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
SLOTNICK FOUNDATION
C/O WELLS FARGO WEALTH MANAGEMENT
Number and street (or P.O. box number if mail is not delivered to street address)1 WEST 4TH ST D4000-041
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WINSTONSALEM, NC271014047
A Employer identification number

59-6883622
B Telephone number (see instructions)

(315) 422-1391
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,565,406
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) 698
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 32,927 32,927  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 57,463
b Gross sales price for all assets on line 6a 345,772
7 Capital gain net income (from Part IV, line 2)... 57,463
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)....... 3,055 3,055  
12 Total. Add lines 1 through 11........ 94,143 93,445  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 13,027 13,027   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 10 10   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 61 61   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 13,098 13,098   0
25 Contributions, gifts, grants paid....... 89,870 89,870
26 Total expenses and disbursements. Add lines 24 and 25 102,968 13,098   89,870
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -8,825
b Net investment income (if negative, enter -0-) 80,347
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............. 9,263 33,263 33,263
2 Savings and temporary cash investments......... 101,456 56,688 56,688
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.......... 1,000 1,000 1,000
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,382,626 Click to see attachment1,393,603 1,474,455
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) 1,494,345 1,484,554 1,565,406
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........ 1,621,125 1,621,125
28 Paid-in or capital surplus, or land, bldg., and equipment fund 748,469 748,469
29 Retained earnings, accumulated income, endowment, or other funds -875,249 -885,040
30 Total net assets or fund balances (see instructions)..... 1,494,345 1,484,554
31 Total liabilities and net assets/fund balances (see instructions). 1,494,345 1,484,554
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,494,345
2
Enter amount from Part I, line 27a .....................
2
-8,825
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,485,520
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
966
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,484,554
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 AMERICAN EXPRESS CO P 2014-10-23 2015-03-26
b HERSHEY CO P 2015-02-06 2015-03-26
c LINEAR TECH CORP P 2015-01-22 2015-03-26
d LINEAR TECH CORP P 2015-02-17 2015-08-25
e RAYMOND JAMES FINL INC P 2015-01-21 2015-09-21
AGL RES INC P 2011-12-20 2015-10-20
ABBOTT LABS P 2013-06-10 2015-06-26
AETNA INC P 2011-11-08 2015-06-26
ALLERGAN INC P 2011-11-10 2015-03-17
ALLERGAN INC P 2011-11-22 2015-03-17
ALPHABET INC P 2015-09-01 2015-10-26
AMERICAN EXPRESS CO P 2014-12-04 2015-03-26
