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
LUCKY'S FARMER'S MARKET CHARITABLE Foundation
 
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

46-0731752
B Telephone number (see instructions)

(800) 839-1754
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$1,229,386J 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) 0
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 473 473  
4 Dividends and interest from securities... 9,160 9,160  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 9,633 9,633  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages...... 60,000     60,000
15 Pension plans, employee benefits....... 5,103     5,103
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 27      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 15,947     15,947
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 81,077 0   81,050
25 Contributions, gifts, grants paid....... 695,400 695,400
26 Total expenses and disbursements. Add lines 24 and 25 776,477 0   776,450
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -766,844
b Net investment income (if negative, enter -0-) 9,633
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......... 1,743,599 976,755 976,755
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).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 252,500 Click to see attachment252,500 252,631
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) 1,996,099 1,229,255 1,229,386
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 1,996,099 1,229,255
30 Total net assets or fund balances (see instructions)..... 1,996,099 1,229,255
31 Total liabilities and net assets/fund balances (see instructions). 1,996,099 1,229,255
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
1,996,099
2
Enter amount from Part I, line 27a .....................
2
-766,844
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
1,229,255
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,229,255
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.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
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 534,152 2,149,693 0.248478
2013 477,361 2,786,428 0.171316
2012 10,191 247,598 0.041159
2011 0 0 0.0
2010 0 0 0.0
2
Total of line 1, column (d) .....................
20.460953
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
0.153651
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,561,715
5
Multiply line 4 by line 3......................
5
239,959
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
96
7
Add lines 5 and 6........................
7
240,055
8
Enter qualifying distributions from Part XII, line 4.............
8
776,450
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 96
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 96
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 96
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a  
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 0
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 96
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
Yes
 
If "Yes," attach the statement required by General Instruction T.Click to see attachment
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCO, DE
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletFoundation Source Telephone no.bullet (800) 839-1754

    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    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
    Wahiba EstergardClick to see attachment Pres / Dir / Sec
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Michael GillilandClick to see attachment Pres / Dir
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    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
    MARY GILLILAND ASSISTANT DIRECTOR
    40.0     		60,000    
    117 Main Street
    Seymour,CT06483
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    1,332,866
    c
    Fair market value of all other assets (see instructions)................
    1c
    252,631
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,585,497
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,585,497
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    23,782
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,561,715
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    78,086
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    78,086
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    96
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    96
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    77,990
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    77,990
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    77,990
    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
    776,450
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    776,450
    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
    96
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    776,354
