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
JAY R MONROE MEMORIAL FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX G
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
HOPEWELL, NJ08525
A Employer identification number

22-6050156
B Telephone number (see instructions)

(609) 333-8664
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,417,003
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 57,019 57,019  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 84,455
b Gross sales price for all assets on line 6a 275,138
7 Capital gain net income (from Part IV, line 2)... 84,669
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)....... 823 650  
12 Total. Add lines 1 through 11........ 142,297 142,338  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 4,000     4,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 2,200 1,100   1,100
c Other professional fees (attach schedule).... 10,152 10,152    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 6,404      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 1,349 1,045   304
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 24,105 12,297   5,404
25 Contributions, gifts, grants paid....... 119,000 119,000
26 Total expenses and disbursements. Add lines 24 and 25 143,105 12,297   124,404
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -808
b Net investment income (if negative, enter -0-) 130,041
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.............   24,941 24,941
2 Savings and temporary cash investments......... 282 633 633
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)....... 1,615,424 Click to see attachment1,589,326 2,391,429
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) 1,615,706 1,614,900 2,417,003
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 1,032,405 1,032,405
28 Paid-in or capital surplus, or land, bldg., and equipment fund 90,557 90,557
29 Retained earnings, accumulated income, endowment, or other funds 492,744 491,938
30 Total net assets or fund balances (see instructions)..... 1,615,706 1,614,900
31 Total liabilities and net assets/fund balances (see instructions). 1,615,706 1,614,900
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,615,706
2
Enter amount from Part I, line 27a .....................
2
-808
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2
4
Add lines 1, 2, and 3 ..........................
4
1,614,900
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
1,614,900
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 Publicly Traded Securities P 2001-04-01 2015-12-31
b Capital Gains Distribution P 2014-12-30 2015-12-31
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 275,138 0 190,683 84,455
b 214 0 0 214
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a 0 0 0 84,455
b 0 0 0 214
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 84,669
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 106,116 2,499,183 0.042460
2013 92,441 2,178,111 0.042441
2012 83,243 1,865,012 0.044634
2011 78,083 1,750,029 0.044618
2010 73,800 1,592,987 0.046328
2
Total of line 1, column (d) .....................
20.220481
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
0.044096
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
2,528,593
5
Multiply line 4 by line 3......................
5
111,501
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,300
7
Add lines 5 and 6........................
7
112,801
8
Enter qualifying distributions from Part XII, line 4.............
8
124,404
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 1,300
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 1,300
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 1,300
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 4,080
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 139
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Original Return Overpayment: -4219 7 4,219
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 2,919
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet2,919 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
    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)
    bulletNJ
    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
     
    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. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletJAY R MONORE Telephone no.bullet (609) 333-8664

    Located atbullet27 RIDGE ROADHOPEWELLNJ ZIP+4bullet08525
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    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
    JAY R MONROE PRESIDENT
    10.00
    0 0 0
    27 RIDGE ROAD
    HOPEWELL,NJ08525
    SUSANNE W MONROE VICE PRESIDENT
    0
    0 0 0
    27 RIDGE ROAD
    HOPEWELL,NJ08525
    JAY R MONROE VI VICE PRESIDENT
    0
    0 0 0
    27 RIDGE ROAD
    HOPEWELL,NJ08525
    SUSAN M MONROE SECRETARY/TREASURER
    10.00
    4,000 0 0
    27 RIDGE ROAD
    HOPEWELL,NJ08525
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,530,044
    b
    Average of monthly cash balances.......................
    1b
    37,055
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,567,099
    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
    2,567,099
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    38,506
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,528,593
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    126,430
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    126,430
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    1,300
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,300
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    125,130
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    125,130
    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
    125,130
    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
    124,404
    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
    124,404
    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
    1,300
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    123,104
    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 7 125,130
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 116,661
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 124,404
    a Applied to 2014, but not more than line 2a 116,661
    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..... 7,743
    e Remaining amount distributed out of corpus  
    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  
    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 ..........
    117,387
    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 ......
     
