-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Information about Form 990-PF and its instructions is at
www.irs.gov/form990pf
.
OMB No. 1545-0052
20
15
Open to Public Inspection
For calendar year 2015, or tax year beginning
08-01-2015
, and ending
07-31-2016
Name of foundation
THOMAS H AND MARY HADLEY CONNER LEATH FND
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILSON
,
NC
278942907
A Employer identification number
56-6294400
B
Telephone number (see instructions)
(910) 693-2726
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here .............
2.
Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
2,379,190
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
Sch. B
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
64,676
64,676
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
53,498
b
Gross sales price for all assets on line 6a
678,357
7
Capital gain net income (from Part IV, line 2)
...
53,498
8
Net short-term capital gain
.........
0
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
........
118,174
118,174
13
Compensation of officers, directors, trustees, etc.
31,789
31,789
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
4,738
1,252
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
325
325
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
36,852
33,366
0
0
25
Contributions, gifts, grants paid
.......
124,100
124,100
26
Total expenses and disbursements.
Add lines 24 and 25
160,952
33,366
0
124,100
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-42,778
b
Net investment income
(if negative, enter -0-)
84,808
c
Adjusted net income
(if negative, enter -0-)
...
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
1
Cash—non-interest-bearing
.............
37
2
Savings and temporary cash investments
.........
49,013
2,304
2,304
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
0
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)
.......
835,796
937,764
1,156,382
c
Investments—corporate bonds (attach schedule)
.......
1,088,616
1,106,474
1,105,946
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
242,312
126,987
114,558
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
2,215,774
2,173,529
2,379,190
17
Accounts payable and accrued expenses
..........
18
Grants payable
..................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
..................
25
Temporarily restricted
...............
26
Permanently restricted
...............
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
........
2,215,774
2,173,529
28
Paid-in or capital surplus, or land, bldg., and equipment fund
29
Retained earnings, accumulated income, endowment, or other funds
30
Total net assets or fund balances
(see instructions)
.....
2,215,774
2,173,529
31
Total liabilities and net assets/fund balances
(see instructions)
.
2,215,774
2,173,529
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return)
...............
1
2,215,774
2
Enter amount from Part I, line 27a
.....................
2
-42,778
3
Other increases not included in line 2 (itemize)
3
533
4
Add lines 1, 2, and 3
..........................
