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
THE ALBERT JAY MARTIN FAMILY FOUNDATION
 
% PATTY STRINGER
Number and street (or P.O. box number if mail is not delivered to street address)140 CRESCENT DRIVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
COLLIERVILLE, TN38017
A Employer identification number

62-6345910
B Telephone number (see instructions)

(901) 850-3008
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$2,212,668J 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) 751,457
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 71 71  
4 Dividends and interest from securities... 65,373 65,373  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 347,854
b Gross sales price for all assets on line 6a 1,055,423
7 Capital gain net income (from Part IV, line 2)... 347,854
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)....... Click to see attachment 9,093 61  
12 Total. Add lines 1 through 11........ 1,173,848 413,359  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 3,600 3,600 0 0
c Other professional fees (attach schedule)....        
17 Interest............... 186 186    
18 Taxes (attach schedule) (see instructions)... Click to see attachment 4,441      
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 23,983 23,894    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 32,210 27,680 0 0
25 Contributions, gifts, grants paid....... 1,334,402 1,334,402
26 Total expenses and disbursements. Add lines 24 and 25 1,366,612 27,680 0 1,334,402
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -192,764
b Net investment income (if negative, enter -0-) 385,679
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............. 158,009 -75,743 -75,743
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)....... 1,500,057 Click to see attachment1,331,868 1,855,860
c Investments—corporate bonds (attach schedule)....... 395,660 Click to see attachment395,660 359,988
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 148,619 Click to see attachment76,773 65,900
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment2,933 Click to see attachment6,663 Click to see attachment6,663
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,205,278 1,735,221 2,212,668
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
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........ 2,205,278 1,735,221
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)..... 2,205,278 1,735,221
31 Total liabilities and net assets/fund balances (see instructions). 2,205,278 1,735,221
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
2,205,278
2
Enter amount from Part I, line 27a .....................
2
-192,764
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
4,653
4
Add lines 1, 2, and 3 ..........................
4
2,017,167
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
281,946
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,735,221
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 2000 SHS MICROSOFT CORP. D 2012-01-06 2016-01-18
b 2000 SHS MICROSOFT CORP. D 2013-01-13 2016-01-18
c 715 SHS ALLIANT ENERGY D 2012-02-09 2016-03-22
d 1700 SHS INTEL CORP. D 2010-04-05 2016-03-22
e 2300 SHS INTEL CORP. D 2010-04-27 2016-03-22
900 SHS INTEL CORP. P 2011-01-26 2016-03-22
600 SHS MID-AMERICA APT. COMMUNITIES P 2007-08-01 2016-03-23
1500 SHS MID-AMERICA APT. COMMUNITIES D 2007-08-01 2016-03-23
3000 SHS PLAINS ALL-AMERICAN PIPELINE LP D 2010-11-29 2016-03-23
880 SHS VISA INC. CL A D 2013-02-15 2016-03-23
200 SHS VISA INC. CL A D 2014-09-25 2016-03-23
800 SHS WAL-MART STORES INC. P 2008-12-17 2016-03-23
1700 SHS WAL-MART STORES INC. D 2008-12-17 2016-03-23
16 SHS FIDUS INVESTMENT CORP. P 2011-07-13 2016-08-29
3984 SHS FIDUS INVESTMENT CORP. P 2011-07-13 2016-08-30
3000 SHS FIDUS INVESTMENT CORP. P 2011-07-15 2016-08-30
(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 101,371   56,497 44,874
b 101,370   54,644 46,726
c 51,799   31,165 20,634
d 55,021   38,647 16,374
e 74,440   54,400 20,040
29,129   19,708 9,421
59,302   26,970 32,332
148,254   66,968 81,286
72,066   70,019 2,047
64,415   34,527 29,888
14,640   10,556 4,084
54,343   45,017 9,326
115,479   95,381 20,098
260   236 24
64,765   58,795 5,970
48,769   44,039 4,730
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       44,874
b       46,726
c       20,634
d       16,374
e       20,040
      9,421
      32,332
      81,286
      2,047
      29,888
      4,084
      9,326
      20,098
      24
      5,970
      4,730
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 2 347,854
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 1,284,958 3,296,169 0.389834
2013 2,043,885 3,397,777 0.601536
2012 1,253,367 3,048,385 0.411158
2011 709,375 3,438,100 0.206328
2010 1,121,275 3,801,105 0.294987
2
Total of line 1, column (d) .....................
21.903843
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
0.380769
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
2,797,638
5
Multiply line 4 by line 3......................
5
1,065,254
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
3,857
7
Add lines 5 and 6........................
7
1,069,111
8
Enter qualifying distributions from Part XII, line 4.............
8
1,334,402
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 3,857
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  
3 Add lines 1 and 2........................... 3 3,857
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 3,857
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 4,653
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 4,653
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 10 796
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet796 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletTN
    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 addressbullet  
    14
    The books are in care ofbulletPATTY STRINGER Telephone no.bullet (901) 850-3008

