Form990-PF
Click to see attachment

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
Simmons Foundation - PerkinsThompson
 
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 426 One Canal Plaza
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Portland, ME04112
A Employer identification number

01-0277832
B Telephone number (see instructions)

(207) 774-2635
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$2,738,827
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... 64,451 64,451  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -103,094
b Gross sales price for all assets on line 6a 1,927,540
7 Capital gain net income (from Part IV, line 2)... 620,257
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ -38,643 684,708  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 1,750 875   875
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 7,156 3,578   3,578
b Accounting fees (attach schedule)....... 2,700 900   1,800
c Other professional fees (attach schedule).... 22,483 22,483    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 5,404      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 540 270   270
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 40,033 28,106   6,523
25 Contributions, gifts, grants paid....... 135,597 135,597
26 Total expenses and disbursements. Add lines 24 and 25 175,630 28,106   142,120
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -214,273
b Net investment income (if negative, enter -0-) 656,602
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............. 15,356 22,613 22,613
2 Savings and temporary cash investments......... 89,986 89,892 89,892
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) 207,771    
b Investments—corporate stock (attach schedule)....... 2,173,500 Click to see attachment1,919,693 1,919,693
c Investments—corporate bonds (attach schedule)....... 462,526 Click to see attachment704,873 704,873
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 bullet3,848
Less: accumulated depreciation (attach schedule) bullet3,598 250 Click to see attachment250 250
15 Other assets (describe bullet) Click to see attachment8,865 Click to see attachment1,506 Click to see attachment1,506
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,958,254 2,738,827 2,738,827
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) Click to see attachment9,750 Click to see attachment4,596
23 Total liabilities (add lines 17 through 22)......... 9,750 4,596
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 2,948,504 2,734,231
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 2,948,504 2,734,231
31 Total liabilities and net assets/fund balances (see instructions). 2,958,254 2,738,827
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
2,948,504
2
Enter amount from Part I, line 27a .....................
2
-214,273
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
2,734,231
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
2,734,231
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 Actavis Plc 120 shrs P 2015-03-18 2015-05-08
b Biogen Inc 7 shrs P 2015-07-16 2015-10-19
c EOG RES Inc Com 25 shrs P 2014-11-12 2015-01-05
d Fidelity Finl TR Convert 86 shrs P 2014-07-01 2015-02-18
e Fidelity Small Cap Discovery 293 shrs P 2014-09-16 2015-01-05
Fidelity Small Cap Discovery 116 shrs P 2014-09-16 2015-06-02
Goldman Sachs Strategic Income 3805 shrs P 2015-07-01 2015-11-18
IShares Gold Trust 260 shrs P 2015-01-05 2015-06-02
IShares Gold Trust 2768 shrs P 2015-01-05 2015-08-06
