Form or Section 447(a)(1) Trust Treated as Private Foundation Department of the Treasury Do not enter social security numbers on this form as it may be made public. Internal Revenue Service Information about Form 0-PF and its separate instructions is at www.irs.gov/form0pf. For calendar year 2016 or tax year beginning, and ending Name of foundation OMB No. 1545-0052 Open to Public Inspection City or town, state or province, country, and ZIP or foreign postal code C If exemption application is pending, check here~ b Net rental income or (loss) 6a Net gain or (loss) from sale of assets not on line 10 ~~ Gross sales price for all b assets on line 6a ~~ 28,464,80. 7 Capital gain net income (from Part IV, line 2) ~~~~~ 8 Net short-term capital gain ~~~~~~~~~ Income modifications~~~~~~~~~~~~ Gross sales less returns 10a and allowances ~~~~ b Less: Cost of goods sold ~ Compensation of officers, directors, trustees, etc. ~~~ A Employer identification number Number and street (or P.O. box number if mail is not delivered to street address) Room/suite B Telephone number 101 FIFTH STREET EAST, SUITE 2400 (651) 227-081 G Check all that apply: Initial return Initial return of a former public charity D 1. Foreign organizations, check here ~~ Final return Amended return 2. Foreign organizations meeting the 85% test, Address change Name change check here and attach computation ~~~~ H Check type of organization: Section 501(c)(3) exempt private foundation E If private foundation status was terminated Section 447(a)(1) nonexempt charitable trust Other taxable private foundation under section 507(b)(1)(A), check here ~ I Fair market value of all assets at end of year J Accounting method: Cash Accrual F If the foundation is in a 60-month termination (from Part II, col. (c), line 16) Other (specify) under section 507(b)(1)(B), check here ~ $ 8,02,38. (Part I, column (d) must be on cash basis.) Part I Analysis of Revenue and Expenses (a) Revenue and (b) Net investment (c) Adjusted net (d) Disbursements (The total of amounts in columns (b), (c), and (d) may not for charitable purposes necessarily equal the amounts in column (a).) expenses per books income income (cash basis only) 1 Contributions, gifts, grants, etc., received ~~~ N/A 2 Check if the foundation is not required to attach Sch. B Interest on savings and temporary 3 cash investments ~~~~~~~~~~~~~~ 4 Dividends and interest from securities~~~~~ 5,04,885. 18,845,824. STATEMENT 2 Revenue Operating and Administrative Expenses Return of Private Foundation 0-PF 2016 THE BUSH FOUNDATION 41-6017815 ST. PAUL, MN 55101 5a Gross rents ~~~~~~~~~~~~~~~~ 11 c Gross profit or (loss) ~~~~~~~~~~~~ 12 Total. Add lines 1 through 11 13 14 15 Pension plans, employee benefits ~~~~~~ 16a Legal fees~~~~~~~~~~~~~~~~~ STMT 4 b Accounting fees ~~~~~~~~~~~~~~ STMT 5 c Other professional fees ~~~~~~~~~~~ STMT 6 17 18 1 20 21 22 23 24 25 26 Other income ~~~~~~~~~~~~~~~ Other employee salaries and wages~~~~~~ Interest ~~~~~~~~~~~~~~~~~~ Taxes~~~~~~~~~~~~~~~~~~~ STMT 7 Depreciation and depletion ~~~~~~~~~ Occupancy ~~~~~~~~~~~~~~~~ Travel, conferences, and meetings ~~~~~~ Printing and publications ~~~~~~~~~~ Other expenses ~~~~~~~~~~~~~~ STMT 8 Total operating and administrative expenses. Add lines 13 through 23 ~~~~~ Contributions, gifts, grants paid ~~~~~~~ Total expenses and disbursements. Add lines 24 and 25 22,010,207. 28,464,80. STATEMENT 1 64,018.-11,310,222. STATEMENT 3 27,16,110. 36,000,582. 837,306. 81,321. 755,85. 3,713,276. 300,114. 3,413,162. 1,134,86. 78,53. 1,056,33. 130,770. 10,028. 120,742. 78,338. 15,668. 62,670. 2,276,030. 1,647,16. 628,834. 783,310. 17,536. 254,18. 17,177. 17,177. 317,66. 63,534. 254,135. 447,571. 11,057. 436,514. 348,803. 0. 348,803. 1,504,445. 20,47. 1,483,66. 11,58,681. 2,262,703. 8,815,33. 36,817,04. 34,552,878. 48,406,775. 2,262,703. 43,368,271. 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements ~ -21,237,665. b Net investment income (if negative, enter -0-) ~~~ 33,737,87. c Adjusted net income (if negative, enter -0-) N/A 623501 11-23-16 LHA For Paperwork Reduction Act Notice, see instructions. Form 0-PF (2016) 1 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) Assets Liabilities Net Assets or Fund Balances Part II 1 2 3 4 5 6 7 Other notes and loans receivable ~~~~~~~~ 8 623511 11-23-16 Attached schedules and amounts in the description column should be for end-of-year amounts only. Prepaid expenses and deferred charges ~~~~~~~~~~~~~ 10a Investments - U.S. and state government obligations ~~~~~~~ STMT 10 b Investments - corporate stock ~~~~~~~~~~~~~~~~~ STMT 11 11 Investments - land, buildings, and equipment: basis ~~ Loans from officers, directors, trustees, and other disqualified persons Page 2 (a) Book Value (b) Book Value (c) Fair Market Value 200. 200. 200. 37,706. 115,753. 115,753. Less: accumulated depreciation ~~~~~~~~ 12 Investments - mortgage loans ~~~~~~~~~~~~~~~~~ 13 Investments - other ~~~~~~~~~~~~~~~~~~~~~~ STMT 12 535,82,36. 571,028,541. 571,028,541. 