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
ALBEN F & CLARA G BATES FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)159 COTTAGE HILL ROAD APT 113
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ELMHURST, IL60126
A Employer identification number

36-6081072
B Telephone number (see instructions)

(630) 832-1070
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$4,627,869J 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 180 180  
4 Dividends and interest from securities... 123,652 123,652  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 50,839
b Gross sales price for all assets on line 6a 172,492
7 Capital gain net income (from Part IV, line 2)... 37,492
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........ 174,671 161,324  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 10,786 5,393   5,393
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 2,975 2,975    
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,213 2,213    
19 Depreciation (attach schedule) and depletion... Click to see attachment 118 118  
20 Occupancy.............. 5,063 2,532   2,531
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 6,383 6,355   28
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 27,538 19,586   7,952
25 Contributions, gifts, grants paid....... 257,000 257,000
26 Total expenses and disbursements. Add lines 24 and 25 284,538 19,586   264,952
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -109,867
b Net investment income (if negative, enter -0-) 141,738
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 137,704 53,556 53,556
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 3,353,558 Click to see attachment3,327,824 4,571,307
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)..........      
14 Land, buildings, and equipment: basis bullet4,922
Less: accumulated depreciation (attach schedule) bullet1,916 3,124 Click to see attachment3,006 3,006
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,494,386 3,384,386 4,627,869
Liabilities 17 Accounts payable and accrued expenses.......... 781 648
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)......... 781 648
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 3,493,605 3,383,738
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)..... 3,493,605 3,383,738
31 Total liabilities and net assets/fund balances (see instructions). 3,494,386 3,384,386
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
3,493,605
2
Enter amount from Part I, line 27a .....................
2
-109,867
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
3,383,738
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
3,383,738
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.)
1a
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
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
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 37,492
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 417,854 5,193,160 0.080462
2013 356,100 4,794,798 0.074268
2012 331,675 4,378,041 0.075759
2011 317,500 4,397,641 0.072198
2010 373,000 4,343,940 0.085867
2
Total of line 1, column (d) .....................
20.388554
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
0.077711
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
4,937,015
5
Multiply line 4 by line 3......................
5
383,660
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,417
7
Add lines 5 and 6........................
7
385,077
8
Enter qualifying distributions from Part XII, line 4.............
8
264,952
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 2,835
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 2,835
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,835
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,459
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 6,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,459
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 2
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 4,622
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet4,622 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
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)
    bulletIL
    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 ofbulletJOSEPHINE PRASIL Telephone no.bullet (630) 832-1070

    Located atbullet159 COTTAGE HILL RDELMHURSTIL ZIP+4bullet60126
    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
     
     
    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
    JOSEPHINE B PRASIL VP/SEC/ASST
    10.00     		10,786 0 0
    159 COTTAGE HILL AVENUE 113
    ELMHURST,IL60126
    ROBERT WIER DIRECTOR
    1.00     		0 0 0
    159 COTTAGE HILL AVENUE 113
    ELMHURST,IL60126
    HENRY G BATES TREASURER
    1.00     		0 0 0
    159 COTTAGE HILL AVENUE 113
    ELMHURST,IL60126
    CHRISTINE B CRUM PRESIDENT
    1.00     		0 0 0
    159 COTTAGE HILL AVENUE 113
    ELMHURST,IL60126
    JILL E DICKENS VP
    1.00     		0 0 0
    159 COTTAGE HILL AVENUE 113
    ELMHURST,IL60126
    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  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    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 N/A  
    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
    4,980,924
    b
    Average of monthly cash balances.......................
