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
CATHOLIC HUMAN SERVICES FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 673
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PITTSTOWN, NJ08867
A Employer identification number

26-2967521
B Telephone number (see instructions)

(908) 730-6883
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$12,493,766J 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 319 319  
4 Dividends and interest from securities... 397,166 397,166  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 155,521
b Gross sales price for all assets on line 6a 581,058
7 Capital gain net income (from Part IV, line 2)... 155,521
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 9,202 9,073  
12 Total. Add lines 1 through 11........ 562,208 562,079  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 210,932 59,712   151,220
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 45,868 12,985   32,883
16a Legal fees (attach schedule)......... Click to see attachment 562 281   281
b Accounting fees (attach schedule)....... Click to see attachment 2,000 1,000   1,000
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 33 33   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 4,713 35   4,678
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 42,398 10,137   32,261
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 306,506 84,183   222,323
25 Contributions, gifts, grants paid....... 600,099 600,099
26 Total expenses and disbursements. Add lines 24 and 25 906,605 84,183   822,422
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -344,397
b Net investment income (if negative, enter -0-) 477,896
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............. 31,621 68,938 68,938
2 Savings and temporary cash investments......... 447,542 210,861 210,861
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 4,605,598 Click to see attachment4,597,541 10,970,184
c Investments—corporate bonds (attach schedule)....... 1,408,596 Click to see attachment1,271,620 1,167,895
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 131,768 Click to see attachment131,768 75,888
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) 6,625,125 6,280,728 12,493,766
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 6,625,125 6,280,728
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)..... 6,625,125 6,280,728
31 Total liabilities and net assets/fund balances (see instructions). 6,625,125 6,280,728
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
6,625,125
2
Enter amount from Part I, line 27a .....................
2
-344,397
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
6,280,728
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
6,280,728
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 BRISTOL MYERS SQUIBB P 2008-12-24 2015-06-09
b KRAFT FOODS CO. - 1,000 SHRS P 2008-12-24 2015-07-06
c VODAFONE GROUP PLC - 954 SHRS P 2014-02-24 2015-12-29
d MORGAN STANLEY SR NT 4.1% P 2010-02-09 2015-01-26
e BANK OF AMERICA CORP. SR NT 4.05% P 2010-02-16 2015-02-17
GE CAPITAL CORP SR NT 5.1% P 2009-08-03 2015-08-17
AVON PRODUCTS INC GLB 5.75% P 2014-09-10 2015-03-27
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 130,191   22,127 108,064
b 16,500     16,500
c 30,664   3,644 27,020
d 100,000   99,824 176
e 100,000   100,000 0
100,000   100,000 0
87,322   99,942 -12,620
16,381     16,381
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       108,064
b       16,500
c       27,020
d       176
e       0
      0
      -12,620
      16,381
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 2 155,521
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 873,389 14,368,549 0.060785
2013 864,062 13,444,435 0.064269
2012 798,990 12,151,289 0.065754
2011 785,527 11,963,089 0.065663
2010 727,630 10,874,797 0.066910
2
Total of line 1, column (d) .....................
20.323381
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
0.064676
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
13,150,223
5
Multiply line 4 by line 3......................
5
850,504
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
4,779
7
Add lines 5 and 6........................
7
855,283
8
Enter qualifying distributions from Part XII, line 4.............
8
822,422
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 9,558
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 9,558
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 9,558
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 22,277
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 22,277
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 12,719
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet12,719 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bullet
    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 .Click to see attachment
    8b
     
    No
    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.CATHOLICHUMANSERVICESFOUNDATION.ORG
    14
    The books are in care ofbulletR KEVIN HACKETT Telephone no.bullet (908) 730-6883

    Located atbulletPO BOX 673PITTSTOWNNJ ZIP+4bullet08867
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    R KEVIN HACKETT PRESIDENT/CEO/DIRECTOR
    40.00     		149,280 22,392 0
    PO BOX 673
    PITTSTOWN,NJ08867
    MARGARET HACKETT VP/SECRETARY/GRANT PROGRAM
    40.00     		61,652 9,248 0
    PO BOX 673
    PITTSTOWN,NJ08867
    JOHN DEGRAAF DIRECTOR
    1.00     		0 0 0
    PO BOX 673
    PITTSTOWN,NJ08867
    DARIN PETRO DIRECTOR
    1.00     		0 0 0
    PO BOX 673
    PITTSTOWN,NJ08867
    RAY BURNS DIRECTOR
    1.00     		0 0 0
    PO BOX 673
    PITTSTOWN,NJ08867
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    12,944,472
    b
    Average of monthly cash balances.......................
