2018-11-13T12:55:23-06:00 2018-06-30 731225615 SMITH CARNEY & CO PC 5 S COMMERCE AVE SUITE 33 ARDMORE OK 734013924 990PF 2017-07-01 731300662 SOUTHERN OKLAHOMA MEMORIAL FOUNDATION INC SOUT 5802260700 PO BOX 1409 ARDMORE OK 734021409 MARY KATE WILSON PRESIDENT 5802260700 2018-11-09 1 KEVIN D HOWARD CPA P00352638 5802261227 68.15.98.162 2018-11-09 14:18:40 CS P 786AE0574F0BBC372DA5997F65AD68AF962F5202 A0B92FE1FCE9FB456EE90F57BC34BB2B0A496710 2017 2019-02-21 02:37:17Z X 108667193 X 0 X 110521 110521 774784 774784 1265229 1265229 753987 5888043 43021208 5888043 12340 12340 8050917 8050917 142093 42628 99465 252 0 252 14767 0 14767 227246 227246 0 196584 28327 0 514445 511242 19493 4873 14620 285918 174727 111191 1400798 989043 240295 4367782 4367782 5768580 989043 4608077 2282337 7061874 570716 795492 795492 426526 0 0 426526 426526 1328043 0 0 80089816 50705341 50705341 5991413 17274069 17274069 14067152 3699103 10819650 10368049 14609999 0 24848550 24848550 59569 52353 6614 7216 7216 98806252 104425243 108667193 0 0 X 96847730 102343459 12558 15491 1945964 2066293 98806252 104425243 98806252 104425243 98806252 2282337 3336654 104425243 0 104425243 SALE OF PUBLICLY TRADED SECURITIES 39309148 37133165 2175983 2175983 CAPITAL GAINS OF PRIVATE EQUITY SECURITIES P 3712060 3712060 3712060 5888043 0 4758252 96655695 0.049229 5438234 99127759 0.054861 5154828 107955671 0.047749 4807287 106306333 0.045221 4505233 95632465 0.047110 0.244170 0.048834 103150597 5037256 70619 5107875 4608077 141237 0 141237 0 141237 163847 0 0 163847 0 22610 22610 0 0 0 0 0 0 0 0 0 1 1 0 1 1 OK 1 0 0 0 0 1 WWW.SOMFARDMORE.ORG FOUNDATION 5802260700 333 W MAIN ST STE 220 ARDMORE OK 73401 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MARY KATE WILSON PO BOX 1409 ARDMORE OK 73402 PRESIDENT 30.00 101800 0 0 T A BRANDT 471 MAJESTIC HILLS ROAD ARDMORE OK 73401 DIRECTOR 0.40 0 0 0 DEBRA FIELDS 1912 RED OAK DRIVE ARDMORE OK 73401 DIRECTOR 0.40 0 0 0 BILL GODDARD 1505 N COMMERCE STE 102 ARDMORE OK 73401 DIRECTOR 0.40 0 0 0 RON GRAVES 1119 WALNUT DRIVE ARDMORE OK 73401 DIRECTOR 0.40 0 0 0 PHIL MCANALLY 320 A ST NE ARDMORE OK 73401 DIRECTOR 0.40 0 0 0 MIKE MORDY 110 WEST MAIN ARDMORE OK 73401 DIRECTOR 0.40 0 0 0 KEVIN REED 256 CLUB LAKE ROAD ARDMORE OK 73402 DIRECTOR 0.40 0 0 0 HENRY ROBERTS 1316 12TH AVE NW ARDMORE OK 73401 DIRECTOR 0.40 0 0 0 SALLIE WALKER 5695 MT WASHINGTON ROAD ARDMORE OK 73401 DIRECTOR 0.40 0 0 0 LARRY PULLIAM PO BOX 38 SPRINGER OK 73458 FORMER PRESIDENT 30.00 40293 0 0 NONE 0 MERCY MEMORIAL HEALTH CENTER 1011 14TH AVENUE NW ARDMORE OK 73401 CONTRACT LEASED EMPLOYEES 