Barbara and Barrie Seid Foundation 363342443 2010 077d83fesearchable

lefile
I As
GRAPHIC print - DO NOT PROCESS
G Check
all that
DLN:934912230075511
OMB
or Section
4947(a)(1)
Nonexempt
Charitable
Treated as a Private Foundation
Trust
year
2010,
or tax year
r
r
apply
beginning
r
r
In1t1al return
A mended
Name of foundation
BARBARAAND BARRE SEID FOUNDATION
return
01-01-2010
In1t1al return
Address
, and ending
of a former
public
change
Name
1545-0052
12-31-2010
charity
No
2010
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements
InternalRevenueService
For calendar
Return of Private Foundation
Form990-PF
Department
of the Treasury
Filed Data -
Final
return
change
A Employer identification
number
36-3342443
Number and street (or PO box number 1f mail 1snot delivered to street address)
1111 W 35TH STREET
B Telephone number (see page 10 of the instructions)
Room/suite
(773) 869-1111
City or town, state, and ZIP code

CHICAGO, IL 606091404
H Check
type
Section
P"Section
oforgan1zat1on
4947(a)(1)
nonexempt
I Fair market
value of all assets

of year (from Part II, col. (c),
line 16) .... $ 1,682,97
2
l:F.Till
;
:r;
~
Ci::
$
,fl
!::
J Accounting
at end
of Revenue
and Expenses
(The
total of amounts m columns (b), (c), and (d) may not

necessanly equal the amounts m column (a) (see page 11 of
the mstmctwns) )
Interest
D1v1dends
Sa
Gross
p- 1fthe
Net rental
income
cash
from sale
of assets
gain net income
(from
capital
Part IV,
Less
Cost
Gross
profit
of goods
168
526,238
Other
income
12
Total.
Add lines
13
Compensation
14
Other
15
Pension
16a
Legal
Accounting
Other
schedule)
schedule)
1 through
526,406
11
of officers,
directors,
salaries
and wages
plans,
(attach
(attach
employee
fees
sold
or (loss)
11
employee
(attach
trustees,
(attach
professional
fees
Deprec1at1on
-:::::: 20
Occupancy
-:::::: 21
Travel,
(attach
conferences,
,:::;
22
Printing
!::'
23
Other
24
Total operating
schedule).
(attach
',!;!
',!;!
1,550
',!;!
4,125
',!;!
6,260
6,260
6,260
12, 741
6,260
6,260
6,260
6,260
806
schedule)
schedule)
and depletion
and meetings
and publ1cat1ons
expenses
(attach
schedule)
and administrative
A d d I Ines 1 3 through
expenses.
23
paid.
2,040,672
26
Total expenses and disbursements.
2,053,413
27
Subtract
25
526,406
benefits
schedule).
fees
869,304
etc
Taxes (attach schedule) (see page 14 of the instructions)
168
526,238
gain
18
168
526,238
mod 1f1cat1ons
17
:.....
(c) Adjusted net

income
( d) D1sbursements
for charitable
purposes
( cash basis only)
342,898
:.....
.....
,:::;
(b) Net investment

income
line 2)
t.-:
!::
(a) Revenue and

expenses per
books
If the foundation 1sin a 60-month termination

under section 507(b)(l)(B),
check here
not on line 10
Gross sales less returns and allowances
...:r
Gross sales price for all assets on line 6a
19
E If private foundation status was temnmated

under section 507(b)(l)(A),
check here
Accrual
be on cash basis.)
investments
Interest
from securities.
p
,:::;
i::
2. Foreign organ1zat1ons meeting the 85% test,

check here and attach computation
foundation
''
'
'
'
or (loss)
Net gain or (loss)
Net short-term
>
rents
Income
)(
and temporary
and interest
Li.J
$
P"Cash
D 1. Foreign organ1zat1ons, check here
foundation 1snot required to attach Sch B
on savings
Capital
private
Other (specify)
(Part I, column (d) must
Check ....
foundation
taxable
method
Contributions, gifts, grants, etc, received (attach schedule)
6a
private
Other
10a
,fl
exempt
trust
b
$
Analysis
501(c)(3)
charitable
C If exemption application 1spending, check here
Contributions,
gifts,
grants
line 26 from
Excess of revenue
Net investment
Adjusted
Add Imes 24 and 25
2,040,672
2,040,672
line 12
over expenses
income (1f negative,
net income (1f negative,
For Privacy Act and Paperwork
Reduction
and disbursements
enter
enter
-1,527,007
863,044
-0-)
520, 146
-0-)
Act Notice, see page 30 of the instructions.
Cat
No
11289X
Form
990-PF
(2010)
Form 990-PF
l:F.TilllBalance
Sheets
1
2
Savings
Accounts
Less
and temporary
cash
investments
1,401,833
676,517
676,517
185,000
185,000
185,000
821,455
821,455
1,682,972
1,682,972
receivable,...
allowance
Pledges
Less
Beginning of year
(a) Book Value
Attached schedules and amounts in the description column

should be for end-of-year amounts only (See instructions )
Cash-non-interest-bearing.
Page 2
End of year
(b) Book Value
(c) Fair Market Value
(2010)
for doubtful
accounts,...
rec e 1va ble ,...
allowance
Grants
Receivables
for doubtful
accounts,...
receivable
due from officers,
d1squal1f1ed persons
directors,
(attach
trustees,
schedule)
and other
(see page 15 of the
1nstruct1ons).
7
'-""
m
8
'-""
'-""
notes
and loans
Less
allowance
Inventories
-e
schedule),...
accounts,...
S and state
charges
government
obl1gat1ons
Investments-corporate
stock
(attach
schedule)
Investments-corporate
bonds
(attach
schedule).
Investments-land,
buildings,
accumulated
Investments-mortgage
13
Investments-other
14
Land, buildings,
Less
accumulated
15
Other
assets
16
Total assets (to be completed
17
Accounts
(attach
(attach
1,280,248
schedule)
bas 1s ,...
deprec1at1on
Also,
(attach
schedule),...
Deferred
20
Loans from officers,
)
by all filers-see
the
2,867,081
see page 1, item I)
payable
Grants
and accrued
expenses
payable
revenue
,:::; 21
Mortgages
.::i
22
Other
23
Total liabilities
directors,
and other
notes
trustees,
payable
and other
(attach
d1squal1f1ed persons
schedule)
l1ab1l1t1es (describe,...
Foundations
(add lines
that
and complete
follow
17 through
22)
,...
SFAS 117, check here
lines 24 through
4' 24
u
Unrestricted
,:::; 25
Temporarily
,:::;
Permanently
restricted
Foundations
that
::::!
u..
:.....
0
,fl
4)
,fl
,fl
ci
restricted
do not follow
and complete
lines 27 through
27
Capital
trust
28
Pa1d-1n or capital
stock,
principal,
surplus,
earnings,
,...p-
SFAS 117, check here

