Professional Documents
Culture Documents
Form oepanmentof0tieTreasury
Internal Revenue Service
q - sS'.
OMB No 1545-0052
^oo^
Note : The org anization may be able to use a copy of this return to satisfy state rep ortin g req uirements
For calendar y ear 2005 , or tax y ear beg inning G Check all that aooly: Initial return
Name of organization
Final return
, 2005 , and ending 07/01 06/30/2006 Amended return Address chance Name charms
A Employer identification number
label.
Otherwise,
print
31-1633189
B Telephone number ( see page 10 of
the instructions)
(612)
If exemption application is
pending , check here
303-3258
^
Fair market value of all assets at end year (from Part ll, co!. (c) , line 6) ^ $ 413 , 590.
Accounting method Cash Accrual u Othe r (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ F (Part column (d) must be on cash basis.)
(a) Revenue and expenses per books 235 , 998. (b) Net investment income
If private foundation status was terminated under section 507(bXlXA), check here . ^ u If the foundation is in a 60-month termination under section 507(b)(1 )( B), check here . ^
s^ rtE
I
2
q l (d) may not necessarily equal the amounts n column (a) (see page 11 of the instructions
Contnbution, s . grants , etc, received (attach schedule) . a trts,
Check ^ U if the foundation is not required to attach Sch B
STMT 1
1 , 493.
2 , 169.
1 , 493.
2 , 169.
STMT 2 STMT 3
ei
6a Net gain or (loss) from sale of assets not on line 10 b Gross sales puce for all 47,436. assets on line 6a
10
, 397.
10 , 397 .
7 8 9
Capital gain net income (from Part IV, line 2) Net short- term capital gain . . . . . . . . . Income modifications . . . . . . . . .
.
10 a Gross sales less returns and allowances b Less Cost of goods sold
c Gross profit or (loss ) ( attach schedule) . 11 Other income ( attach schedule ) , , , , 12 Total . Add lines 1 throu g h 11 ........
13 14 Compensation of officers , directors , trustees, etc . Other employee salaries and wages . . . .
STMT
14 , 059.
NON NON NON NON
15 16a CL X b c
C.M C O C-4
Pension plans , employee benefits . . . . . Legal fees (attach schedule ) , , , , , , , , , Accounting fees ( attach schedule) , Other professional fees (attach sctwt , ,
Interest . . . . . . . . . . . . . . ct,ohs) Taxes (attach schedule ) ( see page 14 of tarn
2 , 134.
207 .
1 , 362.
772
17 LA 18
C-)
of
Depreciation ( attach schedule ) and depletion Occupancy . . . . . . . . . . . . . . . . Travel , conferences , and meetings . . . . cc 22 (^ p^ ^d/ ca to .... RptMdt/i es ach s hedule ) , E W 4 24 Total operati nistrative expenses. E 19 Q 20 21
NON
NON
NON E
NON E
uL
7F
S [ Ike$12, , Apb
25
iqf
2 341.
50 000.
1 , 362. 1 , 362.
NON NON
772
50 , 000
Contributions:iJ paid , , , , , ,
s a n d 11 s.Addlines24and25
52341.
2 01 7 1 6 .
50 , 772
0
(I -
rje
35514300
31
1-1633189
End of year
Page 2
( c) Fair Market Value
Balance Sh ee t s
1 .2 3 4 5 6 7 8 9
Be g innin g of year
( b) Book Value
Cash - non-interest-beanng , , , , , , , , , , , , , , , , , Savings and temporary cash investments , , , , , , , , , , , Accounts receivable ^ ----------------------Less allowance for doubtful accounts ^ ------------Pledges receivable ^ -----------------------_ _ _ Less allowance for doubtful accounts ^ _ _ Grants receivable , , , , , , , , , , , , , , , , , , , , , Receivables due from officers, directors, trustees, and other
disqualified persons ( attach schedule ) ( see page 15 of the instructions)
53 , 328.
53 328
Other notes and loans receivable (attach schedule) ^ - - - - NONE Less allowance for doubtful accounts ^ Inventories for sale or use , , , , , , , , , , , , , , , , , Prepaid expenses and deferred charges , , , , , , , , , , ,
131 600.
302 632.
360 , 262
, , , , , ,
Investments - land, buildings, ^ and equipment basis ___________________ Less accumulated depreciation ^ (attach schedule ) -------------------
12 13
14
15 16 17 18 W 19
20
Other assets (describe 10. ____________________ ) Total assets ( to be completed by all filers - see page 16 of
the instructions Also , see page 1 , item I - . Accounts payable and accrued expenses , , , , , , , , , , Grants payable , , , , , , , , , , , , , , , , , , , , , , Deferred revenue , , , , , , , , , , , , , , , , , , , , ,
Loans from officers , directors , trustees , and other disqualified persons
154 247.
355F960.
