51
if the foundation is not required to attach Sch. B OMB No. 1545-0052 Department of the Treasury Internal Revenue Service Open to Public Inspection Number and street (or P.O. box number if mail is not delivered to street address) Room/suite If exemption application is pending, check here Foreign organizations meeting the 85% test, check here and attach computation (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a).) Disbursements for charitable purposes (cash basis only) Check Interest on savings and temporary cash investments Net rental income or (loss) Net gain or (loss) from sale of assets not on line 10 Gross sales price for all assets on line 6a Capital gain net income (from Part IV, line 2) Gross sales less returns and allowances Less: Cost of goods sold Compensation of officers, directors, trustees, etc. Excess of revenue over expenses and disbursements (if negative, enter -0-) (if negative, enter -0-) 523501 11-24-15 or Section 4947(a)(1) Trust Treated as Private Foundation | Do not enter social security numbers on this form as it may be made public. | Information about Form 990-PF and its separate instructions is at For calendar year 2015 or tax year beginning , and ending A B C Employer identification number G D 1. 2. H E I J F Analysis of Revenue and Expenses (d) (a) (b) (c) 1 2 3 4 5 7 8 9 11 a b 6a b 10a b c 12 Total. 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 a b c Total operating and administrative expenses. Total expenses and disbursements. a b c Net investment income Adjusted net income For Paperwork Reduction Act Notice, see instructions. Revenue Operating and Administrative Expenses (from Part II, col. (c), line 16) (Part I, column (d) must be on cash basis.) Form Name of foundation Telephone number City or town, state or province, country, and ZIP or foreign postal code ~| | | | | Check all that apply: Initial return Initial return of a former public charity Foreign organizations, check here ~~ Final return Amended return Address change Name change ~~~~ Check type of organization: Section 501(c)(3) exempt private foundation If private foundation status was terminated under section 507(b)(1)(A), check here Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation ~ Fair market value of all assets at end of year Accounting method: Cash Accrual If the foundation is in a 60-month termination under section 507(b)(1)(B), check here Other (specify) ~ $ | Revenue and expenses per books Net investment income Adjusted net income Contributions, gifts, grants, etc., received ~~~ | ~~~~~~~~~~~~~~ Dividends and interest from securities Gross rents ~~~~~ ~~~~~~~~~~~~~~~~ ~~ ~~ ~~~~~ Net short-term capital gain Income modifications ~~~~~~~~~ ~~~~~~~~~~~~ ~~~~ ~ Gross profit or (loss) Other income ~~~~~~~~~~~~ ~~~~~~~~~~~~~~~ Add lines 1 through 11 ~~~ Other employee salaries and wages Pension plans, employee benefits ~~~~~~ ~~~~~~ Legal fees Accounting fees ~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ Other professional fees ~~~~~~~~~~~ Interest Taxes ~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~ Depreciation and depletion ~~~~~~~~~ Occupancy Travel, conferences, and meetings Printing and publications Other expenses ~~~~~~~~~~~~~~~~ ~~~~~~ ~~~~~~~~~~ ~~~~~~~~~~~~~~ Add lines 13 through 23 ~~~~~ Contributions, gifts, grants paid ~~~~~~~ Add lines 24 and 25 Subtract line 26 from line 12: ~ ~~~ Form (2015) LHA www.irs.gov/form990pf. Part I 990-PF Return of Private Foundation 990-PF 2015    STATEMENT 1 STMT 2 STMT 3 STMT 4 STMT 5 STMT 6 41-6035163 400 SIBLEY STREET X X 92,371,707. 15,000. 2,022,826. 2,022,826. 775,813. 775,813. 2,813,639. 2,798,639. 414,940. 41,494. 373,446. 371,395. 7,550. 363,845. 113,336. 5,406. 107,931. 11,972. 0. 10,903. 18,735. 7,494. 11,241. 208,521. 177,475. 62,267. 76,704. 3,811. 47,274. 2,887. 0. 68,754. 3,438. 65,317. 111,131. 0. 113,673. 5,216. 0. 5,216. 70,044. 3,488. 62,023. 1,473,635. 250,156. 1,223,136. 3,833,796. 3,344,907. 5,307,431. 250,156. 4,568,043. -2,493,792. 2,548,483. 125 JEROME FOUNDATION, INC. N/A N/A 651 224 9431 MAY 1, 2015 APR 30, 2016 5,454,883. SAINT PAUL, MN 55101 1 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

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Page 1: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

if the foundation is not required to attach Sch. B

OMB No. 1545-0052

Department of the TreasuryInternal Revenue Service Open to Public Inspection

Number and street (or P.O. box number if mail is not delivered to street address) Room/suite

If exemption application is pending, check here

Foreign organizations meeting the 85% test,check here and attach computation

(The total of amounts in columns (b), (c), and (d) may notnecessarily equal the amounts in column (a).)

Disbursementsfor charitable purposes

(cash basis only)

Check

Interest on savings and temporarycash investments

Net rental income or (loss)

Net gain or (loss) from sale of assets not on line 10Gross sales price for allassets on line 6a

Capital gain net income (from Part IV, line 2)

Gross sales less returnsand allowances

Less: Cost of goods sold

Compensation of officers, directors, trustees, etc.

Excess of revenue over expenses and disbursements

(if negative, enter -0-)

(if negative, enter -0-)

52350111-24-15

or Section 4947(a)(1) Trust Treated as Private Foundation| Do not enter social security numbers on this form as it may be made public.

| Information about Form 990-PF and its separate instructions is at

For calendar year 2015 or tax year beginning , and ending

A

B

C

Employer identification number

G D 1.

2.

H E

I J F

Analysis of Revenue and Expenses (d)(a) (b) (c)

1

2

3

4

5

7

8

9

11

a

b

6a

b

10a

b

c

12 Total.

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

a

b

c

Total operating and administrative

expenses.

Total expenses and disbursements.

a

b

c

Net investment income

Adjusted net income

For Paperwork Reduction Act Notice, see instructions.

Re

ven

ue

Op

era

tin

g a

nd

Ad

min

istr

ati

ve E

xp

en

se

s

(from Part II, col. (c), line 16)(Part I, column (d) must be on cash basis.)

Form

Name of foundation

Telephone number

City or town, state or province, country, and ZIP or foreign postal code ~ |

|

|

|

|

Check all that apply: Initial return Initial return of a former public charity Foreign organizations, check here ~~

Final return Amended return

Address change Name change ~~~~

Check type of organization: Section 501(c)(3) exempt private foundation If private foundation status was terminatedunder section 507(b)(1)(A), check hereSection 4947(a)(1) nonexempt charitable trust Other taxable private foundation ~

Fair market value of all assets at end of year Accounting method: Cash Accrual If the foundation is in a 60-month terminationunder section 507(b)(1)(B), check hereOther (specify) ~

$| Revenue and

expenses per booksNet investment

incomeAdjusted netincome

Contributions, gifts, grants, etc., received ~~~

|

~~~~~~~~~~~~~~

Dividends and interest from securities

Gross rents

~~~~~

~~~~~~~~~~~~~~~~

~~

~~

~~~~~

Net short-term capital gain

Income modifications

~~~~~~~~~

~~~~~~~~~~~~

~~~~

~

Gross profit or (loss)

Other income

~~~~~~~~~~~~

~~~~~~~~~~~~~~~

Add lines 1 through 11 ��������

~~~

Other employee salaries and wages

Pension plans, employee benefits

~~~~~~

~~~~~~

Legal fees

Accounting fees

~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

Other professional fees ~~~~~~~~~~~

Interest

Taxes

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~

Depreciation and depletion ~~~~~~~~~

Occupancy

Travel, conferences, and meetings

Printing and publications

Other expenses

~~~~~~~~~~~~~~~~

~~~~~~

~~~~~~~~~~

~~~~~~~~~~~~~~

Add lines 13 through 23 ~~~~~

Contributions, gifts, grants paid ~~~~~~~

Add lines 24 and 25 ������������

Subtract line 26 from line 12:

~

~~~

����

Form (2015)LHA

www.irs.gov/form990pf.

Part I

990-PF

Return of Private Foundation990-PF 2015

 

   

STATEMENT 1

STMT 2STMT 3STMT 4

STMT 5

STMT 6

41-6035163

400 SIBLEY STREET

X

X

92,371,707.

15,000.

2,022,826. 2,022,826.

775,813.

775,813.

2,813,639. 2,798,639.414,940. 41,494. 373,446.371,395. 7,550. 363,845.113,336. 5,406. 107,931.11,972. 0. 10,903.18,735. 7,494. 11,241.208,521. 177,475. 62,267.

76,704. 3,811. 47,274.2,887. 0.

68,754. 3,438. 65,317.111,131. 0. 113,673.5,216. 0. 5,216.70,044. 3,488. 62,023.

1,473,635. 250,156. 1,223,136.3,833,796. 3,344,907.

5,307,431. 250,156. 4,568,043.

-2,493,792.2,548,483.

125

JEROME FOUNDATION, INC.

N/A

N/A

651 224 9431

MAY 1, 2015 APR 30, 2016

5,454,883.

SAINT PAUL, MN 55101

109060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 2: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

Attached schedules and amounts in the descriptioncolumn should be for end-of-year amounts only.

Other notes and loans receivable

Investments - land, buildings, and equipment: basis

Less: accumulated depreciation

Less: accumulated depreciation

Loans from officers, directors, trustees, and other disqualified persons

52351111-24-15

2

(a) (b) (c)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

a

b

c

Total assets

17

18

19

20

21

22

23 Total liabilities

Foundations that follow SFAS 117, check here

and complete lines 24 through 26 and lines 30 and 31.

24

25

26

27

28

29

30

31

Foundations that do not follow SFAS 117, check here

and complete lines 27 through 31.

Total net assets or fund balances

Total liabilities and net assets/fund balances

1

2

3

4

5

1

2

3

4

5

66

Asse

tsL

iab

iliti

es

Ne

t A

sse

ts o

r F

un

d B

ala

nc

es

Form 990-PF (2015) Page Beginning of year End of year

Book Value Book Value Fair Market Value

Cash - non-interest-bearing

Savings and temporary cash investments

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~

Accounts receivable

Less: allowance for doubtful accounts

Pledges receivable

Less: allowance for doubtful accounts

Grants receivable

Receivables due from officers, directors, trustees, and other

disqualified persons

~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~

Less: allowance for doubtful accounts

Inventories for sale or use

Prepaid expenses and deferred charges

~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~

Investments - U.S. and state government obligations ~~~~~~~

Investments - corporate stock

Investments - corporate bonds

~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~

~~

~~~~~~~~

Investments - mortgage loans

Investments - other

Land, buildings, and equipment: basis

~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~

Other assets (describe )

(to be completed by all filers - see the

instructions. Also, see page 1, item I) ��������������

Accounts payable and accrued expenses ~~~~~~~~~~~~~

Grants payable

Deferred revenue

~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~

~~~~

Mortgages and other notes payable

Other liabilities (describe

~~~~~~~~~~~~~~~

)

(add lines 17 through 22) ������������

~~~~

Unrestricted

Temporarily restricted

Permanently restricted

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

~

Capital stock, trust principal, or current funds ~~~~~~~~~~~

Paid-in or capital surplus, or land, bldg., and equipment fund

Retained earnings, accumulated income, endowment, or other funds

~~~~

~

~~~~~~~~~~~~~~~~

����������

Total net assets or fund balances at beginning of year - Part II, column (a), line 30

(must agree with end-of-year figure reported on prior year's return) ~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter amount from Part I, line 27a

Other increases not included in line 2 (itemize)

Add lines 1, 2, and 3

Decreases not included in line 2 (itemize)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 ���������������

Form (2015)

Balance SheetsPart II

Analysis of Changes in Net Assets or Fund BalancesPart III

990-PF

 

 

9 99 9

99

99999

99

9

99

SEE STATEMENT 7

SEE STATEMENT 8

STMT 9STMT 10STMT 11

STMT 12

STMT 13

146,821. 373,327. 373,327.

1,763. 1,763.

13,537. 7,383. 7,383.5,006,226. 4,966,219. 4,966,219.

71,795,439. 65,195,810. 65,195,810.15,208,979. 15,478,879. 15,478,879.

2,792,317. 3,030,405. 3,030,405.

4,915. 30,849. 30,849.3,439,992. 3,287,072. 3,287,072.

98,408,226. 92,371,707. 92,371,707.33,827. 2,832.

797,268.

696,584. 1,185,473.

1,188,305.

94,170,966. 87,896,330.

66,857. 0.

3,439,992. 3,287,072.

97,610,958. 91,183,402.

98,408,226. 92,371,707.

97,610,958.-2,493,792.

66,857.95,184,023.4,000,621.

91,183,402.

1,763.

159,071.128,222.

BENEFICIAL INTEREST

DEFERRED EXCISE TA

X

41-6035163JEROME FOUNDATION, INC.

2 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 3: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

523521 11-24-15

3

(b)(a) (c) (d)

1a

b

c

d

e

(f) (g) (h)(e)

a

b

c

d

e

(l)or(j) (k)

(i)

a

b

c

d

e

2 2

3

3

1(d)(a) (b) (c)

2

3

4

5

6

7

8

Total 2

3

4

5

6

7

8

Form 990-PF (2015) Page

How acquiredP - PurchaseD - Donation

List and describe the kind(s) of property sold (e.g., real estate,2-story brick warehouse; or common stock, 200 shs. MLC Co.)

Date acquired(mo., day, yr.)

Date sold(mo., day, yr.)

Depreciation allowed(or allowable)

Cost or other basisplus expense of sale

Gain or (loss)(e) plus (f) minus (g)

Gross sales price

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 Gains (Col. (h) gain minuscol. (k), but not less than -0-)

Losses (from col. (h))Adjusted basis

as of 12/31/69Excess of col. (i)

over col. (j), if any F.M.V. as of 12/31/69

If gain, also enter in Part I, line 7If (loss), enter -0- in Part I, line 7Capital gain net income or (net capital loss) ~~~~~~

Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):If gain, also enter in Part I, line 8, column (c).If (loss), enter -0- in Part I, line 8������������������������������

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?

If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.

