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
BURROWS FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)501 WEST MAIN STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LITTLE FALLS, NY13365
A Employer identification number

22-3059155
B Telephone number (see instructions)

(315) 823-2300
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$3,609,174
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) 222,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 97 97  
4 Dividends and interest from securities... 60,444 60,444  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -36,989
b Gross sales price for all assets on line 6a 234,778
7 Capital gain net income (from Part IV, line 2)... 0
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)....... 750,680 7,644  
12 Total. Add lines 1 through 11........ 996,232 68,185  
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)......... 28 0   28
b Accounting fees (attach schedule)....... 2,750 2,063   687
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 1,716 592   250
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 21,858 21,828   30
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 26,352 24,483   995
25 Contributions, gifts, grants paid....... 180,070 180,070
26 Total expenses and disbursements. Add lines 24 and 25 206,422 24,483   181,065
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 789,810
b Net investment income (if negative, enter -0-) 43,702
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............. 31,439 70,312 70,312
2 Savings and temporary cash investments......... 49,528 88,225 88,225
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) 0 Click to see attachment29,630 29,630
b Investments—corporate stock (attach schedule)....... 614,813 Click to see attachment1,006,185 1,006,185
c Investments—corporate bonds (attach schedule)....... 0 Click to see attachment296,566 296,566
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,386,785 Click to see attachment2,116,429 2,116,429
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment1,344 Click to see attachment1,827 Click to see attachment1,827
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,083,909 3,609,174 3,609,174
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.................. 3,083,909 3,609,174
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 3,083,909 3,609,174
31 Total liabilities and net assets/fund balances (see instructions). 3,083,909 3,609,174
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
3,083,909
2
Enter amount from Part I, line 27a .....................
2
789,810
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
3,873,719
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
264,545
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
3,609,174
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 FROM K-1: POWERSHARES DB COMMODITY INDEX TRACKING FUND P 2015-01-01 2015-12-31
b FROM K-1: POWERSHARES DB COMMODITY INDEX TRACKING FUND P 2015-01-01 2015-12-31
c FROM K-1: TWIN LAKE TOTAL RETURN PARTNERS, L.P. P 2015-01-01 2015-12-31
d FROM K-1: TWIN LAKE TOTAL RETURN PARTNERS, L.P. P 2015-01-01 2015-12-31
e CHARLES SCHWAB & CO., INC. - PUBLICLY TRADED SECURITIES P 2015-01-01 2015-12-31
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       -373
b       -197
c       -22,730
d       -1,787
e 234,767   246,680 -11,913
11     11
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       -373
b       -197
c       -22,730
d       -1,787
e       -11,913
      11
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 -36,989
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 225,214 3,141,015 0.071701
2013 273,307 3,425,535 0.079785
2012 251,866 4,059,950 0.062037
2011 150,354 3,246,099 0.046318
2010 225,636 3,392,580 0.066509
2
Total of line 1, column (d) .....................
20.326350
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
0.065270
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
3,233,349
5
Multiply line 4 by line 3......................
5
211,041
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
437
7
Add lines 5 and 6........................
7
211,478
8
Enter qualifying distributions from Part XII, line 4.............
8
181,065
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 1 874
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........................... 3 874
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- ..... 5 874
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 995
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.............. 7 995
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 121
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet121 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)
    bulletNY
    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 ofbulletCAROLYN ZAKLUKIEWICZ Telephone no.bullet (315) 823-2300

    Located atbullet501 WEST MAIN STREETLITTLE FALLSNY ZIP+4bullet13365
    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
     
