Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
 
Number and street (or P.O. box number if mail is not delivered to street address)1625 NILES-CORTLAND RD NE STE 2
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WARREN, OH44484
A Employer identification number

34-1701625
B Telephone number (see instructions)

(330) 743-7000
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$4,762,187J 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)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 62,633 62,633  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 838,928
b Gross sales price for all assets on line 6a 2,794,414
7 Capital gain net income (from Part IV, line 2)... 838,928
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 901,561 901,561  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 475 238 0 238
b Accounting fees (attach schedule)....... Click to see attachment 1,950 488 0 1,463
c Other professional fees (attach schedule).... Click to see attachment 7,149 5,005   2,145
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 5,757 2,381   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 2,342     2,342
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 17,673 8,112 0 6,188
25 Contributions, gifts, grants paid....... 150,000 150,000
26 Total expenses and disbursements. Add lines 24 and 25 167,673 8,112 0 156,188
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 733,888
b Net investment income (if negative, enter -0-) 893,449
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 268,308 228,245 228,245
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)   Click to see attachment145,962 145,330
b Investments—corporate stock (attach schedule)....... 1,183,855 Click to see attachment1,402,280 1,613,309
c Investments—corporate bonds (attach schedule)....... 152,260 Click to see attachment350,680 349,317
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 481,738 Click to see attachment691,838 667,316
14 Land, buildings, and equipment: basis bullet1,758,670
Less: accumulated depreciation (attach schedule) bullet   1,758,670 1,758,670 1,758,670
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,844,831 4,577,675 4,762,187
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 1,671,327 1,671,327
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 2,173,504 2,906,348
30 Total net assets or fund balances (see instructions)..... 3,844,831 4,577,675
31 Total liabilities and net assets/fund balances (see instructions). 3,844,831 4,577,675
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
3,844,831
2
Enter amount from Part I, line 27a .....................
2
733,888
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
4,578,719
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,044
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
4,577,675
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 110. AIR PRODUCTS & CHEMICALS INC   2007-03-08 2015-03-16
b 100. AMERICAN EXPRESS CO COM   1999-11-19 2015-03-16
c 300. AMERICAN EXPRESS CO COM   1999-11-19 2015-11-06
d 325. AMERICAN EXPRESS CO COM   2012-10-15 2015-11-06
e 400. APPLE COMPUTER INC   2007-01-30 2015-03-04
250. APPLE COMPUTER INC   2007-02-05 2015-03-16
90. APPLE COMPUTER INC   2007-01-30 2015-06-26
210. APPLE COMPUTER INC   2007-03-08 2015-06-26
225. APPLE COMPUTER INC   2007-02-05 2015-11-06
