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Form 990-PF (2016)

DOJ EFTA Data Set 10 document EFTA01345184

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DOJ EFTA Data Set 10 document EFTA01345184

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EFTA Disclosure
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Form 990-PF (2016) Part IV Capital Gains and Losses for Tax on Investment Income Page 3 (a) List and describe the kind(s) of property sold (e g , real estate, 2-story brick warehouse, or common stock, 200 shs MLC Co ) How (b) acquired P—Purchase D—Donation (c) Date acquired (mo , day, yr ) (d) Date sold (mo , day, yr ) 1 a 800 LINKEDIN CORP - A P 2016-03-02 2016-06-14 b c d a (8) Gross sales price (f) Depreciation allowed (or allowable) g) Cost or other basis plus expense of sale (h) Gain or (loss) (e) plus (f) minus (g) a 153,649 95,414 58,235 b c d e Complete only for assets show ng gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus col (k), but not less than -0-) or Losses (from col (h)) (0 F M V as of 12/31/69 (j) Adjusted basis as of 12/31/69 (k) Excess or col p) over col (j), if any a 58,235 b c d a If gain, also enter in Part I, line 7 1 2 Capital gain net income or (net Capital loss) If (loss), enter -0- in Part I, line 7 3 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 instructions) If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . . . . . . . . 1 2 58,235 3 Part V Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income ) If section 4940(d)(2) applies, leave this part blank Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period, If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part I Enter the appropnate amount in each column for each year, see instructions before making any entnes K Yes K No (a) Base period years Calendar year (or tax year beginning in) (b) Adjusted qualifying distributions (c) Net value of nonchantable-use assets (d) Distribution ratio (cot (b) divided by col (c)) 2015 2014 2013 2012 2011 2 Total of line 1, column (d) 2 3 Average chstnbution ratio for the 5-year base penod—divide he total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years 3 4 Enter the net value of noncharitable-use assets for 2016 from Part X, line 5 4 5 Multiply line 4 by line 3 5 6 Enter 1% of net investment income (1% of Part I, line 27b) 6 7 Add lines 5 and 6 7 8 Enter qualifying distributions from Part XII, line 4 8 If line 8 is equal to or greater than line 7, chetk the box in Part VI, line lb, and complete that part using a 1% tax rate See the Part VI instructions CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL Form 990-PF (2016) DB-SDNY-0031378 SDNY_GM_00177562 EFTA01345184

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