Form990-PF
Click to see attachment

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 09-01-2015 , and ending 08-31-2016
Name of foundation
PHYLLIS W SMITH PVT FDN
 
Number and street (or P.O. box number if mail is not delivered to street address)P O BOX 1802
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PROVIDENCE, RI029011802
A Employer identification number

59-7258080
B Telephone number (see instructions)

(888) 866-3275
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$5,339,176
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)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 102,673 101,995  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 812,929
b Gross sales price for all assets on line 6a 4,158,154
7 Capital gain net income (from Part IV, line 2)... 812,929
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).......      
12 Total. Add lines 1 through 11........ 915,602 914,924  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 45,457 27,274   18,183
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)....... 1,250 0 0 1,250
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 14,028 686   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)....... 4,340 4,270   70
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 65,075 32,230 0 19,503
25 Contributions, gifts, grants paid....... 235,170 235,170
26 Total expenses and disbursements. Add lines 24 and 25 300,245 32,230 0 254,673
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 615,357
b Net investment income (if negative, enter -0-) 882,694
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......... 99,622 306,188 306,188
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)      
b Investments—corporate stock (attach schedule)....... 3,995,678 Click to see attachment4,426,339 4,603,328
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 454,264 Click to see attachment459,136 429,660
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) 4,549,564 5,191,663 5,339,176
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........ 4,549,564 5,191,663
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)..... 4,549,564 5,191,663
31 Total liabilities and net assets/fund balances (see instructions). 4,549,564 5,191,663
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
4,549,564
2
Enter amount from Part I, line 27a .....................
2
615,357
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
38,112
4
Add lines 1, 2, and 3 ..........................
4
5,203,033
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
11,370
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
5,191,663
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 460. AT&T INC   2006-05-03 2016-04-08
b 662. AT&T INC   2005-05-18 2016-04-08
c 88. ABBOTT LABORATORIES   2008-06-04 2016-04-08
d 300. ABBOTT LABORATORIES   2006-10-04 2016-04-08
e 88. ABBVIE INC COM   2008-06-04 2016-04-08
300. ABBVIE INC COM   2006-10-04 2016-04-08
100. AMGEN INC COM   2009-11-12 2016-04-08
900. APPLE INC COM   2008-06-04 2016-04-08
55. CIGNA CORPORATION   2007-09-18 2016-04-08
245. CIGNA CORPORATION   2007-12-20 2016-04-08
18. CALIFORNIA RESOURCES CORP COM   2009-11-12 2016-04-08
.724 CALIFORNIA RESOURCES CORP COM   2009-11-12 2016-04-20
200. CHEVRONTEXACO CORP COM   2009-11-12 2016-04-08
805. CISCO SYSTEMS INCORPORATED   2005-05-18 2016-04-08
795. CISCO SYSTEMS INCORPORATED   2005-05-18 2016-04-08
720. COCA COLA CO COM   2005-11-22 2016-04-08
186. COLGATE PALMOLIVE CO   2007-12-20 2016-04-08
520. COLGATE PALMOLIVE CO   2005-12-29 2016-04-08
7089.14 COLUMBIA INCOME OPPORTUNITIES FUND CL Z   2005-11-22 2016-04-08
1950.963 COLUMBIA INCOME OPPORTUNITIES FUND CL Z   2006-04-13 2016-04-08
1427.616 COLUMBIA INCOME OPPORTUNITIES FUND CL Z   2005-05-18 2016-04-08
4362.232 COLUMBIA LARGE CAP ENHANCED CORE FUND CLASS Z SHARES   2005-05-18 2016-04-08
5376.225 COLUMBIA SHORT TERM BOND FUND CLASS Z SHARES   2005-10-21 2016-04-08
10186.024 COLUMBIA SHORT TERM BOND FUND CLASS Z SHARES   2005-12-29 2016-04-08
