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
SMIKIS FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1660 SHWY 100 PARKDALE PLAZA NO 426
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ST LOUIS PARK, MN55416
A Employer identification number

41-1742700
B Telephone number (see instructions)

(952) 512-1165
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$16,795,471
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) 266,177
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 74,700 74,700  
4 Dividends and interest from securities... 256,843 256,843  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 950,419
b Gross sales price for all assets on line 6a 2,680,000
7 Capital gain net income (from Part IV, line 2)... 950,419
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)....... 555,956 -4,801  
12 Total. Add lines 1 through 11........ 2,104,095 1,277,161  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 217,612 217,612   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 41,235 21,210   25
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 1,288 1,288   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 260,135 240,110   25
25 Contributions, gifts, grants paid....... 831,830 831,830
26 Total expenses and disbursements. Add lines 24 and 25 1,091,965 240,110   831,855
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,012,130
b Net investment income (if negative, enter -0-) 1,037,051
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............. 1    
2 Savings and temporary cash investments......... 3,309,455 1,174,544 1,174,544
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)....... 19,896 Click to see attachment19,896 1,089,082
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).......... 14,245,347 Click to see attachment17,392,389 14,531,845
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 17,574,699 18,586,829 16,795,471
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 7,674,413 7,674,413
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 9,900,286 10,912,416
30 Total net assets or fund balances (see instructions)..... 17,574,699 18,586,829
31 Total liabilities and net assets/fund balances (see instructions). 17,574,699 18,586,829
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
17,574,699
2
Enter amount from Part I, line 27a .....................
2
1,012,130
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
18,586,829
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
18,586,829
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 POCKET LLC P    
b POCKET LLC P    
c POCKET LLC P    
d POCKET LLC P    
e EVERGREEN TAX ADVANTAGED FUND P    
EVERGREEN TAX ADVANTAGED FUND P    
EVERGREEN TAX ADVANTAGED FUND P    
EVERGREEN SMALLCAP FUND II P    
EVERGREEN SMALLCAP FUND II P    
EVERGREEN SMALLCAP FUND II P    
EVERGREEN SMALLCAP FUND P    
EVERGREEN SMALLCAP FUND P    
EVERGREEN SMALLCAP FUND P    
LARGE CAP CORE P    
LARGE CAP CORE P    
421.3642 EVERGREEN LARGECAP CORE P 2015-04-30 2015-04-30
280.9095 EVERGREEN LARGECAP CORE P 2015-04-30 2015-05-31
410.3229 EVERGREEN LARGECAP CORE P   2015-05-31
40.0662 EVERGREEN SMALLCAP FUND P   2015-04-30
25.5337 EVERGREEN SMALLCAP FUND II P 1998-04-27 2015-04-30
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a       16,070
b       50,396
c       10,377
d       17,263
e       -8,584
      55,308
      85
      -5,603
      89,881
      7
      -9,444
      68,630
      137
      -25,470
      497,772
900,000   900,000 0
609,584   608,584 1,000
890,416   794,734 95,682
130,000   81,459 48,541
150,000   101,629 48,371
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       16,070
b       50,396
c       10,377
d       17,263
e       -8,584
      55,308
      85
      -5,603
      89,881
      7
      -9,444
      68,630
      137
      -25,470
      497,772
      0
      1,000
      95,682
      48,541
      48,371
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 2 950,419
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 733,262 17,072,975 0.042949
2013 672,839 16,012,824 0.042019
2012 605,615 14,339,152 0.042235
2011 628,399 14,283,851 0.043994
2010 475,025 12,893,414 0.036842
2
Total of line 1, column (d) .....................
20.208039
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
0.041608
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
17,050,259
5
Multiply line 4 by line 3......................
5
709,427
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
10,371
7
Add lines 5 and 6........................
7
719,798
8
Enter qualifying distributions from Part XII, line 4.............
8
831,855
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 10,371
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 10,371
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 10,371
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 27,275
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 27,275
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 16,904
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet16,904 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 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)
    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 addressbulletN/A
    14
    The books are in care ofbulletJOANNE KLETSCHER Telephone no.bullet (952) 512-1165

