Return of Private Foundation

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1 Form 990-PF Rturn of Privat Founation OMB No or Stion 4947(a)(1) Nonxmpt Charital Trust Trat as a Privat Founation Dpartmnt of th Trasury Intrnal Rvnu Srvi Not. Th founation may al to us a opy of this rturn to satisfy stat rporting rquirmnts. Opn to Puli Insption For alnar yar 01 or tax yar ginning, 01, an ning, 0 Nam of founation A Employr intifiation numr Numr an strt (or P.O. ox numr if mail is not livr to strt arss) Room/suit B Tlphon numr (s instrutions) City or town, stat, an ZIP o C If xmption appliation is pning, hk hr PALO ALTO, CA 9404 G Chk all that apply: Initial rturn Initial rturn of a formr puli harity D 1. Forign organizations, hk hr Final rturn Amn rturn. Forign organizations mting th 8% tst, hk hr an attah Arss hang Nam hang omputation H Chk typ of organization: Stion 01()() xmpt privat founation E If privat founation status was trminat Stion 4947(a)(1) nonxmpt harital trust Othr taxal privat founation unr stion 07()(1)(A), hk hr I Fair markt valu of all assts at n J Aounting mtho: Cash Arual F If th founation is in a 60-month trmination of yar (from Part II, ol. (), lin Othr (spify) unr stion 07()(1)(B), hk hr 16) $,697,8,06. (Part I, olumn () must on ash asis.) Part I Analysis of Rvnu an Expnss (Th () Disursmnts (a) Rvnu an total of amounts in olumns (), (), an () () Nt invstmnt () Ajust nt for harital xpnss pr may not nssarily qual th amounts in inom inom purposs olumn (a) (s instrutions).) ooks (ash asis only) 1 Contriutions, gifts, grants, t., riv (attah shul) if th founation is not rquir to Chk attah Sh. B Intrst on savings an tmporary ash invstmnts Rvnu Oprating an Aministrativ Expnss GORDON E. & BETTY I. MOORE FOUNDATION PAGE MILL ROAD 4 Divins an intrst from suritis a Gross rnts Nt rntal inom or (loss) 6 a Nt gain or (loss) from sal of assts not on lin 10 Gross sals pri for all assts on lin 6a 7 Capital gain nt inom (from Part IV, lin ) 8 Nt short-trm apital gain 9 Inom moifiations 10 a Gross sals lss rturns an allowans Lss: Cost of goos sol Gross profit or (loss) (attah shul) 11 Othr inom (attah shul) ATCH 1 1 Total. A lins 1 through 11 1 Compnsation of offirs, irtors, trusts, t. 14 Othr mploy salaris an wags 1 Pnsion plans, mploy nfits 16 a Lgal fs (attah shul) ATCH Aounting fs (attah shul) ATCH Othr profssional fs (attah shul) * 17 Intrst 18 Taxs (attah shul) (s instrutions) ATCH 19 Dpriation (attah shul) an pltion 0 Oupany 1 Travl, onfrns, an mtings Printing an puliations Othr xpnss (attah shul) ATCH 6 A lins 1 through Contriutions, gifts, grants pai 4 Total oprating an aministrativ xpnss. 6 Total xpnss an isursmnts. A lins 4 an 7 Sutrat lin 6 from lin 1:,448,6,408. 8,6. 18,789,98. 11,0,44. 67,894, ,6,74. 77,44,111. (60) ,719, ,06,04. 4,94,. 4,101,07.,16,41. 1,744,07. 1,418,40. 1,77,01. 4,74,411. 1,09,778.,188,9. 874,4. 4,4,84. 90,894. 1,94. 17,9. 41, , ,916. 1,847,7. 7,976,664. 4,87,77. 10,70,47. 1,77,97. 9,1. 90,6. 417,09. 0,8. 1,90,967. 4,170. 1,074,7. 6,90. 7,16. 47,06. 1,11, ,47. 1,09,71.,8, ,764,40. 6,118,7.,8,888.,047,09. 7,896,96. 16,764, ,16,81. 69,97,86. a Exss of rvnu ovr xpnss an isursmnts Nt invstmnt inom (if ngativ, ntr -0-) 8,6,717. Ajust nt inom (if ngativ, ntr -0-) For Paprwork Rution At Noti, s instrutions. *ATCH 4 E

