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 12-01-2015 , and ending 11-30-2016
Name of foundation
HB Fuller Company Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 64683
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
St Paul, MN551640683
A Employer identification number

36-3500811
B Telephone number (see instructions)

(651) 236-5847
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$242,899
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 450,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
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)....... 2,500 0  
12 Total. Add lines 1 through 11........ 452,500 0  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 12,080 0   9,450
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 1,346 0   1,346
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 939 0   939
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 14,365 0   11,735
25 Contributions, gifts, grants paid....... 737,691 738,116
26 Total expenses and disbursements. Add lines 24 and 25 752,056 0   749,851
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -299,556
b Net investment income (if negative, enter -0-) 0
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............. 540,250 242,899 242,899
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 540,250 242,899 242,899
Liabilities 17 Accounts payable and accrued expenses..........   2,630
18 Grants payable.................. 425  
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment2,847 Click to see attachment0
23 Total liabilities (add lines 17 through 22)......... 3,272 2,630
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 536,978 240,269
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 536,978 240,269
31 Total liabilities and net assets/fund balances (see instructions). 540,250 242,899
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
536,978
2
Enter amount from Part I, line 27a .....................
2
-299,556
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2,847
4
Add lines 1, 2, and 3 ..........................
4
240,269
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
240,269
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.)
1a
b
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
b
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
b
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  
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 0 38,679 0.000000
2013 912,494 1,394,049 0.654564
2012 817,871 1,392,406 0.587380
2011 624,349 2,014,752 0.309889
2010 623,101 2,562,650 0.243147
2
Total of line 1, column (d) .....................
21.794980
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
0.358996
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
615,641
5
Multiply line 4 by line 3......................
5
221,013
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
0
7
Add lines 5 and 6........................
7
221,013
8
Enter qualifying distributions from Part XII, line 4.............
8
749,851
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 0
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 0
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 0
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a  
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 0
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 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMN
    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 ofbulletAnna Bosak Telephone no.bullet (651) 236-5847

    Located atbullet1200 Willow Lake BlvdSt PaulMN ZIP+4bullet551105101
    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
    Yes
     