    Located atbullet1660 S HWY 100 STE 426ST LOUIS PARKMN ZIP+4bullet55416
    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
    LUCY B HARTWELL DIRECTOR
    0.00
    0 0 0
    520 INDIAN MOUND STREET APT 2A
    WAYZATA,MN55391
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................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
    15,321,111
    b
    Average of monthly cash balances.......................
    1b
    1,988,797
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    17,309,908
    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
    17,309,908
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    259,649
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    17,050,259
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    852,513
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    852,513
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    10,371
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    10,371
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    842,142
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    842,142
    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
    842,142
    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
    831,855
    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
    831,855
    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
    10,371
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    821,484
    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 7 842,142
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 828,920
    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$ 831,855
    a Applied to 2014, but not more than line 2a 828,920
    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..... 2,935
    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 ..........
    839,207
    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:
    LUCY B HARTWELL
    1660 S HWY 100 SUITE 426
    ST LOUIS PARK,MN55416
    (952) 512-1165
    bThe form in which applications should be submitted and information and materials they should include:
    PAST AND PRESENT INFORMATION ABOUT THE APPLICANT, BUDGET, PROJECTIONS, USE OF FUNDS, OTHER FUND RAISING EFFORTS, TAX EXEMPTION LETTER, ETC.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    ACES
    1115 E HENNEPIN
    MINNEAPOLIS,MN55414
      PUBLIC CHARITY IMPROVE PUBLIC EDUCATION 10,000
    ASCENSION CATHOLIC SCHOOL
    1723 BRYANT AVENUE NORTH
    MINNEAPOLIS,MN55411
      PUBLIC CHARITY TEACH CHRISTIAN FAITH 15,000
    AUDUBON MINNESOTA
    2357 VENTURA DRIVE STE 106
    WOODBURY,MN55125
      PUBLIC CHARITY CONSERVATION 10,000
    BANYAN COMMUNITY
    2647 BLOOMINGTON AVENUE SOUTH
    MINNEAPOLIS,MN55407
      PUBLIC CHARITY TRANSFORM LIVES BY DEVELOPING YOUTH, STRENGTHENING FAMILIES, AND CREATING COMMUNITY 3,000
    BEACON INTERFAITH HOUSING COLLABORATIVE
    2610 UNIVERSITY AVENUE WEST
    ST PAUL,MN55114
      PUBLIC CHARITY SOLUTION TO HOMELESSNESS IN COMMUNITIES AND CREATE AFFORDABLE HOUSING 5,000
