Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 10-01-2015 , and ending 09-30-2016
Name of foundation
GEORGIA BLOSSER TRUST # 025550B
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 0634
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE, WI532010634
A Employer identification number

43-6018191
B Telephone number (see instructions)

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

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$4,569,011J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 116,157 115,774  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 31,800
b Gross sales price for all assets on line 6a 2,006,809
7 Capital gain net income (from Part IV, line 2)... 31,800
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 147,957 147,574  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 63,141 56,827   6,314
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 2,500 0 0 2,500
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 11,356 2,985   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 638 638    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 77,635 60,450 0 8,814
25 Contributions, gifts, grants paid....... 204,552 204,552
26 Total expenses and disbursements. Add lines 24 and 25 282,187 60,450 0 213,366
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -134,230
b Net investment income (if negative, enter -0-) 87,124
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 22,957 87,407 87,407
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)   Click to see attachment974 1,058
b Investments—corporate stock (attach schedule)....... 4,334,071 Click to see attachment1,078,471 1,224,263
c Investments—corporate bonds (attach schedule).......   Click to see attachment348,818 346,030
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   Click to see attachment2,710,910 2,910,253
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) 4,357,028 4,226,580 4,569,011
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........ 4,357,028 4,226,580
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)..... 4,357,028 4,226,580
31 Total liabilities and net assets/fund balances (see instructions). 4,357,028 4,226,580
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
4,357,028
2
Enter amount from Part I, line 27a .....................
2
-134,230
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
3,782
4
Add lines 1, 2, and 3 ..........................
4
4,226,580
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
4,226,580
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 1. SECURITY LITIGATION   1911-11-11 2015-10-14
b 2.6 G N M A #417074 7.500% 10/15/25   1995-10-12 2015-10-15
c 2.67 G N M A #430605 6.500% 2/15/28   1998-03-10 2015-10-15
d 1. SECURITY LITIGATION   1911-11-11 2015-10-15
e 460. AIA GROUP LTD ADR   2014-10-10 2015-10-20
132. ABENGOA SA A D R   2015-04-21 2015-10-20
300. ALLIANZ SE A D R   2014-12-05 2015-10-20
750. ALLIANZ SE A D R   2014-09-08 2015-10-20
165. ARM HLDGS PLC A D R   2014-10-10 2015-10-20
175. ATLAS COPCO AB SPONS A D R   2014-09-16 2015-10-20
300. ATLAS COPCO AB A D R CL B     2015-10-20
35. BAIDU COM INC A D R   2015-03-25 2015-10-20
145. BAYERISCHE MOTOREN WERKE UNSPN A D R   2015-06-12 2015-10-20
333. BAYERISCHE MOTOREN WERKE UNSPN A D R     2015-10-20
109. BOC HONG KONG HLDGS LTD A D R     2015-10-20
145. BROOKFIELD ASSET MANAGE CL A   2015-06-12 2015-10-20
150. CSL LIMITED A D R   2014-09-08 2015-10-20
336. DBS GROUP HLDGS LTD     2015-10-20
715. DAIWA SECURITIES GR SPON A D R   2014-12-05 2015-10-20
195. DASSAULT SYSTEMES SA A D R   2014-10-10 2015-10-20
110. DEVON ENERGY CORPORATION   2015-05-26 2015-10-20
350. FANUC CORPORATION A D R   2014-09-08 2015-10-20
220. HONG KONG EXCHANGES A D R   2014-09-08 2015-10-20
135. HUANENG PWR INTL INC SPON ADR SER N   2014-10-10 2015-10-20
