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 09-01-2015 , and ending 08-31-2016
Name of foundation
DORA L FOSTER CHARITABLE FOUNDATION UNDER AMENDED AND RESTATED TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)C/O PETER RIVELLINI 911 CHESTNUT ST
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CLEARWATER, FL33756
A Employer identification number

59-7256023
B Telephone number (see instructions)

(727) 461-1818
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$527,622J 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 3 3  
4 Dividends and interest from securities... 17,221 17,221  
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 -20,172
b Gross sales price for all assets on line 6a 381,206
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ -2,948 17,224  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 8,399 8,399    
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 3,758 3,758    
b Accounting fees (attach schedule)....... Click to see attachment 3,700 3,700    
c Other professional fees (attach schedule).... Click to see attachment 5,270 5,270    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 159 159    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 21,286 21,286   0
25 Contributions, gifts, grants paid....... 35,996 35,996
26 Total expenses and disbursements. Add lines 24 and 25 57,282 21,286   35,996
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -60,230
b Net investment income (if negative, enter -0-) 0
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.............      
2 Savings and temporary cash investments......... 21,041 21,345 21,345
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 539,629 Click to see attachment479,095 506,277
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
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) 560,670 500,440 527,622
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........ 560,670 500,440
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)..... 560,670 500,440
31 Total liabilities and net assets/fund balances (see instructions). 560,670 500,440
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
560,670
2
Enter amount from Part I, line 27a .....................
2
-60,230
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
500,440
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
500,440
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 18 ABBVIE INC P 2012-10-17 2015-10-13
b 40.605 INVESCO CONVERTIBLE SEC CL Y P 2013-11-06 2015-10-13
c 48.939 INVESCO CONVERTIBLE SEC CL Y P 2013-12-04 2015-10-13
d 17 ABBOTT LABORATORIES P 2012-10-17 2015-10-13
e 45 ACCESS NATIONAL CORP P 2013-11-06 2015-10-13
8 APPLE INC P 2013-11-06 2015-10-13
30.333 BARON SELECT FUNDS REAL ESTATE FUND P 2013-12-04 2015-10-13
273.946 BLACKROCK FDS II HIGH YIELD BD PORT P 2014-07-16 2015-10-13
100.512 EATON VANCE MF FDS TR CL I P 2015-03-16 2015-10-13
11 EXXON MOBIL CORP D 2005-09-12 2015-10-13
146.534 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I P 2013-11-06 2015-10-13
329.641 HARTFORD MUTUAL FUNDS CL I P 2013-11-06 2015-10-13
64.235 LAZARD FDS INC EMG MKTS EQUITY P 2013-11-06 2015-10-13
443.079 PIONEER STRATEGIC INC FD CL Y P 2013-11-06 2015-10-13
41.880 IVY SCIENCE AND TECHNOLOGY FD CL I P 2013-11-06 2015-10-13
36 ORCHIDS PAPER PRODUCTS CO P 2013-11-06 2015-10-13
8 PPG INDUSTRIES INC P 2013-11-06 2015-10-13
85.143 PIONEER SER TR X MULTI-ASSET ULT INC FD CL Y P 2013-11-06 2015-10-13
33.717 DREYFUS INVT FDS STANDISH GLO FIXED INC FD CL I P 2015-06-06 2015-10-13
11 QUALCOMM INC P 2013-11-06 2015-10-13
23 SPDR S&P 500 TRUST P 2013-11-06 2015-10-13
245.891 TEMPLETON INCOME TR GLO BD FD P 2013-11-06 2015-10-13
64.605 THORNBURG INVT TR CL I P 2013-11-06 2015-10-13
6 UNION PACIFIC CORP P 2013-11-06 2015-10-13
33 SPDR S&P 500 TRUST P 2013-11-06 2015-11-13
111 QUALCOMM INC P 2013-11-06 2015-11-20
2 QUALCOMM INC P 2014-10-20 2015-11-20
25 QUALCOMM INC P 2014-11-06 2015-11-20
753.964 LAZARD FDS INC EMG MKTS EQUITY P 2013-11-06 2015-12-16
