Return of Private Foundation or Section 4947(a)(1) Trust Treated as Private Foundation

Transcription

1 Form 99-PF Return of Private Foundation or Section 4947(a)(1) Trust Treated as Private Foundation OMB No Department of the Treasury Internal Revenue Service Do not enter social security numers on this form as it may e made pulic. Go to for instructions and the latest information. For calendar year 217 or tax year eginning, 217, and ending, 2 Name of foundation E. Eugene Carter Foundation Numer and street (or P.O. ox numer if mail is not delivered to street address) 375 Ordway St., NW City or town, state or province, country, and ZIP or foreign postal code Washington, DC 28 G Check all that apply: Initial return Final return Address change Room/suite Initial return of a former pulic charity Amended return Name change H Check type of organization: Section 51(c)(3) exempt private foundation Section 4947(a)(1) nonexempt charitale trust Other taxale private foundation I Fair market value of all assets at J Accounting method: Cash Accrual end of year (from Part II, col. (c), Other (specify) line 16) $ 7,33,297 (Part I, column (d) must e on cash asis.) Part I Analysis of Revenue and Expenses (The total of (a) Revenue and amounts in columns (), (c), and (d) may not necessarily equal expenses per the amounts in column (a) (see instructions).) ooks Revenue Operating and Administrative Expenses Sch. 1 1 Contriutions, gifts, grants, etc., received (attach schedule) 2 Check if the foundation is not required to attach Sch. B 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities. Sch a Gross rents Net rental income or (loss) 6a Net gain or (loss) from sale of assets not on line 1 Gross sales price for all assets on line 6a 7 Capital gain net income (from Part IV, line 2).. 8 Net short-term capital gain Income modifications a Gross sales less returns and allowances Less: Cost of goods sold... c Gross profit or (loss) (attach schedule) Other income (attach schedule) Total. Add lines 1 through Compensation of officers, directors, trustees, etc. 14 Other employee salaries and wages Pension plans, employee enefits a Legal fees (attach schedule) Accounting fees (attach schedule)..... c Other professional fees (attach schedule) Interest Taxes (attach schedule) (see instructions) Depreciation (attach schedule) and depletion.. 2 Occupancy Travel, conferences, and meetings Printing and pulications Other expenses (attach schedule). Sch Total operating and administrative expenses. Add lines 13 through Contriutions, gifts, grants paid.. Sch Total expenses and disursements. Add lines 24 and Sutract line 26 from line 12: a Excess of revenue over expenses and disursements Net investment income (if negative, enter --). c Adjusted net income (if negative, enter --).. A Employer identification numer B Telephone numer (see instructions) Open to Pulic Inspection C If exemption application is pending, check here D 1. Foreign organizations, check here Foreign organizations meeting the 85% test, check here and attach computation.. E If private foundation status was terminated under section 57()(1)(A), check here.... F () Net investment income If the foundation is in a 6-month termination under section 57()(1)(B), check here.. (c) Adjusted net income (d) Disursements for charitale purposes (cash asis only) For Paperwork Reduction Act Notice, see instructions. Cat. No X 135,23 135,23 135,23 135,23 5,297 5, , , , ,455 (182,252) 135,23

