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OMB No 15450052
Form990'PF Return of Private Foundation
or Section 4947(ax1) Trust Treated as Private Foundation
> Do not enter social security numbers on this form as it may be made public.
2016
Department of the Treasury
Internal Revenue SerVice > Information about Form 990-PF and its separate instructions is at www.ig.gov/fomr990pf. Open to Public Inspection 3i
For calendar year 2016 or taxyear beginning , 2016, and endirg . K;
Emplo on number
Trish Jo Foundation (4-14039491101155/15
200 Gar en Ave N Suite B B Telephone number (see InSUUM
Clearwater, FL 33755 (727) 501-3407
C It exemption application is pending, check here > D
G Check all that apply' Initial return - Initial return of a former public charity D 1 Foreign organizations, check here , [I
* Final return - Amended return
X Address change X Name change 2 Foreign organizations meeting the 85% test, check
' here and attach computation *1]
H Check type of organization; Section 501(c)(3) exempt private foundation
DSection 4947(a)(l) nonexemp charitable trust D Other taxable private foundation E It private foundation status was terminated
I Fair market value of all assets at end of year J Accounting method [Cash UAccrual under section 507(bXIXA)! check here 5 D
(from Part "' column (0), line ,6) D Other (speufy) F If the foundation is in a 60-month termination
>$ 4,373,916. (Part 1, column (d) must be on cash basrs ) under section 507(b)(t)(B), check here >l]
[Partl lAnalysis of Revenue'and (3) Revenue and (b) Net investment (c) Adjusted net (d) Disbursements
Expenses (The total of amounts in expenses per books income income for charitable
columns (b), (c), and (d) may not neces- purposes
sarily equal the amounts In column (a) (cash ba5is only)
(see instructions).)
1 Contribimons its, grants, etc,ieoeived (attach schedule) 2,269,287.
2 Check * [Tit the loundation isnotrequired to attach Sch B

3 Interest on savmgs and temporary cash investments


4 Divrdends and interest from securities 1, 386L540 . 1, 386, 540.
L 3864 540 .
5 a Gross rents
b Net rental income
or (loss)
mczm<rri=J

6 a Net gain or (loss) lrorn sale at assets not on line 10 1, 665, 459.
Gross sales price for all 86 r 747 r 080 .
assets on line Ga
7 Capital gain net income (from Part tV, line 2) 1, 665, 459.
8 Net short term capital gain
9 Income modit"cations
Gross sales less
10 a 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 I through 11 543214286. 3.051, 999. L 386J 540.


13 Compensation of officers. directors, trustees, etc 0.
14 Other employee salaries and wages
15 Pen5ion plans, employee benefits
P
j!
16 a Legal tees (attach schedule)
m<--t>x-un-z-ZU>

b Accounting tees (attach sch) See St 1


OM

1,625.
c Other professional fees (attach sch) AP
02-d>xm10

17 Interest
18 Taxes (attach scheduleXsee instrs)
(D
G

19 Depreciation (attach
schedule) and depletion
20 Occupancy
21 Travel. conterences, and meetings
02>

IIIH'IUIZMVXH'I

22 Printing and publications


23 Other expenses (attach schedule)

See Statement 2 1,250. L250.


24 Total operating and administrative
expenses. Add lines 13 through 23 2,875. 1,250.
25 Contributions, gifts, giants paid Part XV 61L131L261 . 6L 131,261 .
26 Total expenses and disbursements.
Add lines 24 and 25 61L134L136. 1,250. 61,131,261.
27 Subtract hne 261mm line 12;
a Excess ot revenue over expenses
and disbursements -55,812,850.
13 Net investment income at negative. enter -0-) 34 05(L 749.
C Adjusted net income at negative, enter -0-) 1, 386, 540.
BAA For Paperwork Reduction Act Notice, see instructions. TEEAO504L 12/16/16 Form 990-PF (2016)

5/ %$7 31549
Form 990- PF (2016) Trish J01 Foundation 46-1403949 Page 2
Attached schedules and amounts in the description Beginning of year End of year
-1mBalance Sheets column should be for end-of-year amounts only
(See instructions ) (a) Book Value (b) Book Value (c) Fair Market Value
Cash - non--i-nterest bearing 16. 16.
Savmgs and temporary cash investments
Accounts receivable >
Less; allowance for doubtful accounts >
Pledges receivable >
Less; allowance for doubtful accounts >
Grants receivable
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
Other notes and loans receivable (attach sch) h
(It-HINDU!)

Less. allowance for doubtful accounts P


8 Inventories for sale or use
9 Prepaid expenses and deferred charges
10 a Investments - U.S. and state government
obligations (attach schedule)
b Investments -- corporate stock (attach schedule) 58,550,000.
c Investments - corporate bonds (attach schedule)
11 Investments - land, buddings, and
equipments baSIS
Less accumulated deprecration
(attach schedule) >
12 Investments - mortgage loans ----------
13 Investments - other (attach schedule)
14 Land, bwldings, and eqUipmentr baSISP
Less accumulated depreciation ----------
(attach schedule) >
15 4,373,900. 4,373,900.
16 Total assets (to be completed by all filers -
see the instructions. Also, see page I, item I) 58,550,000. 4,373,916. 4,373,916.
mm-d-r-w>-r

17 Accounts payable and accrued expenses


18 Grants payable
19 Deferred revenue
20 Loans from officers, directors, trustees, & other disqualified persons
21 Mortgages and other notes payable (attach schedule)
Other liabilities (describeb )

23 Total liabilities (add lines 17 through 22)


Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31. tel
NO (It-"1101(0) -ll'1'lz
UHTIOZ>F>W UZCW'I

Unrestricted 58,550,000. 4,373,916.


