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
KINGSBURY MEMORIAL FOUNDATION 50217170
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 0634
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE, WI532010634
A Employer identification number

81-6078134
B Telephone number (see instructions)

(503) 464-3580
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$1,255,474
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 29,437 29,223  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 32,131
b Gross sales price for all assets on line 6a 416,099
7 Capital gain net income (from Part IV, line 2)... 32,131
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 1,482    
12 Total. Add lines 1 through 11........ 63,050 61,354  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 16,148 14,533   1,615
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 1,500 0 0 1,500
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 459 459   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 18,107 14,992 0 3,115
25 Contributions, gifts, grants paid....... 64,000 64,000
26 Total expenses and disbursements. Add lines 24 and 25 82,107 14,992 0 67,115
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -19,057
b Net investment income (if negative, enter -0-) 46,362
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............. 587 501 501
2 Savings and temporary cash investments......... 56,472 51,364 51,364
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet   750 0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 903,538 Click to see attachment736,369 845,898
c Investments—corporate bonds (attach schedule)....... 208,341 Click to see attachment134,864 127,170
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   Click to see attachment226,732 229,144
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment1,522 Click to see attachment2,239 Click to see attachment1,397
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,171,210 1,152,069 1,255,474
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 1,171,210 1,152,069
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)..... 1,171,210 1,152,069
31 Total liabilities and net assets/fund balances (see instructions). 1,171,210 1,152,069
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
1,171,210
2
Enter amount from Part I, line 27a .....................
2
-19,057
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,152,153
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
84
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,152,069
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 23. SPDR GOLD TRUST   2015-01-02 2015-01-14
b 279.33 ROWE T PRICE INTL FDS INC INTL BD FD   2014-04-23 2015-01-15
c 198.255 LS OPPORTUNITY   2014-06-26 2015-01-15
d 27. COVIDIEN PLC   2012-08-07 2015-01-27
e 339.751 ROWE T PRICE INTL FDS INC INTL BD FD   2014-04-23 2015-02-02
399.042 LS OPPORTUNITY     2015-02-02
.812 MEDTRONIC PLC   2015-01-27 2015-02-05
23. SPDR GOLD TRUST   2015-01-02 2015-02-13
614.251 OPPENHEIMER SENIOR FLOATING RATE I     2015-03-04
286.369 ROWE T PRICE INTL FDS INC INTL BD FD   2014-04-23 2015-03-04
295.508 SCOUT INTERNATIONAL FUND     2015-03-04
385.803 LS OPPORTUNITY   2014-07-07 2015-03-04
25. CITIGROUP INC   2012-08-22 2015-03-12
1. GOOGLE INC CL C   2012-01-20 2015-03-12
