Instrumentl eFile Render
Object ID: 201801279349101650 - Rendered 2024-05-03
TIN: 13-7147287
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Information about Form 990-PF and its instructions is at
www.irs.gov/form990pf
.
OMB No. 1545-0052
20
16
Open to Public Inspection
For calendar year 2016, or tax year beginning
07-01-2016
, and ending
06-30-2017
Name of foundation
THE KARSH FAMILY FOUNDATION
% THE KARSH FAMILY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
1201 TOWER GROVE DRIVE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BEVERLY HILLS
,
CA
90210
A Employer identification number
13-7147287
B
Telephone number (see instructions)
(213) 830-6402
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here .............
2.
Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
159,758,087
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
18,561,238
2
Check
Sch. B
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
984,851
953,845
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
1,685,667
b
Gross sales price for all assets on line 6a
26,033,500
7
Capital gain net income (from Part IV, line 2)
...
14,115,739
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
9,959,682
1,595,623
12
Total.
Add lines 1 through 11
........
31,191,438
16,665,207
13
Compensation of officers, directors, trustees, etc.
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
150,980
75,490
0
75,490
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
525,731
5,884
310
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
11,024
0
11,024
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
5,217
889
4,328
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
692,952
82,263
0
91,152
25
Contributions, gifts, grants paid
.......
16,539,376
16,539,376
26
Total expenses and disbursements.
Add lines 24 and 25
17,232,328
82,263
0
16,630,528
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
13,959,110
b
Net investment income
(if negative, enter -0-)
16,582,944
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2016)
Form 990-PF (2016)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
8,124,595
23,216,686
23,216,686
2
Savings and temporary cash investments
.........
3
Accounts receivable
9,604
Less: allowance for doubtful accounts
0
9,604
9,604
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
86,405
266,405
266,405
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
52,533,702
57,224,137
57,224,137
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
72,663,568
74,799,270
79,041,255
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
133,408,270
155,516,102
159,758,087
17
Accounts payable and accrued expenses
..........
18
Grants payable
..................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
825,402
1,070,179
23
Total liabilities
(add lines 17 through 22)
.........
825,402
1,070,179
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
..................
132,582,868
154,445,921
25
Temporarily restricted
...............
26
Permanently restricted
...............
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
........
28
Paid-in or capital surplus, or land, bldg., and equipment fund
29
Retained earnings, accumulated income, endowment, or other funds
30
Total net assets or fund balances
(see instructions)
.....
132,582,868
154,445,921
31
Total liabilities and net assets/fund balances
(see instructions)
.
133,408,270
155,516,100
Part III
Analysis of Changes in Net Assets or Fund Balances
1
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 year’s return)
...............
1
132,582,868
2
Enter amount from Part I, line 27a
.....................
2
13,959,110
3
Other increases not included in line 2 (itemize)
3
8,009,409
4
Add lines 1, 2, and 3
..........................
4
154,551,387
5
Decreases not included in line 2 (itemize)
5
105,466
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
154,445,921
Form
990-PF
(2016)
Form 990-PF (2016)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(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.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
SALE OF STOCK - PUBLICLY TRADED
D
b
CAPITAL GAIN DIVIDENDS
P
c
d
e
(e)
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
25,869,182
12,732,888
13,221,038
b
68
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
13,136,294
b
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
14,115,739
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
...................
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?
Yes
No
If "Yes," 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.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2015
16,650,713
139,628,851
0.11925
2014
19,311,414
142,739,942
0.135291
2013
17,710,596
122,138,439
0.145004
2012
9,910,663
80,531,405
0.123066
2011
14,876,731
63,514,534
0.234226
2
Total
of line 1, column (d)
.....................
2
0.756837
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 existence if less than 5 years
......
3
0.151367
4
Enter the net value of noncharitable-use assets for 2016 from Part X, line 5
......
4
149,287,712
5
Multiply line 4 by line 3
......................
5
22,597,233
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
165,829
7
Add lines 5 and 6
........................
7
22,763,062
8
Enter qualifying distributions from Part XII, line 4
,.............
8
16,630,528
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2016)
Form 990-PF (2016)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
331,659
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
3
Add lines 1 and 2
...........................