106476 BARROW HANLEY MEWHINNEY & STRAUSS INC 3232 MCKINNEY 15TH FLOOR DALLAS TX 75204 INVESTMENT ADVSIOR 95455 BLACKSTONE REAL ESTATE PARTNERS EUROPE V 345 PARK AVENUE NEW YORK NY 10154 INVESTMENT ADVSIOR 88089 ELLWOOD ASSOCIATES 33 W MONROE SUITE 1850 CHICAGO IL 60603 INVESTMENT ADVSIOR 79654 BANK OF OKLAHOMA PO BOX 2300 TULSA OK 74192 INVESTMENT ADVSIOR 51480 0 0 90252829 76891 14391698 104721418 0 0 104721418 1570821 103150597 5157530 5157530 141237 11930 153167 5004363 0 5004363 0 5004363 4608077 0 4608077 0 4608077 5004363 4389410 0 0 4608077 4389410 0 0 218667 0 0 0 0 0 0 0 0 4785696 0 0 0 MARY KATE WILSON PRESIDENT 333 W MAIN SUITE 220 ARDMORE OK 73401 5802260700 APPLICATION SHOULD INCLUDE A DESCRIPTION AND AMOUNT OF THE REQUEST, FINANCIAL STATEMENTS, AND THE PUBLIC CHARITY STATUS OF THE REQUESTING ENTITY. MARCH 1; JUNE 1; SEPTEMBER 1; DECEMBER 1 GENERALLY RESTRICTED TO GEOGRAPHICAL AREA OF 50 MILE RADIUS OF ARDMORE, OK WITHIN THE STATE OF OKLAHOMA. A PLUS READING ROOM INC 1717 WINCHESTER ARDMORE OK 73401 PC GRANT - FY19 READING THERAPIST SALARIES 65000 ARBUCKLE AREA COUNCIL #468-BOY SCOUTS PO BOX 5309 ARDMORE OK 73403 PC FOR CAMP SIMPSON MAINTENANCE EQUIPMENT 1000 ARBUCKLE LIFE SOLUTIONS INC 9 10TH AVENUE NW ARDMORE OK 73401 PC OPERATING SUPPORT 100000 ARDMORE DAY NURSERY INC 320 D STREET NW ARDMORE OK 73401 PC MATCHING CONTRIBUTION FOR MIKE MORDY CK#2408 4/18/18 500 ARDMORE FAMILY LITERACY INC 1405 4TH AVE NW 104 ARDMORE OK 73401 PC GRANT - OPERATING SUPPORT 2018 15000 ARDMORE HABITAT FOR HUMANITY INC PO BOX 2412 ARDMORE OK 734022412 PC GRANT - HOME CONSTRUCTION FOR LOW-INCOME FAMILY 30000 ARDMORE SCHOOL DISTRICT I-19 PO BOX 1709 ARDMORE OK 734021709 PC GRANT - ACS ADVANCE PLACEMENT INCENTIVE PRGM 5782 ARDMORE SCHOOL DISTRICT I-19 PO BOX 1709 ARDMORE OK 734021709 PC GRANT - ACS EMPOWERING THE ARTS PRGMS 222816 ARDMORE SCHOOL DISTRICT I-19 PO BOX 1709 ARDMORE OK 734021709 PC SCHOOL NURSES 265307 ARDMORE SCHOOL DISTRICT I-19 PO BOX 1709 ARDMORE OK 734021709 PC GRANT - SCHOOL RESOURCE OFFICERS FY18 60000 ARDMORE SCHOOL DISTRICT I-19 PO BOX 1709 ARDMORE OK 734021709 PC GRANT - ACS EMPOWERING THE ARTS PRGMS 59551 BIG FIVE COMMUNITY SERVICES INC 1502 NORTH 1ST AVENUE DURANT OK 74701 PC GRANT - VEHICLE PURCHASE MATCHING GRANT FUNDS 73470 BROADWAY HOUSE INC 221 2ND AVENUE NW ARDMORE OK 73401 PC GRANT - 2017 OPERATING SUPPORT 10000 CAMP FIRE 3309 EAST HEFNER ROAD OKLAHOMA CITY OK 73131 PC GRANT - ARDMORE OFFICE FACILTY REPAIRS 7300 CARTER COUNTY CASA INC CARTER COUNTY COURTHOUSE ROOM 401 20 B ST SW ARDMORE OK 73401 PC GRANT - 2018 OPERATING SUPPORT 