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 05-01-2015 , and ending 04-30-2016
Name of foundation
Jerome Foundation Inc
 
Number and street (or P.O. box number if mail is not delivered to street address)400 Sibley Street No 125
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Saint Paul, MN55101
A Employer identification number

41-6035163
B Telephone number (see instructions)

(651) 224-9431
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$92,371,707
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) 15,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 2,022,826 2,022,826  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 775,813
b Gross sales price for all assets on line 6a 5,454,883
7 Capital gain net income (from Part IV, line 2)... 775,813
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........ 2,813,639 2,798,639  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 414,940 41,494   373,446
14 Other employee salaries and wages...... 371,395 7,550   363,845
15 Pension plans, employee benefits....... 113,336 5,406   107,931
16a Legal fees (attach schedule)......... 11,972 0   10,903
b Accounting fees (attach schedule)....... 18,735 7,494   11,241
c Other professional fees (attach schedule).... 208,521 177,475   62,267
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 76,704 3,811   47,274
19 Depreciation (attach schedule) and depletion... 2,887 0  
20 Occupancy.............. 68,754 3,438   65,317
21 Travel, conferences, and meetings....... 111,131 0   113,673
22 Printing and publications.......... 5,216 0   5,216
23 Other expenses (attach schedule)....... 70,044 3,488   62,023
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,473,635 250,156   1,223,136
25 Contributions, gifts, grants paid....... 3,833,796 3,344,907
26 Total expenses and disbursements. Add lines 24 and 25 5,307,431 250,156   4,568,043
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -2,493,792
b Net investment income (if negative, enter -0-) 2,548,483
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............. 146,821 373,327 373,327
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet1,763
Less: allowance for doubtful accounts bullet     1,763 1,763
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.......... 13,537 7,383 7,383
10a Investments—U.S. and state government obligations (attach schedule) 5,006,226 Click to see attachment4,966,219 4,966,219
b Investments—corporate stock (attach schedule)....... 71,795,439 Click to see attachment65,195,810 65,195,810
c Investments—corporate bonds (attach schedule)....... 15,208,979 Click to see attachment15,478,879 15,478,879
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,792,317 Click to see attachment3,030,405 3,030,405
14 Land, buildings, and equipment: basis bullet159,071
Less: accumulated depreciation (attach schedule) bullet128,222 4,915 Click to see attachment30,849 30,849
15 Other assets (describe bullet) Click to see attachment3,439,992 Click to see attachment3,287,072 Click to see attachment3,287,072
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 98,408,226 92,371,707 92,371,707
Liabilities 17 Accounts payable and accrued expenses.......... 33,827 2,832
18 Grants payable.................. 696,584 1,185,473
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) Click to see attachment66,857 Click to see attachment0
23 Total liabilities (add lines 17 through 22)......... 797,268 1,188,305
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 94,170,966 87,896,330
25 Temporarily restricted............... 3,439,992 3,287,072
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 97,610,958 91,183,402
31 Total liabilities and net assets/fund balances (see instructions). 98,408,226 92,371,707
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
97,610,958
2
Enter amount from Part I, line 27a .....................
2
-2,493,792
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
66,857
4
Add lines 1, 2, and 3 ..........................
4
95,184,023
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
4,000,621
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
91,183,402
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 Class Action Lawsuit Settlement Income P    
b Securities Litigation Settlement P    
c Publicly traded securities      
d Capital Gains Dividends P    
e
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 27,120     27,120
b 649     649
c 4,920,000   4,679,070 240,930
d 507,114     507,114
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       27,120
b       649
c       240,930
d       507,114
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 775,813
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 4,709,735 92,337,367 0.051006
2013 4,401,113 86,780,538 0.050715
2012 3,942,192 77,443,169 0.050904
2011 3,636,692 74,541,476 0.048787
2010 3,762,213 74,778,731 0.050311
2
Total of line 1, column (d) .....................
20.251723
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
0.050345
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
86,851,548
5
Multiply line 4 by line 3......................
5
4,372,541
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
25,485
7
Add lines 5 and 6........................
7
4,398,026
8
Enter qualifying distributions from Part XII, line 4.............
8
4,568,043
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 25,485
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 25,485
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 25,485
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 33,000
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 33,000
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 7,515
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet7,515 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)
    bulletMN, OR
    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 addressbulletwww.jeromefdn.org
    14
    The books are in care ofbulletKaren Fjorden Telephone no.bullet (651) 224-9431

