Form990-PF
Click to see attachment

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
SIEGFRIED AND MARJORIE CLAUSSNER
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)20 PRESIDENTIAL DRIVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ROSELLE, IL60172
A Employer identification number

36-3774034
B Telephone number (see instructions)

(630) 980-5100
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$1,242,273J 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) 51,650
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 72 72 72
4 Dividends and interest from securities... 13,091 13,091 13,091
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 10,784
b Gross sales price for all assets on line 6a 1,897,284
7 Capital gain net income (from Part IV, line 2)... 18,717
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)....... Click to see attachment 1,417    
12 Total. Add lines 1 through 11........ 77,014 31,880 13,163
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,624 1,624 1,624 1,624
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 5,520 5,520 5,520 5,520
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 7,144 7,144 7,144 7,144
25 Contributions, gifts, grants paid....... 50,200 50,200
26 Total expenses and disbursements. Add lines 24 and 25 57,344 7,144 7,144 57,344
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 19,670
b Net investment income (if negative, enter -0-) 24,736
c Adjusted net income (if negative, enter -0-)... 6,019
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............. 44,627 139,097 139,097
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..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,085,865 1,011,065 1,103,176
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,130,492 1,150,162 1,242,273
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.................. 1,130,492 1,150,162
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
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)..... 1,130,492 1,150,162
31 Total liabilities and net assets/fund balances (see instructions). 1,130,492 1,150,162
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
1,130,492
2
Enter amount from Part I, line 27a .....................
2
19,670
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
1,150,162
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
1,150,162
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 RAYMOND JAMESPER BROKERS DETAILEDRECORDS P 2015-02-24 2015-12-14
b RAYMOND JAMESPER BROKERS DETAILEDRECORDS P 2013-02-01 2015-07-01
c 262 SHS. AT&T P 2000-02-18 2015-12-14
d .211 SHS BOULDER GROWTH & INCOME P 1991-08-21 2015-04-02
e 500 SHS HOME DEPOT P 2005-09-26 2015-02-10
1000 SHS KEYCORP P 2000-08-22 2015-04-29
200 SHS PRIVATEBANCORP P 2010-10-18 2015-12-14
599 SHS WF & COMPANY P 1999-08-31 2015-04-21
250 SHS AMN HEALTHCARE P 2015-08-18 2015-08-24
100 SHS ACADIA HEALTHCARE P 2015-07-06 2015-08-21
100 SHS ADVANCE AUTO PARTS P 2014-10-08 2015-01-13
200 SHS AECOM P 2015-06-22 2015-07-06
2200 SHS AGENUS P 2014-12-18 2015-08-06
200 SHS AKORN INC P 2015-01-16 2015-03-10
200 SHS ALASKA AIR GROUP P 2015-01-20 2015-07-01
85 SHS AMAZON P 2015-02-12 2015-07-07
500 SHS AMERICAN AIRLINES P 2014-12-26 2015-03-10
