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
Capital City Bank Group Foundation Inc
 
Number and street (or P.O. box number if mail is not delivered to street address)217 N Monroe Street
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Tallahassee, FL32301
A Employer identification number

59-2276367
B Telephone number (see instructions)

(850) 402-8450
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$2,436,058J 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) 54,645
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 7 7  
4 Dividends and interest from securities... 47,082 47,082  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 119,172
b Gross sales price for all assets on line 6a 1,154,084
7 Capital gain net income (from Part IV, line 2)... 119,172
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances 0
b Less: Cost of goods sold.... 0
c Gross profit or (loss) (attach schedule)..... 0  
11 Other income (attach schedule)....... 0 0 0
12 Total. Add lines 1 through 11........ 220,906 166,261 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 0 0 0 0
b Accounting fees (attach schedule)....... 0 0 0 0
c Other professional fees (attach schedule).... 0 0 0 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 3,406 0 0 0
19 Depreciation (attach schedule) and depletion... 0 0 0
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 262 0 0 262
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 3,668 0 0 262
25 Contributions, gifts, grants paid....... 206,762 206,762
26 Total expenses and disbursements. Add lines 24 and 25 210,430 0 0 207,024
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 10,476
b Net investment income (if negative, enter -0-) 166,261
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............. 396 376 376
2 Savings and temporary cash investments......... 128,280 162,421 162,421
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet   0 0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....   0 0
7 Other notes and loans receivable (attach schedule) bullet0
Less: allowance for doubtful accounts bullet0 0 0 0
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 0 0 0
b Investments—corporate stock (attach schedule)....... 1,376,423 Click to see attachment1,338,264 1,980,319
c Investments—corporate bonds (attach schedule)....... 301,067 Click to see attachment304,742 292,942
11 Investments—land, buildings, and equipment: basis bullet0
Less: accumulated depreciation (attach schedule) bullet0 0 Click to see attachment0 0
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 0 Click to see attachment0 0
14 Land, buildings, and equipment: basis bullet0
Less: accumulated depreciation (attach schedule) bullet0 0 Click to see attachment0 0
15 Other assets (describe bullet) 0 0 0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,806,166 1,805,803 2,436,058
Liabilities 17 Accounts payable and accrued expenses.......... 14,039 3,200
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons 0 0
21 Mortgages and other notes payable (attach schedule)...... 0 0
22 Other liabilities (describe bullet) Click to see attachment0 Click to see attachment0
23 Total liabilities (add lines 17 through 22)......... 14,039 3,200
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 1,792,127 1,802,603
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 1,792,127 1,802,603
31 Total liabilities and net assets/fund balances (see instructions). 1,806,166 1,805,803
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,792,127
2
Enter amount from Part I, line 27a .....................
2
10,476
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,802,603
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
1,802,603
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 Sale of Securities P    
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 1,154,084   1,034,912 119,172
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a     0 119,172
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 119,172
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 0
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 238,210 2,603,233 0.091505
2013 248,079 2,424,950 0.102303
2012 286,154 2,392,691 0.119595
2011 249,047 2,380,823 0.104605
2010 255,094 2,365,069 0.107859
2
Total of line 1, column (d) .....................
20.525867
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
0.105173
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
2,499,696
5
Multiply line 4 by line 3......................
5
262,901
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,663
7
Add lines 5 and 6........................
7
264,564
8
Enter qualifying distributions from Part XII, line 4.............
8
207,024
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 3,325
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 3,325
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 3,325
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 2,808
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,808
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 517
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11 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)
    bulletFL
    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 .Click to see attachment
    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 addressbulletwww.ccbgfoundation.org
    14
    The books are in care ofbulletJep Larkin Telephone no.bullet (850) 402-7764

    Located atbullet217 N Monroe StTallahasseeFL ZIP+4bullet32301
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    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
     
    No
    .........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
    William G Smith Jr Chairman
    1.000     		0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    Brooke Hallock Secretary
    1.000     		0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    Jep Larkin Treasurer
    1.000     		0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    Jeff Wahlen Director
    1.000     		0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    Dr Alma Littles Director
    1.000     		0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    Amy Geiger Director
    1.000     		0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    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
     
