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
LeRoy Thom Jean Thom and T-L Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 1047
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Hastings, NE689021047
A Employer identification number

47-0776789
B Telephone number (see instructions)

(402) 462-4128
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$38,375,624
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) 2,865,300
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 14,321 14,321  
4 Dividends and interest from securities... 1,097,438 1,097,438  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 188,290
b Gross sales price for all assets on line 6a 9,359,329
7 Capital gain net income (from Part IV, line 2)... 188,290
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........ 4,165,349 1,300,049  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 3,564 3,564    
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 2,248 2,248    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 19,923 19,923    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 28,754 28,754    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 54,489 54,489   0
25 Contributions, gifts, grants paid....... 2,031,733 2,031,733
26 Total expenses and disbursements. Add lines 24 and 25 2,086,222 54,489   2,031,733
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,079,127
b Net investment income (if negative, enter -0-) 1,245,560
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 3,521,885 7,979,448 7,979,448
3 Accounts receivable bullet2,827
Less: allowance for doubtful accounts bullet   26,961 2,827 2,827
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) 18,909,395 Click to see attachment14,001,739 14,513,217
b Investments—corporate stock (attach schedule)....... 9,329,973 Click to see attachment11,883,331 15,880,132
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
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) 31,788,214 33,867,345 38,375,624
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........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 31,788,214 33,867,345
30 Total net assets or fund balances (see instructions)..... 31,788,214 33,867,345
31 Total liabilities and net assets/fund balances (see instructions). 31,788,214 33,867,345
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
31,788,214
2
Enter amount from Part I, line 27a .....................
2
2,079,127
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
4
4
Add lines 1, 2, and 3 ..........................
4
33,867,345
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
33,867,345
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 Sherman Cty NE Bd 124ar2 P 2010-04-29 2015-04-29
b Imperial NE Bd 89taf0 P 2009-08-13 2015-08-17
c Wayne NE Sch Bd 13atc P 2010-12-01 2015-12-01
d Wayne Cty Sch Bd 13av5 P 2010-12-01 2015-12-01
e Cass Cty NE Sch Bd 36al0 P 2010-12-22 2015-12-22
Cass Cty NE Sch Bd 36am8 P 2010-12-22 2015-12-22
Cass Cty NE sch Bd 36an6 P 2010-12-22 2015-12-22
Cass Cty NE Sch Bd 36ap1 P 2010-12-22 2015-12-22
Cass Cty NE Sch Bd 36aq9 P 2010-12-22 2015-12-22
Keith Cty NE Sch Bd 71cr0 P 2010-12-18 2015-12-28
Hall Cty NE BID 36fp3 P 2009-11-12 2015-02-09
Merrick Cty NE Bd P 2010-03-15 2015-03-16
Merrick Cty NE Bd 127c13 P 2010-03-15 2015-03-16
Saunders Cty NE Sch Bd P 2010-09-03 2015-07-31
Saunders Cty NE Bd 18abd0 P 2006-10-19 2015-12-15
Fed Farm Cr ecr97 P 2013-06-05 2015-01-22
Fed Home 82tq6 P 2014-09-30 2015-01-28
Fed Farm Cr 31ke71 P 2013-06-11 2015-02-06
Fed Farm Cr 33ecr48 P 2013-06-05 2015-02-09
Dixon Cty NE Bd89br1 P 2012-10-29 2015-02-26
Dixon Cty NE Bd 89br1 P 2013-04-04 2015-02-26
Fed Home 80s24 P 2014-10-07 2015-04-09
Fed Farm Cr 33redjf0 P 2014-04-10 2015-04-10
Fed Farm Cr 33edng3 P 2014-06-09 2015-06-18
4000 MET Life P 2008-01-06 2015-06-29
Fed Home a3mr2 P 2015-04-06 2015-06-30
Wells Fargo Cd P 2015-05-12 2015-09-21
Fed Home 30a3l28 P 2015-05-04 2015-09-21
Fed Home a3mr2 P 2015-04-06 2015-09-29
Fed Farm Cr 33edwt5 P 2015-08-28 2015-10-01
Fed Frm Cr 33edpz9 P 2014-06-27 2015-10-08
Fed Farm Cr eap51 P 2015-09-03 2015-10-23
Deutsche Cap Tr P 2008-01-14 2015-10-29
Adams Cty NE Sch Bd 78ou3 P 2010-10-29 2015-10-29
Wells Fargo Co Pfd P 2013-03-15 2015-11-11
Fed Home a3fn9 P 2014-12-16 2015-11-27
0.6 Windstream Corp P 2006-10-06 2015-04-28
0.6 Communications S L P 2006-10-06 2015-04-30
Fed Home 379va4 P   2015-10-15
Wells Fargo NE Ed Assoc P   2015-06-08
Wells Fargo NE Ed Assoc P   2015-12-07
(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 100,000   100,000  
b 35,000   35,000  
c 100,000   100,000  
d 100,000   100,000  
e 50,000   50,000  
55,000   55,000  
55,000   55,000  
60,000   60,000  
190,000   190,000  
250,000   250,000  
385,000   385,000  
120,000   120,000  
100,000   100,000  
135,000   135,000  
15,000   14,873 127
1,000,000   1,000,000  
300,000   298,290 1,710
500,000   499,125 875
500,000   500,000  
290,000   292,855 -2,855
265,000   262,145 2,855
500,000   496,100 3,900
500,000   500,000  
500,000   500,000  
100,000   94,720 5,280
408,333   408,333  
240,000   240,000  
300,000   300,000  
91,667   91,982 -315
145,000   145,174 -174
500,000   500,000  
254,000   254,000  
103,311   92,960 10,351
250,000   250,000  
101,708   100,000 1,708
500,000   500,000  
7   2 5
18   4 14
76,304   76,304  
9,430   9,430  
9,742   9,742  
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        
c        
d        
e        
       