6.736 LAZARD FDS INC EMG MKTS EQUITY P 2013-12-24 2015-12-16
4.058 LAZARD FDS INC EMG MKTS EQUITY P 2014-10-20 2015-12-16
22.277 LAZARD FDS INC EMG MKTS EQUITY P 2013-11-06 2015-12-16
44 POLARIS INDS INC P 2013-11-06 2016-01-06
73 UNION PACIFIC CORP P 2013-11-06 2016-01-06
2 UNION PACIFIC CORP P 2014-10-20 2016-01-06
208 ISHARES MSCI EMG MKTS P 2015-12-16 2016-01-08
82 SPDR S&P TRUST P 2013-11-06 2016-01-08
262.423 IVY SCIENCE AND TECHNOLOGY FD CL I P 2013-11-06 2016-01-15
439.258 INVESCO CONV SEC CL Y P 2013-12-04 2016-01-21
12.674 INVESCO CONV SEC CL Y P 2013-12-16 2016-01-21
2.143 INVESCO CONV SEC CL Y P 2013-12-16 2016-01-21
620.159 INVESCO CONV SEC CL Y P 2014-04-10 2016-01-21
22.894 INVESCO CONV SEC CL Y P 2014-10-20 2016-01-21
13 INTERNATIONAL BUSINESS MACHINE CORP P 2015-09-25 2016-01-21
17 INTERNATIONAL BUSINESS MACHINE CORP P 2013-11-06 2016-01-21
11.709 IVY SCIENCE AND TECHNOLOGY FD CL I P 2015-12-11 2016-01-21
226.324 IVY SCIENCE AND TECHNOLOGY FD CL I P 2013-11-06 2016-01-21
14.012 IVY SCIENCE AND TECHNOLOGY FD CL I P 2013-12-13 2016-01-21
11.379 IVY SCIENCE AND TECHNOLOGY FD CL I P 2014-10-20 2016-01-21
948.461 TEMPLETON INCOME TR GLO BD FD P 2013-11-06 2016-01-22
160 SPDR S&P 500 TRUST P 2013-11-06 2016-02-01
8 SPDR S&P 500 TRUST P 2014-10-20 2016-02-01
346.233 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I P 2015-04-20 2016-02-08
294.815 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I P 2015-05-07 2016-02-08
49.388 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I P 2015-12-18 2016-02-08
1113.987 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I P 2013-11-06 2016-02-08
15.515 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I P 2013-12-20 2016-02-08
3.666 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I P 2014-10-20 2016-02-08
21.176 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I P 2013-11-06 2016-02-08
2000.443 TEMPLETON INC TR GLO BD FD P 2013-11-06 2016-02-11
0.816 TEMPLETON INC TR GLO BD FD P 2013-12-17 2016-02-11
63.025 TEMPLETON INC TR GLO BD FD P 2014-10-20 2016-02-11
184 MAIN STREET CAPITAL CORP P 2012-10-17 2016-02-18
3 MAIN STREET CAPITAL CORP P 2014-10-20 2016-02-18
16 SPDR S&P MIDCAP 400 P 2015-08-24 2016-02-23
46 VERIZON COMMUNICATIONS D 2005-09-12 2016-03-07
23 TRIANGLE CAPITAL CORP P 2012-10-17 2016-03-18
23 TRIANGLE CAPITAL CORP P 2012-10-17 2016-03-21
9 TRIANGLE CAPITAL CORP P 2012-10-17 2016-03-24
68 ABBOTT LABORATORIES P 2012-10-17 2016-03-22
3953.174 HARTFORD MUTUAL FUNDS P 2013-11-06 2016-04-11
14.601 HARTFORD MUTUAL FUNDS P 2014-10-20 2016-04-11
71.113 HARTFORD MUTUAL FUNDS P 2013-11-06 2016-04-11
34 PPG INDUSTRIES INC P 2013-11-06 2016-04-11
48 EXXON MOBIL CORP D 2005-09-12 2016-04-14
71 ORCHIDS PAPER PRODUCTS CO P 2013-11-06 2016-04-21
27 ORCHIDS PAPER PRODUCTS CO P 2013-11-06 2016-04-22
55 ORCHIDS PAPER PRODUCTS CO P 2013-11-06 2016-04-27
13 ORCHIDS PAPER PRODUCTS CO P 2013-11-06 2016-04-28
81 ABBVIE INC P 2012-10-17 2016-04-22
167 B&G FOODS INC P 2013-11-06 2016-04-29
1 B&G FOODS INC P 2014-10-20 2016-04-29
2 B&G FOODS INC P 2013-11-06 2016-04-29
51 TRIANGLE CAPITAL CORP P 2012-10-17 2016-06-06
79 TRIANGLE CAPITAL CORP P 2012-10-17 2016-06-07
55 TRIANGLE CAPITAL CORP P 2013-11-06 2016-06-07
1 TRIANGLE CAPITAL CORP P 2014-10-20 2016-06-07
3 TRIANGLE CAPITAL CORP P 2012-10-17 2016-06-07
10 CASEYS GENL STORES INC P 2016-04-20 2016-06-29
22 ORCHIDS PAPER PRODUCTS CO P 2013-11-06 2016-06-29
44 ORCHIDS PAPER PRODUCTS CO P 2013-11-06 2016-06-30
6 ORCHIDS PAPER PRODUCTS CO P 2014-03-21 2016-06-30
7 ORCHIDS PAPER PRODUCTS CO P 2013-11-06 2016-06-30
0.174 BARONS SELECT FUNDS REAL ESTATE FD P 2015-09-25 2016-06-30
6.860 BARONS SELECT FUNDS REAL ESTATE FD P 2015-12-04 2016-06-30
363.217 BARONS SELECT FUNDS REAL ESTATE FD P 2013-12-04 2016-06-30
0.619 BARONS SELECT FUNDS REAL ESTATE FD P 2013-12-20 2016-06-30
7.641 BARONS SELECT FUNDS REAL ESTATE FD P 2014-10-20 2016-06-30
15 ORCHARDS PAPER PRODUCTS CO P 2014-03-21 2016-07-01
