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
THE CAROL J ADRAGNA
FAMILY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 46
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DEPEW, NY14043
A Employer identification number

27-6968082
B Telephone number (see instructions)

(716) 668-6823
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$1,474,141J 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) 400,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 60,289 60,289  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -24,242
b Gross sales price for all assets on line 6a 139,506
7 Capital gain net income (from Part IV, line 2)...  
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........ 436,047 60,289  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 20,000 10,000   10,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 10,588 1,059   9,529
b Accounting fees (attach schedule)....... Click to see attachment 11,000 5,500   5,500
c Other professional fees (attach schedule).... Click to see attachment 12,605 12,255   350
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 4,000 203    
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 attachment 1,004 1,004    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 59,197 30,021   25,379
25 Contributions, gifts, grants paid....... 55,182 55,182
26 Total expenses and disbursements. Add lines 24 and 25 114,379 30,021   80,561
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 321,668
b Net investment income (if negative, enter -0-) 30,268
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.............      
2 Savings and temporary cash investments......... 70,583 257,346 257,346
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)....... 948,573 Click to see attachment1,007,585 1,007,585
c Investments—corporate bonds (attach schedule)....... 178,643 Click to see attachment209,210 209,210
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) 1,197,799 1,474,141 1,474,141
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.................. 1,197,799 1,474,141
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)..... 1,197,799 1,474,141
31 Total liabilities and net assets/fund balances (see instructions). 1,197,799 1,474,141
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
1,197,799
2
Enter amount from Part I, line 27a .....................
2
321,668
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
1,519,467
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
45,326
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,474,141
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 1,000 SHARES OF SEADRILL LTD P 2014-04-02 2015-01-08
b 1,000 SHARES OF FORM MOTOR CO. NEW P 2013-05-17 2015-05-13
c 1,000 SHARES OF NOBLE CORP PLC SHS U P 2014-10-03 2015-11-05
d 868 SHARES OF ACCENTURE PLC IRELAND D 2014-07-16 2015-12-14
e 1,000 SHARES OF WEBSTER FINL CORP 6. P 2014-04-02 2015-12-14
(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 10,392   35,550 -25,158
b 15,570   15,009 561
c 13,835   20,317 -6,482
d 92,213   55,050 37,163
e 6,852   37,822 -30,970
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       -25,158
b       561
c       -6,482
d       37,163
e       -30,970
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 -24,242
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 66,815 1,035,721 0.064511
2013 59,670 715,441 0.083403
2012 48,129 530,179 0.090779
2011 23,867 210,188 0.113551
2010   202  
2
Total of line 1, column (d) .....................
20.352244
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
0.088061
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,225,251
5
Multiply line 4 by line 3......................
5
107,897
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
303
7
Add lines 5 and 6........................
7
108,200
8
Enter qualifying distributions from Part XII, line 4.............
8
80,561
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 1 605
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........................... 3 605
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- ..... 5 605
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a  
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  
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 15
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 620
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   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)
    bulletNY
    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. Click to see attachment...............................
    10
    Yes
     
    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 ofbulletCAROL J ADRAGNA Telephone no.bullet (716) 668-6823

    Located atbullet63 LOU DRIVEDEPEWNY ZIP+4bullet14043
    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
     
     
    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
    CAROL J ADRAGNA TRUSTEE
    2.00     		0 0 0
    63 LOU DRIVE
    DEPEW,NY14043
    LORI FOSTER TRUSTEE
    2.00     		20,000 0 0
    4967 WILLIAM STREET
    LANCASTER,NY14086
    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
     
