Return of Private Foundation 990 -PF Fonn OMB No 1545-0052 or Section 4947(a)(1) Trust Treated as Private Foundation Internal Revenue Service ^ Information about Form 990-PF and Its separate instructions is at www.irs.gov/form990pf. For calendar year 2014 or tax year beginning , 20 Room / suite 13-6082357 B Telephone number (see instructions) 4500 Dacoma, CORP-BH3-212 City or town, state or province , country , and ZIP or foreign postal code 832-625-6424 C Initial return Initial return of a former public charity Final return Amended return Address change Name change H Check type of organization X Section 501 ( c)(3) exempt private foundation Section 4947 ( a )( 1 ) nonexem p t charitable trust Other taxable p rivate foundation I Fair market value of all assets at J Accountin g method Cash X Accrual end of year (from Part// , col (c) , line Other ( specify ) _ _ _ _ _ _ _ _ _ _ __ __________ El 53,575,679.00 ^ E . • . . D 1 . Foreign organizations , check here. • 2. Foreign organizations meeting the 85% test , check here and attach computation ^ ❑ ^ El E If private foundation status was terminated under section 507(b)(1)(A), check here . ^ D F If the foundation is in a 60-month termination under section 507(b )( 1)(B), check here • ^ (Part 1, column (d) must be on cash basis) Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions (a ) Revenue and boo per expookss books (b) Net investment income • 30,223,103.00 if the foundation is not required to attach Sch B • • . • . . . Interest on savings and temporary cash investments . 9,969.00 1 Contributions, gifts, grants , etc , received ( attach schedule ) 2 Check ^ 3 If exemption application is pending , check here • . 77092 G Check all that apply 16) ^ $ ' A Employer identification number ExxonMobil Foundation Number and street ( or P 0 box number if mail is not delivered to street address ) TX • , 2014, and ending Name of foundation Houston, 014 ^ Do not enter social security numbers on this form as it may be made public. Department of the Treasury (c) Adjusted net income (d) Disbursements for charitable purposes ( cash basis only) 9,969.00 Dividends and interest from securities • • . 4 5a Gross rents . . . . . . . . . . . . . . . . . b Net rental income or (loss) 6a b d d Net gain or (loss ) from sale of assets not on line 10 Gross sales pnceforall assets on line 6a -1,437,810.00 50, 564, 616.00 3 5 , 3 3 7 , 19 0 . 0 0 Capital gain net income (from Part IV, line 2) Net short- term capital gain. . . . . . . . . Income modifications . . . . . . . . . 7 8 9 0 .00 0.00 110a Gross sales less returns and allowances • • . b Less Cost of goods sold S> N) 11 12 c Gross profit or (loss ) ( attach schedule) . . . Other income ( attach schedule ) • • . . . Total. Add lines 1 through 11 • 13 Compensation of officers , directors , trustees, etc 28,795,262.00 35,347,159.00 0 14 40 15 X W >_ 4- E Q •a M Other employee salaries and wages . . . . . Pension plans , employee benefits • . • • • • 16a Legal fees ( attach schedule ) • • • • • • • • • b Accounting fees (attach schedule) . c Other professional fees (attach schedule) . 17 Interest . . . . . . . . . . . . . . . . . . 18 Taxes ( attach schedule) ( see Instructions ). 19 Depreciation (attach schedule ) and depletion . 20 Occupancy . . . . . . . . . . . . . . . . . 21 Travel , conferences , and meetings . . . . . . 22 Printing and publications . • . . . . . . . 23 Other expenses ( attach schedule) . • • . • • ° EG E \i L° 2 aid' rr` X ^-' ux&D ) 238,743.00 238,743.00 1,531,588.00 7,862.00 7,862.00 1, 778 , 193.00 7 5 , 2 3 9 , 7 31.0 0 7 7 , 017 , 9 2 4 . 0 0 246,605.00 75,212,563.00 75,459,168.00 Total operating and administrative expenses. 24 d Add lines 13 through 23 . . . . . . . . . . . 0 25 Contributions, gifts , grants paid . . . . . . . 26 Total expenses and disbursements Add lines 24 and 25 Subtract line 26 from line 12 27 a Excess of revenue over expenses and disbursements . b Net Investment income ( if negative , enter -0-) c Adjusted net income ( if negative, enter -0-). . .isA For Paperwork Reduction Act Notice , see instructions . 4E1410 1 000 - 48,222,662 00 35,347,159.00 _ Form 990-PF (2014) Page 2 Form 990-PF (2014) Balance Sheets Attached schedules and amounts in the d escription column s h ou ld be f or en d -of-year amounts only ( See instructions) Cash - non-interest - bearing ................. Savings and temporary cash investments , , , , , , , , , , , Accounts receivable ^ ----------------------Less allowance for doubtful accounts ^ - -- -- ---- - -Pledges receivable ^ ----------------------Less allowance for doubtful accounts ^ _ _ _ __ I 2 3 4 5 Grants receivable 6 Receivables due from officers , directors , trustees , and other disqualified persons ( attach schedule) (see instructions) . , , , Other notes and loans receivable (attach schedule) ^ _ _ _ _ Less allowance for doubtful accounts ^ _ _ _ - - _ _ _ _ - _ _ Inventories for sale or use ....... .. ... . ... .. Prepaid expenses and deferred charges . . . . . . . . . . . . 7 , d 8 9 10 a . . . . . . . . . . Beginning of year (a) Book Value 19 ,099,353.00 0.00 End of year (c) Fair Market Value ( b) Book Value 23,348,679.00 0. 00 23,348,679.00 0.00 0 . 00 0.00 86,914,000.00 30,227,000.00 30,227,000.00 106,013,353.00 53,575,679.00 53,575,679.00 34,364,386.00 36,416,489.00 34,364,386.00 36,416,489.00 71, 648, 968.00 17, 159, 190.00 71,648,968.00 17,159,190.00 106,013,353.00 53,575,679.00 , 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 , ^ 30,227,000.00 _____ _____________ and equipment basis Less accumulated depreciation ^ ----(attach schedule ) - ------------ 12 13 Investments - mortgage loans . . . . . . . . . . . . . . . . Investments - other (attach schedule) . . . . . . . . . . . . . 14 ^ Land , buildings, and equipment basis ____________-----Less accumulated depreciation ^ (attach schedule) -- - ---- -- --- -- --- - 15 16 Other assets (describe ^ -------------------Total assets ( to be completed by all filers - see the instructions Also, see page 1 ,item l) . 17 18 19 Accounts payable and accrued expenses . . . . . . . . . . . Grants payable , , , , , , , , , , , , , , , , , , , , , Deferred revenue . . . . . . . . . . . . . . . . . . . . . . 20 Loans from officers , directors, trustees , and other disqualified persons _ 21 ,v J 22 23 e, m cc 24 IV 25 M 26 U. y 27 28 Mortgages and other notes payable ( attach schedule) . . . . . Other liabilities (describe Total liabilities ( add lines 17 through 22 ) , Foundations that follow SFAS 117, check here. ^ X and complete lines 24 through 26 and lines 30 and 31. Unrestricted . . . . . . . . . . . . . . . . . . . . . . . . . Temporarily restricted . . . . . . . . . . . . . Permanently restricted . . . . . . . . . . . . . . . . . Foundations that do not follow SFAS 117, . . . ^ ❑ check here and complete lines 27 through 31. Capital stock , trust principal , or current funds , , , , , , , , , Paid - in or capital surplus , or land, bldg , and equipment fund , , , , Q 29 Retained earnings , accumulated income , endowment , or other funds m 30 Z 31 Total net assets or fund balances (see instructions ) . Total liabilities and net assets /fund balances (see instructions ) . . . . . . . . . . . . . . . . . . . . . . . . . Anal sis of Chan g es 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 2 3 4 5 6 end-of- year figure reported on prior year' s return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Enter amount from Part I, line 27a Other increases not included in line 2 ( itemize ) ^ SEE ATTACHMENT 5 --------- --------------------------Add lines 1 , 2, and 3 ATTACHMENT 6 Decreases not included in line 2 ( Itemize ) --------------------------------------Total net assets or fund balances at end of ear Ilne 4 minus Ilne 5 -Part II column b , line 30 . JSA 4E1420 1 000 1 2 3 4 5 6 71,648, 9 6 8 . 0 0 -48,222,662.00 44, 884 .00 23,471,190 00 6,312,000.00 17,159, 190.00 Form 990-PF (2014) Form 990-PF(2014) Page 3 Capital Gains and Losses for Tax on Investment Income (b) How acqured (a) List and describe the kinds () of p ro party sold (e g ,real estate , 2-story brick warehouse , or common stock, 200 shs MLC Co ) 1a SEE b SEE c SEE d SEE e SEE D - urch se acq uire (mo , day , yr) Jd) Date sold (mo , day, yr ) ATTACHMENT 3 ATTACHMENT 3 ATTACHMENT 3 ATTACHMENT 3 ATTACHMENT 3 (g) Cost or other basis plus expense of sale ( f) Depreciation allowed (or allowable) (e) Gross sales price a SEE ATTACHMENT b SEE ATTACHMENT c SEE ATTACHMENT ( h) Gain or (loss) (e) plus (f) minus (g) SEE ATTACHMENT 3 SEE ATTACHMENT 3 SEE ATTACHMENT 3 SEE ATTACHMENT 3 SEE ATTACHMENT 3 SEE ATTACHMENT 3 SEE ATTACHMENT 3 d SEE ATTACHMENT 3 SEE ATTACHMENT 3 SEE ATTACHMENT 3 e Complete only for assets showing gain In column ( h) and owned by the foundation on 12 /31/69 SEE ATTACHMENT 3 SEE ATTACHMENT 3 3 3 3 i F M V as of 12 /31/69 () 0) Adjusted basis as of 12/31 /69 (I) Gains (Col (h) gain minus col . ( k), but not less than -0-) or Losses (from col (h)) ( k) Excess of col (I) over col ()), if any a N/A N/A 0.00 b c d N/A N/A N/A N/A N/A N/A 0.00 0.00 0.00 e N/A N/A 0.00 If gain , also enter In Part I, line 7 If (loss ), enter -0- In Part I, line 7 2 Capital gain net Income or (net capital loss) } 2 3 5 , 3 3 7 , 19 0 . 