31.
or current
or land, bldg,
29
Retained
30
Total net assets or fund balances
4)
'
26 and lines 30 and 31.
,fl
ca 26
!:::
accumulated
income,
funds
and equipment
endowment,
31
Total liabilities
Analysis
and net assets/fund
Total
of Changes
net assets
with end-of-year
Enter
amount
balances
or other
increases
Other
Add lines
Decreases
Total
2,867,081
1,682,972
2,867,081
1,682,972
funds
(see page 17 of
in Net Assets or Fund Balances
or fund balances
figure
1,682,972
(see page 17 of the
the Ins truct1ons)
fflOI
2,867,081
fund
1nstruct1ons).
schedule),...
(describe,...
18
schedule)
loans
and equipment
19
(attach
bas 1s ,...
and equipment
deprec1at1on
12
.3
(attach
for sale or use
1nstruct1ons
4'
for doubtful
Investments-Li
Less
,fl
receivable
Pre pa 1d ex pens es and deferred
9
10a
11
Other
reported
at beg1nn1ng of year-Part
on prior year's
II,
column
(a), line 30 (must
agree
return)
from Part I, line 27a

not included
1n line 2 (1tem1ze),...
net assets
2,867,081
-1,527,007
342,898
1, 2, and 3
not included
at end of year (line 4 minus
1,682,97
1n line 2 (1tem1ze),...
or fund balances
1,682,97
line 5)-Part
II,
column
(b), line 30
6
Form
990-PF
(2010)
Form 990-PF
(2010)
.:r.........
Page
Capital
Gains and Losses for Tax on Investment
(b) How acquired
(a) List and describe

brick
2-story
140000
la
the k1nd(s) of property sold (e g, real estate,

warehouse,
or common stock, 200 shs M LC Co)
(mo,
(d) Date sold

(mo, day, yr)
day, yr)
2009-03-18
2010-12-23
5 875%
2008-10-28
2010-12-23
CO 8 7%
2008-11-18
2010-12-23
2002-12-31
2010-12-31
PWR CO 6 375%
200000
GE CAP CORP
200000
INTL
170565
UNITSPVPTL
PAPER
(c) Date acquired
P-P urc hase

D-Donat1on
APPALACHIAN
SEP UNSECURED
A PART
Income
NOTES
e
(e) Gross
sales
(f)
price
Deprec1at1on allowed
(or allowable)
(g) Cost or other basis

plus expense of sale
(h) Gain or (loss)

(e) plus (f) minus (g)
135,800
111,169
24 ,6 31
201,800
146,086
55,714
242,500
150,512
91,988
170,565
170,565
e
Complete
only for assets
gain 1n column
showing
(h) and owned
by the foundation
(j) AdJusted basis

as of12/31/69
(i) F M V as of 12/31/69
on 12/31/69
(I) Gains (Col (h) gain minus

col (k), but not less than -0-) or
Losses (from col (h))
(k) Excess of col (1)

over col (J), 1f any
24 ,6 31
55,714
91,988
170,565
Capital
Net short-term
gain net income

capital
or (net capital
gain or (loss)
as defined
If gain, also enter 1n Part I, line 8, column

If (loss), enter -0- 1n Part I, line 8
..
rnn
Quahf1cat1on
Under Section
(For optional
use by domestic
private
If section
4940(d)(2)
Was the foundation

liable for the section
If "Yes," the foundation
does not qualify
1 Enter the appropriate
amount
13 and 17 of the 1nstruct1ons)
to the section
342,898
and (6)
for Reduced Tax on Net Investment

4940(a)
tax on net investment
Income
income)
4942 tax on the distributable

amount of any year 1n the base period?
under section 4940(e)
Do not complete
this part
for each year,
see page 18 of the 1nstruct1ons
(b)
Adjusted qualifying d1stnbut1ons
Base period years Calendar

year ( or tax year beg inning in)
1222(5)
part blank
1n each column
(a)
(c) (see pages
subJect
If gain, also enter 1n Part I, line 7

If (loss), enter -0- 1n Part I, line 7
1n sections
4940(e)
foundations
leave this
applies,
loss)
before
making
P-
Yes
No
any entries
(d)
D1stnbut1onratio
(col ( b) d 1v1dedby col (c))
(c)
Net value of nonchantable-use assets
2009
1,691,878
3,510,650
0 481927
2008
1,728,964
5,092,708
0 339498
2007
2,128,874
3,425,110
0 621549
2006
5,029,778
6,370,136
0 789587
2005
3,102,332
6,391,234
0 485404
Total of line 1, column
Average d1stribut1on
the number of years
Enter the net value
Multiply
Enter
Add lines
Enter
(d).
ratio for the 5-year base period-d1v1de

the total on line 2 by5,orby
the foundation
has been 1n existence
1f less than 5 years
of noncharitable-use
assets
for 2010
from Part X, line 5.
line 4 by line 3.
1% of net investment
income
(1%
of Part I, line 27b).
from Part XII,
line 4.
Ifl1ne 8 1s equal to or greater than line 7, check

the Part VI 1nstruct1ons
on page 18
the box 1n Part VI,
2717965
0 543593
2,332,391
1,267,871
5 and 6.
qual1fy1ng d1stribut1ons
line lb,
and complete
that
8,630
1,276,501
2,040,67
part using
a 1% tax rate
Form
See
990-PF
(2010)
Form 990-PF
(2010)
Page
:r.,..,.,,. Excise
la
Tax Based on Investment
Income
(Section
Exempt operating foundations described in section 4940(d)(2),

