Return of Private Foundation or Section 4947 (a)(1) Trust Treated as Private Foundation

Transcription

1 PM Form 990 PF Return of Privte Foundtion or Section 4947 ()(1) Trust Treted s Privte Foundtion Deprtment of the Tresury Do not enter socil security numbers on this form s it my be mde public. Internl Revenue Service Informtion bout Form 990-PF nd its seprte instructions is t www. irs.gov/four For clendr yer 2014 or tx yer beginning, nd ending Nme of foundtion A Employer identifiction number OMB No Open to Public Inspection SMITH FAMILY FOUNDATION Number nd street ( or P 0 box number if mil is not delivered to street ddress ) Room/suite B Telephone number (see instructions) 5151 DONNINGTON ROAD City or town, stte or provi nce, country, nd ZIP or foreign postl code q C If exemption ppliction is pending, check here CLARENCE NY G Check ll tht pply Initil return Initil return of former public chrity D 1 Foreign orgniztions, check here L Finl return Amended return 2 Foreign orgniztions meeting the Address chnge Nme chnge 85% test, check here nd ttch computtion 0. H Check type of orgniztion FX Section 501 ( c)(3) exempt privte foundtion E If privte foundt ion sttus ws term inted under Section 4947 ( )( 1 ) nonexempt chritble trust Other txble p rivte foundtion section 507(b )(1)(A), check here LI Fir mrket vlue of ll ssets t J Accounting method qx Csh Accrul F If the foundtion is in 60-month term int ion end of yer ( from Prt II, col (c), r] Other ( specify ) under section 507(b )(1)(B), check here line 16 ) $ 312, 056 ( Prt I column (d ) must be on csh bsis (d) Disbursements Prt I Anlysis of Revenue nd Expenses (The totl of ( ) Revenue nd mounts in columns ( b), (c), nd (d) my not necessrily equl expenses per the mounts in column ( ) (see instructions )) books 1 Contributions, gifts, grnts, etc, received (ttch schedule ) 20, Check if the foundtion is not required to ttch Sch B 3 Interest on svings nd temporry csh investments (b ) Net investment income 4 Dividends nd interest from securities 1,289 1, Gross rents w b Net rentl income or (loss) 6 Net gin or (loss) from sle of ssets not on line 10 18,388 j b Gross sles price for ll ssets on l i ne 6 5 7, Cpitl gin net income (from Prt IV, line 2 ) 18, 388 ( c) Adjusted net income 8 Net short-term cpitl gin 0 9 Income modifictions 10 Gross sles less returns nd llownces b Less Cost of goods sold c Gross profit or (loss ) ( ttch schedule) 11 Other income ( ttch schedule) 12 Totl. Add lines 1 throu g h 11 39,927 19,677 0 j N 13 Compenstion of officers, directors, trustees, etc 0 14 Other employee slries nd wges 15 Pension plns, employee benefits R EC V for chritble purposes csh bsis onl y) K 16 Legl fees (ttch schedule) V W b Accounting fees ( ttch schedule ) STMT 1 1, 175 1, 175 lnf > c Other professionl fees (ttch schedule) 17 Interest!L) 18 Txes ( ttch schedule) (see instructions ) STMT O It C- 19 Deprecition ( ttch schedule ) nd depletion - 20 Occupncy 21 Trvel, conferences, nd meetings c 22 Printing nd publictions iim 23 Other expenses ( lt sch ) STMT Totl operting nd dministrtive expenses. Add lines 13 through 23 1, 534 1, ` CL 25 Contributions, gifts, grnts pid 62, , Totl exp enses nd disbursements. Add lines 24 nd 25 64, 384 1, , Subtrct line 26 from line 12 Excess of revenue over expenses nd disbursements - 24, 457 b Net investment income ( if negtive, enter -0 -) 18,24g c Adjusted net income ( if neg tive, enter -0- ) 0 For Pperwork Reduction Act Notice, see instructions. Form 990-PF (2014) 11

2 783 04/28/ PM Fnrm gqrl-pf (2014t SMITH FAMILY FOUNDATION Pun 7 P 11 B l nce Sh ee ts Beginning of yer End of yer Attched schedules nd mounts in the desptiofl column rt should be for end - of-yer mounts only (See instructions) () Book Vlue ( b) Book Vlue (c) Fir Mrket Vlue I Csh - non-interest - bering 2 Svings nd temporry csh investments 21,081 21, , Accounts receivble Less llownce for doubtful ccounts 4 Pledges receivble Less llownce for doubtful ccounts 5 Grnts receivble 6 Receivbles due from officers, directors, trustees, nd other disqulified persons ( ttch schedule) (see instructions) 7 Other notes nd lons rece i vble ( tt schedule) Less llownce for doubtful ccounts 0 Y 8 Inventories for sle or use y 9 Prepid expenses nd deferred chrges rn Q 10 Investments - U S nd stte government obligtions (ttch schedule) b Investments - corporte stock ( ttch schedule ) SEE STMT 4 133, , ,108 c Investments - corporte bonds ( ttch schedule) 11 Investments - lnd, buildings, nd equipment bsis Less ccumulted deprec i t i on ( ttch sch) 12 Investments - mortgge lons 13 Investments - other ( ttch schedule) 14 Lnd, bu i ld i ngs, nd equ i pment bsis Less ccumulted deprec i t i on (ttch sch) 15 Other ssets (describe 16 Totl ssets (to be completed by ll filers - see the instructions Also, see p ge 1, item I 154, , , Accounts pyble nd ccrued expenses 18 Grnts pyble ) 19 Deferred revenue 20 Lons from officers, directors, trustees, nd other disqulified persons c 21 Mortgges nd other notes pyble (ttch schedule) J 22 Other libilities (describe 23 Totl libilities (dd lines 17 throu g h 22 ) 0 0 Foundtions tht follow SFAS 117, check here El W nd complete lines 24 through 26 nd lines 30 nd 31 U 24 Unrestricted cc 25 Temporrily restricted m 26 Permnently restricted Foundtions tht do not follow SFAS 117, check here LL nd complete lines 27 through Cpitl stock, trust principl, or current funds N 28 Pid - in or cpitl surplus, or lnd, bldg, nd equipment fund N 29 Retined ernings, ccumulted income, endowment, or other funds 154, , Totl net ssets or fund blnces (see instructions ) 154, , 627 Z 31 Totl libilities nd net ssets /fund blnces (see instructions ) 154, ,627 Prt III Anly sis of Chn g es in Net Assets or Fund Blnces 1 Totl net ssets or fund blnces t beginning of yer - Prt II, column (), line 30 (must gree with end-of-yer figure reported on prior yer's return) 1 154, Enter mount from Prt I, line , Other increses not included in line 2 (itemize) 3 4 Add lines 1, 2, nd ,627 5 Decreses not included in line 2 (itemize) 5 6 Totl net ssets or fund blnces t end of yer (line 4 minus line 5) - Prt II colu mn (b), line , 627 Form 990-PF (2014) ^X