       
       
       
       
       
       
       
       
      127
       
      1,710
      875
       
      -2,855
      2,855
      3,900
       
       
      5,280
       
       
       
      -315
      -174
       
       
      10,351
       
      1,708
       
      5
      14
       
       
       
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 2 188,290
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 5,121
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 2,045,101 34,385,284 000.059476
2013 1,876,415 28,610,626 000.065585
2012 1,808,999 23,533,620 000.076869
2011 868,182 18,552,507 000.046796
2010 593,000 15,655,984 000.037877
2
Total of line 1, column (d) .....................
2000.286603
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
000.057321
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
36,970,351
5
Multiply line 4 by line 3......................
5
2,119,177
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
12,456
7
Add lines 5 and 6........................
7
2,131,633
8
Enter qualifying distributions from Part XII, line 4.............
8
2,031,733
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 24,911
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 24,911
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 24,911
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 13,000
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.............. Part VI Line 7 - Tax Paid with the Original Return: 13000 7 13,000
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 11,911
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11  
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
     
    No
    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)
    bulletNE
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .Click to see attachment
    8b
     
    No
    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 addressbulletnone
    14
    The books are in care ofbulletJames Thom Telephone no.bullet (402) 462-4128

    Located atbullet151East Highway 6 and AB RoadHastingsNE ZIP+4bullet68901
    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
    LeRoy W Thom Pres
    000.50
    0    
    2585 S Maxon Ave
    Hastings,NE68901
    Jean E Thom Sec
    000.50
    0    
    2585 S Maxon Ave
    Hastings,NE68901
    Thomas A Thom Dir
    000.50
    0    
    1017 Country Club Dr
    Hastings,NE68901
    David W Thom Dir
    000.50
    0    
    5000 W Platte River Dr
    Doniphan,NE68832
    James Thom VP Finance
    000.50
    0    
    5130 Osborne Drive East
    Hastings,NE68901
    Robert Lubken Dir
    000.50
    0    
    Route 1 Box60C
    Trumbull,NE68980
    David H Fisher Dir, Gen Cou
    000.50
    0    
    1131 N St Joseph Ave
    Hastings,NE68901
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 none 0
    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 none  
    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
    30,929,784
    b
    Average of monthly cash balances.......................
    1b
    6,603,567
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    37,533,351
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    37,533,351
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) Click to see attachment.............................
    4
    563,000
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    36,970,351
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,848,518
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    1,848,518
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    24,911
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    24,911
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,823,607
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    1,823,607
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    1,823,607
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 Click to see attachment..........
    1a
    2,031,733
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    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
    2,031,733
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    2,031,733
    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 1,823,607
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012...... 635,970
    d From 2013...... 465,954
    e From 2014...... 351,501
    fTotal of lines 3a through e........ 1,453,425
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 2,031,733