AMERIPRISE FINL INC P 2011-11-08 2015-06-26
APPLE COMPUTER INC P 2011-11-22 2015-01-28
APPLE COMPUTER INC P 2011-03-21 2015-03-26
ASHMORE EMERG MKTS P 2014-03-06 2015-08-27
BANK OF AMERICA CORP P 2013-06-10 2015-06-26
BERKSHIRE HATHAWAY INC P 2011-11-08 2015-06-26
BIOGEN IDEC INC P 2015-03-23 2015-03-26
BRISTOL MYERS SQUIBB CO P 2014-04-01 2015-03-26
BRUNSWICK CORP P 2011-11-22 2015-02-04
CIGNA CORP P 2011-11-08 2015-06-26
CVS/CAREMARK CORP P 2011-11-08 2015-03-26
CAMERON INTL CORP P 2012-04-11 2015-03-26
CAMERON INTL CORP P 2012-01-12 2015-08-26
CELGENE CORP P 2014-07-25 2015-03-26
CELGENE CORP P 2014-07-25 2015-07-17
CELGENE CORP P 2014-07-25 2015-07-24
CELGENE CORP P 2014-07-25 2015-08-20
CHEVRON CORP P 2013-02-15 2015-06-26
CITIGROUP INC P 2013-06-10 2015-06-26
CLOROX CO P 2011-11-08 2015-02-27
CLOROX CO P 2011-11-08 2015-05-06
COCA COLA CO P 2012-01-24 2015-03-26
COCA COLA CO P 2015-09-01 2015-09-21
COGNIZANT TECH SOLUTIONS P 2014-11-06 2015-03-26
COGNIZANT TECH SOLUTIONS P 2014-11-06 2015-04-21
COMCAST CORP P 2014-09-25 2015-03-26
CONOCOPHILLIPS P 2013-06-10 2015-03-13
COSTCO WHOLESALE CORP P 2012-02-29 2015-01-05
COSTCO WHOLESALE CORP P 2012-02-29 2015-02-27
COSTCO WHOLESALE CORP P 2011-11-08 2015-03-26
COSTCO WHOLESALE CORP P 2011-11-08 2015-12-03
DANAHER CORP P 2011-11-08 2015-03-26
DANAHER CORP P 2011-11-08 2015-05-29
WALT DISNEY CO P 2013-02-15 2015-03-26
DODGE & COX INCOME FD P 2015-03-24 2015-06-12
DOW CHEMICAL CO P 2013-06-10 2015-06-26
DRIEHAUS ACTIVE INCOME FD P 2014-05-19 2015-06-12
EMC CORP P 2014-09-25 2015-03-26
EMC CORP P 2014-09-25 2015-10-14
EOG RESOURCES INC P 2015-02-27 2015-03-26
EOG RESOURCES INC P 2015-04-28 2015-09-04
ECOLAB INC P 2012-08-22 2015-03-26
ENERGIZER HOLDINGS INC P 2011-11-08 2015-02-17
EXPRESS SCRIPTS HOLDING CO P 2013-02-20 2015-03-26
EXPRESS SCRIPTS HOLDING CO P 2013-04-25 2015-12-17
FACEBOOK INC P 2015-01-14 2015-03-26
FASTENAL CO P 2013-01-18 2015-02-20
FASTENAL CO P 2013-01-18 2015-03-26
FASTENAL CO P 2013-12-18 2015-04-10
FASTENAL CO P 2013-07-11 2015-04-13
FASTENAL CO P 2014-01-15 2015-04-14
GENERAL ELECTRIC CO P 2013-06-10 2015-06-26
GENERAL MILLS INC P 2013-02-15 2015-06-26
GENESEE & WYOMING INC P 2013-10-17 2015-03-26
GENESEE & WYOMING INC P 2013-10-17 2015-07-07
GILEAD SCIENCES INC P 2011-11-28 2015-03-26
GILEAD SCIENCES INC P 2011-12-06 2015-05-21
GILEAD SCIENCES INC P 2011-12-06 2015-07-30
GOOGLE INC P 2011-11-08 2015-03-24
GOOGLE INC P 2015-03-24 2015-03-26
GOOGLE INC P 2014-12-05 2015-05-06
GOOGLE INC P 2013-02-15 2015-07-20
HARTFORD FINANCIAL SVCS P 2011-11-22 2015-02-06
HONEYWELL INTL INC P 2011-11-08 2015-03-26
HONEYWELL INTL INC P 2011-11-08 2015-06-26
HONEYWELL INTL INC P 2015-09-01 2015-10-07
INTERCONTINENTALEXCHANGE P 2012-12-20 2015-02-20
INTERCONTINENTALEXCHANGE P 2011-11-08 2015-03-26
INTERCONTINENTALEXCHANGE P 2011-11-08 2015-05-15
INTERCONTINENTALEXCHANGE P 2011-11-08 2015-08-24
INTERCONTINENTALEXCHANGE P 2011-11-10 2015-08-25
INTERCONTINENTALEXCHANGE P 2011-11-10 2015-10-27
INTERCONTINENTALEXCHANGE P 2011-11-22 2015-11-05
JP MORGAN CHASE & CO P 2013-06-10 2015-06-26
