0056ab91990s.foundationcenter.org/990pf_pdf_archive/680/68... · t n zs temporarily restricted 26...

25
Form 9g0-PF Return of Private Foundation or Section 4947(ax1) Nonexempt Charitable Trust Treate d as a Private Foundation oeoarmenc of the Treasury Note The organization may be able to use a copy of this return to satisfy state Internal Revenue semen reporting requirements Civ et x` 10 FNS OOS I 2001 G Check all that a pp l y X Initial return Final return Amended return Use the IRS label Carrera-Joffe Foundation olAennse, 4940 Bell Road pant ortype Auburn, CA 95602-9219 See Specific Instructions 30-823-2409 C It exemption application is pending, check here ~ IX I D 1 Foreign organizations, check here H Check type of organization X Section 501(c)(3 exempt private foundation 2Foreign organizations meeting the 85% lest, check le trust Other taxable private foundation here and attach computation 4ccountin method X Cash Accrual E It private foundation status was terminated L ]Accrual section SW(6)(I)(A), check here Other (specify) F It the foundation is in a 60 month termination rt l, column d must be on cash basis under section 501(6)(1)(B), check here (a) Revenue and I (b) Net investment (c) Adjusted net (d) Disbursements expenses per books income I income for charitable Part fl, column c, line 16) 1 .831 .( Expenses (The total o/ amounts in columns b, c, and d may not neces- sarily equal the amounts in column a ) purposes (cash basis only) Contributions gifts grants, etc received (aft xh) Ck - Fld lie loundn is not FN m au Sc, B 2 Distributions from split interest trusts 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities Sa Gross rents b (Net 6d Net gaiN(loss) from sale of assets not on lute 10 b Gross sales pnces for all 1 ~ 817 ~ 948 asses on line sa Capital gain net income (from Part V line 2) B Net short-term capital gain 9 Income modifications l0a Gross sales less returns and allowances b Less Cost of goods sold c Gross profit/(loss) (aft sch) 11 Other income (attach schedule) 13,135 1 i~~~B~l~~~ lY 1 772 948 ' N O E V N ~E 12 Total Add lines 1 rough 11 3 6U4 U31 1, /if6, 0 3 Compensation of off Se dircctors,y iy~teyq Ptc' 14 Other employee safarie and wags ~~+C~ p 15 Pension plans, em to ee benefits m 16a Legal tees (attach sch R~ b Accounting tees (attach O N 1 c Other prof fees (attach h) e r 17 Interest OGpE A 78 Taxes (attach schedule) ~ 19 Depreciation (attach sch u e an ep elion il ~~ i x v 20 Occupancy E 21 Travel, conferences, and meetings E 22 Printing and publications o P 23 Other expenses (attach schedule) E N E 24 Total operating and administrative s expenses Add lines 13 through 23 25 Contributions, gifts, grants paid 26 Total expenses and disbursements . Add lines 24 and 25 0 27 Subtract line 26 from line 12 w~ ,.~~ ~, . ;s, a Excess of revenue over expenses ` and disbursements 3,604,031 b Net imnslmeM ircomit (1 repahw, enter 0 ) 1,786, 0 C Adjusted net inco" (I reqa4w en"er 0 ) tAA For Paperwork Reduction Act Notice, see the instructions' ` ' rEEnoSatL oi2uo2 ' 13 Zl Section 11 13 .135 » .u.~.~..~.uu~ .n ~»» . .»» . 0 Form

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Page 1: 0056ab91990s.foundationcenter.org/990pf_pdf_archive/680/68... · T N ZS Temporarily restricted 26 Permanently restricted S B OrganizaLOns that do not follow SFAS 177, check here 5

Form 9g0-PF Return of Private Foundation or Section 4947(ax1) Nonexempt Charitable Trust

Treated as a Private Foundation oeoarmenc of the Treasury Note The organization may be able to use a copy of this return to satisfy state Internal Revenue semen reporting requirements

Civ et x`10 FNS OOSI

2001

G Check all that app l y X Initial return Final return Amended return Use the IRS label Carrera-Joffe Foundation olAennse, 4940 Bell Road pant ortype Auburn, CA 95602-9219

See Specific Instructions

30-823-2409 C It exemption application is pending, check here ~ IX I D 1 Foreign organizations, check here

H Check type of organization X Section 501(c)(3 exempt private foundation 2Foreign organizations meeting the 85% lest, check le trust Other taxable private foundation here and attach computation

4ccountin method X Cash Accrual E It private foundation status was terminated L ]Accrual section SW(6)(I)(A), check here Other (specify) F It the foundation is in a 60 month termination

rt l, column d must be on cash basis under section 501(6)(1)(B), check here

(a) Revenue and I (b) Net investment (c) Adjusted net (d) Disbursements expenses per books income I income for charitable

Part fl, column c, line 16)

1 .831 .(

Expenses (The total o/ amounts in columns b, c, and d may not neces-sarily equal the amounts in column a )

purposes (cash basis only)

Contributions gifts grants, etc received (aft xh)

Ck - Fld lie loundn is not FN m au Sc, B

2 Distributions from split interest trusts 3 Interest on savings and temporary

cash investments 4 Dividends and interest from securities Sa Gross rents b

(Net

6d Net gaiN(loss) from sale of assets not on lute 10b Gross sales pnces for all

1 ~ 817 ~ 948 asses on line sa Capital gain net income (from Part V line 2)

B Net short-term capital gain 9 Income modifications l0a Gross sales less

returns and allowances

b Less Cost of goods sold

c Gross profit/(loss) (aft sch) 11 Other income (attach schedule)

13,135 1

i~~~B~l~~~ lY

1 772 948 '

N

O E V

N

~E

12 Total Add lines 1 rough 11 3 6U4 U31 1, /if6, 0 3 Compensation of off Se dircctors,yiy~teyq Ptc' 14 Other employee safarie and wags ~~+C~

p 15 Pension plans, em to ee benefits m 16a Legal tees (attach sch R~

b Accounting tees (attach O N 1 c Other prof fees (attach h)

e r 17 Interest OGpE A 78 Taxes (attach schedule) ~ 19 Depreciation (attach sch u e an ep elion il ~~ i

x v 20 Occupancy E 21 Travel, conferences, and meetings E 22 Printing and publications

o P 23 Other expenses (attach schedule) E N E 24 Total operating and administrative s expenses Add lines 13 through 23

25 Contributions, gifts, grants paid 26 Total expenses and disbursements.

Add lines 24 and 25 0 27 Subtract line 26 from line 12 w~ �� ,.~~ ~, � � . ;s,

a Excess of revenue over expenses ` and disbursements 3,604,031

b Net imnslmeM ircomit (1 repahw, enter 0 ) 1,786, 0 C Adjusted net inco" (I reqa4w en"er 0 )

tAA For Paperwork Reduction Act Notice, see the instructions'

` ' rEEnoSatL oi2uo2 ' 13

Zl

Section

11

13 .135

» .u .~.~..~.uu~.n

~»»..»» .