    .........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). Click to see attachment
    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
    JIM OWENS Director
    1.00
    0 0 0
    HB FULLER COMPANY 1200 Willow Lake
    Blvd
    ST PAUL,MN551640683
    Wes Oren Director-PART YEAR
    1.00
    0 0 0
    HB FULLER COMPANY 1200 Willow Lake
    Blvd
    ST PAUL,MN551640683
    Traci Jensen Director
    1.00
    0 0 0
    HB FULLER COMPANY 1200 Willow Lake
    Blvd
    ST PAUL,MN551640683
    Nathan Weaver BOARD PRESIDENT
    1.00
    0 0 0
    HB FULLER COMPANY 1200 Willow Lake
    Blvd
    ST PAUL,MN551640683
    Kimberlee Sinclair Executive Director
    1.00
    0 0 0
    HB FULLER COMPANY 1200 Willow Lake
    Blvd
    ST PAUL,MN551640683
    Matt Bendixen Treasurer
    1.00
    0 0 0
    HB FULLER COMPANY 1200 Willow Lake
    Blvd
    ST PAUL,MN551640683
    Rachel Hart Secretary-Part Year
    1.00
    0 0 0
    HB FULLER COMPANY 1200 Willow Lake
    Blvd
    ST PAUL,MN551640683
    kristen Stone Director
    1.00
    0 0 0
    hB FULLER COMPANY 1200 Willow Lake
    Blvd
    sT PAUL,MN551640683
    Lee Polance Director
    1.00
    0 0 0
    hB FULLER COMPANY 1200 Willow Lake
    Blvd
    sT PAUL,MN551640683
    Ann Parriott EX-OFFICIO-PART YEAR
    1.00
    0 0 0
    hB FULLER COMPANY 1200 Willow Lake
    Blvd
    sT PAUL,MN551640683
    Anna Bosak Secretary
    1.00
    0 0 0
    hB FULLER COMPANY 1200 Willow Lake
    Blvd
    sT PAUL,MN551640683
    PAULA COONEY EX-OFFICIO
    1.00
    0 0 0
    hB FULLER COMPANY 1200 Willow Lake
    Blvd
    sT PAUL,MN551640683
    JEFF MURRAY DIRECTOR
    1.00
    0 0 0
    hB FULLER COMPANY 1200 Willow Lake
    Blvd
    sT PAUL,MN551640683
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    625,016
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    625,016
    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
    625,016
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    9,375
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    615,641
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    30,782
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    30,782
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    30,782
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    2,500
    5
    Add lines 3 and 4............................
    5
    33,282
    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
    33,282
    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
    749,851
    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
    749,851
    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
    749,851
    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 33,282
    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...... 495,002
    b From 2011...... 523,643
    c From 2012...... 748,263
    d From 2013...... 842,828
    e From 2014...... 819,453
    fTotal of lines 3a through e........ 3,429,189
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 749,851
    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..... 33,282
    e Remaining amount distributed out of corpus 716,569
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 4,145,758
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
    495,002
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    3,650,756
    10 Analysis of line 9:
    a Excess from 2011.... 523,643
    b Excess from 2012.... 748,263
    c Excess from 2013.... 842,828
    d Excess from 2014.... 819,453
    e Excess from 2015.... 716,569
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    APPLICATIONS MUST BE SUBMITTED ONLI
    PO Box 64683
    St Paul,MN551640683
    (651) 236-5847
    hbfullerfoundation@hbfuller.com
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATIONS MUST BE SUBMITTED ONLINE.
    cAny submission deadlines:
    Grants are reviewed twice a year with proposal deadlines of March 31 and August 31.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Grant recipients must be a tax-exempt 501(c)(3) organization. Related projects must be aligned with H.B.Fuller's focus areas and aim to benefit people where employees live and work. Recipients must be located in, or within the surrounding community, of an H.B. Fuller facility. Individual grants typically range from $5,000 to $15,000. An invitation to submit an application does not guarantee a grant will be made.
    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
    Amherst H Wilder Foundation
    451 Lexington Parkway North
    St Paul,MN55104
    none PC Youth Leadership Initiative 10,000
    Art Institute of Chicago
    111 South Michigan Avenue