    Located atbullet140 CRESCENT DRIVECOLLIERVILLETN ZIP+4bullet38017
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
    No
    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
    ALBERT JAY MARTIN TRUSTEE/BOARD MEMBER
    0     		0    
    2937 JOHNSON ROAD
    COLLIERVILLE,TN38017
    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
     
    Total number of other employees paid over $50,000...................bullet  
    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
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    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 NONE  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    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
    2,635,279
    b
    Average of monthly cash balances.......................
    1b
    199,097
    c
    Fair market value of all other assets (see instructions)................
    1c
    5,866
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,840,242
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,840,242
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    42,604
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,797,638
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    139,882
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    139,882
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    3,857
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,857
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    136,025
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    136,025
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    136,025
    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
    1,334,402
    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
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,334,402
    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
    3,857
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,330,545
    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 7 136,025
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:2013, 2012, 2011 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 932,324
    b From 2011...... 542,119
    c From 2012...... 1,104,668
    d From 2013...... 1,887,928
    e From 2014...... 1,131,828
    fTotal of lines 3a through e........ 5,598,867
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 1,334,402
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount..... 136,025
    e Remaining amount distributed out of corpus 1,198,377
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 6,797,244
    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......     		 
    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) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		932,324
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		5,864,920
    10 Analysis of line 9:
    a Excess from 2011.... 542,119
    b Excess from 2012.... 1,104,668
    c Excess from 2013.... 1,887,928
    d Excess from 2014.... 1,131,828
    e Excess from 2015.... 1,198,377
    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).)
    ALBERT JAY MARTIN
    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.
    NA
    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
    BOYS AND GIRLS CLUB OF MEMPHIS
    44 S REMBERT
    MEMPHIS,TN38104     		UNRELATED PC FOR CONSTRUCTION OF A GREENHOUSE, AS WELL AS SUPPORT FOR THE GENERAL OPERATIONS OF THE BOYS & GIRLS CLUB OF GREATER MEMPHIS 5,989
    PORTER LEATH
    868 N MANASSAS STREET
    MEMPHIS,TN38107     		UNRELATED PC EARLY CHILDHOOD EDUCATION PACKAGE & ACADEMY PROJECT 25,000
    CHURCH HEALTH CENTER
    1196 PEABODY AVENUE
    MEMPHIS,TN38104     		UNRELATED PC SUPPORT FOR THE OPERATIONS OF THE CHHURCH HEALTH CENTER 150,000
    BOY SCOUTS OF AMERICA
    171 S HOLLYWOOD STREET
    MEMPHIS,TN38112     		UNRELATED PC SUPPORT FOR THE OPERATIONS OF THE BOY SCOUTS OF AMERICA 25,000
    CALVARY RESCUE MISSION
    969 S THIRD STREET
    MEMPHIS,TN38106     		UNRELATED PC SUPPORT FOR THE OPERATIONS OF CALVARY RESCUE MISSION 5,000
    WOMEN'S FUND OF BLUE RIDGE
    895 STATE FARM ROAD
    BOONE,NC28607     		UNRELATED PC SUPPORT FOR THE OPERATIONS OT THE WOMEN'S FUND OF BLUE RIDGE 2,500
    FRIENDS OF THE BOONVILLE LIBRARY
    PO BOX 731
    BOONVILLE,NC27011     		UNRELATED PC SUPPORT FOR THE OPERATIONS OF THE FRIENDS OF THE BOONVILLE LIBRARY 5,000
    ST GEORGE'S INDEPENDENT SCHOOL
    8250 POPLAR AVENUE
