Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
THE HASLAM 3 FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 10573
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
KNOXVILLE, TN37919
A Employer identification number

62-1867421
B Telephone number (see instructions)

(865) 384-4178
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$5,836,884J 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) 4,500,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 40,589 40,589  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 232,849
b Gross sales price for all assets on line 6a 644,699
7 Capital gain net income (from Part IV, line 2)... 232,849
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 4,773,438 273,438  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest............... 65,903 0   0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,434 614   20
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 16,579 16,564   15
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 83,916 17,178   35
25 Contributions, gifts, grants paid....... 5,751,546 5,751,546
26 Total expenses and disbursements. Add lines 24 and 25 5,835,462 17,178   5,751,581
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,062,024
b Net investment income (if negative, enter -0-) 256,260
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............. 1,373,258 479,974 479,974
2 Savings and temporary cash investments......... 130,035 78,028 78,028
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) bullet1,625,000
Less: allowance for doubtful accounts bullet0 1,625,000 1,625,000 1,625,000
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)....... 2,314,167 Click to see attachment2,197,434 2,731,685
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment500,000 Click to see attachment500,000 Click to see attachment922,197
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,942,460 4,880,436 5,836,884
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)...... 1,625,000 1,625,000
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 1,625,000 1,625,000
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 4,317,460 3,255,436
30 Total net assets or fund balances (see instructions)..... 4,317,460 3,255,436
31 Total liabilities and net assets/fund balances (see instructions). 5,942,460 4,880,436
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
4,317,460
2
Enter amount from Part I, line 27a .....................
2
-1,062,024
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
3,255,436
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
3,255,436
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 LONGLEAF PARTNERS GROWTH FUND 670.466 SHS   2014-11-12 2015-06-29
b LONGLEAF PARTNERS INTERNATIONAL FUND 775.434 SHS   2014-11-12 2015-06-29
c LONGLEAF PARTNERS INTERNATIONAL FUND 33.12 SHS   2014-11-12 2015-06-29
d LONGLEAF PARTNERS INTERNATIONAL FUND 68.819 SHS   2014-11-12 2015-06-29
e OAKMARK I FUND 300.061 SHS   2014-12-18 2015-06-29
OAKMARK I FUND 3.061 SHS   2014-12-18 2015-06-29
FLOWERS FOODS INC 3000 SHS   2010-08-12 2015-06-29
GABELLI ABC FUND ADV CL 2539.573 SHS   2010-09-17 2015-09-29
GABELLI ABC FUND ADV CL 57.069 SHS   2010-12-29 2015-09-29
GABELLI ABC FUND ADV CL 2.076 SHS   2010-12-29 2015-09-29
GABELLI ABC FUND ADV CL 13.746 SHS   2011-12-28 2015-09-29
GABELLI ABC FUND ADV CL 6.726 SHS   2011-12-28 2015-09-29
GABELLI ABC FUND ADV CL 48.962 SHS   2011-12-28 2015-09-29
GABELLI ABC FUND ADV CL 10.814 SHS   2012-12-18 2015-09-29
GABELLI ABC FUND ADV CL 61.094 SHS   2012-12-18 2015-09-29
GABELLI ABC FUND ADV CL 3.136 SHS   2012-12-18 2015-09-29
LONGLEAF PARTNERS INTERNATIONAL FUND 152.447 SHS   2010-12-29 2015-06-29
LONGLEAF PARTNERS INTERNATIONAL FUND 126.933 SHS   2012-11-08 2015-06-29
LONGLEAF PARTNERS INTERNATIONAL FUND 223.86 SHS   2012-12-28 2015-06-29
LONGLEAF PARTNERS INTERNATIONAL FUND 36.821 SHS   2013-12-30 2015-06-29
SELECTED AMERICAN SHARES CL D 13.057 SHS   2013-07-01 2015-06-29
SELECTED AMERICAN SHARES CL D 31.812 SHS   2013-07-01 2015-06-29
SELECTED AMERICAN SHARES CL D 184.243 SHS   2013-07-01 2015-06-29
SELECTED AMERICAN SHARES CL D 0.604 SHS   2013-12-19 2015-06-29
