Form 990.PF (2005)

Form 990.PF (2005) itrag Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions) 1 a Exempt operating foundations descnbed in section 4940(d)(2), check here Pie 0 and enter -N/A" on line 1. Date of ruling letter: (attach copy of ruling letter If necessary —see Instructions) b Domestic organizations that meet the section 4940(e) requirements in Part V, check hero P 0 and enter 1% of Part I, line 27b c All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I. line 12, col (b) 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 3 Add lines 1 and 2 4 Subtlie A (income) tax (domestic section 4941(a)(1) busts and taxable foundations only. Others enter -CH 5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- 6 Credits/Payments: a 2005 estimated tax payments and 2004 overpayment credited to 2005 6a 9 007 b Exempt foreign organizations —tax withheld at source c Tax paid with application for extension of time to file (Form 8868) d Backup withholding erroneously withheld 7 Total credits and payments. Add Ones 6a through 6d 8 Enter any penalty for underpayment of estimated tax. Check here 0 if Form 2220 Is attached 9 Tax due. It the total of lines 5 and 8 is more than line 7, enter amount owed ► 10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid, . ► 11 Enter the amount of line 10 to be: Credited to 2006 estimated tax P 19,080 I Refunded ► Statements Regarding Activities Page 4 Part VII-A 6b 6c 6d 25,00711 14,927 2 3 4 5 14,927 14,927 7 8 9 10 11 34,007 19,080 1a During the tax year, did the organization attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign? b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of the instructions for definition)? II the answer is "Yes" to la or lb, attach a detailed description of the activities and copies of any materials published or distributed by the organization in connection with the activities. C Did the organization file Form 1120-POL for this year? d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: (1) On the organization. ► $ (2) On organization managers. P. $ e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on organization managers. P $ 2 Has the organization engaged in any activities that have not previously been reported to the IRS? ff "Yes," attach a detailed description of the activities. 3 Has the organization made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other similar instruments? If 'Yes,' attach a conformed copy of the changes 4a Did the organization have unrelated business gross income of $1,000 or more during the year? b If "Yes," has it filed a tax return on Form 990-T for this year? 5 Was there a liquidation, termination, dissolution, or substantial contraction dunng the year? If "Yes," attach the statement required by General Instruction T 6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either • By language in the governing instrument, or • By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law remain in the governing instrument? 7 Ltd the organization have at least $5,000 in assets at any time dunng the year? ti "Yes,' complete Part It, col (c), and Part 8a Enter the states to which the foundation reports or with which it is registered (see page 19 of the instructions) P. Rew.York b If the answer is "Yes" to line 7, has the organization furnished a copy of Form 990-PF to the Attorney General (or designate) of each state as required by General Instruction 6? If "No," attach explanation 9 Is the organization claiming status as a private operating foundation within the meaning of section 49420(3) or 49420(5) for calendar year 2005 or the taxable year beginning in 2005 (see instructions for Part XN on page 26)? If "Yes," complete Part XIV 10 Did any persons become substantial contributors dunng the tax year? IrYes," attach a schedule listing their names and addresses 11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? Web site address ► 12 The books are in care of to George V. Deleon Associates 212.9094680 Telephone no. lo Located at ► 110 East 591h Streets New York, NY ZIP+4 ► 10022 13 Section 4947(a)(1) nonexempt charitable trusts fling Form 990-PF In lieu of Form 1041--Check hero P. 0 and enter the amount of tax-exempt Interest received or accrued dunng the year , . . ► I 13 I Yes la lb No ✓ st 10 2 ✓ 3 4a 4b 6 ✓ 8 7 8b 9 10 11 ✓ ✓ Form 990-PF goes) EFTA01714002 Form 990-PF (loes) Part VII-B Fite Form 4720 if any item Is checked in the "Yes" column, unless an exception applies. la During the yoar did the organization (either directly or indirectly): (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ❑ Yes 0 No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? ❑ Yes 0 No (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ❑ Yes 0 No (4) Pay compensation to. or pay or reimburse the expenses of, a disqualified person? ❑ Yes 0 No (5) Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)? ❑ Yes 0 No (6) Agree to pay money or property to a government official? (Exception. Check "No" if the organization agreed to make a grant to or to employ the official for a period after termination of government service, of terminating within 90 days ) ❑ Yes 0 No b If any answer is "Yes" to la(1)-(6), did any of the acts fall to qualify under the exceptions described in Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)? Organizations relying on a current notice regarding disaster assistance check here ► ❑ c Did the organization engage in a prior year in any of the acts descnbed in la, other than excepted acts. that were not corrected before the first day of the tax year beginning in 2005? 