    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 77,990
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:2013, 2012, 2011  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012...... 4,764
    d From 2013...... 334,024
    e From 2014...... 426,721
    fTotal of lines 3a through e........ 765,509
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 776,450
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount..... 77,990
    e Remaining amount distributed out of corpus 698,460
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,463,969
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		1,463,969
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012.... 4,764
    c Excess from 2013.... 334,024
    d Excess from 2014.... 426,721
    e Excess from 2015.... 698,460
    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).)
    Michael Gilliland
    Wahiba Estergard
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    A WOMANS WORK INC
    2204 18TH AVE
    LONGMONT,CO80501     		N/A PC provide financial support for women in the St. Vrain Valley who have no other means of support 1,800
    ACLU FOUNDATION OF ARIZONA
    PO BOX 17148
    PHOENIX,AZ85011     		N/A PC General & Unrestricted 100,000
    ACLU FOUNDATION OF ARIZONA
    PO BOX 17148
    PHOENIX,AZ85011     		N/A PC litigation and public education Program 50,000
    ACTION CENTER INC
    1434 ELBRIDGE ST
    PHILADELPHIA,PA19149     		N/A PC help educate and inspire young people in environmental issues 500
    ACTIVE HEROES INC
    1930 BISHOP LN STE 111
    LOUISVILLE,KY40218     		N/A PC to help clean up the grounds for a sustainable garden 800
    ALACHUA COUNTY COALITION FOR THE HOMELESS AND HUNG
    3055 NE 28TH DR
    GAINESVILLE,FL32609     		N/A PC Grace Marketplace's HOME project 10,000
    AMERICAN CANCER SOCIETY - DENVER
    2255 S ONEIDA ST
    DENVER,CO80224     		N/A PC Charitable Event 200
    AMERICAS SECOND HARVEST OF COASTAL GEORGIA INC
    2501 E PRESIDENT ST
    SAVANNAH,GA31404     		N/A PC to purchase fresh and perishable food for the food Program 800
    ANN ARBOR CENTER FOR INDEPENDENT
    3941 RESEARCH PARK DR STE A
    ANN ARBOR,MI48108     		N/A PC extending the gardens Project 1,100
    ANN ARBOR PUBLIC SCHOOLS EDUCATIONAL FOUNDATION
    2370 E STADIUM BLVD BOX 120
    ANN ARBOR,MI48104     		N/A PC school nutrition programs and school gardens 2,700
    ANN ARBOR YMCA
    400 W WASHINGTON ST
    ANN ARBOR,MI48103     		N/A PC construction of the learning garden 3,900
    ART ASSOCIATION OF JACKSON HOLE
    PO BOX 1248
    JACKSON,WY83001     		N/A PC support of the arts and artists in local schools 500
    ARTWALK LONGMONT INC
    PO BOX 1461
    LONGMONT,CO80502     		N/A PC Charitable Event 1,300
    ASSISTANCE LEAGUE OF ST LOUIS
    30 HENRY AVE
    ELLISVILLE,MO63011     		N/A PC Steps Program 3,500
    BABYWEARING INTERNATIONAL INC
    6305 WINTER SPRING DR
    WAKE FOREST,NC27587     		N/A PC General & Unrestricted 400
    BACKYARD ABUNDANCE
    PO BOX 1605
    IOWA CITY,IA52244     		N/A PC to provide agriculture experience in the 2015-16 school year for the children of Iowa City elementary 5,000
    BECAUSE OF BECCA FOUNDATION
    16745 WILLIAMS ST
    THORNTON,CO80602     		N/A PC to support local sports and recreational activities for those in need 3,300
    BICYCLING FOR LOUISVILLE INC
    PO BOX 70414
    LOUISVILLE,KY40270     		N/A PC bicycle repair and trail maintenance Project 2,200
    BIG BROTHERS BIG SISTERS OF CENTRAL MISSOURI INC
    104 E BROADWAY TL
    COLUMBIA,MO65203     		N/A PC At-Risk Youth Mentorship Program 2,300
    BIG BROTHERS BIG SISTERS OF EASTERN MISSOURI
    501 N GRAND BLVD STE 100
    ST LOUIS,MO63103     		N/A PC Charitable Event 600
    BIG BROTHERS BIG SISTERS OF YELLOWSTONE COUNTY INC
    2123 2ND AVE N
    BILLINGS,MT59101     		N/A PC At-Risk Youth Mentorship Program 1,800
    BIKE LIBRARY INC
    PO BOX 2870
    IOWA CITY,IA52244     		N/A PC bicycle safety and riding Program 600
    BIKES FOR TYKES INC
    PO BOX 8263
    NAPLES,FL34101     		N/A PC to purchase 50 bikes and helmets for children in need 3,000
    BILLINGS CLINIC FOUNDATION
    2917 10TH AVE N
    BILLINGS,MT59101     		N/A PC SANE, Women's Wellness and Partners for Women's Health, Sorts Specific Training and Injury Prevention Program 3,800
    BLANKETS & BEARS INC
    1133 KOOTENAI AVE
    BILLINGS,MT59105     		N/A PC to help pay for 500 bundles of blankets & bears for children placed in foster care 1,000
    BLESSINGS IN A BACKPACK INC
    4121 SHELBYVILLE RD
    LOUISVILLE,KY40207     		N/A PC to provide 75 families with food throughout the school year 5,000
    BLOOMINGTON COMMUNITY PARK AND RECREATION FOUNDATI
    PO BOX 3351
    BLOOMINGTON,IN47402     		N/A PC Banneker's Summer Camp Program 6,500
    BLOOMINGTON COMMUNITY PARK AND RECREATION FOUNDATI
    PO BOX 3351
