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
ERIK T HOSTVEDT FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 285
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PIPERSVILLE, PA18947
A Employer identification number

23-6847270
B Telephone number (see instructions)

(215) 766-2236
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$2,994,022
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 0
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 73,734 75,972 73,734
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 68,397
b Gross sales price for all assets on line 6a 1,012,125
7 Capital gain net income (from Part IV, line 2)... 68,397
8 Net short-term capital gain......... 0
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........ 142,131 144,369 73,734
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 1,900 1,900 0 0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 3,443 3,443 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 14,526 14,526 0 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 19,869 19,869 0 0
25 Contributions, gifts, grants paid....... 268,965 268,965
26 Total expenses and disbursements. Add lines 24 and 25 288,834 19,869 0 268,965
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -146,703
b Net investment income (if negative, enter -0-) 124,500
c Adjusted net income (if negative, enter -0-)... 73,734
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......... 566,657 213,811 213,811
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) 50,359 Click to see attachment19,680 19,816
b Investments—corporate stock (attach schedule)....... 1,362,603 Click to see attachment1,542,943 1,842,641
c Investments—corporate bonds (attach schedule)....... 489,475 Click to see attachment551,788 518,012
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 433,524 Click to see attachment427,693 399,742
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) 2,902,618 2,755,915 2,994,022
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 2,902,618 2,755,915
30 Total net assets or fund balances (see instructions)..... 2,902,618 2,755,915
31 Total liabilities and net assets/fund balances (see instructions). 2,902,618 2,755,915
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
2,902,618
2
Enter amount from Part I, line 27a .....................
2
-146,703
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,755,915
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
2,755,915
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 600 SHS GENERAL ELECTRIC   2008-10-10 2015-01-28
b 15000 SHS MERCK & CO.   2009-10-23 2015-03-01
c 100 SHS WALMART STORES   2005-08-25 2015-03-11
d 100 SHS COCA COLA CO.   2005-04-22 2015-03-18
e GOOGLE CASH IN LIEU   2011-09-08 2015-05-04
20 SHS GOOGLE INC.   2011-09-08 2015-06-17
5 SHS GOOGLE INC.   2011-10-03 2015-06-17
75 SHS DISNEY CO.   2009-03-16 2015-07-10
15000 SHS HEWLETT PACKARD   2010-03-11 2015-11-09
ALIBABA GROUP HLDG LTD - 101.000 SHS   2014-12-22 2015-12-11
ALIBABA GROUP HLDG LTD - 11.000 SHS   2014-12-30 2015-12-11
ALIBABA GROUP HLDG LTD - 98.000 SHS   2015-01-14 2015-12-11
ALIBABA GROUP HLDG LTD - 139.000 SHS   2015-04-01 2015-12-11
ALIBABA GROUP HLDG LTD - 18,000 SHS   2015-04-15 2015-12-11
AMAZON COM INC - 11.000 SHS   2015-01-14 2015-08-03
BANCO SANTANDER S.A. - 0.610 SHS   2015-01-14 2015-02-09
BANCO SANTANDER S.A. - 0.310 SHS   2015-04-14 2015-05-11
BANCO SANTANDER S.A. - .223 SHS   2015-10-20 2015-11-16
CATERPILLAR INC - 20.000 SHS   2014-12-30 2015-06-09
DISCOVER FINCL SVCS - 100.000 SHS   2015-06-15 2015-06-30
EMC CORP MASS - 166.000 SHS   2015-10-12 2015-11-11
EMC CORP MASS (COM.) - 386.000 SHS   2015-10-12 2015-11-11
EMC CORP MASS (COM.) - 386.000 SHS   2015-10-12 2015-11-16