Date of ruling
instructions)
or determ1nat1on
4940(a),
check here ,...
letter
(attach
4940(b),
4940(e),
or 4948
and enter "N/A" on line 1
copy of letter
if necessary-see
Domestic
All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, col (b)
here,...
foundations
p-and
that
enter
meet the section
Tax under section 511 (domestic section 4947(a)(l)
Add lines
Subtitle A (income) tax (domestic section 4947(a)(l)
Tax based on investment
Credits/Payments
Tax paid with appl1cat1on
estimated
tax payments
foreign
and 2009
organ1zat1ons-tax
w1thhold1ng
Total
credits
Enter
any penalty
Tax due. If the total
line 4 from line 3 If zero or less,
for extension
erroneously
and payments
credited
of estimated
If line 7 1s more than the total
or intervene
Did 1t spend
tax
Check
of lines
or d1stnbuted
D 1d the foundation
Enter the amount
attempt
during
amount
by the foundation
on foundation
,... $ ---------
managers
Has the foundation
Did the foundation
Was there
engaged
1n any act1v1t1es that
descnpt1on
or other
have unrelated
1tf1led a tax return
By state
10
Refunded,...
11
state,
or local
leg1slat1on
for pol1t1cal purposes
leg1slat1on
that conflict
4955)
during
not previously
business
required
gross
d1ssolut1on,
during
been reported
to the IRS?
instrument,
income
of $1,000
or more during
instrument,
the foundation
the governing
1n the governing
10
reports
the year?.
contraction
during
No
No
4a
No
as required
as a private
year 2010
No
the year?
4 941
through
4 94 5) s at1s f1ed e 1the r
instrument
so that
no mandatory
d1rect1ons
instrument?
or with which
line 7, has the foundation

of each state
page 2 7 )? If "Yes," complete
T.
1s "Yes"to
cla1m1ng status
No
4b
or substantial
If the answer
for calendar
le
articles
copy of the changes
year?.
,..._IL
____________________________________________
Is the foundation
No
or
amends
law remain
to the IRS, 1n its governing
If "Yes," attach a conformed
1nstruct1ons)
or 4942(J)(5)
lb
Enter the states
(or designate)
No
tax imposed
Sa
to which
la
the year
,... $ _______
the year for pol1t1cal expenditure
reported
by General Ins truct1on
that effectively
with the state
imposed
managers
have not previously
on Form990-Tforth1s
1n the governing
No
(see page 19 of
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
General
Yes
or did
3,368
of the act1v1t1es and copies of any materials
(section
A re the req u1re me nts of s ect1on 5 0 8 (e) (re lat1ng to s ect1ons

By language
,...
with the act1v1t1es.
s1m1lar instruments?
a l1qu1dat1on, term1nat1on,
overpaid.
of the act1v1t1es.
made any changes,

or bylaws,
If "Yes," attach the statement

6
8
9
the amount
or 1nd1rectly)
(2) 0 n foundation
(1f any) paid by the foundation
If"Yes,"has
1s attached
year?.
Enter the reimbursement
of 1ncorporat1on,
2220
3,368
descnpt1on
in connection
for this
,... $
If "Yes," attach a detailed
4a
owed
any national,
directly
(1f any) of tax on pol1t1cal expenditures
Has the foundation
p- 1f Form
here
5 and 8, enter
to influence
the year (either
f1le Form 1120-POL
(1) 0 n the foundation
11,999
for def1n1t1on)?
6,300
Activities
If the answer is "Yes" to la or lb, attach a detailed

published
6c
1n any pol1t1cal campaign?
more than $100
the 1nstruct1ons
8,630
5,699
11
1t part1c1pate
6d
5 and 8 1s more than line 7, enter
the tax year, did the foundation
8,630
-0-.
6d.
Enter the amount of line 10 to be Credited to 2011 estimated tax ,...
6b
to file (Form 8868)
6a through
Regarding
enter
6a
withheld.
for underpayment
Statements
to 2010
at source
oft1me
Add lines
of lines
overpayment
withheld
Overpayment.
During
trusts and taxable foundations only Others enter -0-)
10
Part VII-A
8,630
trusts and taxable foundations only Others enter -0-)
income. Subtract
Exempt
la
2010
Backup
1n Part V, check
1 and 2.
requirements
1% of Part I, line 27b
4940(e)
see page 18 of the instructions)
furnished
by General
operating
or the taxable
1t 1s registered
Yes
Yes
Sb
Yes
(see page 19 of the

_
a copy of Form 990-PF

Instruction
foundation
to the Attorney
G? If "No," attach explanation.
w1th1n the meaning
year beg1nn1ng 1n 2010
of section
(see 1nstruct1ons
4942(J)(3)
for Part XIV
on
Part XIV
Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule /Jstmg their names and addresses
10
Form
990-PF
No
No
(2010)
Part VII-A
11
Statements
Atanyt1m
e during
of section
meaning
Regarding
512(b)(13)?
If"Yes,"
Did the fo undat1on
acquire
a direct
13
D 1d the fo undat1on
comply
with the public
14
The books
are 1n care of ... BLOOMA
16
STARK
Section
494 7(a)(1)
the amount
At any time
during
calendar
a bank, securities,
or other
trusts
ReqardinQ
During
the year d 1d the foundation
( 1) Engage
(2) Borrow
money
from,
or accrued
August
and exemption
appl1cat1on?
1n or a signature
for the benefit
(6) Agree
or other
for Form TD F 90-22
column, unless an exception
1fthe foundation
agreed
1 If "Yes",
after term1nat1on
If any answer
section
credit
them from)
to (or accept
relying
Did the foundation
on a current
engage
that were not corrected
Taxes
on failure
operating
If "Yes,"
to incorrect
.... 20 __
3a
If"Yes,"d1d
valuation
answer
20 __
at any time
of the 10-,
if the foundation
4942(a)(2)
,
(does
No
I
I
I
Yes
No
Yes
F
F
F
Yes
No
Yes
No
Yes
No
No
available
"No"
).
under the exceptions
assistance
assistance
described
1n Regulations
(see page 20 of the 1nstruct1ons)?.

check
described
1n la,
not apply
lb
here.
other
for years
than excepted
acts,
the foundation
le
No
2b
No
was a private
or 4942(J)(5))
have any undistributed
income
(lines
6d
2010?.
20 __
to the year's
Yes
No
20 __
1s not applying
the foundation
"No" and attach
during
1t have excess
by the Comm1ss1oner
4a
20 __
of assets)
20 __
Yes
undistributed
statement-see
the prov1s1ons
income?
of section
(If applying
4942(a)(2)
section
4942(a)(2)
page 20 of the 1nstruct1ons).
are being applied
to any of the years
listed
1n 2a, list the years
here
20
hold more than a 2 % d I rect or ind I rect I nte rest In any bus 1nes s
or d1squal1f1ed persons
the lapse
disaster
disaster
4942)
4942(J)(3)
1n 2a forwh1ch
of section
D 1d the foundation
enterprise
listed,
If the prov1s1ons
day of the tax year beg1nn1ng 1n 2010?.
beg1nn1ng before
.... 20 __
listed
regarding
did the foundation
No
1t from)
Check
w1th1n 90 days
fall to qualify
regarding
(section
1n section
for tax year(s)
any years
to all years
the first
income
defined
list the years
Are there
(relating
before
At the end of tax year 2010,