    1b
    31,274
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,012,198
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    5,012,198
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    75,183
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,937,015
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    246,851
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    246,851
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    2,835
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,835
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    244,016
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    244,016
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    244,016
    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
    264,952
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    264,952
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    264,952
    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 7 244,016
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 157,535
    b From 2011...... 100,608
    c From 2012...... 115,012
    d From 2013...... 118,861
    e From 2014...... 161,370
    fTotal of lines 3a through e........ 653,386
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 264,952
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount..... 244,016
    e Remaining amount distributed out of corpus 20,936
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 674,322
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		157,535
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		516,787
    10 Analysis of line 9:
    a Excess from 2011.... 100,608
    b Excess from 2012.... 115,012
    c Excess from 2013.... 118,861
    d Excess from 2014.... 161,370
    e Excess from 2015.... 20,936
    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 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
    1ST CONGREGATIONAL CHURCH ELMHURST
    235 S KENILWORTH
    ELMHURST,IL60126     		NONE   UNRESTRICTED 3,000
    ACADEMY AT OCEAN REEF
    395 S HARBOR DRIVE
    KEY LARGO,FL33037     		NONE   UNRESTRICTED 150
    ADVENTIST LA GRANGE MEMORIAL HOSP
    5101 S WILLOW SPRINGS RD
    LA GRANGE,IL60525     		NONE   UNRESTRICTED 1,000
    ALAN GUTTMACHER INSTITUTE
    125 MAIDEN LANE
    NEW YORK,NY10038     		NONE   UNRESTRICTED 150
    AMERICAN CANCER SOCIETY
    1801 S MEVERS RD SUITE 1
    OAK BROOK,IL60181     		NONE   UNRESTRICTED 1,000
    AMERICAN DIABETES ASSOCIATION
    55 E MONROE SUITE 3420
    CHICAGO,IL60603     		NONE   UNRESTRICTED 1,000
    AMERICAN HEART ASSOCIATION
    208 S LASALLE
    CHICAGO,IL60604     		NONE   UNRESTRICTED 1,000
    AMERICAN RED CROSS
    2025 E STREET NW
    WASHINGTON,DC20006     		NONE   UNRESTRICTED 1,000
    ART INSTITUTE OF CHICAGO
    111 S MICHIGAN AVENUE
    CHICAGO,IL606036110     		NONE   UNRESTRICTED 250
