-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Information about Form 990-PF and its instructions is at
www.irs.gov/form990pf
.
OMB No. 1545-0052
20
15
Open to Public Inspection
For calendar year 2015, or tax year beginning
08-01-2015
, and ending
07-31-2016
Name of foundation
RIDGEWAY EM-CHARITTUW
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILSON
,
NC
278942907
A Employer identification number
54-6202908
B
Telephone number (see instructions)
(540) 665-4254
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here .............
2.
Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
1,578,551
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
Sch. B
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
46,085
46,085
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
-21,700
b
Gross sales price for all assets on line 6a
695,469
7
Capital gain net income (from Part IV, line 2)
...
0
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
204
12
Total.
Add lines 1 through 11
........
24,589
46,085
13
Compensation of officers, directors, trustees, etc.
20,982
20,982
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
1,490
1,490
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
1,071
1,071
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
217
217
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
23,760
22,270
0
1,490
25
Contributions, gifts, grants paid
.......
80,796
80,796
26
Total expenses and disbursements.
Add lines 24 and 25
104,556
22,270
0
82,286
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-79,967
b
Net investment income
(if negative, enter -0-)
23,815
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2015)
Form 990-PF (2015)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
58,271
2
Savings and temporary cash investments
.........
58,074
48,315
48,315
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
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)
.......
678,773
695,883
776,968
c
Investments—corporate bonds (attach schedule)
.......
777,671
749,130
753,268
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
1,572,789
1,493,328
1,578,551
17
Accounts payable and accrued expenses
..........
18
Grants payable
..................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
..................
25
Temporarily restricted
...............
26
Permanently restricted
...............
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
........
1,572,789
1,493,328
28
Paid-in or capital surplus, or land, bldg., and equipment fund
29
Retained earnings, accumulated income, endowment, or other funds
30
Total net assets or fund balances
(see instructions)
.....
1,572,789
1,493,328
31
Total liabilities and net assets/fund balances
(see instructions)
.
1,572,789
1,493,328
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
1,572,789
2
Enter amount from Part I, line 27a
.....................
2
-79,967
3
Other increases not included in line 2 (itemize)
3
514
4
Add lines 1, 2, and 3
..........................
4
1,493,336
5
Decreases not included in line 2 (itemize)
5
8
