
2012 968 2,549,471 0.000380
2011      
2010      
2
Total of line 1, column (d) .....................
20.136811
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
0.045604
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
21,170,342
5
Multiply line 4 by line 3......................
5
965,452
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
4,114
7
Add lines 5 and 6........................
7
969,566
8
Enter qualifying distributions from Part XII, line 4.............
8
874,369
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 8,228
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 8,228
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 8,228
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 6,800
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 6,800
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 1,428
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)
    bulletIA
    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 ofbulletZOE BROWN Telephone no.bullet (641) 456-5196

    Located atbullet700 FEDERAL STREET SOUTHPO BOX 461HAMPTONIA ZIP+4bullet50441
    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
    ZOE BROWN TRUSTEE
    25.00     		50,000 0 0
    700 SOUTH FEDERAL ST
    HAMPTON,IA50441
    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
    3,819,622
    b
    Average of monthly cash balances.......................
    1b
    1,636,000
    c
    Fair market value of all other assets (see instructions)................
    1c
    16,037,111
    d
    Total (add lines 1a, b, and c).........................
    1d
    21,492,733
    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
    21,492,733
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    322,391
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    21,170,342
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,058,517
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    1,058,517
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    8,228
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,228
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,050,289
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    1,050,289
    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
    1,050,289
    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
    874,369
    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
    874,369
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    874,369
    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 1,050,289
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    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...... 124,539
    e From 2014...... 89,646
    fTotal of lines 3a through e........ 214,185
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 874,369
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount..... 874,369
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015. 175,920 175,920
    (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 38,265
    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 ..........     		0
    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 ......     		38,265
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014.... 38,265
    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 e-mail address of the person to whom applications should be addressed:
    ZOE BROWN TRUSTEE
    700 S FEDERAL ST
    HAMPTON,IA50441
    (641) 456-5196
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATION FOR FUNDS FORM FULLY FILLED OUT AND SIGNED; COPY OF THE 501(C)(3) DETERMINATION LETTER FROM THE IRS ATTACHED; OR CERTIFICATION THAT THE ORGANIZATION IS A POLITICAL SUBDIVISION OF THE STATE IN WHICH IT IS LOCATED.