75 SHS AMERISOURCEBERGERN P 2015-01-22 2015-07-30
150 SHS AMETEK P 2015-07-02 2015-08-24
75 SHS ANACOR PHARMMACEUTICALS P 2015-07-16 2015-08-24
300 SHS APPLE P 2015-04-07 2015-08-24
125 SHS AUTONATION INC P 2015-02-03 2015-03-06
100 SHS BOFI HOLDING P 2015-10-09 2015-10-21
500 SHS BANK OF AMERICA P 2015-06-03 2015-07-07
100 SHS BERKSHIRE HATHWAY P 2014-04-28 2015-01-28
300 SHS BOX INC CL A P 2015-01-23 2015-02-18
400 SHS BOYD GAMING P 2015-01-22 2015-04-08
150 SHS BROADCOM CORP P 2015-01-21 2015-01-29
200 SHS BROWN SHOE P 2014-12-30 2015-01-16
200 SHS CDW CORP P 2015-01-08 2015-02-02
400 SHS CADENCE DESIGN P 2015-04-08 2015-07-01
100 SHS CAL MAINE FOODS P 2015-10-21 2015-12-07
800 SHS CAMBRIA GLB P 2015-01-23 2015-03-10
75 SHS CARDINAL HEALTH P 2015-01-22 2015-03-10
100 SHS CARTERS INC P 2014-11-17 2015-01-20
10 SHS CHIPOLTE MX P 2014-10-21 2015-02-04
75 SHS CHUBB CORP P 2014-10-24 2015-01-14
150 SHS COGNIZANT TECH P 2015-10-28 2015-12-03
200 SHS CORRECTIONS CORP P 2014-12-23 2015-03-06
500 SHS COVENANT TRANSPORT CORP P 2014-11-19 2015-05-31
500 SHS CROSS COUNTRY HEALTHCARE P 2015-09-24 2015-10-22
150 SHS CYBERONICS INC P 2015-09-08 2015-10-16
225 SHS DEXCOM P 2015-04-10 2015-10-07
100 SHS DIREXION P 2014-12-23 2015-02-02
150 SHS DR REDDYS LAB P 2015-04-06 2015-04-20
150 SHS DUNKIN BRANDS P 2015-04-09 2015-04-29
150 SHS DYCOM INDUSTRIES P 2015-07-06 2015-08-24
400 SHS MASTER INCOME ETF P 2015-02-12 2015-03-06
400 SHS ZACKS ERNGS P 2015-02-11 2015-03-05
150 SHS ELECTRONIC ARTS P 2015-06-17 2015-08-24
100 SHS ELLIE MAE CORP P 2015-07-16 2015-08-24
75 SHS ENERGIZER HLDGS P 2015-02-03 2015-03-10
2000 SHS ENTROPIC COMM P 2015-02-02 2015-04-30
75 SHS EXPEDIA P 2014-12-04 2015-01-15
200 SHS FACEBOOK P 2015-03-20 2015-05-12
600 SHS PUREFNDS ISE P 2014-11-26 2015-07-06
6000 SHS FEDERAL NATL MORTG P 2014-10-01 2015-06-22
50 SHS FED EX P 2015-06-11 2015-06-24
150 SHS FIESTA RESTAURANT GR P 2014-12-02 2015-03-10
200 SHS FIREEYE INC P 2015-06-03 2015-07-07
300 SHS FIRST TR EXCHANGE P 2015-04-16 2015-06-08
400 SHS FLAMEL TECH P 2015-03-12 2015-04-23
300 SHS FLOWERS FOODS INC P 2015-09-09 2015-12-02
150 SHS GEO GROUP INC REIT P 2015-01-20 2015-03-06
500 SHS GTT COMMUNICATIONS P 2014-08-19 2015-01-13
400 SHS GANNETT CO INC P 2015-02-26 2015-04-17
300 SHS GENERAL ELECTRIC P 2015-06-03 2015-07-06
75 SHS GILEAD SCIENCES P 2015-06-11 2015-07-06
400 SHS GLOBAL FDS P 2015-02-03 2015-03-06
50 SHS GOLDMAN SACHS P 2014-11-19 2015-01-14
15 SHS GOOGLE P 2015-07-29 2015-08-21
50 SHS GRAINGER P 2015-04-15 2015-05-29
400 SHS GRAY TELEVISION P 2015-07-17 2015-08-06
200 SHS HFF INC P 2015-06-16 2015-08-24
200 SHS HAIN CELESTIAL GROUP P 2014-11-17 2015-01-13
500 SHS HALOZYME THRP P 2015-03-17 2015-03-24
100 SHS ILLUMINA INC P 2014-12-04 2015-01-12
100 SHS INCYTE CORP P 2015-01-23 2015-04-30
400 SHS INFINERA CORP P 2015-03-12 2015-07-07
300 SHS INTERFACE INC P 2015-09-15 2015-10-29
500 SHS INVENSENSE INC P 2015-04-14 2015-04-29
200 SHS ISHARES CHINA P 2015-01-23 2015-01-30
50 SHS ISHARES TRANS AVERAGE ETF P 2014-11-19 2015-01-14
180 SHS ISHARES TR NASDAQ BIOTECH P 2014-11-26 2015-02-04
100 SHS ISHARES US TECH P 2015-02-12 2015-03-10
100 SHS ISHARES S&P SMALL CAP P 2015-06-18 2015-07-06
150 SHS ISHARES RUSSELL P 2015-06-18 2015-07-06
400 SHS JETBLUE AWYS P 2015-03-17 2015-05-20
