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
Theda and Tamblin Clark Smith Family
Foundation Inc
% Theda & Tamblin Clark Smith
Number and street (or P.O. box number if mail is not delivered to street address)24918 Genesee Trail Rd 203
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Golden, CO80401
A Employer identification number

39-6125329
B Telephone number (see instructions)

(303) 407-9501
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$44,038,220J 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) 8,918,117
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 1,231 1,231  
4 Dividends and interest from securities... 813,283 813,178  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 275,793
b Gross sales price for all assets on line 6a 16,497,223
7 Capital gain net income (from Part IV, line 2)... 465,935
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)....... Click to see attachment 1,691 257  
12 Total. Add lines 1 through 11........ 10,010,115 1,280,601  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 72,000     72,000
14 Other employee salaries and wages...... 115,000     115,000
15 Pension plans, employee benefits....... 14,813     14,813
16a Legal fees (attach schedule)......... Click to see attachment 3,307 0 0 3,307
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 341,898 301,100   40,798
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 26,430 3,206    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 13,200     13,200
21 Travel, conferences, and meetings....... 28,570 4,776   23,794
22 Printing and publications.......... 1,310     1,310
23 Other expenses (attach schedule)....... Click to see attachment 111,986 24,210   87,775
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 728,514 333,292 0 371,997
25 Contributions, gifts, grants paid....... 2,218,876 2,218,876
26 Total expenses and disbursements. Add lines 24 and 25 2,947,390 333,292 0 2,590,873
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 7,062,725
b Net investment income (if negative, enter -0-) 947,309
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.............      
2 Savings and temporary cash investments......... 266,403 7,695,598 7,695,598
3 Accounts receivable bullet1,975
Less: allowance for doubtful accounts bullet   1,762 1,975 1,975
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) 4,189,447 Click to see attachment3,129,123 3,124,192
b Investments—corporate stock (attach schedule)....... 26,848,574 Click to see attachment26,819,514 27,102,898
c Investments—corporate bonds (attach schedule)....... 2,294,809 Click to see attachment2,778,478 2,767,127
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 3,087,976 Click to see attachment3,327,008 3,346,430
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) 36,688,971 43,751,696 44,038,220
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 36,688,971 43,751,696
30 Total net assets or fund balances (see instructions)..... 36,688,971 43,751,696
31 Total liabilities and net assets/fund balances (see instructions). 36,688,971 43,751,696
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
36,688,971
2
Enter amount from Part I, line 27a .....................
2
7,062,725
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
43,751,696
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
43,751,696
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 Publicly-traded Securities      
b Passthrough K1 Capital Gain      
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 16,497,223   16,031,294 465,929
b     0 6
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       465,929
b       0
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 2 465,935
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 2,091,785 38,349,745 0.054545
2013 1,281,882 17,303,507 0.074082
2012 291,243 2,623,662 0.111006
2011 139,011 2,768,877 0.050205
2010 115,268 2,616,647 0.044052
2
Total of line 1, column (d) .....................
20.33389
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
0.066778
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
41,303,643
5
Multiply line 4 by line 3......................
5
2,758,175
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
9,473
7
Add lines 5 and 6........................
7
2,767,648
8
Enter qualifying distributions from Part XII, line 4.............
8
2,590,873
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 18,946
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 18,946
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 18,946
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 20,909
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 20,909
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,963
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet1,963 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)
    bulletCO, WI
    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 addressbullet  
    14
    The books are in care ofbulletTHEDA & TAMBLIN CLARK SMITH FD Telephone no.bullet (303) 407-9501

