extended to december 15, 2015 return of private foundation...
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EXTENDED TO DECEMBER 15, 2015
990-PFReturn of Private Foundation
Fogm or Section 4947( a)(1) Trust Treated as Private Foundation
Department of the Treasury 11110- Do not enter social security numbers on this form as it may be made public.
Internal Revenue Service lll^ Information about Form 990-PF and its separate instructions is at www.irs.gov/form
MB No 1545-0052
2014For calendar Year 2014 or tax year beninnino MAY 1 . 2014 . and ending APR 30. 2015
U-
C-LiC
CU.
Name of foundation A Employer identification number
NATHAN M OHRBACH FOUNDATION 13-6111585Number and street (or P 0 box number if mail is not delivered to street address) Room/swte B Telephone number
5101 HARRISON GRADE ROAD 7 07 ) 874-1004City or town, state or province, country, and ZIP or foreign postal code C If exemption application is pending, check here
SEBASTOPOL CA 95472G Check all that apply: 0 Initial return 0 Initial return of a former public charity D 1. Foreign organizations, check here _
Final return Amended return
02. Foreign organizations meeting the 85% test,
0Address chan g e Name chan g e check here and attach computation ►
H Check type of organization: ® Section 501(c)(3) exempt private foundation E If private foundation status was terminated0 Section 4947 ( a )( 1 ) nonexemp t charitable trust 0 Other taxable p rivate foundation under section 507(b)(1)(A), check here
I Fair market value of all assets at end of year J Accounting method: ® Cash 0 Accrual F If the foundation is in a 60-month termination(from Part ll, col (c), line 16) = Other (specify) under section 507(b)(1)(B), check here .
$ 1 0 4 4 8 5 8 . (Part 1, column (d) must be on cash basis)
Part I Analysis of Revenue and Expenses (a) Revenue and (b) Net investment (c) Adlusted net (d) Disbursements(The total of amounts in columns (b), (c), and (d) may notnecessarily equal the amounts in column (a)) exp enses p er books income income
for charitable purposes(cash basis only)
1 Contributions, gifts, grants, etc., received N/A
2 Check ® If the foundation is not required to attach Sch B
Interest on savings and temporary3 cash investments
4 Dividends and interest from securities 25 , 110. 2-5 , 110. STATEMENT 15a Gross rents
b Net rental income or (loss)
Q 6a Net gain or (loss) from sale of assets not on line 10 75 , 740.7 Gross sales price for all
b assets on line ea 1,315,356.d 7 Capital gain net income (from Part IV, line 2) 75 740.
8 Net short-term capital gain
9 Income modifications cv) cnGross sales less returns
10a and allowancesy... f 0
b Less Cost of goods sold
c Gross profit or (loss)
11 Other income
12 Total. Add lines 1 throu g h 11 100 , 850. 100 850 .
13 Compensation of officers, directors , trustees , etc 0. 0 . 0.
14 Other employee salaries and wages
15 Pension plans, employee benefitsN
y 16a Legal fees
a b Accounting fees
W c Other professional fees STMT 2 18 , 731. 9 , 531. 0.17 Interest
18 Taxes STMT 3 1 , 284. 309. 0.19 Depreciation and depletion
E 20 OccupancyV< 21 Travel, conferences, and meetings
r- 22 Printing and publications
c 23 Other expenses STMT 4 726. 0. 0.M 24 Total operating and administrative
o, expenses . Add lines 13 through 23 20 , 741. 9 , 840. 0.
j 25 Contributions, gifts, grants paid 90 , 000. 90 , 000.26 Total expenses and disbursements
Add lines 24 and 25 110 , 741. 9 , 840. 90 , 000.27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements <9 8 9 1 .
b Net investment income (if negative , enter -0 -) 91 010.c Adjusted net income (if negative , enter -0- N /A
42350111.24-14 LHA For Paperwork Reduction Act Notice . see instructions . . /11\ .. Form 990-PF (20141
1 10 VIJ09181112 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDA ION 31440_1
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Balance Sheets Attlchedschedules and amounts in the description Beginning of year End of yearPart II column should be for end -of-year amounts only (a) Book Value (b) Book Value (c) Fair Market Value
1 Cash - non-interest-bearing
2 Savings and temporary cash investments 16 , 032. 13 , 416. 13 , 416.3 Accounts receivable ►
Less: allowance for doubtful accounts ►4 Pledges receivable ►
Less: allowance for doubtful accounts ►5 Grants receivable
6 Receivables due from officers, directors, trustees, and other
disqualified persons
7 Other notes and loans receivable ►
Less: allowance for doubtful accounts ►0 8 Inventories for sale or use
9 Prepaid expenses and deferred charges
< 10a Investments - U.S. and state government obligations
b Investments - corporate stock STMT 5 912 , 021. 904 , 780 . 978 , 192.c Investments - corporate bonds STMT 6 46 , 250. 46 , 250. 53 , 250.
11 Investments - land,buddings , andequipment basis ►
Less accumulated depreciation ►
12 Investments - mortgage loans
13 Investments - other
14 Land, buildings, and equipment: basis ►Less accumulated depreciation ►
15 Other assets (describe ►16 Total assets (to be completed by all filers - see the
instructions. Also , see p a Q e 1 , item I 974 , 303. 964 , 446. 1 , 044 , 858.17 Accounts payable and accrued expenses
18 Grants payable
19 Deferred revenue
20 Loans from officers, directors, trustees, and other disqualified persons
0 21 Mortgages and other notes payable
J 22 Other liabilities (describe ►
23 Total liabilities ( add lines 17 throw h 22 ) 0. 0.
Foundations thatfollow SFAS 117, check here ►and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted
m 25 Temporarily restricted
m 26 Permanently restricted
C Foundations that do not follow SFAS 117, check here ►LL and complete lines 27 through 31.