3 PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 3 Prt IV Cpitl Gins nd Losses for Tx on Investment Income () List nd describe the kind(s) of property sold ( g, rel estte, ( b) How cquired 2-story brick P - Purchse wrehouse, or common stock. 200 shs MLC Cc ) D - Dontion ( c) Dte cquired (mo. dy, yr) ( d) Dte sold (mo, dy, yr ) 1 GABELLI ASSET FUND P VARIOUS 05/22/14 b GABELLI ASSET FUND P VARIOUS 10/31/14 c LT CAPITAL GAINS d e () Gross sles once ( 1) Deprecition llowed (or llowble ) (g) Cost or other bsis plus expense of sle ( h) Gin or (loss) ( ) plus ( f) minus (g) 25, , 618 3, 382 b 20, , 064 2, 936 c 12, , 070 d e Complete only for ssets showing gin in column (h) nd owned by the foundtion on 12/31/69 (i) F M V s of 12/31/69 (1) Adjusted bsis s of 12/31/69 (k) Excess of col () over col 0), if ny (I) Gins (Col (h) gin minus cot (k), but not less thn -0-) or Losses (from col (h)) 3, 382 b 2, 936 c 12, 070 d e Cpitl gin net income or (net cpitl loss) If gin, lso enter in Prt I, line 7 3 Net short-term cpitl gin or (loss) s defined in sections 1222(5) nd (6) If gin, lso enter in Prt I, line 8, column (c) (see instructions) If (loss), enter -0- in If (loss), enter -0- in Prt I, line 7 } 2 18, 388 Prt 1,line 8 3 Prt V Qulifiction Under Section 4940 ( e) for Reduced Tx on Net Investment Income (For optionl use by domestic privte foundtions subject to the section 4940() tx on net investment income ) If section 4940(d)(2) pplies, leve this prt blnk Ws the foundtion lible for the section 4942 tx on the distributble mount of ny yer in the bse period? 1-1 If "Yes," the foundtion does not qulify under section 4940 ( e) Do not complete this prt 1 Enter the pproprite mount in ech column for ech yer, see the instructions before mking ny entries Yes 1X No Bse period yers Clendr yer (or tx yer beginning in) (b) Adjusted qulifying distributions (c) Net vlue of nonchritble- use ssets Distribution rtio (col (b) divided by col (c)) , , , , , , , , , , Totl of line 1, column (d) Averge distribution rtio for the 5-yer bse period - divide the totl on line 2 by 5, or by the number of yers the foundtion hs been in existence if less thn 5 yers Enter the net vlue of nonchrltble-use ssets for 2014 from Prt X, line , Multiply line 4 by line , Enter 1 % of net investment income (1 % of Prt I, line 27b) Add lines 5 nd , Enter qulifying distributions from Prt XII, line If line 8 is equl to or greter thn line 7, check the box in Prt VI, line 1 b, nd complete tht prt using 1 % tx rte See the Prt VI Instructions Form 990-PF (2014)

4 /28/ PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 4 Prt VI Excise Tx Bsed on Investment Income ( Section 4940 ( ), 4940 ( b), 4940 (e), or see instructions) l Exempt operting foundtions described in section 4940 ( d)(2), check here 11 nd enter "N/A" on line 1 Dte of ruling or determintion letter (ttch copy of letter if necessry-see instructions) b Domestic foundtions tht meet the section 4940 ( e) requirements in Prt V, check here F1 nd enter 1% of Prt 1, line 27b c All other domestic foundtions enter 2% of line 27b Exempt foreign orgniztions enter 4% of Prt I, line 12, col (b) 2 Tx under section 511 (domestic section 4947( )(1) trusts nd txble foundtions only Others enter -0-) Add lines 1 nd Subtitle A ( income ) tx (domestic section 4947 ( )(1) trusts nd txble foundtions only Others enter -0-) Tx bsed on investment income Subtrct line 4 from line 3 If zero or less, enter Credits /Pyments 2014 estimted tx pyments nd 2013 overpyment credited to b Exempt foreign orgniztions - tx withheld t source 6b c Tx pid with ppliction for extension of time to file (Form 8868) 6c d Bckup withholding erroneously withheld 6d 7 Totl credits nd pyments Add lines 6 through 6d 7 8 Enter ny penlty for underpyment of estimted tx Check here n if Form 2220 is ttched 8 9 Tx due If the totl of lines 5 nd 8 is more thn line 7, enter mount owed Overpyment. If line 7 is more thn the totl of lines 5 nd 8, enter the mount overpid Enter the mount of line 10 to be Credited to 2015 estimted tx Refunded 11 Prt VII -A Sttements Re g rdin g Activities l During the tx yer, did the foundtion ttempt to influence ny ntionl, stte, or locl legisltion or did it Yes No prticipte or intervene in ny politicl cmpign's l X b Did it spend more thn $ 100 during the yer ( either directly or indirectly) for politicl purposes (see Instructions for the definition)? 1b X If the nswer is "Yes" to 1 or 1b, ttch detiled description of the ctivities nd copies of ny mterils published or distributed by the foundtion in connection with the ctivities c Did the foundtion file Form POL for this yer? 1c X d Enter the mount ( if ny) of tx on politicl expenditures ( section 4955) imposed during the yer (1) On the foundtion S (2) On foundtion mngers $ e Enter the reimbursement (if ny) pid by the foundtion during the yer for politicl expenditure tx imposed on foundtion mngers $ 2 Hs the foundtion engged in ny ctivities tht hve not previously been reported to the IRS's 2 X If "Yes," ttch detiled description of the ctivities 3 Hs the foundtion mde ny chnges, not previously reported to the IRS, in its governing instrument, rticles of incorportion, or bylws, or other similr instruments? If "Yes," ttch conformed copy of the chnges 3 X 4 Did the foundtion hve unrelted business gross income of $1,000 or more during the yer? 4 X b If "Yes," hs it filed tx return on Form 990 -T for this yer? N/A 4b 5 Ws there liquidtion, termintion, dissolution, or substntil contrction during the yer? 5 X If "Yes," ttch the sttement required by Generl Instruction T 6 Are the requirements of section 508(e) (relting to sections 4941 through 4945 ) stisfied either By lnguge in the governing instrument, or By stte legisltion tht effectively mends the governing instrument so tht no mndtory directions tht conflict with the stte lw remin in the governing instrument? 6 X 7 Did the foundtion hve t lest $ 5,000 in ssets t ny time during the yer? If "Yes," complete Prt II, col (c), nd P rt XV 7 X 8 Enter the sttes to which the foundtion reports or with which it is registered ( see instructions) NY b If the nswer is "Yes" to line 7, hs the foundtion furnished copy of Form 990-PF to the Attorney Generl (or designte ) of ech stte s required by Generl Instruction G' If "No," ttch explntion 8b X 9 Is the foundtion climing sttus s privte operting foundtion within the mening of section 4942 (1)(3) or 4942(1)(5) for clendr yer 2014 or the txble yer beginning in 2014 (see instructions for Prt XIV)' If "Yes," complete Prt XIV 9 X 10 Did ny persons become substntil contributors during the tx yer? If "Yes," ttch schedule listing their nmes nd ddresses STMT 5 10 X Form 990-PF (2014)

