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 04-01-2015 , and ending 03-31-2016
Name of foundation
GAFNEY HOME
 
Number and street (or P.O. box number if mail is not delivered to street address)90 WAKEFIELD STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ROCHESTER, NH038671988
A Employer identification number

02-0222132
B Telephone number (see instructions)

(603) 332-2705
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$605,525
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 1,213
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 7 7  
4 Dividends and interest from securities... 19,482 19,482  
5a Gross rents............ 9,760    
b Net rental income or (loss) 8,236
6a Net gain or (loss) from sale of assets not on line 10 30,593
b Gross sales price for all assets on line 6a 219,997
7 Capital gain net income (from Part IV, line 2)...  
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 848,281    
12 Total. Add lines 1 through 11........ 909,336 19,489  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 681,675     681,675
15 Pension plans, employee benefits....... 81,878     81,878
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 8,145 5,445   2,700
c Other professional fees (attach schedule).... 3,773     3,773
17 Interest............... 1,147      
18 Taxes (attach schedule) (see instructions)... 2,556 2,556    
19 Depreciation (attach schedule) and depletion... 32,013    
20 Occupancy..............        
21 Travel, conferences, and meetings....... 168     168
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 265,915     264,391
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,077,270 8,001   1,034,585
25 Contributions, gifts, grants paid....... 1,870 1,870
26 Total expenses and disbursements. Add lines 24 and 25 1,079,140 8,001   1,036,455
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -169,804
b Net investment income (if negative, enter -0-) 11,488
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............. 65,242 68,141 68,141
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.......... 144 147  
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 439,212 Click to see attachment344,692 507,824
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).......... 123,112 Click to see attachment25,770 29,560
14 Land, buildings, and equipment: basis bullet724,625
Less: accumulated depreciation (attach schedule) bullet381,440 332,624 Click to see attachment343,185  
15 Other assets (describe bullet) Click to see attachment5,555 Click to see attachment5,650  
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 965,889 787,585 605,525
Liabilities 17 Accounts payable and accrued expenses.......... 8,334 5,610
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) Click to see attachment107,579 Click to see attachment101,803
23 Total liabilities (add lines 17 through 22)......... 115,913 107,413
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........ 1,180,442 849,985
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds -330,466 -169,813
30 Total net assets or fund balances (see instructions)..... 849,976 680,172
31 Total liabilities and net assets/fund balances (see instructions). 965,889 787,585
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
849,976
2
Enter amount from Part I, line 27a .....................
2
-169,804
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
680,172
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
680,172
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 1,177,027 1,286,353 0.915011
2013 1,291,703 1,503,860 0.858925
2012 1,267,225 1,635,736 0.774712
2011 1,233,853 1,933,127 0.638268
2010 1,082,885 2,993,348 0.361764
2
Total of line 1, column (d) .....................
23.548680
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
0.709736
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
777,108
5
Multiply line 4 by line 3......................
5
551,542
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
115
7
Add lines 5 and 6........................
7
551,657
8
Enter qualifying distributions from Part XII, line 4.............
8
1,036,455
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 1 115
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........................... 3 115
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- ..... 5 115
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 240
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.............. 7 240
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 10 125
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet125 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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletNH
    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 addressbulletWWW.GAFNEYHOME.ORG
    14
    The books are in care ofbulletGERRY BISAILLON Telephone no.bullet (603) 332-2705