40000 CHILDREN'S MEDICAL RESEARCH INC 901 N LINCOLN BLVD SUITE 305 OKLAHOMA CITY OK 73104 PC GRANT - ARDMORE CARDIOLOGY CLINIC THROUGH 8/31/18 12000 CITIES IN SCHOOLS INC 825 GRAND AVENUE ARDMORE OK 73401 PC GRANT - OPERATING SUPPORT THROUGH MAY 2018 84000 CITIES IN SCHOOLS INC 825 GRAND AVENUE ARDMORE OK 73401 PC GRANT - OPR SUPPORT 2018 SUMMER CAMP 50000 COMMUNITY CHILDREN'S SHELTER & FAMILY SRV PO BOX 246 ARDMORE OK 734020246 PC GRANT - COUNSELING PROGRAM REIMB FOR 1/1/17-6/30/17 42223 FAMILY SHELTER OF SO OK - SRV FOR VICTIMS PO BOX 1408 ARDMORE OK 73401 PC GRANT - SHELTER PROGRAM & ADVOCATE FY18 40000 FIRST UNITED METHODIST CHURCH PRESCHOOL 501 W MAIN STREET ARDMORE OK 73401 PC GRANT - PRESCHOOL SCHOLARSHIPS FY18 10000 FOOD & RESOURCE CNTR OF SO CNTRL OKLA INC 801 HAILEY STREET SW ARDMORE OK 73402 PC GRANT - 2018 OPERATING SUPPORT 50000 GIRLS ON THE RUN OF SO OKLAHOMA INC 911 WEST BROADWAY SUITE 110 ARDMORE OK 73401 PC GRANT - PROGRAM SUPPORT FALL '17, SPRING '18 10000 GIRLS ON THE RUN OF SO OKLAHOMA INC 911 WEST BROADWAY SUITE 110 ARDMORE OK 73401 PC MATCHING CONTRIBUTION FOR PARTICIPANT SCHOLARSHIPS 250 GIRLS ON THE RUN OF SO OKLAHOMA INC 911 WEST BROADWAY SUITE 110 ARDMORE OK 73401 PC MATCHING CONTRIBUTION FOR PROGRAM EXPENSE 100 GLORIA AINSWORTH CHILD CARELEARNING CNTR 502 G STREET NE ARDMORE OK 73401 PC GRANT - SCHOLARSHIP PROGRAM 75000 GODDARD CENTER FOR VISUAL AND PERFORMING ARTS PO BOX 1624 ARDMORE OK 73402 PC GRANT - MASTER PLAN DEVELOPMENT 35000 GOOD SHEPHERD COMMUNITY CLINIC INC 20 12TH AVE NW ARDMORE OK 73401 PC MAMMOGRAM PROGRAM 19547 GOOD SHEPHERD COMMUNITY CLINIC INC 20 12TH AVE NW ARDMORE OK 73401 PC GRANT - 2018 OPERATING SUPPORT 525000 GRACE CENTER OF SOUTHERN OKLAHOMA 11 A STREET NW ARDMORE OK 73401 PC GRANT - 2018 OPERATING SUPPORT 25000 HFV WILSON COMMUNITY CENTER PO BOX 502 ARDMORE OK 73402 PC GRANT - 7/1/17-6/30/18 OPR SUPPORT 60000 HICKORY CREEK CHILD CENTER INC 1408 4TH AVE NW ARDMORE OK 73401 PC GRANT - 3-STAR ACCREDITATION COSTS 13192 INTEGRIS HEALTH FOUNDATION INC 3030 NORTHWEST EXPRESSWAY SUITE 1600 OKLAHOMA CITY OK 73112 PC GRANT - ARCADIA TRAILS CAPITAL CAMPAIGN 250000 MEDICAL EQUIPMENT ASSISTANCE PROGRAM INC 2525 3RD AVENUE NE ARDMORE OK 73401 PC OPERATING SUPPORT 64350 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 PC IMAGING EQUIPMENT 1:1 MATCH 539148 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 PC FACILITY RENOVATIONS 1:3 MATCH 30659 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 PC GRANT - CAPITAL PROJECTS 450000 MERCY HOSPITAL ARD LYNCH PYMT 1011 14TH AVENUE NW ARDMORE OK 73401 PC INDIGENT