    No
    .........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
    JI TING WANG TRUSTEE
    2.00
    0 0 0
    501 WEST MAIN STREET
    LITTLE FALLS,NY13365
    CAROLYN ZAKLUKIEWICZ TRUSTEE
    2.00
    0 0 0
    501 WEST MAIN STREET
    LITTLE FALLS,NY13365
    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
    974,782
    b
    Average of monthly cash balances.......................
    1b
    189,143
    c
    Fair market value of all other assets (see instructions)................
    1c
    2,118,663
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,282,588
    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
    3,282,588
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    49,239
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,233,349
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    161,667
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    161,667
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    874
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    874
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    160,793
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    160,793
    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
    160,793
    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
    181,065
    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
    181,065
    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
    181,065
    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 7 160,793
    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...... 56,413
    b From 2011......  
    c From 2012...... 49,774
    d From 2013...... 102,652
    e From 2014...... 68,939
    fTotal of lines 3a through e........ 277,778
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 181,065
    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..... 160,793
    e Remaining amount distributed out of corpus 20,272
    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 5 298,050
    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) ...
    56,413
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    241,637
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012.... 49,774
    c Excess from 2013.... 102,652
    d Excess from 2014.... 68,939
    e Excess from 2015.... 20,272
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    CAROLYN ZAKLUKIEWICZ
    501 WEST MAIN STREET
    LITTLE FALLS,NY13365
    (315) 823-2300
    bThe form in which applications should be submitted and information and materials they should include:
    REASONABLE MANNER & LEGIBLE
    cAny submission deadlines:
    NO DEADLINES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NO RESTRICTIONS
    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
    ABRAHAM HOUSE
    1203 KEMBLE STREET
    UTICA,NY13501
    N/A PC 2015 DONATION 250
    AMAZING GRACIE GIFT FOUNDATION
    PO BOX 134
    MOHAWK,NY13407
    N/A PC 2015 DONATION 500
    AMERICAN CANCER SOCIETY
    PO BOX 1480
    SYRACUSE,NY132011480
    N/A PC HERKIMER COUNTY RELAY FOR LIFE 250
    AMERICAN LEGION POST NO 31
    100 WEST MAIN STREET
    LITTLE FALLS,NY13365
    N/A POF BOYS STATE FUND 300
    BENEFIT OF ANDREWS JOURNEY
    687 BRONNER ROAD
    LITTLE FALLS,NY13365
    N/A PC 2015 DONATION 100
    BERKSHIRE SCHOOL
    245 NORTH UNDERMOUNTAIN ROAD
    SHEFFIELD,MA01257
    N/A PC TUITION SCHOLARSHIP 69,687
    BIG BROTHERS BIG SISTERS
    1020 MARY STREET
    UTICA,NY13501
    N/A PC 2015 BOWL FOR KID'S SAKE 250
    BOY SCOUTS OF AMERICA
    1401 GENESEE STREET
    UTICA,NY13501
    N/A PC 2015 DONATION 500
    CHRISTMAS FOR CHILDREN PROGRAM
    41 NORTH MAIN STREET
    DOLGEVILLE,NY13329
    N/A PC 2015 DONATION 250
    CHRISTMAS ON MAIN STREET
    536 EAST MAIN STREET
    LITTLE FALLS,NY13365
    N/A PC 2015 DONATION 250
    CINCINNATI ASSOC BLIND & VISUALLY IMPAIRED
    2045 GILBERT AVENUE
    CINCINNATI,OH45202
    N/A PC 2015 DONATION 500
    COMMUNITY CHEST
    15 JACKSON ST
    LITTLE FALLS,NY13365
    N/A PC 2015 CONTRIBUTION 2,000
    DARTMOUTH-HITCHCOCK HEALTH NCCC
    ONE MEDICAL CENTER DRIVE HB 7070
    LEBANON,NH037560001
    N/A PC TEAM 500-X 10,000
    ESF COLLEGE FOUNDATION
    1 FORESTRY
    SYRACUSE,NY132102778
    N/A PC 2015 CONTRIBUTION 1,000
    FRIENDS OF BASSETT
    1 ATWELL ROAD
    COOPERSTOWN,NY133269980
    N/A PF CAPITAL CAMPAIGN PLEDGE 10,000
    FRIENDS OF LEWIS COUNTY HOSPICE
    PO BOX 266
    LOWVILLE,NY13367
    N/A PC 2015 DONATION 100
    GIRL SCOUTS OF NYPENN PATHWAYS INC
    8170 THOMPSON ROAD
    CICERO,NY13039
    N/A PC 2015 DONATION 500
    HEIFER PROJECT INTERNATIONAL
    PO BOX 8058
    LITTLE ROCK,AR72203
    N/A PC 2015 CONTRIBUTION 1,000
    HERKIMER COUNTY COLLEGE FOUNDATION
    100 RESERVOIR ROAD
    HERKIMER,NY13350
    N/A PC CHILDRENS CENTER SPONSORSHIP 1,000
    HERKIMER COUNTY DAY AT THE FARM
    PO BOX 122 795 SNELLS BUSH ROAD