350. APPLE COMPUTER INC   2012-10-15 2015-11-06
400. ARCHER DANIELS MIDLAND CO COM   2011-10-04 2015-02-02
300. ARCHER DANIELS MIDLAND CO COM   2011-01-18 2015-02-02
100. ARCHER DANIELS MIDLAND CO COM   2011-02-16 2015-02-02
200. ARCHER DANIELS MIDLAND CO COM   2011-09-29 2015-02-02
300. ARCHER DANIELS MIDLAND CO COM   2015-11-06 2015-12-16
23. ARCHER DANIELS MIDLAND CO COM   2015-11-06 2015-12-16
500. ARCHER DANIELS MIDLAND CO COM     2015-12-16
150. AUTOMATIC DATA PROCESSING   2011-10-04 2015-03-16
120. BECTON DICKINSON & CO COM   2007-02-05 2015-03-16
160. BECTON DICKINSON & CO COM   2012-10-15 2015-11-06
280. BED BATH & BEYOND INC   2007-02-05 2015-02-02
115. BERKSHIRE HATHAWAY INC CLASS B   2015-04-17 2015-11-06
180. BERKSHIRE HATHAWAY INC CLASS B   2012-10-15 2015-11-06
45. BLACKROCK INC   2015-04-17 2015-11-06
75. BLACKROCK INC   2012-10-15 2015-11-06
170. BRISTOL MYERS SQUIBB CO COM   2011-09-29 2015-06-26
50. CDK GLOBAL INC   2011-10-04 2015-03-16
80. CARDINAL HEALTH INC   2011-10-04 2015-11-06
100. CARDINAL HEALTH INC   2012-10-15 2015-11-06
370. CENTURYLINK INC   2010-03-10 2015-02-27
230. CENTURYLINK INC   2010-03-12 2015-03-19
300. CHURCH & DWIGHT CO   2012-10-15 2015-11-06
240. COLGATE PALMOLIVE CO   2007-03-08 2015-02-02
400. COMCAST CORP CL A   2009-11-20 2015-11-06
510. COMCAST CORP CL A   2012-10-15 2015-11-06
977.04 DFA EMERGING MARKETS CORE EQUITY PORT   2015-04-17 2015-10-20
1694.045 DFA EMERGING MARKETS CORE EQUITY PORT   2015-06-26 2015-10-20
30. DANAHER CORP   2007-01-30 2015-06-26
200. EASTMAN CHEM CO COM   2011-09-29 2015-02-27
2726.281 EATON VANCE FLOATING RATE FUND INST   2014-03-04 2015-03-02
2181.025 EATON VANCE FLOATING RATE FUND INST   2012-10-15 2015-11-09
100. EMERSON ELEC CO COM   2010-09-03 2015-07-16
200. EMERSON ELEC CO COM   2010-03-10 2015-07-21
200. EXXON MOBIL CORP   2011-02-16 2015-02-27
150. EXXON MOBIL CORP   2007-03-08 2015-03-16
190. FACEBOOK   2015-04-17 2015-11-06
250. FACEBOOK   2012-10-15 2015-11-06
862.069 FEDERATED INTERNATIONAL LEADERS FUND   2015-07-01 2015-10-20
576.203 FEDERATED INTERNATIONAL LEADERS FUND   2015-07-01 2015-10-21
2014.473 FIDELITY ADVISOR INTERNATIONAL DISCOVERY FUND CLASS I   2012-10-15 2015-11-09
997.506 FIDELITY ADVISOR INTERNATIONAL DISCOVERY FUND CLASS I   2012-10-15 2015-11-09
2854.672 FIDELITY REAL ESTATE INCOME FUND   2012-10-15 2015-11-09
400. FISERV INC   2011-02-16 2015-03-04
380. FISERV INC   2011-10-04 2015-03-16
100.09 FOUR CORNERS PPTY TRUST INC   2015-11-06 2015-12-02
166.756 FOUR CORNERS PPTY TRUST INC   2015-11-06 2015-12-02
390. FRANKLIN RESOURCES INC   2011-02-16 2015-03-04
250. GILEAD SCIENCES INC   2011-10-04 2015-03-16
250. GILEAD SCIENCES INC   2011-09-29 2015-06-26
70. GILEAD SCIENCES INC   2011-09-29 2015-07-16
250. GILEAD SCIENCES INC   2011-10-04 2015-11-06
280. GILEAD SCIENCES INC   2012-10-15 2015-11-06
100. GOLDMAN SACHS GROUP INC   2007-02-28 2015-02-26
100. GOLDMAN SACHS GROUP INC   2007-02-02 2015-03-16
150. HCA HOLDINGS INC   2015-11-06 2015-11-11
150. HCA HOLDINGS INC   2015-11-06 2015-11-11
100. HCA HOLDINGS INC   2015-11-06 2015-11-11
170. ILLINOIS TOOL WORKS INC COM   2010-03-12 2015-03-16
100. INTERNATIONAL BUSINESS MACHINES   2011-09-29 2015-02-27
100. INTERNATIONAL BUSINESS MACHINES   1999-11-14 2015-03-16
50000. COCA COLA ENTERPRISES 2.125%   2012-04-25 2015-09-15