4
2,173,529
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
2,173,529
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
.5 ITA UNIBANCO HOLDINGS SPON ADR PFD
2015-01-12
2015-08-13
b
13. AIA GROUP LTD
2012-06-11
2015-08-18
c
7.604 AQR MANAGED FUTURES STRATEGY FUND INST C
2015-01-12
2015-08-18
d
17. ABBOTT LABORATORIES
2012-11-14
2015-08-18
e
4. ABBVIE INC
2012-07-25
2015-08-18
3. AGILENT TECHNOLOGIES
2015-01-12
2015-08-18
62. AGILENT TECHNOLOGIES
2012-06-11
2015-08-18
23. COMMON
2011-08-24
2015-08-18
39. ALLIANZ COMMON
2011-08-24
2015-08-18
27. ALLISON TRANSMISSION HOLDINGS INC COMMON
2014-11-20
2015-08-18
4. AMERISOURCEBERGEN CORP. COMMON
2011-08-24
2015-08-18
17. ANHEUSER BUSCH INBEV SPON ADR
2012-06-11
2015-08-18
6. ANTHEM INC COMMON
2014-03-25
2015-08-18
25. APPLE COMPUTER CORPORATION COMMON
2012-06-11
2015-08-18
7. ARM HOLDINGS PLC -SPONS ADR
2015-01-12
2015-08-18
13. ASPEN TECHNOLOGY INC
2014-11-20
2015-08-18
7. ATLAS COPCO AB SP ADR
2015-01-12
2015-08-18
1. AUTOLIV INC COMMON
2011-12-27
2015-08-18
22. BG GROUP PLC ADR
2012-06-11
2015-08-18
4. BADGER METER INC COMMON
2015-01-12
2015-08-18
22. BALCHEM CORP COMMON
2015-01-12
2015-08-18
24. BANCO BILBAO VIZCAYA ARGENTA SPONSORED ADR
2014-11-20
2015-08-18
100. BAXALTA INC
2015-08-18
11. BAXALTA INC
2015-08-18
11. BAXTER INTERNATIONAL INCORPORATED
2015-08-18
100. BAXTER INTERNATIONAL INCORPORATED
2015-08-18
8. BAYERISCHE MOTOREN WERKE (BMW) UNSPONS A
2014-11-20
2015-08-18
3. BIOMARIN PHARMACEUTICAL INC
2014-01-24
2015-08-18
4. CEB INC COMMON
2015-01-12
2015-08-18
10. CIT GROUP INC COMMON
2012-06-11
2015-08-18
3. CSL LTD -SPONSORED ADR
2015-01-12
2015-08-18
4. CABOT MICROELECTRONICS COMMON
2015-01-12
2015-08-18
12. CAMERON INT'L CORP COM
2013-02-25
2015-08-18
4. CANADIAN NATL RY CO
2015-01-12
2015-08-18
2. CASEY'S GENERAL STORES, INC. COMMON
2011-08-24
2015-08-18
38. CELGENE CORP
2015-08-18
4. CINEMARK HOLDINGS INC COMMON
2015-01-12
2015-08-18
26. CINTAS CORP
2011-08-24
2015-08-18
39. CLARCOR INC.
2015-01-12
2015-08-18
3. COGNEX COMMON
2015-01-12
2015-08-18
30. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2012-06-11
2015-08-18
13. COOPER COS INC NEW
2012-07-25
2015-08-18
21. COSTCO WHOLESALE CORP
2012-06-11
2015-08-18
37. COSTCO WHOLESALE CORP
2014-11-20
2015-08-18
3. CROWN HOLDINGS INC
2011-03-24
2015-08-18
4. DBS GROUP HOLDINGS LTD SPONS ADR
2015-01-12
2015-08-18
10. DASSAULT SYSTEMS
2011-08-24
2015-08-18
21. DUNKIN BRANDS GROUP INC
2015-01-12
2015-08-18
4. EQUIFAX INC COMMON
2015-01-12
2015-08-18
3. EVERSOURCE ENERGY COMMON
2014-11-20
2015-08-18
1. EXPRESS SCRIPTS HLDG CO
2014-01-24
2015-08-18
6. FEI COMPANY COMMON
2012-11-14
2015-08-18
9. FMC TECHNOLOGIES INC
2014-11-20
2015-08-18
20. FANUC CORP ADR
2015-08-18
4. FIRST CASH FINANCIAL SERVICES INC COMMON
2015-01-12
2015-08-18
5. FOOT LOCKER INC. COMMON
2014-01-24
2015-08-18
273.062 FORWARD SALIENT INTERNTL SMALL CAP INST
2011-08-24
2015-08-18
7. FRESENIUS MED CARE
2011-08-24
2015-08-18
14. FUCHS PETROLU SE-PREF ADR
2014-11-20
2015-08-18
1. G & K SERVICES INC COMMON
2015-01-12
2015-08-18
59. GENERAL ELECTRIC COMPANY
2014-11-20
2015-08-18
137. GENERAL MILLS, INCORPORATED
2015-08-18
4. GENERAL MILLS, INCORPORATED
2015-01-12
2015-08-18
20. GENESSE & WYO INC CL A
2014-01-24
2015-08-18
11. GENESSE & WYO INC CL A
2015-08-18
94. GILEAD SCIENCES INC
2012-06-11
2015-08-18
1. GOODYEAR TIRE & RUBBER COMPANY
2014-11-20
2015-08-18
10. GOOGLE INC CL A
2015-08-18
4. GRACO INC COMMON
2015-01-12
2015-08-18
21. HANESBRANDS INC
2015-08-18
5. JACK HENRY & ASSOCIATES INC COMMON
2015-01-12
2015-08-18