    BLOOMINGTON,IN47402     		N/A PC Learning Garden development and enhancement Programs 6,500
    BLUE OVEN KITCHENS INC
    530 W UNIVERSITY AVE
    GAINESVILLE,FL32601     		N/A PC General & Unrestricted 900
    BOULDER COUNTY AIDS PROJECT
    2118 14TH ST
    BOULDER,CO80302     		N/A PC General & Unrestricted 800
    BOULDER COUNTY RSVP BOARD INC
    PO BOX 3675
    BOULDER,CO80307     		N/A PC General & Unrestricted 900
    BOULDER EMERGENCY SQUAD BOULDER COLORADO
    PO BOX 18887
    BOULDER,CO80308     		N/A PC General & Unrestricted 1,200
    BOULDER ENERGY CONSERVATION CENTER INC
    2639 SPRUCE ST
    BOULDER,CO80302     		N/A PC Ocean Ambassador Certification Program 1,300
    BOULDER FOOD RESCUE
    1911 11TH ST STE 102
    BOULDER,CO80302     		N/A PC General & Unrestricted 1,900
    BOYS & GIRLS CLUB OF ALACHUA COUNTY INC
    PO BOX 358452
    GAINESVILLE,FL32635     		N/A PC Club Teen Program 3,900
    BOYS & GIRLS CLUB OF BLOOMINGTON
    PO BOX 1716
    BLOOMINGTON,IN47402     		N/A PC kitchen remodeling and also support of Outdoor and Gardening programs 3,500
    BREAD OF THE MIGHTY FOOD BANK INC
    325 NW 10TH AVE
    GAINESVILLE,FL32601     		N/A PC School Pantry Program 10,000
    BRYANT-PATTENGILL PTO
    2100 CRESTLAND ST
    ANN ARBOR,MI48104     		N/A PC low income students and focusing resources on the core subjects of math, reading, history and science 4,700
    BURNS PARK SCHOOL PARENT TEACHER ORGANIZATION
    1414 WELLS ST
    ANN ARBOR,MI48104     		N/A PC to support the programs of the Burns Park School Parent Teacher Organization 2,200
    BURRELL INC
    1300 E BRADFORD PKWY
    SPRINGFIELD,MO65804     		N/A PC to meet the mental health needs of Mis-Missouri when and where they occur and before they get serious 1,200
    BUSINESSPERSONS BETWEEN JOBS INC
    601 CLAYMONT DR
    BALLWIN,MO63011     		N/A PC training seminars for individuals in job transition 400
    CAMP FOR CHANGE INC
    7100 S BOULDER RD
    BOULDER,CO80303     		N/A PC camp scholarship fund 4,000
    CEDAR CREEK THERAPEUTIC RIDING CENTER
    414 E BROADWAY STE 200
    COLUMBIA,MO65201     		N/A PC General & Unrestricted 1,400
    CENTER FOR HUMANE OPTIONS IN THE CHILDBIRTH EXPERI
    2584 OAKSTONE DR
    COLUMBUS,OH43231     		N/A PC Mothership Fund 100
    CENTER FOR PEOPLE WITH DISABILITIES
    1675 RANGE ST
    BOULDER,CO80301     		N/A PC training classes for members of the disabled Hispanic Community in Longmont 3,400
    CIRCLE OF CONCERN
    PO BOX 444
    VALLEY PARK,MO63088     		N/A PC to help provide food for families in need 2,400
    CLIMB
    1001 W 31ST ST
    CHEYENNE,WY82001     		N/A PC job training and placement, life skills training, counseling and ongoing support to ensure self-sufficiency 700
    CLINTONVILLE GO PUBLIC
    3400 N HIGH ST STE 260
    COLUMBUS,OH43202     		N/A PC teacher funded projects in low-income schools in the 43202 zip code 4,000
    CLINTONVILLE-BEECHWOLD COMMUNITY RESOURCES CENTER
    3222 N HIGH ST
    COLUMBUS,OH43202     		N/A PC Friends of the Ravine program to support native tree planting and their invasive species 1,100
    CLINTONVILLE-BEECHWOLD COMMUNITY RESOURCES CENTER
    3222 N HIGH ST
    COLUMBUS,OH43202     		N/A PC to purchase perishable foods for community members experiencing food insecurity 1,400
    CLINTONVILLE-BEECHWOLD COMMUNITY RESOURCES CENTER
    3222 N HIGH ST
    COLUMBUS,OH43202     		N/A PC Charitable Event 200
    COLORADO HIGH SCHOOL CYCLING LEAGUE
    1165 OAKDALE PL
    BOULDER,CO80304     		N/A PC General & Unrestricted 500
    COLUMBIA ACCESS TELEVISION CORPORATION
    1200 E BROADWAY
    COLUMBIA,MO65215     		N/A PC to fund two new cameras 500
    COLUMBIA CENTER FOR URBAN AGRICULTURE
    PO BOX 1742
    COLUMBIA,MO65205     		N/A PC to support the health and sustainability education classes 4,400
    COLUMBIA COMMUNITY MONTESSORI
    104 E BROADWAY TL
    COLUMBIA,MO65203     		N/A PC to provide low cost, high quality education for CBI's youth in areas of gardening and art ed Program 1,100
    COLUMBUS INTERNATIONAL PARENT TEACHER ORGANIZATION
    100 E ARCADIA AVE
    COLUMBUS,OH43202     		N/A PC students international travel Scholarship fund 1,700
    COLUMBUS SPEECH AND HEARING CENTER
    510 E N BROADWAY ST
    COLUMBUS,OH43214     		N/A PC General & Unrestricted 1,900
    COMMUNITY ACTION NETWORK
    PO BOX 130076
    ANN ARBOR,MI48113     		N/A PC to provide hot meals at CAN's after school programs and summer camps 600
    COMMUNITY CENTER FOR THE ARTS
    PO BOX 860
    JACKSON,WY83001     		N/A PC support of the theater operations 2,800
    COMMUNITY CYCLES
    2805 WILDERNESS PL STE 1000
    BOULDER,CO80301     		N/A PC Earn-A-Bike Program 4,300
    COMMUNITY ENTRY SERVICES INC
    2441 PECK AVE
    RIVERTON,WY82501     		N/A PC to help clients buy gasoline for transportation 700
    COMMUNITY FOOD SHARE INC
    650 S TAYLOR AVE
