GRIBURFDN 11/09/2016 ' Return of Private Foundation 0MBNo 15455052 Form 99 o -P F or Section 4947(a)(1) Trust Treated as Private Foundation 201 5 Depanmem of (he Treasury > Do not enter social security numbers on this form as it may be made public. Internal Revenue Semce D Information about Form 990-PF and its separate instructions is at www.irs.govlform990pf. Opento Public Inspection For calendar year 2015 or tax year beginning 0 7 / O 1 / l 5 , and ending 0 6 / 3 O / 1 6 Name of foundation A Employer Identification number MARY LIVINGSTON GRIGGS AND MARY GRIGGS BURKE FOUNDATION 41-6052355 Number and street (or P 0 box number if mail is not delivered to street address) Room/smte 8 Telephone number (see instnictions) 2221 FORD PARKWAY RM/STE 204 651-348-2630 City or town, state or provmce, country, and ZIP or foreign postal code C If d ch ck h p ST . PAUL MN 5 5 l 1 6 exemption app l ication is pen ing . e ere G Check all that apply D Initial return D Initial return of a former public charity 0 1 Foreign organizations, check here > D Final return [3 Amended refum 2 Foreign organizations meeting the E] Address change E] Name change 85% test, check here and attach computation b H Check type of organization Section 501(c)(3) exempt private foundation E If private foundation status was terminated under section 507(b)(1)(A), check here > B Section 4947(a)(1)nonexempt charitable trust n Othertaxable private foundation DEED l Fair market value of all assets at J Accounting method D Cash D Accrual F If the foundation is in a 60-month termination end-ofyear (from-Partllfcol-(c), 1ormtspeeiw)* -Mo 01-F- ACCRUA'LT # Wise-cumwwmiiaiiachrW*f->-E; 415 line 16) D $ 1 3, 8 5 O, 9 98 (Part I, column (d) must be on cash ba5is) 5 Part I Analysis of Revenue and Expenses (The total of (a) Revenue and I") D'SDursemen's N. 7 amounts in columns (b), (c), and (d) may not necessarily equal expenses per (h) Net investment (c) Adjusmd net for charitable the amounts in column (a) (see instructions) ) b00k5 income income (casrtj'iutrJZZIssonly) .,0 In 1 Contributions, gifts, grants, etc , received (attach schedule) 4 8 , 2 4 4 , 5 5 8 2 Check b B if the foundation is not requued to attach Sch B 3 Interest on savmgs and temporary cash investments 5 3 53 NOV 4 DiVidends and interest from securities 9 9 , 3 9 2 9 9 , 3 9 2 5a Gross rents g, b Net rental income or (loss) 2 Ga Net gain or (loss) from sale of assets not on line 10 l 6 l 3 b Gross sales price for all assets on line 6a 6 , 4 6 3 $(3ANNEU & 7 Capital gain net income (from Part IV, line 2) l 61 8 Net short-term capital gain 0 9 Income modifications 103 Gross sales less returns and allowances Less Cost of goods sold F? 2C FIX; Pt I) .. Gross profit or (loss) (attach schedule) A I ' "-17,; 11 Other income (attach schedule) STMT l 2 , 4 9 9 8 mm 1 I on IR ;1 12 Total.AddIines1through11 48,346,663 929? 60'6" * " UW 10.1 in 13 Compensation of officers, directors, trustees, etc 0 A A n .. , . ZT-k ' 3 14 Other employee salaries and wages b upt- L ' V l S 15 Pen5ion plans, employee benefits 7 9 16a Legalfees(attachschedule) SEE STMT 2 100,000 10,000 90,000 Lg b Accounting fees (attach schedule) STMT 3 30, 700 27 , 630 3 , 070 .3 c Other profeSSionaI fees (attach schedule) g 17 Interest .3 18 Taxes (attach schedule) (see instructions) S TMT 4 7 , 8 7 2 E 19 DepreCIation (attach schedule) and depletion 13 20 Occupancy % 21 Travel, conferences, and meetings g 22 Printing and publications a) 23 Other expenses (att sch) STMT 5 3 , 8 9 9 3 , 8 9 9 g 24 Total operating and administrative expenses. 3% Addlines13through23 142,471 37,630 0 96,969 8- 25 Contributions,gifls,grantspaid SEE STATEMENT 6 37, 700, 196 ' - r - - 37, 700, 196 26 Total expenses and disbursements. Add lines 24 and 25 37 , 8 4 2 , 6 67 37 , 630 0 37 , 7 97 , 1 65 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements 10 , 50 3 , 9 9 6 i 1 ,. b Net investment income (if negative, enter -0-) 6 l , 9 7 6 c Atiusted net income (if negative, enter -0-) i 0 For Paperwork Reduction Act Notice, see instructions. Form 990-PF (2017]) DAA GRIBURFDN 11I09/2016 fForm 990-PF (2015) MARY LIVINGSTON GRIGGS AND MARY 41-6052355 Page2 - Be innin of ear End of ear Rartl-I Balance sheets 23516150930932;323231211;332123237122 f,,,,f,,,1 ,,,,,,,,,,,,,,, y,,,,,,,,,,,,,,,,,, 1 Cash - non-interest-bearing 2 Savmgsandtemporarycashinvestments 1,228,595 7,878,907 7,878,907 3 Accounts receivable F Less allowance for doubtful accounts F 4 Pledges receivable F Less allowance for doubtful accounts F 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disquaIMed persons (attach schedule) (see instructions) 7 Other notes and loans receivable (att schedule) F Less allowance for doubtful accounts F 0 1".