Text extracted via OCR from the original document. May contain errors from the scanning process.
Form 990.PF (2005)
itrag
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1 a Exempt operating foundations descnbed in section 4940(d)(2), check here Pie 0 and enter -N/A" on line 1.
Date of ruling letter:
(attach copy of ruling letter If necessary—see Instructions)
b Domestic organizations that meet the section 4940(e) requirements in Part V, check
hero P 0 and enter 1% of Part I, line 27b
c All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I. line 12, col (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
3
Add lines 1 and 2
4
Subtlie A (income) tax (domestic section 4941(a)(1) busts and taxable foundations only. Others enter -CH
5
Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0-
6
Credits/Payments:
a 2005 estimated tax payments and 2004 overpayment credited to 2005
6a
9 007
b Exempt foreign organizations—tax withheld at source
c Tax paid with application for extension of time to file (Form 8868)
d Backup withholding erroneously withheld
7
Total credits and payments. Add Ones 6a through 6d
8
Enter any penalty for underpayment of estimated tax. Check here 0 if Form 2220 Is attached
9
Tax due. It the total of lines 5 and 8 is more than line 7, enter amount owed
►
10
Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid, .
►
11
Enter the amount of line 10 to be: Credited to 2006 estimated tax P
19,080 I
Refunded ►
Statements Regarding Activities
Page 4
Part VII-A
6b
6c
6d
25,0071
1
14,927
2
3
4
5
14,927
14,927
7
8
9
10
11
34,007
19,080
1a During the tax year, did the organization attempt to influence any national, state, or local legislation or did
it participate or intervene in any political campaign?
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page
19 of the instructions for definition)?
II the answer is "Yes" to la or lb, attach a detailed description of the activities and copies of any materials
published or distributed by the organization in connection with the activities.
C Did the organization file Form 1120-POL for this year?
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the organization. ► $
(2) On organization managers. P. $
e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed
on organization managers. P $
2
Has the organization engaged in any activities that have not previously been reported to the IRS?
ff "Yes," attach a detailed description of the activities.
3
Has the organization made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If 'Yes,' attach a conformed copy of the changes
4a Did the organization have unrelated business gross income of $1,000 or more during the year?
b If "Yes," has it filed a tax return on Form 990-T for this year?
5
Was there a liquidation, termination, dissolution, or substantial contraction dunng the year?
If "Yes," attach the statement required by General Instruction T
6
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?
7
Ltd the organization have at least $5,000 in assets at any time dunng the year? ti "Yes,' complete Part It, col (c), and Part
8a Enter the states to which the foundation reports or with which it is registered (see page 19 of the
instructions) P. Rew.York
b If the answer is "Yes" to line 7, has the organization furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction 6? If "No," attach explanation
9
Is the organization claiming status as a private operating foundation within the meaning of section 49420(3)
or 49420(5) for calendar year 2005 or the taxable year beginning in 2005 (see instructions for Part XN on
page 26)? If "Yes," complete Part XIV
10
Did any persons become substantial contributors dunng the tax year? IrYes," attach a schedule listing their names and addresses
11
Did the organization comply with the public inspection requirements for its annual returns and exemption application?
Web site address ►
12
The books are in care of to George V. Deleon Associates
212.9094680
Telephone no. lo
Located at ► 110 East 591h Streets New York, NY
ZIP+4 ►
10022
13
Section 4947(a)(1) nonexempt charitable trusts fling Form 990-PF In lieu of Form 1041--Check hero
P.
0
and enter the amount of tax-exempt Interest received or accrued dunng the year , .
. ► I 13 I
Yes
la
lb
No
st
10
2
3
4a
4b
6
8
7
8b
9
10
11
Form 990-PF goes)
EFTA01714002
Form 990-PF (loes)
Part VII-B
Fite Form 4720 if any item Is checked in the "Yes" column, unless an exception applies.
la During the yoar did the organization (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person?
K Yes 0 No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
K Yes 0 No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? K Yes 0 No
(4) Pay compensation to. or pay or reimburse the expenses of, a disqualified person?
K Yes 0 No
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
K Yes 0 No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the organization agreed to make a grant to or to employ the official for a period
after termination of government service, of terminating within 90 days )
K Yes 0 No
b If any answer is "Yes" to la(1)-(6), did any of the acts fall to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
► K
c Did the organization engage in a prior year in any of the acts descnbed in la, other than excepted acts.
that were not corrected before the first day of the tax year beginning in 2005?
2
Taxes on (allure to distribute income (section 4942) (does not apply for years the organization was a private
operating foundation defined in section 49420(3) or 49429)(5)):
a At the end of tax year 2005, did the organization have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2005?
K Yes 0 No
If -Yes," list the years ► 20 ....
20..
, 20
. 20
b Are there any years listed In 2a for which the organization is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's undistnbuted income? (If applying section 4942(4(2)
to all years listed, answer "No" and attach statement—see page 20 of the instructions.)
c If the provisions of section 4942(a)(2) are being applied to any of the years listed In 2a. list the years here.
► 20 .... , 20 .... , 20 .
20
3a Did the organization hold more than a 2% direct or indirect interest in any business
enterpnse at any time during the year?
K Yes 0 No
b If "Yes," did it have excess business holdings in 2005 as a result of (1) any purchase by the organization
or disqualified persons after May 26. 1969; (2) 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 (3)
the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
if the organization had excess business holdings in 2005)
4a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes?
b Did the organization make any investment in a prior year (but after December 31, 1969) that could jeopardize its chantat(e
purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2005?
5a During the year did the organization pay or incur any amount to:
(1) Carry on propaganda, or otherwise attempt to Influence legislation (section 4945(e))? K Yes 21 No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
O Yes 0 No
(3) Provide a grant to an individual for travel, study, or other similar purposes?. .
K Yes 0 No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 509(a)(1), (2), or (3), or section 4940(c)(2)?
O Yes 0 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? . .
K Yes 21 No
b II any answer is "Yes" to 52(1)-(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 20 of the instructions)'
Organizations relying on a current notice regarding disaster assistance check here
► K
c If the answer is "Yee to question 5a(4), does the organization claim exemption from the
lax because it maintained expenditure responsibility for the grant?
K Yes K No
ll "Yes," attach the statement required by Regulations section 53.4945-5(4.
6a Did the organization, during the year, receive any funds, directly or indirectly, to pay
premiums on a personal benefit contract?
K Yes El No
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
.
If you answered "Yes" fo 6b, also file Form 8870.
Pepe 5
Statements Regarding Activities for Which Form 4720 May Be Required
Yes No
lb
lc
26
36
4a
4b
_J
5b
6b
Form 990-PF (t005)
EFTA01714003
Form 990-PF (2005)
nage 6
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation (see page 21 of the Instructions).
is) Name and address
(b) Tale, and average
hours per week
devoted to postmen
C) Compensation
N not paid, enter
-0-)
Kg Contnbutions to
Om/Noyes benefit plans
and deferred componsetun
tot Expense is
other s
eance, '
Jeffrey E. Epstein
6100 Red Hook Qtrs, St. Thomas, USVI
PresJDIrector
One hour
0
0
0
Darren K. Ind e
., New York, NY
Vice PredOlr.
One hour
0
0
0
sane
swell
do George V. Delson Associates
Treasurer
Gee hour
0
0
0
110 East 59th Street, New York, NY
2 Compensation of five highest-paid employees (other than those included on line 1—see page 21 of the Instructions).
If none, enter "NONE."
In Name and address of each 07,210V00 Paid more that 150.000
(b) Tide and average
hours per week
devoted to position
th) COmPenstItIon
fel) Contnbutuns le
ernPleYee bemire
plane and deferred
compcnutson
lel Expense account,
other alkonnces
None
Total number of other employees paid over $50,000
0
3. Five highest-paid independent contractors for professional services—(see page 21 of the instructions). If none, enter
"NONE."
Name and address el each person paid mole Ilan $60,000
K le Godfre
, New York, NY 10019
ellesley, MA 02482
(b) Type el mane
Consulting
Consulting
lc) Compensation
12,500
100,000
Ma Muan
Cambridge,
MA 02138
Consulting
10,000
Total number of others receiving over $50,000 for professional services
►
Part IX-A Summary of Direct Charitable Activities
0
List the foundation's four largest direct ()unions *amino thanng the lea year Include relevant etateemal se2011113tion such 23 the number
of organizations and other tenormianes served, conferences convened, reseann papers produced, etc.
treencie
1
2
3
4
Form 9904F mai
EFTA01714004
Fpm 99CFPF MS)
P r I -
Mamba tea two Woad program-related evrosimenta made by the foundation donne en tot year on bus I and 2
Penne
I
2
as antes prograregelated Investments Sao page 22 or the Inafrocenre
3
Total. Add hies 1 through 3
1
PIP 7
mmary of Program-Related Investments (see pane 22 of the Instructions
Part X
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see page 22 of the instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a Average monthly fair market value of securities
b Average of monthly cash balances
c Fair market value of all other assets (see page 23 of the instructions)
d Total (add lines la, b, and c)
e Reduction claimed for blockage or other factors reported on lines to and
Ic (attach detailed explanation)
2
Acquisition Indebtedness applicable to line 1 assets
3
Subtract line 2 from line ld
4
Cash deemed held for charitable activities. Enter 11/2 % of line 3 (for greater amount, see page 23
of the instructions)
5
Net value of noncharitable-use assets. Subtract Ina 4 from line 3. Enter here and on Part V, line 4
6
Minimum investment return. Enter 5% of line 5
I lel
la
lb
le
ld
5 224 172
17,750,902
22,975,074
2
3
22 975 074
4
5
6
344 626
22,630,443
1,131,522
Distributable Amount (see page 23 of the instructions) (Section 49420)(3) and W(5) private operating
foundations and certain foreign organizations check here 1 0 and do not complete the. pan )
Part XI
1
Minimum investment return from Part X, line 6
2a Tax on investment income for 2005 from Part VI, line 5
14 927
1
I 131 522
b Income tax for 2005. (This does not Include the tax from Part VI.)
