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
J ARNET AND MILDRED M LEWIS
 
Number and street (or P.O. box number if mail is not delivered to street address)1525 W WT HARRIS BLVD D1114-044
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHARLOTTE, NC28262
A Employer identification number

26-0454822
B Telephone number (see instructions)

(800) 352-3705
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$12,639,069
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 69 69  
4 Dividends and interest from securities... 201,134 194,546  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 328,976
b Gross sales price for all assets on line 6a 15,994,387
7 Capital gain net income (from Part IV, line 2)... 328,976
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).......      
12 Total. Add lines 1 through 11........ 530,179 523,591  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 99,880 89,892   9,988
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)....... 1,000 0 0 1,000
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 36,839 2,249   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)....... 92 92    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 137,811 92,233 0 10,988
25 Contributions, gifts, grants paid....... 675,000 675,000
26 Total expenses and disbursements. Add lines 24 and 25 812,811 92,233 0 685,988
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -282,632
b Net investment income (if negative, enter -0-) 431,358
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......... 578,796 419,138 419,138
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) 411,121 Click to see attachment726,736 720,998
b Investments—corporate stock (attach schedule)....... 9,773,798 Click to see attachment9,215,390 8,916,844
c Investments—corporate bonds (attach schedule)....... 2,526,244 Click to see attachment1,992,451 1,922,458
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   Click to see attachment650,000 659,631
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) 13,289,959 13,003,715 12,639,069
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........ 13,289,959 13,003,715
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)..... 13,289,959 13,003,715
31 Total liabilities and net assets/fund balances (see instructions). 13,289,959 13,003,715
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
13,289,959
2
Enter amount from Part I, line 27a .....................
2
-282,632
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
19,417
4
Add lines 1, 2, and 3 ..........................
4
13,026,744
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
23,029
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
13,003,715
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 39. AFFILIATED MANAGERS GROUP, INC COM   2015-10-06 2015-11-09
b 34701.941 AMER CENT SMALL CAP GRWTH INST #336   2015-07-28 2015-10-09
c 51. AMERIPRISE FINL INC   2015-10-06 2015-11-09
d 12000. AMGEN INC 5.700% 2/01/19   2013-04-18 2015-10-09
e 52. ANHEUSER-BUSCH INBEV SPN ADR   2015-10-06 2015-11-09
645. ANHEUSER-BUSCH INBEV SPN ADR   2015-10-06 2015-12-18
144. APPLE INC   2015-10-06 2015-10-23
128. APPLE INC   2015-10-06 2015-11-09
15000. APPLE INC 2.400% 5/03/23   2014-10-20 2015-10-09
5629. ARTISAN INTERNATIONAL FD INS #662   2015-01-27 2015-07-24
27273.302 ARTISAN INTERNATIONAL FD INS #662   2014-10-15 2015-10-09
13992.889 ARTISAN MID CAP FUND-INS #1333   2015-07-28 2015-10-09
15000. BANK OF AMERICA CORP 5.625% 7/01/20   2012-09-17 2015-10-09
15000. BERKSHIRE HATHAWAY 5.400% 5/15/18   2013-12-03 2015-10-09
61. BERKSHIRE HATHAWAY INC.   2015-10-06 2015-11-09
12. BLACKROCK INC   2015-10-06 2015-11-09
52. BOEING CO   2015-10-06 2015-11-09
77. CME GROUP INC   2015-10-06 2015-10-23
47. CME GROUP INC   2015-10-06 2015-11-09
61. CVS HEALTH CORPORATION   2015-10-06 2015-11-09
50. CVS HEALTH CORPORATION   2015-10-06 2015-12-18
64. CELANESE CORP   2015-10-06 2015-11-09
13000. CHEVRON CORP 4.950% 3/03/19   2013-07-09 2015-10-09
169. CISCO SYSTEMS INC   2015-10-06 2015-11-09
122. CISCO SYSTEMS INC   2015-10-06 2015-12-18
30000. CISCO SYSTEMS INC 3.150% 3/14/17   2011-04-06 2015-10-02