2 Pag Attah shuls an amounts in th Bginning of yar En of yar Part II Balan Shts sription olumn shoul for n-of-yar amounts only. (S instrutions.) (a) Book Valu () Book Valu () Fair Markt Valu Assts Liailitis Nt Assts or Fun Balans 1 Cash - non-intrst-aring Savings an tmporary ash invstmnts Aounts rival Lss: allowan for outful aounts 4 Plgs rival Lss: allowan for outful aounts Grants rival 6 Rivals u from offirs, irtors, trusts, an othr isqualifi prsons (attah shul) (s instrutions) 7 Othr nots an loans rival (attah shul) Lss: allowan for outful aounts 8 Invntoris for sal or us 9 Prpai xpnss an frr hargs Invstmnts - orporat stok (attah ATCH 8 Invstmnts - orporat ons (attah shul) 10 a Invstmnts - U.S. an stat govrnmnt oligations (attah shul) 11 Invstmnts - lan, uilings, an quipmnt: asis Lss: aumulat priation (attah shul) 1 Invstmnts - mortgag loans 1 Invstmnts - othr (attah shul) ATCH 9 14 Lan, uilings, an quipmnt: asis 64,60,441. Lss: aumulat (attah shul) priation 1 Othr assts (sri ATCH 10 ) 16 Total assts (to omplt y all filrs - s th instrutions. Also, s pag 1, itm I) 17 Aounts payal an aru xpnss 18 Grants payal 19 Dfrr rvnu 0 Loans from offirs, irtors, trusts, an othr isqualifi prsons 1 Mortgags an othr nots payal (attah shul) Othr liailitis (sri ATCH 11 ) Total liailitis (a lins 17 through ) Founations that follow SFAS 117, hk hr an omplt lins 4 through 6 an lins 0 an 1. 4 Unrstrit Tmporarily rstrit 6 Prmanntly rstrit Founations that o not follow SFAS 117, hk hr an omplt lins 7 through 1. 7 Capital stok, trust prinipal, or urrnt funs 8 Pai-in or apital surplus, or lan, lg., an quipmnt fun 9 Rtain arnings, aumulat inom, nowmnt, or othr funs 0 Total nt assts or fun alans (s instrutions) 1 Total liailitis an nt assts/fun alans (s instrutions),66,67,08.,697,8,06. Part III Analysis of Changs in Nt Assts or Fun Balans Total nt assts or fun alans at ginning of yar - Part II, olumn (a), lin 0 (must agr with n-of-yar figur rport on prior yar's rturn) ,70,1.,997,79.,997,79. 1,499,94. 97, ,671. ** 9,77,640. 8,976,497. 8,976,497. ATCH 78,19, ,87,04. 70,87,04.,0,8.,771,84,8. 4,086,68,99. 4,086,68,99. 0,466,68. 4,40,04. 44,14,17. 44,14, ,688,916. 6,40,77. 6,40,77.,66,67,08.,697,8,06.,697,8,06. 9,78,41. 9,069,9. 48,76,91. 8,074,71.,66,760.,09,48. 61,9,088.,7,468.,0,080,40.,64,00,8.,0,080,40.,64,00,8. Entr amount from Part I, lin 7a,0,080,40. 69,97,86. Othr inrass not inlu in lin (itmiz) ATCH 1 70,4,. A lins 1,, an 4,64,00,8. Drass not inlu in lin (itmiz) Total nt assts or fun alans at n of yar (lin 4 minus lin ) - Part II, olumn (), lin 0 6,64,00,8. **ATCH 7 E

3 Pag Part IV 1a a a Capital Gains an Losss for Tax on Invstmnt Inom SEE PART IV SCHEDULE () Gross sals pri (a) List an sri th kin(s) of proprty sol (.g., ral stat, -story rik warhous; or ommon stok, 00 shs. MLC Co.) (f) Dpriation allow (or allowal) (g) Cost or othr asis plus xpns of sal Complt only for assts showing gain in olumn (h) an own y th founation on 1/1/69 (i) F.M.V. as of 1/1/69 (j) Ajust asis as of 1/1/69 (k) Exss of ol. (i) ovr ol. (j), if any If gain, also ntr in Part I, lin 7 Capital gain nt inom or (nt apital loss) If (loss), ntr -0- in Part I, lin 7 Nt short-trm apital gain or (loss) as fin in stions 1() an (6): If gain, also ntr in Part I, lin 8, olumn () (s instrutions). If (loss), ntr -0- in Part I, lin 8 () How aquir P - Purhas D - Donation Part V Qualifiation Unr Stion 4940() for Ru Tax on Nt Invstmnt Inom (For optional us y omsti privat founations sujt to th stion 4940(a) tax on nt invstmnt inom.) () Dat aquir (mo., ay, yr.) (h) Gain or (loss) () plus (f) minus (g) () Dat sol (mo., ay, yr.) (l) Gains (Col. (h) gain minus ol. (k), ut not lss than -0-) or Losss (from ol. (h)) 77,44, If stion 4940()() applis, lav this part lank. Was th founation lial for th stion 494 tax on th istriutal amount of any yar in th as prio? If "Ys," th founation os not qualify unr stion 4940(). Do not omplt this part. 1 Entr th appropriat amount in ah olumn for ah yar; s th instrutions for making any ntris. (a) () () () Bas prio yars Distriution ratio Calnar yar (or tax yar ginning in) Ajust qualifying istriutions Nt valu of nonharital-us assts (ol. () ivi y ol. ()) ,9,4. 