JP MORGAN STRAT OPP FD P 2014-03-25 2015-06-12
JUNIPER NETWORKS INC P 2014-07-24 2015-03-26
JUNIPER NETWORKS INC P 2012-01-12 2015-05-06
JUNIPER NETWORKS INC P 2012-01-12 2015-05-15
JUNIPER NETWORKS INC P 2013-03-27 2015-07-08
KANSAS CITY SOUTHERN P 2014-05-20 2015-03-26
KANSAS CITY SOUTHERN P 2014-05-20 2015-05-12
KANSAS CITY SOUTHERN P 2014-05-20 2015-08-20
KIMBERLY CLARK CORP P 2011-11-08 2015-06-26
KIMBERLY CLARK CORP P 2011-11-08 2015-09-09
KRAFT HEINZ CO P 2011-11-22 2015-09-09
KRAFT FOODS GROUP P 2011-11-08 2015-07-02
KRAFT FOODS GROUP P 2011-11-22 2015-07-02
KRAFT FOODS GROUP P 2013-06-10 2015-07-02
KRAFT FOODS GROUP P 2015-06-26 2015-07-02
ESTEE LAUDER COS P 2014-05-07 2015-03-26
LINEAR TECH CORP P 2015-02-06 2015-03-26
LINEAR TECH CORP P 2015-05-29 2015-08-25
LINEAR TECH CORP P 2015-02-13 2015-10-14
LOCKHEED MARTIN CORP P 2011-11-08 2015-06-26
LOWES COS INC P 2012-04-25 2015-03-26
MARSH & MCLENNAN COS P 2013-03-19 2015-03-26
MICROSOFT CORP P 2015-02-12 2015-06-26
MONSANTO CO P 2011-11-08 2015-03-26
MONSANTO CO P 2011-11-08 2015-12-11
NIKE INC P 2011-11-08 2015-03-26
NORDSTROM INC P 2013-08-26 2015-03-26
ORACLE CORP P 2013-05-28 2015-03-26
ORACLE CORP P 2013-05-28 2015-06-26
ORACLE CORP P 2013-05-28 2015-07-17
OPPENHEIMER DEV MKTS P 2013-02-14 2015-12-17
PIMCO EMERG MKTS P 2011-11-18 2015-08-27
PNC FINANCIAL SVCS GRP P 2014-12-17 2015-03-26
PANERA BREAD CO P 2013-04-08 2015-03-26
PANERA BREAD CO P 2014-08-05 2015-06-30
PEPSICO INC P 2015-02-11 2015-03-26
PHILIP MORRIS INTL P 2013-02-12 2015-01-14
PHILIP MORRIS INTL P 2013-01-24 2015-02-06
PHILIP MORRIS INTL P 2013-06-25 2015-02-11
PHILIP MORRIS INTL P 2013-06-10 2015-06-26
PHILLIPS 66 P 2011-03-23 2015-06-26
PIMCO COMMODITY REAL RET STRAT P 2011-12-29 2015-12-17
PLUM CREEK TIMBER CO P 2013-06-10 2015-06-26
PRAXAIR INC P 2014-02-07 2015-03-26
PRECISION CASTPARTS CORP P 2014-08-05 2015-01-21
PRECISION CASTPARTS CORP P 2013-02-15 2015-01-30
PRECISION CASTPARTS CORP P 2011-11-22 2015-02-06
T ROWE PRICE GRP P 2011-11-08 2015-01-14
T ROWE PRICE GRP P 2011-11-22 2015-01-22
PRICELINE.COM INC P 2014-08-12 2015-03-26
QUALCOMM INC P 2011-11-08 2015-01-14
QUALCOMM INC P 2011-11-08 2015-01-22
QUALCOMM INC P 2011-11-08 2015-03-26
ROBECO BP LONG/SHORT P 2014-05-19 2015-06-12
RALPH LAUREN CORP P 2014-02-28 2015-03-09
RAYMOND JAMES FINANCIAL P 2015-01-22 2015-03-26
RAYMOND JAMES FINANCIAL P 2015-09-01 2015-09-21
ROSS STORES INC P 2013-02-15 2015-02-27
ROSS STORES INC P 2013-01-18 2015-03-26
SCHLUMBERGER LTD P 2011-11-08 2015-03-26
SCHLUMBERGER LTD P 2013-08-26 2015-06-26
STARBUCKS CORP P 2014-12-23 2015-02-27
STARBUCKS CORP P 2014-02-04 2015-03-26
STARBUCKS CORP P 2012-05-18 2015-04-28
STARBUCKS CORP P 2012-05-18 2015-07-17
STARBUCKS CORP P 2015-09-01 2015-09-21
STARBUCKS CORP P 2015-09-01 2015-10-29
SUNTRUST BANKS INC P 2011-11-29 2015-03-26
TARGET CORP P 2011-11-22 2015-06-26
TEXAS INSTRUMENTS INC P 2011-11-08 2015-03-26
TEXTRON INC P 2011-11-08 2015-02-11
3M CO P 2011-11-08 2015-06-26
TWENTY FIRST CENTURY FOX INC P 2013-12-10 2015-03-26
TWENTY FIRST CENTURY FOX INC P 2014-04-10 2015-11-13
VISA INC P 2014-04-04 2015-03-26
