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
MAURY AND NANCY FERTIG FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)421 BRIERHILL ROAD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DEERFIELD, IL60015
A Employer identification number

36-3927187
B Telephone number (see instructions)

(847) 940-7130
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$304,457J 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) 27,320
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 21,077 21,077  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 16,850
b Gross sales price for all assets on line 6a 172,043
7 Capital gain net income (from Part IV, line 2)... 65,023
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........ 65,247 86,100  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 350 175   175
b Accounting fees (attach schedule)....... Click to see attachment 3,300 1,650   1,650
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 22 0   22
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 53 0   53
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 3,725 1,825   1,900
25 Contributions, gifts, grants paid....... 131,968 131,968
26 Total expenses and disbursements. Add lines 24 and 25 135,693 1,825   133,868
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -70,446
b Net investment income (if negative, enter -0-) 84,275
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............. 2,098 4,099 4,099
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) 16,963 Click to see attachment16,963 1,132
b Investments—corporate stock (attach schedule)....... 376,212 Click to see attachment303,765 299,226
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet1,992
Less: accumulated depreciation (attach schedule) bullet1,992      
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 395,273 324,827 304,457
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 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........ 395,273 324,827
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 0 0
30 Total net assets or fund balances (see instructions)..... 395,273 324,827
31 Total liabilities and net assets/fund balances (see instructions). 395,273 324,827
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
395,273
2
Enter amount from Part I, line 27a .....................
2
-70,446
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
324,827
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
324,827
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 99 SHS PEOPLES BANCORP AUBURN IND COM NEW P 2015-04-06 2015-06-11
b 150 SHS POWERSHARES EXCHANGE TRADED FD TR II P 2015-06-08 2015-09-21
c 200 SHS POWERSHARES EXCHANGE TRADED FD TR II P 2015-06-08 2015-10-07
d 100 SHS POWERSHARES EXCHANGE TRADED FD TR II P 2015-06-08 2015-10-09
e 500 SHS POWERSHARES EXCHANGE TRADED FD TR II P 2015-06-08 2015-12-17
50 SHS POWERSHARES EXCHANGE TRADED FD TR II P 2015-06-08 2015-12-22
400 SHS POWERSHARES EXCHANGE TRADED FD TR II P 2015-06-16 2015-12-22
200 SHS EATON VANCE ENHANCED EQUITY INCOME FUND P 2012-01-18 2015-12-21
2,000 SHS EATON VANCE ENHANCED EQUITY INCOME FUND P 2012-01-18 2015-12-22
300 SHS EATON VANCE ENHANCED EQUITY INCOME FUND P 2012-01-18 2015-12-22
1,300 SHS EATON VANCE ENHANCED EQUITY INCOME FUND P 2012-02-02 2015-12-22
200 SHS EATON VANCE ENHANCED EQUITY INCOME FUND P 2012-02-02 2015-12-22
12 SHS INTERVEST BANCSHARES CORP D 2011-01-25 2015-02-05
1,500 SHS INTERVEST BANCSHARES CORP D 2011-06-08 2015-02-05
488 SHS INTERVEST BANCSHARES CORP D 2011-08-10 2015-02-05
288 SHS INTERVEST BANCSHARES CORP D 2011-01-25 2015-02-10
1,700 SHS INTERVEST BANCSHARES CORP D 2011-01-25 2015-02-10
900 SHS INTERVEST BANCSHARES CORP D 2011-06-14 2015-02-10
12 SHS INTERVEST BANCSHARES CORP D 2011-08-10 2015-02-10
500 SHS INTERVEST BANCSHARES CORP D 2011-08-10 2015-02-10
1,200 SHS INTERVEST BANCSHARES CORP D 2011-08-10 2015-02-10
400 SHS OXFORD LANE CAP CORP P 2013-06-13 2015-07-24
55 SHS INTERVEST BANCSHARES CORP D 2010-10-04 2015-02-10
CAPITAL GAINS DIVIDENDS P    
(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 3,287   3,044 243
b 3,242   3,491 -249
c 4,293   4,654 -361
d 2,178   2,327 -149
e 10,520   11,613 -1,093
1,058   1,161 -103
8,463   9,180 -717
2,665   2,101 564
26,737   21,011 5,726
4,011   3,152 859
17,379   13,657 3,722
2,674   2,101 573
123   34 89
15,384   4,311 11,073
5,005   1,402 3,603
3,078   828 2,250
18,170   4,886 13,284
9,619   2,586 7,033
128   34 94
5,344   1,437 3,907
12,826   3,449 9,377
10,000   10,403 -403
588   158 430
5,271     5,271
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       243
b       -249
c       -361
d       -149
e       -1,093
      -103
      -717
      564
      5,726
      859
      3,722
      573
      89
      11,073
      3,603
      2,250
      13,284
      7,033
      94
      3,907
      9,377
      -403
      430
      5,271
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 65,023
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 79,210 386,069 0.205171
2013 149,154 316,911 0.470649
2012 69,063 298,086 0.231688
2011 107,746 239,524 0.449834
2010 106,949 237,274 0.450740
2
Total of line 1, column (d) .....................
21.808082
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
0.361616
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
394,326
5
Multiply line 4 by line 3......................
5
142,595
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
843
7
Add lines 5 and 6........................
7
143,438
8
Enter qualifying distributions from Part XII, line 4.............
8
133,868
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 1,686
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 0
3 Add lines 1 and 2........................... 3 1,686
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,686
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,963
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 1,500
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 3,463
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,777
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet1,777 RefundedBullet 11 0
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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletIL
    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 ofbulletMAURY FERTIG Telephone no.bullet (847) 940-7130

