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 08-01-2015 , and ending 07-31-2016
Name of foundation
BENJAMIN S COHEN TRUST XXX-XX-XXXX
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CONCORD, NH033020477
A Employer identification number

02-6058742
B Telephone number (see instructions)

(877) 773-1229
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$1,468,095J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 33,028 33,028  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 10,321
b Gross sales price for all assets on line 6a 563,809
7 Capital gain net income (from Part IV, line 2)... 10,321
8 Net short-term capital gain......... 0
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)....... Click to see attachment 2,763    
12 Total. Add lines 1 through 11........ 46,112 43,349  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 22,897 22,897    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 725 725 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 356 356   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 1,376 1,376    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 25,354 25,354 0 0
25 Contributions, gifts, grants paid....... 84,752 84,752
26 Total expenses and disbursements. Add lines 24 and 25 110,106 25,354 0 84,752
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -63,994
b Net investment income (if negative, enter -0-) 17,995
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 49,078 81,362 81,362
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 377,691 Click to see attachment328,826 337,972
b Investments—corporate stock (attach schedule)....... 669,978 Click to see attachment658,417 760,311
c Investments—corporate bonds (attach schedule)....... 320,911 Click to see attachment285,056 288,450
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,417,658 1,353,661 1,468,095
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 1,417,658 1,353,661
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)..... 1,417,658 1,353,661
31 Total liabilities and net assets/fund balances (see instructions). 1,417,658 1,353,661
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
1,417,658
2
Enter amount from Part I, line 27a .....................
2
-63,994
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,353,664
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
3
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,353,661
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 10. CVS CORP   2013-11-29 2015-08-06
b 90. AGILENT TECHNOLOGIES INC COM   2013-08-16 2015-08-18
c 90. AGILENT TECHNOLOGIES INC COM   2013-08-16 2015-08-19
d 5000. CATERPILLAR FINL SE 2.05% 08/01/2016 DTD 07/29/2011   2015-01-26 2015-08-21
e 10000. CATERPILLAR FINL SE 2.05% 08/01/2016 DTD 07/29/2011   2012-03-28 2015-08-21
5000. COMCAST CORP 2.85% 01/15/2023 DTD 01/14/2013   2015-04-09 2015-08-21
5000. COMCAST CORP 2.85% 01/15/2023 DTD 01/14/2013   2013-02-22 2015-08-21
5000. ONTARIO PROVINCE OF 1.65% 09/27/2019 DTD 09/27/2012   2015-04-09 2015-08-21
5000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2012-03-14 2015-08-21
70. PRAXAIR INCORPORATED COMMON   2013-11-29 2015-08-24
90. CAMERON INTERNATIONAL CORP   2013-11-29 2015-08-26
15000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2010-07-09 2015-09-16
130. METLIFE INC   2014-06-17 2015-10-05
30. MCDONALDS CORP   2013-11-29 2015-10-09
50. CIT GROUP INC COM NEW   2013-11-29 2015-10-16
20. HOME DEPOT INC   2014-06-18 2015-10-22