CARE REIMBURSEMEMT 12558 MORE FOUNDATION 301 W MAIN SUITE 210 ARDMORE OK 73401 PC SCHOLARSHIPS 135000 OKLA ASSN FOR RETARDED CITIZENS 49 HERITAGE STREET ARDMORE OK 73401 PC GRANT - FY18 OPERATING SUPPORT 48000 OKLA ASSN FOR RETARDED CITIZENS 49 HERITAGE STREET ARDMORE OK 73401 PC GRANT - BAL OF FUNDS NEEDED FOR VAN PURCHASE 22764 OKLA ASSN FOR RETARDED CITIZENS 49 HERITAGE STREET ARDMORE OK 73401 PC GRANT - EQUIP FOR GROUP HOMES 1-4, VEHICLES 84032 OKLAHOMA ARTS INSTITUTE 111 NW 9TH STREET OKLAHOMA CITY OK 73102 PC ARTS INSTITUTE EDUCATOR SCHOLARSHIPS 11000 OKLAHOMA BAPTIST HOMES FOR CHILDREN INC 225 WEST MAIN MADILL OK 73446 PC MATCHING CONTRIBUTION FOR BAPITST HOME FOR GIRLS, MADILL 5000 OUTCASTS UNDER TRANSFORMATION INC 177 E STREET NW ARDMORE OK 73401 PC OPERATING SUPPORT 1000 OUTCASTS UNDER TRANSFORMATION INC 177 E STREET NW ARDMORE OK 73401 PC GRANT - REPLACEMENT WINDOWS, COOK STOVE W/EXHAUST 35000 PLAINVIEW SCHOOL DIST I-27 1140 S PLAINVIEW ROAD ARDMORE OK 73401 PC MATCHING CONTRIBUTION FOR PLAINVIEW ELEMENTARY PHYSICAL EDUCATION 100 PLAINVIEW SCHOOL DIST I-27 1140 S PLAINVIEW ROAD ARDMORE OK 73401 PC GRANT - INTERMEDIATE ELEMENTARY SAFE ROOM CONSTRUCTION 200000 REGIONAL FOOD BANK OF OKLAHOMA PO BOX 270968 OKLAHOMA CITY OK 731370968 PC GRANT - CARTER COUNTY SCHOOL PANTRY PROGRAM 15000 SALVATION ARMY PO BOX 1483 ARDMORE OK 73402 PC GRANT - FY18 SHELTER, FEEDING PROGRAMS, KITCHEN EQUIPMENT 125000 SARA'S PROJECT INC PO BOX 1396 ARDMORE OK 73402 PC GRANT - 2018 CRISIS ED SPECIALIST'S SAL & TRAINING 25000 SO OKLAHOMA HIGHER EDUCATION FOUNDATION 2901 MT WASHINGTON ROAD ARDMORE OK 73401 PC GRANT - SIM LAB FOR ECU SCHOOL OF NURSING AT UCSCO 5088 SO OKLAHOMA HIGHER EDUCATION FOUNDATION 2901 MT WASHINGTON ROAD ARDMORE OK 73401 PC SIM LAB EQUIPMENT 50268 SO OKLAHOMA HIGHER EDUCATION FOUNDATION 2901 MT WASHINGTON ROAD ARDMORE OK 73401 PC SIM LAB COORDINATOR SALARY 2500 SO OKLAHOMA HIGHER EDUCATION FOUNDATION 2901 MT WASHINGTON ROAD ARDMORE OK 73401 PC GRANT - ITV SUPPORT SPECIALIST FY19 (YR 1) 12721 SO OKLAHOMA HIGHER EDUCATION FOUNDATION 2901 MT WASHINGTON ROAD ARDMORE OK 73401 PC TRAINING 2425 SOUTHERN OKLAHOMA AMBULANCE SERVICE INC PO BOX 1387 ARDMORE OK 73402 PC GRANT - AMBULANCE PURCHASE 108881 TRAVELIN TIGERS FUND INC PO BOX 306 ARDMORE OK 73402 PC MATCHING CONTRIBUTION - MEALS FOR STUDENT ATHLETES 400 YMCA OF ARDMORE OKLAHOMA 920 15TH AVE NW ARDMORE OK 73401 PC MATCHING CONTRIBUTION - MIKE MORDY 4850 YMCA OF ARDMORE OKLAHOMA 920 15TH AVE NW ARDMORE OK 73401 PC GRANT - 2018 OPERATING SUPPORT 100000 YW8 INC 2502 CROSSROADS DRIVE SUITE C ARDMORE OK 73401 