2 Taxes on (allure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 49420(3) or 49429)(5)): a At the end of tax year 2005, did the organization have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2005? ❑ Yes 0 No If -Yes," list the years ► 20 .... 20.. , 20 . 20 b Are there any years listed In 2a for which the organization is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistnbuted income? (If applying section 4942(4(2) to all years listed, answer "No" and attach statement —see page 20 of the instructions.) c If the provisions of section 4942(a)(2) are being applied to any of the years listed In 2a. list the years here. ► 20 .... , 20 .... , 20 . 20 3a Did the organization hold more than a 2% direct or indirect interest in any business enterpnse at any time during the year? ❑ Yes 0 No b If "Yes," did it have excess business holdings in 2005 as a result of (1) any purchase by the organization or disqualified persons after May 26. 1969; (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the organization had excess business holdings in 2005) 4a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes? b Did the organization make any investment in a prior year (but after December 31, 1969) that could jeopardize its chantat(e purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2005? 5a During the year did the organization pay or incur any amount to: (1) Carry on propaganda, or otherwise attempt to Influence legislation (section 4945(e))? ❑ Yes 21 No (2) Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly, any voter registration drive? O Yes 0 No (3) Provide a grant to an individual for travel, study, or other similar purposes?. . ❑ Yes 0 No (4) Provide a grant to an organization other than a charitable, etc., organization described in section 509(a)(1), (2), or (3), or section 4940(c)(2)? O Yes 0 No (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals? . . ❑ Yes 21 No b II any answer is "Yes" to 52(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 20 of the instructions)' Organizations relying on a current notice regarding disaster assistance check here ► ❑ c If the answer is "Yee to question 5a(4), does the organization claim exemption from the lax because it maintained expenditure responsibility for the grant? ❑ Yes ❑ No ll "Yes," attach the statement required by Regulations section 53.4945-5(4. 6a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ❑ Yes El No b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . If you answered "Yes" fo 6b, also file Form 8870. Pepe 5 Statements Regarding Activities for Which Form 4720 May Be Required Yes No lb lc 26 36 4a 4b _J 5b 6b Form 990-PF (t005) EFTA01714003 Form 990-PF (2005) nage 6 Part VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors 1 List all officers, directors, trustees, foundation managers and their compensation (see page 21 of the Instructions). is) Name and address (b) Tale, and average hours per week devoted to postmen C) Compensation N not paid, enter -0-) Kg Contnbutions to Om/Noyes benefit plans and deferred componsetun tot Expense isother seance, ' Jeffrey E. Epstein 6100 Red Hook Qtrs, St. Thomas, USVI PresJDIrector One hour 0 0 0 Darren K. Ind e ., New York, NY Vice PredOlr. One hour0 0 0 sane swell do George V. Delson Associates Treasurer Gee hour 0 0 0 110 East 59th Street, New York, NY 2 Compensation of five highest-paid employees (other than those included on line 1—see page 21 of the Instructions). If none, enter "NONE." In Name and address of each 07,210V00 Paid more that 150.000 (b) Tide and average hours per week devoted to position th) COmPenstItIon fel) Contnbutuns le ernPleYee bemire plane and deferred compcnutson lel Expense account, other alkonnces None Total number of other employees paid over $50,000 0 3. Five highest-paid independent contractors for professional services—(see page 21 of the instructions). If none, enter "NONE." Name and address el each person paid mole Ilan $60,000 K le Godfre , New York, NY 10019 ellesley, MA 02482 (b) Type el mane Consulting Consulting lc) Compensation 12,500 100,000 Ma Muan Cambridge, MA 02138 Consulting 10,000 Total number of others receiving over $50,000 for professional services ► Part IX-A Summary of Direct Charitable Activities 0 List the foundation's four largest direct ()unions *amino thanng the lea year Include relevant etateemal se2011113tion such 23 the number of organizations and other tenormianes served, conferences convened, reseann papers produced, etc. treencie 1 2 3 4 Form 9904F mai EFTA01714004 Fpm 99CFPF MS) P r I - Mamba tea two Woad program-related evrosimenta made by the foundation donne en tot year on bus I and 2 Penne I 2 as antes prograregelated Investments Sao page 22 or the Inafrocenre 3 Total. Add hies 1 through 3 1 PIP 7 mmary of Program -Related Investments (see pane 22 of the Instructions Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see page 22 of the instructions.) 