    Located atbullet421 BRIERHILL ROADDEERFIELDIL ZIP+4bullet60015
    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
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    MAURY FERTIG DIRECTOR
    1.00     		0 0 0
    421 BRIERHILL ROAD
    DEERFIELD,IL60015
    NANCY FERTIG DIRECTOR
    0.00     		0 0 0
    421 BRIERHILL ROAD
    DEERFIELD,IL60015
    WILLIAM FERTIG DIRECTOR
    0.00     		0 0 0
    9301 KENTON AVE
    SKOKIE,IL60076
    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 0
    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.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    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
    377,027
    b
    Average of monthly cash balances.......................
    1b
    23,304
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    400,331
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    400,331
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    6,005
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    394,326
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    19,716
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    19,716
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    1,686
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,686
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    18,030
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    18,030
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    18,030
    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
    133,868
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    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
    133,868
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    133,868
    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 18,030
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 96,111
    b From 2011...... 97,982
    c From 2012...... 56,739
    d From 2013...... 135,078
    e From 2014...... 61,130
    fTotal of lines 3a through e........ 447,040
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 133,868
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 18,030
    e Remaining amount distributed out of corpus 115,838
    5 Excess distributions carryover applied to 2015. 0 0
    (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 5 562,878
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    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......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    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) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		96,111
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		466,767
    10 Analysis of line 9:
    a Excess from 2011.... 97,982
    b Excess from 2012.... 56,739
    c Excess from 2013.... 135,078
    d Excess from 2014.... 61,130
    e Excess from 2015.... 115,838
    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).)
    MAURY FERTIG
    NANCY FERTIG
    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:
    MAURY FERTIG
    421 BRIERHILL ROAD
    DEERFIELD,IL60015
    (847) 940-7130
    bThe form in which applications should be submitted and information and materials they should include:
    THERE IS NO STANDARD FORM. SUBMIT A LETTER REQUESTING A CONTRIBUTION.
    cAny submission deadlines:
    THERE ARE NO SUBMISSION DEADLINES.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    MUST BE EDUCATIONAL, RELIGIOUS OR CHARITABLE ORGANIZATION UNDER IRC 170(C)
    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
    ALZHEIMER'S ASSOCIATION
    225 N MICHIGAN AVE FLOOR 17
    CHICAGO,IL60601     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 18
    AMERICAN JEWISH COMMITTEE
    165 E 56TH STREET
    NEW YORK,NY10022     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 75
    AMERICAN SOCIETY OF YAD VASHEM
    500 FIFTH AVE 42ND FLOOR
    NEW YORK,NY10110     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 118
    AVON WALK FOR BREAST CANCER
    4929 WILSHIRE BLVD STE 255
    LOS ANGELES,CA90010     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 100
    BEBER CAMP
    W1741 COUNTY ROAD J
    MUKWONAGO,WI53149     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 360
    CAMERA
    PO BOX 35040
    BOSTON,MA02135     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 1,000
    CAMP RAMAH
    6150 EAST BUCKATABON RD
    CONOVER,WI54519     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 2,500
    CENTRAL FUND OF ISREAL
    980 SIXTH AVENUE
    NEW YORK,NY10018     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 1,200
    CHABAD OF VIETNAM
    5A NGUYEN DINH CHIEU ST
    HOCHIMIN CITY    
    VM     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 100
    COHEN HILLEL AT THE UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
    503 E JOHN STREET
    CHAMPAIGN,IL61820     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 5,000
    FREE WHEELCHAIR MISSION
    PO BOX 52001 DEPT 921
    PHOENIX,AZ85072     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 154
    FRIENDS OF ELNET
    400 SKOKIE BLVD SUITE 800
    NORTHBROOK,IL60062     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 2,000
    HILLEL - THE FOUNDATION FOR JEWISH CAMPUS LIFE
    800 EIGHTH STREET NW
    WASHINGTON,DC20001     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 1,000
    HOPE TIME CURE EPILEPSY
    101 BILLINGS STREET
    SHARON,MA02067     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 100