    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
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    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
    2,370,570
    b
    Average of monthly cash balances.......................
    1b
    129,126
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,499,696
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    2,499,696
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    0
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,499,696
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    124,985
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    124,985
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    3,325
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,325
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    121,660
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    121,660
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    121,660
    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 Click to see attachment..........
    1a
    207,024
    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
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    207,024
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    207,024
    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 7 121,660
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 138,154
    b From 2011...... 132,023
    c From 2012...... 169,114
    d From 2013...... 129,036
    e From 2014...... 110,854
    fTotal of lines 3a through e........ 679,181
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 207,024
    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..... 121,660
    e Remaining amount distributed out of corpus 85,364
    5 Excess distributions carryover applied to 2015.   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 5 764,545
    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......     		 
    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) ...     		138,154
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		626,391
    10 Analysis of line 9:
    a Excess from 2011.... 132,023
    b Excess from 2012.... 169,114
    c Excess from 2013.... 129,036
    d Excess from 2014.... 110,854
    e Excess from 2015.... 85,364
    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
    0       0
    b 85% of line 2a ......... 0       0
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		0       0
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		        0
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		0       0
    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 e-mail address of the person to whom applications should be addressed:
    Website
    217 N Monroe Street
    Tallahassee,FL32301
    bThe form in which applications should be submitted and information and materials they should include:
    Applications will only be accepted online using the submission form on the organization's website. Applications are only accepted from those organizations that are Non-Profit, Charitable Organizations under Section 501(c)(3).
    cAny submission deadlines:
    APRIL 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Grants are provided only to non-profit, charitable organizations exempt under section 501(c)(3). Further, grants are not given for requests of the following nature: Advertising, Association memberships, Athletic team/event sponsorship, fundraising sponsorship, ticket to attend community functions/fundraisers, professional telephone solicitations, those with religious/political affiliations, those located outside of CCBG's market area.
    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
    A New Generation of Hernando
    7084 Mariner Blvd
    Spring Hill,FL34609     		NONE PC General Program Support 500
    A Women's Pregnancy Center
    919 W Pensacola St
    Tallahassee,FL32304     		None PC General Program Support 250
    Action Network of North Central FL
    P O Box 5246 Gainesville
    Gainesville,FL32627     		NONE PC General Program Support 1,500
    Advocates for Alzheimer's Care Inc