1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes: a Average monthly fair market value of securities b Average of monthly cash balances c Fair market value of all other assets (see page 23 of the instructions) d Total (add lines la, b, and c) e Reduction claimed for blockage or other factors reported on lines to and Ic (attach detailed explanation) 2 Acquisition Indebtedness applicable to line 1 assets 3 Subtract line 2 from line ld 4 Cash deemed held for charitable activities. Enter 11/2% of line 3 (for greater amount, see page 23 of the instructions) 5 Net value of noncharitable-use assets. Subtract Ina 4 from line 3. Enter here and on Part V, line 4 6 Minimum investment return. Enter 5% of line 5 I lella lb le ld 5 224 172 17,750,902 22,975,074 2 3 22 975 074 4 5 6 344 626 22,630,443 1,131,522 Distributable Amount (see page 23 of the instructions) (Section 49420)(3) and W(5) private operating foundations and certain foreign organizations check here 1 0 and do not complete the. pan ) Part XI 1 Minimum investment return from Part X, line 6 2a Tax on investment income for 2005 from Part VI, line 5 14 927 1 I 131 522 b Income tax for 2005. (This does not Include the tax from Part VI.) 2b43 e Add lines 2a and 2b 2c 14 927 3 Distributable amount before adjustments. Subtract line 2c from line 1 3 1 116 595 4 4 Recoveries of amounts treated as qualifying distributions 5 Add lines 3 and 4 5 1 116 595 6 Deduction from distnbutable amount (see page 24 of the instructions) 6 7 Distributable amount as adjusted. Subtract Me 6 from line 5. Enter here and on Part XIII, line I 7 1,116,595 Part XII Qualifying Distributions (see page 24 of the Instructions) 1 Amounts paid (including administrative expenses) to accomplish charitable. etc., purposes: a Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 b Program-related investments —total from Part IX-5 2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes 3 Amounts set aside for specific charitable projects that satisfy the: a Suitability test (prior IRS approval required) b Cash distribution test (attach the required schedule) 4 Qualifying distributions. Add lines la through 3b Enter here and on Pan V, me 8, and Part XIII, line 4 5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment income. Enter 1% of Part I, line 27b (see page 24 of the instructions) 6 Adjusted qualifying distributions. Subtract line 5 from line 4 Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section 4940(e) reduction of tax In those yen. roTn990-PF Roos) la lb 2 1,255,795 3a 3b 4 1,255,795 5 6 1,255.795 EFTA01714005 Form 990-PF (2405) Page 8 Part XIII Undistributed Income (see page 24 of the instructions) 1 Distributable amount for 2005 from Part XI line 7 2 Undistributed income, ii any, as of the end of 2004: a Enter amount for 2004 only b Total for pnor years' 20 20 20 ILO Caps (1st Years poor to 2004 (s) 2004 tra 2005 1,116,595 0 0 3 Excess distnbutions carryover a From 2000 if any, to 2005: • 172.814 b From 2001 794,417 c From 2002 638,745 d From 2003 432,491 0 From 2004 1 Total of lines 3a through e 4 Qualifying distributions for 2005 from Part XII, line 4: 10. $ 1258795 2,038,567 0 a Applied to 2004, but not more b Applied to undistributed income (Section required—see page 25 of c Treated as distributions out of corpus required—see page 25 of the d Applied to 2005 distributable e Remaining amount clistributed 5 Excess dlstnbutions carryover (If an amount appears in column same amount must be shown 6 Enter the net total of each indicated below: a Corpus. Add lines 3f, 4c, and 4e. b Prior years' undistributed income. Ilne 4b from lino 2b c Enter the amount of prior years' income for which a notice of been issued, or on which the tax has been previously assessed d Subtract line 6c from line amount—see page 25 of the 0 Undistributed Income for 2004. 4a from line 2a. Taxable amount 25 of the instructions 1 Undistnbuted income for 2005. lines 4d and 5 from line 1. This be distributed in 2006 7 Amounts treated as distributions corpus to satisfy requirements section 170(bX1)(E) or 4942(9X3) 25 of the instructions) 8 Excess distributions carryover applied on line 5 or line 7 (see the instructions) 9 Excess distributions carryover Subtract lines 7 and 8 from 10 Analysis of line 9: a Excess from 2001 than line 2a of prior years the u151111CtiOnS) (Election instructions) amount out of corpus applied to 2005 (d), the in column (a).) column as Subtract tine 5 Subtract undistributed deficiency has section 4942(a) 60. Taxable Instructions Subtract line —see page Subtract amount must out of imposed by (see page from 2000 not page 25 of to 2006. line 6a 794,417 0 0 1,116,595 139,200 I 0 0 , . ' 4 ' i• • • r — - . • I I . i f ; 2,177,767 ,t 0. I i 0 ! i • • • • 0 . ' I i • • 1 • 0 0 • 172,914 2,004,853 b Excess from 2002 638,745 . c Excess Irom 2003 432,491 d Excess from 2004 . . e Excess Irom 2005 . . 139,200 Form 990-PF goes) EFTA01714006 Form 9908E (2005) PRIM Private Operating Foundations (see page 26 of the instructions and Part VII-A, question 9) Pine 9 la li the foundation has received a ruling foundation, and the ruling Is effective b Check box to indicate whether the organization 2a Enter the lesser of the adiusted net or determination letter that it is a private for 2005, enter the date of the ruling is a pnvate operating foundation operating . . . ► described in section 0 4942Q)(3) or ❑ 4942(()(5) Tax year Pnor 3 years (e) Tole income from Part I Or the mnmum for (a) 2005 11)12004 143 2003 (Own Investment return from Pail X each year listed b 65% of line 2a c Ouablying distributions (torn Part XII, line 4 for each year listed d motets fadeout in Me2c not used directly for active conduct of exempt attonlits e Outlaying distributions made directly for active conduct of exempt activities Subtract Ime 20 from fine 2c 3 Complete 3a, b, or c for the alternative test relied upon: a "Assets' alternative test—enter. (1) Value of an assets . (2) Value of assets qualifying under section 4942(l)(3X8)(0 b 'Endowment' allemabve lest—enter % of mnmwm uwestment return shown n Pail X, tine 6 for each year listed c "Support" alternative test—enter: (1) Total support other than gross investment income (interest, dividends, rents, payments On securities loans (section 512(a)(6)), or royalties) (2) Support from general public and 5 or more exempt organizations as provided In section 49420)(3)(6)(n) (3) Largest amount of support from an exempt organization (4) Gross investment income Supplementary Informa ion (Complete his part only if the organization had $5,000 or more in assets at any time during the year—see page 26 of the instructions.) 