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 07-01-2015 , and ending 06-30-2016
Name of foundation
CAPE FEAR MEMORIAL FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)2508 INDEPENDENCE BLVD NO 200
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILMINGTON, NC28412
A Employer identification number

56-1974747
B Telephone number (see instructions)

(910) 452-0611
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$54,053,316
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 17,291 17,291  
4 Dividends and interest from securities... 1,232,814 1,232,814  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,024,458
b Gross sales price for all assets on line 6a 4,164,470
7 Capital gain net income (from Part IV, line 2)... 2,024,458
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances 4,229
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule)..... 4,229  
11 Other income (attach schedule)....... 5,324 101  
12 Total. Add lines 1 through 11........ 3,284,116 3,274,664  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 119,000 17,850   101,150
14 Other employee salaries and wages...... 119,507 17,926   101,581
15 Pension plans, employee benefits....... 71,939 10,791   61,148
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 137,781 124,012   13,769
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 32,261 1,472   0
19 Depreciation (attach schedule) and depletion... 5,444 544  
20 Occupancy.............. 46,667 4,667   42,001
21 Travel, conferences, and meetings....... 7,112 0   7,112
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 75,110 18,534   56,088
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 614,821 195,796   382,849
25 Contributions, gifts, grants paid....... 2,208,382 2,487,100
26 Total expenses and disbursements. Add lines 24 and 25 2,823,203 195,796   2,869,949
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 460,913
b Net investment income (if negative, enter -0-) 3,078,868
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............. 508 500 500
2 Savings and temporary cash investments......... 8,117,356 7,719,006 7,719,006
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) 16,077,745 Click to see attachment15,559,917 15,559,917
b Investments—corporate stock (attach schedule)....... 33,749,161 Click to see attachment29,665,799 29,665,799
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 0 Click to see attachment1,093,720 1,093,720
14 Land, buildings, and equipment: basis bullet97,528
Less: accumulated depreciation (attach schedule) bullet83,154 10,579 Click to see attachment14,374 14,374
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 57,955,349 54,053,316 54,053,316
Liabilities 17 Accounts payable and accrued expenses.......... 46,717 29,700
18 Grants payable.................. 549,500 272,500
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment179,000 Click to see attachment180,000
23 Total liabilities (add lines 17 through 22)......... 775,217 482,200
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 57,180,132 53,571,116
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 57,180,132 53,571,116
31 Total liabilities and net assets/fund balances (see instructions). 57,955,349 54,053,316
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
57,180,132
2
Enter amount from Part I, line 27a .....................
2
460,913
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
57,641,045
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
4,069,929
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
53,571,116
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 16,506.96 SHS AMCAP FUND INC. P 2009-07-01 2016-01-20
b 1,572.01 SHS FRANKLIN STRATEGIC SER P   2016-01-20
c 10,748.78 SHS AMERICAN FUNDS GROWTH P 2009-07-01 2016-01-20
d 23,265.66 SHS AMERICAN FUNDS P 2009-07-01 2016-01-20
e 9,407.38 SHS AMERICAN EUROPACIFIC P   2016-01-20
9,848.81 SHS ROYCE FD SPL P 2014-07-09 2016-01-20
5,060.75 SHS RUSSELL EMERGING MKTS P 2003-05-14 2016-01-20
936.18 SHS RUSSELL INVT CO P   2016-01-20
3,488.72 SHS RUSSELL INTL DEV MKTS P   2016-01-20
1,772.48 SHS SMALLCAP WORLD FD INC P 2008-05-21 2016-01-20
2,750.00 SHS VANGUARD INTL EQUITY ETF P 2012-05-23 2016-01-20
1950.873 SHS GOLDMAN SACHS TR P 2014-05-07 2016-01-28
3,498.88 SHS VANGUARD BOND INDEX FD P 2016-01-28 2016-02-01
876.945 SHS BAXALTA INC. P   2015-09-23
876.945 SHS BAXALTA INTERNATIONAL INC. P   2015-09-23
400 SHS PIEDMONT NATURAL GAS CO P 2011-08-09 2015-12-28
765 SHS KINDER MORGAN INC DEL P   2016-03-10
500 SHS PIEDMONT NATURAL GAS CO P 2011-08-09 2016-03-10
200 SHS PIEDMONT NATURAL GAS CO P   2016-05-09
AURORA P    
AURORA P    
SIGULER GUFF 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 391,545   223,582 167,963
b 48,308   39,754 8,554
c 396,630   247,825 148,805
d 813,600   483,085 330,515
e 381,375   377,374 4,001
165,263   246,713 -81,450
63,563   41,093 22,470
30,510   48,013 -17,503
104,243   88,957 15,286
68,648   67,847 801
78,891   102,740 -23,849
18,416   20,678 -2,262
46,955   46,850 105
30,201   20,100 10,101
31,263   24,766 6,497
22,760   10,480 12,280
13,540   31,198 -17,658
29,829   13,100 16,729
11,970   5,857 6,113
4,312     4,312
2,490     2,490
79,109     79,109
1,331,049     1,331,049
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       167,963
b       8,554
c       148,805
d       330,515
e       4,001
      -81,450
      22,470
      -17,503
      15,286
      801
      -23,849
      -2,262
      105
      10,101
      6,497
      12,280
      -17,658
      16,729
      6,113
      4,312
      2,490
      79,109
      1,331,049
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 2,024,458
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 3,082,804 58,416,782 0.052773
2013 2,975,248 57,822,921 0.051454
2012 2,545,122 54,610,975 0.046605
2011 2,648,691 54,071,654 0.048985
2010 2,754,098 55,888,690 0.049278
2
Total of line 1, column (d) .....................
20.249095
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
0.049819
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
53,908,929
5
Multiply line 4 by line 3......................
5
2,685,689
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
30,789
7
Add lines 5 and 6........................
7
2,716,478
8
Enter qualifying distributions from Part XII, line 4.............
8
2,869,949
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 30,789
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 30,789
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 30,789
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 30,690
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 9,500
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 40,190
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 2
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 9,399
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet9,399 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
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)
    bulletNC
    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 addressbulletWWW.CFMFDN.ORG
    14
    The books are in care ofbulletANNA ERWIN Telephone no.bullet (910) 452-0611