    PO Box 344 Dublin
    Dublin,GA31040     		NONE PC General Program Support 2,000
    Alachua County Historic Trust
    513 East University Ave
    Gainesville,FL32601     		NONE PC General Program Support 1,500
    Alpha Tau Omega Foundation
    32 E Washington St Suite 1350
    Indianapolis,IN46204     		None PC General Program Support 250
    Alzheimer's (Leon County)
    301 East Tharpe Street
    Tallahassee,FL32303     		None PC General Program Support 710
    Alzheimer's Disease and Related Disorders
    2180 W State Road 434 Ste 1100
    Longwood,FL32779     		None PC General Program Support 50
    American Cancer Society - Gainesville
    2119 SW 16th Street
    Gainesville,FL32608     		None PC General Program Support 350
    American Heart Association St Pete
    10460 Roosevett Blvd N 306
    St Petersburg,FL33716     		None PC General Program Support 30
    American Heart Association (National)
    PO Box 4002900
    Des Moines,IA50340     		None PC General Program Support 150
    American Heart Association-Heartwalk
    2851 Remington Green Cir Suite C
    Tallahassee,FL32308     		None PC General Program Support 250
    American Red Cross - Capital Area Chapter
    1115 Easterwood Drive
    Tallahassee,FL32311     		None PC General Program Support 175
    American Red Cross South Georgia Chapter
    509 N Patterson St
    Valdosta,GA31601     		NONE PC General Program Support 750
    America's Second Harvest of the Big Bend
    4446 Entrepot Blvd
    Tallahassee,FL32310     		NONE PC General Program Support 17,000
    Arc of Bradford County
    1351 South Water Street
    Starke,FL32091     		None PC General Program Support 80
    Balance 180 Gymnastics & Sports Academy
    6527 NW 18th Drive
    Gainesville,FL32653     		NONE PC General Program Support 1,500
    Big Bend Cares
    2201 S Monroe St
    Tallahassee,FL32301     		None PC General Program Support 40
    Big Bend Habitat for Humanity
    2921 Roberts Avenue
    Tallahassee,FL32310     		NONE PC General Program Support 3,000
    Big Bend Hospice
    1723 Mahan Center Blvd
    Tallahassee,FL32308     		None PC General Program Support 25
    Big Bend Hospice Foundation
    1723 Mahan Center Blvd
    Tallahassee,FL32308     		None PC General Program Support 7,525
    BJ Garcia Run for Research Foundation
    PO Box 572
    Branford,FL32008     		None PC General Program Support 2,000
    Boy Scouts of America Central GA Council
    4335 Confederate Way
    Macon,GA31217     		None PC General Program Support 150
    Boys & Girls Club of North Central FL
    918 North Washington St
    Perry,FL32347     		NONE PC General Program Support 2,500
    Boys and Girls Club of Central Georgia
    277 MLK Jr Blvd Ste 202
    Macon,GA31208     		NONE PC General Program Support 1,150
    Bradford County Education Foundation
    P O Box 927
    Starke,FL32091     		NONE PC General Program Support 3,000
    Bread Basket Club
    PO Box 1111
    Valley,AL36854     		NONE PC General Program Support 2,250
    Camp Blanding Museum
    5629 SR 16 W
    Starke,FL32091     		NONE PC General Program Support 1,000
    Capital City Youth Services
    2407 Roberts Avenue
    Tallahassee,FL32310     		NONE PC General Program Support 2,000
    Chi Omega Social Action Scholarship Found
    2989 Mahan Dr Suite 6
    Tallahassee,FL32301     		NONE PC General Program Support 500
    Children's Home Society
    1801 Miccosukee Commons Dr
    Tallahassee,FL32308     		None PC General Program Support 25
    Circle of Care
    2200 35th Place
    Valley,AL36854     		None PC General Program Support 250
    Citrus Hearing Impaired Program Services
    109 NE Crystal Street Suite B
    Crystal River,FL34428     		NONE PC General Program Support 1,500
    Communities in Schools of Bradford Cnty
    707 N MacMahon Street
    Starke,FL32091     		NONE PC General Program Support 3,000
    Communities in Schools of Northeast FL
    PO Box 490
    Palatka,FL32178     		NONE PC General Program Support 3,000
    Community Leadership Academy
    1400 Village Square Blvd Ste 3-115
