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
Our Lady of the Sierras Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 269
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Hereford, AZ85615
A Employer identification number

86-0727824
B Telephone number (see instructions)

(520) 378-2950
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$3,392,925
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) 85,401
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 1 1 1
4 Dividends and interest from securities... 102,368 102,368 102,368
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 187,770 102,369 102,369
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 41,599   41,599 41,599
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 1,450   1,450 1,450
c Other professional fees (attach schedule).... 5,288   5,288 5,288
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 4,597   4,597 4,597
19 Depreciation (attach schedule) and depletion... 63,281   63,281
20 Occupancy.............. 1,275   1,275 1,275
21 Travel, conferences, and meetings.......        
22 Printing and publications.......... 1,924   1,924 1,924
23 Other expenses (attach schedule)....... 41,892   41,543 41,543
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 161,306 0 160,957 97,676
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 161,306 0 160,957 97,676
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 26,464
b Net investment income (if negative, enter -0-) 102,369
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 165,536 83,115 83,115
2 Savings and temporary cash investments.........      
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.......... 625    
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 52,513 Click to see attachment52,343 441,959
c Investments—corporate bonds (attach schedule)....... 6,382 Click to see attachment6,362 6,362
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,175,341 Click to see attachment1,337,685 1,573,060
14 Land, buildings, and equipment: basis bullet2,000,500
Less: accumulated depreciation (attach schedule) bullet775,229 1,277,257 Click to see attachment1,225,271 1,287,853
15 Other assets (describe bullet) Click to see attachment0 Click to see attachment576 Click to see attachment576
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,677,654 2,705,352 3,392,925
Liabilities 17 Accounts payable and accrued expenses..........   1,234
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).........   1,234
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 2,677,654 2,704,118
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 2,677,654 2,704,118
31 Total liabilities and net assets/fund balances (see instructions). 2,677,654 2,705,352
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
2,677,654
2
Enter amount from Part I, line 27a .....................
2
26,464
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
2,704,118
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
2,704,118
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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  
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 673,830   0.000000
2013 172,538 1,631,408 0.105760
2012 302,989 1,539,779 0.196774
2011 140,207 1,179,768 0.118843
2010 99,135 935,375 0.105984
2
Total of line 1, column (d) .....................
20.527361
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
0.105472
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
 
5
Multiply line 4 by line 3......................
5
 
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,024
7
Add lines 5 and 6........................
7
1,024
8
Enter qualifying distributions from Part XII, line 4.............
8
104,627
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 1,024
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 1,024
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 1,024
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,600
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Original Return Overpayment: -1600 7 1,600
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 576
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet576 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)
    bullet
    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
    Yes
     
    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 addressbulletwww.ourladyofthesierras.org
    14
    The books are in care ofbulletGERALD CHOUINARD Telephone no.bullet (520) 378-1764

    Located atbulletPO Box 269HerefordAZ ZIP+4bullet85615
    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
     
    No
    .........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
    GERALD A CHOUINARD President
    100.00
    0 0 0
    PO Box 940
    Hereford,AZ85615
    CHARLES IRWIN Director
    50.00
    0 0 0
    2764 Oriole Dr
    Sierra Vista,AZ85635
    PATRICIA A CHOUINARD Secretary/Treasurer
    50.00
    0 0 0
    PO Box 940
    Hereford,AZ85615
    CHARLES IRWIN Director
    50.00
    0 0 0
    2764 Oriole Dr
    Sierra Vista,AZ85635
    GENE MUNDT Director
    50.00
    0 0 0
    8915 S Bryerly Ct
    Hereford,AZ85615
    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 To Provide for the maintenance and promotion of a Chapeland other religious monuments that will inspire awe andReligious faith. Total Operating Expense 161,306
    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 Purchase new equipment and furnishings 6,951
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet6,951
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    0
    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
    0
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    0
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    0
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    0
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    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
     