    ASSEMBLY BD OF HINSDALE HOSPITALFTN
    120 N OAK STREET 5TH FLOO
    HINSDALE,IL60521     		NONE   UNRESTRICTED 1,000
    AURORA UNIVERSITY - MUSIC ON THE LA
    350 CONSTANCE BOULEVAARD
    WILLIAMS BAY,WI53191     		NONE   UNRESTRICTED 1,000
    BAPTIST HOSPITAL FOUNDATION
    8900 N KENDALL DRIVE
    MIAMI,FL331762197     		NONE   UNRESTRICTED 10,000
    BRAIN RESEARCH FOUNDATION
    111 W WASHINGTON SUITE 17
    CHICAGO,IL60602     		NONE   UNRESTRICTED 250
    BROOKFIELD ZOO
    3300 GOLF ROAD
    BROOKFIELD,IL60513     		NONE   UNRESTRICTED 500
    BSA THREE FIRES COUNCIL
    415 N 2ND STREET
    ST CHARLES,IL60174     		NONE   UNRESTRICTED 750
    CAMP EDWARDS
    N8901 ARMY LAKE ROAD
    EAST TROY,WI531202181     		NONE   UNRESTRICTED 6,000
    CARDINAL BERNADIN CANCER CENTER
    2160 W FIRST AVENUE
    MAYWOOD,IL60153     		NONE   UNRESTRICTED 10,000
    CENTRAL IOWA SYMPHONY
    PO BOX 1080
    AMES,IA500141080     		NONE   UNRESTRICTED 1,000
    CHICAGO HISTORY MUSEUM
    1601 N CLARK ST
    CHICAGO,IL60614     		NONE   UNRESTRICTED 250
    CHICAGO KENT ALUMNI BD SCHOLARHSIP
    565 W ADAMS SUITE 310
    CHICAGO,IL606613691     		NONE   UNRESTRICTED 1,000
    CHRISTOPHER & DANA REEVE FOUNDATION
    636 MORRIS TURNPIKE SUITE
    SHORT HILLS,NJ07078     		NONE   UNRESTRICTED 2,000
    CORNELL UNIVERSITY ANNUAL FUND
    P O BOX 223623
    PITTSBURG,PA152512623     		NONE   UNRESTRICTED 9,000
    CURE ALZHEIMER'S FUND
    34 WASHINGTON STREET SUIT
    WELLESLEY HILLS,MA02481     		NONE   UNRESTRICTED 4,000
    CYSTIC FIBROSIS FOUNDATION
    6931 ARLINGTON ROAD
    BETHESDA,MD20814     		NONE   UNRESTRICTED 1,250
    DUPAGE CHILDRENS MUSEUM
    301 N WASHINGTON STREET
    NAPERVILLE,IL60540     		NONE   UNRESTRICTED 5,500
    DUPAGE COUNTY HISTORICAL SOCIETY
    PO BOX 1460
    WHEATON,IL60189     		NONE   UNRESTRICTED 500
    ELGIN ACADEMY
    350 PARK AVENUE
    ELGIN,IL60120     		NONE   UNRESTRICTED 2,000
    ELMHURST ART MUSEUM
    150 COTTAGE HILL AVENUE
    ELMHURST,IL60126     		NONE   UNRESTRICTED 2,250
    ELMHURST COLLEGE
    190 S PROSPECT AVENUE
    ELMHURST,IL60126     		NONE   UNRESTRICTED 20,000
    ELMHURST FAMILY YMCA
    211 W FIRST STREET
    ELMHURST,IL60126     		NONE   UNRESTRICTED 10,000
    ELMHURST HERITAGE FOUNDATION
    120 E PARK
    ELMHURST,IL60126     		NONE   UNRESTRICTED 20,000
    ELMHURST MEMORIAL HEALTHCARE
    155 E BRUSH HILL ROAD
    ELMHURST,IL60126     		NONE   UNRESTRICTED 20,000
    ELMHURST SYMPHONY ASSOCIATION
    PO BOX 345
    ELMHURST,IL60126     		NONE   UNRESTRICTED 1,000
    EMERGENCY RESIDENCE PROJECT
    225 S KELLOGG
    AMES,IA50010     		NONE   UNRESTRICTED 1,200
    EPISCOPAL CHURCH OF OUR SAVIOR
    116 E CHURCH STREET
    ELMHURST,IL60126     		NONE   UNRESTRICTED 500
    EVANS SCHOLARSHIP FOUNDATION
    1 BRIAR ROAD