50. MARATHON OIL CORPORATION   2014-04-23 2015-03-12
25. ORACLE CORPORATION   2007-01-31 2015-03-12
591.017 ROWE T PRICE INTL FDS INC INTL BD FD   2014-04-23 2015-03-12
151.883 SCOUT INTERNATIONAL FUND   2010-09-28 2015-03-12
464.756 LS OPPORTUNITY     2015-03-12
26. SPDR GOLD TRUST   2015-01-02 2015-03-13
43. SOUTHWEST AIRLINES CO   2014-03-24 2015-03-18
13. SOUTHWEST AIRLINES CO   2014-02-20 2015-03-18
117. MARATHON OIL CORPORATION   2014-04-23 2015-04-01
123. MARATHON OIL CORPORATION   2013-04-12 2015-04-01
41. PFIZER INC COMMON STOCK   2001-10-19 2015-04-06
16. WAL MART STORES INC   2007-01-18 2015-04-07
348.432 ABERDEEN FDS EMRGN   2013-05-08 2015-04-08
394.737 GOLDMAN SACHS COMM STRAT INS     2015-04-08
10. MERCK AND CO INC   2013-01-23 2015-04-08
5. MONSANTO CO   2013-03-01 2015-04-08
16. PG E CORP   2011-05-03 2015-04-08
5. PEPSICO INC   2006-04-04 2015-04-08
5. PROCTER & GAMBLE CO   2006-04-04 2015-04-08
289.352 ROWE T PRICE INTL FDS INC INTL BD FD   2014-04-23 2015-04-08
167.617 T ROWE PRICE MID CAP VALUE FD INC     2015-04-08
143.678 SCOUT INTERNATIONAL FUND   2010-09-28 2015-04-08
482.3 LS OPPORTUNITY     2015-04-08
10000. BARCLAYS 5YR SPX KI 4/10/15   2010-04-06 2015-04-10
30. SPDR GOLD TRUST   2015-01-02 2015-04-10
5. BOEING CO   2011-10-12 2015-04-15
5. EXPRESS SCRIPTS HLDGS C   2011-10-12 2015-04-15
22. GILEAD SCIENCES INC   2011-10-12 2015-04-15
3. GOLDMAN SACHS GROUP INC   2010-02-01 2015-04-15
15. PG E CORP   2011-05-03 2015-04-15
22. PROCTER & GAMBLE CO     2015-04-15
355.712 ROWE T PRICE INTL FDS INC INTL BD FD     2015-04-15
83.445 T ROWE PRICE MID CAP VALUE FD INC   2013-03-07 2015-04-15
143.349 SCOUT INTERNATIONAL FUND   2010-09-28 2015-04-15
349.406 ABERDEEN FDS EMRGN   2013-05-08 2015-04-21
20. MC DONALD'S CORP   2008-12-09 2015-04-21
9. MERCK AND CO INC   2013-01-23 2015-04-21
4. MOHAWK INDS INC COM   2014-03-25 2015-04-21
15. PG E CORP   2011-05-03 2015-04-21
101.098 SCOUT INTERNATIONAL FUND   2010-09-28 2015-04-21
593.12 NUVEEN HIGH INCOME BOND FD CL I   2013-03-07 2015-04-29
886.525 NUVEEN STRATEGIC INCOME I   2014-10-21 2015-04-29
925.926 P I M C O FDS TOTAL RETURN FD     2015-04-29
.0219 GOOGLE INC CL C   2012-01-20 2015-05-07
348.918 ABERDEEN FDS EMRGN   2013-05-08 2015-05-08
116.861 T ROWE PRICE MID CAP VALUE FD INC   2013-03-07 2015-05-08
143.349 SCOUT INTERNATIONAL FUND   2010-09-28 2015-05-08
30. SPDR GOLD TRUST   2015-01-02 2015-05-14
30. SPDR GOLD TRUST   2015-01-02 2015-06-12
10. EXPRESS SCRIPTS HLDGS C   2011-10-12 2015-06-18
365.764 ABERDEEN FDS EMRGN   2013-05-08 2015-06-22
50. IPATH DOW JONES UBS COMMODITY   2013-02-07 2015-06-22
72.844 SCOUT INTERNATIONAL FUND   2010-09-28 2015-06-22
1. SECURITY LITIGATION   1911-11-11 2015-06-29
551.876 ABERDEEN FDS EMRGN     2015-07-01
7. BOEING CO   2011-10-12 2015-07-01
15. DOW CHEM CO   2013-05-08 2015-07-01
644.33 GOLDMAN SACHS COMM STRAT INS     2015-07-01
2. GOOGLE INC CL C     2015-07-01
35. INTEL CORP     2015-07-01
7. MC DONALD'S CORP   2008-12-09 2015-07-01
10. MERCK AND CO INC   2013-01-23 2015-07-01
456.204 NUVEEN STRATEGIC INCOME I     2015-07-01
15. PG E CORP   2011-05-03 2015-07-01
472.59 P I M C O FDS TOTAL RETURN FD     2015-07-01
10. PROCTER & GAMBLE CO   2005-01-05 2015-07-01
10. PRUDENTIAL FINL INC   2011-10-12 2015-07-01
