Form990-PF
Click to see attachment

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
ALLEN-HEATH MEMORIAL FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)222 N LASALLE ST
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60601
A Employer identification number

36-3056910
B Telephone number (see instructions)

(312) 704-3712
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$6,187,353
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)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 112,715 112,715  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 389,566
b Gross sales price for all assets on line 6a 1,521,507
7 Capital gain net income (from Part IV, line 2)... 389,566
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 502,281 502,281  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 16,896     16,896
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 16,501 12,376   4,125
b Accounting fees (attach schedule)....... 4,990 4,990    
c Other professional fees (attach schedule).... 28,302 28,302    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 7,772 7,772    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 2,109 2,109    
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 76,570 55,549   21,021
25 Contributions, gifts, grants paid....... 230,000 230,000
26 Total expenses and disbursements. Add lines 24 and 25 306,570 55,549   251,021
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 195,711
b Net investment income (if negative, enter -0-) 446,732
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............. 37,099 17,895 17,895
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 4,250 5,920 5,920
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 2,825,515 Click to see attachment2,820,666 3,680,429
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).......... 2,314,664 Click to see attachment2,532,758 2,483,109
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) 5,181,528 5,377,239 6,187,353
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 5,181,528 5,377,239
30 Total net assets or fund balances (see instructions)..... 5,181,528 5,377,239
31 Total liabilities and net assets/fund balances (see instructions). 5,181,528 5,377,239
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
5,181,528
2
Enter amount from Part I, line 27a .....................
2
195,711
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
5,377,239
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
5,377,239
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 8 JPMORGAN CHASE & CO P 2009-10-06 2015-01-07
b 316 JPMORGAN CHASE & CO P 2011-03-08 2015-01-07
c 6 PRECISION CASTPARTS CORP P 2011-10-28 2015-01-08
d 45 PRECISION CASTPARTS CORP P 2011-12-23 2015-01-08
e 20 SCHLUMBERGER LTD P 2010-11-03 2015-01-13
137 SCHLUMBERGER LTD P 2010-09-29 2015-01-13
26 JPMORGAN CHASE & CO P 2012-02-28 2015-01-15
495 JPMORGAN CHASE & CO P 2012-02-03 2015-01-15
359 JPMORGAN CHASE & CO P 2012-02-28 2015-01-15
164 JPMORGAN CHASE & CO P 2011-03-08 2015-01-15
740 JPMORGAN CHASE & CO P 2012-01-06 2015-01-15
76 COLGATE-PALMOLIVE CO P 2011-08-18 2015-01-26
284 COLGATE-PALMOLIVE CO P 2011-08-23 2015-01-26
60 PRECISION CASTPARTS CORP P 2011-12-23 2015-01-26
19 PRECISION CASTPARTS CORP P 2012-05-03 2015-01-26
340 VF CORP P 2013-03-28 2015-01-27
94 KEURIG GREEN MOUNTAIN INC P 2013-12-18 2015-02-04
1 PRECISION CASTPARTS CORP P 2012-05-03 2015-02-04
44 PRECISION CASTPARTS CORP P 2014-06-05 2015-02-04
35 PRECISION CASTPARTS CORP P 2014-10-23 2015-02-04
65 PRECISION CASTPARTS CORP P 2012-05-03 2015-02-04
75 PRECISION CASTPARTS CORP P 2012-10-31 2015-02-04
2 GOOGLE INC-CL A P 2009-01-05 2015-02-18
1 GOOGLE INC-CL C P 2010-09-23 2015-02-18
10 ADOBE SYSTEMS INC P 2014-03-31 2015-02-18
3 AFFILIATED MANAGERS GROUP P 2011-07-08 2015-02-18
2 AFFILIATED MANAGERS GROUP P 2011-07-11 2015-02-18
11 AMERIPRISE FINANCIAL INC P 2011-10-24 2015-02-18
3 AMAZON.COM INC P 2011-12-19 2015-02-18
10 AMERICAN EXPRESS CO P 2010-09-03 2015-02-18
24 BRISTOL-MYERS SQUIBB CO P 2014-09-23 2015-02-18
16 BORGWARNER INC P 2013-12-04 2015-02-18
23 CITIGROUP INC P 2013-02-13 2015-02-18
13 CERNER CORP P 2015-01-26 2015-02-18
18 COLGATE-PALMOLIVE CO P 2011-08-23 2015-02-18
27 COGNIZANT TECH SOLUTIONS-A P 2012-09-27 2015-02-18
12 CHEVRON CORP P 2011-12-21 2015-02-18
20 DOLLAR GENERAL CORP P 2015-01-15 2015-02-18
16 EQUIFAX INC P 2013-04-25 2015-02-18
15 EXPRESS SCRIPTS HOLDING CO P 2012-07-19 2015-02-18
8 FACEBOOK INC-A P 2014-09-30 2015-02-18
17 GILEAD SCIENCES INC P 2011-08-16 2015-02-18
5 KEURIG GREEN MOUNTAIN INC P 2013-12-18 2015-02-18
21 HOME DEPOT INC P 2014-04-22 2015-02-18
6 IDEXX LABORATORIES INC P 2014-10-22 2015-02-18
9 GARTNER INC P 2013-08-13 2015-02-18
17 MASTERCARD INC-CLASS A P 2012-05-31 2015-02-18
12 MEAD JOHNSON NUTRITION CO P 2010-06-09 2015-02-18
31 MICROSOFT CORP P 2014-07-23 2015-02-18
11 NOBLE ENERGY INC P 2013-01-23 2015-02-18
5 O'REILLY AUTOMOTIVE INC P 2013-06-25 2015-02-18
1 PRICELINE GROUP INC/THE P 2011-08-30 2015-02-18
5 PRAXAIR INC P 2009-01-05 2015-02-18
7 QUALCOMM INC P 2011-12-21 2015-02-18
17 RED HAT INC P 2013-04-11 2015-02-18
12 SBA COMMUNICATIONS CORP-CL A P 2012-04-11 2015-02-18
14 STARBUCKS CORP P 2014-10-23 2015-02-18
11 SCHLUMBERGER LTD P 2010-11-03 2015-02-18
9 STERICYCLE INC P 2010-07-29 2015-02-18
15 SUNCOR ENERGY INC P 2013-01-04 2015-02-18
