2017-11-15T09:15:40-06:00 2016-12-31 420714325 RSM US LLP 200 ELM STREET SUITE 200 STAMFORD CT 06902 990PF 2016-01-01 061409685 SIMMONS FAMILY FOUNDATION INC C/O SIMMONS/PATRIOT MEDIA & COMMUNICATIO SIMM 2036228999 35 MASON STREET GREENWICH CT 06830 STEVE SIMMONS VICE PRESIDENT & TREASURER 2036228999 2017-11-10 1 HANK MURATOVIC P00783192 2033273112 108.171.131.187 2017-11-10 14:32:59 ES P 207AD18BA8F82333ABECDBA3AC87664166BA54A2 619BB69186BE9EE6640455BD28C457A411538BEF 2016 2021-01-29 14:40:06Z X 1731596 X 0 X 40865 40865 -5841 139918 0 28 28 35052 40893 0 0 0 6629 707 50 7816 7816 0 14445 8523 50 124800 124800 139245 8523 124850 -104193 32370 45007 18070 18070 1724734 1647478 1713526 1769741 1665548 1731596 0 0 X 1075486 1075486 0 0 694255 590062 1769741 1665548 1769741 1665548 1769741 -104193 0 1665548 0 1665548 NORTHERN TRUST P 134775 145759 -10984 -10984 CAPITAL GAINS DIVIDENDS P 5143 5143 5143 -5841 0 140328 1854289 0.075678 91880 1867009 0.049212 176805 1251619 0.141261 114972 347205 0.331136 165870 444603 0.373074 0.970361 0.194072 1692945 328553 324 328877 124850 647 0 647 0 647 3660 3660 X 9 3004 3004 0 0 0 0 0 0 0 0 0 0 0 1 1 CT 1 0 1 0 0 1 N/A STEVEN SIMMONS 2036228999 35 MASON STREET GREENWICH CT 06830 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EILEEN SIMMONS 35 MASON STREET GREENWICH CT 06830 PRESIDENT 0.25 0 0 0 STEVEN J SIMMONS 35 MASON STREET GREENWICH CT 06830 VP & TR. 0.25 0 0 0 DANIEL L DANIELS 400 ATLANTIC STREET STAMFORD CT 06911 SECRETARY 0.25 0 0 0 NONE 0 NONE 0 0 1690312 28414 0 1718726 0 0 1718726 25781 1692945 84647 84647 647 647 84000 0 84000 0 84000 124850 0 124850 0 124850 84000 0 0 166550 115200 121981 9499 53167 466397 124850 0 0 0 84000 40850 0 0 507247 0 0 0 0 0 0 166550 340697 115200 121981 9499 53167 40850 STEVEN J SIMMONS X AMERICAN CANCER SOCIETY PO BOX 22718 OKLAHOMA CITY OK 73123 NONE FOR CHARITABLE PURPOSES 1500 AMERICAN LUNG ASSOCIATION 55 W WACKER DRIVE SUITE 1150 CHICAGO IL 60601 NONE FOR CHARITABLE PURPOSES 100 BOYS & GIRLS CLUB OF GREENWICH 4 HORSENECK LANE GREENWICH CT 06830 NONE FOR CHARITABLE PURPOSES 2500 CHILDREN OF FALLEN PATRIOTS FOUNDATION 419 3RD ST N JACKSONVILLE BEACH FL 32250 NONE FOR CHARITABLE PURPOSES 100 CONNCAN 85 WILLOW STREET NEW HAVEN CT 06511 NONE FOR CHARITABLE PURPOSES 3600 CONNECTICUT PUBLIC BROADCASTING NETWORK 1049 ASYLUM AVE HARTFORD CT 06105 NONE FOR CHARITABLE PURPOSES 250 CORNELL UNIVERSITY 144 EAST AVENUE ITHACA NY 14850 NONE FOR CHARITABLE PURPOSES 10000 GREENWICH ALLIANCE FOR EDUCATION 48 MAPLE AVE GREENWICH CT 06830 NONE E050258 - 04/28/16 16:26 PM WORKSHEET FORM 990-PF RETURN OF PRIVATE 100 GREENWICH CAMPERSHIP PROGRAM 101 FIELD POINT