9'54 AM I 990-PF Department of the Treasury Intemal Revenue Servrce @or calendar year 2014 or tax year beginning a Name of foundation i=1 Ga Bohemian Foundation Return of Private Foundation or Section Trust Treated as Private Foundation Do not enter social security numbers on this form as it may be made public. lnfonnation about Form 990-PF and its separate instructions is at and ending OMB No 1545-0052 2014 A Employer Identi?cation number 84-1605993 E5, 262 E. Mountain Avenue Number and street (or 0 box number if mail is not delivered to street address) Roomlsurte Telephone number (see instructions) 970-221-2636 ?11 City or town, state or provrnce, country, and ZIP or foreign postal code [a Fort Collins Check all that apply Initial return Final return [1 Address change C0 8 0524 Initial return of a former public chanty Amended return Name change If exemption application is pending, check here 1. Forergn orgamzauonsoheokhere 2. Forcign organizations meeting the 85% test, check here and attach computation ENVELOPE. $17 Check type of organization. Section 501(c)(3) exempt private foundation Section 4947(a)(1) nonexempt charitable trust Other taxabte private foundation Fair market value of all assets at end of year (from Part II, col Accounting method Other (specrfy) Cash Accrual if private foundation status was tenninated under section check here if the foundation is in (SO-month terrnination under section check here line 16) 42 444 272 (Part I, column (0) must be on cash basrs) Disbursements Lam ?3322222? emigrant ici?g?egnel ?gaggle the amounts in column (see instructions) books (Gain only) 1 Contributions, gifts, grants, etc, received (attach schedule) 1 190 2 Check ifthe foundation Is not requrred to attach E83 3 Interest on and temporary cash investments 51 366 51 366 a 4 Dividends and interest from securities 104 631 104 631 5a Gross rents Net rental income or (loss) L5 2 6a 25,789, 1'76 3: 25,794,816 0 7 Capital gain net income (from Part IV, line Net short-tenn capital gain 0 9 Income modi?cations 1 0a Gross sales less returns and allowances Less Cost of goods sold Gross pro?t or (loss) (attach schedule) 11 Other income (attach schedule) 12 Total. Add lines 1 through 11 25,946,363 25,945,173 0 8 13 Compensation of of?cers, directors, trustees, etc 0 2 14 Other employee salanes and wages 584 606 584 606 g- 15 Pensron plans, employee bene?ts 1 14'1 755 147 755 16a Legal fees I q" 78,127 7,813 70,314 I: Accounting?: 1; Other pmfessionatfees?(attac so 17 Interest 5 18 Taxes (attach ins ructions) 08 6 19 Deprecration (attach-schedutej'an pa 0 4 409 20 Occupancy QGDEN, 20,000 20,000 21 Travel, conferences, and meetings 21 939 21 939 22 Printing and publications 6) 23 0therexpensas(att sch) 4 5 230,707 12,930 213,979 '5 24 Total operating and administrative expenses. Add lines13thr0ugh 23 2,101,629 20,743 0 1,058,679 8 25 Contributions. grits, grants paid Total expenses and disbursements. Add lines 24 and 25 10 745 5'78 20 743 0 9 6'10 128 27 Subtract line 26 from line 12. a Excess of revenue over expenses and disbursements 15 200 '7 85 Net investment income (if negative, enter 25 924 430 Adjusted net income (if negative, enter -0-) 0 For Papenivork Reduction Act Notice, see instructions. DAA we Form 990-PF (2014) 1605993 97101203 5 AM Form 990-PF (2014) Bohemian Foundation 84-1605993 Page 2 ched schedules and amounts In the descn hon column Beg'nmng 0f year End Of year Balance Sheets mid be for end-of?year amounts only (See rashuctlons Book Value (In Book Value Fa" Mme, Value 1 Cash - non-interest-beanng 563 886 and temporary cash investments Accounts receivable 1 11 30 8 Less allowance for doubtful accounts 111 308 111 308 4 Pledges receivable Less' allowance for doubtful accounts 5 Grants receivable 6 Receivables due from of?cers. dIrectors. trustees, and other disquali?ed persons (attach schedule) (see Instructions) 7 Other notes and loans receivable (att. schedule) See this 1 I 7 90 430 Less: allowance for doubtful accounts 0 1, 790,430 1, 790,430 1, 790,430 3 8 Inventories for sale or use a 9 Prepaid expenses and defened charges - 10a Investments and state government obligations (attach schedule) Investments corporate stock (attach schedule) See 5 4 4 61 Investments corporate bonds (attach schedule) 11 Investments land. and equrprnent basrs 1 Less accumulated deprecation (attach 12 Investments mongage loans 13 Investments other (attach schedule) See Statement Land. burldings. and equipment bass Less 8 1,537 ,292 1,015,508 613,879 613,879 15 Other assets (describe See Statement Total assets (to be completed by all ?lers - see the Instructions. Also, see page 1. item Accounts payable and accrued expenses Grants payable 19 Deferred revenue 37:: 20 Loans from of?cers, directors, trustees, and other disquali?ed persons 53 21 Mortgages and other notes payable (attach schedule) '1 22 Other (descnbe 23 Total liabilities (add llnes 17 through 22) 1 703 2'71 1 277 363 Foundations that follow SFAS 117, check here and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted 25 Temporarily restricted 26 Permanently Foundations that do not follow SFAS 117. check here 't and complete lines 27 through 31. 27 Capital stock. trust or current funds a 28 Paid-tn or capital surplus. or land. and equrpment fund 2 29 Retained earnings. accumulated income. endowment. or other funds Total net assets or fund balances (see InstructionsTotal liabilities and net assetslfund balances (see Instructions) 27 669 395 42 L444 272 I Part I Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year Part II. column line 30 (must agree end-of-year ?gure reported on prior year's return) 1 25 966 124 2 Enter amount from Part I. line 27a 2 15 200 785 3 Other increases not included in line 2 (Itemize) 3 4 Add lines1,2. and3 4 41,166,909 5 Decreases not included in line 2 (Itemize) i 5 6 Total net assets or fund balances at end of year (line 4 minus line 5) Part II, column line 30 6 41 166 909 DAA Form 990-PF (2014) 1505993 97/012035 9,54 AM Form 990-PF12014) Bohemian Foundation 84-1605993 Page 3 my! Capital Gains and Losses for Tax on Investment Income LIst and descnbe the Iund(s) of property sold (e . real estate, Hm? acqu'red Date acquIred Date sold 2-story warehouse. or common stock, 200 MLC Co gt?gos? (mo day, yr) (mo day, yr) 1a See Worksheet statutes.) 3 Complete only for assets showmg gaIn In column and owned by the foundatIon on 1231/69 (1) Adjusted (I) MV as of 12r31169 asof 12,3159 (II) Excess of out (I) over col 0). If any (I) GaIns (Col gaIn mInus col but not less than -0-) or Losses (from col 2 Ca ital aIn net Income or (net ca Ital loss) If gam' also enter In Part "he 7 lf (loss), enter -0- In Part Net short-term capItaI garn or (loss) as de?ned In sectlons 1222(5) and (6) If gaIn. also enter In Part I. Me 8. column (see Instructlons). If (loss). enter In 3 Part II Me 8 3 !Raf (For optIonaI use by domestlc prIvate foundations subject to the sectIon 4940(a) tax on net Investment Income If sectIon 4940(d)(2) appIIes. leave thIs part blank Was the foundation IIabie for the sectIon 4942 tax on the distributable amount of any year in the base penod?? If ?Yes,? the foundation does not quaIIfy under section 4940(e) Do not complete thIs part Quali?cation Under Section 4940(e) for Reduced Tax on Net Investment Income Yes IE No 1 Enter the approprIate amount In each column for each year, see the instructIons before maklng any entrIes m) Calendar m) AdJusled qualrfying dIsInbutlons Net value of nonchantable?use assets (cor 2013 10,147,549 46,302,304 0.219156 2012 7,856,740 32,710,793 0.240188 2011 14,929,715 38,879,606 0.383999 2010 13,946,781 46, 375,212 0.300738 2009 6,239,714 39,021,938 0.159903 2 Total of Me 1. column 2 1 . 