picower foundation -- 2004 tax return

8/14/2019 Picower Foundation -- 2004 Tax Return

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F o r m9 9 D " PF R e t u r n o f P r i v a t e F o u n d a t i o no r S e c t i o n 4 9 4 7 ( a ) ( 1 ) N o n e x e m p t C h a r i t a b l e T r u s tT r e a t e d a s a P r i v a t e F o u n d a t i o nD e pa r t me n t o f t h e T r e a s u r yI n L e ma l R e v e n u e s e r v i c e N o t e : T h e o r g a n i z a t i o n ma y b e a b l e t o u s e a c o p y o f t h i s r e t u r n t o s a t i s f y s t a t e r e p o r t i n g r e q u i r e me n t sF o r c a l e n d a r y e a r 2 0 0 4 , o r t a x y e a r b e g i n n i n g , 2 0 0 4 , a n d e n d i n g

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G C h e c k a l l t h a t a pp l y E] I n i t i a l r e t u r n E] F i n a l r e t u r n E) A m e n d e d r e t u r nUs e t h e I RS Name o f o r g a n i z a t i o n

l a b e l . T h e P i c o we r Fo u nd at i o nOt h er wi s e , N u m b e r a n d s t r e e t ( o r P 0 b o x n u m b e r d m a i l i s n o t d e l i v e r e d t o s t r e e t a d d r e s s ) R o o m / s u i t ep r i n t 1 4 1 0 So u t h Oc ea n Bo u l e v a r do r t y p e .Se e Sp ec i f i c c i t y o r t o w n , s t a t e , a n d Z I P c o d eI n s t r u ct i o n s . P a l m B e a c h , F l o r i d a 3 3 4 8 0H C h e c k t y pe o f o r g a n i z a t i o n : ZS e c t i o n 5 0 1 ( c ) ( 3 ) e x e mp t p r i v a t e f o u n d a t i o n

Se ct i o n 4 9 4 7 ( a ) ( 1 ) n o n e x e mp t c h a r i t a b l e t r u s t 0 Ot h e r t a x a b l e p r i v a t e f o u n d a t i o nI F a i r ma r k e t v a l u e o f a l l a s s e t s a t e n d J Ac c o u nt i n g me t h o d . 0 C a s h El A c c r u a lo f y e a r ( f r o m P a r t f l , c o t ( c ) , E3 Ot h e r ( s p e c i f y ) . . . . . . . . . . . . . . . . . . . . . . . . . . .l i n e 1 6 ) " $ 5 4 0 6 2 2 7 5 4 . 0 0 ( P a r t l , c o l u mn ( d ) must b e o n c a s h b a s s )

An a l y s i s o f R e v e n u e a n d E x p e n s e s ( t h e t o t a l o f ( a ) R e v e n u e a n da mo u n t s mc o l u mn s ( b ) , ( c ) , a n d ( d ) ma y n o t n e c e s s a r i l y e q u a l I e x p e n s e s p e r I ( b ) Ne t i n ,t h e a mo u n t s mo l u mn ( a ) ( s e e p a g e 1 1 0 f t h e i n s t r u c t i o n s ) ) b o o k s ~ n c o

Ad d r e s s c h a n g e [ ] Name c h a n g eA E mp l o y e r i d e n t i f i c a t i o n n u m b e r

1 3 . 6 9 2 70 4 3B T e l e p h o n e n u m b e r ( s e e p a g e 1 0 o f t h e i n s t r u c t i o n s )( 5 6 1 ) 8 3 5 - 1 3 3 2

C I f e x e mp t i o n a p p l i c a t i o n i s p e n di n g , c h e c k h e r e I - ElD 1 . F or e i g n o r g a n i z a t i o n s , c h e c k h er e . "D

2 . F o r e i g n o r g an i z a t i o ns me e t i n g t h e 85 % t e s t ,c h e c k h e r e a n d a t t a c h c o mp u t a t i o n . ElE I f p r i v a t e f o u nd at i o n s t a t u s wa s t e r m n at e du n d e r s e c t i o n 5 0 7 ( b ) ( 1 ) ( A ) , c h e c k h e r e . "DF I t t h e f o u nd at i o n i s i n a 6 0 - mo n t h t e r m i n a t i o nu n d e r s e c t i o n 5 0 7 ( b ) ( 1 ) ( B ) , c h e c k h e r e , "0

( d ) Di s b u r s e me n t ss t m e n t ( c ) A d j u s t e d n e t f o r c h a r i t a b l e. . i n c o me p u r p o s e s( c a s h b a s i s o n l y )

c Gr o s s p r o f i t o r ( I ( a t t a c h s c h e du l e )1 ~ o s c h ed u l e0 0 1 ~ ` ~ d t a ~ ' A ~ f 1 d ' l i n e ~ s 1 ~ u g h 1 1n r s , d i r e c t o r s , t r u s t e e s , e t c .

4 , ~pl s a l a i e s a n d w a g e sQ5 Pe ns i o n p l a n s , e mp l o y e e b e n e f i t sw 1 6 a L e g a l f e e s ( a t t a c h s c h e du l e ) .b A c c o u n t i n g f e e s ( a t t a c h s c h e d u l e )

c Ot h e r p r o f e s s i o n a l f e e s ( a t t a c h s c h e du l e )1 7 I n t e r e s t . . .1 8 T a x e s ( a t t a c h s c h e d u l e ) ( s e e p a g e 1 4 o f t h e i n s t r u c t i o n s )

' ~ 1 9 De p r e c i a t i o n ( a t t a c h s c h e du l e ) a n d d e p l e t i o n .' ~ 2 0 O c c u p a n c y ,- p 2 1 T r a v e l , c o nf e r e n c es , a n d me e t i n g s~ 2 2 P r i n t i n g a n d p u b l i c a t i o n s .~ 2 3 Ot h e r e x p e n s e s ( a t t a c h s c h e du l e ) .

+ r 2 4 T o t a l o pe r a t i n g a n d a d m n i s t r a t i v e e x p e n s e s .t v Ad d l i n e s 1 3 t hr o u gh 2 30 5 C o n t r i b u t i o n s , g i f t s , g r a n t s p a i d _ . . . _ . . , _ _

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a E x c e s s o f r e v e n u e o v e r e x p e n s e s a n d d i s b u r s e m e n t s ( 2 6 71 6 8 88 . 0 0 )b Ne t i n v e s t me n t i n c o me ( i f n e g a t i v e , e n t e r - 0 - )c Ad j u s t e d n e t i n c o me ( i f n e g a t i v e , e n t e r - 0 - )5r Pr i v a cy Ac t a n d P a p er w or k R ed u c t i o n Ac t No t i c e , s ee t h e i n s t r u c t i o n s . F o r m 9 9 0 - P F ( 2 0 0 4 )

1 C o n t r i b u t i o n s , g i f t s , g r a n t s , e t c , r e c e i v e d ( a t t a c h s c h e d u l e )2 C h e c k " El i f t h e f o u n d a t i o n i s n o t r e q u i r e d t o a t t a c h S c h B3 I n t e r e s t o n s a v i n g s a n d t e mp o r a r y c a s h i n v e s t m e n t s4 Di v i d en ds a n d i n t e r e s t f r o m s e c u r i t i e s5 a Gr o s s r e n t s

b Ne t r e n t a l i n c o me o r ( l o s s )6 a Ne t g a i n o r ( l o s s ) f r o m s a l e o f a s s e t s n o t o n l i n e 1 0

b G r o s s s a l e s p r i c e f o r a l l a s s e t s o n l i n e 6 a 16984483 .d 7 C a p i t a l g a i n n e t i n c o me ( f r o m P a r t I V , l i n e 2 )

8 Ne t s h o r t - t e r m c a p i t a l g a m9 I n c o me m o d i f i c a t i o n s .

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F o r r 1 9 9 0 - P F ( 2 0 0 4 ) P a g e 2A t t a c h e d s c h e d u l e s a n d a m o u n t s m t h e d e s c r i p t i o n c o l u m n B e g i n n i n g o f y e a r En d o f y e a rBa l a n c e Sh e et s s h o u l d 6 e f o r e n d - o f - y e a r a m o u n t s o n l y ( S e e i n s t r u c t i o n s ) / a ) B o o k V a l u e ( b ) B o o k V a l u e ( c ) F a i r M a r k e t V a l u e

1 Cas h- n o n - i n t e r es t - b ea r i n g . . . , . . . . , , , 5 0 2 8 . 0 0 9 2 3 4 . 0 0 9 2 3 4 . 0 02 Sa v i n g s a n d t e mp o r a r y c a s h i n v e st me nt s . , . , , 1 5 9 4 4 7 4 . 0 0 2 4 8 0 2 5 9 . 0 0 2 4 8 0 2 5 9 . 0 03 Ac c o u n t s r e c e i v a b l e 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L e s s : a l l o wa n ce f o r d o u b t f u l a cc o u n t s " . . . . . . . . . . . . . . . . . . . _4 P l e d g es r e c e i v a b l e - - - - - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .L e s s : a l l o wa nc e f o r d o u b t f u l a cc o u n t s " . . . . . . . . . . . . . . . . . . . .5 Gr an t s r e c e i v a b l e . . .6 Re c ei v a b l e s d u e f r o m o f f i c e r s , d i r e c t o r s , t r u s t e e s , an d o t h e r

d i s q u a l i f i e d p er s o n s ( a t t a c h s c h e du l e ) ( s e e p a g e 1 5 o f t h ei n s t r u c t i o n s ) . , . . . . . ~. .7 O t h e r n o t e s a n d l o a n s r e c e i v a b l e ( a t t a c h s c h e d u l e ) " . . . . . . . . . . . . . . .L e s s a l l o w a n c e f o r d o u b t f u l a c c o u n t s " . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

~ 8 I n v e n t o r i e s f o r s a l e o r u s eQ 9 Pr e pa i d e x p e n s e s an d d e f e r r e d c h ar g e s . . . , , , 1 1 1 2 6 . 0 0

1 0 a I n v e s t m e n t s - U S a n d s t a t e g o v e r n m e n t o b l i g a t i o n s ( a t t a c h s c h e d u l e ) 3 5 7 2 3 4 7 3 3 . 0 0 3 3 7 4 0 5 1 4 5 . 0 0 3 3 9 0 3 1 5 6 8 . 0 0b I n v es t men t s - - c or p o r a t e s t o c k ( a t t a c h s c h e du l e ) . , , 7 7 1 3 7 9 2 0 . 0 0 7 1 2 3 8 6 1 6 . 0 0 1 9 4 1 7 4 0 2 7 . 0 0c I n v es t men t s - - c or p o r a t e b o n d s ( a t t a c h s c h e du l e ) . . . ~

1 1 I n v e s t m e n t s - l a n d , b u i l d i n g s , a n d e q u i p m e n t b a s i s " . . . . . . . . . . . . . . .L e s s a c c u m u l a t e d d e p r e c i a t i o n ( a t t a c h s c h e d u l e ) " . . . . . . . . . . . . . . . . . .1 2 I n v e s t me n t s - mo r t g ag e l o a n s1 3 I n v es t me nt s - o t h er ( a t t a c h s c h e du l e ) .1 4 L a n d , b u i l d i n g s , a n d e q u i p m e n t b a s i s " . . . . . . . . . . . . .

a c c u m u l a t e d d e p r e c i a t i o n ( a t t a c h s c h e d u l e ) " _ . . 2 ? 88 4 4 . 0 0 _ 5 5 7 4 2 7 2 . 0 0 4 9 2 5 6 3 6 . 0 0 4 9 2 5 6 3 6 . 0 0T r a n s i t Chek 1 8 1 0 . 0 0 2 0 3 0 . 0 0 2 0 3 0 . 0 0)5 Ot h e r a s s e t s ( d e s c r i b e " , . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . .1 6 T o t a l a s s et s ( t o b e c o mp l e t e d b y a l l f i l e r s - s e e p a g e 1 6 o ft h e i n s t r u c t i o n s . A l s o , s ee p a g e 1 , i t e m I ) . 4 4 1 5 5 9 3 6 3 . 0 0 4 1 6 0 6 0 9 2 0 . 0 0 5 4 0 6 2 2 7 5 4 . 0 01 7 Ac c o u n t s p ay a b l e a n d a c cr u ed e x p e n s e s . . . . 7 0 9 . 0 0 9 62 . 0 01 8 Gr a nt s p a y ab l e . . . .

d 1 9 D e f e r r e d r e v en u e . . . . .2 0 L o a n s f r o m o f f i c e r s , d i r e c t o r s , t r u s t e e s , a n d o t h e r d i s q u a l i f i e d p e r s o n s2 1 Mo r t g a g es a n d o t h e r n o t e s p ay a b l e ( a t t a c h s c h e du l e )2 0- J 2 2 Ot h e r l i a b i l i t i e s ( d e s c r i b e - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2 3

)T o t a l l i a b i l i t i e s ( a d d l i n e s 1 7 t h r o u gh 2 2 ) . . 7 0 9 . 0 0 9 62 . 0 0Or g an i z at i o n s t h a t f o l l o w SFAS 1 1 7 , c h e c k h er ea n d c o mp l e t e l i n e s 2 4 t h r o u g h 2 6 an d l i n e s 3 0 an d 3 1 .a >

c 2 4 U n r e s t r i c t e d . . .2 5 T emp o r a r i l y r e s t r i c t e d . . .

m 2 6 P er ma n en t l y r e s t r i c t e d .c Or g an i z at i o n s t h a t d o n o t f o l l o w SFAS 1 1 7 , c h e c k h e r e " ~ aa n d c o mp l e t e l i n e s 2 7 t h r o u g h 3 1 .p 2 7 C a p i t a l s t o c k , t r u s t p r i n c i p a l , o r c u r r e n t f u n d s . , , , , 4 4 1 5 5 8 6 5 4 . 0 0 4 1 6 0 5 9 9 5 8 . 0 0 f

4 0 2 8 P a i d - i n o r c a p i t a l s u r p l u s , o r l a n d , b l d g . , a n d e q u i p me n t f u nd2 9 R e t a i n e d e a r n i n g s , a c c u m u l a t e d i n c o m e , e n d o w me n t , o r o t h e r f u n d sQ 3 0 T o t a l n e t a ss e t s o r f u n d b a l a n ce s ( s e e p a g e 1 7 o f t h ei n s t r u c t i o n s ) . . . . . . . . . . . . , , , . 4 4 1 5 5 8 6 5 4 . 0 0 4 1 6 0 5 9 9 5 8 . 0 0 t 23 1 T o t a l l i a b i l i t i e s a n d n e t a s s e t s / f u n d b a l a n c es ( s e e p a g e 1 7 o ft h e i n s t r u c t i o n s 4 4 1 5 5 9 3 6 3 . 0 0 4 1 6 0 6 0 9 2 0 . 0 0 k : s ~ ; ~ ; ~ ; '