136. HONG KONG EXCHANGES & CLEARING LIMITED
2014-03-25
2015-08-18
10. HUMANA, INC.
2012-12-26
2015-08-18
5. IPG PHOTONICS CORP COMMON
2014-11-20
2015-08-18
41. ICICI BANK LTD ADR
2014-11-20
2015-08-18
10. IMPERIAL OIL LTD COMMON
2014-11-20
2015-08-18
5. INTERCONTINENTALEXCHANGE COMMON GROUP
2013-02-25
2015-08-18
31. ITA UNIBANCO HOLDINGS SPON ADR PFD
2015-01-12
2015-08-18
3. JGC CORPORATION
2014-11-20
2015-08-18
1. JUNIPER NETWORKS INC
2015-01-12
2015-08-18
175. JUNIPER NETWORKS INC
2015-08-18
12. SA ADR
2011-08-24
2015-08-18
8. LIBERTY PPTY TR SH BEN TR
2014-11-20
2015-08-18
37. LINCOLN ELECTRIC HOLDINGS COMMON
2011-08-24
2015-08-18
3. LINCOLN ELECTRIC HOLDINGS COMMON
2015-01-12
2015-08-18
10. LINDE AG SPON ADR
2014-11-20
2015-08-18
10. MAXIM INTEGRATED PRODUCTS INC COMON
2014-03-25
2015-08-18
29. MCDONALDS CORPORATION
2011-08-24
2015-08-18
57. METLIFE COMMON
2012-11-14
2015-08-18
29. MICROSOFT CORPORATION
2015-08-18
8. MITSUBISHI ESTATE LTD ADR
2014-11-20
2015-08-18
4. MONOTYPE IMAGING HOLDINGS INC COMMON
2015-01-12
2015-08-18
2. MONOTARO CO LTD. UNSP ADR
2014-11-20
2015-08-18
16. MTN GROUP LTD ADR
2014-11-20
2015-08-18
17. NAVIENT CORP COMMON
2015-01-12
2015-08-18
107. NAVIENT CORP COMMON
2012-11-14
2015-08-18
7. NESTLE SA ADR
2011-08-24
2015-08-18
43. NEWFIELD EXPL CO COM
2014-03-25
2015-08-18
959.196 ALTEGRIS MACRO STRATEGY-I
2014-11-20
2015-08-18
1740.604 ALTEGRIS MACRO STRATEGY-I
2012-03-07
2015-08-18
10. NOVARTIS AG
2011-08-24
2015-08-18
6. NOVO-NORDISK A S ADR
2014-03-25
2015-08-18
22. OIL STATES INTERNATIONAL INC COM
2015-08-18
2. OIL STATES INTERNATIONAL INC COM
2011-07-21
2015-08-18
85. OWENS ILLINOIS INC COM NEW
2014-11-20
2015-08-18
50. OWENS ILLINOIS INC COM NEW
2015-08-18
5. PATTERSON COMPANIES INC COMMON
2015-01-12
2015-08-18
20. PEARSON PLC SPONSORED ADR
2012-06-11
2015-08-18
5. PEPSICO INCORPORATED
2011-12-27
2015-08-18
33. PFIZER INCORPORATED
2011-07-21
2015-08-18
69. PHILIP MORRIS INTERNATIONAL
2014-01-24
2015-08-18
1. POLARIS INDUSTRIES INC
2014-11-20
2015-08-18
1. PORTLAND GENERAL ELECTRIC CO COMMON
2014-11-20
2015-08-18
79. POST HOLDINGS INC. COMMON
2014-11-20
2015-08-18
25. PRAXAIR,INC
2015-08-18
4. PRIMERICA INC COMMON
2015-01-12
2015-08-18
18. QUALCOMM INC COMMON
2012-06-11
2015-08-18
23. RLI CORP COMMON
2015-01-12
2015-08-18
15. ROCHE HLDG LTD SPONS ADR
2011-08-24
2015-08-18
2. ROCKWELL INTERNATIONAL CORP NEW
2012-06-11
2015-08-18
11. ROSS STORES INC COM
2011-08-24
2015-08-18
6. SAP AKTIENGESELLSCHAFT
2011-08-24
2015-08-18
9. SCHLUMBERGER LTD
2012-06-11
2015-08-18
23. SCHNEIDER ELECTRIC SA UNSPON ADR
2015-01-12
2015-08-18
3. SIGNATURE BANK COMMON
2014-11-20
2015-08-18
26. SINCLAIR BROADCAST GROUP A
2014-11-20
2015-08-18
7. SONOVA HOLDING AG
2015-01-12
2015-08-18
94. STARBUCKS CORPORATIONS COMMON
2012-11-14
2015-08-18
280. STONE ENERGY CORP COMMON
2015-08-18
23. SVENSKA HANDELSB-A
2014-11-20
2015-08-18
13. SWATCH GROUP AG
2015-01-12
2015-08-18
142. SWATCH GROUP AG
2011-08-24
2015-08-18
11. SYMRISE AG ADR
2015-01-12
2015-08-18
16. SYNTEL INC COMMON
2015-01-12
2015-08-18
141. SYSMEX CORP
2012-06-11
2015-08-18
98. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR
2011-08-24
2015-08-18
16. TIME WARNER CABLE INC
2013-02-25
2015-08-18
563.329 TOUCHSTONE MERGER ARBITRAGE FUND EXEMPT
2012-07-25
2015-08-18
1662.347 TOUCHSTONE MERGER ARBITRAGE FUND EXEMPT
2015-08-18
42. TOWERS WATSON & COMPANY COMMON
2015-08-18
4. TRACTOR SUPPLY COMPANY COMMON
2011-08-24
2015-08-18
68. TURKIYE GARANTI BANKASI A.S.
2015-01-12
2015-08-18
5. TWENTY FIRST CENTURY FOX INC COMMON
2015-01-12
2015-08-18
58. UNICHARM CORP