    LITTLE FALLS,NY13365
    N/A PC 2015 DONATION 500
    HERKIMER COUNTY HISTORICAL SOCIETY
    400 NORTH MAIN STREET
    HERKIMER,NY13350
    N/A PC 2016 MEMBERSHIP 100
    HERKIMER COUNTY SOIL & CONSERVATION DISTRICT
    5653 STATE ROUTE 5
    HERKIMER,NY13350
    N/A PC 2015 ENVIROTHON 250
    HERKIMER HIGH SCHOOL FOOTLIGHTERS
    172 MAIN ROAD
    HERKIMER,NY13350
    N/A PC 2015 DONATION 40
    HOLY FAMILY PARISH
    763 EAST MAIN STREET
    LITTLE FALLS,NY13365
    N/A PC MEMORIAL CONTRIBUTION 250
    HOSPICE & PALLIATIVE CARE INC
    4277 MIDDLE SETTLEMENT ROAD
    NEW HARTFORD,NY13413
    N/A PC 2015 CONTRIBUTIONS 20,000
    ILION ANGELS POP WARNER
    104 ELM STREET
    ILION,NY13357
    N/A POF 2015 DONATION 200
    INDIAN CASTLE CHURCH R&P SOCIETY
    PO BOX 172
    LITTLE FALLS,NY11365
    N/A PC 2015 DONATION 50
    J S KOSTER HOSE CO INC
    PO BOX 652
    PORT LEYDEN,NY13433
    N/A PC 2015 CONTRIBUTION 250
    JARROW MONTESSORI SCHOOL
    3900 ORANGE COURT
    BOULDER,CO80304
    N/A PC TUITION SCHOLARSHIP 17,523
    LEWIS COUNTY HISTORICAL SOCIETY
    7552 S STATE STREET PO BOX 446
    LOWVILLE,NY13367
    N/A PC 2015 CONTRIBUTION 100
    LITTLE FALLS BEAUTIFICATION COMMITTEE
    18 NORTH ANN STREET
    LITTLE FALLS,NY13365
    N/A PC 2015 CONTRIBUTION 100
    LITTLE FALLS CANAL DAYS CELEBRATION
    15 JACKSON STREET
    LITTLE FALLS,NY13365
    N/A PC 2015 DONATION 200
    LITTLE FALLS COMMUNITY OUTREACH INC
    16 JACKSON STREET
    LITTLE FALLS,NY13365
    N/A PC 2015 CONTRIBUTION 5,000
    LITTLE FALLS DRAMA CLUB
    1 HIGH SCHOOL ROAD
    LITTLE FALLS,NY13365
    N/A PC 2015 DONATION 45
    LITTLE FALLS ELKS LODGE #42
    579 BURT ROAD
    LITTLE FALLS,NY13365
    N/A POF HOLE SPONSORSHIP 100
    LITTLE FALLS GIRLS YMCA YOUTH SOFTBALL
    15 JACKSON ST
    LITTLE FALLS,NY13365
    N/A PC 2015 DONATION 100
    LITTLE FALLS HISTORICAL SOCIETY
    319 S ANN STREET
    LITTLE FALLS,NY13365
    N/A PC 2015 MEMBERSHIP 200
    LITTLE FALLS HOSPITAL
    140 BURWELL STREET
    LITTLE FALLS,NY13365
    N/A PC 2015 DEVELOPMENT FUND DRIVE 10,000
    LITTLE FALLS LITTLE LEAGUE
    PO BOX 992
    LITTLE FALLS,NY13365
    N/A PC 2015 DONATION 100
    LITTLE FALLS ROTARY CLUB
    PO BOX 181
    LITTLE FALLS,NY13362
    N/A PC SCHOLARSHIP FUND 200
    LYONS FALLS ALIVE
    PO BOX 702
    LYONS FALLS,NY13368
    N/A PC 2015 LYONS FALLS FESTIVAL 100
    MOHAWK VALLEY CENTER FOR ARTS
    401 S ANN STREET
    LITTLE FALLS,NY13365
    N/A PC 2015 CONTRIBUTION 500
    MOHAWK VALLEY CHORAL SOCIETY
    PO BOX 46
    LITTLE FALLS,NY13365
    N/A PC 2015 CONTRIBUTION 1,000
    NEKF
    501 NEW KARNER ROAD SUITE 6
    ALBANY,NY12205
    N/A PC 10K FOR KIDNEY SPONSORSHIP 100
    NORTHFIELD MOUNT HERMON SCHOOL
    1 LAMPLIGHTER WAY MOUNT
    HERMON,MA01354
    N/A PC 2015 CONTRIBUTION 1,000
    NYS 4-H FOUNDATION
    248 GRANT AVE SUITE II-A
    AUBURN,NY13021
    N/A PC 2015 DONATION 500
    O2 FOR VETERAN GEORGE
    N/A
    LITTLE FALLS,NY13365
    N/A PC 2015 DONATION 200
    SOUTH LEWIS MERCHANTS BABE RUTH BASEBALL
    PO BOX 321
    TURIN,NY13473
    N/A POF 2015 DONATION 100
    ST FRANCIS DE SALES CATHOLIC SCHOOL
    220 HENRY STREET
    HERKIMER,NY13350
    N/A PC 2015 DONATION 100
    STAGE TWO THEATRE COMPANY
    801 WEST GERMAN STREET
    HERKIMER,NY13350
    N/A POF 2015 DONATION 100
    SYRACUSE PULP & PAPER FOUNDATION
    SUNY COLLEGE OF ESF 1 FORESTRY
    SYRACUSE,NY132102778
    N/A NC 2015 DONATION 1,000
    THE WOMEN'S FUND OF HERKIMER
    2 WILLIAMS STREET
    CLINTON,NY13323
    N/A PC 2015 DONATION 250
    THREE RIVERS CONSERVATION FOUNDATION
    2652 HIGHWAY 61
    MONTROSE,IA52639
    N/A PC MEMORIAL DONATION 250
    TOM GREENE GTO SPORTS PROMOTIONS
    PO BOX 255
    LAKE GEORGE,NY12845
    N/A POF 2015 DONATION 225
    VALLEY HEALTH SERVICES INC
    690 WEST GERMAN STREET
    HERKIMER,NY13350
    N/A NC 2015 CONTRIBUTION 5,000
    VIOLET FESTIVAL COMMITTEE
    PO BOX 83
    DOLGEVILLE,NY13329
    N/A PC 2015 DONATION 200
    WARREN COUNTY FOP 103
    1343 WEST STREET ROUTE 122
    LEBANON,OH45036
    N/A POF 2015 DONATION 450
    YMCA
    15 JACKSON STREET
    LITTLE FALLS,NY13365
    N/A PC 2015 CONTRIBUTIONS AND GOLF HOLE SPONSORSHIP 15,250
    Total .................................bullet 3a 180,070
    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 ...........
        14 97  
    4 Dividends and interest from securities....     14 60,444  
    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.....     14 7,644  
    8
    Gain or (loss) from sales of assets other than inventory ............
        18 -36,989  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aLIFE INSURANCE PROCEEDS
        01 743,036  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 774,232 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13774,232
    (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
    BURROWS FOUNDATION
     