An al y s i s o f Changes i n Ne t As s e t s o r Fund Ba l a n c e s1 T o t a l n e t a s s e t s o r f u n d b a l a n c es a t b eg i n n i n g o f y e a r - Pa r t I I , c o l u mn ( a ) , l i n e 3 0 ( mu s t a g r e e wi t h

en d - o f - y ea r f i g u r e r e p o r t e d o n p r i o r y e a r ' s r e t u r n ) . . . . . . . . . , , , . . . 1 4 4 1 5 5 8 6 5 4 . 0 02 E nt e r a mo u n t f r o m P a r t I , l i n e 2 7 a . . . , . , . , . . . 2 ( 2 6 7 1 68 8 8 . 0 0 )3 Ot h e r i n c r e a s e s n ot i n c l u d e d i n l i n e 2 ( i t e m i z e ) " Appr e c i a t i on . _ i n . . d o n a t e s i _ _ &e CUr ? . t i e 3 1 2 1 8 1 9 2 . 0 04 Add l i n e s 1 , 2 , an d 3 . . . . . . . . . . . . . . . . . . . . . , , , , , 4 4 1 6 0 5 9 9 5 8 . 0 05 De c r e a s e s n o t i n c l u d e d i n l i n e 2 ( i t e m i z e ) " . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . 56 T o t a l n e t a s s e t s o r f u n d b a l a n c es a t e n d o f e a r ( l i n e 4 m n u s l i n e 5 ) - P a r t I I , c o l u mn ( b ) , l i n e 3 0 . . 6 4 1 6 0 5 9 9 5 8 . 0 0F o r m 9 9 0 - PF ( 2 0 0 4 )

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Fomt 9 9 0 - P F ( 2 0 0 4 ) P a g e 3

7 Add l i n e s 5 a n d 6 . . . . . . , . . . . . . . . . . , , , , . , 7 2 3 3 9 7 3 4 4 . 0 0

8 En t e r q u a l i f y i n g d i s t r i b u t i o n s f r o m P a r t X I I , l i n e 4 , , . . . . . , . . . , , , 8 3 3 7 5 3 5 8 5 . 0 0I f l i n e 8 i s e q u a l t o o r g r e a t e r t h a n l i n e 7 , c h e c k t h e b o x i n P a r t V I , l i n e 1 b , a n d c o mp l e t e t h a t p a r t u s i n g a 1 %t a x r a t e . Se e t h eP a r t V I i n s t r u c t i o n s o n p a g e 1 8

F o r m 9 9 0 - P F ( 2 0 0 4 )

Ca p i t a l Ga i n s a n d L o s s e s f o r T a x o n I n v e s t me n t I n c o me( a ) L i s t a n d d e s c r i b e t h e k i n d ( s ) o f p r o p e r t y s o l d ( e g r e a l e s t a t e , ( b ) How a c q u i r e d ( c ) Da t e a c q u i r e d ( d ) D a t e s o l d2 - s t o r y b a c k w a r e h o u s e , o r c o m m o n s t o c k , 2 0 0 s h s MLCCc ) P - P u r c h a s eD- Do na t i o n ( mo , d a y , y r ) ( mo , d a y , y r )

1 a ATTACHEDbcde

( e ) Gr o s s s a l e s p r i c e ( n De p r e c i a t i o n a l l o we d ( g ) C o s t o r o t h e r b a s i s ( h ) Ga i n o r ( l o s s )( o r a l l o wa b l e ) p l u s e x p e n s e o f s a l e ( e ) p l u s ( 1 ) m n u s ( g )a

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Co mp l e t e o n l y f o r a s s e t s s h o wi n g g a i n i n c o l u mn ( h ) a n d owned b y t h e f o u n d a t i o n o n 1 2/ 3 1/ 6 9 ( 1 ) Gams ( C o l ( h ) g a i n m n u s( Q F MV a s o f 1 2 / 3 1 / 6 9 U ) A d j u s t e d b a s i s ( k ) E x c e s s o f c o l ( i ) c o l ( k ) , b u t n o t l e s s t h a n - 0 - ) o ra s o f 1 2 / 3 1 / 6 9 o v e r c o l 0 ) , i f a n y L o s s e s ( f r o m c o l ( h ) )

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2 C a p i t a l gam n e t i n c o me o r ( n e t c a p i t a l l o s s ) I f g a i n , a l s o e n t e r i n P a r t I , l i n e 7I f ( l o s s ) , e n t e r - 0 - i n P a r t I , l i n e 7 } 2 2 9 7 8 0 3 0 . 0 43 Ne t s h o r t - t e r m c a p i t a l gam o r ( l o s s ) a s d e f i n e d m s e c t i o n s 1 2 2 2 ( 5 ) a n d ( 6 ) '

I f g a i n , a l s o e n t e r i n P a r t I , l i n e 8 , c o l u mn ( c ) ( s e e p a g e s 1 3 a n d 1 7 o f t h e i n s t r u c t i o n s ) .I f ( l o s s ) , e n t e r - 0 - i n P a r t I , l i n e 8 .

. , . .3FOMQ u a l i f i c a t i o n U n d e r Se c t i o n 4 9 4 0 ( e ) f o r R e d u c e d T a x o n Ne t I n v e s t me n t I n c o me

( F o r o p t i o n a l u s e b y d o me s t i c p r i v a t e f o un da t i o ns s u b j e c t t o t h e s e c t i o n 4 9 4 0 ( 4 ) t a x o n n e t i n v e s t me n t i n c o me )I f s e c t i o n 4 9 4 0 ( d ) ( 2 ) a p p l i e s , l e a v e t h i s p a r t b l a n k .Was t h e o r g a n i z a t i o n l i a b l e f o r t h e s e c t i o n 4 9 4 2 t a x o n t h e d i s t r i b u t a b l e a m o u n t o f a n y y e a r i n t h e b a s e p e r i o d ? D e s 0 NoI f " Y e s , " t h e o r g a n i z a t i o n d o e s n o t q u a l i f y u n d e r s e c t i o n 4 9 4 0 ( e ) . Do n o t c o mp l e t e t h i s p a n .

1 En t e r t h e a p p r o p r i a t e amoun t i n e a c h c o l u mn f o r e a c h y e a r ; s ee p a g e 1 8 o f t h e i n s t r u ct i o ns b e f o r e ma k i n g a n y e nt r i e s .( e ) ( b ) ( c ) ( d )B a s e p e r i o d y e a r s A d j u s t e d q u a l i f y i n g d i s t r i b u t i o n s N e t v a l u e o f n o n c h a r i t a b l e - u s e a s s e t s D i s t r i b u t i o n r a t i oCa l e n d a r y e a r ( o r t a x y e a r b e gi n ni n g i n ) ( c o t ( b ) d i v i d ed b y c o I ( c ) )

2 0 0 3 2 4 3 2 3 6 6 0 . 0 0 4 9 4 6 5 2 8 8 8 . 0 0 0 . 0 4 9 1 732 0 0 2 2 9 8 4 5 2 8 7 . 0 0 5 0 6 0 5 9 9 6 7 . 0 0 0 . 0 5 89 7 62 0 0 1 3 2 5 7 1 0 0 2 . 0 0 5 2 8 9 3 0 8 6 7 . 0 0 0 . 0 6 1 57 92 0 0 0 1 9 8 4 7 0 0 6.0 7 0 0 8 8 5 9 9 4 . 0 0 . 0 2 8 31 71 9 9 9 1 3 3 0 3 4 0 7 . 0 0 4 4 6 1 1 5 2 0 4 . 0 0 0 . 0 2 9 82 1

0 . 2 2 78 6 62 T o t a l o f l i n e 1 , c o l u mn ( d ) . . . . . . . . . . . .3 Av e r a g e d i s t r i b u t i o n r a t i o f o r t h e 5 - y e a r b a s e p er i o d- d i v i d e t h e t o t a l o n l i n e 2 b y 5 , o r b yt h e n u m b e r o f y e a r s t h e f o un da t i o n h a s b e e n i n e x i s t e n c e i f l e s s t h a n 5 y e a r s . . . , , 3 0 . 0 4 55 73

4 E n t e r t h e n e t v a l u e o f n o n c h a r i t a b l e - u s e a s s e t s f o r 2 0 0 4 f r o m P a r t X , l i n e 5 . , . . , . 4 5 1 1 6 9 1 2 6 5 . 0 0

5 Mu l t i p l y l i n e 4 b y f i n e 3 . . , . . . . . . . . . , , . . 5 2 3 3 1 9 3 0 6 . 0 0

6 En t e r 1 %o f n e t i n v e s t me n t i n c o me ( 1 %o f P a r t I , l i n e 2 7 b ) , , . , , , , , , , , 6 7 8 0 3 8 . 0 0


4/48

1 a Du r i n g t h e t a x y e a r , d i d t h e o r g a n i z a t i o n a t t e mp t t o i n f l u e n c e a n y n a t i o n a l , s t a t e , o r l o c a l l e g i s l a t i o n o r d i d - Ye s Noi t p a r t i c i p a t e o r i n t e r v e n e i n a n y p o l i t i c a l c a mp a i g n ? . , . . . . . . . . . . . , , . , 1 a

b Di d i t s p e n d mo r e t h a n $ 1 0 0 d u r i n g t h e y e a r ( e i t h e r d i r e c t l y o r i n d i r e c t l y ) f o r p o l i t i c a l p u r p o s e s ( s e e p a g e1 9 o f t h e i n s t r u c t i o n s f o r d e f i n i t i o n ) ? , . . . . . . . . . . . . . . . . . . . . , i bi f t h e a n s w e r s " Y e s " t o l a o r i b , a t t a c h a d e t a i l e d d e s c r i p t i o n o f t h e a c t i v i t i e s a n d c op i e s o f a n y m a t e r i a l sp u bl i s h ed o r d i s t r i b u t e d b y t h e o r g a n i z a t i o n i n c on n e c t i o n w i t h t h e a c t i v i t i e sc D i d t h e o r g a n i z a t i o n f i l e F o r m 1 1 2 0 - P OL f o r t h i s y e a r ? . . , . . . . . . . . , . . , , . , 1 c J

d E n t e r t h e a m o u n t ( i f a n y ) o f t a x o n p o l i t i c a l e x p e n d i t u r e s ( s e c t i o n 4 9 5 5 ) i mp o s e d d u r i n g t h e y e a r .( 1 ) On t h e o r g a n i z a t i o n . " $ ( 2 ) On o r g a n i z a t i o n ma n a g e r s . " $

e E n t e r t h e r e i mb u r s e me n t i f a n y ) p a i d b y t h e o r g a n i z a t i o n d u r i n g t h e y e a r f o r p o l i t i c a l e x p e n d i t u r e t a x i mp o s e do n o r g a n i z a t i o n ma n a g e r s . " $ . . . . .

2 Ha s t h e o r g a n i z a t i o n e n g a g e d i n a n y a c t i v i t i e s t h a t h a v e n o t p r e v i o u s l y b e e n r e p o r t e d t o t h e I RS ?I f " Y e s , " a t t a c h a d e t a i l e d d e s c r i p t i o n o f t h e a c t i v i t i e s3 Ha s t h e o r g a n i z a t i o n m a d e a n y c h a n g e s , n o t p r e v i o u s l y r e p o r t e d t o t h e I R S , i n i t s g o v e r n i n g i n s t r u m e n t , a r t i c l e s

o f i n c o r p o r a t i o n , o r b y l a w s , o r o t h e r s i m i l a r i n s t r u m e n t s I f " Y e s , " a t t a c h a c o n f o r me d c o p y o f t h e c h a n g e s . 3 ' y4 a b i d t h e o r g a n i z a t i o n h a v e u n r e l a t e d b u s i n e s s g r o s s i n c o me o f $ 1 , 0 0 0 o r mo r e d u r i n g t h e y e a r ? . . , 4 a J

b I f " Y e s , " h a s i t f l e d a t a x r e t u r n o n F or m 9 9 0 - T f o r t h i s y e a r ? . . . . . . . . . . , N / , A , , 4 b5 Was t h e r e a l i q u i d a t i o n , t e r m i n a t i o n , d i s s o l u t i o n , o r s u b s t a n t i a l c o n t r a c t i o n d u r i n g t h e y e a r ? . . . . , 5 J

I f " Y e s , " a t t a c h t h e s t a t e me n t r e q u i r e d b y Ge n e r a l I n s t r u c t i o n T .6 A r e t h e r e q u i r e me n t s o f s e c t i o n 5 0 8 ( e ) ( r e l a t i n g t o s e c t i o n s 4 9 4 1 t h r o u g h 4 94 5 ) s a t i s f i e d e i t h e r -

" By l a n gu a g e i n t h e g ov e r n i n g i n s t r u m e n t , o r" B y s t a t e l e g i s l a t i o n t h a t e f f e c t i v e l y a m e n d s t h e g o v e r n i n g i n s t r u me n t s o t h a t n o ma n d a t o r y d i r e c t i o n s - - - - - -t h a t c o n f l i c t w i t h t h e s t a t e l a w r e m a i n i n t h e g o v e r n i n g i n s t r u me n t ? , , . . . , ,

7 D i d t h e o r g a n i z a t i o n h a v e a t l e a s t $ 5 , 0 0 0 i n a s s e t s a t a n y t i me d u r i n g t h e y e a r ? I f " Y e s , " c o mp l e t e P a r t 1 ! , c o t . ( c ) , a n d P a r t XV . ? J8 a E n t e r t h e s t a t e s t o wh i c h t h e f o u n d a t i o n r e p o r t s o r w i t h wh i c h i t i s r e g i s t e r e d ( s e e p a g e 1 9 o f t h eFl o r i d a a n d New Yo r ki n s t r u c t i o n s ) " - - - - - - - - - - - - - - - - - - - - - - - - - - - - . . . . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

b I f t h e a n s w e r i s " Y e s " t o l i n e 7 , h a s t h e o r g a n i z a t i o n f u r n i s h e d a c o p y o f F o r m 9 9 0 - P F t o t h e A t t o r n e y - - - - - - -Ge n e r a l ( o r d e s i g n a t e ) o f e a c h s t a t e a s r e q u i r e d b y Ge n e r a l I n s t r u c t i o n G? I f " N o, " a t t a c h e x p l a n a t i o n 8 b

9 I s t h e o r g a n i z a t i o n c l a i mi n g s t a t u s a s a p r i v a t e o p e r a t i n g f o u n d a t i o n w i t h i n t h e me a n i n g o f s e c t i o n 4 9 4 2 Q) ( 3 )o r 4 9 42 0 ( 5 ) f o r c a l e n d ar y e a r 2 0 0 4 o r t h e t a x a b l e y e a r b e g i n n i n g i n 2 0 0 4 ( s e e i n s t r u c t i o n s f o r P a r t XI V o n - - - -p a g e 2 5 ) ? I f " Y e s , " c o mp l e t e P a r t XI V . . . . . , . . . . . . . . . . , . . , . . . . 9 , 1 :

1 0 Di d a n y p e r s o n s b e c o m e s u b s t a n t i a l c o n t r i b u t o r s d u r i n g t h e t a x y e a r ? I f " Y e s , " a t t a c h a s c h e d u l e l i s t i n g t h e i r n a me s a n d a d d r e s s e s 1 01 1 D i d t h e o r g a n i z a t i o n c o mp l y w i t h t h e p u b l i c i n s p e c t i o n r e q u i r e m e n t s f o r i t s a n n u a l r e t u r n s a n d e x e mp t i o n a p p l i c a t i o n ? 1 1 ` ~

Web s i t e a d d r e s s t _ N / A - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1 2 T h e b o o k s a r e i n c a r e Oi l , ~ e f f r y M : P i c o we r _ ~ - - ~ - ~ ~ ~ 5 ~1 = $ 3 5 = 1 3 ~ ~. . - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - T e l e p h o n e n o . " - - - - - - - - - - - - - - - - - - - - - -L o c a t e d a t " 1 4 1 0 S o u t h O c e a n . Bo u l e v ar d , _ P a l m _ B e a c h , . F l o r i d a 3 3 4 8 0- - - - - - - - - ~ - - ~ - - - - - - - - - - - Z I P +4 " - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1 3 S e c t i o n 4 9 4 7 ( a ) ( 1 ) n o n e x e m p t c h a r i t a b l e t r u s t s f i l i n g F or m 9 9 0 - P F m l i e u o f F or m 1 0 4 1 - Ch e c k h e r e . . , . , " D

a n d e n t e r t h e a m o u n t o f t a x - e x e mp t i n t e r e s t r e c e i v e d o r a c c r u e d d u r i n g t h e y e a r . " 1 1 3 1 F o r m 9 9 0 - P F ( 2 0 0 4 )

r

F o r m , 9 9 0 - P F ( 2 0 0 4 ) P a g e 4E x c i s e T a x B a s e d o n I n v e s t me n t I n c o me S e c t i o n 4 9 4 0 ( a ) , 4 9 4 0 ( b ) , 4 9 4 0 ( e ) , o r 4 9 4 8- s e e p a g e 1 8 o f t h e i n s t r u c t i o n s