209. CITIGROUP INC.   2015-10-06 2015-11-09
94. COMCAST CORP CLASS A   2015-10-06 2015-12-18
43013. CREDIT SUISSE COMM RET ST-I #2156   2014-10-17 2015-07-24
2555.97368 CREDIT SUISSE COMM RET ST-I #2156   2014-10-17 2015-10-09
14683.02632 CREDIT SUISSE COMM RET ST-I #2156   2014-10-17 2015-10-09
79. CUMMINS INC.   2015-10-06 2015-11-09
31. DIAGEO PLC - ADR   2015-10-06 2015-12-18
20000. DIRECTV HLDG/FIN INC 3.500% 3/01/16   2015-06-19 2015-09-14
83. WALT DISNEY CO   2015-10-06 2015-11-09
2598.366 DODGE & COX INT'L STOCK FD #1048   2015-01-27 2015-07-24
1360.634 DODGE & COX INT'L STOCK FD #1048   2009-08-11 2015-07-24
19815.589 DODGE & COX INT'L STOCK FD #1048   2009-07-14 2015-10-09
5592. DREYFUS EMG MKT DEBT LOC C-I #6083   2014-10-15 2015-07-24
2976.291 DREYFUS EMG MKT DEBT LOC C-I #6083   2014-10-15 2015-09-25
5894. DREYFUS EMG MKT DEBT LOC C-I #6083   2014-10-15 2015-10-09
27391.889 DREYFUS EMG MKT DEBT LOC C-I #6083   2014-11-12 2015-12-17
2301.516 DREYFUS EMG MKT DEBT LOC C-I #6083   2015-11-06 2015-12-17
8336.641 DREYFUS INTERNATL BOND FD CL I #6094   2015-01-27 2015-06-15
2274. E M C CORP MASS   2015-10-06 2015-10-23
25000. FED NATL MTG ASSN 2.375% 4/11/16   2011-03-30 2015-10-02
12000. FED NATL MTG ASSN 2.625% 9/06/24   2015-03-26 2015-10-09
12000. FED HOME LN MTG CORP 1.250% 5/12/17   2015-06-19 2015-10-09
25000. FED NATL MTG ASSN 2.375% 7/28/15   2010-11-22 2015-07-28
481. FID ADV EMER MKTS INC- CL I #607   2014-10-15 2015-01-23
2698.75 FID ADV EMER MKTS INC- CL I #607   2014-10-15 2015-10-09
6754.25 FID ADV EMER MKTS INC- CL I #607   2014-10-15 2015-10-09
18992.766 JP MORGAN MID CAP VALUE-I #758   2015-07-28 2015-10-09
15000. GENERAL ELEC CAP COR 4.650% 10/17/21   2014-05-21 2015-10-09
66. GILEAD SCIENCES INC   2015-10-06 2015-10-23
43. GOLDMAN SACHS GROUP INC   2015-10-06 2015-11-09
15000. GOLDMAN SACHS GROUP 5.950% 1/18/18   2014-10-20 2015-10-09
101. HSBC - ADR   2015-10-06 2015-11-09
15000. HSBC FINANCE CORP 5.500% 1/19/16   2012-03-13 2015-09-14
8000. HALLIBURTON COMPANY 3.500% 8/01/23   2015-06-19 2015-10-09
5000. HALLIBURTON COMPANY 3.500% 8/01/23   2014-04-02 2015-10-09
416. HARBOR CAPITAL APRCTION-INST #2012   2014-11-12 2015-01-23
27246.519 HARBOR CAPITAL APRCTION-INST #2012   2015-08-28 2015-10-06
1100.112 HARBOR CAPITAL APRCTION-INST #2012   2015-08-28 2015-10-09
15000. HOME DEPOT INC 5.400% 3/01/16   2015-01-30 2015-09-14
129. ISHARES CORE S & P 500 ETF   2013-06-11 2015-01-23
2345. ISHARES CORE S & P 500 ETF   2013-06-11 2015-07-24
110. ISHARES MBS ETF   2015-06-19 2015-10-02
140. ISHARES MBS ETF   2015-07-29 2015-10-09
470. ISHARES CMBS ETF   2013-06-26 2015-10-02
65. ISHARES CMBS ETF   2015-01-30 2015-10-02
229. JPMORGAN CHASE & CO   2015-10-06 2015-11-09
15000. JPMORGAN CHASE & CO 4.250% 10/15/20   2014-10-20 2015-10-09
4023. JPMORGAN HIGH YIELD FUND SS #3580   2014-07-11 2015-01-23
30534.949 JPMORGAN HIGH YIELD FUND SS #3580   2014-12-22 2015-08-28
5732.051 JPMORGAN HIGH YIELD FUND SS #3580   2014-07-11 2015-08-28
23676.162 JPMORGAN HIGH YIELD FUND SS #3580   2009-07-14 2015-09-25
9502. JPMORGAN HIGH YIELD FUND SS #3580   2009-08-11 2015-09-25
18118.467 JPMORGAN HIGH YIELD FUND SS #3580   2015-07-28 2015-09-25
22671.625 KALMAR GR W/ VAL SM CAP-INS #4   2015-01-27 2015-07-24
8000. KINDER MORGAN ENER 5.950% 2/15/18   2012-07-05 2015-10-09
78. LAS VEGAS SANDS CORP   2015-10-06 2015-12-18
2878. MFS VALUE FUND-CLASS I #893   2014-11-12 2015-01-23
52213.062 MFS VALUE FUND-CLASS I #893   2015-08-28 2015-10-06
58. MCKESSON CORP   2015-10-06 2015-11-09
165. MICROSOFT CORP   2015-10-06 2015-11-09
73. MONSANTO CO NEW   2015-10-23 2015-11-09
58. NESTLE S.A. REGISTERED SHARES - ADR   2015-10-06 2015-12-18
145. ORACLE CORPORATION   2015-10-06 2015-11-09
3349. OPPENHEIMER DEVELOPING MKT-I #799   2014-10-15 2015-07-24
15530.629 OPPENHEIMER DEVELOPING MKT-I #799   2012-01-05 2015-10-09
26176.416 OPPENHEIMER DEVELOPING MKT-I #799   2015-01-27 2015-10-09
320. PIMCO FOREIGN BD FD USD H-INST #103   2009-08-11 2015-01-23
12402.532 PIMCO FOREIGN BD FD USD H-INST #103   2009-08-11 2015-06-15
98. PNC FINANCIAL SERVICES GROUP   2015-10-06 2015-11-09
