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
JOSEPH W & FAITH K TIBERIO CHARITABLE
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)79 LOWLAND ST
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
HOLLISTON, MA01746
A Employer identification number

04-3253603
B Telephone number (see instructions)

(508) 429-7524
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$925,109J 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 23,607 23,607  
4 Dividends and interest from securities... 15,597 15,597  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 3,495
b Gross sales price for all assets on line 6a 295,116
7 Capital gain net income (from Part IV, line 2)... 3,495
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........ 42,699 42,699  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 4,600 0   4,600
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 3,850 3,850   0
c Other professional fees (attach schedule).... Click to see attachment 9,948 9,948   0
17 Interest............... 2,315 2,315   0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 581 581   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 992 992   0
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 1,335 137   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 23,621 17,823   4,600
25 Contributions, gifts, grants paid....... 89,800 89,800
26 Total expenses and disbursements. Add lines 24 and 25 113,421 17,823   94,400
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -70,722
b Net investment income (if negative, enter -0-) 24,876
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............. 25,450 15,976 15,976
2 Savings and temporary cash investments......... 34,069 51,242 51,242
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) bullet152,115
Less: allowance for doubtful accounts bullet0 172,463 152,115 0
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)....... 422,177 Click to see attachment445,868 563,009
c Investments—corporate bonds (attach schedule)....... 400,600 Click to see attachment318,836 294,882
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
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) 1,054,759 984,037 925,109
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..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 1,054,759 984,037
30 Total net assets or fund balances (see instructions)..... 1,054,759 984,037
31 Total liabilities and net assets/fund balances (see instructions). 1,054,759 984,037
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
1,054,759
2
Enter amount from Part I, line 27a .....................
2
-70,722
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
984,037
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
984,037
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 FEDERAL FARM CR BKS CONS P 2015-01-30 2015-08-24
b FEDERAL FARM CR BKS CONS P 2014-10-28 2015-01-30
c FREEPORT MCMORAN INC P 2015-02-05 2015-07-20
d LOWES COS INC COM P 2014-06-24 2015-01-23
e PROSHARES TR PROSHARES ULTRASHORT P 2015-07-10 2015-08-25
RITE AID CORP COM P 2014-09-26 2015-02-11
TOYOTA MOTOR CORP SPADR REP P 2014-03-27 2015-02-05
TRANSCANADA PIPELINES LTD P 2014-09-18 2015-08-24
WELLS FARGO & CO NEWDEP P 2015-04-15 2015-08-25
FREEPORT MCMORAN INC P 2012-04-18 2015-07-20
TEVA PHARMACEUTICAL INDUSTRIES P 2011-02-25 2015-08-25
CVS CORP PASS THROUGH TR P 2011-04-12 2015-01-05
GOLDMAN SACHS GRP INC MTN BE P 2012-01-30 2015-06-11
HSBC AMERS CAP TRICAP P 2011-01-24 2015-06-26
INFINITY PPTY & CAS CORP P 2013-04-09 2015-04-10
SKYWAY CONCESSION COLLC BOND P 2014-06-13 2015-11-16
(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 29,471   30,000 -529
b 30,000   30,000 0
c 7,510   9,700 -2,190
d 2,069   1,408 661
e 4,358   5,073 -715
38,900   26,151 12,749
15,655   13,290 2,365
20,855   26,208 -5,353
24,484   25,020 -536
5,557   14,277 -8,720
9,708   7,546 2,162
12,637   11,044 1,593
5,800   5,204 596
30,252   30,773 -521
32,680   31,907 773
25,180   24,020 1,160
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       -529
b       0
c       -2,190
d       661
e       -715
      12,749
      2,365
      -5,353
      -536
      -8,720
      2,162
      1,593
      596
      -521
      773
      1,160
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 3,495
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 135,973 1,041,615 0.130541
2013 99,650 951,675 0.104710
2012 128,664 932,696 0.137948
2011 115,812 1,041,373 0.111211
2010 99,700 1,123,193 0.088765
2
Total of line 1, column (d) .....................
20.573175
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
0.114635
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
987,213
5
Multiply line 4 by line 3......................
5
113,169
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
249
7
Add lines 5 and 6........................
7
113,418
8
Enter qualifying distributions from Part XII, line 4.............
8
94,400
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 1 498
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........................... 3 498
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- ..... 5 498
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 800
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.............. 7 800
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 10 302
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet302 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)
    bulletMA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletFAITH DOUGHERTY Telephone no.bullet (508) 422-8514

