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Iefile GRAPHIC print - DO NOT PROCESS | As Filed Data - | DLN:93491046001061I

OMB No 1545-0052
Return of Private Foundation
Form990-PF
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
2009
Department of the Treasury
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements
Internal Revenue Service

For calendar year 2009, or tax year beginning 10-01-2009 , and ending 09-30-2010

G Check allthatapply |_Initia| return |_Initia| return ofa former public charity |_Fina| return
|_A mended return |_Address change |_Name change
Name of foundatlon A Employer identification number
Use the IRS CHARLES A GARGANO FAMILY FOUNDATION
|abe|_ 208031741

otherwise Number and street (or P 0 box number if mail is not delivered to street address) Room/ B Telephone number (See page 10 of the mstructlons)
""'t PO BOX 5750 Suite
or type.
See Specific
Instructions_ Qty Ortownl State and ZIP Code C If exemption application is pending, check here p- I-
BAY SHORE NY 11706 D 1. Foreign organizations, check here p- |_

H Check type oforganization Fsection 501(c)(3) exempt private foundation 2. Foreign organizations meeting the 85% test, I-I
check here and attach computation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation
I Fair market value ofall assets at end | Cash '7 Accrual E If private foundation status was tenninated
J Accounting method I-I
under section 507(b)(1)(A), check here
of year (from Part II, col. (C), |_ Other (specify) F If the foundation is in a 60-month termination
Iine16)I"$ 495,210 (Part I, column (d) must be on cash basis.) under section 507(b)(1)(B), check here F '-
E Analysis of Revenue and Expenses (The (e) Revenue and (d) Disbursements
total of amounts rn columns (b), (c), and (d) may not expenses per ('3) Net 'Ve5tmet (C) AdJU5ted net t0f Charitable
necessarily equal the amounts in column (a) (see page 11 of books meome 'nC0me PUVPO-5e5
the Instructions) ) (Cash ba5|5 00W)
1 Contributions, gifts, grants, etc , received (attach schedule) 251000

2 Check F |7 if the foundation is not required to attach Sch B


3 Interest on savings and temporary cash investments
4 Dividends and interest from securities. 293 293
5a Gross rents
b Net rental income or(|oss)

Eu Ga Net gain or(|oss)from sale ofassets not on line 10 E 18,186

% 13 Gross sales price for all assets on line 6a 51.137


E Capitalgain net income (from Part IV,|ine 2)
I Netshort-term capital gain
9 Income modifications
10a Gross sales less returns and allowances
b Less Cost ofgoods sold
c Gross profit or(|oss)(attach schedule)
11 Other income (attach schedule)
12 Total. Add lines 1 through 11 43,479 293
13 Compensation of officers, directors, trustees, etc

we 14 Other employee salaries and wages


E 15 Pension plans, employee benefits

E 16a Legal fees (attach schedule).


U: h Accounting fees (attach schedule).

3 c Other professional fees (attach schedule)


E 17 Interest .
E 18 Taxes (attach schedule) (see page 14 of the instructions) E 435
E 19 Depreciation (attach schedule) and depletion

E 20 Occupancy
3 21 Travel, conferences, and meetings .
E 22 Printing and publications .

E 23 Other expenses (attach schedule). . E 80

E 24 Total operating and administrative expenses.


3 Add lines 13 through 23 515 0 0
D 25 Contributions, gifts, grants paid . 31,425 31,425
26 Total expenses and disbursements. Add lines 24 and 25 31:94) 0 31:425
27 Subtract line 26 from line 12
a Excess of revenue over expenses and disbursements 11,539
b Net investment income (if negative, enter -0-) 293
c Adjusted net income (if negative, enter-0-)
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions. Cat No 11289X Form 990-PF (2009)
Form 990-PF(2009) Page 2
Attached schedules and amounts in the description column Beginning of year End of year
Balance Sheets should be for endofyear amounts only (See instructions ) (a) Book Value (b) Book Value (c) Fair Market Value
Cashnon-interest-bearing . 3,584 16,743 16,741
Savings and temporary cash investments 481,102 68,231 68,231
Accounts receivable F
Less allowance for doubtful accounts F
4 Pledges receivable F
Less allowance for doubtful accounts F
Grants receivable
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 ofthe
instructions).
7 Other notes and loans receivable (attach schedule) F

U__ Less allowance for doubtful accountsi"