10000. PEPSICO INC 4.500% 1/15/20   2012-03-13 2015-10-09
17000. PROCTER & GAMBLE CO/ 2.300% 2/06/22   2014-10-20 2015-10-09
173. ROCHE HOLDINGS LTD - ADR   2015-10-23 2015-12-18
2330. T ROWE PRICE INST FLOAT RATE #170   2014-11-07 2015-01-23
2259. T ROWE PRICE INST FLOAT RATE #170   2014-10-15 2015-07-24
10456. T ROWE PRICE INST FLOAT RATE #170   2014-10-15 2015-08-28
4730.86532 T ROWE PRICE INST FLOAT RATE #170   2014-10-15 2015-09-25
9447.23068 T ROWE PRICE INST FLOAT RATE #170   2014-10-15 2015-09-25
768. SPDR DJ WILSHIRE INTERNATIONAL REAL   2014-08-19 2015-01-23
2941.99991 SPDR DJ WILSHIRE INTERNATIONAL REAL   2014-08-19 2015-10-09
1405.00009 SPDR DJ WILSHIRE INTERNATIONAL REAL   2014-08-19 2015-10-09
91. SCHLUMBERGER LTD   2015-10-06 2015-10-23
1815. AMEX MATERIALS SPDR   2015-10-09 2015-10-29
5315. HEALTH CARE SELECT SECTOR   2015-10-09 2015-10-29
4294. CONSUMER STAPLES SECTOR SPDR TR   2015-10-09 2015-10-29
4617. AMEX CONSUMER DISCR SPDR   2015-10-09 2015-10-29
2868. AMEX ENERGY SELECT SPDR   2015-10-09 2015-10-29
17057. FINANCIAL SELECT SECTOR SPDR   2015-10-09 2015-10-29
5611. AMEX INDUSTRIAL SPDR   2015-10-09 2015-10-29
13520. AMEX TECHNOLOGY SELECT SPDR   2015-10-09 2015-10-29
5000. SEMPRA ENERGY 6.500% 6/01/16   2013-06-26 2015-10-09
79. STRATTON SM-CAP VALUE FD #37   2014-11-12 2015-01-23
6876.954 STRATTON SM-CAP VALUE FD #37   2015-07-28 2015-10-09
287. SUNCOR ENERGY INC NEW F   2015-10-06 2015-11-09
91. TJX COMPANIES INC   2015-10-06 2015-11-09
89. TARGET CORP   2015-10-06 2015-11-09
7000. TARGET CORP 5.875% 7/15/16   2014-07-22 2015-10-09
42. THERMO FISHER SCIENTIFIC INC   2015-10-06 2015-11-09
10000. TIME WARNER INC 4.875% 3/15/20   2015-07-29 2015-10-09
17. TOTAL S.A. - ADR   2015-10-23 2015-11-09
86. UNION PACIFIC CORP   2015-10-23 2015-12-18
46. UNITED PARCEL SERVICE-CL B   2015-10-06 2015-11-09
55000. US TREASURY BILL 6/25/15   2015-01-30 2015-03-26
10000. US TREASURY NOTE 2.125% 9/30/21   2015-06-19 2015-10-02
15000. US TREASURY NOTE 2.125% 9/30/21   2015-06-19 2015-10-09
10000. US TREASURY NOTE 3.500% 2/15/18   2013-12-18 2015-10-02
20000. US TREASURY NOTE 3.500% 2/15/18   2014-03-10 2015-10-09
27000. US TREASURY NOTE 3.125% 5/15/19   2014-01-24 2015-10-02
20000. US TREASURY NOTE 3.125% 5/15/19   2014-01-24 2015-10-09
15000. US TREASURY NOTE 2.750% 11/30/16   2012-06-26 2015-10-09
50000. US TREASURY NOTE 2.125% 5/31/15   2011-06-28 2015-05-31
10000. US TREASURY NOTE 2.625% 8/15/20   2012-03-07 2015-10-02
15000. US TREASURY NOTE 2.625% 8/15/20   2012-03-07 2015-10-09
10000. US TREASURY NOTE 2.250% 11/30/17   2014-02-25 2015-10-02
20000. US TREASURY NOTE 2.250% 11/30/17   2014-02-25 2015-10-09
3000. US TREASURY NOTE 2.500% 5/15/24   2015-06-19 2015-10-09
8000. UNITED TECHNOLOGIES 3.100% 6/01/22   2015-03-26 2015-10-09
35. UNITEDHEALTH GROUP INC   2015-10-06 2015-11-09
54. UNITEDHEALTH GROUP INC   2015-10-06 2015-12-18
1163. VANGUARD REIT VIPER   2014-10-15 2015-01-23
1240. VANGUARD REIT VIPER   2015-07-24 2015-10-09
1315. VANGUARD REIT VIPER   2013-10-10 2015-10-09
5000. VERIZON COMMUNICATIO 5.150% 9/15/23   2014-06-06 2015-10-09
5000. WAL-MART STORES INC 3.625% 7/08/20   2015-01-30 2015-10-09
5000. WELLPOINT INC 4.350% 8/15/20   2015-07-29 2015-10-09
80. EATON CORP PLC   2015-10-06 2015-11-09
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 6,944   6,795 149
b 469,517   518,447 -48,930
c 5,974   5,660 314
d 13,301   14,497 -1,196
e 6,127   5,710 417
79,569   70,825 8,744
17,090   16,033 1,057
15,393   14,252 1,141
14,635   14,631 4
176,469   162,563 13,906
776,198   782,824 -6,626
680,474   667,694 12,780
16,899   17,103 -204
16,505   17,293 -788
8,151   8,026 125
4,180   3,749 431
7,577   7,026 551
7,229   6,962 267
4,558   4,249 309
5,944   6,116 -172
4,747   5,013 -266
4,513   4,155 358
14,379   14,904 -525
4,744   4,615 129
3,215   3,332 -117
30,980   29,893 1,087
11,576   10,697 879
5,328   5,554 -226
229,689   289,908 -60,219
13,342   17,227 -3,885
76,645   98,964 -22,319
8,272   8,886 -614
3,333   3,418 -85
20,281   20,655 -374
9,668   8,630 1,038
111,756   112,087 -331
58,521   37,848 20,673
792,624   494,077 298,547
64,420   76,890 -12,470