3
331,659
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
331,659
6
Credits/Payments:
a
2016 estimated tax payments and 2015 overpayment credited to 2016
6a
266,792
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
250,000
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
516,792
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
185,133
11
Enter the amount of line 10 to be:
Credited to 2017 estimated tax
185,133
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation 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
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
Yes
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
Yes
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 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 governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
CA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2016 or the taxable year beginning in 2016 (see instructions for Part XIV)?
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2016)
Form 990-PF (2016)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions)
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement (see instructions)
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
THE KARSH FAMILY FOUNDATION
Telephone no.
(213) 830-6402
Located at
1201 TOWER GROVE DRIVE
BEVERLY HILLS
CA
ZIP+4
90210
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2016, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
16
No
See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country
Part VII-B
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.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
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 them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)?
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2016?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2016, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2016?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2016 as a result of
(1)
any purchase by the foundation
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(c)(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 determine
if the foundation had excess business holdings in 2016.)
..................
3b
No
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation 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 before the first day of the tax year beginning in 2016?
4b
No
Form
990-PF
(2016)
Form 990-PF (2016)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(Continued)
5a
During the year did the foundation pay or incur any amount to:
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
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
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? (see instructions)
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(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 instructions)?
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If yes, did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
Form
990-PF
(2016)
Form 990-PF (2016)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation (see instructions).
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
BRUCE A KARSH
TRUSTEE
0
0
0
0
1201 TOWER GROVE DRIVE
BEVERLY HILLS
,
CA
90210
MARTHA L KARSH
TRUSTEE
0
0
0
0
1201 TOWER GROVE DRIVE
BEVERLY HILLS
,
CA
90210
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
Total
number of other employees paid over $50,000
...................
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
Total
number of others receiving over $50,000 for professional services
.............
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
PROVIDING GRANTS TO QUALIFIED CHARITABLE ORGANIZATIONS
16,630,528
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
NOT APPLICABLE
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2016)
Form 990-PF (2016)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete 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
...................
1a
54,537,689
b
Average of monthly cash balances
.......................
1b
17,982,185
c
Fair market value of all other assets (see instructions)
................
1c
79,041,255
d
Total
(add lines 1a, b, and c)
.........................
1d
151,561,129
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
151,561,129
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
2,273,417
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
149,287,712
6
Minimum investment return.
Enter 5% of line 5
..................
6
7,464,386
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
7,464,386
2a
Tax on investment income for 2016 from Part VI, line 5
......
2a
331,659
b
Income tax for 2016. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
331,659
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
7,132,727
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
7,132,727
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
7,132,727
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
16,630,528
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
16,630,528
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b (see instructions)
.................
5
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
16,630,528
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
(2016)
Form 990-PF (2016)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2015
(c)
2015
(d)
2016
1
Distributable amount for 2016 from Part XI, line 7
7,132,727
2
Undistributed income, if any, as of the end of 2016:
a
Enter amount for 2015 only
.......
0
b
Total for prior years:
2014
,
2013
,
2012
0
3
Excess distributions carryover, if any, to 2016:
a
From 2011
......
4,819,368
b
From 2012
......
6,032,229
c
From 2013
......
12,293,903
d
From 2014
......
12,345,208
e
From 2015
......
9,882,198
f
Total
of lines 3a through e
........
45,372,906
4
Qualifying distributions for 2016 from Part
XII, line 4:
$
16,630,528
a
Applied to 2015, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2016 distributable amount
.....
7,132,727
e
Remaining amount distributed out of corpus
9,497,801
5
Excess distributions carryover applied to 2016.
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
54,870,707
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2015. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2016. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2017
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
8
Excess distributions carryover from 2011 not
applied on line 5 or line 7 (see instructions)
...
4,819,368
9
Excess distributions carryover to 2017.
Subtract lines 7 and 8 from line 6a
......
50,051,339
10
Analysis of line 9:
a
Excess from 2012
....
6,032,229
b
Excess from 2013
....
12,293,903
c
Excess from 2014
....
12,345,208
d
Excess from 2015
....
9,882,198
e
Excess from 2016
....
