Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 12-01-2015 , and ending 11-30-2016
Name of foundation
JESS ROSE KORTZ & PEARLE RAE
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)425 S CHERRY ST 201
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DENVER, CO80246
A Employer identification number

84-6021153
B Telephone number (see instructions)

(303) 337-8148
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$3,662,389J 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) 100,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 58,231 58,231  
4 Dividends and interest from securities... 12,031 12,031  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment -8,241
b Gross sales price for all assets on line 6a 1,364,998
7 Capital gain net income (from Part IV, line 2)...  
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 162,021 70,262  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 2,450     2,450
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 23,596 56   10
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 8,817 8,777   40
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 34,863 8,833   2,500
25 Contributions, gifts, grants paid....... 158,804 158,804
26 Total expenses and disbursements. Add lines 24 and 25 193,667 8,833   161,304
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -31,646
b Net investment income (if negative, enter -0-) 61,429
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............. 78,489 63,623 63,623
2 Savings and temporary cash investments......... 563,729 179,451 179,451
3 Accounts receivable bullet90
Less: allowance for doubtful accounts bullet   1,245 90 90
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) 1,071,411 Click to see attachment700,266 694,879
b Investments—corporate stock (attach schedule)....... 625,474 Click to see attachment1,317,253 1,385,209
c Investments—corporate bonds (attach schedule)....... 1,288,788 Click to see attachment1,336,807 1,339,137
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,629,136 3,597,490 3,662,389
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........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 3,629,136 3,597,490
30 Total net assets or fund balances (see instructions)..... 3,629,136 3,597,490
31 Total liabilities and net assets/fund balances (see instructions). 3,629,136 3,597,490
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
3,629,136
2
Enter amount from Part I, line 27a .....................
2
-31,646
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
3,597,490
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
3,597,490
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 HOST HOTELS P   2015-12-03
b CA RESOURCES CORP P    
c FHLB BOND P 2013-10-09 2016-06-21
d WELLS FARGO P   2016-10-06
e FNMA BOND P 2015-09-23 2016-11-21
AFFILIATED MANAGERS GROUP P   2015-12-17
FHLB BOND P 2013-10-09 2016-04-27
FORTIVE CORP P 2015-07-15 2016-07-14
FNMA BOND P 2016-07-11 2016-10-11
HCA HOLDINGS INC P   2016-11-22
MYLAN NV P   2016-01-08
WHITEWAVE FOODS P   2016-05-02
HEXCEL CORP P   2016-07-18
FNMA BOND P 2015-09-23 2016-10-11
HCA HOLDINGS INC P   2016-11-22
COMCAST CORP P 2015-07-15 2016-01-13
CERNER CORP P   2016-05-06
