Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2010
For calendar year 2010, or tax year beginning 01-01-2010 , and ending 12-31-2010
G
Check all that apply:
Name of foundation
CATHOLIC HUMAN SERVICES FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 673   Room/suite
City or town, state, and ZIP code
PITTSTOWN, NJ08867
A Employer identification number

26-2967521
B Telephone number (see page 10 of the instructions)

(908) 730-6883
C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$11,767,567
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 4,508 4,508  
4 Dividends and interest from securities...... 448,313 448,313  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 151,678
b Gross sales price for all assets on line 6a 769,620
7 Capital gain net income (from Part IV, line 2)... 151,678
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 3,558 3,558  
12 Total. Add lines 1 through 11........ 608,057 608,057  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 184,198 57,528   126,670
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 27,630 8,629   19,000
16a Legal fees (attach schedule)......... 8,399 4,200   4,199
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 5,700 2,850   2,850
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) 25,357 16,193   9,164
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 6,676 0   6,676
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 42,977 11,187   31,789
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 300,937 100,587   200,348
25 Contributions, gifts, grants paid........ 527,282 527,282
26 Total expenses and disbursements. Add lines 24 and 25 828,219 100,587   727,630
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -220,162
b Net investment income (if negative, enter -0-) 507,470
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 23,506 29,990 29,990
2 Savings and temporary cash investments.......... 1,280,408 671,251 671,251
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 5,370,491 Click to see attachment5,503,193 9,547,671
c Investments—corporate bonds (attach schedule)........ 886,537 Click to see attachment1,136,346 1,144,667
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 265,152 Click to see attachment265,152 373,988
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,826,094 7,605,932 11,767,567
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 7,826,094 7,605,932
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 7,826,094 7,605,932
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 7,826,094 7,605,932
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 7,826,094
2 Enter amount from Part I, line 27a...................... 2 -220,162
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 7,605,932
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 7,605,932
Form 990-PF (2010)
Form 990-PF (2010)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a 71 ASHLAND INC   2008-12-24 2010-08-31
b 208 ASHLAND INC   2008-12-24 2010-09-01
c 9,500 CBS   2008-12-24 2010-11-05
d 1,661 EXXONMOBIL   2008-12-24 2010-12-23
e 5,000 MYLAN LABORATORIES   2008-12-24 2010-08-31
1,419 QWEST   2008-12-24 2010-04-29
3,000 UNITED HEALTH GROUP   2008-12-24 2010-03-05
96 AOL INC   2008-12-24 2010-08-31
151 AOL INC   2008-12-24 2010-09-01
BANK OF AMERICA CORP. 5.375 STP NOTE (ML-WM) P 2008-12-24 2010-08-02
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 3,295   1,271 2,024
b 10,125   3,723 6,402
c 237,500   237,500 0
d 121,411   14,879 106,532
e 85,785   85,020 765
7,506   4,980 2,526
100,635   77,255 23,380
2,126   2,527 -401
1,237   1,448 -211
200,000   189,339 10,661
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       2,024
b       6,402
c       0
d       106,532
e       765
      2,526
      23,380
      -401
      -211
      10,661
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 151,678
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . .
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2009 698,785 10,080,633 0.069320
2008 2,512,048 9,991,670 0.251414
2007      
2006      
2005      
2 Total of line 1, column (d) ...................... 2 0.320734
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
. . .
3 0.160367
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 10,874,797
5 Multiply line 4 by line 3....................... 5 1,743,959
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 5,075
7 Add lines 5 and 6......................... 7 1,749,034
8 Enter qualifying distributions from Part XII, line 4.............. 8 727,630
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions on page 18.
Form 990-PF (2010)
Form 990-PF (2010)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 10,149
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 10,149
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 10,149
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 16,000
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 16,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 5,851
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet5,851 Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bullet
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .Click to see attachment
    8b
     