    1b
    406,008
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    13,350,480
    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
    13,350,480
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    200,257
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    13,150,223
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    657,511
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    657,511
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    9,558
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    9,558
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    647,953
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    647,953
    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
    647,953
    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
    822,422
    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
    822,422
    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
    822,422
    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 7 647,953
    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...... 194,039
    b From 2011...... 194,792
    c From 2012...... 204,732
    d From 2013...... 209,887
    e From 2014...... 163,413
    fTotal of lines 3a through e........ 966,863
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 822,422
    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)........     		0
    d Applied to 2015 distributable amount..... 647,953
    e Remaining amount distributed out of corpus 174,469
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,141,332
    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) ...     		194,039
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		947,293
    10 Analysis of line 9:
    a Excess from 2011.... 194,792
    b Excess from 2012.... 204,732
    c Excess from 2013.... 209,887
    d Excess from 2014.... 163,413
    e Excess from 2015.... 174,469
    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:
    CATHOLIC HUMAN SERVICES FOUNDATION
    PO BOX 673
    PITTSTOWN,NJ08867
    (908) 730-6883
    bThe form in which applications should be submitted and information and materials they should include:
    SEND LETTER OF INQUIRY REQUESTING GRANT APPLICATION PACKAGE.
    cAny submission deadlines:
    THE FOUNDATION MEETS QUARTERLY TO REVIEW GRANT REQUESTS.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GRANTS ARE PRIMARILY GIVEN TO CATHOLIC ORGANIZATIONS PROVIDING HEALTH AND HUMAN SERVICES.
    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
    MULTIPLE SCLEROSIS ASSOCIATION OF AMERICA
    706 HADDONFIELD ROAD
    CHERRY HILL,NJ08002     		  PC FUNDING FOR MOBILITY AND SAFETY EQUIPMENT FOR AGENCY PROVIDING SERVICES AND SUPPORT TO INDIVIDUALS WITH MULTIPLE SCLEROSIS 14,975
    SOMERSET HILLS LEARNING INSTITUTE
    1810 BURNT MILLS ROAD
    BEDMINSTER,NJ07921     		  PC FUNDING FOR EQUIPMENT FOR VISION SCREENING FOR SCHOOL SERVING CHILDREN, ADOLESCENTS AND ADULTS WITH AUTISM 7,765
    ST ELIZABETH SCHOOL INC
    801 ARGONNE DRIVE
    BALTIMORE,MD21218     		  PC FUNDING FOR EDUCATIONAL EQUIPMENT FOR SCHOOL SERVING ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS WITH DISABILITIES 9,989