    MEMPHIS,TN38138     		UNRELATED PC SUPPORT FOR THE OPERATIONS OF ST. GEORGE'S INDEPENDENT SCHOOL 40,000
    YADKINS ART COUNCIL
    226 EAST MAIN STREET
    YADKINVILLE,NC27055     		UNRELATED PC SUPPORT FOR THE OPERATIONS OF THE YADKINS ART COUNCIL 3,500
    MEMPHIS UNIVERSITY SCHOOL (ROSS LYNN SOCIETY)
    6191 PARK AVENUE
    MEMPHIS,TN38119     		UNRELATED PC FOR SUPPORT OF THE ROSS LYNN SOCIETY OF MEMPHIS UNIVERSITY SCHOOL 10,000
    BALMORAL BAPTIST CHURCH
    2676 KIRBY ROAD
    MEMPHIS,TN38119     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF BALMORAL BAPTIST CHURCH 10,000
    MEMPHIS ATHLETIC MINISTRIES
    69 N CLEVELAND
    MEMPHIS,TN38104     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF MEMPHIS ATHLETIC MINISTRIES 25,000
    ST JOHN'S UNITED METHODIST CHURCH
    1207 PEABODY AVENUE
    MEMPHIS,TN38104     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF ST. JOHN'S UNITED METHODIST CHURCH 7,500
    BOONVILLE METHODIST CHURCH
    116 N CAROLINA ST
    BOONVILLE,NC27011     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF BOONVILLE METHODIST CHURCH 2,500
    NEW MEMPHIS INSTITUTE
    22 NORTH FRONT STREET
    MEMPHIS,TN38103     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF NEW MEMPHIS INSTITUTE 51,094
    A STEP AHEAD FOUNDATION
    666 WEST DRIVE
    MEMPHIS,TN38112     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF A STEP AHEAD FOUNDATION 25,000
    YADKIN VALLEY ECON DEV DIST (YADKIN HOME PLACE)
    PO BOX 309
    BOONVILLE,NC27011     		UNRELATED PC FOR SUPPORT OF YADKIN HOME PLACE OF THE YADKIN VALLEY ECONOMIC DEVELOPMENT DISTRICT 5,000
    BOYS & GIRLS CLUB OF JACKSON
    832 LEXINGTON AVENUE
    JACKSON,TN38301     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF THE BOYS & GIRLS CLUB OF JACKSON, TN 3,000
    RIVER ARTS FEST
    540 SOUTH MAIN STREET
    MEMPHIS,TN38103     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF THE RIVERARTSFEST ORGANIZATION 5,000
    UNIVERSITY OF GEORGIA FOUNDATION
    MILLEDGE CENTRE SUITE 100
    394 SOUTH MILLEDGE AVE
    ATHENS,GA306025582     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF THE UNIVERSITY OF GEORGIA 500
    FLOW-THROUGH PTP CONTRIBUTIONS
    FROM PLAINS ALL AMERICAN PIPELINE
    333 CLAY ST STE 1600
    HOUSTON,TX77002     		UNRELATED PC FOR SUPPORT OF PROGRAM OPERATIONS 19
    BRIDGES USA
    477 N FIFTH ST
    MEMPHIS,TN38105     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF BRIDGES USA 50,000
    THE JUICEPLUS FOUNDATION
    140 CRESCENT DRIVE
    COLLIERVILLE,TN38017     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF THE JUICEPLUS+ FOUNDATION 800,000
    MOUNTAIN VALLEY HOSPICE & PALLIATIVE CARE
    320 WEST MAPLE STREET
    YADKINVILLE,NC27055     		UNRELATED PC FOR THE IMAGINE A HOME HOSPICE CAPITAL CAMPAIGN 20,000
    TRI-STATE BAPTIST CHILDRENS HOME
    PO BOX 888
    BRISTOL,TN37621     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF TRI-STATE BAPTIST CHILDRENS HOME 2,500
    NEW LEADERS
    530 OAK COURT DRIVE
    MEMPHIS,TN38117     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF NEW LEADERS 25,000
    BOONVILLE COMMUNITY CEMETERY
    201 BAPTIST CHURCH ROAD
    BOONVILLE,NC27011     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF BOONVILLE COMMUNITY CEMETERY 300
    LIVE OAK UNITED METHODIST CHURCH
    PO BOX 709
    WATSON,LA70786     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF LIVE OAK UNITED METHODIST CHURCH IN ASSISTING FLOOD VICTIMS 10,000
    LE BONHEUR CHILDREN'S HOSPITAL
    51 N DUNLAP
    MEMPHIS,TN38105     		UNRELATED PC FOR SUPPORT OF THE OPERATIONS OF LE BONHEUR CHILDREN'S HOSPITAL 20,000
    Total .................................bullet 3a 1,334,402
    bApproved for future payment
    Total .................................bullet 3b  
    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 ...........     		    14 71  
    4 Dividends and interest from securities....     14 65,373  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 347,854  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aUNRELATED TRADE OR BUSINESS INCOME-PTP INVESTMENTS     		211110 -16,350      
    bNET PTP SECTION 1231 GAIN (LOSS) 211110 25,382      
    cNET PTP SECTION 1231 GAIN (LOSS)     26 61  
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 9,032 413,359  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13422,391
    (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
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
     