2b
43
e Add lines 2a and 2b
2c
14 927
3
Distributable amount before adjustments. Subtract line 2c from line 1
3
1 116 595
4
4
Recoveries of amounts treated as qualifying distributions
5
Add lines 3 and 4
5
1 116 595
6
Deduction from distnbutable amount (see page 24 of the instructions)
6
7
Distributable amount as adjusted. Subtract Me 6 from line 5. Enter here and on Part XIII,
line I
7
1,116,595
Part XII Qualifying Distributions (see page 24 of the Instructions)
1 Amounts paid (including administrative expenses) to accomplish charitable. etc., purposes:
a Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
b Program-related investments—total from Part IX-5
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
3
Amounts set aside for specific charitable projects that satisfy the:
a Suitability test (prior IRS approval required)
b Cash distribution test (attach the required schedule)
4
Qualifying distributions. Add lines la through 3b Enter here and on Pan V, me 8, and Part XIII, line 4
5
Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b (see page 24 of the instructions)
6
Adjusted qualifying distributions. Subtract line 5 from line 4
Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax In those yen.
roTn990-PF Roos)
la
lb
2
1,255,795
3a
3b
4
1,255,795
5
6
1,255.795
EFTA01714005
Form 990-PF (2405)
Page 8
Part XIII Undistributed Income (see page 24 of the instructions)
1
Distributable amount for 2005 from Part XI
line 7
2
Undistributed income, ii any, as of the end of 2004:
a Enter amount for 2004 only
b Total for pnor years' 20
20
20
ILO
Caps
(1st
Years poor to 2004
(s)
2004
tra
2005
1,116,595
0
0
3
Excess distnbutions carryover
a From 2000
if any, to 2005:
• 172.814
b From 2001
794,417
c From 2002
638,745
d From 2003
432,491
0 From 2004
1 Total of lines 3a through e
4
Qualifying distributions for 2005 from Part
XII, line 4: 10. $
1258795
2,038,567
0
a Applied to 2004, but not more
b Applied to undistributed income
(Section required—see page 25 of
c Treated as distributions out of corpus
required—see page 25 of the
d Applied to 2005 distributable
e Remaining amount clistributed
5
Excess dlstnbutions carryover
(If an amount appears in column
same amount must be shown
6
Enter the net total of each
indicated below:
a Corpus. Add lines 3f, 4c, and 4e.
b Prior years' undistributed income.
Ilne 4b from lino 2b
c Enter the amount of prior years'
income for which a notice of
been issued, or on which the
tax has been previously assessed
d Subtract line 6c from line
amount—see page 25 of the
0 Undistributed Income for 2004.
4a from line 2a. Taxable amount
25 of the instructions
1 Undistnbuted income for 2005.
lines 4d and 5 from line 1. This
be distributed in 2006
7
Amounts treated as distributions
corpus to satisfy requirements
section 170(bX1)(E) or 4942(9X3)
25 of the instructions)
8
Excess distributions carryover
applied on line 5 or line 7 (see
the instructions)
9
Excess distributions carryover
Subtract lines 7 and 8 from
10
Analysis of line 9:
a Excess from 2001
than line 2a
of prior years
the u151111CtiOnS)
(Election
instructions)
amount
out of corpus
applied to 2005
(d), the
in column (a).)
column as
Subtract tine 5
Subtract
undistributed
deficiency has
section 4942(a)
60. Taxable
Instructions
Subtract line
—see page
Subtract
amount must
out of
imposed by
(see page
from 2000 not
page 25 of
to 2006.
line 6a
794,417
0
0
1,116,595
139,200
I
0
0
,
.
'
4
'
i•
•
•
r
—
-
.
•
I
I
. i
f
;
2,177,767
,t
0 .
I
i
0
!
i
•
•
•
•
0
. ' I
i
•
•
1
•
0
0
•
172,914
2,004,853
b Excess from 2002
638,745
.
c Excess Irom 2003
432,491
d Excess from 2004
. .
e Excess Irom 2005
. .
139,200
Form 990-PF goes)
EFTA01714006
Form 9908E (2005)
PRIM
Private Operating Foundations (see page 26 of the instructions and Part VII-A, question 9)
Pine 9
la li the foundation has received a ruling
foundation, and the ruling Is effective
b Check box to indicate whether the organization
2a
Enter the lesser of the adiusted net
or determination letter that it is a private
for 2005, enter the date of the ruling
is a pnvate operating foundation
operating
. . .
►
described in section 0
4942Q)(3) or K 4942(()(5)
Tax year
Pnor 3 years
(e) Tole
income from Part I Or the mnmum
for
(a) 2005
11)12004
143 2003
(Own
Investment return from Pail X
each
year listed
b 65% of line 2a
c Ouablying distributions (torn Part XII,
line 4 for each year listed
d motets fadeout in Me2c not used directly
for active conduct of exempt attonlits
e Outlaying distributions made directly
for active conduct of exempt activities
Subtract Ime 20 from fine 2c
3
Complete 3a, b, or c for the
alternative test relied upon:
a "Assets' alternative test—enter.
(1) Value of an assets .
(2) Value of assets qualifying
under section 4942(l)(3X8)(0
b 'Endowment' allemabve lest—enter %
of mnmwm uwestment return shown n
Pail X, tine 6 for each year listed
c "Support" alternative test—enter:
(1) Total support other than gross
investment income (interest,
dividends, rents, payments
On securities loans (section
512(a)(6)), or royalties)
(2) Support from general public
and 5 or more exempt
organizations as provided In
section 49420)(3)(6)(n)
(3) Largest amount of support
from an exempt organization
(4) Gross investment income
Supplementary Informa ion (Complete his part only if the organization had $5,000 or more in
assets at any time during the year—see page 26 of the instructions.)
1
Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contnbutions received by the foundation
before the close of any tax year (but only if they have contnbuted more than $5,000). (See section 507(d)(2).)
Jeffrey E. Epstein
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here ► 0 if the organization only makes contnbutions to preselected chantable organizations and does not accept
unsolicited requests for funds. If the organization makes gifts, grants, etc. (see page 26 of the instructions) to individuals or
organizations under other conditions, complete items 2a, b, c, and d.
a The name, address, and telephone number of the person to whom applications should be addressed:
b The form in which applications should be submitted and information and materials they should include:
c Any submission deadlines:
it Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form 990-PF pees
EFTA01714007
Penn 990•PF noes)
karga Supplementary Information (continued)
3
Grants and Contributions Paid _During the Year or Approved for Future Payment
Recipient
H fefsPosst is an wdrAduet
thew any relationship to
any foundation
ft eutetammI catibutot
Foundation
.....,... ,
reopens
Purpose of grunt ce
conufbAlon
Amount
Name and address (home or business)
a Paid during the year
Statement 5
Total
a.
3a
1,125,133
b Approved for future payment
Total
10
3b
0
Page 10
Form 990-PF pcos)
EFTA01714008
Foan S90-PF (2000
Part XVI-A
Enter gross amounts unless otherwise indicated
1 Program service revenue:
a
Unrelated business income
Excluded by section 512. 513. or 514
(el
Related ce exempt
flinCt011 tricorn°
(See page 26 of
the instructions.)
(0)
Business code
(b)
Amount
(c)
Exclusion code
(Ci)
Amount
b
e
d
e
I
g Fees and contracts from government agencies
2 Membership dues and assessments
3 Interest on savings and temporary cash investments
4 Dividends and interest from securities
5 Net rental Income or (loss) from real estate:
a Debt-financed property
b Not debt-financed property
6 Net rental income or (loss) from personal property
7 Other Investment income
8 Gain or (loss) from sales of assets other than inventory
9 Net income or (loss) from special events
10 Gross profit or (loss) from sates of inventory
11 Other revenue' a
From partnerships
14
360,265
l
18
460,721
14
51,609
b
c
d
e
12 Subtotal. Add columns (b). (c0. and (e)
-
•
872,595
13 Total. Add line 12, columns (b), (d), and (e)
See worksheet in line 13 instructions on page 27 to verify calculations.)
Relationship of Activities to the Accomplishment of Exempt Purposes
Page 11
Analysis of Income-Producing Activities
Line No.
•
13
872,595
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). (See
page 27 of the instructions.)
