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
DALE IRWIN HAYES SCHOLARSHIP FUND 280440B
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 0634
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE, WI532010634
A Employer identification number

43-6619759
B Telephone number (see instructions)

(314) 418-2643
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,042,430
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      
4 Dividends and interest from securities... 27,200 27,200  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 95,687
b Gross sales price for all assets on line 6a 454,595
7 Capital gain net income (from Part IV, line 2)... 95,687
8 Net short-term capital gain......... 0
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)....... 993    
12 Total. Add lines 1 through 11........ 123,880 122,887  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 21,176 19,058   2,118
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 7,960 0 0 7,960
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 835 564   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 29,971 19,622 0 10,078
25 Contributions, gifts, grants paid....... 54,600 54,600
26 Total expenses and disbursements. Add lines 24 and 25 84,571 19,622 0 64,678
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 39,309
b Net investment income (if negative, enter -0-) 103,265
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 2,705 20,168 20,168
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 549,919 Click to see attachment380,032 451,859
c Investments—corporate bonds (attach schedule)....... 330,806 Click to see attachment224,507 245,859
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   Click to see attachment297,993 324,544
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 883,430 922,700 1,042,430
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 883,430 922,700
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)..... 883,430 922,700
31 Total liabilities and net assets/fund balances (see instructions). 883,430 922,700
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
883,430
2
Enter amount from Part I, line 27a .....................
2
39,309
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
922,739
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
39
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
922,700
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 2545.777 SCOUT INTERNATIONAL FUND     2016-01-11
b 3219.994 INV BALANCE RISK COMM STR Y   2013-06-05 2016-02-29
c 290. APPLIED MATERIALS INC COM W/RIGHTS ATTACHED EXP 7/6/2009   1998-09-03 2016-02-29
d 200. BAKER HUGHES INC   2003-08-11 2016-02-29
e 1110.433 CREDIT SUISSE COMM RET ST CO   2012-12-17 2016-02-29
140. EXXON MOBIL CORP   2000-11-16 2016-02-29
165. INTEL CORP     2016-02-29
40. INTERNATIONAL BUSINESS MACHINES CORP   2004-05-26 2016-02-29
95. JP MORGAN CHASE & CO COM   1998-10-05 2016-02-29
140. JOHNSON CTLS INC COM W/RTS ATTACHED EXP 11/30/2004   2011-06-02 2016-02-29
157. MCKESSON CORPORATION   2009-02-02 2016-02-29
45. NEXTERA ENERGY INC   2009-02-02 2016-02-29