    Located atbullet90 WAKEFIELD ST90 WAKEFIELD STROCHESTERNH ZIP+4bullet038671988
    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
    CLAIRE BISAILLON SECRETARY
    5.00
    0 0 0
    14 ST JAMES TERRACE
    ROCHESTER,NH03867
    BRENDA HARRINGTON DIRECTOR
    2.00
    0 0 0
    CHARTER TRUST PO BOX 1462
    ROCHESTER,NH03867
    MERILYN BERRY DIRECTOR
    2.00
    0 0 0
    77 WALNUT STREET
    ROCHESTER,NH03867
    CARL POTVIN VICE-PRESIDE
    5.00
    0 0 0
    PO BOX 1776
    ROCHESTER,NH03867
    GERRY BISAILLON PRESIDENT
    5.00
    0 0 0
    14 ST JAMES TERRACE
    ROCHESTER,NH03867
    PAUL GRONDIN DIRECTOR
    2.00
    0 0 0
    177 N MAIN STREET
    ROCHESTER,NH03867
    ROBERT BERRY DIRECTOR
    2.00
    0 0 0
    77 WALNUT STREET
    ROCHESTER,NH03867
    CHARLIE PIERONI DIRECTOR
    2.00
    0 0 0
    164 TEN ROD ROAD
    ROCHESTER,NH03867
    JUDY OUELLETTE DIRECTOR
    2.00
    0 0 0
    37 PRAY STREET
    ROCHESTER,NH03867
    BARBARA POTVIN TREASURER
    5.00
    0 0 0
    PO BOX 1776
    ROCHESTER,NH038661776
    PAUL TURNER DIRECTOR
    2.00
    0 0 0
    31 PLEASANT STREET
    FARMINGTON,NH03835
    ROSEMARY SHIELDS DIRECTOR
    2.00
    0 0 0
    133 BROCK STREET
    ROCHESTER,NH03867
    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
    602,347
    b
    Average of monthly cash balances.......................
    1b
    13,532
    c
    Fair market value of all other assets (see instructions)................
    1c
    173,063
    d
    Total (add lines 1a, b, and c).........................
    1d
    788,942
    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
    788,942
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    11,834
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    777,108
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    38,855
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    38,855
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    115
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    115
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    38,740
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    38,740
    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
    38,740
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,036,455
    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
    1,036,455
    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
    115
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,036,340
    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 38,740
    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...... 759,727
    b From 2011...... 1,138,045
    c From 2012...... 1,186,124
    d From 2013...... 1,216,942
    e From 2014...... 1,113,133
    fTotal of lines 3a through e........ 5,413,971
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 1,036,455
    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..... 38,740
    e Remaining amount distributed out of corpus 997,715
    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 6,411,686
    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) ...
    759,727
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    5,651,959
    10 Analysis of line 9:
    a Excess from 2011.... 1,138,045
    b Excess from 2012.... 1,186,124
    c Excess from 2013.... 1,216,942
    d Excess from 2014.... 1,113,133
    e Excess from 2015.... 997,715
    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
    GREATER ROCHESTER CHAMBER OF COMMER
    18 S MAIN STREET
    ROCHESTER,NH03867
        SPONSORSHIPS 1,560
    FRISBIE MEMORIAL HOSPITAL
    11 WHITEHALL RD
    ROCHESTER,NH03867
        SPONSORSHIPS 250
    THE HOMEMAKERS HEALTH SERVICES
    215 ROCHESTER HILL RD
    ROCHESTER,NH03867
        SPONSORSHIP 60
    Total .................................bullet 3a 1,870
    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
    aRESPITE CARE     8 12,773  
    bADMISSION FEES         20,000
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....     3 815,508  
    3
    Interest on savings and temporary cash investments ...........
        14 7  
    4 Dividends and interest from securities....     14 19,482  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property..... 531110 8,236      
    6
    Net rental income or (loss) from personal property
             
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............
            30,593
    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).. 8,236 847,770 50,593
    13Total. Add line 12, columns (b), (d), and (e)..................
    13906,599
    (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:
    GAFNEY HOME
    EIN:
    02-0222132
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 2,700     2,700
    INVESTMENT EXPENSES 5,445 5,445    

