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
NORTH STATE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)2700 CAMBRIDGE ROAD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RALEIGH, NC27608
A Employer identification number

26-1986674
B Telephone number (see instructions)

(919) 414-2515
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$693,867J 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) 199,054
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 14,279 14,279  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 213,315
b Gross sales price for all assets on line 6a 552,231
7 Capital gain net income (from Part IV, line 2)... 213,315
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........ 426,648 227,594  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 825 413   412
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 3,354 122   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 4,339 4,339   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 8,518 4,874   412
25 Contributions, gifts, grants paid....... 7,000 7,000
26 Total expenses and disbursements. Add lines 24 and 25 15,518 4,874   7,412
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 411,130
b Net investment income (if negative, enter -0-) 222,720
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............. 5,045 5,953 5,953
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 448,728 Click to see attachment666,496 687,914
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
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) 453,773 672,449 693,867
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 453,773 672,449
30 Total net assets or fund balances (see instructions)..... 453,773 672,449
31 Total liabilities and net assets/fund balances (see instructions). 453,773 672,449
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
453,773
2
Enter amount from Part I, line 27a .....................
2
411,130
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
864,903
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
192,454
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
672,449
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 238 SHS ALLSTATE CORP P 2015-01-01 2015-08-05
b 205 SHS AMERICAN INTERNATIONAL GROUP P 2015-01-01 2015-07-06
c 197 SHS CAMERON INTERNATION CORP P 2015-01-01 2015-09-03
d 6 SHS CF INDUSTRIES HOLDINGS INC P 2015-03-04 2015-06-03
e 196 SHS CF INDUSTRIES HOLDINGS INC P 2015-01-01 2015-08-05
60 SHS CHUBB CORP P 2015-01-01 2015-01-07
67 SHS CVS CORP P 2015-01-01 2015-11-04
317 SHS EMC CORP P 2015-01-01 2015-06-03
29 SHS ELI LILLY & CO P 2014-12-18 2015-02-04
12 SHS ELI LILLY & CO P 2014-02-10 2015-02-06
60 SHS FEDEX CORP P 2015-02-04 2015-07-06
38 SHS FOOT LOCKER INC P 2015-01-01 2015-07-06
23 SHS GENERAL DYANMICS CORP P 2015-07-10 2015-10-05
60 SHS HARTFORD FINL SVCS GROUP INC P 2015-07-06 2015-11-04
131 SHS HESS CORP P 2015-01-01 2015-01-07
55 SHS HEWLETT PACKARD CO P 2014-12-18 2015-02-04
379 SHS HEWLETT PACKARD CO P 2015-01-01 2015-09-03
149 SHS INTEL CORP P 2015-01-01 2015-01-07
71 SHS INTEL CORP P 2014-11-06 2015-02-04
321 SHS INTERNATIONAL PAPER CO P 2015-01-01 2015-12-03
235 SHS KOHLS CORP P 2015-08-05 2015-10-05
16 SHS KROGER CO P 2015-07-10 2015-09-03
98 SHS MACYS INC P 2015-01-01 2015-08-05
44 SHS MEDTRONIC INC P 2014-02-10 2015-01-27
33 SHS MEDTRONIC INC P 2014-12-18 2015-01-27
166 SHS MEDTRONIC INC P 2015-01-27 2015-02-04
35 SHS MICROSOFT CORP P 2014-12-18 2015-04-06
120 SHS PHILIP MORRIS INTERNATIONAL P 2015-01-01 2015-04-06
200 SHS PPG INDUSTRIES INC P 2015-11-23 2015-11-25
45 SHS SUNCOR ENERGY P 2014-12-18 2015-03-04
89 SHS TIME WARNER INC P 2015-01-01 2015-02-04
87 SHS VALERO ENERGY CORP P 2015-01-01 2015-12-03
96 SHS WESTERN UNION COMPANY P 2014-12-04 2015-06-03
433 SHS WESTERN UNION COMPANY P 2015-01-01 2015-07-06
24 SHS WYNDHAM WORLDWIDE CORP P 2014-12-18 2015-05-08
18 SHS AETNA INC P 2013-11-22 2015-03-04
32 SHS AETNA INC P 2013-11-22 2015-05-08
34 SHS AETNA INC P 2014-01-01 2015-07-06
32 SHS CARDINAL HEALTH INC P 2014-02-10 2015-05-08
32 SHS CHEVRONTEXACO CORP P 2013-11-22 2015-08-05
71 SHS CHUBB CORP P 2014-01-01 2015-01-07
74 SHS CISCO SYSTEM INC P 2013-11-22 2015-02-04
28 SHS CVS CORP P 2013-11-22 2015-03-04
24 SHS CVS CORP P 2013-11-22 2015-08-05
60 SHS CVS CORP P 2014-01-01 2015-11-04
23 SHS DR PEPPER SNAPPLE GROUP INC P 2014-02-10 2015-03-04
57 SHS DR PEPPER SNAPPLE GROUP INC. P 2014-02-10 2015-09-03
29 SHS ELI LILLY & CO P 2014-01-01 2015-01-07
57 SHS ELI LILLY & CO P 2013-11-21 2015-02-04
20 SHS ELI LILLY & CO P 2014-02-05 2015-02-06
30 SHS EXXON MOBIL CORP P 2014-01-01 2015-11-04
