Return of Private Foundation OMB No or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation 2012

Transcription

1 Form 99-PF Dpartmnt of th Trasury Intrnal Rvnu Srvi Numr an strt 18 HUNT CLUB DRIVE City or town, stat, an ZIP o Rturn of Privat Founation OMB No or Stion 4947(a)(1) Nonxmpt Charital Trust Trat as a Privat Founation 212 Not. Th founation may al to us a opy of this rturn to satisfy stat rporting rquirmnts. 9-1, 212, an A Employr intifiation numr Room/suit B Tlphon numr (s instrutions) {61) C If xmption appliation is pning, hk hr.,. Col vill, PA G Chk all that apply: Initial rturn of a formr puli harity D 1. Forign organizations, hk hr... o Arual 2. Forign organizations mting th 85% tst, hk hr an attah omputation... o stion 57()( 1 )(A), hk hr... o E If privat founation status was trminat unr F If th founation is in a 6-month trmination unr stion 57()(1 )( B), hk hr.... o amounts in olumns (), (), an () may not nssarily qual th amounts in olumn (a) (s instrutions).) (a) Rvnu an xpnss pr ooks () Nt invstmnt inom () Ajust nt inom () Disursmnts for harital purposs (ash asis only) Contriutions, gifts, grants, t., riv (attah shul) Sa Chk.,. ~ if th founation is not rquir to attah Sh. B Intrst on savings an tmporary ash invstmnts Divins an intrst from suritis Gross rnts Nt rntal inom or (loss) Cll 6a Nt gain or (loss) from sal of assts not on lin 1 ::I r::: Gross sals pri for all assts on lin 6a Cll > 7 Capital gain nt inom (from Part IV, lin 2) Cll :: 8 Nt short-trm apital gain 9 Inom moifiations.... 1a 11 Gross sals lss rturns an allowans Lss: Cost of goos sol... Gross profit or (loss) (attah shul} Othr inom (attah shul} Total. A lins 1 thro Compnsation of offirs, irtors, trusts, t If) 14 Othr mploy salaris an wags Cll If) r::: 15 Pnsion plans, mploy nfits Cll. 16a Lgal fs (attah shul}... )( w Aounting fs (attah shul). Cll > Othr profssional fs (attah shul).. ll Intrst ~ Taxs (attah shul} (s instrutions) r::: 19 Dpriation (attah shul) an pltion "C 2 Oupany < "C 21 Travl, onfrns, an mtings r::: ll 22 Printing an puliations..... Cl r:::.. 23 Othr xpnss (attah shul) STM13 ll Total oprating an aministrativ xpnss. Cll. A lins 13 through Contriutions, gifts, grants pai Total nss an isursmnts. A lins 24 an a Sutrat lin 26 from lin 12: Exss of rvnu ovr xpnss an isursmnts Nt invstmnt inom (if ngativ, ntr --) For Paprwork Rution At Noti, s instrutions. EEA Form 99-PF (212)

2 I :P.ijrtJI\1 Balan Shts Attah shuls an amounts in th sription olumn shoul for n -<>1-yar amounts only. (S inslrulions.) Cash - non-intrst-aring Savings an tmporary ash invstmnts 3 Aounts rival., Lss: allowan for outful aounts.,. 4 Plgs rival., Lss: allowan for outful aounts.,. 5 Grants rival 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.,..!!! Q) 8 9 Invntoris for sal or us Prpai xpnss an frr hargs < 1 Oa Invstmnts - U.S. an stat govrnmnt oligations (attah shul) f Invstmnts - orporat stok (attah shul) STM13 7 Invstmnts- orporat ons (attah shul) Form 99-PF THE COLGAN FAMILY FOUNDATI ON 11 Invstmnts -lan, uilings, an quipmnt: asis Lss: aumulat priation (attah shul) Invstmnts- mortgag loans Invstmnts- oth r (attah shul) 14 Lan, uilings, an quipmnt: asis.,. Q) : : :J Q) u : "iii al "C : :I LL... -Q) < -Q) z Lss: aumulat priation (attah shul)., Othr assts (sri.,. 16 Total assts (to omplt y all filrs- s th instrutions. Also, s 125, Aounts payal an aru xpnss 18 Grants payal Dfrr rvnu Loans from offirs, irtors, trusts, an othr isqualifi prsons 21 Mortgags an othr nots payal (attah shul) Total liail itis Founations that follow SFAS 117, hk hr..... an omplt lins 24 through 26 an lins 3 an Unrstrit 125, Tmporarily rstrit Prmanntly rstrit.... Founations that o not follow SFAS 11 7, hk hr... o an omplt lins 27 through Capital stok, trust prinipa l, or urrnt funs Pai-in or a pital surplus, or lan, lg., an quipmnt fun 29 Rtain arnings, aumulat inom, nowmnt, or othr funs 3 Total nt assts or fun alans (s instrutions) Total liailitis an nt assts/fun a lans (s 125, ,53 344,53 Total nt assts or fun alans at gin ning of yar- Part II, olumn (a), lin 3 (must agr with n-of-yar figur rport on prior yar's rturn ) 2 Entr amount from Part I, lin 27a Othr inrass not inlu in lin 2 (itmiz)., A lins 1, 2, an Drass not inlu in lin 2 (itmiz)., Total nt assts or fu n alans at n of n 4 minus lin -Part II olumn lin 3 EEA Form 99-PF (212)