N 27 Capital stock, trust principal, or current funds 999 , 079. 999 , 113.28 Paid-in or capital surplus, or land, bldg., and equipment fund 0. 0.
< 29 Retained earnings, accumulated income, endowment, or other funds <24 , 776 . <34 , 667 .Z 30 Total net assets or fund balances 974 , 303. 964 , 446.
31 Total liabilities and net assets/fund balances 974 , 303. 964 , 446.
Part III Analysis of Changes in Net Assets or Fund Balances
I 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 ) _ . _ 1 974 , 303 .
2 Enter amount from Part I, line 27a 2 <9 , 891 . >
3 Other increases not included in line 2 ( Itemize ) ► ADJUSTMENT TO TRUST PRINCIPAL 3 34.4 Add lines 1 , 2, and 3 4 964 , 446.5 Decreases not included in line 2 ( itemize) ► 5 0 .
6 Total net assets or fund balances at end of year ( line 4 minus line 5 ) - Part I I column ( b ), line 30 6 964 , 446 .Form 990-PF (2014)
42351111-24-14
315241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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Form 990-PF (2014) NATHAN M OHRBACH FOUNDATION 13-6111585 Page 3Part IV Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,2-story brick warehouse; or common stock, 200 shs. MLC Co. )
(b How acquired
D - DonationPurchase
(c) Date acquired(mo., day, yr.)
(d) Date sold(mo., day, yr.)
la FIDELITY - ST TRADES ( SEE STMT 8 ) P VARIOUS VARIOUSb FIDELITY - ST TRADES ( SEE STMT 8 ) P VARIOUS VARIOUSc CAPITAL GAINS DIVIDENDSd
e
(e) Gross sales price (f) Depreciation allowed(or allowable)
(g) Cost or other basisplus expense of sale
(h) Gain or (loss)(e) plus (f) minus (g)
a 924 185. 905 601. 18 , 584.b 391 019. 334 015. 57 , 004.c 152. 152.d
eComplete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus
(I) F.M.V. as of 12/31/69(j) Adjusted basisas of 12/31/69
(k) Excess of col. (i)over col. (f), if any
col. (k), but not less than -0-) orLosses (from col. (h))
a 18 , 584.b 57 , 004.c 152.d
e
2If gain, also enter in Part I, line 7
Capital gain net income or (net capital loss) If (loss), enter -0- in Part I, line 7 2 75 , 740.
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
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.)
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? Yes ® No
It '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 periiod yearsCalendar year ( or tax year beginning in ) Adjusted (b)qualifying distributions (c)Net value of noncharitable-use assets
Distribution ratio(col. (b) divided by col. (c))
2013 76 , 783. 1 , 086 , 658. .0706602012 62 , 312. 1 , 049 , 086. .0593962011 10 , 000. 1 , 055 , 945. .0094702010 62 912. 1 , 067 , 228. .0589492009 63 015. 1 , 114 , 704. .056531
2 Total of line 1, column (d) 2 . 2 5 5 0 0 63 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5,
the foundation has been in existence if less than 5 years
or by the number of years
_ 3 .051001
4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5 4 1 , 083 , 775.
5 Multiply line 4 by line 3 5 55 , 274.
6 Enter 1% of net investment income (1% of Part I, line 27b) . . 6 910.
7 Add lines 5 and 6 7 56 , 184.
8 Enter qualifying distributions from Part XII, line 4 _ 8 90 , 000.
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate.See the Part VI instructions.
423521 11-24-14 Form 990-PF (2014)
415241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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Form 990-PF (2014) NATHAN M OHRBACH FOUNDATION 13-6111585 Paoe 4Part VI Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see 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: ( attach copy of letter if necessary-see instructions)
b Domestic foundations that meet the section 4940 ( e) requirements in Part V , check here ►® and enter 1% 1 910.
of Part I , line 27b
c 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 0.
3 Add lines 1 and 2 3 910.
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- 5 910.
6 Credits/Payments:
a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a
b Exempt foreign organizations - tax withheld at source 6b
c Tax paid with application for extension of time to file ( Form 8868) 6c
d 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 0 if Form 2220 is attached 8 16.
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed ► 9 92610 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10
11 Enter the amount of line 10 to be: Credited to 2015 estimated tax 00- Refunded Do- 11Part 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 Yes No
any political campaign? - la X
b Did it spend more than $100 during the year (either directly or indirectly ) for political purposes ( see instructions for the definition)? lb X
If the answer is "Yes" to la or lb, attach a detailed description of the activities and copies of any materials published or
distributed by the foundation in connection with the activities.
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. Jo. $ 0.
e Enter the reimbursement ( if any) paid by the foundation during the year for political expenditure tax imposed on foundation
managers. ► $ 0.2 Has the foundation engaged in any activities that have not previously been reported to the IRS7 2 X
If "Yes," attach a detailed description of the activities
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 instruments9 If "Yes, " attach a conformed copy of the changes 3 X
4a Did the foundation have unrelated business gross income of $ 1,000 or more during the year2 4a X
b If "Yes; has it filed a tax return on Form 990 -T for this years N/A 4b
5 Was there a liquidation , 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 ( e) (relating to sections 4941 through 4945 ) satisfied either:
• By language in the governing instrument, or
• 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 ll, col (c), and Part XV 7 X
8a Enter the states to which the foundation reports or with which it is registered (see instructions) ►NY
b If the answer is "Yes' to line 7, has the foundation furnished a copy of Form 990 - PF to the Attorney General ( or designate)
of each state as required by General Instruction G2 If "No," attach explanation - 8b X
9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(l)(3) or 4942 ( l)(5) for calendar
year 2014 or the taxable year beginning in 2014 (see instructions for Part XIV)? If "Yes," complete Part XIV 9 X
10 Did any oersons become substantial contributors during the tax year? If "Yes." attach a schedule listina their names and addresses 10 X
42353111-24-14
15241111 755495 31440
Form 990-PF (2014)
52014.05000 NATHAN M OHRBACH FOUNDATION 314401
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orm 990-PF 2014 NATHAN M OHRBACH FOUNDATION 13-6111585 Pag e 5Part VII-A Statements Regarding Activities (continued)
11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of
section 512(b)(13)7 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 privileges?
