Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
POTTS FAMILY FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)655 RESEARCH PARKWAY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OKLAHOMA CITY, OK73104
A Employer identification number

73-1119767
B Telephone number (see instructions)

(405) 319-8260
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$6,219,961
J 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) 100,200
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 203,420 203,420 203,420
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 223,416
b Gross sales price for all assets on line 6a 1,341,365
7 Capital gain net income (from Part IV, line 2)... 223,416
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)....... 17,529 17,529 17,529
12 Total. Add lines 1 through 11........ 544,565 444,365 220,949
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 151,128   151,128 151,128
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 14,595   14,595 14,595
c Other professional fees (attach schedule).... 24,950 24,950 24,950 24,950
17 Interest............... 217   217 217
18 Taxes (attach schedule) (see instructions)... 12,987   12,987 8,518
19 Depreciation (attach schedule) and depletion... 897   897
20 Occupancy.............. 46,462   46,462 46,462
21 Travel, conferences, and meetings....... 38,985   38,985 38,985
22 Printing and publications.......... 1,390   1,390 1,390
23 Other expenses (attach schedule)....... 51,138   51,138 51,138
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 342,749 24,950 342,749 337,383
25 Contributions, gifts, grants paid....... 277,000 282,000
26 Total expenses and disbursements. Add lines 24 and 25 619,749 24,950 342,749 619,383
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -75,184
b Net investment income (if negative, enter -0-) 419,415
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............. 21,953 6,355 6,355
2 Savings and temporary cash investments......... 184,830 351,933 351,933
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.......... 3,848 9,000  
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 6,648,104 Click to see attachment5,745,108 5,745,108
14 Land, buildings, and equipment: basis bullet16,490
Less: accumulated depreciation (attach schedule) bullet11,927 2,214 Click to see attachment4,563  
15 Other assets (describe bullet) Click to see attachment997,863 Click to see attachment996,009 Click to see attachment116,565
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,858,812 7,112,968 6,219,961
Liabilities 17 Accounts payable and accrued expenses..........   4,469
18 Grants payable.................. 145,000 140,000
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)......... 145,000 144,469
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 6,823,377 6,089,055
25 Temporarily restricted............... 890,435 879,444
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)..... 7,713,812 6,968,499
31 Total liabilities and net assets/fund balances (see instructions). 7,858,812 7,112,968
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
7,713,812
2
Enter amount from Part I, line 27a .....................
2
-75,184
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
7,638,628
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
670,129
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
6,968,499
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 1341 Abbott Laboratories, Inc. P 2011-03-08 2015-04-24
b 210 AFLAC, Inc. P 2012-04-27 2015-10-16
c 126 Apple, Inc. P 2013-01-10 2015-04-24
d 598 AT&T, Inc. P 2007-08-01 2015-04-24
e 183 AT&T, Inc. P 2007-08-01 2015-10-16
745 Baxter International, Inc. P 2013-10-22 2015-06-23
58 CVS Corp. P 2006-11-08 2015-04-24
60 CVS Corp. P 2006-11-08 2015-10-16
90 Chemours P 2005-12-07 2015-08-26
226 Chemours P 2010-03-01 2015-08-26
1070 Cisco Systems, Inc. P 2002-11-14 2015-10-16
105 Du Pont P 2005-12-07 2015-10-06
95 Du Pont P 2005-12-07 2015-10-16
