of 15
All materials on our website are shared by users. If you have any questions about copyright issues, please report us to resolve them. We are always happy to assist you.
Document Description
4:C5 Pht , ,.990-PF Departmentof the Treasury Servie lnternalRevenue Return of Private Foundation Charitable Trust n Nonexempt or Sectio 9a7 @l(11 Treated as a Private Foundation be able to use a copv of this return to OMB No. 1545-0052 2009 Finalreturn Note. The foundation For calendar year 2009,or tax G Check all that apply: Use the IRS label. Otherwise, print or typeSee Specific lnstructions. lnitialreturn o4/ot 09 , and 03 10 lnitialreturnof a formerpubliccharity Employer identi
Document Share
Document Tags
Document Transcript
  4:C5Pht , ,.990-PF DepartmentoftheTreasurylnternalRevenue ervieNote. Theoundation be able to use a copvof this return to For calendaryear2009,or tax o4/ot 09,and 0310 G Checkall hat apply:lnitial eturnlnitialeturnofa formerpublicharityUsethe IRSlabel.Otherwise,printor type-SeeSpecificlnstructions.H Checktypeoforganization:lXlSection501(exemptprivateoundation4947/a\ficharitablerustOther axablefoundationI Fair marketvalueof all assetsat endofyear(fromPart l, col.c),line 16) 131,050,944 il;Analysis ofRevenueand Expensesirhe totalofamounbn columnsb), c),andd)maynotnecessarilyqual he amountsn columna) seepage1 ofhenstuctions).) ForPrivacy Act and PaperworkReduction Act Notice, seepage30 of theinstructions.DAA Return ofPrivateFoundationor Sectio9a7@l(11onexemptharitablerust Treated as a PrivateFoundation OMB No. 1545-0052 2009 Final eturn Employer identification number 23-7345978 Telephoneumberseepage10 of the instructions) 2L2-944-8333 lfexemption pplicationspending,heckhere>1. Foreignorganizations, heck here. . . .>2. Foreignorganizationsmeetinghe85% est, checkhere and atach computation>lfprivateoundation tatuswas terminated ndersection507(bX1)(A), heck here. . .>tf the foundations in a 60-month erminationunderseclionSOT{bXIXB),checkhere >(d)Disbursements cD tr TI t- J n forcharitablepurposes(l) o (D d basis L27,343157,700138.750?81,6813.36831,539 oooc (l'CL x lrJo (g L .9, .c E T'Ec(E o)c G (|,o- o t)?.!ri,i 3421,8L735843995 7t 1842 3 407955136Lt71547981 --ii rorm 90-PF(zooe)  4:o5 PM Form990-PF AI,AVI FOT'NDATION 'pa'h'{t;-, Batancesheetsfftri *1* .XiT,+X, fflliiffi3:Tl::i*tr:XTi in Net Assetsor Fund 1 Total net assetsor fundbalancesat beginning fyear-Partll,columna),ine30(mustagreewithend-of-yearigure reportedonprior year'sreturn)Enteramountrom Part.line 27aOtherncreases otncluded n line 2(itemize)Addnes12,and3Decreasesot 23-7345978 Fair Market Value 549.L25899,891 ^r.i:'hiit- lr' 301,3s72,280 435605 100 568349 22 89?6252967L2131 0s0 ''r i:j 39.t4L 602 40445L 39,s46053053of 23456 Total 546 (2009)  4;05 PM AI.AVIFOI'NDAEION for Tax (a)Listand describe he kind(s)ofpropertyold(e.9.,eal estate,2-storybrickwarehouse; r commonstock,200 shs. MLC Co.) 23-7345978 1aN (e)Grosssalesprice Completefor assets (i)F.M.V.as of 12131169 lncome incolumn and ownedthe foundationon 12R1169 (d)Datesold(mo.,day,yr.) (h)Gain or(loss)(e)plus0manusg)(l)GainsCol. h) gainminuscd.(k),but not less than-S)orLosses(fromcol.(h)) 23 capitarsainerincorneor(nercapitanoss)[iliil,:fjJfllSlXj;l[l] Net short-termcapitalgainor(loss)as de{ined n secfions 1222(5') nd(6):lfgain,also enter inPart l, line 8,column(c) (see pages13 and'17of theinstructions).IJf(loss).enter )- in Part. line . Qualification for Tax on ilet lnvesftnent lncome (Foroptionaluse by danresticprivatefoundationssubjedtothesection 4940(a)tax on fetanvestrrlefit ncome.)lfsection4940(dX2)applies,leavethispartblank.Was thefoundation liable for lhe section4942taxonthe distributableamount ofarryyearintf€ basepeiiod?nVesSlruolf'Yes, the foundationdoesnotqualiffunder section 4940(e).Donot ompletethispart. (g)Costor otherbasisplusexpenseofsale(k)Excessof col.(i)over col.