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
CHRISTIAN OLSEN PRIVATE FOUNDATION
C/O JOSHUA M FLEMING
Number and street (or P.O. box number if mail is not delivered to street address)11891 US HIGHWAY ONE NO 100
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NORTH PALM BEACH, FL33408
A Employer identification number

65-6400515
B Telephone number (see instructions)

(561) 622-2700
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$8,263,467J 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 39 39  
4 Dividends and interest from securities... 184,084 184,084  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 46,883
b Gross sales price for all assets on line 6a 6,341,708
7 Capital gain net income (from Part IV, line 2)... 46,883
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........ 231,006 231,006  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 108,000 64,800   43,200
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 111,187 66,712   44,475
b Accounting fees (attach schedule)....... Click to see attachment 6,962 4,177   2,785
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 308 289   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 93,159 93,159   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 319,616 229,137   90,460
25 Contributions, gifts, grants paid....... 368,091 368,091
26 Total expenses and disbursements. Add lines 24 and 25 687,707 229,137   458,551
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -456,701
b Net investment income (if negative, enter -0-) 1,869
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............. 201,286 335,240 335,240
2 Savings and temporary cash investments.........      
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)....... 7,745,015 Click to see attachment7,154,379 7,919,446
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) Click to see attachment8,800 Click to see attachment8,781 Click to see attachment8,781
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,955,101 7,498,400 8,263,467
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 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 7,955,101 7,498,400
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 7,955,101 7,498,400
31 Total liabilities and net assets/fund balances (see instructions). 7,955,101 7,498,400
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
7,955,101
2
Enter amount from Part I, line 27a .....................
2
-456,701
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
7,498,400
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
7,498,400
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 UBS #17833 P    
b UBS #17833 P    
c NEUBERGER STRATEGIC P    
d CAPITAL GAINS DIVIDENDS P    
e
(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 2,326,399   2,328,698 -2,299
b 3,952,025   3,965,384 -13,359
c     743 -743
d 63,284     63,284
e
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       -2,299
b       -13,359
c       -743
d       63,284
e
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 46,883
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 476,664 9,168,125 0.051991
2013 458,355 9,447,338 0.048517
2012 471,629 9,246,867 0.051004
2011 461,407 9,357,533 0.049309
2010 446,442 9,650,247 0.046262
2
Total of line 1, column (d) .....................
20.247083
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
0.049417
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
8,263,304
5
Multiply line 4 by line 3......................
5
408,348
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
19
7
Add lines 5 and 6........................
7
408,367
8
Enter qualifying distributions from Part XII, line 4.............
8
458,551
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 19
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 19
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 19
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 8,800
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 8,800
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 8,781
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet8,781 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
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 addressbulletNONE
    14
    The books are in care ofbulletJOSEPH FLEMING Telephone no.bullet (561) 622-2700

    Located atbullet11891 US HIGHWAY ONE NO 100NORTH PALM BEACHFL ZIP+4bullet33408
    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
     
