2008 NOT-FOR-PROFIT CORPORATION REINSTATEMENT

2008 NOT-FOR-PROFIT CORPORATION REINSTATEMENT FILED Nov 03, 2008 DOCUMENT# 1496000002084 Secretary of State Entity Name: THE KONI FOUNDATION, INC. Current Principal Place of Business: 1 CLEARLAKE CENTER, #1402 250 AUSTRALIAN AVENUE WEST PALM BEACH, FL 33401 Current Mailing Address: 3265 IMLVD OCEA , 11572 New Principal Place of Business: New Mailing Address: FEI Number: 654670182 FEI Number Applied For ( ) Fe Number Not Applicable ( ) Certificate of Status Naked ( ) In accordance with s. 607.193(2)(b), F.S., the corporation did not receive the prior notice. Name and Address of Current Registered Agent: Name and Address of New Registered Agent: The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: HOWARD SIEGEL Electronic Signature of Registered Agent Date OFFICERS AND DIRECTORS: title: ( ) Delete Title: D ( ) Delete Name: KAPNER. LEWIS Name: WIENER. HOWARD ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: ( ) Change ( )Addtlen Name: Address: City-St-Zip: ( ) Change ( ) Addition Name: Address: City-St-Zip: Title: ( ) Change ( ) Addllon Name: Address: City-St-Zip: I hereby certify that the information supplied with this filing does not qualify for the exemption stated in Chapter 119, Florida Statutes. I further certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with an address, with all other like empowered. SIGNATURE: HOWARD SIEGEL D 11/03/2008 Electronic Signature of Signing Officer or Director Date EXHIBI'l' 83 EFTA00224262 www.sunbiz.org - Department of State Page 1 of 2 FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Home Contact Us Document Searches Forms Help E-Fillng Services Previous on List NV0 OILlaist Beffirrae gyents No Name History Detail by Entity Name Florida Non Profit Corporation THE KONI FOUNDATION, INC. Filing Information Document Number N96000002084 FEI Number 650676162 Date Filed 04/18/1996 State FL Status ACTIVE Effective Date 05/01/1996 Last Event CANCEL ADM DISS/REV Event Date Filed 11/03/2008 Event Effective Date NONE Principal Address 1 CLEARLAKE CENTER, #1402 250 AUSTRALIAN AVENUE WEST PALM BEACH FL 33401 Changed 03/26/2002 Mailing Address 3265 BLVD OCEANSIDE Y 11572 Changed 09/05/2006 Registered Agent Name & Address SIEGEL, HOWARD Entity Name Search Name Changed: 06/03/2005 Address Changed: 06/03/2005 Officer/Director Detail Name & Address Title D SIEG RD http://www.sunbiz.org/seripts/cordetexe?action=DETFIL8cing_doc_number=N96000002084&i... 12/12/2008 EFTA00224263 www.sunbiz.org - Department of State Page 2 of 2 Title D KAPNER, LEWIS 250 AUSTRALIAN AVENUE WEST PALM BEACH FL 33401 Title D WIENER, HOWARD 777 S FLAGER DR WEST TWR STE 1601 WEST PALM BEACH FL 33401 Annual Reports Report Year Filed Date 2006 09105/2006 2007 10/16/2007 2008 1110312008 Document Images 11148/2098 BEN STA:TEM ENT 10/16/2007 - REIN_STATEMENI osion000._-_ARRUAL REPORT. .0.6.10.3/2_09.5_::ANNU4 REPORT OP/5/2001j - ANNUAL REPORT 05/02/2003 - ANNUAL REPORT. 03/26/2902r, ANNUM, REPORT 07/Q6/2091 -ANNUAL REPORT 0A/.22/2901,rOEBITTVIEMQ gwo909.1 7.DEart.mcm iv2.1/2Q0.0.7-. ANNUAL. REPORT_ 04/18/1998 -_DOCUMENTS_ PRIOR:lc:0 997_ View Image in PDF format. View Image in PDF format View Image in PDF format View Image In PDF forMat View Image in PDF format, View image In PDF format View image in PDF format View image In PDF format View image in PDF format View image in PDF format View image in PDF format View image In PDF format Note: This is not official record. See documents if question or conflict. Eretome_on_Liet Next on List Retsimlo_List Events No Name History Home Contact us Document Searches E-Filing Services Forms Help Copyright and Privacy Policies Copyright Ci 2007 State of Florida, Department of State. Entity Name Search httpt://www.sunbiz.org/scripts/cordet.exe?action=DETFIL8cinq_doe_number—N96000002084&i... 12/12/2008 EFTA00224264 2007 NOT-FOR-PROFIT CORPORATION REINSTATEMENT FILED Oct 16, 2007 D0C UM ENT# N96000002084 Secretary of State Entity Name: THE KONI FOUNDATION, INC. Current Principal Place of Business: New Principal Place of Business: 1 CLEARLAKE CENTER, #1402 MOM New Mailing Address: FEI Number: 654)076162 FEI Number Applied For ( ) FEI Number Not Applicable ( ) Certificate of Status Desired (X) In accordance with s. 607.193(2)(bl, F.S., the corporation did not receive the prior notice. Name and Address of Current Registered Agent: Name and Address of New Registered Agent: The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, In the State of Florida. SIGNATURE: HOWARD SIEGEL Electronic Signature of Registered Agent OFFICERS AND DIRECTORS: Title: D ( ) Delete Name: SIEGE O D Title: D ( ) Delete KAPNER. LEWIS Title: N31110: ( ) Delete WIENER, HOWARD Date ADDITIONSICHANGES TO OFFICERS AND DIRECTORS: Title: ( ) Change ( ) Addition Mime: Address: City-St-Zip: ( ) Change ( ) Addition Name: Address: City-St-Zip: Tide: ( ) Change ( ) Addition Name: Address: Cily-SI-Lp: I hereby certify that the information supplied with this filing does not qualify for the exemption stated in Chapter 119, Florida Statutes. I further certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with an address, with all other like empowered. SIGNATURE: STEVEN KAPLANSKY DIR 10116!2007 Electronic Signature of Signing Officer or Director Date EFTA00224265 Comprehensive Business Report Page 1 of 3 Important: The Public Records and commercially available data sources used on reports have errors. Data is sometimes entered poorly, processed Incorrectly and Is generally not free from defect. This system should not be relied upon as definitively accurate. Before retying on any data this system supplies, it should be independently verified. For Secretary of State documents, the following data Is for information purposes only and Is not an official record. Certified copies may be obtained from that individual state's Department of Slate. Your DPPA Permissible Use: Court, Law Enforcement or Government Agencies Your GLBA Permissible Use: Law Enforcement Purposes Comprehensive Business Report Date: 12/09/08 Company Information: Name Variations: Company Name: THE C.O.U.O. FOUNDATION, INC. Phone Variations: (None Found] Parent Company: Name: THE K FOUNDATION INC. Address: 3265Mir BLVD, OCEANSIDE NY 11572-3723 Comprehensive Business Report Summary: (Click on Link to see detail) Industry Information: None Found Company ID Numbers: 1 Found Bankruptcies: None Found Liens and Judgments: None Found Corporation Filings: 1 Found Registered Agents: None Found Business Registration: None Found UCC Filings for Business: None Found Associated Businesses: 1 Found Business Contacts: None Found Motor Vehicles: None Found Properties: None Found FAA Aircraft: None Found Watercraft: None Found Internet Domain Names Registered to Business: None Found IRS 5500: https://secure.aceurint.com/app/bps/report 12/9/2008 EFTA00224266 Comprehensive Business Report Page 2 of 3 None Found Executives: None Found Business Filings: Industry Information: [None Found) Company ID Numbers: State of Origin: FL Charter Number: F08000003048 Bankruptcies: (None Foundl Liens & Judgments: [None Found) Corporation Filings: Corporation Filings # 1 THE C.O.U.Q. FOUNDATION, INC. - As of: 10/1612008 Name Type: LEGAL Address: 250 S AUSTRALIAN AVE STE 1404, WEST PALM BEACH FL 33401-5016 Address Type: MAILING Status: ACTIVE Business Type: FOREIGN NON PROFIT Foreign Incorporation Date: 0710912008 Registered Agent: C T CORPORATION SYSTEM Registered Agent Address: PLANTATION, FL 33324 Place Incorporation: DELAWARE THE C.O.U.Q. FOUNDATION, INC. - As of: 0711112008 Name Type: LEGAL Address: 260 S AUSTRALIAN AVE STE 1404, WEST PALM BEACH FL 33401.5016 Address Type: MAILING Status: ACTIVE Business Type: FOREIGN NON PROFIT Foreign Incorporation Date: 07109/2008 Registered Agent: C T CORPORATION SYSTEM Registered Agent Address: PLANTATION, FL 33324 Place Incorporation: DELAWARE Officers and Directors: THE C.O.U.Q. FOUNDATION, INC. - As of: 10/16/2008 Officer: JEFFREY E EPSTEIN DP 6100 RED HOOK QTRS STE B3, ST THOMAS VI 00802-1348 Officer: DARREN K INDYKE, Officer RICHARD KAHN, DI Registered Agents: [None Found] Business Registration: [None Found] UCC Filings for Business: [None Found] Associated Businesses: Name: THE KONI FOUNDATION, INC. Address: 250 S AUSTRALIAN AVE STE 1402, WEST PALM BCH FL 33401-5015 Associated People: Business Contacts: haps://secumaccurint.com/app/bps/report 12/9/2008 EFTA00224267 Comprehensive Business Report Page 3 of 3 [None Found] Assets: Motor Vehicles: [None Found) Properties: [None Found] FAA Aircraft: [None Found) Watercraft: [None Found] Internet Domain Names Registered to Business: [None Found] IRS 5500 [None Found] Executives: (None Found] https://secure.accurint.com/app/bps/report 12/9/2008 EFTA00224268 Comprehensive Business Report Page 1 of 3 Important: The Public Records and commercially available data sources used on reports have errors. Data Is sometimes entered poorly, processed Incorrectly and is generally not free from defect. This system should not be relied upon as definitively accurate. Before relying on any data this system supplies, it should bo independently verified. For Secretary of State documents, the following data is for information purposes only and is not an official record. Certified copies may be obtained from that individual state's Department of State. Your DPPA Permissible Use: Court, Law Enforcement or Government Agencies Your GLBA Permissible Use: Law Enforcement Purposes Comprehensive Business Report Date: 12/09/08 Company Information: Company Name: THE C.O.U.Q. FOUNDATION, INC. Address: 110 E 59TH ST, NEW YORK NY 10022-1304 Name Variations: Company Name: THE C.O.U.Q. FOUNDATION. INC. Address Variations: Address: 110 E 59TH ST, NEW YORK NY 10022 County: NEW YORK Msa Description: New York, NY Phone Variations: [None Found) Comprehensive Business Report Summary: (Click on Link to see detail) Industry Information: None Found Company ID Numbers: 1 Found Bankruptcies: None Found Liens and Judgments: None Found Corporation Filings: 1 Found Registered Agents: None Found Business Registration: None Found UCC Filings for Business: None Found Associated Businesses: None Found Business Contacts: None Found Motor Vehicles: None Found Properties: None Found FAA Aircrafts: None Found Watercrafts: None Found Internet Domain Names Registered to Business: None Found IRS 5500: None Found Executives: None Found Business Filings: https://secure.accurint.conilapp/bps/report 12/9/2008 EFTA00224269 Comprehensive Business Report Page 2 of 3 Industry Information: [None Found) Company ID Numbers: State of Origin: NY Charter Number: 2360817 Bankruptcies: [None Found) Liens & Judgments: [None Found] Corporation Filings: Corporation Filings fi 1 THE C.O.U.Q. FOUNDATION, INC. - As of: 1012212008 Name Type: LEGAL Address: 110 E 59TH ST, NEW YORK NY 10022-1304 Address Type: PROCESS ADDRESS Status: ACTIVE - GOOD STANDING STATUS CAN ONLY BE DETERMINED BY PERFORMING A SEARCH IN THE RECORDS OF BOTH THE DEPARTMENT OF STATE CORPORATION RECORDS AND THE DEPARTMENT OF TAX AND FINANCE Business Type: FOREIGN NOT FOR PROFIT Filing Date: 0312611999 Date Incorporated: 03/26/1999 Foreign Incorporation Date: 03/16/1998 Term: PERPETUAL Type: EFFECTIVE DATE Place Incorporation: DELAWARE THE C.O.U.Q. FOUNDATION, INC. - As of: 07/2312008 Name Type: LEGAL Address: 110 E 59TH ST, NEW YORK NY 10022-1304 Address Type: PROCESS ADDRESS Status: ACTIVE - GOOD STANDING STATUS CAN ONLY BE DETERMINED BY PERFORMING A SEARCH IN THE RECORDS OF BOTH THE DEPARTMENT OF STATE CORPORATION RECORDS AND THE DEPARTMENT OF TAX AND FINANCE Business Type: FOREIGN NOT FOR PROFIT Filing Date: 03/26/1999 Date Incorporated: 03/26/1999 Foreign Incorporation Date: 0311611998 Term: PERPETUAL Type: EFFECTIVE DATE Place Incorporation: DELAWARE THE C.O.U.Q. FOUNDATION, INC. - As of: 0412112008 Name Type: LEGAL Address: 110 E 59TH ST, NEW YORK NY 10022.1304 Address Type: PROCESS ADDRESS Status: ACTIVE - GOOD STANDING STATUS CAN ONLY BE DETERMINED BY PERFORMING A SEARCH IN THE RECORDS OF BOTH THE DEPARTMENT OF STATE CORPORATION RECORDS AND THE DEPARTMENT OF TAX AND FINANCE Business Type: FOREIGN NOT FOR PROFIT Filing Date: 03/26/1999 Date Incorporated: 0312611999 Foreign Incorporation Date: 0311611998 Term: PERPETUAL Type: EFFECTIVE DATE Annual Report Filings: Status: MICROFILM NBR: 990326000255 Filed Date: 03126/1999 Status: MICROFILM_NBR :990326000255 Filed Date: 03/26/1999 Microfilm Number: 9903260002 Status: MICROFILM_NBR :990326000255 Filed Date: 03/2611999 httos://secure.accurint.com/aon/bos/renort 12/9/2008 EFTA00224270 Comprehensive Business Report Page 3 of 3 Microfilm Number. 