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
HEYMAN FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)3161 WEST SOMERSET COURT
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MARIETTA, GA30067
A Employer identification number

58-6034496
B Telephone number (see instructions)

(770) 382-0777
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$3,142,172J 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... 85,131 85,131  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 213,821
b Gross sales price for all assets on line 6a 276,403
7 Capital gain net income (from Part IV, line 2)... 213,821
8 Net short-term capital gain......... 11,216
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 333    
12 Total. Add lines 1 through 11........ 299,285 298,952 11,216
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 24,100 24,100    
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 1,100      
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,447      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 27,647 24,100   0
25 Contributions, gifts, grants paid....... 151,500 151,500
26 Total expenses and disbursements. Add lines 24 and 25 179,147 24,100   151,500
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 120,138
b Net investment income (if negative, enter -0-) 274,852
c Adjusted net income (if negative, enter -0-)... 11,216
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............. 2,000 2,000 2,000
2 Savings and temporary cash investments......... 299,454 339,616 339,616
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 958,193 Click to see attachment920,677 2,534,927
c Investments—corporate bonds (attach schedule)....... 76,772 Click to see attachment49,593 49,468
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 78,596 Click to see attachment221,541 216,161
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) 1,415,015 1,533,427 3,142,172
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........ 1,415,015 1,533,427
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 1,415,015 1,533,427
31 Total liabilities and net assets/fund balances (see instructions). 1,415,015 1,533,427
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,415,015
2
Enter amount from Part I, line 27a .....................
2
120,138
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
1,535,153
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,726
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,533,427
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 AT&T INC COM P 2007-10-03 2015-05-08
b BAXTER INTL INC COM P 2010-05-05 2015-05-08
c KRAFT FOODS GROUP P 2012-10-02 2015-05-08
d NEXTERA ENERGY INC COME P 2007-10-03 2015-05-08
e MONDELEZ INTERNATIONAL INC P 2007-10-03 2015-05-08
EQUIFAX INC COME P 2007-10-03 2015-05-08
COCA COLA CO COM P 2007-10-03 2015-05-08
GE CAPITAL INTERNOTES P 2013-09-26 2015-12-15
CDK GLOBAL INC P 2014-09-03 2015-05-08
(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 33,694 0 4,312 29,382
b 34,932 0 22,775 12,157
c 17,216 0 23 17,193
d 60,819 0 4,246 56,573
e 27,625 0 14 27,611
39,773 0 242 39,531
20,537 0 277 20,260
25,000 0 25,102 -102
16,807 0 5,591 11,216
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a 0 0 0 29,382
b 0 0 0 12,157
c 0 0 0 17,193
d 0 0 0 56,573
e 0 0 0 27,611
0 0 0 39,531
0 0 0 20,260
0 0 0 -102
0 0 0 11,216
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 2 213,821
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 11,216
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 132,234 3,077,050 0.042974
2013 120,000 2,801,481 0.042834
2012 111,000 2,517,192 0.044097
2011 47,000 2,322,139 0.020240
2010 118,945 2,256,241 0.052718
2
Total of line 1, column (d) .....................
20.202863
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
0.040573
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
3,099,043
5
Multiply line 4 by line 3......................
5
125,737
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
2,749
7
Add lines 5 and 6........................
7
128,486
8
Enter qualifying distributions from Part XII, line 4.............
8
151,500
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 2,749
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 2,749
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,749
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 2,280
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Tax Paid with the Original Return: 2280 7 2,280
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 469
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  
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)
    bulletGA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletLYONS J HEYMAN JR Telephone no.bullet (770) 382-0777