ROAD GREENWICH CT 06830 NONE FOR CHARITABLE PURPOSES 250 HARVARD UNIVERSITY 86 BRATTLE STREET CAMBRIDGE MA 02138 NONE FOR CHARITABLE PURPOSES 25000 HILL HOUSE SENIOR RESIDENCE 10 RIVERSIDE AVENUE RIVERSIDE CT 06878 NONE FOR CHARITABLE PURPOSES 100 HUMAN RIGHTS FIRST 75 BROAD ST 31ST FLOOR NEW YORK NY 10004 NONE FOR CHARITABLE PURPOSES 500 INTERNATIONAL RESCUE COMMITTEE 122 E 42ND ST NEW YORK NY 10017 NONE FOR CHARITABLE PURPOSES 100 MARTHA'S VINEYARD FILM SOCIETY INC 79 BEACH RD VINEYARD HAVEN MA 02568 NONE E050258 - 04/28/16 16:27 PM WORKSHEET FORM 990-PF RETURN OF PRIVATE 100 MARTHA'S VINEYARD THEATER FOUNDATION OAK BLUFFS AVE OAK BLUFFS MA 02557 NONE FOR CHARITABLE PURPOSES 250 MEMORIAL SLOAN KETTERING CANCER CENTER 1275 YORK AVENUE NEW YORK NY 10065 NONE FOR CHARITABLE PURPOSES 2500 NORWICH UNIVERSITY 158 HARMON DR NORTHFIELD VT 05663 NONE FOR CHARITABLE PURPOSES 1000 POLICE ATHLETIC LEAGUE 1550 SPRING RD 310 OAK BROOK IL 60523 NONE FOR CHARITABLE PURPOSES 100 READ TO GROW 53 SCHOOL GROUND RD 3 BRANFORD CT 06405 NONE FOR CHARITABLE PURPOSES 1000 SEEDS OF PEACE 370 LEXINGTON AVENUE SUITE 1201 NEW YORK NY 10017 NONE FOR CHARITABLE PURPOSES 100 SILVER HILL HOSPITAL 208 VALLEY RD NEW CANAAN CT 06840 NONE FOR CHARITABLE PURPOSES 1000 SILVERMINE ARTS CENTER 1037 SILVERMINE RD NEW CANAAN CT 06840 NONE FOR CHARITABLE PURPOSES 250 SPECIAL OLYMPICS 633 W 5TH STREET SUITE 2000 LOS ANGELES CA 90071 NONE FOR CHARITABLE PURPOSES 100 THE WHITE HOUSE HISTORICAL ASSOCIATION 1450 PENNSYLVANIA AVE NW WASHINGTON DC 20006 NONE FOR CHARITABLE PURPOSES 5000 VGC FOUNDATION 100 CLUBHOUSE LANE EDGARTOWN MA 02539 NONE FOR CHARITABLE PURPOSES 500 WCS INC 2300 SOUTHERN BLVD BRONX NY 10460 NONE FOR CHARITABLE PURPOSES 500 WOMEN'S BUSINESS DEVELOPMENT COUNCIL 184 BEDFORD STREET SUITE 201 STAMFORD CT 06901 NONE FOR CHARITABLE PURPOSES 1250 YALE NEW HAVEN HOSPITAL 20 YORK STREET NEW HAVEN CT 06510 NONE FOR CHARITABLE PURPOSES 250 YWCA OF GREENWICH 259 E PUTNAM AVENUE GREENWICH CT 06830 NONE FOR CHARITABLE PURPOSES 250 INNER-CITY SCHOLARSHIP FUND 1011 1ST AVENUE 1400 NEW YORK NY 10022 NONE FOR CHARITABLE PURPOSES 10000 STEW LEONARD III CHILDREN'S CHARITIES 100 WESTPORT AVENUE NORWALK CT 06851 NONE FOR CHARITABLE PURPOSES 1000 AMOGERONE VOLUNTEER FIRE DEPARTMENT CENTRA0L FIRE STATION PO BOX 121 GREENWICH CT 068360121 NONE FOR CHARITABLE PURPOSES 100 GREENWICH POLICE SILVER SHIELD ASSOCIATION 11 HAVEMEYER PLACE GREENWICH CT 06830 NONE FOR CHARITABLE PURPOSES 500 NYRR TEAM FOR KIDS 156 WEST 56TH STREET 3RD FLOOR NEW YORK NY 10019 NONE FOR CHARITABLE PURPOSES 250 BMCC FOUNDATION 199 CHAMBERS STREET FH 1330 NEW YORK NY 10007 NONE FOR CHARITABLE PURPOSES 1000 