9903260002 Registered Agents: (None Found) Business Registration: [None Found) UCC Filings for Business: [None Found) Associated Businesses: [None Found) Associated People: Business Contacts: Nona Found) Assets: Motor Vehicles: [None Found] Properties: [Norte Found) FAA Aircraft: [None Found) Watercraft: [None Found) Internet Domain Names Registered to Business: [None Found) IRS 5500 [None Found) Executives: [None Found) https://secure.accurint.com/apo/bps/reoort 12/9/2008 EFTA00224271 Comprehensive Business Report Page 1 of 7 Important: The Public Records and commercially available data sources used on reports have errors. Data is sometimes entered poorly, processed Incorrectly and is generally not free from defect. This system should not be relied upon as definitively accurate. Before relying on any data this system supplies, it should be independently verified. For Secretary of State documents, the following data Is for Information purposes only and is not an official record. Certified copies may be obtained from that individual state's Department of State. Your DPPA Permissible Use: Court, Law Enforcement or Government Agencies Your GLBA Permissible Use: Law Enforcement Purposes Comprehensive Business Report Date: 12/09108 Company Information: Company Nam NI FOUNDATION INC. Address: 3265E...BLVD, OCEANSIDE NY 11572-3723 Name Variations: Company Name: NICOLAUS KONI FOUNDATION Company Name: THE C.O.U.CI FOUNDATION, INC. Company Name: THE KONI FOUNDATION, INC. Address Variations: Address: 250 S AUSTRALIAN AVE, WEST PALM BEACH FL 33401 County: PALM BEACH Msa Description: West Palm Beach-Boa Raton, FL Address: 250 S AUSTRALIAN AVE 1402, WEST PALM BCH FL 33401 County: PALM BEACH Msa Description: West Palm Beach-Boca Raton, FL Address: 250 S AUSTRALIAN AVE 1404, WEST PALM BCH FL 33401 County: PALM BEACH Msa Description: West Palm Beach-Boca Raton, FL Address: 3265 BLVD, OCEANSIDE NY 11572 County: NASSAU Msa Description: Nassau-Suffolk, NY Phone Variations: Phone: 516-241-1521 Comprehensive Business Report Summary: (Click on Link to see detail) Industry Information: None Found Company ID Numbers: 1 Found Bankruptcies: None Found Liens and Judgments: None Found Corporation Filings: 3 Found Registered Agents: 1 Found Business Registration: 1 Found UCC Filings for Business: None Found Associated Businesses: 23 Found Business Contacts: 6 Found Motor Vehicles: None Found https://secure.accurint.com/app/bps/report 12/9/2008 EFTA00224272 Comprehensive Business Report Page 2 of 7 Properties: None Found FAA Aircrafts: None Found Watercrafts: None Found Internet Domain Names Registered to Business: 2 Found IRS 5500: None Found Executives: 4 Found Business Filings: Industry Information: (None Found) Company ID Numbers: State of Origin: FL Charter Number: F08000003048 State of Origin: FL Charter Number: N96000002084 Slate of Origin: NY Charter Number: 2821493 Bankruptcies: (None Found) Liens & Judgments: (None Found] Corporation Filings: Corporation Filings # 1 THE KONI FOUNDATION INC. - As of: 1012212008 Name Type: L Address: 3265 BLVD, OCEANSIDE NY 11572-3723 Address Type: PROCESS ADDRESS Status: ACTIVE - GOOD STANDING STATUS CAN ONLY BE DETERMINED BY PERFORMING A SEARCH IN THE RECORDS OF BOTH THE DEPARTMENT OF STATE CORPORATION RECORDS AND THE DEPARTMENT OF TAX AND FINANCE Business Type: FOREIGN NOT FOR PROFIT Filing Date: 1011012002 Date Incorporated: 1011012002 Foreign Incorporation Date: 04/1811996 Term: PERPETUAL Type: EFFECTIVE DATE Place Incorporation: FLORIDA THE KONI FOUNDATION INC. - As of: 0712312008 Name Type: L Address: 32651. BLVD, OCEANSIDE NY 11572-3723 Address Type: PROCESS ADDRESS Status: ACTIVE -GOOD STANDING STATUS CAN ONLY BE DETERMINED BY PERFORMING A SEARCH IN THE RECORDS OF BOTH THE DEPARTMENT OF STATE CORPORATION RECORDS AND THE DEPARTMENT OF TAX AND FINANCE Business Type: FOREIGN NOT FOR PROFIT Filing Date: 1011012002 Date Incorporated: 1011012002 Foreign Incorporation Date: 0411811996 Term: PERPETUAL Type: EFFECTIVE DATE Place Incorporation: FLORIDA THE KONI FOUNDATION INC, - As of: 0412112008 Name Type: L Address: 3265 BLVD, OCEANSIDE NY 11572-3723 Address Type: PROCESS ADDRESS Status: ACTIVE - GOOD STANDING STATUS CAN ONLY BE DETERMINED BY PERFORMING A SEARCH IN Intos://secure.accurint.com/aptilbos/renort 12/9/2008 EFTA00224273 Comprehensive Business Report Page 3 of 7 THE RECORDS OF BOTH THE DEPARTMENT OF STATE CORPORATION RECORDS AND THE DEPARTMENT OF TAX AND FINANCE Business Type: FOREIGN NOT FOR PROFIT Filing Date: 1011012002 Date Incorporated: 1011012002 Foreign Incorporation Date: 0411811996 Term: PERPETUAL Type: EFFECTIVE DATE Annual Report Filings: Status: MICROFILM NBR: 021010000338 Filed Date: 1011012002 Status: MICROFILM_NBR :021010000338 Filed Date: 10/10/2002 Microfilm Number 0210100003 Status: MICROFILM_NBR :021010000338 Filed Date: 1011012002 Microfilm Number: 0210100003 Corporation Filings N 2 THE C.O.U.Q. FOUNDATION, INC. - As of: 10/1612008 Name Type: LEGAL Address: 250 S AUSTRALIAN AVE STE 1404, WEST PALM BEACH FL 33401.5016 Address Type: MAILING Status: ACTIVE Business Type: FOREIGN NON PROFIT Foreign Incorporation Date: 07/0912008 Registered Agent: C T CORPORATION SYSTEM Registered Agent Address: PLANTATION, FL 33324 Place Incorporation: DELAWARE THE C.O.U.Q. FOUNDATION, INC. - As of: 07/1112008 Name Type: LEGAL Address: 250 S AUSTRALIAN AVE STE 1404, WEST PALM BEACH FL 33401.5016 Address Type: MAILING Status: ACTIVE Business Type: FOREIGN NON PROFIT Foreign Incorporation Date: 07/0912008 Registered Agent: C T CORPORATION SYSTEM Registered Agent Address: PLANTATION, FL 33324 Place Incorporation: DELAWARE Officers and Directors: THE C.O.U.Q. FOUNDATION, INC. - As of: 10/16/2008 Officer: JEFFREY E EPSTEIN, DP, 6100 RED HOOK QTRS STE B3, ST THOMAS VI 00802-1348 Officer. DARREN K INDYKE, DV Officer: RICHARD KAHN, DIREC Corporation Filings 0 3 THE KONI FOUNDATION, INC. - As of: 10/16/2008 Name Typo: LEE Address: 23 Address Status: INACTIVE Business Type: DOMESTIC NON PROFIT Date Incorporated: 05/01/1996 Registered Agent: SIEGEL HOWARD Registered Agent Address: WEST PALM BEACH, FL 33401 FEIN: 85-0676162 Place Incorporation: FL THE KONI FOUNDATION, INC. - As of: 07118/2008 Name Type: Address: 32 Address Ty Status: ACTIVE Business Type: DOMESTIC NON PROFIT Date Incorporated: 05/01/1996 Registered Agent: SIEGEL HOWARD Registered Agent Address: WEST PALM BEACH, FL 33401 FEIN: 65.0676162 httns://secure.accurint.com/aon/bns/renort 12/9/2008 EFTA00224274 Comprehensive Business Report Page 4 of 7 Place Incorporation: FL THE KONI FOUNDATION, INC. - As of: 03131/2008 Name Typ Address: 3 Address T Status: ACTIVE Business Type: DOMESTIC NON PROFIT Date Incorporated: 0510111996 Registered Agent: SIEGEL HOWARD Registered Agent Address: 250 S AUSTRALIAN AVE STE 1402, WEST PALM BEACH FL 33401.5015 FEIN: 65-0676162 Place Incorporation: FL Officers and Directors: THE KONI FOUNDATION, I Officer. LEWIS KAPNER, DI Officer. HOWARD SIEGEL, Officer: HOWARD WIENER, Officer: LEWIS KAPNER, DI Officer: HOWARD SIEGEL, Officer: HOWARD WIENER, Officer: HOWARD WIENER, Officer LEWIS KAPNER, D Officer: HOWARD SIEGEL, Officer: HOWARD WIENER, Annual Report Filings: Filing Year. 2007 Fled Date: 1011612007 Filing Year: 2006 Filed Date: 0910512006 Filing Year 2005 Filed Dale: 0610312005 Filing Year: 2005 Filed Date: 0610312005 Filing Year 2004 Filed Date: 0810512004 Filing Year: 2003 Filed Date: 05102/2003 Filing Year: 2002 Status: 2002 Filed Date: 0312612002 Filing Year 2001 • Status: 2001 Filed Date: 07106/2001 08 Events: Date: 0912612008 Event: ADMIN DISSOLUTION FOR ANNUAL REPORT Dale: 10/16/2007 Event CANCEL ADM DISSIREV Date: 0911412007 Event: ADMIN DISSOLUTION FOR ANNUAL REPORT Date: 12/2112000 Event REINSTATEMENT Date: 0912611997 Event: ADMIN DISSOLUTION FOR ANNUAL REPORT Registered Agents: Name: SIEGEL HOWARD Address: 250 S AUSTRALIAN AVE STE 1402, WEST PALM BCH FL 33401.5015 Date Last Seen: 3131/2008 httns://secure.accurint.com/aon/bos/renort 12/9/2008 EFTA00224275 Comprehensive Business Report Page 5 of 1 Business Registration: Name: THE KONI FO INC Mailing Address: 3 Filing Number: 021 Corporation Code: S Expiration Date: 10/30f2003 UCC Filings for Business: (None Found) Associated Businesses: Name: ADD-O5 • : • • RTIES LLC CO Address Name: A Address ICAL ALERT CORP ICAL ALERT CORP. BLVD, OCEANSIDE NY 11572-3723 ICONNECT ACQUISITION CORP BLVD, OCEANSIDE NY 11572-3723 Name: ANS CTICUT ACQUISITION CORP. Address: 3265 BLVD, OCEANSIDE NY 11572-3723 Name: BASE PzingWIES LLC Address: 3265 BLVD, OCEANSIDE NY 11572.3723 Name: DO IT F ISES INC Address: 3265 BLVD, OCEANSIDE NY 11572-3723 Name: H C I A N CORP Address: 3265 BLVD, OCEANSIDE NY 11572-3723 Name: HC IA NS CORP Address: 3265 BLVD, OCEANSIDE NY 11572.3723 Name: HCI ACaLialalQN CORP Address: 3265 BLVD, OCEANSIDE NY 11572.3723 Name: HEALTUaalt Address: 3265 BLVD, OCEANSIDE NY 11572-3723 Name: HOWAIIIALUGEL Address: 3265 BLVD, OCEANSIDE NY 11572.3723 Name: LIVE M MERICA ACQUISITION CORP. Address: 3265 BLVD, OCEANSIDE NY 11572-3723 Name: MD ONcial UISITION CORP. Address: 3265 BLVD, OCEANSIDE NY 11572.3723 Name: NEW FOCUS SPORTSWEAR INC, A CORPORATION Address: OCEANSIDE, NY Name: NM CA R, INC. Address: 3265 BLVD, OCEANSIDE NY 11572-3723 Name: NOR ANSWERING SERVICE, INC. Address: 3265 BLVD, OCEANSIDE NY 11572-3723 Name: SAFE Address: 3265 BLVD, OCEANSIDE NY 11572.3723 Name: SAFECQLWir PARTNER, INC. Address: 3265 BLVD. OCEANSIDE NY 11572-3723 littps://secure.accurint.com/app/bpskeport 12/9/2008 EFTA00224276 Comprehensive Business Report Page 6 of 7 Name: SIEGE D M Address: 3261 BLVD, OCEANSIDE NY 11572.3723 Name: THE KONI FOUNDATION, INC. Address: 250 S AUSTRALIAN AVE STE 