30. MCDONALDS CORP   2013-11-29 2015-10-26
20. MCDONALDS CORP   2014-01-10 2015-10-27
40. TEXAS INSTRUMENTS   2013-11-29 2015-10-28
15000. GEN ELEC CAP CORP 5.625% 09/15/2017 DTD 09/24/07   2013-06-21 2015-10-30
4000. GENERAL ELEC CAP 3.45% 05/15/2024 DTD 05/15/2014 CALLABLE 02/13/   2015-02-26 2015-10-30
60. CITRIX SYS INC COM   2014-04-24 2015-11-13
16000. GE CAP INTL FNDG 0.9640% 04/15/2016 DTD 10/26/2015   2015-10-30 2015-11-16
1000. GENERAL ELEC CAP 3.45% 05/15/2024 DTD 05/15/2014 CALLABLE 02/13/   2015-02-26 2015-11-16
5000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2015-01-26 2015-11-16
15000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2013-06-20 2015-11-16
30. CITRIX SYS INC COM   2014-02-03 2015-11-20
150. INTERNATIONAL PAPER CO   2013-11-29 2015-12-02
70. UNITED TECHNOLOGIES   2014-10-28 2015-12-07
20. NORTHERN TRUST CORP   2014-01-23 2015-12-31
10. VISA INC. - CL A   2013-11-29 2015-12-31
80. COLGATE PALMOLIVE CO   2008-11-20 2016-01-04
50. CIT GROUP INC COM NEW   2013-11-29 2016-01-15
210. MORGAN STANLEY GROUP INC. DEAN   2014-03-13 2016-01-19
20. NORTHERN TRUST CORP   2013-12-24 2016-01-20
70. NORTHERN TRUST CORP   2014-02-04 2016-01-21
120. CIT GROUP INC COM NEW   2014-10-29 2016-01-22
10000. BK OF NOVA SCOTIA 1.1% 12/13/2016 DTD 12/13/2013   2013-12-17 2016-01-25
15000. BERKSHIRE HATHAWAY 5.40% 5/15/2018 DTD 11/15/2008   2011-01-18 2016-01-25
5000. PROVINCE OF QUEBEC 2.750% 08/25/2021 DTD 08/25/11   2015-01-27 2016-01-25
10000. PROVINCE OF QUEBEC 2.750% 08/25/2021 DTD 08/25/11   2014-03-14 2016-01-25
10000. TOYOTA MOTOR CREDIT 2.00% 09/15/2016 DTD 09/08/11   2013-06-24 2016-01-25
20. CVS CORP   2015-11-13 2016-02-03
10. CVS CORP   2013-11-29 2016-02-03
90. KOHL'S CORP   2013-11-29 2016-02-04
5000. ANHEUSER-BUSCH 1.375% 07/15/2017 DTD 07/16/2012   2012-08-06 2016-02-08
10. DANAHER CORP   2012-02-06 2016-02-08
5000. F.H.L.M.C. NOTES 3.75% 03/27/2019 DTD 03/27/2009   2011-08-24 2016-02-08
5000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2012-05-03 2016-02-08
5000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2015-01-26 2016-02-08
5000. U S TREASURY NOTE 1.875% 09/30/2017 DTD 09/30/10   2015-04-02 2016-02-08
5000. WALMART STORES INC 3.25% 10/25/2020 DTD 10/25/2010   2015-02-26 2016-02-08
180. CITIGROUP INC.   2014-10-29 2016-02-09
156.093 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2015-04-13 2016-02-10
19.301 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2014-08-15 2016-02-10
114.27 TDAM 1 TO 5 CORP BD PORTFOLIO   2014-08-15 2016-02-10
82.938 VANGUARD SHORT-TERM FED-ADM #549   2015-04-13 2016-02-10
30. CVS CORP   2013-11-29 2016-02-18
40. TEXAS INSTRUMENTS   2013-11-29 2016-02-19
30. TEXAS INSTRUMENTS   2013-11-29 2016-02-23
50. CVS CORP   2013-11-29 2016-02-25
10. HOME DEPOT INC   2014-06-18 2016-02-25
5000. ANHEUSER-BUSCH 1.375% 07/15/2017 DTD 07/16/2012   2015-04-09 2016-03-15
5000. ANHEUSER-BUSCH 1.375% 07/15/2017 DTD 07/16/2012   2012-08-06 2016-03-15
15000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2014-05-20 2016-03-15
5000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2015-04-09 2016-03-15
3.574 CALIFORNIA RESOURCES CORPORATION   2015-04-08 2016-03-30
8.426 CALIFORNIA RESOURCES CORPORATION   2013-11-29 2016-03-30
90. TEXAS INSTRUMENTS   2013-11-29 2016-04-01
.171 CALIFORNIA RESOURCES CORPORATION   2015-04-08 2016-04-12
10. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2016-01-19 2016-04-15
20. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-14 2016-04-15
10. ABBOTT LABS CO   2013-01-15 2016-04-20
20. ABBVIE INC   2015-10-02 2016-04-20
10. ADVANCE AUTO PARTS INC   2015-12-17 2016-04-20
10. ALPHABET INC CL-C   2015-08-26 2016-04-20
10. AMERICAN INTL GROUP INC COM NEW   2015-05-06 2016-04-20
10. ANADARKO PETROLEUM   2015-04-08 2016-04-20
10. APPLE COMPUTER, INC   2015-08-26 2016-04-20
10. APPLE COMPUTER, INC   2013-06-27 2016-04-20
30. APPLIED MATERIALS   2013-11-29 2016-04-20
10. BLACKROCK INC CL A   2013-11-29 2016-04-20
10. BOEING CO   2013-05-20 2016-04-20
10. CME GROUP INC   2015-12-15 2016-04-20
10. CENTURYTEL INC COM   2013-11-29 2016-04-20
30. CITIZENS FINANCIAL GROUP INC   2015-07-29 2016-04-20
10. COMCAST CORP CL A   2016-02-25 2016-04-20
10. DANAHER CORP   2012-02-06 2016-04-20
10. DEVON ENERGY CORPORATIOIN NE COM   2013-11-29 2016-04-20
10. DICKS SPORTING GOODS INC COM   2015-11-24 2016-04-20
10. E I DUPONT DE NEMOURS INC   2013-11-29 2016-04-20
10. ECOLAB INC COM   2010-05-14 2016-04-20
10. EVERSOURCE ENERGY   2013-11-29 2016-04-20
10. F5 NETWORKS INC COM   2015-12-02 2016-04-20
10. FIDELITY NATL INFORMATION SV   2013-11-29 2016-04-20
10. FIDELITY NATIONAL FINANCIAL GROUP   2015-07-29 2016-04-20
40. FIRST DATA CORP - CLASS A   2015-10-16 2016-04-20
30. GENERAL ELECTRIC CO   2016-01-25 2016-04-20
10. GILEAD SCIENCES INC   2015-08-18 2016-04-20
10. HOME DEPOT INC   2014-06-18 2016-04-20
10. MARSH & MCLENNAN CORP   2013-11-29 2016-04-20
10. MCKESSON HBOC INC COM   2015-04-20 2016-04-20
20. MICROSOFT CORPORATION   2011-07-26 2016-04-20
10. MICROSOFT CORPORATION   2016-02-08 2016-04-20
10. OCCIDENTAL PETROLEUM CO   2013-11-29 2016-04-20
20. ORACLE CORPORATION   2016-01-19 2016-04-20
10. PPL CORP COM   2015-11-20 2016-04-20
10. PVH CORP COM   2015-04-15 2016-04-20
10. PEPSICO INCORPORATED   2016-02-25 2016-04-20
20. SYNCHRONY FINANCIAL   2015-01-29 2016-04-20
10. TJX COMPANIES INC.   2013-11-29 2016-04-20
10. TIME WARNER INC   2016-02-25 2016-04-20
10. US BANCORP DEL NEW   2016-03-15 2016-04-20
10. UNITEDHEALTH GROUP INC COM   2013-11-29 2016-04-20
20. VISA INC. - CL A   2013-11-29 2016-04-20
10. VOYA FINANCIAL INC   2015-06-08 2016-04-20
10. WEC ENERGY GROUP INC   2013-11-29 2016-04-20
10. INGERSOLL-RAND PLC SHS   2015-08-05 2016-04-20
10. NIELSEN HOLDINGS PLC EUR   2015-04-10 2016-04-20
10. SEAGATE TECHNOLOGY PLC   2013-11-29 2016-04-20
10. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-14 2016-04-20
6.954 INVESCO INTL GROWTH-Y   2010-11-19 2016-04-22
141.243 INVESCO INTL GROWTH-Y   2016-02-10 2016-04-22
80.67 FIDELITY SPARTAN HIGH INCOME   2013-07-29 2016-04-22
115.676 HARBOR INTERNATIONAL FUND   2010-11-19 2016-04-22
999.96 EPOCH US SMALL MID CAP EQUITY FD #37   2015-04-13 2016-04-22
40. TJX COMPANIES INC.   2013-11-29 2016-05-11
10000. U S TREASURY NOTE 1.875% 09/30/2017 DTD 09/30/10   2015-04-09 2016-06-13
5000. WALMART STORES INC 3.25% 10/25/2020 DTD 10/25/2010   2016-04-20 2016-06-13
10000. WALMART STORES INC 3.25% 10/25/2020 DTD 10/25/2010   2015-02-26 2016-06-13
80. VOYA FINANCIAL INC   2015-06-08 2016-06-24
10. AMERIPRISE FINANCIAL INC   2015-04-24 2016-06-28
10. CITIZENS FINANCIAL GROUP INC   2015-07-29 2016-06-28
30. CITIZENS FINANCIAL GROUP INC   2015-04-15 2016-06-28
90. FIRST DATA CORP - CLASS A   2015-10-16 2016-06-28
80. VOYA FINANCIAL INC   2015-05-26 2016-06-28
10. ABBVIE INC   2013-11-29 2016-07-06
17.258 INVESCO INTL GROWTH-Y   2010-11-19 2016-07-06
10. AMERICAN INTL GROUP INC COM NEW   2015-05-06 2016-07-06