0 0 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 i J Part I, Ilne 8 3 0 00 { 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? If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part i tnier ine appropriate amount In eacn column Tor eacn Base pea y ar be Calendar year ( or tax year beginrnng in) 2013 2012 2011 2010 2009 ear, see ine Instructions Derore makin g an Adjusted qualifyng distnbutions ❑ Yes No entries ? tnbudt on ratio (col (b) diwded by col (c)) Net value of non hantable-use assets 73,002,542.00 75,059,859.00 74,749,355.00 89,193,570.00 50,132,840.00 69,553,862.00 0.8185 1.4972 1.0747 72,363,241.00 73,882,599.00 66,507,000.00 59,203,202.00 1.0881 1.2479 2 Total of line 1 , column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 5.7264 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 1 . 1453 4 Enter the net value of noncharltable - use assets for 2014 from Part X , line 5 . . . . . . . . . 4 3 8 , 8 6 3 , 5 01.0 3 5 Multiply line 4 by line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 44 , 510 , 367.73 6 Enter 1 % of net Investment Income (1% of Part I , line 27b) . . . . . . . . . . . . . . . . . . 6 353 , 471.59 7 Addllnes5and6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 44,863,839.32 8 75 , 459, 168.00 Enter qualifying distributions from Part XII, line 4 . . . . . . . . . . . . . . . . . . . . . . . . 8 If line 8 Is equal to or greater than line 7. check the box In Part VI. line 1b. and complete that c art uslna a 1% tax rate See the Part VI Instructions 4E1 4 E 1430 1 000 Form 990-PF (2014) Form 990-PF(2014) LEM Is Page 4 Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions) 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 1 353,472.00 2 3 353,472 . 00 . 4 5 353,472.00 _ here 10- 0 and enter 11% of Part 1, 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 3 4 5 6 a b c d 7 8 9 10 11 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) . Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) . Tax based on investment income . Subtract line 4 from line 3 If zero or less, enter -0. . . . . . . . . . . . . . Credits/Payments 6a 1,304,777.00 2014 estimated tax payments and 2013 overpayment credited to 2014. . . . 6b Exempt foreign organizations - tax withheld at source . . . . . . . . . . . . Tax paid with application for extension of time to file (Form 8868). . . . . . Sc 6d Backup withholding erroneously withheld . . . . . . . . . . . . . . . . . . Total credits and payments Add lines 6a through 6d . . . . . Enter any penalty for underpayment of estimated tax Check here ❑ if Form 2220 is attached Tax due . If the total of lines 5 and 8 is more than line 7, enter amount owed . . . . . . . . . . Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . . . . Enter the amount of line 10 to be Credited to 2015 estimated tax ^ 451,305.00 . . . . . . . 7 . . . . . . . . . . . . . . . . . Refunded 8 9 10 11 . ^ ^ ^ 1,304,777.00 951,305.00 500,000.00 Statements Regarding Activities Yes Is 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Did it spend more than $100 during the year ( either directly or indirectly ) for political purposes (see Instructions for the definition ) ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the answer is "Yes" to 1a or 1b, 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Enter the amount ( if any) of tax on political expenditures ( section 4955) imposed during the year (1) On the foundation ^ $ No X 16 X 1c X 2 X 3 4a X X N ( 2) On foundation managers ^ $ e Enter the reimbursement ( if any) paid by the foundation during the year for political expenditure tax imposed on foundation managers ^ $ Has the foundation engaged in any activities that have not previously been reported to the IRS? . . . . . . . . . . . . . . . 2 If "Yes ," attach a detailed descnption of the activities Has the foundation made any changes , not previously reported to the IRS, in its governing instrument, articles of 3 incorporation , or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes . . . . . . . . , . . , 4a Did the foundation have unrelated business gross income of $1 , 000 or more during the year? . . . . . . . . . . . . . . . . . b If "Yes ," has it filed a tax return on Form 990 -T for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Was there a liquidation , termination , dissolution , or substantial contraction during the year? . . . . . . . . . . . . . . . . . . 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Did the foundation have at least $ 5,000 in assets at any time during the year? If "Yes," complete Part 11, col (c), and Part XV 8a Enter the states to which the foundation reports or with which it is registered (see instructions) ^ TX, NY, DC, NJ ---------------------------------------------------------------------------- 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 G'If "No," attach explanation . . . . . . . . . . . . . . . . . Is the foundation claiming status as a private operating foundation within the meaning of section 49420)(3) or 9 49420 )( 5) for calendar year 2014 or the taxable year beginning in 2014 (see instructions for Part XIV)' If "Yes," complete Part XIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 1a Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses 4b 5 X 6 X 7 X 8b X 9 X 10 X Form 990-PF (2014) JSA 4E1440 1 000 Form 990 - PF (2014 ) Page 5 Statements Regardin g Activities (continued) At any time during the year , did the foundation , directly or indirectly , own a controlled entity within the meaning of section 512 ( b)(13)? If "Yes," attach schedule (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 X 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 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X Match.com Website address 1 _Corporat ion-------------- --- Telephone no ^ ( 832) 624 - 5071 The books are in care of ------------------Located at ^ 12450 -Greens p oint Dr. Houston, TX ZIP+4 ^ 77060 11 12 13 14 Section 4947( a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form and enter the amount of tax-exempt interest received or accrued during the year . . . . . . At any time during calendar year 2014 , did the foundation have an interest in over a bank , securities , or other financial account in a foreign country? . . . . . . . . . . . 15 16 See the instructions for exceptions and filing "Yes," enter the name of the forei g n count ry MARINE la b c 2 a b c requirements for FinCEN Form . . . . . 1041 - Check here . . . N/A . . . . . . . . . . . . ^ 15 Yes No signature or other authority or a . . . . . . . . . . . . . . . . . 16 X 114, (formerly TD F 90-221) If Statements Reg ardin g Activities for Which Form 4720 May Be Req uired File Form 4720 if any item is checked in the " Yes" column , unless an exception applies. 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? . . . . . . . . . ❑ Yes No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?. . . . . . . . X Yes No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? . . . . . . . . Yes X 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)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes 0 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 ) . . . . . . . . . . . . . . . . . ❑ Yes ❑ No 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)? . . . . . . . . . . . . . Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . . . ^ ❑ 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 49420)(3) or 49420)(5)) At the end of tax year 2014, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2014? . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes 0 No If"Yes,"list the years ,_________ ,________ ,________ 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here Yes No 1b X 1c X 2b N 3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ❑ Yes 0 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b N 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 charita ble purp ose that had not been remo ved from Leopard!before the first day of the tax year beginnina in 2014? 4b X Form 990 -PF (2014) JSA 4E1450 1 000 6 Form 990-PF Statements Regarding Activities for Which Form 4720 May Be Required (continued) 5a b c 6a b 7a b 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))? . . . . . . ❑ Yes ❑ No (2) Influence the outcome of any specific public election (see section 4955), or to carry on, Yes X No directly or indirectly, any voter registration drive? . . . . . . . . . . . . . . . . . . . . . . Yes X No (3) Provide a grant to an individual for travel, study, or other similar purposes? . . . . . . . . . . . 