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2015 distributable amount..... 1,823,607
    e Remaining amount distributed out of corpus 208,126
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,661,551
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    1,661,551
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012.... 635,970
    c Excess from 2013.... 465,954
    d Excess from 2014.... 351,501
    e Excess from 2015.... 208,126
    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).)
    See Schedule B
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    None
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    James Thom
    PO Box 1047
    Hastings,NE68902
    (402) 462-4128
    bThe form in which applications should be submitted and information and materials they should include:
    No particular form
    cAny submission deadlines:
    none
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Generally limited to NE religious, educational, assistance orgnizations and activities
    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
    American Cancer Society
    3808 28th Ave Ste E
    Kearney,NE68845
        medical research 6,000
    American Center For Law & Justice
    PO Box 90555
    Washington,DC200900555
        Social justice 10,500
    AOPA-Air Safety Foundation
    421 Aviation Way
    Fredrick,MD21701
        Air space safety 450
    Bethany Home
    PO Box 150
    Minden,NE68959
        Assistance for poor 6,000
    Bethany Lutheran Church
    PO Box 209
    Minden,NE68959
        Church mission 1,500
    Bible League
    1 Bible League Plaza
    Crete,IL60417
        Religious networking 15,000
    Big Brother Big Sister
    312 Lincoln Ave
    Hastings,NE68901
        Youth mentoring 2,300
    Billy Graham Evangelistic Asociation
    1 Billy Graham Parkway
    Charlotte,NC28201
        Religious outreach 15,000
    CASA of South Central NE
    2727 W 2nd St Ste410
    Hastings,NE68901
        Youth legal support 6,000
    CASA BuffaloKearney County NE
    PO Box 2288
    Kearney,NE68848
        Youth legal support 4,500
    Catholic Social Services of NE
    333 West 2nd St
    Hastings,NE68901
        Assistance for poor 18,000
    Catholic Relief Services
    228 W Lexington St
    Baltimore,MD212013443
        Assistant for poor and those in crisis 15,000
    Central Community College Foundation
    2727 W 2nd St Ste 211
    Hastings,NE68901
        Education 5,000
    Children's Ark Daycare Center
    PO Box 2149
    Hastings,NE689022149
        Take care of children 10,300
    Chist Lutheran School
    13175 W 70th Street
    Juniata,NE68955
        Education 11,000
    Christian Heritage Children's Homes
    14880 Old Cheney Rd
    Walton,NE68461
        Children assistance 45,000
    CTC International Inc
    512 East Riverside Dr Ste 270
    Austin,TX78704
        Kenya assistance 22,500
    Concordia University Foundation
    800 N Columbia Ave
    Seward,NE68434
        Education 280,000
    Crossroads Center
    702 W 14th
    Hastings,NE68901
        Displaced/Homeless Adults/Families 19,500
    Dakota Boys Ranch
    Box 5007
    Minot,ND587025007
        Youth support 20,000
    Disabled American Veterans Charitable Ser Tr
    3725 Alexandria Pike
    Cold Spring,KY41076
        Disabled Veterans 15,000
    Diocese of Lincoln - Joy of the Gospel Campaign
    PO Box 80328
    Lincoln,NE685010328
        Religious outreach 30,000
    Ebenezer United Methodist Church
    7312 N Main Street
    Houston,TX77022
        Religious outreach 600
    Epilepsy Foundation
    8301 Professional Place
    Landover,MD207852353
        Medical research 7,500
    Faith Lutheran Church
    837 N Chestnut Ave
    Hastings,NE68901
        Religious outreach 40,000
    Farmers Feeding the World
    PO Box 6
    Cedar Falls,IA50613
        World Hunger 15,000
    FBCSLO - For the Troops
    2075 Johnson Avenue
    San Luis Obispo,CA93401
        Military assistance 7,500
    Fellowship of Christian Athletes
    c/o Hastings Community Found PO Box
    Hastings,NE689020703
        Christian Values 9,000
    Fellowship of Christian Athletes
    838 N Diers Avenue
    Grand Island,NE68803
        Christian Values 1,500
    Food for the Hungry
    1224 E Washington
    Phoenix,AZ850341102
        World Hunger 15,000
    Freedom Alliance
    22570 Markey Court Ste 240
    Dulles,VA20166
        Veteran assistance 18,000
    Friends of the Madison Valley Library
    PO Box 492