    Located atbullet24918 Genesee Trail Rd Ste 203GoldenCO ZIP+4bullet80401
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    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
    David W Radford Dir / Sec
    1.0     		18,000 0 0
    24918 Genesee Trail Rd 203
    Golden,CO80401
    Carlton Smith VP / Dir / Treas
    1.0     		18,000 0 0
    24918 Genesee Trail Rd 203
    Golden,CO80401
    Marc Vaccaro Pres / Dir / Chairman/CEO
    1.0     		18,000 0 0
    24918 Genesee Trail Rd 203
    Golden,CO80401
    Sylvia Vaccaro Dir
    1.0     		18,000 0 0
    24918 Genesee Trail Rd 203
    Golden,CO80401
    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
    PETER RADFORD EXECUTIVE DIRECTOR
    40.0     		115,000 6,229  
    24918 GENESEE TRAIL RD STE 203
    GOLDEN,CO80401
    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
    BNY Mellon Bank Investment Mgmt 301,100
    225 Liberty Street
    NEW YORK,NY10286
    Foundation Source Administrative Svcs 75,000
    55 Walls Drive
    Fairfield,CT06824
    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  
    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
    34,445,062
    b
    Average of monthly cash balances.......................
    1b
    4,141,140
    c
    Fair market value of all other assets (see instructions)................
    1c
    3,346,430
    d
    Total (add lines 1a, b, and c).........................
    1d
    41,932,632
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    41,932,632
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    628,989
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    41,303,643
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    2,065,182
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    2,065,182
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    18,946
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    18,946
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,046,236
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    2,046,236
    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
    2,046,236
    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
    2,590,873
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    2,590,873
    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
    2,590,873
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 2,046,236
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:2013, 2012, 2011  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011...... 1,591
    c From 2012...... 167,428
    d From 2013...... 478,319
    e From 2014...... 288,632
    fTotal of lines 3a through e........ 935,970
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 2,590,873
    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..... 2,046,236
    e Remaining amount distributed out of corpus 544,637
    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 1,480,607
    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) ...     		 
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		1,480,607
    10 Analysis of line 9:
    a Excess from 2011.... 1,591
    b Excess from 2012.... 167,428
    c Excess from 2013.... 478,319
    d Excess from 2014.... 288,632
    e Excess from 2015.... 544,637
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    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
    ACTS4 COMMUNITY OUTREACH SERVICES INC DBA LOVE INC
    PO BOX 787
    LITTLETON,CO80160     		N/A PC General & Unrestricted 10,100
    ACTS4 COMMUNITY OUTREACH SERVICES INC DBA LOVE INC
    PO BOX 787
    LITTLETON,CO80160     		N/A PC Transformational Ministry for poor children and families 15,000
    AFRICAID INC
    1031 33RD ST STE 174
    DENVER,CO80205     		N/A PC Kisa Project 5,000
    BEST FRIENDS OF NEENAH MENASHA INC
    181 E N WATER ST
    NEENAH,WI54956     		N/A PC One-to-One Mentoring and its Support Services Project 25,000
    BEVERLY BOOTSTRAPS COMMUNITY SERVICES INC
    371 CABOT ST
    BEVERLY,MA01915     		N/A PC help with the new building's classroom construction 50,000
    BOYS & GIRLS CLUB OF OSHKOSH INC
    PO BOX 411
    OSHKOSH,WI54903     		N/A PC Kids Transportation and Camp Radford Fund 9,000
    BOYS & GIRLS CLUB OF OSHKOSH INC
    PO BOX 411
    OSHKOSH,WI54903     		N/A PC transporting kids Fund 6,000
    BOYS & GIRLS CLUB OF OSHKOSH INC
    PO BOX 411
    OSHKOSH,WI54903     		N/A PC Camp Radford Program 2,000
    BOYS & GIRLS CLUB OF OSHKOSH INC
    PO BOX 411
    OSHKOSH,WI54903     		N/A PC Great Futures Mentoring Program Project 35,000
    BOYS & GIRLS CLUBS OF ELKHART COUNTY INC
    102 W LINCOLN AVE STE 240
    GOSHEN,IN46526     		N/A PC Technology Upgrades and Renovations to Main office 50,000
    BOYS & GIRLS CLUBS OF SAN FRANCISCO
    380 FULTON ST
    SAN FRANCISCO,CA94102     		N/A PC Camp Mendocino Program 10,000
    BOYS AND GIRLS CLUB OF DANE COUNTY INC
    1818 W BELTLINE HWY
    MADISON,WI53713     		N/A PC designated for the family hardship grant Fund 9,000
    BOYS AND GIRLS CLUB OF DANE COUNTY INC
    1818 W BELTLINE HWY
    MADISON,WI53713     		N/A PC College Club, Transportation & Teen Center Renovation 80,000
    BOYS AND GIRLS CLUB OF LAGUNA BEACH
    1085 LAGUNA CANYON RD
    LAGUNA BEACH,CA92651     		N/A PC Preschool Program Project 35,000
    CAP SERVICES INC
    5499 HWY 10 E STE A
    STEVENS POINT,WI54482     		N/A PC Fresh Start Program and Skills Enhancement Program 60,000
    CASA OF THE FOX CITIES INC
    211 E FRANKLIN ST STE E
    APPLETON,WI54911     		N/A PC Volunteer Advocacy Program Project 20,000
    CHAPS ACADEMY INC
    N5367 MAYFLOWER RD
    SHIOCTON,WI54170     		N/A PC Hope Lives Day Treatment Program Project 25,000
    CHILMARK TOWN AFFAIRS COUNCIL INC
    800 S ST STE 190
    WALTHAM,MA02453     		N/A PC children youth Program 6,000
    CHRISTINE ANN DOMESTIC ABUSE SERVICES INC
    PO BOX 99
    NEENAH,WI54957     		N/A PC General & Unrestricted 5,000
    C Purull
    4635 N 22nd St
    Phoenix,AZ85016     		NONE I Hardship Assistance Grant 5,000
    COMMUNITY CLOTHES CLOSET INC
    1465-B OPPORTUNITY WAY
    MENASHA,WI54952     		N/A PC Hope on a Hanger Project 40,000
    COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION INC
    4455 W LAWRENCE ST
    APPLETON,WI54914     		N/A PC Charitable Event 50,000
    COTS INC
    PO BOX 1645
    APPLETON,WI54912     		N/A PC Young Adult Program Project 15,000
    C Wolff
    4011 East 129th Way
    Thornton,CO80241     		NONE I Hardship Assistance Grant 5,000
    DAYTON HISTORY
    1000 CARILLON BLVD
    DAYTON,OH45409     		N/A SO I General & Unrestricted 15,000
    DENVER RESCUE MISSION
    3501 E 46TH AVE
    DENVER,CO80216     		N/A PC Families with Children in need of Shelter Program 5,000