148.412 SCOUT INTERNATIONAL FUND   2010-09-28 2015-07-01
15. STARBUCKS CORP   2010-10-18 2015-07-01
10. STRYKER CORP   2014-06-19 2015-07-01
320.102 TCW EMERGING MARKETS INCOME FUND     2015-07-01
26.266 VANGUARD 500 INDEX ADMIRAL   2014-03-03 2015-07-01
10. WELLS FARGO & CO NEW   2004-11-15 2015-07-01
39. SPDR GOLD TRUST   2015-01-02 2015-07-08
5. MERCK AND CO INC   2013-01-23 2015-07-10
183.824 ABERDEEN FDS EMRGN   2013-05-01 2015-07-17
25. BAXTER INTL INC   2011-10-12 2015-07-17
3. GOOGLE INC CL A   2012-01-20 2015-07-17
25. ISHARES JPMORGAN USD EMERG ETF   2014-09-05 2015-07-17
40. ISHARES JPMORGAN USD EMERG ETF   2011-12-07 2015-07-17
10. J P MORGAN CHASE & CO   2011-02-01 2015-07-17
5. MC DONALD'S CORP   2008-12-09 2015-07-17
26. MERCK AND CO INC   2013-01-23 2015-07-17
469.925 P I M C O FDS TOTAL RETURN FD   2013-02-07 2015-07-17
10. PEPSICO INC     2015-07-17
5. PRUDENTIAL FINL INC   2011-10-12 2015-07-17
10. SCHLUMBERGER LTD     2015-07-17
73.078 SCOUT INTERNATIONAL FUND   2010-09-28 2015-07-17
6. 3M CO   2003-01-17 2015-07-17
18. VERIZON COMMUNICATIONS     2015-07-17
191.865 ABERDEEN FDS EMRGN   2013-05-01 2015-07-29
32. BAXALTA INC W I   2011-10-12 2015-07-29
37. DOW CHEM CO   2013-05-08 2015-07-29
32. INTEL CORP   2013-05-01 2015-07-29
18. MICROSOFT CORP   2001-10-19 2015-07-29
311.333 NUVEEN HIGH INCOME BOND FD CL I     2015-07-29
230.415 NUVEEN STRATEGIC INCOME I   2014-10-15 2015-07-29
10. PRUDENTIAL FINL INC   2011-10-12 2015-07-29
75.438 SCOUT INTERNATIONAL FUND   2010-09-28 2015-07-29
10. TARGET CORP     2015-07-29
39. SPDR GOLD TRUST   2015-01-02 2015-08-07
39. SPDR GOLD TRUST   2015-01-02 2015-09-04
20. INTEL CORP   2013-05-01 2015-09-08
24. ISHARES BARCLAYS TIPS BOND ETF     2015-09-08
645.161 NUVEEN HIGH INCOME BOND FD CL I     2015-09-08
468.165 NUVEEN STRATEGIC INCOME I   2014-10-15 2015-09-08
25. PFIZER INC COMMON STOCK   2001-10-19 2015-09-08
15. TARGET CORP   2014-08-21 2015-09-08
25. E O G RES INC   2015-04-01 2015-09-09
100. IPATH DOW JONES UBS COMMODITY     2015-09-29
4. MOHAWK INDS INC COM   2014-03-25 2015-09-29
238.095 NUVEEN STRATEGIC INCOME I   2014-10-15 2015-09-29
334.608 P I M C O FDS TOTAL RETURN FD   2013-02-07 2015-09-29
900.747 TCW EMERGING MARKETS INCOME FUND     2015-09-29
39. SPDR GOLD TRUST   2015-01-02 2015-10-05
49. BAXALTA INC W I   2011-10-12 2015-10-15
56. BAXTER INTL INC   2011-10-12 2015-10-16
283.401 ABERDEEN FDS EMRGN   2013-05-01 2015-10-22
5. GILEAD SCIENCES INC   2011-10-12 2015-10-22
6. MC DONALD'S CORP   2008-12-09 2015-10-22
660.502 NUVEEN HIGH INCOME BOND FD CL I     2015-10-22
16. PFIZER INC COMMON STOCK   2001-10-19 2015-10-22
347.633 SCOUT INTERNATIONAL FUND   2010-09-28 2015-10-22
10. STARBUCKS CORP   2010-10-18 2015-10-22
10. EMERSON ELEC CO   2014-05-23 2015-10-26
363.786 NUVEEN STRATEGIC INCOME I   2014-10-15 2015-10-26
802.854 NUVEEN STRATEGIC INCOME I     2015-10-26
39. SPDR GOLD TRUST   2015-01-02 2015-11-04
112. HP INC   2014-03-06 2015-11-09
112. HEWLETT PACKARD ENTERPRIS WI   2014-03-06 2015-11-09
1009.745 ABERDEEN FDS EMRGN     2015-11-24
85.252 GOLDMAN SACHS COMM STRAT INS     2015-11-24
1192.533 NUVEEN HIGH INCOME BOND FD CL I   2012-11-27 2015-11-24
5. PRUDENTIAL FINL INC   2011-10-12 2015-11-24
5. STRYKER CORP   2014-06-19 2015-11-24
3. 3M CO   2003-01-17 2015-11-24