    Ennis,MT59729
        Reading 1,000
    Grace Life Fellowship
    200 N Burlington Ste 150
    Hastings,NE68901
        Religious outreach 33,000
    Hastings Catholic Schools
    521 N Kansas Avenue
    Hastings,NE68901
        Education 22,500
    Hastings College Foundation
    1001 N 6th Avenue
    Hastings,NE68901
        Education 225,500
    Hastings College Foundation
    1001 N 6th Avenue
    Hastings,NE68901
        Education 1,000
    Hastings Community Foundation
    PO Box 703
    Hastings,NE689020703
        Community/Education 3,600
    Hastings Family YMCA
    PO Box 1065
    Hastings,NE689021065
        Community 10,500
    Hastings Museum Foundation
    PO Box 148
    Hastings,NE689020148
        Community/History 14,100
    Hastings Library Foundation
    PO Box 849
    Hastings,NE689020849
        Community/Literature/Education 1,000
    Hastings Rural Fire Dept
    3920 E Meadowlark Lane
    Hastings,NE68901
        Fire Department 300
    Hastings Symphony Orchestra Fuhr Hall of Music
    PO Box 597
    Hastings,NE689020597
        Music/Education 1,000
    Heartcry Missionary Society
    PO Box 3506
    Redford,VA241433506
        Missionary Work 31,500
    Heartland Lutheran High School
    3900 W Husker Hwy
    Grand Island,NE68803
        Education 15,000
    Hillsdale College
    33 E College St
    Hillsdale,MI49242
        Education 30,900
    Holt International
    PO Box 2880
    Eugene,OR97402
        Adoption services 18,000
    In Touch Ministries
    PO Box 7900
    Atlanta,GA303579979
        Religious Outreach 30,000
    International Justice Mission
    PO Box 58147
    Washington,DC20037
        Human rights 1,500
    International Lutheran Layman's League
    660 Mason Ridge Center Dr
    St Louis,MO631418557
        Religious Outreach 9,000
    Joy Christian Community Church
    PO Box 17050
    Fountain Hills,AZ85268
        Religious outreach 7,000
    Kearney County Community Foundation
    PO Box 213
    Minden,NE689590213
        Community outreach 15,000
    Larsen Tractor Museum
    PO Box 830833
    Lincoln,NE685830833
        Community/History/Education 1,000
    LCMS National Mission
    1859 Phelps Avenue
    Fremont,NE68025
        Missionary work 15,000
    LCMS World Mission
    40718 Hwy E 16
    Mapleton,IA510347105
        Missionary work 10,000
    Lutheran High of Northeast Nebraska
    2010 N 37th Street
    Norfolk,NE68701
        Education 10,000
    Madison Valley Medical Center Foundation
    PO Box 993
    Ennis,MT59729
        Medical Research 10,000
    Madonna Foundation
    5401 South Street
    Lincoln,NE685062134
        Medical research/assistance 10,000
    Make-A-Wish Foundation
    8 W 56th Street
    Kearney,NE68847
        Community 7,500
    Mayo Clinic Foundation
    200 First Street SW
    Rochester,MN55905
        Medical Research/Treatment 30,000
    Mercy Ministries
    PO Box 111060
    Nashville,TN372221060
        Religious outreach 30,000
    Minden Volunteer Fire Department
    325 N Colorado
    Minden,NE68959
        Fire Department 4,500
    Mission Nebraska
    PO Box 30345
    Lincoln,NE68503
        Relious outreach 15,000
    Montana Land Reliance
    PO Box 355
    Helena,MT596240355
        Land Conservation 1,000
    Nebraska Easter Seal Society
    2727 W 2nd St Ste 471
    Hastings,NE68901
        Medical Research 2,000
    Nebraska Future Farmers of American Foundation
    300 Agricultural Hall
    Lincoln,NE685830709
        farming education 9,000
    Nebraska LEAD Program
    PO Box 830763
    Lincoln,NE685830763
        Leadership training 8,500
    Nebraska Right to Life - Education
    PO Box 80410
    Lincoln,NE685010410
        education 22,500
    Ness County Bank Building Foundation Inc
    PO Box 285
    Ness City,KS67560
        History preservation 300
    New Life Christian Counseling
    8101 Bancroft Ave
    Lincoln,NE68506
        Religious outreach 15,000
    New Life Community Church
    909 James Way
    Pismo Beach,CA93449
        Religious outreach 22,500
    Orphan Grain Train
    PO Box 1466
    Norfolk,NE687021466
        Hunger 45,000
    Pastoral Leadership Institute
    PO Box 972
    Wheaton,IL601870972
        Religious Outreach 30,000
    Pastoral Leadership Institute International
    16611 Mosscreek St
    Tustin,CA92782
        Religious outreach 20,000
    Peace Lutheran Church
    906 N California
    Hastings,NE68901
        Religious outreach 189,500
