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 07-01-2015 , and ending 06-30-2016
Name of foundation
Austin-Bailey Health & Wellness Foundation
 
% AUSTIN-BAILEY HEALTH & WELLN
Number and street (or P.O. box number if mail is not delivered to street address)2719 Fulton Drive NW Suite D
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Canton, OH44718
A Employer identification number

34-1845584
B Telephone number (see instructions)

(330) 580-2380
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$6,784,108J 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) 0
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 210,000 210,000  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -85,670
b Gross sales price for all assets on line 6a 1,857,986
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 124,330 210,000  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 59,199 18,434   40,765
14 Other employee salaries and wages...... 26,750 2,675   24,075
15 Pension plans, employee benefits....... 6,629 1,626   5,003
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 10,475 0 0 10,475
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 3,112      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 13,673 2,871   10,802
21 Travel, conferences, and meetings....... 402     402
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 52,561 33,078   19,483
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 172,801 58,684 0 111,005
25 Contributions, gifts, grants paid....... 498,470 439,070
26 Total expenses and disbursements. Add lines 24 and 25 671,271 58,684 0 550,075
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -546,941
b Net investment income (if negative, enter -0-) 151,316
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 103,270 52,873 52,873
2 Savings and temporary cash investments......... 103,984 128,986 128,986
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 0 6,332 6,332
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 3,814,853 Click to see attachment3,740,434 3,740,434
c Investments—corporate bonds (attach schedule)....... 2,002,576 Click to see attachment1,460,431 1,460,431
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,535,601 Click to see attachment1,394,446 1,394,446
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment10 Click to see attachment606 Click to see attachment606
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,560,294 6,784,108 6,784,108
Liabilities 17 Accounts payable and accrued expenses.......... 2,000 0
18 Grants payable.................. 158,585 59,400
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 160,585 59,400
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 7,399,709 6,724,708
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 7,399,709 6,724,708
31 Total liabilities and net assets/fund balances (see instructions). 7,560,294 6,784,108
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
7,399,709
2
Enter amount from Part I, line 27a .....................
2
-546,941
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
158,585
4
Add lines 1, 2, and 3 ..........................
4
7,011,353
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
286,645
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
6,724,708
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 WELLS FARGO PUBLICALLY TRADEDED SECURITIES P 2010-01-01 2015-12-31
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 1,857,986   1,943,656 -85,670
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       -85,670
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 -85,670
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 446,808 7,674,131 0.058223
2013 524,066 7,682,356 0.068217
2012 430,849 7,270,801 0.059257
2011 604,132 6,920,763 0.087293
2010 384,505 7,627,947 0.050407
2
Total of line 1, column (d) .....................
20.323397
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
0.064679
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
6,886,124
5
Multiply line 4 by line 3......................
5
445,388
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,513
7
Add lines 5 and 6........................
7
446,901
8
Enter qualifying distributions from Part XII, line 4.............
8
550,075
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 1,513
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 1,513
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,513
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 9,080
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 9,080
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 7,567
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet1,520 RefundedBullet 11 6,047
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletOH
    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 addressbullethttp;//fdnweb.org/austinbailey/
    14
    The books are in care ofbulletAUSTIN-BAILEY HEALTH & WELLN Telephone no.bullet (330) 580-2380

    Located atbullet2719 FULTON DRIVE NW SUITE DCANTONOH ZIP+4bullet44718
    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
    DON A SULTZBACH EXECUTIVE DIRECTOR
    16.0     		44,661 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    PETER KOPKO TREASURER
    4.0     		14,538 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    ELTON D LEHMAN DO TRUSTEE
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    DANIEL N MORETTA DO TRUSTEE
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    JOHN L MUHLBACH JR TRUSTEE
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    VIRGINIA R NEUTZLING SECRETARY
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    FREDERICK W ROHRIG CHAIRMAN
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    SCOTT P SANDROCK TRUSTEE
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    THOMAS F TURNER TRUSTEE
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    DAVID A MILLER TRUSTEE
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    DIANE K JARRETT TRUSTEE
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    EUGENE A THORN III TRUSTEE
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    DANIEL J FULINE TRUSTEE
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    CHARLES R CONKLIN DO VICE CHAIRMAN
    1.0     		0 0 0
    2719 Fulton Drive NW Suite D
    Canton,OH44718
    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
     