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
1,493,328
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
33. AGCO CORPORATION COMMON
2014-05-12
2015-08-19
b
120. EUROPEAN AERONAUT UNSP ADR
2015-02-12
2015-08-19
c
96. EUROPEAN AERONAUT UNSP ADR
2015-08-19
d
160. ADR AMERICA MOVIL S A DE CV
2015-08-19
e
4. ANTHEM INC COMMON
2013-07-11
2015-08-19
52. BAXALTA INC
2015-08-19
52. BAXTER INTERNATIONAL INCORPORATED
2015-08-19
9. CENTENE CORP
2014-08-12
2015-08-19
9. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2014-05-12
2015-08-19
59. GENERAL MILLS, INCORPORATED
2015-08-19
18. HEINEKEN NV SPON ADR
2013-09-19
2015-08-19
32. LKQ CORP COMMON
2014-05-12
2015-08-19
32. METLIFE COMMON
2015-08-19
16. MICROSOFT CORPORATION
2013-07-11
2015-08-19
40. MURPHY USA INC. COMMON
2014-08-12
2015-08-19
32. NOW INC/DE COMMON
2015-08-19
36. OTSUKA HOLDINGS LTD
2014-02-21
2015-08-19
40. PHILIP MORRIS INTERNATIONAL
2012-10-25
2015-08-19
4046.027 PIONEER AMT FREE MUNICIPAL BOND FUND
2015-08-19
430. PORSCHE AUTOMOBILE HOLDINGS ADR PFD
2015-08-19
160. REPSOL S A
2015-08-19
34. REPSOL S A
2015-02-12
2015-08-19
153. KONINKLIJKE KPN NV COMMON
2014-02-21
2015-08-19
72. SOCIETE GENERALE FRANCE
2014-10-20
2015-08-19
140. SONY CORP
2015-08-19
9. TIME WARNER CABLE INC
2015-08-19
7. TORAY INDUSTRIES INC
2014-01-10
2015-08-19
12. VERISK ANALYTICS INC CL A
2015-08-19
15. VISA INC
2014-05-12
2015-08-19
57. WESTERN UNION COMPANY
2015-08-19
9. PERRIGO CO PLC
2013-12-19
2015-08-19
70. APPLE COMPUTER CORPORATION COMMON
2015-10-02
23. APPLE COMPUTER CORPORATION COMMON
2015-08-19
2015-10-02
5. BERKSHIRE HATHAWAY INC CL B
2015-04-27
2015-10-02
72. BERKSHIRE HATHAWAY INC CL B
2015-10-02
190. COACH INC
2015-10-02
35. COACH INC
2015-08-19
2015-10-02
122. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2015-10-02
4. CUMMINS ENGINE CO INC COMMON
2015-08-19
2015-10-02
30. CUMMINS ENGINE CO INC COMMON
2015-10-02
474.007 DOUBLELINE TOTAL RETURN BOND FUND
2015-10-02
475.168 DOUBLELINE TOTAL RETURN BOND FUND
2015-10-02
13. EMC CORPORATION COMMON
2015-08-19
2015-10-02
154. EMC CORPORATION COMMON
2015-10-02
110. EXPRESS SCRIPTS HLDG CO
2015-10-02
90. GEA GROUP AG
2015-10-02
61. LKQ CORP COMMON
2015-10-02
108. LKQ CORP COMMON
2015-10-02
540.157 LAZARD EMERGING MARKETS FD INSTL CL
2015-10-02
151.734 LAZARD EMERGING MARKETS FD INSTL CL
2015-10-02
2. M & T BK CORP
2015-08-19
2015-10-02
60. M & T BK CORP
2015-10-02
421.292 METROPOLITAN WEST TOTAL RETURN BOND FUND
2015-10-02
287.863 METROPOLITAN WEST TOTAL RETURN BOND FUND
2015-10-02
50. NATIONAL-OILWELL INC
2015-10-02
112. NATIONAL-OILWELL INC
2015-10-02
223.993 NEUBERGER BERMAN STRATEGIC INCOME FUND-I
2015-08-19
2015-10-02
93.439 OPPENHEIMER DEVELOPING MKT
2015-10-02
259.373 OPPENHEIMER DEVELOPING MKT
2015-10-02
324.658 PIMCO PIMS FOREIGN BOND FUND
2015-10-02
123.292 PIMCO PIMS FOREIGN BOND FUND
2013-04-11
2015-10-02
202.494 PIMCO FDS PAC INVT MGMT REAL RETURN BD FD INSTL CL
2015-10-02
4. PRICELINE.COM INC
2015-10-02
26. QUALCOMM INC COMMON
2015-10-02
66. QUALCOMM INC COMMON
2015-10-02
21. SCHLUMBERGER LTD
2015-10-02
11. SCHLUMBERGER LTD
2015-08-19
2015-10-02