    Chicago,IL60603
    none PC HBF Invest Q4 - D.J. Turner 115
    Augsburg College
    2211 Riverside Avenue
    Minneapolis,MN55454
    none PC Minnesota Urban Debate League 10,000
    The Bakken
    3537 Zenith Avenue South
    Minneapolis,MN55416
    none PC General Operations 10,000
    Bayfield Heritage Association Inc
    PO Box 137
    Bayfield,MN54814
    none PC HBF Invest Q2 - Robert Van Sant 1,000
    Bemidji State University Alumni and Foundation
    1500 Birchmont Drive NE 17
    Bemidji,MN56601
    none PC HBF Invest Q3 - Leland Moe 50
    Benedictine University
    5700 College Road
    Lisle,IL60532
    none PC HBF Invest Q1 - Kevin Reid 250
    Benet Academy
    2200 Maple Avenue
    Lisle,IL60532
    none PC HBF Invest Q3 - William Andounian 300
    BestPrep
    7100 Northland Circle Suite 120
    Brooklyn Park,MN55428
    none PC Minnesota Business Venture and eMentors programsExecutive Board - Bob Martsching 10,000
    Bethel University
    3900 Bethel Drive
    St Paul,MN55112
    none PC HBF Invest Q1 - James Barsness 1,000
    Bridgton Academy
    11 Academy Lane PO Box 292
    North Bridgton,ME04057
    none PC HBF Invest Q4 - Ron Lufkin, Jr. 200
    Bright Water Elementary
    5140 Fremont Avenue North
    Minneapolis,MN55430
    none PC HBF Invest Q4 - Nolan Hanson 50
    Bright Water Montessori School
    5140 Fremont Avenue North
    Minneapolis,MN55430
    none PC HBF Invest Q1 - Nolan Hanson 50
    Carleton College
    One North College Street
    Northfield,MN55057
    none PC HBF Invest Q1 - Paul O. Johnson 100
    Casa de Esperanza
    1821 W University Avenue Suite 155
    St Paul,MN55104
    none PC Fuerza Unida Amigos: Youth Leaders Initiative 10,000
    Catholic Charities of the Archdiocese of St Paul and Minneapolis
    1200 Second Avenue South
    Minneapolis,MN55403
    none PC in support of Dorothy Day Center's capital campaignExecutive Board - Jim Owens 25,000
    Center for Irish Music Inc
    836 Prior Avenue North
    St Paul,MN55104
    none PC HBF Invest Q4 - Thomas Quinn 500
    Century College Foundation
    3300 Century Avenue North
    White Bear Lake,MN55110
    none PC FAB LAB Community Access Pilot ProjectExecutive Board - Greg Mueller 2,500
    Colleges of the Seneca Hobart & Wm Smith Colleges
    337 Pulteney Street
    Geneva,NY14456
    none PC HBF Invest Q1 - Lawrence Day 200
    Colonial Williamsburg Foundation
    PO Box 1776
    Williamsburg,VA23187
    none PC HBF Invest Q2 - Cathi Johnson 100
    Como Friends
    1225 Estabrook Drive
    St Paul,MN55103
    none PC STEM and teen leadership programs 10,250
    Concordia College Alabama
    1712 Broad Street
    Selma,AL36701
    none PC HBF Invest Q1 - Nick De Rose 1,000
    Covington-Newton County United Fund
    PO Box 1344
    Covington,GA30015
    none PC 2015 Covington United Way Match 1,569
    Cramerton Christian Academy
    426 Woodlawn Avenue
    Cramerton,NC28032
    none PC HBF Invest Q1 - Cheryl Thomas 1,000
    Cretin-Derham Hall
    550 South Albert Street
    St Paul,MN55116
    none PC HBF Invest Q1 - Frances Moudry 100
    Crown College
    8700 College View Drive
    St Bonifacius,MN55375
    none PC HBF Invest Q1 - Frances Moudry 550
    De La Salle Institute
    3434 South Michigan Avenue
    Chicago,IL60616
    none PC HBF Invest Q1 - James Carey 50
    DePaul University
    1 East Jackson Boulevard
    Chicago,IL60604
    none PC HBF Invest Q2 - James Carey 50
    DePauw University
    300 East Seminary Street
    Greencastle,IN46135
    none PC HBF Invest Q1 - Frank Durham 1,000
    Don Bosco Preparatory High School
    492 North Franklin Turnpike
    Ramsey,NJ07446
    none PC HBF Invest Q1 - William Andounian 100
    Dowling Urban Environmental School
    3900 West River Parkway
    Minneapolis,MN55406
    none PC HBF Invest Q2 - Jessica Vanderborght 100
    Fox Valley United Way
    44 East Galena Boulevard
    Aurora,IL60505
    none PC 2015 Aurora United Way Match 978
    Friends of the Mississippi River
    360 North Robert Street Suite 400
    St Paul,MN55101
    none PC Youth Environmental Stewards YES! program 10,000
    Georgia Robotics Alliance Inc
    2152 Collins Drive NW
    Atlanta,GA30318
    none PC FIRST FRC and FLL Robotics Tournaments 5,000
    GlobalGiving Foundation
    1110 Vermont Avenue NW Suite 550
    Washington,DC20005
    none PC Primary School of Gaozhuang, Xingren Town, Shapotou District 225,425
    Greater Atlanta Christian Schools Inc
    1575 Indian Trail Road
    Norcross,GA30093
    none PC HBF Invest Q4 - Bruce Hanft 250
    Greater Twin Cities United Way
    404 South 8th Street
    Minneapolis,MN55404