3 Form 99-PF (212) THE COLGAN FAMILY FOUNDAT ION Pag 3 IP.artJYJ Capital Gains an Losss for Tax on Invstmnt Inom () How aquir (a) List an sri th kin(s) of proprty sol (.g., ral stat, P-Purhas () Dat aquir () Dat sol 2-story rik warhous; or ommon stok, 2 shs. MLC Co.) D-Donation (yr., mo., ay) (yr., mo., ay) 1a a a () Gross sals pri (f) Dpriation allow (g) Cost or othr asis (h) Gain or (loss) (or allowal) plus xpns of sal () plus (f) minus (g) Complt only for assts showing gain in olumn (h) an own y th founation on 12/31/69 (I) Gains (Col. (h) gain minus (i) F.M.V. as of 12/31/69 Ul Ajust asis (k) Exss of ol. (i) ol. (k), ut not lss than --) or as of 12/31/69 ovr ol. (j), if any Losss (from ol. (h)) 2 Capital gain nt inom or (nt apital loss) { If gain, also ntr in Part I, lin 7 } If (loss), ntr -- in Part I, lin Nt short-trm apital gain or (loss) as fin in stions 1222(5) an (6): If gain, also ntr in Part I, lin 8, olumn () (s instrutions). If (loss), ntr -- in } Part I, lin 8 3 IP'aft 1 Qualifiation Unr Stion 494() for Ru Tax on Nt Invstmnt Inom (For optional us y omsti privat founations sujt to th stion 494(a) tax on nt 1nvstmnt 1nom.) If stion 494()(2) applis, lav this part lank. Was th founation lial for th stion 4942 tax on th istriutal amount of any yar in th as prio? If "Ys," th founation os not qualify unr stion 494(). Do not omplt this part. Ys No 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. ()) Total of lin 1, olumn (). 2 Avrag istriution ratio for th 5-yar as prio- ivi th total on lin 2 y 5, or y th numr of yars th founation has n in xistn if lss than 5 yars 3 4 Entr th nt valu of nonharital-us assts for 212 from Part X, lin Multiply lin 4 y lin Entr 1% of nt invstmnt inom (1 % of Part I, lin 27) 6 7 A lins 5 an Entr qualifying istriutions from Part XII, lin 4 8 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. EEA Form 99-PF (212)