    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 N/A  
    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
    1,134,290
    b
    Average of monthly cash balances.......................
    1b
    109,620
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,243,910
    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
    1,243,910
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    18,659
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,225,251
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    61,263
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    61,263
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    605
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    605
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    60,658
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    60,658
    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
    60,658
    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
    80,561
    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
    80,561
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    80,561
    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 60,658
    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...... 13,885
    c From 2012...... 22,762
    d From 2013...... 24,642
    e From 2014...... 16,634
    fTotal of lines 3a through e........ 77,923
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 80,561
    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..... 60,658
    e Remaining amount distributed out of corpus 19,903
    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 97,826
    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 ......     		97,826
    10 Analysis of line 9:
    a Excess from 2011.... 13,885
    b Excess from 2012.... 22,762
    c Excess from 2013.... 24,642
    d Excess from 2014.... 16,634
    e Excess from 2015.... 19,903
    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).)
    CAROL J ADRAGNA
    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:
    THE CAROL L ADRAGNA FAMILY FOUNDAT
    PO BOX 46
    DEPEW,NY14043
    (716) 668-6823
    bThe form in which applications should be submitted and information and materials they should include:
    THE FOUNDATION WILL NOT USE A FORMAL APPLICATION PROCESS TO QUALIFY CANDIDATES FOR THE SCHOLARSHIP AWARDS. INSTEAD, RECOMMENDED CANDIDATES WILL AUDITION FOR THE SCHOLARSHIP COMMITTEE. THE PERFORMANCE AT THIS AUDITION ALONG WITH THE CANDIDATE'S SCHOLASTIC ACHIEVEMENTS DURING HIGH SCHOOL WILL BE EVALUATED BY THE COMMITTEE TO DETERMINE IF THE CANDIDATE WILL BE AWARDED A SCHOLARSHIP.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CANDIDATE MUST BE A STUDENT WITH AN INTEREST IN PURSUING A CAREER IN MUSIC AND MUST GRADUATE FROM HIGH SCHOOL AND BE ACCEPTED AT A POST-SECONDARY EDUCATIONAL INSTITUTION.
    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
    ALZHEIMERS ASSOCIATION
    2805 WEHRLE DR 6
    BUFFALO,NY14221     		N/A EXEMPT GENERAL - UNRESTRICTED 500
    AMERICAN AUTOMOBILE ASSOCIATION
    100 INTERNATIONAL DR
    WILLIAMSVILLE,NY14221     		N/A EXEMPT GENERAL - UNRESTRICTED 75
    AMERICAN DIABETES ASSOCIATION
    1701 NORTH BEAUREGARD STR
    ALEXANDRIA,VA22311     		N/A EXEMPT GENERAL - UNRESTRICTED 500
    AMERICAN HEART ASSOCIATION
    5488 SHERIDAN DR 300
    WILLIAMSVILLE,NY14221     		N/A EXEMPT GENERAL - UNRESTRICTED 500
    AMERICAN LUNG ASSOCIATION OF NORTHE
    1661 WORCESTER RD STE 30
    FRAMINGHAM,MA01701     		N/A EXEMPT GENERAL - UNRESTRICTED 600