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

    TY 2015 DepreciationSchedule
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    IMPROVEMENTS 1992-10-01 50,396 41,224 S/L 27.5000 1,833      
    ROOFING 1993-08-17 1,000 785 S/L 27.5000 36      
    IMP-ELECTRICAL 1994-06-08 3,000 2,267 S/L 27.5000 109      
    PAVING 1994-06-15 3,600 2,723 S/L 27.5000 131      
    SECURITY SYSTEMS 1994-09-14 7,200 5,381 S/L 27.5000 262      
    IMP-ELECTRICAL 1994-11-03 2,875 2,131 S/L 27.5000 104      
    IMP-ELECTRICAL 1995-10-01 2,519 1,784 S/L 27.5000 92      
    HANG IT RIGHT 1997-06-18 378 378 200DB 7.0000        
    IMP-BRICK WORK 1998-02-24 1,300 767 S/L 27.5000 47      
    PAVING 1998-08-18 13,700 13,700 150DB 15.0000        
    WINDOWS 1999-03-31 2,380 1,331 S/L 27.5000 87      
    WINDOWS 1999-04-23 9,730 5,411 S/L 27.5000 354      
    CARPET 1999-09-07 811 811 200DB 7.0000        
    LANDSCAPING 1999-09-14 3,416 3,416 150DB 15.0000        
    IMP - BOILER 1999-09-28 3,274 3,274 150DB 15.0000        
    LANDSCAPING 1999-10-05 3,868 3,868 150DB 15.0000        
    NEW ROOF 1999-11-18 2,500 2,500 150DB 15.0000        
    CARPET 2000-02-29 368 368 200DB 5.0000        
    IMPROVEMENTS 2000-06-15 2,350 1,228 S/L 27.5000 85      
    CARPET 2002-04-02 343 343 200DB 5.0000        
    CARPET 2002-07-03 3,307 3,307 200DB 10.0000        
    NEW BATHROOM 2003-01-20 1,900 843 S/L 27.5000 69      
    IMP- BOILER 2003-02-05 4,035 3,363 150DB 15.0000 269      
    CARPET 2003-02-27 1,004 1,004 200DB 10.0000        
    IMP- BOILER 2003-03-31 4,583 3,819 150DB 15.0000 306      
    KITCHEN CABINET 1993-06-24 3,095 3,095 200DB 10.0000        
    LAWN FURNITURE 1993-08-26 425 425 200DB 10.0000        
    BALDWIN ORGAN 1994-05-11 1,830 1,830 200DB 10.0000        
    DRAPERIES 1996-10-08 542 542 200DB 7.0000        
    UPHOLSTRE FURNITURE 1996-10-15 1,840 1,840 200DB 7.0000        
    2 FLOOR LAMOS 1996-11-05 265 265 200DB 7.0000        
    CEILING FAN 1996-12-12 252 252 200DB 7.0000        
    UPHOLSTER FURNITURE 1996-12-23 623 623 200DB 7.0000        
    UPHOLSTER FURNITURE 1997-07-08 308 308 200DB 7.0000        
    STOVE 1997-10-23 2,975 2,975 200DB 7.0000        
    ELECTROLUX 1998-01-12 644 644 200DB 7.0000        
    LAWN FURNITURE 1998-06-17 596 596 200DB 7.0000        
    LIFEPLUS CHAIRS 1998-06-23 2,200 2,200 200DB 7.0000        
    LAUDERETTE 1999-03-10 650 650 200DB 7.0000        
    BED & WHEELCHAIR 1999-04-01 1,220 1,220 200DB 7.0000        
    UPHOLSTER FURNITURE 1999-06-02 480 480 200DB 7.0000        
    COMPUTER 1999-06-22 1,999 1,999 200DB 7.0000        
    PATIO FURNITURE 1999-06-30 1,223 1,223 200DB 7.0000        
    DLB HUNG WINDOW 1999-07-27 250 250 200DB 7.0000        
    STEEL DOOR 1999-10-06 989 989 200DB 7.0000        
    PATIO FURNITURE 1999-10-11 955 955 200DB 7.0000        
    EQUIPMENT 1999-11-09 399 399 200DB 7.0000        
    PARKING LOT LIGHTS 1999-11-23 381 381 200DB 7.0000        
    SNOWBLOWER 2000-01-19 3,189 3,189 200DB 7.0000        
    FAX 2000-06-23 120 120 200DB 7.0000        
    COPIER 2000-06-23 800 800 200DB 7.0000        
    WINDOW IN DOOR 2000-08-21 265 265 200DB 7.0000        