4 Exmpt oprating founations sri in stion 494(}(2), hk hr Dat of ruling or trmination lttr: Domsti founations that mt th stion 494() rquirmnts in Part V, hk (attah opy of lttr if nssary-s instrutions) hr..,. an ntr 1% of Part I, lin All othr omsti founations ntr 2% of lin 27. Exmpt forign organizations ntr 4% of Part I, lin 12, ol. (). 2 Tax unr stion 511 (omsti stion 494 7(a)(1) trusts an taxal founations only. Othrs ntr --) 3 A lins 1 an 2 4 Sutitl A (inom) tax (omsti stion 4947(a)(1) trusts an taxal founations only. Othrs ntr --) Tax as on invstmnt inom. Sutrat lin 4 from lin 3. If zro or lss, ntr -- Crits/Paymnts: a 212 stimat tax paymnts an 211 ovrpaymnt rit to 212 Exmpt forign organizations- tax withhl at sour..... Tax pai with appliation for xtnsion of tim to fil (Form 8868) Bakup withholing rronously withhl Total rits an paymnts. A lins 6a through Entr any pnalty for unrpaymnt of stimat tax. Chk hr if Form 222 is attah. Tax u. If th total of lins 5 an 8 is mor than lin 7, ntr amount ow Ovrpaymnt. If lin 7 is mor than th total of lins 5 an 8, ntr th amount ovrpai Rfun 1 a During th tax yar, i th founation attmpt to influn any national, stat, or loal lgislation or i it partiipat or intrvn in any politial ampaign? Di it spn mor than $1 uring th yar (ithr irtly or inirtly) for politial purposs (s pag 19 of th instrutions for finition)? If th answr is "Ys" to 1 a 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 112-POL for this yar? Entr th amount (if any) of tax on politial xpniturs (stion 4955) impos uring th yar: (1) On th founation...,. $ (2) On founation managrs...,. $ Entr th rimursmnt (if any) pai y th founation uring th yar for politial xpnitur tax impos on founation managrs...,. $ 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. 3 Has th founation ma any hangs, not prviously rport to th IRS, in its govrning instrumnt, artils of 4a inorporation, or ylaws, or othr similar instrumnts? If "Ys," attah a onform opy of th hangs Di th founation hav unrlat usinss gross inom of $1, or mor uring th yar? If "Ys," has it fil a tax rturn on Form 99-T for this yar? Was thr a liquiation, trmination, issolution, or sustantial ontration uring th yar? If "Ys," attah th statmnt rquir y Gnral Instrution T. 6 Ar th rquirmnts of stion 58() (rlating to stions 4941 through 4945) 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? Di th founation hav at last $5, in assts at any tim uring th yar? 11 "Ys," omplt Part 11. ol. (). an Part xv Sa Entr th stats to whih th founation rports or with whih it is rgistr (s instrutions)..,. PA If th answr is "Ys" to lin 7, has th founation furnish a opy of Form 99-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 4942U)(3) or 4942U)(5) for alnar yar 212 or th taxal yar ginning in 212 (s instrutions for Part XIV)? If "Ys," omplt Part XIV Di any prsons om sustantial ontriutors uring th tax yar? If "Ys," attah a shul listing thir EEA nams an arsss X STM114 1 X Form 99-PF (212)