    AMERICAN RED CROSS
    PO BOX 37839
    BOONE,IA500370839     		N/A EXEMPT GENERAL - UNRESTRICTED 385
    AMERICAN SOCIETY FOR THE PREVENTION
    424 E 92ND ST
    NEW YORK,NY101286804     		N/A EXEMPT GENERAL - UNRESTRICTED 200
    ANGEL RHODES
    6714 EAST QUAKER STREET
    ORCHARD PARK,NY14127     		N/A EXEMPT SCHOLARSHIP 3,500
    ARTHRITIS FOUNDATION
    1300 W PEACHTREE ST ST
    ATLANTA,GA30309     		N/A EXEMPT GENERAL - UNRESTRICTED 460
    BOYS TOWN
    200 FLANAGAN BOULEVARD
    BOYS TOWN,NE68010     		N/A EXEMPT GENERAL - UNRESTRICTED 800
    BUFFALO CITY MISSION
    100 E TUPPER STREET
    BUFFALO,NY14203     		N/A EXEMPT GENERAL - UNRESTRICTED 550
    CATHERINE STUHLMILER
    258 LAFAYETTE AVENUE
    BUFFALO,NY14223     		N/A EXEMPT SCHOLARSHIP 4,000
    CELENE GOSSELIN
    96 WAGON WHEEL DRIVE
    EAST AMHERST,NY14051     		N/A EXEMPT SCHOLARSHIP 3,000
    CHILD FUND INTERNATIONAL
    2821 EMERYWOOD PARKWAY
    RICHMOND,VA23294     		N/A EXEMPT GENERAL - UNRESTRICTED 992
    CHRISTIAN A JOHNSON
    8420 BRIDLE WOOD DRIVE
    EAST AMHERST,NY14051     		N/A EXEMPT SCHOLARSHIP 2,700
    COVENANT HOUSE
    TIMES SQUARE STATION PO
    NEW YORK,NY101080900     		N/A EXEMPT GENERAL - UNRESTRICTED 500
    DOCTORS WITHOUT BORDERS
    333 7TH AVENUE
    NEW YORK,NY100015004     		N/A EXEMPT GENERAL - UNRESTRICTED 300
    ERIN KEPPNER
    2283 TWO ROD ROAD
    EAST AURORA,NY14052     		N/A EXEMPT SCHOLARSHIP 3,000
    FEEDING AMERICA
    35 EAST WACKER SUITE 200
    CHICAGO,IL60601     		N/A EXEMPT GENERAL - UNRESTRICTED 800
    FOOD BANK OF WNY
    91 HOLT ST
    BUFFALO,NY14206     		N/A EXEMPT GENERAL - UNRESTRICTED 850
    FOUNDATION FOR AMERICAN VETS
    7473 WILSHIRE
    WEST BLOOMFIELD,MI48322     		N/A EXEMPT GENERAL - UNRESTRICTED 20
    FREDONIA COLLEGE FDN
    272 CENTRAL AVE
    FREDONIA,NY14063     		N/A EXEMPT SCHOLARSHIP 3,500
    FRIENDS OF THE NIGHT PEOPLE
    394 HUDSON STREET
    BUFFALO,NY14201     		N/A EXEMPT GENERAL - UNRESTRICTED 250
    GUIDING EYES
    611 GRANITE SPRINGS ROAD
    YORKTOWN HEIGHTS,NY10598     		N/A EXEMPT GENERAL - UNRESTRICTED 375
    HABITAT FOR HUMANITY
    1675 SOUTH PARK AVE
    BUFFALO,NY14220     		N/A EXEMPT GENERAL - UNRESTRICTED 1,000
    HELEN KELLER INTERNATIONAL
    352 PARK AVENUE SOUTH 12
    NEW YORK,NY10010     		N/A EXEMPT GENERAL - UNRESTRICTED 75
    HOSPICE FOUNDATION
    1710 RHODE ISLAND AVE NW
    WASHINGTON,DC20036     		N/A EXEMPT GENERAL - UNRESTRICTED 550
    JOEL OSTEEN MINISTRIES
    PO BOX 4600
    HOUSTON,TX77210     		N/A EXEMPT GENERAL - UNRESTRICTED 500
    JONG YOON LEE GRACE ANN
    470 HOPKINS ROAD UNIT J
    WILLIAMSVILLE,NY14221     		N/A EXEMPT SCHOLARSHIP 3,500
    KIDS WISH NETWORK
    4060 LOUIS AVE
    HOLIDAY,FL34691     		N/A EXEMPT GENERAL - UNRESTRICTED 300
    LUKE BARKOWSKI
    22 SCHIFFLER COURT
    LANCASTER,NY14086     		N/A EXEMPT SCHOLARSHIP 3,000
    MAKE-A-WISH WESTERN NEW YORK
    4600 MAIN ST STE 101
    SNYDER,NY14226     		N/A EXEMPT GENERAL - UNRESTRICTED 200
    MARCH OF DIMES
    435 LAWRENCE BELL DR 9
    BUFFALO,NY14221     		N/A EXEMPT GENERAL - UNRESTRICTED 150
    MEALS ON WHEELS OF WNY
    100 JAMES E CASEY DR
    BUFFALO,NY14206     		N/A EXEMPT GENERAL - UNRESTRICTED 300
    MERCY CORPS
    PO BOX 2669
    PORTLAND,OR972082669     		N/A EXEMPT GENERAL - UNRESTRICTED 200
    MERCY HOME FOR BOYS AND GIRLS
    1140 W JACKSON BLVD
    CHICAGO,IL60607     		N/A EXEMPT GENERAL - UNRESTRICTED 30
    MUSCULAR DYSTROPHY ASSOCIATION
    5500 MAIN STREET
