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
MERRIFIELD WOODIS IRRV TRUST XXX-XX-XXXX
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CONCORD, NH033020477
A Employer identification number

02-6077231
B Telephone number (see instructions)

(877) 773-1229
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$2,334,107J 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... 51,459 51,459  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 102,439
b Gross sales price for all assets on line 6a 1,020,336
7 Capital gain net income (from Part IV, line 2)... 102,439
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 4,036    
12 Total. Add lines 1 through 11........ 157,934 153,898  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 30,185 30,185    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 725 725 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 533 533   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 76 76    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 31,519 31,519 0 0
25 Contributions, gifts, grants paid....... 120,386 120,386
26 Total expenses and disbursements. Add lines 24 and 25 151,905 31,519 0 120,386
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 6,029
b Net investment income (if negative, enter -0-) 122,379
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 48,615 118,608 118,608
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 505,822 Click to see attachment588,628 588,153
b Investments—corporate stock (attach schedule)....... 1,218,214 Click to see attachment1,032,460 1,143,543
c Investments—corporate bonds (attach schedule)....... 454,317 Click to see attachment492,652 483,803
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,226,968 2,232,348 2,334,107
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 2,226,968 2,232,348
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)..... 2,226,968 2,232,348
31 Total liabilities and net assets/fund balances (see instructions). 2,226,968 2,232,348
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
2,226,968
2
Enter amount from Part I, line 27a .....................
2
6,029
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,232,997
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
649
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
2,232,348
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 68. CALIFORNIA RESOURCES CORPORATION   2013-11-13 2015-01-13
b 20. CALIFORNIA RESOURCES CORPORATION   2014-07-25 2015-01-13
c 1230.011 BUFFALO SMALL CAP FD #1444   2013-06-21 2015-01-26
d 1590.91 HARTFORD MUT FDS INC MIDCAP FD CL Y FD# 229   2013-06-21 2015-01-26
e 1715.129 PERKINS MID CAP VALUE FUND INSTITUTIONAL CLASS   2013-06-21 2015-01-26
1720.968 ROYCE SPECIAL EQUITY FD #327   2013-06-21 2015-01-26
1695.303 VANGUARD INFLTN PRTCTD SEC FD #5119   2013-06-21 2015-01-26
40. AMERISOURCEBERGEN CORP   2014-06-13 2015-01-29
90. SMUCKER J M CO NEW   2013-11-13 2015-02-06
90. KOHL'S CORP   2013-11-13 2015-02-12
50. ABBOTT LABS CO   2013-11-13 2015-02-13
10. APPLE COMPUTER, INC   2014-09-10 2015-02-13
30. APPLE COMPUTER, INC   2013-06-27 2015-02-13
100. APPLIED MATERIALS   2013-11-13 2015-02-13
10. BLACKROCK INC CL A   2013-11-13 2015-02-13
30. BOEING CO   2013-11-13 2015-02-13
40. CME GROUP INC   2013-11-13 2015-02-13
40. CVS CORP   2013-11-13 2015-02-13
60. CENTURYTEL INC COM   2013-11-13 2015-02-13
40. DANAHER CORP   2011-04-21 2015-02-13
40. E I DUPONT DE NEMOURS INC   2013-11-13 2015-02-13
40. FIDELITY NATL INFORMATION SV   2013-11-13 2015-02-13
40. INTERNATIONAL PAPER CO   2013-08-16 2015-02-13
50. MARSH & MCLENNAN CORP   2013-11-13 2015-02-13
110. MICROSOFT CORPORATION   2013-11-13 2015-02-13
60. MORGAN STANLEY GROUP INC. DEAN   2014-03-13 2015-02-13
80. ORACLE CORPORATION   2013-11-13 2015-02-13
30. PEPSICO INCORPORATED   2013-11-13 2015-02-13
20. PRAXAIR INCORPORATED COMMON   2013-11-13 2015-02-13
40. TJX COMPANIES INC.   2013-11-13 2015-02-13