5 Form 99-PF (212) THE COLGAN FAMILY FOUNDATION I P~VlFA l Statmnts Rgaring Ativitis (ontinu) 11 At any tim uring th yar, i th founation, irtly or inirtly, own a ontroll ntity within th maning of stion 512()(13)? If "Ys," attah shul (s instrutions) 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) Di th founation omply with th puli insption rquirmnts for its annual rturns an xmption appliation? 13 X Wsit arss.,. www. o1ganfounation. org 14 Th ooks ar in ar of.,. SEAN COLGAN Tlphon no.., ~--~~~~ Loat at.,. ZIP Stion 4947(a)(1) nonxmpt harital trusts filing Form 99-PF in liu of Form 141-Chk hr... an ntr th amount of tax-xmpt intrst riv or aru uring th yar ,. 16 At any tim uring alnar yar 212, i th founation hav an intrst in or a signatur or othr authority ovr a ank, suritis, or othr finanial aount in a forign ountry? S th instrutions for xptions an filing rquirmnts for Form TO F If "Ys," ntr th nam of th.,. Pag 5 X X.,. D 1a Fil Form 472 if any itm is hk in th "Ys" olumn, unlss an xption applis. During th yar i th founation (ithr irtly or inirtly): (1) Engag in th sal or xhang, or lasing of proprty with a isqualifi prson? (2) Borrow mony from, ln mony to, or othrwis xtn rit to (or apt it from) a isqualifi prson? (3) Furnish goos, srvis, or failitis to (or apt thm from) a isqualifi prson? (4) Pay ompnsation to, or pay or rimurs th xpnss of, a isqualifi prson? (5) Transfr any inom or assts to a isqualifi prson (or mak any of ithr availal for th nfit or us of a isqualifi prson)? (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 DYs y" Ys Ys [RJ I No No No No Ys [RJ No trm ination of govrnmnt srvi, if trminating within 9 ays.) Ys [RJ No If any answr is "Ys" to 1 a(1 )-(6), i any of th ats fail to qualify unr th xptions sri in Rgulations stion ()-3 or in a urrnt noti rgaring isastr assistan (s instrutions)? Organizations rlying on a urrnt noti rgaring isastr assistan hk hr Di th founation ngag in a prior yar in any of th ats sri in 1 a, othr than xpt ats, that wr not orrt for th first ay of th tax yar ginning in 212? 2 Taxs on failur to istriut inom (stion 4942) (os not apply for yars th fou nation was a privat oprating founation fin in stion 4942U)(3) or 4942)(5)): a At th n of tax yar 212, i th founation hav any unistriut inom (lins 6 an 6, Part XIII) for ta x yar(s) ginning for 212? Ys No If "Ys," list th yars.,. Ar thr any yars list in 2a for whih th founation is not applying th provisions of stion 4942(a)(2) (rlating to inorrt valuation of assts) to th yar's unistriut inom? (If applying stion 4942(a)(2) to all yars list, answr "No" an attah statmnt- s instrutions.) If th provisions of stion 4942(a)(2) ar ing appli to any of th yars list in 2a, list th yars hr.... 3a Di th founation hol mor than a 2% irt or inirt intrst in any usinss ntrpris at any tim uring th yar? Ys [RJ No If "Ys," i it hav xss usinss holings in 212 as a rsult of (1) any purhas y th founation or isqualifi prsons aftr May 26, 1969; (2) th laps of th 5-yar prio (or longr prio approv y th Commissionr unr stion 4943()(7)) to ispos of holings aquir y gift or qust; or (3) th laps of th 1-, 15-, or 2-yar first phas holing prio? (Us Shul C. Form 472, to trmin if th founation ha xss usinss holings in 212.) a Di th founation invst uring th yar any amount in a mannr that woul jopariz its harital purposs? Di th founation mak any invstmnt in a prior yar (ut aftr Dmr 31, 1969) that oul jopariz its harital that ha not n rmov from for th first of th tax in 212? EEA Form 99-PF (212)

6 6a During th yar i th founation pay or inur any amount to: (1) Carry on propagana, or othrwis attmpt to influn lgislation (stion 4945())? (2) Influn th outom of any spifi puli ltion (s stion 4955); or to arry on, irtly or inirtly, any votr rgistration riv? (3) Provi a grant to an iniviual for travl, stuy, or othr similar purposs? (4) Provi a grant to an organization othr than a harital, t., organization sri in stion 59(a)(1 ), (2), or (3), or stion 494()(2)? (s instrutions) (5) Provi for any purpos othr than rligious, harital, sintifi, litrary, or uational Y s [.RJ No Ys [.RJ No purposs, or for th prvntion of rulty to hilrn or animals? Ys [.RJ No If any answr is "Ys" to 5a(1 )-(5), i any of th transations fail to qualify unr th xptions sri in Rgulations stion 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 5a(4), os th founation laim xmption from th tax aus it mainta in xpnitur rsponsiility for th grant? If "Ys," attah th statmnt rquir y Rgulations stion (). Di th founation, uring th yar, riv any funs, irtly or inirtly, to pay prm iums on a prsonal nfit ontrat? Di th founation, uring th yar, pay prm iums, irtly or inirtly, on a prsonal nfit ontrat? If "Ys" to 6, fil Form 887. At any tim uring th tax yar, was th founation a party to a prohiit tax shltr transation? Ys No Ys [.RJ No Ys [.RJ No If i th founation riv or hav nt inom attriutal to th transation? Information Aout Offirs, Dirtors, Trusts, Founation Managrs, Highly Pai Employs, an Contrators 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 --) an frr ompnsation SEAN COLGAN PI RECTOR Ainriu Colgan pirtor STMA2 7, - - () Expns aount, othr allowans 2 Compnsation of fiv highst-pai mploys (othr than thos inlu on lin 1 -s instrutions). If non, ntr "" (a) Nam an arss of ah mploy pa i mor than $5, () Contriutions to () Titl, an avrag mploy nfit hours pr wk () Compnsation plans an frr vot to position ompnsation () Expns aount, othr allowans Total numr of othr mploys pai ovr $5,.... EEA Form 99-PF (212)

