efile GRAPHIC rint - DO NOT PROCESS As Filed Data - DLN:93491027001084

0MB No 1545-0052
Return of Private Foundation
Form990-PF or Section 4947(a)(1) Nonexempt Charitable Trust
',!;I Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements
2012
DepartmentoftheTreasury Open to Public
InternalRevenueService Inspection

For calendar year 2012, or tax year beginning 10-01-2012 , and ending 09-30-2013
Name of foundation A Employer identification number
THE MILSTEINFAMILYFOUNDATION
95-4824595
B Telephone number (see 1nstnuct1ons)
Number and street (or PO box number 1fmail Is not delivered to street address) Room/suite
16027 VENTURABLVD
(818) 995-7965

'
City or town, state, and ZIP code C If exemption application Is pending, check here ~
ENCINO, CA 91436

G Check a II that apply r In1t1al return

r In1t1al return of a former public charity
'
D 1. Foreign organizations, check here ~

r Final return
r A mended return 2. Foreign organizations meeting the 85% test,
r Address change
r Name change
'
~
check here and attach computation

H Check type of organIzatIon P"Section 501(c)(3) exempt private foundation

r Section 494 7(a)(l) nonexempt charitable trust r Other taxable private foundation
I Fair market value of all assets at end J Accounting method P"Cash r Accrual E If private foundation status was terminated

'
under section 507( b)( l)(A), check here ~
of year (from Part II, col. (c),
!me 16),..$ 14,659,167
r Other (specify)
- F If the foundation Is in a 60-month temnmatIon
(Part I, column (d) must be on cash basis.)

'
under section 507(b)(l)(B), check here ~

l:a-11 Analysis of Revenue and Expenses

total of amounts m columns (b), (c), and (d) may not
(The (a) Revenue and
(b) Net investment (c) Adjusted net
(d) Disbursements
for charitable
expenses per
necessanly equal the amounts m column (a) (see income income purposes
books
mstmctwns) ) (cash basis only)
1 Contributions, gifts, grants, etc, received (attach schedule) 1,010,000

2 Check ... 1 1fthe foundation Is not required to attach Sch B

3 Interest on savings and temporary cash investments 2,132 2,132 2,132

4 D1v1dends and interest from securities. 322,733 322,733 322,733

Sa Gross rents

b Net rental income or (loss)

6a Net gain or (loss) from sale of assets not on line 10 -184,118

4'
; b Gross sales price for all assets on line 6a 6,399,714
:r;
~ 7 Capital gain net income (from Part IV, line 2)
Ci:: 8 Net short-term capital gain

9 Income mod1f1cat1ons

10a Gross sales less returns and allowances I

b Less Cost of goods sold -I
C Gross profit or (loss) (attach schedule)

11 Other income (attach schedule) ',!;I 5,897 5,897

12 Total. Add lines 1 through 11 1,156,644 324,865 330,762

13 Compensation of officers, directors, trustees, etc

14 Other employee salaries and wages

,fl
4' 15 Pension plans, employee benefits
,fl
!::
',!;I 2,295 2,295
t
)(
16a
b
Legal fees (attach
Accounting fees (attach
schedule).
schedule). ',!;I 13,325 13,325
Li.I
4' C Other professional fees (attach schedule)
p
>
,:::; 17 Interest
'-
t--: 18 Taxes (attach schedule) (see 1nstnuct1ons) ',!;I 12,346
i:: DeprecIatIon (attach schedule) and depletion
19
E 11,035 11,035
-:::::: 20 Occupancy
-.:r
Travel, conferences, and meetings. 1,199 1,199
-:::::: 21
!::
,:::; 22 Printing and publ1cat1ons 877 877

',!;I 49,982 49,982 18,000

.!::'
23 Other expenses (attach schedule)
-..,
,:::; 24 Total operating and administrative expenses.
'-

0
t Add lines 13 through 23 91,059 78,713 18,000 0

25 Contributions, gifts, grants paid. 1,432,000 1,432,000

26 Total expenses and disbursements. Add Imes 24 and 25 1,523,059 78,713 18,000 1,432,000

27 Subtract line 26 from line 12

a Excess of revenue over expenses and disbursements -366,415

b Net investment income (1f negative, enter -0-) 246,152

C Adjusted net income (1f negative, enter -0-) 312,762

For Paperwork Reduction Act Notice, see instructions. Cat No 11289X Form 990-PF (2012)
Form 9 9 O- P F ( 2 O 1 2 ) Page 2
Attached schedules and amounts in the description column Beginning of year End of year
l:F-TillU
Balance Sheets should be for end-of-year amounts only (See instructions ) (a) Book Value (b) Book Value (c) Fair Market Value
1 Cash-non-interest-bearing. 201,398 320,379 320,379

2 Savings and temporary cash investments 7,647 61,942 61,942

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
d1squal1f1ed persons (attach schedule) (see page 15 of the
1nstruct1ons).
7 Other notes and loans receivable (attach schedule),..

Less allowance for doubtful accounts,..

'-""
m
'-""
8 Inventories for sale or use
'-"" 9 Prepaid expenses and deferred charges
~
10a Investments-Li S and state government obl1gat1ons (attach schedule)
b Investments-corporate stock (attach schedule). 7,727,728 ',!;I 7,063,763 6,806,855

C Investments-corporate bonds (attach schedule). 6,435,213 ',!;I 6,719,253 6,674,485

11 Investments-land, bu1ld1ngs, and equipment basis,..

Less accumulated deprec1at1on (attach schedule),..
12 Investments-mortgage loans
13 Investments-other (attach schedule)
14 Land, bu1ld1ngs, and equipment basis,..
Less accumulated deprec1at1on (attach schedule),..
15 Other assets (describe,.. ) ',!;I 955,272 ',!;I 795,506 ',!;I 795,506

16 Total assets (to be completed by all filers-see the

InstructIons Also, see page 1, item I) 15,327,258 14,960,843 14,659,167

17 Accounts payable and accrued expenses

18 Grants payable
,fl
19 Deferred revenue
4'
-e 20 Loans from officers, directors, trustees, and other d1squal1f1ed persons
.3 Mortgages and other notes payable (attach schedule)
,:::; 21
.::i 22 Other l1ab1l1t1es (describe,.. )

23 Total liabilities (add lines 17 through 22) 0

Foundations that follow SFAS 117, check here ,..