    Located atbullet400 Sibley Street Suite 125Saint PaulMN ZIP+4bullet55101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
    No
    .........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
    MR CARLYLE BROWN Director
    2.00
    0 0 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    MS BARBARA MCLANAHAN Director, Secretary
    2.00
    0 0 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    Mr Calogero Salvo Director, Co-Vice Chair
    2.00
    0 0 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    MR CHARLES ZELLE Director, Chair
    2.00
    0 0 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    Ms Cynthia Gehrig President, Part Year
    40.00
    302,536 12,347 5,257
    400 SIBLEY STREET SUITE 125
    St Paul,MN55101
    Dr Gary Nan Tie Director, Treasurer
    2.00
    0 0 0
    400 Sibley Street Suite 125
    st Paul,MN55101
    Mr Philip Bither Director, Co-Vice Chair
    2.00
    0 0 0
    400 Sibley Street Suite 125
    st Paul,MN55101
    Ms Patricia Hampl Director
    2.00
    0 0 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    Ms Elizabeth Streb Director
    2.00
    0 0 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    MS LINDA EARLE DIRECTOR
    2.00
    0 0 0
    400 SIBLEY STREET SUITE 125
    ST PAUL,MN55101
    Ben Cameron President, Part Year
    40.00
    112,404 9,689 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    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
    ROBERT BYRD Program Director
    40.00
    107,892 21,924 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    ELEANOR SAVAGE Senior Program Offic
    40.00
    93,276 21,522 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    Karen Fjorden Controller
    32.00
    75,556 26,762 0
    400 Sibley Street Suite 125
    St Paul,MN55101
    JEREMY MECKLER DATA SPECIALIST / AS
    40.00
    60,209 16,610 0
    400 SIBLEY STREET SUITE 125
    ST PAUL,MN55101
    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
    VANGUARD INSTITUTIONAL ADVISORY SERVICES Investment services 162,463
    PO Box 2900
    Valley Forge,PA194822900
    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 GENERAL GRANTS PROGRAM AND SERVICE PROGRAM: THE FOUNDATION AWARDS GRANTS TO ORGANIZATIONS IN MINNESOTA AND NEW YORK CITY TO COMMISSION, PRODUCE, PRESENT OR EXHIBIT EMERGING ARTISTS THROUGH THE GENERAL GRANTS PROGRAM. ORGANIZATIONS SERVING ARTISTS IN DANCE, LITERATURE, MEDIA, MULTIDISCIPLINE ARTS, MUSIC, THEATER, AND VISUAL ARTS ARE ALL SUPPORTED. THE FOUNDATION ALSO DONATES TIME AND RELATED EXPENSES OF STAFF TO OTHER NONPROFIT ORGANIZATIONS, INDIVIDUAL ARTISTS, GOVERNMENT AGENCIES AND NONPROFIT TASK FORCES AND COMMITTEES AS DEEMED APPROPRIATE AND AS ALLOWED BY CONFLICT OF INTEREST POLICIES. 2,590,946
    2 NEW YORK CITY FILM, VIDEO, AND DIGITAL PRODUCTION GRANT PROGRAM: ($475,671)NEW YORK CITY FILM, VIDEO, AND DIGITAL PRODUCTION GRANTS ARE AWARDED TO EMERGING FILM, VIDEO AND DIGITAL ARTISTS TO PRODUCE SPECIFIC PROPOSED FILM PROJECTS. THE PROGRAM SUPPORTS NARRATIVE, EXPERIMENTAL, ANIMATED AND DOCUMENTARY FILM GENRES, WITH GRANTS AWARDED TO THE FILM DIRECTOR(S) WHO RETAINS ULTIMATE CREATIVE CONTROL. NEW YORK CITY FILMMAKERS ARE JUDGED ANNUALLY AND GRANTS AWARDED IN SEPARATE GRANTS COMPETITIONS.MINNESOTA FILM, VIDEO, AND DIGITAL PRODUCTION GRANT PROGRAM: ($90,030)MINNESOTA FILM, VIDEO, AND DIGITAL PRODUCTION GRANTS ARE AWARDED TO EMERGING FILM, VIDEO AND DIGITAL ARTISTS TO PRODUCE SPECIFIC PROPOSED FILM PROJECTS. THE PROGRAM SUPPORTS NARRATIVE, EXPERIMENTAL, ANIMATED AND DOCUMENTARY FILM GENRES, WITH GRANTS AWARDED TO THE FILM DIRECTOR(S) WHO RETAINS ULTIMATE CREATIVE CONTROL. MINNESOTA FILMMAKERS ARE JUDGED ANNUALLY AND GRANTS AWARDED IN SEPARATE GRANTS COMPETITIONS. 565,701
    3 TRAVEL AND STUDY GRANT PROGRAM : TRAVEL AND STUDY GRANTS ARE AWARDED TO ALLOW EMERGING ARTISTS AND MINNESOTA-BASED ARTS ADMINISTRATORS TO TRAVEL FOR PURPOSES OF PROFESSIONAL DEVELOPMENT, RESEARCH AND ARTISTIC ENRICHMENT. SPECIFIC DISCIPLINES ARE SUPPORTED IN ALTERNATING YEARS: IN 2016, ARTISTS IN LITERATURE, DANCE AND FILM/VIDEO/DIGITAL PRODUCTION WERE SUPPORTED. 168,491
    4 Composer/Sound Artist Fellowship Program:The Composer/Sound Artist Fellowship Program supports creative investigation and professional development for music composers and sound artists. Introduced as a pilot program in 2016, this program, like the Travel and Study grants, prioritizes research and investigation but is not necessarily linked to production of a specific work. 19,769
    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
    87,880,557
    b
    Average of monthly cash balances.......................
    1b
    293,603
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    88,174,160
    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
    88,174,160
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,322,612
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    86,851,548
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    4,342,577
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    4,342,577
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    25,485
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    25,485
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    4,317,092
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    4,317,092
    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
    4,317,092
    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
    4,568,043
    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
    4,568,043
    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
    25,485
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    4,542,558
    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 4,317,092
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 15,380
    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$ 4,568,043
    a Applied to 2014, but not more than line 2a 15,380
    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..... 4,317,092
    e Remaining amount distributed out of corpus 235,571
    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 5 235,571
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    235,571
    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.... 235,571
    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:
    BEN CAMERON
    400 Sibley Street Suite 125
    Saint paul,MN55101
    (651) 224-9431
    bThe form in which applications should be submitted and information and materials they should include:
    Online through the Foundation's website at www.jeromefdn.org; Applications should include program description, program budget, resumes of key creative artists, financial and organizational information and work samples.