SELECTED AMERICAN SHARES CL D 207.978 SHS   2013-12-19 2015-06-29
SELECTED AMERICAN SHARES CL D 12.351 SHS   2013-12-19 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 4697.811 SHS   2011-06-29 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 1.065 SHS   2011-06-30 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 32.04 SHS   2011-08-31 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 30.712 SHS   2011-09-30 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 31.173 SHS   2011-10-31 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 30.299 SHS   2011-11-30 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 31.277 SHS   2011-12-30 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 31.133 SHS   2012-01-31 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 29.385 SHS   2012-02-29 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 29.08 SHS   2012-03-30 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 27.881 SHS   2012-05-31 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 23.632 SHS   2012-06-29 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 9.225 SHS   2012-07-31 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 8.947 SHS   2012-08-31 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 5.057 SHS   2012-09-28 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 8.971 SHS   2012-10-31 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 8.539 SHS   2012-11-30 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 6.511 SHS   2012-12-28 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 14.881 SHS   2012-12-28 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 8.521 SHS   2012-12-31 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 8.25 SHS   2013-01-31 2015-06-29
VANGUARD SHORT-TERM INVESTMENT GRADE ADM 7.29 SHS   2013-02-28 2015-06-29
F M C CORP 180 SHS   2014-12-16 2015-10-14
KIRBY CORPORATION 60 SHS   2014-12-09 2015-11-23
KIRBY CORPORATION 70 SHS   2015-01-09 2015-11-23
SS&C TECHNOLOGIES HLDGS 80 SHS   2014-09-23 2015-09-11
CABELAS INC 110 SHS   2013-06-24 2015-08-26
CABELAS INC 190 SHS   2013-10-09 2015-08-26
CB RICHARD ELLIS GROUP INC 280 SHS   2013-11-25 2015-01-14
F M C CORP 80 SHS   2014-06-30 2015-12-24
F M C CORP 110 SHS   2014-07-31 2015-12-24
F M C CORP 110 SHS   2014-09-12 2015-12-24
F M C CORP 10 SHS   2014-12-16 2015-12-24
HARLEY DAVIDSON INC 90 SHS   2013-01-18 2015-07-23
HARLEY DAVIDSON INC 10 SHS   2012-12-11 2015-09-11
HARLEY DAVIDSON INC 150 SHS   2012-12-13 2015-09-11
HARLEY DAVIDSON INC 60 SHS   2013-01-18 2015-09-11
MOHAWK INDUSTRIES INC 40 SHS   2013-02-20 2015-01-14
MSC INDUSTRIAL DIRECT INC CL A 15 SHS   2012-07-27 2015-11-23
MSC INDUSTRIAL DIRECT INC CL A 15 SHS   2012-07-31 2015-11-23
MSC INDUSTRIAL DIRECT INC CL A 70 SHS   2014-04-16 2015-11-23
MSC INDUSTRIAL DIRECT INC CL A 60 SHS   2014-05-15 2015-11-23
O'REILLY AUTOMOTIVE INC 40 SHS   2013-07-24 2015-02-05
O'REILLY AUTOMOTIVE INC 20 SHS   2013-07-24 2015-05-07
O'REILLY AUTOMOTIVE INC 33 SHS   2013-07-24 2015-07-23
O'REILLY AUTOMOTIVE INC 7 SHS   2013-07-24 2015-08-13
PALL CORP 70 SHS   2012-09-06 2015-06-29
PALL CORP 10 SHS   2012-11-07 2015-06-29
PALL CORP 50 SHS   2012-08-23 2015-07-23
PALL CORP 20 SHS   2012-09-06 2015-07-23
PALL CORP 50 SHS   2012-08-23 2015-07-27
PALL CORP 39 SHS   2012-08-24 2015-07-27
PALL CORP 161 SHS   2012-08-24 2015-08-13
SCRIPPS NETWORKS INTERACTIVE INC CL A 10 SHS   2012-12-12 2015-09-11
SCRIPPS NETWORKS INTERACTIVE INC CL A 90 SHS   2013-01-07 2015-09-11
SHERWIN WILLIAMS CO 40 SHS   2013-07-22 2015-05-07
TEMPUR SEALY INTERNATIONAL INC 220 SHS   2013-09-12 2015-05-07
TEMPUR SEALY INTERNATIONAL INC 10 SHS   2013-09-19 2015-05-07
TEMPUR SEALY INTERNATIONAL INC 120 SHS   2013-10-31 2015-05-07
TEMPUR SEALY INTERNATIONAL INC 100 SHS   2013-10-31 2015-07-23
TEMPUR SEALY INTERNATIONAL INC 20 SHS   2013-10-31 2015-10-14
TEMPUR SEALY INTERNATIONAL INC 80 SHS   2013-11-01 2015-10-14
WILLIAMS-SONOMA INC 90 SHS   2013-01-18 2015-03-30
WOLVERINE WORLD WIDE INC 160 SHS   2012-10-22 2015-05-07
WOLVERINE WORLD WIDE INC 80 SHS   2012-11-28 2015-05-07
WOLVERINE WORLD WIDE INC 60 SHS   2013-02-20 2015-05-07
AMETEK INC 130 SHS   2011-06-07 2015-03-31
AMETEK INC 15 SHS   2011-06-07 2015-06-29