,fl
4' 24
u
and complete lines 24 through 26 and lines 30 and 31.
Unrestricted
'
~
,:::; 25 Temporarily restricted
-,:::;
26 Permanently restricted
ca
!::
Foundations that do not follow SFAS 117, check here ...p-
::::l and complete lines 27 through 31.
u.
'- 27 Capital stock, trust principal, or current funds
0
,fl
28 Pa1d-1n or capital surplus, or land, bldg, and equipment fund
4)
,fl 29 Retained earnings, accumulated income, endowment, or other funds 15,327,258 14,960,843
,fl
ci 30 Total net assets or fund balances (see page 1 7 of the
4) 1nstruct1ons). 15,327,258 14,960,843
z
31 Total liabilities and net assets/fund balances (see page 1 7 of
the 1nstruct1ons) 15,327,258 14,960,843

hlfllOI Analysis of Changes in Net Assets or Fund Balances

1 Total net assets or fund balances at beg1nn1ng of year-Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year's return) 1 15,327,258
2 Enter amount from Part I, line 27a 2 -3 66,415
3 Other increases not included In line 2 (1tem1ze),.. 3
4 Add lines 1, 2, and 3 4 14,960,843
5 Decreases not included In line 2 (1tem1ze),.. 5
6 Total net assets or fund balances at end of year (line 4 minus line 5)-Part II, column (b), line 30 6 14,960,843
Form 990-PF (2012)
Form 9 9 O- P F ( 2 O 1 2 ) Page 3
l:F-Til.l'ft Capita Gams an d Losses f or Tax on Investment Income
(b) How acquired
(a) List and describe the k1nd(s) of property sold (e g, real estate, (c) Date acquired (d) Date sold
P-Purchase
2-story brick warehouse, or common stock, 200 shs MLC Co) (mo, day, yr) (mo, day, yr)
D-Donat1on
la

(f) Deprec1at1on allowed (g) Cost or other basis (h) Gain or (loss)
(e) Gross sales price
(or allowable) plus expense of sale (e) plus (f) minus (g)
a
b
C

d
e
Complete only for assets showing gain 1n column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus
(j) AdJusted basis (k) Excess of col (1) col (k), but not less than -0-) or
(i) FM V asof12/31/69 Losses (from col (h))
asof12/31/69 over col (J), 1f any
a
b
C

d
e

2 Capital gain net income or (net capital loss) { If gain, also enter 1n Part I, line 7
If (loss), enter -0- 1n Part I, line 7 } 2 -184,118
3 Net short-term capital gain or (loss) as defined 1n sections 1222(5) and (6)

If gain, also enter 1n Part I, line 8, column

1n Part I, line 8
(c) (see 1nstruct1ons) If (loss), enter -0-
} 3 -11,932
..
ifliA,.4 Quahf1cat1on 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 1n the base period7 I Yes P- No
If"Yes," the foundation does not qualify under section 4940(e) Do not complete this part

1 Enter the appropriate amount 1n each column for each year, see page 18 of the 1nstruct1ons before making any entries
(a) (d)
(b) (c)
Base period years Calendar Net value of nonchantable-use assets D1stnbut1onratio
Adjusted qualifying d1stnbut1ons
year (or tax year beginning in) (col (b) d1v1dedby col (c))
2011 1,635,801 14,344,675 0 11404
2010 1,208,636 13,753,520 0 08788
2009 720,816 12,537,717 0 05749
2008 434,339 10,436,251 004162
2007 324,000 8,468,045 0 03826

2 Total of line 1, column (d). 2 0 33928

3 Average d1stribut1on ratio for the 5-year base period-d1v1de the total on line 2 by 5, or by
the number of years the foundation has been 1n existence 1f less than 5 years 3 0 06786

4 Enter the net value ofnoncharitable-use assets for 2012 from Part X, line 5. 4 14,447,535

5 Multiply line 4 by line 3.

5 980,366

6 Enter 1% of net investment income (1% of Part I, line 27b). 6 2,462

7 Add lines 5 and 6. 7 982,828

8 Enter qual1fy1ng d1stribut1ons from Part XII, line 4. 8 1,432,000

If line 8 1s equal to or greater than line 7, check the box 1n Part VI, line 1 b, and complete that part using a 1 % tax rate See
the Part VI 1nstruct1ons
Form 990-PF (2012)
Form 9 9 O- P F ( 2 O 1 2 ) page 4
l:J.fiifJI Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948-see page 18 of the instructions)
la Exempt operating foundations described in section 4940(d)(2), check here ,... I and enter "N/A" on line 1 '

Date of ruling or determ1nat1on letter ______ (attach copy of letter if necessary-see

instructions)
b Domestic foundations that meet the section 4940 (e) requirements 1n Part V, check 1 2,462
here,... p-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)(l) trusts and taxable foundations only Others enter -0-) 2
3 Add lines 1 and 2. 3 2,462
4 Subtitle A (income) tax (domestic section 4947(a)(l) trusts and taxable foundations only Others enter -0-) 4
5 Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -0-. 5 2,462
6 Credits/Payments
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 9,200
b Exempt foreign organ1zat1ons-tax withheld at source 6b
c Tax paid with appl1cat1on for extension oft1me to file (Form 8868) 6c
d Backup w1thhold1ng erroneously withheld. 6d
7 Total credits and payments Add lines 6a through 6d. 7 9,200
s Enter any penalty for underpayment of estimated tax Check here 1 1f Form 2220 1s attached 8
9 Tax due. If the total ofl1nes 5 and 8 1s more than line 7, enter amount owed.
,... 9
10 Overpayment. If line 7 1s more than the total of lines 5 and 8, enter the amount overpaid. ,... 10 6,738
11 Enter the amount of line 10 to be Credited to 2013 estimated tax,... 6,738 I Refunded,... 11
Part VII-A Statements Regarding Act1v1t1es
la During the tax year, did the foundation attempt to influence any national, state, or local leg1slat1on or did Yes No
1t part1c1pate or intervene 1n any pol1t1cal campa1gn7 la No
b Did 1t spend more than $100 during the year (either directly or 1nd1rectly) for pol1t1cal purposes (see page 19 of
the 1nstruct1ons for def1n1t1on)7 lb No
If the answer 1s "Yes" to 1a or 1b, attach a detailed descnptJOn of the act1v1t1es and copies of any matenals
published or d1stnbuted by the foundatJOn 1n connection with the act1v1t1es.
c D 1d the foundation file Form 1120-POL for this yea r7. le No
d Enter the amount (1fany) of tax on pol1t1cal expenditures (section 4955) imposed during the year
(1) On the foundation ,... $ ________ (2) On foundation managers ,... $ _______ _
e Enter the reimbursement (1f any) paid by the foundation during the year for pol1t1cal expenditure tax imposed
on foundation managers ,... $ _______ _
2 Has the foundation engaged 1n any act1v1t1es that have not previously been reported to the IRS7 2 No
If "Yes," attach a detailed descnpt1on of the act1v1t1es.
3 Has the foundation made any changes, not previously reported to the IRS, 1n its governing instrument, articles
of 1ncorporat1on, or bylaws, or other s1m1lar 1nstruments7 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 year7. 4a No
b If "Yes," has 1t f1led a tax return on Form 990-T for this yea r7. 4b No
5 Was there a l1qu1dat1on, term1nat1on, d1ssolut1on, or substantial contraction during the year7 5 No
If "Yes," attach the statement required by General Instruct/On T.
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) sat1sf1ed either
By language 1n the governing instrument, or
By state leg1slat1on that effectively amends the governing instrument so that no mandatory d1rect1ons
that conflict with the state law remain 1n the governing instrument? 6 Yes
7 Did the foundation have at least $5,000 in assets at any time during the year7 If "Yes," complete Part II, col (c), and Part XV 7 Yes

