(and proxy tax under section 6033(e))

Transcription

1 Form Department of the Treasury Internal Revenue Service A For calendar year 2015 or other tax year beginning, and ending. OMB No Information about Form 0-T and its instructions is available at Open to Public Inspection for Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3). 501(c)(3) Organizations Only Employer identification number Name of organization ( Check box if name changed and see instructions.) D (Employees' trust, see instructions.) B Exempt under section Print THE DAVID AND LUCILE PACKARD FOUNDATION X 501( c )( 3 ) or Number, street, and room or suite no. If a P.O. box, see instructions. Type 408(e) 220(e) 343 SECOND STREET 34 Unrelated business taxable income. Subtract line 33 from line 32. If line 33 is greater than line 32, enter the smaller of zero or line LHA For Paperwork Reduction Act Notice, see instructions. E Unrelated business activity codes (See instructions.) 408A 530(a) City or town, state or province, country, and ZIP or foreign postal code 52(a) LOS ALTOS, CA Book value of all assets C at end of year F Group exemption number (See instructions.) G Check organization type X 501(c) corporation 501(c) trust 401(a) trust Other trust H Describe the organization's primary unrelated business activity. INVESTMENTS IN PARTNERSHIPS I During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? ~~~~~~ Yes X No If "Yes," enter the name and identifying number of the parent corporation. J The books are in care of CRAIG NEYMAN, CFO Telephone number Part I Unrelated Trade or Business Income (A) Income (B) Expenses (C) Net b b c Less returns and allowances c Balance ~~~ 12 Other income (See instructions; attach schedule) ~~~~~~~~~~~~ Total. Combine lines 3 through ,182,456. Part II Deductions Not Taken Elsewhere (See instructions for limitations on deductions.) (Except for contributions, deductions must be directly connected with the unrelated business income.) T Check box if address changed 1 a Gross receipts or sales Cost of goods sold (Schedule A, line 7) ~~~~~~~~~~~~~~~~~ Gross profit. Subtract line 2 from line 1c ~~~~~~~~~~~~~~~~ 4 a Capital gain net income (attach Schedule D) ~~~~~~~~~~~~~~~ Net gain (loss) (Form 477, Part II, line 17) (attach Form 477) ~~~~~~ Capital loss deduction for trusts ~~~~~~~~~~~~~~~~~~~~ Income (loss) from partnerships and S corporations (attach statement) ~~~ Rent income (Schedule C) ~~~~~~~~~~~~~~~~~~~~~~ Unrelated debt-financed income (Schedule E) ~~~~~~~~~~~~~~ Interest, annuities, royalties, and rents from controlled organizations (Sch. F)~ Investment income of a section 501(c)(7), (), or (17) organization (Schedule G) Exploited exempt activity income (Schedule I) ~~~~~~~~~~~~~~ Advertising income (Schedule J) ~~~~~~~~~~~~~~~~~~~~ Compensation of officers, directors, and trustees (Schedule K) Salaries and wages Repairs and maintenance Bad debts Interest (attach schedule) Total deductions. Add lines 14 through 28 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1c 2 3 4a 4b 4c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Charitable contributions (See instructions for limitation rules) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ STATEMENT 4 SEE STATEMENT 3 Depreciation (attach Form 4562) Less depreciation claimed on Schedule A and elsewhere on return Depletion Contributions to deferred compensation plans ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee benefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Excess exempt expenses (Schedule I) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Excess readership costs (Schedule J) Other deductions (attach schedule) EXTENDED TO NOVEMBER 15, 2016 Exempt Organization Business Income Tax Return (and proxy tax under section 6033(e)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Unrelated business taxable income before net operating loss deduction. Subtract line 2 from line 13 ~~~~~~~~~~~~ Net operating loss deduction (limited to the amount on line 30) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 5 Unrelated business taxable income before specific deduction. Subtract line 31 from line 30 Specific deduction (Generally 1,000, but see line 33 instructions for exceptions) 16,15, ,76, a STMT 2 ~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~ b ,15, ,76,847. 7,182, , , ,233. 6,350,223. 4,342,384. 2,007,83. 1,000. 2,006,83. Form 0-T (2015)