2 Page 2 Attached schedules and amounts in the description column Beginning of year End of year Part II Balance Sheets should e for end-of-year amounts only. (See instructions.) (a) Book Value () Book Value (c) Fair Market Value Assets Liailities Net Assets or Fund Balances 1 Cash non-interest-earing Savings and temporary cash investments Accounts receivale Less: allowance for doutful accounts 4 Pledges receivale Less: allowance for doutful accounts 5 Grants receivale Receivales due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions).. 7 Other notes and loans receivale (attach schedule) Less: allowance for doutful accounts 8 Inventories for sale or use Prepaid expenses and deferred charges a Investments U.S. and state government oligations (attach schedule) Investments corporate stock (attach schedule). Sch c Investments corporate onds (attach schedule) Investments land, uildings, and equipment: asis Less: accumulated depreciation (attach schedule) 12 Investments mortgage loans Investments other (attach schedule) Land, uildings, and equipment: asis Less: accumulated depreciation (attach schedule) 15 Other assets (descrie ) 16 Total assets (to e completed y all filers see the instructions. Also, see page 1, item I) Accounts payale and accrued expenses Grants payale Deferred revenue Loans from officers, directors, trustees, and other disqualified persons 21 Mortgages and other notes payale (attach schedule) Other liailities (descrie ) 23 Total liailities (add lines 17 through 22) Foundations that follow SFAS 117, check here.. and complete lines 24 through 26, and lines 3 and Unrestricted Temporarily restricted Permanently restricted ,19 11,337 11,337 3,81,949 3,7,937 6,931,96 3,924,968 3,82,274 7,33,297 Foundations that do not follow SFAS 117, check here and complete lines 27 through Capital stock, trust principal, or current funds ,924,968 3,82, Paid-in or capital surplus, or land, ldg., and equipment fund 29 Retained earnings, accumulated income, endowment, or other funds 3 Total net assets or fund alances (see instructions)... 3,924,968 3,82, Total liailities and net assets/fund alances (see instructions) ,924,968 3,82,274 Part III Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund alances at eginning of year Part II, column (a), line 3 (must agree with end-of-year figure reported on prior year s return) ,924,968 2 Enter amount from Part I, line 27a... Cash.. income... minus.. Cash.. Value.. Distriuted... to. Charities (182,252) 3 Other increases not included in line 2 (itemize) 3 4 Add lines 1, 2, and ,742,716 5 Decreases not included in line 2 (itemize) Cost Basis of Assets Distriuted to Charities 5 (59,558) 6 Total net assets or fund alances at end of year (line 4 minus line 5) Part II, column (), line ,82,274

3 Page 3 Part IV 1a c d e a c d e a c d e Capital Gains and Losses for Tax on Investment Income (a) List and descrie the kind(s) of property sold (for example, real estate, 2-story rick warehouse; or common stock, 2 shs. MLC Co.) NONE (e) Gross sales price (f) Depreciation allowed (or allowale) () How acquired P Purchase D Donation (g) Cost or other asis plus expense of sale Complete only for assets showing gain in column (h) and owned y the foundation on 12/31/69. (i) FMV as of 12/31/69 (j) Adjusted asis as of 12/31/69 2 Capital gain net income or (net capital loss) { (k) Excess of col. (i) over col. (j), if any If gain, also enter in Part I, line 7 If (loss), enter -- in Part I, line 7 } 2 3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6): If gain, also enter in Part I, line 8, column (c). See instructions. If (loss), enter -- in Part I, line } 3 (c) Date acquired (mo., day, yr.) Part V Qualification Under Section 494(e) for Reduced Tax on Net Investment Income (For optional use y domestic private foundations suject to the section 494(a) tax on net investment income.) If section 494(d)(2) applies, leave this part lank. (h) Gain or (loss) ((e) plus (f) minus (g)) (d) Date sold (mo., day, yr.) (l) Gains (Col. (h) gain minus col. (k), ut not less than --) or Losses (from col. (h)) Was the foundation liale for the section 4942 tax on the distriutale amount of any year in the ase period? Yes No If Yes, the foundation doesn't qualify under section 494(e). Do not complete this part. 1 Enter the appropriate amount in each column for each year; see the instructions efore making any entries. (a) Base period years Calendar year (or tax year eginning in) () Adjusted qualifying distriutions (c) Net value of noncharitale-use assets NONE (d) Distriution ratio (col. () divided y col. (c)) 292,824 5,856, ,892 6,224, ,152 6,35, ,553 5,729, ,217 5,131, Total of line 1, column (d) Average distriution ratio for the 5-year ase period divide the total on line 2 y 5., or y the numer of years the foundation has een in existence if less than 5 years Enter the net value of noncharitale-use assets for 217 from Part X, line Multiply line 4 y line Enter 1% of net investment income (1% of Part I, line 27) Add lines 5 and ,446, ,99 313,451 8 Enter qualifying distriutions from Part XII, line ,455 If line 8 is equal to or greater than line 7, check the ox in Part VI, line 1, and complete that part using a 1% tax rate. See the Part VI instructions.