    cAny submission deadlines:
    Applications are accepted at anytime. Please see our website for information.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NEW YORK CITY AND MINNESOTA NOT-FOR-PROFIT ARTS/CULTURAL ORGANIZATIONS AND ARTISTS.
    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
    Amanda Lovelee
    3852 Snelling Ave
    Minneapolis,MN55406
    None N/A Travel and Study Grant Trip 5,000
    American Composers Forum
    332 Minnesota Street E-145
    Saint Paul,MN55101
    None Public Charity JFund for New Music and Minnesota Emerging Composers' Award Program 200,000
    Anja Marquardt
    273 18th Street Apt 3
    Brooklyn,NY11215
    None N/A Film and Video Production 10,000
    Anne Henly
    1223 4th Street Northeast
    Minneapolis,MN55413
    None N/A Travel and Study Grant Trip 2,251
    Annie Ewaskio
    28 Hampton Place 2
    Brooklyn,NY11213
    None N/A Travel and Study Grant Trip 5,000
    Asian American Writers' Workshop
    112 West 27th Street Suite 600
    New York,NY10001
    None Public Charity Margins Fellowship Program 24,000
    Ayana Evans
    255 West 43rd Street Apt 927
    New York,NY10036
    None N/A Travel and Study Grant Trip 2,511
    BAADBronx Academy of Arts and Dance
    2474 Westchester Avenue
    Bronx,NY10461
    None Public Charity Open Call Program 18,500
    Brian Alfred
    57 Maspeth Avenue 3B
    Brooklyn,NY11211
    None N/A Film and Video Production 5,000
    Bronx Museum of the Arts (The)
    1040 Grand Concourse
    Bronx,NY10456
    None Public Charity Artists in the Marketplace Program and Biennial Exhibition 20,000
    Brooklyn Arts Exchange
    421 Fifth Avenue
    Brooklyn,NY11215
    None Public Charity Artists in Residence Program 11,000
    Brooklyn Arts Exchange (fiscal agent) for Marjani Forte-Saunders
    25 St Nicholas Terrace Apt 68
    New York,NY10027
    None Public Charity New work by Marjani Forte-Saunders 9,900
    Camera Club of New York
    336 West 37th Street Suite 206
    New York,NY10018
    None Public Charity Workspace Residency Program 18,000
    Carlye Rubin and Katie Green
    441 East 20th Street Apt 1A
    New York,NY10010
    None N/A Film and Video Production 25,000
    Carver Audain
    80 Vernon Avenue 2nd Floor
    Brooklyn,NY11206
    None N/A Travel and Study Grant Trip 4,300
    Cathy Linh Che
    1326 Sterling Place 2L
    Brooklyn,NY11213
    None N/A Travel and Study Grant Trip 4,251
    Cave Canem
    20 Jay Street Suite 310-A
    Brooklyn,NY11201
    None Public Charity Writing Workshops for emerging poets 20,000
    Cecile Chong
    153 Berkeley Place 1
    Brooklyn,NY11217
    None N/A Travel and Study Grant Trip 4,000
    Cecilia Aldarondo
    770 Hancock Street Apt 1
    Brooklyn,NY11233
    None N/A Film and Video Production 15,000
    Cedar Cultural Center
    416 Cedar Avenue South
    Minneapolis,MN55454
    None Public Charity 416 Club Commissions Program for Emerging Minnesota Composers 32,000
    Center for Fiction
    17 East 47th Street
    New York,NY10017
    None Public Charity Emerging Writers Fellowship Program 42,500
    Chocolate Factory Theater (The)
    5-49 49th Avenue
    Long Island City,NY11101
    None Public Charity Commissioning and production of new works 32,000
    Christina A Olivares
    3605 Kingsbridge Avenue 4G
    Bronx,NY10463
    None N/A Travel and Study Grant Trip 1,453
    Claire Miye Stanford
    1908 Hennepin Avenue South Apt 2
    Minneapolis,MN55403
    None N/A Travel and Study Grant Trip 2,600
    Claudia Bitran
    410 Marcus Garvey Boulevard Apt 3
    Brooklyn,NY11216
    None N/A Film and Video Production 12,000
    Coffee House Press
    79 Thirteenth Avenue NE Suite 110
    Minneapolis,MN55413
    None Public Charity Publication of books by emerging writers 21,000
    Community of Literary Magazines and Presses
    154 Christopher Street Suite 3C
    New York,NY10014
    None Public Charity FACE OUT: Maximizing the Visibility of Emerging Writers 46,000
    COMPOSERSOUND ARTIST FELLOWSHIP
    400 Sibley Street Suite 125
    saint paul,MN55101
    none Public Charity Program Administration 19,769
    Council on Foundations
    2121 Crystal Drive Suite 700
    Arlington,VA22202
    None Public Charity Membership and General Support 14,100
    Cowles Center for Dance and Performing Arts
    528 Hennepin Avenue Suite 200
    Minneapolis,MN55403
    None Public Charity Momentum: New Dance Works Festival 40,000
    Cultural Data Project
    400 Market Street Suite 600
    Philadelphia,PA19106
    None Public Charity Support for Minnesota and New York City Program Operations 9,000
    Dawn Bentley
    2024 Lexington Avenue North
    Roseville,MN55113
    None N/A Travel and Study Grant Trip 5,000
    Debate Society (The)
    PO Box 283 Greenpoint Station
    Brooklyn,NY11222
    None Public Charity Jerome@Camargo Residency 18,146
    Deepak Rauniyar
    1675 Gates Avenue 3R
    Ridgewood,NY11385
    None N/A Film and Video Production 20,000
    Dixon PlaceOpen Channels
    161A Chrystie Street Ground Floor
    New York,NY10002
    None Public Charity Mondo Cane Commissioning Program and Artists in Residence Program 30,000
    Eliana Ujueta
    193 13th Street
    New York,NY11215
    None N/A Film and Video Production 20,000
    Elliot Malcolm and Joe Davis
    882 Connor Court
    Maplewood,MN55109
    None N/A Film and Video Production 7,970
    Ensemble Studio Theatre
    549 West 52nd Street
    New York,NY10019
    None Public Charity Youngblood Program 20,000
    Eric William Carroll
    2317 Bryant Avenue 4
    Minneapolis,MN55405
    None N/A Travel and Study Grant Trip 4,000
    Ethel's Foundation for the Arts
    132 East 43rd Street 213
    New York,NY10017
    None Public Charity Homebaked Commissioning Program 20,000
    Eyebeam Art Technology Center
    540 West 21st Street
    New York,NY10011
    None Public Charity Artists @ Eyebeam Residencies 15,000
    Field ThePerformance Zone Inc (fiscal agent) for Aaron Landsman
    110 Lenox Road 6H
    Brooklyn,NY11226
    None Public Charity New work by Aaron Landsman 12,500
    Field ThePerformance Zone Inc (fiscal agent) for Faye Driscoll Dance Gro
    71 4th Avenue
    Brooklyn,NY11217
    None Public Charity New work by Faye Driscoll Dance Group 16,000
    Field ThePerformance Zone Inc (fiscal agent) for Juliana F MayMAYDANCE
    51-02 Vernon Boulevard Apt 3f
    New York,NY11101
    None Public Charity New work by Juliana F. May/MAYDANCE 5,000
    Field ThePerformance Zone Inc (fiscal agent) for Lone Wolf Tribe
    138 South Oxford Street
    Brooklyn,NY11217
    None Public Charity New work by Lone Wolf Tribe 9,000
    Field ThePerformance Zone Inc (fiscal agent) for Yanira Castro