7 Form99-PF (212) THE COLGAN FAMILY FOUNDATION Pag7 IPij\l:Utl Information Aout Offirs, Dirtors, Trusts, Founation Managrs, Highly Pai Employs, an Contrators (ontinu) 3 Fiv highst-pai inpnnt ontrators for profssional srvis (s instrutions). If non, ntr "." (a) Nam an arss of ah prson pai mor than $5. () Typ of srvi () Compnsation Total numr of othrs riving ovr $5, for profssional srvis ~ IPariiXAAI Summary of Dirt Charital Ativitis. :-:-....<.. :... :-. :.:.<.. -:.; 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 Expnss IPaft.JX#:a l 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 2. 1 Amount 2 All othr program-rlat invstmnts. S instrutions. 3 Total. A lins 1 through 3 ~ EEA Form 99-PF (212)

8 Form 99-PF (212) THE COLGAN FAMILY FOUNDATION Pag 8!Pm 1 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: a 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 1 a an 1 (attah tail xplanation) Aquisition intnss applial to lin 1 assts Sutrat lin 2 from lin Cash m hl for harital ativitis. Entr 1 1/2% of lin 3 (for gratr amount. s instrutions) Nt valu of nonharital-us assts. Sutrat lin 4 from lin 3. Entr hr an on Part V, lin 4 6 Minimum invstmnt rturn. Entr 5% of lin Distriutal Amount (s instrutions) (Stion 4942)(3) founations an rtain hk hr ~ Minimum invstmnt rturn from Part X, lin 6 2a Tax on invstmnt inom for 212 from Part VI, lin 5 Inom tax for 212. (This os not inlu th tax from Part VI.} A lins 2a an Distriutal amount for ajustmnts. Sutrat lin 2 from lin 1 4 Rovris of amounts trat as qualifying istriutions 5 A lins 3 an Dution from istriutal amount (s instrutions) 7 Distriutal amount as ajust. Sutrat lin 6 from lin 5. Entr hr an on Part XIII, lin 1. IP$1XUI Qualifying Distriutions (s instrutions) Amounts pai (inluing aministrativ xpnss) to aomplish harital, t., purposs: a Expnss, ontriutions, gifts, t. - total from Part I, olumn (), lin Program-rlat invstmnts -total from Part IX-8 2 Amounts pai to aquir assts us (or hl for us) irtly in arrying out harital, t., purposs 3 Amounts st asi for spifi harital projts that satisfy th: a Suitaility tst (prior IRS approval rquir} Cash istriution tst (attah th rquir shul) Qualifying istriutions. A lins 1a through 3. Entr hr an on Part V, lin 8, an Part XIII, lin 4 5 Founations that qualify unr stion 494() for th ru rat of tax on nt invstmnt inom. 6 EEA Entr 1% of Part I, lin 27 (s instrutions) Ajust qualifying istriutions. Sutrat lin 5 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 494() rution of tax in thos yars. 1 Form 99-PF (212)

9 Form 99-PF Distriutal amount for 212 from Part XI, lin 7 2 Unistriut inom, if any, as of th n of 212: a Entr amount for 211 only Total for prior yars: 3 Exss istriutions arryovr, if any, to 212: a From 27 From 28 From 29 From21 From 211 f Total of lins 3a through 4 Qualifying istriutions for 212 from Part XII, lin 4: ~ $ a Appli to 211, ut not mor than lin 2a Appli to unistriut inom of prior yars (Eltion rquir - s instrutions) Trat as istriutions out of orpus (Eltion rquir - s instrutions) Appli to 212 istriutal amount..... Rmaining amount istriut out of orpus.. 5 Exss istriutions arryovr appli to 212 (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 3f, 4, an 4. Sutrat lin 5 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 4942(a) tax has n prviously assss Sutrat lin 6 from lin 6. Taxal amount- s instrutions Unistriut inom for 211. Sutrat lin 4a from lin 2a. Taxal amount- s instrutions Unistriut inom for 212. Sutrat lins 4 an 5 from lin 1. This amount must istriut in Amounts trat as istriutions out of orpus to satisfy rquirmnts impos y stion 17()(1 )(F) or 4942(g)(3) (s instrutions) 8 Exss istriutions arryovr from 27 not appli on lin 5 or lin 7 (s instrutions) 9 Exss istriutions arryovr to 213. Sutrat lins 7 an 8 from lin 6a 1 Analysis of lin 9: a Exss from 28 EEA Exss from 29 Exss from 21 Exss from 211 Exss from 212 Form 99-PF (212)

