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
KIRBY ANGELINE E HEALTH CENTER TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)620 LIBERTY AVENUE 10TH FLOOR
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PITTSBURGH, PA152222705
A Employer identification number

24-6016398
B Telephone number (see instructions)

(412) 762-2950
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$9,566,612
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 183,455 183,571  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 566,681
b Gross sales price for all assets on line 6a 3,191,955
7 Capital gain net income (from Part IV, line 2)... 566,681
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)....... 870 305  
12 Total. Add lines 1 through 11........ 751,006 750,557  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 26,607 23,946   2,661
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).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 16,668 431   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)....... 1 16    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 43,276 24,393 0 2,661
25 Contributions, gifts, grants paid....... 458,657 458,657
26 Total expenses and disbursements. Add lines 24 and 25 501,933 24,393 0 461,318
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 249,073
b Net investment income (if negative, enter -0-) 726,164
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......... 301,406 463,740 463,740
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) 296,761 Click to see attachment296,664 303,035
b Investments—corporate stock (attach schedule)....... 3,706,194 Click to see attachment3,963,939 4,997,661
c Investments—corporate bonds (attach schedule)....... 1,466,006 Click to see attachment1,291,582 1,301,089
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,317,824 Click to see attachment2,317,824 2,488,979
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment9,886 Click to see attachment13,408 Click to see attachment12,108
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 8,098,077 8,347,157 9,566,612
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........ 8,071,611 8,321,028
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 26,466 26,129
30 Total net assets or fund balances (see instructions)..... 8,098,077 8,347,157
31 Total liabilities and net assets/fund balances (see instructions). 8,098,077 8,347,157
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
8,098,077
2
Enter amount from Part I, line 27a .....................
2
249,073
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
7
4
Add lines 1, 2, and 3 ..........................
4
8,347,157
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
8,347,157
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 8.69 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-01-01
b 36. MCKESSON HBOC INC COMMN   2013-10-14 2015-01-09
c 114. MCKESSON HBOC INC COMMN   2013-10-14 2015-01-09
d 300. CAPITAL ONE FINANCIAL CORP   2014-10-10 2015-01-13
e 190. GENERAL ELEC CO COM   2014-02-25 2015-01-13
137. GENERAL ELEC CO COM   2013-06-20 2015-01-13
310. GENERAL ELEC CO COM   2012-12-06 2015-01-13
18. GENERAL ELEC CO COM   2012-12-06 2015-01-13
130. PHILIP MORRIS INTERNAT-W/I   2014-05-23 2015-01-13
68. LYONDELLBASELL INDUSTRIES N.V. ISIN NL0009434992 SEDOL B3SPXZ3   2013-05-06 2015-01-13
20. PRICELINE GROUP, INC.   2014-02-07 2015-01-16
735. DISCOVER FINANCIAL W/I   2011-03-25 2015-01-22
1251. REGIONS FINANCIAL CORP   2013-04-26 2015-01-26
1190. REGIONS FINANCIAL CORP   2013-04-26 2015-01-26
1189. REGIONS FINANCIAL CORP   2013-04-26 2015-01-26
142. REGIONS FINANCIAL CORP   2013-04-26 2015-01-26
68. REGIONS FINANCIAL CORP   2013-04-26 2015-01-26
10. KIMBERLY-CLARK CORP COM   2014-11-07 2015-01-27
180. KIMBERLY-CLARK CORP COM   2014-03-06 2015-01-27
310. UNITED RENTALS INC COM   2012-11-20 2015-01-29
320. UNITED RENTALS INC COM   2013-01-10 2015-01-29
4.77 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-01-31
230. DISCOVER FINANCIAL W/I   2012-01-19 2015-02-03
10. DISCOVER FINANCIAL W/I   2014-02-25 2015-02-03
80. BOEING CO   2012-07-30 2015-02-05
240. DELTA AIR LINES INC   2013-07-02 2015-02-05
420. GILEAD SCIENCES INC COM   2014-05-05 2015-02-05
1. MERCK & CO INC   2001-01-01 2015-02-05
1. DELL INC   2001-01-01 2015-02-10
260. AMERICAN EXPRESS CO   2010-07-09 2015-02-13
80. EOG RES INC   2014-07-09 2015-02-24
270. EOG RES INC   2013-05-28 2015-02-24
310. EASTMAN CHEM CO   2014-06-02 2015-02-26
105. NATIONAL FUEL GAS CO N J COM   2013-05-09 2015-02-26
355. NATIONAL FUEL GAS CO N J COM   2013-05-09 2015-02-26
50. LYONDELLBASELL INDUSTRIES N.V. ISIN NL0009434992 SEDOL B3SPXZ3   2014-09-19 2015-02-26