    none PC 2015 Greater Twin Cities United Way Match 52,970
    Heart of West Michigan United Way
    118 Commerce Avenue Southwest
    Grand Rapids,MI49503
    none PC 2015 Grand Rapids United Way Match 130
    Innovations in Science and Technology Education
    111 3rd Avenue South Suite 120
    Minneapolis,MN55401
    none PC Minnesota FIRST LEGO League, FIRST Tech Challenge and Junior FIRST LEGO LeagueExecutive Board - Kir 10,000
    Highland Catholic School
    2017 Bohland Avenue
    St Paul,MN55109
    none PC HBF Invest Q4 - Deb Bakeman 100
    Hill-Murray School
    2625 Larpenteur Avenue East
    St Paul,MN55109
    none PC HBF Investment 2,050
    Hillsdale College
    33 East College Street
    Hillsdale,MI49242
    none PC HBF Invest Q1 - Frances Moudry 450
    Holy Spirit Academy
    1001 7th Street East Suite 1
    Monticello,MN55362
    none PC HBF Invest Q1 - Frances Moudry 700
    Holy Spirit Church and School
    515 Albert Street South
    St Paul,MN55116
    none PC HBF Invest Q1 - Thomas Shomion 1,000
    Illinois Institute of Technology
    10 West 35th Street Suite 1700
    Chicago,IL60616
    none PC HBF Invest Q4 - D.J. Turner 250
    Independent School District #12
    4707 North Road
    Circle Pines,MN55014
    none PC STEM Mini-GrantsCentennial Middle School 20,389
    Independent School District #621
    350 Hwy 96 West
    Shoreview,MN55126
    none PC STEM Mini-GrantsHighview Middle School - Edgewood Middle School 6,800
    Independent School District #622
    2520 East 12th Avenue
    North St Paul,MN55109
    none PC STEM Mini-GrantsSkyview Middle School - John Glenn Middle School - Maplewood Middle School 16,815
    Independent School District #624
    4855 Bloom Avenue
    White Bear Lake,MN55110
    none PC STEM Mini-GrantsCentral Middle School 5,250
    Independent School District #833
    7362 East Point Douglas Road South
    Cottage Grove,MN55016
    none PC STEM Mini-GrantsLake Middle School 4,530
    Jefferson Awards Foundation
    100 West Tenth Street Suite 215
    Wilmington,DE19801
    none PC youth leadership programs in Minnesota 10,000
    Junior Achievement of the Upper Midwest Inc
    1800 White Bear Avenue North
    Maplewood,MN55109
    none PC general operationsExecutive Board - Jim Giertz 15,000
    Kettering University
    1700 University Avenue
    Flint,MI48504
    none PC HBF Invest Q4 - John Michael Losh 1,000
    Lewis University
    1 University Parkway
    Romeoville,IL60446
    none PC summer 2017 chemistry camp 10,000
    Louisville Olmsted Parks Conservancy Inc
    1299 Trevilian Way
    Louisville,KY40213
    none PC HBF Invest Q1 - William Dunn 250
    Luther College
    700 College Drive
    Decorah,IA52101
    none PC HBF Invest Q2 - Jon Storvick 100
    Macalester College
    1600 Grand Avenue
    St Paul,MN55105
    none PC HBF Invest Q4 - Karen Muller 250
    Marquette Catholic School
    311 - 3rd Street South
    Virginia,MN55792
    none PC HBF Invest Q1 - Gary Witzman 550
    Maternity of Mary - St Andrew School
    592 Arlington Avenue West
    St Paul,MN55117
    none PC HBF Investment 1,300
    McCurdy Schools of Northern New Mexico
    362A South McCurdy Road
    Espanola,NM87532
    none PC HBF Invest Q4 - Andrew Benjamin 100
    Merrick Inc
    3210 Labore Road
    Vadnais Heights,MN55110
    none PC general operationsExecutive Board - Len DeLlano 7,500
    Metropolitan Opera Association Inc
    30 Lincoln Center Plaza
    New York,NY10023
    none PC HBF Invest Q2 - Jon Erickson 400
    Minneapolis Public Schools - Special School District #1
    1555 James Avenue North
    Minneapolis,MN55411
    none PC HBF Investment 350
    Minneapolis Society of Fine Arts
    2400 Third Avenue South
    Minneapolis,MN55404
    none PC HBF Invest Q3 - D.J. Turner 105
    Minnehaha Academy
    3100 West River Parkway
    Minneapolis,MN55406
    none PC HBF Investment 1,050
    Minnesota Department of Natural Resources
    500 Lafayette Road
    St Paul,MN55155
    none PC HBF Invest Q1 - Linda SchaffhausenIn support of the Minnesota Conservation Volunteer 50
    Minnesota Historical Society
    345 Kellogg Boulevard West
    St Paul,MN55102
    none PC HBF Investment 1,050
    Minnesota Landscape Arboretum Foundation
    3675 Arboretum Drive
    Chaska,MN55318
    none PC Urban Garden Program 10,000
    Minnesota Professional Engineers Foundation
    880 Blue Gentian Road 170
    Eagan,MN55121
    none PC Minnesota MATHCOUNTS program 10,000
    Minnesota Public Radio
    480 Cedar Street
    St Paul,MN55101
    none PC HBF Investment 1,070
    Minnesota Zoo Foundation
    13000 Zoo Boulevard
    Apple Valley,MN55124