39. SPDR GOLD TRUST   2015-01-02 2015-12-03
5. DISNEY WALT CO   2012-08-07 2015-12-07
58. ISHARES CORE MSCI EMERGING MKTS ETF     2015-12-07
10. LOWES COMPANIES INC   2014-08-29 2015-12-07
10. PEPSICO INC   2004-02-23 2015-12-07
56.357 T ROWE PRICE SMALL CAP STOCK FD 65   2013-03-07 2015-12-07
10. SPDR GOLD TRUST   2014-12-10 2015-12-07
20. VANGUARD GLBL EX US REAL ESTATE ETF   2014-12-10 2015-12-07
75. VANGUARD GLBL EX US REAL ESTATE ETF   2014-10-15 2015-12-07
10. XILINX INC   2014-09-25 2015-12-07
CAPITAL GAIN DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 1   1  
b 2,494   2,725 -231
c 2,476   2,623 -147
d 2,936   1,407 1,529
e 3,003   3,311 -308
4,992   5,266 -274
61   62 -1
1   1  
5,006   5,157 -151
2,489   2,789 -300
9,973   9,066 907
5,012   5,081 -69
1,340   761 579
553   293 260
1,283   1,833 -550
1,039   427 612
5,018   5,756 -738
5,058   4,632 426
6,060   6,029 31
1   1  
1,941   1,007 934
587   279 308
3,132   4,290 -1,158
3,292   4,006 -714
1,418   1,733 -315
1,296   779 517
5,056   5,739 -683
1,461   2,338 -877
576   427 149
585   507 78
858   743 115
480   289 191
413   291 122
2,503   2,817 -314
5,007   4,670 337
4,997   4,382 615
6,299   6,001 298
19,693   10,000 9,693
1   1  
765   325 440
437   206 231
2,283   446 1,837
596   478 118
787   696 91
1,841   1,237 604
3,073   3,450 -377
2,521   2,196 325
5,022   4,372 650
5,028   5,755 -727
1,901   1,194 707
517   384 133
719   553 166
779   696 83
3,519   3,083 436
4,994   5,504 -510
9,973   10,089 -116
9,972   10,393 -421
12   6 6
5,063   5,747 -684
3,533   3,076 457
5,082   4,372 710
1   1  
1   1  
895   412 483
5,062   6,024 -962
1,407   2,104 -697
2,542   2,222 320
239     239
7,500   8,908 -1,408
984   455 529
778   519 259
2,455   3,784 -1,329
1,043   583 460
1,051   847 204
667   418 249
576   427 149
5,000   5,190 -190
739   696 43
4,991   5,295 -304
793   556 237
891   515 376
5,021   4,527 494
807   206 601
960   855 105
2,503   2,703 -200
5,036   4,484 552
568   312 256
2   1 1
290   213 77
2,496   2,943 -447
933   760 173
2,085   881 1,204
2,742   2,888 -146
4,387   4,381 6
690   456 234
487   298 189
1,528   1,110 418
5,000   5,258 -258
964   548 416
442   258 184
839   776 63
2,493   2,229 264
940   378 562
856   613 243
2,525   3,072 -547
997   790 207
1,743   1,281 462
927   769 158
840   517 323
2,509   2,883 -374
2,505   2,608 -103
897   515 382
2,498   2,301 197
813   311 502
1   1  
1   1  
588   480 108
2,650   2,738 -88
5,006   5,966 -960
5,000   5,300 -300
807   1,057 -250
1,171   912 259
1,924   2,303 -379
2,428   4,045 -1,617
707   553 154
2,490   2,695 -205
3,500   3,744 -244
6,756   7,278 -522
1   1  
1,598   1,209 389
1,884   1,703 181
3,537   4,537 -1,000
510   101 409
661   358 303
5,000   6,003 -1,003
530   676 -146
10,982   10,603 379
611   138 473
480   666 -186
3,878   4,118 -240
8,558   9,000 -442
1   1  
1,559   1,601 -42
1,582   1,760 -178
12,279   14,926 -2,647
1,014   1,988 -974
8,729   10,697 -1,968
430   258 172
481   427 54
474   189 285
1   1  
569   250 319
2,351   3,006 -655
762   524 238
1,007   519 488
2,467   2,123 344
1,028   1,181 -153
1,046   1,107 -61
3,924   3,935 -11
485   429 56
      21,905
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a        
b       -231
c       -147
d       1,529
e       -308
      -274
      -1
       