    Employer identification number

    62-6345910
    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
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
          		Employer identification number
    62-6345910
    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
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 29,994


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 30,421


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 97,964


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

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 50,837


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 84,323


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 68,966


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
          		Employer identification number
    62-6345910
    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
    7
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 15,674


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    8
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 45,449


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    9
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 151,403


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    10
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 60,010


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    11
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 81,190


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    12
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 17,650


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
          		Employer identification number
    62-6345910
    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
    13
     
     

    ALBERT JAY MARTIN  
    2937 JOHNSON ROAD
     
    GERMANTOWN, TN38139

    		$ 17,426


    (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
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
          		Employer identification number

    62-6345910
    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
    1
    		 40 SHS ALPHABET INC. - CL A $ 29,994 2015-12-10
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    2
    		 40 SHS ALPHABET INC. - CL C $ 30,421 2015-12-10
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    3
    		 665 SHS AVAGO COMMON STOCK $ 97,964 2015-12-10
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    4
    		 840 SHS COGNIZANT COMMON STOCK $ 50,837 2015-12-10
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    5
    		 990 SHS SKYWORKS COMMON STOCK $ 84,323 2015-12-10
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    6
    		 880 SHS VISA COMMON STOCK $ 68,966 2015-12-10
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
          		Employer identification number

    62-6345910
    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
    7
    		 200 SHS VISA COMMON STOCK $ 15,674 2015-12-10
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    8
    		 715 SHS ALLIANT ENERGY COMMON STOCK $ 45,449 2015-12-29
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    9
    		 1400 SHS APPLE INC. COMMON STOCK $ 151,403 2015-12-29
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    10
    		 1700 SHS INTEL CORP. COMMON STOCK $ 60,010 2015-12-29
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    11
    		 2300 SHS INTEL CORP. COMMON STOCK $ 81,190 2015-12-29
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    12
    		 500 SHS INTEL CORP. COMMON STOCK $ 17,650 2015-12-29
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
          		Employer identification number