31,132   40,924 -9,792
65,364   81,043 -15,679
282,880   374,500 -91,620
23,768   26,005 -2,237
131,135   141,337 -10,202
59,316   58,781 535
25,272   24,950 322
12,259   12,396 -137
12,120   12,133 -13
25,000   25,950 -950
6,301   6,657 -356
34,760   37,351 -2,591
86,995   93,479 -6,484
694,945   687,796 7,149
16,550   16,668 -118
7,106   6,465 641
8,468   7,770 698
16,353   16,883 -530
4,022   4,005 17
15,235   16,326 -1,091
8,032   8,176 -144
5,020   5,029 -9
24,519   26,071 -1,552
1,674,026   1,596,926 77,100
68,625   68,790 -165
15,334   15,795 -461
26,731   21,250 5,481
492,467   358,945 133,522
12,059   12,089 -30
15,318   15,290 28
24,206   24,074 132
3,348   3,414 -66
15,379   14,216 1,163
16,124   16,306 -182
30,655   32,828 -2,173
223,516   232,528 -9,012
41,959   46,613 -4,654
170,942   161,141 9,801
68,604   68,719 -115
130,815   137,165 -6,350
448,445   430,485 17,960
8,518   9,367 -849
3,242   3,501 -259
100,068   102,169 -2,101
1,747,049   1,754,387 -7,338
10,600   10,693 -93
8,898   7,738 1,160
6,860   6,673 187
4,234   4,481 -247
5,807   5,482 325
113,297   125,654 -12,357
488,749   457,332 31,417
823,772   977,931 -154,159
3,510   3,165 345
130,103   119,536 10,567
9,224   8,828 396
11,020   11,467 -447
17,003   17,005 -2
5,813   5,863 -50
23,370   23,577 -207
22,906   22,748 158
104,874   105,292 -418
47,261   47,640 -379
94,378   95,134 -756
33,686   34,575 -889
119,863   131,863 -12,000
57,243   63,252 -6,009
7,127   6,737 390
81,727   80,131 1,596
384,122   363,688 20,434
215,442   212,553 2,889
370,150   358,694 11,456
193,268   197,518 -4,250
414,460   396,354 18,106
303,410   299,627 3,783
590,408   560,668 29,740
5,152   5,741 -589
5,704   5,968 -264
493,449   485,318 8,131
8,412   7,711 701
6,449   6,443 6
6,750   6,944 -194
7,270   7,708 -438
5,607   5,223 384
11,053   10,970 83
838   859 -21
6,489   8,347 -1,858
4,788   4,675 113
54,995   54,996 -1
10,329   10,124 205
15,395   15,186 209
10,656   10,923 -267
21,263   21,797 -534
28,992   28,987 5
21,380   21,472 -92
15,397   16,361 -964
50,000   51,871 -1,871
10,624   10,747 -123
15,839   16,120 -281
10,344   10,438 -94
20,649   20,876 -227
3,115   3,067 48
8,113   8,301 -188
3,987   4,059 -72
6,283   6,263 20
102,565   86,784 15,781
97,649   95,021 2,628
103,555   85,974 17,581
5,563   5,599 -36
5,400   5,489 -89
5,361   5,405 -44
4,506   4,211 295
      5,796
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       149
b       -48,930
c       314
d       -1,196
e       417
      8,744
      1,057
      1,141
      4
      13,906
      -6,626
      12,780
      -204
      -788
      125
      431
      551
      267
      309
      -172
      -266
      358
      -525
      129
      -117
      1,087
      879
      -226
      -60,219
      -3,885
      -22,319
      -614
      -85
      -374
      1,038
      -331
      20,673
      298,547
      -12,470
      -9,792
      -15,679
      -91,620
      -2,237
      -10,202
      535
      322
      -137
      -13
      -950
      -356
      -2,591
      -6,484
      7,149
      -118
      641
      698
      -530
      17
      -1,091
      -144
      -9
      -1,552
      77,100
      -165
      -461
      5,481
      133,522
      -30
      28
      132
      -66
      1,163
      -182
      -2,173
      -9,012
      -4,654
      9,801
      -115
      -6,350
      17,960
      -849
      -259
      -2,101
      -7,338
      -93
      1,160
      187
      -247
      325
      -12,357
      31,417
      -154,159
      345
      10,567
      396
      -447
      -2
      -50
      -207
      158
      -418
      -379
      -756
      -889
      -12,000
      -6,009
      390
      1,596
      20,434
      2,889
      11,456
      -4,250
      18,106
      3,783
      29,740
      -589
      -264
      8,131
      701
      6
      -194
      -438
      384
      83
      -21
      -1,858
      113
      -1
      205
      209
      -267
      -534
      5
      -92
      -964
      -1,871
      -123
      -281
      -94
      -227
      48
      -188
      -72
      20
      15,781
      2,628
      17,581
      -36
      -89
      -44
      295
       
