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
EAGLEMERE FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)60 EDMUNDS ROAD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WELLESLEY, MA02481
A Employer identification number

04-3424302
B Telephone number (see instructions)

(781) 899-4350
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$10,021,054J 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) 400,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 255,130 255,130 255,130
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 133,648
b Gross sales price for all assets on line 6a 2,057,162
7 Capital gain net income (from Part IV, line 2)... 133,648
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........ 788,778 388,778 255,130
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 36,000 36,000 36,000 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 42,891 42,891 42,891 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 6,416 3,416 3,416 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 7,250 0 0 0
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 140 140 140 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 92,697 82,447 82,447 0
25 Contributions, gifts, grants paid....... 558,200 558,200
26 Total expenses and disbursements. Add lines 24 and 25 650,897 82,447 82,447 558,200
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 137,881
b Net investment income (if negative, enter -0-) 306,331
c Adjusted net income (if negative, enter -0-)... 172,683
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............. 201 10,583 10,583
2 Savings and temporary cash investments......... 320,819 321,466 321,466
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
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)....... 6,351,780 Click to see attachment6,316,384 7,676,813
c Investments—corporate bonds (attach schedule)....... 1,787,484 Click to see attachment1,997,522 1,936,478
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 320,612 Click to see attachment61,082 75,714
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 8,780,896 8,707,037 10,021,054
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 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 8,019,477 8,019,477
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 761,419 687,560
30 Total net assets or fund balances (see instructions)..... 8,780,896 8,707,037
31 Total liabilities and net assets/fund balances (see instructions). 8,780,896 8,707,037
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
8,780,896
2
Enter amount from Part I, line 27a .....................
2
137,881
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
8,918,777
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
211,740
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
8,707,037
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 1,100 SHS AT & T INC P 2014-10-02 2015-06-24
b 1,000 SHS ALTRIA GROUP INC P 2014-10-02 2015-06-24
c 1,000 SHS HEWLETT PACKARD CO P 2014-10-02 2015-06-24
d 250 SHS ISHARES TR RUSSELL 1000 INDEX P 2014-12-22 2015-06-24
e 250 SHS ISHARES TR RUSSELL 1000 INDEX P 2014-10-02 2015-06-24
500 SHS LAS VEGAS SANDS CORP P 2014-10-02 2015-06-24
500 SHS PHILIP MORRIS INTL P 2014-10-02 2015-06-24
1,100 SHS VERIZON COMMUNICATIONS P 2014-10-02 2015-06-24
4,500 SHS WINDSTREAM HOLDINGS INC P 2014-10-02 2015-03-18
1,000 SHS LYONDELLBASELL INDUSTRIES P 2014-10-02 2015-06-24
1,300 SHS AT&T INC P 2013-11-19 2015-06-24
200 SHS ABBOTT LABS P 2011-06-03 2015-06-24
500 SHS ABBOTT LABS P 2006-10-10 2015-06-24
100 SHS ABBOTT LABS P 2006-10-10 2015-06-24
300 SHS ABBOTT LABS P 2010-05-25 2015-06-24
50 SHS ABBOTT LABS P 2010-08-04 2015-06-24
1,400 SHS AUTOMATIC DATA PROCESSING P 2011-06-03 2015-06-24
466 SHS CDK GLOBAL INC P 2011-06-03 2015-07-16
40 SHS CALIFORNIA RESOURCES CORP P 2011-06-03 2015-01-23
280 SHS CALIFORNIA RESOURCES CORP P 2009-08-17 2015-01-23
60 SHS CALIFORNIA RESOURCES CORP P 2009-08-17 2015-01-23
120 SHS CALIFORNIA RESOURCES CORP P 2011-06-03 2015-01-23
700 SHS CHEVRONTEXACO CORP P 2013-11-19 2015-06-05
600 SHS COCA COLA P 2006-07-18 2015-06-24
400 SHS COCA COLA P 2006-05-17 2015-06-24
631.61 COLUMBIA FDS SER TR I SMALL CAP P 2004-02-10 2015-10-29
1131.22 COLUMBIA FDS SER TR I SMALL CAP P 2004-03-04 2015-10-29
1253.92 COLUMBIA FDS SER TR I SMALL CAP P 2003-09-12 2015-10-29
1567.4 COLUMBIA FDS SER TR I SMALL CAP P 2003-09-12 2015-10-29
1088.53 COLUMBIA FDS SER TR I SMALL CAP P 2001-01-30 2015-10-29
217.71 COLUMBIA FDS SER TR I SMALL CAP P 2000-06-19 2015-10-29
3780.24 COLUMBIA FDS SER TR I SMALL CAP P 2006-05-17 2015-10-29
387 COLUMBIA FDS SER TR I SMALL CAP P 1999-04-27 2015-10-29
218.34 COLUMBIA FDS SER TR I SMALL CAP P 1999-06-18 2015-10-29
300 SHS COMCAST CORP P 2013-11-19 2015-06-24
200 SHS DOW CHEMICAL P 2013-11-19 2015-06-24
300 SHS GENERAL DYNAMICS CORP P 2013-11-19 2015-06-24
