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
PALMER FAMILY FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)1952 MAPLE RD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GRAFTON, WI53024
A Employer identification number

76-0476424
B Telephone number (see instructions)

(262) 377-7976
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$756,702J 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      
4 Dividends and interest from securities... 19,982 19,982  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 17,252
b Gross sales price for all assets on line 6a 302,812
7 Capital gain net income (from Part IV, line 2)... 17,252
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........ 37,234 37,234  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 550 275   275
c Other professional fees (attach schedule).... Click to see attachment 2,312 2,312    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,873 1,873    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 4,735 4,460   275
25 Contributions, gifts, grants paid....... 54,000 54,000
26 Total expenses and disbursements. Add lines 24 and 25 58,735 4,460   54,275
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -21,501
b Net investment income (if negative, enter -0-) 32,774
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............. 7,638 25,940 25,940
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 78,255 Click to see attachment101,455 101,887
b Investments—corporate stock (attach schedule)....... 268,214 Click to see attachment265,015 349,468
c Investments—corporate bonds (attach schedule)....... 257,711 Click to see attachment168,360 168,620
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 83,074 Click to see attachment112,621 110,787
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) 694,892 673,391 756,702
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........ 694,892 673,391
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)..... 694,892 673,391
31 Total liabilities and net assets/fund balances (see instructions). 694,892 673,391
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
694,892
2
Enter amount from Part I, line 27a .....................
2
-21,501
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
673,391
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
673,391
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 825 SHS ADAMS NATURAL RESOURCES P 2014-03-26  
b 200 SHS ISHARES CORE MSCI P 2014-09-09 2015-10-20
c 50 SHS XILINX INC P   2015-04-17
d 300 SHS AFFILIATED MANAGERS 5.25% PF P 2015-02-11 2015-10-22
e 100 SHS JOHNSON CONTROLS INC P   2015-04-17
ASSOCIATED BANC 5.125% 16 P   2015-11-04
75 SHS AKAMAI TECHNOLOGIES P 2015-04-17 2015-11-23
50 SHS MEDTRONIC PLC P   2015-04-17
FT WAYNE IN RDA 5.24 PARTIAL CALL P   2015-12-01
50 SHS CA INC P   2015-04-17
75 SHS MICROSOFT CORP P   2015-04-17
WEINGARTEN RLTY 5.25 P   2015-03-02
150 SHS CENTURYLINK INC P   2015-03-13
50 SHS NEWFIELD EXPLORATION P 2014-12-04 2015-05-01
WHITING PETROLEUM C 5%19 P   2015-05-07
300 SHS CHESAPEAKE ENERGY CO P 2015-04-17 2015-10-20
25 SHS PRECISION CASTPARTS P 2015-04-17 2015-10-20
ZIONS BANCORP 3.3% 18 CALLED P   2015-06-01
250 SHS CISCO SYSTEMS INC P   2015-04-17
615.9345 SHS ROYCE MICRO-CAP TRUST P   2015-10-20
100 SHS DANAHER CORP DEL P   2015-04-17
371 SHS ROYCE VALUE TRUST P   2015-10-20
100 SHS DISCOVERY COMM P 2014-07-10 2015-11-23
550 SHS SCHWAB EMERGING MARKETS P 2015-10-20 2015-12-31
100 SHS DU PONT E I DE NEMOUR & CO P   2015-04-17
270 SHS TEMPLETON DRAGON P    
225 SHS ENERGY SELECT SECTOR P 2015-10-20 2015-12-31
75 SHS UNITED TECHNOLOGIES CORP P   2015-04-17
55 SHS FISERV INC P   2015-04-17
100 SHS VANGUARD BOND INDEX FUND P   2015-03-13
125 SHS GENERAL ELECTRIC COMPANY P   2015-04-17
285 SHS VANGUARD FTSE EMERGING P   2015-12-31
10 SHS GOOGLE INC CL A VOTING P   2015-04-17
60 SHS VERIZON COMMUNICATIONS P   2015-04-17
50 SHS ILLINOIS TOOL WORKS INC P   2015-04-17
50 SHS WALGREENS BOOTS ALLIANCE P   2015-04-15
(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 17,614   22,700 -5,086
b 8,683   10,805 -2,122
c 2,162   1,051 1,111
d 7,500   7,784 -284
e 5,050   2,671 2,379
35,365   36,308 -943
4,253   5,403 -1,150
3,813   2,320 1,493
5,000   5,000  
1,545   1,153 392
3,108   1,955 1,153
25,000   25,000  
5,135   5,063 72
1,939   1,320 619
24,990   25,000 -10
2,447   4,648 -2,201
5,772   5,065 707
25,000   25,000  
6,994   5,310 1,684
5,015   5,105 -90
8,422   2,815 5,607
4,481   5,581 -1,100
2,912   3,840 -928
10,775   11,976 -1,201
7,145   4,942 2,203
5,119   7,027 -1,908
13,570   15,379 -1,809
8,651   4,588 4,063
4,245   1,138 3,107
7,997   8,136 -139
3,381   3,557 -176
9,353   10,920 -1,567
5,305   1,811 3,494
2,919   1,845 1,074
4,780   1,839 2,941
4,591   1,505 3,086
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       -5,086
b       -2,122
c       1,111
d       -284
e       2,379
      -943
      -1,150
      1,493
       
