Return of Private Foundation OMB No

Transcription

1 o CV 0 w Return of Privte Foundtion OMB No Form 990 -PF or Section 4947 ( )(1) Nonexempt Chritle Trust Treted s Privte Foundtion 2011 Deprtment of the Tresury Internl Revenue Service Note The foundtion m e le to use co of this return to stisf stte re rtm re uirements For clendr yer 2011 or tx yer eginning nd ending Nme of foundtion A Employer identifiction numer RITA AND LEO GREENLAND FAMILY FOUNDATION Numer nd street ( or P 0 ox numer if mil is not delivered to street ddress ) Room / suite B Telephone numer (see instructions) 597 WESTPORT AVENUE B543, C i ty or town stte, nd ZIP code NORWALK CT Sutrct line 26 from line 12 0 Excess of revenue over expenses nd disursements 1,717,300 C If exemption ppliction is pending, check here G Check ll tht pply IIL Initil return Initil return of former pulic chrity D I Foreign orgniztions, check here Li Finl return Li Amended return 2. Foreign orgniztions meeting the Address chnge Nme chnge 85% test, check here nd ttch computl on H Check type of orgniztion. [J Section 501(c)(3 ) exempt privte foundtion E If privte foundtion sttus ws terminted under Section 4947 ( )( 1 ) nonexem t chrtle trust n Other txle privte foundtion section 507 ( )(1)(A), check here L _ j Fir mrket vlue of ll ssets t J Accounting method A Csh Accrul 11' 1 F If the i s in 60-month term i ntion end of yer ( from Prt II, col (c), E] Other ( specify ) under section 507()(1)(B), check here Li line 16 ) $ 1, ( Prt I, column ( d ) must e on csh sis Prt I Anlysis of Revenue nd Expenses ( The totl of ( ) Revenue nd mounts in columns (), (c), nd ( d) my not necessrily equl expenses per the mounts in column ( ) (see instructions)) ooks 1 Contriutions, gifts, grnts, etc, received ( ttch schedule ) 1,723,998 2 Check R if the foundtion is not required to ttch Sch B 3 Interest on svings nd temporry csh investments Dividends nd interest from securities 5 Gross rents y Net rentl income or (loss) 6 no on i 10 Gross ) ^ 6 W 7 petl gin net income ( fro rt IV, line 2) 0 8 t shoan rr c^ I t^ In O to 9 ome modifictionsu9^ 6 10 L _ `-PEI s±ettf cs c Gross profit or (loss ) ( ttch schedule) 11 Other income ( ttch schedule) ( ) Net investment ( c) Adjusted net (d ) Disursements for chritle income income purposes ( csh sis onl y) 12 Totl. Add lines 1 throu g h 11 1,724, Compenstion of officers, directors, trustees, etc 0 14 Other employee slries nd wges 15 Pension plns, employee enefits x 16 Leg l fees ( ttch schedule) W Accounting fees (ttch schedule ) STMT 1 2, 500 2, 500 m > c Other professionl fees (ttch schedule) w LM 17 Interest fin 18 Txes ( ttch schedule ) ( see instructions ) STMT Deprecition ( ttch schedule ) nd depletion 20 Occupncy 21 Trvel, conferences, nd meetings c c 22 Printing nd pulictions tm 23 Other expenses ( tt sch ) 24 Totl operting nd dministrtive expenses. Add lines 13 through 23 2, 550 2, , CL 25 Contriutions gifts, grnts pid 4, 150 4, Totl ex penses nd disursements.add lines 24 nd 25 6, 700 2, ,150 Net investment income ( If negtive, enter -0-) 0 c Adjusted net income If ne g tive, enter -0- ) 0 ForPperwork Reduction Act Notice;seelnstructions.- DAA 0 Form 990=PF (2011)S

2 Form 990-PF 2011 RITA AND LEO GREENLAND FAMILY P ge 2 Attched schedules nd mounts in the description column Beginning of yery End of yer Prt tl Blnce Sheets should e for end-of-yer mounts only (See instructions) () Book Vlue ( ) Book Vlue ( c) F i r Mrket Vlue 1 Csh-non - interest-ering 2 Svings nd temporry csh investments 111, , , Accounts receivle Less llownce for doutful ccounts 4 Pledges receivle Less 5 Grnts receivle llownce for doutful ccounts 6 Receivles due from officers, directors, trustees, nd other disqulified persons ( ttch schedule) (see instructions) 7 Other notes nd lons receivle ( lt schedule) Less llownce for doutful ccounts 0 8 Inventories for sle or use y 9 Prepid expenses nd deferred chrges Q 10 Investments- U S nd stte government oligtions ( ttch schedule) c Investments-corporte stock ( ttch schedule) Investments-corporte onds ( ttch schedule) 11 Investments- lnd, uildings, nd equipment sis Less ccumulted deprecition ( ttch sch) 12 Investments-mortgge lons 13 Investments-other ( ttch schedule ) SEE STATEMENT 3 1,723, 998 1, 714, Lnd, uildings, nd equipment sis Less ccumulted deprecition ( ttch sch) 15 Other ssets ( descrie 16 Totl ssets ( to e completed y ll filers-see the instructions Also, see p ge 1, item I 111, 242 1, 828,542 1, 819, Accounts pyle nd ccrued expenses 18 Grnts pyle yi 19 Deferred revenue J3 20 Lons from officers, directors, trustees, nd other disqulified persons 21 Mortgges nd other notes pyle ( ttch schedule) 22 Other liilities ( descrie 23 Totl liilities dd lines 17 throug h 22 ) 0 0 Foundtions tht follow SFAS 117, check here ;^ U) w nd complete lines 24 through 26 nd lines 30 nd 31. c 24 Unrestricted -F 25 Temporrily restricted m 26 Permnently restricted C Foundtions tht do not follow SFAS 117, check here i5i LL 11- nd complete lines 27 through r n 27 Cpitl stock, trust principl, or current funds ) 28 Pid - in or cpitl surplus, or lnd, ldg., nd equipment fund,. 29 Retined ernings, ccumulted income endowment, or other funds 111,242 1, 828, Totl net ssets or fund lnces ( see instructions ) 111,242 1, 828,542 Z 31 Totl liilities nd net ssets /fund lnces(see instructions ) 111,242 1, 828, 542 Prt III Anl ysis of Chn g es in Net Assets or Fund Blnces 1 Totl net ssets or fund lnces t eginning of yer-prt II, column ( ), line 30 ( must gree with end-of -yer figure reported on prior yer's return) 1 111,242 2 Enter mount from Prt I, line ,717,300 3 Other increses not included in line 2 ( itemize) 3 4 Add lines 1, 2, nd 3 4 1,828,542 5 Decreses not included in line 2 ( itemize) 6 Totl net ssets or fund lnces t end of yer ( line 4 minus line 5 )-- Prt II, column ( ), line 30 F6-1,828, 542 Form 990-PF (2011)

