efile Public Visual Render
ObjectId: 201413159349100031 - Submission: 2014-11-11
TIN: 13-6145916
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
Information about Form 990-PF and its instructions is at
www.irs.gov/form990pf
.
OMB No. 1545-0052
20
13
Open to Public Inspection
For calendar year 2013, or tax year beginning
01-01-2013
, and ending
12-31-2013
Name of foundation
I WALDBAUM FAMILY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
16519 IRONWOOD DRIVE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DELRAY BEACH
,
FL
33445
A Employer identification number
13-6145916
B
Telephone number (see instructions)
(561) 499-6519
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here .............
2.
Foreign organizations meeting the 85% test,
check here and attach computation ...........
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .........
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
10,091,635
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .........
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
3
Interest on savings and temporary cash investments
16,078
16,078
4
Dividends and interest from securities
......
131,496
131,496
5a
Gross rents
..............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
458,322
b
Gross sales price for all assets on line 6a
1,160,177
7
Capital gain net income (from Part IV, line 2)
....
458,322
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 schedule)
......
11
Other income (attach schedule)
........
2,564
2,564
12
Total.
Add lines 1 through 11
.........
608,460
608,460
13
Compensation of officers, directors, trustees, etc.
40,000
0
40,000
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
17,000
17,000
0
c
Other professional fees (attach schedule)
....
55,574
45,574
10,000
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
7,594
7,594
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
102,055
101,682
373
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
222,223
171,850
50,373
25
Contributions, gifts, grants paid
........
762,393
762,393
26
Total expenses and disbursements.
Add lines 24 and 25
984,616
171,850
812,766
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-376,156
b
Net investment income
(if negative, enter -0-)
436,610
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2013)
Page 2
Form 990-PF (2013)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
...............
2
Savings and temporary cash investments
..........
267,652
94,115
94,115
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
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)
........
1,474,329
1,520,416
2,185,228
c
Investments—corporate bonds (attach schedule)
........
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
..............
13
Investments—other (attach schedule)
...........
5,541,714
5,057,651
7,081,418
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
495,517
730,874
730,874
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
7,779,212
7,403,056
10,091,635
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 (describe
)
23
Total liabilities
(add lines 17 through 22)
..........
0
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
...................
25
Temporarily restricted
................
26
Permanently restricted
................
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
.........
7,779,212
7,403,056
28
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
29
Retained earnings, accumulated income, endowment, or other funds
0
0
30
Total net assets or fund balances
(see page 17 of the
instructions)
....................
7,779,212
7,403,056
31
Total liabilities and net assets/fund balances
(see page 17 of