      392
      1,153
       
      72
      619
      -10
      -2,201
      707
       
      1,684
      -90
      5,607
      -1,100
      -928
      -1,201
      2,203
      -1,908
      -1,809
      4,063
      3,107
      -139
      -176
      -1,567
      3,494
      1,074
      2,941
      3,086
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 17,252
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 -5,319
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 60,355 811,113 0.074410
2013 60,200 791,395 0.076068
2012 59,827 724,028 0.082631
2011 59,704 707,399 0.084399
2010 59,824 732,955 0.081620
2
Total of line 1, column (d) .....................
20.399128
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
0.079826
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
769,445
5
Multiply line 4 by line 3......................
5
61,422
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
328
7
Add lines 5 and 6........................
7
61,750
8
Enter qualifying distributions from Part XII, line 4.............
8
54,275
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 1 655
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........................... 3 655
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- ..... 5 655
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a  
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 16
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 671
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)
    bulletWI
    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 ofbulletJEAN GALVIN Telephone no.bullet (262) 377-7976

    Located atbullet1952 MAPLE RDGRAFTONWI ZIP+4bullet53024
    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
    JEAN GALVIN PRES/TREAS
    0.00     		0 0 0
    1952 MAPLE RD
    GRAFTON,WI53024
    JAMES PALMER DIRECTOR
    0.00     		0 0 0
    1270 E SHERIDAN BRIDGE LN
    OLATHE,KS66062
    MICHAEL GALVIN VP/SEC
    0.00     		0 0 0
    1952 MAPLE RD
    GRAFTON,WI53024
    JENNIFER CLEMENT DIRECTOR
    0.00     		0 0 0
    101 W ZEDLER LN
    MEQUON,WI53092
    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
    764,373
    b
    Average of monthly cash balances.......................
    1b
    16,789
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    781,162
    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
    781,162
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    11,717
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    769,445
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    38,472
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    38,472
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    655
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    655
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    37,817
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    37,817
    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
    37,817
    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
    54,275
    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
    54,275
    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
    54,275
    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 37,817
    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...... 25,707
    b From 2011...... 24,926
    c From 2012...... 24,003
    d From 2013...... 21,589
    e From 2014...... 21,502
    fTotal of lines 3a through e........ 117,727
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 54,275
    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..... 37,817
    e Remaining amount distributed out of corpus 16,458
    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 5 134,185
    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) ...     		25,707