    LOUISVILLE,CO80027     		N/A PC to purchase fresh and perishable food for the food Program 800
    COMMUNITY FOUNDATION OF JACKSON HOLE
    PO BOX 574
    JACKSON,WY83001     		N/A PC Vertical Harvest - Sokol Match Fund 10,000
    COMMUNITY KITCHEN OF MONROE COUNTY INC
    PO BOX 3286
    BLOOMINGTON,IN47402     		N/A PC to purchase fresh and perishable food for the food Program 1,500
    COMMUNITY OPTION RESOURCE ENTERPRISES INC
    2121 LAMPMAN DR
    BILLINGS,MT59102     		N/A PC General & Unrestricted 700
    COMMUNITY RESOURCE CENTER
    PO BOX 1232
    JACKSON,WY83001     		N/A PC Community Support Program 5,000
    COMMUNITY SHARES OF MID OHIO
    1699 W MOUND ST
    COLUMBUS,OH43223     		N/A PC SOUP Program 1,000
    CRISIS CENTER
    1121 GILBERT CT
    IOWA CITY,IA52240     		N/A PC Hand Up and to help build out the commercial kitchen 5,000
    DARE TO CARE INC
    5803 FERN VALLEY RD
    LOUISVILLE,KY40228     		N/A PC to purchase perishable foods for the food Program 900
    DAWN INCORPORATED
    6633 STONY CREEK RD
    YPSILANTI,MI48197     		N/A PC Dawn Farm Project 10,000
    DEVELOPMENTAL DISABILITIES CENTER DBA IMAGINE
    1400 DIXON AVE
    LAFAYETTE,CO80026     		N/A PC support students with developmental, cognitive and physical challenges in school thorough their post-school transition 1,300
    DICK AND JANE PROJECT
    1486 NEIL AVE APT C
    COLUMBUS,OH43201     		N/A PC General & Unrestricted 1,000
    DOMESTIC VIOLENCE INTERVENTION PROG
    PO BOX 3170
    IOWA CITY,IA52244     		N/A PC updating and replacing equipment used in the children's play areas 2,500
    DREAMS WITH WINGS INC
    1579 BARDSTOWN RD
    LOUISVILLE,KY40205     		N/A PC General & Unrestricted 700
    EMILY GRIFFITH FOUNDATION INC
    1860 LINCOLN ST STE 605
    DENVER,CO80203     		N/A PC Lucky's Market Scholarship fund for Refugee Students 50,000
    EPILEPSY FOUNDATION OF KENTUCKIANA INC
    982 EASTERN PKWY
    LOUISVILLE,KY40217     		N/A PC General & Unrestricted 600
    EPWORTH CHILDREN & FAMILY SERVICES INC
    110 N ELM AVE
    SAINT LOUIS,MO63119     		N/A PC support staff providing hands-on training on how to cook a meal with fresh, healthy ingredients and non just non-perishables for homeless youth 5,000
    EQUINE-ASSISTED THERAPY INC
    5591 CALVEY CREEK RD
    ROBERTSVILLE,MO63072     		N/A PC General & Unrestricted 400
    ETHIOPIAN TEWAHEDO SOCIAL SERVICES
    1060 MOUNT VERNON AVE
    COLUMBUS,OH43203     		N/A PC General & Unrestricted 1,000
    FAMILY & CHILDREN FIRST INC
    PO BOX 3784
    LOUISVILLE,KY40201     		N/A PC support for youth who have been victims of abuse 800
    FAMILY HEALTH CENTER OF BOONE COUNTY
    1001 W WORLEY ST
    COLUMBIA,MO65203     		N/A PC General & Unrestricted 1,600
    FAMILY LEARNING INSTITUTE
    1954 S INDUSTRIAL HWY STE D
    ANN ARBOR,MI48104     		N/A PC Brain Boot Camp Summer Program 10,000
    FAMILY SCHOLAR HOUSE INC
    403 REG SMITH CIR
    LOUISVILLE,KY40208     		N/A PC Community Cafe Nights Program 2,400
    FAMILY SERVICE INC
    PO BOX 1020
    BILLINGS,MT59103     		N/A PC to purchase fresh and perishable foods for the food program 1,000
    FAMILY SUPPORT NETWORK
    1002 10TH ST W STE 1
    BILLINGS,MT59102     		N/A PC to purchase curriculum workbooks for the Nurturing Parenting Program and to print handouts that supplement the class discussions and workbooks 1,200
    FEAT OF LOUISVILLE INC
    1100 E MARKET ST
    LOUISVILLE,KY40206     		N/A PC children with autism to attend the Get Your FEAT Wet swim program 500
    FLORIDA CERTIFIED ORGANIC GROWERS & CONSUMERS INC
    PO BOX 12311
    GAINESVILLE,FL32604     		N/A PC General & Unrestricted 400
    FLORIDA INSTITUTE FOR WORKFORCE INNOVATION
    408 W UNIVERSITY AVE STE 111
    GAINESVILLE,FL32601     		N/A PC YouthBuild Program 900
    FOOD GATHERERS
    PO BOX 131037
    ANN ARBOR,MI48113     		N/A PC Community Kitchen Job Training Program 10,000
    FOOD4KIDS BACKPACK PROGRAM OF NORTH FLORIDA INC
    7620 SW 5TH PL
    GAINESVILLE,FL32607     		N/A PC General & Unrestricted 1,800
    FORAGE
    PO BOX 358256
    GAINESVILLE,FL32635     		N/A PC After School Gardens Program 5,000
    FOSTER CARE COALITION OF GREATER ST LOUIS INC
    1750 S BRENTWOOD BLVD STE 210
    SAINT LOUIS,MO63144     		N/A PC 30 Days to Family Program 2,100
    FOUR SEASONS CITY FARM
    1101 BRYDEN RD
    COLUMBUS,OH43205     		N/A PC General & Unrestricted 1,200
    FRANKLINTON GARDENS
    PO BOX 2466
    COLUMBUS,OH43216     		N/A PC General & Unrestricted 1,200
    FREE LUNCH PROGRAM
    1105 S GILBERT COURT STE 100
    IOWA CITY,IA52240     		N/A PC food for hungry people Program 1,400
    FRIENDS OF PATHWAYS
    PO BOX 2062
    JACKSON,WY83001     		N/A PC three miles of Trail Restoration Project 5,000
    FRIENDS OF THE CONSERVATORY
    1777 E BROAD ST
    COLUMBUS,OH43203     		N/A PC Franklin Park Conservatory's Growing to Green Program 800