1,900 SHS ISHARES MSCI EMERGING MKTS P 2013-11-19 2015-06-24
470 SHS ISHARES TR RUSSELL 1000 INDEX P 2013-11-19 2015-06-24
333.33 SHS KRAFT FOODS GROUP P 2010-08-04 2015-07-02
300 SHS KRAFT FOODS GROUP P 2011-06-03 2015-07-02
100 SHS KRAFT FOODS GROUP P 2010-08-04 2015-07-02
16.67 SHS KRAFT FOODS GROUP P 2011-06-03 2015-07-02
536.02 SHS PERMANENT PORT FD INC P 2012-01-06 2015-06-24
5,360.21 SHS PERMANENT PORT FD INC P 2012-01-06 2015-06-24
100 SHS PHILIP MORRIS INTL INC P 2009-08-17 2015-06-24
357 SHS QUALCOMM INC P 2013-11-19 2015-11-23
43 SHS QUALCOMM INC P 2013-11-19 2015-11-23
300 SHS QUALCOMM INC P 2014-10-02 2015-11-23
500 SHS QUALCOMM INC P 2012-11-28 2015-11-23
100 SHS SIMON PPTY GROUP P 2013-11-19 2015-06-24
900 SHS SOUTHERN CO P 2013-11-19 2015-06-24
200 SHS STARBUCKS CORP P 2013-11-19 2015-06-24
3,000 SHS VANGUARD INTL EQUITY INDEX P 2012-11-02 2015-06-24
2,500 SHS VANGUARD INTL EQUITY INDEX P 2010-05-25 2015-06-24
1,000 SHS VERIZON COMMUNICATIONS P 2013-11-19 2015-06-24
150 SHS WP GLIMCHER INC P 2013-11-19 2015-06-24
100,000 WAL MART STORES INC P 2012-01-06 2015-04-01
MERK & CO - PROCEEDS FROM LITIGATION P 2008-09-18 2015-03-10
BANK OF AMERICA - PROCEEDS FROM LITIGATION P 2006-12-06 2015-07-03
BANK OF AMERICA - 1099 CAP GAIN DIV P 2014-12-01 2015-12-31
(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 39,242   38,527 715
b 49,031   45,478 3,553
c 31,596   34,224 -2,628
d 29,758   28,974 784
e 29,758   26,985 2,773
26,012   30,838 -4,826
40,701   41,803 -1,102
52,176   54,462 -2,286
34,530   48,177 -13,647
104,812   103,232 1,580
46,377   46,526 -149
9,931   4,882 5,049
24,827   11,133 13,694
4,966   2,228 2,738
14,896   6,692 8,204
2,483   1,200 1,283
117,128   65,267 51,861
24,989   9,430 15,559
155   363 -208
1,087   1,660 -573
233   355 -122
466   1,090 -624
71,712   85,180 -13,468
24,153   13,070 11,083
16,102   8,748 7,354
11,262   11,192 70
20,170   20,000 170
22,357   20,000 2,357
27,947   25,000 2,947
19,409   15,000 4,409
3,882   3,000 882
67,402   75,000 -7,598
6,900   5,000 1,900
3,893   3,000 893
18,136   14,220 3,916
10,584   7,918 2,666
43,575   26,884 16,691
111,844   113,265 -1,421
55,946   49,361 6,585
29,715   24,215 5,500
26,744   21,794 4,950
8,915   7,265 1,650
1,486   1,211 275
21,226   25,000 -3,774
212,264   250,000 -37,736
8,140   4,568 3,572
17,505   25,833 -8,328
2,112   3,112 -1,000
14,732   22,199 -7,467
24,517   31,015 -6,498
17,433   14,294 3,139
37,705   38,112 -407
10,764   8,047 2,717
126,617   126,387 230
105,515   89,150 16,365
47,432   51,029 -3,597
2,059   2,729 -670
100,000   106,653 -6,653
351     351
21,502     21,502
      28,463
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       715
b       3,553
c       -2,628
d       784
e       2,773
      -4,826
      -1,102
      -2,286
      -13,647
      1,580
      -149
      5,049
      13,694
      2,738
      8,204
      1,283
      51,861
      15,559
      -208
      -573
      -122
      -624
      -13,468
      11,083
      7,354
      70
      170
      2,357
      2,947
      4,409
      882
      -7,598
      1,900
      893
      3,916
      2,666
      16,691
      -1,421
      6,585
      5,500
      4,950
      1,650
      275
      -3,774
      -37,736
      3,572
      -8,328
      -1,000
      -7,467
      -6,498
      3,139
      -407
      2,717
      230
      16,365
      -3,597
      -670
      -6,653
      351
      21,502
      28,463
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 2 133,648
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 -15,084
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 530,794 10,254,086 0.051764
2013 497,845 9,709,953 0.051272
2012 454,324 8,990,306 0.050535
2011 426,382 7,967,521 0.053515
2010 334,500 7,514,456 0.044514
2
Total of line 1, column (d) .....................
20.251600
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
0.050320
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
10,105,262
5
Multiply line 4 by line 3......................
5
508,497
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
3,063
7
Add lines 5 and 6........................
7
511,560
8
Enter qualifying distributions from Part XII, line 4.............
8
558,200
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 3,063
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 3,063
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 3,063
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 4,613
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 4,613
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,550
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet1,550 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletMA
    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. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletPRIVATE BANK TAX SERVICES Telephone no.bullet (401) 278-6825