2

3 Form 0-T (2015) Part III 35 Organizations Taxable as Corporations. See instructions for tax computation a b c Controlled group members (sections 1561 and 1563) check here See instructions and: (1) (2) (3) Enter organization's share of: (1) Additional 5% tax (not more than 11,750) (2) Additional 3% tax (not more than 100,000) ~~~~~~~~~~~~~ Trusts Taxable at Trust Rates. See instructions for tax computation. Income tax on the amount on line 34 from: Proxy tax. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Total. Add lines 37 and 38 to line 35c or 36, whichever applies Part IV Tax and Payments b c d e Total credits. Add lines 40a through 40d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other taxes. Check if from: Form 4255 Form 8611 Form 867 Form 8866 Other (attach schedule) 43 Total tax. Add lines 41 and 42 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44 a Payments: A 2014 overpayment credited to 2015 ~~~~~~~~~~~~~~~~~~~ 44a b 2015 estimated tax payments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44b 3,000,000. c Tax deposited with Form 8868 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44c 750,000. d Foreign organizations: Tax paid or withheld at source (see instructions) ~~~~~~~~~~ 44d e Backup withholding (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~ 44e f Credit for small employer health insurance premiums (Attach Form 841) ~~~~~~~~ 44f g Other credits and payments: Form Total payments. Add lines 44a through 44g ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 45 Estimated tax penalty (see instructions). Check if Form 2220 is attached X ~~~~~~~~~~~~~~~~~~~ 46 Tax due. If line 45 is less than the total of lines 43 and 46, enter amount owed ~~~~~~~~~~~~~~~~~~~ 48 Overpayment. If line 45 is larger than the total of lines 43 and 46, enter amount overpaid ~~~~~~~~~~~~~~ 4 Enter the amount of line 48 you want: Credited to 2016 estimated tax 1,711,843. Refunded Part V Statements Regarding Certain Activities and Other Information (see instructions) 1 At any time during the 2015 calendar year, did the organization have an interest in or a signature or other authority over a financial account (bank, Yes No 2 securities, or other) in a foreign country? If YES, the organization may have to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts. If YES, enter the name of the foreign country here SEE STATEMENT 6 During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If YES, see instructions for other forms the organization may have to file. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Enter the amount of tax-exempt interest received or accrued during the tax year Schedule A - Cost of Goods Sold. Enter method of inventory valuation a b Enter your share of the 50,000, 25,000, and,25,000 taxable income brackets (in that order): Income tax on the amount on line 34 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax rate schedule or Schedule D (Form 1041) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Alternative minimum tax Inventory at beginning of year ~~~ 1 6 Inventory at end of year ~~~~~~~~~~~~ ~~~~~~~~~~~ 2 7 Cost of goods sold. Subtract line 6 Cost of labor~~~~~~~~~~~ 3 from line 5. Enter here and in Part I, line 2 ~~~~ Additional section 263A costs (att. schedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 40a Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) ~~~~~~~~ Other credits (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ General business credit. Attach Form 3800 ~~~~~~~~~~~~~~~~~~~~~~ Credit for prior year minimum tax (attach Form 8801 or 8827) ~~~~~~~~~~~~~~ Subtract line 40e from line 3 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Purchases THE DAVID AND LUCILE PACKARD FOUNDATION Tax Computation Form 4136 Other Total Other costs (attach schedule) ~~~ 4a 4b 8 5 Total. Add lines 1 through 4b 5 the organization? Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Sign May the IRS discuss this return with Here CFO the preparer shown below (see = Signature of officer Date = Title instructions)? X Yes No 40a 40b 40c 40d 44g Do the rules of section 263A (with respect to property produced or acquired for resale) apply to Print/Type preparer's name Preparer's signature Date Check Paid self- employed JOAN S. MCMAHON 11/7/16 P Preparer Firm's name DELOITTE TAX LLP Use Only Firm's EIN MISSION ST Firm's address SAN FRANCISCO, CA 4105 Phone no Form 0-T (2015) N/A ,120. if 35c e PTIN Yes Page 2 682,325. 1,613,70. 2,26, ,120. 2,018,14. 2,018,14. 3,750,000. 1,243. 1,711, X X No

4 Form 0-T (2015) THE DAVID AND LUCILE PACKARD FOUNDATION Page Schedule C - Rent Income (From Real Property and Personal Property Leased With Real Property) (see instructions) 3 1. Description of property (1) (2) (3) (4) (1) (2) (3) (4) Total (a) 2. From personal property (if the percentage of rent for personal property is more than 10% but not more than 50%) Rent received or accrued (b) From real and personal property (if the percentage of rent for personal property exceeds 50% or if the rent is based on profit or income) 0. Total 0. (c) Total income. Add totals of columns 2(a) and 2(b). Enter (b) Total deductions. Enter here and on page 1, here and on page 1, Part I, line 6, column (A) Part I, line 6, column (B) (see instructions) Schedule E - Unrelated Debt-Financed Income 1. Description of debt-financed property 2. Gross income from or allocable to debtfinanced property (a) 3. 3(a) Deductions directly connected with the income in columns 2(a) and 2(b) (attach schedule) Deductions directly connected with or allocable to debt-financed property Straight line depreciation (attach schedule) (b) Other deductions (attach schedule) (1) (2) (3) (4) (1) (2) (3) (4) Totals 4. Amount of average acquisition 5. Average adjusted basis 6. Column 4 divided 7. Gross income 8. Allocable deductions debt on or allocable to debt-financed of or allocable to by column 5 reportable (column (column 6 x total of columns property (attach schedule) debt-financed property 2 x column 6) 3(a) and 3(b)) (attach schedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter here and on page 1, Part I, line 7, column (A). Total dividends-received deductions included in column 8 Schedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instructions) Enter here and on page 1, Part I, line 7, column (B). 1. Name of controlled organization Part of column 4 that is 6. Deductions directly Employer identification number Net unrelated income (loss) (see instructions) Total of specified payments made included in the controlling organization's gross income connected with income in column 5 % % % % Exempt Controlled Organizations (1) (2) (3) (4) Nonexempt Controlled Organizations 7. Taxable Income 8. Net unrelated income (loss). Total of specified payments 10. Part of column that is included 11. Deductions directly connected (see instructions) made in the controlling organization's with income in column 10 gross income (1) (2) (3) (4) Add columns 5 and 10. Enter here and on page 1, Part I, line 8, column (A). Add columns 6 and 11. Enter here and on page 1, Part I, line 8, column (B). Totals J Form 0-T (2015) PACKARD THE DAVID AND LUCILE PACK PACKARD1