    BELWIN
    1660 S HWY 100 SUITE 426
    ST LOUIS PARK,MN55416
      PUBLIC CHARITY IN MINNESOTA INSPIRE CONNECTION TO NATURAL WORLD 25,330
    BEYOND WALLS
    3808 LYNDALE AVE S
    MINNEAPOLIS,MN55408
      PUBLIC CHARITY HEALTHY DEVELOPMENTDEVELOP AN INTENSIVE PROGRAM THAT COMBINES SQUASH PLAYING, ACADEMIC TUTORING, AND COMMUNITY SERVICE 5,000
    BLAKE-LEARNING WORKS
    SDS 12-2577 PO BOX 86
    MINNEAPOLIS,MN554862577
      PUBLIC CHARITY EDUCATION 5,000
    BOLDER OPTIONS
    2100 STEVENS AVENUE
    MINNEAPOLIS,MN55404
      PUBLIC CHARITY HEALTHY YOUTH DEVELOPMENT 15,000
    CENTER FOR VICTIMS OF TORTURE
    717 EAST RIVE ROAD
    MINNEAPOLIS,MN55455
      PUBLIC CHARITY DIRECT CARE FOR THOSE TORTURED IN U.S. AND AROUND THE WORLD AND END TORTORE WORLD WIDE 15,000
    CHILDREN AND NATURE NETWORK
    808 14TH AVENUE SE
    MINNEAPOLIS,MN55414
      PUBLIC CHARITY CONNECT ALL CHILDREN, THEIR FAMILIES AND COMMUNITIES TO NATURE THROUGH INNOVATIVE IDEAS 5,000
    COLLEGE POSSIBLE
    450 N SYNDICATE STREET SUITE 325
    ST PAUL,MN55104
      PUBLIC CHARITY ENABLE COLLEGE CAPABLE LOW INCOME STUDENTS OPPORTUNITY TO ATTEND COLLEGE 25,000
    CONSERVATION MINNESOTA
    1101 W RIVER PKWY 250
    MINNEAPOLIS,MN55415
      PUBLIC CHARITY CONSERVATION OF LAND AND LAKES 10,000
    EDUCATORS 4 EXCELLENCE
    333 WEST 39TH STREET SUITE 702
    NEW YORK,NY10018
      PUBLIC CHARITY TEACHER LED ORGANIZATION WORKS TO ENSURE THAT THE VOICES OF THE CLASSROOM TEACHERS INCLUDED IN CREATION OF POLICIES 15,000
    FIRESFLY SISTERHOOD
    5775 WAYZATA BOULEVARD SUITE 700
    MINNEAPOLIS,MN55416
      PUBLIC CHARITY CONNECT WOMEN DIAGNOSED WITH BREAST CANCER OFFER SUPPORT, GUIDANCE AND HOPE 5,000
    FOUNDATION OF CHILDREN'S HOSPITALS AND CLINICS
    2525 CHICAGO AVENUE
    MINNEAPOLIS,MN554044518
      PUBLIC CHARITY CHAMPION HEALTH NEEDS OF CHILDREN AND FAMILIES 1,000
    FRIENDSHIP ACADEMY OF THE ARTS
    2600 EAST 38TH STREET
    MINNEAPOLIS,MN55406
      PUBLIC CHARITY EDUCATE CHILDREN TO BE CONFIDENT, CREATIVE AND COMPETENT CITIZENS 2,500
    GLOBAL RIGHTS FOR WOMEN
    80 SOUTH 8TH STREET SUITE 4200
    MINNEAPOLIS,MN55402
      PUBLIC CHARITY DEDICATED TO PROMOTING WOMEN'S HUMAN RIGHTS INTERNATIONALLY 3,000
    HIAWATHA ACADEMIES
    3810 E 56TH STREET
    MINNEAPOLIS,MN55417
      PUBLIC CHARITY EMPOWERED WITH KNOWLEDGE, CHARACTER, LEADERSHIP SKILLS TO GRADUATE FROM COLLEGE AND SERVE THE COMMON GOOD 25,000
    HOPE COMMUNITY
    611 EAST FRANKLIN AVENUE
    MINNEAPOLIS,MN55404
      PUBLIC CHARITY TURNING ABANDONED SPACES INTO HOMES FOR FAMILIES IN NEED 1,500
    INNERCITY TENNIS
    4005 NICOLLET AVENUE SOUTH
    MINNEAPOLIS,MN55409
      PUBLIC CHARITY FOSTER DEVELOPMENT OF CITIZENSHIP SCHOLARSHIP AND FAIR PLAY 1,000
    INTERFAITH OUTREACH
    1605 COUNTY ROAD 101 NORTH
    PLYMOUTH,MN55447
      PUBLIC CHARITY ENCOURAGE YOUTH, FOOD SHELF, NEEDS IN COMMUNITY, FUND HOUSING PROJECTS 85,000
    KIPP MINNESOTA
    1601 LAUREL AVENUE
    MINNEAPOLIS,MN55403