    135 Clinton Avenue Apt 1
    Brooklyn,NY11205
    None Public Charity New work by Yanira Castro 10,000
    Foundation Center
    79 Fifth Avenue
    New York,NY10003
    None Public Charity General Operating and Membership Support 2,500
    Foundry Theatre (The)
    140-142 Second Avenue Suite 405
    New York,NY10003
    None Public Charity Creation, development, and production of new works by emerging artists 28,000
    Four Way Books
    PO Box 535 Village Station
    New York,NY10014
    None Public Charity Publication of books by emerging writers 20,000
    Franconia Sculpture Park
    29836 St Croix Trail
    Shafer,MN55074
    None Public Charity FSP/Jerome Fellowships 39,000
    Franklin Furnace
    80 Hanson Place 301
    Brooklyn,NY11217
    None Public Charity Franklin Furnace Fund 42,000
    Fres Albra Thao
    2285 University Avenue 257
    Saint Paul,MN55114
    None N/A Travel and Study Grant Trip 5,000
    Ginny Sims
    1405 East 38th Street
    Minneapolis,MN55407
    None N/A Travel and Study Grant Trip 3,655
    Grantmakers in the Arts
    4055 21st Avenue West Suite 100
    Seattle,WA98199
    None Public Charity General Operating and Membership Support Annual Conference in Saint Paul 11,000
    Grantmakers in the Arts
    4055 21st Avenue West Suite 100
    Seattle,WA98199
    None Public Charity Annual Conference in Saint Paul 10,000
    Hadi Eldebek
    6807 Ridge Boulevard
    Brooklyn,NY11220
    None N/A Travel and Study Grant Trip 4,950
    Hannah Jayanti
    188 Eagle Street Apt 14
    Brooklyn,NY11222
    None N/A Film and Video Production 15,000
    Harlem Stage (Aaron Davis Hall)
    150 Convent Avenue
    New York,NY10031
    None Public Charity Emerging artists' commissions in the Fund for New Work 25,000
    Heidi Hahn
    1090 Manhattan Avenue Apt 2F
    Brooklyn,NY11222
    None N/A Travel and Study Grant Trip 4,200
    Henry Street SettlementAbrons Art Center
    466 Grand Street
    New York,NY10002
    None Public Charity Commissioning and production of new works 21,000
    HERE Arts Center
    145 Sixth Avenue
    New York,NY10013
    None Public Charity HERE Artist Residency Program 22,000
    Highpoint Center for Printmaking
    912 West Lake Street
    Minneapolis,MN55408
    None Public Charity Emerging Printmakers' Residency Program 20,000
    Independent Feature Project Minnesota
    2446 University Avenue West Suite
    100
    Saint Paul,MN55114
    None Public Charity MNtv Program 35,000
    Independent Feature Project Minnesota
    2446 University Avenue West Suite
    100
    Saint Paul,MN55114
    None Public Charity Training & Professional Development for emerging artists 33,000
    Intermedia Arts
    2822 Lyndale Avenue South
    Minneapolis,MN55408
    None Public Charity Beyond the Pure Fellowships and VERVE Grants 67,500
    Ivy Baldwin Dance
    191 Willoughby Street Apt 16D
    Brooklyn,NY11201
    None Public Charity Development and production of new work 13,000
    James N Kienitz-Wilkins
    138 St Nicholas Avenue 3R
    Brooklyn,NY11237
    None N/A Film and Video Production 15,000
    Jamie Sisley
    356 Court Street
    Brooklyn,NY11231
    None N/A Film and Video Production 20,736
    Janaki Ranpura
    3109 21st Avenue South
    Minneapolis,MN55407
    None N/A Travel and Study Grant Trip 4,500
    Ja'Tovia M Gary
    259 Madison Street 3
    Brooklyn,NY11216
    None N/A Film and Video Production 20,000
    Jazz Gallery (The)
    1160 Broadway 5th Floor PO Box 153
    Lenon Hill Station
    New York,NY10021
    None Public Charity Residency Commissions 25,000
    Jeff Rathermel
    2034 Eleanor Avenue
    Saint Paul,MN55116
    None N/A Travel and Study Grant Trip 5,000
    Jerome Foundation - Miscellaneous Programs
    400 Sibley Street Suite 125
    Saint Paul,MN55101
    None Public Charity PROG SUPPORT FOR CAMARGO FDN, FELLOWSHIP PROG DESIGN, JEROME HILL FILMS AND MATERIALS. 151,850
    Jesse Roesler
    5301 Harriet Ave
    Minneapolis,MN55419
    None N/A Film and Video Production 15,000
    Jesse Sweet
    11 Saint Francis Place
    Brooklyn,NY11216
    None N/A Film and Video Production 10,000
    Jiny Ung
    57-06 84th Street Apt 1
    Elmhurst,NY11373
    None N/A Film and Video Production 6,800
    John Paul Su
    620 West 171st Street Apt 4F
    New York,NY10032
    None N/A Film and Video Production 10,000
    Jon Burklund and Ilana Stuelpner
    3723 18th Avenue Apt 9B
    Brooklyn,NY11218
    None N/A Travel and Study Grant Trip 5,000
    Josh Koury and Myles Kane
    122 West Street 1F
    Brooklyn,NY11222
    None N/A Film and Video Production 20,000
    Karina Aguilera Skvirsky
    312 East 23rd Street Apt 7A
    New York,NY10010
    None N/A Film and Video Production 10,000
    Kelman Duran
    3155 Grand Concouse Apt 3B
    Bronx,NY10468
    None N/A Film and Video Production 10,000
    Kevin Armento and Jaki Bradley
    108 Macon Street Apt 2
    Brooklyn,NY11216
    None N/A Travel and Study Grant Trip 1,500
    Kitchen (The)
    512 West 19th Street
    New York,NY10011
    None Public Charity Emerging Artists' Commissions 26,000
    Krissy Bergmark
    4437 2nd Avenue South
    Minneapolis,MN55419
    None N/A Travel and Study Grant Trip 5,000
    lachugar Inc
    41 Withers Street Apt 3R
    Brooklyn,NY11211
    None Public Charity Development and production of new work 16,000
    Laimah Osman
    458 Rutland Road Apt 1
    Brooklyn,NY11203
    None N/A Travel and Study Grant Trip 5,000
    LaMaMa Experimental Theatre Company (fiscal agent) for Katy Pyle
    1383 Dean Street 4w
    Brooklyn,NY11216
    None Public Charity New work by Katy Pyle 12,000
    Lanesboro Arts Center
    PO Box 152
    Lanesboro,MN55949
    None Public Charity Emerging Artist Residency Program 18,000
    Laundromat Project (The)
    127 West 127th Street Suite 324
    New York,NY10027
    None Public Charity Create Change Artist Residencies and Commissions Program 17,250
    Lower Manhattan Cultural Council
    125 Maiden Lane 2nd Floor
    New York,NY10038
    None Public Charity Workspace Program 28,000
    Mabou Mines
    PO Box 1940 Peter Stuyvesant
    Station
    New York,NY10009
    None Public Charity Suite Resident Artist Program 30,000
    Madeleine Olnek
    55 West 14th Street Apt 18B
    New York,NY10011
    None N/A Film and Video Production 20,000
    Madhu Kaza
    355 Stratford Road 5A
    Brooklyn,NY11218
    None N/A Travel and Study Grant Trip 3,460
    Maliya Gorman-Carter
    2427 Grand Avenue South
    Minneapolis,MN55405
    None N/A Travel and Study Grant Trip 5,000
    ManSee Kong
    82-76 160th Street
    Jamaica,NY11432
    None N/A Travel and Study Grant Trip 5,000
    Marie Losier
    c/o Dubson 39-56 47th Street
    Sunnyside,NY11104