5 PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 5 Prt VII-A Sttements Re g rdin g Activities ( continued ) 11 At ny time dur`ng the yer, did the foundtion, directly or indirectly, own controlled entity within the mening of section 512(b)(13)" If "Yes," ttch schedule (see instructions) 11 X 12 Did the foundtion mke distribution to donor dvised fund over which the foundtion or disqulified person hd dvisory privileges? If "Yes,' ttch sttement (see instructions) 12 X 13 Did the foundtion comply with the public inspection requirements for its nnul returns nd exemption ppliction? 13 X Website ddress N/A 14 The books re in cre of DONALD J SMITH Telephone no DONNINGTON ROAD Locted t CLARENCE NY ZIP Section 4947()(1) nonexempt chritble trusts filing Form 990-PF in lieu of Form Check here El nd enter the mount of tx-exempt interest received or ccrued during the yer At ny time during clendr yer 2014, did the foundtion hve n interest in or signture or other uthority Yes No over bnk, securities, or other finncil ccount in foreign country" 16 X See the instructions for exceptions nd filing requirements for FinCEN Form 114, (formerly TD F ) If "Yes, " enter the nme of the foreig n count ry Prt VII- B Sttements Reg rdin g Activities for Which Form 4720 M y Be Re q uired File Form 4720 if ny item is checked in the "Yes" column, unless n exception pplies Yes No l During the yer did the foundtion (either directly or indirectly) (1) Engge in the sle or exchnge, or lesing of property with disqulified person? Yes No (2) Borrow money from, lend money to, or otherwise extend credit to (or ccept it from) disqulified person? Yes X No (3) Furnish goods, services, or fcilities to (or ccept them from) disqulified person? Yes X No (4) Py compenstion to, or py or reimburse the expenses of, disqulified person? Yes X No (5) Trnsfer ny income or ssets to disqulified person (or mke ny of either vilble for the benefit or use of disqulified person)? Yes No (6) Agree to py money or property to government officil? ( Exception. Check "No" if the foundtion greed to mke grnt to or to employ the officil for period fter termintion of government service, if terminting within 90 dys ) Yes No b If ny nswer is "Yes" to 1 (1)-(6), did ny of the cts fil to qulify under the exceptions described in Regultions section (d)-3 or in current notice regrding disster ssistnce (see instructions)? N/A lb Orgniztions relying on current notice regrding disster ssistnce check here c Did the foundtion engge in prior yer in ny of the cts described in 1, other thn excepted cts, tht were not corrected before the first dy of the tx yer beginning in 2014? N/A 1c 2 Txes on filure to distribute income (section 4942) (does not pply for yers the foundtion ws privte operting foundtion defined in section 49420)(3) or 49420)(5)) At the end of tx yer 2014, did the foundtion hve ny undistributed income (lines 6d nd 6e, Prt XIII) for tx yer(s) beginning before 2014" Yes IN No If "Yes," list the yers 20, 20, 20, 20 b Are there ny yers listed in 2 for which the foundtion is not pplying the provisions of section 4942()(2) (relting to incorrect vlution of ssets) to the yer's undistributed income? (If pplying section 4942()(2) to ll yers listed, nswer "No" nd ttch sttement - see instructions) N/A 2b c If the provisions of section 4942()(2) re being pplied to ny of the yers listed in 2, list the yers here 20, 20, 20, 20 3 Did the foundtion hold more thn 2% direct or indirect interest in ny business enterprise t ny time during the yer? Yes 9 No b If "Yes," did it hve excess business holdings in 2014 s result of (1) ny purchse by the foundtion or disqulified persons fter My 26, 1969, (2) the lpse of the 5-yer period (or longer period pproved by the Commissioner under section 4943(c)(7)) to dispose of holdings cquired by gift or bequest, or (3) the lpse of the 10-, 15-, or 20-yer first phse holding period? (Use Schedule C, Form 4720, to determine if the foundtion hd excess business holdings in 2014) N/A 3b 4 Did the foundtion invest during the yer ny mount in mnner tht would jeoprdize its chritble purposes? 4 X b Did the foundtion mke ny investment in prior yer (but fter December 31, 1969) tht could jeoprdize its chritble purpose tht hd not been removed from leoprdv before the first dy of the tx yer beinnin in 2014" 4b X Form 990 -PF (2014)