5 Form 0-T (2015) THE DAVID AND LUCILE PACKARD FOUNDATION Schedule G - Investment Income of a Section 501(c)(7), (), or (17) Organization (see instructions) (1) (2) (3) (4) 1. Description of exploited activity 1. Description of income 2. Amount of income 2. Gross unrelated business income from trade or business Enter here and on page 1, Part I, line 10, col. (A). 3. Expenses directly connected with production of unrelated business income Enter here and on page 1, Part I, line 10, col. (B). Enter here and on page 1, Part I, line, column (A). 4. Net income (loss) from unrelated trade or business (column 2 minus column 3). If a gain, compute cols. 5 through Deductions Total deductions directly connected 4. Set-asides 5. and set-asides (attach schedule) (attach schedule) (col. 3 plus col. 4) 5. Gross income from activity that 6. Expenses attributable to is not unrelated column 5 business income Enter here and on page 1, Part I, line, column (B). Totals Schedule I - Exploited Exempt Activity Income, Other Than Advertising Income (see instructions) (1) (2) (3) (4) Totals Schedule J - Advertising Income (see instructions) Part I Income From Periodicals Reported on a Consolidated Basis Excess exempt expenses (column 6 minus column 5, but not more than column 4). Enter here and on page 1, Part II, line 26. Page Name of periodical 2. Gross Direct advertising 3. advertising costs income 4. Advertising gain or (loss) (col. 2 minus col. 3). If a gain, compute cols. 5 through Circulation 6. income Readership costs 7. Excess readership costs (column 6 minus column 5, but not more than column 4). (1) (2) (3) (4) Totals (carry to Part II, line (5)) Part II Income From Periodicals Reported on a Separate Basis (For each periodical listed in Part II, fill in columns 2 through 7 on a line-by-line basis.) (1) (2) (3) (4) Totals from Part I Name of periodical 1. Name 2. Gross Direct advertising 3. advertising costs income Enter here and on page 1, Part I, line 11, col. (A). Enter here and on page 1, Part I, line 11, col. (B). 4. Advertising gain or (loss) (col. 2 minus col. 3). If a gain, compute cols. 5 through 7. Totals, Part II (lines 1-5) Schedule K - Compensation of Officers, Directors, and Trustees (1) (2) (3) (4) 2. Title 5. Circulation 6. income Readership costs (see instructions) 3. Percent of 4. time devoted to business Total. Enter here and on page 1, Part II, line 14 % % % % 7. Excess readership costs (column 6 minus column 5, but not more than column 4) Enter here and on page 1, Part II, line 27. Compensation attributable to unrelated business Form 0-T (2015) PACKARD THE DAVID AND LUCILE PACK PACKARD1

6 Form Department of the Treasury Internal Revenue Service Name Attach to the corporation's tax return. Information about Form 4626 and its separate instructions is at Note: See the instructions to find out if the corporation is a small corporation exempt Adjustments and preferences: a Depreciation of post-186 property ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Amortization of certified pollution control facilities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Amortization of mining exploration and development costs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Amortization of circulation expenditures (personal holding companies only) ~~~~~~~~~~~~~~~~~~~~~ e Adjusted gain or loss ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ f Long-term contracts ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ g Merchant marine capital construction funds ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ h i j Section 833(b) deduction (Blue Cross, Blue Shield, and similar type organizations only) ~~~~~~~~~~~~~~~~ Tax shelter farm activities (personal service corporations only) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Passive activities (closely held corporations and personal service corporations only) ~~~~~~~~~~~~~~~~~ k Loss limitations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ l Depletion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ m Tax-exempt interest income from specified private activity bonds ~~~~~~~~~~~~~~~~~~~~~~~~~~ n o Intangible drilling costs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other adjustments and preferences ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ STATEMENT 8 * Pre-adjustment alternative minimum taxable income (AMTI). Combine lines 1 through 2o ~~~~~~~~~~~~~~~ a b c d e a b c 4626 from the alternative minimum tax (AMT) under section 55(e). Taxable income or (loss) before net operating loss deduction ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Adjusted current earnings (ACE) adjustment: ACE from line 10 of the ACE worksheet in the instructions ~~~~~~~~~~~~~ Subtract line 3 from line 4a. If line 3 exceeds line 4a, enter the difference as a negative amount (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~ Multiply line 4b by 75% (.75). Enter the result as a positive amount ~~~~~~~~~ Enter the excess, if any, of the corporation's total increases in AMTI from prior year ACE adjustments over its total reductions in AMTI from prior year ACE adjustments (see instructions). Note: You must enter an amount on line 4d (even if line 4b is positive) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ ACE adjustment. If line 4b is zero or more, enter the amount from line 4c Alternative Minimum Tax - Corporations If line 4b is less than zero, enter the smaller of line 4c or line 4d as a negative amount ~~~~~~~~~~~~~ Combine lines 3 and 4e. If zero or less, stop here; the corporation does not owe any AMT ~~~~~~~~~~~~~~~ Alternative tax net operating loss deduction (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Alternative minimum taxable income. Subtract line 6 from line 5. If the corporation held a residual interest in a REMIC, see instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exemption phase-out (if line 7 is 310,000 or more, skip lines 8a and 8b and enter -0- on line 8c): Subtract 150,000 from line 7 (if completing this line for a member of a controlled group, see instructions). If zero or less, enter -0- ~~~~~~~~~~~~~~~~~ Multiply line 8a by 25% (.25) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Exemption. Subtract line 8b from 40,000 (if completing this line for a member of a controlled group, see instructions). If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subtract line 8c from line 7. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Multiply line by 20% (.20) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Alternative minimum tax foreign tax credit (AMTFTC) (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~ Tentative minimum tax. Subtract line 11 from line 10 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Regular tax liability before applying all credits except the foreign tax credit ~~~~~~~~~~~~~~~~~~~~~~ Alternative minimum tax. Subtract line 13 from line 12. If zero or less, enter -0-. Enter here and on Form 1120, Schedule J, line 3, or the appropriate line of the corporation's income tax return 4a 4b 4c 4d 8a 8b 1 2a 2b 2c 2d 2e 2f 2g 2h 2i 2j 2k 2l 2m 2n 2o 3 4e c OMB No Employer identification number THE DAVID AND LUCILE PACKARD FOUNDATION JWA For Paperwork Reduction Act Notice, see separate instructions. Form 4626 (2015) p m o 11,480, ,34, ,55. -1,317. 6,146, ,052,53. 11,480, ,480, ,480, ,480,170. 2,26,034. 2,26, ,325. 1,613, * SEE ALSO STATEMENT 7