    cAny submission deadlines:
    SEPTEMBER 30, 2016.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    QUALIFIED TAX-EXEMPT CHARITABLE ORGANIZATIONS, GIVING FIRST PREFERENCE TO THE COMMUNITIES OF ALEXANDER, IOWA, INCLUDING BUT NOT LIMITED TO ALEXANDER, LATIMER, COULTER, HAMPTON AND BELMOND, IOWA.
    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
    ABERDEEN VILLAGE
    17500 W 119TH ST
    OLATHE,KS660619524     		    GOOD SAMARITAN FUND 7,000
    ACCESS INC
    20 5TH ST NW PO BOX 268
    HAMPTON,IA50441     		    VAN 5,000
    AL EXITO HAMPTON
    PO BOX 93531
    DES MOINES,IA50393     		    LATINO MENTORSHIP PROGRAM 3,000
    ALEXANDER FIRE DEPARTMENT
    CITY OF ALEXANDER
    419 HARRIMAN ST
    ALEXANDER,IA50420     		    FIREMEN'S GEAR 11,500
    ALEXANDER PUBLIC LIBRARY
    PO BOX 27
    ALEXANDER,IA50420     		    OVERHEAD LIGHTING;BATHROOM RENOV 18,000
    APPLE DAYCARE INC
    PO BOX 693
    SHEFFIELD,IA50475     		    MINI-SPLIT HEAT PUMPS 5,000
    BELMOND FIRE DEPARTMENT FOUNDATION
    307 7TH ST NE
    BELMOND,IA50421     		    INFRARED THERMAL IMAGING CAMERA 7,500
    BELMOND PUBLIC LIBRARY FOUNDATION
    440 EAST MAIN
    BELMOND,IA50421     		    COMPUTERS AND SOFTWARE; OUTSIDE HAND 3,000
    BELMOND YOUTH ROBOTICS TEAM
    323 EAST MAIN
    BELMOND,IA50421     		    COMPUTER, SOFTWARE AND BLDG COMPONEN 1,500
    BELMOND-KLEMME COMM SCHOOLS
    411 10TH AVE NE
    BELMOND,IA50421     		    SCHOLARSHIPS 33,000
    BETHANY REFORMED CHURCH
    PO BOX 52
    BELMOND,IA50421     		    CHAIRLIFTS 6,000
    BRIDGE OF HOPE
    PO BOX 623
    HAMPTON,IA50441     		    TV/DVD AND MOBILE CART; ACTIVITIES 2,000
    CAL CSD
    1441 GULL AVE
    LATIMER,IA50452     		    MUSIC INSTRUMENTS AND EQUIPMENT 13,700
    CAL EDUCATION FOUNDATION
    1441 GULL AVE
    LATIMER,IA50452     		    SCHOLARSHIPS 17,600
    CARING PREGNANCY CENTER
    830 15TH ST SW SUITE 1
    MASON CITY,IA50401     		    BABY ESSENTIALS FOR BABY BUCKS 4,000
    CITY OF ALEXANDER
    PO BOX 1
    ALEXANDER,IA50420     		    STANDBY GENERATOR 20,000
    CITY OF BELMOND LUICK MEM SWIMMING
    908 1ST ST SE
    BELMOND,IA50421     		    CHAIRS, TABLES, BENCHES 5,000
    CITY OF SHEFFIELD
    PO BOX 252
    SHEFFIELD,IA50475     		    RESTROOM FOR CITY PARK 10,000
    CITY OF MESERVEY
    PO BOX 246
    MESERVEY,IA50457     		    PUMP HOUSE 8,000
    CLEAN UP CLOSET
    100 CENTRAL AVE E
    HAMPTON,IA50441     		    CLEANING PRODUCTS AND TOILETRIES 1,500
    COMMUNITY KITCHEN OF NORTH IOWA IN
    PO BOX 58
    MASON CITY,IA50401     		    EVENING MEAL PROGRAM 2,000
    COULTER COMMUNITY CENTER
    PO BOX 62
    COULTER,IA50431     		    NEW SIDING AND SOFFITS 11,500
    COULTER PUBLIC LIBRARY
    PO BOX 87
    COULTER,IA50431     		    READING/COMPUTER AREA UPDATE 1,000
    COULTER VOLUNTEER FIRE DEPARTMENT
    CITY OF COULTER
    PO BOX 5
    COULTER,IA50431     		    FIREHOSE AND NOZZLE 4,200
    CRISIS INTERVENTION SERVICE
    PO BOX 656
    MASON CITY,IA50402     		    NEEDS FOR VICTIMS AND FAMILIES 5,000
    DUMONT COMMUNITY LIBRARY
    602 2ND ST PO BOX 159
    DUMONT,IA50625     		    COMMUNITY ROOM REMODEL 4,500
    DUMONT PARKS AND REC
    720 3RD ST
    DUMONT,IA50625     		    WELLNESS TRACK SEALANT/LANDSCAPING 5,000
    DUMONT REFORMED CHURCH
    912 3RD ST BOX 247
    DUMONT,IA50625     		    ANNUAL DISTRIBUTION 20,000
    DUMONT VOLUNTEER FIRE DEPARTMENT
    CITY OF DUMONT
    625 1ST ST BOX 303