    Located atbullet2508 INDEPENDENCE BLVD STE 200WILMINGTONNC ZIP+4bullet28412
    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
    ANNA ERWIN PRESIDENT/TREASURER
    40.00
    119,000 3,235 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    W CARTER MEBANE III ASSISTANT SECRETARY
    1.00
    0 0 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    AGNES R BEANE SECRETARY
    1.00
    0 0 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    WILLIAM H CAMERON BOARD MEMBER
    1.00
    0 0 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    GARRY GARRIS CHAIRMAN
    1.00
    64,000 65,000 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    ROBERT F WARWICK BOARD MEMBER
    1.00
    0 0 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    RICHARD L WOODBURY BOARD MEMBER
    1.00
    0 0 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    JAMES D HUNDLEY MD VICE CHAIRMAN
    1.00
    0 0 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    RONALD R SINCLAIR BOARD MEMBER
    1.00
    0 0 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    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
    JAN G DAWSON GRANTS OFFICER
    40.00
    69,849 2,512 0
    2508 INDEPENDENCE BOULEVARD
    WILMINGTON,NC28412
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    45,793,714
    b
    Average of monthly cash balances.......................
    1b
    7,828,069
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,108,094
    d
    Total (add lines 1a, b, and c).........................
    1d
    54,729,877
    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
    54,729,877
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    820,948
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    53,908,929
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    2,695,446
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    2,695,446
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    30,789
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
    602
    c
    Add lines 2a and 2b............................
    2c
    31,391
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,664,055
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,664,055
    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
    2,664,055
    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
    2,869,949
    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
    2,869,949
    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
    30,789
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    2,839,160
    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 2,664,055
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 2,522,411
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 2,869,949
    a Applied to 2014, but not more than line 2a 2,522,411
    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..... 347,538
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    2,316,517
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    ANNA P ERWIN
    2508 INDEPENDENCE BLVD STE 200
    WILMINGTON,NC28412
    (910) 452-0611
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATION FORMS AND REQUEST GUIDELINES ARE AVAILABLE AT THE ABOVE ADDRESS
    cAny submission deadlines:
    JANUARY 15 AND JULY 15
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GRANTS MADE ONLY TO 501(C)(3) ORGANIZATIONS AND GOVERNMENTAL ENTITIES FOR HEALTH AND MEDICAL NEEDS IN SOUTHEASTERN NORTH CAROLINA
    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
    ACCESS OF WILMINGTON
    341 SOUTH COLLEGE RD SUITE 11
    WILMINGTON,NC28403
      PC G.A.M.E.S. PROGRAM 15,000
    AMERICAN RED CROSS CAPE FEAR CHAPTER
    1102 SOUTH 16TH STREET
    WILMINGTON,NC28401
      PC PREVENTION AND ALLEVIATION OF SUFFERING FOR THOSE IN EMERGENCY SITUATIONS 45,000
    BOYS AND GIRLS HOMES OF NORTH CAROLINA INC
    400 FLEMING DRIVE
    LAKE WACCAMAW,NC28450
      PC BEHAVIOR SPECIALIST SUPPORT 40,000
    BRIGADE BOYS AND GIRLS CLUB INC
    2759 VANCE STREET
    WILMINGTON,NC28412
      PC TRIPLE PLAY PROGRAM - CONTINUED FUNDING 25,000
    BRUNSWICK FAMILY ASSISTANCE AGENCY INC
    POST OFFICE BOX 1551
    SHALLOTTE,NC28459
      PC IMPROVING LIVES OF FAMILIES AND INDIVIDUALS IN CRISIS IN BRUNSWICK CO. 50,000
    CAPE FEAR CLINIC INC
    1605 DOCTORS CIRCLE
    WILMINGTON,NC28401
      NC PHARMACY COLLABORATIVE - CONTINUED SUPPORT & GENERAL OPERATING SUPPORT 295,000
    CAPE FEAR COMMUNITY COLLEGE
    411 NORTH FRONT STREET
    WILMINGTON,NC28401
      NC RADIOGRAPHY LAB EQUIPMENT 50,000
    CAPE FEAR HEALTHNET
    3329-C WRIGHTSVILLE AVENUE
    WILMINGTON,NC28403
      PC DENTAL PROGRAM OPERATIONS 118,500
    CAPE FEAR HEALTHNET
    3329-C WRIGHTSVILLE AVENUE
    WILMINGTON,NC28403
      PC DIABETIC RETINOPATHY 53,000
    CATHOLIC CHARITIES OF THE DIOCESE OF RALEIGH
    4006 PRINCESS PLACE DRIVE
    WILMINGTON,NC28405
      NC FAMILY SERVICES - CASE MANAGEMENT 35,000
    COASTAL CAROLINAS HEALTH ALLIANCE
    BUILDING M 5305 WRIGHTSVILLE AVE
    WILMINGTON,NC28403
      PC VAN PURCHASE 35,000
    COMMUNITIES IN SCHOOLS OF BRUNSWICK COUNTY INC
    POST OFFICE BOX 10087
    SOUTHPORT,NC28461
      PC ACTION FOR SUCCESS PROGRAM - CONTINUED SUPPORT 30,000
    COMMUNITIES IN SCHOOLS OF CAPE FEAR INC
    POST OFFICE BOX 398
    WILMINGTON,NC28402
      PC BABY FAST PROGRAM 50,000
    COMMUNITY BOYS AND GIRLS CLUB OF WILMINGTON INC
    901 NIXON STREET
    WILMINGTON,NC28401
      PC PROVIDE YOUTH WITH RESOURCES NECESSARY TO BE PRODUCTIVE, CARING, AND RESPONSIBLE CITIZENS 15,000
    COMMUNITY CARE OF THE LOWER CAPE FEAR
    201 NORTH FRONT STREET 709
    WILMINGTON,NC28401
      PC FOSTERING HEALTH PROGRAM 155,000
    DISABILITY RESOURCE CENTER
    140 CINEMA DRIVE
    WILMINGTON,NC28403
      PC CAPE FEAR HOMELESS MEDICAL RESPITE PROJECT 30,000
    DOMESTIC VIOLENCE SHELTER & SERVICES INC
    PO BOX 1555
    WILMINGTON,NC28402
      NC PLUMBING REPAIRS 59,000
    DREAMS OF WILMINGTON INC
    901 FANNING STREET
    WILMINGTON,NC28401
      NC PROVIDING YOUTH WITH LITERARY, VISUAL, AND PERFORMING ARTS PROGRAMS 25,000
    EASTER SEALS UCP NC
    4000 WAKE FOREST ROAD
    RALEIGH,NC27609
      NC CHALLENGE FOR TODDLER PLAYGROUND 15,000
    FAMILIES FIRST INC
    POST OFFICE BOX 1776
    WHITEVILLE,NC28472
      NC SAFE DATE CIRRICULUM 15,000
    FANNIE NORWOOD MEMORIAL HOME
    501 S 15TH STREET
    WILMINGTON,NC28401
      PC ASSISTED LIVING SERVICES FOR THOSE IN NEED 30,000
    FELLOWSHIP OF CHRISTIAN ATHLETES
    POST OFFICE BOX 86
    WILMINGTON,NC28402