    GOLF,IL60029     		NONE   UNRESTRICTED 500
    FIELD MUSEUM OF NATURAL HISTORY
    1400 S LAKE SHORE DRIVE
    CHICAGO,IL606052496     		NONE   UNRESTRICTED 250
    FONTANA PUBLIC LIBRARY
    166 2ND AVENUE
    FONTANA,WI53125     		NONE   UNRESTRICTED 500
    FRIENDS OF ELMHURST PUBLIC LIBRARY
    125 S PROSPECT
    ELMHURST,IL60126     		NONE   UNRESTRICTED 3,000
    FRIENDS OF YOUNG LIFE-DUPAGE COUNTY
    533 N GRANT STREET
    HINSDALE,IL60521     		NONE   UNRESTRICTED 150
    GENEVA LAKE ASSOCIATION
    PO BOX 412
    LAKE GENEVA,WI53147     		NONE   UNRESTRICTED 1,000
    GENEVA LAKE CONSERVATORY
    PO BOX 588 398 MILL STREE
    FONTANA,WI53125     		NONE   UNRESTRICTED 1,000
    GENEVA LAKE ENVIRONMENTAL AGENCY
    PO BOX 914
    WILLIAMS BAY,WI531910914     		NONE   UNRESTRICTED 2,000
    GENEVA LAKE LEVEL CORPORATION
    PO BOX 656
    LAKE GENEVA,WI53147     		NONE   UNRESTRICTED 1,000
    GENEVA LAKE WATER SAFETY COMMITTEE
    PO BOX 98
    LAKE GENEVA,WI53147     		NONE   UNRESTRICTED 2,000
    GIGI'S PLAYHOUSE - CHICAGO
    3948 N LINCOLN AVENUE
    CHICAGO,IL60613     		NONE   UNRESTRICTED 4,000
    GLENWOOD ACADEMY
    500 W 187TH STREET
    GLENWOOD,IL60425     		NONE   UNRESTRICTED 500
    GOODWILL INDUSTRIES
    6050 S WESTERN
    CHICAGO,IL60636     		NONE   UNRESTRICTED 100
    GRAUE MILL AND MUSEUM
    3800 S YORK ROAD
    OAK BROOK,IL60523     		NONE   UNRESTRICTED 500
    GUIDING EYES FOR THE BLIND
    611 GRANITE SPRINGS RD
    YORKTOWN HEIGHTS,NY10598     		NONE   UNRESTRICTED 500
    HABITAT FOR HUMANITY
    1600 ROOSEVELT RD
    WHEATON,IL60187     		NONE   UNRESTRICTED 500
    HINSDALE COMMUNITY HOUSE
    415 W EIGHTH STREET
    HINSDALE,IL60521     		NONE   UNRESTRICTED 1,000
    HINSDALE HISTORICAL SOCIETY
    15 S CLAY STREET
    HINSDALE,IL60521     		NONE   UNRESTRICTED 500
    HINSDALE HOSPITAL FOUNDATION
    120 N OAK STREET
    HINSDALE,IL60521     		NONE   UNRESTRICTED 1,500
    HOLIDAY HOME
    361 N LAKE SHORE DRIVE P
    WILLIAMS BAY,WI53191     		NONE   UNRESTRICTED 2,000
    HORTICULTURAL HALL FOUNDATION
    PO BOX 71
    LAKE GENEVA,WI53147     		NONE   UNRESTRICTED 1,000
    IOWA ENVIRONMENTAL COUNCIL
    521 E LOCUST ST SUITE 220
    DES MOINES,IA50309     		NONE   UNRESTRICTED 1,000
    IOWA ENVIRONMENTAL WILDLIFE CENTER
    328 MAIN ST SUITE 208
    AMES,IA50010     		NONE   UNRESTRICTED 1,000
    KEYS CHILDREN FOUNDATION
    24 DOCKSIDE LANE PMB 139
    KEY LARGO,FL330375267     		NONE   UNRESTRICTED 4,000
    KHOI-FM RADIO
    410 DOUGLAS AVE
    AMES,IA50010     		NONE   UNRESTRICTED 1,500
    LA RABIDA CHILDREN'S HOSPITAL
    E 65TH STREET AT LAKE MIC
    CHICAGO,IL606499980     		NONE   UNRESTRICTED 500
    LAKE GENEVA FRESH AIR ASSOCIATION
    PO BOX 10 361 N LAKE SHO
    WILLIAMS BAY,WI53191     		NONE   UNRESTRICTED 2,000
    LAKE GENEVA PUBLIC LIBRARY FTN