3 Form 990-PF (2011) RITA AND LEO GREENLAND FAMILY Pge 3 Prt IV ' Cpitl Gins nd Losses for T x on Investme nt Income 1 c d e c N/A (e) Gross sles price () List nd descrie the kind(s) of property sold (e g, rel estte. 2-story rick wrehouse, or common stock, 200 shs MLC Co) (f) Deprecition llowed (or llowle) d e Complete only for ssets showing gin in column (h) nd owned y the foundtion on 12/31/69 c d e (1) F M V s of 12/31/69 2 Cpitl gin net income or (net cpitl loss) U) Adjusted sis s of 12/31/69 If gin, lso enter in Prt I, line 7 3 Net short-term cpitl gin or (loss) s defined in sections 1222(5) nd (6) If gin, lso enter in Prt I, line 8, column (c) (see instructions) If (loss), enter -0- in (g) Cost or other sis plus expense of sle (k) Excess of col (i) over col Q), if ny () How cquired P-Purchse D-Dontion If (loss), enter -0- in Prt I, line 7 2 Prt I, line 8 3 Prt V Qulifiction Under Section 4940 ( e) for Reduced Tx on Net Investment Income (For optionl use y domestic privte foundtions suject to the section 4940() tx on net investment income ) If section 4940( d)(2) pplies, leve this prt lnk (c) Dte cquired (mo, dy, yr) (h) Gin or (loss) (e) plus (f) minus (g) (d) Dte sold (mo, dy, yr (1) Gins (Col (h) gin minus col (k), ut not less thn -0-)or Losses (from col (h)) Ws the foundtion lile for the section 4942 tx on the distriutle mount of ny yer in the se period? Yes ^XI No If "Yes," the foundtion does not qulify under section 4940(e) Do not complete this prt. I Enter the pproprite mount in ech column for ech yer, see the instructions efore mking ny entries. () Bse period yers Clendr yer (or tx yer eginning in) () Adjusted qulifying distriutions (c) Net vlue of nonchntle- use ssets (d) Distriution rtio (col () divided y col (c)) , , , , , , , , , Totl of line 1, column (d) Averge distriution rtio for the 5-yer se period-divide the totl on line 2 y 5, or y the numer of yers the foundtion hs een in existence if less thn 5 yers Enter the net vlue of nonchritle-use ssets for 2011 from Prt X, line Multiply line 4 y line , Enter 1 % of net investment income (1 % of Prt I, line 27) 6 7 Add lines 5 nd Enter qulifying distriutions from Prt XII, line 4 8 4, 150 If line 8 is equl to or greter thn line 7, check the ox in Prt VI, line 1, nd complete tht prt using 1 % tx rte See the Prt VI Instructions Form 990-PF (20111 DAA-

4 Form 990-PF (2011) RITA AND LEO GREENLAND FAMILY Pge 4 Prt VI ' Excise Tx Bsed on Investment Income (Section 4940 ( ), 4940 (), 4940(e), or 4948-see instructions) l Exempt operting foundtions descried in section 4940(d)(2), check here I_J nd enter "N/A" on line 1 Dte of ruling or determintion letter. (ttch copy of letter if necessry-see instructions) Domestic foundtions tht meet the section 4940(e) requirements in Prt V, check 1 here 1 nd enter 1% of Prt I, line 27 c All other domestic foundtions enter 2% of line 27 Exempt foreign orgniztions enter 4% of Prt I, line 12, col () 2 Tx under section 511 (domestic section 4947()(1) trusts nd txle foundtions only Others enter -0-) Add lines 1 nd Sutitle A (income) tx (domestic section 4947()(1) trusts nd txle foundtions only Others enter -0-) Tx sed on investment income.sutrct line 4 from line 3 If zero or less, enter Credits/Pyments 2011 estimted tx pyments nd 2010 overpyment credited to Exempt foreign orgniztions-tx withheld t source 6 c Tx pid with ppliction for extension of time to file (Form 8868) 6c d Bckup withholding erroneously withheld 6d 7 Totl credits nd pyments Add lines 6 through 6d 7 8 Enter ny penlty for underpyment of estimted tx Check here [j if Form 2220 is ttched 8 9 Tx due. If the totl of lines 5 nd 8 is more thn line 7, enter mount owed 9 10 Overpyment. If line 7 is more thn the totl of lines 5 nd 8, enter the mount overpid Enter the mount of line 10 to e Credited to 2012 estimted tx 10 ' Refunded 11 Prt VII-A Sttements Re g rdin g Activities l During the tx yer, did the foundtion ttempt to influence ny ntionl, stte, or locl legisltion or did it Yes No prticipte or intervene in ny politicl cmpign? 1 X Did it spend more thn $100 during the yer (either directly or indirectly) for politicl purposes (see pge 19 of the instructions for definition)? 1 X If the nswer is "Yes" to 1 or 1, ttch detiled description of the ctivities nd copies of ny mterils pulished or distriuted y the foundtion in connection with the ctivities. c Did the foundtion file Form 1120-POL for this yer? 1c X d Enter the mount (if ny) of tx on politicl expenditures (section 4955) imposed during the yer e (1) On the foundtion $ (2) On foundtion mngers $ Enter the reimursement (if ny) pid y the foundtion during the yer for politicl expenditure tx imposed on foundtion mngers $ 2 Hs the foundtion engged in ny ctivities tht hve not previously een reported to the IRS? 2 X If "Yes," ttch detiled description of the ctivities 3 Hs the foundtion mde ny chnges, not previously reported to the IRS, in its governing instrument, rticles of incorportion, or ylws, or other similr instruments? If "Yes," ttch conformed copy of the chnges 3 X 4 Did the foundtion hve unrelted usiness gross income of $1,000 or more during the yer? 4 X If "Yes," hs it filed tx return on Form 990 -T for this yer? N/A 4 5 Ws there liquidtion, termintion, dissolution, or sustntil contrction during the yer? 5 X If "Yes," ttch the sttement required y Generl Instruction T 6 Are the requirements of section 508(e) (relting to sections 4941 through 4945) stisfied either By lnguge in the governing instrument, or By stte legisltion tht effectively mends the governing instrument so tht no mndtory directions tht conflict with the stte lw remin in the governing instrument? 6 X 7 Did the foundtion hve t lest $5,000 in ssets t ny time during the yer? If "Yes," complete Prt II, col (c), nd Prt XV 7 X 8 Enter the sttes to which the foundtion reports or with which it is registered (see instructions) NY If the nswer is "Yes" to line 7, hs the foundtion furnished copy of Form 990-PF to the Attorney Generl (or designte) of ech stte s required y Generl Instruction G? If "No," ttch explntion 8 X 9 Is the foundtion climing sttus s privte operting foundtion within the mening of section 49420)(3) or 49420)(5) for clendr yer 2011 or the txle yer eginning in 2011 (see instructions for Prt XIV)" If "Yes," complete Prt XIV 9 X 10 Did ny persons ecome sustntil contriutors during the tx yer? If "Yes," ttch schedule listing their nmes nd ddresses 10 X Form 99 0-PF (2011) DAA

