2014-03-31T08:42:51-05:00 2013-12-31 042442519 EDELSTEIN AND COMPANY LLP 160 FEDERAL STREET 9TH FLOOR BOSTON MA 021101772 990PF 2013-01-01 203330559 KERN FAMILY FOUNDATION INC KERN 8144522281 C/O BRUCE KERN SR 3906 STATE STREET ERIE PA 16508 BRUCE KERN SR PRESIDENT 8144522281 2014-02-19 1 ALFONSO PERILLO P00950491 6172276161 2014-02-19 2013 2015-12-30 17:16:21Z X 3197657 X 247695 43666 43666 187367 962363 302322 478728 345988 0 0 0 6650 1662 4988 2555 0 0 9205 1662 4988 106500 106500 115705 1662 111488 363023 344326 4268 2358 2358 2265786 3195299 3195299 159237 2429291 3197657 3197657 0 0 X 0 0 0 0 2429291 3197657 2429291 3197657 2429291 3197657 2429291 363023 405343 3197657 0 3197657 SALE OF PUBLICLY TRADED SECURITIES 830710 660041 170669 170669 CAPITAL GAINS DIVIDENDS P 131653 131653 131653 302322 0 108403 2263623 0.047889 99067 2177037 0.045505 84666 1997483 0.042386 108679 1704193 0.063772 113912 2211543 0.051508 0.251060 0.050212 2718792 136516 3443 139959 111488 6887 0 6887 0 6887 1760 1760 5127 0 0 0 0 0 0 0 0 0 0 1 1 PA 1 0 0 0 1 1 N/A FIDELITY PRIVATE FOUNDATION SERVICE 8003344438 200 SEAPORT BOULEVARD BOSTON MA 02210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BRUCE KERN SR 3906 STATE STREET ERIE PA 16508 PRESIDENT 2.00 0 0 0 MARY ALICE KERN 3906 STATE STREET ERIE PA 16508 DIRECTOR 0.10 0 0 0 NANCY R KERN 3906 STATE STREET ERIE PA 16508 DIRECTOR 0.10 0 0 0 B SCOTT KERN 3906 STATE STREET ERIE PA 16508 SECRETARY 0.25 0 0 0 C BRUCE KERN II 3906 STATE STREET ERIE PA 16508 TREASURER 0.25 0 0 0 BONNIE KERN 3906 STATE STREET ERIE PA 16508 DIRECTOR 0.10 0 0 0 AMY C KERN 3906 STATE STREET ERIE PA 16508 DIRECTOR 0.10 0 0 0 NONE 0 NONE 0 0 2757499 2696 0 2760195 0 0 2760195 41403 2718792 135940 135940 6887 6887 129053 0 129053 0 129053 111488 0 111488 0 111488 129053 111306 0 0 111488 111306 0 0 182 0 0 0 0 0 0 0 0 128871 0 0 0 BRUCE KERN SR MARY ALICE KERN BRUCE KERN SR 3906 STATE STREET ERIE PA 16508 8144522281 CBKN@MINDSPRING.COM GRANTEES MUST WRITE A LETTER TO THE FOUNDATION STATING THE PURPOSE OF THE GRANT, THE AMOUNT REQUESTED AND PROOF OF 501(C)(3) STATUS. NONE PREFERENCE TO ERIE, PA REGION ERIE COUNTY AMERICAN RED CROSS 4961 PITTSBURGH AVENUE ERIE PA 16509 N/A PC COMMUNITY SERVICES 5000 HAMOT HEALTH FOUNDATION 302 FRENCH STREET ERIE PA 16507 N/A SO II HEALTH AND HUMAN SERVICES 25000 MERCYHURST UNIVERSITY 501 EAST 38TH STREET ERIE PA 16546 N/A PC COMMUNITY SERVICES 10000 ERIE PLAYHOUSE AND THEATRE 13 W 10TH STREET ERIE PA 16501 N/A PC ARTS AND CULTURE 8000 UNITED WAY OF ERIE COUNTY 420 W 6TH STREET 200 ERIE PA 16507 N/A PC COMMUNITY SERVICES 25000 ERIE HOMES FOR CHILDREN AND ADULTS INC 226 E 27TH STREET ERIE PA 16504 N/A PC COMMUNITY SERVICES 5000 ERIE COUNTY HISTORICAL SOCIETY 419 STATE STREET ERIE PA 16501 N/A PC ARTS AND CULTURE 5000 ERIE COUNTY CASA INC 1311 W 26TH STREET ERIE PA 16508 N/A PC HEALTH AND HUMAN SERVICES 1500 ARTS COUNCIL OF ERIE 700 MAIN STREET 1 BUFFALO NY 14202 N/A PC ARTS AND CULTURE 5000 FIDELITY CHARITABLE GIFT FUND PO BOX 770001 CINCINNATI OH 45277 N/A PC ARTS AND CULTURE 17000 106500 0 14 43666 18 187367 0 231033 0 231033 0 0 0 0 0 0 0 0 0 0 X X 1 BRUCE KERN SR 3906 STATE STREET ERIE PA 16508 34920 X 2 BRUCE KERN SR 3906 STATE STREET ERIE PA 16508 24710 X 3 B SCOTT KERN 3906 STATE STREET ERIE PA 16508 23980 X 4 CARL BRUCE KERN II 3906 STATE STREET ERIE PA 16508 75180 X 5 MARY ALICE KERN 3906 STATE STREET ERIE PA 16508 88905 X 1 350 SHARES OF FIDELITY CONTRAFUND 34920 2013-12-04 2 500 SHARES OF FIDELITY LOW PRICED STOCK FUND 24710 2013-12-04 3 500 SHARES OF STERIS CORPORATION 23980 2013-12-26 4 2000 SHARES OF PT TELEKOMUNIKASI INDONESIA 75180 2013-08-26 5 500 SHARES OF ISHARES S&P 500 INDEX FUND 88905 2013-11-04 DISTRIBUTIONS TO A DONOR-ADVISED FUND FORM 990-PF, PART VII-A, LINE 12 THE DISTRIBUTION OF $17,000 WAS MADE TO A DONOR ADVISED FUND AT FIDELITY CHARITABLE GIFT FUND OVER WHICH ONE OF THE DIRECTORS HAS ADVISORY PRIVILEDGES. THE FOUNDATION TREATED THIS DISTRIBUTION AS A QUALIFYING DISTRIBUTION BECAUSE THE FUNDS WILL BE DIRECTED TO SIMILIAR IF NOT THE SAME PUBLIC CHARITIES THAT THE FOUNDATION GRANTS TO. FIDELITY INVESTMENTS 3195299 3195299 UNREALIZED GAIN ON INVESTMENTS 405343 FPFS FEES 6650 1662 4988 FEDERAL EXCISE TAX 2555 0 0