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
SAMARITAN FOUNDATION FOR CHURCH AND
FAMILY WELLNESS INC
Number and street (or P.O. box number if mail is not delivered to street address)500 W SILVER SPRING DRIVE NO K270
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GLENDALE, WI53217
A Employer identification number

26-1596247
B Telephone number (see instructions)

(414) 964-4357
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$24,994,679J 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) 101,185
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 301 294 301
4 Dividends and interest from securities... 579,346 579,346 579,346
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 588,029
b Gross sales price for all assets on line 6a 592,015
7 Capital gain net income (from Part IV, line 2)... 588,029
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances 24,630
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule)..... 24,630 24,630
11 Other income (attach schedule)....... Click to see attachment -156,914 -71,092 -156,914
12 Total. Add lines 1 through 11........ 1,136,577 1,096,577 447,363
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 240,065 0 120,033 120,033
14 Other employee salaries and wages...... 368,955 0 96,655 272,299
15 Pension plans, employee benefits....... 148,542 0 68,254 80,288
16a Legal fees (attach schedule)......... Click to see attachment 16,967 0 16,967 0
b Accounting fees (attach schedule)....... Click to see attachment 53,320 0 53,320 0
c Other professional fees (attach schedule).... Click to see attachment 8,838 0 0 8,838
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 10,280 0 0 10,280
19 Depreciation (attach schedule) and depletion... Click to see attachment 14,275 0 14,275
20 Occupancy.............. 76,070 0 10,931 65,139
21 Travel, conferences, and meetings....... 39,244 0 9,811 29,433
22 Printing and publications.......... 58,958 0 0 58,958
23 Other expenses (attach schedule)....... Click to see attachment 128,854 0 4,013 124,841
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,164,368 0 394,259 770,109
25 Contributions, gifts, grants paid....... 303,878 303,878
26 Total expenses and disbursements. Add lines 24 and 25 1,468,246 0 394,259 1,073,987
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -331,669
b Net investment income (if negative, enter -0-) 1,096,577
c Adjusted net income (if negative, enter -0-)... 53,104
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............. 79,702 137,629 137,629
2 Savings and temporary cash investments......... 1,499,411 807,845 807,845
3 Accounts receivable bullet3,750
Less: allowance for doubtful accounts bullet   5,360 3,750 3,750
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet   3,025    
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.............. 7,150 14,345 14,345
9 Prepaid expenses and deferred charges.......... 9,635 9,686 9,686
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 26,234,133 Click to see attachment23,629,986 23,629,986
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 bullet91,830
Less: accumulated depreciation (attach schedule) bullet53,455 42,996 Click to see attachment38,375 38,375
15 Other assets (describe bullet) Click to see attachment258,327 Click to see attachment353,063 Click to see attachment353,063
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 28,139,739 24,994,679 24,994,679
Liabilities 17 Accounts payable and accrued expenses.......... 14,681 15,950
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) Click to see attachment97,534 Click to see attachment65,698
23 Total liabilities (add lines 17 through 22)......... 112,215 81,648
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. -69,820 16,628
25 Temporarily restricted............... 9,842,794 6,641,853
26 Permanently restricted............... 18,254,550 18,254,550
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)..... 28,027,524 24,913,031
31 Total liabilities and net assets/fund balances (see instructions). 28,139,739 24,994,679
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
28,027,524
2
Enter amount from Part I, line 27a .....................
2
-331,669
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
27,695,855
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
2,782,824
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
24,913,031
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 BUCKEYE PARTNERS LP - PASSTHROUGH ENTITY P    
b PLAINS ALL AMERICAN PIPELINE LP - PASSTHROUGH ENTITY P    
c ENTERPRISE PRODUCTS PARTNERS LP - PASSTHROUGH ENTITY P    
d CEDAR FAIR LP - PASSTHROUGH ENTITY P    
e PRINTER P 2008-12-31 2015-12-31
LAPTOP P 2011-07-26 2015-12-31
COFFEE MACHINE - WILLIAMS & SONOMA P 2011-12-19 2015-12-31
COMPUTER P 2012-03-29 2015-12-31
I-PAD FOR EMPLOYEE P 2012-07-14 2015-12-31
SPEAKERS FOR IPAD P 2012-10-29 2015-12-31
PRINTER P 2012-11-29 2015-12-31
DESK SCANNER P 2013-05-09 2015-12-31
COMPUTER - DAN P 2014-04-29 2015-12-31
FAX - DAN'S COMPUTER P 2014-04-29 2015-12-31
MACBOOK AIR & MICROSOFT WORD P 2014-09-09 2015-12-31
CAPITAL GAINS DIVIDENDS P    
(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       -402
b       435
c       -558
d       -222
e   800 800 0
  1,369 1,550 -181
  112 279 -167
  2,247 2,996 -749
  616 880 -264
  60 190 -130
  623 1,012 -389
  85 158 -73
  109 327 -218
  35 106 -71
  363 1,360 -997
592,015     592,015
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       -402
b       435
c       -558
d       -222
e       0
      -181
      -167
      -749
      -264
      -130
      -389
      -73
      -218
      -71
      -997
      592,015
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 2 588,029
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 -747
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 1,022,974 27,076,630 0.037781
2013 706,339 19,204,261 0.036780
2012 526,756 15,830,171 0.033275
2011 513,580 13,240,744 0.038788
2010 436,174 11,956,876 0.036479
2
Total of line 1, column (d) .....................
20.183103
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
0.036621
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
26,488,788
5
Multiply line 4 by line 3......................
5
970,046
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
10,966
7
Add lines 5 and 6........................
7
981,012
8
Enter qualifying distributions from Part XII, line 4.............
8
1,086,883
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 10,966
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 10,966
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 10,966
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 10,280
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 5,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 15,280
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 4,314
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet4,314 RefundedBullet 11 0
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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    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
    Yes
     
