Form 623701 01-18-17 OMB No. 1545-0687 For calendar year 2016 or other tax year beginning, and ending. Information about Form 0-T and its instructions is available at www.irs.gov/form0t. Department of the Treasury Open to Public Inspection for Internal Revenue Service Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c). 501(c) Organizations Only Employer identification number A Check box if Name of organization ( Check box if name changed and see instructions.) D (Employees trust, see address changed CALVERT SOCIAL INVESTMENT instructions.) B Exempt under section Print FOUNDATION, INC. 52-15138 X 501( c )( 3 ) or E Unrelated business activity codes Number, street, and room or suite no. If a P.O. box, see instructions. (See instructions.) Type 408(e) 220(e) 7315 WISCONSIN AVENUE, NO. 1000W Book value of all assets C at end of year F Group exemption number (See instructions.) 368,857,156. 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. INVESTMENT INCOME FROM PARTHERSHIP INTERESTS 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 DEREK STROCHER Telephone number 800-248-0337 Part I Unrelated Trade or Business Income (A) Income (B) Expenses (C) Net 1 a Gross receipts or sales 2 3 5 6 7 8 10 11 b b c Less returns and allowances c Balance ~~~ 12 Other income (See instructions; attach schedule) ~~~~~~~~~~~~ 12 13 Total. Combine lines 3 through 12 13 22,016. 22,016. 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.) 14 15 16 17 18 1 20 21 22 23 24 25 26 27 28 2 30 31 32 33 34 0-T 408A 530(a) City or town, state or province, country, and ZIP or foreign postal code 52(a) BETHESDA, MD 20814 5250 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 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Charitable contributions (See instructions for limitation rules) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Depreciation (attach Form 4562) Less depreciation claimed on Schedule A and elsewhere on return Depletion Contributions to deferred compensation plans ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total deductions. Add lines 14 through 28 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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 32 For Paperwork Reduction Act Notice, see instructions. 1c 2 3 4a 4b 4c 5 6 7 8 10 11 ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee benefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Excess exempt expenses (Schedule I) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Excess readership costs (Schedule J) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 1 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) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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) ~~~~~~~~~~~~~~~~~~~~~ LHA Exempt Organization Business Income Tax Return (and proxy tax under section 6033(e)) 21 22a 14 15 16 17 18 1 20 22b 23 24 25 26 27 28 2 30 31 32 33 34 2016 22,016. 22,016. 56. 3,000. 3,56. 288,420. 288,420. 1,000. 287,420. Form 0-T (2016)
Form 0-T (2016) CALVERT SOCIAL INVESTMENT FOUNDATION, INC. 52-15138 Page 3 Schedule A - Cost of Goods Sold. Enter method of inventory valuation N/A 1 Inventory at beginning of year ~~~ 1 6 Inventory at end of year ~~~~~~~~~~~~ 6 2 Purchases ~~~~~~~~~~~ 2 7 Cost of goods sold. Subtract line 6 3 Cost of labor~~~~~~~~~~~ 3 from line 5. Enter here and in Part I, 4 a Additional section 263A costs line 2 ~~~~~~~~~~~~~~~~~~~~ 7 ~~~~~~~~ 4a 8 Do the rules of section 263A (with respect to b Other costs ~~~ 4b property produced or acquired for resale) apply to 5 Total. Add lines 1 through 4b 5 the organization? Schedule C - Rent Income (From Real Property and Personal Property Leased With Real Property) (see instructions) 1. Description of property Yes No (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) 3(a) Deductions directly connected with the income in columns 2(a) and 2(b) Total 0. Total 0. (c) Total income. Add totals of columns 2(a) and 2(b). Enter (b) Total deductions. here and on page 1, Part I, line 6, column (A) 0. Part I, line 6, column (B) 0. Schedule E - Unrelated Debt-Financed Income (see instructions) 3. Deductions directly connected with or allocable 2. Gross income from to debt-financed property 1. Description of debt-financed property or allocable to debtfinanced property (a) Straight line depreciation (b) Other deductions 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 debt-financed property 2 x column 6) 3(a) and 3(b)) Part I, line 7, column (A). Part I, line 7, column (B). Totals ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0. 0. Total dividends-received deductions included in column 8 0. Form 0-T (2016) 623721 01-18-17