    62-6345910
    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
    13
    		 260 SHS J.P. MORGAN CHASE COMMON STOCK $ 17,426 2015-12-29
    (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
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
          		Employer identification number

    62-6345910
    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:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MAX A. PIWONKA, CPA 3,600 3,600    

    TY 2015 AllOthProgRltdInvestmentsSch
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Category Amount
    NONE  

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

    TY 2015 DepreciationSchedule
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Name of Bond End of Year Book Value End of Year Fair Market Value
    50M GENERAL MOTORS CORP 7.7% 38,596  
    50M WELLS FARGO & CO 3% 50,000 49,524
    50M JP MORGAN CHASE 3.25% 49,564 48,423
    250M R JAMES TOTAL RETURN CEF 257,500 261,000
    ACCRUED INTEREST RECEIVABLE   1,041

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Name of Stock End of Year Book Value End of Year Fair Market Value
    1000 SHS ABB VIE INC. 29,101 60,800
    40 SHS ALPHABET INC. - CL A 15,762 31,035
    40 SHS ALPHABET INC. - CL C 15,837 30,322
    490 SHS APPLE INC. 32,843 54,155
    1400 SHS APPLE INC. 100,013 154,728
    665 SHS BROADCOM LIMITED 57,289 113,376
    5000 SHS CATCHMARK TIMBER TR 67,500 54,700
    1295 SHS CHEVRON TEXACO 113,762 144,470
    2000 SHS CLAYMORE ETF TR 60,917 76,837
    3000 SHS COCA COLA 86,481 121,050
    840 SHS COGNIZANT TECH 32,286 46,267
    1450 SHS CONOCOPHILLIPS 75,164 70,354
    1333 SHS DUKE ENERGY 62,023 98,335
    700 SHS ENERGY SELECT SEC SPDR 55,805 52,101
    7000 SHS FIDUS INVESTMENT CORP    
    5000 SHS GOLDMAN SACHS 100,000 35,450
    2000 SHS INTEL CORP. 50,647 69,400
    260 SHS JP MORGAN CHASE 10,545 20,844
    1500 SHS JOHNSON & JOHNSON 97,651 166,950
    3000 SHS MERCK 110,924 183,570
    4000 SHS MICROSOFT    
    1000 SHS MID-AMERICA APT COMM 44,645 91,630
    990 SHS SKYWORKS SOLUTIONS 56,976 76,082
    1200 SHS TEXAS CAPITAL BANCSHS 49,961 87,300
    190 SHS VERIZON COMMUNICATIONS 5,736 9,481
    2500 SHS WAL-MART STORES    
    ACCRUED DIVIDENDS RECEIVABLE   6,623

    TY 2015 InvestmentsOtherSchedule2
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    5000 UNITS PLAINS ALL-AMERICAN AT COST 76,773 65,900

    TY 2015 OtherAssetsSchedule
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    RECEIVABLE FOR ERRONEOUS PMTS 2,933 5,866 5,866
    PREPAID INCOME TAXES   797 797


    TY 2015 OtherDecreasesSchedule
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Description Amount
    FMV OF CONTRIBUTIONS RECEIVED IN EXCESS 0
    OF TAX COST (CARRYING VALUE) 281,946
    ROUNDING 0


    TY 2015 OtherExpensesSchedule
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 23,894 23,894    
    OTHER PTP EXPENSES 89      


    TY 2015 OtherIncomeSchedule2
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    UNRELATED TRADE/BUSINESS INC.-INVESTMENT -16,350    
    ORDINARY INCOME RECAPTURE-PTP UNIT SALE 25,382    
    NET PTP SECTION 1231 GAIN (LOSS) 61 61  


    TY 2015 OtherIncreasesSchedule
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Description Amount
    INCREASE DUE TO ADJUSTING FOR PREPAID 0
    INCOME TAXES 4,653


    TY 2015 TaxesSchedule
    Name:
    THE ALBERT JAY MARTIN FAMILY FOUNDATION
    EIN:
    62-6345910
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX 3,856      
    PTP FOREIGN TAXES 585