60. TEXAS INSTRUMENTS   2013-11-13 2015-02-13
20. UNITED TECHNOLOGIES   2014-02-04 2015-02-13
40. UNITEDHEALTH GROUP INC COM   2013-11-13 2015-02-13
10. VISA INC. - CL A   2015-02-04 2015-02-13
50. WISCONSIN ENERGY CORP   2013-11-13 2015-02-13
60. CVS CORP   2013-11-13 2015-02-19
30. APPLE COMPUTER, INC   2013-06-27 2015-02-20
10000. AT&T INC 4.45% 05/15/2021 DTD 04/29/11   2011-05-06 2015-02-26
5000. GEN ELEC CAP CORP 1.625% 07/02/2015 DTD 07/02/2012   2012-09-06 2015-02-26
20000. WAL-MART STORES INC 1.50% 10/25/2015 DTD 10/25/10   2012-10-25 2015-02-26
140. NATIONAL-OILWELL INC   2013-11-13 2015-03-17
120. NATIONAL-OILWELL INC   2013-11-13 2015-03-18
25000. COCA COLA CO 1.500% 11/15/2015 DTD 11/15/10   2011-04-12 2015-04-02
110. CME GROUP INC   2013-11-13 2015-04-06
180. EXXON MOBIL CORP COM   2010-11-22 2015-04-08
80. ABBOTT LABS CO   2013-01-15 2015-04-09
80. ABBVIE INC   2013-11-13 2015-04-09
130. AGILENT TECHNOLOGIES INC COM   2013-11-13 2015-04-09
50. AMERICAN EXPRESS CO   2015-01-20 2015-04-09
10. AMERICAN EXPRESS CO   2014-02-04 2015-04-09
70. AMERICAN INTL GROUP INC COM NEW   2014-10-29 2015-04-09
40. AMERICAN INTL GROUP INC COM NEW   2013-11-13 2015-04-09
30. AMERISOURCEBERGEN CORP   2014-05-19 2015-04-09
20. AMERIPRISE FINANCIAL INC   2015-02-04 2015-04-09
20. AMERIPRISE FINANCIAL INC   2013-11-13 2015-04-09
50. ANADARKO PETROLEUM   2015-04-08 2015-04-09
70. APPLE COMPUTER, INC   2013-06-27 2015-04-09
160. APPLIED MATERIALS   2013-11-13 2015-04-09
20. BLACKROCK INC CL A   2013-11-13 2015-04-09
40. BOEING CO   2013-11-13 2015-04-09
80. CIT GROUP INC COM NEW   2013-12-01 2015-04-09
30. CME GROUP INC   2013-11-13 2015-04-09
40. CVS CORP   2013-11-13 2015-04-09
60. CAMERON INTERNATIONAL CORP   2013-11-13 2015-04-09
90. CENTURYTEL INC COM   2013-11-13 2015-04-09
70. CITIGROUP INC.   2014-10-29 2015-04-09
30. CITIGROUP INC.   2013-11-13 2015-04-09
60. CITIZENS FINANCIAL GROUP INC   2015-03-30 2015-04-09
40. CITRIX SYS INC COM   2014-04-24 2015-04-09
40. CITRIX SYS INC COM   2014-01-22 2015-04-09
50. COLGATE PALMOLIVE CO   2008-11-20 2015-04-09
60. COMCAST CORP SPECIAL CL A   2013-11-13 2015-04-09
60. DANAHER CORP   2011-04-21 2015-04-09
10. DEVON ENERGY CORPORATIOIN NE COM   2014-08-26 2015-04-09
50. DEVON ENERGY CORPORATIOIN NE COM   2013-11-13 2015-04-09
40. E I DUPONT DE NEMOURS INC   2013-11-13 2015-04-09
20. ECOLAB INC COM   2010-05-14 2015-04-09
100. EVERSOURCE ENERGY   2013-11-13 2015-04-09
70. FIDELITY NATL INFORMATION SV   2013-11-13 2015-04-09
40. GENUINE PARTS CO   2013-11-13 2015-04-09
40. HOME DEPOT INC   2014-06-18 2015-04-09
60. INTERNATIONAL PAPER CO   2013-08-16 2015-04-09
60. KOHL'S CORP   2013-11-13 2015-04-09
20. LAS VEGAS SANDS CORP COM   2014-10-30 2015-04-09
80. MARSH & MCLENNAN CORP   2013-11-13 2015-04-09
20. MCDONALDS CORP   2014-05-29 2015-04-09
30. MCDONALDS CORP   2013-11-13 2015-04-09
80. METLIFE INC   2014-06-17 2015-04-09
160. MICROSOFT CORPORATION   2013-11-13 2015-04-09
90. MORGAN STANLEY GROUP INC. DEAN   2014-03-13 2015-04-09
10. NORTHERN TRUST CORP   2014-06-18 2015-04-09
70. NORTHERN TRUST CORP   2014-01-23 2015-04-09
10. OCCIDENTAL PETROLEUM CO   2014-07-25 2015-04-09
40. OCCIDENTAL PETROLEUM CO   2014-07-25 2015-04-09
120. ORACLE CORPORATION   2012-09-13 2015-04-09
40. PEPSICO INCORPORATED   2013-11-13 2015-04-09
30. PRAXAIR INCORPORATED COMMON   2013-11-13 2015-04-09
60. ROCKWELL COLLINS INC COM   2014-10-28 2015-04-09
70. SYNCHRONY FINANCIAL   2015-02-12 2015-04-09
60. TJX COMPANIES INC.   2013-11-13 2015-04-09
80. TEXAS INSTRUMENTS   2013-11-13 2015-04-09
80. TIME WARNER INC   2013-11-13 2015-04-09
20. UNITED TECHNOLOGIES   2014-02-04 2015-04-09
50. UNITEDHEALTH GROUP INC COM   2013-11-13 2015-04-09
90. VISA INC. - CL A   2013-11-13 2015-04-09
70. WISCONSIN ENERGY CORP   2013-11-13 2015-04-09
80. INGERSOLL-RAND PLC SHS   2013-11-13 2015-04-09
30. SEAGATE TECHNOLOGY PLC SHS   2015-01-27 2015-04-09