~~~~~~~~~~~~~~~~ Yes No

Enter the appropriate amount in each column for each year; see the instructions before making any entries.

Distribution ratio(col. (b) divided by col. (c))

Base period yearsCalendar year (or tax year beginning in) Adjusted qualifying distributions Net value of noncharitable-use assets

2014

2013

2012

2011

2010

of line 1, column (d)

Average distribution ratio for the 5-year base period - divide 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 noncharitable-use assets for 2015 from Part X, line 5

Multiply line 4 by line 3

~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter 1% of net investment income (1% of Part I, line 27b) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines 5 and 6 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter qualifying distributions from Part XII, line 4~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate.See the Part VI instructions.

Form (2015)

Capital Gains and Losses for Tax on Investment IncomePart IV

Qualification Under Section 4940(e) for Reduced Tax on Net Investment IncomePart V

990-PF

 

pmorqspmo

CLASS ACTION LAWSUIT SETTLEMENT INCOMESECURITIES LITIGATION SETTLEMENTPUBLICLY TRADED SECURITIESCAPITAL GAINS DIVIDENDS

PP

27,120.649.

4,920,000.507,114.

4,679,070.

27,120.649.

240,930.507,114.

27,120.649.

240,930.507,114.

775,813.

X

4,709,735. 92,337,367. .0510064,401,113. 86,780,538. .0507153,942,192. 77,443,169. .0509043,636,692. 74,541,476. .0487873,762,213. 74,778,731. .050311

.251723

.050345

86,851,548.

4,372,541.

25,485.

4,398,026.

4,568,043.

41-6035163JEROME FOUNDATION, INC.

N/A

309060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

Page 4: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

If "Yes," attach a schedule listing their names and addresses

52353111-24-15

4

1

2

3

4

5

6

7

8

9

10

a

b

c

(attach copy of letter if necessary-see instructions)

1

2

3

4

5Tax based on investment income.

a

b

c

d

6a

6b

6c

6d

7

penalty 8

Tax due. amount owed 9

Overpayment. amount overpaid 10

11 Credited to 2016 estimated tax Refunded 11

1

2

3

4

a

b

c

d

e

1a

1b

1c

,

Form 1120-POL

(1) (2)

2

3

4a

4b

5

a

b Form 990-T

5

6

7

8

6

7

a

b

8b

9

10

9

10

If the answer is "Yes" to or attach a detailed description of the activities and copies of any materials published or

distributed by the foundation in connection with the activities.

If "Yes," attach a detailed description of the activities.

If "Yes," attach a conformed copy of the changes

If "Yes," attach the statement required by General Instruction T.

If "Yes," complete Part II, col. (c), and Part XV

General Instruction G? If "No," attach explanation

If "Yes," complete Part XIV

Form 990-PF (2015) Page

Exempt operating foundations described in section 4940(d)(2), check here | and enter "N/A" on line 1.

Date of ruling or determination letter:

Domestic foundations that meet the section 4940(e) requirements in Part V, check here

of Part I, line 27b

| and enter 1%

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b).

Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)

Add lines 1 and 2

~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) ~~~~~~~~

Subtract line 4 from line 3. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~

Credits/Payments:

2015 estimated tax payments and 2014 overpayment credited to 2015 ~~~~~~~~

Exempt foreign organizations - tax withheld at source

Tax paid with application for extension of time to file (Form 8868)

Backup withholding erroneously withheld

~~~~~~~~~~~~~~~~

~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

Total credits and payments. Add lines 6a through 6d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter any for underpayment of estimated tax. Check here if Form 2220 is attached ~~~~~~~~~~~~~

If the total of lines 5 and 8 is more than line 7, enter ~~~~~~~~~~~~~~~~~~~~ |

|

|

If line 7 is more than the total of lines 5 and 8, enter the ��������������

Enter the amount of line 10 to be: |

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in

any political campaign? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for the definition)? ~~~~

Did the foundation file for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

On the foundation. | $ On foundation managers. | $

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation

managers. | $

Has the foundation engaged in any activities that have not previously been reported to the IRS? ~~~~~~~~~~~~~~~~~~~~

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? ~~~~~~~~~~~~~~~~~~~~~

Did the foundation have unrelated business gross income of $1,000 or more during the year?

If "Yes," has it filed a tax return on for this year?

~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Was there a liquidation, termination, dissolution, or substantial contraction during the year? ~~~~~~~~~~~~~~~~~~~~~~

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

¥ By language in the governing instrument, or

¥ By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law

remain in the governing instrument? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the foundation have at least $5,000 in assets at any time during the year? ~~~~~

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 required by ~~~~~~~~~~~~~~~~~~~~~~~~~

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar

year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)? ~~~~~~~~~~~~~~

Did any persons become substantial contributors during the tax year? ��������

Form (2015)

1a 1b

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)Part VI

Statements Regarding ActivitiesPart VII-AYes No

990-PF

 

pnnnmnnno

9

X

7,515.

MN,OR

25,485.

0.25,485.

0.25,485.

33,000.

33,000.

7,515.0.

X

XX

X

X

X

X

XX

X

XX

N/A

41-6035163JEROME FOUNDATION, INC.

0. 0.

0.

409060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 5: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

52354111-24-15

5

11

12

13

14

15

16

11

12

13

Form 1041 -

15

16

1a

(1)

(2)

(3)

(4)

(5)

(6)

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

No

Exception.

b

c

any

1b

1c

2

a

b

c

Yes No

not

all

2b

any

3a

b

Yes No

(1)

(2)

(3)

3b

4a

4b

4a

b

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

(continued)

(Use Schedule C,

Form 4720, to determine if the foundation had excess business holdings in 2015.)

Form 990-PF (2015) Page

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of

section 512(b)(13)? If "Yes," attach schedule (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges?

If "Yes," attach statement (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the foundation comply with the public inspection requirements for its annual returns and exemption application? ~~~~~~~~~~~

Website address |

The books are in care of |

Located at |

Telephone no. |

ZIP+4 |

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Check here ~~~~~~~~~~~~~~~~~~~~~~~ |

and enter the amount of tax-exempt interest received or accrued during the year ~~~~~~~~~~~~~~~~~~~ |

At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over a bank,

securities, or other financial account in a foreign country?

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes," enter the name of the

foreign country

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

|

During the year did the foundation (either directly or indirectly):

Engage in the sale or exchange, or leasing of property with a disqualified person?

Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Furnish goods, services, or facilities to (or accept them from) a disqualified person?

Pay compensation to, or pay or reimburse the expenses of, a disqualified person?

~~~~~~~~~~~~~

~~~~~~~~~~~~~~

Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Agree to pay money or property to a government official? ( Check "No"

if the foundation agreed to make a grant to or to employ the official for a period after

termination of government service, if terminating within 90 days.) ~~~~~~~~~~~~~~~~~~~~~

If any answer is "Yes" to 1a(1)-(6), did of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ~~~~~~~~~~~~~~~~~~~~~

|Organizations relying on a current notice regarding disaster assistance check here ~~~~~~~~~~~~~~~~~~~~~

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts, that were not corrected

before the first day of the tax year beginning in 2015?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundation

defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2015, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning

before 2015? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes," list the years | , , ,

Are there any years listed in 2a for which the foundation is applying the provisions of section 4942(a)(2) (relating to incorrect

valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to years listed, answer "No" and attach

statement - see instructions.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If the provisions of section 4942(a)(2) are being applied to of the years listed in 2a, list the years here.

| , , ,

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 business holdings in 2015 as a result of any purchase by the foundation or disqualified persons after

May 26, 1969; the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose

of holdings acquired by gift or bequest; or the lapse of the 10-, 15-, or 20-year first phase holding period?

~~~~~~~~~~~~~~~~~~~~~~

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 jeopardy before the first day of the tax year beginning in 2015? ����������������������

Form (2015)

Part VII-A Statements Regarding Activities

Yes No

Yes No

Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required

Yes No

990-PF

 

 

   

 

 

 

   

 

 

 

   

   

X

X

XX

X

X

X

X

X

X

X

X

N/A

N/A

41-6035163JEROME FOUNDATION, INC.

X

XX

WWW.JEROMEFDN.ORGKAREN FJORDEN

400 SIBLEY STREET, SUITE 125, SAINT PAUL, MN651-224-9431

55101

N/A

X

5 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 6: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

Contributions toemployee benefit plans

and deferredcompensation

Contributions toemployee benefit plans

and deferredcompensation

52355111-24-15

5a

(1)

(2)

(3)

(4)

(5)

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

b

c

any

5b

6b

7b

Yes No

6

7

a

Yes No

b

a

b

Yes No

(If not paid,enter -0-)

6

1 List all officers, directors, trustees, foundation managers and their compensation.(d)(c) (e)(b)

(a)

2 Compensation of five highest-paid employees (other than those included on line 1). If none, enter "NONE."(d) (e)(b)

(a) (c)

Total

(continued)

If "Yes," attach the statement required by Regulations section 53.4945-5(d).

If "Yes" to 6b, file Form 8870.

Form 990-PF (2015) Page

During the year did the foundation pay or incur any amount to:

Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?

Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly,

any voter registration drive?

~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Provide a grant to an individual for travel, study, or other similar purposes?

Provide a grant to an organization other than a charitable, etc., organization described in section

4945(d)(4)(A)? (see instructions)

~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for

the prevention of cruelty to children or animals? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If any answer is "Yes" to 5a(1)-(5), did 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)? ~~~~~~~~~~~~~~~~~~~~~~~~

|Organizations relying on a current notice regarding disaster assistance check here ~~~~~~~~~~~~~~~~~~~~~

If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax because it maintained

expenditure responsibility for the grant?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ~~~~~~~~~~~~~~~~

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? ~~~~~~~~~

If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction?

Compensation Expenseaccount, other

allowances

Title, and averagehours per week devoted

to position Name and address

Expenseaccount, other

allowances

Title, and averagehours per week

devoted to position Name and address of each employee paid more than $50,000 Compensation

number of other employees paid over $50,000 ��������������������������������������� |

Form (2015)

�����������������

Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required

Part VIII Information About Officers, Directors, Trustees, Foundation Managers, HighlyPaid Employees, and Contractors

990-PF

 

  

 

  

 

 

 

 

 

   

   

   

SEE STATEMENT 16

107,892. 21,924. 0.PROGRAM DIRECTOR

40.00ROBERT BYRD - 400 SIBLEY STREETSUITE 125, ST PAUL, MN 55101ELEANOR SAVAGE - 400 SIBLEY STREETSUITE 125, ST PAUL, MN 55101KAREN FJORDEN - 400 SIBLEY STREETSUITE 125, ST PAUL, MN 55101JEREMY MECKLER - 400 SIBLEY STREETSUITE 125, ST PAUL, MN 55101

SENIOR PROGRAM OFFICER40.00

CONTROLLER32.00

DATA SPECIALIST / ASSIST TO FILM40.00

21,522.

26,762.

16,610.

0.

0.

93,276.

75,556.

60,209. 0.

0

41-6035163JEROME FOUNDATION, INC.

414,940. 22,036. 5,257.