    ST JOSEPH PRO-CATHEDRAL
    2907 FEDERAL STREET
    CAMDEN,NJ08105     		  PC FUNDING FOR TECHNOLOGY EQUIPMENT FOR PROGRAM OFFERING SPANISH SPEAKING PARISHIONERS THE OPPORTUNITY TO LEARN ENGLISH 6,307
    COMMUNITY HOPE INC
    959 ROUTE 46 EAST
    PARSIPPANY,NJ07054     		  PC FUNDING FOR EQUIPMENT FOR AGENCY PROVIDING HOUSING AND SUPPORT SERVICES TO VULNERABLE MEMBERS OF THE COMMUNITY 10,500
    HEALING THE CHILDREN NEW JERSEY
    112 FIFTH AVENUE
    HAWTHORNE,NJ07506     		  PC FUNDING FOR SURGICAL EQUIPMENT FOR AGENCY PROVIDING SURGICAL AND MEDICAL CARE FOR INDIGENT CHILDREN IN NJ AND WORLDWIDE 10,000
    CONTACT WE CARE INC
    PO BOX 2376
    WESTFIELD,NJ07091     		  PC FUNDING FOR OFFICE EQUIPMENT FOR ORGANIZATION DEVOTED TO PROMOTING EMOTIONAL WELL-BEING AND PREVENTING EMOTIONAL CRISES 8,105
    CONGREGATION OF PASSIONIST MISSIONERS INC
    148 MONASTERY AVENUE
    PITTSBURGH,PA15203     		  PC FUNDING FOR A PHONE SYSTEM FOR SPIRITUAL CENTER PROVIDING OUTREACH SERVICES TO THE COMMUNITY THROUGH A RETREAT CENTER 10,000
    CATHEDRAL SOUP KITCHEN INC
    1514 FEDERAL STREET
    CAMDEN,NJ08105     		  PC FUNDING FOR FOOD FOR SOUP KITCHEN PROVIDING A VARIETY OF SERVICES TO THE HOMELESS AND HUNGRY IN THE COMMUNITY 12,000
    INTERFAITH HOSPITALITY NETWORK FOR THE HOMELESS OF ESSEX
    46 PARK STREET
    MONTCLAIR,NJ07042     		  PC FUNDING FOR SUPPLIES AND EQUIPMENT FOR AGENCY RESPONDING TO THE CRISIS OF FAMILY HOMELESSNESS 9,588
    TASK INC
    72 1/2 ESCHER STREET
    TRENTON,NJ08609     		  PC FUNDING FOR FOOD FOR SOUP KITCHEN THAT OFFERS A VARIETY OF PROGRAMS TO IMPROVE THE QUALITY OF LIFE OF ITS PATRONS 10,000
    FIRST CHOICE WOMEN'S RESOURCE CENTERS
    82 SPEEDWELL AVENUE
    MORRISTOWN,NJ07960     		  PC FUNDING FOR TECHNOLOGY EQUIPMENT FOR CENTER PROVIDING SERVICES RELATED TO PREGNANCY AND SEXUALLY TRANSMITTED DISEASES 8,866
    CATHOLIC CHARITIES FREE HEALTH CARE CENTER INC
    212 NINTH STREET
    PITTSBURGH,PA15222     		  PC FUNDING FOR MEDICAL EQUIPMENT FOR AGENCY PROVIDING FREE MEDICAL AND DENTAL CARE TO PATIENTS WHO CANNOT AFFORD HEALTH INSURANCE 14,000
    ST CHRISTOPHER'S FOUNDATION FOR CHILDREN
    1800 JFK BOULEVARD
    PHILADELPHIA,PA19103     		  PC FUNDING FOR DENTAL SUPPLIES FOR AGENCY SUPPORTING THE HEALTH AND WELL-BEING OF CHILDREN IN THE PHILADELPHIA COMMUNITY 14,415
    DE LA SALLE BLACKFEET SCHOOL
    104 1ST STREET NW
    BROWNING,MT59417     		  PC FUNDING FOR EQUIPMENT FOR SCHOOL SERVING THE BLACKFEET RESERVATION IN MONTANA 15,000
    MAKE-A-WISH FOUNDATION OF NEW JERSEY
    1347 PERRINEVILLE ROAD
    MONROE TOWNSHIP,NJ08831     		  PC FUNDING FOR TECHNOLOGY EQUIPMENT FOR AGENCY GRANTING WISHES TO CHILDREN WITH LIFE THREATENING MEDICAL CONDITIONS 10,033
    PASSIONATE VOLUNTEER PROGRAM
    PO BOX 295
    PINEVILLE,WV24874     		  PC FUNDING FOR BUILDING MATERIALS FOR VOLUNTEER PROGRAM PROVIDING OUTREACH SERVICES TO THOSE LIVING ON THE MARGINS OF SOCIETY 12,000
    BOYS & GIRLS CLUB OF CLIFTON INC
    822 CLIFTON AVENUE
    CLIFTON,NJ07013     		  PC FUNDING FOR SUPPLIES FOR YOUTH SERVICE ORGANIZATION PROVIDING A SAFE PLACE FOR THE YOUTH OF THE COMMUNITY 14,371