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Form

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68-0481048 Pag e 2 Beginning of year End of year (a) Book Value (b) Book Value (c) Fair Market Value

' 4 , V^^ ^ �, � , V ^ 1,831,084 `A 14, 831, 084,Y

0 1,831,084 1,831,084

0

3,604,031

3,604,031 1,772,947 1 .831 .084

Organiza4ons that follow SFAS 117, check here and complete lines 24 through 26 and lines 30 and 31

N F pq Unrestricted E U T N ZS Temporarily restricted

26 Permanently restricted

S B OrganizaLOns that do not follow SFAS 177, check here 5 A and complete lines 27 through 31 E L T A 27 Capital stock, trust principal, or current funds 5 N Zg Paid in or capital surplus, or land, building, and equipment fund

29 Retained earnings, accumulated income, endowment or other funds O E R 5 30 Total net assets or fund balances (see instructions)

31 Total liabilities and net assetslfund balances 1 .83

Part /I) Analysis of Changes in Net Assets or Fund Balances

reEn0300. 09r25roi

Fdr.ns9o-PF(2001) Carrera-Joffe Foundation .~ AtmdheA schedules and amoun6 in Uie description

p8el ~~ Balance Sheets column should be for end of year amounts only (See rtstmcnors

1 Cash - non-interest-bearing 2 Savings and temporary cash investments 3 Accounts receivable

Less allowance far doubtful accounts 4 Pledges receivable

Less allowance for doubtful accounts ~ 5 Grants receivable 6 Recervables due from officers, directors, trustees, and other

disqualified persons (attach schedule) (see instructions) 7 Other notes and loans receivable (attach sch)

p ----------Less allowance for doubtful accounts 5 8 Inventories for sale or use

9 Prepaid expenses and deferred charges T l0a Investments - U S and state government

obligations (attach schedule) b Investments - corporate stack (attach schedule c Investments - corporate bands (attach scheduled j

11 Investments - land, buildings, and equipment basis Less accumulated depreciation (attach schedule)

12 Investments - mortgage loans 13 Investments - other (attach schedule) 14 Land, buildings, and equipment basis~_

Less accumulated depreciation (attach schedule) ~ j

15 Other assets (describes ) 16 Total assets (to be completed by all filers -

see instructions Also, see page 1, item I)

17 Accounts payable and accrued expenses

18 Grants payable A B 19 Deferred revenue

20 Loans from officers, directors, trustees, & other disqualified person: L 21 Mortgages and other notes payable (attach schedule) 22 Other liabilities (describe ~ )

r

0 I 1 .831

1 Total net assets or hind 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) 4 Add lines 1, 2, and 3 5 Decreases nolincluded inline 2(item¢e) ~ See Statement 2 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Par1711 , column (b), line 30

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68-0481048 Page :

b) How aWmrad (C) Data xauned (d) Dal. sold P - Purchase (month day year) (month day yeas) D - Donation

/22/99 9/04/01 P 4/22/99 9/05/01

rmsso-PF z001 Carrera-JOtte Foundation aCtIY`, apital 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 shares MLC Company)

is Maximus Inc Common Stock - 15,000 Shares b Maximus Inc Common Stock - 30 .000 Shares

the foundation on 12/31/69 (k) Excess of column (i) over column 0), if any

in column (h) and owned (j) Adjusted basis as of 12/31/69

b c d

3

2

3

4

5

6

7 7 Add lines 5 and 6

TEEA071191- 0925/01

(e) Gross sales price

a 617,763 n 1 .200 . 185

d e

~mplete only for assets () Fair Market Value

as of 12/31/69

(Q Depreciation allowed (or allowable)

Cost or other basis us expense of sale

15 .

2 Capital gain net income or (net capital loss) If gain, also enter in Part I, line 7 {If (loss), enter 0- in Part I, line 7

3 Net short term capital gain or (loss) as defined in sections 1222(5) and (6)

If gain, also enter in Part I, line 8, column (c) (see instructions) If (loss), enter -0 in Part I, line 8

Part V qualification Under Section 4940(e ) for Reduced Tax on Net Investment Incan (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )

If section 4940(d)(2) applies, leave this part blank

Was the organization liable for the section 4942 tax on the distributable amount of any year in the base period It '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 instructions before making any entries

a b c Base period years Adjusted qualifying distributions Net value of

Calendar year (or tax year noncharila6le use assets beginning in)

2000 I 1999

2 Total of line 1, column (d)

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

4 Enter the net value of noncharitable-use assets for 2001 from Part X, line 5

5 Multiply line 4 by line 3

6 Enter 1 % of net investment income (I% of Part I, line 27h)

8 Enter qualifying distributions from Part XII, line 4 1 8

If line 8 is equal to or greater than line 7, check the box in Part VI, line 16, and complete that part using a 1% lax rate See the Part VI instructions

BAA Form 990-PF (2001)

i) Gain or (loss) plus (1) minus (g)

602 .763

(I) Gains (column (h) gain minus column (k), but not less than 0 ) or Lasses (from column (h))

1 .170 .1

N/A

Yes E]No

(d) Distribution ratio

(column (b) divided by column (c))

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1 a Exempt operating foundations described in Section 4940(d)(2), check here ~ U and enter 'N/A' on line I Date of ruling letter - _----- (attach copy of ruling letter if necessary - see Instructions)

b Domestic organizations that meet the Section 4940(e) requirements in Part V, check here I` and enter 1°h of Part I, line 27b

c All other domestic organizations enter 2% of line 27b Exempt forego organizations enter 4% of Part I, line IZ, column (b) 2 Tax under Section 511 (domestic Section 4947(a)(1) trusts and taxable foundations only Others enter 0-) 3 Add lines 1 and 2 4 Subtitle A (income) tax (domestic Section 4947(a)(1) trusts and taxable foundations only Others enter -0 ) 5 Tax based on investment income Subtract line 4 from line 3 If zero or less, enter -0- 6 Credits/Payments a 2001 estimated lax pmts and 2000 overpayment credited to 2001 Sa l b Exempt foreign organizations - tax withheld at source 6b c Tax paid with application for extension of time to file (Form 886fl) 6c d Backup withholding erroneously withheld 6d

7 Total credits and payments Add lines fia through 6d 8 Enter any penalty for underpayment of estimated tax Check here XO if Form 2220 is attached 9 Tax due If the total of lines 5 and 8 is mare khan line 7, enter amount awed See Statement 3 10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid 11 Enter the amount on line 10 to be Credited to 2001 estimated tax 11~ I Refunded