EMC CORP MASS (COM.) - 166.000 SHS   2015-10-12 2015-11-16
FIVE BELOW - 27.000 SHS   2014-12-30 2015-01-14
FOMENTO ECONOMICO MEXICANO - 59.000 SHS   2014-10-07 2015-08-03
FOMENTO ECONOMICO MEXICANO - 66.000 SHS   2014-12-30 2015-08-03
HUNTSMAN CORP - 377.000 SHS   2014-08-18 2015-04-27
HUNTSMAN CORP - 325.000 SHS   2014-12-30 2015-04-27
HUNTSMAN CORP - 91.000 SHS   2015-04-15 2015-04-27
INTL BUSINESS MACHINES CORP - 59.000 SHS   2014-12-30 2015-10-02
INTL BUSINESS MACHINES CORP - 7.000 SHS   2015-04-15 2015-10-02
INTL BUSINESS MACHINES CORP - 61.000 SHS   2015-05-28 2015-10-02
ISHARES RUSSELL 2000 ETF - 160.000 SHS   2015-02-17 2015-08-25
ISHARES RUSSELL 2000 ETF - 54.000 SHS   2015-03-11 2015-08-25
ISHARES RUSSELL 2000 ETF - 50.000 SHS   2015-06-15 2015-08-25
NORFOLK SOUTHERN CORP - 40 SHS   2015-04-15 2015-11-18
NORFOLK SOUTHERN CORP - 137.000 SHS   2015-05-28 2015-11-18
NOW INC - 300.000 SHS   2014-10-02 2015-02-03
NOW INC - 173.020 SHS   2014-10-08 2015-02-03
QUALCOMM INC - 161.000 SHS   2014-04-03 2015-01-14
QUALCOMM INC - 6.000 SHS   2014-04-24 2015-01-14
QUALCOMM INC - 60.000 SHS   2014-05-13 2015-01-14
QUALCOMM INC - 26 SHS   2014-12-30 2015-01-14
SONY CORP ADR 1974 NEW - 1,074.000 SHS   2014-07-28 2015-01-14
SONY CORP ADR 1974 NEW - 479.000 SHS   2014-07-28 2015-02-04
SONY CORP ADR 1974 NEW - 57.000 SHS   2014-07-28 2015-04-14
SONY CORP ADR 1974 NEW - 379.000 SHS   2014-09-24 2015-04-14
SPDR EURO STOXX 50 ETF - 225.000 SHS   2014-09-08 2015-07-31
SPDR EURO STOXX 50 ETF - 31.000 SHS   2014-12-30 2015-07-31
SPDR EURO STOXX 50 ETF - 284.000 SHS   2015-01-15 2015-07-31
TARGET CORPORATION - 86.000 SHS   2014-12-30 2015-12-03
VALE S.A - 1005.000 SHS   2014-12-03 2015-08-24
VALE S.A - 719.000 SHS   2014-12-30 2015-08-24
VALE S.A - 210.000 SHS   2015-04-15 2015-08-24
VALE S.A - 1.000 SHS   2015-05-28 2015-08-24
VALE S.A - 227 SHS   2015-06-15 2015-08-24
VERIFONE SYSTEMS INC - 541.000 SHS   2014-09-08 2015-06-24
VERIFONE SYSTEMS INC - 264.000 SHS   2015-01-16 2015-06-24
VERIFONE SYSTEMS INC - 100.000 SHS   2015-06-15 2015-06-24
WISDOMTREE TRUST JAPN HEDGE - 156.000 SHS   2014-06-30 2015-03-11
WISDOMTREE TRUST JAPN HEDGE - 192.000 SHS   2014-08-18 2015-03-11
WISDOMTREE TRUST JAPN HEDGE - 135 SHS   2014-12-30 2015-03-11
CATERPILLAR INC - 90 SHS   2014-01-28 2015-05-06
CATERPILLAR INC - 250.000 SHS   2014-01-28 2015-06-09
CITIGROUP INC NEW - 475.000 SHS   2013-10-09 2015-06-30
DDR CORP COM - 905.000 SHS   2014-04-16 2015-04-24
DDR CORP COM - 1357 SHS   2014-04-16 2015-04-27
DISCOVER FINCL SVCS - 18.000 SHS   2011-02-08 2015-06-30
DISCOVER FINCL SVCS - 11.000 SHS   2011-02-22 2015-06-30
DISCOVER FINCL SVCS - 198.000 SHS   2011-03-15 2015-06-30
DISCOVER FINCL SVCS - 41.000 SHS   2011-04-12 2015-06-30
DISCOVER FINCL SVCS - 164.000 SHS   2011-06-16 2015-06-30
DISCOVER FINCL SVCS - 11.000 SHS   2012-01-18 2015-06-30
EXPRESS SCRIPTS HLDG CO COM - 141.000 SHS   2013-10-01 2015-01-16
EXPRESS SCRIPTS HLDG CO COM - 42.000 SHS   2013-10-25 2015-01-16
EXPRESS SCRIPTS HLDG CO COM - 183.000 SHS   2013-10-25 2015-03-02
FIVE BELOW - 4.000 SHS   2012-08-07 2015-01-14
FIVE BELOW - 44.000 SHS   2012-11-08 2015-01-14
FIVE BELOW - 331.000 SHS   2012-11-09 2015-01-14
FIVE BELOW - 15.000 SHS   2012-11-15 2015-01-14
FOMENTO ECONOMICO MEXICANO - 103.000 SHS   2014-01-03 2015-08-03
GENERAL MTRS CO - 591.000 SHS   2014-01-13 2015-06-09
HUNTSMAN CORP - 117.000 SHS   2014-01-16 2015-04-27
HUNTSMAN CORP - 1.000 SHS   2014-01-17 2015-04-27
1NTL BUSINESS MACHINES CORP - 60.000 SHS   2014-03-18 2015-10-02
NORFOLK SOUTHERN CORP - 164.000 SHS   2013-02-07 2015-11-18
TARGET CORPORATION. - 2.000 SHS   2014-01-17 2015-12-03
TARGET CORPORATION. - 164.000 SHS   2014-08-18 2015-12-03
DISCOVER FINCL SVCS - 20.000 SHS   2010-11-17 2015-06-30