6134.155 NUVEEN CORE PLUS BOND I   1996-04-10 2016-02-29
526.98 NUVEEN SMALL CAP SELECT FD CL I   2003-08-11 2016-02-29
205. PEPSICO INC   1996-07-10 2016-02-29
170. PFIZER INC   2002-08-07 2016-02-29
65. PROCTER & GAMBLE CO   1999-01-15 2016-02-29
100. QUALCOMM INC   2011-06-02 2016-02-29
120. SYSCO CORP   1998-12-17 2016-02-29
245. UNION PAC CORP COM   2003-08-11 2016-02-29
110. WELLS FARGO CO   2000-11-16 2016-02-29
100. ZIMMER BIOMET HOLDINGS INC     2016-02-29
220. APPLIED MATERIALS INC COM W/RIGHTS ATTACHED EXP 7/6/2009   1998-09-03 2016-06-01
60. EXXON MOBIL CORP   2000-11-16 2016-06-01
235. INTEL CORP   2003-08-11 2016-06-01
45. NEXTERA ENERGY INC   2009-02-02 2016-06-01
711.299 NUVEEN SMALL CAP SELECT FD CL I     2016-06-01
135. PROCTER & GAMBLE CO   1999-01-15 2016-06-01
115. SYSCO CORP   1998-12-17 2016-06-01
65. UNION PAC CORP COM   2003-08-11 2016-06-01
210. APPLIED MATERIALS INC COM W/RIGHTS ATTACHED EXP 7/6/2009   1998-09-03 2016-07-21
250. GENERAL ELEC CO   1996-07-10 2016-07-21
155. ISHARES MSCI EMERGING MARKETS ETF   2011-06-02 2016-07-21
481.583 NUVEEN SMALL CAP SELECT FD CL I   2005-12-15 2016-07-21
60. INTERNATIONAL BUSINESS MACHINES CORP   2004-05-26 2016-08-03
145. ISHARES MSCI EMERGING MARKETS ETF   2011-06-02 2016-08-03
456.158 NUVEEN SMALL CAP SELECT FD CL I     2016-08-03
50. PEPSICO INC   1996-07-10 2016-08-03
45. PRAXAIR INC   2000-11-16 2016-08-03
100. SYSCO CORP   1998-12-17 2016-08-03
140. WELLS FARGO CO   2000-11-16 2016-08-03
160. JOHNSON CTLS INC COM W/RTS ATTACHED EXP 11/30/2004   2011-06-02 2016-09-06
CAPITAL GAIN 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 54,556   85,000 -30,444
b 19,835   30,075 -10,240
c 5,478   1,885 3,593
d 8,509   6,560 1,949
e 4,864   9,006 -4,142
11,244   6,337 4,907
4,886   10,185 -5,299
5,246   3,533 1,713
5,361   2,597 2,764
5,101   5,313 -212
24,455   7,090 17,365
5,087   2,270 2,817
64,286   67,217 -2,931
4,991   7,478 -2,487
20,076   6,321 13,755
5,060   5,319 -259
5,223   3,512 1,711
5,097   5,790 -693
5,286   1,623 3,663
19,358   3,731 15,627
5,166   2,454 2,712
9,676   3,214 6,462
5,344   1,430 3,914
5,330   2,716 2,614
7,422   5,640 1,782
5,394   2,270 3,124
7,846   10,067 -2,221
11,012   7,295 3,717
5,592   1,555 4,037
5,420   990 4,430
5,508   1,365 4,143
8,142   3,505 4,637
5,532   7,410 -1,878
5,456   6,776 -1,320
9,595   5,300 4,295
5,201   6,932 -1,731
5,218   6,280 -1,062
5,386   1,542 3,844
5,246   778 4,468
5,129   1,352 3,777
6,647   3,123 3,524
7,026   6,072 954
      28,308
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       -30,444
b       -10,240
c       3,593
d       1,949
e       -4,142
      4,907
      -5,299
      1,713
      2,764
      -212
      17,365
      2,817
      -2,931
      -2,487
      13,755
      -259
      1,711
      -693
      3,663
      15,627
      2,712
      6,462
      3,914
      2,614
      1,782
      3,124
      -2,221
      3,717
      4,037
      4,430
      4,143
      4,637
      -1,878
      -1,320
      4,295
      -1,731
      -1,062
      3,844
      4,468
      3,777
      3,524
      954
       