Sb .75U

reena3ML oirzem

fictY11=A Statements Regarding Activities

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did it - Yes No

participate or intervene in any political campaign? 1 a X

b Did it spend more than =100 during the year (either directly or indirectly) tar political purposes (see instructions far detinilmn)7 1 b X

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

c Did the organization file Form 1120-POL for this year? 1 c ' ~X d Enter the amount (it any) of tax on political expenditures (Section 4955) imposed during the year (1) On the organization ~ $ 0 (2) On organization managers ~ $ 0

e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on ' organization managers ~ $ 0

2 Has the organization engaged in any activities that have not previously been reported to the IRS ~ 2 X

1/'Yes,' attach a detailed description of the activities

-~a -° 3 Has the organization made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other similar insirumenls7 11 'Yes, attach a conformed copy of the changes 3 " `~ X

4a Did the organization have unrelated business gross income of $1,000 or more during the yeai7 4a X

b If 'Yes,' has it filed a tax return on Forth 990-T for this year? 4b _hL (A

5 Was there a liquidation, termination, dissolution, or substantial contraction during the years 5 X

If '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

0 By language in the governing instrument or ,

0 By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict `^' ^^ with the state law remain in the governing instruments ~6^ ~X

7 Did the organization have al least $5,0(10 in assets at any dime during the years If Yes,' complete Part /l, column (c), and Parf XV 7 X Be Enter the stales to which the foundation reports or with which it is registered (see instructions)

N/A ~ A ------------------------------------------------------- t . .~>

b If the answer is 'Yes' to line 7, has the organization furnished a copy of Form 990.PF to the Attorney General ~- % w~ (or designate) of each slate as required by General Instruction G7 II'No,'attach efplana6on ~[Bb

-1, ' M

9 Is the organization claiming status as a private operating foundation within the meaning of Section 4942Q)(3) or b%2Q)(~ far calendar year 2001 or the taxable year beginning in 2001 (see instructions for Parl XIV)7 ll'Yes,'completePart XIV ~9� ~ ''X Y~

10 Did any persons become substantial contributors during the tax year? 10 X I! Yes, attach a schedule listing then names and addresses See Statement 4

11 Did the organization comply with the public inspection requirements for its annual returns and exemption applications 11 X Web site address w N/A

12 The books are in care of " MdfgdfEt Caff2fa --_-___--_____ Telephone no ~ 530-$23-2409 --_ Located at - 4940 Bell Road, Auburn, CA ZIP +a - 95602-9219

13 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here N!A and enter the amount of tax-exempt interest received or accrued during the year ~I 73 I N/A

BAA Form 990.PF (2001)

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1) Carrera-Joffe Foundation 68-0481048 Pace 5

File Form 4720 if any item is checked m the 'Yes' column, unless an exception applies Yes No , 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 persons Yes NNo '

(2) Borrow money from, lend money lo, or otherwise extend credit to (or accept it from) a - disqualified persons Yes X No

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified persons Yes X No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified persons 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 ZNo

(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, if terminating within 90 days ) Yes ENo °

b If any answer is 'Yes' l0 1 a(l) (6) , did any of the acts fail to qualify under the exceptions described in - Regulations Section 534941(d)3 or in a current notice regarding disaster assistance (see instructions) '~ 1b ~ N A V Organizations relying on a current notice regarding disaster assistance check here ~ O

c Did the organization engage in a prior year in any of the acts described in 1 a, other than excepted acts, that were not corrected before the lust day of the tax year beginning in 20017 ~ 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 2001, did the organization have any undistributed income (lines 6d and 6e, Part XI 11) for lax year(s) beginning before 20017 Yes Z No If 'Yes,' list the years "` 20 , 19 , 19 , 19

b Are there any years listed in 2a fog which the organization is not applying the provisions of Section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed incomes (If applying Section 4942(a)(2) to .. all years listed, answer 'No' and attach statement - see instructions ) , 2b ' N ̀ A

c If the provisions of Section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here X20 ,19 ,19 ,19

3a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? L1 Yes X~ No

b If 'Yes,' did it have excess business holdings in 2001 as a result of (7) any purchase by the organization or disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved 6y the Commissioner under Section 4943(c)Q)) to dispose of holdings acquired by gift or bequest, or (3) the lapse of the 10-, 15-, or 20-year first phase holding periods (Use Schedule C Form 4720, to " , determine if the organization had excess business holdings in 2001 ) 3b N A

4a 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 20017 4b X

Sa 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 E]Yes LFXXJ No "'

(2) Influence the outcome of any specific public election (see Section 4955), or to carry on, directly or indirectly, any voter registration drives B Yes Xe 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)7 ~ Yes E] No

(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelly to children or animals ~ Yes E] No

b If any answer is 'Yes' to Sa(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations Section 53 4945 or in a current notice regarding disaster assistance --- (see instructions) W Sb N ~A

D .. . _ . . . ..~ . . . . . . . . . . .

Organizations relying on a current notice regarding disaster assistance check here ~ '

c If the answer is 'Yes' to question Sa(4), does the organization claim exemption from the ' tax because it maintained expenditure responsibility for the grant? N/A ~ Yes EJ No 11 'Yes, attach the statement required by Regulations Section 53 490.5 5(d) T

6a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit conlract7 Yes [KNo

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit coniracl7 ~~. `6b ~ `X F . ~. " I . `7 11 you answered Yes' to 66, also 61e 8870 t

BAA TEenna3o5L oi2uoz Form 99aPF (2001)

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s ion

oot Carrera-loffe Foundation 68-0481048 Page AArtVltl ' Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,

and Contractors

(b) Title and average (c) Compensation (d) Contributions to (e) Expense account, hours per week Of not paid, enter-0.) employee benefit other allowances

devoted to posil~on plans and deferred

0 0 0

(other than those included on line 1- see instructions) If none, enter'None' (b) Title and average (c) Compensation (d) Contributions to (e) Expense account,

hours per week employee benefit other allowances devoted to position plans and deferred

Total

of service

Total number of others receiving over $50,000 for professional services

putt IX A 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 I Expenses organizations and other beneficiaries served, conferences convened, research papers produced, etc

i N/A

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

2

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

3

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

4

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

BAA TEE,An306L 01rzem2

(a) Name and address

See Statement 5 ----------- ------------ ------------------------

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

2 Compensation of five highest-paid emp (a) Name and address of each employee

paid more than $50,000

None

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

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

Name and address of each person paid more than None

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

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

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

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Foun99aPF(2ooI) Carrera-Joffe Foundation 68-0481048 Page?