3639.01 COLUMBIA DIVIDEND INCOME FUND CLASS Z SHARES   2008-06-04 2016-04-08
246.397 COLUMBIA TOTAL RETURN BOND FUND CL Z   2005-10-21 2016-04-08
22547.914 COLUMBIA TOTAL RETURN BOND FUND CL Z   2005-11-22 2016-04-08
11299.435 COLUMBIA TOTAL RETURN BOND FUND CL Z   2006-02-28 2016-04-08
20294.448 COLUMBIA TOTAL RETURN BOND FUND CL Z   2007-09-18 2016-04-08
5760.369 COLUMBIA TOTAL RETURN BOND FUND CL Z   2006-04-13 2016-04-08
11560.694 COLUMBIA TOTAL RETURN BOND FUND CL Z   2008-06-04 2016-04-08
3421.387 COLUMBIA MID CAP GROWTH FUND CLASS Z SHARES   2005-05-18 2016-04-08
1016.949 COLUMBIA MID CAP GROWTH FUND CLASS Z SHARES   2005-05-18 2016-04-08
4646.84 COLUMBIA EMERGING MARKETS FUND CLASS Z SHARES   2013-05-22 2016-04-08
2465.483 COLUMBIA EMERGING MARKETS FUND CLASS Z SHARES   2013-11-27 2016-04-08
11259.182 COLUMBIA BOND FUND CLASS Z SHARES   2007-12-20 2016-04-08
300. COMCAST CORP NEW CL A COM   2009-11-12 2016-04-08
967.427 SMALL CAP GROWTH LEADERS CTF   2016-04-08 2016-08-31
200. CONOCOPHILLIPS COM   2005-05-18 2016-04-08
9190. DB X-TRACKERS MSCI EAFE HEDGED EQUITY FUND   2015-05-27 2016-08-25
30. DISNEY WALT CO   2008-06-04 2016-04-08
395. DISNEY WALT CO   2006-10-04 2016-04-08
500. EXPRESS SCRIPTS HLDG CO COM   2007-12-20 2016-04-08
600. EXXON MOBIL CORPORATION   2005-05-18 2016-04-08
100.96 MID CAP VALUE CTF   2016-04-08 2016-08-31
791.748 SMALL CAP VALUE CTF   2016-04-08 2016-08-31
7507.508 FIDELITY ADVISOR FLOATING RATE HIGH INCOME FUND INSTL   2013-11-27 2016-04-08
150. GENERAL DYNAMICS CORP   2012-02-15 2016-04-08
161. GENERAL ELEC CO   2005-05-18 2016-04-08
839. GENERAL ELEC CO   2005-05-18 2016-04-08
200. GILEAD SCIENCES INC   2009-11-12 2016-04-08
100. GOLDMAN SACHS GROUP INC   2009-11-12 2016-04-08
200. HONEYWELL INTERNATIONAL INC   2012-02-15 2016-04-08
654.114 DIVIDEND INCOME COMMON TRUST FUND   2016-04-08 2016-08-31
15. INTERNATIONAL BUSINESS MACHS   2006-05-03 2016-04-08
235. INTERNATIONAL BUSINESS MACHS   2006-10-04 2016-04-08
87. ISHARES CORE S&P 500 ETF   2015-08-04 2016-08-25
62. ISHARES CORE S&P MID CAP ETF   2015-05-27 2016-08-25
500. ISHARES COHEN & STEERS REIT ETF   2010-03-05 2016-04-08
500. ISHARES COHEN & STEERS REIT ETF   2009-11-12 2016-04-08
301. ISHARES RUSSELL 2000 ETF   2015-05-27 2016-08-25
262. J P MORGAN CHASE & CO COM   2007-12-20 2016-04-08
288. J P MORGAN CHASE & CO COM   2008-06-04 2016-04-08
6722.892 JOHN HANCOCK FDS III DISCIPLINED VALUE MID CAP FUND   2015-08-04 2016-04-08
364. JOHNSON & JOHNSON   2008-06-04 2016-04-08
315. KIMBERLY CLARK CORP COM   2006-05-03 2016-04-08
167. KRAFT HEINZ CORP COM   2007-12-20 2016-04-08
100. LOCKHEED MARTIN CORPORATION   2009-11-12 2016-04-08
500. LOWES COMPANIES INCORPORATED   2009-11-12 2016-04-08
1651.255 MFS EMERGING MKTS DEBT FUND CL I   2012-04-04 2016-04-08
3333.333 MFS EMERGING MKTS DEBT FUND CL I   2012-02-15 2016-04-08
700. MERCK & CO INC NEW COM   2007-09-18 2016-04-08
1050. MICROSOFT CORPORATION   2005-05-18 2016-04-08
502. MONDELEZ INTL INC COM   2007-12-20 2016-04-08
205. MONSANTO CO NEW COM   2006-10-04 2016-04-08
200. NESTLE S A SPONSORED ADR   2012-02-15 2016-04-08
200. OCCIDENTAL PETROLEUM CORPORATION   2009-11-12 2016-04-08
2210.433 OPPENHEIMER INTL GROWTH FUND CL Y SHS   2013-05-22 2016-04-08
2645.503 PIMCO HIGH YIELD FD INSTL CL   2012-09-04 2016-04-08
1883.698 PIMCO HIGH YIELD FD INSTL CL   2012-04-04 2016-04-08
300. PNC BK CORP   2009-11-12 2016-04-08
325. PEPSICO INCORPORATED   2005-05-18 2016-04-08
100. PHILLIPS 66 COM   2005-05-18 2016-04-08
650.104 PIMCO FOREIGN BOND FUND UNHEDGED INSTL CL   2012-02-15 2016-04-08
2308.403 PIMCO FOREIGN BOND FUND UNHEDGED INSTL CL   2012-04-04 2016-04-08
1446.48 PIMCO FOREIGN BOND FUND UNHEDGED INSTL CL   2009-11-13 2016-04-08
494.56 PIMCO FOREIGN BOND FUND UNHEDGED INSTL CL   2010-03-05 2016-04-08
1238.983 PIMCO GLOBAL MULTI-ASSET FUND INSTL CL   2012-02-15 2016-04-08
2224.199 PIMCO GLOBAL MULTI-ASSET FUND INSTL CL   2012-04-04 2016-04-08
350. PRAXAIR INCORPORATED   2005-12-29 2016-04-08