VMWARE INC P 2014-04-25 2015-03-26
VMWARE INC P 2013-05-24 2015-10-21
VMWARE INC P 2013-05-24 2015-11-18
WASTE MGMT INC P 2013-06-10 2015-06-26
WASTE MGMT INC P 2011-11-08 2015-08-05
WHOLE FOODS MKT INC P 2014-02-13 2015-03-26
ACTAVIS PLC P 2015-03-18 2015-03-25
ACTAVIS PLC P 2015-03-18 2015-04-28
EATON CORP P 2013-10-31 2015-03-26
EATON CORP P 2013-06-10 2015-06-26
EATON CORP P 2013-10-31 2015-08-05
EATON CORP P 2013-01-03 2015-09-17
MICHAEL KORS HOLDINGS P 2014-03-31 2015-03-26
MICHAEL KORS HOLDINGS P 2014-11-06 2015-05-27
MICHAEL KORS HOLDINGS P 2013-08-14 2015-05-29
PERRIGO CO PLC P 2013-12-18 2015-03-26
PERRIGO CO PLC P 2013-12-18 2015-04-09
PERRIGO CO PLC P 2013-12-18 2015-04-21
PERRIGO CO PLC P 2013-12-18 2015-08-14
CORE LABS NV P 2014-08-05 2015-03-26
CORE LABS NV P 2014-12-04 2015-07-20
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 394   408 -14
b 710   724 -14
c 452   459 -7
d 308   329 -21
e 250   256 -6
2,172   1,491 681
99   75 24
5,051   1,557 3,494
241   83 158
1,691   566 1,125
712   607 105
1,025   1,142 -117
1,155   428 727
351   150 201
2,241   871 1,370
21,233   25,000 -3,767
261   180 81
2,096   1,156 940
425   472 -47
1,361   1,132 229
4,835   1,478 3,357
8,609   2,192 6,417
1,741   651 1,090
579   678 -99
660   555 105
1,404   1,120 284
671   436 235
1,080   697 383
1,141   777 364
2,255   2,619 -364
169   155 14
2,722   1,645 1,077
2,014   1,232 782
1,290   1,087 203
510   506 4
808   686 122
369   314 55
1,228   1,187 41
1,832   1,825 7
420   259 161
585   337 248
901   502 399
655   446 209
929   539 390
344   196 148
1,159   586 573
16,000   16,292 -292
2,316   1,248 1,068
10,000   10,285 -285
747   840 -93
901   954 -53
271   270 1
1,071   1,261 -190
683   397 286
5,063   2,855 2,208
1,164   812 352
953   761 192
664   611 53
469   533 -64
623   721 -98
160   188 -28
361   414 -53
539   593 -54
893   789 104
1,476   1,127 349
293   285 8
296   380 -84
2,210   902 1,308
1,551   280 1,271
942   160 782
2,894   1,516 1,378
2,782   2,859 -77
12   12 0
662   525 137
2,023   849 1,174
1,225   646 579
3,623   1,992 1,631
693   593 100
469   258 211
1,154   631 523
237   126 111
676   376 300
449   250 199
768   467 301
521   230 291
691   543 148
15,000   15,294 -294
558   541 17
239   193 46
273   213 60
718   534 184
722   797 -75
594   628 -34
479   523 -44
1,624   1,012 612
3,120   2,013 1,107
1,746   1,043 703
661   458 203
246   169 77
353   271 82
178   175 3
578   517 61
181   186 -5
193   240 -47
1,299   1,390 -91
189   78 111
1,677   712 965
725   481 244
273   258 15
1,902   1,254 648
655   653 2
498   235 263
790   576 214
903   724 179
534   448 86
1,008   862 146
35,000   40,748 -5,748
15,212   17,613 -2,401
742   710 32
472   536 -64
1,049   953 96
477   503 -26
828   901 -73
1,135   1,259 -124
1,238   1,319 -81
244   275 -31
945   728 217
10,534   20,822 -10,288
288   334 -46
602   635 -33
416   415 1
403   352 51
1,431   1,153 278
729   480 249
746   461 285
1,141   1,294 -153
1,001   793 208
428   340 88
604   510 94
15,000   13,933 1,067
1,724   2,135 -411
959   939 20
200   206 -6
527   293 234