130. LYONDELLBASELL INDUSTRIES N.V. ISIN NL0009434992 SEDOL B3SPXZ3   2014-09-22 2015-02-26
7.7 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-02-28
100000. MERCK & CO INC NTS   2008-06-27 2015-03-01
1. AMERICAN INTERNATIONAL GROUP INC   2001-01-01 2015-03-03
400. EASTMAN CHEM CO   2014-06-04 2015-03-05
655. HOST HOTELS & RESORTS INC REIT   2015-01-13 2015-03-11
355. HOST HOTELS & RESORTS INC REIT   2015-01-13 2015-03-11
19. BAXTER INTERNATIONAL INC   2013-08-01 2015-03-13
116. BAXTER INTERNATIONAL INC   2013-08-01 2015-03-13
162. NATIONAL FUEL GAS CO N J COM   2012-11-07 2015-03-13
70. COMCAST CORPORATION CL A   2014-08-01 2015-03-18
20. COMCAST CORPORATION CL A   2009-09-04 2015-03-18
70. DISNEY WALT CO   2014-08-01 2015-03-18
137. HANESBRANDS INC - W/I   2014-02-19 2015-03-18
23. HANESBRANDS INC - W/I   2014-02-19 2015-03-18
70. TIME WARNER INC   2013-12-30 2015-03-18
60. WESTERN DIGITAL CORP   2014-09-30 2015-03-19
210. WESTERN DIGITAL CORP   2013-05-03 2015-03-19
180. SKYWORKS SOLUTIONS INC COM   2014-02-24 2015-03-25
170. NXP SEMICONDUCTORS ISIN NL0009538784 SEDOL B505PN7   2013-11-26 2015-03-25
1200. MICRON TECHNOLOGY INC   2014-08-19 2015-03-30
870. MICRON TECHNOLOGY INC   2014-08-26 2015-03-30
10.51 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-03-31
220. DELTA AIR LINES INC   2013-10-10 2015-04-02
60. SKYWORKS SOLUTIONS INC COM   2014-02-24 2015-04-02
170. SOUTHWEST AIRLINES COM   2014-04-01 2015-04-02
1. AMERICAN INTERNATIONAL GROUP INC   2001-01-01 2015-04-06
70. SKYWORKS SOLUTIONS INC COM   2014-02-24 2015-04-07
390. SOUTHWEST AIRLINES COM   2014-02-06 2015-04-07
240. ACE LIMITED NAME CHG 01/15/16 SEE H1467J104   2014-04-11 2015-04-10
55. ACE LIMITED NAME CHG 01/15/16 SEE H1467J104   2014-10-17 2015-04-10
195. GARMIN LTD ISIN CH0114405324 SEDOL B3Z5T14   2014-02-25 2015-04-10
1. AMERICAN INTERNATIONAL GROUP INC   2001-01-01 2015-04-16
225. CA INC   2012-03-28 2015-04-17
115. CA INC   2014-07-02 2015-04-17
280. MICHAEL KORS HOLDINGS LTD SEDOL B7341C6   2012-10-16 2015-04-17
420. ROYAL CARRIBEAN CRUISES LTD SEDOL 2754907 ISIN LR0008862868   2014-08-11 2015-04-20
1. AMERICAN INTERNATIONAL GROUP INC   2001-01-01 2015-04-22
20. APPLE INC   2014-07-09 2015-04-22
30. EXTRA SPACE STORAGE INC   2013-10-10 2015-04-22
10. GOOGLE INC CL A   2013-11-26 2015-04-22
10. MCKESSON HBOC INC COMMN   2013-10-25 2015-04-22
20. TIME WARNER INC   2013-12-30 2015-04-22
321. PACKAGING CORP OF AMERICA COM   2014-03-20 2015-04-28
313. PACKAGING CORP OF AMERICA COM   2014-03-19 2015-04-28
99. PACKAGING CORP OF AMERICA COM   2014-03-24 2015-04-29
97. PACKAGING CORP OF AMERICA COM   2014-03-27 2015-04-29
10.09 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-04-30
80. ALLSTATE CORP   2014-10-09 2015-05-05
50. AMERIPRISE FINANCIAL INC   2014-12-03 2015-05-05
60. AMERIPRISE FINANCIAL INC   2014-12-03 2015-05-05
110. DELTA AIR LINES INC   2013-10-10 2015-05-05
275. POTASH CORP SASK INC LESS EXCHANGE RATE OF .6921   2014-08-07 2015-05-06
220. KROGER CO   2014-07-09 2015-05-08
320. PROCTER & GAMBLE CO   2004-06-29 2015-05-08
290. KROGER CO   2014-05-08 2015-05-11
20. KROGER CO   2014-05-14 2015-05-11
590. SPROUTS FARMERS MARKETS INC   2015-01-27 2015-05-11
109. GLAXO WELLCOME PLC SPONSORED ADR   2013-05-20 2015-05-18
380. ACE LIMITED NAME CHG 01/15/16 SEE H1467J104   2014-02-28 2015-05-18
20. AETNA INC NEW   2013-05-31 2015-05-19
20. APPLE INC   2013-09-24 2015-05-19
20. CHEVRON CORPORATION   2014-10-10 2015-05-19
104. GLAXO WELLCOME PLC SPONSORED ADR   2013-05-20 2015-05-19
50. J P MORGAN CHASE & CO COM   2014-08-27 2015-05-19
50. WELLS FARGO & CO NEW COM   2005-06-29 2015-05-19
50. WISCONSIN ENERGY CORP   2009-02-19 2015-05-19
445. DELTA AIR LINES INC   2013-10-10 2015-05-21
720. DELTA AIR LINES INC   2013-07-02 2015-05-21
280. UNION PAC CORP COM   2012-10-24 2015-05-21
250. UNION PAC CORP COM   2010-04-29 2015-05-21
20. ADT CORP   2015-04-02 2015-05-29
20. AETNA INC NEW   2013-05-31 2015-05-29
20. ALASKA AIR GROUP INC   2014-12-12 2015-05-29
20. ALLSTATE CORP   2014-10-17 2015-05-29
30. ALLSTATE CORP   2014-10-17 2015-05-29
50. ALTRIA GROUP INC   2013-05-10 2015-05-29
30. AMERICAN WATER WORKS CO INC   2014-08-14 2015-05-29
20. AMERIPRISE FINANCIAL INC   2014-06-20 2015-05-29
10. AMGEN INC   2015-02-05 2015-05-29
10. AMGEN INC   2014-03-04 2015-05-29
40. APARTMENT INVT & MGMT CO CL A REIT   2015-01-26 2015-05-29
60. APPLE INC   2014-06-16 2015-05-29
20. APPLE INC   2013-09-24 2015-05-29
10. BECTON DICKINSON & CO   2013-05-09 2015-05-29
10. BERKSHIRE HATHAWAY INC CLASS B   2015-01-22 2015-05-29
10. BOEING CO   2013-05-28 2015-05-29
10. BOEING CO   2012-07-30 2015-05-29
20. BURLINGTON STORES INC   2015-04-20 2015-05-29