6 /28/ PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 6 Prt VII-13 Sttements Re g rdin g Activities for Which Form 4720 My Be Re q uired ( continued ) 5 During the yer did the foundtion py or incur ny mount to (1) Crry on propgnd, or otherwise ttempt to influence legisltion (section 4945 (e))" Yes [X No (2) Influence the outcome of ny specific public election ( see section 4955 ), or to crry on, directly or indirectly, ny voter registrtion drive? Yes X No (3) Provide grnt to n individul for trvel, study, or other similr purposes Yes X No (4) Provide grnt to n orgniztion other thn chritble, etc, orgniztion described in section 4945 (d)(4)(a)" (see instructions ) Yes No (5) Provide for ny purpose other thn religious, chritble, scientific, literry, or eductionl purposes, or for the prevention of cruelty to children or nimls'] Yes No b If ny nswer is "Yes" to 5(1 )-( 5), did ny of the trnsctions fil to qulify under the exceptions described in Regultions section or in current notice regrding disster ssistnce (see instructions )? N/A 5b Orgniztions relying on current notice regrding disster ssistnce check here El c If the nswer is "Yes" to question 5(4), does the foundtion clim exemption from the tx becuse it mintined expenditure responsibility for the grnt? N/A [] Yes El No If "Yes," ttch the sttement required by Regultions section (d) 6 Did the foundtion, during the yer, receive ny funds, directly or indirectly, to py premiums on personl benefit contrct? F1 Yes IX No b Did the foundtion, during the yer, py premiums, directly or indirectly, on personl benefit contrct? 6b X If "Yes" to 6b, file Form At ny time during the tx yer, ws the foundtion prty to prohibited tx shelter trnsction? Yes XX No b If "Yes, " did the foundtion receive n y proceeds or hve n y net income ttributble to the trnsction? N/A 7b Prt VIII Informtion About Officers, Directors, Trustees, Foundtion Mngers, Highly Pid Employees, nd Contrctors 1 List ll officers, directors, trustees, foundtion mncers nd their compenstion ( see instructions) (b) Title, nd verge (C) Compenstion () Nme nd ddress hours per week (If not pid, devoted to position enter - 0-) DONALD J SMITH CLARENCE TRUSTEE (d) Contributions to employee benefit plns nd deferred compenstion (e) Expense ccount, other llownces 5151 DONNINGTON ROAD NY SHARYL L SMITH CLARENCE TRUSTEE 5151 DONNINGTON ROAD NY JAMIE L SMITH CLARENCE TRUSTEE 5151 DONNINGTON ROAD NY LINDSAY J SMITH CLARENCE TRUSTEE 5151 DONNINGTON ROAD NY Compenstion of five highest-pid employees (other thn those included on line 1 - see instructions) If none, enter "NONE." NONE () Nme nd ddress of ech employee pid more thn $50,000 (b) Tile, nd verge hours per week devoted to position (c) Compenstion (d) Contributions to employee benefit plns nd deferred compenst i on (e) Expense ccount, other llownces Totl number of other employees pid over $50,000 0 Form 990-PF (2014)

7 PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 7 Prt VIII Informtion About Officers, Directors, Trustees, Foundtion Mngers, Highly Pid Employees, nti Contrctors (continued) 3 Five highest - pid independent contrctors for professionl services (see instructions ) If none, enter " NONE." NONE () Nme nd ddress of ech person pid more thn S50,000 I (b ) Type of service I (c) Compenstion Totl number of others receiving over S50,000 for professionl services Prt IX-A Summry of Direct Chritble Activities List the foundtion's four lrgest direct chritble ctivities during the tx yer Include relevnt sttisticl informtion such s the number of orgniztions nd other beneficiries served, conferences convened, reserch ppers produced, etc Expenses 1 N/A Prt IX- B Summry of Progrm - Relted Investments (see instructions) Describe the two lrgest progrm-relted investments mde by the foundtion during the tx yer on lines 1 nd 2 Amount 1 N/A 2 All other progrm-relted investments 3 See instructions Totl. Add lines 1 throu g h 3 Form 990-PF (2014)

8 / PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 8 Prt X Minimum Investment Return (All domestic foundtions must complete this prt Foreign foundtions, 1 see instructions Fir mrket vlue of ssets not used (or held for use) directly in crrying out chritble, etc, purposes Averge monthly fir mrket vlue of securities l 305, 714 b Averge of monthly csh blnces lb 23, 196 c Fir mrket vlue of ll other ssets (see instructions) 1c 0 d Totl (dd lines l, b, nd c) Id 328, 910 e Reduction climed for blockge or other fctors reported on lines 1 nd 1c(ttch detiled explntion) 2 Acquisition indebtedness pplicble to line 1 ssets Subtrct line 2 from line 1d 3 328, Csh deemed held for chritble ctivities Enter 1'/2% of line 3 (for greter mount, see instructions) 4 4, Net vlue of nonchritble-use ssets Subtrct line 4 from line 3 Enter here nd on Prt V, line , Minimum investment return. Enter 5% of line , 199 Prt XI Distributble Amount (see instructions) (Section 49420)(3) nd 0)(5) privte operting foundtions nd certin forei g n org niztions check here nd do not com p lete this p rt I Minimum investment return from Prt X, line , Tx on investment income for 2014 from Prt VI, line b Income tx for 2014 (This does not include the tx from Prt VI) 2b c Add lines 2 nd 2b 2c Distributble mount before djustments Subtrct line 2c from line , Recoveries of mounts treted s qulifying distributions 4 5 Add lines 3 nd , Deduction from distributble mount (see instructions) 6 7 Distributble mount s djusted Subtrct line 6 from line 5 Enter here nd on Prt XIII, line , 834 I Prt XII Qulifying Distributions (see instructions), Amounts pid (including dministrtive expenses) to ccomplish chritble, etc purposes Expenses, contributions, gifts, etc - totl from Prt I, column (d), line , 850 b Progrm-relted investments - totl from Prt IX-B lb 2 Amounts pid to cquire ssets used (or held for use) directly in crrying out chritble, etc, 3 purposes 2 Amounts set side for specific chritble projects tht stisfy the Suitbility test (prior IRS pprovl required) b Csh distribution test (ttch the required schedule) 3b 4 Qulifying distributions. Add lines l through 3b Enter here nd on Prt V, line 8, nd Prt XIII, line , Foundtions tht qulify under section 4940(e) for the reduced rte of tx on net investment income Enter 1 % of Prt I, line 27b (see instructions) Adjusted qulifying distributions. Subtrct line 5 from line , 850 Note. The mount on line 6 will be used in Prt V, column (b), in subsequent yers when clculting whether the found tion oulifies for the section 4940(e) reduction of tx in those yers le 0 3 Form 990-PF (2014 )

