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
ARNETA L BARTLETT 1995 TRUST XXX-XX-XXXX
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CONCORD, NH033020477
A Employer identification number

02-6185823
B Telephone number (see instructions)

(877) 773-1229
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$334,087J 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... 8,940 8,940  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 12,225
b Gross sales price for all assets on line 6a 102,718
7 Capital gain net income (from Part IV, line 2)... 12,225
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........ 21,165 21,165  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 5,571 5,571    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 725 725 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 698 76   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 76 76    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 7,070 6,448 0 0
25 Contributions, gifts, grants paid....... 17,814 17,814
26 Total expenses and disbursements. Add lines 24 and 25 24,884 6,448 0 17,814
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -3,719
b Net investment income (if negative, enter -0-) 14,717
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......... 13,346 13,981 13,981
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)....... 160,084 Click to see attachment148,424 162,384
c Investments—corporate bonds (attach schedule)....... 161,838 Click to see attachment169,200 157,722
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 335,268 331,605 334,087
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........ 335,268 331,605
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)..... 335,268 331,605
31 Total liabilities and net assets/fund balances (see instructions). 335,268 331,605
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
335,268
2
Enter amount from Part I, line 27a .....................
2
-3,719
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
56
4
Add lines 1, 2, and 3 ..........................
4
331,605
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
331,605
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 12. CALIFORNIA RESOURCES CORPORATION   2014-07-25 2015-01-13
b 156.569 BUFFALO SMALL CAP FD #1444   2013-06-13 2015-01-22
c 223.188 HARTFORD MUT FDS INC MIDCAP FD CL Y FD# 229   2013-06-13 2015-01-22
d 234.403 PERKINS MID CAP VALUE FUND INSTITUTIONAL CLASS   2013-06-13 2015-01-22
e 261.297 ROYCE SPECIAL EQUITY FD #327   2013-06-13 2015-01-22
696.097 VANGUARD INFLTN PRTCTD SEC FD #5119   2013-06-17 2015-01-22
10. AMERISOURCEBERGEN CORP   2014-05-19 2015-01-29
10. SMUCKER J M CO NEW   2014-01-24 2015-02-06
10. KOHL'S CORP   2014-01-24 2015-02-12
10. CVS CORP   2013-11-21 2015-02-19
10. APPLE COMPUTER, INC   2013-07-01 2015-02-20
10. NATIONAL-OILWELL INC   2013-11-21 2015-03-17
20. NATIONAL-OILWELL INC   2014-01-24 2015-03-18
20. CME GROUP INC   2013-11-21 2015-04-06
20. EXXON MOBIL CORP COM   2009-12-16 2015-04-08
20. ABBOTT LABS CO   2013-01-15 2015-04-09
20. AGILENT TECHNOLOGIES INC COM   2014-01-24 2015-04-09
10. AMERICAN EXPRESS CO   2015-01-20 2015-04-09
10. AMERICAN INTL GROUP INC COM NEW   2014-01-24 2015-04-09
10. APPLE COMPUTER, INC   2013-07-01 2015-04-09
40. APPLIED MATERIALS   2014-01-24 2015-04-09
10. BOEING CO   2014-01-24 2015-04-09
10. CIT GROUP INC COM NEW   2013-11-21 2015-04-09
10. CVS CORP   2013-11-21 2015-04-09
10. CAMERON INTERNATIONAL CORP   2014-01-24 2015-04-09
20. CENTURYTEL INC COM   2013-11-21 2015-04-09
10. CITIGROUP INC.   2014-01-24 2015-04-09
10. DANAHER CORP   2013-11-21 2015-04-09
10. DEVON ENERGY CORPORATIOIN NE COM   2014-01-24 2015-04-09
10. EVERSOURCE ENERGY   2014-01-24 2015-04-09
10. FIDELITY NATL INFORMATION SV   2013-11-21 2015-04-09
10. GENUINE PARTS CO   2014-01-24 2015-04-09
10. INTERNATIONAL PAPER CO   2013-11-21 2015-04-09
10. KOHL'S CORP   2014-01-24 2015-04-09
10. MARSH & MCLENNAN CORP   2014-01-24 2015-04-09
10. METLIFE INC   2014-06-17 2015-04-09
20. MICROSOFT CORPORATION   2014-01-24 2015-04-09
10. MORGAN STANLEY GROUP INC. DEAN   2014-03-13 2015-04-09
10. OCCIDENTAL PETROLEUM CO   2014-07-25 2015-04-09