    Platte Valley Youth for Christ
    PO Box 386
    Hastings,NE689020386
        Youth Relgious Outreach 20,000
    Prairie Loft
    PO Box 1731
    Hastings,NE689021731
        History education 11,100
    Prairie Loft - FFA Program
    5709 Haymeadow Ridge
    Hastings,NE68901
        Ag education 7,333
    Red Cross
    404 E 3rd Street
    Grand Island,NE68801
        Disaster assistance 5,000
    Royal Family Kids Camp co Grace Life
    200 N Burlington Ave Ste 150
    Hastings,NE68901
        Youth 15,000
    Santa Barbara Birth Center
    2958 State ST
    Santa Barbara,CA93105
        Birth center 2,100
    SASA Crisis Center
    220 S Burlington Ave Ste 4
    Hastings,NE68901
        Community - Abused Adults/Kids 300
    Shephard of the Hills Lutheran Church Armitage
    PO Box 785
    Ennis,MT59729
        church 2,000
    Shriners Hospitals for Children
    2900 N Rocky Point Drive
    Tampa,FL33607
        Medical Treatment for Kids 10,000
    Special Olympics
    9427 F Street
    Omaha,NE68127
        Handicapped Children/Adults 7,500
    St Cecilia Catholic Church
    301 W 7th Street
    Hastings,NE689014460
        Religious outreach 1,500
    St Jude Children's Research Hospital
    501 St Jude Place
    Memphis,TN38105
        Medical Research/Treatment 15,000
    St Luke's Foundation
    6624 Fannin Street Ste 1100
    Houston,TX77030
        Medical research 9,600
    St Mary's McCracken Heritage Assn
    304 E Florence
    Rush Center,KS67575
        Church 450
    Sunley Squier American Legion Post
    25495 220 Rd
    Brownell,KS67521
        Veterans 300
    Teammates of Nebraska
    1924 West A Street
    Hastings,NE68901
        Youth 18,300
    The Heritage Foundation
    214 Massachusetts Ave NE
    Washington,DC200024999
        Think Tank 9,000
    The NRA Foundation
    11250 Waples Mill Rd
    Fairfax,VA22030
        Constitution education 9,000
    The Salvation Army
    400 S Burlington Ave
    Hastings,NE68901
        Assist Poor/Displaced 57,000
    United Way of South Central Nebraska
    301 S Burlington Ave
    Hastings,NE68901
        Community assistance 26,500
    University of Nebraska Foundation
    PO Box 82555
    Lincoln,NE685022555
        Education 50,000
    Virtue Media Inc
    560 W Crossville Rd Ste 101
    Roswell,GA300757509
        Female health 9,000
    Voice of the Martyrs
    PO Box 443
    Bartlesville,OK740050443
        Human rights 1,500
    Water for Life
    PO Box 456
    Kalona,IA52247
        Haiti relief services 30,000
    Webster County Fire Department
    137 E 5th
    Red Cloud,NE68970
        Fire Department 4,500
    Wellspring Pregnancy & Health Care
    223 E 14th St Ste 202
    Hastings,NE68901
        Medical care 7,500
    Willa Cather Foundation
    413 N Webster St
    Red Cloud,NE68970
        Education/History 10,000
    Wounded Warrior Project
    4899 Belford Rd Ste 300
    Jacksonville,FL32256
        Veterans 25,000
    YWCA
    604 N St Joseph
    Hastings,NE68901
        Community ed/assistance 2,900
    Zion Lutheran School
    465 S Marion Rd
    Hastings,NE68901
        Education 12,000
    Total .................................bullet 3a 2,031,733
    bApproved for future payment
    Kearney County Community Foundation
    PO Box 213
    Minden,NE689590213
        Community outreach 15,000
    LCMS National Mission
    1859 Phelps Avenue
    Fremont,NE68025
        Missionary work 15,000
    LCMS World Mission
    40718 Hwy E 16
    Mapleton,IA510347105
        Missionary work 10,000
    Lutheran High of Northeast Nebraska
    2010 N 37th Street
    Norfolk,NE68701
        Education 10,000
    Madonna Foundation
    5401 South Street
    Lincoln,NE685062134
        Medical research/assistance 10,000
    Mayo Clinic Foundation
    200 First Street SW
    Rochester,MN55905
        Medical Research/Treatment 30,000
    Total .................................bullet 3b 90,000
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........
        14 14,321  
    4 Dividends and interest from securities....     14 1,097,438  
    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 ............
        18 188,290  
    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)..   1,300,049  
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,300,049
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID: 15000290
    Software Version: 15.3.0.0
    Part VI Line 7 - Tax Paid with the Original Return: 13,000