GILEAD SCIENCES P 2015-07-15 2016-07-21
FHLMC BOND P 2015-07-08 2016-10-11
DISNEY P 2015-07-29 2016-01-13
DEUTSCHE BANK BOND P 2015-07-08 2016-05-11
GILEAD SCIENCES P   2016-07-21
FHLMC BOND P 2015-07-28 2016-10-11
FREEPORT MCMORAN P 2015-07-08 2016-02-01
GOLDMAN SACHS BOND P 2015-07-08 2016-05-18
FORTIVE CORP P 2015-07-15 2016-07-28
ADVANSIX INC P    
CHEVRON P 1998-12-01 2016-02-02
JP MORGAN CHASE BOND P 2011-11-23 2016-05-31
FORTIVE CORP P   2016-07-28
ADVANSIX INC P    
EOG RES P 2015-09-18 2016-02-02
PRUDENTIAL FINL P   2016-06-01
CITY NATL ROCHDALE P 2015-07-15 2016-08-03
FNMA BOND P 2015-09-23 2016-10-21
IBM P 2005-04-27 2016-02-02
CHARLES SCHWAB CORP P 2015-07-29 2016-06-06
TOUCHSTONE SMALL CAP FUND P   2016-08-03
BANK UNITED INC P 2015-08-12 2016-10-31
CITIGROUP P   2016-02-09
EDWARDS LIFESCIENCES P   2016-06-06
TWEEDY BROWNE GLOBAL VALUE P   2016-08-03
BANK UNITED INC P   2016-11-01
ORACLE CORP P   2016-02-09
GOLDMAN SACHS P   2016-06-06
SPDR S&P 500 ETF P   2016-08-03
BANK UNITED INC P   2016-11-01
IBM P 2005-12-09 2016-02-24
STARBUCKS CORP P   2016-06-06
FHLMC BOND P 2015-07-08 2016-09-09
BERKSHIRE HATHAWAY P 2015-07-08 2016-11-02
FHLB BOND P 2013-10-09 2016-03-08
WABTEC CORP P   2016-06-06
FNMA BOND P 2015-07-28 2016-09-09
FNMA BOND P 2015-07-28 2016-11-02
IBM P 2005-04-27 2016-03-09
CVS HEALTH CORP P 2015-07-29 2016-06-07
FNMA BOND P 2015-07-08 2016-09-09
GENERAL ELECTRIC CAP CORP P 2015-07-08 2016-11-02
FHLMC MTG BOND P 2015-07-08 2016-03-21
WELLS FARGO P   2016-06-07
WELLS FARGO P   2016-10-06
ONTARIO PRVINCE BOND P 2015-07-08 2016-11-02
(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 3,394   4,122 -728
b 9   11 -2
c 35,000   35,000  
d 6,093   6,580 -487
e 24,975   25,011 -36
5,553   7,337 -1,784
35,000   31,368 3,632
25   22 3
40,233   41,358 -1,125
5,997   7,818 -1,821
6,978   8,372 -1,394
10,616   12,474 -1,858
4,370   5,193 -823
100,053   100,047 6
7,760   8,162 -402
2,682   2,900 -218
6,704   7,644 -940
3,046   4,139 -1,093
15,677   15,235 442
1,479   1,583 -104
54,960   55,493 -533
5,220   6,940 -1,720
5,226   5,075 151
19,275   29,856 -10,581
25,762   25,656 106
582   523 59
58   50 8
8,980   4,562 4,418
200,000   200,000  
2,666   2,397 269
43   37 6
3,701   4,187 -486
13,022   13,645 -623
8,000   7,832 168
50,042   50,023 19
1,844   1,150 694
2,385   2,786 -401
18,000   21,516 -3,516
5,315   6,353 -1,038
3,008   4,507 -1,499
5,079   3,921 1,158
4,000   4,411 -411
238   559 -321
2,638   2,967 -329
9,449   11,171 -1,722
17,259   16,273 986
5,101   5,542 -441
1,320   870 450
2,782   2,976 -194
78,766   76,192 2,574
38,608   37,694 914
59,400   53,716 5,684
4,692   6,046 -1,354
50,240   50,029 211
25,122   25,013 109
2,828   1,565 1,263
2,427   2,831 -404
50,632   49,738 894
34,155   33,062 1,093
114,466   111,894 2,572
3,531   4,067 -536
6,318   8,013 -1,695
81,232   80,904 328
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       -728
b       -2
c        
d       -487
e       -36
      -1,784
      3,632
      3
      -1,125
      -1,821
      -1,394
      -1,858
      -823
      6
      -402
      -218
      -940
      -1,093
      442
      -104
      -533
      -1,720
      151
      -10,581
      106
      59
      8
      4,418
       