30. ORACLE CORPORATION   2014-01-24 2015-04-09
10. ROCKWELL COLLINS INC COM   2014-10-28 2015-04-09
10. TJX COMPANIES INC.   2014-01-24 2015-04-09
10. TEXAS INSTRUMENTS   2013-11-21 2015-04-09
10. TIME WARNER INC   2013-11-21 2015-04-09
10. UNITEDHEALTH GROUP INC COM   2008-09-12 2015-04-09
10. WISCONSIN ENERGY CORP   2014-01-24 2015-04-09
10. INGERSOLL-RAND PLC SHS   2013-11-21 2015-04-09
10. SEAGATE TECHNOLOGY PLC SHS   2015-01-27 2015-04-09
10. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2014-08-27 2015-04-09
3.233 INVESCO INTERNATIONAL GROWTH FUND INSTITUTIONAL CLASS   2010-11-23 2015-04-13
51.206 PIMCO INVESTMENT GRADE CORP BOND FUND CLASS I   2010-11-23 2015-04-13
109.617 VANGUARD INTERMEDIATE TERM TREASURY ADMIRAL   2010-11-23 2015-04-13
10. AMERISOURCEBERGEN CORP   2014-05-12 2015-04-20
20. CENTURYTEL INC COM   2013-11-21 2015-05-22
20. COMCAST CORP SPECIAL CL A   2013-11-21 2015-05-22
10. MARSH & MCLENNAN CORP   2014-01-24 2015-05-22
10. MICROSOFT CORPORATION   2007-01-27 2015-05-27
10. MARSH & MCLENNAN CORP   2014-01-24 2015-06-04
6. CHEMOURS COMPANY   2014-01-24 2015-07-09
10. LAS VEGAS SANDS CORP COM   2014-10-30 2015-07-23
10. AMERICAN EXPRESS CO   2014-02-04 2015-07-27
12. AMERICAN EXPRESS CO   2009-01-12 2015-07-29
10. CITRIX SYS INC COM   2014-04-24 2015-07-30
20. AGILENT TECHNOLOGIES INC COM   2013-11-21 2015-08-18
20. AGILENT TECHNOLOGIES INC COM   2013-11-21 2015-08-19
20. PRAXAIR INCORPORATED COMMON   2013-11-21 2015-08-24
20. CAMERON INTERNATIONAL CORP   2014-01-24 2015-08-26
30. METLIFE INC   2014-05-09 2015-10-05
10. MCDONALDS CORP   2008-05-08 2015-10-09
10. CIT GROUP INC COM NEW   2013-11-21 2015-10-16
10. MCDONALDS CORP   2008-05-08 2015-10-26
3. MCDONALDS CORP   2008-05-08 2015-10-27
20. TEXAS INSTRUMENTS   2013-11-21 2015-10-28
10. CITRIX SYS INC COM   2014-01-24 2015-11-13
10. CITRIX SYS INC COM   2014-01-31 2015-11-20
30. INTERNATIONAL PAPER CO   2013-11-21 2015-12-02
18. UNITED TECHNOLOGIES   2014-02-04 2015-12-07
10. NORTHERN TRUST CORP   2014-01-24 2015-12-31
10. VISA INC. - CL A   2015-04-09 2015-12-31
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 49   96 -47
b 4,863   4,112 751
c 6,450   5,223 1,227
d 4,693   5,223 -530
e 5,848   5,552 296
18,238   18,338 -100
953   693 260
1,132   983 149
688   502 186
1,026   661 365
1,292   586 706
478   754 -276
950   1,428 -478
1,852   1,662 190
1,684   1,391 293
941   599 342
850   818 32
791   868 -77
563   487 76
1,261   586 675
895   680 215
1,531   1,384 147
455   497 -42
1,020   661 359
483   584 -101
717   621 96
520   494 26
855   744 111
650   595 55
499   430 69
681   508 173
930   830 100
546   455 91
775   502 273
569   472 97
515   560 -45
830   676 154
366   314 52
779   967 -188
1,297   1,124 173
972   819 153
686   580 106
576   423 153
856   639 217
1,187   297 890
490   419 71
679   540 139
546   573 -27
850   703 147
113   87 26
554   602 -48
1,263   1,301 -38
1,132   666 466
678   621 57
1,154   926 228
591   472 119
474   307 167
579   472 107
75   89 -14
551   617 -66
748   841 -93
909   226 683
757   607 150
792   790 2
770   790 -20
2,123   2,502 -379
1,204   1,168 36
1,423   1,543 -120
1,026   597 429
407   497 -90
1,123   597 526
335   179 156
1,155   845 310
778   591 187
750   545 205
1,205   1,364 -159
1,719   1,685 34
728   616 112
787   664 123
      1,237
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       -47
b       751
c       1,227
d       -530
e       296
      -100
      260
      149
      186
      365
      706
      -276
      -478
      190
      293
      342
      32
      -77
      76
      675
      215
      147
      -42
      359
      -101
      96
      26
      111
      55
      69
      173
      100
      91
      273
      97
      -45
      154
      52
      -188
      173
      153
      106
      153
      217
      890
      71
      139
      -27
      147
      26
      -48
      -38
      466
      57
      228
      119
      167
      107
      -14
      -66
      -93
      683
      150
      2
      -20
      -379
      36
      -120
      429
      -90
      526
      156
      310
      187
      205
      -159
      34
      112
      123
       