5 TRANSDIGM GROUP INC P 2014-02-04 2015-02-18
22 TEXAS INSTRUMENTS INC P 2013-10-14 2015-02-18
12 UNION PACIFIC CORP P 2012-05-01 2015-02-18
16 VF CORP P 2013-03-28 2015-02-18
48 WELLS FARGO & CO P 2012-07-27 2015-02-18
12 WILLIAMS-SONOMA INC P 2013-01-03 2015-02-18
31 ZOETIS INC P 2014-07-29 2015-02-18
145 NOBLE ENERGY INC P 2014-02-19 2015-03-04
1 NOBLE ENERGY INC P 2013-01-23 2015-03-04
240 NOBLE ENERGY INC P 2013-02-06 2015-03-04
260 NOBLE ENERGY INC P 2013-03-26 2015-03-04
140 NOBLE ENERGY INC P 2013-10-09 2015-03-04
98 AMERICAN EXPRESS CO P 2010-09-03 2015-03-11
200 AMERICAN EXPRESS CO P 2010-09-27 2015-03-11
110 AMERICAN EXPRESS CO P 2014-03-06 2015-03-11
390 AMERICAN EXPRESS CO P 2011-03-08 2015-03-11
76 GARTNER INC P 2013-08-13 2015-03-11
270 GARTNER INC P 2013-08-14 2015-03-11
46 GARTNER INC P 2013-09-19 2015-03-11
124 GARTNER INC P 2013-09-19 2015-03-12
115 GARTNER INC P 2014-03-03 2015-03-12
1 GOOGLE INC-CL A P 2009-01-05 2015-03-18
2 GOOGLE INC-CL C P 2010-09-23 2015-03-18
8 ADOBE SYSTEMS INC P 2014-03-31 2015-03-18
5 AFFILIATED MANAGERS GROUP P 2011-07-11 2015-03-18
9 AMERIPRISE FINANCIAL INC P 2011-10-24 2015-03-18
3 AMAZON.COM INC P 2011-12-19 2015-03-18
21 BRISTOL-MYERS SQUIBB CO P 2014-09-23 2015-03-18
14 BORGWARNER INC P 2013-12-04 2015-03-18
20 CITIGROUP INC P 2013-02-13 2015-03-18
10 CERNER CORP P 2015-01-26 2015-03-18
16 COLGATE-PALMOLIVE CO P 2011-08-23 2015-03-18
14 COGNIZANT TECH SOLUTIONS-A P 2012-10-01 2015-03-18
10 COGNIZANT TECH SOLUTIONS-A P 2012-09-27 2015-03-18
11 CHEVRON CORP P 2011-12-21 2015-03-18
21 DOLLAR GENERAL CORP P 2015-01-15 2015-03-18
16 EQUIFAX INC P 2013-04-25 2015-03-18
13 EXPRESS SCRIPTS HOLDING CO P 2012-07-19 2015-03-18
8 FACEBOOK INC-A P 2014-09-30 2015-03-18
16 GILEAD SCIENCES INC P 2011-08-16 2015-03-18
4 KEURIG GREEN MOUNTAIN INC P 2013-12-18 2015-03-18
19 HOME DEPOT INC P 2014-04-22 2015-03-18
5 IDEXX LABORATORIES INC P 2014-10-22 2015-03-18
15 MASTERCARD INC-CLASS A P 2012-05-31 2015-03-18
9 MOODY'S CORP P 2015-03-11 2015-03-18
11 MEAD JOHNSON NUTRITION CO P 2010-06-09 2015-03-18
26 MICROSOFT CORP P 2014-07-23 2015-03-18
4 O'REILLY AUTOMOTIVE INC P 2013-06-25 2015-03-18
1 PRICELINE GROUP INC/THE P 2011-09-02 2015-03-18
5 PRAXAIR INC P 2009-01-05 2015-03-18
3 PIONEER NATURAL RESOURCES CO P 2015-03-04 2015-03-18
7 QUALCOMM INC P 2011-12-21 2015-03-18
16 RED HAT INC P 2013-04-11 2015-03-18
10 SBA COMMUNICATIONS CORP-CL A P 2012-04-11 2015-03-18
11 STARBUCKS CORP P 2014-10-23 2015-03-18
13 SCHLUMBERGER LTD P 2010-11-03 2015-03-18
9 STERICYCLE INC P 2010-07-29 2015-03-18
14 SUNCOR ENERGY INC P 2013-01-04 2015-03-18
4 TRANSDIGM GROUP INC P 2014-02-04 2015-03-18
21 TEXAS INSTRUMENTS INC P 2013-10-14 2015-03-18
11 UNION PACIFIC CORP P 2012-05-01 2015-03-18
13 VF CORP P 2013-03-28 2015-03-18
37 WELLS FARGO & CO P 2012-07-27 2015-03-18
12 WILLIAMS-SONOMA INC P 2013-01-03 2015-03-18
28 ZOETIS INC P 2014-07-29 2015-03-18
386 COGNIZANT TECH SOLUTIONS-A P 2012-10-01 2015-04-01
75 COGNIZANT TECH SOLUTIONS-A P 2012-12-20 2015-04-08
250 COGNIZANT TECH SOLUTIONS-A P 2012-10-01 2015-04-08
14 SBA COMMUNICATIONS CORP-CL A P 2012-04-11 2015-04-08
75 SBA COMMUNICATIONS CORP-CL A P 2012-04-11 2015-04-08
9 ZOETIS INC P 2014-07-29 2015-04-08
70 ZOETIS INC P 2014-07-29 2015-04-08
34 ZOETIS INC P 2014-07-29 2015-04-09
125 ZOETIS INC P 2014-07-29 2015-04-09
13 ZOETIS INC P 2014-07-29 2015-04-09
45 ZOETIS INC P 2014-07-29 2015-04-10
141 ZOETIS INC P 2014-07-29 2015-04-10
80 PRAXAIR INC P 2009-09-17 2015-04-14
80 PRAXAIR INC P 2013-11-14 2015-04-14
44 PRAXAIR INC P 2009-01-05 2015-04-14
200 PRAXAIR INC P 2009-09-15 2015-04-14
197 COGNIZANT TECH SOLUTIONS-A P 2012-12-20 2015-04-23
39 COGNIZANT TECH SOLUTIONS-A P 2013-05-22 2015-04-24
179 COGNIZANT TECH SOLUTIONS-A P 2013-05-22 2015-04-24
118 COGNIZANT TECH SOLUTIONS-A P 2012-12-20 2015-04-24
0.068638 GOOGLE INC-CL C P 2012-12-20 2015-05-11
0.076874 GOOGLE INC-CL C P 2011-12-21 2015-05-11
0.0604 GOOGLE INC-CL C P 2013-03-04 2015-05-11
0.057656 GOOGLE INC-CL C P 2010-09-23 2015-05-11
0.049419 GOOGLE INC-CL C P 2012-05-08 2015-05-11
96 QUALCOMM INC P 2011-12-21 2015-06-16
145 QUALCOMM INC P 2014-03-27 2015-06-16
155 QUALCOMM INC P 2012-08-09 2015-06-16
130 QUALCOMM INC P 2013-11-27 2015-06-16
2 GOOGLE INC-CL A P 2009-01-05 2015-06-24
2 GOOGLE INC-CL C P 2010-09-23 2015-06-24
11 ADOBE SYSTEMS INC P 2014-03-31 2015-06-24
4 AFFILIATED MANAGERS GROUP P 2011-07-11 2015-06-24
12 AMERIPRISE FINANCIAL INC P 2011-10-24 2015-06-24
3 AMAZON.COM INC P 2011-12-19 2015-06-24
30 BRISTOL-MYERS SQUIBB CO P 2014-09-23 2015-06-24
19 BORGWARNER INC P 2013-12-04 2015-06-24
25 CITIGROUP INC P 2013-02-13 2015-06-24
19 CERNER CORP P 2015-01-26 2015-06-24
20 COLGATE-PALMOLIVE CO P 2011-08-23 2015-06-24
9 COGNIZANT TECH SOLUTIONS-A P 2013-05-22 2015-06-24
15 CHEVRON CORP P 2011-12-21 2015-06-24
20 DOLLAR GENERAL CORP P 2015-01-15 2015-06-24
20 EQUIFAX INC P 2013-04-25 2015-06-24
16 EXPRESS SCRIPTS HOLDING CO P 2012-07-19 2015-06-24
12 FACEBOOK INC-A P 2014-09-30 2015-06-24
19 GILEAD SCIENCES INC P 2011-08-16 2015-06-24
5 KEURIG GREEN MOUNTAIN INC P 2013-12-18 2015-06-24
23 HOME DEPOT INC P 2014-04-22 2015-06-24
14 IDEXX LABORATORIES INC P 2014-10-22 2015-06-24
19 MASTERCARD INC-CLASS A P 2012-05-31 2015-06-24
13 MOODY'S CORP P 2015-03-11 2015-06-24
14 MEAD JOHNSON NUTRITION CO P 2010-06-09 2015-06-24