1 a E x e m p t o p e r a t i n g f o u n d a t i o n s d e s c r i b e d m s e c t i o n 4 9 4 0 ( d ) ( 2 ) , c h e c k h e r e " El a n d e n t e r " N / A " o n l i n e 1 .Da t e o f r u l i n g l e t t e r : - - - - - - . . . . . . . . . . ( a t t a c h c o p y o f r u l i n g l e t t e r i f n e c e ss a r y - s e e i n s t r u c t i o n s ) . w

b Do me s t i c o r g a n i z a t i o n s t h a t m e e t t h e s e c t i o n 4 9 4 0 ( e ) r e q ui r e me n t s i n P a r t V , c h e c k ~ 7 8 0 3 8 . 0 0h e r e " ma n d e n t e r 1 / o o f P a r t I , l i n e 2 7 b . . . . . . . , . . . . . , . . .

c A l l o t h e r d o me s t i c o r g a n i z a t i o n s e n t e r 2 % o f b r i e 2 7 b E x e m p t f o r e i g n o r g a n i z a t i o n s e n t e r 4 % o f P a r t I , l i n e 1 2 , c o l ( b )2 T a x u n d e r s e c t i o n 5 1 1 ( d o me s t i c s e c t i o n 4 9 4 7 ( a ) ( 1 ) t r u s t s a n d t a x a b l e f o u n d a t i o n s o n l y O t h e r s e n t e r - 0 - ) . g 7 8 0 3 8 . 0 03 Ad d l i n e s 1 a n d 2 . . . . . , . , . . . . . . . . .4 S u b t i t l e A ( i n c o m e ) t a x ( d o me s t i c s e c t i o n 4 9 4 7 ( a ) ( 1 ) t r u s t s a n d t a x a b l e f o u n d a t i o n s o n l y O t h e r s e n t e r - 0 - ) .5 Ta x b a s e d o n i n v e s t me n t i n c o me . S u b t r a c t l i n e 4 f r o m l i n e 3 . I f z e r o o r l e s s , e n t e r - 0 - . 5 7 8 0 3 8 . 0 06 Cr e d i t s / Pa y me n t s

a 2 0 0 4 e s t i m a t e d t a x p a y me n t s a n d 2 0 0 3 o v e r p a y me n t c r e d i t e d t o 2 0 0 4 6 a 1 5 4 5 8 0 . 0 0b E x e m p t f o r e i g n o r g a n i z a t i o n s - t a x wi t h h e l d a t s o ur c e . , 6 bc Ta x p a i d w i t h a p p l i c a t i o n f o r e x t e n s i o n o f t i me t o f i l e ( F o r m 8 8 6 8 ) 6 cd B a c k u p w i t h h o l d i n g e r r o n e o u s l y w i t h h e l d . . . . . . , . 6 d r - ~ ~ ~ A . ` ` _

7 T o t a l c r e d i t s a n d p a y me n t s Ad d l i n e s 6 a t h r o u g h 6 d . . , . . . . , . . , 7 1 5 4 5 8 0 . 0 08 E n t e r a n y p e n a l t y f o r u n d e r p a y me n t o f e s t i ma t e d t a x C h e c k h e r e [ ] i f F o r m 2 2 2 0 i s a t t a ch e d .9 T a x d u e . ! f t h e t o t a l o f l i n e s 5 a n d 8 i s mo r e t h a n l i n e 7 , e n t e r amoun t owed

1 0 Ov e r p a y me n t . I f l i n e 7 i s mo r e t h a n t h e t o t a l o f l i n e s 5 a n d B , e n t e r t h e a m o u n t o ve r p a i d . . . " 1 0 7 6 5 4 2 . 0 01 1 E n t e r t h e a m o u n t o f l i n e 1 0 t o b e : Cr e d i t e d t o 2 0 0 5 e s t i ma t e d t a x " 7 6 5 4 2 . 0 0 Re f u n d e d " i tSt a t e men t s Re g a r d i n g Ac t i v i t i e s


5/48

P a g e 5o r m Q9 0 - P F ( 2 0 0 4 )f i r e dt a t e me n t s Re q a r d i n a A c t i v i t i e s f o r Wh i c h F o r m 4 7 2 0 Ma y Be

F o r m 9 9 0 - PF ( 2 0 0 4 )

F i l e F o r m 4 7 2 0 i f a n y i t e m i s c h e c k e d i n t h e " Y e s " c o l u mn , u n l e s s a n e x c e p t i o n a p p l i e s . Y e s No1 a D u r i n g t h e y e a r d i d t h e o r g a n i z a t i o n ( e i t h e r d i r e c t l y o r i n d i r e c t l y ) -( 1 ) E n g a g e i n t h e s a l e o r e x c h a n g e , o r l e a s i n g o f p r o p e r t y w i t h a d i s q u a l i f i e d p e r s o n ? ~ e s 0No( 2 ) B o r r o w m o n e y f r o m , l e n d m o n e y t o , o r o t h e r w i s e e x t e n d c r e d i t t o ( o r a c c e p t i t f r o m )a d i s q u a l i f i e d p e r s o n ? . . . . , , . . , , . . . . . . . . . , . Y e s 0 o( 3 ) F u r n i s h g o o d s , s e r v i c e s , o r f a c i l i t i e s t o ( o r a c c e p t t h em f r o m ) a d i s q u a l i f i e d p e r s o n ? [ ] Y e s 0 o( 4 ) Pa y c o mp e n s at i o n t o , o r p a y o r r e i m b u r s e t h e e x p e n s e s o f , a d i s q u a l i f i e d p e r s o n ? 0Y e s 0 o( 5 ) T r a n s f e r a n y i n c o me o r a s s e t s t o a d i s q u a l i f i e d p e r s o n ( o r m a k e a n y o f e i t h e r a v a i l a b l e

f o r t h e b e n e f i t o r u s e o f a d i s q u a l i f i e d p e r s o n ) ? . . . . . . . . . . . . Ye s 0No( 6 ) Ag r e e t o p a y mon ey o r p r o p e r t y t o a g o v e r n me n t o f f i c i a l ? ( E x c ep t i o n . C h e c k " No "

i f t h e o r g a n i z a t i o n a g r e e d t o m a k e a g r a n t t o o r t o e mp l o y t h e o f f i c i a l f o r a p e r i o da f t e r t e r m i n a t i o n o f g o v e r n me n t s e r v i c e , i f t e r m i n a t i n g w i t h i n 9 0 d a y s . ) . . . . De s W1 Nob I f a n y a n s w e r i s " Y e s " t o 1 a ( 1 ) - ( 6 ) , d i d a n y o f t h e a c t s f a i l t o q u a l i f y u n d e r t h e e x c e p t i o n s d e s c r i b e d i n R e g u l a t i o n s

s e c t i o n 5 3 4 9 4 1 ( d ) - 3 o r i n a c u r r e n t n o t i c e r e g a r d i n g d i s a s t e r a s s i s t a n c e ( s e e p a g e 2 0 o f t h e i n s t r u c t i o n s ) ? . , f i bOr g a n i z a t i o ns r e l y i n g o n a c u r r e n t n o t i c e r e g a r d i n g d i s a s t e r a s s i s t a n c e c h e c k h e r e . . . . . " E l

c Di d t h e o r g a n i z a t i o n e n g a g e i n a p r i o r y e a r i n a n y o f t h e a c t s d e sc r i be d m l a , o t h e r t h a n e x c e p t e d a c t s , 511rh a t we r e n o t c o r r e c t e d be f o r e t h e f i r s t d a y o f t h e t a x y e a r b e g i n n i n g m 2 0 0 4 ? . . . . . , . . . 1 c

2 T a x e s o n f a i l u r e t o d i s t r i b u t e i n c o me ( s e c t i o n 4 9 42 ) ( d o es n ot a p p l y f o r y e a r s t h e o r g a n i z a t i o n wa s a p r i v a t eo pe r a t i n g f o u nd a t i o n d e f i n e d i n s e c t i o n 4 9 4 20 ( 3 ) o r 4 9 4 2 0 ( 5 ) ) :

a A t t h e e n d o f t a x y e a r 2 0 0 4 , d i d t h e o r g a n i z a t i o n h a v e a n y u n d i s t r i b u t e d i n c o me ( l i n e s 6 da n d 6 e , P a r t X I I I ) f o r t a x y e a r ( s ) be g i n n i n g b e f o r e 2 0 0 4 . . . . . . . . ~ e s 0 NoI f " Y e s , " l i s t t h e y e a r s " 2 0 . . . . , 2 0 . . . . , 2 0 . . . . , 2 0 . . . . _

b Ar e t h e r e a n y y e a r s l i s t e d i n 2 a f o r wh i c h t h e o r g a n i z a t i o n i s n o t a p p l y i n g t h e p r o v i s i o n s o f s e c t i o n 4 9 4 2 ( a ) ( 2 )( r e l a t i n g t o i n c o r r e c t v a l u a t i o n o f a s s e t s ) t o t h e y e a r ' s u n d i s t r i b u t e d i n c o me s ( I f a p p l y i n g s e c t i o n 4 9 4 2 ( a ) ( 2 )t o a l l y e a r s l i s t e d , a n s we r " No " a n d a t t a c h s t a t e me n t - s e e p a g e 2 0 o f t h e i n s t r u c t i o n s . ) .

c I f t h e p r o v i s i o n s o f s e c t i o n 4 9 4 2 ( a ) ( 2 ) a r e b e i n g a p p l i e d t o a n y o f t h e y e a r s l i s t e d i n 2 a , l i s t t h e y e a r s h e r e" 2 0 . . . . , 2 0 . . . . , 2 0 . . . . , 2 0 . . . . .

3 a Di d t h e o r g a n i z a t i o n h o l d mo r e t h a n a 2% d i r e c t o r i n d i r e c t i n t e r e s t i n a n y b us i n e s se n t e r p r i s e a t a n y t i m e d u r i n g t h e y e a r ? . . . . . . . . . . . . . . . Y e s E l Nob I f " Y e s , " d i d i t h a v e e x c e s s bu s i n e s s h o l d i n g s i n 2 0 0 4 a s a r e s u l t o f ( 1 ) a n y p u r c h a s e by t h e o r g a n i z a t i o n

o r d i s q u a l i f i e d p e r s o n s a f t e r Ma y 2 6 , 1 9 6 9 , ( 2 ) t h e l a p s e o f t h e 5 - y e a r p e r i o d ( o r l o n g e r p e r i o d a p p r o v e dby t h e Co mmi s s i o n e r u n d e r s e c t i o n 4 9 4 3 ( c ) ( 7 ) ) t o d i s p o s e o f h o l d i n g s a c q u i r e d by g i f t o r b e q u e s t ; o r ( 3 )t h e l a p s e o f t h e 1 0 - , 1 5 - , o r 2 0 - y e a r f i r s t p h a s e h o l d i n g p e r i o d ? ( Us e Sc h e d u l e C , F o r m 4 7 2 0 , t o d e t e r mi n ei f t h e o r g a n i z a t i o n h a d e x c e s s b us i n e s s h o l d i n g s i n 2 0 0 4 . ) . . . . . . . . . . . , 3 b J

4 a Di d t h e o r g a n i z a t i o n i n v e s t d u r i n g t h e y e a r a n y a m o u n t i n a m a n n e r t h a t wo u l d j e o p a r d i z e i t s c h a r i t a b l e p u r p o s e s 4 a Jb Di d t h e o r g a n i z a t i o n ma k e a n y i n v e s t m e n t i n a p r i o r y e a r ( b u t a f t e r De c e m b e r 3 1 , 1 9 6 9 ) t h a t c o u l d j e o p a r d i z e i t s c h a r i t a b l e

p u r p o s e t h a t h a d n o t b e e n r e mo v e d f r o m j e o p a r d y b e f o r e t h e f i r s t d a y o f t h e t a x y e a r b e g i n n i n g i n 2 0 0 4 ? . . . , 4 b r5a Du r i n g t h e y e ar d i d t h e o r g a n i z a t i o n p a y o r i n c u r a n y a m o u n t t o .

( 1 ) C a r r y o n p r o p a g an d a , o r o t h e r w i s e a t t e mp t t o i n f l u e n c e l e g i s l a t i o n ( s e c t i o n 4 9 4 5 ( e ) ) ? DYe s 0No( 2 ) I n f l u e n c e t h e o u t c o me o f a n y s p e c i f i c p u b l i c e l e c t i o n ( s e e s e c t i o n 4 9 5 5 ) , o r t o c a r r y '

o n , d i r e c t l y o r i n d i r e c t l y , a n y v o t e r r e g i s t r a t i o n d r i v e ? . . . . . . . . . . DYe s ~No( 3 ) Pr o v i d e a g r a n t t o a n i n d i v i d u a l f o r t r a v e l , s t u d y , o r o t h e r s i m i l a r p u r p o s e s ? . . . DYe s ONO( 4 ) P r o v i d e a g r a n t t o a n o r g a n i z a t i o n o t h e r t h a n a c h a r i t a b l e , e t c . , o r g a n i z a t i o n d es c r i be d k

i n s e c t i o n 5 0 9 ( a ) ( 1 ) , ( 2 ) , o r ( 3 ) , o r s e c t i o n 4 9 4 0 ( d ) ( 2 ) ? . . . . . . . . . . De s W3 No 4( 5 ) Pr o v i d e f o r a n y p u r p o s e o t h e r t h a n r e l i g i o u s , c h a r i t a b l e , s c i e n t i f i c , l i t e r a r y , o r ; "

e d uc a t i o n a l p u r p o s e s , o r f o r t h e p r e v e n t i o n o f c r u e l t y t o c h i l d r e n o r a n i ma l s ? Ye s W3 Nob I f a n y a n s w e r i s " Y e s " t o 5 a ( 1 ) - ( 5 ) , d i d a n y o f t h e t r a n s a c t i o n s f a i l t o q u a l i f y u n d e r t h e e x c e p t i o n s d e s c r i b e d i n " ~R e g u l a t i o n s s e c t i o n 5 3 . 4 9 4 5 o r i n a c u r r e n t n o t i c e r e g a r d i n g d i s a s t e r a s s i s t a n c e ( s e e p a g e 2 0 o f t h e i n s t r u c t i o n s ) ? 5 b NO r g a n i z a t i o n s r e l y i n g o n a c u r r e n t n o t i c e r e g a r d i n g d i s a s t e r a s s i s t a n c e c h e c k h e r e , . , NA " [ ]c I f t h e a n s w e r i s " Y e s " t o q u e s t i o n 5 a ( 4 ) , d o e s t h e o r g a n i z a t i o n c l a i m e x e mp t i o n f r o m t h e + . ,. 't a x b e c a u s e i t ma i n t a i n e d e x p en d i t u r e r e s p o n s i b i l i t y f o r t h e g r a n t ? . . . NA ~ e s [ : 1 No