303984 3 Average dIstnbution ratio for the 5-year base period - dIvrde the total on line 2 by 5. or by the number of years the foundation has been in eXIstence If less than 5 years Enter the net value of nonchantable?use assets for 2014 from Part X, line Enter 1% of net Investment income of Part I, IIne 27b) 6 259 244 7 Add IInes5and6 7 11,547,885 8 Enter qualIfyIng dIstrIbutIons from Part XIIline 8 is equal to or greater than Me 7, check the box In Part VI. lune 1b. and complete that part usmg a 1% tax rate See the Part VI Instructions DAA Form 990-PF (2014) 1605993 QTIO112015 9?54 AM Form 990-PF @014) Bohemian Foundation 84 - 1 605 9 93 Pag? I Part VI I Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 see instructions) 1a Exempt operating foundations described In section 4940(d)(2), check here and enter on line 1 Date of ruling or deterrnination letter (attach copy of letter if necessary?see instructions) Domestic foundations that meet the section 4940(e) requuements in Part V. check 1 518 4 8 9 here and enter 1% of Part I. line 27b All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, col 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter 2 0 3 Add lines1 and2 3 518L489 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 51L4 8 9 6 Credits/Payments. a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a 527 12 1 Exempt foreign organizations tax Withheld at source 6b Tax paid with application for exten5ion of time to ?le (Form 8868) SC Backup Withholding erroneously Withheld 6d 7 Total credits and payments. Add lines 6a through Enter any penalty for underpayment of estimated tax Check here if Form 2220 is attached 8 I 9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed 9 10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid 10 8 632 11 Enter the amount of Ilne 10 to be Credited to 2015 estimated tax 8 632 Refunded 11 I Part VII-A Statements Regarding Activities 1a During the tax year. did the foundation attempt to in?uence any national, state, or local legislation or did it Yes No participate or intervene in any political campaign? 1a Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions for the definition)? . 1b If the answer is "Yes" to 1a or 1b, attach a detailed description of the actiwties and copies of any materials published or distributed by the foundation in connection With the actIVIties. 1 Did the foundation ?le Form 1120-POL for this year? 1c I Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year I (1) On the foundation (2) On foundation managers Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation managers 2 Has the foundation engaged in any actiwties that have not prewously been reported to the 2 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 instruments? If ?Yes.? attach a conformed copy of the changes 3 4a Did the foundation have unrelated busmess gross income of $1,000 or more during the year? 4a If "Yes." has it ?led a tax return on Form 990-T for this year? 4b 5 Was there a liqmdation. terrnination, dissolution, or substantial contraction during the year? 5 I If 'Yes,? attach the statement requ1red by General Instruction 6 Are the requuements of section 508(e) (relating to sections 4941 through 4945) satis?ed either: 0 By language in the governing instrument, or By state legislation that effectively amends the governing instrument so that no mandatory directions that con?ict With the state law remain in the governing instrument? 6 7 Did the foundation have at least $5,000 in assets at any time dunng the year? If "Yes." complete Part II. col (0). and Part XV 7 8a Enter the states to which the foundation reports or With which it is registered (see instructions) co 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 requ1red by General Instruction G7 If attach explanation 8b 9 Is the foundation claiming status as a private operating foundation Within the meaning of section 49420)(3) or I 4942(1)(5) for calendar year 2014 or the taxable year beginning in 2014 (see instructions for Part If ?Yes.? complete Part XIV 9 10 Did any persons become substantial contributors during the tax year? If ?Yes,? attach a schedule listing their names and addresses Stunt 1 0 10 Form 990-PF (2014) DAA 1605993 07/01l2015 9154 AM Form Bohemian Foundation 11 12 13 14 15 16 Ilia I: 1a 3a 0' DAA 84?1605993 '0 n: [8 0 Statements Regarding 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)9 If "Yes," attach schedule (see instructions) 11 Did the foundation make a distribution to a donor adwsed fund over which the foundation or a disquali?ed person had adwsory priwleges? If ?Yes,? attach statement (see instructions) 12 Did the foundation comply With the public inspection reqmrements for its annual returns and exemption application? 13 Website address . bohemianfoundation . org The books are in care of Kim McDaniel 2 62 . Mountain Avenue Located at Fort co Section 4947(a)(1) nonexempt charitable trusts ?ling Form 990-PF in lieu of Form 1041 - Check here and enter the amount of tax-exempt interest received or accrued during the year I 15 I At any time during calendar year 2014, did the foundation have an interest in or a Signature or other authority Yes No over a bank, securities. or other ?nanCIal account in a foreign country? See the instructions for exceptions and ?ling requirements for Fomi 114. (fon'nerly TD 90-221) If "Yes enter the name of the foreign country 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. During the year did the foundation (either directly or indirectly) (1) Engage in the sale or exchange. or leasing of property With a disquali?ed person? (2) Borrow money from, lend money to, or otherWise extend credit to (or accept It from) a disquali?ed person? (3) Furnish goods. sewices, or faculties to (or accept them from) a disquali?ed person? (4) Pay compensation to. or pay or reimburse the expenses of, a disquali?ed person? (5) Transfer any income or assets to a disquali?ed person (or make any of either available for the bene?t or use of a disquali?ed person)? (6) Agree to pay money or property to a government of?CIal? (Exception. Check ?No? if the foundation agreed to make a grant to or to employ the of?cial for a period after termmation of government servnce, if tennlnating Within 90 days If any answer is "Yes" to did any of the acts fail to qualify under the exceptions described in Regulations section or in a current notice regarding disaster a55istanoe (see instructions)? Organizations relying on a current notice regarding disaster a55istance check here Did the foundation engage in a pnor year in any of the acts descnbed in 13, other than excepted acts. that were not corrected before the ?rst day of the tax year beginning in 20149 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundation de?ned in section 4942(1)(3) or 4942(1)(5)) At the end of tax year 2014. did the foundation have any undistributed income (lines 6d and Be, Part for tax year(s) beginning before 2014? If "Yes." list the years 20 20 20 20 Are there any years listed in 23 for Which the foundation is not applying the of section 4942(a)(2) (relating to incorrect valuation of assets) to the years undistributed income? (If applying section 4942(a)(2) to all years listed. answer "No" and attach statement see instnictions If the of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here 20 20 20 20 Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? If "Yes." did it have excess busmess holdings in 2014 as a result of (1) any purchase by the foundation or disquali?ed persons after May 26, 1969. (2) the lapse of the 5-year penod (or longer penod approved by the Commissioner under section 4943(c)(7)) to dispose of holdings achired by gift or bequest. or (3) the lapse of the 10-, 15-. or 20?year ?rst phase holding period? (Use Schedule C, Form 4720. to determme if the foundation had excess business holdings in 2014.) Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 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 legiardy before the ?rst day of the tax in 20149 Telephone no 970-221-2 636 80524 Yes Yes Yes Yes DEEDS Yes Yes El l: Yes DYes Form 990-PF (2014) 1605993 07/01/2015 9134 AM Form 990-PF (2014) Bohemian Foundation Page 6 1 Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required (continued) Sa During the year did the foundation pay or incur any amount to- (1) Carry on propaganda, or othenivise attempt to influence legislation (section 4945(e))7 Yes No (2) In?uence the outcome of any speCI?c public election (see section 4955), or to carry on, directly or indirectly, any voter registration drive? Yes No (3) Prowde a grant to an indiwdual for travel, study, or other Similar purposes? Yes No (4) Prowde a grant to an organization other than a charitable, etc., organization described in section 4945(d)(4)(A)7 (see instructions) Yes [1 No (5) Prowde for any purpose other than religious, charitable, scientific, literary, or educational purposes. or for the prevention of cruelty to children or animals? Yes IE No If any answer is ?Yes? to 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)? 