5 Form 990-PF (2011) RITA AND LEO GREENLAND FAMILY Pge 5 Prt VI[-A Sttements Re g rdin g Activities ( continued ) 11 At ny time during the yer, did the foundtion, directly or indirectly, own controlled entity within the mening of section 512()(13)? If "Yes," ttch schedule (see instructions) 11 X 12 Did the foundtion mke distriution to donor dvised fund over which the foundtion or disqulified person hd dvisory privileges? If "Yes," ttch sttement (see instructions) 12 X 13 Did the foundtion comply with the pulic inspection requirements for its nnul returns nd exemption ppliction? 13 X Wesite ddress N/A 14 The ooks re in cre of FREIZER & FREIZER CPA' S Telephone no W. 25TH STREET Locted t BAYONNE NJ ZIP Section 4947 ( )(1) nonexempt chritle trusts filing Form PF in lieu of Form 1041-Check here j _ nd enter the mount of tx-exempt interest received or ccrued during the yer At ny time during clendr yer 2011, did the foundtion hve n interest in or signture or other uthority Yes No over nk, securities, or other finncil ccount in foreign country? 16 X See the instructions for exceptions nd filing requirements for Form TD F If "Yes," enter the nme of the foreig n count ry Prt VII -B Sttements Re g rdin g Activities for Which Form 4720 My Be Re q uired File Form 4720 if ny item is checked in the "Yes " column, unless n exception pplies. Yes No l During the yer did the foundtion ( either directly or indirectly) (1) Engge in the sle or exchnge, or lesing of property with disqulified person? Yes IJ No (2) Borrow money from, lend money to, or otherwise extend credit to (or ccept it from) disqulified person? Yes!] No (3) Furnish goods, services, or fcilities to (or ccept them from ) disqulified person? U Yes ;XJ No (4) Py compenstion to, or py or reimurse the expenses of, disqulified person? El Yes [J No (5) Trnsfer ny income or ssets to disqulified person ( or mke ny of either ville for the enefit or use of disqulified person )? J Yes!X No (6) Agree to py money or property to government officil? ( Exception. Check " No" if the foundtion greed to mke grnt to or to employ the officil for period fter termintion of government service, if terminting within 90 dys ) Yes No If ny nswer is "Yes " to 1(1)-(6), did ny of the cts fil to qulify under the exceptions descried in Regultions section ( d)-3 or in current notice regrding disster ssistnce ( see instructions )? N/A 1 Orgniztions relying on current notice regrding disster ssistnce check here c Did the foundtion engge in prior yer in ny of the cts descried in 1, other thn excepted cts, tht were not corrected efore the first dy of the tx yer eginning in 2011? N/A 1c 2 Txes on filure to distriute income ( section 4942) (does not pply for yers the foundtion ws privte operting foundtion defined in section )(3) or 4942(j)(5)) At the end of tx yer 2011, did the foundtion hve ny undistriuted income ( lines 6d nd 6e, Prt XIII ) for tx yer ( s) eginning efore 2011? Yes.X; No If "Yes," list the yers 20, 20, 20, 20 Are there ny yers listed in 2 for which the foundtion is not pplying the provisions of section 4942()(2) (relting to incorrect vlution of ssets ) to the yer's undistriuted income? ( If pplying section 4942()(2) to ll yers listed, nswer "No" nd ttch sttement-see instructions) N/A 2 c If the provisions of section 4942 ( )(2) re eing pplied to ny of the yers listed in 2, list the yers here , 20 3 Did the foundtion hold more thn 2% direct or indirect interest in ny usiness enterprise t ny time during the yer? Yes 1X No If "Yes," did it hve excess usiness holdings in 2011 s result of (1) ny purchse y the foundtion or disqulified persons fter My 26, 1969, (2 ) the lpse of the 5-yer period ( or longer period pproved y the Commissioner under section 4943 ( c)(7)) to dispose of holdings cquired y gift or equest ; or (3) the lpse of the 10-, 15-, or 20-yer first phse holding period? ( Use Schedule C, Form 4720, to determine if the foundtion hd excess usiness holdings in 2011 ) N/A 3 4 Did the foundtion invest during the yer ny mount in mnner tht would jeoprdize its chritle purposes? 4 X Did the foundtion mke ny investment in prior yer ( ut fter Decemer 31, 1969 ) tht could jeoprdize its chritle p urpose tht hd not een removed from jeo p rd y efore the first d y of the tx yer eg inning in 2011? 4 X Form 990-PF (2011) L