X

XX

X

X

X

N/A

XX

XN/A

6 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 7: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

52356111-24-15

7

1

2

3

3 Five highest-paid independent contractors for professional services. If none, enter "NONE."

(a) (c)(b)

Total

1

2

3

4

Total.

(continued)

Form 990-PF (2015) Page

Name and address of each person paid more than $50,000 CompensationType of service

number of others receiving over $50,000 for professional services ��������������������������������

List the foundation's four largest direct charitable activities during the tax year. Include relevant statistical information such as thenumber of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount

All other program-related investments. See instructions.

Form (2015)

Add lines 1 through 3 ��������������������������������������������

Part VIII Information About Officers, Directors, Trustees, Foundation Managers, HighlyPaid Employees, and Contractors

Summary of Direct Charitable ActivitiesPart IX-A

Part IX-B Summary of Program-Related Investments

990-PFJ

9

SEE STATEMENT 17

SEE STATEMENT 18

SEE STATEMENT 19

SEE STATEMENT 20

N/A

0.

VANGUARD INSTITUTIONAL ADVISORY SERVICESINVESTMENT SERVICES 162,463.PO BOX 2900, VALLEY FORGE, PA 19482-2900

0

2,590,946.

565,701.

168,491.

19,769.

41-6035163JEROME FOUNDATION, INC.

709060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 8: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

52357111-24-15

8

1

a

b

c

d

e

1a

1b

1c

1d

2

3

4

5

6

Total

1e

2

3

4

5 Net value of noncharitable-use assets.

6 Minimum investment return.

1

2

3

4

5

6

1

2c

3

4

5

6

7

a

b

c

2a

2b

7 Distributable amount

1

2

3

4

5

6

a

b

1a

1b

2

3a

3b

4

5

6

a

b

Qualifying distributions.

Adjusted qualifying distributions.

Note.

Page Form 990-PF (2015)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes:

Average monthly fair market value of securities

Average of monthly cash balances

Fair market value of all other assets

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

(add lines 1a, b, and c)

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

Acquisition indebtedness applicable to line 1 assets

Subtract line 2 from line 1d

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) ~~~~~~~~

Subtract line 4 from line 3. Enter here and on Part V, line 4 ~~~~~~~~~~

Enter 5% of line 5 ��������������������������������

(Section 4942(j)(3) and (j)(5) private operating foundations and certain

foreign organizations check here and do not complete this part.)

Minimum investment return from Part X, line 6

Tax on investment income for 2015 from Part VI, line 5

Income tax for 2015. (This does not include the tax from Part VI.)

Add lines 2a and 2b

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~

~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Distributable amount before adjustments. Subtract line 2c from line 1

Recoveries of amounts treated as qualifying distributions

~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines 3 and 4

Deduction from distributable amount (see instructions)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ������������

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26

Program-related investments - total from Part IX-B

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)

Cash distribution test (attach the required schedule)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 ~~~~~~~~~

Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 5 from line 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~

The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section

4940(e) reduction of tax in those years.

Form (2015)

(All domestic foundations must complete this part. Foreign foundations, see instructions.)

(see instructions)

(see instructions)

Part XMinimum Investment Return

Part XI Distributable Amount

Part XIIQualifying Distributions

990-PF

 9

4,568,043.

0.

87,880,557.293,603.

88,174,160.

0.88,174,160.1,322,612.

86,851,548.4,342,577.

4,342,577.25,485.

25,485.4,317,092.

0.4,317,092.

0.4,317,092.

41-6035163JEROME FOUNDATION, INC.

0.

4,568,043.

25,485.4,542,558.

8 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 9: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

Undistributed income, if any, as of the end of 2015:

Excess distributions carryover applied to 2015(If an amount appears in column (d), the same amountmust be shown in column (a).)

Corpus. Add lines 3f, 4c, and 4e. Subtract line 5

523581 11-24-15

9

(a) (b) (c) (d)

1

2

3

a

b

a

b

c

d

e

f Total

4

a

b

c

d

e

5

6 Enter the net total of each column asindicated below:

a

b

c

d

e

f

7

8

9

10

Excess distributions carryover to 2016.

a

b

c

d

e

Form 990-PF (2015) Page

Corpus Years prior to 2014 2014 2015

Distributable amount for 2015 from Part XI,

line 7 ~~~~~~~~~~~~~~~~~

Enter amount for 2014 only ~~~~~~~

Total for prior years:

, ,

Excess distributions carryover, if any, to 2015:

From 2010

From 2011

From 2012

From 2013

From 2014

~~~

~~~

~~~

~~~

~~~

of lines 3a through e ~~~~~~~~

Qualifying distributions for 2015 from

$Part XII, line 4:

Applied to 2014, but not more than line 2a

Applied to undistributed income of prior

years (Election required - see instructions)

~

~

Treated as distributions out of corpus

(Election required - see instructions)

Applied to 2015 distributable amount

~~~

~~~

Remaining amount distributed out of corpus

~~

~~

Prior years' undistributed income. Subtract

line 4b from line 2b ~~~~~~~~~~~

Enter the amount of prior years'undistributed income for which a notice ofdeficiency has been issued, or on whichthe section 4942(a) tax has been previouslyassessed ~~~~~~~~~~~~~~~

Subtract line 6c from line 6b. Taxable

amount - see instructions ~~~~~~~~

Undistributed income for 2014. Subtract line

4a from line 2a. Taxable amount - see instr.~

Undistributed income for 2015. Subtract

lines 4d and 5 from line 1. This amount must

be distributed in 2016 ~~~~~~~~~~

Amounts treated as distributions out of

corpus to satisfy requirements imposed by

section 170(b)(1)(F) or 4942(g)(3) (Election

may be required - see instructions) ~~~~

Excess distributions carryover from 2010

not applied on line 5 or line 7 ~~~~~~~

Subtract lines 7 and 8 from line 6a ~~~~

Analysis of line 9:

Excess from 2011

Excess from 2012

Excess from 2013

Excess from 2014

Excess from 2015

~

~

~

~

Form (2015)

(see instructions)Undistributed IncomePart XIII

990-PF

9 4,568,043.

235,571.

4,317,092.

0.

0.

15,380.

0.

0.4,317,092.

235,571.0. 0.

235,571.

0.

0.

0.

0.

0.

235,571.

15,380.

0.

0.

41-6035163JEROME FOUNDATION, INC.

909060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 10: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

523601 11-24-15

10

1 a

b

a

b

c

d

e

2(a) (b) (c) (d) (e) Total

3

a(1)

(2)

b

c

(1)

(2)

(3)

(4)

1

a

b

2

a

b

c

d

Information Regarding Foundation Managers:

Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

PageForm 990-PF (2015)

If the foundation has received a ruling or determination letter that it is a private operating

foundation, and the ruling is effective for 2015, enter the date of the ruling ~~~~~~~~~~~~~~Check box to indicate whether the foundation is a private operating foundation described in section 4942(j)(3) or 4942(j)(5)

Prior 3 yearsTax yearEnter the lesser of the adjusted net

income from Part I or the minimum

investment return from Part X for

each year listed

2015 2014 2013 2012

~~~~~~~~~

85% of line 2a ~~~~~~~~~~

Qualifying distributions from Part XII,

line 4 for each year listed ~~~~~

Amounts included in line 2c not

used directly for active conduct of

exempt activities ~~~~~~~~~

Qualifying distributions made directly

for active conduct of exempt activities.

Subtract line 2d from line 2c~~~~Complete 3a, b, or c for thealternative test relied upon:"Assets" alternative test - enter:

Value of all assets ~~~~~~

Value of assets qualifyingunder section 4942(j)(3)(B)(i) ~

"Endowment" alternative test - enter2/3 of minimum investment returnshown in Part X, line 6 for each yearlisted ~~~~~~~~~~~~~~

"Support" alternative test - enter:

Total support other than grossinvestment income (interest,dividends, rents, payments onsecurities loans (section512(a)(5)), or royalties) ~~~~

Support from general publicand 5 or more exemptorganizations as provided insection 4942(j)(3)(B)(iii) ~~~

Largest amount of support from

an exempt organization

Gross investment income

~~~~

���

List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any taxyear (but only if they have contributed more than $5,000). (See section 507(d)(2).)

List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership orother entity) of which the foundation has a 10% or greater interest.

Check here if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. Ifthe foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d.

The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

The form in which applications should be submitted and information and materials they should include:

Any submission deadlines:

Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:

Form (2015)

(see instructions and Part VII-A, question 9)Part XIV Private Operating Foundations

Part XV Supplementary Information (Complete this part only if the foundation had $5,000 or more in assetsat any time during the year-see instructions.)

990-PF

 9

9

SEE STATEMENT 21

NONE

NONE

N/A41-6035163JEROME FOUNDATION, INC.

1009060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 11: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

52361111-24-15

11

3

a

Total 3a

b

Total 3b

Grants and Contributions Paid During the Year or Approved for Future Payment

Paid during the year

Approved for future payment

Page

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

������������������������������������������������������

������������������������������������������������������

Form (2015)

(continued)Part XV Supplementary Information

990-PF

9

9

AMANDA LOVELEE

AMERICAN COMPOSERS FORUM332 MINNESOTA STREET, E-145

5,000.

NONE N/A TRAVEL AND STUDY GRANTTRIP

3,344,907.

4,420.

AARON BEEBE NONE N/A TRAVEL AND STUDY GRANTTRIP

1,185,473.

ANJA MARQUARDT

ANNE HENLY

ANNIE EWASKIO

NONE

SAINT PAUL, MN 55101

NONE PUBLIC CHARITY JFUND FOR NEW MUSICAND MINNESOTA EMERGINGCOMPOSERS' AWARD

200,000.

5,000.

10,000.

25,000.

ANJI SAUVE CLUBB NONE N/A FILM AND VIDEO

NONE

PRODUCTION

2,259.

AYANA EVANS NONE N/A TRAVEL AND STUDY GRANTTRIP

NONE

N/A

PROGRAM

N/A

N/A

FILM AND VIDEOPRODUCTION

TRAVEL AND STUDY GRANTTRIP

TRAVEL AND STUDY GRANTTRIP

2,251.

SEE CONTINUATION SHEET(S)

SEE CONTINUATION SHEET(S)

Jerome has redacted the addresses of individual artists to protect their privacy. Form 990-PF (2015)

JEROME FOUNDATION, INC. 41-603516

1109060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

Page 12: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

Excluded by section 512, 513, or 514

Exclu-sioncode

523621 11-24-15

12

(e)(c)(a) (b) (d)

1

a

b

c

d

e

f

g

2

3

4

5

6

7

8

9

10

a

b

11

12

13

a

b

c

d

e

Total. 13

Line No.

Form 990-PF (2015) Page

Unrelated business incomeEnter gross amounts unless otherwise indicated.Related or exemptfunction income

Businesscode Amount AmountProgram service revenue:

Fees and contracts from government agencies ~~~

Membership dues and assessments

Interest on savings and temporary cash

investments

~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

Dividends and interest from securities

Net rental income or (loss) from real estate:

~~~~~~~~

Debt-financed property

Not debt-financed 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

Gross profit or (loss) from sales of inventory

Other revenue:

~~~~~~~

~~~~~

Subtotal. Add columns (b), (d), and (e)

Add line 12, columns (b), (d), and (e)

~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

(See worksheet in line 13 instructions to verify calculations.)

Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment ofthe foundation's exempt purposes (other than by providing funds for such purposes).

Form (2015)

Part XVI-A Analysis of Income-Producing Activities

Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes

990-PF

<

2,798,639.0.

14

18

2,022,826.

775,813.

2,798,639. 0.

41-6035163JEROME FOUNDATION, INC.

1209060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 13: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

Line no. Description of transfers, transactions, and sharing arrangements

Under penalties of perjury, I declare that I have examined this return, 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 thisreturn with the preparershown below (see instr.)?

52362211-24-15

13

1

a

b

(1)

(2)

1a(1)

1a(2)

1b(1)

1b(2)

1b(3)

1b(4)

1b(5)

1b(6)

1c

(1)

(2)

(3)

(4)

(5)

(6)

c

d (b)

(d)

(a) (b) (c) (d)

2a

b(a) (b) (c)

Yes No

Form 990-PF (2015) Page

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of

the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Transfers from the reporting foundation to a noncharitable exempt organization of:

Cash

Other assets

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other transactions:

Sales of assets to a noncharitable exempt organization

Purchases of assets from a noncharitable exempt organization

Rental of facilities, equipment, or other assets

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Reimbursement arrangements

Loans or loan guarantees

Performance of services or membership or fundraising solicitations

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Sharing of facilities, equipment, mailing lists, other assets, or paid employees ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If the answer to any of the above is "Yes," complete the following schedule. Column should always show the fair market value of the goods, other assets,

or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, show in

column the value of the goods, other assets, or services received.

