Return of Private Foundation OMB No or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation 2011

Transcription

1 Form 99-PF Dpartmnt of th Trasury Intrnal Rvnu Srvi Rturn of Privat Founation OMB No or Stion 4947(a)(1) Nonxmpt Charital Trust Trat as a Privat Founation 211 Not. Th founation may al to us a opy of thi s rturn to satisfy stat rporting rquirmnts. For alnar yar 211 or tax yar ginning 9-1, 211, an ning Nam of founation THE COLGAN FAMILY FOUNDATION A Employr intifiation numr aka C/ GR IMLEY ACCOUNTING Numr an strt (or P.O. ox numr if mail is not liv r to strt arss) I Room/suit B Tlphon numr (s instrutions) 18 HUNT CLUB DRIVE (61) City or town, stat, an ZIP o If xmption appliation is pning, hk hr ~ u Collgvill, G Chk all that apply: Initial rtum Initial rtum of a formr puli harity D 1. Forign organizations, hk hr. - r- ~ o Final rtum Amn rtum - r- 2. Forign organizations mting th 85% tst, Arss hang Nam hang hk hr an attah omputation ~ o H Chk typ of organization: [.29 Stion 51 ()(3) xmpt privat founation E If privat founation status was trminat unr _ Stion 4947(a)(1) nonxmpt harital trust n Othr taxal privat founation stion 57()( 1 )( A), hk hr I Fair markt valu of all assts at J Aounting mtho: [.29 Cash U Arual F If th founation is in a 6-month trmination n of yar (from Part II, ol. (), D Othr (spify) unr stion 57()(1)(B), hk hr. lin 16) ~ $ 125,812 (Part I, oolumn () must on ash asis.) I Part I I Analysis of Rvnu an Expnss (Th total of (a) Rvnu an amounts in olumns ( ), (), an () may not nssarily qual xpnss pr () Nt invstmnt () Ajust nt th amounts in olumn (a) (s instru tions).) ooks inom inom 1 Contriutions, gifts, grants, t., riv (attah shul} 21,9 2 Chk ~ ~ if th founation i<not rquir to attah Sh. B 3 Intrst on savings an tmporary ash invstmnts 4 Divins an intrst from suritis 5a Gross rnts R Nt rntal inom or (loss) 6a Nt gain or (Joss) from sal of assts not on lin 1 v Gross sals pri for all assts on lin 6a n 7 Capital gain nt inom (from Part IV, lin 2) u 8 Nt short-trm apital gain 9 Inom moifiations 1a Gross sals lss rturn s an allowans : 1- Lss: Cost of goos sol -l Gross profit or (loss) (attah shul} 11 Othr inoom (attah shul} 12 Total. A lins 1 through 11 21,9 13 Compnsation of offirs, irtors, trusts, t A 14 Othr mploy salaris an wags 15 Pnsion plans, mploy nfits m i 16a Lgal fs (attah shul} n Oi Aounting fs (attah shul) ps Othr profssional fs (attah shul} t r r 17 Intrst a a 18 Taxs (attah shul) (s instrutions) t t i i 19 Dpriation (attah shul} an pltion nv g 2 Oupany ~ o ~ o () Disursmnts for harital purposs (ash asis only) ae 21 Travl, onfrns, an mtings n x 22 Printing an puliations P 23 Othr xpnss (attah shul). STMl 3. 6,181 n s 24 Total oprating an aministrativ xpnss. A lins 13 through 23 6,181 s 25 Contriutions, gifts, grants pai 12, Total xpnss an isursmnts. A lins 24 an 25 18, Sutrat lin 26 from lin 12: - a Exss of rvnu ovr xpnss an isursmnts 93,644 Nt invstmnt inom (if ngativ, ntr --) Ajust nt inom (if ngativ, ntr --) For Paprwork Rut1on At Noti, s instrutions. EEA Form 99-PF (211 ;