DISCOVER FINCL SVCS - 11.000 SHS   2010-12-17 2015-06-30
NESTLE SPON ADR REP REG SHR - 30.000 SHS   2010-05-25 2015-01-15
NESTLE SPON ADR REP REG SHR - 59.000 SHS   2010-06-23 2015-01-15
NESTLE SPON ADR REP REG SHR - 38.000 SHS   2010-07-02 2015-01-15
NESTLE SPON ADR REP REG SHR - 43.000 SHS   2010-08-12 2015-01-15
NESTLE SPON ADR REP REG SHR - 15.000 SHS   2010-10-27 2015-01-15
NESTLE SPON ADR REP REG SHR - 42.000 SHS   2010-11-17 2015-01-15
ALIBABA GROUP HLDG LTD - 23.000 SHS   2014-12-22 2015-12-08
ALIBABA GROUP HLDG LTD - 3.000 SHS   2014-12-22 2015-12-11
ALIBABA GROUP HLDG LTD - 26.000 SHS   2015-01-14 2015-12-11
ALIBABA GROUP HLDG LTD - 34.000 SHS   2015-04-01 2015-12-11
AMAZON COM INC - 3.000 SHS   2015-01-14 2015-08-03
AMAZON COM INC - 1.000 SHS   2015-01-14 2015-12-08
BANCO SANTANDER S.A. - 0.700 SHS   2015-01-14 2015-02-09
BANCO SANTANDER S.A. - 0.360 SHS   2015-04-14 2015-05-11
BANCO SANTANDER S.A. - 0.204 SHS   2015-10-20 2015-11-16
CATERPILLAR INC - 25.000 SHS   2014-11-11 2015-06-09
EMC CORP MASS - 35.000 SHS   2015-10-12 2015-11-11
EMC CORP MASS - 84.000 SHS   2015-10-12 2015-11-11
EMCCORPMASS(CONT.) - 84.000 SHS   2015-10-12 2015-11-16
EMCCORPMASS(CONT.) - 35.000 SHS   2015-10-12 2015-11-16
FIVE BELOW - 41.000 SHS   2014-04-02 2015-01-14
HUNTSMAN CORP - 94.000 SHS   2014-08-18 2015-04-27
ISHARES RUSSELL 2000 ETF - 39.000 SHS   2015-02-17 2015-08-25
ISHARES RUSSELL 2000 ETF - 13.000 SHS   2015-03-11 2015-08-25
NOW INC - 77.000 SHS   2014-10-02 2015-02-03
NOW INC - 45.000 SHS   2014-10-08 2015-02-03
QUALCOMM INC - 46.000 SHS   2014-04-24 2015-01-14
QUALCOMM INC - 26.000 SHS   2014-05-13 2015-01-14
QUALCOMM INC - 30.000 SHS   2014-11-11 2015-01-14
SONY CORP ADR 1974 NEW - 191.000 SHS   2014-07-28 2015-01-14
SONY CORP ADR 1974 NEW - 118.000 SHS   2014-07-28 2015-02-04
SONY CORP ADR 1974 NEW - 53.000 SHS   2014-07-28 2015-04-14
SONY CORP ADR 1974 NEW(CONT.) - 55.000 SHS   2014-09-24 2015-04-14
SPDR EURO STOXX 50 ETF - 58.000 SHS   2014-09-08 2015-07-31
SPDR EURO STOXX 50 ETF - 59.000 SHS   2015-01-15 2015-07-31
VALE S.A - 292.000 SHS   2014-12-03 2015-08-24
VERIFONE SYSTEMS INC - 139.000 SHS   2014-09-08 2015-06-24
VERIFONE SYSTEMS INC - 60.000 SHS   2015-01-16 2015-06-24
WISDOMTREE TRUST JAPN HEDGE - 65.000 SHS   2014-06-30 2015-03-11
WISDOMTREE TRUST JAPN HEDGE - 53.000 SHS   2014-08-07 2015-03-11
WISDOMTREE TRUST JAPN HEDGE - 4.000 SHS   2014-11-11 2015-03-11
CATERPILLAR INC - 23.000 SHS   2014-01-28 2015-05-06
CATERPILLAR INC - 44.000 SHS   2014-01-28 2015-06-09
CITIGROUP INC NEW V - 115.000 SHS   2013-10-09 2015-06-30
DDR CORP COM - 192.000 SHS   2014-04-16 2015-04-24
DDR CORP COM - 288 SHS   2014-04-16 2015-04-27
EXPRESS SCRIPTS HLDG CO COM - 42.000 SHS   2013-10-01 2015-01-16
EXPRESS SCRIPTS HLDG CO COM - 41.000 SHS   2013-10-01 2015-03-02
FIVE BELOW - 2.000 SHS   2012-07-30 2015-01-14
FIVE BELOW - 61.000 SHS   2012-07-31 2015-01-14
FOMENTO ECONOMICO MEXICANO - 20.000 SHS   2013-11-26 2015-08-03
FOMENTO ECONOMICO MEXICANO - 17.000 SHS   2014-04-02 2015-08-03
GENERAL MTRS CO - 113.000 SHS   2014-01-13 2015-06-09
GENERAL MTRS CO - 22 SHS   2014-01-13 2015-12-08
HUNTSMAN CORP - 100.000 SHS   2014-01-16 2015-04-27
HUNTSMAN CORP - 1.000 SHS   2014-01-17 2015-04-27
INTL BUSINESS MACHINES CORP - 13.000 SHS   2014-03-18 2015-10-02
INTL BUSINESS MACHINES CORP - 20 SHS   2014-04-25 2015-10-02
NORFOLK SOUTHERN CORP - 37.000 SHS   2013-02-07 2015-11-18
NORFOLK SOUTHERN CORP - 30.000 SHS   2014-04-25 2015-11-18
TARGET CORPORATION - 35.000 SHS   2014-01-16 2015-04-16
TARGET CORPORATION - 3.000 SHS   2014-01-16 2015-12-03
TARGET CORPORATION - 13.000 SHS   2014-04-02 2015-12-03
TARGET CORPORATION - 45.000 SHS   2014-08-07 2015-12-03
THERMO FISHER SCIENTIFIC - 6.000 SHS   2013-07-08 2015-12-08