I f " Y e s , " a t t a c h t h e s t a t e me n t r e q u i r e d b y Re g u l a t i o n s s e c t i o n 53 . 4 9 4 5 - 5 ( d )6 a D i d t h e o r g a n i z a t i o n , d u r i n g t h e y e a r , r e c e i v e a n y f u n d s , d i r e c t l y o r i n d i r e c t l y , t o p a yp r e mi u ms o n a p e r s o n a l b e n e f i t c o n t r a c t ? . . . . . . . . . . . . . . Y e s 0Nob D i d t h e o r g a n i z a t i o n , d u r i n g t h e y e a r , p a y p r e m i u m s , d i r e c t l y o r i n d i r e c t l y , o n a p e r s o n a l b e n e f i t c o n t r a c t ? 6 b

I f y o u a n s we r e d " Y e s " t o 6 b , a l s o f i l e F o r m 8 8 7 0 - Y ; , ` ~


6/48

( a ) Name a n d a d d r e s s o f e a c h p e r s o n p a i d mo r e t h a n $ 5 0 , 0 0 0 ( b ) T y p e o f s e r v i c e ( c ) C o mp e n s a t i o nMor gan , L e wi s & Bo c k i u s , L L P L e g a l- - . . . . . . . . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- 1 8 0 1 1 6 . 0 01 -9 1 7 8- 6 0 5 0 - - - - - - - - - - - - - - - - - - - - - - - - - - -, PA-POBox - 8 5 0 0 S- 6 0 5 0- , - Ph i l a d el p h i a -Hoga n & Ha r t s o n L L P- - - - - - - - - ~ - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - 1 6 7 5 4 8 . 0 05 5 5- 1 3 t h St r e et -NW- , -Wa s h i n g t o n- , - D- . C . - 2 0 0 0 4- - 11 - 0 9 - - - - - - - - - - - - - - - - - - - - - - - - - - - L e g a lHodgs on Rus s LLP- - - - - - - . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - ~ - - - - - - - . - - ~ L e g a l 8 3 1 1 2. 0 0On e M&T Pl a z a , Su i t e 2 0 0 0 , Bu f f a l o , NY 1 4 20 3 - 2 3 9 1Su t h e r l a n d , A s b i l l , & Br ennan , L L P- - - - - - Pea c h- - - - - - - - - ~ - -t r e e S- - - - - - - -t r e et . NE- - - ~, - - - - - -A t l a n t a- - - - - GA- - - ~ - - - - - - -30 30 9 - -- 3 9 96- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - L e g a l 6 11 3 0 . 0 09 9 9 ,

T o t a l numbe r o f o t h e r s r e ce i v i n g o v e r $ 5 0, 0 0 0 f o r p r o f es s i o n al s e r v i c es . . t NONESummary o f Di r e c t Char i t ab l e A c t i v i t i e s

L i s t t h e f o u n d a t i o n ' s t o u r l a r g e s t d i r e c t c h a r i t a b l e a c t i v i t i e s d u r i n g t h e t a x y e a r I n c l u d e r e l e v a n t s t a t i s t i c a l i n f o r m a t i o n s u c h a s t h e n umber E x p e n s e so f o r g a n i z a t i o n s a n d o t h e r b e n e f i c i a r i e s s e r v e d , c o n f e r e n c e s c o n v e n e d , r e s e a r c h p a p e r s p r o d u c e d , e t c1 NONE

2

3

4

F o r m 9 9 0 - PF ( 2 0 0 4 )

F o r m ' 9 9 0 - P F ( 2 0 0 4 ) P a g eI n f o r ma t i o n About Of f i c er s , Di r e c t o r s , Tr u s t e es , F o u n d a t i o n Manager s , Hi g hl y Pa i d Emp l o y e e s ,a n d Co n t r a c t o r s

1 L i s t a l l o f f i c e r s , d i r e c t o r s , t r u s t e e s , f o un da t i o n man a g e r s a n d t h e i r c o mp e n s a t i o n ( s e e p a g e 2 0 o f t h e i n s t r u c t i o n s ) .( b ) T i t l e , a n d a v e r a g e ( c ) C o mp e n s a t i o n ( d ) C o n t r i b u t i o n s t o ( e ) E x p e n s e a c c o u n t ,( a ) Name a n d a d d r e s s h o u r s p e r w e e k ( I ( n o t p a i d , e n t e r e m p l o y e e b e n e f i t p l a n s o t h e r a l l o w a n c e sd e v o t e d t o p o s l u o n - 0 - ) a n d d e f e r r e d c o m p e n s a t i o n

Se e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .c h ed u l e At t ached, _ . , - - - - - - - - - - - - - - - - 2 3 0 4 2 . 0 0 2 9 2 0 . 0 0 NONE

2 Co mp e n s a t i o n o f f i v e h i gh es t - p a i d e mp l o y e e s ( o t h e r t h an t h o s e i n c l ud ed o n l i n e 1 - s ee p a g e 2 1 o f t h e i n s t r u c t i o n s ) .I f n o n e , e nt e r " NONE . "

( b ) T i t l e a n d a v e r a g e( a ) Name a n d a dd r e s s o f e a c h e mp l o y e e p a i d mo r e t h a n $ 5 0 , 0 0 0 h o ur s p e r w e e k ( c ) C o mp e n s a t i o n e mp l o y e e b e n e f i t ( e ) E x p e n s e a c c o un t ,d e v o t e d t o p o s i t i o n p l a n s a n d d e f e r r e d o t h e r a l l o wa n c e sc o mp e n s a t i o nPr ogr am O f i c erA l i c e A . _ T a n . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

C I O T he Pi c o we r F o un d a t i o n 40 h r s / we ek 8 4 4 6 8 . 0 0 1 7 3 6 . 0 0 NONEMa r t h a A . L i v i n gs t o n Pr o gr a m D r ec t o r- - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - 5 5 8 2 9 . 0 0 11774 . 0 0 NONEC / O T h e Pi c o we r F ou nd a t i o n 30 h r s / we ekSt a nl e y Ba u mb l a t t S Pr o qr a m- - ~ - - - ~ - - - - - - - - -Pi c o we r - - - - - - . - - - - - - - -F o u n da t i o n r s- . . . . . . - - - - - - - - - - - - - - - - - - - - - - $~~~~eweek 52782 . 0 0 1 6 8 7 . 0 0 NONEC I O T h eE l l e n F l a x _ _ , . _ . . . . . . . . . _ . _ . _ . _ _ _ __ _ _ __ _ _ _Pr o g r a m D r f o r- - - - . . . . . . . . . . . . . ~ . . . . . . . . . . . .CI O T h e Pi c o we r F o un d at i o n 40 h r s week 5 1 3 4 3 . 0 0 2 6 5 8 . 0 0 NONE

T o t a l n u mb e r o f o t h e r e mp l o y e e s p a i d o v e r $ 50 , 0 0 0 " NONE3 F i v e h i g h e s t - p a i d i n d e p en d e n t c on t r a c t o r s f o r p r o f e s s i o na l s e r v i c es - ( s e e p a g e 2 1 o f t h e i n s t r u c t i o n s ) . I f n o n e , e nt e r" NONE . "


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P a g e 7o mt 9 9 0 - P F ( 2 0 0 4 )

2

1 F a i r ma r k e t v a l u e o f a s s e t s n o t u s e d ( o r h e l d f o r u s e ) d i r e c t l y i n c a r r y i n g o u t c h a r i t a b l e , e t c . ,p u r p o s e s : 11-

a Av e r a g e mo n t h l y f a i r ma r k e t v a l u e o f s e c u r i t i e s . . . . , . . . . , , , , 1 a 5 1 7 0 1 0 2 8 8 . 0 0b Av e r a g e o f mo n t h l y c a s h ba l a n c es . . . . , . . . . . . . . . . . . , 1 b 2 4 7 3 2 3 0 . 0 0c F a i r ma r k e t v a l u e o f a l l o t h e r a s s e t s ( s e e p a g e 2 2 o f t h e i n s t r u c t i o n s ) . . . . . 1 c NONEd T o t a l ( a d d l i n e s 1 a , b , a n d c ) . . . . . . . . . . . . . , . . . . 1 d 5 1 9 4 8 3 5 1 8 . 0 0e Re d uc t i o n c l a i me d f o r b l o c k a ge o r o t h e r f a c t o r s r e p o r t e d o n l i n e s 1 a a n d

1 c ( a t t a c h d e t a i l e d e x p l a n a t i o n ) . .2 A c q u i s i t i o n i n d e bt e d n e s s a p p l i c a b l e t o l i n e 1 a s s e t s . . . . . . . . . , 2 NONE3 S u b t r a c t l i n e 2 f r o m l i n e 1 d . . . . . . . . . . . . . . . . . 3 5 1 9 4 8 3 5 1 8 . 0 04 C a s h de emed h e l d f o r c h a r i t a b l e a c t i v i t i e s . E n t e r 1 ' / z % o f l i n e 3 ( f o r g r e a t e r a mo u n t , s e e p a g e 2 3

o f t h e i n s t r u c t i o n s ) . . . . . . . . . . . . . . . . . . , , , , 4 7 7 9 2 2 5 3 . 0 05 Ne t v a l u e o f n on c ha r i t a bl e - u s e a s se t s . S u b t r a c t l i n e 4 f r o m l i n e 3 E n t e r h e r e a n d o n P a r t V , l i n e 4 5 5 1 1 6 9 1 2 6 5 . 0 06 Mi n i mum i n v e s t me n t r e t u r n . E n t e r 5% o f l i n e 5 . ~6 T 2 5 5 8 4 5 6 3 . 0 0Di s t r i bu t a bl e Amount ( s e e p a g e 2 3 o f t h e i n s t r u c t i o n s ) ( S e c t i o n 4 9 4 2 0 ( 3 ) a n d 0 ) ( 5 ) p r i v a t e o p e r a t i n gf o un da t i o ns a n d c e r t a i n f o r e i g n o r g a n i z a t i o n s c h e c k h e r e " El a n d d o n o t c o mp l e t e t h i s p a r t )

1 Mi n i mu m i n v e s t m e n t r e t u r n f r o m P a n X , l i n e 6 . . . , . . . . . , 1 2 5 5 8 4 5 6 3 . 0 02 a T a x o n i n v e s t m e n t i n c o me f o r 2 0 0 4 f r o m P a r t V I , l i n e 5 , . . 2 a 7 8 0 3 8 . 0 0.b I n c o me t a x f o r 2 0 0 4 , ( T h i s d o e s n o t i n c l u d e t h e t a x f r o m P a r t V I ) . . ~ R

c Add l i n e s 2 a a n d 2 b . . . . . . . . . . . , , , . 2 c 7 8 0 3 8 . 0 03 D i s t r i b u t a b l e a m o u n t b e f o r e a d j u s t me n t s . S u b t r a c t l i n e 2 c f r o m l i n e 1 . . . , . , , 3 2 5 5 0 6 5 2 5 . 0 04 Re c o v e r i e s o f a mo u n t s t r e a t e d a s q u a l i f y i n g d i s t r i b u t i o n s . . . . . . . . , . 4 NONE5 A d d l i n e s 3 a n d 4 . . , . . , . . . . . . . . . . . . . . . . 5 2 5 5 0 6 5 2 5 . 0 06 De d uc t i o n f r o m d i s t r i b u t a b l e a m o u n t ( s e e p a g e 2 3 o f t h e i n s t r u c t i o n s ) . . . . . , 6 NONE7 Di s t r i bu t a b l e amoun t a s a d j u s t e d . S u b t r a c t l i n e 6 f r o m l i n e 5 . E n t e r h e r e a n d o n P a r t X I I I ,l i n e 1 7 2 5 5 0 6 5 2 5 . 0 0[=u a l i f y i n g Di s t r i bu t i o n s ( s e e pa ge 2 3 o f t h e i n s t r u c t i o n s )1 A mo u n t s p a i d ( i n c l u d i n g a d mi n i s t r a t i v e e x p e n s e s ) t o a c c o mp l i s h c h a r i t a b l e , e t c . , p u r p o s e s : `

a E x p e n s e s , c o n t r i b u t i o n s , g i f t s , e t c . - t o t a l f r o m P a r t I , c o l u mn ( d ) , l i n e 2 6 . . . , . , , , 1 a 3 3 7 5 3 5 8 5 . 0 0b Pr o gr a m- r e l a t e d i n v e s t me n t s - t o t a l f r o m P a r t I X - B . . . . . . . . . . . . . . . 1 b NONE2 A mo u n t s p a i d t o a c qu i r e a s s e t s u s e d ( o r h e l d f o r u s e ) d i r e c t l y m c a r r y i n g o u t c h a r i t a b l e , e t c . ,p u r p o s e s . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 NONE. . ,3 A mo u n t s s e t a s i d e f o r s p e c i f i c c h a r i t a b l e p r o j e c t s t h a t s a t i s f y t h e :a S u i t a b i l i t y t e s t ( p r i o r I RS a p p r o v a l r e q u i r e d ) . . . . . . . . . . . . , , 3 a NONEb C a s h d i s t r i b u t i o n t e s t ( a t t a c h t h e r e q u i r e d s c h e du l e ) .

. .3 b NONE

4 Q u a l i f y i n g d i s t r i b u t i o n s . Ad d l i n e s 1 a t h r o u g h 3 b E n t e r h e r e a n d o n Pa r t V , l i n e 8 , a n d P a r t A l l , l i n e 4 4 3 3 7 5 3 5 8 5 . 0 05 Or g a n i z a t i o n s t h a t q u a l i f y u n d e r s e c t i o n 4 9 4 0 ( e ) f o r t h e r e d uc e d r a t e o f t a x o n n e t i n v e s t me n t

i n c o me . En t e r 1 % o f P a r t I , l i n e 2 7 b ( s e e p a g e 2 4 o f t h e i n s t r u c t i o n s ) . . . . . . , , , 5 7 8 0 3 8 . 0 06 Ad j u s t e d q u a l i f y i n g d i s t r i b u t i o n s . S u b t r a c t l i n e 5 f r o m l i n e 4 . . . , . . . . , , 6 3 3 6 7 5 5 4 7 . 0 0

No t e : T h e a m o u n t o n l i n e 6 w i l l be u s e d i n P a r t V , c o l u mn ( b ) , m s u b s e q u e n t y e a r s w h e n c a l c u l a t i n g wh e t h e r t h e f o u n d a t i o nq u a l i f i e s f o r t h e s e c t i o n 4 9 4 0 ( e ) r e d u c t i o n o f t a x i n t h os e y e a r s .F o r m 9 9 0 - PF ( 2 0 0 4 )

r

- Summa o f P r o g r a m- Re l a t e d I n v e s t me n t s s e e p a g e 2 2 o f t h e i n s t r u c t i o n sD e s c r i b e t h e t w o l a r g e s t p r o g r a m - r e l a t e d i n v e s t me n t s m a d e b y t h e f o u n d a t i o n d u r i n g t h e t a x y e a r o n l i n e s 1 a n d 2 A m o u n t

1 NONE

A l l o t h e r p r o g r a m - r e l a t e d i n v e s t m e n t s Se e p a g e 2 2 o f t h e i n s t r u c t i o n s3 NONE

T o t a l . A d d l i n e s 1 t h r o u g h 3 .. .