the instructions)
..................
7,779,212
7,403,056
Part III
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
7,779,212
2
Enter amount from Part I, line 27a
.....................
2
-376,156
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
7,403,056
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
7,403,056
Form
990-PF
(2013)
Page 3
Form 990-PF (2013)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
25 SHS CELGENE CORP COM
P
2011-09-13
2013-01-08
b
50 SHS AMPHENOL CORP NEW CL A
P
2009-07-07
2013-01-15
c
50 SHS YUM BRANDS INC COM
P
2009-08-06
2013-01-25
d
85 SHS YUM BRANDS INC COM
P
2009-08-21
2013-01-25
e
90 SHS YUM BRANDS INC COM
P
2013-02-05
2013-04-02
35 SHS AMPHENOL CORP NEW CL A
P
2009-07-07
2013-04-05
10 SHS YUM BRANDS INC COM
P
2013-02-05
2013-04-15
50 SHS YUM BRANDS INC COM
P
2009-08-21
2013-04-15
70 SHS CELGENE CORP COM
P
2011-09-13
2013-04-22
25 SHS ACCENTURE PLC IRELAND SHS CLASS A
P
2012-03-13
2013-05-21
35 SHS ACCENTURE PLC IRELAND SHS CLASS A
P
2012-05-29
2013-05-21
60 SHS AMPHENOL CORP NEW CL A
P
2009-07-07
2013-05-21
65 SHS ANSYS INC COM
P
2009-11-06
2013-05-21
10 SHS APPLE INC COM
P
2010-08-27
2013-05-21
1 SHS APPLE INC COM
P
2010-05-21
2013-05-21
40 SHS CELGENE CORP COM
P
2011-09-13
2013-05-21
80 SHS EXPRESS SCRIPTS HOLDING CO
P
2013-04-05
2013-05-21
70 SHS INTERCONTINENTALEXCHANGE INC
P
2009-10-28
2013-05-21
9 SHS MASTERCARD INC CL A
P
2008-08-15
2013-05-21
50 SHS PRAXAIR INC COM
P
2008-11-12
2013-05-21
25 SHS RALPH LAUREN CORP CL A
P
2008-04-08
2013-05-21
250 SHS SCHWAB CHARLES CORP NEW COM
P
2006-10-19
2013-05-21
25 SHS V F CORP COM
P
2013-04-30
2013-05-21
15 SHS ANSYS INC COM
P
2009-11-06
2013-05-22
5 SHS INTERCONTINENTALEXCHANGE INC
P
2009-10-28
2013-05-22
50 SHS INTERCONTINENTALEXCHANGE INC
P
2009-10-29
2013-06-04
2 SHS MASTERCARD INC CL A
P
2008-08-15
2013-06-04
100 SHS INTERCONTINENTALEXCHANGE INC
P
2009-10-29
2013-06-11
65 SHS ACCENTURE PLC IRELAND SHS CLASS A
P
2012-05-29
2013-06-20
60 SHS ACCENTURE PLC IRELAND SHS CLASS A
P
2012-07-12
2013-06-20
130 SHS AMPHENOL CORP NEW CL A
P
2009-07-07
2013-06-20
85 SHS ANSYS INC COM
P
2009-11-06
2013-06-20
12 SHS APPLE INC COM
P
2010-05-21
2013-06-20
65 SHS CELGENE CORP COM
P
2011-09-13
2013-06-20
50 SHS COVIDIEN PLC SHS
P
2013-05-01
2013-06-20
50 SHS ECOLAB INC COM
P
2013-06-04
2013-06-20
75 SHS EXPRESS SCRIPTS HOLDING CO
P
2013-04-05
2013-06-20
125 SHS EXPRESS SCRIPTS HOLDING CO
P
2012-05-29
2013-06-20
19 SHS MASTERCARD INC CL A
P
2008-08-15
2013-06-20
125 SHS NETAPP INC COM
P
2011-06-10
2013-06-20
50 SHS NETAPP INC COM
P
2011-08-05
2013-06-20
50 SHS PRAXAIR INC COM
P
2008-11-12
2013-06-20
65 SHS RALPH LAUREN CORP CL A
P
2008-04-08
2013-06-20
450 SHS SCHWAB CHARLES CORP NEW COM
P
2006-10-19
2013-06-20
25 SHS SENSATA TECHNOLOGIES HLDG BV A SHS
P
2013-05-22
2013-06-20
150 SHS SENSATA TECHNOLOGIES HLDG BV A SHS
P
2013-01-30
2013-06-20
25 SHS SENSATA TECHNOLOGIES HLDG BV A SHS
P
2013-02-14
2013-06-20
5 SHS V F CORP COM
P
2013-04-30
2013-06-20
20 SHS V F CORP COM
P
2012-10-22
2013-06-20
15 SHS V F CORP COM
P
2012-10-02
2013-06-20
25 SHS V F CORP COM
P
2012-09-11
2013-06-20
25 SHS V F CORP COM
P
2013-01-15
2013-06-20
100 SHS VERISK ANALYTICS INC
P
2010-11-05
2013-06-20
50 SHS VERISK ANALYTICS INC
P
2010-11-04
2013-06-20
165 SHS YUM BRANDS INC COM
P
2009-08-21
2013-06-20
35 SHS PRAXAIR INC COM
P
2008-11-12
2013-07-09
9 SHS MALLINCKRODT PLC
P
2013-06-04
2013-07-11
16 SHS MALLINCKRODT PLC
P
2013-05-01
2013-07-11
3 SHS MASTERCARD INC CL A
P
2008-08-15
2013-07-16
45 SHS ANSYS INC COM
P
2009-11-06
2013-07-25
15 SHS ACCENTURE PLC IRELAND SHS CLASS A
P
2012-07-12
2013-09-19
40 SHS ACCENTURE PLC IRELAND SHS CLASS A
P
2011-10-03
2013-09-19