68,944,68.,119, ,10, ,776,46.,8,09,089.,449,464,040. 4,86,146,6.,4,80,98. 6,6,74, Total of lin 1, olumn () Avrag istriution ratio for th -yar as prio - ivi th total on lin y, or y th numr of yars th founation has n in xistn if lss than yars 4 Entr th nt valu of nonharital-us assts for 01 from Part, lin 4 Multiply lin 4 y lin 6 Entr 1% of nt invstmnt inom (1% of Part I, lin 7) 6 7 A lins an Entr qualifying istriutions from Part II, lin 4 8 9,717,649. If lin 8 is qual to or gratr than lin 7, hk th ox in Part VI, lin 1, an omplt that part using a 1% tax rat. S th Part VI instrutions. E Ys ,,10,89. 74,671,817.,8,67. 77,9,184. No

4 Pag 4 Exis Tax Bas on Invstmnt Inom (Stion 4940(a), 4940(), 4940(), or s instrutions) Part VI 1a Exmpt oprating founations sri in stion 4940()(), hk hr an ntr "" on lin 1. Dat of ruling or trmination lttr: (attah opy of lttr if nssary - s instrutions) hr an ntr 1% of Part I, lin 7 All othr omsti founations ntr % of lin 7. Exmpt forign organizations ntr 4% of Part I, lin 1, ol. (). Tax unr stion 11 (omsti stion 4947(a)(1) trusts an taxal founations only. Othrs ntr -0-) A lins 1 an 4 Sutitl A (inom) tax (omsti stion 4947(a)(1) trusts an taxal founations only. Othrs ntr -0-) Tax as on invstmnt inom. Sutrat lin 4 from lin. If zro or lss, ntr -0-6 Crits/Paymnts: a 01 stimat tax paymnts an 011 ovrpaymnt rit to 01 6a 9,0,8. Exmpt forign organizations - tax withhl at sour 6 Domsti founations that mt th stion 4940() rquirmnts in Part V, hk 1 Tax pai with appliation for xtnsion of tim to fil (Form 8868) 6 Bakup withholing rronously withhl 6 7 Total rits an paymnts. A lins 6a through 6 O.R. OVERPAYMENT,97, Entr any pnalty for unrpaymnt of stimat tax. Chk hr if Form 0 is attah 8 9 Tax u. If th total of lins an 8 is mor than lin 7, ntr amount ow *SEE FOOTNOTE 9 10 Ovrpaymnt. If lin 7 is mor than th total of lins an 8, ntr th amount ovrpai Entr th amount of lin 10 to : Crit to 01 stimat tax Rfun 11 Part VII-A Statmnts Rgaring Ativitis 1a During th tax yar, i th founation attmpt to influn any national, stat, or loal lgislation or i it partiipat Ys No or intrvn in any politial ampaign? Di it spn mor than $100 uring th yar (ithr irtly or inirtly) for politial purposs (s Instrutions for th finition)? If th answr is "Ys" to 1a or 1, attah a tail sription of th ativitis an opis of any matrials pulish or istriut y th founation in onntion with th ativitis. Di th founation fil Form 110-POL for this yar? Entr th amount (if any) of tax on politial xpniturs (stion 49) impos uring th yar: (1) On th founation. $ 0. () On founation managrs. $ 0. Entr th rimursmnt (if any) pai y th founation uring th yar for politial xpnitur tax impos on founation managrs. $ 0. Has th founation ngag in any ativitis that hav not prviously n rport to th IRS? If "Ys," attah a tail sription of th ativitis. Was thr a liquiation, trmination, issolution, or sustantial ontration uring th yar? Has th founation ma any hangs, not prviously rport to th IRS, in its govrning instrumnt, artils of inorporation, or ylaws, or othr similar instrumnts? If "Ys," attah a onform opy of th hangs 4 a Di th founation hav unrlat usinss gross inom of $1,000 or mor uring th yar? If "Ys," has it fil a tax rturn on Form 990-T for this yar? 6 If "Ys," attah th statmnt rquir y Gnral Instrution T. Ar th rquirmnts of stion 08() (rlating to stions 4941 through 494) satisfi ithr: By languag in th govrning instrumnt, or By stat lgislation that fftivly amns th govrning instrumnt so that no manatory irtions that onflit with th stat law rmain in th govrning instrumnt? 