    MANE STREAM INC
    PO BOX 305
    OLDWICK,NJ08858     		  PC FUNDING FOR MEDICAL AND THERAPY SUPPLIES FOR PROGRAM UTILIZING EQUINE INTERACTION TO SERVE THOSE WITH SPECIAL NEEDS 7,563
    HEALTHLINK DENTAL CLINIC INC
    1775 STREET ROAD
    SOUTHAMPTON,PA18966     		  PC FUNDING FOR DENTAL SUPPLIES AND EQUIPMENT FOR CLINIC PROVIDING DENTAL CARE TO WORKING UNINSURED ADULTS 10,000
    FORUM TO ADVANCE MINORITIES IN ENGINEERING INC
    100 W 10TH STREET
    WILMINGTON,DE19801     		  PC FUNDING FOR EDUCATIONAL SUPPLIES AND EQUIPMENT FOR HIGH-QUALITY PROGRAMS SERVING GIRLS AND UNDERREPRESENTED MINORITIES 7,000
    SISTERS OF CHARITY OF LEAVENWORTH
    4200 SOUTH FOURTH STREET
    LEAVENWORTH,KS66048     		  PC FUNDING FOR PHYSICAL THERAPY EQUIPMENT FOR ST. VINCENT DE PAUL PASTORAL CENTER IN PIURA, PERU 9,046
    THE PHOENIX CENTER INC
    16 MONSIGNOR OWENS PLACE
    NUTLEY,NJ07110     		  PC FUNDING FOR TECHNOLOGY EQUIPMENT FOR SCHOOL PROVIDING PROGRAMS FOR INDIVIDUALS WITH SEVERE DEVELOPMENTAL DISABILITIES 11,438
    SAGE ELDERCARE INC
    290 BROAD STREET
    SUMMIT,NJ07901     		  PC FUNDING FOR PROGRAM SUPPLIES FOR MEDICALLY SUPERVISED ADULT DAY CARE CENTER SERVING THE ELDERLY 10,150
    ST JOSEPH'S HOME FOR THE ELDERLY
    140 SHEPHERD LANE
    TOTOWA,NJ07512     		  PC FUNDING FOR THE PURCHASE OF FOOD FOR RESIDENCE PROVIDING THREE LEVELS OF CARE FOR THE ELDERLY POOR 10,000
    STEPHEN'S PLACE INC
    729 RIDGE STREET
    BETHLEHEM,PA18015     		  PC FUNDING FOR EQUIPMENT FOR RESIDENTIAL PROGRAM SUPPORTING ADULT MALE OFFENDERS RECENTLY RELEASED FROM PRISON 2,208
    FLEMINGTON AREA FOOD PANTRY
    154 ROUTE 31 NORTH
    FLEMINGTON,NJ08822     		  PC FUNDING FOR A FORKLIFT FOR FOOD PANTRY SERVING THE HUNGRY OF HUNTERDON COUNTY, NEW JERSEY 9,795
    MEALS ON WHEELS IN HUNTERDON INC
    5 WALTER E FORAN BLVD
    FLEMINGTON,NJ08822     		  PC FUNDING FOR FOOD FOR HOME DELIVERED MEAL PROGRAM SERVING THE NUTRITIONAL NEEDS OF THE HOMEBOUND ELDERLY 6,500
    CONCORDIA LEARNING CENTER
    761 SUMMIT AVENUE
    JERSEY CITY,NJ07307     		  PC FUNDING FOR A STUDENT LIFT FOR SCHOOL PROVIDING EDUCATION AND SERVICES TO THE BLIND AND VISUALLY IMPAIRED WITH ADDITIONAL DISABILITIES 5,210
    LUNCH BREAK INC
    121 DRS JAMES PARKER BLVD
    RED BANK,NJ07701     		  PC FUNDING FOR FOOD FOR SOUP KITCHEN PROVIDING FOOD, CLOTHING AND FELLOWSHIP TO COMMUNITY MEMBERS IN NEED 10,000
    IHM CENTER FOR LITERACY AND GED PROGRAMS
    7341 COTTAGE STREET
    PHILADELPHIA,PA19136     		  PC FUNDING FOR INSTRUCTIONAL MATERIALS FOR LITERACY AND GED PROGRAM SERVING THE IMMIGRANT POPULATION OF PHILADELPHIA 5,723
    THE SHRINE OF ST JOSEPH
    1050 LONG HILL ROAD
    STIRLING,NJ07980     		  PC FUNDING FOR KITCHEN APPLIANCES FOR THIS MISSION CENTER'S ADDICTION MINISTRY WHICH PROVIDES OVERNIGHT RECOVERY RETREATS 10,000
    LEGION OF CHRIST COLLEGE INC
    475 OAK AVENUE
    CHESHIRE,CT06410     		  PC FUNDING FOR UPGRADES TO THE ELECTRICAL SYSTEM AT THIS SEMINARY PREPARING YOUNG MEN FOR THE PRIESTHOOD 9,300
    CONGREGATION OF THE SISTERS SERVANTS OF THE IHM
    2300 ADAMS AVENUE