    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
    97,676
    b
    Program-related investments—total from Part IX-B..................
    1b
    6,951
    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
    104,627
    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
    1,024
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    103,603
    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 0
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012...... 306,319
    d From 2013...... 173,994
    e From 2014...... 675,081
    fTotal of lines 3a through e........ 1,155,394
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 104,627
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2015 distributable amount.....  
    e Remaining amount distributed out of corpus 104,627
    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 1,260,021
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    1,260,021
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012.... 306,319
    c Excess from 2013.... 173,994
    d Excess from 2014.... 675,081
    e Excess from 2015.... 104,627
    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
    0     76,989 76,989
    b 85% of line 2a .........       65,441 65,441
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
    104,627 675,081 173,994 306,319 1,260,021
    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 ....
    104,627 675,081 173,994 306,319 1,260,021
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......         0
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
            0
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
          51,326 51,326
    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) ....
            0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
            0
    (3) Largest amount of support
    from an exempt organization
            0
    (4) Gross investment income         0
    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).)
    GERALD A CHOUINARD
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    Total .................................bullet 3a  
    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.... 624110 102,368 14    
    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 ............
             
    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).. 102,368    
    13Total. Add line 12, columns (b), (d), and (e)..................
    13102,368
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  
    Part VI Line 7 -Original Return Overpayment: -1,600


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

    86-0727824
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    Our Lady of the Sierras Foundation
     
    Employer identification number
    86-0727824
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
     
     

    GERALD CHOUINARD  
    PO Box 940
     
    Hereford, AZ85615

    $ 60,000


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    Our Lady of the Sierras Foundation
     
    Employer identification number

    86-0727824
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    Our Lady of the Sierras Foundation
     
    Employer identification number

    86-0727824
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    S. Frumenti Tax and Accounting 1,450   1,450 1,450