6 7 Di th founation hav at last $,000 in assts at any tim uring th yar? If "Ys," omplt Part II, ol. (), an Part V 8a Entr th stats to whih th founation rports or with whih it is rgistr (s instrutions) CA,DE, If th answr is "Ys" to lin 7, has th founation furnish a opy of Form 990-PF to th Attorny Gnral (or signat) of ah stat as rquir y Gnral Instrution G? If "No," attah xplanation 9 Is th founation laiming status as a privat oprating founation within th maning of stion 494(j)() or 494(j)() for alnar yar 01 or th taxal yar ginning in 01 (s instrutions for Part IV)? If "Ys," omplt Part IV 9 10 Di any prsons om sustantial ontriutors uring th tax yar? If "Ys," attah a shul listing thir nams an arsss 10 *AMOUNT CREDITED TO PF ON ORIGINALLY FILED 990-PF: $,97,77 AMOUNT OF OVERPAYMENT ON AMENDED 990-PF: $,98,64 DIFFERENCE REPORTED AS TA DUE WITH AMENDED 990-PF: $,10 4 6,66,74. 6,66, ,66,74. 1a 1 1 4a 4 7 8,10. E

5 Pag Statmnts Rgaring Ativitis (ontinu) Part VII-A At any tim uring th yar, i th founation, irtly or inirtly, own a ontroll ntity within th maning of stion 1()(1)? If "Ys," attah shul (s instrutions ATCH 1 11 Di th founation mak a istriution to a onor avis fun ovr whih th founation or a isqualifi prson ha avisory privilgs? If "Ys," attah statmnt (s instrutions) ATCH 14 1 Di th founation omply with th puli insption rquirmnts for its annual rturns an xmption appliation? 1 Wsit arss Th ooks ar in ar of MARY ANN FAKE Tlphon no Loat at 1661 PAGE MILL ROAD PALO ALTO, CA ZIP Stion 4947(a)(1) nonxmpt harital trusts filing Form 990-PF in liu of Form Chk hr an ntr th amount of tax-xmpt intrst riv or aru uring th yar 1 Ys ovr a ank, suritis, or othr finanial aount in a forign ountry? 16 S th instrutions for xptions an filing rquirmnts for Form TD F If "Ys," ntr th nam of th forign ountry ATCH 1 16 At any tim uring alnar yar 01, i th founation hav an intrst in or a signatur or othr authority Part VII-B Statmnts Rgaring Ativitis for Whih Form 470 May B Rquir Fil Form 470 if any itm is hk in th "Ys" olumn, unlss an xption applis. 1a During th yar i th founation (ithr irtly or inirtly): If any answr is "Ys" to 1a(1)-(6), i any of th ats fail to qualify unr th xptions sri in Rgulations Di th founation ngag in a prior yar in any of th ats sri in 1a, othr than xpt ats, that a At th n of tax yar 01, i th founation hav any unistriut inom (lins 6 an Ar thr any yars list in a for whih th founation is not applying th provisions of stion 494(a)() all yars list, answr "No" an attah statmnt - s instrutions.) If th provisions of stion 494(a)() ar ing appli to any of th yars list in a, list th yars hr.,,, a Di th founation hol mor than a % irt or inirt intrst in any usinss ntrpris If "Ys," i it hav xss usinss holings in 01 as a rsult of (1) any purhas y th founation or 4a () Borrow mony from, ln mony to, or othrwis xtn rit to (or apt it from) a () Transfr any inom or assts to a isqualifi prson (or mak any of ithr availal for (1) Engag in th sal or xhang, or lasing of proprty with a isqualifi prson? Ys No isqualifi prson? Ys No () Furnish goos, srvis, or failitis to (or apt thm from) a isqualifi prson? Ys No (4) Pay ompnsation to, or pay or rimurs th xpnss of, a isqualifi prson? Ys No (6) Agr to pay mony or proprty to a govrnmnt offiial? (Exption. Chk "No" if th founation agr to mak a grant to or to mploy th offiial for a prio aftr th nfit or us of a isqualifi prson)? Ys No trmination of govrnmnt srvi, if trminating within 90 ays.) Ys No stion.4941()- or in a urrnt noti rgaring isastr assistan (s