-pf return of private foundation...

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Return of Private Foundation OMB No 1545,052 FormS9o -PF " ' ' " Department oftneTreasury or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation 00 3 Internal Revenue Smote Note : The organization ma be able to use a co of this return to sates state re ortin re q uirements For calendar ear 2003 or tax ear beginnin g 12 /01 , 2003, and ending 11 / 30 /2004 G Check all that a Initial return Final return Amended return Address change Name change Name of organization A Employer identification number Use the IRS label . FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113 Otherwise, Number and street (or P O box number if mail is not delivered to street address) Room/suite B Telephone number (seepage 10 of print the instructions) or type . See Specific 708 THIRD AVENUE - 28TH FLOOR 212 716-9076 Instructions . City or town, state, and ZIP code C If exemption application is pending, check here " . . . . . . , H D 1 Foreign organizations, check here NEW YORK NY 10017 2 Foreign organizations meeting the H Check e of or ganization X Section 501 c 3 exem pt private foundation as% cep, check here and amen . , computation . . . . . . . . Section 4947( a )( 1 ) nonexem pt charitable trust Other taxable p rivate foundation If private foundation status was terminates I Fair market value of all assets at end J Accounting method U Cash U Accrual under section 507(Dx1)(A), check here . " 0 of year (from Part ll, co/ (c), line E] Other (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ F If the foundation is In a 60-month termination 16) " $ 40 , 622 , 222 . (Part l, column (d) must be oh cash basis) under section 507(b)(1)(8), check here , o. F Analysis of Revenue and Expenses Revenue and (d) Disbursements (The total of amounts in columns (b), (c), and ( a) ~ (b) Net investment (c) Adjusted net for charitable d ma not necessarily e q ual the amounts in expenses per income income books purposes column a) (see age 10 of the instructions J cash basis onl y) 1 Contributbn ,a s , dts, grants, etc , received (attach schedule) ~~k , I I d the foundation is not required to LJ attach Sch B 2 Distributions from split-interest trusts , , , , 3 Interest on savings and temporary cash investments 30 , 706 . 30 , 506 . $ZUT 1 4 Dividends and interest from securities , , , , 338 , 111 . 338 , 111 . STMT 2 5 a Gross rents , , , , , , , , , , , , , , , , , b (Net rental income or (loss) ) C 6 a Net gain or (loss) from sale of assets not on line 10 3 , 497 , 592 . Gi b Gross sales price for all . y assets on line 6a 16 , 992 , 568 7 Capital gain net income (from Part IV, line 2) , 3 1 497 , 592 . 8 Net short-term capital gain . . . . , . . , , 9 Income modifications : 1 0 a Gross sales less returns and allowances CXZ b Less Cost of goods sold c Gross profit or (loss) (attach schedule) 11 Other income (attach schedule) . , . . . . . 25 , 892 . 25 , 892 . STMT 4 12 Total. Add lines 1 throu gh 11 . 3 , 892 , 301 . 3 1 892 , 101 . 13 Compensation of officers, directors, trustees, etc X 14 Other employee salaries and wages , , , , . Z U) r- 15 Pension plans, employee benefits , , , , , , r X 16a Legal fees (attach schedule) . . .STMT . 5 W b Accounting fees (attach schedule)STMT 6 d c Other professional fees (attach scl8{8W , 'j , 17 Interest , , , , ATM , Q c 1 8 Taxes (attach sche tile) (see p tpr " E 19 Depreciation (a ac s ~ ~ e fe -o - a 20 Occupancy . " 21 Travel, confer . c~ adlipeetfige . ZOOS , a) 22 Printing and p bli c 23 Other expens s (attar vV ~ ~ a 24 Total operatin ' s ti"d e eJhses O Add lines 13 through 23 , , , , , , , , , , 25 Contributions, gifts, grants paid , , , , , , , 1 , 628 . 1 , 628 . 3 , 700 . 3,700 . 8,275 . 188,275 . NAATF 6 73 . 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements , , 1 , 912 , 358 . b Net investment income (if negative, enter -0-) c Adj usted net income if negative, enter -0-) . . JSA For Pap erwork Reduction Act Notice, see the instructions . 3E14102000 BZQOAO P632 06/03/2005 15 :11 :05 V03-B 3 , 475 , 573 . 1 -0- **STMT 9 Form 990-PF (2003) 8 5 9 , 917 . 5 , 798 . 207 210 . 416 528 . NONE NONE 1 , 563 , 273* 416,528 . NONE 1,563 .273 .

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Page 1: -PF Return of Private Foundation 3990s.foundationcenter.org/990pf_pdf_archive/133/133267113/13326… · 14 1-3nd buildings and equipment basis L ess accumulated deprecation 1 +ttach

Return of Private Foundation OMB No 1545,052 FormS9o-PF " ' ' " Department oftneTreasury or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation

003 Internal Revenue Smote Note : The organization ma be able to use a co of this return to sates state re ortin requirements For calendar ear 2003 or tax ear beginning 12 /01 , 2003, and ending 11 /30 /2004 G Check all that a Initial return Final return Amended return Address change Name change

Name of organization A Employer identification number

Use the IRS label . FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113

Otherwise, Number and street (or P O box number if mail is not delivered to street address) Room/suite B Telephone number (seepage 10 of print the instructions)

or type . See Specific 708 THIRD AVENUE - 28TH FLOOR 212 716-9076 Instructions . City or town, state, and ZIP code C If exemption application is

pending, check here " . . . . . . ,

H D 1 Foreign organizations, check here

NEW YORK NY 10017 2 Foreign organizations meeting the H Check e of organization X Section 501 c 3 exempt private foundation as% cep, check here and amen . ,

computation . . . . . . . . Section 4947(a )( 1 ) nonexem pt charitable trust Other taxable p rivate foundation

If private foundation status was terminates I Fair market value of all assets at end J Accounting method U Cash U Accrual under section 507(Dx1)(A), check here . " 0

of year (from Part ll, co/ (c), line E] Other (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ F If the foundation is In a 60-month termination 16) " $ 40 , 622 ,222 . (Part l, column (d) must be oh cash basis) under section 507(b)(1)(8), check here , o. F

Analysis of Revenue and Expenses Revenue and (d) Disbursements (The total of amounts in columns (b), (c), and (a) ~ (b) Net investment (c) Adjusted net for charitable d ma not necessarily equal the amounts in expenses per income income books purposes column a) (see age 10 of the instructions J cash basis onl y)

1 Contributbn,as, dts, grants, etc , received (attach schedule) ~~k , I I d the foundation is not required to

LJ attach Sch B 2 Distributions from split-interest trusts , , , ,

3 Interest on savings and temporary cash investments 30 , 706. 30 , 506. $ZUT 1 4 Dividends and interest from securities , , , , 338 , 111 . 338 , 111 . STMT 2 5 a Gross rents , , , , , , , , , , , , , , , , ,

b (Net rental income or (loss) ) C 6 a Net gain or (loss) from sale of assets not on line 10 3 , 497 ,592 . Gi b Gross sales price for all

. y assets on line 6a 16 , 992 , 568

7 Capital gain net income (from Part IV, line 2) , 3 1 497 , 592 . 8 Net short-term capital gain . . . . , . . , ,

9 Income modifications : 1 0 a Gross sales less returns

and allowances CXZ b Less Cost of goods sold

c Gross profit or (loss) (attach schedule) 11 Other income (attach schedule) . , . . . . . 25 , 892 . 25 , 892 . STMT 4 12 Total. Add lines 1 through 11 . 3 , 892 , 301 . 3 1 892 , 101 . 13 Compensation of officers, directors, trustees, etc

X 14 Other employee salaries and wages , , , , . Z U) r- 15 Pension plans, employee benefits , , , , , ,

r

X 16a Legal fees (attach schedule) . . .STMT . 5

W b Accounting fees (attach schedule)STMT 6 d c Other professional fees (attach scl8{8W , 'j ,

17 Interest , , , , ATM, Q c 1 8 Taxes (attach sche tile) (see p tpr

"E 19 Depreciation (a ac s ~ ~ e fe -o -a 20 Occupancy .

" 21 Travel, confer . c~ adlipeetfige . ZOOS ,

a) 22 Printing and p bli c 23 Other expens s (attar

vV ~ ~ a 24 Total operatin ' s ti"d e eJhses

O Add lines 13 through 23 , , , , , , , , , ,

25 Contributions, gifts, grants paid , , , , , , ,

1 , 628 . 1 , 628 . 3 , 700 . 3,700 . 8,275 . 188,275 .

NAATF

6 73 .

27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements , , 1 , 912 , 358 . b Net investment income (if negative, enter -0-)

c Adjusted net income if negative, enter -0-) . . JSA For Paperwork Reduction Act Notice, see the instructions . 3E14102000

BZQOAO P632 06/03/2005 15 :11 :05 V03-B

3 , 475 , 573 . 1 -0-

**STMT 9 Form 990-PF (2003) 8

5 9 , 917 . 5 , 798 .

207 210 .

416 528 . NONE NONE 1 , 563 , 273*

416,528 . NONE 1,563 .273 .

Page 2: -PF Return of Private Foundation 3990s.foundationcenter.org/990pf_pdf_archive/133/133267113/13326… · 14 1-3nd buildings and equipment basis L ess accumulated deprecation 1 +ttach

2 -orm 950 PP X2003)

Attached schedules and amounts in the Balance Sheets description column should be for

end-of-year amounts only (See instructions

T )

1 cash - non-interest-bearing , , , , , , , , , , . . . . , ,

2 `,avmgs and temporary cash investments . . , , ,

' 3 Accounts receivable 01 Less allowance for doubtful accounts

4 Fledges receivable

ess allowance for doubtful accounts 1

5 Grants receivable

6 Receivables due from officers, directors, trustees and other

disqualified persons attach schedule) (see page 15 of the instructions)

7 Other notes and loans receivable (attach schedule) 1

Less allowance for doubtful accounts ~, 8 Inventories for sale or use .. H 9 Prepaid expenses and deferred charges ,

Q 10 a irivFStments - U 5 and state government obligations (attach schedule)

b Investments - corporate stock (attach schedule) , $TNT ;Lc

Investments - corporate bonds (attach schedule) , , 1 1 nvesiments - land buildings

and equipment basis _ _ _ _ _ Less accumulated depreciation , 3lt3ch schedule) _ _ _ _ _ _ _ _ _ _ _ _

12 Investments - mortgage loans , , , , , , , , , , , , . , . ,

13 Investments - other (attach schedule) , , . . . . $~'~ ;1 j , 14 1-3nd buildings and

equipment basis L ess accumulated deprecation 1 +ttach schedule) _ _

1 5 Other assets (describe 1 STMT 14 )

16 Total assets (to be completed by all filers - see page 16 of

the instructions Also see page 1 item I

17 Accounts payable and accrued expenses . . , , , 18 Grants payable , , , , , , . , ,

a 19 Deferred revenue

20 t )a-is rrom officers directors trustees and other disqualified persons

eao 21 Mortgages and other notes payable (attach schedule) , , , . J 22 Other liabilities (describe 1

-~Yb/113

(b) Book Value End of

2,145,055

STMT 16

33,175,902 . the instructions) . . . . . . . . . . . . . . . . . . . . . . 31 , 264 , 794

Analysis of Changes in Net Assets or Fund Balances

ISA

'E14_ 1 UGO

BZQOAO P632 06/03/2005 15 :11 :05 V03-B 9

Beginning of year

(a) Book Value

58 .474_

16 .219 .

18,670,116 236 .987

6,207,491

i ocai naowues aaa nnes i i inrou n tt

Organizations that follow SFAS 117, check here and complete lines 24 through 26 and lines 30 and 31 .

24 Unrestricted . . . . . . . . . . . . . . . .

m 25 Temporarily restricted . , . . . , . .

in 26 Permanently restricted

Organizations that do not follow SFAS 117, check here and complete lines 27 through 31 . t X~

0 27 C apital stock, trust principal, or current funds . . . . . , .

28 aia in or apdal surplus or land bldg and equipment fund

N 29 ~~-rained earnings accumulated income endowment or other funds . . 31 , 263 , 544 a 30 Total net assets or fund balances (see page 17 of the O1 z irstructions) . , , , , , , , , , , , . , , , . , , 31 , 263 , 544

31 Total liabilities and net assets/fund balances (see page 17 of

217 .

19,987,786 . 236,987 .

8,181,260 .

4,016,748 .

33 .175,902 .

33,175,902

902 .

(c) Fair Market Value

606 , 904 .

142 , 217 .

I

4,000 .

27,434,106 .

236,987 .

8,181,260 .

40

STMT 15

1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) , . , , , , , , , . , , , , , , , , , , , , ,

2 Enter amount from Part I, line 27a 3 Other increases not included in line 2 (itemize) t 4 Add lines 1 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Decreases not included in line 2 (itemize) 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 . .

**STMT 11

31,263,544 . 1,912,358 .

33,175,902 .

Form 990-PF (2oos)

Page 3: -PF Return of Private Foundation 3990s.foundationcenter.org/990pf_pdf_archive/133/133267113/13326… · 14 1-3nd buildings and equipment basis L ess accumulated deprecation 1 +ttach

For 990-PF 2003 4 13- Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e g , real estate, 2-story brick warehouse; or common stock, 200 shs . MLC Co )

1a b c d e

(e) Gross sales price (0 Deprecation allowed (g) Cost or other basis (or allowable) plus expense of sale

a

3m in column h and owned b the foundation on 12131/69 (j) Adjusted basis (k) Excess of col (i) as of 12/31/69 over col Q), if any

(I) Gains (Col (h) gain minus col (k), but not less than -0.) or

Losses (from col (h))

c d

Was the organization liable for the section 4942 tax on the distnbutable amount of any year in the base period? . . . . F--]Yes X No If "Yes," the organization 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 17 of the Instructions before making any entries

lal (b) (c) Idl Base period years Calendar year Distribution ratio Adjusted qualifying distributions

1,555,539 .

2,030,514 .

2,316,661 .

2,184,769 .

2,336,698 .

(or tax year beginning m) 2002 2001 2000 1999 1998

Net value of noncharitable-use assets

28,819,502 .

34,233,545 .

45,036,595 .

40,984 .867 .

0 .26286258845

0 .05257251769

30,792,203 .

1,618,824 .