2 Form 99-PF (211) THE COLGAN FAMILY FOUNDATION Pag : I Part II I Balan Shts Attah sh uls an amounts in th sription olumn Bginning of yar En of yar shou l for n-of-yar amounts only. (S instrutions. ) (a) Book Valu () Book Valu () Fair Markt Valu 1 Cash - non-intrst-aring 34, , Savings an tmporary ash invstmnts 3 Aounts rival Lss: allowan for outful aounts 4 Plgs rival Lss: allowan for outful aounts 5 Grants rival 6 Rivals u from offirs, irtors, trusts, an othr isqualifi prsons (attah shul} (s instrutions) 7 Othr nots an loans rival (attah sh ul) A Lss: allowan for outful aounts s s 8 Invntoris for sal or us 9 Prpai xpnss an frr hargs t 1a Invstmnts- U.S. an stat govrnmnt oligations (attah shul) s Invstmnts- orporat stok (attah shul} Invstmnts- orporat ons (attah shul} 11 Invstmnts - lan, uilings, an quipmnt: asis Lss : aumulat priation (attah shul) 12 Invstmnts - mortgag loans 13 Invstmnts- othr (attah shul} 14 Lan, uilings, an quipmnt: asis Lss : aumulat priation (attah shul) 15 Othr assts {sri ) 16 Total assts (to omplt y all filrs - s th instrutions. Also, s pag 1, itm I) 34, ,812 L 17 Aounts payal an aru xpnss i a 18 Grants payal i 19 Dfrr rvnu I 2 Loans from offirs, irtors, trusts, an othr isqualifi prsons i t 21 Mortgags an othr nots payal (attah shul) i 22 Othr liailitis (sri ) s 23 Total liailitis (a lins 17 through 22). Founations that follow SFAS 117, hk hr.. ~ NF an omplt lins 24 through 26 an lins 3 an 31. u 24 Unrstrit 34,173 t n 25 Tmporarily rstrit 26 Prmanntly rstrit A s 8 Founations that o not follow SFAS 117, hk hr D sa an omplt lins 27 through 31. l 27 t a Capital stok, trust prinipal, or urrnt funs s n 28 Pai-in or apital surplus, or lan, lg., an quipmnt fun 29 Rtain arnings, aumulat inom, nowmnt, or othr funs o 3 Total nt assts or fun alans (s instrutions) 34,173 r s 31 Total liailitis an nt assts/fun alans (s l Part Ill j instrutions) 34,173 Analysis of Changs in Nt Assts or Fun Balans 1 Total nt assts or fun alans at ginning of yar- Part II, olumn (a), lin 3 (must agr with n-of-yar figur rport on prior yar's rturn) 1 34,173 2 Entr amount from Part I, lin 27a 2 93,644 3 Othr inrass not inlu in lin 2 (itmiz) 3 4 A lins 1, 2, an ,817 5 Drass not inlu in lin 2 (itmiz) 5 6 Total nt assts or fun alans at n of yar (lin 4 minus lin 5) - Part II, olumn {), lin ,817 EEA Form 99-PF (211

3 Form 99-PF (21 1) THE COLGAN FAMI LY FOUNDATI ON Paq 3 I Part IV I Capital Gains an Losss for Tax on Invstmnt Inom 1a a a (a) List an sri th kin(s) of proprty sol (.g., ral stat, 2-story rik warhous; or ommon stok, 2 shs. MLC Co.) () How aquir P-Purhas D-Donation () Dat aquir (yr., mo., ay) () Gross sals pri (f) Dpriation allow (g) Cost or othr asis (h) Gain or (loss) (o r allowa l) 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) F.M.V. as of () Dat sol (yr., mo., ay) (I) Ga in s (Col. (h) gain minus Ul Ajust asis (k) Exss of ol. (i) ol. (k), ut not lss than -O<)r as of 12131/69 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 I Part V I Qualifiation Unr Stion 494() for Ru Tax on Nt Invstmnt Inom (For optional us y omsti privat fou nations sujt to th stion 494(a) tax on nt invstmnt inom.) 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. 1 Entr th appropriat amount in ah olumn for ah yar; s th instrutions for making any ntris. (a) Bas prio ya rs () () Calnar yar (or tax yar ginning in) Ajust qualifying istriutions Nt valu of nonhari tal-us assts DYs D () Di striution ratio (ol. () ivi y ol. ()) No 2 3 Total of li n 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 211 from Part, 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 II, 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 (211)