7 THE DAVID AND LUCILE PACKARD FOUNDATION Adjusted Current Earnings (ACE) Worksheet J See ACE Worksheet Instructions. 1 2 Pre-adjustment AMTI. Enter the amount from line 3 of Form 4626 ~~~~~~~~~~~~~~~~~~~~~~~~~~ ACE depreciation adjustment: a AMT depreciation ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2a b ACE depreciation: (1) Post-13 property ~~~~~~~~~~ 2b(1) (2) Post-18, pre-14 property ~~~~~~ 2b(2) (3) Pre-10 MACRS property ~~~~~~~ 2b(3) (4) Pre-10 original ACRS property ~~~~~ 2b(4) (5) Property described in sections 168(f)(1) through (4) ~~~~~~~~~~ 2b(5) (6) Other property ~~~~~~~~~~~~~ 2b(6) (7) Total ACE depreciation. Add lines 2b(1) through 2b(6) ~~~~~~~~~~~ 2b(7) c ACE depreciation adjustment. Subtract line 2b(7) from line 2a ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Inclusion in ACE of items included in earnings and profits (E&P): a Tax-exempt interest income ~~~~~~~~~~~~~~~~~~~~~~~~~~ 3a b Death benefits from life insurance contracts ~~~~~~~~~~~~~~~~~~~ 3b c All other distributions from life insurance contracts (including surrenders) ~~~~~~ 3c d Inside buildup of undistributed income in life insurance contracts ~~~~~~~~~~ 3d e Other items (see Regulations sections 1.56(g)-1(c)(6)(iii) through (ix) for a partial list) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3e f Total increase to ACE from inclusion in ACE of items included in E&P. Add lines 3a through 3e ~~~~~~~~~~~~~ 4 Disallowance of items not deductible from E&P: a Certain dividends received ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4a b Dividends paid on certain preferred stock of public utilities that are deductible under section 247 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4b c Dividends paid to an ESOP that are deductible under section 404(k) ~~~~~~~~~ 4c d Nonpatronage dividends that are paid and deductible under section 1382(c) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4d e Other items (see Regulations sections 1.56(g)-1(d)(3)(i) and (ii) for a partial list) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4e f Total increase to ACE because of disallowance of items not deductible from E&P. Add lines 4a through 4e ~~~~~~~~ 5 Other adjustments based on rules for figuring E&P: a Intangible drilling costs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5a b Circulation expenditures ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5b c Organizational expenditures ~~~~~~~~~~~~~~~~~~~~~~~~~~ 5c d LIFO inventory adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~ 5d e Installment sales ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5e f Total other E&P adjustments. Combine lines 5a through 5e ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 Disallowance of loss on exchange of debt pools ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Acquisition expenses of life insurance companies for qualified foreign contracts ~~~~~~~~~~~~~~~~~~~ 8 Depletion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 10 Basis adjustments in determining gain or loss from sale or exchange of pre-14 property ~~~~~~~~~~~~~~~ Adjusted current earnings. Combine lines 1, 2c, 3f, 4f, and 5f through. Enter the result here and on line 4a of Form c 3f 4f 5f ,480, ,480,

8 THE DAVID AND LUCILE PACKARD FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T INCOME (LOSS) FROM PARTNERSHIPS AND S CORPORATIONS STATEMENT 2 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} ABRAMS CAPITAL PARTNERS II, LP -573,425. ANDRESSEN HOROWITZ FUND III (AIV), LP -22,106. AXIOM ASIA PRIVATE CAPITAL FUND II, LP 641. BAUPOST VALUE PARTNERS IV, LP 664,566. BERKSHIRE FUND VIII, LP -653,45. CARMEL PARTNERS INVESTMENT FUND IV, LP 25,128. CARMEL PARTNERS INVESTMENT FUND V, LP -312,846. DENHAM COMMODITY PARTNERS FUND V, LP -782,52. DENHAM COMMODITY PARTNERS FUND VI, LP -287,622. ECOTRUST FORESTS, LLC -16,662. ENERGY CAPITAL PARTNERS II (SUMMIT CO-INVEST), LP -1,372,200. GOLDEN GATE CAPITAL OPPORTUNITY FUND, LP 353,782. H&F WAND AIV I, L.P. -1,630. HOUSATONIC EQUITY INVESTORS V, LP 715,806. JBG INVESTMENT FUND IX, LLC -57,00. JBG INVESTMENT FUND VII, L.L.C. 141,064. JBG INVESTMENT FUND VIII, LLC 481,601. KLEINER PERKINS CAUFIELD & BYERS XIV, LLC 10. NATURAL GAS PARTNERS IX, LP -37,64. NORTHERN LIGHT VENTURE FUND III, L.P. -3,531. NORTHWOOD REAL ESTATE CO-INVESTORS TE, L.P. 20,867. NORTHWOOD REAL ESTATE CO-INVESTORS TE (AIV 2), L.P. -4,66. NORTHWOOD REAL ESTATE CO-INVESTORS TE (HOTEL AIV) FEEDER LP -70,82. NORTHWOOD REAL ESTATE CO-INVESTORS TE (NR AIV) FEEDER LP 75,071. NORTHWOOD REAL ESTATE PARTNERS TE (HOTEL AIV) FEEDER LP -185,062. NORTHWOOD REAL ESTATE PARTNERS TE (AIV 1) FEEDER LP 121,343. NORTHWOOD REAL ESTATE PARTNERS TE (AIV 2), LP 32,251. NORTHWOOD REAL ESTATE PARTNERS TE (AIV 3) FEEDER LP 56,861. NORTHWOOD REAL ESTATE PARTNERS TE (AIV 4) FEEDER LP 58,772. NORTHWOOD REAL ESTATE PARTNERS TE (AIV 5) FEEDER LP 72,640. NORTHWOOD REAL ESTATE PARTNERS TE (AIV 6) FEEDER LP -13,764. NORTHWOOD REAL ESTATE PARTNERS TE (AIV 8) FEEDER LP 42,01. NORTHWOOD REAL ESTATE PARTNERS TE (NR AIV) FEEDER LP 81,865. NORTHWOOD REAL ESTATE PARTNERS TE, LP 16,748. RIVA CAPITAL PARTNERS II, LP -22,616. RIVA CAPITAL PARTNERS III, LP 110,822. SPO PARTNERS II, LP 342,444. STG IV, LP -1,340,102. TA XI AM-A AIV, LP 14,24. TA XI ECM AIV, LP 17,8. TA XI FS-B FEEDER, LP -81. TA XI SMM AIV, L.P. -15,355. VALIANT CAPITAL PARTNERS, LP -121,457. THE VARDE FUND IX, LP 2,65. THE VARDE FUND IX-A 22,31. THE VARDE FUND X(B) FEEDER, LP 36,333. THE VARDE FUND XI (B) (FEEDER), LP 1,204. WATER STREET HEALTHCARE PARTNERS III, LP -27,440. YORKTOWN ENERGY PARTNERS IX, LP -3,708,257. YORKTOWN ENERGY PARTNERS X, LP -3,231,382. BROOKDALE INVESTORS SEVEN, LP 3,63. ENERGY CAPITAL PARTNERS III (SENDERO CO-INVEST), LP -5, STATEMENT(S) PACKARD THE DAVID AND LUCILE PACK PACKARD1