    918 W MAIN
    LAKE GENEVA,WI53147     		NONE   UNRESTRICTED 500
    LAKE GENEVA YMCA
    203 WELLS STREET
    LAKE GENEVA,WI53147     		NONE   UNRESTRICTED 1,000
    LEAGUE OF WOMEN VOTERS OF US
    2130 DUFF AVENUE
    AMES,IA50010     		NONE   UNRESTRICTED 1,000
    LINCOLN PARK ZOOLOGICAL SOCIETY
    2001 N CLARK STREET
    CHICAGO,IL60614     		NONE   UNRESTRICTED 250
    LIVING WELL CANCER RESEARCH CENTER
    1803 W STATE STREET
    GENEVA,IL60134     		NONE   UNRESTRICTED 2,500
    LIZZADRO MUSEUM OF LIPIDARY ARTS
    220 COTTAGE HILL AVENUE
    ELMHURST,IL60126     		NONE   UNRESTRICTED 3,000
    LURIE CHILDRENS HOSPITAL FOUNDATION
    225 W CHICAGO AVE BOX 4
    CHICAGO,IL606112605     		NONE   UNRESTRICTED 5,000
    MARINERS HOSPITAL FOUNDATION
    91500 OVERSEAS HIGHWAY
    TAVERNIER,FL33070     		NONE   UNRESTRICTED 1,500
    MAYO FOUNDATION
    200 FIRST STREET SW
    ROCHESTER,MN55905     		NONE   UNRESTRICTED 500
    MCLEAN HOSPITAL
    115 MILL STREET
    BELMONT,MA024789106     		NONE   UNRESTRICTED 2,000
    MERCY WALWORTH MEDICAL CENTER
    1000 MINERAL POINT AVENUE
    JANESVILLE,WI535475003     		NONE   UNRESTRICTED 2,000
    MORTON ARBORETUM
    4100 ILLINOIS ROUTE 53
    LISLE,IL605321293     		NONE   UNRESTRICTED 500
    MUSEUM OF SCIENCE AND INDUSTRY
    57TH STREET LAKE SHORE
    CHICAGO,IL60637     		NONE   UNRESTRICTED 250
    NATIONAL ALOPECIA AREATA FOUNDATION
    14 MITCHELL BOULEVARD
    SAN RAFAEL,CA94903     		NONE   UNRESTRICTED 3,000
    NORTH CAROLINA BOTANICAL GARDEN
    CB3375 TOTTEN CENTER
    CHAPEL HILL,NC275993375     		NONE   UNRESTRICTED 5,000
    OCEAN REEF MEDICAL CENTER FDN
    50 BARRACUDA LANE
    KEY LARGO,FL33037     		NONE   UNRESTRICTED 1,000
    ONE HUNDRED CLUB OF CHICAGO
    875 N MICHIGAN AVENUE
    SUITE 1351
    CHICAGO,IL60611     		NON   UNRESTRICTED 500
    ONE THOUSAND FRIENDS OF IOWA
    3850 MERLE HAY ROAD 605
    DES MOINES,IA503101300     		NONE   UNRESTRICTED 1,500
    PARALYZED VETERANS OF AMERICA
    801 EIGHTEENTH STREET NW
    WASHINGTON,DC200063517     		NONE   UNRESTRICTED 250
    PLANNED PARENTHOOD OF ILLINOIS
    18 S MICHIGAN AVE 6TH FLO
    CHICAGO,IL60610     		NONE   UNRESTRICTED 11,000
    PLANNED PARENTHOOD OF THE HEARTLAND
    PO BOX 4557
    DES MOINES,IA503054557     		NONE   UNRESTRICTED 1,000
    PROTESTANT FDN OF OCEAN REEF CHAPEL
    23 OCEAN REEF DRIVE
    KEY LARGO,FL33037     		NONE   UNRESTRICTED 500
    RAY GRAHAM ASSOCIATION
    901 WARRENVILLE RD
    LISLE,IL60532     		NONE   UNRESTRICTED 1,000
    ROBERT CROWN CENTER FOR HEALTH
    21 SALT CREEK LANE
    HINSDALE,IL60521     		NONE   UNRESTRICTED 150
    SALVATION ARMY
    1S 415 SUMMIT AVENUE
    OAK BROOK TERRACE,IL601813906     		NONE   UNRESTRICTED 200
    SHEDD AQUARIUM
    1200 S LAKE SHORE DRIVE
    CHICAGO,IL60605     		NONE   UNRESTRICTED 250