413 , 590-
21 22
23
Mortgages and other notes payable (attach schedule) , , Other liabilities (describe ^ ) ------------------Total liabilities ( add lines 17 throu g h 22 )
Organizations that follow SFAS 117 , check here ^ and complete lines 24 through 26 and lines 30 and 31.
N
24 25 m 26 c LL
Unrestricted . . . . . . . . . . . .. . . . . . . . . . . . . Temporarily restricted . . . . . . . . . . . . . . . . . . . Permanently restricted . . . . . Organizations that do not follow SFAS 117, check here and complete lines 27 through 31. ^ FX
o 27
28 y 29
585 , 888.
-4 31 , 641.
821 , 886.
30
Retained earnings, accumulated income, endowment , or other funds Total net assets or fund balances ( see page 17 of the
z
31
instructions ) .........................
Total liabilities and net assets/fund balances (see page 17 of
the instructions
1
2
154,247.
201,716.
3 Other increases not included in line 2 (itemize) ^ 4 Add lines 1 , 2, and 3 , , , , , , , , , , , , , , , , .............. 5 Decreases not included in line 2 ( itemize
3 .
4
5
6
355,963.
3.
6 Total net assets or fund balances at end of year ( line 4 minus line 5) - Part II column ( b). line 30 . . . . .
355,960.
Form 990-PF (2005)
35514300
31-1633189
Form 990-PF 2005) Page 3
1a
b 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
b
c
d
e Com p lete onl y for assets showing g ain in column (h) and owned by the foundation on 12/31/69
(i) F.M.V as of 12/31/69 G) Adjusted basis as of 12/31/69 (k) Excess of col. (i) over col 0), if any
a
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 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 pages 13 and 17 of the instructions). If ( loss ) , enter -0- in Part I, line 8 } 2 10 ,397.
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 organization liable for the section 4942 tax on the distributable amount of any year in the base penod ?. ... . Yes No If "Yes ," the organization does not qualify under section 4940 ( e). Do not complete this part. I Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(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 col ( b ) divided by col (c ))
....................... ........
2
3
2.88986159991
0.
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 , , , , , , , Enter the net value of noncharitable - use assets for 2005 from Part X, line 5 Multiply line 4 by line 3 .............................. ........ Enter 1% of net investment income ( 1% of Part I, line 27b ) Add lines 5 and 6 Enter qualifying distributions from Part XII, line 4 . . ... . .. ...... ... ....... , , , , , , , , , , , , , , , , ,
4 5 6 7 8 5 EA
4
5 6
7
8
199, 086.
50,772, Form 990-PF (2005)
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 on page 18
5E 1430 1 000
35514300
31-1633189
Excise Tax Based on Investment Income ( Section 4940 ( a ) , 4940 ( b) , 4940 ( e ) , or 4948 - see
I a Exempttoperating foundations described in section 4940(d)(2), check here ^ and enter "N/A" on line 1 . .
4
a 18 of the instructions )
Date of ruling letter: _ _ _ _ _ _ - - - (attach copy of ruling letter if necessary - see instructions) . . b, Domestic organizations that meet the section 4940(e) requirements in Part V, check . . . . . . . . .. . . . . . . . . . . . . . . . . . . here ^ u and enter 1 % of Part I, line 27b
c All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, col (b)
254
2 3 4 5 6
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) Add lines 1 and 2 . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) , , , Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -0- . . . . . . . . . . . . .
2 3 4 5
254.
NONE
254.
Credits/Payments: 104. 6a a 2005 estimated tax payments and 2004 overpayment credited to 2005 NONE 6b b Exempt foreign organizations - tax withheld at source . . . . . . . . . . . NONE 6c c Tax paid with application for extension of time to file (Form 8868), 6d d Backup withholding erroneously withheld . .. . . . . . . . . . . . . . . 7 . . . . . . . . . 7 Total credits and payments Add lines 6a through 6d . 8 8 Enter any penalty for underpayment of estimated tax Check here u if Form 2220 is attached . . . . . . . . . . 9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed . . . . . . . . . . . . . . . . ^ 9 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . . . . . . , . . . ^ 10 10
11 Enter the amount of line 10 to be: Credited to 2006 estimated tax ^ Refunded ^ 11
104. 150.