    BUFFALO,NY14221     		N/A EXEMPT GENERAL - UNRESTRICTED 150
    NEWS NEEDIEST FUND
    PO BOX 2667
    BUFFALO,NY142409873     		N/A EXEMPT GENERAL - UNRESTRICTED 1,200
    NICOLE LEIGH
    20 CRAIGMORE DRIVE
    WILLIAMSVILLE,NY14221     		N/A EXEMPT SCHOLARSHIP 3,500
    PARALYZED VETERANS OF AMERICA
    801 EIGHTEENTH STREET
    WASHINGTON,DC200063517     		N/A EXEMPT GENERAL - UNRESTRICTED 50
    PLANNED PARENTHOOD
    114 UNIVERSITY AVENUE
    ROCHESTER,NY14605     		N/A EXEMPT GENERAL - UNRESTRICTED 50
    PROJECT HOPE
    255 CARTER HALL LANE
    MILLWOOD,VA22646     		N/A EXEMPT GENERAL - UNRESTRICTED 400
    SAMARITANS PURSE
    PO BOX 3000
    BOONE,NC28607     		N/A EXEMPT GENERAL - UNRESTRICTED 1,345
    SAVE THE CHILDREN
    501 KINGS HIGHWAY EAST S
    FAIRFIELD,CT06825     		N/A EXEMPT GENERAL - UNRESTRICTED 175
    SENIOR WISHES UCHS
    ONE FOX RUN LANE
    ORCHARD PARK,NY14127     		N/A EXEMPT GENERAL - UNRESTRICTED 200
    SHRINERS HOSPITALS FOR CHILDREN
    2900 ROCKY POINT DR
    TAMPA,FL33607     		N/A EXEMPT GENERAL - UNRESTRICTED 750
    SIERRA CLUB
    85 SECOND STREET 2ND FLO
    SAN FRANCISCO,CA941053441     		N/A EXEMPT GENERAL - UNRESTRICTED 100
    SPCA ERIE CO
    205 ENSMINGER RD
    TONAWANDA,NY14150     		N/A EXEMPT GENERAL - UNRESTRICTED 350
    SPECIAL OLYMPICS
    2801 WEHRLE DRIVE STE 12
    BUFFALO,NY14221     		N/A EXEMPT GENERAL - UNRESTRICTED 150
    ST JOHNS LUTH CHURCH
    67 LITCHFIELD AVE
    DEPEW,NY14043     		N/A EXEMPT GENERAL - UNRESTRICTED 3,300
    ST JUDE HOSPITAL
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105     		N/A EXEMPT GENERAL - UNRESTRICTED 450
    SUSAN G KOMEN BREAST CANCER
    5005 LBJ FREEWAY SUITE 2
    DALLAS,TX75244     		N/A EXEMPT GENERAL - UNRESTRICTED 300
    THE MULTIPLE SCLEROSIS ASSOCIATION
    375 KINGS HIGHWAY NORTH
    CHERRY HILL,NJ08034     		N/A EXEMPT GENERAL - UNRESTRICTED 200
    THE SALVATION ARMY
    615 SLATERS LANE PO BO
    ALEXANDRIA,VA22313     		N/A EXEMPT GENERAL - UNRESTRICTED 1,725
    TOYS FOR TOTS
    18251 QUANTICO GATEWAY DR
    TRIANGLE,VA221721776     		N/A EXEMPT GENERAL - UNRESTRICTED 800
    UNITED SERVICE ORGANIZATIONS INC
    PO BOX 96860
    WASHINGTON,DC200777677     		N/A EXEMPT GENERAL - UNRESTRICTED 250
    UNITED WAY
    742 DELAWARE AVE
    BUFFALO,NY14209     		N/A EXEMPT GENERAL - UNRESTRICTED 400
    USA FOR WNHCR
    1775 K ST NW 580
    WASHINGTON,DC20006     		N/A EXEMPT GENERAL - UNRESTRICTED 75
    VETERANS OF FOREIGN WARS
    406 WEST 34TH ST
    KANSAS CITY,MO64111     		N/A EXEMPT GENERAL - UNRESTRICTED 100
    WHEAT RIDGE MINISTRIES
    1 PIERCE PL
    ITASCA,IL60143     		N/A EXEMPT GENERAL - UNRESTRICTED 500
    WOMEN CHILDRENS HOSPITAL
    219 BRYANT ST
    BUFFALO,NY14222     		N/A EXEMPT GENERAL - UNRESTRICTED 200
    WOUNDED WARRIOR PROJECT
    4899 BELFORT ROAD STE 30
    JACKSONVILLE,FL32256     		N/A EXEMPT GENERAL - UNRESTRICTED 300
    Total .................................bullet 3a 55,182
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		         
    4 Dividends and interest from securities....     14 60,289  
    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 ............     		    14 -24,242  
    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)..   36,047  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1336,047
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    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
    THE CAROL J ADRAGNA
    FAMILY FOUNDATION
    Employer identification number

