2016-07-29T11:30:08-05:00 2015-12-31 420714325 RSM US LLP 850 Canal Street 4th Floor Stamford CT 06902 990PF 2015-01-01 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 2016-07-25 1 Hank Muratovic P00783192 2033273112 2015 2016-12-15 16:53:06Z X 1739774 X 0 X 36184 36184 250517 666755 250517 48 48 286749 286749 0 0 0 14251 701 50 8468 8390 78 22719 9091 128 140200 140200 162919 9091 140328 123830 277658 264389 45007 45007 1381522 1724734 1694767 1645911 1769741 1739774 0 0 X 1075486 1075486 0 0 570425 694255 1645911 1769741 1645911 1769741 1645911 123830 0 1769741 0 1769741 NORTHERN TRUST P 51969 52306 -337 -337 NORTHERN TRUST P 606960 363932 243028 243028 Capital Gains Dividends P 7826 7826 7826 250517 0 91880 1867009 0.049212 176805 1251619 0.141261 114972 347205 0.331136 165870 444603 0.373074 168623 576556 0.292466 1.187149 0.237430 1854289 440264 2777 443041 140328 5553 0 5553 0 5553 3402 3402 X 36 2187 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 1 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 1789860 92667 0 1882527 0 0 1882527 28238 1854289 92714 92714 5553 5553 87161 0 87161 0 87161 140328 0 140328 0 140328 87161 0 0 168950 166550 115200 121981 9499 582180 140328 0 0 0 87161 53167 0 0 635347 0 0 0 0 0 0 168950 466397 166550 115200 121981 9499 53167 STEVEN J SIMMONS X AMERICAN CANCER SOCIETY PO BOX 22718 OKLAHOMA CITY OK 73123 NONE FOR CHARITABLE PURPOSES 600 AMERICAN LUNG ASSOCIATION 55 W WACKER DRIVE SUITE 1150 CHICAGO IL 60601 NONE FOR CHARITABLE PURPOSES 200 AVON WALK FOR BREAST CANCER 4147 N RAVENSWOOD AVE 300 CHICAGO IL 60613 NONE FOR CHARITABLE PURPOSES 100 BERKLEE COLLEGE OF MUSIC 1140 BOYLSTON STREET BOSTON MA 02215 NONE FOR CHARITABLE PURPOSES 1000 BOATHOUSE FOUNDATION INC PO BOX 2340 EDGARTOWN MA 02539 NONE FOR CHARITABLE PURPOSES 300 BOYS & GIRLS CLUB OF GREENWICH 4 HORSENECK LANE GREENWICH CT 06830 NONE FOR CHARITABLE PURPOSES 2500 BROOKINGS INSTITUTION 1775 MASSACHUSETTS AVE WASHINGTON DC 20036 NONE FOR CHARITABLE PURPOSES 27500 CHILDREN OF FALLEN PATRIOTS FOUNDATION 419 3RD ST N JACKSONVILLE BEACH FL 32250 NONE FOR CHARITABLE PURPOSES 400 CHILDREN'S AID SOCIETY 711 3RD AVENUE - SUITE 700 NEW YORK NY 10017 NONE FOR CHARITABLE PURPOSES 1000 COLUMBIA UNIVERSITY MEDICAL CENTER 161 FORT WASHINGTON AVE NEW YORK NY 10032 NONE FOR CHARITABLE PURPOSES 5000 CONGREGATION AGUDATH SHOLOM 301 STRAWBERRY HILL AVE STAMFORD CT 06906 NONE FOR CHARITABLE PURPOSES 1000 CONNCAN 85 WILLOW STREET NEW HAVEN CT 06511 NONE FOR CHARITABLE PURPOSES 1000 CONNECTICUT AUDUBON SOCIETY 314 UNQUOWA ROAD FAIRFIELD CT 06824 NONE FOR CHARITABLE PURPOSES 200 CONNECTICUT COUNCIL FOR EDUCATION REFORM 195 CHURCH ST 7TH FLOOR NEW HAVEN CT 06510 NONE FOR CHARITABLE PURPOSES 10000 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 DENVER AREA COUNCIL 10455 W 6TH AVE 125 DENVER CO 80215 NONE FOR CHARITABLE PURPOSES 1000 FAITH TABERNACLE CHURCH 8210 S CORNELL AVE CHICAGO IL 60617 NONE FOR CHARITABLE PURPOSES 500 FRIENDS OF MVYRADIO 57 CARROLLS WAY TISBURY MA 02568 NONE FOR CHARITABLE PURPOSES 2000 GLENVILLE VOLUNTEER FIRE COMPANY INC 266 