    LOVE SEAT 2000-08-30 596 596 200DB 7.0000        
    FLOOR POLISHER 2000-09-05 125 125 200DB 7.0000        
    GUTTER & DOWN SPOUT 2000-10-02 686 686 200DB 7.0000        
    2 TELEPHONES 2000-10-05 391 391 200DB 7.0000        
    WING CHAIR 2000-12-15 100 100 200DB 7.0000        
    5 MEDICINE CABINETS 2001-01-18 255 255 200DB 7.0000        
    REFRIGERATOR 2002-04-18 751 751 200DB 7.0000        
    TELESCOPE TABLE 2002-07-03 331 331 200DB 5.0000        
    DRAPES 2002-07-11 752 752 200DB 7.0000        
    3 TELEPHONES 2002-09-13 490 490 200DB 5.0000        
    TELEPHONE SYSTEM UPGRADE 2003-01-08 979 979 200DB 7.0000        
    NEW FURNACE 2003-08-01 13,245 10,155 150DB 15.0000 883      
    CARPET-UPSTAIRS ROOM 2003-07-01 1,561 1,561 200DB 7.0000        
    GAS HEATER - APT 2004-02-17 1,585 1,585 200DB 7.0000        
    AIR CONDITIONER 2003-07-02 219 219 200DB 5.0000        
    ARM CHAIR 2003-11-29 220 220 200DB 5.0000        
    WASHING MACHINE 2003-12-13 370 370 200DB 5.0000        
    NEW PORCH 2004-11-01 41,571 11,059 S/L 39.0000 1,066      
    CARPETING 2004-04-29 732 732 200DB 5.0000        
    FIRE SYSTEM KITCHEN 2004-08-19 2,055 2,055 200DB 7.0000        
    PAVING 2004-11-24 1,750 1,285 150DB 15.0000 104      
    SPRINKLER HEADS 2005-03-03 5,400 1,389 S/L 39.0000 139      
    DISHWASHER 2004-04-05 3,895 3,895 200DB 7.0000        
    SIGN 2004-05-14 2,525 2,525 200DB 7.0000        
    PORCH FURNITURE 2005-01-04 1,875 1,875 200DB 7.0000        
    NEW ROOF 2004-07-22 2,800 2,056 150DB 15.0000 165      
    NEW LIFT 2005-08-22 800 800 200DB 7.0000        
    NEW ROOF 2005-05-31 900 900 S/L 7.0000        
    CARPET 2005-12-06 960 960 200DB 7.0000        
    PAVING - SIDE PORCH 2006-08-01 875 744 S/L 10.0000 87      
    CARPET- ROOMS & DINING 2006-08-08 1,875 1,875 S/L 5.0000        
    NEW ROOF - RIGHT FRONT 2006-08-18 6,000 3,400 S/L 15.0000 400      
    NEW LIFT - SILVER CROSS 2006-09-08 10,495 8,921 S/L 10.0000 1,049      
    BACK PORCH DOOR 2006-09-18 2,002 1,701 S/L 10.0000 201      
    NEW FRONT PORCH 2006-10-15 29,454 9,059 S/L 27.5000 1,071      
    NEW ELECTRIC SYSTEM 2006-10-24 7,690 4,358 S/L 15.0000 512      
    NEW ROOF LEFT FRONT 2006-12-15 6,250 3,542 S/L 15.0000 416      
    AIR CONDITIONER 2006-06-29 285 285 200DB 7.0000        
    BRICK OWRK 2007-06-29 1,493 784 S/L 15.0000 99      
    CARPET OUTSIDE STAIRS 2007-07-16 396 396 200DB 5.0000        
    CARPET NURSES STATION 2007-10-26 495 495 200DB 5.0000        
    50 GAL. HOT WATER TANK 2008-01-15 1,411 1,411 200DB 5.0000        
    CARPET - DINING ROOM 2008-01-15 2,055 2,055 200DB 5.0000        
    PIANO 2007-08-09 250 250 200DB 7.0000        
    NEW BATHROOMS 2008-05-01 65,253 11,503 S/L 39.0000 1,673      
    NEW ROOF - BARN 2008-06-04 1,550 710 S/L 15.0000 103      
    AIR CONDITIONING 2008-07-01 2,800 1,855 S/L 10.0000 280      
    WASHING MACHINE 2008-10-09 400 381 200DB 7.0000 19      
    COMPUTER & PRINTER 2008-12-15 370 370 200DB 5.0000        
    STAIRLIFT 2009-03-19 4,345 1,774 S/L 15.0000 290      
    CARPET 2009-05-29 430 430 200DB 5.0000        
    FURNITURE & EQUIPMENT 2009-09-30 756 655 200DB 7.0000 67      