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
Website address ► N/A14 The books are in care of ► CARYL E . HART Telephone no. ► ( 707 ) 874-1004
Located at ► 5101 HARRISON GRADE ROAD, SEBASTOPOL, CA ZIP+4 ►9 5 4 7 215 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here ►0
and enter the amount of tax-exempt interest received or accrued during the year ► 15 N/A
16 At any time during calendar year 2014, did the foundation have an interest in or a signature or other authority over a bank, Yes No
securities, or other financial account in a foreign country? 16 X
See the instructions for exceptions and filing requirements for FinCEN Form 114, (formerly TD F 90-22.1). If "Yes," enter the name of the
forei g n country
Part VII-B Statements Regarding Activities 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
la During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? El Yes ® No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? = Yes ®No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? 0 Yes ® No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ED 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)? 0 Yes ® No
(6) Agree to pay money or property to a government official? ( Exception Check "No"
if the foundation agreed to make a grant to or to employ the official for a period after
termination of government service, if terminating within 90 days.) 0 Yes ® No
b If any answer is "Yes" to la(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941 ( d)-3 or in a current notice regarding disaster assistance (see instructions)? N/A
Organizations relying on a current notice regarding disaster assistance check here ►0c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected
before the first day of the tax year beginning in 2014?
Taxes on failure to distribute income (section 4942) ( does not apply for years the foundation was a private operating foundation
defined in section 4942 ( f)(3) or 4942 ( 1)(5)):
a At the end of tax year 2014 , did the foundation have any undistributed income ( lines 6d and 6e, Part XI I I) for tax year(s) beginning
before 2014? = Yes ® No
If 'Yes,' list the years ►b Are there any years listed in 2a for which the foundation is not applying the provisions 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 .) N/A 2b
c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time
during the year? Yes ® No
b If 'Yes,' did it have excess business holdings in 2014 as a result of ( 1) any purchase by the foundation or disqualified persons after
May 26 , 1969; (2 ) the lapse of the 5-year period ( or longer period approved by the Commissioner under section 4943( c)(7)) to dispose
of holdings acquired by gift or bequest; or (3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C,
Form 4720, to determine if the foundation had excess business holdings in 2014 ) - N/A 3b
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? -. 4a X
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that
had not been removed from jeo p ard y before the first day of the tax year be g innin g in 2014? 4b XForm 990-PF (2014)
42354111-24-14
615241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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Part VII-B I Statements Regardinq Activities for Which Form 4720 May Be Required (continued)
6a During the year did the foundation pay or incur any amount to:
(1) Carry on propaganda, or otherwise attempt to influence legislation ( section 4945 (e))? E]Yes ® No
(2) Influence the outcome of any specific public election ( see section 4955 ); or to carry on, directly or indirectly,
any voter registration dnve7 E:]Yes ® No
(3) Provide a grant to an individual for travel, study , or other similar purposes9 E:]Yes ® No
(4) Provide a grant to an organization other than a charitable , etc., organization described in section
4945(d)(4)(A)7 ( see instructions ) 0 Yes ® No
(5) Provide for any purpose other than religious , charitable, scientific , literary, or educational purposes, or for
the prevention of cruelty to children or animals? El Yes ® No
b If any answer is 'Yes' to 5a ( 1)-(5), did any of the transactions fail to quality under the exceptions described in Regulations
section 53.4945 or in a current notice regarding disaster assistance ( see instructions)9 N/A 5b
Organizations relying on a current notice regarding disaster assistance check here ►0c If the answer is 'Yes' to question 5a ( 4), does the foundation claim exemption from the tax because it maintained
expenditure responsibility for the grant? N/A Yes 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 contract9 0 Yes ® 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? 0 Yes ® No
b If 'Yes , " did the foundation receive an y p roceeds or have any net income attributable to the transaction9 N /A 7b
Part VIII I Information About Officers, Directors, Trustees, Foundation Managers, HighlyPaid Employees, and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation.
(a) Name and address(b) Title, and average
hours per week devotedto position
(c) CompensationIf not aid ,( penter - 0
(dContnbubons toemployee benefit plans
and deferredcompensation
(e) Expenseaccount, otherallowances
CARYL E. HART RESIDENT & DIRECTOR5101 HARRISON GRADE ROADSEBASTOPOL , CA 95472 1.00 0. 0. 0.SUSAN K. OHRBACH SECRETARY & DIRECTOR20111 MAYALL STCHATSWORTH , CA 91311 0.50 0. 0. 0.BARBARA KENEDY MARTIN TREASURER & DIRECTOR4 CASTELLMAIN ROADLONDON , UNITED KINGDOM W9 1E2 0.50 0. 0. 0.JEREMY STANTON DIRECTOR2260 HILLSBORO AVE.LOS ANGELES , CA 90034 0.50 0. 0. 0.2 Comnensatron of five highest-nail emnlnvees (other than those included on Tine 11 If none- enter "NONE"
(a) Name and address of each employee paid more than $50,000(b) Title, and average
hours per weekdevoted to position
(c) Compensation( d) Contributions toemp ands efe re plans
compensation
(e) Expenseaccount, otherallowances
NONE
Total number of other employees paid over $50,000 ► 1 0Form 990-PF (2014)
42355111-24-14
715241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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Form 990-PF 2014 NATHAN M OHRBACH FOUNDATION 13-6111585 Pa e 7Part VIII Information About Officers , Directors , Trustees , Foundation Managers, Highly
Paid Employees, and Contractors (continued)