      -151
      -300
      907
      -69
      579
      260
      -550
      612
      -738
      426
      31
       
      934
      308
      -1,158
      -714
      -315
      517
      -683
      -877
      149
      78
      115
      191
      122
      -314
      337
      615
      298
      9,693
       
      440
      231
      1,837
      118
      91
      604
      -377
      325
      650
      -727
      707
      133
      166
      83
      436
      -510
      -116
      -421
      6
      -684
      457
      710
       
       
      483
      -962
      -697
      320
      239
      -1,408
      529
      259
      -1,329
      460
      204
      249
      149
      -190
      43
      -304
      237
      376
      494
      601
      105
      -200
      552
      256
      1
      77
      -447
      173
      1,204
      -146
      6
      234
      189
      418
      -258
      416
      184
      63
      264
      562
      243
      -547
      207
      462
      158
      323
      -374
      -103
      382
      197
      502
       
       
      108
      -88
      -960
      -300
      -250
      259
      -379
      -1,617
      154
      -205
      -244
      -522
       
      389
      181
      -1,000
      409
      303
      -1,003
      -146
      379
      473
      -186
      -240
      -442
       
      -42
      -178
      -2,647
      -974
      -1,968
      172
      54
      285
       
      319
      -655
      238
      488
      344
      -153
      -61
      -11
      56
       
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 32,131
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 108,054 1,357,013 0.079626
2013 63,871 2,161,370 0.029551
2012 62,965 1,292,397 0.04872
2011 67,488 1,308,200 0.051588
2010 52,916 1,248,599 0.04238
2
Total of line 1, column (d) .....................
20.251865
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
0.050373
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,291,846
5
Multiply line 4 by line 3......................
5
65,074
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
464
7
Add lines 5 and 6........................
7
65,538
8
Enter qualifying distributions from Part XII, line 4.............
8
67,115
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 1 464
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 464
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 464
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 488
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 488
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 24
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet24 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)
    bulletMT
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletUS BANK Telephone no.bullet (503) 464-3580

