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B ^ C G^ C Gross Proftfor-(Loss)^^^ Tcone ^) C, 8 8 8 5 0 STATEMENT 2 OI E It 42 Total Add Lines` 11Iirou H'1 483 , 302

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•TENDED TO MARCH 15, 2017 Return of Private Foundation OMB No 15,45-0052 Form 990 -PFFor Section 4947( aXI) Trust Treated as Private Foundation Do not enter social security numbers on this form as it may be made public. Department of the Treasury ► 2015 Internal Revenue Service ► Information about Form 990-PF and its separate instructions is at www frs Ov/form990p1 1 ben to Public inspection For calendar year 2015 or tax year beginning MAY 1 , 2015 , and ending APR 3 0, 2016 Name of foundation A Employer identification number MEDTRONIC COMMUNITIES FOUNDATION 41-1306950 Number and street (or P O box number if mail is not delivered to street address ) Room /suite B Telephone number 0 710 MEDTRONIC PKWY (763)505-2639 ego City or town, state or province, country, and ZIP or foreign postal code C If exemption application is pending , check here ► CQ MINNEAPOLIS, MN 55432 C:1 G Check all that apply: Initial return fl Initial return of a former public charity D 1. Foreign organizations, check here JIX Q Final return 0 Amended return 2. Foreign organizations meeting the 85% test, ME Address chan ge Name chan g e check here and attach computation Check type of organization: MX Section 501(c)(3) exempt private foundation cc H E If private foundation status was terminated Section 4947 ( a)( 1 ) nonexem pt charitable trust Other taxable private foundation under section 507(b)(1)(A), check here Fair market value of all assets end of year method: IX I at J Accounting Cash 0 Accrual F If the foundation is in a 60-month termination (from Part ll, col (c), line 16) L Other (specify) under section 507(b)(1)(B), check here 11104 14 , 9 8 9 , 7 4 7 . (Part 1, column (d) must be on cash basis.) Part 1^ Analysis of Revenue and Expenses Revenue and d Disbursements (The total of amounts in columns b), (c), and (d) may not ( a) (b ) Net investment (c) Adjusted net ( ) ( expenses per books income for charitable p urp oses necessarily equal the amounts in column (a)) income (cash basis onl y) I Contributions, gifts, grants, etc., received 230,400. N/A' % 2 Check ► j] If the foundation is not required to attach Sch B g' ^ffi s Interest tss and temporary 238,458. 238,458. 3 cash STATEMENT 'Y'^ 4 Dividends and interest from securities 5a Gross rents b Net rental income or (loss) $ ° - y y i p a : 6a Net gain or (loss) from sale of assets not on line 10 5,559. g Gross sales price for all . b assets online 6a 21 , 305 , 399 . = 7 Capital gain net income (from Part IV, line 2) 115 5, 559. 8 Net short-term capital gain 9 Income modifications a Gross MUMsales less returns A_ I N, 11 b ^ c g^ c Gross proftfor-(loss)^^^ tcone ^) c, 8 8 8 5 0 STATEMENT 2 OI e It 42 Total Add lines` 11iirou h'1 483 , 302. 244 , 017. kIx C 13= "^Compensat oryofofi Viers, directD' stees, etc 613,418. 0. 613 , 418 ^f 'RR he C, 140th'er e ployee salarie and wages 1, 964,766. 0. 1, 964 , 766 . C 15 Pension plans, emploWe%Yne its 243 , 194 . 0. 243,194. C 16a Legal fees C _ b Accounting fees STMT 3 6,325. 0. 6,300. W c Other professional fees STMT 4 2 , 7 7 7, 4 2 9. 0. 2,065,024. w 17 Interest z4 18 Taxes 19 Depreciation and depletion " Tr x NE 20 Occupancy 21 Travel, conferences, and meetings 6821792. 0. 682,792. 22 Printing and publications a 23 Other expenses STMT 5 64,672. 41 , 215. 23,457. 24 Total operating and administrative expenses Add lines 13 through 23 6 , 352 , 596 . 41 , 215. 5, 598, 951. 0 25 Contributions, gifts, grants paid 41 9 0 0, 6 8 6. 1 31 A` 41 , 900 , 686. 26 Total expenses and disbursements. Add lines 24 and 25 48, 253 282. 41,215. 47 499, 637. 27 Subtract line 26 from line 12: sG s # a Excess of revenue over expenses and disbursements - 4 7 , ! 6 9 , 9 8 0 • " q ;^ ,as b Net investment income (it negative, enter -o-) 202,802. k c Adjusted net income ( if ne g ative , enter -0- ) -is LHA For Paperwork Reduction Act Notice , see instructions Form 990-PF (^ 1 6- )9340227 144198 56883 2015.05050 MEDTRONIC COMMUNITIES FOU 568831 c„rr„ oon-oG f9nlce MF.nTR17NTr 1kAWlTTWTTTR9 FOTTNflATT(DN 41 -1 3 n Fi 9 5 n pa„o 9 part it I° Balance Sheets Attached schedules and amounts in the description Beginning of year End of year column should be for end-of-year amounts only (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-Interest-bearing 139,353. 635,801 . 635,801. 2 Savings and temporary cash investments 61,965,323. 14,353,946 . 14,353,946. 3 Accounts receivable ► 414' 11 T.1,c il 01 ^ . # , Less: allowance for doubtful accounts ► "0 th. 4 Pledges receivable ► Less: allowance for doubtful accounts ► 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons I- ^C 7 Other notes and loans receivable ► s a Less: allowance for doubtful accounts ► Y 8 Inventories for sale or use 9 Prepaid expenses and deferred charges ay 10a Investments - U.S. and state government obligations b Investments - corporate stock c Investments - corporate bonds 11 Investments - land, buildings, and equipment basis ► s` r a^ Less accumulated depreciation ► 12 Investments - mortgage loans 13 Investments - other 14 Land, buildings, and equipment: basis ► T ^` 1 q 6, Less accumulated depreciation ► 15 Other assets (describe ► ) 16 Total assets (to be completed by all filers - see the instructions. Also see a e 1 ite m I 62 , 104,676. 14,989,747. 14 , 989 , 747. 17 Accounts payable and accrued expenses 18 Grants payable ,, 19 Deferred revenue ' 20 Loans from officers, directors , trustees , and other disqualified persons ' ` - 21 Mortgages and other notes payable SERVICES , 729 4,441 , 498. 22 Other liabilities (describe ► WAGES AND ) 3 , 093. 23 Total liabilities (add lines 17 throu g h 22 3 , 729 , 093. 4,441 , 498. % Foundations that follow SFAS 117, check here ► and complete lines 24 through 26 and lines 30 and 31 d 24 Unrestricted 58,375,583. 10,548,249. U 25 Temporarily restricted v. 26 Permanently restricted Foundations that do not follow SFAS 117, check here ► 0 r= i^ 42 LL and complete lines 27 through 31. N 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 z 30 Total net assets or fund balances 58,375,583. 10, 548, 2:f9-. ^. t 4 k 31 Total liabilities and net assets/fund balances 62 , 104,676. 14,989,747. AA partlill 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) I1 58,375,583. 2 Enter amount from Part I, line 27a 2 -47,769,980. 3 Other increases not included in line 2 (itemize) ► 4 Add lines 1, 2, and 3 3. line 5 Decreases not included in 2 (itemize) ► SEE STATEMENT 6 4 minus line 5) - 0,548,249. Form 990-PF (2015) 523511 11-24-15 2 )9340227 144198 56883 2015.05050 MEDTRONIC COMMUNITIES FOU 56883 ] Form990-PF 2015 MEDTRONIC 1"ITIES FOUNDATION 10 41-1306950 Page3 Part IVI aptta G ains and Losses for Tax on I nvestment Income SEE ATTACHED STATEMENTS b1 How acquired (c(1 (a) List and describe the kind(s) of property sold (e.g., real estate, (p - Date acquired (d) Date sold Purchase day, yr.) 2-story brick warehouse; or common stock, 200 shs. MLC Co.) D - Donation No., (mo., day, yr.) la b c d e Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (e) Gross sales price (f) (or allowable) plus expense of sale (e) plus (f) minus (g) a b c d e 21,305,399. 1 1 21,299,840. 5,559. Complete only for assets showing gain in column (h) and owned by t he 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 Losses (from col. (h)) (i) F.M.V. as of 12/31/69 as of 12/31/69 over col. (1), if any a b c d e 5,559. 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 5,559. 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). If loss enter -0- in Part I line 8 3 N/A 1,Nar,[ V `1 uuallTlcai l on un de r section 4545 (e) Tor Fieaucea I ax 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? ED Yes X] No If "Yes," the foundation does not qualify under section 4940(e).
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  • United States Bankruptcy Court

