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
Bella Vista Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)1660 Bush Street No 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
San Francisco, CA94109
A Employer identification number

94-3345967
B Telephone number (see instructions)

(415) 561-6540
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$53,669,201J 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 592 1,822  
4 Dividends and interest from securities... 330,886 514,213  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 145,314
b Gross sales price for all assets on line 6a 2,541,720
7 Capital gain net income (from Part IV, line 2)... 2,541,720
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).......   -286,323  
12 Total. Add lines 1 through 11........ 476,792 2,771,432  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 10,714 6,427   3,214
c Other professional fees (attach schedule).... Click to see attachment 431,261 99,906   294,538
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 53,938 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 4,727 473   2,836
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 4,075 124   350
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 504,715 106,930   300,938
25 Contributions, gifts, grants paid....... 2,250,836 2,251,836
26 Total expenses and disbursements. Add lines 24 and 25 2,755,551 106,930   2,552,774
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -2,278,759
b Net investment income (if negative, enter -0-) 2,664,502
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......... 5,843,686 3,752,896 3,752,896
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.......... 50,785 500 500
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 7,441,278 Click to see attachment6,842,577 6,842,577
c Investments—corporate bonds (attach schedule)....... 6,666,734 Click to see attachment9,160,866 9,160,866
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 34,420,404 Click to see attachment32,882,362 32,882,362
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment3,000,000 Click to see attachment1,030,000 Click to see attachment1,030,000
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 57,422,887 53,669,201 53,669,201
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................. 5,000 4,000
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) Click to see attachment172,000 Click to see attachment172,052
23 Total liabilities (add lines 17 through 22)......... 177,000 176,052
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 57,245,887 53,493,149
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 57,245,887 53,493,149
31 Total liabilities and net assets/fund balances (see instructions). 57,422,887 53,669,201
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
57,245,887
2
Enter amount from Part I, line 27a .....................
2
-2,278,759
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
19,000
4
Add lines 1, 2, and 3 ..........................
4
54,986,128
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,492,979
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
53,493,149
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 HCP PRIVATE EQUITY FUND LP P 2013-12-31 2015-12-31
b HCP PRIVATE EQUITY FUND II LP P 2013-12-31 2015-12-31
c GENERATION IM GLOBAL EQUITY FUND LLC P 2013-12-31 2015-12-31
d WGI EMERGING MARKETS FUND LLC P 2013-12-31 2015-12-31
e sri ten reit P 2013-12-31 2015-12-31
valueact capital international ii lp P 2013-12-31 2015-12-31
hcp special opportnities fund offshore, lp P 2013-12-31 2015-12-31
hcp absolute return fund, lp P 2013-12-31 2015-12-31
hcp private equity fund iii lp P 2013-12-31 2015-12-31
hcp private equity fund iv lp P 2013-12-31 2015-12-31
hcp private equity fund v lp P 2013-12-31 2015-12-31
Capital Gains Dividends P    
(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 46,439     46,439
b 54,749     54,749
c 1,002,528     1,002,528
d 72,567     72,567
e 81,473     81,473
425,914     425,914
87,547     87,547
365,521     365,521
126,775     126,775
100,144     100,144
32,749     32,749
145,314     145,314
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       46,439
b       54,749
c       1,002,528
d       72,567
e       81,473
      425,914
      87,547
      365,521
      126,775
      100,144
      32,749
      145,314
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 2,541,720
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 2,545,026 46,018,245 0.055305
2013 2,417,013 52,671,606 0.045888
2012 2,550,117 48,203,827 0.052903
2011 2,488,683 48,212,511 0.051619
2010 2,366,383 47,969,571 0.049331
2
Total of line 1, column (d) .....................
20.255046
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
0.051009
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
59,191,184
5
Multiply line 4 by line 3......................
5
3,019,283
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
26,645
7
Add lines 5 and 6........................
7
3,045,928
8
Enter qualifying distributions from Part XII, line 4.............
8
2,552,774
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 53,290
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 53,290
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 53,290
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 34,418
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 34,418
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 180
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 19,052
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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletwww.bellavistafoundation.org
    14
    The books are in care ofbulletPACIFIC FOUNDATION SERVICES LLC Telephone no.bullet (415) 561-6540