150 SHS JOHNSON CONTROL P 2015-02-26 2015-03-11
250 SHS KAPSTONE PAPER P 2015-01-26 2015-03-05
250 SHS KIRKLANDS INC P 2015-07-02 2015-08-04
300 SHS KRANESHARES EFUND CHINA P 2014-12-04 2015-01-27
150 SHS KYOCERA CORP P 2015-04-08 2015-04-28
300 SHS LAZBOY CHAIR P 2015-09-17 2015-11-12
100 SHS LITHIA MTRS P 2015-01-22 2015-03-06
150 SHS LOGMEIN INC P 2015-06-11 2015-07-06
100 SHS LORILLARD INC P 2014-11-21 2015-03-06
750 SHS MGIC INVT P 2015-03-17 2015-07-07
100 SHS MARKETAXESS P 2015-04-14 2015-08-24
150 SHS MARKET VECTORS ETF AGRI P 2014-11-26 2015-02-02
200 SHS MASTERCARD P 2015-06-16 2015-08-24
440 SHS MAXLINER P 2015-02-02 2015-07-02
50 SHS MCKESSON INC P 2014-11-24 2015-03-09
1500 SHS MERGE HEALTHCARE P 2015-04-10 2015-06-05
100 SHS MONSTER BEVERAGE P 2014-12-02 2015-03-06
300 SHS MORGAN STANLEY CHINA P 2014-11-25 2015-01-20
150 SZHS NASDAQ P 2015-05-22 2015-07-01
350 SHS NATUS MED P 2014-10-14 2015-07-02
500 SHS NAUTILUS INC P 2015-02-26 2015-07-02
1000 SHS NEOPHOTONICS P 2015-03-30 2015-04-24
500 SHS NEUROCRINE BIOSCIENCES P 2014-10-14 2015-04-29
100 SHS NEWLINK GENETICS P 2015-03-17 2015-04-30
100 SHS OMNICARE INC P 2015-04-22 2015-06-10
200 SHS ON ASSIGMENT P 2015-07-13 2015-08-24
1000 SHS PLANAR SYS P 2014-12-30 2015-01-20
150 SHS PLANTRONICS P 2015-06-03 2015-07-06
200 SHS POWERSHARES DWA P 2015-02-17 2015-07-07
600 SHS POWERSHARES PFD P 2015-01-29 2015-03-17
100 SHS PROCTOR & GAMBLE P 2014-12-16 2015-01-26
400 SHS RAMBUS INC P 2015-04-22 2015-07-01
50 SHS POLO RALPH LAUREN P 2014-11-06 2015-01-13
600 SHS RAPTOR PHARMACEUTICALS P 2015-06-03 2015-07-06
200SHS RED HAT INC P 2015-07-14 2015-12-08
100 SHS RESMED P 2014-12-22 2015-04-29
100 SHS RESTORATION HARDWARE P 2015-07-13 2015-08-24
200 SHS REYNOLDS AMERICAN P 2014-10-08 2005-07-06
100 SHS ROCKWELL COLLINS P 2015-02-11 2015-05-29
400 SHS ROLLINS INC P 2015-07-14 2015-08-24
150 SHSA SPDR INDEX SHSD FDS P 2015-01-15 2015-02-02
100 SHS SPDR SERIES TRUST S&P HOME BUILDER P 2014-11-20 2015-01-15
200 SHS SPDR SERIES TRUST S&P HOME BUILDER P 2015-06-23 2015-07-06
300 SHS CHARLES SCHWAB P 2015-07-16 2015-08-24
150 SHS MATERIALS SELECT SECTOR P 2015-04-15 2015-06-04
100 SHS HEALTHHCARE SELECT P 2015-06-23 2015-08-12
300 SHS SECTOR SPDR TR SHS BEN INT P 2015-06-10 2015-08-24
200 SHS SECTOR SPDR TR SH BEN INT UTILS P 2014-04-25 2015-02-06
250 SHS SELECT COMFORT CORP P 2015-01-22 2015-05-13
200 SHS SILCON MOTION P 2015-04-09 2015-07-07
175 SHS SKECHERS USA P 2015-01-29 2015-10-07
100 SHS SOUTHWEST AIRLINES P 2014-12-26 2015-01-14
500 SHS SUNEDISON P 2015-02-17 2015-07-02
75 SHS TABLEAU SOFTWARE P 2015-07-10 2015-08-24
110 SHS TESLA MTRS P 2015-01-14 2015-10-07
150 SHS TEVA PHARM P 2015-03-12 2015-06-18
75 SHS THERMO FISHER P 2015-02-20 2015-03-10
100 SHS TRACTOR SUPPLY P 2015-02-18 2015-07-08
150 SHS TWITTER INC P 2015-04-07 2015-08-24
50 SHS ULTA SALON COSMETICS P 2015-07-10 2015-08-24
200 SHS UNDER ARMOUR P 2014-11-10 2015-08-24
75 SHS UNITED THERAPEUTICS P 2015-01-12 2015-04-30
65 SHS VALEANT PHARM P 2015-04-14 2015-08-24
200 SHS VANGUARD FTSE EMERG MKTS P 2015-01-15 2015-03-06
400 SHS VASCO DATA SEC P 2014-12-26 2015-07-06
100 SHS VANGUARD REIT P 2014-09-02 2015-02-02
300 SHS VIPSHOP HLDGS P 2015-01-27 2015-05-12
100 SHS WALGREENS P 2015-07-16 2015-08-24
