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
PATTERSON FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1031 MENDOTA HEIGHTS ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ST PAUL, MN55120
A Employer identification number

74-3076772
B Telephone number (see instructions)

(651) 686-1725
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$20,674,095
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) 313,852
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 544,882 544,882  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,051,971
b Gross sales price for all assets on line 6a 13,769,471
7 Capital gain net income (from Part IV, line 2)... 1,051,971
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,910,705 1,596,853 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 3,690 0 0 3,690
b Accounting fees (attach schedule)....... 15,226 5,329 0 9,897
c Other professional fees (attach schedule).... 173,306 161,486 0 11,820
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 14,300 0 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 15,570 0 0 15,570
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 222,092 166,815 0 40,977
25 Contributions, gifts, grants paid....... 980,522 980,522
26 Total expenses and disbursements. Add lines 24 and 25 1,202,614 166,815 0 1,021,499
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 708,091
b Net investment income (if negative, enter -0-) 1,430,038
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......... 75,835 27,189 27,189
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet10,042
Less: allowance for doubtful accounts bullet1,000 59,043 9,042 9,042
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.......... 12,119 6,935 6,935
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).......... 21,181,968 Click to see attachment20,579,172 20,579,172
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment64,190 Click to see attachment51,757 Click to see attachment51,757
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 21,393,155 20,674,095 20,674,095
Liabilities 17 Accounts payable and accrued expenses.......... 42,039 43,333
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)......... 42,039 43,333
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 21,351,116 20,630,762
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 21,351,116 20,630,762
31 Total liabilities and net assets/fund balances (see instructions). 21,393,155 20,674,095
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
21,351,116
2
Enter amount from Part I, line 27a .....................
2
708,091
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
22,059,207
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,428,445
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
20,630,762
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a WELLS FARGO INVESTMENTS P    
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 13,769,471   12,717,500 1,051,971
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       1,051,971
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 1,051,971
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 920,374 20,474,343 0.044953
2013 748,138 18,520,271 0.040396
2012 838,692 16,660,879 0.050339
2011 649,065 16,088,909 0.040342
2010 651,928 14,310,066 0.045557
2
Total of line 1, column (d) .....................
20.221587
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
0.044317
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
21,019,951
5
Multiply line 4 by line 3......................
5
931,541
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
14,300
7
Add lines 5 and 6........................
7
945,841
8
Enter qualifying distributions from Part XII, line 4.............
8
1,021,499
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 14,300
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 14,300
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 14,300
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 20,025
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 20,025
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 5,725
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet5,725 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changesClick to see attachment....
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
 
 
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)
    bulletMN
    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 addressbulletWWW.PATTERSONFOUNDATION.NET
    14
    The books are in care ofbulletR STEPHEN ARMSTRONG Telephone no.bullet (651) 686-1600

    Located atbullet1031 MENDOTA HEIGHTS ROADST PAULMN ZIP+4bullet55120
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    R STEPHEN ARMSTRONG TREASURER
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    RONALD E EZERSKI DIRECTOR
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    GEORGE L HENRIQUES DIRECTOR
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    MATTHEW L LEVITT SECRETARY
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    ROBERT C CLIFFORD VICE PRESIDENT
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    SCOTT P ANDERSON VICE PRESIDENT
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    JAMES W WILTZ DIRECTOR
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    TODD W MUELLER DIRECTOR
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    GARY D JOHNSON PRESIDENT
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    PAMELA A HEMMEN DIRECTOR
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    DAVID G MISIAK VICE PRESIDENT
    0.40
    0 0 0
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    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
    SIT INVESTMENTS INVESTMENT MANAGEMENT 111,229
    3300 IDS CENTER 80 SOUTH 8TH STREET
    MINNEAPOLIS,MN55402
    WELLS FARGO INVESTMENT MANAGEMENT 50,257
    608 2ND AVE S MAC N9303-088
    MINNEAPOLIS,MN55402
    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.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    21,188,236
    b
    Average of monthly cash balances.......................
    1b
    84,082
    c
    Fair market value of all other assets (see instructions)................
    1c
    67,734
    d
    Total (add lines 1a, b, and c).........................
    1d
    21,340,052
    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
    21,340,052
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    320,101
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    21,019,951
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,050,998
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    1,050,998
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    14,300
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    14,300
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,036,698
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,036,698
    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
    1,036,698
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,021,499
    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
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,021,499
    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
    14,300
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,007,199
    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 1,036,698
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 762,957
    b Total for prior years:20, 20, 20 0
    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........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 1,021,499
    a Applied to 2014, but not more than line 2a 762,957
    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..... 258,542
    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 ..........
    778,156
    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....  
    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
             