9,497,801
Form
990-PF
(2016)
Form 990-PF (2016)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2016, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2016
(b)
2015
(c)
2014
(d)
2013
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
BRUCE A KARSH
MARTHA L KARSH
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
BRUCE A KARSH
MARTHA L KARSH
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2016)
Form 990-PF (2016)
Page
11
Part XV
Supplementary Information
(continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
A COMMUNITY OF FRIENDS
3701 WILSHIRE BLVD 700
LOS ANGELES
,
CA
90010
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
ALZHEIMER'S GREATER LOS ANGELES
4221 WILSHIRE BOULEVARD 400
LOS ANGELES
,
CA
90010
NONE
PC
HEALTH
5,000
AMERICAN FRIENDS OF THE HEBREW UNIVERSITY
ONE BATTERY PARK PLAZA 25TH FLOOR
NEW YORK
,
NY
10004
NONE
PC
EDUCATION
10,000
ANGEL CITY SPORTS
C/O EDWARD CHARLES FOUNDATION
269 S BEVERLY DRIVE SUITE 338
BEVERLY HILLS
,
CA
90212
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
BABY2BABY
6435 WILSHIRE BOULEVARD
LOS ANGELES
,
CA
90048
NONE
PC
PHILANTHROPIC ACTIVITY
3,000
BEAUTY BUS FOUNDATION
2716 OCEAN PARK BOULEVARD 1062
SANTA MONICA
,
CA
90405
NONE
PC
EDUCATION
2,500
BEIT T'SHUVAH
8831 VENICE BOULEVARD
LOS ANGELES
,
CA
90034
NONE
PC
PHILANTHROPIC ACTIVITY
5,000
BENEDICT CANYON ASSOCIATION
PO BOX 1265
BEVERLY HILLS
,
CA
90213
NONE
PC
PHILANTHROPIC ACTIVITY
1,000
BET TZEDEK
145 SOUTH FAIRFAX AVENUE SUITE 200
LOS ANGELES
,
CA
90036
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
BROWN UNIVERSITY
BOX 1893
PROVIDENCE
,
RI
02912
NONE
PC
EDUCATION
472,000
BUSINESS UNITED IN INVESTING LENDING AND DEVELOP
PO BOX 3316
REDWOOD CITY
,
CA
94064
NONE
PC
YOUTH DEVELOPMENT
10,000
CALIFORNIA CHARTER SCHOOLS ASSOCIATION
250 EAST 1ST STREET SUITE 1000
LOS ANGELES
,
CA
90012
NONE
PC
EDUCATION
200,000
CASA OF LOS ANGELES
201 CENTRE PLAZA DRIVE SUITE 1100
MONTEREY PARK
,
CA
91754
NONE
PC
HEALTH
3,000
CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BOULEVARD
WEST HOLLYWOOD
,
CA
90048
NONE
PC
HEALTH
26,500
CHILDREN'S BUREAU OF SO CALIFORNIA
1910 MAGNOLIA AVENUE
LOS ANGELES
,
CA
90007
NONE
PC
PHILANTHROPIC ACTIVITY
5,000
CISNEROS CENTER FOR NEW AMERICANS
303 PEARL PARKWAY SUITE 114
SAN ANTONIO
,
TX
78215
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
COMMON SENSE MEDIA
650 TOWNSEND STREET SUITE 435
SAN FRANCISCO
,
CA
94103
NONE
PC
PHILANTHROPIC ACTIVITY
250,000
DUKE UNIVERSITY
PO BOX 90581
DURHAM
,
NC
277080397
NONE
PC
EDUCATION
3,180,000
EDUCATORS FOR EXCELLENCE
333 W 39TH STREET
NEW YORK
,
NY
10018
NONE
PC
EDUCATION
10,000
EXCEPTIONAL CHILDREN'S FOUNDATION