41 SHS FOOT LOCKER INC P 2014-07-07 2015-10-05
16 SHS GOLDMAN SACHS GROUP INC P 2014-01-01 2015-10-05
19 SHS ISHARES S&P 500 VALUE P 2013-11-22 2015-01-07
42 SHS ISHARES S&P 500 VALUE P 2013-11-22 2015-08-05
55 SHS ISHARES S&P 500 VALUE P 2014-01-01 2015-10-05
49 SHS KROGER CO P 2014-01-01 2015-02-04
80 SHS KROGER CO P 2013-11-22 2015-08-05
106 SHS KROGER CO P 2014-01-01 2015-09-03
38 SHS LEAR CORPORATION P 2014-01-01 2015-05-08
25 SHS LEAR CORPORATION P 2013-11-22 2015-12-03
14 SHS LOCKHEED MARTIN CORP P 2014-02-10 2015-04-06
145 SHS MACYS INC P 2014-01-01 2015-08-05
82 SHS MEDTRONIC INC P 2013-11-22 2015-01-27
7 SHS MEDTRONIC INC P 2013-12-20 2015-01-27
141 SHS MICROSOFT CORP P 2014-01-01 2015-04-06
91 SHS PUBLIC SERVICE ENTERPRISE P 2014-01-01 2015-10-05
94 SHS PUBLIC SERVICE ENTERPRISE P 2014-02-05 2015-11-04
185 SHS SUNCOR ENERGY INC P 2014-01-01 2015-03-04
4000 SHS TEXTRON INC P 2014-01-01 2015-07-06
34 SHS TIME WARNER P 2014-01-01 2015-01-07
38 SHS TIME WARNER P 2013-11-22 2015-02-04
53 SHS WELLS FARGO P 2014-01-01 2015-10-05
97 SHS WYNDHAM WORLDWIDE P 2014-01-01 2015-05-08
(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 14,864   16,399 -1,535
b 12,663   11,341 1,322
c 13,046   10,380 2,666
d 1,924   1,835 89
e 12,087   12,012 75
6,112   5,543 569
6,602   6,853 -251
8,541   9,160 -619
2,033   2,079 -46
851   643 208
10,112   10,352 -240
2,578   2,170 408
3,296   3,375 -79
2,787   2,642 145
9,075   11,642 -2,567
2,090   2,177 -87
10,668   13,374 -2,706
5,357   5,490 -133
2,377   2,403 -26
12,664   16,741 -4,077
10,929   14,386 -3,457
553   612 -59
6,749   6,436 313
3,305   2,450 855
2,479   2,438 41
12,355   12,469 -114
1,420   1,654 -234
9,360   10,079 -719
21,290   4,200 17,090
1,353   1,386 -33
7,123   6,443 680
6,108   5,745 363
2,131   1,776 355
8,180   7,924 256
2,070   2,013 57
1,817   1,212 605
3,478   2,155 1,323
3,977   2,276 1,701
2,759   2,121 638
2,691   2,691 0
7,232   6,841 391
1,979   1,590 389
2,887   1,864 1,023
2,667   1,598 1,069
5,912   3,994 1,918
1,790   1,120 670
4,394   2,767 1,627
2,007   1,282 725
3,996   2,059 1,937
1,419   1,058 361
2,583   2,918 -335
2,941   2,110 831
2,873   2,637 236
1,742   1,602 140
3,877   3,541 336
4,771   4,635 136
3,495   2,090 1,405
3,124   1,690 1,434
3,665   2,206 1,459
4,268   3,086 1,182
3,090   2,026 1,064
2,803   2,157 646
9,985   7,492 2,493
6,159   4,722 1,437
526   399 127
5,720   5,240 480
3,882   3,043 839
3,843   3,108 735
5,562   6,475 -913
176,184   2,400 173,784
2,822   2,194 628
3,041   2,442 599
2,772   2,600 172
8,366   6,853 1,513
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       -1,535
b       1,322
c       2,666
d       89
e       75
      569
      -251
      -619
      -46
      208
      -240
      408
      -79
      145
      -2,567
      -87
      -2,706
      -133
      -26
      -4,077
      -3,457
      -59
      313
      855
      41
      -114
      -234
      -719
      17,090
      -33
      680
      363
      355
      256
      57
      605
      1,323
      1,701
      638
      0
      391
      389
      1,023
      1,069
      1,918
      670
      1,627
      725
      1,937
      361
      -335
      831
      236
      140
      336
      136
      1,405
      1,434
      1,459
      1,182
      1,064
      646
      2,493
      1,437
      127
      480
      839
      735
      -913
      173,784
      628
      599
      172
      1,513
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 2 213,315
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 10,900 380,801 0.028624
2013 7,900 244,313 0.032336
2012 9,000 229,977 0.039134
2011 9,900 211,585 0.046790
2010 16,348 184,942 0.088395
2
Total of line 1, column (d) .....................
20.235279
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
0.047056
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
572,067
5
Multiply line 4 by line 3......................
5
26,919
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
2,227
7
Add lines 5 and 6........................
7
29,146
8
Enter qualifying distributions from Part XII, line 4.............
8
7,412
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 4,454
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 4,454
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 4,454
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,880
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 1,880
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 2,574
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNC
    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. 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 ofbulletOLIVIA B HOLDING Telephone no.bullet (919) 414-2515