33 MICROSOFT CORP P 2014-07-23 2015-06-24
13 ORACLE CORP P 2015-06-16 2015-06-24
5 O'REILLY AUTOMOTIVE INC P 2013-06-25 2015-06-24
1 PRICELINE GROUP INC/THE P 2011-09-02 2015-06-24
4 PIONEER NATURAL RESOURCES CO P 2015-03-04 2015-06-24
19 RED HAT INC P 2013-04-11 2015-06-24
11 SBA COMMUNICATIONS CORP-CL A P 2012-04-11 2015-06-24
31 STARBUCKS CORP P 2014-10-23 2015-06-24
15 SCHLUMBERGER LTD P 2010-11-03 2015-06-24
2 STERICYCLE INC P 2010-07-29 2015-06-24
9 STERICYCLE INC P 2010-08-13 2015-06-24
17 SUNCOR ENERGY INC P 2013-01-04 2015-06-24
6 TRANSDIGM GROUP INC P 2014-02-04 2015-06-24
22 TEXAS INSTRUMENTS INC P 2013-10-14 2015-06-24
13 UNION PACIFIC CORP P 2012-05-01 2015-06-24
15 VF CORP P 2013-03-28 2015-06-24
47 WELLS FARGO & CO P 2012-07-27 2015-06-24
14 WILLIAMS-SONOMA INC P 2013-01-03 2015-06-24
27 ZOETIS INC P 2014-07-29 2015-06-24
53 COGNIZANT TECH SOLUTIONS-A P 2013-05-22 2015-07-09
370 COGNIZANT TECH SOLUTIONS-A P 2013-06-19 2015-07-09
290 COGNIZANT TECH SOLUTIONS-A P 2013-06-28 2015-07-09
312 EQUIFAX INC P 2013-04-25 2015-07-24
201 EQUIFAX INC P 2013-05-01 2015-07-24
123 IDEXX LABORATORIES INC P 2014-10-22 2015-07-28
284 STARBUCKS CORP P 2014-10-23 2015-07-28
174 CHEVRON CORP P 2011-12-21 2015-08-06
36 MEAD JOHNSON NUTRITION CO P 2010-06-11 2015-08-06
154 MEAD JOHNSON NUTRITION CO P 2010-06-09 2015-08-06
125 KEURIG GREEN MOUNTAIN INC P 2014-01-14 2015-08-13
93 KEURIG GREEN MOUNTAIN INC P 2013-12-18 2015-08-13
125 KEURIG GREEN MOUNTAIN INC P 2014-01-22 2015-08-13
40 MEAD JOHNSON NUTRITION CO P 2011-10-13 2015-08-19
200 MEAD JOHNSON NUTRITION CO P 2010-06-11 2015-08-19
14 MEAD JOHNSON NUTRITION CO P 2010-06-11 2015-08-19
46 MEAD JOHNSON NUTRITION CO P 2011-12-23 2015-08-19
2 GOOGLE INC-CL A P 2009-01-05 2015-08-20
1 GOOGLE INC-CL C P 2010-09-23 2015-08-20
6 ADOBE SYSTEMS INC P 2014-03-31 2015-08-20
4 AFFILIATED MANAGERS GROUP P 2011-07-11 2015-08-20
8 AMERIPRISE FINANCIAL INC P 2011-10-24 2015-08-20
1 AMAZON.COM INC P 2011-12-19 2015-08-20
18 BRISTOL-MYERS SQUIBB CO P 2014-09-23 2015-08-20
11 BORGWARNER INC P 2013-12-04 2015-08-20
23 CITIGROUP INC P 2013-02-13 2015-08-20
13 CERNER CORP P 2015-01-26 2015-08-20
12 COLGATE-PALMOLIVE CO P 2011-08-23 2015-08-20
3 CHEVRON CORP P 2011-12-21 2015-08-20
17 DOLLAR GENERAL CORP P 2015-01-15 2015-08-20
5 EQUIFAX INC P 2013-05-01 2015-08-20
10 EXPRESS SCRIPTS HOLDING CO P 2012-07-19 2015-08-20
8 FACEBOOK INC-A P 2014-09-30 2015-08-20
13 GILEAD SCIENCES INC P 2011-08-16 2015-08-20
15 HOME DEPOT INC P 2014-04-22 2015-08-20
4 IDEXX LABORATORIES INC P 2014-10-22 2015-08-20
12 MASTERCARD INC-CLASS A P 2012-05-31 2015-08-20
8 MOODY'S CORP P 2015-03-11 2015-08-20
2 MEAD JOHNSON NUTRITION CO P 2011-12-23 2015-08-20
20 MICROSOFT CORP P 2014-07-23 2015-08-20
8 ORACLE CORP P 2015-06-16 2015-08-20
4 O'REILLY AUTOMOTIVE INC P 2013-06-25 2015-08-20
3 PIONEER NATURAL RESOURCES CO P 2015-03-04 2015-08-20
9 RED HAT INC P 2013-04-11 2015-08-20
7 SBA COMMUNICATIONS CORP-CL A P 2012-04-11 2015-08-20
12 STARBUCKS CORP P 2014-10-23 2015-08-20
10 SCHLUMBERGER LTD P 2010-11-03 2015-08-20
7 STERICYCLE INC P 2010-08-13 2015-08-20
12 SUNCOR ENERGY INC P 2013-01-04 2015-08-20
3 TRANSDIGM GROUP INC P 2014-02-04 2015-08-20
19 TEXAS INSTRUMENTS INC P 2013-10-14 2015-08-20
1 UNITEDHEALTH GROUP INC P 2015-07-28 2015-08-20
11 UNION PACIFIC CORP P 2012-05-01 2015-08-20
10 VF CORP P 2013-03-28 2015-08-20
3 VERISK ANALYTICS INC P 2015-07-24 2015-08-20
29 WELLS FARGO & CO P 2012-07-27 2015-08-20
9 WILLIAMS-SONOMA INC P 2013-01-03 2015-08-20
18 ZOETIS INC P 2014-07-29 2015-08-20
298 CERNER CORP P 2015-01-26 2015-08-27
55 STERICYCLE INC P 2011-08-19 2015-09-15
84 STERICYCLE INC P 2010-08-13 2015-09-15
43 STERICYCLE INC P 2012-04-11 2015-09-15
65 STERICYCLE INC P 2011-08-05 2015-09-15
24 STERICYCLE INC P 2012-04-12 2015-09-15
189 STARBUCKS CORP P 2014-10-23 2015-10-07
275 DOLLAR GENERAL CORP P 2015-01-15 2015-10-08
217 MEAD JOHNSON NUTRITION CO P 2011-12-23 2015-10-08
74 MEAD JOHNSON NUTRITION CO P 2014-05-20 2015-10-08
100 MEAD JOHNSON NUTRITION CO P 2014-01-14 2015-10-08
288 DOLLAR GENERAL CORP P 2015-01-15 2015-10-14
63 GILEAD SCIENCES INC P 2011-08-16 2015-10-22
221 GILEAD SCIENCES INC P 2011-11-02 2015-10-22
427 IDEXX LABORATORIES INC P 2014-10-22 2015-11-02
302 IDEXX LABORATORIES INC P 2014-10-23 2015-11-02
111 CERNER CORP P 2015-02-04 2015-11-11
232 CERNER CORP P 2015-01-26 2015-11-11
77 DOLLAR GENERAL CORP P 2015-01-16 2015-11-11
231 DOLLAR GENERAL CORP P 2015-01-15 2015-11-11
36 STERICYCLE INC P 2012-04-12 2015-11-11
1 STERICYCLE INC P 2012-04-16 2015-11-11
1 STERICYCLE INC P 2012-04-12 2015-11-11
3 STERICYCLE INC P 2012-04-13 2015-11-11
57 STERICYCLE INC P 2012-04-13 2015-11-11
2 PRICELINE GROUP INC/THE P 2011-09-19 2015-11-16
13 PRICELINE GROUP INC/THE P 2011-09-02 2015-11-16
16 STERICYCLE INC P 2012-04-17 2015-11-20
4 STERICYCLE INC P 2012-04-17 2015-11-20
19 STERICYCLE INC P 2012-04-16 2015-11-20
16 STERICYCLE INC P 2012-04-18 2015-11-20
5 STERICYCLE INC P 2012-04-18 2015-11-20
160 STERICYCLE INC P 2012-06-22 2015-11-20
106 STERICYCLE INC P 2014-07-29 2015-11-20
39 ADOBE SYSTEMS INC P 2014-03-31 2015-11-30
15 ADOBE SYSTEMS INC P 2014-03-31 2015-11-30
2 AFFILIATED MANAGERS GROUP P 2011-07-11 2015-11-30
17 AFFILIATED MANAGERS GROUP P 2011-07-29 2015-11-30
5 AFFILIATED MANAGERS GROUP P 2011-07-29 2015-11-30