1 Information Regarding Foundation Managers: a List any managers of the foundation who have contributed more than 2% of the total contnbutions received by the foundation before the close of any tax year (but only if they have contnbuted more than $5,000). (See section 507(d)(2).) Jeffrey E. Epstein b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 10% or greater interest. 2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here ► 0 if the organization only makes contnbutions to preselected chantable organizations and does not accept unsolicited requests for funds. If the organization makes gifts, grants, etc. (see page 26 of the instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d. a The name, address, and telephone number of the person to whom applications should be addressed: b The form in which applications should be submitted and information and materials they should include: c Any submission deadlines: it Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors: Form 990-PF pees EFTA01714007 Penn 990•PF noes) karga Supplementary Information (continued) 3 Grants and Contributions Paid _During the Year or Approved for Future Payment Recipient H fefsPosst is an wdrAduetthew any relationship to any foundation ft eutetammI catibutot Foundation .....,... , reopens Purpose of grunt ce conufbAlon Amount Name and address (home or business) a Paid during the year Statement 5 Total a. 3a 1,125,133 b Approved for future payment Total 10 3b 0 Page 10 Form 990-PF pcos) EFTA01714008 Foan S90-PF (2000 Part XVI-A Enter gross amounts unless otherwise indicated 1 Program service revenue: a Unrelated business income Excluded by section 512. 513. or 514 (el Related ce exempt flinCt011 tricorn° (See page 26 of the instructions.) (0) Business code (b) Amount (c) Exclusion code (Ci) Amount b e d e I g Fees and contracts from government agencies 2 Membership dues and assessments 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities 5 Net rental Income or (loss) from real estate: a Debt-financed property b Not debt-financed property 6 Net rental income or (loss) from personal property 7 Other Investment income 8 Gain or (loss) from sales of assets other than inventory 9 Net income or (loss) from special events 10 Gross profit or (loss) from sates of inventory 11 Other revenue' a From partnerships 14 360,265 l 18 460,721 14 51,609 b c d e 12 Subtotal. Add columns (b). (c0. and (e) - • 872,595 13 Total. Add line 12, columns (b), (d), and (e) See worksheet in line 13 instructions on page 27 to verify calculations.) Relationship of Activities to the Accomplishment of Exempt Purposes Page 11 Analysis of Income-Producing Activities Line No. • 13 872,595 Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). (See page 27 of the instructions.) N/A Fenn 990-PF coos) EFTA01714009 Term 990•PF poop Part XVII Page 12 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations 1 Did the organization directly or indirectly engage in any 01 the tailoring with any other organization described in section Yes No 501(c) of the Code (other than section 501(c)(3) organizations) or m section 527, relating to political organizatons? a Transfers from the reporting organization to a noncharitable exempt organization of: (1) Cash (2) Other assets b Other transactions: (1) Sales of assets to a nonchantable exempt organization (2) Purchases of assets from a nonchantable exempt organization (3) Rental of facilities, equipment, or other assets (4) Reimbursement arrangements (5) Loans or loan guarantees 09 Performance of services or membership or fundraising solicitations Sharing of facilites, equipment, mailing lists, other assets, or paid employees d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the at market value of the goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received. la(1) la(2) ✓ ✓ 11)01 11O lb(5) ✓ ✓ ✓ ✓ lo (a) leis no (b) Amount nvolved le) Name of nonduuttable exempt inarmation Deaccpbon ol transfers team ed:ens and champ arrangements 2a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? O Yes 0 No b If "Yes." complete the Sowing schedule. N) Name ca ergamoshen m Tyre or ottatetakat (4 oasenarron d relationship ------ISign Here ;Aar penalties of penury, l hat I h as this velum. mcksthisa eocanpanymg schedules and statements, and to the best of my knowledge and ballet it 3 Wu% correct. e of parr (other than taxpayer or &lobby)* baud en all In ityrnabon of which orobartir has any knowledge I Ow bri t gte2/004- Signature of dice Date T • Paid Preparer's Use Only • • Negates jil liejleCc....