    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).)
    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:
    MICHELLE MENNICKE FOUNDATION MANAGE
    1031 MENDOTA HEIGHTS ROAD
    ST PAUL,MN55120
    (651) 686-1929
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATIONS SHOULD INCLUDE ALL ITEMS REQUESTED IN THE GRANT APPLICATION. GRANT APPLICATIONS CAN BE OBTAINED BY WRITING, EMAILING (INFORMATION@PATTERSONFOUNDATION.NET) OR CALLING (651) 686-1929. THE GRANT APPLICATION INCLUDES A BRIEF DESCRIPTION OF YOUR PROJECT AND STATEMENT OF NEED, SUMMARY OF THE ORGANIZATION, ITS MISSION AND GOALS, ORGANIZATION BUDGET, AND A PROJECT BUDGET.
    cAny submission deadlines:
    MOST APPLICATIONS THAT RECEIVE FUNDING REQUIRE 60 TO 140 DAYS FOR CONSIDERATION AND APPROVAL.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    THE FOUNDATION FOCUSES ON PROVIDING GRANTS IN EDUCATION, HEALTH AND HUMAN SERVICES, AND EDUCATIONAL SCHOLARSHIPS. EDUCATION GRANTS ARE SUPPORT FOR EDUCATION IN THE FOUNDATION'S FOCUS AREAS OF ORAL HEALTH, ANIMAL HEALTH, AND OCCUPATIONAL AND PHYSICAL REHABILITATION. HEALTH AND HUMAN SERVICES GRANTS ASSIST PROGRAMS THAT BENEFIT ECONOMICALLY DISADVANTAGED PEOPLE OR YOUTH WITH SPECIAL NEEDS. EDUCATIONAL SCHOLARSHIPS ARE SUPPORT FOR DEPENDENTS OF PATTERSON COMPANIES, INC EMPLOYEES.
    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
    AMERICA'S DENTIST CARE FOUNDATION
    9110 E 35TH ST N
    WICHITA,KS67226
    NONE PUBLIC CHARITY 45 UNIT MINI TRAILER. 60,000
    BASIC ANIMAL RESCUE TRAINING (BART)
    PO BOX 130967
    ST PAUL,MN55113
    NONE PUBLIC CHARITY EXPANSION OF FIRST RESPONDER TRAINING PROGRAM. 11,300
    CALIFORNIA CAREFORCE
    950 RESERVE DRIVE SUITE 120
    ROSEVILLE,CA95678
    NONE PUBLIC CHARITY FREE DENTAL, MEDICAL AND VISION CLINICS IN COACHELLA AND SACRAMENTO. 10,000
    CALIFORNIA DENTAL ASSOCIATION FOUNDATION
    1201 K STREET 15TH FLOOR
    SACRAMENTO,CA95814
    NONE PUBLIC CHARITY MISSION OF MERCY EVENTS IN SACRAMENTO AND FRESNO. 10,000
    CARE CLINIC
    1407 WEST 4TH STREET
    RED WING,MN55066
    NONE PUBLIC CHARITY SUPPORT WORK OF DENTAL PROFESSIONAL VOLINTEERS. 8,000
    EVA'S VILLAGE INC
    393 MAIN STREET
    PATTERSON,NJ07501
    NONE PUBLIC CHARITY RECRUITMENT OF DENTAL VOLUNTEERS. 1,500
    CENTRAL ARIZONA DENTAL SOCIETY FOUNDATION
    5300 N CENTRAL AVENUE
    PHOENIX,AZ85013
    NONE PUBLIC CHARITY MISSION OF MERCY EVENT IN PHOENIX. 5,000
    GENESIS WORLD MISSION
    215 W 35TH STREET
    GARDEN CITY,ID83714
    NONE PUBLIC CHARITY GARDEN CITY COMMUNITY DENTAL CLINIC. 5,000
    COLORADO MISSION OF MERCY
    430 COLORADO AVENUE
    PUEBLO,CO81004
    NONE PUBLIC CHARITY MISSION OF MERCY EVENT IN CANON CITY. 2,500
    GEORGIA DENTAL ASSOCIATION FOR ORAL HEALTH
    7000 PEACHTREE-DUNWOODY RD BLDG 17
    STE 200
    ATLANTA,GA30328
