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 09-01-2015 , and ending 08-31-2016
Name of foundation
A HAYS ZIEMAN & CHRISTINE B ZIEMAN
CHARITABLE TRUST
Number and street (or P.O. box number if mail is not delivered to street address)REGIONS BANK TRUSTEE PO DRAWER 1628
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MOBILE, AL366331628
A Employer identification number

63-6193867
B Telephone number (see instructions)

(251) 438-8260
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,272,822J 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)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 29,900 29,900  
5a Gross rents............ 1,375 1,375  
b Net rental income or (loss) 1,233
6a Net gain or (loss) from sale of assets not on line 10 6,081
b Gross sales price for all assets on line 6a 555,687
7 Capital gain net income (from Part IV, line 2)... 6,081
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........ 37,356 37,356  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 16,763 16,763   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 1,600 0   1,600
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,077 780   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 156 156   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 20,596 17,699   1,600
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 20,596 17,699   1,600
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 16,760
b Net investment income (if negative, enter -0-) 19,657
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.............      
2 Savings and temporary cash investments......... 33,143 89,665 89,665
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 169,914 Click to see attachment104,359 109,121
b Investments—corporate stock (attach schedule)....... 270,311 Click to see attachment267,426 336,812
c Investments—corporate bonds (attach schedule)....... 227,449 Click to see attachment269,686 283,353
11 Investments—land, buildings, and equipment: basis bullet23,125
Less: accumulated depreciation (attach schedule) bullet   23,125 23,125 29,788
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 425,441 Click to see attachment411,345 424,083
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,149,383 1,165,606 1,272,822
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 1,149,383 1,165,606
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 0 0
30 Total net assets or fund balances (see instructions)..... 1,149,383 1,165,606
31 Total liabilities and net assets/fund balances (see instructions). 1,149,383 1,165,606
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,149,383
2
Enter amount from Part I, line 27a .....................
2
16,760
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,166,143
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
537
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,165,606
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 PUBLICLY TRADED SECURITIES P    
b CAPITAL GAINS DIVIDENDS P    
c
d
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 544,864   549,606 -4,742
b 10,823     10,823
c
d
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       -4,742
b       10,823
c
d
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 6,081
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 67,695 1,309,636 0.051690
2013 70,304 1,328,396 0.052924
2012 57,803 1,276,442 0.045284
2011 63,900 1,249,627 0.051135
2010 60,714 1,296,485 0.046830
2
Total of line 1, column (d) .....................
20.247863
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
0.049573
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,214,888
5
Multiply line 4 by line 3......................
5
60,226
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
197
7
Add lines 5 and 6........................
7
60,423
8
Enter qualifying distributions from Part XII, line 4.............
8
1,600
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 1 393
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........................... 3 393
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- ..... 5 393
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 920
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.............. 7 920
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 10 527
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet527 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)
    bulletAL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletREGIONS BANK TRUST DEPARTMENT Telephone no.bullet (251) 438-8077

    Located atbullet11 NORTH WATER ST 28TH FLOORMOBILEAL ZIP+4bullet36602
    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
     
     
    .........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
    REGIONS BANK TRUSTEE
    10.00     		16,763 0 0
    POST OFFICE DRAWER 1628
    MOBILE,AL36633
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,135,789
    b
    Average of monthly cash balances.......................
    1b
    67,812
    c
    Fair market value of all other assets (see instructions)................
    1c
    29,788
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,233,389
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,233,389
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    18,501
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,214,888
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    60,744
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    60,744
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    393
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    393
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    60,351
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    60,351
    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
    60,351
    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
    1,600
    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
    1,600
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,600
    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 60,351
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011...... 2,293
    c From 2012......  
    d From 2013...... 4,888
    e From 2014...... 4,007
    fTotal of lines 3a through e........ 11,188
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 1,600
    a Applied to 2014, but not more than line 2a 0
    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..... 1,600
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 11,188 11,188
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		47,563
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    Total .................................bullet 3a 0
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		         
    4 Dividends and interest from securities....     14 29,900  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 1,233  
    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 6,081  
    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 37,214 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    1337,214
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    A HAYS ZIEMAN & CHRISTINE B ZIEMAN
     