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.SAMARITANFAMILYWELLNESS.ORG
    14
    The books are in care ofbulletSCOTT STONER Telephone no.bullet (414) 964-4357

    Located atbullet500 W SILVER SPRING DR STE K270GLENDALEWI ZIP+4bullet53217
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    SCOTT STONER PRESIDENT/EXECUTIVE DIRECT
    65.00     		210,065 35,100 65,728
    500 W SILVER SPRING K270
    GLENDALE,WI53217
    AB NICHOLAS VICE PRESIDENT
    0.00     		0 0 0
    500 W SILVER SPRING K270
    GLENDALE,WI53217
    JAMES WIGDALE SECRETARY
    0.00     		0 0 0
    500 W SILVER SPRING K270
    GLENDALE,WI53217
    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
    HOLLY STONER ASSISTANT DIRECTOR
    65.00     		171,999 0 0
    2017 E OLIVE STREET
    SHOREWOOD,WI53211
    EDITH BRAEGER DIRECTOR OF OPERATIO
    40.00     		70,833 0 0
    8016 N POPLAR DRIVE
    FOX POINT,WI53217
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 CHURCHES, SCHOOLS,INDIVIDUALS SERVED BY OUR FAMILY WELLNESS LIVING COMPASS PROGRAM THROUGH COUNSELING, CONSULTING,EDUCATION, TRAINING WORKSHOPS 1,073,987
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    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
    26,727,732
    b
    Average of monthly cash balances.......................
    1b
    164,439
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    26,892,171
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    26,892,171
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    403,383
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    26,488,788
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,324,439
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
     
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,073,987
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    12,896
    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
    1,086,883
    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
    10,966
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,075,917
    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  
    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......  
    e From 2014......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$  
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		 
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
    2008-09-17
    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
    53,104 298,511 417,470 251,173 1,020,258
    b 85% of line 2a ......... 45,138 253,734 354,850 213,497 867,219
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		1,086,883 1,033,231 716,736 526,756 3,363,606
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		0 0 0 0 0
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		1,086,883 1,033,231 716,736 526,756 3,363,606
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ...... 24,994,679 28,140,920 27,080,384 16,549,692 96,765,675
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		 1,364,693 1,906,787 724,461 16,549,692 20,545,633
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		882,959 902,555 640,142 527,673 2,953,329
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		        0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		        0
    (3) Largest amount of support
    from an exempt organization    		         0
    (4) Gross investment income         0
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    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 email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    CHURCH HEALTH CENTER
    1201 PEABODY AVE
    MEMPHIS,TN38104     		  PC CONTRIBUTION FOR PROGRAMS 68
    CHARLES E KUBLY FOUNDATION
    PO BOX 170284
    MILWAUKEE,WI53217     		  PC EVENT CONTRIBUTION 160
    CENTER FOR THE MINISTRY OF TEACHING
    3737 SEMINARY ROAD
    ALEXANDRIA,VA22304     		  PC THEOLOGICAL SEMINARY CONTRIBUTIONS 3,650
    EPISCOPAL DIOCESE OF CHICAGO
    65 E HURON ST
    CHICAGO,IL60611     		  PC CONTRIBUTION FOR PROGRAMS 300,000
    Total .................................bullet 3a 303,878
    bApproved for future payment
    Total .................................bullet 3b 0
    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
    aCOUNSELING/COACHING INCOME         40,117
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 301  
    4 Dividends and interest from securities....     14 579,346  
    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.....     15 48,945  
    8
    Gain or (loss) from sales of assets other than inventory ............     		    01 591,268 -3,239
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..         24,630
    11 Other revenue:
    aLOSS FROM PARTNERSHIPS     		  -125,939 01    
    bLOSS FROM PARTNERSHIPS     01 -120,037  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. -125,939 1,099,823 61,508
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,035,392
    (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.)
    1 COUNSELING AND COACHING INCOME IS USED TO ACCOMPLISH THE ORGANIZATIONS EDUCATIONAL PURPOSES
    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
    SAMARITAN FOUNDATION FOR CHURCH AND
    FAMILY WELLNESS INC
    Employer identification number