9 THE DAVID AND LUCILE PACKARD FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} H&F EFS AIV I, LP -31,36. NORTHWOOD REAL ESTATE CO-INVESTORS TE (FM AIV) FEEDER LP -4,708. NORTHWOOD REAL ESTATE PARTNERS TE (FM AIV) FEEDER LP -13,644. PEARL ENERGY INVESTMENTS, LP -5,37. RESOURCE CAPITAL FUND V L.P. 1,82. TA XI FLS AIV, L.P.,361. TA XI NS-A FEEDER, L.P. -2,601. TA XI PC AIV, L.P. -7,434. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 5-8,76,847. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T CONTRIBUTIONS STATEMENT 3 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION/KIND OF PROPERTY METHOD USED TO DETERMINE FMV AMOUNT }}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}}}}} OTHER CONTRIBUTIONS N/A 2,000,000. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 20 2,000,000. ~~~~~~~~~~~~~~ 25 STATEMENT(S) 2, PACKARD THE DAVID AND LUCILE PACK PACKARD1

10 THE DAVID AND LUCILE PACKARD FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} FORM 0-T CONTRIBUTIONS SUMMARY STATEMENT 4 QUALIFIED CONTRIBUTIONS SUBJECT TO 100% LIMIT CARRYOVER OF PRIOR YEARS UNUSED CONTRIBUTIONS FOR TAX YEAR 2010 FOR TAX YEAR 2011 FOR TAX YEAR 2012 FOR TAX YEAR 2013 FOR TAX YEAR 2014 TOTAL CARRYOVER TOTAL CURRENT YEAR 10% CONTRIBUTIONS 2,000,000 TOTAL CONTRIBUTIONS AVAILABLE 2,000,000 TAXABLE INCOME LIMITATION AS ADJUSTED 222,82 EXCESS 10% CONTRIBUTIONS 1,777,018 EXCESS 100% CONTRIBUTIONS 0 TOTAL EXCESS CONTRIBUTIONS 1,777,018 ALLOWABLE CONTRIBUTIONS DEDUCTION 222,82 TOTAL CONTRIBUTION DEDUCTION 222,82 STATEMENT(S) 4

11 THE DAVID AND LUCILE PACKARD FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T NET OPERATING LOSS DEDUCTION STATEMENT 5 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} LOSS PREVIOUSLY LOSS AVAILABLE TAX YEAR LOSS SUSTAINED APPLIED REMAINING THIS YEAR }}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} 12/31/0 2,788,22. 2,788, /31/12 3,31,587. 3,64, , ,22. 12/31/13 4,060, ,060,02. 4,060,02. }}}}}}}}}}}}}} }}}}}}}}}}}}}} NOL CARRYOVER AVAILABLE THIS YEAR 4,342,384. 4,342,384. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T NAME OF FOREIGN COUNTRY IN WHICH ORGANIZATION HAS FINANCIAL INTEREST STATEMENT 6 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} NAME OF COUNTRY }}}}}}}}}}}}}}} UNITED KINGDOM IRELAND DENMARK NETHERLANDS JERSEY 27 STATEMENT(S) 5, PACKARD THE DAVID AND LUCILE PACK PACKARD1

12 THE DAVID AND LUCILE PACKARD FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} FORM 4626 AMT CONTRIBUTIONS STATEMENT 7 CARRYOVER OF PRIOR YEARS UNUSED CONTRIBUTIONS FOR TAX YEAR 2010 FOR TAX YEAR 2011 FOR TAX YEAR 2012 FOR TAX YEAR 2013 FOR TAX YEAR 2014 TOTAL CARRYOVER CURRENT YEAR CONTRIBUTIONS 2,000,000 TOTAL CONTRIBUTIONS 2,000,000 10% OF TAXABLE INCOME AS ADJUSTED 1,275,575 EXCESS CONTRIBUTIONS 724,425 ALLOWABLE CONTRIBUTIONS 1,275,575 AMT CHARITABLE DEDUCTION 1,275,575 REGULAR CONTRIBUTION DEDUCTION 222,82 }}}}}}}}}}}}}} AMT CONTRIBUTION ADJUSTMENT -1,052,53 ~~~~~~~~~~~~~~ STATEMENT(S) 7

13 THE DAVID AND LUCILE PACKARD FOUNDATION }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 4626 OTHER AMT ADJUSTMENTS STATEMENT 8 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} CHARITABLE CONTRIBUTIONS -1,052,53. }}}}}}}}}}}}}} TOTAL TO FORM 4626, LINE 2O -1,052,53. ~~~~~~~~~~~~~~ STATEMENT(S) 8