11 ORCHARDS PAPER PRODUCTS CO P 2014-03-21 2016-07-13
156 ISHARES EDGE MSCI MIN VOL P 2016-02-08 2016-07-11
71 ISHARES EDGE MSCI MIN VOL P 2016-02-08 2016-07-21
53 ABBVIE INC P 2012-10-17 2016-07-29
130 ISHARES EDGE MSCI MIN VOL P 2016-01-08 2016-08-08
262 ISHARES EDGE MSCI MIN VOL P 2016-01-08 2016-08-11
9 ISHARES EDGE MSCI MIN VOL P 2016-01-15 2016-08-11
131 ISHARES EDGE MSCI MIN VOL P 2016-01-15 2016-08-16
132 ISHARES EDGE MSCI MIN VOL P 2016-01-15 2016-08-30
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 989 0 649 340
b 935 0 983 -48
c 1,127 0 1,194 -67
d 701 0 565 136
e 918 0 636 282
896 0 595 301
760 0 647 113
2,071 0 2,298 -227
844 0 853 -9
874 0 690 184
3,383 0 3,883 -500
2,782 0 2,977 -195
577 0 736 -159
4,612 0 4,883 -271
2,326 0 2,194 132
1,026 0 1,079 -53
777 0 732 45
849 0 858 -9
721 0 744 -23
637 0 761 -124
4,638 0 4,067 571
2,847 0 3,216 -369
1,287 0 1,355 -68
570 0 462 108
6,707 0 5,836 871
5,444 0 7,681 -2,237
98 0 146 -48
1,226 0 1,711 -485
6,657 0 8,640 -1,983
59 0 75 -16
36 0 44 -8
197 0 257 -60
3,788 0 5,734 -1,946
5,541 0 5,623 -82
152 0 212 -60
6,196 0 6,851 -655
15,941 0 14,501 1,440
12,686 0 13,754 -1,068
9,334 0 10,718 -1,384
269 0 299 -30
46 0 51 -5
13,178 0 15,138 -1,960
487 0 549 -62
1,606 0 1,858 -252
2,100 0 3,043 -943
564 0 647 -83
10,900 0 11,862 -962
675 0 750 -75
500 0 564 -64
10,642 0 12,406 -1,764
30,819 0 28,294 2,525
1,541 0 1,517 24
6,430 0 8,732 -2,302
5,475 0 7,391 -1,916
917 0 1,049 -132
20,687 0 29,521 -8,834
288 0 396 -108
68 0 87 -19
393 0 555 -162
21,405 0 26,165 -4,760
9 0 11 -2
674 0 825 -151
5,229 0 5,554 -325
85 0 90 -5
3,834 0 4,054 -220
2,404 0 1,344 1,060
461 0 615 -154
463 0 615 -152
181 0 240 -59
2,830 0 2,293 537
32,416 0 35,541 -3,125
120 0 128 -8
583 0 637 -54
3,813 0 3,112 701
4,108 0 3,010 1,098
2,140 0 2,127 13
839 0 809 30
1,797 0 1,648 149
425 0 389 36
4,955 0 2,920 2,035
6,532 0 5,357 1,175
39 0 28 11
78 0 66 12
953 0 1,364 -411
1,457 0 2,113 -656
1,014 0 1,622 -608
18 0 25 -7
55 0 80 -25
1,280 0 1,121 159
784 0 659 125
1,570 0 1,318 252
214 0 166 48
250 0 203 47
4 0 4 0
162 0 170 -8
8,550 0 7,750 800
15 0 14 1
180 0 182 -2
535 0 415 120
392 0 305 87
10,455 0 9,670 785
4,738 0 4,401 337
3,499 0 1,910 1,589
6,050 0 5,291 759
12,246 0 10,663 1,583
421 0 358 63
6,081 0 5,204 877
6,069 0 5,243 826
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 0 0 0 340
b 0 0 0 -48
c 0 0 0 -67
d 0 0 0 136
e 0 0 0 282
0 0 0 301
0 0 0 113
0 0 0 -227
0 0 0 -9
0 0 0 184
0 0 0 -500
0 0 0 -195
0 0 0 -159
0 0 0 -271
0 0 0 132
0 0 0 -53
0 0 0 45
0 0 0 -9
0 0 0 -23
0 0 0 -124
0 0 0 571
0 0 0 -369
0 0 0 -68
0 0 0 108
0 0 0 871
0 0 0 -2,237
0 0 0 -48
0 0 0 -485
0 0 0 -1,983
0 0 0 -16
0 0 0 -8
0 0 0 -60
0 0 0 -1,946
0 0 0 -82
0 0 0 -60
0 0 0 -655
0 0 0 1,440
0 0 0 -1,068
0 0 0 -1,384
0 0 0 -30
0 0 0 -5
0 0 0 -1,960
0 0 0 -62
0 0 0 -252
0 0 0 -943
0 0 0 -83
0 0 0 -962
0 0 0 -75
0 0 0 -64
0 0 0 -1,764
0 0 0 2,525
0 0 0 24
0 0 0 -2,302
0 0 0 -1,916
0 0 0 -132
0 0 0 -8,834
0 0 0 -108
0 0 0 -19
0 0 0 -162
0 0 0 -4,760
0 0 0 -2
0 0 0 -151
0 0 0 -325
0 0 0 -5
0 0 0 -220
0 0 0 1,060
0 0 0 -154
0 0 0 -152
0 0 0 -59
0 0 0 537
0 0 0 -3,125
0 0 0 -8
0 0 0 -54
0 0 0 701
0 0 0 1,098
0 0 0 13
0 0 0 30
0 0 0 149
0 0 0 36
0 0 0 2,035
0 0 0 1,175
0 0 0 11
0 0 0 12
0 0 0 -411
0 0 0 -656
0 0 0 -608
0 0 0 -7
0 0 0 -25
0 0 0 159
0 0 0 125
0 0 0 252
0 0 0 48
0 0 0 47
0 0 0 0
0 0 0 -8
0 0 0 800
0 0 0 1
0 0 0 -2
0 0 0 120
0 0 0 87
0 0 0 785
0 0 0 337
0 0 0 1,589
0 0 0 759
0 0 0 1,583
0 0 0 63
0 0 0 877
0 0 0 826
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 -20,172
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 -211
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 31,164 577,311 0.053981
2013 29,668 601,289 0.049341
2012 29,220 48,703 0.599963
2011 26,673 47,969 0.556047
2010 25,736 43,788 0.587741
2
Total of line 1, column (d) .....................
21.847073
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
0.369415
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
507,910