14 Land, buildings, and equipment: basis 184,05. Less: accumulated depreciation ~~~~~~~~ 15 Other assets (describe 121,283. 75,031. 62,812. 62,812. STATEMENT 13 ) 63,360,20. 2,268,628. 2,268,628. 16 17 18 1 20 21 22 c Investments - corporate bonds ~~~~~~~~~~~~~~~~~ Total assets (to be completed by all filers - see the 23 Total liabilities (add lines 17 through 22) Foundations that follow SFAS 117, check here ~~~~ 24 25 26 27 28 2 30 31 Part III Balance Sheets Cash - non-interest-bearing Savings and temporary cash investments Accounts receivable Less: allowance for doubtful accounts Pledges receivable Less: allowance for doubtful accounts and complete lines 24 through 26 and lines 30 and 31. Foundations that do not follow SFAS 117, check here and complete lines 27 through 31. ~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~ Grants receivable ~~~~~~~~~~~~~~~~~~~~~~~ Receivables due from officers, directors, trustees, and other disqualified persons ~~~~~~~~~~~~~~~~~~~~~~ Less: allowance for doubtful accounts Inventories for sale or use ~~~~~~~~~~~~~~~~~~~ instructions. Also, see page 1, item I) Accounts payable and accrued expenses ~~~~~~~~~~~~~ Grants payable ~~~~~~~~~~~~~~~~~~~~~~~~ Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~ ~~~~ Mortgages and other notes payable ~~~~~~~~~~~~~~~ Other liabilities (describe STATEMENT 14 ) Unrestricted THE BUSH FOUNDATION 41-6017815 ~~~~~~~~~~~~~~~~~~~~~~~~~ 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~~~~~~~~~~~~~~~~ Total liabilities and net assets/fund balances Analysis of Changes in Net Assets or Fund Balances ~ Beginning of year End of year 117,138. 11,007. 11,007. 66,145,670. 73,002,076. 73,002,076. 22,74,180. 253,305,372. 253,305,372. 85,468,241. 8,02,38. 8,02,38. 476,871. 482,718. 10,173,85. 12,586,711. 4,217,385. 5,266,740. 14,868,151. 18,336,16. 880,600,00. 881,566,220. 880,600,00. 881,566,220. 85,468,241. 8,02,38. 1 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) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 880,600,00. 2 Enter amount from Part I, line 27a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2-21,237,665. 3 Other increases not included in line 2 (itemize) SEE STATEMENT 3 22,203,75. 4 Add lines 1, 2, and 3 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 881,566,220. 5 Decreases not included in line 2 (itemize) 5 0. 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 6 881,566,220. Form 0-PF (2016) 2 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Page 3 Part IV Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold (e.g., real estate, (b) How acquired (c) Date acquired (d) Date sold P - Purchase 2-story brick warehouse; or common stock, 200 shs. MLC Co.) D - Donation (mo., day, yr.) (mo., day, yr.) 1a REALIZED GAINS - SEE STATEMENT 17 P b c d e a b c d (e) Gross sales price (f) Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (or allowable) plus expense of sale (e) plus (f) minus (g) 28,464,80. 28,464,80. e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/6 (l) Gains (Col. (h) gain minus (j) Adjusted basis (k) Excess of col. (i) col. (k), but not less than -0-) or (i) F.M.V. as of 12/31/6 Losses (from col. (h)) as of 12/31/6 over col. (j), if any a 28,464,80. b c d e If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) If (loss), enter -0- in Part I, line 7 ~~~~~~ 2 3 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 3 Part V Qualification Under Section 440(e) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 440(a) tax on net investment income.) If section 440(d)(2) applies, leave this part blank. Was the foundation liable for the section 442 tax on the distributable amount of any year in the base period? If "Yes," the foundation does not qualify under section 440(e). Do not complete this part. 1 Enter the appropriate amount in each column for each year; see the instructions before making any entries. (a) (b) (c) Base period years Calendar year (or tax year beginning in) Adjusted qualifying distributions Net value of noncharitable-use assets 2015 2014 2013 2012 2011 rqs pmo pmo N/A 28,464,80. ~~~~~~~~~~~~~~~~ Yes No (d) Distribution ratio (col. (b) divided by col. (c)) 41,360,440. 01,666,240..045871 38,883,501. 883,858,556..0433 37,556,346. 801,231,110..046873 31,185,17. 747,340,042..041728 2,668,661. 745,406,002..03802 2 3 Total of line 1, column (d) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 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~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3.218267.043653 4 Enter the net value of noncharitable-use assets for 2016 from Part, line 5 ~~~~~~~~~~~~~~~~~~~~~ 4 867,02,603. 5 Multiply line 4 by line 3 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 37,851,13. 6 Enter 1% of net investment income (1% of Part I, line 27b) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 337,37. 7 Add lines 5 and 6 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 38,188,572. 8 Enter qualifying distributions from Part II, line 4~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8 43,368,271. 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. 