AMETEK INC 135 SHS   2011-09-14 2015-06-29
AMETEK INC 90 SHS   2011-09-14 2015-07-23
BROOKFIELD ASSET MANAGEMENT INC 0.5 SHS   2008-11-24 2015-05-12
BROOKFIELD ASSET MANAGEMENT INC 210 SHS   2008-11-24 2015-07-23
GARMIN LTD 140 SHS   2010-10-04 2015-03-30
GARMIN LTD 100 SHS   2010-10-04 2015-05-07
KIRBY CORPORATION 80 SHS   2006-08-10 2015-11-23
MARKEL CORP 12 SHS   2010-11-05 2015-07-23
O'REILLY AUTOMOTIVE INC 58 SHS   2004-11-29 2015-08-13
O'REILLY AUTOMOTIVE INC 28 SHS   2004-11-29 2015-10-14
O'REILLY AUTOMOTIVE INC 64 SHS   2004-11-29 2015-11-23
O'REILLY AUTOMOTIVE INC 6 SHS   2004-12-07 2015-11-23
TRANSDIGM GROUP INC 24 SHS   2011-11-18 2015-07-23
TRANSDIGM GROUP INC 33 SHS   2011-11-18 2015-10-14
CAPITAL GAINS 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 19,980   21,367 -1,387
b 10,930   11,770 -840
c 467   503 -36
d 970   1,045 -75
e 19,798   19,834 -36
202   202 0
64,163   31,820 32,343
25,682   24,986 696
577   558 19
21   20 1
139   133 6
68   65 3
495   473 22
109   107 2
618   603 15
32   31 1
2,149   2,345 -196
1,789   1,681 108
3,156   3,112 44
519   659 -140
580   590 -10
1,412   1,438 -26
8,180   8,330 -150
27   30 -3
9,233   10,187 -954
548   605 -57
50,107   50,518 -411
11   11 0
342   343 -1
328   327 1
332   334 -2
323   322 1
334   333 1
332   334 -2
313   316 -3
310   312 -2
297   299 -2
252   254 -2
98   100 -2
95   97 -2
54   55 -1
96   98 -2
91   93 -2
69   71 -2
159   161 -2
91   92 -1
88   89 -1
78   79 -1
6,719   9,835 -3,116
3,831   5,223 -1,392
4,470   5,785 -1,315
5,390   3,557 1,833
4,590   7,165 -2,575
7,929   11,575 -3,646
9,372   6,660 2,712
3,247   5,714 -2,467
4,465   7,228 -2,763
4,465   6,878 -2,413
406   546 -140
5,240   4,683 557
546   480 66
8,194   7,299 895
3,277   3,122 155
6,514   4,282 2,232
909   1,041 -132
909   1,032 -123
4,242   6,156 -1,914
3,636   5,358 -1,722
8,460   4,736 3,724
4,373   2,368 2,005
7,940   3,907 4,033
1,787   829 958
8,698   3,933 4,765
1,243   595 648
6,268   2,773 3,495
2,507   1,124 1,383
6,270   2,773 3,497
4,891   2,162 2,729
20,374   8,924 11,450
524   589 -65
4,712   5,252 -540
11,199   6,884 4,315
13,211   9,213 3,998
601   444 157
7,206   4,635 2,571
6,822   3,862 2,960
1,508   772 736
6,031   3,079 2,952
7,085   4,003 3,082
4,877   3,379 1,498
2,438   1,732 706
1,829   1,330 499
6,801   3,668 3,133
814   423 391
7,330   3,334 3,996
4,992   2,223 2,769
18   4 14
7,352   1,763 5,589
6,717   4,171 2,546
4,519   2,979 1,540
5,108   2,452 2,656
10,684   4,374 6,310
14,803   1,279 13,524
6,984   617 6,367
17,085   1,411 15,674
1,602   132 1,470
5,442   1,251 4,191
7,239   1,720 5,519
81,960     81,960
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       -1,387
b       -840
c       -36
d       -75
e       -36
      0
      32,343
      696
      19
      1
      6
      3
      22
      2
      15
      1
      -196
      108
      44
      -140
      -10
      -26
      -150
      -3
      -954
      -57
      -411
      0
      -1
      1
      -2
      1
      1
      -2
      -3
      -2
      -2
      -2
      -2
      -2
      -1
      -2
      -2
      -2
      -2
      -1
      -1
      -1
      -3,116
      -1,392
      -1,315
      1,833
      -2,575
      -3,646
      2,712
      -2,467
      -2,763
      -2,413
      -140
      557
      66
      895
      155
      2,232
      -132
      -123
      -1,914
      -1,722
      3,724
      2,005
      4,033
      958
      4,765
      648
      3,495
      1,383
      3,497
      2,729
      11,450
      -65
      -540
      4,315
      3,998
      157
      2,571
      2,960
      736
      2,952
      3,082
      1,498
      706
      499
      3,133
      391
      3,996
      2,769
      14
      5,589
      2,546
      1,540
      2,656
      6,310
      13,524
      6,367
      15,674
      1,470
      4,191
      5,519
      81,960
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 2 232,849
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 6,023,856 4,336,285 1.389174
2013 2,430,084 3,938,855 0.616952
2012 1,155,580 3,460,049 0.333978
2011 2,179,619 3,499,781 0.622787
2010 759,993 3,382,880 0.224659
2
Total of line 1, column (d) .....................
23.187550