instrutions)? Organizations rlying on a urrnt noti rgaring isastr assistan hk hr wr not orrt for th first ay of th tax yar ginning in 01? Taxs on failur to istriut inom (stion 494) (os not apply for yars th founation was a privat oprating founation fin in stion 494(j)() or 494(j)()): 6, Part III) for tax yar(s) ginning for 01? Ys No If "Ys," list th yars,,, (rlating to inorrt valuation of assts) to th yar's unistriut inom? (If applying stion 494(a)() to at any tim uring th yar? Ys No isqualifi prsons aftr May 6, 1969; () th laps of th -yar prio (or longr prio approv y th Commissionr unr stion 494()(7)) to ispos of holings aquir y gift or qust; or () th laps of th 10-, 1-, or 0-yar first phas holing prio? (Us Shul C, Form 470, to trmin if th founation ha xss usinss holings in 01.) Di th founation invst uring th yar any amount in a mannr that woul jopariz its harital purposs? harital purpos that ha not n rmov from jopary for th first ay of th tax yar ginning in 01? Di th founation mak any invstmnt in a prior yar (ut aftr Dmr 1, 1969) that oul jopariz its 1 1 4a 4 Ys No No E

6 Pag 6 Statmnts Rgaring Ativitis for Whih Form 470 May B Rquir (ontinu) Part VII-B a 6a During th yar i th founation pay or inur any amount to: () Influn th outom of any spifi puli ltion (s stion 49); or to arry on, (4) Provi a grant to an organization othr than a harital, t., organization sri in (1) Carry on propagana, or othrwis attmpt to influn lgislation (stion 494())? Ys No irtly or inirtly, any votr rgistration riv? Ys No () Provi a grant to an iniviual for travl, stuy, or othr similar purposs? Ys No stion 09(a)(1), (), or (), or stion 4940()()? (s instrutions) Ys No () Provi for any purpos othr than rligious, harital, sintifi, litrary, or uational purposs, or for th prvntion of rulty to hilrn or animals? Ys No If any answr is "Ys" to a(1)-(), i any of th transations fail to qualify unr th xptions sri in Rgulations stion.494 or in a urrnt noti rgaring isastr assistan (s instrutions)? Organizations rlying on a urrnt noti rgaring isastr assistan hk hr If th answr is "Ys" to qustion a(4), os th founation laim xmption from th tax aus it maintain xpnitur rsponsiility for th grant? ATCH 16 Ys No If "Ys," attah th statmnt rquir y Rgulations stion.494-(). Di th founation, uring th yar, riv any funs, irtly or inirtly, to pay prmiums on a prsonal nfit ontrat? Ys No Di th founation, uring th yar, pay prmiums, irtly or inirtly, on a prsonal nfit ontrat? If "Ys" to 6, fil Form a At any tim uring th tax yar, was th founation a party to a prohiit tax shltr transation? Ys No If "Ys," i th founation riv any pros or hav any nt inom attriutal to th transation? 7 Part VIII Information Aout Offirs, Dirtors, Trusts, Founation Managrs, Highly Pai Employs, an Contrators 1 List all offirs, irtors, trusts, founation managrs an thir ompnsation (s instrutions). () Titl, an avrag () Compnsation () Contriutions to (a) Nam an arss hours pr wk (If not pai, mploy nfit plans vot to position ntr -0-) an frr ompnsation 6 () Expns aount, othr allowans ATCH 17,16,41. 76,4. 0 Compnsation of fiv highst-pai mploys (othr than thos inlu on lin 1 - s instrutions). If non, ntr "NONE." (a) Nam an arss of ah mploy pai mor than $0,000 () Titl, an avrag hours pr wk vot to position () Compnsation () Contriutions to mploy nfit plans an frr ompnsation () Expns aount, othr allowans ATCH 18 4,047,0. 907, Total numr of othr mploys pai ovr $0,000 E