4 Page 4 Part VI Excise Tax Based on Investment Income (Section 494(a), 494(), 494(e), or 4948 see instructions) 1a Exempt operating foundations descried in section 494(d)(2), check here and enter N/A on line 1. Date of ruling or determination letter: (attach copy of letter if necessary see instructions) Domestic foundations that meet the section 494(e) requirements in Part V, check 1 here and enter 1% of Part I, line c All other domestic foundations enter 2% of line 27. Exempt foreign organizations, enter 4% of Part I, line 12, col. (). 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxale foundations only; others, enter --) 2 3 Add lines 1 and Sutitle A (income) tax (domestic section 4947(a)(1) trusts and taxale foundations only; others, enter --) 4 5 Tax ased on investment income. Sutract line 4 from line 3. If zero or less, enter Credits/Payments: a 217 estimated tax payments and 216 overpayment credited to 217 6a Exempt foreign organizations tax withheld at source c Tax paid with application for extension of time to file (Form 8868). 6c d Backup withholding erroneously withheld d 7 Total credits and payments. Add lines 6a through 6d Enter any penalty for underpayment of estimated tax. Check here if Form 222 is attached 8 9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid Enter the amount of line 1 to e: Credited to 218 estimated tax Refunded 11 Part VII-A Statements Regarding Activities 1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign? a Did it spend more than $1 during the year (either directly or indirectly) for political purposes? See the instructions for the definition If the answer is Yes to 1a or 1, attach a detailed description of the activities and copies of any materials pulished or distriuted y the foundation in connection with the activities. c Did the foundation file Form 112-POL for this year? c d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: (1) On the foundation. $ (2) On foundation managers. $ e Enter the reimursement (if any) paid y the foundation during the year for political expenditure tax imposed on foundation managers. $ 2 Has the foundation engaged in any activities that have not previously een reported to the IRS? If Yes, attach a detailed description of the activities. 3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or ylaws, or other similar instruments? If Yes, attach a conformed copy of the changes.. 3 4a Did the foundation have unrelated usiness gross income of $1, or more during the year? a If Yes, has it filed a tax return on Form 99-T for this year? Was there a liquidation, termination, dissolution, or sustantial contraction during the year? If Yes, attach the statement required y General Instruction T. 6 Are the requirements of section 58(e) (relating to sections 4941 through 4945) satisfied either: By language in the governing instrument, or By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law remain in the governing instrument? Did the foundation have at least $5, in assets at any time during the year? If Yes, complete Part II, col. (c), and Part XV 7 8a Enter the states to which the foundation reports or with which it is registered. See instructions. If the answer is Yes to line 7, has the foundation furnished a copy of Form 99-PF to the Attorney General (or designate) of each state as required y General Instruction G? If No, attach explanation Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar year 217 or the tax year eginning in 217? See the instructions for Part XIV. If Yes, complete Part XIV Did any persons ecome sustantial contriutors during the tax year? If Yes, attach a schedule listing their names and addresses Yes } No