2050 EMC Corp. P 2014-02-04 2015-10-14
416 Emcor Group, Inc. P 2010-01-25 2015-04-24
115 Emcor Group, Inc. P 2010-01-25 2015-10-16
270 Emerson Electric, Inc. P 2011-08-12 2015-10-16
80 Express Scripts P 2012-04-03 2015-04-24
165 Gamestop Corp. P 2015-04-01 2015-10-16
1975 GNC Holdings, Inc. P 2014-07-16 2015-08-04
12 Google, Inc. P 2011-05-03 2015-10-16
1580 Iconix Brand Group, Inc. P 2015-01-13 2015-08-26
355 Jacobs Engineering Group, Inc. P 2010-03-11 2015-10-16
155 JP Morgan Chase & Co. P 2012-04-10 2015-04-25
1070 Kohls Corp. P 2011-03-08 2015-04-01
610 Kohls Corp. P 2012-02-15 2015-04-08
205 La-Z-Boy, Inc. P 2014-10-03 2015-10-16
580 Michael Kors Holdings, Ltd. P 2015-04-24 2015-08-26
290 Microsoft Corp. P 2010-07-16 2015-10-16
637 Microsoft Corp. P 2010-07-16 2015-11-05
977 Microsoft Corp. P 2011-10-28 2015-11-05
835 National Oilwell Varco, Inc. P 2014-12-17 2015-04-02
355 Pfizer, Inc. P 2007-06-26 2015-04-24
220 Pfizer, Inc. P 2007-06-26 2015-10-16
210 Target Corp. P 2002-12-27 2015-01-13
100 Target Corp. P 2003-02-19 2015-01-13
300 Target Corp. P 2004-07-12 2015-01-13
8 Target Corp. P 2005-01-11 2015-01-13
171 Viacom, Inc. P 2006-10-25 2015-04-24
166 Viacom, Inc. P 2006-10-25 2015-10-16
39 Viacom, Inc. P 2007-05-22 2015-10-16
144 Wal-Mart Stores, Inc. P 2009-07-07 2015-04-24
55000 AFLAC, Inc. 8.5% 5/15/2019 P 2010-01-19 2015-04-13
50000 Cisco Systems, Inc. 5.5% 2/22/2015 P 2006-06-23 2015-02-03
75000 Dell 5.875% 6/15/2019 P 2013-01-25 2015-03-06
60000 Gen Elec Cap Corp 5.3% 2/11/2021 P 2012-12-17 2015-10-07
58000 Hewlett-Packard Co. 3.75% 12/1/2020 P 2011-06-15 2015-10-16
37000 U.S. Treasury 1.375% 5/31/2020 P 2013-09-17 2015-12-14
87000 U.S. Treasury 1.375% 5/31/2020 P 2013-12-24 2015-12-14
Google, Inc. (cash-in-lieu) P 2011-05-03 2015-10-16
Chemours (cash-in-lieu) P 2005-12-07 2015-08-26
(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 64,766   31,108 33,658
b 12,873   8,863 4,010
c 16,267   9,320 6,947
d 20,392   23,801 -3,409
e 6,131   7,284 -1,153
52,391   48,705 3,686
5,850   1,683 4,167
6,126   1,741 4,385
756   997 -241
1,897   1,948 -51
29,956   13,163 16,793
5,940   4,312 1,628
5,359   3,901 1,458
55,645   48,775 6,870
19,370   10,686 8,684
5,184   2,954 2,230
12,214   11,565 649
6,945   4,287 2,658
7,192   6,302 890
93,594   70,384 23,210
8,058   3,232 4,826
19,485   53,363 -33,878
13,961   14,943 -982
9,651   6,863 2,788
83,881   58,377 25,504
47,250   30,342 16,908
5,707   4,266 1,441
23,059   36,777 -13,718
13,600   7,315 6,285
34,421   16,067 18,354
52,793   26,382 26,411
41,688   53,170 -11,482
12,499   9,223 3,276
7,506   5,716 1,790
15,857   6,150 9,707
7,551   2,730 4,821
22,653   12,585 10,068
604   392 212
12,079   6,584 5,495
8,082   6,392 1,690
1,899   1,683 216
11,402   6,990 4,412
69,918   65,267 4,651
53,774   47,969 5,805
81,679   78,431 3,248
68,750   69,216 -466
61,892   57,285 4,607
36,622   35,373 1,249
86,110   83,087 3,023
78     78
8     8
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       33,658
b       4,010
c       6,947
d       -3,409
e       -1,153
      3,686
      4,167
      4,385
      -241
      -51
      16,793
      1,628
      1,458
      6,870
      8,684
      2,230
      649
      2,658
      890
      23,210
      4,826
      -33,878
      -982
      2,788
      25,504
      16,908
      1,441
      -13,718
      6,285
      18,354
      26,411
      -11,482
      3,276
      1,790
      9,707
      4,821
      10,068
      212
      5,495
      1,690
      216
      4,412
      4,651
      5,805
      3,248
      -466
      4,607
      1,249
      3,023
      78
      8
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 2 223,416
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 -58,188
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      
2013      
2012      
2011      
2010      
2
Total of line 1, column (d) .....................
2  
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
 
