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 MAGIC PEBBLE FOUNDATION
C/O JOHN F SUBY
Number and street (or P.O. box number if mail is not delivered to street address)2901 W BELTLINE HWY SUITE 201
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MADISON, WI53713
A Employer identification number

46-1386584
B Telephone number (see instructions)

(206) 795-3215
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$5,064,697J 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) 750,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 983 983  
4 Dividends and interest from securities... 41,028 41,028  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 132,268
b Gross sales price for all assets on line 6a 1,012,795
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........ 924,279 42,011  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 30,000     30,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 7,054     7,054
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 52,418 52,360   58
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 601 601    
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 3,115     3,115
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 93,188 52,961   40,227
25 Contributions, gifts, grants paid....... 1,550,500 1,550,500
26 Total expenses and disbursements. Add lines 24 and 25 1,643,688 52,961   1,590,727
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -719,409
b Net investment income (if negative, enter -0-) 0
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......... 2,623,732 1,714,784 1,714,784
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)....... 2,264,375 Click to see attachment2,453,834 3,349,913
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) 4,888,107 4,168,618 5,064,697
Liabilities 17 Accounts payable and accrued expenses.......... 1,900 1,820
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 1,900 1,820
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 4,886,207 4,166,798
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)..... 4,886,207 4,166,798
31 Total liabilities and net assets/fund balances (see instructions). 4,888,107 4,168,618
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
4,886,207
2
Enter amount from Part I, line 27a .....................
2
-719,409
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
4,166,798
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
4,166,798
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 987,488 3,893,158 0.253647
2013 1,085,630 1,713,918 0.633420
2012   2,009,039  
2011      
2010      
2
Total of line 1, column (d) .....................
20.887067
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
0.443534
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
5,111,906
5
Multiply line 4 by line 3......................
5
2,267,304
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
 
7
Add lines 5 and 6........................
7
2,267,304
8
Enter qualifying distributions from Part XII, line 4.............
8
1,590,727
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 0
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  
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  
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. 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  
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)
    bulletWI
    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 ofbulletJOHN F SUBY & ASSOCIATES SC Telephone no.bullet (608) 273-3100

    Located atbullet2901 W BELTLINE HIGHWAY SUITE 201MADISONWI ZIP+4bullet53713
    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
     