10 Form 99-PF (212) THE COLGAN FAMILY FOUNDATION Pag 1 IP.iHXlV I Privat Oprating Founations (s instrutions an Part VI l-a, qustion 9) 1a If th founation has riv a ruling or trmination lttr that it is a privat oprating founation, an th ruling is fftiv for 212, ntr th at of th ruling Chk ox to iniat whthr th founation is a privat oprating fou nation sri in stion n 4942)(3) or I I 4942)(5) 2a Entr th lssr of th ajust nt Tax yar Prior 3 yars inom from Part I or th minimum invstm nt rturn from Part X for (a) 212 () 211 () 21 () 29 ah yar list 85% of lin 2a ~ I () Total Qualifying istriutions from Part XII, lin 4 for ah yar list Amounts inlu in lin 2 not us irtly for ativ onut of xmpt ativitis Qualifying istriutions ma irtly for ativ onut of xmpt ativitis. Sutrat lin 2 from lin 2 3 Complt 3a,, or for th altrnativ tst rli upon: a "Assts" altrnativ tst - ntr: (1 ) Valu of all assts (2) Valu of assts qualifying unr stion 4942U)(3)(B)(i) "Enowmnt" altrnativ tst - ntr 2/3 of minimum invstmnt rturn shown in Part X, lin 6 for ah yar list "Support" altrnativ tst- ntr: (1) Total support oth r than gross invstmnt inom (intrst, ivins, rnts, paymnts on suritis loans (stion 512(a)(5)), or royaltis) (2) Support from gnral puli an 5 or mor xmpt organizations as provi in stion 4942U)(3)(B)(iii) (3) Largst amount of support from an xmpt organization (4) Gross invstmnt inom IP.HXVI Supplmntary Information (Complt this part only if th founation ha $5, or mor in assts at any tim urmg th yar - s mstrut1ons.) a Information Rgaring Founation Managrs: List any managrs of th founation who hav ontriut mor than 2% of th total ontriutions riv y th founation for th los of any tax yar (ut only if thy hav ontriut mor than $5,). (S stion 57()(2).) SEAN P. COLGAN, List any managrs of th founation who own 1% 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 1% or gratr intrst. SEAN P COLGAN, 2 Information Rgaring Contriution, Gra nt, Gift, Loan, Sholarship, t., Programs: Chk hr ~ [KJ 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 2a,,, an. a 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: Any rstritions or limitations on awars, suh as y gographial aras, harital fils, kins of institutions, or othr fators: EEA Form 99-PF (212)

11 Form 99-PF (212 ) THE COLGAN FAMILY FOUNDATION IPiHXVI Supplmntary Information (ontinu) 3 Grants an Contriutions Pai During th Yar or Approv for Futur Paymnt If ripint is an iniviual, show any rlationship to Ripint --..,.-,------,---,--,----,-----,--,----:---i any founation managr Nam an arss (hom or usinss) orsustantialontnutor a Pai uring th yar HOLY NAME ROMAN CATHOLIC CHURC 54 OAK STREET Stamoat Spr ings o 8477 non Founation status of ripint Purpos of grant or ontriution Ca t holi support Am ount Pag 11 5, LASALLE HIGH SCHOOL 865 CHELTENHAM AVE Glnsi PA 1938 non highr u ation 1, COMMUNITY ROWING INC 2 NONANTUM ROAD Brighton MA 2135 non SUPPORT ROWING 1,5 ST VINCENT FERRER CATHOLIC CHU 84 GEORGE BUSH BLVD Dlray Bah FL SUPPORT CATHOLIC REG 3 STEAMBOAT SPRINGS WI NTER SPORT 845 HOWELSEN HILL Stamoat Springs o 8477 SUPPORT SKING 5, NATIONAL ROWING ASSOCIATION 67 MYSTIC ROAD North Stoni ngton CT SUPPORT ROWING 2, 5 UNITED STATES OLYMP I C COMMITTE COLORADO Colorao Spr ings o 891 SUPPORT ATHLETICS 66 SULLIVAN COUNTY SCHOLARSHIP FD BEECH AND SOUTH STS Laport PA SCHOLARSHIP FUND 5 Total Approv for futur paymnt 3a EEA Total ,. 3 Form 99-PF (212)