, 0 . NONJiMMi n i mum I n v e s t me n t Re t u r n ( A l l d ome s t i c f o un da t i o ns mus t c o mp l e t e t h i s p a r t . F o r e i g n f o u n d a t i o n s ,s e e p a g e 2 2 o f t h e i n s t r u c t i o n s )


8/48

F or m 9 9 0 - P F ( 2 0 0 4 ) Pa g e aU n d i s t r i b u t e d I n c o me ( s e e p a g e 2 4 o f t h e i n s t r u c t i o n s )

( a ) l b l I M I ( d )Co r p u s Y e ar s o r i o r t o 2 0 0 3 2 0 0 3 2 0 0 4

1 6 6 7 3 1 7 5 . 0 0

NONE

8 E x c e s s d i s t r i b u t i o n s c a r r y o v e r f r o m 1 9 9 9 n o ta p p l i e d o n l i n e 5 o r l i n e 7 ( s e e p a g e 2 5 o ft h e i n s t r u c t i o n s ) . . . , , , , , NONE " '

9 E x c e s s d i s t r i b u t i o n s c a r r y o v er t o 2 0 0 5 . ? `Su b t r a c t l i n e s 7 a n d 8 f r o m l i n e 6 a . , NONE

1 0 A n a l y s i s o f l i n e 9 'a E x c e s s f r o m 2 0 0 0 NONEb E x c e s s f r o m 2 0 0 1 . . , NONE . , . . . ; , . , qNONE ` ~ y , c : ; ~ , F e : , ~ :c E x c e s s f r o m 2 0 0 2d E x c e s s f r o m 2 0 0 3 . . . NONE

e E x c e s s f r o m 2 0 0 4 . . . NONE . F o r m 9 9 0 - P F ( 2 0 0 4 )

r

1 Di s t n b u t a b l e a m o u n t f o r 2 0 0 4 f r o m P a r t X I ,l i n e 7 . . .2 U n d i s t r i b u t e d i n c o me , i f a n y , a s o f t h e e n d o f 2 0 0 3 :

a E n t e r a m o u n t f o r 2 0 0 3 o n l yb T o t a l f o r p r i o r y e a r s 20_20_20-3 E x c e s s d i s t r i b u t i o n s c a r r y o v e r , i f a n y , t o 2 0 0 4 :a F r o m 1 9 9 9 . . . . , NONE ,b F r o m 2 0 0 0 , . . , , NONEc F r o m 2 0 0 1 . , , NONEd F r o m 2 0 0 2 . . , , , NONEe F r o m 2 0 0 3 . . . , , NONE -f T o t a l o f l i n e s 3 a t h r o u gh e . . . . . , NONE .. ,4 q u a l i f y i n g d i s t r i b u t i o n s f o r 2 0 0 4 f r o m P a r t , N

Yr .X 1 1 , l i n e 4 : 1 0 - $ 3 3 7 5 3 5 8 5 . 0 0a A p pl i e d t o 2 0 0 3 , b u t n o t mo r e t h a n l i n e 2 ab A p p l i e d t o u n d i s t r i b u t e d i n c o me o f p r i o r y e a r s

( E l e c t i o n r e q u i r e d - s e e p a g e 2 4 o f t h e i n s t r u c t i o n s )c T r e a t e d a s d i s t r i b u t i o n s o u t o f c o r p u s ( E l e c t i o nr e q u i r e d- s e e p a g e 2 4 o f t h e i n s t r u c t i o n s ) NONE 1 ` .

d A p pl i e d t o 2 0 0 4 d i s t r i b u t a b l e a m o u n t .e Re ma i n i n g a m o u n t d i s t r i b u t e d o u t o f c o r p u s5 E x c e s s d i s t r i b u t i o n s c a r r y o v e r a p p l i e d t o 2 0 0 4 NONE

( ! f a n a m o u n t a p pe a r s m c o l u mn ( d ) , t h es a me a m o u n t m u s t b e s h o w n i n c o l u mn ( a ) ) y6 E nt e r t h e n e t t o t a l o f e a c h c o l u mn a s

i n di c a t e d b e l o w :a C o r p u s . A d d l i n e s 3 f , 4 c , a n d 4 e . S u b t r a c t l i n e 5 NONE "b P r i o r y e a r s ' u n d i s t r i b u t e d i n c o me S u b t r a c t

l i n e 4 b f r o m l i n e 2 b .c E n t e r t h e a mo u n t o f p r i o r y e a r s ' u n d i s t r i b u t e di n c o me f o r wh i c h a n o t i c e o f d e f i c i e n c y h a s

b e e n i s s u e d , o r o n wh i c h t h e s e c t i o n 4 9 4 2 ( a )t a x h a s b e e n p r e v i o u s l y a s s e s s e d .

d S u b t r a c t l i n e 6 c f r o m l i n e 6 b . T ax a b l ea mo u n t - s e e p a g e 2 5 o f t h e i n s t r u c t i o n s , w ~ ` ~ = ~e Un d i s t r i b u t e d i n c o me f o r 2 0 0 3 . S u b t r a c t l i n e ~~~ . .

4 a f r o m l i n e 2 a Ta x a b l e a mo u n t - s e e p a g e2 5 o f t h e i n s t r u c t i o n s

f U n d i s t r i b u t e d i n c o me f o r 2 0 0 4 . S u b t r a c t : f ~ ~ ~ s ~ ; ~ h s fl i n e s 4 d a n d 5 f r o m l i n e 1 T h i s a m o u n t m u s tb e d i s t r i b u t e d i n 2 0 0 5 . . . . . .

7 A mo u n t s t r e a t e d a s d i s t r i b u t i o n s o u t o fc o r p u s t o s a t i s f y r e q u i r e me n t s i mp o s e d b ys e c t i o n 1 7 0 ( b ) ( 1 ) ( E ) o r 4 9 4 2 ( g ) ( 3 ) ( s e e p a g e2 5 o f t h e i n s t r u c t i o n s ) . . . , , , , NONE 4 ;

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9/48

F o r m 9 9 0 - P F ( 2 0 0 4 )

T

P a g e 9o r r t r 9 9 0 - P F ( 2 0 0 4 )P r i v a t e Oo e r a t i n a F o u n d a t i o n s ( s e e p a a e 2 5 o f t h e i n s t r u c t i o n s a n d P a r t V I I - A , q u e s t i o n 9 ) N/ A

i s I f t h e f o u n d a t i o n h a s r e c e i v e d a r u l i n g o r d e t e r m i n a t i o n l e t t e r t h a t i t i s a p r i v a t e o p e r a t i n gf o u n d a t i o n , a n d t h e r u l i n g i s e f f e c t i v e f o r 2 0 0 4 , e n t e r t h e d a t e o f t h e r u l i n g .b C h e c k b o x t o i n d i c a t e wh e t h e r t h e o r g a n i z a t i o n i s a p r i v a t e o p e r a t i n g f o u n d a t i o n d e s c r i b e d i n s e c t i o n [ 1 4 9 4 2 0 ( 3 ) o r El 4 9 4 2

2 a E n t e r t h e l e s s e r o f t h e a d j u s t e d n e t T a x e a r P r i o r 3 e a r s ( e ) T o t a li n c o me f r o m P a r t I o r t h e mi n i mu m ( a ) 2 0 0 4 ( b ) Z o o s ( c ) 2 0 0 2 ( d ) 2 0 0i n v e s t m e n t r e t u r n f r o m P a r t X o r e a c hy e a r l i s t e d

b 85% o f l i n e 2 ac q u a l i f y i n g d i s t r i b u t i o n s f r o m P a r t X I I ,

l i n e 4 f o r e a c h y e a r l i s t e dd A mo u n t s i n c l u d e d m l i n e 2 c n o t u s e d d i r e c t l y

f o r a c t i v e c o n d u c t o f e x e m p t a c t i v i t i e s .e Q u a l i f y i n g d i s t r i b u t i o n s made d i r e c t l y

f o r a c t i v e c o n d u c t o f e x e m p t a c t i v i t i e sS u b t r a c t l i n e 2 d f r o m l i n e 2 c .3 Co mp l e t e 3 a , b , o r c f o r t h e

a l t e r n a t i v e t e s t r e l i e d u p o na " A s s e t s " a l t e r n a t i v e t e s t - e n t e r

( 1 ) V a l u e o f a l l a s s e t s .( 2 ) V a l u e o f a s s e t s q u a l i f y i n g

u n d e r s e c t i o n 4 9 4 2 0 ) ( 3 ) ( B ) ( i )b " E n d o w me n t " a l t e r n a t i v e t e s t - e n t e r y ~o f m i n i m u m i n v e s t m e n t r e t u r n s h o w n i nP a r t X , l i n e 6 f o r e a c h y e a r l i s t e dc " S u p p o r t " a l t e r n a t i v e t e s t - e n t e r

( 1 ) T o t a l s u p p o r t o t h e r t h a n g r o s si n v e s t m e n t i n c o me ( i n t e r e s t ,d i v i d e n d s , r e n t s , p a y me n t so n s e c u r i t i e s l o a n s ( s e c t i o n5 1 2 ( a ) ( 5 ) ) , o r r o y a l t i e s )( 2 ) S u pp o r t f r o m g e n e r a l p u b l i ca n d 5 o r mo r e e x e m p to r g a n i z a t i o n s a s p r o v i d e d i ns e c t i o n a 9 4 2 0 ) ( 3 ) ( B ) ( m)( 3 ) L a r g e s t a m o u n t o f s u p p o r t

f r o m a n e x e m p t o r g a n i z a t i o n( 4 ) Gr o s s i n v e s t me n t i n c o meS u p p l e me n t a r y I n f o r ma t i o n ( Co mp l e t e t h i s p a r t o n l y i f t h e o r g an i z a t i o n h a d $ 5 , 0 0 0 o r mo r e i na s s et s a t a n y t i me d ur i n g t h e y e a r - s e e p a g e 2 6 o f t h e i n s t r u c t i o n s . )

1 I n f o r ma t i o n Re g a r d i n g F ou n da t i o n Ma n a g e r s :a L i s t a n y ma n a g e r s o f t h e f o u n d a t i o n w h o h a v e c o n t r i b u t e d mo r e t h a n 2% o f t h e t o t a l c o n t r i b u t i o n s r e c e i v e d b y t h e f o u n d a t i o nb e f o r e t h e c l o s e o f a n y t a x y e a r ( b u t o n l y i f t h e y h a v e c o n t r i b u t e d mo r e t h a n $ 5 , 0 0 0 ) . ( S e e s e c t i o n 5 0 7 ( d ) ( 2 ) . )J e f f r y M P i c o we r

b L i s t a n y ma n a g e r s o f t h e f o u n d a t i o n w h o o w n 10% o r mo r e o f t h e s t o c k o f a c o r p o r a t i o n ( o r a n e q u a l l y l a r g e p o r t i o n o f t h eo wn e r s h i p o f a p a r t n e r s h i p o r o t h e r e n t i t y ) o f wh i c h t h e f o u n d a t i o n h a s a 10% o r g r e a t e r i n t e r e s tN/ A

2 I n f o r ma t i o n Re g a r d i n g Co nt r i bu t i o n, Gr a n t , G i f t , L o a n, S ch o l a r s h i p , e t c . , P r o g r a ms :C h e c k h e r e " 0 f t h e o r g a n i z a t i o n o n l y m a k e s c o n t r i b u t i o n s t o p r e s e l e c t e d c h a r i t a b l e o r g a n i z a t i o n s a n d d o e s n o t a c c e p tu n s o l i c i t e d r e q u es t s f o r f u n ds . I f t h e o r g a n i z a t i o n m a k e s g i f t s , g r a n t s , e t c . ( s e e p a g e 2 6 o f t h e i n s t r u c t i o n s ) t o i n d i v i d u a l s o ro r g a n i z a t i o n s u n d e r o t h e r c o n d i t i o n s , c o mp l e t e i t e ms 2 a , b , c , a n d d .

a T h e n a m e , a d d r e s s , a n d t e l e ph on e n u m b e r o f t h e p e r s o n t o whom a p p l i c a t i o n s s h o u l d b e a d d r e s s e d :N/ A

b Th e f o r m i n wh i c h a p p l i c a t i o n s s h ou l d b e s u bmi t t e d a n d i n f o r m a t i o n a n d ma t e r i a l s t h e y s h ou l d i n c l u d e :N/ A

c A n y s u bmi s s i o n d ea d l i n es .N/ A

d An y r e s t r i c t i o n s o r l i m i t a t i o n s o n a wa r d s , s u c h a s b y g e og r a p h i c a l a r e a s , c h a r i t a b l e f i e l d s , k i n d s o f i n s t i t u t i o n s , o r o t h e rf a c t o r sN/ A


10/48

F o r m " 9 9 0 - P F ( 2 0 0 4 ) P a g e 10" Su p p l e me n t a r y I n f o r ma t i o n ( c o n t i n u e d )

F o r m 9 9 0 - P F ( 2 o o a )


11/48

F o r m 9 9 0 - PF ( 2 0 0 4 )

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F o r m 5 9 0 - P F ( 2 0 0 4 ) P a g e ~ 1" ~ An a l y s i s o f I n c o me - P r o d u c i n g Ac t i v i t i es

E n t e r g r o s s a mo u n t s u n l e s s o t h e r w i s e i n d i c a t e d U n r e l a t e d b u s i n e s s i n c o me E x c l u d e d b y s e c t i o n 5 1 2 , 5 1 3 , o r 5 1 4 ( e )R e l a t e d o r e x e m p t( a ) ( b ) ( c ) ( d ) f u n c t i o n i n c o m eB u s i n e s s c o d e Amount E x c l u s i o n c o d e Amo un t ( h e e p a g e 2 6 o f1 P r o g r a m s e r v i c e r e v e n u e . t e i n s t r u c t i o n s)abcdefg F e e s a n d c o n t r a c t s f r o m g o v e r n m e n t a g e n c i e s

2 Me mb e r s h i p dues a n d a s s e s s me n t s .3 I n t e r e s t o n s a v i n g s a n d t e mp o r a r y c a s h i n v e s t m e n t s 1 4 2 6 0 1 2 . 0 04 Di v i d en ds a n d i n t e r e s t f r o m s e c u r i t i e s . 1 4 4 7 9 9 7 2 1 . 0 05 Ne t r e n t a l i n c o me o r ( l o s s ) f r o m r e a l e s t a t e '

a De bt - f i n an ce d p r o p e r t yb No t d e b t - f i n a n c e d p r o p e r t y .

6 Ne t r e n t a l i n c o me o r ( l o s s ) f r o m p e r s o n a l p r o p e r t y7 Ot h e r i n v e s t me nt i n c o me .8 G a i n o r ( l o s s ) f r o m s a l e s o f a s s e t s o t h e r t h a n i n v e n t o r y 1 8 2 9 7 8 0 3 0 . 0 09 Ne t i n c o me o r ( l o s s ) f r o m s p e c i a l e v e n t s .