10. AMERIPRISE FINANCIAL INC   2013-11-29 2016-07-06
10. APPLE COMPUTER, INC   2013-06-27 2016-07-06
20. APPLIED MATERIALS   2013-11-29 2016-07-06
10. BOEING CO   2013-05-20 2016-07-06
5000. CISCO SYSTEMS INC 4.950% DUE 02/15/19   2013-06-24 2016-07-06
10. COMCAST CORP CL A   2016-02-25 2016-07-06
10. DICKS SPORTING GOODS INC COM   2015-11-24 2016-07-06
10. EVERSOURCE ENERGY   2013-11-29 2016-07-06
182.408 FIDELITY SPARTAN HIGH INCOME   2013-07-29 2016-07-06
10. FIDELITY NATL INFORMATION SV   2013-11-29 2016-07-06
20. GENERAL ELECTRIC CO   2016-02-08 2016-07-06
10. GILEAD SCIENCES INC   2015-08-18 2016-07-06
10. KIMBERLY CLARK CORP   2016-02-25 2016-07-06
20. MICROSOFT CORPORATION   2011-07-26 2016-07-06
20. ORACLE CORPORATION   2016-01-19 2016-07-06
10. PEPSICO INCORPORATED   2016-02-25 2016-07-06
10. ROCKWELL COLLINS INC COM   2014-08-26 2016-07-06
50. SPDR GOLD TRUST   2016-04-20 2016-07-06
371.566 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2016-06-15 2016-07-06
7.833 TDAM 1 TO 5 CORP BD PORTFOLIO   2014-08-15 2016-07-06
354.445 TDAM 1 TO 5 CORP BD PORTFOLIO   2016-06-15 2016-07-06
742.25 EPOCH US SMALL MID CAP EQUITY FD #37   2015-01-26 2016-07-06
5000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2012-05-03 2016-07-06
5000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2016-04-20 2016-07-06
5000. U S TREASURY NOTE 1.875% 09/30/2017 DTD 09/30/10   2016-04-20 2016-07-06
5000. US TREASURY N/B 1.625 5/15/2026 DTD 05/15/2016   2016-06-13 2016-07-06
5000. U S TREAS. BONDS 1.75% 05/15/2022 DTD 05/15/2012   2012-06-26 2016-07-06
10. UNITEDHEALTH GROUP INC COM   2013-11-29 2016-07-06
363.195 VANGUARD SHORT-TERM FED-ADM #549   2015-04-13 2016-07-06
10. VISA INC. - CL A   2013-11-29 2016-07-06
10. WEC ENERGY GROUP INC   2013-11-29 2016-07-06
10. INGERSOLL-RAND PLC SHS   2015-08-05 2016-07-06
70. ABBOTT LABS CO   2013-01-15 2016-07-08
15000. JPMORGAN CHASE & CO 6% 01/15/2018 DTD 12/20/07   2009-09-21 2016-07-14
50. ABBOTT LABS CO   2010-05-27 2016-07-21
60. ABBOTT LABS CO   2010-11-19 2016-07-29
20. GILEAD SCIENCES INC   2015-08-18 2016-07-29
40. GILEAD SCIENCES INC   2015-05-27 2016-07-29
CAPITAL GAIN 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 1,095   673 422
b 3,566   3,058 508
c 3,464   3,058 406
d 5,062   5,064 -2
e 10,124   10,190 -66
4,899   5,101 -202
4,899   4,990 -91
4,984   5,022 -38
5,217   5,625 -408
7,429   8,890 -1,461
5,418   5,024 394
15,594   16,635 -1,041
6,166   6,736 -570
3,078   2,926 152
2,034   2,528 -494
2,481   1,599 882
3,369   2,926 443
2,235   1,921 314
2,309   1,721 588
16,000   16,029 -29
4,000   4,217 -217
4,670   3,417 1,253
16,024   16,000 24
1,030   1,054 -24
5,162   5,167 -5
15,485   16,079 -594
2,251   1,582 669
6,024   6,985 -961
6,687   7,675 -988
1,457   1,231 226
787   511 276
5,148   2,496 2,652
1,669   2,528 -859
5,502   6,598 -1,096
1,232   1,223 9
4,160   4,212 -52
3,707   5,866 -2,159
10,004   10,003 1
16,394   16,132 262
5,143   5,198 -55
10,286   10,041 245
10,072   10,119 -47
1,906   1,844 62
953   673 280
3,745   5,013 -1,268
5,001   5,031 -30
831   528 303
5,425   5,427 -2
5,359   5,430 -71
5,325   5,251 74
5,098   5,095 3
5,357   5,301 56
6,651   9,555 -2,904
1,595   1,641 -46
197   202 -5
1,148   1,159 -11
897   896 1
2,917   2,018 899
2,113   1,721 392
1,573   1,291 282
4,884   3,364 1,520
1,258   800 458
5,012   5,023 -11
5,012   5,030 -18
15,272   15,278 -6
5,091   5,094 -3
4   5 -1
9   13 -4
5,211   3,872 1,339
       