416   232 184
915   804 111
173   164 9
655   572 83
1,324   898 426
253   131 122
556   262 294
287   271 16
559   278 281
408   169 239
2,527   1,722 805
839   465 374
5,518   2,352 3,166
3,784   1,938 1,846
885   861 24
1,785   1,870 -85
2,106   1,648 458
742   736 6
327   457 -130
629   794 -165
47   41 6
5,809   3,699 2,110
829   826 3
288   288 0
574   610 -36
533   545 -12
1,163   1,097 66
239   268 -29
447   536 -89
807   998 -191
95   145 -50
642   1,009 -367
1,146   1,087 59
392   311 81
194   155 39
573   466 107
526   788 -262
829   1,076 -247
24,297     24,297
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       -14
b       -14
c       -7
d       -21
e       -6
      681
      24
      3,494
      158
      1,125
      105
      -117
      727
      201
      1,370
      -3,767
      81
      940
      -47
      229
      3,357
      6,417
      1,090
      -99
      105
      284
      235
      383
      364
      -364
      14
      1,077
      782
      203
      4
      122
      55
      41
      7
      161
      248
      399
      209
      390
      148
      573
      -292
      1,068
      -285
      -93
      -53
      1
      -190
      286
      2,208
      352
      192
      53
      -64
      -98
      -28
      -53
      -54
      104
      349
      8
      -84
      1,308
      1,271
      782
      1,378
      -77
      0
      137
      1,174
      579
      1,631
      100
      211
      523
      111
      300
      199
      301
      291
      148
      -294
      17
      46
      60
      184
      -75
      -34
      -44
      612
      1,107
      703
      203
      77
      82
      3
      61
      -5
      -47
      -91
      111
      965
      244
      15
      648
      2
      263
      214
      179
      86
      146
      -5,748
      -2,401
      32
      -64
      96
      -26
      -73
      -124
      -81
      -31
      217
      -10,288
      -46
      -33
      1
      51
      278
      249
      285
      -153
      208
      88
      94
      1,067
      -411
      20
      -6
      234
      184
      111
      9
      83
      426
      122
      294
      16
      281
      239
      805
      374
      3,166
      1,846
      24
      -85
      458
      6
      -130
      -165
      6
      2,110
      3
      0
      -36
      -12
      66
      -29
      -89
      -191
      -50
      -367
      59
      81
      39
      107
      -262
      -247
      24,297
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 57,463
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 74,559 1,669,094 0.044670
2013 46,028 1,583,971 0.029059
2012 25,400 1,431,152 0.017748
2011 19,830 1,457,077 0.013609
2010 25,530 1,440,924 0.017718
2
Total of line 1, column (d) .....................
20.122804
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
0.024561
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,528,174
5
Multiply line 4 by line 3......................
5
37,533
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
803
7
Add lines 5 and 6........................