50. CDW CORP/DE   2014-08-26 2015-05-29
30. CDW CORP/DE   2014-07-09 2015-05-29
10. CIGNA CORP   2014-07-21 2015-05-29
10. CIGNA CORP   2015-01-09 2015-05-29
20. CVS CAREMARK CORP   2014-10-09 2015-05-29
20. CVS CAREMARK CORP   2013-05-14 2015-05-29
20. CHEVRON CORPORATION   2014-10-10 2015-05-29
40. CISCO SYS INC COM   2014-06-04 2015-05-29
100. CISCO SYS INC COM   2014-04-11 2015-05-29
20. CINTAS CORP   2015-01-29 2015-05-29
20. COMCAST CORPORATION CL A   2014-07-21 2015-05-29
20. COMCAST CORPORATION CL A   2009-09-04 2015-05-29
30. CONOCOPHILLIPS   2014-05-27 2015-05-29
10. CONSTELLATION BRANDS INC CL A   2014-06-16 2015-05-29
10. CONSTELLATION BRANDS INC CL A   2014-07-09 2015-05-29
30. DISNEY WALT CO   2014-06-16 2015-05-29
20. DISNEY WALT CO   2014-08-01 2015-05-29
30. DOW CHEMICAL CO   2015-04-29 2015-05-29
30. DOW CHEMICAL CO   2015-04-29 2015-05-29
20. DR PEPPER SNAPPLE GROUP INC   2014-10-09 2015-05-29
20. EBAY INC   2015-05-29 2015-05-29
10. EDWARDS LIFESCIENCES CORP   2014-06-02 2015-05-29
10. EQUIFAX INC   2015-05-22 2015-05-29
10. EQUIFAX INC   2015-05-22 2015-05-29
20. EXTRA SPACE STORAGE INC   2013-10-10 2015-05-29
30. EXTRA SPACE STORAGE INC   2014-12-03 2015-05-29
40. EXXON MOBIL CORP   2014-11-18 2015-05-29
40. FOOT LOCKER INC   2013-05-09 2015-05-29
20. FOOT LOCKER INC   2014-03-13 2015-05-29
10. GENERAL DYNAMICS CORP   2015-05-21 2015-05-29
10. GENERAL DYNAMICS CORP   2015-05-21 2015-05-29
90. GENERAL ELEC CO COM   2009-05-07 2015-05-29
10. GOLDMAN SACHS GROUP INC COM   2015-05-18 2015-05-29
20. HCA HOLDINGS INC   2014-08-01 2015-05-29
20. HCA HOLDINGS INC   2014-08-06 2015-05-29
20. HAIN CELESTIAL GROUP INC COM   2014-11-12 2015-05-29
80. HANESBRANDS INC - W/I   2013-07-23 2015-05-29
40. HANESBRANDS INC - W/I   2014-02-19 2015-05-29
20. HOME DEPOT INC COM   2011-12-02 2015-05-29
10. HONEYWELL INTL INC   2015-05-21 2015-05-29
210. HUNTINGTON BANCSHARES INC   2014-09-12 2015-05-29
20. J P MORGAN CHASE & CO COM   2004-06-29 2015-05-29
50. J P MORGAN CHASE & CO COM   2014-08-27 2015-05-29
10. JOHNSON & JOHNSON COM   2014-05-14 2015-05-29
30. JOHNSON & JOHNSON COM   2014-05-14 2015-05-29
20. KROGER CO   2014-05-08 2015-05-29
10. KROGER CO   2014-07-09 2015-05-29
20. L BRANDS INC   2015-01-16 2015-05-29
10. L BRANDS INC   2014-10-15 2015-05-29
20. LAM RESEARCH CORP   2015-03-19 2015-05-29
20. LEVEL 3 COMMUNICATIONS INC   2015-05-05 2015-05-29
30. LEVEL 3 COMMUNICATIONS INC   2014-05-14 2015-05-29
40. LINCOLN NATIONAL CORP   2013-04-26 2015-05-29
10. LOCKHEED MARTIN CORP   2013-11-25 2015-05-29
30. MAGNA INTERNATIONAL ISIN CA5592224011   2013-07-23 2015-05-29
20. MAGNA INTERNATIONAL ISIN CA5592224011   2013-06-14 2015-05-29
10. MCKESSON HBOC INC COMMN   2013-10-25 2015-05-29
30. MICROSOFT CORP   2006-04-05 2015-05-29
10. NORTHROP GRUMMAN CORPORATION   2015-05-18 2015-05-29
20. OLD DOMINION FGHT LINES INC   2014-10-09 2015-05-29
30. ORACLE CORP   2007-03-21 2015-05-29
10. PPG INDS INC COM   2015-03-05 2015-05-29
40. PFIZER INC COM   2010-05-17 2015-05-29
10. POLARIS INDS INC   2011-05-27 2015-05-29
20. PRINCIPAL FINANCIAL GROUP COM   2014-08-22 2015-05-29
30. PRINCIPAL FINANCIAL GROUP COM   2014-08-27 2015-05-29
10. PUBLIC STORAGE INC   2015-03-11 2015-05-29
280. QUALCOMM   2010-11-17 2015-05-29
30. REYNOLDS AMERICAN INC   2014-10-10 2015-05-29
20. ROCK-TENN CO CL A   2015-03-18 2015-05-29
20. ROCKWELL COLLINS INC   2015-04-10 2015-05-29
30. SEI INVESTMENT CO   2014-08-27 2015-05-29
30. SEI INVESTMENT CO   2014-08-29 2015-05-29
20. ST JUDE MEDICAL INC   2013-07-23 2015-05-29
30. ST JUDE MEDICAL INC   2013-07-31 2015-05-29
30. SCHLUMBERGER LTD COM   2014-06-16 2015-05-29
10. SCHLUMBERGER LTD COM   2014-04-01 2015-05-29
20. SKYWORKS SOLUTIONS INC COM   2014-02-24 2015-05-29
10. SNAP-ON INC COM   2013-11-08 2015-05-29
10. SNAP-ON INC COM   2014-08-04 2015-05-29
30. SOUTHWEST AIRLINES COM   2014-02-06 2015-05-29
30. TEXAS INSTRS INC COM   2015-03-25 2015-05-29
20. TIME WARNER INC   2013-12-30 2015-05-29
20. TIME WARNER INC   2013-12-30 2015-05-29
10. TOWERS WATSON & CO CLASS A   2015-04-07 2015-05-29
20. TRACTOR SUPPLY CO COM   2015-04-20 2015-05-29
20. THE TRAVELERS COS INC   2014-04-29 2015-05-29
20. TYSON FOODS INC CLASS A   2015-05-11 2015-05-29
30. TYSON FOODS INC CLASS A   2015-05-08 2015-05-29
10. UNITEDHEALTH GROUP INC COM   2015-02-05 2015-05-29
20. VALERO ENERGY CORP NEW COM   2015-02-24 2015-05-29
30. VERIZON COMMUNICATIONS COM   2015-05-08 2015-05-29
20. VOYA FINL INC COM   2015-02-13 2015-05-29
30. VOYA FINL INC COM   2014-10-17 2015-05-29
80. WELLS FARGO & CO NEW COM   2005-06-29 2015-05-29
40. WISCONSIN ENERGY CORP   2009-02-19 2015-05-29
20. WYNDHAM WORLDWIDE CORP   2010-10-05 2015-05-29