PC GRANT - OPERATING SUPPORT FYE 6/30/18 20000 4367782 ARDMORE SCHOOL DISTRICT I-19 800 M STREET NE ARDMORE OK 73401 PC SCHOOL RESOURCE OFFICERS - 3 YRS SUPPORT 30000 ARDMORE SCHOOL DISTRICT I-19 800 M STREET NE ARDMORE OK 73401 PC SCHOOL NURSES - FY15, 16, 17 134693 ARDMORE SCHOOL DISTRICT I-19 800 M STREET NE ARDMORE OK 73401 PC A/P INCENTIVE PROGRAMS FY18, '19,' 20 76918 ARDMORE SCHOOL DISTRICT I-19 800 M STREET NE ARDMORE OK 73401 PC PERFORMING ARTS 20275 ARDMORE SCHOOL DISTRICT I-19 800 M STREET NE ARDMORE OK 73401 PC PERFORMING ARTS CENTER CONSTRUCTION 450000 COMMUNITY ACTIVITIES INC OF ARDMORE PO BOX 2597 ARDMORE OK 73402 PC ARDMORE BEHAVIORAL HEALTH COLLABORATIVE 100000 FELLOWSHIP OF CHRISTIAN ATHLETES - SO CNTRL OK 1901 ROCK CREEK ROAD ARDMORE OK 73401 PC COACHES MINISTRY FY17 & 18 5000 GOOD SHEPHERD COMMUNITY CLINIC INC 20 12TH AVE NW ARDMORE OK 73401 PC MAMMOGRAM PROGRAM 75171 MORE FOUNDATION 301 W MAIN SUITE 210 ARDMORE OK 73401 PC SCHOLARSHIPS 342000 HICKORY CREEK CHILD CENTER INC 1408 4TH AVE NW ARDMORE OK 73401 PC THREE STAR ACCREDITATION EXPENSES 11808 OKLAHOMA ARTS INSTITUTE 111 NW 9TH STREET OKLAHOMA CITY OK 73102 PC FALL ARTS INSTITUTE: SCHOLARSHPS FOR EDUCATORS 28000 SOUTHERN OKLAHOMA HIGHER EDUCATION FOUNDATION 611 VETERANS BLVD ARDMORE OK 73401 PC SIMULATION LAB FOR ECU NURSING PROGRAM 146164 1420029 14 110521 14 774784 16 753987 18 12340 14 5888043 0 7539675 0 7539675 0 0 0 0 0 0 0 0 0 0 AUDIT & TAX PREP 14767 0 14767 MEDICAL OFFICE BUILDING 2008-07-01 5280876 1207393 SL 39.000000000000 135407 135407 IMPROVEMENTS - UROLOGY CENTER 2008-07-01 283991 283991 SL 7.000000000000 0 0 IMPROVEMENTS - HEART & VASCULAR 2008-12-01 74826 74826 SL 7.000000000000 0 0 IMPROVEMENTS - OLIVR 2008-12-01 136191 136191 SL 7.000000000000 0 0 IMPROVEMENTS - SUNGA 2008-12-01 104288 104288 SL 7.000000000000 0 0 IMPROVEMENTS - PAPIN 2008-12-01 64308 64308 SL 7.000000000000 0 0 IMPROVEMENTS - GILMORE 2008-12-01 119806 119806 SL 7.000000000000 0 0 IMPROVEMENTS - ARDMORE SURGICAL 2008-12-01 298151 298151 SL 7.000000000000 0 0 IMPROVEMENTS - TENANT X 2009-06-30 23185 5348 SL 39.000000000000 594 594 IMPROVEMENTS - MELTON 2008-12-01 369513 369513 SL 7.000000000000 0 0 IMPROVEMENTS - BENSON 2011-10-06 123500 101447 SL 7.000000000000 17643 17643 TELEPHONE SYSTEM 1996-09-20 1363 1363 SL 10.000000000000 0 0 ADDITIONAL LINES 1997-01-22 310 310 SL 10.000000000000 0 0 LOCKING FILE CABINET 1996-09-20 266 266 SL 10.000000000000 0 0 METAL SHELVING 1996-10-03 119 119 SL 10.000000000000 0 0 USED COMPUTER TABLE 1996-11-06 51 51 SL 10.000000000000 0 0 LOCKING FILE CABINET 