    SCRANTON,PA18509     		  PC FUNDING FOR IMPROVEMENTS TO THE AUDIO/VISUAL SYSTEM TO CONGREGATION PROVIDING NEEDED SERVICES TO THE COMMUNITY 10,000
    METROPOLITAN AREA NEIGHBORHOOD NUTRITION ALLIANCE
    2323 RANSTEAD STREET
    PHILADELPHIA,PA19103     		  PC FUNDING FOR FOOD FOR PROGRAM DELIVERING NUTRITIOUS MEALS TO INDIVIDUALS BATTLING SERIOUS MEDICAL CONDITIONS 10,000
    PRINCETON HEALTHCARE SYSTEM FOUNDATION
    3626 US ROUTE ONE
    PRINCETON,NJ08540     		  PC FUNDING FOR MEDICAL EQUIPMENT FOR COM- MUNITY HEALTH CENTER PROVIDING ACCESS TO CARE FOR THE UNINSURED AND UNDERINSURED 9,500
    THE CENTER FOR GREAT EXPECTATIONS
    19 DELLWOOD LANE
    SOMERSET,NJ08873     		  PC FUNDING FOR EQUIPMENT FOR AGENCY PROVIDING SERVICES TO HOMELESS PREGNANT WOMEN 10,000
    MISSIONARY SISTERS OF THE HOLY ROSARY
    741 POLO ROAD
    BRYN MAWR,PA19010     		  PC FUNDING FOR CLASSROOM EQUIPMENT FOR SCHOOL IN NIGERIA SERVING POOR FAMILIES WHO MIGRATED TO THIS AREA FOR THEIR SAFETY 12,217
    VANTAGE HEALTH SYSTEM
    2 PARK AVENUE
    DUMONT,NJ07628     		  PC FUNDING FOR COMPUTER EQUIPMENT FOR COMMUNITY MENTAL HEALTH CENTER PROVIDING BEHAVIORAL HEALTH SERVICES 10,000
    OASIS - A HAVEN FOR WOMEN AND CHILDREN INC
    59 MILL STREET
    PATERSON,NJ07501     		  PC FUNDING FOR COMPUTERS FOR AGENCY SERVING WOMEN AND CHILDREN THROUGH PROGRAMS THAT FEED, CLOTHE AND EDUCATE 9,814
    GUADALUPE EDUCATIONAL CENTER INC
    1214 E LINCOLN STREET
    BROWNSVILLE,TX78521     		  PC FUNDING FOR EDUCATIONAL MATERIALS FOR CATHOLIC MIDDLE SCHOOL STRIVING TO BREAK THE CYCLE OF POVERTY THROUGH EDUCATION 7,440
    CORA SERVICES INC
    8540 VERREE ROAD
    PHILADELPHIA,PA19111     		  PC FUNDING FOR OFFICE FURNITURE FOR PROGRAM PRO- VIDING COMPREHENSIVE PROFESSIONAL SERVICES TO CHILDREN, YOUTH AND FAMILIES 9,196
    180 TURNING LIVES AROUND
    1 BETHANY ROAD
    HAZLET,NJ07730     		  PC FUNDING FOR KITCHEN APPLIANCES FOR MONMOUTH COUNTY'S LEAD AGENCY SERVING VICTIMS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT 10,000
    DEPAUL USA INC
    PO BOX 756
    CHICAGO,IL60690     		  PC FUNDING FOR EQUIPMENT FOR PROGRAM SERVING THE HOMELESS THROUGH HOUSING AND TRAINING OPPORTUNITIES 10,000
    MOUNT CARMEL GUILD OF TRENTON
    73 NORTH CLINTON AVENUE
    TRENTON,NJ08609     		  PC FUNDING FOR EMERGENCY ASSISTANCE FOOD TO STABILIZE INDIVIDUALS AND FAMILIES WHO ARE IN CRISIS 10,000
    NORTH BAY OPERATION HAND UP
    PO BOX 2395
    VACAVILLE,CA95696     		  PC FUNDING FOR SLEEPING BAGS AND COTS FOR PROGRAM BRINGING A COMPREHENSIVE ARRAY OF SERVICES TO VETERANS 6,098
    CISTERCIAN ABBEY OF SPENCER INC
    167 N SPENCER ROAD
    SPENCER,MA015621232     		  PC FUNDING FOR MEDICAL SUPPLIES FOR ELDERLY MONKS AT THIS CLOISTERED ROMAN CATHOLIC MONASTERY 5,000
    MELMARK INC
    2600 WAYLAND ROAD
    BERWYN,PA19312     		  PC FUNDING FOR BUILDING EQUIPMENT FOR AGENCY PROVIDING RESIDENTIAL AND EDUCATIONAL SERVICES FOR THE DISABLED 12,000
    THE MIDLAND SCHOOL
    PO BOX 5026
    NORTH BRANCH,NJ08876     		  PC FUNDING FOR SECURITY CAMERAS FOR SPECIAL EDUCATION PROGRAM SERVING CHILDREN WITH DEVELOPMENTAL DISABILITIES 4,706