205. IBERDROLA S SPONS A D R   2015-02-02 2015-10-20
650. ICICI BANK LTD A D R   2014-09-08 2015-10-20
100. IMPERIAL OIL LTD   2014-09-08 2015-10-20
715. I N G GROEP NV SPONSORED ADR     2015-10-20
570. INTERNATIONAL PAPER CO   2015-05-26 2015-10-20
495. ITAU UNIBANCO HOLDINGS SA A D R   2014-09-08 2015-10-20
125. JGC CORP UNSPONSORED A D R   2015-06-16 2015-10-20
245. KONE OYJ B UNSPONSORED A D R   2015-06-16 2015-10-20
325. LOREAL UNSPONSORED A D R   2006-09-12 2015-10-20
95. LVMH MOET HENNESSY A D R   2010-11-09 2015-10-20
90. LINCOLN NATL CORP IND   2014-10-20 2015-10-20
400. LONZA GROUP AG UNSPON A D R   2015-03-25 2015-10-20
215. MTN GROUP LTD A D R   2014-09-08 2015-10-20
240. NISSAN MTR LTD SPONSORED ADR     2015-10-20
330. NOVO NORDISK AS A D R     2015-10-20
845. ORACLE CORPORATION   2007-12-24 2015-10-20
400. ORANGE SPON A D R   2014-10-10 2015-10-20
600. PANASONIC CORP A D R   2014-11-18 2015-10-20
113. ROYAL DUTCH SHELL PLC A D R     2015-10-20
135. SANDS CHINA LTD UNSPONS A D R   2015-08-20 2015-10-20
228. SANOFI A D R     2015-10-20
180. SAP SE SPONSORED A D R     2015-10-20
465. SCHNEIDER ELECT SE UNSP A D R   2014-09-08 2015-10-20
71. SHIRE PHARMACEUTICALS GR SPONSORED ADR     2015-10-20
55. SIEMENS AG A D R     2015-10-20
130. SUNCOR ENERGY INC   2014-09-08 2015-10-20
341. SWEDBANK A B A D R     2015-10-20
650. TAIWAN SEMICONDUCTOR A D R   2014-09-08 2015-10-20
510. TECHTRONIC INDUSTRIES SP ADR   2014-09-08 2015-10-20
136. TOTAL SA SPON A D R     2015-10-20
280. UNILEVER PLC SPSD ADR     2015-10-20
10. VALEOSA SPON ADR   2015-06-16 2015-10-20
155. VALEOSA SPON ADR   2014-09-08 2015-10-20
130. WISDOMTREE EUR S/C DIVIDEND FUND   2014-10-10 2015-10-20
99. BUNGE LIMITED     2015-10-20
80. NXP SEMICONDUCTORS NV   2015-01-15 2015-10-20
45. COPA HOLDINGS SA CL A   2014-09-08 2015-10-20
188. ABENGOA SA A D R   2015-04-21 2015-10-21
526. AIR LIQUIDE S A A D R     2015-10-27
65. ANHEUSER BUSCH INBEV NV A D R   2010-10-15 2015-10-27
210. B N P PARIBAS S A A D R   2010-05-11 2015-10-27
161. B T GROUP P L C A D R   2010-11-09 2015-10-27
50. BRITISH AMER SPON ADR   2008-08-26 2015-10-27
105. BROADRIDGE FINANCIAL SOLUTIONS INC   2015-01-15 2015-10-27
130. CANADIAN NATL RY CO   2014-09-08 2015-10-27
1. DBS GROUP HLDGS LTD   2010-10-25 2015-10-27
70. DR PEPPER SNAPPLE GROUP   2014-12-05 2015-10-27
5277.48 FEDERATED INST HI YLD BD FD     2015-10-27
230. KBC GROEP NV UNSP A D R   2015-09-02 2015-10-27
90. MAGNA INTL INC CL A   2014-09-17 2015-10-27
250. ORACLE CORPORATION   2007-12-24 2015-10-27
88. ORIX CORP SPONS A D R     2015-10-27
635. PROSIEBEN SAT 1 UNSP ADR A D R   2015-07-09 2015-10-27
455. SYSMEX CORP UNSPON A D R   2015-02-02 2015-10-27
3561.404 MORGAN DEMPSEY SMALL MICRO CAP VALUE     2015-10-27
1175. TURKIYE GARANTI BANKASI A S A D R   2014-12-05 2015-10-27
25. AMDOCS LTD   2014-09-08 2015-10-27
55. AMDOCS LTD   2014-11-10 2015-10-27
60. CHECK POINT SOFTWARE TECH LTD   2015-10-20 2015-10-27
2.62 G N M A #417074 7.500% 10/15/25   1995-10-12 2015-11-15
2.69 G N M A #430605 6.500% 2/15/28   1998-03-10 2015-11-15
2.63 G N M A #417074 7.500% 10/15/25   1995-10-12 2015-12-15
2.71 G N M A #430605 6.500% 2/15/28   1998-03-10 2015-12-15
1. SECURITY LITIGATION   1911-11-11 2015-12-15
180. AXA A D R   2015-10-20 2015-12-17
300. B G GROUP P L C A D R   2015-06-12 2015-12-17
265. B G GROUP P L C A D R   2014-09-08 2015-12-17
145. D R HORTON INC   2015-08-20 2015-12-17
65. DR PEPPER SNAPPLE GROUP   2014-12-05 2015-12-17
1297.458 GOLDMAN SACHS COMM STRAT INS   2014-12-05 2015-12-17
252.658 GOLDMAN SACHS COMM STRAT INS   2015-09-02 2015-12-17
295. HCA HOLDINGS INC   2014-12-05 2015-12-17
215. HCA HOLDINGS INC   2015-01-15 2015-12-17
145. HEINEKEN NV SPN A D R   2015-10-27 2015-12-17
147. JOHNSON JOHNSON     2015-12-17