     
    .........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
    SHANA DALL'OSTO PRESIDENT
    40.00     		30,000 4,708 0
    2901 W BELTLINE HWY STE 201
    MADISON,WI53713
    TARN FAULKNER TREASURER
    5.00     		0 0 0
    2901 W BELTLINE HWY STE 201
    MADISON,WI53713
    KIRA FAULKNER SECRETARY
    5.00     		0 0 0
    2901 W BELTLINE HWY STE 201
    MADISON,WI53713
    JUDITH R FAULKNER VICE PRESIDE
    5.00     		0 0 0
    2901 W BELTLINE HWY STE 201
    MADISON,WI53713
    GORDON T FAULKNER VICE PRESIDE
    5.00     		0 0 0
    2901 W BELTLINE HWY STE 201
    MADISON,WI53713
    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
    3,663,677
    b
    Average of monthly cash balances.......................
    1b
    1,526,075
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,189,752
    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
    5,189,752
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    77,846
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,111,906
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    255,595
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    255,595
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    255,595
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    255,595
    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
    255,595
    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
    1,590,727
    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
    1,590,727
    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
    1,590,727
    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 7 255,595
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013...... 982,942
    e From 2014...... 792,830
    fTotal of lines 3a through e........ 1,775,772
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 1,590,727
    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..... 255,595
    e Remaining amount distributed out of corpus 1,335,132
    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 3,110,904
    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 ......     		3,110,904
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013.... 982,942
    d Excess from 2014.... 792,830
    e Excess from 2015.... 1,335,132
    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:
    SHANA FAULKNER
    2901 W BELTLINE HWY
    SUITE 201
    MADISON,WI53713
    (608) 273-3100
    bThe form in which applications should be submitted and information and materials they should include:
    N/A
    cAny submission deadlines:
    N/A
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    N/A
    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
    ACCESS COMMUNITY HEALTH CENTERS
    2901 WEST BELTLINE HIGHWY
    MADISON,WI53713     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 30,000
    ACLU WISCONSIN FOUNDATION
    207 E BUFFALO ST
    MILWAUKEE,WI53202     		NO RELATIONSHIP 501(C)(3) TO SUPPORT FOUNDATION FUNCTIONS 20,000
    AMERICAN CIVIL LIBERTIES UNION
    125 BROAD STREET
    NEW YORK,NY10004     		NO RELATIONSHIP 501(C)(3) PROTECT CIVIL LIBERTIES 10,000
    AMERICAN ACADEMY OF PEDIATRICS
    141 NORTHWEST POINT BLVD
    ELK GROVE VILLAGE,IL60007     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 10,000
    BIG BROTHERS BIG SISTERS
    2059 ATWOOD AVE