    EDUCATION FOUNDATION OF THE NEENAH JOINT SCHOOL DI
    PO BOX 244
    NEENAH,WI54957     		N/A PC Neenah Tomorrow Fund 6,000
    ESSEX COUNTY GREEN BELT ASSOCIATION INC
    82 EASTERN AVE
    ESSEX,MA01929     		N/A PC General & Unrestricted 3,000
    EVERGREEN CHRISTIAN OUTREACH
    PO BOX 1515
    EVERGREEN,CO80437     		N/A PC General & Unrestricted 8,000
    FIRST AID ARTS
    2105 N 90TH ST
    SEATTLE,WA98103     		N/A PC General & Unrestricted 1,200
    FIRST AID ARTS
    2105 N 90TH ST
    SEATTLE,WA98103     		N/A PC Healing Arts Toolkit Program Trainer Project 40,000
    FIT TO BE KIDS INC
    20 EGRET LN
    ALISO VIEJO,CA92656     		N/A PC Fit'n Fun Club Project 15,000
    FOOD PROJECT INC
    10 LEWIS ST
    LINCOLN,MA01773     		N/A PC General & Unrestricted 6,000
    FORWARD LEARNING YOUTH AND YOUNG ADULTS INC
    3 MARSH CT
    MADISON,WI53718     		N/A PC One 25 day backpacking Program 52,000
    FREEDOM FOUNDATION
    PO BOX 715
    SELMA,AL36702     		N/A PC Random Acts of Theater Project 25,000
    FRIENDS FOR HEALTH IN HAITI INC
    PO BOX 122
    PEWAUKEE,WI53072     		N/A PC General & Unrestricted 660
    FRIENDS OF AULLWOOD INC
    1000 AULLWOOD RD
    DAYTON,OH45414     		N/A PC Aullwood Audubon Center & Farm Program 10,000
    FRIENDS OF AULLWOOD INC
    1000 AULLWOOD RD
    DAYTON,OH45414     		N/A PC support for the Head Start Nature/Farm Play Preschool at Aullwood Audubon Farm Program 12,000
    G Loomis
    c/o David M White Dane County Chi
    210 Martin Luther King Blvd - Room
    Madison,WI05370     		NONE I Hardship Assistance Grant 5,000
    HBA FOUNDATION
    9033 E EER PL
    ENGLEWOOD,CO80112     		N/A PC General & Unrestricted 7,500
    HIMALAYAN INTERNATIONAL INSTITUTE OF YOGA SCI & PH
    952 BETHANY TPKE
    HONESDALE,PA18431     		N/A PC Village Branch Expansion Project 100,000
    HIMALAYAN INTERNATIONAL INSTITUTE OF YOGA SCI & PH
    952 BETHANY TPKE
    HONESDALE,PA18431     		N/A PC One Tribe and general funds Campaign 3,000
    HOMELESS PRENATAL PROGRAM INC
    2500 18TH ST
    SAN FRANCISCO,CA94110     		N/A PC General & Unrestricted 20,000
    HUMAN RACE INC
    126 N MAIN ST
    DAYTON,OH45402     		N/A PC General & Unrestricted 10,000
    INTERNATIONAL BIRD RESCUE
    36901 S GAFFEY RD BOX 3
    SAN PEDRO,CA90731     		N/A PC General & Unrestricted 1,500
    INTO YOUR HANDS INC
    PO BOX 3981
    EVERGREEN,CO80437     		N/A PC General & Unrestricted 5,000
    IRWIN A AND ROBERT D GOODMAN COMMUNITY CENTER INC
    149 WAUBESA ST
    MADISON,WI53704     		N/A PC General & Unrestricted 1,200
    JACK AND JILL CHILDRENS CENTER INC
    1315 W BROWARD BLVD
    FT LAUDERDALE,FL33312     		N/A PC General & Unrestricted 8,580
    JEFFERSON COUNTY LIBRARY FOUNDATION INC
    10790 W 50TH AVE STE 200
    WHEATRIDGE,CO80033     		N/A PC Evergreen, CO Library's Goldilocks Fund 1,000
    J Karvelas
    514 NW 60th St
    Seattle,WA98107     		NONE I Hardship Assistance Grant 5,000
    JUVENILE DIABETES RESEARCH FOUNDATION FAIRFIELD C
    200 CONNECTICUT AVE STE 4E
    NORWALK,CT06854     		N/A PC General & Unrestricted 2,000
    LAWRENCE UNIVERSITY OF WISCONSIN
    711 E BOLDT WAY SPC 18
    APPLETON,WI54911     		N/A PC Full Speed to Full Need Campaign Project 50,000
    LEAVEN INC
    1475 OPPORTUNITY WAY
    MENASHA,WI54952     		N/A PC Emergency Financial Assistance Project 50,000
    LIVING ARTS INTERNATIONAL INC
    228 PARK AVE S NO 49331
    NEW YORK,NY10003     		N/A PC General & Unrestricted 3,000
    LOVE LIGHT AND MELODY A NOT FORPROFIT CORPORATION
    5500 E YALE AVE STE 200
    DENVER,CO80222     		N/A PC Sun Valley Community Center Program 5,000
    LOVE LIGHT AND MELODY A NOT FORPROFIT CORPORATION
    5500 E YALE AVE STE 200
    DENVER,CO80222     		N/A PC Sun Valley Community Center Program 5,000
    LOVE LIGHT AND MELODY A NOT FORPROFIT CORPORATION
    5500 E YALE AVE STE 200
    DENVER,CO80222     		N/A PC Ileana's Smile Film & Awareness Campaign Project 5,000
    LOVE LIGHT AND MELODY A NOT FORPROFIT CORPORATION
    5500 E YALE AVE STE 200
    DENVER,CO80222     		N/A PC Sun Valley Programs 25,000
    LOVE LIGHT AND MELODY A NOT FORPROFIT CORPORATION
    5500 E YALE AVE STE 200
    DENVER,CO80222     		N/A PC Sun Valley Community Center - Cooking Program 10,000
    MADISON AUDUBON SOCIETY INC
    1400 E WASHINGTON AVE STE 170
    MADISON,WI53703     		N/A PC Conservation Education Programs for underpriviledged youth 40,000
    MADISON MUSEUM OF CONTEMPORARY ART INC
    227 STATE ST
    MADISON,WI53703     		N/A PC General & Unrestricted 34,286
    MARTHAS VINEYARD MUSEUM INC
    PO BOX 1310
    EDGARTOWN,MA02539     		N/A PC General & Unrestricted 3,000
    MCMSA FOUNDATION
    40 S PERRY ST STE 100
    DAYTON,OH45402     		N/A PC Medical and Allied Student Scholarship Fund 3,000
    M M Dang
    5010 24th Place S
    Seattle,WA98108     		NONE I Hardship Assistance Grant 5,000
    MUSCULAR DYSTROPHY ASSOCIATION
    2670 S ASHLAND STE 101
    GREEN BAY,WI54304     		N/A PC Green Bay Youth Camp Project 20,000
    NATIONAL FORENSIC LEAGUE
    PO BOX 38
    RIPON,WI54971     		N/A PC Communicators in the Classroom: Fox Valley Project 10,000
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    1120 JAMES DR
    HARTLAND,WI53029     		N/A PC General & Unrestricted 900
    NEWVOICES INC
    PO BOX 221
    APPLETON,WI54912     		N/A PC General & Unrestricted 3,000
    NORTH SHORE UNITED WAY INC
    248 CABOT ST
    BEVERLY,MA01915     		N/A PC the Tribute Fund 10,000
    OSHKOSH AREA SCHOOL DISTRICT
    PO BOX 3048
    OSHKOSH,WI54903     		N/A PC Nature Area Trail Bridge and General Maintenance 26,000
    PAINE ART CENTER & GARDENS INC
    1410 ALGOMA BLVD
    OSHKOSH,WI54901     		N/A PC Renovation of the Facilities Campaign 45,000
    PEOPLE AGAINST A VIOLENT ENVIRONMENT INCORPORATED
    PO BOX 561
    BEAVER DAM,WI53916     		N/A PC General & Unrestricted 3,000
    PERUVIAN HEARTS
    24918 GENESEE TRAIL RD
    GOLDEN,CO80401     		N/A PC General & Unrestricted 2,000
    PERUVIAN HEARTS
    24918 GENESEE TRAIL RD
    GOLDEN,CO80401     		N/A PC Scholarship Girls Notebook Fund 5,000
    PERUVIAN HEARTS
    24918 GENESEE TRAIL RD
    GOLDEN,CO80401     		N/A PC to assist underpriviledged girls supported by Peruvian Hearts Scholarship Fund 10,000
    RAWHIDE INC
    E7475 RAWHIDE RD
    NEW LONDON,WI54961     		N/A PC Youth Education Program Project 30,000
    REACH COUNSELING SERVICES INC
    1509 S COMMERCIAL ST
    NEENAH,WI54956     		N/A PC Treatment and Counseling Program of the disadvanta 20,000
    REAL ESCAPE FROM THE SEX TRADE
    4215 RAINIER AVE S
    SEATTLE,WA98118     		N/A PC Clinical Program Director Position Project 100,000