    NONE PUBLIC CHARITY MISSION OF MERCY EVENT IN PERRY. 5,000
    GIGI'S PLAYHOUSE
    2350 WEST HIGGINS ROAD
    HOFFMAN ESTATES,IL60169
    NONE PUBLIC CHARITY PROGRAM METRICS AND VOLUNTEER TRAINING. 50,000
    COOK CHILDREN'S HEALTH FOUNDATION
    801 SEVENTH AVENUE
    FORT WORTH,TX76104
    NONE PUBLIC CHARITY SAVE A SMILE TRANSPORTATION ASSISTANCE PROGRAM. 7,500
    DENTAL LIFELINE NETWORK
    1800 15TH STREET SUITE 100
    DENVER,CO80202
    NONE PUBLIC CHARITY E-DENTACHEQUES AND NATIONAL DONATED DENTAL SERVICES PROGRAM. 85,000
    GOLDIE'S PLACE
    5705 N LINCOLN AVENUE
    CHICAGO,IL60659
    NONE PUBLIC CHARITY SALARY EXPENSES FOR A DENTAL HYGIENIST TO WORK WITH VOLUNTEER DENTISTS. 5,000
    HIS HANDS DENTAL MISSION INC
    121 WOODSIDE DR
    SOMERSET,KY42503
    NONE PUBLIC CHARITY START-UP EXPENSES FOR MOBILE DENTAL CLINIC. 4,864
    INTERFAITH DENTAL CLINIC
    1721 PATTERSON STREET
    NASHVILLE,TN37203
    NONE PUBLIC CHARITY SALARY EXPENSES FOR TWO DENTAL ASSISTANTS TO SUPPORT THE WORK OF THE VOLUNTEER DENTISTS. 16,480
    IOWA DENTAL FOUNDATION
    8797 NW 54TH AVENUE
    JOHNSTON,IA50131
    NONE PUBLIC CHARITY MISSION OF MERCY EVENT IN COUNCIL BLUFFS. 5,000
    HOLLAND FREE HEALTH CLINIC
    99 W 26TH STREET
    HOLLAND,MI49423
    NONE PUBLIC CHARITY INCREASE DENTAL CLINIC CAPACITY. 13,500
    INDIANA DENTAL ASSOCIATION FOUNDATION FOR DENTAL HEALTH
    1319 EAST STOP 10 RD
    INDIANAPOLIS,IN46227
    NONE PUBLIC CHARITY MISSION OF MERCY EVENT IN INDIANAPOLIS. 7,500
    KSDS INC
    120 WEST 7TH STREET
    WASHINGTON,KS66968
    NONE PUBLIC CHARITY CLASS EXPANSION PROJECT. 25,000
    LOVE INC OF THE TRI-CITIES
    326 N FERRY STREET
    GRAND HAVEN,MI49417
    NONE PUBLIC CHARITY FREE DENTAL CLINIC STAFFED BY VOLUNTEERS. 6,000
    MERCY HEALTH CENTER
    PO BOX 6064
    ATHENS,GA30604
    NONE PUBLIC CHARITY VOLUNTEER DENTAL CLINIC SUPPORT. 9,750
    NATIONAL EDUCATION FOR ASSISTANCE DOG SERVICES INC
    PO BOX 1100
    PRINCETON,MA01541
    NONE PUBLIC CHARITY FOUNDATIONS FOR THE FUTURE CAPITAL CAMPAIGN. 35,000
    LOS ANGELES EDUCATION PARTNERSHIP
    202 WEST FIRST STREET SUITE 6-0410
    LOS ANGELES,CA90012
    NONE PUBLIC CHARITY ORAL HEALTH PROGRAM FOR DISADVANTAGED FAMILIES. 5,000
    OREGON CHARITABLE ACTIVITIES FUND
    PO BOX 3710
    WILSONVILLE,OR97070
    NONE PUBLIC CHARITY MISSION OF MERCY EVENT IN PORTLAND. 5,000
    MINNESOTA DENTAL FOUNDATION
    1335 INDUSTRIAL BLVD
    MINNEAPOLIS,MN55413
    NONE PUBLIC CHARITY MISSION OF MERCY EVENT IN DULUTH. 5,000
    PHYSICIANS CARECONNECTION
    1390 DUBLIN ROAD
    COLUMBUS,OH43215
    NONE PUBLIC CHARITY VOLUNTEER DENTAL CLINC. 15,000
    PUGET SOUND CHRISTIAN CLINIC
    2150 N 122ND ST
    SEATTLE,WA98133
    NONE PUBLIC CHARITY NEW LOW-COST DENTAL CLINIC. 20,000
    ROUNDUP RIVER RANCH
    PO BOX 8589
    AVON,CO81620