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or 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
    People for Animals
    401 Hillside Avenue
    Hillside,NJ07205
      PublicCharity General Fund 2,500
    Town and Country K-9
    10 Stonefield Court
    Cortlandt Manor,NY10567
      PublicCharity General Fund 2,500
    Animal Alliance
    PO BOX 1285
    Belle Mead,NJ08502
      PublicCharity General Fund 18,000
    Children's Aid and Family Services
    200 Robin Road
    Paramus,NJ07652
      PublicCharity General Fund 1,000
    Boys & Girls Club of Hawaii
    345 queen Street
    Honolulu,HI96813
      PublicCharity General Fund 1,000
    Center Harbor Food Pantry
    80 Bean Road
    Center Harbor,NH03226
      PublicCharity General Fund 1,500
    Berea College
    CPO 2216
    Berea,KY40404
      PublicCharity General Fund 500
    Calumet Faith Ministries
    PO Box 236
    West Ossipee,NH03890
      PublicCharity General Fund 500
    Veterinary Care Foundation
    16550 NW 46th St
    Morriston,FL32668
      PublicCharity General Fund 2,500
    Lambertville Kiwanis
    GENERAL DELIVERY
    Lambertville,NJ08530
      PublicCharity General Fund 5,000
    Tiger Creek
    PO Box 4968
    Tyler,TX75712
      PublicCharity General Fund 1,000
    Tiger Haven Inc
    1237 East Weiggarber Rc
    Knoxville,TN37950
      PublicCharity General Fund 1,000
    Veterans of Foreign Wars
    406 34TH STREET
    Kansas City,MO64111
      PublicCharity General Fund 1,000
    Paralized Veterans of America
    801 eighteenth street
    Washington,DC20006
      PublicCharity General Fund 1,000
    Disabled American Veterans
    3725 ALEXANDRIA PIKE
    Newport,KY41076
      PublicCharity General Fund 1,000
    Live & Let Live Farms Inc
    20 Paradise Lane
    Chichester,NH03258
      PublicCharity General Fund 3,000
    Wounded Warrior project
    PO BOX 758516
    Topeka,KS66675
      PublicCharity General Fund 1,000
    Peta
    501 Front St
    Norfolk,VA23510
      PublicCharity General Fund 500
    National Wildlife Federation
    PO Box 1583
    Merrifield,VA22116
      PublicCharity General Fund 500
    Four Corners Equine Rescue Foundation
    22 CR 3334
    Aztec,NM87410
      PublicCharity General Fund 2,000
    St Bernard Rescue Foundation Inc
    800 Elk Creek Road
    Trail,OR97541
      PublicCharity General Fund 2,000
    Best Friend's Animal Society
    5001 Angel Canyon Road
    Kanab,UT84741
      PublicCharity General Fund 1,500
    Delta Rescue
    PO BOX 9
    Glendale,CA91209
      PublicCharity General Fund 2,000
    Home on the Range
    Sentinel Butte Ranch 16351 I94
    Sentinel Butte,ND58654
      PublicCharity General Fund 1,500
    David Horowitz Freedom Ctr
    PO Box 55089
    Van Nuys,CA91499
      PublicCharity General Fund 500
    St Anthony Zuni Mission Inc
    PO Box 486
    Zuni,NM87327
      PublicCharity General Fund 1,000
    FLAME
    po box 590359
    San Francisco,CA94159
      PublicCharity General Fund 500
    Coalition to Salute Amer Heros
    PO BOX 96440
    Washington,DC20090
      PublicCharity General Fund 1,000
    Humane Society of Atlantic County
    1401 ABSECON BLVD
    Atlantic City,NJ08401
      PublicCharity General Fund 2,000
    Loon Preservation Committee
    PO Box 604
