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EFTA01378847

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Form 990-PF (2015) Part VI Page 4 Exdse Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions) la Exempt operating foundations described in section 4940(d)(2), check here ► and enter "N/A" on line 1 Date of ruling or determination letter r (attach copy of letter if necessary—see instructions) b Domestic foundations that meet the section 4940(e) requirements in Part V, check here ► rand enter 1% of Part I, Irne 27b 1 87 All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, col (b) 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 2 3 Add lines 1 and 2 3 87 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0- ) 4 5 Tax based on Investment Income.Subtract line 4 from line 3 If zero or less, enter -0- 5 137 6 a b C redits/Payments 2015 estimated tax payments and 2014 overpayment credited to 2015 Exempt foreign organizations —tax withheld at source 6a 6b d Tax paid with application for extension of time to file (Form 8$68). . . Backup withholding erroneously withheld 6c 200 6d Total credits and payments Add lines 6a through 6d 7 200 8 Enter any penalty for underpayment of estimated tax Check here r if Form 22201 attached 8 9 Tax due.l f the total of lines 5 and 8 is more than line 7, enter amount owed ► 9 10 Overpayment.l f line 7 is more than the total of lines 5 and 8, enter the amount overpaid. . . ► 10 113 11 Enter the amount of line 10 to be credited to 2015 estimated tax ► 113 Refunded ► 11 Part VII -A Statements Regarding Activities la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign? Yes No la No b Did it spend more than 5100 during the year (either dir

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