7 Pag 7 Part VIII Information Aout Offirs, Dirtors, Trusts, Founation Managrs, Highly Pai Employs, an Contrators (ontinu) Fiv highst-pai inpnnt ontrators for profssional srvis (s instrutions). If non, ntr "NONE." (a) Nam an arss of ah prson pai mor than $0,000 () Typ of srvi () Compnsation ATCH 19 4,06,709. Total numr of othrs riving ovr $0,000 for profssional srvis Part I-A Summary of Dirt Charital Ativitis 7 List th founation's four largst irt harital ativitis uring th tax yar. Inlu rlvant statistial information suh as th numr of organizations an othr nfiiaris srv, onfrns onvn, rsarh paprs prou, t. 1 SEE GENERAL EPLANATION ATTACHMENT Expnss 1,9, Part I-B Summary of Program-Rlat Invstmnts (s instrutions) Dsri th two largst program-rlat invstmnts ma y th founation uring th tax yar on lins 1 an. 1 NONE Amount All othr program-rlat invstmnts. S instrutions. NONE Total. A lins 1 through E

8 Pag 8 1 Part a Minimum Invstmnt Rturn (All omsti founations must omplt this part. Forign founations, s instrutions.) Fair markt valu of assts not us (or hl for us) irtly in arrying out harital, t., purposs: Avrag monthly fair markt valu of suritis Avrag of monthly ash alans Fair markt valu of all othr assts (s instrutions) Total (a lins 1a,, an ) Rution laim for lokag or othr fators rport on lins 1a an 1 (attah tail xplanation) 1 Aquisition intnss applial to lin 1 assts Sutrat lin from lin 1 Cash m hl for harital ativitis. Entr 1 1/ % of lin (for gratr amount, s instrutions) Nt valu of nonharital-us assts. Sutrat lin 4 from lin. Entr hr an on Part V, lin 4 Minimum invstmnt rturn. Entr % of lin Distriutal Amount (s instrutions) (Stion 494(j)() an (j)() privat oprating founations an rtain forign organizations hk hr 4 6 Part I 1 Minimum invstmnt rturn from Part, lin 6 a Tax on invstmnt inom for 01 from Part VI, lin a Inom tax for 01. (This os not inlu th tax from Part VI.) A lins a an Distriutal amount for ajustmnts. Sutrat lin from lin 1 A lins an 4 6 Dution from istriutal amount (s instrutions) 7 Distriutal amount as ajust. Sutrat lin 6 from lin. Entr hr an on Part III, lin 1 1a an o not omplt this part.) 4 Rovris of amounts trat as qualifying istriutions 4 Part II Qualifying Distriutions (s instrutions) 6,66,74. 16, Amounts pai (inluing aministrativ xpnss) to aomplish harital, t., purposs: a Expnss, ontriutions, gifts, t. - total from Part I, olumn (), lin 6 Program-rlat invstmnts - total from Part I-B Amounts pai to aquir assts us (or hl for us) irtly in arrying out harital, t., purposs Amounts st asi for spifi harital projts that satisfy th: a Suitaility tst (prior IRS approval rquir) Cash istriution tst (attah th rquir shul) 4 Qualifying istriutions. A lins 1a through. Entr hr an on Part V, lin 8, an Part III, lin 4 Founations that qualify unr stion 4940() for th ru rat of tax on nt invstmnt inom. Entr 1% of Part I, lin 7 (s instrutions) 6 Ajust qualifying istriutions. Sutrat lin from lin 4 Not. Th amount on lin 6 will us in Part V, olumn (), in susqunt yars whn alulating whthr th founation qualifis for th stion 4940() rution of tax in thos yars a 1 a 4 6,46,4,997. 1,49,611.,019,,18.,607,9,790.,607,9, ,108,897.,,10,89. 76,17,4. 76,17,4. 6,8, ,74, ,71. 69,98,1. 69,98,1. 9,16,81.,068. 9,717, ,717,649. E

9 Pag 9 Unistriut Inom (s instrutions) Part III lin 7 Unistriut inom, if any, as of th n of 01: a Entr amount for 011 only 1 Distriutal amount for 01 from Part I, Total for prior yars: 0 10, 0 09, 0 08 Exss istriutions arryovr, if any, to 01: a From 007 From 008 From 009 From 010 From 011 f Total of lins a through 4 Qualifying istriutions for 01 from Part II, lin 4: $ 9,717,649. a Appli to 011, ut not mor than lin a Appli to unistriut inom of prior yars (Eltion rquir - s instrutions) Trat as istriutions out of orpus (Eltion rquir - s instrutions) Appli to 01 istriutal amount Rmaining amount istriut out of orpus Exss istriutions arryovr appli to 01 (If an amount appars in olumn (), th sam amount must shown in olumn (a).) 