5
Multiply line 4 by line 3......................
5
187,630
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
 
7
Add lines 5 and 6........................
7
187,630
8
Enter qualifying distributions from Part XII, line 4.............
8
35,996
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 0
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3  
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 0
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 2,382
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.............. Part VI Line 7 - Original Return Overpayment: -2382 7 2,382
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 2,382
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet2,382 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
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)
    bulletFL
    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 ofbulletPETER RIVELLINI Telephone no.bullet (727) 461-1818

    Located atbullet911 CHESTNUT STREETCLEARWATERFL ZIP+4bullet33756
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    PETER A RIVELLINI TRUSTEE
    2.00     		2,800 0 0
    911 CHESTNUT STREET
    CLEARWATER,FL33756
    ESTATE OF ELAINE STORZ TRUSTEE
    2.00     		2,391 0 0
    115 MORRIS STREET APT 1327
    JERSEY CITY,NJ07302
    KIMBERLY B RIVELLINI TRUSTEE
    2.00     		408 0 0
    2 SUNSET BAY DRIVE
    BELLEAIR,FL33756
    RONALD FIERSTEIN TRUSTEE
    2.00     		2,800 0 0
    29 HAINES ROAD
    BEDFORD HILLS,NY10507
    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 FOUNDATION DISTRIBUTES FUNDS TO FIVE CHARITABLEBENEFICIARIES - SEE PAGE 11, PART XV, ITEM 3INNOCENCE PROJECT-FOR LEGAL ASSISTANCE OF INNOCENT IMPRISONED PEOPLE 6,999
    2 JULLIARD SCHOOL-FOR DANCE AND MUSIC SCHOLARSHIPS 6,999
    3 DOCTORS WITHOUT BORDERS-FOR FREE MEDICAL SERVICES 6,999
    4 SOUTHERN POVERTY LAW CENTER-FOR ASSISTANCE WITH LEGALDEFENSE FOR PEOPLE IN POVERTY 6,999
    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
    485,192
    b
    Average of monthly cash balances.......................
    1b
    30,453
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    515,645
    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
    515,645
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    7,735
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    507,910
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    25,396
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    25,396
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    25,396
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    25,396
    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
    25,396
    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
    35,996
    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
    35,996
    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
    35,996
    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 25,396
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:2011, 2012, 2013  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 23,547
    b From 2011...... 24,497
    c From 2012...... 27,317
    d From 2013...... 2,668
    e From 2014...... 2,447
    fTotal of lines 3a through e........ 80,476
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 35,996
    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..... 25,396
    e Remaining amount distributed out of corpus 10,600
    5 Excess distributions carryover applied to 2015.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 91,076
    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 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		23,547
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		67,529
    10 Analysis of line 9:
    a Excess from 2011.... 24,497
    b Excess from 2012.... 27,317
    c Excess from 2013.... 2,668
    d Excess from 2014.... 2,447
    e Excess from 2015.... 10,600
    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).)