5 Page 5 Part VII-A Statements Regarding Activities (continued) Yes No 11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of section 512()(13)? If Yes, attach schedule. See instructions Did the foundation make a distriution to a donor advised fund over which the foundation or a disqualified person had advisory privileges? If Yes, attach statement. See instructions Did the foundation comply with the pulic inspection requirements for its annual returns and exemption application? 13 Wesite address Guidestar.org 14 The ooks are in care of E. Eugene Carter Telephone no Located at 375 Ordway St., NW, Washington, DC ZIP Section 4947(a)(1) nonexempt charitale trusts filing Form 99-PF in lieu of Form 141 check here and enter the amount of tax-exempt interest received or accrued during the year At any time during calendar year 217, did the foundation have an interest in or a signature or other authority Yes No over a ank, securities, or other financial account in a foreign country? See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes," enter the name of the foreign country Part VII-B Statements Regarding Activities for Which Form 472 May Be Required File Form 472 if any item is checked in the Yes column, unless an exception applies. Yes No 1a During the year, did the foundation (either directly or indirectly): (1) Engage in the sale or exchange, or leasing of property with a disqualified person?.. Yes No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? Yes No (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?.. Yes No (4) Pay compensation to, or pay or reimurse the expenses of, a disqualified person?.. Yes No (5) Transfer any income or assets to a disqualified person (or make any of either availale for the enefit or use of a disqualified person)? Yes No (6) Agree to pay money or property to a government official? (Exception. Check No if the foundation agreed to make a grant to or to employ the official for a period after termination of government service, if terminating within 9 days.) Yes No If any answer is Yes to 1a(1) (6), did any of the acts fail to qualify under the exceptions descried in Regulations section (d)-3 or in a current notice regarding disaster assistance? See instructions Organizations relying on a current notice regarding disaster assistance, check here c Did the foundation engage in a prior year in any of the acts descried in 1a, other than excepted acts, that were not corrected efore the first day of the tax year eginning in 217? c 2 Taxes on failure to distriute income (section 4942) (does not apply for years the foundation was a private operating foundation defined in section 4942(j)(3) or 4942(j)(5)): a At the end of tax year 217, did the foundation have any undistriuted income (lines 6d and 6e, Part XIII) for tax year(s) eginning efore 217? Yes No If Yes, list the years 2, 2, 2, 2 c 3a Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year s undistriuted income? (If applying section 4942(a)(2) to all years listed, answer No and attach statement see instructions.) If the provisions of section 4942(a)(2) are eing applied to any of the years listed in 2a, list the years here. 2, 2, 2, 2 Did the foundation hold more than a 2% direct or indirect interest in any usiness enterprise at any time during the year? Yes No If Yes, did it have excess usiness holdings in 217 as a result of (1) any purchase y the foundation or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved y the Commissioner under section 4943(c)(7)) to dispose of holdings acquired y gift or equest; or (3) the lapse of the 1-, 15-, or 2-year first phase holding period? (Use Schedule C, Form 472, to determine if the foundation had excess usiness holdings in 217.) a Did the foundation invest during the year any amount in a manner that would jeopardize its charitale purposes? 4a Did the foundation make any investment in a prior year (ut after Decemer 31, 1969) that could jeopardize its charitale purpose that had not een removed from jeopardy efore the first day of the tax year eginning in 217? 4

6 Page 6 Part VII-B Statements Regarding Activities for Which Form 472 May Be Required (continued) 5a During the year, did the foundation pay or incur any amount to: Yes No (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?. Yes No (2) Influence the outcome of any specific pulic election (see section 4955); or to carry on, directly or indirectly, any voter registration drive? Yes No (3) Provide a grant to an individual for travel, study, or other similar purposes?..... Yes No (4) Provide a grant to an organization other than a charitale, etc., organization descried in section 4945(d)(4)(A)? See instructions Yes No (5) Provide for any purpose other than religious, charitale, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals? Yes No If any answer is Yes to 5a(1) (5), did any of the transactions fail to qualify under the exceptions descried in Regulations section or in a current notice regarding disaster assistance? See instructions Organizations relying on a current notice regarding disaster assistance, check here c If the answer is Yes to question 5a(4), does the foundation claim exemption from the tax ecause it maintained expenditure responsiility for the grant? Yes No If Yes, attach the statement required y Regulations section (d). 6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal enefit contract? Yes No Did the foundation, during the year, pay premiums, directly or indirectly, on a personal enefit contract?. 6 If Yes to 6, file Form a At any time during the tax year, was the foundation a party to a prohiited tax shelter transaction? Yes No If Yes, did the foundation receive any proceeds or have any net income attriutale to the transaction?. 7 Part VIII Information Aout Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors 1 List all officers, directors, trustees, and foundation managers and their compensation. See instructions. E. Eugene Carter (a) Name and address 375 Ordway St., NW, Washington, DC 28 Jane R. O'Neil same John Aldridge same () Title, and average hours per week devoted to position Chair 3 Secretary, 1 Treasurer, 1 (c) Compensation (If not paid, enter --) (d) Contriutions to employee enefit plans and deferred compensation (e) Expense account, other allowances 2 Compensation of five highest-paid employees (other than those included on line 1 see instructions). If none, enter NONE. (a) Name and address of each employee paid more than $5, Not Applicale-None () Title, and average hours per week devoted to position (c) Compensation (d) Contriutions to employee enefit plans and deferred compensation (e) Expense account, other allowances Total numer of other employees paid over $5,