100 SHS EXPRESS SCRIPTS HOLDING CO
P
2011-09-13
2013-09-19
10 SHS V F CORP COM
P
2013-01-15
2013-09-27
20 SHS ALLERGAN INC COM
P
2013-09-19
2013-11-06
50 SHS AMPHENOL CORP NEW CL A
P
2009-07-07
2013-11-06
30 SHS ANSYS INC COM
P
2009-11-06
2013-11-06
8 SHS APPLE INC COM
P
2010-05-21
2013-11-06
25 SHS CELGENE CORP COM
P
2011-09-13
2013-11-06
60 SHS COVIDIEN PLC SHS
P
2013-05-01
2013-11-06
10 SHS ECOLAB INC COM
P
2013-06-04
2013-11-06
25 SHS ECOLAB INC COM
P
2013-04-22
2013-11-06
5 SHS MASTERCARD INC CL A
P
2008-08-15
2013-11-06
50 SHS NETAPP INC COM
P
2011-08-05
2013-11-06
15 SHS PRAXAIR INC COM
P
2008-11-12
2013-11-06
10 SHS PRAXAIR INC COM
P
2008-11-13
2013-11-06
15 SHS PRECISION CASTPARTS CORP COM
P
2013-06-11
2013-11-06
35 SHS RALPH LAUREN CORP CL A
P
2008-04-08
2013-11-06
225 SHS SCHWAB CHARLES CORP NEW COM
P
2006-10-19
2013-11-06
90 SHS SENSATA TECHNOLOGIES HLDG BV A SHS
P
2013-10-30
2013-11-06
30 SHS SENSATA TECHNOLOGIES HLDG BV A SHS
P
2013-02-14
2013-11-06
5 SHS V F CORP COM
P
2013-01-15
2013-11-06
20 SHS V F CORP COM
P
2013-02-07
2013-11-06
50 SHS VERISK ANALYTICS INC
P
2010-11-04
2013-11-06
25 SHS YUM BRANDS INC COM
P
2013-07-16
2013-11-06
25 SHS YUM BRANDS INC COM
P
2009-08-21
2013-11-06
60 SHS ACCENTURE PLC IRELAND SHS CLASS A
P
2011-10-03
2013-11-06
75 SHS EXPRESS SCRIPTS HOLDING CO
P
2011-09-13
2013-11-06
25 SHS EXPRESS SCRIPTS HOLDING CO
P
2011-09-13
2013-11-12
175 SHS EXPRESS SCRIPTS HOLDING CO
P
2011-09-21
2013-12-05
30 SHS ACCENTURE PLC IRELAND SHS CLASS A
P
2011-10-03
2013-12-18
10 SHS ALLERGAN INC COM
P
2013-09-19
2013-12-18
35 SHS AMPHENOL CORP NEW CL A
P
2009-06-30
2013-12-18
25 SHS ANSYS INC COM
P
2009-11-06
2013-12-18
5 SHS APPLE INC COM
P
2010-05-21
2013-12-18
20 SHS CELGENE CORP COM
P
2011-09-13
2013-12-18
40 SHS COVIDIEN PLC SHS
P
2013-05-01
2013-12-18
25 SHS ECOLAB INC COM
P
2013-12-05
2013-12-18
4 SHS MASTERCARD INC CL A
P
2008-08-15
2013-12-18
40 SHS NETAPP INC COM
P
2011-08-05
2013-12-18
15 SHS PRAXAIR INC COM
P
2008-11-13
2013-12-18
10 SHS PRECISION CASTPARTS CORP COM
P
2013-06-11
2013-12-18
15 SHS RALPH LAUREN CORP CL A
P
2013-11-12
2013-12-18
5 SHS RALPH LAUREN CORP CL A
P
2008-04-08
2013-12-18
150 SHS SCHWAB CHARLES CORP NEW COM
P
2006-10-19
2013-12-18
70 SHS SENSATA TECHNOLOGIES HLDG BV A SHS
P
2013-02-14
2013-12-18
20 SHS V F CORP COM
P
2013-02-07
2013-12-18
50 SHS VERISK ANALYTICS INC
P
2010-11-04
2013-12-18
25 SHS YUM BRANDS INC COM
P
2009-08-21
2013-12-18
25 SHS ZOETIS INC CL A
P
2013-12-05
2013-12-18
50 SHS ACCENTURE PLC IRELAND SHS CLASS A
P
2011-10-03
2013-12-23
20 SHS ALLERGAN INC COM
P
2013-09-19
2013-12-23
55 SHS AMPHENOL CORP NEW CL A
P
2009-06-30
2013-12-23
20 SHS ANSYS INC COM
P
2009-11-06
2013-12-23
9 SHS APPLE INC COM
P
2010-05-21
2013-12-23
25 SHS CELGENE CORP COM
P
2011-09-13
2013-12-23
25 SHS COVIDIEN PLC SHS
P
2013-05-01
2013-12-23
30 SHS COVIDIEN PLC SHS
P
2013-07-09
2013-12-23
10 SHS ECOLAB INC COM
P
2013-12-05
2013-12-23
25 SHS ECOLAB INC COM
P
2013-04-22
2013-12-23
7 SHS MASTERCARD INC CL A
P
2008-08-15
2013-12-23
10 SHS NETAPP INC COM
P
2011-08-05
2013-12-23
40 SHS NETAPP INC COM
P
2011-08-19
2013-12-23
25 SHS PRAXAIR INC COM
P
2008-11-13
2013-12-23
16 SHS PRECISION CASTPARTS CORP COM
P
2013-06-11
2013-12-23
30 SHS RALPH LAUREN CORP CL A
P
2008-04-08
2013-12-23
125 SHS SCHWAB CHARLES CORP NEW COM
P
2006-10-19
2013-12-23
100 SHS SCHWAB CHARLES CORP NEW COM
P
2008-11-12
2013-12-23
50 SHS SENSATA TECHNOLOGIES HLDG BV A SHS
P
2013-02-14
2013-12-23
60 SHS SENSATA TECHNOLOGIES HLDG BV A SHS
P
2012-12-12
2013-12-23
5 SHS V F CORP COM
P
2013-02-07
2013-12-23
20 SHS V F CORP COM
P
2012-07-31
2013-12-23
65 SHS VERISK ANALYTICS INC
P
2010-11-04
2013-12-23
50 SHS YUM BRANDS INC COM