    ILLINOIS HOLOCAUST MUSEUM
    9603 WOODS DRIVE
    SKOKIE,IL60077     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 1,012
    ILLINOIS MIDWESTERN HIGHER EDUCATION COMPACT
    105 FIFTH AVENUE SOUTH SUITE 450
    MINNEAPOLIS,MN55401     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 40
    ISRAEL CANCER RESEARCH FUND
    PO BOX 405
    DEERFIELD,IL60015     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 500
    JERUSALEM U
    11110 WOAKLAND PARK BLVD SUITE 288
    SUNRISE,FL333516808     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 1,000
    JEWISH EDUCATION TEAM INC
    6708 N FRANCISCO AVE
    CHICAGO,IL60645     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 6,554
    JEWISH FEDERATION
    30 S WELLS STREET
    CHICAGO,IL60606     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 10,360
    JEWISH POCET
    8939 KARLOV AVE
    SKOKIE,IL60076     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 100
    JEWISH UNITED FUND
    30 S WELLS STREET
    CHICAGO,IL60606     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 61,646
    JEWISH WOMEN'S FOUNDATION
    30 S WELLS ST
    CHICAGO,IL60606     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 2,000
    JOHN AND MABLE RINGLING MUSEUM OF ART
    5401 BAY SHORE ROAD
    SARASOTA,FL34243     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 50
    LEUKEMIA AND LYMPHOMA SOCIETY
    3 INTERNATIONAL DRIVE SUITE 200
    RYE BROOK,NY10573     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 50
    MAOT CHITIM OF CHICAGO
    4433 WEST TOUGHY AVE
    LINCOLNWOOD,IL60712     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 560
    NEW LIGHT CEMETERY ASSOCIATION
    6807 EAST PRAIRIE ROAD
    LINCOLNWOOD,IL60712     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 150
    NORTH SHORE AUXILIARY OF JEWISH CHILD AND FAMILY SERVICES
    216 W JACKSON 8TH FLOOR
    CHICAGO,IL60606     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 75
    NSS BETH EL
    1175 SHERIDAN RD
    HIGHLAND PARK,IL60035     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 4,653
    NORTHWESTERN UNIVERSITY
    633 CLARK STREET
    EVANSTON,IL60208     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 1,000
    ORT CHICAGO
    3701 COMMERCIAL AVE 13
    NORTHBROOK,IL60062     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 170
    PADS LAKE COUNTY
    3001 GREEN BAY RD BUILDING 5
    NORTH CHICAGO,IL60064     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 100
    PI LAMBDA PHI
    60 NEWTOWN RD 118
    DANBURY,CT06810     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 118
    RAVINIA FESTIVAL
    418 SHERIDAN RD
    HIGHLAND PARK,IL60035     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 300
    RETT SYNDROME RESEARCH TRUST
    67 UNDER CLIFF ROAD
    TRUMBULL,CT06611     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 1,150
    SEMPER FI FUND
    825 COLLEGE BLVD SUITE 102 PMB 609
    OCEANSIDE,CA92057     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 100
    SIMON WIESENTHAL CENTER
    1399 ROXBURY DRIVE
    LOS ANGELES,CA90035     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 200
    SOLOMON SCHECHTER DAY SCHOOL
    3210 DUNDEE ROAD
    NORTHBROOK,IL60062     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 8,672
    ST JUDE
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 50
    STAND WITH US
    PO BOX 341069
    LOS ANGELES,CA90034     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 1,000
    TEMPLE BETH ISRAEL
    3601 DEMPSTER STREET
    SKOKIE,IL60076     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 54
    THE BIRTHRIGHT ISRAEL FOUNDATION
    PO BOX 5892
    HICKSVILLE,NY11802     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 3,200
    THE EMBER FOUNDATION
    3553 WEST PETERSON AVENUE SUITE 208
    CHICAGO,IL60659     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 8,000
    THE EVANS SCHOLAR FOUNDATION
    ONE BRIAR ROAD
    GOLF,IL60029     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 250
    TORAHUB
    3553 WEST PETERSON AVENUE
    CHICAGO,IL60659     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 263
    UNIVERSITY OF ILLINOIS FOUNDATION
    1305 WEST GREEN ST
    URBANA,IL61801     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 3,500
    UNIVERSITY OF PENNSYLVANIA
    3451 WALNUT ST
    PHILADELPHIA,PA19104     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 50
    UNIVERSITY OF PENNSYLVANIA HILLEL
    215 S 39TH ST
    PHILADELPHIA,PA19104     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 1,000
    USC HILLEL FOUNDATION
    3300 S HOOVER ST
    LOS ANGELES,CA90007     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 180
    YESHIVA UNIVERSITY
    500 WEST 185TH ST
    NEW YORK,NY10033     		N/A 501(C)(3) GENERAL,CHARITABLE, RELIGIOUS, OR SCIENTIFIC PURPOSES OF EACH DONEE ORGANIZATION. 136
    Total .................................bullet 3a 131,968
    bApproved for future payment
    Total .................................bullet 3b 0
    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 21,077  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 16,850  
    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).. 0 37,927 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    1337,927
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    MAURY AND NANCY FERTIG FAMILY FOUNDATION
     