6 Form 990 PF (2011) RI TA AND LEO GREENLAND FAMILY Pge 6 Prt V1l-B' Sttements Re g rdin g Activities for Which Form 4720 My Be Re q uired ( continued ) 5 During the yer did the foundtion py or incur ny mount to (1) Crry on propgnd, or otherwise ttempt to influence legisltion (section 4945(e))" j J Yes No (2) Influence the outcome of ny specific pulic election (see section 4955); or to crry on, directly or indirectly, ny voter registrtion drive? I i Yes jj No (3) Provide grnt to n individul for trvel, study, or other similr purposes? Yes IX No (4) Provide grnt to n orgniztion other thn chritle, etc, orgniztion descried in section 509()(1), (2), or (3), or section 4940(d)(2)" (see instructions) Lf Yes!XI No (5) Provide for ny purpose other thn religious, chritle, scientific, literry, or eductionl purposes, orforthe preventionofcrueltytochildren ornimls" Yes J No If ny nswer is "Yes" to 5(1 )-(5), did ny of the trnsctions fil to qulify under the exceptions descried in Regultions section or in current notice regrding disster ssistnce (see instructions)? N/A 5 Orgniztions relying on current notice regrding disster ssistnce check here c If the nswer is "Yes" to question 5(4), does the foundtion clim exemption from the tx ecuse it mintined expenditure responsiility for the grnt? N/A Yes n No If "Yes," ttch the sttement required y Regultions section (d) 6 Did the foundtion, during the yer, receive ny funds, directly or indirectly, to py premiums on personl enefit contrct? El Yes No Did the foundtion, during the yer, py premiums, directly or indirectly, on personl enefit contrct? 61 X If "Yes" to 6, file Form At ny time during the tx yer, ws the foundtion prty to prohiited tx shelter trnsction? L; Yes No If Yes, did the foundtion receive n y proceeds or hve n y net income ttriutle to the trnsction? N/A 7 Prt Vltl Informtion Aout Officers, Directors, Trustees, Foundtion Mngers, Highly Pid E mployees, nd Contrctors 1 List ll officers. directors. trustees. foundtion mngers nd their comoenstion (see instructions). () Title, nd verge (c) Compenstion () Nme nd ddress hours per week ( If not pid, enter devoted to position.0.) ANDREW GREENLAND NORWALK TRUSTEE Li (d) Contriutions to employee enefit plns nd deferred compenstion (e) Expense ccount, other llownces 597 WESTPORT AVENUE APT B543 CT SETH GREENLAND LOS ANGELES TRUSTEE 2539 WESTRIDGE ROAD CA Compenstion of five highest-pid employees (other thn those included on line 1-see instructions). If none, enter "NONE." () Nme nd ddress of ech employee pid more thn () Title, nd verge hours per week devoted to position (c) Compenstion (d) Contriutions to employee enefit plns nd deferred compenstion (e) Expense ccount, other llownces NONE Totl numer of other employees pid over $50, Form 990-PF (2010

7 Form 990-PF (2011) RI TA AND LEO GREENLAND FAMILY Pge 7 Prt VIII Informtion Aout Officers, Directors, Trustees, Foundtion Mngers, Highly Pid Employees, nd Contrctors (continued) 3 Five highest -pid independent contrctors for professionl services ( see instructions ). If none, enter " NONE." NONE () Nme nd ddress of ech person pid more thn 550,000 I () Type of service I (c) Compenstion Totl numer of others receiving over $50,000 for professionl services Prt IX-A Summry of Direct Chritle Activities list the foundtion's four lrgest direct chntle ctivities during the tx yer Include relevnt sttisticl informtion such s the numer of orgniztions nd other eneficiries served, conferences convened, reserch ppers produced. etc i N/A Expenses 4 Prt IX -B Summry of Prorm-Relted Investments (see instructions) Descrie the two lrgest progrm-relted investments mde y the foundtion during the tx yer on lines 1 nd 2 Amount 1 N/A 2 All other progrm-relted investments See instructions 3 Totl. Add lines 1 throu g h 3 Form 990-PF (2011)

8 Form 990-PF(2011) RITA AND LEO GREENLAND FAMILY Pge 8 Prt X Minimum Investment Return (All domestic foundtions must complete this prt. Foreign foundtions, see instructions I Fir mrket vlue of ssets not used (or held for use) directly in crrying out chritle, etc, 2 purposes Averge monthly fir mrket vlue of securities 1 857, 354 Averge of monthly csh lnces 1 107, 893 c Fir mrket vlue of ll other ssets (see instructions) 1c 0 d Totl (dd lines 1,, nd c) Id _ 965, 247 e Reduction climed for lockge or other fctors reported on lines 1 nd 1c (ttch detiled explntion) le 0 Acquisition indetedness pplicle to line 1 ssets Sutrct line 2 from line 1d 3 965, Csh deemed held for chritle ctivities Enter 1'/2% of line 3 (for greter mount, see instructions) 4 14, Net vlue of nonchritle-use ssets.sutrct line 4 from line 3 Enter here nd on Prt V, line , Minimum investment return.enter 5% of line , 538 Prt X1 Distriutle Amount (see instructions) (Section 49420)(3) nd 0)(5) privte operting foundtions nd certin foreign orgniztions check here I nd do not com p lete this p rt 1 Minimum investment return from Prt X, line , Tx on investment income for 2011 from Prt VI, line 5 2 Income tx for 2011 (This does not include the tx from Prt VI) 2 c Add lines 2 nd 2 2c 3 Distriutle mount efore djustments Sutrct line 2c from line , Recoveries of mounts treted s qulifying distriutions 4 5 Add lines 3 nd , Deduction from distriutle mount (see instructions) 6 7 Distriutle mounts djusted Sutrct line 6 from line 5. Enter here nd on Prt XIII, line , 538 I Prt XII Qulifying Distriutions (see instructions) Amounts pid (including dministrtive expenses) to ccomplish chritle, etc, purposes Expenses, contriutions, gifts, etc -totl from Prt I, column (d), line , 150 Progrm-relted investments-totl from Prt IX-B l 2 Amounts pid to cquire ssets used (or held for use) directly in crrying out chritle, etc, 3 purposes 2 Amounts set side for specific chritle projects tht stisfy the Suitility test (prior IRS pprovl required) Csh distriution test (ttch the required schedule) 3 4 Qulifying distriutions.add lines 1 through 3. Enter here nd on Prt V, line 8, nd Prt XIII, line 4 4 4, Foundtions tht qulify under section 4940(e) for the reduced rte of tx on net investment income Enter 1 % of Prt I, line 27 (see instructions) Adjusted qulifying distriutions Sutrct line 5 from line Note. The mount on line 6 will e used in Prt V, column (), in susequent yers when clculting whether the foundtion qulifies for the section 4940(e) reduction of tx in those yers 3 Form 990-PF (2011)