11 (4) Provide a grant to an organization other than a charitable, etc, organization described in ❑ No section 4945(d)(4)(A)? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Y es (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals ? . . . . . . . . . . . . . . . . ❑ Y es ❑ No If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions)? . . . . . . . . . . Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . . . . . . ^ ❑ 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 ? . . . . . . . . . . . . . . . . . El If "Yes," attach the statement required by Regulations section 53 4945-5(d) Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums ❑ on a personal benefit contract ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . El Y es Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . If "Yes" to 6b, file Form 8870 ❑ At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction'?. . ❑ Yes If "Yes," did the foundation receive an y p roceeds or have an y net income attributable to the transaction? . 5b N 6b X 7b N No No . . No Information About Officers, Directors, Trustees, Foundation Managers , Highly Paid Employe es, I and Cnntrar_tnrc List all officers. directors . trustees . foundation manaaers and their comoensation (see instructions). (a) Name and address (b) Title, and akge per devoted to osition (c) Compensation (If not paid, enter -0 -) (d) Contributions to employee benefit plans and deferred compensation (e) Expense account , other allowances SEE ATTACHMENT 14 ------------------------------------------------------------------------------------------------------------------------------------------------- 2 Comoensation of five hiahest- oaid emolovees (other than those included on line I "NONE." (a) Name and address of each employee paid more than $ 50,000 (b) Title , and average hours per week devoted to position (c) Compensation - see instruct ional. If none. enter (d) Contributions to employee benefit ferr plans and deeferred compensation (e) Expense account, other allowances NONE ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Total number of other em p loyees p aid over $50 , 000 . .^ Form 990-PF (2014) JSA 4E1460 1 000 Page 7 Form 990 - PF (2014) Information About Officers , Directors , Trustees, Foundation Managers , Highly Paid Employees, and Contractors (continued) Five highest-paid independent contractors for professional services ( see ins tructions ). If none, enter "NONE." 3 (a) Name and address of each person paid more than $ 50,000 --------------------------------------------------------THE JK GROUP ( b) Type of service (c) Compensation ADMINISTRATIVE 238,743.00 - 104- MORGAN LANE ----------------------------------------PLAINSBORO, NJ --------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------- Total number of others receivin g over $50 , 000 for p rofessional services . . ^ Summary of Direct Charitable Activities List the foundation ' s four largest direct charitable activities during the tax year Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened , research papers produced , etc Egenses I N/A ----------------------------------------------------------------------------------------------------------------------------------------------------.00 2 ----------------------------------------------------------------------------------------------------------------------------------------------------- 3 ----------------------------------------------------------------------------------------------------------------------------------------------------- 4 --------------------------------------------------------------------------- Summary of Program -Related Investments (see instructions) Amount Describe the two largest program - related investments made by the foundation during the tax year on lines 1 and 2 1 N/A ----------------------------------------------------------------------------------------------------------------------------------------------------.00 2 ----------------------------------------------------------------------------------------------------------------------------------------------------- All other program - related investments See instructions 3 ----------------------------------------------------------------------------------------------------------------------------------------------------- Total. Add lines 1 through 3 , ^ 0.00 Form 990-PF(2014) JSA 4E1465 1 000 Form 990-PF (2014) Page 8 Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.) Fair market value of assets not used ( or held for use ) directly in carrying out charitable, etc, 1 a b c d e 2 3 4 5 6 purposes Average monthly fair market value of securities . . . . . Average of monthly cash balances . . . . . . . . . . . . Fair market value of all other assets (see instructions), , Total (add lines 1 a, b, and c) . . . . . . . . . . . . . . . Reduction claimed for blockage or other factors reported 1 c (attach detailed explanation) , , , , , , , , , , , , , Acquisition indebtedness applicable to line 1 assets . . Subtract line 2 from line 1d Cash deemed held for charitable activities Enter 1 instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , , , , , . . . . . . on lines 1 a , , , , , . . . . . . . . , , , , . . . . and le . . . . . . . . , , , , . . . . . . . . . . . . , , , , . . . . 1a . 1b . c , , , ...i. 1d . 1/2% of line 3 2 3 0.00 39,455.331.00 4 5 6 38,863,501.03 1,943,175.05 for greater amount, see 591,829.97 Distributable Amount (see instructions) (Section 49420)(3) and 0)(5) private operating foundations and certain foreign organizations check here ^ and do not complete this part ) I Minimum investment return from Part X, line 6 . . . . . . . . . . . 2a b c 3 4 5 Tax on investment income for 2014 from Part VI, line 5 . . . . . . . Income tax for 2014 (This does not include the tax from Part VI) , , Add lines 2a and 2b . . . . . . . . . . . . . . . . . . . . . . . . . . Distributable amount before adjustments Subtract line 2c from line Recoveries of amounts treated as qualifying distributions . . . . . . Add lines 3 and 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353,472.00 1,943,175.05 . . . . . . . . . . . . . . . . . . 353,472.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,589,703.05 44,884.00 1,634,587.05 . L2a 2b 1 . . . . . . . . . . . . . . . . . . Deduction from distributable amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, line1 9,228,331.00 30,227,000.00 39,455,331.00 0.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net value of noncharitable-use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 M inimum investment return . Enter 5% of line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . OEM 6 7 . . . . . . . . , , , , . . . . 1,634,587.05 .................................................... Qualifying Distributions (see instructions) Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 . . . . . . . . . . . . . . . . b Program-related investments - total from Part IX- B . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc, 2 purposes .................................................. Amounts set aside for specific charitable projects that satisfy the 3 a Suitability test (prior IRS approval required) . . . . . . . . . . . . . . . . . . . . . . . . . . . b Cash distribution test (attach the required schedule ) , , , , , , , , , , , , , , , , , , , . . , . 1 4 5 6 Qualifying distributions . Add lines la through 3b Enter here and on Part V, line 8, and Part XIII, line 4 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income Enter 1 % of Part I, line 27b (see instructions) , , , Adjusted qualifying distributions . Subtract line 5 from line 4 75,459,168.00 2 3a 3b 4 75,459,168.00 5 6 353,472.00 75, 105, 696.00 Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when c alcula ting whether the foundation qualifies for the section 4940(e) reduction of tax in those years Form 990-PF (2014) JSA 4E1470 1 000 Form 990 - PF (2014) Page 9 Undistributed Income (see instructions) 1 Distributable amount for 2014 from Part XI , line 7,,,,,,,,,,,,,,,,,,,,, 2 Undistnbuted income , if any, as of the end of 2014 (a) Corpus (b) Years prior to 2013 (d) 2014 (c) 2013 1,634,587.05 . a Enter amount for 2013 only . . . . . . . . . . b Total for pnoryears 20 ,20 ,20 3 Excess distributions carryover , if any , to 2014 70,857,145.00 a From 2009 68 , 473 , 362.00 b From 2010 . . . . . . c From 2011 , , , , , , 71,564,677.00 72, 805, 985 .00 d From 2012 69 , 364 , 374.00 e From 2013 . . . . . f Total of lines 3a through e , . . . . . . . . . 4 Qualifying distributions for 2014 from Part XII, 75,105,696.00 line4 ^ $ 353, 065, 543 00 0.00 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 ) , , , , , , , , , , , 0.00 0.00 d Applied to 2014 distributable amount . . . . e Remaining amount distributed out of corpus . . 