N/A
Fenn 990-PF coos)
EFTA01714009
Term 990•PF poop
Part XVII
Page 12
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
1 Did the organization directly or indirectly engage in any 01 the tailoring with any other organization described in section
Yes No
501(c) of the Code (other than section 501(c)(3) organizations) or m section 527, relating to political organizatons?
a Transfers from the reporting organization to a noncharitable exempt organization of:
(1) Cash
(2) Other assets
b Other transactions:
(1) Sales of assets to a nonchantable exempt organization
(2) Purchases of assets from a nonchantable exempt organization
(3) Rental of facilities, equipment, or other assets
(4) Reimbursement arrangements
(5) Loans or loan guarantees
09 Performance of services or membership or fundraising solicitations
Sharing of facilites, equipment, mailing lists, other assets, or paid employees
d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the at market
value of the goods, other assets, or services given by the reporting organization. If the organization received less than fair
market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services
received.
la(1)
la(2)
11)01
11O
lb(5)
lo
(a) leis no (b) Amount nvolved
le) Name of nonduuttable exempt inarmation
Deaccpbon ol transfers team ed:ens and champ arrangements
2a Is the organization 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?
O Yes 0 No
b If "Yes." complete the Sowing schedule.
N) Name ca ergamoshen
m Tyre or ottatetakat
(4 oasenarron d relationship
------
I
Sign Here
;Aar penalties of penury, l
hat I h
as
this velum. mcksthisa eocanpanymg schedules and statements, and to the best of my knowledge and
ballet it 3 Wu% correct.
e
of
parr (other than taxpayer or &lobby)* baud en all In ityrnabon of which orobartir has any knowledge
I Ow bri
t
gt
e2/004-
Signature of dice
Date
T •
Paid
Preparer's
Use Only
•
•
Negates j il
l
i
e
jleCc....--,---44101
Signature
Oats
__.
sent- mitpidyed eiLi
Preparer's SSN
c a ge
PTilif
On signature
pa
2$
of Um irtstructreas I
Mr
Finn' s nannr(0, YOWS A
George V. Delson Associates
EIN an
—
satscrnplayad). address.
ano ZIP code
110 East 59th Street, New York, NY 10022
Phone no (
)
Farm 990-PF 12005)
EFTA01714010
13-3996471
FORM 990-PF Y/E 2/28/06
STATEMENT 5
PART I, LINE 25 AND PART XV
Date
Name
Amount
Pumose
3/3/2005
Friends of Israel Defense Forces
25,000
Unrestricted
3/3/2005
92nd Street Pillar Project
10,000
Unrestricted
4/19/2005
Edge Foundation, Inc.
50,000
Unrestricted
5/6/2005
Stockholm School of Economics
25,000
Unrestricted
5/12/2005
Palm Beach Academy
10,000
Unrestricted
5/12/2005
WNET 13
100,000
Unrestricted
5/25/2005
Harvard University
10,000
Unrestricted
5/26/2005
Columbia Universitiy
25,000
Scholarship
6/20/2005
Edge Foundation, Inc.
150,000
Unrestricted
6/21/2005
The Jewish National Fund
15,000
Unrestricted
6/22/2005
Institute of International Education
35,000
Unrestricted
7/15/2005
Hillel Foundation
50,000
Unrestricted
7/21/2005
Sundry Charitable Organizations
1,158
Unrestricted
8/3/2005
Ballet Florida
10,000
Unrestricted
8/11/2005
Gergias Southern University
5,000
Scholarship
8/16/2005
Columbia Universitiy
58,600
Scholarship
8/19/2005
Freestatc Soccer Alliance
25,000
Unrestricted
8/23/2005
Harvard University
100,000
Unrestricted
9/6/2005
Santa Fe Institute
100,000
Unrestricted
9/7/2005
Kingsboro Community College
2,500
Scholarship
9/7/2005
City College
27,875
Scholarship
9/12/2005
Fashion For Relief
10,000
Unrestricted
9/22/2005
The Alliance for Lupus Research
10,000
Unrestricted
10/20/2005
Academy of Achievement
50,000
Unrestricted
10/20/2005
National Council of Jewish Women
5,000
Unrestricted
11/18/2005
Columbia Universitiy
10,000
Unrestricted
11/28/2005
Ballet Florida
15,000
Unrestricted
12/6/2005
Columbia Universitiy
50,000
Unrestricted
1/18/2006
Ncw Jersey Firebirds Baseball
15,000
Unrestricted
1/18/2006
Bay Point School
100,000
Unrestricted
1/25/2006
Intrepid Fallen Heroes Fund
25,000
1,125,133
EFTA01714011
13-3996471
FORM 990-PF - Y/E 2/28/06
STATEMENT 1
Part I, Linc 11
Other Income
Second City Capital Partners I, LP
K-1 Entity
51,609
STATEMENT 2
Part 1, Line 16(c)
Other Professional Pees
Consulting
Second City Capital Partners I, L.P.
K-1 Entity
122,500
126,258
Total
248,758
EFTA01714012
13-3996471
FORM 990-PF - Y/E 2/28/06
STATEMENT 3
Part I, Line 23
Other Expenses
Bank Charges
21
Sccond City Capital Partners L.P.
K-1 entity
2,901
Filing Fees
1,004
Other
138
Total
4,064
EFTA01714013
EIN 13-3996471
FORM 990-PF - Y/E 2/28/06
STATEMENT 4
Part II, Line 13
Other Investments
Bear Steams Asset Backed
Book Value
Fair
Market Value
Securities Partners LP
10,289,911
12,569,336
Second City Capital
Partners I, LP
5,168,275
5,181,566
15,458,186
17,750,902
EFTA01714014
OFFICE COPY
Form earn (Rev 12-2O04)
• if you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box . . ►
ca
Note. Only complete Pad II if you have already been granted an automatic 3-monilt extension on a previously filed Form 8868.
tr Ii yuu are rung an an attnumauc a-monm extension, compare, °my ram i (on page lb
MEI
Additional (not automatic) 3-Month Extension of Time—Must File Original and One Copy.
Type or
print
Filo by the
Wdoendeddotefor
du
fang the
(MUT See
mstrucuons.
Name of Exempt Organization
Employer Identification number
13 i 3996471
Number. street, and room or suite no. U • P.O. box. see Instructions.
do DELSON ASSOCIATES, 110 EAST 59TH STREET
For IRS use only
Crty, town or post *face state, and ZIP coos. For a foreign address, see instructions.
NEW YORK, NY 10022
Check type of return to be filed (File a separate application for each return):
O Form 990
0 Form 990-T (sec. 401(a) or 408(3) trust)
O Rani 990-81
0 Form $90-T (trust other than above)
O Fomi 990-EZ
0 Form 1041-A
O Form 990-PF
0
Form 4720
STOP: Do not complete Part II If you were not already granted an automatic 3-month extension on a previously filed Form 886&
• The books are to theist
0. HARRY BELLER
h.
Telephone No.
(.
MINN
FAX No. Po
)
MUM
• If the organization does not have an office or place of business in the United States, check this box
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)
If this is
for the whole group, check this box P..
❑. If It is for part of the group. check this box to
0 and attach a list with the
names and EINs of all members the extension is fa.
Page 2
O Form 5227
O Form 6069
O Form 8870
4
I request an additional 3-month extension of time until
JANUARY 15
• PO 07
S
For calendar year
, or other tax year beginning
MARCH 1
PO 0$ , and ending
FEBRUARY 28 .20 06a
6 If this tax year is for less than 12 months, check reason: 0 Initial return 0 Final return 0
In accounting period
7
State in detail why you need the extension CERTAIN INFORMATION NECESSARY FOR THE PROPER COMPLETION
ea if this application is for Form 990-BL, 990-PF, 990-T, 4720, or 8069, enter the tentative tax, less any
nonrefundable credits. See instructions . . . .
.
. .
.
.
.
.
.
.
. .
b If this application is for Form 990-PE 990-T, 4720, or 6069, enter any refundable credks and estimated
tax payments made. Include any prior year overpayment allowed as a credit and any amount paid
previously with Form 8868
. .
c Balance Due. Subtract line 8b from line Ba. Include your payment with this form or, if required, deposit
' with F1D coupon or, if requ:red. by using EFTPS (Electronic Federal Tax Payment System). See instructions.
$
0
Signature and Verification
Untler penalbss of penny. I douse that I have auurmed Ira form, inducing actompanwng sched,res end statements, and to the best a my knowledge and behd.
a a the. coma, and complete, and that I am =boozed to moans this form
Signature e IS! GEORGE V DELSON
Tale ►
Date r
$
37,767
37,767
0
0
0
/04
Notice to Applicant—To Be Completed by the IRS
We have approved this application. Please attach this form to the organization's return.
We have not approved this application However, wo have granted a 10-day grace period from the later of the date shown below or the due
date of the organization's return (including any prior extensions). Tits grace penod IS considered to bee void extension of time for elections
otherwise required to be made on a tmely return. Please attach this form to the organization's return.
We have not approved this cols/motion. After considering the reasons stated In item 7, we cannot grant your request for an extension cf time
to file. We aro not granting a 10-day grace penod.