    United States Bankruptcy Court

    EXHIBIT A Exhibit A Service List Served as set forth below Description NameAddress Email Method of Service Adversary Parties A Group Of Citizens Westchester Putnam 388 168 Read Ave Tuckahoe, NY 10707-2316 First Class Mail Adversary Parties A Group Of Citizens Westchester Putnam 388 19 Hillcrest Rd Bronxville, NY 10708-4518 First Class Mail Adversary Parties A Group Of Citizens Westchester Putnam 388 39 7Th St New Rochelle, NY 10801-5813 First Class Mail Adversary Parties A Group Of Citizens Westchester Putnam 388 58 Bradford Blvd Yonkers, NY 10710-3638 First Class Mail Adversary Parties A Group Of Citizens Westchester Putnam 388 Po Box 630 Bronxville, NY 10708-0630 First Class Mail Adversary Parties Abraham Lincoln Council Abraham Lincoln Council 144 5231 S 6Th Street Rd Springfield, IL 62703-5143 First Class Mail Adversary Parties Abraham Lincoln Council C/O Dan O'Brien 5231 S 6Th Street Rd Springfield, IL 62703-5143 First Class Mail Adversary Parties Alabama-Florida Cncl 3 6801 W Main St Dothan, AL 36305-6937 First Class Mail Adversary Parties Alameda Cncl 22 1714 Everett St Alameda, CA 94501-1529 First Class Mail Adversary Parties Alamo Area Cncl#583 2226 Nw Military Hwy San Antonio, TX 78213-1833 First Class Mail Adversary Parties All Saints School - St Stephen'S Church Three Rivers Council 578 Po Box 7188 Beaumont, TX 77726-7188 First Class Mail Adversary Parties Allegheny Highlands Cncl 382 50 Hough Hill Rd Falconer, NY 14733-9766 First Class Mail Adversary Parties Aloha Council C/O Matt Hill 421 Puiwa Rd Honolulu, HI 96817 First