    No
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV...........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.CATHOLICHUMANSERVICESFOUNDATION.ORG
    14
    The books are in care ofbulletR KEVIN HACKETT Telephone no.bullet (908) 730-6883
    Located atbulletPO BOX 673PITTSTOWNNJ ZIP+4bullet08867
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    R KEVIN HACKETT PRESIDENT/CEO
    40.00
    130,360 19,554 0
    PO BOX 673
    PITTSTOWN,NJ08867
    MARGARET HACKETT VP/SECRETARY/GRANT PROGRAM
    40.00
    53,838 8,076 0
    PO BOX 673
    PITTSTOWN,NJ08867
    JOHN DEGRAAF TRUSTEE
    1.00
    0 0 0
    PO BOX 673
    PITTSTOWN,NJ08867
    DARIN PETRO TRUSTEE
    1.00
    0 0 0
    PO BOX 673
    PITTSTOWN,NJ08867
    RAY BURNS TRUSTEE
    1.00
    0 0 0
    PO BOX 673
    PITTSTOWN,NJ08867
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet0
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    10,228,239
    b
    Average of monthly cash balances.......................
    1b
    812,164
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    11,040,403
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d..........................
    3
    11,040,403
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    165,606
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    10,874,797
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    543,740
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    543,740
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    10,149
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    10,149
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    533,591
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    533,591
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
    533,591
    Part XII
    Qualifying Distributions (see page 25 of the instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    727,630
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    727,630
    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 page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    727,630
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus
    (b)
    Years prior to 2009
    (c)
    2009
    (d)
    2010
    1 Distributable amount for 2010 from Part XI, line 7 533,591
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 68,838
    b From 2006....... 82,806
    c From 2007....... 529,020
    d From 2008....... 2,245,151
    e From 2009....... 209,980
    fTotal of lines 3a through e......... 3,135,795
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 727,630
    a Applied to 2009, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
    0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
    0
    d Applied to 2010 distributable amount..... 533,591
    e Remaining amount distributed out of corpus 194,039
    5 Excess distributions carryover applied to 2010. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 3,329,834
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
    0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
    0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
    0
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    68,838
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......
    3,260,996
    10 Analysis of line 9:
    a Excess from 2006.... 82,806
    b Excess from 2007.... 529,020
    c Excess from 2008.... 2,245,151
    d Excess from 2009.... 209,980
    e Excess from 2010.... 194,039
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2010, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2010 (b) 2009 (c) 2008 (d) 2007
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList 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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    CATHOLIC HUMAN SERVICES FOUNDATION