    NONE
    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.
    NONE
    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
    INNOCENCE PROJECT
    40 WORTH STREET SUITE 701
    NEW YORK,NY10013     		N/A 501C(3) OF INNOCENT IMPRISONEDFOR LEGAL ASSISTANCEPEOPLE 6,999
    JULLIARD SCHOOL
    60 LINCOLN CENTER
    NEW YORK,NY10023     		N/A 501C(3) SCHOLARSHIPSFOR DANCE & MUSIC 6,999
    DOCTORS WITHOUT BORDERS
    333 7th AVENUE 2nd FLOOR
    NEW YORK,NY10001     		N/A 501C(3) SERVICESFOR FREE MEDICAL 6,999
    SOUTHERN POVERTY LAW CENTER
    400 WASHINGTON AVENUE
    MONTGOMERY,AL36104     		N/A 501C(3) LEGAL DEFENSE FUND FORASSISTANCE WITHPEOPLE IN POVERTY 6,999
    NEW YORK STAGE FILM COMPANY
    214 WEST 29 STREET STE 1001
    NEW YORK,NY10001     		N/A 501C(3) & FILM, AND SUPPORTINGDEVELOPING NEW THEATERTHE ARTISTS THAT CREATE IT 8,000
    Total .................................bullet 3a 35,996
    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 3  
    4 Dividends and interest from securities....     14 17,221  
    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 -20,172  
    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)..   -2,948  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13-2,948
    (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:  
    Part VI Line 7 -Original Return Overpayment: -2,382


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    DORA L FOSTER CHARITABLE FOUNDATION UNDER AMENDED AND RESTATED TRUST
    EIN:
    59-7256023
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DANIEL A HALPERN ACCOUNTING 3,700 3,700    

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    TY 2015 GainLossSaleOtherAssetsSch
    Name:
    DORA L FOSTER CHARITABLE FOUNDATION UNDER AMENDED AND RESTATED TRUST
    EIN:
    59-7256023
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    18 ABBVIE INC 2012-10 Purchased 2015-10   989 649 Cost   340  
    40.605 INVESCO CONVERTIBLE SEC CL Y 2013-11 Purchased 2015-10   935 983 Cost   -48  
    48.939 INVESCO CONVERTIBLE SEC CL Y 2013-12 Purchased 2015-10   1,127 1,194 Cost   -67  
    17 ABBOTT LABORATORIES 2012-10 Purchased 2015-10   701 565 Cost   136  
    45 ACCESS NATIONAL CORP 2013-11 Purchased 2015-10   918 636 Cost   282  
    8 APPLE INC 2013-11 Purchased 2015-10   896 595 Cost   301  
    30.333 BARON SELECT FUNDS REAL ESTATE FUND 2013-12 Purchased 2015-10   760 647 Cost   113  
    273.946 BLACKROCK FDS II HIGH YIELD BD PORT 2014-07 Purchased 2015-10   2,071 2,298 Cost   -227  
    100.512 EATON VANCE MF FDS TR CL 1 2015-03 Purchased 2015-10   844 853 Cost   -9  
    11 EXXON MOBIL CORP 2005-09 Donated 2015-10   874 690 FMV   184  
    146.534 HARRIS ASSOC INVT TR OAKMARK INTL FD CL 1 2013-11 Purchased 2015-10   3,383 3,883 Cost   -500  
    329.641 HARTFORD MUTUAL FUNDS CL 1 2013-11 Purchased 2015-10   2,782 2,977 Cost   -195  
    64.235 LAZARD FDS INC EMG MKTS EQUITY 2013-11 Purchased 2015-10   577 736     -159  
    443.079 PIONEER STRATEGIC INC FD CL Y 2013-11 Purchased 2015-10   4,612 4,883     -271  
    41.880 IVY SCIENCE AND TECHNOLOGY FD CL I 2013-11 Purchased 2015-10   2,326 2,194 Cost   132  
    36 ORCHIDS PAPER PRODUCTS CO 2013-11 Purchased 2015-10   1,026 1,079 Cost   -53  
    8 PPG INDUSTRIES INC 2013-11 Purchased 2015-10   777 732 Cost   45  
    85.143 PIONEER SER TR X MULTI-ASSET ULT INC FD CL Y 2013-11 Purchased 2015-10   849 858 Cost   -9  