73,471,108.95 0.00 5 Excess distributions carryover applied to 2014 , (If an amount appears in column (d), the same 1,634,587.05 amount must be shown in column (a) ) 6 Enter the net total of each column as indicated below: a Corpus Add lines 3f , 4c, and 4e Subtract line 5 426, 536, 651.95 b Prior years ' undistributed income Subtract line 4b from line 2b c Enter the amount of prior years' undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed . . . . . . . . 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 instructions . . . . . . . . . . . . . . . . . . f 7 Undistributed income for 2014 Subtract lines 4d and 5 from line 1 This amount must be distributed in 2015 . . . . . . . . . . . . . . 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) , , , , , , , , , , , 0 .00 0 .00 8 Excess distributions carryover from 2009 not applied on line 5 or line 7 (see instructions ) , , , 70,857,145.00 9 Excess distributions carryover to 2015. Subtract lines 7 and 8 from line 6a Analysis of line 9 . Excess from 2010 . . . 68,473, 362 .00 Excess from 2011 . . . 71,564,677.00 Excess from 2012 . . . 72,805,985.00 Excess from 2013 . . . 69,364,374.00 . 73,471,108.95 Excess from 2014 . 10 a b c d e 355, 679, 506 95 Form 990 - PF(2014) JSA 4E1480 1 000 Page 10 Form 990 -PF(2014) Private Ope rating Fou ndations (see instructions and Part VII-A, question 9) 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 private operating foundation described in section Tax year Prior 3 years 2 a Enter the lesser of the adjusted net income from Part (a) 2014 ( b) 2013 49420)(3) or Li 49420)(5) (e) T ota l ( d) 2011 (c) 2012 or the minimum investment return from Part X for each year listed , . . . . , b 85% of line 2a , . . . . 0.00 0.00 0.00 0.00 0.00 C Qualifying distributions from Part XII, line 4 for each year listed 0.00 d Amounts included in line 2c not used directly for active conduct of exempt activities . . . . . 0.00 e Qualifying distributions made directly for active conduct of exempt activities Subtract line 2d from line 2c 3 Complete 3a, b, or c for the alternative test relied upon 0.00 0.00 0.00 0.00 0.00 a "Assets" alternative test - enter 0.00 (1) Value of all assets , , (2) Value of assets qualifying under section 49420)(3)(B)(i) . . . . . b "Endowment" alternative testenter 2/3 of minimum investment return shown in Part X, line 6 for each year listed , 0.00 0.00 C "Support" alternative test - enter (1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) . (2) Support from general public and 5 or more exempt organizations as provided in section 4942 Q)(3)(B)(in) . . . . . . (3) Largest amount of support from an exempt organization. . . , 0.00 0.00 0.00 0.00 (4) Gross investment income , W:FUWM Suppleme ntary Information ( Complete this part only if the foundation had $5 000 or more in assets at any time during the year -see instructions.) Information Regarding Foundation Managers: I 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 tax year (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 or other 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 If the 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 ATTACHED b The form in which applications should be submitted and information and materials they should include SEE ATTACHED c Any submission deadlines SEE ATTACHED d Any restrictions or limitations on awards, such as by geographical areas , charitable fields , kinds of institutions , or other factors SEE ATTACHED JSA 4E1490 1 000 Form 990-PF (2014) Form 990 -PF (2014) 3 Page 11 Supplementary Information (continued) Grants and Contributions Paid During the Year or Approved for Future Payment Recipient Name and address ( home or business) If recipient is an mdmdual. show any relationship to any foundation manager or substantial contributor F oundatio n of n reci p ient Purpose of grant or A mount contribution a Paid during the year SEE ATTACHMENT 17 Total ................................................. 75,212,563.00 ^ 3a b Approved for future payment SEE ATTACHMENT 17 Total JSA 4E1491 1 000 75, 212, 563.00 24,338,340.00 ^ 3b 24, 338, 340 00 Form 990-PF (2014) Form 990 -PF (2014 ) Page 12 Analysis of Income -Producing Activities Enter g ross amounts unless otherwise indicated I Pro gram service revenue Unrelated business income (a) (b) Business code Amount Excluded by section 512 , 513, or 514 (d) (o) Amount Exdus,on code (e) Related or exempt function income ( See instructions b c d e f 9 Fees and contracts from government agencies 2 Me mbership dues and assessments , , , , , 3 Int B rest on savings and temporary cash investments 4 Div idends and interest from securities 14 9,969.00 18 -1,437,810.00 5 Ne t rental income or (loss) from real estate a b Debt-financed property , , , , , , , , , , Not debt- financed property . . . , , . 6 Net rental income or (loss ) from personal property 7 Ot h er investment income 8 Gal n or (loss ) from sales of assets other than inventory 9 Nett income or (loss) from special events . , 10 Gr o ss profit or (loss ) from sales of inventory. 11 Ot h er revenue a b c d e 12 Su Subtotal Add columns ( b), (d), and (e) 13 Total. Add line 12, columns (b), (d), and (e) . . . . . . . . . . . . . . . . . . . . . . . . . (See worksheet in line 13 instructions to verify calculations ) JSA 4E1492 1 000 T -1 , 427,841.00 ,,,,,,,,,13 -1,427,841.00 Form 990-PF (2014) Form 990-PF (2014) J 1 a b c d Page 13 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 Yes No in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? Transfers from the reporting foundation to a nonchantable exempt organization of (1) Cash ..........................................................1a1 X (2) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 a ( 2 ) X Other transactions (1) Sales of assets to a noncharitable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b ( i ) X (2) Purchases of assets from a noncharitable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b ( 2 ) X (3) Rental of facilities, equipment, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b 3 X (4) Reimbursement arrangements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X 1b ( 4 ) (5) Loans or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b 5 X (6) Performance of services or membership or fundraising solicitations . . . . . . . . . . . . . . . . . . . . . . . X 1b 6 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 column (d) the value of the goods, other assets, or services received (a) Line no (b) Amount involved (c) Name of nonchantable exempt organization (d) Description of transfers , transactions , and sharing arrangements N/A 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 5272 . . . . . . . . . . . . . h If "Yas " t--mmnlata thin fnllnwinn scharii din (a) Name of organization ( b) Type of organization ❑ Yes ❑ No (c) Description of relationship N/A Under pens o pet)ury . I declare that ave examined this return , including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct , a comp ete Decl lion of pr rer other than taxpayer) is based on all information of which preparer has any knowledge Sign kl@re F Signature of officer or trustee Date ffit Print/Type preparers name Paid rreparer Firm's name Use Only F,rm 's address JSA 4E1493 1 000 ^ ^ Preparers signature Schedule B or 990-PF) Department of the Treasury Internal Revenue Service ^ Attach to Form 990, Form 990-EZ, or Form 990-PF. 110. Info rmation about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990. Name of the organization ExxonMobi1 OMB No 1545-0047 Schedule of Contributors (Form 990, 990-EZ, 2014 Employer identification number Foundation 13-6082357 Organization type (check one) Filers of: Section: Form 990 or 990-EZ ❑ 501(c)( ) ( enter number) organization ❑ 4947( a)(1) nonexempt charitable trust not treated as a private foundation ❑ 527 political organization Form 990-PF 501(c )( 3) exempt private foundation ❑ 4947( a)(1) nonexempt charitable trust treated as a private foundation ❑ 501(c)(3) taxable private foundation Check if your organization is covered by the General Rule or a Special Rule. Note . Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See instructions General Rule For an organization filing Form 990 , 990-EZ, or 990-PF that received , during the year, contributions totaling $5,000 or more (in money or property ) from any one contributor Complete Parts I and II See instructions for determining a contributor ' s total contributions Special Rules ❑ For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (I) Form 990, Part VIII, line 1 h, or (ii) Form 990-EZ, line 1 Complete Parts I and II ❑ For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals Complete Parts I, II, and III ❑ For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc , purposes, but no such contributions totaled more than $1,000 If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc , purpose Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc , contributions totaling $5,000 or more during the year , ^ $ Caution . An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2, of its Form 990, or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF) For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. JSA 4E1251 2 000 Schedule B (Form 990, 990-EZ, or 990-PF) (2014) Schedule B ( Form 990 , 990-EZ , or 990 - PF) (2014) Page 2 Name of organization ExxonMobil Employer identification number Foundation 13-6082357 Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) No. (b) Name , address , and ZIP + 4 (c) Total contributions Exxon Mobil Corporation --------------5959 Las Colinas Blvd . $ -- 30,223,103. 