Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
THE TWENTY FIRST CENTURY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)P O BOX 543
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NORWALK, OH44857
A Employer identification number

34-1852806
B Telephone number (see instructions)

(419) 465-2587
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$15,602,518J 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) 650,289
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 94,586 94,586  
4 Dividends and interest from securities... 269,084 269,084  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 489,986
b Gross sales price for all assets on line 6a 1,069,533
7 Capital gain net income (from Part IV, line 2)... 489,986
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 7,707 7,707  
12 Total. Add lines 1 through 11........ 1,511,652 861,363  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 21,865 4,373   17,492
c Other professional fees (attach schedule).... Click to see attachment 35,250 7,050   28,200
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,766 2,258   400
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 6,579 6,433   146
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 66,460 20,114   46,238
25 Contributions, gifts, grants paid....... 1,097,921 1,097,921
26 Total expenses and disbursements. Add lines 24 and 25 1,164,381 20,114   1,144,159
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 347,271
b Net investment income (if negative, enter -0-) 841,249
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 2,060,241 416,078 416,078
2 Savings and temporary cash investments......... 570,615    
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 919,630 Click to see attachment1,295,014 1,323,269
b Investments—corporate stock (attach schedule)....... 3,594,700 Click to see attachment4,030,652 5,293,593
c Investments—corporate bonds (attach schedule)....... 1,105,968 Click to see attachment1,265,047 1,243,403
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment6,154,876 Click to see attachment7,746,510 Click to see attachment7,326,175
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 14,406,030 14,753,301 15,602,518
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........ 500,000 500,000
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 13,906,030 14,253,301
30 Total net assets or fund balances (see instructions)..... 14,406,030 14,753,301
31 Total liabilities and net assets/fund balances (see instructions). 14,406,030 14,753,301
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
14,406,030
2
Enter amount from Part I, line 27a .....................
2
347,271
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
14,753,301
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
14,753,301
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 SECUITIES P    
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 902,920   579,547 323,373
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       323,373
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 489,986
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 3 323,373
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 1,183,238 16,270,579 0.072723
2013 477,308 14,686,535 0.032500
2012 512,755 13,301,797 0.038548
2011 545,054 11,953,049 0.045600
2010 343,295 11,716,112 0.029301
2
Total of line 1, column (d) .....................
20.218672
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
0.043734
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
15,638,333
5
Multiply line 4 by line 3......................
5
683,927
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
8,412
7
Add lines 5 and 6........................
7
692,339
8
Enter qualifying distributions from Part XII, line 4.............
8
1,144,159
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: 1999-08-01(attach copy of letter if necessary–see instructions)
b 1 8,412
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 8,412
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 8,412
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a  
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 117
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 8,529
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 taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
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)
    bulletOH
    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
    Yes
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletTHOMAS W MCLAUGHLIN Telephone no.bullet (419) 465-2587