3 Five highest-paid independent contractors for professional services . If none, enter " NONE."
(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
NONE
Total number of others receivin g over $50 , 000 for p rofessional services _ ► 0
Part IX-A Summary of Direct Charitable Activities
List the foundation's four largest direct charitable activities during the tax year. Include relevant statistical information such as thenumber of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
1 N/A
2
3
4
I Part IX- B I Summary of Program - Related InvestmentsDescribe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
1 N /A
2
All other program-related investments. See instructions.
3
Total . Add lines 1 throu gh 3 ► 0.
Form 990-PF (2014)
42356111-24-14
815241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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Form 990-PF 2014 NATHAN M OHRBACH FOUNDATION 13-6111585 Page 8
Part XMinimum 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 la 1 , 074 , 896.b Average of monthly cash balances lb 25 , 383.
c Fair market value of all other assets 1c
d Total (add lines la, b, and c) 1d 1 , 100 , 279 .
e Reduction claimed for blockage or other factors reported on lines la and
1c (attach detailed explanation) le 0.
2 Acquisition indebtedness applicable to line 1 assets 2 0 .
3 Subtract line 2 from line 1 d 3 1 , 100 , 279 .
4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) 4 16 , 504 .
5 Net value of noncharitable - use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4 5 1 , 083 , 775 .
6 Minimum investment return . Enter 5% of line 5 6 54 , 189 .
Part XI Distributable Amount (see instructions) (Section 4942(l)(3) and (1)(5) private operating foundations and certain
foreign organizations check here ► and do not complete this part.)
1 Minimum investment return from Part X, line 6
2a Tax on investment income for 2014 from Part VI, line 5 2a
b Income tax for 2014. (This does not include the tax from Part VI.) 2b
c Add lines 2a and 2b
3 Distributable amount before adjustments. Subtract line 2c from line 1
4 Recoveries of amounts treated as qualifying distributions
54,189.
10.
5 Add lines 3 and 4 5 53 , 279.6 Deduction from distributable amount (see instructions) 6 0.
7 Distributable amount as ad j usted. Subtract line 6 from line 5. Enter here and on Part XIII , line 1 53 , 279.Part XII Qualifying Distributions (see instructions)
1
a
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26 is 90 , 000.b Program-related investments - total from Part IX-B lb 0.
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes 2
3
a
Amounts set aside for specific charitable projects that satisfy the:
Suitability test (prior IRS approval required) 3a
b Cash distribution test (attach the required schedule) 3b
4 Qualifying distributions Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 4 90 , 000.
5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b 5 910.6 Adjusted qualifying distributions Subtract line 5 from line 4 6 89 , 090.
Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation
4940(e) reduction of tax in those years.
qualifie s for the section
Form 990-PF (2014)
42357111-24-14
915241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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Form 990-PF (2014) NATHAN M OHRBACH FOUNDATION 13-6111585 Page 9
Part XIII Undistributed Income (see instructions)
1 Distributable amount for 2014 from Part XI,
line 7
2 Undistributed income , if any, as of the end of 2014
a Enter amount for 2013 only
b Total for prior years:
3 Excess distributions carryover, if any, to 2014:
a From 2009 9 , 250.
b From 2010 9 , 727.
c From 2011
dFrom 2012 10 , 634.eFrom 2013 23 , 884.f Total of lines 3a through e
4 Qualifying distributions for 2014 from
Part Xl 1, line 4: ► $ 90,000.
a Applied to 2013, but not more than line 2a
b Applied to undistributed income of prior
years (Election required - see instructions)
c Treated as distributions out of corpus
(Election required - see instructions)
d Applied to 2014 distributable amount
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2014(if an amount appears in column (d), the same amount
must be shown in column (a) )
6 Enter the net total of each column asindicated below:
a Corpus Add lines 3f, 4c, and 4e Subtract line 5
b Prior years' undistributed income. Subtract
line 4b from line 2b
c Enter the amount of prior years'undistributed income for which a notice ofdeficiency has been issued, or on whichthe section 4942(a) tax has been previouslyassessed
d Subtract line 6c from line 6b. Taxable
amount - see instructions
e Undistributed income for 2013. Subtract line
4a from line 2a. Taxable amount - see instr.
f Undistributed income for 2014. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2015
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election
may be required - see instructions)
8 Excess distributions carryover from 2009
not applied on line 5 or line 7
9 Excess distributions carryover to 2015.
Subtract lines 7 and 8 from line 6a
10 Analysis of line 9:
a Excess from 2010 9 , 727.
b Excess from 2011
c Excess from 2012 10 , 634 .
d Excess from 2013 23 , 884.e Excess from 2014 36 , 721.
11-24-14
(a) (b) (c) (d)Corpus Years prior to 2013 2013 2014
53 , 279.
0.
0.
53 , 495.
0.
0.
0.53 , 279.
6 , 721.0. 0.
90,216.
0.
0.