34,756 . 6 Enter 1% of net investment income (1% of Part I, line 27b) . . . . . . . . . . . . . . . . . . . 6

7 Addlines 5and6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Enter qualifying distributions from Part XII, line 4 . ~ . . . . . . ~ ~ . . . . . . ~ . . . . . . . . 1 8 1 1,563,273 . 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 instructi ons on page 17

JSA Form 990-PF (2003) 3 E 1430 1 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 1 0

c d e Comp lete only for assets showin

(i) F M V as of 12/31/69

a

r Page .3

1°) "°"' (c) Date RPUrrhase acquired ~d) Date sold

o-~onauon I Mac

day, yr ) I mo , day, yr.)

(h) Gain or (loss) (e) plus (f) minus (g)

If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) ~ ~ ~ " ~ { If (loss), enter-0- in Part I, line 7 } 2 3 Net short-term capital gain or (loss) as defined m sections 1222(5) and (6)

If gain, also enter m Part I, line 8, column (c) (see pages 13 and 17 of the instructions) If loss enter -0- m Part I line 8 ~ 3

ForITIN 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

2 Total of line 1, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by

the number of years the foundation has been in existence if less than 5 years , , , , , , , , , 3

4 Enter the net value of nonchantable-use assets for 2003 from Part X, line 5 , , , , , , , , , , 1 4

5 Multiply line 4byline 3 �������������� , . � . �� ,

0 .05397522136 0 .05931357679 0 .05143952379 0 .05330672416 0 .04482754235

Page 4: -PF Return of Private Foundation 3990s.foundationcenter.org/990pf_pdf_archive/133/133267113/13326… · 14 1-3nd buildings and equipment basis L ess accumulated deprecation 1 +ttach

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did Yes No it participate or intervene m any political campaign? . , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , , . . . . . 1 a X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 18 of the instructions for definition)? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , . , . 1 b X

If the answer is "Yes" to 1a or 16, attach a detailed description of the activities and copies o/ any materials published or distributed by the organization m connection with the activities

c Did the organization file Form 1120-POL for this year? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , , , , , , . 1 c N A d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year .

(1) On the organization 1 $ (2) On organization managers " $

e Enter the reimbursement (ii any) paid by the organization during the year for political expenditure tax imposed

on organization managers jo. $

2 Has the organization engaged in any activities that have not previously been reported to the IRS , , , , , , , , , , , , , , , , , , , 2 X I/ "Yes," attach a detailed description of the activities

3 Has the organization made any changes, not previously reported to the IRS, m its governing instrument, articles of incorporation, or bylaws, or other similar instruments If "Yes," attach a conformed copy of the changes , , , , , , , , , , , , , , , 3 X

4 a Did the organization have unrelated business gross income of $1,000 or more during the year? , , , , , , , , , , , , , , , , , , , . 4a X b If "Yes," has it filed a tax return on Form 990-T for this yeah , , , , , , , , , , , , , , , , , , , , , , , , , , , . , _ . . . . . . 4b N A

5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? , , , , , , , , , , , , , , , , , , , , , , 5 ' X 11 "Yes," attach the statement required by General Instruction T

6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either By language in the governing instrument or

" By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law remain m the governing instruments , , , , , , , , , , , , , , , , , , , , , , , , . , , , , , , 6 X

7 Did the organization have at least $5,000 in assets at any time during the year? If "Yes," complete Part fl, co/ (c), and Part XV , , , , , 7 X 8 a Enter the states to which the foundation reports or with which it is registered (see page 19 of the

instructions) jo, DELAWARE AND NEW YORK 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 , , , , , , , , , , , , , , , , , B b X 9 Is the organization claiming status as a private operating foundation within the meaning of section 49420(3)

or 4942Q)(5) for calendar year 2003 or the taxable year beginning in 2003 (see instructions for Part XIV on page 25)? K "Yes," complete Part XIV , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , , , , , , , , , , , , , , , , , . . 9 X

10 Did any persons become substantial contributors during the tax yeas? If "Yes," attach a schedule listing (heir names and addresses , , , 10 X 11 Did the organization comply with the public inspection requirements for it annual returns and exemption application? . . . . . . . . . 11 N A

Web site address " _________________________ N,A 12 The books are in care of 1_ORGANIZATION'S_TREASURER _----_________---- Telephone no 15212867_0990_____--__

Located at jo-C10 BE2iENSON CAPITAL C0 ._j708 3RD AVE~NYC__------__ ZIP+4 1----10017 _____ 13 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 -Check here , , , . , , , , , , , , , , , , , . 10.

and enter the amount of tax-exempt interest received or accrued during the year . . " I " 13 " I

Js� Form 990-PF (2003) 3 E 1440 1 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 11

Exclse TaxLBased~on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 -seepage 17 of the Instructions) 1 a Exempt operating foundations described m section 4940(d)(2), check here 1 and enter "N/A" on line 1 .

Date of ruling letter _ _ _ _ - _ _ - _ (attach copy of ruling letter if necessary - see instructions) , , , b Domestic or anizations that meet the section 4940(e) requirements in Part V, check 1 69 51 : " " ' " "

here " and enter 1 °.6 of Part I, line 27b , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , c All other domestic organizations enter 2% of line 27b . Exempt foreign organizations enter 4°.6 of Part I, line 11, col (b)

2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) , , , , , , , 2 3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 69 , 51 : 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter-0-), , , , , , , 4 NO] 5 Tax based on investment income . Subtract line 4 from line 3 . If zero or less, enter-0- , , , , , , , , , , , , , , , , 5 69 , 51 : 6 Credits/Payments . a 2003 estimated tax payments and 2002 overpayment credited to 2003 , , , , , , , 6a 54 , 418 . b Exempt foreign organizations - tax withheld at source , , , , , , , , , , , , . , , , 6 b NONE c Tax paid with application for extension of time to file (Form 8868) , , , , , , , , , , 6 c NONE d Backup withholding erroneously withheld , , , , , , , , , , , , , , , , , , , , , , 6d

7 Total credits and payments Add lines 6a through 6d , . . , . , , . , , , , , , 7 54 41E B Enter any penalty for underpayment of estimated tax. Check here 0 if Form 2220 is attached , , , , , , , , , , S 2! 9 Tax due . Ii the total of lines 5 and 8 is more than line 7, enter amount owed , , , , , , , , , , , , , , , , , , , , " 9 15,115

10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid , , , , , , , , , , , , , , jl~ 10 11 Enter the amount of line 10 to be. Credited to 2004 estimated tax 1 NONE Refunded 1 1 CMMMM

1 Statements Regarding Activities

Page 5: -PF Return of Private Foundation 3990s.foundationcenter.org/990pf_pdf_archive/133/133267113/13326… · 14 1-3nd buildings and equipment basis L ess accumulated deprecation 1 +ttach

Form 990-PF 5 Statements Regarding Activities for Which Form 4720 May Be

JSA

3E1450 1 000

12 BZQOAO P632 06/03/2005 15 :11 :05 V03-B

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies . Yes Ni 1 a During the year did the organization (either directly or indirectly) .

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? . . . . . . . . E]Yes ~X No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? . . . . . . . Yes X No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? . . . . . . . . Yes X No

(5) Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)? . . . . . . . . . . . . . . . . . . . . . . . . . Yes ~X No

(6) Agree to pay money or property to a government officials (Exception. Check "No" if the organization agreed to make a grant to or to employ the official for a period after termination of government service, ii terminating within 90 days ) . . . . . . . . . . . . . Yes aX No

b It any answer is "Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations section 53 4941(d)-3 or m a current notice regarding disaster assistance (see page 19 of the instructions)? . . . . . Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . ~ "~

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 2003? . . . . . . . . . . . . . . . . . . . . . . . . 1 c X

2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 49420(3) or 49420(5))

a At the end of tax year 2003, did the organization have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2003? . . . . . . . . . . . . . . . . . . . . . . Yes ~X No If"Yes � list theyears " __________ . _________ . ________ . ________

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 19 of the instructions ) . . . . . . . . . . . . . . . . . . . . . 2 b X

c If the provisions of section 4942(a)(2) are being applied to any of the years listed m 2a, list the years here

3 a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? , , , , , , , , , , , , , , , , , , , , , , , , , , , , _ , , Yes X No

b Ii "Yes," did it have excess business holdings in 2003 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

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the organization had excess business holdings in 2003) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 b N 4 a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes . . . . . . 4a X 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 2003? . . . . . . . . . . , 413 X

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))7 , , , , , , ~ Yes 1Z No (2) Influence the outcome of any specific public election (see section 4955) ; or to carry

on, directly or indirectly, any voter registration drive? , , , , , , , , , , , , , , : B Yes BX No (3) Provide a grant to an individual for travel, study, or other similar purposes? , , , , , , , , , , Yes X No

(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)? , , , , , , , , , , , , , , , , , . , , _ E ] Yes ~X 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? , , , , , , , , , , El Yes N No

b I( any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described m Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 20 of the instructions)? " " . . 5b X Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . . o--

c If the answer is "Yes" to question 5a(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grants . . . . . . . . . . . . . . )VIN E Yes 1:1 No

If 'Yes,' attach the statement required by Regulations section 53 49455(d)

6 a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? , , , , , , , , , . , , , , , , , . . , , , , , . , , , , Yes ~X No

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? , , , , , , , , , , 6 b X 11 you answered "Yes" to 6b, also ale Form 8870

Form 990-PF (2003)

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13-3267113 * Page 6 ForrrS990-PF (2003)

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors 1 List all officers, directors, trustees, foundation managers and their compensation see age 20 of the instructions

NONE

-------------------------------------

Total number of others receiving over $50,000 for professional services . . " NONE

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 NONE

----------------------------------------------------------------------------

2

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - -

3

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4

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Form 990-PF (2003)

JSA 3E1460 2 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-B 13

(a) Name and address

-------------------------------------SEE STATEMENT 17

-------------------------------------

(b) Title, and average (c) Compensation (d) contnbudons to (e) Expense account, hours per week (lf not paid, enter employee benetrt plans other allowances

devoted to position -0-) and deterred comoensatlon

2 Compensation of five highest-paid employees (other than those Included on line 1 - see page 20 of the Instructions). If none, enter "NONE."

(b) Title and average (d) Contributions to (a) Name and address of each employee paid more than 550,000 hours per week (c) Compensation employee benefit (e) Expense account,

plans and deferred other allowances devoted to position compensation

-------------------------------------NONE

-------------------------------------

-------------------------------------

-------------------------------------

------------------------------------- 1 Total number of other employees paid over $50,000 3 Five highest-paid Independent contractors for professional services - (see page 20 of the instructions) . Ii none, enter

"NONE." (a) Name and address of each person paid more than $50,000 (b) Type of service

----------------------------------------------------

---------------------------------------------------- ---------------------------------------------------- ----------------------------------------------------

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1 Amounts paid (including administrative expenses) to accomplish charitable, etc , purposes a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 . . . . . . . . , . . . . . . . . 1 a 1 , 563,273 . b Program-related investments - Total from Part IX-13 1 b NONE

2 Amounts paid to acquire assets used (or held for use) directly~in carrying out charitable, etc ,purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 NONE

3 Amounts set aside ~for specific charitable projects that satisfy the a Suitability test (prior IRS approval required) . . . . . . . . . . . , , . . . . . , . . . . . . . , . . 3a NONE b Cash distribution test (attach the required schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 b NONE

4 Qualifying distributions . Add lines 1a through 3b Enter here and on Part V, line 8, and Part XIII, line 4 , , , . , , 4 1 , 563 , 273 . 5 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 6 Adjusted qualifying distributions. Subtract line 5 from line 4 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 6 1 , 563 , 273 .

Note : The amount on line 6 will be used m Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section 4940(e) reduction of tax in those years

Form 990-PF (2003) JSA 3E 1470 1 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 14

,Form 990y~F (2003) 13-3267113 Page-7 Summary of Program-Related Investments (see page 21 of the instructions

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2 Amount 1 NONE

---------------------------------------------------------------------------

2

---------------------------------------------------------------------------

All other program-related investments See page 21 of the instructions

NONE

---------------------------------------------------------------------------

Total. Add lines 1 through 3 1 Minimum Investment Return (All domestic foundations must complete this part . Foreign foundations, see page 21 of the instructions .)

1 Fair market value of assets not used (or held for use) directly m carrying out charitable, etc , purposes

a Average monthly fair market value of securities _ . . . . . . . . . . . . . . . . , . . . . . . . . . . . . 1 a 26 , 948 , 512 . b Average of monthly cash balances . . . . . . _ . . . . . . , , . . . . . . . . . . . . . . . . . . . . . . . 1 b 295 , 852 . c Fair market value of all other assets (see page 22 of the instructions) . . . . . . . . . . . . . . . , . . . 1 c 4 , 016 , 756 . d Total (add lines 1a, b, and c) . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . 1 d 31 261 120 . e Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) . . . . , , . . . . . . . . I 1e 2 Acquisition indebtedness applicable to line 1 assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 NONE 3 Subtract line 2 from line 1 d . . .

---- - . . 3 31 , 261 , 120 .

4 Cash deemed held for charitable activities Enter 1 1/2 % of line 3 (for greater amount, see page ?_3 of the instructions) . . . . . . . . . . . . . . . . 4 468 , 917 .

5 Net value of noncharitable-use assets. Subtract line 4 from line 3 . Enter here and on Part V, line 4 . . 5 30 792 203 . 6 Minimum Investment return . Enter 5% of line 5 , , 6 1 , 539 , 610 .

Distributable Amount (see page 23 of the instructions) (Section 4942(j)(3) and (j)(5) private operating founda ti ons and cert ain foreign organizations check here pp. 1:1 and do not complete this part )

1 Minimum investment return from Part X, line 6 . . . . . . . . . , . . . . . . , . . , , , . , . , , , , 1 1 , 539 , 610 . 2a Tax on investment income for 2003 from Part VI, line 5 2e 69 , 511 . b Income tax for 2003 (This does not include the tax from ~Part VI ~) . . . 2 b c Add lines 2a and 2b . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . , . . . 2c 69 , 511 .

3 Distnbutable amount before adjustments Subtract line 2c from line 1 . . . . . , . . . . . . . . . . . 3 1 , 470 , 099 . 4a Recoveries of amounts treated as qualifying distnbutons , , . , , , . 4a NONE b Income distributions from section 4947(a)(2) trusts . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . 4c NONE

5 Add lines 3 and 4c 5 1 , 470 , 099 . 6 Deduction from distnbutableamount (see page 23 of the instructions) . . . .

~ . . . . . 6 NONE

7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part Xlll, line 1 . 7 1 , 470 , 099 .