    26-1596247
    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
    SAMARITAN FOUNDATION FOR CHURCH AND
    FAMILY WELLNESS INC         		Employer identification number
    26-1596247
    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
     
     

    JULIA UIHLEIN  
    8265 N RIVER ROAD
     
    MILWAUKEE, WI53217

    		$ 25,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    NICHOLAS FAMILY FOUNDATION  
    10309 N RIVER ROAD
     
    MEQUON, WI53092

    		$ 50,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
     
     

    FRANCIS LUKE SILVERMAN FOUNDATION  
    3913 W PROSPECT AVE STE 201
     
    APPLETON, WI54914

    		$ 18,000


    (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.)
    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
    SAMARITAN FOUNDATION FOR CHURCH AND
    FAMILY WELLNESS INC         		Employer identification number

    26-1596247
    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
    SAMARITAN FOUNDATION FOR CHURCH AND
    FAMILY WELLNESS INC         		Employer identification number

    26-1596247
    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:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 53,320 0 53,320 0

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

    TY 2015 DepreciationSchedule
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    DESK 2008-11-01 1,313 809 SL 10.000000000000 131 0 131  
    CABINET 2008-11-01 415 256 SL 10.000000000000 42 0 42  
    CAMCORDER 2008-11-01 1,590 980 SL 10.000000000000 159 0 159  
    PRINTER 2008-12-31 800 800 SL 5.000000000000 0 0 0  
    IMAC 2008-12-31 1,499 1,499 SL 5.000000000000 0 0 0  
    RUG 2008-12-31 2,000 1,200 SL 10.000000000000 200 0 200  
    COUCH 2009-08-12 1,234 668 SL 10.000000000000 123 0 123  
    DESKS 2009-04-01 6,000 3,450 SL 10.000000000000 600 0 600  
    OFFICE CHAIRS 2009-04-01 1,400 805 SL 10.000000000000 140 0 140  
    TABLES 2009-04-01 1,200 690 SL 10.000000000000 120 0 120  
    CHAIRS 2009-04-01 950 546 SL 10.000000000000 95 0 95  
    WHITEBOARD 2009-04-01 507 292 SL 10.000000000000 51 0 51  
    CHAIRS 2009-04-01 2,057 1,183 SL 10.000000000000 206 0 206  
    TABLES 2009-04-01 800 460 SL 10.000000000000 80 0 80  
    DESK 2009-04-01 2,000 1,150 SL 10.000000000000 200 0 200  
    CHAIRS 2009-04-01 934 537 SL 10.000000000000 93 0 93  
    CREDENZA / DESK 2009-04-01 1,859 1,069 SL 10.000000000000 186 0 186  
    CHAIRS 2009-04-01 1,944 1,118 SL 10.000000000000 194 0 194  
    TABLES 2009-04-01 603 347 SL 10.000000000000 60 0 60  
    TABLES 2009-04-01 1,224 704 SL 10.000000000000 122 0 122  
    CHAIRS 2009-04-01 1,568 902 SL 10.000000000000 157 0 157  
    WHITEBOARD 2009-04-01 507 292 SL 10.000000000000 51 0 51  
    DISPLAY BOARD 2009-04-01 1,789 1,029 SL 10.000000000000 179 0 179  