9 Form 990-PF (2011) RITA AND LEO GREENLAND FAMILY Pge 9 Prt XIII Undistriuted Income ( see instructions ) ( ) () (c) (d) I Distriutle mount for 2011 from Prt XI, Corpus Yers pnor to line 7 47, Undistriuted income, if ny, s of the end of 2011 Enter mount for 2010 only Totl for prior yers 20, 20, 20 3 Excess distriutions crryover, if ny, to 2011 From , 203 From ,243. c From2008 8,200 d From , 702 e From ,628 f Totl of lines 3 through e 141,976 4 Qulifying distriutions for 2011 from Prt XII, line4 $ 4,150 c Applied to 2010, ut not more thn line 2 Applied to undistriuted income of prior yers (Election required-see instructions) Treted s distriutions out of corpus (Election required-see instructions) d Applied to 2011 distriutle mount 4, 150 e Remining mount distriuted out of corpus 5 Excess distriutions crryover pplied to , , 388 (If n mount ppers in column (d), the sme mount must e shown in column () ) 6 Enter the net totl of ech column s indicted elow: Corpus. Add lines 3f, 4c, nd 4e Sutrct line 5 98,588. Prior yers' undistriuted income Sutrct c line 4 from line 2 Enter the mount of prior yers' undistriuted income for which notice of deficiency hs een issued, or on which the section 4942() tx hs een previously ssessed d Sutrct line 6c from line 6 Txle mount-see instructions e Undistriuted income for 2010 Sutrct line 4 from line 2 Txle mount-see instructions f Undistriuted income for 2011 Sutrct lines 4d nd 5 from line 1 This mount must e distriuted in Amounts treted s distriutions out of corpus to stisfy requirements imposed y section 170()(1)(F) or 4942(g)(3) (see instructions) 8 Excess distriutions crryover from 2006 not pplied on line 5 or line 7 (see instructions) 9 Excess distriutions crryover to Sutrct lines 7 nd 8 from line 6 98,5M 10 Anlysis of line 9 Excess from , 058 Excess from , 200 c Excess from , 702 d Excess from , 62 8 e Excess from 2011 Form 990-PF (2011)

10 Form 990-PF ( 2011) RI TA AND LEO GREENLAND FAMILY Pge 10 Prt XIV Privte Oper ting Foundtions ( see instructions nd Prt VII- A, question 9) I If the foundtion hs received ruling or determintion letter tht it is privte operting foundtion, nd the ruling is effective for 2011, enter the dte of the ruling Check ox to indicte whether the foundtion is privte operting foundtion descri ed in section r L 2 Enter the lesser of the djusted net Tx yes income from Prt I or the minimum () 2011 investment return from Prt X for ech yer listed 85% of line 2 c Qulifying distriutions from Prt XI I, line 4 for ech yer listed d Amounts included in line 2c not used directly e for ctive conduct of exempt ctivities Qulifying distriutions mde directly for ctive conduct of exempt ctivities Sutrct line 2d from line 2c 3 Complete 3,, or c for the lterntive test relied upon "Assets" lterntive test-enter (1) Vlue of ll ssets (2) Vlue of ssets qulifying under section 49420)(3)(8)(1) "Endowment" lterntive test-enter 2/3 c of minimum investment return shown in Prt X, line 6 for ech yer listed "Support" lterntive test-enter. (1) Totl support other thn gross investment income (interest, dividends, rents, pyments on securities lons (section 512()(5)), or roylties) (2) Support from generl pulic nd 5 or more exempt orgniztions s provided in section 49420)(3)(B)(ui) (3) Lrgest mount of support from n exempt orgniztion Prior 3 yers ()2010 (c) Prt XV Supplementry Informtion (Complete this prt only if the foundtion hd $5,000 or more in ssets t ny time during the yer-see instructions.) 1 Informtion Regrding Foundtion Mngers: List ny mngers of the foundtion who hve contriuted more thn 2% of the totl contriutions received y the foundtion efore the close of ny tx yer (ut only if they hve contriuted more thn $5,000) (See section 507(d)(2) ) LEO GREENLAND List ny mngers of the foundtion who own 10% or more of the stock of corportion (or n eqully lrge portion of the ownership of prtnership or other entity) of which the foundtion hs 10% or greter interest. N/A 2 Informtion Regrding Contriution, Grnt, Gift, Lon, Scholrship, etc., Progrms: c Check here Xi if the foundtion only mkes contriutions to preselected chritle orgniztions nd does not ccept unsolicited requests for funds If the foundtion mkes gifts, grnts, etc (see instructions ) to individuls or orgniztions under other conditions, complete items 2,, c, nd d The nme, ddress, nd telephone numer of the person to whom pplictions should e ddressed N/A The form in which pplictions should e sumitted nd informtion nd mterils they should include- N/A Any sumission dedlines N/A d Any restrictions or limittions on wrds, such s y geogrphicl res, chritle fields, kinds of institutions, or other fctors' N/A - ona Form990-PF (2011) (e) Totl