    DUMONT,IA50625     		    GENERATOR 2,700
    ELLSWORTH COLLEGE
    1100 COLLEGE AVE
    IOWA FALLS,IA50126     		    INFUSION PUMP FOR NURSING STUDENTS 4,000
    FIRESIDE LTD
    11241 US HWY 65
    IOWA FALLS,IA50126     		    NEW ROOF FOR 12 STEP MTG HOUSE 5,000
    FIRST REFORMED CHURCH
    214 BROWN ST
    ALEXANDER,IA50420     		    ANUAL DISRIBUTION 20,000
    FIRST REFORMED CHURCH
    620 2ND ST
    MESERVEY,IA50457     		    ANNUAL DISTRIBUTION 20,000
    FRANKLIN COUNTY 4-H FOUNDATION
    3 FIRST AVE NW
    HAMPTON,IA50441     		    BUILDING ADDITION W/ RESTROOMS 20,000
    FRANKLIN COUNTY FAIR FOUNDATION
    PO BOX 442
    HAMPTON,IA50441     		    PLEASANT HILL CHURCH REPAIRS 4,000
    FRANKLIN COUNTY FOOD PANTRY
    123 1ST AVE SW
    HAMPTON,IA50441     		    FOOD PRODUCTS 5,000
    FRANKLIN COUNTY MINISTERIAL ALLIANC
    PO BOX 354
    HAMPTON,IA50441     		    FRANKLIN CO. CRISIS FUND 5,000
    FRANKLIN COUNTY PUBLIC HEALTH
    1600 CENTRAL AVE E
    HAMPTON,IA50441     		    SUPPLIES AND EQUIP FOR FOOT CLINICS 1,250
    FRANKLIN GENERAL HOSPITAL FOUDATION
    1720 CENTRAL AVE E
    HAMPTON,IA50441     		    PORTABLE X-RAY MACHINE 25,000
    FRANKLIN WELLNESS CENTER
    1514 CENTRAL AVE E
    HAMPTON,IA50441     		    AIR HANDLERS/ POOL AREA/ ELLIPTICAL 18,000
    FULLY CHARGED FIRST LEGOTEAM
    1248 TAYLOR AVE
    BELMOND,IA50421     		    ROBOT MOTORS; PLAYING FIELD; REGISTR 330
    GOODELL AMERICAN LEGION
    407 W MAIN
    BELMOND,IA50421     		    TRAILER/PROJECTOR/SOUND SYST 6,500
    GOVERNOR'S CHARITY STEER SHOW
    1441 PLEASANT ST
    DES MOINES,IA50314     		    RONALD MCDONALD HOUSES (IOWAO 10,000
    HAMPTON COMMUNITY CHRISTIAN DAY CAR
    104 12TH AVE NE
    HAMPTON,IA50441     		    2 WASHERS/DRYERS 3,000
    HAMPTON FIRE DEPARTMENT
    122 1ST AVE NW
    HAMPTON,IA50441     		    PICKUP FOR GRASS/FIELD FIRES 13,000
    HAMPTON POLICE DEPARTMENT
    17 2ND ST NW
    HAMPTON,IA50441     		    CAMERA SYSTEM 1,750
    HAMPTON SENIOR CENTER
    23 FIRST ST
    HAMPTON,IA50441     		    ICE CREAM FREEZERS; CARD TABLES 2,500
    HAMPTON-DUMONT CSD
    114 11TH PLACE NE
    HAMPTON,IA50441     		    READING BUDDIES PR; INSTR REP; STEM 15,600
    HAMPTON-DUMONT SCHOLARSHIP FUND
    501 OAK HILL DR
    HAMPTON,IA50441     		    SCHOLARSHIPS 75,200
    IMMANUEL REFORMED CHURCH
    3157 130TH ST
    BELMOND,IA50421     		    ANNUAL DISTRIBUTION 20,000
    IOWA RIVER PLAYERS
    PO BOX 22
    BELMOND,IA50421     		    LED LIGHTING UPGRADE 3,400
    LA LUZ HISPANA
    116 FIRST AVE NE
    HAMPTON,IA50441     		    COMPUTER LAB UPDATE 2,500
    LATIMER FIRE DEPARTMENT
    CITY OF LATIMER
    115 S DONOVAN ST BOX 552
    LATIMER,IA50452     		    BUILDING ADDITION 7,500
    MERCY MEDICAL CENTER FOUNDATION - N
    1000 4TH ST SW
    MASON CITY,IA50401     		    NURSING SCHOLARSHIPS MATCHING CAMPAI 10,000
    MESERVEY FIRE & RESCUE
    428 1ST ST
    MESERVEY,IA50457     		    FIRE STATION ADDITION 9,000
    MESERVEY PUBLIC LIBRARY
    719 1ST STREET
    MESERVEY,IA50457     		    DVD RACK; TV; BLUE-RAY; COMPUTERS 8,500
    MISSION THORNTON INC
    PO BOX 92
    THORNTON,IA50479     		    FENCE/BASKETBALL HOOPS FOR CITY BB 8,700
    MOSAIC IN NORTHERN IOWA
    210 NW 2ND SE
    CLARION,IA50525     		    NEEDS OF THOSE W/ INTELLECTUAL DISAB 2,000
    MY HAPPY PLACE
    PO BOX 982
    MASON CITY,IA50401     		    2-BEDROOM MAKEOVERS 4,000
    NIACC
    500 COLLEGE DRIVE
    MASON CITY,IA50401     		    CAPITAL CAMPAIGN FOR RENOVATION 25,000
    NIYFC-FRANKLIN COUNTY
    PO BOX 581
    HAMPTON,IA50441     		    CAMP SCHOLARSHIPS/2-DOORS 10,500