4 Form 99-PF (211) THE COLGAN FAMILY FOUNDATION Pag 4 I Part VII Exis Tax Bas on Invstmnt Inom (Stion 494(a), 494(), 494(), or s instrutions) 1a Exmpt oprating founations sri in stion 494()(2), hk hr ~ U an ntr "N/A" on lin 1. } Dat of ruling or trmination lttr: (attah opy of lttr if nssary-s instrutions) J Domsti founations that mt th stion 494() rquirmnts in Part V, hk 1 hr ~ an ntr 1% of Part I, lin 27 All othr omsti founations ntr 2% of lin 27. Exmpt forign organizations ntr 4% of J Part I, lin 12, ol. (). 2 Tax unr stion 511 (omsti stion 4947(a)(1) trusts an taxal founations only. Othrs ntr --) 2 3 A lins 1 an Sutitl A (inom) tax (omsti stion 4947(a)(1) trusts an taxal founations only. Othrs ntr --) 4 5 Tax as on invstmnt inom. Sutrat lin 4 from lin 3. If zro or lss, ntr Crits/Paymnts: a 211 stimat tax paymnts an 21 ovrpaymnt rit to 211 6a Exmpt forign organizations - tax withhl at sour.. 6 Tax pai with appliation for xtnsion of tim to fil (Form 8868) 6 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 8 9 Tax u. If th total of lins 5 an 8 is mor than lin 7, ntr amount ow ~ 9 1 Ovrpaymnt. If lin 7 is mor than th total of lins 5 an 8, ntr th amount ovrpai ~ 1 11 Entr th amount of lin 1 to : Crit to 212 stimat tax ~ Rfun ~ 11 I Part VIl-A I Statmnts Rgaring Ativitis 1a During th tax yar, i th founation attmpt to influn any national, stat, or loal lgislation or i it Ys No partiipat or intrvn in any politial ampaign? 1a 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. ~ $ 2 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. 2 3 Has th founation ma any hangs, not prviously rport to th IRS, in its govrning instrumnt, artis of inorporation, or ylaws, or othr similar instrumnts? If "Ys," attah a onform opy of th hangs 3 4a Di th founation hav unrlat usinss gross inom of $1, or mor uring th yar? 4a If "Ys," has it fi l a tax rturn on Form 99-T for this yar? Was thr a liquiation, trmination, issolution, or sustantial ontration uring th yar? 5 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? 6 7 Di th founation hav at last $5, in assts at any tim uring th yar? If "Ys," omplt Part II, ol. ( ), an Part V. 7 Sa Entr th stats to whih th founation rports or with whih it is rgistr (s instrutions) ~ 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 S 9 Is th founation laiming status as a privat oprating founation within th maning of stion 4942)(3) or _j 4942)(5) for alnar yar 211 or th taxal yar ginning in 211 (s instrutions for Part IV)? If "Ys," omplt Part IV Di any prsons om sustantial ontriutors uring th tax yar? If "Ys," attah a shul listing thir nams an arsss STMl1.4 1 EEA Form 99-PF (211) I

5 Form 99-PF (2 11) THE COLGAN FAMILY FOUNDATION Pag 5 I Part VIl-A I 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)? lf"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) 13 Di th founation omply with th puli insption rquirmnts for its annual rturns an xmption appliation? 13 Wsit arss ~ ;www:..:..:..:.:...: :...::..: o:..:1:.zg::a=n=f.=am=i.::1y"-=-fo=.u=n::.=a=-t::..:l.:..: ' o:.:n:..: :...:C:..:O:.=m:: Th ooks ar in ar of ~ SEAN COLGAN Tlphon no Loat at ~ ZIP+4 15 Stion 4947(a)(1) nonxmpt harital trusts filing Form 99-PF in liu of Form Chk hr... ~ an ntr th amount of tax-xmpt intrst riv or aru uring th yar.. ~ IL J..I At any tim uring alnar yar 211, 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 TD F If "Ys," ntr th nam of th forign ountry ~ I Part VII-B I Statmnts Rgaring Ativitis for Whih Form 472 May B Rquir 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 Ys ~No Ys Ys Ys Ys ~No trmination of govrnmnt srvi, if trminating within 9 ays.) Ys ~ No If any answr is "Ys" to 1a(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 211? 2 Taxs on failur to istriut inom (stion 4942) (os not apply for yars th founation was a privat oprating founation fin in stion 4942)(3) or 4942)(5)): a At th n of tax yar 211, i th founation hav any unistriut inom (lins 6 an 6, PartIII)fortaxyar(s}ginningfor211? 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 ~ No If "Ys," i it hav xss usinss holings in 211 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 211.) 3 4a Di th founation invst uring th yar any amount in a mannr that woul jopariz its harital purposs? 4a Di th founation mak any invstmnt in a prior yar (ut aftr Dmr 31, 1969) that oul jopariz its harital purpos that ha not n rmov from jopary for th first ay of th tax yar ginning in 211? EEA ~-- ~~- I_J x 4 Form 99-PF (211) 16 Ys Ys No No ~~ l- 1 I I