7
38,336
8
Enter qualifying distributions from Part XII, line 4.............
8
89,870
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 1 803
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........................... 3 803
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- ..... 5 803
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,000
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 1,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 197
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet197 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletFL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletGROSSMAN ST AMOUR CPAS PLLC Telephone no.bullet (315) 422-1391

    Located atbullet110 WEST FAYETTE STSYRACUSENY ZIP+4bullet13202
    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
    DAVID A HOLSTEIN TRUSTEE
    0.50
    4,303 0 0
    110 WEST FAYETTE ST-8TH FLOOR
    SYRACUSE,NY13202
    DAVID M SLOTNICK TRUSTEE
    1.00
    0 0 0
    2345 RIDGE TREE COURT
    ELLICOTT CITY,MD21042
    CAROL Z SLOTNICK TRUSTEE
    1.00
    0 0 0
    2345 RIDGE TREE COURT
    ELLICOTT CITY,MD21042
    WELLS FARGO WEALTH MANAGEMENT TRUSTEE
    0.50
    13,594 0 0
    1 WEST 4TH ST
    WINSTONSALEM,NC27101
    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
    1,529,183
    b
    Average of monthly cash balances.......................
    1b
    21,263
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,000
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,551,446
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,551,446
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    23,272
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,528,174
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    76,409
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    76,409
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    803
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    803
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    75,606
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    75,606
    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
    75,606
    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
    89,870
    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
    89,870
    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
    803
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    89,067
    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 75,606
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 82,489
    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$ 89,870
    a Applied to 2014, but not more than line 2a 82,489
    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..... 7,381
    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 ..........
    68,225
    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 e-mail address of the person to whom applications should be addressed:
    DAVID HOLSTEIN
    110 WEST FAYETTE ST-SUITE 900
    SYRACUSE,NY13202
    (315) 422-1391
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER OF APPLICATION
    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
    AMERICAN UNIVERSITY
    4400 MASSACHUSETTS AVE NW
    WASHINGTON,DC200168060
    NONE N/A GENERAL 3,000
    BALTIMORE HEBREW CONGREGATION
    7401 PARK HEIGHTS AVENUE
    BALTIMORE,MD212085490
    NONE N/A GENERAL 5,000
    BINGHAMTON UNIVERSITY FOUNDATION
    PO BOX 6005
    BINGHAMTON,NY139026005
    NONE N/A GENERAL 1,000
    BRONX HIGH SCHOOL ALUMNI ASSOCIATION
    75 WEST 205TH STREET
    BRONX,NY10468
    NONE N/A GENERAL 1,000
    CROHN'S & COLITIS FOUNDATION
    386 PARK AVENUE SOUTH-17TH FL
    NYC,NY10016
    NONE N/A GENERAL 2,000
    GARRISON FOREST SCHOOL
    300 GARRISON FOREST ROAD
    OWINGS MILLS,MD21117
    NONE N/A GENERAL 12,000
    JOHNS HOPKINS UNIVERSITY
    3400 NORTH CHARLES STREET
    BALTIMORE,MD21218
    NONE N/A GENERAL 1,000
    MEALS ON WHEELS OF CENTRAL MARYLAND
    515 SOUTH HAVEN STREET
    BALTIMORE,MD21224
    NONE N/A GENERAL 1,000
    MERCY WORKS
    20131 FM 16W
    LINDALE,TX75771
    NONE N/A GENERAL 3,000
    MT WASH PEDIATRIC HOSP
    1708 WEST ROGERS AVENUE
    BALTIMORE,MD212094596
    NONE N/A GENERAL 3,000
    SYRACUSE UNIVERSITY
    MAIN CAMPUS
    SYRACUSE,NY13244
    NONE N/A GENERAL 50,000
    TEMPLE ADATH YESHURUN
    450 KIMBER ROAD
    SYRACUSE,NY13224
    NONE N/A GENERAL 3,000
    DAVID HOLSTEIN ESQ
    110 WEST FAYETTE ST-8TH FLOOR
    SYRACUSE,NY13202
    TRUSTEE N/A QUALIFYING EXPENSE 2,151
    WELLS FARGO WEALTH MGMT
    1 WEST 4RTH ST
    WINSTONSALEM,NC27101
    TRUSTEE N/A QUALIFYING EXPENSE 2,719
    Total .................................bullet 3a 89,870
    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 32,927  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property
             
    7 Other investment income.....     14 3,055  
    8
    Gain or (loss) from sales of assets other than inventory ............