14 SCHEDULE D (Form 1120) Department of the Treasury Internal Revenue Service Name Capital Gains and Losses Attach to Form 1120, 1120-C, 1120-F, 1120-FSC, 1120-H, 1120-IC-DISC, 1120-L, 1120-ND, 1120-PC, 1120-POL, 1120-REIT, 1120-RIC, 1120-SF, or certain Forms 0-T. Information about Schedule D (Form 1120) and its separate instructions is at OMB No Employer identification number Part I See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. 1a 1b Totals for all transactions reported on a Form(s) 84 with Box A checked Form(s) 84 with Box B checked Form(s) 84 with Box C checked 8b Totals for all transactions reported on 10 Totals for all transactions reported on THE DAVID AND LUCILE PACKARD FOUNDATION Short-Term Capital Gains and Losses - Assets Held One Year or Less Totals for all short-term transactions reported on Form 10-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 84, leave this line blank and go to line 1b Totals for all transactions reported on Totals for all transactions reported on Form(s) 84 with Box D checked Form(s) 84 with Box E checked Form(s) 84 with Box F checked (d) (e) (g) Adjustments to gain (h) Cost or loss from Form(s) 84, (or other basis) Part I, line 2, column (g) Proceeds (sales price) Short-term capital gain from installment sales from Form 6252, line 26 or 37 ~~~~~~~~~~~~~~~~~~~~~~ Short-term capital gain or (loss) from like-kind exchanges from Form 8824 ~~~~~~~~~~~~~~~~~~~~~~ Unused capital loss carryover (attach computation) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column h 7 Part II Long-Term Capital Gains and Losses - Assets Held More Than One Year See instructions for how to figure the amounts to enter on the lines below. (d) (e) (g) Adjustments to gain (h) Proceeds Cost or loss from Form(s) 84, This form may be easier to complete if you (sales price) (or other basis) Part II, line 2, column (g) round off cents to whole dollars. Totals for all long-term transactions reported on Form 10-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 84, leave this line blank and go to line 8b Totals for all transactions reported on Enter gain from Form 477, line 7 or ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Long-term capital gain from installment sales from Form 6252, line 26 or 37 ~~~~~~~~~~~~~~~~~~~~~~ Long-term capital gain or (loss) from like-kind exchanges from Form 8824 ~~~~~~~~~~~~~~~~~~~~~~ Capital gain distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column h Part III Summary of Parts I and II Enter excess of net short-term capital gain (line 7) over net long-term capital loss (line 15) ~~~~~~~~~~~~~~~~ Net capital gain. Enter excess of net long-term capital gain (line 15) over net short-term capital loss (line 7) ~~~~~~~~ Add lines 16 and 17. Enter here and on Form 1120, page 1, line 8, or the proper line on other returns ~~~~~~~~~~~ Gain or (loss). Subtract column (e) from column (d) and combine the result with column (g) 48,338. ( ) 48,338. Gain or (loss). Subtract column (e) from column (d) and combine the result with column (g) 5,375,73. 10,734,2. 16,110,65. 48, ,110,65. 16,15,303. Note: If losses exceed gains, see Capital losses in the instructions. JWA For Paperwork Reduction Act Notice, see the Instructions for Form Schedule D (Form 1120) (2015) PACKARD THE DAVID AND LUCILE PACK PACKARD1

15 Form Department of the Treasury Internal Revenue Service Sales and Other Dispositions of Capital Assets Information about Form 84 and its separate instructions is at File with your Schedule D to list your transactions for lines 1b, 2, 3, 8b,, and 10 of Schedule D. OMB No Attachment Sequence No. Name(s) shown on return Social security number or taxpayer identification no. THE DAVID AND LUCILE PACKARD FOUNDATION Before you check Box A, B, or C below, see whether you received any Form(s) 10-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 10-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. Part I Short-Term. Transactions involving capital assets you held 1 year or less are short-term. For long-term transactions, see page 2. Note: You may aggregate all short-term transactions reported on Form(s) 10-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 1a; you aren't required to report these transactions on Form 84 (see instructions). You must check Box A, B, or C below. Check only one box. If more than one box applies for your short-term transactions, complete a separate Form 84, page 1, for each applicable box. If you have more short-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. (A) Short-term transactions reported on Form(s) 10-B showing basis was reported to the IRS (see Note above) (B) Short-term transactions reported on Form(s) 10-B showing basis was not reported to the IRS X (C) Short-term transactions not reported to you on Form 10-B 1 (a) (b) (c) (d) (e) Adjustment, if any, to gain or (h) loss. If you enter an amount Description of property Date acquired Date sold or Proceeds Cost or other Gain or (loss). in column (g), enter a code in (Example: 100 sh. XYZ Co.) (Mo., day, yr.) disposed of (sales price) basis. See the Subtract column (e) column (f). See instructions. (Mo., day, yr.) Note below and from column (d) & see Column (e) in (f) (g) combine the result the instructions Code(s) Amount of adjustment with column (g) ABRAMS CAPITAL PARTNERS II, L.P. 42. BAUPOST VALUE PARTNERS, L.P.-IV 157. CARMEL PARTNERS INVESTMENT FUND V, L.P. <214.> RIVA CAPITAL PARTNERS III, LP 100. TA XI ECM AIV, L.P. 10. TA XI FS-B FEEDER, L.P. <1.> THE VARDE FUND IX, LP <1,156.> THE VARDE FUND IX-A, L.P. <877.> THE VARDE FUND X (B) (FEEDER), LP 4,00. THE VARDE FUND XI (B) (FEEDER), LP 46, A 2 Totals. Add the amounts in columns (d), (e), (g) and (h) (subtract negative amounts). Enter each total here and include on your Schedule D, line 1b (if Box A above is checked), line 2 (if Box B above is checked), or line 3 (if Box C above is checked) 48,338. Note: If you checked Box A above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 84 (2015) PACKARD THE DAVID AND LUCILE PACK PACKARD1