623521 11-23-16 Form 0-PF (2016) 3 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Page 4 Part VI Excise Tax Based on Investment Income (Section 440(a), 440(b), 440(e), or 448 - see instructions) 1a Exempt operating foundations described in section 440(d)(2), check here and enter "N/A" on line 1. Date of ruling or determination letter: (attach copy of letter if necessary-see instructions) b Domestic foundations that meet the section 440(e) requirements in Part V, check here and enter 1% 1 337,37. 2 3 4 5 6 7 8 c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b). Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~ a 2016 estimated tax payments and 2015 overpayment credited to 2016 ~~~~~~~~ b Exempt foreign organizations - tax withheld at source ~~~~~~~~~~~~~~~~ d Backup withholding erroneously withheld ~~~~~~~~~~~~~~~~~~~~~ Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached ~~~~~~~~~~~~~ 8 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed ~~~~~~~~~~~~~~~~~~~~ 10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid 10 132,047. 11 Enter the amount of line 10 to be: Credited to 2017 estimated tax 132,047. Refunded 11 0. Part VII-A Statements Regarding Activities 1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yes No any political campaign? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for the definition)? ~~~~ 1b If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials published or distributed by the foundation in connection with the activities. c Did the foundation file Form 1120-POL for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1c 2 3 d Enter the amount (if any) of tax on political expenditures (section 455) imposed during the year: (1) On the foundation. $ 0. (2) On foundation managers. $ 0. e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation managers. $ 0. 4a Did the foundation have unrelated business gross income of $1,000 or more during the year? ~~~~~~~~~~~~~~~~~~~~~ 5 6 7 of Part I, line 27b~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax under section 511 (domestic section 447(a)(1) trusts and taxable foundations only. Others enter -0-) ~~~~~~~~~ Add lines 1 and 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subtitle A (income) tax (domestic section 447(a)(1) trusts and taxable foundations only. Others enter -0-) ~~~~~~~~ Credits/Payments: c Tax paid with application for extension of time to file (Form 8868) ~~~~~~~~~~ Total credits and payments. Add lines 6a through 6d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Has the foundation engaged in any activities that have not previously been reported to the IRS? ~~~~~~~~~~~~~~~~~~~~ If "Yes," attach a detailed description of the activities. 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? If "Yes," attach a conformed copy of the changes ~~~~~~~~~~~~~~~~~~~~~ b If "Yes," has it filed a tax return on Form 0-T for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was there a liquidation, termination, dissolution, or substantial contraction during the year? ~~~~~~~~~~~~~~~~~~~~~~ If "Yes," attach the statement required by General Instruction T. Are the requirements of section 508(e) (relating to sections 441 through 445) 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? If "Yes," complete Part II, col. (c), and Part V ~~~~~ 8a Enter the states to which the foundation reports or with which it is registered (see instructions) MN b If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 0-PF to the Attorney General (or designate) of each state as required by General Instruction G? If "No," attach explanation ~~~~~~~~~~~~~~~~~~~~~~~~~ Is the foundation claiming status as a private operating foundation within the meaning of section 442(j)(3) or 442(j)(5) for calendar year 2016 or the taxable year beginning in 2016 (see instructions for Part IV)? If "Yes," complete Part IV~~~~~~~~~~~~~~ 10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses 10 Form 0-PF (2016) 6a 6b 6c 6d pnmno 46,426. 2 3 4 5 7 0. 337,37. 0. 337,37. 46,426. 2 3 4a 4b 5 6 7 8b 623531 11-23-16 4 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Page 5 Part VII-A Statements Regarding Activities (continued) Yes No 11 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)~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11 12 13 14 15 16 Section 447(a)(1) nonexempt charitable trusts filing Form 0-PF in lieu of Form 1041 - Check here ~~~~~~~~~~~~~~~~~~~~~~~ and enter the amount of tax-exempt interest received or accrued during the year ~~~~~~~~~~~~~~~~~~~ 15 N/A At any time during calendar year 2016, did the foundation have an interest in or a signature or other authority over a bank, Yes No securities, or other financial account in a foreign country? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 16 File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. 