    Located atbulletPO BOX 1802PROVIDENCERI ZIP+4bullet029011802
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........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
    MARILYN D SARLES MD PRESIDENT
    0.00     		0 0 0
    60 EDMUNDS ROAD
    WELLESLEY,MA02481
    DANIEL SARLES TREASURER
    25.00     		36,000 0 0
    10 BOWDOIN STREET APT 416
    BOSTON,MA02114
    KATHRYN GARVEY ASSISTANT CLERK
    0.00     		0 0 0
    37 GREENWOOD STREET
    SHERBORN,MA01770
    H JAY SARLES CLERK
    0.00     		0 0 0
    60 EDMUNDS ROAD
    WELLESLEY,MA02481
    ELIZABETH DIAS DIRECTOR
    0.00     		0 0 0
    254 20TH AVENUE
    SAN FRANCISCO,CA94121
    DANIEL DIAS DIRECTOR
    0.00     		0 0 0
    254 20TH AVENUE
    SAN FRANCISCO,CA94121
    PATRICK GARVEY DIRECTOR
    0.00     		0 0 0
    37 GREENWOOD STREET
    SHERBORN,MA01770
    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.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    9,832,310
    b
    Average of monthly cash balances.......................
    1b
    426,839
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    10,259,149
    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
    10,259,149
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    153,887
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    10,105,262
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    505,263
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    505,263
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    3,063
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,063
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    502,200
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    502,200
    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
    502,200
    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
    558,200
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    558,200
    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
    3,063
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    555,137
    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 7 502,200
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012...... 6,944
    d From 2013...... 24,357
    e From 2014...... 26,902
    fTotal of lines 3a through e........ 58,203
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 558,200
    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..... 502,200
    e Remaining amount distributed out of corpus 56,000
    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 5 114,203
    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 ......     		114,203
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012.... 6,944
    c Excess from 2013.... 24,357
    d Excess from 2014.... 26,902
    e Excess from 2015.... 56,000
    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).)
    MARILYN D SARLES MD
    H JAY SARLES
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ALASKA CONSERVATION FOUNDATION
    911 WEST 8TH AVE SUITE 300
    ANCHORAGE,AK99501     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 30,000
    AMERICAN RIVERS
    1101 14TH STREET NW SUITE 1400
    WASHINGTON,DC20005     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 25,000
    AMHERST COLLEGE
    220 S PLEASANT STREET
    AMHERST,MA01002     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 750
    ANIMAL RESCUE LEAGUE OF BOSTON
    10 CHANDLER STREET
    BOSTON,MA02116     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 2,500
    CENTRAL PARK CONSERVANCY
    14 E 60TH ST
    NEW YORK,NY10022     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 5,000
    CHARLES RIVER WATERSHED ASSOC
    190 PARK ROAD
    WESTON,MA02493     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 30,000
    CUMMINGS VETERINARY FUND
    200 WESTBORO ROAD
    NORTH GRAFTON,MA01536     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 15,000
    DOCTORS WITHOUT BORDERS
    333 7TH AVENUE
    NEW YORK,NY100015004     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 60,000
    EARTHJUSTICE
    50 CALIFORNIA STREET SUITE 500
    SAN FRANCISCO,CA94111     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 20,000
    ECOFLIGHT
    307 L ASPEN AIRPORT BUSINESS CENTER
    ASPEN,CO81611     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 3,000
    FOREVER HOME RESCUE NE
    31 JORIE LANE
    WALPOLE,MA02081     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 250
    GLOBAL GREENGRANTS FUND
    2840 WILDERNESS PLACE STE A
    BOULDER,CO80301     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 5,000
    GREATER YELLOWSTONE
    215 S WALLACE
    BOZEMAN,MT59715     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 60,000