    CONGREGATION OF PASSIONIST MISSIONERS INC
    148 MONASTERY AVENUE
    PITTSBURGH,PA15203     		  PC FUNDING FOR FURNITURE AND A COMMERCIAL OVEN FOR MONASTERY/RETREAT CENTER MINISTERING TO THE COMMUNITY 7,000
    ASSOCIATION FOR THE ADVANCEMENT OF MENTAL
    HEALTH / 819 ALEXANDER ROAD
    PRINCETON,NJ08540     		  PC FUNDING FOR FLOORING FOR AGENCY PROVIDING ACCESS TO BEHAVIORAL HEALTH SERVICES TO PEOPLE AFFECTED BY MENTAL ILLNESS 13,712
    THE ARC OF ESSEX COUNTY INC
    123 NAYLON AVENUE
    LIVINGSTON,NJ07039     		  PC FUNDING FOR FURNITURE AND APPLIANCES FOR GROUP HOME SERVING INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 9,500
    SUMMIT SPEECH SCHOOL
    705 CENTRAL AVENUE
    NEW PROVIDENCE,NJ07974     		  PC FUNDING FOR A SMART BOARD FOR SCHOOL SERVING CHILDREN WHO ARE DEAF OR HARD OF HEARING 5,189
    MISERICORDIA HOME
    6300 RIDGE AVENUE
    CHICAGO,IL60660     		  PC FUNDING FOR SMART BOARDS AND MULTISENSORY EQUIPMENT FOR PROGRAM SERVING INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 10,000
    MOORESTOWN VISITING NURSE ASSOCIATION
    300 HARPER DRIVE
    MOORESTOWN,NJ08057     		  PC FUNDING FOR MEDICATIONS AND SUPPLIES AND EQUIPMENT FOR AGENCY PROVIDING END-OF-LIFE CARE AND SUPPORT SERVICES 5,000
    INTERFAITH FOOD PANTRY INC
    2 EXECUTIVE DRIVE
    MORRIS PLAINS,NJ07950     		  PC FUNDING FOR FOOD FOR PANTRY SERVING THE HUNGRY OF MORRIS COUNTY 7,500
    SOLUTIONS PREGNANCY & HEALTH CENTER INC
    837 BROAD STREET
    SHREWSBURY,NJ07702     		  PC FUNDING FOR OFFICE FURNITURE FOR MEDICAL FACILITY PROVIDING GYNECOLOGICAL SERVICES TO WOMEN IN NEED 3,200
    CHRIST THE KING PREPARATORY SCHOOL
    239 WOODSIDE AVENUE
    NEWARK,NJ07028     		  PC FUNDING FOR EDUCATIONAL SUPPLIES FOR CATHOLIC SCHOOL PROVIDING A QUALITY EDUCATION TO CHILDREN OF FINANCIALLY STRUGGLING FAMILIES 10,949
    DEBORAH HOSPITAL FOUNDATION
    20 PINE MILLS ROAD
    BROWNS MILLS,NJ08015     		  PC FUNDING FOR PATIENT RECLINERS FOR HOSPITAL PROVIDING QUALITY MEDICAL SERVICES FOR THE TREATMENT OF HEART, LUNG AND VASCULAR DISEASE 9,839
    HOPEWORKS IN CAMDEN
    543 STATE STREET
    CAMDEN,NJ08102     		  PC FUNDING FOR TECHNOLOGY EQUIPMENT FOR YOUTH FORCE DEVELOPMENT PROGRAM SERVING INDIVIDUALS IN CAMDEN, NEW JERSEY 10,304
    CATHOLIC CHARITIES DIOCESE OF TRENTON
    950 A CHESTER AVENUE
    DELRAN,NJ08075     		  PC FUNDING FOR OFFICE SUPPLIES AND HOUSEHOLD EQUIPMENT FOR SOCIAL SERVICE AGENCY PROVIDING SERVICES TO VICTIMS OF DOMESTIC VIOLENCE 9,734
    HOUSE OF MERCY INC
    100 MCAULEY CIRCLE
    BELMONT,NC28012     		  PC FUNDING FOR EQUIPMENT FOR MINISTRY PROVIDING QUALITY CARE IN A HOME-BASED SETTING FOR PERSONS LIVING WITH AIDS FACING HOMELESSNESS 12,000
    CONGREGATION OF OUR LADY OF MOUNT CARMEL
    PO BOX 476
    LACOMBE,LA70445     		  PC FUNDING FOR FOOD, MEDICAL AND EDUCATIONAL SUPPLIES FOR MINISTRY IN INDONESIA SERVING POOR FAMILIES 3,500
    THE ROAD HOME
    210 RIO GRANDE STREET
    SALT LAKE CITY,UT84101     		  PC FUNDING FOR CLEANING EQUIPMENT FOR SOCIAL SERVICE AGENCY ASSISTING INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS 9,854