2015-01-12
2015-08-18
7. VERIZON COMMUNICATIONS INC
2014-11-20
2015-08-18
30. VMWARE INC CLASS A COMMON
2015-08-18
7. VMWARE INC CLASS A COMMON
2015-08-18
18. WD40 - COMPANY COMMON
2015-01-12
2015-08-18
4. WPP PLC ADR
2011-08-24
2015-08-18
3. WESTAMERICA BANCORPORATION COM
2015-01-12
2015-08-18
10. WOLVERINE WORLD WIDE INC COMMON
2015-01-12
2015-08-18
4. WYNN RESORTS LTD COMMON
2015-01-12
2015-08-18
9. XILINX INC
2011-08-24
2015-08-18
6. XINYI GLASS HOLDINGS LTD
2015-01-12
2015-08-18
100. XINYI GLASS HOLDINGS LTD
2012-07-25
2015-08-18
36. ZIMMER HOLDINGS INC
2012-11-14
2015-08-18
10. AMDOCS LTD ORD
2011-08-24
2015-08-18
10. ARCH CAPITAL GROUP LTD
2011-08-24
2015-08-18
12. AXIS CAPITAL HOLDINGS LTD
2015-08-18
15. ACCENTURE PLC IRELAND SHS
2015-08-18
3. BUNGE LIMITED COMMON
2015-01-12
2015-08-18
16. EATON CORP PLC
2014-11-20
2015-08-18
33. ENSCO PLC ADR CLASS A
2012-06-11
2015-08-18
46. ENSCO PLC ADR CLASS A
2014-11-20
2015-08-18
57. MICHAEL KORS HOLDINGS LTD
2015-08-18
5. SIGNET JEWELERS LTD
2011-08-24
2015-08-18
5. PERRIGO CO PLC
2015-08-18
10. PERRIGO CO PLC
2014-01-24
2015-08-18
505. BG GROUP PLC ADR
2016-03-07
.86 CALIFORNIA RESOURCES CORP COMMON
2015-08-18
2016-04-13
.516 SCHLUMBERGER LTD
2013-02-25
2016-04-20
.772 GLOBAL PAYMENTS INC COMMON
2015-01-12
2016-05-03
2170.415 AQR MANAGED FUTURES STRATEGY FUND INST C
2016-05-09
5. ALPHABET INC CL C
2016-05-09
46. AMERICAN EXPRESS COMPANY
2016-05-09
34. AMERICAN EXPRESS COMPANY
2015-08-18
2016-05-09
2. ASPEN TECHNOLOGY INC
2014-11-20
2016-05-09
4. AUTOLIV INC COMMON
2011-12-27
2016-05-09
2. BIOGEN INC COMMON
2015-08-18
2016-05-09
2.027 BLACKROCK EMG MKTS LONG/SHORT EQ-IS
2015-08-18
2016-05-09
52. BRISTOL MYERS SQUIBB COMPANY
2016-05-09
1. CEB INC COMMON
2015-01-12
2016-05-09
37. CDW CORP OF DELAWARE COMMON
2014-11-20
2016-05-09
29. CSL LTD -SPONSORED ADR
2016-05-09
41. CVS CORP COMMON
2015-08-18
2016-05-09
1. CABOT MICROELECTRONICS COMMON
2015-01-12
2016-05-09
9.924 CALIFORNIA RESOURCES CORP COMMON
2016-05-09
.076 CALIFORNIA RESOURCES CORP COMMON
2015-08-18
2016-05-09
8. CELGENE CORP
2014-11-20
2016-05-09
25. CINTAS CORP
2011-08-24
2016-05-09
147. COCA COLA COMPANY
2015-08-18
2016-05-09
61. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2016-05-09
771.227 COHEN & STEERS REALTY SHARES INSTITUTION
2016-05-09
56. COMCAST CORP NEW CL A
2016-05-09
5245.065 CREDIT SUISSE COMMODITY RETURN STRATEGY INSTITUTIONAL SHS FD
2016-05-09
1518.401 CREDIT SUISSE COMMODITY RETURN STRATEGY INSTITUTIONAL SHS FD
2015-08-18
2016-05-09
3. DANAHER CORP COMMON
2015-08-18
2016-05-09
82. DANAHER CORP COMMON
2016-05-09
8. DASSAULT SYSTEMS
2015-01-12
2016-05-09
571.985 DODGE & COX INCOME FUND
2016-05-09
520.238 DOUBLELINE TOTAL RETURN BOND FUND
2016-05-09
74.652 DOUBLELINE TOTAL RETURN BOND FUND
2015-08-18
2016-05-09
2592.556 DRIEHAUS SELECT CREDIT FUND EXEMPT FOR C
2016-05-09
37.401 DRIEHAUS SELECT CREDIT FUND EXEMPT FOR C
2015-08-18
2016-05-09
109. EMC CORPORATION COMMON
2015-08-18
2016-05-09
152. EMC CORPORATION COMMON
2016-05-09
62. ECOLABS INC
2015-08-18
2016-05-09
23. EQUIFAX INC COMMON
2015-01-12
2016-05-09
76. EXPRESS SCRIPTS HLDG CO
2016-05-09
11. FEI COMPANY COMMON
2016-05-09
69.918 FEDERATED HIGH YIELD BOND INST CL FUND #
2015-08-18
2016-05-09
44. FIRST CASH FINANCIAL SERVICES INC COMMON
2015-01-12
2016-05-09
7. FOOT LOCKER INC. COMMON
2014-11-20
2016-05-09
256. GENERAL ELECTRIC COMPANY
2016-05-09
23. GILEAD SCIENCES INC
2015-01-12
2016-05-09
2.006 GLOBAL PAYMENTS INC COMMON
2015-08-18
2016-05-09
31.994 GLOBAL PAYMENTS INC COMMON
2015-01-12
2016-05-09
60. GOODYEAR TIRE & RUBBER COMPANY