1402, WEST PALM BCH FL 33401.5015 Name: TRIPS , INC. Address: 326 BLVD, OCEANSIDE NY 11572-3723 Associated People: Business Contacts: Name: JOHNSON JAMES Contact Tale • DOMAIN TECHNICAL CONTACT Address: 2 Date Last Seen: 41112002 Name: ALLISON KAPNER Contact Title - Address: 250 S Dale Last Seen: 611312002 Name: LEWIS KAPNER SSN: xxx-xx-xxxx Contact Title - DIRECTOR , DIRECTOR Address: 250 Date Last Seega Name: HOWARD SIEGEL Contact Title - R , DIRECTOR PROCESS ADDRESS CONTACT Address: 326 BLVD, OCEANSIDE NY 11572-3723 Date Last Seen: 7/1812008 Name: HOWARD WIENER Contact Ti Address: Date Last en: Name: HOWARD WIENER Contact Title • D Address: 1551 Date Last Seen: Assets: Motor Vehicles: (None Found) Properties: [None Found] FAA Aircraft: (None Found) Watercraft: (None Found) Internet Domain Names Registered to Business: (Click name to go to Web site associated with that name) KONIFOUNDATION.COM NICHOLASKONI.COM IRS 5500 (None Found] • https://secure.accurint.com/app/bps/report 12/9/2008 EFTA00224277 Comprehensive Business Report Page 7 of 7 Executives: Name: HOWARD SIEGEL Contact Title - DIRECTOR , DIRECTOR Date Last Seen: 711812008 Name: HOWARD WIENER Contact Title - DIRECTOR , DIRECTOR Date Last Seen: 711812008 Name: LEWIS KAPNER Contact Title - DIRECTOR , DIRECTOR Date Last Seen: 7/18/2008 Name: HOWARD WIENER Contact Title - DIRECTOR Date Last Seen: 312002 https://secure.accurint.com/app/bps/report 12/9/2008 EFTA00224278 Comprehensive Business Report Page 1 of 3 Important: The Public Records and commercially available data sources used on reports have errors. Data is sometimes entered poorly, processed incorrectly and is generally not free from defect. This system should not be retied upon as definitively accurate. Before relying on any data this system supplies, it should be independently verified. For Secretary of State documents, the following data is for information purposes only arid Is not an official record. Certified copies may be obtained from that individual state's Department of State. Your DPPA Permissible Use: Court, Law Enforcement or Government Agencies Your GLBA Permissible Use: Law Enforcement Purposes Comprehensive Business Report Date: 12/09/08 Company Information: Company Name: FLORIDA SCIENCE FOUNDATION Address: 250 S AUSTRALIAN AVE, WEST PALM BCH FL 33401-5018 Phone: 581-366.0084 Name Variations: Company Name: THE FLORIDA SCIENCE FOUNDATION, INC. Address Variations: Address: 250 S AUSTRALIAN AVE, WEST PALM BCH FL 33401 County: PALM BEACH Msa Description: West Palm Beach-Boca Raton, FL Address: 250 S AUSTRALIAN AVE 1400, WEST PALM BCH FL 33401 County: PALM BEACH Msa Description: West Palm Beach-Boca Raton, FL Phone Variations: Phone: 561-366.0084 Comprehensive Business Report Summary: (Click on Link to see detail) Industry Information: None Found Company ID Numbers: 1 Found Bankruptcies: None Found Liens and Judgments: None Found Corporation Filings: 1 Found Registered Agents: None Found Business Registration: 1 Found UCC Filings for Business: None Found Associated Businesses: None Found Business Contacts: None Found Motor Vehicles: None Found Properties: None Found FAA Aircrafts: None Found Watercrafts: None Found Internet Domain Names Registered to Business: None Found IRS 5500: https://secure.accuritmeom/app/bps/report 12/9/2008 EFTA00224279 Comprehensive Business Report Page 2 of 3 None Found Executives: None Found Business Filings: Industry Information: [None Found] Company ID Numbers: State of Origin: FL Charter Number: N07000010684 Bankruptcies: [None Found[ Liens & Judgments: [None Found] Corporation Filings: Corporation Filings # 1 THE FLORIDA SCIENCE FOUNDATION, INC. - As of: 1011612008 Name Type: LEGAL Address: 250 S AUSTRALIAN AVE STE 1400, WEST PALM BEACH FL 33401.5016 Address Type: MAILING Status: ACTIVE Business Type: DOMESTIC NON PROFIT Date Incorporated: 1110112007 Registered Agent: C T CORPORATION SYSTEM Registered Agent Address: PLANTATION, FL 33324 Place Incorporation: FL THE FLORIDA SCIENCE FOUNDATION, INC. - As of: 07118/2008 Name Type: LEGAL Address: 250 S AUSTRALIAN AVE STE 1400, WEST PALM BEACH FL 33401.5016 Address Type: MAILING Status: ACTIVE Business Type: DOMESTIC NON PROFIT Date Incorporated: 1110112007 Registered Agent: C T CORPORATION SYSTEM Registered Agent Address: PLANTATION, FL 33324 Place Incorporation: FL THE FLORIDA SCIENCE FOUNDATION, INC. - As of: 03/3112008 Name Type: LEGAL Address: 250 S AUSTRALIAN AVE STE 1400, WEST PALM BEACH FL 33401.5016 Address Type: MAILING Status: ACTIVE Business Type: DOMESTIC NON PROFIT Date Incorporated: 1110112007 Registered Agent: C T CORPORATION SYSTEM Registered Agent Address: 1200 S PINE ISLAND RD, PLANTATION FL 33324-4413 Place Incorporation: FL Officers and Directors: THE FLORIDA SCIENCE FOUNDATION, INC. -As of: 10/16/2008 Officer: DARREN K INDYKE, ASSISTANT DIRECTOR, 457 MADISON AVE, NEW YORK NY 10022.6843 Annual Report Filings: Filing Year: 2008 Filed Date: 09/17/2008 Registered Agents: [None Found] Business Registration: Name: THE FLORIDA SCIENCE FOUNDATION INC Mailing Address: 250 S AUSTRALIAN AVE STE 1400, WEST PALM BEACH FL 33401.5016 Filing Number: N07000010684 State of Registration: FL https://secure.accurint.com/app/bps/report 12/9/2008 EFTA00224280 Comprehensive Business Report Page 3 of 3 Status: Active Corporation Code: SOS Expiration Date: 5/1/2008 UCC Filings for Business: (None Found( Associated Businesses: (None Found) Associated People: Business Contacts: [None Found] Assets: Motor Vehicles: [None Found] Properties: (None Found) FAA Aircraft: [None Found] Watercraft: (None Found] Internet Domain Names Registered to Business: (None Found] IRS 5500 [None Found] Executives: [None Found] https://secure.accurint.com/app/bps/report 12/9/2008 EFTA00224281 N.) .990-PF Department of the Treasury Internal Revenue Santee EXTENSION ATTACHED Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation • Note: The otganizadon maybe able to use a copyol this return to satisfy slate ropordnq requirements. OMB No.1540,4D51 'For calendar veerl 99 or tax year he InnIn 3/01/99 1999, and ending 02/29/00 Use the IRS label. Otherwise, please print or type. See Specific Instructions, Name of organization " THE C .0.0.0. FOUNDATION, INC. A Employer Identification number 13-3996471 Number and street (or P.O. box number K mall is not delivered to street address) C/O . ASSOCIATES, 110 EAST 59TH ST. Room/sung B Telephone number (see page 9 of the Inflections) City or town, elate. end ZIP +4 ' NEW YORK, . NY 10022 c If extunpOon °pi:40212m Is lir Pend q, clink hum 0 1. Fotelpn orgen~2. chin* Min li. . 2. Orpankr6enstneolng INN 2.6%12st. u. 2 OCk Iwo end 2220iccenputaGon r E If prh-210 I ounds2ort tutus Iva, loninaad u Ow soch:n 5(020024 diedi 2.4. >i f 2 11 Oe Iwnetalion N In 2 20•nontn wmhobca unapt uction 60100022). 002( NM il. G if edam duns/owl new • • • 6. H Check type of organization: In Section 501(914 1 18ectbn4947(e)(1) nonexempt charitable trust I exempt private foundation ' I Other taxable rivate foundation --.J r - I I Fair market value of assets et end . LI Accounting of year ((min Part ll, col. (c), line I 0 16 II› 379, 318 (Part I, column method:E Gash-Li Accrual Other (specify) (d) must be on cash basis.) ----. Part I Analysis of Revenue and Expenses (The tole! of amounts in columns (b), (c), end (c may not necessarily envoi the amounts In column (a) (see page 9 of the Instrucllons).) (a) Revenue and expenses per books ' (0) Net investment Income . • (c) Adjusted net Income (d) Disbursements for charitable purposes (flash basis only) § 2 2 Conuombns, 2112. rem. eke.. teemed 2 Contributions from split-interest 3 Interest on StIdelh and temporary 4 Dividends and [merest from se' Gross rents b (Nei rental income or MS) 8 Not gels or (bss) from ewe 7 Capital gain net income 8 Net short-larm capital gain 9 Income modifications 10a GieSs sales less returns end allowances • • • . b taw Cog °loads sold c Gross profit or (loss) (attach 11 Other Income (ottoch schedule) 12 Total Add lines 1 unearth Win) small) 575, 000 • • trusts cosh investments securities - -.- • • • ' • 123 123 5,379 5,379 ) ., , .. • :. • . ' ' Mulcts net on ana l0 3 (from Part IV, line 2) . - .. • • • :A :, •: 33.21 '.. . : .',:.• ; ''''.'-':, •••••• ‘" - .. . . . 3,1115 i ... • • • , - • v • . • • . , • . • , . . • •• • .• •• l - . .• schedule) . 11 . • ' ,• .• . - . 583,623 8,623 . :. . Operatng and Administrative Expanses 13 Compensellon of officers. directors. Irises:, eta. 14 Other employee siades and wages 15 Pension plans, employee benefits 18a Legal fees (attach schedule) • b Accounting foes (attach schedule) c Other prolosslonal fees (attach schedule) , 17 Interest 18 Texas (attach schedule) or,* peso1201 he vgniaxxx) 19 Depreciation (attach schedule) end depletion 20 Occupancy . . . . ,_,_„„„„..,...,..— • • 21 Tr . corieneelPiEflings 22 Pr II .and-pablitraltr :. . 23 Cm69 anses (attach &abates) . 24 Tot ta? err3ffitg2dliplailtat d pensas. Add In through 23 20 Con ribulleolDEga* ha ^ 26 Tots .expenseranddis1Mnsemen dd fines 24 and 25 48,077 48,077 5,327 • • 5,327 • 3,906 600 • • 13,180 • 13,180 84,111. 84,111 . 155,201 . • 150,695 3T000 - r 3,000 158,201 • 0 0 153,695 27 Subtract line 20 from lino 12: a Excess dr revenue over expanses and disburoomonts b Net investment income (if negative, enter .0-) c Adjusted not Income III negative, enter -0;). . • 425,422 ... • ' . . . • • . • ':•'• . \ I :, . .4 .;‘..: I 8 623 • c • • ". . " • 3,121 JSA 'O21110 .000 999 For Paperwork Reduction Act Notice, see the Instructions Fonx99J,1-PF (1999) (L) EFTA00224282 • 2 Part Attached sceeduks and amounts le the Eleghering of yew . End 21y~ II Balance Sheets description column should be for ong.a.year amounts only. (Sea Instructions.), (a) Book Value Os) Book Value 4 Fair Market Value ' .12 ► • d Less: 4k9 1 Cash -non-Interesl-bearing 13,185 32,216 32,216 2 Savings and temporary cash Investments 1,710 1,710 3 Accounts receivable » . Less: allowance for doubtful accounts » 4 Pledges receivable » • Less: allowance for doubtful accounts la ' 5 Grants receivable 0 Receivables due from deters, dirwtors, huskies, and other disqualified persons (attach schedule) (see pegs 14 of vie inalsedlend) 7 Other notes and loans receivable (attach schedule) » allowance for doubtful accounts le . • • . . • . -- ...•• --.. • 8 Inventories for sale or use . 9 Prepaid expenses und deterred charges 1 0 a investments - U.S. and stole government obtgalions (attach schedule) . b Investments •• corporate stock (which schedule) c Investments - corporate bonds (attach schedule) 1 1 Investments • land, botany, Do. Loss:q nt: bash L re:cumulated deprecimlon is. (attach schedule) • : • . 405,581 343,294 • • . 12 Investments - mortgage loans 13 investments - other (attach schedule) • 14 Land, bugling', end .0. 2:998 equeernent: bests ' Lose: accumulated dconscietion go. 900 schedule) , • 2.•;•.:'4: .:t.:!..: ::•c:::.: . 2,698 . . . .. .: .. :: [t. 2,098 / • • : • • - J 2,098 (Mach 15 Other assets (describe » ) 18 Total assets (to be completed by all films - see page 16 of the Instructions. Also, see page 1,10)M l) . • 1 6 , 3.83 . 