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 10-01-2015 , and ending 09-30-2016
Name of foundation
Matthew and Virgie O Dragicevich WY
Fndtn Tr No 1
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 385
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Teton Village, WY83025
A Employer identification number

83-6046045
B Telephone number (see instructions)

(805) 239-7377
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$4,258,457J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 23 23 23
4 Dividends and interest from securities... 59,400 59,400 59,400
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -45,611
b Gross sales price for all assets on line 6a 971,200
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)....... Click to see attachment 1,233 1,233 1,233
12 Total. Add lines 1 through 11........ 15,045 60,656 60,656
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 91,675 18,335 0 73,340
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 6,294 6,294 0 0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 14,110 14,110 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 3,692 738 0 2,954
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 56,437 22,157 0 34,280
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 172,208 61,634 0 110,574
25 Contributions, gifts, grants paid....... 18,752 18,752
26 Total expenses and disbursements. Add lines 24 and 25 190,960 61,634 0 129,326
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -175,915
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)... 60,656
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............. 13,792 27,009 27,009
2 Savings and temporary cash investments......... 424,122 60,659 60,659
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.......... 200 1,120 1,120
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,532,852 Click to see attachment1,824,748 1,914,400
c Investments—corporate bonds (attach schedule)....... 42,862    
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 75,969    
14 Land, buildings, and equipment: basis bullet2,105,300
Less: accumulated depreciation (attach schedule) bullet   2,105,300 2,105,300 2,255,269
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 4,195,097 4,018,836 4,258,457
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 4,264,532 4,264,532
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds -69,435 -245,696
30 Total net assets or fund balances (see instructions)..... 4,195,097 4,018,836
31 Total liabilities and net assets/fund balances (see instructions). 4,195,097 4,018,836
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
4,195,097
2
Enter amount from Part I, line 27a .....................
2
-175,915
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
4,019,182
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
346
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
4,018,836
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 AFLAC 80 shares P    
b Align Tech 115 shares P    
c American Tower 200 shares P    
d Biogen Inc 40 shares P    
e Biogen 25 shares P    
Biogen 25 shares P    
BP PLC Spons 500 shares P    
Flotek Industries 200 shares P    
Flotek Industries 200 shares P    
FMC Technologies 200 shares P    
Freeport-McMoran-class B 1000 shares P    
Giga Tronics 500 shares P    
GoPro 100 shares P    
GoPro 100 shares P    
GoPro 100 shares P    
GoPro 100 shares P    
Graphic Packaging 1000 shares P    
Graphic Packaging 600 shares P    
I Shares 100 shares P    
I Shares 100 shares P    
ISORAY Inc 1000 shares P    
Las Vegas Sands Corp 200 shares P    
Palo Alto Networks 100 shares P    
Palo Alto Networks 50 shares P    
Palo Alto Networks 50 shares P    
Palo Alto Networks 100 shares P    
Palo Alto Networks 100 shares P    
Palo Alto Networks 100 shares P    
Salesforce.com 200 shares P    
Salesforce.com 100 shares P    
Salesforce.com 100 shares P    
Skyworks Solutions 200 shares P    
Skyworks Solutions 100 shares P    
SM Energy 1000 shares P    
SM Energy 1000 shares P    
SM Energy 500 shares P    
Southwestern Energy 2000 shares P    
Southwestern Energy 200 shares P    
Southwestern Energy 200 shares P    
Southwestern Energy 100 shares P    
Southwestern Energy 1000 shares P    
Southwestern Energy 1000 shares P    
Spdr Gold Trust 100 shares P    
Spdr Gold Trust 100 shares P    
Spdr Gold Trust 100 shares P    
Take-Two Interactive 200 shares P    
Take-Two Interactive 100 shares P    
Titan Machinery 300 shares P    
Twitter 200 shares P    
Whiting Petroleum 1600 shares P    
Whiting Petroleum 1000 shares P    
Wynn Resorts 54 shares P    
Wynn Resorts 46 shares P    
Wynn Resorts 50 shares P    
Wynn Resorts 50 shares P    
Wynn Resorts 50 shares P    
Wynn Resorts 50 shares P    
Wynn Resorts 100 shares P    
Wynn Resorts 100 shares P    
Wynn Resorts 200 shares P    
First Majestic Silver 553 shares P    
Silvercrest Metals 333.4 shares P    
Broadcom Ltd 100 shares P    
Broadcom Ltd 100 shares P    
Agree Corp 400 shares P    