Pad IX-8° Summary of Program-Related Investments (see instructions)

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

TEEAnw7L 12119101

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

Z -

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

All other program-related investments See instructions 3

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

Total Add lines 1 through 3 ~ 0

Pdlt X" minimum Investment Return (All domestic foundations must complete this part Foreign foundations, see instructions )

1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc, purposes a Average monthly fair market value of securities 1 a 608 , 173 b Average of monthly cash balances 1 b t Fair market value of all other assets (see instructions) 1 c d Total (add lines la, b and c) ld 608, 173 e Reduction claimed for blockage or other factors reported on lines la and lc (attach detailed explanation) le i 0

2 Acquisition indebtedness applicable to line 1 assets 2 3 Subtract line 2 from line Id 3 608, 173 4 Cash deemed held for charitable activities Enter 1-112% of line 3 (for greater amount, see instructions) 4 9, 123 5 Net value of nonchantable-use assets Subtract line 4 from line 3 Enter here and on Part V, line 4 5 599,050 6 Minimum investment return Enter 5% of line 5 6 ~ 29,953

part X1 'I Distributable Amount (see instructions) (Section 49420(3) and Q)(5) private operating foundations and certain foreign organizations check here i" and do not complete this art )

1 Minimum investment return from Part X, line 6 1 29,953 2a Tax on investment income for 2001 from Part VI, lines 2a 35,722 b Income lax for 2001 (this does not include the tax horn Part VI ) 2b c Add lines 2a and 26 2c 35,722

3 Dislributable amount before adjustments Subtract line 2c from line ] 3 -5,769 4a Recoveries of amounts treated as qualifying distributions 1 4, 1 b Income distributions horn section 4447(a)(2) trusts 4b c Add lines 4a and 4b 4c

5 Add lines 3 and 4c 5 -5,769 6 Deduction from disiribulable amount (see instructions) 6 7 Distnbutable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, line 1 7 0

P~ Qualifying Distributions (see instructions)

1 Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes a Expenses, contributions, gifts, etc - total horn Part I, column (d), line 26 1 a b Program-related investments - Total from Part IX-B 1 b

2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc, purposes 2

3 Amounts set aside for specific charitable projects that satisfy the a Suitability best (prior IRS approval required) 3a b Cash distribution lest (attach the required schedule) 3b

4 Qualifying distributions Add lines 1 a through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 0

5 Organizations that qualify under section 4940(e) for the seduced rate of tax on net investment income Enter 7 % of Part I, line 27b (see instructions) 5

6 Adjusted qualifying distributions . Subtract line 5 from line 4 1 6 ~ 0

Note- The amount on line 6 will be used m Part V, column (b), m subsequent years when calculating whether the foundation qualifies for the section 4440(e) reduction of tax m those years

BAA Form 990.PF (2001)

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8

Undistributed Income (see instructions)

reZA0308 . 01124002

(a) (b) bra (d) Corpus Years prior l0 2000 2 0 2001

1 Dislribula6ie amount for 2001 from Part XI, line ?

2 Undistributed income, A any, as of the end of 2(100 2( 00 a Enter amount for 2000 only b Total tar prior years 20 , 19 , 19 } 0 " '

3 Excess distributions carryover, if any, to 2001 T t , " , ° " ' a From 1996 b From 1997 c From 1998 d From 1999 e From 2000 ,...,.,....,.,.,. .�.r .;.~s;`,w" . ,. f Total of lines 3a through e 0 } ~ `

4 Qualifying distributions for 2001 from Part X11, line 4

a Applied to 2000, but not more than line 2a ~ 0 ~ '

b ApplieC to undistributed income of prior years (Election required - see inslruclions) 0

c Treated as distributions out o( corpus (Election required - see instructions) 0 " `"

d Applied to 2001 distributa6le amount e Remaining amount distributed out of corpus 0 ` '

5 Excess distributions carryover applied to 200 1 (II an amount appears in column (d), the .. ~ " -same amount must be shown in column (a) ) '

6 Enter the net total of each column as indicated below . , � ,m " `

a Corpus Add lines 31, Ic, and le Subtract line i ~m0a `

b Prior years' undistributed income Subtract line 4b from line 2b

c Enter the amount of prior years' undisiribut- " t " ed income for which a notice of deficiency . . " has been issued, or on which the section 4942(a) tax has been previously assessed 0

d Subtract line 6c from line 6b Taxable ~ 4 } amount - see instructions " ' 0 ' " ~ `r

1 Undistributed income for 2001 Subtract lines ~� -^` ̀ 4d and 5 from line 1 This amount must be °<`"'~ . . � , distributed in 2002

7 Amounts treated as distributions out of ` , "" .. . ,. corpus to satisfy requirements imposed o" 1, by section 170(b)(1)(E) or 4942(8)(3) (see instructions)

` 'E+ 8 Excess distributions carryover from 1996 not "`

applied on line 5 or line 7 (see instructions) 0

9 Excess distributions carryover to 2002 . Subtract lines 7 and 8 from line 6a 0

10 Analysis of line 9 ,.

a Excess from 1997 b Excess from 199fl

c Excess from 1999 °'' ', dE``'n}3 "'~` 'gee°;a°r. :'%` d Excess from 2000

eExcess from 2001 BAA Formy990.PF (2001) "

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

Form 990-PF (2001) rEcAowsL osrr.Oi

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 2001, enter the date of the ruling

6 Check box to indicate whether the organization is a p rivate o eralin foundation described in Section 49420)(3) or 4942 5 2a Enter the lesser of the adjusted net Tax ear Prior 3 ears

income from Part I or the minimum a 2001 b 2000 (c 1999 1998 e Total investment return from Pan X for each year listed

b 85% of line 2a

c Qualifying distributions from Part XII, line 4 far each year listed

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

e qualifying distributions made directly for active conduct of exempt activities Subtract line 2d from line 2c

3 Complete 3a, b, or c far the alternative lest relied upon

a 'Assets' alternative test - enter (l) Value of all assets

(2) Value of assets qualifying under Section 49420)(3)(B)(i)

b'Endowmenl' alternative test - Enter 2/3 of minimum investment return shown in Part X line 6 for each year listed

c'SuppoM' 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 organizations as presided in Section 4942(Ix3)(Bxni)

(3) Largest amount of support from an exempt organization

(4) Gross investment income had 15 .000 or more in asset at

1 Information Regarding Foundation Managers

a List any managers of the foundation who have contributed more than 2 % of the total contributions received by the foundation before the close of any tax year (but only it they have contributed mare than $5,000) (See Section 507(d)(2) ) None

b List any managers of the foundation who own 10% or more of the slack of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 10% or greater interest None

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc, Programs Check here I a if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for lands If the organization makes gifts, grants, etc, (see instructions) to individuals or organizations under other conditions,