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 2 328,976
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 686,242 14,451,591 0.047486
2013 661,817 13,701,629 0.048302
2012 607,504 12,794,078 0.047483
2011 555,476 11,759,672 0.047236
2010 532,589 10,840,311 0.04913
2
Total of line 1, column (d) .....................
20.239637
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
0.047927
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
13,564,533
5
Multiply line 4 by line 3......................
5
650,107
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
4,314
7
Add lines 5 and 6........................
7
654,421
8
Enter qualifying distributions from Part XII, line 4.............
8
685,988
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 4,314
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 4,314
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 4,314
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 10,810
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 10,810
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 0
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 6,496
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet4,316 RefundedBullet 11 2,180
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)
    bulletSC
    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 ofbulletWELLS FARGO BANK NA Telephone no.bullet (800) 352-3705

    Located atbullet16 BROAD ST 2ND FLOORCHARLESTONSC ZIP+4bullet294013092
    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
    WELLS FARGO BANK NA TRUSTEE
    40
    99,880    
    1525 WEST WT HARRIS BLVD D1114-044
    CHARLOTTE,NC282881161
    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
    13,223,964
    b
    Average of monthly cash balances.......................
    1b
    547,136
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    13,771,100
    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
    13,771,100
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    206,567
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    13,564,533
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    678,227
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    678,227
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    4,314
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,314
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    673,913
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    673,913
    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
    673,913
    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
    685,988
    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
    685,988
    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
    4,314
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    681,674
    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 7 673,913
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 40,089
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 0
    b From 2011...... 0
    c From 2012...... 0
    d From 2013...... 0
    e From 2014...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 685,988
    a Applied to 2014, but not more than line 2a 40,089
    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..... 645,899
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    28,014
    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) ...
    0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2011.... 0
    b Excess from 2012.... 0
    c Excess from 2013.... 0
    d Excess from 2014.... 0
    e Excess from 2015.... 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    SHRINERS HOSPITAL
    PO BOX 31356
    Tampa,FL33631
    NONE PC GENERAL PURPOSE 221,000
    SOUTHERN BAPTIST
    PO BOX 6767
    RICHMOND,VA23230
    NONE PC GENERAL PURPOSE 221,000
    FIRST BAPTIST CHUCH OF N MYRTLE
    200 HIGHWAY 17 N
    NORTH MYTLE BEACH,SC295822938
    NONE PC GENERAL PURPOSE 12,000
    ST JUDES CHILDREN'S RESEARCH
    HOSPITAL
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105
    NONE PC GENERAL PURPOSE 221,000
    Total .................................bullet 3a 675,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........
        14 69  
    4 Dividends and interest from securities....     14 201,134  
    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 ............
        18 328,976  
    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)..   530,179  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13530,179
    (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:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,000     1,000