and 6e, Part XIII)
notice
the
the off1c1al for a period
1n a prior year 1n any of the acts
to distribute
foundation
1f term1nat1ng
notice
enter
No
Yes
a d 1squa I 1f1ed person?
off1c1al? (Exception.
did any of the acts
or 1n a current
over
Mav Be Required
(or make any of either
to or to employ
service,
to la(l)-(6),
53 4941(d)-3
O rgan1zat1ons
of government
1s "Yes"
'
,..
applies.
with a d 1squa I 1f1ed person?
extend
to a government
to make a grant
828-9600
or ind I rectly)
to a d1squal1f1ed person
or property
Yes
15
authority
or use of a d1squal1f1ed person)?.
to pay money
13
16
Act1v1t1es for Which Form 4720
to, or otherwise
or assets
No
------------
and f1l1ng requirements
s e rv 1ces, or fac 1l1t1es to (or accept
any income
No
12
....60611
. ....
the year.
(4) Pay c ompe ns at1on to, or pay or re I mburs e the ex pens es of, a d 1squa I 1f1ed person?
(5) Transfer
no .... (312)
11
here
a d1squal1f1ed person?.
(3) Furn1s h goods,
17, 2008?
Telephone
1n lieu of Form 1041-Check
during
country?
or leas Ing of property
lend money
returns
before
DAVI
have an interest
1n a foreign
(e 1the r d 1rectly
In the sale or exchange,
contract
for its annual
f1l1ng Form 990-PF
File Form 4720 if any item is checked in the "Yes"
la
insurance
GOLDGEHN
did the foundation
f1nanc1al account
Statements
requirements
received
See page 20 of the 1nstruct1ons for exceptions

....
name of the foreign country
Part VII
w1th1n the
(see page 20 of the 1nstruct1ons).
ARONBERG
interest
year 2010,
entity
ZIP+4
charitable
of tax-exempt
own a controlled
1n any applicable
1nspect1on
at ....300 N WABASH 1700 CHICAGO IL
and enter
or 1nd1rectly,
schedule
or 1nd1rect interest
Located
nonexempt
directly
attach
12
15
(continued)
Activities
the year, did the foundation,
after
holdings
4943(c)(7))
or 2 0-yea r first
had excess business

invest
Did the foundation
make any investment
charitable
that
as a result
to dispose
phase
holdings
Did the foundation
purpose
during
1n 2010
of(l)
(2) the lapse of the 5-year
May 26, 1969,
under section
15-,
the year?.
business
of holdings
period
acquired
Yes
No
by the foundation
(or longer
period
approved
by gift or bequest,
or (3)
hold 1ng pe nod? (Use Schedule C, Form 4720, to determine
in 2010.).
the year any amount
3b
1n a manner
1n a prior year (but after
had not been removed
any purchase
from Jeopardy
that would Jeopardize
its charitable
December
that could Jeopardize
before
the first
31, 1969)
4a
purposes?
No
its
4b
day of the tax year beg1nn1ng 1n 2010?

Form
990-PF
No
(2010)
Part VII-B
Sa
During
Statements
(1) Carry
on propaganda,
(2) Influence
to an 1nd1v1dual for travel,
a grant
to an organ1zat1on
509(a)(1),
section
If the answer
1s "Yes"
tax because
1t ma1nta1ned
premiums
during
on a personal
Did the foundation,
notice
5a(4),
expenditure
the year,
benefit
during
(section
(see section
or other
May Be Required
4955),
etc,
I
I
Yes
Yes
p- No
p- No
Yes
p- No
Yes
or to carry
notice
regarding
described
sc1ent1f1c, literary,
or
or animals?.
fall to qualify
regarding
disaster
under the exceptions
disaster
assistance
assistance
check
does the foundation

respons1b1l1ty
organ1zat1on
to children
claim
exemption
described
rec e 1ve any funds,
pay premiums,
.Jrr-'
Yes
No
Yes
f7
No
53.4945-S(d).
d 1rectly
directly
Sb
from the
or ind I rectly,
to pay
contract?.
the year,
p- No
1n
(see page 22 of the 1nstruct1ons)?

here.
for the grant?.

section
p- No
Yes
of cruelty
(continued)
4945(e))?
s1m1lar purposes?
4940(d)(2)?
by Regulations
required
4720
drive?.
rel1g1ous, charitable,
or 1n a current
to question
election
did any of the transactions
on a current
If "Yes," attach the statement

D 1d the foundation,
than
5a(1)-(5),
53 4945
relying
leg1slat1on
study,
or for the prevention
1s "Yes"to
Regulations
other
purposes,
O rgan1zat1ons
to influence
than a charitable,
(2), or (3), or section
for any purpose
If any answer
other
Form
to
reg1strat1on
a grant
educational
any voter
for Which
any amount
of any spec1f1c public
or 1nd1rectly,
(4) Provide
(5) Provide
6a
attempt
(3) Provide
1n section
Activities
pay or incur
or otherwise
the outcome
on, directly
Regarding
the year did the foundation
or 1nd1rectly,
on a personal
benefit
6b
contract?.
No
If "Yes" to 6b, file Form 8870.

At any time
7a
the tax year, was the foundation

receive
any proceeds
Information
About
and Contractors
l:ffil9111
1
during
If yes, did the foundation
List all officers,
directors,
Officers,
trustees,
(a) Name and address

BARRESEID
1111W35THST
CHICAGO,IL
and their
Foundation
compensation
Managers,
f7
Yes
No
7b
Highly
Paid Employees,
(see page 22 of the instructions).
(c) Compensation
(If not paid, enter
-0-)
and average
per week
to pos1t1on
transaction?
to the transaction?
(d) Contributions
to
employee
benefit plans
and deferred compensation
(e) Expense account,

other allowances
PRES/TREAS
1 00
SECY
0 10
DIRECTOR
1 00
60609
JOAN FRONTCZAK
1111W35THST
CHICAGO,IL
managers
Trustees,
attributable
60609
BARBARALANDIS-SEID
1111W35THST
CHICAGO,IL
to a proh1b1ted tax shelter
Directors,
foundation
(b) Title,
hours
devoted
a party
or have any net income
60609
Compensation
of five highest-paid
If none, enter "NONE."
employees
(a) Name and address of each employee

paid more than $50,000
(other
(b) Title,
hours
devoted
than
those
and average
per week
to pos1t1on
included
on line 1-see
(c) Compensation
page 23 of the instructions).