200. PROCTER & GAMBLE CO COM   2012-02-15 2016-04-08
235. SCHLUMBERGER LTD COM   2006-05-03 2016-04-08
400. TJX COMPANIES INCORPORATED NEW   2010-03-05 2016-04-08
200. TARGET CORP   2010-03-05 2016-04-08
3239.329 TEMPLETON GLOBAL BD FUND ADVISOR CL   2013-07-22 2016-04-08
1920.123 TEMPLETON GLOBAL BD FUND ADVISOR CL   2013-11-27 2016-04-08
800. TEXAS INSTRS INC   2007-12-20 2016-04-08
150. THERMO ELECTRON CORP   2009-11-12 2016-04-08
150. 3M CO COM   2012-02-15 2016-04-08
745. US BANCORP DEL COM NEW   2005-12-29 2016-04-08
155. US BANCORP DEL COM NEW   2009-11-12 2016-04-08
150. UNITED PARCEL SERVICE CL B   2012-02-15 2016-04-08
600. UNITED TECHNOLOGIES CORP   2005-05-18 2016-04-08
855. VANGUARD FTSE DEVELOPED MARKETS ETF   2015-08-04 2016-08-25
135. VANGUARD REIT ETF   2016-04-08 2016-08-25
450. VERIZON COMMUNICATIONS   2007-12-20 2016-04-08
300. WAL-MART STORES INCORPORATED   2008-06-04 2016-04-08
455. WELLS FARGO COMPANY   2005-05-18 2016-04-08
600. YUM BRANDS INC COM   2005-05-18 2016-04-08
2040.543 HIGH QUALITY CORE COMMON TRUST FUND   2016-04-08 2016-08-31
10107.817 INTERNATIONAL FOCUSED EQUITY COMMON TRUST FUND   2016-04-08 2016-08-31
570.55 STRATEGIC GROWTH COMMON TRUST FUND   2016-04-08 2016-08-31
200. ACCENTURE PLC CL A COM   2012-02-15 2016-04-08
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 17,758   12,019 5,739
b 25,556   15,633 9,923
c 3,731   2,354 1,377
d 12,721   6,807 5,914
e 5,140   2,552 2,588
17,521   7,382 10,139
15,635   5,527 10,108
97,912   23,932 73,980
7,149   2,951 4,198
31,845   13,103 18,742
22   25 -3
1   1  
19,243   15,445 3,798
22,294   15,452 6,842
22,017   15,260 6,757
33,775   15,257 18,518
13,210   7,274 5,936
36,931   14,394 22,537
67,134   72,760 -5,626
18,476   20,000 -1,524
13,520   14,583 -1,063
90,516   57,145 33,371
53,547   52,633 914
101,453   99,517 1,936
65,684   50,000 15,684
2,252   2,195 57
206,088   200,000 6,088
103,277   100,000 3,277
185,491   177,576 7,915
52,650   50,000 2,650
105,665   100,000 5,665
86,595   68,873 17,722
25,739   20,471 5,268
42,100   50,000 -7,900
22,337   25,000 -2,663
97,955   100,000 -2,045
18,459   4,585 13,874
23,000   21,413 1,587
8,265   7,730 535
239,165   285,068 -45,903
2,894   1,031 1,863
38,107   12,083 26,024
34,956   17,384 17,572
49,929   32,391 17,538
3,100   2,949 151
21,000   19,391 1,609
69,069   75,000 -5,931
19,991   10,462 9,529
4,964   5,915 -951
25,867   30,825 -4,958
19,194   4,681 14,513
15,087   17,832 -2,745
22,434   11,919 10,515
36,000   34,862 1,138
2,245   1,245 1,000
35,165   19,239 15,926
19,079   18,307 772
9,711   9,461 250
51,381   26,805 24,576
51,381   24,495 26,886
37,178   37,140 38
15,183   11,392 3,791
16,690   12,023 4,667
127,130   139,500 -12,370
39,708   24,251 15,457
43,280   17,601 25,679
13,100   5,823 7,277
22,662   7,397 15,265
37,560   10,677 26,883
23,431   25,000 -1,569
47,300   50,000 -2,700
38,762   34,927 3,835
57,289   26,912 30,377
21,177   10,793 10,384
17,759   9,803 7,956
14,827   11,843 2,984
14,118   15,722 -1,604
79,200   75,000 4,200
22,196   25,000 -2,804
15,804   17,481 -1,677
24,572   16,279 8,293
34,190   18,380 15,810
8,619   2,297 6,322
6,326   7,080 -754
22,461   24,839 -2,378
14,074   14,899 -825
4,812   4,966 -154
13,282   14,100 -818
23,843   25,000 -1,157
39,447   18,934 20,513
16,644   12,951 3,693
17,384   17,039 345
30,570   8,303 22,267
16,194   10,671 5,523
36,313   42,500 -6,187
21,525   25,000 -3,475
46,325   26,651 19,674
21,332   6,662 14,670
24,993   13,055 11,938
29,401   22,588 6,813
6,117   3,718 2,399
15,674   11,534 4,140
60,889   31,703 29,186
31,929   34,333 -2,404
12,057   11,269 788
23,561   18,375 5,186
20,445   17,276 3,169
21,472   13,852 7,620
49,357   15,060 34,297
29,000   28,915 85
114,000   108,707 5,293
7,500   7,163 337
22,536   11,647 10,889
      43,573
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       5,739
b       9,923
c       1,377
d       5,914
e       2,588
      10,139
      10,108
      73,980
      4,198
      18,742
      -3
       
