2014 0- Do Not Enter Social Security Numbers on This Form As It May Be Made Public
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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491134030075 OMB No 1545-0052 Form 990-PF Return of Private Foundation or Section 4947(a)(1) Trust Treated as Private Foundation Department of the Treasury 2014 0- Do not enter social security numbers on this form as it may be made public. Internal Revenue Service 0- Information about Form 990-PF and its instructions is at www.irs.gov/form990pf . For calendar year 2014 , or tax year beginning 01 - 01-2014 , and ending 12-31-2014 Name of foundation A Employer identification number The Edward A & Catherine L Lozick Foundation 34-1386776 O/o EDWARD A LOZICK Number and street ( or P 0 box number if mail is not delivered to street address ) Room / suite 6 ieiepnone number (see instructions) 29425 Chagrin Boulevard Suite 201 (216) 839-0400 City or town, state or province , country, and ZIP or foreign postal code C If exemption application is pending, check here F Pepper Pike , OH 44122 G Check all that apply r'Initial return r'Initial return of a former public charity D 1. Foreign organizations, check here (- r Final return r'Amended return 2. Foreign organizations meeting the 850/, r-Address change r'Name change test, check here and attach computation F E If private foundation status was terminated H C heck type of organization Section 501( c)(3) exempt private foundation und er section 507 ( b )( 1 )( A ), c hec k here F_ Section 4947( a)(1) nonexempt charitable trust r'Other taxable private foundation I Fair market value of all assets at end J Accounting method F Cash F Accrual F If the foundation is in a 60 - month termination of year (from Part II, col. (c), r Other ( specify) under section 507(b)(1)(B), check here 0- F line 16 26,466,770 (Part I, column (d) must be on cash basis.) ( d) Disbursements Analysis of Revenue and Expenses (The (a ) Revenue and (b ) Net investment ( c) Adjusted net for charitable tota l of amounts in columns (b), (c), and (d) may not expenses per income income purposes necessanly equal the amounts in column (a) (see books instructions) ) (cash basis only) 1 Contributions , gifts, grants , etc , received ( attach schedule ) . 3,000,000 2 Check Nil F- if the foundation is not required to attach Sch B . 3 Interest on savings and temporary cash investments 1,971 1,971 4 Dividends and interest from securities . 607,538 607,538 5a Gross rents . b Net rental income or (loss) C' 6a Net gain or (loss ) from sale of assets not on line 10 1,225,443 7V b Gross sales price for all assets on line 6a 3,371,029 7 Capital gain net income ( from Part IV, line 2) 1,225,443 8 Net short- term capital gain . 9 Income modifications . 10a Gross sales less 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 1 through 11 . 4,834,952 1,834,952 13 Compensation of officers , directors , trustees, etc 0 14 Other employee salaries and wages . 15 Pension plans , employee benefits 16a Legal fees ( attach schedule ) . b Accounting fees ( attach schedule ) . 990 0 0 0 W c Other professional fees ( attach schedule ) . 95 9,080 6,904 17 Interest 18 Taxes (attach schedule ) ( see instructions ) . 19 20,918 10 ,619 1V 19 Depreciation ( attach schedule ) and depletion 20 Occupancy . 21 Travel , conferences , and meetings . 22 Printing and publications . 23 Other expenses ( attach schedule ) . 667 5= ^, 24 Total operating and administrative expenses. Add lines 13 through 23 . 31,655 17,523 0 0 25 Contributions , gifts, grants paid . 2,101,625 2,101,625 26 Total expenses and disbursements . Add lines 24 and 25 2,133,280 17,523 0 2,101,625 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements 2,701,672 b Net investment income ( if negative , enter -0- ) 1,817,429 c Adjusted net income ( if negative , enter -0-) . For Paperwork Reduction Act Notice, see instructions . Cat No 11289X Form 990-PF (2014) Form 990-PF (2014) Pace 2 Attached schedules and amounts in the description column Beginning of year End of year Balance Sheets should be for end-of- y ear amounts onl y (See instructions (a) Boo k Va l ue ( b ) Boo k Va l ue (c) Fair M ark et Va l ue 1 Cash-non-interest-bearing . 