Form 990-PF (2014)10
15241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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Form 990-PF 2014 NATHAN M OHRBACH FOUNDATION 13-6111585 Page 10Part XIV Private Operating Foundations (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 ruling is effective for 2014, enter the date of the ruling _ _ ►b Check box to indicate whether the foundation is a p rivate o eratm g foundation described in section 0 4942 (j)( 3 ) or 4942(1)(5)
2 a Enter the lesser of the adjusted net Tax year Prior 3 years
income from Part I or the minimum (a) 2014 (b) 2013 (c) 2012 (d) 2011 (e) Total
investment return from Part X for
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 activities
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c3 Complete 3a, b, or c for the
alternative test relied upon:a 'Assets* alternative test - enter:
(1) Value of all assets
(2) Value of assets qualifyingunder section 4942(i)(3)(B)(i)
b "Endowment" alternative test - enter2/3 of minimum investment returnshown in Part X, line 6 for each yearlisted
c "Support" alternative test - enter:
(1) Total support other than grossinvestment income (interest,dividends, rents, payments onsecurities loans (section512(a)(5)), or royalties)
(2) Support from general publicand 5 or more exemptorganizations as provided insection 4942(I)(3)(B)(ni)
(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 assetsat 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 taxyear (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
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 orother entity) of which the foundation has a 10% or greater interest.
NONE
2 Information Regarding Contribution, Grant , Gift, Loan, Scholarship, etc., Programs:Check here ► if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. Ifthe foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d.
a The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
SEE STATEMENT 7b The form in which applications should be submitted and information and materials they should include:
c Any submission deadlines:
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:
423801 11-24-14 Form 990-PF (2014)11
15241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 31440__1
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Information
3 Grants and Contributions Paid Durina the Year or Aooroved for Future Payment
Recipient If recipient is an individual,show any relationship to Foundation Purpose of grant or
Name and address (home or business) any foundation manageror substantial contributor
status ofrecipient
contribution Amount
a Paid dung the year
SEE ATTACHED STATEMENT 9 ONE
90 000.
Total ► 3a 90 000 ,
b Approved for future payment
NONE
Total ► 3b 1 0.
Form 990-PF (2014)42381111-24-14
1215241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 31440
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Form 990-PF (2014) NATHAN M OHRBACH FOUNDATION 13-6111585 Page 12
Part XVI -A Analysis of Income -Producing Activities
Enter
1 Pro
a
b
c
d
e
9
2 Me
3 Int
Inv
4 Div
5 Ne t
a
b
6 Ne t
pro
7 Ot
8 Gal
tha
9 Ne t
10 Gr
11 Ot
a
b
c
d
e
12 Su
ross amounts unless otherwise indicated Unrelate d business income Excluded by section 512, 513, or 514 (e).
gram service revenue:
(a)Businesscode
(b)Amount
E(cr„-
ode
(d)Amount
Related or exemptfunction income
Fees and contracts from government agencies
mbership dues and assessments
rest on savings and temporary cash
estments
idends and interest from securities 14 25 , 110.rental income or (loss) from real estate:
Debt-financed property
Not debt-financed property
rental income or (loss) from personal
perty
er investment income
n or (loss) from sales of assets other
n inventory 18 75 , 740.income or (loss) from special events
ss profit or (loss) from sales of inventory
er revenue:
btotal Add columns (b), (d), and (e) 0. 1 100 , 850.
g
B
t
t
o
h
t
o
h
1 0.
13 Total Add line 12, columns (b), (d), and (e) 13 100 , 8 5 0 .
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes
1315241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
11324114 Form 990-PF (2014)
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Form 990-PF 2014 NATHAN M OHRBACH FOUNDATION 13-6111585 Pag e 13Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of Yes No
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 la(l) X
(2) Other assets la ( 2 ) X
b Other transactions.
(1) Sales of assets to a noncharitable exempt organization 1b 1 X
(2) Purchases of assets from a noncharitable exempt organization lb ( 2 ) X
(3) Rental of facilities, equipment, or other assets 1b 3 X
(4) Reimbursement arrangements 1b 4 X
(5) Loans or loan guarantees 1b 5 X
(6) Performance of services or membership or fundraising solicitations 1b 6 X
Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1c X
If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value of the goods, other assets,
or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, show in
(a) Name of organization (b) Type of organization (c) Description of relationship
N/A
SignHere
aid
Under penalties of ertury, I declare at I have mined this return , including accompanying schedules and statements , and to the best of my knowle e
and belief , it rue act , pieta D on of preparer (other than taxpayer ) isMa the IRS discuss this
Sign at fflcer ustee Date
ype preparer's name Preparer' s signature
RADOSLAV SIMEONOV
15241111
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? 0 Yes ® No
b If "Yes," complete the following schedule.
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NATHAN.M OHRBACH FOUNDATION 13-6111585
FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 1
SOURCE
FIDELITY -DIVIDENDSFIDELITY -INETEREST
TO PART I, LINE 4
CAPITAL (A) (B) (C)GROSS GAINS REVENUE NET INVEST- ADJUSTEDAMOUNT DIVIDENDS PER BOOKS MENT INCOME NET INCOME
25,261. 152. 25,109. 25,109.
1. 0. 1. 1.
25,262. 152. 25,110. 25,110.
FORM 990-PF OTHER PROFESSIONAL FEES STATEMENT 2
(A) (B)EXPENSES NET INVEST-
DESCRIPTION PER BOOKS MENT INCOME
BAKER AVE. ASSETMANAGEMENT - ADVISORY FEESTAX PREPARATION &ACCOUNTINGMICHELLE WHITMAN -ADMINISTRATIVE FEE
9,531.
3,200.
6,000.
TO FORM 990-PF, PG 1, LN 16C 18,731.
9,531.
0.
0.
9,531.
(C)ADJUSTEDNET INCOME
(D)CHARITABLEPURPOSES
0.
0.
0.
0.