5b Organizations relying on a current notice regarding disaster a55istanoe check here If the answer is ?Yes? to question 53(4), does the foundation claim exemption from the tax because it maintained expenditure responSIbility for the grant? 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 bene?t contract? Yes lg! No Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 6b If ?Yes? to 6b, ?le Form 8870 Ta At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? Yes No If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction? 7b Part I Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors 1 List all of?cers, directors. trustees, foundation managers and their compensation (see instructions). Contributions to Name and address 12:99 (cil?rgfepgsital?on p?gglg?d?i?g (eg?e?egamnl. evoted to posmon enter -0-) compensahon Pat Spryer Fort President 262 . Mountaln Ave CO 80524 0 . 00 0 0 0 Joseph Fort: Collins . Secretary 262 . Mountaln Ave . CO 80524 0 . 00 0 0 0 Cheryl Fort Board Member 262 . Mountain Ave . CO 80524 Compensation of ?ve highest-paid employees (other than those included on line 1 see instructions). If none, enter Tme' and average ?333ng Expense account Name and address of each employee paid more than $50,000 hours per week to) Compensation plans and defem other allowances devoted to posmon compensation Karabensh Fort . ?Muelc Progra 262 . Mountaln Ave CO 80524 40 . 00 100 000 0 Sara Maranovucz Fort Comm . Progs . 262 . Mountaln Ave CO 80524 40 . 00 100, 000 0 0 Total number of other employees paid over $50,000 I 0 DAA Form 990-PF (2014) 1605993 07/012035 9?54 AM Form QQO-PF (2014) Bohemian Foundation Page 7 I Part I lnfonnation About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors (continued) 3 Five highest-paid independent contractors for professional services (see instructions). If none, enter Name and address of each person paid more than 550,000 Type of semce Compensation NONE Total number of others receivmg over $50,000 for professional servrces Summary of Direct Charitable Activities List the foundation?s four largest dlI'Ed chantable during the tax year Include relevant stahshcal Information such as the number of organizations and other bene?cranes served. conferences convened. research papers produced, etc Expenses 1 A 2 . 3 4 Parth-B I Summary of Program-Related Investments (see instructions) Descnbe the two largest program-related Investments made by the foundation dunng the tax year on tunes 1 and 2 Amoum 1 A 2 All other program-related Investments See Instructions 3 Total. Add lines 1 through 3 Form 990-PF (2014) BM 1605993 07/01/2015 9 54 AM Form 99043): (2014) Bohemian Foundation 84 - 1 605993 pag? I Part I Minimum 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 canying out charitable, etc purposes- 3 Average fair market value of securities 1a 2 2 62 152 Average of cash balances 1b 3 9 100 447 Fair market value of all other assets (see instructions) 1c 2 581 731 (1 Total (add lines 1a, b, and 0) 1d 43 941L330 Reduction claimed for blockage or other factors reported on lines 1a and 1c (attach detailed explanation) I 1e I 0 2 AcquiSItion indebtedness applicable to line 1 assets 2 0 3 Subtract line 2 from line 1d 3 43 944 330 4 Cash deemed held for charitable actIVities Enter of line 3 (for greater amount, see InstructionsNet value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line Minimum investment return. Enter 5% of line 5 6 2 15442 58 I Part XI I Distributable Amount (see instructions) (Section 4942(1)(3) and private operating foundations and certain foreign organizations check here H71 and do not complete this part) 1 Minimum investment return from Part X, line 6 1 2 164;, 258 2a Tax on investment income for 2014 from Part VI, line Income tax for 2014 (This does not Include the tax from Part VI 2b Add lines Distributable amount before adjustments. Subtract line 2c from line Recoveries of amounts treated as qualifying distributions 4 5 Add lmesBand4 5 1,645,769 6 Deduction from distributable amount (see instructions) 6 7 Distributable amount as adjusted Subtract line 6 from line 5. Enter here and on Part Ilne1 7 1,645,769 Qualifying Distributions (see instructions) 1 Amounts paid (including administrative expenses) to accomplish charitable, etc purposes a Expenses, contributions, gifts, etc total from Part I, column line 26 1a 9 670 128 Program-related investments total from Part 1b 2 Amounts paid to acquire assets used (or held for use) directly in canying out charitable, etc purposes 2 3 Amounts set aSide for speCI?c charitable prolects that satisfy the' a SUItability test (prior IRS approval reqUIred) 3a Cash distribution test (attach the reqmred schedule) 3b 4 Qualifying distributions. Add lines 1a through 3b Enter here and on Part V, line 8, and Part line Foundations that qualify under section 4940(e) for the reduoed rate of tax on net investment income Enter 1% of Part I, line 27b (see instructions) 5 0 6 Adjusted qualifying distributions. Subtract line 5 from line DAA Note. The amount on line 6 will be used in Part V, column in subsequent years when calculating whether the foundation quali?es for the section 4940(e) reduction of tax in those years Form 990-PF (2014) 1605993 07ID1I2015 954 AM Form Bohemian Foundation . Undistributed Income (see instructions 84-1605993 Page 9 1 Distributable amount for 2014 from Part XI, line 7 2 Undistributed income, if any, as of the end of 2014 In Enter amount for 2013 only Total for prior years: 20 20 .20 3 Excess distributions carryover, if any. to 2014: From 2009 From 2010 From 2011 From 2012 From 2013 4,664,197 in) Corpus (bi Years prior to 2013 (C) 201 3 2014 1,645,769 11 835 738 13,214,363 6,401,158 8,386,298 10 Total of lines 3a through Qualifying distributions for 2014 from Part Xll, line4 9,670,128 Applied to 2013, but not more than line 23 Applied to undistnbuted income of prior years (Election reqUIred see instructions) Treated as distributions out of corpus (Election requrred - see instructions) Applied to 2014 distributable amount Remaining amount distributed out of corpus Excess distributions canyover applied to 2014 (If an amount appears in column the same amount must be shown in column Enter the net total of each column as indicated below: Corpus Add lines 3f. 40. and 4e. Subtract line 5 Prior years' undistiibuted income Subtract line 4b from line 2b Enter the amount of prior years' undistnbuted income for which a notice of de?ciency has been issued, or on which the section 4942(a) tax has been preVIously assessed Subtract line 6c from line 6b Taxable amount see instructions Undistributed income for 2013 Subtract line 4a from line 2a Taxable amount see instructions Undistiibuted 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 reqmrements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be reqwred?see instructions) Excess distributions carryover from 2009 not applied on line 5 or line 7 (see instructions) Excess distributions carryover to 2015. Subtract lines 7 and 8 from line 6a Analy5is of line 9 44 501 754 1,645,769 8,024,359 52 ,526,113 4,664,197 47,861,916 Excess from 2010 Excess from 2011 Excess from 2012 Excess from 2013 Excess from 2014 09.030: 11 835 738 13 214 363 6,401,158 8,386,298 8,024,359 DAA Form 990-PF (2014) 1605993 07/01/2015 9 54 AM Bohemian Foundation i?ai intiXWii 1a 23 Gross Investment Income 84-1605993 Private Operating Foundations (see Instructions and Part question 9) If the foundatron has received a rulrng or detennrnatron letter that It rs a pnvate operatrng foundatron, and the rulrng rs effectrve for 2014, enter the date of the ruling Check box to Indrcate whether the foundatron is a private operating foundation described In Fl 4942(1)(3) or Enter the lesser of the adjusted net Tax year PTIOF 3 Years Income from Part or the (3)2014 it) 2012 Investment return from Part for each year Irsted 85% of lrne 2a from Part Xll, lrne 4 for each year listed Amounts Included In lrne 2c not used drrectly for active conduct of exempt Qualrl'ylng dIstrIbutIons made dIrectly for active conduct of exempt Subtract lrne 2d from lrne 2c Complete 3a, b, or for the alternative test relied upon ?Assets? altematrve test - enter (1) Value of all assets (2) Value of assets qualifying under section 4942(1)(3)(B)(r) ?Endowment? alternative test enter 2/3 of Investment return shown in Part X, lrne 6 for each year llStEd "Support" alternative test enter: (1) Total support other than gross Investment Income (Interest, rents, payments on securities loans (section or royalties) Support from general public and 5 or more exempt organrzatrons as provrded In section 4942(1)(3)(B)(m) Largest amount of support from an exempt organrzatron Page 1 0 l_1_49420x5) Total (D) 2013 2011 (2) (3) Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets at any time during the year see instructions.) 