EFTA Document EFTA01362365

Form 990-PF (2016) Part XIII Undistributed Income (see instructions) Page 9 1 Distributable amount for 2016 from 2 Undistnbuted income, if any, as a Enter amount for 2015 only b Total for prior years 20— , 3 Excess distributions carryover, if • From 2011 b From 2012 c From 2013 d From 2014 e From 2015 f Total of lines 3a through e 4 Qualifying distributions for 2016 XII, line 4 ► $ Part XI, line 7 of the end of 2016 20— , 20- any, to 2016 (a) Corpus (b) Years pnor to 2015 (c) 2015 (d) 2016 477,501 122,434 rom Part 875,160 122,434 a Applied to 2015, but not more than b Applied to undistnbuted income (Election required—see instructions). c Treated as distributions out of corpus required—see instructions). . d Applied to 2016 distributable amount. e Remaining amount distributed out 5 Excess distributions carryover applied (If an amount appears in column same amount must be shown 6 Enter the net total of each column indicated below: a Corpus Add lines 3f, 4c, and 4* b Prior years' undistributed income line 4b from line 2b . . . . o Enter the amount of prior years' income for which a notice of deficiency been issued, or on which the section tax has been previously assessed. d Subtract line 6c from line 6b Taxable —see instructions . . . . . e Undistributed income for 2015 Subtract 4a from line 2a Taxable amount instructions . . . . . . . . . . . . . f Undistributed income for 2016 Subtract lines 4d and 5 from line 1 This amount be distributed in 2017 . . . . 7 Amounts treated as distnbutions corpus to satisfy requirements imposed section 170(b)(1)(F) or 4942(g)(3) be required - see instructions) . 8 Excess distributions carryover from applied on line 5 or line 7 (see instructions) 9 Excess distributions carryover Subtract lines 7 and 8 from line 10 Analysis of line 9 a Excess from 2012. . . . b Excess from 2013. . . . c Excess from 2014. . . . d Excess from 2015. . . . e Excess from 2016. . . . line 2a of pnor years . . . . (Election . . . . . . . . . . of corpus to 2016 (d), the in column (a) ) as Subtract line 5 Subtract . . . . . . undistnbuted has 4942(a) . . . . . amount . . . . . . line —see must . out of by (Election may . . . . . . 2011 not . . . to 2017. 6a 0 .17 1 5C1 275,21S tit,,225 o 275,225 275,225 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL Forrn 990-PF 2016) DB-SDNY-0051752 S0NY_GM_00 197936 EFTA01362365