    Located atbullet79 LOWLAND STREETHOLLISTONMA ZIP+4bullet01746
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    FAITH DOUGHERTY PRESIDENT
    2.00     		3,500 0 0
    260 SPRINGVALE ROAD
    GREAT FALLS,VA22066
    CATHERINE A AGIUS SECRETARY
    2.00     		1,100 0 0
    382 OCEAN AVENUE APT 1701
    REVERE,MA02151
    FAITH K TIBERIO CHAIRMAN
    2.00     		0 0 0
    277 S MATANZAS BLVD
    ST AUGUSTINE,FL32080
    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
    938,931
    b
    Average of monthly cash balances.......................
    1b
    63,316
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,002,247
    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
    1,002,247
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    15,034
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    987,213
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    49,361
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    49,361
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    498
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    498
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    48,863
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    48,863
    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
    48,863
    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
    94,400
    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
    94,400
    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
    94,400
    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 48,863
    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...... 44,163
    b From 2011...... 65,619
    c From 2012...... 82,701
    d From 2013...... 53,286
    e From 2014...... 85,446
    fTotal of lines 3a through e........ 331,215
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 94,400
    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..... 48,863
    e Remaining amount distributed out of corpus 45,537
    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 5 376,752
    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) ...     		44,163
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		332,589
    10 Analysis of line 9:
    a Excess from 2011.... 65,619
    b Excess from 2012.... 82,701
    c Excess from 2013.... 53,286
    d Excess from 2014.... 85,446
    e Excess from 2015.... 45,537
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ALGONQUIN FOOTBALL BOOSTERS
    PO BOX 303
    NORTHBOROUGH,MA01532     		NONE 501C CHARITABLE 1,000
    ADOPT A PLATOON
    25089 CENTERLINE ROAD
    SAN BENITO,TX78586     		NONE 501C CHARITABLE 200
    AMERICAN INDIAN COLLEGE FUND
    8333 GREENWOOD BOULEVARD
    DENVER,CO80221     		NONE 501C EDUCATIONAL 700
    AMERICAN INDIAN RELEIF COUNCIL
    PO BOX 6200
    RAPID CITY,SD57709     		NONE 501C CHARITABLE 300
    AMERICAN REPERTORY THEATRE
    64 BRATTLE STREET
    CAMBRIDGE,MA02138     		NONE 501C LITERARY 1,000
    ANTIOCH CHRISTIAN CHURCH
    2041 W WALNUT HILL LN
    IRVING,TX75038     		NONE 501C CHARITABLE 500
    BLACKSTONE FIRE DEPT
    15 ST PAUL ST
    BLACKSTONE,MA01504     		NONE 501C PUBLIC SAFETY 2,000
    BLACKSTONE POLICE DEPT
    15 ST PAUL ST
    BLACKSTONE,MA01504     		NONE 501C PUBLIC SAFETY 2,000
    BOSTON BALLET
    19 CLARENDON STREET
    BOSTON,MA02116     		NONE 501C LITERARY 1,000
    BRIDGEWATER STATE UNIVERSITY
    131 SUMMER STREET
    BRIDGEWATER,MA02325     		NONE 501C EDUCATIONAL 2,000
    BOSTON MUSEUM OF FINE ARTS
    465 HUNTINGTON AVE
    BOSTON,MA02115     		NONE 501C LITERARY 5,000
    CIVIL WAR PRESERVATION TRUST
    1331 H STREET-SUITE 1001
    WASHINGTON,DC20005     		NONE 501C EDUCATIONAL 700
    CMRI DBA FATIMA MARIAN CTR
    7745 MILITARY AVENUE
    OMAHA,NE68134     		NONE 501C CHARITABLERELIGIOUS 3,000