      PC GIVE COACHES AND ATHLETES THE OPPORTUNITY TO SPREAD THE MESSAGE OF JESUS CHRIST 30,000
    FOOD BANK OF CENTRAL & EASTERN NORTH CAROLINA
    1314 MARSTELLAR STREET
    WILMINGTON,NC28401
      PC FEED THE HUNGRY IN CENTRAL & EASTERN NORTH CAROLINA 30,000
    GOOD SHEPHERD MINISTRIES OF WILMINGTON INC
    811 MARTIN STREET
    WILMINGTON,NC28401
      PC MEDICAL AND COUNSELING SERVICES 75,000
    KIDS MAKING IT INC
    15 SOUTH WATER STREET
    WILMINGTON,NC28401
      PC WOODWORKING MENTORING PROGRAMS FOR AT-RISK YOUTH 50,000
    LEADING INTO NEW COMMUNITIES INC
    POST OFFICE BOX 401
    WILMINGTON,NC28402
      NC EDUCATE AND MOTIVATE YOUTH AND ASSIST THOSE RETURNING FROM PRISON WITH INTEGRATION INTO SOCIETY 60,000
    LIFE LINE PREGNANCY CENTER
    4522 FOUNTAIN DRIVE
    WILMINGTON,NC28403
      PC PREGNANCY COUNSELING AND RESOURCES 25,000
    MEDNORTH HEALTH CENTER
    925 N 4TH STREET
    WILMINGTON,NC28401
      NC PROVIDE ACCESSIBLE AND AFFORDABLE HEALTH CARE TO SURROUNDING COMMUNITIES 75,000
    MOTHER HUBBARD'S CUPBOARD
    315 RED CROSS STREET
    WILMINGTON,NC28401
      PC DISTRIBUTION OF FOOD TO THOSE IN NEED 24,000
    NC NETWORK OF GRANTMAKERS
    3739 NATIONAL DRIVE SUITE 100
    RALEIGH,NC27612
      NC 2016 ANNUAL MEETING SPONSORSHIP 1,000
    NEW HANOVER COUNTY BLUE RIBBON COMMISSION
    813 NIXON STREET ROOM 103
    WILMINGTON,NC28401
      PC VOYAGE INITIATIVE 30,000
    NEW HANOVER COUNTY HEALTH DEPARTMENT
    2029 SOUTH 17TH STREET
    WILMINGTON,NC28401
      NC EARLY INTERVENTION COLLABORATIVE PROJECT - CONTINUED SUPPORT 100,000
    NEW HANOVER COUNTY SENIOR RESOURCE CENTER
    2222 S COLLEGE RD
    WILMINGTON,NC28403
      NC PRESCRIPTION ASSISTANCE COUNSELING PROGRAM 10,000
    NEW HOPE CLINIC INC
    POST OFFICE BOX 10601
    SOUTHPORT,NC28461
      PC PROVIDE HEALTH CARE TO LOW INCOME, UNINSURED RESIDENTS OF BRUNSWICK CO. 100,000
    PENDER ADULT SERVICES INC
    POST OFFICE BOX 1251
    BURGAW,NC28425
      PC SENIOR NUTRITIONAL SUPPLEMENT PROJECT 25,000
    PENDER ALLIANCE FOR TEEN HEALTH
    POST OFFICE BOX 1057
    HAMPSTEAD,NC28443
      PC IMPROVE ACCESS TO HEALTH CARE FOR YOUTH AND FAMILIES IN PENDER CO. 60,000
    PENDER EMS & FIRE INC
    805 RIDGEWOOD ROAD
    BURGAW,NC28425
      NC LUCAS CHEST COMPRESSION SYSTEMS 45,000
    PHOENIX HOMETOWN HIRES
    20 N 4TH ST SUITE 430
    WILMINGTON,NC28401
      PC EMPOWER INDIVIDUALS TO REACH THEIR POTENTIAL AND LEAD STABLE LIVES THROUGH SATISFYING WORK 15,000
    QUALITY ENHANCEMENT FOR NON-PROFITS (QENO)
    UNCW 601 SOUTH COLLEGE ROAD RM 110B
    WILMINGTON,NC28403
      NC BUILD CAPACITY OF NON-PROFIT ORGANIZATIONS AND INCREASE PHILANTHROPY IN SOUTHEASTERN NORTH CAROLINA 45,000
    RECOVERY RESOURCE CENTER
    20 N 4TH ST SUITE 214
    WILMINGTON,NC28401
      PC EDUCATION AND SUPPORT TO THOSE AFFECTED BY MENTAL ILLNESS AND/OR ADDICTION 30,000
    SALVATION ARMY
    POST OFFICE BOX 90
    WILMINGTON,NC28402
      PC CARE MANAGER & LEAD HOUSING MONITOR - CONTINUED SUPPORT 60,000
    SOUTHPORT FIRE DEPARTMENT
    1011 N HOWE ST
    SOUTHPORT,NC28461
      NC CARDIAC MONITOR 4,000
    SPECIAL OLYMPICS OF NORTH CAROLINA
    2200 GATEWAY CENTRE BLVD SUITE 201
    MORRISVILLE,NC27560
      PC PROGRAM SUPPORT 20,000
    ST MARY HEALTH CENTER
    412 ANN STREET