MetLife Inc 20 shrs P 2015-05-08 2015-06-02
Nuveen Dividend Value 2744 shrs P 2015-01-01 2015-06-02
Oakmark International 527 shrs P 2015-05-08 2015-06-02
Oppenheimer Developing Mkts 145 shrs P 2015-05-08 2015-06-02
Pimco Commodity Real Return Strategy 1949 shrs P 2015-01-05 2015-06-02
Pimco Emerging Mkts Bond 2174 shrs P 2014-07-01 2015-01-12
Priceline Group Inc 4 shrs P 2015-05-08 2015-06-02
Principal Midcap Instl 810 shrs P 2014-09-16 2015-01-05
Principal Midcap Instl 528 shrs P 2015-05-08 2015-06-02
Whole Food Market Inc 21 shrs P 2015-05-08 2015-06-02
Wisdomtree Europe Hedged Equity 55 shrs P 2015-05-08 2015-06-02
Abbott Labs 365 shrs P 2013-01-15 2015-07-16
Actavis Plc 1 shr P 2012-12-04 2015-03-31
Actavis Plc 1 shr P 2012-12-04 2015-05-08
Allergan Plc 214 shrs P 2014-01-01 2015-07-16
Biogen 15 shrs P 2013-12-16 2015-10-19
Boeing Co 54 shrs P 2014-01-01 2015-07-16
California Res Corp 18 shrs P 2013-01-15 2015-01-05
Chubb Corporation 19 shrs P 2012-06-27 2015-07-16
Conocophillips Com 165 shrs P 2012-11-01 2015-07-16
Costco Whsl Corp 102 shrs P 2012-04-27 2015-07-16
Cummins Engine Inc 8 shrs P 2013-12-16 2015-06-02
CVS Corp 69 shrs P 2012-06-27 2015-07-16
Discover Financial Services 550 shrs P 2012-04-27 2015-07-16
Dupont E I DE Nemours & Co 189 shrs P 2012-11-01 2015-07-16
Express Scripts Hldg Co 210 shrs P 2012-04-27 2015-07-16
Fidelity Finl Tr Convert 664 shrs P 2013-12-26 2015-02-18
Fidelity Floating Rate High Income 1041 shrs P 2013-12-26 2015-01-12
Fidelity Floating Rate High Income 30 shrs P 2013-12-26 2015-02-18
General Mills Inc 155 shrs P 2012-06-27 2015-07-16
Genuine Parts Co 150 shrs P 2012-11-01 2015-07-16
Goldman Sachs Strategic Income 6194 shrs P 2014-01-01 2015-11-18
IShares US Home Construction 635 shrs P 2012-09-24 2015-07-16
JP Morgan Chase & Co 5 shrs P 2012-11-01 2015-07-16
Motorola Solutions Inc 181 shrs P 2014-01-01 2015-07-16
Nextera Energy Inc 104 shrs P 2012-04-27 2015-07-16
Occidental Petroleum 45 shrs P 2013-01-15 2015-01-05
Oracle Corporation 446 shrs P 2011-06-17 2015-07-16
Pimco Funds Low Duration 3 shrs P 2013-12-26 2015-02-18
Pimco High Yield 1141 shrs P 2013-12-26 2015-01-12
Pimco High Yield 20 shrs P 2013-12-26 2015-02-18
Proctor & Gamble 102 shrs P 2013-05-07 2015-05-08
Proctor & Gamble 21 shrs P 2013-05-07 2015-06-02
Prudential Finl Inc 35 shrs P 2012-04-27 2015-06-02
Prudential Finl Inc 276 shrs P 2014-01-01 2015-07-16
Prudential Finl Inc 19 shrs P 2013-01-15 2015-07-22
Qualcomm Ins 169 shrs P 2012-09-24 2015-07-16
Schlumberger Ltd 99 shrs P 2012-09-24 2015-07-16
Southwest Airlines Co 419 shrs P 2014-03-20 2015-07-16
Southwest Airlines Co 51 shrs P 2014-03-20 2015-07-22
Thermo Electron 256 shrs P 2012-04-27 2015-07-16
TJX Cos Inc 344 shrs P 2011-11-08 2015-07-16
United Parcel Service 109 shrs P 2013-01-15 2015-05-08
United Parcel Service 11 shrs P 2013-01-15 2015-06-02
United Parcel Service 86 shrs P 2012-11-01 2015-07-16
United Technologies Corp 111 shrs P 2014-01-01 2015-07-16
Unitedhealth Group Inc 266 shrs P 2014-01-01 2015-07-16
US Bancorp Del 270 shrs P 2012-11-01 2015-03-06
US Bancorp Del 10 shrs P 2012-11-01 2015-05-08
Vanguard Ftse Developed Markets 75 shrs P 2012-06-27 2015-01-05
Vanguard Mid-Cap 1606 shrs P 2014-01-01 2015-07-16
Vanguard REIT 302 shrs P 2012-06-27 2015-07-16
Vanguard Small Cap Value 140 shrs P 2012-06-27 2015-07-16
Wells Fargo & Co 275 shrs P 2012-11-06 2015-07-16
3M Co 113 shrs P 2001-01-01 2015-07-16
Allergan Inc. 325 shrs P 2010-03-10 2015-03-18