11 Form 990-PF (2011) RITA AND LEO GREENLAND FAMILY Pge 11 Prt XV ' Supplementry Informtion (continued) 3 Grnts nd Contriutions Pid During the Yer or Aonroved for Future Pyment Recipient Nme nd ddress ( home or usiness ) Pid during the yer SEE STATEMENT 4 If recipient is n individul, show ny reltionship to ny foundtion mnger or sustntil contriutor Foundtion sttus of recipient e Purpose of grntor contriution Amount 4,150 Totl 3 4, 150 Approved for future pyment N/A Totl 3 9WPF (2oin

12 Form 990-PF (2011) RITA AND LEO GREENLAND FAMILY Pge 12 Prt XVI-A Anl y sis of Income-Producin g Activities Enter gross mounts unless otherwise indicted Unrelted usi ness income Excluded y section 512, 513, or 514 ( e) ( ) ( ) (C) Relted or exempt Business code Amount Exude n Amount function income 1 Progrm service revenue ( See instructions ) C d e f g Fees nd contrcts from government gencies 2 Memership dues nd ssessments 3 Interest on svings nd temporry csh investments 4 Dividends nd interest from securities 5 Net rentl income or (loss) from rel estte. Det-finnced property Not det-finnced property 6 Net rentl income or (loss) from personl property 7 Other investment income 8 Gin or (loss) from sles of ssets other thn inventory 9 Net income or (loss) from specil events 10 Gross profit or (loss) from sles of inventory 11 Other revenue c d e 12 Sutotl Add columns (), (d), nd (e) 13 Totl. Add line 12, columns (), (d), nd (e) Explin elow how ech ctivity for which income is reported in column (e) of Prt XVI -A contriuted importntly to the Form J`iu-rr (2011

13 , Form 990-PF (2011) RITA AND LEO GREENLAND FAMILY Pge 13 Prt XVII Informtion Regrding Trnsfers To nd Trnsctions nd Reltionships With Nonchritle Exempt Orciniztions 1 Did the orgniztion directly or indirectly engge in ny of the following with ny other orgniztion descried Yes No in section 501(c) of the Code (other thn section 501 (c)(3) orgniztions) or in section 527, relting to politicl orgniztions? Trnsfers from the reporting foundtion to nonchritle exempt orgniztion of (1) Csh ( l ) X (2) Other ssets l(2)1 X Other trnsctions- (1) Sles of ssets to nonchrltle exempt orgniztion 1 1 X (2) Purchses of ssets from nonchrltle exempt orgniztion 1 (2 ) X (3) Rentl of fcilities, equipment or other ssets l ( 3 ) X (4) Reimursement rrngements 1 4 X (5) Lons or lon gurntees l ( 5 ) X (6) Performnce of services or memership or fundrising solicittions 1 6 X c Shring of fcilities, equipment, miling lists, other ssets, or pid employees I c X d If the nswer to ny of the ove is "Yes," complete the following schedule Column () should lwys show the fir mrket vlue of the goods, other ssets, or services given y the reporting foundtion If the foundtion received less thn fir mrket vlue in ny trnsction or shring rrngement, show in column (d ) the vlue of the goods, other ssets, or services received () Line no () Amount involved (c) Nme of nonchntle exempt orgniztion (d) Description of trnsfers, trnsctions, nd shring rrngements N/A 2 Is the foundtion directly or indirectly ffilited with, or relted to, one or more tx-exempt orgniztions descried in section 501(c ) of the Code ( other thn section 501(c)(3)) or in section 527? I1 Yes L1 No h If "Yes " rmmnlete the fnllnwinn schedule () Nme of orgniztion ( ) Type of orgniztion ( c) Description of reltionship N/A Under penlties of perjury, I declre tht I hve exmined this return, including ccomp correct, nd complete Declrtion of preprer ( other thn txpyer ) is sed on ll info Sign Here Signture of officer or trustee Pid Print/Type preprer ' s nme Prepy Preprer RICHARD FREIZER Use Only Firm'snme FREIZER & FREIZER CPA' S Firm's ddress 17 W 25TH ST BAYONNE, NJ

14 Schedule B (Form 990, 99D-EZ, or 990-PF) Deprtment of the Tresury Schedule of Contriutors Attch to Form 990, Form 990-EZ, or Form 990-PF Nme of the orgniztion Employer identifiction numer RITA AND LEO GREENLAND FAMILY FOUNDATION Orgniztion type(check one) Filers of: Form 990 or 990-EZ Section: Li 501( c)( ) (enter numer ) orgniztion Li 4947 ( )(1) nonexempt chritle trust not treted s privte foundtion E' 527 politicl orgniztion Form 990-PF 501(c)( 3) exempt privte foundtion LI 4947( )(1) nonexempt chritle trust treted s privte foundtion n 501(c)( 3) txle privtefoundtion Check if your orgniztion is covered y the Generl Rule or Specil Rule. Note. Only section 501(c)(7), (8), or (10) orgniztion cn check oxes for oth the Generl Rule nd Specil Rule See instructions. Generl Rule X^ For n orgniztion filing Form 990, 990-EZ, or 990-PF tht received, during the yer, $5,000 or more (in money or Specil Rules property) from ny one contriutor. Complete Prts I nd II For section 501 (c)(3 ) orgniztion filing Form 990 or 990-EZ tht met the 33 1/3% support test of the regultions under sections 509 ( )(1) nd 170 ()(1)(A)(vi) nd received from ny one contriutor, during the yer, contriution of the greter of (1) $5,000 or (2) 2% of the mount on (I) Form 990, Prt VIII, line 1 h, or (h) Form 990-EZ, line 1 Complete Prts I nd II 7 For section 501(c)(7), (8), or (10) orgniztion filing Form 990 or 990-EZ tht received from ny one contriutor, during the yer, totl contriutions of more thn $1,000 for use exclusively for religious, chritle, scientific, literry, or eductionl purposes, or the prevention of cruelty to children or nimls. Complete Prts I, II, nd III For section 501(c)(7), (8), or (10) orgniztion filing Form 990 or 990-EZ tht received from ny one contriutor, during the yer, contriutions for use exclusively for religious, chritle, etc, purposes, ut these contriutions did not totl to more thn $1,000 If this ox is checked, enter here the totl contriutions tht were received during the yer for n exclusively religious, chritle, etc, purpose Do not complete ny of the prts unless the Generl Rule pplies to this orgniztion ecuse it received nonexcluslvely religious, chritle, etc, contriutions of $5,000 or more during the yer $ Cution. An orgniztion tht is not covered y the Generl Rule nd/or the Specil Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF), ut it must nswer "No" on Prt IV, line 2, of its Form 990; or check the ox on line H of Its Form 990-EZ or on Prt I, line 2, of its Form 990-PF, to certify tht it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF) For Pperwork Reduction Act Notice, see the Instructions for Form 990, 990-FS, or 990-PF Schedule B (Form 990, 990-F2, or 990 -PF) (2011) DAA