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
0.637510
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
4,254,900
5
Multiply line 4 by line 3......................
5
2,712,541
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
2,563
7
Add lines 5 and 6........................
7
2,715,104
8
Enter qualifying distributions from Part XII, line 4.............
8
5,751,581
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 2,563
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 2,563
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 2,563
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,600
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 7,200
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 8,800
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 12
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 6,225
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet6,225 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletTN
    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 ofbulletNOVINGER BALL ZIVI PC Telephone no.bullet (865) 584-1184

    Located atbullet4110 SUTHERLAND AVENUEKNOXVILLETN ZIP+4bullet37919
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    SUSAN B HASLAM PRESIDENT & DIRECTOR
    0.00     		0 0 0
    5020 LYONS VIEW PIKE
    KNOXVILLE,TN37919
    JAMES A HASLAM III VICE PRESIDENT & DIRECTOR
    0.00     		0 0 0
    5020 LYONS VIEW PIKE
    KNOXVILLE,TN37919
    JAMES E OAKLEY III SECRETARY, TREASURER & DIR
    0.00     		0 0 0
    PO BOX 52206
    KNOXVILLE,TN37950
    CYNTHIA HASLAM ARNHOLT DIRECTOR
    0.00     		0 0 0
    1103 BELLE MEADE BLVD
    NASHVILLE,TN37205
    WHITNEY H JOHNSON DIRECTOR
    0.00     		0 0 0
    849 BLUFF DRIVE
    KNOXVILLE,TN37919
    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 NO DIRECT CHARITABLE ACTIVITIES DURING THE CURRENT TAX YEAR. 0
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 NO PROGRAM RELATED INVESTMENTS DURING THE CURRENT TAX YEAR. 0
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    4,132,565
    b
    Average of monthly cash balances.......................
    1b
    187,130
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,625,000
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,944,695
    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
    1,625,000
    3
    Subtract line 2 from line 1d.........................
    3
    4,319,695
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    64,795
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,254,900
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    212,745
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    212,745
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    2,563
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,563
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    210,182
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    210,182
    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
    210,182
    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
    5,751,581
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    5,751,581
    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
    2,563
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    5,749,018
    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 7 210,182
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 596,321
    b From 2011...... 2,006,345
    c From 2012...... 986,539
    d From 2013...... 2,236,955
    e From 2014...... 5,811,814
    fTotal of lines 3a through e........ 11,637,974
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 5,751,581
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 210,182
    e Remaining amount distributed out of corpus 5,541,399
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 17,179,373
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		596,321
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		16,583,052
    10 Analysis of line 9:
    a Excess from 2011.... 2,006,345
    b Excess from 2012.... 986,539
    c Excess from 2013.... 2,236,955
    d Excess from 2014.... 5,811,814
    e Excess from 2015.... 5,541,399
    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).)