-complete items 2a, b, c, and d a The name, address, and telephone number of the person to whom applications should be addressed

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

c Any submission deadlines

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Total ll~ 3b/ BAA rEeno3iaL os25rot Form 990.PF (2001)

FermssaeF(2ooi) Carrera-Joffe Foundation 68-0481048 Page 10 'Part XY.° Supplementary Information (continued) 3 Grants and ConfibuLOns Paid Dunna the Year or Aooroved for Future Payment

Recipient ~~ ~a :iN~em ~s en mwnuuai, FaundaUOn Purpose o1 grant or Ishmvan~ relaUonshipman~ Amount foun0ation mana per or "I sUtus of contribution Name and address (home or business) substantial contriLufor recipient

a Paid during the year

b Approved for future payment

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Form sso-PV(20oi) Carrera-Joffe Foundation 68-0481048 Page ii

PartXYI=A' Analysis of Income-Producing Activities

1 Program service revenue a b c d e f g Fees and contracts horn government agencies

2 Membership dues and assessments 3 Interest on savings and temporary lash investments 4 Dividends and interest from securities 5 Net rental income or (loss) from real estate a Debt financed property h Not debt-financed property

6 Net rental income or (loss) iron personal property 7 Other investment income

8 Gain or (low) from sales of assets other than inventory 9 Net income or (loss) from special events 10 Gross profit or (loss) from sales of inventory 11 Other revenue a

b

c

Line No I Explain below how each activity for which income is reported in column (e) of Part XVI A contributed importantly to the ~ accomplishment of the organization's exempt purposes (other than by providing funds for such purposes) (See instructions )

BM Form 990-PF (2001) TEEP0501L 0124402

Enter gross amounts unless otherwise indicated Unrelated business income Excluded b section SIZ 513, or 511

(a) (b) (y (~ (e) Business Amount Erclu Amount Related or exempt code sion function income

1

e 7 72 Subtotal Add columns (b), (d), and (e) ~°] 1,786,083 13 Total Add line 12, columns (b), (d), and (e) ~ 13 1 See worksheet in the instructions for line 13 to verity calculations )

§~Relationship of Activities to the Accomplishment of Exempt Purposes

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v r = r

zw

ij Ld I I C I d-JU I I U rUUIIUd L I Vil 00-U401V40

a; Mf -lnforrnation Regarding Transfers to and Transactions and Relationships with Noncharitable Exempt Organizations

1 Did the organization directly or indirectly engage in any of the following with any other organization described in Section 501(c) of the Code (other than Section 501(c)(3) organizations) or in Section 527, .`~v~ :~o relating to political organizations

a Transfers from the reporting organization to a noncharilable exempt organization of to 1 (1) Cash

(2) Other assets 1 a b Other Transactions

(1) Sales of assets to a noncharitable exempt organization 1 b 1 (2) Purchases of assets from a noncharitable exempt organization 1 b (3) Rental of facilities, equipment, or other assets 1 b 3 (4) Reimbursement arrangements 1 b (4) (5) Loans or loan guarantees 7 b 5) (6) Performance of services or membership or fundraising solicitations 1 b (6)

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

"X

x

X x X X 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

and of line no (b) Amount involved ~ (c) Name of noncharitable A

Yes X No

A

is

B

BAA

2a Is the organization directly or indirectly affiliated with, or related to, one or more lax exempt organizations described in Section 501(c) of the Code (other than Section 501(c)(3)) or in Section 527?

b If 'Yes .' tomolete the following schedule

Under penal]es of papury, I declare that I have examined this return cease, and complete Dedaraaon of preparer (other than taxpayer a

of OyfceAor Tms,ee

Here paid Sign Preparers

Pine- Michael T Hu parers Hullen l15¢ Firm s Nam~ey(ewu~yours Only addriea ardZIPmde ~ 3007 DO

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OMB No X5'.50017 Schedule B (Form 990,990-EZ,

or 990-PFD

Doparhnent of the Treasury Inteerul Revenue Semre

Schedule of Contributors ' SuP plementary mlormabon for LOO

, 1

line 1 of Form 990, 990~EZ and 990.PF (see Instructions)

Caution Organizations chef are not covered by the general rule and/or the special rules do not file Schedule B (Form 990, 990-EZ, or 990-PF) but must check the box in the heading of their Form 990, Form 990 EZ, or on line I o/ their Form 990 PF, to certify that they do not meet the fling requirements o1 Schedule B (Form 990, 990-EZ, or 990-PF)

Schedule B (Form 990, 990-EZ, or 990 PF) (2001) BAA

TEF_Af1701L 17130001

Name of Oqenwhon Employer Identification

Carrera-Joffe Foundation 168-0481048 Organization type (check one) Filers of Section : Form 990 or 990-EZ ~501(c)( ) (enter number) organization

4997(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization

Form 990-PF ~501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation

Check if your organization is covered by the general rule or a special rule (Note Only a Section 501(c)(7), (8), or (I0) organization can check boxes) Ion both the general rule and a special rule - see instructions )

General Rule - X For organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one

contributor (Complete Parts I and II )

Special Rules -

[]For a Section 501(c)(3) organization filing Form 990, or Form 990-EZ, that met the 33-1/3% support lest of the regulations under sections 509(a)(1)/170(D)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of $5,000 or 2% of the amount on line 1 of these forms (Complete Parts I and II )

For a section 501(c)(7), (8), or (10) organization tiling Form 990, or Form 990-EZ, that received from any one contributor, during the year, aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals (Complete Parts I, II, and III )

F]FOr a Section 501(c)(7), (8), or (70) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year some contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not aggregate to more than $1,000 (If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc, purpose Do not complete any of the Parts unless the general rule applies to this orgainization because it received nonexclusively religious, charitable, etc , contributions of $5,000 or mote duing the year ) W $

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

Payroll

-----------------------------------$ Noncash

(Complete Part II d there is noncash contribution )

(a) (b) (c) (d) Number Name, address and ZIP +4 Aggregate Type of contribuLon

contributions

Person Payroll Noncash

(Complete Part II if there is noncash contribution )

(a) (b) W (d) Number Name, address and 21P +4 Aggregate Type of contnbuhon

contrnbu4ons

Person

N ncash

(Complete Part II if there is noncash contribution )

BAA TEenmoa o1Wioz Schedule 8 (Form 990, 990-EZ, 99D-PF) (2001)

Carrera-Joffe Foundation X68-0481048

Pel'tI ~ Contributors (see instructions)

(a) (b) W (d) Number Name, address and ZIP +q Aggregate Type of contribuUOn contributions