(d) Contributions
to
employee
benefit
plans and deferred
compensation
(e) Expense account,

other allowances
NONE
Total
number
of other
employees
pa 1d over$
5 0 ,0 0 0.
,,..
0
Form
990-PF
(2010)
Form 990-PF
(2010)
I Vi il'I ! I W
3
Five highest-paid
(a) Name
Page
Information
About Officers,
and Contractors
(continued)
independent
and address
of each
contractors
person
Directors,
for professional
paid more than
Trustees,
Foundation
Managers,
services (see page 23 of the instructions).
(b) Type
$50,000
Highly Paid Employees,

If none, enter "NONE".
of service
(c) Compensation
NONE
Total number
of others
iihilf!#.;I
rece1v1ng
Summary
over $50,000
for professional
of Direct Charitable
....
services.
Activities
List the foundation's four largest direct charitable act1v1t1esduring the tax year Include relevant stat1st1calinformation such as the number of
organizations and other benef1c1ariesserved, conferences convened, research papers produced, etc
Expenses
:.r.,..--==-: Summary
of Program-Related
Describe the two largest program-related
Investments
(see paqe 24 of the instructions)
investments made by the foundation during the tax year on Imes 1 and 2
A mount
A II other
program-related
investments
See page 24 of the 1nstruct1ons
Total. Add lines
1 through
3.
.... I
Form
990-PF
(2010)
Form 990-PF
liifli!i
1
(2010)
Page
Minimum Investment
Return (All domestic foundations
see paqe 24 of the instructions.)
Fair market
value
of assets
not used (or held for use) directly
1n carrying
must complete this part. Foreign foundations,

out charitable,
etc,
purposes
a
Average
monthly
Average
of monthly
fair market
value
Fair market
Total (add lines
value
Reduction
claimed
for blockage
le
detailed
explanation).
(attach
Acqu1s1t1on
Subtract
Cash deemed
of securities.
cash balances.
of all other
la,
assets
or other factors
reported
on lines
I le I
applicable
to line 1 assets.
held for charitable
act1v1t1es
Enter
1 1/2%
ofl1ne
3 (for greater
amount,
see page 25
Net value of noncharitable-use

Minimum
investment
Subtract
assets.
Enter
return.
line 4 from line 3 Enter
here and on Part V, line 4
5% of line 5.
Tax on investment
income
Income
tax for 2010
Add lines 2a and 2b.

amount
Recoveries
of amounts
Add lines
Deduction
Distributable
for 2010
from Part VI,
I 2a I
I 2b I
line 5.
116,620
8,630
before adJustments
treated
Subtract
line 2c from line 1.
8,630
107 ,990
as qual1fy1ng d1stribut1ons.
3 and 4.
from distributable
amount
as adJusted
amount
Subtract
line 6 from line 5 Enter
107 ,990
here and on Part XIII,
line 1.
107 ,990
Qualifying
A mounts
Distributions
(see page 25 of the instructions)
paid (1nclud1ng adm1n1strat1ve
Expenses,
Program-related
contributions,
A mounts
gifts,
investments-total
paid to acquire
expenses)
etc -total
assets
to accomplish
from Part I, column
charitable,
etc,
purposes
(d), line 26.
la
from Part IX-B.
used (or held for use) directly
1n carrying
out charitable,
2,040,67
etc,
2
A mounts
set aside for spec1f1c charitable

(prior
Su1tab1l1ty test
Cash d1stribut1on
Qualifying
Foundations
Adjusted
income
2,040,67
lb
purposes.
3
116,620
2c
Distributable
from Part X, line 6.
(T h Is does not I n c I u de the tax from P a rt V I )
2,332,391
return
3 5 ,519
Distributable
Amount (see page 25 of the instructions) (Section 4942(J)(3) and (J)(5) private operating
foundations and certain fore1qn orqarnzat1ons check here,...
and do not complete this part.)
M1n1mum investment
l:ffll30
2,367,910
2a
0
2,367,910
la and
line 2 from line ld.
984,277
ld
of the 1nstruct1ons).
l:ff.lS:a
1,383,633
lb
le
b, and c).
indebtedness
la
IRS approval
test
(attach
distributions.
Enter
that qualify
proJects
the required
Add lines
that satisfy
the
required).
3a
schedule).
la through
under section
4940(e)
3b
Enter
3b
here and on Part V, line 8, and Part XIII,
for the reduced
line 4
1% of Part I, line 27b (see page 26 of the 1nstruct1ons).
qualifying
distributions.
Subtract
11ne 5 from 11ne 4.
Note: The amount on line 6 will be used 1n Part V, column

the section 4940(e)
reduction
of tax 1n those years
rate of tax on net investment
(b), 1n subsequent
8,630
2,032,042
years
when calculating
whether
the foundation
Form
qual1f1es for
990-PF
(2010)
Undistributed
Part XIII
Income
(see paqe 26 of the instructions)

(a)
Corpus
Distributable
Undistributed
income,
1fany,
Enter
amount
for 2009
only.
Total
for prior years
Excess
From 2005.
amount
20
__, __,
(d)
2010
107,990
20
20
--
1f any, to 2010
2, 789, 797
From 2006.
5,033,916
From 2007.
2, 128,874
From 2008.
1,480,856
From 2009.
1,521,632
Total of lines
(c)
2009
as of the end of2010
carryover,
3a through
(b)
prior to 2009
from Part XI, line 7
for 2010
d1stribut1ons
Years
12,955,075
e.
Qua I 1fy 1ng d 1stri but1ons for 2 0 10 from Pa rt
XII, line 4
..... $
2,040,672
a A ppl1ed to 2009,
but not more than
b A ppl1ed to undistributed
(Election
required-see
line 2a
income of prior years

page 26 of the 1nstruct1ons)
c Treated as d1stribut1ons
out of corpus (Election
required-see
page 26 of the 1nstruct1ons).
d Applied
to 2010
distributable
distributed
e Rema1n1ng amount
Excess
d1stribut1ons
107,990
amount.
1,932,682
out of corpus
carryover
applied
to 2010
(If an amount appears in column (d), the

same amount must be shown in column (a).)
6
Enter the net total

indicated below:
a Corpus
Add lines
of each column as
3f, 4c, and 4e
b Prior years' undistributed