350 SHS WISDOMTREE INV P 2015-08-18 2015-08-24
250 SH WISDOTREE BBG P 2014-11-19 2015-04-29
300 SHS WISDOMTREE DIVD EX P 2015-02-12 2015-03-06
200 SHS WISDOMTREE EUROPE HEDGED P 2015-02-20 2015-06-08
50 SHS ZILLOW NC P 2014-11-19 2015-03-03
150 SHS ZUMIEZ P 2014-12-26 2015-01-20
400 SHS AMBARELLA INC P 2014-10-30 2015-08-24
100 SHS ARCH CAPITAL P 2014-12-22 2015-01-20
200 SHS ESSENT GROUP P 2015-04-22 2015-08-06
2000 SHS FRONTLNE LTD P 2015-11-03 2015-11-23
150 SHS LIVANOVA PLC P 2015-10-16 2015-11-05
100 SHS LUXOFT HLDG P 2015-04-23 2015-05-14
200 SHS AERCAP HOLDINGS P 2015-03-05 2015-07-06
1000 SHS CNOVA NV P 2014-12-30 2015-01-16
450 SHS NXP SEMICONDUCTOR P 2015-02-24 2015-08-18
150 SHS AVAGO TECHNOLOGICS P 2015-03-17 2015-07-07
200 SHS BLACKSTONE GROUP P 2015-03-12 2015-06-09
200 SHS POWERSHARES DB US DOLLAR P 2015-04-13 2015-05-13
250 SHS ETRACS\ S&P VEQTOR P 2014-12-04 2015-01-08
420 SHS APPLE P 2014-01-16 2015-03-09
Wash Sale      
(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 5,565   5,977 -412
b 46,887   51,971 -5,084
c 8,737   8,114 623
d 2     2
e 54,520   19,344 35,176
14,424   20,284 -5,860
8,120   2,474 5,646
32,659   38,581 -5,922
7,792   9,320 -1,528
7,335   7,985 -650
15,379   13,659 1,720
6,447   7,023 -576
14,310   10,407 3,903
9,306   8,503 803
12,806   13,126 -320
34,233   33,768 465
14,598   15,662 -1,064
7,938   7,043 895
7,589   8,345 -756
8,498   10,299 -1,801
29,768   37,709 -7,941
7,535   7,865 -330
9,493   14,039 -4,546
8,338   8,445 -107
14,602   12,785 1,817
5,459   7,141 -1,682
5,381   5,363 18
6,102   6,397 -295
5,878   6,474 -596
6,751   7,144 -393
7,753   7,695 58
4,783   6,098 -1,315
19,880   20,139 -259
6,494   6,266 228
8,268   8,082 186
6,788   6,121 667
7,525   7,208 317
9,468   10,425 -957
7,833   7,610 223
13,368   14,740 -1,372
6,038   8,167 -2,129
10,943   10,156 787
18,962   18,576 386
6,998   8,045 -1,047
8,533   8,850 -317
7,782   7,363 419
8,565   9,846 -1,281
8,077   8,254 -177
10,241   10,313 -72
9,107   9,682 -575
6,595   7,367 -772
10,126   9,785 341
2,400   1,583 817
6,240   6,772 -532
15,363   16,866 -1,503
16,811   16,657 154
13,640   13,457 183
8,628   9,241 -613
9,621   8,662 959
9,267   9,572 -305
9,076   9,060 16
6,241   6,796 -555
6,809   7,241 -432
6,246   6,247 -1
6,228   5,897 331
13,868   14,970 -1,102
7,928   8,268 -340
8,562   8,947 -385
9,261   9,395 -134
9,043   9,472 -429
9,301   9,505 -204
12,118   12,047 71
5,937   7,025 -1,088
7,347   8,536 -1,189
10,746   10,854 -108
6,928   8,187 -1,259
18,636   20,235 -1,599
9,696   7,900 1,796
8,177   7,422 755
6,422   7,483 -1,061
7,583   8,075 -492
8,319   8,766 -447
7,693   8,087 -394
58,046   61,154 -3,108
10,653   10,655 -2
12,994   13,436 -442
11,954   12,505 -551
8,265   7,682 583
7,324   7,667 -343
8,190   7,957 233
6,705   7,111 -406
10,388   10,551 -163
8,273   8,746 -473
8,180   8,522 -342
8,935   8,665 270
9,371   9,683 -312
6,628   6,361 267
8,340   7,274 1,066
8,856   8,924 -68
7,862   8,240 -378
17,935   19,799 -1,864
5,242   3,797 1,445
11,168   10,483 685
6,518   7,710 -1,192
13,687   10,991 2,696
8,798   7,891 907
7,268   7,926 -658
13,417   12,503 914
10,608   7,685 2,923
5,708   6,885 -1,177
18,557   8,072 10,485
4,647   5,307 -660
9,481   8,181 1,300