2014-11-20
2016-05-09
12. HANESBRANDS INC
2014-11-20
2016-05-09
23. JACK HENRY & ASSOCIATES INC COMMON
2015-01-12
2016-05-09
101. HONG KONG EXCHANGES & CLEARING LIMITED
2016-05-09
12. HUMANA, INC.
2012-12-26
2016-05-09
15. IPG PHOTONICS CORP COMMON
2014-11-20
2016-05-09
781. ICICI BANK LTD ADR
2016-05-09
75. IDEX CORP
2015-08-18
2016-05-09
152. IMPERIAL OIL LTD COMMON
2016-05-09
12. THE IQ HEDGE MULTI-STRATEGY TRACKER ETF
2015-08-18
2016-05-09
25. INTERCONTINENTALEXCHANGE COMMON GROUP
2013-02-25
2016-05-09
35. INTERNATIONAL BUSINESS MACHINES CORP
2015-01-12
2016-05-09
9. JOHNSON & JOHNSON
2015-08-18
2016-05-09
40. KINDER MORGAN INC
2015-08-18
2016-05-09
202. KINDER MORGAN INC
2016-05-09
98. LINEAR TECHNOLOGY CORP
2015-08-18
2016-05-09
100. LOWES COMPANIES INCORPORATED
2016-05-09
15. LOWES COMPANIES INCORPORATED
2015-08-18
2016-05-09
23. M & T BK CORP
2016-05-09
44. MAXIM INTEGRATED PRODUCTS INC COMON
2016-05-09
14. MCDONALDS CORPORATION
2016-05-09
6. MEDNAX INC COMMON
2011-02-14
2016-05-09
714.924 METROPOLITAN WEST TOTAL RETURN BOND FUND
2016-05-09
114. MONSANTO CO COMMON
2016-05-09
170. NOVO-NORDISK A S ADR
2016-05-09
106. OCCIDENTAL PETE CORP
2016-05-09
10. OCCIDENTAL PETE CORP
2015-08-18
2016-05-09
48. OIL STATES INTERNATIONAL INC COM
2016-05-09
496.08 PIMCO LOW DURATION INSTITUTIONAL
2014-01-24
2016-05-09
94.439 PIMCO LOW DURATION INSTITUTIONAL
2015-08-18
2016-05-09
235. PEARSON PLC SPONSORED ADR
2016-05-09
5. PRICELINE.COM INC
2012-06-11
2016-05-09
41. QUALCOMM INC COMMON
2012-06-11
2016-05-09
107. QUESTAR CORP
2015-01-12
2016-05-09
29. QUESTAR CORP
2015-08-18
2016-05-09
1. RLI CORP COMMON
2015-01-12
2016-05-09
23. RALPH LAUREN CORP COMMON
2015-08-18
2016-05-09
23. RAY JAMES FINANCIAL, INC. COMMON
2015-08-18
2016-05-09
56. RAY JAMES FINANCIAL, INC. COMMON
2016-05-09
4. ROCKWELL COLLINS INC.
2016-05-09
21. ROSS STORES INC COM
2011-08-24
2016-05-09
41. SLM CORPORATION COMMON
2015-08-18
2016-05-09
166. SLM CORPORATION COMMON
2016-05-09
87. SANDS CHINA LTD
2016-05-09
32. SANDS CHINA LTD
2015-08-18
2016-05-09
94. SCHLUMBERGER LTD
2016-05-09
477. SCHNEIDER ELECTRIC SA UNSPON ADR
2016-05-09
11. SCOTTS CO CL A
2016-05-09
17. SHIRE PHARMACEUTICALS GROUP PLC
2016-05-09
1. SIGNATURE BANK COMMON
2014-11-20
2016-05-09
31. SPECTRA ENERGY CORPORATION
2015-01-12
2016-05-09
97. STARBUCKS CORPORATIONS COMMON
2016-05-09
463. SVENSKA HANDELSB-A
2016-05-09
32. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR
2014-11-20
2016-05-09
107. TEXAS INSTRUMENTS INCORPORATED
2016-05-09
28. TEXAS INSTRUMENTS INCORPORATED
2015-08-18
2016-05-09
23. TIME WARNER CABLE INC
2016-05-09
15. TRACTOR SUPPLY COMPANY COMMON
2016-05-09
2. TURKIYE GARANTI BANKASI A.S.
2015-01-12
2016-05-09
187. TWENTY FIRST CENTURY FOX INC COMMON
2016-05-09
890. UNICHARM CORP
2016-05-09
8. UNILEVER PLC-SPONSORED ADR
2015-01-12
2016-05-09
4. UNITED PARCEL SERVICES B
2016-05-09
12. VERIZON COMMUNICATIONS INC
2014-11-20
2016-05-09
37. VISA INC
2016-05-09
37. WESTAMERICA BANCORPORATION COM
2015-01-12
2016-05-09
114. WOLVERINE WORLD WIDE INC COMMON
2015-01-12
2016-05-09
20. WYNN RESORTS LTD COMMON
2012-06-11
2016-05-09
59. ALKERMES PLC
2014-11-20
2016-05-09
8. ALKERMES PLC
2015-08-18
2016-05-09
14. AMDOCS LTD ORD
2016-05-09
2. ARCH CAPITAL GROUP LTD
2011-08-24
2016-05-09
4. AXIS CAPITAL HOLDINGS LTD
2012-06-11
2016-05-09
11. ACCENTURE PLC IRELAND SHS
2014-11-20
2016-05-09
50. EATON CORP PLC
2014-11-20
2016-05-09
19. SEAGATE TECHNOLOGY PLC COMMON
2015-08-18
2016-05-09
62. SEAGATE TECHNOLOGY PLC COMMON
2011-08-24
2016-05-09
17. PERRIGO CO PLC
2014-11-20