    Located atbulletP O BOX 543NORWALKOH ZIP+4bullet448578930
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    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
    JOHN A BORES TRUSTEE
    2.00     		0 0 0
    11584 E CTY RD 32
    BELLEVUE,OH44811
    MARY L BORES TRUSTEE
    2.00     		0 0 0
    11584 E CTY RD 32
    BELLEVUE,OH44811
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    15,697,299
    b
    Average of monthly cash balances.......................
    1b
    179,181
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    15,876,480
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    15,876,480
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    238,147
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    15,638,333
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    781,917
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    781,917
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    8,412
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,412
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    773,505
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    773,505
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    773,505
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,144,159
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,144,159
    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
    8,412
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,135,747
    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 7 773,505
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014...... 113,840
    fTotal of lines 3a through e........ 113,840
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 1,144,159
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount..... 773,505
    e Remaining amount distributed out of corpus 370,654
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 484,494
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		484,494
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014.... 113,840
    e Excess from 2015.... 370,654
    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).)
    JOHN A AND MARY L BORES
    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
    ABIGAIL MINISTRIES
    PO BOX 68
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 5,000
    ANSWERING THE CALL TOGETHER
    PO BOX 564
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 5,000
    ATTICA UNITED METHODIST CHURCH
    PO BOX 221
    ATTICA,OH44807     		  501(C)3 ORGA OPERATIONS 2,000
    BELLEVUE FISHES LOVES
    203 MAPLE STREET
    BELLEVUE,OH44811     		  501(C)3 ORGA OPERATIONS 10,000
    BELLEVUE HIGH SCHOOL ALUMNI
    200 OAKLAND AVE
    BELLEVUE,OH44811     		  501(C)3 ORGA OPERATIONS 10,000
    BELLEVUE MINISTRIAL ASSOC
    PO BOX 182
    BELLEVUE,OH44811     		  501(C)3 ORGA GIVING TREE 2,000
    BELLEVUE RECREATION CLUB
    110 CHERRY BLVD
    BELLEVUE,OH44811     		  501(C)3 ORGA OPERATIONS 10,000
    BELLEVUE UNITED SELECT FUND
    250 W MAIN STREET
    BELLEVUE,OH44811     		  501(C)3 ORGA OPERATIONS 10,000
    BIBLE BAPTIST CHURCH
    727 MYRTLE AVENUE
    WILLARD,OH44890     		  501(C)3 ORGA OPERATIONS 2,500
    BIG BROTHERS BIG SISTERS OF ERIE
    904 W WASHINGTON STREET
    SANDUSKY,OH44870     		  501(C)3 ORGA OPERATIONS 1,000
    CARE AND SHARE INC OF ERIE COUNTY
    241 JACKSON ST
    SANDUSKY,OH44870     		  501(C)3 ORGA OPERATIONS 10,000
    CASA OF HURON COUNTY
    2 E MAIN ST
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 2,000
    CASSANDRA BRAUCHER BENEFIT
    PO BOX 295
    MONROEVILLE,OH44847     		NONE INDIVIDUAL CANCER PATIENT 3,000
    CATHOLIC CHARITIES
    34 WOODLAWN STREET
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 10,000
    EASTER SEALS
    262 STATE ROUTE 61
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 1,000
    EHOVE CAREER CENTER
    316 W MASON ROAD
