Sample Form 990-Pf - Return Of Private Foundation - 2015

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990-PF
Return of Private Foundation
OMB No. 1545-0052
Form
2015
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Department of the Treasury
Internal Revenue Service
Open to Public Inspection
Information about Form 990-PF and its separate instructions is at
For calendar year 2015 or tax year beginning
, 2015, and ending
, 20
July 1
June 30
16
A Employer identification number
Name of foundation
COUNCIL 3607 INC
45-5327737
Number and street (or P.O. box number if mail is not delivered to street address)
Room/suite
B Telephone number (see instructions)
2009 Gillionville Road
229-883-8834
City or town, state or province, country, and ZIP or foreign postal code
C If exemption application is pending, check here
Albany, GA 31707
G Check all that apply:
Initial return
Initial return of a former public charity
D 1. Foreign organizations, check here .
.
.
Amended return
Final return
2. Foreign organizations meeting the 85% test,
Address change
Name change
.
.
check here and attach computation
E If private foundation status was terminated under
H Check type of organization:
Section 501(c)(3) exempt private foundation
section 507(b)(1)(A), check here
.
.
.
.
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
I
J Accounting method:
Cash
Accrual
Fair market value of all assets at
F If the foundation is in a 60-month termination
end of year (from Part II, col. (c),
Other (specify)
under section 507(b)(1)(B), check here
.
.
line 16)
$
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of
(d) Disbursements
(a) Revenue and
(b) Net investment
(c) Adjusted net
for charitable
amounts in columns (b), (c), and (d) may not necessarily equal
expenses per
income
income
purposes
books
the amounts in column (a) (see instructions).)
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
8350
2
Check
if the foundation is not required to attach Sch. B
3
Interest on savings and temporary cash investments
5
4
Dividends and interest from securities .
.
.
.
5a Gross rents .
.
.
.
.
.
.
.
.
.
.
.
.
173866
b Net rental income or (loss)
6a Net gain or (loss) from sale of assets not on line 10
b Gross sales price for all assets on line 6a
7
Capital gain net income (from Part IV, line 2) .
.
8
Net short-term capital gain .
.
.
.
.
.
.
.
9
Income modifications
.
.
.
.
.
.
.
.
.
10a Gross sales less returns and allowances
110972
b Less: Cost of goods sold
.
.
.
66851
c Gross profit or (loss) (attach schedule) .
.
.
.
44121
11
Other income (attach schedule)
.
.
.
.
.
.
12
Total. Add lines 1 through 11 .
.
.
.
.
.
.
226342
13
Compensation of officers, directors, trustees, etc.
0
14
Other employee salaries and wages .
.
.
.
.
54489
54489
15
Pension plans, employee benefits
.
.
.
.
.
7456
7456
16a Legal fees (attach schedule)
.
.
.
.
.
.
.
b Accounting fees (attach schedule)
.
.
.
.
.
c Other professional fees (attach schedule) .
.
.
17
Interest
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3486
3486
18
Taxes (attach schedule) (see instructions)
.
.
.
.
19
Depreciation (attach schedule) and depletion .
.
9287
20
Occupancy .
.
.
.
.
.
.
.
.
.
.
.
.
59117
59117
21
Travel, conferences, and meetings
.
.
.
.
.
22
Printing and publications
.
.
.
.
.
.
.
.
23
Other expenses (attach schedule)
.
.
.
.
.
24
Total operating and administrative expenses.
Add lines 13 through 23 .
.
.
.
.
.
.
.
.
133835
124548
25
Contributions, gifts, grants paid
.
.
.
.
.
.
83290
83290
26
Total expenses and disbursements. Add lines 24 and 25
217125
207838
27
Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements
9217
b Net investment income (if negative, enter -0-)
.
c Adjusted net income (if negative, enter -0-) .
.
990-PF
For Paperwork Reduction Act Notice, see instructions.
Form
(2015)
Cat. No. 11289X

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