Qualifying Distributions (see page 23 of the instructions)

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Forrq990-PF(2003) 13-3267113 Page B

Undistributed Income (see page 24 of the instructions)

(b) ~ (c) I (ci) Years prior to 2002 2002 2003 1 Distnbutable amount for 2003 from Part XI, Corpus

line 7 2 Undistributed income, d any, as of the end of 2002

a Enter amount for 2002 only , , , , , , , , ,

b Total for pnor years

3 Excess distributions carryover, if any, to 2003 a From 1998 , , , , , , NO b From 1999 � � � NO c From 2000 NO d From 2001 � � � NO e From 2002 , , , , , , NO f Total of lines 3a through e , , , , , , , , , , ,

4 Qualifying distributions for 2003 from Part X11, line 4' 10- $ 1, 563 , 273 .

a Applied to 2002, but not more than line 2a , , ,

b Applied to undistributed income of prior years (Election required - see page 24 of the instructions)

c Treated as distributions out of corpus (Election required - see page 24 of the instructions) , ,

d Applied to 2003 distnbutable amount, , , , , , e Remaining amount distributed out of corpus

S Excess distributions carryover applied to 2003 (If an amount appears in column (d), the same amount must be shown in column (a)

s Enter the net total of each column as indicated below :

a Corpus Add lines 3t, 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 , , , , , , , ,

d Subtract line 6c from line 6b Taxable amount - see page 24 of the instructions , , , , Undistributed income for 2002 Subtract line 4a from line 2a Taxable amount - see page 24 of the instructions

NONE

f Undistributed income for 2003 Subtract lines 4d and 5 from line 1 This amount must be distributed in 2004

7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(8)(3) (seepage 25 of the instructions) , , ,

8 Excess distributions carryover from 1998 not applied on line 5 or line 7 (see page 25 of the instructions) . . , . . . . . . . . . . . .

9 Excess distributions carryover to 2004 . Subtract lines 7 and 8 from line 6a . . . . . . .

10 Analysis of line 9

a Excess from 1999 . . , NON

b Excess from 2000 . . . NON

c Excess from 2001 . . . NON

d Excess from 2002 . . . NON e Excess from 2003 . . . NON

JSA 3E1480 7 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 15

Form 990-PF (zoos)

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d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other

factors NONE

JSA 3E1490 1 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 Form 990-PF (2003)

16

Form 990-PF (2003) 13-3267113 Page 9

Private Operating Foundations (see page 25 of the instructions and Part VII-A, question 9) NOT APPLICABLE 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 2003, enter the date of the ruling b Check box to indicate whether the organization is a private operating foundation described in section 49420(3) or 49420(5 )

2 a Enter the lesser of the Tax year Prior 3 years

adjusted net income from (a) 2003 (b) 2002 (c) 2001 (d) 2000 (e) Total Part I or the minimum investment return from Part X for each year listed . . .

b 85% of line 2a . . . . .

C Qualifying distributions from Part

XII, line 4 for each year listed .

d Amounts included in line 2c not used directly for active conduct of exempt activities ,

e Qualifying distributions made directly for active conduct of exempt activities Subtract line 2e from line 2c .

3 Complete 3a, b, or c far we alternative test relied upon

B "Assets' alternatNe test- enter

1) Value of all assets (2) Value of assets qualifying

under section 4942U)(3)(B)(I) .

b 'EndowmenC alternaWe test- Enter 2/3 of minimum Investment return shown In Part X, line 6 for each year listed .

C 'Support'alternative test -enter

(1) Total support other than gross investment income (Interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties),

(2) Support from general public and 5 or more exempt organizaUOns as provided In section a9a2Ul(3)(B)(o) . . . .

(3) Largest amount of support from an exempt organization

Gross investment income .

Supplementary Information (Complete this part only if the organization had $5,000 or more in assets at any time during the year - see page 25 of the instructions .)

1 Information Regarding Foundation Managers : a List any managers of the foundation who have contributed more than 2°,U of the total contributions received by the foundation

before the close of any tax year (but only if they have contributed more than $5,000) (See section 507(d)(2) )

NONE

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°.6 or greater interest .

NONE

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

Check here 1 El d 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 25 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

SEE STATEMENT 18 b The form in which applications should be submitted and information and materials they should include

NO FORMAL REQUIREMENTS ; AMOUNT AND PURPOSES MUST BE STATED

c Any submission deadlines NONE

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13-3267113 Form 990-PF (2003) .Page 10

Supplementary Information (continued)

JSA Form 990-PF (2003)

3E1491 2 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 17

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JSA 3 E 1492 1 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-B 18

Forrr 990-PF (2003) 13-3267113 . Page 11 . ORTEW Analysis of Income-Producin Activities Enter gross amounts unless othervvise indicated Unrelated business income Excluded b section 512, 513, or 514 Related or exempt

(c) (d) function income Business Exclu ion (See page 26 of

1 Program service revenue' code Amount code Amount the instructions a 14 b

c

d

e

f

g Fees and contracts from government agencies

2 Membership dues and assessments . , , , , 3 Interest on sarongs and temporary cash investments 14 30 , 706 .

4 Dividends and interest from securities 14 338 , 111 .

5 Net rental income or (loss) from real estate

a Debt-financed property , , , , b Not debt-financed property

6 Net rental income or (loss) from personal property

7 Other investment income 14 25 , 892 .

8 Gain or (loss) from sales of assets other than inventory 14 3 , 497 , 592 .

9 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) , , , , - 3,892,301 .

13 Total. Add line 12, columns (b), (d), and (e) , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 13 3,892,301 .

See worksheet m line 13 instructions on page 26 to verify calculations

Relationship of Activities to the Accomplishment of Exempt Purposes Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to

Line No. the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes) (See page 26 of the instructions )

Form 990-PF (2003)

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Form 990-PF 2003 13-3267113 Page 12

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 descnbed 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 organization to a nonchantable exempt organization of

(1)Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1a1 X (2) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 a(2) X

b Other transactions

(1) Sales of assets to a nonchantable exempt organization , , , , , , , , , , , , , , , , , , , . , , , , , . , , , , , , , , 1 b ( 1 ) X (2) Purchases of assets from a nonchantable exempt organization , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 1 b ( 2 ) X (3) Rental of facilities, equipment, or other assets , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 1 b ( 3 ) X (4) Reimbursement arrangements , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 1b 4 X (5) Loans or loan guarantees , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , 1 b (5 ) X (6) Performance of services or membership or fundraising solicitations , , , , , , , , , , , , , , , , , , , , , , , , , , , , 1 b ( 6 ) X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees , , , , , , , , , , , , , , , , , , , , , , , , , 1 c X 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

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 m section 527? , , , , , , , , , , , , , , , , , , 1:1 Yes a No

b Ii "Yes , " complete the followin g schedule (a) Name of organization (b) Type of organization (c) Description of relationship

JSA 3E1493 1 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8

Under penalties of penury, 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 D,pElaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge

` 1 Signature of r or trustee 01 Z

.0 W tM i ?' Preparer's

signature '

a v y Firm's name (or yours if PKF, CPAS, self-employed), address, '2 g BROADWAY and ZIP code

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If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box , , , , , , , , , , , , , , , , t U If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form)

N ote: Do not complete Part 11 unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.

" . Automatic 3-Month Extension of Time - Only submit original (no copies needed) Note : Form 990-T corporations requesting an automatic 6-month extension - check this box and complete Part 1 only All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returns Partnerships, REMICs and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041 Type Of Name of Exempt Organization Employer identification number

print FRANCES & BENJAMIN BENENSON FOUNDATION INC I 13-3267113 Number, street, and room or suite no If a P O box, see instructions

File by the due date for filing your return See instructions

/UH 'ltlllill AVL'"NVP: - LC"1"ri PLVVK

City, town or post office, state, and ZIP code For a foreign address, see instructions

I NEW YORK, NY 10017 Check type of return to be filed (file a se crate application for each return).

Form 990 Form 990-T (corporation)

Form 990-BL Form 990-T(sec 401(a) or 408(a) trust) Form 990-EZ Form 990-T (trust other than above)

)( Form 990-PF u Form 1041-A

Form 4720 Form 5227 Form 6069 Form 8870

JSA 3F8054 1 000

1 BZQOAO P632 04/14/2005 13 :49 :22 V03-6

Form 8868 Application for Extension of Time To File an (December 2000) Exempt Organization Return OMB No 1545-1 709 Department of the Treasury Internal Revenue Service 1 File a separate application for each return

" If the organization does not have an office or place of business in the United States, check this box , . , . . . . . , . , , , " If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group, check this box " El If it is for part of the group, check this box " u and attach a list with the names and EINs of all members the extension will cover 1 I request an automatic 3-month (6-month, for 990-T corporation) extension of time until 07/15 . 2005

to file the exempt organization return for the organization named above The extension is for the organization's return for

10- calendar year or 00. Fx] tax year beginning 12/01 . 2003 , and ending 11/30 . 2004

2 If this tax year is for less than 12 months, check reason 1:1 Initial return 0 Final return D Change in accounting period

3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits See instructions . � . . � � � � � � � � � � � � � � � � ,

b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit , , , , , , , ,

~ , , , , , , , , ,

c Balance Due. Subtract line 3b from line 3a Include your payment with this form, or, If required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) See instructions

Signature and Verification Under penalties of penury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct, and complete, and that I am authorized to prepare this form

AVCOUj,b»TANT: FtUrH',~I1C1

~~ 'SIRE RETUWPI 1111.

APR 1 4 2005 Signature " Title " Date For Paperwork Reduction Act Notice, see Instruction Form8868 (1z-2ooo)

PKF, CPAs, A F'rafessional Corporation 29 Broadway, NY, NY I OoA6

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FORM 990PF, PART I - INTEREST ON TEMPORARY CASH INVESTMENTS

NET INVESTMENT

INCOME

OTHER MUNICIPAL BOND INTEREST CORPORATE BONDS U .S TREASURY INTEREST

--------------30,706 .

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 20 STATEMENT 1

FRANCES & BENJAMIN BENENSON FOUNDATION INC

DESCRIPTION

TOTAL

REVENUE AND

EXPENSES PER BOOKS

9,402 . 200 .

19,688 . 1,416 .

13-3267113

9,402 .

19,688 . 1,416 .

--------------30,506 .

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FORM 990PF, PART I - DIVIDENDS AND INTEREST FROM SECURITIES

NET INVESTMENT INCOME

51,290 . 14,800 . 24,000 . 8,190 . 12,520 . 1,880 . 10,748 . 2,060 . 1,231 . 1,450 . 2,510 . 8,530 .

12,468 . 11,718 . 12,190 . 6,425 .

720 . 9,210 .

16,060 . 16,680 . 2,000 . 2,190 . 6,416 . 3,300 . 1,675 . 1,875 . 9,180 .

19,720 . 6,400 . 6,870 .

560 . 12,400 .

51,290 . 14,800 . 24,000 . 8,190 .

12,520 . 1,880 .

10,748 . 2,060 . 1,231 . 1,450 . 2,510 . 8,530 .

12,468 . 11,718 . 12,190 . 6,425 .

720 . 9,210 .

16,060 . 16,68 . 2,000 . 2,190 . 6,416 . 3,300 . 1,675 . 1,875 . 9,180 .

19,720 . 6,400 . 6,870 . 560 .

12,400 .

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 21 STATEMENT 2

FRANCES & BENJAMIN BENENSON FOUNDATION INC

DESCRIPTION

HOME DEPOT INC GENERAL ELECTRIC CO . CITIGROUP GILE TTE PFIZER INTEL NOKIA CORP . TIFFANY & CO . TYCO INTERNATIONAL TARGET CORP . AIG PEPSICO INC . NEUBERGER BERMAN NOVARTIS B,ANKNORTH GROUP LENNAR CORP CL A FAIR ISAAC & CO . PRAXAIR EXXONMOBILE MARSH & MCLENNAN MICROSOFT CORP BECKMAN CULTER LIMITED BRANDS ROCKWELL COLLINS MEDTRONIC INC . TCF FINANCIAL CORP 3M COMPANY BP PLC SPON BANK OF AMERICA JOHNSON & JOHNSON ANALOG DEVICES WILLIS GROUP HOLDINGS

REVENUE AND

EXPENSES PER BOOKS

13-3267113

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13-3267113

FORM 990PF, PART I - DIVIDENDS AND INTEREST FROM SECURITIES

4,894 . 3,640 . 1,560 . 2,880 . 3,910 .

160 . 450 .

9,465 . 36 .

3,970 . --------------

338,111 .

CLAIRES STORES ANADARKO PETROLEUM CORP VIACOM INC . MERRILL LYNCH ALCON RADIAN GROUP PMI GROUP ANHEUSER BUSCH COMPANIES OTHER MONEY MARKET

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 22 STATEMENT 3

FRANCES & BENJAMIN BENENSON FOUNDATION INC

DESCRIPTION

PENTAIR INC .

TOTAL

REVENUE AND

EXPENSES PER BOOKS

9,880 .

NET INVESTMENT

INCOME

9,880 . 4 , 894 . 3,640 . 1,560 . 2,880 . 3,910 .

160 . 450 .

9,465 . 36 .

3,970 . --------------

338,111 .

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NET INVESTMENT

INCOME

2,896 . 19,744 . 3,252 .

--------------25,892 .

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 23 STATEMENT 4

FRANCES & BENJAMIN BENENSON FOUNDATION INC

FORM 990PF, PART I - OTHER INCOME

DESCRIPTION

ORDINARY INCOME - JP MORGAN GLOBAL INVES ORDINARY INCOME - JPM PRIVATE INVESTORS ORDINARY INCOME - JPM PRIVATE INVESTORS

TOTALS

REVENUE AND

EXPENSES PER BOOKS

13-3267113

2,896 . 19,744 . 3,252 .

--------------25,892 .

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13-3267113

FORM 990PF, PART I - LEGAL FEES

REVENUE AND NET ADJUSTED

EXPENSES INVESTMENT NET CHARITABLE DESCRIPTION PER BOOKS INCOME INCOME PURPOSES ----------- --------- ------ ------ --------

LEGAL FEES 1,628 . 1,628 . -------------- -------------- -------------- --------------

TOTALS 1,628 . 1,628 . NONE NONE

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 24 STATEMENT 5

FRANCES & BENJAMIN BENENSON FOUNDATION INC

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13-3267113

FORM 990PF, PART I - ACCOUNTING FEES ---------------

REVENUE AND NET ADJUSTED

EXPENSES INVESTMENT NET CHARITABLE DESCRIPTION PER BOOKS INCOME INCOME PURPOSES ----------- --------- ------ ------ --------

ACCOUNTING FEES 3,700 . 3,700 . -------------- -------------- -------------- --------------

TOTALS 3,700 . 3,700 . NONE NONE

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 25 STATEMENT 6

FRANCES & BENJAMIN BENENSON FOUNDATION INC

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FORM 990PF, PART I - OTHER PROFESSIONAL FEES -------- ----------------

LICENSES, PERMITS, FEES MANAGEMENT FEES

775 . 187,500 .

