EFTA Document EFTA01362364

Form 990-PF (2016) Page 8 Part X Minimum Investment Return (All domestic foundations must complete this part Foreign foundation 5,544 instructions ) 2 3 Subtract line 2 from line Id 4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount, see instructions) S Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4 6 Minimum investment return. Enter 5% of line 5 1e 0 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 is 2,598,882 b Average of monthly cash balances lb 7,151,069 c Fair market value of all other assets (see instructions) is 0 d Total (add lines la, b, and c) ld 9,749,951 e Reduction claimed for blockage or other factors reported on lines la and lc (attach detailed explanation) Acquisition indebtedness applicable to line 1 assets 2 3 9,749.951 4 5 6 146,249 9,603,702 480,185 Part XI Distributable Amount (see instructions) (Section 49420)(3) and 0)(5) pnvate operating foundations and certain foreign organizations check here ► K and do not complete this part ) 1 Minimum investment return from Part X, line 6 2a Tax on investment income for 2016 from Part VI, line 5 2a b Income tax for 2016 (This does not include the tax from Part VI ). . ▪ lb c Add lines 2a and 2b 3 Distributable amount before adjustments Subtract line 2c from line 1 4 Recovenes of amounts treated as qualifying distnbutions 5 Add lines 3 and 4 6 Deduction from distnbutable amount (see instructions) 7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, line 1. 2, 1 480,185 684 2c 3 4 5 6 7 2.684 477.501 477,501 477,501 Part XII Qualifying Distributions (see instructions) 1 Amounts paid (including administrative expenses) to accomplish charitable, etc , purposes a Expenses, contributions, gifts, etc —total from Part I, column (d), line 26 b Program-related investments—total from Part IX-B 2 Amounts paid to acquire assets used (or held for use) directly in carrying out chantable, etc , purposes 3 Amounts set aside for specific charitable projects that satisfy the a Suitability test (prior IRS approval required) b Cash distribution test (attach the required schedule) 4 Qualifying distributions. Add lines la through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 875,160 5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income Enter I% of Part I, line 27b (see instructions) 6 Adjusted qualifying distributions. Subtract line 5 from line 4 6 875,160 Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section 4940(e) reduction of tax in those years la lb 875,160 2 3a 3b 5 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL Form 990-PF (2016) DB-SDNY-0051751 SDNY_GM_00197935 EFTA01362364