    MADISON,WI53704     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 1,000
    BOYS AND GIRLS CLUB
    2001 TAFT ST
    MADISON,WI53713     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 15,000
    CHENREZIG FUND INC
    211 CAMPBELL ST
    MADISON,WI53711     		NO RELATIONSHIP 501(C)(3) TO SUPPORT SCHOLARSHIPS 54,500
    CITIZEN ACTION OF WI
    221 S 2ND ST
    MILWAUKEE,WI53204     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 10,000
    COMMON THREADS
    5979 SIGGELKOW RD
    MCFARLAND,WI53558     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUCNTIONS 25,000
    COMMUNITY SHARES OF WI
    612 W MAIN STREET
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 10,000
    OREGON PHYSICIANS FOR SOCIAL RESPON
    812 SW WASHINGTON STREET
    PORTLAND,OR97205     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 10,000
    PLANNED PARENTHOOD
    302 NORTH JACKSON ST
    MILWAUKEE,WI53202     		NO RELATIONSHIP 501(C)(3) TO SUPPORT CHARITY FUNCTIONS 200,000
    SECOND HARVEST FOOD BANK
    2802 DAIRY DRIVE
    MADISON,WI53718     		NO RELATIONSHIP 501(C)(3) TO SUPPORT FOUNDATION FUNCTIONS 15,000
    UNITED WAY OF DANE COUNTY
    2059 ATWOOD AVE
    MADISON,WI53704     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 25,000
    UNIVERSITY OF WISCONSIN
    1848 UNIVERSITY AVENUE
    MADISON,WI53726     		NO RELATIONSHIP 501(C)(3) WAISMAN CENTER ANIV FUND 10,000
    WINGRA SCHOOL
    718 GILMORE ST
    MADISON,WI53711     		NO RELATIONSHIP 501(C)(3) TO SUPPORT FUNCTIONS 40,000
    WISCONSIN PUBLIC RADIO
    821 UNIVERSITY AVENUE
    MADISON,WI53706     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 300,000
    WISCONSIN PUBLIC TELEVISION
    821 UNIVERSITY AVENUE
    MADISON,WI53706     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 25,000
    WOMENS MEDICAL FUND
    PO BOX 248
    MADISON,WI53701     		NO RELATIONSHIP 501(C)(3) TO SUPPORT ORG FUNCTIONS 20,000
    AMERICAN RED CROSS
    4860 SHEBOYGAN AVENUE
    MADISON,WI53705     		NO RELATIONSHIP 501(C)(3) HUMANITARIAN EFFORTS 4,000
    COMBAT BLINDNESS
    PO BOX 5332
    MADISON,WI53705     		NO RELATIONSHIP 501(C)(3) ERADICATE AVOIDABLE BLINDNESS 8,000
    COMMON WEALTH DEVELOPMENT
    1501 WILLIAMSON STREET
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) YOUTH PROGRAMS 3,000
    COMMUNITY JUSTICE
    214 HAMILTON ST STE 101
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) INCREASE ACCESS TO LEGAL SUPPORT 15,000
    DICKINSON COLLEGE
    28 N COLLEGE ST
    CARLISLE,PA17013     		NO RELATIONSHIP 501(C)(3) EDUCATION 100,000
    DOCTORS WITHOUT BORDERS
    333 SEVENTH AVENUE
    2ND FLR
    NEW YORK,NY10001     		NO RELATIONSHIP 501(C)(3) PROVIDE MEDICAL HELP 75,000
    FREEDOM FROM RELIGION
    PO BOX 750
    MADISON,WI53701     		NO RELATIONSHIP 501(C)(3) PROMOTE FREETHOUGHT 3,000
    JOURNEY MENTAL HEALTH CENTER
    625 W WASHINGTON AVE
    MADISON,WI53701     		NO RELATIONSHIP 501(C)(3) SUPPORT MENTAL HEALTH SERVICES 20,000
    LEGAL ACTION OF WI
    230 W WELLS ST RM 800
    MILWAUKEE,WI53203     		NO RELATIONSHIP 501(C)(3) LEGAL ACTION 15,000
    LITERACY NETWORK
    1118 S PARK STREET
    MADISON,WI53715     		NO RELATIONSHIP 501(C)(3) TEACH LITERACY SKILLS 10,000
    LUSSIER COMMUNITY EDUCATION CENTER
    55 S GAMMON ROAD