P
2009-08-21
2013-12-23
65 SHS ZOETIS INC CL A
P
2013-12-05
2013-12-23
820 SHS H J HEINZ CO
P
2012-12-19
2013-04-01
100 SHS 3M CO COM
P
2012-08-15
2013-07-09
85 SHS 3M CO COM
P
2012-08-08
2013-07-09
40 SHS 3M CO COM
P
2012-01-05
2013-07-09
210 SHS 3M CO COM
P
2011-09-07
2013-07-09
85 SHS 3M CO COM
P
2011-10-11
2013-07-09
5 SHS GENUINE PARTS CO COM
P
2012-08-08
2013-07-15
205 SHS SOUTHERN CO COM
P
2012-08-08
2013-09-20
210 SHS SOUTHERN CO COM
P
2012-08-15
2013-09-20
95 SHS SOUTHERN CO COM
P
2012-01-05
2013-09-20
80 SHS SOUTHERN CO COM
P
2011-10-11
2013-09-20
340 SHS SOUTHERN CO COM
P
2013-09-06
2013-09-20
270 SHS SOUTHERN CO COM
P
2011-07-05
2013-09-20
175 SHS SOUTHERN CO COM
P
2011-07-01
2013-09-20
120 SHS AT&T INC COM
P
2012-08-08
2013-09-27
260 SHS AT&T INC COM
P
2012-08-15
2013-09-27
410 SHS AT&T INC COM
P
2013-09-06
2013-09-27
340 SHS AT&T INC COM
P
2011-07-05
2013-09-27
230 SHS AT&T INC COM
P
2011-07-01
2013-09-27
140 SHS AT&T INC COM
P
2012-01-05
2013-09-27
210 SHS AT&T INC COM
P
2011-10-11
2013-09-27
30 SHS EMERSON ELEC CO COM
P
2013-09-06
2013-11-07
160 SHS EMERSON ELEC CO COM
P
2012-08-15
2013-11-07
450 SHS EMERSON ELEC CO COM
P
2011-11-03
2013-11-07
190 SHS EMERSON ELEC CO COM
P
2012-08-08
2013-11-07
135 SHS EMERSON ELEC CO COM
P
2012-01-05
2013-11-07
CAPITAL ONE NATL ASSN VA 4.500% DUE 05-28-13
P
2008-05-22
2013-05-28
FLI PARTNERS FUND LP-ST
P
2012-12-31
2012-12-31
FLI PARTNERS FUND LP-LT
P
2012-01-01
2012-12-31
FLI VALUE FUND LP-ST
P
2012-12-31
2012-12-31
FLI VALUE FUND LP-LT
P
2013-01-01
2013-12-31
FLI GROWTH FUND LP-ST
P
2013-12-31
2013-12-31
FLI GROWTH FUND LP-LT
P
2013-01-01
2013-12-31
FLI SELECT EQUITY FUND LP-ST
P
2013-12-31
2013-12-31
FLI SELECT EQUITY FUND LP-LT
P
2013-01-01
2013-12-31
FLI SS EQUITY FUND-ST
P
2013-12-31
2013-12-31
FLI SS EQUITY FUND-LT
P
2013-01-01
2013-12-31
STERLING STAMOS CLASS A-11-04 L/T
P
2007-07-31
2013-01-01
STERLING STAMOS CLASS A-04-08 L/T
P
2008-04-01
2013-01-01
STERLING STAMOS CLASS A-11-04 L/T
P
2007-07-31
2013-04-01
STERLING STAMOS CLASS A-04-08 L/T
P
2008-04-01
2013-04-01
STERLING STAMOS CLASS A-11-04 L/T
P
2007-07-31
2013-07-01
STERLING STAMOS CLASS A-04-08 L/T
P
2008-04-01
2013-07-01
STERLING STAMOS CLASS A-11-04 L/T
P
2007-07-31
2013-10-01
STERLING STAMOS CLASS A-04-08 L/T
P
2008-04-01
2013-10-01
STERLING STAMOS CLASS P1-02-11B LT
P
2011-02-01
2013-07-01
STERLING STAMOS CLASS P1-03-11A LT
P
2012-01-01
2013-07-01
STERLING STAMOS CLASS P1-03-11B LT
P
2002-01-01
2013-07-02
STERLING STAMOS CLASS P1-03-11A L/T
P
2002-01-01
2013-12-31
STERLING STAMOS CLASS P1-03-11B LT
P
2002-01-01
2013-12-31
STERLING STAMOS CLASS P1-05-11A LT
P
2002-01-01
2013-12-31
STERLING STAMOS CLASS P1-05-11B LT
P
2012-01-01
2013-12-31
FLI SS EQUITY FUND-AT DISPOSITION
P
2013-12-31
FLI PARTNERS FUND LP-LT
P
2013-12-31
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
2,215
1,519
696
b
3,385
1,581
1,804
c
3,236
1,802
1,434
d
5,502
3,049
2,453
e
6,272
5,564
708
2,504
1,107
1,397
663
618
45
3,315
1,794
1,521
8,852
4,253
4,599
2,062
1,560
502
2,887
2,041
846
4,861
1,897
2,964
4,886
2,670
2,216
4,351
2,409
1,942
435
239
196
4,907
2,430
2,477
4,888
4,549
339
12,379
7,181
5,198
5,260
2,145
3,115
5,773
2,878
2,895
4,690
1,495
3,195
4,782
4,174
608
4,580
4,438
142
1,106
616
490
853
513
340
8,323
5,082
3,241
1,134
477
657
17,169
10,164
7,005
5,251
3,790
1,461
4,847
3,442
1,405
10,025
4,111
5,914
6,252
3,491
2,761
5,086
2,874
2,212
7,520
3,949
3,571
3,100
3,213
-113
4,225
4,282
-57
4,633
4,265
368
7,721
6,665
1,056
11,040
4,529
6,511
4,803
6,170
-1,367
1,921
2,091
-170
5,915
2,878
3,037
11,333
3,887
7,446
9,154
7,514
1,640
885
911
-26
5,312
5,011
301
885
827
58
950
888
62
3,800
3,227
573
2,850
2,412
438
4,750