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

    TY 2015 DepreciationSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    10310 Twin Oaks Land 1997-06-30 64,000   SL 20.00        
    10235 Twin Oaks Land 1997-06-30 140,000   SL 20.00        
    Celtic Cross 1997-06-30 296,454 259,399 SL 20.00 14,822      
    Madonna Statue 1997-06-30 56,000 49,000 SL 20.00 2,800      
    Road Improvements 1997-06-30 22,690 19,856 SL 20.00 1,134      
    OLS Chapel 1997-09-01 160,632 71,773 SL 39.00 4,093      
    Land-Clergy Residence 2000-06-30 40,000   SL 20.00        
    On Site Road Improvements 2000-06-30 761 736 SL 15.00 25      
    2001 Stat/Cross 2001-03-06 362 325 SL 15.00 25      
    2001 Stat/Cross 2001-04-05 4,400 3,959 SL 15.00 294      
    2001 Stat/Cross 2001-04-06 576 517 SL 15.00 39      
    2001 Stat/Cross 2001-05-07 42 38 SL 15.00 3      
    2001 Stat/Cross 2001-07-31 6,000 5,400 SL 15.00 400      
    2001 Stat/Cross 2001-09-08 495 446 SL 15.00 33      
    2001 Stat/Cross 2001-10-12 468 421 SL 15.00 31      
    2001 Stat/Cross 2001-11-07 10,299 9,271 SL 15.00 685      
    2001 Stat/Cross 2001-12-04 841 756 SL 15.00 57      
    2001 Stat/Cross 2001-12-11 2,379 2,143 SL 15.00 157      
    Land-Mary's Farm 10053 T.O. Rd 2002-08-31 54,589   SL 20.00        
    Outdoor Stations 2002-11-08 207 173 SL 15.00 14      
    2002 Stat/Cross 2002-03-08 285 238 SL 15.00 19      
    2002 Stat/Cross 2002-04-04 3,346 2,788 SL 15.00 223      
    2002 Stat/Cross 2002-04-08 100 84 SL 15.00 6      
    2002 Stat/Cross 2002-04-26 815 678 SL 15.00 55      
    2002 Stat/Cross 2002-05-10 752 626 SL 15.00 50      
    2002 Stat/Cross 2002-07-05 288 239 SL 15.00 20      
    2002 Stat/Cross 2002-08-05 297 248 SL 15.00 20      
    2002 Stat/Cross 2002-08-08 529 440 SL 15.00 36      
    2002 Stat/.Cross 2002-09-06 2,826 2,353 SL 15.00 189      
    2002 Stat/Cross 2002-09-24 2,755 2,297 SL 15.00 183      
    2002 Stat/Cross 2002-12-05 686 572 SL 15.00 46      
    2002 Stat/Cross 2002-12-27 5,000 4,166 SL 15.00 334      
    2002 Stat/Cross 2002-12-31 315 263 SL 15.00 21      
    2002 Stat/Cross 2002-10-04 285 238 SL 15.00 19      
    2003 Chapel Railing 2003-01-03 11,000 8,433 SL 15.00 733      
    Chapel Driveway 2003-10-10 3,538 2,714 SL 15.00 235      
    2003 Stat/Cross 2003-08-08 172 130 SL 15.00 12      
    2003 Stat/Cross 2003-09-02 15,190 11,646 SL 15.00 1,013      
    2003 Stat/Cross 2003-12-10 250 192 SL 15.00 17      
    2004 Blacktop Driveway 2004-01-12 4,500 3,150 SL 15.00 300      
    2004 Stat/Cross 2004-09-03 1,334 934 SL 15.00 89      
    2004 Bronze Plaques 2004-09-03 925 648 SL 15.00 62      
    2004 Station of the Cross 2004-06-30 132 94 SL 15.00 8      
    2005 Stat/Cross Angel & Two 2005-04-08 114 73 SL 15.00 7      
    Children Statue 2005-02-15 6,975 4,418 SL 15.00 465      
    Chapel Railing 2006-10-19 600 330 SL 15.00 42      
    Chapel Railings 2006-11-30 648 355 SL 15.00 45      
    Two Metal Light Fixtures 2008-12-12 397 83 SL 15.00 14      
    Virgin Mary Plaque 2008-11-07 595 273 SL 7.00 24      
    10235 T/O 2 Poles & Lights 2009-12-01 536 187 SL 15.00 37      
    Chapel Handrail & Railing 2009-02-20 1,040 400 SL 15.00 67      
    Hon Cabinet 2011-06-24 241 120 SL 7.00 35      
    Brother Printer 2011-06-24 472 330 SL 5.00 95      
    Montessa Office chair 2011-07-09 109 55 SL 7.00 15      
    Tripp Lite UPS tower 2011-07-18 209 147 SL 5.00 41      
    Dell Desktop Computer 2011-07-18 1,531 1,071 SL 5.00 307      
    Sharp Adding Machine 2011-07-19 64 45 SL 5.00 13      
    Seagate Portable Hard Drive 2011-10-25 102 71 SL 5.00 21      
    Engenuis Phone Set 2011-11-04 1,076 753 SL 5.00 215      
    Holmes Space Heater 2011-11-08 54 28 SL 7.00 7      
    6' USB Cable 2011-07-19 23 16 SL 5.00 5      
    Clergy Garments 2011-08-26 1,750 875 SL 7.00 250      
    Chapel Furniture 2011-10-01 44 21 SL 7.00 7      
    West Bend Coffee Maker 2012-01-06 158 79 SL 5.00 32      
    West Bend Coffee Maker 2012-01-06 158 79 SL 5.00 32      
    Oster Roaster 2012-01-06 64 32 SL 5.00 13      
    Oster Roaster 2012-01-06 64 32 SL 5.00 13      
    Oster Roaster 2012-01-06 64 32 SL 5.00 13      
    Oster Roaster 2012-01-06 64 32 SL 5.00 13      
    Oster Roaster 2012-01-06 64 32 SL 5.00 13      
    Oster Roaster 2012-01-06 64 32 SL 5.00 13      
    Nesco Roaster 2012-01-06 66 33 SL 5.00 13      
    Nesco Roaster 2012-01-06 66 33 SL 5.00 13      
    8' Step ladder 2012-02-09 161 80 SL 5.00 32      
    12' Step Ladder 2012-02-09 285 143 SL 5.00 57      
    6' Cable Lock 2012-02-09 40 20 SL 5.00 8      