E 8 Inventories for sale or use
5? 9 Prepaid expenses and deferred charges .
10a InvestmentsU S and state government obligations (attach schedule)
b Investmentscorporate stock (attach schedule) . 78,712 E 414,007 335,200
c Investmentscorporate bonds (attach schedule). E 75,956 75,038
11 Investments|and, buildings, and equipment basis it
Less accumulated depreciation (attach schedule) F
12 Investmentsmortgage loans
13 Investmentsother (attach schedule)
14 Land,bui|dings,and equipment basis?
Less accumulated depreciation (attach schedule) F
15 Other assets (describeI" )
16 Total assets (to be completed by all fi|erssee the
instructions Also, see page 1, item I) 563,398 574,937 495,210
17 Accounts payable and accrued expenses
13 Grants payable

$ 19 Deferred revenue
2 20 Loans from officers, directors, trustees, and other disqualified persons
-E 21 Mortgages and other notes payable (attach schedule)
3 22 Other liabilities (describe F )

23 Total liabilities (add lines 17 through 22) 0


Foundations that follow SFAS 117, check here I |7
and complete lines 24 through 26 and lines 30 and 31.

E 24 Unrestricted . 563,398 574,937


E 25 Temporarily restricted
E 26 Permanently restricted

E Foundations that do not follow SFAS 117, check here it |


E and complete lines 27 through 31.
E 27 Capital stock, trust principal, or current funds .
L 28 Paid-in or capital surplus, or land, bldg , and equipment fund
E 29 Retained earnings, accumulated income, endowment, or other funds
'5? 30 Total net assets or fund balances (see page 17 ofthe

E instructions). 563,398 574,937


31 Total liabilities and net assets/fund balances (see page 17 of
the instructions) 563,398 574,937

Analysis of Changes in Net Assets or Fund Balances

1 Total net assets orfund balances at beginning ofyearPart II, column (a), line 30 (must agree
with end-of-yearfigure reported on prior year's return) 1 563,398
2 Enter amount from PartI,|ine 27a 2 11,539
3 Other increases not included in line 2 (itemize) F 3
4 Addlines 1,2,and3 4 574,937
5 Decreases not included in line 2 (itemize) F 5
6 Total net assets orfund balances at end ofyear (line 4 minus line 5)Part II, column (b), line 30 . 6 574,937
Form 990-PF (2009)
Form 990-PF(2009) Page3
M Capital Gains and Losses for Tax on Investment Income
(b) How acquired
(a) List and describe the kind(s) ofproperty sold (e g , real estate, PPurchase (c) Date acquired (d) Date sold
2-story brick warehouse, or common stock, 200 shs MLC Co) DDonation (m0,dav,vr) (m0.dav.vr)

1a

(f) Depreciation allowed (g) Cost or other basis (h) Gain or (loss)
(e) Gross Sales pnce (or allowable) plus expense ofsale (e) plus (f) minus (g)
a
b
c
d

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus
. (j)AdJusted basis (k) Excess ofcol (i) C0 (k).bUt NOHESS than '0')0f
(FM V as oflz/31/69 as of12/31/69 overcol (J),ifany I-055eS(fF0mC0|(h))
a
b
c
d

Ifgain, also enter in Part I, line 7


2 Capitalgain net income or(netcapita||oss) If(|055) enter-0-mpart1 |me7
I I 2
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)

Ifgain, also enter in Part I, line 8, column (c) (see pages 13 and 17 ofthe instructions)
If(|oss),enter-0- in PartI,|ine8 3

M 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)

Ifsection 4940(d)(2) applies, leave this part blank

Was the foundation liable for the section 4942 tax on the distributable amount ofany year in the base period? I_ Yes I7 No
IfYes,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 page 18 ofthe instructions before making any entries

(a) (b, C) (cl)


Ye|:arS(eOE:')?dyg:fL:g:]|:|:ga|:_|) Adjusted qualifying distributions Net value of noncharitab|euse assets (Col (|:')SEjr:5:ijtjnbr3t| (CD
2008 22,615 564,203 0 040083
2007 16,918 543,307 0 031139
2006 514,190
2005
2004

Tota|of|ine1,co|umn(d). . . . . . . . . . . . . . . . . . . . . . 2 0071222
Average distribution ratio forthe 5-year base perioddivide the total on line 2 by 5, or by
the number ofyears the foundation has been in existence ifless than 5 years . . . 3 0 035511