    CHARITABLE TRUST
    EIN:
    63-6193867
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX RETURN PREPARATION 1,600 0   1,600

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    A HAYS ZIEMAN & CHRISTINE B ZIEMAN
     
    CHARITABLE TRUST
    EIN:
    63-6193867
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AMERICAN EXPRESS, CO -- 5,000 4,997 5,155
    ANHEUSER-BUSCH -- 10,000 10,004 10,103
    APPLE INC -- 5,000 4,993 4,999
    AT&T INC -- 5,000 5,124 5,353
    AT&T INC -- 5,000 4,848 5,294
    BANK OF AMERICA CORP -- 4,000 3,765 4,979
    BRANCH BANKING & TRUST 4,985 5,000
    CA INC -- 5,000 5,197 5,514
    CATERPILLAR INC -- 8,000 4,216 4,585
    CISCO SYSTEMS INC -- 5,000 5,006 5,059
    CITIGROUP INC -- 8,000 7,991 8,200
    COMCAST CORP - 4,000 4,149 4,482
    DEUTSCHE BANK AG -- 5,000 5,001 4,975
    FORD MOTOR CO.-- 10,000 9,940 10,017
    GENERAL ELECTRIC -- 4,000 4,117 4,605
    GOLDMAN SACHS GROUP - 4,000 4,161 4,556
    HESS CORP. -- 4,000 4,361 4,521
    IBM INC -- 5,000 4,984 5,452
    INTEL CORP -- 5,000 4,981 5,400
    JOHN DEERE CAP CORP -- 5,000 5,000 5,145
    JP MORGAN CHASE - 4,000 4,087 4,475
    LOCKHEED MARTIN CORP -- 5,000 4,859 5,196
    MARATHON OIL CORP -- 6,000 5,082 5,611
    MERRILL LYNCH -- 5,000 5,106 5,420
    MOLSON COORS BREWING CO -- 5,000 5,014 5,839
    MORGAN STANLEY -- 5,000 5,067 5,561
    MORGAN STANLEY -- 5,000 5,010 5,302
    ORACLE CORP -- 5,000 5,103 5,371
    PFIZER INC -- 4,000 4,258 4,476
    PRUDENTIAL FINL INC -- 5,000 5,038 5,516
    ROYAL BANK OF CANADA 10,000 9,997 10,002
    SUNTRUST BANKS -- 5,000 4,996 5,034
    TARGET CORP -- 5,000 4,768 5,144
    TOYOTA MOTOR CREDIT -- 5,000 4,987 5,395
    UNITED HEALTH GROUP -- 5,000 5,003 5,020
    VERIZON COMM -- 4,000 4,088 5,076
    WACHOVIA CORP -- 5,000 5,012 5,176
    WAL MART STORES -- 4,000 5,252 5,771
    WALGREENS BOOTS ALLIANCE -- 5,000 5,027 5,366
    WELLS FARGO CO -- 5,000 4,990 5,490
    PEPSICO INC-- 5,000 4,993 5,001
    CHEVRON CORP -- 7,000 7,000 7,024
    SHELL INTL FIN --5,000 4,989 4,999
    BANK OF MONTREAL -- 5,000 4,998 4,998
    FIFTH THIRD BANK -- 5,000 5,009 5,085
    TORONTO-DOMINION BANK -- 5,000 5,099 5,117
    AMGEN INC -- 5,000 4,992 4,969
    ASTRAZENECA PLC -- 5,000 5,001 5,048
    GILEAD SCIENCIES -- 5,000 4,992 5,424
    GLAXOSMITHKLINE CAP PLC -- 7,000 7,037 7,026
    TEVA PHARMACU -- 5,000 5,012 5,027