3,878
872
4,750
3,854
896
5,793
3,056
2,737
2,896
1,526
1,370
11,553
5,919
5,634
4,081
2,015
2,066
377
433
-56
671
726
-55
1,767
715
1,052
3,565
1,848
1,717
1,163
860
303
3,101
2,120
981
6,225
4,400
1,825
1,973
1,541
432
1,768
1,818
-50
4,015
1,581
2,434
2,622
1,232
1,390
4,143
1,916
2,227
3,660
1,519
2,141
3,881
3,508
373
1,058
856
202
2,646
2,077
569
3,655
1,192
2,463
1,910
2,091
-181
1,883
864
1,019
1,255
567
688
3,768
3,296
472
6,212
2,093
4,119
5,158
3,757
1,401
3,355
3,438
-83
1,118
992
126
1,104
771
333
4,418
3,063
1,355
3,100
1,526
1,574
1,749
1,798
-49
1,749
897
852
4,495
3,180
1,315
4,782
3,300
1,482
1,611
1,100
511
11,673
7,294
4,379
2,237
1,590
647
980
909
71
2,985
1,104
1,881
2,110
1,027
1,083
2,697
1,197
1,500
3,166
1,215
1,951
2,632
2,339
293
2,549
2,593
-44
3,163
954
2,209
1,562
1,672
-110
1,863
851
1,012
2,572
2,198
374
2,594
2,592
2
865
299
566
3,711
2,505
1,206
2,595
2,315
280
4,688
3,063
1,625
3,241
1,526
1,715
1,788
897
891
787
789
-2
4,029
2,650
1,379
2,158
1,818
340
4,824
1,735
3,089
1,747
821
926
5,082
2,155
2,927
4,186
1,519
2,667
1,671
1,462
209
2,005
1,753
252
1,037
1,037
0
2,594
2,077
517
5,699
1,669
4,030
403
418
-15
1,612
1,443
169
3,185
1,418
1,767
4,278
3,516
762
5,255
1,794
3,461
3,200
2,087
1,113
2,560
1,655
905
1,905
1,654
251
2,286
1,798
488
300
191
109
1,201
747
454
4,284
1,983
2,301
3,681
1,794
1,887
2,086
2,052
34
59,212
48,559
10,653
11,304
9,271
2,033
9,609
7,800
1,809
4,522
3,346
1,176
23,739
16,692
7,047
9,609
6,492
3,117
423
323
100
8,554
9,620
-1,066
8,762
9,771
-1,009
3,964
4,278
-314
3,338
3,419
-81
14,186
14,069
117
11,266
10,985
281
7,302
7,111
191
4,067
4,476
-409
8,813
9,667
-854
13,897
13,693
204
11,525
10,774
751
7,796
7,265
531
4,745
4,259
486
7,118
6,056
1,062
2,000
1,858
142
10,666
8,256
2,410
29,997
22,691
7,306
12,666
9,498
3,168
8,999
6,438
2,561
60,000
60,000
0
-118,303
78,034
7,723
45,719
8,428
77,748
2,313
51,811
13,910
67,105
14,686
16,927
-2,241
2,199
2,400
-201
22,719
26,099
-3,380
3,404
3,702
-298
23,465
27,026
-3,561
3,516
3,834
-318
20,722
23,494
-2,772
3,104
3,332
-228
34,297
32,357
1,940
57,141
54,243
2,898
8,562
8,125
437
38,642
36,231
2,411
5,790
5,427
363
50,966
48,150
2,816
4,601
4,348
253
661
-4,472
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
696
b
1,804
c
1,434
d
2,453
e
708
1,397
45
1,521
4,599
502
846
2,964
2,216
1,942
196
2,477
339
5,198
3,115
2,895
3,195
608
142
490
340
3,241
657
7,005
1,461
1,405
5,914
2,761
2,212
3,571
-113
-57
368
1,056
6,511
-1,367
-170
3,037
7,446
1,640
-26
301
58
62
573
438
872
896
2,737
1,370
5,634
2,066
-56
-55
1,052
1,717
303
981
1,825
432
-50
2,434
1,390
2,227
2,141
373
202
569
2,463
-181
1,019
688
472
4,119
1,401
-83
126
333
1,355
1,574
-49
852
1,315
1,482
511
4,379
647
71
1,881
1,083
1,500
1,951
293
-44
2,209
-110
1,012
374
2
566
1,206
280
1,625
1,715
891
-2
1,379
340
3,089
926
2,927
2,667
209
252
0
517
4,030
-15
169
1,767
762
3,461
1,113
905
251
488
109
454
2,301
1,887
34
10,653
2,033
1,809
1,176
7,047
3,117
100
-1,066
-1,009
-314
-81
117
281
191
-409
-854
204
751
531
486
1,062
142
2,410
7,306
3,168
2,561
0
-118,303
78,034
7,723
45,719
8,428
77,748
2,313
51,811
13,910
67,105
-2,241
-201
-3,380
-298
-3,561
-318
-2,772
-228
1,940
2,898
437
2,411
363
2,816
253
661
-4,472
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
2
458,322
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private 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?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2012
453,716
8,298,058
0.054677
2011
695,045
8,882,727
0.078247
2010
556,138
8,888,319
0.062570
2009
544,875
8,569,268
0.063585
2008
752,820
11,226,012
0.067060
2
Total
of line 1, column (d)
......................