1a During the year did the foundation (either directly or indirectly): 2 (1) (2) (3) (4) (5) (6) Agree to pay money or property to a government official? ( Exception. Check "No" b If any answer is "Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations c Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts, that were not corrected a At the end of tax year 2016, did the foundation have any undistributed income (lines 6d and 6e, Part III) for tax year(s) beginning b Are there any years listed in 2a for which the foundation is not applying the provisions of section 442(a)(2) (relating to incorrect c If the provisions of section 442(a)(2) are being applied to any of the years listed in 2a, list the years here. 3a 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) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 15 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? ~~~~~~~~~~~ 12 13 Website address WWW.BUSHFOUNDATION.ORG The books are in care of GREG KEANE Telephone no. (651) 227-081 Located at 101 FIFTH STREET EAST, SUITE 2400, ST. PAUL, MN ZIP+4 55101 See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes," enter the name of the foreign country Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required 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)?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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 0 days.) ~~~~~~~~~~~~~~~~~~~~~ section 53.441(d)-3 or in a current notice regarding disaster assistance (see instructions)? ~~~~~~~~~~~~~~~~~~~~~ Organizations relying on a current notice regarding disaster assistance check here ~~~~~~~~~~~~~~~~~~~~~ before the first day of the tax year beginning in 2016?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes on failure to distribute income (section 442) (does not apply for years the foundation was a private operating foundation defined in section 442(j)(3) or 442(j)(5)): before 2016? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," list the years,,, valuation of assets) to the year s undistributed income? (If applying section 442(a)(2) to all years listed, answer "No" and attach statement - see instructions.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ N/A,,, Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did it have excess business holdings in 2016 as a result of (1) any purchase by the foundation or disqualified persons after May 26, 16; (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 443(c)(7)) to dispose of holdings acquired by gift or bequest; or (3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the foundation had excess business holdings in 2016.) ~~~~~~~~~~~~~~~~~~~~~~ N/A 4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? ~~~~~~~~~~~~~ b Did the foundation make any investment in a prior year (but after December 31, 16) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2016? 4b Form 0-PF (2016) Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No 1b 1c 2b 3b 4a Yes No 623541 11-23-16 5 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required (continued) 5a During the year did the foundation pay or incur any amount to: (1) (2) (3) (4) (5) Carry on propaganda, or otherwise attempt to influence legislation (section 445(e))? ~~~~~~~~~~~~~ Influence the outcome of any specific public election (see section 455); 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 445(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? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations section 53.445 or in a current notice regarding disaster assistance (see instructions)? ~~~~~~~~~~~~~~~~~~~~~~~~ Organizations relying on a current notice regarding disaster assistance check here ~~~~~~~~~~~~~~~~~~~~~ c 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?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," attach the statement required by Regulations section 53.445-5(d). 6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ~~~~~~~~~~~~~~~~ 6b If "Yes" to 6b, file Form 8870. 7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? ~~~~~~~~~ Yes No b If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction? N/A 7b Part VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors 1 List all officers, directors, trustees, foundation managers and their compensation. (a) Name and address (b) Title, and average (c) Compensation (d) Contributions to (e) Expense hours per week devoted employee benefit plans (If not paid, and deferred account, other to position enter -0-) compensation allowances Yes Yes Yes Yes Yes Yes No No No No No No 5b Page 6 SEE STATEMENT 16 837,306. 73,75. 0. 2 Compensation of five highest-paid employees (other than those included on line 1). If none, enter "NONE." (a) Name and address of each employee paid more than $50,000 (b) Title, and average (d) Contributions to (e) Expense hours per week employee benefit plans (c) Compensation and deferred account, other devoted to position compensation allowances JAIME PINKHAM - 101 FIFTH STREET VP - NATIVE SELF-DETERMINATION EAST, SUITE 2400, ST PAUL, MN 55101 40.00 250,378. 33,830. 0. JOHN OTTERLEI - 101 FIFTH STREET CHIEF INVESTMENT OFFICER EAST, SUITE 2400, ST PAUL, MN 55101 40.00 247,168. 34,541. 