9 PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 9 Prt XIII Undistributed Income ( see instructions () (b) (c) (d) 1 Distributble mount for 2014 from Prt XI, Corpus Yers prior to line 7 ' 15,834 2 Undistributed income, if ny, s of the end of 2014 Enter mount for 2013 only b Totl for prior yers 20, 20, 20 3 Excess distributions crryover, if ny, to 2014 From ,882 b From ,468 c From , 253 d From ,005 e From , 922 f Totl of lines 3 through e 176,530 4 Qulifying distributions for 2014 from Prt XII, line 4 S 62, 850 b c Applied to 2013, but not more thn line 2 Applied to undistributed income of prior yers (Election required - see instructions) Treted s distributions out of corpus (Election required - see instructions) d Applied to 2014 distributble mount 15, 834 e Remining mount distributed out of corpus 47, Excess distributions crryover pplied to 2014 (If n mount ppers in column (d), the sme mount must be shown in column () ) 6 Enter the net totl of ech column s indicted below: Corpus Add lines 3f, 4c, nd 4e Subtrct line 5 223,546 b Prior yers' undistributed income Subtrct c line 4b from line 2b Enter the mount of prior yers' undistributed income for which notice of deficiency hs been issued, or on which the section 4942() tx hs been previously ssessed d Subtrct line 6c from line 6b Txble mount - see instructions e Undistributed income for 2013 Subtrct line 4 from line 2 instructions Txble mount - see f Undistributed income for 2014 Subtrct lines 4d nd 5 from line 1 This mount must be distributed in Amounts treted s distributions out of corpus to stisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election my be required-see instructions) 8 Excess distributions crryover from 2009 not pplied on line 5 or line 7 (see instructions ) 29,882 9 Excess distributions crryover to Subtrct lines 7 nd 8 from line 6 193, Anlysis of line 9 Excess from ,468 b Excess from ,253 c Excess from , 005 d Excess from , 922 e Excess from ,016 Form 990-PF (2014)

10 PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 10 Prt XIV Privte O p ertin g Foundtions ( see instructions nd Prt V11-A, q uestion 9 ) l If the foundtion hs received ruling or determintion letter tht it is privte operting foundtion, nd the ruling is effective for 2014, enter the dte of the ruling b Check box to indicte whether the foundtion is privte opertin g foundtion described in section )( 3 ) or 4942(l)(5) 2 Enter thb lesser of the djusted net Tx yer Prior 3 yers income from Prt I or the minimum () 2014 (b) 2013 (c) 2012 (d) 2011 investment return from Prt X for ech yer listed b 85% of line 2 c d e Qulifying distributions from Prt XII, line 4 for ech yer listed Amounts included in line 2c not used directly for ctive conduct of exempt ctivities Qulifying distributions mde directly for ctive conduct of exempt ctivities Subtrct line 2d from line 2c 3 Complete 3, b, or c for the lterntive test relied upon "Assets" lterntive test - enter (1) Vlue of ll ssets (2) Vlue of ssets qulifying under section 49420)(3)(B)(1) b "Endowment" lterntive test - enter 2/3 c of minimum investment return shown in Prt X, line 6 for ech yer listed "Support" lterntive test - enter (1) Totl support other thn gross investment income (interest, dividends, rents, pyments on securities lons (section 512()(5)), or roylties) (2) Support from generl public nd 5 or more exempt orgniztions s provided in section 49420)(3)(e)(ui) (3) Lrgest mount of support from n exempt orgniztion ( 4 ) Gross investment income Prt XV Supplementry Informtion (Complete this prt only if the foundtion hd $5,000 or more in ssets t ny time during the yer - see instructions.) 1 Informtion Regrding Foundtion Mngers: b List ny mngers of the foundtion who hve contributed more thn 2% of the totl contributions received by the foundtion before the close of ny tx yer (but only if they hve contributed more thn $5,000) (See section 507(d)(2) ) DONALD J SMITH $ List ny mngers of the foundtion who own 10% or more of the stock of corportion (or n eqully lrge portion of the ownership of prtnership or other entity) of which the foundtion hs 10% or greter interest N/A 2 Informtion Regrding Contribution, Grnt, Gift, Lon, Scholrship, etc., Progrms: Check here if the foundtion only mkes contributions to preselected chritble orgniztions nd does not ccept unsolicited requests for funds If the foundtion mkes gifts, grnts, etc (see instructions) to individuls or orgniztions under other conditions, complete items 2, b, c, nd d The nme, ddress, nd telephone number or e-mil ddress of the person to whom pplictions should be ddressed N/A b The form in which pplictions should be submitted nd informtion nd mterils they should include N/A c Any submission dedlines N/A d Any restrictions or limittions on wrds, such s by geogrphicl res, chritble fields, kinds of institutions, or other fctors N/A Form 990-PF (2014) let Totl