    Located atbullet1660 BUSH STREET SUITE 300SAN FRANCISCOCA ZIP+4bullet94109
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Robert Kirkwood Chairman
    1.00     		0 0 0
    1660 Bush Street Suite 300
    San Francisco,CA94109
    Jeanie Casey Treasurer
    1.00     		0 0 0
    1660 Bush Street Suite 300
    san Francisco,CA94109
    John Kirkwood Secretary
    1.00     		0 0 0
    1660 Bush Street Suite 300
    san Francisco,CA94109
    Susan Koe Vice Chairman
    1.00     		0 0 0
    1660 Bush Street Suite 300
    san Francisco,CA94109
    katherine casey joiner associate trustee
    1.00     		0 0 0
    1660 Bush Street Suite 300
    san Francisco,CA94109
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    pacific foundation services llc management services 368,172
    1660 Bush Street Suite 300
    San Francisco,CA94109
    hall capital llc investment fees 63,089
    one maritime plaza fifth floor
    san Francisco,CA94111
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    53,998,259
    b
    Average of monthly cash balances.......................
    1b
    6,094,314
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    60,092,573
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    60,092,573
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    901,389
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    59,191,184
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    2,959,559
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    2,959,559
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    53,290
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    53,290
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,906,269
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,906,269
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    2,906,269
    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
    2,552,774
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    2,552,774
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    2,552,774
    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 2,906,269
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 10,814
    b From 2011...... 111,779
    c From 2012...... 182,004
    d From 2013......  
    e From 2014...... 338,959
    fTotal of lines 3a through e........ 643,556
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 2,552,774
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		Click to see attachment0
    d Applied to 2015 distributable amount..... 2,552,774
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 353,495 353,495
    (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 5 290,061
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		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) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		290,061
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014.... 290,061
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    Mary gregory senior program officer
    1660 bush street suite 300
    san francisco,CA94109
    (415) 561-6540
    bThe form in which applications should be submitted and information and materials they should include:
    For guidelines and more info about this foundation, see www.bellavistafoundation.org
    cAny submission deadlines:
    For guidelines and more info about this foundation, see www.bellavistafoundation.org
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    FOR GUIDELINES AND MORE INFO ABOUT THIS FOUNDATION, SEE WWW.BELLAVISTAFOUNDATION.ORG
    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
    APPLE FamilyWorks
    4 Joseph Ct
    San Rafael,CA94903     		  501 (c)(3) charity For psycho-educational support groups for Spanish speaking pregnant and new mothers in Novato and Sa 30,000
    American River Conservancy
    PO Box 562
    Coloma,CA95613     		  501 (c)(3) charity For the planning and permitting of restoration on 3,055 acres of riparian and forest habitat at the 50,000
    American Rivers Inc
    120 Union St
    Nevada City,CA95959     		  501 (c)(3) charity To accelerate meadow restoration by building knowledge and capacity of restoration practitioners and 30,000
    Blossom Birth Services
    299 S California Avenue Ste 120
    Palo Alto,CA94306     		  501 (c)(3) charity Mindfulness Based Mom Baby Yoga In Spanish 12,500
    Board of Trustees of the Leland Stanford Junior University
    Research Management Group 3172
    Porter Drive
    Palo Alto,CA94304     		  501 (c)(3) charity Increasing School Readiness: Building the Foundation to Empower Parents 15,000
    California Pacific Medical Center Foundation
    2015 Steiner Street
    San Francisco,CA94115     		  501 (c)(3) charity Joint Venture Health: The Development of a Prenatal-Pediatric-Parent Partnership Model to Improve Pa 35,000
    California Trout
    360 Pine St 4th Floor
    San Francisco,CA94104     		  501 (c)(3) charity For building collaboration to recover listed salmonids in the Scott and Shasta Rivers and increasing 85,000
    Canal Alliance
    91 Larkspur Street
    San Rafael,CA94901     		  501 (c)(3) charity To support Latina mothers in the Canal District through birth coaches (Compaeras), a support group, 35,000