(j),f any0)Adjustedbasisas d 1U31169 1Enterthe (a)Baseperiod years Calendarear (ortax 200820072005 Totalof line 1, columnd)Average distributionatiofor the S-yearbaseperiod--dividethe total online2 by 5, or by thenumber ofyearshefoundationhas been in existence f less than 5yearsEnter thenetvalueof noncharitable-usessets or 2009 from Part X,line5Multiplyine 4 by line3. ..Enter 1% of net investmenl7 Addines5 and 6I Enterqualiffinglfline 8 is equal oamountn each column or eachyea[see18 of theinstructions before making entrbs.23 (d)Distribution ratio(coldivided bv cd. o-021951 0.043328 o.048447o.1100s8 0.054832 o.2'186t6 o.0ss723 105975.AL2905.29048.547953.83755.1172.28L.67103.944.010101, 699,382 .406 .473,3L5,2368.430.5427.423.23267,448,6566.699.LO?,657,24 PartVlincome1%ofPart , line2Tb) rorm 90-PF(zoos)  4:05 PM Form AIAVI FOUNDATION 23-7345978 :Vl:::Excise Tax BasedonInvestmentIncome4940(a), 940(b), 940(e),or 4948-seepage1 of the instructions1a [2),heckerel-JandenterN/A n ine1.I(attachcopyofletterf necessary--+eenstructions)|mentsn PartV,checkIlL; i.; oro ni.riion ,* ,l'l^ otJ 23456abcd7II't011Part, line12, col.b)Tax undersection511(domesticection 9 7@)(1)rustsand axableoundations nly.Othersenter 0-)Addines1and2SubtitleA(income)ax(domesticection947(axl) trustsand axableoundations nly.Othersenter 0-)Tax based on investment ncome.Subtract ine4 fromine3.lfzero orless.enterGCredits/Paynents:2009 estimatedaxpaymentsand 2008 overpaymentreditedo2009Exemptoreignorganizations-taxwithheldt sourceTaxpaidwithapplicationor extensionof time to file(Form8868). .Backupwithholding rroneously ithheldTotal creditsandpayments.dd ines6a throughdEnter anypenaltyfor underpaymentof estimatedaxTaxdue.lf the totalof lines5 and 8 is morehanineOverpayment. lf line 7 is morethanthe totalof lines7, enter amount owed5and 8, enter theamount overpaid I :Creditedto 2010estimated tax > 09479797,O94000949127 No x L2.45 . Cn. [t r fir rorrn z20 saftached t 2I StatementsActivities 1a During the taxyear,did the foundationattempto influence any national,state,or local egislationor diditparticipateor intewen€ n anypoliticalcampaign?bDid it spendmore than$'100during heyear(eitherof theinstrudionsor definition)?directlyor indirectly)orpoliticalpurposes(see page19cdlf the answer s'Yes to 1a or 1b, attach adetaileddescriptionof theactivit'resndcopies of any materialspublishedordistributedbythe foundation n connectionwith the activities.Did the foundation ileForm1120-POL orthisyear?Enter he amount(ifany) of tax onpoliticalexpendituressection4955) imposedduringheyear:(1)Onthefoundation.$----' --(2)Onfoundationmanagers.$Enter he reimbursernentifany)paidbythefoundationduring theyearorpoliticalexpenditure ax imposedonfoundationmanagers.)$_Has thefoundationengaged in any activitieshat have notpreviouslybeenreportedo theIRS?lf'Yes, attachadelailed descripiionof the activities.Has the foundation nade anychanges,notpreviouslyeported othelRS, initsgoverningnstrument,articles ofincorporation,or bylaws,orother similar nstruments? f 'Yes, aftacha conformed copy of the changesDid heoundationave unrelated usinessrossncomeof91,000or moreduring heyear?ff'Yes, has it filed a tax return on Form 990-T forthisyear?.Was here iquidation,ermination,issolution,rsubstantialontractionuringhe year?lf'Yes,'attachhestatementequiredyGeneralnstruction.Are therequirements fsection508(e)relatingo sections 941hrough4945)satisfied ither:oByanguage n thegoverningnstrument,roBy state egislationhat effectively mendshegoverningnstrument othat no mandatory irections hatconflictwithhe stateaw remain nhegoverningnstrument?7Didhefoundation ave at least$5,000nassetsat any ime during heyear?f'Yes, completePart l, col.(c),and PartXV8a Enter he states o which hefoundation eportsr with which t is registeredsee page19of the instructions)>.... lf the answers Yes oline 7,has heoundationurnishedcopyof Form 990-PF o the AttorneyGeneral(ordesignate) f each stateas required y General nstructionG?lf No, attachexplanationls theoundationlaiming tatusas aprivateoperatingoundationwithin hemeaningof sectiona9a2$(3) or4942(jX5) or calendarear2009 or the axableearbeginningn 2009(seenstructionsor PartXIV onpage27)?fYes, completePartXIV10 Did anypersonsbecomesubstantial ontributorsuring he axyear?f Yes, attacha schedule isting heir xxxxx 4ab5 xx COPYDONOT FILE9OP
Similar documents
View more...
Search Related
We Need Your Support
Thank you for visiting our website and your interest in our free products and services. We are nonprofit website to share and download documents. To the running of this website, we need your help to support us.

Thanks to everyone for your continued support.

No, Thanks

We need your sign to support Project to invent "SMART AND CONTROLLABLE REFLECTIVE BALLOONS" to cover the Sun and Save Our Earth.

More details...

Sign Now!

We are very appreciated for your Prompt Action!