      PUBLIC CHARITY FREE OPEN ENROLLMENT COLLEGE PREPATORY SCHOOLS IN UNDER RESOURCED COMMUNITIES 10,000
    LAND TRUST ALLIANCE
    1331 H STREET NW SUITE 400
    WASHINGTON,DC200054734
      PUBLIC CHARITY PROMOTES VOLUNTARY LAND CONSERVATION 5,000
    MD ANDERSON CANCER CENTER
    1515 HOLCOMBE BLVD
    HOUSTON,TX77030
      PUBLIC CHARITY EXCEPTIONAL RESEARCH AND MEDICAL CARE FOR CANCER PATIENTS 5,000
    MICROGRANTS
    1035 EAST FRANKLIN AVENUE
    MINNEAPOLIS,MN55404
      PUBLIC CHARITY CONNECT AFFLUENT WITH LOW INCOME INDIVIDUALS TO HELP BECOME SELF SUFFICIENT 7,000
    MINNCAN
    287 EAST SIXTH STREET STE 513
    ST PAUL,MN55101
      PUBLIC CHARITY EDUCATION REFORM ADVOCACY 7,500
    MINNEAPOLIS COLLEGE PREPARATORY SCHOOL
    2131 NORTH 12TH AVENUE
    MINNEAPOLIS,MN55411
      PUBLIC CHARITY PREPARATORY EDUCATION 25,000
    MINNEAPOLIS FOUNDATION - EDUCATION TRANSFORMATION INITIATIVE FUND
    80 SOUTH 8TH STREET SUITE 800
    MINNEAPOLIS,MN55402
      PUBLIC CHARITY COMMITTED TO IMPROVING EDUCATION, ESPECIALLY FOR LOW-INCOME CHILDREN AND CHILDREN OF COLOR 34,000
    MINNESOTA LAND TRUST
    2356 UNIVERSITY AVENUE WEST SUITE
    240
    ST PAUL,MN55114
      PUBLIC CHARITY PROTECT OPEN SPACE IN MINNESOTA 15,000
    NONVIOLENT PEACEFORCE
    425 OACK GROVE STREET
    MINNEAPOLIS,MN55403
      PUBLIC CHARITY SERVES TO PROMOTE DEVELOP AND IMPLEMENT UNARMED CIVILIAN PEACEKEEPING AS A TOOL FOR REDUCING VIOLENCE AND PROTECTING CIVILIANS IN SIUTATIONS OF VIOLENT CONFLICT 3,000
    NORTHEAST COLLEGE PREPATORY SCHOOL
    2511 TAYLOR STREET NE
    MINNEAPOLIS,MN55418
      PUBLIC CHARITY PREPARING EACH STUDENT FOR COLLEGE GRADUATION AND CAREER SUCCESS 50,000
    NORTHSIDE ACHIEVEMENT ZONE
    1200 WEST BROADWAY AVE SUITE 250
    MINNEAPOLIS,MN55411
      PUBLIC CHARITY BUILD CULTURE OF ACHIEVEMENT SO ALL YOUTH GRADUATE COLLEGE READY 25,000
    OPPORTUNITY INTERNATIONAL
    12625 HIGH BLUFF DRIVE SUITE 111
    SAN DIEGO,CA92130
      PUBLIC CHARITY HELP POOR BREAK CYCLE POVERTY PROVIDE FINANCIAL ASSISTANCE 5,000
    PATHWAYS
    3115 HENNEPIN AVENUE
    MINNEAPOLIS,MN55408
      PUBLIC CHARITY PROVIDE RESOURCES AND SERVICES FOR PEOPLE WITH LIFE-THREATENING ILLNESS 5,000
    PEOPLE INCORPORATED
    2060 CENTRE POINTE BOULEVARD -
    SUITE 3
    ST PAUL,MN55120
      PUBLIC CHARITY PROMOTE HOPE AND INDEPENDENCE FOR PEOPLE WITH MENTAL ILLNESS 12,500
    PHILLIPS EYE INSTITUTE FOUNDATION
    2215 PARK AVENUE - SUITE 202
    MINNEAPOLIS,MN55404
      PUBLIC CHARITY EYE CARE NEEDS 10,000
    PLAYWORKS MINNESOTA
    1885 UNIVERSITY AVENUE WEST - SUITE
    211
    ST PAUL,MN55104
      PUBLIC CHARITY LEVERAGING THE POWER OF PLAY TO TRANSFORM CHILDREN'S PHYSICAL AND EMOTIONAL HEALTH 5,000
    POSITIVE COACHING ALLIANCE
    1001 N RENGSTORFF AVE SUITE 100
    MOUNTAIN VIEW,CA94043
      PUBLIC CHARITY PROVIDE YOUTH ATHLETES A POSITIVE CHARACTER BUIDLING YOUTH SPORTS EXPERIENCE 10,000
    PRODEO ACADEMY
    1555 40TH AVENUE NE
    MINNEAPOLIS,MN55421
      PUBLIC CHARITY COLLEGE PREPARATORY SCHOOL 22,500