16 Form 84 (2015) Attachment Sequence No. 12A Page 2 Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side Social security number or taxpayer identification no. THE DAVID AND LUCILE PACKARD FOUNDATION Before you check Box D, E, or F below, see whether you received any Form(s) 10-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 10-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. Part II Long-Term. Transactions involving capital assets you held more than 1 year are long term. For short-term transactions, see page 1. Note: You may aggregate all long-term transactions reported on Form(s) 10-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 8a; you aren't required to report these transactions on Form 84 (see instructions). You must check Box D, E, or F below. Check only one box. If more than one box applies for your long-term transactions, complete a separate Form 84, page 2, for each applicable box. If you have more long-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. (D) Long-term transactions reported on Form(s) 10-B showing basis was reported to the IRS (see Note above) (E) Long-term transactions reported on Form(s) 10-B showing basis was not reported to the IRS X (F) Long-term transactions not reported to you on Form 10-B 1 (a) (b) (c) (d) (e) Adjustment, if any, to gain or (h) loss. If you enter an amount Description of property Date acquired Date sold or Proceeds Cost or other Gain or (loss). in column (g), enter a code in (Example: 100 sh. XYZ Co.) (Mo., day, yr.) disposed of (sales price) basis. See the Subtract column (e) column (f). See instructions. (Mo., day, yr.) Note below and from column (d) & see Column (e) in (f) (g) combine the result the instructions Code(s) Amount of adjustment with column (g) ABRAMS CAPITAL PARTNERS II, L.P. 27. BAUPOST VALUE PARTNERS, L.P.-IV JBG INVESTMENT FUND VII, L.L.C. 4,434. JBG INVESTMENT FUND VIII, L.L.C. <154.> NATURAL GAS PARTNERS IX, L.P. <28.> NORTHWOOD REAL ESTATE PARTNERS TE (AIV 4) FEEDER LP 562,350. RIVA CAPITAL PARTNERS III, LP 64. TA XI ECM AIV, L.P. 44. TA XI FS-B FEEDER, L.P. 76. THE VARDE FUND IX, LP 1,887. THE VARDE FUND IX-A, L.P. 20,53. THE VARDE FUND X (B) (FEEDER), LP 21,317. THE VARDE FUND XI (B) (FEEDER), LP <2,661.> VALIANT CAPITAL PARTNERS, LP Totals. Add the amounts in columns (d), (e), (g) and (h) (subtract negative amounts). Enter each total here and include on your Schedule D, line 8b (if Box D above is checked), line (if Box E above is checked), or line 10 (if Box F above is checked) Note: If you checked Box D above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment Form 84 (2015) PACKARD THE DAVID AND LUCILE PACK PACKARD1

17 2220 Underpayment of Estimated Tax by Corporations Form OMB No Department of the Treasury Attach to the corporation's tax return. FORM 0-T Internal Revenue Service Information about Form 2220 and its separate instructions is at Name Employer identification number THE DAVID AND LUCILE PACKARD FOUNDATION Note: Generally, the corporation is not required to file Form 2220 (see Part II below for exceptions) because the IRS will figure any penalty owed and bill the corporation. However, the corporation may still use Form 2220 to figure the penalty. If so, enter the amount from page 2, line 38 on the estimated tax penalty line of the corporation's income tax return, but do not attach Form Part I Required Annual Payment 1 Total tax (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 2,018,14. 2 a Personal holding company tax (Schedule PH (Form 1120), line 26) included on line 1 ~~~~~ b Look-back interest included on line 1 under section 460(b)(2) for completed long-term contracts or section 167(g) for depreciation under the income forecast method ~~~~~~~~ 2a 2b c Credit for federal tax paid on fuels (see instructions) ~~~~~~~~~~~~~~~~~~~ 2c d Total. Add lines 2a through 2c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 4 Subtract line 2d from line 1. If the result is less than 500, do not complete or file this form. The corporation does not owe the penalty Enter the tax shown on the corporation's 2014 income tax return (see instructions). Caution: If the tax is zero or the tax year was for less than 12 months, skip this line and enter the amount from line 3 on line 5 ~~~~~~~~~~~ 2d 3 4 2,018, , Required annual payment. Enter the smaller of line 3 or line 4. If the corporation is required to skip line 4, enter the amount from line 3 5 Part II Reasons for Filing - Check the boxes below that apply. If any boxes are checked, the corporation must file Form 2220 even if it does not owe a penalty (see instructions). 7 The corporation is using the annualized income installment method. 8 X The corporation is a "large corporation" figuring its first required installment based on the prior year's tax. Part III Figuring the Underpayment The corporation is using the adjusted seasonal installment method. Installment due dates. Enter in columns (a) through (d) the 15th day of the 4th ( Form 0-PF filers: Use 5th month), 6th, th, and 12th months of the corporation's tax year ~~~~~~~~~~~~~~~~ Required installments. If the box on line 6 and/or line 7 above is checked, enter the amounts from Sch A, line 38. If the box on line 8 (but not 6 or 7) is checked, see instructions for the amounts to enter. If none of these boxes are checked, enter 25% of line 5 above in each column. ~~~~~~ ~ Estimated tax paid or credited for each period (see instructions). For column (a) only, enter the amount from line 11 on line 15 ~~~~~~~~~~~~~~~ Complete lines 12 through 18 of one column before going to the next column. Enter amount, if any, from line 18 of the preceding column Add lines 11 and 12 ~~~~~~~~~~~~~~~~~ Add amounts on lines 16 and 17 of the preceding column Subtract line 14 from line 13. If zero or less, enter -0- ~~ If the amount on line 15 is zero, subtract line 13 from line 14. Otherwise, enter -0- ~~~~~~~~~~~~~~~ Underpayment. If line 15 is less than or equal to line 10, subtract line 15 from line 10. Then go to line 12 of the next column. Otherwise, go to line 18 ~~~~~~~~~~~ Overpayment. If line 10 is less than line 15, subtract line (a) (b) (c) (d) 112, , , ,728. from line 15. Then go to line 12 of the next column 18 Go to Part IV on page 2 to figure the penalty. Do not go to Part IV if there are no entries on line 17 - no penalty is owed. 3,000,000. 3,000, ,022. 1,00,458. 1,514, ,485, ,022. 1,00, , , , , /15/15 06/15/15 0/15/15 12/15/15 LHA For Paperwork Reduction Act Notice, see separate instructions. Form 2220 (2015)