DISCOVER FINCL SVCS - 132.000 SHS   2010-06-11 2015-06-30
NESTLE SPON ADR REP REG SHR - 24.000 SHS   2010-03-08 2015-01-15
NESTLE SPON ADR REP REG SHR - 40.000 SHS   2010-04-07 2015-01-15
NESTLE SPON ADR REP REG SHR - 1.000 SHS   2010-04-19 2015-01-15
GOLDMAN SACHS BDC INC - 2,500.000 SHS   2015-04-15 2015-06-23
USTSYNOTE 1125 19DE31 - 15,000.000 SHS   2015-06-09 2015-09-25
GNMA POOL 003708 5500 20MY20 - 113.090 SHS   2011-02-22 2015-02-20
GNMA POOL 003708 5500 20MY20 - 412.960 SHS   2011-02-22 2015-03-20
GNMA POOL 003708 5500 20MY20 - 113.250 SHS   2011-02-22 2015-04-20
GNMA POOL 003708 5500 20MY20 - 161.770 SHS   2011-02-22 2015-05-20
GNMA POOL 003708 5500 20MY20 - 78.250 SHS   2011-02-22 2015-06-20
GNMA POOL 003708 5500 20MY20 - 78.450 SHS   2011-02-22 2015-07-20
GNMA POOL 003708 5500 20MY20 - 78.710 SHS   2011-02-22 2015-08-20
GNMA POOL 003708 5500 20MY20 - 79.570 SHS   2011-02-22 2015-09-20
GNMA POOL 003708 5500 20MY20 - 79.560 SHS   2011-02-22 2015-10-20
GNMA POOL 003708 5500 20MY20 - 80.100 SHS   2011-02-22 2015-11-20
GNMA POOL 003708 5500 20MY20 - 177.750 SHS   2011-02-22 2015-12-20
GNMA POOL 003708 5500 20MY20 - 77.14 SHS   2011-02-22 2015-01-20
GNMA POOL 004584 4000 24DE20 - 94.460 SHS   2011-05-16 2015-02-20
GNMA POOL 004584 4000 24DE20 - 152.730 SHS   2011-05-16 2015-03-20
GNMA POOL 004584 4000 24DE20 - 176.150 SHS   2011-05-16 2015-04-20
GNMA POOL 004584 4000 24DE20 - 189.950 SHS   2011-05-16 2015-05-20
GNMA POOL 004584 4000 24DE20 - 291.050 SHS   2011-05-16 2015-06-20
GNMA POOL 004584 4000 24DE20 - 165.880 SHS   2011-05-16 2015-07-20
GNMA POOL 004584 4000 24DE20 - 186.880 SHS   2011-05-16 2015-08-20
GNMA POOL 004584 4000 24DE20 - 134.700 SHS   2011-05-16 2015-09-20
GNMA POOL 004584 4000 24DE20 - 145.310 SHS   2011-05-16 2015-10-20
GNMA POOL 004584 4000 24DE20(CONT.) - 159.480 SHS   2011-05-16 2015-11-20
GNMA POOL 004584 4000 24DE20(CONT.) - 127.470 SHS   2011-05-16 2015-12-20
GNMA POOL 004584 4000 24DE20(CONT.) - 130.490 SHS   2011-05-16 2015-01-20
GNMA POOL 004686 4000 25MY20 - 61.060 SHS   2011-05-02 2015-02-20
GNMA POOL 004686 4000 25MY20 - 63.440 SHS   2011-05-02 2015-03-20
GNMA POOL 004686 4000 25MY20 - 141.080 SHS   2011-05-02 2015-04-20
GNMA POOL 004686 4000 25MY20 - 117.260 SHS   2011-05-02 2015-05-20
GNMA POOL 004686 4000 25MY20 - 108.350 SHS   2011-05-02 2015-06-20
GNMA POOL 004686 4000 25MY20 - 133.290 SHS   2011-05-02 2015-07-20
GNMA POOL 004686 4000 25MY20 - 188.650 SHS   2011-05-02 2015-08-20
GNMA POOL 004686 4000 25MY20 - 150.170 SHS   2011-05-02 2015-09-20
GNMA POOL 004686 4000 25MY20 - 98.180 SHS   2011-05-02 2015-10-20
GNMA POOL 004686 4000 25MY20 - 185.580 SHS   2011-05-02 2015-11-20
GNMA POOL 004686 4000 25MY20 - 74.960 SHS   2011-05-02 2015-12-20
GNMA POOL 004686 4000 25MY20 - 89.920 SHS   2011-05-02 2015-01-20
GNMA POOL 476724 6000 23DE15 - 53.640 SHS   2011-05-24 2015-02-15
GNMA POOL 476724 6000 23DE15 - 43.750 SHS   2011-05-24 2015-03-15
GNMA POOL 476724 6000 23DE15 - 43.820 SHS   2011-05-24 2015-04-15
GNMA POOL 476724 6000 23DE15 - 1,022.280 SHS   2011-05-24 2015-05-15
GNMA POOL 476724 6000 23DE15 - 35.560 SHS   2011-05-24 2015-06-15
GNMA POOL 476724 6000 23DE15 - 35.750 SHS   2011-05-24 2015-07-15
GNMA POOL 476724 6000 23DE15 - 46.160 SHS   2011-05-24 2015-08-15
GNMA POOL 476724 6000 23DE15 - 35.460 SHS   2011-05-24 2015-09-15
GNMA POOL 476724 6000 23DE15 - 35.660 SHS   2011-05-24 2015-10-15
GNMA POOL 476724 6000 23DE15 - 35.850 SHS   2011-05-24 2015-11-15
GNMA POOL 476724 6000 23DE15(CONT.) - 36.090 SHS   2011-05-24 2015-12-15
GNMA POOL 476724 6000 23DE15(CONT.) - 36.28 SHS   2011-05-24 2015-01-15
HEWLETT-PACKARD 3750 20DE01 - 20,000.000 SHS   2011-12-12 2015-06-22
JP MORGAN CHASE 5150 15OC01 - 20,000.000 SHS   2011-02-22 2015-10-01
MARKELCORP 7125 19SP30 - 25,000.000 SHS   2010-12-29 2015-09-25