6 Fonn 99-PF(211) THE COLGAN FAMILY FOUNDATION Pag 6 I Part VII-B I Statmnts Rgaring Ativitis for Whih Form 472 May B Rquir (ontinu) Sa During th yar i th founation pay or inur any amount to: Sa (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 D Ys ~ No BYs~ No Ys No D Ys ~ No purposs, or for th prvntion of rulty to hilrn or animals? D Ys ~ 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 aim xmption from th tax aus it maintain xpnitur rsponsiility for th grant? DYs D No If ''Ys," attah th statmnt rquir y Rgulations stion (). Di th founation, uring th yar, riv any funs, irtly or inirtly, to pay prmiums on a prsonal nfit ontrat? Di th founation, uring th yar, pay prmiums, irtly or inirtly, on a prsonal nfit ontrat? If ''Ys" to 6, fil Fonn 887. DYs ~ No 7a At any tim uring th tax yar, was th founation a party to a prohiit tax shltr transation? D Ys D No If ys, i th founation riv any pros or hav any nt inom attriutal to th transation? I Part VIII I Information Aout Offirs, Dirtors, Trusts, Founation Managrs, Highly Pai Employs, an Contrators List all offirs l 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, ntr mploy nfit plans vot to position. ) an frr ompnsation SEAN COLGAN DIRECTOR S 6 () Expns aount, othr al lowans 2 Compnsation of fiv highst-pai mploys (othr than thos inlu on lin 1 -s instrutions). If non, ntr "" () Contriutions to () Titl, an avrag mploy nfit (a) Nam an a rss of ah mploy pai mor than $5, hours pr wk () Compnsation pl ans an frr vot to position ompnsation () Expns aount, othr allowans Total numr of othr mploys pai ovr $5,. ~ EEA Form 99-PF (211)

7 Form 99-PF 211 THE COLGAN FAMILY FOUNDATION Pa 7 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 s rvi () Compnsation Total numr of othrs riving ovr $5, for profssional srvis ~.. I Part I-A I Summary of D1rt Chantal At1v1t1s 1 List th founation's four largst irt harital ativitis uring th tax yar. Inlu rlvant statistial inform ation suh as th numr of organizations an othr nfiiaris srv, onfrns onvn, rsarh paprs prou, t. Expnss I Part I-B I Summary of Program-Rlat Invstmnts (s instrutions) 1 Dsri th two largst program-rlat invstmnts ma y th founation uring th tax yar on lins 1 an 2. Amount 2 All othr program-rlat invstmnts. S instru tions. 3 Total. A lins 1 through 3 ~ EEA Form 99-PF (211)