    TY 2015 CompensationExplanation
    Name:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    Person Name Explanation
    WELLS FARGO BANK NA TRUSTEE FEES

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    Name of Bond End of Year Book Value End of Year Fair Market Value
    4812C0803 JPMORGAN HIGH YIELD 357,164 331,910
    693390882 PIMCO FOREIGN BD FD    
    17275RAK8 CISCO SYSTEMS INC    
    06051GEC9 BANK OF AMERICA CORP 45,179 44,431
    40429CFN7 HSBC FINANCE CORP    
    494550AY2 KINDER MORGAN ENER 27,496 25,633
    713448BN7 PEPSICO INC 47,840 46,702
    031162AZ3 AMGEN INC 34,226 33,074
    084664BE0 BERKSHIRE HATHAWAY 47,777 46,673
    166751AJ6 CHEVRON CORP 44,807 43,580
    260543CF8 DOW CHEMICAL CO/THE 23,737 24,113
    464288588 ISHARES MBS ETF 86,625 87,776
    46429B366 ISHARES CMBS ETF    
    816851AN9 SEMPRA ENERGY 27,030 25,454
    887317AF2 TIME WARNER INC 16,407 16,218
    94973VAS6 WELLPOINT INC 15,967 15,887
    037833AK6 APPLE INC 41,528 41,898
    25459HAY1 DIRECTV HLDG/FIN INC    
    261980494 DREYFUS EMG MKT DEBT    
    261980668 DREYFUS INTERNATL BO    
    315920702 FID ADV EMER MKTS IN 650,534 622,564
    36962G5J9 GENERAL ELEC CAP COR 50,019 49,823
    38141GFG4 GOLDMAN SACHS GROUP 41,928 40,925
    406216BD2 HALLIBURTON COMPANY 40,147 39,257
    46625HHU7 JPMORGAN CHASE & CO 40,813 40,312
    742718DY2 PROCTER & GAMBLE CO/ 47,877 47,966
    77958B402 T ROWE PRICE INST FL 134,156 130,835
    87612EAN6 TARGET CORP 32,049 30,779
    92343VBR4 VERIZON COMMUNICATIO 16,660 16,490
    20825CAR5 CONOCOPHILLIPS 50,434 48,706
    913017BV0 UNITED TECHNOLOGIES 25,502 25,444
    931142CU5 WAL-MART STORES INC 46,549 46,008