FORM 990-PF TAXES STATEMENT 3
(A) (B)EXPENSES NET INVEST-
DESCRIPTION PER BOOKS MENT INCOME
FOREIGN TAXES WITHELD ONDIVIDEND INCOMENY STATE EXCISE TAXFEDERAL EXCISE TAX
TO FORM 990-PF, PG 1, LN 18
309.250.725.
1,284.
309.0.0.
309.
(C)ADJUSTED
NET INCOME
(D)CHARITABLEPURPOSES
0.0.0.
0.
18 STATEMENT(S) 1, 2, 315241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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NATHAN.M OHRBACH FOUNDATION 13-6111585
FORM 990-PF OTHER EXPENSES STATEMENT 4
(A) (B) (C) (D)EXPENSES NET INVEST- ADJUSTED CHARITABLE
DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES
OFFICE EXPENSESBANK SERVICE CHARGES
TO FORM 990-PF, PG 1, LN 23
699.27.
726.
0.0.
0. 0.
FORM 990-PF CORPORATE STOCK
FAIR MARKETBOOK VALUE VALUEDESCRIPTION
FIDELITY INVESTMENTS PORTFOLIO
TOTAL TO FORM 990-PF, PART II, LINE 10B
904,780.
904,780.
FORM 990-PF CORPORATE BONDS
DESCRIPTION
FIDELITY INVESTMENTS PORTFOLIO
TOTAL TO FORM 990-PF , PART II, LINE 10C
0.0.
STATEMENT 5
978,192.
978,192.
STATEMENT 6
46,250. 53,250.
FAIR MARKETBOOK VALUE VALUE
46,250 . 53,250.
19 STATEMENT(S) 4, 5, 615241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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NATHAN M OHRBACH FOUNDATION 13-6111585
FORM 990-PF GRANT APPLICATION SUBMISSION INFORMATION STATEMENT 7PART XV, LINES 2A THROUGH 2D
NAME AND ADDRESS OF PERSON TO WHOM APPLICATIONS SHOULD BE SUBMITTED
CARYL E. HART, NATHAN M OHRABCH FOUNDATION, INC.5101 HARRISON GRADE ROADSEBASTOPOL, CA 95472
TELEPHONE NUMBER
(707) 874-1004
FORM AND CONTENT OF APPLICATIONS
REQUESTS FOR CONTRIBUTIONS HAVE TO BE MADE IN WRITING AND MUST INCLUDE THEFOLLOWING:
- PROOF OF I.R.S. QUALIFIED EXEMPT STATUS- STATEMENT OF CHARITABLE PURPOSE- PROPOSED USE OF FUNDS- COMPLETE RECENT FINANCIAL STATMENTS
ANY SUBMISSION DEADLINES
SUBMISSIONS ARE ACCEPTED AT ANY TIME
RESTRICTIONS AND LIMITATIONS ON AWARDS
CONTRIBUTIONS ARE ONLY MADE TO ORGANIZATIONS WITH INTERNAL REVENUE SERVICEQUALIFIED EXEMPT STATUS.
CONTRIBUTIONS ARE MADE TO ORGANIZATIONS IN THE FOLLOWING FIELDS:
- EDUCATIONAL ORGANIZATIONS- ENVIRONMENTAL ORGANIZATIONS- COMMUNITY DEVELOPMENT ORGANIZATIONS- YOUTH ORGANIZATIONS- PHILANTHROPIC ORGANIZATIONS- MEDICAL RESEARCH ORGANIZATIONS- CULTURAL ORGANIZATIONS
20 STATEMENT (S) 715241111 755495 31440 2014.05000 NATHAN M OHRBACH FOUNDATION 314401
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CAPITAL GAINS AND LOSSES
NATHAN M OHRBACH FOUNDATION
FIDELITY INVETSMENTS ACCOUNT -0664
DATE OF GAIN OR
DESCRIPTION OTY PURCHASE DATE OF SALE PROCEEDS COSTS (LOSS) LONG TERM SHORT TERM
ABBVIE INC 190 03106114 10122114 10.856 9950 906
ADOBE SYS. INC 110 03106/14 09104/14 7 973 7,597 376
ADVANCED MICRO DEV 2 090 12/10/13 08114114 8.587 8 092 495
APPLE, INC 20 09/04/14 11/19/14 2.297 1,970 327
APPLIED MATERIALS INC 450 12/20/13 05/13/14 8.575 7,746 829
ATMEL CORP 970 03/06/14 09104/14 8 633 7945 688
BEST BUY, INC 190 01/21/14 06/26114 5 768 4,663 1.105
CATERPILLAR. INC 40 09/04/14 11/11/14 4.090 4,349 (259)
CHICAGO BRIDGE & IRON 120 03/06114 08114/14 6 949 10,225 (3,276)
FIRST SOLAR INC 70 10/04113 09104114 5.059 3098 1,961
FIRST TR TRADELPHA FO II EUROP FEP 1 050 04124114 08127/14 34,492 37,055 (2 563)
FLOWSERVE CORP 120 01/16/14 10/10/14 7.751 9,279 (1,528)
FMC CORP NEW 100 01/16114 10/22/14 5867 7,601 (1,734)
FOOTLOCKER INC 170 VARIOUS 10/22/14 9.342 7,329 2,013
GENERAL MOTORS CO COM 310 11/05/14 11/11/14 9,707 9,519 188HONEYWELL INTL 40 08/29/14 12/29114 4,063 3 803 260(SHARES EMERGING MKTS HIGH YILED 360 09/04114 12/23/14 17.113 18750 (1637)
(SHARES JP MORGAN EMERGING MKTS S80 140 08/20/14 12123114 15,580 16 032 (452)