Apple Computer Inc. 75 shrs P 2006-03-22 2015-07-16
AT&T Inc. 347 shrs P 2009-02-17 2015-07-16
California Res Corp 28 shrs P 2009-12-22 2015-01-05
Capital One Finl Corp 294 shrs P 2010-03-10 2015-07-16
ChevronTexaco Corp 275 shrs P 2009-02-04 2015-07-16
EMC Corp 480 shrs P 2008-07-10 2015-07-16
Exxon Mobil Corp 248 shrs P 2001-01-01 2015-07-16
Federal Farm Credit Bank 25,000 P 2009-10-15 2015-05-18
Federal Farm Credit Bank 25,000 P 2010-01-28 2015-05-18
Federal Farm Credit Bank 50,000 P 2006-01-03 2015-05-18
Federal Home Loan Bank 50,000 P 2010-03-30 2015-05-18
Federal Home Loan Bank 25,000 P 2010-09-27 2015-05-18
Federal Home Loan Bank 25,000 P 2010-10-12 2015-05-18
Genuine Parts Co. 250 shrs P 2008-07-10 2015-07-16
Gilead Sciences Inc. 276 shrs P 2010-07-02 2015-07-16
Google Inc. CL A 23 shrs P 2010-06-22 2015-07-16
Google Inc. CL C 1 shr P 2010-06-22 2015-05-12
Google Inc. CL C 15 shrs P 2010-06-22 2015-07-16
Google Inc. CL C 4 shrs P 2010-06-22 2015-07-22
Home Depot Inc. 199 shrs P 2002-08-09 2015-07-16
Intel Corp 161 shrs P 2008-12-24 2015-07-16
JP Morgan Chase & Co 171 shrs P 2008-10-17 2015-07-16
McDonalds Corp 134 shrs P 2010-06-22 2015-07-16
Microsoft Corp 316 shrs P 2008-06-17 2015-07-16
Occidental Petroleum Corp 70 shrs P 2009-12-22 2015-03-06
Omnicon Group 241 shrs P 2010-06-24 2015-07-16
Phillips 66 148 shrs P 2010-05-24 2015-07-16
State Street Corp 291 shrs P 2009-02-17 2015-07-16
US Bancorp Del 13 shrs P 2010-06-24 2015-05-08
US Bancorp Del 507 shrs P 2010-06-24 2015-07-16
Vanguard FTSE Emerging Markets ETF 700 shrs P 2010-06-24 2015-07-16
Vanguard Small Cap Value ETF 191 shrs P 2009-02-04 2015-07-16
Vanguard Small Cap Growth ETF 235 shrs P 2008-12-24 2015-07-16
Vanguard Small Cap Growth ETF 24 shrs P 2008-12-24 2015-07-22
Verizon Communications 450 shrs P 2008-12-24 2015-07-16
Wells Fargo & Co 212 shrs P 2009-02-17 2015-07-16
Ishares Gold Trust 260 shrs P 2008-12-24 2015-07-31
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 35,094 0 36,702 -1,608
b 1,898 0 2,835 -937
c 2,158 0 2,446 -288
d 2,841 0 2,805 36
e 8,569 0 8,903 -334
3,582 0 3,537 45
37,747 0 38,516 -769
2,985 0 3,047 -62
29,018 0 30,736 -1,718
1,057 0 1,046 11
46,123 0 46,454 -331
13,314 0 13,435 -121
5,152 0 5,252 -100
8,597 0 8,675 -78
21,649 0 23,902 -2,253
4,788 0 4,819 -31
17,390 0 17,900 -510
12,395 0 12,379 16
861 0 891 -30
3,563 0 3,604 -41
18,147 0 12,100 6,047
218 0 62 156
89 0 27 62
67,852 0 18,421 49,431
4,068 0 4,133 -65
8,008 0 3,949 4,059
89 0 150 -61
2,315 0 1,345 970
9,547 0 9,651 -104
14,703 0 9,096 5,607
1,088 0 1,069 19
7,617 0 3,174 4,443
32,570 0 18,826 13,744
11,268 0 8,142 3,126
19,122 0 11,798 7,324
21,837 0 20,702 1,135
10,019 0 10,373 -354
292 0 299 -7
8,835 0 5,814 3,021
13,617 0 9,611 4,006
61,447 0 65,842 -4,395
17,621 0 12,941 4,680
347 0 213 134
10,715 0 8,369 2,346
10,852 0 6,723 4,129
3,488 0 3,560 -72
18,196 0 14,024 4,172
29 0 30 -1
10,429 0 10,954 -525
182 0 188 -6
8,254 0 7,940 314
1,645 0 1,635 10
2,995 0 2,152 843
24,636 0 16,312 8,324
1,687 0 1,088 599
10,916 0 10,779 137
8,307 0 7,368 939
14,468 0 10,014 4,454
1,764 0 1,219 545
34,949 0 14,088 20,861
23,905 0 10,346 13,559
10,934 0 8,651 2,283
1,095 0 873 222
8,381 0 6,368 2,013
12,342 0 9,962 2,380
33,148 0 15,010 18,138
12,066 0 9,104 2,962
437 0 337 100
2,758 0 2,284 474
207,989 0 131,765 76,224
23,764 0 19,047 4,717
15,247 0 9,246 6,001
15,969 0 9,441 6,528
17,755 0 671 17,084
78,699 0 20,253 58,446
9,625 0 663 8,962
12,183 0 8,061 4,122
139 0 230 -91
26,704 0 11,525 15,179