1 lnforrnation Regarding Foundation Managers: a any managers of the foundatron who have contributed more than 2% of the total contributions reserved by the foundatron before the close of any tax year (but only If they have contnbuted more than $5,000) (See section 507(d)(2) Pat $5,586,700 any managers of the foundatron who own 10% or more of the stock of a corporatron (or an equally large portron of the ownership of a partnership or other entity) of which the foundatron has a 10% or greater Interest 2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here If the foundatron only makes contributions to preselected charrtable organrzatrons and does not accept requests for funds If the foundatron makes grants, etc (see Instructions) to IndIVIduals or organrzatrons under other Items 2a_L bl c, and a The name. address, and telephone number or e-marl address of the person to whom should be addressed Bohemian Foundation 970?221?2636 262 E. Mountain Avenue Fort Collins CO 80524 The form In should be submitted and rnformatron and materials they should ll?lClUdE? See Statement 11 Any deadlines February and September of each year - specific date varies Any or on awards. such as by geographical areas, charrtable ?elds, of Institutions, or other factors See Statement 12 BM Form 990-PF (2014) 1605993 071012015 9 54 AM Form 990-PF (2014) Bohemian Foundation 84-1 605993 page 11 [m Supplementary Information (continued) 3 Grants and Contributions Paid DurinLthe Year or Approved for Future Payment Recuplent If in pm '5 ?lm'er '13" i owanyrea ons ID 0 urposeo gran or any foundation manager ?uig contribution Amount Name and address meme or busnness) or substantvaI contnbutor a Paid during the year See Attached Statement 8,611,449 Total 3a 8,611,449 Approved for future payment Total 3b DAA Fonn 990-PF (2014) 1605993 (YTIOHZOJS 9 34 AM Form {20141 Bohemian Foundation I Part XVI-A I Analysis of Income-Producing Activities 84-1605993 Page 1 2 Enter gross amounts unless otherwrse Indicated. 1 Program servrce revenue Unrelated busrness Income Excluded by section 512, 513, or 514 Busrness code lb) Amount tel Exclusaon code Amount (9) Related or exempt function Income (See instructions) ?00.05? 9 Fees and contracts from government agencres Membership dues and assessments Interest on sayings and temporary cash investments Dividends and Interest from securities Net rental Income or (loss) from real estate a Debt-?nanced property Not debt-?nanced property Net rental Income or (loss) from personal property Other Investment Income Gain or (loss) from sales of assets other than Inventory Net Income or (loss) from special events 10 Gross pro?t or (loss) from sales of Inventory 11 Other revenue a 01wa coco-4m 14 51,366 14 104,631 18 25 ,789, 1'16 12 Subtotal Add columns and 25,945,173 0 13 Total. Add line 12, columns and See Part XVI-B Line No. A In DAA 13 Relationshi of Activities to the of the foundation's other than ishment of Pu 13 Explain below how each for which Income IS reported In column of Part XVI-A contnbuted Importantly to the funds for such See Instructions 25 945 173 Form 990-PF (2014) 1605993 0710112015 9 54 AM Form 990-PF (2014) Bohemian Foundation page 1 3 Part XVII lnfonnation Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations 1 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? a Transfers from the reporting foundation to a nonchantable exempt organization of (1) Cash 1a(1) (2) Other assets 1a(2) Other transactions (1) Sales of assets to a nonchantable exempt organization 1b 1) (2) Purchases of assets from a nonchantable exempt organization 1b(2) (3) Rental of facilitres, eqUipment, or other assets 1b(3) (4) Reimbursement arrangements 1b(4) (5) Loans or loan guarantees 1m5) (6) Performance of sewices or membership or fundraismg solicrtations - - 1b(6) Sharing of faCilities, equipment, mailing lists, other assets, or paid employees 1c cl If the answer to any of the above is "Yes," complete the followrng schedule Column should always show the fair market value of the goods, other assets, or servrces given by the reporting foundation If the foundation received less than fair market value in a transaction or show in column the value of the other or servuces received Line no Amount involved Name of nonchantable exempt organization Description of transfers. transactions, and sharing arrangements A 23 Is the foundation directly or indirectly af?liated With, or related to, one or more tax-exempt organizations described in section 501 of the Code (other than section 501(c)(3)) or in section 5279 Yes 1% No If ?Yes,? complete the followmg schedule Name of organization Type of organization of relationship Under penalties of penury, I declare that have examined this relum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct. and complete Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge May the IRS discuss this ratum . with the preparer shown below 8'9" (see instructions)" lg Yes El No Here I Secretary Signature 0! olfce?or?ustee Date 1 Title prepag'sjnahi?e i?s 2 Date Chew n, . self-employed :a'd Barbie Thelen I 7 I '5 re arer . Usepom Finn's name OneSeven Adv; sorsJ LLC 6'7 nan-saddles 148 Remington St 46-2321192 Fort Collins, CO 80524-2834 Phoneno 970-430-6944 DAA Form 990-PF (2014) 1605993 071012015 9 54 AM Schedule - OMB No 1545-0047 (Pom 990452, Schedule of Contributors 3' 990-P'2m Attach to Form 990, Form 990-52, or Form 990-PF. 4 Information about Schedule (Form 990, 990-EZ, 990-PF) and its instructions is at Name of the organization Employer identi?cation number Bohemian Foundation Organization type (check one) Filers of: Section: Form 990 or 501 (enter number) organization [1 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 chantabie 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 Specral Rule. See instructions General Rule For an organization ?ling Form 990, or 990-PF that received, dunng the year, contributions totaling $5,000 or more (in money or property) from any one contributor Complete Parts I and II See instructions for deten'nining a contributors total contributions Special Rules For an organization described in section 501(c)(3) ?ling Form 990 or 990-EZ that met the 331/3 support test of the regulations under sections 509(a)(1) and that checked Schedule A (Form 990 or 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 line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II For an organization described in section 501(c)(7), (8), or (10) ?ling Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1 ,000 excluswely for religious. charitable, soienti?c, literary, or educational purposes, or for the prevention of cruelty to children or animals Complete Parts I. II, and For an organization described in section 501(c)(7), (8), or (10) tiling Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, chantabie. 