    RECOVERY FOUNDATION INC
    5005 UNIVERSITY AVE
    MADISON,WI53705     		N/A PC General & Unrestricted 1,750
    REGIS UNIVERSITY
    3333 REGIS BLVD
    DENVER,CO80221     		N/A PC General & Unrestricted 3,000
    ROOM TO GROW NATIONAL INC
    54 W 21ST ST STE 401
    NEW YORK,NY10010     		N/A PC General & Unrestricted 3,000
    ROOM TO GROW NATIONAL INC
    54 W 21ST ST STE 401
    NEW YORK,NY10010     		N/A PC Academic Research Program 40,000
    ROOM TO GROW NATIONAL INC
    54 W 21ST ST STE 401
    NEW YORK,NY10010     		N/A PC Allyson Crawford and Carlton Smith discretionary fund 20,000
    ROOM TO GROW NATIONAL INC
    54 W 21ST ST STE 401
    NEW YORK,NY10010     		N/A PC General Support Project 95,000
    ROOM TO GROW NATIONAL INC
    54 W 21ST ST STE 401
    NEW YORK,NY10010     		N/A PC Room to Grow Capital Campaign Project 25,000
    ROOM TO GROW NATIONAL INC
    54 W 21ST ST STE 401
    NEW YORK,NY10010     		N/A PC New York Office Capital Renovation Campaign 100,000
    SAFE COMMUNITY COALITION OF MADISON AND DANE COUNT
    PO BOX 6652
    MADISON,WI53716     		N/A PC Recovery Friendly Directory Project 20,000
    S Conway
    1128 Morainne View Dr 302
    Madison,WI53719     		NONE I Hardship Assistance Grant 5,000
    S Hiegel
    1865 Old Meadow Rd
    McLean,VA22102     		NONE I Hardship Assistance Grant 5,000
    SEATTLE CLASSICAL CHRISTIAN SCHOOL
    1013 8TH AVE
    SEATTLE,WA98104     		N/A PC General & Unrestricted 4,800
    SHERIFFS MEADOW FOUNDATION
    57 DAVID AVE
    VINEYARD HAVEN,MA02568     		N/A PC Wakeman Conservation Center Project 3,000
    ST NORBERT COLLEGE INC
    100 GRANT ST
    DE PERE,WI54115     		N/A PC Girls Leadership and Development (GLAD) Camp Project 20,000
    ST NORBERT COLLEGE INC
    100 GRANT ST
    DE PERE,WI54115     		N/A PC Annual Girls Leadership & Development GEMS team work Initiative 5,000
    ST MARY CENTRAL HIGH SCHOOL
    1050 ZEPHYR DR
    NEENAH,WI54956     		N/A PC student scholarship Program 30,000
    ST MARY CENTRAL HIGH SCHOOL
    1050 ZEPHYR DR
    NEENAH,WI54956     		N/A PC Tuition Assistance Project 15,000
    TANDANA FOUNDATION INC
    2933 LOWER BELLBROOK RD
    SPRING VALLEY,OH45370     		N/A PC General & Unrestricted 5,000
    THE EDIBLE SCHOOLYARD PROJECT - DBA CHEZ PANISSE F
    1517 SHATTUCK AVE
    BERKELEY,CA94709     		N/A PC General & Unrestricted 5,000
    THE ROAD HOME DANE COUNTY
    128 E OLIN AVE STE 202
    MADISON,WI53713     		N/A PC General & Unrestricted 5,000
    THEDACARE FAMILY OF FOUNDATIONS INC
    1818 N MEADE ST
    APPLETON,WI54911     		N/A PC Cancer Center for the Connect Campaign 5,000
    TRI-COUNTY COMMUNITY DENTAL CLINIC INC
    9 TRI PARK WAY
    APPLETON,WI54914     		N/A PC Double Your Donation Program with a match from the J.J. Keller Family Foundation 25,000
    UNIVERSITY OF CALIFORNIA SAN FRANCISCO CHILDREN'S
    PO BOX 45339
    SAN FRANCISCO,CA94145     		N/A PC Child Life Services at UCSF Benioff Children's Hospital's Child Life Department Program 10,000
    UNIVERSITY OF DENVER - OFFICE OF GIFT PROCESSING
    2190 E ASBURY AVE
    DENVER,CO80208     		N/A PC University of Denver Hockey Locker Room Remodel Program 4,000
    UNIVERSITY OF DENVER - OFFICE OF GIFT PROCESSING
    2190 E ASBURY AVE
    DENVER,CO80208     		N/A PC University of Denver Hockey Program 6,000
    UNIVERSITY OF DENVER - OFFICE OF GIFT PROCESSING
    2190 E ASBURY AVE
    DENVER,CO80208     		N/A PC University of Denver Hockey Locker Room Remodel Program 3,000
    UNIVERSITY OF WISCONSIN FOUNDATION
    1848 UNIVERSITY AVE
    MADISON,WI53726     		N/A PC Center Investigating Healthy Minds 25,000
    UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTH
    301 S WESTFIELD RD
    MADISON,WI53717     		N/A PC Care Innovation Project 50,000
    VERA COURT NEIGHBORHOOD CENTER INC
    614 VERA CT
    MADISON,WI53704     		N/A PC General & Unrestricted 4,500
    WAYLAND ACADEMY
    101 N UNIVERSITY AVE
    BEAVER DAM,WI53916     		N/A PC General & Unrestricted 500
    WAYLAND ACADEMY
    101 N UNIVERSITY AVE
    BEAVER DAM,WI53916     		N/A PC Carla Smith Radford Program 11,250
    WEGERZYN GARDENS FOUNDATION
    1301 E SIEBENTHALER AVE
    DAYTON,OH45414     		N/A PC General & Unrestricted 15,000
    WELLSPRING HOUSE INC
    302 ESSEX AVE
    GLOUCESTER,MA01930     		N/A PC General & Unrestricted 600
    WHEELCHAIRS FOR NIGERIA
    1542 PALM AVE SW
    SEATTLE,WA98116     		N/A PC General & Unrestricted 300
    W Ryan
    5701 Odana Rd
    Madison,WI53719     		NONE I Hardship Assistance Grant 5,000
    WINGS OVER THE ROCKIES AIR & SPACE MUSEUM
    7711 E ACADEMY BLVD
    DENVER,CO80230     		N/A PC Aviation to Student Teachers Soar Program 10,000
    WINGS OVER THE ROCKIES AIR & SPACE MUSEUM
    7711 E ACADEMY BLVD
    DENVER,CO80230     		N/A PC Teachers Flight for Youth Program 3,000
    WINNEBAGO COUNTY LITERACY COUNCIL
    106 WASHINGTON AVE
    OSHKOSH,WI54901     		N/A PC General & Unrestricted 1,000
    WINNEBAGO COUNTY LITERACY COUNCIL
    106 WASHINGTON AVE
    OSHKOSH,WI54901     		N/A PC English as a Second Language (ESL) Classes for the children and families 24,000
    WISCONSIN INDEPENDENT CHRISTIAN SCHOOLS INC DBA VA
    3450 VINLAND ST
    OSHKOSH,WI54901     		N/A PC General & Unrestricted 11,250
    WOMENONE LTD
    19 E 88TH ST STE 9C
    NEW YORK,NY10128     		N/A PC General & Unrestricted 15,000
    YOUNG MENS CHRISTIAN ASSOCIATION OF ORANGE COUNTY
    13821 NEWPORT AVE
    TUSTIN,CA92780     		N/A PC Financial Assistance Program for Underpriviledged Youth Project 30,000
    YOUNG WOMENS CHRISTIAN ASSOCIATION OF DAYTON OHIO
    141 W 3RD ST
    DAYTON,OH45402     		N/A PC Moving Millions: By Women, For Women Capital Campaign 10,000
    YOUNG WOMENS CHRISTIAN ASSOCIATION OF MADISON INC
    101 E MIFFLIN ST
    MADISON,WI53703     		N/A PC Family Housing Programs Project 50,000
    YOUTH GO INC
    213 NICOLET BLVD
    NEENAH,WI54956     		N/A PC Drop-In Recreation Program and Support and Wellness Program Project 25,000
    Total .................................bullet 3a 2,218,876
    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 1,231  
    4 Dividends and interest from securities....     14 813,283  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 275,793  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aK-1 Inc/Loss     		525990 592 14 257  
    bFederal Tax Refund     01 842  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 592 1,091,406  
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,091,998
    (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
    Theda and Tamblin Clark Smith Family
    Foundation Inc
    Employer identification number