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 95,687
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 72,389 1,148,121 0.06305
2013 56,361 1,178,125 0.04784
2012 55,427 1,120,310 0.049475
2011 45,907 1,084,788 0.042319
2010 53,684 1,103,408 0.048653
2
Total of line 1, column (d) .....................
20.251337
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
0.050267
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,032,565
5
Multiply line 4 by line 3......................
5
51,904
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,033
7
Add lines 5 and 6........................
7
52,937
8
Enter qualifying distributions from Part XII, line 4.............
8
64,678
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 1,033
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 1,033
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 1,033
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 543
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 543
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 490
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet0 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMO
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletUS BANK NA Telephone no.bullet (314) 418-2643

    Located atbulletPO BOX 0634MILWAUKEEWI ZIP+4bullet532010634
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    No
    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
     
    No
    .........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
    US BANK CO-TRUSTEE
    1
    17,031    
    PO BOX 387
    ST LOUIS,MO63166
    DR SHIRLEY A PEARL CO-TRUSTEE
    0
    4,145    
    866 OSCEOLA AVE
    ST PAUL,MN551053208
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,029,317
    b
    Average of monthly cash balances.......................
    1b
    18,972
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,048,289
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,048,289
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    15,724
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,032,565
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    51,628
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    51,628
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    1,033
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,033
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    50,595
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    50,595
    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
    50,595
    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
    64,678
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    64,678
    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
    1,033
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    63,645
    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 50,595
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 0
    b From 2011...... 0
    c From 2012...... 0
    d From 2013...... 0
    e From 2014...... 14,621
    fTotal of lines 3a through e........ 14,621
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 64,678
    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..... 50,595
    e Remaining amount distributed out of corpus 14,083
    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 28,704
    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 ......
    28,704
    10 Analysis of line 9:
    a Excess from 2011.... 0
    b Excess from 2012.... 0
    c Excess from 2013.... 0
    d Excess from 2014.... 14,621
    e Excess from 2015.... 14,083
    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:
    MISSOURI UNIVERSITY OF SCIENCE TE
    G-1 PARKER HALL
    ROLLA,MO654090250
    (573) 341-4282
    bThe form in which applications should be submitted and information and materials they should include:
    PLEASE CONTACT THE ABOVE
    cAny submission deadlines:
    PLEASE CONTACT THE ABOVE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    PLEASE CONTACT THE ABOVE
    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
    MISSOURI UNIVERSITY OF SCIENCE
    AND TECHNOLOGY
    G1 PARKER HALL
    ROLLA,MO654090250
    NONE PC SCHOLARSHIPS 18,000
    HAMLINE UNIVERSITY
    1536 HEWITT AVE
    ST PAUL,MN55104
    NONE PC SCHOLARSHIPS 4,000
    UNIVERSITY OF ST THOMAS
    2115 SUMMIT AVE
    ST PAUL,MN55105
    NONE PC SCHOLARSHIPS 20,000
    UNIVERSITY OF IOWA FOUNDATION
    PO BOX 4550
    IOWA CITY,IA52244
    NONE PC SCHOLARSHIPS 12,600
    Total .................................bullet 3a 54,600
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........
             
    4 Dividends and interest from securities....     14 27,200  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property
             
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............
        18 95,687  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aPY FEDERAL TAX REF
        1 993  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   123,880  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13123,880
    (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:
    DALE IRWIN HAYES SCHOLARSHIP FUND 280440B
    EIN:
    43-6619759
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 7,960     7,960

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    DALE IRWIN HAYES SCHOLARSHIP FUND 280440B
    EIN:
    43-6619759
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CREDIT SUISSE COMM RET ST CO    
    INV BALANCE RISK COMM STR Y    
    NUVEEN CORE PLUS BOND I 74,507 75,814
    NUVEEN FUNDS CORE BD FD I 150,000 170,045