      269
      6
      -486
      -623
      168
      19
      694
      -401
      -3,516
      -1,038
      -1,499
      1,158
      -411
      -321
      -329
      -1,722
      986
      -441
      450
      -194
      2,574
      914
      5,684
      -1,354
      211
      109
      1,263
      -404
      894
      1,093
      2,572
      -536
      -1,695
      328
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 -6,420
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 -11,167
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 149,458 3,706,499 0.040323
2013 198,468 3,767,805 0.052675
2012 188,521 3,486,546 0.054071
2011 167,520 3,604,652 0.046473
2010 161,401 3,592,890 0.044922
2
Total of line 1, column (d) .....................
20.238464
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
0.047693
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
3,702,849
5
Multiply line 4 by line 3......................
5
176,600
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
614
7
Add lines 5 and 6........................
7
177,214
8
Enter qualifying distributions from Part XII, line 4.............
8
161,304
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 1,229
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 1,229
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,229
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 12,000
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 12,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 10,771
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet10,771 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
 
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)
    bulletCO
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletFOUNDATION Telephone no.bullet (303) 337-8148

    Located atbullet425 S CHERRY ST SUITE 201DENVERCO ZIP+4bullet80246
    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
     
     
    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
     
     
    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
    PEARLE KORTZ LEVEY PRES.
    1.00     		0 0 0
    7600 E EASTMAN AVE
    DENVER,CO80231
    KENNETH M LAFF V.P.
    1.00     		0 0 0
    7600 E EASTMAN AVE
    DENVER,CO80231
    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  
    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.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    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
    3,406,447
    b
    Average of monthly cash balances.......................
    1b
    352,791
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,759,238
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    3,759,238
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    56,389
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,702,849
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    185,142
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    185,142
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    1,229
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,229
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    183,913
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    183,913
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    183,913
    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
    161,304
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    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
    161,304
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    161,304
    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 7 183,913
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013...... 6,244
    e From 2014......  
    fTotal of lines 3a through e........ 6,244
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 161,304
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount..... 161,304
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015. 6,244 6,244
    (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  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		16,365
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		 
    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).)
    PEARLE KORTZ LEVEY
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    9HEALTH FAIR - ADL SCHOLARSHIP FUND
    1139 DELEWARE STREET
    DENVER,CO80204     		    CHARITABLE 5,000
    AARP FOUNDATION
    601 E STREET
    WASHINGTON,DC20049     		    CHARITABLE 100
    ALZHEIMERS ASSOCIATION
    CALIFORNIA SOUTHLAND CHAP
    LOS ANGELES,CA90036     		    CHARITABLE 150
    ANTI-DEFAMATION LEAGUE OF COLORADO
    1120 LINCOLN STREET
    DENVER,CO80203     		    CHARITABLE 1,100
    ARTHRITIS FOUNDATION
    ROCKY MTN CHAPTER 2280
    DENVER,CO80222     		    CHARITABLE 100
    ASSOCIATES - IMC
    LA JEWISH HOME 7150 TA
    RESEDA,CA91335     		    CHARITABLE 100
    BEIT TSHUVAH
    8831 VENICE BLVD
    LOS ANGELES,CA90034     		    CHARITABLE 500
    BEVERLY HILLS MEALS ON WHEELS
    PO BOX 5031
    BEVERLY HILLS,CA90210     		    CHARITABLE 250
    BLUE RIBBON - PERFORMING ARTS OF LA
    MUSIC CENTER 135 NOTH G