CALVERT SOCIAL INVESTMENT Form 0-T (2016) FOUNDATION, INC. 52-15138 Schedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instructions) Exempt Controlled Organizations 1. Name of controlled organization 2. Employer 3. Net unrelated income 4. Total of specified 5. Part of column 4 that is 6. Deductions directly identification (loss) (see instructions) payments made included in the controlling connected with income number organization s gross income in column 5 Page 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 Totals J Schedule G - Investment Income of a Section 501(c)(7), (), or (17) Organization (see instructions) 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). 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 7. Add columns 5 and 10. Part I, line 8, column (A). Add columns 6 and 11. Part I, line 8, column (B). 3. Deductions Total deductions directly connected 4. Set-asides 5. and set-asides (col. 3 plus col. 4) 5. Gross income 6. Expenses from activity that attributable to is not unrelated column 5 business income Part I, line, column (B). Totals 0. 0. Schedule I - Exploited Exempt Activity Income, Other Than Advertising Income (see instructions) 0. 0. 7. Excess exempt expenses (column 6 minus column 5, but not more than column 4). Enter here and on page 1, Part II, line 26. Totals 0. 0. 0. Schedule J - Advertising Income (see instructions) Part I Income From Periodicals Reported on a Consolidated Basis 1. Name of periodical 2. Gross 3. Direct advertising advertising costs income 4. Advertising gain or (loss) (col. 2 minus col. 3). If a gain, compute cols. 5 through 7. 5. Circulation 6. Readership income costs 7. Excess readership costs (column 6 minus column 5, but not more than column 4). Totals (carry to Part II, line (5)) 623731 01-18-17 0. 0. 0. Form 0-T (2016)
CALVERT SOCIAL INVESTMENT Form 0-T (2016) FOUNDATION, INC. 52-15138 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.) Totals from Part I 1. Name of periodical 2. Gross 3. Direct advertising 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. 5. Circulation 6. Readership income costs 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. Totals, Part II (lines 1-5) 0. 0. 0. Schedule K - Compensation of Officers, Directors, and Trustees (see instructions) 3. Percent of 4. Compensation attributable Title time devoted to 1. Name 2. to unrelated business business 0. 0. 0. Total. Part II, line 14 Page 5 0. Form 0-T (2016) 623732 01-18-17
CALVERT SOCIAL INVESTMENT FOUNDATION, IN 52-15138 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} FORM 0-T OTHER DEDUCTIONS STATEMENT 1 DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} TAX PREPARATION FEE 3,000. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 28 3,000. ~~~~~~~~~~~~~~ FORM 0-T INCOME (LOSS) FROM PARTNERSHIPS STATEMENT 2 NET INCOME PARTNERSHIP NAME GROSS INCOME DEDUCTIONS OR (LOSS) }}}}}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}}}} MICROVEST+PLUS, LP 56,832. 0. 56,832. HIGHER EDUCATION FINANCE FUND, LP 1,474. 0. 1,474. THE BLACKSTONE GROUP, LP 24. 0. 24. SPARK FUND I, LP -5,115. 0. -5,115. MICROVEST GMG LOCAL CREDIT FUND, LP 238,801. 0. 238,801. }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 5 22,016. 0. 22,016. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~~~ FORM 0-T INTEREST AND PENALTIES STATEMENT 3 TAX FROM FORM 0-T, PART IV 71,344. LATE PAYMENT INTEREST 1,453. LATE PAYMENT PENALTY 2,140. }}}}}}}}}}}}}} TOTAL AMOUNT DUE 74,37. ~~~~~~~~~~~~~~ FORM 0-T LATE PAYMENT INTEREST STATEMENT 4 DESCRIPTION DATE AMOUNT BALANCE RATE DAYS INTEREST }}}}}}}}}}} }}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}} }}}} }}}}}}}}} TAX DUE 05/15/17 5,344. 5,344..0400 EXTENSION PAYMENT 05/15/17-24,000. 71,344..0400 184 1,453. DATE FILED 11/15/17 72,77. }}}}}}}}} TOTAL LATE PAYMENT INTEREST 1,453. ~~~~~~~~~ STATEMENT(S) 1, 2, 3, 4