    FRIENDS OF THE LOWER OLENTANGY WATERSHED FLOW
    3528 N HIGH ST
    COLUMBUS,OH43214     		N/A PC tree plantings and river cleanup Project 3,800
    FRIENDS OF THE WATERFRONT INC
    129 RIVER RD
    LOUISVILLE,KY40202     		N/A PC to sustain Waterfront Park's lawns and facilities via maintenance which includes mowing, vegetation management, aeration and keeping the part free of liter 2,200
    GAINESVILLE AGENCY CATHOLIC CHARITIES
    1701 NE 9TH ST
    GAINESVILLE,FL32609     		N/A PC Weekend Hunger Backpack Program 1,600
    GAINESVILLE AREA COMMUNITY TENNIS ASSOCIATION INC
    PO BOX 357492
    GAINESVILLE,FL32635     		N/A PC to support after-school programs at Pineridge Community and at Phoenix Community 500
    GATEWAY GREENING INC
    2211 WASHINGTON AVE
    SAINT LOUIS,MO63103     		N/A PC Community Gardening activities in West County 1,000
    GATEWAY TO HOPE
    845 N NEW BALLAS CT STE 380
    SAINT LOUIS,MO63141     		N/A PC Thelma's Gift Fund 300
    GHS BAND & GUARD BOOSTERS INC
    1900 NW 13TH ST
    GAINESVILLE,FL32609     		N/A PC new uniforms Fund 800
    GIRLS GROUP
    2531 JACKSON AVE 188
    ANN ARBOR,MI48103     		N/A PC to support young women at local high schools 800
    GIRLS ON THE RUN OF SOUTHEASTERN MICHIGAN
    PO BOX 995
    ANN ARBOR,MI48106     		N/A PC to purchase snacks for their 16 week Program 1,200
    GOOD SAMARITAN MISSION
    285 W PEARL AVE PO BOX 1218
    JACKSON,WY83001     		N/A PC to purchase fresh and perishable food for their food program 600
    GRACEHAVEN INC
    PO BOX 14804
    COLUMBUS,OH43214     		N/A PC Survivors Care and Support Services Program 2,100
    GREATER BLOOMINGTON CHAMBER OF COMMERCE FOUNDATION
    400 W 7TH ST STE 102
    BLOOMINGTON,IN47404     		N/A PC to support six students in The Franklin Initiative's Graduation Coaching program 3,900
    GREENHOUSE SCHOLARS
    1881 9TH ST STE 200
    BOULDER,CO80302     		N/A PC Charitable Event 1,500
    GROWING GARDENS OF BOULDER COUNTY INC
    PO BOX 1066
    BOULDER,CO80306     		N/A PC to support the Children's Peace Garden 4,500
    GROWING HOPE INC
    PO BOX 980129
    YPSILANTI,MI48198     		N/A PC Seed Start Program 1,100
    HABITAT FOR HUMANITY INTERNATIONAL INC
    PO BOX 4194
    JACKSON,WY83001     		N/A PC Affordable Housing Program 3,300
    HABITAT FOR HUMANITY INTERNATIONAL INC
    PO BOX 333
    LONGMONT,CO80502     		N/A PC General & Unrestricted 1,200
    HARRY CHAPIN FOOD BANK OF SOUTHWEST FLORIDA INC
    3760 FOWLER ST
    FORT MYERS,FL33901     		N/A PC support of the Mobile Food Pantry Program 2,500
    HEAD START INC
    615 N 19TH ST
    BILLINGS,MT59101     		N/A PC General & Unrestricted 1,100
    HEALING PLACE INC
    1020 W MARKET ST
    LOUISVILLE,KY40202     		N/A PC General & Unrestricted 1,100
    HEART OF MISSOURI CASA
    607 E ASH ST
    COLUMBIA,MO65201     		N/A PC training advocates in child care and safety Program 4,100
    HELPING HAND ME DOWNS
    PO BOX 11385
    CLAYTON,MO63105     		N/A PC General & Unrestricted 400
    HISPANIC EDUCATION FOUNDATION INC
    PO BOX 2102
    LONGMONT,CO80502     		N/A PC local youth Scholarship fund 1,000
    HOLE FOOD RESCUE CORP
    PO BOX 2955
    JACKSON,WY83001     		N/A PC distributing nutritional foods to low-income and at-risk individuals 900
    HOOSIER HILLS FOOD BANK INC
    PO BOX 697
    BLOOMINGTON,IN47402     		N/A PC Garden Route on Wheels food Program 1,700
    I HAVE A DREAM FOUNDATION OF BOULDER COUNTY
    5390 MANHATTAN CIR
    BOULDER,CO80303     		N/A PC Healthy Mind, Healthy Bodies Program 3,400
    INDEPENDENT LIVING CENTER OF MID- MISSOURI INC
    1401 HATHMAN PL
    COLUMBIA,MO65201     		N/A PC to support the installation of six new accessibility ramps 4,400
    INTERFAITH HOSPITALITY NETWORK OF WASHTENAW COUNTY
    4290 JACKSON RD
    ANN ARBOR,MI48103     		N/A PC to purchase fresh and perishable food for the food program 1,000
    IOWA CITY COMMUNITY SCHOOL DISTRICT FOUNDATION
    1725 N DODGE ST
    IOWA CITY,IA52245     		N/A PC School of the Wild for the 5th graders of the Iowa City Community School District 3,000
    JACKSON HOLE CHILDRENS MUSEUM
    PO BOX 995
    JACKSON,WY83001     		N/A PC Children's Food Kitchen and Shopping area 3,100
    JACKSON HOLE COMMUNITY RADIO INCORPORATED
    PO BOX 588
    JACKSON,WY83001     		N/A PC to purchase new music 500
    JACKSON HOLE CONSERVATION ALLIANCE
    PO BOX 2728
    JACKSON,WY83001     		N/A PC 8 week Conservation Leadership Course 3,300
    KIDS CANCER ALLIANCE INC
    528 NOTTINGHAM PKWY
    LOUISVILLE,KY40222     		N/A PC to cover costs for Oncology Camp Division 1,000
    L E A D INSTITUTE
    2502 W ASH STE B
    COLUMBIA,MO65203     		N/A PC help fund four new phones for the call center that serves hundreds of teens monthly 1,700
    LA LECHE LEAGUE INTERNATIONAL INC
    1111 DANFORTH DR
    COLUMBIA,MO65201     		N/A PC General & Unrestricted 700