ISHARES LATIN AMERICA 40 ETF 400 08/27/14 10/31/14 14 628 16 728 (2,100)
ISHARES RUSSELL 2000 ETF 170 09/10113 08/27114 19 813 17 808 2,005ISHARES S&P 100 ETF 140 10/07/14 11/20/14 12 781 12 228 553ISHARES TIPS BOND ETF 140 06/20114 11/04/14 15,835 16 037 (202)ISHARES TRUST INTL INFLATION-LKD BD ETF 340 06/20114 11/04/14 15 657 16561 (904)
ISHARES TRUST MSCI EUROPE FINSLS ETF 500 08/01113 05/13114 12,850 11 005 1,845JUNIPER NETWORKS INC 210 02/24/14 07/23/14 4 677 5843 (1,166)
LAZARD LTD COM CLASSA 170 12/10/13 09/23/14 8,796 7.351 1,445
MERCKB CO, INC 180 01/18/14 11111/14 10695 9452 1,243
MGIC INVST CORP 890 12/10113 09/04114 7 388 7,542 (154)
NESTLE SA SPON ADR 100 11/05/14 11/19114 7,482 7,313 169
NORFOLK SOUTHERN CORP 80 02/10/14 09104/14 8,703 7446 1,257
NOW, INC - CASH IN LIEU 0 06/05114 08/05/14 17 15 2
OMNICOM GROUP 130 01/16/14 08/14/14 9 331 9,659 (328)
POWERSHARES ETF FO TR DYNAMIC 340 04/02/14 09/04/14 7,485 7,902 (417)
POWERSHARES ETF TR II INTL 560 01/10114 11104/14 16 089 16 531 (442)
SEAGATE TECHNOLOGY PLC COM 190 VARIOUS 09/04/14 11 582 11,010 572
SHORTEL INC 677 VARIOUS 09/04/14 4,451 5,673 (1,222)
SPDR S&P MIDCAP 400 ETF 80 09110113 07/30/14 20 310 17,866 2444
SPDR SER TR DJ WILSHIRE REIT ETF 100 07130114 11/20/14 8.793 8 456 337
SPDR SER TR S&P HOMEBUILDERS ETF 300 VARIOUS 06/04/14 9,492 9,319 173
SPDR SER TR S&P OIL & GAS EXPL 70 08/29/14 10/14/14 3.872 5 508 (1,636)
STIFEL FINL CORP 70 08/01/13 06/02/14 3 152 2,731 421
TOWERS WATSON & CO COM 90 03/06/14 08/07/14 9.267 10 204 (937)
UNITED RENTALS INC 90 01116/14 10/22/14 9 464 7,366 2098
VANGUARD INTL EQUITY INDX FD FTSE EMRG MKTS 600 07130/14 1226114 24,027 26 653 (2626)WEATHERFORD INTL PLCCOM 460 03/06/14 08/27/14 10,876 7,962 2 914
XEROX CORP 720 03121/14 10/22/14 8,976 8 030 946
ACTAVIS PLC 40 10/01/13 10122/14 9,296 5,760 3536
BEST BUY INC 190 03/11/13 06/26/14 5.768 3 827 1941
ERICSSON ADR 760 03/05/13 09/04/14 9,496 9,726 (230)
ISHARES INTERNATIONAL DIVIDEND ETF 510 08/19/13 10/07/14 17,819 17,799 20
ISHARES MSCI SAFE ETF 260 05/03/14 11/20/14 16 444 16 253 191
(SHARES MSCI SAFE SMALL-CAP ETF 340 0725/13 07/30/14 17 669 15 327 2342
ISHARES MSCI SAFE VALUE ETF 350 07/24/13 07/24114 18,606 18,168 438
ISHARESI-3 YEAR CREDIT BOND ETF 870 VARIOUS VARIOUS 91 742 90 277 1,465
NATIONAL OILWELL VARCO, INC 90 07/18/13 07118/14 7649 5,498 2151
NOVARTIS AG SDR 120 08/01/13 0923/14 11 217 8,658 2 559
NOW INC COM 22 03119/13 08/07114 669 843 26
POWERSHARES DWA MOMENTUM ISIN POP 400 09118/12 11119114 18 417 11,130 5 287
REGIONS FINL CORP 870 01/04113 0829114 8 809 6.523 2 286
SECTOR SPDR TR SHRS BEN CONSUMER 300 VARIOUS 08/29114 13 533 12 456 1,077
SPDR SER TR BARCLAYS SECS ETF 820 12/09/11 12/23114 40 589 30 413 10.176
STIFEL FINL CORP 111 VARIOUS 06/02114 4 998 3 940 1.058VANGUARD ININDEX FDS TOTAL STK MKT 750 04117/13 10131114 77,852 59 839 18 013
HONEYWELL INTL 40 VARIOUS 01/02/15 4,063 3 803 260
CONAGRA FOODS INC 210 VARIOUS 01/28/15 7 736 7 493 243
FEDEX CORP COM 40 VARIOUS 01/28/15 7 064 6,094 970
ABB LTD ADR 230 VARIOUS 01/30/15 4,412 5 425 (1013)HEWLETT PACKARD CO 260 VARIOUS 01/30/15 9 413 9 376 37
(SHARES S&P 100 ETF 410 VARIOUS 01/30/15 36 187 35 809 378
ISHARES TR MSCI ALL CTRY EX JPN 170 VARIOUS 01/30/15 10 586 11 239 (653)
PROSHARES TRUST PSHS LCAP CORE 178 VARIOUS 01/30/15 17,361 18,237 (876)
SPDR SER TR S&P REGL BANKS 170 VARIOUS 01/30/15 6 283 6 574 (291)
WESTERN DIGITAL CORP 50 VARIOUS 01/30/15 4,884 5052 (168)
ISHARES US TECHNOLOGY ETF 190 VARIOUS 02/11/15 19 754 18.411 1343
ISHARES TRUST MSCI USA MINIVOLATILITY ETF 480 VARIOUS 0226/15 19 992 18 838 1 154