4 Enterthe net value ofnoncharitable-use assets for 2009 from Part X,|ine 5. . . . . 4 560,629

5 Multiply line 4 by line 3.


5 19,965

6 Enter 1% of net investment income (1% ofPart I, line 27b). . . . . . . . . . . 6 3

7 Add|ines5and6. . . . . . . . . . . . . . . . . . . . . . . . . 7 19,968

8 Enter qualifying distributions from Part XII,|ine 4. . . . . . . . . . . . . . 8 31,425


Ifline 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
Form 990-PF (2009)
Form 990-PF (2009) Page 4
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948see page 18 of the instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here F |_ and enter N/A" on line 1
Date of ruling or determination letter (attach copy of letter if necessarysee
instructions)
Domestic foundations that meet the section 4940(e) requirements in Part V, check 1
here it |7and enter 1% ofPart I, line 27b
(1 All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, col (b)
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 Ifzero or less, enter -0- . U1-ht!-INI
Credits/Payments
2009 estimated tax payments and 2008 overpayment credited to 2009 6a
Exempt foreign organizationstax withheld at source . 6b
nummmhwn Tax paid with application for extension oftime to file (Form 8868) 6c
O. Backup withholding erroneously withheld . 6d
Totalcreditsand payments Add |ines6athrough6d. . . . . . . . . . . . . . 7
Enter any penalty for underpayment ofestimated tax Check here | if Form 2220 is attached
Tax due. Ifthe total oflines 5 and 8 is more than line 7, enter amount owed . . . . . . . F 9
10 Overpayment. Ifline 7 IS more than the total oflines 5 and 8, enter the amount overpaid. . . F 10
11 Enter the amount of line 10 to be Credited to 2010 estimated tax it 0 Refunded I 11

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
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the 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.
Did the foundation file Form 1120-POL for this year'r. 1c No
Enter the amount (ifany) oftax on political expenditures (section 4955) imposed during the year
(1)0 n the foundation F $ (2)0 n foundation managers F $
Enter the reimbursement (ifany) paid by the foundation during the year for political expenditure tax imposed
on foundation managers It $
Has the foundation engaged in any activities that have not previously been reported to the IRS? No
If "Yes, attach a detailed description of the activities.
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 No
4a Did the foundation have unrelated business gross income of$1,000 or more during the year'r. 4a No
IfYes, has it filed a tax return on Form 990-T forthis year'r. 4b
Was there a liquidation, termination, dissolution, or substantial contraction during the year? No
If "Yes, attach the statement required by General Instruction T.
Are the requirements ofsection 508(e) (relating to sections 4941 through 4945) satisfied either
0 By language in the governing instrument, or
0 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? Yes
Did the foundation have at least $5,000 in assets at any time during the year? If Yes, Complete Part II, col (C), and PartXV Yes
Enter the states to which the foundation reports or with which it IS registered (see page 19 ofthe
instructions) FNY
Ifthe answer is Yesto line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) ofeach state as required by General Instruction G7 If No,attach explanation . 8b Yes
Is the foundation claiming status as a private operating foundation within the meaning ofsection 4942(J)(3)
or 4942(_])(5) for calendar year 2009 orthe taxable year beginning in 2009 (see instructions for Part XIV on
page 27)? 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 (2009)
Form 990-PF(2009) Pa e 5
Statements Regarding Activities (continued) 9
11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning ofsection 512(b)(13)7 If"Yes," attach schedule (see page 20 ofthe instructions). 11 No
12 Did the foundation acquire adirect orindirectinterestin any applicable insurance contract before August 17,2008? 12 No
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 Yes
Website address FNO NE