2
0.326139
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 if less than 5 years
.
.
.
3
0.065228
4
Enter the net value of noncharitable-use assets for 2013 from Part X, line 5
.....
4
8,861,270
5
Multiply line 4 by line 3
.......................
5
578,003
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
4,366
7
Add lines 5 and 6
.........................
7
582,369
8
Enter qualifying distributions from Part XII, line 4
..............
8
812,766
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form
990-PF
(2013)
Page 4
Form 990-PF (2013)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
4,366
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations 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-)
2
0
3
Add lines 1 and 2
............................
3
4,366
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-).
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
4,366
6
Credits/Payments:
a
2013 estimated tax payments and 2012 overpayment credited to 2013
6a
8,000
b
Exempt foreign organizations—tax withheld at source
.......
6b
c
Tax paid with application for extension of time to file (Form 8868)
6c
3,000
d
Backup withholding erroneously withheld
..........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
11,000
8
Enter any
penalty
for underpayment of estimated tax.
Check here
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
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
6,634
11
Enter the amount of line 10 to be:
Credited to 2014 estimated tax
6,634
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
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)?
............................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation 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
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
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?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c), and Part XV.
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
NY
,
FL
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)?
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names and addresses.
10
No
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions)
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement (see instructions)
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
NOT APPLICABLE
14
The books are in care of
JAY FRIEDMAN CO PERELSON WEINER
Telephone no.
(212) 605-3100
Located at
ONE DAG HAMMARSKJOLD PLAZA 42ND
FLOOR
NEW YORK
NY
ZIP+4
10017
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
......
15
16
At any time during calendar year 2013, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
16
No
See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the
foreign country
Form
990-PF
(2013)
Page 5
Form 990-PF (2013)
Page
5
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
.........................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
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
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.........
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail 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)?
...
1b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2013?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2013, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2013?
...............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
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 foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
.........................
Yes
No
b
If "Yes," did it have excess business holdings in 2013 as a result of
(1)
any purchase by the foundation
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 foundation had excess business holdings in 2013.)
....................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2013?
4b
No
5a
During the year did the foundation pay or incur any amount to:
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
...............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
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(d)(2)? (see instructions)
........
Yes
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
No
b
If any answer is "Yes" to 5a(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 instructions)?
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
............
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
........................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If yes, did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
Form
990-PF
(2013)
Page 6
Form 990-PF (2013)
Page
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 instructions).
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to
employee benefit plans
and deferred compensation
(e)
Expense account,
other allowances
BERNICE WALDBAUM
PRESIDENT
10.00
0
0
0
16519 IRONWOOD DRIVE
DEL RAY BEACH
,
FL
33445
NANCY WALDBAUM NIMKOFF
TREASURER/VP
10.00
40,000
0
10,000
9 MEADOW ROAD
OLD WESTBURY
,
NY
11568
RANDIE MALINSKY
SECRETARY/VP
5.00
0
0
0
360 EAST 88TH STREET APT 33C
NEW YORK
,
NY
102184993
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Form
990-PF
(2013)
Page 7
Form 990-PF (2013)
Page
7
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See page 24 of the instructions.
3
Total.
Add lines 1 through 3
.........................
0
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations,
see 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
...................
1a
8,660,211
b
Average of monthly cash balances
.......................
1b
336,002
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
8,996,213
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
8,996,213
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
134,943
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
8,861,270
6
Minimum investment return.
Enter 5% of line 5
..................
6
443,064
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
443,064
2a
Tax on investment income for 2013 from Part VI, line 5
......
2a
4,366
b
Income tax for 2013. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
4,366
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
438,698
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
438,698
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
line 1
................................
7
438,698
Part XII
Qualifying Distributions
(see 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
..........
1a
812,766
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b (see instructions)
.................
5
4,366
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
808,400
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 years.
Form
990-PF
(2013)
Page 8
Form 990-PF (2013)
Page
8
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2012
(c)
2012
(d)
2013
1
Distributable amount for 2013 from Part XI, line 7
438,698
2
Undistributed income, if any, as of the end of 2013:
a
Enter amount for 2012 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2013:
a
From 2008
......
192,379
b
From 2009
......
116,412
c
From 2010
......
114,546
d
From 2011
......
256,919
e
From 2012
......
46,701
f
Total
of lines 3a through e
........
726,957
4
Qualifying distributions for 2013 from Part
XII, line 4:
$
812,766
a
Applied to 2012, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2013 distributable amount
.....
438,698
e
Remaining amount distributed out of corpus
374,068
5
Excess distributions carryover applied to 2013.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
1,101,025
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2012. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2013. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2014
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (see
instructions)
.............
0
8
Excess distributions carryover from 2008 not
applied on line 5 or line 7 (see instructions)
...
192,379
9
Excess distributions carryover to 2014.
Subtract lines 7 and 8 from line 6a
......
908,646
10
Analysis of line 9:
a
Excess from 2009
....
116,412
b
Excess from 2010
....
114,546
c
Excess from 2011
....
256,919
d
Excess from 2012
....
46,701
e
Excess from 2013
....