320. INTERNATIONAL PAPER CO   2011-09-29 2015-02-27
300. J.P. MORGAN CHASE & CO   1993-09-23 2015-02-27
90. J.P. MORGAN CHASE & CO   1993-09-23 2015-06-26
100. J.P. MORGAN CHASE & CO   1999-11-19 2015-11-06
110. JOHNSON & JOHNSON COM   2000-01-20 2015-06-26
100. KROGER CO   2011-09-29 2015-06-26
440. KROGER CO   2015-02-02 2015-11-06
800. KROGER CO   2012-10-15 2015-11-06
220. LOWES COS INC COM   2015-02-02 2015-11-06
400. LOWES COS INC COM   2012-10-15 2015-11-06
220. MASTERCARD INC   2012-10-15 2015-11-06
150. MCDONALDS CORP COM   2010-09-03 2015-02-02
50. MCDONALDS CORP COM   2011-01-18 2015-02-02
140. NATIONAL OILWELL VARCO INC     2015-02-27
140. NATIONAL OILWELL VARCO INC   2007-03-08 2015-02-27
300. NATIONAL OILWELL VARCO INC   2007-03-08 2015-06-26
75. NIKE INC CL B   2010-09-03 2015-06-26
220. NIKE INC CL B   2010-03-12 2015-11-06
325. NIKE INC CL B   2012-10-15 2015-11-06
84. OCCIDENTAL PETROLEUM CORP   2015-04-17 2015-11-09
157. OCCIDENTAL PETROLEUM CORP   2012-10-15 2015-11-09
300. ORACLE CORP COM   2012-10-15 2015-11-06
277.624 OPPENHEIMER DEVELOPING MKTS Y   2014-03-10 2015-04-17
200. OPPENHEIMER DEVELOPING MKTS Y   2010-09-03 2015-06-26
140. OPPENHEIMER DEVELOPING MKTS Y   2011-01-18 2015-06-26
221.606 OPPENHEIMER DEVELOPING MKTS Y   2014-03-04 2015-06-26
50. PARKER-HANNIFIN CORP   2007-03-08 2015-06-26
250. PARKER-HANNIFIN CORP   2007-03-08 2015-07-16
200. PEABODY ENERGY   2010-09-03 2015-02-27
170. PROCTER & GAMBLE CO COM   2007-03-08 2015-02-02
200. PROCTER & GAMBLE CO COM   2011-02-16 2015-02-02
50. PROCTER & GAMBLE CO COM   2011-09-29 2015-02-02
100. PRUDENTIAL FINANCIAL INC   2015-04-17 2015-11-06
100. PRUDENTIAL FINANCIAL INC   2011-10-04 2015-11-06
330. PRUDENTIAL FINANCIAL INC   2012-10-15 2015-11-06
476.758 PRUDENTIAL JENNISON MID CAP GROWTH FUND Z   2012-10-15 2015-11-09
1684.184 PRUDENTIAL JENNISON MID CAP GROWTH FUND Z   2012-10-15 2015-11-09
150. QUEST DIAGNOSTICS INC   2010-03-10 2015-06-26
100. QUEST DIAGNOSTICS INC   2010-09-03 2015-06-26
560. QUESTAR CORP COM   2011-01-18 2015-02-26
600. TECHNOLOGY SELECT SECTOR SPDR FUND   2010-03-10 2015-02-26
150. SEMPRA ENERGY INC   2010-03-12 2015-11-06
250. SEMPRA ENERGY INC   2012-10-15 2015-11-06
35. SIMON PROPERTY GROUP INC   2007-03-08 2015-06-26
165. SIMON PROPERTY GROUP INC   2012-10-15 2015-11-06
200. SUNCOR ENERGY INC NEW   2011-02-16 2015-02-27
2014.939 TEMPLETON GLOBAL BOND ADVISOR   2012-10-15 2015-11-09
2269.69 TEMPLETON GLOBAL BOND ADVISOR   2012-10-15 2015-11-09
355. TEXAS INSTRS INC COM   2015-04-17 2015-11-06
335. TEXAS INSTRS INC COM   2012-10-15 2015-11-06
50. 3M COMPANY   1993-09-23 2015-06-26
160. TRAVELERS COMPANIES INC   2010-03-10 2015-02-26
150. TRAVELERS COMPANIES INC   2010-03-12 2015-03-16
160. UNITED PARCEL SERVICE CLASS B   2007-02-05 2015-03-16
70. UNITEDHEALTH GROUP INC COM   2015-04-17 2015-11-06
35. UNITEDHEALTH GROUP INC COM   2012-10-15 2015-11-06
500. V F CORP   2010-09-03 2015-02-02
100. VALERO ENERGY CORP NEW   2007-03-08 2015-02-26
180. VALERO ENERGY CORP NEW   2007-03-08 2015-03-16
120. VALERO ENERGY CORP NEW   2009-11-20 2015-03-16
231. VALERO ENERGY CORP NEW   2012-10-15 2015-11-03
99. VALERO ENERGY CORP NEW   2012-10-15 2015-11-03
150. VALERO ENERGY CORP NEW   2009-11-20 2015-11-06
450. VALERO ENERGY CORP NEW   2012-10-15 2015-11-06
51. VALERO ENERGY CORP NEW   2009-11-20 2015-12-11