Bristol Myers Squibb 600 shares P    
Care Cap Pptys 100 shares P    
Century Link 1000 shares P    
Chicago Bridge and Iron 200 shares P    
Emerson Electric 100 shares P    
Enterprise Products 1000 shares P    
Getty Realty 1250 shares P    
Getty Realty 6 shares P    
IBM 100 shares P    
Intel Corp 1000 shares P    
KKR & Co LP 1010 shares P    
North Star Realty Europe 283 shares P    
Realty Income Corp 300 shares P    
Roche Holdings 600 shares P    
Roche Holdings 400 shares P    
Roche Holdings 500 shares P    
Roche Holdings 500 shares P    
Sandiofi 400 shares P    
Vectren Corp 600 shares P    
Wells Fargo 300 shares P    
Calamos Conv 2400 shares P    
First Trust Energy Infra 2000 shares P    
Northstar 8.25 1000 shares P    
Northstar 8.25 1000 shares P    
Capital Gains Dividends P    
(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 5,669   5,285 384
b 6,766   5,178 1,588
c 16,315   16,239 76
d 11,185   17,636 -6,451
e 6,224   10,096 -3,872
6,224   6,810 -586
15,457   18,403 -2,946
2,108   5,190 -3,082
1,372   5,190 -3,818
4,698   10,632 -5,934
11,948   10,673 1,275
528   1,101 -573
1,838   6,209 -4,371
1,846   6,209 -4,363
1,112   4,399 -3,287
1,112   6,101 -4,989
12,905   12,564 341
7,743   8,618 -875
24,034   31,219 -7,185
12,017   17,253 -5,236
742   1,505 -763
10,589   10,747 -158
15,750   7,252 8,498
7,875   7,648 227
6,804   8,352 -1,548
13,609   16,896 -3,287
13,976   13,133 843
13,976   13,170 806
13,888   12,450 1,438
6,944   7,383 -439
6,944   8,202 -1,258
11,853   8,602 3,251
5,926   8,331 -2,405
16,565   15,793 772
18,419   8,981 9,438
17,934   13,576 4,358
18,182   13,150 5,032
1,818   1,788 30
1,813   1,788 25
909   901 8
8,554   8,328 226
8,553   7,670 883
12,710   11,010 1,700
12,710   12,484 226
12,710   12,651 59
6,238   3,655 2,583
3,121   1,828 1,293
2,413   5,163 -2,750
3,451   7,531 -4,080
7,124   9,674 -2,550
10,586   7,886 2,700
5,261   6,181 -920
4,481   5,261 -780
4,871   5,079 -208
5,091   5,079 12
5,091   5,076 15
5,091   3,425 1,666
9,512   6,850 2,662
9,512   5,918 3,594
18,147   11,836 6,311
6,511   2,176 4,335
239   1,312 -1,073
12,746   13,316 -570
12,746   11,972 774
18,415   11,634 6,781
32,942   21,460 11,482
2,824     2,824
21,891   39,247 -17,356
6,277   10,142 -3,865
4,940   5,936 -996
21,373   30,099 -8,726
28,391   20,265 8,126
136   104 32
13,237   20,287 -7,050
29,148   35,076 -5,928
14,439   21,290 -6,851
2,989   3,894 -905
18,411   15,797 2,614
18,271   14,915 3,356
12,769   9,943 2,826
15,060   12,429 2,631
15,443   12,429 3,014
15,477   20,706 -5,229
29,226   20,542 8,684
13,339   15,771 -2,432
22,585   28,284 -5,699
25,616   47,685 -22,069
20,957   21,431 -474
23,278   21,431 1,847
680     680
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       384
b       1,588
c       76
d       -6,451
e       -3,872
      -586
      -2,946
      -3,082
      -3,818
      -5,934
      1,275
      -573
      -4,371
      -4,363
      -3,287
      -4,989
      341
      -875
      -7,185
      -5,236
      -763
      -158
      8,498
      227
      -1,548
      -3,287
      843
      806
      1,438
      -439
      -1,258
      3,251
      -2,405
      772
      9,438
      4,358
      5,032
      30
      25
      8
      226
      883
      1,700
      226
      59
      2,583
      1,293
      -2,750
      -4,080
      -2,550
      2,700
      -920
      -780
      -208
      12
      15
      1,666
      2,662
      3,594
      6,311
      4,335
      -1,073
      -570
      774
      6,781
      11,482
      2,824
      -17,356
      -3,865
      -996
      -8,726
      8,126
      32
      -7,050
      -5,928
      -6,851
      -905
      2,614
      3,356
      2,826
      2,631
      3,014
      -5,229
      8,684
      -2,432
      -5,699
      -22,069
      -474
      1,847
      680
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 -45,611
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 -46,291
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 117,934 4,489,411 0.026269
2013 104,497 4,691,246 0.022275
2012 20,525 4,411,797 0.004652
2011 433,782 4,833,042 0.089753
2010 265,938 5,253,525 0.050621
2
Total of line 1, column (d) .....................
20.193570
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
0.038714
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
4,150,288
5
Multiply line 4 by line 3......................
5
160,674
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
0
7
Add lines 5 and 6........................
7
160,674
8
Enter qualifying distributions from Part XII, line 4.............
8
129,326
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 1,120
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 1,120
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 1,120
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet1,120 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    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)
    bullet
    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 ofbulletJolene Harms Telephone no.bullet (805) 238-3486

