EFTA01345326

Form 990-PF (2016) Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required (Continued) Page 6 Sa During the year did the foundation pay or incur any amount to (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e)), 0 Yes 2 No (2) Influence the outcome of any specific public election (see section 4955), or to carry on, directly or indirectly, any voter registration cInve> 0 Yes El No (3) Provide a grant to an individual for travel, study, or other similar purposes> 0 Yes 2 No (4) Provide a grant to an organization other than a charitable, etc , organization descnbed in section 4945(d)(4)(A), (see instructions) 0 Yes 2 No (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals> 0 Yes 2 No b If any answer is "yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions descnbed in Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructionsp Organizations relying on a current notice regarding disaster assistance check here P. 0 c If the answer is "Yes' to question 5a(4), does the foundation claim exemption from the tax because it maintained expenditure responsibility for the grant> 0 Yes El No If "Yes,' attach the statement required by Regulations section 53 4945-5(d) 6a Did the foundation, dunng the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract> 0 Yes 2 No b Did the foundation, during the year, pay premiums, directly or indirectlY, on a K personal benefit contract>. . . . If "Yes" to 6b, Me Form 8870 la At any time dunng the tax year, was the foundation a party to a prohibited tax shelter transaction> 0 Yes 2 No b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction> . . . . Sb No 6b No 7b No Part VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors x List au officers, effectors, trustees, rouneation managers ana tneff compensation ssee instructions). (a) Name and address Title, and average hours per week (b) devoted to position (c) Compensation (If not paid, enter -0-) Contributionsd to employee benefit plans and deferred compensation Expense account, (e) other allowances RICHARD KAHN Pres;dent 0 I 00 DARREN K INDYKE Treasurer 1 00 0 P ERIKA A KEILERHALS Secretary 0 I 00 2 Compensation of five hiahest-paid employees (other than those Included on line I —see instructions). If none, enter "NONE." (a) Name and address of each employee paid more than $50,000 Title, and average hours per week (b) devoted to position (c) Compensation Contributions to employee benefit plans and deferred (d) compensation Expense account, (e) other allowances NONE Total number of other employees paid over $50,000 ► CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL Form 990-PF (2016) DB-SDNY-0031605 SDNY_GM_00177789 EFTA01345326