    AIR CONDITIONER 2009-06-16 6,580 977 S/L 39.0000 169      
    WINDOWS 2009-10-21 899 126 S/L 39.0000 23      
    KITCHEN EQUIPMENT 2010-12-31 3,611 3,611 200DB 7.0000        
    COMPUTER EQUIPMENT 2010-12-31 6,263 6,263 200DB 5.0000        
    GENERATOR 2010-12-22 25,900 25,900 200DB 7.0000        
    TOOLS & EQUIPMENT 2011-02-08 575 575 200DB 5.0000        
    TELEVISION 2010-09-01 998 969 200DB 5.0000 29      
    FURNITURE & FIXTURES 2010-09-30 7,914 7,914 200DB 7.0000        
    IMPROVEMENTS 2010-09-30 46,318 5,394 S/L 39.0000 1,188      
    SECURITY CAMERAS 2011-09-06 1,644 1,644 200DB 5.0000        
    CALL SYSTEM 2011-04-13 1,265 1,265 200DB 5.0000        
    ICE MAKER 2012-03-27 1,839 1,552 200DB 7.0000 82      
    DISHWASHER 2012-02-07 2,898 2,445 200DB 7.0000 130      
    REFRIDGERATOR 2012-01-03 3,744 3,159 200DB 7.0000 167      
    KITCHEN EQUIPMENT 2011-09-30 3,603 3,603 200DB 7.0000        
    COMPUTER EQUIPMENT 2011-04-30 1,898 1,898 200DB 5.0000        
    DIETARY SOFTWARE 2011-12-01 500 500   3.0000        
    TOOLS EQUIPMENT 2011-09-30 2,049 2,049 200DB 7.0000        
    FURNITURE 2011-09-30 6,774 6,774 200DB 7.0000        
    IMPROVEMENTS 2011-09-30 12,859 1,168 S/L 39.0000 329      
    CALL SYSTEM 2012-11-28 450 386 200DB 5.0000 26      
    COMPUTER EQUIPMENT 2012-09-30 2,526 2,162 200DB 5.0000 146      
    TOOLS & EQUIPMENT 2012-05-11 255 199 200DB 7.0000 16      
    FURNITURE & EQUIPMENT 2012-09-30 336 262 200DB 7.0000 21      
    FLOORING 2013-03-12 1,850 97 S/L 39.0000 47      
    PAVING 2012-12-31 10,520 6,472 150DB 15.0000 405      
    HOT WATER TANK 2012-10-01 2,915 184 S/L 39.0000 74      
    IMPROVEMENTS 2013-03-01 67,801 3,549 S/L 39.0000 1,739      
    2006 CHEVY VAN 2013-04-19 7,800 5,928 200DB 5.0000 749      
    AIR CONDITIONERS 2013-06-01 1,412 1,073 200DB 5.0000 135      
    CALL SYSTEM 2013-07-01 186 141 200DB 5.0000 18      
    ICE MAKER 2013-04-12 146 101 200DB 7.0000 13      
    COMPUTER (LAUREL 2013-07-05 663 504 200DB 5.0000 63      
    SOFTWARE 2013-12-31 401 290   3.0000 66      
    NETWORK COMPUTERS 2014-02-03 5,539 2,880 200DB 5.0000 1,064      
    TOOLS 2013-05-30 425 295 200DB 7.0000 37      
    OFFICE FURNITURE 2013-12-31 2,201 1,527 200DB 7.0000 192      
    CARPETING 2013-11-03 2,959 2,249 200DB 5.0000 284      
    PATIO 2013-05-14 1,459 836 150DB 15.0000 62      
    FLOORING 2013-10-23 4,166 156 S/L 39.0000 107      
    BUILDING IMPROVEMENTS 2013-07-03 9,271 406 S/L 39.0000 238      
    DRIVEWAY IMPROVEMENTS 2013-04-20 1,330 761 150DB 15.0000 57      
    ELECTRICAL IMPROVEMENTS 2013-12-31 8,367 277 S/L 39.0000 215      
    PHONE SYSTEM WIRING 2013-11-18 646 23 S/L 39.0000 16      
    IMPROVEMENTS 2013-11-12 3,987 141 S/L 39.0000 102      
    HEATER 2014-07-31 1,937 35 S/L 39.0000 50      
    BUILDING IMPROVEMENTS 2014-09-30 11,166 155 S/L 39.0000 286      
    CALL SYSTEM 2015-04-02 18,275   200DB 7.0000 10,443      
    BED 2015-09-23 1,200   200DB 7.0000 686      
    WATER HEATER 2016-03-12 5,600   S/L 39.0000 6      
    ROOF 2015-12-23 15,000   S/L 39.0000 112      
    BUILDING IMPROVEMENTS 2016-01-15 2,500   S/L 39.0000 13      