12 Form 99-PF (212) THE COLGAN FAMILY FOUNDATION ipihxvj Supplmntary Information (ontinu) 3 Grants an Contriutions Pai During th Yar or Approv for Futur p aymnt Ripint Nam an arss (hom or usinss) a Pai uring th yar POWER OF TEN INC WWW POWERlO ORG Nw York NY 11 If ripint is an iniviual, show any rlationship to any founation managr or sustantial ontriutor Founation status of ripint Purpos of grant or ontriution SUPPORT ROWING Amount Pag FRIENDS OF DARTMOUTH ROWING DARTHMOUTH COLLEGE Hanovr NH 3755 SUPPORT ROWING 1 HEAD OF THE SCHUYLKILL REGATA BOATHOUSE ROW Philalphia PA 1913 SUPPORT ROWING 5 UNIVERSITY OF PENNSYLVANIA 3451 WALNUT ST Philalphia PA 1914 SUPPORT EDUCATION 1, VESPER BOAT CLUB 1 BOATHOUSE ROW Philalphia PA 1913 SUPPORT ROWING 5,25 VARIOUS SMALL CHARITIES BOCA RATON Boa Raton FL SUPPORTING ATHLETICS 56 THE ALBANY ACADEMIES 14 ACADEMY RD Alany NY 1228 SUPPORTING EDUCATION 5, Eagls Mr Athlti Assoiati PO Box 38 Eagls Mr PA SUPPORT ATHLETICS 15 Total ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '... 3a Approv for futur paymnt EEA Total ,. 3 Form 99-PF (212)

13 Form 99-PF (212) THE COLGAN FAMILY FOUNDATION LPijrt.XVJ Supplmntary Information (ontinu) 3 Grants an Contriutions Pai During th Yar or Approv for Futur Pf-mnt Ripint Nam an arss (hom or usinss) a Pai uring th yar Eastrn Main Community Collg 354 HOGAN ROAD Bangor ME 441 If ripint is an iniviual, show any rlationship to any founation managr or sustantial ontriutor Founation status of ripint Purpos of grant or ontriution SUPPORTING SPORTS I Amount Pag 11 1, MUSCULAR DISTROPHY ASSOCIATION 33 E SUNRISE DRIVE Tuson AZ SUPPORT RESEARCH 1 Saratoga Rowing Assoiation 543 Union Av Saratoga Springs NY SUPPORT ROWING 635 Sari Cntr 341 PGA Blv Palm Bah Garns FL 3341 SUPPORT CANCER 5 ST LAWRENCE UNIVERSITY 23 ROMODA DRIVE Canton NY SUPPORT ATHLETICS 4,4 El Salvaor National Olympi C Olympi Hous Non onat Bus 25,94 Total ''' '' ' ' '''''' '''' ''''' ' ' ' '''''' ' ' ' ' ' '' ' '''' ~ Approv for futur paymnt 3a 62,49 EEA Total ~ 3 Form 99-PF (212)