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 GRANT TO MERCY MEDICAL CENTER TO EXPAND DENTAL SUITE 48,900
    2 GRANT TO TUSCARAWAS COUNTY HEALTH DEPARTMENT FOR A DENTAL CLINIC 30,000
    3 GRANT TO VIOLA STARTZMAN FREE CLINIC TO PROVIDE SALARY FOR A NURSE PRACTITIONER 25,000
    4 GRANT TO NEW LEAF CENTER TO SUPPORT RARE DISORDER TREATMENTS 25,000
    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 NONE  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    6,927,457
    b
    Average of monthly cash balances.......................
    1b
    56,594
    c
    Fair market value of all other assets (see instructions)................
    1c
    6,938
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,990,989
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    6,990,989
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    104,865
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,886,124
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    344,306
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    344,306
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    1,513
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,513
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    342,793
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    342,793
    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
    342,793
    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
    550,075
    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
    550,075
    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
    1,513
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    548,562
    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 7 342,793
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:2013, 2012, 2011 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 8,315
    b From 2011...... 274,788
    c From 2012...... 75,364
    d From 2013...... 147,039
    e From 2014...... 72,162
    fTotal of lines 3a through e........ 577,668
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 550,075
    a Applied to 2014, but not more than line 2a 0
    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..... 342,793
    e Remaining amount distributed out of corpus 207,282
    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 5 784,950
    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......     		 
    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 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		8,315
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		776,635
    10 Analysis of line 9:
    a Excess from 2011.... 274,788
    b Excess from 2012.... 75,364
    c Excess from 2013.... 147,039
    d Excess from 2014.... 72,162
    e Excess from 2015.... 207,282
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NA
    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.
    NA
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    DON SULTZBACH
    2719 FULTON DRIVE NW SUITE D
    CANTON,OH44718
    (330) 580-2380
    bThe form in which applications should be submitted and information and materials they should include:
    SEE GRANT GUIDELINES ON WEBSITE
    cAny submission deadlines:
    SEE GRANT GUIDELINES ON WEBSITE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE GRANT GUIDELINES ON WEBSITE
    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
    MERCY MEDICAL CENTER
    1320 MERCY DRIVE NW
    CANTON,OH44708     		NOT APPLICABLE PC EXPANSION OF THE AUSTIN-BAILEY DENTAL SUITE AT ST. PAUL SQUARE 48,900
    WALSH UNIVERSITY
    2020 EASTON STREET NW
    CANTON,OH44720     		NOT APPLICABLE NC OCCUPATIONAL THERAPY LAB EQUIPMENT FOR NEW MASTERS DEGREE PROGRAM 10,000
    MALONE COLLEGE
    515 25TH STREET NW
    CANTON,OH44709     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    STARK STATE TECHNICAL COLLEGE
    6200 FRANK AVE NW
    NORTH CANTON,OH44720     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    KENT STATE UNIVERSITY - STARK CAMPUS
    6000 FRANK AVENUE NW
    NORTH CANTON,OH44720     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    KENT STATE UNIVERSITY - TUSCARAWAS CAMPUS
    330 UNIVERSITY DR NE
    NEW PHILADELPHIA,OH44663     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    OU COLLEGE OF OSTEOPATHIC MEDICINE
    GROSVENOR HALL
    ATHENS,OH45701     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 6,000
    OU COLLEGE OF OSTEOPATHIC MEDICINE
    GROSVENOR HALL
    ATHENS,OH45701     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 5,000
    AULTMAN COLLEGE
    2600 Sixth Street SW
    Canton,OH44710     		Not Applicable NC Medical training scholarships 5,000
    NEW LEAF CENTER
    PO BOX 336
    MT EATON,OH44659     		NOT APPLICABLE PC RARE DISORDER TREATMENT SUPPORT 25,000
    AMERICAN RED CROSS OF STARK COUNTY
    408 9th St SW
    CANTON,OH44707     		NOT APPLICABLE PC RAPE CRISIS PROGRAM 15,000
    FAITH IN ACTION
    412 Lincoln Way E
    MASSILLON,OH44646     		NOT APPLICABLE PC SERVICES TO FRAIL ELDERLY 10,000
    ALLIANCE PREGNANCY CENTER
    75 GLAMORGAN AVENUE
    SUITE 103
    ALLIANCE,OH44601     		NOT APPLICABLE PC STD/STI CLINIC SUPPORT 4,200
    PHILOMATHEON SOCIETY OF THE BLIND
    2701 Tuscarawas St W
    CANTON,OH44708     		NOT APPLICABLE PC GLASSES FOR THE NEEDY WHO ARE VISUALLY IMPAIRED 12,000
    YMCA OF WESTERN STARK COUNTY
    131 Tremont Ave SE
    MASSILLON,OH44646     		not applicable PC FREE MEMBERSHIPS FOR THOSE WHO CANNOT PAY 5,000
    TUSCARAWAS CLINIC FOR THE WORKING UNINSURED
    420 S Reeves Ave