25,921 0 19,719 6,202
12,062 0 6,389 5,673
20,553 0 790 19,763
25,518 0 25,427 91
25,567 0 25,677 -110
51,272 0 50,335 937
52,599 0 50,182 2,417
25,102 0 25,171 -69
25,460 0 25,345 115
22,695 0 9,725 12,970
32,772 0 4,826 27,946
13,707 0 5,641 8,066
51 0 24 27
8,632 0 3,679 4,953
2,654 0 981 1,673
22,788 0 5,582 17,206
4,786 0 2,286 2,500
11,865 0 6,975 4,890
13,114 0 8,409 4,705
14,697 0 9,170 5,527
5,239 0 5,479 -240
17,682 0 8,813 8,869
12,314 0 3,611 8,703
23,050 0 6,771 16,279
569 0 298 271
23,251 0 11,631 11,620
28,020 0 15,306 12,714
20,801 0 7,114 13,687
32,028 0 9,397 22,631
3,249 0 960 2,289
21,492 0 13,056 8,436
12,311 0 3,052 9,259
10 0 0 10
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 -1,608
b 0 0 0 -937
c 0 0 0 -288
d 0 0 0 36
e 0 0 0 -334
0 0 0 45
0 0 0 -769
0 0 0 -62
0 0 0 -1,718
0 0 0 11
0 0 0 -331
0 0 0 -121
0 0 0 -100
0 0 0 -78
0 0 0 -2,253
0 0 0 -31
0 0 0 -510
0 0 0 16
0 0 0 -30
0 0 0 -41
0 0 0 6,047
0 0 0 156
0 0 0 62
0 0 0 49,431
0 0 0 -65
0 0 0 4,059
0 0 0 -61
0 0 0 970
0 0 0 -104
0 0 0 5,607
0 0 0 19
0 0 0 4,443
0 0 0 13,744
0 0 0 3,126
0 0 0 7,324
0 0 0 1,135
0 0 0 -354
0 0 0 -7
0 0 0 3,021
0 0 0 4,006
0 0 0 -4,395
0 0 0 4,680
0 0 0 134
0 0 0 2,346
0 0 0 4,129
0 0 0 -72
0 0 0 4,172
0 0 0 -1
0 0 0 -525
0 0 0 -6
0 0 0 314
0 0 0 10
0 0 0 843
0 0 0 8,324
0 0 0 599
0 0 0 137
0 0 0 939
0 0 0 4,454
0 0 0 545
0 0 0 20,861
0 0 0 13,559
0 0 0 2,283
0 0 0 222
0 0 0 2,013
0 0 0 2,380
0 0 0 18,138
0 0 0 2,962
0 0 0 100
0 0 0 474
0 0 0 76,224
0 0 0 4,717
0 0 0 6,001
0 0 0 6,528
0 0 0 17,084
0 0 0 58,446
0 0 0 8,962
0 0 0 4,122
0 0 0 -91
0 0 0 15,179
0 0 0 6,202
0 0 0 5,673
0 0 0 19,763
0 0 0 91
0 0 0 -110
0 0 0 937
0 0 0 2,417
0 0 0 -69
0 0 0 115
0 0 0 12,970
0 0 0 27,946
0 0 0 8,066
0 0 0 27
0 0 0 4,953
0 0 0 1,673
0 0 0 17,206
0 0 0 2,500
0 0 0 4,890
0 0 0 4,705
0 0 0 5,527
0 0 0 -240
0 0 0 8,869
0 0 0 8,703
0 0 0 16,279
0 0 0 271
0 0 0 11,620
0 0 0 12,714
0 0 0 13,687
0 0 0 22,631
0 0 0 2,289
0 0 0 8,436
0 0 0 9,259
0 0 0 10
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 2 620,257
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 -9,103
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 155,266 2,859,616 0.054296
2013 168,636 2,682,289 0.062870
2012 138,132 2,488,981 0.055497
2011 149,866 2,464,219 0.060817
2010 137,674 2,424,287 0.056789
2
Total of line 1, column (d) .....................
20.290269
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
0.058054
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
2,800,705
5
Multiply line 4 by line 3......................
5
162,592
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
6,566
7
Add lines 5 and 6........................
7
169,158
8
Enter qualifying distributions from Part XII, line 4.............
8
142,120
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 13,132
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 13,132
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 13,132
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 10,558
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 8,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Original Return Overpayment: -18558 7 18,558
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 5,426
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet5,426 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)
    bulletME
    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 addressbulletN/A
    14
    The books are in care ofbulletPAUL RAUSCH CPA Telephone no.bullet (207) 774-2635