4 AMERIPRISE FINANCIAL INC P 2011-10-24 2015-11-30
12 AMERIPRISE FINANCIAL INC P 2011-10-24 2015-11-30
26 AMERIPRISE FINANCIAL INC P 2011-10-27 2015-11-30
1 AMAZON.COM INC P 2011-12-19 2015-11-30
8 AMAZON.COM INC P 2011-12-20 2015-11-30
2 AMAZON.COM INC P 2011-12-20 2015-11-30
9 BIOGEN INC P 2015-08-19 2015-11-30
5 BIOGEN INC P 2015-08-19 2015-11-30
30 BRISTOL-MYERS SQUIBB CO P 2014-09-23 2015-11-30
76 BRISTOL-MYERS SQUIBB CO P 2014-09-23 2015-11-30
33 BORGWARNER INC P 2013-12-04 2015-11-30
73 BORGWARNER INC P 2013-12-04 2015-11-30
38 CITIGROUP INC P 2013-02-13 2015-11-30
66 CITIGROUP INC P 2013-05-02 2015-11-30
29 CITIGROUP INC P 2013-02-13 2015-11-30
30 CERNER CORP P 2015-02-04 2015-11-30
11 CERNER CORP P 2015-02-04 2015-11-30
51 COLGATE-PALMOLIVE CO P 2011-12-21 2015-11-30
10 COLGATE-PALMOLIVE CO P 2011-08-23 2015-11-30
10 COLGATE-PALMOLIVE CO P 2011-12-21 2015-11-30
11 CHEVRON CORP P 2011-12-21 2015-11-30
28 CHEVRON CORP P 2011-12-21 2015-11-30
16 DOLLAR GENERAL CORP P 2015-01-16 2015-11-30
33 DOLLAR GENERAL CORP P 2015-01-16 2015-11-30
8 DANAHER CORP P 2015-09-15 2015-11-30
17 DANAHER CORP P 2015-09-15 2015-11-30
12 EQUIFAX INC P 2013-05-01 2015-11-30
17 EQUIFAX INC P 2013-05-01 2015-11-30
14 EQUIFAX INC P 2013-05-30 2015-11-30
41 EXPRESS SCRIPTS HOLDING CO P 2012-07-19 2015-11-30
17 EXPRESS SCRIPTS HOLDING CO P 2012-07-19 2015-11-30
30 FACEBOOK INC-A P 2014-09-30 2015-11-30
11 FACEBOOK INC-A P 2014-09-30 2015-11-30
39 GILEAD SCIENCES INC P 2011-11-15 2015-11-30
9 GILEAD SCIENCES INC P 2011-11-15 2015-11-30
9 GILEAD SCIENCES INC P 2011-11-02 2015-11-30
1 ALPHABET INC-CL C P 2010-09-23 2015-11-30
5 ALPHABET INC-CL C P 2010-09-23 2015-11-30
7 ALPHABET INC-CL A P 2009-01-05 2015-11-30
3 ALPHABET INC-CL A P 2009-01-05 2015-11-30
23 HOME DEPOT INC P 2014-04-22 2015-11-30
59 HOME DEPOT INC P 2014-04-22 2015-11-30
29 KROGER CO P 2015-11-11 2015-11-30
71 KROGER CO P 2015-11-11 2015-11-30
19 MASTERCARD INC-CLASS A P 2012-05-31 2015-11-30
48 MASTERCARD INC-CLASS A P 2012-05-31 2015-11-30
12 MOODY'S CORP P 2015-03-11 2015-11-30
32 MOODY'S CORP P 2015-03-11 2015-11-30
110 MICROSOFT CORP P 2014-07-23 2015-11-30
47 MICROSOFT CORP P 2014-07-23 2015-11-30
25 ORACLE CORP P 2015-06-16 2015-11-30
55 ORACLE CORP P 2015-06-16 2015-11-30
13 O'REILLY AUTOMOTIVE INC P 2013-06-25 2015-11-30
5 O'REILLY AUTOMOTIVE INC P 2013-06-25 2015-11-30
1 PRICELINE GROUP INC/THE P 2011-09-19 2015-11-30
1 PRICELINE GROUP INC/THE P 2011-09-19 2015-11-30
11 PPG INDUSTRIES INC P 2015-10-08 2015-11-30
24 PPG INDUSTRIES INC P 2015-10-08 2015-11-30
3 PIONEER NATURAL RESOURCES CO P 2015-03-04 2015-11-30
10 PIONEER NATURAL RESOURCES CO P 2015-03-04 2015-11-30
22 RED HAT INC P 2013-04-11 2015-11-30
54 RED HAT INC P 2013-04-11 2015-11-30
28 SBA COMMUNICATIONS CORP-CL A P 2012-04-11 2015-11-30
12 SBA COMMUNICATIONS CORP-CL A P 2012-04-11 2015-11-30
28 STARBUCKS CORP P 2014-10-23 2015-11-30
58 STARBUCKS CORP P 2014-10-23 2015-11-30
25 SCHLUMBERGER LTD P 2010-11-03 2015-11-30
14 SCHLUMBERGER LTD P 2011-06-08 2015-11-30
16 SCHLUMBERGER LTD P 2010-11-03 2015-11-30
63 SUNCOR ENERGY INC P 2014-03-31 2015-11-30
1 SUNCOR ENERGY INC P 2013-01-04 2015-11-30
24 SUNCOR ENERGY INC P 2014-03-31 2015-11-30
14 TRANSDIGM GROUP INC P 2014-02-04 2015-11-30
6 TRANSDIGM GROUP INC P 2014-02-04 2015-11-30
29 TEXAS INSTRUMENTS INC P 2013-10-14 2015-11-30
76 TEXAS INSTRUMENTS INC P 2013-10-14 2015-11-30
13 UNITEDHEALTH GROUP INC P 2015-07-28 2015-11-30
25 UNITEDHEALTH GROUP INC P 2015-07-28 2015-11-30
47 UNION PACIFIC CORP P 2012-05-01 2015-11-30
18 UNION PACIFIC CORP P 2012-05-01 2015-11-30
39 VF CORP P 2013-03-28 2015-11-30
15 VF CORP P 2013-03-28 2015-11-30
11 VERISK ANALYTICS INC P 2015-07-24 2015-11-30
27 VERISK ANALYTICS INC P 2015-07-24 2015-11-30
118 WELLS FARGO & CO P 2012-07-27 2015-11-30
47 WELLS FARGO & CO P 2012-07-27 2015-11-30
14 WILLIAMS-SONOMA INC P 2013-01-03 2015-11-30
36 WILLIAMS-SONOMA INC P 2013-01-03 2015-11-30
28 ZOETIS INC P 2014-07-29 2015-11-30
73 ZOETIS INC P 2014-07-29 2015-11-30
43 VF CORP P 2013-03-28 2015-12-22
126 VF CORP P 2013-04-08 2015-12-22
(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 469   358 111
b 18,542   14,624 3,918
c 1,385   964 421
d 10,388   7,412 2,976
e 1,561   1,437 124
10,690   8,492 2,198
1,423   1,018 405
27,100   18,934 8,166
19,655   14,065 5,590
8,979   7,589 1,390
40,514   26,432 14,082
5,033   3,221 1,812
18,809   12,275 6,534
12,371   9,883 2,488
3,917   3,383 534
23,975   14,250 9,725
11,710   7,037 4,673
205   178 27
9,035   11,678 -2,643
7,187   7,783 -596
13,348   11,588 1,760
15,401   12,933 2,468
1,089   319 770
542   260 282
772   658 114
654   317 337
436   205 231
1,502   487 1,015
1,126   539 587
793   416 377
1,421   1,224 197
961   837 124
1,182   1,018 164
909   886 23
1,261   778 483
1,631   928 703
1,332   1,264 68
1,395   1,323 72
1,485   984 501
1,277   883 394
612   636 -24
1,760   323 1,437
591   374 217
2,337   1,682 655
934   750 184
735   537 198
1,484   700 784
1,246   592 654
1,348   1,406 -58
564   591 -27
1,026   557 469
1,126   533 593
633   307 326
492   374 118
1,163   850 313
1,469   619 850
1,298   1,050 248
968   790 178
1,195   557 638
470   511 -41
1,043   737 306
1,268   892 376
1,477   690 787
1,209   671 538
2,630   1,630 1,000
958   554 404
1,431   1,027 404
6,849   9,758 -2,909
47   54 -7
11,336   13,416 -2,080
12,281   14,904 -2,623