8740 WASHINGTON BOULEVARD
CULVER CITY
,
CA
90232
NONE
PC
EDUCATION
5,000
FELLOW AT AUSCHWITZ FOR THE STUDY OF PROF ETHICS
515 S FLOWER STREET SUITE 1680
LOS ANGELES
,
CA
90071
NONE
PC
INTERNATIONAL/FOREIGN AFFAIRS
15,000
FOCUSING PHILANTHROPY INC
1637 16TH STREET
SANTA MONICA
,
CA
90404
NONE
PC
PHILANTHROPIC ACTIVITY
20,000
FOOTHILL FAMILY
2500 E FOOTHILL BOULEVARD SUITE 3
PASADENA
,
CA
91107
NONE
PC
HEALTH
2,500
FRIENDS OF ISRAELI DEFENSE FUND
60 EAST 42ND STREET
NEW YORK
,
NY
10165
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
FRIENDS OF ROBINSON GARDENS INC
1008 ELDEN WAY
BEVERLY HILLS
,
CA
90210
NONE
PC
ENVIRONMENTAL QUALITY/PROTECTION/BEAUTIFICATION
1,000
FULFILLMENT FUND
6100 WILSHIRE BOULEVARD SUITE 600
LOS ANGELES
,
CA
90048
NONE
PC
EDUCATION
25,000
HAWAI'I COMMUNITY FOUNDATION
827 FORT STREET MALL
HONOLULU
,
HI
96813
NONE
PC
KUKIO COMMUNITY FUND
2,500
HOMEBOY INDUSTRIES
130 W BRUNO STREET
LOS ANGELES
,
CA
900121815
NONE
PC
PHILANTHROPIC ACTIVITY
60,000
HUALALAI OHANA FOUNDATION
PO BOX 5227
KAILUAKONA
,
HI
96745
NONE
PC
PHILANTHROPIC ACTIVITY
2,500
HUMAN RIGHTS FIRST
75 BROAD STREET 31ST FLOOR
NEW YORK
,
NY
10004
NONE
PC
PHILANTHROPIC ACTIVITY
30,000
INTERNATIONAL MEDICAL CORPS
1919 SANTA MONICA BOULEVARD SUITE
SANTA MONICA
,
CA
90404
NONE
PC
HEALTH
10,000
INTERNATIONAL RESCUE COMMITTEE
122 EAST 42ND STREET
NEW YORK
,
NY
10168
NONE
PC
INTERNATIONAL DEVELOPMENT/RELIEF SERVICES
10,000
JEWISH COMMUNITY CENTER OF ST LOUIS
2 MILLSTONE CAMPUS DRIVE
ST LOUIS
,
MO
631465796
NONE
PC
PHILANTHROPIC ACTIVITY
210,000
KIPP FOUNDATION
135 MAIN STREET SUITE 1700
SAN FRANCISCO
,
CA
94105
NONE
PC
EDUCATION
2,000,000
KIPP LA SCHOOLS
445 SOUTH FIGUEROA STREET SUITE 25
LOS ANGELES
,
CA
90071
NONE
PC
EDUCATION
4,895,653
KIPP ST LOUIS
1310 PAPIN STREET
ST LOUIS
,
MO
63103
NONE
PC
EDUCATION
101,000
LA'S PROMISE
1035 SOUTH GRAND AVENUE 2ND FLOOR
LOS ANGELES
,
CA
90015
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
LEGAL AID FOUNDATION OF LOS ANGELES
1102 CRENSHAW BLVD
LOS ANGELES
,
CA
90019
NONE
PC
PHILANTHROPIC ACTIVITY
25,000
LOS ANGELES 2024 EXPLORATORY COMMITTEE
10960 WILSHIRE BOULEVARD SUITE 105
LOS ANGELES
,
CA
90024
NONE
PC
PHILANTHROPIC ACTIVITY
1,000,000
LOS ANGELES CITY COLLEGE FOUNDATION
855 NORTH VERMONT AVENUE
LOS ANGELES
,
CA
90029
NONE
PC
EDUCATION
5,000
LOS ANGELES COUNTY MUSEUM OF ART
5905 WILSHIRE BOULEVARD
LOS ANGELES
,
CA
90036
NONE
PC
ARTS
55,000
LOS ANGELES COUNTY MUSEUM OF NATURAL HISTORY FDTN
900 EXPOSITION BOULEVARD
LOS ANGELES
,
CA
90007
NONE
PC
ARTS/CULTURE/HUMANITIES
5,000
LOS ANGELES LEADERSHIP ACADEMY
2670 GRIFFIN AVENUE
LOS ANGELES
,
CA
90031
NONE
PC
YOUTH DEVELOPMENT
10,000