    39-6125329
    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
    Theda and Tamblin Clark Smith Family
    Foundation Inc         		Employer identification number
    39-6125329
    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
     
     

    Estate of Tamblin Clark Smith  
    Paul DiCarlo 18111 Von Karman Ave
     
    Irvine, CA92612

    		$ 8,918,117


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    Theda and Tamblin Clark Smith Family
    Foundation Inc         		Employer identification number

    39-6125329
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    Theda and Tamblin Clark Smith Family
    Foundation Inc         		Employer identification number

    39-6125329
    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:  

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

    TY 2015 DepreciationSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    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

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Name of Bond End of Year Book Value End of Year Fair Market Value
    21ST CENTY FOX AMER INC - 6.15 33,005 33,444
    ABB FIN USA - 2.875% - 05/08/2 29,081 29,567
    ABBVIE INC - 1.800% - 05/14/20 29,969 29,862
    ADOBE SYSTEMS INC - 3.250% - 0 29,712 29,279
    AMAZON COM INC SR NT - 2.500% 36,640 38,698
    AMERICAN EXPRESS CO - 7.000% - 51,470 55,450
    AMGEN INC BOND - 5.650% - 06/1 41,430 43,283
    APACHE CORP SR NT - 3.250% - 0 19,588 19,049
    ARROW ELECTRICS NT - 3.500% - 34,827 33,714
    AT&T INC NOTE - 4.450% - 05/15 73,865 74,504
    BANK OF AMERICA - 2.600% - 01/ 40,112 40,130
    BANK OF AMERICA - 3.950% - 04/ 34,897 34,082
    BIOGEN INC - 2.900% - 09/15/20 29,938 29,921
    BLACKROCK INC - 6.250% - 09/15 69,225 64,840
    BOSTON PROPERTIES LPNOTE - 4.1 41,209 41,896
    BP CAP MKTS P L C GTD SRNT - 4 33,319 32,080
    BURLINGTN NORTH SANTA FE - 3.4 41,618 40,882
    CELGENE CORP - 2.875% - 08/17/ 24,967 24,812
    CISCO SYSTEMS INC - 5.500% - 0 22,875 25,160
    CITIGROUP INC - 2.500% - 07/29 59,542 59,909
    CITIGROUP INC - 2.500% - 09/26 30,654 30,261
    COMCAST CORP BOND - 3.125% - 0 53,354 55,895
    CVS HEALTH CORP - 4.875% - 07/ 29,533 30,975
    EASTMAN CHEM CO - 3.600% - 08/ 39,011 39,809
    EBAY INC NOTE - 2.600% - 07/15 32,932 32,579
    ENTERPRISE OPER LLC - 2.550% - 20,258 19,174
    FABRINET INC BC0048 - 2.500% - 85,774 85,351
    FABRINET INC MA2487 - 3.000% - 60,005 59,908
    FIDELITY NATL INFORMATION SVCS 46,940 43,434
    FNMA AL6223 - 4.500% - 08/01/2 69,928 69,328
    FNMA POOL #AI6895 - 0.000% - 0 44,708 44,690
    FNMA POOL #AL6970 - 3.500% - 0 29,779 29,697
    FORD MOTOR CREDIT CO - 3.000% 67,278 65,632
    GENERAL ELEC CAP CORP - 5.300% 66,305 67,657
    GOLDMAN SACHS GROUP INC - 6.75 42,092 46,758
    HALLIBURTON - 0.034% - 11/15/2 19,984 19,683
    HOME DEPOT INC - 5.400% - 03/0 46,705 50,352
    HSBC FINANCE CORP - 6.676% - 0 51,676 51,646
    HYDRO-QUEBEC GTD GLBL NT - 2.0 30,938 30,160
    IBM CORP NOTES - 5.700% - 09/1 28,200 32,177
    INTEL CORP - 2.700% - 12/15/20 28,334 29,680
    INTEL CORP - 4.900% - 07/29/20 40,415 42,278
    JPMORGAN CHASE & CO - 3.375% - 58,871 58,969
    METLIFE INC - 7.717% - 02/15/2 44,037 40,663
    MICROSOFT CORP - 3.750% - 02/1 44,645 41,464
    MORGAN STANLEY FR - 4.875% - 1 65,777 68,981
    NYSE EURONEXT - 2.000% - 10/05 40,134 40,062
    ONTARIO PROV CDA - 4.000% - 10 38,307 37,495
    ORACLE CORP - 2.375% - 01/15/2 35,496 35,478
    ORACLE CORP SR GLBL NT - 2.500 29,894 29,445
    PEPSICO INC NOTES - 4.500% - 0 38,693 38,013
    PETROBRAS INFL FIN - 6.125% - 15,113 14,850
    PETROBRAS INTL FIN - 5.375% - 35,332 26,075
    PETROLEOS MEXICANOS - 4.875% - 42,194 38,500
    RABOBANK NEDERLAND - 4.500% - 64,677 65,254
    ROYAL BK OF CDA BD CDS - 1.250 54,979 54,945
    SCRIPPS NETWORK - 2.800% - 06/ 29,519 29,266
    SIMON PROPERTY GROUP - 5.650% 51,606 50,432
    SOUTHWESTERN ENERGY CO - 4.950 20,306 12,600
    SPECTRA ENERGY PARTNER - 3.500 19,923 17,494
    STARBUCKS CORP - 4.300% - 06/1 24,909 25,931
    TELEFONICA EMISIONES S A U - 5 51,676 54,593
    TIME WARNER INC - 4.000% - 01/ 46,235 46,621
    TOYOTA MOTOR CREDIT - 1.550% - 34,923 34,917
    VERIZON COMMUNICATIONS - 3.650 31,589 31,371
    VERIZON COMMUNICATIONS GLB - 6 35,283 35,616
    WACHOVIA CORP NT - 5.625% - 10 33,154 30,972
    WALGREEN CO - 3.100% - 09/15/2 24,290 24,211
    WELLS FARGO & CO - 4.900% - 11 24,824 25,223