    none PC ZooMS - Minnesota Zoo Math and Science Program 7,750
    Morgan County High School
    1231 College Drive
    Madison,GA30650
    none PC Robotics Program 5,000
    Mount St Mary Seminary of the West Athenaeum of Ohio Norwood
    6616 Beechmont Avenue
    Cincinnati,OH45230
    none PC HBF Invest Q1 - Ralph Moeller 1,000
    National Inventors Hall of Fame Inc
    3701 Highland Park NW
    North Canton,OH44720
    none PC Camp Invention and Invention Project Programs in Vancouver 25,000
    Northern Illinois Food Bank
    273 Dearborn Court
    Geneva,IL60134
    none PC VolunTeen program 5,000
    Northern Star Council - Boy Scouts of America
    393 Marshall Avenue
    St Paul,MN55102
    none PC HBF Invest Q3 - Nick Palumbo 217
    Northfield Mount Hermon School
    One Lamplighter Way
    Mount Herman,MA01354
    none PC HBF Invest Q2 - Karen Muller 250
    Northland College
    1411 Ellis Avenue
    Ashland,WI54806
    none PC HBF Invest Q3 - James Collins 1,000
    PACER Center Inc
    8161 Normandale Boulevard
    Minneapolis,MN55437
    none PC TECH FOR TEENS program 5,000
    Paducah Junior College Corp
    4810 Alben Barkley DrivePO Box 7380
    Paducah,KY42001
    none PC Challenger Learning Center School Missions 7,500
    Paducah Public Schools Foundation Inc
    800 Caldwell Street
    Paducah,KY42003
    none PC Mobile Technology Lab 7,500
    Paradise Teams Inc
    6221 Belrick Court NE
    Belmont,MI49306
    none PC robotics parts and tools 1,500
    Pavek Museum of Broadcasting
    3517 Raleigh Avenue
    St Louis Park,MN55416
    none PC HBF Invest Q3 - Phillip Drexler 50
    Project SUCCESS
    One Groveland Terrace Suite 300
    Minneapolis,MN55403
    none PC general operationsExecutive Board - Kimberlee Sinclair 10,000
    Providence Academy
    15100 Schmidt Lake Road
    Plymouth,MN55446
    none PC HBF Invest Q1 - Frances Moudry 200
    Regions Hospital Foundation
    640 Jackson Street
    St Paul,MN55101
    none PC Campaign for NeuroscienceExecutive Board - Tim Keenan 25,000
    Ridgewater College Foundation
    2101 - 15th Avenue Northwest
    Willmar,MN56201
    none PC HBF Invest Q1 - Carol Zavadil 100
    Roseau County Historical Society
    121 Center Street East Suite 101
    Roseau,MN56751
    none PC HBF Invest Q1 - Gary Witzman 50
    Rust College
    150 Rust Avenue
    Holly Springs,MS38635
    none PC HBF Invest Q4 - Andrew Benjamin 400
    Ruth Eckerd Hall Inc
    1111 North McMullen Booth Road
    Clearwater,FL33759
    none PC HBF Invest Q2 - Andrej Rutkis 250
    Saint Michael's College
    One Winoosk Park PO Box 256
    Colchester,VT05439
    none PC HBF Invest Q2 - Christopher Lawless 1,000
    Saint Paul Chamber Orchestra Society
    408 St Peter Street Suite 500
    St Paul,MN55102
    none PC HBF Invest Q3 - Karen Muller 75
    The Saint Paul Seminary School of Divinity
    2260 Summit Avenue
    St Paul,MN55105
    none PC HBF Invest Q1 - Gary Witzman 200
    Science Museum of Minnesota
    120 West Kellogg Boulevard
    St Paul,MN55102
    none PC HBF Investment 844
    Shelby County Catholic School
    2005 College Place
    Harlan,IA51537
    none PC HBF Invest Q4 - Sarah Oebser 100
    Shimer College
    3424 South State Street
    Chicago,IL60616
    none PC HBF Invest Q2 - D.J. Turner 250
    Somali American Parent Association
    1433 East Franklin Avenue Suite 10
    Minneapolis,MN55404
    none PC SciGirls/Kids program 3,750
    Spark Youth
    4432 Chicago Avenue South
    Minneapolis,MN55407
    none PC STEM Lab 8,750
    Springfield College
    263 Alden Street
    Springfield,MA01109
    none PC HBF Invest Q4 - Ron Lufkin, Jr. 750
    St Catherine University
    2004 Randolph Avenue
    St Paul,MN55105
    none PC HBF Investment 150
    St Ignatius High School of Cleveland
    1911 West 30th Street
    Cleveland,OH44113
    none PC HBF Invest Q2 - Patrick Cooney 100
    St Mary's Mission School
    15341 St Marys Mission RoadPO Box
    189
    Red Lake,MN56671
    none PC HBF Invest Q1 - Gary Witzman 200
    St Odilia School
    3495 North Victoria Street
    Shoreview,MN55126
    none PC HBF Invest Q2 - Tiffany Kramlich 200
    St Olaf College
    1520 St Olaf Avenue
    Northfield,MN55057
    none PC HBF Invest Q2 550
    Saint Xavier High School
    1609 Poplar Level Road
    Louisville,KY40217
    none PC HBF Invest Q1 - William Dunn 500
    Stanford University Board of Trustees of the Leland Stanford Junior Univers
    326 Galvez Street
    Stanford,CA94305
    none PC HBF Invest Q4 - Jeff Murray 500
    Trinity Schools Inc
    601 River Ridge Parkway
    Eagan,MN55121
    none PC HBF Invest Q1 - Shari Nepper 50