49. VALERO ENERGY CORP NEW   2015-11-09 2015-12-11
156. VALERO ENERGY CORP NEW   2015-11-09 2015-12-11
19. VALERO ENERGY CORP NEW   2007-03-08 2015-12-11
3818.963 VANGUARD SHORT TERM BOND INDEX FD ADM SHS   2014-10-13 2015-10-20
768.935 VANGUARD INFLATION PROTECTED SEC FD ADM SHS   2014-03-10 2015-10-20
1917.177 VANGUARD INFLATION PROTECTED SEC FD ADM SHS   2014-03-04 2015-10-20
3478. VANGUARD HIGH YIELD CORPORATE FUND ADMIRAL SHARES   2012-10-15 2015-11-09
190.396 VANGUARD SMALL CAP INDEX ADMIRAL SHARES   2015-06-26 2015-10-20
182.582 VANGUARD SMALL CAP INDEX ADMIRAL SHARES   2014-03-10 2015-10-20
363.043 VANGUARD SMALL CAP INDEX ADMIRAL SHARES   2014-03-04 2015-10-20
200. VIACOM INC NEW B   2011-09-29 2015-02-02
240. VIACOM INC NEW B   2011-01-18 2015-06-26
100. VIACOM INC NEW B   2011-02-16 2015-06-26
250. VIACOM INC NEW B   2012-10-15 2015-11-06
405. VODAFONE GROUP PLC   2012-10-15 2015-11-06
300. WELLS FARGO & CO NEW   2015-04-17 2015-11-06
490. WELLS FARGO & CO NEW   2012-10-15 2015-11-06
200. WHOLE FOODS MKT INC   2010-09-03 2015-06-26
300. WHOLE FOODS MKT INC   2012-10-15 2015-11-06
400. WINDSTREAM HOLDINGS INC   2011-10-04 2015-03-19
200. ACCENTURE PLC CLASS A   2011-01-18 2015-02-26
200. ACCENTURE PLC CLASS A   2011-02-16 2015-02-27
150. ACCENTURE PLC CLASS A   2011-10-04 2015-03-16
150. ACE LTD   2015-04-17 2015-11-06
200. ACE LTD   2012-10-15 2015-11-06
110. CHECK POINT SOFTWARE TECH LTD   2011-10-04 2015-03-16
CAPITAL GAIN DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 16,776   8,223 8,553
b 8,137   4,414 3,723
c 22,323   13,241 9,082
d 24,183   26,611 -2,428
e 51,539   4,889 46,650
31,152   3,044 28,108
11,395   1,100 10,295
26,588   2,642 23,946
27,211   2,739 24,472
42,329   4,403 37,926
19,096   9,676 9,420
14,322   10,305 4,017
4,774   3,684 1,090
9,548   5,138 4,410
10,508   12,674 -2,166
806   972 -166
17,514   20,942 -3,428
13,084   6,034 7,050
17,170   9,274 7,896
24,319   12,323 11,996
21,000   11,581 9,419
15,655   16,228 -573
24,503   26,584 -2,081
16,050   16,585 -535
26,749   27,968 -1,219
11,408   5,314 6,094
2,376   857 1,519
7,057   3,162 3,895
8,821   4,411 4,410
13,986   12,631 1,355
7,912   7,981 -69
24,366   10,901 13,465
16,447   7,910 8,537
24,348   6,028 18,320
31,044   27,178 3,866
16,786   20,000 -3,214
29,104   33,000 -3,896
2,565   1,086 1,479
14,928   7,214 7,714
24,482   25,000 -518
18,866   20,000 -1,134
5,326   4,994 332
10,653   9,604 1,049
17,718   16,706 1,012
12,709   10,797 1,912
20,349   15,418 4,931
26,775   19,730 7,045
27,888   30,000 -2,112
18,640   20,000 -1,360
79,632   82,000 -2,368
39,431   40,000 -569
32,401   33,000 -599
31,223   12,544 18,679
29,837   9,443 20,394
2,054   2,025 29
3,422   3,375 47
21,017   16,841 4,176
25,280   4,648 20,632
29,854   4,955 24,899
8,326   1,387 6,939
26,955   4,648 22,307
30,189   5,550 24,639
19,031   20,240 -1,209
19,183   20,240 -1,057
10,177   10,396 -219
10,177   10,396 -219
6,784   6,931 -147
16,816   7,927 8,889
16,124   18,062 -1,938
15,681   9,202 6,479
50,000   51,408 -1,408
18,076   7,926 10,150
18,402   6,591 11,811
6,192   1,977 4,215
6,826   3,753 3,073
10,950   5,129 5,821
7,335   2,233 5,102
16,408   15,213 1,195
29,833   8,932 20,901
16,038   14,944 1,094
29,160   27,176 1,984
22,191   19,875 2,316
13,759   11,268 2,491
4,586   3,739 847
       