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		108,478
    10 Analysis of line 9:
    a Excess from 2011.... 24,926
    b Excess from 2012.... 24,003
    c Excess from 2013.... 21,589
    d Excess from 2014.... 21,502
    e Excess from 2015.... 16,458
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ALZHEIMERS ASSOCIATION
    620 S 76TH ST STE 160
    MILWAUKEE,WI53214     		  NON PROFIT GENERAL SUPPORT 2,000
    AMERICAN RED CROSS
    2025 E STREET NW
    WASHINGTON,DC20006     		  NON PROFIT GENERAL SUPPORT 3,000
    CARE NET PREGNANCY CENTER
    2917 N OAKLAND AVE
    MILWAUKEE,WI53211     		  NON PROFIT GENERAL SUPPORT 1,000
    CATHOLIC EDUCATION FOUNDATION
    ARCHDIOCESE OF KANSAS CITY
    12615 PARALLEL PARKWAY
    KANSAS CITY,KS66109     		  NON PROFIT GENERAL SUPPORT 2,500
    COOKIE CART
    2655 LYDIARD AVE
    EXCELSIOR,MN55331     		  NON PROFIT GENERAL SUPPORT 1,000
    FOCUS ON THE FAMILY
    8605 EXPLORER DR
    COLORADO SPRINGS,CO80920     		  NON PROFIT GENERAL SUPPORT 2,000
    HOPE NETWORK
    PO BOX 531
    MENOMONEE FALLS,WI53052     		  NON PROFIT GENERAL SUPPORT 2,000
    INTERFAITH HOSPITALITY NETWORK
    6315 W 110TH ST
    OVERLAND PARK,KS66211     		  NON PROFIT GENERAL SUPPORT 1,000
    KANASAS CITY RESCUE MISSION
    1520 CHERRY ST
    KANSAS CITY,MO64108     		  NON PROFIT GENERAL SUPPORT 2,500
    KIDS TLC
    480 S ROGERS RD
    OLATHE,KS66062     		  NON-PROFIT GENERAL SUPPORT 1,500
    KINDNESS CONNECTION
    8445 W 113TH ST
    OVERLAND PARK,KS66210     		  NON PROFIT GENERAL SUPPORT 5,000
    KOHLER ART CENTER
    608 NEW YORK AVE
    SHEBOYGAN,WI53081     		  NON PROFIT YOUTH PROGRAMS 2,000
    LA CAUSA INC
    PO BOX 04188
    MILWAUKEE,WI53204     		  NON PROFIT CRISIS NURSERY AND RESPITE CENTER 5,000
    MILWAUKEE ART MUSEUM
    700 N ART MUSEUM DR
    MILWAUKEE,WI53202     		  NON PROFIT YOUTH PROGRAMS 2,000
    MILWAUKEE RESCUE MISSION
    830 NORTH 19TH ST
    MILWAUKEE,WI53233     		  NON PROFIT GENERAL SUPPORT 4,000
    NELSON GALLERY FOUNDATION
    4525 OAK ST
    KANSAS CITY,MO64111     		  NON-PROFIT GENERAL SUPPORT 4,000
    NEW AVENUES FOR YOUTH
    1220 SW COLUMBIA ST
    PORTLAND,OR97201     		  NON PROFIT GENERAL SUPPORT 5,000
    SALVATION ARMY
    11315 W WATERTOWN PLANK R
    MILWAUKEE,WI53226     		  NON PROFIT GENERAL SUPPORT 2,000
    STEPHEN'S CENTER INC
    2723 Q ST
    OMAHA,NE68107     		  NON PROFIT GENERAL SUPPORT 1,500
    SPENCER C DUNCAN MAKE IT COUNT FOUN
    119 N PARKER 175
    OLATHE,KS66061     		  NON PROFIT GENERAL SUPPORT 1,000
    WHATSOEVER CIRCLE COMMUNITY HOUSE
    1201 EWING AVE
    KANSAS CITY,MO64126     		  NON PROFIT GENERAL SUPPORT 1,000
    WORLD VISION
    PO BOX 9716
    FEDERAL WAY,WA98063     		  NON PROFIT FOOD SECURITY 3,000
    Total .................................bullet 3a 54,000
    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 ...........     		         
    4 Dividends and interest from securities....     14 19,982  
    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 ............     		    14 17,252  
    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)..   37,234  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1337,234
    (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:
    PALMER FAMILY FOUNDATION INC
    EIN:
    76-0476424
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION 550 275   275

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    PALMER FAMILY FOUNDATION INC
    EIN:
    76-0476424
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ASSOCIATED BANC    
    COMPUTER SCIENCE 26,438 25,668
    GENERAL ELECTRIC 3.1% 35,140 35,485
    UNION PACIFIC 35,350 37,726
    VERISIGN 25,160 24,500
    WASHINGTON REIT 19,555 19,614
    WEINGARTEN RLTY 26,717 25,627
    WHITING PETROLEUM    
    ZIONS BANCORPORATION    