    Located atbullet3161 WEST SOMERSET COURTMARIETTAGA ZIP+4bullet30067
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    LYONS J HEYMAN JR TRUSTEE, AS NECESSAR
    1.00     		0 0 0
    3161 WEST SOMERSET COURT
    MARIETTA,GA30067
    River City Bank Agent, as necessary
    1.00     		24,100 0 0
    228 North Second Avenue
    Rome,GA30161
    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
    2,763,436
    b
    Average of monthly cash balances.......................
    1b
    382,801
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,146,237
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    3,146,237
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    47,194
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,099,043
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    154,952
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    154,952
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    2,749
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,749
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    152,203
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    152,203
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    152,203
    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
    151,500
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    151,500
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    2,749
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    148,751
    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 7 152,203
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 151,229
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 151,500
    a Applied to 2014, but not more than line 2a 151,229
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount..... 271
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		151,932
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    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).)
    NA
    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.
    NA
    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
    Anti-Defamation League
    3490 Piedmont Rd 610
    Atlanta,GA30305     		  PC Operating Fund 22,000
    Floyd Heyman HospiceCare
    P O Box 163
    Rome,GA30162     		  PC Heyman Hospice 8,000
    Fragile X of Georgia
    3161 W Somerset Ct SE
    Marietta,GA30067     		  PC Operating Fund 9,000
    Right in the Community
    1830 Water Place Suite 120
    Atlanta,GA30339     		  PC Operating Fund 2,000
    Rodeph Sholom Congregation
    P O Box 425
    Rome,GA30162     		  PC Operating Fund 5,000
    Boys and Girls Club of NW GA
    P O Box 2939
    Rome,GA30164     		  PC Operating Fund 2,000
    Rome Little Theater
    P O Box 1063
    Rome,GA30162     		  PC Operating Fund 2,000
    Rome Symphony Orchestra
    P O Box 533
    Rome,GA30162     		  PC Operating Fund 4,000
    Rome-Floyd YMCA
    810 E 2nd Avenue
    Rome,GA30161     		  PC Operating Fund 5,000
    Atlanta Jewish Federation
    1440 Spring St NW
    Atlanta,GA30309     		  PC Operating Fund 15,000
    Bay Arts Alliance
    8 Harrison Ave
    Panama City,FL32401     		  PC Operating Fund 1,500
    Berry College
    2277 Martha Berry
    Mt Berry,GA30149     		  PC Operating Fund 4,000
    American Jewish Committee
    3525 Piedmont Rd NE
    Atlanta,GA30305     		  PC Operating Fund 3,000
    Covenant Hospice
    107 W 19th St
    Panama City,FL32405     		  PC Operating Fund 1,500
    Darlington School
    1014 Cave Spring Road
    Rome,GA30161     		  PC Operating Fund 10,000
    Emory University
    1648 Pierce Dr NE
    Atlanta,GA30322     		  PC Operating Fund 2,000
    Hope Center Foundation
    c/o Cartersville Medical Center
    Cartersville,GA30120     		  PC Operating Fund 1,000
    Jewish National Fund
    6065 Roswell Road Suite 214
    Atlanta,GA30328     		  PC Operating Fund 1,000
    Kaleidoscope Theatre
    P O Box 526
    Lynn Haven,FL32444     		  PC Operating Fund 1,500
    Lymphoma Research Foundation
    115 Broadway Suite 1301
    New York,NY10006     		  PC Operating Fund 3,000
    Martin Theater
    409 Harrison Ave
    Panama City,FL32401     		  PC Operating Fund 1,500
    Panama City Music Association
    PO Box 133
    Panama City,FL32402     		  PC Operating Fund 1,000
    Rome Area History Museum
    305 Broad Street
    Rome,GA30161     		  PC Operating Fund 1,000
    Rome Exchange Club Family Resource Center
    P O Box 158
    Rome,GA30162     		  PC Operating Fund 3,000
    Temple Emanu-El
    188 N Park Avenue
    Dothan,AL36303     		  PC Operating Fund 2,500
    Birmingham Jewish Federation
    3966 Montclair Rd
    Mountain Brook,AL35213     		  PC Operating Fund 3,000
    The Breman Jewish Museum
    1440 Spring St NW
    Atlanta,GA30309     		  PC Operating Fund 2,000
    Marcus Jewish Community Center
    5342 Tilly Mill Rd
    Dunwoody,GA30338     		  PC Camp Barney 6,000
    Temple Kol Emeth
    1415 Old Canton Road
    Marietta,GA30062     		  PC Operating Fund 3,000
    Jewish Educational Loan Fund
    4549 Chamblee Dunwoody Rd
    Atlanta,GA30338     		  PC Operating Fund 3,000
    Camp Living Wonders
    5425 Powers Ferry Road
    Atlanta,GA30327     		  PC Operating Fund 3,000
    Butchikas Foundation
    4750 Collegiate Drive
    Panama City,FL32405     		  PC Operating Fund 1,500
    William Bremen Jewish Home
    3150 Howell Mill Rd NW
    Atlanta,GA30327     		  PC Operating Fund 5,000
    Advocates For Bartows Children
    49 Monroe Crossing SE
    Cartersville,GA30120     		  PC Operating Fund 2,000
    Birthright Israel Foundation
    PO Box 5892
    Hicksville,NY11802     		  PC Operating Fund 3,000
    Cobb County Bar Association
    70 Haynes Street Suite 2006
    Marietta,GA30090     		  PC Judge Bernes Scholarship Fund 1,000
    Rotary Club of Cartersville
    1310 Joe Frank Harris Parkway
    Cartersville,GA30120     		  PC Operating Fund 2,000
    Georgia Highlands College Foundation Inc
    3175 Cedartown Highway
    Rome,GA30161     		  PC Foundation Fund 2,000
    Georgia Museums Inc
    501 MUSEUM DRIVE
    Cartersville,GA30120     		  PC Operating Fund 3,500
    Total .................................bullet 3a 151,500
    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 85,131  
    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 ............     		    18 213,821  
    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)..   298,952  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13298,952
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  
    Part VI Line 7 - Tax Paid with the Original Return: 2,280