14 The books are in care of FCHARLES A GARGAN0 Telephone no F(531) 555-4040


Located at FPO BOX 5750 BAY SHORE NY ZIP+4 F-'11706

15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 C heck here . . F I-
and enter the amount oftax-exempt interest received or accrued during the year . . F I 15 I
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 ofproperty with a disqualified person? I_ Yes I7 No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?. I_ Yes I7 No
(3) Furnish goods, services, orfacilities to (or accept them from) a disqualified person? I_ Yes I7 No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? I_ Yes I7 No
(5) Transfer any income or assets to a disqualified person (or make any ofeither available
for the benefit or use ofa disqualified person)'?. I_ Yes I7 No
(6) Agree to pay money or property to a government official? (Exception. Check N o"
Ifthe foundation agreed to make a grant to orto employ the official for a period
after termination ofgovernment service, ifterminating within 90 days). I_ Yes I7 No
Ifany answer IS Yesto 1a(1)(6), did any ofthe acts fail to qualify under the exceptions described in Regulations
section 53 4941(d)-3 or in a current notice regarding disaster assistance (see page 20 ofthe instructions)?. 1b
Organizations relying on a current notice regarding disaster assistance check here. J" I_
Did the foundation engage in a prior year in any ofthe acts described in 1a, other than excepted acts,
that were not corrected before the first day ofthe tax year beginning in 20097. 1c
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(_1)(3) or 4942(J)(5))
At the end oftax year 2009, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) fortax year(s) beginning before 2009?. I_ Yes I7 No
IfYes, list the years F 20: , 20? , 20:, 20?
Are there any years listed in 2a for which the foundation IS not applying the provisions ofsection 4942(a)(2)
(relating to incorrect valuation ofassets) to the year's undistributed income? (Ifapp|ying section 4942(a)(2)
to all years listed, answer N o" and attach statementsee page 20 ofthe instructions ) . 2b
Ifthe provisions ofsection 4942(a)(2) are being applied to any ofthe years listed in 2a, list the years here
It 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). I_ Yes I7 No
IfYes,did it have excess business holdings in 2009 as a result of(1) any purchase by the foundation
or disqualified persons after May 26,1969, (2)the lapse ofthe 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 ofthe 10-, 15-, or 20-yearfirst phase holding period? (Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2009.). . . . . . . . . . . . . . . . . . . 3b
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a No
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 ofthe tax year beginning in 2009? 4b No
Form 990-PF (2009)
Form 990-PF(2009) Page 5
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))'r I_ Yes I7 No
(2) Influence the outcome ofany specific public election (see section 4955), or to carry
on, directly or indirectly, any voter registration drive'?. I_ Yes I7 No
(3) Provide a grant to an individual for travel, study, or other similar purposes? I_ Yes I7 No
(4) Provide a grant to an organization otherthan a charitable, etc , organization described
in section 509(a)(1), (2), or (3), or section 4940(d)(2)7 (see page 22 ofthe instructions). I_ Yes I7 No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention ofcruelty to children or animals-. / Yes I7 No
b Ifany answer IS Yesto 5a(1)(5), did any ofthe transactions fail to qualify under the exceptions described in
Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 22 ofthe instructions)? 5b
Organizations relying on a current notice regarding disaster assistance check here. .I" I-
c Ifthe answer is Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility forthe grant). . I_ Yes I_ No
If Yes, attach the statement required by Regulations section 53.49-455(d).
6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay
premiums on a personal benefit contract). I_ Yes I7 No
b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract'r. 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 she|tertransaction7 I_ Yes I_ No
b Ifyes, did the foundation receive any proceeds or have any net income attributable to the transaction? . 7b
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
a nd Contractors
1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instruct ions).
(b) Title, and average (c) Compensation (d) Contributions to
. (e) Expense account,
(a) Name and address hours per week (If not paid, enter employee benefit plans other allowances
devoted to position -0-) and deferred compensation
CHARLES A GARGANO DIRECTO R 0 0 0
PO BOX 5750 10 00
BAY SHORE,NY 11706
LAWRENCE C GARGANO DIRECTO R 0 0 0
146 so WINDSORAVE 100
BRIGHTWATERS,NY 11718
CARLA GARGANO omecrora 0 0 0
409JOBS LANE 100
BRIDGEHAMPTON,NY 11932
2 Compensation of five highest-paid employees (other than those included on line 1see page 23 of the instructions).
If none, enter NONE."
(d) Contributions to
(b)Tit|e, and average
(a) Name and address ofeach employee employee benefit (e) Expense account,
hours per week (c) Compensation other allowances
paid more than $50,000 plans and deferred
devoted to position
compensation
NONE

Total number of other employees paid over $50,000.


Form 990-PF (2009)
Form 990-PF(2009) Page7

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (contrnued)
3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
(a) Name and address ofeach person paid more than $50,000 (b) Type ofservice (c) Compensation
NONE

Total number of others receivin over 50 000 for rofessional services.