NOKIA CORP 5375 19MY15 - 25,000.000 SHS   2011-06-10 2015-04-15
US TSY NOTE TUN 1625-18JA15 - 10,000.000 SHS   2010-06-14 2015-06-22
US TSY NOTE TUN 2125 19JA15 - 10,000.000 SHS   2010-06-14 2015-06-22
CAPITAL GAINS DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 14,463   11,405 3,058
b 15,000   16,124 -1,124
c 8,173   4,541 3,632
d 4,048   2,102 1,946
e 38   18 20
10,901   5,374 5,527
2,726   1,260 1,466
8,711   1,308 7,403
15,902   16,422 -520
8,142   11,033 -2,891
887   1,165 -278
7,900   9,627 -1,727
11,206   11,543 -337
1,451   1,517 -66
5,825   3,179 2,646
4   4 0
2   2 0
1   1 0
1,744   1,851 -107
5,775   5,841 -66
4,226   4,708 -482
9,827   10,948 -1,121
9,729   11,663 -1,934
4,184   4,708 -524
905   1,070 -165
5,325   5,496 -171
5,957   5,942 15
8,624   10,069 -1,445
7,434   7,555 -121
2,082   2,060 22
8,305   9,445 -1,140
985   1,145 -160
8,587   10,436 -1,849
17,931   19,441 -1,510
6,052   6,505 -453
5,603   6,225 -622
3,675   4,040 -365
12,588   12,833 -245
8,058   8,875 -817
4,647   4,791 -144
11,517   13,055 -1,538
429   467 -38
4,292   4,812 -520
1,860   1,957 -97
22,085   19,014 3,071
12,335   8,480 3,855
1,769   1,009 760
11,760   6,584 5,176
8,679   9,257 -578
1,196   1,155 41
10,954   10,135 819
6,228   6,494 -266
4,444   8,637 -4,193
3,179   5,966 -2,787
929   1,261 -332
4   6 -2
1,004   1,516 -512
19,253   18,576 677
9,395   8,938 457
3,559   3,625 -66
8,454   7,697 757
10,405   9,579 826
7,316   6,665 651
7,846   8,262 -416
21,795   22,951 -1,156
26,182   22,804 3,378
16,128   15,019 1,109
24,278   22,521 1,757
1,039   386 653
635   235 400
11,434   4,234 7,200
2,368   986 1,382
9,471   3,773 5,698
635   296 339
11,952   8,791 3,161
3,560   2,514 1,046
15,555   10,953 4,602
134   127 7
1,474   1,358 116
11,089   9,918 1,171
503   431 72
9,296   9,773 -477
20,767   23,936 -3,169
2,676   2,754 -78
22   23 -1
8,446   11,229 -2,783
15,069   11,347 3,722
145   121 24
11,878   9,543 2,335
1,155   365 790
635   198 437
2,307   1,315 992
4,536   2,792 1,744
2,922   1,800 1,122
3,306   2,149 1,157
1,153   805 348
3,229   2,311 918
1,932   2,513 -581
242   328 -86
2,096   2,554 -458
2,741   2,824 -83
1,589   867 722
672   289 383
5   5 0
3   3 0
1   1 0
2,179   2,552 -373
891   993 -102
2,138   2,383 -245
2,117   2,538 -421
882   993 -111
1,374   1,714 -340
2,150   2,511 -361
4,371   4,739 -368
1,457   1,566 -109
2,068   2,278 -210
1,209   1,246 -37
3,291   3,584 -293
1,860   2,085 -225
2,146   2,077 69
3,928   3,381 547
3,039   2,089 950
1,645   938 707
1,707   955 752
2,237   2,386 -149
2,276   2,106 170
1,291   2,509 -1,218
4,947   4,773 174
2,135   2,031 104
3,522   3,207 315
2,872   2,598 274
217   217 0
2,005   2,112 -107
3,836   4,039 -203
6,339   5,521 818
3,422   3,186 236
5,153   4,780 373
3,560   2,618 942
3,485   2,556 929
67   60 7
2,044   1,765 279
1,805   1,813 -8
1,534   1,585 -51
3,971   4,577 -606
784   891 -107
2,287   2,354 -67
23   23 0
1,830   2,433 -603
2,815   3,796 -981
3,400   2,560 840
2,757   2,839 -82
2,874   2,125 749
217   182 35
942   788 154
3,259   2,601 658
818   519 299
7,623   1,796 5,827
1,845   1,183 662
3,075   1,994 1,081
77   48 29
56,192   54,656 1,536
14,800   14,748 52
113   121 -8
413   441 -28
113   121 -8
162   173 -11
78   84 -6
78   84 -6
79   84 -5
80   85 -5
80   85 -5
80   86 -6
178   190 -12
77   82 -5
94   101 -7
153   163 -10
176   188 -12
190   203 -13
291   310 -19
166   177 -11
187   199 -12
135   144 -9
145   155 -10
159   170 -11
127   136 -9
130   139 -9
61   64 -3
63   67 -4
141   148 -7
117   123 -6
108   114 -6
133   140 -7
189   198 -9
150   157 -7
98   103 -5
186   195 -9
75   79 -4
90   94 -4
54   58 -4
44   48 -4
44   48 -4
1,899   2,240 -341
36   39 -3
36   39 -3
46   50 -4