    HARVARD FIELD HOCKEY
    MASSACHUSETTS HALL
    CAMBRIDGE,MA02138     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1,500
    HOME BASE PROGRAMRED SOX FOUNDATION
    4 YAWKEY WAY
    BOSTON,MA02215     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 500
    HORIZONS FOR HOMELESS CHILDREN
    1705 COLUMBUS AVE
    ROXBURY,MA02119     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 300
    LAKES REGION CONSERVATION
    156 DANE ROAD
    CENTER HARBOR,NH03226     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 25,000
    MANOMET CENTER CONSERVATION SCIENCE
    PO BOX 1770
    MANOMET,MA02345     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 12,500
    MASS SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
    350 SOUTH HUNTINGTON AVENUE
    BOSTON,MA02130     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 2,500
    MILTON ACADEMY
    170 CENTRE STREET
    MILTON,MA02186     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 2,000
    MOSES BROWN SCHOOL
    250 LLOYD AVENUE
    PROVIDENCE,RI02906     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1,000
    NATURE CONSERVANCY
    4245 NORTH FAIRFAX DRIVE SUITE 100
    ARLINGTON,VA222031606     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION;LISTTOTAL 0 115,000
    NOBLE AND GREENOUGH SCHOOL
    10 CAMPUS DRIVE
    DEDHAM,MA02026     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION;LISTTOTAL 4250 10,000
    NORTH AND SOUTH RIVERS WATERSHED TRUST
    PO BOX 43
    NORWELL,MA02061     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 10,000
    NPR
    1111 NORTH CAPITAL STREET NE
    WASHINGTON,DC20002     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 5,000
    OXFAM AMERICA
    226 CAUSEWAY STREET 5
    BOSTON,MA02114     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 50,000
    PAWS NEW ENGLANDTIPTON TREASURES
    587 COUNTRY HIGHWAY 427
    ORAN,MO63771     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 500
    PET PARTNERS
    875 124TH AVE SUITE 101
    BELLEVUE,WA98005     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1,500
    PLANNED PARENTHOOD MA
    1055 COMMONWEALTH AVENUE
    BOSTON,MA022151001     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 15,000
    PRINCETON UNIVERSITY
    PRINCETON UNIVERSITY
    PRINCETON,NJ08544     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1,500
    REDROVERUNITED ANIMAL NATIONS
    3800 J STREET
    SACRAMENTO,CA95816     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 500
    RIVER NETWORK
    434 NW SIXTH AVENUE
    PORTLAND,OR97209     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 4,000
    SHERBORN PLAYGROUND COMMITTEE
    1 BUTLER STREET
    SHERBORN,MA01770     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 3,500
    TETON SCIENCE SCHOOLS
    700 COYOTE CANYON ROAD
    JACKSON,WY83001     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 1,500
    THE PARK SCHOOL
    171 GODDARD AVE
    BROOKLINE,MA02445     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 100
    TRUSTEES FOR ALASKA TRUST
    1026 WEST 4TH AVENUE SUITE 201
    ANCHORAGE,AK99501     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 10,000
    TUFTONBORO FREE LIBRARY
    221 MIDDLE ROAD
    TUFTONBORO,NH03816     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 5,000
    UNIVERSITY OF TEXAS AUSTIN
    1 UNIVERSITY STATION
    AUSTIN,TX78712     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 300
    WORLD WILDLIFE FUND
    1250 24TH STREET NW
    WASHINGTON,DC20037     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 21,000
    YELLOWSTONE ASSOCIATION
    PO BOX 117
    YELLOWSTONE NATL PARK,WY82190     		NONE PUBLIC CHARITY GENERAL CONTRIBUTION 2,000
    Total .................................bullet 3a 558,200
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		         
    4 Dividends and interest from securities....         255,130
    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 ............     		        133,648
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 0 388,778
    13Total. Add line 12, columns (b), (d), and (e)..................
    13388,778
    (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.)
    4, 7 THE FOUNDATION ACCOMPLISHES ITS CHARITABLE PURPOSE BY MAKING DIRECT
    & 8 GIFTS. THE SOURCE OF THE GIFTS IS THE INCOME AND OR PRINCIPAL OF ITS INVESTMENT PORTFOLIO. THE INTEREST, DIVIDENDS, GAINS AND OTHER INCOME ON LINES 4, 7 & 8 ARE THE INCOME GENERATED FROM THIS INVESTMENT PORT- FOLIO.
    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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    EAGLEMERE FOUNDATION INC
     