    Tallahassee,FL32312     		NONE PC General Program Support 2,500
    Cure Sanfilippo Foundation
    PO Box 6901
    Columbia,SC29260     		None PC General Program Support 100
    Cystic Fibrosis Foundation - FL
    8382 Baymeadows Rd Suite 9
    Jacksonville,FL32256     		None PC General Program Support 335
    Dixie Education Foundation Inc
    PO Box 2655
    Cross City,FL32628     		NONE PC General Program Support 2,000
    Dress for Success Tallahassee Inc
    PO Box 327
    Tallahassee,FL32302     		NONE PC General Program Support 1,000
    Easter Seals Middle Georgia
    PO Box 847
    Dublin,GA31040     		NONE PC General Program Support 2,000
    Education Foundation of Gilchrist County
    P O Box 1816
    Trenton,FL32693     		NONE PC General Program Support 2,000
    Epilepsy Association of the Big Bend
    1215 Lee Avenue Suite M-4
    Tallahassee,FL32303     		NONE PC General Program Support 1,000
    Florida Education Foundation
    325 W Gaines Street Suite 1524
    Tallahassee,FL32399     		NONE PC General Program Support 1,500
    Florida School of Traditional Midwifery
    810 East University Ave
    Gainesville,FL32641     		NONE PC General Program Support 1,500
    Florida Wild Mammal Association
    198 Edgar Poole Road
    Crawfordville,FL32327     		NONE PC General Program Support 500
    Forgotten Coast Cultural Coalition
    PO Box 3
    Port St Joe,FL32456     		NONE PC General Program Support 1,000
    Friends of the Floral City Library
    8360 E Orange Ave
    Floral City,FL34436     		NONE PC General Program Support 500
    Gadsden Arts Inc
    13 N Madison Street
    Quincy,FL32351     		NONE PC General Program Support 5,000
    Georgia Military College Foundation
    PO Box 712
    Dublin,GA31040     		NONE PC General Program Support 2,500
    Girls on the Run of the Big Bend
    2796 Palafox Lane
    Tallahassee,FL32312     		NONE PC General Program Support 1,000
    Goodsell United Methodist Church
    PO Box 525
    West Point,GA31833     		NONE PC General Program Support 2,000
    Goodwood Museum and Gardens Inc
    1600 Miccosukee Road
    Tallahassee,FL32308     		NONE PC General Program Support 1,500
    Grady County Fine Arts Project
    175 Smith Road
    Cairo,GA39828     		NONE PC General Program Support 250
    Grady County Help Agencies Inc
    PO Box 1452
    Cairo,GA39828     		NONE PC General Program Support 1,500
    Grand Lodge Knights of Pythias
    PO Box 731
    Port St Joe,FL32457     		NONE PC General Program Support 500
    Gulf County ARC
    PO Box 8
    Port St Joe,FL32457     		NONE PC General Program Support 1,700
    H Grady Bradshaw Chambers Co Library
    3419 20th Avenue
    Valley,AL36854     		NONE PC General Program Support 1,000
    Habitat for Humanity of Citrus County
    P O Box 1041
    Crystal River,FL34423     		NONE PC General Program Support 2,500
    Habitat for Humanity of Hernando County
    19450 Cortez Blvd
    Brooksville,FL34601     		NONE PC General Program Support 1,000
    Harmony Pregnancy & Resource Center
    PO Box 2557
    Chiefland,FL32626     		NONE PC General Program Support 2,450
    Helping Hands of the Shelter
    4429 N Hyman Hendry Rd
    Perry,FL32347     		NONE PC General Program Support 700
    Hernando County Arts Council
    20 E Dade Ave
    Brooksville,FL34601     		NONE PC General Program Support 750
    Hernando County Education Foundation
    801 N Broad St
    Brooksville,FL34601     		NONE PC General Program Support 1,250
    Historic Macon Foundation
    PO Box 13358
    Macon,GA31208     		NONE PC General Program Support 2,000
    Innocence Project of Florida
    1100 E Park Ave
    Tallahassee,FL32301     		NONE PC General Program Support 1,000
    Interfaith Food Closet
    PO Box 541
    Lanett,AL36863     		None PC General Program Support 250
    JA of North Florida
    PO Box 14268
    Tallahassee,FL32317     		None PC General Program Support 500
    Junior League of Tallahassee
    PO Box 14268
    Tallahassee,FL32317     		None PC General Program Support 50
    Keep Wakulla County Beautiful
    PO Box 700