    MADISON,WI53713     		NO RELATIONSHIP 501(C)(3) BUILD COMMUNITY, ENRICH EDUCATION 7,000
    MADISON PUBLIC LIBRARY FOUNDATION
    201 W MIFFLIN ST
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) SUPPORT MADISON LIBRARIES 5,000
    MIDDLETON OUTREACH MINISTRY
    3502 PARMENTER ST
    MIDDLETON,WI53562     		NO RELATIONSHIP 501(C)(3) PREVENT HOMELESSNESS 8,000
    NATIONAL PUBLIC RADIO
    1111 NORTH CAPITOL ST NE
    WASHINGTON,DC20002     		NO RELATIONSHIP 501(C)(3) JOURNALISM 25,000
    ONE WISCONSIN INSTITUTE
    152 W JOHNSON ST 214
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3( COMBAT STUDENT LOAN DEBT CRISIS 2,000
    OPERATION FRESH START
    1925 WINNEBAGO ST
    MADISON,WI53704     		NO RELATIONSHIP 501(C)(3) OUTREACH SERVICES 10,000
    OREGON BRAVO YOUTH ORCHESTRAS
    PO BOX 17356
    PORTLAND,OR97217     		NO RELATIONSHIP 501(C)(3) ORCHESTRAL EDUCATION 3,000
    PEACE ACTION EDUCATION FUND
    8630 FENTON ST STE 524
    SILVER SPRING,MD20910     		NO RELATIONSHIP 501(C)(3) PEACE LEGISLATION 15,000
    PUBLIC RADIO INTERNATIONAL
    401 2ND AVE NORTH
    MINNEAPOLIS,MN55401     		NO RELATIONSHIP 501(C)(3) PUBLIC RADIO 8,000
    SIMPSON STREET FREE PRESS
    2411 W BROADWAY
    MONONA,WI53713     		NO RELATIONSHIP 501(C)(3) STRENGHEN ACADEMIC SKILLS 1,000
    THE PROGRESSIVE
    406 EAST MAIN STREET
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) NEWS 4,000
    THE ROAD HOME
    128 EAST OLIN AVENUE
    MADISON,WI53713     		NO RELATIONSHIP 501(C)(3) SERVE HOMELESS FAMILIES 10,000
    UNICEF
    125 MAIDEN LANE
    NEW YORK,NY10038     		NO RELATIONSHIP 501(C)(3) CHILDRENS RIGHTS AND EMERGENCY RELIE 50,000
    UW CARBONE CENTER
    1848 UNIVERSITY AVENUE
    MADISON,WI53726     		NO RELATIONSHIP 501(C)(3) CANCER RESEARCH 5,000
    UW FOUNDATION DEPT OF OPHTHALMOLOGY
    1848 UNIVERSITY AVENUE
    MADISON,WI53726     		NO RELATIONSHIP 501(C)(3) OPHTHALMOLOGY RESEARCH 5,000
    WI COUNCIL FOR CHILDREN AND FAMILIE
    555 W WASHINGTON AVE 200
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) WELL BEING OF CHILDREN AND FAMILIES 20,000
    WI LITERACY
    211 S PATERSON STE 260
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) PROMOTE LITERACY 5,000
    WOODLAND MONTESSORI SCHOOL
    1124 COLBY ST
    MADISON,WI53715     		NO RELATIONSHIP 501(C)(3) MONTESSORI EDUCATION 10,000
    DAIS
    2102 FORDEM AVE
    MADISON,WI53704     		NO RELATIONSHIP 501(C)(3) DOMESTIC ABUSE SUPPORT 15,000
    FORWARD LEARNING YOUTH
    3 MARSH CT
    MADISON,WI53718     		NO RELATIONSHIP 501(C)(3) EDUCATION 6,000
    FOUNDATION FOR MADISON'S PUBLIC SCH
    101 NOB HILL RD 300
    MADISON,WI53713     		NO RELATIONSHIP 501(C)(3) EDUCATION 40,000
    INDEPENDENT LIVING
    2970 CHAPEL VALLEY RD 203
    MADISON,WI53711     		NO RELATIONSHIP 501(C)(3) HEALTH AND WELLNESS 2,000
    LEAGUE OF WOMEN VOTERS OF WI
    612 W MADISON ST STE 200
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) SOCIAL JUSTICE 5,000
    WI ALLIANCE FOR WOMEN'S HEALTH
    111 KING ST
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) WOMEN'S ECONOMIC SECURITY 1,000
    WI DEMOCRACY CAMPAIGN
    203 S PATERSON ST 100
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) SOCIAL JUSTICE 5,000
    AMERICAN RED CROSS INTL
    2025 E STREET NW
    WASHINGTON,DC20006     		NO RELATIONSHIP 501(C)(3) HEALTH 10,000