     
    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
    JOSEPH M FLEMING TRUSTEE
    9.00     		108,000 0 0
    11891 US HIGHWAY ONE STE 100
    NORTH PALM BEACH,FL33408
    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.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    8,124,259
    b
    Average of monthly cash balances.......................
    1b
    264,882
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,389,141
    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
    8,389,141
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    125,837
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    8,263,304
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    413,165
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    413,165
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    19
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    19
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    413,146
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    413,146
    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
    413,146
    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
    458,551
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    458,551
    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
    19
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    458,532
    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 7 413,146
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 368,091
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 458,551
    a Applied to 2014, but not more than line 2a 368,091
    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..... 90,460
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		322,686
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    CHRISTIAN OLSEN PRIVATE FOUNDATION
    11891 US ONE STE 100
    NORTH PALM BEACH,FL33408
    (561) 622-2700
    bThe form in which applications should be submitted and information and materials they should include:
    1. THE CERTIFICATION, APPLICATION, PROJECT DESCRIPTION & BUDGET PAGES. 2. A COPY OF THE ORGANIZATION'S MOST RECENT SECTION 501(C)(3) IRS RULING. 3. A COPY OF THE ORGANIZATION'S MOST RECENT FINANCIAL STATEMENTS OR TAX RETURN. 4. A LIST OF THE ORGANIZATION'S OFFICERS AND DIRECTORS.
    cAny submission deadlines:
    FEBRUARY 15, MAY 15, AUGUST 15, NOVEMBER 15
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    THE FOUNDATION AWARDS CHARITABLE DISTRIBUTIONS ONLY TO ORGANIZATIONS WHICH SATISFY THE REQUIREMENTS OF SECTION 170(B)(1)(A), 170 (C), 2055(A), AND 2522(A) OF THE INTERNAL REVENUE CODE.
    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
    ADOPT A FAMILY OF PALM BEACH
    1712 2ND AVE N
    LAKE WORTH,FL33460     		  501(C)(3) FAMILY SERVICES 5,000
    ALL SAINTS CATHOLIC SCHOOL
    1759 JUPITER CREEK PARKWAY
    JUPITER,FL33458     		  501(C)(3) EDUCATION 5,000
    ALZHEIMER'S ASSOCIATION OF GREATER NJ
    400 MORRIS AVE SUITE 251
    DENVILLE,NJ07834     		  501(C)(3) MEDICAL SERVICES 3,500
    AMERICAN CANCER SOCIETY
    865 SE MONTEREY COMMONS BLVD
    STUART,FL34996     		  501(C)(3) TRYING TO ELIMINATE CANCER AS A MAJOR HEALTH PROBLEM 7,500
    AMERICAN RED CROSS
    825 FERN ST
    WEST PALM BEACH,FL33402     		  501(C)(3) HELP TO INDIVIDUALS WITH NEEDS IN TIMES OF DISASTER 7,500
    ARC OF PALM BEACH COUNTY
    1201 AUSTRALIAN AVENUE
    RIVIERA BEACH,FL33404     		  501(C)(3) SUPPORT TO THE MENTALLY HANDICAPPED 5,000
    ARMORY ART CENTER
    1700 PARKER AVENUE
    WEST PALM BEACH,FL33401     		  501(C)(3) INSPIRE THE CREATION AND EXPERIENCE OF ART 5,000
    ASSOCIATION FOR ABUSED WOMEN & CHILDREN
    7110 S DIXIE HWY
    WEST PALM BEACH,FL33405     		  501(C)(3) SHELTER 5,000
    BASE CAMP CHILDREN'S CANCER
    140 N ORLANDO AV STE 120
    WINTER PARK,FL32789     		  501(C)(3) PROGRAMS FOR CHILDREN AND FAMILIES FACING LIVING WITH CANCER 5,000
    BIG BROTHERS BIG SISTERS OF PALM BEACH COUNTY INC
    1700 KIRK RD
    WEST PALM BEACH,FL33406     		  501(C)(3) ENHANCE DEVELOPMENT OF CHILDREN 5,000
    BOGGY CREEK GANG