LOS ANGELES MUSEUM OF THE HOLOCAUST
100 THE GROVE DRIVE
LOS ANGELES
,
CA
90036
NONE
PC
ARTS/CULTURE/HUMANITIES
2,500
LOS ANGELES PARKS FOUNDATION
11973 SAN VICENTE BOULEVARD 200
LOS ANGELES
,
CA
90049
NONE
PC
ENVIRONMENTAL QUALITY/PROTECTION/BEAUTIFICATION
7,500
LOS ANGELES TEAM MENTORING
714 WEST OLYMPIC BOULEVARD SUITE 9
LOS ANGELES
,
CA
90015
NONE
PC
YOUTH DEVELOPMENT
15,000
MAYOR'S FUND FOR LOS ANGELES
200 N SPRING STREET STE 305
LOS ANGELES
,
CA
90012
NONE
PC
PHILANTHROPIC ACTIVITY
250,000
MUSICARES FOUNDATION INC
3030 OLYMPIC BOULEVARD
SANTA MONICA
,
CA
90404
NONE
PC
ARTS/CULTURE/HUMANITIES
250,000
PEER HEALTH EXCHANGE
1730 WEST OLYMPIC BOULEVARD SUITE
LOS ANGELES
,
CA
90015
NONE
PC
HEALTH
25,000
PLANNED PARENTHOOD FEDERATION OF AMERICA INC
123 WILLIAM STREET
NEW YORK
,
NY
10038
NONE
PC
HEALTH
5,000
RAND CORPORATION
1776 MAIN STREET
PO BOX 2138
SANTA MONICA
,
CA
90407
NONE
PC
PHILANTHROPIC ACTIVITY
2,640
RETT SYNDROME RESEARCH TRUST
67 UNDER CLIFF ROAD
TRUMBULL
,
CA
06611
NONE
PC
HEALTH
2,500
ROCK & ROLL HALL OF FAME FOUNDATION INC
1290 AVENUE OF THE AMERICAS
NEW YORK
,
NY
10104
NONE
PC
ARTS/CULTURE/HUMANITIES
25,000
SAUL MIROWITZ JEWISH COMMUNITY SCHOOL
348 SOUTH MASON ROAD
TOWN AND COUNTRY
,
MO
63141
NONE
PC
EDUCATION
15,000
SHELTER PARTNERSHIP INC
523 WEST 6TH STREET SUITE 616
LOS ANGELES
,
CA
90014
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
SITEMAN CANCER CENTER
WASHINGTON UNIVERSITY CAMPUS BOX 1
7425 FORSYTH BOULEVARD
ST LOUIS
,
MO
631052161
NONE
PC
HEALTH
10,000
SITKA SOUND SCIENCE CENTER INC
834 LINCOLN STREET
SITKA
,
AK
99835
NONE
PC
EDUCATION
50,000
SKIRBALL CULTURAL CENTER
2701 NORTH SEPULVEDA BOULEVARD
LOS ANGELES
,
CA
90049
NONE
PC
ARTS/CULTURE/HUMANITIES
10,000
ST SIMONS LAND TRUST INC
PO BOX 24615
ST SIMONS ISLAND
,
GA
31522
NONE
PC
ENVIRONMENTAL QUALITY/PROTECTION/BEAUTIFICATION
2,500
TEACH FOR AMERICA
315 WEST 36TH STREET 7TH FLOOR
NEW YORK
,
NY
10018
NONE
PC
EDUCATION
1,338,333
THE CHESTER FOUNDATION
2515 VENTURE OAKS WAY SUITE 135
SACRAMENTO
,
CA
95833
NONE
PC
PHILANTHROPIC ACTIVITY
5,000
THE EMILY KRZYZEWSKI CENTER
904 W CHAPEL HILL STREET
DURHAM
,
NC
27701
NONE
PC
YOUTH DEVELOPMENT
10,000
THE GABRIELLA FOUNDATION
639 S COMMONWEALTH AVENUE SUITE B
LOS ANGELES
,
CA
90005
NONE
PC
YOUTH DEVELOPMENT
2,500
THE JEWISH COMMUNITY FOUNDATION OF LOS ANGELES
6505 WILSHIRE BOULEVARD SUITE 1200
LOS ANGELES
,
CA
90048
NONE
PC
PHILANTHROPIC ACTIVITY
5,000
THE JEWISH FEDERATION OF GREATER LOS ANGELES
6505 WILSHIRE BOULEVARD
LOS ANGELES
,
CA
90048
NONE
PC
PHILANTHROPIC ACTIVITY
70,000
THE JEWISH FEDERATIONS OF NORTH AMERICA INC
25 BROADWAY SUITE 1700
NEW YORK
,
NY
10004