    Crawfordville,FL32326     		NONE PC General Program Support 500
    Kiwanis Club of Starke Foundation Inc
    PO Box 125
    Starke,FL32091     		None PC General Program Support 890
    Kiwanis Club of Valley Alabama
    6301 26th Avenue
    Valley,AL36854     		NONE PC General Program Support 1,000
    Leon County 4-H
    615 Paul Russell Road
    Tallahassee,FL32301     		NONE PC General Program Support 1,500
    Leon County Humane Society
    413 Timberlane Road
    Tallahassee,FL32312     		NONE PC General Program Support 1,500
    Levy County Education Foundation
    PO Box 1386
    Bronson,FL32621     		NONE PC General Program Support 7,500
    Living Stones International
    604 Eugenia Street
    Tallahassee,FL32310     		NONE PC General Program Support 1,000
    Macon Area Habitat for Humanity
    690 Holt Avenue
    Macon,GA31204     		NONE PC General Program Support 3,375
    Main Street of Monticello Florida
    PO Box 923
    Monticello,FL32345     		NONE PC General Program Support 2,500
    Main Street Perry
    103 East Ellis Street
    Perry,FL32347     		NONE PC General Program Support 4,000
    March of Dimes (Leon County)
    1990 Village Green Way Suite 3
    Tallahassee,FL32308     		None PC General Program Support 1,380
    Medcen Community Health Foundation
    858 High Street
    Macon,GA31201     		NONE PC General Program Support 2,500
    Miccosukee Youth Education Foundation
    PO Box 5452
    Tallahassee,FL32314     		NONE PC General Program Support 1,000
    Miracle Years Child Care Center Org
    PO Box 3551
    Tallahassee,FL32315     		NONE PC General Program Support 1,000
    NAMI Wakulla Inc
    PO Box 458
    Tallahassee,FL32326     		NONE PC General Program Support 2,000
    North Florida Rescue
    PO Box 1015
    Tallahassee,FL32302     		NONE PC General Program Support 500
    On Track Kids
    9921 North Deltona Blvd
    Citrus Springs,FL34434     		NONE PC General Program Support 1,500
    Outreach Foundation
    2333 Lake Bradford Rd
    Tallahassee,FL32310     		NONE PC General Program Support 1,000
    Panacea Waterfronts Florida Partnership
    PO Box 282
    Panacea,FL32346     		NONE PC General Program Support 1,500
    Path of Citrus County Inc
    PO Box 3024
    Inverness,FL34451     		NONE PC General Program Support 2,500
    Pie in the Sky Country Store Inc
    303 Mclung Ave
    Hastings,FL32145     		NONE PC General Program Support 3,000
    Pilot Club of Dublin
    PO Box 4461
    Dublin,GA31021     		NONE PC General Program Support 1,000
    Pilot Club of St Augustine
    76 Willow Dr St
    St Augustine,FL32080     		None PC General Program Support 175
    Quincy Kiwanis Club
    PO Box 448
    Quincy,FL32353     		NONE PC General Program Support 1,000
    Red Hills Wounded Warrior Group Inc
    1111 Brookwood Dr
    Tallahassee,FL32308     		NONE PC General Program Support 1,000
    Relay for Life - Bradford County
    Relay for Life - Bradford County
    Bradford,FL32044     		None PC General Program Support 150
    Richland Elementary PTO
    770 Yarbrough Farms Blvd
    Auburn,AL36830     		None PC General Program Support 50
    Robert F Munroe Day School
    91 Old Mt Pleasant Rd
    Quincy,FL32352     		NONE PC General Program Support 3,000
    Roddenberry Memorial Library
    320 North Broad Street
    Cairo,GA39828     		NONE PC General Program Support 1,500
    Ronald McDonald House Charities of Tallah
    712 East 7th Ave T
    Tallahassee,FL32303     		None PC General Program Support 100
    Rotary Youth Camp
    521 E College Ave
    Tallahassee,FL32301     		NONE PC General Program Support 1,000
    Sav-a-Life Lanett Valley Inc
    P O Box 46
    Lanett,AL36863     		NONE PC General Program Support 1,250
    Sertoma Speech and Hearing Foundation
    4443 Rowan Road New
    New Port Richey,FL34653     		NONE PC General Program Support 1,000
    Southern Scholarship Foundation
    322 Stadium Drive
    Tallahassee,FL32304     		NONE PC General Program Support 2,500
    St Anne's Counseling Center
    9870 W Fort Island Trail
    Crystal River,FL34429     		NONE PC General Program Support 1,500