35   39 -4
36   39 -3
36   39 -3
36   39 -3
36   40 -4
20,472   19,676 796
20,000   20,000 0
29,016   26,455 2,561
26,944   24,792 2,152
11,900   11,810 90
11,964   11,916 48
2,238     2,238
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       3,058
b       -1,124
c       3,632
d       1,946
e       20
      5,527
      1,466
      7,403
      -520
      -2,891
      -278
      -1,727
      -337
      -66
      2,646
      0
      0
      0
      -107
      -66
      -482
      -1,121
      -1,934
      -524
      -165
      -171
      15
      -1,445
      -121
      22
      -1,140
      -160
      -1,849
      -1,510
      -453
      -622
      -365
      -245
      -817
      -144
      -1,538
      -38
      -520
      -97
      3,071
      3,855
      760
      5,176
      -578
      41
      819
      -266
      -4,193
      -2,787
      -332
      -2
      -512
      677
      457
      -66
      757
      826
      651
      -416
      -1,156
      3,378
      1,109
      1,757
      653
      400
      7,200
      1,382
      5,698
      339
      3,161
      1,046
      4,602
      7
      116
      1,171
      72
      -477
      -3,169
      -78
      -1
      -2,783
      3,722
      24
      2,335
      790
      437
      992
      1,744
      1,122
      1,157
      348
      918
      -581
      -86
      -458
      -83
      722
      383
      0
      0
      0
      -373
      -102
      -245
      -421
      -111
      -340
      -361
      -368
      -109
      -210
      -37
      -293
      -225
      69
      547
      950
      707
      752
      -149
      170
      -1,218
      174
      104
      315
      274
      0
      -107
      -203
      818
      236
      373
      942
      929
      7
      279
      -8
      -51
      -606
      -107
      -67
      0
      -603
      -981
      840
      -82
      749
      35
      154
      658
      299
      5,827
      662
      1,081
      29
      1,536
      52
      -8
      -28
      -8
      -11
      -6
      -6
      -5
      -5
      -5
      -6
      -12
      -5
      -7
      -10
      -12
      -13
      -19
      -11
      -12
      -9
      -10
      -11
      -9
      -9
      -3
      -4
      -7
      -6
      -6
      -7
      -9
      -7
      -5
      -9
      -4
      -4
      -4
      -4
      -4
      -341
      -3
      -3
      -4
      -4
      -3
      -3
      -3
      -4
      796
      0
      2,561
      2,152
      90
      48
      2,238
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 68,397
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 -8,911
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 227,408 2,666,076 0.085297
2013 286,704 2,561,618 0.111923
2012 108,910 2,427,761 0.044860
2011 121,338 2,176,190 0.055757
2010 383,837 1,221,054 0.314349
2
Total of line 1, column (d) .....................
20.612186
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
0.122437
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
3,235,400
5
Multiply line 4 by line 3......................
5
396,133
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,245
7
Add lines 5 and 6........................
7
397,378
8
Enter qualifying distributions from Part XII, line 4.............
8
268,965
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 2,490
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 2,490
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 2,490
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 59
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 2,549
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    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)
    bulletPA
    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
    Yes
     