    NORTH IA VOCATIONAL CTR (NIVC)
    1225 S HARRISON AVE
    MASON CITY,IA50401     		    VIDEO DEV FOR SEARCH PROGRAM 3,000
    NORTH CENTRAL IA AG IN THE CLASS
    65 STATE ST
    GARNER,IA50438     		    AG EDUCATION 2,500
    OPPORTUNITY VILLAGE
    PO BOX 622
    CLEAR LAKE,IA50428     		    CUBE VAN 30,000
    RELAY FOR LIFE-FRANKLIN COUNTY
    AMERICAN CANCER SOCIETY
    204 E GILMAN
    SHEFFIELD,IA50475     		    CANCER RESEARCH 10,000
    REEVES TOWNSHIP FRANKLIN COUNTY
    879 MALLARD AVE
    HAMPTON,IA50441     		    MAYESVILLE SCHOOL HOUSE WINDOWS 2,500
    ROCKWELL COMMUNITY FIRE SERVICE
    PO BOX 626
    ROCKWELL,IA50469     		    AIR COMPRESSOR 4,400
    ROCKWELL-SWALEDALE EMT'S
    3 WALNUT COUT
    ROCKWELL,IA50469     		    FIRST RESPONDERS AMBULANCE 25,000
    ROWAN FIRE DEPARTMENT
    PO BOX 97
    ROWAN,IA50470     		    FIREMEN'S GEAR 3,000
    ROWAN PLAYGROUND COMMITTEE
    3030 220TH ST
    ROWAN,IA50470     		    PEA ROCK FOR PUBLIC PLAYGROUND 990
    SHEFFIELD CARE CENTER
    100 BENNETT DR
    SHEFFIELD,IA50475     		    NEW RANGE, OVEN AND GRIDDLE 5,700
    SOCIETY TO PRESERVE ANTIQUATED TOWN
    420 PATRICK ST SE
    GOUGHERTY,IA50433     		    WINDOWS 2,000
    SPECIAL KIDS SPECIAL LOVE
    PO BOX 1703
    MASON CITY,IA50402     		    SOCIALLY SAFE EVENTS/ KIDS W/AUTISM 4,000
    ST PAUL'S LUTHERAN SCHOOL
    404 W MAIN ST
    LATIMER,IA50452     		    GEOTHERMAL SYSTEM 10,000
    TEACHING & LEARNING IN CHRIST PRESC
    304 3RD AVE NE
    BELMOND,IA50421     		    BUILDING BLOCKS; SANDBOX 1,000
    THE NEW LYRIC THEATRE
    BELMOND AREA ARTS COUNCIL
    431 EAST MAIN ST
    BELMOND,IA50421     		    ROOF REPLACEMENT 20,000
    THE WINDSOR THEATER
    103 FEDERAL ST
    HAMPTON,IA50441     		    BAT/RODENT EXCLUSION AND PREVENTION 7,800
    THORNTON EMS ASSOCIATION
    PO BOX 193
    THORNTON,IA50479     		    WINE III CELL PHONE AND TABLET 1,000
    UNIVERSITY OF IOWA FOUNDATION
    CHILDREN'S HOSPITAL
    PO BOX 4550
    IOWA CITY,IA52244     		    CHILDREN'S HOSPITAL NEW BLDG FD 18,000
    UPPER DES MOINES OPPORTUNITY INC
    221 WEST BROADWAY
    EAGLE GROVE,IA50533     		    EMERGENCY SERVICES, BELMOND, IA 2,500
    WEST FORK CSD
    504 PARK ST
    SHEFFIELD,IA50475     		    CARDIOVASCULAR EQUIP FOR WELLNESS 15,000
    WEST FORK SCHOLARSHIP FUND
    215 N 7TH ST
    SHEFFIELD,IA50475     		    2014 SCHOLARSHIPS-600/ELIGIBLE GRAD 38,000
    WINGS OF REFUGE
    PO BOX 562
    IOWA FALLS,IA50126     		    SAFE HOME FOR VICTIMS 11,800
    WRIGHT CO HISTORICAL SOCIETY
    ROWAN CHAPTER
    905 W BROADWAY ST
    ROWAN,IA50470     		    ROWAN MUSEUM 3,300
    WRIGHT COUNTY HOSPICE
    115 1ST ST SE
    CLARION,IA50425     		    WAFFLE CUSHIONS AND PORTABLE SCANNER 2,200
    WRIGHT COUNTY PUBLIC HEALTH & HOSPI
    115 1ST ST SE
    CLARION,IA50525     		    VACCINE REFRIGERATOR/FREEZER 4,000
    ZION REFORMED CHURCH
    2029 JONQUIL AVE
    SHEFFIELD,IA50475     		    ANNUAL DISTRIBUTION 20,000
    Total .................................bullet 3a 852,120
    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 66,368  
    4 Dividends and interest from securities....     14 67,341  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 337,543  
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    14 18,834  
    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)..   490,086  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13490,086
    (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:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 6,100 6,100    