    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
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number

    47-0776789
    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
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number
    47-0776789
    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
     
     

    LeRoy and Jean Thom  
    2585 S Maxon Ave
     
    Hastings, NE68901

    $ 2,500,000


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

    Tom and Ladina Thom  
    1017 country Club Drive
     
    Hastings, NE68901

    $ 50,500


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
     
     

    Mike and Lois Thom  
    1279 C Road
     
    Minden, NE68959

    $ 90,000


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

    David and Janis Thom  
    5000 Platte River Lane
     
    Doniphan, NE68832

    $ 100,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    5
     
     

    James and Jean Thom  
    5130 Osborne Drive East
     
    Hastings, NE68901

    $ 116,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    6
     
     

    Chris and Amanda Thom  
    606 Leisure Lane
     
    Hastings, NE68901

    $ 3,200


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number
    47-0776789
    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
    7
     
     

    Blake andElizabeth Peshek  
    1395 N Adams Central Road
     
    Juniata, NE68955

    $ 4,000


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number

    47-0776789
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number

    47-0776789
    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: 15000290
    Software Version: 15.3.0.0

    TY 2015 ExplnOfNonFilingWithAGStmt
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Statement:
    Doug Peterson, Office of Attorney General, 2115 State Capitol, Lincoln NE 68509