150. KROGER CO     2015-12-17
490. MACYS INC     2015-12-17
780. MAGNA INTL INC CL A     2015-12-17
160. MCKESSON CORPORATION     2015-12-17
50. NESTLE SA SPONSORED A D R   2010-01-12 2015-12-17
60. NESTLE SA SPONSORED A D R   2010-01-12 2015-12-17
3. NESTLE SA SPONSORED A D R   2010-10-07 2015-12-17
175. NIPPON TELEGRAPH TELE A D R   2015-10-20 2015-12-17
560. PACCAR INC   2015-08-20 2015-12-17
100. REYNOLDS AMERICAN INC   2015-09-10 2015-12-17
1. SECURITY LITIGATION   1911-11-11 2015-12-18
405.17 MORGAN DEMPSEY SMALL MICRO CAP VALUE   2015-09-10 2016-01-11
2.65 G N M A #417074 7.500% 10/15/25   1995-10-12 2016-01-15
2.72 G N M A #430605 6.500% 2/15/28   1998-03-10 2016-01-15
75000. ORACLE CORP 5.250% 1/15/16   2009-03-26 2016-01-15
100000. HSBC FINANCE CORP 5.500% 1/19/16   2006-05-03 2016-01-19
610. QORVO INC     2016-01-21
922.382 T ROWE PRICE INTL BOND FUND   2014-04-25 2016-01-21
2.67 G N M A #417074 7.500% 10/15/25   1995-10-12 2016-02-15
2.74 G N M A #430605 6.500% 2/15/28   1998-03-10 2016-02-15
530. ACCOR SA SPONSORED A D R   2015-10-20 2016-02-29
580. CITIGROUP INC     2016-02-29
205. DENSO CORPORATION A D R   2015-10-20 2016-02-29
175. GOLDMAN SACHS GROUP INC   2015-05-26 2016-02-29
315. P N C FINANCIAL SERVICES GROUP INC     2016-02-29
820. PEARSON P L C A D R     2016-02-29
150. PRINCIPAL FINANCIAL GROUP INC   2015-08-20 2016-02-29
60. SCHLUMBERGER LTD ORD   2010-03-02 2016-02-29
325. TORAY INDUSTRIES INC A D R   2015-10-20 2016-02-29
2.69 G N M A #417074 7.500% 10/15/25   1995-10-12 2016-03-15
2.75 G N M A #430605 6.500% 2/15/28   1998-03-10 2016-03-15
100000. BARC 3Y IYR BR MTN 1.500% 3/17/16   2013-03-13 2016-03-17
1. BANCO SANTANDER SA A D R     2016-03-30
445. BARCLAYS PLC A D R   2015-10-20 2016-03-30
415. CDW CORP DE   2014-12-05 2016-03-30
215. C M S ENERGY CORP     2016-03-30
55. DR PEPPER SNAPPLE GROUP   2014-12-05 2016-03-30
170. INTERCONTINENTAL HOTELS A D R   2015-10-27 2016-03-30
110. MICROSOFT CORP COM   2015-05-26 2016-03-30
195. NTT DOCOMO INC A D R   2015-10-20 2016-03-30
185. NICE SYS LTD SPONSORED A D R     2016-03-30
545. PRINCIPAL FINANCIAL GROUP INC     2016-03-30
765. SUMITOMO MITSUI FINL GROUP A D R   2015-10-20 2016-03-30
1. LIBERTY GLOBAL PLC A     2016-03-30
2.7 G N M A #417074 7.500% 10/15/25   1995-10-12 2016-04-15
2.77 G N M A #430605 6.500% 2/15/28   1998-03-10 2016-04-15
2.72 G N M A #417074 7.500% 10/15/25   1995-10-12 2016-05-15
2.79 G N M A #430605 6.500% 2/15/28   1998-03-10 2016-05-15
75. ABBVIE INC   2008-05-16 2016-05-27
26. BRITISH AMER SPON ADR   2008-08-26 2016-05-27
35. BRITISH AMER SPON ADR   2010-01-12 2016-05-27
50. CHEVRONTEXACO CORP COM   2004-12-23 2016-05-27
135. CHUNGHWA TELECOM CO LTD A D R   2015-10-27 2016-05-27
75. COMCAST CORP CL A   2014-09-16 2016-05-27
45. JOHNSON JOHNSON   2003-03-26 2016-05-27
45. KIMBERLY CLARK CORP   2014-11-10 2016-05-27
145. KROGER CO   2014-10-20 2016-05-27
185. NTT DOCOMO INC A D R   2015-10-20 2016-05-27
60. NOVARTIS AG A D R     2016-05-27
976.459 NUVEEN HIGH INCOME BOND FD CL I   2014-04-25 2016-05-27
140. ROCHE HOLDINGS LTD SPONS A D R   2014-11-10 2016-05-27
70. ROCHE HOLDINGS LTD SPONS A D R   2014-10-10 2016-05-27
115.687 T ROWE PRICE SMALL CAP STOCK FD 65   2014-09-16 2016-05-27
80. SYNGENTA AG ADR     2016-05-27
80. TEVA PHARMACEUTICAL INDS LTD ADR   2015-10-20 2016-05-27
95. VERIZON COMMUNICATIONS   1998-07-09 2016-05-27
115. X CEL ENERGY INC   2014-11-10 2016-05-27
2.74 G N M A #417074 7.500% 10/15/25   1995-10-12 2016-06-15
2.8 G N M A #430605 6.500% 2/15/28   1998-03-10 2016-06-15
10. AETNA INC   2014-11-10 2016-06-22
15. AETNA INC   2014-10-20 2016-06-22
90. AETNA INC   2014-10-10 2016-06-22
135. CARDINAL HEALTH INC   2015-12-17 2016-06-22
665. OMEGA HEALTHCARE INVS INC   2015-01-15 2016-06-22
110. REYNOLDS AMERICAN INC   2015-09-10 2016-06-22