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    Name of Stock End of Year Book Value End of Year Fair Market Value
    256206103 DODGE & COX INT'L ST    
    779919109 T ROWE PRICE REAL ES 98,725 99,013
    464287200 ISHARES CORE S & P 5    
    464287606 ISHARES S&P MID-CAP 628,101 614,062
    922908553 VANGUARD REIT VIPER 424,568 493,050
    04314H204 ARTISAN INTERNATIONA    
    04314H600 ARTISAN MID CAP FUND    
    22544R305 CREDIT SUISSE COMM R 318,580 221,846
    339128100 JP MORGAN MID CAP VA    
    411511504 HARBOR CAPITAL APRCT    
    483438305 KALMAR GR W/ VAL SM    
    552983694 MFS VALUE FUND-CLASS    
    683974604 OPPENHEIMER DEVELOPI    
    78463X863 SPDR DJ WILSHIRE INT 514,705 465,763
    863137105 STRATTON SM-CAP VALU    
    008252108 AFFILIATED MANAGERS 56,278 51,602
    02079K107 ALPHABET INC CL C 103,139 119,144
    03076C106 AMERIPRISE FINL INC 63,707 61,085
    037833100 APPLE INC 200,418 189,468
    084670702 BERKSHIRE HATHAWAY I 108,809 109,197
    09247X101 BLACKROCK INC 46,862 51,078
    097023105 BOEING CO 108,605 115,961
    12572Q105 CME GROUP INC 81,373 81,540
    126650100 CVS HEALTH CORPORATI 99,356 96,890
    150870103 CELANESE CORP 81,857 84,903
    17275R102 CISCO SYSTEMS INC 97,906 97,351
    172967424 CITIGROUP INC. 78,254 79,126
    20030N101 COMCAST CORP CLASS A 98,620 94,182
    231021106 CUMMINS INC. 74,687 58,439
    25243Q205 DIAGEO PLC - ADR 45,754 45,264
    254687106 WALT DISNEY CO 113,129 114,327
    375558103 GILEAD SCIENCES INC 58,482 60,410
    38141G104 GOLDMAN SACHS GROUP 48,789 48,662
    404280406 HSBC - ADR 55,788 55,534
    405217100 HAIN CELESTIAL GROUP 44,294 44,106
    464287705 ISHARES S&P MID-CAP 633,244 602,877
    464287804 ISHARES CORE S&P SMA 909,627 880,109
    46625H100 JPMORGAN CHASE & CO 89,581 95,281
    478366107 JOHNSON CONTROLS INC 58,977 54,062
    517834107 LAS VEGAS SANDS CORP 45,108 44,059
    56501R106 MANULIFE FINANCIAL C 48,029 48,805
    58155Q103 MCKESSON CORP 76,698 82,048
    594918104 MICROSOFT CORP 98,297 116,286
    61166W101 MONSANTO CO NEW 76,677 85,121
    641069406 NESTLE S.A. REGISTER 57,174 55,071
    68389X105 ORACLE CORPORATION 53,424 51,617
    693475105 PNC FINANCIAL SERVIC 64,140 67,861
    771195104 ROCHE HOLDINGS LTD - 67,245 68,906
    806857108 SCHLUMBERGER LTD 83,508 78,678
    867224107 SUNCOR ENERGY INC NE 90,302 86,714
    872540109 TJX COMPANIES INC 76,110 76,228
    87612E106 TARGET CORP 78,565 73,118
    883556102 THERMO FISHER SCIENT 59,066 67,379
    89151E109 TOTAL S.A. - ADR 81,690 73,089
    907818108 UNION PACIFIC CORP 105,248 87,584
    911312106 UNITED PARCEL SERVIC 53,971 51,098
    91324P102 UNITEDHEALTH GROUP I 97,190 98,582
    921943858 VANGUARD FTSE DEVELO 1,500,845 1,453,928
    922042858 VANGUARD FTSE EMERGI 1,018,145 925,072
    G29183103 EATON CORP PLC 41,743 41,268