7,293   8,206 -913
7,258   8,586 -1,328
8,364   8,457 -93
9,311   9,095 216
8,814   8,916 -102
8,876   9,065 -189
5,745   5,770 -25
8,643   8,493 150
9,144   7,801 1,343
14,861   16,204 -1,343
6,394   5,681 713
9,236   9,916 -680
14,624   13,259 1,365
9,483   8,833 650
10,657   11,194 -537
7,510   7,542 -32
9,242   9,256 -14
7,265   7,457 -192
8,819   10,413 -1,594
7,508   7,560 -52
7,422   7,637 -215
5,969   7,533 -1,564
9,343   8,628 715
7,650   7,291 359
6,586   6,450 136
16,018   17,125 -1,107
3,951   4,212 -261
14,478   11,835 2,643
7,044   9,090 -2,046
24,084   25,621 -1,537
8,907   8,975 -68
9,484   9,799 -315
8,890   8,488 402
4,010   5,790 -1,780
6,431   8,158 -1,727
14,740   14,563 177
11,937   9,894 2,043
13,420   14,282 -862
8,083   8,042 41
10,447   12,793 -2,346
8,512   7,657 855
8,020   7,128 892
8,144   9,613 -1,469
6,044   8,789 -2,745
6,936   6,673 263
9,404   9,481 -77
12,643   12,642 1
5,584   6,196 -612
5,632   5,683 -51
27,812   26,511 1,301
5,845   5,903 -58
5,740   5,105 635
5,553   6,522 -969
9,702   10,943 -1,241
4,907   5,688 -781
8,989   9,051 -62
7,701   8,100 -399
42,425   43,505 -1,080
19,504   19,562 -58
8,115   7,690 425
4,920   5,368 -448
5,790   6,289 -499
52,709   32,868 19,841
      7,933
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       -412
b       -5,084
c       623
d       2
e       35,176
      -5,860
      5,646
      -5,922
      -1,528
      -650
      1,720
      -576
      3,903
      803
      -320
      465
      -1,064
      895
      -756
      -1,801
      -7,941
      -330
      -4,546
      -107
      1,817
      -1,682
      18
      -295
      -596
      -393
      58
      -1,315
      -259
      228
      186
      667
      317
      -957
      223
      -1,372
      -2,129
      787
      386
      -1,047
      -317
      419
      -1,281
      -177
      -72
      -575
      -772
      341
      817
      -532
      -1,503
      154
      183
      -613
      959
      -305
      16
      -555
      -432
      -1
      331
      -1,102
      -340
      -385
      -134
      -429
      -204
      71
      -1,088
      -1,189
      -108
      -1,259
      -1,599
      1,796
      755
      -1,061
      -492
      -447
      -394
      -3,108
      -2
      -442
      -551
      583
      -343
      233
      -406
      -163
      -473
      -342
      270
      -312
      267
      1,066
      -68
      -378
      -1,864
      1,445
      685
      -1,192
      2,696
      907
      -658
      914
      2,923
      -1,177
      10,485
      -660
      1,300
      -913
      -1,328
      -93
      216
      -102
      -189
      -25
      150
      1,343
      -1,343
      713
      -680
      1,365
      650
      -537
      -32
      -14
      -192
      -1,594
      -52
      -215
      -1,564
      715
      359
      136
      -1,107
      -261
      2,643
      -2,046
      -1,537
      -68
      -315
      402
      -1,780
      -1,727
      177
      2,043
      -862
      41
      -2,346
      855
      892
      -1,469
      -2,745
      263
      -77
      1
      -612
      -51
      1,301
      -58
      635
      -969
      -1,241
      -781
      -62
      -399
      -1,080
      -58
      425
      -448
      -499
      19,841
       