    None N/A Film and Video Production 5,000
    Marisa Tesauro
    516 8th Street
    Brooklyn,NY11215
    None N/A Travel and Study Grant Trip 3,710
    Mauricio Arango
    411 St Johns Place Apt 10
    Brooklyn,NY11238
    None N/A Travel and Study Grant Trip 5,000
    May Lee-Yang
    2124 Magnolia Avenue East
    Saint Paul,MN55119
    None N/A Travel and Study Grant Trip 4,100
    Ma-Yi Theater Company
    520 - 8th Avenue Room 309
    New York,NY10018
    None Public Charity Development and production of new works 18,000
    Media Impact Funders
    200 West Washington Square Suite
    220
    Philadelphia,PA19106
    None Public Charity General Operating and Membership Support 1,000
    Melina Leon
    466 West 146th Street Apt 2
    New York,NY10031
    None N/A Film and Video Production 20,000
    Mengqian Chen
    1910 Colfax Avenue South Apt 103
    Minneapolis,MN55403
    None N/A Film and Video Production 14,095
    Metropolitan Regional Arts Council (fiscal agent) for Minnesota Citizens fo
    2233 University Avenue West Suite
    355
    Saint Paul,MN55114
    None Public Charity Creative Minnesota Task Force for Minnesota Citizens for the Arts 1,500
    Metropolitan Regional Arts Council (fiscal agent) for Minnesota Citizens fo
    2233 University Avenue West Suite
    355
    Saint Paul,MN55114
    None Public Charity Minnesota Citizens for the Arts Creative Minnesota Study 10,000
    Michelle Westmark Wingard
    4833 2nd Avenue South
    Minneapolis,MN55419
    None N/A Travel and Study Grant Trip 5,000
    Mike P Nelson
    4057 Yates Avenue North
    Robbinsdale,MN55422
    None N/A Film and Video Production 10,000
    Milkweed Editions
    1011 Washington Avenue South Open
    Book Suite 300
    Minneapolis,MN55415
    None Public Charity Publication of three books by emerging writers 23,000
    Minneapolis College of Art and Design
    2501 Stevens Avenue
    Minneapolis,MN55404
    None Public Charity MCAD/Jerome Emerging Artists Fellowship Program 110,000
    Minnesota Council on Foundations
    100 Portland Avenue South Suite 225
    Minneapolis,MN55401
    None Public Charity General Operating and Membership Support for two years 14,150
    Minnesota Council on Foundations (fiscal agent) for Hill Philanthropic Hist
    100 Portland Avenue South Suite 225
    Minneapolis,MN55401
    None Public Charity Hill Philanthropic History Project 5,000
    MINNESOTA FILM AND VIDEO PROGRAM
    400 Sibley Street Suite 125
    saint paul,MN55101
    None Public Charity Program Administration 10,465
    Missy Whiteman
    27779 Church Street
    Garrison,MN56450
    None N/A Film and Video Production 15,000
    Mixed Blood Theatre Company
    1501 South 4th Street
    Minneapolis,MN55454
    None Public Charity Commissioning, development, and production of new plays 8,000
    Molly Katagiri
    5601 Vincent Avenue South
    Minneapolis,MN55401
    None N/A Film and Video Production 15,000
    Movement Research
    55 Avenue C
    New York,NY10009
    None Public Charity Artist-in-Residence Program 30,000
    Musa Syeed
    409 Decatur Street
    Brooklyn,NY11233
    None N/A Film and Video Production 30,000
    Nathan Lewis
    4300 Pleasant Avenue South 2
    Minneapolis,MN55409
    None N/A Travel and Study Grant Trip 1,450
    Nautilus Music-Theater
    308 Prince Street 190
    Saint Paul,MN55101
    None Public Charity Composer-Librettist Studio and Rough Cuts Commission 10,000
    NEW YORK CITY FILM AND VIDEO PROGRAM
    400 sibley Street Suite 125
    saint paul,MN55101
    none public Charity Program Administration 34,135
    New York Foundation for the Arts (fiscal agent) for Maria Hassabi
    113 West 27th Street 2nd Floor
    New York,NY10001
    None Public Charity Jerome@Camargo Residency 21,500
    New York Live Arts (fiscal agent) for David Thomson
    70 Nevins Street 3
    Brooklyn,NY11217
    None Public Charity New work by David Thomson 12,000
    New York Live Arts (fiscal agent) for Jen Rosenblit
    463 Lincoln Place 201
    Brooklyn,NY11238
    None Public Charity New work by Jen Rosenblit 12,000
    New York Theatre Workshop
    79 East 4th Street
    New York,NY10003
    None Public Charity Artist Workshops 20,000
    Nicole Antebi
    822 Ocean Avenue 5E
    Brooklyn,NY11226
    None N/A Film and Video Production 15,000
    Nobuyuki Asai
    311 West 107th Street 4R
    New York,NY10025
    None N/A Film and Video Production 15,000
    Northern Clay Center
    2424 Franklin Avenue East
    Minneapolis,MN55406
    None Public Charity Ceramic Artist Project Grant Program 27,100
    Northern Lightsmn (fiscal agent) for Aniccha Arts
    4524 44th Avenue South
    Minneapolis,MN55406
    None Public Charity New work by Aniccha Arts 16,000
    Open Eye Figure Theatre (fiscal agent) for Torry Bend
    3423 Taylor Street Northeast Apt 1
    Minneapolis,MN55418
    None Public Charity New work by Torry Bend 12,000
    Penumbra Theatre Company (fiscal agent) for Imani Uzuri and Zakiyyah Alexan
    270 North Kent Street
    Saint Paul,MN55405
    None Public Charity New work by Imani Uzuri and Zakiyyah Alexander 10,000
    Performance Space 122
    67 West Street Unit 315
    Brooklyn,NY11222
    None Public Charity Emerging Artists' Commissions 50,000
    Philanthropy New York
    79 Fifth Avenue 4th Floor
    New York,NY10003
    None Public Charity General Operating and Membership Support 450
    Pillsbury House Theatre
    3501 Chicago Avenue South
    Minneapolis,MN55407
    None Public Charity New works by emerging playwrights 15,000
    Pillsbury House Theatre
    3501 Chicago Avenue South
    Minneapolis,MN55407
    None Public Charity Naked Stages Program 37,500
    Pillsbury House Theatre
    3501 Chicago Avenue South
    Minneapolis,MN55407
    None Public Charity Late Nite Series 36,500
    Playwrights' Center (The)
    2301 East Franklin Avenue
    Minneapolis,MN55406
    None Public Charity Jerome Emerging Playwright Fellowship Program 80,000
    Poetry Project (The)
    131 East 10th Street
    New York,NY10003
    None Public Charity Fellowship and Mentoring Program Emerg-Surface-Be Fellowships 22,000
    Poets House
    10 River Terrace
    New York,NY10282
    None Public Charity Emerging Poets Fellowship Program 34,000
    Queens Museum of Art
    Flushing Meadows Corona Park
    Queens,NY11368
    None Public Charity Fellowship Program for Emerging Artists 114,000
    raja feather kelly
    440 Prospect Avenue 2F
    Brooklyn,NY11215
    None N/A Travel and Study Grant Trip 4,430
    Rashaad Ernesto Green
    464 West 142nd Street 2
    New York,NY10031
    None N/A Film and Video Production 12,000
    Rati Oneli
    536 West 113th Street 83
    New York,NY10025
    None N/A Film and Video Production 15,000