    LOS ANGELES,CA90012     		    CHARITABLE 2,500
    CEDAR SINAI MEDICAL CNTR - BOG
    PO BOX 48750 ROOM 241
    LOS ANGELES,CA90048     		    CHARITABLE 6,500
    CITY OF HOPE
    1055 WILSHIRE BLVD 120
    LOS ANGELES,CA90017     		    CHARITABLE 500
    COLORADO COALITION FOR THE HOMELESS
    2111 CHAMPA STREET
    DENVER,CO80205     		    CHARITABLE 250
    CONCERN FOUNDATION
    1026 SO ROBERTSON BLVD
    LOS ANGELES,CA90035     		    CHARITABLE 1,500
    CRAIG HOSPITAL
    3425 SO CLARKSON STREET
    ENGLEWOOD,CO80113     		    CHARITABLE 250
    CROHN'S & COLITIS FOUNDATION
    1701 BRYANT STREET
    DENVER,CO80204     		    CHARITABLE 1,000
    DENVER RESCUE MISSION
    ATTN BRAD MEULI 1130 P
    DENVER,CO80205     		    CHARITABLE 250
    DESERT COMMUNITY FOUNDATION
    75-105 MERLE STREET SUI
    PALM DESERT,CA92211     		    CHARITABLE 250
    DISABLED AMERICAN VETERAN ORGANIZAT
    PO BOX 14301
    CINCINNATI,OH45250     		    CHARITABLE 500
    EISENHOWER MEDICAL CENTER
    39000 BOB HOPE DRIVE
    RANCHO MIRAGE,CA92270     		    CHARITABLE 5,000
    FOOD BANK OF THE ROOKIES
    10700 E 45TH AVE
    DENVER,CO80239     		    CHARITABLE 250
    GUIDE DOGS OF THE DESERT
    PO BOX 1692
    PALM SPRINGS,CA92263     		    CHARITABLE 100
    HELPS INTERNATIONAL L A TEAM
    CLEFT PALATE SURGERYS A
    BURBANK,CA91506     		    CHARITABLE 5,000
    JEWISH FAMILY SERVICES - LA
    6505 WILSHIRE BLVD SUIT
    LOS ANGELES,CA90048     		    CHARITABLE 5,000
    JEWISH FAMILY SERVICES OF THE DESER
    409 S FARREL DRIVE SUI
    PALM SPRINGS,CA92262     		    CHARITABLE 2,500
    JEWISH FAMILY SERVICES OF COLORADO
    3201 S TAMARAC DRIVE
    DENVER,CO80231     		    CHARITABLE 50
    JEWISH FEDERATION OF THE DESERT
    69-710 HIGHWAY 111
    RANCHO MIRAGE,CA92270     		    CHARITABLE 1,800
    JEWISH VOC SRV - LA - SCHOLARSHIPG
    ATTN RANDY LAPIN 6505 W
    LOS ANGELES,CA90048     		    CHARITABLE 25,000
    JUNIOR BLIND OF AMERICA
    ATTN MICKEY JORDAN 530
    LOS ANGELES,CA90043     		    CHARITABLE 250
    KCET WOMENS COUNCIL
    4401 SUNSET BOULEVARD
    LOS ANGELES,CA90027     		    CHARITABLE 500
    L A R C
    10560 WILSHIRE BLVD SUI
    LOS ANGELES,CA90024     		    CHARITABLE 1,000
    LOS ANGELES CNTY MUSEUM OF ART
    5905 WILSHIRE BOULEVARD
    LOS ANGELES,CA90036     		    CHARITABLE 2,500
    LOS ANGELES OPERA
    135 N GRAND AVENUE
    LOS ANGELES,CA90012     		    CHARITABLE 500
    MAKE A WISH FOUNDATION
    7951 E MAPLEWOOD AVENUE
    GREENWOOD VILLAGE,CO80111     		    CHARITABLE 250
    MC CULLUM THEATER
    ATTN BILL CROW 73000 F
    PALM DESERT,CA92260     		    CHARITABLE 12,930
    METRO DENVER PARTNERS
    ATTN MARY ANN BURDICK 7
    DENVER,CO80209     		    CHARITABLE 12,500
    NATL JEWISH MED & RES CTR
    1400 JACKSON STREET
    DENVER,CO80206     		    CHARITABLE 100
    OPERA COLORADO
    695 S COLORADO BLVD SU
    DENVER,CO80246     		    CHARITABLE 12,500
    OTIS COLLEGE OF ART AND DESIGN
    9045 LINCOLN BLVD
    LOS ANGELES,CA90045     		    CHARITABLE 1,000
    ROSE COMMUNITY FOUNDATION
    600 SOUTH CHERRY SUITE
    DENVER,CO80246     		    CHARITABLE 5,000
    SHALOM PARK
    ATTN MARILYN BOGAN 1480
    AURORA,CO80015     		    CHARITABLE 6,000
    SKIRBALL CULTURAL CENTER
    2701 NORTH SEPULVEDA BLVD
    LOS ANGELES,CA90049     		    CHARITABLE 1,500
    STAND WITH US
    6505 WILSHIRE BLVD 5TH
    LOS ANGELES,CA90048     		    CHARITABLE 1,300
    STOP CANCER
    2566 OVERLAND AVENUE SUI
    LOS ANGELES,CA90064     		    CHARITABLE 1,200
    TEMPLE EMANUAL - COLO
    51 GRAPE STREET
    DENVER,CO80220     		    CHARITABLE 300
    TEMPLE EMANUEL - LA
    8844 BURTON WAY
    BEVERLY HILLS,CA90211     		    CHARITABLE 600
    TEMPLE SINAI
    3509 SOUTH GLENCOE STREET
    DENVER,CO80237     		    CHARITABLE 2,974
    TOWER CANCER RESEARCH FOUNDATION
    8767 WILSHIRE BLVD SUIT
    LOS ANGELES,CA90211     		    CHARITABLE 1,000
    UNITED JEWISH FUND - 2015 WOMENS CA
    6505 WILSHIRE BLVD SUIT
    LOS ANGELES,CA90048     		    CHARITABLE 25,000
    UNITED WAY OF THE DESERT
    POBOX 13210
    PALM DESERT,CA92255     		    CHARITABLE 100
    UNITED WAY OF LOS ANGELES
    ATTN DIANA ORTIZ 11
    LOS ANGELES,CA90015     		    CHARITABLE 500
    UNIV DEN - ROCKY MNT JEWISH HIST S
    STURM HALL 157 2000E A
    DENVER,CO80208     		    CHARITABLE 100
    WALLIS ANNENBERG PERFORMING ART CEN
    9390 N SANTA MONICA BLVD
    BEVERLY HILLS,CA90210     		    CHARITABLE 2,700
    WOUNDED WARRIORS PROJECT
    PO BOX 758516
    TOPEKA,KS66675     		    CHARITABLE 500
    ZIMMER CHILDREN'S MUSEUM
    6505 WILSHIRE BLVD SUIT
    LOS ANGELES,CA90048     		    CHARITABLE 500
    Total .................................bullet 3a 158,804
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 58,231  
    4 Dividends and interest from securities....     14 12,031  
    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 -8,241  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   62,021  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1362,021
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  