18 FORM 0-T Form 2220 (2015) THE DAVID AND LUCILE PACKARD FOUNDATION Page 2 Part IV Figuring the Penalty 1 20 Enter the date of payment or the 15th day of the 3rd month after the close of the tax year, whichever is earlier (see instructions). (Form 0-PF and Form 0-T filers: Use 5th month instead of 3rd month.) ~~~~~~~~~ Number of days from due date of installment on line to the date shown on line 1 ~~~~~~~~~~~~~~~~~ 1 20 (a) (b) (c) (d) 21 Number of days on line 20 after 4/15/2015 and before 7/1/2015 ~~ Underpayment on line 17 x Number of days on line 21 x 3% 365 ~~~ Number of days on line 20 after 06/30/2015 and before 10/1/2015 ~ Underpayment on line 17 x Number of days on line 23 x 3% 365 ~~~ Number of days on line 20 after /30/2015 and before 1/1/2016 ~~ Underpayment on line 17 x Number of days on line 25 x 3% 365 Number of days on line 20 after 12/31/2015 and before 4/1/2016 ~~~ ~ SEE ATTACHED WORKSHEET 28 Underpayment on line 17 x Number of days on line 27 x 3% 366 ~~~ 28 2 Number of days on line 20 after 3/31/2016 and before 7/1/2016 ~~ 2 30 Underpayment on line 17 x Number of days on line 2 x *% 366 ~~~ Number of days on line 20 after 6/30/2016 and before 10/01/2016 ~ Underpayment on line 17 x Number of days on line 31 x *% 366 ~~~ Number of days on line 20 after /30/2016 and before 1/1/2017 ~~ Underpayment on line 17 x Number of days on line 33 x *% 366 ~~~ Number of days on line 20 after 12/31/2016 and before 2/16/2017 ~ Underpayment on line 17 x Number of days on line 35 x *% 365 ~~~ Add lines 22, 24, 26, 28, 30, 32, 34, and 36 ~~~~~~~~~ Penalty. Add columns (a) through (d) of line 37. Enter the total here and on Form 1120; line 33; or the comparable line for other income tax returns * Use the penalty interest rate for each calendar quarter, which the IRS will determine during the first month in the preceding quarter. These rates are published quarterly in an IRS News Release and in a revenue ruling in the Internal Revenue Bulletin. To obtain this information on the Internet, access the IRS website at You can also call to get interest rate information. 38 1,243. Form 2220 (2015)

19 FORM 0-T UNDERPAYMENT OF ESTIMATED TAX WORKSHEET Name(s) Identifying Number THE DAVID AND LUCILE PACKARD FOUNDATION (A) (B) (C) (D) (E) (F) Adjusted Number Days Daily *Date Amount Balance Due Balance Due Penalty Rate Penalty -0-05/15/15 112, , /15/15 87,436. 1,00, ,633. 0/15/15 504,728. 1,514, , /15/15 504,728. 2,018,14. 12/15/15-3,000, , /31/ , /31/ , Penalty Due (Sum of Column F). ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1,243. * Date of estimated tax payment, withholding credit date or installment due date

20 Form 3800 Department of the Treasury Internal Revenue Service () Name(s) shown on return General Business Credit Information about Form 3800 and its separate instructions is at You must attach all pages of Form 3800, pages 1, 2, and 3, to your tax return. } Identifying number OMB No Attachment Sequence No. 22 THE DAVID AND LUCILE PACKARD FOUNDATION Part I Current Year Credit for Credits Not Allowed Against Tentative Minimum Tax (TMT) (See instructions and complete Part(s) III before Parts I and II) 1 General business credit from line 2 of all Parts III with box A checked Passive activity credits from line 2 of all Parts III with box B checked 2 3 Enter the applicable passive activity credits allowed for 2015 (see instructions) Carryforward of general business credit to Enter the amount from line 2 of Part III with box C checked. See instructions for statement to attach Carryback of general business credit from Enter the amount from line 2 of Part III with box D checked (see instructions) Add lines 1, 3, 4, and Part II Allowable Credit 7 Regular tax before credits: Individuals. Enter the sum of the amounts from Form 1040, lines 44 and 46, or the sum of the amounts from Form 1040NR, lines 42 and Corporations. Enter the amount from Form 1120, Schedule J, Part I, line 2; or the applicable line of your return ,325 Estates and trusts. Enter the sum of the amounts from Form 1041, Schedule G, lines 1a and 1b; or the amount from the applicable line of your return Alternative minimum tax: Individuals. Enter the amount from Form 6251, line Corporations. Enter the amount from Form 4626, line Estates and trusts. Enter the amount from Schedule I (Form 1041), line 56.. } ,613,70 Add lines 7 and a Foreign tax credit a b Certain allowable credits (see instructions) b c Add lines 10a and 10b c 11 Net income tax. Subtract line 10c from line. If zero, skip lines 12 through 15 and enter -0- on line ,26, ,26, Net regular tax. Subtract line 10c from line 7. If zero or less, enter , Enter 25% (.25) of the excess, if any, of line 12 over 25,000 (see instructions) , Tentative minimum tax: } Individuals. Enter the amount from Form 6251, line Corporations. Enter the amount from Form 4626, line ,26,034 Estates and trusts. Enter the amount from Schedule I (Form 1041), line Enter the greater of line 13 or line ,26, Subtract line 15 from line 11. If zero or less, enter Enter the smaller of line 6 or line C corporations: See the line 17 instructions if there has been an ownership change, acquisition, or reorganization. For Paperwork Reduction Act Notice, see separate instructions. Form 3800 (2015) ISA