25 Temporarily restricted
26 Permanently restricted
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31. *I]
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) 58,550,000. 4,373,916.
31 Total liabilities and net assetslfund balances
(see instructions) 58,550,000. 4 373,916.
[Part III17tnalysis of Changes in Net Assets orFLund Balances
1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree wrth
murauon-n

end- of-year figure reported on prior year's return) 58,550,000.


Git-"AWN

Enter amount from Part I, line 27a -55,812,850.


Other increases not included in line 2 (itemize) t See Statement 4 1,636,766.
Add lines I, 2, and 3 4,373,916.
Decreases not included in line 2 (itemize) >
Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 4,373,916.
BAA TEEAOSOZL 12/16/16 Form 990-PF (2016)
Form 990-PF (2016) Trish Joy Foundation 46-1403949 Page 3
[Part IV [Capital Gains and Losses tFr Tax on Investment Income
(a) List and describe the kind(s) of prope sold (e.g., real estate, (b) How acquned (C) Date acquned (d) Date sold
2-story brick warehouse, or common stoc , 200 shares MLC Company) 73233332 (mo , day, yr) (mo , day, yr)

Ia See Statement 5
b
c
d
e
(f) DepreCIation allowed (9) Cost or other ba5is (h) Gain or (loss)
(e) Gross sales price (or allowable) plus expense of sale (e) Plus (0 minus (9)
a
b
c
d
e
Complete only for assets showmg gain in column (h) and owned by the foundation on 12/31/69 (03311130731 (h)
- Ad usted baSis (k) Excess of col. (i) 93'" minus c01.00. 11111 "011985
(I) F M'V' as Of 1231/69 was olf 12/31/69 over col. (j), if any than -0-) or Losses (from col (h))

a
b
c
d
e
If gain, also enter in Part 1, line 7
2 Capital gain net income or (net capital loss). -[If (loss), enter -0- in Part I, line 7 j- 2 l, 665, 459 .

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- j.
in Part1, line8 3 -48,511,259.
IPart V lQualification 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? I] Yes 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 before making any entries.
(a) (b) (e) d)
Base period years Adjusted qualifying distributions Net va ue of DlStrIthtlon ratio
Calendar year (or tax year noncharitable-use assets (col. (b) diVided by col. (c))
beginning in)

2015 58,351,400.
2014
2013
2012
2011

Total of line 1. column (d)


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

Enter the net value of noncharitable-use assets for 2016 from Part X, line 5 31, 961, 433 .

Multiply line 4 by line 3

Enter 1% of net investment income (1% of Part 1, line 27b) 30,507.


Add lines 5 and 6 7 30,507.

Enter qualifying distributions from Part XII, line 4 61,131,261.


If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part usmg a 1% tax rate. See the
Part VI instructions.

BAA TEEAOSO3L IZ/IG/IG Form 990-PF (2016)


Form 990-PF (2016) Trish Joy Foundation 46-1403949 Page 4
[Part VI [Excise Tax Based on Investment Income (Section 4940(a), 49400)), 4940(e), or 4948 - see instructions)
1 a Exempt operating foundations described in section 4940(dX2), check here > U and enter 'N/A' on line I. 1
Date of ruling or determination letter. (attach copy of letter if necessary - see instructions)
b Domestic foundations that meet the-538107149740(e) requirements in Part V, - 1 30 , 507 ,
check here. h land enter 1% of Part I, line 27b J
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, cal (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 and2 3 30,507.
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 30, 507 .
6 Credits/Payments
a 2016 estimated tax pmts and 2015 overpayment credited to 2016 6a
b Exempt foreign organizations - tax Withheld at source 6b
c Tax paid With application for extenSion of time to file (Form 8868) 6c
cl Backup Withholding erroneously Withheld 6d
7 Total credits and payments. Add lines 6a through 6d 7 0.
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 Sand 8 is more than line 7, enter amount owed See Statement 6 T 9 30 , 507 .
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid R 10
11 Enter the amount of line 10 to be; Credited to 2017 estimated tax 9 L Refunded > 11
[Part VW-A [Statements Regarding Activities
1 a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it Yes No
particrpate or intervene in any political campaign7 1 a X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes
(see Instructions for the definition)? 1 b X

If the answer is 'Yes' to 1a or 1b, attach a detailed description of the activrt/es and cop/es of any mater/ails published
or distributed by the foundation in connection With the actrvrties.
c Did the foundation file Form 1120-POL for this year? 1c X
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year-
(1) On the foundation >$ 0, (2) On foundation managers >$ 0
e Enter the reimbursement (if any) pammmng the year for political expenditure tax imposV?
foundation managers *$
2 Has the foundation engaged in any actiVities that have not preVioust been reported to the IRS? 2 X
If 'Yes,' attach a detailed description of the actiwties.