7,606   4,673 2,933
14,721   10,013 4,708
8,184   2,777 5,407
28,930   7,701 21,229
42,737   13,096 29,641
6,300   6,750 -450
11,775   12,268 -493
12,084   7,208 4,876
10,097   10,000 97
7,052   6,148 904
4,936   4,988 -52
7,814   8,000 -186
5,893   2,778 3,115
28,532   13,892 14,640
1,560   9,274 -7,714
14,326   10,583 3,743
16,854   12,766 4,088
4,213   3,184 1,029
8,744   7,907 837
8,744   4,320 4,424
28,855   26,799 2,056
19,008   20,000 -992
67,148   71,000 -3,852
10,962   8,382 2,580
7,308   4,545 2,763
13,053   10,085 2,968
25,800   13,602 12,198
15,054   7,565 7,489
25,090   12,600 12,490
6,085   3,562 2,523
32,002   15,540 16,462
5,984   8,724 -2,740
23,796   25,997 -2,201
26,805   30,198 -3,393
20,466   20,487 -21
19,313   19,798 -485
7,845   2,227 5,618
17,188   8,601 8,587
16,320   7,966 8,354
16,006   11,859 4,147
7,995   8,338 -343
3,998   4,355 -357
34,389   9,407 24,982
6,153   5,486 667
10,696   9,873 823
7,130   1,817 5,313
16,105   6,359 9,746
6,902   1,616 5,286
10,707   2,448 8,259
32,121   12,387 19,734
3,551   832 2,719
3,412   3,483 -71
10,863   11,090 -227
1,323   523 800
40,252   40,290 -38
19,769   20,000 -231
49,291   50,000 -709
20,033   19,129 904
10,401   11,300 -899
9,974   10,000 -26
19,833   20,000 -167
17,046   10,416 6,630
15,960   10,070 5,890
6,650   4,547 2,103
11,953   7,860 4,093
13,191   15,914 -2,723
16,695   16,284 411
27,268   26,949 319
16,076   7,442 8,634
9,213   9,183 30
2,992   4,439 -1,447
18,020   10,024 7,996
18,020   10,576 7,444
13,306   7,653 5,653
16,897   16,515 382
22,530   10,980 11,550
9,134   5,650 3,484
      3,975
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       8,553
b       3,723
c       9,082
d       -2,428
e       46,650
      28,108
      10,295
      23,946
      24,472
      37,926
      9,420
      4,017
      1,090
      4,410
      -2,166
      -166
      -3,428
      7,050
      7,896
      11,996
      9,419
      -573
      -2,081
      -535
      -1,219
      6,094
      1,519
      3,895
      4,410
      1,355
      -69
      13,465
      8,537
      18,320
      3,866
      -3,214
      -3,896
      1,479
      7,714
      -518
      -1,134
      332
      1,049
      1,012
      1,912
      4,931
      7,045
      -2,112
      -1,360
      -2,368
      -569
      -599
      18,679
      20,394
      29
      47
      4,176
      20,632
      24,899
      6,939
      22,307
      24,639
      -1,209
      -1,057
      -219
      -219
      -147
      8,889
      -1,938
      6,479
      -1,408
      10,150
      11,811
      4,215
      3,073
      5,821
      5,102
      1,195
      20,901
      1,094
      1,984
      2,316
      2,491
      847
       