7 Page 7 Part VIII Information Aout Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors (continued) 3 Five highest-paid independent contractors for professional services. See instructions. If none, enter NONE. (a) Name and address of each person paid more than $5, () Type of service (c) Compensation Not Applicale-None Total numer of others receiving over $5, for professional services Part IX-A Summary of Direct Charitale Activities List the foundation s four largest direct charitale activities during the tax year. Include relevant statistical information such as the numer of organizations and other eneficiaries served, conferences convened, research papers produced, etc. 1 Not Applicale-None Expenses Part IX-B Summary of Program-Related Investments (see instructions) Descrie the two largest program-related investments made y the foundation during the tax year on lines 1 and 2. 1 Not Applicale-None Amount 2 All other program-related investments. See instructions. 3 Total. Add lines 1 through

8 Page 8 Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.) 1 Fair market value of assets not used (or held for use) directly in carrying out charitale, etc., purposes: a Average monthly fair market value of securities a 6,487,12 Average of monthly cash alances ,249 c Fair market value of all other assets (see instructions) Schedule c d Total (add lines 1a,, and c) d 6,544,351 e Reduction claimed for lockage or other factors reported on lines 1a and 1c (attach detailed explanation) e 2 Acquisition indetedness applicale to line 1 assets Sutract line 2 from line 1d ,544,351 4 Cash deemed held for charitale activities. Enter 1 1 /2% of line 3 (for greater amount, see instructions) ,165 5 Net value of noncharitale-use assets. Sutract line 4 from line 3. Enter here and on Part V, line 4 5 6,446,186 6 Minimum investment return. Enter 5% of line ,39 Part XI Distriutale Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations, check here and do not complete this part.) 1 Minimum investment return from Part X, line ,39 2a Tax on investment income for 217 from Part VI, line a Income tax for 217. (This does not include the tax from Part VI.)... 2 c Add lines 2a and c 3 Distriutale amount efore adjustments. Sutract line 2c from line ,957 4 Recoveries of amounts treated as qualifying distriutions Add lines 3 and ,957 6 Deduction from distriutale amount (see instructions) Distriutale amount as adjusted. Sutract line 6 from line 5. Enter here and on Part XIII, line ,957 Part XII Qualifying Distriutions (see instructions) 1 Amounts paid (including administrative expenses) to accomplish charitale, etc., purposes: a Expenses, contriutions, gifts, etc. total from Part I, column (d), line a 317,455 Program-related investments total from Part IX-B Amounts paid to acquire assets used (or held for use) directly in carrying out charitale, etc., purposes Amounts set aside for specific charitale projects that satisfy the: a Suitaility test (prior IRS approval required) a Cash distriution test (attach the required schedule) Qualifying distriutions. Add lines 1a through 3. Enter here and on Part V, line 8; and Part XIII, line ,445 5 Foundations that qualify under section 494(e) for the reduced rate of tax on net investment income. Enter 1% of Part I, line 27. See instructions Adjusted qualifying distriutions. Sutract line 5 from line ,13 Note: The amount on line 6 will e used in Part V, column (), in susequent years when calculating whether the foundation qualifies for the section 494(e) reduction of tax in those years.

9 Page 9 Part XIII Undistriuted Income (see instructions) 1 Distriutale amount for 217 from Part XI, line Undistriuted income, if any, as of the end of 217: a Enter amount for 216 only Total for prior years: 2,2,2 3 Excess distriutions carryover, if any, to 217: a From From c From d From e From f Total of lines 3a through e Qualifying distriutions for 217 from Part XII, line 4: $ 317,455 a Applied to 216, ut not more than line 2a. Applied to undistriuted income of prior years (Election required see instructions)... c Treated as distriutions out of corpus (Election required see instructions) d Applied to 217 distriutale amount.. e Remaining amount distriuted out of corpus 5 Excess distriutions carryover applied to 217 (If an amount appears in column (d), the same amount must e shown in column (a).) 6 Enter the net total of each column as indicated elow: a Corpus. Add lines 3f, 4c, and 4e. Sutract line 5 Prior years undistriuted income. Sutract line 4 from line c Enter the amount of prior years undistriuted income for which a notice of deficiency has een issued, or on which the section 4942(a) tax has een previously assessed.... d Sutract line 6c from line 6. Taxale amount see instructions e Undistriuted income for 216. Sutract line 4a from line 2a. Taxale amount see instructions f Undistriuted income for 217. Sutract lines 4d and 5 from line 1. This amount must e distriuted in Amounts treated as distriutions out of corpus to satisfy requirements imposed y section 17()(1)(F) or 4942(g)(3) (Election may e required see instructions) Excess distriutions carryover from 212 not applied on line 5 or line 7 (see instructions). 9 Excess distriutions carryover to 218. Sutract lines 7 and 8 from line 6a... 1 Analysis of line 9: a Excess from Excess from c Excess from d Excess from e Excess from (a) Corpus () Years prior to 216 (c) , ,451 (d) ,957 34,4 286,953