50. SEAGATE TECHNOLOGY PLC SHS   2014-02-03 2015-04-09
70. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2014-08-28 2015-04-09
20. NIELSEN N V   2015-04-06 2015-04-09
216.402 INVESCO INTERNATIONAL GROWTH FUND INSTITUTIONAL CLASS   2010-11-23 2015-04-13
43.733 HARBOR INTERNATIONAL FUND   2010-11-23 2015-04-13
80. AMERISOURCEBERGEN CORP   2014-05-12 2015-04-20
10. BLACKROCK INC CL A   2013-11-13 2015-05-22
90. CENTURYTEL INC COM   2013-11-13 2015-05-22
130. COMCAST CORP SPECIAL CL A   2013-11-13 2015-05-22
100. MARSH & MCLENNAN CORP   2013-11-13 2015-05-22
50. MICROSOFT CORPORATION   2013-05-20 2015-05-27
40. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-14 2015-05-27
30. MARSH & MCLENNAN CORP   2013-11-13 2015-06-04
30. ORACLE CORPORATION   2010-12-16 2015-06-04
25000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2012-03-14 2015-06-19
36. CHEMOURS COMPANY   2013-11-13 2015-07-09
40. LAS VEGAS SANDS CORP COM   2014-10-30 2015-07-15
60. LAS VEGAS SANDS CORP COM   2015-04-30 2015-07-23
110. AMERICAN EXPRESS CO   2014-02-04 2015-07-27
50. AMERICAN EXPRESS CO   2009-05-19 2015-07-29
40. CITRIX SYS INC COM   2014-04-24 2015-07-30
20. CVS CORP   2013-11-13 2015-08-06
130. AGILENT TECHNOLOGIES INC COM   2013-08-16 2015-08-18
140. AGILENT TECHNOLOGIES INC COM   2013-08-16 2015-08-19
20000. CATERPILLAR FINL SE 2.05% 08/01/2016 DTD 07/29/2011   2013-06-21 2015-08-21
5000. COMCAST CORP 2.85% 01/15/2023 DTD 01/14/2013   2015-04-09 2015-08-21
10000. COMCAST CORP 2.85% 01/15/2023 DTD 01/14/2013   2013-02-22 2015-08-21
5000. ONTARIO PROVINCE OF 1.65% 09/27/2019 DTD 09/27/2012   2015-04-09 2015-08-21
10000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2012-03-14 2015-08-21
110. PRAXAIR INCORPORATED COMMON   2013-11-13 2015-08-24
140. CAMERON INTERNATIONAL CORP   2013-11-13 2015-08-26
25000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2012-03-14 2015-09-16
210. METLIFE INC   2014-06-17 2015-10-05
60. MCDONALDS CORP   2013-11-13 2015-10-09
80. CIT GROUP INC COM NEW   2013-11-13 2015-10-16
30. HOME DEPOT INC   2014-06-18 2015-10-22
40. MCDONALDS CORP   2013-11-13 2015-10-26
30. MCDONALDS CORP   2014-01-10 2015-10-27
80. TEXAS INSTRUMENTS   2013-11-13 2015-10-28
25000. GEN ELEC CAP CORP 5.625% 09/15/2017 DTD 09/24/07   2013-06-21 2015-10-30
7000. GENERAL ELEC CAP 3.45% 05/15/2024 DTD 05/15/2014 CALLABLE 02/13/   2015-04-09 2015-10-30
90. CITRIX SYS INC COM   2014-01-31 2015-11-13
28000. GE CAP INTL FNDG 0.9640% 04/15/2016 DTD 10/26/2015   2015-10-30 2015-11-16
3000. GENERAL ELEC CAP 3.45% 05/15/2024 DTD 05/15/2014 CALLABLE 02/13/   2015-04-09 2015-11-16
7000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2015-04-09 2015-11-16
23000. U S TREASURY NOTE 4.875% 08/15/2016 DTD 08/15/2006   2013-06-21 2015-11-16
50. CITRIX SYS INC COM   2014-02-03 2015-11-20
230. INTERNATIONAL PAPER CO   2013-11-13 2015-12-02
110. UNITED TECHNOLOGIES   2014-10-28 2015-12-07
30. NORTHERN TRUST CORP   2014-01-23 2015-12-31
30. VISA INC. - CL A   2013-11-13 2015-12-31
CAPITAL GAIN DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 279   570 -291
b 82   175 -93
c 38,758   33,082 5,676
d 46,264   37,500 8,764
e 34,268   38,406 -4,138
38,687   36,419 2,268
44,603   44,322 281
3,812   2,870 942
10,185   9,609 576
6,196   5,184 1,012
2,301   1,705 596
1,266   1,004 262
3,797   1,692 2,105
2,399   1,752 647
3,759   2,952 807
4,490   3,956 534
3,758   3,120 638
4,099   2,556 1,543
2,369   1,888 481
3,468   2,130 1,338
3,052   2,422 630
2,653   1,959 694
2,284   1,891 393
2,817   2,308 509
4,807   4,079 728
2,204   1,885 319
3,515   2,736 779
2,977   2,563 414
2,538   2,476 62
2,765   2,477 288
3,454   2,509 945
2,425   2,187 238
4,363   2,821 1,542
2,698   2,648 50
2,538   2,045 493
6,156   3,834 2,322
3,875   1,692 2,183
10,808   10,171 637
5,021   5,048 -27
20,154   20,354 -200
6,687   10,358 -3,671
5,702   8,878 -3,176
25,165   24,253 912
10,185   8,580 1,605
15,156   11,949 3,207