    30500 BRANTLEY BRANCH ROAD
    EUSTIS,FL32736     		  501(C)(3) CAMP FOR SERIOUSLY ILL CHILDREN 6,000
    BOYS SCOUT OF AMERICA
    8335 N MILITARY TRAIL
    PALM BEACH GARDENS,FL33410     		  501(C)(3) ENHANCE DEVELOPMENT OF CHILDREN 5,000
    BRAND NEW DAY INC
    176 FIRST STREET
    ELIZABETH,NJ07206     		  501(C)(3) EHNANCE LIFE FOR LOW INCOME FAMILIES 3,500
    CAFE JOSHUA
    PO BOX 3265
    WEST PALM BEACH,FL33402     		  501(C)(3) REHABILATION CENTERS 6,000
    CHILDREN'S DREAM FUND
    PO BOX 1881
    ST PETERSBURG,FL33731     		  501(C)(3) GRANTING WISHES TO SERIOUSLY ILL CHILDREN 5,000
    CHILDREN'S HOME SOCIETY OF FLORIDA SOUTH COAST DIVISION
    3333 FOREST HILL BLVD
    WEST PALM BEACH,FL33406     		  501(C)(3) PREVENTING CHILD ABUSE 5,000
    CHILDRENS CANCER CENTER
    4901 W CYPRESS ST
    TAMPA,FL33607     		  501(C)(3) PROVIDING SUPPORT FOR FAMILIES OF CHILDREN WITH CANCER OR LIFE-THREATENING ILLNESSES 5,000
    CLOTHES TO KIDS
    1059 N HERCULES AVE
    CLEARWATER,FL33765     		  501(C)(3) CLOTHING DISTRIBUTIONS 5,000
    COALITION FOR INDEPENDENT LIVING OPTIONS INC
    6800 FOREST HILL BLVD
    WEST PALM BEACH,FL33413     		  501(C)(3) PROVIDE SERVICES FOR THOSE WITH DISABILITIES 5,000
    COMMUNITY CARING CENTER
    145 NE 4TH AVE
    BOYNTON BEACH,FL33435     		  501(C)(3) PROVIDES SERVICES FOR COMMUNITY 10,000
    CONNOR MORAN CHILDREN'S CANCER FOUNDATION
    1 MAIN ST 205
    JUPITER,FL33469     		  501(C)(3) TO PROVIDE ASSISTANCE FOR CHILDREN WITH CANCER 10,000
    COURT APPOINTED SPECIAL ADVOCATES OF NJ INC
    77 CHURCH ST
    NEW BRUNSWICK,NJ08901     		  501(C)(3) LEGAL SERVICES 3,500
    COVENANT HOUSE FLORIDA
    773 BREAKERS AVENUE
    FORT LAUDERDALE,FL33304     		  501(C)(3) PROVIDES HOUSING AND SERVICES FOR RUNAWAY, HOMELESS AND AT-RISK YOUTH UNDER 21. 10,000
    DIGNITY U WEAR
    136 N MYRTLE AVE
    JACKSONVILLE,FL32204     		  501(C)(3) PROVIDING NEW CLOTHES TO FAMILIES 5,000
    DOGS FOR THE DEAF
    10175 WHEELER ROAD
    CENTRAL POINT,OR97502     		  501(C)(3) TRAIN DOGS TO HELP AND ENHANCE THE LIVES OF THE DEAF AND HEARING IMPAIRED 5,000
    DREAMS COME TRUE
    6803 SOUTHPOINT PKWY
    JACKSONVILLE,FL32216     		  501(C)(3) ENHANCE THE LIVES OF CHILDREN WITH LIFE-THREATENING ILLNESSES 5,000
    EASTER SEALS OF SOUTH FLORIDA
    1475 NW 14TH AVE
    MIAMI,FL33125     		  501(C)(3) PROVIDES SERVICES AND OUTREACH TO PEOPLE WITH DISABILITIES AND SPECIAL NEEDS 5,000
    EQUINE RESCUE AND ADOPTION FOUNDATION
    6400 SW MARTIN HWY
    PALM CITY,FL34990     		  501(C)(3) ANIMAL RESCUE AND SHELTER 3,000
    FEEDING SOUTH FLORIDA
    2501 SW 32ND TERRACE
    PEMBROKE PINES,FL33023     		  501(C)(3) FOODBANK 10,000
    FLORIDA OUTREACH CENTER FOR THE BLIND INC
    2315 S CONGRESS AVE
    PALM SPRINGS,FL33406     		  501(C)(3) PROVIDING SERVICES FOR THE BLIND AND VISUALLY IMPAIRED 5,000
    FRIENDS OF FOSTER CHILDREN OF PALM BEACH COUNTY
    4100 OKEECHOBEE BLVD
    WEST PALM BEACH,FL33409     		  501(C)(3) ENHANCE DEVELOPMENT OF CHILDREN 5,000
    FRIENDS OF UFFIZI GALLERY
    205 WORTH AVE SUITE 201
    PALM BEACH,FL33480     		  501(C)(3) PRESERVATION, RESTORATION, AND EDUCATION 5,000
    GIFT OF LIFE BONE MARROW FOUNDATION
    800 YAMATO RD
    BOCA RATON,FL33431     		  501(C)(3) PROVIDING CANCER TREATMENT 10,000
    GIVE THE KIDS THE WORLD
    210 SOUTH BASS ROAD
    KISSIMMEE,FL34746     		  501(C)(3) WISH FULFILLMENT FOR ILL CHILDREN 5,000
    HOLY GROUND SHELTER FOR HOMELESS INC
    200 W 20TH STREET
    RIVIERA BEACH,FL33404     		  501(C)(3) PROVIDE LIVING ASSISTANCE AND SHELTER FOR HOMELESS,PREGNANT AND/OR PARENTING TEENS AND YOUNG ADULT FEMALES. 7,000
    HOME SAFE
    680 IPSWICH ST
    BOCA RATON,FL33487     		  501(C)(3) PREVENTION OF CHILD ABUSE 5,000
    HOMES FOR OUR TROOPS INC
    6 MAIN STREET
    TAUNTON,MA02780     		  501(C)(3) TO PROVIDE HOUSING FOR SEVERELY INJURED VETERANS. 10,000
    HOPE INTERNATIONAL MINISTRIES
    4718 ROCKWOOD CIRCLE
    FORT MEYERS,FL33903     		  501(C)(3) HUMANITARIAN AID FOR IMPOVERISHED COUNTRIES 5,000
    HOPES DREAMS AND HORSES