    DOVER,OH44622     		not applicable PC PHYSICIAN EXTENDER/CLINIC COORDINATOR 20,000
    VIOLA STARTZMAN FREE CLINIC
    1874 Cleveland Rd
    Wooster,OH44691     		Not applicable PC NURSE PRACTITIONER 25,000
    MISCELLANEOUS MATCHING GRANTS
    2719 FULTON DRIVE NW
    CANTON,OH44718     		NOT APPLICABLE PC MISCELLANEOUS MATCHING GRANTS 1,605
    WEE CARE CENTER OF WOOSTER
    424 BOWMAN STREET
    WOOSTER,OH44691     		NOT APPLICABLE PC FRIDAY FITNESS AND HEALTHY EATING PROGRAMS FOR PRE-SCHOOLERS AND THEIR FAMILIES 3,585
    CANAL FULTON FIRE DEPARTMENT
    1165 LOCUST STREET SOUTH
    CANAL FULTON,OH44614     		NOT APPLICABLE PC MECHANICAL CHEST COMPRESSION SYSTEM 7,000
    HORIZONS OF TUSC & CARROLL COUNTIES
    220 W 4TH STREET
    DOVER,OH44622     		NOT APPLICABLE PC HYDROPONIC GROW RACK FOR A GREENHOUSE SYSTEM TO TRAIN CLIENTS UNDER THEIR CARE 6,950
    ST LUKE LUTHERN COMMUNITY
    220 APPLEGROVE STREET NE
    NORTH CANTON,OH44720     		NOT APPLICABLE PC REHAB THERAPY FACILITY RENOVATION/EXPANSION 13,000
    APOSTOLIC CHRISTIAN HOME INC
    10680 STEINER ROAD
    RITTMAN,OH44270     		NOT APPLICABLE PC THERAPY EQUIPMENT 18,700
    HAMMER & NAILS
    906 12TH STREET NW
    CANTON,OH44703     		NOT APPLICABLE PC HANDICAP RAMPS 4,000
    MYERS LAKE YMCA
    1333 NORTH PARK AVENUE NW
    CANTON,OH44708     		NOT APPLICABLE PC THERAPY PLATFORM 4,000
    PREGNANCY SUPPORT CENTER
    2645 CLEVELAND AVENUE NW
    CANTON,OH44709     		NOT APPLICABLE PC CLINIC SUPPORT 25,000
    RITTMAN EMERGENCY MEDICAL SERVICES
    25 N STATE STREET
    RITTMAN,OH44270     		NOT APPLICABLE PC CHEST COMPRESSION DEVICE 9,000
    SOCIETY FOR EQUAL ACCESS
    1458 5TH STREET NW
    NEW PHILADELPHIA,OH44663     		NOT APPLICABLE PC MODIFIED MINI VAN 15,000
    TUSCARAWAS COUNTY COUNCILE FOR CHURCH & COMMUNITY
    1458 5TH STREET NW
    NEW PHILADELPHIA,OH44663     		NOT APPLICABLE PC MIDDLE SCHOOL EDUCATION (CHOICES) 5,000
    TUSCARAWAS COUNTY HEALTH DEPARTMENT
    897 E IRON AVENUE
    DOVER,OH44622     		NOT APPLICABLE PC DENTAL CLINIC 30,000
    THE ABCD INC
    1225 GROSS AVENUE NE
    CANTON,OH44705     		NOT APPLICABLE PC PURCHASE WHEELCHAIR VANS 10,000
    KIDRON VOLUNTEER FIRE DEPARTMENT
    4772 KIDRON ROAD
    KIDRON,OH44636     		NOT APPLICABLE PC CPR EQUIPMENT - MANNEQUINS 1,500
    LAKE TOWNSHIP FISH
    934 W MAPLE STREET
    HARTVILLE,OH44632     		NOT APPLICABLE PC FOOD PANTRY EQUIPMENT & FLOORING 1,865
    ONEEIGHTY INC
    104 SPINK STREET
    1ST FLOOR
    WOOSTER,OH44691     		NOT APPLICABLE PC REMODELING THE FACILITY 14,265
    MENTAL HEALTH & RECOVERY SERVICES BOARD
    121 CLEVELAND AVENUE SW
    CANTON,OH44720     		NOT APPLICABLE PC YOUTH MENTAL HEALTH TRAINING COURSE 24,000
    MT EATON CARE CENTER
    9176 WINESBURG ROAD
    MT EATON,OH44659     		NOT APPLICABLE PC EQUIPMENT FOR PATIENT CARE 15,000
    THE SALVATION ARMY
    420 MARKET AVENUE SOUTH
    CANTON,OH44720     		NOT APPLICABLE PC SOCIAL CASE MANAGEMENT 10,000
    SPRINGHAVEN COUNSELING CENTER
    15550 DURSTINE ROAD
    DUNDEE,OH44624     		NOT APPLICABLE PC STAFF TRAINING FOR OCD 4,500
    UNIVERSITY OF MOUNT UNION
    1972 CLARK AVENUE
    ALLIANCE,OH44601     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    WALSH UNIVERSITY
    2020 EAST MAPLE STREET
    NORTH CANTON,OH44720     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    Total .................................bullet 3a 439,070
    bApproved for future payment
    KENT STATE UNIVERSITY - TUSCARAWAS CAMPUS
    330 UNIVERSITY DR NE
    NEW PHILADELPHIA,OH44663     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    KENT STATE UNIVERSITY - STARK CAMPUS
    6000 FRANK AVENUE NW
    NORTH CANTON,OH44720     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    WALSH UNIVERSITY
    2020 EAST MAPLE STREET
    NORTH CANTON,OH44720     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    MALONE COLLEGE
    2600 CLEVELAND AVE NW
    CANTON,OH44709     		not applicable NC Medical training scholarships. 4,000
    STARK STATE COLLEGE
    6200 FRANK AVE NW
    NORTH CANTON,OH44720     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    UNIVERSITY OF MOUNT UNION
    1972 CLARK AVENUE
    ALLIANCE,OH44601     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 4,000
    OU COLLEGE OF OSTEOPATHIC MEDICINE
    GROSVENOR HALL
    ATHENS,OH45701     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 6,000
    OU COLLEGE OF OSTEOPATHIC MEDICINE
    GROSVENOR HALL
    Athens,OH45701     		not applicable NC MEDICAL TRAINING SCHOLARSHIPS 5,000
    AULTMAN COLLEGE
    2600 SIXTH STREET SW
    CANTON,OH44710     		NOT APPLICABLE NC MEDICAL TRAINING SCHOLARSHIPS 5,000
    HAMMER & NAILS INC
    906 12TH STREET NW
    2
    CANTON,OH44703     		NOT APPLICABLE PC HANDICAP RAMPS 11,000
    COMMUNITY HOSPICE OF TUSCARAWAS COUNTY
    716 COMMERCIAL AVENUE SW
    NEW PHILADELPHIA,OH44663     		NOT APPLICABLE PC NEW TRAINING LAB & FURNITURE 6,000
    LOUISVILLE FIRE DEPARTMENT
    215 SOUTH MILL STREET
    LOUISVILLE,OH44641     		NOT APPLICABLE PC CPR EQUIPMENT 2,400
    Total .................................bullet 3b 59,400
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		         
    4 Dividends and interest from securities....     14 210,000  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 -85,670  
    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)..   124,330  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13124,330
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    VAR SERVICES INCL AUDIT & TAX 10,475     10,475