0. ALLISON BARMANN - 101 FIFTH STREET VP - STRATEGY & LEARNING EAST, SUITE 2400, ST PAUL, MN 55101 40.00 236,77. 30,787. 0. DUCHESNE DREW - 101 FIFTH STREET VP - COMMUNITY NETWORK EAST, SUITE 2400, ST PAUL, MN 55101 40.00 214,200. 31,585. 0. JUNE NORONHA - 101 FIFTH STREET SENIOR MANAGER, NATIVE NATIONS EAST, SUITE 2400, ST PAUL, MN 55101 40.00 13,000. 15,65. 0. Total number of other employees paid over $50,000 26 Form 0-PF (2016) 623551 11-23-16 6 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Part VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors (continued) 3 Five highest-paid independent contractors for professional services. If none, enter "NONE." (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation REDPATH CONSULTNG GROUP, LLC - 1011 WASHINGTON AVE, SUITE 350, MINNEAPOLIS, MN CONSULTING 14,84. AFTON CONSULTANTS, INC. 5115 QUADRANT AVENUE SOUTH, AFTON, MN 55001 CONSULTING 136,706. EVENTS BY LADY K - 3144 FREMONT AVENUE SOUTH, MINNEAPOLIS, MN 55408 CONSULTING 132,028. PASSENGER PRODUCTIONS, LLC 1101 N DAKOTA AVE, SIOU FALLS, SD 57104 CONSULTING 117,452. BALLINGER LEAFBLAD, INC. - 550 VANDALIE ST, SUITE 127, ST. PAUL, MN 55114 CONSULTING 112,500. Total number of others receiving over $50,000 for professional services 4 Part I-A Summary of Direct Charitable Activities List the foundation s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. 1 N/A Expenses Page 7 2 3 4 Part I-B Summary of Program-Related Investments Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. 1 N/A Amount 2 3 All other program-related investments. See instructions. Total. Add lines 1 through 3 J 0. Form 0-PF (2016) 623561 11-23-16 7 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Part Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.) Page 8 1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes: a Average monthly fair market value of securities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a b Average of monthly cash balances ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1b c d e Fair market value of all other assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total (add lines 1a, b, and c) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Reduction claimed for blockage or other factors reported on lines 1a and 1c 1d 1c (attach detailed explanation) ~~~~~~~~~~~~~~~~~~~~~~ 1e 0. 2 3 Acquisition indebtedness applicable to line 1 assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subtract line 2 from line 1d~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 3 4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) ~~~~~~~~ 4 5 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4 ~~~~~~~~~~ 5 6 Minimum investment return. Enter 5% of line 5 6 Part I Distributable Amount (see instructions) (Section 442(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here and do not complete this part.) 1 Minimum investment return from Part, line 6 2a Tax on investment income for 2016 from Part VI, line 5 ~~~~~~~~~~~ 2a 337,37. b Income tax for 2016. (This does not include the tax from Part VI.) ~~~~~~~ 2b c Add lines 2a and 2b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Distributable amount before adjustments. Subtract line 2c from line 1 ~~~~~~~~~~~~~~~~~~~~~~~ 4 5 Recoveries of amounts treated as qualifying distributions~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Add lines 3 and 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 Deduction from distributable amount (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part III, line 1 Part II Qualifying Distributions (see instructions) 1 2c 3 4 5 6 7 863,870,43. 16,240,834. 185,282. 880,27,05. 0. 880,27,05. 13,204,456. 867,02,603. 43,354,630. 43,354,630. 337,37. 43,017,251. 148,560. 43,165,811. 0. 43,165,811. 1 a b 2 3 a b 4 5 6 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 I-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) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part III, line 4~~~~~~~~~ Foundations that qualify under section 440(e) for the reduced rate of tax on net investment income. Enter 1% of Part I, line 27b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Adjusted qualifying distributions. Subtract line 5 from line 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Note: 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 440(e) reduction of tax in those years. Form 0-PF (2016) 1a 1b 2 3a 3b 4 5 6 43,368,271. 0. 43,368,271. 337,37. 43,030,82. 623571 11-23-16 8 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Part III Undistributed Income (see instructions) Page 1 2 Undistributed income, if any, as of the end of 2016: 3 4 a Enter amount for 2015 only ~~~~~~~ b Total for prior years: afrom 2011 bfrom 2012 c From 2013 dfrom 2014 efrom 2015 f Total of lines 3a through e ~~~~~~~~ aapplied to 2015, but not more than line 2a ~ bapplied to undistributed income of prior c Treated as distributions out of corpus eremaining amount distributed out of corpus 5 Excess distributions carryover applied to 2016 ~~ (If an amount appears in column (d), the same amount must be shown in column (a).) 