Professional Documents
Culture Documents
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
E 20 Occupancy
3 21 Travel, conferences, and meetings .
E 22 Printing and publications .
$ 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 )
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 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)
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
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
7 Add|ines5and6. . . . . . . . . . . . . . . . . . . . . . . . . 7 19,968
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
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
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
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
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
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 restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds ofinstitutions, or other
factors
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)
(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
Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.
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
EIN: 20-8031741
EIN: 20-8031741
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
EIN: 20-8031741