Yes 1a 1b
No X X
1c
e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on organization managers. ^ $ Has the organization engaged in any activities that have not previously been reported to the IRS? , , , , , , , , , , , 2 If 'Yes," attach a detailed description of the activities. Has the organization made any changes , not previously reported to the IRS , in its governing instrument, articles 3 of incorporation , or bylaws , or other similar instruments ? If "Yes," attach a conformed copy of the changes . . .. . . . . . 4a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . . . . . . . . . . . b If "Yes," has it filed a tax return on Form 990 -T for this year? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Was there a liquidation , termination , dissolution , or substantial contraction during the year? , , , , , , , , , , , , , , , , 5 If 'Yes," attach the statement required by General Instruction T Are the requirements of section 508(e) (relating to sections 4941 through 4945 ) satisfied either: 6 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? . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Did the organization have at least $ 5,000 in assets at any time during the year? If "Yes,"complete Part I/, col (c), and Part XV 8a Enter the states to which the foundation reports or with which it is registered ( see page 19 of the
3 4a 4b 5
X X /A X
6 7
X X
instructions ) ^ SEE STATEMENT -9 --------------------------------------------------b If the answer is "Yes" to line 7 , has the organization 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 . . . . . . . . . . . . . . 8 b 9 Is the organization claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 49420)( 5) for calendar year 2005 or the taxable year beginning in 2005 ( see instructions for Part XIV on 9 page 26 )? if "Yes,"complete Part XIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T. 1 10 10 Did any persons become substantial contributors during the tax year? If 'Yes," attach a schedule listing their names and addres 11 Did the organization comply with the public inspection requirements for its annual returns and exemption application ? . . . 11 N/A______ _ Web site address 12 The books are in care of Do- _ US BANK -N .A.- -- ____________Telephoneno --- ---- -------X
X X X
------
__ __ _ZIP+4
13
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 dunna the year . . . . . . . . . . . . ^ 1 13
. . . . . . . . --. . --. .
-- 6
35514300
31-1633189
Yes X u No X No X No X No
Page 5
(5) Transfer any income or assets to a disqualified person (or make any of either available u No for the benefit or use of a disqualified person)? . . . . . . . . . . . . . . . . . . . . . . . . . u Yes (6) Agree to pay money or property to a government official? (Exception. Check "No" if the organization agreed to make a grant to or to employ the official for a period No after termination of government service, if terminating within 90 days.) . . . . . . . . . . . . . u Yes b If any answer is "Yes" to la(1)-(6), did any of the acts fail to qualify under the exceptions descnbed in Regulations . . . section 53 4941 (d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)? . . . Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . 0' u c Did the organization 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 2005? . . . . . . . . . . . . . . . . . . . . . . . . 2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 4942(1)(3) or 4942(j)(5)): a At the end of tax year 2005, did the organization have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2005? . . . . . . . . . . . . . . . . . .. . If "Yes," list the years ^ ---------- ,--___ u Yes X No
1b
N A
1t
b Are there any years listed in 2a for which the organization 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 page 20 of the instructions.) . . . . . . . . . . . . . . . . . . .. c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here. --------- --------- --------3a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u Yes b If "Yes," did it have excess business holdings in 2005 as a result of (1) any purchase by the organization or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
2b
N A
No
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 penod? (Use Schedule C, Form 4720, to determine if the organization had excess business hddings in 2005.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes? . . . . . . . b Did the organization 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 2005? . . . . . . . . . . . 5 a During the year did the organization pay or incur any amount to: (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? , , , u Yes No (2) Influence the outcome of any specific public election (see section 4955); or to carry X No on, directly or indirectly, any voter registration drive? Yes (3) Provide a grant to an individual for travel, study, or other similar purposes? No Yes (4) Provide a grant to an organization other than a charitable, etc., organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)? . . . . . . . . . . . . . . . . . . . . . El 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? , , , , , , , , , , u Yes No b If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions descnbed in . . . Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 20 of the instructions)? Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . . ^ u c If the answer is "Yes" to question 5a(4), does the organization claim exemption from the u No tax because it maintained expenditure responsibility for the grant? . . . . . . . . . . . . . . N/A u Yes If "Yes," attach the statement required by Regulations section 53 4945-5(d). 6a Did the organization, during the year, receive any funds, directly or indirectly, to pay No premiums on a personal benefit contract? , , , , , , , , , , , , , , , u Yes b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . If you answered "Yes" to 6b, also file Form 8870
3b 4a 4b
N A X X
5b
N IA
6b
35514300
Information About Officers, Directors, Trustees , Foundation Managers , Highly Paid Employees, and Contractors
1 List all officers . directors . trustees . foundation manaaers and their compensation (see oaae 21 of the 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
-------------------------------------
-0-
-0-
-0-
-------------------------------------
-------------------------------------
--------------------------------------
Compensation of five hiahest - oaid emolovees ( ot her than those included on line I - see oaae 21 of the 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 com p ensation (e) Expense other allowances er other
------------------------------------NONE
--------------------------------------------------------------------------------------------------------------------------------------------------
. ^ I NONE Total number of other employees paid over $50,000 3 Five highest - paid independent contractors for professional services - (see page 21 of the instructions). If none, enter
"NONE."