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    TY 2015 GainLossSaleOtherAssetsSch
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    150 SH EXXON MOBIL CORP 2009-12 PURCHASE 2015-04   13,158 14,159     -1,001  
    500 SH FASTENAL CO 2009-12 PURCHASE 2015-04   21,523 12,238     9,285  
    103SH WASHINGTON PROPERTY GROUP 2009-09 PURCHASE 2015-04   1,562       1,562  
    250 SH ISHARES S&P GLOBAL TELECOM 2009-12 PURCHASE 2015-06   15,927 14,232     1,695  
    400 SH ENTERPRISE PRODUCT PARTNERS 2009-12 PURCHASE 2015-08   10,597 2,189     8,408  
    200 SH PEPSICO INC 2009-12 PURCHASE 2015-08   18,118 13,820     4,298  
    100 SH TEVA PHARMECEUTICALS INDS LTD 2009-12 PURCHASE 2015-08   6,388 4,679     1,709  
    650 SH TEVA PHARMECEUTICALS INDS LTD 2009-12 PURCHASE 2015-10   37,547 30,414     7,133  
    50 SH FEDERAL HOME LOAN BANK 2009-12 PURCHASE 2015-12   50,000 52,860     -2,860  
    189.898 SH TEMPLETON INCOME TR 2014-07 PURCHASE 2015-06   2,338 2,295     43  
    2209.1 SH TEMPLETON INCOME TR 2009-12 PURCHASE 2015-06   27,194 26,699     495  
    27.231 SH HENNESSY FUNDS 2014-07 PURCHASE 2015-06   793 819     -26  
    510.204 SH HENNESSY FUNDS 2014-05 PURCHASE 2015-06   14,852 15,000     -148  