    LAMAZE FAMILY CENTER ANN ARBOR
    2855 BOARDWALK ST
    ANN ARBOR,MI48104     		N/A PC Miscarriage and Newborn Loss Support Groups 300
    LATINO RESOURCE CENTER INC
    PO BOX 3362
    JACKSON,WY83001     		N/A PC facilitating the integration of Latinos into the Greater Jackson Hole community 600
    LIFE CHOICES PREGNANCY CENTER A NON PROFIT CORPORA
    20 MOUNTAIN VIEW AVE
    LONGMONT,CO80501     		N/A PC General & Unrestricted 700
    LIGHTHOUSE PROMISE INC
    5312 SHEPHERDSVILLE RD
    LOUISVILLE,KY40228     		N/A PC General & Unrestricted 1,400
    LOCAL MATTERS
    731 E BROAD ST FL 3
    COLUMBUS,OH43205     		N/A PC to support 50 children participating in spring Food Matters programs, including hands-on nutrition and taste education class 3,500
    LONGMONT COUNCIL FOR THE ARTS INC
    356 MAIN ST
    LONGMONT,CO80501     		N/A PC General & Unrestricted 3,600
    LONGMONT DANCE THEATRE
    1422 NELSON RD
    LONGMONT,CO80501     		N/A PC Charitable Event 1,000
    LOUISVILLE GROWS INC
    2509 PORTLAND AVE
    LOUISVILLE,KY40212     		N/A PC Seeds and Starts Program 700
    MAKE-A-WISH FOUNDATION OF GREATER PENNSYLVANIA AND
    707 GRANT ST GULF TOWER 37 FLR
    PITTSBURGH,PA15219     		N/A PC Make-A-Wish Foundation of Montana Division 4,100
    MARQUETTE HIGH SCHOOL
    2351 CLARKSON RD
    CHESTERFIELD,MO63017     		N/A PC Student Life activities Program 2,300
    MEALS ON WHEELS OF BOULDER INC
    909 ARAPAHOE AVE STE 121
    BOULDER,CO80302     		N/A PC for healthy/organic foods to be used in the meals delivered 4,200
    METCALFE ELEMENTARY PTO
    1250 NE 18TH AVE
    GAINESVILLE,FL32609     		N/A PC Makeover Project 3,200
    MIDDLE WAY HOUSE INC
    PO BOX 95
    BLOOMINGTON,IN47402     		N/A PC to update technology systems to be more resilient 3,000
    MIDWEST HEALTH INITIATIVE
    8888 LADUE RD STE 250
    SAINT LOUIS,MO63124     		N/A PC Livewell STL Program 1,000
    MISSOURI NUCLEAR WEAPONS EDUCATION FUND
    804 E BROADWAY STE C
    COLUMBIA,MO65201     		N/A PC support education programs to encourage people towards conservation and preservation 1,200
    MISSOURI RIVER COMMUNITIES NETWORK
    POC-104 E BROADWAY TL
    COLUMBIA,MO65203     		N/A PC educational programs for volunteers 2,500
    MOTHER HUBBARDS CUPBOARD INC
    1100 W ALLEN ST
    BLOOMINGTON,IN47403     		N/A PC to support classes offered through their Nutrition and Gardening Education Classes 1,900
    MOUNTAIN STATES CHILDRENS HOME INC
    PO BOX 1097
    LONGMONT,CO80502     		N/A PC General & Unrestricted 1,800
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    1700 OWENS ST STE 190
    SAN FRANCISCO,CA94158     		N/A PC Perry Ann Jeveli's Jeveli Research Fellowship fund 1,000
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    733 3RD AVE FL 3
    NEW YORK,NY10017     		N/A PC ride sponsorship Program 1,500
    NEIGHBORHOOD CENTERS OF JOHNSON COUNTY
    PO BOX 2491
    IOWA CITY,IA52244     		N/A PC G! World Program 600
    NEUTRAL ZONE
    310 E WASHINGTON ST
    ANN ARBOR,MI48104     		N/A PC S.C.O.R.E. Program 3,000
    NEW DAY INC
    PO BOX 30282
    BILLINGS,MT59107     		N/A PC therapeutic summer activity Program 900
    NEW HOPE FAMILY SHELTER INC
    409 W 2ND ST
    BLOOMINGTON,IN47403     		N/A PC to purchase new appliances and to support the construction of the new playground 1,500
    NEW WAVE CORPORATION
    915 E BROADWAY
    COLUMBIA,MO65201     		N/A PC General & Unrestricted 1,200
    NONPROFIT SERVICES CENTER
    8764 MANCHESTER RD STE 203
    SAINT LOUIS,MO63144     		N/A PC creating training spaces for the coordination and collaboration of dozens of non-profits in the Rock Hill Community 5,000
    NURSES FOR NEWBORNS
    7259 LANSDOWNE AVE STE 100
    SAINT LOUIS,MO63119     		N/A PC to help pay nurses to serve families and babies 800
    OCEAN FOUNDATION
    1320 19TH ST NW 5TH FL
    WASHINGTON,DC20036     		N/A PC Garden in a Box and Slow the Flow programs 1,200
    OHIO STATE UNIVERSITY FOUNDATION
    1480 W LN AVE
    COLUMBUS,OH43221     		N/A PC to provide services and support, specifically nutrition classes to at-risk women 1,500
    ON THE GROUND
    PO BOX 694
    TRAVERSE CITY,MI49685     		N/A PC development in farming regions across the world 1,000
    OPEN SHELTER INC
    61 E MOUND ST
    COLUMBUS,OH43215     		N/A PC to purchase hygiene items for the homeless in Columbus 1,600
    OUTREACH UNITED RESOURCE CENTER INC
    303 ATWOOD ST
    LONGMONT,CO80501     		N/A PC to purchase fresh and perishable food for the food program 1,000
    OZONE HOUSE INC
    1705 WASHTENAW AVE
    ANN ARBOR,MI48104     		N/A PC WorkZone program 6,000
    PALESTINE CHILDRENS RELIEF FUND
    PO BOX 1926
    KENT,OH44240     		N/A PC General & Unrestricted 2,000
    PERENNIAL
    7413 S BROADWAY 15
    SAINT LOUIS,MO63111     		N/A PC fund 5 classes to support sustainability 3,700
    PROJECT BACKPACK
    1138 N WARSON RD