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    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 ofbulletERIK T HOSTVEDT Telephone no.bullet (215) 766-2236

    Located atbulletPO BOX 285 PIPERSVILLE PAPIPERSVILLEPA ZIP+4bullet18947
    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
    150
    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
    ERIK T HOSTVEDT TRUSTEE
    1.00
    0 0 0
    PO BOX 285
    PIPERSVILLE,PA18947
    JILL C HOSTVEDT TRUSTEE
    1.00
    0 0 0
    PO BOX 285
    PIPERSVILLE,PA18947
    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 FOUNDATION PROVIDES FUNDS TO OTHER CHARITABLE ORGANIZATIONS TO FURTHER THEIR ACTIVITIES AND MISSIONS. 0
    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
    2,891,938
    b
    Average of monthly cash balances.......................
    1b
    392,732
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,284,670
    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
    3,284,670
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    49,270
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,235,400
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    161,770
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    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
     
    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
    268,965
    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
    268,965
    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
    268,965
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2014
    (c)
    2014
    (d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7  
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$  
    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.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
     
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
    2000-05-19
    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
    73,734 96,637 127,018 83,171 380,560
    b 85% of line 2a ......... 62,674 82,141 107,965 70,695 323,476
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
    268,965 227,408 286,704 108,910 891,987
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
    0 0 0 0 0
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
    268,965 227,408 286,704 108,910 891,987
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......         0
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
            0
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
    107,847 88,869 85,387 80,925 363,028
    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) ....
            0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
            0
    (3) Largest amount of support
    from an exempt organization
            0
    (4) Gross investment income         0
    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).)
    ERIK T HOSTVEDT
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    ERIK T HOSTVEDT
    PO BOX 285
    PIPERSVILLE,PA18947
    (215) 766-2236
    bThe form in which applications should be submitted and information and materials they should include:
    NO SPECIFIC FORM
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    ALPHA PREGNANCY SERVICES
    PO BOX 2305
    PHILADELPHIA,PA19103
    NONE PC OPERATING 2,000
    BETHANY CHRISTIAN SERVICES
    7827 OLD YORK ROAD
    ELKINS PARK,PA190272508
    NONE EXEMPT ORGANIZATION OPERATIONS 2,000
    BUSINESS CARES
    252 W SWAMP ROAD
    DOYLESTOWN,PA18901
    NONE PC OPERATING 2,000
    CUTS
    1300 W HUNTING PARK AVE
    PHILADELPHIA,PA19140
    NONE PC OPERATING 1,100
    CAMPUS CRUSADE FOR CHRIST
    100 LAKE HART DR
    ORLANDO,FL32862
    NONE PC OPERATING 4,500
    CHRIST FOR LIFE SK8 CHURCH
    PO BOX 881802
    STEAMBOAT SPRINGS,CO80488
    NONE EXEMPT ORGANIZATION OPERATING 2,500
    CLCP
    4455 N 6TH STREET SUITE 100
    PHILADELPHIA,PA191402319
    NONE PC OPERATING 3,000
    COMMISSION TO EVERY NATION
    PO BOX 291307
    KERRVILLE,TN780291307
    NONE PC OPERATIONS 3,000
    COMPASSION INTERNATIONAL
    PO BOX 65000
    COLORADO SPRINGS,CO809629951
    NONE PC OPERATIONS 1,000
    CONCORDIA LUTHEREN CHURCH
    755 CONCORDIA LANE
    STEAMBOAT SPRINGS,CO80487
    NONE PC OPERATING 2,500
    COVENANT CHURCH
    4000 ROUTE 202
    DOYLESTOWN,PA18901
    NONE PC OPERATING 147,910
    ESPERANZA HEALTH CENTER
    3156 KENSINGTON AVENUE
    PHILADELPHIA,PA191342400
    NONE PC OPERATING 1,350
    FIELDS OF ABUNDANCE MISSION
    PO BOX 98
    PIPERSVILLE,PA18947
    NONE PC OPERATING 3,600
    GOSPEL FRIENDSHIPS INC
    13 E BROAD ST
    HATFIELD,PA19440
    NONE PC OPERATING 1,500
    LAYMEN'S RETREAT
    PO BOX 431384
    PONTIAC,MI483431384
    NONE PC OPERATING 350
    LIBERTI CHURCH
    359 RIGHTER STREET
    CONSHOHOCKEN,PA19428
    NONE PC OPERATIONS 3,000
    NAVIGATORS
    PO BOX 6000
    COLORADO SPRINGS,CO80934
    NONE PC OPERATING 6,500
    OCEAN CITY TABERNACLE
    500 WESLEY AVE
    OCEAN CITY,NJ08226
    NONE PC OPERATING 63,105
    PHILABUNDANCE
    3616 S GALLOWAY STREET
    PHILADELPHIA,PA191485402
    NONE EXEMPT ORGANIZATION OPERATING 1,350
    PHILLIP HAYDEN FOUNDATION
    40335 WINCHESTER RD E-115
    TEMECULA,CA92591
    NONE EXEMPT ORGANIZATION OPERATING 1,350
    SEE JESUSNET
    PO BOX 197
    TELFORD,PA18969
    NONE EXEMPT ORGANIZATION OPERATING 4,000
    WOMEN OF HOPE
    251 LAWRENCE STREET
    PHILADELPHIA,PA19106
    NONE EXEMPT ORGANIZATION OPERATING 350
    WORLD HARVEST
    101 WEST AVE SUITE 505
    JENKINTOWN,PA190462039
    NONE EXEMPT ORGANIZATION OPERATING 3,500
    YES AND
    21 W WASHINGTON LANE
    PHILADELPHIA,PA19144
    NONE PC OPERATIONS 2,500
    YOUNG LIFE
    PO BOX 520
    COLORADO SPRINGS,CO80901
    NONE EXEMPT ORGANIZATION OPERATING 5,000
    Total .................................bullet 3a 268,965
    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 ...........
             