STAMFORD MUSEUM AND NATURE CENTER 39 SCOFIELDTOWN ROAD STAMFORD CT 06903 NONE FOR CHARITABLE PURPOSES 500 THE FRESH AIR FUND 633 3RD AVENUE 14 NEW YORK NY 10017 NONE FOR CHARITABLE PURPOSES 100 MARGUERITE HUTCHINS MEMORIAL FUND 150 E FRANKLIN STREET CHAPEL HILL NC 27514 NONE FOR CHARITABLE PURPOSES 1000 FRANKLIN PIERCE UNIVERSITY 40 UNIVERSITY DRIVE RINDGE NH 03461 NONE FOR CHARITABLE PURPOSES 2000 HABITAT FOR HUMANITY 6040 N PULASKI ROAD CHICAGO IL 60646 NONE FOR CHARITABLE PURPOSES 100 AMERICAN MUSEUM OF NATURAL HISTORY CENTRAL PARK WEST 79TH STREET NEW YORK NY 10024 NONE FOR CHARITABLE PURPOSES 100 MARTHA'S VINEYARD MUSEUM 59 SCHOOL STREET EDGARTOWN MA 02539 NONE FOR CHARITABLE PURPOSES 100 STANFORD UNIVERSITY 450 SERRA MALL STANFORD CA 94305 NONE FOR CHARITABLE PURPOSES 250 TRAVELERS CHAMPIONSHIP 1 GOLF CLUB ROAD CROMWELL CT 06416 NONE FOR CHARITABLE PURPOSES 15000 PATHWAYS INC 33 DENISON PARKWAY WEST CORNING NY 14830 NONE FOR CHARITABLE PURPOSES 1000 EDGARTOWN FIREMAN'S ASSOCIATION 68 PEASES POINT WAY S EDGARTOWN MA 02539 NONE FOR CHARITABLE PURPOSES 100 TEACH FOR AMERICA 300 W ADAMS STREET 1000 CHICAGO IL 60606 NONE FOR CHARITABLE PURPOSES 5000 SHERIFF'S MEADOW FOUNDATION 57 DAVID AVENUE VINEYARD HAVEN MA 02568 NONE FOR CHARITABLE PURPOSES 100 ARTHRITIS FOUNDATION 35 E UPPER WACKER DRIVE 260 CHICAGO IL 60601 NONE FOR CHARITABLE PURPOSES 100 GREENWICH COUNTRY DAY SCHOOL 401 OLD CHURCH ROAD GREENWICH CT 06830 NONE FOR CHARITABLE PURPOSES 1000 GREENWICH EMERGENCY MEDICAL SERVICE INC 1111 E PUTNAM AVE 201 RIVERSIDE CT 06878 NONE FOR CHARITABLE PURPOSES 250 MARTHA'S VINEYARD HOSPITAL 1 HOSPITAL ROAD OAK BLUFFS MA 02557 NONE FOR CHARITABLE PURPOSES 1000 FRANKLIN D ROOSEVELT PRESIDENTIAL LIBRARY 4079 ALBANY POST ROAD HYDE PARK NY 12538 NONE FOR CHARITABLE PURPOSES 15000 YEAR UP 223 W JACKSON BLVD 400 CHICAGO IL 60606 NONE FOR CHARITABLE PURPOSES 5000 THE LUSTGARTEN FOUNDATION 1111 STEWART AVENUE BETHPAGE NY 11714 NONE FOR CHARITABLE PURPOSES 5000 ST JUDE CHILDREN'S RESEARCH HOSPITAL 262 DANNY THOMAS PLACE MEMPHIS TN 38105 NONE FOR CHARITABLE PURPOSES 1000 124800 0 14 40865 14 28 18 -5841 0 35052 0 35052 0 0 0 0 0 0 0 0 0 0 PURSUANT TO IRC SEC. 4942(H)(2) AND REG. 53.4942(A)-3(D)(2), THE SIMMONS FAMILY FOUNDATION, INC. HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE OUT OF CORPUS. SECURITIES AT COST 1647478 1713526 BANK FEES 19 19 0 MANAGEMENT FEES - NORTHERN TRUST 138 138 0 AGENCY FEES - NORTHERN TRUST 7659 7659 0 NORTHERN TRUST - OTHER INCOME 28 28 28 STEVEN J SIMMONS C/O SIMMONS/PATRIOT MEDIA COMMUNICA IONS 35 MASON STREET GREENWICH CT 06830 FOREIGN TAXES PAID 707 707 0 STATE TAXES 50 0 50 DEPARTMENT OF TREASURY 5872 0 0