      3,798
      6,842
      6,757
      18,518
      5,936
      22,537
      -5,626
      -1,524
      -1,063
      33,371
      914
      1,936
      15,684
      57
      6,088
      3,277
      7,915
      2,650
      5,665
      17,722
      5,268
      -7,900
      -2,663
      -2,045
      13,874
      1,587
      535
      -45,903
      1,863
      26,024
      17,572
      17,538
      151
      1,609
      -5,931
      9,529
      -951
      -4,958
      14,513
      -2,745
      10,515
      1,138
      1,000
      15,926
      772
      250
      24,576
      26,886
      38
      3,791
      4,667
      -12,370
      15,457
      25,679
      7,277
      15,265
      26,883
      -1,569
      -2,700
      3,835
      30,377
      10,384
      7,956
      2,984
      -1,604
      4,200
      -2,804
      -1,677
      8,293
      15,810
      6,322
      -754
      -2,378
      -825
      -154
      -818
      -1,157
      20,513
      3,693
      345
      22,267
      5,523
      -6,187
      -3,475
      19,674
      14,670
      11,938
      6,813
      2,399
      4,140
      29,186
      -2,404
      788
      5,186
      3,169
      7,620
      34,297
      85
      5,293
      337
      10,889
       
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 2 812,929
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 279,858 5,521,426 0.050686
2013 453,078 5,480,681 0.082668
2012 256,497 5,353,100 0.047916
2011 300,602 5,135,518 0.058534
2010 178,310 5,201,542 0.03428
2
Total of line 1, column (d) .....................
20.274084
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
0.054817
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
5,197,968
5
Multiply line 4 by line 3......................
5
284,937
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
8,827
7
Add lines 5 and 6........................
7
293,764
8
Enter qualifying distributions from Part XII, line 4.............
8
254,673
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 17,654
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 17,654
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 17,654
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 8,400
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 8,400
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 9,254
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet0 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$   (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)
    bulletMA
    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 ofbulletUS TRUST FIDUCIARY TAX SERVICES Telephone no.bullet (888) 866-3275