    Raul O Paz Pastrana
    333 East 108th Street Apt 3B
    Astoria,NY11102
    None N/A Film and Video Production 20,000
    Rebecca Thomas
    24 Anderson Avenue
    Sleepy Hollow,NY10591
    None N/A Travel and Study Grant Trip 2,000
    Red Eye Collaborative
    15 West 14th Street
    Minneapolis,MN55403
    None Public Charity New Works 4 Weeks 33,000
    Rochester Art Center
    40 Civic Center Drive Southeast
    Rochester,MN55904
    None Public Charity 3rd Floor Emerging Artist Series 23,000
    Rosemary Williams
    1474 Almond Avenue
    Saint Paul,MN55108
    None N/A Travel and Study Grant Trip 5,000
    Roulette Intermedium
    30 Third Avenue Suite 208
    New York,NY11217
    None Public Charity Emerging Composers' Commissions and Residencies 64,000
    Roulette Intermedium (fiscal agent) for Maria Chavez
    718 Leonard Street 2L
    Brooklyn,NY11222
    None Public Charity New work by Maria Chavez 12,000
    Russell Harbaugh
    249 Washington Avenue 2
    Brooklyn,NY11205
    None N/A Film and Video Production 15,000
    Saint John's University
    2810 Abbey Plaza PO Box 6377
    Collegeville,MN56321
    None Public Charity Jerome@Camargo Residency 29,500
    Sam Hoolihan
    1515 West 25th Street 2
    Minneapolis,MN55405
    None N/A Film and Video Production 2,500
    Sameh Zoabi
    9201 Shore Road Apt C 206
    Brooklyn,NY11209
    None N/A Film and Video Production 20,000
    Sarita Covington
    200 East 20th Street 3J
    Bronx,NY10458
    None N/A Travel and Study Grant Trip 2,970
    Scott Artley
    2106 Garfield Avenue Apt 11
    Minneapolis,MN55405
    None N/A Travel and Study Grant Trip 2,471
    Scott Cummings
    402 Ocean Parkway Apt 309
    Brooklyn,NY11218
    None N/A Travel and Study Grant Trip 2,800
    Sekou Alaje
    465 Ocean Avenue Apt 4c
    Brooklyn,NY11226
    None N/A Travel and Study Grant Trip 4,255
    Selena Kimball
    497 16th Street
    Brooklyn,NY11215
    None N/A Travel and Study Grant Trip 2,720
    Smack Mellon
    92 Plymouth Street
    Brooklyn,NY11201
    None Public Charity Artist Studio Program 11,000
    Spencer Wirth-Davis
    2912 33rd Avenue South
    Minneapolis,MN55406
    None N/A Travel and Study Grant Trip 3,070
    Springboard for the Arts
    308 Prince Street Suite 270
    Saint Paul,MN55101
    None Public Charity Artist Development and Resource Program 34,000
    Springboard for the Arts (fiscal agent) for Joe Horton
    2520 Colfax Avenue South
    Minneapolis,MN55405
    None Public Charity New work by Joe Horton 12,000
    Springboard for the Arts (fiscal agent) for Karen Sherman
    3405 15th Avenue South 1
    Minneapolis,MN55407
    None Public Charity New work by Karen Sherman 12,000
    Springboard for the Arts (fiscal agent) for SuperGroup
    3435 10th Avenue South
    Minneapolis,MN55407
    None Public Charity New work by SuperGroup 12,500
    Springboard for the Arts (fiscal agent) for Workhaus Playwrights Collective
    2301 Franklin Avenue East
    Minneapolis,MN55406
    None Public Charity Workhaus Playwrights Collective 15,000
    Stefani Saintonge
    180 Davis Avenue Apt 2A
    Bronx,NY10465
    None N/A Film and Video Production 10,000
    STREB Lab for Action Mechanics
    51 North 1st Street
    Brooklyn,NY11211
    None Public Charity Go! Emerging Artists Commissioning Program 23,000
    Textile Center
    3000 University Avenue Southeast
    Suite 100
    Minneapolis,MN55414
    None Public Charity Fiber Artist Project Grants Program and artists' services 37,000
    Todd Chandler
    411 East 28th Street
    Brooklyn,NY11226
    None N/A Travel and Study Grant Trip 2,300
    TRAVEL AND STUDY GRANT PROGRAM
    400 Sibley Street Suite 125
    Saint Paul,MN55101
    None N/A Program Administration 14,470
    VocalEssence
    1900 Nicollet Avenue
    Minneapolis,MN55403
    None Public Charity VocalEssence ReMix 30,000
    VSA Minnesota
    528 Hennepin Avenue Suite 305
    Minneapolis,MN55403
    None Public Charity VSA Minnesota/Jerome Foundation Project Grants for Artists with Disabilities 21,000
    Wong Kit Yi
    330 West 145th Street Apt 604
    New York,NY10039
    None N/A Travel and Study Grant Trip 2,000
    Yadira De La Riva
    1317 Dean Street
    Brooklyn,NY11216
    None N/A Travel and Study Grant Trip 3,114
    Zeitgeist
    275 East Fourth Street Suite 200
    Saint Paul,MN54022
    None Public Charity Zeitgeist Composer Workshops 16,500
    Zenon Dance Company and School
    528 Hennepin Avenue Suite 400
    Minneapolis,MN55403
    None Public Charity Emerging Choreographers' Commissions 28,000
    Total .................................bullet 3a 3,344,907
    bApproved for future payment
    Aaron Beebe
    277 Eastern Parkway 5A
    Brooklyn,NY11238
    None N/A Travel and Study Grant Trip 4,420
    Anji Sauve Clubb
    25506 Ipava Avenue
    Lakeville,MN55044
    None N/A Film and Video Production 25,000
    Ayana Evans
    255 West 43rd Street Apt 927
    New York,NY10036
    None N/A Travel and Study Grant Trip 2,259
    BAADBronx Academy of Arts and Dance
    2474 Westchester Avenue
    Bronx,NY10461
    None Public Charity Open Call Program 18,500
    Bronx Museum of the Arts (The)
    1040 Grand Concourse
    Bronx,NY10456
    None Public Charity Artist in the Marketplace and Biennial Exhibition 20,000
    Camera Club of New York
    336 West 37th Street Suite 206
    New York,NY10018
    None Public Charity Workspace Residency Program 18,000
    Center for Fiction
    17 East 47th Street
    New York,NY10017
    None Public Charity Emerging Writers Fellowship Program 42,500
    Chocolate Factory Theater (The)
    5-49 49th Avenue
    Long Island City,NY11101
    None Public Charity Commissioning and production of new works 32,000
    Christina Ham
    2505 West 21st Street Apt 2
    Minneapolis,MN55405
    None N/A Travel and Study Grant Trip 4,500
    Christopher Makoto Yogi
    146 7th Avenue Apt 1
    Brooklyn,NY11215
    None N/A Film and Video Production 20,000
    Community of Literary Magazines and Presses
    154 Christopher Street Suite 3C
    New York,NY10014
    None Public Charity FACE OUT: Maximizing the Visibility of Emerging Writers 46,000
    COMPOSERSOUND ARTIST FELLOWSHIP RECIPIENTS
    400 sibley Street Suite 125
    saint paul,MN55101
    none public Charity Program Administration 2,831
    E G Bailey
    4749 5th Street Northeast
    Columbia Heights,MN55421
    None N/A Film and Video Production 15,000
    Field ThePerformance Zone Inc (fiscal agent) for Aaron Landsman
    110 Lenox Road 6H
    Brooklyn,NY11226
    None Public Charity New work by Aaron Landsman 12,500
    Field ThePerformance Zone Inc (fiscal agent) for Faye Driscoll Dance Gro
    71 4th Avenue
    Brooklyn,NY11217