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    US Government Securities - End of Year Book Value:

    726,736
    US Government Securities - End of Year Fair Market Value:

    720,998
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2015 InvestmentsOtherSchedule2
    Name:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    GTY995004 GAI AGILITY INCOME F AT COST 650,000 659,631

    TY 2015 OtherDecreasesSchedule
    Name:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    Description Amount
    MUTUAL FUND POSTING DATE AFTER TYE 12,930
    ROC BASIS ADJUSTMENT 6,676
    ACCRUED INTEREST PAID EFFECTIVE DATE AFTER TY 3,423


    TY 2015 OtherExpensesSchedule
    Name:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NONALLOCABLE EXPENSES - 92 92   0


    TY 2015 OtherIncreasesSchedule
    Name:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    Description Amount
    MUTUAL FUND TAX EFFECTIVE DATE BEFORE TYE 18,973
    ACCRUED INTEREST PAID EFFECTIVE DATE BEFORE TYE 444


    TY 2015 TaxesSchedule
    Name:
    J ARNET AND MILDRED M LEWIS
    EIN:
    26-0454822
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 474 474   0
    FEDERAL TAX PAYMENT - PRIOR YE 23,780 0   0
    FEDERAL ESTIMATES - PRINCIPAL 10,810 0   0
    FOREIGN TAXES ON QUALIFIED FOR 930 930   0
    FOREIGN TAXES ON NONQUALIFIED 845 845   0