    CUMBERLAND COLLEGE
    6178 COLLEGE STATION DRIVE
    WILLIAMSBURG,KY40769     		NONE 501C EDUCATIONAL 1,000
    DOWD CENTER FOR THE HOMELESS
    651 BROAD STREET
    COLUMBUS,OH43215     		NONE 501C CHARITABLE 200
    DUBLIN MONTESSORI ACADEMY
    10465 SAWMILL ROAD
    POWELL,OH43065     		NONE 501C EDUCATIONAL 350
    EMMA CONCERT ASSOCIATION
    2692 US 1
    ST AUGUSTINE,FL32086     		NONE 501C LITERARY 500
    FAITH MISSION
    245 N GRANT AVE
    COLUMBUS,OH43215     		NONE 501C CHARITABLE 200
    FIRST COAST OPERA
    PO BOX 2223
    ST AUGUSTINE,FL32085     		NONE 501C LITERARY 2,000
    FLAGLER COLLEGE
    KING STREET
    ST AUGUSTINE,FL32084     		NONE 501C EDUCATIONAL 3,000
    FLORIDA TRUST FOR HISTORIC
    PO BOX 11206
    TALLAHASSEE,FL32303     		NONE 501C EDUCATIONAL 500
    FRAMINGHAM HISTORICAL SOCIETY
    16 VERNON STREET
    FRAMINGHAM,MA01703     		NONE 501C EDUCATIONAL 500
    HOLLISTON HIGH SCHOOL AGRICULTURAL
    370 HILLIS STREET
    HOLLISTON,MA01746     		NONE 501C EDUCATIONAL 500
    HOLLISTON SENIOR CENTER
    150 GOULDING STREET
    HOLLISTON,MA01746     		NONE 501C CHARITABLE 500
    HOMELESS FAMILES FOUNDATION
    651 WEST BROAD STREET
    COLUMBUS,OH43215     		NONE 501C CHARITABLE 300
    HUNTINGTON THEATER
    264 HUNTINGTON AVE
    BOSTON,MA02115     		NONE 501C LITERARYLITERARY 25,000
    LIGHTNER MUSEUM
    75 KING STREET
    ST AUGUSTINE,FL32085     		NONE 501C EDUCATIONAL 8,000
    LIMELIGHT THEATER INC
    PO BOX 1196
    ST AUGUSTINE,FL32085     		NONE 501C LITERARY 2,000
    MASS 4H CLUB
    22 ELIOT STREET
    ASHLAND,MA01721     		NONE 501C CHARITABLE 1,000
    NATICK VISITING NURSES
    209 W CENTRAL STREET 313
    NATICK,MA01760     		NONE 501C CHARITABLE 1,000
    NEW ENGLAND OES RESCUE
    49 STONEHEDGE RD
    LINCOLN,MA01773     		NONE 501C CHARITABLE 350
    RED CLOUD INDIAN SCHOOL
    100 MISSION DRIVE
    PINE RIDGE,SD57770     		NONE 501C CHARITABLE 500
    SHERBORN FIRE AND RESCUE
    22 NORTH MAIN STREET
    SHERBORN,MA01770     		NONE 501C PUBLIC SAFETY 1,500
    SHERBORN LIONS
    288 DOVER ROAD
    WESTWOOD,MA01770     		NONE 501C CHARITABLE 1,000
    SHERBORN POLICE DEPARTMENT
    19 WASHINGTON STREET
    SHERBORN,MA01770     		NONE 501C PUBLIC SAFETY 1,500
    ST AUGUSTINE SISTER CITIES ASSN
    PO BOX 210
    ST AUGUSTINE,FL32085     		NONE 501C CHARITABLE 2,000
    ST AUGUSTINE TRUST FOR HISTORIC PRESERVATION
    75 KING STREET
    ST AUGUSTINE,FL32084     		NONE 501C HISTORICAL 1,000
    TEMPLE UNIVERSITY
    580 MEETINGHOUSE ROAD
    AMBLER,PA19002     		NONE 501C EDUCATIONAL 5,000
    WELLESLEY FRIENDS MEETING HOUSE CHURCH
    20 BENVENUE STREET
    WELLESLEY,MA02482     		NONE 501C CHARITABLE 3,000
    WOMAN'S NATIONAL FARM & GARDEN ASSOCIATION
    PO 325
    RAWSON,OH45881     		NONE 501C CHARITABLE 1,500
    EMMANUEL COLLEGE
    400 FENWAY
    BOSTON,MA02115     		NONE 501C EDUCATIONAL 2,000
    MUSEUM OF THE AMERICAN REVOLUTION
    123 CHESTNUT ST
    PHILADELPHIA,PA19106     		NONE 501C CHARITABLE 500
    ST LAWRENCE UNIVERSITY
    23 ROMODA DR
    CANTON,NY13617     		NONE 501C EDUCATIONAL 2,000
    UNIVERSITY OF NEW HAMPSHIRE
    105 MAIN ST
    DURHAM,NH03824     		NONE 501C EDUCATIONAL 2,000
    Total .................................bullet 3a 89,800
    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 23,607  
    4 Dividends and interest from securities....     14 15,597  
    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.....     14    
    8
    Gain or (loss) from sales of assets other than inventory ............     		    01 3,495  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 42,699 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    1342,699
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    JOSEPH W & FAITH K TIBERIO CHARITABLE
     