    SUSAN B HASLAM
    JAMES A HASLAM III
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    SUSAN B HASLAM
    PO BOX 10573
    KNOXVILLE,TN37919
    (865) 384-4178
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN REQUEST STATING AMOUNT AND PURPOSE OF REQUEST, MOST RECENT AUDITED FINANCIAL STATEMENTS AND COPY OF TAX EXEMPT RULING.
    cAny submission deadlines:
    JUNE 30, DECEMBER 31
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ONLY TO TAX EXEMPT 501(C)(3) ORGANIZATIONS, WITH PREFERENCE GIVEN TO ORGANIZATIONS IN EAST TENNESSEE AREA.
    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
    BACKFIELD IN MOTION INC
    920 WOODLAND ST
    NASHVILLE,TN37206     		N/A 501(C)(3) 509(A)(1) TO INSPIRE INNER-CITY BOYS TO REACH THEIR MAXIMUM POTENTIAL AND BECOME SIGNIFICANT CONTRIBUTORS TO SOCIETY. 10,000
    BOY SCOUTS OF AMERICA TRUST
    PO BOX 51885
    KNOXVILLE,TN37950     		N/A 501(C)(3) 509(A)(1) YOUTH ORGANIZATION DEDICATED TO DEVELOPING THE CITIZENSHIP, CHARACTER AND PERSONAL FITNESS OF ITS MEMBERS. 20,000
    BOYS AND GIRLS CLUBS OF CLEVELAND
    6114 BROADWAY AVENUE
    CLEVELAND,OH44127     		N/A 501(C)(3) 509(A)(1) IN SUPPORT OF THE ENDOWMENT CAMPAIGN. 20,000
    CLEVELAND CLINIC FOUNDATION
    9500 EUCLID AVENUE
    CLEVELAND,OH44195     		N/A 501(C)(3) 509(A)(1) TO INTEGRATE CLINICAL AND HOSPITAL CARE WITH RESEARCH AND EDUCATION. 16,500
    CRU
    PO BOX 628222
    ORLANDO,FL32862     		N/A 501(C)(3) 509(A)(1) TO HELP FULFILL THE GREAT COMMISSION IN THE POWER OF THE HOLY SPIRIT BY WINNING PEOPLE TO FAITH IN JESUS CHRIST. 22,400
    DOGWOOD ARTS FESTIVAL
    602 S GAY STREET
    KNOXVILLE,TN37902     		N/A 501(C)(3) 509(A)(1) TO PROMOTE AND CELEBRATE THE REGION'S ART, CULTURE, AND NATURAL BEAUTY. 10,000
    EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC
    2018 CLINCH AVENUE
    KNOXVILLE,TN37916     		N/A 501(C)(3) 509(A)(1) PROVIDING QUALITY HEALTHCARE TO INFANTS AND CHILDREN. 55,000
    EMERALD YOUTH FOUNDATION
    1718 N CENTRAL STREET
    KNOXVILLE,TN37917     		N/A 501(C)(3) 509(A)(1) TO DEVELOP CHRISTIAN LEADERS WHO USE THEIR KNOWLEDGE, SKILLS, AND GIFTS TO RENEW THEIR NEIGHBORHOODS. 57,500
    FRIENDS OF BREAKTHROUGH SCHOOLS
    3615 SUPERIOR AVE SUITE 3103A
    CLEVELAND,OH44114     		N/A 501(C)(3) 509(A)(1) TO PROVIDE HIGH-QUALITY EDUCATION FOR K-8 STUDENTS IN ORDER TO PREPARE THEM FOR SUCCESS IN HIGH SCHOOL, COLLEGE, AND BEYOND. 1,050,000
    KIDSFACT
    2100 W CLINCH AVE STE 510
    KNOXVILLE,TN37916     		N/A 501(C)(3) 509(A)(1) TO MAKE STRIDES TOWARDS AN IMPROVED QUALITY OF LIFE FOR THOSE WITH INFLAMMATORY BOWEL DISEASE (INCLUDES BOTH CROHN'S DISEASE AND ULCERATIVE COLITIS) AND TO ADVANCING KNOWLEDGE IN ORDER TO CONTRIBUTE TO BETTER TREATMENTS AND ULTIMATELY A CURE. 2,500
    KNOX YOUTH SPORTS INC
    5908 LYONS VIEW DR
    KNOXVILLE,TN37919     		N/A 501(C)(3) 509(A)(2) ORGANIZE AND OPERATE BASEBALL, SOFTBALL, AND BASKETBALL LEAGUES FOR MORE THAN 2,000 CHILDREN AGES 4-12 EACH YEAR. 34,000
    KNOXVILLE MUSEUM OF ART