2 Savings and temporary cash investments . 20,347 906,562 906,562 3 Accounts receivable ► Less allowance for doubtful accounts Oil 4 Pledges receivable ► Less allowance for doubtful accounts Oil 5 Grants receivable . 6 Receivables due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions) . 7 Other notes and loans receivable (attach schedule) Less allowance for doubtful accounts ► 8 Inventories for sale or use . 9 Prepaid expenses and deferred charges . uti 4 10a Investments-U S and state government obligations (attach schedule) b Investments-corporate stock (attach schedule) . c Investments-corporate bonds (attach schedule). 11 Investments-land, buildings, and equipment basis ► Less accumulated depreciation (attach schedule) 12 Investments-mortgage loans . 13 Investments-other (attach schedule) . 20,792,650 22,608,107 25,560,208 14 Land, buildings, and equipment basis ► Less accumulated depreciation (attach schedule) 15 Other assets (describe 16 Total assets (to be completed by all filers-see the instructions Also, see page 1, item I) 20,812,997 23,514,669 26,466,770 17 Accounts payable and accrued expenses . 18 Grants payable . In ci) 19 Deferred revenue . 20 Loans from officers, directors, trustees, and other disqualified persons 21 Mortgages and other notes payable (attach schedule) . J 22 Other liabilities (describe Oil 23 Total liabilities (add lines 17 through 22) . 0 Foundations that follow SFAS 117, check here Ilk, fl co and complete lines 24 through 26 and lines 30 and 31. r_ 24 Unrestricted 15 25 Temporarily restricted cor3 +1 26 Permanently restricted . Foundations that do not follow SFAS 117, check here F LL. and complete lines 27 through 31. 27 Capital stock, trust principal, or current funds . 28 Paid-in or capital surplus, or land, bldg , and equipment fund w1 29 Retained earnings, accumulated income, endowment, or other funds 20,812,997 23,514,669 30 Total net assets or fund balances (see instructions) . 20,812,997 23,514,669 Z 31 Total liabilities and net assets / fund balances (see instructions) 20,812,997 23,514,669 COM Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year-Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) . 1 20,812,997 2 Enter amount from Part I, line 27a . 2 2,701,672 3 Other increases not included in line 2 (itemize) 3 4 Add lines 1, 2, and 3 . 4 23,514,669 5 Decreases not included in line 2 (itemize) Oil 5 6 Total net assets or fund balances at end of year (line 4 minus line 5)-Part II, column (b), line 30 6 23,514,669 Form 990-PF (2014) Form 990-PF (2014) Page 3 Ca ital Gains and Losses for Tax on Investment Income (b) How acquired (a) List and describe the kind(s) of property sold (e g , real estate, (c) Date acquired (d) Date sold P-Purchase 2-story brick warehouse, or common stock, 200 shs MLC Co (mo , day, yr (mo , day, yr D-Donation la NATIONAL FINANCIAL PER SCHEDUL 2014-12-31 b NATIONAL FINANCIAL PER SCHEDUL 2014-12-31 c NATIONAL FINANCIAL PER SCHEDUL 2014-12-31 d CAPITAL GAIN DIVIDENDS P e (f) Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (e) Gross sales price (or allowable) plus expense of sale (e) plus (f) minus (g) a 93,000 73,431 19,569 b 12,384 10,005 2,379 c 2,554,365 2,062,150 492,215 d 711,280 e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus (j) Adjusted basis (k) Excess of col (i) col (k), but not less than -0-) or (i) F M V as of 12/31/69 as of 12/31/69 over col (j), if any Losses (from col (h)) a 19,569 b 2,379 c 492,215 d e If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) If (loss), enter -0- in Part I, line 7 2 1,225,443 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 8 3 t1 Qualification 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 ) f 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? fl Yes F 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 instructions before making any entries (d) Base period years Calendar Distribution ratio Adjusted qualifying distributions Net value of noncharitable-use assets year (or tax year beginning in) (col (b) divided by col (c)) 2013 2,149,371 22,238,025 0 096653 2012 1,316,283 17,980,571 0 073206 2011 763,680 15,149,224 0 050411 2010 922,031 12,512,372 0 07369 2009 1,230,218 8,469,001 0 145261 2 Total of line 1, column (d) .