- 8 Inventories for sale or use a 9 Prepaid expenses and deferred charges < 10a Investments - U S and state government obligations (attach schedule) b Investments - corporateitock (attach schedule) 5 EE S-TMTi7i 1 124748913 4,41 3 ,-00 9 5 ,55 21,953 c Investments - corporate bonds (attach schedule) SEE STMT 8 34 8 , O 4 4 34 8 , O4 4 4 4 4 , 138 1 1 Investments - land, bmldings, and eqUipment bass F - Less accumulated depreCiation (attach sch ) F 12 Investments - mortgage loans 7 , 2 0 4 1 3 Investments - other (attach schedule) 14 Land, bmldings, and eqmpment bass F Less accumulated depreCIation (attach sch ) F 15 Other assets (describe F SEE STATEMENT 9 ) 182 16 Total assets (to be completed by all filers - see the instructions Also,seepage1,item I) 1,831,918 12,639,960 13,850,998 17 Accounts payable and accrued expenses 7 , 67 5 7 , 67 5 ' 18 Grants payable 9, 996, 714 E 19 Deferred revenue 1% 20 Loans from officers, directors, trustees, and other disqualified persons 3 21 Mortgages and other notes payable (attach schedule) TI 22 Other liabilities (describe F ) 23 Total liabilities (add lines 17 through 22) 1 0 , 00 4 , 38 9 7 , 67 5 Foundations that follow SFAS 117, check here F D a, and complete lines 24 through 26 and lines 30 and 31. E 24 Unrestricted 72' 25 Temporarily restricted g 26 Permanently restricted g Foundations that do not follow SFAS 117, check here > It and complete lines 27 through 31. 3 27 Capital stock, trust principal, or current funds 67 0 , 2 4 7 4 , 8 3 5 , 3 63 E 28 Paid-in or capital surplus, or land, bldg , and equipment fund 2 29 Retained earnings, accumulated income, endowment, or other funds - 8 , 8 4 2 , 7 1 8 7 , 7 9 6 , 92 2 ' a; 30 Total net assets or fund balances (see instructions) - 8 , 17 2 , 4 7 1 1 2 , 632 , 2 8 5 z 31 Total liabilities and net assets/fund balances (see - instructions) 1,831,918 12,639,960 Part III 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 hgure reported on prior year's return) 1 - 8 , 1 7 2 , 4 7 1 2 Enter amount from Part I, line 27a 2 1 0 , 503 , 99 6 3 Other increases not included in line 2 (itemize) F SEE STATEMENT 10 3 10, 300, 760 4 Addlines1,2,and3 4 12,632,285 5 Decreases not included in line 2 (itemize) F 5 6 Total net assets or fund balances at end oLyear mne 4 minus line 5) - Part II, column (b), line 30 6 l 2 , 632 , 2 8 5 Form 990-PF (2015) DAA GRIBURFDN 11l09I2016 'Form 990-PF(2015) MARY LIVINGSTON GRIGGS AND MARY 41-6052355 Pag3 Part IV Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold (e g , real estate, (b) How acquir ed (c) Date aoquued (d) Date sold 2-story brick warehouse, or common stock, 200 shs MLC Co ) PDZ P02213233; (mo , day, yr ) (mo , day, yr ) 1a GNMA SECURITIES P b C d e eeeneeeeeeeee ("07221212st (21.20;;5102222275 (31.5311151221, a 6 , 4 6 3 6 , 3 O 2 1 6 l b C d e Complete only for assets showmg gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus (1) Adjusted baSlS (k) Excess of col (i) col (k), but not less than -0-) or (i) F M V as of 12/31/69 as of 1231/69 over col (1), ifany Losses (from col (h)) 161 (DQOD'ID If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) +7 If (loss), enter -0- in Part I, line 7 161 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 I 5 Part V 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 ) lf 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? D 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 Base peggd years (b) (c) DISIFIDIIIIOH ratio Calendar year (or tax year beginning in) Adjusted qualifying distributions Net value of noncharitabIe-use assets (col (b) dwided by 00, (CJ) 2014 31,841,439 22,936,649 1.388234 2013 1,230,157 29,251,981 0.042054 2012 1,426,456 25,905,383 0.055064 2011 1,047,685 22,922,492 0.045706 2010 914,765 21,747,089 0.042064 2 Totalofline1,column(d) 2 1.573122 3 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 3 O .