    PO BOX 673
    PITTSTOWN,NJ08867
    (908) 730-6883
    bThe form in which applications should be submitted and information and materials they should include:
    SEND LETTER OF INQUIRY REQUESTING GRANT APPLICATION PACKAGE.
    cAny submission deadlines:
    THE FOUNDATION MEETS QUARTERLY TO REVIEW GRANT REQUESTS.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GRANTS ARE PRIMARILY GIVEN TO CATHOLIC ORGANIZATIONS PROVIDING HEALTH AND HUMAN SERVICES.
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    ST PAUL'S BENEVOLENT EDUCATIONAL AND MISSIONARY INSTITUTE INC
    526 MONASTERY PLACE
    UNION CITY,NJ07087
        EMERGENCY AID TO HAITI- FUNDS FOR FOOD, WATER, OPERATING ROOMS, MEDICAL SUPP 25,000
    DE LA SALLE BLACKFEET SCHOOL
    204 1ST ST NW
    BROWNING,MT59417
        FUNDING FOR A SMART BOARD, LAPTOP CART AND TEXTBOOKS FOR SCHOOL SERVING NATI 11,824
    DAO GROUP
    4262 BLUE DIAMOND ROAD
    LAS VEGAS,NV89139
        FUNDING FOR SUPPLIES AND EQUIPMENT FOR TWO GROUP HOMES SERVING ABUSED, NEGL 13,232
    COURT APPOINTED SPECIAL ADVOCATES
    150 BOULEVARD STE 4B
    WASHINGTON,NJ07882
        FUNDING FOR OFFICE SUPPLIES FOR PROGRAM TRAINING VOLUNTEERS AS ADVOCATES FOR 5,025
    DEBORAH HOSPITAL FOUNDATION
    20 PINE MILL ROAD
    BROWNS MILLS,NJ08015
        FUNDING FOR MEDICAL EQUIPMENT FOR HOSPITAL TREATING CARDIOVASCULAR AND PULMO 13,095
    MISSIONARY SOCIETY OF SALESIAN SISTERS INC
    659 BELMONT AVENUE
    NORTH HALEDON,NJ07508
        FUNDING FOR EQUIPMENT FOR SCHOOL PROVIDING A COMPREHENSIVE EDUCATION TO DISA 10,000
    CAPUCHIN FRANCISCAN PROVINCE OF THE SACRED
    STIGMATA OF ST FRANCIS / PO BOX 809
    UNION CITY,NJ07087
        FUNDING FOR A BATHROOM RENOVATION AT THE ST. FRANCIS RENEWAL CENTER IN WILMI 8,000
    RARITAN VALLEY HABITAT FOR HUMANITY INC
    PO BOX 6275
    BRIDGEWATER,NJ08807
        FUNDING FOR SUPPLIES AND EQUIPMENT FOR PROGRAM COMMITTED TO IMPROVING THE LI 13,550
    PATHWAYS COUNSELING CENTER INC
    16 POMPTON AVENUE
    POMPTON LAKES,NJ07442
        FUNDING FOR EQUIPMENT FOR PROGRAM PROVIDING MENTAL HEALTH SERVICES 7,718
    DAWN'S PLACE
    PO BOX 48253
    PHILADELPHIA,PA19144
        FUNDING FOR EQUIPMENT FOR PROGRAM PROVIDING COMPREHENSIVE SERVICES FOR VICT 1,965
    DE LA SALLE HALL INC
    810 NEWMAN SPRINGS ROAD
    LINCROFT,NJ07738
        FUNDING FOR KITCHEN STOVE FOR LONG-TERM CARE NURSING FACILITY SERVING ELDERL 4,283
    SAINT CLARE'S FOUNDATION
    140 DIAMOND SPRING ROAD
    DENVILLE,NJ07843
        FUNDING FOR EMERGENCY ROOM EQUIPMENT FOR THE REGION'S HEALTH CARE SAFETY NET 11,010
    OASIS - A HAVEN FOR WOMEN AND CHILDREN INC
    59 MILL STREET
    PATERSON,NJ07501
        FUNDING FOR EQUIPMENT FOR PROGRAM OFFERING EDUCATIONAL RESOURCES, FOOD AND C 4,420
    ST JOSEPH'S HOME FOR THE ELDERLY LITTLE SISTERS OF THE POOR
    140 SHEPHERD LANE
    TOTOWA,NJ07512
        FUNDING FOR EQUIPMENT FOR LONG TERM CARE FACILITY SERVING THE AGED POOR OFFE 6,400
    THE GREY NUNS OF THE SACRED HEART INC
    1750 QUARRY ROAD
    YARDLEY,PA190673998
        FUNDING FOR SUPPLIES FOR ELDERLY AND INFIRMED NUNS 5,000
    CATHOLIC SOCIAL SERVICES OF MORRIS COUNTY INC
    19-21 BELMONT AVENUE
    DOVER,NJ07801
        FUNDING FOR VEHICLE FOR AGENCY PROVIDING BEHAVIORAL HEALTH AND SOCIAL SERVIC 15,000
    180 TURNING LIVES AROUND
    1 BETHANY ROAD
    HAZLET,NJ07730
        FUNDING FOR TECHNOLOGY EQUIPMENT FOR AGENCY ADDRESSING DOMESTIC VIOLENCE, SE 4,457
    BERNARDINE FRANCISCAN SISTERS
    450 ST BERNARDINE STREET
    READING,PA19607
        FUNDING FOR EQUIPMENT FOR SKILLED-CARE FACILITY PROVIDING CARE FOR AGING AND 13,445
    DAUGHTERS OF MARY IMMACULATE