    None Public Charity New work by Faye Driscoll Dance Group 16,000
    Foundation Center
    79 Fifth Avenue
    New York,NY10003
    None Public Charity General Operating and Membership Support 2,500
    Franconia Sculpture Park
    29836 St Croix Trail
    Shafer,MN55074
    None Public Charity FSP/Jerome Fellowships 39,000
    Franklin Furnace
    80 Hanson Place 301
    Brooklyn,NY11217
    None Public Charity Franklin Furnace Fund 42,000
    Grantmakers in the Arts
    4055 21st Avenue West Suite 100
    Seattle,WA98199
    None Public Charity General Operating and Membership Support 11,000
    Harlem Stage (Aaron Davis Hall)
    150 Convent Avenue
    New York,NY10031
    None Public Charity Emerging artists' commissions in the Fund for New Work 25,000
    Heather Hart
    410 Marcus Garvey Boulevard 3
    Brooklyn,NY11216
    None N/A Travel and Study Grant Trip 5,000
    HERE Arts Center
    145 Sixth Avenue
    New York,NY10013
    None Public Charity HERE Artist Residency Program 22,000
    Highpoint Center for Printmaking
    912 West Lake Street
    Minneapolis,MN55408
    None Public Charity Emerging Printmakers' Residency Program 20,000
    Intermedia Arts
    2822 Lyndale Avenue South
    Minneapolis,MN55408
    None Public Charity Beyond the Pure Fellowships and VERVE Grants 72,500
    Ivy Baldwin Dance
    191 Willoughby Street Apt 16D
    Brooklyn,NY11201
    None Public Charity Development and production of new work 13,000
    Jennifer Shyu
    3119 Bailey Avenue Apt 4H
    Bronx,NY10463
    None N/A Travel and Study Grant Trip 5,000
    JEROME FOUNDATION - MISCELLANEOUS PROGRAMS
    400 Sibley Street Suite 125
    Saint Paul,MN55101
    none Public Charity Jerome@Camargo, Jerome Hill Films and Film Materials, New Initiatives and Special Needs. 46,874
    Junauda Petrus and Mychal Fisher
    3144 Elliot Avenue South
    Minneapolis,MN55407
    None N/A Film and Video Production 10,000
    Keith Bearden
    35-44 34th Street 2A
    Long Island City,NY11106
    None N/A Film and Video Production 500
    Kitchen (The)
    512 West 19th Street
    New York,NY10011
    None Public Charity Emerging Artists' Commissions 26,000
    lachugar Inc
    41 Withers Street Apt 3R
    Brooklyn,NY11211
    None Public Charity Development and production of new work 16,000
    Lanesboro Arts Center
    PO Box 152
    Lanesboro,MN55949
    None Public Charity Emerging Artist Residency Program 18,000
    Mabou Mines
    PO Box 1940 Peter Stuyvesant
    Station
    New York,NY10009
    None Public Charity Suite Resident Artist Program 30,000
    Mad King Thomas
    2308 East 36 1/2 Street Apt 2
    Minneapolis,MN55406
    None N/A Travel and Study Grant Trip 5,000
    Michael Forstein
    5105 35th Avenue South
    Minneapolis,MN55417
    None N/A Film and Video Production 30,000
    Mike P Nelson
    4057 Yates Avenue North
    Robbinsdale,MN55422
    None N/A Film and Video Production 5,000
    Minneapolis College of Art and Design
    2501 Stevens Avenue
    Minneapolis,MN55404
    None Public Charity MCAD/Jerome Emerging Artists Fellowship Program 110,000
    MINNESOTA FILM AND VIDEO PROGRAM RECIPIENTS
    400 sibley Street Suite 125
    saint paul,MN55101
    none public Charity Program Administration 1,935
    Mixed Blood Theatre Company
    1501 South 4th Street
    Minneapolis,MN55454
    None Public Charity Commissioning, development, and production of new plays 8,000
    Movement Research
    55 Avenue C
    New York,NY10009
    None Public Charity Artist-in-Residence Program 30,000
    Nathan Fisher
    4359 Browndale Avenue
    Saint Louis Park,MN55424
    None N/A Film and Video Production 4,214
    New Radio and Performing Arts
    129 Tysen Street
    Staten Island,NY10301
    None Public Charity Turbulence commissions 18,000
    NEW YORK CITY FILM AND VIDEO PROGRAM RECIPIENTS
    400 sibley Street Suite 125
    saint paul,MN55101
    none public Charity Program Administration 6,865
    New York Theatre Workshop
    79 East 4th Street
    New York,NY10003
    None Public Charity Artist Workshops 20,000
    Norah Shapiro
    1912 Humboldt Avenue South
    Minneapolis,MN55403
    None N/A Travel and Study Grant Trip 4,994
    Norman Cowie
    674 Kingman Avenue
    Santa Monica,CA90402
    None N/A Film and Video Production 5,000
    Penumbra Theatre Company (fiscal agent) for Imani Uzuri and Zakiyyah Alexan
    270 North Kent Street
    Saint Paul,MN55405
    None Public Charity New work by Imani Uzuri and Zakiyyah Alexander 10,000
    Playwrights' Center (The)
    2301 East Franklin Avenue
    Minneapolis,MN55406
    None Public Charity Jerome Emerging Playwright Fellowship Program 80,000
    Poetry Project (The)
    131 East 10th Street
    New York,NY10003
    None Public Charity Fellowship and Mentoring Program Emerg-Surface-Be Fellowships 22,000
    Ramon Alberto Nuez
    133 Mohawk Circle
    Superior,CO80027
    None N/A Film and Video Production 100
    Rini Keagy
    118 College Street 2N
    Northfield,MN55057
    None N/A Film and Video Production 20,000
    Rose Stark
    2533 14th Place Fl 1
    Queens,NY11102
    None N/A Film and Video Production 10,130
    Rosemary Williams
    1474 Almond Avenue
    Saint Paul,MN55108
    None N/A Film and Video Production 13,000
    Sam Hoolihan
    1515 West 25th Street 2
    Minneapolis,MN55405
    None N/A Film and Video Production 5,000
    Scott Artley
    2106 Garfield Avenue Apt 11
    Minneapolis,MN55405
    None N/A Travel and Study Grant Trip 1,921
    Smack Mellon
    92 Plymouth Street
    Brooklyn,NY11201
    None Public Charity Artist Studio Program 11,000
    Sun Mee Chomet
    64 Inner Drive N14
    Saint Paul,MN55116
    None N/A Travel and Study Grant Trip 4,830
    TRAVEL AND STUDY GRANT PROGRAM
    400 sibley Street Suite 125
    saint paul,MN55101
    none public Charity Program Administration 100
    VocalEssence
    1900 Nicollet Avenue
    Minneapolis,MN55403
    None Public Charity VocalEssence ReMix 30,000
    Zeitgeist
    275 East Fourth Street Suite 200
    Saint Paul,MN54022
    None Public Charity Zeitgeist Composer Workshops 16,500
    Zenon Dance Company and School
    528 Hennepin Avenue Suite 400
    Minneapolis,MN55403
    None Public Charity Emerging choreographers' commissions 28,000
    Total .................................bullet 3b 1,185,473
    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 2,022,826  
    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 ............
        18 775,813  
    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 2,798,639 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    132,798,639
    (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
    Jerome Foundation Inc
     