8 s instrutions ) 1 Fair markt valu of assts not us (or hl for us) irtly in arrying out harital, t., a 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 1 a an 1 (attah tail xplanation) 2 Aquisition intnss applial to lin 1 assts 3 Sutrat lin 2 from lin 1 4 Cash m hl for harital ativitis. Entr 1 1/2% of lin 3 (for gratr amount, s instrutions) Pa 8 (All omsti founations must omplt this part. Forign founations, I 1 I 5 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 5 I Part I I Distriutal Amount (s instrutions) (Stion 4942)(3) an )(5) privat oprating founations an rtain forign organizations hk hr an o not omplt this part.) Minimum invstmnt rturn from Part, lin a Tax on invstmnt inom for 211 from Part VI, lin 5 Inom tax for 211. (This os not inu th tax from Part VI.) A lins 2a an 2 3 Distriutal amount for ajustmnts. Sutrat lin 2 from lin 1 4 Rovris of amounts trat as qualifying istriutions A lins 3 an Dution from istriutal amount (s instrutions) Distriutal amount as ajust. Sutrat lin 6 from lin 5. Entr hr an on Part III, lin I Part II I Qualifying Distriutions (s instrutions) 1-1a Amounts pai (inuing aministrativ xpnss) to aomplish harital, t., purposs: a Expnss, ontriutions, gifts, t. - total from Part I, olumn (), lin 26 Program-rlat invstmnts -total from Part I-B 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) 4 Qualifying istriutions. A lins 1a through 3. Entr hr an on Part V, lin 8, an Part II I, lin 4. 5 Founations that qualify unr stion 494() for th ru rat of tax on nt invstmnt inom. Entr 1% of Part I, lin 27 (s instrutions) 5 6 Ajust qualifying istriutions. Sutrat lin 5 from lin 4 6 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. EEA 1-1a a 3 4 Form 99-PF (211 )

9 Form 99-PF (211) THE COLGAN FAMILY FOUNDATION Pag 9 I Part III I Unistriut Inom (s instrutions) (a) () () () 1 Distriutal amount for 211 from Part I, Corpus Ya rs prior to lin7 2 Unistriut inom, if any, as of th n of 211: a Entr amount for 21 only I Total for prior yars: Exss istriutions arryovr, if any, to 21 1: a From 26 From 27 From 28 From 29 From 21 f Total of lins 3a through... 4 Qualifying istriutions for 211 from Part II, lin4: ~ $ a Appli to 21, 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 211 istriutal amount.. Rmaining amount istriut out of orpus 5 Exss istriutions arryovr appli to 211 (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 f Prior yars' unistriut inom. Sutrat lin 4 from lin 2. 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 21. Sutrat lin 4a from lin 2a. Taxal amount- s instrutions. Unistriut inom for 211. 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 26 not appli on lin 5 or lin 7 (s instrutions)... 9 Exss istriutions arryovr to 212. Sutrat lins 7 an 8 from lin 6a... 1 Analysis of lin 9: a Exss from 27 Exss from 28 Exss from 29 Exss from 21 Exss from EEA Form 99-PF (211)

10 Form 99-PF (211) THE COLGAN FAMILY FOUNDATION Pag 1 I Part IV I Privat Oprating Founations (s instrutions an Part VIl-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 211, ntr th at of th ruling..... Chk ox to iniat whthr th founation is a privat oprating founation sri in stion h 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 (a) 2 11 () 2 1 () 29 () 2 8 invstmnt rturn from Part for ah yar list 85% of lin 2a Qualifying istriutions from Part II, lin 4 for ah yar list ~ l () Total 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 r li upon: a "Assts" altrnativ tst - ntr: (1) Valu of all assts (2) Valu of assts qualifying unr stion 4942)(3)(B)(i) "E nowmnt altrnativ tst - ntr 2/3 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 512(a)(5)), or royaltis) (2) Support from gnral puli an 5 or mor xmpt organizations as provi in stion 4942)(3)(B)(iii) (3) Largst amount of support from an xmpt organization.... (4) Gross invstmnt inom IPartV I Supplmntary Information (Complt this part only if th founation ha $5, or mor in assts at any trm urmg th yar- s mstrutrons.) 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, Grant, Gift, Loan, Sholarship, t., Programs: Chk hr ~ [29 if th founation only maks ontri utions 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 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 (211)