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    DALE IRWIN HAYES SCHOLARSHIP FUND 280440B
    EIN:
    43-6619759
    Name of Stock End of Year Book Value End of Year Fair Market Value
    PRAXAIR INC 2,678 18,729
    GENERAL ELEC CO 4,907 10,367
    BAKER HUGHES INC    
    EXXON MOBIL CORP 4,526 8,728
    PEPSICO INC 4,402 15,772
    PROCTER & GAMBLE CO    
    SYSCO CORP 2,231 8,087
    ABBOTT LABS 2,690 6,344
    PFIZER INC 7,197 7,790
    ZIMMER HLDGS INC    
    JP MORGAN CHASE & CO    
    WELLS FARGO & CO 3,347 6,642
    APPLIED MATLS INC 1,820 8,442
    INTEL CORP    
    UNION PAC CORP 1,371 8,778
    MCKESSON CORPORATION    
    NEXTERA ENERGY INC 5,548 13,455
    STANLEY BLACK DECKER INC 8,718 15,618
    JOHNSON CONTROLS INC    
    QUALCOMM INC 5,790 6,850
    ISHARES MSCI EMERGING MKTS ETF 37,278 30,896
    SCOUT INTERNATIONAL FUND    
    T ROWE PRICE INTL GR&INC FD 70,066 75,092
    TEMPLETON INSTL EMERGING MKT S 44,961 19,831
    ABBVIE INC 2,917 9,461
    INTERNATIONAL BUS MACHINE CORP    
    CAUSEWAY EMERG MRKTS INSTL 25,547 23,173
    NUVEEN INTERNATIONAL GROWTH I 43,457 42,415
    NUVEEN REAL ESTATE SECS I 49,750 64,448
    NUVEEN SMLL CAP SELECT FD CL I 30,569 29,818
    CAMBIAR INTL EQUITY FUND INS 20,262 21,123

    TY 2015 InvestmentsOtherSchedule2
    Name:
    DALE IRWIN HAYES SCHOLARSHIP FUND 280440B
    EIN:
    43-6619759
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    AMGEN INC AT COST 5,526 5,838
    APPLE INC AT COST 8,267 9,609
    BARON EMERGING MARKETS INSTITU AT COST 5,001 6,141
    CARDINAL HEALTH INC AT COST 6,970 6,605
    CARTERS INC AT COST 3,570 3,035
    CHUBB LTD AT COST 5,209 5,654
    CISCO SYSTEMS INC AT COST 5,778 6,978
    CME GROUP INC AT COST 5,496 6,271
    DELTA AIR LINES INC AT COST 5,418 5,510
    FEDERATED INST HI YLD BD FD AT COST 12,503 13,387
    FIDELITY INVT TR AD INTL DISCI AT COST 44,446 47,394
    FIFTH THIRD BANCORP AT COST 2,221 2,455
    HOME DEPOT INC AT COST 5,928 5,791
    J P MORGAN CHASE CO AT COST 3,143 7,658
    JACK HENRY ASSOCIATES INC AT COST 6,733 6,844
    JOHNSON CTLS INTL PLC AT COST 6,072 6,222
    LEGGETT PLATT INC AT COST 6,289 6,381
    LOOMIS SAYLES STRATEGIC ALPHA AT COST 33,063 34,719
    MAGNA INTL INC CL A AT COST 7,040 7,731
    MARATHON PETROLEUM CORP AT COST 2,075 2,435
    MASTERCARD INC AT COST 5,211 5,597
    MICROSOFT CORP AT COST 10,924 12,384
    NEUBERGER BERMAN LONG SH INS AT COST 14,600 15,139
    NUVEEN INFLATION PRO SEC CL I AT COST 5,328 5,480
    RAYTHEON COMPANY AT COST 5,594 6,126
    ROBECO BOSTON PARTNERS L S RSR AT COST 39,738 42,253
    T ROWE PRICE MID CAP GROWTH FD AT COST 25,005 28,424
    TRANSCANADA CORP AT COST 5,460 6,183
    UNITED HEALTH GROUP INC AT COST 5,385 6,300

    TY 2015 OtherDecreasesSchedule
    Name:
    DALE IRWIN HAYES SCHOLARSHIP FUND 280440B
    EIN:
    43-6619759
    Description Amount
    ROUNDING 39


    TY 2015 OtherIncomeSchedule2
    Name:
    DALE IRWIN HAYES SCHOLARSHIP FUND 280440B
    EIN:
    43-6619759
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PY FEDERAL TAX REFUND 993 0  


    TY 2015 TaxesSchedule
    Name:
    DALE IRWIN HAYES SCHOLARSHIP FUND 280440B
    EIN:
    43-6619759
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES PAID 564 564   0
    FEDERAL ESTIMATE TAXES PAID 271 0   0