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Part X
Page 8
Form 990 P (2015)
Minimum Investment Return
(All domestic foundations must corn p lete this part. Foreign foundations see 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
la
0
b Average of monthly cash balances
lb
2,502,812
c
Fair market value of all other assets (see instructions)
Sc
0
d
e
Total (add lines la, b, and c)
Reduction claimed for blockage or other factors reported on lines 1a and
Id
2,502,812
Ic (attach detailed explanation)
I le I
0
2
Acquisition indebtedness applicable to line 1 assets
2
3
Subtract line 2 from line Id
3
2,502,812
4
Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount, see
instructions)
4
37,542
5
Net value of nonchatitat4e-use aStiettit.Subtract line 4 from line 3 Enter here and on Part V, line 4
5
2,465,270
6
Minimum Investment retum.E nter 5% of line 5
6
123,264
Part XI
Distributable Amount
(see instructions) (Section 49420)(3) and ())(5) private operating foundations and ce tam foreign organizations
check here fr r and do not complete this part.
i
Minimum investment return from Part X, line 6
2a
Tax on investment income for 2015 from Part VI, line 5
b Income tax for 2015 (This does not include the tax from Part V I ).
. I 2b
2a
c
Add lines 2a and 2b
3
Dlstnbutable amount before adjustments Subtract line 2c from line 1
4
Recoveries of amounts treated as qualifying distributions
5
Add lines 3 and 4
6
Deduction from distributable amount (see instructions)
7
Distributable amountas adjusted Subtract line 6 from line S Enter here and on Part XII I, line 1. .
87
123,264
2c
87
3
123,177
4
5
123,177
6
7
123,177
Part XII Qualifying Distributions (see instructions)
I
Amounts paid (including administrative expenses) to accomplish charitable, etc , purposes
a
Expenses, contributions, gifts, etc —total from Part I, column (d), line 26
b Program-related investments —total from Part I X- B
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 (pnor IRS approval required)
b Cash distribution test (attach the required schedule)
4
Qualifying dist ributions.Add lines la through 3b Enter here and on Part V, line 8, and Part X111, line 4
5
Foundations that qua lily under section 4940(e) for the reduced rate of tax on net investment
income Enter 1% of Part I, line 27b (see instructions)
6
Adjusted qualifying distributionsSubtract line 5 from line 4
6
743
Ia
743
lb
2
3a
3b
4
743
5
Note:The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years
Form 990-PF (2015)
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0078265
SDNY_GM_00224449
EFTA01380105