3,765   2,662 1,103
4,813   3,807 1,006
5,524   4,730 794
3,957   4,342 -385
791   841 -50
3,941   3,676 265
2,252   1,924 328
3,406   2,078 1,328
2,498   2,648 -150
2,498   2,057 441
4,462   4,307 155
8,830   3,949 4,881
3,580   2,804 776
7,427   5,904 1,523
6,124   4,947 1,177
3,641   3,917 -276
2,726   2,340 386
4,081   2,556 1,525
2,896   3,275 -379
3,226   2,832 394
3,643   3,666 -23
1,561   1,475 86
1,499   1,461 38
2,580   2,428 152
2,580   2,443 137
3,496   1,560 1,936
3,546   2,742 804
5,129   3,196 1,933
650   748 -98
3,248   3,022 226
2,878   2,422 456
2,315   955 1,360
4,994   4,190 804
4,770   3,428 1,342
3,718   3,265 453
4,589   3,198 1,391
3,274   2,837 437
4,650   3,456 1,194
1,190   1,235 -45
4,550   3,693 857
1,929   2,020 -91
2,894   2,934 -40
4,121   4,477 -356
6,637   5,847 790
3,298   2,828 470
710   642 68
4,972   4,336 636
779   967 -188
3,116   3,868 -752
5,187   3,727 1,460
3,855   3,417 438
3,673   3,714 -41
5,834   4,866 968
2,103   2,375 -272
4,119   3,715 404
4,612   3,345 1,267
6,851   5,105 1,746
2,358   2,187 171
5,933   3,527 2,406
5,968   4,445 1,523
3,427   2,863 564
5,432   4,302 1,130
1,637   1,719 -82
2,728   2,518 210
5,949   4,901 1,048
915   919 -4
7,561   5,797 1,764
3,079   2,519 560
9,058   5,329 3,729
3,686   2,952 734
3,052   2,832 220
7,501   5,942 1,559
5,905   4,617 1,288
2,368   1,514 854
3,317   2,264 1,053
1,736   1,385 351
1,309   917 392
26,287   28,018 -1,731
449   530 -81
2,169   2,470 -301
3,307   3,392 -85
8,232   5,102 3,130
3,788   1,241 2,547
3,027   2,428 599
2,189   1,278 911
5,151   4,417 734
5,389   4,756 633
20,248   20,344 -96
4,899   5,101 -202
9,797   9,981 -184
4,984   5,022 -38
10,433   11,250 -817
11,674   13,617 -1,943
8,428   7,642 786
25,989   27,307 -1,318
9,960   10,899 -939
6,156   5,869 287
3,255   3,893 -638
3,722   2,399 1,323
4,492   3,912 580
3,352   2,881 471
4,618   3,345 1,273
28,000   26,680 1,320
7,000   7,373 -373
7,006   5,075 1,931
28,043   28,000 43
3,089   3,159 -70
7,226   7,235 -9
23,743   24,707 -964
3,751   2,654 1,097
9,236   10,288 -1,052
10,508   11,689 -1,181
2,185   1,843 342
2,361   1,482 879
      4,269
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       -291
b       -93
c       5,676
d       8,764
e       -4,138
      2,268
      281
      942
      576
      1,012
      596
      262
      2,105
      647
      807
      534
      638
      1,543
      481
      1,338
      630
      694
      393
      509
      728
      319
      779
      414
      62
      288
      945
      238
      1,542
      50
      493
      2,322
      2,183
      637
      -27
      -200
      -3,671
      -3,176
      912
      1,605
      3,207
      1,103
      1,006
      794
      -385
      -50
      265
      328
      1,328
      -150
      441
      155
      4,881
      776
      1,523
      1,177
      -276
      386
      1,525
      -379
      394
      -23
      86
      38
      152
      137
      1,936
      804
      1,933
      -98
      226
      456
      1,360
      804
      1,342
      453
      1,391
      437
      1,194
      -45
      857
      -91
      -40
      -356
      790
      470
      68
      636
      -188
      -752
      1,460
      438
      -41
      968
      -272
      404
      1,267
      1,746
      171
      2,406
      1,523
      564
      1,130
      -82
      210
      1,048
      -4
      1,764
      560
      3,729
      734
      220
      1,559
      1,288
      854
      1,053
      351
      392
      -1,731
      -81
      -301
      -85
      3,130
      2,547
      599
      911
      734
      633
      -96
      -202
      -184
      -38
      -817
      -1,943
      786
      -1,318
      -939
      287
      -638
      1,323
      580
      471
      1,273
      1,320
      -373
      1,931
      43
      -70
      -9
      -964
      1,097
      -1,052
      -1,181
      342
      879
       