--,---44101 Signature Oats __. sent- mitpidyed eiLi Preparer's SSN cage PTilif On signature pa 2$ of Um irtstructreas I MrFinn's nannr( 0, YOWS A George V. Delson Associates EIN an — satscrnplayad). address. ano ZIP code 110 East 59th Street, New York, NY 10022 Phone no ( ) Farm 990-PF 12005) EFTA01714010 THE C.O.U.Q. FOUNDATION INC. 13-3996471 FORM 990-PF Y/E 2/28/06 STATEMENT 5 PART I, LINE 25 AND PART XV CONTRIBUTIONS PAID Date Name Amount Pumose 3/3/2005 Friends of Israel Defense Forces 25,000 Unrestricted 3/3/2005 92nd Street Pillar Project 10,000 Unrestricted 4/19/2005 Edge Foundation, Inc. 50,000 Unrestricted 5/6/2005 Stockholm School of Economics 25,000 Unrestricted 5/12/2005 Palm Beach Academy 10,000 Unrestricted 5/12/2005 WNET 13 100,000 Unrestricted 5/25/2005 Harvard University 10,000 Unrestricted 5/26/2005 Columbia Universitiy 25,000 Scholarship 6/20/2005 Edge Foundation, Inc. 150,000 Unrestricted 6/21/2005 The Jewish National Fund 15,000 Unrestricted 6/22/2005 Institute of International Education 35,000 Unrestricted 7/15/2005 Hillel Foundation 50,000 Unrestricted 7/21/2005 Sundry Charitable Organizations 1,158 Unrestricted 8/3/2005 Ballet Florida 10,000 Unrestricted 8/11/2005 Gergias Southern University 5,000 Scholarship 8/16/2005 Columbia Universitiy 58,600 Scholarship 8/19/2005 Freestatc Soccer Alliance 25,000 Unrestricted 8/23/2005 Harvard University 100,000 Unrestricted 9/6/2005 Santa Fe Institute 100,000 Unrestricted 9/7/2005 Kingsboro Community College 2,500 Scholarship 9/7/2005 City College 27,875 Scholarship 9/12/2005 Fashion For Relief 10,000 Unrestricted 9/22/2005 The Alliance for Lupus Research 10,000 Unrestricted 10/20/2005 Academy of Achievement 50,000 Unrestricted 10/20/2005 National Council of Jewish Women 5,000 Unrestricted 11/18/2005 Columbia Universitiy 10,000 Unrestricted 11/28/2005 Ballet Florida 15,000 Unrestricted 12/6/2005 Columbia Universitiy 50,000 Unrestricted 1/18/2006 Ncw Jersey Firebirds Baseball 15,000 Unrestricted 1/18/2006 Bay Point School 100,000 Unrestricted 1/25/2006 Intrepid Fallen Heroes Fund 25,000 1,125,133 EFTA01714011 THE C.O.U.Q. FOUNDATION, INC. 13-3996471 FORM 990-PF - Y/E 2/28/06 STATEMENT 1 Part I, Linc 11 Other Income Second City Capital Partners I, LP K-1 Entity 51,609 STATEMENT 2 Part 1, Line 16(c) Other Professional Pees Consulting Second City Capital Partners I, L.P. K-1 Entity 122,500 126,258 Total 248,758 EFTA01714012 THE C.O.U.Q. FOUNDATION, INC. 13-3996471 FORM 990-PF - Y/E 2/28/06 STATEMENT 3 Part I, Line 23 Other Expenses Bank Charges 21 Sccond City Capital Partners L.P. K-1 entity 2,901 Filing Fees 1,004 Other 138 Total 4,064 EFTA01714013 THE C.O.U.Q. FOUNDATION, INC. EIN 13-3996471 FORM 990-PF - Y/E 2/28/06 STATEMENT 4 Part II, Line 13 Other Investments Bear Steams Asset Backed Book Value Fair Market Value Securities Partners LP 10,289,911 12,569,336 Second City Capital Partners I, LP 5,168,275 5,181,566 15,458,186 17,750,902 EFTA01714014 OFFICE COPY Form earn (Rev 12-2O04) • if you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box . . ►ca Note. Only complete Pad II if you have already been granted an automatic 3-monilt extension on a previously filed Form 8868. tr Ii yuu are rung an an attnumauc a-monm extension, compare, °my ram i (on page lb MEI Additional (not automatic) 3-Month Extension of Time—Must File Original and One Copy. Type or print Filo by the Wdoendeddotefor du fang the (MUT See mstrucuons. Name of Exempt Organization THE C.O.U.O. FOUNDATION Employer Identification number 13 i 3996471 Number. street, and room or suite no. U • P.O. box. see Instructions. do DELSON ASSOCIATES, 110 EAST 59TH STREET For IRS use only Crty, town or post *face state, and ZIP coos. For a foreign address, see instructions. NEW YORK, NY 10022 Check type of return to be filed (File a separate application for each return): O Form 990 0 Form 990-T (sec. 401(a) or 408(3) trust) O Rani 990-81 0 Form $90-T (trust other than above) O Fomi 990-EZ 0 Form 1041-A O Form 990-PF 0 Form 4720 STOP: Do not complete Part II If you were not already granted an automatic 3-month extension on a previously filed Form 886& • The books are to theist 0. HARRY BELLER h. Telephone No. (. MINN FAX No. Po ) MUM • If the organization does not have an office or place of business in the United States, check this box • If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group, check this box P.. ❑. If It is for part of the group. check this box to 0 and attach a list with the names and EINs of all members the extension is fa. Page 2 O Form 5227 O Form 6069 O Form 8870 4 I request an additional 3-month extension of time until JANUARY 15 • PO 07 S For calendar year , or other tax year beginning MARCH 1 PO 0$ , and ending FEBRUARY 28 .20 06a 6 If this tax year is for less than 12 months, check reason: 0 Initial return 0 Final return 0 In accounting period 7 State in detail why you need the extension CERTAIN INFORMATION NECESSARY FOR THE PROPER COMPLETION OF THE RETURN IS NOT YET AVAILABLE ea if this application is for Form 990-BL, 990-PF, 990-T, 4720, or 8069, enter the tentative tax, less any nonrefundable credits. See instructions . . . . . . . ...... . . b If this application is for Form 990-PE 990-T, 4720, or 6069, enter any refundable credks and estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 . . c Balance Due. Subtract line 8b from line Ba. Include your payment with this form or, if required, deposit ' with F1D coupon or, if requ:red. by using EFTPS (Electronic Federal Tax Payment System). See instructions. $ 0 Signature and Verification Untler penalbss of penny. I douse that I have auurmed Ira form, inducing actompanwng sched,res end statements, and to the best a my knowledge and behd. a