    NONE PUBLIC CHARITY VOLUNTEER RECRUITMENT (SUMMER SESSIONS AND FAMILY CAMPS). 8,600
    OPERATION GRACE MN
    1769 LEXINGTON AVE N SUITE 204
    ROSEVILLE,MN55113
    NONE PUBLIC CHARITY FREE MOBILE DENTAL CLINICS STAFFED BY VOLUNTEERS. 53,795
    ORAL HEALTH AMERICA
    180 NORTH MICHIGAN AVENUE SUITE
    1150
    CHICAGO,IL60601
    NONE PUBLIC CHARITY SMILES ACROSS AMERICA PROGRAM. 32,500
    RUTH'S PLACE CLINIC
    1411 CRAWFORD AVENUE
    GRANBURY,TX76048
    NONE PUBLIC CHARITY PART-TIME DENTAL ASSISTANT. 4,500
    SCHOLARSHIP AMERICA
    ONE SCHOLARSHIP WAY PO BOX 297
    ST PETER,MN56082
    NONE EXEMPT ORGANIZATION SCHOLARSHIPS. 367,000
    SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION INC
    410 CAMINO REAL
    REDONDO BEACH,CA90277
    NONE PUBLIC CHARITY ENDODONTICS PROGRAM SERVING CHILDREN AND YOUNG ADULTS. 5,000
    THE CHILDREN'S DENTAL SOCIETY OF GREATER LOS ANGELES
    300 E BUCKTHORN STREET
    INGLEWOOD,CA90301
    NONE PUBLIC CHARITY DENTAL CLINIC STAFFED BY VOLUNTEERS. 25,000
    THE CINCINNATI DENTAL SOCIETY'S ORAL HEALTH FOUNDATION
    9200 MONTGOMERY RD STE 21A
    CINCINNATI,OH45242
    NONE PUBLIC CHARITY SALARY EXPENSE FOR DENTAL ASSISTANT WHO WORKS WITH VOLUNTEER DENTISTS. 4,313
    TRINITY FREE CLINIC
    1045 WEST 146TH STREET SUITE B
    CARMEL,IN46032
    NONE PUBLIC CHARITY DENTAL PROGRAM. 5,000
    WALTON FOUNDATION FOR INDEPENDENCE
    523 13TH STREET
    AUGUSTA,GA30901
    NONE PUBLIC CHARITY CAMP TO BE INDEPENDENT. 9,220
    SAN ANTONIO CHRISTIAN DENTAL CLINIC
    1 HAVEN FOR HOPE WAY BLDG 1 STE 400
    SAN ANTONIO,TX78207
    NONE PUBLIC CHARITY VOLUNTEER DENTAL CLINIC. 5,000
    SEATTLE CENTER FOUNDATION
    305 HARRISON STREET
    SEATTLE,WA98109
    NONE PUBLIC CHARITY MISSION OF MERCY EVENT IN SEATTLE. 7,500
    ST VINCENT DE PAUL
    3000 GRATIOT AVE
    DETROIT,MN48207
    NONE PUBLIC CHARITY COVER PORTION OF SALARY EXPENSE FOR PART TIME DENTAL ASSISTANT. 5,000
    UNION GOSPEL MIISION ASSOCIATION OF ST PAUL
    77 9TH ST E
    ST PAUL,MN55101
    NONE PUBLIC CHARITY ORAL HEALTH OUTREACH PPROGRAMS. 5,000
    YORK COUNTY FREE CLINIC
    410 OAKLAND AVENUE
    ROCK HILL,SC29730
    NONE PUBLIC CHARITY SALARY EXPENSES FOR A PART TIME DENTAL COORDINATOR TO SUPPORT THE WORK OF THE VOLUNTEER DENTISTS. 4,200
    Total .................................bullet 3a 980,522
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    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....     14 544,882  
    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 1,051,971  
    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).. 0 1,596,853 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,596,853
    (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
    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
    PATTERSON FOUNDATION
     