I In e 4 b from I In e 2 b
income
Subtract
line 5
14,887, 757
Subtract
c Enter the amount of prior years' undistributed

income for which a notice of def1c1ency has
been 1ssued, or on wh1c h the s ect1on 4 9 4 2 (a)
tax has been previously
assessed.
line 6c from line 6b Taxable
d Subtract
amount-see
page 27 of the 1nstruct1ons.
income for 2009
Subtract
line
e U nd1stributed
4a from line 2a Taxable amount-see
page 27
of the 1nstruct1ons
Undistributed
income for 2010
lines 4d and 5 from line 1 This
1n 2011
be distributed
Subtract
amount must
7 A mounts treated as d1stribut1ons

out of
corpus to satisfy requirements
imposed by
section
170(b)(l)(F)
or4942(g)(3)
(see page 27
of the 1nstruct1ons).
9
10
a
Excess d1stribut1ons
carryover
from 2005 not
applied on line 5 or line 7 (see page 27 of the
1nstruct1ons).
Excess distributions
carryover to 2011.
lines 7 and 8 from line 6a.
Subtract
A nalys1s
2, 789, 797
12,097,960
of line 9
E x c es s from 2 0 0 6
5,033,916
2, 128,874
1,480,856
1,521,632
1,932,682
Form
990-PF
(2010)
Foundations
Part XIV
la
a e 27 of the instructions and Part VII-A
has received a ruling or determ1nat1on

letter that 1t 1s a private
and the ruling 1s effective
for 2010, enter the date of the ruling.
foundation,
b Check
2a
box to 1nd1cate whether
the organ1zat1on
Enter the lesser of the adJusted net

income from Pa rt I or the m1n1mum
1nves tme nt return from Pa rt X for each
year listed.
operating
...-~------------------
foundation
described
85%
Qua l1fy Ing d 1stribut1ons from Pa rt XI I,

line 4 for each year listed.
Amounts included in line 2c not used directly

for active conduct of exempt act1v1t1es.
Q ual1fy1ng d1stribut1ons
made directly
for active conduct of exempt act1v1t1es
line 2d from line 2c
Subtract
In section
4942(J)(3)
or
P ri or 3 ye a rs
(a) 2010
ofl1ne
IS a private
uest1on 9
operating
Tax year
(b) 2009
4942(J)(5)
(e) Total
(c) 2008
(d) 2007
2a.
Complete
3a, b, or c for the
alternative
test relied upon
"Assets"
alternative
test-enter
(1)
Value
(2)
Value of assets qual1fy1ng

under section 4942(J)(3)(B)(1)
of all assets
"Endowment"
alternative
testenter
of m1n1mum investment
return shown
Part X, line 6 for each year listed.
"Support"
alternative
2/3
1n
test-enter
(1)
Total support other than gross

investment
income (interest,
d1v1dends, rents, payments
on securities
loans (section
512(a)(5)),
or royalties).
(2)
Support from
and 5 or more
organ1zat1ons
section 4942
(3)
Largest amount
from an exempt
(4)
Gross
I :r.Tili
'.t'
1
see
If the foundation
general public
exempt
as provided 1n
(J)(3 )(8)(111).
of support
organ1zat1on
investment
income
Supplementary
Information
(Complete
assets at any time during the year-see
this part only if the organization

page 27 of the instructions.)
Regarding Foundation Managers:

of the foundation
who have contributed
more than 2% of the total
before the close of any tax year (but only 1f they have contributed
more than $5,000)
had $5,000
or more in
Information
a List any managers
contributions
received
by the foundation
(See section 507 (d)(2))
NONE
b List any managers

ownership
of the foundation
of a partnership
or other
who own 10% or more of the stock of a corporation

(or an equally
entity) ofwh1ch the foundation
has a 10% or greater interest
large portion
of the
NONE
Information
Regarding
Contribution,
Grant, Gift, Loan, Scholarship,
etc., Programs:
.,_p
Check here
1fthe foundation
only makes contributions
to preselected
charitable
organ1zat1ons and does not accept
unsol1c1ted requests for funds If the foundation
makes gifts, grants, etc (see page 28 of the 1nstruct1ons)
to 1nd1v1duals or organ1zat1ons
under other cond1t1ons, complete
items 2a, b, c, and d
a The name, address,
b The form 1n which
and telephone
appl1cat1ons
number
should
of the person
be submitted
c Any subm1ss1on
deadlines
d Any restrictions
or l1m1tat1ons on awards,
such
to whom appl1cat1ons
and 1nformat1on
as by geographical
should
and materials
areas,
charitable
be addressed
they
should
fields,
include
kinds
of 1nst1tut1ons,
or other
facto rs
Form
990-PF
(2010)
Form 990-PF
Page
11
2,040,67
2,040,67
(2010)
ffii:W Supplementary
3 Grants
Information
(continued)
and Contributions
Paid During the Year or Approved
Rec1p1ent
Name and address

a
Paid dunng
(home or business)
If rec1p1ent 1s an 1nd1v1dual,
show any relat1onsh1p to
any foundation
manager
or substantial
contributor
PUBLIC
Purpose of grant or
contribution
A mount
UN RESTRICTED
.....3a
Total.
Total.
Foundation
stat us of
rec1p1ent
Payment
the year
SEE ATTACHED
SCHEDULE
VARIO US
VA RIO US, IL 60609
b Approved
for Future
for future
payment
.....3b
Form
990-PF
(2010)
Part XVI-A
Enter
gross
Analysis
am ounts
1 Program
of Income-Producing
unless
ser vice
otherwise
1nd1cated
Activities
Unrelated
(a)
Business
revenue
business
income
(b)
code
(c)
A mount
(e)
Related or exempt
function income
(See page 28 of
the 1nstruct1ons
)
Excluded by section 512, 513, or 514
Exclusion
code
(d)
A mount
a
b
c
d
e
f
g Fees and contracts
2 Members
from government
agencies
h1p dues and assessments.

168
3 Interest on savings and temporary cash investments

4 D1v1dends a nd interest from securities.
5 Net rental I ncome or (loss) from real estate
526,238
a Debt-f1na need property.

bNotdebt-
f1na nc ed property.
Net renta I income or (loss) from personal property
7 Other1nves
tment
9 Net income
10 Gross
or (loss)
prof1 tor
11 Otherreven
b ___
c ___
d ___
e ___
12 Subtotal
13
income.
342,898
Gain or ( loss) from sales of assets other than inventory

(loss)
ue
from special
from sales
events
of inventory.
A dd columns
869,304
(b), (d), and (e).
. 13 __________
Total. Add line 12, columns

(See worksheet
Part XVI-B
..
Line No.
3,4,8
(b), (d), and (e).