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 2 102,439
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 122,069 2,441,357 0.05
2013 117,596 2,354,640 0.049942
2012 112,558 2,269,341 0.049599
2011 112,610 2,274,660 0.049506
2010 109,604 2,170,452 0.050498
2
Total of line 1, column (d) .....................
20.249545
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
0.049909
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
2,405,574
5
Multiply line 4 by line 3......................
5
120,060
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,224
7
Add lines 5 and 6........................
7
121,284
8
Enter qualifying distributions from Part XII, line 4.............
8
120,386
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 2,448
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 2,448
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 2,448
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,248
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,248
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,200
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet0 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$   (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)
    bulletNH
    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 addressbullet  
    14
    The books are in care ofbulletTD Bank NA Telephone no.bullet (877) 773-1229

    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet03302
    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
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    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
    TD Bank NA Trustee
    1     		30,185    
    143 North Main Street
    Concord,NH033020477
    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
    2,315,960
    b
    Average of monthly cash balances.......................
    1b
    126,247
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,442,207
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,442,207
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    36,633
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,405,574
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    120,279
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    120,279
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    2,448
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,448
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    117,831
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    117,831
    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
    117,831
    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
    120,386
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    120,386
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    120,386
    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 7 117,831
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 5,061
    b From 2011...... 1,131
    c From 2012...... 0
    d From 2013...... 6,387
    e From 2014...... 1,246
    fTotal of lines 3a through e........ 13,825
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 120,386
    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..... 117,831
    e Remaining amount distributed out of corpus 2,555
    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 16,380
    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) ...     		5,061
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		11,319
    10 Analysis of line 9:
    a Excess from 2011.... 1,131
    b Excess from 2012.... 0
    c Excess from 2013.... 6,387
    d Excess from 2014.... 1,246
    e Excess from 2015.... 2,555
    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 email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    NEW LONDON HOSPITAL
    DONALD J GRIFFIN CFO
    273 COUNTY ROAD
    NEW LONDON,NH03257     		NONE 501(C)(3) DAILY OPERATIONS 84,270
    THE FIRST BAPTIST CHURCH
    ATTN PETER E HAGER
    NEW LONDON,NH03257     		NONE 501(C)(3) DAILY OPERATIONS 36,116
    Total .................................bullet 3a 120,386
    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 51,459  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 102,439  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    a990PF REFUND     		    1 4,031  
    bMISC INC RVCD     1 5  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   157,934  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13157,934
    (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

