TY 2015 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Information 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 04-01-2015 , and ending 03-31-2016

Name of foundation
EVERLY SCHOLARSHIP FUND INC

Number and street (or P.O. box number if mail is not delivered to street address)C/O JOHN R LOLIO ESQ SHERMAN SILVER
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
HARPER DRIVE MOORESTOW, NJ08057

A Employer identification number

22-3161410

B Telephone number (see instructions)

(856) 662-0700

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address changeName change

D 1. Foreign organizations, check here ............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trustOther taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$2,627,917J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check Sch. B .............
3	Interest on savings and temporary cash investments	11		11
4	Dividends and interest from securities...	111,004		110,496
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10
b	Gross sales price for all assets on line 6a
7	Capital gain net income (from Part IV, line 2)...			0
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).......		442
12	Total. Add lines 1 through 11........	111,457		110,507
13	Compensation of officers, directors, trustees, etc.
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		4,700	4,700
c	Other professional fees (attach schedule)....		30,160	30,160
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		7,000		3,000
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		9	9
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	41,869		34,869	3,000	0
25	Contributions, gifts, grants paid.......	105,000				0
26	Total expenses and disbursements. Add lines 24 and 25	146,869		34,869	3,000	0
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-35,412
b	Net investment income (if negative, enter -0-)			75,638
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............		915	915
	2	Savings and temporary cash investments.........	110,941	107,610	107,610
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........		1,514	1,514
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......	1,336,712	1,396,715	1,532,115
	c	Investments—corporate bonds (attach schedule).......	755,559	697,529	679,881
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	226,648	188,127	305,804
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )	76	78	78
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	2,429,936	2,392,488	2,627,917
	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 )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted..................
	25	Temporarily restricted...............
	26	Permanently restricted...............
		Foundations that do not follow SFAS 117, check here
		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	2,429,936	2,392,488
	30	Total net assets or fund balances (see instructions).....	2,429,936	2,392,488
	31	Total liabilities and net assets/fund balances (see instructions).	2,429,936	2,392,488

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

2,429,936

Enter amount from Part I, line 27a .....................

-35,412

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

2,394,524

Decreases not included in line 2 (itemize) bullet

2,036

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .

2,392,488

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	25 SHARES NATIONAL OILWELL INC COM	P	2015-04-24	2015-07-08
b	30 SHARES ORACLE CORPORATION	P	2015-08-12	2016-03-16
c	10 SHARES ANNEUSER-BUSCH INBEV SPN ADR	P	2013-04-05	2015-12-17
d	30 SHARES ANNEUSER-BUSCH INBEV SPN ADR	P	2014-04-04	2015-12-17
e	30 SHARES BAXTER INTL INC COM	P	2014-04-04	2015-06-19
	15 SHARES WALT DISNEY CO	P	2014-04-04	2016-02-05
	474.94 SHARES DREYFUS EMG MKT DEBT LOC	P	2014-02-28	2015-06-08
	2113.81 SHARES DREYFUS EMG MKT DEBT LOC	P	2014-02-28	2016-01-11
	894.45 SHARES DREYFUS INTERNATIONAL BOND FD CL I	P	2014-02-28	2015-06-08
	293.77 SHARES DREYFUS INTERNATL BOND FD CL I	P	2014-04-22	2015-06-08
	75 SHARES E M C CORP MASS	P	2013-04-05	2015-10-29
	70 SHARES EXXON MOBIL CORPORATION	P	2001-07-09	2015-04-24
	40 SHARES EXXON MOBIL CORPORATION	P	2001-07-09	2016-02-05
	45 SHARES EXXON MOBIL CORPORATION	P	2001-07-09	2016-03-10
	50 SHARES GENERAL ELECTRIC CO	P	1993-05-04	2015-04-24
	35 SHARES GENERAL ELECTRIC CO	P	1993-05-04	2016-03-01
	15 SHARES GILEAD SCIENCES INC	P	2013-04-05	2015-04-24
	.01 SHARE GOOGLE INC CL C	P	2013-04-05	2015-05-06
	60 SHARES HSBC - ADR	P	2014-04-04	2016-03-01
	20 SHARES HOME DEPOT INC	P	2009-04-28	2016-03-01
	25 SHARES INTERNATIONAL BUSINESS MACHS CORP	P	2003-06-23	2015-08-12
	75 SHARES INTERNATIONAL BUSINESS MACHS CORP	P	2002-05-13	2015-08-12
	140 SHARES MICROSOFT CORP	P	1997-04-02	2015-04-24
	105 SHARES MICROSOFT CORP	P	1997-04-02	2015-07-08
	40 SHARES MONDELEZ INTERNATIONAL INC	P	2011-09-20	2015-04-24
	35 SHARES NATIONAL OILWELL INC COM	P	2013-08-30	2015-07-08
	30 SHARES ORACLE CORPORATION	P	2013-04-05	2016-03-16
	304.65 SHARES OPPENHEIMER DEVELOPING MKT	P	2014-02-28	2016-01-08
	3358.65 SHARES PIMCO LOW DURATION FD I	P	2013-06-27	2015-05-15
	1484.87 SHARES PIMCO HIGH YIELD FD INST	P	2007-02-15	2016-01-08
	4217.43 SHARES PIMCO FOREIGN BD FD USD	P	2014-02-28	2015-06-08
	150 SHARES PROCTOR & GAMBLE CO	P	2001-07-09	2015-10-29
	5902 SHARES ELEMENTS ROGERS TOTAL RETURN	P	2013-06-27	2015-12-14
	1188 SHARES ELEMENTS ROGERS TOTAL RETURN	P	2013-07-22	2015-12-14
	50 SHARES US BANCORP DEL NEW	P	2013-04-05	2015-05-28
	60 SHARES US BANCORP DEL NEW	P	2013-03-12	2015-05-28