1n line 13 1nstruct1ons on page 28 to verify
Relationshi
of Activities
FOUNDATION
IS A PASSIVE
calculations
to the Aecom
Explain below how each act1v1ty for which income

the accomplishment
of the organ1zat1on's exempt
page 28 of the 1nstruct1ons)
8_6_9~,3_0_4
lishment
of Exem
1s reported 1n column
purposes
(other than
t Pur oses
(e) of Part XVI-A

contributed
importantly
to
by prov1d1ng funds for such purposes)
(See
INVESTOR
Form
990-PF
(2010)
Form 990-PF
(2010)
l:hii!WI
1
13
Page
Information
Regarding Transfers To and Transactions
Noncharitable
Exempt Organizations
and Relationships
With
Did the organization directly or indirectly engage in any of the following with any other organ1zat1ondescribed in section
Yes
No
SOl(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers
from the reporting
foundation
to a noncharitable
exempt
organ1zat1on
of
(1)
Cash.
1a(1)
No
(2)
0 ther assets.
1a(2)
No
b Other
transactions
1b(1)
No
1b(2)
No
1b(3)
No
1b(4)
No
lb(S)
No
1b(6)
No
le
No
(1)
Sales
(2)
Purchases
(3)
Rental
(4)
Reimbursement
(5)
Loans
of assets
offac1l1t1es,
exempt
from a noncharitable
equipment,
or other
organ1zat1on.
exempt
organ1zat1on.
assets.
arrangements.
or loan guarantees.
(6) Performance
c Sharing
to a noncharitable
of assets
of services
offac1l1t1es,
or membership
equipment,
or fundra1s1ng
ma1l1ng lists,
other
sol1c1tat1ons.
assets,
or paid employees.
d If the answer to any of the above 1s "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
show 1n column (d) the value of the goods, other assets, or services
received
1n any transaction
or sharing arrangement,
(a) Line No
(b) Amount involved
2a Is the foundation
described
b If"Yes,"
d 1rectly
1n section
complete
(c) Name of nonchantable exempt organ1zat1on
or ind I rectly
SOl(c)
aff1l 1ated with, or re lated to, one or more tax-exempt
of the Code (other
the following
(d) Description of transfers, transactions, and sharing arrangements
than section
501(c)(3))
or 1n section
orga n1zat1ons
(b) Type of organization
(c) Description of relat1onsh1p
this return, 1nclud1ng accompanying

Under pe na lt1es of pe rJury, I dee la re that I have examined
the best of my knowledge
and belief, 1t 1s true, correct,
and complete
Declaration
of preparer
based on all 1nformat1on ofwh1ch preparer has any knowledge
i 2011-08-11
******
of officer
or trustee
Date
:::c
c
::r.:,
v.i
schedules
and statements,
and to
(other than taxpayer
or f1duc1ary) 1s
******
Title
Date
-:l)
ii)
'":..-
>,
-fC
.::.:,i::o
i::f:::.
t ,t,
o.:i
P re pa re r' s
Signature
Firm's
name
DAVID
1fself-
employed
HAFFT
~r
2011-08-11
~
DAV ID HA F FT & CO LTD

300
address
PTIN
Check
,j)
Firm's
Yes
schedule
(a) Name of organization
Signature
.I
5277.
VILLAGE
LINCOLNSHIRE,
Firm's
EIN~
Phone
no
GRN STE 214

IL
600693086
(847)
Form
913-8006
990-PF
(2010)
lefile
GRAPHIC
print
- DO NOT PROCESS
TY 2010 Accounting
EIN:
DAV ID HA F FT & CO , LTD

& TAX
ACCOUNTING
Filed
DLN:934912230075511
Data -
Fees Schedule
Name:
Category
I As
BARBARAAND BARRESEID FOUNDATION

36-3342443
Amount
Net Investment
Income
1,550
Adjusted Net
Income
Disbursements
Charitable
Purposes
for
lefile
GRAPHIC
print
I As
- DO NOT PROCESS
TY 2010 Investments
Bonds Schedule
Filed
DLN:934912230075511
Data -
Corporate
Name:
EIN:
BARBARA AND BARRE SEID FOUNDATION

36-3342443
Name of Bond
212 sh LDSS, INC
SEP/SUNFLOWER CORP UNSECURED PARTICIPATION NOTES
End of Year Book

Value
212
821,243
End of Year Fair

Market Value
212
821,243
lefile
I As Filed
DLN:934912230075511
Data -
TY 2010 Legal Fees Schedule

Name:
EIN:
Category
ARON BERG GOLDGEHN

&GARMISA
LEGAL
CSC LEGAL
36-3342443
Amount
DAVIS
REPRESENTATION
Net Investment
Income
611
195
Adjusted Net
Income
Disbursements for
Charitable
Purposes
lefile
I As Filed
DLN:934912230075511
Data -
TY 2010 Other Expenses Schedule

Name:
EIN: 36-3342443
Description
INVESTMENT
FEES
Revenue and Expenses

per Books
6,260
Net Investment
Income
Adjusted
6,260
Net Income
6,260
Disbursements
for
Charitable
Purposes
lefile
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print
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TY 2010 Other Increases
I As
Filed
Data -
DLN:934912230075511
Schedule
Name:
EIN: 36-3342443
Description
CAPITAL GAIN INCOME
Amount
342,898
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I As
Filed
DLN:934912230075511
Data -
TY 2010 Taxes Schedule