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 18,717
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 -25,705
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 52,225    
2013 45,771 1,047,316 0.04370
2012 54,553 1,000,877 0.05451
2011 46,613 953,225 0.04890
2010 49,116 919,765 0.05340
2
Total of line 1, column (d) .....................
20.200509
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
0.040102
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
247
7
Add lines 5 and 6........................
7
247
8
Enter qualifying distributions from Part XII, line 4.............
8
57,344
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 1 247
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  
3 Add lines 1 and 2........................... 3 247
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- ..... 5 247
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 800
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.............. 7 800
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 10 553
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11 553
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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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
     
    No
    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)
    bulletIL
    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 ofbulletSIEGFRIED CLAUSSNER Telephone no.bullet (630) 980-5100

    Located atbullet20 PRESIDENTIAL DRIVEROSELLEIL ZIP+4bullet60172
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
    No
    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
     
    No
    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
    SIEGFRIED J CLAUSSNER Trustee
    10.00     		0    
    130 CASTLE ROCK LANE
    BLOOMINGDALE,IL60108
    MARJORIE CLAUSSNER Trustee
    10.00     		0    
    130 CASTLE ROCK LANE
    BLOOMINGDALE,IL60108
    MARK CLAUSSNER Trustee
    2.00     		0    
    17010 YAWL ROAD
    CORNELIUS,NC28031
    MARTA DUFFY Trustee
    2.00     		0    
    9N773 OLD MILL COURT
    ELGIN,IL60124
    GRETCHEN KROLL Trustee
    2.00     		0    
    4805 JUNEAU LANE
    PLYMOUTH,MN55446
    HEIDI KOHUTH Trustee
    2.00     		0    
    124 NORTH SHORE DRIVE
    MOORESVILLE,NC28117
    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  
    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.............bullet  
    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 N/A 0
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    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
    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
    0
    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
    247
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    247
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    247
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    247
    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
    0
    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
    57,344
    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
    57,344
    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
    247
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    57,097
    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...... 49,597
    b From 2011...... 46,630
    c From 2012...... 54,949
    d From 2013...... 46,110
    e From 2014...... 52,991
    fTotal of lines 3a through e........ 250,277
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 57,344
    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)........     		0
    d Applied to 2015 distributable amount.....  
    e Remaining amount distributed out of corpus 57,344
    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 5 307,621
    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) ...     		49,597
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		258,024
    10 Analysis of line 9:
    a Excess from 2011.... 46,630
    b Excess from 2012.... 54,949
    c Excess from 2013.... 46,110
    d Excess from 2014.... 52,991
    e Excess from 2015.... 57,344