    Cascade Pacific RC&D (Upper South Fork John Day River Watershed Council)
    PO Box 522
    Mount Vernon,OR97865     		  501 (c)(3) charity For installation of a Dug Well in order to abandon livestock use of a creek in the Upper South Fork 13,362
    Catholic Charities of Santa Clara County
    645 Wool Creek Drive
    San Jose,CA95112     		  501 (c)(3) charity For the Baby Steps program, providing home visits and support groups to very low-income pregnant/par 36,500
    Catholic Charities of Santa Clara
    c/o Catholic Charities of Santa
    Clara County 2625 Zanker Road
    San Jose,CA95134     		  501 (c)(3) charity For New Beginnings, a program for children ages 0-3 and their caregivers that provide cognitive and 58,500
    Central Oregon Forest Stewardship Foundation
    334 NE Hawthorne Ave
    Bend,OR97701     		  501 (c)(3) charity To increase the pace and scale of forest restoration across the Collaborative Forest Landscape Resto 30,000
    Child Care Coordinating Council of San Mateo Inc
    330 Twin Dolphin Drive Suite 119
    Redwood City,CA94065     		  501 (c)(3) charity To develop a framework supporting license-exempt, informal childcare providers and the families they 15,000
    Compass Family Services
    49 Powell Street 3rd Floor
    San Francisco,CA94102     		  501 (c)(3) charity For Compass Family Services Family Resource Center providing specialized services for homeless and 20,000
    Continuing Development Incorporated dba Choices for Children
    111 North Market Suite 700
    San Jose,CA95113     		  501 (c)(3) charity For a neighborhood-based series of Play & Learn workshops to create community and guide parents/care 27,500
    Cora Community Overcoming Relationship Abuse
    2211 Palm Ave
    San Mateo,CA94402     		  501 (c)(3) charity To provide bilingual, trauma-informed support groups and supportive parenting services for victims o 32,500
    CorStone
    250 Camino Alto Suite 100A
    Mill Valley,CA94941     		  501 (c)(3) charity For the Marin City Parenting Academy, a 16-week class/peer support group for parents of children pre 45,000
    Deschutes River Conservancy
    700 NW Hill Street
    Bend,OR97701     		  501 (c)(3) charity For continued support of the Upper Deschutes Streamflow Initiative, a long-term water management pla 75,000
    Family Service Agency of Marin a division of Buckelew Programs
    555 Northgate Drive
    San Rafael,CA94903     		  501 (c)(3) charity For Healthy Families Marin, a program integrating home-visiting services and a support group, with m 45,000
    Foundation Center
    312 Sutter Street Suite 606
    San Francisco,CA94108     		  501 (c)(3) charity For annual operating support for this national organization providing a bridge between grantseekers 4,000
    Good Samaritan Family Resource Center of San Francisco
    1294 Potrero Avenue
    San Francisco,CA94110     		  501 (c)(3) charity For culturally appropriate support groups, parenting classes, workshops, and case management that he 50,000
    Hamilton Family Shelter
    1525 Waller St
    San Francisco,CA94117     		  501 (c)(3) charity For Early Childhood Mental Health Consultation, parenting workshops, and education for homeless fami 10,000
    Homeless Prenatal Program Inc
    2500 18th Street
    San Francisco,CA94110     		  501 (c)(3) charity For the Wellness Center to provide case management, prenatal and parenting classes, support groups, 50,000
    Homeless Prenatal Program Inc
    2500 18th Street
    San Francisco,CA94110     		  501 (c)(3) charity For the Oasis Sister Circle, a pilot workshop series to help African American women prevent and cope 7,500
    Learning and Loving Education Center
    16890 Church Street 16
    Morgan Hill,CA95037     		  501 (c)(3) charity Support services to immigrant mothers of young children in Morgan Hill where there are few services 15,000
    Marin Advocates for Children
    30 North San Pedro Road 275
    San Rafael,CA94903     		  501 (c)(3) charity To hire a consultant to conduct a staff training for professionals from throughout the county on moo 1,000
    Nature Conservancy Inc
    821 SE 14th Avenue
    Portland,OR97214     		  501 (c)(3) charity For continued support to coordinate a long-term water management plan that will restore streamflow i 69,620
    North Fork John Day Watershed Council
    PO Box 444
    Long Creek,OR97856     		  501 (c)(3) charity To conduct a Lower Middle Fork John Day River Assessment. 68,000
    Northern California Grantmakers
    625 Market Street 15th Floor
    San Francisco,CA94105     		  501 (c)(3) charity Grant and Dues 2,000
    Odd Fellow-Rebekah Childrens Home of California (Rebekah Children's Service
    290 IOOF Ave
    Gilroy,CA95020     		  501 (c)(3) charity For the Healthy Families program, building healthy attachment and relationships with their children 40,000
    Oregon Wild
    5825 North Greeley
    Portland,OR97217     		  501 (c)(3) charity For continued support of collaborative forest restoration programming in the Upper Deschutes and Joh 35,000
    OSU Foundation (Oregon State University - Cascades)
    2600 College Way
    Bend,OR97701     		  501 (c)(3) charity To implement and monitor beaver dam analogs in two Upper Deschutes watershed streams. 35,000
    Pacific Forest Trust