    33.717 DREYFUS INVT FDS STANDISH GLO FIXED INC FD CL I 2015-06 Purchased 2015-10   721 744 Cost   -23  
    11 QUALCOMM INC 2013-11 Purchased 2015-10   637 761 Cost   -124  
    23 SPDR S&P 500 TRUST 2013-11 Purchased 2015-10   4,638 4,067 Cost   571  
    245.891 TEMPLETON INCOME TR GLO BD FD 2013-11 Purchased 2015-10   2,847 3,216 Cost   -369  
    64.605 THORNBURG INVT TR CL I 2013-11 Purchased 2015-10   1,287 1,355 Cost   -68  
    6 UNION PACIFIC CORP 2013-11 Purchased 2015-10   570 462 Cost   108  
    33 SPDR S&P 500 TRUST 2013-11 Purchased 2015-11   6,707 5,836 Cost   871  
    111 QUALCOMM INC 2013-11 Purchased 2015-11   5,444 7,681 Cost   -2,237  
    2 QUALCOMM INC 2014-10 Purchased 2015-11   98 146 Cost   -48  
    25 QUALCOMM INC 2014-11 Purchased 2015-11   1,226 1,711 Cost   -485  
    753.964 LAZARD FDS INC EMG MKTS EQUITY 2013-11 Purchased 2015-12   6,657 8,640 Cost   -1,983  
    6.736 LAZARD FDS INC EMG MKTS EQUITY 2013-12 Purchased 2015-12   59 75 Cost   -16  
    4.058 LAZARD FDS INC EMG MKTS EQUITY 2014-10 Purchased 2015-12   36 44 Cost   -8  
    22.277 LAZARD FDS INC EMG MKTS EQUITY 2013-11 Purchased 2015-12   197 257 Cost   -60  
    44 POLARIS INDS INC 2013-11 Purchased 2016-01   3,788 5,734 Cost   -1,946  
    73 UNION PACIFIC CORP 2013-11 Purchased 2016-01   5,541 5,623 Cost   -82  
    2 UNION PACIFIC CORP 2014-10 Purchased 2016-01   152 212 Cost   -60  
    208 ISHARES MSCI EMG MKTS 2015-12 Purchased 2016-01   6,196 6,851 Cost   -655  
    82 SPDR S&P TRUST 2013-11 Purchased 2016-01   15,941 14,501 Cost   1,440  
    262.423 IVY SCIENCE AND TECHNOLOGY FD CL I 2013-11 Purchased 2016-01   12,686 13,754 Cost   -1,068  
    439.258 INVESCO CONV SEC CL Y 2013-12 Purchased 2016-01   9,334 10,718 Cost   -1,384  
    12.674 INVESCO CONV SEC CL Y 2013-12 Purchased 2016-01   269 299 Cost   -30  
    2.143 INVESCO CONV SEC CL Y 2013-12 Purchased 2016-01   46 51 Cost   -5  
    620.159 INVESCO CONV SEC CL Y 2014-04 Purchased 2016-01   13,178 15,138 Cost   -1,960  
    22.894 INVESCO CONV SEC CL Y 2014-10 Purchased 2016-01   487 549 Cost   -62  
    13 INTERNATIONAL BUSINESS MACHINE CORP 2015-09 Purchased 2016-01   1,606 1,858 Cost   -252  
    17 INTERNATIONAL BUSINESS MACHINE CORP 2013-11 Purchased 2016-01   2,100 3,043 Cost   -943  
    11.709 IVY SCIENCE AND TECHNOLOGY FD CL I 2015-12 Purchased 2016-01   564 647 Cost   -83  
    226.324 IVY SCIENCE AND TECHNOLOGY FD CL I 2013-11 Purchased 2016-01   10,900 11,862 Cost   -962  
    14.012 IVY SCIENCE AND TECHNOLOGY FD CL I 2013-12 Purchased 2016-01   675 750 Cost   -75  
    10.379 IVY SCIENCE AND TECHNOLOGY FD CL I 2014-10 Purchased 2016-01   500 564 Cost   -64  
    948.461 TEMPLETON INCOME TR GLO BD FD 2013-11 Purchased 2016-01   10,642 12,406 Cost   -1,764  
    160 SPDR S&P 500 TRUST 2013-11 Purchased 2016-02   30,819 28,294 Cost   2,525  
    8 SPDR S&P 500 TRUST 2014-10 Purchased 2016-02   1,541 1,517 Cost   24  
    346.233 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I 2015-04 Purchased 2016-02   6,430 8,732 Cost   -2,302  
    294.815 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I 2015-05 Purchased 2016-02   5,475 7,391 Cost   -1,916  
    49.388 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I 2015-12 Purchased 2016-02   917 1,049 Cost   -132  
    1113.987 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I 2013-11 Purchased 2016-02   20,687 29,521 Cost   -8,834  