CISCO SYS INC 130 VARIOUS 03/16/15 3,674 3 227 447
GOOGLE INC 20 VARIOUS 03/16/15 11 086 11,404 (318)
APPLIED MATERIALS. INC 420 VARIOUS 03/31/15 9 543 9 505 38
CITIGROUP INC 190 VARIOUS 03/3l/15 9748 9,315 433
HEWLETT PACKARD CO 300 VARIOUS 03131/15 9 854 9 796 (142)
INTL BUSINESS MACHINES 70 VARIOUS 03131/15 11.262 10,774 488
PRUDENTIAL FINL INC 80 VARIOUS 03/31/15 6428 7156 (728)TYSON FOODS INC CL A 280 VARIOUS 03131/15 10 703 11,578 (875)WAL-MART STORES INC 120 VARIOUS 03/31115 9 859 9,475 384AETNA INC 110 VARIOUS 04101/15 11 792 9 269 2.523BANK OF AMERICA CORP 660 VARIOUS 04/01115 10.126 10411 (285)CISCO SYS INC 340 VARIOUS 04101115 9 227 8,055 1 172DOW CHEMICAL CO 190 VARIOUS 04101115 9 213 9,780 (547)GAP INC DEL COM 240 VARIOUS 04/01/15 10,253 9.291 982GENERAL ELECTRIC CO 430 VARIOUS 04/01/15 10,682 11 014 (332)GOLDMAN SACHS GROUP 40 VARIOUS 04101/15 7499 5.124 2.375MORGAN STANLEY 220 VARIOUS 04/01/15 7,848 7,380 466NORTHROP GRUMMAN 50 VARIOUS 04101/15 7,980 7867 113ORACLE CORP 320 VARIOUS 04101/15 13854 13314 340SPDR SER TR S&P REGL BNKS 210 VARIOUS 04101115 8,460 8 379 81SCHLUMBERGER LIMITED 100 VARIOUS 04101/15 8,284 9,534 (1250)CHARLES SCHWAB INC 360 VARIOUS 04101/15 10,790 9.429 1,381UNITED TECHNOLGIES, INC 90 VARIOUS 04101/15 10.529 9 439 1,090
906376495327829688
1 105(259)
(3276)1961(2563)(1 528)(1734)2,013188260
(1637)(452)
(2 100)2 005553(202)(904)
1 645
(1166)1,4451 243(154)169
1,2572
(328)(417)(442)572
(1,222)2 444337173
(1,636)421(937)
2 098(2,626)2 914946
3,5361,941(230)20
191
2.342438
1 4652 151
2.55926
5.2872 2861 077
10 1761 058
18,013260243970
(1,013)37
378(653)(876)(291)
( 168)1,3431.154447(318)38
433
2 375
(142)488(728)(875)384
2.523(285)
1 172(547)982(332)
46811334081
(1 250)1.3611 090
P.9. I of 3 STATEMENT 8
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CAPITAL GAINS AND LOSSES
NATHAN M OHRBACH FOUNDATION
FIDELITY INVETSMENTS ACCOUNT -0664
DATE OF GAIN OR
DESCRIPTION OTY PURCHASE DATE OF SALE PROCEEDS COSTS (LOSS) LONG TERM SHORT TERM
VODAPHONE GROUP ADR 640 VARIOUS 04/01115 21 449 22 767 ( 1 318) - (1318)AMGEN INC 80 VARIOUS 04/09/ 15 12 480 12 , 055 425 - 425
COSTCO WHOLESALE 50 VARIOUS 04/09/15 7,610 6 ,243 1 367 - 1367
WALT DISNEY CO 50 VARIOUS 04/09/15 5 293 4302 991 - 991
GOGGLE INC 15 VARIOUS 04/09/ 15 7,989 8,019 (30) - (30)
ISHARES US MEDICAL DEVICES ETF 100 VARIOUS 04/09/15 11 977 11,012 965 - 965
JOHNSTON 8 JOHNSTON 100 VARIOUS 04/09/15 9 . 888 10.548 (660 ) - ( 660)
LOWES COS INCCOM 100 VARIOUS 04/09/15 7516 5357 2. 159 - 2,159MICROSOFTCORP 280 VARIOUS 04/09/ 15 11,431 11 , 395 36 - 36
POWERSHARES DWA MOMENTUM ISIN POP 120 VARIOUS 04/09/ 15 5,199 3 , 339 1 . 860 1660
SONY CORP ADR NEW 360 VARIOUS 04/09/15 10 581 6,293 4288 - 4 288
1,315,204 1 , 239 , 616 75 , 588 57,004 18,584
LONG TERM 391,019 334 , 015 57.004
SHORT TERM 924,185 905 , 601 18,584
TOTAL 1, 315,204 1,239,616 75,588
Pegs 2 or 3 STATEMENT 8
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Organization AmountEnvironmentSave Mount Diablo $8,500.00Save the Redwoods League $2,500.00Sonoma County Bird Rescue Center $3,000.00Sonoma County Regional Parks Foundation $11,000.00International -Social/Environmental JusticeFree the Children $8,500.00AcademicEl Molino High School $3,000.00UC Berkeley $7,000.00Community AffairsClare Foundation $3,500.00Coalition for the Homeless $12,000.00Catholic Charities $5,000.00Friends of WWOZ $4,500.00National Jewish Health $8,500.00New Orleans Musician's Clinic $5,000.00Promises Foundation $3,500.00Sober Living Network $3,500.00Mickey Hart FundExploratorium $1,000.00President's Discretiona ry Fund
Total $90,000.00
STATEMENT 9