6,613   9,124 -2,511
7,778   4,081 3,697
15,874   8,738 7,136
8,731   10,232 -1,501
30,954   17,624 13,330
6,099   4,536 1,563
21,667   16,136 5,531
3,691   2,701 990
9,922   7,281 2,641
9,202   8,021 1,181
554   159 395
1,095   519 576
610   526 84
1,065   512 553
1,208   398 810
1,103   539 564
1,414   1,071 343
830   732 98
1,068   885 183
709   681 28
1,072   692 380
878   498 380
627   344 283
1,144   1,159 -15
1,571   1,389 182
1,463   984 479
1,074   765 309
641   636 5
1,589   304 1,285
485   299 186
2,170   1,522 648
757   625 132
1,313   618 695
906   866 40
1,095   543 552
1,090   1,179 -89
845   445 400
1,150   527 623
611   307 304
470   488 -18
487   374 113
1,060   800 260
1,185   516 669
1,029   825 204
1,039   934 105
1,248   557 691
383   477 -94
858   590 268
1,206   851 355
1,272   632 640
944   545 399
2,065   1,256 809
985   554 431
1,313   928 385
23,810   13,736 10,074
4,705   2,758 1,947
15,682   8,897 6,785
1,656   722 934
8,902   3,870 5,032
418   298 120
3,241   2,319 922
1,574   1,126 448
5,797   4,141 1,656
602   431 171
2,099   1,491 608
6,552   4,671 1,881
9,694   6,392 3,302
9,694   10,063 -369
5,332   2,700 2,632
24,235   15,735 8,500
11,943   7,243 4,700
2,350   1,275 1,075
10,799   5,850 4,949
7,109   4,338 2,771
37   25 12
41   24 17
32   25 7
31   15 16
26   15 11
6,365   5,133 1,232
9,614   11,532 -1,918
10,277   9,553 724
8,620   9,541 -921
1,116   319 797
1,075   518 557
914   724 190
903   410 493
1,539   531 1,008
1,321   539 782
2,004   1,530 474
1,131   994 137
1,415   1,107 308
1,313   1,295 18
1,332   864 468
569   294 275
1,497   1,580 -83
1,566   1,323 243
1,986   1,230 756
1,451   942 509
1,065   954 111
2,318   361 1,957
405   374 31
2,588   1,842 746
905   875 30
1,816   783 1,033
1,429   1,251 178
1,288   691 597
1,511   1,497 14
536   583 -47
1,151   557 594
1,150   527 623
566   651 -85
1,493   950 543
1,303   568 735
1,666   1,163 503
1,315   1,078 237
272   124 148
1,222   583 639
488   579 -91
1,366   885 481
1,187   892 295
1,277   747 530
1,054   629 425
2,707   1,596 1,111
1,133   646 487
1,343   895 448
3,176   1,732 1,444
22,169   11,929 10,240
17,376   9,152 8,224
30,983   19,181 11,802
19,960   12,351 7,609
8,052   7,685 367
16,115   10,654 5,461
14,555   18,326 -3,771
3,172   1,866 1,306
13,571   7,602 5,969
6,250   10,007 -3,757
4,650   6,962 -2,312
6,250   10,076 -3,826
3,300   2,977 323
16,494   10,364 6,130
1,155   726 429
3,795   2,957 838
1,379   319 1,060
656   259 397
504   395 109
795   410 385
955   354 601
531   180 351
1,140   918 222
506   575 -69
1,283   1,018 265
834   886 -52
795   519 276
240   316 -76
1,363   1,125 238
515   307 208
892   589 303
749   636 113
1,497   247 1,250
1,825   1,201 624
309   250 59
1,148   494 654
869   770 99
163   129 34
918   907 11
313   358 -45
1,013   445 568
368   488 -120
685   450 235
873   361 512
680   450 230
811   718 93
1,029   454 575
318   409 -91
713   442 271
912   770 142
121   120 1
989   632 357
746   419 327
227   223 4
1,628   985 643
777   416 361
849   596 253
18,486   20,305 -1,819
7,546   4,413 3,133
11,525   5,444 6,081
5,900   3,674 2,226
8,918   5,110 3,808
3,293   2,079 1,214
11,088   7,090 3,998
18,205   18,196 9
15,437   13,948 1,489
5,264   6,376 -1,112
7,114   8,309 -1,195
19,040   19,056 -16
6,438   1,197 5,241
22,585   4,535 18,050
29,343   26,677 2,666
20,753   19,056 1,697
6,524   7,475 -951
13,637   15,808 -2,171
4,910   5,149 -239
14,729   15,284 -555
4,477   3,122 1,355
124   86 38
124   87 37
373   259 114
7,088   4,920 2,168
2,497   1,063 1,434
16,233   6,851 9,382
1,928   1,390 538
482   344 138
2,289   1,636 653
1,928   1,404 524
602   434 168
19,276   14,184 5,092
12,770   12,613 157
3,570   2,565 1,005
1,378   987 391
353   205 148
3,019   1,782 1,237
882   524 358
453   177 276
1,355   531 824
2,944   1,261 1,683
676   180 496
5,353   1,459 3,894
1,353   365 988
2,604   2,847 -243
1,455   1,582 -127
2,022   1,530 492
5,113   3,877 1,236
1,403   1,726 -323
3,117   3,817 -700
2,054   1,682 372
3,570   3,077 493
1,569   1,284 285
1,801   2,020 -219
658   741 -83
3,356   2,371 985
660   432 228
660   465 195
1,005   1,159 -154
2,551   2,949 -398
1,032   1,070 -38
2,128   2,207 -79
771   701 70
1,645   1,489 156
1,343   737 606
1,900   1,045 855
1,565   869 696
3,500   2,414 1,086
1,456   1,001 455
3,131   2,386 745
1,158   875 283
4,140   788 3,352
960   182 778
960   185 775
752   259 493
3,734   1,295 2,439
5,359   1,115 4,244
2,314   478 1,836
3,081   1,842 1,239
7,882   4,725 3,157
1,097   1,076 21
2,682   2,634 48
1,873   783 1,090
4,723   1,978 2,745
1,239   1,155 84
3,304   3,080 224
5,969   4,988 981
2,552   2,131 421
979   1,120 -141
2,157   2,465 -308
3,458   1,448 2,010
1,332   557 775
1,262   532 730
1,262   532 730
1,168   1,040 128
2,529   2,269 260
435   488 -53
1,456   1,628 -172
1,803   1,100 703
4,410   2,700 1,710
2,940   1,445 1,495
1,259   619 640
1,730   1,050 680
3,579   2,176 1,403
1,938   1,796 142
1,085   1,171 -86
1,240   1,149 91
1,731   2,199 -468
27   34 -7
659   838 -179
3,303   2,064 1,239
1,414   885 529
1,672   1,175 497
4,401   3,080 1,321
1,480   1,556 -76
2,832   2,993 -161
3,964   2,701 1,263
1,522   1,034 488
2,515   1,635 880
970   629 341
827   818 9
2,019   2,007 12
6,528   4,006 2,522
2,600   1,596 1,004
902   646 256
2,301   1,662 639
1,309   928 381
3,416   2,419 997