    TY 2015 AllOthProgRltdInvestmentsSch
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Category Amount
    NONE  

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

    TY 2015 DepreciationSchedule
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    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

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Name of Bond End of Year Book Value End of Year Fair Market Value
    WELLS FARGO 1,460,431 1,460,431

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Name of Stock End of Year Book Value End of Year Fair Market Value
    WELLS FARGO 3,740,434 3,740,434

    TY 2015 InvestmentsOtherSchedule2
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    OTHER ALTERNATIVE INVESTMENTS FMV 1,394,446 1,394,446

    TY 2015 OtherAssetsSchedule
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DEPOSIT-BUREAU OF WORKERS COMP 10 0 0
    MISCELLANEOUS RECEIVABLE 0 606 606


    TY 2015 OtherDecreasesSchedule
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Description Amount
    UNREALIZED LOSS ON INVESTMENTS 0
    REPORTED AT FAIR VALUE 286,645


    TY 2015 OtherExpensesSchedule
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DUES & SUBSCRIPTIONS 4,552 46   4,506
    INSURANCE 6,253 1,313   4,940
    BOARD OF TRUSTEES EXPENSE 5,776 1,213   4,563
    OFFICE 5,586 112   5,474
    INVESTMENT FEES 30,394 30,394    


    TY 2015 OtherIncomeSchedule2
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    THE CAMPBELL FUND TRUST (94-6260018)      
    CUNDILL GLOBAL VALUE LP (43-1691933)      


    TY 2015 OtherIncreasesSchedule
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Description Amount
    GRANTS ACCRUED PY - PAID CY 129,435
    GRANTS ACCRUED PY - RECINDED CY 29,150


    TY 2015 TaxesSchedule
    Name:
    Austin-Bailey Health & Wellness Foundation
    EIN:
    34-1845584
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ATTORNEY GENERAL FILING FEES 200      
    EXCISE TAX 2,912