Name:
EIN:
Category
FRANCHISE
FEDERAL
TAX
TAXES

36-3342443
Amount
Net Investment
Income
25
4,100
Adjusted Net
Income
Disbursements
Charitable
Purposes
for
--dcJ(O
BARBARA BARRE SEID FOUNDATION - 36-3342443
201 O contnbut1ons
DATE
ORGANIZATION
LOCATION
.Chicago, lll1no1s
__
Emet Synagogue
8/2/2_010_!l~s_he
5/27/201 O
Avon
Walk
for
Breast
Cancer
[ch_ic~~~-ill1no1s
--9/1/2010 Blessed Sacrament Youth Center
!Chicago, lll1no1s
12/13/201 O Boy Scouts of America
!Chicago, lll1no1s
ICh1cago, lll1no1s
10/19/2010 Catholic Relief Services
12/21/2010, Center for Enriched Living
Riverwood, lll1no1s
1/12/2010.Charnber Opera Chicago
Chicago, Illinois
Chic:;_ago
Academy for the Arts
12/21/2010 __
Chicago, Illinois
12/21/2010 Chicago Child Care Society
___
_t:;hicago,Illinois
12/12/2010 Chicago Clg of the Prfmng A_rt_s(f3sylt) Chicago, lfhno1s
Chicago, Illinois
3/29/2010 Chicago Opera The~\~~
12/21/2010 Chica~o_:5hakespeare Theatre
4/16/2001 _Chicago Symphony Orchestra
12/13/201 O Chinese Fine Arts Society
1/8/2010 Church of the Three Crosses
12/10/2010 CIVICOrchestra of Chicago
5/3/2010 Classical Symphony
11/22/2010 Community Actron Centers ProJect
1/11/2010 Covenant House
12/12/201 O, DePaul University
2/3/2010 Elgin Opera
12/21/2010'.Emergency Fund
12/12/2010 Ensemble Espanol
12/21/2010 Executive Serv~9e Corps
2/15/2010 Fa1rvote
--- - - ------10/1/2010 Illinois Holocaust Museum
12/12/2010, Immaculate Conceptio~ Church
12/13/201 OI Jewish Federation of No America
12/13/2010 Jewish United Fund of Metro Chgo
3/12/201 D I LBRSS
8/18/2010 Light Opera Works
7/9/2010 Lincoln Central Assoc1at1on
12/21/2010 Lincoln Park Zoo
12/21/2010, Lyrrc Opera_ClfChicago
1/8/2010.Mercy Home for Boys & G_1rls
12/21/2010. Metropolitan Opera
12/21/2010, Morehouse College
8/18/201 Northbrook ~ymphony Orchestra
2/19/2010 Old Town Trrangle Assn
12/10/201 O Piano Forte Fdtn
7/2/201 O Salvation Army
6/11/201 O Santa Fe Opera
10/28/201 OI SCT Productions
q_
12~13/201~- Society o! J~E:

Cl_ivineSaviour
3/31/2010,St Lawrence
3/30/2010 St.Michaels 1nOld Town
11/11/2010 TheLaboratory Schools@_ l(Chgo

4/16/2010 __
The Metropolitan _Museum of Art
12/10/20j O_University o_fChicago (Jrnlsm ProJ)
9/16/2010 Vecinos Del Rio
8/25/201 O V1s1tat1onChurch
3/9/2010 WDCB
12/21/2010 WFMT
12/21/2010 WTTVV
-.-0--r:-Jl{ _
Ch1caE_~_
Illinois
Chicago, Illinois
,Chicago, lllmo1s
IChicago, lllmo1s
Chicago, Illinois
Chicago, Illinois
Los Angeles, CA
Ch1c.:igo, Illinois
Chicago, lfhno1s
Elgin, lll1no1s
Chicago, Illinois
.Chicago, lll1nms
,Chicago, 111'.no_is
iTakorna Park, MD
1- ---;Skokie, Illinois
lch1cago, lll1no1s
'New York, NY
Chicago, Illinois
Chicago, Illinois
Evanston, llhno1s
Chicago, lllino!~ _
__
<::_~~~ago,
llhno1s
Chicago, lllmo1s
j Chicago, lll1no1s
'New York, NY
Atlanta, GA
Northbrook, IL
_Chicago, lllino1s
Chicago, llhno1s
Chicago, Illinois
Santa Fe, NM
~C~1cago, lll1no1s
Milwaukee, WI
I
JC~(C~~Cl,_
lllinms
Chicago, Illinois
!Chicago_, lll1no1s
New York, NY
Chicago, lllmo1s
Velarde, NM
Elmhurst, IL
Glenn Ellyn, IL
Chicago, Jllmo1s
Chicago, Illinois
AMOUNT
$1,000 00
$500 00
$2,000.00
$5,000.00
$1,000 00
$5,000 00
$780,000 OD
$20,000_00
$7,500 00
$10,000 00
$65,172 10
$50,000_00
$10,000 OD
$1,000 00
$5,000 00
$40,000 00
$5,000 00
$200,000 00
$3,700 00
$5,000.00
$13,000.00
$10,000 00
$1,000 00
$5,000 00
$9,000 00
$10,000.00
$3,000 00
S 100,000 00
$100,000 OD
$500 00
$115,000.00
S1DO00
$10,000_00
$25,000.00
$4,000_00
$10,000_00
$5,000_00
$40,000_00
$500_00
$1,000 00
$10,000 00
$25,000.00
$25,000 00
$28,000 DO
$10,000 00
$2,000 00
$200,000.00
$1,200 DD
$50,000 DO
$2,500 DO
$1,000 DO
$1,000 OD
$2,500.00
$3,500 DO
$2,040,672 1D
FORM~B~eF~
--

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Return of Private Foundation

B Telephone number (see page 10 of the instructions)

City or town, state, and ZIP code

value of all assets

total of amounts m columns (b), (c), and (d) may not

gain net income

Total expenses and disbursements.

Taxes (attach schedule) (see page 14 of the instructions)

(c) Adjusted net

(b) Net investment

(a) Revenue and

If the foundation 1sin a 60-month termination

Gross sales less returns and allowances

Gross sales price for all assets on line 6a

E If private foundation status was temnmated

2. Foreign organ1zat1ons meeting the 85% test,

Net gain or (loss)

D 1. Foreign organ1zat1ons, check here

foundation 1snot required to attach Sch B

Contributions, gifts, grants, etc, received (attach schedule)

C If exemption application 1spending, check here

Add Imes 24 and 25

income (1f negative,

net income (1f negative,

For Privacy Act and Paperwork

Act Notice, see page 30 of the instructions.

Attached schedules and amounts in the description column

rec e 1va ble ,...

(see page 15 of the

Total assets (to be completed

Loans from officers,

see page 1, item I)

SFAS 117, check here

SFAS 117, check here

Total net assets or fund balances

26 and lines 30 and 31.

and net assets/fund

in Net Assets or Fund Balances

(see page 17 of the

the Ins truct1ons)

for sale or use

Pre pa 1d ex pens es and deferred

(a), line 30 (must

from Part I, line 27a

at end of year (line 4 minus

Gains and Losses for Tax on Investment

(b) How acquired

(a) List and describe

the k1nd(s) of property sold (e g, real estate,

(d) Date sold

(c) Date acquired

P-P urc hase

(g) Cost or other basis

(h) Gain or (loss)

only for assets

(h) and owned

(j) AdJusted basis

(I) Gains (Col (h) gain minus

(k) Excess of col (1)

gain net income