28. STERICYCLE INC
2015-10-02
242.741 STERLING CAPITAL CORPORATE FUND-I
2015-10-02
345.864 STERLING CAPITAL TOTAL RETURN BOND FUND
2013-04-11
2015-10-02
1189.697 STERLING CAPITAL TOTAL RETURN BOND FUND
2015-10-02
68. VERISK ANALYTICS INC CL A
2015-10-02
41. DAIMLER-CHRYSLER AG ORDINARY
2015-10-02
16. PERRIGO CO PLC
2015-10-02
47. CORE LABORATORIES N V
2015-10-02
111. ADT CORP COMMON
2015-12-01
40. AGCO CORPORATION COMMON
2015-12-01
28. ADIDAS AG ADR
2015-04-27
2015-12-01
160. ADR AXA-UAP F/K/A AXA SA SPONSORED ADR
2015-12-01
62. BG GROUP PLC ADR
2015-02-12
2015-12-01
190. BG GROUP PLC ADR
2015-12-01
70. BROADRIDGE FINANCIAL SOLUTIONS INC
2015-12-01
34. CENTENE CORP
2015-12-01
63. CHICAGO BRIDGE & IRON CO N V N Y
2015-12-01
49. CLEAN HARBORS INC COMMON
2015-12-01
214. DARLING INTERNATIONAL INC
2015-12-01
57. FLOWSERVE CORP COM
2015-12-01
16. GENERAL ELECTRIC COMPANY
2015-08-19
2015-12-01
181. GENERAL ELECTRIC COMPANY
2014-08-12
2015-12-01
112. HANESBRANDS INC
2015-12-01
92. HEINEKEN NV SPON ADR
2015-12-01
36. IDEX CORP
2015-12-01
90. INFINEON TECHNOLOGIES AG SPON ADR
2015-02-12
2015-12-01
78. KNOWLES CORP COMMON
2015-10-02
2015-12-01
46. MAXIM INTEGRATED PRODUCTS INC COMON
2015-12-01
12. MCDONALDS CORPORATION
2015-12-01
25. MEAD JOHNSON NUTRITION CO CL A
2014-05-12
2015-12-01
19. MICROSOFT CORPORATION
2015-12-01
30. MURPHY USA INC. COMMON
2014-10-20
2015-12-01
74. NEWFIELD EXPL CO COM
2015-12-01
110. NIPPON TELEG & TEL CORP
2015-12-01
72. OGE ENERGY CORP COMMON
2015-12-01
41. OCCIDENTAL PETE CORP
2015-12-01
121. PEARSON PLC SPONSORED ADR
2015-12-01
16. SCOTTS CO CL A
2014-10-20
2015-12-01
47. THOR INDUSTRIES INC
2015-12-01
142. TIDEWATER INC COMMON
2015-12-01
69. THE TIMKEN COMPANY COMMON
2014-07-09
2015-12-01
208.433 TOUCHSTONE FOCUSED FUND
2015-12-01
83. TRINITY INDS INC
2015-12-01
153. WESTERN UNION COMPANY
2015-12-01
15.6 WESTROCK CO COMMON
2014-05-12
2015-12-01
17.4 WESTROCK CO COMMON
2015-02-12
2015-12-01
30. PENTAIR PLC COMMON
2015-12-01
50. CHECKPOINT SOFTWARE TECHNOLOGY COMMON
2015-12-01
109. TIDEWATER INC COMMON
2015-12-30
68. TIDEWATER INC COMMON
2015-12-30
46. ACCOR SA -SPONSORED ADR
2015-12-01
2016-02-05
400. ACCOR SA -SPONSORED ADR
2016-02-05
46. ADIDAS AG ADR
2015-04-27
2016-02-05
170. DENSO CORPORATION
2014-07-09
2016-02-05
12. DENSO CORPORATION
2015-10-02
2016-02-05
264. GLOBAL LOGISTIC PROP -UNS ADR
2016-02-05
214.865 HOTCHKIS & WILEY HIGH YIELD FUND-I
2016-02-05
31. INTERNATIONAL BUSINESS MACHINES CORP
2016-02-05
127. KINDER MORGAN INC
2016-02-05
101. KINDER MORGAN INC
2016-02-05
30. OCCIDENTAL PETE CORP
2016-02-05
9. OCCIDENTAL PETE CORP
2012-10-25
2016-02-05
6663.653 PIMCO PIMS FOREIGN BOND FUND
2016-02-05
256.878 PIMCO PIMS FOREIGN BOND FUND
2016-02-05
400.257 PIMCO FDS PAC INVT MGMT REAL RETURN BD FD INSTL CL
2016-02-05
83.138 PIMCO FDS PAC INVT MGMT REAL RETURN BD FD INSTL CL
2016-02-05
197. PEARSON PLC SPONSORED ADR
2015-10-02
2016-02-05
39. PEARSON PLC SPONSORED ADR
2013-07-11
2016-02-05
27. BRITISH SKY BROADCAST -SP ADR
2014-07-09
2016-02-05
314.998 STERLING CAPITAL CORPORATE FUND-I
2013-02-21
2016-02-05
173.691 STERLING CAPITAL CORPORATE FUND-I