    4 Dividends and interest from securities....     14 73,734  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property
             
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............
        18 68,397  
    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).. 0 142,131 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13142,131
    (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:
    ERIK T HOSTVEDT FOUNDATION
    EIN:
    23-6847270
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 1,900 1,900 0 0

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    ERIK T HOSTVEDT FOUNDATION
    EIN:
    23-6847270
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 551,788 518,012

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    ERIK T HOSTVEDT FOUNDATION
    EIN:
    23-6847270
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK 1,542,943 1,842,641

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    ERIK T HOSTVEDT FOUNDATION
    EIN:
    23-6847270
    US Government Securities - End of Year Book Value:

    19,680
    US Government Securities - End of Year Fair Market Value:

    19,816
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2015 InvestmentsOtherSchedule2
    Name:
    ERIK T HOSTVEDT FOUNDATION
    EIN:
    23-6847270
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS AT COST 397,693 370,558
    CERTIFICATES OF DEPOSIT AT COST 30,000 29,184

    TY 2015 OtherExpensesSchedule
    Name:
    ERIK T HOSTVEDT FOUNDATION
    EIN:
    23-6847270
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISOR FEES 14,526 14,526 0 0


    TY 2015 SubstantialContributorsSch
    Name:
    ERIK T HOSTVEDT FOUNDATION
    EIN:
    23-6847270
    Name Address
    PHILIP KATHERINE MARCHESE 5860 WORTHINGTON ROAD
    DOYLESTOWN,PA18902
    ERIK JILL HOSTVEDT PO BOX 285
    PIPERSVILLE,PA18947


    TY 2015 TaxesSchedule
    Name:
    ERIK T HOSTVEDT FOUNDATION
    EIN:
    23-6847270
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    IRS PAYMENT 3,443 3,443 0 0