11 rants an THE COLGAN FAMILY FOUNDATION Information (ontinu) ontriutions Pai Durmg th Yar or Approv for Futur Paymnt Ripint Nam an arss (hom or usinss) a Pai uring th yar EAST STROUSBERG UNIVERSITY 2 PROSECT STREET Sran t on 1853 If ripint is an iniviual show any rlationship to any founation managr or sustantial ontriutor Founation status of ri pint Purpos of grant or ontriution SCHOLARSHIP Amount Pa 11 1, HOLY NAME ROMAN CATHOLIC CHURC 5 4 OAK STREET Stamoat Springs o 8477 CATHOLIC SUPPORT 5,6 NATIONAL ROWING ASSOCIATION 67 MYSTI C ROAD North Stonington CT 6359 SUPPORT ROWI NG 3, STEAMBOAT SPRINGS WINTER SPORT 845 HOWELSEN HILL Stamoat Springs o 8477 SUPPORT SKING 7,5 PENN ATHLETIC CLUB ROWING AS SO 12 BOATHOUSE ROW Philalphia 1913 SUPPORT ROWING 5, SAINT FRANCIS AVIER SCHOOL 641 NORTH 24TH ST Philalphia 1913 SUPPORT EDUCATION 1,1 AUGUSTINIAN FRIARS 3 HAVERHILL STREET Lawr n MA 184 SUPPORT REL I GIOUS 5,8 HELPHOPELIVE 15 N RADNOR CHESTER ROAD Wayn 1987 FINANCIAL ASSIST 2, 5 Total Approv for futur paymnt ~ 3a Total ~ 3 EEA Form 99-PF (211 )

12 THE COLGAN FAMILY FOUNDATION Information (ontinu) Pa 11 Ripint Nam an arss (hom or usinss) If ripint is an iniviual show any rlationship to any founation managr or sustantial ontriutor Founation status of ri pint Pu rpos of grant or ontriution Amount a Pai uring th yar ST VINCENT FERRER CATHOLIC CHU SUPPORT CATHOLIC 84 GEORGE BUSH BLVD Dlray Bah FL COMMUNITY ROWING INC SUPPORT ROWING 2 NONANTUM ROAD Brighton MA LASALLE HIGH SCHOOL HIGHER ED 865 CHELTENHAM AVE Glnsi LOWELL WHITEMAN PRIMARY SCHOOL SUPPORT EDUCATION 81.8 OAK STREET Stamoat Springs o , UNITED STATES OLYMPIC COMMI TTE SUPPORT ATHLETICS COLORADO Colorao Springs o SULLIVAN COUNTY SCHOLARSHIP FD SCHOLARSHIP FD BEECH AND SOUTH STS Laport POWER OF TEN INC SUPPORT ROWING WWW POWERl.O ORG Nw York NY ,2 FRIENDS OF DARTMOUTH ROWING SUPPORT ROWING DARTHMOUTH COLLEGE Hanovr NH Total 3a Approv for futur paymnt Total 3 EEA Form 99-PF (211 )

13 THE COLGAN FAMILY FOUNDATION Information (ontinu) Pa 11 If r ipint is an iniviual show any rlationship to Ripint ,----,----, , i any founalion managr Nam an a rss (hom or usinss) or sustantial o ntriutor Founation status of ripint Purpos of grant or ontriution Amount a Pai uring th yar EUZOA BIBLE SCHOOL 3235 ROR 38 Stamoat Springs o 8487 SUPPORT RELIGION 1, CAMBRIDGE BOAT CLUB 2 GERRYS LANDING RD Camrig MA 2138 SUPPORT ROWING 5, AMERICAN 3 FOUNDATION 181 E NINTH ST STE 16 Clvlan OH SUPPORT TROOPS 2, FRIENDS OF GUMBO LIMBO NATURE 181 NORTH OCEAN BLVD Boa Raton FL SUPPORT NATURE 1, HEAD OF THE SCHUYLKILL REGATA BOATHOUSE ROW Philalphia 1913 SUPPORT ROWI NG 5 JIM VACCHIANO HEALTH FUND WWW GIVEFORWARD COM Boa Raton FL HEALTH COST 1, THE ENDLESS MOUNTAIN CYCLING C 163 OAKRIDGE RD Mhoopany SUPPORT BIKI NG 1, UNIVERSITY OF PENNSYLVANIA 3451 WALNUT ST Philalphia 1914 SUPPORT EDUCATION 1, Total ~ 3a Approv for futur paymnt Total EEA 3 Form 99-PF (211)