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    SIEGFRIED J CLAUSSNER
    20 PRESIDENTAL DRIVE
    ROSELLE,IL60172
    (630) 980-5100
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN REQUEST
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    TRINITY LUTHERAN CHURCH FOUNDATION
    405 RUSH ST
    ROSELLE,IL60172     		NONE ACTIVE SCHOOL ENDOWMENT 4,000
    ST MATTHEW LUTHERAN CHURCH
    2108 W 21ST STREET
    CHICAGO,IL60608     		NONE ACTIVE GENERAL SUPPORT 1,000
    TRINITY LUTHERAN CHURCH
    728 CHURCH ST
    WISCONSIN DELLS,WI53965     		NONE ACTIVE GENERAL FUND 1,000
    CHICAGO UPTOWN MINISTRY
    4720 NORTH SHERIDAN ROAD
    CHICAGO,IL60640     		NONE ACTIVE MINISTER TO THE POOR 1,000
    AMIGOS EN CRISTO HOPE LUTHERAN CHUR
    25999 OLD 41 ROAD
    BONITA SPRINGS,FL34135     		NONE ACTIVE HISPANIC OUTREACH 3,500
    MARYS PLACE SHARING CARING
    525 NORTH 7TH STREET
    MINNEAPOLIS,MN55405     		NONE ACTIVE GENERAL SUPPORT 1,000
    MT CALVARY LUTHERAN CHURCH
    PO BOX 250
    KANNAPOLIS,NC28082     		NONE ACTIVE GENERAL SUPPORT 1,000
    OUR SAVIOR LUTHERAN CHURCH
    5110 FRANKLIN RD
    NASHVILLE,TN37220     		NONE ACTIVE MISSIONS 3,000
    PUBLIC ACTION TO DELIVER SHELTER
    1730 BERKLEY ST
    ELGIN,IL60123     		NONE ACTIVE GENERAL SUPPORT 1,000
    ST JOHNS LUTHERAN CHURCH
    2823 COUNTY HIGHWAY Z
    ADAMS,WI53910     		NONE ACTIVE GENERAL SUPPORT 1,000
    THE LIFE CENTER
    825 DUNDEE AVE
    ELGIN,IL60121     		NONE ACTIVE GENERAL FUND 1,000
    ST PAUL LUTHERAN CHURCH
    846 N MENARD AVENUE
    CHICAGO,IL60651     		NONE ACTIVE GENERAL SUPPORT 1,000
    THE GIDEONS INTERNATIONAL
    PO BOX O8336
    FORT MYERS,FL33908     		NONE ACTIVE BIBLE PURCHASE 1,500
    TRINITYHOPE LUTHERAN CHURCH
    2366 CARIO BEND ROAD
    LEBANON,TN37087     		NONE ACTIVE HAITI FEEDING PROGRAM 4,200
    HOPE LUTHERAN CHURCH
    25999 OLD 41 ROAD
    BONITA SPRINGS,FL34135     		NONE ACTIVE PRESCHOOL 3,000
    CONCORDIA UNIVERSITY WISCONSIN
    12800 NORTH LAKE SHORE DR
    MEQUON,WI53097     		NONE ACTIVE TUTION ASSISTANCE 1,000
    ST MARYS CATHOLIC SCHOOL
    103 N GIFFORD ST
    ELGIN,IL60120     		NONE ACTIVE TUTION ASSISTANCE 3,000
    AMAZING GRACE LUTHERAN CHURCH
    PO BOX 104
    OXFORD,FL34484     		NONE ACTIVE OUTREACH 1,000
    GRACE LUTHERAN CHURCH
    422 VALHI BLVD
    HOUMA,LA70360     		NONE ACTIVE AS NEEDED 2,000
    ST EDWARDS CENTRAL CATHOLIC HIGH SCHOOL
    335 LOCUST ST
    ELGIN,IL60123     		NONE ACTIVE TUTION ASSISTANCE 1,500
    MAYO CLINIC DEVELOPMENT DEPARTMENT
    200 FIRST STREET SW
    ROCHESTER,MN55905     		NONE ACTIVE GENERAL SUPPORT 5,000
    FOOD FOR THE POOR INC
    6401 LYONS RD
    COCONUT CREEK,FL33073     		NONE PC TO ASSIST IN BUILDING A HOME FOR A DESTITUTE FAMILY IN HONDURAS 1,000
    LUTHERAN BIBLE TRANSLATORS
    303 N LAKE ST
    AURORA,IL60507     		NONE ACTIVE GENERAL SUPPORT 500
    THRIVE COMMUNITY CHURCH
    1401 WINKLER ROAD
    FORT MEYERS,FL33987     		NONE EOF CAMPUS MINISTRY 2,500
    ALLINA HOSPICE FOUNDATION
    333 SMITH AVE N SUITE 4840
    ST PAUL,MN55102     		NONE POF COMPASSION FUND 1,000
    SUSAN B KOMEN FOR THE CURE
    5005 LBJ FREEWAY SUITE 250
    DALLAS,TX75244     		NONE PC GENERAL SUPPORT 500
    MOVING HOPE FOUNDATION
    3122 FLORAL BANK LANE
    CHARESTON,SC29414     		NONE PF GENERAL SUPPORT 1,000
    LUTHERAN WORLD RELIEF
    700 LIGHT STREET
    BALTIMORE,MD21230     		NONE PC GENERAL SUPPORT 2,000
    Total .................................bullet 3a 50,200
    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 ...........     		  72      
    4 Dividends and interest from securities....   13,091      
    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.....   1,417      
    8
    Gain or (loss) from sales of assets other than inventory ............     		        10,784
    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).. 14,580   10,784
    13Total. Add line 12, columns (b), (d), and (e)..................
    1325,364
    (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: 15000324
    Software Version: 2015v2.0


