TY 2015 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Information 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
COMMUNITY HOSPITAL BUILDING INC

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 129
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
ROCKY FORD, CO81067

A Employer identification number

84-6031485

B Telephone number (see instructions)

(719) 316-2305

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address changeName change

D 1. Foreign organizations, check here ............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trustOther taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$2,040,065J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check Sch. B .............
3	Interest on savings and temporary cash investments	7,970		7,970
4	Dividends and interest from securities...	24,706		24,706
5a	Gross rents............	47,175		47,175
b	Net rental income or (loss) -17,869
6a	Net gain or (loss) from sale of assets not on line 10		-114,625
b	Gross sales price for all assets on line 6a 1,450,019
7	Capital gain net income (from Part IV, line 2)...			5,846
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	-34,774		85,697
13	Compensation of officers, directors, trustees, etc.
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		3,847	3,847
c	Other professional fees (attach schedule)....
17	Interest...............
18	Taxes (attach schedule) (see instructions)...
19	Depreciation (attach schedule) and depletion...		12,746	12,746
20	Occupancy..............	2,088		2,088
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		55,587	55,587
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	74,268		74,268	0
25	Contributions, gifts, grants paid.......	98,000			98,000
26	Total expenses and disbursements. Add lines 24 and 25	172,268		74,268	98,000
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-207,042
b	Net investment income (if negative, enter -0-)			11,429
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2015)

Form 990-PF (2015)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	63,407	69,229	69,229
	2	Savings and temporary cash investments.........	25,512	25,640	25,640
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......	1,283,591	1,184,877	1,191,810
	c	Investments—corporate bonds (attach schedule).......	526,618	423,967	424,386
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis 555,986
		Less: accumulated depreciation (attach schedule) 246,195	322,060	309,791	329,000
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	2,221,188	2,013,504	2,040,065
	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 )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted..................
	25	Temporarily restricted...............
	26	Permanently restricted...............
		Foundations that do not follow SFAS 117, check here
		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	2,221,188	2,013,504
	30	Total net assets or fund balances (see instructions).....	2,221,188	2,013,504
	31	Total liabilities and net assets/fund balances (see instructions).	2,221,188	2,013,504

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

2,221,188

Enter amount from Part I, line 27a .....................

-207,042

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

2,014,147

Decreases not included in line 2 (itemize) bullet

643

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .

2,013,504

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.)
1a
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
b
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(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
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	5,846
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 ...................		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? Yes No

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	98,640	1,956,799	0.050409
2013	107,364	2,001,629	0.053638
2012	90,993	1,983,995	0.045864
2011	104,155	2,028,948	0.051334
2010	44,151	1,962,278	0.022500

Total of line 1, column (d) .....................

20.223745

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 . . .

0.044749

Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....

1,798,730

Multiply line 4 by line 3......................

80,491

Enter 1% of net investment income (1% of Part I, line 27b)...........

114

Add lines 5 and 6........................

80,605

Enter qualifying distributions from Part XII, line 4.............

98,000

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)

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	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	114
	hereand 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	114
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	114
6	Credits/Payments:

a	2015 estimated tax payments and 2014 overpayment credited to 2015	6a	484
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	484
8	Enter any penalty for underpayment of estimated tax. Check hereif Form 2220 is attached.		8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	370
11	Enter the amount of line 10 to be: Credited to 2015 estimated tax116	Refunded	11	254

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions

for definition)?.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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.............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2015)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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) .............

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).................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Website address bullet

N/A

The books are in care of bullet

COMISKEY & COMPANY PC Telephone no. bullet

(719) 316-2305

Located at bullet

410 N 10TH STREETROCKY FORDCO ZIP+4 bullet

81067

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —Check here....... bullet

and enter the amount of tax-exempt interest received or accrued during the year ...... bullet

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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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)? ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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?.............