        18 57,463  
    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 93,445 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    1393,445
    (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 InvestmentsCorpStockSchedule
    Name:
    SLOTNICK FOUNDATION
     
    C/O WELLS FARGO WEALTH MANAGEMENT
    EIN:
    59-6883622
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABS 2,833 4,087
    AETNA INC 1,266 3,460
    AGL RES INC 1,343 2,106
    ALTRIA GROUP INC 2,740 5,064
    AMERICAN EXPRESS CO 7,057 9,181
    AMERIPRISE FINANCIAL INC 1,508 3,512
    APPLE INC 23,092 22,736
    BANK OF AMERICA CORP 3,860 4,982
    BERKSHIRE HATHAWAY INC 2,350 4,093
    CAMERON INTL CORP 771 948
    CATERPILLAR INC 5,497 4,146
    CHEVRON CORP 3,316 2,879
    CIGNA CORP 1,723 3,219
    CITIGROUP INC 4,292 4,658
    COCA COLA CO 2,041 2,578
    COMCAST CORP 1,809 2,652
    CONOCOPHILLIPS 2,015 1,587
    COSTCO WHOLESALE CORP 745 1,454
    CVS HEALTH CORP 6,713 8,115
    DANAHER CORP 1,016 1,765
    DOW CHEMICAL CO 1,053 2,059
    DUKE ENERGY HOLDING CORP 2,915 3,212
    EATON CORP 4,697 4,840
    ECOLAB INC 2,438 2,974
    EMERSON ELECTRIC CO 5,080 4,496
    GENERAL ELECTRIC CO 3,941 7,351
    GENERAL MILLS INC 2,929 4,325
    GILEAD SCIENCES INC 763 2,226
    HONEYWELL INTL INC 3,113 6,111
    JP MORGAN CHASE & CO 2,268 4,094
    LOCKHEED MARTIN CORP 2,618 7,383
    LOWES COS INC 1,728 3,954
    MICROSOFT CORP 18,759 22,358
    MONDELEZ INTL INC 3,120 4,663
    MONSANTO CO 2,163 2,956
    NIKE INC 634 1,375
    NORFOLK SOUTHERN CORP 1,793 2,030
    PERRIGO CO 3,056 2,894
    PHILIP MORRIS INTL 4,883 5,714
    PHILLIPS 66 959 2,209
    PLUM CREEK TIMBER CO 3,019 3,722
    PNC FINANCIAL SERVICES GROUP 6,196 6,233
    PRICELINE.COM INC 1,714 2,550
    PUBLIC SVC ENTERPRISE GRP 2,777 3,173
    QUALCOMM INC 5,524 4,199
    ROYAL DUTCH SHELL PLC 6,916 4,945
    SCHLUMBERGER LTD 3,889 3,557
    SPECTRA ENERGY CORP 2,890 2,346
    STARBUCKS CORP 709 1,801
    SUNTRUST BANKS INC 703 1,499
    TARGET CORP 3,309 4,574
    TEXAS INSTRUMENTS INC 1,686 2,466
    3M CO 4,685 6,628
    ARTISIAN INTL SMALL CAP FD 32,499 35,984
    ARTISIAN MID CAP VALUE FD 19,291 18,040
    DODGE & COX INCOME FD 114,708 112,094
    DRIEHAUS ACTIVE INCOME FD 40,715 38,711
    EATON VANCE FLOATING RATE FD 35,320 33,142
    EATON VANCE GLOBAL MACRO 25,055 23,657
    KALMAR GR W/VAL SMALL CAP FD 32,000 24,519
    OAKMARK INTL FD 108,216 106,839
    OPPENHEIMER DEVELOPING MKT 46,405 44,398
    TEMPLETON GLOBAL BOND FD 55,097 48,346