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

    TY 2015 GainLossSaleOtherAssetsSch
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    Sherman Cty NE Bd 124ar2 2010-04 P 2015-04 redeemed 100,000 100,000        
    Imperial NE Bd 89taf0 2009-08 P 2015-08 redeemed 35,000 35,000        
    Wayne NE Sch Bd 13atc 2010-12 P 2015-12 redeemed 100,000 100,000        
    Wayne Cty Sch Bd 13av5 2010-12 P 2015-12 redeemed 100,000 100,000        
    Cass Cty NE Sch Bd 36al0 2010-12 P 2015-12 redeemed 50,000 50,000        
    Cass Cty NE Sch Bd 36am8 2010-12 P 2015-12 redeemed 55,000 55,000        
    Cass Cty NE sch Bd 36an6 2010-12 P 2015-12 redeemed 55,000 55,000        
    Cass Cty NE Sch Bd 36ap1 2010-12 P 2015-12 redeemed 60,000 60,000        
    Cass Cty NE Sch Bd 36aq9 2010-12 P 2015-12 redeemed 190,000 190,000        
    Keith Cty NE Sch Bd 71cr0 2010-12 P 2015-12 redeemed 250,000 250,000        
    Hall Cty NE BID 36fp3 2009-11 P 2015-02 redeemed 385,000 385,000        
    Merrick Cty NE Bd 2010-03 P 2015-03 redeemed 120,000 120,000        
    Merrick Cty NE Bd 127c13 2010-03 P 2015-03 redeemed 100,000 100,000        
    Saunders Cty NE Sch Bd 2010-09 P 2015-07 redeemed 135,000 135,000        
    Saunders Cty NE Bd 18abd0 2006-10 P 2015-12 redeemed 15,000 14,873     127  
    Fed Farm Cr ecr97 2013-06 P 2015-01 redeemed 1,000,000 1,000,000        
    Fed Home 82tq6 2014-09 P 2015-01 public traded 300,000 298,290     1,710  
    Fed Farm Cr 31ke71 2013-06 P 2015-02 public traded 500,000 499,125     875  
    Fed Farm Cr 33ecr48 2013-06 P 2015-02 redeemed 500,000 500,000        
    Dixon Cty NE Bd89br1 2012-10 P 2015-02 public traded 290,000 292,855     -2,855  
    Dixon Cty NE Bd 89br1 2013-04 P 2015-02 public traded 265,000 262,145     2,855  
    Fed Home 80s24 2014-10 P 2015-04 public traded 500,000 496,100     3,900  
    Fed Farm Cr 33redjf0 2014-04 P 2015-04 redeemed 500,000 500,000        
    Fed Farm Cr 33edng3 2014-06 P 2015-06 redeemed 500,000 500,000        
    4000 MET Life 2008-01 P 2015-06 public traded 100,000 94,720     5,280  
    Fed Home a3mr2 2015-04 P 2015-06 public traded 408,333 408,333        
    Wells Fargo Cd 2015-05 P 2015-09 redeemed 240,000 240,000        
    Fed Home 30a3l28 2015-05 P 2015-09 redeemed 300,000 300,000        
    Fed Home a3mr2 2015-04 P 2015-09 public traded 91,667 91,982     -315  
    Fed Farm Cr 33edwt5 2015-08 P 2015-10 public traded 145,000 145,174     -174  
    Fed Frm Cr 33edpz9 2014-06 P 2015-10 redeemed 500,000 500,000        
    Fed Farm Cr eap51 2015-09 P 2015-10 redeemed 254,000 254,000        
    Deutsche Cap Tr 2008-01 P 2015-10 public traded 103,311 92,960     10,351  
    Adams Cty NE Sch Bd 78ou3 2010-10 P 2015-10 redeemed 250,000 250,000        
    Wells Fargo Co Pfd 2013-03 P 2015-11 redeemed 101,708 100,000     1,708  
    Fed Home a3fn9 2014-12 P 2015-11 redeemed 500,000 500,000        
    0.6 Windstream Corp 2006-10 P 2015-04 public traded 7 2     5  
    0.6 Communications S L 2006-10 P 2015-04 public traded 18 4     14  
    Fed Home 379va4   P 2015-10 return of capital 76,304 76,304        
    Wells Fargo NE Ed Assoc   P 2015-06 return of capital 9,430 9,430        
    Wells Fargo NE Ed Assoc   P 2015-12 return of capital 9,742 9,742        

    TY 2015 GeneralExplanationAttachment
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Identifier Return Reference Explanation