a the. coma, and complete, and that I am =boozed to moans this form Signature e IS! GEORGE V DELSON Tale ► Date r $ 37,767 37,767 0 0 0 /04 Notice to Applicant —To Be Completed by the IRS We have approved this application. Please attach this form to the organization's return. We have not approved this application However, wo have granted a 10-day grace period from the later of the date shown below or the due date of the organization's return (including any prior extensions). Tits grace penod IS considered to bee void extension of time for elections otherwise required to be made on a tmely return. Please attach this form to the organization's return. We have not approved this cols/motion. After considering the reasons stated In item 7, we cannot grant your request for an extension cf time to file. We aro not granting a 10-day grace penod. We cannot consider this application because it was filed after the extended due date of the return for which en extension was requested Other By Droclot Coate Alternate Mailing Address — Enter the address if you want the copy of this application for an additional 3-month extension returned to an address different than the one entered above. Typo or print Nome GEORGE V. DELSON ASSOCIATES Number and street (include suite, room, or opt no.) or • P.O. box number 110 EAST 59Th STREET City or town, province or state, and country fincluding postal or ZIP code) NEW YORK, NY 10022 Form 8868 (Rev 12.2004) EFTA01714015 gPFICE COPY cam 8868 (flay. Oer.caeaer 2000 Depatnal of tee Trcasury infernal Revenue Service • If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box ► g) • If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form) Do not complete Part II unless you have already been oranted an automatic 3-month extension on a previously filed Form 8868. Automatic 3-Month Extension of Time—Only submit original (no copies needed) Application for Extension of Time To File an Exempt Organization Return ► File a separate application for each return. OMB No 1545-1709 Part I Form 990-1 corporations requesting an automatic 6-month extension—check this box and complete Part I only . . . ► 0 AV other corporations Paulding Form 990-C tilers) must use Form 7004 to request an extension of time to file income tax returns. Partnerships, REM1Cs, and trusts must use Form 8736 to request an extension of time to The Form 1065, 1066, or 1041. Electronic Filing (e-file). Form 8868 can be filed electronically If you want a 3-month automatic extension of time to file one of the returns noted below (6 months for corporate Form 990-1 filers). However, you cannot file it electronically if you want the additional (not automatic) 3-month extension, instead you must submit the fully completed signed page 2 (Part ID of Form 8868. For more details on the electronic filing of this form, visit wwwits.gmlefile. Type or print Pe by Um duo date for Ming your return. See Instruclan. Name of Exempt Organization The C.O.U.Q. Foundation Number, street, and room or state no. If a P.O. box, see instnicboris. c/o George V. Belson Associates, 110 East 59th Street Gay, town or post office, state, and ZIP code. For a foreign address. see instructions. New York, NY 10022 Employer Identification number 13 3996471 Check type of return to be filed (file a separate application for each return): O Form 990 0 Form 990-T (corporation) O Form 990-BL 0 Form 990-T (sec. 401(a) or 408(a) trust) O Form 990-Q • 0 Form 990-T (trust other than above) O Form 990-PF 0 Form 1041-A O Form 4720 O Fenn 5227 O Form 6069 O Form 8870 • The books are in the care of ► Harry Beller Telephone No. lo. (.. III ). IIIIIIIIIII FM No. lir- S..) Mill • If the organization does not have an office or place of business in the United States, check this box ► 0 • 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 P.O. If it is for part of the group, check this box lo 0 and attach a list with the names and EINs of all members the extension will cover. 1 I request an automatic 3-month (6-months for a Form 990-1 corporation) extension of time until October 15 , 2091, to file the exempt organization return for the organization named above. The extension is for the organization's return for: lo• 0 calendar year 20... or to 2) tax year beginning March 1 20 05. and ending February , 20 06 2 If thrS tax year Is for less than 12 months, check reason: 0 Initial return 0 Final return 0 Change in accounting period 3a if this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit c Balance Due. Subtract line 3b from lino 3a. Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions 25,000 $ 37,767 12,767 Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions. For Privacy Act and Paperwork Reduction Act Notice, tee Instructions. Cat No. 27918O Form 8868 Mee 12-200.4) EFTA01714016 EXTENSION ATTACHED ;0.990-PF Department el the TIOSIlly Interne( Revenue Same* Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Note: The foundation may be able to use a copy of this ,erum to satisfy state reporting requirements. OMB No 1545-0052 2006 For calendar year 2006, or .tax year beginning G Check all that apply: 0 Initial return ❑ Final return O Amended return O Address change O Name change Use the IRS label. Otherwise, print or type. See Specific Instructions. Pia" °I foundation The C.O.U.Q. Foundation A Employer identincalion number 13 3996471 Number and strut (or P 0 box number d mad is not de weed to street address) cho George V. Delson Associates, 110 East 59th St. RoonVsinte