20. WYNDHAM WORLDWIDE CORP   2014-08-01 2015-05-29
40. XCEL ENERGY INC COM   2015-02-26 2015-05-29
20. AMDOCS LIMITED ISIN BG0022569080   2015-03-31 2015-05-29
20. AMDOCS LIMITED ISIN BG0022569080   2015-03-31 2015-05-29
30. INVESCO LTD ISIN BMG491BT1088 SEDOL B28XP76   2014-09-22 2015-05-29
20. TE CONNECTIVITY LTD SEDOL B62B7C3 ISIN CH0102993182   2014-01-29 2015-05-29
20. TE CONNECTIVITY LTD SEDOL B62B7C3 ISIN CH0102993182   2014-03-27 2015-05-29
20. CHECK POINT SOFTWARE COM   2014-08-26 2015-05-29
10. NXP SEMICONDUCTORS ISIN NL0009538784 SEDOL B505PN7   2013-11-26 2015-05-29
10.19 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-05-31
380. OLD DOMINION FGHT LINES INC   2014-07-28 2015-06-03
280. SOUTHWEST AIRLINES COM   2014-02-06 2015-06-10
115. SOUTHWEST AIRLINES COM   2014-02-06 2015-06-10
155. SOUTHWEST AIRLINES COM   2014-02-06 2015-06-10
100. TIME WARNER INC   2013-12-18 2015-06-16
40. WYNDHAM WORLDWIDE CORP   2014-08-01 2015-06-16
50. WYNDHAM WORLDWIDE CORP   2010-11-01 2015-06-16
50. AETNA INC NEW   2013-05-31 2015-06-17
60. CIGNA CORP   2015-01-09 2015-06-17
110. ST JUDE MEDICAL INC   2013-01-18 2015-06-17
250. SCHLUMBERGER LTD COM   2014-04-01 2015-06-17
210. MERCK & CO INC   2012-07-16 2015-06-18
636. ORACLE CORP   2007-03-21 2015-06-18
85. MCDONALDS CORP COM   2010-02-04 2015-06-24
5. MCDONALDS CORP COM   2010-02-04 2015-06-24
170. HCP INC REIT   2014-12-10 2015-06-25
185. HCP INC REIT   2014-06-11 2015-06-25
102. ADT CORP   2015-04-02 2015-06-29
438. ADT CORP   2015-04-02 2015-06-29
6.53 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-06-30
80. LILLY ELI & CO   2012-07-16 2015-07-01
103. PFIZER INC COM   2014-07-02 2015-07-01
25. PFIZER INC COM   2014-02-25 2015-07-01
17. PFIZER INC COM   2014-07-02 2015-07-01
440. ALLSTATE CORP   2013-02-20 2015-07-06
80. ALLSTATE CORP   2014-10-17 2015-07-06
100. SCHLUMBERGER LTD COM   2015-05-11 2015-07-06
70. SCHLUMBERGER LTD COM   2014-04-01 2015-07-06
130. SCHLUMBERGER LTD COM   2014-11-18 2015-07-06
140. AETNA INC NEW   2013-05-14 2015-07-07
70. CIGNA CORP   2015-01-09 2015-07-07
1. BANK OF AMERICA CORP   2001-01-01 2015-07-09
60. CIGNA CORP   2014-07-21 2015-07-16
40. JOHNSON & JOHNSON COM   2014-05-14 2015-07-16
320. ROCKWELL COLLINS INC   2015-04-10 2015-07-16
80. SHERWIN-WILLIAMS CO   2015-02-26 2015-07-16
530. ALLSTATE CORP   2013-02-20 2015-07-17
35. ALLSTATE CORP   2014-10-17 2015-07-17
180. DISNEY WALT CO   2012-06-04 2015-07-17
240. JOHNSON & JOHNSON COM   2011-08-30 2015-07-17
330. EBAY INC   2015-05-29 2015-07-28
330. PAYPAL HOLDINGS INC-W/I   2015-05-29 2015-07-28
225. POLARIS INDS INC   2011-05-27 2015-07-28
274. LEVEL 3 COMMUNICATIONS INC   2015-05-05 2015-07-30
106. LEVEL 3 COMMUNICATIONS INC   2015-05-05 2015-07-30
432. LEVEL 3 COMMUNICATIONS INC   2014-03-07 2015-07-30
168. LEVEL 3 COMMUNICATIONS INC   2014-03-07 2015-07-30
70. SKYWORKS SOLUTIONS INC COM   2014-02-24 2015-07-30
9. BIOGEN INC   2013-05-28 2015-07-31
20. BIOGEN INC   2015-02-05 2015-07-31
61. BIOGEN INC   2013-05-28 2015-07-31
12.15 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-07-31
560. TEXAS INSTRS INC COM   2015-03-25 2015-07-31
930. HANESBRANDS INC - W/I   2013-07-02 2015-08-03
167. HANESBRANDS INC - W/I   2014-02-19 2015-08-05
191. HANESBRANDS INC - W/I   2014-02-19 2015-08-05
402. HANESBRANDS INC - W/I   2014-02-19 2015-08-05
81. TYSON FOODS INC CLASS A   2015-05-08 2015-08-05
449. TYSON FOODS INC CLASS A   2015-05-08 2015-08-05
514. HANESBRANDS INC - W/I   2013-07-02 2015-08-06
256. HANESBRANDS INC - W/I   2013-07-02 2015-08-06
284. TYSON FOODS INC CLASS A   2015-05-11 2015-08-06
246. TYSON FOODS INC CLASS A   2015-05-11 2015-08-06
287. CONOCOPHILLIPS   2012-01-19 2015-08-07
70. BOEING CO   2012-07-30 2015-08-14
630. CONOCOPHILLIPS   2013-08-30 2015-08-14
70. SKYWORKS SOLUTIONS INC COM   2014-02-24 2015-08-14
80. NXP SEMICONDUCTORS ISIN NL0009538784 SEDOL B505PN7   2013-11-26 2015-08-14
230. BECTON DICKINSON & CO   2013-03-08 2015-08-18
160. FOOT LOCKER INC   2013-05-09 2015-08-18
380. HAIN CELESTIAL GROUP INC COM   2014-11-12 2015-08-19
.5 CARE CAPITAL PROPERTIES INC   2012-01-19 2015-08-24
1. CITIGROUP INC   2001-01-01 2015-08-25
42. CARE CAPITAL PROPERTIES INC   2012-01-19 2015-08-26
7.53 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-08-31
50000. BANK OF AMERICA CORP SR NTS   2011-08-31 2015-09-01
1. SECURITY HELD 2/24/06 TO 9/11/07   2001-01-01 2015-09-02
210. NOVARTIS AG SPONSORED ADR   2015-07-17 2015-09-04
209. CHEVRON CORPORATION   2012-01-19 2015-09-09
280. BERKSHIRE HATHAWAY INC CLASS B   2015-01-22 2015-09-10
160. MCKESSON HBOC INC COMMN   2013-10-22 2015-09-17
5.92 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-09-30