14 THE COLGAN FAMILY FOUNDATION Pa 11 Information (ontinu) P " D rants an ontn ut1ons a1 urmg t h Y ar or Approv f or Futur Paymnt Ripint Nam an arss (hom or usinss) a Pai uring th yar VESPER BOAT CLUB 1 BOATHOUSE ROW If ripint is an iniviual Fou nation show any rlationship to Purpos of grant or status of any founation managr ontriution Amount ripint or sustantial o ntriutor SUPPORT ROWING Philalphia , VARI OUS SMALL CHARITIES SUPPORT ATHLETICS BOCA RATON Boa Raton FL ,55 Total Approv for futur paymnt., 3a 12,75 Total., 3 EEA Form 99-PF (211)

15 Form 99-PF (211] THE COLGAN FAMILY FOUNDATION Pag 12 I Part VI-A I Analysis of Inom-Prouing Ativitis Entr gross amounts unlss othrwis iniat. Unrlat usinss inom Exlu y stion 512, 513, or 514 () Rlat or xmpt (a) () () () funtion inom 1 Program srvi rvnu: Businss Amount Exlusion Amount (S in strutions.) o 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: I a Dt-finan proprty... Not t-finan proprty.. 6 Nt rntal inom or (loss) from prsonal proprty 7 Othr invstmnt inom 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 () 13 Total. A lin 12, olumns (), (), an () 13 (S worl<sht in lin 13 instrutions to vrify alulations.) I Part VI-8 I Rlationship of Ativitis to th Aomplishmnt of Exmpt Purposs.. Explain low how ah ativity for whih inom is rport in olumn () of Part VI-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 (211 )

16 1 (a) a xmp1 rgamza 1ons Di th organization irtly or inirtly ngag in any of th following witlh any othr organization sri in stion 51() oftlh Co (othr than stion 51()(3) organizations) or in stion 527, rlating to politial organizations? 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 non harital 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 fun raising 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 tlh 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 Lin no. () Amou nt involv () Nam of nonharital xmpt organization () Ds ription of transfrs, transations, an sharing arrangmnts 1a(1) 1a(2) 1(1) 1(2) 1(3) 1(4) 1(5) 1(6) 1 Ys No 2a Is th founation irtly or inirtly affiliat with, or rlat to, on or mor tax-xmpt organizations sri in stion 51 () of tlh Co (otlhr than stion 51 ()(3)) or in stion 527? DYs ~No If "Ys " omplt th following shul (a) Nam of organization () Typ of organization () Dsription of rlationship Sign Unr pnaltis of prjury, I lar th at I hav xamin th is rturn, inlu in g aompanying sh ul s & statmnts, & to th st of my knowlg & lif, it is tru, o rrt, & omplt. Dlaration of prparr (othr than taxpayr) is as on all inform ation of whih prparr has any knowlg. ~ I ~!RECTOR I May th IRS isuss thi s rturn,i (s in st.)? Ys No Hr SEAN P COLGAN with th prparnshown ; ow Signatur of offi r or trust Dat Titl Pri nt/typ prparr's nam ~r p a r r ' s signatur Dat I Chk ~ if ~~TIN Pai EUGENE J GRIMLEY EA UGENE J GRIMLEY EA slf-mploy Prparr Firm 's nam ~ Eugn J Grimly EA Fi rm 's EIN ~ Us Only Fi rm's arss ~ 18 Hunt Clu Dr Phon no. Collgvill EEA Form 99-PF (211)

17 I Fral Supporting Statmnts 211 PG 1 Nam(s) as shown on rturn FEIN THE COLGAN FAMILY FOUNDATION Form 99PF, Part VII-A, Lin 1 Statmnt #114 Sustantial Contriutors Shul Nam SEAN p COLGAN Arss FL STATMENT.LD

18 I Nam (s) as shown on rturn Fral Supporting Statmnts THE COLGAN FAMILY FOUNDAT I ON PG 1 Your Soia l Surity Numr Form 99PF, Part I, Lin 23 - Othr Expnss Shul Statmnt #13 Rvnu N t Ajust Charital Dsri;tion an x12nss invstmnt nt inom ;ur;os ank hargs 49 DFS NEW CHECKS 132 WEB DESIGN AND SUPPORT 6, Totals 6,181 STM-.LD