    Located atbulletPO Box 426 One Canal PlazaPortlandME ZIP+4bullet04112
    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
    ROBERT WOODWARD Pres.
    1.00
    50 0 0
    115 North High Street
    Bridgton,ME04009
    STEPHEN G WOODWARD 1st VP
    1.00
    50 0 0
    208 Lufkin Road
    North Yarmouth,ME04097
    DOROTHY WENTWORTH 2nd VP
    1.00
    50 0 0
    304 Gunpoint Road
    Harpswell,ME04079
    PAUL H RAUSCH Treasurer
    2.00
    1,250 0 0
    86 Valview Drive
    Auburn,ME04210
    DEANNA WOODWARD Trustee
    1.00
    50 0 0
    82 Rolling Hill Road
    Naples,ME04055
    ROBERT ARANSON MD Trustee
    1.00
    50 0 0
    20 Lookout Drive
    Freeport,ME04032
    TINA JENNINGS Trustee
    1.00
    50 0 0
    208 Lufkin Road
    North Yarmouth,ME04097
    REV ANITA WHITE Trustee
    1.00
    50 0 0
    15 Forest Ave
    Auburn,ME04210
    SAMUEL WOODWARD Trustee
    1.00
    50 0 0
    912 Roosevelt Trail Apt 8
    Windham,ME04062
    JOHN R OPPERMAN ESQ Trustee
    1.00
    50 0 0
    25 Woodmont Street
    Portland,ME04102
    ELIZABETH MORELAND Trustee
    1.00
    50 0 0
    111 Pond Road
    Standish,ME04084
    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
    2,824,120
    b
    Average of monthly cash balances.......................
    1b
    18,985
    c
    Fair market value of all other assets (see instructions)................
    1c
    250
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,843,355
    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
    2,843,355
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    42,650
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,800,705
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    140,035
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    140,035
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    13,132
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    13,132
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    126,903
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    126,903
    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
    126,903
    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
    142,120
    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
    142,120
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    142,120
    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 7 126,903
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012...... 6,994
    d From 2013...... 38,494
    e From 2014...... 12,945
    fTotal of lines 3a through e........ 58,433
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 142,120
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2015 distributable amount..... 126,903
    e Remaining amount distributed out of corpus 15,217
    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 73,650
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    73,650
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012.... 6,994
    c Excess from 2013.... 38,494
    d Excess from 2014.... 12,945
    e Excess from 2015.... 15,217
    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).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    PAUL RAUSCH CO PERKINS THOMPSON
    One Canal Plaza
    Portland,ME04101
    (207) 774-2635
    bThe form in which applications should be submitted and information and materials they should include:
    SEE ATTACHED SCHEDULE
    cAny submission deadlines:
    THERE ARE NO SUBMISSION DEADLINES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE ATTACHED SCHEDULE
    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
    Southern Maine Agency on Aging
    136 US Route One
    Scarborough,ME04074
      Exempt SupportFamily CaregiverProgram 3,000
    Good Shepherd Food Bank
    PO Box 1807
    Auburn,ME04211
      Exempt Capacity BldgAgencyProgram 5,000
    Camp Sunshine at Sebago Lake
    35 Acadia Road
    Casco,ME04015
      Exempt SponsorshipFamilyProgram 4,000
    Maine Housing & Building Materials Exchange
    102 Lisbon Street
    Lisbon,ME04250
      Exempt SystemPOSUpgrade 2,000
    The Progress Center
    35 Cottage Street
    Norway,ME04268
      Exempt MalutritionHigh riskProject 2,500
    Goodwill Industries of NNE
    75 Washington Ave