    1050 WORLDS FAIR PARK DRIVE
    KNOXVILLE,TN379161653     		N/A 501(C)(3) 509(A)(2) TO PRESENT ART DISPLAYS WHICH REPRESENT DIVERSE CULTURES, PERIODS, STYLES AND MEDIAS. 10,000
    LAKESHORE PARK
    4823 OLD KINGSTON PIKE STE 300
    KNOXVILLE,TN37919     		N/A 501(C)(3) 509(A)(1) TO PROVIDE RECREATIONAL OPPORTUNITIES TO THOUSANDS OF VISITORS EACH YEAR. 600,000
    MARYVILLE COLLEGE
    502 E LAMAR ALEXANDER PARKWAY
    MARYVILLE,TN378045907     		N/A 501(C)(3) 509(A)(1) TO SUPPORT THE CIVIC/FINE ARTS CENTER OF MARYVILLE COLLEGE. 40,000
    MIAMI UNIVERSITY
    501 E HIGH ST 107 ROUDEBUSH HALL
    OXFORD,OH45056     		N/A 501(C)(3) 509(A)(1) TO PROVIDE A LIBERAL EDUCATION CORE AND THE FOUNDATION FOR THE MORE SPECIALIZED STUDIES OF THE MAJORS. 25,000
    NANTUCKET DREAMLAND FOUNDATION
    PO BOX 989
    NANTUCKET,MA02554     		N/A 501(C)(3) 509(A)(1) TO DEVELOP AND RUN A COMMUNITY, ARTS AND CULTURAL CENTER IN NANTUCKET, MA. 10,000
    PELLISSIPPI STATE COMMUNITY COLLEGE
    PO BOX 22990
    KNOXVILLE,TN37933     		N/A 501(C)(3) 509(A)(1) TO FURNISH STUDENTS WITH THE QUALITY EDUCATIONAL OPPORTUNITIES FOR WHICH PELLISSIPPI STATE IS RECOGNIZED. 100,000
    SCONSET TRUST INC
    PO BOX 821
    SIASCONSET,MA02564     		N/A 501(C)(3) 509(A)(1) CONSERVATION OF AREAS OF OPEN LAND AND PUBLIC WATER RESOURCES. 40,000
    TEACH FOR AMERICA INC
    315 WEST 36TH STREET
    NEW YORK,NY10018     		N/A 501(C)(3) 509(A)(1) TO ENLIST, DEVELOP, AND MOBILIZE AS MANY AS POSSIBLE OF OUR NATION'S MOST PROMISING FUTURE LEADERS TO GROW AND STRENGTHEN THE MOVEMENT FOR EDUCATIONAL EQUITY AND EXCELLENCE. 100,000
    THE CLEVELAND BROWNS FOUNDATION
    76 LOU GROZA BLVD
    BEREA,OH44017     		N/A 501(C)(3) 509(A)(1) THE CLEVELAND BROWNS FOUNDATION IS DEDICATED TO TAKING A SOLUTION-BASED, HOLISTIC APPROACH TO ENSURE NORTHEAST OHIO YOUTH RECEIVE THE DEVELOPMENT AND EDUCATION THEY NEED AS A FOUNDATION FOR INDEPENDENCE AND SUCCESS. 135,761
    THE CLEVELAND ORCHESTRA
    11001 EUCLID AVE
    CLEVELAND,OH44106     		N/A 501(C)(3) 509(A)(1) TO ENSURE THAT AUDIENCES IN CLEVELAND, NORTHEAST OHIO, AND CITIES AROUND THE GLOBE HAVE ACCESS TO ONE OF THE GREAT TREASURES OF THE ORCHESTRAL WORLD. 100,000
    THE O'CONNOR SENIOR CENTER
    611 WINONA STREET
    KNOXVILLE,TN37917     		N/A   TO PLAN SERVICES FOR SENIOR CITIZENS; ASSESSING NEEDS OF OLDER CITIZENS AND DEVELOPING RESOURCES TO MEET THOSE NEEDS. 2,000
    THE UNIVERSITY OF TENNESSEE FOUNDATION INC
    1609 MELROSE AVENUE
    KNOXVILLE,TN37996     		N/A 501(C)(3) 509(A)(1) TO PROVIDE SUPPORT FOR THE MAINTENANCE OF EDUCATIONAL INSTITUTION PROPERTIES AND THE FORENSIC ANTHROPOLOGY PROGRAM 2,462,500
    TN ACHIEVES
    10427 PETSAFE WAY
    KNOXVILLE,TN37932     		N/A 501(C)(3) 509(A)(1) TO INCREASE HIGHER EDUCATION OPPORTUNITIES FOR TENNESSEE PUBLIC HIGH SCHOOL STUDENTS BY PROVIDING LAST DOLLAR SCHOLARSHIPS WITH MENTOR GUIDANCE. 150,000
    UNITED WAY OF GREATER CLEVELAND
    1331 EUCLID AVE