    16957 106TH TERRACE N
    JUPITER,FL33478     		  501(C)(3) THERAPY TREATMENT AND ANINMAL RESCUE 2,000
    HOSPICE OF PALM BEACH COUNTY
    5300 EAST AVE
    WEST PALM BEACH,FL33407     		  501(C)(3) MEDICAL SERVICES 15,000
    JUPITER MEDICAL CENTER FOUNDATION
    1210 SOUTH OLD DIXIE HIGHWAY BLDGE
    EAST 1002
    JUPITER,FL33458     		  501(C)(3) FUNDRAISING TO ASSURE CLINICAL EXCELLENCE AND QUALITY CARE AT THE JUPITER MEDICAL CENTER 10,091
    KIDS BEATING CANCER
    615 E PRINCETON ST STE 400
    ORLANDO,FL32803     		  501(C)(3) PROVIDING RESOURCE AND SUPPORT FOR CHILDREN WITH CANCER 5,000
    KIDS IN DISTRESS INC
    1301 N CONGRESS AVE STE 310
    BOYNTON BEACH,FL33426     		  501(C)(3) PREVENTION OF CHILD ABUSE 5,000
    LAW ENFORCEMENT ASSISTANCE FOUNDATION
    PO BOX 17725
    WEST PALM BEACH,FL33416     		  501(C)(3) SERVICES TO INJURED OFFICERS AND THEIR FAMILIES 5,000
    LEUKEMIA & LYMPHOMA SOCIETY
    4360 NORTHLAKE BLVD
    PALM BEACH GARDENS,FL33410     		  501(C)(3) MEDICAL SERVICES 10,000
    LIFE NET 4 FAMILIES
    1 NW 33RD TERRACE
    FORT LAUDERDALE,FL33311     		  501(C)(3) COMMUNITY OUTREACH FOR HUNGER AND POVERTY 5,000
    LIGHTHOUSE FOR THE BLIND OF THE PALM BEACHES
    1710 TIFFANY DRIVE EAST
    WEST PALM BEACH,FL33407     		  501(C)(3) ENHANCE INDEPENDENCE FOR THE BLIND 5,000
    LITTLE SMILES
    1325 N CONGRESS AVE SUITE 205
    WEST PALM BEACH,FL33401     		  501(C)(3) PROVIDE TOYS AND OTHER ENRICHMENT TO CHILDREN IN HOSPITALS 5,000
    MAKE-A-WISH FOUNDATION OF SOUTH FLORIDA
    4491 S STATE RD 7 SUITE 201
    FORT LAUDERDALE,FL33314     		  501(C)(3) MAKE LIFE BETTER FOR KIDS WITH LIFE-THREATENING MEDICAL CONDITIONS 6,000
    MOFFIT CANCER CENTER FOUNDATION
    12902 MAGNOLIA DRIVE
    TAMPA,FL33612     		  501(C)(3) CANCER RESEARCH AND PATIENT CARE 5,000
    NATIONAL CENTER FOR MISSING AND EXPLOITED CHILDREN
    699 PRINCE STREET
    ALEXANDRIA,VA22314     		  501(C)(3) HELP FIND, RESCUE AND CARE FOR MISSING AND SEXUALLY EXPLOITED CHILDEN 5,000
    PLACE OF HOPE
    9078 ISAIAH LANE
    PALM BEACH GARDENS,FL33418     		  501(C)(3) ENHANCE LIVES OF CHILDREN 5,000
    REHABILITATION CENTER FOR CHILDREN AND ADULTS
    300 ROYAL PALM WAY
    WEST PALM BEACH,FL33480     		  501(C)(3) REHABILITATION CENTER FOR ADULTS AND CHILDREN WITH DISABILITIES. 3,500
    SCHOOL OF THE ARTS FOUNDATION
    PO BOX 552
    WEST PALM BEACH,FL33402     		  501(C)(3) EDUCATION FOR CHILDREN 10,000
    SMART RIDE TRS ADVENTURES INC
    1314 E LAS OLAS BLVD STE 302
    FT LAUDERDALE,FL33301     		  501(C)(3) AIDS SERVICES 10,000
    SOS CHILDRENS VILLAGE
    3681 NW 59TH PLACE
    COCOANUT CREEK,FL33073     		  501(C)(3) ENHANCE LIVES OF CHILDREN 3,000
    SPECIAL OPERATIONS WARRIOR FUND
    PO BOX 89367
    TAMPA,FL33689     		  501(C)(3) COLLEGE SCHOLARSHIP GRANTS 5,000
    ST BENEDICT'S PREP SCHOOL
    520 DR MARTIN LUTHER KING JR BLVD
    NEWARK,NJ07102     		  501(C)(3) EDUCATIONAL 3,500
    SUSAN G KOMEN BREAST CANCER FOUNDATION
    1309 N FLAGLER DR
    WEST PALM BEACH,FL33401     		  501(C)(3) TREATMENT AND PREVENTION OF BREAST CANCER 5,000
    THE FIRST TEE OF THE PALM BEACHES
    7301 N HAVERHILL RD
    WEST PALM BEACH,FL33407     		  501(C)(3) BUILD CHARACTER, VALUE, AND HEALTHY CHOICES THROUGH 4,000
    THE VALERIE FUND
    2101 MILLBURN AVE
    MAPLEWOOD,NJ07040     		  501(C)(3) HEALTH CARE FOR CHILDREN 3,500
    UMSYLVESTER COMPREHENSIVE CENTER
    1475 NW 12TH AVE
    MIAMI,FL33136     		  501(C)(3) MEDICAL SERVICES 10,000
    Total .................................bullet 3a 368,091
    bApproved for future payment
    Total .................................bullet 3b 0
    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 39  
    4 Dividends and interest from securities....     14 184,084  
    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 46,883  
    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).. 0 231,006 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13231,006
    (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:
    CHRISTIAN OLSEN PRIVATE FOUNDATION
     