    DVD Player 2012-03-06 223 112 SL 5.00 44      
    Safety Scaffold 2012-04-12 694 347 SL 5.00 139      
    Portable PA System 2012-04-12 196 98 SL 5.00 39      
    Steel Security Cable 2012-04-27 32 16 SL 5.00 6      
    HV Utiitech Pedestal Fan 2012-04-30 109 55 SL 5.00 22      
    Home Lite Chain Saw 2012-05-18 187 93 SL 5.00 38      
    Gas Can 2012-05-18 13 7 SL 5.00 2      
    Hand Tools 2012-05-18 250 125 SL 5.00 50      
    DVD Player 2012-05-18 149 75 SL 5.00 30      
    24 PKT Rotary Floor Rack 2012-07-06 874 437 SL 5.00 175      
    11 Liturature Racks 2012-07-06 249 125 SL 5.00 50      
    Haier Portable AC Unit 2012-07-06 588 294 SL 5.00 118      
    Riccar 1800 HEPA Vacuum 2012-08-31 697 348 SL 5.00 140      
    Bernz Pro Butane Kit 2012-09-30 28 14 SL 5.00 6      
    Leaded Glass Windows 2012-03-02 6,360 1,060 SL 15.00 424      
    Chapel Doors 2012-04-13 15,675 1,089 SL 39.00 402      
    Chapel Mural 2012-04-27 18,615 1,292 SL 39.00 477      
    Air Conditioner 2012-06-27 2,852 186 SL 39.00 73      
    Chapel Rebuild from fire 2012-01-12 49,891 3,784 SL 39.00 1,279      
    Chapel New Chairs, Kneeler 2012-04-12 7,461 2,665 SL 7.00 1,066      
    Books 2012-08-06 332 166 SL 5.00 66      
    Folding Chairs 2012-10-05 318 113 SL 7.00 46      
    Bronze Alter Bell 2012-05-18 295 105 SL 7.00 42      
    Bronze Holy Water Pot 2012-05-18 385 138 SL 7.00 55      
    Standing Crucifix 2012-08-20 16 5 SL 7.00 2      
    Bowl Paten 2012-08-20 136 68 SL 5.00 27      
    T/O Rd Fire Restoration 2012-02-24 8,129 598 SL 39.00 208      
    6' Folding Banquet Table 2012-01-06 25 9 SL 7.00 4      
    6' Folding Banquet Table 2012-01-06 25 9 SL 7.00 4      
    60" Case Office Desk 2012-03-31 810 290 SL 7.00 116      
    FireKing 4 Drawer File Safe 2012-03-31 890 318 SL 7.00 127      
    Panasonic 2 line phone answerer 2012-06-08 114 40 SL 7.00 16      
    Xacrto Paper Cutter 2012-07-31 60 30 SL 5.00 12      
    Kitchen & Laundry Cabinets 2012-02-16 6,023 2,151 SL 7.00 860      
    Fire Restoration 5522 P/O 2012-02-16 32,770 2,415 SL 39.00 840      
    Metal Pew Chairs 2012-03-06 3,578 1,278 SL 7.00 511      
    Wood Clothers Hangers 2012-03-31 28 14 SL 5.00 6      
    Rug Prayer Room 2012-04-12 138 50 SL 7.00 20      
    GE Built in Wall AC 2012-04-12 984 352 SL 7.00 140      
    Digital Wall Mural 2012-04-12 646 230 SL 7.00 92      
    GE Washer & Dryer 2012-05-18 848 303 SL 7.00 121      
    Serving Organizer Bins 2012-06-30 91 33 SL 7.00 13      
    Qn.Size Bookcase Headboard 2012-07-31 230 79 SL 7.00 34      
    Queen Size Mattress 2012-07-31 432 155 SL 7.00 62      
    Window Curtains 2012-08-31 112 40 SL 7.00 16      
    Qn Size Bed Linen 2012-08-31 106 38 SL 7.00 15      
    Plaque & Numbers 2012-09-30 79 28 SL 7.00 11      
    Area Rugs and Pads 2012-12-07 281 100 SL 7.00 40      
    Lamp Shades 2012-12-07 49 18 SL 7.00 7      
    Bathroom Throw Rug 2012-12-07 41 15 SL 7.00 6      
    Virgin of Tihaljina Statue 2012-06-20 5,750 2,053 SL 7.00 822      
    Icon of Christ in the Tomb 2012-01-06 640 228 SL 7.00 92      
    Stations of the Cross Set 2012-01-06 220 78 SL 7.00 32      
    Letterboard Panel 2012-06-30 540 193 SL 7.00 77      
    Custom OLSF Signs 2012-07-31 947 338 SL 7.00 135      
    Landscaping Rock Work 2012-09-28 2,178 363 SL 15.00 145      
    T/O Road Fire Rebuild 2012-02-09 3,810 281 SL 39.00 98      
    Chapel Fire Rebuild 2012-09-21 6,620 390 SL 39.00 170      
    5522 P/P Rd Rebuild 2012-03-09 6,540 469 SL 39.00 168      
    Chapel Restoration 2012-04-12 32,490 2,256 SL 39.00 833      
    10053 T/O Rd Restoration 2012-02-09 4,709 348 SL 39.00 121      
    10235 T/O Restoration 2012-02-09 5,250 388 SL 39.00 135      
    24' Extension Ladder 2012-02-09 282 141 SL 5.00 56      
    Mary's Knoll Facility 2014-06-17 477,922 6,638 SL 39.00 12,254      
    Mary's Knoll Furniture & Fixtures 2014-06-17 23,744 3,392 200DB 7.00 5,815      
    Mary's Knoll Grounds Improvement 2014-06-17 10,400 520 150DB 15.00 988      
    Mary's Knoll Appliances 2014-06-17 4,675 668 200DB 7.00 1,145      
    Land- Prince Placer Road 2014-12-02 110,000   SL 20.00        
    St Joseph's Furniture 2014-08-08 3,149 450 200DB 7.00 771      
    Fire Safe 2014-08-08 2,589 370 200DB 7.00 634      
    Irrigation Water Line 2015-01-29 1,956   150DB 15.00 98      
    MK Fence 2015-03-27 1,275   150DB 15.00 64      
    Walkway-MK to Garage 2015-05-08 3,025   150DB 15.00 151      
    Blue Vests 2015-10-23 695   200DB 7.00 99      
    Assets Written Off 2015 (Schedule) 1997-06-30 193,567 193,567 150DB 15.00        