1 Margaret A Carrera Person Payroll

4940 Bell_Road-__-____---_--____-___-----$--- 1-817-948- Noncash X

(Complete Part II if there is Auburn, CA 95602 noncashcontribution )

(a) (b) (c) (d) Number Name, address and ZIP +q Aggregate Type of contribution

contributions

Person

l $_-_________ N ncash

(Complete Part II if there is noncash contribution )

(a) (b) (c) (d) Number Name, address and ZIP +q Aggregate Type of contribu4on

confibuLOns

Person ----------- Payroll

-------------------------------------$ Noncash

(Complete Part II if (here is noncash contribution )

Number Name, address and ZIP +q Aggregate Type of contnbu4on contributions

Person

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reEn07113L 1010vo1

1

Carrera-Joffe Foundation I68-0481048

Partll`~ Noncash Property

(a) (b) (c) (d) No from Description of noncash property given FMV (or estimate) Date received Part I (see instructions)

45000 Shares-of Maximus~-Inc_ Common-Stock received 1 on September 4 2001 -_-------_-_---_-__-

------------------------------------------ 1,817,948 9/04/01 $

No from Description of noncash property given FMV (or estimate ) Date received Part I (see mstruc4ons)

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

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

(a) (b) (c) (d) No from Description of noncash properly given FMV (or estimate) Date received Part I (see instructions)

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

------------------------------------------ E - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(a) (b) (C) No from Description of noncash property given FMV (or estimate) Date received Part I (see instructions)

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

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

(t) No from Description of noncash property given FMV (or estimate) Date received Part I (see instructions)

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

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

(a) (b) (c) (d) No from Description of noncash property given FMV (or estimate) Date received Part l (see instructions)

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

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

BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2001)

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Schedule B (Form 990, 990 EZ, or '. Nahr of Oqenue4on

Carrera-Ioffe Foundati

to 1 of Part III Employer fdorrlificatron Number

rA_neaineu Part III', I Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10)

organizations aggregating more than $1,000 for the year (Complete cots (a) through (e) and me following line entry )

For organizations completing Part III, enter total of exclusively religious, charitable, etc , contributions of $7,000 or less for the vear (enter this information once - sea inslmrhonsl W S

Description of how gift is held No Irom I Purpose of gift Use of gift

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

I

------------- - ----- --- (e)

Transfer of gift Transferee's name, address, and 21P + 4 Relationship of transferor to transferee

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

-------------------------- ---------------------------------- -------------------------- (a) (b)

No from Purpose of gift Description of how gift is held Use of gift

-

~

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

---- --------------- ------------------- Transfer of gift

Transferee's name, address, and ZIP +4 Relationship of transferor to transferee

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

-------------------------- DescnpLon of how gift is held No from I purpose of gift Use of gift

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

No from Purpose of gift Use of gift Descnp4on of how gift is held Part l --------------------------------------------------------------

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

(e) Transfer of gift

Transferee's name, address, and ZIP +4 Relationship of transferor to transferee

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

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

BAA Schedule B (Form 990, 990 EZ, or 990 PF) (2001) TEen0704L i2rei10i

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

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

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

(e) Transfer of gift

Transferee's name, address, and ZIP +q Relationship of transferor to transferee

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Farm 222 Underpayment of Estimated Tax by Corporations be frogman : of m~ rre~~~y " See separate instructions Interrol Raverue Sern~ ~ Attach t0 the corporation's t2% return .

OMB No 15115 0142

LOO,

cxzo3l2L 02101102

Name Employer IO~n4(ulion Number

Carrera-Joffe Foundation 68-0481048 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 I( the corporation does not need to file Form 2220, it may still use it to figure the penalty Enter the amount from line 36 on the estimated tax penalty line o/ the corporation's income fax return, but do not attach Form 2220

pil't V " Reasons for Filing - Check the boxes below that apply to the corporation 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

1 X The corporation is using the annualized income installment method 2 The corporation is using the adjusted seasonal installment method 3 The corporation is a 'large corporation' figuring its first required installment based on the prior year's lax

Note The corporation also must file Form 2220 if ,t has a suspended research credit allowed /or the current year (see the instructions for line 4) or it is an indirectly affected taxpayer (see instructions)

&~ Figuring the Underpayment

4 Total tax (see instructions) 4 35,722 Sa Personal holding company tax (Schedule PH (Form 1120), line 26) included

on line 4 Sa 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 Sb

c Credit for federal tax paid on fuels (see instructions) Sc d Total Add lines Sa through Sc Sd

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 35, 722

7 Enter the tax shown on the corporation s 2000 income tax return Caution See instructions before completing this line 7

8 Enter the smaller of line 6 or line 7 If the corporation must ski line 7, enter the amount from line 6 8 35,722 (a) (b) (c) (d)

9 Installment due dates Enter in columns (a) through (d) the ISth day of the 4N (Form 990 PF filers Use Sth month), 6th, 9th, and 12th months of the corporation's tax year Exception Enter October 1, 2001, instead otSeptember 15,2001 ~ 9 5/15/O1 6/15/01 10/O1/O1 12/15/01

10 Required installments It the box on line 1 and/or line 2 above is checked, enter the amounts from Schedule A, line 40 If the box on line 3 (but not 1 or 2) is checked, see the instructions for the amounts to enter If none of these boxes are checked, enter 25% of line 8 above in each column 10 0 0 0 165

11 Estimated tax paid or credited for each period (see instructions) For column (a) only, enter the amount from line i l on line 15 11 Complete lines 12 through 18a/one ~ ° `t" column be/ore gang to the next column ~ " -

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

13 Add lines 11 and 12 13

14 Add amounts on lines 16 and 17 of the preceding column 14 '

15 Subtract line 14 from line 13 If zero or less, enter -0 15 , c 0 0 0 0

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

17 Underpayment If line 75 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 17 165

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 Complete Part /// on page 2 to figurc the penalty. /1 there am no enfnes on line 17, no penalty is owed BAA For paperwork reduction act notice, see separate instructions Form 2220(2001)

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cPCZw12L 02Jo1102

Form 222o(200t) Carrera-Joffe Foundation 68-0481048 Page2

FP drtI 11',t Figuring the Penalty

a ) c d)

19 Enter the date of payment or the 15th day of the 3rd month after the close of the lax year, whichever is earlier (see instructions) (Form 990-PF and Form 990-T Ideis~ Use 5th month instead of 3rd month ) 19 5 / 15 / 02