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 X
4a Did the foundation have unrelated busmess gross income of $1,000 or more during the year? 4a X
b If 'Yes,' has it filed a tax return on Form 990-T for this year? 4b N A
5 Was there a quUidation, termination, dissolution, or substantial contraction during the year? 5 X
If 'Yes, ' attach the statement reqUIred by General Instruction T
6 Are the requirements of section 508(9) (relating to sections 4941 through 4945) satisfied either'
0 By language in the governing instrument, or

0 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 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 PartXV 7 X
8a Enter the states to which the foundation reports or With which it is registered (see instructions) >
NV
b If the answer is IYes' to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General . . . a -
(or deSIgnate) of each state as requned by General Instruction 67 If 'No,'attac/i explanation 8b X
9 Is the foundation claiming status as a private operating foundation Within the meaning of section 49420)(3) or 49420 (5) .1 - - e-. 1
for calendar year 2016 or the taxable year beginning in 2016 (see instructions for Part XIV). If 'Yes' complete Part IV 9 X
10 Did any persons become substantial contributors during the tax year? If 'Yes,' attach a schedule listing their names
and addresses See Statement 7 10 X
BAA Form 990-PF (2016)
See Statement 8

TEEA0304L 12/16116
Form 992-PF (2016) Trish Joy Foundation 46-1403949 Page 5
[Fart VII-A7 Statements Regarding Activities (continued)
11 At any time during the year, did the foundation, directly or Indirectly, own a controlled entity Yes No
Within the meaning of section 512(b)(13)? If 'Yes,' attach schedule (see instructions) 11 X
12 Did the foundation make a distribution to a donor adVised fund over which the foundation or a disqualified person had
adVisory priwleges? If 'Yes,' attach statement (see instructions) 12 X
13 Did the foundation comply With the public inspection reqUirements for its annual returns and exemption application? 13 X
Websrte address > All-A- ------------------------------------
14 The books are in care of > Jgann Migal-d-a-------------- Te'ePhone "0- 9 112.72 -5.0.1 231191 a -
Located at * .299 .Geaiey Ave JL $1.139 .B. aglseryeEer. ET; ..... W + 4 t 937.59 ......... .
15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here N/A h H
and enter the amount of tax-exempt interest received or accrued during the year cl 15 I N/ A
16 At any time during calendar year 2016, did the foundation have an interest in or a Signature or other authority over a Yes No
bank, securities, or other finanCIal account in a foreign country? 16 X

See the instructions for exceptions and filing reqUirements for FinCEN Form 114. If 'Yes,'
enter the name of the foreign country >
[Wart VII-B TStatementsmgardingActivities 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
1 a During the year did the foundation (either directly or indirectly);
(1) Engage in the sale or exchange, or leasmg of property With a disqualified person? DYes No
(2) Borrow money from, lend money to, or otheMise extend credit to (or accept it from) a
disqualified person? Yes No
(3) Furnish goods, servrces, or faCiIities to (or accept them from) a disqualified person? Yes No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? Yes No
(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)? DYes 'No

(6) Agree to pay money or property to a overnment ofIICIaI? (Exception. Check 'No' if the
foundation agreed to make a grant to or o emplo the offiCial for a period after termination
of government serVice, if terminating Within 9 days.) DYes .No

b If any answer is 'Yes' to 1a(1)-g6), did any of the acts fail to qualify under the exceptions described in
Regulations section 53.4941 (d)- or in a current notice regarding disaster a55istance (see instructions)? 1 b N/A
Organizations relying on a current notice regarding disaster assnstance check here > D
c Did the foundation engage in a prior year in an of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of t e tax year beginning in 2016? 1c X
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(1)(3) or 49420)(5))'

a At the end of tax year 2016, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2016. DYes No
If 'Yes,' list the years * 20 , 20 , 20 , 20

b Are there any years listed in 2a for which the foundation is not applying the prOVI5ions 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 N/A
c If the prowsions of section 4942(a)(2) are being applied to any of the years listed in 2a. list the years here.
> 20-- ,ZO-y .20-- ,20--
3a Did the foundation hold more than a 2% direct or indirect interest in any busmess
enterprise at any time during the year? D Yes No

b If 'Yes,' did it have excess busmess holdings in 2016 as a result of (1) any purchase by the foundation
or disqualified persons after May 26, 1969; ((9 the lapse of the 5- ear period (or longer period approved
b; the Commissmner under sec ion 4943(c) )) to dispose of hol ings acqwred by gift or bequest; or L
( )the lapse of the 10-, 15-. or 20-year first phase holding period? (Use Schedule C, Form 4720, to - " 1
determine if the foundation had excess busmess holdings In 2016.) 3b N /A
4a Did the foundation invest during the year any amount in a manner that would Jeopardize its
charitable purposes? 43 x

b Did the foundation make any investment in a prior year (but after December 31, 1969) that could I
Jeopardize its charitable purgose that had not been removed from Jeopardy before the first day of , . , . I
the tax year beginning in 016? 4b x
BAA Form 990-PF (2016)

TEEA0305L 12/16116
Form 990-PF (2016) Trish Joy Foundation 46-1403949 Page 6
[Part VII-B I 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 otheMise attempt to influence legislation (section 4945(e))? [I Yes No

(2) Influence the outcome of any speCIfic public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? H Yes No
(3) Prowde a grant to an indiVIduaI for travel, study, or other Similar purposes? Yes No

(4) Provrde a grant to an organization other than a charitable, etc , organization described
in section 4945(d)(4)(A)? (see instructions) I] Yes No
(5) Prowde for any purpose other than religious, charitable, seientific, literary. or
educational purposes, or for the prevention of cruelty to children or animals? I] Yes No