    1001-A OReilly Avenue
    San Francisco,CA94129     		  501 (c)(3) charity To advance forest conservation and restoration in the McCloud and Mid-Klamath/Shasta/Scott River wat 50,000
    Parent Services Project Inc
    79 Belvedere ST Suite 101
    San Rafael,CA94901     		  501 (c)(3) charity To offer learning play groups to families of young children, and provide trainings to home child car 45,000
    Portola Family Connection Center Inc
    2565 San Bruno Ave
    San Francisco,CA94134     		  501 (c)(3) charity To provide parent-child drop-in groups, support groups, parenting classes, case management, and ther 30,000
    Puente de la Costa Sur
    PO Box 554
    Pescadero,CA94060     		  501 (c)(3) charity To support the Madres Project which addresses maternal depression in Latina women through education, 45,000
    Rape Trauma Services
    1860 El Camino Real Suite 406
    Burlingame,CA94010     		  501 (c)(3) charity For services provided to teen parents at Redwood High School in Redwood City. 15,000
    San Francisco Child Abuse Prevention Center
    1757 Waller Street
    San Francisco,CA94117     		  501 (c)(3) charity To support the SafeStart Program, a citywide collaborative led by the San Francisco Child Abuse Prev 50,000
    San Jose Grail Family Services
    2003 E San Antonio St
    San Jose,CA95116     		  501 (c)(3) charity For the Birth and Beyond Family Empowerment Program, providing early literacy training, and parentin 40,000
    Save Auburn Ravine Salmon and Steelhead
    PO Box 4269
    Auburn,CA95604     		  501 (c)(3) charity To develop a watershed plan for Auburn Ravine to inform and prioritize restoration needs for salmon 25,000
    Scott River Water Trust
    PO BOX 591
    ETNA,CA96027     		  501 (c)(3) charity To support the Scott River Water Leasing Program for the 2016 irrigation season. 29,400
    Scott River Watershed Council
    PO Box 355
    Etna,CA96027     		  501 (c)(3) charity To support the Scott River Watershed Stewardship process. 35,000
    Sierra Streams Institute
    431 Uren St Suite C
    Nevada City,CA95959     		  501 (c)(3) charity To complete planning and permitting to restore hydrologic function to a meadow upstream from the spa 44,145
    Somos Mayfair Inc
    370-B S King Rd
    San Jose,CA95116     		  501 (c)(3) charity To ensure school readiness in the catchment area of two elementary schools in East San Jose, with em 60,000
    StarVista
    610 Elm St 212
    San Carlos,CA94070     		  501 (c)(3) charity For the work of StarVista's Early Childhood Mental Health consultants in Santa Clara County in child 50,000
    StarVista
    610 Elm St 212
    San Carlos,CA94070     		  501 (c)(3) charity For StarVistas Early Childhood Services Team with Early Childhood Mental Health Consultation. 80,000
    Sunday Friends Foundation
    PO Box 24887
    San Jose,CA95154     		  501 (c)(3) charity To support this program helping families learn about parenting, volunteering, communicating, working 35,000
    Sustainable Northwest
    813 SW Alder Street Suite 500
    Portland,OR97205     		  501 (c)(3) charity To advance collaborative forest restoration on national forests in the Blue Mountains and neighborin 50,000
    The Freshwater Trust
    65 SW Yamhill Street Suite 200
    Portland,OR97204     		  501 (c)(3) charity To work with local partners to restore on a basin-scale and advance new and ongoing habitat and stre 150,000
    The Sierra Fund
    206 Sacramento St Suite 101
    Nevada City,CA95959     		  501 (c)(3) charity For coordination of expert advice to provide California State Parks with information needed to imple 45,000
    The Trust for Public Land
    101 Montgomery Street Suite 900
    San Francisco,CA94104     		  501 (c)(3) charity For continued support of the Sierra Checkerboard Initiative. 150,000
    Truckee River Watershed Council
    PO Box 8568
    Truckee,CA96162     		  501 (c)(3) charity For implementation design of Lower Perazzo Meadows restoration. 45,000
    UC Merced Foundation
    520 N Lake Rd
    Merced,CA95343     		  501 (c)(3) charity For hydrologic field measurements at the Sierra Nevada Research Institute in areas that have been re 20,309
    University of California San Francisco (UCSF Infant Parent Program)
    SFGH/Department of Psychiatry
    1001Potrero Ave Building 5 Suite 7E
    San Francisco,CA94110     		  501 (c)(3) charity To support mental health consultation for the Beyond Centering Families Project, mental health consu 50,000
    Wu Yee Children's Services
    827 Broadway Street
    San Francisco,CA94133     		  501 (c)(3) charity To support the Joy Lok Family Resource Centers playgroups, support groups, parenting education clas 30,000
    Total .................................bullet 3a 2,251,836
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 592  
    4 Dividends and interest from securities....     14 330,886  
    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.....     18    
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 145,314  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 476,792 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13476,792
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    accounting 10,714 6,427   3,214