    Located atbullet2700 CAMBRIDGE ROADRALEIGHNC ZIP+4bullet27608
    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
    OLIVIA B HOLDING PRESIDENT
    0.50     		0 0 0
    2700 CAMBRIDGE ROAD
    RALEIGH,NC27608
    CARSON H BRICE SECRETARY
    0.50     		0 0 0
    2116 WHITE OAK ROAD
    RALEIGH,NC27608
    HOPE H CONNELL TREASURER
    0.50     		0 0 0
    1723 CANTERBURY ROAD
    RALEIGH,NC27608
    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
    574,566
    b
    Average of monthly cash balances.......................
    1b
    6,213
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    580,779
    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
    580,779
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    8,712
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    572,067
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    28,603
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    28,603
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    4,454
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,454
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    24,149
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    24,149
    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
    24,149
    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
    7,412
    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
    7,412
    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
    7,412
    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 24,149
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 6,792
    b Total for prior years:20, 20, 20 0
    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........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 7,412
    a Applied to 2014, but not more than line 2a 6,792
    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..... 620
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........     		23,529
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		0
    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
     
    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
    FRED OLDS ELEMENTARY SCHOOL PTA
    204 DIXIE TRAIL
    RALEIGH,NC27607     		NONE PC GENERAL SUPPORT 500
    UNITED CHURCH OF CHAPEL HILL
    1321 MARTIN LUTHER KING JR BLVD
    CHAPEL HILL,NC27514     		NONE PC MAINTENANCE OF FACILITIES AND RELIGIOUS ACTIVITIES 5,500
    PARTNERSHIP ELEMENTARY
    601 DEVEREUX ST
    RALEIGH,NC276051638     		NONE PC GENERAL SUPPORT 500
    UNDERWOOD GT MAGNET ELEMENTARY SCHOOL FOUNDATION
    1614 GLENWOOD AVENUE
    RALEIGH,NC27608     		NONE PC GENERAL SUPPORT 500
    Total .................................bullet 3a 7,000
    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 14,279  
    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 ............     		    18 213,315  
    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).. 0 227,594 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13227,594
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    NORTH STATE FOUNDATION
     
    Employer identification number

    26-1986674
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    NORTH STATE FOUNDATION
          		Employer identification number
    26-1986674
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    OLIVIA HOLDING  
    2700 CAMBRIDGE ROAD
     
    RALEIGH, NC27608

    		$ 21,094


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    FRANK B HOLDING REVOCABLE TRUST
     

       
    PO BOX 1417
     
    SMITHFIELD, NC27577

    		$ 177,960


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    NORTH STATE FOUNDATION
          		Employer identification number

    26-1986674
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 200 SHS PPG INDUSTRIES, INC. STOCK $ 21,094 2015-11-23
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    2
    		 4000 SHS TEXTRON STOCK $ 177,960 2015-07-02
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    NORTH STATE FOUNDATION
          		Employer identification number