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 3.4945 or in a current notice regarding disaster a55istance
(see instructions)? 5b N (A
Organizations relying on a current notice regarding disaster a55istance check here > I]

c If the answer is 'Yes' to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responSIbiIity for the grant? N/A [I Yes D No
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. DYes 'No
b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 6b X
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? ElYes 'No
b If 'Yes,' did the foundation receive any proceeds or have any net income attributable to the transaction? N/A 7b
[PartW 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).
(b) Tltle. and average (c)Compensation (d) Contributions to
(a) Name and address (1331;? 536533; "3131 933d. pffggg'gynifdgiggfgg (e) thpeinasffc33v33$1$st'
compensation
jgbgr-t-Qu-ggan-------------- President 0. O. 0.
15.15 .D.r1.1i.d. Bead.Eras; ......... 0
Clearwater, FL 33756
-P-at-;J;i-c-ia pug-gag ------------ Vice Preside 0. 0. 0.
1740 Gulf Blvd 1.00

2 Compensation of five highest-paid employees (other than those included on line 1 - see instructions). If none, enter 'NONE.'
Title and average (d)Contributions to
(a) Name and address of each employee (b) ' l b eft (e) Expense account,
paid more than $50,000 dealt-'9'; 5,9333)? (6) Compensation [Egg %%%ede?2rr;d other allowances
compensation
MAD-e.....................

Total number of other employees paid over $50,000 > O


BAA 1EEA0306L i2nene Form 990-PF (2016)
Form 990-PF (2016) Trish JoLFoundagn r 45-1403949 Page 7
Part VIII [Information About 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.'
(a) Name and address of each person paid more than $50,000 (b) Type of servrce (c) Compensation

Total number of others receivmg over $50,000 for professmnal serVIces >

Summary of Direct Charitable Activities


List the foundation's four largest direct charitable activrties during the tax year Include relevant statistical information such as the number of Expenses
organizations and other benefICIaries sewed, conferences convened, research papers produced, etc
1 N/A

[Fart IX-B [Summary of Program-Rrelated 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 N/A

Total. Add lines 1 through 3 T 0.


BAA Form 990-PF (2016)

TEEAO307L 12116Il6
Form 990-PF (2016) Trish Joy Foundation 46-1403949 Page 8
[PartX [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 29, 915, 805 .
b Average of monthly cash balances 1b 1 , 608, 464 .
c Fair market value of all other assets (see instructions) 1c 923 , 886 .
dTotaI (add lines 1a, b, and c) 1d 32,448,155.
e Reduction claimed for blockage or other factors reported on lines 1a and
to (attach detailed explanation) I 1d 0.
2 AcquiSition indebtedness applicable to line 1 assets 2 0 ,
3 Subtract line 2fromline1d 3 32,448,155.
4 Cash deemed held for charitable activrties. Enter 1-1/2% of lrne 3
(for greater amount. see instructions) 4 486 , 722 .
5 Net value of noncharitabIe-use assets. Subtract line 4 from line 3. Enter here and on Part V. line 4 5 31 , 961 , 433 .
6 Minimum investment return. Enter 5% of line 5 6 1 , 598 , 072 .
[Part XI FD istributable Amount (see instructions) (Section 4942(1)(3) and (0(5) private operating foundations
and certain foreign organizations check here > Hand do not complete this part.)
1 Minimum investment return from Part X, line 6 1 l, 598, 072 .
2a Tax on investment income for 2016 from Part VI, line 5 2a 30, 507 .
b Income tax for 2016. (This does not include the tax from Part VI.) 2b
cAdd lines 2a and 2b 2C 30,507.
3 Distributable amount before adjustments. Subtract line 2c from line 1 3 1 , 567, 565 .
4 Recoveries of amounts treated as qualifying distributions 4
5 Add lines3and4 5 1,567,565.
6 Deduction from distributable amount (see instructions) 6
7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 7 1 , 567 , 565 ,

-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 1 a 61, 131, 261 .
b Program-related investments - total from Part IX-B 1b
2 Amounts paid to achire assets used (or held for use) directly in carrying out charitable, etc., purposes 2

3 Amounts set aSide for 5 who charitable proiects that satisfy the;
a Suitability test (prior IR approval reqUired) 3a
b Cash distribution test (attach the reqwred schedule) 3b
4 Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part Xlll, line 4 4 61 , 131 , 261 ,
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 30 , 507 ,
6 Adjusted qualifying distributions. Subtract line 5 from line 4 6 61 , 100 , 754 .
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.
BAA Form 990-PF (2016)

TEEAOSOBL 12l16IIS
Form 990-PF (2016) Trish ng Foundation 46-1403949 Page9
Part XIII Undistributed Income (see instructions)
(3) 00 (C) (d)
Corpus Years prior to 2015 201 5 201 6

1 Distributable amount for 2016 from Part XI,


line 7 1,567,565.
2 Undistributed income, if any, as of the end of 2016
3 Enter amount for 2015 only 2, 917,570.
b Total for prior years. 20 , 20 , 20
3 Excess distributions carryoveT,-if anymolti. -
a From 2011
b From 2012
cFrom 2013
d From 2014
e From 2015
f Total of lines 3a through a
4 Qualifying distributions for 2016 from Part
XII,line4z > $ 61,131,261.
a Applied to 2015, but not more than line 2a 2, 917, 570.
b Applied to undistributed income of prior years
(Election reqUIred - see instructions)

c Treated as distributions out of corpus


(Election requrred - see instructions) O.
d Applied to 2016 distributable amount 1,567,565.
e Remaining amount distributed out of corpus 56, 646,126.
5 Excess distributions carryover applied to 2016 0. O.
(If an amount appears In column (d), the
same amount must be shown In column (a). )