884   758 126
1,769   1,132 637
438   333 105
1,210   1,097 113
1,589   1,545 44
7,561   6,246 1,315
561   581 -20
513   861 -348
1,076   1,085 -9
1,076   564 512
636   522 114
3,670   3,050 620
1,310   990 320
934   958 -24
328   309 19
697   787 -90
615   583 32
952   528 424
351   610 -259
464   398 66
649   588 61
1,159   477 682
562   413 149
974   1,047 -73
665   507 158
329   390 -61
536   641 -105
938   847 91
1,004   1,175 -171
1,356   800 556
629   476 153
1,774   2,299 -525
1,121   576 545
561   484 77
760   922 -162
826   689 137
375   346 29
956   1,092 -136
1,030   1,006 24
609   626 -17
779   633 146
750   664 86
427   407 20
1,346   747 599
1,629   1,022 607
326   468 -142
580   419 161
638   601 37
528   461 67
258   492 -234
861   566 295
222   190 32
4,511   4,001 510
667   751 -84
7,146   6,941 205
10,840   11,916 -1,076
2,974   2,175 799
10,155   10,149 6
5,399   5,393 6
10,797   10,561 236
2,138   3,709 -1,571
856   1,280 -424
191   262 -71
574   764 -190
943   1,441 -498
1,878   3,672 -1,794
634   489 145
523   472 51
510   581 -71
873   1,088 -215
954   564 390
479   348 131
1,271   990 281
5,492   5,389 103
651   583 68
473   398 75
601   413 188
1,523   1,698 -175
742   507 235
634   561 73
856   1,175 -319
1,370   1,330 40
1,027   560 467
809   689 120
1,062   1,006 56
827   771 56
6,507   5,987 520
3,994   3,942 52
80   79 1
3,622   3,612 10
8,128   8,395 -267
5,348   5,395 -47
5,354   5,276 78
5,081   5,071 10
5,113   5,003 110
5,188   5,045 143
1,424   747 677
3,948   3,923 25
742   511 231
656   419 237
639   601 38
2,936   2,017 919
16,001   15,868 133
2,141   1,143 998
2,678   1,365 1,313
1,589   2,350 -761
3,178   4,499 -1,321
      3,130
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       422
b       508
c       406
d       -2
e       -66
      -202
      -91
      -38
      -408
      -1,461
      394
      -1,041
      -570
      152
      -494
      882
      443
      314
      588
      -29
      -217
      1,253
      24
      -24
      -5
      -594
      669
      -961
      -988
      226
      276
      2,652
      -859
      -1,096
      9
      -52
      -2,159
      1
      262
      -55
      245
      -47
      62
      280
      -1,268
      -30
      303
      -2
      -71
      74
      3
      56
      -2,904
      -46
      -5
      -11
      1
      899
      392
      282
      1,520
      458
      -11
      -18
      -6
      -3
      -1
      -4
      1,339
       