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 exclusrvely religious, charitable. etc purpose Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusweiy religious, charitable, etc contributions totaling $5,000 or more dunng the year Caution. An organization that is not covered by the General Rule and/or the SpeCIal Rules does not ?le Schedule (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 of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it does not meet the ?ling requrrements of Schedule (Form 990, 990-EZ, or 990-PF) For Paperwork Reduction Act Notice, see the Instructions for Form 990. 990-EZ. or 990-PF. Schedule (Form 990, 990-Ez, or ago-PF) (2014) DAA 1605993 9 54 AM Schedule (Form 990. 990-EZ, or 990-PF) (2014) Page 1 of 1 Page 2 Name of organization Employer identi?cation number Bohemian Foundation 84-1605993 Contributors (see instructions). Use duplicate copies of Part I if additional space is needed No. Name, address, and ZIP 4 Total contributions Type of contribution 1 Pat Person 2 62 Mountain Avenue Payroll . 5,586,700 Noncash Fort Collins CO 80524 (Complete Part II for noncash No. Name, address, and ZIP 4 Total contributions Type of contribution Person Payroll Noncash (Complete Part II for noncash contributlons) (bi No. Name, address, and ZIP 4 Total contributions Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) (C) No. Name, address, and ZIP 4 Total contributions Type of contribution Person Payroll Noncash (Complete Part II for noncash contributlons) (3) lb) (6) No. Name, address, and ZIP 4 Total contributions Type of contribution Person Payroll Noncash (Complete Part II for noncash contnbutlons (C) No. Name, addressL and ZIP 4 Total contributions Type of contribution Person Payroll . Noncash (Complete Part II for noncash contnbutlons Scheduie (Form 990, 990-EZ, or 990-PF) (2014) DAA 1605993 07/01/2035 9 54 AM Schedule (Form 990. 990-EZ, or 990-PF) (2014) Page 1 of 1 Page 3 Name of organization Employer identi?cation number Bohemian Foundation 84-1605993 Noncash Property (see instructions). Use duplicate copies of Part ll if additional space IS needed. (mNa (o from Descri tion of nongash ro rty iven FMV (or ewmate) Date Sgeived Part I pe 9 (see instructions) 70,000 Corp Stock 1 5,586,700 08/18/14 (a No. . from Descri tion of noncash ro rty iven FMV (or esumate) Date received Partl De 9 (see instructions) (d from Descri tion of nongash ro rty iven FMV (or esumate) Date Sleived Part I pe 9 (see instructions) No. from Descri tion of nongash ro rty iven FMV (or emu-late) Date Sgeived Part I pa 9 (see instructions) No. from Descri tion of nonc)ash ro rty iven FMV (or eStimate) Date rfleived Part I pe 9 (see instructions) No. from Descri tion of nogc)ash ro erty iven FMV (or eatimate) Date :meived Part I 9 (see instructions) ec DAA Schedule (Form 990. 990-EZ, or BSD-PF) (2014) 1605993 07/01/2015 9 54 AM Capital Gains and Losses for Tax on Investment Income Form 990-PF 2014 For calendar year 2014, or tax year beginning and ending Name Employer Identi?cation Number Bohemian Foundation 84-1605993 (8,324,234,136 (80935.22? a) 5,206 Stock various 01/03/14 Q) 38,548 Stock Various 01/06/14 my 34,081 Stock various 01/07/14 my 48,725 Stock Various 01/08/14 (3 66,623 Stock various 01/09/14 w) 39,750 Stock various 01/10/14 a) 29,500 Stock various 08/07/14 6) 3,799 Stock Various 08/11/14 9) 287 Stock Various 08/12/14 um 65,914 Stock Various 08/13/14 (11) (12) 03 (14) (15) ?8 Gm saw-?Pm "l ?mam?? magma: 0,33 22.23.31,, u) 390,402 88 390,314 (3 2,902,371 653 2,901,718 (3 2,577,549 578 2,576,971 m) 3,733,420 826 3,732,594 5) 5,117,030 1,130 5,115,900 5) 3,084,602 674 3,083,928 (n 2,358,473 500 2,357,973 (m 303,805 64 303,741 (9 22,945 5 22,940 5,304,219 1,122 5,303,097 (Complete only for assets showmg gain In column and owned by the foundation on 12131169 as of 1213159 Adjusted basus as of Excess of col (I) over col (1). If any Gains (Col garn minus but not less than -0-) or Losses (from col (1) 390,314 (3 Q) 2,576,971 El 3,732,594 (5) 5,115,900 (Q 3,083,928 (7) 2,357,973 (Q 303,741 22,940 Q9 5,303,097 (11) (12) (13) (14) (15) 1605993 Bohemian Foundation 7/1/2015 9:54 AM 84-1605993 Federal Statements FYE: 12/31/2014 Statement 1 - Form 990-PF. Part I, Line 16a - Legal Fees Net Adjusted Charitable Description Total Investment Net Purgose 78,127 7,813 70,314 Total 78,127 7,813 0 70,314 Statement 2 - Form 990-PF. Part I, Line 18 - Taxes Net Adjusted Charitable Description Total Investment Net Purgose Excise Tax and Fees 610,086 86 Total 610,086 0 0 86 L2 1605993 Bohemian Foundation 84-1605993 FYE: 12/31/2014 Federal Statements 7/1/2015 9:54 AM Statement 3 - Form 990-PF, Part I. Line 19 - Depreciation Description Date Cost Acquired Basis Xerox Documate 272 Scanne 2/25/08 1,076 Software 11/01/11 Software 1/09/12 Trios Exhibits 9/01/12 2,100,000 MacBook Pro (Cheryl) 4/07/14 2,698 Fluxx Discovery Software 12/31/14 8,000 3 Current Year Depreciation Prior Year Depreciation Income Method Life 1,076 ZOODB 5 5,875 4,243 3 1,632 3,917 3 1,958 5,875 1,092,000 200DB 5 403,200 200DB 5 1,619 Net Investment Adjusted Net Income Total 2,123,524 1,101,236 408,409 0 0 Statement 4 - Form 990-PF. Part I. Line 23 - Amortization Description Date Acquired Net Investment Income Current Year Amortization Prior Year Amortization Life Cost Basis Website Development 3,798 3,798 0 5 7/01/10 3 Total 56,975 56,975 13,294 15 13,294 Adjusted Net Income COGS 34 5993 2/31/ 2014 Bohemian Foundat on Federal Statements 7/1/2015 9:54 AM Description Initiatives Initiatives Initiatives Initiatives Inititatives tion nvestment Fees urance Supplies Expenses n9 uiting Expenses Statement 5 - Form 990-PL Part I, Line 23 - Other Expenses Bridges 43,626 10 31,698 14,634 door 2,461 16,237 9,136 12,930 2,407 64,303 11,800 5,003 12,674 226,909 Net Total Investment 12,930 12,930 Adjusted Net 0 Charitable Purpose 43,626 31,698 14,634 2,461 16,237 9,136 2,407 64,303 11,800 5,003 12,674 213,979 tatement 6 - Form 990-PF, Part II, Line 10b - Corporate Stock Investments Beginning End of Description of Year Year Valuation Corporation 4,461 Market 4 4 61 0 0 Fair Market Value Basis of Statement 7 - Form 990-PF. Part II, Line 13 - Other Investments Beginning End of Basis of Description of Year Year Valuation tures I, 58,000 46,139 Cost 5w 46,139 Fair Market Value 46,139 46,139 emian Foundation 7/1/2015 9:54 AM Federal Statements Statement 8 - Form 990-PF Part II Line 14 - Land Buildin and Equipment Beginning End End Accumulated Net Description Net Book Cost Basis Degreciation MV 1,015,508 2,151,171 1,537,292 613,879 1,015,508 2,151,171 1,537,292 613,879 1685993 'Bohemian Foundation 7/1/2015 9:54 AM 84-1605993 Federal Statements FYE: 12/31/2014 Statement 9 - Form 990-PF, Part II, Line 15 - Other Assets Beginning End of Fair Market Description of Year Year Value Amortizable Assets 39,766 39,883 39,883 Total 39,766 39,883 39,883 1605993 Bohemian Foundation 84-1605993 FYE: 12/31/2014 Federal Statements 7/1/2015 9:54 AM Statement 10 - Form 990-PF. Part VII-A. Qne 10 - Substantial Contributors Name Address CM, State, Pat 262 E. Mountain Avenue Fort Collins CO 80524 10 160'599?3 isohemian Foundation 7/1/2015 9:54 AM 344505993 Federal Statements FYE: 12/31/2014 Form 990-PF, Part XV. Line 1a - Manaqers Who Contributed Over 2% or $5,000 Name of Manager Amount Pat 5,586,700 Total 5,586,700 Statement 11 - Form 990-PF. Part XV, Line 2b - Application Format and Required Contents Description Grant applications should be submitted on the Pharos Fund Online Grant Application Portal. Access to the portal is available on our website Please include the following attachments: detailed budget for the entire project, detailed agency budget for the year in which the project is being requested, externally prepared financial statment (audited, reviewed or compiled), if unavailable, most recently filed Form 990, Board of Director's list, IRS 501(c)(3) determination letter (first time applicants only and this excludes public schools and governmental units), outstanding final or interim reports, budget narrative (if you believe budget needs further explanation). Form 990-PF. Part XV, Line gc - Submission Deadlines Description February and September of each year specific date varies Statement 12 - Form 990-PF, Part XV. Lrine 2d - Award Restrictions or Limitations Description Awards are only available to public nonprofit 501(c)(3) organizations. Each grant is limited to $30,000 per grant cycle (2 cycles per year), and is only available to programs operating within Fort Collins, CO. 11-12 1605993 07m1r2q15 9 54 AM 4562 Department of the Treasury Intemat Revenue Servroe Depreciation and Amortization (Including Information on Listed Property) Attach to your tax return. (99) Information about Form 4562 and its separate instructions is at OMB No 1545-0172 2014 steam. 