1999-02-17 224 224 SL 10.000000000000 0 0 4 FILE SHELVES 2004-11-23 1698 1698 SL 10.000000000000 0 0 AVAYA ACS UNIT & 18 DISPLAY SET 2005-01-12 1679 1679 SL 10.000000000000 0 0 OFFICE FURNITURE - ACCOUNTANT 2005-02-16 4700 4700 SL 10.000000000000 0 0 OFFICE FURNITURE - RECEPTIONIST 2005-02-16 3351 3351 SL 10.000000000000 0 0 OFFICE FURNITURE - RECEPTIONIST CHAIR 2005-02-18 167 167 SL 10.000000000000 0 0 16 HON BOARD ROOM CHAIRS 2005-02-24 6480 6480 SL 10.000000000000 0 0 PAOLI EXECUTIVE FURNITURE 2005-03-21 6995 6995 SL 10.000000000000 0 0 HON EXEC HIGHBACK CHAIR 2005-03-25 415 415 SL 10.000000000000 0 0 PAOLI 16' CONFERENCE TABLE 2005-04-04 5562 5557 SL 10.000000000000 0 0 PAOLI BUFFET CREDENZA 2005-04-04 3294 3290 SL 10.000000000000 0 0 HON KEYBOARD TRAY 2005-04-04 54 50 SL 10.000000000000 0 0 WORK ROOM CABINETS 2005-05-05 2950 2950 SL 10.000000000000 0 0 HON STORAGE CABINET 2006-08-24 932 932 SL 10.000000000000 0 0 PROJECTOR & SCREEN 2006-07-28 1463 1463 SL 5.000000000000 0 0 HP LASER PRINTER 2420D 2006-09-12 573 573 SL 5.000000000000 0 0 DELL OPTIX 780 COMPUTER 2010-05-10 1793 1793 SL 5.000000000000 0 0 HP COLOR LASER JET CP2025 PRINTER 2010-10-05 408 408 SL 5.000000000000 0 0 REFRIGERATOR W/ ICEMAKER 14CU 2012-02-08 563 303 SL 10.000000000000 56 0 DELL OPTIPLEX 790 MINITOWER COMPUTER 2011-12-01 1280 1280 SL 5.000000000000 0 0 HON EXEC HIGHBACK CHAIR 2014-05-30 436 136 SL 10.000000000000 44 0 SAVIN MP2501SP B/W COPIER 2015-01-29 3465 1675 SL 5.000000000000 693 0 IPAD AIR2 QTY 11 2015-01-14 7553 3675 SL 5.000000000000 1511 0 IPAD AIR2 2015-02-17 687 320 SL 5.000000000000 137 0 IMPROVEMENTS - SAVAGE 2015-09-22 1195038 312986 SL 7.000000000000 170720 170720 IMPROVEMENTS - ARDMORE PEDIATRICS (LANDIS) 2016-10-05 474280 50816 SL 7.000000000000 67754 67754 MEDICAL CLINIC BUILDING 2017-01-01 4645824 58797 SL 39.000000000000 119124 119124 DELL OPTIPLEX 7050 MFF COMPUTERS W ACCESSORIES 2017-07-07 3811 SL 5.000000000000 762 0 LAND 873375 L 0 0 OWNERSHIP OF ENTITIES WITH CERTAIN FOREIGN REPORTING REQUIREMENTS FORM 990-PF THE FOUNDATION OWNS AN INTEREST IN THE FOLLOWING PASSTHROUGH ENTITIES WITH CERTAIN FOREIGN REPORTING REQUIREMENTS:LEXINGTON CAPITAL PARTNERS VI-A, LP (EIN 34-2047994)IP IV AIV LP (EIN 61-1734218)PORTFOLIO ADVISORS PRIVATE EQUITY FUND V LP (EIN 01-0895788)EACH OF THESE ENTITIES HAS MADE A TIMELY QUALIFIED ELECTING FUND ("QEF") ELECTION WITH RESPECT TO ITS INVESTMENT IN UNDERLYING PASSIVE FOREIGN INVESTMENT COMPANIES ("PFIC"), EFFECTIVE FOR EACH YEAR OF OWNERSHIP, AND HAS FILED THE REQUIRED FORMS 8621. ACCORDINGLY, THE FOUNDATION HAS NOT FURTHER