00 - (b) Name, address , and ZIP + 4 ---- ------------------------------------------------------------------------------ (c) Total contributions ---- Person Payroll Noncash (Complete Part II for noncash contributions ) Irvin^,_ Texas 75039-2298 ----------------------------------(a) No. (d) Type of contribution $---------------- (d) Type of contribution Person Payroll Noncash N (Complete Part II for noncash contributions (a) No. (b) Name , address , and ZIP + 4 ---- ----------------------------------------------------------------------------------- (c) Total contributions Person Payroll $---------------- (b) Name , address , and ZIP + 4 ---- ----------------------------------------------------------------------------------- Noncash (Complete Part II for noncash contributions ) -----------------------------------------(a) No. (d) Type of contribution (c) Total contributions $---------------- (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions ) (a) (b) (c) (d) No. Name , address , and ZIP + 4 Total contributions Type of contribution ---- ----------------------------------------------------------------------------------- $---------------- Person Payroll Noncash (Complete Part II for noncash contributions ) (a) No. (b) Name , address , and ZIP + 4 ---- ---------------------------------------------------------------------------------------------------------------------------- JSA 4E1253 1 000 (c) Total contributions $---------------- (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions ) Schedule B (Form 990 , 990-EZ , or 990 -PF) (2014) 3 Schedule B (Form 990, 990-EZ, or 990-PF; Name of organization ExxonMobil Employer identification number Foundation 13-6082357 Noncash Property (see instructions) Use duplicate copies of Part li if additional space is needed. (a) No. from Part I ---- (c) ( b) Description of noncash property given --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ( a) No. from Part I ( b) Description of noncash property given ---- ----------------------------------------------------------------------------------------- ---- ( a) No. from Part I ---- (a) No. from Part I ---- ( a) No. from instructions) ---------------- ate received ------------ (c) ----------------------------------------------------------------------------------------(a) No. from Part I ( or estimate) (FMVsee FMV (or estimate) (see instructions ) ----------------- (d) Date received ------------ (c) (b) Description of noncash property given --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- FMV (or estimate) ( see instructions ) ----------------- (d) Date received ------------ (c) ( b) Description of noncash property given --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- FMV (or estimate) ( see instructions) ----------------- (d) Date received ------------ (c) b Description of noncash property given --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- FMV (or estimate) (see instructions) ---------------- (d) Date received ------------ (c) Part I ( b) Description of noncash property given ---- ----------------------------------------------------------------------------------------- FMV (or estimate) ( see instructions ) (d) Date received ---------------------------JSq 4E1254 1 000 ------------ Schedule B (Form 990, 990-EZ, or 990 -PF) (2014) Schedule B (Form 990, 990-EZ, or 990-PF) (2014) Name of organ ization bil Page 4 Employer identification number Foundati 13-6082357 Exclusively religious , charitable , etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $ 1,000 for the year from any one contributor . Complete columns (a) through ( e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc, contributions of $1,000 or less for the year. (Enter this information once See instructions.) ^ $ Use duplicate copies of Part III if additional space is needed (a) No. from Part l ---- ( b) Purpose of gift ( c) Use of gift ------------------------- ------------------------- --------------------------- ------------------------- ------------------------- --------------------------- ------------------------- ------------------------- --------------------------- (d) Description of how gift is held (e) Transfer of gift Transferee's name , address , and ZIP + 4 Relationship of transferor to transferee ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- (a) No. from Part l (b) Purpose of gift (c) Use of gift ------------------------- ------------------------- --------------------------- ---- ------------------------- ------------------------- --------------------------- ------------------------- ------------------------- --------------------------- ( d) Description of how gift is held (e) Transfer of gift Transferee ' s name , address, and ZIP + 4 (a) No. from Part I ---- Relationship of transferor to transferee ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ( b) Purpose of gift ( c) Use of gift ------------------------------------------------- ------------------------------------------------- ------------------------- ------------------------- ( d) Description of how gift is held ------------------------------------------------------------------------------- (e) Transfer of gift Transferee ' s name , address , and ZIP + 4 (a) No. from Part I ---- Relationship of transferor to transferee ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ( b) Purpose of gift ( c) Use of gift ------------------------------------------------- ------------------------------------------------- --------------------------- ------------------------- ------------------------- --------------------------- ( d) Description of how gift is held --------------------------- (e) Transfer of gift Transferee ' s name , address , and ZIP + 4 ---------------------------------------------------------------------------------------------------------------------SSA 4E1255 1 000 Relationship of transferor to transferee ---------------------------------------------------------------------------------------------------------------------Schedule B (Form 990, 990 -EZ, or 990-PF ) (2014) ExxonMobil Foundation ( E.I.N. 13 -6082357) Return of Private Foundation For Calendar Year 2014 Form 990-PF, Part I, Line 1 Substantial Contributors in 2014 Donor Exxon Mobil Corporation 5959 Las Colinas Blvd. Irving, Texas 75039-2298 Date 4/2014 5/2014 6/2014 7/2014 Cash Cash Cash Cash Description Contribution Contribution Contribution Contribution Total Exxon Mobil Corporation - Cash Contributions Donated Property Date Attachment 1 Value of Contribution 11,478,474 15,434,518 2,438,444 871,667 30,223,103 Donated Property No donated property in 2014 Value of Contribution 0 EXXONMOBIL FOUNDATION BALANCE SHEET Attachment 2 2013 2014 Adjusted As Reported 12/31 /14 Ad j ustment 12/31/14 As Reported 12/31 /13 Adjustment Adjusted 12/31/13 ASSETS: Cash Available Other Receivables 23,348,679 0 0 19,099,353 0 0 19,099,353 0 19,099,353 0 86,914,000 0 0 0 19,099,353 0 86,914,000 0 106,013,353 0 0 0 34,364,386 34,364,386 0 23,348,679 Current Assets Art Donation Real Estate 23,348,679 30,227,000 0 23,348,679 0 30,227,000 0 Total Assets 53,575,679 0 53,575,679 106,013,353 0 36,416,489 36,416,489 0 0 0 36,416,489 0 36,416,489 0 34,364,386 34,364,386 0 0 LIABILITIES AND FUND BALANCE: Grants Payable - Short Term Other Payables and Accrued Liabilities Total Current Liabilities Grants Payable - Long Term 0 0 0 Total Liabilities 36,416,489 0 36,416,489 34,364,386 0 34,364,386 Fund Balance - Over/( Under ) Funded 17,159,190 0 17,159,190 71,648,968 0 71,648,968 53,575,679 0 53,575,679 106,013,353 0 106,013,353 Total Liabilities and Fund Balance EXXONMOBIL FOUNDATION (#13-6082357) Return of Private Foundation For Calendar Year 2014 Form 990 PF, Part IV, Line 1 Gain/Losses on Real Estate/Securities (a) (b) PROPERTIES SOLD IN 2014 (c) (d) Donation Date Date sold 1/13/2014 Attachment 3 (e) (g) (h) TaxBasis plus selling Tax Gain/(loss) Gross sales price Depreciation 4,625,000 0 expenses 3,005,467 on sale 1 ,619,533 0 0 3,241,917 3,021,796 2,022,699 1,603,204 1,550,000 0 1,571,482 7,500,000 0 507,491 6,992,509 0 3,879,273 23,120,727 15,227,426 35,337,190 Description of properrty Property/Donation Fairfield Undev lots Fairfield Commercial