We cannot consider this application because it was filed after the extended due date of the return for which en extension was requested
Other
By
Droclot
Coate
Alternate Mailing Address — Enter the address if you want the copy of this application for an additional 3-month extension
returned to an address different than the one entered above.
Typo or
print
Nome
Number and street (include suite, room, or opt no.) or • P.O. box number
110 EAST 59Th STREET
City or town, province or state, and country fincluding postal or ZIP code)
NEW YORK, NY 10022
Form 8868 (Rev 12.2004)
EFTA01714015
gPFICE COPY
cam 8868
(flay. Oer.caeaer 2000
Depatnal of tee Trcasury
infernal Revenue Service
• If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box
► g)
• If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form)
Do not complete Part II unless you have already been oranted an automatic 3-month extension on a previously filed Form 8868.
Automatic 3-Month Extension of Time—Only submit original (no copies needed)
Application for Extension of Time To File an
Exempt Organization Return
► File a separate application for each return.
OMB No 1545-1709
Part I
Form 990-1 corporations requesting an automatic 6-month extension—check this box and complete Part I only . . . ► 0
AV other corporations Paulding Form 990-C tilers) must use Form 7004 to request an extension of time to file income tax returns.
Partnerships, REM1Cs, and trusts must use Form 8736 to request an extension of time to The Form 1065, 1066, or 1041.
Electronic Filing (e-file). Form 8868 can be filed electronically If you want a 3-month automatic extension of time to file one of the
returns noted below (6 months for corporate Form 990-1 filers). However, you cannot file it electronically if you want the additional
(not automatic) 3-month extension, instead you must submit the fully completed signed page 2 (Part ID of Form 8868. For more
details on the electronic filing of this form, visit wwwits.gmlefile.
Type or
print
Pe by Um
duo date for
Ming your
return. See
Instruclan.
Name of Exempt Organization
The C.O.U.Q. Foundation
Number, street, and room or state no. If a P.O. box, see instnicboris.
c/o George V. Belson Associates, 110 East 59th Street
Gay, town or post office, state, and ZIP code. For a foreign address. see instructions.
New York, NY 10022
Employer Identification number
13 3996471
Check type of return to be filed (file a separate application for each return):
O Form 990
0 Form 990-T (corporation)
O Form 990-BL
0 Form 990-T (sec. 401(a) or 408(a) trust)
O Form 990-Q
• 0
Form 990-T (trust other than above)
O Form 990-PF
0 Form 1041-A
O Form 4720
O Fenn 5227
O Form 6069
O Form 8870
• The books are in the care of ► Harry Beller
Telephone No. lo. (.. III ). IIIIIIIIIII
FM No. lir- S ..)
Mill
• If the organization does not have an office or place of business in the United States, check this box
► 0
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)
If this
is for the whole group, check this box P.O. If it is for part of the group, check this box lo 0
and attach a list with the
names and EINs of all members the extension will cover.
1 I request an automatic 3-month (6-months for a Form 990-1 corporation) extension of time until October 15
, 2091,
to file the exempt organization return for the organization named above. The extension is for the organization's return for:
lo• 0
calendar year 20... or
to 2) tax year beginning
March 1
20 05. and ending
February
, 20 06
2
If thrS tax year Is for less than 12 months, check reason: 0 Initial return 0
Final return 0 Change in accounting period
3a if this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments
made. Include any prior year overpayment allowed as a credit
c Balance Due. Subtract line 3b from lino 3a. Include your payment with this form, or, if required, deposit
with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See
instructions
25,000
$
37,767
12,767
Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO
for payment instructions.
For Privacy Act and Paperwork Reduction Act Notice, tee Instructions.
Cat No. 27918O
Form 8868 Mee 12-200.4)
EFTA01714016
;0.990-PF
Department el the TIOSIlly
Interne( Revenue Same*
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note: The foundation may be able to use a copy of this ,erum to satisfy state reporting requirements.
OMB No 1545-0052
2006
For calendar year 2006, or .tax year beginning
G Check all that apply:
0 Initial return
K Final return
O Amended return
O Address change O Name change
Use the IRS
label.
Otherwise,
print
or type.
See Specific
Instructions.
Pia" °I foundation
The C.O.U.Q. Foundation
A Employer identincalion number
13
3996471
Number and strut (or P 0 box number d mad is not de weed to street address)
cho George V. Delson Associates, 110 East 59th St.
RoonVsinte
a Telephone numb. pee page 11 of the nstructions)
(
)
City of town, state, and ZIP code
New York, NY 10022
C Ilexemption appricatca is pondne. check hem lv O
D 1. Foreign organizations, check here . . li• O
2. Foreign oreanaalions meeting the 85% test. i—i
check here and attach computation . Ilx• l...l
E lulnpdreirvast:olon
ctritcponistatu:hwashleerrrnina
e
.t?
. O
F If the foundation es in a 60-month termination r-i
under section 507(b)(1)0t check here
. b Li
H Check type
O Section 4947(a)(1)
of organization: A Section 501(0(3) exempt private foundation
trust CI Other taxable private foundation
nonexempt charitable
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) le S
22,832,814
.5 Accounting method: 0 Cash
O Other (specify)
(Part I, column (co must be on cash basis.)
■• Accrual
Part I
Analysis of Revenue and Expenses (The total of
in columns 04, (c), and ( cl ;may not necessanly equal
amounts In column (a) (see page II of the instructions))
(a) Revenue and
expenses (Nit
hooka
N Net Inv semen
income
tej Adjusted net
income
Id) Debasements
for chnntable
purposes
Dash basis only)
amounts
the
Revenue
I
1 Contnbuhons, gifts, grants, etc., received
2 Check le 0 d the foundahon is not
3 Interest on savings and temporary
4 Dividends and interest from
5a Gross rents
b Net rental income or (loss)
6a Net gain or (loss) from sale of
b Gross sates pits for al assets on Ina
7 Capital gain net income (from
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
11 Other income (attach schedule)
12 Total. Add lines 1 through 11
required
securities
(attach schedule)
S • '
s
1
•
I
to attach Sch. 8
..
.c
.
i
cash investments
S t-
.„
: 1
414,648
414,646
"is
...
, s•ne
v !.. '. 1 : .; :
.
' •.. ....
assets
ea
:3
Part
schedule)
not on line 10
0
(52,333)
: 4 X1):4 =-
a?
• •
•
; 'I.:"
. . li! .-1-!.:Ill ' :i . • Vit
IV, hne 2)
0 'er
z- 1-•
•,:y
,, •
i.-.1 ( 1 t":- • ; •
... . : : ; • • •• l.
:
:!
t
•
•
'
.' e
? 3 1 kit
• , ,
• , • .
i
: Y• 14 i
• • ,
r 1 4 - Cif
•
. . . .
St .1 •
•
•
r
284,468
94,468
-1 I
848,781
509,114
es a
c
vs
o.
0
ail
x
2
1qa
1
1
13
14
15
16a
17
18
19
20
Compensation of officers, directors,
Other employee salaries and
Pension plans, employee benefits
Legal fees (attach schedule
b Accounting fees (attach schedule)
trustees, etc.
wages
tch schedule)
5t • 2
ge 14 of the instructions)
and depletion
170,000
120,000
50,000
0 OthiReeelegEBas
I erect
(att
Ot
a
"
es (attach schedule (seem
eprDEE
toi
c$ a
sc
le)
cuoancv
25,000
i
fa 21 Traiefeeetrocetriihd meetings
S t . 3
expenses.
paid
Add Ines 24 and 25
° Jew
0
23 Other expenses (attach schedule)
24 Total operating and administrative
Add lines 13 through 23
25 Contributions, gifts, grants
26 Total expenses and disbursements.
591,636
590,633
1,003
786,636
710,633
51,003
1,186.000
1,186,000
1,972,636
710,633
1,237.003 .
_
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements
b Net Investment income (if negative, enter -0-)
c Adjusted net income (if negative, enter -0-) . .
_.
(1,325,855)
0
March 1
, 2006, and ending
February 28
, 20 07
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions.
Cal. No. 11289%
Foal 990-PF (2006)
-(1)
EFTA01714017
Forrn 990-PF (2006)
Beginning of year
End of year
Part
Ailed* schedules and mounts in the descrobon ©diem
II
Balance Sheets sham be rot oe-e.yer amounts only pee ingnidicos)
(a) Book Value
(b) Book Value
(c) Fay Market %eve
I
Assets
1 Cash—non-interest-bearing
2 Savings and temporary cash investments
4,112,136
4,817,748
4,817,748
3 Accounts receivable Or
Less: allowance for doubtful accounts OP
4 Pledges receivable lo
Less: allowance for doubtful accounts liki
5 Grants receivable
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 16 of the
instructions)
7
Other notes and loans reservable (attach schedule) lo•
Less: allowance for doubtful accounts lir•
8 Inventories for sale or use
9 Prepaid expenses and deferred charges
10a Investments—U.S. and state government obligations (attach schedule)
b Investments—corporate stock (attach schedule)
.
e Investments—corporate bonds (attach schedule)
Pri
11 Investments—land, buildings, and equipment: basis ►
Less: accumulated depreciation (attach schedule) lui.