    Employer identification number

    04-3424302
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    EAGLEMERE FOUNDATION INC
          		Employer identification number
    04-3424302
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    JAY AND MARILYN SARLES  
    60 EDMUNDS ROAD
     
    WELLESLEY, MA02481

    		$ 130,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    JAY SARLES  
    60 EDMUNDS ROAD
     
    WELLESLEY, MA02481

    		$ 270,000


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    EAGLEMERE FOUNDATION INC
          		Employer identification number

    04-3424302
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    2
    		 20,000 SHS ASTRO MEDICAL INC. $ 270,000 2015-11-02
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    EAGLEMERE FOUNDATION INC
          		Employer identification number

    04-3424302
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    EAGLEMERE FOUNDATION INC
    EIN:
    04-3424302
    Name of Bond End of Year Book Value End of Year Fair Market Value
    50000 SHS AMERICAN EXPRESS CO 50,088 49,610
    50000 SHS CAPITAL ONE BK 50,094 49,754
    50000 SHS CATERPILLAR INC 50,673 50,087
    150000 SHS CITIGROUP INC 50,319 50,007
    38391.225 SHS DOUBLELINE TOTAL RETURN BD FUND 420,000 413,857
    50000 SHS DOW CHEMICAL CO 53,282 52,420
    33698.0979999999 SHS FRANKLIN FTLG RATE DAILY ACCESS 310,000 281,042
    50000 SHS GENERAL ELECTRIC CAP CORP 50,414 50,164
    5000 SHS ISHARES S&P US PFD STK INDEX 198,350 194,250
    50000 SHS PEPSICO INC 52,467 51,769
    50000 SHS PFIZER INC 50,332 50,444
    11506.276 SHS PIMCO HIGH YIELD FD 110,000 95,042
    500000 SHS PUBLIC SVC ELEC GAS CO 49,962 49,485
    2300 SHS VANGUARD SHORT TERM CORPORATE 183,046 181,673
    50000 SHS VERIZON COMMUNICATIONS 51,702 51,155
    100000 SHS WALMART STORES 0 0
    10860.195 SHS COLUMBIA INTERMEDIATE BOND FUND 93,149 96,873
    1680 SHS VANGUARD SHORT TERM CORPORATE 133,644 132,703
    4333.694 SHS FRANKLIN FTLG RATE DAILY ACCESS 40,000 36,143