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M CO 105,759 111,775
    ABBOTT LABS 83,126 92,964
    ABBVIE INC 145,522 158,171
    ACCENTURE PLC 119,576 140,657
    ACTELION LIMITED 8,782 8,683
    ACTIVISION BLIZZARD INC 66,735 79,743
    ADOBE SYSTEMS, INC 114,708 163,456
    ADVANTAGE DYNAMIC TOTAL RETURN 441,000 466,934
    AFFILIATED MANAGERS GROUP 45,125 41,058
    AGILENT TECHNOLOGIES INC 113,040 114,559
    AIA GROUP LTD ADR 13,408 16,632
    ALASKA AIR GROUP INC 28,898 53,137
    ALLERGAN PLC 105,830 178,125
    ALLISON TRANMISSION HOLDINGS 49,129 43,754
    ALLY FINANCIAL INC 115,411 97,114
    ALPHABET INC CL A 326,076 388,227
    ALTRIA GROUP INC 81,690 89,643
    AMAZON COM 149,299 287,253
    AMDOCS LIMITED 14,222 13,643
    AMER FIN GRP HLD 19,222 24,507
    AMERICAN TOWER CORPORATION 60,244 61,105
    AMERICAN TOWER CORPORATION PFD 67,330 63,810
    AMERICAN TOWER REIT INC 123,091 126,035
    AMGEN INC 122,583 146,259
    ANACOR PHARMACEUTICALS INC 60,858 51,401
    ANADARKO PETROLEUM CORP PFD 78,090 63,147
    ANALOG DEVICES INC 165,941 153,236
    ANHEUSER BUSCH COS INC 94,575 107,375
    ANSYS INC 5,304 6,475
    APPLE INC 289,291 327,990
    ARES CAPITAL CORPORATION - CLO 110,660 89,918
    ARROW ELECTRONICS INC 30,771 27,632
    ASSOCIATED BANC-CORP 36,377 40,688
    ASSOCIATED BRITISH FOODS PLC 10,754 13,854
    AT&T, INC 265,755 267,194
    ATLANTIA SPA ADR 12,130 12,276
    AVAGO TECHNOLOGIES LIMITED 89,155 165,471
    BAIDU.COM - ADR 10,765 11,531
    BANCORPSOUTH INC 34,113 34,066
    BANK NEW YORK MELLON CORP COM 142,217 176,957
    BANK OF AMERICA CORP 224,235 228,720
    BARCLAYS PLC ADR 19,598 14,904
    BAYER A G SPONSORED ADR 13,401 12,859
    BIG LOTS INC (EX CONSOLIDATED 47,137 41,238
    BIOGEN INC 100,542 102,627
    BIOMARIN PHARMACEUTICAL INC 55,725 54,370
    BNY MELLON FOCUS EQ OPP (M) 140,000 141,313
    BNY MELLON INTERNATIONAL EQ IN 753,281 669,548
    BOSTON BEER CO INC 47,860 43,007
    BRIDGESTONE CORP UNSP ADR 13,564 12,476
    BRINKER INTL INC 46,705 42,196
    BRISTOL-MYERS SQUIBB CO 126,627 167,916
    BRITISH AMERICAN TOBACCO PLC 12,884 13,585
    BRUNSWICK CORP 59,247 55,056
    BUNGE LTD 46,312 34,823
    CAMERON INTERNATIONAL CORP 14,505 18,328
    CAPITAL ONE FINANCIAL CORP 161,791 153,743
    CARDINAL HEALTH INC 88,871 111,588
    CARTER'S INC 55,543 49,145
    CATHAY GENERAL BANCORP 37,145 43,549
    CBOE HOLDINGS INC 8,636 11,682
    CELANESE CORPORATION 110,898 124,561
    CELGENE CORP 46,990 54,730
    CENTRICA 15,613 10,200
    CENTURY LINK INC 14,233 14,090
    CHARLES RIV LABORATORIES INTL 26,280 44,215
    CHARLES SCHWAB CORP 167,975 172,553
    CHEESECAKE FACTORY INC 83,578 78,848
    CHEVRON CORP 221,645 178,481
    CHINA BIOLOGIC PRODUCTS INC 7,873 9,687
    CIENA CORP 45,260 43,242
    CITRIX SYSTEMS INC 37,000 36,312
    CMS ENERGY CP 32,048 32,472
    COGNIZANT TECHNOLOGY SOLUTIONS 129,937 125,442
    COMCAST CORP 293,160 309,236
    COMMERZBANK AG-SPONS ADR 12,285 7,866
    COMPUTER SCIENCES CORP 12,491 13,726
    CONOCOPHILLIPS 99,812 77,039
    CONSTELLATION BRANDS INC 101,023 112,812
    CONVERGYS CP 22,165 26,632
    CORELOGIC INC 30,389 28,104
    CORPORATE EXEC BOARD CO 7,423 6,139
    CORR CP OF AMER 53,228 38,675
    COSTCO WHOLESALE CORPORATION 75,634 92,863
    CREDIT SUISSE GROUP ADR 18,601 13,665
    CRH PLC - AMERICAN DEPOSITARY 11,747 14,698
    CROWN HOLDINGS INC 7,524 7,605
    CULLEN FROST BANKERS INC 36,205 29,400
    CVR ENERGY, INC 5,235 4,722
    CVS CAREMARK CORP 135,837 129,545
    DARDEN RESTAURANTS INC 40,505 40,093
    DEAN FOODS CO 32,721 31,213
    DELUXE CORPORATION 35,968 41,450
    DENTSPLY INTL INC COM 42,425 50,506
    DFA COMMODITY STRATEGY PORTFOL 225,000 137,371
    DFA EMERGING MARKETS CORE EQ P 607,408 493,659
    DIAGEO PLC ADS 15,928 16,142
    DNB NOR ASA SPONSOR ADR 9,458 6,552
    DOLLAR GENERAL CORP 9,026 11,499
    DOMINION RESOURCES INC 42,766 42,613
    DOMINION RESOURCES INC PREFERR 99,120 94,996
    DON QUIJOTE CO LTD 16,766 18,893
    DOW CHEMICAL PV 196,489 223,887
    DREYFUS DIVERSIFIED EMERGING M 308,707 270,568
    DREYFUS FLOATING RATE INCOME Y 139,000 128,891
    DREYFUS INTL STOCK FUND 733,000 681,032
    DREYFUS PREMIER LTD TERM HIGH 148,784 128,564
    DRIL QUIP INC 37,809 20,671
    DST SYS INC. COM 36,419 52,354
    DU PONT DE NEMOURS 77,845 87,246
    DUKE ENERGY CO 71,645 71,033
    DYNEGY INC 59,855 30,402
    EATON CORP PLC 268,743 212,792
    EATON VANCE CORP COM 10,930 8,432
    ELECTRONIC ARTS 39,743 74,218
    ELI LILLY & CO 93,169 96,056
    EXELON CORP PFD CONV 6/1/2017 90,301 70,013
    EXELON CORPORATION 138,689 113,579
    EXXON MOBIL CORP 227,995 206,022
    FACEBOOK INC 205,227 306,654
    FANUC LIMITED UNSPONSORED 10,355 10,084
    FIRST AMERICAN CORP (THE) 13,980 12,206
    FIRST ENERGY CORP 43,208 43,470
    FIRST HORIZON NATL 19,750 19,892
    FOOT LOCKER INC N.Y. COM 52,289 63,137
    GALLAGHER ARTHUR J & CO 109,113 100,303
    GALP ENERGIA 13,621 11,077
    GATX CORP 31,762 25,105
    GENERAL ELECTRIC CO 111,637 131,765
    GENERAL GROWTH PPTYS INC 14,404 15,238
    GLAXOSMITHKLINE PLC 18,797 14,930
    GRUPO FIN STANTANDER - ADR B 8,633 7,370
    H&R BLOCK INC 65,407 64,621
    HALLIBURTON COMPANY 171,418 103,482
    HANOVER INS GROUP 26,351 36,603
    HARLEY DAVIDSON INC 118,999 75,393
    HARTFORD FINANCIALSERVICES GRO 120,018 142,983
    HD SUPPLY HLDGS INC 7,160 7,508