,...__________________________________________
_
Sa Enter the states to which the foundation reports orw1th which 1t 1s registered (see 1nstruct1ons)

b If the answer 1s "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 G7 If "No," attach explanation. Sb Yes
9 Is the foundation cla1m1ng status as a private operating foundation w1th1n the meaning of section 4942(J)(3)
or 4 9 4 2 (J)(5) for calendar year 2 O 12 or the taxable year beg1nn1 ng In 2 O 12 (see I nstruct1ons for Pa rt XIV )7
If "Yes," complete Part XIV 9 No
10 Did any persons become substantial contributors during the tax year7 If "Yes," attach a schedule /Jstmg their names and addresses~ 10 Yes
Form 990-PF (2012)
Form 9 9 O- P F ( 2 O 1 2 ) Page 5
I:F-Til I'd9~1 Statements Regarding Activities (continued)
11 At any time during the year, did the foundation, directly or 1nd1rectly, own a controlled entity w1th1n the
meaning of section 512(b)(13)7 If"Yes," attach schedule (see 1nstruct1ons). 11 No
12 Did the foundation make a d1stribut1on to a donor advised fund over which the foundation or a d1squal1f1ed person had
advisory priv1Ieges7 If"Yes," attach statement (see 1nstruct1ons) 12 No
13 Did the foundation comply with the public InspectIon requirements for its annual returns and exemption appl1cat1on7 13 Yes
Website address ..-_w_ww
__ m_1l_s_te_1_n_ff_o~r.__
_________________________________________ _

14 The books are In care of ... FISHMAN BLOCK DIAMOND LLP Telephone no .,_(818) 783-7140
Located at ... 16830 VENTURABLVDSUITE400 ENCINO CA ZIP +4 .,_.;;_9=1....;.4..;;..3..;;..6
_______ _

15 Section 494 7(a)(l)

and enter the amount
nonexempt
of tax-exempt
charitable
interest
trusts
received
f1l1ng Form 990-PF
or accrued
In lieu of Form 1041-Check
during the year.
here.
.,_ 15
.,_'
16 At any time during calendar year 2012, did the foundation have an interest In ora signature or other authority over
a bank, securities, or other f1nanc1al account In a foreign country?. 16 No

See InstructIons for exceptions and f1l1ng requirements for Form TD F 90-22 1 If "Yes", enter the name of the foreign
country
Part VII-B
.,_
-------------------------------------------------------
Statements Regarding Activities
File Form 4720 if any item is checked in the "Yes" column, unless an exception
for Which Form 4720 May Be Required
applies. Yes No
la During the year did the foundation (either directly or 1nd1rectly)
(1) Engage In the sale or exchange, or leasing of property with a d1squal1f1ed person? 1 Yes F No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept It from)
a d1squal1f1ed person?. 1 Yes F No
(3) Furnish goods, services, or fac1l1t1es to (or accept them from) a d1squal1f1ed person? 1 Yes F No
(4) Pay compensation to, or pay or reimburse the expenses of, a d1squal1f1ed person? 1 Yes F No
(5) Transfer any income or assets to a d1squal1f1ed person (or make any of either available
for the benefit or use of a d1squal1f1ed person)?. 1 Yes F No
(6) Agree to pay money or property to a government off1c1al7 (Exception. Check "No"
1f the foundation agreed to make a grant to or to employ the off1c1al for a period
after termInatIon of government service, 1f termInatIng w1th1n 90 days ). 1 Yes F No
b If any answer Is "Yes" to la(l )-(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 1nstruct1ons)7. lb No
O rganIzatIons 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 1 a, other than excepted acts,
that were not corrected before the first day of the tax year beg1nn1ng In 20127. le 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) or4942(J)(5))
a At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beg1nn1ng before 20127. 1 Yes F No
If"Yes," 11st the years.,_ 20 __ , 20 __ , 20 __ , 20 __
b Are there any years listed In 2a forwh1ch the foundation Is not applying the provIsIons of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's undistributed Income7 (If applying section 4942(a)(2)
to all years listed, answer "No" and attach statement-see 1nstruct1ons). 2b No
c If the provIsIons of section 4942(a)(2) are being applied to any of the years listed In 2a, 11st the years here
.,_ 20 20 __ , 20 __ , 20 __
3a Did the foundation hold more than a 2% direct or 1nd1rect interest In any business enterprise at
any time during the year7. I Yes F No
b If "Yes," did It have excess business holdings In 2012 as a result of (1) any purchase by the foundation
or d1squal1f1ed 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 2 0-yea r f1rst phase hold1 ng period7 (Use Schedule C, Form 4720, to determme
If the foundation had excess bus mess holdmgs m 2012.). 3b No
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 beg1nn1ng In 20127 4b No
Form 990-PF (2012)
Form 9 9 O- P F ( 2 O 1 2 ) Page 6
l:F-Till'dl!l:I
Statements Regarding Activities for Which Form 4720 May Be Required (continued)
Sa During the year did the foundation pay or incur any amount to
(1) Carry on propaganda, or otherwise attempt to influence leg1slat1on (section 4945(e))7 1 Yes [7 No
(2) Influence the outcome of any spec1f1c public election (see section 4955), orto carry
on, directly or 1nd1rectly, any voter regIstratIon drive 7. 1 Yes [7 No
(3) Provide a grant to an 1nd1v1dual for travel, study, or other s1m1lar purposes? 1 Yes [7 No
(4) Provide a grant to an organIzatIon other than a charitable, etc, organIzatIon described
In section 509(a)(l ), (2), or (3), or section 4940(d)(2)7 (see 1nstruct1ons). 1 Yes [7 No
(5) Provide for any purpose other than rel1g1ous, charitable, sc1ent1f1c, literary, or
educational purposes, or for the prevention of cruelty to children or animals 7. .1 Yes [7 No
b If any answer Is "Yes" to 5a(l )-(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 1nstruct1ons)7. Sb No
O rganIzatIons relying on a current notice regarding disaster assistance check here. Jr,.'
C If the answer Is "Yes" to question 5a(4 ), does the foundation claim exemption from the
tax because It ma1nta1ned expenditure respons1b1l1ty for the grant?. I Yes [7 No
If "Yes," attach the statement required by Regulations sectJOn 53.4945-S(d).
6a Did the foundation, during the year, receive any funds, directly or 1nd1rectly, to pay premiums on
a personal benefit contract?. 1 Yes [7 No
b Did the foundation, during the year, pay premiums, directly or 1nd1rectly, 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 proh1b1ted tax shelter transactIon7 I Yes [7 No
b If yes, did the foundation receive any proceeds or have any net income attributable to the transactIon7. 7b No
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
l:bil*dil and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
(b) Title, and average (c) Compensation (d) Contributions to
(e) Expense account,
(a) Name and address hours per week (If not paid, enter employee benefit plans
other allowances
devoted to posItIon -0-) and deferred compensation
GILA MIL.STEIN Secretary 0
16027 VENTURA BLVD 550 0 00
ENCINO,CA 91436
ADAMMILSTEIN President 0
16027 VENTURA BLVD 550 0 00
ENCINO,CA 91436
2 Compensation of five highest-paid employees (other than those included on line 1-see instructions). If none, enter "NONE."
(d) Contributions to
(b) Title, and average
(a) Name and address of each employee employee benefit (e) Expense account,
hours per week (c) Compensation
paid more than $50,000 plans and deferred other allowances
devoted to posItIon
compensation
NONE

Total number of other employees paid over $50,000. ...

