Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2016
Open to Public Inspection
For calendar year 2016, or tax year beginning 01-01-2016 , and ending 12-31-2016
Name of foundation
OM FISHER HOME INC

Number and street (or P.O. box number if mail is not delivered to street address)171 WESTVIEW MEADOWS ROAD
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MONTPELIER, VT05602
A Employer identification number

03-0184240
B Telephone number (see instructions)

(802) 223-3194
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$10,648,415
J Accounting method:

(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments
4 Dividends and interest from securities... 100,402 100,402
5a Gross rents............
b Net rental income or (loss)
6a Net gain or (loss) from sale of assets not on line 10 -23,452
b Gross sales price for all assets on line 6a 316,661
7 Capital gain net income (from Part IV, line 2)...
8 Net short-term capital gain.........
9 Income modifications...........
10a Gross sales less returns and allowances
b Less: Cost of goods sold....
c Gross profit or (loss) (attach schedule).....
11 Other income (attach schedule)....... 2,892,958 2,605,370
12 Total. Add lines 1 through 11........ 2,969,908 100,402 2,605,370
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 127,319 12,732 114,587 114,587
14 Other employee salaries and wages...... 1,196,460 1,196,460 1,196,460
15 Pension plans, employee benefits....... 17,130 262 16,868 16,868
16a Legal fees (attach schedule)......... 3,090 3,090 3,090
b Accounting fees (attach schedule)....... 12,370 6,185 6,185 6,185
c Other professional fees (attach schedule)....
17 Interest............... 64,187 64,187
18 Taxes (attach schedule) (see instructions)... 384,743 384,743 384,743
19 Depreciation (attach schedule) and depletion... 385,164 385,164
20 Occupancy.............. 413,558 413,558 413,558
21 Travel, conferences, and meetings.......
22 Printing and publications..........
23 Other expenses (attach schedule)....... 705,365 7,542 697,823 694,586
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 3,309,386 26,721 3,218,478 2,894,264
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 3,309,386 26,721 3,218,478 2,894,264
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -339,478
b Net investment income (if negative, enter -0-) 73,681
c Adjusted net income (if negative, enter -0-)...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2016)
Form 990-PF (2016)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cashnon-interest-bearing............. 76,856 103,471 103,471
2 Savings and temporary cash investments.........
3 Accounts receivable bullet315,387
Less: allowance for doubtful accounts bullet 302,693 315,387 315,387
4 Pledges receivable bullet
Less: allowance for doubtful accounts bullet
5 Grants receivable.................
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....
7 Other notes and loans receivable (attach schedule) bullet
Less: allowance for doubtful accounts bullet
8 Inventories for sale or use..............
9 Prepaid expenses and deferred charges.......... 99,200 79,506 79,506
10a InvestmentsU.S. and state government obligations (attach schedule) 288,627 Click to see attachment214,271 214,271
b Investmentscorporate stock (attach schedule)....... 1,945,581 Click to see attachment2,182,410 2,182,410
c Investmentscorporate bonds (attach schedule)....... 529,121 Click to see attachment529,123 529,123
11 Investmentsland, buildings, and equipment: basis bullet
Less: accumulated depreciation (attach schedule) bullet
12 Investmentsmortgage loans.............
13 Investmentsother (attach schedule).......... 747,286 Click to see attachment797,605 797,605
14 Land, buildings, and equipment: basis bullet11,513,994
Less: accumulated depreciation (attach schedule) bullet5,087,352 6,523,244 Click to see attachment6,426,642 6,426,642
15 Other assets (describe bullet)
16 Total assets (to be completed by all filerssee the
instructions. Also, see page 1, item I) 10,512,608 10,648,415 10,648,415
Liabilities 17 Accounts payable and accrued expenses.......... 59,976 75,073
18 Grants payable..................
19 Deferred revenue.................
20 Loans from officers, directors, trustees, and other disqualified persons
21 Mortgages and other notes payable (attach schedule)...... 1,494,693 Click to see attachment1,428,124
22 Other liabilities (describe bullet) Click to see attachment5,591,939 Click to see attachment5,864,386
23 Total liabilities (add lines 17 through 22)......... 7,146,608 7,367,583
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 3,351,000 3,265,832
25 Temporarily restricted...............
26 Permanently restricted............... 15,000 15,000
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........
28 Paid-in or capital surplus, or land, bldg., and equipment fund
29 Retained earnings, accumulated income, endowment, or other funds
30 Total net assets or fund balances (see instructions)..... 3,366,000 3,280,832
31 Total liabilities and net assets/fund balances (see instructions). 10,512,608 10,648,415
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of yearPart II, column (a), line 30 (must agree with end-of-year figure reported on prior years return) ...............
1
3,366,000
2
Enter amount from Part I, line 27a .....................
2
-339,478
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
254,310
4
Add lines 1, 2, and 3 ..........................
4
3,280,832
5
Decreases not included in line 2 (itemize) bullet
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)Part II, column (b), line 30 .
6
3,280,832
Form 990-PF (2016)
Form 990-PF (2016)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
PPurchase
DDonation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a SECURITIES P 2000-01-01 2016-01-01
b
c
d
e