5 Enter the net total of each column as


indicated below;
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 56, 646, 126.
b Prior ears' undistributed income. Subtract
line 4 from line 2b
c Enter the amount of prior years' undistributed
income for which a notice of defiCIenc has
been issued, or on which the section 942(8)
tax has been preViously assessed

d Subtract line 6c from line 6b. Taxable


amount - see instructions

e Undistributed income for 2015 Subtract line 4a from


line 2a. Taxable amount - see instructions

1 Undistributed income for 2016. Subtract lines


4d and 5 from line 1. This amount must be
distributed in 2017
7 Amounts treated as distributions out of
corpus to satis requrrements imposed by
section 170(b)( )(F) or 4942(g)(3) (Election
may be required - see instructions) O.
8 Excess distributions car over from 2011 not
applied on line 5 or line (see instructions) 0.
9 Excess distributions canyover to 2017.
Subtract lines 7 and 8 from line 6a 56, 646, 126.
10 Analy5is of line 92
a Excess from 2012
b Excess from 2013
c Excess from 2014
d Excess from 2015
e Excess from 2016 56, 646, 126.
BAA Form 990-PF (2016)

TEEAO309L IZIISIIG
Form 990-PF(2016) Trish Jgg Foundation 46-1403949 Page10
EartXIV [Private Operating FLoundations (see instructions and Part VII-A, question 9) N/A
1 a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the niling
is effective for 2016, enter the date of the ruling >
b Check box to indicate whether the foundation is a private operating foundation described in section [3 4942(1)(3) or 49420)(5)
2a Enter the lessFer ofI the Iadjusted net Tax year Prior 3 years (e) Total

1232213141191er trill; ANT? @2016 (b12015 @2014 @2013


each year listed
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 activmes
e Qualifying distributions made directly
for active conduct of exem t actiVities.
Subtract line 2d from line c
3 Complete 3a, b, or c for the
alternative test relied upon;
a 'Assets' alternative test - enter.
(1) Value of all assets
Value of assets quali mg under
(2) section 4942(1)(3)(B)(fi)
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 provrded
in section 4942(1)(3)(B)(lll)
(3) Largest amount of support from
an exempt organization
(4) Gross investment income
[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;
a List 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).)
See Statement 9

b 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.
None

2 lnfonnation Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs;


Check here * [j if the foundation only makes contributions to preselected charitable organizations and does not accept unsolic1ted
requests for funds. If the foundation makes gifts, grants, etc (see instructions) to 1nd1v1duals or organizations under other conditions,
complete items 2a, b, c, and d.
a The name, address, and telephone number or email address of the person to whom applications should be addressed;

See Statement 10
b The form in which applications should be submitted and information and materials they should include;

See Statement for Line Za


c Any submiSSion deadlines

See Statement for Line 2a


it Any restrictions or limitations on awards, such as by geographical areas. charitable fields, kinds of institutions. or other factorS'

See Statement for Line 2a


BAA TEEAO310L 12116116 Form 990-PF (2016)
Form 990-PF (2016) Trish Joy Foundation 46-1403949 Page11
[fart XV [Supplementary Information (continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
If recrpient is an indiv1dual,
Recrpient show any relationship to Foundation Purpose of grant or
any foundation manager status OI contribution Amount
Name and address (home or busrness) or substantial contributor recrpien
a Paid during the year
See Statement 11

Total 3a 61,131,261.
b Approved for future payment

Total 3b
BAA TEEAOSOIL IZIIBIIG Form 990-PF (2016)
I

Form 990-PF (2016) Trish Joy Fogndation 46-1403949 Page 12


Part XVI-AJAnalysis of lncome-Producin Activities
Enter gross amounts unless otherwrse indicated. Unrelated busmess income Excluded by section 512, 513, or 514
(e)
(a) (b) (C) ((1') Related or exempt
Busrness Amount Exclu- Amount function income
code s10n (See instructions)
1 Program serv1ce revenue code
a
b
c
d
e
f
9 Fees and contracts from government agenc1es
2 Membership dues and assessments
3 Interest on savrngs and temporary cash investments
4 DiVidends and interest from securities 14 1, 386, 540 .
5 Net rental income or (loss) from real estate;
a Debt-financed property
b Not 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 1 . 665, 4 59 .
9 Net income or (loss) from specral 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) 3, 051, 999.
13 Total. Add line 12, columns (b), (d), and (e) 13 3; 051I 999 .
(See worksheet in line 13 instructions to verify calculations.)
to
Line No. Explain below how each actiVity for which income is reported in column (e) of Part XVI-A contributed importantly to the
V accomplishment of the foundation's exempt purposes (other than by prov1ding funds for such purposes) (See instructions.)

3M TEEAOSOZL 12116116 Form 990-PF (2016)


s

Form 990-PF (2016) Trish M Foundation 46-1403949 Page 13


[Part XVII [Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
Yes No
1 Did the organization directly or indirectly engage in any of the follow1ng 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?
a Transfers from the reporting foundation to a noncharitable exempt organization of
(1) Cash
(2) Other assets
1a(1)
121(2)
J X
X
b Other transactions *1
(1) Sales of assets to a noncharitable exempt organization 1b(1) X
(2) Purchases of assets from a noncharitable exempt organization 1b(2) X
(3) Rental of faculties, equ1pment, or other assets 1b(3) X
(4) Reimbursement arrangements 111(4) X
(5) Loans or loan guarantees 1b(5) X
(6) Performance of serv1ces or membership or fundraismg solic11ations 1b(6) X
c Sharing of faCilitieS, equ1pment, mailing lists, other assets. or paid employees 1c X

d If the answer to any of the above is 'Yes,' complete the follow1ng schedule Column (b) should alwa 5 show the fair market value of
the goods, other assets, or serv1ces given by the reporting foundation If the foundation received less than air market value in
transaction or sharing arrangement, show in column (d) the value of the goods. other assets, or serv1ces received
(a Line no. (b Amount involved (c Name of nonchantable exempt organization (d) Description of transfers, transactions. and sharing arrangements
NA