.125 PJT PARTNERS INC - A W/I   2014-04-02 2015-10-07
490. HD SUPPLY HOLDINGS INC   2015-07-16 2015-10-09
120. HD SUPPLY HOLDINGS INC   2015-07-16 2015-10-09
5. PJT PARTNERS INC - A W/I   2014-04-02 2015-10-09
440. TIME WARNER INC   2013-12-18 2015-10-09
480. VOYA FINL INC COM   2015-02-13 2015-10-09
280. TIME WARNER INC   2013-12-18 2015-10-14
120. VOYA FINL INC COM   2014-10-17 2015-10-14
332. VOYA FINL INC COM   2014-10-17 2015-10-15
78. VOYA FINL INC COM   2014-10-17 2015-10-15
340. HCA HOLDINGS INC   2014-08-01 2015-10-21
150. APPLE INC   2013-09-24 2015-10-22
480. HCA HOLDINGS INC   2014-08-06 2015-10-22
140. TE CONNECTIVITY LTD SEDOL B62B7C3 ISIN CH0102993182   2014-01-27 2015-10-22
110. PROCTER & GAMBLE CO   2013-02-14 2015-10-28
6.33 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-10-31
220. NXP SEMICONDUCTORS ISIN NL0009538784 SEDOL B505PN7   2013-11-27 2015-11-03
640. MAGNA INTERNATIONAL ISIN CA5592224011   2013-06-14 2015-11-06
360. MAGNA INTERNATIONAL ISIN CA5592224011   2013-06-14 2015-11-13
320. WESTROCK CO-WHEN ISSUED   2015-03-18 2015-11-13
190. UNITEDHEALTH GROUP INC COM   2015-02-05 2015-11-20
180. UNITEDHEALTH GROUP INC COM   2015-06-17 2015-11-20
490. ST JUDE MEDICAL INC   2013-01-29 2015-11-25
5.95 FEDERAL NATL MTG ASSN POOL 255813   2005-06-02 2015-11-30
430. ST JUDE MEDICAL INC   2013-01-18 2015-11-30
100. SNAP-ON INC COM   2014-08-04 2015-11-30
59. QUALCOMM   2010-11-17 2015-12-02
12. QUALCOMM   2010-11-17 2015-12-02
210. STRYKER CORP   2015-07-31 2015-12-02
132. SYMANTEC CORP COM   2014-03-11 2015-12-02
408. SYMANTEC CORP COM   2014-03-11 2015-12-02
120. SNAP-ON INC COM   2014-08-04 2015-12-03
51. SEI INVESTMENT CO   2014-08-27 2015-12-08
271. SEI INVESTMENT CO   2014-08-27 2015-12-08
50. SEI INVESTMENT CO   2014-08-29 2015-12-08
262. SEI INVESTMENT CO   2014-08-29 2015-12-08
298. SEI INVESTMENT CO   2014-08-27 2015-12-09
288. SEI INVESTMENT CO   2014-08-29 2015-12-09
25000. CON EDISON CO OF NY SR UNSEC   2009-04-01 2015-12-15
10. PINNACLE WEST CAPITAL CORP   2014-11-14 2015-12-17
260. PINNACLE WEST CAPITAL CORP   2013-10-08 2015-12-17
15. SIGNET JEWELERS LTD ISIN BMG812761002 SEDOL B3CTNK6   2015-10-09 2015-12-17
175. SIGNET JEWELERS LTD ISIN BMG812761002 SEDOL B3CTNK6   2015-10-09 2015-12-17
110. GOLDMAN SACHS GROUP INC COM   2015-05-18 2015-12-22
50. GOLDMAN SACHS GROUP INC COM   2015-07-17 2015-12-22
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 9   9  
b 7,808   4,969 2,839
c 24,744   15,735 9,009
d 23,623   24,396 -773
e 4,500   5,007 -507
3,245   3,230 15
7,338   7,022 316
427   384 43
10,782   11,277 -495
5,079   4,215 864
20,161   23,859 -3,698
42,330   17,761 24,569
11,248   11,290 -42
10,790   9,985 805
10,699   9,976 723
1,290   1,191 99
618   571 47
1,106   1,131 -25
19,909   18,923 986
26,548   12,417 14,131
27,404   15,400 12,004
5   5  
12,901   7,959 4,942
561   574 -13
11,792   6,013 5,779
11,042   4,583 6,459
41,133   33,503 7,630
296   25 271
112     112
20,310   11,020 9,290
7,340   9,255 -1,915
24,772   17,677 7,095
23,359   27,568 -4,209
6,999   6,864 135
23,157   22,120 1,037
4,339   5,702 -1,363
11,254   14,706 -3,452
8   8  
100,000   98,931 1,069
88     88
29,317   35,664 -6,347
13,275   15,625 -2,350
7,180   8,453 -1,273
1,274   1,375 -101
7,776   8,309 -533
9,421   9,446 -25
4,112   3,745 367
1,175   324 851
7,495   5,987 1,508
4,627   2,508 2,119
787   421 366
6,008   4,680 1,328
5,944   5,843 101
20,804   12,073 8,731
17,160   6,392 10,768
17,032   7,245 9,787
31,908   39,550 -7,642
23,133   28,546 -5,413
11   11  
9,435   5,405 4,030
5,784   2,058 3,726
7,339   4,052 3,287
624     624
6,790   2,401 4,389
16,167   8,257 7,910
26,840   24,153 2,687
6,151   5,748 403
9,053   10,175 -1,122
54     54
7,008   6,160 848
3,582   3,344 238
17,725   15,795 1,930
30,539   25,996 4,543
68     68
2,575   1,915 660
2,005   1,402 603
5,506   5,288 218
2,314   1,555 759
1,694   1,337 357
21,965   23,088 -1,123
21,418   22,296 -878
6,733   7,069 -336
6,597   6,583 14
10   10  
5,615   4,893 722
6,296   6,657 -361
7,516   7,988 -472
4,855   2,703 2,152
8,809   9,482 -673
15,780   10,889 4,891
25,929   17,565 8,364
20,902   13,474 7,428
1,442   936 506
16,347   21,763 -5,416
4,866   5,717 -851
41,159   37,158 4,001
2,283   1,228 1,055
2,608   1,402 1,206
2,102   2,289 -187
4,637   5,334 -697
3,349   2,987 362
2,821   1,434 1,387
2,414   1,060 1,354
19,554   10,933 8,621
31,639   13,749 17,890
29,360   17,014 12,346
26,214   9,733 16,481
733   836 -103
2,305   1,228 1,077
1,284   1,123 161
1,352   1,211 141
2,028   1,816 212
2,558   1,832 726
1,592   1,475 117
2,517   2,382 135
1,571   1,516 55
1,571   1,256 315
1,526   1,638 -112
7,847   5,672 2,175
2,616   1,402 1,214