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    HEYMAN FAMILY FOUNDATION
    EIN:
    58-6034496
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Read, Martin & Slickman Tax preparation 1,100      

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

    TY 2015 GainLossSaleOtherAssetsSch
    Name:
    HEYMAN FAMILY FOUNDATION
    EIN:
    58-6034496
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    See Details in Part IV         259,596 56,991     202,605  
    See Details in Part IV         16,807 5,591     11,216  

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    HEYMAN FAMILY FOUNDATION
    EIN:
    58-6034496
    Name of Bond End of Year Book Value End of Year Fair Market Value
    $25000 ConocoPhillips CDA 1.05% 12/15/17 24,744 24,499
    $25000 Oracle Corp 1.2% 10/15/17 24,849 24,969

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    HEYMAN FAMILY FOUNDATION
    EIN:
    58-6034496
    Name of Stock End of Year Book Value End of Year Fair Market Value
    400 shares 3M Company 3,911 60,256
    2000 shares Abb LTD Spons ADR 44,407 35,460
    1000 shares Abbott Labs 22,946 44,910
    1000 shares Abbvie 24,878 59,240
    50 shares Alphabet Inc, Cap CL A 12,168 38,901
    50 shares Alphabet Inc. Cap CL C 12,104 37,944
    3000 shares Altria Group Inc 119 174,630
    1050 shares Apple Inc 82,219 110,523
    2200 shares AT&T 9,486 75,702
    1,000 shares Automatic Data Processing 38,681 84,720
    450 shares Berkshire Hathaway Inc 33,921 59,418
    1700 shares Coca-Cola Co 942 73,032
    400 sh Colgate Palmolive Co 16,857 26,648
    500 shares Devon Energy Corp 29,820 16,000
    500 shares Walt Disney Co 8,329 52,540
    800 shares Equifax Inc 483 89,096
    1100 shares Exxon Mobil Corp 3,827 85,745
    1000 shares Fiserv Inc 27,342 91,460
    2000 shares Gallagher Arthur J & Co 50,375 81,880
    2600 shares General Electric Co 25,431 80,990
    1000 shares Genuine Parts Co 33,085 85,890
    400 shares Home Depot Inc 32,012 52,900
    600 shares Illinois Tool WKS Inc 37,164 55,608
    1000 shares Intel Corp 26,560 34,450
    1200 shares Johnson & Johnson 17,274 123,264
    492 shares Kraft Foods Inc 56 35,798
    2200 shares Microsoft Corp 49,376 122,056
    1376 shares Mondelez International Inc 28 61,700
    600 shares Nextera Energy Inc 4,246 62,334
    1576 shares Pfizer Inc 28,006 50,873
    1300 shares Philip Morris Intl Inc 117 114,283
    200 shares Phillips 66 3,459 16,360
    300 shares Procter & Gamble Co 13,547 23,823
    700 shares Qualcomm Corp 43,537 34,990
    500 shares Southern Co 13,639 23,395
    1000 shares Stryker Corp 47,505 92,940
    1000 shares Texas Instruments Inc 41,123 54,810
    1166 shares Verizon Communications 24,345 53,893
    800 shares Dow Chemical 34,896 41,184
    700 shares Canadian Natural Resources 22,456 15,281

    TY 2015 InvestmentsOtherSchedule2
    Name:
    HEYMAN FAMILY FOUNDATION
    EIN:
    58-6034496
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    1000 shares Vanguard Total International Stock ETF   49,777 45,110
    400 shares Vanguard Total Stock Market ETF   34,756 41,720
    2000 shares Powershares High Yield Corp Bond   37,008 34,880
    11230.8180 shares Eaton Vance FLoating Rate Fund   100,000 94,451

    TY 2015 OtherDecreasesSchedule
    Name:
    HEYMAN FAMILY FOUNDATION
    EIN:
    58-6034496
    Description Amount
    Mutual Fund Timing Difference 1,726


    TY 2015 OtherIncomeSchedule2
    Name:
    HEYMAN FAMILY FOUNDATION
    EIN:
    58-6034496
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Excise Tax Overpayment 333    


    TY 2015 TaxesSchedule
    Name:
    HEYMAN FAMILY FOUNDATION
    EIN:
    58-6034496
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Excise Tax-payments 2,280      
    Foreign Tax withheld 167