6 Enter the net total of each column as indicated below: 7 8 10 Distributable amount for 2016 from Part I, line 7 ~~~~~~~~~~~~~~~~~,, Excess distributions carryover, if any, to 2016: ~~~ ~~~ ~~~ ~~~ ~~~ Qualifying distributions for 2016 from Part II, line 4: $ 43,368,271. years (Election required - see instructions) ~ (Election required - see instructions) a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5~~ bprior years undistributed income. Subtract c Enter the amount of prior years undistributed income for which a notice of deficiency has been issued, or on which the section 442(a) tax has been previously assessed ~~~~~~~~~~~~~~~ dsubtract line 6c from line 6b. Taxable eundistributed income for 2015. Subtract line f Undistributed income for 2016. Subtract Excess distributions carryover to 2017. aexcess from 2012~ bexcess from 2013~ c Excess from 2014~ dexcess from 2015~ ~~~ dapplied to 2016 distributable amount ~~~ line 4b from line 2b ~~~~~~~~~~~ amount - see instructions ~~~~~~~~ 4a from line 2a. Taxable amount - see instr.~ lines 4d and 5 from line 1. This amount must be distributed in 2017 ~~~~~~~~~~ Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 442(g)(3) (Election may be required - see instructions) ~~~~ Excess distributions carryover from 2011 not applied on line 5 or line 7 ~~~~~~~ Subtract lines 7 and 8 from line 6a ~~~~ Analysis of line : (a) (b) (c) (d) Corpus Years prior to 2015 2015 2016 0. 0. 0. 1,037,353. 1,037,353. 43,165,811. 0. 24,330,18. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 18,834,83. eexcess from 2016 623581 11-23-16 Form 0-PF (2016) 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Part IV Private Operating Foundations (see instructions and Part VII-A, question ) N/A 1 a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2016, enter the date of the ruling ~~~~~~~~~~~ b Check box to indicate whether the foundation is a private operating foundation described in section ~~~ 442(j)(3) or 442(j)(5) 2 a Enter the lesser of the adjusted net Tax year Prior 3 years income from Part I or the minimum (a) 2016 (b) 2015 (c) 2014 (d) 2013 (e) Total b 85% of line 2a ~~~~~~~~~~ c Qualifying distributions from Part II, d Amounts included in line 2c not e Qualifying distributions made directly Subtract line 2d from line 2c~~~~ 3 Complete 3a, b, or c for the alternative test relied upon: a "Assets" alternative test - enter: (1) Value of all assets ~~~~~~ b c "Support" alternative test - enter: (1) (2) (3) (4) Gross investment income Part V Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets at any time during the year-see instructions.) 1 Information Regarding Foundation Managers: a 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 tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).) NONE 2 investment return from Part for each year listed ~~~~~~~~~ line 4 for each year listed ~~~~~ used directly for active conduct of exempt activities ~~~~~~~~~ for active conduct of exempt activities. (2) Value of assets qualifying under section 442(j)(3)(B)(i) ~ "Endowment" alternative test - enter 2/3 of minimum investment return shown in Part, line 6 for each year listed ~~~~~~~~~~~~~~ Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties)~~~~ Support from general public and 5 or more exempt organizations as provided in section 442(j)(3)(B)(iii) ~~~ Largest amount of support from an exempt organization ~~~~ b 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 or other entity) of which the foundation has a 10% or greater interest. NONE Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d. a The name, address, and telephone number or e-mail address of the person to whom applications should be addressed: VARIES BY PROGRAM, PLEASE SEE OUR WEBSITE. Page 10 b The form in which applications should be submitted and information and materials they should include: VARIES BY PROGRAM, PLEASE SEE OUR WEBSITE. c Any submission deadlines: VARIES BY PROGRAM, PLEASE SEE OUR WEBSITE. d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors: VARIES BY PROGRAM, PLEASE SEE OUR WEBSITE. 623601 11-23-16 Form 0-PF (2016) 10 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Part V Supplementary Information (continued) 3 a Grants and Contributions Paid During the Year or Approved for Future Payment Recipient If recipient is an individual, show any relationship to Foundation any foundation manager status of Name and address (home or business) or substantial contributor recipient Paid during the year Purpose of grant or contribution Amount Page 11 SEE ATTACHED SCHEDULE 20 34,552,878. b Total Approved for future payment 3a 34,552,878. SEE ATTACHED SCHEDULE 20 10,253,056. Total 623611 11-23-16 3b 10,253,056. Form 0-PF (2016) 11 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) Part VI-A Enter gross amounts unless otherwise indicated. 