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
 
5
Multiply line 4 by line 3......................
5
 
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
 
7
Add lines 5 and 6........................
7
 
8
Enter qualifying distributions from Part XII, line 4.............
8
 
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 8,388
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 8,388
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 8,388
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 12,000
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 12,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 5
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 3,607
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet3,607 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
Yes
 
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
 
No
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)
    bulletOK
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
    Yes
     
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletwww.pottsfamilyfoundation.org
    14
    The books are in care ofbulletPotts Family Foundation Inc Telephone no.bullet (405) 319-8260

    Located atbullet655 Research Parkway Suite 500AOklahoma CityOK ZIP+4bullet73104
    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
     
    No
    ........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
     
    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.
    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
     
    No
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
    No
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
    No
    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
    Patricia Potts President
    30.00
    0    
    655 Research Parkway Ste 500A
    Oklahoma City,OK73104
    Craig R Knutson Chairman
    1.00
    0    
    1003 Nottingham Circle
    Norman,OK73072
    Kathy Potts Vice Chair
    1.00
    0    
    9211 Lake Hefner Pkwy Ste 300
    Oklahoma City,OK73120
    Steve Potts Treasurer
    1.00
    0    
    2925 Cornwall Place
    Oklahoma City,OK73120
    Phyllis Hudecki Secretary
    1.00
    0    
    2621 Green Canyon Drive
    Edmond,OK73013
    Larry Potts Director
    1.00
    0    
    1901 W Main
    Norman,OK73069
    Randy Alvarado Director
    1.00
    0    
    333 NW 5th Street Ste 1911
    Oklahoma City,OK73102
    Mark Potts Director
    1.00
    0    
    100 N Broadway Suite 3200
    Oklahoma City,OK73102
    Ray Potts Director
    2.00
    0    
    100 N Broadway Suite 3200
    Oklahoma City,OK73102
    Wade Potts Director
    1.00
    0    
    1341 Cedar Creek Drive
    Norman,OK73071
    Robert Block Director
    1.00
    0    
    256 E 27th Street
    Tulsa,OK74114
    Marnie Taylor Director
    1.00
    0    
    3213 N Harvey Parkway
    Oklahoma City,OK73118
    Daniel Burton Director
    1.00
    0    
    2029 Westchester
    Oklahoma City,OK73120
    Kim Jackson Director
    1.00
    0    
    1900 Windermere Drive
    Norman,OK73072
    Quin Tran Director
    1.00
    0    
    1625 Wildhorse Drive
    Edmond,OK73003
    Phil Lakin Director
    1.00
    0    
    7030 S Yale Ave Suite 600
    Tulsa,OK74136
    Jennifer Hays-Grudo Director
    1.00
    0    
    233 Human Sciences
    Stillwater,OK740786122
    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
    Margie E Marney Prg. Director
    40.00
    54,064    
    1200 Wild Plum Court
    Edmond,OK73025
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 Activities relative to the organization's mission of providing sustainable solutions to social problems in Oklahoma, supporting capacity building within the nonprofit sector, and improving public education, with a primary focus on early childhood development 342,749
    2 Grants paid to Section 501(c)(3) organizations (see Part XV for recipients, grant process, etc.) 277,000
    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.........................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
    6,373,993
    b
    Average of monthly cash balances.......................
    1b
    157,115
    c
    Fair market value of all other assets (see instructions)................
    1c
    116,565
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,647,673
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    6,647,673
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    99,715
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,547,958
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    327,398
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
     
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    619,383
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    619,383
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    619,383
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2014
    (c)
    2014
    (d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7  
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$  
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2015 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
     