    COMM ADVOCATES PUBLIC POLICY INST
    728 N JAMES LOVELL ST
    MILWAUKEE,WI53233     		NO RELATIONSHIP 501(C)(3) SOCIAL JUSTICE 10,000
    DANE COUNTY LIBRARY SERVICES
    201 W MIFFLIN ST
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) EDUCATION 2,000
    HANCOCK CENTER DANCEMVMT THERAPY
    16 NORTH HANCOCK ST
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) HEALTH 3,000
    JUNIOR ACHIEVEMENT OF WI
    11111 W LIBERY DR
    MILWAUKEE,WI53224     		NO RELATIONSHIP 501(C)(3) YOUTH DEVELOPMENT 1,000
    AGRACE HOSPICE CARE
    5395 E CHERYL PARKWAY
    MADISON,WI53711     		NO RELATIONSHIP 501(C)(3) HEALTH 5,000
    AHA FOUNDATION
    130 7TH AVE STE 236
    NEW YORK,NY10011     		NO RELATIONSHIP 501(C)(3) HEALTH 2,000
    DANE COUNTY PARENT COUNCIL
    2096 RED ARROW TRAIL
    FITCHBURG,WI53711     		NO RELATIONSHIP 501(C)(3) EDUCATION 10,000
    HABITAT FOR HUMANITY DANE CNTY
    1014 FIEDLER LN 29
    MADISON,WI53713     		NO RELATIONSHIP 501(C)(3) HUMAN SERVICES 5,000
    MADISON METROPOLITAN SCHOOL DIST
    545 W DAYTON ST
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) EDUCATION 10,000
    MOBILITY OUTREACH INTL
    192 NICKERSON ST 201
    SEATTLE,WA98109     		NO RELATIONSHIP 501(C)(3) HEALTH 5,000
    RAPE CRISIS CENTER
    2801 COHO ST 301
    MADISON,WI53713     		NO RELATIONSHIP 501(C)(3) HEALTH 5,000
    ABC FOR HEALTH INCE
    32 N BASSETT ST
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) HEALTH/SOCIAL JUSTICE 15,000
    BADGER CHILDHOOD CANCER NETWORK
    517 N SEGOE RD 100
    MADISON,WI53705     		NO RELATIONSHIP 501(C)(3) HEALTH 2,000
    BRADY CTR TO PREVENT GUN VIOLANCE
    840 FIRST ST NE STE 400
    WASHINGTON,DC20002     		NO RELATIONSHIP 501(C)(3) SOCIAL JUSTICE 25,000
    BRIARPATCH YOUTH SERVICES
    2720 RIMROCK RD
    MADISON,WI53704     		NO RELATIONSHIP 501(C)(3) SOCIAL JUSTICE 20,000
    CLINTON HEALTH ACCESS INITIATIVE
    383 DORCHESTER AVE
    BOSTON,MA02127     		NO RELATIONSHIP 501(C)(3) HEALTH 20,000
    EDUCATION FUND TO STOP GUN VIOLANCE
    805 15TH ST NW 700
    WASHINGTON,DC20005     		NO RELATIONSHIP 501(C)(3) SOCIAL JUSTICE 10,000
    ST VINCENT DE PAUL
    2033 FISH HATCHERY RD
    MADISON,WI53713     		NO RELATIONSHIP 501(C)(3) SOCIAL SERVICES 5,000
    VERA COURT NEIGHBORHOOD CTR
    614 VERA COURT
    MADISON,WI53704     		NO RELATIONSHIP 501(C)(3) EDUCATION 5,000
    VETERANS FOR PEACE
    PO BOX 1811
    MADISON,WI53701     		NO RELATIONSHIP 501(C)(3) SOCIAL JUSTICE 10,000
    WISCONSIN VOICES
    633 S HAWLEY RD STE 112
    MILWAUKEE,WI53214     		NO RELATIONSHIP 501(C)(3) SOCIAL JUSTICE 5,000
    YWCA MADISON
    101 E MIFFLIN ST STE 100
    MADISON,WI53703     		NO RELATIONSHIP 501(C)(3) SOCIAL SERVICES 15,000
    Total .................................bullet 3a 1,550,500
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 983  
    4 Dividends and interest from securities....     14 41,028  
    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 ............     		        132,268
    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)..   42,011 132,268
    13Total. Add line 12, columns (b), (d), and (e)..................
    13174,279
    (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 MAGIC PEBBLE FOUNDATION
    C/O JOHN F SUBY
    Employer identification number