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Fidelity Bond Fund 6,362 6,362

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Name of Stock End of Year Book Value End of Year Fair Market Value
    Avery Dennision Corp Stock 28,283 187,980
    Merck & Co. Inc 9,475 52,820
    CVS 6,950 163,276
    Schlumbeger 2,607 20,925
    Express Scripts 5,028 16,958

    TY 2015 InvestmentsOtherSchedule2
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Capital World Growth & Income Fund   246,851 237,630
    Davis Series Inc Fund   162,856 195,250
    Growth Fund of America   458,705 704,183
    Small Cap World Fund   176,447 153,177
    Fundamental Investors   274,219 264,213
    Edw Jones MM Fund   13,116 13,116
    Fidelity Fund   5,491 5,491

    TY 2015 LandEtcSchedule2
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    10310 Twin Oaks - Land 64,000   64,000  
    10235 Twin Oaks - Land 140,000   140,000  
    New Celtic Cross 296,454 274,221 22,233  
    Madonna Statue 56,000 51,800 4,200  
    Road Improvements 22,690 20,990 1,700  
    OLS Chapel 160,632 75,866 84,766  
    Assets Written off Schedule 193,567 193,567    
    Land - Clergy Resident 40,000   40,000  
    Onsite Road Improvements 761 761    
    2001 Stat/Cross 362 350 12  
    2001 Stat/Cross 4,400 4,253 147  
    2001 Stat/Cross 576 556 20  
    2001 Stat/Cross 42 41 1  
    2001 Stat/Cross 6,000 5,800 200  
    2001 Stat/Cross 495 479 16  
    2001 Stat/Cross 468 452 16  
    2001 Stat/Cross 10,299 9,956 343  
    2001 Stat/Cross 841 813 28  
    2001 Stat/Cross 2,379 2,300 79  
    Land-Mary's Farm 10053 T.O. Rd 54,589   54,589  
    Outdoor Stations 207 187 20  
    2002 Stat/Cross 285 257 28  
    2002 Stat/Cross 3,346 3,011 335  
    2002 Stat/Cross 100 90 10  
    2002 Stat/Cross 815 733 82  
    2002 Stat/Cross 752 676 76  
    2002 Stat/Cross 288 259 29  
    2002 Stat/Cross 297 268 29  
    2002 Stat/Cross 529 476 53  
    2002 Stat/Cross 2,826 2,542 284  
    2002 Stat/Cross 2,755 2,480 275  
    2002 Stat/Cross 686 618 68  
    2002 Stat/Cross 5,000 4,200 800  
    2002 Stat/Cross 315 284 31  
    2002 Stat/Cross 285 257 28  
    2003 Chapel Railing 11,000 9,166 1,834  
    2003 Chapel Driveway Improve 3,538 2,949 589  
    2003 Stat/Cross 172 142 30  
    2003 Stat/Cross 15,190 12,659 2,531  
    2003 Stat/Cross 250 209 41  
    2004 Blacktop Driveway 4,500 3,450 1,050  
    2004 Stat/Cross 1,334 1,023 311  
    2004 Bronze Plaques for Internments 925 710 215  
    2004 Stat/Cross 132 102 30  
    2005 Stat/Cross 114 73 41  
    Angel & Two Children Statue 6,975 4,883 2,092  
    Chapel-Railings 600 372 228  
    Chapel-Railings 648 400 248  
    2 Metal Light Poles, light Fixture 397 97 300  
    Virgin Mary Plaque for Gate Post 595 297 298  
    10235 T/O Grounds 2 Poles & Lights 536 224 312  
    Chapel Custom Handrail & Railing 1,040 467 573  
    Hon 4 Drawer File Cabinet 241 155 86  
    Brother Print/Copy/Fax 472 425 47  
    Montessa Office Chair 109 70 39  
    Tripp Lite UPS Tower 209 188 21  
    Dell XPS8300 Desktop Computer 1,531 1,378 153  
    Sharp Adding Maching 64 58 6  
    Seagate Portable Hard Drive 102 92 10  
    Engenuis Phone Set with Antennae 1,076 968 108  
    Holmes Space Heater 54 35 19  
    6' USB Cable 23 21 2  
    Clergy Garments 1,750 1,125 625  
    Chapel Furniture 44 28 16  
    West Bend Coffee Urn 158 111 47  