(a) Name and address of each person paid more than $ 50,000 ---------------------------------------------------NONE
-----------------------------------------------------
(c) Compensation
Total number of others receiving over $50,000 for professional services , Summary of Direct Charitable Activities
, , , , , , ,
, , , ,
, , , , , , ^ NONE
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
-----------------------------------------------------------------------------------------------------------------------------------------------------NONE
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
35514300
31-1633189
Amount
Page 7
FUM MMIll S ummary of Proaram -Related Investments (see Daae 22 of the instructions)
Describe the two largest program - related investments made by the foundation during the tax year on lines 1 and 2
I -NONE ---------------------------------------------------------------------------------------------------------------------------------------------------2 ----------------------------------------------------------------------------------------------------------------------------------------------------All other program - related investments See page 22 of the instructions
Total . Add lines 1 throu g h 3 ^ i;7 Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see page 22 of the instructions.) I Fair market value of assets not used (or held for use) directly in carrying out chantable, etc., purposes: a Average monthly fair market value of securities . . . . . ....... ... . .. .. . . .. ...... Ia
.
167,792.
181 , 686.
1b
c Fair market value of all other assets (see page 23 of the instructions) . ... . .. . . . ... .. . . .. d Total (add lines la, b, and c) , , ,, , , , , , , , , , , , , , , , , e Reduction claimed for blockage or other factors reported on lines 1a and . . ........... le 1c (attach detailed explanation) 2 Acquisition indebtedness applicable to line 1 assets ............................ 3 Subtract line 2 from line ld ... ... ......... ... . .. ... 4 Cash deemed held for charitable activities. Enter 1 1 /2 % of line 3 (for greater amount, see page 23 of the instructions) . ...... _ ..
5 Net value of noncharitable - use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4
1c 1d
NONE
349 , 478.
2 3
4 5
Minimum investment return . Enter 5% of line 5 . 6 Distributable Amount (see page 23 of the instructions) (Section 4942(1)(3) and 0)(5) private operating and do not complete this part.) foundations and certain foreign organizations check here ^ 1 1 Minimum investment return from Part X, line 6 .... ......... .. ... .. . . .. ... .. . 2a 254. 2a Tax on investment income for 2005 from Part VI, line 5 b Income tax for 2005. (This does not include the tax from Part VI.). .. 2b _ . .. . . . c Add lines 2a and 2b 2c Distributable amount before adjustm ents. Subtract line 2c from line 1 .. .. .. ... .. . .... . 3 3 4 4 Recoveries of amounts treated as qualifying distributions , , , , , , , , , , , , , , , , , , , , , Add lines 3 and 4 ......... . ... ................................. 5 5 Deduction from distributable amount (see page 24 of the instructions) ... . .. .. . . . . ... 6 6 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, 7 6
line 1
17 , 212.
7
Qualifying Distributions (see page 24 of the instructions)
20 , 958 .
1 a
b
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposesExpenses, contributions, gifts, etc. - total from Part I, column (d), line 26 .. . . . . . . . . . . . . . ..
Program-related investments - total from Part IX-B ... .. .........
Ia
Ib
50 , 772.
2 3 a b
4
Amounts paid to acquire assets used (or held for use) dlrectiy in carrying out charitable, etc., purposes . . . . . . .. . . . . . . . . . . . . . .. . . . . .................. Amounts set aside for specific charitable projects that satisfy the: ...................... Suitability test (prior IRS approval required) Cash distribution test (attach the required schedule) , , , ,, , ,,, , , , , , , , , , , , , , ,
Qualifying distributions . Add lines 1 a through 3b. Enter here and on Part V, line 8, and Part All, line 4 . , ,
2 3a 3b
4
5 6
Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment income. Enter 1 % of Part I, line 27b (see page 24 of the instructions) ... . .. .. . . .. ... . .. 5 N/A Adjusted qualifying distributions . Subtract line 5 from line 4 . . .. . 6 50 , 772. Note : The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whe ther the foundation qualifies for the section 4940(e) reduction of tax in those years. Form 990 -PF (2005)
35514300
31-1633189
Form 990 - PF(2005) Page 8
1
2 a
Corpus (a)
2004 (c)
2005 (d)
958.
NON
NON
3 a b c d e f
4
a
Excess distributions carryover, if any, to 2005. 141 , 254 . From 2000 290 805. From 2001 212 , 290. From 2002 220 , 424. From 2003 59 , 141. From 2004 . . Total of lines 3a through e . . . . . . . . . . .
Qualifying distributions for 2005 from Part 50,772. XIl, line4 ^ $
Applied to 2004 , but not more than line 2a , , ,
923.914.
NON NON
NON
b Applied to undistributed income of prior years (Election required - see page 25 of the instructions) , ,
c Treated as distributions out of corpus ( Election required - see page 25 of the instructions) , , , d Applied to 2005 distributable amount, . . . . . e Remaining amount distributed out of corpus , 5 Excess distributions carryover applied to 2005 (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 b Prior years ' undistributed income . Subtract line 4b from line 2b .............. 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 . . . . . . . .