    Employer identification number

    22-3059155
    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
    BURROWS FOUNDATION
     
    Employer identification number
    22-3059155
    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
    BURROWS PAPER CORPORATION
     

       
    501 WEST MAIN STREET
     
    LITTLE FALLS, NY13365

    $ 222,000


    (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
    BURROWS FOUNDATION
     
    Employer identification number

    22-3059155
    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
     
    $    
    (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
    BURROWS FOUNDATION
     
    Employer identification number

    22-3059155
    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:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,750 2,063   687

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Name of Bond End of Year Book Value End of Year Fair Market Value
    OPPENHEIMER INTL BOND 15,393 15,393
    AIR PROD & CHEMIC 24,841 24,841
    ASTRAZENECA PLC 24,873 24,873
    BANK OF MONTREAL 14,832 14,832
    COSTCO WHOLESALE 24,784 24,784
    CR BARD INCORP 24,603 24,603
    EMC CORP MASS 22,131 22,131
    GENERAL ELECTRIC 10,051 10,051
    INTEL CORP 25,031 25,031
    OCCIDENTAL PETR 14,709 14,709
    PNC FUNDING CORP 15,268 15,268
    QUALCOMM INC 24,785 24,785
    STRYKER CORP 24,803 24,803
    TJX COMPANIES 15,205 15,205
    WALT DISNEY CO 15,257 15,257