Amount involved Name of noncharitable exempt organization

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described

in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?

If "Yes," complete the following schedule.

~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No

Name of organization Type of organization Description of relationship

Signature of officer or trustee TitleDate

Check

self- employed

if PTINPrint/Type preparer's name Preparer's signature Date

Firm's name Firm's EIN

Firm's address

Phone no.

Form (2015)

Part XVII Information Regarding Transfers To and Transactions and Relationships With NoncharitableExempt Organizations

Yes No

SignHere

PaidPreparerUse Only

990-PF

 

 = =

9 99

X

612.876.4500

BAKER TILLY VIRCHOW KRAUSE, LLP

225 S 6TH ST #2300MINNEAPOLIS, MN 55402

XX

XXXXXXX

N/A

N/A

39-0859910

41-6035163JEROME FOUNDATION, INC.

DIANNE HICKOK, CPA

PRESIDENT

P00043906

X

1309060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 14: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

52363104-01-15

3

Total from continuation sheets

Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

ASIAN AMERICAN WRITERS' WORKSHOP112 WEST 27TH STREET, SUITE 600

24,000.

NONE PUBLIC CHARITY MARGINS FELLOWSHIPPROGRAM

3,122,656.

BRONX MUSEUM OF THE ARTS (THE)

AYANA EVANS

BAAD!/BRONX ACADEMY OF ARTS AND DANCE

BRIAN ALFRED

1040 GRAND CONCOURSE

BROOKLYN ARTS EXCHANGE

2474 WESTCHESTER AVENUE

BRONX, NY 10456

421 FIFTH AVENUE

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

N/A

PUBLIC CHARITY

N/A

PUBLIC CHARITY

ARTISTS IN THE

TRAVEL AND STUDY GRANT

OPEN CALL PROGRAM

FILM AND VIDEO

MARKETPLACE PROGRAM

ARTISTS IN RESIDENCE

TRIP2,511.

PRODUCTION

AND BIENNIAL

PROGRAM

20,000.

18,500.

BROOKLYN ARTS EXCHANGE (FISCAL AGENT)

4,300.

CARVER AUDAIN

FOR MARJANI FORTE-SAUNDERS

CAMERA CLUB OF NEW YORK

CARLYE RUBIN AND KATIE GREEN

NONE

336 WEST 37TH STREET, SUITE 206

N/A TRAVEL AND STUDY GRANTTRIP

NONE

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

N/A

5,000.

11,000.

NEW WORK BY MARJANIFORTE-SAUNDERS

WORKSPACE RESIDENCY

FILM AND VIDEO

PROGRAM

PRODUCTION

9,900.

18,000.

25,000.

NEW YORK, NY 10001

BRONX, NY 10461

EXHIBITION

BROOKLYN, NY 11215

NEW YORK, NY 10018

1409060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

CATHY LINH CHE

4,251.

NONE N/A TRAVEL AND STUDY GRANTTRIP

CAVE CANEM

CECILE CHONG

CECILIA ALDARONDO

CEDAR CULTURAL CENTER

CENTER FOR FICTION

20 JAY STREET, SUITE 310-A

416 CEDAR AVENUE SOUTH

17 EAST 47TH STREET

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

N/A

N/A

PUBLIC CHARITY

PUBLIC CHARITY

WRITING WORKSHOPS FOR

TRAVEL AND STUDY GRANT

FILM AND VIDEO

416 CLUB COMMISSIONS

EMERGING WRITERS

EMERGING POETS

TRIP

20,000.

PRODUCTION

PROGRAM FOR EMERGING

FELLOWSHIP PROGRAM

32,000.

4,000.

12,000.

CLAUDIA BITRAN

CHOCOLATE FACTORY THEATER (THE)

CHRISTINA A. OLIVARES

CLAIRE MIYE STANFORD

NONE

5-49 49TH AVENUE

N/A FILM AND VIDEOPRODUCTION

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

PUBLIC CHARITY

N/A

N/A

15,000.

42,500.

COMMISSIONING AND

TRAVEL AND STUDY GRANT

TRAVEL AND STUDY GRANT

PRODUCTION OF NEW

TRIP

TRIP

32,000.

1,453.

2,600.

BROOKLYN, NY 11201

MINNEAPOLIS, MN 55454 MINNESOTA COMPOSERS

NEW YORK, NY 10017

LONG ISLAND CITY, NY 11101 WORKS

1509060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

COFFEE HOUSE PRESS79 THIRTEENTH AVENUE NE, SUITE 110

21,000.

NONE PUBLIC CHARITY PUBLICATION OF BOOKSBY EMERGING WRITERS

COMMUNITY OF LITERARY MAGAZINES AND

COWLES CENTER FOR DANCE AND

PRESSES

COMPOSER/SOUND ARTIST FELLOWSHIP

COUNCIL ON FOUNDATIONS

PERFORMING ARTS

CULTURAL DATA PROJECT

154 CHRISTOPHER STREET, SUITE 3C

400 SIBLEY STREET, SUITE 125

2121 CRYSTAL DRIVE, SUITE 700

528 HENNEPIN AVENUE, SUITE 200

400 MARKET STREET, SUITE 600

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

FACE OUT: MAXIMIZING

MOMENTUM: NEW DANCE

THE VISIBILITY OF

PROGRAM ADMINISTRATION

MEMBERSHIP AND GENERAL

WORKS FESTIVAL

SUPPORT FOR MINNESOTA

EMERGING WRITERS46,000.

SUPPORT

AND NEW YORK CITY

40,000.

19,769.

30,000.

DIXON PLACE/OPEN CHANNELS161A CHRYSTIE STREET, GROUND FLOORNEW YORK, NY 10002

DAWN BENTLEY

DEBATE SOCIETY (THE)

DEEPAK RAUNIYAR

NONE

P.O. BOX 283, GREENPOINT STATION

PUBLIC CHARITY MONDO CANECOMMISSIONING PROGRAMAND ARTISTS INRESIDENCE PROGRAM

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

N/A

PUBLIC CHARITY

N/A

14,100.

9,000.

TRAVEL AND STUDY GRANT

JEROME@CAMARGO

FILM AND VIDEO

TRIP

RESIDENCY

PRODUCTION

5,000.

18,146.

20,000.

MINNEAPOLIS, MN 55413

NEW YORK, NY 10014

SAINT PAUL, MN 55101

ARLINGTON, VA 22202

MINNEAPOLIS, MN 55403

PHILADELPHIA, PA 19106 PROGRAM OPERATIONS

BROOKLYN, NY 11222

1609060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

ELIANA UJUETA

20,000.

NONE N/A FILM AND VIDEOPRODUCTION

ELLIOT MALCOLM AND JOE DAVIS

ENSEMBLE STUDIO THEATRE

ERIC WILLIAM CARROLL

ETHEL'S FOUNDATION FOR THE ARTS

EYEBEAM ART + TECHNOLOGY CENTER

549 WEST 52ND STREET

132 EAST 43RD STREET, #213

540 WEST 21ST STREET

NONE

NONE

NONE

NONE

NONE

N/A

PUBLIC CHARITY

N/A

PUBLIC CHARITY

PUBLIC CHARITY

FILM AND VIDEO

YOUNGBLOOD PROGRAM

TRAVEL AND STUDY GRANT

HOMEBAKED

ARTISTS @ EYEBEAM

PRODUCTION7,970.

TRIP

COMMISSIONING PROGRAM

RESIDENCIES

20,000.

20,000.

FIELD, THE/PERFORMANCE ZONE, INC.

FIELD, THE/PERFORMANCE ZONE, INC.

(FISCAL AGENT) FOR FAYE DRISCOLL

FIELD, THE/PERFORMANCE ZONE, INC.

9,000.

(FISCAL AGENT) FOR JULIANA F.

FIELD, THE/PERFORMANCE ZONE, INC.(FISCAL AGENT) FOR LONE WOLF TRIBE

(FISCAL AGENT) FOR AARON LANDSMAN

DANCE GROUP

MAY/MAYDANCE

NONE PUBLIC CHARITY

NONE

NONE

NEW WORK BY LONE WOLFTRIBE

NONE

JEROME FOUNDATION, INC. 41-6035163

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

4,000.

15,000.

NEW WORK BY FAYE

NEW WORK BY JULIANA F.

NEW WORK BY AARON

DRISCOLL DANCE GROUP

MAY/MAYDANCE

LANDSMAN

12,500.

16,000.

5,000.

NEW YORK, NY 10019

NEW YORK, NY 10017

NEW YORK, NY 10011

1709060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

FIELD, THE/PERFORMANCE ZONE, INC.(FISCAL AGENT) FOR YANIRA CASTRO

10,000.

NONE PUBLIC CHARITY NEW WORK BY YANIRACASTRO

FOUNDRY THEATRE (THE)

FOUNDATION CENTER

140-142 SECOND AVENUE, SUITE 405

FOUR WAY BOOKS

FRANCONIA SCULPTURE PARK

FRANKLIN FURNACE

79 FIFTH AVENUE

NEW YORK, NY 10003

P.O. BOX 535, VILLAGE STATION

29836 ST. CROIX TRAIL

80 HANSON PLACE, #301

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

CREATION, DEVELOPMENT,

GENERAL OPERATING AND

AND PRODUCTION OF NEW

PUBLICATION OF BOOKS

FSP/JEROME FELLOWSHIPS

FRANKLIN FURNACE FUND

MEMBERSHIP SUPPORT

WORKS BY EMERGING

2,500.

BY EMERGING WRITERS

39,000.

28,000.

10,000.

GRANTMAKERS IN THE ARTS

GRANTMAKERS IN THE ARTS4055 21ST AVENUE WEST, SUITE 100

FRES (ALBRA) THAO

GINNY SIMS

4055 21ST AVENUE WEST, SUITE 100

SEATTLE, WA 98199

NONE

SEATTLE, WA 98199

PUBLIC CHARITY ANNUAL CONFERENCE INSAINT PAUL

NONE

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

PUBLIC CHARITY

N/A

N/A

20,000.

42,000.

GENERAL OPERATING AND

TRAVEL AND STUDY GRANT

TRAVEL AND STUDY GRANT

MEMBERSHIP SUPPORT

TRIP

TRIP

ANNUAL CONFERENCE IN

5,000.

3,655.

11,000.

NEW YORK, NY 10003

ARTISTS

NEW YORK, NY 10014

SHAFER, MN 55074

BROOKLYN, NY 11217

SAINT PAUL

1809060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

HADI ELDEBEK

4,950.

NONE N/A TRAVEL AND STUDY GRANTTRIP

HENRY STREET SETTLEMENT/ABRONS ART

HANNAH JAYANTI

HARLEM STAGE (AARON DAVIS HALL)

HEIDI HAHN

CENTER

HERE ARTS CENTER

150 CONVENT AVENUE

466 GRAND STREET

145 SIXTH AVENUE

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

N/A

PUBLIC CHARITY

N/A

PUBLIC CHARITY

COMMISSIONING AND

FILM AND VIDEO

EMERGING ARTISTS'

TRAVEL AND STUDY GRANT

PRODUCTION OF NEW

HERE ARTIST RESIDENCY

PRODUCTION

COMMISSIONS IN THE

15,000.

TRIP

WORKS

PROGRAM

21,000.

25,000.

67,500.

INDEPENDENT FEATURE PROJECT MINNESOTA

INTERMEDIA ARTS2822 LYNDALE AVENUE SOUTH

HIGHPOINT CENTER FOR PRINTMAKING

INDEPENDENT FEATURE PROJECT MINNESOTA

2446 UNIVERSITY AVENUE WEST, SUITE 100

MINNEAPOLIS, MN 55408

NONE

912 WEST LAKE STREET

2446 UNIVERSITY AVENUE WEST, SUITE 100

SAINT PAUL, MN 55114

PUBLIC CHARITY BEYOND THE PUREFELLOWSHIPS AND VERVE

NONE

GRANTS

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

4,200.

22,000.

TRAINING &

EMERGING PRINTMAKERS'

MNTV PROGRAM

PROFESSIONAL

RESIDENCY PROGRAM

DEVELOPMENT FOR

20,000.

35,000.

33,000.

NEW YORK, NY 10031 FUND FOR NEW WORK

NEW YORK, NY 10002

NEW YORK, NY 10013

MINNEAPOLIS, MN 55408

SAINT PAUL, MN 55114

EMERGING ARTISTS

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

IVY BALDWIN DANCE191 WILLOUGHBY STREET, APT. 16D

13,000.