    Portland,ME04101
      Exempt ConnectionJobProgram 5,000
    University of Southern Maine
    96 Falmouth Street
    Portland,ME04103
      Exempt ProgramScholarship 10,000
    Gould Academy
    39 Church Street
    Bethel,ME04217
      Exempt ProgramScholarship 5,000
    Gulf of Maine Research Instit
    350 Commercial Street
    Portland,ME04101
      Exempt LearnExplore, Shareprogram 2,500
    Junior Achievement of Maine
    82 Elm Street
    Portland,ME04101
      Exempt GrantReturned -1,000
    Pine Tree Hospice
    883 West Main Street
    DoverFoxcroft,ME04426
      Exempt OperatingGeneralSupport 3,000
    American Red Cross of Maine
    2401 Congress Street
    Portland,ME04102
      Exempt PreventionHome FireCampaign 2,500
    Bangor Humane Society
    693 Mount Hope Avenue
    Bangor,ME04401
      Exempt of the VictimsSheltering Petsof Violence 3,000
    Bangor Symphony Orchestra
    PO Box 1441
    Bangor,ME04402
      Exempt ConcertYoung People'sProgram 4,000
    Cancer Community Center
    778 Main Street
    South Portland,ME04106
      Exempt Living EducationWellness & HealthyProgram 3,000
    Community Dental
    366 Route One
    Falmouth,ME04105
      Exempt ProgramAccess 2,500
    The Crowell Center
    97A Exchange Street
    Portland,ME04101
      Exempt AwarenessDisablitiesProgram 3,000
    Denmark Arts Center
    50 West Main Street
    Denmark,ME04022
      Exempt ResidencyArtist inProgram 2,000
    Friends of Lithgow Library Inc
    PO Box 2456
    Augusta,ME04338
      Exempt RenovationExpansion andProject 1,000
    Friends of Portland Adult Education
    PO Box 3185
    Portland,ME04104
      Exempt TechnologyEducationInitiative 4,000
    Grahamtastic Connection
    21 Bradeen Street Ste 107
    Springvale,ME04083
      Exempt technologyPurchaseequipment 2,000
    Hebron Academy
    Route 19
    Hebron,ME04238
      Exempt Scholarship 5,000
    HOME
    PO Box 10
    Orland,ME04472
      Exempt ProjectDaycare 5,000
    Lake Region Senior Service Inc
    PO Box 816
    Bridgton,ME04009
      Exempt AccessHealthcareProgram 5,000
    The LifeFlight Foundation
    PO Box 899
    Camden,ME04843
      Exempt EquipmentMedical 5,000
    Maine Audubon Society
    20 Gilsland Farm Road
    Falmouth,ME04105
      Exempt ProgramsSupport 2,000
    Maine College of Art
    522 Congress Street
    Portland,ME04101
      Exempt & CommunityMAT ProgramsOutreach 1,900
    Maine Jewish Film Festival
    PO Box 7465
    Portland,ME04112
      Exempt ProgramSchoolflix 4,000
    Mid Coast Hunger Prevention Program
    84A Union Street
    Brunswick,ME04011
      Exempt ProgramBackpack 3,000
    My Place Teen Center
    755 Main Street
    Westbrook,ME04092
      Exempt Programming andSchool TimeMeals 5,000
    Peregrine Corp dba STRIVE
    10 Atlantic Place
    South Portland,ME04106
      Exempt KitchenTeachingProgram 5,000
    Portland Symphony Orchestra
    50 Monument Square 2nd Flr
    Portland,ME04101
      Exempt CommunityEducation &Engagement Program 4,000
    Presque Isle Communuity Dev Assn
    12 Second Street
    Presque Isle,ME04769
      Exempt HelmetsBicycle 1,782
    Presqe Isle Historical Society
    PO Box 285
    Presque Isle,ME04769
      Exempt Camp ProjectSummer History 1,500
    SeniorsPlus
    8 Falcon Road
    Lewiston,ME04240
      Exempt Wheels ProgramMeals on 5,000
    Sexual Assault Response Services
    PO Box 1371
    Portland,ME04104
      Exempt Purchased MaterialsPrinted andProgram 5,000
    The Summer Camp Inc
    8 Church Street
    Bridgton,ME04009
      Exempt ScholarshipsCamp 3,000
    Sunrise Opportunities
    26 Hadley Lake Road
    Machias,ME04654
      Exempt Clinic ProgramDental Outreach 4,000
    Camp Susan Curtis
    1321 Washington Ave Ste 104
    Portland,ME04103
      Exempt SkillsBasic LifeDevelopment 2,415
    Total .................................bullet 3a 135,597
    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 64,451  
    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 ............
        14 -103,094  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   -38,643  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13-38,643
    (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: -18,558