    Trustees of Grinnell College
    733 Broad Street
    Grinnell,IA50112
    none PC HBF Invest Q2 - Anna Bosak 50
    Trustees of the Hamline University of Minnesota
    1536 Hewitt Avenue
    St Paul,MN55104
    none PC HBF Invest Q4 - Jodie Monson 500
    Twin Cities Housing Development Corporation
    400 Selby Avenue Suite C
    St Paul,MN55102
    none PC Teens with Technology afterschool program 5,000
    Twin Cities Opera Guild Inc
    1043 Grand Avenue 189
    St Paul,MN55105
    none PC HBF Invest Q2 - Donna Carlson 245
    Twin Cities Public Television Inc
    172 East Fourth Street
    St Paul,MN55101
    none PC HBF Invest Q3 637
    United Theological Seminary of the Twin Cities
    3000 - 5th Street Northwest
    New Brighton,MN55112
    none PC HBF Invest Q1 - Tim Roska 375
    United Way of Greater Cincinnati
    2400 Reading Road
    Cincinnati,OH45202
    none PC 2015 Blue Ash United Way Match 751
    United Way of Central Jersey
    32 Ford Avenue 1
    Milltown,NJ08850
    none PC 2015 Edison United Way Match 143
    United Way of Greater Philadelphia and Southern New Jersey
    1709 Benjamin Franklin Parkway
    Philadelphia,PA19103
    none PC 2015 donation match for Jim Owens 1,463
    United Way of Metropolitan Atlanta
    100 Edgewood Avenue Northeast
    Atlanta,GA30303
    none PC 2015 Tucker United Way Match 885
    United Way of Northwest Georgia
    PO Box 566
    Dalton,GA30722
    none PC 2015 Dalton United Way Match 5
    United Way of Paducah-McCracken County
    333 Broadway Street Suite 502
    Paducah,KY42001
    none PC 2015 Paducah United Way Match 1,883
    United Way of the Columbia-Willamette
    619 Southwest 11th Avenue Suite 300
    Portland,OR97205
    none PC 2015 Vancouver United Way Match 3,973
    United Way Sacramento Area
    10389 Old Placerville Road
    Sacramento,CA95827
    none PC 2015 Roseville United Way Match 530
    United Way Worldwide
    701 North Fairfax Street
    Alexandria,VA22314
    none PC 2015 Longueuil, Canada United Way Match - in support of Centraide du Grand Montreal 294
    University of Dayton
    300 College Park
    Dayton,OH45469
    none PC HBF Invest Q3 - Patrick Cooney 100
    University of Illinois Foundation
    1305 West Green Street
    Urbana,IL61801
    none PC HBF Invest Q1 - Kevin Reid 250
    University of Minnesota Foundation
    321 19th Avenue South
    Minneapolis,MN55455
    none PC general operations for the Carlson School of ManagementExecutive Board - Jim Owens 17,100
    University of Northern Iowa Foundation
    121 Commons
    Cedar Falls,IA50614
    none PC HBF Invest Q4 - Sarah Oebser 100
    University of Notre Dame Du Lac
    1100 Grace Hall
    Notre Dame,IN46556
    none PC HBF Invest Q1 - Timothy Keenan 2,000
    University of St Thomas
    2115 Summit Avenue DEV
    St Paul,MN55105
    none PC HBF Invest Q1 - Michael Milacnik 1,000
    University of Wisconsin River Falls Foundation
    410 South Third Street
    River Falls,WI54022
    none PC HBF Invest Q1 - Gerhard Koosmann 1,000
    Urban Boatbuilders Inc
    2288 University Avenue West
    St Paul,MN55114
    none PC Apprenticeship Program 5,000
    Voyageur Outward Bound School
    1400 Energy Park Drive Suite 18
    St Paul,MN55108
    none PC Urban Youth Go Outward Bound 10,000
    West Catholic High School
    1801 Bristol Northwest
    Grand Rapids,MI49504
    none PC Enigma Robotics program 2,500
    Westminster College
    Old Main Room 106
    New Wilmington,PA16172
    none PC HBF Invest Q1 - Lawrence Day 100
    White Bear Lake Area Educational Foundation
    4855 Bloom Avenue
    White Bear Lake,MN55110
    none PC HBF Invest Q1 - Adam Senart 100
    Women's Initiative for Self Empowerment
    570 Asbury Street Suite 202
    St Paul,MN55104
    none PC Girls Getting Ahead in Leadership GGAL 5,000
    The Works
    9740 Grand Avenue South
    Bloomington,MN55420
    none PC general operationsExecutive Board - Kristy Beckman 11,000
    Washington State 4-H Foundation Inc
    1919 NE 78th Street
    Vancouver,WA98665
    none PC Clark County 4-H Clovernauts Robotics Club 5,000
    YWCA of Minneapolis
    1130 Nicollet Mall
    Minneapolis,MN55403
    none PC Eureka 10,000
    Total .................................bullet 3a 738,116
    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....          
    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:
    areturned grants
        01 2,500  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 2,500 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    132,500
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    HB Fuller Company Foundation
     