    St Francis Wildlife Association
    5580 Salem Road
    Quincy,FL32352     		NONE PC General Program Support 1,500
    Suwannee Foundation for Excellence in Edu
    702 Second Street
    Live Oak,FL32060     		NONE PC General Program Support 3,000
    Syrup City Young Marines
    PO Box 123
    Cairo,GA39828     		NONE PC General Program Support 500
    Tall Timbers Research Inc
    13093 Henry Beadel Dr
    Tallahassee,FL32312     		NONE PC General Program Support 2,500
    Tallahassee Civic Chorale Inc
    PO Box 4355
    Tallahassee,FL32301     		NONE PC General Program Support 500
    Tallahassee Community Chorus
    PO Box 13083
    Tallahassee,FL32317     		NONE PC General Program Support 750
    Tallahassee-Leon Shelter Inc
    PO Box 4049 T
    Tallahassee,FL32315     		NONE PC General Program Support 1,000
    Taylor County United
    3254 Grambling Lane
    Perry,FL32347     		NONE PC General Program Support 800
    The Arc Nature Coast Inc
    5283 Neff Lake Road
    Brooksville,FL34609     		NONE PC General Program Support 800
    The Boys' Choir of Tallahassee
    PO Box 1182
    Tallahassee,FL32302     		NONE PC General Program Support 750
    The Circle of Care Center for Families
    2200 35th Place PO Box 946
    Valley,FL36854     		NONE PC General Program Support 2,500
    The Compassionate Friends of Tallahassee
    613 Patterson Still Rd
    Thomasville,FL31792     		None PC General Program Support 250
    The James Madison Institute
    The Columns 100 N Duval St
    Tallahassee,FL32301     		NONE PC General Program Support 750
    TLC Children's Services
    PO Box 16322
    Dublin,FL31040     		NONE PC General Program Support 1,000
    Tri-County Outreach
    PO Box 2194
    Chiefland,FL32644     		NONE PC General Program Support 2,000
    Trinity Catholic School
    706 E Brevard Street
    Tallahassee,FL32308     		None PC General Program Support 25
    Tubman African American Museum
    340 Walnut Street
    Macon,GA31201     		NONE PC General Program Support 1,500
    Twin Cedars Youth & Family Services
    4690 N Mumford Rd
    Macon,GA31210     		NONE PC General Program Support 1,500
    United Methodist Church Hastings Homebou
    200 Lattin St
    Hastings,FL32145     		NONE PC General Program Support 3,000
    United Way of Hernando County
    4030 Commercial Way
    Spring Hill,FL34606     		NONE PC General Program Support 1,200
    Wakulla Historical Society
    PO Box 151
    Crawfordville,FL32326     		NONE PC General Program Support 1,000
    Wakulla Pregnancy Center
    886 Woodville Hwy
    Crawfordville,FL32327     		NONE PC General Program Support 300
    Washington County Teen Court Inc
    PO Box 30
    Chipley,FL32428     		NONE PC General Program Support 750
    Washington Holmes Tech Center Foundation
    PO Box 180
    Chipley,FL32428     		NONE PC General Program Support 1,250
    We Care Food Pantry
    POBox 331
    Homosassa,FL34448     		NONE PC General Program Support 1,500
    United Way of the Big Bend
    307 E 7th Avenue
    Tallahassee,FL32303     		NONE PC GENERAL PROGRAM SUPPORT 3,972
    TMH FOUNDATION
    1331 E SIXTH AVENUE
    TALLAHASSEE,FL32303     		NONE PC GENERAL PROGRAM SUPPORT 6,000
    FLORIDA SHERIFF'S EXPLORER ASSOCIATION
    PO BOX 2000
    BOYS RANCH,FL32064     		NONE PC GENERAL PROGRAM SUPPORT 1,500
    DMH FOUNDATION
    333 N BYRON BUTLER PKWY
    PERRY,FL32347     		NONE PC GENERAL PROGRAM SUPPORT 500
    TALLAHASSEE LENDER'S CONSORTIUM INC
    224 OFFICE PLAZA DR
    TALLAHASSEE,FL32301     		NONE PC GENERAL PROGRAM SUPPORT 2,000
    Total .................................bullet 3a 206,762
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 7  
    4 Dividends and interest from securities....     14 47,082  
    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 ............     		    18 119,172  
    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).. 0 166,261 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13166,261
    (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: 15000238
    Software Version: 2015v2.1