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Clark, Friel and Joyce Tax and financial stmt 2,700 900   1,800

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

    TY 2015 GainLossSaleOtherAssetsSch
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    Investments   Purchased 2015-12   1,927,540 2,030,634     -103,094  

    TY 2015 GeneralExplanationAttachment
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Identifier Return Reference Explanation
      Part XV Line 2 LINE 2B THERE ARE NO PRESCRIBED FORMS FOR THE SUBMISSION OF APPLICATIONS. HOWEVER, THE FOLLOWING INFORMATION MUST BE PROVIDED: 1) THE APPLICANT'S TAX EXEMPT NUMBER 2) A COPY OF THE ORGANIZATION'S HANDBOOK 3) A BRIEF OUTLINE OF THE HISTORY OF THE ORGANIZATION 4) THE CHARITABLE PURPOSE OF THE APPLICANT ORGANIZATION 5) DETAILS REGARDING THE SPECIFIC REQUEST MADE AS PART OF THE APPLICATION FOR FUNDS LINE 2D THE FOUNDATION DOES NOT MAKE AWARDS TO INDIVIDUALS OR ORGANIZATIONS WITHOUT VALID FEDERAL INCOME TAX EXEMPTIONS. AWARDS ARE GENERALLY RESTRICTED TO ORGANIZATIONS OPERATING WITHIN MAINE.

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Dodge & Cox Income 7115 shrs 94,569 94,569
    Fidelity Floating Rate High Inc 5668 shrs 51,752 51,752
    JPMorgan Core Bond Select 12517 shrs 144,457 144,457
    Pimco High Yield 2010 shrs 16,603 16,603
    Pimco Low Duration Fund 7117 shrs 70,176 70,176
    Pimco Total Return 11699 shrs 117,816 117,816
    Pimco Investment Grade Corp Bd 17434 shrs 172,955 172,955
    Vanguard GNMA Admiral 3428 shrs 36,545 36,545