    TY 2015 AccountingFeesSchedule
    Name:
    MERRIFIELD WOODIS IRRV TRUST XXX-XX-XXXX
    EIN:
    02-6077231
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 725 725    

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    MERRIFIELD WOODIS IRRV TRUST XXX-XX-XXXX
    EIN:
    02-6077231
    Name of Bond End of Year Book Value End of Year Fair Market Value
    20000 ANHEUSER-BUSCH 1.375% 20,150 19,933
    20000 BK OF NOVA SCOTIA 1.1% 20,021 19,988
    25000 BERKSHIRE HATHAWAY 5.40% 27,032 27,135
    15000 CISCO SYSTEMS INC 4.95% 16,353 16,392
    7000 GE CAPITAL INTL 3.373% 7,000 7,127
    25000 JPMORGAN CHASE & CO 6% 26,892 27,002
    25000 ONTARIO PROVINCE OF 1.65 24,920 24,687
    20000 PROVINCE OF QUEBEC 2.75% 20,086 20,236
    15000 TOYOTA MOTOR CREDIT 2.00 15,267 15,121
    10000 US BANCORP 1.95% 10,009 10,061
    25000 WACHOVIA CORP 5.75% 27,484 27,002
    20000 WALMART STORES INC 3.25% 21,279 21,077
    4181.186 FIDELITY HIGH INCOME 38,757 33,240
    8268.030 TDAM 5 TO 10 YEAR COR 85,132 83,507
    4173.657 TDAM 1 TO 5 CORP BD P 42,132 41,737
    8362.114 VANGUARD SHORT-TERM F 90,138 89,558