Form 990-PF (2012)
Form 9 9 O- P F ( 2 O 1 2 ) page 7
~-,. 111"!"1"'1" Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
lifliia,.IU and Contractors (continued)
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 rece1v1ng over $50,000 for professional services. ...
i:bilf:d.;I Summary of Direct Charitable 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.-.,;;a:t1 Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on Imes 1 and 2 A mount
1

All other program-related investments See page 24 of the 1nstruct1ons

3

Total. Add lines 1 throuah 3. ... I

Form 990-PF (2012)
Form 9 9 0 - P F ( 2 0 1 2 ) page 8
l:bil!I 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 1n carrying out charitable, etc,
purposes
a Average monthly fair market value of securities. la 13,496,476
b Average of monthly cash balances. lb 295,683
C Fair market value of all other assets (see 1nstruct1ons). le 875,389
d Total (add lines la, b, and c). ld 14,667,548
e Reduction claimed for blockage or other factors reported on lines 1 a and
le (attach detailed explanation). I 1e I 0
2 Acqu1s1t1on indebtedness applicable to line 1 assets. 2
3 Subtract line 2 from line ld. 3 14,667,548
4 Cash deemed held for charitable act1v1t1es Enter 1 1/2% of line 3 (for greater amount, see
1ns truct10 ns ). 4 220,013
5 Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4 5 14,447,535
6 Minimum investment return. Enter 5% of line 5. 6 722,377

1:1.fiS:d Distributable Amount (see instructions) (Section 4942(])(3) and (J)(S) private operating foundations and
certain fore1qn orqan1zat1ons check here.,._ r
and do not complete this part.)
1 M 1n1mum investment return from Part X, line 6. 1 722,377
2a Tax on investment income for 2012 from Part VI, line 5. I 2a I 2,462
b Incometaxfor2012 (This does not include the tax from Part VI ). I 2b I
C Add lines 2a and 2b. 2c 2,462
3 Distributable amount before adJustments Subtract line 2c from line 1. 3 719,915
4 Recoveries of amounts treated as qual1fy1ng d1stribut1ons. 4
5 Add lines 3 and 4. 5 719,915
6 Deduction from distributable amount (see 1nstruct1ons). 6
7 Distributable amount as adJusted Subtract line 6 from line 5 Enter here and on Part XIII,
line 1. 7 719,915

1m1:.+iQualifying Distributions (see instructions)

1 Amounts paid (1nclud1ng adm1n1strat1ve expenses) to accomplish charitable, etc, purposes
a Expenses, contributions, gifts, etc -total from Part I, column (d), line 26. la 1,432,000
b Program-related investments-total from Part IX-B. lb
2 Amounts paid to acquire assets used (or held for use) directly 1n carrying out charitable, etc,
purposes. 2
3 Amounts set aside for spec1f1c charitable proJects that satisfy the
a Su1tab1l1ty test (prior IRS approval required). 3a
b Cash d1stribut1on test (attach the required schedule). 3b
4 Qualifying distributions. Add lines la through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 1,432,000
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 1nstruct1ons). 5 2,462
6 Adjusted qualifying distributions. Subtract line 5 from line 4. 6 1,429,538
Note: The amount on line 6 will be used 1n Part V, column (b), 1n subsequent years when calculating whether the foundation qual1f1es for
the section 4940(e) reduction of tax 1n those years
Form 990-PF (2012)
Form 9 9 0 - P F ( 2 0 1 2 ) Page 9
:F-Til1:.n
Undistributed Income (see instructions)
(a) (b) (c) (d)
Corpus Years prior to 2011 2011 2012
1 Distributable amount for 2012 from Part XI, line 7 719,915
2 U nd1stributed income, 1f any, as of the end of 2012
a Enter amount for 2011 only.
b Total for prior years 20 __ __
, 20 , 20 --
3 Excess d1stribut1ons carryover, 1fany, to 2012
a From 2007.
b From 2008.
C From 2009.
d From 2010. 167,345
e From 2011. 936,825
f Total of lines 3a through e. 1,104,170
4 Q ual1fy1ng d1stribut1ons for 2012 from Part
XII, line 4 ...
$ 1,432,000
a Applied to 2011, but not more than line 2a
b A ppl1ed to undistributed income of prior years
(Election required-see 1nstruct1ons).
c Treated as d1stribut1ons out of corpus (Election
required-see 1nstruct1ons). 0

d Applied to 2012 distributable amount. 719,915

e RemaInIng amount distributed out of corpus 712,085
5 Excess d1stribut1ons carryover applied to 2012
(If an amount appears 1n column (d), the
same amount must be shown 1n column (a).)
6 Enter the net total of each column as
indicated below:
a Corpus Add lines 3f, 4c, and 4e Subtract line 5 1,816,255
b Prior years' undistributed income Subtract
line 4b from line 2b.
C Enter the amount of prior years' undistributed
income for which a notice of def1c1ency has
been issued, or on which the section 4942(a)
tax has been previously assessed.
d Subtract line 6c from line 6b Taxable amount
-see InstructIons.
e U nd1stributed income for 2011 Subtract line
4a from line 2a Taxable amount-see
InstructIons.
f U nd1stributed income for 2 0 12 Subtract
lines 4d and 5 from line 1 This amount must
be distributed In 2013. 0

7 A mounts treated as d1stribut1ons out of

corpus to satisfy requirements imposed by
section 170(b)(l)(F) or4942(g)(3) (see
1nstruct1ons).
8 Excess d1stribut1ons carryover from 2007 not
applied on line 5 or line 7 (see 1nstruct1ons).
9 Excess distributions carryover to 2013.
Subtract lines 7 and 8 from line 6a. 1,816,255

10 Analysis ofl1ne 9
a Excess from 2008.
b Excess from 2009.
C Excess from 2 0 1 0 167,345
d Excess from 2 0 11. 936,825
e Excess from 2 0 1 2. 712,085
Form 990-PF (2012)
Form 9 9 0 - P F ( 2 0 1 2 ) Page 10
M:itii!tl*M Foundations see instructions and Pa rt VII-A uest1on 9
la If the foundation has received a ruling or determ1nat1on letter that It Is a private operating
foundation, and the ruling Is effective for 2012, enter the date of the ruling. ...-~------------------

b Check box to 1nd1cate whether the organIzatIon IS a private operating foundation described In section r 4942(J)(3) or r 4942(J)(5)
2a Enter the lesser of the adJusted net Tax year Prior 3 years
income from Part I or the mInImum (e) Total
(a)2012 (b)2011 (c) 2 0 1 0 (d) 2009
investment return from Part X for each
year listed.
b 85% ofl1ne 2a.
C Q ual1fy1ng d1stribut1ons 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 Q ual1fy1ng d1stribut1ons 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 qual1fy1ng
under section 4942(J)(3 )(B)(1)
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,
d1v1dends, 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)(111).
(3) Largest amount of support
from an exempt organIzatIon
(4) Gross investment income
I :r-Tili
:t'fJ 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 1fthey 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 .,_p
1fthe foundation only makes contributions to preselected charitable organIzatIons and does not accept
unsol1c1ted requests for funds If the foundation makes gifts, grants, etc (see 1nstruct1ons) to 1nd1v1duals or organIzatIons under
other cond1t1ons, complete items 2a, b, c, and d

a The name, address, and telephone number of the person to whom appl1cat1ons should be addressed

b The form In which appl1cat1ons should be submitted and 1nformat1on and materials they should include

c Any subm1ss1on deadlines

d Any restrictions or l1m1tat1ons on awards, such as by geographical areas, charitable fields, kinds of InstItutIons, or other
factors

Form 990-PF (2012)