      2,933
      4,708
      5,407
      21,229
      29,641
      -450
      -493
      4,876
      97
      904
      -52
      -186
      3,115
      14,640
      -7,714
      3,743
      4,088
      1,029
      837
      4,424
      2,056
      -992
      -3,852
      2,580
      2,763
      2,968
      12,198
      7,489
      12,490
      2,523
      16,462
      -2,740
      -2,201
      -3,393
      -21
      -485
      5,618
      8,587
      8,354
      4,147
      -343
      -357
      24,982
      667
      823
      5,313
      9,746
      5,286
      8,259
      19,734
      2,719
      -71
      -227
      800
      -38
      -231
      -709
      904
      -899
      -26
      -167
      6,630
      5,890
      2,103
      4,093
      -2,723
      411
      319
      8,634
      30
      -1,447
      7,996
      7,444
      5,653
      382
      11,550
      3,484
       
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 2 838,928
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 13,406 2,961,701 0.004526
2013 61,307 2,591,633 0.023656
2012 16,839 2,293,997 0.00734
2011 16,160 2,117,627 0.007631
2010 43,164 1,915,502 0.022534
2
Total of line 1, column (d) .....................
20.065687
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
0.013137
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
3,104,145
5
Multiply line 4 by line 3......................
5
40,779
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
8,934
7
Add lines 5 and 6........................
7
49,713
8
Enter qualifying distributions from Part XII, line 4.............
8
156,188
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 8,934
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 8,934
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 8,934
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,960
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,960
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 6,974
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet0 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (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 addressbulletN/A
    14
    The books are in care ofbulletFARMERS TRUST COMPANY Telephone no.bullet (330) 629-5057