441,605 379,318 å •51: 3 17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue 20 Loans From DIfiterS, directors, hostess, and other disqualified peaces 21 Mortgages and other notes payable (attach schedule) 22 Other liabilities (descnbe lle ) 93 Total Ilphiglies (add lines 17 through 221 ' •h . • 2 • • . • .• -Z , ' , • • u• r . • , .. . . . . - • ' — I Net Assets or Fund Balances I Organizations that follow SFAS 117, check hero 10-1 I and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted 25 Temporarily restricted 28 Permanently restricted OrganIzall0nS that do not follow SFAS 117," chock here and complete lines 27 through 31. le H 27 Capital stock, trust prindpel, or current funds 20 Peld.ln or capital surplus, or land, bldg., end equipment fund 29 Retained earnings, accumulated Income, endanmenl. or other funds . 30 Total net assets or fund balances (see page 16 of the Instructions) 31 Total liabilities and net assets/fund balances (see page 16 of the Instructions)" • ... , • „ 16,183 441,605 : —. .' — ' ' 16,183 . 441,605 ... . •. ,. :: -.: . - t. 16,183 . 441,605 • • • • ...: .. ; . -.• 1 Part Ill Analysts of Changes In Net Assets or Fund Balances I 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 years rakart) 1 16,183 2 Enter amount from Part One 27a 2 425,422 ' 3 Other Increases not Included In fine 2 (fleini.z9)› 3 4 Add lines 1, 2, and 3 4 441,605 5 Decreases not Included In line 2 (itemize) OP Total net assets or fund balances at end of year (line 4 mkns One 6)- Part II column (b), fine 30 6 441,605 Fixm090-PF (1999)' J8A 021420 1.000 EFTA00224283 Jan 9E1430%.000 Fenn 990-PF (1 99) Part IV (a) List and describe the kinds) of property saki (o.9.• real estate. 2-atory brick warehouse: or common stock, 200 she. MLC Ca) ' (b) How acquired Mochas° D.Donreloo (c) Date acquired ( 1° Yr') - daY1 — — rte mete sold (me., day, yr.) 1a750 SH AT&T P 6/8/99 12/15/99 b • c d e (e) CUM sales price (6 Depreciation allowed ' (or allowable) (9) Cost or other bests plus expanse of sale (h) Gain or (loss) , (a) plus (g minus (g) a • 42,884 • 39,763 3,121 b c • d . 0 Complete only for assets showing gain In column (h) and owned by the foundation on 12/31/89 (0 Gains pot 0.0 gain minus 00t. (k), but not lass than -0-) or Losses (nom col. (h)) Ili-• ea of 12191/69 CHAdjusted basis as of 12131/69 . 00 Mass of col. (I) • over all, 5), If sly a • b o d a • { If gain, also enter in Part I, Una 7 2 Capital gain net income or (net capital loss)• If (loss), enter 41- in Part I, line 7 ) 3 Net short-term capitol gain or (loss) as defined In sections 1222(5) and (6): If gale, also enter in Part I, line 8. column (c) (see pages 11 and 16 of the instructions). . 1 If 000), enter-0- in Part t fine 6 2 3,121 3 3,121 Capital Gains and Losses for Tax on Investment Income Page 3 Part (For optional use by domestic private foundations subject to the section 4940(a) tax on net Investment I come.) Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income If section 4940(d)(2) applies, leave this part blank. Was the organization liable for the section 4942 tag on the distributable amount of any year In the base period?. . n Yes K No if "Yes,' the organization does not qualify under section 4940(e): Do not complete this part. Enter the appropriate amount in each column for each year; see page 16 of the instructions before making any entries. (a) Erase period wen Calendar year (or tax year beginning ) IN Adjualpd quallying dIsylbutio8s h3) Hal value of oonchadtablease Mob es Distribution ratio (coL (bIsthicid by col all 1998 54,655 6,642 8.2286 1997 • 1996 • 1995 1994 ' • _ 2 Total of line 1, column (d 3 Average distribution ratio for the 5-year base period-divIde the foist on km 2 by 5, or by the number of years the foundation has been in existence If less than 5 years 4 Enter the net value of noncharitablo-use assets for 1999 from Part X, line 5 6 Multiply line 4 by line 3 8 Enter 1% of net investment income (1% of Part I, lino 27b) 7 Add linos 5 and 6 8 Enter qualifying distributions from Part XII, line 4 2 D. 2286 3 4.1143 4 307,635 5 1,265,703 6 86 7 li265,789 8 153,695 If Ilea 8 Is equal to or gloater Plan lino 7, axed the box In Pad VI, lino lb, and COMPSMO that part using a 1% lox rale. Soo tha Pod VI InelroclIons an poop Ie. Form 990-PF (1999) EFTA00224284 • 10i :tear (19991 paw 4 Excise Tax Based on Investment Income (Section 4940(a) 4940(b), 4940(e), or 4948 - see pare 18 of the instructions) • 1 a Exempt operating foundations described In section 4940(dX2), check here * U end enter "NIA" on line 1. Date of ruling letter: (attach copy of ruling letter If necessary -see Instructions) . • . b. Domestic na nizalions that meet the section 4940(e) requirements In Parts, check 1 172 : • here * U and enter 1% of Part I, line 27b v • c All other domestic organization enter 2% of line 27b. Exempt foreign organizations enter 4%d Pad I, lino 12, cot. (b) . • . . . . . 2 Tax under section 611 (domestic section 4947(aX1) trusts and taxable foundations only. Others enter -0-) 3 Add lines 1 and 2 . . 4 Subtitle A (income) lex (domestic section 4947(a)(1) trusts and Usable foundations only. Others enter -0-) Tax based on Investment Income. Subtract line 4 from the 3. If zero or less, enter -0- 172 6 CreatalPayments: a 1999 estimated lax payments and 1998 overpayment credited to 1999 6e b Exempt foreign organizations - taxwithhold at source eb c Tax paid with application for °Mansion of time to file (Fain 2788)• Bc d Backup withholding erroneously withhold 6d 7 Total credits and payments. Add lines 6a through 6d 8 Enter any PENALTY for underpayment of estimated tax. Check here CI If Form 2220 Is attached 9 TAX DUE. if the total of lines 6 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 1 Enter the amount of tine 10 to be: Credited to 2000 estimated tax * • Statements Regarding Activities 1 a During the tax year, did the organization attempt to influence any national, stele, 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 politkal purposes (seepage 17 of the Instructions for definition)? If the answer is 'Yes' to I a or 1b, attach a detailed desert/Hien of the ecratilies and copies of any materials published or distributed by the organization In connection with the activities. c Did the organization file Form 1 120•POL for We year? d Enter the amount (if any) of tax on political expenditures (section 4965) Imposed during the year, (1) On the organization, le- $ (2) On organization managers. la $ a Enter the reimbursement any) paid by the organization during the year for political expenditure tax imposed on organization managers. ► $ 2 Has the organization engaged In any activities that have not previously been reported to the IRS? If 'Yes," attach a detailed &sedation 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 tes,"allach a conformed copy of the changes X 4 a Did the organization have unrelated business gross Income of 81900 or more during the year? b If "Yes; has it tiled a %engem on Form 99b-T for this year? • A 6 Was there o liquidation, termination, dissolution, or substantial contraction during the year? If "Yes," attach the statement required by General instruction T. 6 Are the requirements of suction 508(e) (relating to sections 4841 through 4946) 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 Did the organization have at least $5,000 in assets at any ?me during the year? If -Yea"carlpiefe Part cot. (c). Sod Peri XV. 5 a Enter the states to which the foundation reports or with which it is registered (see page 18 of the Instructions) la NEW 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 0? If "No,"sitech explanation 9 Is the organization claiming status as a private operating foundation Within the moaning of section 49428)(3) or 49420)(5) for calendar year 1980 or the taxable year beginning in 1999 (see instructions for Pert XIV on page 23)? if 'Yes," complete Part XIV 10 Did any persons become substantial contributors during the tax year/ tf "Yes," attach a schedule listing their names and addresses. 11 a Did anyone request to see either the organization's annual return or Its pxomptlon application (or both)? la if "yes," did the orgenle c m moue 1 Instructions? (See General Instruction Q.) ' 11b N The books aro in care of IL_ ASSOCIATES Telephone no. 0-1212) 909-9680 Located at )0. 110 EAST 59TH STREET, NEW YORK, NY 71P+4 so• 10022 13 Section 4947(a)(1) nonexempt charitable trusts fling Form 990-PF in lieu of Form 1041 • check here and enter the amount of tax-exempt interest received or accrued dudnq the year Pit 13 I 2 3 4 172 200 28 Yes No X 1n b 0 • I .: 10 ► • la 29 I Refunded ► 10 11 2 _ 4a 4b 6 • • • N • X X • X • ' 0 7 Bb X X 10 X JSA 951140 1.000 Form 990-PF (1999) EFTA00224285 Form 990-PF (1999) Page 6 IWITElleIrl 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. No 1 Self-dealing (section 4941): ' a During the year did the organization (either (Erectly or indirec0y): ' Engage In the sale or exchange, or leasing of property with a disquall0ed person? Ei Yes El No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? Yes No (3) Furnish goods, services, or facilities to (or accept thorn from) a disqualified person? Yes 7 No (4) Pay compensation to, or pay or reimburse the expenses of. a disqualified person? Yes ir No (6) Transfer any income or assets to a disqualified person (or make any of either ava0able for the benefit or use of a disqualified person)? K yes El No (8) Agree to pay money or properly 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, if terminating within 90 days.) C:l Yes El No b II any answer Is "Yes" to tail)-(6), did ANY of the acts tall to qualify under the exceptions described In Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance (see pogo 10 of the instructions)? A Orgunize0ons relying on a current notice regarding disaster assistance check here • c Did the organization engage In a prior year in any of the acts described in In, other than excepted acts, that wore not corrected before the first day of the tax year beginning In 1999? 2 Taxes on failure to distribute Income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 49420X3lor 49420X5)): a At the end of tax year 1990, did the organization have any undistributed Income (lines 6d and 6e, Pal XIII) for tax year(s) beginning before 1999? El Yes No If "Yes," list the years 19 , 19 , 19 19 b Are there any years listed in 2a for which the organization Is NOT applying the provisions of section 4942(8X2) (relating to Incorrect valuation of assets) to the year's undistributed Income? (II applying section 4942(0X2) to ALL yours listed, answer 'No' and attach statement - see page 18 of the Instructions.) a If the provisions of section 4942(aX2) are being applied to ANY of the years listed In 2o, list the years here, 19 , 19 , 10 ., 19 3 Taxes on excess business holdings (section 4943): a Dld the organization hold more than a 2% direct or indirect Interest in any business enterprise et any time during the year? tJ Yes E No b • If 'Yes," did it have excess business holdings in 1999 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(0(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 deli nine If the organization hod excess business holdings in 1999.) 