20 Number of days from due date of installment on line 9 to the date shown on line 19 20 151

21 Number of days on line 20 after 4/158001 and before 7/12001 21

72 Underpayment Number of days on line 17 x on line 21 x 8%

365 22

23 Number of days on line 20 after 6/30/2001 and before 1/1!2002 23 16

24 Underpayment Number of days on line 17 X on line 23 X 7%

365 pq 0 51

25 Number of days on line 20 after 12/31/2001 and before 4/12002 25 90

26 Underpayment Number of days on line 17 X on line 25 X 6°h

365 26 2 44

27 Number of days on line 20 after 3/312002 and before 7/1/2002 27 45

28 Underpayment Number of days on line 17 x an line 27 x 8 *%

365 pg 1 63

29 Number of days on line 20 after 6/30/2002 and before 10/1/2002 29

30 Underpayment Number of days on line 17 X an line 29 K " Y,

365 30

31 Number of days on line 20 after 9/302002 and before 1/1/2003 31

32 Underpayment Number of days on line 17 X an line 31 x "%

365 32

33 Number of days on line 20 after 12/31/2002 and before 2/16/2003 33

34 Underpaymenl Number of days on line 17 X on line 33 X " °h

365 34

35 Add lines 22, 24, 26, 28, 30, 32, and 34 35 4 58

36 Penalty Add columns (a) through (d), 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 36 5

"For underpayments paid after March 31, 2002 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 web site al www irs gov You can also call 1-800.829-1040 to get interest rate information

Form 2220 (2001)

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9 Total tax after credits Subtract line 8 }rpm

12 Add the amounts in all preceding

15 Enter taxable income for

First 6 I First 9 months months

BAA Cvr2113341 0irz9i172 Form Y120 (2001)

Formzz2a zoos Carrera-Joffe Foundation 68-0481048 Pa ea chednFe A''Annualized Income Installment Method and/or the Adjusted Seasonal Installment Method Under

Section 6655(¢) (see instructions) Form 11205 filers For lines 2, 14, 15, and 16, below, 'taxable income'relers to excess net passive income or the amount on which fax is imposed under Section 1374(a) (or the corresponding provisions of poor law), whichever applies

Pan I - Annualized Income (a) (b) (c) Installment Method

1 Annualization periods see instructions 7 First 2 months First 3 months First 6 months First 9 months

2 Enter tazableincome for each annualization period see instructions 2 0 0 0 6,200

3 Annualizalion amounts see instructions 3 6 4 2 1 33333

4 Annualized taxable income Multiply line 2 b pine 3 4 0 0 0 8 , 267

5 Figure the tax on the amount in each column an line 1 using the instructions for Farm 1120, Schedule 1, line 3 (or the comparable line of the tax return ) 5 0 0 0 165

6 Enter other taxes for each payment period (see inslruclionsl 6

8 For each period, enter the same of credits as allowed on Form 2:

12 I

13 Annualized income installments Subtract line 12 from line 11 It zero or less, enter -0 13 0 0 0

Part II - Adjusted Seasonal Installment Method (caution Use this method only rl the base period percentage /or any 6 consecutive months is at /east 70°.6 See instructions /or more information )

(a) (b) W First 3 First 5 First 8

14 Enter taxable income for the ~ months months ~ mon ths

following periods

6 Tax vear beainnina in 1999 I 14b

First 4

16 Enter taxable income for the months

following periods

b Tax vear beainnina in 1999 I 16

17 Dwide the amount m each mlumn m lice 14a by the arrant in column d on line 16a 17

18 Dvide the arrant n each column an line 14b by the arrant in column (d) on line I6b 18

19 DNide the arrant m each columns on, line M by

First 11 months

Entire year

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Formm02ooi> Carrera-Joffe Foundation 68-

First 9 months

4

First 4 I First 6 months months

Entire year

i

' . ` . F

29 Multiply the amount in columns (a) through (c) of line 23 by columns (a) Through (c) of line 28 In column (d), enter the amount from line 23, column d 29

30 Enter other lazes for each payment period see instructions 30

32 For each period, enter the same type of credits as allowed on Form 2220, lines 4 and Sc see instructions 32

33 Total tax otter credits Subtract line 32 from line 31 If zero or less, enter -0- 33

34 Add the amounts in all preceding columns of line 40 see instructions 34

35 Ad)usted seasonal installments Subtract line 34 from line 33 If zero or less, enter 0- 35

'an III - Required Installments

36 If only one of the above parts is completed, enter the amount in each column ham line 13 or line 35 If both parts are completed, enter the smaller of the amounts in each column from line 13 or line 35 36

37 Enter 25% of line 8 on page 1 of Form 2220 in each column (Note 'Large corporations.' see the instructions for line 70 for the amounts t0 enter 37

38 Subtract line 40 of the preceding column from line 39 of the recedin column 38

39 Add lines 37 and 38 39

40 Required installments Enter the smaller of line 36 or line 39 here

3rd installment

1

Forth 2220 (2001) cxz0334x 0201102

21 Divide line 20 b 3 21

22 Divide line 15 b line 21 22 23 Figure the tax on the amount on line 22

using the instructions for Form 1120, Schedule J, line 3 (or the comparable line of the return 23

24 Divide the amount in columns (a) through (t) on line 16a by the amount in column

on line 16a 24

25 Divide the amount in columns (a) Through (c) on line 16b by the amount in column r on line 16b 25

26 Divide the amount in columns (a) Through (c) on line 16c by the amount in column (d) on line 16c 26

27 Add lines 24 Through 26 27

lst I 2nd installment installment

8 .930 1 17 .860

41h installment

35 .722

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1

Carrera-Joffe Foundation 68-0481048 I

Title and Contri- Expense Average Hours Compen- button to Account/

Name and Address Per Week Devoted sation EBP & DC Other

Margaret Carrera President $ 0 $ 0 8 0 4940 Bell Road Auburn, CA 95602-9219

Philip M loffe 4940 Bell Road

0 0 0 CFO

Federal Statements Page 1

Statement 1 Form 990-PF, Part I, Line 6 Net Gain (Loss) from Noninventory Sales

Publicly Traded Securities

Gross Sales Price 1,817,948 Cost or Other Basis 45,000

Total Gain (Loss) Publicly Traded Securities 1,772,948

Total Net Gain (Loss) From Noninventory Sales 1,772,948

Statement 2 Form 990-PF, Part III, Line 5 Ocher Decreases

FMV on date of sale 8 1,772,947 Total 8 1,772,947

Statement 3 Form 990-PF, Part VI, Line 9 Tax Due

Tax Due $ 35,727 Late Payment Penalty 357 Late Interest 466

Total 36,550

Statement 4 Form 990-PF, Part VII-A, Line 10 Substantial Contributors During the Tax Year

Margaret Carrera 4940 Bell Road Auburn, CA 95602-9219

Statement 5 Form 990-PF, Part VIII, Line 1 List of Officers, Directors, Trustees, and Key Employees

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1't joutar? fling nor an Additional (not automatic) 3-Month Extension complete only Part II and check this box