    MICROWAVE 2009-04-01 190 109 SL 10.000000000000 19 0 19  
    CREDENZA 2009-04-01 5,800 3,335 SL 10.000000000000 580 0 580  
    ART WORK 2009-04-01 800 460 SL 10.000000000000 80 0 80  
    PHONES 2009-04-01 1,452 835 SL 10.000000000000 145 0 145  
    LEASE BUILD-OUT 2009-04-01 4,319 1,656 SL 15.000000000000 288 0 288  
    NEW DOOR 2009-04-01 1,923 737 SL 15.000000000000 128 0 128  
    PHONES 2010-09-06 536 232 SL 10.000000000000 54 0 54  
    LIGHTING EQUIPMENT 2010-08-25 211 92 SL 10.000000000000 21 0 21  
    LAPTOP 2011-07-26 1,550 1,059 SL 5.000000000000 310 0 310  
    MIC FOR VIDEO CAMCORDER 2011-08-01 148 51 SL 10.000000000000 15 0 15  
    COFFEE MACHINE - WILLIAMS & SONOMA 2011-12-19 279 84 SL 10.000000000000 28 0 28  
    COMPUTER 2012-03-29 2,996 1,648 SL 5.000000000000 599 0 599  
    SOFTWARE 2012-04-27 127 113 SL 3.000000000000 14 0 14  
    I-PADS FOR ALL EMPLOYEES 2012-04-27 3,540 1,888 SL 5.000000000000 708 0 708  
    I-PAD FOR EMPLOYEE 2012-07-14 880 440 SL 5.000000000000 176 0 176  
    SPEAKERS FOR IPAD 2012-10-29 190 41 SL 10.000000000000 19 0 19  
    PRINTER 2012-11-29 1,012 421 SL 5.000000000000 202 0 202  
    LIVING COMPASS APP 2012-06-30 20,995 10,498 SL 5.000000000000 4,199 0 4,199  
    MAC SERVER 2013-02-27 1,083 397 SL 5.000000000000 217 0 217  
    PHONE 2014-02-26 338 56 SL 5.000000000000 68 0 68  
    KEYBOARD FOR LAPTOP 2013-04-23 106 35 SL 5.000000000000 21 0 21  
    DESK SCANNER 2013-05-09 158 53 SL 5.000000000000 32 0 32  
    LUGGAGE FOR SUPPLIES 2013-04-23 187 31 SL 10.000000000000 19 0 19  
    HEADPHONES 2013-10-01 300 38 SL 10.000000000000 30 0 30  
    CELL PHONES 2013-10-01 409 102 SL 5.000000000000 82 0 82  
    IPADS 2013-12-31 839 168 SL 5.000000000000 168 0 168  
    COMPUTER - DAN 2014-04-29 327 44 SL 5.000000000000 65 0 65  
    FAX - DAN'S COMPUTER 2014-04-29 106 14 SL 5.000000000000 21 0 21  
    MACBOOK AIR & MICROSOFT WORD 2014-09-09 1,360 91 SL 5.000000000000 272 0 272  
    I-PAD FOR SCOTT (REPLACE ASSET #49) 2014-07-31 885 74 SL 5.000000000000 177 0 177  
    SIGNS 2014-11-26 1,353 11 SL 10.000000000000 135 0 135  
    APPLE BACKUP DRIVE 2015-01-29 282   SL 5.000000000000 52 0 52  
    NEW DATA BASE 2015-02-25 5,798   SL 3.000000000000 1,611 0 1,611  
    STORAGE SHELVES 2015-03-26 496   SL 10.000000000000 37 0 37  
    APP DEVELOPEMENT 2015-06-17 2,040   SL 3.000000000000 340 0 340  
    NEW LAPTOP - SCOTT 2015-06-17 1,299   SL 5.000000000000 130 0 130  
    CAMERA EQUIPMENT 2015-08-31 240   SL 10.000000000000 8 0 8  
    VIDEO CAMERA 2015-08-31 492   SL 10.000000000000 16 0 16  
    DATABASE - FILEMAKER 2015-12-23 2,249   SL 3.000000000000 0 0 0  

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Name of Stock End of Year Book Value End of Year Fair Market Value
    RBC INVESTMENT ACCOUNT 23,629,986 23,629,986

