Return of Private Foundation OMB No or Section 4947(a)(1) Trust Treated as Private Foundation

Transcription

1 Form 990-PF Return of Private Foundation OMB No or Section 4947(a)(1) Trust Treated as Private Foundation Department of the Treasury Internal Revenue Service Do not enter social security numers on this form as it may e made pulic. Information aout Form 990-PF and its separate instructions is at Open to Pulic Inspection For calendar year 2015 or tax year eginning, and ending of foundation A Employer identification numer The Arthur B Schultz Foundation Numer and street (or P.O. ox numer if mail is not delivered to street address) Room/suite PO Box 1570 B Telephone numer (see instructions) City or town State ZIP code Lander WY Foreign country name Foreign province/state/county Foreign postal code C If exemption application is pending, check here G Check all that apply: Initial return Initial return of a former pulic charity D 1. Foreign organizations, check here Final return Amended return 2. Foreign organizations meeting the 85% test, Address change change check here and attach computation H Check type of organization: X Section 501(c)(3) exempt private foundation E If private foundation status was terminated under section 507()(1)(A), check here.... Section 4947(a)(1) nonexempt charitale trust Other taxale private foundation I Fair market value of all assets at J Accounting method: Cash Accrual F If the foundation is in a 60-month termination end of year (from Part II, col. (c), X Other (specify) Modified Cash under section 507()(1)(B), check here... line 16) $ 5,069,646 (Part I, column (d) must e on cash asis.) Part I Analysis of Revenue and Expenses (The total of (d) Disursements (a) Revenue and () Net investment (c) Adjusted net for charitale amounts in columns (), (c), and (d) may not necessarily expenses per income income purposes equal the amounts in column (a) (see instructions).) ooks (cash asis only) 1 Contriutions, gifts, grants, etc., received (attach schedule) 2,000 2 Check X if the foundation is not required to attach Sch. B 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities , , a Gross rents , , Net rental income or (loss) 19,796 6a Net gain or (loss) from sale of assets not on line ,538 Gross sales price for all assets on line 6a 1,350,190 7 Capital gain net income (from Part IV, line 2) , Net short-term capital gain Income modifications a Gross sales less returns and allowances Less: Cost of goods sold c Gross profit or (loss) (attach schedule) Other income (attach schedule) Total. Add lines 1 through , , Compensation of officers, directors, trustees, etc , , Other employee salaries and wages , , Pension plans, employee enefits , , a Legal fees (attach schedule) Accounting fees (attach schedule) , , c Other professional fees (attach schedule) Interest Taxes (attach schedule) (see instructions) , , Depreciation (attach schedule) and depletion , , Occupancy Travel, conferences, and meetings , , Printing and pulications Other expenses (attach schedule) , , , Total operating and administrative expenses. Add lines 13 through , , , Contriutions, gifts, grants paid , , Total expenses and disursements. Add lines 24 and , , , Sutract line 26 from line 12: a Excess of revenue over expenses and disursements , Net investment income (if negative, enter -0-) , c Adjusted net income (if negative, enter -0-) For Paperwork Reduction Act Notice, see instructions. HTA

2 The Arthur B Schultz Foundation Page 2 Part II Balance Sheets Attached schedules and amounts in the description column should e for end-of-year amounts only. (See instructions.) Beginning of year End of year (a) Book Value () Book Value (c) Fair Market Value 1 Cash non-interest-earing , , , Savings and temporary cash investments Accounts receivale 39,870 Less: allowance for doutful accounts 12,370 39,870 39,870 4 Pledges receivale Less: allowance for doutful accounts 5 Grants receivale Receivales due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions) Other notes and loans receivale (attach schedule) Less: allowance for doutful accounts 8 Inventories for sale or use Prepaid expenses and deferred charges a Investments U.S. and state government oligations (attach schedule) Investments corporate stock (attach schedule) ,585, ,975, ,165, c Investments corporate onds (attach schedule) , , , Investments land, uildings, and equipment: asis Less: accumulated depreciation (attach schedule) 12 Investments mortgage loans Investments other (attach schedule) Land, uildings, and equipment: asis 943,979 Less: accumulated depreciation (attach schedule) 189, , ,132 2,100, Other assets (descrie ) 16 Total assets (to e completed y all filers see the instructions. Also, see page 1, item I) ,225, ,609, ,069, Accounts payale and accrued expenses Grants payale Deferred revenue Loans from officers, directors, trustees, and other disqualified persons 21 Mortgages and other notes payale (attach schedule) Other liailities (descrie See Attached Statement ) 34,015 31, Total liailities (add lines 17 through 22) , , Foundations that follow SFAS 117, check here X and complete lines 24 through 26 and lines 30 and Unrestricted ,191, ,577, Temporarily restricted Permanently restricted Foundations that do not follow SFAS 117, check here and complete lines 27 through Capital stock, trust principal, or current funds Paid-in or capital surplus, or land, ldg., and equipment fund 29 Retained earnings, accumulated income, endowment, or other funds 30 Total net assets or fund alances (see instructions) ,191, ,577, Total liailities and net assets/fund alances (see instructions) ,225, ,609, Part III Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund alances at eginning of year Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) ,191, Enter amount from Part I, line 27a , Other increases not included in line 2 (itemize) 3 4 Add lines 1, 2, and ,578, Decreases not included in line 2 (itemize) Current year unrealized FX loss Total net assets or fund alances at end of year (line 4 minus line 5) Part II, column (), line ,577,