NONE PUBLIC CHARITY DEVELOPMENT ANDPRODUCTION OF NEW WORK

JAZZ GALLERY (THE)

JAMES N. KIENITZ-WILKINS

JAMIE SISLEY

JANAKI RANPURA

JA'TOVIA M. GARY

1160 BROADWAY, 5TH FLOOR; P.O. BOX153, LENON HILL STATION NEW YORK, NY

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

N/A

N/A

N/A

N/A

RESIDENCY COMMISSIONS

FILM AND VIDEO

FILM AND VIDEO

TRAVEL AND STUDY GRANT

FILM AND VIDEO

PRODUCTION

PRODUCTION

15,000.

TRIP

PRODUCTION20,000.

20,736.

JEROME FOUNDATION - MISCELLANEOUSPROGRAMS

10,000.

JESSE SWEET

JEFF RATHERMEL

400 SIBLEY STREET, SUITE 125

JESSE ROESLER

NONE

SAINT PAUL, MN 55101

N/A

NONE

FILM AND VIDEOPRODUCTION

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

PUBLIC CHARITY

N/A

N/A

4,500.

25,000.

PROG SUPPORT FORCAMARGO FDN,

TRAVEL AND STUDY GRANT

FELLOWSHIP PROG

FILM AND VIDEO

TRIP

DESIGN, JEROME HILL

PRODUCTION

5,000.

151,850.

15,000.

BROOKLYN, NY 11201

10021

FILMS AND MATERIALS.

2009060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

JINY UNG

6,800.

NONE N/A FILM AND VIDEOPRODUCTION

JOHN PAUL SU

JON BURKLUND AND ILANA STUELPNER

JOSH KOURY AND MYLES KANE

KARINA AGUILERA SKVIRSKY

KELMAN DURAN

NONE

NONE

NONE

NONE

NONE

N/A

N/A

N/A

N/A

N/A

FILM AND VIDEO

TRAVEL AND STUDY GRANT

FILM AND VIDEO

FILM AND VIDEO

FILM AND VIDEO

PRODUCTION

TRIP

10,000.

PRODUCTION

PRODUCTION

PRODUCTION

10,000.

5,000.

16,000.

LACHUGAR, INC.41 WITHERS STREET, APT. 3R

KEVIN ARMENTO AND JAKI BRADLEY

KITCHEN (THE)

KRISSY BERGMARK

BROOKLYN, NY 11211

NONE

512 WEST 19TH STREET

PUBLIC CHARITY DEVELOPMENT ANDPRODUCTION OF NEW WORK

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

N/A

PUBLIC CHARITY

N/A

20,000.

10,000.

TRAVEL AND STUDY GRANT

EMERGING ARTISTS'

TRAVEL AND STUDY GRANT

TRIP

COMMISSIONS

TRIP

1,500.

26,000.

5,000.

NEW YORK, NY 10011

2109060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

LAIMAH OSMAN

5,000.

NONE N/A TRAVEL AND STUDY GRANTTRIP

LAMAMA EXPERIMENTAL THEATRE COMPANY(FISCAL AGENT) FOR KATY PYLE

LANESBORO ARTS CENTER

LAUNDROMAT PROJECT (THE)

LOWER MANHATTAN CULTURAL COUNCIL

MABOU MINES

P.O. BOX 152

127 WEST 127TH STREET, SUITE 324

125 MAIDEN LANE, 2ND FLOOR

P.O. BOX 1940; PETER STUYVESANT

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

NEW WORK BY KATY PYLE

EMERGING ARTIST

CREATE CHANGE ARTIST

WORKSPACE PROGRAM

SUITE RESIDENT ARTIST

RESIDENCY PROGRAM

12,000.

RESIDENCIES AND

PROGRAM

28,000.

18,000.

5,000.

MANSEE KONG

MADELEINE OLNEK

MADHU KAZA

MALIYA GORMAN-CARTER

NONE N/A TRAVEL AND STUDY GRANTTRIP

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

N/A

N/A

N/A

17,250.

30,000.

FILM AND VIDEO

TRAVEL AND STUDY GRANT

TRAVEL AND STUDY GRANT

PRODUCTION

TRIP

TRIP

20,000.

3,460.

5,000.

LANESBORO, MN 55949

NEW YORK, NY 10027 COMMISSIONS PROGRAM

NEW YORK, NY 10038

STATION NEW YORK, NY 10009

2209060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

MARIE LOSIER

5,000.

NONE N/A FILM AND VIDEOPRODUCTION

MARISA TESAURO

MAURICIO ARANGO

MAY LEE-YANG

MA-YI THEATER COMPANY

MEDIA IMPACT FUNDERS

520 - 8TH AVENUE, ROOM 309

200 WEST WASHINGTON SQUARE, SUITE 220

NONE

NONE

NONE

NONE

NONE

N/A

N/A

N/A

PUBLIC CHARITY

PUBLIC CHARITY

TRAVEL AND STUDY GRANT

TRAVEL AND STUDY GRANT

TRAVEL AND STUDY GRANT

DEVELOPMENT AND

GENERAL OPERATING AND

TRIP

TRIP

3,710.

TRIP

PRODUCTION OF NEW

MEMBERSHIP SUPPORT

18,000.

5,000.

METROPOLITAN REGIONAL ARTS COUNCIL

10,000.

METROPOLITAN REGIONAL ARTS COUNCIL NONE PUBLIC CHARITY

(FISCAL AGENT) FOR MINNESOTA CITIZENS

MINNESOTA CITIZENS FOR(FISCAL AGENT) FOR MINNESOTA CITIZENSFOR THE ARTS2233 UNIVERSITY AVENUE WEST, SUITE 355

MELINA LEON

MENGQIAN CHEN

FOR THE ARTS

SAINT PAUL, MN 55114

2233 UNIVERSITY AVENUE WEST, SUITE 355

NONE

THE ARTS CREATIVEMINNESOTA STUDY

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

PUBLIC CHARITY

N/A

N/A

4,100.

1,000.

CREATIVE MINNESOTATASK FORCE FOR

FILM AND VIDEO

FILM AND VIDEO

MINNESOTA CITIZENS FOR

PRODUCTION

PRODUCTION

THE ARTS

20,000.

14,095.

1,500.

NEW YORK, NY 10018 WORKS

PHILADELPHIA, PA 19106

SAINT PAUL, MN 55114

2309060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

MICHELLE WESTMARK WINGARD

5,000.

NONE N/A TRAVEL AND STUDY GRANTTRIP

MINNESOTA COUNCIL ON FOUNDATIONS

MILKWEED EDITIONS

(FISCAL AGENT) FOR HILL PHILANTHROPIC

MIKE P. NELSON

1011 WASHINGTON AVENUE SOUTH; OPEN

MINNEAPOLIS COLLEGE OF ART AND DESIGN

MINNESOTA COUNCIL ON FOUNDATIONS

HISTORY PROJECT

BOOK, SUITE 300 MINNEAPOLIS, MN

2501 STEVENS AVENUE

100 PORTLAND AVENUE SOUTH, SUITE 225

100 PORTLAND AVENUE SOUTH, SUITE 225

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

N/A

PUBLIC CHARITY

PUBLIC CHARITY

HILL PHILANTHROPIC

PUBLICATION OF THREE

HISTORY PROJECT

FILM AND VIDEO

BOOKS BY EMERGING

MCAD/JEROME EMERGING

GENERAL OPERATING AND

PRODUCTION

WRITERS

10,000.

ARTISTS FELLOWSHIP

MEMBERSHIP SUPPORT FOR14,150.

23,000.

15,000.

MIXED BLOOD THEATRE COMPANY

MOLLY KATAGIRI

MINNESOTA FILM AND VIDEO PROGRAM

MISSY WHITEMAN

1501 SOUTH 4TH STREET

NONE

400 SIBLEY STREET, SUITE 125

MINNEAPOLIS, MN 55454

N/A FILM AND VIDEOPRODUCTION

NONE

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

N/A

110,000.

5,000.

COMMISSIONING,

PROGRAM ADMINISTRATION

FILM AND VIDEO

DEVELOPMENT, AND

PRODUCTION

PRODUCTION OF NEW

10,465.

15,000.

8,000.

55415

MINNEAPOLIS, MN 55404 PROGRAM

MINNEAPOLIS, MN 55401 TWO YEARS

MINNEAPOLIS, MN 55401

SAINT PAUL, MN 55101

PLAYS

2409060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1*Jerome has redacted the addresses of individual artists to protect their privacy.

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Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

MOVEMENT RESEARCH55 AVENUE C

30,000.

NONE PUBLIC CHARITY ARTIST-IN-RESIDENCEPROGRAM

NEW YORK FOUNDATION FOR THE ARTS

MUSA SYEED

NATHAN LEWIS

NAUTILUS MUSIC-THEATER

NEW YORK CITY FILM AND VIDEO PROGRAM

(FISCAL AGENT) FOR MARIA HASSABI

308 PRINCE STREET, #190

400 SIBLEY STREET, SUITE 125

113 WEST 27TH STREET, 2ND FLOOR

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

N/A

N/A

PUBLIC CHARITY

PUBLIC CHARITY

JEROME@CAMARGO

FILM AND VIDEO

TRAVEL AND STUDY GRANT

COMPOSER-LIBRETTIST

PROGRAM ADMINISTRATION

RESIDENCY

PRODUCTION

TRIP

30,000.

STUDIO AND ROUGH CUTS

34,135.

1,450.

NEW YORK LIVE ARTS (FISCAL AGENT) FOR

NEW YORK LIVE ARTS (FISCAL AGENT) FOR

15,000.

NICOLE ANTEBI

DAVID THOMSON

JEN ROSENBLIT

NEW YORK THEATRE WORKSHOP

NONE

79 EAST 4TH STREET

N/A FILM AND VIDEOPRODUCTION

NONE

NONE

JEROME FOUNDATION, INC. 41-6035163

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

10,000.

21,500.

NEW WORK BY DAVID

NEW WORK BY JEN

THOMSON

ROSENBLIT

ARTIST WORKSHOPS

12,000.

12,000.

20,000.

NEW YORK, NY 10009

SAINT PAUL, MN 55101 COMMISSION

SAINT PAUL, MN 55101

NEW YORK, NY 10001

NEW YORK, NY 10003

2509060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

*Jerome has redacted the addresses of individual artists to protect their privacy.

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52363104-01-15

3

Total from continuation sheets

Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

NOBUYUKI ASAI

15,000.

NONE N/A

PENUMBRA THEATRE COMPANY (FISCAL

FILM AND VIDEOPRODUCTION

NORTHERN LIGHTS.MN (FISCAL AGENT) FOR

OPEN EYE FIGURE THEATRE (FISCAL

AGENT) FOR IMANI UZURI AND ZAKIYYAH

NORTHERN CLAY CENTER

ANICCHA ARTS

AGENT) FOR TORRY BEND

ALEXANDER

PERFORMANCE SPACE 122

2424 FRANKLIN AVENUE EAST

4524 44TH AVENUE SOUTH

67 WEST STREET, UNIT 315

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

NEW WORK BY IMANI

NEW WORK BY ANICCHA

NEW WORK BY TORRY BEND

UZURI AND ZAKIYYAH

CERAMIC ARTIST PROJECT

ARTS

ALEXANDER

EMERGING ARTISTS'

GRANT PROGRAM27,100.

COMMISSIONS

10,000.

16,000.

36,500.

PILLSBURY HOUSE + THEATRE3501 CHICAGO AVENUE SOUTH

PHILANTHROPY NEW YORK

PILLSBURY HOUSE + THEATRE

PILLSBURY HOUSE + THEATRE

MINNEAPOLIS, MN 55407

NONE

79 FIFTH AVENUE, 4TH FLOOR

3501 CHICAGO AVENUE SOUTH

3501 CHICAGO AVENUE SOUTH

PUBLIC CHARITY LATE NITE SERIES

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

12,000.

50,000.

GENERAL OPERATING AND

NEW WORKS BY EMERGING

NAKED STAGES PROGRAM

MEMBERSHIP SUPPORT

PLAYWRIGHTS

450.

15,000.

37,500.

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55406

BROOKLYN, NY 11222

NEW YORK, NY 10003

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

26 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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3

Total from continuation sheets

Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

PLAYWRIGHTS' CENTER (THE)2301 EAST FRANKLIN AVENUE

80,000.

NONE PUBLIC CHARITY JEROME EMERGINGPLAYWRIGHT FELLOWSHIP

POETRY PROJECT (THE)131 EAST 10TH STREET

POETS HOUSE

QUEENS MUSEUM OF ART

RAJA FEATHER KELLY

RASHAAD ERNESTO GREEN

NEW YORK, NY 10003

10 RIVER TERRACE

FLUSHING MEADOWS CORONA PARK

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

N/A

N/A

FELLOWSHIP ANDMENTORING PROGRAM

EMERGING POETS

FELLOWSHIP PROGRAM FOR

TRAVEL AND STUDY GRANT

FILM AND VIDEO

EMERG-SURFACE-BE

FELLOWSHIP PROGRAM

22,000.