12 Investments—mortgage loans
13 Investments—other (attach schedule)
St . 4
14 Land, buildings, and equipment: basis lui•
Less: accumulated depreciation (attach schedule) IP.
15 Other assets (describe kir
1
16 Total assets (to be completed by all filers—see page 17 of
the instructions. Also, see page 1, item I)
— .
__
.---
. ...
_
—___ _ .___
------
— - --.. _ .
; ..',
S .. _
_. : •
_
.
• i
.:
-
15,458,186
13,426,719
18,015,066
.
Lt../ _i_E.:::. .
19.570.322
18,244,467
22,832,814
I
Liabilities
17 Accounts payable and accrued expenses
18 Grants payable
19 Deferred revenue
20
Loans from officers, directors, trustees, and other disqualified persons
21 Mortgages and other notes payable (attach schedule)
22 Other liabilities (descnbe Ir.
)
23 Total liabilities (add lines 17 through 22)
. 4
. • ;:.
•I
.•
.i . .:.!
..
il
Net Assets or Fund Balances
Foundations that follow SFAS 117, check here Pi•
•
- 0
i
3'
•
I
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestncted
25 Temporarily restricted
26
Permanently restricted
Foundations that do not follow SFAS 117, check here ki. 0
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 page 18 of the
instructions)
31 Total liabilities and net assets/fund balances (see page 18 of the
instructions)
19,570.322
18.244,467
19,570,322
18,244.467
19,570,322
18,244,467
Pat Ill Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with
end-of-year figure reported on prior year's return)
1
19,570,322
2 Enter amount from Part I, line 27a
2
1,325,855)
3 Other increases not included in line 2 (itemize) P.
3
4 Add lines 1, 2, and 3
4
18,244,467
5 Decreases not included in line 2 (itemize) IP'
5
6 Total net assets or fund balances at end of year gine 4 minus line 5)—Part II, column (b), line 30
6
18,244,467
Page 2
Form 990-PF (2006)
EFTA01714018
Form 990-PF (2006)
Part IV
Page 3
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kmd(s) of property ;old (e .g.. real estato,
brick warehouse, or common stock, 200 shs. MLC Co.)
lb) How acquired
p—Donation
0—Donation
(c) Cole acquired
Imo • day. Y* )
IQ Date said
2-story
(me . day, yr)
ta Statement S
b
c
d
e
(e) Gross sales price
tO Depreciation *Sowed
(or allowable)
(g) Cost or other basis
plus expense of sale
0,) Gain Or oosa)
(e) plus (0 minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
0) Owns (Col. pl) San minus
col (It
oss
butert less than -0-) or
gran col. ma
0) 0 M V. as of 12/31/69
0) Adjusted basis
as of 12/31/69
(k) Excess 01 col 0)
ova col ((LH any
a
b
c
d
e
2 Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss) enter -0- in Part I, line 7
(
1
3 Net short-term capital gain or Coss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 18 of the Instructions).
If (loss), enter -0- in Pan I, line 8
J
2
(52,333)
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic pnvate 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?
0 Yes 0 No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this parl.
1 Enter the appropriate amount in each column for each year, see page 19 of the instructions before making any entnes.
la)
Base ported yew
Adiusted
Calendar year (or tax year beginning in)
04
quabhemg disinleueons
()
Net value of noncchantable.use assets
_
d)
UKInbuttioil ratio
(col M divided by col (c))
2005
1,255,795
22,630,448
0.055491
2004
936,665
20,159,106
0.046463
2003
1,041,560
12,227,806
0.085179
2002
1,243,915
12,221,528
0.101944
2001
902,103
7,498,097
0.120310
2 Total of line 1, column (d)
2
0.409387
3 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 lf less than 5 years
3
0.081877
4 Enter the net value of noncharitable-use assets for 2006 from Part X, line 5
4
22,142,808
5 Multiply line 4 by line 3
5
1,812,987
6 Enter 1% of net investment Income (1% of Part I, line 27b)
6
0
7 Add lines 5 and 6
7
1,812,987
8 Enter oualitvina distnbuttons from Part XII. line 4
8
1.237,003
If line 8 is equal to or greater than line 7, check the box in Pan VI, line lb. and complete that oart using a 1% tax rate. See
the Part VI instructions on page 19.
Fortis 990-PF 20%)
EFTA01714019
Form 99O-PF (2006)
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 494004, 4940(e), or 4948—see age 19 of the instructions)
la Exempt operating foundations described in section 4940(d)(2), check here IP 0 and enter "N/A" on line 1.
I
Date of ruling letter:
(attach copy of ruling letter if necessary—see instructions)
_
.
b Domestic foundations that meet the section 4940(e) requirements in Part V, check
here * O and enter 1% of Part I, line 27b
0
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4%
of Pan I, line 12, col. (b)
—
.._.._
_
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
3
0
3 Add lines 1 and 2
4
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only, Others enter -0-)
5
0
5 Tax based on investment income. Subtract line 4 from tine 3. If zero or less, enter -0-
6
Credits/Payments:
a 2006 estimated tax payments and 2005 overpayment credited to 2006
b Exempt foreign organizations—tax withheld at source
c Tax paid with application for extension of time to file (Form 8868)
ea
18,872
•
.,.
,
6b
Go
d Backup withholding erroneously withheld
6d
.._ J
7
.....—
18,872
7
Total credits and
Add lines 6a through 6d
payments.
8
Enter any penalty for underpayment of estimated tax. Check here O if Form 2220 is attached
8
9 Tax due. If the total of lines 5 and 8 Is more than line 7, enter amount owed
*
9
0
10
18,872
10
Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . *
11
Enter the amount of line 10 to be: Credited to 2007 estimated tax *
18,872 I
Refunded
*
11
Part VII-A Statements Regarding Activities
la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
participate or intervene in any political campaign?
it .
• Yes No
la
1
b Did It spend more than $100 dunng the year (either directly or indirectly) for political purposes (see page
of the instructions for definition)?
20 lb
1
.. . • I
If the answer is "Yes" to la or lb, attach a detailed description of the activities and copies of any materials
published or distnbuted by the foundation in connection with the activities.
c Did the foundation file Form 1120-POL for this year?
1c
. _tc: Ifil
1
.: •
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year
(1) On the foundation. * $
(2) On foundation managers. P. $
J.
der. '
;la'
e Enter the reimbursement Of any) paid by the foundation during the year for
foundation managers. * $
political expenditure tax imposed on kt
—
,
_
s
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
2
1
If "Yes," attach a detailed description of the activities.
. •
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of
._.
• 4
. t .
incorporation, or bylaws, or other similar Instruments? If "Yes,' attach a conformed copy of (he charges
3
i
4a
1
4a Did the foundation have unrelated business gross income of $1,000 or more dunng the year?
b If "Yes," has it filed a tax return on Form 990-T for this year?
4b
N
A
5
1
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
If "Yes," attach the statement required by General Instruction T.
I
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either
• By language in the governing instrument, or
i
• 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?
-
•
6
• •✓,
1
7
I
7
Old the foundation have at least $5000 in assets at any time during the year?lf 'Yes,' complete Part It col (c), and Part XV
8a Enter the states to which the foundation reports or with which it is registered (see page 20 of the
instructions) *
New York
b 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 General Instruction G? If "No," attach explanation
8b
1
i
9 is the foundation claiming status as a private operating foundation within the meaning of section 49426)(3) -- — -. - --J
or 49420)(5) for calendar year 2006 or the taxable year beginning in 2006 (see instructions for Part XIV on
page 28)7 If "Yes," complete Part XIV
9
1
10
I
10
Did any persons become substantial contributors during the tax year? If n'es,"attach a schedule listing their
names and addresses
Page 4
ram 990-PF (2006)
EFTA01714020
PaTIVIF
Form 990.PF (2006)
Part VII-A
lie 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)
b If "Yes," did the foundation have a binding wntten contract In effect on August 17, 2006, covering the Interest,
rents, royalties, and annuities described in the attachment for line lla?
12
Did the foundation acquire a direct or indirect interest in any applicable insurance contract?
13
OW the foundation comply with the public inspection requirements for its annual returns and exemption application?
Website address ►
Page 5
Statements Regarding Activities Continued
11a
llb
12
13
N
A
14
The books are in care of ► George V. Delson Associates
Telephone no. ►
Located at ► 110 East 59th Street, New York, NY
ZIP+4 ►
15
Section 4947(a)(1) nonexempt chantable trusts filing Form 990-PF in lieu of Form 1041—Check here
► K
212909-9680
10022
and enter the amount of tax-exempt interest received or accrued during the year . . . . ► I 15
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
la During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person?
K Yes 0 No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept It from) a
disqualified person?
K Yes 0 No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
K Yes [23 No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
K Yes 0 No
(5) Transfer any income or assets to a disqualified person (or make any of either available for
the benefit or use of a disqualified person)?