    MILAN,OH44846     		  PUB SCHOOL HELPING HAND FUND 1,000
    ERIE COUNTY HUMANE SOCIETY
    1911 SUPERIOR ST
    SANDUSKY,OH44870     		  501(C)3 ORGA OPERATIONS 5,000
    FIRELANDS HABITAT FOF HUMANITY
    365 MAIN ST SUITE A
    HURON,OH44839     		  501(C)3 ORGA OPERATIONS 20,000
    FIRELANDS RAILS TO TRAILS
    44 E MAIN ST
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 2,000
    FIRST BOOK OF HURON COUNTY
    PO BOX 147
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 1,000
    FIRST CALL TO HELP
    826 W STATE ST
    FREMONT,OH43420     		  501(C)3 ORGA BELLEVUE FAMILY CHRISTMAS 2,000
    FRIENDS OF MICHAEL'S HOUSE
    203 W MADISON STREET
    SANDUSKY,OH44870     		  501(C)3 ORGA OPERATIONS 3,000
    HEIDI RYAN BENEFIT
    2 DEER TRACK TRL UNIT B
    NORWALK,OH44857     		NONE INDIVIDUAL CANCER PATIENT 2,000
    HURON CO JOB FAMILY SER
    185 SHADY LANE
    NORWALK,OH44857     		  170(C)1 ORGA FOSTER KIDS PROGRAM 10,000
    HURON COUNTY HUMANE SOCIETY
    246 WOODLAWN AVE
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 5,000
    HURON COUNTY JUNIOR FAIR
    940 FAIR ROAD
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 12,173
    HURON COUNTY SERVICES FOR THE AGING
    130 SHADY LANE DR
    NORWALK,OH44857     		  170(C)1 ORGA OPERATIONS 3,000
    IMMACULATE CONCEPTION CHURCH
    231 E CENTER STREET
    BELLEVUE,OH44811     		  501(C)3 ORGA OPERATIONS 2,000
    IMMACULATE CONCEPTION SCHOOLS
    304 E MAIN ST
    BELLEVUE,OH44811     		  501(C)3 ORGA OPERATIONS 105,000
    JACE MARGARUM FUNDRAISER
    2357 COUNTY ROAD 216
    FREMONT,OH43420     		NONE INDIVIDUAL HEART PROBLEMS 1,000
    JUVENILE DIABETES RESEARCH FOUNDATI
    4041 SYLVANIA AVE
    SUITE LL6
    TOLEDO,OH43623     		  501(C)3 ORGA OPERATIONS 4,000
    JUVENILE DIABETES RESEARCH FOUNDATI
    26 BROADWAY 14TH FLOOR
    NEW YORK,NY10004     		  501(C)3 ORGA OPERATIONS 1,000
    KIWANIS - NORWALK
    PO BOX 676
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 50
    KNIGHTS OF COLUMBUS BELLEVUE
    816 MONROE ST
    BELLEVUE,OH44811     		  501(C)3 ORGA OPERATIONS 2,500
    KNIGHTS OF COLUMBUS MONROEVILLE
    PO BOX 181
    MONROEVILLE,OH44847     		  501(C)3 ORGA OPERATIONS 2,500
    KNIGHTS OF COLUMBUS NORWALK
    254 W MAIN STREET
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 2,500
    LIBERTY CENTER HOMELESS SHELTER
    1421 EAST STATE ST
    FREMONT,OH43420     		  501(C)3 ORGA OPERATIONS 10,000
    MIRIAM HOUSE
    249 W MAIN ST
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 10,000
    MONROEVILLE ATHLETIC BOOSTERS
    101 WEST STREET
    MONROEVILLE,OH44847     		  501(C)3 ORGA OPERATIONS 500,000
    MONROEVILLE HIGH SCHOOL
    101 WEST STREET
    MONROEVILLE,OH44847     		  501(C)3 ORGA OPERATIONS 14,000
    MONROEVILLE NON PERISHABLE FOOD BAN
    29 CHAPEL STREET
    MONROEVILLE,OH44847     		  501(C)3 ORGA OPERATIONS 4,000
    MONROEVILLE POLICE DEPARTMENT
    9 MONROE STREET
    MONROEVILLE,OH44847     		  POLICE DEPAR COMMUNITY PROGRAMS 3,000
    MONROEVILLE PUBLIC LIBRARY
    34 MONROE ST
    MONROEVILLE,OH44847     		  170(C)1 ORGA OPERATIONS 10,000
    NORWALK AREA FOOD BANK
    92 N PROSPECT ST
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 10,000
    NORWALK AREA UNITED FUND
    10 WEST MAIN ST
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 15,000
    NORWALK CATHOLIC SCHOOL
    93 EAST MAIN STREET
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 28,000
    NORWALK CATHOLIC SCHOOL
    93 EAST MAIN STREET
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 2,000
    NORWALK CLOTHING BANK
    51 BENEDICT AVE
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 5,000
    NORWALK HIGH SCHOOL SCHOLARSHIPS
    PO BOX 67
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 6,000
    NORWALK HIGH SCHOOL
    PO BOX 67
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 2,000
    NORWALK PUBLIC LIBRARY