    West Bend Coffee Urn 158 111 47  
    Oster Roaster 64 45 19  
    Oster Roaster 64 45 19  
    Oster Roaster 64 45 19  
    Oster Roaster 64 45 19  
    Oster Roaster 64 45 19  
    Oster Roaster 64 45 19  
    Inesco Roaster 66 46 20  
    Inesco Roaster 66 46 20  
    8' Stepladder 161 112 49  
    12' Stepladder 285 200 85  
    24' Extention Ladder 282 197 85  
    6' Cable Lock 40 28 12  
    DVD Player 223 156 67  
    Safety Scaffold 694 486 208  
    Califone Wireless Portable PA 196 137 59  
    Steel Security Cable 32 22 10  
    HV Utilitech Pedestal Fan 109 77 32  
    Homelite 18" Chainsaw 187 131 56  
    Gas Can 13 9 4  
    Hand Tools 250 175 75  
    DVD Player 149 105 44  
    24 PKT Rotary Floor Rack 874 612 262  
    11-Literature Racks 249 175 74  
    Haier Portable A/C Unit 588 412 176  
    Riccar 1800 HEPA Canister Vacumn 697 488 209  
    Bernz Pro Butane Torch Kit 28 20 8  
    Leaded Glass Windows 6,360 1,484 4,876  
    Chapel-Doors 15,675 1,491 14,184  
    Chapel-Mural 18,615 1,769 16,846  
    Air Conditioner 2,852 259 2,593  
    Chapel-Rebuild from fire 49,891 5,063 44,828  
    Chapel-Pew Chairs/Kneelers 7,461 3,731 3,730  
    Books 332 232 100  
    Folding Chairs 318 159 159  
    Bronze Alter Bell 295 147 148  
    Bronze Holy Water Pot 385 193 192  
    Standing Crucifix 16 7 9  
    Bowl Paten 136 95 41  
    T/O Fire Restoration 8,129 806 7,323  
    6' Folding Banquet Table 25 13 12  
    5' Folding Banquet Table 25 13 12  
    50" Case office Desk 810 406 404  
    Fireking 4-Drawer File Safe 890 445 445  
    Panasonic 2-Line Phone/Answer 114 56 58  
    Xacto Paper Cutter 60 42 18  
    Kitchen & Laundry Cabinets 6,023 3,011 3,012  
    Fire Restoration-5522 P/P Road 32,770 3,255 29,515  
    Metal Pew Chairs 3,578 1,789 1,789  
    Wood Clothes Hangers 28 20 8  
    Rug-Prayer Room 138 70 68  
    GE Built-in Wall A/C Unit 984 492 492  
    Digital Wall Mural 646 322 324  
    GE Washer & Dryer 848 424 424  
    Serving Organizer & Bin 91 46 45  
    QN Size Bookcase Headboard 230 113 117  
    QN Size Matress 432 217 215  
    Window Curtains 112 56 56  
    QN Size Bed Linens 106 53 53  
    Street Address Plaque & Numbers 79 39 40  
    Area Rugs & Pad 'Pueblo' 281 140 141  
    Lampshades 49 25 24  
    Bathroom Throw Rugs 41 21 20  
    Virgin of Tihaljina Statue 5,750 2,875 2,875  
    Icon of Christ in the Tomb 640 320 320  
    Stations of the Cross Set 220 110 110  
    Letterboard 18x24" Panel 540 270 270  
    Custom OLSF Signs 947 473 474  
    Landscaping Rock Work 2,178 508 1,670  
    T/O Road-Fire Rebuild (Toms Landscape) 3,810 379 3,431  
    Chairs 6,620 560 6,060  
    5522 P/P Rd Rebuild (Toms Landscape) 6,540 637 5,903  
    Chapel-Restoration-From 2011 CIP 32,490 3,089 29,401  
    10053 T/O Rd-Restoration from '11 CIP 4,709 469 4,240  
    10235 T/O Rd-Restoration from '11 CIP 5,250 543 4,707  
    Mary's Knoll Facility 477,922 18,892 459,030  
    Mary's Knoll Furnishings 23,744 9,207 14,537  
    Mary's Knoll Ground Improvements 10,400 1,508 8,892  
    Mary's Knoll Appliances 4,675 1,813 2,862  
    St Joseph's Furniture 3,149 1,221 1,928  
    Fire Safe 2,589 1,004 1,585  
    Land Prince Placer Road 110,000   110,000  
    Irrigation Water Line 1,956 98 1,858  
    MK Fence 1,275 64 1,211  
    Walkway MK to Garage 3,025 151 2,874  
    Blue Vests 695 99 596  