10 Page 1 Part XIV Private Operating Foundations (see instructions and Part VII-A, question 9) 1a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 217, enter the date of the ruling Check ox to indicate whether the foundation is a private operating foundation descried in section 4942(j)(3) or 4942(j)(5) 2a Enter the lesser of the adjusted net Tax year Prior 3 years income from Part I or the minimum (e) Total (a) 217 () 216 (c) 215 (d) 214 investment return from Part X for each year listed % of line 2a c Qualifying distriutions from Part XII, line 4 for each year listed.... d Amounts included in line 2c not used directly for active conduct of exempt activities.. e Qualifying distriutions made directly for active conduct of exempt activities. Sutract line 2d from line 2c... 3 Complete 3a,, or c for the alternative test relied upon: a Assets alternative test enter: (1) Value of all assets..... (2) Value of assets qualifying under section 4942(j)(3)(B)(i).... Endowment alternative test enter 2 /3 of minimum investment return shown in Part X, line 6 for each year listed... c Support alternative test enter: (1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties).... (2) Support from general pulic and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii).... (3) Largest amount of support from an exempt organization... (4) Gross investment income... Part XV Supplementary Information (Complete this part only if the foundation had $5, or more in assets at any time during the year see instructions.) 1 Information Regarding Foundation Managers: a List any managers of the foundation who have contriuted more than 2% of the total contriutions received y the foundation efore the close of any tax year (ut only if they have contriuted more than $5,). (See section 57(d)(2).) E. Eugene Carter none List any managers of the foundation who own 1% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 1% or greater interest. 2 Information Regarding Contriution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here if the foundation only makes contriutions to preselected charitale organizations and does not accept unsolicited requests for funds. If the foundation makes gifts, grants, etc., to individuals or organizations under other conditions, complete items 2a,, c, and d. See instructions. a NONE Not APPLICABLE The name, address, and telephone numer or address of the person to whom applications should e addressed: NONE Not APPLICABLE The form in which applications should e sumitted and information and materials they should include: c d Any sumission deadlines: Any restrictions or limitations on awards, such as y geographical areas, charitale fields, kinds of institutions, or other factors:

11 Page 11 Part XV Supplementary Information (continued) 3 Grants and Contriutions Paid During the Year or Approved for Future Payment Recipient Name and address (home or usiness) a Paid during the year SEE SCHEDULE 6 If recipient is an individual, show any relationship to any foundation manager or sustantial contriutor Foundation status of recipient Purpose of grant or contriution Amount Total a Approved for future payment SEE SCHEDULE 6 312,158 The Foundation has gross annual commitments of $4-$8,, supplemented y other resources, to Northern Arizona, Arizona State, the University of Oklahoma, Florida State, and the University of Illinois in Chicago to further the Opportunity Award programs among projects at fourteen schools. Total

12 Page 12 Part XVI-A Analysis of Income-Producing Activities Enter gross amounts unless otherwise indicated. Unrelated usiness income 1 Program service revenue: a c d e f (a) Business code () Amount Excluded y section 512, 513, or 514 (c) Exclusion code (d) Amount (e) Related or exempt function income (See instructions.) g Fees and contracts from government agencies 2 Memership dues and assessments Interest on savings and temporary cash investments 4 Dividends and interest from securities.... Code ,23 5 Net rental income or (loss) from real estate: a Det-financed property Not det-financed property Net rental income or (loss) from personal property 7 Other investment income Gain or (loss) from sales of assets other than inventory 9 Net income or (loss) from special events... 1 Gross profit or (loss) from sales of inventory.. 11 Other revenue: a c d e 12 Sutotal. Add columns (), (d), and (e) ,23 13 Total. Add line 12, columns (), (d), and (e) ,23 (See worksheet in line 13 instructions to verify calculations.) Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes Line No. Explain elow how each activity for which income is reported in column (e) of Part XVI-A contriuted importantly to the accomplishment of the foundation s exempt purposes (other than y providing funds for such purposes). (See instructions.) NONE Not APPLICABLE