    Located atbulletPO BOX 1802PROVIDENCERI ZIP+4bullet02901
    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
     
     
    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
    BANK OF AMERICA N A TRUSTEE
    1
    45,457    
    1 MONARCH PL
    SPRINGFIELD,MA01144
    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.........................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
    5,083,760
    b
    Average of monthly cash balances.......................
    1b
    193,365
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,277,125
    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
    5,277,125
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    79,157
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,197,968
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    259,898
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    259,898
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    17,654
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    17,654
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    242,244
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    242,244
    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
    242,244
    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
    254,673
    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
    254,673
    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
    254,673
    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 7 242,244
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 51,946
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 0
    b From 2011...... 0
    c From 2012...... 0
    d From 2013...... 0
    e From 2014...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 254,673
    a Applied to 2014, but not more than line 2a 51,946
    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..... 202,727
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........
    39,517
    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) ...
    0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2011.... 0
    b Excess from 2012.... 0
    c Excess from 2013.... 0
    d Excess from 2014.... 0
    e Excess from 2015.... 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    MSPCA OF FRANKLIN COUNTY
    ATTN MR SEAN R HAMLETT
    335 CHANDLER ST
    WORCESTER,MA016023441
    N/A PC UNRESTRICTED GENERAL 58,793
    BAYSTATE HEALTH
    FOUNDATION INC
    759 CHESTNUT STREET
    SPRINGFIELD,MA011991001
    N/A PC UNRESTRICTED GENERAL 58,793
    HOLYOKE HOSPITAL
    575 BEECH ST
    HOLYOKE,MA010402223
    N/A PC UNRESTRICTED GENERAL 58,792
    SYCAMORES OF S HADLEY
    HISTORICAL SOCIETY
    18 S SYCAMORE KNLS
    SOUTH HADLEY,MA010751112
    N/A PC UNRESTRICTED GENERAL 58,792
    Total .................................bullet 3a 235,170
    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....     14 102,673  
    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 ............
        18 812,929  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   915,602  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13915,602
    (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:
    PHYLLIS W SMITH PVT FDN
    EIN:
    59-7258080
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE - BOA 1,250     1,250