      126
      637
      105
      113
      44
      1,315
      -20
      -348
      -9
      512
      114
      620
      320
      -24
      19
      -90
      32
      424
      -259
      66
      61
      682
      149
      -73
      158
      -61
      -105
      91
      -171
      556
      153
      -525
      545
      77
      -162
      137
      29
      -136
      24
      -17
      146
      86
      20
      599
      607
      -142
      161
      37
      67
      -234
      295
      32
      510
      -84
      205
      -1,076
      799
      6
      6
      236
      -1,571
      -424
      -71
      -190
      -498
      -1,794
      145
      51
      -71
      -215
      390
      131
      281
      103
      68
      75
      188
      -175
      235
      73
      -319
      40
      467
      120
      56
      56
      520
      52
      1
      10
      -267
      -47
      78
      10
      110
      143
      677
      25
      231
      237
      38
      919
      133
      998
      1,313
      -761
      -1,321
       
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 10,321
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 81,760 1,577,056 0.051843
2013 79,772 1,560,415 0.051122
2012 76,629 1,491,657 0.051372
2011 74,087 1,451,797 0.051031
2010 73,440 1,489,268 0.049313
2
Total of line 1, column (d) .....................
20.254681
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
0.050936
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,469,788
5
Multiply line 4 by line 3......................
5
74,865
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
180
7
Add lines 5 and 6........................
7
75,045
8
Enter qualifying distributions from Part XII, line 4.............
8
84,752
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 1 180
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........................... 3 180
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- ..... 5 180
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 728
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 728
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
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 10 548
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet180 RefundedBullet 11 368
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    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 addressbullet  
    14
    The books are in care ofbulletTD Bank NA Telephone no.bullet (877) 773-1229