    27-6968082
    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
    THE CAROL J ADRAGNA
    FAMILY FOUNDATION         		Employer identification number
    27-6968082
    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
     
     

    CAROL J ADRAGNA  
    63 LOU DRIVE
     
    DEPEW, NY14043

    		$ 400,000


    (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
    THE CAROL J ADRAGNA
    FAMILY FOUNDATION         		Employer identification number

    27-6968082
    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
    1
    		 868 SHS ACCENTURE PLC IRELAND A $ 93,128 2015-12-09
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 2,000 SHS WEBSTER FINL CORP 6.4% $ 50,940 2015-12-09
    (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
    THE CAROL J ADRAGNA
    FAMILY FOUNDATION         		Employer identification number

    27-6968082
    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:
    THE CAROL J ADRAGNA
     
    FAMILY FOUNDATION
    EIN:
    27-6968082
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
      11,000 5,500   5,500

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    THE CAROL J ADRAGNA
     
    FAMILY FOUNDATION
    EIN:
    27-6968082
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CENTURYLINK INC 7.650% 76,500 76,500
    RAYMOND JAMES FINANCIAL 6.9% 26,660 26,660
    PITNEY BOWES INC 6.70% 26,960 26,960
    MORGAN STANLEY CAPITAL TRST SER VIII 25,310 25,310
    THE SOUTHERN CO 6.25% (SOJA) 53,780 53,780

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    THE CAROL J ADRAGNA
     
    FAMILY FOUNDATION
    EIN:
    27-6968082
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AMTRUST FINL SVS INC 50,600 50,600
    AT&T INC 51,615 51,615
    BCE INC (NEW) 19,310 19,310
    BRISTOL MYERS SQUIBB CO. 68,790 68,790
    CSX CORP. 25,950 25,950
    DISCOVER FINANCIAL SVS 6.5% 105,760 105,760
    FIRST TR INTERM DUR PRF&INC FD 21,270 21,270
    FIRST TR MLP & ENERG INC FDN 19,830 19,830
    FIRST TR NEW OPP MLP & ENE FD 10,770 10,770
    FIRSTENERGY CORP. 22,211 22,211
    FORD MOTOR CO NEW 14,090 14,090
    FREEPORT MCMORAN CP & GLD    
    GENERAL ELECTRIC CO 62,300 62,300
    KKR & CO LP 15,590 15,590
    KRAFT HEINZ CO 36,380 36,380
    MAGNA INTERNATIONAL INC (MGA) 20,280 20,280
    KKR FINL HOLDINGS 7.375%-A 26,580 26,580
    MICROSOFT CORPORATION 55,480 55,480
    MS EMERGING MKTS DOMESTIC DEBT 10,200 10,200
    NATL GENL HLDGS CORP 7.375%-A (KFN.) 25,280 25,280
    NOBLE CORP PLC SHS USD    
    PFIZER INC. 48,420 48,420
    PHILLIPS 66 COM 40,900 40,900
    SEADRILL LTD    
    SL GREEN REALTY CORP. 5.7% 50,920 50,920
    SPECTRA ENERGY CORP COM 23,940 23,940
    TAUBMAN CEBTERS INC. 6.25% 50,939 50,939
    VERIZON COMMUNICATIONS 46,220 46,220
    VODAFONE GP PLC ADS NEW 32,260 32,260
    WEBSTER FINL CORP 6.4% SER E 51,700 51,700

    TY 2015 LegalFeesSchedule
    Name:
    THE CAROL J ADRAGNA
     
    FAMILY FOUNDATION
    EIN:
    27-6968082
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
      10,588 1,059   9,529


    TY 2015 OtherDecreasesSchedule
    Name:
    THE CAROL J ADRAGNA
     
    FAMILY FOUNDATION
    EIN:
    27-6968082
    Description Amount
    UNREALIZED LOSS ON SECURITIES 45,326


    TY 2015 OtherExpensesSchedule
    Name:
    THE CAROL J ADRAGNA
     
    FAMILY FOUNDATION
    EIN:
    27-6968082
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    SUNDRY EXPENSE 154 154    
    NYS FILING FEES 850 850    


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    THE CAROL J ADRAGNA
     
    FAMILY FOUNDATION
    EIN:
    27-6968082
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 12,255 12,255    
    CONSULTING FEES 350     350


    TY 2015 SubstantialContributorsSch
    Name:
    THE CAROL J ADRAGNA
     
    FAMILY FOUNDATION
    EIN:
    27-6968082
    Name Address
    CAROL J ADRAGNA 63 LOU DRIVE
    DEPEW,NY14043


    TY 2015 TaxesSchedule
    Name:
    THE CAROL J ADRAGNA
     
    FAMILY FOUNDATION
    EIN:
    27-6968082
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 203 203    
    FEDERAL EXCISE TAX 3,797