    15.515 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I 2013-12 Purchased 2016-02   288 396 Cost   -108  
    3.666 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I 2014-10 Purchased 2016-02   68 87 Cost   -19  
    21.176 HARRIS ASSOC INVT TR OAKMARK INTL FD CL I 2013-11 Purchased 2016-02   393 555     -162  
    2000.443 TEMPLETON INC TR GLO BD FD 2013-11 Purchased 2016-02   21,405 26,165 Cost   -4,760  
    0.816 TEMPLETON INC TR GLO BD FD 2013-12 Purchased 2016-02   9 11 Cost   -2  
    63.025 TEMPLETON INC TR GLO BD FD 2014-10 Purchased 2016-02   674 825 Cost   -151  
    184 MAIN STREET CAPITAL CORP 2012-10 Purchased 2016-02   5,229 5,554 Cost   -325  
    3 MAIN STREET CAPITAL CORP 2014-10 Purchased 2016-02   85 90 Cost   -5  
    16 SPDR S&P MIDCAP 400 2015-08 Purchased 2016-02   3,834 4,054 Cost   -220  
    46 VERIZON COMMUNICATIONS 2005-09 Donated 2016-03   2,404 1,344 FMV   1,060  
    23 TRIANGLE CAPITAL CORP 2012-10 Purchased 2016-03   461 615 Cost   -154  
    23 TRIANGLE CAPITAL CORP 2012-10 Purchased 2016-03   463 615 Cost   -152  
    9 TRIANGLE CAPITAL CORP 2012-10 Purchased 2016-03   181 240 Cost   -59  
    68 ABBOTT LABORATORIES 2012-10 Purchased 2016-03   2,830 2,293 Cost   537  
    3953.174 HARTFORD MUTUAL FUNDS 2013-11 Purchased 2016-04   32,416 35,541 Cost   -3,125  
    14.601 HARTFORD MUTUAL FUNDS 2014-10 Purchased 2016-04   120 128 Cost   -8  
    71.113 HARTFORD MUTUAL FUNDS 2013-11 Purchased 2016-04   583 637 Cost   -54  
    34 PPG INDUSTRIES INC 2013-11 Purchased 2016-04   3,813 3,112 Cost   701  
    48 EXXON MOBIL CORP 2005-09 Donated 2016-04   4,108 3,010 FMV   1,098  
    71 ORCHIDS PAPER PRODUCTS CO 2013-11 Purchased 2016-04   2,140 2,127 Cost   13  
    27 ORCHIDS PAPER PRODUCTS CO 2013-11 Purchased 2016-04   839 809 Cost   30  
    55 ORCHIDS PAPER PRODUCTS CO 2013-11 Purchased 2016-04   1,797 1,648 Cost   149  
    13 ORCHIDS PAPER PRODUCTS CO 2013-11 Purchased 2016-04   425 389 Cost   36  
    81 ABBVIE INC 2012-10 Purchased 2016-04   4,955 2,920 Cost   2,035  
    167 B&G FOODS INC 2013-11 Purchased 2016-04   6,532 5,357 Cost   1,175  
    1 B&G FOODS INC 2014-10 Purchased 2016-04   39 28 Cost   11  
    2 B&G FOODS INC 2013-11 Purchased 2016-04   78 66 Cost   12  
    51 TRIANGLE CAPITAL CORP 2012-10 Purchased 2016-06   953 1,364 Cost   -411  
    79 TRIANGLE CAPITAL CORP 2012-10 Purchased 2016-06   1,457 2,113 Cost   -656  
    55 TRIANGLE CAPITAL CORP 2013-11 Purchased 2016-06   1,014 1,622 Cost   -608  
    1 TRIANGLE CAPITAL CORP 2014-10 Purchased 2016-06   18 25 Cost   -7  
    3 TRIANGLE CAPITAL CORP 2012-10 Purchased 2016-06   55 80 Cost   -25  
    10 CASEYS GENL STORES INC 2016-04 Purchased 2016-06   1,280 1,121 Cost   159  
    22 ORCHIDS PAPER PRODUCTS CO 2013-11 Purchased 2016-06   784 659 Cost   125  
    44 ORCHIDS PAPER PRODUCTS CO 2013-11 Purchased 2016-06   1,570 1,318 Cost   252  
    6 ORCHIDS PAPER PRODUCTS CO 2014-03 Purchased 2016-06   214 166 Cost   48  
    7 ORCHIDS PAPER PRODUCTS CO 2013-11 Purchased 2016-06   250 203 Cost   47  
    0.174 BARONS SELECT FUNDS REAL ESTATE FD 2015-09 Purchased 2016-06   4 4 Cost      
    6.860 BARONS SELECT FUNDS REAL ESTATE FD 2015-12 Purchased 2016-06   162 170 Cost   -8  
    363.217 BARONS SELECT FUNDS REAL ESTATE FD 2013-12 Purchased 2016-06   8,550 7,750 Cost   800  
    0.619 BARONS SELECT FUNDS REAL ESTATE FD 2013-12 Purchased 2016-06   15 14 Cost   1  