4 Taxes on investments that Jeopardize charitable purposes (section 4944): a 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, 1989) that could Jeopardize its CharitatAe purpose that had not been removed from Jeopardy before the first day of the taxyear beginning in 1999? 6 Taxes on taxable expenditures (section 4946) and political expenditures (section 4955): a During the year did the organization pay or Incur any amount to: (1) Carry on propaganda, Of otherwise attempt to influence legtstation (section 4945(e))? E Yes pui No (2) Influence the outcome of any specific public election (see section 4955); or to carryon. directly or Indirectly, any voter registration drive? Yes X No (3) Provide a grant to an individual for travel, study, or other similar purposes? Yes X No (4) Provide a grant lo en organization other than a charitable, etc., organization described FX- I No in section 609(0)(1), (2), or (3), or section 4940(d)(2)? E i Yes (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals? [1 Yes No b If any answer Is "Yes' to 5a(1)-(5), did ANY of the transactions fat to qualify under the exceptions described in Regulations section 63.4946 or in a current notice regarding disaster assistance (see page 19 of the instructions)? Organizations relying on a current notice regarding disaster assistance chock hero le o If the answer Is 'Yes' to question 5a(4), does the organization claim exemption from the tax because it maintained expenditure responsibilty for the grant? K Yes No If "Yes." or iffettfhe statement required biReoulations section 53.4945-5kh. JSA 901450 1.000 : . lb c Yea t : . ..• 21:1 3b . • • • • A 4a 4b SC •.. lb •• • Form 990-PF (1999) EFTA00224286 Form 990-PF (1999) Part VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, andtontractors Page 6 1 List au officers, Directors, trustees, 'inundation onagers ana tneir compensation (two page la or me instructions): . ' (a) Name and address (b) VIM, and average hours per week devoted to position la) Compensation 0( not paid, enter a) (dl cause:Mkt* to employee benehjaant and debated compeneen (e) Expense account, other allowances JEFFREY E. EPSTEIN 6100 RED HOOK -QUARTERS, ST. THOMAS, VI PRES/DIR ONE HOUR 0 0 0 DARREN K. INDYKS 457 MADISON AVENUE, NY, NY . /DIR : ONE HOUR 0 0 0 GHISLAINE MAXWELL 676a ASSOC.-110 E. 59TH ST.NY, NY TREAS. /DIR ONE HOUR 0 0 0 2 Compensation of five highost-pald omployoos (other than those Included on line 1 • see page 19 of the Instructions). If none, enter "NONE," , • (e) Name and address of each encioyoo paid mao than $50,000 • (b) Tile and overage hours per week devoted to position (a) Comp myttLun (d) ConttrAira. to etpluyes Imuifil lions and detenul coventakon (e) Expense account, other allowances NONE . . . Total number of other employees paid over $50,000 1, 0 3 Flve hIghest-paid Independent contractors for professional services (see page 19 of the Instructions). If none, enter " E " (a) Name and address of each potion paid mom than $50.090 (b) Type of service (c) Compensation . - .• - • Total number of others receiving over $60,1300 for professional services le. 1 0 Part IX.A Summary of Direct Charitable Activities List tho foundation's four largest *sot charitable actIbilles during the tax year. Includo relevant sisesiical Information such is the number of organizations end other beneficiaries served, conferences convened, research papers produced, etc. ExPenses 2 4 Form 990-PF (1999) JSA OE 1460 1.000 EFTA00224287 Fonn 990•PF (1999) Part DC-B "ascribe any program-related Investments made by the foundation during the tax year. Amount 2 3 Part X Summary of Program-Related Investments (see page 20 of the instructions) Page 7 Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see page 20 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 21 of the instructions) d Total (add lines 1a, b, and c) e Reduction claimed for blockage or other factors reported on lines 1a and 1c (attach detailed explanation) l 1e I 2 Acquisition indebtedness applicable to the 1 assets • 3 Subtract line 2 from line ld 4 Cash deemed held for charitable activities. Enter 1 112% of line 3 (for greater amount, see page 21 of the Instructions) 6 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and en Partl, line 4 Minimum Investment return. Enter 5% of line 5 1a lb lc 1d 288, 614 • 23,706 312,320 3 312,320 4 6 4,685 6 307,635 15,302 zei Distributable Amount (see page 21 of the instructions) (Section 4942(j)(3) and (j)(5) private operating Zall foundations and certain foreign organizations check here b. ri and do not complete this part.) 1 Minimum Investment return from Part X, lino 6 2 a Tax on Investment Income for 1999 from Pert VI, line 5 b Income tax for 1999. (This does not include the tax from Pad VI.) c Add lines 2a and 2b 3 Distributable amount before adjustments. Subtract line 2c from fine 1 4 a Recoveries of amounts treated as qualifying distributions 4a I b Income distributions from section 4947(a)(2) busts 4b c Add lines 4a and 4b 5 Add linos 3 and 4c 6 Deduction from distributable amount (see page 22 of the Instructions) 172 1 15,382 7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII. line 1 . Part XII Qualifying Distributions (see page 22 of the instructions) 172 15,210 5 15,210 15,210 1 Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes: a Expenses, contributions, gift's, etc. - total from Part I, column (d), line 26 la 153, 695 • b Program-related investments - total of itnes 1-3 of Part IX-B . . . . . . . . . . . 2 Amounts paid to acquire assets used (or held for use) directly In carrying out charitable, 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 hire and on Pad', Ilne 8 and Pett XIII, line4 4 153, 695 5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment Income. Enter 1% of Part I, lino 27b (see page 22 of the Instructions) Adjusted qualifying distributions. Subtract line from line 4 6 153, 695 . Note: Tho amount on line 6 will be used in Part column (b), in subsequent years when ca auto iag whether the foundation qualifies for the section 494O(e) reduction of tax in those years. lb 2 3a 3b 5 Form 99043F (1999). JSA SE 1470 2.00 EFTA00224288 Form 990-PF (1W49) Part XIII • 1 Distributable amount for 1999 lino 7 2 UndIshibutod Intone:41f any, a Enter amount for 1998 only 6 Total for prior Aars: horn Part XI, (a) °NOM (b) Years.?tor to 1998 Pt 1998 (d) 1999 • •" 15,210 as dem ond c41993: • •• • r T• 0 • r%.• • • . ' . . '. hi. .' 3 Excess distributions carryover, If any, to 1999: . a From 1994 ••• • .; .r. • • -1 .) - • : :-::' ', .:..- • • • •• • / • , . . . b From 1995 : C From 1996 .., 54,323 , : •• .-- v •• - •• • ' "'; - • •,{, • . - • . • . :: • ' • • • • • d From 1997 o From 1998 54,323 f Total ol linos 3a through e 1999 from Part , ••- 4 Qualifying distributions for XII, Mee:6r 153,695 --,. • a .. •. Applied to 1998, but not more than line 2a of prier years •..... : •::::. ot b Applied to undistributed income (Election required -see page 23 pith* kislioclIons) . -. • 0 Treated as distributions out Or corpus (Election . required - see page 23 of the instructions) , • 6 - , • . ;• . t ... .:. .. . . . . .i e d Applied to 1999 distributable amount 15,210 iy .Rem pin* amount distributed out of corpus 138,485 ;. .- t • 7 .:.. ( .• .* ; 1 •• • • ;.: , • ••• • 6 Excess distributions carryover applied to 1999 0 (Ilan amount appears In column M. the some • • .• . • • amount must be shown In column (a).) 6 Enter the not total of each column as —. . .. " .• Indicated below: a Corpus. Add lines 3f, 4c, and 4e. Subtract line 6 b Prior years' undistributed Incase. Subtract ' 192 808 • :"• • • • • — •:: 0. :•,....,.. ...i. ...•. •. • . , .:..• • •s,..........r.: •.... ". '‘F ‘..-0 . :. . ' " • " " • • lino 4b from line 2b . '. ' 7s•-5 ' o Enter the amount of prior years' undistributed 1...‘:,...n... . ::.::.:.• yir,,:;•:,...s.,;• • - Income for which a notice of deficiency has been . :. ....I:414:v ',...n.c. Issued, or on which the section 4942(a) tax has .t., - •• 2!.t.• N.?. ; t . . boon previously assessed ',It's ..i. : •:• " ..i:r. :61— .• d Subtract line 03c from line Ob. Taxable • • • •.: •• - .. • • •' . . amount . see page 23 of the instructions %. 0 UnOtslilbuted Income lot 1998. Subtract line ria • •" ' .• • ... horn line 20. Taxable amount • ego page 23 of Me Ineltuctions • t • . . f Undistributed income (or 1999. Subtract tines .- - -•• • ' „ ... ... 4d and 6 from line 1. This amount must bo distributed in 2000 . . . . 7 Amounts treated as distributions out of corpus lo • .... satisfy requirements Imposed by section 170(b)(1XE) or . . ; ,i .. • . € ' 4942(91(3) (see pope 23 of the Instructions) . . ....c..: L .'s . ... 8 Excess Olettleutions convener from 1994 no! applied • . .. . . on line 5 or line 7 (see page 23 or the insbudione) 0 •'1' ,, • ,7:‘, •' ":;' t' .• • • -' 9 Excess distributions carryover to 2000. S 7 and 8 from line ea ' Subtract Met 192 8b8 . . •. a.: , • • . . - .• ,. 10 Analysis of fine 9: ...2 : • , . . ... : ; : ;: •, r •,.. -- " . a Excess from 1996 . . . 1 'az. "•‘&• ; • • • • • I b Excess from 1998 . .•. ,,,- '.• • : :• .:',;:•••: • :: . • • • , — c Excess from 1997 . . . • d Excess from 1998 . . . 54,323 .."• • •,'.4'. 'i: P III .: Sii. •••!:':: A. • •!• • . •• .• " • .. • • ... ••• • • • .7 e Excess inrm 1999 . . . 138,485 • •;„ • •:...i.: ,• ••• •.:.!:%.• • • • • ......t. ... .- : . • -...- fr., : • • . • Undistributed Income (see page 22 of the Instructions) Paw 8 999-PF (1909) • JSA 901400 2.000 EFTA00224289 Form 990.PF 0091 Paco 9 Private Opera Ong Foundations (see Page 24 of the Instructions and Part VII-A, question 9) 1 a it the foundation has received a ruling or determination letter, that It Is a private operating • foundation, and the ruling is effective for 1999, enter the date of the ruling 'b Check box to indicate whether the organization Is a private operation foundation described In section 2a Enlist the lesser ol the adjusted not Income kom Pad I or the minimum Investment return from Pert X for each year Hoed . . b 85% d4 Ine 2e o 00416r0 Oleelbutons Wm Pen a I Ina 4 ea cad. yes, d Annowls Inekdad In Me 2e not vied cliteclly hoc wiles coquet of gawp( ecnnees o Ouellhinp diseleueons nude Woolly to; ediseundudo tempt etInthis. Sublime We 20 lumens 20 3 Complete 3e. b.acla the ellennothro mewl Rued ups* a •AseNe ellomalne IMF order. (1 ) Vilma of eS$411 . . . (2) Vele. ol sew% que6hing undo: eween 4042063X0X0 b 'Endeemenla &Weber. tesl• (M or 2(3 oh minimize Investment itlam shown II Pad X, We 6 for own yern fitted C •Suppon• pitman.* wet • eaten (1) Teed ' ,WOW Oiler Vien vote Unownwl Income (henna %%Jacinth, tenN. mown!. on toswelof loam 0o2lon 512(1X69. or wieney) (2) Supped 00m V6660 public, end 5 ot mom °tempt orgerthellons es proMal In sock* 45420X3 (a)(2) . (3) te.gnt eincelnl of euppol bon en weenie organialett Tax year (2.1 1099 fin 199a Prior 3 veers (o) 4942M(3) or I I 4942(1X5) (d) loos Pa Total 4 Gross kl110116004i0Vn, • Supplementary Information (Comp eta this part only If the organization had $5,000 or more in assets at any time during the year see page 24 of the Instructions.) 