EMERGING ARTISTS

TRIP

PRODUCTION

4,430.

34,000.

33,000.

RED EYE COLLABORATIVE15 WEST 14TH STREET

RATI ONELI

RAUL O. PAZ PASTRANA

REBECCA THOMAS

MINNEAPOLIS, MN 55403

NONE PUBLIC CHARITY NEW WORKS 4 WEEKS

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

N/A

N/A

N/A

114,000.

12,000.

FILM AND VIDEO

FILM AND VIDEO

TRAVEL AND STUDY GRANT

PRODUCTION

PRODUCTION

TRIP

15,000.

20,000.

2,000.

MINNEAPOLIS, MN 55406 PROGRAM

FELLOWSHIPS

NEW YORK, NY 10282

QUEENS, NY 11368

2709060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363104-01-15

3

Total from continuation sheets

Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

ROCHESTER ART CENTER40 CIVIC CENTER DRIVE SOUTHEAST

23,000.

NONE PUBLIC CHARITY 3RD FLOOR EMERGINGARTIST SERIES

ROULETTE INTERMEDIUM (FISCAL AGENT)

ROSEMARY WILLIAMS

ROULETTE INTERMEDIUM

FOR MARIA CHAVEZ

RUSSELL HARBAUGH

SAINT JOHN'S UNIVERSITY

30 THIRD AVENUE, SUITE #208

2810 ABBEY PLAZA, P.O. BOX 6377

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

N/A

PUBLIC CHARITY

N/A

PUBLIC CHARITY

NEW WORK BY MARIA

TRAVEL AND STUDY GRANT

EMERGING COMPOSERS'

CHAVEZ

FILM AND VIDEO

JEROME@CAMARGO

TRIP

COMMISSIONS AND

5,000.

PRODUCTION

RESIDENCY

15,000.

64,000.

2,471.

SCOTT ARTLEY

SAM HOOLIHAN

SAMEH ZOABI

SARITA COVINGTON

NONE N/A TRAVEL AND STUDY GRANTTRIP

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

N/A

N/A

N/A

12,000.

29,500.

FILM AND VIDEO

FILM AND VIDEO

TRAVEL AND STUDY GRANT

PRODUCTION

PRODUCTION

TRIP

2,500.

20,000.

2,970.

ROCHESTER, MN 55904

NEW YORK, NY 11217 RESIDENCIES

COLLEGEVILLE, MN 56321

28 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363104-01-15

3

Total from continuation sheets

Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

SCOTT CUMMINGS

2,800.

NONE N/A TRAVEL AND STUDY GRANTTRIP

SEKOU ALAJE

SELENA KIMBALL

SMACK MELLON

SPENCER WIRTH-DAVIS

SPRINGBOARD FOR THE ARTS

92 PLYMOUTH STREET

308 PRINCE STREET, SUITE 270

NONE

NONE

NONE

NONE

NONE

N/A

N/A

PUBLIC CHARITY

N/A

PUBLIC CHARITY

TRAVEL AND STUDY GRANT

TRAVEL AND STUDY GRANT

ARTIST STUDIO PROGRAM

TRAVEL AND STUDY GRANT

ARTIST DEVELOPMENT AND

TRIP

TRIP

4,255.

TRIP

RESOURCE PROGRAM

3,070.

2,720.

SPRINGBOARD FOR THE ARTS (FISCAL

SPRINGBOARD FOR THE ARTS (FISCAL

15,000.

SPRINGBOARD FOR THE ARTS (FISCAL NONE PUBLIC CHARITY

SPRINGBOARD FOR THE ARTS (FISCAL

WORKHAUS PLAYWRIGHTSAGENT) FOR WORKHAUS PLAYWRIGHTSCOLLECTIVE2301 FRANKLIN AVENUE EAST

AGENT) FOR JOE HORTON

AGENT) FOR KAREN SHERMAN

AGENT) FOR SUPERGROUP

MINNEAPOLIS, MN 55406

COLLECTIVE

NONE

NONE

NONE

JEROME FOUNDATION, INC. 41-6035163

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

11,000.

34,000.

NEW WORK BY JOE HORTON

NEW WORK BY KAREN

NEW WORK BY SUPERGROUP

SHERMAN

12,000.

12,000.

12,500.

BROOKLYN, NY 11201

SAINT PAUL, MN 55101

29 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363104-01-15

3

Total from continuation sheets

Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

STEFANI SAINTONGE

10,000.

NONE N/A FILM AND VIDEOPRODUCTION

STREB LAB FOR ACTION MECHANICS

TEXTILE CENTER

TODD CHANDLER

TRAVEL AND STUDY GRANT PROGRAM

VOCALESSENCE

51 NORTH 1ST STREET

3000 UNIVERSITY AVENUE SOUTHEAST,

400 SIBLEY STREET, SUITE 125

1900 NICOLLET AVENUE

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

N/A

N/A

PUBLIC CHARITY

GO! EMERGING ARTISTS

FIBER ARTIST PROJECT

TRAVEL AND STUDY GRANT

PROGRAM ADMINISTRATION

VOCALESSENCE REMIX

COMMISSIONING PROGRAM

GRANTS PROGRAM AND

23,000.

TRIP

14,470.

37,000.

VSA MINNESOTA

16,500.

ZEITGEIST275 EAST FOURTH STREET, SUITE 200

528 HENNEPIN AVENUE, SUITE 305

WONG KIT YI

YADIRA DE LA RIVA

SAINT PAUL, MN 54022

NONE

MINNEAPOLIS, MN 55403

PUBLIC CHARITY ZEITGEIST COMPOSERWORKSHOPS

NONE

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

PUBLIC CHARITY

N/A

N/A

2,300.

30,000.

VSA MINNESOTA/JEROMEFOUNDATION PROJECT

TRAVEL AND STUDY GRANT

TRAVEL AND STUDY GRANT

GRANTS FOR ARTISTS

TRIP

TRIP

21,000.

2,000.

3,114.

BROOKLYN, NY 11211

SUITE 100 MINNEAPOLIS, MN 55414 ARTISTS' SERVICES

SAINT PAUL, MN 55101

MINNEAPOLIS, MN 55403

WITH DISABILITIES

30 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363104-01-15

3

Total from continuation sheets

Grants and Contributions Paid During the Year (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

ZENON DANCE COMPANY AND SCHOOL528 HENNEPIN AVENUE, SUITE 400

28,000.

NONE PUBLIC CHARITY EMERGINGCHOREOGRAPHERS'

JEROME FOUNDATION, INC. 41-6035163

MINNEAPOLIS, MN 55403 COMMISSIONS

31 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363504-01-15

3

Total from continuation sheets

Grants and Contributions Approved for Future Payment (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

BAAD!/BRONX ACADEMY OF ARTS AND DANCE2474 WESTCHESTER AVENUE

18,500.

NONE PUBLIC CHARITY OPEN CALL PROGRAM

1,153,794.

BRONX MUSEUM OF THE ARTS (THE)

CAMERA CLUB OF NEW YORK

CENTER FOR FICTION

CHOCOLATE FACTORY THEATER (THE)

CHRISTINA HAM

1040 GRAND CONCOURSE

336 WEST 37TH STREET, SUITE 206

17 EAST 47TH STREET

5-49 49TH AVENUE

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

N/A

ARTIST IN THE

WORKSPACE RESIDENCY

EMERGING WRITERS

COMMISSIONING AND

TRAVEL AND STUDY GRANT

MARKETPLACE AND

PROGRAM

20,000.

FELLOWSHIP PROGRAM

PRODUCTION OF NEW

TRIP

32,000.

18,000.

COMMUNITY OF LITERARY MAGAZINES AND

15,000.

COMPOSER/SOUND ARTIST FELLOWSHIP

E. G. BAILEY

CHRISTOPHER MAKOTO YOGI

PRESSES

RECIPIENTS

NONE

154 CHRISTOPHER STREET, SUITE 3C

400 SIBLEY STREET, SUITE 125

N/A FILM AND VIDEOPRODUCTION

NONE

NONE

JEROME FOUNDATION, INC. 41-6035163

NONE

PUBLIC CHARITY

PUBLIC CHARITY

N/A

42,500.

4,500.

FACE OUT: MAXIMIZING

PROGRAM ADMINISTRATION

FILM AND VIDEO

THE VISIBILITY OF

PRODUCTION

EMERGING WRITERS

20,000.

46,000.

2,831.

BRONX, NY 10461

BRONX, NY 10456 BIENNIAL EXHIBITION

NEW YORK, NY 10018

NEW YORK, NY 10017

LONG ISLAND CITY, NY 11101 WORKS

NEW YORK, NY 10014

SAINT PAUL, MN 55101

32 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363504-01-15

3

Total from continuation sheets

Grants and Contributions Approved for Future Payment (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

FIELD, THE/PERFORMANCE ZONE, INC.(FISCAL AGENT) FOR AARON LANDSMAN

FIELD, THE/PERFORMANCE ZONE, INC.12,500.

NONE PUBLIC CHARITY NEW WORK BY AARONLANDSMAN

(FISCAL AGENT) FOR FAYE DRISCOLLDANCE GROUP

FOUNDATION CENTER

FRANCONIA SCULPTURE PARK

FRANKLIN FURNACE

GRANTMAKERS IN THE ARTS

79 FIFTH AVENUE

29836 ST. CROIX TRAIL

80 HANSON PLACE, #301

4055 21ST AVENUE WEST, SUITE 100

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

NEW WORK BY FAYEDRISCOLL DANCE GROUP

GENERAL OPERATING AND

FSP/JEROME FELLOWSHIPS

FRANKLIN FURNACE FUND

GENERAL OPERATING AND

MEMBERSHIP SUPPORT

16,000.

MEMBERSHIP SUPPORT

42,000.

2,500.

20,000.

HIGHPOINT CENTER FOR PRINTMAKING912 WEST LAKE STREET

HARLEM STAGE (AARON DAVIS HALL)

HEATHER HART

HERE ARTS CENTER

MINNEAPOLIS, MN 55408

NONE

150 CONVENT AVENUE

145 SIXTH AVENUE

PUBLIC CHARITY EMERGING PRINTMAKERS'RESIDENCY PROGRAM

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

PUBLIC CHARITY

N/A

PUBLIC CHARITY

39,000.

11,000.

EMERGING ARTISTS'

TRAVEL AND STUDY GRANT

HERE ARTIST RESIDENCY

COMMISSIONS IN THE

TRIP

PROGRAM

25,000.

5,000.

22,000.

NEW YORK, NY 10003

SHAFER, MN 55074

BROOKLYN, NY 11217

SEATTLE, WA 98199

NEW YORK, NY 10031 FUND FOR NEW WORK

NEW YORK, NY 10013

33 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363504-01-15

3

Total from continuation sheets

Grants and Contributions Approved for Future Payment (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

INTERMEDIA ARTS2822 LYNDALE AVENUE SOUTH

JEROME FOUNDATION - MISCELLANEOUS

72,500.

NONE PUBLIC CHARITY BEYOND THE PUREFELLOWSHIPS AND VERVE

PROGRAMS

IVY BALDWIN DANCE

JENNIFER SHYU

400 SIBLEY STREET, SUITE 125

JUNAUDA PETRUS AND MYCHAL FISHER

KEITH BEARDEN

191 WILLOUGHBY STREET, APT. 16D

SAINT PAUL, MN 55101

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

N/A

N/A

N/A

JEROME@CAMARGO, JEROMEHILL FILMS AND FILM

DEVELOPMENT AND

TRAVEL AND STUDY GRANT

MATERIALS, NEW

FILM AND VIDEO

FILM AND VIDEO

PRODUCTION OF NEW WORK

TRIP

13,000.

INITIATIVES AND

PRODUCTION

PRODUCTION

10,000.

5,000.

30,000.

MABOU MINESP.O. BOX 1940; PETER STUYVESANT

KITCHEN (THE)

LACHUGAR, INC.

LANESBORO ARTS CENTER

STATION NEW YORK, NY 10009

NONE

512 WEST 19TH STREET

41 WITHERS STREET, APT. 3R

PO BOX 152

PUBLIC CHARITY SUITE RESIDENT ARTISTPROGRAM

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

PUBLIC CHARITY

46,874.

500.

EMERGING ARTISTS'

DEVELOPMENT AND

EMERGING ARTIST

COMMISSIONS

PRODUCTION OF NEW WORK

RESIDENCY PROGRAM

26,000.

16,000.

18,000.