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? DYes 'No
b If 'Yes,' complete the follow1ng schedule
(a) Name of organization (b) Type of organization (c) Description of relationship
N/A

Under penalties of perlury, 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 In matron of which preparer has any knowledge
Sign I ay the I discuss
Here PWW J Dub 0 m [4 [X > this returnhvgth IlseI
c If[ - preparer s wn e ow
[Ma '- Pre51dent (seer ctions ?
Signature of othcer or trustee Date Title X[ Yes No
Print/Type preparer's name Preparers Signature Date Check m if PTIN

Paid Yosef Y Manela, CPA APC Yosef Y Manela, CPA APC se'I'emP'OYEd P004 46103
D
Preparer Firm's name Yosef Y. Manela, CPA, A Professmnal Corporation Firm's EIN E 20-3942845
b
Use OHIy Firm's address 6300 Wilshire Blvd, Suite 2030
LOS ANGELES, CA 90048 Phonem 323-782-0818
BAA Form 990-PF (2016)

TEEAOSO3L 12116116
SChedule B OMB No 1545-0047

$05,333,931 990-52, Schedule of Contributors 201 6


Depamnem 0, the Treasury > Attach to Form 990, Form 990-EZ, or Form 990-PF.
Internal Revenue Servrce > Information about Schedule B (Form 990, 990-EZ, 990-PF) and its instructions IS at www.irs.gov/fonn990.
Name of the organization 7 Employer identification number

Trish J y Foundation 46-1403949


Organization type (check one)'
Filers of; Section;
Form 990 or 990-EZ [j 501(c)( ) (enter number) organization

D4947(a)(1) nonexempt charitable trust not treated as a private foundation

D 527 political organization

Form 990-PF 501(c)(3) exempt private foundation

[3 4947(a)(1) nonexempt charitable trust treated as a private foundation

[1 501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.


Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Spec1al Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and 11. See instructions for determining a contributor's total contributions

Special Rules
[3 For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33-13% support test of the regulations
under sections 509(a)(1) and l70(b)(1)(A)(v1), that checked Schedule A (Form 990 or 990-EZ), Part 11, line 13, 16a, or 16b, and that
received from any one contributor, during thegzear, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (1)
Form 990, Part VIII, line 1h, or (11) Form 990- , line 1. Complete Parts land 11.

[3 For an organization described in section 501(c)(7 , (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than 1.000 exclusrveey for religious, charitable, solentific, literary, or educational
purposes, or for the prevention of cruelty to children or animals omplete Parts I, II, and Ill.

[3 For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusrvely for religious, charitable, etc., purposes, but no such contributions totaled more than
$1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusrvely religious,
charitable, etc , purpose. Don't complete any of the parts unless the General Rule applies to this organization becaigse
it received nonexclusrvely religious, charitable, etc , contributions totaling $5,000 or more during the year >

Caution. An organization that isn't covered by the General Rule and/or the Specral Rules doesn't file Schedule B (Form 990, 990-EZ, or
990-PF), but it must answer 'No' on Part 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,
Part 1, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF)

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Forln 990, 990-EZ, or 990-PF) (2016)

TEEA07OI L 08109116
Schedule B (Form 990, 990-EZ, or 990-PF) (2016) Page 1 of 1 of Partl
Name of organization Employer identification number

Trish Joy Foundation 46-1403949

Contributors (see instructions) Use duplicate copies of Part I if additional Space iS needed
a c) (d)
Nuinber Name, addre(sbs?, and ZIP + 4 Tgtal Type of contribution
contributions

-1 - yP-atrici-ay Duggan yyyyyyyyyyyyyyyyyyyy Person [3


- ---------- Payroll E]

11] 91 91111112ng ........................... 5 .....2.0.71.1.6] -. Noncash El


. Com lete Part II for
P91131311; Egafill L 1F; .3.3.8 7.61 ................... Eloncapsh contributions.)

(3) (b) (C) (d) . .


Number Name, address, and ZIP + 4 Total Type of contribution
contributions

. . . Person [3
.2 - 1 11411121519995 5 .CQIERUI- .1.n.9. 95er9.2a; 1011.............
7 Payroll [3
.1110. 9111!. ELVQ........................... s- 1 - .1 181551.153; Noncash
. f
131311.621]; search. 114.391116. ................... tEttatt'SoEtltlt.8lss
(a) (b) (C) (d) . .
Number Name, address, and ZIP + 4 Total Type of contribution
contributions

3. - - diggers .Qusgarn..........................
- -
Fem"
Payroll
[j
[Z[
[ElfipreiidiqagjesE ....................... S.....2.0111161. Noncash
(Complete Part II for
ElgaIXVEt'r-efr. 5125.31 26.. ...................... noncash contributions.)

(3) (b) (C) (d) . ,


Number Name, address, and ZIP + 4 Total Type of contribution
contributions

L Person [1
--- ------------------------------------- Payroll [j
[- ------------------------------------- 5 yyyyyyyyyyy Noncash [3

(Complete Part II for


[. ..................................... noncash contributions.)