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)):

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?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

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.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

Form 990-PF (2015)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (Continued)

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))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? (see instructions)................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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)? ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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
BART MENDENHALL	DIRECTOR 0.50	0	0	0
16800 HWY 202 ROCKY FORD,CO81067	DIRECTOR 0.50	0	0	0
MILICENT DONELSON	DIRECTOR 0.50	0	0	0
8TH STREET ROCKY FORD,CO81067	DIRECTOR 0.50	0	0	0
JAMES MORELAND	DIRECTOR 0.50	0	0	0
950 CEDAR AVENUE ROCKY FORD,CO81067	DIRECTOR 0.50	0	0	0
JOHN KNAPP	DIRECTOR 0.50	0	0	0
HWY 71 ROCKY FORD,CO81067	DIRECTOR 0.50	0	0	0
SHEILA NORTON	SECRETARY 1.00	0	0	0
205 MAIN STREET FOWLER,CO81039	SECRETARY 1.00	0	0	0
TOM BROWN	TREASURER 2.00	0	0	0
815 S 1ST STREET ROCKY FORD,CO81067	TREASURER 2.00	0	0	0
DAVID KITCH	PRESIDENT 1.00	0	0	0
994 ELIZABETH DRIVE ROCKY FORD,CO81067	PRESIDENT 1.00	0	0	0
WILLIAM HANCOCK	DIRECTOR 0.50	0	0	0
26751 COUNTY ROAD 18 ROCKY FORD,CO81067	DIRECTOR 0.50	0	0	0
LORETTA SHARON	DIRECTOR 0.50	0	0	0
4566 COUNTY LANE 8 OLNEY SPRINGS,CO81062	DIRECTOR 0.50	0	0	0

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...................

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part IX-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1	N/A
2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2015)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

1,733,020

Average of monthly cash balances.......................

93,102

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

1,826,122

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

1,826,122

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

27,392

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

1,798,730

Minimum investment return. Enter 5% of line 5..................

89,937

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

Minimum investment return from Part X, line 6....................

89,937

Tax on investment income for 2015 from Part VI, line 5......

114

Income tax for 2015. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

114

Distributable amount before adjustments. Subtract line 2c from line 1............

89,823

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

89,823

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

89,823

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

98,000

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

98,000

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).................

114

Adjusted qualifying distributions. Subtract line 5 from line 4..............

97,886

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)

Page 9

Part XIII

Undistributed Income (see instructions)

		(a) Corpus	(d) 2015
1 Distributable amount for 2015 from Part XI, line 7			89,823
2 Undistributed income, if any, as of the end of 2015:
a Enter amount for 2014 only.......
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2015:
a From 2010......
b From 2011......
c From 2012......
d From 2013......	7,925
e From 2014......	1,766
fTotal of lines 3a through e........		9,691
4Qualifying distributions for 2015 from Part
XII, line 4: $ 98,000
a Applied to 2014, but not more than line 2a
b Applied to undistributed income of prior years (Election required—see instructions).....
c Treated as distributions out of corpus (Election required—see instructions)........
d Applied to 2015 distributable amount.....			89,823
e Remaining amount distributed out of corpus		8,177
5 Excess distributions carryover applied to 2015.
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		17,868
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........
e Undistributed income for 2014. Subtract line 4a from line 2a. Taxable amount—see instructions .............
f Undistributed income for 2016. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2015 ..........			0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......
8Excess distributions carryover from 2010 not applied on line 5 or line 7 (see instructions) ...
9Excess distributions carryover to 2016. Subtract lines 7 and 8 from line 6a ......		17,868
10 Analysis of line 9:
a Excess from 2011....
b Excess from 2012....
c Excess from 2013....	7,925
d Excess from 2014....	1,766
e Excess from 2015....	8,177

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 section4942(j)(3) or4942(j)(5)

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	(e) Total

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

DAVID KITCH
P O BOX 129
ROCKY FORD,CO81067
(719) 254-3235

bThe form in which applications should be submitted and information and materials they should include:

NO REQUIRED FORMAT, GRANT REQUESTS MUST BE BY GOVERNMENTAL UNITS OR 501(C)(3) NON PROFIT ENTITIES.

cAny submission deadlines:

VARIES FROM YEAR TO YEAR.

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

GRANTS WILL BE AWARDED ONLY TO NON PROFIT AND GOVERNMENTAL UNITS THAT ARE IN THE SERVICE AREA THAT WAS COVERED BY THE FORMER HOSPITAL FROM WHICH THE GRANT FUNDS WERE GENERATED.