    Employer identification number

    74-3076772
    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
    PATTERSON FOUNDATION
     
    Employer identification number
    74-3076772
    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
    SIT INVESTMENTS
     

       
    3300 IDS CENTER 80 SOUTH 8TH STREET
     
    MINNEAPOLIS, MN55402

    $ 16,874


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

       
    124 FAITHER DRIVE SUITE 140
     
    MOUNT LAUREL, NJ08054

    $ 10,600


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

       
    205 GRANITE RUN DRIVE SUITE 150
     
    LANCASTER, PA17601

    $ 10,100


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

       
    1515 S MANCHESTER AVENUE
     
    ANAHEIM, CA92805

    $ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    5
    SEMPERMED USA INC
     

       
    13900 49TH STREET NORTH
     
    CLEARWATER, FL33762

    $ 79,287


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    6
    SIRONA DENTAL SYSTEMS INC
     

       
    4835 SIRONA DRIVE SUITE 100
     
    CHARLOTTE, NC28273

    $ 30,450


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    PATTERSON FOUNDATION
     
    Employer identification number
    74-3076772
    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
    7
    IVOCLAR VIVADENT INC
     

       
    175 PINEVIEW DRIVE
     
    AMHERST, NY14228

    $ 15,200


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    8
    MIDMARK CORPORATION
     

       
    60 VISTA DRIVE PO BOX 286
     
    VERSAILLES, OH45380

    $ 10,200


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    9
    3M ESPE DENTAL PRODUCTS
     

       
    3M CENTER BUILDING 275-02-E-03
     
    ST PAUL, MN55144

    $ 10,100


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    10
    WELLS FARGO BANK NA
     

       
    2000 POWELL STREET 4TH FLOOR
     
    EMERYVILLE, CA94608

    $ 10,225


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    11
    SCICAN
     

       
    701 TECHNOLOGY DRIVE
     
    CANONSBURG, PA15317

    $ 10,125


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    12
    HU-FRIEDY
     

       
    3232 N ROCKWELL STREET
     
    CHICAGO, IL60618

    $ 10,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    PATTERSON FOUNDATION
     
    Employer identification number
    74-3076772
    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
    13
    DENTSPLY INTERNATIONAL INC
     

       
    570 W COLLEGE AVENUE
     
    YORK, PA17401

    $ 10,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    14
    A-DEC INC
     

       
    2601 CRESTVIEW DRIVE
     
    NEWBERG, OR97132

    $ 10,290


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    15
    BOEHRINGER INGELHEIM VETMEDICA INC
     

       
    528 BARRY DRIVE
     
    SPRINGFIELD, PA19064

    $ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    16
    PROFESSIONAL SALES ASSOCIATES INC
     

       
    5045 PARK AVE WEST SUITE 1B
     
    SEVILLE, OH44273

    $ 5,150


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    17
    METREX
     

       
    11727 FRUEHAUF DRIVE
     
    CHARLOTTE, NC28273

    $ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    18
    AIR TECHNIQUES
     

       
    1295 WALT WHITMAN ROAD
     
    MELVILLE, NY11747

    $ 5,150


    (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
    PATTERSON FOUNDATION
     
    Employer identification number

    74-3076772
    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
    PATTERSON FOUNDATION
     
    Employer identification number

    74-3076772
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    PATTERSON FOUNDATION
    EIN:
    74-3076772
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING AND AUDITING 15,226 5,329 0 9,897

    TY 2015 InvestmentsOtherSchedule2
    Name:
    PATTERSON FOUNDATION
    EIN:
    74-3076772
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MONEY MARKET FUNDS FMV 133,726 133,726
    EQUITIES FMV 12,916,316 12,916,316
    BONDS AND NOTES FMV 3,390,012 3,390,012
    POOLED, COMMON AND COLLECTIVE FUNDS FMV 4,139,118 4,139,118

    TY 2015 LegalFeesSchedule
    Name:
    PATTERSON FOUNDATION
    EIN:
    74-3076772
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 3,690 0 0 3,690


    TY 2015 OtherAssetsSchedule
    Name:
    PATTERSON FOUNDATION
    EIN:
    74-3076772
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INTEREST AND DIVIDENDS 44,165 46,032 46,032
    EXCISE TAX REFUND 20,025 5,725 5,725


    TY 2015 OtherDecreasesSchedule
    Name:
    PATTERSON FOUNDATION
    EIN:
    74-3076772
    Description Amount
    NET UNREALIZED LOSSES 1,428,445


    TY 2015 OtherExpensesSchedule
    Name:
    PATTERSON FOUNDATION
    EIN:
    74-3076772
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MISCELLANEOUS 7,950 0 0 7,950
    FUNDRAISING 2,436 0 0 2,436
    GRANTS MANAGEMENT SOFTWARE 5,184 0 0 5,184


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    PATTERSON FOUNDATION
    EIN:
    74-3076772
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 161,486 161,486 0 0
    SCHOLARSHIP FEES 11,820 0 0 11,820


    TY 2015 TaxesSchedule
    Name:
    PATTERSON FOUNDATION
    EIN:
    74-3076772
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 14,300 0 0 0