11 783 04/28/ PM Form 990-PF (2014) SMITH FAMI LY FOUNDATION Pge 11 Prt XV Supplementry Informtion (continued) 3 Grnts nd Contributions Pid Durin the Yer or ADDroved for Future Pyment R ecipien t Nme nd ddress ( home or business Pid during the yer SEE STATEMENT 6 If recipient is n individul, show ny reltionsh ip to ny foundtion mnger or substntil contributor Foundtion sttus of recipient Purpose of grnt or contribution mount 62,850 b Totl 3 62, 850 Approved for future pyment N/A Totl 3b Form 990-PF (2014

12 PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 12 Prt XVI-A Anl ysis of Income-Producin Activities Enter gross mounts unless otherwise indicted Unrelted business income Excluded by section , or 514 I ' Business code Amount Xoe Amount tunction income n (See instructions ) Progrm service revenue b c d e f g Fees nd contrcts from government gencies 2 Membership dues nd ssessments 3 Interest on svings nd temporry csh investments 4 Dividends nd interest from securities 14 1, Net rentl income or (loss) from rel estte b Debt-finnced property Not debt-finnced property 6 Net rentl income or (loss) from personl property 7 Other investment income 8 Gin or (loss) from sles of ssets other thn inventory 18 18, Net income or (loss) from specil events 10 Gross profit or (loss) from sles of inventory 11 Other revenue b c d e 12 Subtotl Add columns (b), (d), nd (e) 0 19,677, 0 13 Totl Add line 12, columns (b), (d), nd (e) 13 19,677 (See worksheet in line 13 instructions to verify clcultions ) Prt XVI- B Reltionshi p of Activities to the Accom p lishment of Exem pt Pur poses Line No. Explin below how ech ctivity for which income is reported in column (e) of Prt XVI-A contributed importntly to the V ccomplishment of the foundtion's exempt purposes (other thn by providing funds for such purposes) (See instructions ) N/A Form 990-PF (2014)

13 783 04/28/ PM Form 990-PF (2014) SMITH FAMILY FOUNDATION Pge 13 Prt XVII Informtion Regrding Trnsfers To nd Trnsctions nd Reltionships With Nonchritble Exem p t Org niztions 1 Did the orgniztion directly or indirectly engge in ny of the following with ny other orgniztion described Yes No b in section 501(c) of the Code (other thn section 501(c)(3) orgniztions) or in section 527, relting to politicl orgniztions' Trnsfers from the reporting foundtion to nonchntble exempt orgniztion of (1) Csh 1 X (2) Other ssets l ( 2 ) X Other trnsctions (1) Sles of ssets to nonchntble exempt orgniztion 1b ( l ) X (2) Purchses of ssets from nonchntble exempt orgniztion 1b ( 2 ) X (3) Rentl of fcilities, equipment, or other ssets 1b ( 3 ). X (4) Reimbursement rrngements 1b ( 4 ) X (5) Lons or lon gurntees 1b ( 5 ) X (6) Performnce of services or membership or fundrising solicittions 1 b ( 6 ) X c Shring of fcilities, equipment, miling lists, other ssets, or pid employees 1c X d If the nswer to ny of the bove is "Yes," complete the following schedule Column (b) should lwys show the fir mrket N/A vlue of the goods, other ssets, or services given by the reporting foundtion If the foundtion received less thn fir mrket vlue in ny trnsction or shrin g rrn ement, show in column ( d ) the vlue of the g oods, other ssets, or services received () Line no (b) Amount involved (c) Nme of nonchrit ble exempt orgniztion (d) Description of trnsfers, trnsctions, nd shring rrngements 2 Is the foundtion directly or indirectly ffilited with, or relted to, one or more tx-exempt orgniztions described in section 501(c) of the Code (other thn section 501(c )( 3)) or In section 527? Yes X No b If "Yes _" comnlete the followlnn schedule () Nme of orgniztion (b) Type of orgniztion (c) Description of reltionship N/A Sign Here Under penlties of pegury I declre tht I hve exmined this return, including ccompnying schedules nd sttements, nd to the best of my knowledge nd belief, it is true, correct, nd complete D rtlon of preprer (other thn txpyer) is bsed on ll info / ignture of offs re Pr trype preprers m Prepre Pid ^r^y Use Only PAUL E KIEL PAUL Firm's nme NOWICKI AND COMPANY, L Firm's ddress 490 CENTER RD STE 300 WEST SENECA. NY 14224

14 783 04/28/ PM Schedule B (Form 990, 990-EZ, or 990-PF) Deprtment of the Tresury Internl Revenue Service Nme of the orgniztion Schedule of Contributors Attch to Form 990, Form 990-EZ, or Form 990-PF. Informtion bout Schedule B (Form 990, 990-EZ, 990 PF) nd its instructions is t 2014 Employer identifiction number SMITH FAMI L Y FOUNDATION Orgniztion type (check one) Filers of- Section- Form 990 or 990-EZ 501(c)( ) (enter number ) orgniztion 4947( )(1) nonexempt chritble trust not treted s privte foundtion El 527 politicl orgniztion Form 990-PF 501 ( c)(3) exempt privte foundtion El El 4947( )(1) nonexempt chritble trust treted s privte foundtion 501( c)(3) txble privte foundtion Check if your orgniztion is covered by the Generl Rule or Specil Rule Note. Only section 501(c)(7), (8), or (10) orgniztion cn check boxes for both the Generl Rule nd Specil Rule See Instructions Generl Rule For n orgniztion filing Form 990, 990-EZ, or 990-PF tht received, during the yer, contributions totling $5,000 or more (in money or property) from ny one contributor Complete Prts I nd II See instructions for determining contributor's totl contributions Specil Rules F1 For n orgniztion described in section 501 ( c)(3) filing Form 990 or EZ tht met the 331 /3 % support test of the regultions under sections 509( )( 1) nd 170 (b)(1)(a)(vi), tht checked Schedule A (Form 990 or 990-EZ), Prt II, line 13, 1 6, or 16b, nd tht received from ny one contributor, during the yer, totl contributions of the greter of (1) $5,000 or ( 2) 2% of the mount on (I) Form 990, Prt VIII, line 1 h, or (II) Form 990-EZ, line 1 Complete Prts I nd II For n orgniztion described in section 501(c)(7), (8), or ( 10) filing Form 990 or EZ tht received from ny one contributor, during the yer, totl contributions of more thn $1, 000 exclusively for religious, chritble, scientific, literry, or eductionl purposes, or for the prevention of cruelty to children or nimls Complete Prts I, II, nd III F1 For n orgniztion described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ tht received from ny one contributor, during the yer, contributions exclusively for religious, chritble, etc, purposes, but no such contributions totled more thn $1,000 If this box is checked, enter here the totl contributions tht were received during the yer for n exclusively religious, chritble, etc, purpose Do not complete ny of the prts unless the Generl Rule pplies to this orgniztion becuse it received nonexclusively religious, chritble, etc, contributions totling $5,000 or more during the yer S Cution. An orgniztion tht is not covered by the Generl Rule nd/or the Specil Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF), but it must nswer "No" on Prt IV, line 2, of its Form 990, or check the box on line H of Its Form 990-EZ or on its Form 990-PF, Prt I, line 2, to certify tht it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF) For Pperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