3 The Arthur B Schultz Foundation Page 3 Part IV Capital Gains and Losses for Tax on Investment Income 1a c d e a c d e (a) List and descrie the kind(s) of property sold (e.g., real estate, 2-story rick warehouse; or common stock, 200 shs. MLC Co.) See Attached Statement (e) Gross sales price (f) Depreciation allowed (or allowale) () How acquired P Purchase D Donation (g) Cost or other asis plus expense of sale Complete only for assets showing gain in column (h) and owned y the foundation on 12/31/69 (i) F.M.V. as of 12/31/69 (j) Adjusted asis as of 12/31/69 (k) Excess of col. (i) over col. (j), if any (c) Date acquired (mo., day, yr.) (h) Gain or (loss) (e) plus (f) minus (g) (d) Date sold (mo., day, yr.) (l) Gains (Col. (h) gain minus col. (k), ut not less than -0-) or Losses (from col. (h)) a c d e 2 Capital gain net income or (net capital loss) If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line ,538 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 ,168 Part V Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use y domestic private foundations suject to the section 4940(a) tax on net investment income.) If section 4940(d)(2) applies, leave this part lank. Was the foundation liale for the section 4942 tax on the distriutale amount of any year in the ase period? Yes X No 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 the instructions efore making any entries. (a) Base period years Calendar year (or tax year eginning in) () Adjusted qualifying distriutions (c) Net value of noncharitale-use assets (d) Distriution ratio (col. () divided y col. (c)) ,296 3,339, ,085 5,566, ,462 3,388, ,825 3,303, ,888 6,334, Total of line 1, column (d) Average distriution ratio for the 5-year ase period divide the total on line 2 y 5, or y the numer of years the foundation has een in existence if less than 5 years Enter the net value of noncharitale-use assets for 2015 from Part X, line ,102,610 5 Multiply line 4 y line ,468 6 Enter 1% of net investment income (1% of Part I, line 27) ,824 7 Add lines 5 and ,292 8 Enter qualifying distriutions from Part XII, line ,438 If line 8 is equal to or greater than line 7, check the ox in Part VI, line 1, and complete that part using a 1% tax rate. See the Part VI instructions.

4 The Arthur B Schultz Foundation Page 4 Part VI Excise Tax Based on Investment Income (Section 4940(a), 4940(), 4940(e), or 4948 see instructions) 1a Exempt operating foundations descried in section 4940(d)(2), check here and enter "N/A" on line 1. Date of ruling or determination letter: (attach copy of letter if necessary see instructions) Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 13,648 here and enter 1% of Part I, line c All other domestic foundations enter 2% of line 27. Exempt foreign organizations enter 4% of Part I, line 12, col. (). 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxale foundations only. Others enter -0-) Add lines 1 and ,648 4 Sutitle A (income) tax (domestic section 4947(a)(1) trusts and taxale foundations only. Others enter -0-) Tax ased on investment income. Sutract line 4 from line 3. If zero or less, enter ,648 6 Credits/Payments: a 2015 estimated tax payments and 2014 overpayment credited to a 5,524 Exempt foreign organizations tax withheld at source c Tax paid with application for extension of time to file (Form 8868)... 6c d Backup withholding erroneously withheld d 7 Total credits and payments. Add lines 6a through 6d ,524 8 Enter any penalty for underpayment of estimated tax. Check here 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 , Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid Enter the amount of line 10 to e: Credited to 2016 estimated tax Refunded 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 it Yes No participate or intervene in any political campaign? a X Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions for the definition)? X If the answer is "Yes" to 1a or 1, attach a detailed description of the activities and copies of any materials pulished or distriuted y the foundation in connection with the activities. c Did the foundation file Form 1120-POL for this year? c X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: (1) On the foundation. $ (2) On foundation managers. $ e Enter the reimursement (if any) paid y the foundation during the year for political expenditure tax imposed on foundation managers. $ 2 Has the foundation engaged in any activities that have not previously een reported to the IRS? X 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 ylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes X 4a Did the foundation have unrelated usiness gross income of $1,000 or more during the year? a X If "Yes," has it filed a tax return on Form 990-T for this year? N/A 5 Was there a liquidation, termination, dissolution, or sustantial contraction during the year? X If "Yes," attach the statement required y 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? X 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 X 8a Enter the states to which the foundation reports or with which it is registered (see instructions) WY 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 y General Instruction G? If "No," attach explanation X 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 taxale year eginning in 2015 (see instructions for Part XIV)? If "Yes," complete Part XIV X 10 Did any persons ecome sustantial contriutors during the tax year? If "Yes," attach a schedule listing their names and addresses X