1,411   977 434
1,435   1,499 -64
1,408   1,006 402
1,408   752 656
1,064   1,114 -50
1,854   1,678 176
1,113   960 153
1,357   954 403
1,357   1,084 273
2,049   1,644 405
2,049   1,192 857
2,066   2,289 -223
1,178   981 197
2,946   2,259 687
1,728   1,588 140
1,173   1,076 97
1,173   324 849
1,917   2,370 -453
1,183   834 349
1,183   903 280
3,308   2,497 811
2,205   1,711 494
1,553   1,553  
1,553   1,553  
1,532   1,288 244
1,223   1,220 3
1,311   808 503
1,004   1,004  
1,004   1,004  
1,405   935 470
2,107   1,803 304
3,402   3,803 -401
2,520   1,443 1,077
1,260   917 343
1,396   1,406 -10
1,396   1,406 -10
2,464   1,258 1,206
2,067   2,043 24
1,635   1,310 325
1,635   1,347 288
1,268   1,069 199
2,559   1,065 1,494
1,279   732 547
2,239   802 1,437
1,045   1,067 -22
2,351   2,122 229
1,317   768 549
3,293   2,987 306
1,009   1,009  
3,026   3,028 -2
1,470   929 541
735   493 242
1,748   1,601 147
874   660 214
1,650   1,574 76
1,105   1,129 -24
1,657   1,303 354
2,280   1,662 618
1,879   1,417 462
1,720   1,133 587
1,147   697 450
2,385   1,555 830
1,411   834 577
1,590   1,581 9
1,363   1,349 14
1,308   546 762
2,299   2,353 -54
1,394   639 755
1,440   523 917
1,031   1,061 -30
1,547   1,630 -83
1,951   1,863 88
19,608   13,486 6,122
2,295   1,799 496
1,323   1,337 -14
1,901   1,960 -59
1,438   1,124 314
1,438   1,138 300
1,475   1,048 427
2,213   1,578 635
2,733   3,210 -477
911   977 -66
2,184   686 1,498
1,558   1,048 510
1,558   1,210 348
1,114   629 485
1,677   1,687 -10
1,686   1,337 349
1,686   1,337 349
1,382   1,327 55
1,751   1,774 -23
2,031   1,815 216
850   829 21
1,275   1,235 40
1,186   1,091 95
1,182   1,227 -45
1,485   1,505 -20
906   866 40
1,359   1,080 279
4,481   2,294 2,187
1,934   848 1,086
1,699   566 1,133
1,699   1,520 179
1,368   1,418 -50
1,096   1,093 3
1,096   1,093 3
1,198   1,218 -20
1,387   1,137 250
1,387   1,180 207
1,693   1,395 298
1,118   426 692
10   10  
25,918   24,115 1,803
9,650   5,866 3,784
4,001   2,409 1,592
5,385   3,247 2,138
8,700   6,512 2,188
3,361   3,040 321
4,201   2,790 1,411
6,196   3,069 3,127
9,263   6,505 2,758
8,172   4,355 3,817
22,387   25,348 -2,961
12,301   10,467 1,834
26,200   11,582 14,618
8,258   7,569 689
485   322 163
6,198   7,692 -1,494
6,745   7,666 -921
3,467   4,261 -794
14,759   18,298 -3,539
7   7  
6,756   4,202 2,554
3,481   3,146 335
845   797 48
574   517 57
28,426   20,546 7,880
5,168   4,843 325
8,344   9,259 -915
5,841   6,836 -995
10,848   12,451 -1,603
15,875   8,339 7,536
10,745   7,589 3,156
1,337   25 1,312
9,253   5,727 3,526
4,043   4,037 6
29,702   31,352 -1,650
20,940   22,965 -2,025
35,683   25,441 10,242
2,356   2,119 237
21,324   7,998 13,326
24,015   16,312 7,703
9,215   8,139 1,076
12,195   11,991 204
30,646   11,668 18,978
13,733   15,461 -1,728
5,349   5,981 -632
21,652   16,375 5,277
8,477   6,323 2,154
6,691   2,401 4,290
2,873   2,163 710
6,385   7,921 -1,536
19,495   14,661 4,834
12   12  
28,031   31,482 -3,451
26,970   12,189 14,781
4,845   3,057 1,788
5,552   3,497 2,055
11,636   7,359 4,277
3,366   3,333 33
18,586   18,477 109
14,699   6,686 8,013
7,297   3,330 3,967
11,866   11,771 95
10,306   10,196 110
14,061   17,525 -3,464
10,154   5,432 4,722
31,319   43,377 -12,058
6,210   2,401 3,809
7,365   3,403 3,962
33,816   20,487 13,329
11,838   5,609 6,229
24,471   20,302 4,169
16   14 2
30     30
1,313   1,292 21
8   8  
50,000   49,414 586
26     26
19,782   22,178 -2,396
15,823   23,144 -7,321
36,670   41,972 -5,302
32,768   23,168 9,600
6   6  
3   3  
15,284   17,930 -2,646
3,711   4,391 -680
103   132 -29
32,200   28,476 3,724
19,201   20,752 -1,551
19,944   17,910 2,034
4,667   4,319 348
12,917   11,948 969
3,024   2,807 217
24,230   22,275 1,955
17,256   10,434 6,822
31,528   32,320 -792
8,865   8,185 680
8,392   8,647 -255
6   6  
17,323   9,266 8,057
30,852   22,595 8,257
15,692   12,546 3,146
15,658   21,400 -5,742
21,467   20,728 739
20,337   21,786 -1,449
30,748   21,142 9,606
6   6  
27,192   17,024 10,168
17,215   12,097 5,118
3,093   3,112 -19
634   578 56
20,249   21,517 -1,268
2,618   3,147 -529
8,043   8,346 -303
20,568   14,516 6,052
2,730   1,910 820
14,475   10,151 4,324
2,677   1,896 781
13,994   9,936 4,058
15,631   11,162 4,469
15,106   10,922 4,184
25,000   25,000  
636   611 25
16,565   14,556 2,009
1,754   2,138 -384
20,500   24,944 -4,444
19,726   22,475 -2,749
8,966   10,574 -1,608
      72,095
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        
b       2,839
c       9,009
d       -773
e       -507
      15
      316
      43
      -495
      864
      -3,698
      24,569
      -42
      805
      723
      99
      47
      -25
      986
      14,131
      12,004
       