    235 WEST LIGUSTRUM DRIVE
    SAN ANTONIO,TX782284020
        FUNDING FOR EQUIPMENT FOR MISSION IN BRAZIL SERVING THE POOR THROUGH LITERAC 10,504
    THE MARGARET ANNA CUSACK CARE CENTER INC
    537 PAVONIA AVENUE
    JERSEY CITY,NJ07306
        FUNDING FOR EQUIPMENT FOR SKILLED NURSING FACILITY PROVIDING LONG-TERM CARE 14,442
    SAINT PETER'S COLLEGE
    2641 KENNEDY BOULEVARD
    JERSEY CITY,NJ07306
        FUNDING FOR RESEARCH EQUIPMENT FOR NON- EMBRYONIC STEM CELL RESEARCH PROJECT 15,000
    DAUGHTERS OF CHARITY INTERNATIONAL PROJECT SERVICES
    22255 GREENFIELD ROAD
    SOUTHFIELD,MI48075
        FUNDING FOR THE PURCHASE OF FOOD FOR THE MISSION IN THE DEMOCRATIC REPUBLIC 13,294
    THE PHOENIX CENTER INC
    16 MONSIGNOR OWENS PLACE
    NUTLEY,NJ07110
        FUNDING FOR TWO SMART BOARD FOR SCHOOL SERVING STUDENTS WITH SEVERE DEVELOP- 9,200
    CHESHIRE HOME INC
    9 RIDGEDALE AVENUE
    FLORHAM PARK,NJ07932
        FUNDING FOR SURVEILLANCE SYSTEM FOR RES- IDENTIAL SPECIALIZED CARE FACILITY 12,180
    MELMARK INC
    2600 WAYLAND ROAD
    BERWYN,PA19312
        FUNDING FOR WATER MISTING SYSTEM FOR THERAPEUTIC RIDING PROGRAM SERVING ADUL 12,313
    CATHOLIC CHARITIES - DIOCESE OF METUCHEN
    319 MAPLE STREET
    PERTH AMBOY,NJ08861
        FUNDING FOR LABORATORY SUPPLIES AND MATERIALS FOR HEALTH CENTER SERVING THE 15,000
    PROJECT PAUL
    211 CARR AVENUE
    KEANSBURG,NJ07734
        FUNDING FOR FOOD FOR PROGRAM SERVING THE NEEDY THROUGH A FOOD PANTRY, THRIFT 9,600
    JERSEY BATTERED WOMEN'S SERVICE INC
    PO BOX 1437
    MORRISTOWN,NJ07843
        FUNDING FOR KITCHEN APPLIANCES FOR PROGRAM SERVING VICTIMS OF DOMESTIC VI 10,000
    COMMUNITY HOPE INC
    199 POMEROY ROAD
    PARSIPPANY,NJ07054
        FUNDING FOR COMPUTERS AND EQUIPMENT FOR PROGRAM PROVIDING HOUSING AND SERVIC 9,295
    HOUSE OF MERCY INC
    701 MERCY DRIVE
    BELMONT,NC28012
        FUNDING FOR FURNITURE FOR HOME SERVING PERSONS LIVING WITH ADVANCED HIV/ AID 3,000
    MEALS ON WHEELS OF NORTHAMPTON COUNTY
    4240 FRITCH DRIVE
    BETHLEHEM,PA18020
        FUNDING FOR A WALK-IN REFRIGERATOR FOR PROGRAM PROVIDING MEALS AND OTHER SE 11,397
    METROPOLITAN AREA NEIGHBORHOOD NUTRITION ALLIANCE
    2323 RANSTEAD STREET
    PHILADELPHIA,PA19103
        FUNDING FOR FOOD FOR PROGRAM SERVING PEOPLE WITH LIFE-THREATENING ILLNESSES 10,000
    ALLENTOWN RESCUE MISSION INC
    355 HAMILTON STREET
    ALLENTOWN,NJ18105
        FUNDING FOR TWO-WAY RADIOS FOR MISSION MEMBERS RESPONSIBLE FOR CLEANING CITY 4,185
    THE MIDLAND SCHOOL
    PO BOX 5026
    NORTH BRANCH,NJ08876
        FUNDING FOR POWER STRIPS FOR SCHOOL SERVING THE EDUCATIONAL NEEDS OF CHILDRE 2,396
    SAINT PETER'S FOUNDATION
    254 EASTON AVENUE
    NEW BRUNSWICK,NJ08901
        FUNDING FOR PATIENT LIFTS FOR HOSPITAL SERVING THE NEEDS OF THE COMMUNITY 10,000
    COVENANT HOUSE NEW JERSEY
    330 WASHINGTON STREET
    NEWARK,NJ07102
        FUNDING FOR ROOF REPAIRS FOR PROGRAM PROVIDING SERVICES TO HOMELESS, AT RISK 15,000
    PENN-MAR ORGANIZATION INC
    10671 SUSQUEHANNA TRAIL
    GLEN ROCK,PA17327
        FUNDING FOR PATIENT LIFTS FOR ORGANIZATION PROVIDING SERVICES TO CLIENTS WIT 8,250
    CHRISTIAN BROTHER CONFERENCE
    3025 FOURTH ST NE
    WASHINGTON,DC20017
        FUNDING FOR EQUIPMENT FOR SCHOOL AND CHILD RESCUE PROGRAM IN NYERI, KENYA 9,000
    INTERFAITH HOSPITALITY NETWORK FOR THE
    HOMELESS OF ESSEX COUNTY INC 46
    PARK ST
    MONTCLAIR,NJ07042
        FUNDING FOR EQUIPMENT FOR ORGANIZATION SERVING THE HOMELESS 6,449
    HOMEFIRST INTERFAITH HOUSING AND FAMILY
    SERVICES INC 905 WATCHUNG AVENUE
    PLAINFIELD,NJ07060
        FUNDING FOR EQUIPMENT FOR SHELTER NETWORK SERVING THE HOMELESS 8,344
    EDEN ACRES INC
    ONE EDEN WAY