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    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
    0       0
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
    619,383       619,383
    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 ....
    619,383       619,383
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ...... 6,647,673       6,647,673
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
    6,647,673       6,647,673
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
            0
    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).)
    Patricia Potts
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    Linda Turner
    655 Research Parkway Suite 500A
    Oklahoma City,OK73104
    (405) 319-8260
    lturner@pottsfamilyfoundation.org
    bThe form in which applications should be submitted and information and materials they should include:
    Written grant application, including project and organization budget, most recent Form 990, and any other financial statements relevant to grant request
    cAny submission deadlines:
    April 2, 2015
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Grants are restricted to organizations whose programs are aligned directly with early childhood development initiatives (ages zero to three years), focusing on management and governance. Prospective grant recipients are those whose proposals strengthen parental support and education, break the cycle of generational poverty and dysfunction, create awareness, advocacy and activism on behalf of young children, empower people and/or organizations, impact present and future needs of young children, have sustainable impact beyond the grant period, collaborate with other service providers to optimize outcomes, can be replicated and expanded, address root causes rather than symptoms, and involve parents, families, community leaders, business leaders and/or legislators. Grant proposals are not considered for individuals, projects not addressing early childhood initiatives, partisan political purposes, religious purposes, endowments, debt or deficit reduction, capital campaigns, or activities/ex
    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
    Oklahoma Center for Nonprofits
    923 N Robinson Suite 400
    Oklahoma City,OK73102
    N/A PC Prior year accruals - management training and consulting services to community nonprofits 145,000
    Oklahoma Center for Nonprofits
    923 N Robinson Suite 400
    Oklahoma City,OK73102
    N/A PC Management training and consulting services to community nonprofits 10,500
    Sunbeam Family Services
    PO Box 61237
    Oklahoma City,OK73146
    N/A PC Affordable, quality social services to improve individual and family functioning 16,000
    Smart Start Oklahoma
    421 NW 13th Street Suite 270
    Oklahoma City,OK73103
    N/A PC Early childhood program to strengthen families and school readiness 2,000
    Norman Public Schools Foundation
    1301 S Flood Ave
    Norman,OK73069
    N/A PC Enhance educational experience for public school students 500
    University of OK Health Sciences Ce
    PO Box 26901
    Oklahoma City,OK73190
    N/A PC Educate students to become health service practitioners, conduct research for the advancement of health care, and provide continuing education, public service, and clinical care 10,500
    Center for Children and Families
    1151 East Main Street
    Norman,OK73071
    N/A PC Improve childrens' lives through social services partnership with families and communities 19,000
    Bridges
    PO Box 5448
    Norman,OK73069
    N/A PC Empower high school students in family crisis to pursue education by assisting with school, living, and health expenses and college planning 500
    OETA Foundation
    PO Box 14190
    Oklahoma City,OK73113
    N/A PC Provide educational content and services through public television to inform, inspire and connect viewers to ideas and information that enrich quality of life 18,500
    NorthCare
    4436 NW 50th Street
    Oklahoma City,OK73112
    N/A PC Promote recovery and independence through behavioral health services to improve outcomes for individuals, families and communities 16,000
    Oklahoma Institute for Child Advoca
    3909 N Classen Suite 101
    Oklahoma City,OK73118
    N/A PC Create awareness and affect policy change on behalf of children and youth 15,500
    Reach Out and Read Oklahoma
    56 Roland Street Suite 10D
    Boston,MA02129
    N/A PC Provide young children a foundation for success by incorporating books into pediatric care and encouraging families to read aloud together 7,500
    Community Action Project of Tulsa C
    4606 S Garnett Suite 100
    Tulsa,OK74146
    N/A PC Help young children in lower-income families grow up and achieve economic success 2,500
    Crosstown Learning Center
    2501 E Archer Street
    Tulsa,OK74110
    N/A PC Provide educational opportunities in a nurturing environment for children and their families to learn and grow together 2,000
    Regional Food Bank of Oklahoma
    3355 S Purdue
    Oklahoma City,OK73179
    N/A PC Assist the charitable community to provide hunger relief to people in need 1,000
    Tulsa Community Foundation
    7030 S Yale Suite 600
    Tulsa,OK74136
    N/A PC Community foundation for Tulsa and eastern Oklahoma 1,000
    The Saville Center
    PO Box 393
    Stillwater,OK74076
    N/A PC Facilitate the protection, prevention, and healing of child abuse victims and promote family health 1,000
    Oklahoma Business Education Coaliti
    133 W Main Street Suite 100
    Oklahoma City,OK73102
    N/A PC Improve public schools through collaboration between leaders in business and education 1,000
    Okla Partnership for School Readine
    421 NW 13th Street Suite 270
    Oklahoma City,OK73103
    N/A PC Early childhood program to strengthen families and school readiness 10,000
    Be The Change
    1724 NW 4th Street
    Oklahoma City,OK73106
    N/A PC Provide outreach services to homeless and at risk youth and adults 500
    Schools for Healthy Lifestyles
    500 N Broadway Suite 225
    Oklahoma City,OK73102
    N/A PC Promote health in elementary schools 500
    Okla Youth Hunting Shooting Program
    PO Box 21007
    Oklahoma City,OK73156
    N/A PC Mentoring program for 12 - 17 year olds that have a desire to enjoy the outdoors through the sport of hunting but lack a responsible adult having the background and/or knowledge to teach them 500
    ReMerge
    1444 NW 28th Street
    Oklahoma City,OK73106
    N/A PC Comprehensive female diversion program designed to transform pregnant women and mothers facing incarceration into productive citizens 500
    Total .................................bullet 3a 282,000
    bApproved for future payment
    Oklahoma Center for Nonprofits
    923 N Robinson Suite 400
    Oklahoma City,OK73102
    N/A PC Management training and consulting services to community nonprofits 140,000
    Total .................................bullet 3b 140,000
    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....     14 203,420  
    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 ............
        18 223,416  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aRoyalties
        15 17,529  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   444,365  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13444,365
    (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: 15000324
    Software Version: 2015v2.0