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

    84-6021153
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    JESS ROSE KORTZ & PEARLE RAE
    FOUNDATION         		Employer identification number
    84-6021153
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    PEARLE KORTZ LEVEY  
    7600 E EASTMAN AVE
     
    DENVER, CO80231

    		$ 100,000


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    JESS ROSE KORTZ & PEARLE RAE
    FOUNDATION         		Employer identification number

    84-6021153
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    JESS ROSE KORTZ & PEARLE RAE
    FOUNDATION         		Employer identification number

    84-6021153
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    JESS ROSE KORTZ & PEARLE RAE
     
    FOUNDATION
    EIN:
    84-6021153
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES FOR TAX PREPARAT 2,450     2,450

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

    TY 2015 GainLossSaleOtherAssetsSch
    Name:
    JESS ROSE KORTZ & PEARLE RAE
     
    FOUNDATION
    EIN:
    84-6021153
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    TWEEDY BROWNE GLOBAL VALUE FUND 2015-07 PURCHASE 2016-02   15,000 16,821     -1,821  

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    JESS ROSE KORTZ & PEARLE RAE
     
    FOUNDATION
    EIN:
    84-6021153
    Name of Bond End of Year Book Value End of Year Fair Market Value
    US CORPORATE BONDS 1,158,023 1,158,112
    FOREIGN CORPORATE BONDS 138,784 141,135
    FLOATING RATE NOTES 40,000 39,890

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    JESS ROSE KORTZ & PEARLE RAE
     
    FOUNDATION
    EIN:
    84-6021153
    Name of Stock End of Year Book Value End of Year Fair Market Value
    US CORPORATION STOCKS 1,024,148 1,088,366
    MUTUAL FUNDS 293,105 296,843

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    JESS ROSE KORTZ & PEARLE RAE
     
    FOUNDATION
    EIN:
    84-6021153
    US Government Securities - End of Year Book Value:

    700,266
    US Government Securities - End of Year Fair Market Value:

    694,879
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2015 OtherExpensesSchedule
    Name:
    JESS ROSE KORTZ & PEARLE RAE
     
    FOUNDATION
    EIN:
    84-6021153
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    BANK AND INVESTMENT FEES 8,766 8,766    
    OFFICE EXPENSES 51 11   40


    TY 2015 TaxesSchedule
    Name:
    JESS ROSE KORTZ & PEARLE RAE
     
    FOUNDATION
    EIN:
    84-6021153
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 23,530      
    ANNUAL LICENSE 10     10
    FOREIGN TAX 56 56