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 12,225
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 18,231 363,784 0.050115
2013 17,702 353,148 0.050126
2012 17,155 342,541 0.050082
2011 17,008 340,356 0.049971
2010 16,129 329,673 0.048924
2
Total of line 1, column (d) .....................
20.249218
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
0.049844
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
354,846
5
Multiply line 4 by line 3......................
5
17,687
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
147
7
Add lines 5 and 6........................
7
17,834
8
Enter qualifying distributions from Part XII, line 4.............
8
17,814
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 1 294
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........................... 3 294
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- ..... 5 294
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 560
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.............. 7 560
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 266
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet266 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)
    bulletNH
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletTD Bank NA Telephone no.bullet (877) 773-1229

    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet03302
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    TD Bank NA Trustee
    1     		5,571    
    143 North Main Street
    Concord,NH033020477
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    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
    340,297
    b
    Average of monthly cash balances.......................
    1b
    19,953
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    360,250
    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
    360,250
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    5,404
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    354,846
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    17,742
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    17,742
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    294
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    294
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    17,448
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    17,448
    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
    17,448
    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
    17,814
    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
    17,814
    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
    17,814
    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 17,448
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 545
    b From 2011...... 142
    c From 2012...... 126
    d From 2013...... 538
    e From 2014...... 600
    fTotal of lines 3a through e........ 1,951
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 17,814
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 17,448
    e Remaining amount distributed out of corpus 366
    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 2,317
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		545
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		1,772
    10 Analysis of line 9:
    a Excess from 2011.... 142
    b Excess from 2012.... 126
    c Excess from 2013.... 538
    d Excess from 2014.... 600
    e Excess from 2015.... 366
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    HAVENWOOD HERITAGE HEIGHTS
    33 CHRISTIAN AVENUE
    CONCORD,NH03301     		NONE 501(C)(3) DAILY OPERATIONS 17,814
    Total .................................bullet 3a 17,814
    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 8,940  
    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 12,225  
    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)..   21,165  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1321,165
    (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:
    ARNETA L BARTLETT 1995 TRUST XXX-XX-XXXX
    EIN:
    02-6185823
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 725 725    

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    ARNETA L BARTLETT 1995 TRUST XXX-XX-XXXX
    EIN:
    02-6185823
    Name of Bond End of Year Book Value End of Year Fair Market Value
    1230.088 FIDELITY HIGH INCOME 10,779 9,779
    4629.883 PIMCO INVESTMENT GRAD 53,760 45,928
    2556.630 TDAM CORE BOND FUND # 25,965 25,285
    3546.344 VANGUARD INTM TERM TR 41,654 39,932
    3435.894 VANGUARD SHORT-TERM F 37,042 36,798