    HDFC BANK LTD ADR 11,637 11,704
    HEALTH NET INC 19,193 34,915
    HIGHWOODS PRPTY INC 54,182 56,244
    HOLOGIC, INC 65,581 66,160
    HOME DEPOT INC 104,316 179,860
    HONEYWELL INTL 153,912 175,033
    HOSPITAL PROPERTIES TRUST 12,194 11,506
    HOST HOTELS & RESORTS INC 37,410 25,311
    HUNTINGTON INGALLS INDUSTRIES 49,940 62,157
    IDEX CP 14,802 16,854
    ILLINOIS TOOL WORKS 153,348 163,117
    INFINEON TECH ADS 11,221 16,262
    ING US INC 93,438 85,631
    INGERSOL-RAND PLC 149,709 152,600
    INGREDION INC 55,487 65,171
    INTEGRATED DEVICE TECHNOLOGY I 25,372 57,180
    INTEL CORP 26,183 31,005
    INTERCONTINENTAL EXCHANGE, INC 159,185 215,771
    INTERDIGITAL COMMUNICATIONS CO 38,328 34,818
    INVESCO PLC 171,310 164,722
    IPG PHOTONICS CORP 4,535 4,458
    JABIL CIRCUIT INC 13,127 12,810
    JACK IN THE BOX INC 60,175 50,629
    JAPAN AIRLINES 13,855 16,171
    JAPAN TOB INC 21,640 22,290
    JETBLUE AIRWAYS CORP 24,736 28,539
    JOHNSON & JOHNSON 270,482 282,069
    KIMBERLY CLARK CORP 164,988 205,208
    L'AIR LIQUIDE ADR OTC 8,845 8,456
    L'OREAL ADR 13,029 12,825
    LAMAR ADVERTISING CO CL A REIT 55,847 56,981
    LASALLE HOTEL PROP 63,447 41,514
    LIFEPOINT HOSPITALS, INC 10,507 11,010
    LINCOLN ELECTRIC HOLDING INC 61,476 46,701
    LIXIL GROUP CORPORATION 5,726 6,254
    LOCKHEED MARTIN CORP 136,032 210,418
    LOWES COMPANIES INC 53,467 76,040
    MAN WAH HOLDINGS LTD 10,234 9,775
    MARATHON PETROLEUM CORP 85,916 81,389
    MCDONALD'S CORP 118,390 133,853
    MELLON EMERGING MKTS FD CL M 624,425 486,285
    MELLON INTERNATIONAL FD CL M 1,062,000 1,018,188
    MELLON SMALL CAP STOCK FUND CL 1,139,999 1,116,030
    MENTOR GRAPHICS CORP 10,476 7,552
    MERCK & CO INC 153,970 156,453
    METTLER-TOLEDO INTL 49,945 67,487
    MICROSOFT CORP 140,269 178,646
    MINERAL TECH INC 28,956 23,389
    MOLINA HEALTHCARE 51,102 42,692
    MONSTER BEVERAGE CORP 71,637 150,896
    MOODYS CORP 14,507 20,068
    N V R INC 44,796 44,361
    NATIONAL GRID TRANSCO PLC 89,668 95,965
    NATIXIS ASG GLOBAL ALTERNAT Y 449,000 426,152
    NAVIENT CORPORATION 74,203 51,869
    NCR CP 53,649 50,632
    NEENAH PAPER INC 45,663 75,728
    NESTLE S.A 18,138 18,605
    NEUSTAR, INC. CL A 47,928 23,970
    NEW RESIDENTIAL INVESTMENT COR 94,054 85,485
    NEW YORK TIMES CO CL A 28,924 26,169
    NEXT PLC 12,660 11,282
    NEXTERA ENERGY, INC 70,463 92,047
    NIKE INC-CL B 116,011 136,000
    NOMURA HOLDINGS ADR 15,359 11,600
    NOVARTIS AG ADR 18,927 21,510
    NUANCE COMMUNICATIONS, INC 23,125 25,857
    NUCOR CP 179,380 140,244
    OCCIDENTAL PETROLEUM CORP 113,787 100,063
    OLD DOMINION FREIGHT LINES 55,263 47,847
    OWENS CORNING 39,935 39,035
    PACCAR INC 19,126 17,064
    PALO ALTO NETWORKS INC 139,651 165,043
    PEPSICO INC 284,824 340,028
    PFIZER INC 286,219 295,782
    PHILIP MORRIS INTL 372,466 390,320
    PHILLIPS 66 61,578 70,348
    PIONEER NAT RES CO 117,791 96,919
    PNC FINANCIAL GROUP INC 116,418 133,434
    POLYONE CORP 45,395 38,112
    POST PROPERTIES INC 47,229 48,511
    PPL CORPORATION 65,051 71,502
    PRIMERICA, INC 17,893 18,420
    PROCTER GAMBLE CO 154,898 155,564
    PRUDENTIAL PLC SC 16,862 17,581
    REGIONS FINANCIAL CORP 76,354 76,128
    REINSURANCE GROUP AMER INC 50,573 53,041
    RELIANCE STL & ALMN 53,666 53,277
    RELX PLC 12,190 14,264
    RMR GROUP 4 4
    ROCHE HOLDING LTD ADR 17,632 18,269
    ROYAL DUTCH SHEL PLC SPONS ADR 17,830 15,193
    SALESFORCE.COM 122,243 165,424
    SANOFI-AVENTIS SPONSORED ADR 15,348 13,222
    SAP AKTIENGESELL ADS 15,256 15,820
    SCHLUMBERGER LTD 244,155 203,531
    SEALED AIR CORP 29,028 25,422
    SEI INVESTMENTS 38,837 62,356
    SEMPRA ENERGY COM 256,076 243,768
    SERVICE NOW 91,656 156,674
    SERVICEMASTER GLOBAL HOLDINGS 12,322 13,342
    SOFTBANK CP UNSP ADR 25,996 19,648
    SPIRIT AEROSYSTEMS HOLDINGS CL 45,229 43,060
    STANLEY BLACK & DECKER, INC. P 65,425 72,590
    STARWOOD PROPERTY TRUST INC 123,001 106,706
    SUNTORY BEVERAGE & FOOD LTD AD 11,954 14,980
    SUPERVALU INC 46,734 34,985
    TAUBMAN CENTERS INC 45,501 46,799
    TELEFLEX INC 48,129 58,495
    TESORO CORP 26,724 35,826
    THE HERSHEY COMPANY 124,185 106,053
    TIME WARNER INC 270,571 230,225
    TOYOTA MTR CORP 21,986 22,024
    TRINITY INDUSTRIES, INC 41,893 24,500
    UNION PACIFIC 144,135 127,388
    UNITED PARCEL SERVICE 71,679 70,537
    UNITED TECHNOLOGIES CORP 142,547 126,524
    UNITED THERAPEUTICS CORP 36,947 35,237
    UNIVERSAL HLTH SVC B 105,357 90,693
    VALERO ENERGY CORP 160,322 220,191
    VAN ECK CM COMMODITY INDEX FUN 228,393 131,853
    VCA ANTECH INC 11,094 22,000
    VERIZON COMMUNICATIONS 173,158 168,333
    VIRTUS EMERGING MARKETS OPPTS 568,280 528,339
    VISA INC 126,318 127,958
    VIVENDI SA 15,273 13,664
    VODAFONE GROUP PLC 29,666 18,550
    WABTEC 15,164 12,090
    WADDELL&REED FIN INC 59,166 29,806
    WALT DISNEY HOLDINGS CO 56,376 90,894
    WEINGARTEN REALTY INVESTORS SB 52,804 56,711
    WELLS FARGO & CO 143,943 168,951
    WESTAR ENERGY INC 51,632 55,557
    WESTERN REFINING INC 44,963 32,058
    WEX INC 34,177 34,476
    WEX, INC 12,862 9,812
    WILEY JOHN & SONS INC CL A 25,641 20,264
    WOLSELEY PLC ADR 15,413 14,900
    WOLTERS KLUWER S/ADR 19,940 22,787
    WORLD FUEL SVCS CP 60,202 44,229
    WYNDHAM WORLDWIDE 12,899 14,530
    YUM BRANDS INC 245,434 238,874
    ZURICH INS GROU ADR 7,806 6,664