CALVERT SOCIAL INVESTMENT FOUNDATION, IN 52-15138 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} FORM 0-T LATE PAYMENT PENALTY STATEMENT 5 DESCRIPTION DATE AMOUNT BALANCE MONTHS PENALTY }}}}}}}}}}} }}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}} }}}}}}}}}} TAX DUE 05/15/17 71,344. 71,344. 6 2,140. DATE FILED 11/15/17 71,344. TOTAL LATE PAYMENT PENALTY }}}}}}}}}} 2,140. ~~~~~~~~~~ STATEMENT(S) 5
CALVERT SOCIAL INVESTMENT FOUNDATION, INC. 52-15138 12/31/16 CONTROLLED FOREIGN PARTNERSHIP REPORTING THE TAXPAYER MAY BE REQUIRED TO FILE U.S. FORM 8865, BUT IS NOT DOING SO UNDER THE CONSTRUCTIVE OWNERSHIP EXCEPTION. THE TAXPAYER HAS AN INTEREST IN MICROVEST SHORT DURATION FUND, LP, 7315 WISCONSIN AVENUE, SUITE 300W BETHESDA, MD 20814, EIN: 27-271077, WHICH FILED FORM 8865S OR WAS A PARTNER IN FUNDS THAT FILED 8865S FOR THE YEAR ENDED 12/31/16. THE TAXPAYER HAS AN INTEREST IN MICROVEST II, LP, 7315 WISCONSIN AVENUE, SUITE 300W BETHESDA, MD 20814, EIN: 26-3623466, WHICH FILED FORM 8865S OR WAS A PARTNER IN FUNDS THAT FILED 8865S FOR THE YEAR ENDED 12/31/16. THE TAXPAYER HAS AN INTEREST IN MICROVEST+PLUS, LP, 7315 WISCONSIN AVENUE, SUITE 300W BETHESDA, MD 20814, EIN: 45-317721, WHICH FILED FORM 8865S OR WAS A PARTNER IN FUNDS THAT FILED 8865S FOR THE YEAR ENDED 12/31/16.
Form (Rev. January 2017) Department of the Treasury Internal Revenue Service Type or print File by the due date for filing your return. See instructions. Application Is For 2 3a b c File a separate application for each return. Information about Form 8868 and its instructions is at www.irs.gov/form8868. Electronic filing (e-file). You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of the forms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit www.irs.gov/efile, click on Charities & Non-Profits, and click on e-file for Charities and Non-Profits. All corporations required to file an income tax return other than Form 0-T (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns. Return Code Application Is For Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, Enter filer s identifying number Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 887-EO for payment instructions. LHA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 1-2017) 3a 3b 3c $ $ $ OMB No. 1545-170 Name of exempt organization or other filer, see instructions. Employer identification number (EIN) or CALVERT SOCIAL INVESTMENT FOUNDATION, INC. 52-15138 Number, street, and room or suite no. If a P.O. box, see instructions. 7315 WISCONSIN AVENUE, NO. 1000W City, town or post office, state, and ZIP code. For a foreign address, see instructions. BETHESDA, MD 20814 Social security number (SSN) Enter the Return Code for the return that this application is for (file a separate application for each return) Form 0 or Form 0-EZ Form 0-BL Form 4720 (individual) Form 0-PF 8868 Application for Automatic Extension of Time To File an Exempt Organization Return Automatic 6-Month Extension of Time. Only submit original (no copies needed). Form 0-T (sec. 401(a) or 408(a) trust) 01 02 03 04 05 Form 0-T (trust other than above) 06 Form 8870 12 DEREK STROCHER The books are in the care of 7315 WISCONSIN AVENUE, SUITE 1000W - BETHESDA, MD 20814 Telephone No. 800-248-0337 Fax No. 301-280-6060 Return Code Form 0-T (corporation) 07 Form 1041-A Form 4720 (other than individual) Form 5227 Form 606 If the organization does not have an office or place of business in the United States, check this box~~~~~~~~~~~~~~~~~ If this is for a Group Return, enter the organization s four digit Group Exemption Number (GEN). If this is for the whole group, check this box. If it is for part of the group, check this box and attach a list with the names and EINs of all members the extension is for. 1 I request an automatic 6-month extension of time until NOVEMBER 15, 2017, to file the exempt organization return for the organization named above. The extension is for the organization s return for: X calendar year2016 or tax year beginning, and ending. If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Final return Change in accounting period If this application is for Forms 0-BL, 0-PF, 0-T, 4720, or 606, enter the tentative tax, less any nonrefundable credits. See instructions. If this application is for Forms 0-PF, 0-T, 4720, or 606, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit. by using EFTPS (Electronic Federal Tax Payment System). See instructions. 0 7 08 0 10 11 24,000. 0. 24,000. 623841 01-11-17