5 The Arthur B Schultz Foundation 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()(13)? If "Yes," attach schedule (see instructions) X 12 Did the foundation make a distriution to a donor advised fund over which the foundation or a disqualified person had advisory privileges? If "Yes," attach statement (see instructions) X 13 Did the foundation comply with the pulic inspection requirements for its annual returns and exemption application?.. 13 X Wesite address 14 The ooks are in care of Rachael Knapp Richards Telephone no Located at 10 Lewis Drive Lander WY ZIP Section 4947(a)(1) nonexempt charitale trusts filing Form 990-PF in lieu of Form 1041 Check here and enter the amount of tax-exempt interest received or accrued during the year At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority Yes No over a ank, securities, or other financial account in a foreign country? X See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes," enter the name of the foreign country Norway 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?.... Yes X No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? Yes X No (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?... X Yes No (4) Pay compensation to, or pay or reimurse the expenses of, a disqualified person?.... X Yes No (5) Transfer any income or assets to a disqualified person (or make any of either availale for the enefit or use of a disqualified person)? Yes X No (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.) Yes X No If any answer is "Yes" to 1a(1) (6), did any of the acts fail to qualify under the exceptions descried in Regulations section (d)-3 or in a current notice regarding disaster assistance (see instructions)?... 1 X Organizations relying on a current notice regarding disaster assistance check here c Did the foundation engage in a prior year in any of the acts descried in 1a, other than excepted acts, that were not corrected efore the first day of the tax year eginning in 2015? c X 2 Taxes on failure to distriute 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 undistriuted income (lines 6d and 6e, Part XIII) for tax year(s) eginning efore 2015? Yes X No c 3a If "Yes," list the years 20, 20, 20, 20 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 undistriuted income? (If applying section 4942(a)(2) to all years listed, answer "No" and attach statement see instructions.) N/A If the provisions of section 4942(a)(2) are eing applied to any of the years listed in 2a, list the years here. 20, 20, 20, 20 Did the foundation hold more than a 2% direct or indirect interest in any usiness enterprise at any time during the year? Yes X No If "Yes," did it have excess usiness holdings in 2015 as a result of (1) any purchase y the foundation or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved y the Commissioner under section 4943(c)(7)) to dispose of holdings acquired y gift or equest; 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 usiness holdings in 2015.) N/A 4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitale purposes?.... 4a X Did the foundation make any investment in a prior year (ut after Decemer 31, 1969) that could jeopardize its charitale purpose that had not een removed from jeopardy efore the first day of the tax year eginning in 2015?... 4 X