      4,942
      -13
      5,779
      6,459
      7,630
      271
      112
      9,290
      -1,915
      7,095
      -4,209
      135
      1,037
      -1,363
      -3,452
       
      1,069
      88
      -6,347
      -2,350
      -1,273
      -101
      -533
      -25
      367
      851
      1,508
      2,119
      366
      1,328
      101
      8,731
      10,768
      9,787
      -7,642
      -5,413
       
      4,030
      3,726
      3,287
      624
      4,389
      7,910
      2,687
      403
      -1,122
      54
      848
      238
      1,930
      4,543
      68
      660
      603
      218
      759
      357
      -1,123
      -878
      -336
      14
       
      722
      -361
      -472
      2,152
      -673
      4,891
      8,364
      7,428
      506
      -5,416
      -851
      4,001
      1,055
      1,206
      -187
      -697
      362
      1,387
      1,354
      8,621
      17,890
      12,346
      16,481
      -103
      1,077
      161
      141
      212
      726
      117
      135
      55
      315
      -112
      2,175
      1,214
      434
      -64
      402
      656
      -50
      176
      153
      403
      273
      405
      857
      -223
      197
      687
      140
      97
      849
      -453
      349
      280
      811
      494
       
       
      244
      3
      503
       
       
      470
      304
      -401
      1,077
      343
      -10
      -10
      1,206
      24
      325
      288
      199
      1,494
      547
      1,437
      -22
      229
      549
      306
       
      -2
      541
      242
      147
      214
      76
      -24
      354
      618
      462
      587
      450
      830
      577
      9
      14
      762
      -54
      755
      917
      -30
      -83
      88
      6,122
      496
      -14
      -59
      314
      300
      427
      635
      -477
      -66
      1,498
      510
      348
      485
      -10
      349
      349
      55
      -23
      216
      21
      40
      95
      -45
      -20
      40
      279
      2,187
      1,086
      1,133
      179
      -50
      3
      3
      -20
      250
      207
      298
      692
       