(3) (b) (C) (d) . ,


Number Name, address, and ZIP + 4 Total Type of contribution
contributions

Person [1
" - 7 -------------------------------------- Payroll [j
-------------------------------------- $---y--y--yy Noncash [3

(Complete Part II for


..................................... % noncash contributions.)

(a) (b) (C) (d) . ,


Number Name, address, and ZIP + 4 Total Type of contribution
contributions

Person [3
* - 1 [' ----------------------------------- Payroll [j
-------------------------------------- sy-------.--y Noncash D

J (Complete Part II for


.................................... noncash contributions.)

BAA TEEAO702L 0810911 6 Schedule 8 (Form 990, 990E, or 990-PF) (2016)


Schedule B (Form 990. 990-EZ, or 990-PF) (2016) Page 1 to l of Part II
Name of organiution Employer identification number

Trish Joy Foundation 46-1403949


Noncash Property (see instructions) Use duplicate copies of Part II if additional space is needed.
(a) No. [ . (b) . (C) . (d) .
from Description of noncash property given FMV (or estimate; Date received
Part I (see instructions

.51 517151 51111313251 9 E .CE 1119.? 131311(110.....................


1

...............................................4U13U111214U151
(a) No. . . (b) I (C) I (d) I
from Description of noncash property given FMV (or estimate) Date received
Part I (see instructions)

.419 159115 1511113181 9f1 93111 39101119 113189<20..................


2

1-11111111111111111111111-111111111111111- 11111255125131-1213101/1611
(a) No. . . (b) . (C) I (d) I
from Description of noncash property given FMV (or estimate) Date received
Part I (see instructions)

.51 57151 $111131?ES. 9E 1C511169 1131311901 ....................


3

...............................................210171116171 1 1 1912191161 1
(a) No. b) (C) (d)
from Description of noncash property given FMV (or estimate) Date received
Part I (see instructions)

(a) No. (C) (d) I


from FMV (or estimate; Date received
Part I (see instructions

------------------------------------------ $---------------a----

(a) NO- 0)) (C) (d)


from Description of noncash property given FMV (or estimate; Date received
Part I (see instructions

111111111111111111111111111111111111111111 $

BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2016)

TEEAO703L 08/09/16
Schedule B (Form 990, 990tEZ. or 990'PF) (2016) Page 1 to 1 of Part III
Name of organization Employer identification number
Trish Joy Foundation 46-1403949
[Part "I [ Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8),
or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and
the follow1ng Ilne entry. For organizations completing Part "I, enter the total of exclusrvely religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) R $-------- .NZA
Use duplicate copies of Part 111 if additional space iS needed.
(a) (b) I (C) I . . (d) . .
NS. frolm Purpose of gift Use of gift Description of how gift is held
art

.1111 11111111111111111 1 11111111111111111111 1 111111111111111111111


...................1....................Ii .....................
(C) I
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a)
Ng. fnmlm
(b) .
Purpose of gift
(c) .
Use of gift
. . (d) . .
Description of how gift is held
a

1 1 1 1 .................... 1 .....................L .....................

(e) I
Transfer of gift
Transferee's name, address, and ZIP + 4

(a) (b) I (C) . . . (d) . .


Ng. frolm Purpose of gift Use of gift Description of how gift 15 held
art

11111111111111111111111111111111111111111 1.1111111111111111111-

(e) .
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

11111111111111111111111111111111111 L111-1------.1--.111-1-11-1--.

(a) (b) I (C) . . . (d) . .


Ng. frolm Purpose of gift Use of gift Description of how gift is held
art

- - - - l- ------------------- 1 ----------------- [

(e) .
Transfer of gift
Transferee's name, address, and ZIP + 4

1.-..----------.-a-----..-..----..-..-a..--

BAA Schedule B (Form 990, 9903, or 990-PF) (2016)


TEEAO704L 08/09/16
2016 Federal Statements Page 1
Trish Joy Foundation 46-1403949

Statement 1
Form 990-PF, Part I, Line 16b
Accounting Fees

(a) (b) Net (C) (d)


Expenses Investment Adjusted Charitable
per Books Income Net Income Purposes
Indirect Accounting Fees $ 1, 625 .
Total $ 1,625. $ 0. $ 0. $ 0.

Statement 2
Form 990-PF, Part I, Line 23
Other Expenses

(a) (b) Net (c) (d)


Expenses Investment Adjusted Charitable
per Books Income Net Income Purposes
Bank Charges $ 1,250. $ 1,250.
Total $ 1,250. $ 1,250. $ 0. g 0.

Statement 3
Form 990-PF, Part II, Line 15
Other Assets

Fair Market
Book Value Value
Art Collection $ 4, 373QOO . $ 443734 900 .
Total $ 4, 373, 900. $ 4,373, 900.

Statement4
Form 990-PF, Part III, Line 3
Other Increases

Investment Valuation Adjustment $ 1,636,766.


Total $ 1,636,766.