6 The Arthur B Schultz Foundation 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))?..... Yes... X. No c 6a (2) Influence the outcome of any specific pulic election (see section 4955); or to carry on, directly or indirectly, any voter registration drive? Yes.. X. No (3) Provide a grant to an individual for travel, study, or other similar purposes? Yes... X. No (4) Provide a grant to an organization other than a charitale, etc., organization descried in section 4945(d)(4)(A)? (see instructions) X. Yes.... No (5) Provide for any purpose other than religious, charitale, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals? Yes... X. No If any answer is "Yes" to 5a(1) (5), did any of the transactions fail to qualify under the exceptions descried in Regulations section or in a current notice regarding disaster assistance (see instructions)? X..... Organizations relying on a current notice regarding disaster assistance check here If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax ecause it maintained expenditure responsiility for the grant? Yes..... X. No If "Yes," attach the statement required y Regulations section (d). Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal enefit contract? Yes... X. No Did the foundation, during the year, pay premiums, directly or indirectly, on a personal enefit contract? X..... If "Yes" to 6, file Form a At any time during the tax year, was the foundation a party to a prohiited tax shelter transaction?..... Yes... X. No If "Yes," did the foundation receive any proceeds or have any net income attriutale to the transaction? N/A Part VIII Information Aout Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors Enter Part VIII information on the 'Part VIII, Line 1 Info' statement. 1 List all officers, directors, trustees, foundation managers and their compensation (see instructions). () Title, and average (c) Compensation (d) Contriutions to (a) and address hours per week (If not paid, employee enefit plans devoted to position enter -0-) and deferred compensation See Attached Statement (e) Expense account, other allowances Compensation of five highest-paid employees (other than those included on line 1 see instructions). If none, enter "NONE." NONE (a) and address of each employee paid more than $50,000 () Title, and average hours per week devoted to position (c) Compensation (d) Contriutions to employee enefit plans and deferred compensation (e) Expense account, other allowances Total numer of other employees paid over $50,

7 The Arthur B Schultz Foundation Page 7 Part VIII Information Aout Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors (continued) 3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE." NONE (a) and address of each person paid more than $50,000 () Type of service (c) Compensation Total numer of others receiving over $50,000 for professional services Part IX-A Summary of Direct Charitale Activities List the foundation's four largest direct charitale activities during the tax year. Include relevant statistical information such as the numer of organizations and other eneficiaries served, conferences convened, research papers produced, etc. 1 NA Expenses Part IX-B Summary of Program-Related Investments (see instructions) Descrie the two largest program-related investments made y the foundation during the tax year on lines 1 and 2. 1 Loans to GreenWood 2 Loan to NTL All other program-related investments. See instructions. 3 19,870 20,000 Total. Add lines 1 through ,

8 The Arthur B Schultz Foundation 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 charitale, etc., purposes: a Average monthly fair market value of securities a 2,991,112 Average of monthly cash alances ,746 c Fair market value of all other assets (see instructions) c d Total (add lines 1a,, and c) d 3,149,858 e Reduction claimed for lockage or other factors reported on lines 1a and 1c (attach detailed explanation) e 2 Acquisition indetedness applicale to line 1 assets Sutract line 2 from line 1d ,149,858 4 Cash deemed held for charitale activities. Enter 1 ½ % of line 3 (for greater amount, see instructions) ,248 5 Net value of noncharitale-use assets. Sutract line 4 from line 3. Enter here and on Part V, line 4 5 3,102,610 6 Minimum investment return. Enter 5% of line ,131 Part XI Distriutale (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here and do not complete this part.) 1 Minimum investment return from Part X, line ,131 2a Tax on investment income for 2015 from Part VI, line a 13,648 Income tax for (This does not include the tax from Part VI.) c Add lines 2a and c 13,648 3 Distriutale amount efore adjustments. Sutract line 2c from line ,483 4 Recoveries of amounts treated as qualifying distriutions Add lines 3 and ,483 6 Deduction from distriutale amount (see instructions) Distriutale amount as adjusted. Sutract line 6 from line 5. Enter here and on Part XIII, line ,483 Part XII Qualifying Distriutions (see instructions) 1 s paid (including administrative expenses) to accomplish charitale, etc., purposes: a Expenses, contriutions, gifts, etc. total from Part I, column (d), line a 290,568 Program-related investments total from Part IX-B ,870 2 s paid to acquire assets used (or held for use) directly in carrying out charitale, etc., purposes s set aside for specific charitale projects that satisfy the: a Suitaility test (prior IRS approval required) a Cash distriution test (attach the required schedule) Qualifying distriutions. Add lines 1a through 3. Enter here and on Part V, line 8, and Part XIII, line ,438 5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income. Enter 1% of Part I, line 27 (see instructions) Adjusted qualifying distriutions. Sutract line 5 from line ,438 Note. The amount on line 6 will e used in Part V, column (), in susequent years when calculating whether the foundation qualifies for the section 4940(e) reduction of tax in those years.