2016-02-05
350.961 STERLING CAPITAL TOTAL RETURN BOND FUND
2015-08-19
2016-02-05
2331.157 STERLING CAPITAL TOTAL RETURN BOND FUND
2013-04-11
2016-02-05
30. SYNGENTA AG
2016-02-05
215. TORAY INDUSTRIES INC
2014-01-10
2016-02-05
359.819 TOUCHSTONE FOCUSED FUND
2016-02-05
19. ZIMMER HOLDINGS INC
2015-10-02
2016-02-05
10. ACCENTURE PLC IRELAND SHS
2014-05-12
2016-02-05
85. SEAGATE TECHNOLOGY PLC COMMON
2016-02-05
50. ADT CORP COMMON
2016-03-28
120. BARCLAYS PLC ADR
2016-03-28
260. BARCLAYS PLC ADR
2016-03-28
6. BROADRIDGE FINANCIAL SOLUTIONS INC
2014-02-21
2016-03-28
15. CENTENE CORP
2014-05-12
2016-03-28
37. CLEAN HARBORS INC COMMON
2013-09-19
2016-03-28
92. DARLING INTERNATIONAL INC
2016-03-28
18. DEUTSCHE POST AG SPON ADR
2015-08-19
2016-03-28
11. DUNKIN BRANDS GROUP INC
2015-02-12
2016-03-28
12. GEMALTO NV ADR
2015-12-01
2016-03-28
29. HANESBRANDS INC
2013-04-11
2016-03-28
49. HOST MARRIOTT CORP NEW COM
2015-04-27
2016-03-28
13. IDEX CORP
2011-11-21
2016-03-28
7. ISHARES RUSSELL MIDCAP INDEX FUND
2015-12-01
2016-03-28
3. CEF ISHARES TR S&P
2015-12-01
2016-03-28
80.337 LAZARD EMERGING MARKETS FD INSTL CL
2013-02-21
2016-03-28
10. LOWES COMPANIES INCORPORATED
2015-10-02
2016-03-28
5. MEAD JOHNSON NUTRITION CO CL A
2014-05-12
2016-03-28
41. OGE ENERGY CORP COMMON
2015-02-12
2016-03-28
42.396 OPPENHEIMER DEVELOPING MKT
2013-02-21
2016-03-28
9. PEPSICO INCORPORATED
2014-05-12
2016-03-28
12. QUALCOMM INC COMMON
2014-08-12
2016-03-28
9. SABMILLER PLC
2015-10-02
2016-03-28
49. SECOM LTD ADR
2013-09-19
2016-03-28
112. SUMITOMO MITSUI SPONS ADR
2016-03-28
650. SUMITOMO MITSUI SPONS ADR
2016-03-28
16. TIME WARNER CABLE INC
2013-07-11
2016-03-28
17. VERIZON COMMUNICATIONS INC
2016-03-28
26. WESTERN UNION COMPANY
2014-05-12
2016-03-28
33. WESTROCK CO COMMON
2015-02-12
2016-03-28
16. MARKIT LTD
2015-08-19
2016-03-28
81. ADT CORP COMMON
2016-05-02
159. ADT CORP COMMON
2016-05-02
42. AGCO CORPORATION COMMON
2016-05-10
1. ADIDAS AG ADR
2015-04-27
2016-05-10
16. ADIDAS AG ADR
2015-08-19
2016-05-10
188.638 ARTISAN INTERNATIONAL SMALL CAP FUND # 1
2016-05-10
777.917 ARTISAN INTERNATIONAL SMALL CAP FUND # 1
2016-05-10
21. ASTRAZENECA PLC SPONS ADR
2015-08-19
2016-05-10
47. ATOS ORIGIN SA -UNSP ADR
2015-08-19
2016-05-10
23. BROADRIDGE FINANCIAL SOLUTIONS INC
2016-05-10
35. CARLSBERG A/S
2016-02-05
2016-05-10
25. CENTENE CORP
2016-05-10
26. CHICAGO BRIDGE & IRON CO N V N Y
2016-05-10
40. CLEAN HARBORS INC COMMON
2016-05-10
177. DARLING INTERNATIONAL INC
2016-05-10
22. DEUTSCHE POST AG SPON ADR
2015-02-12
2016-05-10
41. FLOWSERVE CORP COM
2016-05-10
50. HANESBRANDS INC
2013-04-11
2016-05-10
44.631 HOTCHKIS & WILEY HIGH YIELD FUND-I
2015-08-19
2016-05-10
19. IDEX CORP
2011-11-21
2016-05-10
40. INFINEON TECHNOLOGIES AG SPON ADR
2015-02-12
2016-05-10
46. ISHARES RUSSELL MIDCAP INDEX FUND
2015-12-01
2016-05-10
22. CEF ISHARES TR S&P
2015-12-01
2016-05-10
110. KNOWLES CORP COMMON
2016-05-10
21. KONINKLIJKE PHILIPS ELECTRS
2013-09-19
2016-05-10
18. LOWES COMPANIES INCORPORATED
2015-10-02
2016-05-10
13. MURPHY USA INC. COMMON
2016-05-10
51. NEWFIELD EXPL CO COM