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    A HAYS ZIEMAN & CHRISTINE B ZIEMAN
     
    CHARITABLE TRUST
    EIN:
    63-6193867
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M CO 2,450 6,990
    AMERICAN INTL GROUP 2,897 3,291
    APPLE INC 6,816 8,488
    AT&T INC 6,942 7,972
    BLACKROCK INC 1,910 3,728
    BRISTOL MYERS SQUIBB CO 5,464 5,108
    CELGENE CORP 2,436 3,095
    CISCO SYSTEMS INC 2,208 4,402
    CITIGROUP INC 3,297 3,485
    CITRIX SYSTEM INC 2,349 3,575
    COGNIZANT TECH SOLUTIONS 5,360 5,801
    CVS/CAREMARK RX 3,294 6,631
    ECOLAB INC 5,711 6,768
    EXXON MOBIL CORO 8,293 9,498
    FACEBOOK INC 5,146 7,063
    GENERAL ELECTRIC 4,580 6,779
    GOOGLE INC CL A 3,864 6,319
    GOOGLE INC CL C 1,564 3,835
    HONEYWELL INTL INC 4,352 6,652
    INTEL CORP 4,782 7,896
    INTUIT INC. 2,642 3,343
    JP MORGAN CHASE 3,753 6,412
    LYONDELLBASELL INDUSTRIES 2,739 2,919
    MEDTRONIC PLC 6,322 7,223
    MERCK & CO 2,106 3,453
    NEXTERA ENERGY INC 3,512 7,861
    NIKE INC 2,951 3,574
    ORACLE CORP 5,981 9,274
    PEPSICO INC 5,834 6,618
    PFIZER INC 6,681 6,612
    PRUDENTIAL FINL INC 2,598 3,572
    QUALCOMM INC. 3,100 4,289
    SCHLUMBERGER LTD 5,456 6,873
    STARBUCKS CORP 5,578 6,691
    STRYKER CORP 4,217 7,055
    SUNTRUST BANKS INC 6,520 7,051
    THERMO FISHER INC 822 3,348
    UNION PAC CORP 3,352 4,012
    UNITED TECH. CORP 5,845 7,450
    VERIZON COMM 7,313 9,262
    VERTEX PHARMACEUTICALS INC 3,749 2,835
    WASTE MANAGEMENT INC 3,665 4,795
    WELLS FARGO CO 5,951 8,636
    DOLLAR GENERAL CORP 3,180 2,496
    HOME DEPOT INC 3,247 3,219
    MATTEL INC 3,352 3,280
    MCDONALDS CORP 6,057 5,899
    ALTRIA GROUP INC 3,083 3,437
    COCA COLA CO 6,435 6,341
    MONDELEZ INTL 6,244 6,978
    WAL MART STORES INC 5,704 6,572
    WHOLE FOODS INC 3,335 2,856
    CHEVRON CORP 6,639 6,437
    INVESCO LTD 3,564 3,431
    CHUBB LTD 6,517 7,362
    ALLERGAN PLC 6,487 6,098
    EATON CORP 6,597 6,987
    MICROCHIP TECH 6,174 7,801
    SOUTHERN CO 6,409 7,084

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    A HAYS ZIEMAN & CHRISTINE B ZIEMAN
     
    CHARITABLE TRUST
    EIN:
    63-6193867
    US Government Securities - End of Year Book Value:

    104,359
    US Government Securities - End of Year Fair Market Value:

    109,121
    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:
    A HAYS ZIEMAN & CHRISTINE B ZIEMAN
     