K Yes El No
(6) Agree to pay money or property to a government official? (Exception. Check "No" if
the foundation agreed to make a grant to or to employ the official for a penod after
termination of government service, if terminating within 90 days )
K Yes 0 No
b If any answer is "Yes" to la(1)-(6), did any of the acts fail to qualify under the exceptions descnbed in Regulations
section 53.4941K0-3 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
. . . .
► K
c Did the foundation engage in a prior year in any of the acts described in Is, other than excepted acts, that
were not corrected before the first day of the tax year beginning in 2006?
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a pnvate
operating foundation defined in section 49420)(3) or 4942W(5))
a At the end of tax year 2006, did the foundation have any undistributed income (lines 6d and
6e, Part XIII) for tax year(s) beginning before 2006?
K Yes K No
If "Yes," fist the years ► 20 .... , 20 .... , 20
. , 20
b Are there any years listed in 2a for which the foundation is not 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 all years listed, answer "No" and attach statement—see page 22 of the instructions.)
c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
► 20 .... , 20 .... , 20 .
, 20
3a Did the foundation hold more than a 2% direct or indirect interest in any business
enterprise at any time during the year?
K Yes El No
b If "Yes," did it have excess business holdings in 2006 as a result of (1) any purchase by the foundation or
disqualified persons atter May 26, 1969; (2) the lapse of the 5-year penod (or longer period approved by the
Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3) the lapse
of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the
foundation had excess business holdings in 2006.)
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its chantable
purpose that had not been removed from jeopardy before the first day of the tax year beginning in 20067
. . . .
Yes No
lb
N
A
10
2b
3b
4a
N
4b
Form 990-PF (2006)
EFTA01714021
Ferri 990-PF (2006)
Part VII-B
Sa Dunng 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 0 No
(2) Influence the outcome of any specific public election (see section 4955); or to carry on,
directly or indirectly, any voter registration drive?
0 Yes 0 No
(3) Provide a grant to an Individual for travel, study, or other similar purposes? . . .
0 Yes 0 No
(4) Provide a grant to an organization other than a charitable, etc., organization described in
section 509(aX1), (2), or (3), or section 4940(d)(2)? (see Instructions)
0 Yes 0 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 0 No
b II any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 23 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
►
c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax
because it maintained expenditure responsibility for the grant?
0 Yes d 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 0 No
b Did the foundation, during the year, pay premiums, directly or Indirectly, on a personal benefit contract?
•
5b
N
A
6b
•
"1
t I
If you answered "Yes" to Eh, also file Form 8870.
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? . O Yes 0 No
b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? . . .
7b
N
A
p
Statements Regarding Activities for Which Form 4720 May Be Required Continued
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
'I List an officers, directors, trustees, foundation managers and their compensation (see page 23 of the Instructions).
(a) Name and address
(b)
(b) nag and average
per week
devoted to posaon
fo) Comporcation
(If not pad, enter
-0-)
(0) Contrsbutions to
employee benefit lama
and deferred compensation
(0) Expme account.
gun , s
wam"
Jeffrey E. Epstein
6100 Red Hook Quarters, St. Thomas, USVI
Pres./Director
Ctn. linter
0
0
0
Darren K. Ind ke
i ir
in-
New York, NY
VP/Director
nn• hater
0
0
0
Ghlsiaine Maxwe
do George V. Delson Associates
Treasurer
Claus henry
0
0
0
110 East 59th Street, New York, NY
2 Compensation of five highest-paid employees (other than those included on line 1—see page 24 of the instructions).
If none, enter "NONE."
(a) Name and address of oath emPlOYeo paid Mom elan $50,000
ia) Title, and average
hours per week
devoted to position
(C) Compensation
"""
(CO Contnbutoos to
employee benefit
plans and deferred
compensabon
(a) Expense account,
other aliowancea
None
Total number of other employees paid over 550,000
Form 990-PF cz000
EFTA01714022
Form 090-PF moos"
Part VIII
Paso 7
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors Continued
3 Five highest-paid independent contractors for professional services (see page 24 of the instructions). If none, enter
"NONE."
(a) Name and address of each person paid more than 150,000
(b) Type of service
(c) Compensatecn
David Grosot
San Francisco, CA 94131
Consulting
-
50,000
_.. _
._
Total number of others receiving over $50,000 for professional services
Part IX-A Summary of Direct Charitable Activities
► 150,000
List the founders:ate four largest direct chantable activities dung the tax year Include relevant stansheal inforrnaben such as trio number
of organszabcns and other beneficiaries served. conferences convened, research papers produced. etc
Expenses
1
2
3
Part IX-B Summary of Program-Related investments (see nape 24 of the instructions'
Describe the two largest program•related investments made by the foundation outing the tax year on line:stand 2
Arnotait
1
2
Al other progrem-reested investments See page 25 of the metructims.
3
Total. Add lines 1 through 3
•
Po
Perin 990-PF gum
EFTA01714023
Form 990-PP (2006)
Pago 8
•
Part X
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see page 25 of the instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a Average monthly fair market value of securities
b Average of monthly cash balances
c Fair market value of all other assets (see page 25 of the instructions)
d Total (add lines la, b, and c)
e Reduction claimed for blockage or other factors reported on lines 1a and ,
10 (attach detailed explanation)
2
Acquisition indebtedness applicable to line 1 assets
3
Subtract line 2 from line 1 d
4
Cash deemed held for charitable activities. Enter Viz % of line 3 (for greater amount, see page 26
of the instructions)
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
6
Minimum investment return. Enter 5% of line 5
Part XI
to
lb
lc
Id
4 464,942
18,015,066
22,480,008
2
3
22,480,008
4
5
6
337,200
22,142,808
1,107,140
Distributable Amount (see page 26 of the instructions) (Section 4942Q)(3) and Q)(5) pnvate operating
foundations and certain foreign organizations check here ► 0 and do not complete this part )
1
Minimum investment return from Part X, line 6
1
1,107,140
2a Tax on investment income for 2006 from Part V1, line 5
b Income tax for 2006. (This does not include the tax from Part VI )
c Add lines 2a and 2b
2c
0
3
Distnbutable amount before adjustments. Subtract line 2c from line 1
4
Recoveries of amounts treated as qualifying distributions
5
Add lines 3 and 4
6
Deduction from dIstnbutable amount (see page 26 of the instructions)
7
Distributable amount as adjusted. Subtract line 6 from lino 5. Enter here and on Part XIII,
line 1
3
4
5
6
1,107,140
1,107,140
7
1 107 140
Part XII Qualifying Distributions (see page 26 of the instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
b Program-related investments—total from Part IX-B
2
Amounts paid to acquire assets used (or held for use) directly in carrying out chantable, etc ,
purposes
3
Amounts set aside for specific charitable projects that satisfy the:
a Suitability test (pnor IRS approval required)
b Cash distribution test (attach the required schedule)
4
Qualifying distributions. Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income
Enter 1% of Part I, line 27b (see page 27 of the instructions)
6
Adjusted qualifying distributions. Subtract line 5 from line 4
la
lb
1,237,003
2
3a
3b
4
1,237,003
5
6
0
1,237 003
Note:7he 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 990-PF pow
EFTA01714024
•
form 990.PF (2006)
Part XIII
1
Distributable amount for 2006
line 7
2
Undistnbuted income, if any, as
a Enter amount for 2005 only
b Total for pnor years: 20
20
from Part XI
lal
Corpus
04
rem poor to 2005
to)
2005
fie
2006
1,107,140
of the end of 2005:
. - — ---
0
20
0
3
Excess distributions carryover, if any, to 2006:
a From 2001
794,417
b From 2002
638,745
.
!
c From 2003
432,491
_ __ _.
"
d From 2004
e From 2005
139,200
t Total of lines 3a through e
2,004,853
4
Qualifying distributions for 2006 from Part XII,
line 4: to $
1,237,003
•
--- — —
l 1
a Applied to 2005, but not more than line 2a
0
b Applied to undistnbuted income of
required—see page 27 of the instructions)
prior years (Election
.
.
•
i
7-
•v
0
i:
S. '
rs-I . •.. ..i
c Treated as distnbutions out of corpus (Election
ii; ‘
-‘
.. . if !
required—see page 27 of the instructions)
0
-.
tt
-
•
. . ,,
•
r bi
t
1,107,1401
d Applied to 2006 distributable amount
e Remaining amount distnbuted out of corpus
5
Excess distributions carryover applied to 2006
129,863
'
0 •
-, • I
,
,..•1
. r
• • i ".4 A4 4
0
,•
f •
•
r
•
?. t` . '
?
'5
Of an amount appears in column (d), the same I. !
;
I
• i i l '
•
1
4
amount must be shown In column (a).)
,
.
• •
.'l
t' is .
:4, i
6
Enter the net total of each column as I
;
I.
.. f i
i
9
•
indicated below:
; ":
-
- '-‘.
,r..
.‘
. 1.1
%
f:
•
.
i
a Corpus. Add lines 3f, 4c, and 4e. Subtract rine 5
2,134,716 ;)
:
I.. lb J •
.40 .;
b Prior years' undistnbuted income. Subtract
line 4b from line 2b
:-/:,
0
• fr.!
.4
t
4 3 :- 2 ti
- 4
•.,„ ,
,
c Enter the amount of prior years' undistributed '
„,.‘
0
Z
'
t .e
i
.... r -
• ;
income for which a notice of deficiency has been
- •
s'
.