Statement 5
Form 990-PF, Part IV, Line 1
Capital Gains and Losses for Tax on Investment Income

(b) How (c) Date (d) Date


tem (a) Description Acquired Acquired Sold
1 ABBVIE, Inc Donated Various Various
2 Calif Republic Banco Donated Various 10/04/2016
3 Us Treasuries Purchased Various Various
4 Assigned to EIN #52-1840679 Purchased Various Various
5 Assigned to EIN # 59-2153393 Purchased Various Various
6 Assigned to EIN # 93-0630376 Purchased Various Various
7 Assigned to EIN #59-2143308 Purchased Various Various
2016 Federal Statements Page 2
Trish Joy Foundation 46-1403949

Statement 5 (continued)
Form 990-PF, Part IV, Line 1
Capital Gains and Losses for Tax on Investment Income

(e) (f) (g) (h) (i) (j) (k) (1)


Gross Deprec. Cost Gain FMV Adj. Bas. Excess Gain
Item Sales Allgwed Basis (Loss) 12131169 12131169 til-(j) (Loss)
1 48847873. 332, 206. 48515667. $48515667.
2 2271119. 610,068. 1661051. 1661051.
3 35295883. 35291475. 4,408. 4,408.
4 227,813. 33497872. 33270059. -33270059.
5 31,964. 4700000. -4668036. -4668036.
6 61,207. 9000000. -8938793. -8938793.
7 11,221. 1650000. -1638779. -1638779.
Total $ 1665459.

Statement6
Form 990-PF, Part VI, Penalty and Interest
Balance Due

Tax Due $ 30,507.


Late Interest 1 033.
Total #FSTTiTLSW

Statement7
Form 990-PF, Part VII-A, Line 10
Substantial Contributors During the Tax Year

Name of Substantial Contributor Address of S stant'al Contributor

Multiaccess Computing Corporation 1740 Gulf Blvd


Belleair Beach, FL 33876

Statement 8
Form 990-PF
Reasonable Cause From Late Penalties

Both directors of the foundation were married to each other. During the period when
the return was supposed to be filed, they finalized their divorce settlement
agreement. Taxpayers relied on the advice of qualified legal professionals,
including but not limited to tax attorneys, CPAs, and others. Based on their advice,
it appeared that no tax would have been due at the time of the disposition of non -
cash assets contributed to the foundation. As a matter of conservatism, counsel
ultimately determined that one particular sale of shares did not qualify for
exclusion. Accordingly the return was filed late.
201 6 Federal Statements Page 3
TdshJoyFoundahon 464403949

Statement 9
Form 990-PF, Part XV, Line 1a
Foundation Managers - 2% or More Contributors

Robert Duggan
Patricia Duggan

Statement 10
Form 990-PF, Part XV, Line Za-d
Application Submission Information

Name of Grant Program;


Name; Patricia Duggan
Care Of;
Street Address; 1740 Gulf Blvd
City, State, Zip Code; Belleair Beach, FL 33876
Telephone; (727) 501-3407
E-Mail Address;
Form and Content; Applications for contributions from scientology, related
social betterment organizations, and organizations
promoting the furtherance of art should be written and
state the amount of the requested donation and should
briefly state the intended charitable use of the
contribution.
Submission Deadlines; There are no submission deadlines.
Restrictions on Awards; The foundation generally restricts its contributions to
501(c)(3) organizations that are churches of scientology,
affiliated social betterment organizations and
organizations furthering the arts. The foundation also may
choose to initiate and conduct, under its own direction,
grants to qualified section 501(c)(3) recipients to
further its charitable and educational purposes, with or
without written applications from the grantee
organizations.

Statement 11
Form 990-PF, Part XV, Line 3a
Recipient Paid During the Year

Found-
Donee ation Purpose of
Name and Address Relationship Status Grant Amount
Church of Scientology None PC Acquisition of $ 554,644.
International church property
6331 Hollywood Blvd
Los Angeles CA 90028

Church of Scientology None PC Acquisition of 4,700,000.


6331 Hollywood Blvd church property
Los Angeles CA 90028
2016 Federal Statements Page 4
TnshJoyFoundaNon 464403949

Statement 11 (continued)
Form 990-PF, Part XV, Line 3a
Recipient Paid During the Year

Found-
Donee ation Purpose of
Name and Address Relationship Status Grant Amount
Toys for Tots None PC Provide books $ 78,880.
18251 Quantico Gateway Dr for literacy
Triangle VA 22172 program

Toys for Tots None PC Provide books 15,300.


18251 Quantico Gateway Dr for literacy
Triangle VA 22172 program

Church of Scientology FSO None PC Dissemination, 1,000,000.


503 Cleveland St Deliv religious
Clearwater FL 33755 serv.

Delphian School None PC Facilities 9,000,000.


20950 SW Rock Creek Road improvements
Sheridan OR 97378

US IAS Members Trust None PC Social 10,634,565.


4751 Fountain Ave betterment/Purch
Los Angeles CA 90029 church buildings

Church of Scientology FSO None PC Dissemination, 1,650,000.


503 Cleveland St Deliv religious
Clearwater FL 33755 serv.

US IAS Members Trust None PC Social 33,497,872.


4751 Fountain Ave betterment/Purch
Los Angeles CA 90029 church buildings

Total $ 61,131,261.
2016 Federal Supporting Detail Page 1
Trish Joy Foundation 464403949

Grants and Allocations (990-PF)


FMV ofpperogrty
Church of cientology
Church of Scientology - Donation of Abbvie Stock $ 4,700,000.
Total $ 4,700,000.

Grants and Allocations (990-PF)


FMV of property
Delphian School

Delphian School - Donation of Abbvie Stock 9 000 000.


Total 6
9, 000,000.

Grants and Allocations (990--PF)


F MV ofp
patyrog
Church of cientology FSO
Church of Scientology FSO - Donation of Abbvie Stock $ 1,650,000.
Total $ 1,650,000.

Grants and Allocations (990-PF)


FMV of roperty
US IAS embers Trust

US IAS Members Trust - Donation of Abbvie Stock $ 33,497,872.


Total $ 33,497,872.