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS    

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Name of Stock End of Year Book Value End of Year Fair Market Value
    COMMON STOCKS 344,692 507,824

    TY 2015 InvestmentsOtherSchedule2
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    EQUITY FUNDS      
    US GOVERNMENT BONDS AT COST 25,770 29,560
    BOND FUNDS      

    TY 2015 LandEtcSchedule2
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    IMPROVEMENTS 560,073 381,440 178,633  
    FURNITURE & FUXTURES 156,752   156,752  
    VEHICLES 7,800   7,800  


    TY 2015 OtherAssetsSchedule
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    PREPAID FUNERAL EXPENSES 5,555 5,555  
    EMPLOYEE ADVANCES   95  


    TY 2015 OtherExpensesSchedule
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    APARTMENT        
    REPAIRS - APARTMENT 1,524      
    EXPENSES        
    ADVERTISING 14,883     14,883
    AUTO EXPENSES 3,124     3,124
    B&G INSURANCE 25,528     25,528
    BANK SERVICE CHARGES 311     311
    BOOKKEEPING 21,325     21,325
    COMPUTER NETWORKING 845     845
    DUES & SUBSCRIPTIONS 300     300
    EMPLOYEE EDUCATION 640     640
    ENTERTAINMENT 2,840     2,840
    EQUIPMENT LEASE 4,454     4,454
    FLOWERS & DECORATIONS 566     566
    FOOD 47,179     47,179
    GIFTS 300     300
    HEAT 13,698     13,698
    HOUSEHOLD SUPPLIES 4,622     4,622
    HOUSEHOLD SUPPLIES 4,981     4,981
    IMMUNIZATIONS - ADMIN 1,045     1,045
    INSURANCE - W/C 45,688     45,688
    LANSCAPING 3,214     3,214
    LICENSES 410     410
    LICENSES & FEES 2,699     2,699
    LUNCHES & DINNERS 246     246
    MEDICAL SUPPLIES 2,105     2,105
    MEDICATIONS 1,166     1,166
    MILEAGE REIMBURSEMENT 89     89
    OFFICE SUPPLIES 2,460     2,460
    PAINTING & WALLPAPERING 171     171
    PAYROL SERVICE FEES 2,765     2,765
    POSTAGE & FREIGHT 449     449
    RECORDS 50     50
    REPAIRS & MAINTENANCE 12,010     12,010
    RUBBISH REMOVAL 1,683     1,683
    SHREDDING 475     475
    SNOW REMOVAL 7,000     7,000
    SPECIAL EVENTS 513     513
    TELEPHONE 9,791     9,791
    UNIFORMS 980     980
    UTILITIES 12,047     12,047
    WATER & SEWER 9,713     9,713
    MEDICAL SERVICES 1,295     1,295
    SECURITY MONITORING 456     456
    MEMBERSHIPS 160     160
    SUPPLIES - ADMINSTRATIVE 115     115


    TY 2015 OtherIncomeSchedule2
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RESPITE CARE 12,773    
    ADMISSION FEES 20,000    
    RESIDENT FEES 815,508    


    TY 2015 OtherLiabilitiesSchedule
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Description Beginning of Year - Book Value End of Year - Book Value
    EMP PARTY LIABILITY    
    PEOPLES CREDIT CARD 651  
    HOLY ROSARY CU CC   892
    LINE OF CREDIT 18,886 17,089
    PREPAID RESIDENT FEES 45,037 28,385
    RESIDENT ACCOUNT LIABILITY   5,039
    SECURITY DEPOSIT 43,005 39,105
    NORTH STAR LEASE   11,293


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ARCHITECT 3,773     3,773


    TY 2015 TaxesSchedule
    Name:
    GAFNEY HOME
    EIN:
    02-0222132
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990 T TAX 2,216 2,216    
    990-PF TAX 340 340