-------------- TOTALS 188,275 .

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 26 STATEMENT

FRANCES & BENJAMIN BENENSON FOUNDATION INC

DESCRIPTION

REVENUE AND

EXPENSES PER BOOKS

13-3267113

NET INVESTMENT

INCOME

775 . 187,500 .

--------------188,275 .

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BZQOAO P632 06/03/2005 15 :11 :05 V03-8 27 STATEMENT

FRANCES & BENJAMIN BENENSON FOUNDATION INC

FORM 990PF, PART I - INTEREST EXPENSE

REVENUE AND

EXPENSES DESCRIPTION PER BOOKS ----------- ---------

INVESTMENT INTEREST EXPENSE 6 . INVESTMENT INTEREST EXPENSE 9,911 .

-------------- TOTALS 9,917 .

13-3267113

NE T INVESTMENT

INCOME

6 . 9,911 .

--------------9,917 .

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FORM 990PF, PART I - TAXES

REVENUE AND

EXPENSES PER BOOKS

NET INVESTMENT

INCOME

142 . 5,798 . 5,798 .

-------------- ----------------------------

TOTALS 5,940 . 5,798 .

FOREIGN TAXES PAID FOREIGN INCOME TAXES

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 STATEMENT 9 28

FRANCES & BENJAMIN BENENSON FOUNDATION INC

DESCRIPTION

13-3267113

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FORM 990PF, PART I - OTHER EXPENSES ---------------- --------

BANK CHARGES & FEES

BOOKS & PERIODICALS

OTHER EXPENSES 10,288 . --------------

TOTALS 207,210 .

10,288 . --------------

207,210 .

29 STATEMENT 10 BZQOAO P632 06/03/2005 15 :11 :05 V03-8

FRANCES & BENJAMIN BENENSON FOUNDATION INC

DESCRIPTION

REVENUE AND

EXPENSES PER BOOKS

196,872-

50 .

13-3267113

NET INVESTMENT

INCOME

196,872 .

50 .

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BZQ0AO P632 06/03/2005 15 :11 :05 V03-8 30 STATEMENT 11

FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113

FORM 990PF, PART II - U .S . AND STATE OBLIGATIONS ------------------------

ENDING ENDING DESCRIPTION BOOK VALUE FMV

---------- ---

INVESTMENT IN MUNICIPAL BONDS 4,000 . 4,000 . INVESTMENT IN . U.S T-BILL

--------------- --------------- TOTALS 4,000 . 4,000 .

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13-3267113

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 31 STATEMENT 12

FRANCES & BENJAMIN BENENSON FOUNDATION INC

FORM 990PF, PART II - CORPORATE STOCK -------- ---------

DESCRIPTION

SEE ATTACHED SCHEDULE

TOTALS

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BZQ0A0 P632 06/03/2005 15 :11 :05 V03-8 32 STATEMENT 13

FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113

FORM 990PF, PART II - OTHER INVESTMENTS

ENDING ENDING DESCRIPTION BOOK VALUE FMV

---------- ---

JP MORGAN PTN GLOBAL INVESTORS 352,736 . 352,736 . QUELLOS STRATEG PNR II 5,000,000 . 5,000,000 . PARA PARTNERS, L .P 1,000,000 . 1,000,000 . TRAXIS FUND 505,000 . 505,000 . AIG EUROPEAN REAL ESTATE 323,524 . 323,524 . KS INTERNATIONAL 1,000,000 . 1,000,000 .

--------------- ---------------

TOTALS 8,181,260 . 8,181,260 .

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BZQOAO P632 06/03/2005 15 :11 :05 V03-8 STATEMENT 14 33

FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113

FORM 990PF, PART II - OTHER ASSETS

ENDING ENDING DESCRIPTION BOOK VALUE FMV ----------- ---------- --- ---

DUE FROM GOLDMAN SACHS 2,056,408 . 2,056,408 . DUE FROM NEUBERGER AND BERMAN 1,616,425 . 1,616,425 . DUE FROM J .P MORGAN 3,122 . 3,122 . DUE FROM UBS FINANCIAL 340,793 . 340,793 .

--------------- --------------- TOTALS 4,016,748 . 4,016,748 .

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BZQ0A0 P632 06/03/2005 15 :11 :05 V03-8 34

FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113

FORM 990PF, PART II - LOANS FROM OFFICERS, DIRECTORS, FTC .

LENDER : RELATED PARTY ORIGINAL AMOUNT : 300 .

BEGINNING BALANCE DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,250 .

TOTAL BEGINNING LOANS FROM OFFICERS, DIRECTORS, ETC . 1,250 .

STATEMENT 15

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BZQOAO P632 06/03/2005 15 :11 :05 V03-8 35

FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113

FORM 990PF, PART II - OTHER FUNDS

ENDING DESCRIPTION BOOK VALUE ----------- ----------

ACCUM. INC . AND OTHER FUNDS 33,175,902 .

--------------- TOTALS 33,175,902 .

STATEMENT 16

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FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113

FORM 990PF, PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

LLOYD STABNER 708 THIRD AVENUE NEW YORK, NY 10017

GRAND TOTALS

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 STATEMENT 17 36

NAME AND ADDRESS ----------------

CHARLES B . BENENSON 708 THIRD AVENUE NEW YORK, NY 10017

BRUCE W . BENENSON 708 THIRD AVENUE NEW YORK, NY 10017

RICHARD KESSLER 708 THIRD AVENUE NEW YORK, NY 10017

TITLE AND TIME DEVOTED TO POSITION -------------------

PRESIDENT

VICE PRES .

SECRETARY

TREASURER

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BZQOAO P632 06/03/2005 15 :11 :05 V03-8 37

FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113

FORM 990PF, PART XV - NAME, ADDRESS AND PHONE FOR APPLICATIONS

CHARLES B . BENENSON 708 THIRD AVENUE ; NEW YORK, NY 10017 (212) 867-0990

STATEMENT 18

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P/L - 5 Charitable Contributions I of 6

Ptepared by TC on 1212312004 Updated V* 0 1/3/2005

Benjamin Benenson Foundation, Inc . Charitable Contributions

Fiscal Year 12/01/2003 - 11/30/2004

G NTCHUNG\2004\F&B Foudation 95\[Chantabic Contnbutions X13JAlphabcocal

,kle N 6240-600

Per G/L Non-Deductible -Deductible

11/23/2004 826LA/ETINA 500.00 50000 11/17/2004 92ND STREET Y 2,00000 ___-2,000 00 12/10/2003 A BETTER CHANCE IN RIDGEFIELD 1,25000 1,250.00 11/17/2004 A PLACE CALLED HOME 1,00000 1,00000 11/17/2004 ACHILLES TRACK CLUB 2,50000 2,500.00 11/17/2004 ACLU FOUNDATION 2,50000 2,500.00 11/29/2004 ACLU FOUNDATION 2,500.00 2,500.00 V 11/17/2004 ADPOT-A-MINEFIELD 3,000.00 3,00000 11/17/2004 ~AFTER-SCHOOL CORPORATION 1,00000 1,00000 11/17/2004 IAISH HATROAH 2,500.00 2,500.00 3/25/2004 ALZHEIMER'S A SSOCIATION 1,00000 1,00000 11/17/2004 AMER. ASSOC, BEN-GURION UNIVERSITY 15,000.00 15,000 .00 11/17/2004 AMERICAN CANCER SOCIETY 500.00 500001 11/17/2004 AMERICAN FRIENDS OF NEVE SHALOM 11000.00 1,000.00 11/17/2004 AMERICAN HEART ASSOCIATION 500.00 500.00 v/ 12/12/2003 AMERICAN JEWISH COMMITTEE 25,000-00 25,00000 11/17/2004 AMERICAN LYME DISEASE FOUNDATION 1,000.00 1,00000 11/17/2004 AMERICARES 1,000.00 1,000.00 3/25/2004 AMNESTY INTERNATIONAL USA 5,000.00 5,00000 11/17/2004 AMOGERONE VOLUNTEER FIRE 10000 100.00 11/17/2004 ANIMAL MEDICAL CENTER 11000.00 1,00000 4/26/2004 ANNUNCIATION MEN'S CLUB 250.00 25000 11/17/2004 ANTI-DEFAMATION LEAGUE 5,00000 5,000.00 11/17/2004 AUBURN THEOLOGICAL SEMINARY 500.00 500.00 3/25/2004 BEGMrNG WITH CHILDREN FDN 100.00 10000 4/26/2004 BENTLEY COLLEGE 2,500.00 2,500.00 V/ 12/10/2003 BENTLEY COLLEGE FUND 1,250.00 1,25000 12/29/2003 BIONEERS/COLLECTIVE HERITAGE 2,500.00 2,500.00 11/17/2004 BISON SCHOLARSHIP FUND 10,000.00 lopooo 12/29/2003 BRADY LEADERSHIP COUNCIL 1,00000 lpooo 11/17/2004 BROOKLYN MUSEUM OF ART lpom 10000 12/11/2003 C.O.P ., INC. 100.00 100.00 11/17/2004 CANCER CARE, INC . 1,00000 1,00000 3/25/2004 CARE USA 1,00000 1,00000 11/17/2004 CARNEGIE HALL SOCIETY INC 3,00000 3,00000 11/17/2004 CARTER CENTER 1,000.00 1,00000 11/17/2004 CATHOLIC CHARITIES APPEAL 1,000.00 1,00000 v

---4/28/2004-- ICENTER FOR FAMILY SUPPORT, INC 8,02400 8,024 00 5/7/2004 'CENTER THEATRE GROUP 2,00000 2)000 00 11/17/2004 CENTRAL PARK CONSERVANCY 1,00000 1,000 00 12/4/2003 'CHAMAH 2,560201 2,560201

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P/L - 5 Charitable Contributions 2 of 6

Prepared by TC on 12/23/2004 Updated by on 113r2OO5

Francis & Benjamin Benenson Foundation, Inc .

Charitable Contributions

Fiscal Year 12/01/2003 - 11/30/2004 G \TCHUNG\20064\F&B Fo~dauon 954Ch~tablc Combutions x1sjA1phabcnm1

k1C N 6240-'0000

Per G/L Non-Deductiblel Deductible

3/25/2004 CHESS IN THE SCHOOLS 50,00000 50,000 00

11/17/2004 CHILDREN OF CHERNOBYL 4,500.00 4,50000 11/17/2004 CHILDREN'S AID SOCIETY 1,00000 1,00000 11/17/2004 CHILDREN'S CHANCE INC. 6,000.00 6,00000 3/2512004 CITIZENS'COMMITTEE FOR CHILDREN 1,000.00 11,000.00

11/30/2004 CITY HARVEST, INC . 1,000.00 1,00000

11/17/2004 CITYM EALS-ON-VrH EELS 1,00000 1,00000 11/17/2004 COALITION FOR NYC PARKS, LLC 1,000.00 1,00000 11/24/2004 COALITION FOR THE HOMELESS 2,00000 2,00000 11/30/2004 COALITION FOR THE HOMELESS 2,00000 2,000.00 11/17/2004 COLLECTIVE HERITAGE INSTITUTE 1100000 1,00000 11/23/2004 COLLECTIVE HERITAGE INSTITUTE 5,00000 5,000.00 11/17/2004 COLUMBIA ALS GIFT FUND 5,00000 5,00000 11/17/2004 COMMUNITY SCHOOL DISTRICT 5 1,00000 1,00000 11/17/2004 COMMUNITY TRANSITIONS 5,00000 5,000.00 11/17/2004 CONCORD NURSING HOME, INC 1100000 1,000.00 11/17/2004 CONGREGATION MVAKSHE DEREKH 50000 500.00 3/18/2004 CONSERVATION INTERNATIONAL 5,000.00 5,000.00

11/17/2004 COOPER UNION FOR THE ADVANCEMENT 1,000.00 1,00000 11/17/2004 COUNCIL OF INDIAN NATIONS 100.00 100.00 11/23/2004 CREATIVE COALITION 1,00000 1,00000

11/17/2004 CREATIVE CONNECTIONS 1,000.00 1,00ooo 11/17/2004 CROHN'S COLITIS FOUNDATION OF 2,500.00 2,50000 11/17/2004 CROSSROADS ELEMENTARY SCHOOL 1,000.00 1,00000 11/17/2004 D.C. ACTION 500.00 500.00 -v/

1/21/2004 DALTON SCHOOL 12000.00 1,00000

3/25/2004 DISABLED VETERANS'LIFE MEMORIAL 250.00 250.00 1/26/2004 DUKE UNIVERSITY 10,000 .00 10,00000

11/17/2004 EASTERN PARALYZED 11000.00 1,00000

11/17/2004 ELIZABETH GLASER PEDIATRIC 2,00000 2,00000 11/17/2004 EMPOWER PROGRAM 1,000.00 1,00000 11/17/2004 ENTERPRISE FOUNDATION 1,000.00 1,00000

3/25/2004 FALLS TOWNSHIP FIRE CO NO 1 10000 10000 11/17/2004 FAMILY AND CHILDREN'S ASSOCIATION 1,000.00 1,00000 11/30/2004 FEED THE CHILDREN 1,00000 1,00000 12/10/2003 FEMINIST MAJORITYFOUNDATION 10,00000 10,00000 9/24/2004 FEMINIST MAJORITYFOUNDATION 5100000 5,00000 11/17/2004 FLOATING HOSPITAL 500 00 50000 11/17/2004 FOOD FOR SURVIVAL, INC 1,00 0 1 1000 00 3/25/2004 250 00, -~FOODFORTHEPOOR,INC 25000

f 4/2612004 FR DAVID CASELLA MEMORIAL 100 00F 1 00 00i

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P/l, - 5 Charital)le Conty ibutions I o 1 6

Prepared by TC on 12/23/2004 Updated by on 1/3/2005

----------Francis &-Benjamin Benenson Foundation, Inc. Charitable Contributions

Fiscal Year 12/01/2003 - 11/30/2004 G \TCV`1UNG\2004\F&B F~dm,on 95\[Ch~mbk CwtM.ums MsjA(phb.t,W

--- 7 1 ~ __1 A/C #_6240r00 0

Per G/L Non-Deductible Deductible

11/1 7/2004 FREEHOLD JEWISH CENTER 1,000 00 1,000 0o 3/25/2004 FRESH AIR FUND 875 00 87500 7/7/2004 FUTURES IN EDUCATION FOUNDATION 3,15000 (3,15000)