Subtract line 6c from line 6b. Taxable amount - see page 25 of the instructions , , , , Subtract line e Undistributed income for 2004 4a from line 2a Taxable amount - see page 25 of the instructions d
20 , 958.
29 , 814. NON NONE
953 728.
NON
Undistributed income for 2005. Subtract lines 4d and 5 from line 1 . This amount must be distributed in 2006 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942( g)(3) (see page 25 of the instructions) . . . . Excess distributions carryover from 2000 not applied on line 5 or line 7 (see page 25 of the instructions ) . . . . . . . . . . . . . . . .
NONE
NON
141,254.
812 474.
Excess distributions carryover to 2006. Subtract lines 7 and 8 from line 6a 10 Analysis of line 9: 290 , 805. a Excess from 2001 . . . b Excess from 2002 212 , 290. 220 , 424. c Excess from 2003 59 , 141. d Excess from 2004 e Excess from 2005 29 , 814.
35514300
10
31-1633 189
Page 9
NOT APPLICABLE
JjEOM Private Operating Foundations (see page 26 of the instructions and Part VII-A, question 9) 1 a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2005, enter the date of the ruling
b
. , Prior 3 years
^
4942(1)(3) or 4942(1)15) (e) Total
(d) 2002
Check box to indicate whether the oraanization is a private ooeratlna foundation described in section
2a
E n t er th e l esser o f th e
adjusted net income from
Tax year
(a) 2005 (b) 2004
(c) 2003
Part I or the minimum investment return from Part X for each year listed . . b
C
85% of line 2a
. . . .
Qualifying distributions from Part xll, line 4 for each year listed Amounts included in line 2c not used directly for active conduct of exempt activities . . . . . Qualifying distributions made directly for active conduct of activities Subtract exempt line 2d from line 2c , Complete 3a, b, or c for the alternative test relied upon "Assets' alternative test - enter
(1) value of all assets
3 a
"Endowment' alternative testenter 2/3 of minimum investment return shown in Part X line 6 for each year listed '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) from general (2) Support public and 5 or more exempt organizations as provided in section 4942
6X3XBxuq . . . . .
(3) Largest amount of support from an exempt organization .
Supplementary Information (Complete this part only if the organization had $5,000 or more in assets at any time during the year - see page 26 of the instructions.) Information Regarding Foundation Managers: I a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before tlw/wlose of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).) 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.
N/A
2 Information Regarding Contribution , Grant, Gift, Loan , Scholarship, etc., Programs:
Check here ^ if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If the organization makes gifts, grants, etc. (see page 26 of the instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d. a The name, address, and telephone number 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:
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors: sE 4901 000 QK5372 F938 08/08/2006 10:20:44 Form 990 - PF (2005) 11 -
35514300
31-1633189
Form 990 - PF (2005 ) Page 10
Purpose of grant or
contribution
A moun t
Name and address (home or business) a Paid during the year SEE STATEMENT 11
recipient
Total .................................................. ^ 3a
b Approved for future payment
50 000.
Total
^ 3b
35514300
12
31-1633189 Form 990-PF(2005) Page 1 1 Unrela ted business income (a) (b) Business Amount code Excluded b section 512, 513, or 514 (c) (d) Exclu ion Amount code (e) Related or exemp t function income (See page 26 of the instructions
c
d
e If
g Fees and contracts from government agencies
14
14
1,493.
2,178.
18
10,397.
9 Net income or (loss) from special events . , 10 Gross profit or (loss) from sales of inventory. 11 Other revenue: a
b
c d
GRANT REFUND
01
4 , 000.
e 18 , 068 . 12 Subtotal. Add columns (b), (d), and (e) . . . 13 Total. Add line 12, columns (b), (d), and (e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 (See worksheet in line 13 instructions on page 27 to verify calcu lations.)
1
18,068.
NOT APPLICABLE
35514300
13
Page 12 31-1633189 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exem pt Org anizations Yes No
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? a Transfers from the reporting organization to a nonchantable exempt organization of:
(1) Cash ......................................................... 1a1
(2) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Other transactions: (1) Sales of assets to a noncharitable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Purchases of assets from a nonchantable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . (3) Rental of facilities , equipment , or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (4) Reimbursement arrangements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (5) Loans or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (6) Performance of services or membership or fundraising solicitations . . . . . . . . . . . . . . . . . . . . . . . . . . c Sharing of facilities , equipment , mailing lists , other assets , or paid employees . . . . . . . . . . . . . . . . . . . . . . . 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 organization . If the organization 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
. . . . . . .
1a 2 1b 1b 1b 1b 1b 1b 1 2 3 4 5
X X X X X X X X
6 1c
2 a Is the organization 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? h If "YPs " cmmnteta the fnllnunnn schadula (a) Name of organization ( b) Type of organization (c) Description of relationship . . . . . . . . . . . . . . . . . . Yes No
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, rrect, and c fete claration of preparer ( other than taxpayer or fiduciary ) is based on all information of which preparer has any knowledge
CD
CL
a.