280. SEVEN I HLDGS UNSPN A D R   2014-09-08 2016-06-22
95. SKYWORKS SOLUTIONS INC   2016-01-21 2016-06-22
365. SKYWORKS SOLUTIONS INC     2016-06-22
125. TARGET CORP   2015-05-26 2016-06-22
300. TESORO CORPORATION   2015-01-15 2016-06-22
7. ROUSE PPTYS INC   2012-01-12 2016-07-06
2.76 G N M A #417074 7.500% 10/15/25   1995-10-12 2016-07-15
2.82 G N M A #430605 6.500% 2/15/28   1998-03-10 2016-07-15
2.78 G N M A #417074 7.500% 10/15/25   1995-10-12 2016-08-15
2.84 G N M A #430605 6.500% 2/15/28   1998-03-10 2016-08-15
60. CARDINAL HEALTH INC   2015-12-17 2016-08-16
320. ELECTRONIC ARTS INC   2016-02-29 2016-08-16
175. EMBRAER SA A D R   2015-10-20 2016-08-16
385. GENERAL ELEC CO   2015-12-17 2016-08-16
660. HARTFORD FINANCIAL SERVICES GRP INC   2015-08-20 2016-08-16
870. INTERPUBLIC GROUP COS INC   2015-12-17 2016-08-16
4959.536 NUVEEN HIGH INCOME BOND FD CL I     2016-08-16
75. TARGET CORP   2015-05-26 2016-08-16
125. AMDOCS LTD   2014-11-10 2016-08-16
.8125 KONINKLIJKE AHOLD DELHAIZE NV ADR   2016-03-30 2016-08-24
70. AETNA INC   2014-10-20 2016-09-01
60. ELECTRONIC ARTS INC   2016-02-29 2016-09-01
35. GENERAL DYNAMICS CORP   2015-05-26 2016-09-01
415. GENERAL ELEC CO   2015-12-17 2016-09-01
65. GILEAD SCIENCES INC     2016-09-01
200. INTERPUBLIC GROUP COS INC   2015-12-17 2016-09-01
145. KROGER CO   2014-10-20 2016-09-01
235. REYNOLDS AMERICAN INC   2015-03-25 2016-09-01
70. TARGET CORP   2015-05-26 2016-09-01
80. AMDOCS LTD   2014-11-10 2016-09-01
105. LYONDELLBASELL INDUSTRIES CL A     2016-09-01
2.8 G N M A #417074 7.500% 10/15/25   1995-10-12 2016-09-15
2.85 G N M A #430605 6.500% 2/15/28   1998-03-10 2016-09-15
60. CARDINAL HEALTH INC   2015-12-17 2016-09-21
70. ELECTRONIC ARTS INC   2016-02-29 2016-09-21
80. GENERAL DYNAMICS CORP   2015-05-26 2016-09-21
300. GENERAL ELEC CO   2015-12-17 2016-09-21
135. GILEAD SCIENCES INC   2014-10-20 2016-09-21
555. INFINEON TECHNOLOGIES A G A D R   2015-10-20 2016-09-21
255. INTERPUBLIC GROUP COS INC   2015-12-17 2016-09-21
300. KROGER CO   2014-10-20 2016-09-21
110. LIXIL GROUP CORP A D R   2015-10-27 2016-09-21
260. REYNOLDS AMERICAN INC   2015-03-25 2016-09-21
160. TARGET CORP   2015-05-26 2016-09-21
335. WILLIAM HILL PLC UNSPON A D R   2015-10-27 2016-09-21
110. X CEL ENERGY INC   2014-11-10 2016-09-21
120. AMDOCS LTD   2014-10-10 2016-09-21
10. AMDOCS LTD   2014-10-20 2016-09-21
10. AMDOCS LTD   2014-11-10 2016-09-21
110. LYONDELLBASELL INDUSTRIES CL A   2014-10-20 2016-09-21
CAPITAL GAIN DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 30     30
b 3   3  
c 3   3  
d 25     25
e 10,911   9,738 1,173
667   2,206 -1,539
5,058   5,145 -87
12,645   13,050 -405
7,336   6,722 614
4,436   5,192 -756
7,080   3,910 3,170
5,323   7,234 -1,911
4,765   5,435 -670
10,942   7,220 3,722
7,221   4,779 2,442
5,013   5,068 -55
4,878   5,049 -171
17,105   12,105 5,000
4,919   6,042 -1,123
15,422   12,216 3,206
4,986   7,293 -2,307
9,320   10,224 -904
5,715   5,183 532
6,666   5,798 868
5,805   5,633 172
5,863   7,114 -1,251
3,350   5,139 -1,789
10,357   10,260 97
23,567   29,971 -6,404
3,353   8,136 -4,783
3,844   5,000 -1,156
5,057   5,052 5
12,327   6,516 5,811
3,402   3,106 296
4,559   4,336 223
5,772   5,136 636
2,963   5,227 -2,264
4,742   4,036 706
18,026   14,721 3,305
31,054   19,072 11,982
6,456   5,516 940
6,426   7,590 -1,164
6,191   7,184 -993
4,840   5,245 -405
11,230   9,974 1,256
13,536   13,176 360
5,218   7,939 -2,721
14,896   8,058 6,838
5,219   5,578 -359
3,679   5,207 -1,528
8,010   6,612 1,398
14,482   13,745 737
9,205   7,706 1,499
6,858   8,946 -2,088
12,633   7,214 5,419
745   827 -82
11,543   9,494 2,049
7,339   6,384 955
7,707   5,353 2,354
7,338   6,199 1,139
2,677   5,637 -2,960
950   3,142 -2,192
13,555   8,309 5,246
7,661   4,071 3,590
6,462   7,078 -616
11,162   4,130 7,032
5,824   3,375 2,449