1 Information Regarding Foundation Managers: a List any managers of the foundation who have contributed more Mari 2% of the total contributions received bythe foundation before the close of any tax year (but only if they have contributed 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 largo podlon of the ownership of a partnership or other entity) of which the foundation has a 10% Or greeter Interest. 2 Information R2E,• rdIng Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here 1 ILI II the organization only makes contributions to preselected charitable organizations and does nol accept unsactied requests for funds, li the organization makes gifts, grants. etc., (see base 24 of the Instructions) to ineraduan or mania:ions under other condatons. complete horns 2e, b.0. end O. a The name, address, and telephone number of the person to whom applications should ho addressed: b The form In which applications should be submitted and Information and materials they should intrude: e Any submission deadlines: d Any restrictions or limitations on awards, such as by geographical arms, charitable fields, kinds of institutions, or other Wore: JSa 951490 i.o0o Form 990•PF (1999) EFTA00224290 Page 10 Form 090-PF (1999) Ina Supplementary Information (continued) 3 Grants and Contributions Paid During the Year or Approved for Future Payment Recipient If recipient Is on IndMiluat, show any reletkoship to eny foundation mamma( or „ motions „ ono,* Forrod000n slaws of rectratia Purpose of grant or contribution Amount • Name end address (home or business) • a Paid during the year STATEMENT 4 • Total It. 3a 3, 000 b Approved for future payment • • • la• Total 3b o !SA 9E1401 1.000 Form 990-PP (1999) EFTA00224291 Form 990-PF (1999 Part Enter g Pro a b C d 2 Met 3 Intoi 4 Di 5 Net • b 6 Net 7 Oth 8 G 9 Net 10 Grc 11 Oil b d 12 Bbl 13 Total. Add line 12, columns (b), (d), and (e) evi 3 See worksheet In Una 13 Instructions on patio 25 o verify calculations,) • . . : Relationship of Activities to the Accomplishment of Exempt Purposes Explain below how each activity for which Insane Is reported In column (e) of Part XVI-A contributed Importantly to Line No. the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). (See r page 26 of the instructions.) Pagel 1 ar\ n Analysis of Income-Producing Activities oss amounts unless otherwise Indicated. Unrelated business tnoonie Excluded b) section 512, 513, or 514 (0) irgt clorinegTe Rit,tn:IgS yom service revenue: Of Business code (b) Amount (c) Elbtr il . (10 Amount Fees and contracts horn government agencies nberstilp dues and assessments eel on savings end la-votary cash investments Bends and Interest from securities rental Income or (loss) from real estate: Debt-financed property Not debt-financed property rental bloom. or (loss) from Personal ProPert7 or Investment income t or (loss) from sales of assets other then Inventory Income or (loss) from special events iss profit or (loss) from sales cf Inventory Ler revenue: a • 14 123 14 5, 379 . .. . . . . ... . . . . . • • . 18 . • 3, 121 • dotal .Add columns (b), (d), and (e) , , '.: • . B, 623 Form 990-PF (1999) JSA 9E1402 1.000 EFTA00224292 JSA Forma PF 19991 Page 12 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations 1 Dld the organization directly or indirectly engage In any of the following with any other organization described in section • 501(c) of the Code (other then section 501(0(3) organizations) or In section 527, relating to' politicd organizations? a Transfers from the reporting organization to a nonchadtoble exempt organization of: (1) Cash • (2) Other assets b Other Transactions: (1) Sales of assets to a nonchanteble exempt organization (2) Purchases of assets from a noncharilade exempt organization (3) Rental of facilities, °yeti:Font:int , or other assets (4) Reimbursement arrangements (5) Loans or loan guarantees (6) Performance of services or membership or fundraising solicitations c Sharing of facilities, equipment, mailing lists, other assets, or pdd employees d If the answer to any of the above is 'Yes, complete the following schedule. Column (0) should Sways show the fair market value of the goods, other.assels, 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 °smith, or services received. Yes jri(11 11(21 1601 1b(21 lb(31 1l)(41 111(61 1b(6) 10 N x X 141Ina no. fb) Amount Involved (c)Nome of nonchadtable exempt ottanlzaeon (d)0escrlellon of transfers tranyacUorm. and sharing ammeernonts z a Is the organization directly or Indirectly affiliated vhIlt, or related to, one or more tax-exempt organizations described In section 601(c) of the Code (other then section 501(c)(3)) or In section 527? Ekes ONG • • NI N91110 ci ORIOnitalkin 04 WM/ of oreanInsive fel Deeerleaen ottoman EPSTEIN INTERESTS PRIVATE FOUNDATION JEFFREY E. EPSTEIN IS PRESIDENT AND A CONTRIBUTOR TO BOTH FOUNDATIONS Part XVIII Public Inspection (see page 26 of the Instructions and Gene al Instruction Q) 1 Enter the date the notice of availability of the annual return appeared Inn newspaper gs JANUARY 5, 2001 2 Enter the name of the newspaper IP- THE NEW YORK LAW JOURNAL 3 Check berets' LI to Indicate that you have attached a copy of the newspaper notice required by the Instructions on page 20. (If the notice Is not attached, the return Will be considered inceMoletel Under emerge I declare that I home examined this ;elem. Including accompaming schedules end stabonents, end to the best el my Mcmfedge end beret, a Is true, se intl.:omelet . Declaration of preparer (other than taxpayer of idudery) It based on Min ion oletdch ortolan:4 has any knowledge. / 0 I 7 mi i/d / 6 "ter, eliA, / opt° r Tide Signature of lent Prepare?. t elfindure n.° Firm's name (or 0 ILE D" yours if self-employed) and address Dal 0/ ASSOCI 110 EAST 59TH STREET NEW YORK,, NY Check if self- TIN employed EIN 0. 13-2842281 ZIP+4 ► 30022 9514931.000 Form 990-PF (1O6) • EFTA00224293 • STATE OF NEW YORK County of New York, s: 'DIE ANNUAL tusturbq OF :THE u.o.u.o. FOUNDATION Toura*cl ofiizst year ended Zeit ; peinelpal office Welded at ale Daimon Associates. 110 East ,69111 Street, • New York: NY .10022 for kn:motion during ..negular business boUt5 by any citizen who requests it within .160 days hereof. Principal Manager of the P'oundition is '3EPPIIEY.•E.EPSTEIN. • Leslie Francis, being duly sworn, says that she is the PRINCIPAL CLERIC of the Publisher of the NEW YORK LAW JOURNAL, a Daily Newspaper; that the Advertisement hereto annexed has been published in the said NEW YORK LA OURN one time on the 5th day of January, 200 TO WIT: JANUARY 5, 2001 SWORN TO BEFORE MB, this 5th day Of Janu Christine A. Allen Notary Public, State of New York . No. 0IALS072870 ' • • Qualified in Nassau County . Commission Expires Feb. 10, 2001 • } /et- t--; EFTA00224294 THE C.O.U.Q. FOUNDATION 13-3996471 Y/E 02/29/00 FORM 990PF STATEMENT 1 PART I. LINE 1 CONTRIBUTIONS RECEIVED Jeffrey E. Epstein 6100 Red I look Quarters #2 St. Thomas, VI 00802 John J. Hannan do Apollo Management, LP 1301 Avenue of the Americas New York, NY 10019. William Mack c/o Apollo Management, LP 1301 Avenue of the•Americas New York, NY 10019 Leon Black c/o Apollo Management, LP 1301 Avenue of the. Americas New York, NY 10019 Total . 75,000 166,667 166,666 166,667 575,000 STATEMENT .2 PART I. LINE 23 OTHER EXPENSES Bank Charges 21 Research 75,000 Filing Fees 619 Health Insurance 3,436 Miscellaneous 25. Office Expense 850 Payroll Expense 1,402 Telephone • 2,758 Total 84,111 EFTA00224295 THE C.O.U.Q. FOUNDATION 13-3996471 Y/E 02/29/00 FORM 990PF • STATEMENT 3 PART IT. LINE 10(b1 INVESTMENTS. CORPORATE STOCK Book Value Market Value 7,650 SII AT&T. 405,581 343,294 STATEMENT 4 PART XV. LINE CONTRIBUTIONS PAW 05/03/99 World Economic Forum $3,000 EFTA00224296 • Form 2758 (Rev. Juno 1998) . Department of pie Treasury “•temni Revenue Service Application for Extension of Time to File Certain Excise, Income, Information, and Other Returns IP File a separate application for each return. OMB No. 1546.0146 abOuor M. Fib lbo edging] end ono copy by the due dale for filing your •rolum. See Instructions on beck. Name THE C.O.U.Q. FOUNDATION, INC. Number, sheet. and room or tulle no. (or P.O. box no. If numb not doWired to street mains) ['notary Iden Mica lion number 13-3996471 C/O Oily, loom or post atm stele, end ZIP code For stoner eddies,, no Instructions. NEW YORK, NY 10022 s• ASSOCIATES, 110 EAST 59TH STREET Note: Corporate Income tax return fliers must use Form 7004 to request an extension of time to file. Partnerships, REMICs, and trust must use Form 8736 to request en extension of time to me Form 1065, 1088, or 1041. request an extension of time until JANUARY 15, 2001 , to (ileSeck Form 1120-ND (sac. 4051 taxes) only one): Form 8812 Form.70643,S(D) • Form 708-GS(T) _ Form 990-Teruel other than above) Form 3520-A ' — Form 8613 Form 990 or 990-EZ _ Form 1041 testate) (see instructions) Form 4720 Form 8726 — Form 990431. Form 1041-A Form 5227 Form 8804 Form 990-PF — Form 1042 Form 6069 _,, Form 8831 ' If the organisation does not have an office or place of business In the United Slates, check Iles box 28 For calendar year _ _ _ _ , o other tax year betInnIng • 03/01/99 and endIngo 02/28/2000 b it this tax year Is for teas than 12 months, check reason: . 1:11nItial return 0 Fine% return Change In accounting period 3 Has an extension of time tette been previously granted for this taX yaw? . . .. .. .. . . . . ........ . . . . . ... . . 0 vas CI No 4 Stale In detail why you need the extension INFORMATION NECESSARY FOR THE PROPER COMPLETION OF THE RETURN IS NOT YET AVAILABLE. 50 If ibis form le for Form 70608(3), 708-08(T), 990.-7B1, 9%-PP, 990-T,1041 (estate), 1042,1120410,4720, 5069, 8612, 8813, 8725, 8804. or 8531, enter the tentative tax, less any nonrefundable credits. Soo instructions $ 200 If this form Is for Form 990-PF, 990-T, 1041 (estate). 1042, or 8804, enter any refundable aodits and estimated tax payments made. Include any prior year overpayment avowed as a credit S 200 Balance due. Subtract lino 5b from line 6a. Include your payment with this form, or deposit with FT0 coupon II required: See Instructions r Y. . . $ 0 Signature and Verification lam that I havaexmnlnod this (um, Including accompanying schedules and statements, and to the best of my Smoniedge d COM (i; sad that I am authorized to prepare this term. Under penalties of perlurY and belief. a Is true, co sisnoso % hue It. CPA • oats * / 04 4/ °, FILE ORIGINAL AND ON COPY. The IRS will show below whether or not your application Is approved and will return the copy. Notice Reset • To Be Completed by the IRS We HAVE approved your application. Please attach this form to your rettxn. We HAVE NOT approved your application. However, we have granted a 10-day grace period from the later of the date shown below or the due date of your return (Including any prior extensions). This grace period le considered to be a valid extension of time for elections otherwise required to bo made on a timely return. Please attach this form to your return. • Q We HAVE NOT approved your application. After considering the reasons slated in item 4, we cannotataitffsrogsgpipROVED an extension of lime to tile. We ere not granting the 10-day grace period. Lj We cannot consider your application because It was tiled after the duo date of the return for which an extension was requested. Other: NOV 0 2 2000 'El Director By: nicHtfto CREAMER DIRE97, If you want a copy of this term to be returned to en address other than that shown above, please enter the address to which the copy should be sent Name seen ASSOCIATES 190 I Nunibo; street, end room or wile no. (or P.O. box na $mail la not delvered lo steel address) or '110 EAST 59TH STREET City, twin or pest olke, stele. end ZIP code. Fore lorekin address, too instmdlons. NEW YORK, NY 10022 Print Fettattoqiork Reduction Act Notice, see the next page JSA Form 2758 (nev.8.98) EFTA00224297 2 9 4 9 1 Return of Private Foundation Fo.