Preparer's p si g nature
05
-3 A.
Schedule B
(Form 990 ,' 990-EZ,
I
I
Schedule of Contributors
Supplementary Information for
line 1 of Form 990, 990-EZ, and 990 -PF (see Instructions)
OMB No 1545-0047
or 990 -PF)
Department of the Treasury Internal Revenue Service
2005
Employer identification number
Name of organization
31-1633189
u 4947(a)(1) nonexempt charitable trust not treated as a private foundation u 527 political organization
Form 990-PF
501 (c)(3) exempt private foundation u 4947(a)(1) nonexempt charitable trust treated as a private foundation u 501 (c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. (Note : Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule - see instructions.) General Rule -
For organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one contributor. (Complete Parts I and II ) Special Rules u For a section 501(c)(3) organization filing Form 990, or Form 990-EZ, that met the 33 1/3% support test under Regulations sections 1.509(a)-3/1.170A-9(e) and received from any one contributor, during the year, a contribution of the greater of $5,000 or 2% of the amount on line 1 of these forms. (Complete Parts I and II.) u For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year, aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. (Complete Parts I, II, and III ) u For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year, some contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did not aggregate to more than $1,000. (If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the Parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more during the year) ............................................ ^ $ Caution : Organizations that are not covered by the General Rule and/or the Special Rules do not file Schedule B (Form 990, 990-EZ, or 990-PF), but they must check the box in the heading of their Form 990, Form 990-EZ, or on line 2 of their Form 990-PF, to certify that they do not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions for Form 990, Form 990 -EZ, and Form 990-PF.
Schedule B (Form 990, 990-EZ, or 990-PF) (2005)
35514300
16
of
of Part 1
Name of organization
3 1-1633189
Person
Payroll
PO BOX 4626
ATLANTA,
(a) No.
235,998-
Noncash
(Complete Part II if there is a noncash contribution.)
GA 30302
(b) Name , address , and ZIP + 4 (c) Aggregate contributions
(Complete Part II If there is a noncash contribution.) (a) No. (b) Name, address , and ZIP + 4 (c) Aggregate contributions (d) Type of contribution Person
Payroll Noncash
35514300
18
FARVIEW FOUNDATION 35514300 FORM 990PF, PART I CONTRIBUTIONS, GIFTS AND GRANTS RECEIVED
31-1633189
NAME AND ADDRESS ---------------BEATRICE WELLS CROSBY ESTATE PO BOX 4626 ATLANTA, GA 30302 TOTAL CONTRIBUTION AMOUNTS
DATE ----
09/23/2005
235,998.
--------------235,998.
---------------
XD577 2 000
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STATEMENT
Description Cost or other basis FMV as of 12/31/ Add basis as of 12131/69 Excess of FMV over
ad i basis
Depreciation allowed /
all ow a ble
Date sold
6,072.
03/08/2002
1,079. 03/24/1964 5,617. 03/07/2002
08/17/2005
08/08/2005
5,884.
08/08/2005
5,480.
6,216.
281.849 NEW ALTERNATIVES FD INC PROPERTY TYPE: SECURITIES 9,746. 321.854 PARNASSUS FD SBI PROPERTY TYPE: SECURITIES
-736.
03/08/2002 254. 03/08/2002 08/17/2005 08/18/2005
10,000.
10,000.
11,889.
-1,889.
TOTAL GAIN(LOSS)
.....
........................................
10,397.
35514300
15
31-1633189
FORM 990PF, PART I - INTEREST ON TEMPORARY CASH INVESTMENTS ----------------------------------------------------------REVENUE AND EXPENSES PER BOOKS ---------
1,493.
-------------1,493.
1,493.
-------------1,493.
--------------
---------------------------
X0577 2 000
- QK5372
F938
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STATEMENT
31-1633189
FORM 990PF,
PART I
DESCRIPTION ----------EXXON MOBIL CORP GENERAL MILLS INC MICROSOFT CORP NEW ALTERNATIVES FD INC PARNASSUS FD SBI
PFIZER INC
TARGET CORPORATION TIME WARNER INC WELLS FARGO & CO TOTAL
122. 134. 136. 432. 559. 194. 80. 200. 312. 2,169.
122. 134. 136. 432. 559. 194. 80. 200. 312. 2,169.