6,243   4,838 1,405
7,875   9,588 -1,713
51   40 11
6,309   5,043 1,266
50,611   53,509 -2,898
6,996   7,560 -564
4,771   4,866 -95
9,536   5,643 3,893
6,619   3,078 3,541
8,255   7,912 343
12,399   10,315 2,084
40,244   40,628 -384
2,984   4,970 -1,986
1,509   1,209 300
3,320   2,621 699
4,917   4,860 57
3   3  
3   3  
3   3  
3   3  
29     29
4,869   4,697 172
4,188   5,115 -927
3,699   5,205 -1,506
4,592   4,614 -22
6,070   4,683 1,387
13,545   22,731 -9,186
2,638   3,285 -647
19,048   21,987 -2,939
13,882   15,045 -1,163
6,236   6,439 -203
15,301   8,554 6,747
6,328   3,972 2,356
16,961   28,358 -11,397
32,173   41,187 -9,014
30,558   31,233 -675
3,684   2,399 1,285
4,421   2,879 1,542
221   165 56
6,888   6,578 310
25,466   34,231 -8,765
4,557   4,214 343
82     82
4,327   4,603 -276
3   3  
3   3  
75,000   77,061 -2,061
100,000   100,000  
23,115   45,154 -22,039
7,647   9,030 -1,383
3   3  
3   3  
4,425   5,188 -763
22,608   31,996 -9,388
3,788   4,795 -1,007
26,009   36,027 -10,018
25,638   26,203 -565
9,672   12,447 -2,775
5,683   8,441 -2,758
4,310   3,731 579
5,174   5,769 -595
3   3  
3   3  
109,807   100,000 9,807
4   17 -13
3,863   6,975 -3,112
17,206   14,243 2,963
9,071   7,113 1,958
4,945   3,962 983
6,851   6,505 346
6,068   5,104 964
4,603   3,647 956
12,195   10,615 1,580
21,686   28,111 -6,425
4,537   6,085 -1,548
39   24 15
3   3  
3   3  
3   3  
3   3  
4,689   2,134 2,555
3,201   1,755 1,446
4,309   2,284 2,025
5,095   2,639 2,456
4,587   4,219 368
4,726   4,294 432
5,073   2,550 2,523
5,782   5,129 653
5,131   3,815 1,316
4,601   3,460 1,141
4,802   3,230 1,572
6,982   8,974 -1,992
4,648   5,153 -505
2,324   2,421 -97
4,608   5,204 -596
6,363   5,531 832
4,134   4,612 -478
4,804   4,180 624
4,695   3,913 782
3   3  
3   3  
1,205   839 366
1,808   1,141 667
10,847   7,087 3,760
10,419   11,948 -1,529
21,350   29,044 -7,694
5,615   4,635 980
5,936   5,487 449
6,248   6,057 191
24,004   14,875 9,129
8,601   9,890 -1,289
23,100   20,178 2,922
128   78 50
3   3  
3   3  
3   3  
3   3  
4,966   5,310 -344
25,059   20,721 4,338
3,299   4,716 -1,417
12,002   11,841 161
26,406   32,119 -5,713
20,180   19,739 441
37,048   45,423 -8,375
5,658   5,934 -276
7,309   5,956 1,353
20   18 2
8,124   5,325 2,799
4,891   3,885 1,006
5,340   4,825 515
12,903   12,763 140
5,000   6,778 -1,778
4,580   4,538 42
4,627   3,815 812
11,661   8,330 3,331
4,931   5,538 -607
4,844   3,812 1,032
8,251   10,096 -1,845
3   3  
3   3  
4,559   5,310 -751
5,828   4,533 1,295
12,153   11,029 1,124
8,919   9,227 -308
11,036   13,788 -2,752
9,296   7,015 2,281
5,768   5,786 -18
9,342   7,893 1,449
4,758   4,784 -26
12,469   9,216 3,253
11,058   12,659 -1,601
5,259   6,472 -1,213
4,566   3,743 823
7,075   5,432 1,643
590   451 139
590   477 113
8,556   10,034 -1,478
      35,309
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       30
b        
c        
d       25
e       1,173
      -1,539
      -87
      -405
      614
      -756
      3,170
      -1,911
      -670
      3,722
      2,442
      -55
      -171
      5,000
      -1,123
      3,206
      -2,307
      -904
      532
      868
      172
      -1,251
      -1,789
      97
      -6,404
      -4,783
      -1,156
      5
      5,811
      296
      223
      636
      -2,264
      706
      3,305
      11,982
      940
      -1,164
      -993
      -405
      1,256
      360
      -2,721
      6,838
      -359
      -1,528
      1,398
      737
      1,499
      -2,088
      5,419
      -82
      2,049
      955
      2,354
      1,139
      -2,960
      -2,192
      5,246
      3,590
      -616
      7,032
      2,449
      1,405
      -1,713
      11
      1,266
      -2,898
      -564
      -95
      3,893
      3,541
      343
      2,084
      -384
      -1,986
      300
      699
      57
       