2016-05-10
52. OGE ENERGY CORP COMMON
2016-05-10
52. OTSUKA HOLDINGS LTD
2014-02-21
2016-05-10
20. POLARIS INDUSTRIES INC
2016-05-10
22. ROCHE HLDG LTD SPONS ADR
2016-05-10
72. ROYAL DSM NV SPON ADR
2016-05-10
20. ROYAL DUTCH SHELL PLC SPONSORED
2015-12-01
2016-05-10
63. SEIKO EPSON CORPORATION
2015-10-02
2016-05-10
174. SEVEN & I HOLDINGS UNSPN ADR
2016-05-10
72.605 STERLING CAPITAL CORPORATE FUND-I
2016-03-30
2016-05-10
3191.349 STERLING CAPITAL CORPORATE FUND-I
2016-05-10
49. SUNTORY BEVERAGE & FOOD -UADR
2014-05-12
2016-05-10
24. THOR INDUSTRIES INC
2016-05-10
56. THE TIMKEN COMPANY COMMON
2016-05-10
12. TOTAL S A SPONSORED
2015-12-01
2016-05-10
48. TRINITY INDS INC
2011-11-21
2016-05-10
18. VODAFONE GROUP PLC SPON ADR
2013-07-11
2016-05-10
85. WESTERN UNION COMPANY
2014-05-12
2016-05-10
26. WESTROCK CO COMMON
2015-02-12
2016-05-10
25. PENTAIR PLC COMMON
2016-05-10
CAPITAL GAIN DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
1,712
1,828
-116
b
2,047
1,704
343
c
1,638
1,401
237
d
2,988
3,345
-357
e
606
342
264
2,085
1,734
351
2,088
2,036
52
640
326
314
605
440
165
3,445
2,999
446
750
659
91
988
932
56
1,716
1,736
-20
745
571
174
2,059
2,066
-7
531
977
-446
669
552
117
3,352
3,509
-157
57,737
58,466
-729
3,083
3,610
-527
2,504
3,743
-1,239
532
636
-104
592
574
18
749
674
75
3,705
2,386
1,319
1,722
1,155
567
618
469
149
930
756
174
1,115
794
321
1,135
985
150
1,759
1,370
389
7,574
4,619
2,955
2,489
2,649
-160
641
711
-70
9,235
8,387
848
5,323
8,605
-3,282
981
1,120
-139
7,567
4,746
2,821
414
508
-94
3,102
3,777
-675
5,200
5,390
-190
5,213
5,242
-29
308
341
-33
3,651
3,762
-111
8,853
7,320
1,533
3,382
3,725
-343
1,711
1,592
119
3,030
3,090
-60
7,492
8,652
-1,160
2,105
2,982
-877
229
262
-33
6,861
6,919
-58
4,579
4,631
-52
3,129
3,162
-33
1,787
3,314
-1,527
4,002
5,390
-1,388
2,392
2,435
-43
2,760
3,288
-528
7,662
8,553
-891
3,461
3,517
-56
1,314
1,346
-32
2,179
2,226
-47
4,905
3,533
1,372
1,381
1,985
-604
3,505
4,304
-799
1,401
1,715
-314
734
888
-154
3,893
3,233
660
2,457
2,494
-37
3,652
3,801
-149
12,563
12,782
-219
5,235
4,229
1,006
2,927
2,666
261
2,474
2,226
248
4,584
5,224
-640
3,960
4,322
-362
2,023
1,934
89
1,380
1,155
225
4,338
3,529
809
963
897
66
2,951
4,064
-1,113
3,860
2,749
1,111
2,009
1,210
799
2,665
4,488
-1,823
2,147
2,925
-778
2,361
4,298
-1,937
2,642
3,027
-385
478
413
65
5,413
4,646
767
3,478
2,380
1,098
4,118
3,172
946
2,841
2,478
363
1,321
1,037
284
1,273
1,428
-155
1,778
1,418
360
1,372
1,125
247
2,015
2,187
-172
1,044
575
469
1,869
1,589
280
2,880
2,742
138
4,160
2,930
1,230
1,854
2,344
-490
3,126
3,412
-286
1,495
2,303
-808
1,130
906
224
2,824
2,475
349
1,318
8,182
-6,864
2,211
3,336
-1,125
8,250
7,254
996
2,255
1,174
1,081
2,937
2,576
361
791
805
-14
882
1,184
-302
1,702
1,950
-248
4,310
2,948
1,362
738
2,748
-2,010
460
3,402
-2,942
339
401
-62
2,948
2,953
-5
2,329
1,898
431
3,213
3,966
-753
227
256
-29
3,081
4,824
-1,743
2,280
2,685
-405
3,923
4,773
-850
1,960
4,906
-2,946
1,559
2,727
-1,168
1,960
2,309
-349
588
700
-112
66,437
72,591
-6,154
2,561
2,736
-175
4,243
4,512
-269
881
899
-18
2,228
3,464
-1,236
441
741