11/17/2004 GMHC 5,00000 5,00000 3/25/2004 GOD'S LOVE WE DELIVER 1,00000 1,00000 3/25/2004 GOLDMAN MEMORIAL BAND INC 1,00000 1,000.00 2/5/2004 GREATER NY COUNCILS, BOY SCOUTS 5,00000 5,000.00 7/15/2004 GREATER NY COUNCILS, BOY SCOUTS 5,00000 5,000.00 11/17/2004 1GREENWICH HOSPITAL 5,00000 5100000 .1 12/15/2003 1HARLEM EDUCATIONAL ACTIVITIES 10,00000 10,00000 10/7/2004 HEAL THE BAY 2,00000 2,000.00 3/25/2004 HELP HOSPITALIZED VETERANS 10000 10000 11/17/2004 HOLY APOSTLE SOUP KITCHEN 1,50000 1,50000 11/17/2004 HOSPICE CARE NETWORK 1,00000 1,000.00 5/19/2004 HOUSATONIC HABITAT FOR HUMANITY 4,33200 4,332.00 v/ 12/4/2003 HUDSON RIVER MUSEUM 1,00000 1,000.00 11/17/2004 HUMAN RIGHTS WATCH 5,00000 51000.00 9/9/2004 INNER-CITY SCHOLARSHIP FUND 160,00000 160,000.00

11/17/2004 INTERNATIONAL RESCUE COMMITTEE 1,000.00 1,00000 4/26/2004 JEFFREY MODELL FOUNDATION 8,250.00 8,250.00 11/17/2004 JEWISH HOME & HOSPITAL 5,000.00 5,00000 3/25/2004 JEWISH MUSEUM 1,000.00 __I'000.00 11/17/2004 KELLY'S FOUNDATION FOR CHILDREN 1,000.00 1,00000 11/17/2004 L.A . PUBLIC LIBRARY 1,000.00 1,000.00 11/17/2004 LAMP DAY CARE CENTER 2,00000 2,00000 11/17/2004 LANCE ARMSTRONG FOUNDATION 2150000 2,50000 11/17/2004 LAWYERS COMMITTEE FOR HUMAN 5,00000 5,000.00 11/17/2004 LEAGUE OF WOMEN VOTERS 1,00000 1,00o.oo 11/17/2004 LEARNrNG PROJECT 10000 10000 3/18/2004 LIBERTY HILL FOUNDATION 5,00000 5,00000 V' 1/23/2004 LOS ANGELES LIBRARY FOUNDATION 5,00000 5,00000 11/19/2004 LOWER EASTSIDE GIRLS CLUB 10,000.00 10,000.00 11/30/2004 MEALS ON WHEELS 1100000 1,00000 11/17/2004 MEDICARE RIGHTS CENTER 1,00000 1,000.00 11117/2004 MEMORIAL SLOAN KETTERING CANCER 1,00000 1,00000 11/17/2004 METROPOLITAN GOLF ASSOCIATION 1,00000 1,00000 3/25/2004 METROPOLITAN OPER.A. FUND 9,86000 9,860.00 11/17/2004 MOSHOLU MONTEFIORE 1,00000 1 1000.00

MUSEUM FOR AFRICAN ART 20,0,jjljj 20,000 00' 3/25/2004 TO 00 11/17/2004 MUSEUM OF MODERN ART 5,000 00~ 1 5,00000.

NA'AMAT USA 1 200 00 : ]~/17/2004 1 20000

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P/11 - 5 Charitable Contributions 4 of 6

Prepared by TC on 12/23/2004 Updated by on 113/2005

Francis & Benjamin Benenson Foundation, Inc .

Charitable Contributions Fiscal Year 12/01/2003 - 11/30/2004

G NTCHUNG\2004W&B Foundation 95\jCh~tablc Coninbutiom xislAlphabelical

C N '6_2`4' -0-- -0 0'0, 0' Per G/L Non-Deductible Deductible

3/25/2004 NATIONAL ALLIANCE OF URBAN 1,00000 1,00000 11/22/2004 NATIONAL AUDUBON SOCIETY 1,00000 1,000.00 11/17/2004 NATIONAL CENTER ON ADDICTION 1,00000 1,000.00 11/1712004 NATIONAL M.S . SOCIETY 250.00 250.00

3/25/2004 NATIONAL PARK FOUNDATION 1,00000 1,000 00 11/19/2004 NATIONAL PARTNERSHIP FOR 1,000.00 1,000.00 11/17/2004 NAT'L ASSOCIATION ON DRUG ABUSE 1,000.00 1,00000 1/23/2004 NATURAL RESOURCES DEFENSE 5,00000 5,000.00 3/18/2004 NATURAL RESOURCES DEFENSE 10,00000 10,00000 11/23/2004 NATURAL RESOURCES DEFENSE 15,00000 15,00000 11/30/2004 NATURE CONSERVANCY 10000 100.00 11/17/2004 NEIGHBORHOOD YOUTH ORGINIZATION 1,00000 l'ooo.00 11/17/2004 NEUROPATHY RESEARCH 1,00000 1,00000 11/17/2004 NEW ISRAEL FUND 10,000 .00 10,00000 11117/2004 NEW YORK COLLFGIUM 1,000.00 1,000.00 11/29/2004 NEW YORK COLLEGIUM 1,00000 1,000.00 12/4/2003 NEW YORK JR TENNIS LEAGUE 20,000.00 20,000.00 12/4/2003 NEW YORK JR TEWS LEAGUE 24,781 .90 24,781 .90 3/31/2004 NEW YORK PHILHARMONIC 3,500.00 3,500.00 11/17/2004 NEW YORK PUBLIC LIBRARY 10,00000 10,00000 11/17/2004 NEW YORK RESTORATION PROJECT 250.00 25000 11/24/2004 NEW YORK UNIVERSITY 15,000.00 15,00000 V 3/25/2004 NORTHSIDE CENTER FOR CHILD 20000 200.00 3i25/2004 NYC 2012 1,00000 1,000.00 11/17/2004 NYC POLICE FOUNDATION INC . 5,00000 5,00000 v" 11/17/2004 OCEAN PARK COMMUNITY 2,00000 2,000.00 11/17/2004 OPERATION SMILE 1,00000 lpo.oo 12/9/2003 PARK CENTURY SCHOOL 10,000.00 10,00000 11/17/2004 PARKER JEWISH INSTITUTE 5,00000 5,00000 11/3 2004 Parkinson's Disease Foundation 10,000 .00 10,00000 11/17/2004 PHIPPS CDC SUMMER FUND 5,000.00 1 5,00000

PLANNED PARENTHOOD OF NYC 1,000.00 1,00000 1/23/2004 PLOWSHARES FUND 5,000.00 5100000 11117/2004 PORT CHESTER CARVER CENTER, INC 1,00000 1,00000 11/17/2004 PREP FOR PREP 5100000 5,000.00 11/22/2004 Project Ent 25,00000 25,00000 12/9/2003 PUPS FOR PEACE 5,00000 5,000001 V 5/27/2004 PURCHASE COLLEGE FOUNDATION 50,000001 50,000001 1123/2004 RAINFOREST ACTION NETWORK 5,000001 5,00000, 11/1712004 RATTLESTICK THEATER 1,000 00 ;~ 1,000 00! 11/17/2004 i-R-EADING REFORM FND OF NEW YORK 7,500 00 1 7,500 00

Page 36: -PF Return of Private Foundation 3990s.foundationcenter.org/990pf_pdf_archive/133/133267113/13326… · 14 1-3nd buildings and equipment basis L ess accumulated deprecation 1 +ttach

P/L - 5 Charitable Contributions 5 of 6

Prepared by TC on 12/23/2004 Updated by on 1/3/2005

Francis & Benjamin Benenson Foundation,- Inc . -_ Charitable Contributions

Fiscal Year 12/01/2003 - 11/30/2004 G %TCHUNG\2004%F&B Fo~datjon 95NIChmabic Cownbutions x1sjA1phzbctim1

,k/C' 62,40-00-00

Per G/L Non-Deductible Deductible

7/2 1 /2004 REAL ESTATE CONSTRUCTION COUNCIL 51,500.00 51,500.00 3/25/2004 REALTY FOUNDATION OF NY 2,10000 2,10000 12/10/2003 RIDGEFIELD BOYS & GIRLS CLUB 50000 500.0ol 12/10/2003 RIDGEFIELD COMMUNITY CENTER 500.00 500.00 ; 12/10/2003 RIDGEFIELD COMMUNITY FOUNDATION 500.00 5oo.00 . 12/10/2003 RIDGEFIELD LIBRARY 50000 500.00 12/10/2003 RIDGEFIELD PLAYHOUSE 500.00 50o.00 v 11/17/2004 RONALD MCDONALD HOUSE 5,00000 5,000.00~ V' 11/17/2004 ROUND HILL VOLUNTEER 100.00 100.00 11/17/2004 SANDS POINT GOLD CLUB FND 250.00 250.00 . 2/13/2004 SCHOOL OF AMERICAN BALLET 3,400.00 3,400.00

11/17/2004 SEASONED CITIZENS THEATRE 1,500.00 1,500.00 . 11/17/2004 SHIELD INSTITUTE 2,00000 2,000.00, 2/18/2004 SKYSCRAPER MUSEUM 95000 950.00~ 11/17/2004 SOUTHERN POVERTY LAW CENTER 3,00000 3,000.001 11/17/2004 ISOUTHERN POVERTY LAW CENTER 50000 500.00, 3/25/2004 1 SPECIAL OLYMPICS CONNECTICUT 20000 200 00 v/ 11/17/2004 SPECIAL OLYMPICS CONNECTICUT 200.00 200.00, 11/17/2004 ISPONSOR-A-SCHOLAR 1,000.00 1,000.00 11/17/2004 ST MAURUS HANGA ABBEY 1,000.00 1,000mi 8/16/2004 ST. BONAVENTURE UNIVERSITY 200.00 200.00j 11/17/2004 ST. MARY'S FOUNDATION FOR CHILDREN 1,00000 1,000.00i 11/17/2004 STAMFORD POLICE ASSOCIATION INC . 500.00 500.00 11/17/2004 STATEN ISLAND ADVANCE 250.00 250.00 3/25/2004 TAKE THE FIELD, INC 10,00000 10,000 .00 11/17/2004 TEACH FOR AMERICA 2,50000 2,500.00, 1111712004 THEATRE FOR NEW AUDIENCE 1,000.00 1,000.00, 11/17/2004 THIR-D WORLD NEWSREEL 5,00000 5,000.W

3/25/2004 TIMES SQUARE GROUP 50000 __500.00 11/17/2004 TOOLS FOR SCHOOLS 2,500.00 2,500 00! 1/23/2004 TREE PEOPLE 3,50000 3,5 00 00 ~~ 9/24/2004 U S . ACTION EDUCATION FUND 5,000.00 5,000.00~ v/ 9/21/2004 UCLA FOUNDATION-FUND 5376 5,00000 5,000 00 12/15/2003 UJA FEDERATION OF NEW YORK 100,000.00 1 00,000 00 12/15/2003 UJA FEDERATION OF NEW YORK 33,00000 33,000.00~ 11/17/2004 UNIFORMED PROFESSIONAL FIRE 50.00 50 00 ; 3/18/2004 UNION OF CONCERNED SCIENTISTS 5,00000 5,000 00, 10/7/2004 UNION OF CONCERNED SCIENTISTS 1,500.00 1,500 00'

11/17/2004 UNITED CEREBAL PALSY NYC 250000 250000 ___ ____ _=_ ___ -4- .3/18/2004 -UNITED FRIENDS OF THE CH-11DREN 1,500001 . . .... . ~1,500 00

11/17/2004 1____~UNITED HOSPITAL FUND __q_'00000F_____ 9,00000

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P/L - 5 Charitable Contributions

151,111A, 6 of 6

Prepared by TC on 12/23/2004 Updated by on 1/3/2005

Francis &Benjamin Benenson Foundation, Inc . Charitable Contributions

Fiscal Year 12/01/2003 - 11/30/2004 G \TCHUNG\2004\F&B Foundation 95\[Chantabic Contnbutions xls)Alphabeli~l

Per G/L Non-Deductiblei Deductible

11/17/2004 JUNITED NEGRO COLLEGE FUND 1,000.00 1,000 00~ 12/11/2003 USO OF METROPOLITAN NY 100.00 100.00 ; 11/17/2004 VANDERBILT YMCA, DENNIS O'CONNOR 1,00000 1,000 00 1/23/2004 VENICE FAMILY CLINIC 1,00000 1,000 00 112312004 VIOLENCE POLICY CENTER-- 5,00000 (36000)1 4,640.001 11/23/2004 VIOLENCE POLICY CENTER 5,000.00 5,000 001 12/10/2003 VISITING NURSE ASSOCIATION OF 50000 500.001-,/ 11/17/2004 VISITING NURSE SERVICE 1,000.00 1,000.001,,/ 3/25/2004 ~WASHINGTON HEIGHTS-INWOOD 500.00 500001 11/17/2004 WESTCHESTER JEWISH COMMUNITY SVCS 1,000.00 1,000 00 11/17/2004 WILDWOOD SCHOOL 10,000.00 12/4/2003 WILLIAM J. CLINTON PRESIDENTIAL 10000 100.001 11/17/2004 IWILTON TASK FORCE ON LYME DISEASE & 2,000.00 2,000 00~ 3/25/2004 WINDSOR HILL ELEMENTARY SCHOOL 1,000.00 I'000.00j 11/16/2004 WINTER GLOW BALL 2,150.00 2,150.00 11/17/2004 WORLD MONUMENTS FUND 1,00000 1,000.00 11/17/2004 YA'AD SCHOOL FOR THE 1,000.00 1,00000 11/17/2004 YALE CLUB OF NYC 1,000.00 1,00000 12/4/2003 YALE UNIVERSITY ART GALLERY 445,000.00 445,000 .00 11/17/2004 YMCA CAMPING SERVICES OF 2,500.00 2,500.001-/ 12/9/2003 YOUTH SERVICE LEAGUE, fNC . 5,000.00 5000 0

TOTAL 1,566,783 .101 2,79000 1,563,273 .101 A A A <

vl Tax receipts received A Foots <: lCross-foots

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Page 40: -PF Return of Private Foundation 3990s.foundationcenter.org/990pf_pdf_archive/133/133267113/13326… · 14 1-3nd buildings and equipment basis L ess accumulated deprecation 1 +ttach

SCHEbULE D (Form 1041) De artmen' he Treasury Inte

'n.I Re,,eo,,ue Ser\nce

Capital Gains and Losses OMB No 1545-009

jo. Attach to Form 1041, Form 5227, or Form 990-T. See the separate Instructions for Form 1041 (also for Form 5227 or Form 990-T, It applicable) . 2@03 1 Employer identification number Name of estate or trust

Note : Form 522 7 filers need to complete only Parts I and //. Effliff -Short-Term Capital Gains and Losses - Assets Held One Year or Less

(a) Description of property (b) Date (0 Gain or (Loss) (g) Post-May 5 gain (Example, 100 shares 7% acquired (c) Date sold (d) Sales price

(e) Cost or other basis for the entire year or (lossr Dreferred of ̀ Z" Co ) ~ (mo . dav. vr (mo . day, yr ) I I (see page 32) (col (d) less col (e)) (see below)

2 Short-term capital gain or (loss) from Forms 4684, 6252, 6781, and 8824 . . . . . . . . 2 3 Net short-term gain or (loss) from partnerships, S corporations, and other estates or trusts . . . . . 3 4 Short-term capital loss carryover Enter the amount, if any, from line 9 of the

2002 Capital Loss Carryover Worksheet . . . . . . . . . . . . . . . . . . . . 4 5 a Combine lines 1 through 3 in column (g) . . . . . . . . . . . . . . . . . . . . . 5. b Net short-term gain or (loss) . Combine lines I through 4 in column (f]i Enter

here and on line 14a below . . . . . . . . . 51 7119 -Lonq-Term Capital Gains and Losses -Assets Held More Than One Year

668 .