    C/O JOSHUA M FLEMING
    EIN:
    65-6400515
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 6,962 4,177   2,785

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    CHRISTIAN OLSEN PRIVATE FOUNDATION
     
    C/O JOSHUA M FLEMING
    EIN:
    65-6400515
    Name of Stock End of Year Book Value End of Year Fair Market Value
    UBS TF 17833 BC 7,154,379 7,919,446

    TY 2015 LegalFeesSchedule
    Name:
    CHRISTIAN OLSEN PRIVATE FOUNDATION
     
    C/O JOSHUA M FLEMING
    EIN:
    65-6400515
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 111,187 66,712   44,475


    TY 2015 OtherAssetsSchedule
    Name:
    CHRISTIAN OLSEN PRIVATE FOUNDATION
     
    C/O JOSHUA M FLEMING
    EIN:
    65-6400515
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    PREPAID TAXES 8,800 8,781 8,781


    TY 2015 OtherExpensesSchedule
    Name:
    CHRISTIAN OLSEN PRIVATE FOUNDATION
     
    C/O JOSHUA M FLEMING
    EIN:
    65-6400515
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 93,159 93,159   0


    TY 2015 TaxesSchedule
    Name:
    CHRISTIAN OLSEN PRIVATE FOUNDATION
     
    C/O JOSHUA M FLEMING
    EIN:
    65-6400515
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAXES 19 0   0
    TAXES- FOREIGN 289 289   0