    Located atbulletPO Box 367Paso RoblesCA ZIP+4bullet93447
    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
     
     
    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
    Jolene Harms Trustee
    20.00     		91,675 0 0
    PO Box 367
    Paso Robles,CA93447
    Brian Harms Administrative Assistant
    0.25     		35,700 0 0
    PO Box 367
    Paso Robles,CA93447
    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
    Jolene Harms Trustee 91,675
    PO Box 367
    Paso Robles,CA93447
    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 The Foundation supported three organizations that provide education, support, assistance, healthcare, and other aid to children. 8,400
    2 The Foundation supported ten food banks and other food organizations that provide food to those in need. 3,732
    3 The Foundation supported local community arts and education. 3,070
    4 The Foundation supported local programs that showcase the local agricultural programs benefitting the community. 2,400
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,790,643
    b
    Average of monthly cash balances.......................
    1b
    167,578
    c
    Fair market value of all other assets (see instructions)................
    1c
    2,255,269
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,213,490
    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
    4,213,490
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    63,202
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,150,288
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    207,514
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    207,514
    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
    207,514
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    207,514
    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
    207,514
    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
    129,326
    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
    129,326
    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
    129,326
    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 7 207,514
    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...... 3,873
    b From 2011...... 192,130
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........ 196,003
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 129,326
    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..... 129,326
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 78,188 78,188
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 117,815
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		117,815
    10 Analysis of line 9:
    a Excess from 2011.... 117,815
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    Food Bank of The Rockies
    PO Box 116/4976 Paige St
    Mills,WY82644     		  Public Charity General purpose of the 501(c)(3) is to help families thrive by efficiently procuring and distributing food and essentials to the hungry through our programs and partner agencies. The Foundation's contributions of food further helps assure that the food bank is able to reach its goal and mission. 145
    Off Square Theatre Company
    204 S Glenwood
    Jackson,WY83001     		  Public Charity General purpose of the 501(c)(3) to nurture, produce, and present professional theatre to Jackson Hole and offer theatre education to the community. The Foundation's contribution of wine has helped the non-profit further extend its financials through fundraising activities. 3,070
    Food Bank San Luis Obispo
    1180 Kendall Road
    San Luis Obispo,CA93401     		  Public Charity General purpose of the 501(c)(3) is to work with a network of community partners to alleviate hunger in San Luis Obispo County and build a healthier community. The Foundation's contribution of food has helped the food bank achieve its mission to alleviate hunger in the community. 592
    Santa Claus Fund
    PO Box 691
    Jackson,WY83001     		  Public Charity General purpose of the 501(c)(3) to purchase new clothing and gifts for the less fortunate children of Teton County during the Christmas season. 7,500
    Shriner's Hospital for Children
    2900 North Rocky Point Drive
    Tampa,FL33607     		  Public Charity General purpose of the 501(c)(3) to provide the highest quality care to children with neuromusculoskeletal conditions, burn injuries, and other special healthcare needs within a compassionate, family-centered and collaborative care environment. 500
    Jackson Cupboard
    PO Box 1622
    Jackson,WY83001     		  Public Charity General purpose of the 501(c)(3) is to provide essential, nutritious food for our community members in need. The foundation's contribution of food has helped the non-profit achieve its goal of providing nutritious food to community members in need. 97
    Northern Arapaho Food Distribution Center
    PO Box 953
    Riverton,WY82501     		  Public Charity General purpose of the 501(c)(3) is to provide food to those in need in the Northern Arapaho community. The foundation's contributions of food has helped the non-profit provide those in need with food in the community. 696
    Teton Free Clinic
    557 E Broadway
    Jackson,WY83001     		  Public Charity General purpose of the 501(c)(3) is to provide free primary medical care for the low income, uninsured & medically under-served people, of all walks of life, who live or work in the Jackson Hole area. 500
    Good Samaritan Mission
    285 W Pearl Ave
    Jackson,WY83001     		  Public Charity General purpose of the 501(c)(3) is to quietly serving the physical, emotional and Spiritual needs of the hungry, hurting, homeless people in Teton County. The foundation's contribution of food has helped the Mission provide food to those in need in the community. 975
    Friends of the Bridger-Teton Avalanche Center
    PO Box 424
    Teton Village,WY83025     		  Public Charity General purpose of the 501(c)(3) is to provide community funding for the Bridger-Teton National Forest Avalanche Hazard Forecast. 150
    Hole Food Rescue
    1524 Martin Lane/PO Box 2955
    Jackson,WY83001     		  Public Charity General purpose of the 501(c)(3) is to reduce food waste and food insecurity in our community. The foundation has helped the non-profit achieve their mission through the donation of food. 150
    Jackson Cupboard
    PO Box 1622
    Jackson,WY83001     		  Public Charity General purpose of the 501(c)(3) is to provide essential, nutritious food for our community members in need. 150
    Equine Alliance Youth Foundation
    1609 Linden Drive Box L
    Pine Mountain Club,CA93222     		  Public Charity General purpose of the 501(c)(3) is to provide young people with the tools to achieve their full potential and become our next generation of leaders, hard workers, engaged citizens and effective parents. 400
    AmVeterans
    4647 Forbes Blvd
    Lanham,MD20706     		  Public Charity General purpose of the 501(c)(3) is to enhance and safeguard the entitlements for all American Veterans who have served honorably and to improve the quality of life for them, their families, and the communities where they live through leadership, advocacy and services. 500
    California Mid-State Fair
    2198 Riverside AvePO Box 8
    Paso Robles,CA93447     		  Public Charity General purpose of the 501(c)(3) is to preserve and enrich the heritage of the 16th District Agricultural Association and showcase agricultural industries to the community. 2,400
    Loaves and Fishes
    1609 Regatta Lane Suite D
    San Jose,CA95112     		  Public Charity General purpose of the 501(c)(3) is to provide nutritious prepared meals that are delivered and served to disadvantaged individuals with a special concern for families, seniors and the homeless. The Foundation's food contribution has helped the non-profit provide food to those they serve in the community. 77
    Laramie Salvation Army Pantry
    100 S 2nd Street
    Laramie,WY82070     		  Public Charity General purpose of the 501(c)(3) is to lead by assessing needs, delivering programs and directing ministries for our local community. The Foundation's food contributions have helped the non-profit achieve its goals of satisifying the needs of those they serve. 275
    Central Wyoming Rescue Mission
    PO Box 2030
    Casper,WY82602     		  Public Charity General purpose of the 501(c)(3) is to provide food, shelter and assistance to anyone in need, and offers those who are addicted and downtrodden the opportunity to overcome their cycle of homelessness through our Long-Term Residential 12-step Recovery Program. The Foundation's food contributions have helped the non-profit provide food to those in need, in their community. 575
    Total .................................bullet 3a 18,752
    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 ...........     		    14 23  
    4 Dividends and interest from securities....     14 59,400  
    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.....     14 1,233  
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 -45,611  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 15,045 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    1315,045
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    Matthew and Virgie O Dragicevich WY
     