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    US Government Securities - End of Year Book Value:

    2,781,888
    US Government Securities - End of Year Fair Market Value:

    2,774,844
    State & Local Government Securities - End of Year Book Value:


    347,235
    State & Local Government Securities - End of Year Fair Market Value:


    349,348


    TY 2015 InvestmentsOtherSchedule2
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    FUGIO PRIVATE EQUITY FUND VIII   327,008 341,807
    OPTIMA DISCRETIONARY MACRO FUN   2,000,000 2,029,903
    OPTIMA PARTNERS FOCUS FUND   1,000,000 974,720

    TY 2015 LegalFeesSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    General Consultations 3,307     3,307


    TY 2015 OtherExpensesSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 75,000     75,000
    Bank Charges 2,388 2,388    
    Foundation Dues & Memberships 3,000     3,000
    Indemnification Insurance 4,962     4,962
    K-1 Exp FUGIO PRIVATE EQUITY F 21,823 21,822    
    Office Supplies 2,564     2,564
    Payroll Processing Fees 1,110     1,110
    Postage/Delivery Service 264     264
    State or Local Filing Fees 10     10
    EQUIPMENT PURCHASE/MAINTENANCE 865     865


    TY 2015 OtherIncomeSchedule2
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    K-1 Inc/Loss FUGIO PRIVATE EQUITY FUND VIII, LP 849 257  
    Federal Tax Refund 842    


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 301,100 301,100    
    Philanthropic Consulting Srvcs 36,898     36,898
    Professional Services 2,500     2,500
    LOGO DEVELOPMENT 1,400     1,400


    TY 2015 TaxesSchedule
    Name:
    Theda and Tamblin Clark Smith Family
     
    Foundation Inc
    EIN:
    39-6125329
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2015 17,700      
    990-PF Extension for 2014 5,524      
    Foreign Tax Paid 3,206 3,206