1 Program service revenue: a b c d e f g 3 Interest on savings and temporary cash 4 Dividends and interest from securities 5 Net rental income or (loss) from real estate: a b 6 Net rental income or (loss) from personal 7 Other investment income ~~~~~~~~~~~~~~ 8 Gain or (loss) from sales of assets other 10 Gross profit or (loss) from sales of inventory Unrelated business income Excluded by section 512, 513, or 514 (a) (c) (b) Exclusion (d) Business code Amount code Amount 11 Other revenue: a OTHER INVESTMENT INCOME b INCLUDING PARTNERSHIPS - c SEE STATEMENT 1 53130-318,75. 14 382,813. d Fees and contracts from government agencies ~~~ 2 Membership dues and assessments ~~~~~~~~~ investments ~~~~~~~~~~~~~~~~~~~~ Debt-financed property Analysis of Income-Producing Activities ~~~~~~~~ ~~~~~~~~~~~~~ Not debt-financed property ~~~~~~~~~~~~ property ~~~~~~~~~~~~~~~~~~~~~ than inventory ~~~~~~~~~~~~~~~~~~~ Net income or (loss) from special events ~~~~~~~ ~~~~~ (See worksheet in line 13 instructions to verify calculations.) Part VI-B THE BUSH FOUNDATION 41-6017815 14 5,04,885. 18 22,010,207. Relationship of Activities to the Accomplishment of Exempt Purposes (e) Related or exempt function income Page 12 e 12 Subtotal. Add columns (b), (d), and (e) ~~~~~~~~ -318,75. 27,487,05. 0. 13 Total. Add line 12, columns (b), (d), and (e) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13 27,16,110. Line No. < Explain below how each activity for which income is reported in column (e) of Part VI-A contributed importantly to the accomplishment of the foundation s exempt purposes (other than by providing funds for such purposes). 623621 11-23-16 Form 0-PF (2016) 12 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
Form 0-PF (2016) THE BUSH FOUNDATION 41-6017815 Page 13 Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations 1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of Yes No the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a b c Transfers from the reporting foundation to a noncharitable exempt organization of: (1) (2) (1) (2) (3) (4) (5) (6) 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 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d If the answer to any of the above is "Yes," complete the following schedule. Column (b) 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 (d) the value of the goods, other assets, or services received. (a) Line no. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements N/A 1a(1) 1a(2) 1b(1) 1b(2) 1b(3) 1b(4) 1b(5) 1b(6) 1c 2a b 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? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No If "Yes," complete the following schedule. (a) Name of organization (b) Type of organization (c) Description of relationship N/A Sign Here Paid Preparer Use Only 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 this return with the preparer shown below (see instr.)? CFO Yes Signature of officer or trustee Date Title Print/Type preparer s name Preparer s signature Date Check if PTIN self- employed GEORGIA AKINS P005035 Firm s name AKINS HENKE AND COMPANY Firm s EIN 46-3220328 Firm s address 600 INWOOD AVENUE NORTH, SUITE 160 OAKDALE, MN 55128 Phone no. 651-636-3806 Form 0-PF (2016) No 623622 11-23-16 13 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
THE BUSH FOUNDATION 41-6017815 }}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF GAIN OR (LOSS) FROM SALE OF ASSETS STATEMENT 1 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) MANNER DATE DESCRIPTION OF PROPERTY ACQUIRED ACQUIRED DATE SOLD }}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}} }}}}}}}} }}}}}}}}} REALIZED GAINS - SEE STATEMENT 17 PURCHASED (B) (C) (D) (E) (F) GROSS COST OR EPENSE OF SALES PRICE OTHER BASIS SALE DEPREC. GAIN OR LOSS }}}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}}}}}} 28,464,80. 6,454,773. 0. 0. 22,010,207. }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} CAPITAL GAINS DIVIDENDS FROM PART IV 0. }}}}}}}}}}}}}}} TOTAL TO FORM 0-PF, PART I, LINE 6A 22,010,207. ~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 2 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} CAPITAL (A) (B) (C) GROSS GAINS REVENUE NET INVEST- ADJUSTED SOURCE AMOUNT DIVIDENDS PER BOOKS MENT INCOME NET INCOME }}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} INTEREST AND DIVIDENDS - SEE STATEMENT 18 5,04,885. }}}}}}}}}}} TO PART I, LINE 4 0. 5,04,885. 18,845,824. }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} 5,04,885. 0. 5,04,885. 18,845,824. ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF OTHER INCOME STATEMENT 3 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) REVENUE NET INVEST- ADJUSTED DESCRIPTION PER BOOKS MENT INCOME NET INCOME }}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} OTHER INVESTMENT INCOME INCLUDING PARTNERSHIPS - SEE STATEMENT 1 64,018. }}}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} TOTAL TO FORM 0-PF, PART I, LINE 11 64,018. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ 14 STATEMENT(S) 1, 2, 3 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