    Employer identification number

    36-3927187
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    MAURY AND NANCY FERTIG FAMILY FOUNDATION
          		Employer identification number
    36-3927187
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    MAURY AND NANCY FERTIG  
    421 BRIERHILL ROAD
     
    DEERFIELD, IL60015

    		$ 27,320


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    MAURY AND NANCY FERTIG FAMILY FOUNDATION
          		Employer identification number

    36-3927187
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 2,655 SHARES INTERVEST BANCSHARES $ 27,320 2015-02-05
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    MAURY AND NANCY FERTIG FAMILY FOUNDATION
          		Employer identification number

    36-3927187
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    MAURY AND NANCY FERTIG FAMILY FOUNDATION
    EIN:
    36-3927187
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 3,300 1,650   1,650

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    MAURY AND NANCY FERTIG FAMILY FOUNDATION
    EIN:
    36-3927187
    Name of Stock End of Year Book Value End of Year Fair Market Value
    1000 SH NUVEEN CREDIT STRATEGIES INCOME FUND 12,608 7,840
    1000 GDL FUND COM SH BEN IT 14,711 10,010
    2500 SH BLACKROCK CREDIT ALL INC TR 29,487 30,850
    2500 SH EATON VANCE RISK MANAGED (ETJ) 29,027 25,400
    305 SH CEDAR REALTY TR INC. 7,063 7,534
    4000 SH EATON VANCE ENHANCED EQUITY INCOME FUND 40,598 53,680
    1000 SH ANNALY CAP MGMT 23,344 23,420
    2000 SH GOLDMAN SACHS GROUP INC. DEPOSITORY 41,889 39,700
    0 SHARES OXFORD LANE 0 0
    1,300 SH SARATOGA INVT CORP 7.5% 32,723 32,318
    0 SH INTERVEST BANCSHARES 0 0
    8000 SH ANWORTH MTG 38,082 34,800
    1100 SH HATTERAS 26,044 25,773
    512.387 SH SARATOGA INVT CORP 8,189 7,901

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    MAURY AND NANCY FERTIG FAMILY FOUNDATION
    EIN:
    36-3927187
    US Government Securities - End of Year Book Value:

    16,963
    US Government Securities - End of Year Fair Market Value:

    1,132
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2015 LegalFeesSchedule
    Name:
    MAURY AND NANCY FERTIG FAMILY FOUNDATION
    EIN:
    36-3927187
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL 350 175   175


    TY 2015 OtherExpensesSchedule
    Name:
    MAURY AND NANCY FERTIG FAMILY FOUNDATION
    EIN:
    36-3927187
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PARKING 28 0   28
    ILLINOIS SECRETARY OF STATE FILING FEE 10 0   10
    ILLINOIS CHARITY BUREAU 15 0   15