-300
1,629
1,651
-22
3,147
3,317
-170
1,735
1,751
-16
3,678
3,706
-28
24,431
25,619
-1,188
2,413
2,172
241
3,549
2,884
665
12,234
11,009
1,225
1,821
1,756
65
999
792
207
2,648
4,475
-1,827
2,064
1,691
373
1,053
1,301
-248
2,282
4,177
-1,895
347
222
125
933
530
403
1,764
2,184
-420
1,132
1,579
-447
491
515
-24
511
520
-9
427
383
44
822
358
464
802
1,020
-218
1,070
442
628
1,121
1,167
-46
328
351
-23
1,149
1,577
-428
749
688
61
413
437
-24
1,149
1,381
-232
1,289
1,491
-202
910
781
129
600
889
-289
545
506
39
937
770
167
680
869
-189
3,945
5,725
-1,780
3,246
1,847
1,399
908
836
72
491
427
64
1,267
2,246
-979
553
470
83
3,402
2,594
808
6,678
5,154
1,524
2,200
1,811
389
64
41
23
1,027
598
429
4,346
4,504
-158
17,923
17,355
568
608
702
-94
851
738
113
1,406
715
691
685
598
87
1,474
488
986
982
1,338
-356
1,944
2,358
-414
2,559
2,451
108
648
726
-78
1,898
2,372
-474
1,393
617
776
505
542
-37
1,564
646
918
550
461
89
7,612
7,671
-59
2,500
2,572
-72
1,443
1,832
-389
560
687
-127
1,386
1,238
148
864
836
28
1,916
1,598
318
1,588
1,644
-56
1,037
797
240
1,767
2,377
-610
689
816
-127
1,078
1,388
-310
1,009
999
10
535
455
80
3,824
3,263
561
741
733
8
32,584
33,393
-809
1,199
882
317
1,572
939
633
1,884
1,951
-67
585
596
-11
856
644
212
587
967
-380
1,642
1,397
245
1,100
1,770
-670
1,457
1,229
228
2,483
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
-116
b
343
c
237
d
-357
e
264
351
52
314
165
446
91
56
-20
174
-7
-446
117
-157
-729
-527
-1,239
-104
18
75
1,319
567
149
174
321
150
389
2,955
-160
-70
848
-3,282
-139
2,821
-94
-675
-190
-29
-33
-111
1,533
-343
119
-60
-1,160
-877
-33
-58
-52
-33
-1,527
-1,388
-43
-528
-891
-56
-32
-47
1,372
-604
-799
-314
-154
660
-37
-149
-219
1,006
261
248
-640
-362
89
225
809
66
-1,113
1,111
799
-1,823
-778
-1,937
-385
65
767
1,098
946
363
284
-155
360
247
-172
469
280
138
1,230
-490
-286
-808
224
349
-6,864
-1,125
996
1,081
361
-14
-302
-248
1,362
-2,010
-2,942
-62
-5
431
-753
-29
-1,743
-405
-850
-2,946
-1,168
-349
-112
-6,154
-175
-269
-18
-1,236
-300
-22
-170
-16
-28
-1,188
241
665
1,225
65
207
-1,827
373
-248
-1,895
125
403
-420
-447
-24
-9
44
464
-218
628
-46
-23
-428
61
-24
-232
-202
129
-289
39
167
-189
-1,780
1,399
72
64
-979
83
808
1,524
389
23
429
-158
568
-94
113
691
87
986
-356
-414
108
-78
-474
776
-37
918
89
-59
-72
-389
-127
148
28
318
-56
240
-610
-127
-310
10
80
561
8
-809
317
633
-67
-11
212
-380
245
-670
228
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
-21,700
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2014
78,233
1,611,736
0.04854
2013
80,699
1,639,677
0.049216
2012
79,764
1,592,963
0.050073
2011
81,909
1,569,682
0.052182
2010
81,055
1,593,552
0.050864
2
Total
of line 1, column (d)
.....................
2
0.250875
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
0.050175
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5
.....
4
1,497,935
5
Multiply line 4 by line 3
......................
5
75,159
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
238
7
Add lines 5 and 6
........................
7
75,397
8
Enter qualifying distributions from Part XII, line 4
.............