179 Name(s) shown on return Identifying number Bohemian Foundation 84-1605993 Busrness or to form relates Indirect Depreciation Part I Election To Expense Certain Property Under Section 179 Note: If you have any listetyaroperty, complete Part before you complete Part I. 1 Maxrmum amount (see InstructIons) 1 500 000 2 Total cost of sectron 179 property placed In service (see Instructlons) 2 3 Threshold cost of sectron 179 property before reduction In lImrtatIon (see Instructions) 3 2 00 000 4 Reductron In Subtract line 3 from lrne 2 If zero or less. enter -0- 4 5 Dollar lImItatIon for tax year Subtract lrne 4 from lrne 1 If zero or less, enter -0- If mamed ?ling separatelyLsee Instructions 5 6 Description of property Cost (busrness use only) Elected cost 7 Listed property Enter the amount from lrne 29 7 8 Total elected cost of sectron 179 property. Add amounts In column lines 6 and 7 8 9 Tentatrve deductron Enter the smaller of lrne 5 or lrne 8 9 10 Carryover of dIsallowed deductron from line 13 of your 2013 Form 4562 10 11 Busrness Income limitation Enter the smaller of busrness Income (not less than zero) or lrne 5 (see Instructrons) 11 12 SectIon 179 expense deductron. Add lines 9 and 10, but do not enter more than lrne 11 12 13 Carryover of dIsallowed deductron to 2015 Add lines 9 and 10, less lrne 12 I 13 I I Note: Do not use Part II or Part below for IIsted property. Instead, use Part Part II Special Depreciation Allowance and Other Depreciation (Do not Include listed property. (See Instructrons.) 14 Specral deprecratron allowance for qualr?ed property (other than IIsted property) placed In service durrng the tax year (see Instructrons) 14 1 34 9 15 Property subject to section 168(f)(1) electron 15 16 Other deprecratron (Including ACRS) 16 3 590 I Part Ill 1 MACRS Depreciation (Do not include listed property.) (See instructions.) Section A 17 MACRS deductrons for assets placed In servrce In tax years before 2014 you are electing to group any assets placed In servrce during the tax year Into one or more general asset accounts. check here Section B?Assets Placed in Service During 2014 Tax Year Using the General Depreciation System Month and year Basrs for deprecrahon N) Recovery Classr?cahon of property placed In (busrness?nvestment use (9) Convention (0 Method (9) Deprecratron deductron servrce only-see Instructions) Pem?d 19a 3-year property 5-year propertL 7-year property 10-year property 9 15-year property 20?year property 9 25-year property 25 SIL Resrdentral rental 27 5 MM SIL property 27 5 MM SIL i Nonresidentral real 39 MM SIL property MM SIL Section C?Assets Placed in Service During 2014 Tax Year Using the Alternative Depreciation System 20a Class lrfe 31 12-year 12 SIL 40-year 40 MM SIL Part IV I Summary (See Instructions.) 21 Lrsted property. Enter amount from lrne 28 21 22 Total. Add amounts from lrne 12, lines 14 through 17. lines 19 and 20 In column (9), and lrne 21. Enter here and on the approprrate lines of your return and corporations?see Instructrons 22 408 40 9 23 For assets shown above and placed in servrce durrng the current year, enter the portron of the basrs to sectron 263A costs 23 For Paperwork Reduction Act Notice, see separate instructions. Form 4562 (2014) DAA 1505993 o?rroirzqui 9 54 AM Bohemian Foundation Form 4562 (2014} 84-1605993 Page 2 ?lPart Listed Property (Include automobiles, certain other vehicles, certain aircraft, certain computers, and property used for entertainment, recreation, or amusement Note: For any vehicle for which ou are usin the standard mileage rate or deductin lease expense, complete only 243, 24gwlumns through of ection A, at of Section B, and Section if applicab Section A?Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles 24a Do you have ewdenoe to support the busmesslinvestrnent use claimed"Yes," IS the evidence written(II) (It Type of property Date placed Inveg?gm use Cost or other bays Basra for depreciation Recovery Method} Depreciation Elected section 179 (list vehicles ?rst) 39mm pemnmge penod Convenmn deducuon cost use on 25 Special depreciation allowance for quali?ed listed property placed in servrce during the tax year and used more than 50% in a quali?ed busmess use (see instructions) 25 26 Prope I used more than 50% in a quali?ed busrness use. 27 Prope i used 50% or less in a quali?ed busrness use' SIL- 28 Add amounts in column lines 25 through 27 Enter here and on line 21, page 1 28 29 Add amounts in column line 26 Enter here and on line 7, page 1 Section B?lnformation on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other ?more than 5% owner,? or related person If you prowded vehicles to your employees, ?rst answer the questions in Section to see if you meet an exception to completing this section for those vehicles 29 id) (ft 30 Total busmess/mvestment miles driven dunng Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 the year (do not include commuting miles) 31 Total commuting miles driven during the year 32 Total other personal (noncommuting) miles driven 33 Total miles driven during the year. Add lines 30 through 32 34 Was the vehicle available for personal Yes use during off-duty hours? 35 Was the vehicle used primarily by a more than 5% owner or related person? 36 Is another vehicle available for personal use? Section C?Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to deterrnine if you meet an exception to completing Section for vehicles used by employees who are not more than 5% owners or related persons (see instructions) 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by Yes No your employees? 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate of?cers, directors, or 1% or more owners 39 Do you treat all use of vehicles by employees as personal use? 40 Do you provide more than ?ve vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? 41 Do you meet the requrrements concerning quali?ed automobile demonstration use? (See instructions) Note: If your answer "Yes," do not complete Section for the covered vehicles I I Part VI I Amortization (C) Maximo? Date amortization Amortizable amount Code section penod or Amortization for this year Description of costs begms percentage 42 Amortization of costs that begins during your 2014 tax year (see instructions) 43 Amortization of costs that began before your 2014 tax year 43 3 7 98 44 Total. Add amounts in column See the instructions for where to report 44 3 7 98 DAA Form 4562 (2014) 1605993 9 54 AM Other Notes and Loans Receivable Form 990-PF 2014 For calendar year 2014, or tax year beginning and endIqu Name Employer Identi?cation Number Bohemian Foundation 84-1605993 Form Part II Line 7 - Additional Information Name of borrower to uall?ed 1 Other loans OngInaI amount Interest Date of loan rate borrower of loan Balance due at Balance due at FaIr market value Consideration fumlshed lender 790 430 ii, Bohemian Foundation 2014 Form 990-PF Part I. line 25 Contributions. gifts. grants paid December 31, 2014 marlin??rm 1% for the Planet Agape International Missions Alliance for Prevention of Lanmer Co Alzheimer's Assocration Colorado Chapter American Constitution Society for Law and Policy A Camp Bas Bleu Theatre Company Beet Street Bell Policy Center Bell Policy Center Berklee College of Musrc Bonnevrlle Environmental Foundation Book Trust Book Trust Book Trust Book Trust Book Trust Boys and Club of Lanmer County Brave New Foundation Burld Change Canyon Concert Ballet Center on Budget and Policy Pnonties ChiIdSafe Citizens for Responsmility and Ethics In Washington, Inc City of Fort Collins City of Fort Collins City of Fort Collins Colorado Children's Campaign Colorado CIVIC