Form 9 9 O- P F ( 2 O 1 2 ) Page 11
i:ifll!tfJ Supplementary Information (continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
If rec1p1ent 1s an 1nd1v1dual,
Rec1p1ent Foundation
show any relat1onsh1p to Purpose of grant or
status of A mount
any foundation manager contribution
Name and address (home or business) rec1p1ent
or substantial contributor
a Paid dunng the year
See Add1t1onal Data TableSee
Add1t1onal Data Table

Total. ....3a 1,432,000

b Approved for future payment

Total. ....3b
Form 990-PF (2012)
Form 9 9 O- P F ( 2 O 1 2 ) Page 12
I :F-Til ;i,.~!lit~J Ana IYSIS 0 f Income-Pro d ucmg Act1v1t1es
Enter gross amounts unless otherwise 1nd1cated Unrelated business income Excluded by section 512, 513, or 514 (e)
Related or exempt
function income
(a) (b) (c) (d)
(See
1 Program service revenue Business code A mount Exclusion code A mount
1nstruct1ons )
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 2,132
4 D1v1dends and interest from securities. 322,733
5 Net rental income or (loss) from real estate
a Debt-financed property.
b Not debt-financed property.
6 Net rental income or (loss) from personal property
7 Other investment income.
8 Gain or ( loss) from sales of assets other than inventory -184,118
9 Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory.
11 Other revenue aIRS REFUND 5,897
b
C

d
e
12 Subtotal Add columns (b), (d), and (e). 146,644
13 Total. Add line 12, columns (b), (d), and (e). 13 _________ __,..;;;;.1~4~6~6~4.;....;..4

(See worksheet 1n line 13 1nstruct1ons to verify calculations)

Part XVI-B Relationshi of Activities to the Aecom lishment of Exem t Pur oses

..
Line No.
Explain below how each act1v1ty for which income 1s reported 1n column (e) of Part XVI-A contributed
the accomplishment
1nstruct1ons )
of the foundation's
importantly
exempt purposes (other than by prov1d1ng funds for such purposes) (See
to

Form 990-PF (2012)

Form 9 9 0 - P F ( 2 0 1 2 ) Page 13
l:ifll!tf,il 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 Yes No
S0l(c) of the Code (other than section 501(c)(3) organ1zat1ons)or in section 527, relating to political organIzatIons7
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 fac1l1t1es, equipment, or other assets. 1b(3) No
(4) Reimbursement arrangements. 1b(4) No
(5) Loans or loan guarantees. lb(S) No
(6) Performance of services or membership or fundra1s1ng sol1c1tat1ons. 1b(6) No
c Sharing of fac1l1t1es, equipment, ma1l1ng lists, other assets, or paid employees. le 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 nonchantable exempt organIzatIon (d) Description of transfers, transactions, and sharing arrangements

2a Is the foundation directly or 1nd1rectly aff1l1ated with, or related to, one or more tax-exempt organIzatIons
described In section 5 0 1 (c) of the Code (other than section 5 0 1 (c )(3 )) or In section 5 2 7 7. .I Yes
b If"Yes," complete the following schedule
(a) Name of organIzatIon (b) Type of organIzatIon (c) Description of relat1onsh1p

Under penalties of perJury, I declare that I have examined this return, 1nclud1ng 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 f1duc1ary) Is
Sign based on all 1nformat1on ofwh1ch preparer has any knowledge
Here i 2014-01-27 IMay
~ ~
****** ****** the IRS discuss this returnl
with the prer,,arer shown below
Signature of officer or trustee Date Title (see instr )7 [7 Yes I No

Date PTIN
Print/Type preparer's name Pre pa re r's SI g nature
Check 1f self-
employed ~r P00160721

STEVEN J FISHMAN STEVEN J FISHMAN

Paid CPA CPA
Preparer Firm's name ~ Fishman Block Diamond LLP Firm's EIN ~
Use
Only 16830 Ventura Blvd Ste 400

Phone no (818) 783-7140

Firm's address ~ EncIno,CA 914361726

Form 990-PF (2012)

Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment
RecIpIent If recIpIentIs an Foundation Purpose of grant or A mount
1nd1v1dual, status of contribution
Name and address (home or show any relat1onsh1p to recIpIent
business) any foundation manager
or substantial contributor

a Paid dunng the year

JEWISH WOMEN INTERNATIONAL N/A CHARITY GENERAL USE 1,200

1129 20TH STREET NW SUITE 801
WASHINGTON, DC 20036

FUEL FREEDOM FOUNDATION N/A CHARITY GENERAL USE 500

18100 VAN KARMEN
IRVINE,CA 92620

VALLEY BETH SHALOM 15739 N/A CHARITY GENERAL USE 11,000

VENTURA BLVD
ENCINO,CA 91436

UNITED NATIONS WATCH USA CHARITY GENERAL USE 3,000

1201 PENNSYLVANIA AVE NW STE
617
WASHINGTON, DC 20004

UNITED BREAST CANCER N/A CHARITY GENERAL USE 250

FOUNDATION 205 DEPOT ROAD
HUNTINGTON STATION,NY
11746

TUFTS UNIVERSITY 419 BOSTON N/A CHARITY GENERAL USE 3,000

AVENUE
MEDFORD, MA 02155

THE INVESTIGATIVE PROJECT N/A CHARITY GENERAL USE 5,000

5614 CONNECTICUT AVE NW NO
341
WASHINGTON, DC 20015

SHA-I-L-I 5825 RESEDA BLVD N/A CHARITY GENERAL USE 1,800

339
TARZANA,CA 91356

MESIVTA OF GREATER LOS N/A CHARITY GENERAL USE 3,000

ANGELES 25115 MU REAU ROAD
CALABASAS,CA 91302

LOUIS D BRANDEIS CENTER 1776 N/A CHARITY GENERAL USE 5,000

I STREET NW STE 900
WASHINGTON, DC 20006

IMAGINATION PRODUCTIONS N/A CHARITY GENERAL USE 25,000

105 E 34TH ST 117
NEWYORK,NY 10016

FRIENDS OF THE IDF 6505 N/A CHARITY GENERAL USE 15,000

WILSHIRE BLVD SUITE 625
LOS ANGELES,CA 90048

ELNET 10573 WEST PICO BLVD N/A CHARITY GENERAL USE 2,000
369
LOS ANGELES,CA 90064

DOC EMET - WAR BY OTHER N/A CHARITY GENERAL USE 25,000

MEANS PO BOX 339
LEXINGTON, MA 02420

CHILDRENS HOSPITAL OF LOS N/A CHARITY GENERAL USE 1,000

ANGELES 4650 WSUNSET BLVD
LOS ANGELES,CA 90027
Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment
RecIpIent If recIpIentIs an Foundation Purpose of grant or A mount
1nd1v1dual, status of contribution
Name and address (home or show any relat1onsh1p to recIpIent
business) any foundation manager
or substantial contributor