8
82,286
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
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
238
here
and 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
238
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
238
6
Credits/Payments:
a
2015 estimated tax payments and 2014 overpayment credited to 2015
6a
860
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
860
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
622
11
Enter the amount of line 10 to be:
Credited to 2015 estimated tax
240
Refunded
11
382
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
VA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2015)
Form 990-PF (2015)
Page
5
Part VII-A
Statements Regarding Activities (continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions)
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement (see instructions)
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
BRANCH BANKING & TRUST COMPANY
Telephone no.
(540) 665-4254
Located at
38 ROUSE AVE
WINSCHESTER
VA
ZIP+4
22601
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.......
and enter the amount of tax-exempt interest received or accrued during the year
......
15
16
At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
No
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
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?
......................
Yes
No
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? (see instructions)
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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
BRANCH BANKING AND TRUST COMPANY
TRUSTEE
1
20,982
38 ROUSE AVE
WINCHESTER
,
VA
22601
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
...................
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
.............
0
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
.........................
Form
990-PF
(2015)
Form 990-PF (2015)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations,see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
1,482,461
b
Average of monthly cash balances
.......................
1b
38,285
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,520,746
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
1,520,746
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
22,811
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,497,935
6
Minimum investment return.
Enter 5% of line 5
..................
6
74,897
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
74,897
2a
Tax on investment income for 2015 from Part VI, line 5
......
2a
238
b
Income tax for 2015. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
238
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
74,659
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
74,659
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
74,659
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
82,286
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
82,286
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
238
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
82,048
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
74,659
2
Undistributed income, if any, as of the end of 2015:
a
Enter amount for 2014 only
.......
16,621
b
Total for prior years:
2013
,
20
,
20
0
3
Excess distributions carryover, if any, to 2015:
a
From 2010
......
0
b
From 2011
......
0
c
From 2012
......
0
d
From 2013
......
0
e
From 2014
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2015 from Part
XII, line 4:
$
82,286
a
Applied to 2014, but not more than line 2a
16,621
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2015 distributable amount
.....
65,665
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2015.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2014. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2016. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2015
..........
8,994
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2010 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2016.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2011
....
0
b
Excess from 2012
....
0
c
Excess from 2013
....
0
d
Excess from 2014
....
0
e
Excess from 2015
....
0
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
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2015
(b)
2014
(c)
2013
(d)
2012
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
NONE
b
List 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