Note Only complete Pair // d you have already been granted an automatic 3-month extension on a previously filed Form 88W

" If o~ a ;a fI lin for an Automatic 3-Month Extension com plete only Part I (on pag e 1) Part il ditional (not automatic) 3-Month Extension of Time - Must File Onqmal and One Copy

lVCtORS

Form 5227 Dorm 9870

3 -atemn Aaarass See InstruCions

(Auburn, CA 95602-Check type of return to be filed (file a [-]Form 990 nForm 990-EZ

arale application for each return) Form 990 T (Section 401(a) or 408(a) trust)

Form 990-T !trust other than above)

form 1041 A

b pIf (his application is for Form 990 "PF, 990-T 4720 or 6069, enter any refundable credits and estimated tax

Form 8868 made Include any prior year overpayment allowed a5 a credit and any amount paid previously with $ O

c Balance due Subtract line 8b from line 8a Include your payment with (his form, or, if required, deposit with FTD coupon or if required by using EFTPS (Electronic Federal Tax Payment System) See instructions $ 0 .

Signature and Verification Urdw penYOft of perfu7 1 dWUS that I nave awhand trs form including accompanying scrodulas and Statements, and to ~1,0 bast al my kmMWpa and MLa1 n n eua, cares and complete, and that I am authorized to Prepare te; form

L Dat. I K~C-~ Ti.d .

HULten Accounicancy LorporaEion Type or Mu'"b" and 51~ (Include wb, nom. o . apartment numwh ors v O Boa Xumbn

Print 3007 Dou g las Blvd , Suite 155 Z dy or To. Pranne . Or SIaY and smog (nctW,nq Doahl Or ZIP caa)

Roseville CA 95661 BAA =ic:osoz . 11130101 Form 8868 (Rev

Name w =itnmoi Un9ti^iaien Type or Print Carrera-Joffe F

Yumber sheet and 7oum or S

='I. CV re < ended due datnlur IAifp he 4940 8211 Road iromrn Sae City Town or 7os[ OM¢e state nut, om

' ` V L,_._

it ` ^ '

ONy

Stop Do not complete Part II H you were not already granted an automatic 3-month extension on a previously tiled form 8868

" It the organization does not have an ortice or pace of business in the Unites States, check this box

" It this is for a group rctum, enter the organizations tour digit Group Exemption Number (GEN) If this is for the whole group, check (his box ~ ~ If it is part of the group check (his box ~ Q and attach a list with the names and EINS of all members the extension .s for

4 I request an additional 3-month extension of time until 11 / 15 . 20 02 5 For calendar year 2001 , or other tax year beginning - 20 and ending 20 6 If this lax yeas is for less than 12 months check reason II Initial return Final return Change in accounting period 11 7 State in detail wnyyou need tneextension _ Additional time is necessay to file a comelete and

accurate return

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

8a if this application is for Form 990-BL 990-PF, 990-T, 4720 or 6069 enter the tentative lax less any nonrerunaaole credits See instructions $ 0

"uui.c iv rIppui.ant - 4 v PC a.annp~caou My uIc ~n .a

We have approved this application Please attach this form to the organizations return

We have not approved this application However, we have granted a 10 "day grace period horn the later of the dale shown below or the due date of we organizations return (includinq any prior extensions) This grace period is considered to be a valid extension of time for elections otherwise required to be made on a timely filed return Please attach this form to the organizations return

We have not approved (his application After considering the reasons stated in item 7, we cannot grant your request for an extension of time to file We are not granting a 70-day grace period

We cannot consider this application because it was filed after the due dale of the return for which an extension was requested ----Other

Br Jnxar ]ace

Alternate Mailing Address - Enter the address if you want the copy of this application for an additional 3-month extension returned to an address different than the one entered above

me"

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e Balance Due Subtract line 3b from line 3a Include your payment with this form, or, if requireC . deposit with FTD coupon or, it required, by using EFTPS (Electronic Federal Tax Payment System) See instructions s 0

Signature and Verification

UMN Penalties of qw,uy, I EW ere diet I lw. aummwC M rwNm, uW Wuq accpnpa~np ud+aQWas and smhmana and n !w best al my .iqwlWpe aM pelwl, it rs true conect and complete and thet I am auTOnnE To Rpan this be.

5 Form & Act Notice, see instructlons . BAA For l

=1F$0501L 11127A1

,Form $a6$ Application for Extension of Time to File an

(D � ,mo� M) Exempt Organization Return ,.,9 .� ,5,s �0,

J~pariman~ ni nn r,-asu"y viiarrui ~e~e~un Sarvicn ~ File a separate application for each return

if you are (ding for an Automatic 3-Month Extension, complete only Part I and check this Sox 49 II you are fling for an Additional (not automatic) 3-Month Extension complete only Part II (on page 2 of lhs form) Note Do nod complete Part// unless you have already been granted an automatic 3-month extension on a previously filed Form, 8"

PeIR I ' Automatic 3-Month Extension of Tittle - Only submit original (no copies needed) Note Form 99'0-7corpora(ions requesting an automatic 6 month extension - check this box and complete Part l only

All other corporations (including Form 990 C Irlers) must use Form 7000 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 7065 1066 or 1041

Name of =tempt Orqarivnun Employer Identification Number Type or print Carrera-Ioffe Foundation 68-04810a8 File by the Number street and 7oum w Suits Number if a ° O 3a . see ins,mcions due dale for filing your 4940 Bell Road return See 'City ro.mor=osroffice =« ., ro«iynxa .anis se. ma . �rions spars ZIP coax instructions

Auburn, CA 95602-9219 Check type of return to be filed jFJe a separate application for each return)

X I

Form 990 Form 990-T (corporation) Form 4720 Form 990-BL Form 990-T (Section 401 (a) or 408(a) trust) Form 5227 Form 990-EZ Form 990-T (trust other than above) Form 6069 Form 990 Pf Form 1047-A Form 8870 If the organization does not have an office or place of business m the United States, check this box If this is for a group return, enter the organizations four digit Group Exemption Number (GEN) If this is for the whole group check this box "' a If it is for part of the group check this box ~ ~ and attach a list with the names and EINS of all members the extension will cover

1 I request an au;cmat,c ]-month (G-month for 990.7 corporation) extension of time unti 8 / 15 . 20 02 to file the exempt organization return for the organization named above The extension is for the organizations return for

X calendar year 20 O 1 or 8 lax year beginning , 20 , and ending , 20

2 If this tax year is for less than 12 months, check reason ~ Initial return Final return 11 Change in accounting period

3a if this application is for Form 990-BL . 990-PF 990~T . 472(1, or 6069, enter the tentative lax, less any nonrefundable credits See instructions

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