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Name of Stock End of Year Book Value End of Year Fair Market Value
    FULL METAL MINERALS 1 1
    PATRIOT FEDERAL BANK 214,500 214,500
    ANTHEM INC 11,155 11,155
    APPLE INC 18,947 18,947
    BANK OF NY MELLON CP 13,397 13,397
    BAXTER INTERNATIONAL INC 6,295 6,295
    BLACKROCK INC 13,621 13,621
    BOEING CO 9,398 9,398
    CHEVRON CORPORATION 9,896 9,896
    COCA COLA COMPANY 10,310 10,310
    COLGATE-PALMOLIVE CO 11,325 11,325
    DEERE & CO 9,534 9,534
    EXXON MOBIL CORPORATION 7,016 7,016
    GENERAL ELECTRIC COMPANY 13,239 13,239
    HONEYWELL INTERNATIONAL 12,428 12,428
    HSBC HLDGS PLC ADR NEW 9,670 9,670
    INTEL CORP 4,479 4,479
    JPMORGAN CHASE & CO 15,187 15,187
    M&T BANK CORPORATION 10,300 10,300
    MC DONALDS COPR 10,042 10,042
    MEDTRONIC INC 13,846 13,846
    MERK & CO INC NEW 7,659 7,659
    MICROSOFT CORP 16,089 16,089
    NEXTERA ENERGY INC 11,947 11,947
    NORDSTROM INC 8,717 8,717
    OCCIDENTAL PETE CORP 7,437 7,437
    PEPSICO INCORPORATED 12,490 12,490
    PFIZER INCORPORATED 13,073 13,073
    PHILLIPS 66 4,499 4,499
    SCHLUMBERGER LTD 11,160 11,160
    SPECTRA ENERGY COPR 5,027 5,027
    TIME WARNER INC NEW 10,671 10,671
    TRAVELERS COMPANIES INC 10,722 10,722
    VERIZON COMMUNICATIONS 14,328 14,328
    WAL-MART STORES INC 7,969 7,969
    WILLIAMS SONOMA 8,469 8,469
    ISHARES TR MSCI EAFE 107,164 107,164
    ISHARES TR RUSSELL 1000 99,480 99,480
    ISHARES TR RUSSELL 2000 37,165 37,165
    SPDR GOLD TRUST 16,234 16,234
    VANGUARD REIT 23,919 23,919
    VENTAS INC 8,182 8,182
    POWERSHARES DB COMMDTY INDX 19,706 19,706
    BAXALTA INCORPORATED 6,440 6,440
    BB&T CORPORATION 6,806 6,806
    COPPERBANK RESOURCES 9 9
    FASTENAL CO 7,144 7,144
    W E C ENERGY GROUP 10,005 10,005
    ISHARES CORE MSCI 56,722 56,722
    ISHARES TIPS BOND ETF 16,452 16,452
    VANGUARD SHORT TERM BOND 15,914 15,914

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    US Government Securities - End of Year Book Value:

    29,630
    US Government Securities - End of Year Fair Market Value:

    29,630
    State & Local Government Securities - End of Year Book Value:


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


    0


    TY 2015 InvestmentsOtherSchedule2
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    GOLD EAGLE COINS FMV 1,590,000 1,590,000
    TWIN LAKE TOTAL RETURN PARTNERS, L.P. FMV 526,429 526,429

    TY 2015 LegalFeesSchedule
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 28 0   28


    TY 2015 OtherAssetsSchedule
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    PREPAID EXCISE TAX 995 121 121
    ACCRUED DIVIDENDS RECEIVABLE 349 1,706 1,706


    TY 2015 OtherDecreasesSchedule
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Description Amount
    UNREALIZED LOSS ON INVESTMENTS 264,545


    TY 2015 OtherExpensesSchedule
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES 21,828 21,828   0
    MISCELLANOUS EXPENSES 30 0   30


    TY 2015 OtherIncomeSchedule2
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FROM K-1: TWIN LAKE TOTAL RETURN PARTNERS, L.P. IRC SECTION 988 INCOME 12,836 12,836 12,836
    FROM K-1: POWERSHARES DB COMMODITY INDEX TRACKING FUND IRC SEC. 1256 INCOME -5,192 -5,192 -5,192
    LIFE INSURANCE PROCEEDS 743,036   743,036


    TY 2015 TaxesSchedule
    Name:
    BURROWS FOUNDATION
    EIN:
    22-3059155
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FILING FEES 250 0   250
    FOREIGN TAXES 592 592   0
    EXCISE TAXES 874 0   0