    Located atbullet555 SW OAKPORTLANDOR ZIP+4bullet97204
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    US BANK NA TRUSTEE
    1
    16,148    
    PO BOX 3168
    PORTLAND,OR97208
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,275,431
    b
    Average of monthly cash balances.......................
    1b
    36,088
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,311,519
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,311,519
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    19,673
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,291,846
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    64,592
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    64,592
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    464
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    464
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    64,128
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    64,128
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    64,128
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    67,115
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    67,115
    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
    464
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    66,651
    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 64,128
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 0
    b From 2011...... 0
    c From 2012...... 0
    d From 2013...... 0
    e From 2014...... 3,903
    fTotal of lines 3a through e........ 3,903
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 67,115
    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..... 64,128
    e Remaining amount distributed out of corpus 2,987
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 6,890
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    6,890
    10 Analysis of line 9:
    a Excess from 2011.... 0
    b Excess from 2012.... 0
    c Excess from 2013.... 0
    d Excess from 2014.... 3,903
    e Excess from 2015.... 2,987
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    REBEKAH FINK - US BANK
    PO BOX 5000
    GREAT FALLS,MT59403
    (406) 455-1072
    bThe form in which applications should be submitted and information and materials they should include:
    CONTACT ABOVE REPRESENTATIVE
    cAny submission deadlines:
    NO SUBMISSION DEADLINES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CHARITABLE AND EDUCATIONAL PURPOSES WITHIN MONTANA CONCENTRATING IN THE GREAT FALLS 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
    MT SCHOOL FOR THE DEAF & BLIND FDN
    PO BOX 6576
    GREAT FALLS,MT59406
    NONE PC GENERAL OPERATING 4,000
    MIRACLE FLIGHTS FOR KIDS
    2764 N GREEN VALLEY PARKWAY 115
    GREEN VALLEY,NV89014
    NONE PC GENERAL OPERATING 2,500
    SHODAIR CHILDREN'S HOSPITAL
    PO BOX 5539
    HELENA,MT59604
    NONE PC GENERAL OPERATING 2,500
    SPECIAL OLYMPICS MONTANA
    PO BOX 3507
    GREAT FALLS,MT59403
    NONE PC GENERAL OPERATING 7,000
    AMERICAN DIABETES ASSOCIATION
    3203 3RD AVENUE NORTH STE 203
    BILLINGS,MT59101
    NONE PC GENERAL OPERATING 2,500
    BENEFIS HEALTHCARE FOUNDATION
    PO BOX 7008
    GREAT FALLS,MT59406
    NONE PC GENERAL OPERATING 500
    CENTER FOR MENTAL HEALTH
    PO BOX 1653
    GREAT FALLS,MT59403
    NONE PC GENERAL OPERATING 4,500
    CHILDREN'S ONCOLOGY CAMP FOUNDATION
    PO BOX 1450
    MISSOULA,MT59806
    NONE PC GENERAL OPERATING 5,000
    EAGLE MOUNT - GREAT FALLS
    9 3RD STREET NORTH STE 1
    GREAT FALLS,MT59401
    NONE PC GENERAL OPERATING 7,000
    EASTER SEALSGOODWILL-NRM
    4400 CENTRAL AVE
    GREAT FALLS,MT59405
    NONE PC GENERAL OPERATING 7,000
    FLORENCE CRITTENTON HOME
    901 N HARRIS
    HELENA,MT59601
    NONE PC GENERAL OPERATING 1,000
    GREAT FALLS AMERICAN LEGION BBALL
    PO BOX 2768
    GREAT FALLS,MT59403
    NONE PC GENERAL OPERATING 1,500
    INTERMOUNTAIN CHILDREN'S
    HOME
    500 SLAMBORN
    HELENA,MT59457
    NONE PC GENERAL OPERATING 3,000
    MCLAUGHLIN RESEARCH
    INSTITUTE
    1520 23RD ST SOUTH
    GREAT FALLS,MT59405
    NONE PC GENERAL OPERATING 3,000
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    1629 AVE D STE 2-C
    BILLINGS,MT59102
    NONE PC GENERAL OPERATING 2,500
    OVARIAN CANCER SURVIVORS
    FOUNDATION
    416 COVENTRY COURT
    HELENA,MT59601
    NONE PC GENERAL OPERATING 2,500
    PARIS GIBSON SQUARE MUSEUM OF ART
    1400 1ST AVENUE NORTH
    GREAT FALLS,MT59401
    NONE PC GENERAL OPERATING 2,500
    SCOTTISH RITE CHILDHOOD
    LANGUAGE CTR
    1304 13TH STREET SOUTH
    GREAT FALLS,MT59405
    NONE PC GENERAL OPERATING 5,000
    UNIVERSITY OF GREAT FALLS
    1301 20TH ST SOUTH
    GREAT FALLS,MT59405
    NONE PC GENERAL OPERATING 500
    Total .................................bullet 3a 64,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........
             