    46 WEST MAIN STREET
    NORWALK,OH44857     		  170(C)1 ORGA OPERATIONS 5,000
    OSU WEXNER MED CENTER
    1480 WEST LANE AVE
    COLUMBUS,OH43221     		  501(C)3 ORGA OPERATIONS 3,000
    OUR LADY OF LOURDES FOOD PANTRY
    18 PARK AVE
    NEW LONDON,OH44851     		  501(C)3 ORGA OPERATIONS 5,000
    PASS IT ON CLOTHING
    203 MAPLE STREET SUITE B
    BELLEVUE,OH44811     		  501(C)3 ORGA OPERATIONS 5,000
    PIGGY BACK FOUNDATION
    PO BOX 436
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 15,000
    PLYMOUTH SHILOH FOOD BANK
    26 MECHANIC ST
    SHILOH,OH44878     		  501(C)3 ORGA OPERATIONS 10,000
    RAY KRISHA
    1950 FAIRFIELD ANGLING RO
    NORTH FAIRFIELD,OH44855     		NONE INDIVIDUAL TRANPORTATION 588
    REACH OUR YOUTH
    2 E MAIN ST ROOM 102
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 2,000
    RICHLAND COUNTY LIVESTOCK SALE
    2873 TAYLORTOWN ROAD
    SHELBY,OH44875     		  501(C)3 ORGA OPERATIONS 2,100
    SALVATION ARMY - NORWALK
    55 WHITTLESEY AVE
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 20,000
    SENECA COUNTY HUMANE SOCIETY
    2811 S STATE ROUTE 100
    TIFFIN,OH44883     		  501(C)3 ORGA OPERATIONS 5,000
    SENECA EAST HIGH SCHOOL SCHOLARSHI
    13343 EAST US HWY 224
    ATTICA,OH44807     		  501(C)3 ORGA OPERATIONS 10,000
    SENECA EAST PUBLIC LIBRARY
    14 NORTH MAIN STREET
    ATTICA,OH44807     		  170(C)1 ORGA OPERATIONS 5,000
    SENECA HABITAT FOR HUMANITY
    65 GRACE STREET
    TIFFIN,OH44883     		  501(C)3 ORGA OPERATIONS 20,000
    ST GASPAR DE BUFALO CHURCH
    16209 EAST COUNTY ROAD 46
    BELLEVUE,OH44811     		  501(C)3 ORGA OPERATIONS 600
    ST JOHN NEUMAN SERRA CLUB
    41 RIDGEWOOD DR
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 1,000
    ST JOSEPH CATHOLIC SCHOOL
    66 CHAPEL ST
    MONROEVILLE,OH44847     		  501(C)3 ORGA OPERATIONS 40,000
    ST JOSEPH CATHOLIC CHURCH
    66 CHAPEL ST
    MONROEVILLE,OH44847     		  501(C)3 ORGA OPERATIONS 2,000
    ST MARY'S CATHOLIC CHURCH
    38 W LEAGUE ST
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 2,000
    ST PETER'S LUTHERAN CHURCH
    243 BENEDICT AVENUE
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 910
    TEAM ALLIE BENEFIT
    2174 HALFWAY ROAD
    MONROEVILLE,OH44847     		NONE INDIVIDUAL CAR ACCIDENT VICTIM 1,000
    THE CHRISTOPHERS
    12 E 48TH ST
    NEW YORK,NY10017     		  501(C)3 ORGA OPERATIONS 1,000
    TOYS FOR TOTS
    5630 SR 113
    BELLEVUE,OH44811     		  501(C)3 ORGA TOYS FOR CHRISTMAS 3,000
    TRINITY LUTHERAN CHURCH
    121 BROAD ST
    MONROEVILLE,OH44847     		  501(C)3 ORGA YOUTH CLUB 4,000
    VICTORY TEMPLE SOUP KITCH
    1613 HAYES AVE
    SANDUSKY,OH44870     		  501(C)3 ORGA THANKSGIVING GIFT CERTIFICATES TO KR 20,000
    VILLAGE HOUSE FREMONT
    350 RAWSON AVE
    FREMONT,OH43420     		  501(C)3 ORGA OPERATIONS 2,500
    VOLUNTEERS OF AMERICA
    1843 SUPERIOR STREET
    SANDUSKY,OH44870     		  501(C)3 ORGA HOMELESS SHELTER 10,000
    WEEK ENDS WITHOUT HUNGER
    272 BENEDICT AVE
    NORWALK,OH44857     		  501(C)3 ORGA OPERATIONS 10,000
    WOMEN HELPING YOUNG MOTHERS
    914 EAST STATE STREET
    FREMONT,OH43420     		  501(C)3 ORGA OPERATIONS 2,000
    WSOS CAC VETERANS
    109 S FRONT STREET
    FREMONT,OH43420     		  501(C)3 ORGA OPERATIONS 1,000
    Total .................................bullet 3a 1,097,921
    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 ...........     		    14 94,586  
    4 Dividends and interest from securities....     14 269,084  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....     14 7,707  
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 489,986  
    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)..   861,363  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13861,363
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    THE TWENTY FIRST CENTURY FOUNDATION
     