    26-1986674
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    NORTH STATE FOUNDATION
    EIN:
    26-1986674
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 825 413   412

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    NORTH STATE FOUNDATION
    EIN:
    26-1986674
    Name of Stock End of Year Book Value End of Year Fair Market Value
    VANGUARD PRIME MONEY MKT 3,778 3,778
    VANGUARD PRIME MONEY MKT 3,150 3,150
    111 SHS PNC FINANCIAL SERVICES GROUP 9,405 10,579
    231 SHS EXXON MOBIL CORP 20,440 18,006
    105 SHS JOHNSON & JOHNSON 10,153 10,786
    224 SH FOOT LOCKER INC 13,159 14,580
    785 SHS CISCO SYSTEM INC 20,230 21,317
    301 SHS MARATHON PETROLEUM CORP 13,325 15,604
    148 SH DR PEPPER SNAPPLE GROUP INC 9,647 13,794
    114 SHS CHEVRON CORPORATION 13,401 10,255
    525 SHS GENERAL ELECTRIC CORP 13,795 16,354
    244 SH LINCOLN NATIONAL CORPORATION 13,841 12,263
    278 SHS KROGER CORP 7,726 11,629
    240 SHS ROYAL DUTCH SHELL 15,530 10,990
    194 SHS CAPITAL ONE FINANCIAL CORP 14,748 14,003
    75 SHS LOCKHEED MARTIN CORP 12,374 16,286
    249 SH PUBLIS SERVICE ENTERPRISE 9,740 9,634
    100 SHS AETNA INC 8,747 10,812
    111 SHS LEAR CORPORATION 10,351 13,634
    184 SHS CARDINAL HEALTH INC 13,576 16,426
    85 SH GOLDMAN SACHS GROUP 15,382 15,320
    872 SHS PFIZER INC 28,534 28,148
    357 SHS WELLS FARGO 17,822 19,407
    651 SHS AT&T 22,468 22,401
    1361 SH BANK OF AMERICA CORP 23,279 22,906
    353 SH INTEL CORPORATION 9,940 12,161
    494 SHS JP MORGAN CHASE & CO 30,213 32,619
    381 SHS ISHARES S&P 500 VALUE 34,778 33,730
    195 SHS LYONDELLBASELL INDUSTRIES 17,902 16,946
    91 SHS ANTHEM INC 14,693 12,689
    81 SHS BOEING COMPANY 10,630 11,712
    196 SHS CARNIVAL CORP 9,819 10,678
    113 SHS COSTCO 16,852 18,250
    187 SHS DEVON ENERGY CORP 8,765 5,984
    102 SHS GENERAL DYNAMICS CORP 13,928 14,011
    257 SHS HARTFORD FINL SVCS GROUP INC 11,322 11,169
    53 SHS IBM CORP 8,755 7,294
    863 SHS KEYCORP OHIO 11,271 11,383
    72 SHS MCKESSON CORP 13,106 14,201
    286 SHS NISOURCE INC 5,457 5,580
    217 SHS OMNICOM GROUP INC 16,065 16,418
    317 SUNTRUST BANKS 13,816 13,580
    178 SHS TARGET CORP 14,484 12,925
    152 SHS TRAVELERS COMPANIES INC 16,000 17,155
    152 SHS UNITED CONTINENTAL HOLDINGS 8,069 8,710
    66 SHS UNITEDHEALTH GROUP INC 7,850 7,764
    231 SHS VALERO ENERGY CORP 13,760 16,334
    315 SHS VERIZON COMMUNICATIONS 14,420 14,559

    TY 2015 OtherDecreasesSchedule
    Name:
    NORTH STATE FOUNDATION
    EIN:
    26-1986674
    Description Amount
    ADJUSTMENT FOR CONTRIBUTED STOCK 192,454


    TY 2015 OtherExpensesSchedule
    Name:
    NORTH STATE FOUNDATION
    EIN:
    26-1986674
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ANNUAL INVESTMENT FEE 4,324 4,324   0
    BANK FEES 15 15   0


    TY 2015 SubstantialContributorsSch
    Name:
    NORTH STATE FOUNDATION
    EIN:
    26-1986674
    Name Address
    FRANK B HOLDING REVOCABLE TRUST
          		PO BOX 1417
    SMITHFIELD,NC27577


    TY 2015 TaxesSchedule
    Name:
    NORTH STATE FOUNDATION
    EIN:
    26-1986674
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAXES 3,232 0   0
    FOREIGN TAX 122 122   0