15 PM 990-EZ. or PAGE 1 OF 1 Nme of orgniztion Employer identifiction number SMITH FAMILY FOUNDATION Prt I, Contributors (see instructions). Use duplicte copies of Prt I if dditionl spce is needed () (b) (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contributions Type of contribution 1 DONALD J SMITH Person 5151 DONNINGTON ROAD Pyroll s 20, 250 Noncsh CLARENCE NY (Complete Prt II for noncsh contributions ) () (b) (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contributions Type of contribution S Person Pyroll Noncsh (Complete Prt II for noncsh contributions ) () (b) (c) (d) No Nme, ddress, nd ZIP + 4 Totl contributions Typ e of contribution Person Pyroll Noncsh (Complete Prt II for noncsh contributions ) () (b) (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contributions Type of contribution S Person Pyroll Noncsh (Complete Prt II for noncsh contributions ) () (b) (c) (d) No Nme, ddress, nd ZIP + 4 Totl contributions Type of contribution Person Pyroll Noncsh (Complete Prt II for noncsh contributions ) () (b) (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contributions Type of contribution Person Pyroll $ Noncsh (Complete Prt II for noncsh contributions ) Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

16 783 SMITH FAMILY FOUNDATION 4/28/ PM Federl Sttements FYE: 12/31/2014 Sttement 1 - Form PF, Prt I, Line 16b - Accounting Fees Net Adjusted Chritble Description Totl Investment Net Purpose ACCOUNTING FEES $ 1,175 $ 1,175 $ $ TOTAL $ 1,175 $ 1,175 $ 0 $ 0 Sttement 2 - Form PF, Prt I, Line 18 - Txes Net Adjusted Chritble Description Totl Investment Net Purpose FEDERAL TAX $ 259 $ 259 $ $ TOTAL $ 259 $ 259 $ 0 $ 0 Sttement 3 - Form PF, Prt I, Line 23 - Other Expenses Net Adjusted Chritble Description Totl Investment Net Purpose $ $ $ $ EXPENSES NYS FILING FEE 100 TOTAL $ 100 $ 0 $ 0 $ 0 Sttement 4 - Form PF, Prt II, Line 10b - Corporte Stock Investments Beginning End of Bsis of Fir Mrket Description of Yer Yer Vlution Vlue INVESTMENTS - GABELLI ASSET FUND $ 133,003 $ 107,679 COST $ 290,108 TOTAL $ 133,003 $ 107,679 $ 290,

17 783 SMITH FAMILY FOUNDATION 4/28/ PM Federl Sttements FYE: 12/31/2014 Sttement 5 - Form PF, Prt VII-A, Line 10 - Substntil Contributors DONALD J SMITH Nme Address City, Stte, Zip 5151 DONNINGTON ROAD CLARENCE NY

18 783 SMITH FAMILY FOUNDATION 4/28/ PM Federl Sttements FYE. 12/31/2014 Form PF, Prt XV, Line 1 - Mngers Who Contributed Over 2% or $5,000 DONALD J SMITH TOTAL Nme of Mnger Amount $ 20,250 $ 20,250

19 783 SMITH FAMILY FOUNDATION 4/28/2015 1:06 PM Federl Sttements FYE- 12/31/2014 Sttement 6 - Form PF, Prt XV, Line 3 - Grnts nd Contributions Pid During the Yer Nme Address Address Reltionship Sttus Purpose Amount CHRIST FELLOWSHIP 5343 NORTHLAKE BLVD. PALM BEACH GARDENS FL 334 N/A PUB. CHARITY TO SUPPORT CHURCH 20,800 CROSSPOINT 500 CROSSPOINT PKWY GETZVILLE NY N/A PUB. CHARITY TO SUPPORT CHURCH 20,800 CAMP GOOD DAYS & SPECIAL 6430 TRANSIT RD. -STE 2 00 DEPEW NY N/A PUB. CHARITY CAMP FOR CHILDREN WITH CANCER, ILLNE 1,000 CRADLE BEACH CAMP 8038 OLD LAKESHORE RD. ANGOLA NY N/A PUB. CHARITY CAMP FOR DISABLED, DISADVANTAGED CHI 500 HABITAT FOR HUMANITY 995 KENSINGTON AVENUE BUFFALO NY N/A PUB. CHARITY BUILDS/RENOVATES HOUSING FOR NEEDY 500 HEARTS FOR THE HOMELESS PO BOX 437 BUFFALO NY N/A PUB. CHARITY FOOD, SHELTER, CLOTHING FOR POOR/HOM 500 MAKE A WISH FOUNDATION 5554 MAIN STREET WILLIAMSVILLE NY N/A PUB. CHARITY GRANT WISHES OF CHILDREN WITH LIFE T 500 BUFFALO ZOO 300 PARKSIDE BUFFALO NY N/A PUB. CHARITY ZOO 500 BUFFALO CITY MISSION PO BOX 496 BUFFALO NY N/A PUB. CHARITY FOOD, SHELTER, CLOTHING FOR NEEDY ME 500 NEWS NEEDIEST FUND BOX 100 BUFFALO NY N/A PUB. CHARITY TOYS, FOOD FOR NEEDY FAMILIES AT CHR 1,000 SALVATION ARMY 960 MAIN ST. BUFFALO NY N/A PUB. CHARITY HELP, FOOD, CLOTHING, SHELTER, SUPPO 750 HOSPICE FOUNDATION OF BUF 225 CUOMO PARK BLVD. CHEEKTOWAGA NY N/A PUB. CHARITY PALLIATIVE CARE FOR THE TERMINALLY I 500 FRIENDS OF THE NIGHT PEOP 394 HUDSON STREET BUFFALO NY N/A PUB. CHARITY FOOD, SHELTER, CLOTHING FOR HOMELESS 500 FOOD BANK OF WNY 91 HOLT STREEET BUFFALO NY N/A PUB. CHARITY COLLECTS/DISTRIBUTES FOOD TO HUNGRY 750 MEALS ON WHEELS 100 JAMES E. CASEY DR. BUFFALO NY N/A PUB. CHARITY DELIVERS MEALS TO SHUT-INS 500 HAVEN HOUSE 844 DELAWARE AVENUE BUFFALO NY N/A PUB. CHARITY TREATS/SHELTERS VICTIMS/FAMILIES DOM 500 RONALD MCDONALD HOUSE 780 WEST FERRY STREET BUFFALO NY N/A PUB. CHARITY HOME FOR FAMILIES WITH CHILDREN IN T 500 6