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

' : Summar of Pro ram-Related Investments see a e 23 of the instructions


Describe the two largest programre|ated investments made by the foundation during the tax year on lines 1 and 2 A mount
1N/A
2

All other program-related investments See page 24 ofthe instructions


3

TotaI.Add|ines1throuh3........................... F
Form 990-PF (2009)
Form 990-PF(2009) Page8
M Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see page 24 of the instructions.)
1 Fair market value ofassets not used (or held for use) directly in carrying out charitable, etc ,
purposes
a Average monthly fair market value ofsecurities. 1a 559,004
b Average of monthly cash balances. 1b 10,162
c Fair market value ofall other assets (see page 24 ofthe instructions). 1c 0
d Total (add lines 1a,b,andc). 1d 569,166
e Reduction claimed for blockage or otherfactors reported on lines 1a and
1c (attach detailed explanation). | 1e |
Acquisition indebtedness applicable to line 1 assets.
Subtract|ine2from line 1d. 569,166
Cash deemed held for charitable activities Enter 1 1/2% ofline 3 (for greater amount, see page 25
ofthe instructions). 8,537
Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4 560,629
Minimum investment return. Enter 5% ofline 5. . . . . . . . . . . . . . . . . . 28,031

m Distributable Amount (see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operating
foundations and certain foreign organizations check here Ir |_ and do not complete this part.)
1 Minimum investment return from Part X, line 6. 1 28,031
2a Tax oninvestment income for 2009 from PartVI,|ine 5. 2a 3
b Income tax for 2009 (This does not include the tax from Part VI ). 2b
c Addlines 2a and 2b. 2c 3
3 Distributable amount before adjustments Subtract line 2c from line 1. 3 28,028
4 Recoveries ofamounts treated as qualifying distributions. 4
5 Add|ines3and 4. 5 28,028
6 Deduction from distributable amount (see page 25 ofthe instructions). 6
7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,
line 1. 7 28,028

Qualifying Distributions (see page 25 of the instructions)

1 Amounts paid (including administrative expenses) to accomplish charitable, etc , purposes


a Expenses,contributions,gifts,etc tota|fromPartI,co|umn(d),|ine 26. 1a 31,425
Program-related investmentstota| from Part IX-B. 1b
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc,
purposes. 2
3 Amounts set aside for specific charitable projects that satisfy the
Suitability test (prior IRS approval required). 3a
Cash distribution test (attach the required schedule). 3b
Qualifying distributions. Add lines 1a through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 31,425
5 Foundations that qualify under section 4940(e) forthe reduced rate oftax on net investment
income Enter 1% ofPart I, line 27b (see page 26 ofthe instructions). 3
6 Adjusted qualifying distributions. Subtract line 5 from line 4. 31,422
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 oftax in those years
Form 990-PF (2009)
Forni990-PF(2009) Page 9
Undistributed Income (see page 26 of the instructions)
(3) (b) (c) (d)
Corpus Years prior to 2008 2008 2009
Distributable amount for 2009 from Part XI, line 7 28,028
Undistributed income, ifany, as ofthe end of2008
Enter amount for 2008 only. 27,975
Totalfor prior years 20:, 20:, 20:
Excess distributions carryover, ifany, to 2009
From 2004.
From 2005.
From 2006.
From 2007.
From 2008.
Totaloflines 3a through e. . . . . .
''-mo.n-i"-niN" Qualifying distributions for 2009 from Part
XII, line 4 Ir $ 31,425
Applied to 2008, but not more than line 2a 27,975
Applied to undistributed income ofprior years
(Election requiredsee page 26 ofthe instructions)
Treated as distributions out ofcorpus (Election
requiredsee page 26 ofthe instructions).
Applied to 2009 distributable amount. 3,450
e Remaining amount distributed out ofcorpus
Excess distributions carryover applied to 2009
(If an amount appears in column (d), the
same amount must be shown in column (a).)
Enter the net total of each column as
indicated below:
Corpus Add lines 31, 4c, and 4e Subtract line 5
Prior years undistributed income Subtract
|ine4bfrom|ine2b. . . . . .
Enter the amount of prior years undistributed
income for which a notice ofdeficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed.
Subtract line 6c from line 6b Taxable
amountsee page 27 ofthe instructions .
Undistributed income for 2008 Subtract line
4a from line 2a Taxable amountsee page 27
ofthe instructions . . . . . . .
Undistributed income for 2009 Subtract
lines 4d and 5 from line 1 This amount must
be distributed in 2010 . . 24,578
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (see page 27
ofthe instructions).
Excess distributions carryoverfrom 2004 not
applied on line 5 or line 7 (see page 27 ofthe
instructions). . . .
Excess distributions carryover to 2010.
Subtract lines 7 and 8 from line 6a .
10 Analysis ofline 9
Excess from 2005.
Excess from 2006.
Excess from 2007.
Excess from 2008.
fD .nU'N Excess from 2009.
Fmh1990-PF(2009)
Form 990-PF(2009) Page 10
Private Operating Foundations (see page 27 of the instructions and Part VIIA, question 9)
1a Ifthe foundation has received a ruling or determination letter that it IS a private operating
foundation, and the ruling IS effective for 2009, enter the date ofthe ruling. Jr