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M Co. 92 shrs 13,859 13,859
    Abbott Labs 380 shrs 17,066 17,066
    Allergan Inc. 40 shrs 12,500 12,500
    Alphabet Inc CI A 13 shrs 10,114 10,114
    Alphabet Inc CI C 17 shrs 12,901 12,901
    Amgen Inc 63 shrs 10,227 10,227
    Apple Inc 191 shrs 20,105 20,105
    AT&T Inc 53 shrs 1,824 1,824
    Berkshire Hathaway Inc Del 57 shrs 7,526 7,526
    Boeing Co 101 shrs 14,603 14,603
    Capital One Finl Corp 206 shrs 14,869 14,869
    Celgene Corp 60 shrs 7,186 7,186
    Chemours Co 86 shrs 461 461
    Chubb Corporation 161 shrs 21,355 21,355
    Cisco Systems Inc 246 shrs 6,680 6,680
    Conocophillips 225 shrs 10,505 10,505
    Cons Staples Select Sector 110 shrs 5,554 5,554
    Cummins Inc 65 shrs 5,721 5,721
    Costco Whsl Corp 103 shrs 16,634 16,634
    CVS/Health Corp 131 shrs 12,808 12,808
    Danaher Corp 49 shrs 4,551 4,551
    Dover Corp 160 shrs 9,809 9,809
    Dupont E I De Nemours & Co. 241 shrs 16,050 16,050
    Ecolab Inc 33 shrs 3,775 3,775
    EMC Corp 700 shrs 17,976 17,976
    EOG Resources Inc 78 shrs 5,522 5,522
    Express Scripts Hldg Co 175 shrs 15,297 15,297
    Exxon Mobil Corp 272 shrs 21,202 21,202
    Fidelity Small Cap Discovery 3736 shrs 98,720 98,720
    General Mills Inc 220 shrs 12,685 12,685
    Genuine Parts Co. 40 shrs 3,436 3,436
    Gilead Sciences Inc 154 shrs 15,583 15,583
    Goodyear Tire & Rubber Co 216 shrs 7,057 7,057
    Harman Intl Inds Inc 125 shrs 11,776 11,776
    Home Depot Inc. 196 shrs 25,921 25,921
    Honeywell Intl Inc 61 shrs 6,318 6,318
    Intel Corp 424 shrs 14,607 14,607
    Ishares US Home Construction 720 shrs 19,512 19,512
    ITC Holdings Corp 247 shrs 9,695 9,695
    JPMorgan Chase & Co 279 shrs 18,422 18,422
    Kroger Corp 180 shrs 7,529 7,529
    McDonalds Corp 191 shrs 22,565 22,565
    Metlife Inc 199 shrs 9,594 9,594
    Microsoft Corp 389 shrs 21,582 21,582
    Motorola Solutions Inc 284 shrs 19,440 19,440
    Nextera Energy Inc 41 shrs 4,259 4,259
    Nuveen Dividend Value 8,096 shrs 116,025 116,025
    Oakmark International 11,455 shrs 244,695 244,695
    Occidental Petroleum Corp 124 shrs 8,384 8,384
    Omnicom Group 259 shrs 19,596 19,596
    Oppenheimer Developing Markets 5,558 shrs 166,637 166,637
    Oracle Corporation 449 shrs 16,402 16,402
    Phillips 66 102 shrs 8,344 8,344
    Priceline Group Inc 13 shrs 16,574 16,574
    Principal Midcap Instl 12488 shrs 261,015 261,015
    Procter & Gamble Co 112 shrs 8,894 8,894
    Qualcomm Inc 276 shrs 13,796 13,796
    Schlumberger Limited 116 shrs 8,091 8,091
    State Street Corp 224 shrs 14,865 14,865
    Stericycle Inc 70 shrs 8,442 8,442
    Thermo Fisher Scientific Inc 134 shrs 19,008 19,008
    TJX Cos Inc 156 shrs 11,062 11,062
    United Parcel Srv Inc B 24 shrs 2,309 2,309
    United Technologies 119 shrs 11,432 11,432
    Unitedhealth Group Inc 69 shrs 8,117 8,117
    Vanguard Ftse Developed Mkt 1600 shrs 58,752 58,752
    Vanguard Mid-Cap ETF 154 shrs 18,497 18,497
    Vanguard REIT ETF 488 shrs 38,908 38,908
    Vanguard Small-Cap Growth ETF 201 shrs 24,409 24,409
    Vanguard Small-Cap Value ETF 209 shrs 20,643 20,643
    Verizon Communications 40 shrs 1,849 1,849
    Wells Fargo & Co New 333 shrs 18,102 18,102
    Wells Fargo Premier Lg Co Growth 8659 shrs 129,464 129,464

    TY 2015 LandEtcSchedule2
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Equipment 3,848 3,598 250  


    TY 2015 LegalFeesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Perkins Thompson Legal 7,156 3,578   3,578


    TY 2015 OtherAssetsSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Accrued investment income 4,307 1,506 1,506
    Tax refund 4,558    
    Accrued investment income 4,307 1,506 1,506
    Tax refund 4,558    
    Accrued investment income 4,307 1,506 1,506
    Tax refund 4,558    


    TY 2015 OtherAssetsSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Accrued investment income 4,307 1,506 1,506
    Tax refund 4,558    
    Accrued investment income 4,307 1,506 1,506
    Tax refund 4,558    
    Accrued investment income 4,307 1,506 1,506
    Tax refund 4,558    


    TY 2015 OtherAssetsSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Accrued investment income 4,307 1,506 1,506
    Tax refund 4,558    
    Accrued investment income 4,307 1,506 1,506
    Tax refund 4,558    
    Accrued investment income 4,307 1,506 1,506
    Tax refund 4,558    


    TY 2015 OtherLiabilitiesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Description Beginning of Year - Book Value End of Year - Book Value
    Deferred excise tax 9,750 2,022
    Excise tax payable   2,574
    Deferred excise tax 9,750 2,022
    Excise tax payable   2,574


    TY 2015 OtherLiabilitiesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Description Beginning of Year - Book Value End of Year - Book Value
    Deferred excise tax 9,750 2,022
    Excise tax payable   2,574
    Deferred excise tax 9,750 2,022
    Excise tax payable   2,574


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    People United Bank Investment fees 22,483 22,483    


    TY 2015 TaxesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Excise tax 5,404