a Telephone numb. pee page 11 of the nstructions) ( ) City of town, state, and ZIP code New York, NY 10022 C Ilexemption appricatca is pondne. check hem lv O D 1. Foreign organizations, check here . . li• O 2. Foreign oreanaalions meeting the 85% test. i—i check here and attach computation . Ilx• l...l E lulnpdreirvast:olonctritcponistatu:hwashleerrrninae.t? . O F If the foundation es in a 60-month termination r-i under section 507(b)(1)0t check here . b Li H Check type O Section 4947(a)(1) of organization: A Section 501(0(3) exempt private foundation trust CI Other taxable private foundation nonexempt charitable I Fair market value of all assets at end of year (from Part II, col. (c), line 16) le S 22,832,814 .5 Accounting method: 0 Cash O Other (specify) (Part I, column (co must be on cash basis.) ■•Accrual Part I Analysis of Revenue and Expenses (The total of in columns 04, (c), and ( cl ;may not necessanly equal amounts In column (a) (see page II of the instructions)) (a) Revenue and expenses (Nit hooka N Net Inv semen income tej Adjusted net income Id) Debasements for chnntable purposes Dash basis only) amounts the Revenue I 1 Contnbuhons, gifts, grants, etc., received 2 Check le 0 d the foundahon is not 3 Interest on savings and temporary 4 Dividends and interest from 5a Gross rents b Net rental income or (loss) 6a Net gain or (loss) from sale of b Gross sates pits for al assets on Ina 7 Capital gain net income (from 8 Net short-term capital gain 9 Income modifications 10a Gross sales less returns and allowances b Less: Cost of goods sold c Gross profit or (loss) (attach 11 Other income (attach schedule) 12 Total. Add lines 1 through 11 required securities(attach schedule) S • ' s 1 • I to attach Sch. 8 .. .c . i cash investments S t- .„ : 1 414,648 414,646 "is... , s•nev !.. '. 1 : .; : . ' •.. .... assets ea :3 Part schedule) not on line 10 0 (52,333) : 4 X1):4 =- a? • • • ; 'I.:" . . li! .-1-!.:Ill ' :i . • Vit IV, hne 2) 0 'er z- 1-• •,:y ,, • i.-.1 ( 1 t":- • ; • ... . : : ; • • •• l. : :! t • • ' .' e ? 3 1 kit • , , • , • . i : Y• 14i • • ,r 1 4 - Cif • . . . . St .1 • • • r 284,468 94,468 -1 I 848,781 509,114 es a c vs o. 0 ail x 21qa 1 1 13 14 15 16a 17 18 19 20 Compensation of officers, directors, Other employee salaries and Pension plans, employee benefits Legal fees (attach schedule b Accounting fees (attach schedule) trustees, etc. wages tch schedule) 5t • 2 ge 14 of the instructions) and depletion 170,000 120,000 50,000 0 OthiReeelegEBas I erect (att Ot a " es (attach schedule (seem eprDEE toic$ ascle) cuoancv 25,000 i fa 21 Traiefeeetrocetriihd meetings S t . 3 expenses. paid Add Ines 24 and 25 °Jew 023 Other expenses (attach schedule) 24 Total operating and administrative Add lines 13 through 23 25 Contributions, gifts, grants 26 Total expenses and disbursements. 591,636 590,633 1,003 786,636 710,633 51,003 1,186.000 1,186,000 1,972,636 710,633 1,237.003. _ 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements b Net Investment income (if negative, enter -0-) c Adjusted net income (if negative, enter -0-) . . _. (1,325,855) 0 March 1 , 2006, and ending February 28 , 20 07 For Privacy Act and Paperwork Reduction Act Notice, see the Instructions. Cal. No. 11289% Foal 990-PF (2006) -(1) EFTA01714017 Forrn 990-PF (2006) Beginning of year End of year Part Ailed* schedules and mounts in the descrobon ©diem II Balance Sheets sham be rot oe-e.yer amounts only pee ingnidicos) (a) Book Value (b) Book Value (c) Fay Market %eve I Assets 1 Cash—non-interest-bearing 2 Savings and temporary cash investments 4,112,136 4,817,748 4,817,748 3 Accounts receivable Or Less: allowance for doubtful accounts OP 4 Pledges receivable lo Less: allowance for doubtful accounts liki 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons (attach schedule) (see page 16 of the instructions) 7 Other notes and loans reservable (attach schedule) lo• Less: allowance for doubtful accounts lir• 8 Inventories for sale or use 9 Prepaid expenses and deferred charges 10a Investments—U.S. and state government obligations (attach schedule) b Investments —corporate stock (attach schedule) . e Investments —corporate bonds (attach schedule) Pri 11 Investments —land, buildings, and equipment: basis ► Less: accumulated depreciation (attach schedule) lui. 12 Investments —mortgage loans 13 Investments —other (attach schedule) St . 4 14 Land, buildings, and equipment: basis lui• Less: accumulated depreciation (attach schedule) IP. 15 Other assets (describe kir 1 16 Total assets (to be completed by all filers—see page 17 of the instructions. Also, see page 1, item I) — . __ .--- . ... _ —___ _ .___ ------ — - --.. _ . ; ..', S .. _ _. : • _ . • i .: - 15,458,186 13,426,719 18,015,066 . Lt../ _i_E.:::. . 19.570.322 18,244,467 22,832,814 I Liabilities 17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue 20 Loans from officers, directors, trustees, and other disqualified persons 21 Mortgages and other notes payable (attach schedule) 22 Other liabilities (descnbe Ir. ) 23 Total liabilities (add lines 17 through 22) . 4 . • ;:. •I .• .i . .:.! .. ilNet Assets or Fund Balances Foundations that follow SFAS 117, check here Pi• • - 0 i 3' • I and complete lines 24 through 26 and lines 30 and 31. 24 Unrestncted 25 Temporarily restricted 26 Permanently restricted Foundations that do not follow SFAS 117, check here ki. 0 and complete lines 27 through 31. 