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
THE KNOWLEDGE HOUSE
1231 LAFAYETTE AVENUE
BRONX
,
NY
10474
NONE
PC
EMPLOYMENT TRAINING
15,000
THE LOS ANGELES PHILHARMONIC ASSOCATION
151 S GRAND AVENUE
LOS ANGELES
,
CA
90012
NONE
PC
ART/CULTURE/HUMANITIES
15,750
THE MISSION CONTINUES
1141 SOUTH 7TH STREET
ST LOUIS
,
MO
63104
NONE
PC
PHILANTHROPIC ACTIVITY
5,000
THE POSSE FOUNDATION
14 WALL STREET SUITE 8A-60
NEW YORK
,
NY
10005
NONE
PC
PHILANTHROPIC ACTIVITY
2,500
THE UCLA FOUNDATION
10920 WILSHIRE BOULEVARD SUITE 900
LOS ANGELES
,
CA
90024
NONE
PC
EDUCATION
6,000
THE WORLD IS JUST A BOOK AWAY
520 BROADWAY 2ND FLOOR
SANTA MONICA
,
CA
90401
NONE
PC
EDUCATION
1,000
TIA'S HOPE
149 S BARRINGTON AVENUE
PO BOX 828
LOS ANGELES
,
CA
90049
NONE
PC
PHILANTHROPIC ACTIVITY
5,000
TOURETTE SYNDROME ASSOCIATION
42-40 BELL BOULEVARD
BAYSIDE
,
NY
11361
NONE
PC
HEALTH
10,000
UNITED WAY OF COASTAL FAIRFIELD COUNTY
855 MAIN STREET
BRIDGEPORT
,
CT
06604
NONE
PC
PHILANTHROPIC ACTIVITY
5,000
UNIVERSITY OF PENNSYLVANIA
3451 WALNUT STREET
PHILADELPHIA
,
PA
19104
NONE
PC
EDUCATION
500,000
UNIVERSITY OF VIRGINIA LAW SCHOOL FOUNDATION
580 MASSIE ROAD
CHARLOTTESVILLE
,
VA
229031738
NONE
PC
EDUCATION
1,000,000
VALLEY BETH SHALOM
15739 VENTURA BOULEVARD
ENCINO
,
CA
91436
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
WARRIORS COMMUNITY FOUNDATION
1011 BROADWAY
OAKLAND
,
CA
94607
NONE
PC
PHILANTHROPIC ACTIVITY
95,000
WHISTLER HOUSE MUSEUM OF ART
LOWELL ART ASSOCIATION INC
243 WORTHEN STREET
LOWELL
,
MA
01852
NONE
PC
ARTS/CULTURE/HUMANITIES
2,500
WORLDWIDE ORPHANS ORGANIZATION
515 VALLEY STREET STE 201
MAPLEWOOD
,
NJ
07040
NONE
PC
PHILANTHROPIC ACTIVITY
10,000
Total
.................................
3a
16,539,376
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2016)
Form 990-PF (2016)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash investments
...........
4
Dividends and interest from securities
....
14
984,851
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than inventory
............
523000
-129,061
18
1,814,728
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
PARTNERSHIP INCOME FROM K-1S
523000
-12,811
41
9,986,656
b
OAKTREE HIGH YIELD PLUS (CAYMAN) FD CL A
41
-12,125
c
OAKTREE HIGH YIELD PLUS (CAYMAN) FD CL B
41
-2,038
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
-141,872
12,772,072
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
12,630,200
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2016)
Form 990-PF (2016)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)?
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2016)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description