    WILMINGTON,NC28401
      PC DENTAL OPERATIONS 30,000
    ST MARY HEALTH CENTER
    412 ANN STREET
    WILMINGTON,NC28401
      PC EMERGENCY DENTAL CARE 50,000
    THE CAROUSEL CENTER INC
    1501 DOCK STREET
    WILMINGTON,NC28401
      PC CHILD ABUSE EDUCATION/PREVENTION AND SUPPORT FOR CHILDREN AFFECTED BY ABUSE 80,000
    THE HARRELSON CENTER
    20 N 4TH ST SUITE 214
    WILMINGTON,NC28401
      PC UNLOCK HOPE CAMPAIGN 75,000
    TOXIC FREE NC
    115 SOUTH ST MARYS ST SUITE D
    RALEIGH,NC27603
      PC TRAINING EVENTS 15,000
    WILMINGTON AREA REBUILDING MINISTRY
    5058 WRIGHTSVILLE AVENUE
    WILMINGTON,NC28401
      PC SUPPORT LOW-INCOME HOMEOWNERS IN THE AREA WITH URGENT REPAIRS AND ACCESSIBILITY UPGRADES TO THEIR HOMES 2,500
    WILMINGTON CARENET COUNSELING CENTER
    610 SOUTH COLLEGE ROAD
    WILMINGTON,NC28403
      PC BENEVOLENT SERVICES INITIATIVE 30,000
    WILMINGTON FAMILY YMCA
    2710 MARKET STREET
    WILMINGTON,NC28401
      PC DIABETES PREVENTION PROGRAM 25,000
    WILMINGTON HEALTH ACCESS FOR TEENS
    4005 OLEANDER DRIVE
    WILMINGTON,NC28403
      PC MENTAL HEALTH SERVICES AT SCHOOL BASED HEALTH CENTER 80,000
    WINGATE UNIVERSITY
    220 N CAMDEN RD
    WINGATE,NC28174
      NC MEMORIAL - FRANK DAVIS 100
    Total .................................bullet 3a 2,487,100
    bApproved for future payment
    AMERICAN RED CROSS CAPE FEAR CHAPTER
    1102 SOUTH 16TH STREET
    WILMINGTON,NC28401
      PC PREVENTION AND ALLEVIATION OF SUFFERING FOR THOSE IN EMERGENCY SITUATIONS 45,000
    BOYS AND GIRLS HOMES OF NORTH CAROLINA INC
    400 FLEMING DRIVE
    LAKE WACCAMAW,NC28450
      PC BEHAVIOR SPECIALIST SUPPORT 25,000
    CAPE FEAR HEALTHNET
    3329-C WRIGHTSVILLE AVENUE
    WILMINGTON,NC28403
      NC DIABETIC RETINOPATHY 55,000
    COMMUNITIES IN SCHOOLS OF BRUNSWICK COUNTY INC
    POST OFFICE BOX 10087
    SOUTHPORT,NC28461
      PC ACTION FOR SUCCESS PROGRAM - CONTINUED SUPPORT 30,000
    PENDER MEMORIAL HOSPITAL
    507 E FREMONT STREET
    BURGAW,NC28425
      NC OUTDOOR RENOVATIONS 50,000
    SPECIAL OLYMPICS OF NORTH CAROLINA
    2200 GATEWAY CENTRE BLVD SUITE 201
    MORRISVILLE,NC27560
      PC ATHLETES HEALTH SCREENING 20,000
    ST MARY SOCIAL MINISTRY
    412 ANN STREET
    WILMINGTON,NC28401
      PC DIABETIC FOOD PANTRY 12,500
    TOXIC FREE NC
    115 SOUTH ST MARYS ST SUITE D
    RALEIGH,NC27603
      PC TRAINING EVENTS 10,000
    WILMINGTON FAMILY YMCA
    2710 MARKET STREET
    WILMINGTON,NC28401
      PC DIABETES PREVENTION PROGRAM 25,000
    Total .................................bullet 3b 272,500
    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 17,291  
    4 Dividends and interest from securities....     14 1,232,814  
    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..... 523000 5,223 15 101  
    8
    Gain or (loss) from sales of assets other than inventory ............
        18 2,024,458  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..     01 4,229  
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 5,223 3,278,893 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    133,284,116
    (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 InvestmentsCorpStockSchedule
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK & MUTUAL FUNDS 29,665,799 29,665,799