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3636 shares of Wells Fargo Bank 55,241 197,653
    6364 shares of Wells Fargo Bank 74,799 345,947
    12000 shares of Tyson Foods Inc. 70,666 639,960
    1108 shares of Windstream Corp. 517 1,185
    2050 shares of Ei Dupont 66,409 136,530
    3000 shares of I Shares - Midcap 400 Index 215,929 417,960
    8000 shares of I Shares - Russell 1000 Index 511,136 782,880
    3400 shares of I Shares - Russell 2000 Index 204,455 382,908
    6900 shares of I Shares - SP 500 Index 713,253 1,413,603
    6000 shares of I Shares - EAFE Index 312,658 352,320
    15000 shares of I Shares - Australia 275,359 284,400
    5000 shares of SP Dividend EFT 206,102 367,850
    3000 shares of SPDR - SP Int Div EFT 135,885 100,080
    9000 shares of Vanguard Specialized Funds - EFT 353,258 544,320
    16668 shares of Linsco - AmCap 362,141 470,360
    6195 shares of Linsco - Capitol World Growth 202,730 279,328
    2807 shares of Linsco - Euro Pacific 91,826 131,182
    11499 shares of Linsco Growth Fund 370,316 517,109
    9617 shares of Linsco - New Econmy 258,648 367,128
    5890 shares of Linsco - New Perspective 174,647 225,081
    4659 shares of Linsco - Small Cap 163,830 216,520
    16198 shares of Linsco - Wash Mutual 531,603 662,181
    Barclays Bank PLC PFD 100,000 105,400
    ING Groep PFD 95,612 103,960
    4000 shares of Allstate Corp - PFD 100,000 110,600
    Royal Bank of Scotland 99,400 103,340
    2000 shares of Altria Group 60,793 116,420
    1250 shares of Conoco Phillips 68,073 58,363
    1250 shares of Eaton Corp PLC 58,899 65,050
    3000 shares of Intel Corp 60,072 103,350
    750 shares of McDonalds 63,027 88,605
    1000 shares of Walmart 68,684 61,300
    2250 shares of Microsoft 60,170 124,830
    4000 shares of BBT PPF 100,000 105,680
    4000 shares of Public Storage PFD 100,000 101,840
    4000 shares of Charles Swhwab Corp PFD 100,000 107,040
    2300 shares of Guggenheim SP 500 EQU weight 159,549 176,272
    1400 shares of Mark Vectors Gold Miners 50,121 30,046
    365 shares of Vanguard Extended Mkt EFT 29,350 30,587
    1718 shares of Vanguard FTSE Emerging Mkts 70,605 56,196
    400 shares of Vanguard Intl Equity Index 20,094 17,364
    KKR Principal Opportuities Access Fund 453,374 580,573
    Vintage VI LP 473,376 567,934
    Citibank 60875 PFD 100,000 109,884
    JP Morgan Chase Co 100,000 105,040
    Barclays Bank CD-2.05 250,000 249,578
    American Express Bank CD-2.1 250,000 249,065
    HSBC Bank CD-2.25 250,000 251,398
    World Foremost Bank CD-2.1 200,000 199,300
    Sallie Mae Bank CD-2.1 250,000 249,265
    Anchorage Llliquid Opportunities Access 394,328 439,953
    Vanguard REIT EFT 50,101 53,579
    Chemours 4,511 2,198
    Communications Sales Leasing 1,572 4,130
    SPDR Trust Series I 234,654 254,838
    Vanguard Mid-Cap ETF Index 74,897 73,267
    Bank of America - PFD 100,000 106,880
    Wells Fargo Co -PFD 100,000 105,000
    American Express Bank CD - 2.35 250,000 248,838
    BMW BK North AM CD 9/18/20 250,000 248,963
    Capital One CD - EP2 250,000 248,850
    Capitl One CD - UMO 250,000 249,703
    Citi Bk Salt Lake City - CD 2.1 250,000 249,830
    Discover Bank CD-2.3 250,000 249,995
    Synchrony Bank Retail CD 250,000 249,388
    Private Equities Offshore Fund 30,661 29,955

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    US Government Securities - End of Year Book Value:

    4,804,748
    US Government Securities - End of Year Fair Market Value:

    4,973,946
    State & Local Government Securities - End of Year Book Value:


    9,196,991
    State & Local Government Securities - End of Year Fair Market Value:


    9,539,271


    TY 2015 LegalFeesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Dunmire Fisher Hastings 3,564 3,564    


    TY 2015 OtherExpensesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accrued interest paid on investments 4,069 4,069    
    Bond premiums paid on investments 4,625 4,625    
    Bond premiums paid on US treasuries 1,922 1,922    
    Accrued interest paid on US Treasury obligations 18,138 18,138    


    TY 2015 OtherIncreasesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Description Amount
    Rounding adjustments 4


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Brokerage Advisory Fees 2,248 2,248    


    TY 2015 SubstantialContributorsSch
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Name Address
    See Schedule B  
     


    TY 2015 TaxesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN:
    47-0776789
    Software ID:
    15000290
    Software Version:
    15.3.0.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Tax on investment income 14,332 14,332    
    Tax expense through private equity investment 3,200 3,200    
    Foreign Taxes withheld on dividends 2,368 2,368    
    NE Occupation Tax 23 23