    4 Dividends and interest from securities....     14 29,437  
    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 32,131  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aTAX REFUND
        14 1,482  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   63,050  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1363,050
    (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.)
    11 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    KINGSBURY MEMORIAL FOUNDATION 50217170
    EIN:
    81-6078134
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,500     1,500

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    KINGSBURY MEMORIAL FOUNDATION 50217170
    EIN:
    81-6078134
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ISHARES S&P PREF STK INDX FD    
    PIMCO TOTAL RETURN FUND 25,663 23,094
    OPPENHEIMER SR FLOAT RATE Y 28,595 26,490
    NUVEEN HIGH INCOME BOND FD    
    ISHARES BARCLAYS TIPS BOND 27,591 27,420
    ISHARES JPMORGAN EM BOND    
    PACCAR FINL CORP 1.6 3/15/2017 25,111 25,050
    ISHARES CORE MSCI EAFE ETF 18,423 17,238
    ISHARES CORE MSCI EMERGING MKT 9,481 7,878

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    KINGSBURY MEMORIAL FOUNDATION 50217170
    EIN:
    81-6078134
    Name of Stock End of Year Book Value End of Year Fair Market Value
    EMERSON ELEC CO 4,673 4,305
    APPLE INC 644 13,263
    BANK OF AMERICA CORP 2,393 2,861
    MARATHON OIL CORP    
    T ROWE PRICE MID-CAP GROWTH FD 37,687 45,952
    ECOLAB INC 4,910 5,147
    EXXON MOBIL CORP 2,956 6,548
    GENERAL ELEC CO 5,740 6,915
    GOOGLE INC    
    INTEL CORP 1,844 2,756
    J P MORGAN CHASE & CO 4,807 7,263
    JOHNSON & JOHNSON 5,596 9,142
    MCDONALDS CORP 2,409 5,080
    MICROSOFT CORP 3,017 6,658
    ORACLE CORPORATION 1,691 3,616
    PEPSICO INC 3,516 6,994
    PFIZER INC 5,364 5,810
    PRAXAIR INC 1,575 3,482
    PROCTOR & GAMBLE CO 2,875 4,129
    QUALCOMM INC 1,544 3,649
    STATE STR CORP 2,272 4,247
    TARGET CORPORATION 3,461 5,881
    UNITED TECHNOLOGIES CORP 3,197 5,764
    VERIZON COMMUNICATIONS 3,409 5,084
    WAL MART STORES INC 1,531 1,778
    WELLS FARGO & CO 4,003 8,426
    3M CO 2,422 6,026
    SCHLUMBERGER LTD 1,542 3,488
    SPDR GOLD TRUST    
    T ROWE PRICE SC STOCK 28,207 30,024
    LAUDUS INTL MRKTMASTERS INV 57,564 67,656
    GOLDMAN SACHS GROUP INC 1,275 1,442
    MASTERCARD INC CL A 1,597 6,815
    ACCENTURE PLC CL A 3,253 5,225
    COVIDIEN PLC    
    MERCK & CO INC    
    DISNEY WALT CO 3,499 7,356
    T ROWE PRICE MID-CAP VALUE FD 30,065 29,924
    STARBUCKS CORP 2,076 9,065
    IPATH DOW JONES UBS COMMODITY    
    SCOUT INTERNATIONAL FUND    
    BAXTER INTL INC 25,214 24,851
    BOEING CO 2,343 5,205
    DOW CHEM CO    
    MONSANTO CO 2,036 1,970
    ABERDEEN FDS EMERGN MKT INSTL    
    LOOMIS SAYLES STRATEGIC ALPHA 40,673 37,592
    ROBECO BOSTON PARTNERS LS RSCH 49,660 56,745
    EXPRESS SCRIPTS    
    GILEAD SCIENCES INC 548 2,732
    P G E CORP 696 798
    PRUDENTIAL FINANCIAL INC 1,288 2,035
    CITIGROUP INC 2,617 4,451
    ACE LTD 2,021 3,506
    NUVEEN REAL ESTATE SECURITY CL 42,659 56,611
    ABBVIE INC 5,675 5,569
    ANADARKO PETROLEUM CORP    
    ATT&T INC 2,107 2,065
    BAIRD AGGREGATE BOND FD INSTL 63,500 62,460
    BARCLAYS 5YR SPX KI 4/10/15    
    CAPITAL ONE FINANCIAL CORP 2,756 2,526
    CAUSEWAY EMERGING MARKETS INST 31,000 24,262
    COMCAST CORP CL A 2,578 2,539
    FEDERATED INST HI YLD BD FD 34,500 30,702
    FIDELITY INVT TR AD INTL DISCI 46,750 46,308
    GLENMEDE SC EQUITY PORT ADV 7,500 7,294
    GOLDMAN SACHS COMM STRAT INS 3,667 1,738
    HEWLETT PACKARD CO    
    INVESCO LTD 3,015 2,812
    LOWES CO INC 4,307 6,844
    LS OPPORTUNITY    
    MOHAWK INDS INC 2,852 3,788
    MORGAN STANLEY 2,475 2,481
    NRG ENERGY INC 2,988 1,248
    NUVEEN STRATEGIC INCOME I    
    OCCIDENTAL PETROLEUM CORP 5,367 3,989
    PNC FINANCIAL SERVICES GROUP 5,054 5,242
    SOUTHWEST AIRLINES    
    STRYKER CORP 3,290 3,811
    T ROWE PRICE GROWTH STOCK 22,000 21,986
    T ROWE PRICE INTL BOND FUND    
    T ROWE PRICE INTL GR&INC FD 37,750 32,951
    TCW EMERGING MARKETS INCOME FD    
    VANGUARD 500 INDEX ADMIRAL 24,516 25,689
    VANGUARD GLBL EX US REAL ESTAT    
    VANGUARD REIT ETF 6,684 7,335
    XILINX INC 3,669 3,992