1 0 G r o s s p r o f i t o r ( l o s s ) f r o m s a l e s o f i n v e n t o r y1 1 Ot h e r r e v e n u e ' a

bcde

1 2 S u b t o t a l . Ad d c o l u mn s ( b ) , ( d ) , a n d ( e ) . . . ~"a ~V~~~~ 7 8 0 3 7 6 3 . 0 01 3 T o t a l . Add l i n e 1 2 , c o l u mn s ( b ) , ( d ) , a n d ( e ) . . . . . . . . . . . . . . . 1 3 7 8 0 3 7 6 3 . 0 0( S ee wo r k s h e et i n l i n e 1 3 i n s t r u c t i o n s o n p a g e 2 6 t o v e r i f y c a l c u l a t i o n s . )

R e l a t i o n s h i p o f A c t i v i t i e s t o t h e A c c o mp l i s h m e n t o f E x e mp t P u r p o s e sL i n e No , E x p l a i n b el o w how e a c h a c t i v i t y f o r wh i c h i n c o me i s r e p o r t e d i n c o l u mn ( e ) o f P a r t X V I - A c o n t r i b u t e d i m p o r t a n t l y t ot h e a c c o mp l i s h me n t o f t h e o r g a n i z a t i o n ' s ex emp t p u r p o s e s ( o t h e r t h an b y p r o v i d i n g f u nd s f o r s u c h p u r p o s e s ) ( S e e

p a g e 2 7 o f t h e i n s t r u c t i o n s )N/ A


12/48

F or m 9 9 0 - P F ( 2 0 0 4 ) P a g e 12I n f o r m a t i o n R e g a r d i n g T r a n s f e r s T o a n d T r a n s a c t i o n s a n d R e l a t i o n s h i p s Wi t h N o n c h a r i t a b ( e

1 D i d t h e o r g a n i z a t i o n d i r e c t l y o r i n d i r e c t l y e n g a g e i n a n y o f t h e f o l l o w i n g w i t h a n y o t h e r o r g a n i z a t i o n d e s c r i b e d i n s e c t i o n Ye s No5 0 1 c ) o f t h e C o d e ( o t h e r t h a n s e c t i o n 5 0 1 ( c ) ( 3 ) o r g a n i z a t i o n s ) o r i n s e c t i o n 5 2 7 , r e l a t i n g t o p o l i t i c a l o r g a n i z a t i o n sa T r a n s f e r s f r o m t h e r e p o r t i n g o r g a n i z a t i o n t o a n o n c h a r i t a b l e e x e mp t o r g a n i z a t i o n o f - MEN

( i ) C a s h . . . . . . . . . . . . . . . . . . . . . . . . 1 a ( 1 ) Jr( 2 ) Ot h e r a s s et s . . . . . , , . . . . . . . , . . . . . . l a ( 2 )b Ot h e r t r a n s a c t i o n s : Mmn

( 1 ) S a l e s o f a s s et s t o a n o n c h a r i t a b l e e x e m p t o r g a n i z a t i o n , . . . . . , . . . , . 1 b 1 J( 2 ) P u r c h a s e s o f a s s e t s f r o m a n o n c h a r i t a b l e e x e m p t o r g a n i z a t i o n . . . . . . . . . . . l b 2 r( 3 ) Re n t a l o f f a c i l i t i e s , e q u i p me n t , o r o t h e r a s s e t s . . . . . . , . . . , . . , , , 1 b ( 3 ) r( 4 ) Re i mb u r s e me n t a r r a n g e me n t s . . . . . . . . . . . . . . . , i b ( 4 ) r( 5 ) L o a n s o r l o a n g ua r a n t e e s . . . . . . . . . . . , , . , , , , i b 5 J( 6 ) P e r f o r ma n c e o f s e r v i c e s o r me mb e r s h i p o r f u n d r a i s i n g s o l i c i t a t i o n s . . . , . . . . , , 1 b ( 6 ) r

c S ha r i n g o f f a c i l i t i e s , e q u i p me n t , m a i l i n g l i s t s , o t h e r a s s e t s , o r p a i d e mp l o y e e s . . . . . . 1 c Jd I f t h e a n s w e r t o a n y o f t h e a b o v e i s " Y e s , " c o mp l e t e t h e f o l l o w i n g s c h e du l e Co l u mn ( b ) s h o ul d a l wa y s s h o w t h e f a i r ma r k e tv a l u e o f t h e g o o d s , o t h e r a s s e t s , o r s e r v i c e s g i v e n b y t h e r e p o r t i n g o r g a n i z a t i o n . I f t h e o r g a n i z a t i o n r e c e i v e d l e s s t h a n f a i rma r k e t v a l u e i n a n y t r a n s a c t i o n o r s h a r i n g a r r a n ge me n t , s h o w i n c o l u mn ( d ) t h e v a l u e o f t h e g o o d s , o t h e r a s s e t s , o r s e r v i c e sr e c e i v e d .

2 a I s t h e o r g a n i z a t i o n d i r e c t l y o r i n d i r e c t l y a f f i l i a t e d w i t h , o r r e l a t e d t o , o n e o r mo r e t a x - e x e mp t o r g a n i z a t i o n sde s c r i be d i n s e c t i o n 5 0 1 ( c ) o f t h e C o d e ( o t h e r t h a n s e c t i o n 5 0 1 ( c ) ( 3 ) ) o r i n s e c t i o n 5 2 7 ? .

b I f " Y e s , " c o mp l e t e t h e f o l l o w i n g s c h e du l e .0 e s 0 No


13/48

DESCRI PTI ON PER BOOKS I NCOME I NCOME PURPOSES

4 94 , 9 30 .OTAL S 4 94 , 9 30 . 7 2 NONE NONE

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THE PI COWER FOUNDATI ON # 13 - 6 9 2 7 04 31 2- 3 1- 0 4

FORM 9 9 0 - PF , PART I - LEGAL FEES

REVENUEAND NET ADJUSTED

EXPENSES I NVESTMENT NET CHARI TABL

Hodgson Rus s LLPOne M&T Pl a z a , Su i t e 2000Bu f f a l o , NY 1 4 2 03 - 2 3 9 1 83 , 1 11 . 55Mor gan , L e wi s & Bo c k i u s L L P111 Pe nns y l v a ni a Avenue, NWWas h i n g t o n , DC 20 0 04 1 80 , 1 1 5 . 7 6Hogan & Ha r t s on LLP5 5 5 Th i r t een t h St r e et NWWas h i n gt o n, DC 2 0 0 0 4- 1 1 09 1 67 , 5 48 . 4 6Su t h er l a nd As bi l l & Br ennan LLP9 9 9 Pe a ch t r e e St r ee t , NEAt l a nt a , GA 30309 - 3996 6 1, 1 29 . 9 5Ki t A Kamhol z1279 Ka j e r LaneL a k e Fo r e s t , I L 6 0 0 4 5 3, 0 2 5 . 0 0

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3 , 0 2 5 .


14/48

FORM 990- PF, PART I - ACCOUNTI NG FEES

REVENUEAND NET ADJ USTED

EXPENSES I NVESTMENT NET CHARI TABLPER BOOKS I NCOME I NCOME PURPOSES

1 7, 9 50 . 07 , 95 0 . 0 0 NONE NONEOTAL S

THE PI COWER FOUNDATI ON # 1 3 - 6 92 7 04 31 2- 3 1- 04

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15/48

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FORM 9 9 0 - PF, PART I - OTHER PROFESSI ONAL FEES

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1 t

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16/48


EXPENSES I NVESTMENT NET CHARI TABLEDESCRI PTI ON PER BOOKS I NCOME I NCOME PURPOSESEXCI SE TAXES 9 0, 0 00 . 00 NONEFI CA 3 3, 3 94 . 2 5 3 3, 3 94 . 2SUI 2 , 5 04 . 6 8 2 , 5 04 . 6

TOTALS 1 2 5 , 8 98 . 9 3 NONE NONE 35 , 8 98 . 9

THE PI COWER FOUNDATI ON #13 - 69270431 2 - 31 - 04

FORM 990- PF, PART I - TAXES


17/48

THE PI COWER FOUNDATI ON # 1 3 - 6 9 2 70 4 31 2- 3 1- 0 4

FORM 990- PF, PART I - OTHER EXPENSES


EXPENSES I NVESTMENT NET CHARI TABLEDESCRI PTI ON PER BOOKS I NCOME I NCOME PURPOSESHANK CHARGES 1 . 0 0 1 . 0COMPUT ER EXPENSE 34, 290 . 5 0 3 4, 2 90 . 5

PAYROL L SERVI CES 2 , 4 59 . 7 0 2 , 4 59 . 7DUES & SUBSCRI PTI ONS 2 , 5 01 . 5 0 2 , 5 01 . 5ENTERTAI NMENT EXPENSE 2 , 9 73 . 9 4 2 , 9 73 . 9I NSURANCE 3 8, 2 54 . 1 2 3 8, 2 54 . 1

LC FEES/ SOLOW BLDG 3 , 72 6 . 5 5 3 , 7 26 . 5MAI NTENANCE & REPAI R 1 9, 1 13 . 4 9 1 9, 2 13 . 4MESSENGER EXPENSE 1 , 45 8 . 9 2 1 , 45 8 . 9MI SCEL L ANEOUS EXPENSE 7 8 . 3 1 7 8 . 3DELI VERY EXPENSES 4 8 . 0 0 4 8 . 0OFFI CE EXPENSE 1 6, 3 73 . 2 9 1 6, 3 73 . 2

OFFI CE SUPPLI ES 2 , 5 26 . 6 9 2 , 5 26 . 6PROCESSI NG FEE 2 8 9 . 6 0 2 8 9 . 6POSTAGE 2 1 5 . 4 1 2 1 5 . 4

REGI STRATI ON & FEES 2 , 0 25 . 0 0 2 , 02 5 . 0

TELEPHONE 8 , 918 . 5 5 8 , 91 8 . 5

TOTALS 1 35 , 2 54 . 5 7 NONE NONE 1 35 , 2 54 . 5


18/48

5 1 9 6 2 , 2 5 0 0 0 3 6 5 0 4 3 8 , 0 0 0 0 0 0 1 3 7 5 , 7 5 0 0 0 9 , 6 0 00 01 1 5 9 3 6 1 , 7 2 5 0 0 6 3 4 2 1 , 9 7 8 , 7 0 4 0 0 0 4 1 , 6 1 6 , 9 7 9 0 0 3 9 , 9 3 6 0 03 2 . 2 2 9 , 0 8 4 , 9 4 0 0 0 1 0 4 4 0 2 9 , 4 4 0 , 8 0 0 0 0 5 6 2 0 , 3 5 5 , 8 6 0 , 0 0 8 4 , 6 0 0 0 0 1 4 8 2 5 , 5 1 4 , 7 4 0 0 0 3 3 2 2 1 2 , 3 5 7 , 8 4 0 . 0 0 2 3 6 , 8 4 3 , 1 0 0 0 0 0 0 01 6 . 5 6 2 , 6 4 9 , 2 5 0 . 0 0 3 1 5 5 5 , 0 4 8 , 0 0 0 . 0 0 1 0 2 , 3 9 8 , 7 5 0 0 0 0 0 05 . 5 3 3 7 8 , 1 5 0 . 0 0 2 6 8 9 1 , 8 3 9 , 2 7 6 0 0 0 3 1 , 4 6 1 , 1 2 6 0 0 4 6 , 5 1 2 0 04 4 0 0 7 , 6 5 5 , 5 3 0 . 0 0 8 2 4 2 1 4 , 3 4 1 , 0 8 0 . 0 0 2 7 8 , 6 8 5 , 5 5 0 0 0 0 0 02 1 5 4 8 , 9 7 8 , 2 7 0 0 0 1 0 5 0 4 , 3 7 7 , 4 5 0 . 0 0 0 8 - 4 , 6 0 0 , 8 2 0 0 0 0 . 0 04 0 9 9 1 0 , 2 5 0 0 0 3 3 7 1 7 , 5 0 8 , 9 0 2 . 5 0 1 4 6 , 5 9 8 , 6 5 2 5 0 0 0 05 4 4 2 , 4 3 6 , 0 0 0 0 0 2 4 6 2 1 1 , 0 2 9 , 7 6 0 0 0 2 1 8 , 5 9 3 , 7 6 0 0 0 3 8 , 0 8 0 0 0 1 6 8 2 6 , 3 9 1 , 7 8 0 0 0 6 8 6 1 2 6 , 0 7 1 , 8 0 0 . 0 0 4 9 1 9 , 6 8 0 , 0 2 0 0 0 0 . 0 0

7 1, 0 9 3, 7 66 4 3 1 90 , 2 33 , 6 3 0 . 0 0 3 5 . 9 11 9, 1 39 , 8 63 5 7 56 7 , 8 0 0 . 0 0BI L L S2 0 0 , 0 0 0 US TREASURY B I L L

DUE 0 1 / 1 3 / 2 0 0 51 7 6 0 % Du e 0 1 - 1 3 - 0 5US TREASURY B I L LDUE 0 1 / 2 0 / 2 0 0 51 . 7 80 % Du e 0 1 - 2 0 - 0 51 5 0 , 0 0 0 US TREASURY B I L LDUE 0 2 / 0 3 / 2 0 0 51 7 3 0 % Du e 0 2 - 0 3 - 0 51 6 9 , 8 2 5 , 0 0 0 US TREASURY B I L LDUE 0 3 / 0 3 / 2 0 0 51 . 9 5 0% D ue 0 3 - 0 3 - 0 51 . 3 0 - 0 4 1 7 5 , 0 0 0 US TREASURY B I L LDUE 0 3 / 2 4 / 2 0 0 52 1 4 0 % Du e 0 3 - 2 4 - 0 5

9 9 . 5 9 1 9 9 , 1 7 8 0 0 9 9 9 4 1 9 9 , 8 9 0 . 0 0 0 0 7 1 2 0 0 3 , 5 20 0 0

l

Da t e Qu a n t i t y S e c u r i t yOMMONSTOCK1 2 , 5 0 0 ALCATEL ALSTHOM

ADS3 5 , 6 0 0 AMGEN I NC8 8 , 0 0 0 BELLSOUTH CORP. 9 4 4 9 , 5 6 5 BI OGEN I p EC I NC1 7 0 , 4 3 6 CARMAX I NC2 . 0 3 - 9 0 7 9 , 2 0 0 CAT ERPI LL AR I NC1 4 , 5 0 0 CAVCO NDUSTRI ESI NC5 8 0, 0 0 0 CENTEX CORP

5 4 3, 0 0 0 CI RCUI T CI T YSTORESI NC

4 . 0 8 - 9 4 5 7 , 5 0 0 CONOCOPHI LL I PSEAGL E MATERI ALSI NC

4 3 , 2 1 5 EAGLE MATERI ALSI NC CLASS BFANNI E MAE3 1- 0 4 3 , 8 5 1 F I DEL I T Y SPARTANUS TREASURYMONEY MARKET1 2 , 0 0 0 GENERAL ELECT RI CCO 3 1 , 2 0 0 JOHNSON &JOHNSON2 8 2, 0 0 0 KB HOME3 7 2 , 0 0 0 NETWORKAPPL I ANCE I NC

1 6 0 , 0 0 0 PALMONE I NC6 8 , 4 0 0 P FI Z ER I NC .RESEARCH I NMOTI ON L TD4 1 6 , 9 0 0 S I EB EL SYSTEMS I NC

2 2 2 , 7 5 0 STAPLES I NC4 . 1 2 - 9 5 4 4 8 , 0 0 0 TEXASI NSTRUMENTS I NC3 8 0, 0 0 0 TOLL BROTHERS I NC

PORTFOL I O APPRAI SALTHE PI COWER FOUNDAT I ON

December 3 1 , 2 0 0 4U n i t T o t a l Ma r k e t P c t . U n r e a l i z e d A n n u a l CC o s t C o s t P r i c e V a l u e A s s e t s C a i n / L o s s I n c o me Y i