    CHARITABLE TRUST
    EIN:
    63-6193867
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    AMERICAN CENTURY SM CAP FD AT COST 19,859 18,585
    FHLMC -- 1173 AT COST 1,251 1,285
    FHLMC -- 1188 AT COST 1,289 1,323
    FHLMC -- 9344 AT COST 9,699 9,844
    FHLMC -- 7914 AT COST 8,166 8,192
    FHLMC -- 4329 AT COST 4,494 4,538
    FNMA -- 904 AT COST 946 1,026
    FNMA -- 2704 AT COST 2,798 2,906
    FNMA -- 2392 AT COST 2,514 2,544
    FNMA -- 1605 AT COST 1,708 1,766
    FNMA -- 3123 AT COST 3,115 3,305
    FNMA -- 4768 AT COST 4,991 5,055
    FNMA -- 3267 AT COST 3,273 3,379
    FNMA -- 3734 AT COST 3,846 3,899
    FNMA -- 4049 AT COST 4,047 4,211
    FNMA -- 4967 AT COST 5,189 5,643
    FNMA -- 276 AT COST 273 314
    FNMA -- 2175 AT COST 2,346 2,437
    FNMA -- 1110 AT COST 1,073 1,170
    FNMA -- 419 AT COST 459 474
    FNMA -- 309 AT COST 322 354
    FNMA -- 414 AT COST 438 474
    FNMA -- 990 AT COST 1,097 1,135
    FNMA -- 723 AT COST 728 828
    FNMA -- 501 AT COST 499 536
    FNMA -- 322 AT COST 321 368
    FNMA -- 86 AT COST 83 89
    FNMA -- 324 AT COST 352 329
    FNMA -- 595 AT COST 601 681
    FNMA -- 426 AT COST 429 488
    FNMA -- 471 AT COST 483 502
    FNMA -- 255 AT COST 261 289
    FNMA -- 1317 AT COST 1,393 1,413
    FNMA -- 2247 AT COST 2,352 2,356
    FNMA -- 1493 AT COST 1,614 1,598
    FNMA -- 1203 AT COST 1,282 1,316
    FNMA -- 3036 AT COST 3,206 3,205
    FNMA -- 2515 AT COST 2,609 2,658
    INVESCO INTL GROWTH FD AT COST 41,516 44,038
    ISHARES CORE MID-CAP FD AT COST 26,902 29,706
    JP MORGAN MID CAP FD AT COST 15,858 20,091
    MFS RESH INTL FD AT COST 41,817 41,913
    TEMPLETON GLOBAL BOND FD AT COST 40,000 33,958
    VANGUARD S/T BOND INDEX FD AT COST 45,000 45,252
    VIRTUS EMERGING MKTS FD AT COST 13,286 12,967
    VIRTUS SMALL MID CAP FD AT COST 16,663 18,068
    ARTISAN MID CAP FD AT COST 18,000 20,427
    ISHARES CORE S&P SMALL CAP FD AT COST 16,979 19,177
    FHLMC -- 4501 AT COST 4,739 4,721
    FHLMC -- 2275 AT COST 2,442 2,445
    FHLMC -- 4492 AT COST 4,674 4,788
    PRUDENTIAL HIGH YIELD FD AT COST 24,063 26,017

    TY 2015 OtherDecreasesSchedule
    Name:
    A HAYS ZIEMAN & CHRISTINE B ZIEMAN
     
    CHARITABLE TRUST
    EIN:
    63-6193867
    Description Amount
    TIMING DIFFERENCE 537


    TY 2015 OtherExpensesSchedule
    Name:
    A HAYS ZIEMAN & CHRISTINE B ZIEMAN
     
    CHARITABLE TRUST
    EIN:
    63-6193867
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MISC ADMINISTRATION EXPENSE 14 14   0
    RENTAL INSURANCE 142 142   0


    TY 2015 TaxesSchedule
    Name:
    A HAYS ZIEMAN & CHRISTINE B ZIEMAN
     
    CHARITABLE TRUST
    EIN:
    63-6193867
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 1,297 0   0
    FOREIGN TAX PAID 195 195   0
    ADVALOREM PROPERTY TAX 585 585   0