    VANGUARD INTL GROWTH FD 86,303 90,621
    VANGUARD REIT VIPER 33,514 47,120
    VANGUARD SHORT TERM-INVEST GRADE 85,165 84,062
    NORSTROM INC 1,019 847
    ROSS STORES INC 1,534 2,152
    WALT DISNEY CO 1,401 2,417
    MARSH & MCLENNAN COS 1,346 1,830
    ABBVIE INC 2,295 3,614
    BRISTOL MYERS SQUIBB CO 2,429 3,233
    EXPRESS SCRIPTS HOLDING CO 1,204 1,836
    ORACLE CORP 3,387 2,849
    VISA INC 3,173 4,886
    EDGEWOOD GROWTH INSTL 109,566 156,319
    ISHARES CORE S&P MID CAP ETF 57,461 67,709
    ISHARES S&P MID CAP 400 24,999 31,065
    TOUCHSTONE SMALL CAP CORE 40,000 33,161
    TEMPLETON FRONTIER MARKETS 25,000 14,911
    E-TRACS ALERIAN MLP 48,943 34,557
    ESTEE LAUDER COS 1,407 1,585
    PEPSICO INC 6,098 6,495
    WHOLE FOODS MKT INC 2,314 1,909
    RAYMOND JAMES FINANCIAL 1,427 1,681
    COGNIZANT TECH SOLUTIONS 1,085 1,200
    EMC CORP 1,679 1,618
    PRAXAIR INC 885 717
    BOSTON PARTNERS LONG/SHORT RESEARCH FUND 38,067 38,795
    STRATEGIC INCOME OPPORTUNITIES 36,706 34,086
    VOYA INTL REAL ESTATE 12,694 13,736
    DOLLAR GENERAL CORP 1,246 1,294
    HARLEY DAVIDSON INC 2,123 1,679
    HERSHEY CO 2,518 2,321
    NATIONAL OILWELL VARCO INC 5,280 3,650
    METLIFE INC 4,432 3,905
    AMGEN INC 4,225 4,383
    BIOGEN INC 3,443 3,064
    CERNER CORP 1,606 1,504
    MERCK & CO 4,347 3,909
    THERMO FISHER SCIENTIFIC INC 2,689 2,979
    IDEX CORP 2,525 2,528
    PARKER HANNIFIN CORP 2,088 1,940
    ALPHABET INC 2,846 6,071
    AMPHENOL CORP 2,841 2,768
    FACEBOOK INC 1,497 1,989
    INTEL CORP 4,299 4,582
    MASTERCARD INC 1,223 1,266
    ACCENTURE PLC 5,586 6,165
    ACE LTD 5,743 6,076
    CHECK POINT SOFTWARE TECH 1,883 1,953
    NOVARTIS AG ADR 1,842 1,549

    TY 2015 OtherDecreasesSchedule
    Name:
    SLOTNICK FOUNDATION
     
    C/O WELLS FARGO WEALTH MANAGEMENT
    EIN:
    59-6883622
    Description Amount
    FEDERAL TAX 966


    TY 2015 OtherIncomeSchedule2
    Name:
    SLOTNICK FOUNDATION
     
    C/O WELLS FARGO WEALTH MANAGEMENT
    EIN:
    59-6883622
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    E-TRACS ALERIAN MLP INFRASTRUCTURE 2,539 2,539 2,539
    MISCELLANEOUS 516 516 516


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    SLOTNICK FOUNDATION
     
    C/O WELLS FARGO WEALTH MANAGEMENT
    EIN:
    59-6883622
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSE 10 10   0


    TY 2015 TaxesSchedule
    Name:
    SLOTNICK FOUNDATION
     
    C/O WELLS FARGO WEALTH MANAGEMENT
    EIN:
    59-6883622
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN 61 61   0