EFTA Document EFTA01379590

Form 990-PF (2015) Part IV Capital Gains and Losses for Tax on Investment Income Page 3 List and describe the kind(s) of property sold (e g , real estate, (a) 2 -story brick warehouse, or common stock, 200 shs M LC Co ) How acquired P —Purchase (b) 0—Donation Date acquired (c) (mo , day, yr ) Date sold (d) (mo , day, yr ) la b C d e (e) Gross sales price Depreciation allowed (f) (or allowable) Cost or other basis (g) plus expense of sale Gain or (loss) (h) (e) plus (f) minus (9) a b c d e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 Gains (C of (h) gain minus col (k), but not less than -0 - ) or (I) Losses (from col (h)) (I) F M V as of 12/31/69 Adjusted basis (j) as of 12/31/69 Excess of col 0) (k) over col (3), if any a b c d e 2 Capital gain net income or (net capital loss) 3 Net short-term capital gain or (loss) as defined in sect If gain, also enter in Part I, line 8, column (c) (see mst in I If ga n, also enter in Part I, line 7 1 1 If (loss), enter -0- in Part I, line 7 ons 1222(5) and (6) uctions) If (loss), enter -0- 1 2 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 'MS.' the foundation does not qualify under section 4940(e) Do not complete this part 1 Enter the appropriate amount in each column for each year, see instructions before making any entries I— Yes I— No 0 Base period yea0 rs CaNndar year (or tax year beginning in) b ( ) Adjusted qualifying dignbutiOnS (c) Net value of nonchantable• use assets (d) Essoibution ratio (<01 (b) divided by col (c)) 2014 2013 2012 2011 2010 2 3 4 5 6 7 8 Utak( line 1, column (0) Average distribution ratio for the 5-year base period—di ide the total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years Enter the net value of nonchantable-use assets for 2015 from Part X, line 5 Multiply line 4 by line 3 Enter I% of net investment income (1% of Part I, line 27b) Add lines 5 and 6 Enter qualifying distnbutions from Part XII, line 4 2 3 4 5 6 7 8 If line 8 is equal to or greater than line 7, check 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 (2015) DB-SDNY-0077201 SDNY_GM_00223385 EFTA01379590