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    EAGLEMERE FOUNDATION INC
    EIN:
    04-3424302
    Name of Stock End of Year Book Value End of Year Fair Market Value
    1150 SHS ABBOTT LABS 0 0
    1750 SHS ABBVIE INC 48,946 103,670
    950 SHS ACCENTURE 53,128 99,275
    1000 SHS ALTRIA GROUP INC 0 0
    200 SHS AMAZON COM 88,360 135,178
    700 SHS AMERICAN WATER WORKS CO 34,854 41,825
    700 SHS ANADARKO PETE CORP 63,935 34,006
    2100 SHS APPLE INC 167,735 221,046
    3100 SHS AT&T INC 0 0
    700 SHS AT&T INC 24,510 24,087
    1400 SHS AUTOMATIC DATA PROCESSING INC 0 0
    1200 SHS BB&T CORP 0 0
    2100 SHS BB&T CORP 77,882 79,401
    700 SHS BERKSHIRE HATHAWAY INC 0 0
    1200 SHS BERKSHIRE HATHAWAY INC 151,481 158,448
    300 SHS BLACKROCK INC 53,860 102,156
    2700 SHS BROADCOM CORP 68,308 156,114
    700 SHS CHEVRON CORP 0 0
    2000 SHS CISCO SYS INC 50,023 54,310
    1000 SHS COCA COLA CO 0 0
    1000 SHS COMCAST CORP 0 0
    700 SHS COMCAST CORP 33,180 39,501
    1000 SHS CONOCOPHILLIPS 71,479 46,690
    1000 SHS CORNING INC 18,490 18,280
    400 SHS COSTCO WHSL CORP 49,644 64,600
    800 SHS DANAHER CORP 68,454 74,304
    1100 SHS DISNEY WALT CO 76,213 115,588
    1600 SHS DOW CHEM CO 0 0
    1400 SHS DOW CHEM CO 55,424 72,072
    1100 SHS EMERSON ELECTRIC CO 51,853 52,613
    1100 SHS ENTERGY CORP 69,690 75,196
    1000 SHS EOG RES INC 93,948 70,790
    1900 SHS EXXON MOBIL CORP 123,148 148,105
    500 SHS FEDEX CORP 86,393 74,495
    1200 SHS GENERAL ELEC CO 32,703 37,380
    400 SHS GENERAL DYNAMICS CORP 35,845 54,944
    700 SHS GENERAL DYNAMICS CORP 0 0
    3439.112 SHS HARBOR INTERNATIONAL FUND 220,000 204,386
    700 SHS HERSHEY CO 61,799 62,489
    1000 SHS HEWLETT PACKARD CO 0 0
    800 SHS HOME DEPOT INC 0 0
    1000 SHS HOME DEPOT INC 88,691 132,250
    700 SHS HONEYWELL INTL INC 28,496 72,499
    600 SHS IBM 47,457 82,572
    1000 SHS INTEL CORP 33,574 34,450
    1900 SHS INTERNATIONAL PAPER CO 89,434 71,630
    1300 SHS JOHNSON & JOHNSON 99,901 133,536
    500 SHS J P MORGAN CHASE & CO 34,568 33,015
    750 SHS KRAFT FOODS INC 24,898 54,570
    500 SHS LAS VEGAS SANDS CORP 0 0
    600 SHS MC DONALDS CORP 58,543 70,884
    600 SHS MCKESSON CORP 95,430 118,338
    1000 SHS MERK & CO INC 58,688 52,820
    1300 SHS MET LIFE INC 68,031 62,673
    2400 SHS MICROSOFT CORP 66,972 133,152
    450 SHS MONDELIZ INTL INC 0 0
    950 SHS MONDELIZ INTL INC 29,188 42,598
    500 SHS MONSANTO CO 53,674 49,260
    1250 SHS OCCIDENTAL PETE CORP DEL 96,043 84,513
    600 SHS PEPSICO INC 39,338 59,952
    550 SHS PHILIP MORRIS INTL INC 25,126 48,351
    1150 SHS PHILIP MORRIS INTL INC 0 0
    2900 SHS PFIZER INC 88,191 93,612
    1100 SHS PROCTER & GAMBLE CO 66,598 87,351
    1200 SHS QUALCOMM INC 0 0
    400 SHS RAYTHEON CO 39,267 49,812
    700 SHS SCHLUMBERGER LTD 61,643 48,825
    900 SHS SOUTHERN CO 0 0
    800 SHS STARBUCKS CORP 56,332 84,042
    1200 SHS TARGET CORP 77,303 87,132
    1000 SHS TEXAS INSTRS INC 46,435 54,810
    400 SHS UNITED HEALTH GROUP INC 0 0
    700 SHS UNITED HEALTH GROUP INC 64,615 82,348
    2700 SHS VERIZON COMMUNICATIONS 0 0
    600 SHS VERIZON COMMUNICATIONS 29,706 27,732
    1800 SHS WELLS FARGO & CO 60,588 97,848
    466 SHS CKD GLOBAL INC 0 0
    1000 SHS BP PLC 41,029 31,260
    500 SHS CALIFORNIA RESOURCES CORP 0 0
    1400 SHS ISHARES RUSSELL 2000 ETF 162,313 157,668
    1500 SHS ISHARES RUSSELL 2000 VALUE INDEX 77,760 137,910
    3500 SHS ISHARES RUSSELL MIDCAP ETF 408,411 560,630
    4251.701 SHS PRINCIPAL MIDCAP BLEND FUND 100,000 88,861
    20000 SHS ASTRO MED INC 58,265 289,000
    3254.149 SHS LEGG MASON CLEARBRIDGE SMALL CAP 100,000 90,856
    10275.973 SHS COLUMBIA SMALL CAP CORE FUND 0 0
    5200 SHS ISHARES INTERNATIONAL SELECT DIV 0 0
    10700 SHS ISHARES INTERNATIONAL SELECT DIV 353,787 307,197
    4390.408 SHS COLUMBIA ACORN FUND INTL FUND 151,514 171,753
    1200 SHS MEDTRONIC PLC 90,263 92,304
    5000 SHS ISHARES MSCI EMERGING MKTS INDEX 0 0
    3100 SHS ISHARES MSCI EMERGING MKTS INDEX 184,800 150,846
    1000 SHS LYONDELLBASELL INDUSTRIES 0 0
    4500 SHS WINDSTREAM HOLDINGS INC 0 0
    6500 SHS VANGUARD FTSE EMERGING MKTS 225,406 212,615
    12000 SHS VANGUARD FTSE EMERGING MKTS 0 0
    6000 SHS ISHARES TR RUSSELL 1000 ETF FUND 0 0
    5030 SHS ISHARES TR RUSSELL 1000 ETF FUND 343,950 569,949
    310 SHS ISHARES TR RUSSELL 2000 ETF FUND 39,818 34,912
    2200 SHS ISHARES INTL SELECT DIVIDEND ETF 76,151 63,162
    300 SHS ISHARES RUSSELL MIDCAP ETF 41,837 48,054
    500 SHS ISHARES MSCI EMERGING MKTS 29,796 24,330
    790 SHS ISHARES MSCI EAFE ETF 52,959 46,389
    2050.381 SHS CAMBIAR SMALL CAP FUND 35,000 33,606
    2345.789 SHS JOHN HANCOCK FDS III DISCIPLINED VALUE 27,000 44,922
    1500 SHS VANGUARD FTSE EMERGING MKTS ETF 56,310 49,065
    1500 SHS VANGUARD MSCI EMERGING MKTS ETF 0 0