    TY 2015 LandEtcSchedule2
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    DESK 1,313 940 373  
    CABINET 415 298 117  
    CAMCORDER 1,590 1,139 451  
    IMAC 1,499 1,499 0  
    RUG 2,000 1,400 600  
    COUCH 1,234 791 443  
    DESKS 6,000 4,050 1,950  
    OFFICE CHAIRS 1,400 945 455  
    TABLES 1,200 810 390  
    CHAIRS 950 641 309  
    WHITEBOARD 507 343 164  
    CHAIRS 2,057 1,389 668  
    TABLES 800 540 260  
    DESK 2,000 1,350 650  
    CHAIRS 934 630 304  
    CREDENZA / DESK 1,859 1,255 604  
    CHAIRS 1,944 1,312 632  
    TABLES 603 407 196  
    TABLES 1,224 826 398  
    CHAIRS 1,568 1,059 509  
    WHITEBOARD 507 343 164  
    DISPLAY BOARD 1,789 1,208 581  
    MICROWAVE 190 128 62  
    CREDENZA 5,800 3,915 1,885  
    ART WORK 800 540 260  
    PHONES 1,452 980 472  
    LEASE BUILD-OUT 4,319 1,944 2,375  
    NEW DOOR 1,923 865 1,058  
    PHONES 536 286 250  
    LIGHTING EQUIPMENT 211 113 98  
    MIC FOR VIDEO CAMCORDER 148 66 82  
    SOFTWARE 127 127 0  
    I-PADS FOR ALL EMPLOYEES 3,540 2,596 944  
    LIVING COMPASS APP 20,995 14,697 6,298  
    MAC SERVER 1,083 614 469  
    PHONE 338 124 214  
    KEYBOARD FOR LAPTOP 106 56 50  
    LUGGAGE FOR SUPPLIES 187 50 137  
    HEADPHONES 300 68 232  
    CELL PHONES 409 184 225  
    IPADS 839 336 503  
    I-PAD FOR SCOTT (REPLACE ASSET #49) 885 251 634  
    SIGNS 1,353 146 1,207  
    APPLE BACKUP DRIVE 282 52 230  
    NEW DATA BASE 5,798 1,611 4,187  
    STORAGE SHELVES 496 37 459  
    APP DEVELOPEMENT 2,040 340 1,700  
    NEW LAPTOP - SCOTT 1,299 130 1,169  
    CAMERA EQUIPMENT 240 8 232  
    VIDEO CAMERA 492 16 476  
    DATABASE - FILEMAKER 2,249 0 2,249  


    TY 2015 LegalFeesSchedule
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 16,967 0 16,967 0


    TY 2015 OtherAssetsSchedule
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INVESTMENT INCOME 258,327 353,063 353,063


    TY 2015 OtherDecreasesSchedule
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Description Amount
    UNREALIZED GAIN/LOSS ON INVESTMENTS 2,782,824


    TY 2015 OtherExpensesSchedule
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSE 8,393 0 309 8,084
    INTERNET & CABLE 861 0 0 861
    DUES & SUBSCRIPTIONS 1,911 0 494 1,417
    PROGRAM COSTS 43,368 0 0 43,368
    TECHNOLOGY 3,379 0 0 3,379
    GRAPHIC DESIGN 21,917 0 0 21,917
    TELEPHONE 5,956 0 1,310 4,646
    LICENSES 74 0 74 0
    REPAIRS & MAINTENANCE 1,423 0 411 1,012
    MISCELLANEOUS 3,706 0 0 3,706
    PROMOTION & ADVERTISING 43,460 0 0 43,460
    PAYROLL PROCESSING FEES 3,005 0 1,069 1,936
    INSURANCE 1,573 0 346 1,227
    BANK CHARGES 133 0 0 133
    WEBSITE 15,758 0 0 15,758
    SHIPPING 7,751 0 0 7,751
    DEFERRED EXCISE TAX -33,814 0 0 -33,814


    TY 2015 OtherIncomeSchedule2
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    DORCHESTER MINERALS LP - PASSTHROUGH ENTITY 48,945 48,945 48,945
    COUNSELING/COACHING INCOME 40,117   40,117
    LOSS FROM PARTNERSHIPS -125,939   -125,939
    LOSS FROM PARTNERSHIPS -120,037 -120,037 -120,037


    TY 2015 OtherLiabilitiesSchedule
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Description Beginning of Year - Book Value End of Year - Book Value
    ACCRUED WAGES 8,098 9,511
    PAYROLL TAXES 721 817
    DEFERRED FEDERAL EXCISE TAX 88,715 54,901
    ACCRUED HOUSING REIM 0 469


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EDITING 3,663 0 0 3,663
    SUBCONTRACTOR 5,175 0 0 5,175


    TY 2015 TaxesSchedule
    Name:
    SAMARITAN FOUNDATION FOR CHURCH AND
     
    FAMILY WELLNESS INC
    EIN:
    26-1596247
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 10,280 0 0 10,280