3,st-May 5 gain or (lossr see below)

6 8 .757 .562 .1 6 .174 .638 .1 2 .582 .924 .

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 40

I

(a) Description of prope 1 (1) 11ale (Example, 100 shares %Y. red ((..)ODat

: sold (e) Cost or other basis M Gain or (Loss)

(mO . dav . vr y, yr (see page 32) for the entire year

Dreferred of-z" Co acqui

d (d) Sales price I (col (d) less coi (01

668 .

7 Long-term capital gain or (loss) from Forms 2439, 4684, 6252, 6781, and 8824 7 8 Net long-term gain or (loss) from partnerships, S corporations, and other estates or trusts 8 9 Capital gain distributions

. . . . . . . . 9

10 Gain from Form 4797, Part 1 10 11 Long-term capital loss carryover Enter the amount, if any, from line 14 of the

2002 Capital Loss Carryover Worksheet 12 Combine lines 6 through 10 in column (g) . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Net long-term gain or (loss) . Combine lines 6 through 11 in column (f) Enter

here and on line 15a below . . . . . . . . . . . . . . M . . . . .. . . . 0- 13 2 -~A2,924 . 2 *Includeincol (g) all gains and losses from col (fl from sales, exchanges, or conversions (including installment payments received) after May 5, 2003 However, do not include gain attributable to unrecaptured section 1250 gain or 28% rate gain or loss (see instr )

Summary of Parts I and 11 (1) Beneficiaries' (2) Estate's (3) Total Caution - Read the instructions before completing this part. (see page 33) or trust's 14a Net short-term gain or (loss) (for the entire year) . . . . . . . . . . 14a 914,668 .

b(l) Net short-term gain (post-May 5, 2003) . . . . . . . . . . . . . . LlqD b(2) Net short-term loss (post-May 5, 2003) m . m . . . . . . . . . . . 14b(2)

15a Net long-term gain or (loss) (for the entire year) . . . . . . . . . . . isa 21582 924 . b Net long-term gain (post-May 5, 2003) . . . . . . . . . . . . . . . . 116b c Qualified 5-year gain . . . . . . . . . . . . . . . . . . . . . . .

* . . isc

d Unrecaptured section 1250 gain (see line 18 of the worksheet on page 34) e 28% rate gain or (loss) . . . . . m . . . . . . . . . . . . . . . . M 15e

16a Total net gain or (loss) . Combine lines 14a and 15a lll~ 16a 3,497,592 . b Combine lines 14b(2) and 1 5b If zero or less, enter -0-

. .

. 16b

Note : If line 16a, column (3), is a net gain, enter the gain on Form 1041, line 4 If lines 15a and 16a, column (2), are net gains, go to Part V, and do notcomplete Part IV Ifline 16a, column (3), is a net loss, complete Part IV and the Cap/ta/Loss Carryover Wbrkshee4 as necessary

For Paperwork Reduction Act Notice, see the Instructions for Form 1041 . Schedule D (Form 1041) 2003

JSA 3F12`10 3 000

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Sched.l . D (F .,n, 1041) 2003 Page 2

Capital oss Limitation

Note : If line 15d, column (2) or line 15e, column (2) is more than zero, complete the worksheet on page 37 of the instructions and skip Part V Otherwise, go to line 18

18 Enter taxable income from Form 1041, line 22 . . . . . . . . . . . . . . . 18

19 Enter the smaller of line 1 5a or 16a in column (2) but not less than zero . . . . . . . . . . . . 19

20 Enter the estate's or trust's qualified dividends from Form 1041, line 2b(2) . . . . . . . . . . . . 20

21 Add lines 19 and 20 . . . . . . . . . . . . . . . . 21 22 If the estate or trust is filing Form 4952, enter the

amount from line 4g, otherwise, enter -0- No- , 22 23 Subtract line 22 from line 21 If zero or less, enter -0 . . . . . . . . . . . . . . 23 24 Subtract line 23 from line 18 If zero or less, enter -0- 24 25 Enter the smaller of the amount on line 18 or $1,900 25

It line 24 Is more than line 25, skip lines 26-36 and go to line 37 . 26 Enter the amount from line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . 26 27 Subtract line 26 from line 25 If zero or less, enter -0- and go to line 37 27 28 Add lines 16b, col (2) and 20* . . . . . . . . . . . 1 28 1

--- 29 Enter the smaller of line 27 or line 28 . . . . . . . . . . . . . . . . . . . . . 7L9 L- 30 Multiply line 29 by 5% ( 05) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

If lines 27 and 29 are the same, skip lines 31-36 and go to line 37 . 31 Subtract line 29 from line 27 . . . . . . . . . . . . 31 32 Enter the amount, if any, from line 15c,

column (2) . . . . . . .

32 33 Enter the smaller of line 31 or line 32 . . . . . . . . . . . . . . . . . . . . . . 33 34 Multiply line 33 by 8% ( 08) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 35 Subtract line 33 from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1 36 Multiply line 35 by 10% ( 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . 36

It the amounts on lines 23 and 27 are the same, skip lines 37 through 46 and go to line 47 . 37 Enter the smaller of line 18 or line 23 . . . . . . . . . . . . . . . . . . . . . . 37 38 Enter the amount, if any, from line 27 . . . . . . . . . . . . . . . . . . . . . . 38 39 Subtract line 38 from line 37 39 40 Add lines 16b, col (2) and 20* 40 41 Enter the amount from line 29 (if line 29 is blank,

enter -0-) . . . . . . . . . . . . . . . . . . . . . 41 42 Subtract line 41 from line 40 . . . . . . . . . . . 42 43 Enter the smaller of line 39 or line 42 . . . . . . . . . . . . . . . . . . . . . . 43 44 Multiply line 43 by 15% ( 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 45 Subtract line 43 from line 39 . . . . . . . . . . . . . . . . . . . . . . . . . . 1 45 1 46 Multiply line 45 by 20% ( 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 47 Figure the tax an the amount on line 24 Use the 2003 Tax Rate Schedule on page 21 of the

instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 NONE 48 Add lines 30, 34, 36, 44, 46, and 47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 NONE 49 Figure the tax on the amount on line 18 Use the 2003 Tax Rate Schedule on page 21 of the

instructions 49 50 Tax on all taxable Income. Enter the smaller of line 48 or line 49 here and on line la of

Schedule G, Form 1041 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 1 50

If lines 20 and 22 are more than zero, see Lines 28 and 40 on page 36 for Schedule D (Form 1041) 2003 the amount to enter

JSA 3F 1 220 2 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 41

17 Enter here and enter as a (loss) on Form 1041, line 4, the smaller of. a The loss on line 16a, column (3) or b $3,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

If the loss on line 16a, column (3), is more than $3, 000, or if Form 104 1, page 1, line 22, is a loss, complete the Capital Loss Carryover Worksheet on page 36 of the instructions to determine your capital loss carryover

Tax Computation Using Maximum Capital Gains Rates (Complete this part only if both lines 15a and 16a in column (2) are gains, or an amount is entered in Part I or Part 11 and there is an entry on Form 1 041, line 2b(2), and Form 1041, line 22 is more than zero .)

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BZQ0AO P632 06/03/2005 15 :11 :05 V03-8 42 STATEMENT

FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113 Schedule D Detail of Short-term Capital Gains and Losses

Date Date Gross Sales Cost or Other Short-term Description Acquired Sold Price Basis Gain/Loss

POST-MAY 5TH CAPITAL GAINS (LOSSES)

SEE STATEMENT # VAR _ VAR 10, 91,612 . 9,176,944 . 914,668 .

TOTAL POST-MAY 5TH CAPITAL GAINS (LOSSES) 10,091,612 . 91176,944 . 914,668 .

CAPITAL GAINS (LOSSES) HELD FOR CHARITABLE PURPOSES

SEE STATEMENT # VAR VAR 10,091,612 . 9,176,944 . 914,668 .

TOTAL CAPITAL GAINS (LOSSES) HELD FOR CHARITABLE PURPOSES 10,091,612 . 91176,944 . 914,668 .

Totals 10 091,612 . 9 176,944 .1 914,6681

JSA

3FO971 1 000

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BZQ0A0 P632 06/03/2005 15 :11 :05 V03-8 43 STATEMENT 2

FRANCES & BENJAMIN BENENSON FOUNDATION INC 13-3267113 Schedule D Detail of Long-term Capital Gains and Losses

Date Date Gross Sales Cost or Other Long-term Description Acquired Sold Price Basis Gain/Loss

PRE-MAY 6TH CAPITAL GAINS (LOSSES)

SEE STATEMENT # VAR VAR 6,900,956 . 5,655,860 . 1,245,096 . SEE STATEMENT # VAR -VAR 1,856,606 . 518,778 . 1,337,828 .

TOTAL PRE-MAY 6TH CAPITAL GAINS (LOSSES) 8,757,562 . 6,174,638 . 2,582,924 .

CAPITAL GAINS (LOSSES) HELD FOR CHARITABLE PURPOSES

SEE STATEMENT # VAR VAR 6,900,956 . 5,655,860 . 1,245,096 . SEE STATEMENT # VAR VAR 1,856,606 . 518,778 . 1,337,828 .

TOTAL CAPITAL GAINS (LOSSES) HELD FOR CHARITABLE PURPOSES 8,757,562 . 6,174,638 . 2,582,924 .

Totals 8 757,562 . 6,174,638 . 2,582,924 .

JSA

3FO970 1 000

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Short-Term Long-Term Gain (Loss) Gain (Loss)

12,747 43

8,588-87 9,53956 2,32791 3,402 11 2,289 It

16,091 77 4,723 83

V/1, 2 Capital Gains (Losses)

%A""T 4" Frances & Benjamin Benenson Foundation Inc

Capital Gains & Losses - Sale of Securities FYE 11/30/2004

G \TCHUNG\2004\F&B Foundawn 95*qCapital Gains - STLT xls]CjpiLAI Gains - STLT

Purchase Sale # of Purchase Selling Date Date Shares Security Descriptions Price Price

N N 08/12/03 01/20/04 2,000 ACCREDO HEALTH INC 46,85660 68,345 .79 08/12/03 02/24/04 6,000 ACCREDO HEALTH INC 140,56980 205,341 .96 03/09/04 09/24/04 4,000 ADVANCf AUTO PARTS INC 166,06240 139,921 51 04/20/04 09/24/04 1,000 ADVANCE AUTO PARTS INC 42,392.00 34,98038 06/30/03 04/23/04 1,000 ALCONINC 46,00000 73,887

. 26

06/19/03 05/13/04 2,500 ALCON INC 107,79650 187,006.11 06/30/03 05/13/04 1,000 ALCON INC 46,00000 74,802 .45 06/19/03 05/19/04 3,500 ALCONINC 150,915 10 260,761 73 03/26/02 05/14/04 1,000 AMERICAN INTERNATIONAL GROUP 71,850 .00 70,542 .35 05/07/02 05/14/04 1,000 AMERICAN INTERNATIONAL GROUP 69,39000 70,542 .34 01122/04 03/16/04 2,000 ANADARKO PETROLEUM CORP 102,559 .60 101,96501 08/18/04 10/29/04 300 ANADARKO PETROLEUM CORP 17,012 .64 20,071 .03 08/19/04 10/29/04 1,000 ANADARKO PETROLEUM CORP 56,820.60 66,903.43 0`1/14/03 12/26/03 2,000 ANALOG DEVICES INC 56,896 .00 89,69579 01/14/03 05/14/04 2,000 ANALOG DEVICES INC 56,896 .00 93,15861 09/11/02 05/20/04 2,000 ANALOG DEVICES INC 52,380 .00 95,326 .76 12/11/02 05/20/04 2,000 ANALOG DEVICES INC 54,500 .00 95,32676 04/10/02 03/26/04 1,000 ANHEUSER BUSCH COMPANIES INC 52,58000 50,131 .74 04/19/02 03/26/04 2,000 ANHEUSER BUSCH COMPANIES INC 104,696 .00 100,26348 07/31/03 12/26/03 4,000 BANK OF AMER CORP 335,09400 317,625 .11 07/31/03 01/05/04 1,000 BANK OF AMER CORP 83,773 .50 79,089.49 08/05/03 01/05/04 1,000 BANK OF AMER CORP 81,173 .90 79,089.49 08/20/03 01105104 2,000 BANK OF AMER CORP 162,276 .60 158,17899 04/12/02 03/11/04 2,000 BANKNORTH GROUP INC NEW 53,66020 66,598 .39 03/15/02 08/25/04 3,300 BANKNORTH GROUP INC NEW 86,20293 116,834 .41 03/19/02 08/25/04 2,000 BANKNORTH GROUP INC NEW 52,300.00 70,808 .74 03/15/02 08/27/04 4,700 BANKNORTH GROUP INC NEW 122,77397 160,61356 11/27/02 09/10/04 3,000 BANKNORTH GROUP INC NEW 67,25490 101,708 11 12/03/02 09/10/04 4,000 BANKNORTH GROUP INC NEW 89,468 .80 135,61082 01/14/03 09/10/04 3,000 BANKNORTH GROUP INC NEW 71,596 .80 101,708 .11 11/14/02 01/06/04 500 BECKMAN COULTER INC 14,604 .95 25,168 .82 11/18/02 01/06/04 1,300 BECKMAN COULTER INC 38,115 .87 65,438 .93 11/14/02 06/01104 2,000 BECKMAN COULTER INC 58,419 .80 121,537 .55 11/14/02 08/12/04 1,000 BECKMAN COULTER INC 29,209 .90 53,12875 11/14/02 08/13/04 1,500 BECKMAN COULTER INC 43,81485 80,068 .12 11/15/02 08/13/04 2,500 BECKMAN COULTER INC 72,75000 133,44687 07/01/03 01/06/04 3,000 BIOMET INC 85,165.20 107,00497 07/01/03 02/26/04 3,000 BIOMET INC 85,165 .20 116,395

.