    TY 2015 GeneralExplanationAttachment
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN:
    59-7258080
    Identifier Return Reference Explanation
    FEDERAL FOOTNOTE PART VIII LIST OF OFFICERS AND DIRECTORS THE COMPENSATION SHOWN ON THE RETURN THAT IS PAID TO BANK OF AMERICA, N.A. AS CORPORATE TRUSTEE IS NOT CALCULATED BASED UPON AN HOURLY RATE FOR THE TIME SPENT BY THE TRUSTEE; RATHER, BANK OF AMERICA'S COMPENSATION AS CORPORATE TRUSTEE IS CALCULATED USING A MARKET VALUE FEE SCHEDULE. THE TRUST OFFICER'S TIME SPENT PERFORMING ADMINISTRATIVE RESPONSIBILITIES FOR THIS FOUNDATION AVERAGES ONE HOUR PER WEEK. IN ADDITION, TIME IS SPENT BY OTHER STAFF MEMBERS FOR RECORDKEEPING, INVESTMENT MANAGEMENT, INCOME COLLECTION, RENDERING STATEMENTS AND ACCOUNTINGS, REGULATORY REPORTING, REGULATORY COMPLIANCE, AND TAX SERVICES.

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN:
    59-7258080
    Name of Stock End of Year Book Value End of Year Fair Market Value
    464286103 ISHARES INC MSCI AUS    
    464286400 ISHARES MSCI BRAZIL    
    464286509 ISHARES MSCI CANADA    
    464286673 ISHARES MSCI SINGAPO    
    464287176 ISHARES TIPS BOND ET    
    464287564 ISHARES COHEN & STEE    
    464287630 ISHARES RUSSELL 2000    
    922042858 VANGUARD FTSE EMERGI 86,314 78,393
    922908553 VANGUARD REIT ETF 276,767 321,716
    166764100 CHEVRON CORP COM    
    20825C104 CONOCOPHILLIPS COM    
    30231G102 EXXON MOBIL CORP COM    
    674599105 OCCIDENTAL PETE CORP    
    718546104 PHILLIPS 66 COM    
    806857108 SCHLUMBERGER LTD COM    
    845467109 SOUTHWESTERN ENERGY    
    61166W101 MONSANTO CO NEW COM    
    74005P104 PRAXAIR INC COM    
    767204100 RIO TINTO PLC SPONSO    
    260003108 DOVER CORP COM    
    369550108 GENERAL DYNAMICS COR    
    369604103 GENERAL ELEC CO COM    
    438516106 HONEYWELL INTL INC C    
    539830109 LOCKHEED MARTIN CORP    
    701094104 PARKER HANNIFIN CORP    
    854502101 STANLEY BLACK & DECK    
    88579Y101 3M CO COM    
    911312106 UNITED PARCEL SVC IN    
    913017109 UNITED TECHNOLOGIES    
    20030N101 COMCAST CORP NEW CL    
    254687106 DISNEY WALT CO COM D    
    548661107 LOWES COS INC COM    
    872540109 TJX COS INC NEW COM    
    87612E106 TARGET CORP COM    
    988498101 YUM BRANDS INC COM    
    191216100 COCA COLA CO COM    
    194162103 COLGATE PALMOLIVE CO    
    494368103 KIMBERLY CLARK CORP    
    50076Q106 KRAFT FOODS GROUP IN    
    609207105 MONDELEZ INTL INC CO    
    641069406 NESTLE S A SPONSORED    
    713448108 PEPSICO INC COM    
    742718109 PROCTER & GAMBLE CO    
    931142103 WAL-MART STORES INC    
    002824100 ABBOTT LABS COM    
    00287Y109 ABBVIE INC COM    
    031162100 AMGEN INC COM    
    125509109 CIGNA CORP COM    
    30219G108 EXPRESS SCRIPTS HLDG    
    375558103 GILEAD SCIENCES INC    
    478160104 JOHNSON & JOHNSON CO    
    50540R409 LABORATORY CORP AMER    
    58933Y105 MERCK & CO INC NEW C    
    883556102 THERMO FISHER SCIENT    
    229899109 CULLEN / FROST BANKE    
    38141G104 GOLDMAN SACHS GROUP    
    46625H100 J P MORGAN CHASE & C    
    693475105 PNC FINL SVCS GROUP    
    902973304 US BANCORP DEL COM N    
    949746101 WELLS FARGO & CO NEW    
    G1151C101 ACCENTURE PLC CL A C    
    037833100 APPLE INC COM    