    Employer identification number

    36-3500811
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    HB Fuller Company Foundation
     
    Employer identification number
    36-3500811
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    hb fuller company
     

       
    po box 64683
     
    st paul, MN551640683

    $ 450,000


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    HB Fuller Company Foundation
     
    Employer identification number

    36-3500811
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    HB Fuller Company Foundation
     
    Employer identification number

    36-3500811
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    HB Fuller Company Foundation
    EIN:
    36-3500811
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROFESSIONAL SERVICES 12,080 0   9,450

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2015 ExpenditureResponsibilityStmt
    Name:
    HB Fuller Company Foundation
    EIN:
    36-3500811
    Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
    FUNDACAO MELANIE KLEIN DE EDUCACAO ESPECIAL
     
    AVENIDA NOVE DE JULHO JARDIM
    ZULMIRE
    SAN PAULO,SOROCABA  
    BR
    2010-11-01 14,583 BASIC EDUCATION FOR PEOPLE WITH DISABILITIES     FINAL REPORT IS PENDING   To the knowledge of the grantor, H.B. Fuller Company Foundation, the grantee has not diverted any portion of the funds (or income there from) from the purpose of the grant.Final report was due February 2012. Follow-up notice was sent to Adrilene Leme in Brazil on September 10, 2013. As of the filing date, the report has not been received. The grantor, H.B. Fuller Company Foundation, has no reason to doubt the accuracy or reliability of previous report(s) received. Both an external financial audit and external program audit were conducted for the foundation for previous grants. We are satisfied that all reports received in the past from this organization have been accurate.
    Integrar - Instituicao Terapeutica de Grupos de Habilitacao e Reabilitacao
     