    TY 2015 DistributionFromCorpusElection
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Election:
    Pursuant to IRC Sec. 4942(H)(2) and Reg. 53.4942(A)-3(D)(2), The Georgiana G Stevens Foundation hereby elects to treat current year qualifying distributions in excess of the immediately preceding tax year?s undistributed income and the amount needed to satisfy the current year distribution requirements as being made out of corpus.

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Name of Bond End of Year Book Value End of Year Fair Market Value
    bonds 9,160,866 9,160,866

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Name of Stock End of Year Book Value End of Year Fair Market Value
    STOCKS 6,842,577 6,842,577

    TY 2015 InvestmentsOtherSchedule2
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    OTHER INVESTMENTS FMV 32,882,362 32,882,362

    TY 2015 OtherAssetsSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    unsettled stock asset 3,000,000 1,030,000 1,030,000


    TY 2015 OtherDecreasesSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Description Amount
    unrealized gain on investments 1,478,103
    prior period adjustment 14,876


    TY 2015 OtherExpensesSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    insurance 3,371 0   0
    dues and subscriptions 500 100   350
    bank fees 24 24   0
    MISCELLANEOUS 180 0   0


    TY 2015 OtherIncreasesSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Description Amount
    CHANGE IN DEFERRED TAXES 19,000


    TY 2015 OtherLiabilitiesSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Description Beginning of Year - Book Value End of Year - Book Value
    deferred tax liability 172,000 153,000
    CURRENT EXCISE TAX PAYABLE 0 19,052


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    investment management fees 63,089 63,089   0
    foundation management fees 368,172 36,817   294,538


    TY 2015 TaxesSchedule
    Name:
    Bella Vista Foundation
    EIN:
    94-3345967
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    excise tax 53,290 0   0
    franchise tax board 648 0   0