    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet03301
    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
     
    No
    ........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
     
    No
    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
    TD Bank NA TRUSTEE
    1     		22,897    
    PO BOX 477
    CONCORD,NH033020477
    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 NONE  
    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
    1,425,544
    b
    Average of monthly cash balances.......................
    1b
    66,627
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,492,171
    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
    1,492,171
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    22,383
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,469,788
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    73,489
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    73,489
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    180
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    180
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    73,309
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    73,309
    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
    73,309
    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
    84,752
    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
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    84,752
    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
    180
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    84,572
    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 73,309
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 1,545
    b From 2011...... 1,923
    c From 2012...... 2,964
    d From 2013...... 5,966
    e From 2014...... 4,363
    fTotal of lines 3a through e........ 16,761
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 84,752
    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..... 73,309
    e Remaining amount distributed out of corpus 11,443
    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 28,204
    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) ...     		1,545
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		26,659
    10 Analysis of line 9:
    a Excess from 2011.... 1,923
    b Excess from 2012.... 2,964
    c Excess from 2013.... 5,966
    d Excess from 2014.... 4,363
    e Excess from 2015.... 11,443
    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).)
    NONE
    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.
    NONE
    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
    JEWISH COMMUNITY CTR-MANCHESTER
    JEWISH FEDERATION OF NH
    1361 ELM STREET SUITE 403
    MANCHESTER,NH03103     		NONE 501(C)(3) DAILY OPERATIONS 500
    MANCHESTER BOYS CLUB-PINARDVILLE
    555 UNION STREET
    MANCHESTER,NH03104     		NONE 501(C)(3) DAILY OPERATIONS 100
    MANCHESTER BOYS & GIRLS CLUB
    ATTN GARY L FROST
    MANCHESTER,NH03104     		NONE 501(C)(3) DAILY OPERATIONS 200
    DANIEL WEBSTER COUNCIL
    BOY SCOUTS OF AMERICA
    571 HOLT AVENUE
    MANCHESTER,NH03103     		NONE 501(C)(3) DAILY OPERATIONS 100
    ST ANSELM COLL-2-J SCHSHP
    ATTN HARRY E DUMAY
    ST ANSELM COLLEGE
    MANCHESTER,NH031021310     		NONE 501(C)(3) FATHER JOHN LYNCH MEMORIAL 77,652
    MANCHESTER YMCA
    JANIS CLARK
    30 MECHANIC STREET
    MANCHESTER,NH03101     		NONE 501(C)(3) DAILY OPERATIONS 200
    NH ASSOCIATION FOR THE BLIND
    MCGREAL SIGHT CENTER
    25 WALKER STREET
    CONCORD,NH03301     		NONE 501(C)(3) DAILY OPERATIONS 200
    MANCHESTER GIRLS CLUB
    555 UNION STREET
    MANCHESTER,NH03104     		NONE 501(C)(3) DAILY OPERATIONS 200
    TEMPLE ADATH YESHURUN-MANCHESTER
    152 PROSPECT STREET
    MANCHESTER,NH03104     		NONE 501(C)(3) DAILY OPERATIONS 500
    SPAULDING YOUTH CENTER
    72 SPAULDING ROAD
    NORTHFIELD,NH03276     		NONE 501(C)(3) DAILY OPERATIONS 200
    MOORE CENTER SERVICES INC
    195 MCGREGOR STREET - UNIT 400
    MANCHESTER,NH03102     		NONE 501(C)(3) DAILY OPERATIONS 200
    CATHOLIC MEDICAL CENTER
    ATTN PHILANTHROPY OFFICE
    100 MCGREGOR STREET
    MANCHESTER,NH03102     		NONE 501(C)(3) DAILY OPERATIONS 1,000
    GOFFSTOWN PUBLIC LIBRARY
    DIANNE HATHAWAY
    2 HIGH STREET
    GOFFSTOWN,NH03045     		NONE 501(C)(3) DAILY OPERATIONS 200
    TEMPLE ISRAEL MANCHESTER
    JOHN M WEBER TREASURER
    66 SALMON STREET
    MANCHESTER,NH03104     		NONE 501(C)(3) DAILY OPERATIONS 500
    THE SHRINERS' HOSPITAL FOR CHILDREN
    SPRINGFIELD
    ACCOUNTING DEPT
    TAMPA,FL336313356     		NONE 501(C)(3) DAILY OPERATIONS 2,000
    NATIONAL JEWISH HEALTH
    ATTN ALICE M ALBRITTON
    DENVER,CO80206     		NONE 501(C)(3) DAILY OPERATIONS 1,000
    Total .................................bullet 3a 84,752
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		         
    4 Dividends and interest from securities....     14 33,028  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 10,321  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    a990PF REFUND     		    1 2,760  
    bMISC INCOME     1 3  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   46,112  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1346,112
    (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:
    BENJAMIN S COHEN TRUST XXX-XX-XXXX
    EIN:
    02-6058742
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 725 725    