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

    59-2276367
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    Capital City Bank Group Foundation Inc
          		Employer identification number
    59-2276367
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    Capital City Bank
     

       
    217 N Monroe St
     
    Tallahassee, FL32301

    		$ 50,000


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    Capital City Bank Group Foundation Inc
          		Employer identification number

    59-2276367
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    Capital City Bank Group Foundation Inc
          		Employer identification number

    59-2276367
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID: 15000238
    Software Version: 2015v2.1

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    15000238
    Software Version:
    2015v2.1
    Name of Bond End of Year Book Value End of Year Fair Market Value
    State Street Corp 49,745 50,176
    PIMCO Inv Grade Corp INSTL 47,318 42,894
    Bond Fund (PIGIX) 34,600 31,287
    PIMCO Low Dur INSTL Fund 150,079 147,614
    Vanguard Inflat-Prot Sec Fund IV 23,000 20,971
    Boeing Co 0 0
    Fed Ultrashort Bond Issue Fund 0 0

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    15000238
    Software Version:
    2015v2.1
    Name of Stock End of Year Book Value End of Year Fair Market Value
    DWS RREEF REAL ESTATE SEC R FUND 25,000 26,148
    VANGUARD REIT INDEX ADMIRAL 31,498 45,838
    ALLERGAN PLC 9,216 53,125
    AMAZON COM INC 16,895 16,897
    AMERICAN ELEC PWR INC 15,436 19,812
    APPLE INC 10,568 66,314
    ARTISAN INTERNATIONAL FUND 137,856 179,797
    ASTON LMCG SMALL CAP GROWTH 4,400 4,516
    AT&T INC 15,873 19,270
    BERKSHIRE HAWAWAY INC CLASS B 32,745 33,010
    BLACKROCK INC 37,118 34,052
    CF INDUSTRIES HOLDINGS INC 24,426 29,383
    COGNIZANT TECHNOLOGY SOL CL A 17,405 46,816
    COLGATE PALMOLIVE CO 20,602 35,975
    CONOCOPHILLIPS 25,893 26,146
    CVS HEALTH CORP 15,253 44,974
    DANAHER CORP DEL COM 16,048 45,511
    DODGE & COX INTL FUND 122,614 139,022
    EXXON MOBIL CORP 34,502 36,247
    FEDERATED INVESTORS INCOME CLASS B 10,933 19,625
    FISERV INC 11,485 47,559
    F5 NETWORKS INC 26,592 22,301
    GENERAL DYNAMICS CORP COM 18,917 33,653
    INTERNATIONAL BUSINESS MACHS 19,658 27,524
    JOHNSON & JOHNSON 17,200 30,816
    LABORATORY CORP AMER HLDGS 10,231 18,546
    LYONDELLBASEL INDUSTRIES 22,959 22,594
    MCKESSON CORP 19,472 55,224
    METLIFE INC 26,040 36,158
    MICROSOFT CORP 20,433 41,610
    NATIONAL OILWELL VARCO 27,913 17,080
    NEXTERA ENERGY INC 8,009 15,064
    OPPENHEIMER MAIN STREET 64,155 68,816
    ORACLE CORP COMMON 22,973 39,818
    PRICE T ROWE GROUP INC 27,386 27,881
    PRICELINE GRP INC 25,647 25,499
    PROCTER & GAMBLE CO 33,289 41,293
    PUBLIC SVC ENTERPRISE GROUP 12,476 15,476
    QUALCOMM INC 21,676 27,492
    ROPER TECHNOLOGIES INC 19,512 43,652
    SCHLUMBERGER LTD 38,019 28,249
    SCRIPPS NETWORKS INTERACTIVE 22,495 24,845
    TARGET CORP 16,683 26,866
    THERMO FISHER SCIENTIFIC INC 16,676 48,229
    TRAVELERS COS INC 17,983 40,630
    UNION PAC CORP 15,508 37,536
    UNITED TECHNOLOGIES CORP 18,198 27,860
    US BANCORP DEL COM 24,565 41,817
    VANGUARD SMALL CAP INDEX FUND 45,000 43,611
    VERIZON COMMUNICATIONS 13,175 17,564
    VF CORPORATION 12,598 43,575
    WALMART STORES INC 17,060 19,003
    Royce Fd Premier INSTL 0 0
    McDonalds Corp 0 0
    Freeport McMoran Inc 0 0
    Ebay Inc 0 0
    BB&T Corp Com 0 0
    Allstate Corp 0 0
    Actavis PLC 0 0

    TY 2015 InvestmentsLandSchedule2
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    15000238
    Software Version:
    2015v2.1
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Land        
    Building     0  
    LeasholdImprovement     0  
    Equipment     0  
    Other     0  

    TY 2015 LandEtcSchedule2
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    15000238
    Software Version:
    2015v2.1
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Land        
    Building     0  
    LeasholdImprovement     0  
    Equipment     0  
    Other     0  


    TY 2015 OtherExpensesSchedule
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    15000238
    Software Version:
    2015v2.1
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Misc Expenses 201     201
    Filing Fees 61     61


    TY 2015 TaxesSchedule
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    15000238
    Software Version:
    2015v2.1
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Excise Tax 3,406