    FOUNDATION
    EIN:
    04-3253603
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SULLIVAN BILLE PC 3,850 3,850   0

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    JOSEPH W & FAITH K TIBERIO CHARITABLE
     
    FOUNDATION
    EIN:
    04-3253603
    Name of Bond End of Year Book Value End of Year Fair Market Value
    25000 AMERIGAS PARTNERS LP 25,840 24,000
    30000 BSB CAP TR I GTD CAP SECS 30,571 30,357
    30000 VALLEY NATL BANCORP SUB DEB 30,244 31,335
    50000 COLUMBIA FINL TR I BONDS 144A 49,895 50,125
    35000 BANK OF AMERICA PERPETUAL PFD 39,001 35,613
    20000 FPL GROUP CAPITAL INC BONDS 22,495 19,114
    15000 ALLEGHENY TECHNOLOGIES INC 15,707 8,850
    25000 ALUMINUM CO AMER NT 27,196 23,750
    25000 WEATHERFORD INTL LTD NOTE CALL MAKE WHOLE 28,902 24,344
    20000 GOODYEAR TIRED &RUBR CO NOTE 21,777 21,425
    25000 WELLS FARGO&CO NEW BOND PERPETUAL 27,208 25,969

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    JOSEPH W & FAITH K TIBERIO CHARITABLE
     
    FOUNDATION
    EIN:
    04-3253603
    Name of Stock End of Year Book Value End of Year Fair Market Value
    245 APPLE INC (AAPL) 19,222 25,789
    425 WELLS FARGO & CO nEW 13,670 23,103
    400 VERIZON COMMUNICATIONS 14,673 18,488
    150 THERMO FISHER SCIENTIFIC INC 8,317 21,278
    400 TEVA PHARMACEUTICAL IND 12,577 16,410
    300 QUALCOMM INC (QCOM) 16,994 14,996
    834 PFIZER INC (PFE) 15,712 26,922
    450 ORACLE CORPORATION (ORCL) 14,848 16,439
    500 JOHNSON CTLS INC 16,203 19,745
    600 JP MORGAN CHASE & CO (JPM) 15,853 26,412
    1000 GENERAL ELECTRIC CO 18,559 31,150
    1000 CISCO SYS INC 19,739 27,155
    1500 BANK OF AMERICA 14,783 25,245
    300 SH STRYKER CORP 12,966 27,882
    100 SH PRAXAIR 9,823 10,240
    325 NESTLE S SPON 15,439 24,205
    800 SH FLIR SYS 22,765 22,456
    250 SH EXXON MOBIL 16,951 19,488
    504 CITIGROUP INC COM NEW (C) 24,213 26,082
    300 EXPRESS SCRIPTS HLDG CO COM 20,555 26,223
    100 LOWES COS INC COM ISIN 21,151 24,333
    243 SCHLUMBERGER LIMITED COM 21,190 16,949
    219 TOYOTA MOTOR CORP SP ADR REP2COM 11,168 12,304
    CELGENE CORP 23,760 23,952
    UNITED RENTALS INC 24,446 18,135
    400 SHARES PROSHARES TR ULTRASHORT 20,291 17,628

    TY 2015 OtherExpensesSchedule
    Name:
    JOSEPH W & FAITH K TIBERIO CHARITABLE
     
    FOUNDATION
    EIN:
    04-3253603
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MISCELLANEOU FEES (FIDELITY) 12 12   0
    COMM MASS ANNUAL REPORT FILING FEE 125 125   0
    BROKERAGE TRANSACTION FEES 1,004 0   0
    MISCELLANEOUS 194 0   0


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    JOSEPH W & FAITH K TIBERIO CHARITABLE
     
    FOUNDATION
    EIN:
    04-3253603
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEE 9,948 9,948   0


    TY 2015 TaxesSchedule
    Name:
    JOSEPH W & FAITH K TIBERIO CHARITABLE
     
    FOUNDATION
    EIN:
    04-3253603
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES ON DIVIDEND INCOME 241 241   0
    FEDERAL EXCISE TAX ON INVESTMENT 340 340   0