    Moultonborough,NH03254
      PublicCharity General Fund 1,500
    Lakes Region Human Society
    11 Old Route 28
    Ossipee,NH03864
      PublicCharity General Fund 2,500
    WARA
    PO Box 838
    Wolfeboro,NH03894
      PublicCharity General Fund 500
    Kurn Hattin Homes
    PO Box 127
    Westminster,VT05158
      PublicCharity General Fund 2,000
    Amwell Valley Ringoes Rescue Squad
    PO BOX 147
    Ringoes,NJ08551
      PublicCharity General Fund 10,000
    Amwell Valley Fire Co Fund Drive
    22 County Road 579
    Ringoes,NJ08551
      PublicCharity General Fund 4,000
    Lambertville Animal Welfare
    PO Box 722
    Lambertville,NJ08530
      PublicCharity General Fund 4,000
    Easel
    PO Box 5903
    Trenton,NJ08638
      PublicCharity General Fund 1,000
    The Salvation Army
    PO Box 269
    Alexandria,VA22313
      PublicCharity General Fund 2,000
    America's Vet Dogs
    371 East Jericho Turnpike
    Smithtown,NY11787
      PublicCharity General Fund 2,000
    TASK (Trenton Area Soup Kitchen)
    PO Box 872
    Trenton,NJ08605
      PublicCharity General Fund 1,000
    Bonnie Brae
    3415 Valley Road
    Liberty Corner,NJ07938
      PublicCharity General Fund 1,000
    Meals on Wheels
    320 Hollowbrook dr
    Trenton,NJ08638
      PublicCharity General Fund 1,000
    All About Them- Giant Breed Rescue
    200 ARCHERTOWN TD
    New Egypt,NJ08533
      PublicCharity General Fund 3,000
    People for Animals
    401 Hillside Avenue
    Hillside,NJ07205
      PublicCharity General Fund 8,000
    Best Friend Dog and Animal Adoption
    PO Box 335
    Cranford,NJ07016
      PublicCharity General Fund 2,500
    Assoc Humane Society
    PO BOX 43
    Forked River,NJ08731
      PublicCharity General Fund 1,000
    Animal Protection League of NJ
    PO BOX 174
    Englishtown,NJ07726
      PublicCharity General Fund 1,000
    Pets Alive Inc
    363 DERBY ROAD
    Middletown,NY10940
      PublicCharity General Fund 1,000
    Canine Companions for Independence
    PO Box 446
    Santa Rosa,CA95402
      PublicCharity General Fund 1,000
    Canine Partners for Life
    PO Box 170
    Cochranville,PA19330
      PublicCharity General Fund 1,000
    Rawhide Rescue
    83 Rock Road East
    Dunellen,NJ08812
      PublicCharity General Fund 3,000
    Seer Farms
    1400 Main Street
    Sayreville,NJ08872
      PublicCharity General Fund 1,500
    Angel Acres Horse Haven Rescue
    PO Box 5054
    Hagerstown,MD21741
      PublicCharity General Fund 1,000
    The Heritage Foundation
    214 Massachusetts Ave NE
    Washington,DC20002
      PublicCharity General Fund 500
    MERCER STREET FRIENDS FOOD BANK
    824 SILVA STREET
    Trenton,NJ08628
      PublicCharity General Fund 500
    Tabby's Place
    1100 US Highway 202
    Ringoes,NJ08551
      PublicCharity General Fund 1,000
    Alaska Wilderness League
    122 C St NW
    Washington,DC20001
      PublicCharity General Fund 500
    Woodland's Wildlife Refug
    PO Box 5046
    Clinton,NJ08809
      PublicCharity General Fund 500
    Wildlife CTR Friends
    PO Box 161
    Titusville,NJ08560
      PublicCharity General Fund 500
    Total .................................bullet 3a 119,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........
             