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
ARKANSAS VALLEY HOSPICE 118 W 4TH LA JUNTA,CO81050			HOSPICE STAFFING	10,000
ARKANSAS VALLEY RESOURCE 415 COLORADO AVE LA JUNTA,CO81050			COUNTY WIDE HOT LINE	3,750
CITY OF ROCKY FORD PUBLIC SAFETY 203 SOUTH MAIN ST T ROCKY FORD,CO81067			NEW FIRE AND POLICE BLDG.	50,000
CROWLEY COUNTY AMBULANCE HIGHWAY 96 ORDWAY,CO81063			AMBULANCE SUPPLIES	4,300
ROCKY FORD EMERGENCY SERVICES 203 S MAIN STREET ROCKY FORD,CO81067			NEW BUILDING/COTS FOR AMBULANCE	9,000
COTTONWOOD RIDGE ASSISTED LIVING 1122 S 12TH STREET ROCKY FORD,CO81067			INTERIOR UPGRADE	3,500
FOWLER RURAL FIRE PROTECTION DIST 317 MAIN STREET FOWLER,CO81039			RESTOCK AMBULANCE	14,000
ARK VALLEY PREGNANCY CENTER 211 BELLVIEW AVENEU LA JUNTA,CO81050			SPECIAL TEEN PROGRAM	3,450
Total ................................. 3a				98,000

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
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	7,970
4 Dividends and interest from securities....			14	24,706
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....					-17,869
6 Net rental income or (loss) from personal property
7 Other investment income.....
8 Gain or (loss) from sales of assets other than inventory ............			14	5,846	-120,471
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)..				38,522	-138,340

13Total. Add line 12, columns (b), (d), and (e)..................

13-99,818

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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?...........YesNo

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.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2015)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2015 AccountingFeesSchedule

Name:

COMMUNITY HOSPITAL BUILDING INC

EIN:

84-6031485

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
RESIDENTIAL-ROCKY FORD, CO	3,847	3,847

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2015 DepreciationSchedule

Name:

COMMUNITY HOSPITAL BUILDING INC

EIN:

84-6031485

Description of Property	Date Acquired	Cost or Other Basis	Prior Years' Depreciation	Computation Method	Rate / Life (# of years)	Current Year's Depreciation Expense	Net Investment Income
LAND - MCCLELLAND	1987-01-15	14,696
HEALTH DEPT BUILDING	1987-01-15	28,026	15,707	S/L	50.0000	561	561
MCCLELLAND APARTMENTS	1987-01-15	242,742	135,940	S/L	50.0000	4,855	4,855
MCCLELLAND COMMONS AREA	1987-01-15	16,000	8,960	S/L	50.0000	320	320
TABLE AND CHAIRS	1987-04-15	200	200	S/L	10.0000
FURNITURE	1987-05-15	797	797	S/L	10.0000
FURNITURE	1987-06-15	1,491	1,491	S/L	10.0000
EQUIPMENT	1987-07-15	135	135	S/L	10.0000
COOLER	1987-08-15	1,292	1,292	S/L	10.0000
FURNITURE	1987-10-15	1,035	1,035	S/L	10.0000
DRAPES	1988-02-15	393	393	S/L	10.0000
ANDREWS APARTMENT	1991-05-15	24,038	11,343	S/L	50.0000	480	480
DISHWASHER	1992-01-15	564	564	S/L	10.0000
CARPET	1996-01-15	1,582	1,582	S/L	10.0000
EQUIPMENT	1996-03-15	160	160	S/L	10.0000
DISHWASHER 4	1997-05-15	399	399	S/L	10.0000
ALARM - FRONT ENTRY SYSTEM	1998-02-15	968	968	S/L	10.0000
DISHWASHER	1998-04-15	449	449	S/L	10.0000
DISHWASHER	1998-04-15	475	475	S/L	10.0000
CARPET	1998-10-15	3,422	3,422	S/L	10.0000
CARPET	1998-12-15	4,622	4,622	S/L	10.0000
KITCHEN RANGE	2000-04-13	819	819	S/L	10.0000
KITCHEN RANGE	2000-11-08	690	690	S/L	10.0000
BLINDS	2000-11-08	104	104	S/L	5.0000
CARPETING	2000-07-17	8,650	8,650	S/L	10.0000
CARPETING	2004-05-06	3,975	3,975	S/L	10.0000
CENTRAL AIR COND	2004-06-04	3,191	3,191	S/L	10.0000
FURNACE & FIX - ATRIUM	2004-02-08	6,834	6,834	S/L	10.0000
GRIMSLEY UNIT 1	2004-01-01	47,619	10,473	S/L	50.0000	952	952
WINDOW BLINDS	2005-06-14	883	845	S/L	10.0000	38	38
KITCHEN RANGE	2005-04-28	599	599	S/L	5.0000
LAND 802 S. 13 TH	2006-11-30	64,108
AIR CONDITIONING	2008-11-04	2,754	1,788	S/L	10.0000	275	275
CARPET UNIT 2	2008-07-08	2,391	1,554	S/L	10.0000	239	239
NEW AIR CONDITIONER	2012-01-30	2,683	783	S/L	10.0000	268	268
UNIT 1 NEW CARPETING	2012-06-11	3,766	973	S/L	10.0000	377	377
MICRO WAVE KITCHEN	2012-06-27	139	116	S/L	3.0000	23	23
DRAPERIES SPRING CREST	2012-06-28	1,276	319	S/L	10.0000	128	128
CABINETS BACK OF UNITS	2012-07-03	695	116	S/L	15.0000	46	46
CABLE TV	2012-10-25	500	108	S/L	10.0000	50	50
DRAPERIES SPRING CREST	2012-12-04	260	54	S/L	10.0000	26	26
FLOORING UNIT 6	2013-01-31	560	107	S/L	10.0000	56	56
WATER HEATER	2013-01-31	1,075	206	S/L	10.0000	108	108
FLOORING UNIT 8	2013-03-31	500	88	S/L	10.0000	50	50
DISH WASHER	2013-04-30	341	57	S/L	10.0000	34	34
DISH WASHER UNIT 8	2013-09-30	491	61	S/L	10.0000	49	49
FENCING LOT	2013-05-31	3,585	378	S/L	15.0000	239	239
ROOF ON MCCLELLAND MANOR	2014-11-15	42,696	356	S/L	15.0000	2,846	2,846
GAZEBO	2014-09-15	10,837	271	S/L	15.0000	722	722
RANGE UNIT 4	2015-12-04	480		S/L	10.0000	4	4