2,662   1,802 860
7,800   5,348 2,452
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       111
b       3,918
c       421
d       2,976
e       124
      2,198
      405
      8,166
      5,590
      1,390
      14,082
      1,812
      6,534
      2,488
      534
      9,725
      4,673
      27
      -2,643
      -596
      1,760
      2,468
      770
      282
      114
      337
      231
      1,015
      587
      377
      197
      124
      164
      23
      483
      703
      68
      72
      501
      394
      -24
      1,437
      217
      655
      184
      198
      784
      654
      -58
      -27
      469
      593
      326
      118
      313
      850
      248
      178
      638
      -41
      306
      376
      787
      538
      1,000
      404
      404
      -2,909
      -7
      -2,080
      -2,623
      -2,511
      3,697
      7,136
      -1,501
      13,330
      1,563
      5,531
      990
      2,641
      1,181
      395
      576
      84
      553
      810
      564
      343
      98
      183
      28
      380
      380
      283
      -15
      182
      479
      309
      5
      1,285
      186
      648
      132
      695
      40
      552
      -89
      400
      623
      304
      -18
      113
      260
      669
      204
      105
      691
      -94
      268
      355
      640
      399
      809
      431
      385
      10,074
      1,947
      6,785
      934
      5,032
      120
      922
      448
      1,656
      171
      608
      1,881
      3,302
      -369
      2,632
      8,500
      4,700
      1,075
      4,949
      2,771
      12
      17
      7
      16
      11
      1,232
      -1,918
      724
      -921
      797
      557
      190
      493
      1,008
      782
      474
      137
      308
      18
      468
      275
      -83
      243
      756
      509
      111
      1,957
      31
      746
      30
      1,033
      178
      597
      14
      -47
      594
      623
      -85
      543
      735
      503
      237
      148
      639
      -91
      481
      295
      530
      425
      1,111
      487
      448
      1,444
      10,240
      8,224
      11,802
      7,609
      367
      5,461
      -3,771
      1,306
      5,969
      -3,757
      -2,312
      -3,826
      323
      6,130
      429
      838
      1,060
      397
      109
      385
      601
      351
      222
      -69
      265
      -52
      276
      -76
      238
      208
      303
      113
      1,250
      624
      59
      654
      99
      34
      11
      -45
      568
      -120
      235
      512
      230
      93
      575
      -91
      271
      142
      1
      357
      327
      4
      643
      361
      253
      -1,819
      3,133
      6,081
      2,226
      3,808
      1,214
      3,998
      9
      1,489
      -1,112
      -1,195
      -16
      5,241
      18,050
      2,666
      1,697
      -951
      -2,171
      -239
      -555
      1,355
      38
      37
      114
      2,168
      1,434
      9,382
      538
      138
      653
      524
      168
      5,092
      157
      1,005
      391
      148
      1,237
      358
      276
      824
      1,683
      496
      3,894
      988
      -243
      -127
      492
      1,236
      -323
      -700
      372
      493
      285
      -219
      -83
      985
      228
      195
      -154
      -398
      -38
      -79
      70
      156
      606
      855
      696
      1,086
      455
      745
      283
      3,352
      778
      775
      493
      2,439
      4,244
      1,836
      1,239
      3,157
      21
      48
      1,090
      2,745
      84
      224
      981
      421
      -141
      -308
      2,010
      775
      730
      730
      128
      260
      -53
      -172
      703
      1,710
      1,495
      640
      680
      1,403
      142
      -86
      91
      -468
      -7
      -179
      1,239
      529
      497
      1,321
      -76
      -161
      1,263
      488
      880
      341
      9
      12
      2,522
      1,004
      256
      639
      381
      997
      860
      2,452
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 2 389,566
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 269,985 6,192,730 0.04360
2013 207,680 5,517,667 0.03764
2012 200,586 5,034,855 0.03984
2011 164,424 4,902,642 0.03354
2010 224,241 4,574,857 0.04902
2
Total of line 1, column (d) .....................
20.203629
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
0.040726
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
6,319,794
5
Multiply line 4 by line 3......................
5
257,380
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
4,467
7
Add lines 5 and 6........................
7
261,847
8
Enter qualifying distributions from Part XII, line 4.............
8
251,021
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 8,935
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 8,935
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 8,935
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 8,935
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 8,935
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  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   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
 