    TY 2015 OtherAssetsSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Prepaid 990PF Tax   576 576
    Prepaid 990PF Tax   576 576
    Prepaid 990PF Tax   576 576


    TY 2015 OtherAssetsSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Prepaid 990PF Tax   576 576
    Prepaid 990PF Tax   576 576
    Prepaid 990PF Tax   576 576


    TY 2015 OtherAssetsSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Prepaid 990PF Tax   576 576
    Prepaid 990PF Tax   576 576
    Prepaid 990PF Tax   576 576


    TY 2015 OtherExpensesSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Relious Supplies 14,891   14,891 14,891
    Bank Fee 24   24 24
    Insurance 6,333   6,333 6,333
    Utilities 8,315   8,315 8,315
    Maintenance 5,471   5,471 5,471
    Office Supplies 2,485   2,136 2,136
    Ent & Social Exp 4,257   4,257 4,257
    Advertising & Promotion 116   116 116


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Clergy Stipend Ceremonial 3,375   3,375 3,375
    Other Miscellaneous 1,913   1,913 1,913


    TY 2015 TaxesSchedule
    Name:
    Our Lady of the Sierras Foundation
    EIN:
    86-0727824
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990 PF Tax 1,024   1,024 1,024
    Payroll Taxes 3,183   3,183 3,183
    AA Workers comp 372   372 372
    Taxes other 18   18 18