XD577 2 000
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21
STATEMENT
31-1633189
FORM 990PF, PART I - OTHER INCOME ----------------------------------------------------------------REVENUE AND EXPENSES PER BOOKS
DESCRIPTION
STATEMENT
xos16 2 000
35514300
22
31-1633189
CHARITABLE PURPOSES
US BANK NA
TOTALS
XD577 2 000
- QK5372
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23
STATEMENT
31-1633189
TOTALS
STATEMENT
XD576 2 000
10:20:44
35514300
24
FARVIEW FOUNDATION 35514300 FORM 990PF, PART II - CORPORATE STOCK ------------------------------------------------------------------------BEGINNING BOOK VALUE
31-1633189
DESCRIPTION
ENDING FMV
CALVERT SOCIAL FUND EMC MICROSOFT NEW ALTERNATIVES FUND PARNASSUS TARGET TIME WARNER INC WELLS FARGO EXXON MOBIL GENERAL MILLS PFIZER TOTALS
33,182. 5,545. 10,128. 31,688. 29,287. 785. 12,880. 7,334. 460. 258. 53.
131,600. -----------------------------
92,849. 5,545. 3,912. 93,865. 84,957. 785. 12,880. 7,334. 194. 258. 53.
302,632. -----------------------------
97,526. 5,485. 9,320. 106,117. 88,096. 9,774. 17,300. 10,062. 6,135. 5,166. 5,281.
360,262. -----------------------------
x0577 z 000
- QK5372
F938
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25
STATEMENT
31-1633189
FORM 990PF, PART III - OTHER DECREASES IN NET WORTH OR FUND BALANCES --------------------------------------------------------------------------------------------------------------------------------------DESCRIPTION
AMOUNT
ROUNDING
TOTAL
3. -------------3. ---------------------------
STATEMENT
XD5762000
10:20:44
35514300
26
31-1633189
STATEMENT
XD576 2 000
35514300
27
FARVIEW FOUNDATION 35514300 FORM 990PF, PART VII-A - NEW SUBSTANTIAL CONTRIBUTORS
31-1633189
NAME AND ADDRESS ---------------BEATRICE WELLS CROSBY ESTATE PO BOX 4626 ATLANTA, GA 30302 TOTAL CONTRIBUTION AMOUNTS
DATE
09/23/2005
235,998.
--------------235,998.
-----------------------------
XD577 2 000
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STATEMENT
10
31-1633189
AMOUNT ------
ISAR INC 1601 CONNECTICUT AVE NW SUITE 301 WASHINGTON, DC 20009 TAXPAYERS COMMON SENSE 651 PENNSYLVANIA AVE SE WASHINGTON, DC 20003 PROJECT ON GOVERNMENT OVERSIGHT 666 11TH STREET NW SUITE 500 WASHINGTON, DC 20001-4542 JUSTICE THROUGH MUSIC PO BOX 9576 WASHINGTON, DC 20016 THE CIRCLE THE PRAYER VIGIL 11160 GLADE DRIVE
NONE N/A
SOCIAL
20,000.
NONE N/A
EDUCATION
NONE N/A
10,000.
NONE N/A
VOTING ACTIVISM
10,000.
NONE N/A
ENVIRONMENTAL
10,000.
RESTON, VA 20191
-----------TOTAL CONTRIBUTIONS PAID 50,000.
XD577 2 000
- K5372
35514300
29
STATEMENT 11
OMB No 1545-0092
20005
31-1633189
JJ
Short-Term Capital Gains and Losses - Assets Held One Year or Less
(a) Description of property (Example , 100 shares 7% p referred of "Z" Co ( b) Date acquired mo day, r
(d ) Sales puce
(f) Gain or (Loss) for the entire year (col (d) less col (e))
2 3 4
5
Short-term capital gain or (loss) from Forms 4684, 6252, 6781, and 8824 . . ... . . .. . ... . . .. Net short-term gain or (loss) from partnerships, S corporations, and other estates or trusts . ... . . ..
Short-term capital loss carryover. Enter the amount, if any, from line 9 of the 2004 Capital Loss Carryover Worksheet . .. . . ... . . . .. ... .. ...... ... .. .. . .. . . ... ... . . . .. Net short -term gain or (loss). Combine lines 1 through 4 in column (f). Enter here and on line 13, column ( 3 ) below ^
2 3
4
Long-Term Capital Gains and Losses - Assets Held More Than One Year
(a) Description of property (Example , 100 shares 7% p referred of *Z" Co ( b) Date acquired mo , day, (c) Date sold (mo , day, yr) ( d) Sales price (e) Cost or other basis ( see page 34 ) (f) Gain or (Loss) for the entire year ( col (d) less col (e))
STMT 2
6 , 072
SEE STATEMENT 1
41 364.00
37 039.00
4 , 325
7 8 9
10 11 12
Long-term capital gain or (loss) from Forms 2439, 4684, 6252, 6781, and 8824 Net long -term gain or (loss) from partnerships, S corporations, and other estates or trusts , , , , , , , , Capital gain distributions
Gain from Form 4797, Part I Long-term capital loss carryover. Enter the amount, if any, from line 14 of the 2004 Capital Loss Carryover Worksheet , , , , , , , , , , , , , , , , , , , Net long -term gain or (loss). Combine lines 6 through 11 in column (f). Enter here and on line 14a, column (3) below ................................................