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,105	1,351	-246
b	1,211	1,176	35
c	1,250	978	272
d	3,751	3,194	557
e	2,089	2,191	-102
	1,404	1,210	194
	5,547	6,421	-874
	21,350	28,579	-7,229
	14,088	15,000	-912
	4,627	5,000	-373
	1,961	1,733	228
	6,073	3,044	3,029
	3,197	1,740	1,457
	3,664	1,957	1,707
	1,337	378	959
	1,044	264	780
	1,561	710	851
	8	5	3
	1,934	3,052	-1,118
	2,510	523	1,987
	3,905	2,080	1,825
	11,714	6,095	5,619
	6,651	1,617	5,034
	4,640	1,212	3,428
	1,471	905	566
	1,547	2,337	-790
	1,211	959	252
	8,466	11,048	-2,582
	33,654	34,426	-772
	12,206	14,804	-2,598
	44,325	45,000	-675
	11,560	4,890	6,670
	26,913	47,542	-20,629
	5,417	10,026	-4,609
	2,183	1,664	519
	2,619	2,057	562

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	0	0	0	-246
b	0	0	0	35
c	0	0	0	272
d	0	0	0	557
e	0	0	0	-102
	0	0	0	194
	0	0	0	-874
	0	0	0	-7,229
	0	0	0	-912
	0	0	0	-373
	0	0	0	228
	0	0	0	3,029
	0	0	0	1,457
	0	0	0	1,707
	0	0	0	959
	0	0	0	780
	0	0	0	851
	0	0	0	3
	0	0	0	-1,118
	0	0	0	1,987
	0	0	0	1,825
	0	0	0	5,619
	0	0	0	5,034
	0	0	0	3,428
	0	0	0	566
	0	0	0	-790
	0	0	0	252
	0	0	0	-2,582
	0	0	0	-772
	0	0	0	-2,598
	0	0	0	-675
	0	0	0	6,670
	0	0	0	-20,629
	0	0	0	-4,609
	0	0	0	519
	0	0	0	562

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	-6,975
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 ...................		3	-211

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? Yes No

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	100,000	2,812,989	0.035549
2013	92,500	3,697,505	0.025017
2012	18,750	2,582,664	0.007260
2011	154,247	2,575,733	0.059885
2010	151,325	2,500,875	0.060509

Total of line 1, column (d) .....................

20.188220

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 . . .

0.037644

Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....

2,646,337

Multiply line 4 by line 3......................

99,619

Enter 1% of net investment income (1% of Part I, line 27b)...........

756

Add lines 5 and 6........................

100,375

Enter qualifying distributions from Part XII, line 4.............

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)

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	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	1,513
	hereand 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	1,513
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	1,513
6	Credits/Payments:

a	2015 estimated tax payments and 2014 overpayment credited to 2015	6a	3,027
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	3,027
8	Enter any penalty for underpayment of estimated tax. Check hereif Form 2220 is attached.		8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	1,514
11	Enter the amount of line 10 to be: Credited to 2015 estimated tax1,514	Refunded	11

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions

for definition)?.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

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.............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2015)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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) .............