15 or 1 of 1 Nme of orgniztion Employer identifiction numer RITA AND LEO GREENLAND FAMILY Prt I Contriutors (see instructions) Use duplicte copies of Prt I if dditionl spce is needed. () () (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contriutions Typ e of contriution 1 ESTATE OF LEO GREENLAND Person 597 WESTPORT AVENUE Pyroll $ 11723, 998 Noncsh (X, NORWALK CT (Complete Prt II f there is noncsh contriution () () (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contriutions Type of contriution Person Pyroll $ Noncsh (Complete Prt II if there is noncsh contriution () () (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contriutions Type of contriution Person 1-1 Pyroll Lj $ Noncsh L (Complete Prt II noncsh contriution f there is () () (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contriutions Type of contriution Person Pyroll $ Noncsh (Complete Prt II if there is noncsh contriution.) () () (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contriutions Type of contriution Person Pyroll $ Noncsh ;H (Complete Prt II if there is noncsh contriution.) () () (c) (d) No. Nme, ddress, nd ZIP + 4 Totl contriutions Type of contriution Person 1 Pyroll ;U $ Noncsh! (Complete Prt II if there is noncsh contriution DAA Schedule B (Form 990, EZ, or 990 -PF) (2011)

16 1 of 1 of Prt Nme of orgniztion Employer identifiction numer RITA AND LEO GREENLAND FAMILY Prt It Noncsh Property (see instructions) Use duplicte copies of Prt II if dditionl spce is needed. () No. from Prt ( ) () Description of noncsh property given (C) FMV (or estimte) (see instructions) d ( ) Dte received 1 INHERITED IRA $ 1,723,998 08/02/11 () No. from Prt () Description of noncsh property given (c) FMV (or estimte) (see instructions) d ( ) Dte received () No. from Prt ( ) Description of noncsh property given (c) FMV ( or estimte) (see instructions) d ( ) Dte received () No. from Prt ( ) () Description of noncsh property given (C) FMV (or estimte) (see instructions) d ( ) Dte received () No. from Prt I () Description of noncsh property given (c) FMV (or estimte) (see instructions) (d) Dte received () No. from Prt I (c) ( ) FMV (or estimte) (d) Description of noncsh property given Dte received (see instructions) Schedule B(Form 990, EZ, or 990 -PF) (2011) OAA

17 Federl Sttements -l. Sttement 1 - Form 990-PF, Prt I, Line 16 - Accounting Fees Net Adjusted Description Totl Investment Net INDIRECT ACCOUNTING FEES $ 2,500 $ 2,500 $ TOTAL $ 2,500 $ 2,500 $ 0 Chritle Purpose $ 0 Sttement 2 - Form 990 -PF, Prt I. Line 18 - Txes Net Adjusted Description Totl Investment Net NYS FILING FEE $ 50 $ 50 $ TOTAL $ 50 $ 50 $ 0 Chritle Purpose $ 0 1-2

18 Federl Sttements Sttement 3 - Form 990 -PF, Prt II, Line 13 - Other Investments Beginning End of Bsis of Description of Yer Yer Vlution FIDELITY INHERITED IRA $ $ 1,723,998 COST TOTAL $ 0 $ 1,723, 998 Fir Mrket Vlue $ 1,714,708 $ 1,714,708 3

19 Federl Sttements Sttement 4 - Form 990 -PF, Prt XV, Line 3 - Grnts nd Contriutions Pid During the Yer Nme Address SPECIAL OLYMPICS NY CONG EMANUEL OF WESTCHEST CITY HARVEST USO CITY MEALS ON WHEELS JEWISH GUILD FOR BLIND SOUTHERN POVERTY LAW STATUE OF LIBERTY ASSN WORLD JEWISH CONGRESS FOOD BANK FOR NYC US OLYMPIC COMMITTEE FDNY FOUNDATION JEWISH WAR VETERANS UC RIVERSIDE FOUNDATION TOTAL Reltionship Address Sttus Purpose Amount 50 1, , 000 4,150 4