    MERCY NEIGHBORHOOD MINISTRIES OF PHILADELPHIA
    1939 W VENANGO STREET
    PHILADELPHIA,PA19140     		  PC FUNDING FOR A COMPUTER SERVER FOR MINISTRY RESPONDING TO THE NEEDS OF THE COMMUNITY WITH PROGRAMS FOR CHILDREN AND ADULTS 5,000
    Total .................................bullet 3a 600,099
    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 ...........     		    14 319  
    4 Dividends and interest from securities....     14 397,166  
    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.....     15 9,073  
    8
    Gain or (loss) from sales of assets other than inventory ............     		    14 16,381 139,140
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aOTHER INCOME     		        129
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 422,939 139,269
    13Total. Add line 12, columns (b), (d), and (e)..................
    13562,208
    (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.)
    11A OTHER INCOME USED IN FURTHERANCE OF THE FOUNDATION'S EXEMPT PURPOSE.
    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:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN:
    26-2967521
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,000 1,000   1,000

    TY 2015 ExplnOfNonFilingWithAGStmt
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN:
    26-2967521
    Statement:
    THE FOUNDATION IS NOT REQUIRED TO FILE IN EITHER DELAWARE (STATE OF INCORPORATION) OR NJ (STATE OF OPERATIONS).

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN:
    26-2967521
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BONDS - MERRILL LYNCH FIXED ASSET ACCOUNT 1,271,620 1,167,895

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN:
    26-2967521
    Name of Stock End of Year Book Value End of Year Fair Market Value
    EQUITIES - MERRILL LYNCH EQUITY ACCOUNT 4,547,541 10,918,684
    EQUITIES - MERRILL LYNCH FIXED ASSET ACCOUNT 50,000 51,500

    TY 2015 InvestmentsOtherSchedule2
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN:
    26-2967521
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS - MERRILL LYNCH EQUITY ACCOUNT AT COST 131,768 75,888

    TY 2015 LegalFeesSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN:
    26-2967521
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 562 281   281


    TY 2015 OtherExpensesSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN:
    26-2967521
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SUPPLIES 1,338 669   669
    TELEPHONE 1,331 665   666
    INSURANCE 2,198 1,099   1,099
    INVESTMENT EXPENSES 1,791 1,791   0
    DUES AND SUBSCRIPTIONS 2,160 0   2,160
    FILING FEES 62 31   31
    EQUIPMENT 1,041 520   521
    HEALTH INSURANCE 27,292 5,127   22,165
    COMPENSATION SURVEY 4,950 0   4,950
    OTHER INVESTMENT FEES 235 235   0


    TY 2015 OtherIncomeSchedule2
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN:
    26-2967521
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ROYALTY-SABINE-NET 9,073 9,073 9,073
    OTHER INCOME 129   129


    TY 2015 TaxesSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN:
    26-2967521
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX 33 33   0