    PRINCETON,NJ08540
        FUNDING FOR EQUIPMENT FOR PROGRAM PROVIDING RESIDENTIAL SERVICES FOR INDIVID 7,323
    THE FREE CLINIC OF MONTGOMERY COUNTY
    1775 STREET ROAD
    SOUTHAMPTON,PA18966
        FUNDING FOR OFFICE AND DENTAL EQUIPMENT FOR CLINIC PROVIDING DENTAL AND HEAL 10,546
    MULTIPLE SCLEROSIS ASSOCIATION OF AMERICA INC
    706 HADDONFIELD ROAD
    CHERRY HILL,NJ08002
        FUNDING FOR SAFETY EQUIPMENT FOR ORGANIZATION PROVIDING SERVICES TO INDIVID 7,878
    ROYER-GREAVES SCHOOL FOR BLIND
    118 S VALLEY ROAD
    PAOLI,PA19301
        FUNDING FOR AN EMERGENCY GENERATOR FOR RESIDENTIAL SCHOOL PROVIDING CARE FOR 11,289
    STEPHEN'S PLACE INC
    729 RIDGE STREET
    BETHLEHEM,PA18015
        FUNDING FOR EQUIPMENT FOR RESIDENTIAL PROGRAM PROVIDING SUPPORTIVE SERVICES 2,000
    ST JOSEPH'S WAYNE HOSPITAL FOUNDATION
    224 HAMBURG TURNPIKE
    WAYNE,NJ07470
        FUNDING FOR FURNITURE FOR PATIENT LOUNGE IN HOSPITAL PROVIDING HEALTH CARE T 7,108
    DAUGHTERS OF CHARITY INTERNATIONAL PROJECT
    SERVICES 22255 GREENFIELD ROAD
    SOUTHFIELD,MI48075
        FUNDING FOR COMPUTERS FOR COMPREHENSIVE AIDS NUTRITION PROGRAM IN MOZAMBIQUE 6,864
    ST IGNATIUS NURSING HOME
    4401 HAVERFORD AVENUE
    PHILADELPHIA,PA19104
        FUNDING FOR PATIENT LIFTS IN LONG-TERM CARE NURSING HOME SERVING THE ELDERLY 8,190
    MISSIONARY OBLATES OF MARY IMMACULATE
    US PROVINCE 391 MICHIGAN AVENUE NE
    WASHINGTON,DC20017
        FUNDING FOR GENERATOR FOR HEALTH AND HUMAN SERVICE PROGRAM SERVING THE PEO 8,856
    PATERSON HABITAT FOR HUMANITY INC
    146 N 1ST STREET
    PATERSON,NJ07509
        FUNDING FOR SUPPLIES AND EQUIPMENT FOR ORGANIZATION PROVIDING HOME OWNERSHIP 9,767
    LUNCH BREAK INC
    121 DRS JAMES PARKER BLVD
    RED BANK,NJ07701
        FUNDING FOR SUPPLIES AND FOOD FOR PROGRAM SERVING THE HUNGRY OF MONMOUTH COU 10,000
    COMMUNITY ACCESS UNLIMITED INC
    80 WEST GRAND STREET
    ELIZABETH,NJ07202
        FUNDING FOR EQUIPMENT FOR ORGANIZATION PROVIDING SUPPORT SERVICES FOR PEOPLE 7,200
    THE ARCMERCER INC
    180 EWINGVILLE ROAD
    EWING,NJ08638
        FUNDING FOR FURNITURE TO SET-UP HEALTH CLINIC FOR ORGANIZATION SERVING THE 8,009
    ST PAUL'S BENEVOLENT EDUCATIONAL ANDMISSIONARY INSTITUTE INC
    526 MONASTERY PLACE
    UNION CITY,NJ07087
        FUNDING FOR MEDICAL SUPPLIES, MEDICINES, FOOD AND WATER FOR VICTIMS OF THE 10,000
    SUMMIT SPEECH SCHOOL
    705 CENTRAL AVENUE
    NEW PROVIDENCE,NJ07974
        FUNDING FOR SPECIALIZED EQUIPMENT TO SCHOOL FOR CHILDREN WITH HEARING DISABI 3,473
    WOODBRIDGE TOWNSHIP BUDDY BALL INC
    2 PINE TREE DRIVE
    COLONIA,NJ07067
        FUNDING FOR UNIFORMS AND EQUIPMENT FOR PROGRAM PROVIDING SPORTS OPPORTUNITIE 14,311
    SOMERSET HILLS LEARNING INSTITUTE
    1810 BURNT MILLS ROAD
    BEDMINSTER,NJ07921
        FUNDING FOR EQUIPMENT FOR SCHOOL OFFERING A BROAD SPECTRUM OF SERVICES TO T 2,195
    Total .................................bullet 3a 527,282
    bApproved for future payment
    Total ..................................bullet 3b 0
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 4,508  
    4 Dividends and interest from securities....     14 448,313  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....     14 3,558  
    8Gain or (loss) from sales of assets other than inventory     18 151,678  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 608,057 0
    13Total. Add line 12, columns (b), (d), and (e)...................
    13608,057
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(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 organization of:
    (1) Cash....................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements............................
    1b(4)
     