    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
    SIEGFRIED AND MARJORIE CLAUSSNER
    FOUNDATION
    Employer identification number

    36-3774034
    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
    SIEGFRIED AND MARJORIE CLAUSSNER
    FOUNDATION         		Employer identification number
    36-3774034
    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
     
     

    SIEGFRIED MARJORIE CLAUSSNER  
    130 CASTLE ROCK LANE
     
    BLOOMINGDALE, IL60108

    		$ 50,400


    (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
    SIEGFRIED AND MARJORIE CLAUSSNER
    FOUNDATION         		Employer identification number

    36-3774034
    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
    SIEGFRIED AND MARJORIE CLAUSSNER
    FOUNDATION         		Employer identification number

    36-3774034
    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: 15000324
    Software Version: 2015v2.0

    TY 2015 OtherExpensesSchedule
    Name:
    SIEGFRIED AND MARJORIE CLAUSSNER
     
    FOUNDATION
    EIN:
    36-3774034
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXP 86 86 86 86
    RAYMOND JAMES 5,434 5,434 5,434 5,434


    TY 2015 OtherIncomeSchedule2
    Name:
    SIEGFRIED AND MARJORIE CLAUSSNER
     
    FOUNDATION
    EIN:
    36-3774034
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Other Investment Income 1,417    


    TY 2015 TaxesSchedule
    Name:
    SIEGFRIED AND MARJORIE CLAUSSNER
     
    FOUNDATION
    EIN:
    36-3774034
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAID 1,574 1,574 1,574 1,574
    SEVERENCE TAX 50 50 50 50