3 3 1 3 4 1 4 , 1 1 0 . 4 3 1 5 . 6 3 1 9 5 , 3 7 5 . 0 0 0 0 - 2 18 , 7 35 4 3 4 , 2 50 0 06 5 4 2 3 2 , 8 6 2 5 0 6 4 1 5 2 , 2 8 3 , 7 4 0 . 0 0 0 4 2 , 0 5 0 , 8 7 7 50 0 0 01 3 6 9 1 , 2 0 4 , 5 0 0 . 0 0 2 7 7 9 2 , 4 4 5 , 5 2 0 0 0 0 5 1 , 2 4 1 , 0 2 0 0 0 6 6 , 8 8 0 0 0 7 1 6 3 5 4 , 8 4 0 6 2 6 6 6 1 3 , 3 0 1 , 5 2 4 6 5 0 6 2 , 9 4 6 , 6 8 4 . 0 3 0 0 01 7 9 7 3 , 0 6 2 , 3 4 5 3 7 3 1 0 5 5 , 2 9 2 , 0 3 7 8 0 1 . 0 2 , 2 2 9 , 6 9 2 . 4 3 0 0 01 9 . 3 6 1 , 5 3 3 , 5 2 5 0 0 9751 7 , 7 2 2 , 7 9 2 0 0 1 5 6 , 1 8 9 , 2 6 7 0 0 1 0 7 , 7 1 2 0 01 0 4 3 1 5 1 , 1 7 4 8 0 4 4 9 5 6 5 1 , 7 7 5 0 0 0 1 5 0 0 , 6 0 0 2 0 0 0 0

1 8 4 5 1 0 , 6 9 8 , 8 6 7 . 8 3 5 9 5 8 3 4 , 5 5 6 , 4 0 0 0 0 6 5 2 3 , 8 5 7 , 5 3 2 1 7 9 2 , 8 0 0 0 0 1 1 3 6 6 , 1 6 9 , 9 3 9 4 1 1 5 6 4 8 , 4 9 2 , 5 2 0 0 0 1 6 2 , 3 2 2 , 5 8 0 5 9 3 8 , 0 1 0 0 0 2 5 7 7 1 , 4 8 1 , 9 3 7 5 0 8 6 8 3 4 , 9 9 2 , 7 2 5 . 0 0 0 9 3 , 5 1 0 , 7 8 7 5 0 2 0 , 7 0 0 0 0 2 0 6 5 2 6 5 , 3 6 1 2 0 8 6 3 5 1 , 1 0 9 , 8 5 6 5 5 0 2 8 4 4 , 4 9 5 3 5 0 0 02 0 4 2 8 8 2 , 5 7 8 2 7 8 4 3 0 3 , 6 4 3 , 0 2 4 5 0 0 7 2 , 7 6 0 , 4 4 6 2 3 0 0 01 3 7 8 2 1 4 , 9 8 7 . 5 0 7 1 2 1 1 , 1 1 0 , 8 7 6 0 0 0 2 8 9 5 , 8 8 8 . 5 0 1 8 , 7 2 0 . 0 0

1 0 0 3 , 8 5 1 0 0 1 0 0 3 , 8 5 1 0 0 0 0 0 0 0 0 0 0

9 9 4 2 1 6 8 , 3 4 6 , 3 0 1 . 5 0 99 9 1 1 6 9 , 1 6 9 , 2 2 1 0 0 3 2 0 8 2 2, 9 1 9. 5 0 3 , 0 1 3 , 9 8 5 0 0

9 9 2 7 1 4 8 , 9 0 2 0 0 9 9 8 4 1 4 9 , 7 5 8 5 0 0 0 8 5 6 5 0 2 , 5 9 5 . 0 0

9 9 1 8 1 6 8 , 4 3 7 , 5 2 9 75 9 9 6 5 1 6 9 , 2 3 9 , 1 0 3 7 5 3 2 0 8 0 1 , 5 7 4 0 0 3 , 3 1 1 , 5 8 7 . 5 0

9 9 3 0 1 7 3 , 7 8 0 . 2 5 9951 1 7 4 , 1 4 0 . 7 5 0 0 3 6 0 5 0 3 , 7 4 5 . 0 0


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2

PORTFOL I O APPRAI SALTHE PI COWER FOUNDATI ONDe c e m b e r 3 1 , 2 0 0 4

U n i t T o t a l Ma r k e t P c t . U n r e a l i z e d A n n u a l CuD a t e Q u a n t i t y S e c u r i t y C o s t C o s t P r i c e V a l u e A s s e t s G a i n / L o s s I n c o me Y i

1 0 0 , 0 0 0 US TREASURY BI L L 9 9 4 5 9 9 , 4 5 3 0 0 9 9 4 5 9 9 , 4 5 4 0 0 0 0 1 0 0 2 , 2 0 0 0 0 DUE 0 3 1 3 1 / 2 0 0 52 2 0 0 % Du e 0 3 - 3 1 - 0 5

3 3 7 , 4 05 , 1 44 . 5 0 3 3 9, 0 3 1, 5 68 . 0 0 6 4 1 1 , 6 26 , 4 23 5 0 6 , 3 3 7 , 6 3 2 . 5 0AND EQUI VALENTSU S DOL L AR 0 1 8 0 1 8 0 0 0 0 0

0 . 1 8 0 . 1 8 0 . 0 0 . 0 0 0

PORT F OL I O 4 0 8 , 4 9 8 , 9 1 1 . 1 1 5 2 9 , 2 6 5 , 1 9 8 . 1 8 1 0 0 . Q2 0, 7 6 6, 2 87 . 0 7 6 , 9 0 5 , 4 3 2 . 5 0


20/48

PORTFOLI O 1 , 0 1 4 , 4 0 5 . 8 3 4 , 8 0 9 , 9 5 3 . 4 9 1 0 0 . 0 3 , 7 9 5 , 5 4 7 . 6 6 1 8 , 0 0 0 . 9 0

PORTFOL I O APPRA I SALTHE PI COWER FOUNDATI ON

De c em b e r 3 1 , 2 0 0 4U n i t T o t a l Ma r k e t P c t . U n r e a l i z e d A n n u a l Cu

Da t e Q u a n t i t y S e c u r i t y C o s t C o s t P r i c e Va l u e A s s e t s G a i n / L o s s I n c o me Y iOMMON STOCK

6 0 , 0 0 3 AMERI CAN I NT L 2 4 1 1 4 4 , 8 4 9 3 5 6 5 . 6 7 3 , 9 4 0 , 3 9 7 0 1 8 1 9 3 , 7 9 5 , 5 4 7 6 6 1 8 , 0 0 0 9 0 GROUPI NG

1 4 4 , 8 4 9 . 3 5 3 , 9 4 0 , 3 9 7 . 0 1 8 1 . 9 3 , 7 9 5 , 5 4 7 . 6 6 1 8 , 0 0 0 9 0ANDEQUI VALENTSU S DOLLAR 8 6 9 , 5 5 6 4 8 8 6 9 , 5 5 6 4 8 1 8 1 0 0 0

8 6 9 , 5 5 6 . 4 8 8 69 , 5 5 6 4 8 1 8 1 0 . 0 0


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REALI ZED GAI NS AND LOSSESTHE PI COWER FOUNDATI ONF r o n t 0 1 - 0 1 - 0 4 Th r o u g h 1 2 - 3 1 - 0 4

Open C l o s eDa t e Da t e Q u a n t i t y S e c u r i t y

1 1 - 2 8 - O 1 0 2 - OS- 0 4 0 EAGLEMATERI ALS I NC1 1 - 2 8 - O 1 0 2 - OS- 0 4 1 EAGLEMATERI ALS I NC

CLASS B1 2 - 3 1 - 0 3 0 2 - 1 9 - 0 4 5 , 4 6 1 F I DEL I T Y SPARTAN US

TREASURY MONEYMARKET

0 1 - 3 0 - 0 4 0 2 - 1 9 - 0 4 2 3 , 5 0 2 F I DEL I T Y SPARTAN USTREASURY MONEYMARKET

1 1 - 2 8 - 0 1 0 4 - 2 8 - 0 4 3 5 , 0 0 0 KRI SPY KREMEDOUGHNUT S I NC

I 1 - 2 8 - 0 1 0 4 - 2 8 - 0 4 1 5 , 0 0 0 KRI SPY KREMEDOUGHNUTS I NC1 1 - 2 8 - 0 1 0 4 - 2 8 - 0 4 3 0 , 0 0 0 KRI SPY KREMEDOUGHNUTS I NC

1 1 - 2 8 - 0 1 0 4 - 2 8 - 0 4 3 0 , 0 0 0 KRI SPY KREMEDOUGHNUTS I NC


1 1 - 2 9 - O1 0 4 - 2 9 - 0 4 4 5 , 0 0 0 KRi S PY KREMEDOUGHNUTS I NC



I 1 - 2 9 - 0 1 OS- 0 3 - 0 4 2 0 , 0 0 0 KRI SPY KREMEDOUGHNUTS I NC

0 2 - 2 7 - 0 4 OS- 0 3 - 0 4 6 F I DEL I T Y SPARTAN USTREASURY MONEYMARKET

0 3 - 3 1 - 0 4 OS- 0 3 - 0 4 4 8 , 2 8 0 F I DEL I T Y SPARTAN USTREASURY MONEYMARKET

0 4 - 3 0 - 0 4 OS- 0 3 - 0 4 5 1 , 9 2 3 F I DEL I T Y SPARTAN USTREASURY MONEYMARKET

0 4 - 0 5 - 9 5 0 7 - 0 1 - 0 4 1 0 0 , 0 0 0 NATI ONALSEMI CONDUCTOR CORP



1 2 - 0 3 - 0 1 0 7 - 0 1 - 0 4 3 , 1 0 0 S I E BE L SYSTEMS I NCOS- 2 8 - 0 4 0 7 - 0 7 - 0 4 8 , 9 3 0 F I DEL I T Y SPARTAN US

TREASURY MONEYMARKET

5 1 , 9 2 3 0 0 5 1, 9 2 3 0 0 0 0 0

1

C o s tB a s i s P r o c e e d s

7 6 9 2 0 2 51 0 2 1 2 6 8 2

5 , 4 6 1 0 0 5 , 4 6 1 0 0

2 3 , 5 0 2 0 0 2 3 , 5 0 2 0 0

1 , 2 7 9 , 2 5 0 0 0 1 , 2 1 4 , 5 0 0 0 05 4 8 , 2 5 0 0 0 5 1 9 , 4 5 0 0 0

1 , 0 9 5 , 6 0 0 0 0 1 , 0 3 8 , 9 0 0 0 01 , 0 9 5 , 6 0 0 0 0 1 , 0 3 7 , 1 0 0 0 01 , 4 6 0 , 8 0 0 0 0 1 , 3 6 0 , 0 0 0 0 01 , 6 1 2 , 3 5 0 0 0 1 , 5 3 0 , 0 0 0 0 01 , 0 7 4 , 9 0 0 0 0 9 9 5 , 1 0 0 0 02 , 1 4 7 , 4 0 0 0 0 1 , 9 9 0 , 2 0 0 0 0

7 1 5 , 8 0 0 0 0 6 4 8 , 4 0 0 0 0600 6 0 0

4 8 , 2 8 0 0 0 4 8 , 2 8 0 0 0

Ga i n Or L o s sS h o r t Te r m L o n g Te r m

1 2 5 61 6 6 1

0 0 0

0 0 0

- 6 4 , 7 5 0 0 0- 2 8 , 8 0 00 0- 5 6 , 7 0 0 0 0- 5 8 , 5 0 00 0

- 1 0 0 , 8 0 0 0 0- 8 2 , 3 5 0 0 0- 7 9 , 8 0 0 0 0

- 1 5 7 , 2 0 0 0 0- 6 7 , 4 0 00 0

0 0 0

000

8 8 1 , 2 5 0 . 0 0 2 , 1 1 1 , 0 0 0 0 0 1 , 2 2 9 , 7 5 0 0 08 6 8 , 7 5 0 0 0 2 , 1 0 0 , 0 0 0 0 0 1 , 2 3 1 , 2 5 0 0 08 5 6 , 2 5 0 0 0 2 , 1 0 3 , 0 0 0 0 0 1 , 2 4 6 , 7 5 0 0 0

6 6 , 0 3 0 0 0 3 2 , 5 8 1 0 0 - 3 3 , 4 4 9 0 08 , 9 3 0 0 0 8 , 9 3 0 0 0 0 0 0


22/48

REALI ZED GAI NS AND LOSSESTHE PI COWER FOUNDATI ONF r o m 0 1 - 0 1 - 0 4 T h r o u g h 1 2 - 3 1 - 0 4

Ga i n Or L o s sOpen C l o s e C o s tDa l e Da t e Q u a n t i f y S e c u r i t y B a s i s P r o c e e d s S h o r t Te r m L o n g Te r m

0 6 - 3 0 - 0 4 0 7 - 0 7 - 0 4 4 5 , 2 4 5 F I DEL I T Y SPARTAN US 4 5 , 2 4 5 0 0 4 5 , 2 4 5 0 0 0 0 0TREASURY MONEYMARKET



0 9 - 3 0 - 0 4 1 2 - 2 1 - 0 4 5 , 5 4 6 F I DEL I T Y SPARTAN US 5 , 5 4 60 0 5 , 5 4 60 0 0 0 0TREASURY MONEYMARKET



TOTAL GAI NS 0 0 0 3 , 7 0 7 , 7 7 9 1 7TOTAL LOSSES 000 - 7 2 9 , 7 4 9 00

1 4 , 0 0 6 , 4 5 2 . 9 0 1 6 , 9 8 4 , 4 8 3 . 0 7 0 . 0 0 2 , 9 7 8 , 0 3 0 . 1 7TOTAL REALI ZEDGA I N/ L OS S 2 , 9 7 8 , 0 3 0 1 7

2


23/48

FORM 99 0- PF PART VI I I - L I ST OF OFFI CERS DI RECTORS AND TRUSTEES

Ti t l e and Ti meName & Addr ess Devo t ed t o Pos i t i on

J ef f r y M Pi c ower Tr us t ee NONE NONE NONEc / o Th e Pi c o wer Fo u ndat i o n 2 5 Hr s / WkBa r bar a Pi cower Tr u s t ee/ 2 3 , 04 2 2 , 92 0 . - 0 -c / o Th e Pi cower Fo u ndat i o n Ex ec ut i v e

Di r ec t o r5 0 Hr s / Wk

Nor man B Lev ent h al Tr u s t ee NONE NONE NONc / o The Pi c ower Foundat i on . 7 5 Hr s / WkW l l i am D . Zabel Tr us t ee NONE NONE NONc / o Th e Pi c ower Foundat i on . 7 5 Hr s / WkGer a l d C . Mc Namar a Tr us t ee NONE NONE NONc / o Th e Pi c o wer Fo u ndat i o n . 7 5 Hr s / WkMar t i n R Post Tr us t ee NONE NONE NONc / o Th e Pi cower Fo u ndat i o n . 7 5 Hr s / Wk

