EFTA Document EFTA01362368

Part XVII Pace 13 Form 990-P; (2016) Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations I 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, relating to political organizations a Transfers from the reporting foundation to a nonchantable exempt organization of (1) Cash Yes No la(1) No (2) Other assets b Other transactions (1) Sales of assets to a nonchantable exempt organization la(2) No 16(1) No (2) Purchases of assets from a nonchantable exempt organization lb(2) No (3) Rental of facilities, equipment, or other assets lb(3) No (4) Reimbursement arrangements lb(4) No (5) Loans or loan guarantees Ib(5) No (6) Performance of services or membership or fundraising solicitations lb(6) No c Shanng of facilities, equipment, mailing lists, other assets, or paid employees Sc No 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 foundation If the foundation received less than fair market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received (a) Line No (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements 2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 5277 0 Yes RI No b If "Yes,- complete the following schedule (a) Name of organization (b) Type of organization (e) Descnption of relationship sign Here Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge h 12017-05-15 May the IRS discuss this return with the preparer shown below I S gnature of officer or trustee Date Title (see instr p S Yes 0 He Paid Preparer Use Only Print/Type preparers name DAVID N HASSON CPA Preparers Signature Date Check if self- employed ii 0 PTIN P00035228 Firm's name lk SHR CPAS LLC Firm's EIN p. Firm's address IR 3000 MARCUS AVE STE 3W4 LAKE SUCCESS, NY 110421009 Phone no CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL Form 990-PF (2016) DB-SDNY-0051756 SDNY_GM_00197940 EFTA01362368