parcel Fairfield Undev Lots - phase 2 D D D 7/31/2013 7/17/2013 7/31 /2013 7/24/2014 Gilbert, AZ D 12/10/2008 7/28/2014 Los Angeles D 12/16/2009 8/15/2014 Camelback D 6/27 /2013 11/12/2014 27,000,000 3/26/2014 (f) 5,264,616 4,625 , 000 50,564 ,616 (21,482) ExxonMobil Foundation (#13-6082357) Return of Private Foundation For Calendar Year 2014 Form 990 PF, Part 1, Line 16c Schedule of Professional Fees Total Column A Attachment 4 Net Investment Column B Charitable Column D Consultants Other Professional Services 0 238,743 0 0 0 238,743 Total Professional Fees 238,743 0 238,743 ExxonMobil Foundation (E.I.N. 13 -6082357) Return of Private Foundation For Calendar Year 2014 Income Modifications Prior Year's Grants Returned Prior Year's Grants Cancelled Total Income Modifications Adjusted Net Income Column C 44,884 0 44,884 Attachment 5 Attachment 6 ExxonMobil Foundation (#13-6082357) Return of Private Foundation For Calendar Year 2014 Form 990 PF, Part III, Line 5 Analysis of Changes in Net Assets of Fund Balances Property Date Date of SS # N/A Location Woodland Hills, CA Acquired Apr-10 Appraisal 12/3/2013 Appraisal Change 413,000 N/A N/A Cypress, TX Austin, TX Total Land and Equipment Jul-13 Jun-13 2/20/2014 10/29/2014 (225,000) (6,500,000) (6,312,000) ExxonMobil Foundation (# 13-6082357 ) Attachment 7 Return of Private Foundation For Calendar Year 2014 Form 990 PF, Part 1, Line 23 Other Expenses Net Total Column A Stationery & Office Supplies Expenses on Security Sales Communications Expense Miscellaneous Total 0 0 0 7,862 7,862 Investment Column B 0 0 0 7,862 7,862 Charitable Column D 0 0 0 0 ExxonMobil Foundation (#13-6082357 ) Return of Private Foundation For Calendar Year 2014 Form 990 PF, Part II, Line 11 Investments - Land, Equipment & Securities Attachment 8 Property Number (SS #) N/A 40-541 19467 27 118 11472 11878 11473 10988 NA NA NA Date Location Laurens, SC Charlotte, NC Chandler, AZ Washington, DC Los Angeles, CA New York, NY Woodland Hills, CA San Diego, CA Camelback, Austin, TX Fairfield - Undeveloped lots Fairfield - Commercial Parcel Acquired Feb-99 Mar-03 Dec-08 Dec-08 Dec-09 Apr-10 Apr-10 Apr-10 Jun-13 Jul-13 Jul-13 Subtotal Equipment Less Accumulated Depreciation Total Land and Equipment 1 2 3 4 5 6 FMV Balance Balance 01/01/14 370,000 314,000 1,800,000 4,940,000 6,800,000 17,980,000 4,356,000 1,854,000 33,500,000 9,700,000 5,300,000 12/31/14 370,000 314,000 0 4,940,000 0 17,980,000 4,769,000 1,854,000 0 0 0 12/31/14 370,000 314,000 0 4,940,000 0 17,980,000 4,769,000 1,854,000 0 0 0 86,914,000 0 86,914,000 30,227,000 0 30,227,000 30,227,000 0 30,227,000 ExxonMobil Foundation ( E.I.N. 13 -6082357 ) Return of Private Foundation For Calendar Year 2014 Form 990-PF, Part I, Line 3 Interest on Savings and Temporary Cash Investments Interest - Citibank Interest - Northern Trust Subtotal Interest Interest income on Refund Total interest Income Total Column A 9,902 0 9,902 Net Investment Column B 9,902 0 9,902 67 67 9,969 9,969 Attachment 9 Adjusted Net Income Column C 0 0 0 ExxonMobil Foundation ( E.I.N. 13-6082357 ) Return of Private Foundation For Calendar Year 2014 Form 990-PF, Part VII-A, Line 11 Schedule of Controlled Entities 360 Camelback , LLC 2600 One America Center 600 Congress Avenue c/o Armburst & Brown, LLP 100 Congress Avenue Suite 1300 Austin, TX 78701 74-2533720 Attachment 10 ExxonMobil Foundation (# 13-6082357 ) Return of Private Foundation For Calendar Year 2014 Form 990 PF, Part XV, Line 3b Grants/Contributions Approved for Future Payment Recipient/Project/Address Attachment 11 Amount To Be Paid Mobil Retiree Matching Gifts Program Educational Matching Gifts 79,336 24,157,321 Cultural Matching Gifts 14,683 Volunteer Involvement Program 73,000 Mobil Retiree Volunteer Involvement Program 14,000 Subtotal Grants Approved for Future Payment - Employee Driven Prograr 24,338,340 Grand Total 24, 338, 340 * The $ 24, 338,340 represents the 2014 accruals for these programs to several different recipients. Attachment 12 EXXONMOBIL FOUNDATION SUMMARY OF GRANTS FOR THE YEAR ENDED 12/31/14 PROGRAM Various Institutions 2014 APPROPRIATION PER BOOKS ADJUSTMENTS 2014 APPROPRIATION PER REPORT 2013 CARRYOVER 2014 PAYMENTS 2014 CARRYOVER $24,683,750 $24,683,750 $0 $24,683,750 $0 Higher Education $1,345,000 $1,345,000 $0 $1,345,000 $0 Precollege $7,503,736 $7,503,736 $0 $7,503,736 $0 $30,378,176 $30,378,176 $24,183,170 $30,404,026 $24,157,321 Cultural Matching Gifts $1,367,146 $1,367,146 $6,196 $1,358,659 $14,683 VIP Program $6,701,500 $6,701,500 $99,000 $6,727,500 $73,000 Mobil Retiree Matching Gifts $2,725,423 $2,725,423 $19,306 $2,665,392 $79,336 $535,000 $535,000 $3,500 $524,500 $14,000 $75,239,731 $24,311,172 $75,212,563 $24,338,340 Educational Matching Gifts Mobil Retiree VIP Totals $75,239,731 $0 ExxonMobil Foundation ( E.I.N. 13 -6082357) Return of Private Foundation For Calendar Year 2014 Form 990-PF, Part I, Line 18 Taxes Total Column A Prior Year Taxes 2013 Federal Excise Tax overpayment of excise tax Total Prior Year Taxes Current Year Taxes - 2014 Federal Excise Tax Total Current Year Taxes Total Taxes 250,000 (18,412) 231,588 1,300,000 1,300,000 1,531,588 Attachment 13 Net Investment Column B Adjusted Net Income Column C 0 0 0 0 0 0 0 0 Charitable Column D 250,000 (18,412) 231,588 1,300,000 1,300,000 ExxonMobil Foundation (E.I.N. 13-6082357 ) Return of Private Foundation For Calendar Year 2014 Form 990-PF, PartVIII Trustees and Officer Attachment 14 All services provided by trustees and officers are provided without compensation by the ExxonMobil Foundation ExxonMobil Foundation Return of Private Foundation For Calendar Year 2014 Form 990-PF Part X, Line 1b Dec-13 Beginning Ending change Total Average 19,099 , 353.17 19,099 ,353 17 January 19,099 , 353 17 14 , 663,451 07 -4, 435,902 10 221,479,952 97 9,228,331.37 February 14,663,451 07 11,081,306 02 -3,582.145 05 March 11,081 ,30602 11,281,62137 200,315 35 April 11,281,62137 -11,281,621 37 May 15,52500 15,525 00 June 15,52500 -15,525 00 July 4,095,14782 4,095,147 82 Attachment 15 August 4,095,14782 9,465,82767 5,370,679 85 September 9,465,82767 7,114,43329 October 7,114,433 29 3,992,221 95 November 3,992,221 95 27,806,426 29 -2,351,394 38 -3,122.21134 23,814,204 34 December 27,806,426 29 23,348,678 84 -4,457,747 45 23,348,678 84 Notes to Financial Statements Note 1 - Summary of Significant Accounting Policies Basis of Presentation: The Financial Statements of the ExxonMobil Foundation are prepared on the accrual basis of accounting. Real Estate: Real Estate is reflected in the financial statements at the lower of its donated value or estimated net realized value. Donated value is the estimate of the fair market value at the date the property was donated. Grant Appropriations: Grant Appropriations which have been approved by the Foundation and which are to be paid in future periods are reflected in the financial statements as liabilities of the Foundation in the year the grant was approved. Continuation of these grants is subject to the fulfillment of specific performance requirements by the recipients. Administrative Expense: ExxonMobil Corporation furnishes certain administrative services and facilities to the foundation which are reflected in the accompanying statements of activity and change in fund balance as revenue and administrative expense. Note 2 - Federal Excise Taxes The Foundation is exempt from federal income taxes as a tax-exempt organization under section 501 (c)(3) of the Internal Revenue Code. The Foundation is subject, however, to an excise tax on net investment income, including net realized gains as defined by the Code. The Code requires that certain minimum distributions be made in accordance with a specific formula. PROCEDURE: ON-LINE OSF (40021 EXXONNOBIL FOUNDATION REPORT: 30110 TRIAL BALANCE BY MAIN 1 PAGE: ISSUED 01/09/15 01/01/2014 THRU 12/31/2014 BEGINNING BALANCE 018 040 061 064 DEBIT AMOUNT CREDIT AMOUNT ENDING BALANCE OTHER GROSS OPERATING REVENUE CORPORATE ADMINIS AND GEN EXPENSES INTEREST CREDITS OTHER NON OPERATING INCOME .00 .00 .00 .00 42,706,000.00 104,660,140.95 .00 2,138,010.21 68,310,103.4825,994,167.779,902.47700,200.00- 25,604,103.4878,665,973.18 9,902.471,437,810.21 •••• PROFIT OR LOSS .00 149,504,151.16 95,014,373.72- 54,489,777.44 100 CASH IN BANNS AND ON HAND 353.17 2,443,274,348.69 2,443,274,023.02- 678.84 125 OTHER MARKETABLE SECURITIES 19,099,000.00 2,233,659,000.00 2,229,410,000.00- 23,348,000.00 199 DEFRD INTERCOMPANY ITEMS '••• CURRENT ASSETS .00 19,099,353.17 43,230,041.30 4,720,163,389.99 43,230,041.304,715,914,064.32- .00 23,348,678.84 309 SURPLUS PROPERTY AVAIL FOR SALE 86,914,000,00 36,394,000.00 93,081,000.00- 30,227,000.00 86,914,000.00 36,394,000.00 93,081,000.00- 30,227,000.00 229,103,300.5126,531,267.9710,525.00255,645,093.48- •••• LONG TERM ASSETS 510 VOUCHERS PAYABLE 515 LIABILITIES NOT INVOICED 550 UNCLAIMED PAYMENTS •••• CURRENT LIABILITIES 6,882,072.4627,457,511.0624,802.0034,364,385.52- 226,112,152.31 27,457,511.06 23,327.00 753,592,990.37 842 MAIN NAME NOT ON THE CCF FILE 71,648,967.65- .00 .00 71,648,967.65- •••• SHAREHOLDER'S EQUITY 71,648,967.65- .00 .00 71,648,967.65- ••'• COMPANY TOTALS .00 5,159,654,531.52 9,873,220.6626,531,267.9712,000.0036,416,488.63- 5,159,654,531.52- .00 0 1,t. 7164 54 ?, 002 0. It ASSISTANT SECRETARY'S CERTIFICATE EXXONMOBIL FOUNDATION TRUSTEES AND OFFICERS JANUARY 1 - DECEMBER 31.2014 I, Janice M. Phillips, an Assistant Secretary of ExxonMobil Foundation, a New Jersey nonprofit corporation, hereby certify that the following is a true and correct list of the Trustees and Officers of ExxonMobil Foundation for the period January 1, 2014 through December 31, 2014. B. A. Brown Assistant Controller 12450 Greenspoint Drive Houston, TX 77060 K. P. Cohen Chairman and Trustee 5959 Las Colinas Boulevard Irving, TX 75039 T. W. Cross Assistant Treasurer 5959 Las Colinas Boulevard Irving, TX 75039 D. L. Dollo Treasurer 5959 Las Colinas Boulevard Irving, TX 75039 L. M. Fox Controller 5959 Las Colinas Boulevard Irving, TX 75039 L. M. Lachenmyer Trustee 5959 Las Colinas Boulevard Irving, TX 75039 D. L. Laird Assistant Secretary 5959 Las Colinas Boulevard Irving, TX 75039 S. M. McCarron President and Trustee 5959 Las Colinas Boulevard Irving, TX 75093 P. E. McCarthy Executive Director 5959 Las Colinas Boulevard Irving, TX 75039 J. M. Phillips Assistant Secretary 5959 Las Colinas Boulevard Irving, TX 75039 J. M. Spellings Trustee 5959 Las Colinas Boulevard Irving, TX 75039 J. P. Webb Secretary 5959 Las Colinas Boulevard Irving, TX 75039 ExxonMobil Foundation Trustees and Officers January 1- December 31, 2014 Page 2 E. White Trustee 800 Bell Street Houston, TX 77002 J. J. Woodbury Trustee 5959 Las Colinas Boulevard Irving, TX 75039 Witness my hand and the seal of ExxonMobil Foundation this 31st day of December, 2014. obi) ice M. Phillips, Assist t ecretary Mobil Retiree Matching Gifts Program ELIGIBLE DONEE ORGANIZATIONS Public charitable institutions or organizations other than private foundations which are recognized as tax exempt by the Internal Revenue Service under Section 501 (c)(3) of the Internal Revenue Code having an Employer Identification Number (EIN), or an agency of a state or local government qualified under IRC Section 170(c)( 1), other than those described as ineligible. Donor: Provide all of the information requested in Part A of the form, sign it and mail the entire form with your contribution to the organization of your choice. Application Organization: Provide all of the information requested in Part B and sign the form. Mail completed applications to: MOBIL RETIREE MATCHING GIFTS EMPLOYEE PROGRAMS COORDINATOR P.O. BOX 7635 PRINCETON, NJ 08543-7635 ExxonMobil Foundation EXXONMOBIL FOUNDATION WILL NOT MATCH • Gifts to individuals. • • Gifts to religious organizatk», when the gift is for religious programs, such as tithes or other religious financial commitments (church schools are eligible). Gifts of reaUpersonat property (i.e., gifts in kind, except marketable securities). • Deterred gifts (e.g., future Interests). • Tuition or other student expenses or payments in ileu of tuition • Accumulated or pooled monies raised by a group of employees/retirees and submilled by an Individual. • Payments for subscription fees, benefit tickets, testimonial dinners, Insurance premiums or any payment not made as a direct gift. • Unpaid pledges until they are paid. • Gifts to foster political activities • Gifts to organizations not recognized by the IRS under Section 501(c)(3) Including organizations with limited constituencies, such as fraternities, sororities and veterans' groups. • Gifts to private foundations. • Multiple gifts submitted on one form. • Gifts made by estates or surviving spouses of deceased employees. HOW TO PARTICIPATE Donor: Provide adt of the information requested in Part A of the form, sign it and mail the entire form with your contribution to the organization of your choice. Organization: Provide all of the information requested in Part B and sign the form. Mail completed applications to: MOBIL RETIREE MATCHING GIFTS, P.O. Box 7835, PRINCETON, NJ 08543.7635. Proof of lax status is required the first time matching funds are requested. Please enclose a copy of the Section 501 (c)(3) IRS exemption letter, Including your Employer Identification Number (EIN). Government agencies such as public schools and community libraries should submit a copy of the law under which they are established, or a comparable document. Note: Forms must be received by the Mobil Retiree Matching Gifts office within 90 days following the date of the gift. ADMINISTRATIVE CONDITIONS ExxonMob)) Foundation reserves the right not to match a particular gift, donor or organization. Decisions are final. This Program may be terminated or conditions changed at any time and without advance notilcation. FOR FURTHER INFORMATION CONTACT: Mobil Retiree Matching Gifts P.O. Box 7635 Princeton, NJ 08543-7635 (888) 846-4438 (888.846-GIFT) mobil0easymatch.com MOBIL RETIREE MATCHING GIFTS PROGRAM The Mobil Retiree Marching Gifts Program is designed to encourage retirees to support charitable organizations. ELIGIBLE CONTRIBUTIONS ExxonMobil Foundation will match dollar-for-dollar contributions made by eligible persons in the form of cash or publicly traded securities within the following limits: • Minimum Gift $25 • Maximum Gift: $5,000 per ret ree, per calendar year. • Distribution: Contributions are matched four times per year. EUGIBLE DONORS • Retired employees and directors of Mobil Corporation, or any of its domestic subsidiaries, which were designated as participating companies in Mobil Foundation's Matching Gifts Program. • Spouses of Mobil retirees mentioned above. • Retired directors of Mobil Corporation. EXXONMOBIL FOUNDATION WILL NOT MATCH • Gifts to individuals. • Gifts made by estates or surviving spouses of deceased employees. • Gifts to religious organizations, when the gift is for religious programs, such as tithes or other religious financial commitments (church schools are eligible). • Gifts of real/personal property (i.e., gifts In kind, except marketable securities). • Deferred gifts (e.g., future interests). • Gifts to foster political activities. • Tuition or other student expenses or payments in lieu of tuition. • Gifts to organizations not recognized by the IRS under Section 501(c)(3) Inducing organizations with limited constituencies. such as fraternities, sororities and veterans' groups. • Accumulated or pooled monies raised by a group of employees/ retirees and submitted by an individual. • Gifts to private foundations. • Payments for subscription fees, benefit tickets, testimonial dinners, insurance premiums or any payment not made as a direct gift • Multiple gills submitted on one form • Unpaid pledges until they are paid. HOW TO PARTICIPATE Donor: Provide all of the information requested in Part A of the form, sign it and mail the entire form with your contribution to the organization of your choice. Organisation : Provide all of the Information requested in Part B and sign the form. Mai completed applications to: MOBIL RETIREE MATCHING GIFTS, P.O. BOX 7635, PRINCETON, NJ 08543-7635. Proof of tax status is required the first time matching funds are requested. Please enclose a copy of the Section 501 (c)(3) IRS exemption letter, including your Employer Identification Number (EIN). Government agencies such as pubic schools and community libraries should submit a copy of the law under which they are established, or a comparable document. Note: Forms must be received by the Mobil Retiree Matching Gifts office within 90 days following the date of the gift. ADMINISTRATIVE CONDITIONS ExxonMobil Foundation reserves the right not to match a particular gift, donor or organization. Decisions are final This Program may be terminated or conditions changed at any time and without advance notification. FOR FURTHER INFORMATION CONTACT: Mobil Retiree Matching Gifts P.O. Box 7635 •• 1 nnr, An 7Lrne (888) 846-4438 • nnM nAr nUr? Mobil Retiree Matching Gifts Program E=onMob il RO. Box 7635 Foundat ion Matching Gifts Program Application Princeton, NJ 08543-7635 (888) 846-4438 PART A • TO BE COMPLETED BY THE DONOR PLEASE TYPE OR PRINT AND ANSWER ALL ITEMS. INCOMPLETE FORMS WILL BE RETURNED. EMPLOYEEIREnREE SOCIAL SECURITY NUMBER IF DONATING STOCK SHARES ^ INSTEAD OF CASH - AL40UNT 1rOU WISH TO SE MATCHED IF LESS THAN ^ YOUR CONTRIBUTION NAME OF STOCK NO OF • MO / DAY / YR NAME OF RECEIVING ORGANIZATION DONOR'S NAME (FIRST. MIDDLE. LAST) HOME ADDRESS (NUMBER AND STREET) CITY STATE [ ZIP TELEPHONE 0 RETIREE 0 RETIRED DIRECTOR 0 SPOUSE I hereby corny that the hdormation submitted by me is conplete and correct and that my gift kdly complies with the provisions of the