    TY 2015 InvestmentsOtherSchedule2
    Name:
    KINGSBURY MEMORIAL FOUNDATION 50217170
    EIN:
    81-6078134
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ALPHABET INC CL A AT COST 1,651 6,224
    ALPHABET INC CL C AT COST 1,056 4,553
    ANADARKO PETROLEUM CORP AT COST 4,537 2,672
    CALVERT SHORT DURATION INCOME AT COST 20,000 19,678
    CAMBIAR INTL EQUITY FUND INS AT COST 17,400 17,100
    CARDINAL HEALTH INC AT COST 6,003 6,338
    CISCO SYSTEMS INC AT COST 4,388 4,209
    COCA COLA COMPANY AT COST 1,219 1,289
    COSTCO WHSL CORP AT COST 3,187 3,553
    CVS HEALTH CORPORATION AT COST 2,213 2,249
    E O G RES INC AT COST 3,961 3,044
    ISHARES S P U S PREFERRED STO AT COST 28,645 29,332
    JOHN DEERE MTN 1.950% 12 AT COST 25,245 25,106
    JOHN HANCOCK II GL ABS RE I AT COST 6,500 5,976
    MEDTRONIC PLC AT COST 6,300 6,384
    MYLAN NV AT COST 2,710 2,487
    NEUBERGER BERMAN LONG SH INS AT COST 11,500 10,913
    NIKE INC AT COST 4,436 5,625
    PRUDENTIAL SHORT DUR HI YLD IN AT COST 46,500 44,714
    SEMPRA ENERGY AT COST 2,477 2,256
    SPDR GOLD SHARES ETF AT COST 3,284 2,942
    THE PRICELINE GROUP INC AT COST 5,020 5,100
    VANGUARD MID CAP INDEX ADM AT COST 18,500 17,400

    TY 2015 OtherAssetsSchedule
    Name:
    KINGSBURY MEMORIAL FOUNDATION 50217170
    EIN:
    81-6078134
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    BENBOW MINES LLP 1,522 1,522 680
    ACCRUED INCOME   717 717


    TY 2015 OtherDecreasesSchedule
    Name:
    KINGSBURY MEMORIAL FOUNDATION 50217170
    EIN:
    81-6078134
    Description Amount
    COST BASIS ADJUSTMENT 84


    TY 2015 OtherIncomeSchedule2
    Name:
    KINGSBURY MEMORIAL FOUNDATION 50217170
    EIN:
    81-6078134
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    2014 FEDERAL REFUND 1,482 0  


    TY 2015 TaxesSchedule
    Name:
    KINGSBURY MEMORIAL FOUNDATION 50217170
    EIN:
    81-6078134
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 437 437   0
    FOREIGN TAXES ON NONQUALIFIED 22 22   0