No
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletJAMES HARBERT Telephone no.bullet (312) 704-3712

    Located atbullet222 N LASALLE STCHICAGOIL ZIP+4bullet606011013
    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
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
    No
    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
     
    No
    .........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
     
    No
    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
    JAMES HARBERT Treasurer & Dir
    0.00
    0    
    222 N LASALLE ST
    CHICAGO,IL60601
    CHARLES HEATH President & Dir
    3.00
    8,448    
    3800 GOAT ROCK RD
    UKIAH,CA95482
    ELIZABETH PHILLIPS V P & Director
    3.00
    8,448    
    3800 GOAT ROCK RD
    UKIAH,CA95482
    LISA BURMAN Secretary & Dir
    0.00
    0    
    222 N LASALLE ST
    CHICAGO,IL60601
    ALEXANDRA K HEATH Director
    0.00
    0    
    3216 W STEPHENS PL
    CHANDLER,AZ85226
    EDWIN BREZINSKI Director
    0.00
    0    
    3216 W STEPHENS PL
    CHANDLER,AZ85226
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    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
    6,387,465
    b
    Average of monthly cash balances.......................
    1b
    28,570
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,416,035
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    6,416,035
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    96,241
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,319,794
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    315,990
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    315,990
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    8,935
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,935
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    307,055
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    307,055
    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
    307,055
    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
    251,021
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    251,021
    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
    251,021
    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 7 307,055
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 27,527
    b Total for prior years:20, 20, 20  
    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........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 251,021
    a Applied to 2014, but not more than line 2a 27,527
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2015 distributable amount..... 223,494
    e Remaining amount distributed out of corpus  
    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  
    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 ..........
    83,561
    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 ......
     