    7.641 BARONS SELECT FUNDS REAL ESTATE FD 2014-10 Purchased 2016-06   180 182 Cost   -2  
    15 ORCHARDS PAPER PRODUCTS CO 2014-03 Purchased 2016-07   535 415 Cost   120  
    11 ORCHARDS PAPER PRODUCTS CO 2014-03 Purchased 2016-07   392 305 Cost   87  
    156 ISHARES EDGE MSCI MIN VOL 2016-02 Purchased 2016-07   10,455 9,670 Cost   785  
    71 ISHARES EDGE MSCI MIN VOL 2016-02 Purchased 2016-07   4,738 4,401 Cost   337  
    53 ABBVIE INC 2012-10 Purchased 2016-07   3,499 1,910 Cost   1,589  
    130 ISHARES EDGE MSCI MIN VOL 2016-01 Purchased 2016-08   6,050 5,291 Cost   759  
    262 ISHARES EDGE MSCI MIN VOL 2016-01 Purchased 2016-08   12,246 10,663 Cost   1,583  
    9 ISHARES EDGE MSCI MIN VOL 2016-01 Purchased 2016-08   421 358 Cost   63  
    131 ISHARES EDGE MSCI MIN VOL 2016-01 Purchased 2016-08   6,081 5,204 Cost   877  
    132 ISHARES EDGE MSCI MIN VOL 2016-01 Purchased 2016-08   6,069 5,243 Cost   826  

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    DORA L FOSTER CHARITABLE FOUNDATION UNDER AMENDED AND RESTATED TRUST
    EIN:
    59-7256023
    Name of Stock End of Year Book Value End of Year Fair Market Value
    143 ABBOTT LABORATORIES 4,785 6,009
    92 ABBVIE INC 4,726 5,897
    556 ACCESS NATIONAL CORP 7,866 12,388
    106 APPLE INC 7,928 11,247
    130 BEACON ROOFING SUPPLY INC 6,064 5,977
    70 CASEYS GENL STORES INC 7,844 9,192
    137 CENTENE CORP 9,305 9,356
    99 EXXON MOBIL CORP 6,640 8,627
    FOOT LOCKER INC 6,088 7,286
    339 ISHARES EDGE MSCI MIN VOL EAFE 21,015 22,557
    ISHARES EDGE MSCI MIN VOL USA ETF 47,168 53,187
    108 MERCK & CO INC 5,920 6,781
    770 MITEK SYSTEMS INC 5,854 5,983
    310 ORCHIDS PAPER PRODUCTS CO 8,279 8,674
    90 P P G INDUSTRIES INC 8,529 9,529
    268 SECTOR SPDR TR TECHNOLOGY SELECT SECTOR 12,658 12,593
    248 SELECT SECTOR SPDR TR FINANCIAL 6,063 6,091
    165 STARBUCKS CORP 9,113 9,278
    95 VERIZON COMMUNICATIONS 2,814 4,971
    2263.617 BARON SELECT FUNDS EMERGING MARKETS FD 26,406 26,779
    3378.384 BLACKROCK FDS II HIGH YIELD BOND 28,310 25,676
    1210.333 COHEN & STEERS RLTY INCOME FUND CL I 19,387 19,438
    1231.512 EATON VANCE MF FDS TR LOW DURATION GOVT INC 10,456 10,160
    5960.944 PIONEER STRATEGIC INCOME FD CL Y 65,234 64,199
    3787.515 LORD ABBETT INVESTMENT TR CL F 33,566 34,504
    1043.205 PIONEER SER TR X MULTI-ASSET ULTRASHORT INC FD CL Y 10,505 10,422
    2132.754 DREYFUS INVT FDS STANDISH GLOBAL FIXED INC FD CL 1 45,534 46,963
    791.576 THORNBURG INVT TR INVT INCOME BUILDER FD CLI 16,577 15,863
    193.862 UNDISCOVERED MANAGERS BEHAVIORAL VALUE I 10,794 11,942
    2443.919 VANGUARD FIXED INC SECS FD INTER-TERM INVT GRADE FD 23,667 24,708

    TY 2015 LegalFeesSchedule
    Name:
    DORA L FOSTER CHARITABLE FOUNDATION UNDER AMENDED AND RESTATED TRUST
    EIN:
    59-7256023
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    JOHNSON, POPE, BOKER, ETAL LEGAL 3,758 3,758    


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    DORA L FOSTER CHARITABLE FOUNDATION UNDER AMENDED AND RESTATED TRUST
    EIN:
    59-7256023
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FIRST CLEARING, LLC ADVISORY FEES 5,270 5,270    


    TY 2015 TaxesSchedule
    Name:
    DORA L FOSTER CHARITABLE FOUNDATION UNDER AMENDED AND RESTATED TRUST
    EIN:
    59-7256023
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES PAID 159 159