    46-1386584
    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 MAGIC PEBBLE FOUNDATION
    C/O JOHN F SUBY         		Employer identification number
    46-1386584
    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
     
     

    GORDON JUDITH FAULKNER  
    2901 W BELTLINE HWY STE 201
     
    MADISON, WI53713

    		$ 750,000


    (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 MAGIC PEBBLE FOUNDATION
    C/O JOHN F SUBY         		Employer identification number

    46-1386584
    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
    THE MAGIC PEBBLE FOUNDATION
    C/O JOHN F SUBY         		Employer identification number

    46-1386584
    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)

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    TY 2015 GainLossSaleOtherAssetsSch
    Name:
    THE MAGIC PEBBLE FOUNDATION
     
    C/O JOHN F SUBY
    EIN:
    46-1386584
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    GOLDMAN SACHS GROUP INC 2013-08 PURCHASE 2015-03   51,265 49,921     1,344  
    PRICE T ROWE GROUP INC 2015-04 PURCHASE 2015-06   23,113 24,085     -972  
    HOME DEPOT INC 2014-12 PURCHASE 2015-06   40,759 37,541     3,218  
    SOUTHWEST AIRLINES CO 2014-12 PURCHASE 2015-06   37,825 46,099     -8,274  
    CVS HEALTH CORP 2015-05 PURCHASE 2015-06   25,392 23,730     1,662  
    GOOGLE INC CL C 2012-12 PURCHASE 2015-05   575       575  
    COGNIZANT TECH SOLUTIONS 2013-12 PURCHASE 2015-06   77,868 62,555     15,313  
    ACCENTURE PLC 2013-12 PURCHASE 2015-06   47,356 39,473     7,883  
    FASTENAL COMPANY 2013-08 PURCHASE 2015-06   2,588 2,960     -372  
    FASTENAL COMPANY 2013-12 PURCHASE 2015-06   23,290 25,900     -2,610  
    GOOGLE INC CL A 2013-12 PURCHASE 2015-06   33,901 33,237     664  
    GOOGLE INC CL C 2013-12 PURCHASE 2015-06   32,591 33,237     -646  
    EBAY INC 2013-12 PURCHASE 2015-06   32,130 28,267     3,863  
    PNC FINCL SERVICES 2013-12 PURCHASE 2022-01   51,106 40,455     10,651  
    TJX COMPANIES INC 2013-12 PURCHASE 2015-06   46,625 44,510     2,115  
    FRANKLIN RESOURCES INC 2013-12 PURCHASE 2015-06   41,211 46,153     -4,942  
    UNITED HEALTH GROUP INC 2013-12 PURCHASE 2015-06   44,836 27,739     17,097  
    VISA INC CLASS A 2013-12 PURCHASE 2015-06   57,432 45,990     11,442  
    UNITED HEALTH GROUP INC 2014-08 PURCHASE 2015-12   9,437 6,664     2,773  
    SOUTHWEST AIRLINES CO 2013-12 PURCHASE 2015-12   5,529 2,366     3,163  
    ALPHABET INC CL C 2013-12 PURCHASE 2015-12   33,802 24,928     8,874  
    ALPHABET INC CL A 2013-12 PURCHASE 2015-12   34,677 24,928     9,749  
    SOUTHWEST AIRLINES CO 2013-12 PURCHASE 2015-12   18,576 7,951     10,625  
    HOME DEPOT INC 2014-08 PURCHASE 2015-12   34,806 22,142     12,664  
    PNC FINCL SERVICES 2013-12 PURCHASE 2015-12   38,297 31,119     7,178  
    UNITED HEALTH GROUP INC 2014-08 PURCHASE 2015-12   11,206 7,914     3,292  
    PAYPAL HOLDINGS INC 2013-12 PURCHASE 2015-12   8,169 7,392     777  
    EBAY INC 2013-12 PURCHASE 2015-12   7,122 5,556     1,566  
    FRANKLIN RESOURCES INC 2013-12 PURCHASE 2015-12   22,831 36,922     -14,091  
    PAYPAL HOLDINGS INC 2013-12 PURCHASE 2015-12   6,038 5,463     575  
    TJX COMPANIES INC 2013-12 PURCHASE 2015-12   42,788 38,151     4,637  
    SOUTHWEST AIRLINES CO 2013-12 PURCHASE 2015-12   15,701 6,720     8,981  
    UNITED HEALTH GROUP INC 2014-08 PURCHASE 2015-12   11,206 7,898     3,308  
    EBAY INC 2013-12 PURCHASE 2015-12   4,843 3,778     1,065  
    ACCENTURE PLC 2013-12 PURCHASE 2015-12   37,904 28,783     9,121  

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    THE MAGIC PEBBLE FOUNDATION
     
    C/O JOHN F SUBY
    EIN:
    46-1386584
    Name of Stock End of Year Book Value End of Year Fair Market Value
    COMMON STOCK-PROVIDENT TRUST 2,453,834 3,349,913
    CORPORATE BONDS- PROVIDENT TRUST    

    TY 2015 OtherExpensesSchedule
    Name:
    THE MAGIC PEBBLE FOUNDATION
     
    C/O JOHN F SUBY
    EIN:
    46-1386584
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    OFFICE EXPENSES 810     810
    POSTAGE AND SHIPPING 276     276
    BANK CHARGES 70     70
    TRAVEL 1,959     1,959


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    THE MAGIC PEBBLE FOUNDATION
     
    C/O JOHN F SUBY
    EIN:
    46-1386584
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL AND PROFESSIONAL 58     58
    PROVIDENT TRUST 52,360 52,360    


    TY 2015 TaxesSchedule
    Name:
    THE MAGIC PEBBLE FOUNDATION
     
    C/O JOHN F SUBY
    EIN:
    46-1386584
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 601 601