    Located atbullet1625 NILES-CORTLAND RD NE STE 2WARRENOH ZIP+4bullet44484
    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
     
    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
     
     
    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
    JOHN POGUE PRESIDENT
    2     		0    
    1625 NILES CORTLAND RD NE STE 2
    WARREN,OH44484
    JOHN PAYIAVLAS SECRETARY
    2     		0    
    1625 NILES CORTLAND RD NE STE 2
    WARREN,OH44484
    JOHN ANDERSON TREASURER
    2     		0    
    1625 NILES CORTLAND RD NE STE 2
    WARREN,OH44484
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................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
    2,876,912
    b
    Average of monthly cash balances.......................
    1b
    274,504
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,151,416
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    3,151,416
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    47,271
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,104,145
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    155,207
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    155,207
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    8,934
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,934
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    146,273
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    146,273
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    146,273
    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
    156,188
    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
    156,188
    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
    8,934
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    147,254
    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 7 146,273
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 132,744
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 0
    b From 2011...... 0
    c From 2012...... 0
    d From 2013...... 0
    e From 2014...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 156,188
    a Applied to 2014, but not more than line 2a 132,744
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 23,444
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		122,829
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2011.... 0
    b Excess from 2012.... 0
    c Excess from 2013.... 0
    d Excess from 2014.... 0
    e Excess from 2015.... 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......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).)
    NONE
    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.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    BUTLER INSTITUTE OF ART
    524 WICK AVENUE
    YOUNGSTOWN,OH44502     		N/A PUBLIC CHARITY SUPPORT PROGRAM 150,000
    Total .................................bullet 3a 150,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		         
    4 Dividends and interest from securities....     14 62,633  
    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 ............     		    18 838,928  
    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)..   901,561  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13901,561
    (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:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,950 488   1,463

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    Name of Bond End of Year Book Value End of Year Fair Market Value
    50,000 AT&T 2.40% 8/15/16 50,490 50,331
    50,000 APPLE INC 2.400% 48,872 48,719
    50,000 COCA-COLA 1.650% 11/1/1 50,612 50,417
    50,000 DEERE JOHN CAP CORP 2.0 50,362 50,373
    25,000 FHLMC 2.150% 12/27/22 24,595 24,462
    25,000 PEPSICO INC 2.750% 3/5/ 25,130 25,062
    50,000 PFIZER INC 2.010% 5/15/ 50,638 50,444
    50,000 ROYAL BANK CANADA 2.150 49,981 49,509

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    Name of Stock End of Year Book Value End of Year Fair Market Value
    412 SHS ACTIVISION BLIZZARD 15,726 15,949
    231 SHS AMGEN 37,157 37,498
    390 SHS ANADARKO PETE 34,040 18,946
    711 SHS ANALOG DEVICES 43,419 39,333
    585 SHS APPLE COMPUTER 8,276 61,577
    4 SHS BARD INC 734 758
    630 SHS BRISTOL MYERS SQUIB 18,094 43,338
    798 SHS CBRE GROUP 28,985 27,595
    461 SHS CME GROUP 44,443 41,767
    515 SHS CVS HEALTH 50,253 50,352
    350 SHS CARDINAL HEALTH 14,752 31,245
    513 SHS CERNER CORP 30,935 30,867
    1367 SHS CISCO SYSTEMS 36,878 37,121
    273 SHS COGNIZANT TECH 18,586 16,385
    251 SHS CONSTELLATION BRANDS 30,716 35,752
    57 SHS CORNING INC 1,062 1,042
    259 SHS CUMMINS INC 27,384 22,795
    560 SHS DANAHER CORP 20,619 52,013
    821 SHS DARDEN RESTAURANTS 44,912 52,248
    225 SHS DEERE & CO 21,911 17,161
    263 SHS DISNEY WALT CO 30,275 27,636
    735 SHS DOW CHEMICAL 36,516 37,838
    14 SHS EASTMAN CHEMICAL CO 953 945
    160 SHS EMERSON ELECTRIC 7,704 7,653
    16 SHS EXXON MOBIL CORP 1,198 1,247
    4 SHS FEDEX CORP 582 596
    639 SHS GENERAL ELECTRIC CORP 32,139 19,905
    708 SHS GLAXOSMITHKLINE 29,119 28,568
    5 SHS GOLDMAN SACHS GROUP 886 901
    1,090 SHS HP INC 17,521 12,906
    1,090 SHS HEWLITT PACKARD ENT 19,521 16,568
    218 SHS HONEYWELL INTL 22,546 22,578
    2,562 SHS HOST HOTELS & RESORT 44,784 39,301
    125 SHS INTERNATIONAL BUSINESS 11,502 17,203
    710 SHS JPMORGAN CHASE 20,266 46,881
    304 SHS JOHNSON & JOHNSON 14,948 31,227
    873 SHS MICROSOFT CORP 39,992 48,434
    244 SHS NATIONAL OILWELL VARCO 8,146 8,172
    559 SHS NEXTERA ENERGY 54,857 58,075
    679 SHS NUCOR ENERGY 30,488 27,364
    300 SHS ORACLE CORP 7,208 10,959
    484 SHS OCCIDENTAL PERMIAN 37,627 32,723
    195 SHS PARKER-HANNIFIN 11,395 18,911
    621 SHS PEPSICO 44,752 62,050
    1,450 SHS PFIZER 25,226 46,806
    921 SHS PUBLIC SERVICES ENT GR 35,855 35,633
    39 SHS QUANTA SERVICES INC 777 790
    430 SHS ROYAL DUTCH SHELL 27,668 19,690
    580 SHS SCHLUMBERGER LTD 37,153 40,455
    517 SHS TJX COMPANIES 35,624 36,660
    150 SHS 3M COMPANY 6,680 22,596
    13 SHS TRAVELERS CO 1,430 1,467
    822 SHS TYSON FOODS 37,455 43,837
    150 SHS UNION PACIFIC CORP 16,258 11,730
    225 SHS UNITED HEALTH GROUP 27,466 26,469
    715 SHS V F CORP 25,298 44,509
    1,076 SHS VERIZON COMMUNICATIO 50,780 49,733
    265 SHS VISA INC 20,803 20,551