    SAINT LOUIS,MO63132     		N/A PC General & Unrestricted 600
    PTA OHIO CONGRESS
    499 E WEISHEIMER RD
    COLUMBUS,OH43214     		N/A PC to help upgrade playground equipment for Colerain Elementary 400
    PTA OHIO CONGRESS
    270 E STATE ST
    COLUMBUS,OH43215     		N/A PC to purchase clothing and school supplies for students in challenged schools in Columbus City 800
    RAGTAG FILM SOCIETY
    10 HITT ST
    COLUMBIA,MO65201     		N/A PC General & Unrestricted 2,600
    REBUILDING TOGETHER CENTRAL OHIO
    2771 E 4TH AVE
    COLUMBUS,OH43219     		N/A PC General & Unrestricted 1,100
    REBUILDING TOGETHER ST LOUIS
    357 MARSHALL AVE STE 2
    SAINT LOUIS,MO63119     		N/A PC to purchase building supplies to rehab homes 400
    REGENTS OF THE UNIVERSITY OF MICHIGAN
    3003 S STATE ST
    ANN ARBOR,MI48109     		N/A PC Ann Arbor Meals on Wheels 1,400
    RESTORATIVE JUSTICE LOUISVILLE
    514 W LIBERTY ST STE 106
    LOUISVILLE,KY40202     		N/A PC General & Unrestricted 600
    RIVERSTONE HEALTH FOUNDATION
    123 S 27TH ST
    BILLINGS,MT59101     		N/A PC to purchase items for a dental hygiene kit for each child who attends Orchard Elementary School 4,100
    SAFE SHELTER OF ST VRAIN VALLEY
    PO BOX 231
    LONGMONT,CO80502     		N/A PC General & Unrestricted 1,700
    SAFEHOUSE PROGRESSIVE ALLIANCE FOR NONVIOLENCE INC
    835 N ST
    BOULDER,CO80304     		N/A PC General & Unrestricted 1,500
    SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SER
    429 SOUTHGATE AVE
    IOWA CITY,IA52240     		N/A PC Rapid Rehousing Program 5,000
    SHEPHERD VALLEY SCHOOL & GARDEN INC
    6500 DRY CREEK PKWY
    NIWOT,CO80503     		N/A PC to assist parent/child classes 900
    SIERRA CLUB FOUNDATION
    85 2ND ST STE 750
    SAN FRANCISCO,CA94105     		N/A PC Water Sentinels program 3,900
    SOUTH CENTRAL COMMUNITY ACTION PROGRAM INC
    1500 W 15TH ST
    BLOOMINGTON,IN47404     		N/A PC to fund a generator for the Aquaponic System 4,000
    ST BALDRICKS FOUNDATION INC
    1333 S MAYFLOWER AVE STE 400
    MONROVIA,CA91016     		N/A PC to aid patient transportation to treatments 1,200
    ST FRANCIS HOUSE INC
    413 S MAIN ST
    GAINESVILLE,FL32601     		N/A PC to purchase fresh and perishable food for the food program 1,500
    ST LOUIS AREA FOOD BANK INC
    70 CORPORATE WOODS DR
    BRIDGETON,MO63044     		N/A PC to purchase fresh and perishable food for the food program 1,800
    ST VINCENT HEALTHCARE FOUNDATION
    PO BOX 35200
    BILLINGS,MT59107     		N/A PC General & Unrestricted 1,900
    STEP UP SAVANNAH INC
    428 BULL ST STE 208
    SAVANNAH,GA31401     		N/A PC workbooks, forklift, TWIC scholarship fund and bus passes 6,000
    STOP CHILDRENS CANCER INC
    2622 NW 43RD ST STE B-3
    GAINESVILLE,FL32606     		N/A PC bus fare and snacks fund for children to attend camp 1,300
    SUPPORT AND TECHNIQUES FOR EMPOWERING PEOPLE
    644 GRAND AVE STE 1
    BILLINGS,MT59101     		N/A PC scholarship fund for the Community Inclusion Program and Community Home Stay Program 800
    TABLE TO TABLE FOOD DISTRIBUTION NETWORK
    20 E MARKET ST
    IOWA CITY,IA52245     		N/A PC Garden Project 5,000
    TEMPLE GRANDIN SCHOOL
    6446 JAY RD
    BOULDER,CO80301     		N/A PC Plus One Program 1,200
    THE BRIDGE OUTREACH
    1520 MARKET ST
    SAINT LOUIS,MO63103     		N/A PC to purchase an industrial freezer to double current capacity and the hours given to each Baker (formerly homeless) 10,000
    THE CENTER FOR CHILDREN AND FAMILIES
    3021 3RD AVE N
    BILLINGS,MT59101     		N/A PC General & Unrestricted 1,100
    THE EDUCATION FOUNDATION OF ALACHUA COUNTY INC
    2802 NE 8TH AVE
    GAINESVILLE,FL32641     		N/A PC expansion of the Chess Program to 100 students, hosting of Chess Challenge for 700 students and community members and additional enrichment activities for students 4,800
    THE EDUCATION FOUNDATION OF ALACHUA COUNTY INC
    2802 NE 8TH AVE
    GAINESVILLE,FL32641     		N/A PC Steam Day at Stephen Foster Elementary School 5,700
    THE EDUCATION FOUNDATION OF ALACHUA COUNTY INC
    2802 NE 8TH AVE
    GAINESVILLE,FL32641     		N/A PC to purchase new instruments for the music program at the Glen Springs Elementary School in Gainesville 4,100
    THE FOOD BANK FOR CENTRAL & NORTHEAST MISSOURI INC
    2101 VANDIVER DR
    COLUMBIA,MO65202     		N/A PC to purchase fresh and perishable foods for the food program 1,400
    THE MISSOURI SYMPHONY SOCIETY
    PN RNV 177A
    COLUMBIA,MO65205     		N/A PC scholarship fund for the youth summer program 1,000
    THE PEARL GROUP INC
    PO BOX 1825
    LONGMONT,CO80502     		N/A PC General & Unrestricted 900
    THE TINY TIM CENTER INC
    611 KORTE WAY
    LONGMONT,CO80501     		N/A PC General & Unrestricted 900
    THE TINY TIM CENTER INC
    611 KORTE WAY
    LONGMONT,CO80501     		N/A PC Pilot Gardening Program 500
    THESTARFISH ALLIANCE INCORPORATED