a Paid dunng the year

CENTRAL FUND OF ISRAEL 980 N/A CHARITY GENERAL USE 5,000

AVE OF THE AMERICAS STE 3RD
FL
NEWYORK,NY 10018

CHA BAD HOUSE 1520 SOUTH N/A CHARITY GENERAL USE 3,000
ROBERTSON BLVD
LOS ANGELES,CA 90035

CAF AMERICA 1800 DIAGONAL N/A CHARITY GENERAL USE 10,000

ROAD SUITE 150
ALEXANDRIA,VA 22314

BIKUR CHO LIM 8489 WEST N/A CHARITY GENERAL USE 5,000
THIRD STREET
LOS ANGELES,CA 90048

BBYO INC 2020 K ST NW 7TH N/A CHARITY GENERAL USE 5,000

FLOOR
WASHINGTON, DC 20006

ANTI-DEFAMATION LEAGUE 605 N/A CHARITY GENERAL USE 2,000

THIRD AVENUE
NEWYORK,NY 10158

AMERICAN FRIENDS THE ISRAEL N/A CHARITY GENERAL USE 6,000

PHILHAR 9911 WEST PICO BLVD
SUITE 505
LOS ANGELES,CA 90035

AMERICAN FRIENDS OF N/A CHARITY GENERAL USE 1,000

LUBAVITCH 2110 LEROY PL NW
WASHINGTON, DC 20008

AMERICAN FRIENDS OF IDC 116 N/A CHARITY GENERAL USE 2,000

EAST 16TH STREET 11TH FLOOR
NEWYORK,NY 10033

AFMDA 6505 WILSHIRE BLVD N/A CHARITY GENERAL USE 5,000

SUITE 650
LOS ANGELES,CA 90048

THE CENTER FUND FOR ISRAEL N/A CHARITY GENERAL USE 7,000
3622 LYCKAN PARKWAY SUITE
6002
DURHAM, NC 27707

STAND BY ME 21781 VENTURA N/A CHARITY GENERAL USE 25,000

BLVD 520
WOODLAND HILLS,CA 91364

PEYLIM LEV L'ACHIM 1034 EAST N/A CHARITY GENERAL USE 26,000
12TH STREET
BROOKLYN,NY 11230

NGO MONITOR 1 BEN MAIMON N/A CHARITY GENERAL USE 5,000

BLVD
JERU SA LEM, JE RSA LEM 92262
IS

MARCH OF THE LIVING 6505 N/A CHARITY GENERAL USE 2,000

WILSHIRE BLVD SUITE 300
LOS ANGELES,CA 90048
Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment
RecIpIent If recIpIentIs an Foundation Purpose of grant or A mount
1nd1v1dual, status of contribution
Name and address (home or show any relat1onsh1p to recIpIent
business) any foundation manager
or substantial contributor

a Paid dunng the year

LEUKEMIA LYMPHOMA SOCIETY N/A CHARITY GENERAL USE 500

1311 MAMARONECK AVENUE
SUITE 310
WHITE PLAINS, NY 10605

LEHO SHEET YAD - LOS ANGELES N/A CHARITY GENERAL USE 3,600
13079 CHANDLER BLVD
SHERMAN OAKS,CA 91401

LA'S BEST 200 N SPRING STREET N/A CHARITY GENERAL USE 1,000
SUITE M-120
LOS ANGELES,CA 90012

LARGER THAN LIFE 18034 N/A CHARITY GENERAL USE 3,600

VENTURA BLVD 257
ENCINO,CA 91316

KADIMA ACADEMY 7011 SHOUP N/A CHARITY GENERAL USE 20,000

AVENUE
WEST HILLS,CA 91307

JINSA 1307 NEW YORK AVE NW N/A CHARITY GENERAL USE 5,000
SUTIE 200
WASHINGTON, DC 20005

J EWU C IOU S 18 0 1 AVE O F THE N/A CHARITY GENERAL USE 1,000

STARS SUITE 322
LOS ANGELES,CA 90067

JEWISH FUNDERS NETWORK 130 N/A CHARITY GENERAL USE 10,000

W 30TH ST RM 900
NEWYORK,NY 10001

ISRAEL CLOSE UP PO BOX 16135 N/A CHARITY GENERAL USE 10,000

NEWPORT BEACH, CA 92659

HILLEL FOUNDATION OF ORANGE N/A CHARITY GENERAL USE 10,000

COUNTY 4255 CAMPUS DR SUITE
250
IRVINE,CA 92612

HILLEL 800 EIGHTH STREET NW N/A CHARITY GENERAL USE 40,000

WASHINGTON, DC 20001

EM HABANIM 5850 LAUREL N/A CHARITY GENERAL USE 9,000

CANYON BLVD
VALLEY VILLAGE,CA 91607

CHABAD OF STANFORD 1289 N/A CHARITY GENERAL USE 15,000

COLLEGE AVENUE
PALO ALTO,CA 94306

BIRTHRIGHT ISRAEL PO BOX N/A CHARITY GENERAL USE 36,000

1784
NEWYORK,NY 10156

BEIT T'SHUVAH 8831 VENICE N/A CHARITY GENERAL USE 11,000

BLVD
LOS ANGELES,CA 90034
Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment
RecIpIent If recIpIent Is an 1nd1v1dual, Foundation Purpose of grant or A mount
show any relat1onsh1p to status of contribution
Name and address (home or any foundation manager recIpIent
business) or substantial contributor

a Paid dunng the year

AMERICAN JEWISH COMMITTEE N/A CHARITY GENERAL USE 1,500

165 EAST 56TH STREET
NEWYORK,NY 10022

A LP H A E P SI LO N P I 2 WI SC O N SI N N/A CHARITY GENERAL USE 25,000

CIRCLE SUITE 700
CHEVY CHASE,MD 20815

UCLA FOUNDATION 10920 N/A CHARITY GENERAL USE 50,000

WILSHIRE BLVD SUITE 900
LOS ANGELES,CA 90024

THE ISRAEL PROJECT 2020 K N/A CHARITY GENERAL USE 20,000

STREET NW
WASHINGTON, DC 20006

PROJECT INTERCHANGE 1156 N/A CHARITY GENERAL USE 40,000

15TH ST NW 1201
WASHINGTON, DC 20005

PRAGER UNIVERSITY 2325 N/A CHARITY GENERAL USE 10,000

DULLES CORNER BLVD SUITE 670
HERNDON,VA 20171

OHR ELIYAHU ACADEMY 241 S N/A CHARITY GENERAL USE 60,000

DETROIT ST
LOS ANGELES,CA 90036

MIDDLE EAST RESEARCH N/A CHARITY GENERAL USE 10,000

INSTITUTE PO BOX 27837
WASHINGTON, DC 20038

J EWI S H P A RT I SA N E D U C AT IO N A L N/A CHARITY GENERAL USE 1,000

FOUNDAT 2107 VAN NESS AVE
STE 302
SAN FRANCISCO,CA 94109

JEWISH FEDERATION OF ORANGE N/A CHARITY GENERAL USE 12,500

COUNTY 250 BAKER STE
COSTA MESA,CA 92626

HILLEL AT UC LOS ANGELES 574 N/A CHARITY GENERAL USE 10,500

HILGARD AVENUE
LOS ANGELES,CA 90024

HERITAGE RETREATS 557 N/A CHARITY GENERAL USE 250

FENLON BLVD
C LI FT O N , N J O7 0 14

DAVID HOROWITZ FREEDOM N/A CHARITY GENERAL USE 5,000

CENTER PO BOX 55089
SHERMAN OAKS,CA 91499

CHRISTIANS UNITED FOR ISRAEL N/A CHARITY GENERAL USE 20,000

PO BOX 1307
SAN ANTONIO,TX 78295

CHABAD OF BAKERSFIELD 6901 N/A CHARITY GENERAL USE 6,600

MCDIVITT DRIVE C
BAKERSFIELD,CA 93313
Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment
RecIpIent If recIpIentIs an Foundation Purpose of grant or A mount
1nd1v1dual, status of contribution
Name and address (home or show any relat1onsh1p to recIpIent
business) any foundation manager
or substantial contributor