    CLEVELAND,OH44115     		N/A 501(C)(3) 509(A)(1) TO MOBILIZE PEOPLE, ORGANIZATIONS AND RESOURCES IN A FOCUSED EFFORT TO ADVANCE EDUCATION, INCOME AND HEALTH IN THE GREATER CLEVELAND COMMUNITY. 153,385
    UNITED WAY OF GREATER KNOXVILLE INC
    1301 HANNAH AVENUE
    KNOXVILLE,TN37921     		N/A 501(C)(3) 509(A)(1) TO ADVANCE THE COMMON GOOD OF THE LOCAL COMMUNITY AND TO HELP PEOPLE BECOME SELF-SUFFICIENT. 100,000
    UNIVERSITY CIRCLE INC
    10831 MAGNOLIA DRIVE
    CLEVELAND,OH44106     		N/A 501(C)(3) 509(A)(2) TO PROVIDE UNIQUE ARTS AND CULTURE PROGRAMMING FOR THE COMMUNITY AND TO ATTRACT VISITORS TO UNIVERSITY CIRCLE AND ITS WORLD CLASS RESOURCE. 5,000
    UNIVERSITY HEALTH SYSTEM INC
    9000 EXECUTIVE PARK DRIVE D-240
    KNOXVILLE,TN37923     		N/A 501(C)(3) 509(A)(1) TO IMPROVE THE ALREADY OUTSTANDING PATIENT CARE THAT IS THE HALLMARK OF THE UNIVERSITY OF TENNESSEE MEDICAL CENTER AND UT GRADUATE SCHOOL OF MEDICINE. 120,000
    WEBB SCHOOL OF KNOXVILLE
    9800 WEBB SCHOOL DRIVE
    KNOXVILLE,TN37923     		N/A 501(C)(3) 509(A)(1) MAINTENANCE OF EDUCATIONAL INSTITUTION PROPERTIES. 37,500
    WILLOW CREEK ASSOCIATION
    PO BOX 3188
    BARRINGTON,IL60011     		N/A 501(C)(3) 509(A)(1) TO BRING GOD INSPIRED, TRANSFORMATIONAL LEADERSHIP TRAINING TO LEADERS IN OUR COUNTRY AND AROUND THE WORLD. 200,000
    WILLOW CREEK COMMUNITY CHURCH
    67 E ALGONQUIN RD
    SOUTH BARRINGTON,IL60010     		N/A 501(C)(3) 509(A)(1) TO TURN IRRELIGIOUS PEOPLE INTO FULLY DEVOTED FOLLOWERS OF JESUS CHRIST. 40,000
    YOUNG-WILLIAMS ANIMAL CENTER
    3201 DIVISION ST
    KNOXVILLE,TN37919     		N/A 501(C)(3) 509(A)(1) TO SERVE THE COMMUNITY THROUGH INNOVATIVE APPROACHES TO SHELTERING, ADOPTING, SPAY AND NEUTERING OF ANIMALS, AND PUBLIC EDUCATION ABOUT ANIMAL WELFARE. 2,500
    YOUTH VILLAGES FOUNDATION INC
    3320 BROTHER BLVD
    BARTLETT,TN38133     		N/A 501(C)(3) 509(A)(3) TO PROVIDE FINANCIAL AND SUPPORT SERVICES FOR YOUTH VILLAGES, INC AND YOUTH VILLAGES - GERMAINE LAWRENCE, INC 20,000
    Total .................................bullet 3a 5,751,546
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		         
    4 Dividends and interest from securities....     14 40,589  
    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.....     14    
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 232,849  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 273,438 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13273,438
    (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:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    THE HASLAM 3 FOUNDATION INC
     
    Employer identification number

    62-1867421
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    THE HASLAM 3 FOUNDATION INC
          		Employer identification number
    62-1867421
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    JAMES A III AND SUSAN B HASLAM  
    5020 LYONS VIEW PIKE
     
    KNOXVILLE, TN379196407

    		$ 4,500,000


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

    62-1867421
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    THE HASLAM 3 FOUNDATION INC