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    PALMER FAMILY FOUNDATION INC
    EIN:
    76-0476424
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABORATORIES 3,516 6,736
    ACI WORLDWIDE INC 4,139 4,815
    ADOBE SYSTEMS INC 1,590 7,045
    AES CORP 3,494 3,349
    AFFLILIATED MANAGERS GRP 2,832 7,988
    AFLAC INC 4,692 4,492
    ALLSCRIPTS HEALTHCARE 5,974 6,152
    ALPHABET INC CL A VOTING 1,806 7,589
    ALPHABET INC CL C NON VOTING    
    ADAMS NATURAL RESOURCES FUND INC 14,111 14,192
    AMETEK INC 5,190 5,359
    APPLE INC 6,261 5,263
    BOTTOMLINE TECHNOLOGIES 8,247 8,919
    BRYN MAWR BANK CORP 2,339 2,154
    CA INC 5,763 7,140
    CABELAS INC 3,055 2,336
    CENTURYLINK INC    
    CISCO SYSTEMS INC    
    COGNIZANT TECH SOL CL A 5,005 6,002
    DANAHER CORP DEL    
    DISCOVER FINANCIAL SVCS 4,769 4,021
    DISCOVERY COMMUN SER C 5,002 4,413
    DU PONT E I DE NEMOUR & CO    
    DUN & BRADSTREET CP NEW 2,452 2,598
    EBAY INC 2,294 2,748
    ECHO GLOBAL LOGISTIC 5,028 4,588
    ECOLAB OMC 4,631 4,575
    EMC CORP 6,644 6,420
    EQUIFAX INC 1,346 5,568
    EVERTEC INC 14,198 12,555
    EXPRESS SCRIPTS HOLDING CO 4,291 4,371
    FIDELITY NATL INFO SVCS 2,345 6,787
    FISERV INC 1,449 6,402
    FRANKLIN RESOURCES INC 3,413 6,628
    GENERAL ELECTRIC COMPANY 9,106 9,968
    GLOBAL PAYMENT INC 3,626 6,451
    GOLDMAN SACHS GROUP INC 4,003 4,506
    HAEMONETICS CORP 5,405 4,836
    HANCOCK JOHN FINANCIAL 7,542 14,716
    HOLOGIC INC 4,493 6,771
    ILLINOIS TOOL WORKS INC 1,839 4,634
    JOHNSON CONTROLS INC 2,671 3,949
    MEDTRONIC INC    
    MERCANTILE BANK CORP 2,296 2,454
    MICROSOFT CORP 3,259 6,935
    NEWFIELD EXPLORATION CO 2,641 3,256
    ORACLE CORPORATION 4,006 3,653
    PAYPAL HOLDINGS INC 3,548 3,620
    PEPSICO INC 5,778 8,993
    PERRIGO CO PLC 4,122 3,618
    PFIZER INC 3,498 4,842
    PRINCIPAL FINANCIAL GRP 4,981 6,972
    QUALCOMM INC 4,555 4,999
    ROCKWELL AUTOMATION INC 4,626 4,104
    RPM INTERNATIONAL INC 3,594 3,304
    ROYCE MICROCAP TRUST    
    ROYCE VALUE TRUST INC    
    SEI INVESTMENTS CO 4,395 5,240
    STRYKER CORP 4,592 6,971
    T ROWE PRICE GROUP INC 2,253 6,434
    TEMPLETON DRAGON FUND    
    TOWERS WATSON & CO 4,552 4,496
    TREEHOUSE FOODS INC 3,520 3,923
    UNION PACIFIC CORP 4,086 3,128
    UNITED TECHONOLOGIES CORP    
    VERIZON COMMUNICATIONS 4,612 6,933
    VISA INC 2,876 12,408
    WALGREENS BOOTS ALLIANCE    
    WYNDHAM WORLDWIDE CORP 5,882 5,449
    XILINX INC 3,154 7,046
    YUM BRANDS INC 3,628 3,654

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    PALMER FAMILY FOUNDATION INC
    EIN:
    76-0476424
    US Government Securities - End of Year Book Value:

     
    US Government Securities - End of Year Fair Market Value:

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


    101,455
    State & Local Government Securities - End of Year Fair Market Value:


    101,887


    TY 2015 InvestmentsOtherSchedule2
    Name:
    PALMER FAMILY FOUNDATION INC
    EIN:
    76-0476424
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    HARBOR INTERNATIONAL FD AT COST 35,372 36,563
    TWEEDY BROWNE GLOBAL VALUE FD AT COST 16,536 15,110
    AES TRUST III AT COST 13,932 15,024
    ISHARES ETF AT COST    
    OLD SECOND BANCO AT COST 12,459 9,950
    SLM CORPORATION AT COST 7,395 7,080
    STIFEL FINANCIAL AT COST 7,755 7,531
    VANGUARD BOND INDEX FD AT COST    
    VANGUARD FTSE EMERGING MARKETS ETF AT COST    
    WSFS FINANCIAL AT COST 7,965 8,025
    ZIONS BANCORPOR AT COST 11,207 11,504

    TY 2015 OtherProfessionalFeesSchedule
    Name:
    PALMER FAMILY FOUNDATION INC
    EIN:
    76-0476424
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES AND CHARGES 2,312 2,312    


    TY 2015 TaxesSchedule
    Name:
    PALMER FAMILY FOUNDATION INC
    EIN:
    76-0476424
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 148 148    
    FEDERAL INCOME TAX 1,725 1,725