    SHRINERS HOSPITAL FOR CHILDREN
    2900 ROCKY POINT DRIVE
    TAMPA,FL33607     		NONE   UNRESTRICTED 500
    THE SMILE TRAIN
    PO BOX 96231
    WASHINGTON,DC200906231     		NONE   UNRESTRICTED 1,000
    SMITH COLLEGE
    P O BOX 340029
    NORTHAMPTON,MA01063     		NONE   UNRESTRICTED 4,000
    SMITHSONIAN INSTITUTE
    PO BOX 9016
    PITTSFIELD,MA012029016     		NONE   UNRESTRICTED 150
    SPECIAL KIDS DAY
    533 SPRING ROAD
    ELMHURST,IL60126     		NONE   UNRESTRICTED 250
    ST CHARLES SINGERS
    311 N 2ND STREET
    ST CHARLES,IL60174     		NONE   UNRESTRICTED 3,500
    ST IGNATIUS COLLEGE PREP
    1076 W ROOSEVELT ROAD
    CHICAGO,IL60608     		NONE   UNRESTRICTED 3,000
    ST JOHNS NORTHWESTERN MILITARY ACAD
    1101 GENESEE STREET
    DELAFIELD,WI530181498     		NONE   UNRESTRICTED 500
    THE CONSERVATION FUND
    1655 N FT MEYERS DRIVE
    ARLINGTON,VA22209     		NONE   UNRESTRICTED 4,500
    THE ENVIORNMENTAL EDUCATION FDN
    P O BOX 244
    FONTANA,WI531250244     		NONE   UNRESTRICTED 700
    THE MAGIC FOUNDATION
    6645 W NORTH AVENUE
    OAK PARK,IL60302     		NONE   UNRESTRICTED 250
    TRI CITY FAMILY SERVICES
    1120 RANDALL COURT
    GENEVA,IL60134     		NONE   UNRESTRICTED 1,000
    TRI CITY HEALTH PARTNERSHIP
    318 WALNUT
    ST CHARLES,IL60174     		NONE   UNRESTRICTED 500
    UNITED CEREBRAL PALSY SEQUIN-CHGO
    3100 S CENTRAL AVENUE
    CICERO,IL60804     		NONE   UNRESTRICTED 500
    UNITED WAY OF DUPAGEWEST COOK
    PO BOX 5317
    OAK BROOK,IL60522     		NONE   UNRESTRICTED 1,500
    US FUND FOR UNICEF
    125 MAIDEN LANE
    NEW YORK,NY10038     		NONE   UNRESTRICTED 1,500
    VASSAR COLLEGE
    BOX 14-124 RAYMOND AVENUE
    POUGHKEEPSIE,NY126040014     		NONE   UNRESTRICTED 2,800
    WELLNESS HOUSE
    131 N COUNTY LINE ROAD
    HINSDALE,IL60521     		NONE   UNRESTRICTED 1,500
    WM GUY FORBECK RESEARCH FOUNDATION
    23 PENISULA DRIVE
    HILTON HEAD ISLAND,SC29926     		NONE   UNRESTRICTED 1,500
    AURORA LAKELAND MEDICAL CENTER
    W3985 COUNTY ROAD NN
    ELKHORN,WI53121     		NONE   UNRESTRICTED 3,000
    KIWANIS CLUB OF ELMHURST FOUNDATION
    PO BOX 729
    ELMHURST,IL60126     		NONE   UNRESTRICTED 500
    NORTHWESTERN MEMORIAL FOUNDATION
    300 S RANDALL ROAD
    GENEVA,IL60134     		NONE   UNRESTRICTED 5,000
    NWM HOME HEALTH & HOSPICE
    690 E NORTH AVENUE
    CAROL STREAM,IL60188     		NONE   UNRESTRICTED 1,000
    Total .................................bullet 3a 257,000
    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 ...........     		    14 180  
    4 Dividends and interest from securities....     14 123,652  
    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 ............     		    14 37,492 13,347
    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)..   161,324 13,347
    13Total. Add line 12, columns (b), (d), and (e)..................