    TY 2015 InvestmentsOtherSchedule2
    Name:
    EAGLEMERE FOUNDATION INC
    EIN:
    04-3424302
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    5360.206 SHS PERMANENT PORTFOLIO AT COST 0 0
    150 SHS WASHINGTON PRIME GROUP AT COST 0 0
    200 SHS AVALONBAY CMNTYS INC AT COST 32,493 36,826
    200 SHS SIMON PPTY GROUP INC AT COST 28,589 38,888
    300000 SHS SIMON PPTY GROUP INC AT COST 0 0

    TY 2015 OtherDecreasesSchedule
    Name:
    EAGLEMERE FOUNDATION INC
    EIN:
    04-3424302
    Description Amount
    UNREALIZED GAIN ON CONTRIBUTED ASSETS 211,740


    TY 2015 OtherExpensesSchedule
    Name:
    EAGLEMERE FOUNDATION INC
    EIN:
    04-3424302
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE FILING FEE 125 125 125 0
    DIVIDEND FEES 15 15 15 0


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    EAGLEMERE FOUNDATION INC
    EIN:
    04-3424302
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 42,891 42,891 42,891 0


    TY 2015 SubstantialContributorsSch
    Name:
    EAGLEMERE FOUNDATION INC
    EIN:
    04-3424302
    Name Address
    MARILYN SARLES 60 EDMUNDS ROAD
    WELLESLEY,MA02481
    H JAY SARLES 60 EDMUNDS ROAD
    WELLESLEY,MA02481


    TY 2015 TaxesSchedule
    Name:
    EAGLEMERE FOUNDATION INC
    EIN:
    04-3424302
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 3,416 3,416 3,416 0
    EXCISE TAXES 3,000 0 0 0