13 Page 13 Part XVII Information Regarding Transfers to and Transactions and Relationships With Noncharitale Exempt Organizations 1 Did the organization directly or indirectly engage in any of the following with any other organization descried in section 51(c) (other than section 51(c)(3) organizations) or in section 527, relating to political organizations? Yes No a Transfers from the reporting foundation to a noncharitale exempt organization of: (1) Cash a(1) (2) Other assets a(2) Other transactions: (1) Sales of assets to a noncharitale exempt organization (1) (2) Purchases of assets from a noncharitale exempt organization (2) (3) Rental of facilities, equipment, or other assets (3) (4) Reimursement arrangements (4) (5) Loans or loan guarantees (5) (6) Performance of services or memership or fundraising solicitations (6) c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c d If the answer to any of the aove is Yes, complete the following schedule. Column () should always show the fair market value of the goods, other assets, or services given y 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. () Amount involved (c) Name of noncharitale 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 descried in section 51(c) (other than section 51(c)(3)) or in section 527? Yes No If Yes, complete the following schedule. (a) Name of organization () Type of organization (c) Description of relationship Sign Here Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is ased on all information of which preparer has any knowledge. May the IRS discuss this return 2/2/218 Chair and President with the preparer shown elow? See instructions. Yes No Signature of officer or trustee Date Title Paid Preparer Use Only Print/Type preparer's name Preparer's signature Date Firm's name Firm's address PTIN Check if self-employed Firm's EIN Phone no.

14 Form 99-PF E. Eugene Carter Foundation Schedule 1: Part I, line 1 Contriutors and Contriution Amounts Tax payment $ New Gifts from EEC Total.. Schedule 2: Part I, line 4, Income Received Vanguard Funds (qualfd & total) $73,761 $125,99 E*Trade divs and interest $5,736 5,736 Microvest program investment note 3,558 Total $135,23 Foreign tax paid 2,158 Foreign QI 23,55 Schedule 3: Part I, line 23, Expenses OKC Carter Aldridge air, ground, car rental, hotel 1,936 CSU Fresno State Carter air, ground 355 Univ of Arkansas, Carter Aldridge air, car, hotel 1,4 North Carolina State, New Mexico State, Carter, air 878 Cal State LA, O'Neil, air (654)/grnd 986 Board Lunch, Uer 12 Total $5,297 Jan end April end July end Oct end Schedule 4: Part X, Average & Final Value Invstmnt Cash Avg (ACTUAL) $6,487,12 $57,249 New Contriutions Add-in Base Days Days/365 times Add-in ase $ $ Average + Add-in ase for 1a,1 $6,487,12 $57,249 Decemer 31st Valuation $6,931,96 $11,337

15 Form 99-PF E. Eugene Carter Foundation Schedule 5: Part II, line 1 Securities Owned and Valuations, end of year Decemer 31, 217 Item Shares Cost Market/Sh Value Vngrd Health ETF-E* 2, , ,141 Vanguard Balanced 88,732 1,852, ,8,786 Vanguard Intl 39,73 855, ,211,73 Vanguard Small Cap 31, , ,22,33 Sutotal 3,7,937 6,931,96 E Trade Cash 1,5 1,5 Vngrd Prime Money Mkt 91,287 91,287 Sutotal 11,337 11,337 1, MicroVest exclu 1, TOTAL 3,82,274 7,33,297 Schedule 6: Part XV, line 3a-3 Institution and Amount of Donation Northern Arizona University Ed. Institution 45, Florida State University Ed. Institution 8, University of Arkansas Ed. Institution 6, University of Oklahoma Ed. Institution 8, University of Massacussetts-Lowell Ed. Institution 5,158 Univ of Illinois Chicago Ed. Institution 33, Arizona State University Ed. Institution 2, IONA Senior Services, Washington, DC 216 Charity 5, Washington Area Womens Fund Charity 5, SOME, Washington DC 21 Charity 6, Future Commitments: Total: 312,158 The Foundation has gross annual commitments of $4-$8,, supplemented y other resources, to Northern Arizona, Arizona State, University of Oklahoma, Florida State University,and the University of Illinois in Chicago to further the Opportunity Award programs among projects at fourteen schools.