Check box to indicate whetherthe organization is a private operating foundation described in section |_ 4942(_])(3) or |_ 4942(_1)(5)
2a Enter the lesser ofthe adjusted net Tax year Prior 3 years
income from Part I or the minimum (e) Total
investment return from Part X for each (a) 2009 (b)2008 (c) 2007 (d)2006
year listed .
85% ofline 2a. . . . . .
Q ualifying distributions from Part XII,
line 4 for each year listed .
Amounts included in line 2c not used directly
for active cond uct of exempt activities .
Q ualifying distributions made directly
for active conduct ofexempt activities
Subtract line 2d from line 2c .
3 Complete 3a, b, or c forthe
alternative test relied upon
Assets alternative testenter
(1) Value ofall assets .
(2) Value ofassets qualifying
under section 4942(_])(3)(B)(|)
Endowment alternative test enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed.
Support" alternative testenter
(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(_])(3)(B)(|||).
(3) Largest amount ofsupport
from an exempt organization
(4) Gross investment income
m Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the yearsee page 27 of the instructions.)
1 Information Regarding Foundation Managers:
a List any managers ofthe foundation who have contributed more than 2% ofthe total contributions received by the foundation
before the close ofany tax year (but only ifthey have contributed more than $5,000) (See section 507(d)(2))

b List any managers ofthe foundation who own 10% or more ofthe stock ofa corporation (or an equally large portion ofthe
ownership ofa partnership or other entity) of which the foundation has a 10% or greater interest

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:


Check here FF ifthe foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests forfunds Ifthe foundation makes gifts, grants, etc (see page 28 ofthe instructions) to individuals or organizations
under other conditions, complete items 2a, b, c, and d

The name, address, and telephone number ofthe person to whom applications should be addressed

The form in which applications should be submitted and information and materials they should include

Any submission deadlines

Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds ofinstitutions, or other
factors

Form 990-PF (2009)


Form 990-PF(2009) Page 11
m Supplementary Information (continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Ifrecipient is an individual, Foundation
Recipient
show any relationship to status of Purpose ofgrant or Amount
any foundation manager contribution
Name and address (home or business) or substantial contributor recipient

a Paid during the year


COLUMBUS CITIZENS FUND CHARITABLE 300
8 E 69TH ST
NY,NY 10021
ANIMAL RESCUE FUND CHARITABLE 375
9 DANIELS HOLE RD
WAINSCOTT,NY 11975
PUBLIC SCHOOL 39 CHARITABLE 30,000
417 SIXTH AVE
BROOKLYN,NY 11215
BOYS SCOUT PACK 374 CHARITABLE 750
544 BROADWAY
MASSAPEQUA,NY 11758
Total . .F 3a 31,425
b Approved for future payment

Total . 3b
Form 990-PF (2009)
Form 990-PF(2009) Page 12
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated Unrelated business income EXC|Uded by Section 512, 513, OF 514 (e)
Related or exempt
f t
a m on an (:2: G s
1 Program service revenue Business code Amount Exclusion code Amount p 9
the instructions )
a
b
c
d
e
f
g Fees and contracts from government agencies
Membership dues and assessments.
Interest on savings and temporary cash investments
Dividends and interest from securities. . . . 293
U1-P-UN Net rental income or (loss) from real estate
a Debt-financed property.
b Not debt-financed property.
Net rental income or (loss) from personal property
Other investment income.
Gain or (loss) from sales of assets other than inventory 13,135
WONG! Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory.
11 Other revenue a
b
c
d
e
12 Subtotal Add columns (b), (d), and (e). . 131479
13 TotaI.Add line 12, columns (b), (d), and (e). . . . . . 13 18,479
See worksheet in line 13 instructions on a e 28 to veri calculations
= Relationshi of Activities to the Accom lishment of Exem t Pur oses
Explain below how each activity for which income is reported in column (e) ofPart XVI-A contributed importantly to
Line No.
the accomplishment ofthe organization's exempt purposes (otherthan by providing funds for such purposes) (See
page 28 ofthe instructions)