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    US Government Securities - End of Year Book Value:

    145,962
    US Government Securities - End of Year Fair Market Value:

    145,330
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2015 InvestmentsOtherSchedule2
    Name:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    9,202.454 SHS BLACKROCK GNMA I AT COST 90,000 90,000
    4,233.302 SHS DREYFUS STANDISH AT COST 90,000 89,153
    5,614.572 SHS FEDERATED INSTL AT COST 55,000 51,036
    2,339.148 SHS FEDERATED TOTAL AT COST 25,988 24,912
    1,691.447 SHS GOLDMAN SACHS MI AT COST 36,199 34,336
    3,394.762 SHS GOLDMAN SACHS IN AT COST 35,000 35,475
    10,469.224 SHS IVY INTL CORE E AT COST 180,000 175,569
    720.117 SHS JPMORGAN SMALL CAP AT COST 38,133 33,219
    7,936.508 SHS PIMCO COM REAL R AT COST 55,000 50,079
    250 SHS SPDR GOLD TRUST AT COST 30,352 25,365
    28 SHS SPDR S&P REGIONAL BANKI AT COST 1,166 1,174
    504.495 SHS VANGUARD REIT INDE AT COST 55,000 56,998

    TY 2015 LegalFeesSchedule
    Name:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - PRINCIPAL (ALLOCA 475 238   238


    TY 2015 OtherDecreasesSchedule
    Name:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    Description Amount
    WASH SALE BASIS ADJUSTMENT 1,044


    TY 2015 OtherExpensesSchedule
    Name:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MISC EXPENSES (CHARITABLE) 2,342 0   2,342


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MGMT FEES-SUBJECT T 7,149 5,005   2,145


    TY 2015 TaxesSchedule
    Name:
    FOUNDATION MEDICI ENDOWMENT FUND XXX-XX-XXXX
    EIN:
    34-1701625
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 121 121   0
    REAL ESTATE TAX ON NON-RENTAL 1,955 1,955   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,416 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,960 0   0
    FOREIGN TAXES ON QUALIFIED FOR 239 239   0
    FOREIGN TAXES ON NONQUALIFIED 66 66   0