Engagement Roundtable Colorado Commumty Revrtalizatron Association Colorado Health Network Colorado Non-Pro?t Development Center Colorado Non-Pro?t Development Center Colorado Outward Bound Colorado Seminary DBA University of Denver Colorado State Foundation Colorado State Foundation Colorado State University Foundation Colorado State UniverSity Foundation Colorado State University Foundation Colorado State University Foundation Colorado State University Foundation Colorado State Foundation Colorado State University Foundation Colorado State Foundation Colorado State UniverSIty Foundation Colorado State University Foundation Colorado State Foundation Colorado State University Foundation Colorado State University Foundation Colorado State University Foundation Colorado State University Foundatron Colorado State University Foundatron Colorado State Foundation Community Foundation of Northern Colorado Community Foundation of Northern Colorado Community Foundation of Northern Colorado Community Foundation of Northern Colorado Community Foundatlon of Northern Colorado Conservation Colorado Education Fund Court Appornted Specral Advocate Court Appornted Special Advocate Crossroads Safehouse Crossroads Safehouse Crossroads Safehouse Democracy Now Productions, Inc Denver Scholarship Foundatron Disabled Resource Servrces Disabled Resource Servroes Disabled Resource Sewioes Earty Childhood Council of Lanmer County Easter Seals of Colorado Educatron Life Training Center Education Life Training Center Education Life Training Center Amount 5,000 00 2,500 00 13,000 00 1,000 00 100,000 00 2,500 00 5,000 00 10,000 00 100,000 00 100,000 00 10,000 00 25,000 00 25,000 00 15,000 00 2,500 00 25,000 00 5,000 00 1,000 00 250,000 00 100,000 00 750 00 50,000 00 10,000 00 200,000 00 35,910 00 75,000 00 7,500 00 20,000 00 250,000 00 5,000 00 1,500 00 35,000 00 40,000 00 7,000 00 100,000 00 20,000 00 20,000 00 20,000 00 20,000 00 25,000 00 1,500 00 15,000 00 10,000 00 4,500 00 125,000 00 10,000 00 10,000 00 8.500 00 12,000 00 10,000 00 1,500 00 10,000 00 15,000 00 10,000 00 500,000 00 30,000 00 30,000 00 10,000 00 10,000 00 125,000 00 15,000 00 25,000 00 20,000 00 2,000 00 20,000 00 100,000 00 25,000 00 500 00 5,000 00 1,000 00 10,000 00 5,000 00 25,000 00 500 00 7,200 00 Descrimon General Support General Support General Support Memories in the Making General Support Linda Preston - Celebrating 25 Years General Support Streetmosphere 14 General Support General Support NY Scholarships Solar 4R Schools General Support General Support Books on Tap Empowenng PSD Students Through Literacy General Support 2015 Youth of the Year General Support Disaster Relief Philippines Expansron Program Dancing the Stars General Support General Support General Support Pianos About Town Transfort Free Youth Riders Program Cinco De Mayo General Support General Support Wbrant CO Downth Conference Annual Breakfast Workplace NaVIgator Workplace Navrgator Scholarship IAALS Little Shop of Physics Experiment, Discover 8. Connect in Middle School Center for Public Deliberation Dept of Human Development 8. Family Studies Campus Corp School of Global Environment CSU Volleyball Little Shop of Phy5ics Open House Center For The Arts Zimdahl Scholarship Lagoon Summer Concert GSSE lntemational Student Scholarships College of Natural Scrences College of Natural Resources School Is Cool TnunfoITnumph Leadership Tutoring Program Susan Aukamp Memorial Scholarship Soul Food Gospel Fest Wynona Vrney Contemporary Artist Musrc Series Mark Family Endowment Catalyst Campaign CO Gives Day Homeward 2020 Program General Flood Relief General Support Oil and Gas Policy Research and Engagement Project Court Appornted Specral Advocates Fort Collins Harmony House Supewised Wsitation Program Youth Program 10th Annual Gala General Support General Support 6th Annual Gala Colorado 1st Person Festival General Support Vl?neFest 31 Supporting Socrally and Emotionally Competent Youth General Support General Support Circles Celebration Graduation General Support Education 8. Life Training Center Elderhaus etown Feeding Our Community Ourselves, Inc FISH of Vancouver Food Bank for Lanmer County Food Bank for Lanmer County Food Bank for Lanmer County Food Bank for Lanmer County Food Bank for Lanmer County Food Bank for Lanmer County Food Bank for Lanmer County Food Lite Line Fort Collins Downtown Busrness Assomation Fort Collins Museum of Discovery Fort Collins Museum of Discovery Fort Collins Museum of Discovery Fort Collins Museum of Discovery Fort Collins Museum of Discovery Fort Collins Mu5icians Assoaation Fort Collins Mu5i0ians Association Fort Collins Assomation Fort Collins Assocration Free Press Friends of Happy Heart Farm Friends of the Gardens on Creek Fnends of the Gardens on Creek Friends of the Gardens on Creek Friends of the Gardens on Creek Global Health Corps, Inc Global Livingston Grassroot Soccer, Inc Grassroot Soccer, Inc Greater Houston Community Foundation HalfMoon Arts Healthy Democracy Fund Heart of the Rockies Homeless Gear Homeless Gear Homeless Gear Homeless Gear Homelessness Prevention Initlative Homelessness Prevention Initiative IMPACT Dance Company Junior Achievement of Rocky Mountain, Inc Junior League of Fort Collins La Center Educational Foundation Lanmer County Child Advocacy Center Lanmer County Child Advocy Center Lanmer County Child Advocacy Center Lanmer County Partners Lanmer County Partners Lanmer County Partners Launch Community Through Skateboarding Launch Community Through Skateboarding Launch Community Through Skateboarding Legal Aid Foundation of Colorado Lincoln Center Support League Little Kids Rook Little Kids Rock Little Kids Rock Little Kids Rock Little Kids Rock Live the Victory, Inc Live the \?ctory, Inc Live the motory, Inc Live the Wotory, Inc Live the Victory, Inc Live the \?ctory, Inc Livmg Goods Loveland Community Kitchen Lubick Foundatron McBackpacks Media Matters for America Mercy Corps MothersZMothers MothersZMothers MusiCares Foundatron myAgro Farms Natural Resources Defense Council, Inc Nature Conservancy 40,000 00 5,000 00 150,000 00 1,750 00 1,250 00 25,000 00 10,000 00 5,000 00 30,000 00 5,000 00 2,400 00 5,000 00 15,000 00 30,000 00 400,000 00 75,000 00 5,000 00 2,500 00 20.000 00 10,000 00 15,000 00 3,000 00 5.000 00 100,000 00 600 00 5,000 00 250,000 00 1,000 00 1,500 00 100,000 00 5,000 00 20,000 00 130,000 00 20,000 00 7,000 00 25,000 00 5,000 00 2,500 00 2,500 00 500 00 3,000 00 20,000 00 10,000 00 3,500 00 15,000 00 1,000 00 2,500 00 10,000 00 10,000 00 750 00 20,000 00 1,500 00 20,000 00 5,000 00 5,000 00 5,000 00 5,000 00 1,000 00 15,000 00 100,000 00 125,000 00 119,000 00 100,000 00 25,000 00 2,500 00 2.500 00 60,000 00 30,000 00 5,000 00 100,000 00 5,000 00 1,000 00 10,000 00 200,000 00 100,000 00 25,000 00 75,000 00 75,000 00 50,000 00 10,000 00 10,000 00 Circles General Support General Support Bike In MUSIC Festival General Support Food Share General Support Empty Bowls 2015 General Support The Tastel The Taste! General Support General Support 2014 Music Sponsor Mus": Experience Exhibits Programming A Conversation With Myself Sculpture General Support DASH Opportunity Program General Support 2014 2015 Musical Zoo Youth Education Series (Y General Support Farm Festival Plant it Forward Great Lawn Improvements Garden of Lights Musrc in the Gardens 2014?15 Fellows Program General Support Coach DevelopmentiRecrUitment Zambia Expansron Program Disaster Relief Del Mar Famity Relief Youth Apprentroeship Program General Support General Support General Support General Support Toast to Transrtion Children in Need Program Rental Assistance Program Education Extra Program Every V0ice Matters Junior Achievement K-12 Programs (Poudre School District) 32nd Garden Tour General Support School Based Program "Talk About Touching" General Support Bocce Ball Tournament Community Based Mentor Party for Partners School Based Mentonng Launch Creative Center General Support General Support General Support Fort Collins Studio General Support General Support Poudre School Education K-12 AMP UP NYC Rockfest 2014 Empowering Youth Program General Support General Support