THE BUSH FOUNDATION 41-6017815 }}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF LEGAL FEES STATEMENT 4 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES }}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} LEGAL FEES 130,770. 10,028. 120,742. }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} TO FM 0-PF, PG 1, LN 16A 130,770. 10,028. 120,742. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF ACCOUNTING FEES STATEMENT 5 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES }}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} ACCOUNTING FEES 78,338. 15,668. 62,670. }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} TO FORM 0-PF, PG 1, LN 16B 78,338. 15,668. 62,670. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF OTHER PROFESSIONAL FEES STATEMENT 6 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES }}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} INVESTMENT MANAGEMENT 1,644,467. 1,644,467. 0. GRANTS CONSULTING 617,18. 0. 617,18. ADMINISTRATIVE CONSULTANTS 13,645. 2,72. 10,16. }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} TO FORM 0-PF, PG 1, LN 16C 2,276,030. 1,647,16. 628,834. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF TAES STATEMENT 7 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES }}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} PAYROLL TAES 271,725. 17,536. 254,18. ECISE AND UNRELATED BUSINESS INCOME TA 511,585. }}}}}}}}}}}} TO FORM 0-PF, PG 1, LN 18 0. 0. }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} 783,310. 17,536. 254,18. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~ 15 STATEMENT(S) 4, 5, 6, 7 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
THE BUSH FOUNDATION 41-6017815 }}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF OTHER EPENSES STATEMENT 8 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} POSTAGE 5,135. 1,027. 4,108. SUPPLIES 30,33. 5,657. 24,736. INSURANCE 38,788. 7,758. 31,030. TELEPHONE 45,503. 471. 45,032. ARTWORK 2,703. 541. 2,162. OTHER 183,518. 1,763. 181,755. ASSETS EPENSED FOR PROGRAMS 57,50. 0. 57,50. MEMBER DUES & SUBSCRIPTIONS 102,167. 838. 101,32. SPECIAL EVENTS 22,033. 0. 22,033. REPAIRS AND MAINTENANCE 88,263. 2,424. 85,83. MEETING SPONSORSHIPS/CONVENINGS 28,433. }}}}}}}}}}} TO FORM 0-PF, PG 1, LN 23 0. 28,433. }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}} 1,504,445. 20,47. 1,483,66. ~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF OTHER INCREASES IN NET ASSETS OR FUND BALANCES STATEMENT }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} NET UNREALIZED GAINS ON INVESTMENTS 22,203,75. }}}}}}}}}}}}}} TOTAL TO FORM 0-PF, PART III, LINE 3 22,203,75. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF U.S. AND STATE/CITY GOVERNMENT OBLIGATIONS STATEMENT 10 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} U.S. OTHER FAIR MARKET DESCRIPTION GOV T GOV T BOOK VALUE VALUE }}}}}}}}}}} }}}}} }}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} US GOVERNMENT DEBT SECURITIES 73,002,076. 73,002,076. }}}}}}}}}}}}}} }}}}}}}}}}}}}} TOTAL U.S. GOVERNMENT OBLIGATIONS 73,002,076. 73,002,076. }}}}}}}}}}}}}} }}}}}}}}}}}}}} TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS }}}}}}}}}}}}}} }}}}}}}}}}}}}} TOTAL TO FORM 0-PF, PART II, LINE 10A 73,002,076. 73,002,076. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ 16 STATEMENT(S) 8,, 10 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1
THE BUSH FOUNDATION 41-6017815 }}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF CORPORATE STOCK STATEMENT 11 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} FAIR MARKET DESCRIPTION BOOK VALUE VALUE }}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} EQUITY SECURITIES, MUTUAL FUNDS AND COMMON AND COLLECTIVE TRUSTS 253,305,372. }}}}}}}}}}}}}} TOTAL TO FORM 0-PF, PART II, LINE 10B 253,305,372. }}}}}}}}}}}}}} 253,305,372. 253,305,372. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF OTHER INVESTMENTS STATEMENT 12 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} VALUATION FAIR MARKET DESCRIPTION METHOD BOOK VALUE VALUE }}}}}}}}}}} }}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} MONEY MARKET TRUSTS AND SHORT-TERM FMV INVESTMENTS 11,058,415. 11,058,415. REAL ESTATE FMV 0,61,71. 0,61,71. PRIVATE EQUITY LIMITED PARTNERSHIPS FMV 27,03,224. 27,03,224. HEDGE FUNDS FMV 107,33,825. 107,33,825. EQUITY LIMITED PARTNERSHIPS FMV 82,035,286. 82,035,286. }}}}}}}}}}}}}} }}}}}}}}}}}}}} TOTAL TO FORM 0-PF, PART II, LINE 13 571,028,541. 571,028,541. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-PF OTHER ASSETS STATEMENT 13 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} BEGINNING OF END OF YEAR FAIR MARKET DESCRIPTION YR BOOK VALUE BOOK VALUE VALUE }}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} DIVIDENDS AND INTEREST RECEIVABLE 36,015. 450,68. 450,68. OTHER RECEIVABLES 712. 3,463. 3,463. FEDERAL ECISE AND UNRELATED BUSINESS INCOME TA RECEIVABLE 417,111. 1,720,8. 1,720,8. UNSETTLED TRADES RECEIVABLE 62,574,082. 3,478. 3,478. }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} TO FORM 0-PF, PART II, LINE 15 63,360,20. 2,268,628. 2,268,628. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ 17 STATEMENT(S) 11, 12, 13 0081011 766845 BUSH 2016.04030 THE BUSH FOUNDATION BUSH 1