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

    TY 2015 DepreciationSchedule
    Name:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    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
    LAND NW OF 36-94-24 HANCOCK 2013-08-30 1,480,450              
    TILE NW OF 36-94-24 HANCOCK 2013-08-30 164,000 8,200 S/L 20.0000 8,200 8,200    
    LAND NE OF 1-95-22 CERRO GORDO 2013-08-30 1,540,028              
    TILE NE OF 1-95-22 CERRO GORDO 2013-08-31 171,000 8,550 S/L 20.0000 8,550 8,550    
    LAND W 1/2 OF 25-93-22 FRANKLIN 2013-08-30 2,808,006              
    TILE W 1/2 OF 25-93-22 FRANKLIN 2013-08-30 311,000 15,550 S/L 20.0000 15,550 15,550    
    LAND NW OF 34-93-22 FRANKLIN 2013-08-30 1,203,293              
    TILE NW OF 34-93-22 FRANKLIN 2013-08-30 133,000 6,650 S/L 20.0000 6,650 6,650    
    LAND SW OF 21-92-22 FRANKLIN 2013-08-30 1,395,308              
    TILE SW OF 21-92-22 FRANKLIN 2013-08-30 155,000 7,750 S/L 20.0000 7,750 7,750    
    LAND NE OF 9-92-22 FRANKLIN 2013-08-30 1,306,695              
    TILE NE OF 9-92-22 FRANKLIN 2013-08-30 145,000 7,250 S/L 20.0000 7,250 7,250    
    LAND NE OF 35-93-22 FRANKLIN 2013-08-30 1,341,158              
    TILE NE OF 35-93-22 FRANKLIN 2013-08-30 148,000 7,400 S/L 20.0000 7,400 7,400    
    LAND NE OF 34-93-22 FRANKLIN 2013-08-30 1,242,592              
    TILE NE OF 34-93-22 FRANKLIN 2013-08-30 138,000 6,900 S/L 20.0000 6,900 6,900    
    LAND VAR OF 5-92-22 FRANKLIN 2013-08-30 2,810,560              
    TILE VAR OF 5-92-22 FRANKLIN 2013-08-30 312,000 15,600 S/L 20.0000 15,600 15,600    
    LAND SW OF 4-92-22 FRANKLIN 2013-08-30 1,340,587              
    TILE SW OF 4-92-22 FRANKLIN 2013-08-30 148,000 7,400 S/L 20.0000 7,400 7,400    

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 331,909 325,269

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    US Government Securities - End of Year Book Value:

    947,894
    US Government Securities - End of Year Fair Market Value:

    967,032
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2015 InvestmentsOtherSchedule2
    Name:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ETF'S AND CEF'S AT COST 313,211 335,551
    MUTUAL FUNDS AT COST 2,004,219 1,876,752
    UNIT TRUSTS AT COST 416,824 414,054

    TY 2015 LandEtcSchedule2
    Name:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
      1,825,000 182,500 1,642,500 15,099,313
    FARMLAND 16,468,677   16,468,677  


    TY 2015 LegalFeesSchedule
    Name:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
      1,900     1,900
    ADMINISTRATION COSTS 7,770     7,770


    TY 2015 OtherAssetsSchedule
    Name:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    AVIVA ANNUITY 48,013 46,140 46,140


    TY 2015 OtherExpensesSchedule
    Name:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    RENTAL REAL ESTATE        
    INSURANCE 370 370    
    DRAINAGE ASSESSMENT 5,282 5,282    
    FARM REPAIRS 345 345    
    EXPENSES        
    OFFICE EXPENSE 158 79   79
    INSURANCE 1,775 1,775    
    TIMING DIFFERENCES 5,783 5,785    


    TY 2015 TaxesSchedule
    Name:
    FOSTER & EVELYN BARKEMA
     
    CHARITABLE TRUST
    EIN:
    46-6233696
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ESTIMATED PAYMENT (2015) 1,681 1,681    
    REAL ESTATE TAXES