2016-05-09
4. CHECKPOINT SOFTWARE TECHNOLOGY COMMON
2011-02-14
2016-05-09
CAPITAL GAIN 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
4
6
-2
b
309
173
136
c
83
83
d
858
525
333
e
276
133
143
118
122
-4
2,444
1,775
669
582
485
97
656
395
261
802
904
-102
419
151
268
1,977
1,157
820
922
602
320
2,920
2,078
842
300
321
-21
504
485
19
187
191
-4
105
53
52
369
431
-62
245
222
23
1,344
1,347
-3
236
246
-10
3,997
2,312
1,685
440
366
74
447
430
17
4,061
2,714
1,347
252
284
-32
414
214
200
309
279
30
462
345
117
103
107
-4
181
184
-3
586
760
-174
243
264
-21
216
83
133
4,971
4,176
795
155
141
14
2,320
783
1,537
2,325
2,439
-114
110
114
-4
2,028
882
1,146
2,265
982
1,283
3,055
1,861
1,194
5,382
5,148
234
158
116
42
215
240
-25
745
387
358
1,095
940
155
421
331
90
154
150
4
91
74
17
485
312
173
294
500
-206
565
519
46
152
204
-52
371
188
183
4,929
3,438
1,491
286
236
50
164
140
24
72
67
5
1,531
1,586
-55
8,101
5,255
2,846
237
212
25
1,519
1,812
-293
836
1,056
-220
10,986
2,334
8,652
33
26
7
6,888
3,620
3,268
290
316
-26
637
588
49
357
313
44
3,547
2,038
1,509
1,920
686
1,234
455
361
94
401
479
-78
364
483
-119
1,208
765
443
231
359
-128
97
134
-37
28
23
5
4,945
3,074
1,871
437
273
164
275
280
-5
2,280
1,166
1,114
185
199
-14
186
185
1
333
326
7
2,928
2,593
335
3,099
1,775
1,324
1,373
753
620
186
187
-1
92
110
-18
110
50
60
243
319
-76
248
351
-103
1,561
1,159
402
536
442
94
1,511
1,333
178
8,278
7,875
403
15,021
16,936
-1,915
1,032
575
457
352
267
85
628
1,053
-425
57
96
-39
1,874
2,190
-316
1,102
1,612
-510
259
254
5
364
364
500
332
168
1,170
666
504
5,791
5,656
135
137
157
-20
37
36
1
5,161
2,843
2,318
2,840
3,217
-377
174
208
-34
1,110
1,054
56
1,280
1,094
186
531
321
210
231
139
92
619
202
417
417
313
104
748
582
166
301
325
-24
430
366
64
755
709
46
190
202
-12
5,435
2,341
3,094
1,399
5,274
-3,875
171
181
-10
259
287
-28
2,826
3,049
-223
177
171
6
699
733
-34
4,769
1,351
3,418
1,970
1,139
831
3,048
1,392
1,656
6,056
5,949
107
17,870
17,477
393
5,298
4,733
565
375
117
258
175
285
-110
151
177
-26
260
291
-31
332
351
-19
2,687
3,011
-324
627
579
48
1,597
1,509
88
446
204
242
145
137
8
292
296
-4
364
593
-229
389
266
123
60
67
-7
1,006
1,007
-1
3,819
2,321
1,498
603
266
337
739
324
415
702
393
309
1,554
1,269
285
227
268
-41
957
1,076
-119
554
1,467
-913
772
1,796
-1,024
2,423
4,171
-1,748
620
174
446
981
789
192
1,963
1,541
422
7,672
8,247
-575
1
1
40
37
3
56
57
-1
21,813
22,485
-672
3,575
2,411
1,164
2,957
4,165
-1,208
2,186
2,760
-574
75
75
498
212
286
537
628
-91
19
20
-1
3,733
3,064
669
61
70
-9
1,511
1,217
294
1,172
557
615
4,358
4,437
-79
41
46
-5
16
12
4
817
858
-41
2,282
753
1,529
6,674
6,092
582
3,703
2,499
1,204
37,528
31,051
6,477
3,450
3,045
405
24,704
44,022
-19,318
7,152
7,759
-607
291
275
16
7,942
4,250
3,692
632
475
157
7,802
7,955
-153
5,665
5,906
-241
813
815
-2
20,274
24,827
-4,553
292
335
-43
2,934
2,894
40
4,091
4,530
-439
7,202
7,198
4
2,766
1,902
864
5,598
5,632
-34
959
711
248
659
678
-19
2,093
2,241
-148
434
398
36
7,667
5,979
1,688
1,981
2,360
-379
145
148
-3
2,317
2,358
-41
1,702
1,568
134
333
334
-1
1,931
1,440
491
2,381
1,618
763
2,075
823
1,252
1,266
1,083
183
5,228
6,238
-1,010
6,122
5,661
461
4,746
6,185
-1,439
347
354
-7
6,504
3,824
2,680
5,167
5,564
-397
1,023
893
130
670
1,350
-680
3,385
7,522
-4,137
4,331
3,976
355
7,595
6,267
1,328
1,139
1,099
40
2,631
2,860
-229
1,583
1,362
221
1,838
1,278
560
417
191
226
7,771
7,862
-91
10,160
9,149
1,011
9,377
7,531
1,846
7,972
7,660
312
752
734
18
1,533
2,106
-573
4,906
5,129
-223
934
940
-6
2,741
4,209
-1,468
6,244
3,245
2,999