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    MERRIFIELD WOODIS IRRV TRUST XXX-XX-XXXX
    EIN:
    02-6077231
    Name of Stock End of Year Book Value End of Year Fair Market Value
    20 ADVANCE AUTO PARTS INC 3,090 3,010
    190 DICKS SPORTING GOODS INC C 7,560 6,717
    80 GENUINE PARTS CO 6,530 6,871
    120 HOME DEPOT INC 9,595 15,870
    140 KOHLS CORP 8,064 6,668
    90 PVH CORP COM 9,638 6,629
    230 TJX COMPANIES INC 11,278 16,309
    200 TIME WARNER INC 12,762 12,934
    160 CVS HEALTH CORPORATION USD 10,791 15,643
    120 COLGATE PALMOLIVE CO 3,744 7,994
    130 PEPSICO INCORPORATED 11,106 12,990
    60 SMUCKER J M CO NEW 7,250 7,400
    190 ANADARKO PETROLEUM 15,657 9,230
    150 DEVON ENERGY CORPORATION N 9,067 4,800
    210 OCCIDENTAL PETROLEUM CO 19,613 14,198
    340 AMERICAN INTL GROUP INC CO 16,952 21,070
    140 AMERIPRISE FINANCIAL INC 15,050 14,899
    50 BLACKROCK INC CL A 14,761 17,026
    260 CIT GROUP INC COM NEW 12,438 10,322
    140 CME GROUP INC 10,651 12,684
    290 CITIGROUP INC 14,255 15,008
    450 CITIZENS FINANCIAL GROUP I 11,221 11,786
    230 FIDELITY NATL INFROMATION 11,263 13,938
    200 FIDELITY NATIONAL FINANCIA 7,559 6,934
    490 FIRST DATA CORP - CLASS A 7,848 7,850
    140 MARSH & MCLENNAN CORP 6,463 7,763
    330 MORGAN STANLEY 10,369 10,497
    140 NORTHERN TRUST CORP 8,453 10,070
    360 SYNCHRONY FINANCIAL 11,414 10,948
    280 VISA INC - CL A 13,827 21,680
    260 VOYA FINANCIAL INC 12,002 9,597
    60 ALLERGAN PLC 17,963 18,750
    300 ABBOTT LABS CO 7,567 13,473
    270 ABBVIE INC 13,068 15,995
    150 GILEAD SCIENCES INC 17,154 15,179
    80 MCKESSON CORP 16,872 15,778
    180 UNITEDHEALTH GROUP INC 12,696 21,175
    230 INGERSOLL-RAND PLC 12,747 12,717
    170 BOEING CO 16,834 24,580
    210 DANAHER CORP SHS BEN INT 11,052 19,505
    580 GENERAL ELECTRIC CO 13,845 18,067
    50 NORFOLK SOUTHERN CORP 4,152 4,230
    160 ROCKWELL COLLINS INC 11,201 14,768
    170 NIELSEN HOLDINGS PLC EUR 7,811 7,922
    220 SEAGATE TECHNOLOGY PLC SHS 10,610 8,065
    120 CHECK POINT SOFTWARE TECH 6,367 9,766
    20 ALPHABET INC CL-C 12,074 15,178
    300 APPLE COMPUTER INC 17,446 31,578
    570 APPLIED MATERIALS 9,988 10,642
    90 F5 NETWORKS INC COM 9,376 8,726
    540 MICROSOFT CORPORATION 14,255 29,959
    410 ORACLE CORPORATION 12,240 14,977
    240 TEXAS INSTRUMENTS 10,036 13,154
    180 E I DUPONT DE NEMOURS INC 10,367 11,988
    20 ECOLAB INC 955 2,288
    240 CENTURYLINK INC COM 7,551 6,038
    220 EVERSOURCE ENERGY 9,218 11,235
    230 PPL CORP 7,772 7,850
    250 WEC ENERGY GROUP INC 10,227 12,828
    3594.541 INVESCO INTERNATIONAL 96,298 113,012
    1779.772 HARBOR INTERNATIONAL 102,533 105,772
    16888.026 EPOCH US SMALL MID C 191,914 179,013

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    MERRIFIELD WOODIS IRRV TRUST XXX-XX-XXXX
    EIN:
    02-6077231
    US Government Securities - End of Year Book Value:

    588,628
    US Government Securities - End of Year Fair Market Value:

    588,153
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2015 OtherDecreasesSchedule
    Name:
    MERRIFIELD WOODIS IRRV TRUST XXX-XX-XXXX
    EIN:
    02-6077231
    Description Amount
    GE BONDS & ROUNDING ADJUSTMENT 649


    TY 2015 OtherExpensesSchedule
    Name:
    MERRIFIELD WOODIS IRRV TRUST XXX-XX-XXXX
    EIN:
    02-6077231
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE/PROBATE FEES 38 38   0
    OTHER NON-ALLOCABLE EXPENSE - 38 38   0


    TY 2015 OtherIncomeSchedule2
    Name:
    MERRIFIELD WOODIS IRRV TRUST XXX-XX-XXXX
    EIN:
    02-6077231
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    990PF REFUND 4,031 0  
    MISC INC RVCD 5 0  


    TY 2015 TaxesSchedule
    Name:
    MERRIFIELD WOODIS IRRV TRUST XXX-XX-XXXX
    EIN:
    02-6077231
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 166 166   0
    FOREIGN TAXES ON QUALIFIED FOR 338 338   0
    FOREIGN TAXES ON NONQUALIFIED 29 29   0