20 8868 Appliction for Extension of Time To File n Form trev Jnury Exempt Orgniztion Return OMB No Deprtment of the Tresury Internl Revenue Service File seprte ppliction for ech return. If you re filing for n Automtic 3-Month Extension, complete only Prt nd check this ox : If you re filing for n Additionl ( Not Automtic ) 3-Month Extension, complete only Prt (n pge 2 of this form) Do not complete Prt II unlessyou hve lredy een grnted n utomtic 3-month extension on previously filed Form 8868 Electronic filing (e -file).you cn electroniclly file Form 8868 if you need 3-month utomtic extension of time to file (6 months for corportion required to file Form 990-T), or n dditionl (not utomtic) 3-month extension of time. You cn electroniclly file Form 8868 to request n extension of time to file ny of the forms listed in Prt I or Prt II with the exception of Form 8870, Informtion Return for Trnsfers Associted With Certin Personl Benefit Contrcts, which must e sent to the IRS in pper formt (see instructions) For more detils on the electronic filing of this form, visit www irs gov/efile nd click on -file for Chrities & Nonprofits. Prt I Automtic 3-Month Extension of Time. Only sumit originl (no copies needed). A corportion required to file Form 990-T nd requesting n utomtic 6-month extension-check this ox nd complete Prt I only q All other corportions (including 1120-C filers), prtnerships, REMICs, nd trusts must use Form 7004 to request n extension of time to file income tx returns. Type or Nme of exempt orgniztion or other filer, see instructions print RITA AND LEO GREENLAND FAMILY File y the FOUNDATION due dle for Numer, street, nd room or suite no If P 0 ox, see instructions 'filing your return See 597 WESTPORT AVENUE B543 instructions City, town or post office, stte, nd ZIP code For foreign ddress, see instructions NORWALK CT Enter the Return code for the return tht this ppliction is for (file seprte ppliction for ech return) Employer identifiction numer (EIN) or Socil security numer (SSN) 04 Appliction Is For Return Code Appliction Form Form 990-T ( cor portion ) 07 Form 990-BL 02 Form 1041-A 08 Form 990-EZ 01 Form Form 990-PF 04 Form Form 990-T ( sec 401 or 408 ( ) trust ) 05 Form Form 990-T ( trust other thn ove ) 06 Form FREIZER & FREIZER CPA'S 17 W. 25TH STREET The ooks re in the cre of BAYONNE NJ Is For Return Code Telephone No FAX No If the orgniztion does not hve n office or plce of usiness in the United Sttes, check this ox q If this is for Group Return, enter the orgniztion's four digit Group Exemption Numer (GEN) If this is for the whole group, check this ox q If it is for prt of the group, check this ox Li nd ttch list with the nmes nd EINs of ll memers the extension is for 1 I request n utomtic 3-month ( 6 months for corportion required to file Form 990-T) extension of time until 08 /15/12, to file the exempt orgniztion return for the orgniztion nmed ove The extension is for the orgniztion ' s return for clendr yer 2011 or q tx yer eginning, nd ending 2 If the tx yer entered in line 1 is for less thn 12 months, check reson- q Initil return q Finl return Chn g e in ccountin g period 3 If this ppliction is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tenttive tx, less ny nonrefundle credits See instructions 3 $ 0 If this ppliction is for Form 990-PF, 990-T, 4720, or 6069, enter ny refundle credits nd estimted tx p yments mde Include n y p rior yer overpyment llowed s credit. 3 $ 0 c Blnce due. Sutrct line 3 from line 3 Include your pyment with this form, if required, y using EFTPS Electronic Federl Tx P yment Sy stem ) See instructions 3c $ 0 Cution. If you re going to mke n electronic fund withdrwl with this Form 8868, see Form 8453-EO nd Form 8879-EO for pyment instructions For Privcy Act nd Pperwork Reduction Act Notice, see Instructions. Form 8868 (Rev ) DAA

21 Form 8868 ( Rev ) P e 2 if you re filing for n Additionl (Not Automtic ) 3-Month Extension, complete only Prt find check this ox LX] Note. Only complete Prt II if you hve lredy een grnted n utomtic 3-month extension on previously filed Form 8868 If you re filing for n Automtic 3-Month Extension, complete only Prt on pge 1) Prt 11 Additionl ( Not Automtic) 3-Month Extension of Time. Only file the originl (no copies needed). Enter filer's identifying numer, see instruction! Type or Nme of exempt orgniztion or other filer, see instructions Employer identifiction numer (EIN) or print RITA AND LEO GREENLAND FAMILY FOUNDATION X File y the due dte for Numer, street, nd room or suite no. If P 0 ox, see instructions Socil security numer (SSN) filing your 597 WESTPORT AVENUE B543 return see City, town or post office, stte, nd ZIP code. For foreign ddress, see instructions. instructions NORWALK CT Enter the Return code for the return tht this ppliction is for (file seprte ppliction for ech return) 04 Appliction Is For Return Code Appliction Form Form 990-BL 02 Form 1041-A 08 Form 990-EZ 01 Form Form 990-PF 04 Form Form 990-T ( sec 401 or 408 ( ) trust ) 05 Form Form 990-T ( trust other thn ove ) 06 Form STOPI Do not complete Prt II if you were not lredy grnted n utomtic 3-month extension on previously filed Form FREIZER & FREIZER CPA'S 17 W. 25TH STREET The ooks re in the cre of BAYONNE NJ Telephone No FAX No If the orgniztion does not hve n office or plce of usiness in the United Sttes, check this ox q If this is for Group Return, enter the orgniztion's four digit Group Exemption Numer (GEN) If this is for the whole group, check this ox q If it is for prt of the group, check this ox Li nd ttch list with the nmes nd EINs of ll memers the extension is for Is For Return Code 4 I request n dditionl 3-month extension of time until 11/15/12 5 For clendr yer 2011, or other tx yer eginning, nd ending 6 If the tx yer entered in line 5 is for less thn 12 months, check reson- q Initil return q Finl return q Chnge in ccounting period 7 Stte in detil why you need the extension ADDITIONAL TIME IS REQUESTED TO GATHER INFORMATION TO PREPARE A COMPLETE AND ACCURATE RETURN. 8 If this ppliction is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tenttive tx, less ny nonrefundle credits See instructions If this ppliction is for Form PF, 990 -T, 4720, or 6069, enter ny refundle credits nd estimted tx pyments mde. Include ny prior yer overpyment llowed s credit nd ny mount Did Dreviously with Form 8868 c Blnce due. Sutrct line 8 from line 8. Include your pyment with this form, if required, y using EFTPS (Electronic Federl Tx Pyment System) See instructions Signture nd Verifiction must e completed for Prt II only. Under penlties of perjury, I declre tht I hve exmined this form, including ccompnying schedules nd sttements, nd to the est of my knowledge nd elief, it is true, correct, nd complete, nd tht I m uthorized to prepre this form $ 0 $ 0 $ 0 Title CPA Dte 08/10/12 Form 8868 (Rev ) DAA