GLENVILLE RD GREENWICH CT 06831 NONE FOR CHARITABLE PURPOSES 100 GREENWICH ALLIANCE FOR EDUCATION 48 MAPLE AVE GREENWICH CT 06830 NONE FOR CHARITABLE PURPOSES 1000 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 200 HUMAN RIGHTS FIRST 75 BROAD ST 31ST FLOOR NEW YORK NY 10004 NONE FOR CHARITABLE PURPOSES 1000 INTERNATIONAL RESCUE COMMITTEE 122 E 42ND ST NEW YORK NY 10017 NONE FOR CHARITABLE PURPOSES 250 MARTHA'S VINEYARD FILM SOCIETY INC 79 BEACH RD VINEYARD HAVEN MA 02568 NONE FOR CHARITABLE PURPOSES 1000 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 5000 MOUNT ST MICHAEL ACADEMY 4300 MURDOCK AVE BRONX NY 10466 NONE FOR CHARITABLE PURPOSES 5000 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 200 READ TO GROW 53 SCHOOL GROUND RD 3 BRANFORD CT 06405 NONE FOR CHARITABLE PURPOSES 5000 SEEDS OF PEACE 370 LEXINGTON AVENUE SUITE 1201 NEW YORK NY 10017 NONE FOR CHARITABLE PURPOSES 500 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 5000 SPECIAL OLYMPICS 633 W 5TH STREET SUITE 2000 LOS ANGELES CA 90071 NONE FOR CHARITABLE PURPOSES 100 STAMFORD PEACE BASKETBALL CLUB INC 925 LONG RIDGE ROAD STAMFORD CT 06903 NONE FOR CHARITABLE PURPOSES 1000 SURF FOR LIFE PO BOX 591837 SAN FRANCISCO CA 94159 NONE FOR CHARITABLE PURPOSES 1000 THE FARM INSTITUTE 14 AERO AVE EDGARTOWN MA 02539 NONE FOR CHARITABLE PURPOSES 1000 THE GREENWICH COUNTRY DAY SCHOOL 401 OLD CHURCH ROAD GREENWICH CT 06830 NONE FOR CHARITABLE PURPOSES 250 THE PINK AGENDA 60 EAST 56TH ST 9TH FLOOR NEW YORK NY 10022 NONE FOR CHARITABLE PURPOSES 100 THE POSSE FOUNDATION 111 W JACKSON BLVD 1900 CHICAGO IL 60604 NONE FOR CHARITABLE PURPOSES 500 THE RIDE TO CONQUER CANCER 1220 L ST NW SUITE 100 BOX 448 WASHINGTON DC 200054018 NONE FOR CHARITABLE PURPOSES 2000 THE TRUSTEES OF COLUMBIA UNIVERSITY 535 W 116TH ST 211 NEW YORK NY 10027 NONE FOR CHARITABLE PURPOSES 1000 THE WHITE HOUSE HISTORICAL ASSOCIATION 1450 PENNSYLVANIA AVE NW WASHINGTON DC 20006 NONE FOR CHARITABLE PURPOSES 10000 THE WOMEN'S CAMPAIGN SCHOOL AT YALE UNIVERSITY 18 FARRELL DRIVE ANSONIA CT 06401 NONE FOR CHARITABLE PURPOSES 1000 UJA FEDERATION OF NEW YORK 130 EAST 59TH STREET NEW YORK NY 10022 NONE FOR CHARITABLE PURPOSES 2500 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 1000 WOMEN'S BUSINESS DEVELOPMENT COUNCIL 184 BEDFORD STREET SUITE 201 STAMFORD CT 06901 NONE FOR CHARITABLE PURPOSES 1000 YALE NEW HAVEN HOSPITAL 20 YORK STREET NEW HAVEN CT 06510 NONE FOR CHARITABLE PURPOSES 750 YWCA OF GREENWICH 259 E PUTNAM AVENUE GREENWICH CT 06830 NONE FOR CHARITABLE PURPOSES 100 YWCA OF WHITE PLAINS 515 NORTH STREET WHITE PLAINS NY 10605 NONE FOR CHARITABLE PURPOSES 100 140200 0 14 44526 14 48 18 96490 0 141064 0 141064 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 1724734 1694767 BANK FEES 64 64 0 MANAGEMENT FEES - NORTHERN TRUST 399 399 0 AGENCY FEES - NORTHERN TRUST 7927 7927 0 MISC. EXPENSES 78 0 78 NORTHERN TRUST - OTHER INCOME 48 48 48 steven j simmons c/o simmons/patriot media communica ions 35 mason street greenwich CT 06830 FOREIGN TAXES PAID 701 701 0 STATE TAXES 50 0 50 DEPARTMENT OF TREASURY 13500 0 0