a Paid dunng the year

ALEPH INSTITUTE 9540 COLLINS N/A CHARITY GENERAL USE 1,800

AVENUE
SURFSIDE,FL 33154

AICE - ASSOCIATION FOR N/A CHARITY GENERAL USE 10,000

ISLAMIC CHAR PO BOX 49
LEEDS, WEST YORKSHIRE LS8
4YB
UK

MIDDLE EAST FORUM 1500 N/A CHARITY GENERAL USE 10,000

WALNUT STREET SUTIE 1050
PHILADELPHIA,PA 19102

JCONNECT 4745 17TH AVE NE N/A CHARITY GENERAL USE 10,000

SEATTLE,WA 98105

FOUNDATION FOR DEFENSE OF N/A CHARITY GENERAL USE 10,000

DEMOCRACI PO BOX 33249
WASHINGTON, DC 20033

CAMERA PO BOX 35040 N/A CHARITY GENERAL USE 25,000

BOSTON,MA 02135

AMERICAN FRIENDS OF REUT N/A CHARITY GENERAL USE 11,000

INSTITUTE 9100 WILSHIRE BLVD
SUITE 400W
BEVERLY HILLS,CA 90212

ACADEMIC EXCHANGE 9100 N/A CHARITY GENERAL USE 12,000

WILSHIRE BLVD SUITE 400W
BEVERLY HILLS,CA 90212

TZEDAKA FUND 312 N DETROIT N/A CHARITY GENERAL USE 5,000

LOS ANGELES,CA 90036

STAND WITH US PO BOX 341069 N/A CHARITY GENERAL USE 163,000

LOS ANGELES,CA 90034

ONE FAMILY FUND 1029 N/A CHARITY GENERAL USE 2,000

TEANECK ROAD SUITE 3B
TEANECK, NJ 07666

ISRAELI LEADERSHIP COUNCIL N/A CHARITY GENERAL USE 45,900

5900 CANOGA AVE SUITE 390
WOODLAND HILLS,CA 91367

HASBARA FELLOWSHIP 520 8TH N/A CHARITY GENERAL USE 30,000

AVENUE 20TH FLOOR
NEWYORK,NY 10018

CHABADISRAELHOUSE 1520 N/A CHARITY GENERAL USE 50,000

SOUTH ROBERTSON BLVD
LOS ANGELES,CA 90035

ASHREINU A JEWISH EDUCATION N/A CHARITY GENERAL USE 30,000

NETWORK 369 N FAIRFAX AVE 5
LOS ANGELES,CA 90036
Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment
Rec1p1ent If rec1p1ent 1s an 1nd1v1dual, Foundation Purpose of grant or A mount
show any relat1onsh1p to status of contribution
Name and address (home or business) any foundation manager rec1p1ent
or substantial contributor

a Paid dunng the year

ANSHIE CHAYIL 127 ROUTE 59 N/A CHARITY GENERAL USE 60,000

MONSEY,NY 10952

AMERICAN ISRAEL EDUCATION N/A CHARITY GENERAL USE 237,500

FOUNDATIO 251 H STREET NW
WASHINGTON, DC 20001

AISH HA TORAH 1417 SOUTH N/A CHARITY GENERAL USE 60,000

DOHENY DRIVE
LOS ANGELES,CA 90035

Total. ....3a 1,432,000

letile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:93491027001084I
0MB No 1545-0047
Schedule B Schedule of Contributors
(Form 990, 990-EZ,
or 990-PF)
Departrrent of the Treasury
,... Attach to Form 990, 990-EZ, or 990-PF.
2012
Internal Re1.enueSer1,1ce

Name of the organization Employer identification number

THE MILSTEIN FAMILYFOUNDATION
I 95-4824595
Organization type ( check one)

Filers of: Section:

Form 990 or 990-EZ r 501(c)( ) ( enter number) organization

r 4947( a)( 1) nonexempt charitable trust not treated as a private foundation

r 527 polItIcal organization

Form 990-Ff" P" 501(c)(3) exempt private foundation

r 4947( a)( 1) nonexempt charitable trust treated as a private foundation

r 501(c)(3) taxable private foundation

Check If your organization Is covered by the General Rule or a Special Rule.

Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See InstructIons

General Rule

P" For an organization fIlIng Form 990, 990-EZ, or 990-Ff" that received, during the year, $5,000 or more ( In money or
property) from any one contributor Complete Parts I and II

Special Rules

1
1 For a section 501 ( c )( 3) organization fIlIng Form 990 or 990-EZ that met the 33 /3 % support test of the regulations
under sections 509( a)( 1) and 170( b)( 1)(A)(vI) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (1) Form 990, Part VIII, line 1h, or (11)Form 990-EZ, line 1 Complete Parts I and II

1 For a section 501 ( c )(7), ( 8), or ( 10) organization fIlIng Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclus1vely for relIgIous, charitable,
scIentIfIc, literary, or educational purposes, or the prevention of cruelty to children or animals Complete Parts I, II, and
Ill

1 For a section 501 ( c )(7), ( 8), or ( 10) organization fIlIng Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclus1vely for relIgIous, charitable, etc , purposes, but these contributions did
not total to more than $1,000 If this box Is checked, enter here the total contributions that were received during
the year for an exclus1vely relIgIous, charitable, etc, purpose Do not complete any of the parts unless the General Rule
applies to this organization because It received nonexclusIvely relIgIous, charitable, etc , contributions of $5,000 or more
during the year . . . . . . . . . . . . . . . . . . . . . . . . . ,... $

Caution. An organization that Is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-Ff"), but It must answer "No" on Part IV, line 2 of its Form 990, or check the box on line Hof its
Form 990-EZ or on Part I, line 2 of its Form 990-Ff", to certify that It does not meet the fIlIng requirements of Schedule B ( Form 990,
990-EZ, or 990-Ff")

For Paperwork Reduction Pct Notice, see the Instructions Cat No 30613X Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
for Form 990, 990-EZ, or 990-PF
Schedule B (Form 990, 990-EZ, or 990-Ff") (2012) Page 2
Name of organization Employer identification number
THE MILSTEIN FAMILYFOUNDATION
95-4824595
.. Contributor S (seeinstructions) Useduplicate copies of Part I If addItIonal spaceIs needed
(a) (b) (c) (d)
No. Name, address, and ZIP+ 4 Total contributions Type of contribution

--
4 Person p
NATALIE MILSTEIN Payroll r
16027 VENTURA BLVD 550
$ 70,000 Noncash r
ENCINO, CA 91436 (Complete Part II 1f there Is
a noncash contribution )

(a) (b) (c) (d)

No. Name, address, and ZIP+ 4 Total contributions Type of contribution

--
3 Person p
LYRON MILSTEIN Payroll r
16027 VENTURA BLVD 550
$ 70,000 Noncash r
ENCINO, CA 91436 (Complete Part II 1f there Is
a noncash contribution )

(a) (b) (c) (d)

No. Name, address, and ZIP+ 4 Total contributions Type of contribution

--
2 Person p
WENDY MILSTEIN RADPARVAR Payroll r
16027 VENTURA BLVD 550
$ 70,000 Noncash r
ENCINO, CA 91436 (Complete Part II 1f there Is
a noncash contribution )