    Employer identification number

    34-1852806
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    THE TWENTY FIRST CENTURY FOUNDATION
          		Employer identification number
    34-1852806
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    JOHN A MARY L BORES  
    11584 EAST COUNTY ROAD 32
     
    BELLEVUE, OH44811

    		$ 650,289


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    THE TWENTY FIRST CENTURY FOUNDATION
          		Employer identification number

    34-1852806
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 1028.10378-SH-ALLSTATE CORP $ 70,610 2015-01-06
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 1011.50079-SH--TJX COMPANIES INC $ 72,241 2015-10-07
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 1276.68097-SH-BROADCOM CORP $ 52,497 2015-01-06
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 1029.13228-SH-TEVA PHARMACEUTICA $ 56,530 2015-01-06
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 866.4661-SH-COCA-COLA CO. $ 35,430 2015-04-08
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 1000.00-SH-EBAY $ 28,330 2015-08-03
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    THE TWENTY FIRST CENTURY FOUNDATION
          		Employer identification number

    34-1852806
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 150.00-SH-AMAZON.COM $ 80,325 2015-10-07
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    THE TWENTY FIRST CENTURY FOUNDATION
          		Employer identification number

    34-1852806
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    THE TWENTY FIRST CENTURY FOUNDATION
    EIN:
    34-1852806
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 11,750 2,350   9,400
    TAX PREPARATION 2,615 523   2,092
    ACCOUNTING FEES 7,500 1,500   6,000

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    THE TWENTY FIRST CENTURY FOUNDATION
    EIN:
    34-1852806
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BANK OF NOVA SCOTIA BC SERIES A 49,880 48,530
    G.E. CAPITAL CORP DTD 3/13/2007 30,381 31,363
    GE CAPITAL CORP DTD 11/24/2006 21,000 22,212
    ROYAL BANK OF CANADA 51,899 50,404
    FED FARM CREDIT BK CONS BONDS (2.75% 257,086 245,683
    FED FARM CREDIT BK CONS BONDS (2.80% 197,391 191,198
    APPLE INC NOTE 2.40% 45,847 48,719
    APPLE INC NOTE 2.85% 103,438 102,410
    CME GROUP INC NT 3.00% 97,655 100,646
    CHEVRON CORP NOTE SENIOR 105,035 100,532
    WAL-MART STORES INC NOTE 104,741 103,192
    TVA SENIOR UNSECURED 102,384 101,010
    TVA GLOBAL POWER BOND SER A 98,310 97,504