44 03/16/04 11/18/04 5,000 BIO-RAD LABORATORIES INC CL A 284,54450 284,621 82 07/29/03 08/10/04 600 BP P L C SPONSORED ADR 24,99438 33,365 .22 08/05/03 08/10/04 1,400 BP P L C SPONSORED ADR 58,60862 77,852 17 01/06/04 02/12/04 7,500 CAREMARK RX INC 183,318 75 226,804 .34 01/06/04 03/16/04 2,000 CAREMARK RX INC 48,885 .00 63,52391 01/06/04 10/21/04 1,000 CAREMARK R.X INC 24,442.50 28,94242 05/24/04 10/21/04 2,000 CAREMARK RX INC 63,47260 57,88484 10/02/03 10129/04 2,000 CAREMARK RX INC 46,434 .40 58,674 .42 04/02/03 04/07/04 1,000 CHOICEPOINT INC 34,87740 41,81862 04/07/03 04/07/04 2,000 CHOICEPOINT INC 70,88980 83,63723 04/02/03 05/05/04 5,000 CHOICEPOINT INC 174,38700 218,561 37 03/03/04 08/03/04 3,000 CLAIRES STORES INC 60,85860 69,44747 03/11/04 08/03/04 3,000 CLAIRES STORES INC 59,90790 69,44746 04106/04 08/03/04 2,000 CLAIRES STORES INC 43,97040 46,298 3 04/12/04 08/03/04 2,000 CLAIRES STORES INC 42,89620 46,298 3 : 05/06/04 08/03104 700 CLAIRES STORES INC 13,91530 16,20441 05/07/04 08/03/04 5,000 CLAIRES STORES INC 99,65400 115,745 77 05/06/04 09/16/04 900 CLAIRES STORES INC 17,891 10 22,61493

I ., Ads"',

21,489 19 64,772.16 (26,140 89) (7,411 .62) 27,887 .26 79,209 61 28,802 .45

109,846 63

(594 .59) 3,058.39 10,082 83 32,799 79

(17,468 .89) (4,68401) (2,084 .41)

'S. (4,097 .61)

21,839 77 31,230.24

7732

43,485 59 14,638 .91 4,499.92 (5,587 .76)

(1,307 65) 1,152.34

36,262 .61 42,946 .76 40,826 76 (2,448 .26) (4,432 .52)

12,938 .19 30,631 .48 18,50874 37,839.69 34,45321 46,142 .02

\30,11131 10,563 .87 27,323.06 63,117.75 23,918 85 36,253 27 60,696 87

8,370-84 19,243 55

12,240-02 6,941 22

44,174 37

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11/1-2 Capital Gains (Losses) 2 -

, f 4

Frances & Benjamin Benenson Foundation Inc. Capital Gains &_ Losses - Sale of Securities

FYE 11/30/2004 G %TCHUNGU004W&B Foundation 95qCapital Gains - STI-TAsICapital Gains - ST LT

Purchase Sale # of Purchase Selling Short-Term Long-Term Date Date Shares Security Description Price Price Gain (Loss) Gain (Loss)

N N 05/06/04 10/21/04 1,400 CLAIRES STORES INC 27,83060 33,97706 6,146.46 05/25/04 10/21/04 1,000 CLAIRES STORES INC 19,54600 24,26933 4,723.33 05/25/04 10/29/04 1,000 CLAIRES STORES INC 19,546 .00 25,90939 6,363.39 08/12/04 11/09/04 7,000 COACHIN[C 265,792 10 325,201 87 59,409.77 03/09/04 04/06/04 7,000 CONSTELLATION BRANDS INC 224,17920 231,766.66 7,587 46 12/16/03 02/26/04 10,000 DEL MONTE FOODS CO 104,365.00 107,40077 3,035.77 12/16/03 03/12/04 5,000 DEL MONTE FOODS CO 52,182.50 56,297.78 4,115.28 12/27/02 04/21/04 10,000 DEL MONTE FOODS CO 78,96700 112,39734 - 33,430.34 12/27/02 05/26/04 8,000 DEL MONTE FOODS CO 63,173.60 83,19803 20,02443 12/27/02 06/01/04 2,000 DEL MONTE FOODS CO 15,793 .40 20,270.72 4,477 32 12/31/02 06/01/04 5,000 DEL MONTE FOODS CO 39,043.00 50,676 .80 11,633 .80 12/31/02 06/07/04 5,000 DEL MONTE FOODS CO 39,04300 53,998 .72 14,955 .72 12130/02 06/15/04 5,000 DEL MONTE FOODS CO 38,670.50 54,32271 15,652 .21 12/30/02 06/23/04 5,000 DEL MONTE FOODS CO 38,670.50 54,21271 15,542 21 12/30/02 06/24/04 10,000 DEL MONTE FOODS CO 77,341 00 99,15065 21,809 65 04106/04 04/20/04 5,000 DOUBLECLICK INC 60,131 00 41,11752 (19,013 48) - 04/15/04 04/20/04 5,000 DOUBLECLICK INC 60,607.00 41,117 .53 (19,489.47) 04/06/04 04/21/04 5,000 DOUBLECLICK INC 60,131 .00 41,758.01 (18,372 99) 04/07/04 04/23/04 10,000 DOUBLECLICK INC 116,885.00 83,99101 (32,89399)

- 08/21/02 03/10/04 2.090 EXXON MOBIL CORP 72,365.20 85,736.64 13,371 44 09/11/02 08/10/04 2,000 EXXON MOBIL CORP 70,33980 90,64607 20,306 27 09/11/02 09/27/04 1,000 EXXON MOBIL CORP 35,169.90 47,95887 12,788 .97 08/05/02 10/21/04 2,000 EXXON MOBIL CORP 67,13000 97,446 .31 30,316 31 08/20/03 02/06/04 3,000 FAIR ISAAC INC 171,120.00 184,321 .25 13,201 .25 - 07/31/03 07/ 13/04 5,100 FAIR ISAAC INC 192,01840 126,219.99 (65,79841) - 08/05/03 07/13/04 2,400 FAIR ISAAC INC 89,241 .60 59,397.64 (29,843.96) - 11/06/03 07/13/04 1,800 FAIR ISAAC INC 65,952.60 44,54823 (21,404.37) - 11/14103 07/13/04 1,200 FAIR ISAAC INC 43,955.04 29,698.82 (14,256.22) - 11/19/03 07/13/04 3,000 FAIR ISAAC INC 104,844.40 74,247.06 (30,597.34) - 04/20/04 07/13/04 1,500 FAIR ISAAC INC 55,125.30 37,123.53 (18,001 .77) - 06/23/04 07/13/04 3,000 FAIR ISAAC INC 99,359.10 74,247.06 (25,11204)

- 03/27/02 03/01/04 2,000 FMC TECHNOLOGIES INC 40,98000 53,325 .31 - 12,345 .31 04/10/02 03/01/04 500 FMC TECHNOLOGIES INC 10,210.00 13,33133 - 3,121 .33 03/15/02 03/02/04 5,700 FMC TECHNOLOGIES INC 114,51300 151,847.18 - 37,334 18 04/10/02 03/02/04 2,500 FMC TECHNOLOGIES INC 51,05000 66,599 .64 - 15,54964 03/15/02 04/06/04 1,300 FMC TECHNOLOGIES INC 26,117.00 35,329.01 - 9,21201 03/15/02 04/07/04 1,000 FMC TECHNOLOGIES INC 20,09000 26,329.38 6,239 38 04/12/04 07/20/04 2,000 GENERAL ELECTRIC CO 63,438.40 66,25844 2,82004 - 11/18/03 03/03/04 1,400 GILLETTE CO 46,87802 53,916.93 7,038.91 11/18/03 05/24/04 2,000 GILLETTE CO 66,96860 83,712.23 1674363 11/18/03 08/10/04 3,000 GILLETTE CO 100,45290 120,000.18 19:547 28 07/29/02 03/12/04 1,000 HOME DEPOT INC 30,36320 35,833.29 - 5,470 09 05/27/04 11/09/04 4,000 HOSPIRA INC 103,44200 131,76571 28,323 .71 - 06/07/04 11/09/04 2,000 HOSPIRA INC 54,042.20 65,882 .85 11,840 .65 - 05/14/04 05/24/04 5,000 INDIA FUND INC 105,481 00 110,86439 5,383 39 - 05/14/04 06/08/04 10,000 INDIA FUND INC 210,96200 224,79971 13,837 71 - 05/14/04 06/15/04 10,000 INDIA FUND INC 210,96200 219,147.84 8,185.84 - 03/10/04 11/24/04 2,000 INTEL CORP 55,763.40 46,864 10 (8,899 30) - 04/23/04 11/24/04 3,000 INTEL CORP 82,45980 70,296 14 (12,163 66) - 09/22/03 03/11/04 3,000 INVISION TECHNOLOGIES INC 76,38000 121,82523 45,445 23 - 03/15/02 04/06/04 10,000 LIBERTY MEDIA CORP SER A NEW 133,988 15 111,03237 (22,95578) 03/15/02 04/07/04 10,000 LIBERTY MEDIA CORP SER A NEW 133,988 16 112,005 35 (21,982 8 1) 03/19/02 04/12/04 3,000 LIBERTY MEDIA CORP SER A NEW 39071 66 33,34361 (5,728 05) 05/21/02 04/12/04 2,000 LIBERTY MEDIA CORP SER A NEW 23,79799 22,22907 (1,568 92) 04/12/02 04/15/04 2,000 LIBERTY MEDIA CORP SER A NEW 23 326 17 21,92208 (1,404~09) 05/21/02 04/15/04 3,000 LIBERTY MED!A CORP SER A NEW 3569699 32 883 12 (2,813 87)

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Frances & Benjamin Benenson Foundation Inc Capital Gains & Losses - Sale of Securities

FYE 11/30/2004 G\TCViUNG\2004kF&B Found&wn95qCaptta1Gatn% - ST L.T x1slCapital Gjins - ST LT

P/L - 2 Capital Gains (Losses) 3 ot 4

Purchase Sale # of Purchase Selling Short-Term Long-Term Date Date Shares Security Descriptions Price Price Gain (Loss) Cain (Loss)

N N 04/12/02 05/14/04 3,000 LIBERTY MEDIA CORP SER A NEW 34,989-26 31,50435 - (3,484 9 1) 08/20/02 05/14/04 5,000 LIBERTY MEDIA CORP SER A NEW 45,04094 52,50726 - 7,466 32 10/22/02 05/14/04 10,000 LIBERTY MEDIA CORP SER A NEW 94,292 17 105,01452 - 20,72235 11/25/02 05/14/04 2,000 LIBERTY MEDIA CORP SER A NEW 19,85638 21,00290 - 1,146 .52 03/19/03 02/13/04 3,200 LIMITED BRANDS INC 42,18784 60,771 22 18,583 .38 - 03/21/03 02/13/04 2,000 LIMITED BRANDS INC 26,73980 37,98201 11,242 21 03/19/03 03/03/04 1,800 LIMITED BRANDS INC 23,730 .66 34,87867 11,14801 02/21/03 04/05/04 4,395 LIMITED BRANDS INC 49,910 .06 86,801 25 - 36,891 .19 03/11/03 04/05/04 5,000 LIMITED BRANDS INC 59,25250 98,750 .00 39,49750 03/14/03 04/05/04 3,000 LIMITED BRANDS INC 37,509-30 59,25000 21,740 .70 03/17/03 04/05/04 2,000 LIMITED BRANDS INC 25,495 .60 39,50000 14,004 .40 03/18/03 04/05/04 4,000 LIMITED BRANDS INC 52,463 .20 79,000 .00 26,536.80 03/19/03 04/05/04 1,000 LIMITED BRANDS INC 13,183 .70 19,750 .00 6,566.30 02/21/03 04/19/04 5,605 LIMITED BRANDS INC 63,65094 111,627 11 47,976 17 07/24/02 01/27/04 3,000 MARSH & MCLENNAN COS INC 124,44960 141,401 .06 16,951 .46 02/26/04 07/26/04 1,000 MARSH & MCLENNAN COS INC 48,09060 43,251 .98 (4,83862) - 03/03/04 07/26/04 1,000 MARSH & MCLENNAN COS INC 48,380.00 43,251 .98 (5,12802) 03/10/04 07/26/04 1,000 MARSH & MCLENNAN COS INC 47,741 .10 43,251 .98 (4,489 12) 03/12/04 07/26/04 2,000 MARSH & MCLENNAN COS INC 94,398 .00 86,503 .98 (7,994 .02) 04/20/04 07/26/04 1,700 MARSH & MCLENNAN COS INC 79,581 .99 73,528 .37 (5,05362) 07/24/02 10/14104 7,000 MARSH & MCLENNAN COS INC 290,382 .40 285,31471 (5,067 .69) 04/20/04 10/14/04 300 MARSH & MCLENNAN COS INC 13,86741 12,22777 (1,639 .64) - 04121/04 10/14104 1,000 MARSH & MCLENNAN COS INC 45,200.70 40,759 .24 (4,44146) - 04/28/04 10/14/04 2,000 MARSH & MCLENNAN COS INC 90,563 .00 81,51849 (9,04451) - 08/10/04 10/14/04 1,700 MARSH & MCLENNAN COS INC 72,777.00 69,290.71 (3,48629) - 01/16/04 01/28/04 10,000 MED][MMUNE INC 225,714 .00 220,989.61 (4,724.39) - 01/20/04 01/28/04 2,000 MEDIMNqJNE INC 45,811 .60 44,197.92 (1,613 .68) - 05/14/04 11/01/04 2,000 MERRILL LYNCH & CO INC 111,457 .80 107,948 .46 (3,50934) 03/15/02 11/09/04 1,000 MICROSOFT CORP 30,863 .35 29,72030 (1,143 .05) 03/19/02 11/09/04 4,000 MICROSOFT CORP 124,740 .00 118,881 .21 - (5,858 .79) 07/08/03 02126104 3,000 NOKIA CORP-SPONSOKED ADR 51,372.00 65,367 .43 13,995 .43 07/08103 03/03/04 2,000 NOKIA CORP-SPONSORED ADR. 34,248 .00 43,72488 9,476.88 04/07/04 04/19/04 5,000 NOKIA CORP-SPONSOPED ADR 85,336.00 74,976