MINNEAPOLIS, MN 55408 GRANTS

BROOKLYN, NY 11201

SPECIAL NEEDS.

NEW YORK, NY 10011

BROOKLYN, NY 11211

LANESBORO, MN 55949

34 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363504-01-15

3

Total from continuation sheets

Grants and Contributions Approved for Future Payment (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

MAD KING THOMAS

5,000.

NONE N/A TRAVEL AND STUDY GRANTTRIP

MINNESOTA FILM AND VIDEO PROGRAM

MIXED BLOOD THEATRE COMPANY

MICHAEL FORSTEIN

MIKE P. NELSON

MINNEAPOLIS COLLEGE OF ART AND DESIGN

RECIPIENTS

1501 SOUTH 4TH STREET

2501 STEVENS AVENUE

400 SIBLEY STREET, SUITE 125

MINNEAPOLIS, MN 55454

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

N/A

N/A

PUBLIC CHARITY

PROGRAM ADMINISTRATION

COMMISSIONING,

FILM AND VIDEO

FILM AND VIDEO

MCAD/JEROME EMERGING

DEVELOPMENT, AND

PRODUCTION

PRODUCTION

30,000.

ARTISTS FELLOWSHIP

PRODUCTION OF NEW

1,935.

5,000.

6,865.

NEW YORK CITY FILM AND VIDEO PROGRAMRECIPIENTS400 SIBLEY STREET, SUITE 125

MOVEMENT RESEARCH

NATHAN FISHER

NEW RADIO AND PERFORMING ARTS

SAINT PAUL, MN 55101

NONE

55 AVENUE C

129 TYSEN STREET

PUBLIC CHARITY PROGRAM ADMINISTRATION

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

PUBLIC CHARITY

N/A

PUBLIC CHARITY

110,000.

8,000.

ARTIST-IN-RESIDENCE

FILM AND VIDEO

TURBULENCE COMMISSIONS

PROGRAM

PRODUCTION

30,000.

4,214.

18,000.

MINNEAPOLIS, MN 55404 PROGRAM

SAINT PAUL, MN 55101

PLAYS

NEW YORK, NY 10009

STATEN ISLAND, NY 10301

35 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363504-01-15

3

Total from continuation sheets

Grants and Contributions Approved for Future Payment (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

NEW YORK THEATRE WORKSHOP79 EAST 4TH STREET

PENUMBRA THEATRE COMPANY (FISCAL

20,000.

NONE PUBLIC CHARITY ARTIST WORKSHOPS

AGENT) FOR IMANI UZURI AND ZAKIYYAH

POETRY PROJECT (THE)

NORAH SHAPIRO

NORMAN COWIE

ALEXANDER

PLAYWRIGHTS' CENTER (THE)

131 EAST 10TH STREET

2301 EAST FRANKLIN AVENUE

NEW YORK, NY 10003

NONE

NONE

NONE

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

N/A

N/A

PUBLIC CHARITY

NEW WORK BY IMANIUZURI AND ZAKIYYAH

FELLOWSHIP AND

TRAVEL AND STUDY GRANT

FILM AND VIDEO

ALEXANDER

JEROME EMERGING

MENTORING PROGRAM

TRIP

PRODUCTION

4,994.

PLAYWRIGHT FELLOWSHIP

EMERG-SURFACE-BE

80,000.

5,000.

13,000.

ROSEMARY WILLIAMS

RAMON ALBERTO NUÑEZ

RINI KEAGY

ROSE STARK

NONE N/A FILM AND VIDEOPRODUCTION

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

NONE

N/A

N/A

N/A

10,000.

22,000.

FILM AND VIDEO

FILM AND VIDEO

FILM AND VIDEO

PRODUCTION

PRODUCTION

PRODUCTION

100.

20,000.

10,130.

NEW YORK, NY 10003

MINNEAPOLIS, MN 55406 PROGRAM

FELLOWSHIPS

36 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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52363504-01-15

3

Total from continuation sheets

Grants and Contributions Approved for Future Payment (Continuation)

If recipient is an individual,show any relationship toany foundation manageror substantial contributor

RecipientFoundation

status ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

�����������������������������������������������

Part XV Supplementary Information

SAM HOOLIHAN

5,000.

NONE N/A FILM AND VIDEOPRODUCTION

SCOTT ARTLEY

SMACK MELLON

SUN MEE CHOMET

TRAVEL AND STUDY GRANT PROGRAM

VOCALESSENCE

92 PLYMOUTH STREET

400 SIBLEY STREET, SUITE 125

1900 NICOLLET AVENUE

NONE

NONE

NONE

NONE

NONE

N/A

PUBLIC CHARITY

N/A

PUBLIC CHARITY

PUBLIC CHARITY

TRAVEL AND STUDY GRANT

ARTIST STUDIO PROGRAM

TRAVEL AND STUDY GRANT

PROGRAM ADMINISTRATION

VOCALESSENCE REMIX

TRIP1,921.

TRIP

100.

11,000.

ZEITGEIST

ZENON DANCE COMPANY AND SCHOOL

275 EAST FOURTH STREET, SUITE 200

528 HENNEPIN AVENUE, SUITE 400

JEROME FOUNDATION, INC. 41-6035163

NONE

NONE

PUBLIC CHARITY

PUBLIC CHARITY

4,830.

30,000.

ZEITGEIST COMPOSER

EMERGING

WORKSHOPS

CHOREOGRAPHERS'

16,500.

28,000.

BROOKLYN, NY 11201

SAINT PAUL, MN 55101

MINNEAPOLIS, MN 55403

SAINT PAUL, MN 54022

MINNEAPOLIS, MN 55403 COMMISSIONS

37 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 38: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

52345110-26-15

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

(Form 990, 990-EZ,or 990-PF)

| Attach to Form 990, Form 990-EZ, or Form 990-PF.| Information about Schedule B (Form 990, 990-EZ, or 990-PF) and

its instructions is at .

Name of the organization Employer identification number

Organization type

Filers of: Section:

not

General Rule Special Rule.

Note.

General Rule

Special Rules

(1) (2)

General Rule

Caution.

must

For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF.

exclusively

exclusively

exclusively

nonexclusively

(check one):

Form 990 or 990-EZ 501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust treated as a private foundation

527 political organization

Form 990-PF 501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the or a

Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or

property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under

sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from

any one contributor, during the year, total contributions of the greater of $5,000 or 2% of the amount on (i) Form 990, Part VIII, 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) filing Form 990 or 990-EZ that received from any one contributor, during the

year, total contributions of more than $1,000 for religious, charitable, scientific, literary, or educational purposes, or for

the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the

year, contributions for religious, charitable, 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 religious, charitable, etc.,

purpose. Do not complete any of the parts unless the applies to this organization because it received

religious, charitable, etc., contributions totaling $5,000 or more during the year ~~~~~~~~~~~~~~~ | $

An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF),

but it answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to

certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

LHA

www.irs.gov/form990

Schedule B Schedule of Contributors

2015

 

 

 

 

 

 

 

 

 

 

JEROME FOUNDATION, INC. 41-6035163

X

X

Page 39: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

523452 10-26-15

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page

(see instructions). Use duplicate copies of Part I if additional space is needed.

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

2

Part I Contributors

   

   

   

   

   

   

1 X

15,000.

HRK FOUNDATION

STREET1200 LANDMARK TOWER, 345 ST PETER

ST. PAUL, MN 55102

JEROME FOUNDATION, INC. 41-6035163

39 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 40: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

523453 10-26-15

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page

(see instructions). Use duplicate copies of Part II if additional space is needed.

$

$

$

$

$

$

3

Part II Noncash Property

JEROME FOUNDATION, INC. 41-6035163

40 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

Page 41: 1DSTQM¾NE¾/QHU@SD¾%NTMC@SHNM 0./3

(Enter this info. once.)

For organizations

completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year.

523454 10-26-15

Name of organization Employer identification number

religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 forthe year from any one contributor. (a) (e) and

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

Complete columns through the following line entry.

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page

| $

Use duplicate copies of Part III if additional space is needed.

Exclusively

4

Part IIIJEROME FOUNDATION, INC. 41-6035163

41 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}JEROME FOUNDATION, INC. 41-6035163

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 1FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

CAPITAL (A) (B) (C) GROSS GAINS REVENUE NET INVEST- ADJUSTEDSOURCE AMOUNT DIVIDENDS PER BOOKS MENT INCOME NET INCOME}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}}DIVIDEND ANDINTEREST INCOME 2,529,940. 507,114. 2,022,826. 2,022,826.

}}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}}TO PART I, LINE 4 2,529,940. 507,114. 2,022,826. 2,022,826. ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 2FORM 990-PF LEGAL FEES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLEDESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}LEGAL FEES 11,972. 0. 10,903.

}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}TO FM 990-PF, PG 1, LN 16A 11,972. 0. 10,903. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 3FORM 990-PF ACCOUNTING FEES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLEDESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}AUDIT FEES 18,735. 7,494. 11,241.

}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}TO FORM 990-PF, PG 1, LN 16B 18,735. 7,494. 11,241. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 4FORM 990-PF OTHER PROFESSIONAL FEES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLEDESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}INVESTMENT AND MANAGEMENTFEES 177,475. 177,475. 0.OTHER CONSULTANTS 31,046. 0. 62,267.

}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}TO FORM 990-PF, PG 1, LN 16C 208,521. 177,475. 62,267. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~

STATEMENT(S) 1, 2, 3, 442 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}JEROME FOUNDATION, INC. 41-6035163

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 5FORM 990-PF TAXES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

(A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLEDESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}PAYROLL TAXES 51,085. 3,811. 47,274.FEDERAL EXCISE TAX 25,619. 0. 0.

}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}TO FORM 990-PF, PG 1, LN 18 76,704. 3,811. 47,274. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 6FORM 990-PF OTHER EXPENSES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLEDESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES}}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}POSTAGE 3,735. 0. 3,735.INSURANCE 6,854. 0. 6,854.TELEPHONE 5,203. 260. 4,943.OFFICE OPERATIONS 49,859. 2,493. 42,833.EDUCATION PROGRAM 3,658. 0. 3,658.BANK FEES 735. 735. 0.

}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}TO FORM 990-PF, PG 1, LN 23 70,044. 3,488. 62,023. ~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 7FORM 990-PF OTHER INCREASES IN NET ASSETS OR FUND BALANCES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT}}}}}}}}}}} }}}}}}}}}}}}}}CHANGE IN FEDERAL EXCISE TAX BENEFIT (PROVISION) 66,857.

}}}}}}}}}}}}}}TOTAL TO FORM 990-PF, PART III, LINE 3 66,857. ~~~~~~~~~~~~~~

STATEMENT(S) 5, 6, 743 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}JEROME FOUNDATION, INC. 41-6035163

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 8FORM 990-PF OTHER DECREASES IN NET ASSETS OR FUND BALANCES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT}}}}}}}}}}} }}}}}}}}}}}}}}CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLEREMAINDER TRUST 152,920.UNREALIZED LOSS ON INVESTMENTS 3,847,701.

}}}}}}}}}}}}}}TOTAL TO FORM 990-PF, PART III, LINE 5 4,000,621. ~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 9FORM 990-PF U.S. AND STATE/CITY GOVERNMENT OBLIGATIONS

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} U.S. OTHER FAIR MARKETDESCRIPTION GOV'T GOV'T BOOK VALUE VALUE}}}}}}}}}}} }}}}} }}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}US GOVERNMENT OBLIGATIONS X 4,966,219. 4,966,219.

}}}}}}}}}}}}}} }}}}}}}}}}}}}}TOTAL U.S. GOVERNMENT OBLIGATIONS 4,966,219. 4,966,219. }}}}}}}}}}}}}} }}}}}}}}}}}}}}TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS }}}}}}}}}}}}}} }}}}}}}}}}}}}}TOTAL TO FORM 990-PF, PART II, LINE 10A 4,966,219. 4,966,219. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 10FORM 990-PF CORPORATE STOCK

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

FAIR MARKETDESCRIPTION BOOK VALUE VALUE}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}VANGUARD VALUE INDEX FUND 7,155,402. 7,155,402.VANGUARD TOTAL STOCK MARKET INDEX FUND INST 24,950,300. 24,950,300.VANGUARD REIT INDEX FUND INST 4,379,280. 4,379,280.VANGUARD MID-CAP GROWTH FUND 2,933,085. 2,933,085.VANGUARD INTERNATIONAL VALUE FUND 3,796,049. 3,796,049.VANGUARD INTERNATIONAL GROWTH FUND ADMIRAL 4,093,505. 4,093,505.VANGUARD FTSE ALL-WORLD EX-US INDEX FND INST 7,749,344. 7,749,344.VANGUARD GROWTH INDEX FUND INST 7,068,434. 7,068,434.VANGUARD STRATEGIC EQUITY FUND 3,070,411. 3,070,411.