School?Based Nawgator Community Life Center General Support General Support General Support 2015 Spread the Love McBackpack 2014/2015 General Support Disaster Relief Philippines Financial Inclusmn Program General Support Kenya Programs Safe Harbor Rooms Mali Program General Support Colorado River Program Neighbor to Nerghbor Neighbor to Nerghbor Nelghbor to Nerghbor Northern Colorado AIDS Pro1ect One Acre Fund OpenStage Theatre and Company OpenStage Theatre and Company Pathways Hosprco Phrlomatheon Club of Loveland Planned Parenthood of the Rocky Mountarns Planned Parenthood of the Rocky Mountarns Planned Parenthood of the Rocky Mountarns Planned Parenthood of the Rocky Mountarns Populatron Actron Intematronal Poudre Landmarks Foundatron Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre School Poudre Valley Health Care, Inc Poudre Valley Health System Foundatron ProgressNow Educatron ProgressNow Colorado Education Project Self-Sul?crency Project Self?Suf?crency Self-Suf?crency Project Self-Suf?crency Project Self-Suf?crency Self-Suf?crency Prerect Self-Suf?crency Project Self-Suf?crency Publrc Radro for the Front Range Publrc Radro for the Front Range Realrtres for Chantres ReaIrtres for Children Chantres Realrtres for Chantres Rocky Mountarn Observatory Rocky Mountarn Innovation Inrtratrve, Inc Rocky Mountarn Sustarnable Save the Chimps Senmus Operatrng Foundatron Serve 6 8 Serve 6 8 Serve 6 8 Sexual Assault Advocate Center Sexual Assault Advocate Center Sexual Assault Advocate Center Srlver Creek Organrzatron for Perfon?nrng Arts Scrence Educatron Center SpokesBuzz Fort State Voroes The Amencan Independent The Center for Famrty Outreach The Famrly Center The Family Center The Famrly Center The Geller Center The Geller Center The Geller Center The Geller Center The Growrng Progect The Growrng Project The Community Inc The Community Inc The Pongo Fund The Roosevelt Insutute Way Touchstone Health Partners Trees. Water People 20,000 00 10,000 00 20,000 00 1,500 00 200,000 00 5,000 00 500 00 1,500 00 5,000 00 50,000 00 25,000 00 50,000 00 15,000 00 10,000 00 1,500 00 20,000 00 17,500 00 15,000 00 10.000 00 5,000 00 4,000 00 60,500 00 45,500 00 25,000 00 20,000 00 20,000 00 15,000 00 8,000 00 7,623 33 3,000 00 (637 00) 3,000 00 15,000 00 50,000 00 175,000 00 20,000 00 10,000 00 2,500 00 30,000 00 10,000 00 5,000 00 5,000 00 2,500 00 2,500 00 10,000 00 10,000 00 10,000 00 5,000 00 1,000 00 25,000 00 5,000 00 500,000 00 37,534 00 15.000 00 15,000 00 1,000 00 1,500 00 10,000 00 2,500 00 2,500 00 30,000 00 2,800 00 50.000 00 85,000 00 750 00 25,000 00 5,000 00 30,000 00 1,200 00 5,000 00 10,000 00 10,000 00 10,000 00 10,000 00 15,000 00 25,000 00 1,250 00 25,000 00 100,000 00 10,000 00 2.200 00 Renter Program - Achervement of Housrng General Support Renter Program Preservatron of Housrng Stability Out For ere Burundr Expansion Program General Support Ocean's 11 A Vrntage Affarr General Support Grant Fort Caprtal Campaign Grant General Support Zambra Advocacy Campaign Trme Travelers Ball Lrnooln IB Wortd Open Door Project Cache La Poudre Extended Trme Transportatron Putnam Elementary School Club Trees Elementary School VrIlage Day Insh Elementary Wllage Day ECO Week Transpodatron Fund Freld Fund ECO Week Transportatron Fund AVID Program Support Poudre School Geometry In Construction Habrtat Burld North Fort STEM Early Oral Health Project - Contrnurng Our Success After PromIGraduatron Eagle Atter Hours Transportatrm Books for Beattre Frnance Park (unused funds) 2014 Bene?t Healthy Harbors General Support General Support Cars for Famrlres General Support 2015 Communrty Breakfast General Support General Support General Support General Support 2014 Community Breakfast 11th Annual Bash KRFC General Support General Support General Support General Support Poudre Rrverfest General Support 15th Annual Sustarnable Farr General Support Earty Musrc Program Srster Mary Alrce Murphy Center for Hope Data Analyst General Support 5 Year Celebratron SAVA Sronee General Support General Support Orchestra Program The Colorado LASER Prorect BandSwap Homecoming Powerhouse General Support General Support Grngerbread Home for the Holrdays After School General Support General Support Xanrscape General Support General Support General Support Growrng Project Youth Garden Trme General Support LA Unr?ed School General Support General Support General Support Grandfamrlles Support Earth Day East Mountain 4.11. United Way of Lanmer County United Way of Lanmer County United Way of Lanmer County United Way of Lanmer County United Way of Lanmer County United Way of Lanmer County United Way of Lanmer County Village Capital Villages WSion Spring Water For People Vlfild4Life Wild4Life Vl?ld4Life Vl?ld4Life Women's Foundation of Colorado Pnze Feundation Prize Foundation Vl?lliam Brennan Jr Center for Justice. Inc Total Grants 10,000 00 18,119 00 5,000 00 5,000 00 10,000 00 2,500 00 1,000 00 20.000 00 5.000 00 150,000 00 100,000 00 10,000 00 35,000 00 30,000 00 75,000 00 2,500 00 15,000 00 23.000 00 100,000 00 8,611,449.33 Faith Family Hospitality Give Next Smart Start for Kids Community Impact Fund General Flood Relief 12th State of Community Technical ASSistance Partnership Nairobi Project Redtail Ponds General Support and India Program Boliwa Program Expansmn Food. Supplies Education for Mothers Renovation Mwembe Clinic Waiting Mothers Shelter Mabale School Rebund Project Rural Community Health Program Zimbabwe 22nd Annual Luncheon Global Learning Wendy Schmidt Ocean Health Prize General Support Bohemian Foundation 2014 Form Part VII-B, Line 5c Part VII-B, Line 5c Expenditure Responsibility Grantee Name: Address: Address: Grant Date: Grant Amount: Grant Purpose: Amt. Expended by Grantee: Any Diversion by Grantee: Dates of Reports by Grantee: Date of Verification: Results of Verification: Grantee Name: Address: Address: Grant Date: Grant Amount: Grant Purpose: Amt. Expended by Grantee: Any Diversion by Grantee: Dates of Reports by Grantee: Date of Verification: Results of Verification: Fort Town, Inc. Downtown Business Association 19 Old Town Square, Suite 230 Fort Collins, CO 80524 6/26/2014 $30,000.00 2014 music sponsorship of three, free public events. $30,000.00 No 10/30/2014 Various Grantee provided full and complete reports regarding expenditure of the grant. Grantor has no reason to doubt the accuracy or reliability of the report from the grantee; therefore, no independent verification of the report was made. Little Kids Rock, Inc. 271 Grove Avenue Verona, NJ 07044 11/13/2013 $412,000.00 AMP UP NYC $139,000.00 No 03/27/2014; 04/21/2015; 7/14/2015 Va?ous Grantee provided full and complete reports regarding expenditure of the grant. Grantor has no reason to doubt the accuracy or reliability of the report from the grantee; therefore, no independent verification of the report was made. ?0Fv-Oo Bohemian Foundation 2014 Form 990-PF, Part VII-B, Line 5c Part VII-B, Line 5c Expenditure Responsibility Grantee Name: Address: Address: Grant Date: Grant Amount: Grant Purpose: Amt. Expended by Grantee: Any Diversion by Grantee: Dates of Reports by Grantee: Date of Verification: Results of Verification: Grantee Name: Address: Address: Grant Date: Grant Amount: Grant Purpose: Amt. Expended by Grantee: Any Diversion by Grantee: Dates of Reports by Grantee: Date of Verification: Results of Veri?cation: Serimus Operating Foundation 148 Remington Street Fort Collins, CO 80524 8/ 11/2014 $37,534.00 Early Music Program $16,168.00 No 2/19/2015 Va?ous Grantee provided full and complete reports regarding expenditure of the grant. Grantor has no reason to doubt the accuracy or reliability of the report from the grantee; therefore, no independent verification of the report was made. Community Foundation of Northern Colorado 4745 Wheaton Drive, Suite 100 Fort Collins, CO 80525 5/27/2014 $30,000.00 Homeward 2020 Program Expenses $30,000.00 No 12/16/2014 Various Grantee provided full and complete reports regarding expenditure of the grant. Grantor has no reason to doubt the accuracy or reliability of the report from the grantee; therefore, no independent verification of the report was made.