374,068
Form
990-PF
(2013)
Page 9
Form 990-PF (2013)
Page
9
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2013, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2013
(b)
2012
(c)
2011
(d)
2010
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used
directly for active conduct of exempt
activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 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)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
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
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
BERNICE WALDBAUM
16519 IRONWOOD DRIVE
DELRAY BEACH
,
FL
33445
(561) 499-6519
b
The form in which applications should be submitted and information and materials they should include:
NO SPECIFIC APPLICATION FORMAT
c
Any submission deadlines:
OCTOBER 31 OF EACH YEAR
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
N/A
Form
990-PF
(2013)
Page 10
Form 990-PF (2013)
Page
10
Part XV
Supplementary Information
(continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
AMERICAN CANCER SOCIETY
3363 WEST COMMERCIAL BLVD
FT LAUDERDALE
,
FL
33309
NONE
PUBLIC CHARITY
CHARITABLE
1,000
AMERICAN CANCER SOCIETY
3363 WEST COMMERCIAL BLVD
FT LAUDERDALE
,
FL
33309
NONE
PUBLIC CHARITY
CHARITABLE
1,000
AMERICAN DIABETES FOUNDATION
1701 N BEAUREGARD STREET
ALEXANDRIA
,
VA
22311
NONE
PUBLIC CHARITY
CHARITABLE
1,500
ANTI DEFAMATION LEAGUE
621 NW 53RD STREET
BOCA RATON
,
FL
33487
NONE
PUBLIC CHARITY
CHARITABLE
50,000
BCCA BELMONT
2150 HEMPSTEAD TPKE
ELMONT
,
NY
11003
NONE
PUBLIC CHARITY
CHARITABLE
100
BIRTHRIGHT ISRAEL
33 EAST 33RD STREET
NEW YORK
,
NY
10016
NONE
PUBLIC CHARITY
CHARITABLE
5,000
BNAI VAIL
PO BOX 309
VAIL
,
CO
81658
NONE
PUBLIC CHARITY
CHARITABLE
5,000
BOCA RATON HOSPITAL
800 MEADOW ROAD
BOCA RATON
,
FL
33486
NONE
PUBLIC CHARITY
CHARITABLE
25,000
GLEN OAKS PHILANTROPIC FUND AT JEWISH COMMUNITY
247 WEST 37TH STREET
NEW YORK
,
NY
10018
NONE
PUBLIC CHARITY
CHARITABLE
500
HADASSAH
50 WEST 58TH STREET
NEW YORK
,
NY
10019
NONE
PUBLIC CHARITY
CHARITABLE
1,000
ISLAND HARVEST FIGHTING HUNGER
199 SECOND STREET
MINEOLA
,
NY
11501
NONE
PUBLIC CHARITY
CHARITABLE
10,000
JEWISH FEDERATION OF SPBC
9901 DONNA KLEIN BLVD
BOCA RATON
,
FL
33428
NONE
PUBLIC CHARITY
CHARITABLE
10,000
JEWISH THEOLOGICAL SEMINARY
3080 BROADWAY
NEW YORK
,
NY
10027
NONE
PUBLIC CHARITY
CHARITABLE
250,000
MARCH OF DIMES
515 MADISON AVENUE
NEW YORK
,
NY
10017
NONE
PUBLIC CHARITY
CHARITABLE
500
MICHAEL J FOX PARKINSONS FOUNDATION
PO BOX 780
NEW YORK
,
NY
10008
NONE
PUBLIC CHARITY
CHARITABLE
10,000
SID JACOBSON JCC
300 FOREST DRIVE
EAST HILLS
,
NY
11548
NONE
PUBLIC CHARITY
CHARITABLE
5,000
SID JACOBSON JCC
300 FOREST DRIVE
EAST HILLS
,
NY
11548
NONE
PUBLIC CHARITY
CHARITABLE
1,000
SID JACOBSON JCC
300 FOREST DRIVE
EAST HILLS
,
NY
11548
NONE
PUBLIC CHARITY
CHARITABLE
10,000
TUCSON HEBREW ACADEMY
3888 E RIVER ROAD
TUCSON
,
AZ
85718
NONE
PUBLIC CHARITY
CHARITABLE
1,800
TUCSON JEWISH FAMILY SERVICES
3800 E RIVER ROAD
TUCSON
,
AZ
85718
NONE
PUBLIC CHARITY
CHARITABLE
1,800
VAIL VALLEY FOUNDATION
90 BENCHMARK RD
AVON
,
CO
81620
NONE
PUBLIC CHARITY
CHARITABLE
3,500
YESHIVA OF SOUTH SHORE
1170 WILLIAM STREET
HEWLETT
,
NY
11557
NONE
PUBLIC CHARITY
CHARITABLE
2,000
AMERICAN CANCER SOCIETY
3363 WEST COMMERCIAL BLVD
FT LAUDERDALE
,
FL
33309
NONE
PUBLIC CHARITY
CHARITABLE
1,000
BOCA RATON HOSPITAL
800 MEADOW ROAD
BOCA RATON
,
FL
33486
NONE
PUBLIC CHARITY
CHARITABLE
100,000
FIREFIGHTERS CHARITABLE FOUNDATION
ONE WEST STREET
FARMINGDALE
,
NY
11735
NONE
PUBLIC CHARITY
CHARITABLE
100
FLORIDA SHERIFFS ASSN
2617 MAHAN DRIVE
TALLAHASSEE
,
FL
32308
NONE
PUBLIC CHARITY
CHARITABLE
50
HADASSAH
50 WEST 58TH STREET
NEW YORK
,
NY
10019
NONE
PUBLIC CHARITY
CHARITABLE
5,000