REPORTED THE FOREIGN ACTIVITIES FROM THESE INVESTMENTS ON AN ADDITIONAL FORM 8621, AS IT DOES NOT BELIEVE IT TO BE NECESSARY. CORPORATE BONDS & POOLED INVESTMENTS - FIXED INCOME PORTION 17274069 17274069 COMMON STOCK & POOLED INVESTMENTS - EQUITY PORTION 50705341 50705341 MEDICAL OFFICE BUILDING 5280876 1342800 3938076 IMPROVEMENTS - UROLOGY CENTER 283991 283991 0 IMPROVEMENTS - HEART & VASCULAR 74826 74826 0 IMPROVEMENTS - OLIVR 136191 136191 0 IMPROVEMENTS - SUNGA 104288 104288 0 IMPROVEMENTS - PAPIN 64308 64308 0 IMPROVEMENTS - GILMORE 119806 119806 0 IMPROVEMENTS - ARDMORE SURGICAL 298151 298151 0 IMPROVEMENTS - TENANT X 23185 5942 17243 IMPROVEMENTS - MELTON 369513 369513 0 IMPROVEMENTS - BENSON 123500 119090 4410 IMPROVEMENTS - SAVAGE 1195038 483706 711332 IMPROVEMENTS - ARDMORE PEDIATRICS (LANDIS) 474280 118570 355710 MEDICAL CLINIC BUILDING 4645824 177921 4467903 LAND 873375 0 873375 ALTERNATIVE INVESTMENTS AT COST 24848550 24848550 TELEPHONE SYSTEM 1363 1363 0 ADDITIONAL LINES 310 310 0 LOCKING FILE CABINET 266 266 0 METAL SHELVING 119 119 0 USED COMPUTER TABLE 51 51 0 LOCKING FILE CABINET 224 224 0 4 FILE SHELVES 1698 1698 0 AVAYA ACS UNIT & 18 DISPLAY SET 1679 1679 0 OFFICE FURNITURE - ACCOUNTANT 4700 4700 0 OFFICE FURNITURE - RECEPTIONIST 3351 3351 0 OFFICE FURNITURE - RECEPTIONIST CHAIR 167 167 0 16 HON BOARD ROOM CHAIRS 6480 6480 0 PAOLI EXECUTIVE FURNITURE 6995 6995 0 HON EXEC HIGHBACK CHAIR 415 415 0 PAOLI 16' CONFERENCE TABLE 5562 5557 5 PAOLI BUFFET CREDENZA 3294 3290 4 HON KEYBOARD TRAY 54 50 4 WORK ROOM CABINETS 2950 2950 0 HON STORAGE CABINET 932 932 0 PROJECTOR & SCREEN 1463 1463 0 HP LASER PRINTER 2420D 573 573 0 HP COLOR LASER JET CP2025 PRINTER 408 408 0 REFRIGERATOR W/ ICEMAKER 14CU 563 359 204 HON EXEC HIGHBACK CHAIR 436 180 256 SAVIN MP2501SP B/W COPIER 3465 2368 1097 IPAD AIR2 QTY 11 7553 5186 2367 IPAD AIR2 687 457 230 DELL OPTIPLEX 7050 MFF COMPUTERS W ACCESSORIES 3811 762 3049 LEGAL FEES 252 0 252 DUES & SUBSCRIPTIONS 5610 0 5610 EDUCATION & TRAINING 1376 0 1376 CONTRACT EMPLOYEES 109504 29251 80253 INSURANCE 16392 0 16392 INVESTMENT EXPENSES 144753 144753 0 MISCELLANEOUS 2263 0 2263 POSTAGE & DELIVERY 580 0 580 REPAIRS & MAINTENANCE 2814 91 2723 OFFICE SUPPLIES 2626 632 1994 MISCELLANEOUS INCOME 5852 5852 5852 STATE TAX REFUND 6488 6488 6488 UNREALIZED GAIN ON INVESTMENTS 3336654 BANK SERVICES CHARGES 657 657 0 CUSTODY FEES 51480 51480 0 INVESTMENT CONSULTING 175109 175109 0 FEDERAL EXCISE TAX 111000 0 0 FEDERAL UBI TAX 57025 0 0 FOREIGN TAX 4410 4410 0 STATE UBI TAX 15070 15070 0 STATE TAX 8847 8847 0 TAX PENALTY 232 0 0