       
       
       
      29
      172
      -927
      -1,506
      -22
      1,387
      -9,186
      -647
      -2,939
      -1,163
      -203
      6,747
      2,356
      -11,397
      -9,014
      -675
      1,285
      1,542
      56
      310
      -8,765
      343
      82
      -276
       
       
      -2,061
       
      -22,039
      -1,383
       
       
      -763
      -9,388
      -1,007
      -10,018
      -565
      -2,775
      -2,758
      579
      -595
       
       
      9,807
      -13
      -3,112
      2,963
      1,958
      983
      346
      964
      956
      1,580
      -6,425
      -1,548
      15
       
       
       
       
      2,555
      1,446
      2,025
      2,456
      368
      432
      2,523
      653
      1,316
      1,141
      1,572
      -1,992
      -505
      -97
      -596
      832
      -478
      624
      782
       
       
      366
      667
      3,760
      -1,529
      -7,694
      980
      449
      191
      9,129
      -1,289
      2,922
      50
       
       
       
       
      -344
      4,338
      -1,417
      161
      -5,713
      441
      -8,375
      -276
      1,353
      2
      2,799
      1,006
      515
      140
      -1,778
      42
      812
      3,331
      -607
      1,032
      -1,845
       
       
      -751
      1,295
      1,124
      -308
      -2,752
      2,281
      -18
      1,449
      -26
      3,253
      -1,601
      -1,213
      823
      1,643
      139
      113
      -1,478
       
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 31,800
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 258,253 4,912,979 0.052565
2013 254,067 4,990,375 0.050911
2012 246,572 4,328,534 0.056964
2011 215,342 4,171,297 0.051625
2010 220,741 4,051,206 0.054488
2
Total of line 1, column (d) .....................
20.266553
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
0.053311
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
4,492,233
5
Multiply line 4 by line 3......................
5
239,485
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
871
7
Add lines 5 and 6........................
7
240,356
8
Enter qualifying distributions from Part XII, line 4.............
8
213,366
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 1,742
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,742
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,742
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 7,166
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,166
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 5,424
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet1,744 RefundedBullet 11 3,680
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMO
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletUS BANK NA Telephone no.bullet (314) 418-2643

    Located atbulletPO BOX 0634MILWAUKEEWI ZIP+4bullet53201
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    US BANK TRUSTEE
    1     		63,141    
    PO BOX 387
    ST LOUIS,MO63166
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    4,449,853
    b
    Average of monthly cash balances.......................
    1b
    110,790
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,560,643
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    4,560,643
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    68,410
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,492,233
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    224,612
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    224,612
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    1,742
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,742
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    222,870
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    222,870
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    222,870
    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
    213,366
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    213,366
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    213,366
    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 7 222,870
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 20,095
    b From 2011...... 9,352
    c From 2012...... 32,793
    d From 2013...... 14,972
    e From 2014...... 0
    fTotal of lines 3a through e........ 77,212
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 213,366
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 213,366
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 9,504 9,504
    (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 67,708
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		10,591
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		57,117
    10 Analysis of line 9:
    a Excess from 2011.... 9,352
    b Excess from 2012.... 32,793
    c Excess from 2013.... 14,972
    d Excess from 2014.... 0
    e Excess from 2015.... 0
    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
    BLOSSER HOME FOR CRIPPLED CHILDREN
    MR MARK THOMPSON TREASURER
    MARSHALL,MO653400040     		NONE PC GENERAL OPERATING 204,552
    Total .................................bullet 3a 204,552
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		         
    4 Dividends and interest from securities....     14 116,157  
    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 31,800  
    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)..   147,957  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13147,957
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    GEORGIA BLOSSER TRUST # 025550B
    EIN:
    43-6018191
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 2,500     2,500

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    GEORGIA BLOSSER TRUST # 025550B
    EIN:
    43-6018191
    Name of Bond End of Year Book Value End of Year Fair Market Value
    DUPONT 5.250% 12/15/16 102,992 100,748
    HONEYWELL INTL 5.30% 3/15/17 78,035 76,506
    NUVEEN INFLATION PRO SEC CL I 23,428 23,592
    FEDERATED INST HI YLD BD FD 144,363 145,184