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    THE TWENTY FIRST CENTURY FOUNDATION
    EIN:
    34-1852806
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M CO 50,097 109,484
    A D P    
    ABBOTT LABS    
    ABBVIE INCORPORATED 26,346 55,736
    ACCENTURE LTD IRELAND 32,781 90,442
    ALLSTATE 54,130 63,835
    ALPHABET INC. CAP STK 26,433 37,944
    ALPHABET INC 54,897 77,801
    AMAZON.COM INC 96,475 202,767
    ANALOG DEVICES INC. 58,472 56,833
    APPLE INC 11,150 18,878
    AT&T INC. 20,851 24,119
    BANK OF MONTREAL 83,592 74,809
    BCE INC 95,269 84,373
    BECTON DICKINSON 19,103 34,053
    BERKSHIRE HATHAWAY 30,990 66,020
    BHP BILLITON LTD 108,621 49,522
    BRISTOL-MYERS SQUIBB CO 62,409 70,378
    BROADCOM CORP    
    CANADIAN NATIONAL RAILWAY 8,904 14,256
    CAPITAL ONE FINANCIAL CORP 40,772 44,039
    CHEVRON 80,332 92,638
    COACH 19,181 17,017
    COCA COLA 56,068 69,300
    COMCAST CORP 73,227 91,474
    CONOCO-PHILLIPS 100,466 98,325
    CSX CORP 24,236 26,713
    CUMMINS ENGINE INC. 46,758 35,851
    CVS CORP 37,971 68,475
    DEERE & CO 15,046 25,792
    DEVON ENERGY 65,830 32,696
    EBAY INC    
    EMC CORP 33,253 66,899
    ENBRIDGE INC 26,368 17,081
    ECANA CORP 40,868 15,769
    ENERGEN CORPORATION 13,855 21,792
    EXPRESS SCRIPTS HOLDING CO 33,451 52,446
    EXXON 82,679 107,513
    FISERV INC 21,021 47,193
    FORD 13,102 14,499
    GENERAL MILLS 61,792 78,309
    GLAXOSMITHKLINE    
    GOOGLE INC    
    HALIBURTON 41,965 34,668
    HALYARD HEALTH INC 2,409 3,642
    HARTFORD FINL SVCS GROUP INC 28,935 57,909
    HESS    
    HONEYWELL 24,404 65,707
    HSBC HOLDINGS 89,357 68,067
    IBM 29,943 39,796
    ILLINOIS TOOL WORKS 45,347 94,809
    JP MORGAN CHASE & CO 113,820 140,117
    JACOBS ENGINEERING GROUP 48,285 50,340
    JOHNSON & JOHNSON 102,193 189,477
    JOHNSON CONTROLS 57,453 74,388
    KELLOG CO 50,863 55,435
    KIMBERLY CLARK 40,478 76,491
    KINDER MORGAN INC. 52,815 22,380
    KRAFT FOODS 18,125 38,911
    LINCOLN NATL CORP 17,821 40,319
    MARATHON OIL CORP 31,449 13,002
    MCDONALDS CORP 83,854 132,882
    MERCK & CO. INC. 48,551 65,579
    MONDELEZ INTERNATIONAL 30,223 68,099
    NATIONAL OILWELL VARCO 61,939 35,023
    NIKE INC. 28,639 68,362
    NOVARTIS 41,193 59,298
    OCCIDENTAL PETE CORP 73,029 59,924
    OMNICOM GROUP 56,308 81,295
    ORACLE 44,673 78,034
    PACCAR INC 93,239 74,247
    PAYPAL HOLDINGS 49,113 54,300
    PEPSICO 43,033 73,879
    PFIZER 47,514 76,220
    PNC FLNL SERVICE GROUP 38,849 73,750
    PRICE LINE GROUP 59,329 63,748
    PROCTOR & GAMBLE 65,089 90,298
    QUALCOMM 85,873 67,993
    SCHULUMBERGER 44,478 35,508
    STATE STREET CORP 45,694 72,077
    TARGET 22,252 39,343
    TEVA PHARM IND 40,404 67,552
    THERMO FISHER SCIENTIFIC 47,128 108,988
    TJX COS INC 59,457 71,726
    UNITED TECHNOLOGIES 48,041 69,336
    VF CORP 24,871 64,235
    VISA 48,716 54,471
    WALT DISNEY CO 27,619 85,713
    WELLS FARGO 142,369 168,980
    ZOETIS INCORPORATED 6,717 12,204

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    THE TWENTY FIRST CENTURY FOUNDATION
    EIN:
    34-1852806
    US Government Securities - End of Year Book Value:

     
    US Government Securities - End of Year Fair Market Value:

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


    1,295,014
    State & Local Government Securities - End of Year Fair Market Value:


    1,323,269


    TY 2015 OtherAssetsSchedule
    Name:
    THE TWENTY FIRST CENTURY FOUNDATION
    EIN:
    34-1852806
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    MUTUAL FUNDS 6,137,079 7,496,872 7,083,696
    VAN KAMPEN UNIT TRUST 17,797 249,638 242,479


    TY 2015 OtherExpensesSchedule
    Name:
    THE TWENTY FIRST CENTURY FOUNDATION
    EIN:
    34-1852806
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    POSTAGE & OTHER EXPENCE 292 146   146
    RETURN OF CAPITAL 6,287 6,287    


    TY 2015 OtherIncomeSchedule2
    Name:
    THE TWENTY FIRST CENTURY FOUNDATION
    EIN:
    34-1852806
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    CASH IN LIEU 90 90  
    INVESTMENT FEES REFUND 66 66  
    SECURITIES RECEIVED FROM 7,551 7,551  


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    THE TWENTY FIRST CENTURY FOUNDATION
    EIN:
    34-1852806
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 35,250 7,050   28,200


    TY 2015 TaxesSchedule
    Name:
    THE TWENTY FIRST CENTURY FOUNDATION
    EIN:
    34-1852806
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN INCOME TAX ON DIVIDENDS 2,258 2,258    
    FEDERAL INCOME TAX 108      
    OHIO TRUST FEES 400     400