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    US Government Securities - End of Year Book Value:

    15,559,917
    US Government Securities - End of Year Fair Market Value:

    15,559,917
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2015 InvestmentsOtherSchedule2
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SIGULER GUFF FMV 939,181 939,181
    AURORA VENTURES FMV 54,539 54,539
    VISTA FMV 100,000 100,000

    TY 2015 LandEtcSchedule2
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    FURNITURE & EQUIPMENT 97,528 83,154 14,374 14,374


    TY 2015 OtherDecreasesSchedule
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    Description Amount
    UNREALIZED GAIN/LOSS ON RECORDING SECURITIES AT FAIR MARKET VALUE 4,044,758
    PRIOR YEAR INCOME REPORTED AS UNREALIZED GAIN/LOSS 25,171


    TY 2015 OtherExpensesSchedule
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSE 9,047 362   8,685
    BANK CHARGES 72 0   72
    DUES & SUBSCRIPTIONS 7,033 1,407   5,627
    TELEPHONE 3,997 400   3,597
    INSURANCE EXPENSE 9,788 979   8,809
    ELECTRIC 2,269 227   2,042
    CABLE EXPENSE 4,321 432   3,889
    COMPUTER SYSTEM 17,803 1,780   16,023
    OTHER SUPPLIES 7,650 306   7,344
    SIGULER GUFF DISTRESSED REAL ESTATE ASP FUND, LLC NET LOSS 12,641 12,641   0
    SIGULER GUFF - NONDEDUCTIBLE EXPENSES 24 0   0
    PENALTY & FINE 465 0   0


    TY 2015 OtherIncomeSchedule2
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    VISTA ROYALTY INCOME 101 101 101
    SIGULER GUFF REAL ESTATE ASP FUND LLC K1 UBTI 5,223 0 5,223


    TY 2015 OtherLiabilitiesSchedule
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    Description Beginning of Year - Book Value End of Year - Book Value
    DEFERRED COMPENSATION PAYABLE 179,000 180,000


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING/LEGAL FEES 15,299 1,530   13,769
    INVESTMENT MANAGEMENT FEES 122,482 122,482   0


    TY 2015 TaxesSchedule
    Name:
    CAPE FEAR MEMORIAL FOUNDATION
    EIN:
    56-1974747
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAXES AND LICENSES 30,789 0   0
    FOREIGN TAXES 659 659   0
    990-T TAXES 602 602   0
    NC TAXES 211 211   0