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
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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) ~
2 09060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1
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
309060810 144198 64692 2015.04010 JEROME FOUNDATION, INC. 64692__1
*Jerome has redacted the addresses of individual artists to protect their privacy.
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
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
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
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
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
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
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
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
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.
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
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:
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
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.
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
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.
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
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.
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
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.
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
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.
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
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.
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
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.
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
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.
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
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.
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
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.
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
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.
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
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.
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
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
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
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
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
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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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
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
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
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
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
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
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
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
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
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
(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
}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}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. ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLEDESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}LEGAL FEES 11,972. 0. 10,903.
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} (A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLEDESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}AUDIT FEES 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.
(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.
}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}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. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~
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. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~
}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}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
}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}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
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. ~~~~~~~~~~~~~~
}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}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. ~~~~~~~~~~~~~~
}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}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
}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}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.