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    BENJAMIN S COHEN TRUST XXX-XX-XXXX
    EIN:
    02-6058742
    Name of Bond End of Year Book Value End of Year Fair Market Value
    5000 CISCO SYSTEMS INC 4.95% 5,338 5,481
    4000 GE CAP INTL FNDG 3.373% 4,000 4,385
    15000 ONTARIO PROVINCE OF 1.65 14,972 15,204
    5000 US BANCORP 1.95% 5,004 5,095
    15000 WACHOVIA CORP 5.75% 16,313 16,005
    2532.269 FIDELITY HIGH INCOME 23,342 21,474
    8025.962 TDAM 5 TO 10 YEAR COR 82,887 86,199
    7553.847 TDAM 1 TO 5 CORP BD P 76,169 77,200
    5290.974 VANGUARD SHORT-TERM F 57,031 57,407

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    BENJAMIN S COHEN TRUST XXX-XX-XXXX
    EIN:
    02-6058742
    Name of Stock End of Year Book Value End of Year Fair Market Value
    50 ADVANCE AUTO PARTS INC 7,354 8,493
    120 COMCAST CORP NEW CL A 6,984 8,070
    110 DICKS SPORTING GOODS INC C 4,377 5,642
    50 GENUINE PARTS CO 4,161 5,112
    60 HOME DEPOT INC 4,798 8,294
    50 PVH CORP COM 5,365 5,053
    100 TJX COMPANIES INC 4,546 8,172
    130 TIME WARNER INC 8,264 9,965
    50 COCA COLA CO 2,222 2,182
    50 KIMBERLY CLARK CORP 6,276 6,478
    100 PEPSICO INCORPORATED 8,628 10,892
    40 SMUCKER J M CO NEW 4,833 6,166
    110 ANADARKO PETROLEUM 9,020 5,998
    90 DEVON ENERGY CORPORATION NE 5,494 3,445
    120 OCCIDENTAL PETROLEUM CO 10,443 8,968
    40 CHUBB ITD 4,417 5,010
    200 AMERICAN INTL GROUP INC CO 10,176 10,888
    70 AMERIPRISE FINANCIAL INC 7,614 6,709
    30 BLACKROCK INC CL A 9,150 10,988
    100 CME GROUP INC 7,766 10,224
    230 CITIZENS FINANCIAL GROUP I 5,600 5,136
    130 FIDELITY NATL INFORMATION 6,596 10,339
    190 FIDELITY NATIONAL FINANCIA 7,037 7,157
    410 FIRST DATA CORP - CLASS A 5,562 5,084
    80 MARSH & MCLENNAN CORP 3,810 5,260
    260 SYNCHRONY FINANCIAL 7,689 7,249
    110 US BANCORP DEL NEW 4,479 4,639
    160 VISA INC - CL A 8,173 12,488
    50 ALLERGAN PLC 14,626 12,648
    150 ABBVIE INC 7,328 9,935
    50 GILEAD SCIENCES INC 4,882 3,975
    70 MCKESSON CORP 13,154 13,619
    100 UNITEDHEALTH GROUP INC 7,469 14,320
    30 UNIVERSAL HLTH SVCS INC CL 4,085 3,886
    130 INGERSOLL-RAND PLC 7,464 8,614
    90 BOEING CO 8,912 12,029
    120 DANAHER CORP SHS BEN INT 4,807 9,773
    60 FORTIVE CORP USD 1,496 2,893
    380 GENERAL ELECTRIC CO 9,072 11,833
    30 NORFOLK SOUTHERN CORP 2,491 2,693
    90 ROCKWELL COLLINS INC 6,595 7,616
    100 NIELSEN HOLDINGS PLC EUR 4,591 5,386
    320 SEAGATE TECHNOLOGY PLC 11,569 10,250
    50 CHECK POINT SOFTWARE TECH L 2,575 3,844
    20 ALPHABET INC CL-C 12,588 15,376
    170 APPLE COMPUTER INC 9,591 17,716
    320 APPLIED MATERIALS 5,568 8,413
    70 F5 NETWORKS INC 6,989 8,639
    310 MICROSOFT CORPORATION 8,104 17,571
    270 ORACLE CORPORATION 8,062 11,081
    110 E I DUPONT DE NEMOURS INC 6,447 7,609
    10 ECOLAB INC 477 1,184
    140 CENTURYLINK INC COM 4,331 4,402
    120 EVERSOURCE ENERGY 4,951 7,019
    140 PPL CORP 4,720 5,279
    140 WEC ENERGY GROUP INC 5,863 9,087
    2316.946 INVESCO INTL GROWTH-Y 63,318 73,911
    1207.399 HARBOR INTERNATIONAL 71,274 73,953
    330 SPDR GOLD TRUST 39,514 42,563
    10364.924 EPOCH US SMALL MID C 114,670 119,093

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    BENJAMIN S COHEN TRUST XXX-XX-XXXX
    EIN:
    02-6058742
    US Government Securities - End of Year Book Value:

    328,826
    US Government Securities - End of Year Fair Market Value:

    337,972
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2015 OtherDecreasesSchedule
    Name:
    BENJAMIN S COHEN TRUST XXX-XX-XXXX
    EIN:
    02-6058742
    Description Amount
    ROUNDING ADJUSTMENT 3


    TY 2015 OtherExpensesSchedule
    Name:
    BENJAMIN S COHEN TRUST XXX-XX-XXXX
    EIN:
    02-6058742
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 688 688   0
    OTHER NON-ALLOCABLE EXPENSE - 688 688   0


    TY 2015 OtherIncomeSchedule2
    Name:
    BENJAMIN S COHEN TRUST XXX-XX-XXXX
    EIN:
    02-6058742
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    990PF REFUND 2,760 0  
    MISC INCOME 3 0  


    TY 2015 TaxesSchedule
    Name:
    BENJAMIN S COHEN TRUST XXX-XX-XXXX
    EIN:
    02-6058742
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 120 120   0
    FOREIGN TAXES ON QUALIFIED FOR 217 217   0
    FOREIGN TAXES ON NONQUALIFIED 19 19   0