program described herein and mll not be used to pay any lees or in beu of Won and does not In any way drecty benefit myself. members of my tan iy or any other poison(s) designated by myself. I have not boon nor will be rembursed by anyone for M oontrbit on. SIGNATURE PART B *TO BE COMPLETED ONLY BY THE RECEIVING ORGANIZATION IMPORTANT-THIS DOCUMENT MUST BE RECEIVED BY MOBIL RETIREE MATCHING GIFTS WITHIN 90 DAYS FROM DATE OF GIFT. PLEASE TYPE OR PRINT AND ANSWER ALL ITEMS. INCOMPLETE FORMS WILL BE RETURNED. NAME OF ORGANIZATION On e* IegeIsx amernpl nwno oo rolbelad on IRS o> umptIon leNot) FEDERAL TAX 10. NO. ADORESS NUMBER AND 8TREET) CITY STf(TE AP MO -DAY YR , a. r n wPJdn the Omltolbt>9 of the Program a wsIdelInea, and tihe aby cTertVt (hs1 tlib mald^irig pifl,wae made by tlw Y^drkkial nmred and has been recetred by the spar qfl to the dmor.orpetson(6) duc1i .4ed by,tlw donor and wit not be used to fulfill paymetd of a pbdg% .fur .that n Mrs piuen wdha1prw. ba or pr vision o(maierlet t errp low eervlaa ada'twr ol.tudlon Type of-Organtzation ARTMULTURE fl CMC PRINT NAME AUTHORIZED t1T SIGNATURE '18EP1:10(iE-N{ABER DATE [J EDUCATION [] HEALTH AGENCY 0 HOSPITAL STAR Grants for individual volunteer time and TEAM Grants for group projects Mobil Retiree Volunteer Program Application ExxonMobil Foundation MOBIL RETIREE VOLUNTEER PROGRAM (MVP) STAR and TEAM G The Mobil Retiree Volunteer Program has established a volunteer program to recognize retirees and spousr volunteer their time with non-profit organizations of their choice in the community. The program Includes gn organization In the names of the retirees who volunteered. The STAR Grant Is designed for Mobll retirees and spouses and dependent children ages 12.25 who yr basis. The TEAM Grant encourages Mobil retirees and spouses and dependent children ages 12-25 to vo in their community. STAR - SUPPORT FOR TIME & ACTION REWARD PROGRAM GUIDELINES • A $500 grant will be awarded to a charitable, non-profit organization after an eligible applicant votunleei organization during a calendar year. • • Each retiree is eligible for four STAR grants per calendar year. which may be submitted by a retiree. sr Upon completing 40 hours of service, the retiree and/or spouse or dependent child age 12-25 shouk form and send the form to the charitable organization.The organizat.on verifies the accuracy of the infor the STAR application to ExxonMobli Foundation, Inc. Note: All forms must be signed by the Mobil resin • Applications received before December 1st will be paid by year-end. Applications must be received b previous calendar year's efforts. Volunteer hours may not be carded over from year to year. • Each organization may receive a maximum of $10,000 per calendar year of MVP grants ELIGIBLE APPLICANTS • Retirees of Mobil Corporation, or any of Its domestic subsidiaries. • Spouses of Mobil retirees referred to above. • Retired directors of Mobil Corporation. • Dependent children ages 12.25 of Mobil retirees referred to above. TEAM - TEAM EFFORT ACTION MATCH PROGRAM GUIDELINES • Grants of $500 will be awarded to charitable , non-profit organizations served by a team of at least rn volunteer their own time for a combined total of 40 hours or more on a specific project. • The TEAM grant can be used to cover the costs of equipment and materials relating to one-time proj clean -ups, housing rehabilitation , community rebuilding , preparing and serving holiday dinners at a shy ELIGIBLE APPLICANTS A team may consist of five or more individuals described as follows: • • • Retirees of Mobil Corporation, or any of Its domestic subsidiaries. Spouses of Mobil retirees referred to above Retired directors at Mobil Corporation. ELIGIBLE ORGANIZATIONS FOR STAR AND TEAM GRANTS • Eligible Institutions or organizations must be recognized as tax exempt try the Internal Revenue Service unc Code and have an Employer Identification Number (EIN), or be ar Nstrumentality, of a state or local gov than those described as ineligible INELIGIBLE ORGANIZATIONS/PROGRAMS (BOTH STAR AND TEAM GRANTS) • Political organizations. • Churches, synagogues, etc.. Insofar as concerns religious activities (Church-sponsored accredited sc • Private foundations. • Activities where the volunteer or their family receives a direct personal benefit In return for the grant. • Organizations with limited constituencies, such as fraternities, sororities and veterans' groups. The administration and financing of this program Is exclusively the responsibility of the ExxornMobil Foundal suspend or terminate this program at any time and Its decision is final. Address all correspondence to: Mobil Retiree Matching Gifts P.O. Box 7635 (888) 846.4438 Princeton, NJ 08543-7635 (888) 846-GIFT mobllkeasymatch.com Reference No. TEAM (To be compt PART A • List Mobil retiree/spouse team volunteers, and social security numbers. (Please print or type and use another sheet of paper if necessary) Team Contact Name SS# Mailing Address City State Phone Volunteer Name SS# - Volunteer Name SS# - Volunteer Name SS# Volunteer Name SS# - Volunteer Name SS# - Name of Organization Dale(s) of Project Description of Project ream Contact Signature If TEAM contact or volunteer is a spouse, enter th e social security number of the retiree. 'ART B • To be completed by the recipient organization (please type or print). 'Jame Title Jame of Organization nailing Address ity State Zip )rganization's Nine (9) Digit Employer I.D. No. (Attach copy of 501 (c)(3)) inef Description of Organization's Purpose (Attach brochure if available) certify that the above volunteer services have been received and that the grant will be used to support the primary obje s a tax-exempt organization under Section 501(c)(3) of the internal Revenue Code or an Instrumentality of a state or loc Ignature of Authorized Officer Grant Application Reference No. ST*R (To be completed by ExxonMobil Foundation) PART A • To be completed by retireelvolunteer. Forward completed form to non-profit organization for verification of volunteer activity Please complete all Information requested. (Please print or type) Retiree SS# Application Dale Retiree Name Volunteer's Name Mailing Address City Phone ( Zip State 1 Home Phone ( 1 Month Volunteered Hours JAN Hours Hours Hours JUL Hours MAR FEB AUG Hours H.-- APR Hours SEP MAY Hours JUN Hours Hours OCT NOV Hours Hours TOTAL DEC Name of Non-profit Organization to Receive Grant Describe Volunteer's Activities Retiree's Signature Date PART B • To be completed by the recipient organization (please type or print). Name Title Date Name of Organization Mailing Address City State Zip Phone Organization's Nine (9) Digit Employer I.D. No. (Attach copy of 501(c)(3)) Brief Description of Organization's Purpose (Attach brochure it available) I certify that the above volunteer services have been received and that the grant wig be used to support the primary objectives of this organization which Is classified as a tax-exempt organization under Section 501 (c)(3) of the Internal Revenue Code or an instrumentality of a state or local government under IRC Section 170(c)(1) Signature of Authorized Officer Date Exx nMobil Foundation Initiated in 1996 , the Volunteer Insulhcmcnt Program is funded by 1 «onMobil I oundation , the primar y philanthropic arm of Exxon Mobil Corporation . The Volunteer Involvement Program sacks to encourage cnnployccs, retirees , and other eligible participants to actively contribute their time and talent to charitable organirations by providing contributions on their behalf. 'I'hc intent of work activity that requires multiple \volunteers working together .it the same location at the same tune. A projec t nrny hate a duration of one day or may 1x a reoccurring project such as a tram working together on the acth it)* once a month An may receive a nt.tximum of $10,000 per calend.ur year in 'giant Volunteer Grants, in addition to the $5,000 nt.teintttnt for Individual Volunteer Grants this program is to encourage soluntecrisni to worthwhile charitable activities in the community, rather than an provide large sums of atone) to organi7atinns . hxxonMobil Foundation is committed to supporting charitable activities that : advance education or science ; combat community deterioration and juvenile delinquency ; relieve the poor, the distressed, or the underprivileged ; lessen Itcibhborhotic] tensions; lessen the burdens of golcrn . ntcnt ; eliminate prejudice and discrimination; and defend human and civil rights secured by law. Ccncral Guidelines iltt• Volunteer lnvolvt•nu•nt l'rogrtni is designed kir rinploy..e , tctirces, ,tncl other cli`ihlt' participants \clto tolunieer in the tmmiltuntty on in inchtidual or Team I1.t,i' A $500 };rant an lie :marded (C) .t charitable, nonpro it : t1. ,tni/ttion .cuter an clog We p.tntctpant or "leant ttilutticers .u least 241 hours, of their rani' to tits organiz ut