    No
    (5) Loans or loan guarantees..............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







    Firm's EINbullet
    Phone no.
    Form 990-PF (2010)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2010 ExplnOfNonFilingWithAGStmt
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN: 26-2967521
    Statement:
    THE FOUNDATION IS NOT REQUIRED TO FILE IN EITHER DELAWARE (STATE OF INCORPORATION) OR NJ (STATE OF OPERATIONS)

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN: 26-2967521
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BONDS - MERRILL LYNCH FIXED ASSET ACCOUNT 1,136,346 1,144,667

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN: 26-2967521
    Name of Stock End of Year Book Value End of Year Fair Market Value
    EQUITIES - MERRILL LYNCH EQUITY ACCOUNT 5,078,193 9,177,241
    EQUITIES - MERRILL LYNCH FIXED ASSET ACCOUNT 425,000 370,430

    TY 2010 InvestmentsOtherSchedule2
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN: 26-2967521
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS - MERRILL LYNCH EQUITY ACCOUNT AT COST 265,152 373,988

    TY 2010 LegalFeesSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN: 26-2967521
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 8,399 4,200   4,199


    TY 2010 OtherExpensesSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN: 26-2967521
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SUPPLIES 1,465 733   732
    TELPHONE 2,017 1,009   1,008
    EQUIPMENT 725 363   362
    INSURANCE 2,221 1,111   1,110
    HEALTH INSURANCE 34,295 7,097   27,197
    INVESTMENT EXPENSES 843 843   0
    DUES AND SUBSCRIPTIONS 1,350 0   1,350
    FILING FEES 61 31   30


    TY 2010 OtherIncomeSchedule2
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN: 26-2967521
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    GABELLI GLOBAL GROWTH FUND LITIGATION SETTLEMENT 3,015 3,015 3,015
    QWEST LITIGATION SETTLEMENT 543 543 543


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN: 26-2967521
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROFESSIONAL FEES 5,700 2,850   2,850


    TY 2010 TaxesSchedule
    Name:
    CATHOLIC HUMAN SERVICES FOUNDATION
    EIN: 26-2967521
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 12,630 3,466   9,164
    EXCISE TAXES 12,727 12,727   0