20 783 SMITH FAMILY FOUNDATION 4/28/ PM Federl Sttements FYE: 12/31/2014 Sttement 6 - Form 990 -PF, Prt XV, Line 3 - Grnts nd Contributions Pid During the Yer (continued) Nme Address Address Reltionship Sttus GATEWAY LONGVIEW FOUNDATI 605 NIAGARA STREET BUFFALO NY N/A PUB. CHARITY COUNSELING, SUPPORT SERVICES FOR FAM AMERICAN RED CROSS PO BOX 8000 DEPT 760 BUFFALO NY N/A PUB. CHARITY DISASTER AID SAMARITAN'S PURSE PO BOX 3000 BOONE NC N/A PUB. CHARITY ASSIST IN DISASTER AID MERCY FLIGHT WNY 100 AMHERST VILLA ROAD BUFFALO NY N/A PUB. CHARITY FLY PATIENTS TO HOSPITALS PO BOX 340 PUB. CHARITY VOLUNTEER FIRE CO. SERVING CLARENCE PO BOX 237 CLARENCE FIRE COMPANY CLARENCE NY N/A SUSAN G. KOMAN FOR THE CU BUFFALO NY N/A BIG BROTHERS BIG SISTERS OF ERIE CO BUFFALO NY N/A SPC BLAKE D WIPPLE MEMORIAL IN C WILLIAMSVILLE NY N/A WNY HERO'S WILLIAMSVILLE NY N/A ROSWELL PARK ALLIANCE FOUNDATI ON BUFFALO NY N/A WOUNDED WARRIORS PROJECT TOPEKA KS N/A PLACE OF HOPE PALM BEACH GARDENS FL 334 N/A CORTLAND COLLEGE ALUMNI ASSOC AMHERST NY N/A BENJAMIN DAVID SAUER BENEFIT F UND CLARENCE CENTER NY N/A SONRAYS MINISTRIES TONAWANDA NY N/A Puroose PUB. CHARITY BREAST CANCER RESEARCH 85 RIVER ROCK DR- STE 107 PUB. CHARITY MENTORING PROGRAM FOR AT RISK KIDS 11 DAVINCI CT PUB. CHARITY SUPPORTS WNY HERO'S/FOLDS OF HONOR 2809 WEHRLE DR SUITE 8 PUB. CHARITY SUPPORT LOCAL MILITARY FAMILIES ELM & CARLTON STREET PUB. CHARITY PEDIATRIC HEMOTOTOLOGY & ONCOLOGY CT PO BOX PUB. CHARITY HELP FOR WOUNDED SERVICE MEN & WOMEN 9078 ISAIAH LANE PUB. CHARITY CHRISTIAN-BASED FAMILY ENVIORNMENT 31 LOCKHART CIRCLE PUB. CHARITY SCHOLARSHIP IN THE NAME OF GERRY GEN 9580 HIGH STREET PUB. CHARITY TO BENEFIT FAMILY OF CHILD WITH CANC PO BOX 673 PUB. CHARITY SERVICES TO LOCAL WOMEN AND CHILDREN Amount ,000 5, ,

21 783 SMITH FAMILY FOUNDATION 4/28/ PM Federl Sttements FYE: 12/31/2014 Sttement 6 - Form 990 -PF, Prt XV, Line 3 - Grnts nd Contributions Pid During the Yer (continued) TOTAL Nme Address Address Reltionship Sttus Purpose Amount 62,850 6

22 AFFIDAVIT OF PUBLICATION BUFFALO LAW JOURNAL LEGAL NOTICE 465 MAIN STREET BUFFALO, N.Y The nnul return of the Smith Fmily Foundtion for the clendr yer ended December 31, 2014 is Stte of New York vilble t its principl office locted County of Erie. t 5151 Donnington Rod, Clrence,, City of Bufflo NY 14031, for inspection during regulr business hours by ny citizen who requests it within 180 dys hereof Donld nd Shryl Smith re the Bo Sunshine being9 dulyy sworn, principl mngers of the Foundtion pr6 deposes nd sys, tht he is Principl Clerk of the Bufflo Lw Journl, newspper published in sid City; tht the notice, of which the nnexed printed slip tken from sid newspper is copy, ws inserted nd published therein once on April 6, 2015 (SIGNED) '`r0 Sworn to before me this 6th dy of April k' /Y)- LIA.A "b Atm, Notry Public KIMBERI_l',J SCHAUS Notry Publ i c, Stte of New York Ouhfied in Erie County My Commission Expires Februry 8, o O' g