    PROJECT FOR PRIDE IN LIVING
    1035 EAST FRANKLIN AVENUE
    MINNEAPOLIS,MN554042929
      PUBLIC CHARITY WORK WITH FAMILIES IN TWIN CITIES METOR TO ACHIEVE GREATER SELF SUFFICIENCY 20,000
    PROJECT SUCCESS
    ONE GROVELAND TERRACE - SUITE 300
    MINNEAPOLIS,MN55403
      PUBLIC CHARITY TO MOTIVATE AND INSPIRE YOUNG PEOPLE AND GIVE THEM THE TOOLS TO ACHIEVE THERE GOALS 50,000
    STUDENTS TODAY LEADERS FOREVER
    619 SOUTH 10TH STREET SUITE L10
    MINNEAPOLIS,MN55404
      PUBLIC CHARITY REVEAL LEADERSHIP THROUGH SECURE RELATIONSHIPS AND ACTION 7,500
    SUMMITT ACADAMY
    935 OLSON MEMORIAL HIGHWAY
    MINNEAPOLIS,MN55405
      PUBLIC CHARITY EDUCATION AND VOCATIONAL TRAINING ECONOMICALLY DEPRESSED NEIGHBORHOODS 25,000
    TEACH FOR AMERICA
    315 WEST 36TH STREET 7TH FLOOR
    NEW YORK,NY10018
      PUBLIC CHARITY RECENT COLLEGE GRADS TEACH TO EFFECT CHANGE IN UNDE RESOURCED URBAN AND RURAL AREAS 10,000
    TEFSA INTERNATIONAL SCHOOL
    1745 UNIVERSITY AVENUE WEST
    ST PAUL,MN55104
      PUBLIC CHARITY PROVIDE AN EQUITABLE AND EMPOWERING EDUCATION TO ALL 25,000
    THE MASTERY SCHOOL
    1300 OLSON MEMORIAL HWY
    MINNEAPOLIS,MN55411
      PUBLIC CHARITY EDUCATION 15,000
    TREE TRUST
    2350 WYCLIFF STREET SUITE 200
    ST PAUL,MN55114
      PUBLIC CHARITY IMPROVE COMMUNITY ENVIRONMENT BY INVESTING IN PEOPLE 4,000
    TRUST FOR PUBLIC LAND
    2610 UNIVERSITY AVENUE SUITE 300
    ST PAUL,MN55114
      PUBLIC CHARITY LAND CONSERVATION PROGRAM 5,000
    TWIN CITIES RISE
    800 WASHINGTON AVENUE NORTH SUITE
    203
    MINNEAPOLIS,MN55401
      PUBLIC CHARITY PROVIDE EMPLOYERS IN TWIN CITIES METRO WITH TRAINED MEN FROM COMMUNITIES OF COLOR 70,000
    UNIVERSITY OF ST THOMAS LEGAL SERVICES CLINIC
    30 SOUTH TENTH STREET
    MINNEAPOLIS,MN55403
      PUBLIC CHARITY THOUGHTFUL APPROACH TO CHALLENGES OF CONTEMPORARY LIFE 10,000
    VENTURE ACADEMY
    315 27TH AVENUE SE/
    MINNEAPOLIS,MN55414
      PUBLIC CHARITY PERSONALIZED LEARNING MODEL TO CLOSE COLLEGE AND CAREER READINESS GAP TO ECONOMICALLY DISADVANTAGED YOUTH 25,000
    WILDERNESS INQUIRY
    808 - 14TH AVENUE SE
    MINNEAPOLIS,MN554141516
      PUBLIC CHARITY HELPS PEOPLE FROM ALL WALKS OF LIFE PERSONALLY EXPERIENCE NATURAL WORLD 1,500
    YOUTH FRONTIERS
    6009 EXCELSIOR BOULEVARD
    MINNEAPOLIS,MN55416
      PUBLIC CHARITY BUILD POSITIVE SCHOOL COMMUNITIES 20,000
    Total .................................bullet 3a 831,830
    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 ...........
        14 74,700  
    4 Dividends and interest from securities....     14 256,843  
    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.....     14 555,956  
    8
    Gain or (loss) from sales of assets other than inventory ............
        18 950,419  
    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 1,837,918 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,837,918
    (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
    SMIKIS FOUNDATION
     