6 Entr th nt total of ah olumn as iniat low: a Corpus. A lins f, 4, an 4. Sutrat lin Prior yars' unistriut inom. Sutrat lin 4 from lin Entr th amount of prior yars' unistriut inom for whih a noti of fiiny has n issu, or on whih th stion 494(a) tax has n prviously assss amount - s instrutions Sutrat lin 6 from lin 6. Taxal f Unistriut inom for 011. Sutrat lin 4a from lin a. Taxal amount - s instrutions Unistriut inom for 01. Sutrat lins 4 an from lin 1. This amount must istriut in 01 7 Amounts trat as istriutions out of orpus to satisfy rquirmnts impos y stion 170()(1)(F) or 494(g)() (s instrutions) appli on lin or lin 7 (s instrutions) Sutrat lins 7 an 8 from lin 6a a Exss from 008 Exss from 009 Exss from 010 Exss from 011 Exss from 01 8 Exss istriutions arryovr from 007 not 9 Exss istriutions arryovr to Analysis of lin 9: 7,0,81. 17,8,49. (a) Corpus 7,0,81. () Yars prior to 011 () 011 () 01 69,98,1. 9,717, ,6,6. 10,6,6. 17,8,49. 17,8,49. E

10 Pag 10 Part IV Privat Oprating Founations (s instrutions an Part VII-A, qustion 9) 1 a If th founation has riv a ruling or trmination lttr that it is a privat oprating founation, an th ruling is fftiv for 01, ntr th at of th ruling Chk ox to iniat whthr th founation is a privat oprating founation sri in stion 494(j)() or 494(j)() a Entr th lssr of th ajust nt inom from Part I or th minimum invstmnt rturn from Part for ah yar list 8% of lin a Qualifying istriutions from Part II, lin 4 for ah yar list Amounts inlu in lin not us irtly for ativ onut of xmpt ativitis Qualifying istriutions ma irtly for ativ onut of xmpt ativitis. Sutrat lin from lin Complt a,, or for th altrnativ tst rli upon: a "Assts" altrnativ tst - ntr: (1) Valu of all assts 494(j)()(B)(i) () Valu of assts qualifying unr stion "Enowmnt" altrnativ tstntr / of minimum invstmnt rturn shown in Part, lin 6 for ah yar list "Support" altrnativ tst - ntr: (1) () Total support othr than gross invstmnt inom (intrst, ivins, rnts, paymnts on suritis loans (stion 1(a)()), or royaltis) Support from gnral puli an or mor xmpt organizations as provi in stion 494 (j)()(b)(iii) () Largst amount of support from an xmpt organization (4) Gross invstmnt inom Part V 1 a Tax yar Prior yars (a) 01 () 011 () 010 () 009 NOT APPLICABLE () Total Supplmntary Information (Complt this part only if th founation ha $,000 or mor in assts at any tim uring th yar - s instrutions.) Information Rgaring Founation Managrs: List any managrs of th founation who hav ontriut mor than % of th total ontriutions riv y th founation for th los of any tax yar (ut only if thy hav ontriut mor than $,000). (S stion 07()().) NONE List any managrs of th founation who own 10% or mor of th stok of a orporation (or an qually larg portion of th ownrship of a partnrship or othr ntity) of whih th founation has a 10% or gratr intrst. a NONE Information Rgaring Contriution, Grant, Gift, Loan, Sholarship, t., Programs: Chk hr if th founation only maks ontriutions to prslt harital organizations an os not apt unsoliit rqusts for funs. If th founation maks gifts, grants, t. (s instrutions) to iniviuals or organizations unr othr onitions, omplt itms a,,, an. Th nam, arss, an tlphon numr or -mail of th prson to whom appliations shoul arss: Th form in whih appliations shoul sumitt an information an matrials thy shoul inlu: Any sumission alins: E Any rstritions or limitations on awars, suh as y gographial aras, harital fils, kins of institutions, or othr fators:

11 Pag 11 Part V Supplmntary Information (ontinu) Grants an Contriutions Pai During th Yar or Approv for Futur Paymnt Ripint Nam an arss (hom or usinss) a Pai uring th yar ATCH 0 If ripint is an iniviual, show any rlationship to any founation managr or sustantial ontriutor Founation status of ripint Purpos of grant or ontriution Amount Total a Approv for futur paymnt,047,09. ATCH 1 Total 19,18,6. E

12 Pag 1 Part VI-A Analysis of Inom-Prouing Ativitis Entr gross amounts unlss othrwis iniat. 1 Program srvi rvnu: a f g Fs an ontrats from govrnmnt agnis Mmrship us an assssmnts Intrst on savings an tmporary ash invstmnts 4 Divins an intrst from suritis Nt rntal inom or (loss) from ral stat: a Dt-finan proprty Not t-finan proprty 6 Nt rntal inom or (loss) from prsonal proprty 7 Othr invstmnt inom 9 Nt inom or (loss) from spial vnts 8 Gain or (loss) from sals of assts othr than invntory 10 Gross profit or (loss) from sals of invntory 11 Othr rvnu: a Unrlat usinss inom Exlu y stion 1, 1, or 14 (a) Businss o () Amount () Exlusion o () Amount 1 Sutotal. A olumns (), (), an () 1 Total. A lin 1, olumns (), (), an () 1 (S worksht in lin 1 instrutions to vrify alulations.) Rlationship of Ativitis to th Aomplishmnt of Exmpt Purposs Part VI-B Lin No. 14 8, ,0, ,76, ,490,87. ATCH -,0, ,9,07. -,47,97. 47,7,49. () Rlat or xmpt funtion inom (S instrutions.) 4,94,. Explain low how ah ativity for whih inom is rport in olumn () of Part VI-A ontriut importantly to th aomplishmnt of th founation's xmpt purposs (othr than y proviing funs for suh purposs). (S instrutions.) E

13 Pag 1 Part VII Information Rgaring Transfrs To an Transations an Rlationships With Nonharital Exmpt Organizations 1 Di th organization irtly or inirtly ngag in any of th following with any othr organization sri in stion 01() of th Co (othr than stion 01()() organizations) or in stion 7, rlating to politial organizations? a Transfrs from th rporting founation to a nonharital xmpt organization of: (1) Cash () Othr assts Othr transations: (1) Sals of assts to a nonharital xmpt organization () Purhass of assts from a nonharital xmpt organization () Rntal of failitis, quipmnt, or othr assts (4) Rimursmnt arrangmnts () Loans or loan guarants (6) Prforman of srvis or mmrship or funraising soliitations Sharing of failitis, quipmnt, mailing lists, othr assts, or pai mploys If th answr to any of th aov is "Ys," omplt th following shul. Column () shoul always show th fair markt valu of th goos, othr assts, or srvis givn y th rporting founation. If th founation riv lss than fair markt valu in any transation or sharing arrangmnt, show in olumn () th valu of th goos, othr assts, or srvis riv. (a) Lin no. () Amount involv () Nam of nonharital xmpt organization () Dsription of transfrs, transations, an sharing arrangmnts 1a(1) 1a() 1(1) 1() 1() 1(4) 1() 1(6) 1 Ys No a Is th founation irtly or inirtly affiliat with, or rlat to, on or mor tax-xmpt organizations sri in stion 01() of th Co (othr than stion 01()()) or in stion 7? Ys No If "Ys," omplt th following shul. (a) Nam of organization () Typ of organization () Dsription of rlationship Sign Hr Unr pnaltis of prjury, I lar that I hav xamin this rturn, inluing aompanying shuls an statmnts, an to th st of my knowlg an lif, it is tru, orrt, an omplt. Dlaration of prparr (othr than taxpayr) is as on all information of whih prparr has any knowlg. May th IRS isuss this rturn with th prparr shown low Signatur of offir or trust Dat Titl (s instrutions)? Ys No Pai Prparr Print/Typ prparr's nam Prparr's signatur Dat Chk if PTIN slf-mploy Firm's nam Firm's EIN Us Only Firm's arss P00180 ERNST & YOUNG U.S. LLP N. CENTRAL AVE., STE. 00 PHOENI, AZ Phon no. E

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