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
DENA KANE
38 ROUSS AVE
WINCHESTER
,
VA
226014738
(540) 665-4218
b
The form in which applications should be submitted and information and materials they should include:
WRITTEN REQUEST - MUST DEMONSTRATE NEED AND QUALIFICATIONS WITHIN PARAMETERS OF FOUNDATION PURPOSE.
c
Any submission deadlines:
MAY 31, ANNUALLY
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
CHARITIES MUST BE IN WINCHESTER AND SURROUNDING AREAS. EMPHASIS IS PLACED ON PERSONAL SERVICES.
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)
a
Paid during the year
VA UNITED METHODIST HOMES INC
7113 THREE CHOPT RD STE 30
RICHMOND
,
VA
23226
NONE
EXEMPT
GENERAL FUNDS
9,966
AMERICAN CANCER SOCIETY
PO BOX 720366
OKLAHOMA CITY
,
OK
73162
NONE
PUBLIC CHARITY
GENERAL FUNDS
500
BILLY GRAHAM EVANGELISTIC ASSN
1 BILLY GRAHAM PARKWAY
CHARLOTTE
,
NC
28201
NONE
PUBLIC CHARITY
GENERAL FUNDS
9,966
FERRUM COLLEGE
COLLEGE RELATIONS OFFICE
FERRUM
,
VA
24088
NONE
PUBLIC CHARITY
SCHOLARSHIP FUNDS
9,966
ADULT CARE CENTER OF THE NORTHERN
SHENANDOAH VALLEY INC
115 WOLFE ST
WINCHESTER
,
VA
22601
NONE
PUBLIC CHARITY
TO ASSIST NEEDY ELDERLY
1,300
AMERICAN RED CROSS
561 FORTRESS DR
WINCHESTER
,
VA
22603
NONE
PUBLIC CHARITY
EMERGENCY ASSISTANCE
900
BIG BROTHERSBIG SISTERS OF
WINCHESTER FREDERICK & CLARKE CNTY
121 YOUTH DEVELOPMENT COURT
WINCHESTER
,
VA
22601
NONE
PUBLIC CHARITY
GENERAL FUNDS
1,000
BLUE RIDGE AREA FOOD BANK
P O BOX 937
VERONA
,
VA
24482
NONE
PUBLIC CHARITY
PUBLIC ASSISTANCE FOR NEEDY
1,200
BLUE RIDGE HOSPICE INC
333 WEST CORK ST
WINCHESTER
,
VA
22604
NONE
PUBLIC CHARITY
GENERAL FUNDS
1,000
C-CAP OF WINCHESTER
PO BOX 2112
WINCHESTER
,
VA
22604
NONE
PUBLIC CHARITY
GENERAL FUNDS
1,200
CHILD ASSAULT PREVENTION PROGRAM
125 YOUTH DEVELOPMENT COURT
WINCHESTER
,
VA
22602
NONE
PUBLIC CHARITY
GENERAL FUNDS
1,000
CONCERN HOTLINE
P O BOX 2032
WINCHESTER
,
VA
22601
NONE
PUBLIC CHARITY
GENERAL FUNDS
2,200
FREE MEDICAL CLINIC OF WINCHESTER
301 N CAMERON ST SUITE 100
WINCHESTER
,
VA
22601
NONE
PUBLIC CHARITY
GENERAL FUNDS
1,500
KIDS ARE OUR CONCERN (CLEAN)
123 YOUTH DEVELOPMENT COURT
WINCHESTER
,
VA
22602
NONE
PUBLIC CHARITY
GENERAL FUNDS
500
UNITED WAY OF WINCHESTER
FREDERICK & CLARKE COUNTIES
PO BOX 460
WINCHESTER
,
VA
22604
NONE
PUBLIC CHARITY
GENERAL FUNDS
800
WILLIAM AND HENRY EVANS HOME INC
330 EAST LEICESTER ST
WINCHESTER
,
VA
22601
NONE
PUBLIC CHARITY
GENERAL FUNDS
400
HEALTHY FAMILIES OF THE
NORTHERN SHENANDOAH VALLEY
P O BOX 146
GORE
,
VA
22637
NONE
PUBLIC CHARITY
GENERAL FUNDS
800
SALVATION ARMY OF WINCHESTER
P O BOX 2745
WINCHESTER
,
VA
22604
NONE
PUBLIC CHARITY
GENERAL FUNDS
900
VIRGINIA UNITED METHODIST FAMILY
SERVICES
3900 WEST BROAD ST
RICHMOND
,
VA
23230
NONE
PUBLIC CHARITY
ASSIST NEEDY FAMILIES
9,966
THE LAUREL CENTER
POST OFFICE BOX 14
WINCHESTER
,
VA
22604
NONE
EXEMPT
GENERAL FUNDS
1,300
BOYS AND GIRLS CLUB OF NORTHERN
WINCHESTER
121 YOUTH DEVELOPMENT COURT
WINCHESTER
,
VA
22602
NONE
EXEMPT
COMMUNITY
1,000
NATIONAL SOCIETY DAUGHTERS
OF THE AMERICAN REVOLUTION
OFFICE OF THE TREASURER GENERAL
WASHINGTON
,
DC
200065303
NONE
PUBLIC CHARITY
GENERAL FUNDS
9,966
WINCHESTER EDUCATION FOUNDATION
14 NORTH BRADDOCK STREET
WINCHESTER
,
VA
22601
NONE
EXEMPT
EDUCATIONAL
3,000
GENERAL BOARD OF GLOBAL MINISTR
ATTN XENON ANTONE
NEW YORK
,
NY
10115
NONE
PUBLIC CHARITY
GENERAL FUNDS
9,966
TIMBER RIDGE SCHOOL
PO BOX 3160
WINCHESTER
,
VA
22604
NONE
EXEMPT
EDUCATIONAL
500
Total
.................................
3a
80,796
b
Approved for future payment
Total
.................................
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees 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
46,085
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
-21,700
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
FEDERAL REFUND
204
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
24,589
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
24,589
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2015)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)?
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2015)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description
-
TIN:
TY 2015 OtherDecreasesSchedule
Name:
RIDGEWAY EM-CHARITTUW
EIN:
54-6202908
Description
Amount
ROUNDING
8
-
TIN:
TY 2015 OtherIncreasesSchedule
Name:
RIDGEWAY EM-CHARITTUW
EIN:
54-6202908
Description
Amount
DIFF IN MUTUAL FDS REC/REPORTED
514