7
. _________________
Summary of Parts I and II Caution : Read the instructions before completing this part.
13 14 Net short -term gain or ( loss) .. . . Net long-term gain or ( loss): a Total for year .. .. . . . . . .. . . b Unrecaptured section 1250 gain (see worksheet on page 35) . .. . . .. . . . . . .. ... ........ ... . ... . . . . ... . . . line 18 of the . .. . ..... . . ... . .. 13
( 2) Estate' or trust's
14a
14b
10,397.
14c
10 , 397. Total net gain or (loss). Combine lines 13 and 14a ..... .. ^ 15 Note : If line 15, column (3), is a net gain, enter the gain on Form 1041, line 4. If lines 14a and 15, column (2), are net gains, go to Part V, and do not complete Part IV. If line 15, column (3), is a net loss, complete Part IV and the Capital Loss Carryover Worksheet as necessary. 15
For Paperwork Reduction Act Notice , see the Instructions for Form 1041. Schedule D (Form 1041) 2005
JSA 5F12103000
10:20:44
35514300
30
p age 2
b $3,000 If the loss on line 15, column (3), more than $3,000, or if Form 1041, page 1, line 22, Carryover Worksheet on page 37 of the instructions to determine your capital loss carryover.
Tax Computation Using Maximum Capital Gains Rates (Complete this part only if both lines 14a and 15 in column (2) are gains, or an amount is entered in Part I or Part II and there is an entry on Form 1041, line 2b( 2), and Form 1041, line 22 is more than zero.) Note : If line 14b, column (2) or line 14c, column (2) is more than zero, complete the worksheet on page 38 of the instructions and skip Part V. Otherwise, go to line 17
17 18 Enter taxable income from Form 1041, line 22 .. .. . ... .. . . . . .. . Enter the smaller of line 14a or 15 in column (2)
19
but not less than zero , , ,, , , , , , , , , , , Enter the estate's or trust's qualified dividends from Form 1041, line 2b(2) . . . . . . ......
Add lines 18 and 19 .. . .. .. .. . ..... . If the estate or trust is filing Form 4952, enter the amount from line 4g; otherwise, enter -0-
18 19
20 21
22 23
24 25
Subtract line 21 from line 20 . If zero or less , enter -0. . ... .. . .. . .. . Subtract line 22 from line 17. If zero or less, enter -0- . . .... . .. . .. .
Enter the smaller of the amount on line 17 or $2,000 . . . ... . .. .. .. Is the amount on line 23 equal to or more than the amount on line 24?
Yes. Skip lines 25 through 27; go to line 28 and check the "No" box. R No. Enter the amount from line 23 . ... .... .. . .. . .. .. 26 27 28 Subtract line 25 from line 24
Multiply line 26 by 5% (.05) . . .......... ..... . .. ... .. ... ..... .. . . . . . . Are the amounts on lines 22 and 26 the same? B Yes. Skip lines 28 through 31; go to line 32.
No. Enter the smaller of line 17 or line 22 28
29 30
Enter the amount from line 26 (If line 26 is blank, enter -0-) . ..... ... . Subtract line 29 from line 28 .. ......... . . . ... .. . .. ... . 30
31 Multiply line 30 by 15% (15) ......................................... . Al 332 page 23 of the Figure the tax on the amount on line 23. Use the 2005 Tax Rate Schedule on
instructions . . ... .. . .... . . .......... . . ... . .. .. .. ...... .. ... . ...
33 34 35
Add lines 27, 31, and 32 . .. .. . . . . . ......... . .. . .. .. .. . ..... . . .... .. . Figure the tax on the amount on line 17. Use the 2005 Tax Rate Schedule on page 23 of the instructions .................................................. . Tax on all taxable income. Enter the smaller of line 33 or line 34 here and on line 1a of
Schedule G. Form 1041 .. . . . . . . . .... . ...... .. . . . .. . . . . ...... . . . .. .
34
351
Schedule D (Form 1041) 2005
35514300
31
31-1633189
282.326
PORT CL A 100. EXXON MOBIL CORP 200. MICROSOFT CORP 281.849 NEW ALTERNATIVES FD INC 321.854 PARNASSUS FD SBI
T OTAL CAPITAL GAINS ( LOSSES )
10 5 5 10 10
, , , , ,
364.00
Totals
41, 364.00
37, 039.00
4,325.00
- QK5372
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32
STATEMENT
31-1633189
LONG- TERM CAPITAL GAIN DIVIDENDS -------------------------------15% RATE CAPITAL GAIN DIVIDENDS CALVERT SOCIAL EQUITY PORT CL A NEW ALTERNATIVES FD INC TOTAL 15% RATE CAPITAL GAIN DIVIDENDS
1,589. 4,483.
-----------6,072. -----------6,072.
STATEMENT
XD578 2 000
35514300
33