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DIN; 93491349006006 -om990-PF He No 1545-0052 Intemal Revenue Service Try Return of Private Foundation or Section 4947(a)(1) Trust Treated as Private Foundation > Do not enter social security numbers on this form as it may be made public. » Information about Form 990-PF and its instructions is at www.jrs.qov/form990pf. cnapection [BTelaphone number (s86 ma Tamer and seat (or PO box numba sone) 1 METROTECH CENTER 22RD Floor Teed We ReaE SISTER] (718) 923-8400 “Ciyor town, sale or province, county, and ZF or Toren powalcode | € trexernption appleatons pending, check here BROOKLYN, RY 11202 - G Check all that apply [Initial return [Initial return ofa former public chanty | D 2, Foreign omanzetions, check here [Final return [Amended return [Address change [Name change 2, Foreign organizations meetng the 85% Ef pnvate foundaton status was terminated r test, check here and attach computaton HCheck type of organization [Section 501 (c){3) exempt private foundation r IFair market value of all assets at end | JAccounting method [Cash [#Accrual | F a the foundation sm » 60-month terminatos ‘of year (from Past II, col (c), T other (specify) under section $07(b)(3)(B}, check here rr PU ee ae Reverse ard | teermvesment | asuara net | eran 2 Check P [ifthe foundation 1s not required to, $ | 6a Net gain or (loss) from sale of assets not on line 10 S| b Gross sales pnce for all assets on line 6a H RB] wo accounting tees (attach schecute) : € Other professional fees (attach schedule) 2 a7 interest E [1 taxes cattach schedule (see structions) E }20 occupancy cae Jax Travel, conferences, and meetings. Z | 22 Printing ana pubications « © | 24 Total operating and administrative expenses 5 Add lines 13 through 23 q 0 ° © |25 — Contributions, gifts, grants paid 125,391 125,391 2 exces of revenue over expenses and dihurserments sono fet investment Income it negative, enter -0-) : For Paperwork Reduction Act Notice, see instructions, Cat No 11289% Form 990-PF (2015)Form 990-PF (2015) Page 2 GEEEEE) balance sheets sri forens of year omous on (ae Ter bok ate |) Sak ae |e Casnmnom interest-bearing . q a Tae Savings and temporary cash investments Accounts recewabie P Less allowance for doubtful accounts 4 Pledges recewabie P Less allowance for doubtful accounts Grants recevable Receivables due trom officers, directors, trustees, and other disquaied persons (attach schedule) (se instructions) 7 other notes and loans recewable (attach schedule) Less allowance for doubttul accounts |, | © tnventones forsale oruse « S| 9 Prepaid expenses and deferred charges Bios nseimens-U 5 and tate ovement onto atch b _Investmentscorporate stock attach schedule) €_Investmentscorporate bonds (attach schedule) 14 ovestments—Iand, buldings, and equpment basis Less accumulated depreciation (attach schedule) ® 12° Iavestments—mortgage loans 13 Iavestments-other attach schedule) 14 Land, butdings, and equipment basis Less” accumulated depreciation (attach schedule) 15. otnerassets (aescribe® ) 16 Total assets(to be complete by all lers—see the instructions Also, see page 1, stem 1) q 750d ieee G7 Accounts payable and accrved expenses 7 rr 18 Grants payable S| aoe rere rn 2 | 20 Loans rom ofcers,arectors, tastes, and other disgusted persone Bar wonsages and other nates payae (attach schedule). 22 other abies (descnbe P ) 23 _Total labities(a ines 17 hvough 22) q Toa — | Foundations that follow SFAS 147, check here fy $| _andcomplete tines 24 through 26 and lines 30 and 33, Elea unvestnctes q 164,608] Gl 25 Temporaniy restrictea | 26 Permanently restnctes | Foundations that do not folow SFAS 17, check here B® [— | __andcomplete tines 27 through 3. se] 27 capital stock, tust principal, or current funds G| 20 paid-in orcaptl surplus or land bldg, and equipment fund Z]29 Retained earnings, accumulated income, endowment, or other funds B]s0 total net assets or fund balances(see instructions) ql Tea 31__Total liabilities and net assets/fund balances(see instructions) q Taare ‘Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or find balances at beginning ofyear=Part I, column (al tne 30 (must aaree wth end-of-year igure reported on pror year’ return) 1 ° 2 enteramount fom Pat f, ne 278 2 Teaos 3 otherincreases not ncluded inne 2 (itemize) 3 4 Asdlines 1,2, and3 : 2 Tea 605 5 Decreases not included inne 2 (temze) 5 ‘ otal net assets or fund balances at end of year fine 4 mus Ine S)-Patit column (hime 30. 6 Tea605 Form 990-PF (2015)rm 990-PF (2015) Page 3 [GEM Capital Gains and Losses for Tax on Investment Income Wow acquired P—Purchase (b) 2=Donation List and describe the kind(s) of property sold (e g , real estate, (a) 2-story brick warehouse, or comman stock, 200 shs MLC Co} Date acquired} Date sold (e) (mo , day, ve )|(A) (mo , day, vr) i b @ ———— Depreciation allowed Cost or other baste Gain oF (loss) (2) Gross sales PI (6) “(oraliowabley (0) plus expense of sale (hy (e) plus (f) minus (9) > @ ‘Complete only for assets shownng gain in column (h) and owned by the foundation on 12/31/68 Gains (Col (h) gan minus 7 Adjusted basis Excess of col (0) col (), but not less than -0-) oF (OF MY as of 12/31/69 (5) 36.0112/31/69 (kyovercol (itany _|(t) Losses (from col (9) » @ T gain, also enterim Parti, ime 7 2 Capital gain net income or (net capital loss) Irloss),enter-0- in Partitine7 | | 3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6) 1 gain, also enter in Part I, line &, column (e) (see instructions) If (loss), enter -0 \ inPartI,iine 8 ee eee a il» Eo (For optional use by domestic private foundations subject to the If section 4940(4)(2) applies, leave this part blank ication Under Section 4940(e) for Reduced Tax on Net Investment Income tion 4940(a) tax on net investment income ) Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? TP ves No It"Yes," the foundation does nat qualify under section 4940(e) Do nat complete this part 4 Enter the appropriate amount in each column for each year, see instructions before making any entries bate pod urs Calandar © © Detnbuton rao vciegeedyeorcalrdet | acsunedavalyng tenoutons | et volun of norte sets pate ae 2o1a @ 00 2013 2012 201 2010 Totalof ine 1, column @h 2 20 3. Average distribution ratio forthe 5-year base periog—divide the the number of years the foundation has been in existence if less 3 ° 4 Enter the net value of nonchantable-use assets for 2015 from Part x, line 5. @ 5 Multiply line 4 by ine 3 5 0 6 Enter 1% of net investment income (19% of Part I, line 27). 6 0 7 Add lines 5 and 6. 7 0 8 Enter quabiying distributions from Part XI, Wne4s se es DB 125,394 Ifline 8 1s equal to or greater than line 7, check the box in Part V1, line ib, and complete that part using a 1% tax rate See the Part VI instructions Form 990-PF (2015)