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    GEORGIA BLOSSER TRUST # 025550B
    EIN:
    43-6018191
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AMERIPRISE FINL INC 26,829 30,629
    HOWARD HUGHES CORP 614 2,290
    CHEVRON CORPORATION 17,945 34,993
    EXELON CORPORATION 6,197 5,992
    JOHNSON & JOHNSON 17,457 36,384
    PFIZER INC 29,752 29,467
    VERIZON COMMUNICATIONS INC 17,476 23,131
    WELLS FARGO & CO 15,538 26,479
    XCEL ENERGY INC 15,206 22,627
    ABB LTD ADR 6,541 6,978
    ASTRAZENECA PLC SPONS ADR 11,165 11,830
    BRITISH AMERN TOB PLC ADR 6,370 13,531
    HSBC HLDGS PLC SPONS ADR 5,310 4,701
    NTT DOCOMO INC ADR 8,043 10,926
    NESTLE SA SPONS ADR 14,076 26,472
    NOVARTIS AG ADR 8,168 12,239
    ORIX CORP SPONS ADR 1,988 4,746
    ROCHE HLDG LTD SPONS ADR 22,438 23,971
    ROYAL DUTCH SHELL PLC ADR 8,092 9,263
    VODAFONE GROUP PLC ADR 6,765 6,122
    J P MORGAN CHASE & CO 27,704 32,629
    CANON INC 29,893 28,014
    GLAXO SMITHKLINE PLC ADR 16,755 17,468
    SCHLUMBERGER LTD 27,342 35,073
    APPLE INC 11,289 34,480
    CISCO SYS INC 28,893 40,126
    ADIDAS AG ADR 10,487 20,422
    ABBVIE INC 17,782 39,419
    AETNA INC 7,966 13,277
    CVS HEALTH CORPORATION 27,209 29,367
    DISCOVER FINL SVCS 21,416 20,641
    EXXON MOBIL CORP 33,243 30,548
    AEGON N V A D R 8,507 4,825
    ROYAL CARIBBEAN CRUISES LTD 21,908 27,357
    SAP SE SPONSORED A D R 8,083 9,141
    CAUSEWAY EMERGING MARKETS INST 269,523 243,355
    T ROWE PRICE SC STOCK 56,856 56,783
    VOYA INTERNATIONAL REAL ESTATE 101,457 100,157
    GOLDMAN SACHS COMM STRAT INS 106,188 98,410

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    GEORGIA BLOSSER TRUST # 025550B
    EIN:
    43-6018191
    US Government Securities - End of Year Book Value:

    974
    US Government Securities - End of Year Fair Market Value:

    1,058
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2015 InvestmentsOtherSchedule2
    Name:
    GEORGIA BLOSSER TRUST # 025550B
    EIN:
    43-6018191
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ACTIVISION BLIZZARD INC AT COST 30,779 34,333
    AERCAP HOLDINGS NV AT COST 7,069 6,928
    ALASKA AIR GROUP INC AT COST 38,755 32,930
    ALPHABET INC CL A AT COST 30,424 36,183
    ALTRIA GROUP INC AT COST 28,213 26,873
    AMDOCS LTD AT COST 10,593 13,595
    AMER CENT DIVERSIFI BOND INS AT COST 125,207 129,540
    AMGEN INC AT COST 25,806 31,694
    ASTELLAS PHARMA INC A D R AT COST 4,814 4,608
    AT&T INC AT COST 19,848 23,554
    ATOS ORIGIN SA UNSP ADR AT COST 4,706 6,322
    BANCO BILBAO VIZCAYA ARGEN A D AT COST 6,074 3,159
    BARON EMERGING MARKETS INSTITU AT COST 218,080 236,176
    BOEING CO AT COST 30,215 31,618
    BRISTOL MYERS SQUIBB CO AT COST 28,096 22,646
    BROADRIDGE FINANCIAL SOLUTIONS AT COST 26,496 38,979
    C M S ENERGY CORP AT COST 22,265 30,037
    CAMPBELL SOUP CO AT COST 29,130 25,709
    CARDINAL HEALTH INC AT COST 7,966 6,993
    CARLSBERG AS A D R AT COST 6,809 7,500
    CDW CORP DE AT COST 22,479 29,953
    CHINA MOBILE LIMITED A D R AT COST 6,873 7,382
    CHUBB LTD AT COST 23,368 23,245
    CHUNGHWA TELECOM CO LTD A D R AT COST 18,208 20,493
    CK HUTCHISON HOLDINGS LIMITED AT COST 7,521 8,275
    COMCAST CORP CLASS A AT COST 28,062 34,829
    CONGRESS MID CAP GROWTH INS AT COST 76,010 79,601
    CRITEO SA SPON A D R AT COST 5,792 4,564
    D R HORTON INC AT COST 27,846 26,425
    DANONE SPON A D R AT COST 4,741 5,198
    DEUTSCHE POST AG A D R AT COST 5,842 6,234
    DR PEPPER SNAPPLE GROUP AT COST 21,974 27,850
    E ON AG A D R AT COST 6,685 5,177
    ENGIE A D R AT COST 4,759 4,614
    ERICSSON LM TEL SP A D R AT COST 4,678 3,245
    FACEBOOK INC A AT COST 5,049 5,131
    FLY LEASING LTD A D R AT COST 12,643 10,953
    FRESENIUS AKTIENGESELLSCHAFT A AT COST 11,586 11,599
    GEMALTO NV SPON A D R AT COST 6,836 7,520
    GENERAL DYNAMICS CORP AT COST 12,408 13,964
    GILEAD SCIENCES INC AT COST 9,910 7,912
    HONEYWELL INTERNATIONAL INC AT COST 10,523 10,493
    IHS MARKIT LTD AT COST 6,782 9,388
    INDUSTRIAS BACHOCO SAB DE CV A AT COST 17,950 15,550
    INGREDION INC AT COST 24,084 23,951
    INTESA SANPAOLO A D R AT COST 7,388 5,959
    JULIUS BAER GROUP LTD A D R AT COST 6,960 5,789
    KIMBERLY CLARK CORP AT COST 29,426 35,319
    KINDER MORGAN INC DEL WT 2 AT COST 246 2
    KONINKLIJKE AHOLD DELHAIZE NV AT COST 10,087 11,144
    KONINKLIJKE DSM NV A D R AT COST 5,764 7,352
    KONINKLIJKE PHILIPS NVR NY A D AT COST 7,127 7,989
    KONINKLIJKE ROYAL KPN NV SP AD AT COST 4,819 4,330
    KROGER CO AT COST 8,682 9,794
    KT CORP SP A D R AT COST 16,215 19,982
    LAM RESEARCH CORP AT COST 33,536 44,514
    LEAR CORP AT COST 29,468 29,093
    LENNOX INTERNATIONAL INC AT COST 26,121 25,910
    LOWES CO INC AT COST 31,789 30,689
    LYONDELLBASELL INDUSTRIES CL A AT COST 8,693 8,469
    MAZDA MOTOR CORP UNSPON A D R AT COST 7,453 6,934
    MICROSOFT CORP AT COST 29,464 36,576
    MITSUBISHI ESTATE LTD A D R AT COST 5,373 4,774
    MIZUHO FNL GRP A D R AT COST 10,052 8,350
    MURATA MANUFACTUR UNSPON A D R AT COST 7,818 8,927
    NASDAQ INC AT COST 29,193 31,068
    NATIONAL GRID PLC SP A D R AT COST 44,780 44,088
    NEUBERGER BERMAN LONG SH INS AT COST 124,611 122,755
    NEWELL BRANDS INC AT COST 12,984 12,638
    NICE LTD A D R AT COST 7,450 8,702
    NUVEEN REAL ESTATE SECS I AT COST 233,963 303,522
    NUVEEN SMALL CAP VALUE FUND CL AT COST 45,786 53,364
    OMEGA HEALTHCARE INVS INC AT COST 8,947 8,331
    ORANGE SPON A D R AT COST 7,367 6,622
    OTSUKA HOLDINGS LTD A D R AT COST 6,741 8,672
    PROLOGIS INC AT COST 27,738 38,549
    RECKITT BENCKISER SPON A D R AT COST 5,335 5,176
    RELX NV SPON A D R AT COST 12,924 13,484
    ROBECO BOSTON PARTNERS L S RSR AT COST 203,643 203,537
    SEALED AIR CORP AT COST 20,767 19,244
    SECOM COMPANY LIMITED A D R AT COST 7,027 8,210
    SEIKO EPSON A D R AT COST 6,113 7,178
    SKY PLC SPN A D R AT COST 9,693 6,735
    SMITH NEPHEW PLC SPON A D R AT COST 28,568 26,716
    SOCIETE GENERALE SPON A D R AT COST 7,107 5,108
    SPECTRA ENERGY CORP AT COST 26,597 32,704
    STANLEY BLACK DECKER INC AT COST 35,230 41,198
    STERIS PLC AT COST 28,575 28,144
    STRYKER CORP AT COST 24,422 24,446
    SUMITOMO MITSUI FINL GROUP A D AT COST 5,809 5,063
    SUNTORY BEVERAGE UNSPON A D R AT COST 6,744 6,832
    SUNTRUST BKS INC AT COST 27,540 32,412
    SYNGENTA A G A D R AT COST 3,910 5,256
    T ROWE PRICE MID CAP VALUE FUN AT COST 78,421 71,429
    TCW EMERGING MARKETS INCOME FU AT COST 190,589 197,702
    TOTAL SA SPON A D R AT COST 6,773 7,871
    TRINITY BIOTECH PLC SPON A D R AT COST 4,587 5,156
    UNIBAIL RODAMCO SE UNSP A D R AT COST 6,886 7,384
    UNITED HEALTH GROUP INC AT COST 14,396 14,700
    VIVENDI SA UNSPON ADR AT COST 6,911 6,650
    WACOAL HOLDINGS CORP A D R AT COST 5,082 4,481
    WESTPAC BANKING CORP SP A D R AT COST 4,576 4,662
    WNS HOLDINGS LTD ADR AT COST 2,518 2,696
    WPP PLC SPON A D R AT COST 10,172 12,949

    TY 2015 OtherExpensesSchedule
    Name:
    GEORGIA BLOSSER TRUST # 025550B
    EIN:
    43-6018191
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 638 638   0


    TY 2015 OtherIncreasesSchedule
    Name:
    GEORGIA BLOSSER TRUST # 025550B
    EIN:
    43-6018191
    Description Amount
    AMORTIZATION 3,600
    COST BASIS ADJUSTMENT 182


    TY 2015 TaxesSchedule
    Name:
    GEORGIA BLOSSER TRUST # 025550B
    EIN:
    43-6018191
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES PAID 2,985 2,985   0
    PY TAX LIABILITY 8,371 0   0