Sample Form 990-Pf - Return Of Private Foundation - 2015 Page 2
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132
Form 990-PF (2015)
Page
Beginning of year
End of year
Attached schedules and amounts in the description column
Part II
Balance Sheets
should be for end-of-year amounts only. (See instructions.)
(a) Book Value
(b) Book Value
(c) Fair Market Value
1
Cash—non-interest-bearing
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15413
31028
31028
2
Savings and temporary cash investments .
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3
Accounts receivable
▶
Less: allowance for doubtful accounts
▶
4
Pledges receivable
▶
Less: allowance for doubtful accounts
▶
5
Grants receivable .
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6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
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7
Other notes and loans receivable (attach schedule)
▶
Less: allowance for doubtful accounts
300
300
300
▶
8
Inventories for sale or use .
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9
Prepaid expenses and deferred charges
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10000
16335
31028
10a Investments—U.S. and state government obligations (attach schedule)
b Investments—corporate stock (attach schedule) .
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c Investments—corporate bonds (attach schedule)
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11
Investments—land, buildings, and equipment: basis
▶
Less: accumulated depreciation (attach schedule)
▶
12
Investments—mortgage loans .
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13
Investments—other (attach schedule)
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14
Land, buildings, and equipment: basis
575088
▶
Less: accumulated depreciation (attach schedule)
460119
▶
124255
144968
250000
15
)
Other assets (describe
▶
16
Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I)
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149968
162631
267663
17
Accounts payable and accrued expenses .
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1049
890
18
Grants payable .
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19
Deferred revenue .
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12685
25704
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule) .
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22
)
Other liabilities (describe
69586
60172
▶
Total liabilities (add lines 17 through 22) .
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23
83320
86766
Foundations that follow SFAS 117, check here
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and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted .
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25
Temporarily restricted
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26
Permanently restricted
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Foundations that do not follow SFAS 117, check here
▶
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds .
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28
Paid-in or capital surplus, or land, bldg., and equipment fund
29
Retained earnings, accumulated income, endowment, or other funds
66648
75865
30
Total net assets or fund balances (see instructions) .
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66648
75865
31
Total
liabilities
and
net
assets/fund
balances
(see
instructions) .
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149968
162631
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) .
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1
66648
2 Enter amount from Part I, line 27a
2
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9217
3 Other increases not included in line 2 (itemize)
3
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4 Add lines 1, 2, and 3 .
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4
75865
5 Decreases not included in line 2 (itemize)
5
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6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
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75865
990-PF
Form
(2015)
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