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    POTTS FAMILY FOUNDATION INC
     
    Employer identification number

    73-1119767
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    POTTS FAMILY FOUNDATION INC
     
    Employer identification number
    73-1119767
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
     
     

    Ray H Patricia J Potts  
    100 N Broadway Suite 3200
     
    Oklahoma City, OK73102

    $ 100,200


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    POTTS FAMILY FOUNDATION INC
     
    Employer identification number

    73-1119767
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    POTTS FAMILY FOUNDATION INC
     
    Employer identification number

    73-1119767
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID: 15000324
    Software Version: 2015v2.0

    TY 2015 AccountingFeesSchedule
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting fees 14,595 0 14,595 14,595

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

    TY 2015 DepreciationSchedule
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    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
    HP Officejet 6310 2008-06-30 175 158 SL 5.0000 17      
    Dell Laptop 2011-04-12 801 600 SL 5.0000 160      
    Projector 2011-04-29 596 436 SL 5.0000 119      
    Samsung Monitor 2011-11-29 152 93 SL 5.0000 30      
    HP 6000 Wireless Printer 2012-03-23 130 72 SL 5.0000 26      
    AV Computer 2013-06-18 1,158 348 SL 5.0000 232      
    HP LaserJet Pro 200 M251N 2013-09-30 358 90 SL 5.0000 72      
    Dell Inspiron 660 2014-01-28 488 89 SL 5.0000 98      
    HP OfficeJet Pro 8600 2014-01-28 217 40 SL 5.0000 43      
    HP DeskJet 2540 2014-01-28 80 15 SL 5.0000 16      
    Dell PowerEdge Server 2015-10-20 1,797   SL 5.0000 60      
    VoIP Telephone Equipment 2015-12-01 1,449   SL 5.0000 24      

    TY 2015 InvestmentsOtherSchedule2
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Wells Nelson & Assoc. - managed account FMV 5,745,108 5,745,108

    TY 2015 LandEtcSchedule2
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Furniture and Fixtures 7,269 7,269    
    Machinery and Equipment 9,221 4,658 4,563  


    TY 2015 OtherAssetsSchedule
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Beneficial Interest in CRT's 890,435 879,444  
    Cash Surrender Value of Life Insurance 104,191 107,782 107,782
    Investment in Royalty-Producing Assets 3,237 8,783 8,783


    TY 2015 OtherExpensesSchedule
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Bank Charges 622   622 622
    Dues 11,542   11,542 11,542
    Information Technology 910   910 910
    Insurance 1,686   1,686 1,686
    Office Expenses 4,464   4,464 4,464
    Parking 1,410   1,410 1,410
    Postage & Shipping 364   364 364
    Public Relations & Development 28,060   28,060 28,060
    Telephone 2,080   2,080 2,080


    TY 2015 OtherIncomeSchedule2
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Royalties 17,529 17,529 17,529


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Fees 24,950 24,950 24,950 24,950


    TY 2015 SubstantialContributorsSch
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Name Address
    Ray H Patricia J Potts 100 N Broadway Suite 3200
    Oklahoma City,OK73102


    TY 2015 TaxesSchedule
    Name:
    POTTS FAMILY FOUNDATION INC
    EIN:
    73-1119767
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Payroll Taxes 12,987   12,987 8,518