„990-PF or Section 4947(a)(1) Nonexempt Charitable Trust DeparlMent ol the Treasury Treated as a Private Foundation ZOO Internal Revenue Sonia Note: The organization may be able to use a copy ol this return to sells& state reporting requfremanl& For calendar year 2000, or tax year beginning_ 03/01/00 , 2000, and ending 02/28/01 . — 7 2 0 3 7 0 2 oms No. 1545 0052 • G ()neck all thatgply: I I Initial return I I 1- inat return I I Arnenoeo return i j suaress cnange I I name mange Vieth. IRS label. Otherwise. print or type. See Specific Instructions. insuctions. Numm Of organization THE C.O. U . Q . FOUNDATION, INC. A Employer IdeneftestIon number 13-3996471 Number and street (or P.O. box number if mai la not delivered to street address) C/O ASSOCIATES, 110 EAST 59TH ST Room/suite a Week/no number (as page 10 or the Instructkos) .1t-- City or town. state, and ZIP code NEW YORK, NY 10022 C uesonerko seelosegi Wang. choCk hal 0 I. r em,. trearezallots. 2. Icalgn menIntens OS% lea discli lin compulaft's E g Winn 104.041001 tolui van, nct.on 607MXIKA). S i %hi 100ridall0n Is In urine nate 50/(b • li'H dyne IP. inset* ii• and Minh O' *as lonitleted thocl. ?so . P. • COmon0. mant . OM). check he.. I. H Check type of organization: n Section 4947(810) nonexempt [X I Section 501(c43_1 trust I I exempt private foundation Other taxable private foundation • therilable I Fair market value of all assets at end of year (from Pert It cot (c), line 47,821k J Accounting method:W Cash U Accrual ❑Other (specify) (Part I, column (d)must be on cash bests.) A K n Analysis Edi f of Revenue and Expenses MS falai of *mounts in columns (b), (0, and (d) may not necessarily equal the amounts in column (a) (seepage 10 of the instructions).) (a) Revenue and asperses 90, books (b) Nel investment income ( )4cfrusted net income (d) Disbursements for chadtable purposes (cash basis allv) s LI 1 Contrieseens. 2 Distributions 3 Interest 4 Dividends 6a Dross rents b (Net rental 6 a Nal pin b Gross assets 7 Capital fi Net short-term 0 Income 10 a Gross and b s: Cll. c rose 11 11 12 To get cams. et, imbed from split-interest on savings and temporary and interest from Inccas or (lees) oe (loss) km sib sales roe kr all on Ono ea (Ouch 'NOW.) trusts cash Investments securities • 4,457 4,457 ) or 11$3013 Won NW to -147,137 gain not Income capital modil se . . (from ad IV. line 2) o goads sou rotifer' (10,41(• s 0 nornach sched clines I 1 V. —re- —142,680 4,457 0 2 r & I 16 1 .21 1 m g I 24 13 Corn Iti ti S -- .trustees etc. 14 Othe ample nos and wages 15 Penslo srameployee benefits tea Legal fees (attach schedule) b Accounting fees (attach schedule) a Other professional fees (attach schedule). . 17 Interest Taxes (attach schedule) (so . per II el th•Inevucikno) 19 Depredation (attach schedule) and depiction 20 Occupancy Travel. conferences, and meetings 22 Printing and publications 23 Other expenses (attach schedule) Total operating and administrative expenses. Add lines 13 through 23 25 Contributions, gilts, grants paid 26 Total expenses end dlebursomenur. Add lines 24 and 25 10, 638 10,638 20 600 I 72, 617 72,617 83,875 83,255 100,000 100,000 183,875 0 0 183,255 27 Subtract line 26 from line 12: It Exam of menu. ow 'venow and dIsbuniimeents b Net Investment Income (II negetive. enter -0-) c Adlustod net income j4 negative, enter -0.1. • i __.--. —326,555 4,457 I 0 D014102.000 For Paperwork Reduction Act Notice, see the Instructions. Font 990-PF (2000) EFTA00224298 Page 2 Part Attached schedules end amounts m the Beginning of year End of year II Balance Sheets description column should be for end.f.yeer amounts only. (See Instivctional (a) Book Value (b) Book Value (c) Fair Market Value in to ./ 1 Cash - nominterest-bearing 32,216 2,144 2,144 2 Savings and temporary cash Investments 1,710 79 79 3 Accounts receivable 19 J Less: allowance for doubtful accounts ix' 4 Pledges receivable ilx. Less: allowance for doubtful accounts lw S Grants receivable 0 Receivables due from officers, directors, trustees, and other disqualified persons (enrich achedule)pne page IS of the inoructbeh 7 Other notes and loans receivable (attach schedule) Ile Less: allowance for doubtful accounts II' 8 Inventories for sale or use 9 Prepaid expenses and deferred charges 10 a investments • U.S. end state government obligation (Death schedule) , b investments - corporate stock (attach schedule) c investments - corporate bonds (attach schedule) 11 izev= enatt isturietees. ot. Less: scamp Need depredation Op 405,581 111,329 44,100 — ..--._ ..-. .. ... .. _..._.--- _.____ —_ ____.--J (attach scmdule) 12 Investments - mortge0e loans 13 Investments - other (attach schedule) 14 Lend. buildings, end la 2,998 equipment: haste Less: accumulated deptedsUon p. 1, 500 (attach scheauen _... - . ....... ..... -.. 2,098 1,498 1,498 15 Other assets (describe ilix ) 18 Total assets (to be completed by all filers - see page lEt of the instructions. Also, see parte 1. Iteml) 441,605 115,050 47,821 g 20 1 17 Accounts payable and ecaued expenses 18 Grants payable ig Deferred revenue Leans from officers, directors, trustees. and other asnuffified persons 21 Mortgages and other notes payable (attach schedule) 22 Other liabilities (describe 9' ) 23 Total liabilities (odd lines 17 Miami, 221 I Net Assets or Fund Balances I Organizations that follow SFAS 117, check here /to LI and complete lines 24 through 26 and lines 30 and 31. 24 Unresincled 25 Temporarily restricted 26 Permanently restricted Organizations that do not follow SFAS 117, check here and complete lines 27 through 31. pp. X 27 Capitol stock, trust principal, or current funds 28 Pald.ln or capital surpass, at lend. bldg., and eourement fund 29 Retained awnings, aommulated Income endgame% or other funds . . 30 Total net assets or fund balances (see page 17 of the instrucDons) 31 Total llabllitleu and net essetaffund balances (see page 17 of the instructions) 441,605 115,050 441,605 115,050 441,605 115,050 Part Analysis of Changes in Net Assets or Fund Balances I Total net assets or fund balances at beghning of year - Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) 1 441,605 2 Enter amount from Pan I, line 27a 2 - 326,555 3 Other Increases not Included In the 2 (itemtte)9, 3 4 Add lines 1,2, and 3 4 115,050 S Decreases not included In Ilne 2 (ftemize)I6 6 e Total net assets or fund balances al end of year (line 4 minus fine 51- Part II column (b). line 30 6 115,050 Form 990-PR (2000) ,sit 0E1420 2.000 EFTA00224299 Form 990 PF 3000) Capital Gains and Losses for Tax on Investment Income CS List and describe the kind(s) of ;weeny acid (e.g., real estate, 2rstory brick warehouse; or common stock, 200 she. MLC Co.) (b) HOW acquires Pemba., °Monition i % rya. `el '''''''' acquired OW', day, TT4 (d) Dale IOW Iltoir da% Vil la 700 SH AT&T P 06/08/99 06/30/00 b700 SH AT&T P 06/08/99 07/07/00 c1,650 SH AT&T P 06/08/99 08/30/00 d2,500 SH AT&T . P 06/08/99 12/09/00 • (a) Gross sales price (I) Depreciation allowed (or allowable) (g) Cost or other basis plus expense of sale (h) Gain or (loss) (a) Plus (0 mint' (g) a 22,371 37,112 —14,741 b 22,967 37,112 -14,145 c 51,150 87,478 -36,328 d 50,627 132,550 -81,923 • Complete only for assets showing gain In column (h) end owned by the foundation on 12/31/89 to Gains (Cd. (h) gain minus WI (k), but not less than .0.) or Losses (keen col. (h)) (I) IIM. as of 12/31189 0) Adjusted basis as of 12131188 (IQ Excess of col. 0) Over col. Q), if any a b a d e 2 Capkal gale net Income o (net capital loss) If gain, also enter in Port I, lino 7 ( If (loss), enter -0• In Part I, no 7 } 1 Net short-term capital gain or (loss) as defined In sections 1222(5) and (6): If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the Instructions). If (losskenter -0- In Pert Likes 8 1 2 -147, 137 3 Page 3 Part (For optional use by domestic private loundations subject to the section 4940(a) tax on net investment income.) Qualification Under Section 4940(e) for Reduced Tax on Not Investment income If section 4940(d)(2) applies, leave this part blank. Was the organization liable for the section 4942 tax on the distributable amount of any year in the base period?, . . . OYes El No If Wes.' the organization does not qualify under section 4940(e). Do not complete this part. Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries. (0) Base period years Calendar yes: gm lax year beginning in) lb) Adjusted quatlaftig disintruf ban (0) Net valued noaaterltablause assets (d) Distribution nib (Col. lb) @Wed be col. MI 1999 153,695 307,635 0.499602 1998 54,655 6,642 8.228697 1997 1998 1995 2 Total of line 1, column (d 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 eAstence if less than 5 years 4 Enter the net value of noncharitablo-use assets for 2000 from Part X. Ina 5 5 Multiply line 4 by line 3 8 Enter 1% of net investment income (1% of Part I, tine 27b) 7 Add lines 5 and 6 8 Enter qualifying distributions from Pad XII, line 4 2 8.728299 3 4 . 364150 4 208, 595 5 910, 340 8 4 5 7 910, 385 8 183, 255 If inane (queue or rester then One 7. chock me cos In Pad VI. line lb. and complete1nel part using a l% lax rate. See the Pan VI Instructions on pipe 15. JSA 0E14)0 2000 Fonn 990-P F (2000) EFTA00224300 P nil Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(0), or 4948 - see pace 18 of the InstructionS)Page 4 at/O01 1a Exempt operating foundations described in section 4940(d)(2), check here le Lj and enter '71/A' on lino 1. Date of ruling letter. (attach copy of ruling letter if necessary - see instructions) Domestic anizations that meet the section 4940(e) requirements in Pall. check 1 89 here 18 and enter I% of Pan I. line 27b c All other domestic organizations enter 2% of line 27b. Exempt !align organizations enter 4% of Part Lane 12, col. BS 2 Tax under section 511 (domestic section 4947(0)(1) trusts and Inaba foundations only. Others enter -0-) 3 Add lines I and 2 3 89 4 Subtitle A (income) tax (domestic section 4947(8)(1) trusts and taxable foundations only. Others enter -0-) 5 Tax based on Investment Income. Subtract line 4 ficim line 3. If zero or less, enter -0- 5 89 6 Credits/Payments: a 2000 estimated tax payments and 1999 overpayment credited to 2000 ea b Exempt foreign organizations - tax withheld at source orb c Tax paid with application for extension of Lima to rile (Form 6868) d Backup withholding erroneously withheld 7 Total credits and payments. Add linos 6a through ed 7 28 8 Enter any penalty or underpayment of estimated tax Check here 0 if Form 2220 is attached 9 Tex due. If the total of lines 5 and 8 is more than line 7, enter amount owed * 9 61 10 Overpayment. If lino 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 11 Ent r Lhe amount of line 10 to W. Credited to 2001 estimated tax * Refunded 18 • Statements Regarding Activities 1 e 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 (soo page 19 of the instructions fa definition)? X if the answer is Wes'to la or lb, attach a detailed description of the activities end copies of any materiels published or distributed by the organization In connection with the acUvilies. c Did the organization fee Form 1120-FOL. for this year/ X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: _, (1) On the organization. 