    Fndtn Tr No 1
    EIN:
    83-6046045
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting fees and tax prep 6,294 6,294 0 0

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Matthew and Virgie O Dragicevich WY
     
    Fndtn Tr No 1
    EIN:
    83-6046045
    Name of Stock End of Year Book Value End of Year Fair Market Value
    Wells Fargo Account # 1 1,053,324 1,149,888
    Wells Fargo Account # 2 771,424 764,512

    TY 2015 OtherDecreasesSchedule
    Name:
    Matthew and Virgie O Dragicevich WY
     
    Fndtn Tr No 1
    EIN:
    83-6046045
    Description Amount
    Federal Income Tax Paid for FY 9-30-15 146
    Prior Period Adjustment, to reduce Prepaid Taxes 200


    TY 2015 OtherExpensesSchedule
    Name:
    Matthew and Virgie O Dragicevich WY
     
    Fndtn Tr No 1
    EIN:
    83-6046045
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative fee 35,700 3,570 0 32,130
    Homeowners fees on investment Land 17,733 17,733 0 0
    Supplies and charges 2,389 239 0 2,150
    Continuing Education 615 615 0 0


    TY 2015 OtherIncomeSchedule2
    Name:
    Matthew and Virgie O Dragicevich WY
     
    Fndtn Tr No 1
    EIN:
    83-6046045
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Partnership distributions 1,233 1,233 1,233


    TY 2015 TaxesSchedule
    Name:
    Matthew and Virgie O Dragicevich WY
     
    Fndtn Tr No 1
    EIN:
    83-6046045
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Property tax on investment land 13,172 13,172 0 0
    Foreign Tax Withheld 938 938 0 0