      1,803
      3,784
      1,592
      2,138
      2,188
      321
      1,411
      3,127
      2,758
      3,817
      -2,961
      1,834
      14,618
      689
      163
      -1,494
      -921
      -794
      -3,539
       
      2,554
      335
      48
      57
      7,880
      325
      -915
      -995
      -1,603
      7,536
      3,156
      1,312
      3,526
      6
      -1,650
      -2,025
      10,242
      237
      13,326
      7,703
      1,076
      204
      18,978
      -1,728
      -632
      5,277
      2,154
      4,290
      710
      -1,536
      4,834
       
      -3,451
      14,781
      1,788
      2,055
      4,277
      33
      109
      8,013
      3,967
      95
      110
      -3,464
      4,722
      -12,058
      3,809
      3,962
      13,329
      6,229
      4,169
      2
      30
      21
       
      586
      26
      -2,396
      -7,321
      -5,302
      9,600
       
       
      -2,646
      -680
      -29
      3,724
      -1,551
      2,034
      348
      969
      217
      1,955
      6,822
      -792
      680
      -255
       
      8,057
      8,257
      3,146
      -5,742
      739
      -1,449
      9,606
       
      10,168
      5,118
      -19
      56
      -1,268
      -529
      -303
      6,052
      820
      4,324
      781
      4,058
      4,469
      4,184
       
      25
      2,009
      -384
      -4,444
      -2,749
      -1,608
       
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 2 566,681
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 407,244 9,497,208 0.04288
2013 402,245 8,699,292 0.046239
2012 378,248 8,045,682 0.047013
2011 364,121 7,872,013 0.046255
2010 325,831 7,335,507 0.044418
2
Total of line 1, column (d) .....................
20.226805
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
0.045361
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
9,664,503
5
Multiply line 4 by line 3......................
5
438,392
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
7,262
7
Add lines 5 and 6........................
7
445,654
8
Enter qualifying distributions from Part XII, line 4.............
8
461,318
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 7,262
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 7,262
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 7,262
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 17,560
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 17,560
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 10,298
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet3,632 RefundedBullet 11 6,666
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)
    bulletPA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletPNC BANK Telephone no.bullet (412) 762-2950

    Located atbullet620 LIBERTY AVENUE 10TH FLOORPITTSBURGHPA ZIP+4bullet152222705
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    PNC BANK N A TRUSTEE
    6
    26,607    
    620 LIBERTY AVENUE
    PITTSBURGH,PA15222
    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
    9,811,678
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    9,811,678
    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
    9,811,678
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    147,175
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    9,664,503
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    483,225
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    483,225
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    7,262
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,262
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    475,963
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    475,963
    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
    475,963
    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
    461,318
    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
    461,318
    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
    7,262
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    454,056
    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 7 475,963
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 296,191
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 0
    b From 2011...... 0
    c From 2012...... 0
    d From 2013...... 0
    e From 2014...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 461,318
    a Applied to 2014, but not more than line 2a 296,191
    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..... 165,127
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    310,836
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2011.... 0
    b Excess from 2012.... 0
    c Excess from 2013.... 0
    d Excess from 2014.... 0
    e Excess from 2015.... 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    THE ANGELINE ELIZABETH KIRBY
    71 N FRANKLIN STREET
    WILKESBARRE,PA18701
    NONE PC GENERAL SUPPORT 458,657
    Total .................................bullet 3a 458,657
    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....     14 183,455  
    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 ............
        18 566,681  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aBLACKSTONE GROUP L
        14 595  
    bENTERPRISE PRODS P     14 275  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   751,006  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13751,006
    (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 InvestmentsCorpBondsSchedule
    Name:
    KIRBY ANGELINE E HEALTH CENTER TRUST
    EIN:
    24-6016398
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 1,291,582 1,301,089

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    KIRBY ANGELINE E HEALTH CENTER TRUST
    EIN:
    24-6016398
    Name of Stock End of Year Book Value End of Year Fair Market Value
    COMMON STOCK 3,963,939 4,997,661

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    KIRBY ANGELINE E HEALTH CENTER TRUST
    EIN:
    24-6016398
    US Government Securities - End of Year Book Value:

    296,664
    US Government Securities - End of Year Fair Market Value:

    303,035
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2015 InvestmentsOtherSchedule2
    Name:
    KIRBY ANGELINE E HEALTH CENTER TRUST
    EIN:
    24-6016398
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS - FIXED AT COST 649,448 645,794
    MUTUAL FUNDS - EQUITY AT COST 1,668,376 1,843,185

    TY 2015 OtherAssetsSchedule
    Name:
    KIRBY ANGELINE E HEALTH CENTER TRUST
    EIN:
    24-6016398
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    LIMITED PARTNERSHIPS 9,886 13,408 12,108


    TY 2015 OtherExpensesSchedule
    Name:
    KIRBY ANGELINE E HEALTH CENTER TRUST
    EIN:
    24-6016398
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADR SERVICE FEES 1 1   0
    PARTNERSHIP - EXPENSE   15   0


    TY 2015 OtherIncomeSchedule2
    Name:
    KIRBY ANGELINE E HEALTH CENTER TRUST
    EIN:
    24-6016398
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    BLACKSTONE GROUP LP THE 595 295  
    ENTERPRISE PRODS PARTNERS L P COM UNIT 275 10  


    TY 2015 OtherIncreasesSchedule
    Name:
    KIRBY ANGELINE E HEALTH CENTER TRUST
    EIN:
    24-6016398
    Description Amount
    ROUNDING ADJ FOR SALES AND TRANSACTIONS 7


    TY 2015 TaxesSchedule
    Name:
    KIRBY ANGELINE E HEALTH CENTER TRUST
    EIN:
    24-6016398
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 431 431   0
    FEDERAL ESTIMATES - PRINCIPAL 16,237 0   0