14 Form 99-PF (212) THE COLGAN FAMILY FOUNDATION Pag 12 ~ Analysis of 1,,...,,,,... rouing Ativitis Entr gross amounts unlss othrwis iniat. Unrlat usinss inom Exlu y stion 512, 513, or 514 () Rlat or xmpt (a) () () {) funtion inom Businss Amount Exlusit.. o Amount (S instrutions.) 1 Program srvi rvnu: o a f g Fs an ontrats from govrnmnt agnis 2 Mmrship us an assssmnts - 3 Intrst on savings an tmporary ash invstmnts 4 Divins an intrst from suritis Nt rntal inom or {loss) from ral stat: )//::: : / ::r::m:r \ a Dt-finan proprty Not t-finan proprty 6 Nt rntal inom or {loss) from prsonal proprty 7 Othr invstmnt inom. 8 Gain or (loss) from sals of assts othr than invntory 9 Nt inom or (loss) from spial vnts 1 Gross profit or (loss) from sals of invntory 11 Othr rvnu: a 12 Sutotal. A olumns {), (), an () :r: :r r Total. A lin 12, olumns {), {), an () (S worksht in lin 13 instrutions to vrify alulations ) I.Part V~I Rlationship of Ativitis to th Aomplishmnt of Exmpt Purposs Explain low how ah ativity for whih inom is rport in olumn () of Part XVI-A ontriut importantly to th Lin No. aomplishmnt of th founation's xmpt purposs (othr than y proviing funs for suh purposs). (S instrutions.)... EEA Form 99-PF (212}

15 Form99-PF (212) THE COLGAN FAMILY FOUNDATION Pag13 IP.irtXVUl Information Rgaring Transfrs To an Transations an Rlationships With Nonharital Exm izations Di th organization irtly or inirtly ngag in any of th following with any othr organization sri in stion 51 () of th Co (othr than stion 51 ()(3) organizations) or in stion 527, r lating to politial organizations? a Transfrs from th rporting founation to a nonharital xmpt organization of: (1) Cash... (2) Othr assts Othr transations: (1) Sals of assts to a nonharital xmpt organization (2) Purhass of assts from a nonharital xmpt organization (3) Rntal of failitis, quipmnt, or othr assts (4) Rimursmnt arrangmnts (5) 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 2a Is th founation irtly or inirtly affiliat with, or rlat to, on or mor tax-xmpt organizations sri in stion 51() of th Co (othr than stion 51 ()(3)) or in stion 527? DYs [.R] No If "Ys," omplt th following shul (a) Nam of organization () Typ of organization () Dsription of rlationship Sign Hr Unr pnaltis of prjury, I ar that I hav xam in this rtum, inuing aompanying shuls an statmnts, an to th st of my knowlg an lif, it is tru, orrt, an om plt. Dlaration of prparr (othr than taxpayr) is as on all information of whih prparr has any knowlg. ~M ay th IRS isuss this rtum > ~ SEAN p COLGAN I ~IRECTOR I with th prparr nown li Signatur of offir or trust Dat nu Print/Typ prparr's nam rparr's signatur Dat l Chk 1!} if ~TIN Pai ~OGENE J GRIMLEY EA OGENE J GRIMLEY EA slf-<>mploy Pr parr Firm's nam... Eugn J Grimly EA Firm's EIN... Us Only (s inst.)? Ys No Firm 's arss Hunt Clu Dr Phon no. Collgvill PA EEA Form 99-PF (212)

16 STM114 I Nam(s) as shown on rturn THE COLGAN FAMI LY FOUNDATION Fral Supporting Statmnts Form 99PF, Part VII-A, Lin 1 Sustantial Contriutors Shul 212 PG 1 FEIN Statmnt #114 Nam SEAN P COLGAN Arss ~~r M13 7 Form 99PF, Part II, Lin 1(} Invstmnts: Corporat Stok Shul PG 1 Statmnt #137 Catgory Book Valu EOY FMV Ewar Jons Totals 1, 1, 97,469 97,469 STh; 2 Form 99PF, Part VIII Compnsation Explanation PG1 Statmnt #A2 Nam Ainriu C Colgan Explanation various ativiti s STATMENT.LD

17 Nam(s) as shown on rturn I Fral Supporting Statmnts 212 PG 1 Your Soial Surity Numr TH E COLGAN FAMILY FOUNDATION Form 99PF, Part I, Lin 23 - Ot hr Expnss Shul Statmnt #13 Rvnu Nt Aj ust Charital Dsription an xpnss invstmnt nt inom purpos W Ds ign an Support 11 3 Tota ls 11 3 Form 99PF, Part I, Lin 13 - Susiiary Shul PG 1 Susiiary Statmnt Rvnu Nt Ajust Charital Dsription an xpnss invstmnt nt inom purpos Ai nriu Colgan 7 Totals 7 STM-.LD