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).................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

HEGAR & CRAWFORD CPA'S Telephone no. bullet

(856) 428-3773

Located at bullet

30 WASHINGTON AVEHADDONFIELDNJ ZIP+4 bullet

08033

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —Check here....... bullet

and enter the amount of tax-exempt interest received or accrued during the year ...... bullet

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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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)? ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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?.............

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)):

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?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

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.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

Form 990-PF (2015)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (Continued)

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))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? (see instructions)................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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)? ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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
JOHN R LOLIO JR	PRES/TRES 12.00	0	0	0
4300 HADDONFIELD RD STE 311 PENNSAUKEN,NJ08109	PRES/TRES 12.00	0	0	0
TRACY L KOZLOWSKI	V.P 0	0	0	0
4300 HADDONFIELD RD STE 311 PENNSAUKEN,NJ08109	V.P 0	0	0	0
PATRICIA LOLIO	SEC 0	0	0	0
4300 HADDONFIELD RD STE 311 PENNSAUKEN,NJ08109	SEC 0	0	0	0

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...................				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............. bullet

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	FINANCIAL ASSISTANCE PROVIDED IN THE FORM OF SCHOLARSHIPS TOEDUCATIONAL INSTITUTIONS ON BEHALF OF STUDENTS.	105,000
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......................... bullet

Form 990-PF (2015)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

2,604,768

Average of monthly cash balances.......................

81,869

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

2,686,637

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

2,686,637

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

40,300

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

2,646,337

Minimum investment return. Enter 5% of line 5..................

132,317

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

Minimum investment return from Part X, line 6....................

132,317

Tax on investment income for 2015 from Part VI, line 5......

1,513

Income tax for 2015. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

1,513

Distributable amount before adjustments. Subtract line 2c from line 1............

130,804

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

130,804

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

130,804

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

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).................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

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)

Page 9

Part XIII

Undistributed Income (see instructions)

	(c) 2014	(d) 2015
1 Distributable amount for 2015 from Part XI, line 7		130,804
2 Undistributed income, if any, as of the end of 2015:
a Enter amount for 2014 only.......	137,678
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2015:
a From 2010......
b From 2011......
c From 2012......
d From 2013......
e From 2014......
fTotal of lines 3a through e........
4Qualifying distributions for 2015 from Part
XII, line 4: $
a Applied to 2014, but not more than line 2a
b Applied to undistributed income of prior years (Election required—see instructions).....
c Treated as distributions out of corpus (Election required—see instructions)........
d Applied to 2015 distributable amount.....
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2015.
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........
e Undistributed income for 2014. Subtract line 4a from line 2a. Taxable amount—see instructions .............	137,678
f Undistributed income for 2016. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2015 ..........		130,804
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......
8Excess distributions carryover from 2010 not applied on line 5 or line 7 (see instructions) ...
9Excess distributions carryover to 2016. Subtract lines 7 and 8 from line 6a ......
10 Analysis of line 9:
a Excess from 2011....
b Excess from 2012....
c Excess from 2013....
d Excess from 2014....
e Excess from 2015....

Form 990-PF (2015)

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 section4942(j)(3) or4942(j)(5)

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	(e) Total

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.

aThe name, address, and telephone number or email address of the person to whom applications should be addressed:

bThe form in which applications should be submitted and information and materials they should include:

cAny submission deadlines:

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

Form 990-PF (2015)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
THE RICHARD STOCKTON COLLEGE OF NJ FOR MICHAEL FARR GALLOWAY,NJ08205		NONE	EXEMPT PURPOSETO FULFILL	1,250
UNIVERSITY OF MARYLAND FOR ROBIN SCHWARTZ MATTHEW SCHWARTZ COLLEGE PARK,MD20742		NONE	EXEMPT PURPOSETO FULFILL	3,750
NEW YORK UNIVERSITY FOR RACHEL HUGHES NEW YORK,NY10012		NONE	EXEMPT PURPOSETO FULFILL	0
HARVARD UNIVERSITY FOR JOHN P FINNEGAN CAMBRIDGE,MA02139		NONE	EXEMPT PURPOSETO FULFILL	5,000
MOORESTOWN FRIENDS SCHOOL DISTR FOR CAMDEN SCHOLARS PROGRAM MOORESTOWN,NJ08057		NONE	TO FULFILLEXEMPT PURPOSE	75,000
THE COLLEGE OF WILLIAM AND MARY FOR KACIE RETTIG WILLIAMSBURG,VA231878795		NONE	TO FULFILLEXEMPT PURPOSE	3,750
VIRGINIA TECH DIST FOR N KOSMALIA BLACKSBURG,VA24061		NONE	TO FULFILLEXEMPT PURPOSE	2,500
BROWN UNIVERSITY ADMISSIONS PROVIDENCE,RI02912		NONE	TO FULFILLEXEMPT PURPOSE	2,500
VILLANOVA UNIVERSITY 800 LANCASTER AVE VILLANOVA,PA19085		NONE	TO FULFILLEXEMPT PURPOSE	5,000
BOSTON COLLEGE 140 COMMONWEALTH AVENUE CHESTNUT HILL,MA02467		NONE	TO FULFILLEXEMPT PURPOSE	2,500
COLLEGE OF NEW JERSEY 2000 PENNINGTON ROAD EWING,NJ08628		NONE	TO FULFILLEXEMPT PURPOSE	2,500
RUTGERS UNIVERSITY 57 US HIGHWAY 1 NEW BRUNSWICK,NJ08901		NONE	TO FULFILLEXEMPT PURPOSE	1,250
Total ................................. 3a				105,000