9 The Arthur B Schultz Foundation Page 9 Part XIII Undistriuted Income (see instructions) (Election required see instructions) required see instructions) tax has een previously assessed amount see instructions required see instructions) (a) () (c) (d) 1 Distriutale amount for 2015 from Part XI, Corpus Years prior to line , Undistriuted income, if any, as of the end of 2015: a Enter amount for 2014 only Total for prior years: 20, 20, 20 3 Excess distriutions carryover, if any, to 2015: a From , From , c From , d From , e From , f Total of lines 3a through e ,763, Qualifying distriutions for 2015 from Part XII, line 4: $ 330,438 a Applied to 2014, ut not more than line 2a Applied to undistriuted income of prior years c Treated as distriutions out of corpus (Election d Applied to 2015 distriutale amount , e Remaining amount distriuted out of corpus , Excess distriutions carryover applied to (If an amount appears in column (d), the same amount must e shown in column (a).) 6 Enter the net total of each column as indicated elow: a Corpus. Add lines 3f, 4c, and 4e. Sutract line 5 1,952,591 Prior years' undistriuted income. Sutract line 4 from line c Enter the amount of prior years' undistriuted income for which a notice of deficiency has een issued, or on which the section 4942(a) d Sutract line 6c from line 6. Taxale e Undistriuted income for Sutract line 4a from line 2a. Taxale amount see instructions f Undistriuted income for Sutract lines 4d and 5 from line 1. This amount must e distriuted in s treated as distriutions out of corpus to satisfy requirements imposed y section 170()(1)(F) or 4942(g)(3) (Election may e 8 Excess distriutions carryover from 2010 not applied on line 5 or line 7 (see instructions) , Excess distriutions carryover to Sutract lines 7 and 8 from line 6a ,383, Analysis of line 9: a Excess from , Excess from , c Excess from , d Excess from , e Excess from ,

10 The Arthur B Schultz Foundation Page 10 Part XIV Private Operating Foundations (see instructions and Part VII-A, question 9) N/A 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 Check ox to indicate whether the foundation is a private operating foundation descried in section 4942(j)(3) or 4942(j)(5) 2a Enter the lesser of the adjusted net Tax year Prior 3 years income from Part I or the minimum (e) Total (a) 2015 () 2014 (c) 2013 (d) 2012 investment return from Part X for each year listed % of line 2a c d e Qualifying distriutions from Part XII, line 4 for each year listed s included in line 2c not used directly for active conduct of exempt activities.. 0 Qualifying distriutions made directly for active conduct of exempt activities. Sutract line 2d from line 2c Complete 3a,, 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) "Endowment" alternative test enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed... 0 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 pulic 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... 0 Part XV Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets at any time during the year see instructions.) 1 Information Regarding Foundation Managers: Enter on 'Part XV, Ln 1a - Managers' a List any managers of the foundation who have contriuted more than 2% of the total contriutions received y the foundation efore the close of any tax year (ut only if they have contriuted more than $5,000). (See section 507(d)(2).) List 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. 2 Information Regarding Contriution, Grant, Gift, Loan, Scholarship, etc., Programs: Enter on 'Detail - Pt XV, Ln 2' Check here if the foundation only makes contriutions to preselected charitale organizations and does not accept unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a,, c, and d. a The name, address, and telephone numer or address of the person to whom applications should e addressed: Rachael Knapp Richards PO Box 1570 Lander, WY The form in which applications should e sumitted and information and materials they should include: Letter of Intent first guide lines at c Any sumission deadlines: see wesite d Any restrictions or limitations on awards, such as y geographical areas, charitale fields, kinds of institutions, or other factors: see wesite

11 The Arthur B Schultz Foundation Page 11 Part XV Supplementary Information (continued) Enter information on 'Detail - Pt XV, Ln 3a-' 3 Grants and Contriutions Paid During the Year or Approved for Future Payment Recipient and address (home or usiness) If recipient is an individual, show any relationship to any foundation manager or sustantial contriutor Foundation status of recipient Purpose of grant or contriution a Paid during the year 5 Saturdays Program PC Discretionary 500 PO Box 2543 Costa Mesa, CA A Leg To Stand On PC Disaled Moility 17, Fifth Ave New York, NY Action Foundation NC Disaled Moility 7,500 PO Box Nairoi Kenya BanaPads NC Women's Empowerment 7,500 PO Box 403 Bukoa Tanzania Build On PC Discretionary 500 PO Box Stamford, CT Camodian Arts & Scholarship Fund PC Women's Empowerment 15,000 PO Box Portland, ME Gloal Moility PC Disaled Moility 18, Tyrone Ave Van Nuys, CA Komera PC Women's Empowerment 15,000 PO Box 1491 Jamaica Plain, MA Lander Community Foundation PC Discretionary 1,244 PO Box 1131 Lander, WY LIMBS PC Disaled Moility 15, West Overland Suite 230 El Paso, TX Livelyhoods PC Women's Empowerment 11, Wilshire Blvd #28002 Los Angeles, CA Total... See Attached Statement a 160,439 Approved for future payment Total