27 Capital stock, trust principal, or current funds 28 Paid-in or capital surplus, or land, bldg., and equipment fund 29 Retained earnings, accumulated income, endowment, or other funds 30 Total net assets or fund balances (see page 18 of the instructions) 31 Total liabilities and net assets/fund balances (see page 18 of the instructions) 19,570.322 18.244,467 19,570,322 18,244.467 19,570,322 18,244,467 Pat Ill Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) 1 19,570,322 2 Enter amount from Part I, line 27a 2 1,325,855) 3 Other increases not included in line 2 (itemize) P. 3 4 Add lines 1, 2, and 3 4 18,244,467 5 Decreases not included in line 2 (itemize) IP' 5 6 Total net assets or fund balances at end of year gine 4 minus line 5)—Part II, column (b), line 30 6 18,244,467 Page 2 Form 990-PF (2006) EFTA01714018 Form 990-PF (2006) Part IV Page 3 Capital Gains and Losses for Tax on Investment Income (a) List and describe the kmd(s) of property ;old (e .g.. real estato, brick warehouse, or common stock, 200 shs. MLC Co.) lb) How acquired p—Donation 0—Donation (c) Cole acquired Imo • day. Y* ) IQ Date said2-story (me . day, yr) ta Statement S b c d e (e) Gross sales price tO Depreciation *Sowed (or allowable) (g) Cost or other basis plus expense of sale 0,) Gain Or oosa) (e) plus (0 minus (g) a b c d e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 0) Owns (Col. pl) San minus col (It ossbutert less than -0-) or gran col. ma 0) 0 M V. as of 12/31/69 0) Adjusted basis as of 12/31/69 (k) Excess 01 col 0) ova col ((LH any a b c d e 2 Capital gain net income or (net capital loss) If gain, also enter in Part I, line 7 If (loss) enter -0- in Part I, line 7 ( 1 3 Net short-term capital gain or Coss) as defined in sections 1222(5) and (6): If gain, also enter in Part I, line 8, column (c) (see pages 13 and 18 of the Instructions). If (loss), enter -0- in Pan I, line 8 J 2 (52,333) 3 Part V Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use by domestic pnvate foundations subject to the section 4940(a) tax on net investment income.) If section 4940(d)(2) applies, leave this part blank. Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? 0 Yes 0 No If "Yes," the foundation does not qualify under section 4940(e). Do not complete this parl. 1 Enter the appropriate amount in each column for each year, see page 19 of the instructions before making any entnes. la) Base ported yew Adiusted Calendar year (or tax year beginning in) 04 quabhemg disinleueons () Net value of noncchantable.use assets _ d) UKInbuttioil ratio (col M divided by col (c)) 2005 1,255,795 22,630,448 0.055491 2004 936,665 20,159,106 0.046463 2003 1,041,560 12,227,806 0.085179 2002 1,243,915 12,221,528 0.101944 2001 902,103 7,498,097 0.120310 2 Total of line 1, column (d) 2 0.409387 3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by the number of years the foundation has been in existence lf less than 5 years 3 0.081877 4 Enter the net value of noncharitable-use assets for 2006 from Part X, line 5 4 22,142,808 5 Multiply line 4 by line 3 5 1,812,987 6 Enter 1% of net investment Income (1% of Part I, line 27b) 6 0 7 Add lines 5 and 6 7 1,812,987 8 Enter oualitvina distnbuttons from Part XII. line 4 8 1.237,003 If line 8 is equal to or greater than line 7, check the box in Pan VI, line lb. and complete that oart using a 1% tax rate. See the Part VI instructions on page 19. Fortis 990-PF 20%) EFTA01714019 Form 99O-PF (2006) Part VI Excise Tax Based on Investment Income (Section 4940(a), 494004, 4940(e), or 4948—see age 19 of the instructions) la Exempt operating foundations described in section 4940(d)(2), check here IP 0 and enter "N/A" on line 1. I Date of ruling letter: (attach copy of ruling letter if necessary —see instructions) _ . b Domestic foundations that meet the section 4940(e) requirements in Part V, check here * O and enter 1% of Part I, line 27b 0 c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Pan I, line 12, col. (b) — .._.._ _ 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 3 0 3 Add lines 1 and 2 4 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only, Others enter -0-) 5 0 5 Tax based on investment income. Subtract line 4 from tine 3. If zero or less, enter -0- 6 Credits/Payments: a 2006 estimated tax payments and 2005 overpayment credited to 2006 b Exempt foreign organizations —tax withheld at source c Tax paid with application for extension of time to file (Form 8868) ea 18,872 • .,. , 6b Go d Backup withholding erroneously withheld 6d .._ J 7.....— 18,872 7 Total credits and Add lines 6a through 6d payments. 8 Enter any penalty for underpayment of estimated tax. Check here O if Form 2220 is attached 8 9 Tax due. If the total of lines 5 and 8 Is more than line 7, enter amount owed * 90 10 18,872 10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . * 11 Enter the amount of line 10 to be: Credited to 2007 estimated tax * 18,872 I Refunded * 11 Part VII-A Statements Regarding Activities la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did participate or intervene in any political campaign? it .• Yes No la 1 b Did It spend more than $100 dunng the year (either directly or indirectly) for political purposes (see page of the instructions for definition)? 20 lb 1 ... • I If the answer is "Yes" to la or lb, attach a detailed description of the activities and copies of any materials published or distnbuted by the foundation in connection with the activities. c Did the foundation file Form 1120-POL for this year? 1c . _tc: Ifil 1 .:• d Enter the amount (if any) of tax on politica