. 23 (10,359.77)

- 03/17/03 04/20/04 5,000 NOKIA CORP-SPONSOPLED ADR 74,525 .00 75,01223 - 487.23 03/18/03 04/20/04 5,000 NOKIA CORP-SPONSOPED ADR 74,750.00 75,01223 - 262.23 02/20/03 04/21/04 8,000 NOKIA CORP-SPONSORED ADR 111,62080 118,13962 - 6,518 82 03/14/03 04/21/04 2,000 NOKIA COPLP-SPONSORED ADR 28,693-20 29,53490 - 841 70 02/20/03 04/23/04 2,000 NOKIA CORP-SPONSORED ADR 27,905 .20 30,092 .29 - 2,187.09 02/21/03 04/23/04 5,000 NOKIA CORP-SPONSORED ADR 69,177-50 75,230 .73 - 6,053.23 03/11103 04/23/04 3,000 NOKIA CORP-SPONSORED ADR 38,520 .00 45,13843 - 6,618 43 06/16/03 10/21/04 1,000 NOVARTIS AG-SPONSORED ADR 41,057.60 47,17929 6,121 69 02/26/04 04/06/04 2,000 PENTAIR INC 106,831 80 119,447 .20 12,61540 - 12/26/03 08/10/04 2,000 PENTAIR INC 45,90800 62,595 13 16,687 13 12/26/03 08/12/04 2,000 PENTAIR INC 45,90800 62,812 .52 16,90452 10/22/02 04/15/04 1,500 PEPSICO INC 67,224.60 82,12742 - 14,902 82 10/30/02 04/15/04 500 PEPSICO INC 21,950 .00 27,37581 - 5,425 81 10/30/02 08/10/04 1,000 PEPSICO INC 43,90000 50,31882 - 6,418 82 02110/03 08/12/04 2,000 PEPSICO INC 78,30000 102,44459 - 24,144 59 02/02/02 08/10/04 3,000 PFIZER INC 134,60903 93,54920 - (41,059 83) 05/14/02 08/10/04 1,000 PFIZER INC 37,455 50 31,183 07 - (6,272 43) 05/09/02 08/19/04 1,000 PFIZER INC 36,93000 31,53925 - \1 (5,390 75) 05/14/02 08/19/04 1,000 PFIZER INC 37,455 50 31,53926 (5,916 24) 05/08/02 09/24/04 5,000 PFIZER INC 182,94700 147,90902 (35,037 98) 05/09/02 09/24/04 1,000 PFIZER INC 36,93000 29,531 81 (7,348 19) 05/16/02 09/27/04 1,000 PFIZER INC 34,95000 29,60040 (5,34960) 09/11/02 09/27/04 2000 PFIZER INC 62,18000 59,20081 (2,979 19)

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Frances & Benjamin Benenson Foundation hic Capital Gains & Losses - Sale of Securities

FYE 11/30/2004 G %TCJ IUNG\_10D4XF& B Foundanon 91k[Capiwl Gjins . ST LT x Is lCipiul Gjins - ST Ll

Purchase Price N

57,91060 31,09000 59,90960 33,61250 24,10760 100,83750 185,81200 92,901 50 103,705 75 103,70575 102,73250 102,73250 69,722 .60 118,24600 104,58390 83,975 70 83,419 .50 57,34000 39,077 .50 7,815.50

55,06575 31,26200 76,401 40 76,401 .40 81,098 .40 80,86300 45,714 .81 105,270.30 46,961 .20 46,55430 46,55430 68,913 .90 22,971 .30 45,643 .50

Selling Price N 60,29859 30,14929 60,29858 39,56067 32,93747 123,515~50 270,321 30 135,16065 128,46897 123619.20 126 :715 .04 124,935 .11 61,19856 149,83448 89,90069 89,90069 89,90069 59,93379 68,130 .04 16,47046 82,35232 60,405 .98 72,02830 72,64209 92,71462 94,257 .48 56,67700 112,51686 75,40466 79,237 .90 76,482 .31

114,410 .58 40,72904 85,707.19

Short-Term Gain (Loss)

Purchase Sale # of Date Date Shares Security Descrintions

07/16/02 09/29/04 2,000 PFIZER INC 09/11/02 09/29/04 1,000 PFIZER INC 03/18/03 09/29/04 2,000 PFIZER INC 10/29/03 08/04/04 1,000 PR_AXAIR INC 06/11/03 09/13/04 800 PRAXAIR INC 10/29/03 09/13/04 3,000 PRAXAIR INC 04/10/03 12/04/03 10,000 ROCKWELL COLLINS INC 04/11/03 12104103 5,000 ROCKWELL COLLINS INC 06/11/03 01/06/04 2,500 TCF FINANCIAL CORP 06/11/03 01/20/04 2,500 TCF FINANCIAL CORP 06/16/03 03/10/04 2,500 TCF FINANCIAL CORP 06/16/03 03/12/04 2,500 TCF FINANCIAL CORP 05/13/04 09/27/04 2,000 TIFFANY & CO NEW 07/26/02 11/12/04 5,000 TIFFANY & CO NEW 05113/04 11/12/04 3,000 TIFFANY & CO NEW 08112/04 11/12/04 3,000 TIFFANY & CO NEW 08/13/04 11/12/04 3,000 TIFFANY & CO NEW 10/21/04 11/12/04 2,000 TIFFANY & CO NEW 10/24/02 01105104 2,500 TYCO INTERNATIONAL LTD 10/24/02 06/23/04 500 TYCO INTERNATIONAL LTD 11/06/03 06/23/04 2,500 TYCO INTERNATIONAL LTD 10/24/02 09/12/04 2,000 TYCO rNTERNATIONAL LTD 05/14/04 11101104 2,000 VIACOM INC-CL B FORMLY NON VTG 05114104 11/08/04 2,000 VIACOM INC-CL B FORMLY NON VTG 04/23/04 10/05/04 3,000 WASTE CONNECTIONS INC 04/271/04 10/29/04 3,000 WASTE CONNECTIONS INC 05/14/04 11/09/04 1,700 WASTE CONNECTIONS INC 01/06/04 10/05/04 3,000 WILLIS GROUP HOLDINGS LTD 04/07/03 01/20/04 1,000 ZIMMER HOLDINGS INC 04/23/03 03/10/04 1,000 ZIMMER HOLDINGS INC 04/23/03 03/12/04 1,000 ZIMMER HOLDINGS INC 04/04/03 03/18/04 1,500 ZIMMER HOLDINGS INC 04/04/03 04/21/04 500 ZIMMER HOLDINGS INC 04/21/03 06/23/04 1,000 ZIMMER HOLDINGS INC

27,28657

(4,373-10) (3,75931) 11,61622 13,394 .48 10,962 19 \ 7 246 56 128:443 .46 32,683 .60 29,928 01 45,49668

14,832,804 03 16,992,568 48 914,66797 1,245,096 48 A a ^ b A c A c

Gains-Goldman Sachs, see B-4 3/15 - 1,337,828 69 Total 914,667 97 2,582,925 .17

5,948 17

22,67800 84,509 .30 42,259 15 24,763 22 19,91345 23,98254 22,20261 (8,52404)

(14,683 .21) 5,92499 6,481 .19 2,59379

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.r. Q, 2220

Department of the Treasury internal Revenue Service

Underpayment of Estimated Tax by Corporations OMB No, 15 ;5-0142

01 See separate Instructions . 10, Attach to the corporation's t x return . 2003 ----I -Empioyer Identification number

0

Name

YRANUES & BENJAMIN BENENSON FOUNDATION INC 1 13-3267113 Note: In most cases, the corporation does not need to file Form 2220. (See Part I below for exceptions.) The IRS will figure any penalty

owed and bill the corporation If the corporation does not need to Ne Form 2220, it may still use it to figure the penalty Enter the amount from line 36 on the estimated tax penalty line of the corporation's Income tax return, but do not attach Form 2220 Reasons for Filing - Check the boxes below that apply. If any boxes are checked, the corporation must file Form 2220, even if it does not owe the penalty. If the box on line 1 or line 2 applies, the corporation may be able to lower or eliminate the penalty.

I The corporation is using the adjusted seasonal installment method 2 The corporation is using the annualized income installment method 3 The corporation is a "large corporation" figuring its first required installment based on the prior years tax

the

6

c Credit for Federal tax paid on fuels (see instructions) . . . . . . . . . . . . . . 15C I d Total. Add lines 5a through 5c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5d

6 Subtract line 5d from line 4 If the result is less than $500, do not complete or file this form The corporation does not owe the penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Enter the tax shown on the corporation's 2002 income tax return (see instructions) Caution : ff the tax is zero or the tax year was for less than 12 months, skip this line and enter the amount from line 6 on line 8 . . . . . . . 7

to sklD line 7. enter the amount from line 6 . . .

433 26 .428 40 .423

16 If the amount on line 15 is zero, subtract line 13 from line 14 Otherwise . enter -0 . . . . . . 16

17 Underpayment If line 15 is less than or equal to line 10, subtract line 15 from line 10 Then go to line 12 of the next column Otherwise, go to line 18 . . . . . . . . . . . . .

. . 17

18 Overpayment. If line 10 is less than line 15, subtract line 10 from line 15 Then go to line 12 of the next column . . . . . . . . . . . 18

JSA 3X8006 2 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 5

4 Total tax (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 4

Sa Personal holding company tax (Schedule PH (Form 1120), line 26) included online 4 . . . 16

b Look-back interest included on line 4 under section 460(b)(2) for completed long-term

contracts or section 167(g) for depreciation under the income forecast method . . . . . . 15b

8 Enter the smaller of line 6 or line 7 If the

9 Installment due dates. Enter in columns (a) through (d) the 15th day of the 4th (Fbryn 990-PF filers: Use 5th month), 6th, 9th, and 12th months of the corporation's tax year .

. . 9 04/15/200

Exception . If one of your installment due dates is September 15, 2003, or September 15, 2004, see the instructions

10 Required Installments . If the box on line 1 and/or line 2 above is checked. enter the amounts from Schedule A, line 38 If the box on line 3 (but not I or 2) is checked, see instructions for the amounts to enter If none of these boxes are checked, enter 25% of line 8 above in each column . . . . . . . .

. . 10

I I Estimated tax paid or credited for each period (see instructions) For column (a) only, enter the amount from line 11 on line 15 . . . . . . .

Complete lines 12 through 18 of one column before going to the next column.

12 Enter amount, if any, from line 18 of the preceding column . . . . . . . . . . . . .

13 Add lines 11 and 12 . . . . . . . . . . . . 14 Add amounts on lines 16 and 17 ot the preceding

column . . . . . . . . . . . . . . . . . . 15 Subtract line 14 from line 13 It zero or less, enter -0- .

95

69,511 .

55,978 .

1/15/2004

Complete Pail M on page 2 to figure the penalty. If there are no entHes on line 17, no penalty is owed. For Paperwork Reduction Act Notice, see separate instructions. Form 2220 (2003)

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22 Underpayment on line 17 x Number of days on line 21 x 5%

366

23 Number of days an line 20 after 9/3012003 and before 1/1/2004

JSA

3X8007 4 000

BZQOAO P632 06/03/2005 15 :11 :05 V03-8 6

Form A20 (2003) P~agc? 2 Figuring the Penalty

19 Enter the date of payment or the 15th day of the 3rd mon, after the close of the tax year, whichever Is earlier (see Instructions) (Form 990-PF and Form 99o-r filers : Use 5th month Instead of 3rd month ) . . . . . . . . . . .

20 Number of days from due date of installment on line 9 to

the date shown on line 19

21 Number of days on line 20 after 4/15/2003 and before

10/11/2003 . . . . . . . . . . . . . . . .

24 Underpayment on line 17 x Number of days on line 23 x 4% 241 1

365

2 5 Number of days on line 20 after 12/31/2003 and before 4/1/2004 2 5 SEE PENALTY IMPUTATI

26 Underpayment on line 17 x Number of days on fine 25 x 4%

366

27 Number of days on line 20 after 3/3112004 and before 7/l/2004

28 Underpayment on line 17 x Number of days on kne 27 x '%

366

29 Number of days on line 20 after 0/3012004 and before 10/112004

30 Underpayment on line 17 x Number of days on line 29 x '%

366

31 Number of days on line 20 after 9/3012004 and before 111/2005

32 Underpayment on line 17 x Number of days on Ine 31 x '%

366

33 Number of days on line 20 after 12/31/2004 and before 2/1812005 ~3

34 Underpayment on line 17 x Number of days on One 33 x

365

3 5 Add lines 22, 24, 26, 28 . 30, 32. and 34 . . . . . . .

36 Penalty . Add columns (a) through (e) of line 35 Enter the total here and on Form 1120, line 33, Form 1120-A, line 29, or the comparable line for other income tax returns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1361 26 .

*For underpayments paid after March 31, 2004 : For lines 28, 30, 32, and 34, use the penalty interest rate for each calendar quarter, which the IRS will determine during the first month in the preceding quarter These rates are published quarterly in an IRS News Release and in a revenue ruling in the Internal Revenue Bulletin To obtain this information on the Internet, access the IRS website at www.irs.gov. You can also call 1-800-829-1040 to get interest rate information

Form2220 (2003)

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FRANCES & BENJAMIli BENENSON FOUNDATION INC I I r~ 13-3267113 10 %, 0

STATEMENT 1

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PENALTY COMPUTATION DETAIL - FORM 2220 -------- ---

DATE PD UNDERPAYMENT BEG .DATE END DATE DAYS % PENALTY ------- ------------ -------- -------- ---- -- -------

QUARTER 4, RATE PERIOD 3 (11/15/2004 - 12/31/2004)

1,560 . 11/15/2004 12/31/2004 46 4 8 . ----------

TOTAL FOR QUARTER 4, RATE PERIOD 3

QUARTER 4, RATE PERIOD 4 (12/31/2004 - 04/15/2005)

1,560 . 12/31/2004 04/15/2005 105 4 18 . -----------

TOTAL FOR QUARTER 4, RATE PERIOD 4 18 .

TOTAL UNDERPAYMENT PENALTY 26 .