(a) (b) (c) (d)

No. Name, address, and ZIP+ 4 Total contributions Type of contribution

--
1 Person p
ADAM GILA MILSTEIN Payroll r
16027 VENTURA BLVD 550
$ 800,000 Noncash r
ENCINO, CA 91436 (Complete Part II 1f there Is
a noncash contribution )

(a) (b) (c) (d)

No. Name, address, and ZIP+ 4 Total contributions Type of contribution

-- Person r
Payroll r
$ Noncash r
(Complete Part II 1f there Is
a noncash contribution )

(a) (b) (c) (d)

No. Name, address, and ZIP+ 4 Total contributions Type of contribution

-- Person r
Payroll r
$ Noncash r
(Complete Part II 1f there Is
a noncash contribution )

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-Ff") (2012) Page 3
Name of organization Employer identification number
THE MILSTEIN FAMILYFOUNDATION
95-4824595
1=,,.,,.11 l\bncas h Property (see instructions) Use duplicate copies of Part II 1fadd1t1onalspace 1s needed

(a) l\b. (c)

(b) (d)
from FMV (or estimate)
Description of noncash property given Date received
Part I (see instructions)

--

(a) l\b. (c)

(b) (d)
from FMV (or estimate)
Description of noncash property given Date received
Part I (see instructions)

--

(a) l\b. (c)

(b) (d)
from FMV (or estimate)
Description of noncash property given Date received
Part I (see instructions)

--

(a) l\b. (c)

(b) (d)
from FMV (or estimate)
Description of noncash property given Date received
Part I (see instructions)

--

(a) l\b. (c)

(b) (d)
from FMV (or estimate)
Description of noncash property given Date received
Part I (see instructions)

--

(a) l\b. (c)

(b) (d)
from FMV (or estimate)
Description of noncash property given Date received
Part I (see instructions)

--

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-Ff") (2012) Page 4
Name of organization Employer identification number
THE MILSTEIN FAMILYFOUNDATION
95-4824595
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the follow Ing line entry
For organizations completing Part Ill, enter the total of exclus1vely relIgIous, charitable, etc ,
contributions of $1,000 or less for the year ( Enter this InformatIon once See InstructIons ) ,... $
Use duplicate copies of Part Ill If addItIonal space Is needed
(a) l\b.
from (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
Part I

--

(e) Transfer of gift

Transferee's name, address, and ZIP 4 Relationship of transferor to transferee

(a) l\b.
from (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
Part I

--

(e) Transfer of gift

Transferee's name, address, and ZIP 4 Relationship of transferor to transferee

(a) l\b.
from (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
Part I

--

(e) Transfer of gift

Transferee's name, address, and ZIP 4 Relationship of transferor to transferee

(a) l\b.
from (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
Part I

--

(e) Transfer of gift

Transferee's name, address, and ZIP 4 Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:934910270010841

TY 2012 Accounting Fees Schedule

Name: THE MILSTEIN FAMILY FOUNDATION

EIN: 95-4824595
Software ID: 12000229
Software Version: 2012v2.0
Category Amount Net Investment Adjusted Net Disbursements for
Income Income Charitable
Purposes
ACCOUNTING 13,325 13,325 0 0
lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:934910270010841

TY 2012 Investments Corporate

Bonds Schedule

Name: THE MILSTEIN FAMILY FOUNDATION

EIN: 95-4824595
Software ID: 12000229
Software Version: 2012v2.0

Name of Bond End of Year Book End of Year Fair

Value Market Value
FIDELITY HIGH RATE FIXED INCOME 4,400,000 4,382,329
TCW FIXED INCOME FUND
STATE OF ISRAEL BONDS 246,420 210,434
ML STERN NOTES, BONDS & SHARES 510,223 350,712
DODGE & COX INC. & INCOME 1,562,610 1,731,010
VANGUARD GNMA ADMIRAL
lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:934910270010841

TY 2012 Investments Corporate

Stock Schedule

Name: THE MILSTEIN FAMILY FOUNDATION

EIN: 95-4824595
Software ID: 12000229
Software Version: 2012v2.0
Name of Stock End of Year Book End of Year Fair
Value Market Value
GREY K ENVIRONMENTAL HEDGE FUND 532,417 240,454
TOTAL BERNSTEIN INVESTMENTS 2,901,247 2,989,896
MERRILL LYNCH HEDGEACCESS 2,871,008 2,456,387
ML STERN EQUITIES 681,274 952,808
INTERNATIONAL EQUITY FUNDS 77,817 167,310
lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:934910270010841

TY 2012 Legal Fees Schedule

Name: THE MILSTEIN FAMILY FOUNDATION

EIN: 95-4824595
Software ID: 12000229
Software Version: 2012v2.0
Category Amount Net Investment Adjusted Net Disbursements for
Income Income Charitable
Purposes
LEGAL FEES 2,295 2,295 0 0
lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:934910270010841

TY 2012 Other Assets Schedule

Name: THE MILSTEIN FAMILY FOUNDATION

EIN: 95-4824595
Software ID: 12000229
Software Version: 2012v2.0
Description Beginning of Year - End of Year - Book End of Year - Fair
Book Value Value Market Value

NPN FUND III 740,234

NPDFUNDIII 740,234

NORTH IMPERIAL ASSOCIATES 55,272 55,272 55,272

lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:934910270010841

TY 2012 Other Expenses Schedule

Name: THE MILSTEIN FAMILY FOUNDATION

EIN: 95-4824595
Software ID: 12000229
Software Version: 2012v2.0
Description Revenue and Expenses Net Investment Adjusted Net Income Disbursements for
per Books Income Charitable Purposes

WEBSITE 2,160 2,160

MANAGEMENT FEES 18,000 18,000 18,000

CONSULTING 11,395 11,395

COMPUTER SOFTWARE 2,050 2,050

ATTORNEY GENERAL 150 150

ANNUAL FEE 65 65

ADVERTISING 16,162 16,162

lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:934910270010841

TY 2012 Other Income Schedule

Name: THE MILSTEIN FAMILY FOUNDATION

EIN: 95-4824595
Software ID: 12000229
Software Version: 2012v2.0
Description Revenue And Net Investment Adjusted Net Income
Expenses Per Books Income

IRS REFUND 5,897 5,897

lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:934910270010841

TY 2012 Substantial Contributors Schedule

Name: THE MILSTEIN FAMILY FOUNDATION

EIN: 95-4824595
Software ID: 12000229
Software Version: 2012v2.0
Name Address
NATALIE MILSTEIN 16027 VENTURA BLVD 550
ENCINO,CA 91436

LYRON MILSTEIN 16027 VENTURA BLVD 550

ENCINO,CA 91436

WENDY MILSTEIN 16027 VENTURA BLVD 550

ENCINO,CA 91436

ADAM GILA MILSTEIN 16027 VENTURA BLVD 550

ENCINO,CA 91436
lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:934910270010841

TY 2012 Taxes Schedule

Name: THE MILSTEIN FAMILY FOUNDATION

EIN: 95-4824595
Software ID: 12000229
Software Version: 2012v2.0
Category Amount Net Investment Adjusted Net Disbursements for
Income Income Charitable
Purposes
US TREASURY 12,336

FRANCHISE TAX BOARD 10