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3 Interest on savings and temporary cash investments ...........			14	11
4 Dividends and interest from securities....			14	111,004
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 ............
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)..				111,015

13Total. Add line 12, columns (b), (d), and (e)..................

13111,015

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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?...........YesNo

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.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2015)

Additional Data

Software ID:
Software Version:
Part VI Line 7 -Original Return Overpayment:	-3,027

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2015 AccountingFeesSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
HEGAR & CRAWFORD CPA'S TAX RETURN PREPARATION	4,700

- TIN:

TY 2015 InvestmentsCorpBondsSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Name of Bond	End of Year Book Value	End of Year Fair Market Value
ASHMORE EMERGING MARKETS CORPORATE	35,733	28,871
DREYFUS EMERGING MARKETS DEBT LOCAL
DREYFUS INTERNATIONAL BOND FUND
FIDELITY ADVISORS EMERGING MARKETS INCOME FUND CLASS I	15,000	15,580
FPA NEW INCOME FUND #78	150,000	145,726
PIMCO EMERGING MARKETS BOND FD INC CL	47,665	52,326
PIMCO FOREIGN BOND FUND
PIMCO HIGH YIELD FUND INSTL CL	113,049	96,734
PIMCO LOW DURATION FUND	25,574	24,626
PUTNAM FLOATING RATE INC FUND	50,000	46,437
T ROWE PRICE SHORT TERM BOND FUND	151,000	149,055
WESTERN ASSET CORE PLUS BOND PORTFOLIO CL I	109,508	120,526

- TIN:

TY 2015 InvestmentsCorpStockSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Name of Stock	End of Year Book Value	End of Year Fair Market Value
3M CO	2,842	4,166
ABERDEEN EMERG MARKETS	59,215	51,071
AFFILIATED MANAGERS GROUP, INC COM	5,690	6,496
ALPHABET INC CL A	1,953	3,815
ALPHABET INC CL C	1,941	3,725
AMERIPRISE FINL INC	2,950	2,350
ANHEUSER-BUSCH INBEV SPN
APPLE INC	6,701	11,444
ARTISAN FDS INC SMALL CAP FD	120,000	95,396
ARTISAN MID CAP FUND INS	59,534	60,449
BERKSHIRE HATHAWAY INC	5,604	5,675
BLACKROCK INC	3,211	3,406
BAXTER INT INC
BOEING CO	7,866	6,982
CELANESE CORP	5,066	6,550
CISCO SYSTEMS INC	5,822	8,114
CITIGROUP INC	4,552	3,966
CME GROUP INC	4,084	7,204
COGNIZANT TECH SOLUTIONS CRP COM	2,356	2,508
COMCAST CORP CLASS A	3,166	7,940
CUMMINS INC	4,961	3,848
CVS HEALTH CORPORATION	5,863	6,742
DELAWARE POOLED TRUST-THE INTERNATIONAL EQUITY PORTFOLIO
DIAGO PLC -ADR	3,846	3,775
DODGE & COX INCOME FUND	144,904	148,872
DODGE & COX STOCK FUND	119,908	164,346
DODGE & COX INTERNATIONAL STOCK FUND	95,000	79,946
EATON CORP PLC	3,194	3,441
EM C CORP MASS
EXXON MOBIL CORP COM	3,971	8,777
GENERAL ELECTRIC CO COM	1,246	5,245
GILEAD SCIENCES INC	2,210	6,430
GOLDMAN SACHS GROUP INC	2,143	2,355
GOOGLE INC
GOOGLE INC CLASS C
HAIN CELESTIAL GROUP INC	3,141	3,273
HARBOR CAPITAL APPRECIATION FUND INST CL	116,760	211,736
HOME DEPOT INC	1,829	9,340
HSBC - ADR
INTL BUSINESS MACHINES CORP COM
ISHARES RUSSELL 2000 VALUE ETF	44,990	47,522
JOHNSON CONTROLS INC	4,938	5,846
JP MORGAN CHASE & CO COM	6,330	8,587
LAS VEGAS SANDS CORP	4,224	3,876
MANULIFE FINANCIAL CORP	2,000	2,049
McKESSON CORP	4,500	5,504
MERCK & CO INC NEW	1,234	1,323
MFS RESEARCH INTERNATIONAL FUND
MICROSOFT CORP COM	4,226	20,214
MFS RESEARCH INTERNATIONAL FUND CLASS I	118,153	120,706
MONDELEZ INTERNATIONAL INC
MONDRIAN INTERNATIONAL EQUITY	85,763	64,728
MONSANTO CO	6,205	4,826
MSIF MID CAP GROWTH PORTFOLIO	50,000	30,233
NATIONAL OILWELL VARCO INC COM
NESTLE SA REGISTERED SHARES	2,996	2,984
OPPENHEIMER DEVELOPING MARKET	38,952	33,199
ORACLE CORPORATION
PNC FINANCIAL SERVICES GROUP	4,800	4,229
PROCTER & GAMBLE CO COM
ROCHE HOLDINGS LTD - ADR	5,137	4,747
SCHLUMBERGER LTD	6,935	6,269
SUNCOR ENERGY INC	6,072	6,118
TARGET CORP	2,317	2,880
TEMPLETON EMERGING MARKETS	30,000	29,443
THERMOI FISHER SCIENTIFIC INC	1,929	3,540
TJX COS INC NEW	2,168	3,134
TOTAL SA ADR SPONSORED	3,263	2,952
UNION PACIFIC CORP	5,431	6,364
UNITED PARCEL SERVICES-CL B	2,504	3,164
UNITEDHEALTH GROUP INC	2,586	8,379
US BANCORP DEL NEW
VICTORY MUNDER MID CAP CORE GROWTH	53,173	64,283
WALT DISNEY CO	3,395	5,462
WELLS FARGO ADVANTAGE ULTRA SHORT TERM INCOME	80,965	80,171

- TIN:

TY 2015 InvestmentsOtherSchedule2

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Category/ Item	Book Value	End of Year Fair Market Value
CREDIT SUISSE COMMODITY RETURN STRATEGY FUND	10,000	10,271
GOLDMAN SACHS COMMODITY STRATEGY	25,000	11,992
T. ROWE PRICE REAL ESTATE FUND	65,208	206,737
VOYA INTERNATIONAL REAL ESTATE FUND	87,919	76,804

- TIN:

TY 2015 OtherAssetsSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
REFUND RECEIVABLE EXCISE TAX
ACCRUED INCOME	76	78	78
REFUND RECEIVABLE EXCISE TAX
ACCRUED INCOME	76	78	78
REFUND RECEIVABLE EXCISE TAX
ACCRUED INCOME	76	78	78

- TIN:

TY 2015 OtherAssetsSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
REFUND RECEIVABLE EXCISE TAX
ACCRUED INCOME	76	78	78
REFUND RECEIVABLE EXCISE TAX
ACCRUED INCOME	76	78	78
REFUND RECEIVABLE EXCISE TAX
ACCRUED INCOME	76	78	78

- TIN:

TY 2015 OtherAssetsSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
REFUND RECEIVABLE EXCISE TAX
ACCRUED INCOME	76	78	78
REFUND RECEIVABLE EXCISE TAX
ACCRUED INCOME	76	78	78
REFUND RECEIVABLE EXCISE TAX
ACCRUED INCOME	76	78	78

- TIN:

TY 2015 OtherDecreasesSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Description	Amount
REALIZED LOSS ON THE BOOKS	2,036

- TIN:

TY 2015 OtherExpensesSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT EXPENSES	9	9
BANK FEES

- TIN:

TY 2015 OtherIncomeSchedule2

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
Settlement Income	442
Excise Tax Refund

- TIN:

TY 2015 OtherProfessionalFeesSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
WELLS FARGO BANK FIDUCIARY FEE	30,160	30,160

- TIN:

TY 2015 TaxesSchedule

Name:

EVERLY SCHOLARSHIP FUND INC

EIN:

22-3161410

Category	Amount	Adjusted Net Income
FEDERAL EXCISE TAX	3,000	3,000
FOREIGN TAXES PAID	1,000
FEDERAL INCOME TAX	3,000