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    ARNETA L BARTLETT 1995 TRUST XXX-XX-XXXX
    EIN:
    02-6185823
    Name of Stock End of Year Book Value End of Year Fair Market Value
    30 DICKS SPORTING GOODS INC CO 1,194 1,061
    10 GENUINE PARTS CO 830 859
    20 HOME DEPOT INC 1,599 2,645
    20 KOHLS CORP 1,004 953
    10 PVH CORP COM 1,092 737
    30 TJX COMPANIES INC 1,741 2,127
    30 TIME WARNER INC 1,890 1,940
    20 CVS HEALTH CORPORATION USD 1,322 1,955
    20 COLGATE PALMOLIVE CO 585 1,332
    20 PEPSICO INCORPORATED 1,382 1,998
    10 SMUCKER J M CO NEW 1,229 1,233
    30 ANADARKO PETROLEUM 2,483 1,457
    20 DEVON ENERGY CORPORATION NE 1,191 640
    30 OCCIDENTAL PETROLEUM CO 2,658 2,028
    50 AMERICAN INTL GROUP INC COM 2,530 3,099
    20 AMERIPRISE FINANCIAL INC 2,131 2,128
    10 BLACKROCK INC CL A 3,023 3,405
    40 CIT GROUP INC COM NEW 1,964 1,588
    20 CME GROUP INC 1,522 1,812
    40 CITIGROUP INC 1,977 2,070
    60 CITIZENS FINANCIAL GROUP IN 1,483 1,571
    30 FIDELITY NATL INFORMATION S 1,525 1,818
    30 FIDELITY NATIONAL FINANCIAL 1,122 1,040
    70 FIRST DATA CORP - CLASS A 1,121 1,121
    20 MARSH & MCLENNAN CORP 943 1,109
    50 MORGAN STANLEY 1,571 1,591
    20 NORTHERN TRUST CORP 1,214 1,434
    50 SYNCHRONY FINANCIAL 1,570 1,521
    40 VISA INC - CL A 2,322 3,091
    40 VOYA FINANCIAL INC 1,844 1,476
    10 ALLERGAN PLC 3,238 3,125
    40 ABBOTT LABS CO 989 1,796
    40 ABBVIE INC 1,948 2,370
    20 GILEAD SCIENCES INC 2,297 2,024
    10 MCKESSON CORP 2,299 1,972
    25 UNITEDHEALTH GROUP INC 734 2,941
    30 INGERSOLL-RAND PLC SHS 1,682 1,659
    20 BOEING CO 2,656 2,892
    30 DANAHER CORP SHS BEN INT 2,231 2,786
    90 GENERAL ELECTRIC CO 2,149 2,804
    10 NORFOLK SOUTHERN CORP 830 846
    20 ROCKWELL COLLINS INC 1,559 1,846
    20 NIELSEN HOLDINGS PLC EUR 920 932
    30 SEAGATE TECHNOLOGY PLC SHS 1,440 1,100
    20 CHECK POINT SOFTWARE TECH L 1,225 1,628
    40 APPLE COMPUTER INC 2,345 4,210
    80 APPLIED MATERIALS 1,353 1,494
    10 F5 NETWORKS INC COM 1,047 970
    80 MICROSOFT CORPORATION 2,058 4,438
    60 ORACLE CORPORATION 2,086 2,192
    30 TEXAS INSTRUMENTS 1,268 1,644
    30 E I DUPONT DE NEMOURS INC 1,736 1,998
    30 CENTURYLINK INC COM 932 755
    30 EVERSOURCE ENERGY 1,290 1,532
    30 PPL CORP 1,022 1,024
    40 WEC ENERGY GROUP INC 1,675 2,052
    528.570 INVESCO INTERNATIONAL 14,165 16,624
    261.801 HARBOR INTERNATIONAL F 15,128 15,559
    2484.194 EPOCH US SMALL MID CA 28,060 26,332

    TY 2015 OtherExpensesSchedule
    Name:
    ARNETA L BARTLETT 1995 TRUST XXX-XX-XXXX
    EIN:
    02-6185823
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE/PROBATE FEES 38 38   0
    OTHER NON-ALLOCABLE EXPENSE - 38 38   0


    TY 2015 OtherIncreasesSchedule
    Name:
    ARNETA L BARTLETT 1995 TRUST XXX-XX-XXXX
    EIN:
    02-6185823
    Description Amount
    WASH SALES & ROUNDING ADJUSTMENT 56


    TY 2015 TaxesSchedule
    Name:
    ARNETA L BARTLETT 1995 TRUST XXX-XX-XXXX
    EIN:
    02-6185823
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 22 22   0
    FEDERAL TAX PAYMENT - PRIOR YE 62 0   0
    FEDERAL ESTIMATES - INCOME 280 0   0
    FEDERAL ESTIMATES - PRINCIPAL 280 0   0
    FOREIGN TAXES ON QUALIFIED FOR 50 50   0
    FOREIGN TAXES ON NONQUALIFIED 4 4   0