2,093
2,401
-308
2,677
2,666
11
726
631
95
65
48
17
2,082
2,696
-614
1,161
1,344
-183
2,826
3,095
-269
363
339
24
1,217
385
832
270
367
-97
1,093
999
94
2,995
4,931
-1,936
1,102
1,343
-241
6,932
6,279
653
5,838
6,120
-282
750
677
73
2,998
3,594
-596
131
122
9
958
1,034
-76
5,501
2,714
2,787
2,912
3,625
-713
747
727
20
6,141
2,857
3,284
1,607
1,401
206
4,931
2,122
2,809
1,415
669
746
5
8
-3
5,532
6,538
-1,006
3,640
2,701
939
365
323
42
410
324
86
614
602
12
2,887
2,347
540
1,709
1,686
23
2,178
3,379
-1,201
1,803
2,020
-217
2,262
3,248
-986
307
549
-242
810
393
417
141
65
76
217
130
87
1,277
918
359
3,045
3,364
-319
360
994
-634
1,173
673
500
1,606
2,626
-1,020
331
201
130
7,603
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
-2
b
136
c
d
333
e
143
-4
669
97
261
-102
268
820
320
842
-21
19
-4
52
-62
23
-3
-10
1,685
74
17
1,347
-32
200
30
117
-4
-3
-174
-21
133
795
14
1,537
-114
-4
1,146
1,283
1,194
234
42
-25
358
155
90
4
17
173
-206
46
-52
183
1,491
50
24
5
-55
2,846
25
-293
-220
8,652
7
3,268
-26
49
44
1,509
1,234
94
-78
-119
443
-128
-37
5
1,871
164
-5
1,114
-14
1
7
335
1,324
620
-1
-18
60
-76
-103
402
94
178
403
-1,915
457
85
-425
-39
-316
-510
5
168
504
135
-20
1
2,318
-377
-34
56
186
210
92
417
104
166
-24
64
46
-12
3,094
-3,875
-10
-28
-223
6
-34
3,418
831
1,656
107
393
565
258
-110
-26
-31
-19
-324
48
88
242
8
-4
-229
123
-7
-1
1,498
337
415
309
285
-41
-119
-913
-1,024
-1,748
446
192
422
-575
3
-1
-672
1,164
-1,208
-574
286
-91
-1
669
-9
294
615
-79
-5
4
-41
1,529
582
1,204
6,477
405
-19,318
-607
16
3,692
157
-153
-241
-2
-4,553
-43
40
-439
4
864
-34
248
-19
-148
36
1,688
-379
-3
-41
134
-1
491
763
1,252
183
-1,010
461
-1,439
-7
2,680
-397
130
-680
-4,137
355
1,328
40
-229
221
560
226
-91
1,011
1,846
312
18
-573
-223
-6
-1,468
2,999
-308
11
95
17
-614
-183
-269
24
832
-97
94
-1,936
-241
653
-282
73
-596
9
-76
2,787
-713
20
3,284
206
2,809
746
-3
-1,006
939
42
86
12
540
23
-1,201
-217
-986
-242
417
76
87
359
-319
-634
500
-1,020
130
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
53,498
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
...................
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?
Yes
No
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
125,653
2,523,457
0.049794
2013
121,882
2,514,132
0.048479
2012
111,692
2,422,217
0.046111
2011
112,335
2,315,824
0.048508
2010
110,901
2,388,289
0.046435
2
Total
of line 1, column (d)
.....................
2
0.239327
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
0.047865
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5
.....
4
2,340,968
5
Multiply line 4 by line 3
......................
5
112,050
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
848
7
Add lines 5 and 6
........................
7
112,898
8
Enter qualifying distributions from Part XII, line 4
.............
8
124,100
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
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
848
here
and 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
848
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
848
6
Credits/Payments:
a
2015 estimated tax payments and 2014 overpayment credited to 2015
6a
2,144
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
2,144
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
1,296
11
Enter the amount of line 10 to be:
Credited to 2015 estimated tax
848
Refunded
11
448
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
NC
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 address
14
The books are in care of
BRANCH BANKING & TRUST COMPANY
Telephone no.