    Employer identification number

    41-1742700
    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
    SMIKIS FOUNDATION
     
    Employer identification number
    41-1742700
    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
     
     

    CHARITABLE LEAD ANNUITY TRUST 2  
    1660 S HWY 100 SUITE 426
     
    ST LOUIS PARK, MN55416

    $ 16,230


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

    CHARITABLE LEAD ANNUITY TRUST NO 1  
    1660 S HWY 100 SUITE 426
     
    ST LOUIS PARK, MN55416

    $ 173,876


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

    LUCY B HARTWELL  
    1660 S HWY 100 SUITE 426
     
    ST LOUIS PARK, MN55416

    $ 76,071


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

    41-1742700
    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
    3
    30.4193 LARGECAP INDEX FUND $ 76,071 2015-10-13
    (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
    SMIKIS FOUNDATION
     
    Employer identification number

    41-1742700
    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:
    SMIKIS FOUNDATION
    EIN:
    41-1742700
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 69,482 69,482   0
    EVERGREEN SMALLCAP FUND II 301 301   0
    EVERGREEN SMALLCAP FUND II 1,876 1,876   0
    LARGE CAP CORE I 38,937 38,937   0
    POCKET LLC 103,904 103,904   0
    EVERGREEN TAX ADVANTAGED FUND 1,597 1,597   0
    EVERGREEN SMALLCAP FUND 1,515 1,515   0

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    SMIKIS FOUNDATION
    EIN:
    41-1742700
    Name of Stock End of Year Book Value End of Year Fair Market Value
    GENERAL MILLS INC. 19,896 1,089,082

    TY 2015 InvestmentsOtherSchedule2
    Name:
    SMIKIS FOUNDATION
    EIN:
    41-1742700
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ML WARBURG PINCUS TRUST AT COST 67,220 4,122
    EVERGREEN SMALLCAP FUND II AT COST 472,102 556,187
    FLAG VENTURE PARTNERS III, L.P. AT COST 308,431 26,365
    FLAG VENTURE PARTNERS IV L.P. AT COST 37,178 13,460
    EVERGREEN SMALLCAP FUND AT COST 437,753 564,541
    EVERGREEN LARGE CAP CORE I AT COST 3,571,021 3,828,299
    J P MORGAN U.S. REAL ESTATE INCOME AT COST 796,218 704,493
    INVESCO REAL ESTATE FUND AT COST 508,659 61,838
    J.P. MORGAN REIT AT COST 83 83
    WAYZATA OPPORTUNITY FUND LLC AT COST 534,579 68,970
    WAYZATA OPPORTUNITY FUND LLC II AT COST 590,520 142,698
    WESTLY CAPITAL FUNDS AT COST 553,980 192,695
    EUROPEAN SECONDARY OPPORTUNITIES FUND AT COST 277,925 219,773
    HARRISON STREET REAL ESTATE PARTNERS AT COST 451,699 296,976
    WESTLY CAPITAL FUNDS II AT COST 426,706 353,174
    PINEBRIDGE STRUCTURED CPITAL PARTNERS II AT COST 863,595 793,894
    FUNDAMENTAL PARTNERS MUNICIPAL AT COST 412,000 327,120
    INTERNATIONAL FARMLAND TRUST AT COST 500,000 404,980
    EATON VANCE PARA TX MGD EMG MKT AT COST 1,950,000 1,507,303
    ISHARES MSCI EAFE ETF AT COST 1,608,506 1,532,592
    SIGHTLINE HEALTHCARE OPPORTUNITY AT COST 162,500 193,471
    SPECIAL CREDIT OPPORTUNITIES OFFSHORE AT COST 443,082 377,115
    LARGECAP INDEX AT COST 1,476,566 1,471,524
    ISHARES CORE MSCI EAFE ETF AT COST 182,854 163,140
    FUNDAMENTAL PARTNERS III AT COST 428,449 398,888
    GCM GROSVENOR CO-INVESTMENT AT COST 330,763 328,144

    TY 2015 OtherExpensesSchedule
    Name:
    SMIKIS FOUNDATION
    EIN:
    41-1742700
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    GROSVENOR 1,288 1,288   0


    TY 2015 OtherIncomeSchedule2
    Name:
    SMIKIS FOUNDATION
    EIN:
    41-1742700
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PARTNERSHIP INCOME 560,757 0 560,757
    EVERGREEN SMALLCAP FUND II -28 -28 -28
    POCKET LLC -4,773 -4,773 -4,773


    TY 2015 TaxesSchedule
    Name:
    SMIKIS FOUNDATION
    EIN:
    41-1742700
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MINNESOTA FILING FEE 25 0   25
    FOREIGN TAXES 9,887 9,887   0
    EVERGREEN LARGECAP CORE 5,134 5,134   0
    FEDERAL TAXES 20,000 0   0
    POCKET LLC 6,189 6,189   0