    Employer identification number

    41-6035163
    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
    Jerome Foundation Inc
     
    Employer identification number
    41-6035163
    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
    HRK Foundation
     

       
    1200 Landmark Tower 345 St Peter St
     
    St Paul, MN55102

    $ 15,000


    (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.)
    (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
    Jerome Foundation Inc
     
    Employer identification number

    41-6035163
    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
     
    $    
    (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
     
    $    
    (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
    Jerome Foundation Inc
     
    Employer identification number

    41-6035163
    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:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    AUDIT FEES 18,735 7,494   11,241

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Vanguard Total Bond Market Index Fund Inst - NON-USGO Portion 6,089,391 6,089,391
    Vanguard Intermediate-Term Inv Grade Admiral - NON-USGO Portion 5,749,379 5,749,379
    Vanguard Short-Term Inv Grade Admiral - NON-USGO Portion 3,640,109 3,640,109

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Name of Stock End of Year Book Value End of Year Fair Market Value
    VANGUARD Value Index Fund 7,155,402 7,155,402
    Vanguard Total Stock Market Index Fund Inst 24,950,300 24,950,300
    Vanguard REIT Index Fund Inst 4,379,280 4,379,280
    Vanguard Mid-Cap Growth Fund 2,933,085 2,933,085
    Vanguard International Value Fund 3,796,049 3,796,049
    Vanguard International Growth Fund Admiral 4,093,505 4,093,505
    Vanguard FTSE All-World ex-US Index Fnd Inst 7,749,344 7,749,344
    Vanguard Growth Index Fund Inst 7,068,434 7,068,434
    Vanguard Strategic Equity Fund 3,070,411 3,070,411

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    US Government Securities - End of Year Book Value:

    4,966,219
    US Government Securities - End of Year Fair Market Value:

    4,966,219
    State & Local Government Securities - End of Year Book Value:


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


    0


    TY 2015 InvestmentsOtherSchedule2
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Timber and Timberland FMV 2,271,500 2,271,500
    Cash equivalents - Securities Lending FMV 1,900 1,900
    Vanguard Special Fund - Annuity FMV 757,005 757,005

    TY 2015 LandEtcSchedule2
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    AUTOMOBILE 28,821 1,202 27,619 27,619
    Equipment 63,726 60,496 3,230 3,230
    Leasehold Improvements 66,524 66,524 0  


    TY 2015 LegalFeesSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Legal fees 11,972 0   10,903


    TY 2015 OtherAssetsSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Beneficial interest in charitable remainder trust 3,439,992 3,287,072 3,287,072


    TY 2015 OtherDecreasesSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Description Amount
    CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 152,920
    UNREALIZED loss ON INVESTMENTS 3,847,701


    TY 2015 OtherExpensesSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    postage 3,735 0   3,735
    Insurance 6,854 0   6,854
    Telephone 5,203 260   4,943
    Office operations 49,859 2,493   42,833
    Education program 3,658 0   3,658
    BANK FEES 735 735   0


    TY 2015 OtherIncreasesSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Description Amount
    CHANGE IN FEDERAL EXCISE TAX BENEFIT (PROVISION) 66,857


    TY 2015 OtherLiabilitiesSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Description Beginning of Year - Book Value End of Year - Book Value
    Deferred Excise Tax Payable 66,857 0


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT AND MANAGEMENT FEES 177,475 177,475   0
    other consultants 31,046 0   62,267


    TY 2015 TaxesSchedule
    Name:
    Jerome Foundation Inc
    EIN:
    41-6035163
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Payroll Taxes 51,085 3,811   47,274
    Federal Excise Tax 25,619 0   0