Form 990-PF (2009)


Form 990-PF(2009) Page 13
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 Yes No
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 foundation to a noncharitable exempt organization of
(1) Cash. 1a(1) No
(2) Other assets. 1a(2) No
b Other transactions
(1) Sales ofassets to a noncharitable exempt organization. 1b(1) No
(2) Purchases ofassets from a noncharitable exempt organization. . 1b(2) No
(3) Rental offacilities, equipment, or other assets. 1b(3) No
(4) Reimbursement arrangements. 1b(4) No
(5) Loans or loan guarantees. 1b(5) No
(6) Performance ofservices or membership orfundraising solicitations. 1b(6) No
c Sharing offacilities, equipment, mailing lists, other assets, or paid employees. 1c No
d Ifthe answer to any ofthe above is Yes, complete the following schedule Column (b) should always show the fair market value
ofthe goods, other assets, or services given by the reporting foundation Ifthe foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value ofthe 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) ofthe Code (otherthan section 501(c)(3)) or in section 5277. .|_Yes |7No
b IfYes, complete the following schedule
(a) Name of organization (b) Type of organization (c) Description of relationship

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 or fiduciary) is
based on all information of which preparer has any knowledge
****** P8] ***=l=**
} Signature of officer or trustee Date } Title

E Date Preparer's

E Check ifse|f- 'det'fV'9


number(see
Preparer's CHARLESWBLANCHFIELD eP'/ed""_ -
3: 2011_02_15 Signatureon page
;a i _-;.., S'gnature 30 of the instructions)
W E E;
E E
E FIrm's name (orvours BLANCHFIELD MEYER KOBER&RIZZO LLP EIN|'-
|:_:| ifself-employed),
address: and 2 C0 1200 VETERANS MEMORIAL HWY STE 350
Phone no (631) 293-5000
HAUPPAUGE, NY 11788
Form 990-PF (2009)
Iefile GRAPHIC print - DO NOT PROCESS | As Filed Data - | DLN: 93491046001061

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2009 Gain/Loss from Sale of Other Assets Schedule

Name: CHARLES A GARGANO FAMILY FOUNDATION

EIN: 20-8031741

Na me Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Met hod Sales Expenses Total (net) Accumulated Depreciation

MORGAN STANLEY FUNDS 2009-01 PURCHASE 2009-09 51,137 32,951 18,186


Iefile GRAPHIC print - DO NOT PROCESS |As Filed Data - | DLN: 93491046001061]

TY 2009 Investments Corporate


Bonds Schedule

Name: CHARLES A GARGANO FAMILY FOUNDATION

EIN: 20-8031741

Name of Bond End of Year Book End of Year Fair


Value Market Value

50000 FORD 50,956 50,072

25000 MORGAN STANLEY 25,000 24,571

ACCRUED INTERTEST 395


Iefile GRAPHIC print - DO NOT PROCESS |As Filed Data - | DLN: 93491046001061]

TY 2009 Investments Corporate


Stock Schedule

Name: CHARLES A GARGANO FAMILY FOUNDATION

EIN: 20-8031741

Name of Stock End of Year Book End of Year Fair


Value Market Value

70000 SHARES VALUEVISION 203,989 131,600

20000 SHARES CITIGROUP 80,806 78,200

20000 SHARES AMR 129,212 125,400


Iefile GRAPHIC print - DO NOT PROCESS |As Filed Data - | DLN: 93491046001061]

TY 2009 Other Expenses Schedule

Name: CHARLES A GARGANO FAMILY FOUNDATION

EIN: 20-8031741

Description Revenue and Expenses Net Investment Adjusted Net Income Disbursements for
per Books Income Charitable Purposes

EXPENSES

OFFICE SUPPLIES 80
Iefile GRAPHIC print - DO NOT PROCESS |As Filed Data - | DLN:93491046001061I

TY 2009 Taxes Schedule

Name: CHARLES A GARGANO FAMILY FOUNDATION

EIN: 20-8031741

Category Amount Net Investment Adjusted Net Disbursements for


Income Income Charitable
Purposes
E X I S E TA X 235

NYS TAX 200

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