HANDMAKER FOUNDATION
2221 N ROSEMONTH BLVD
TUCSON
,
AZ
85712
NONE
PUBLIC CHARITY
CHARITABLE
1,800
HOSPICE BY THE SEA
1531 W PALMETTO PARK RD
BOCA RATON
,
FL
33486
NONE
PUBLIC CHARITY
CHARITABLE
250
INTERNATIONAL AGENCY FOR RESEARCH ON CANCER
150 COURS ALBERT THOMAS
LYON CEDEX
69372
FR
NONE
PUBLIC CHARITY
CHARITABLE
10,000
ISRAEL AIR FORCE CENTER FOUNDATION
120 EL CAMINO DRIVE
BEVERLY HILLS
,
CA
90212
NONE
PUBLIC CHARITY
CHARITABLE
500
JEWISH FEDERATION OF SPBC
9901 DONNA KLEIN BLVD
BOCA RATON
,
FL
33428
NONE
PUBLIC CHARITY
CHARITABLE
5,000
MUSCULAR DYSTROPHY ASSOCIATION
3300 E SUNRISE DRIVE
TUCSON
,
AZ
85718
NONE
PUBLIC CHARITY
CHARITABLE
100
NORTH SHORE HOSPITAL
300 COMMUNITY DRIVE
MANHASSET
,
NY
11030
NONE
PUBLIC CHARITY
CHARITABLE
50,000
PALM BEACH COUNTY COPS FOR KIDS
5311 LAKE WORTH ROAD
LAKE WORTH
,
FL
33463
NONE
PUBLIC CHARITY
CHARITABLE
25
PLAY FOR PINK
175 EAST 74TH STREET STE 17B
NEW YORK
,
NY
10021
NONE
PUBLIC CHARITY
CHARITABLE
250
SHALVA
315 5TH AVENUE 608
NEW YORK
,
NY
10016
NONE
PUBLIC CHARITY
CHARITABLE
10,000
SID JACOBSON JCC
300 FOREST DRIVE
EAST HILLS
,
NY
11548
NONE
PUBLIC CHARITY
CHARITABLE
100,000
SPECIAL OLYMPICS FLORIDA
1915 DON WICKHAM DRIVE
CLERMONT
,
FL
34711
NONE
PUBLIC CHARITY
CHARITABLE
100
SPECIAL OLYMPICS FLORIDA
1915 DON WICKHAM DRIVE
CLERMONT
,
FL
34711
NONE
PUBLIC CHARITY
CHARITABLE
100
THE PRET FOUNDATION
853 BROADWAY
NEW YORK
,
NY
10003
NONE
PUBLIC CHARITY
CHARITABLE
1,000
THE TORAH ACADEMY OF BOCA RATON
447 SPANISH RIVER BLVD
BOCA RATON
,
FL
33431
NONE
PUBLIC CHARITY
CHARITABLE
1,000
TUCSON JEWISH COMMUNITY CENTER
3800 E RIVER ROAD
TUCSON
,
AZ
85718
NONE
PUBLIC CHARITY
CHARITABLE
25,000
UNITED JEWISH APPEAL
130 E 59TH STREET
NEW YORK
,
NY
10022
NONE
PUBLIC CHARITY
CHARITABLE
2,000
UNITING AGAINST LUNG CANCER
27 UNION SQUARE WEST SUITE 304
NEW YORK
,
NY
10003
NONE
PUBLIC CHARITY
CHARITABLE
25,000
UNITING AGAINST LUNG CANCER
27 UNION SQUARE WEST SUITE 304
NEW YORK
,
NY
10003
NONE
PUBLIC CHARITY
CHARITABLE
25,000
YESHIVA OF SOUTH SHORE
1170 WILLIAM STREET
HEWLETT
,
NY
11557
NONE
PUBLIC CHARITY
CHARITABLE
3,218
THE HOLY APOSTLES SOUP KITCHEN
296 9TH AVENUE
NEW YORK
,
NY
10001
NONE
PUBLIC CHARITY
CHARITBLE
200
Total
.................................
3a
762,393
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2013)
Page 11
Form 990-PF (2013)
Page
11
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
16,078
4
Dividends and interest from securities
....
14
131,496
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
........
14
2,564
8
Gain or (loss) from sales of assets other than
inventory
.............
18
458,322
9
Net income or (loss) from special events:
...
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
608,460
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
608,460
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2013)
Page 12
Form 990-PF (2013)
Page
12
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation 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.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation 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?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
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 or fiduciary) is based on all information of which preparer has any knowledge.
2014-11-07
May the IRS discuss this return
with the preparer shown below
(see instr.)?
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
KEVIN M LEVINE
Preparer's Signature
Date
2014-11-07
Check if self-
employed
PTIN
P01226745
Firm's name
Firm's address
PERELSON WEINER LLP
ONE DAG HAMMARSKJOLD PLAZA
NEW YORK
,
NY
100172286
Firm's EIN
13-3791592
Phone no.
(212) 605-3100
Form
990-PF
(2013)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description