...
r 4 i
•
:
. {
issued, or on which the section 4942(a) tax has '
.s.: : r9)
.
• tg•
.-
been previously assessed
•
, ,::
0
Iv
:-
.
•
.:.
.
•
.. :
i . " t.
• i
d Subtract line 6c from line 6b. Taxable
'
amount—see page 27 of the instructions
0
i. .-
9; :
l'
e Undistributed income for 2005. Subtract line
C.
C. .
9
4a from line 2a. Taxable amount—see page
27 of the instructions
•-•
'
i
0
, t
•
i
•
f Undistnbuted income for 2006. Subtract fines
.
••
4d and 5 from line 1. This amount must be
distributed in 2007
01
7
Amounts treated as distnbutions out of corpus
to satisfy requirements imposed by section
170(b)(1)(E) or 4942(g)(3) (see page 28 of the
instructions)
0
8
Excess distributions carryover from 2001 not
applied on line 5 or line 7 (see page 28 of the
instructions)
794,417
9
Excess distributions carryover to 2007.
Subtract lines 7 and 8 from line 6a
1,340,299
10
Analysis of line 9:
a Excess from 2002
638,745
b Excess from 2003
c Excess from 2004
d Excess from 2005
. .
432.491
139,200
e Excess from 2006
. .
129,863
Pogo 9
Undistributed Income (see oaae 27 of the instructions
romi 990-PF (2036)
EFTA01714025
Form 990-PF 12006)
Part XIV
Page 10
Private Operating Foundations (see page 28 of the instructions and Part VD-A, question 9)
to If the foundation has received a ruling or determination letter that it is a pnvate operating
foundation, and the ruling is effective for 2006, enter the date of the ruling
►
b Check box to indicate whether the foundation is a pnvate operati
foundation described in section
2a Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for
each year listed
b 85% of line 2a
c Qualifying distributions from Part XII,
line 4 for each year listed
d Amounts included in line 2c not used directly
for active conduct of exempt aclm0es
o qualifying distributions made directly
for active conduct of exempt activ0ies.
Subtract tine 2d from line 2c
3
Complete 3a, b, or c for the
alternative test relied upon:
a "Assets" alternative test—enter:
(1) Value of all assets
(2) Value of assets qualifying
under section 49420)(3)(B10)
b •Endowment' allemabve test—enter Ii of
minimum investment return shown in Part
X, line 6 for each year listed
c "Support" alternative test—enter
(1) Total support other than gross
investment income (interest,
dividends, rents, payments on
securities loans (section
512(a)(5)), or royalties)
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(JX3)(8)(M)
(3) Largest amount of support from
an exempt organization . .
(4) Gross Investment income . .
Tax year
(a) 2006
n9
to 2005
Pnor 3 years
(c) 2004
49420)(3) or K 49420)(5)
(d) 2003
(a) Total
bawl Supplementary Information (Complete his part only if the foundation had $5,000 or more in assets
at any time during the year—see page 28 of the instructions.)
I
Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(4)(2).)
Jeffrey E. Epstein
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here ► K If the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requsts for funds. If the foundation makes gifts, grants, etc. (see page 28 of the instructions) to individuals or
organizations under other conditions, complete items 2a, b, c, and d.
a The name, address, and telephone number of the person to whom applications should be addressed:
b The form in which applications should be submitted and Information and materials they should include:
c Any submission deadlines:
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form 990-PF (20061
EFTA01714026
Form 99O-PF (2006)
Part XV
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
II reagent IF an "amIthlii•
show any relationship to
any founclabon manager
or substantial contnbtaor
Foundation
..„ . _,
`''`I-I' us
ntoiPient
Purpose of grant or
contrifivben
Amount
Name and address (home or business)
a Paid during the year
Statement 6
Total
lio.
3a
1,186,000
b Approved for future payment
Total
llo
3b
0
Page 11
Supplementary Information (continue
Form 990-PF (2006)
EFTA01714027
Pone 990-Pf (2006)
Part XVI-A
Page 12
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise Indicated
1 Program service revenue:
a
Unrelated business income
Excluded by section 512.513, or 514
(e)
Related or exempt
function income
0.ee page 29 of
the instructions)
lo)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
b
c
-
d
0
f
g Fees and contracts from government agencies
2 Membership dues and assessments
3 Interest on savings and temporary cash investments
4 Dividends and interest from securities
5 Net rental income or (loss) from real estate:
a Debt-financed property
b Not debt-financed property
6 Net rental income or (loss) from personal property
7 Other investment income
8 Gain or (loss) from sales of assets other than Inventory
9 Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory
11 Other revenue' a
From partnerships
14
414,646
.
, .
.
18
(52,333)
14
94,468
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e)
.i :
i. r .' .
456,781
13 Total. Add line 12, columns (b), (d). and (e)
(See worksheet in line 13 instructions on page 29 to verify calculations.)
Part XVI-B
Line No.
V
Relationship of Activities to the Accomplishment of Exempt Purposes
13
456,781
Explain below how each activity for which income is reported in column (a) of Part XVI-A contributed importantly to
the accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes). (See
Pape 29 of the instructions.)
N/A
roan 990-PF most
EFTA01714028
Form 99(hPF (2036)
Part XVII
Page 13
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
1 Did the organization directly or indirectly engalte 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 politieel
organizations?
a Transfers from the reporting foundation to a noncharitable exempt organization of:
Yes No
(1) Cash
1(i)
13(2)
(2) Other assets
b Other transactions:
(1) Sales of assets to a noncharitable exempt organization
1b(1)
'
11:(2)
(2) Purchases of assets from a noncharitable exempt organization
ttim
(3) Rental of facilities, equipment, or other assets
1b(4)
(4) Rembursement arrangements
1b(5)
(5) Loens or ban guarantees
1b(6)
(6) Performance of services or membership or fundraising solicitations
le
Shanng of facilities, equipment, mailing lists, other assets. Or parel employees
d If the answer to any of the above is "Yes: complete the following schedule. Column (b) should atways show the air manket
value of the goods, o her assets, or services given by the reporting foundation. II the foundation received less than fair merkel
value in any transactson or shanng arrangement, show in column (d) the value of the goods, other assets, or services received.
(a) Lno no (b) mount invoNed
(c) Name of norichantable wieme' ofgancabon
(d) Oescnption of fransten, transaCtrons, and shanng arrangenents
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
descnbed in section 501(e) of the Code (other than section 501(c)(3)) or in section 527?
0 Yes 0 No
b If "Yes complete the fotlowing schedute.
(a) Name of ereannahhn
(b) Type of organaation
(c) Ossenpoen of neatioraleP
I
Sign Here
Onder penallies ot perpsy. I deciare that I
e
ithasfietum. incluctne accompanyme schedeles and statements, and to Me bost of my knowkdge and
'tel, II Is In». correct, and tom We
a n
ereparer
;han taxpayer er aductary) es beseft on ah information of winch propere, tizS any knnvIedge.
1
ØSA
--".
I ia— s4--o--?
\/„Ge•„ P
ni.„4:450,24",}
Signa tre of ofte! or trustee
Dato
11(10
Paid
Preparees
Use Only
Q
tstr
a
....__I
Preparor's
signaluro
Date
/g. /Ob 7
Check il
selt-emPIoYed 1› 0
Preparets SSN er PUIN
(See Signaluro on page 31
of tre insiructions I
Firm's name (or yØ Il
Geo . e V. Delson Associates
seh-effivloyed). adelraas.
and ZIP code
New York. NY 10022
EIN I>
Phone no 1
Form 990-PF (Noe)
EFTA01714029
13-3996471
FORM 990-FF - Y/E 2/28/07
STATENfENT 1
Part I, Line II
Other Income
Second City Capital Partners I, LP
K- I Entity
Prior period adjustment
Part I, Line I 6(c)
Other Professional Fees
Consulting
Second City Capital Partners I, L.P.
K-I Entity
94,468
190,000
284,468
50,000
120,000
Total
170,000
STATEMENT 2
EFTA01714030
13-3996471
FORM 990-PF - Y/E 2/28/07
STATEMENT 3
Part I, Line 23
Other Expenses
Second City Capital Partners L.P.