18 $ (2) On organization managers. * $ Enter the reimbursement (it any) paid by the organization during the year for poetical expenditure tax Imposed on organization managers. le $ 2 Has the organization engaged In any activities that have not previously been reported to the IRS? if 'Yes,' attach a detailed description of the actiwbes. 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 4 a Did the organization hove unrelated business gross income of 51,000 or more during the year? X b If 'Yes,' has It fried a tax return on Form 990.7 for nil year? S Was there a liquidation, termination, dissolution, or substantial contraction during the year? X If Nes,' attach the statement required by General Instruction 7. 6 Are the requirements d section 508(e) (relating to sections 4941 throtigh 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 govamIng Initnirnent? 7 Did the organization have at lent $5,000 In assets at any time during the year? If 'Yes,' complete Part cot (c), and Pail XV. a Enter the states to which the foundation reports or with which it is registered (see page 19 of the Instructions) p NEW YORK b If the answer is 'Yes' to line 7, has the organization furnished a copyof Penn 990-PF to the Attorney General (or designate) of each state as required by General Instruction G? If 'No,' attach explanation 9 is the organization claiming status as a private operating foundation within the meaning of sack(' 49420)(3) or 49420)(5) for calendar year 2000 or the taxable 'Oar beginning Ili 2000 (see instructions for Pan XIV on page 25)? R 'Yes,' complete Part XAr 10 Old any persons become substantial conldbutori diiing the tax year? II 'Yes,' attache schedule listing their names and addressed. 11 Did the organization with th piLblica requirements for its annual returns aiid appecaacn7 12 The books are in care of B. ASSOCIATE$ _ • _ Telephone no. le (21.2) 909 —_9_6_80 Located at p.110 EAST 59TH ST NEW YORK, NY 7.113+ 4 p. 10611 Section 4947(8)(1) nonexempt charitable trusts filing Form 990-PF In lieu or form 1041-Check here and enter the amount of tax-exempt interest received or accrued duringthe year ► I 13 1 26 I Yes 1* 1b 1a •••••••••• 2 No )1 3 40 4b 6 N X X 7 X 9 10 11 X. iSA OE 14 40 2.000 6c 6d 2 4 8 10 11 Farm 990-PF (2000) EFTA00224301 Form 990-PF (2000) Part VIlit Page Statements Regarding ctivltlea for Whic orm 4720 May Be Required A h F File Form 4720 if any item is checked In the "Yes" column, unless an exception applies. I a During the year did the organization (either directly or indirectly): (7) Engage in the sale or exchange, or leasing al property with a disqualified wean? K Yes El No (2) Borrow money from, lend money to. or otherwise extend credit to (or accept it from) a Csquatified Persen? r Yes X No (3) Furnish goods. sonAces, or facilities to (or accept them from) a disqualified person? Yes X No (4) Pay compensation to, or pay or reimburse the incenses of, a dierluailied person? Yes X No (5) Transfer any income or assets to a disqualified person (or make any of either available for It* benefit or use of a disqualified person)? D Yos X ) No (6) Agree to pay money or properly 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. If terminating within 90 days.) K Yes D No b if any answer is "Yes- to 18(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations section 53.4941(0)-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 le En c Did the organization engage in a prior year In any of the ads described In 1a, other than excepted acts, that were not corrected before the first day of the tax year beginning in 20007 2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 494291(3) or 4942(j)(5)): a At the end of tax year 2000. did the organization have any undistributed Immo (lines 6d and Be. Part XIII) for tax year(s) beginning before 2000? 0 Ms ID No If "Yes,' lb* the years p•• 19 19' , 19 , 19 b Are there any years listed In 2a for which the organization is not applying the provisions of section 4942(02) (relating to incorrect valuation of assets) to the year's undistributed Income? (if applying section 4942(eX2) to all years listed. answer °No' and attach stagnant - tee page 20 of the instructions.) c If the provisions of section 4942(0)(2) are beirkjapplied to any c4 the years listed in 2a, list the years here. • 19 19 19 , 19 3 a Did the organization hold more than a 2% deed or Indies Interest in any business enterprise at any ems during the year? K Yes M No b If 'Yes,' did it have excess business hot/rigs In 2000 as a Jesuit 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(O(7)) to depose of hddngs squired by gift or bequest: or (3) the lapse of the 10-, 15-, or 29-year first phase holding padod? (Use Schedule C Form 4720, to determine if the organization had excess business holdings In 2000.) 4 a 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 charitable purpose that had not been removed from jeopardy befoie the first day of the tax year beginning In 20007 5 a During the year did the organization pay or incur any amount to: (I) Carry on propaganda, or otherwise attempt to Influence legisiallat (section 4945(0)(7 El Yes FTI No (2) influence the outcome of any specific public election (see section 4955); or to carry on, directly or Indirectly, any voter registration drive? Yes X No (3) Provide a grant to an individual for travel, study, or other similar purposes? Yes No (4) Provide a grant to en organization other than a charitable, etc., organization described In section 5013(a)(1), (2), or (3), or section 41340(dX2)7 n Yes El No (5) Provide for any purpose other than religious, charitable. scientific, Merry, or educational purposes, or for the Preventioriof comity to children or animals? D Yoe [F_I No b If any answer is 'Yes' to 5a(I)-(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 chock hero e c If the answer is 'Yes' to question 50(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grant? ni Yes El No II 'Yes,' attach the statement required by Regulations section 53.4945-5(d). 6 a Did the organization, during the year, receive any funds, directlyor indirectly, to pay premiums on a personal benefit contract? ED Yes D No b Did the organization, during the year. pay premiums, directly or Indirectly, on a personal benefit contract? 011 answered West fo 6b. also fife Form 8870. 1 X 1b Yes N No _ A tc X 2b N A 3b 4a A X 4b 5 b N lib Form 990-PF (2000) J5* OE 1450 7.000 EFTA00224302 Form 990-PF (2000) information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employoes, and Contractors Part VIII Page 6 1 List all on lours, (mecum's, trustees, rounoation managers ano sneir compensanon sews page cu in (Ins mete tu.uutke_b (a) Nenie end address (b) 'Tide. and rootage (IOW, Per weak devoted lo position (e) Compensagon (It not paid, enter .41.) bouvoureeneesto *mews. lunge08M and alined comonnon (e) Expense account. other allowances JEFFREY EPSTEIN 6100 RED HOOK QUARTERS, ST. THOMAS, VI -PRES/DIA ONE HOUR 0 0 0 DARREN K. ,INDYKE 457 MADISON AVENUE, NY,NY /DIR ONE HOUR 0 0 0 GHISLAINE MAXWELL C76 IOU, ASSOC.,110 E59 ST., NY,NY TREAS/DIR ONE HOUR 0 0 0 2 Compensation of five highest-paid employees (other than those included on line 1 - see pago 21 of the ins ructions). f none, ntor "NONE." • (e) Name and address el each employcs Pall MOM MVO $50.000 (0) tilt and overage hours Per week devoted to position (c) Compensation Id) Come Auto, to *bemuse bomb eisne end OffignO CempeAuGon (e) Expanse account. other allowtinCes NONE Total number of other employees paid over 250,000 ► l 0 3 Fivo highest-paid Independent contractors for professional services - (see pago 21 of the instructions). If none, enter "NONE." (a) Name and address of each person paid more than $50 000 NONE (b) Type of musics Ic) Compensation Total number of others receiving over $50,000 for professional services Part 1X-A Summary of Direct Charitable Activities LIM the foundation's lour largest direct charitable act Mess during the lax sat Include relevant statistical IrJorrnstion such as the number 01 organizations end other benektento sewed. conferences convened. research papers produced, etc. Expanse 1 2 3 4 Form 990•PF (2000) eta NINO UN EFTA00224303 Form 990•PF (2000) Part 1X-B Summary of Program-Related Investments (see page 22 of the instructions) Page 7 cube the two lamest program-related investments made by the foundation donna the tax year 9n fines 1 and 2. Amount 2 Al other program-related lavietnionti. See pap 22 ol Ne InsUuctkms. 3 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) Reduction claimed for blockage or other factors reported on lines la and I la I lc (attach detailed explanation) to 1b lc Id 193,697 18, 07 5 211,772 2 Acquisition indebtedness applicable to line 1 assets 0 3 Subtract line 2 from line ld 211, 772 4 Cash deemed held for charitable activities. Enter 1 1)2% of line 3 (for greater amount, see page 23 of the instructions) i 4 3, 177 5 Net value of noncharltable•use assets. Subtract line 4 from line 3. Enter here and on Part line 4 208, 595 Minimum Investment return. Enter 5% of line 5 6 10,4 30 3 Distributable Amount (see page 23 of the instructions) (Section 4942(j)(3) and (i)(5) p Nate operating foundations and certain foreign organizations check here ► FI and do not complete this part.) 1 Minimum investment return from Part X. line 6 2 a Tax on investment income for 2000 from Part VI, Me 5 b income tax for 2000. (This does not include the tax froth Part VI.) , c Add lines 2a and 2b 3 Distributable amount before adjustments. Subtract line 2c from line 1 4 a Recoveries of amounts treated as qualifying distributions b Income distributions from section 4947(a)(2) trusts c Add lines 4a and 4b 5 Add lines 3 and 4c 6 Deduction from distributable amount (see page 23 of the InStructions) 7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 89 10, 4 30 Part XII Qualifying Distributions (see page 24 of the instructions). 89 10, 341 5 10,341 10, 341 Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes: a Expenses, contributions, gifts, etc. - total from Part I, column (d), Ins 26 b Program-related investments - total of lines 1-3 of Part IX-13 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 Pal, line 8 and P