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2015 GainLossSaleOtherAssetsSch

Name:

COMMUNITY HOSPITAL BUILDING INC

EIN:

84-6031485

Name	How Acquired	Gross Sales Price	Basis	Total (net)
RBC MUTUAL FUNDS	PURCHASE	231,456	229,268	2,188
RBC MUTUAL FUNDS	PURCHASE	1,107,803	1,230,376	-122,573
RBC BOND FUND	PURCHASE	104,895	105,000	-105
CS&L (SPIN OFF WINDSTREAM)	PURCHASE	19		19

- TIN:

TY 2015 InvestmentsCorpBondsSchedule

Name:

COMMUNITY HOSPITAL BUILDING INC

EIN:

84-6031485

Name of Bond	End of Year Book Value	End of Year Fair Market Value
DAIN RAUSCHER ACCOUNTS	423,967	424,386

- TIN:

TY 2015 InvestmentsCorpStockSchedule

Name:

COMMUNITY HOSPITAL BUILDING INC

EIN:

84-6031485

Name of Stock	End of Year Book Value	End of Year Fair Market Value
DAIN RAUSCHER ACCOUNTS	1,184,814	1,191,747
WINDSTREAM HOLDINGS	63	63

- TIN:

TY 2015 LandEtcSchedule2

Name:

COMMUNITY HOSPITAL BUILDING INC

EIN:

84-6031485

Category / Item	Cost / Other Basis	Accumulated Depreciation	Book Value	End of Year Fair Market Value
BUILDINGS & EQUIPMENT	477,182	246,195	230,987	329,000
LAND	78,804		78,804

- TIN:

TY 2015 OtherDecreasesSchedule

Name:

COMMUNITY HOSPITAL BUILDING INC

EIN:

84-6031485

Description	Amount
FEDERAL EXCISE TAX	643

- TIN:

TY 2015 OtherExpensesSchedule

Name:

COMMUNITY HOSPITAL BUILDING INC

EIN:

84-6031485

Description	Revenue and Expenses per Books	Net Investment Income
RESIDENTIAL-ROCKY FORD, CO
UTILTIES	11,418	11,418
OFFICE	293	293
REPAIRS & MAINTENANCE	22,554	22,554
SUPPLIES	436	436
INSURANCE	5,871	5,871
MANAGEMENT FEES	4,936	4,936
OTHER EXPENSE	723	723
ADVERTISING	132	132
EXPENSES
INVESTMENT FEES	9,175	9,175
FOREIGN TAXES	49	49

- TIN:

TY 2015 OtherIncreasesSchedule

Name:

COMMUNITY HOSPITAL BUILDING INC

EIN:

84-6031485

Description	Amount
ROUNDING	1