K-I entity
1,926
Filing Fees
1,003
Professional fees - Second City
Capital Partners L.P. K-I entity
6,556
Bad debt expense - Second City
Capital Partners L.P. K-1 entity
582,151
Total
591,636
EFTA01714031
EIN 13-3996471
FORM 990-PF - Y/E 2/28/07
STATEMENT 4
Part 11, Line 13
Other Investments
Bear Steams Asset Backed
Book Value
Fair
Market Value
Securities Partners LP
7,289,911
11,870,413
Second City Capital
Partners I, LP
6,136,808
6,144,653
13,426,719
18,015,066
STATEMENT 5
Part IV, Line 2
Capital Gain Net Income (Loss)
Second City Capital
Partners I, LP K-I entity
(52,333)
EFTA01714032
STATEMENT 6
13-3996471
FORM 990-PF VIE 2/28/07
PART I. LINE 25 AM) PART XV
Date
Name
Amount
Purpose
3/7/2006
Stockholm School of Economics
25,000
Unrestricted
5/3/2006
The Continium Center for Health & Hearing
25,000
Unrestricted
5/30/2006
Hunter College
3,000
Scholarship
6/1/2006
Martha Graham Dance Company
10,000
Scholarship
6/14/2006
Little Flower Children's Services
10,000
Unrestricted
6/28/2006
Robin Hood
50,000
Unrestricted
7/12/2006
Ballet Florida
20,000
Unrestricted
7/18/2006
Georgia Southern University
10,000
Scholarship
7/18/2006
William J. Clinton Foundation
25,000
Unrestricted
8/10/2006
Freestate Shooters
25,000
Unrestricted
8/11/2006
Zvi Tzedakah Fund
100,000
Unrestricted
9/1/2006
Institute of International Education
100,000
Unrestricted
9/6/2006
Alliance for Lupus Research
5,000
Unrestricted
9/8/2006
Happy Hearts Fund
100,000
Unrestricted
9/27/2006
Ovarian Cancer Research Fund
50,000
Unrestricted
10/3/2006
The Trilateral Commission
50,000
Unrestricted
10/5/2006
Faith in The Future, Inc.
5,000
Unrestricted
10/5/2006
National Council of Jewish Women
5,000
Unrestricted
11/10/2006
The Institute for Music & Brain Science
25,000
Unrestricted
11/16/2006
President and Fellows of Harvard College
100,000
Unrestricted
11/27/2006
Santa Fe Institute
75,000
Unrestricted
1/17/2007
Ballet Florida
15,000
Unrestricted
1/18/2007
Save Darfur Coalition
150,000
Unrestricted
2/7/2007
Stockholm School of Economics
50,000
Unrestricted
2/21/2007
Saint Peter's Prep
3,000
Unrestricted
2/22/2007
Scholar Rescue Fund
150,000
Unrestricted
1,186,000
EFTA01714033
OFFICE COPY
Film 8868
(Rov Apo! 2007)
Cepirtment of the Treasury
Internal Renews Some
• If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box
•
0
• if you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form).
Do not complete Part hl unless you have already been granted an automatic 3-month extension on a previously fled Form 8868.
Automatic 3-Month Extension of Time. Only submit original (no copies needed).
Application for Extension of Time To File an
Exempt Organization Return
► Fite a separate application for each return.
I
Cate No 15454709
Part I
Section 501(c) corporations required to file Form 990-T and requesting an automatic 6-month extension—check this box and
complete Part I only
► 0
Al other corporations (including 1120-C filers), partnerships REMICs, end trusts must use Form 7004 to request an extension of
Gme to bk. Thcorrie tax returns.
Electronic Filing (e-file). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file
one of the returns noted below (6 months for section 501(c) corporations required to file Form 990-7). However, you cannot file Form
8868 electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group
returns, or a composite or consolidated Form 990-1. Instead, you must submit the fully completed and signed page 2 (Part II) of Form
8868. For more defogs on the electronic filing of this form, visit Mini Irs.goviefile and click on e-ftle for Charities& Nonprofits.
Type or
print
Pile by the
due Cate for
fAnCI ?Our
return See
,nseuccons
Name of Exempt Organization
Number, street, and room or suite no. If a P.O. box, see nstnictIons.
do George V. Dotson Associates, 110 East 59th Street
Qty, town or post office, state, and ZIP cede. For a foreign address, see instructions.
New York. NY 10022
Employer identification number
13
3996471
Check type of return to be filed (file a separate application for each return):
O Form 990
0 Form 990-T (corporation)
O Form 990-Bt.
O Form 990-EZ
O Form 990-PF
O Form 9904 (sec. 401(a) or 408(a) trust)
O Form 990-7 (Mist other than above)
O Form 1041-A
O Form 4720
O Form 5227
(-7 Form 6069
O Form 8870
• The books are In the care of • Harry Beller
Telephone No. • (.
)
IMO
FAX No. • 1.1111 )
• If the organization does not have an office or place of business In the United States, Check this box
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEM
If this is
for the whole group, cheek this box
► 0. If it is for part of the group, check this box
•
0
and attach
a list with the names and EINs of all members the extension will cover.
0
1 I request an automatic 3-month (6 months for a section 501(c) corporation required to file Form 990-1) extension of time
until
October 15
.
07
20.
, to file the exempt organization return for the organization named above. The extension is
for the organization's return for.
•
0 calendar year 20
or
•
0
tax year beginning
March 1
, 20 06 , and ending
February 28
. 20 07
2
If this tax year is for less than 12 months, check reason: 0
Initial return 0
Final return 0
Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax,
less any nonrefundable credits. See Instructions.
b If this application is for Form 990-PF or 990.7, enter any refundable credits and estimated tax
payments made. Include any ono- year overpayment avowed as a credit.
c Balance Due. Subtract line 3b from line Sa. Include your payment with this form, or, if required,
deposit with FTD coupon or, it required, by using EFTPS (Electronic Federal Tax Payment
System). See instructions.
3c
3a
3b
8,000
18,872
0
Caution. If you are going to make an electronic fund withdrawal with this Form 8868. see Form 8453-E0 and Form 8879-60
for payment Instructions.
For Privacy Act and Paperwork Reduction Act Notice, see Instructions.
Cat No 279160
Pam 8868 ON. 4-2007)
EFTA01714034
O Form 090
O Form 990-BL
O Form 990-EZ
STOP: Do not complete Part II If you were not already granted an automatic 3-month extension on a previously filed Form 8568.
• The books are in the maid IP HARRY801ER
Telephone No. e• (.
1
FAX No. e
)
• II the organization does not have an office or place of business in the United States, check this box
a• O
• II this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)
If this is
for the whole group, check this box
► O . If it is for part of the group, check this box
lo 0 and attach a
list with the names and EINs of all members the extension is for.
OFFME COPY
Form nee Ace. 42007)
Page 2
• If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box . . ►
Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.
• If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).
'
•
•
• •
maw
nouruonai mot automatic, o-montn extension OT TIMM r ou must rite onqinal aria one copy.
Type or
print
File W the
Name of Exempt Organization
THE C.O.U.0. FOUNDATION, INC.
• • -
Employer Identification number
13 i
3996471
Number, street and roan or suite no. II a P 0 box, see instructions
tip GEORGE V. OBSON ASSOCIATES, 110 EAST 59111STREET
. .
• :
•
:
. •
..
For IRS use ordy
extended
due dale jog
ffirel ee
instructora
Cry.
ZIP
For
tosegn
ineurbons.
t •:4.c.•. t
,,-, r.z.i",;". '
z • : •
" x
...
..
. ..
linen or post office, state end
code
a
address, see
NEW YORK, NY 10022
Check type of return to bo filed (File a separate application for each return):
O Fonn 990-PF
O Form 1041-A
O Form 090-7 (sec. 401(a) or 408(a) trust)
O Form 4720
O Form 990-T (trust other than above)
O Form 5227
O Form 6069
O Form 8870
JANUARY 16
4
I request an additional 3-month extension of tine until
20 00
6
For calendar year
or other tax year beginning
MARCH 1
, 20.01., and ending
FEBRUARY 28
40 07
6
II this tax year is for less than 12 months, chock roascn: O renal return O Final return O Change in accounting period
7
State in detail why you need the extension CERTAIN INFORMATION NECESSARY FOR A COMPLETE AND ACCURATE RETURN
Ba If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax.
less any nonrefundable credits. See instructions.
b If this application is for Form 990-PF, 990-T. 4720. or 6009, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit and any
amount paid previously with Form 8888.
c Balance Due. Subtract Ime 8b from line 8a. Include your payment with this form, or. if required, deposit
with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions
8a
Ob
8c
$ 8,009
$ 18,812
$ 0
Signature and Verification
UnCer penalties ef poetry, I aware that I nave eXanned llvs IOrrn Witluding aCCanparrong SCMCk.eeS and Slelemen15, and to rile bell of my knowledge and Whet.
LI is see. =rect. andcorn:Seto. and that I ant authorized to props° this foam
Signature ►
Tide •
Deo P-
C
K
Notice to Applicant (To Be Completed by the IRS)
We have approved this application Please attach this form to the organization's return.
We have not approved this application However. we have granted a 10-day grace period from the later of the date shown below or the due
date of the urgent:cationic return (including any prior extercione). This grace period is considered to be a valid extension of time for elections
otherwise required to be made on a timely return. Please attach this form to the organization's return.
We have not approved this application. Atter considonng the reasons stated in item 7. we cannot grant your request for en extension of time
to Se. We are not granting a 10-day grace period
Wo cannot consider this application because it was filed after the extended due date of the rotten for which an extension was requested
Other
Director
Alternate Mailing Address. Enter the address if you want the copy of this application for an additional 3-month extension
returned to an address different than the one entered above.
Br.
Odle
Type or
print
Name
Number and street (Include suits, room, or apt. no.) or a P.O. box number
City or town, province or state, and country Oncluding postal or ZIP code)
Form 8868 prey 4-2007)
EFTA01714035