12 The Arthur B Schultz Foundation Page 12 Part XVI-A Analysis of Income-Producing Activities Enter gross amounts unless otherwise indicated. Unrelated usiness income Excluded y section 512, 513, or Program service revenue: a c d e f g Fees and contracts from government agencies (a) () (c) (d) Business code Exclusion code (e) Related or exempt function income (See instructions.) 2 Memership dues and assessments Interest on savings and temporary cash investments. 4 Dividends and interest from securities ,074 5 Net rental income or (loss) from real estate: a Det-financed property Not det-financed property ,796 6 Net rental income or (loss) from personal property 7 Other investment income Gain or (loss) from sales of assets other than inventory ,538 9 Net income or (loss) from special events Gross profit or (loss) from sales of inventory Other revenue: a c d e 12 Sutotal. Add columns (), (d), and (e) , Total. Add line 12, columns (), (d), and (e) ,408 (See worksheet in line 13 instructions to verify calculations.) Part XVI-B of Activities to the Accomplishment of Exempt Purposes Line No. Explain elow how each activity for which income is reported in column (e) of Part XVI-A contriuted importantly to the accomplishment of the foundation's exempt purposes (other than y providing funds for such purposes). (See instructions.)

13 The Arthur B Schultz Foundation Page 13 Part XVII Information Regarding Transfers To and Transactions and s With Noncharitale Exempt Organizations 1 Did the organization directly or indirectly engage in any of the following with any other organization descried Yes No in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting foundation to a noncharitale exempt organization of: (1) Cash a(1) (2) Other assets a(2) Other transactions: (1) Sales of assets to a noncharitale exempt organization (1) (2) Purchases of assets from a noncharitale exempt organization (2) (3) Rental of facilities, equipment, or other assets (3) (4) Reimursement arrangements (4) (5) Loans or loan guarantees (5) (6) Performance of services or memership or fundraising solicitations (6) c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c d If the answer to any of the aove is "Yes," complete the following schedule. Column () should always show the fair market value of the goods, other assets, or services given y 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. () involved (c) of noncharitale 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 descried in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? Yes No If "Yes," complete the following schedule. (a) of organization () Type of organization (c) Description of relationship Sign Here Paid Preparer Use Only Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is ased on all information of which preparer has any knowledge. May the IRS discuss this return with the preparer shown elow (see instructions)? X Yes No Signature of officer or trustee Date Title Print/Type preparer's name Preparer's signature Date PTIN Check if self-employed Jane Burnham, EA Jane Burnham, EA 5/16/2016 P Firm's name 3rd Creek Accounting Firm's EIN Firm's address PO Box 5406, Incline Village, NV Phone no

14 The Arthur B Schultz Foundation Page 1 of 2 Continuation of Part XV, Line 3a (990-PF) - Grants and Contriutions Paid During the Year Recipient(s) paid during the year Maasai Girls Education 5800 MacAurthur Blvd NW Washington DC PC Women's Empowerment 7,500 Northern Kenya Fund 370 Sawmill Road Bozeman MT PC Women's Empowerment 16,000 Nurturing Minds PO Box 144 Valley Forge PA PC Women's Empowerment 10,000 One World Children's Fund - Akili Dada 1016 Lincoln Blvd San Francisco CA PC Women's Empowerment 15,000 Teton Valley Trails & Pathways PO Box 373 Driggs ID PC Discretionary 500 Yoga Kids On Wheels 1385 Shattuck Ave #302 Berkeley CA PC Discretionary 1,000

15 The Arthur B Schultz Foundation Page 2 of 2 Continuation of Part XV, Line 3a (990-PF) - Grants and Contriutions Paid During the Year Recipient(s) paid during the year Bosses Hundhjalp c/o Åsa Åsegårdh Ängsvägen 3c Hillared Norway NC Discretionary 1,695

16 The Arthur B Schultz Foundation Universal Tax Systems Inc. and/or its affiliates and licensors. All rights reserved. Elections Other Elections Statements Part VII Line 5a Question 4 Expenditure reports for foreign charites are attached as pdfs to this tax return.