GRAND TOTALS 2 3 , 04 2 . 2 , 92 0 . NON

THE PI COWER FOUNDATI ON #13 - 69270431 2- 3 1- 04


24/48

THE PI COWER FOUNDATI ONEI N : 1 3 - 6 9 2 7 0 43

NAME AND ADDRESS I NDI VI DUAL 5 0 1 ( C ) ( 3 ) PURPOSE AMOUNTMr Ro b e r t Mc F a l l sCh i e f E x e c u t i v e O f f i c e rAr e a A g e n c y o n Ag i n g o f Pa l m Be a c h C o u n t N 5 0 1 ( C ) ( 3 ) A c t i v e A g i n g E v a l u a t i o n 2 5 , 0 0 0 11 7 6 4 No r t h Co n g r e s s A v e n u e , S u i t e 2 0 1Wes t Pa l m B e a c h , F L 3 3 4 0 9Mr . E a r l Ma r t i n Ph a l e nCEO Ge n e r a l Op e r a t i n g s u pp o r t o fB . E . L . L . F o u n d a t i o n N 5 0 1 ( C ) ( 3 ) 8 E . L L ' s NY p r o g r a ms a n d 5 0 , 0 0 0 26 0 Cl a y t o n St r e e t c a p a c i t y b u i l d i n g e f f o r t sDo r c h e s t e r , MA 0 2 1 2 2Ms . Ma r y O' ConnorEx e c u t i v e Di r e c t o rB o y s a n d G i r l s Cl u b s o f PBC N 5 0 1 ( C ) ( 3 ) Ga t o r s Ga l o r e 1 0 , 0 0 0 38 0 0 No r t h po i n t Pa r k w a y , S u i t e 2 0 4Wes t Pa l m Be a c h , F L 3 3 4 0 9Ms , L i n da Ro s e nb l u t hEx e c u t i v e Di r e c t o rF o r wa r d F a c e N 5 0 1 ( C ) ( 3 ) F o r w a r d F a c e 2 0 , 0 0 0 43 1 7 E a s t 3 4 t h S t r e e t , Su i t e 9 0 1 ANew Y o r k , NY 1 0 0 1 6Ms . J e n n y Mo r g e nt h a uEx e c u t i v e Di r e c t o r Camp Hi d de n V a l l e y & Ca r e e rF r e s h A i r F u n d Awa r e n e s s Pr o g r a ms @Camp 6 0 , 0 0 0 56 3 3 T h i r d A v e n u e , 1 4 t h F l o o r N 5 0 1 ( C ) ( 3 ) M a n a hNY , NY 7 0 0 1 7Ms J o y c e Roc heEx e c u t i v e Di r e c t o r Y e a r One o f Un de r s t a n di n g G i r l sG i r l s I n c . I n c o r p o r a t e d A f t e r - S c h o o l 2 2 4 , 0 0 0 61 2 0 Wa l l S t r e e t N 5 0 1 ( C ) ( 3 ) Pr o g r a ms s t u d yNY , NY 1 0 0 0 5Ms . Em l y R a f f e r t yS e ni o r Vi c e Pr e s i d e nt f o r E x t e r n a l A f f a i r sMe t r o po l i t a n Mus eum o f A r t Ge n e r a l Op e r a t i n g Su p p o r t 5 0 , 0 0 0 71 0 0 0 F i f t h Avenue N 5 0 1 ( C ) ( 3 )NY , NY 1 0 0 2 8Mr . Ronay Me n s c h e lPr e s i d e nt / CE O Summer Da y Camp a n d Da l yPh i p p s Co mmu n i t y De v e l o p me n t A v e n u e E a r l y Ch i l d ho o d Ce n t e r 1 1 4 , 0 0 0 84 3 Wes t 2 3 r d S t r e e t N 5 0 1 ( C ) ( 3 ) H e a d S t a r tNY , NY 1 0 0 1 0Ms Ru t h L a u d e ShumanPr e s i d e ntP u b l i c o l o r COLOR Cl u b a n d N e x t S t e p s 5 0 , 0 0 0 91 1 4 E a s t 3 2 n d S t . , Su i t e 9 0 0 N 5 0 1 ( C ) ( 3 ) p r o g r a msNY , NY 1 0 0 1 6An d r e a HananMu s i c T e a c h e r " 1 0 0 y e a r s o f Br o a d w a y "R o y a l Pa l m S c h o o l N 5 0 1 ( C ) ( 3 ) f u nd r a i s i n g c o n c e r t 5 0 0 1 06 0 5 0 L a wr e n c e RoadL a nt a n a , F L 33462

6 0 3 , 5 0 0 1


25/48

THE PI COWER FOUNDATI ONE I N 1 3 - 6 9 2 7 0 4 3

NAME AND ADDRESS I NDI V I DUAL 5 0 1 ( C ) ( 3 ) PU RPOS E AMOUNTS h e l l y T i l t o n H a l lR e g i o n a l De v e l o p me n t D i r e c t o rU n i t e d S t a t e s Ol y mp i c Co mmi t t e e N 5 0 1 ( C ) ( 3 ) A t h l e t e ' s t r a i n i n g p r o g r a m 1 0 0 , 0 0 0 11 Ol y mp i c P l a z aCo l o r a d o S p r i n g s , CO 8 0 9 0 9

2

3

4

5

6

7

8

9

1 0

1 0 0 , 0 0 0 1 1


26/48

THE PI COWER FOUNDATI ONE I N - 1 3 - 6 9 2 7 0 4 3

NAME AND ADDRESS 7 7 NDI VI DUAL 5 0 1 ( C ) ( 3 ) PURPOSE AMOUNTMs Ru t h Me s s i n g e rPws i d e n t El e e no s y na r y g r o u pAme r i c a n J e wi s h Wo r l d S e r v i c e N 5 0 1 ( C ) ( 3 ) & E v a l u a t i o n f o r AJ WS $ 1 7 , 0 0 04 5 We s t 3 6 t h S t r e e t & AVODAHNew Y o r k , NY 1 0 0 8Ms . Ru t h Me s s i n g e rPr e s i d en t I n t e r n a t i o n a l J e wi s hAme r i c a n J e wi s h Wo r l d Se r v i c e N 5 0 1 ( C ) ( 3 ) Co l l e ge Co r p s $ 50 , 0 0 0 24 5 We s t 3 6 t h S t r e e tNe w Y o r k , NY 1 0 0 1 8Mr . My l e s Go r d o nV i c e Pr e s i d en t o f Ed uc a t i o n Ca r e e r E x p l o r a t i o n a n dAme r i c a n Mus eu m o f Na t u r a l H i s t o r y N 5 0 1 ( C ) ( 3 ) I n s i d e Vi e w Pr o g r a ms $ 1 1 5, 0 0 0 3Ce n t r a l Pa r k We s t a t 7 9 t h S t r e e tNe w Y o r k , NY 1 0 0 2 4Mr . Ro b e r t Mc Fa l l sEx e cu t i v e D i r e c t o r L e ad er s h i p I n s t i t u t eAr e a A g e n c y o n Ag i n g N 5 0 1 ( C ) ( 3 ) f o r A c t i v e Ag i n g $ 1 0 0 , 0 0 0 41 7 6 4 C o ng r e s s S t r e e t , S u i t e 2 0 1We s t Pa l m B e a c h , F I 3 3 4 0 9Ms . We nd y We n d l a n tP o l i t i c a l D i r e c t o r Ge n e r a l Op e r a t i n gCe n t e r f o r P u b l i c I n t e r e s t Re s e a r c h N 5 0 1 ( C ) ( 3 ) S u p p o r ' t & New V o t e r ' s $ 2 0 0 , 0 0 0 53 4 3 5 Wi l s h i r e B l v d , S u i t e 3 8 5 P r o j e c tL o s An g e l e s , CA 9 0 0 1 0Ms . Re g i n a P er u g g iPr e s i d en t Ge n e r a l Op e r a t i n gCe n t r a l Pa r k Co n s e r v a n c y N 5 0 1 ( C ) ( 3 ) S up p o r t & Pr o g r a ms i n $ 1 0 5, 0 0 0 61 4 E a s t 6 0 t h S t Ed uc a t i o n De p a r t me n tNew Y o r k , NY 1 0 0 2 2Ms . T a n a Eb b o l eEx e c ut i v e D i r e c t o rC h i l d r e n ' s Se r v i c es Co u n c i l N 5 0 1 ( C ) ( 3 ) B e a c o n S ch o o l s $ 2 0 0 , 0 0 0 71 9 1 9 N o r t h F l a g l e r D r i v eWe s t Pa l m B e a c h , FL 3 3 4 0 7Ms . T a n a Eb b o l eEx e cu t i v e D i r e c t o rC h i l d r e n ' s B e h a v i o r a l He a l t h I n i t i a t i v e N 5 0 1 ( C ) ( 3 ) Pr i ma r y P r o j e c t / E a r l y $ 1 9 5 , 1 8 5 81 9 1 9 No r t h F l a g l e r Dr i v e I n t e r v e n t i o nWe s t Pa l m B e a c h , F I L 3 3 4 0 7Mr . Da v i d R i v e lEx e c u t i v e D i r e c t o rC i t y Pa r k s Fo u nd a t i o n N 5 0 1 ( C ) ( 3 ) C i t y Pa r k Co nc e r t s $ 1 4 5, 0 0 0 9Th e A r s e n a l , Ce n t r a l P a r k , 83 0 F i f t h A v e n u eNew Y o r k , NY 1 0 0 2 1Mr . E l i s a b e t h S t o c kEx e c ut i v e D i r e c t o rCo mp u t e r s Fo r Yo u t h N 5 0 1 ( C ) ( 3 ) Ge n e r a l Op er a t i n g $ 6 7 , 0 0 0 1 05 0 5 E i g h t h A v e n u e , S u i t e 2 4 0 2 S up p o r tNew Y o r k , NY 1 0 0 1 8 1 $ 1 , 1 9 4 , 1 85 2


27/48

THE PI COWER FOUNDATI ONE I N - 1 3 - 6 9 2 7 0 4 3NAME A ND A DDRESS I N D I V I D U A L 5 0 1 ( C ) ( 3 ) PURPOSE AMOUNTMs C l a u d i a K i r k B a r t oE x e c u t i v e D i r e c t o rC y s t i c F i b r o s i s - F l o r i d a C h a p t e r N 5 0 1 ( C ) ( 3 ) G r e a t S t r i d e s $ 5 , 0 0 02 2 0 0 N o r t h F l o r i d a Man go Road S u i t e 3 0 4We s t Pa l m B e a c h , F L 3 3 4 0 9Ms J a q u e l i n e P i n eC o - E x e c u t i v e D i r e c t o rE a r l y S t a g e s N 5 0 1 ( C ) ( 3 ) S c h o o l B a s e d Pr o g r a ms $ 2 0 , 0 0 0 23 3 0 We s t 4 2 n d S t r e e tNe w Y o r k , NY 1 0 0 3 6Ms B o n n i e M e l t z e rD i r e c t o r o f De v e l o p me n t a n d P u b l i c A f f a i r s C h a l l e n g e G r a n tF a c i n g H i s t o r y a n d O u r s e l v e s N 5 0 1 ( C ) ( 3 ) f o r t h e r e - d e s i g n o f i t s $ 5 0 , 0 0 0 31 6 Hu r d Road w e b s i t eB r o o k l i n e , MA 0 2 4 4 5Ms K a t h y F o s t e rP r e s i d e n tJ u n i o r Ac h i e v e me n t N 5 0 1 ( C ) ( 3 ) E x c h a n g e C i t y $ 5 0 , 0 0 0 45 6 0 1 C o r p o r a t e Wa y , S u i t e 4 0 0We s t Pa l m B e a c h , F I L 3 3 4 0 7Mr C h a r l e s V e s tP r e s i d e n t No r ma n B L e v e n t h a lM a s s a c h u s e t t s I n s t i t u t e o f Te c h n o l o g y N 5 0 1 ( C ) ( 3 ) P r e s i d e n t i a l Gr a d u a t e $ 1 9 9 , 4 4 0 57 7 Ma s s a c h u s e t t s A v e n u e F e l l o w sC a mb r i d g e , MA 0 2 1 3 9S c o t t B a d e s c hE x e c u i t v e D i r e c t o r a n d CPO P i c o w e r Q u a l i t yU n i t e d Way o f Pa l m B ea c h Co u n t y N 5 0 1 ( C ) ( 3 ) C h i l d c a r e I n i t i a t i v e $ 4 5 , 4 0 1 0 7 62 6 0 0 Qu a n t u m B l v dB o y n t o n B e a c h , F L 3 3 4 2 6Mr A i l e e n H e f f e r r e n G e n e r a l O p e r a t i n gE x e c u t i v e D i r e c t o r A l u m n i P r o f e s s i o n a lP r e p f o r P r e p N 5 0 1 ( C ) ( 3 ) U n i t , P i c o w e r $ 2 5 0 , 0 0 0 73 2 8 We s t 7 1 s t S t r e e t U n d e r g r a d u a t eNe w Y o r k , NY 1 0 0 2 3 I n t e r n s h i p sMr . D i a n e B a i l l a r g e o n Co mp r e h e n s i v eE x e c u t i v e D i r e c t o r C h i l d c a r e I n i t i a t i v eS e e d c o N 5 0 1 ( C ) ( 3 ) f o r t h e E a r n F a i r A l l i a n c e $ 7 5 , 0 0 0 89 1 5 B r o a d wa y , S u i t e 1 7 0 3Ne w Y o r k , NY 1 0 0 1 0Mr M o r r i s D eesP r i ma r y C o n t a c tS o u t h e r n P o v e r t y L a w Ce n t e r N 5 0 1 ( C ) ( 3 ) T o l e r a n c e o r g $ 1 0 0 , 0 0 0 94 0 0 Wa s h i n g t o n A v e n u eMo n t g o me r y , AL 3 6 1 0 4Ms We n d y K o p pP r e s i d e n t F o r p r e - s e r v i c eT e a c h f o r A me r i c a N 5 0 1 ( C ) ( 3 ) t r a i n i n g a n d $ 2 0 0 , 0 0 0 1 03 1 5 We s t 3 6 t h S t 6 t h F l o o r d e v e l o p me n tNe w Y o r k , NY 1 0 1 8 5 p r o g r a ms $ 9 9 4 , 8 4 1 0 7 2 . 1


28/48

THE PI COWER FOUNDATI ONEI N : 1 3 - 6 9 2 7 0 4 3

NAME AND ADDRESS I NDI V I DUAL 5 0 1 ( C ) ( 3 ) PURPOSE AMOUNT - - -Mr . A l l a n K i r s c h n e rD i r e c t o r o f De v e l o p me n t Pa l m B e a c h Co u n t yUn i t e d Ne g r o Co l l e g e F u n d N 5 0 1 ( C ) ( 3 ) Sc h o l a r s h i p s $ 5 6 , 0 0 01 0 4 4 4F a i r f a x , VA 2 2 0 3 1 - 4 5 1 1Ms . J e n n i f e r L y n c hD i r e c t o r o f De v e l o p me n tV H- 1 S a v e t h e Mu s i c F ou n d a t i o n N 5 0 1 ( C ) ( 3 ) Mu s i c E d uc a t i o n $ 2 5 , 0 0 0 21 5 1 5 Br o a d w a y i n o n e PBC S c h o o lNew Y o r k , NY 1 0 0 3 6Mr . Da v i d L e l a n dN a t i o n a l D i r e c t o r Ge n e r a l Op e r a t i n gVo t i n g f o r Ame r i c a , I n c . N 5 0 1 ( C ) ( 3 ) S u pp o r t f o r P r o j e c t Vo t e $ 2 0 0 , 0 0 0 36 8 0 5 Oak Cr e e k Dr i v eCo l u mb u s , OH 4 3 2 2 9

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29/48

THE PI COWER FOUNDATI ONE I N * 1 3 - 6 9 2 7 0 4 3

NAME AND ADDRESS I NDI V I DUA L 5 0 1 ( C ) ( 3 ) PURPOSE AMOUNTMs R a c h e l Mo o r eE x e c u t i v e D i r e c t o rAme r i c a n B a l l e t T he a t r e N 5 0 1 ( C ) ( 3 ) E d u c a t i o n P r o g r a ms 2 5 , 0 0 0T h e P e t e r T J o s e p h S t u d i o s8 9 0 B r o a d wa yNew Y o r k , NY 1 0 0 0 3 - 1 2 7 8Ms Amy J a f f e B a r z a c h Ou t r e a c h & E d u c a t i o nEx e c u t i v e D i r e c t o r P r o g r a m a n d Ma i n t e n a n c eB o u n dl e s s P l a y g r o u n d s N 5 0 1 ( C ) ( 3 ) Co s t s o f t h e n e w w e b s i t e 1 0 0 , 0 0 0 24 5 W l t o n A v e n u eB l o o mf i e l d , CT 0 6 0 0 2Ms . Ma

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