    Avenida Comendador Pereira Inacio
    1991 - Lageado
    Sao Paulo    
    BR
    2012-03-01 22,530 for the purchase of children's wheelchairs     FINAL REPORT IS PENDING   TO THE KNOWLEDGE OF THE GRANTOR, H.B. FULLER COMPANY FOUNDATION, THE GRANTEE HAS NOT DIVERTED ANY PORTION OF THE FUNDS (OR INCOME THERE FROM) FROM THE PURPOSE OF THE GRANT.FINAL REPORT WAS DUE JULY 1, 2013. AS OF THE FILING DATE, THE REPORT HAS NOT BEEN RECEIVED.THE GRANTOR, H.B. FULLER COMPANY FOUNDATION, HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF PREVIOUS REPORT(S) RECEIVED. BOTH AN EXTERNAL FINANCIAL AUDIT AND EXTERNAL PROGRAM AUDIT WERE CONDUCTED FOR THE FOUNDATION FOR PREVIOUS GRANTS. WE ARE SATISFIED THAT ALL REPORTS RECEIVED IN THE PAST FROM THIS ORGANIZATION HAVE BEEN ACCURATE.
    Las Golondrinas Foundation
     
    Carrera 21 N 59a 35
    Medellin    
    CO
    2012-05-01 25,000 provide access to education for children living in extremepoverty in the community of Villa Liliam, Caicedo     final report is pending   To the knowledge of the grantor, H.B. Fuller Company Foundation, the grantee has not diverted any portion of the funds (or income there from) from the purpose of the grant.Final report was due September 1, 2013. As of the filing date, the report has not been received.The grantor, H.B. Fuller Company Foundation, has no reason to doubt the accuracy or reliability of previous report(s) received. Both an external financial audit and external program audit were conducted for the foundation for previous grants. We are satisfied that all reports received in the past from this organization have been accurate.
    NEW LIGHT FOUNDATION
     
    Barco Centenera del 230 3 A
    Capital Federal    
    AR
    2009-10-01 15,000 medical and shelter needs     FINAL REPORT IS PENDING   To the knowledge of the grantor, H.B. Fuller Company Foundation, the grantee has not diverted any portion of the funds (or income there from) from the purpose of the grant.Final report was due February 2011. Follow-up notice was sent to Jose Medina in Argentina on May 26, 2011. Follow-up notice was sent to Marlise Guier in Costa Rica on July 17, 2012. As of the filing date, the report has not been received.The grantor, H.B. Fuller Company Foundation, has no reason to doubt the accuracy or reliability of previous report(s) received. Both an externalfinancial audit and external program audit were conducted for the foundation for previous grants. We are satisfied that all reports received in the past from this organization have been accurate.
    Oratorio Don Bosco Sor Maria Romero
     
    Avenida 9 between calle 0 y 2 next
    to JAPDEVA
    San Jose    
    CS
    2009-10-01 15,000 educational psychology initiative     FINAL REPORT IS PENDING   To the knowledge of the grantor, H.B. Fuller Company Foundation, the grantee has not diverted any portion of the funds (or income there from) from the purpose of the grant.Final report was due February 2011. Follow-up notice was sent to Natalia Carvajal in Costa Rica on May 26, 2011. We received word from Marlise Guier on January 3, 2013 that the report would be hand-delivered by a visiting Latin America employee on January 7, 2013, but the report was not received. A request for another copy was made. As of the filing date, the report is still missing.The grantor, H.B. Fuller Company Foundation, has no reason to doubt the accuracy or reliability of previous report(s) received. Both an external financial audit and external program audit were conducted for the foundation for previous grants. We are satisfied that all reports received inthe past from this organization have been accurate.

    TY 2015 OtherExpensesSchedule
    Name:
    HB Fuller Company Foundation
    EIN:
    36-3500811
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK FEES 939 0   939


    TY 2015 OtherIncomeSchedule2
    Name:
    HB Fuller Company Foundation
    EIN:
    36-3500811
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    returned grants 2,500   2,500


    TY 2015 OtherIncreasesSchedule
    Name:
    HB Fuller Company Foundation
    EIN:
    36-3500811
    Description Amount
    change in deferred federal excise taxes 2,847


    TY 2015 OtherLiabilitiesSchedule
    Name:
    HB Fuller Company Foundation
    EIN:
    36-3500811
    Description Beginning of Year - Book Value End of Year - Book Value
    federal excise taxes payable 2,847 0


    TY 2015 TaxesSchedule
    Name:
    HB Fuller Company Foundation
    EIN:
    36-3500811
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 1,321 0   1,321
    MINNESOTA ANNUAL FILING FEE 25 0   25