    665 E DUBLIN GRANVL RD STE 401
    COLUMBUS,OH43229     		N/A PC General & Unrestricted 1,200
    TRAILNET INC
    411 N 10TH ST
    ST LOUIS,MO63101     		N/A PC youth cycling safety and education Program 16,300
    TRAILNET INC
    411 N 10TH ST
    ST LOUIS,MO63101     		N/A PC Youth Education Program 1,100
    UNIVERSITY OF FLORIDA FOUNDATION INC
    PO BOX 14425
    GAINESVILLE,FL32604     		N/A PC CARD Project 1,000
    URBAN HARVEST STL
    915 OLIVE ST
    SAINT LOUIS,MO63101     		N/A PC raised garden beds for school and community gardens 500
    WEST BROAD STREET YMCA
    1110 MAY ST
    SAVANNAH,GA31415     		N/A PC kitchen expansion to meet Georgia food safety laws/certification 4,500
    WILDLANDS RESTORATION VOLUNTEERS
    3012 STERLING CIR UNIT 201
    BOULDER,CO80301     		N/A PC youth programs and leadership training 1,700
    WISE WONDERS CHILDRENS MUSEUM
    110 N 29TH ST
    BILLINGS,MT59101     		N/A PC to purchase materials for developing STEM focused exhibits and extending space/hours for afterschool programs, camps and parties 700
    WOODHAVEN LEARNING CENTER
    1405 HATHMAN PL
    COLUMBIA,MO65201     		N/A PC assist people with development disabilities in their homes 1,400
    WOUNDED WARRIORS SUPPORT GROUP
    PO BOX 750
    CARMEL BY THE,CA93921     		N/A PC General & Unrestricted 500
    YELLOWSTONE AIDS PROJECT INCORPORATED
    PO BOX 1748
    BILLINGS,MT59103     		N/A PC General & Unrestricted 700
    YELLOWSTONE BOYS & GIRLS RANCH
    1732 S 72ND ST W
    BILLINGS,MT59106     		N/A PC support youth and their families through programs 3,700
    YELLOWSTONE CASA INC
    1201 GRAND AVE STE 5
    BILLINGS,MT59102     		N/A PC General & Unrestricted 900
    YMCA OF MONROE COUNTY INC
    PO BOX 2598
    BLOOMINGTON,IN47402     		N/A PC ENERGIZE! Program 4,500
    YOUNG FAMILIES EARLY HEAD START INC
    1020 COOK AVE
    BILLINGS,MT59102     		N/A PC to purchase materials, including toys, books, diapers and other classroom supplies, as well as supporting higher education pursuits for teachers and staff and building repairs 1,100
    YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER ST LOU
    326 S 21ST ST
    ST LOUIS,MO63103     		N/A PC children's classes, camps and the Wildwood Learning garden fund 2,500
    YOUNG WOMENS CHRISTIAN ASSOCIATION
    909 WYOMING AVE
    BILLINGS,MT59101     		N/A PC General & Unrestricted 900
    YOUTH COMBINE INC
    3941 SW 4TH PL
    GAINESVILLE,FL32607     		N/A PC new exercise equipment Fund 1,000
    YPSILANTI MEALS ON WHEELS
    1110 W CROSS ST
    YPSILANTI,MI48197     		N/A PC to provide meals for seniors and other homebound individuals 1,400
    Total .................................bullet 3a 695,400
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 473  
    4 Dividends and interest from securities....     14 9,160  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		         
    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)..   9,633  
    13Total. Add line 12, columns (b), (d), and (e)..................
    139,633
    (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 CompensationExplanation
    Name:
    LUCKY'S FARMER'S MARKET CHARITABLE Foundation
    EIN:
    46-0731752
    Person Name Explanation
    Michael Gilliland *removed in 2015

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

    TY 2015 DepreciationSchedule
    Name:
    LUCKY'S FARMER'S MARKET CHARITABLE Foundation
    EIN:
    46-0731752
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2015 InvestmentsOtherSchedule2
    Name:
    LUCKY'S FARMER'S MARKET CHARITABLE Foundation
    EIN:
    46-0731752
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BLACKSTONE REAL ESTATE INCOME   252,500 252,631

    TY 2015 LiquidationExplanationStmt
    Name:
    LUCKY'S FARMER'S MARKET CHARITABLE Foundation
    EIN:
    46-0731752
    Statement:
    This statement is submitted to report the distribution of certain assets during the year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: During the taxable year ending December 31, 2015, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $695,400. This amount represents over 25% of the Foundation's net assets of $1,994,785 (as measured by fair market value) at the beginning of the Foundation's taxable year ending December 31, 2015. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XV, Line 3a; each such grant was made solely for the charitable purpose specified therein.


    TY 2015 OtherExpensesSchedule
    Name:
    LUCKY'S FARMER'S MARKET CHARITABLE Foundation
    EIN:
    46-0731752
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 14,814     14,814
    Payroll Processing Fees 1,088     1,088
    State or Local Filing Fees 45     45


    TY 2015 TaxesSchedule
    Name:
    LUCKY'S FARMER'S MARKET CHARITABLE Foundation
    EIN:
    46-0731752
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Extension for 2014 27