(910) 693-2726
Located at
130 APPLECROSS RD
PINEHURST
NC
ZIP+4
28374
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.......
and enter the amount of tax-exempt interest received or accrued during the year
......
15
16
At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
No
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
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?
......................
Yes
No
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? (see instructions)
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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
BRANCH BANKING AND TRUST COMPANY
TRUSTEE
1
31,789
PO DRAWER 1149
PINEHURST
,
NC
28374
ROBERT HUTCHINSON
TRUSTEE
1
0
220 E WASHINGTON ST
ROCKINGHAM
,
NC
28379
JUDY S BLOUNT
TRUSTEE
1
0
715 STANLEY AVE
ROCKINGHAM
,
NC
28379
F BRENT NEAL
TRUSTEE
1
0
PO BOX 1657
ROCKINGHAM
,
NC
283791657
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
...................
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
.............
0
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
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
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
2,323,341
b
Average of monthly cash balances
.......................
1b
53,276
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
2,376,617
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
2,376,617
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
35,649
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
2,340,968
6
Minimum investment return.
Enter 5% of line 5
..................
6
117,048
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
117,048
2a
Tax on investment income for 2015 from Part VI, line 5
......
2a
848
b
Income tax for 2015. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
848
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
116,200
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
116,200
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
116,200
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
124,100
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
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
124,100
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
848
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
123,252
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
116,200
2
Undistributed income, if any, as of the end of 2015:
a
Enter amount for 2014 only
.......
123,569
b
Total for prior years:
2013
,
20
,
20
0
3
Excess distributions carryover, if any, to 2015:
a
From 2010
......
0
b
From 2011
......
0
c
From 2012
......
0
d
From 2013
......
0
e
From 2014
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2015 from Part
XII, line 4:
$
124,100
a
Applied to 2014, but not more than line 2a
123,569
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2015 distributable amount
.....
531
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2015.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
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
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2014. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2016. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2015
..........
115,669
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)
.......
0
8
Excess distributions carryover from 2010 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2016.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2011
....
0
b
Excess from 2012
....
0
c
Excess from 2013
....
0
d
Excess from 2014
....
0
e
Excess from 2015
....
0
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
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
TONIA WRIGHT
130 APPLECROSS RD
PINEHURST
,
NC
28374
(910) 693-2726
b
The form in which applications should be submitted and information and materials they should include:
WRITTEN REQUEST FOR SCHOLARSHIP TO DUKE UNIV, UNC-CHAPEL HILL OR SALEM COLLEGE. WILL SHOW SCHOOL RECORD, HIGH SCHOOL, CLASS AND PLANNED MAJOR WRITTE REQUEST FOR PUBLIC SUPPORT - TITLE OF PROJECT, GOALS AND COST.
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SCHOLARSHIP - RESIDENT OF RICHMOND COUNTY, NC PUBLIC SUPPORT - RELIGIOUS, CHARITABLE, SCIENTIFIC, LITERARY OR INSTITUTIONS THAT SUPPORT CITIZENS OF RICHMOND COUNTY AND STATE OF NC
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)
a
Paid during the year
UNC CHAPEL HILL
CB 2200 JACKSON HALL
CHAPEL HILL
,
NC
275992200
NONE
EXEMPT
COLLEGE SCHOLARSHIP
84,000
SALEM COLLEGE
601 S CHURCH ST
WINSTONSALEM
,
NC
27101
NONE
EXEMPT
COLLEGE SCHOLARSHIP
3,000
DUKE UNIVERSITY
2138 CAMPUS DR BOX 90586
DURHAM
,
NC
277080586
NONE
EXEMPT
COLLEGE SCHOLARSHIP
9,000
FOOD BANK OF CENTRAL & EASTERN
NORTH CAROLINA
195 SANDY AVENUE
SOUTHERN PINES
,
NC
28387
NONE
EXEMPT
FEEDING FAMILIES BETTER
8,500
DISCOVERY PLACE
301 N TRYON STREET
CHARLOTTE
,
NC
28202
NONE
EXEMPT
EDUCATIONAL
5,000
OUR DAILY BREAD FOOD MINISTRY
108 S RANDOLPH STREET
ROCKINGHAM
,
NC
28379
NONE
EXEMPT
FOOD BANK
8,600
GIRL SCOUTS-NC COASTAL PINES
6901 PINECREST ROAD
RALEIGH
,
NC
27613
NONE
EXEMPT
GENERAL
6,000
Total
.................................
3a
124,100
b
Approved for future payment
Total
.................................
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash investments
...........
4
Dividends and interest from securities
....
14
64,676
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
............
18
53,498
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)
..
118,174
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
118,174
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)?
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2015)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description
-
TIN:
TY 2015 OtherIncreasesSchedule
Name:
THOMAS H AND MARY HADLEY CONNER LEATH FND
EIN:
56-6294400
Description
Amount
ADJUSTMENT FOR ROUNDING
10
DIFF IN MUTUAL FDS REC/REPORTED
523