    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 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
    MENDOCINO ART CENTER
    45200 LITTLE LAKE ST
    MENDOCINO,CA95460
    NONE PUBLIC BUILDING PROJECTS 4,000
    UKIAH COMMUNITY CONCERT ASSOCIATION
    PO BOX 844
    UKIAH,CA95482
    NONE PUBLIC PIANO FUND 1,000
    LILLIAN AND MORTIMER VOGEL FOUNDATI
    333 NORTH OAK STREET
    UKIAH,CA95482
    NONE PUBLIC SCHOLARSHIPS 5,000
    PHOENIX SYMPHONY SUPPORT FOUNDATION
    ONE NORTH FIRST STREET SUITE 200
    PHOENIX,AZ85004
    NONE PUBLIC GENERAL 3,000
    ARIZONA EQUINE RESCUE ORGANIZATION
    34522 N SCOTTSDALE RD
    SCOTTSDALE,AZ85266
    NONE PUBLIC FACILITY EQUIPMENT 5,000
    DOVES INCORPORATED
    1366 E THOMAS RD
    PHOENIX,AZ85014
    NONE PUBLIC GENERAL 3,000
    HALO HELPING ANIMALS LIVE ON
    5231 N 35TH
    PHOENIX,AZ85014
    NONE PUBLIC GENERAL FUND 5,000
    AMERICAN RADIO RELAY LEAGUE INC
    225 MAIN ST
    NEWINGTON,CT06111
    NONE PUBLIC SPECTRUM DEFENSE FUND,EDUCATION & TECH. AND SECOND CENTURY FUND. 21,000
    CALSTAR
    4933 BAILEY LOOP
    McCLELLAN,CA95652
    NONE PUBLIC CALSTAR IV UKIAH HELIPAD 48,000
    SEAKAY INC
    P O BOX 78192
    SAN FRANCISCO,CA94107
    NONE PUBLIC EMERGENCY FUND DUE TO NATURAL DISASTERS & EXPANDING RURAL AREAS. 70,000
    PROJECT SANCTUARY
    P O BOX 132
    PARKER,CO80134
    NONE PUBLIC GENERAL 5,000
    SYMPHONY OF THE SOUTHWEST
    213 N MORRIS
    MESA,AZ85201
    NONE PUBLIC PURCHASE OF OFFICE BUILDING 10,000
    AFTER THE HOMESTRECH-ARIZONA
    3939 W MARIPOSA GRANDE
    GLENDALE,AZ85310
    NONE PUBLIC ITEMS ON PUBLISHED WISH LIST ONLY 5,000
    ASU FOUNDATION FOR A NEW AMERICAN U
    PO BOX 2260
    TEMPE,AZ85280
    NONE PUBLIC GAMMAGE CAPITAL PROJECTS FUND 6,000
    FORD STREET PROJECT
    139 FORD ST
    UKIAH,CA95482
    NONE PUBLIC UKIAH FOOD BANK THANKSGIVING BASKET PROG. 3,000
    FRIENDS OF PUBLIC RADIO ARIZONA
    2323 W 14TH ST
    TEMPE,AZ85281
    NONE PUBLIC LEADERSHIP SOCIETY FOR SUPPORT OF KBAQ PUBLIC RADIO 6,000
    MENDOCINO COAST BOTANICAL GARDENS C
    18220 CALIFORNIA 1
    FORT BRAGG,CA95437
    NONE PUBLIC PURCHASE OF ELECTRIC CART AND SOLAR CHARGING PANEL 4,000
    MENDOCINO CO SHERIFF'S SEARCH AND R
    700 S FRANKLIN ST
    FORT BRAGG,CA95437
    NONE PUBLIC EQUIPMENT PURCHASE 3,000
    FENCING FOR ALL FOUNDATION
    1905 S MACDONALD STE 5
    MEAS,AZ85210
    NONE PC GENERAL 3,000
    HOSPICE OF UKIAH
    620 S DORA 101
    UKIAH,CA95482
    NONE PC GENERAL 15,000
    PLOWSHARES PEACE AND JUSTICE CENTER
    1346 S STATE ST
    UKIAH,CA95482
    NONE PC PURCHASE OF FOOD AND KITCHEN EQUIP. 5,000
    Total .................................bullet 3a 230,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........
             
    4 Dividends and interest from securities....     14 112,715  
    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 ............
        18 389,566  
    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)..   502,281  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13502,281
    (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: 15000324
    Software Version: 2015v2.0


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    ALLEN-HEATH MEMORIAL FOUNDATION
    EIN:
    36-3056910
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Boone & Johnson, CPA's 4,990 4,990 0 0

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    ALLEN-HEATH MEMORIAL FOUNDATION
    EIN:
    36-3056910
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AMERIPRISE FINANCIAL INC 41,420 76,410
    APPLE INC 113,566 175,153
    AFFILIATED MANAGERS GROUP INC 52,243 64,224
    AMAZON.COM INC 45,101 121,660
    CHEVRON CORPORATION 78,331 61,173
    SCHLUMBERGER LTD 76,743 65,286
    STARBUCKS CORP 51,079 80,920
    COLGATE PALMOLIVE CO 61,196 79,211
    GILEAD SCIENCES INC 21,393 91,273
    PRICELINE COM INC COM NEW 31,370 53,548
    EXPRESS SCRIPTS HOLDING CO 73,041 85,137
    MASTERCARD INC-CLASS A 53,264 110,309
    SBA COMMUNICATIONS CORP-CL A 42,797 71,132
    SUNCOR ENERGY INC 51,693 38,906
    UNION PACIFIC CORP 83,187 85,551
    WELLS FARGO & CO 104,728 152,208
    BORGWARNER 88,313 74,485
    CITIGROUP 119,131 116,489
    EQUIFAX 52,186 81,077
    O'REILLY AUTOMOTIVE 35,123 78,560
    RED HAT 70,959 105,252
    TEXAS INSTRUMENTS 82,600 97,507
    VF CORP 34,348 46,937
    WILLIAMS-SONOMA 43,597 49,707
    ADOBE SYSTEMS 63,988 86,237
    BRISTOL-MYERS SQUIBB 97,955 122,721
    FACEBOOK INC A 55,778 74,099
    HOME DEPOT INC 112,832 185,150
    MICROSOFT CORP 133,322 156,565
    TRANSDIGM GROUP 56,983 76,074
    ZOETIS INC 59,380 82,566
    ALPHABET INC-CL A 63,136 133,818
    ALPHABET INC-CL C 35,351 79,682
    BIOGEN INC 68,409 67,703
    CERNER CORP 50,371 41,638
    DANAHER CORP 35,478 37,616
    DOLLAR GENERAL CORP 54,828 55,987
    KROGER CO 73,382 81,192
    MOODY'S CORP 73,450 75,155
    ORACLE CORP 56,010 47,964
    PIONEER NATURAL RESOURCES 37,614 28,963
    PPG INDUSTRIES INC 55,005 55,438
    UNITEDHEALTH GROUP INC 82,340 80,466
    VERISK ANALYTICS INC 47,645 49,280

    TY 2015 InvestmentsOtherSchedule2
    Name:
    ALLEN-HEATH MEMORIAL FOUNDATION
    EIN:
    36-3056910
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    WILLIAM BLAIR BOND FD AT COST 1,431,642 1,330,754
    CHAMPLAIN SMALL CO AT COST 309,037 316,384
    WM BLAIR INTL BIGIX US AT COST 792,079 835,971

    TY 2015 LegalFeesSchedule
    Name:
    ALLEN-HEATH MEMORIAL FOUNDATION
    EIN:
    36-3056910
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Hinshaw & Culbertson LLP 16,501 12,376 0 4,125


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    ALLEN-HEATH MEMORIAL FOUNDATION
    EIN:
    36-3056910
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    William Blair & Company, L.L.C. 28,302 28,302 0 0


    TY 2015 TaxesSchedule
    Name:
    ALLEN-HEATH MEMORIAL FOUNDATION
    EIN:
    36-3056910
    Software ID:
    15000324
    Software Version:
    2015v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    2014 EXCISE TAX PART VI LN 1 5,918 5,918    
    IL AG 990 15 15    
    PAYROLL TAX EXPENSE 1,839 1,839