    13174,671
    (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:
    ALBEN F & CLARA G BATES FOUNDATION
    EIN:
    36-6081072
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROFESSIONAL FEES 2,975 2,975    

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

    TY 2015 DepreciationSchedule
    Name:
    ALBEN F & CLARA G BATES FOUNDATION
    EIN:
    36-6081072
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    LEASEHOLD IMPROVEMENTS 2002-06-30 4,602 1,481 STRAIGHT LINE 39.0000 118 118    
    COMPUTER (1/3 SHARE) 2011-06-30 317 317 200% DB 5.0000        

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

    TY 2015 GainLossSaleOtherAssetsSch
    Name:
    ALBEN F & CLARA G BATES FOUNDATION
    EIN:
    36-6081072
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    1370.614 SHS AMERICAN MUTUAL FUND 2006-01 PURCHASE 2015-12   50,000 42,209     7,791  
    1447.49 SHS CAPITAL INCOME BUILDER 2006-01 PURCHASE 2015-12   85,000 79,444     5,556  

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    ALBEN F & CLARA G BATES FOUNDATION
    EIN:
    36-6081072
    Name of Stock End of Year Book Value End of Year Fair Market Value
    FRANKLIN INVS SECS TR 389,162 422,211
    CAPITAL WORLD GROWTH & INCOME 314,781 354,828
    WASHINGTON MUTUAL INV. 231,632 242,813
    INCOME FUND OF AMERICA 280,832 278,347
    CAPITAL INCOME BUILDER FUND 194,046 201,552
    FRANKLIN TEMPLETON FOUNDING FD 274,797 303,347
    FRANKLIN UTILITIES 179,767 213,138
    FRANKLIN RISING DIVIDENDS 156,287 203,241
    AMERICAN MUTUAL FUND 67,105 73,517
    AMERICAN INTERNATIONAL GRW & INC 121,570 112,935
    CAPITAL WORLD BOND FUND 107,736 99,589
    FRANKLIN INCOME FUND 92,395 89,321
    3M 64,281 128,044
    WALMART 32,153 42,910
    JOHNSON & JOHNSON 45,460 77,040
    PROCTOR & GAMBLE 44,427 59,557
    MICROSOFT 40,580 83,220
    BANK OF AMERICA 39,244 16,830
    AT&T 38,852 51,615
    SCHLUMBERGER LIMITED 33,495 154,287
    ORACLE 24,901 45,662
    AUTOMATIC DATA PROCESSING 18,289 42,360
    LINCOLN NATIONAL 6,614 113,990
    CITIGROUP 5,478 4,450
    CURTISS WRIGHT 3,738 68,500
    JPMORGAN CHASE 2,388 215,918
    WELLS FARGO 2,439 17,178
    HONEYWELL 1,756 80,992
    UNION PACIFIC 1,504 153,898
    ANADARKO PETROLEUM 1,272 18,363
    ILLINOIS TOOL WORKS 26 92,680
    INVESCO SHORT TERM BOND FUND 508,182 501,094
    CDK GLOBAL INC 2,635 7,880

    TY 2015 LandEtcSchedule2
    Name:
    ALBEN F & CLARA G BATES FOUNDATION
    EIN:
    36-6081072
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    IMPROVEMENTS 4,922 1,916 3,006 3,006


    TY 2015 OtherExpensesSchedule
    Name:
    ALBEN F & CLARA G BATES FOUNDATION
    EIN:
    36-6081072
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    SAFETY DEPOSIT BOX RENTAL 60 60    
    POSTAGE & DELIVERY 57 29   28
    INSURANCE 350 350    
    FINES & PENALTIES 100 100    
    BASIS RECONCILIATION 5,816 5,816    


    TY 2015 TaxesSchedule
    Name:
    ALBEN F & CLARA G BATES FOUNDATION
    EIN:
    36-6081072
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ANNUAL FILING FEE 10 10    
    PAYROLL TAXES 885 885    
    FOREIGN TAX 803 803    
    990 PF TAXES 500 500    
    IL AG REGISTRATION FEE 15 15