}}}}}}}}}}}}}} }}}}}}}}}}}}}}TOTAL TO FORM 990-PF, PART II, LINE 10B 65,195,810. 65,195,810. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

STATEMENT(S) 8, 9, 1044 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}JEROME FOUNDATION, INC. 41-6035163

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 11FORM 990-PF CORPORATE BONDS

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} FAIR MARKETDESCRIPTION BOOK VALUE VALUE}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}VANGUARD TOTAL BOND MARKET INDEX FUND INST -NON-USGO PORTION 6,089,391. 6,089,391.VANGUARD INTERMEDIATE-TERM INV GRADE ADMIRAL -NON-USGO PORTION 5,749,379. 5,749,379.VANGUARD SHORT-TERM INV GRADE ADMIRAL - NON-USGOPORTION 3,640,109. 3,640,109.

}}}}}}}}}}}}}} }}}}}}}}}}}}}}TOTAL TO FORM 990-PF, PART II, LINE 10C 15,478,879. 15,478,879. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 12FORM 990-PF OTHER INVESTMENTS

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} VALUATION FAIR MARKETDESCRIPTION METHOD BOOK VALUE VALUE}}}}}}}}}}} }}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}TIMBER AND TIMBERLAND FMV 2,271,500. 2,271,500.CASH EQUIVALENTS - SECURITIESLENDING

FMV1,900. 1,900.

VANGUARD SPECIAL FUND - ANNUITY FMV 757,005. 757,005.}}}}}}}}}}}}}} }}}}}}}}}}}}}}

TOTAL TO FORM 990-PF, PART II, LINE 13 3,030,405. 3,030,405. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 13FORM 990-PF DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

COST OR ACCUMULATEDDESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}AUTOMOBILE 28,821. 1,202. 27,619.EQUIPMENT 63,726. 60,496. 3,230.LEASEHOLD IMPROVEMENTS 66,524. 66,524. 0.

}}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}TOTAL TO FM 990-PF, PART II, LN 14 159,071. 128,222. 30,849. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

STATEMENT(S) 11, 12, 1345 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}JEROME FOUNDATION, INC. 41-6035163

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 14FORM 990-PF OTHER ASSETS

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} BEGINNING OF END OF YEAR FAIR MARKETDESCRIPTION YR BOOK VALUE BOOK VALUE VALUE}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}BENEFICIAL INTEREST IN CHARITABLEREMAINDER TRUST 3,439,992. 3,287,072. 3,287,072.

}}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}TO FORM 990-PF, PART II, LINE 15 3,439,992. 3,287,072. 3,287,072. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 15FORM 990-PF OTHER LIABILITIES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION BOY AMOUNT EOY AMOUNT}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}DEFERRED EXCISE TAX PAYABLE 66,857. 0.

}}}}}}}}}}}}}} }}}}}}}}}}}}}}TOTAL TO FORM 990-PF, PART II, LINE 22 66,857. 0. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

STATEMENT(S) 14, 1546 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}JEROME FOUNDATION, INC. 41-6035163

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 16FORM 990-PF PART VIII - LIST OF OFFICERS, DIRECTORS

TRUSTEES AND FOUNDATION MANAGERS}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

EMPLOYEE TITLE AND COMPEN- BEN PLAN EXPENSENAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT}}}}}}}}}}}}}}}} }}}}}}}}}}}}} }}}}}}}}}}} }}}}}}}} }}}}}}}}MR. CARLYLE BROWN DIRECTOR400 SIBLEY STREET, SUITE 125 2.00 0. 0. 0.ST PAUL, MN 55101

MS. BARBARA MCLANAHAN DIRECTOR, SECRETARY400 SIBLEY STREET, SUITE 125 2.00 0. 0. 0.ST PAUL, MN 55101

MR. CALOGERO SALVO DIRECTOR, CO-VICE CHAIR400 SIBLEY STREET, SUITE 125 2.00 0. 0. 0.ST PAUL, MN 55101

MR. CHARLES ZELLE DIRECTOR, CHAIR400 SIBLEY STREET, SUITE 125 2.00 0. 0. 0.ST PAUL, MN 55101

MS. CYNTHIA GEHRIG PRESIDENT, PART YEAR400 SIBLEY STREET, SUITE 125 40.00 302,536. 12,347. 5,257.ST PAUL, MN 55101

DR. GARY NAN TIE DIRECTOR, TREASURER400 SIBLEY STREET, SUITE 125 2.00 0. 0. 0.ST PAUL, MN 55101

MR. PHILIP BITHER DIRECTOR, CO-VICE CHAIR400 SIBLEY STREET, SUITE 125 2.00 0. 0. 0.ST PAUL, MN 55101

MS. PATRICIA HAMPL DIRECTOR400 SIBLEY STREET, SUITE 125 2.00 0. 0. 0.ST. PAUL, MN 55101

MS. ELIZABETH STREB DIRECTOR400 SIBLEY STREET, SUITE 125 2.00 0. 0. 0.ST. PAUL, MN 55101

MS. LINDA EARLE DIRECTOR400 SIBLEY STREET, SUITE 125 2.00 0. 0. 0.ST PAUL, MN 55101

STATEMENT(S) 1647 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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BEN CAMERON PRESIDENT, PART YEAR400 SIBLEY STREET, SUITE 125 40.00 112,404. 9,689. 0.ST. PAUL, MN 55101

}}}}}}}}}}} }}}}}}}} }}}}}}}}TOTALS INCLUDED ON 990-PF, PAGE 6, PART VIII 414,940. 22,036. 5,257. ~~~~~~~~~~~ ~~~~~~~~ ~~~~~~~~

JEROME FOUNDATION, INC. 41-6035163}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 17FORM 990-PF SUMMARY OF DIRECT CHARITABLE ACTIVITIES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

ACTIVITY ONE}}}}}}}}}}}}GENERAL GRANTS PROGRAM AND SERVICE PROGRAM: THE FOUNDATION AWARDS GRANTS TO ORGANIZATIONS IN MINNESOTAAND NEW YORK CITY TO COMMISSION, PRODUCE, PRESENT OR EXHIBITEMERGING ARTISTS THROUGH THE GENERAL GRANTS PROGRAM. ORGANIZATIONS SERVING ARTISTS IN DANCE, LITERATURE, MEDIA,MULTIDISCIPLINE ARTS, MUSIC, THEATER, AND VISUAL ARTS AREALL SUPPORTED. THE FOUNDATION ALSO DONATES TIME AND RELATEDEXPENSES OF STAFF TO OTHER NONPROFIT ORGANIZATIONS,INDIVIDUAL ARTISTS, GOVERNMENT AGENCIES AND NONPROFIT TASKFORCES AND COMMITTEES AS DEEMED APPROPRIATE AND AS ALLOWEDBY CONFLICT OF INTEREST POLICIES.

EXPENSES }}}}}}}}}}}}}}TO FORM 990-PF, PART IX-A, LINE 1 2,590,946. ~~~~~~~~~~~~~~

STATEMENT(S) 16, 1748 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}JEROME FOUNDATION, INC. 41-6035163

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 18FORM 990-PF SUMMARY OF DIRECT CHARITABLE ACTIVITIES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} ACTIVITY TWO}}}}}}}}}}}}NEW YORK CITY FILM, VIDEO, AND DIGITAL PRODUCTION GRANTPROGRAM: ($475,671)NEW YORK CITY FILM, VIDEO, AND DIGITAL PRODUCTION GRANTS AREAWARDED TO EMERGING FILM, VIDEO AND DIGITAL ARTISTS TOPRODUCE SPECIFIC PROPOSED FILM PROJECTS. THE PROGRAMSUPPORTS NARRATIVE, EXPERIMENTAL, ANIMATED AND DOCUMENTARYFILM GENRES, WITH GRANTS AWARDED TO THE FILM DIRECTOR(S) WHORETAINS ULTIMATE CREATIVE CONTROL. NEW YORK CITY FILMMAKERSARE JUDGED ANNUALLY AND GRANTS AWARDED IN SEPARATE GRANTSCOMPETITIONS. MINNESOTA FILM, VIDEO, AND DIGITAL PRODUCTION GRANT PROGRAM:($90,030)MINNESOTA FILM, VIDEO, AND DIGITAL PRODUCTION GRANTS AREAWARDED TO EMERGING FILM, VIDEO AND DIGITAL ARTISTS TOPRODUCE SPECIFIC PROPOSED FILM PROJECTS. THE PROGRAMSUPPORTS NARRATIVE, EXPERIMENTAL, ANIMATED AND DOCUMENTARYFILM GENRES, WITH GRANTS AWARDED TO THE FILM DIRECTOR(S) WHORETAINS ULTIMATE CREATIVE CONTROL. MINNESOTA FILMMAKERS AREJUDGED ANNUALLY AND GRANTS AWARDED IN SEPARATE GRANTSCOMPETITIONS.

EXPENSES }}}}}}}}}}}}}}TO FORM 990-PF, PART IX-A, LINE 2 565,701. ~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 19FORM 990-PF SUMMARY OF DIRECT CHARITABLE ACTIVITIES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

ACTIVITY THREE}}}}}}}}}}}}}}TRAVEL AND STUDY GRANT PROGRAM : TRAVEL AND STUDY GRANTS ARE AWARDED TO ALLOW EMERGINGARTISTS AND MINNESOTA-BASED ARTS ADMINISTRATORS TO TRAVELFOR PURPOSES OF PROFESSIONAL DEVELOPMENT, RESEARCH ANDARTISTIC ENRICHMENT. SPECIFIC DISCIPLINES ARE SUPPORTED INALTERNATING YEARS: IN 2016, ARTISTS IN LITERATURE, DANCEAND FILM/VIDEO/DIGITAL PRODUCTION WERE SUPPORTED.

EXPENSES }}}}}}}}}}}}}}TO FORM 990-PF, PART IX-A, LINE 3 168,491. ~~~~~~~~~~~~~~

STATEMENT(S) 18, 1949 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}JEROME FOUNDATION, INC. 41-6035163

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 20FORM 990-PF SUMMARY OF DIRECT CHARITABLE ACTIVITIES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} ACTIVITY FOUR}}}}}}}}}}}}}COMPOSER/SOUND ARTIST FELLOWSHIP PROGRAM:THE COMPOSER/SOUND ARTIST FELLOWSHIP PROGRAM SUPPORTSCREATIVE INVESTIGATION AND PROFESSIONAL DEVELOPMENT FORMUSIC COMPOSERS AND SOUND ARTISTS. INTRODUCED AS A PILOTPROGRAM IN 2016, THIS PROGRAM, LIKE THE TRAVEL AND STUDYGRANTS, PRIORITIZES RESEARCH AND INVESTIGATION BUT IS NOTNECESSARILY LINKED TO PRODUCTION OF A SPECIFIC WORK.

EXPENSES }}}}}}}}}}}}}}TO FORM 990-PF, PART IX-A, LINE 4 19,769. ~~~~~~~~~~~~~~

STATEMENT(S) 2050 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1

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}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}JEROME FOUNDATION, INC. 41-6035163

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~STATEMENT 21FORM 990-PF GRANT APPLICATION SUBMISSION INFORMATION

PART XV, LINES 2A THROUGH 2D }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

NAME AND ADDRESS OF PERSON TO WHOM APPLICATIONS SHOULD BE SUBMITTED}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}BEN CAMERON400 SIBLEY STREET, SUITE 125SAINT PAUL, MN 55101

TELEPHONE NUMBER NAME OF GRANT PROGRAM}}}}}}}}}}}}}}}} }}}}}}}}}}}}}}}}}}}}}651-224-9431 ALL GRANT PROGRAMS

FORM AND CONTENT OF APPLICATIONS}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}ONLINE THROUGH THE FOUNDATION'S WEBSITE AT WWW.JEROMEFDN.ORG; APPLICATIONSSHOULD INCLUDE PROGRAM DESCRIPTION, PROGRAM BUDGET, RESUMES OF KEY CREATIVEARTISTS, FINANCIAL AND ORGANIZATIONAL INFORMATION AND WORK SAMPLES.

ANY SUBMISSION DEADLINES}}}}}}}}}}}}}}}}}}}}}}}}APPLICATIONS ARE ACCEPTED AT ANYTIME. PLEASE SEE OUR WEBSITE FORINFORMATION.

RESTRICTIONS AND LIMITATIONS ON AWARDS}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}NEW YORK CITY AND MINNESOTA NOT-FOR-PROFIT ARTS/CULTURAL ORGANIZATIONS ANDARTISTS.

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STATEMENT(S) 2151 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1