    4 Dividends and interest from securities....     14 57,019  
    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 84,455  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aBook Dividend timing difference
        14 173  
    bClass action recovery     18 650  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   142,297  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13142,297
    (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:  
    Software Version:  
    Part VI Line 7 -Original Return Overpayment: -4,219


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    JAY R MONROE MEMORIAL FOUNDATION
    EIN:
    22-6050156
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Michael Schwartz 990 Preparation 2,200 1,100   1,100

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

    TY 2015 GainLossSaleOtherAssetsSch
    Name:
    JAY R MONROE MEMORIAL FOUNDATION
    EIN:
    22-6050156
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    Sale of Publicly Traded Securities   Purchased 2015-12   275,138 190,683     84,455  

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    JAY R MONROE MEMORIAL FOUNDATION
    EIN:
    22-6050156
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AIR PRODUCTS & CHEMICALS 11,863 24,070
    ALTRIA GROUP 8,684 44,822
    AMERICAN EXPRESS 31,184 51,815
    BANK OF NEW YORK MELLON 27,485 33,594
    CVS 33,493 87,993
    crown holdings 28,125 40,560
    DISH NETWORK 33,630 74,334
    GENERAL ELECTRIC 67,468 63,235
    HALLIBURTON 48,832 47,316
    HOME DEPOT 9,944 39,014
    honey well 27,975 63,696
    illinois toolworks 25,712 49,584
    JPMORGAN CHASE 50,164 95,744
    JOHNSON AND JOHNSON 29,235 48,792
    KIMBERLY CLARK 15,839 35,008
    MARSH & MCLENNAN 19,295 38,815
    MARTIN MARIETTA 25,122 29,774
    METLIFE 21,460 24,828
    MERCK 36,844 55,725
    MICROSOFT 23,007 48,822
    NATIONAL OILWELL 50,534 23,610
    NOVARTIS AG 16,404 27,963
    NUANCE COMMUNICATIONS 33,333 40,775
    PHILLIP MORRIS 18,347 58,900
    progressive 11,410 19,875
    ROYAL DUTCH PETE 22,956 19,461
    SEMPRA ENERGY 19,150 38,544
    STATE STREET CORP 23,501 42,470
    SUNCOR ENERGY INC 24,083 22,704
    TARGET 37,414 53,368
    Time Warner 29,822 57,880
    TIME WARNER CABLE 16,584 74,236
    TRAVELERS CO 17,404 45,144
    united technologies 35,005 40,830
    WELLS FARGO & CO 46,326 81,812
    TE CONNECTIVITY 25,631 44,904
    ANHEUSER-BUSCH 11,748 26,250
    CHEVRON 51,042 43,631
    INTL BUSINESS MACHINES 10,303 18,579
    MOTOROLA 28,111 41,070
    US BANCORP DEL NEW 38,043 63,578
    XEROX 35,834 35,079
    capital one financial corp 23,426 31,398
    teva pharmaceuticals 32,535 46,604
    american tower reit 27,370 35,387
    citigroup inc 38,318 40,365
    twenty-first century 23,462 43,432
    AMGEN INC 37,067 52,757
    ANTHEM INC 26,709 52,290
    EMC 42,965 41,216
    EXXON 59,290 49,109
    SYNCHRONY FINANCIAL 19,085 25,240
    FREEPORT MCMORAN 38,006 14,623
    SCHLUMBERGER 42,747 40,804

    TY 2015 OtherExpensesSchedule
    Name:
    JAY R MONROE MEMORIAL FOUNDATION
    EIN:
    22-6050156
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Postal Services 279     279
    Foreign Taxes 993 993    
    ADR Fee 52 52    
    NJ Filing Fee 25     25


    TY 2015 OtherIncomeSchedule2
    Name:
    JAY R MONROE MEMORIAL FOUNDATION
    EIN:
    22-6050156
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Dividend timing difference 173    
    Class action settlement 650 650  


    TY 2015 OtherIncreasesSchedule
    Name:
    JAY R MONROE MEMORIAL FOUNDATION
    EIN:
    22-6050156
    Description Amount
    tax exempt income 2


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    JAY R MONROE MEMORIAL FOUNDATION
    EIN:
    22-6050156
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Morgan Stanley Investment Management 10,152 10,152    


    TY 2015 TaxesSchedule
    Name:
    JAY R MONROE MEMORIAL FOUNDATION
    EIN:
    22-6050156
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    2014 Extension 3,500      
    2015 Excise Tax 2,904