          		Employer identification number

    62-1867421
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN:
    62-1867421
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AIRGAS, INC 26,321 37,345
    AMETEK INC 0 0
    AMPHENOL CORP CLASS A 17,073 29,248
    BROOKFIELD ASSET MANAGEMENT INC 4,089 15,354
    CABELAS INC 0 0
    CB RICHARD ELLIS GROUP INC 0 0
    DENTSPLY INTERNATIONAL INC 44,697 67,848
    FIRST REPUBLIC BANK 16,017 33,030
    GARMIN LTD 0 0
    HARLEY DAVIDSON INC 7,198 6,809
    HEICO CORP 2,817 5,545
    IHS INC 16,115 34,345
    KIRBY CORPORATION 8,868 15,786
    MARKEL CORP 2,916 7,067
    MOHAWK INDUSTRIES INC 28,694 49,241
    MSC INDUSTRIAL DIRECT INC CL A 17,754 14,630
    O'REILLY AUTOMOTIVE INC 2,624 30,157
    PALL CORP 0 0
    PAYCHEX INC 19,853 29,090
    PERKINELMER INC 2,660 10,714
    ROLLINS INC 12,711 16,317
    SCRIPPS NETWORKS INTERACTIVE INC CL A 0 0
    SHERWIN WILLIAMS CO 4,652 26,998
    SIGNET JEWELERS LIMITED 36,871 47,002
    TEMPUR SEALY INTERNATIONAL INC 2,694 4,932
    TRANSDIGM GROUP INC 3,647 22,388
    WILLIAMS-SONOMA INC 18,986 25,700
    WOLVERINE WORLD WIDE INC 2,534 2,005
    APPLE INC 84,276 117,891
    BERKSHIRE HATHAWAY INC CL B 46,030 132,040
    COCA-COLA COMPANY 72,456 111,696
    EXXON MOBIL CORP 49,922 63,919
    FLOWERS FOODS INC 51,708 104,764
    JOHNSON & JOHNSON 70,303 123,264
    LEVEL 3 COMMUNICATIONS INC 132,934 231,574
    GABELLI ABC FUND ADV CL 0 0
    LONGLEAF PARTNERS GROWTH FUND 195,567 161,263
    LONGLEAF PARTNERS INTERNATIONAL FUND 166,418 163,497
    OAKMARK I FUND 262,913 303,753
    SELECTED AMERICAN SHARES CL D 274,855 260,067
    VANGUARD SHORT-TERM INVESTMENT GRADE ADM 0 0
    GULFPORT ENERGY CORP 18,413 7,371
    RICE ENERGY INC 26,755 9,483
    OAKMARK INTL FUND CLASS I 211,998 173,844
    ALLEGION PLC 17,590 23,072
    F M C CORP 0 0
    IDEXX LABORATORIES INC 31,918 36,460
    SS&C TECHNOLOGIES HLDGS 3,557 5,462
    ANSYS INC COM 10,093 10,175
    BIO-TECHNE CORP 6,409 6,300
    BRUKER CORP 6,748 8,737
    EXPEDITORS INTERNATIONAL INC 20,525 18,942
    METTLER-TOLEDO INTL INC 19,521 19,330
    SENSATA TECHNOLOGIES HOLDING 19,324 16,582
    TELEFLEX INC 20,019 19,718
    TRIMBLE NAVIGATION LTD 6,573 5,363
    WABTEC 19,764 15,646
    WATTS WATER TECH INC A 9,757 8,941
    GOOGLE INC CL C 41,297 40,980

    TY 2015 OtherAssetsSchedule
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN:
    62-1867421
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    GREENLIGHT MASTERS OFFSHORE LTD 500,000 500,000 922,197


    TY 2015 OtherExpensesSchedule
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN:
    62-1867421
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES 16,564 16,564   0
    BANK SERVICE CHARGES 15 0   15


    TY 2015 TaxesSchedule
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN:
    62-1867421
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 614 614   0
    TENNESSEE REPORT FEE 20 0   20
    FEDERAL TAX PAYMENT 800 0   0