    17275R102 CISCO SYS INC COM    
    459200101 INTERNATIONAL BUSINE    
    594918104 MICROSOFT CORP COM    
    882508104 TEXAS INSTRS INC COM    
    00206R102 AT&T INC COM    
    92343V104 VERIZON COMMUNICATIO    
    29364G103 ENTERGY CORP NEW COM    
    30161N101 EXELON CORP COM    
    65339F101 NEXTERA ENERGY INC C    
    19765H347 COLUMBIA LARGE CAP E    
    19765J608 COLUMBIA MID CAP IND    
    19765N245 COLUMBIA DIVIDEND IN    
    19765P232 COLUMBIA MID CAP GRO    
    19765P596 COLUMBIA SMALL CAP G    
    693390841 PIMCO HIGH YIELD FD 57,519 54,833
    880208400 TEMPLETON GLOBAL BD    
    19763T889 COLUMBIA INCOME OPPO    
    19765H362 COLUMBIA SHORT TERM 200,483 206,674
    19765N468 COLUMBIA INTERMEDIAT    
    19765Y886 COLUMBIA BOND FUND C    
    72201P100 PIMCO GLOBAL MULTI-A    
    68380L407 OPPENHEIMER INTL GRO    
    885215566 THORNBURG INTL VALUE    
    19765Y852 COLUMBIA EMERGING MA    
    55273E640 MFS EMERGING MKTS DE    
    722005220 PIMCO FOREIGN BOND F    
    72201F409 PIMCO EMERGING MKT C    
    466001864 IVY ASSET STRATEGY F    
    315807552 FIDELITY ADVISOR FLO    
    233051200 DB X-TRACKERS MSCI E    
    464287200 ISHARES CORE S&P 500 503,442 532,631
    464287507 ISHARES CORE S&P MID 104,227 106,787
    464287655 ISHARES RUSSELL 2000 133,261 133,088
    921943858 VANGUARD FTSE DEVELO 110,515 105,763
    500754106 KRAFT HEINZ CORP COM    
    47803W406 JOHN HANCOCK FDS III    
    22544R305 CREDIT SUISSE COMMOD 115,737 109,313
    464287226 ISHARES CORE US AGGR 155,027 157,373
    46432F842 ISHARES CORE MSCI EA 186,389 184,844
    38145C646 GOLDMAN SACHS STRATE 52,000 52,942
    94987W737 WELLS FARGO ADVANTAG 26,000 27,108
    202671913 AGGREGATE BOND CTF 205,240 207,422
    207543877 SMALL CAP GROWTH LEA 108,594 117,325
    29099J109 EMERGING MARKETS STO 156,233 172,266
    302993993 MID CAP VALUE CTF 104,520 110,190
    303995997 SMALL CAP VALUE CTF 107,166 116,465
    323991307 MID CAP GROWTH CTF 104,015 107,851
    45399C107 DIVIDEND INCOME COMM 497,241 516,321
    99Z466163 HIGH QUALITY CORE CO 188,628 189,369
    99Z466197 INTERNATIONAL FOCUSE 485,400 511,298
    99Z501647 STRATEGIC GROWTH COM 461,621 483,356

    TY 2015 InvestmentsOtherSchedule2
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN:
    59-7258080
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    8EQO29993 MAN FRM ALTERNATIVE AT COST 459,136 429,660

    TY 2015 OtherDecreasesSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN:
    59-7258080
    Description Amount
    ADJ CARRYING VALUE 1,170
    SALES ADJUSTMENT 10,200


    TY 2015 OtherExpensesSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN:
    59-7258080
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER INVESTMENT FEE 6 6   0
    STATE FILING FEE 70 0   70
    DIVIDEND INVESTMENT EXPENSE - 4,264 4,264   0


    TY 2015 OtherIncreasesSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN:
    59-7258080
    Description Amount
    INCOME ADJUSTMENT 38,112


    TY 2015 TaxesSchedule
    Name:
    PHYLLIS W SMITH PVT FDN
    EIN:
    59-7258080
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 70 70   0
    EXCISE TAX - PRIOR YEAR 4,942 0   0
    EXCISE TAX ESTIMATES 8,400 0   0
    FOREIGN TAXES ON QUALIFIED FOR 226 226   0
    FOREIGN TAXES ON NONQUALIFIED 390 390   0