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
Richard H Lewis Family Foundation
 

Number and street (or P.O. box number if mail is not delivered to street address)7117 South Locust Circle   Room/suite
City or town, state, and ZIP code
Englewood, CO80112
A Employer identification number

84-1568116
B Telephone number (see page 10 of the instructions)

(303) 773-0583
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$7,608,319
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) 182,838
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 273,407 273,407  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 148,314
b Gross sales price for all assets on line 6a 3,877,648
7 Capital gain net income (from Part IV, line 2)... 235,524
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)....... -24,868 7,880  
12 Total. Add lines 1 through 11........ 579,691 516,811  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 11,507 1,151 0 10,356
c Other professional fees (attach schedule)....        
17 Interest............... 1,598 1,598    
18 Taxes (attach schedule) (see page 14 of the instructions) 7,529 529    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 28,516 28,462    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 49,150 31,740 0 10,356
25 Contributions, gifts, grants paid........ 337,152 337,152
26 Total expenses and disbursements. Add lines 24 and 25 386,302 31,740 0 347,508
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 193,389
b Net investment income (if negative, enter -0-) 485,071
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............... 390,369 1,022,782 1,022,782
2 Savings and temporary cash investments..........      
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)........ 3,310,638 Click to see attachment3,056,534 3,558,801
c Investments—corporate bonds (attach schedule)........ 2,023,585 Click to see attachment1,023,815 1,178,582
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 899,673 Click to see attachment1,715,377 1,848,154
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) 6,624,265 6,818,508 7,608,319
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) Click to see attachment557 Click to see attachment1,411
23 Total liabilities (add lines 17 through 22).......... 557 1,411
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 6,623,708 6,817,097
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).................... 6,623,708 6,817,097
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 6,624,265 6,818,508
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 6,623,708
2 Enter amount from Part I, line 27a...................... 2 193,389
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 6,817,097
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 6,817,097
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 FIDELITY S/T P 2010-01-01 2010-12-31
b FIDELITY L/T P 2009-01-01 2010-12-31
c LEHMAN BROTHERS LOSS ON LIQUIDATION P 2009-01-01 2010-12-31
d DENBURY RESOURCES D 2009-01-01 2010-12-31
e MARKWEST ENERGY D 2009-01-01 2010-12-31
BLACK ROCK CORP HIGH YIELD VI D 2009-01-01 2010-12-31
CAPITAL GAIN DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 2,211,856   2,077,151 134,705
b 1,444,514   1,518,078 -73,564
c     622 -622
d 29,065   9,165 19,900
e 117,689   23,554 94,135
28,242   13,554 14,688
      9,703
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       134,705
b       -73,564
c       -622
d       19,900
e       94,135
      14,688
       
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 2 235,524
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 310,499 5,907,969 0.052556
2008 225,658 6,839,699 0.032992
2007 425,013 7,223,384 0.058838
2006 391,860 5,924,862 0.066138
2005 348,017 5,654,280 0.061549
2 Total of line 1, column (d) ...................... 2 0.272073
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 0.054415
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 7,030,589
5 Multiply line 4 by line 3....................... 5 382,570
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 4,851
7 Add lines 5 and 6......................... 7 387,421
8 Enter qualifying distributions from Part XII, line 4.............. 8 347,508
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 9,701
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  
3 Add lines 1 and 2............................ 3 9,701
4 Subtitle A (income) tax (domestic section 4947(a)(1) 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 9,701
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 7,345
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 5,500
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 12,845
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 3,144
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet3,144 Refunded Bullet 11  
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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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
Yes
 
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)bulletCO
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 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 addressbulletn/a
    14
    The books are in care ofbulletRICHARD H LEWIS Telephone no.bullet (303) 773-0583
    Located atbullet7117 S LOCUST CIRCLEENGLEWOODCO ZIP+4bullet80112
    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
     
     
    .........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
    RICHARD H LEWIS DIRECTOR
    1.0
    0 0 0
    7117 S LOCUST CIRCLE
    ENGLEWOOD,CO80112
    CAROL A LEWIS DIRECTOR
    1.0
    0 0 0
    7117 S LOCUST CIRCLE
    ENGLEWOOD,CO80112
    BRADFORD H LEWIS DIRECTOR
    1.0
    0 0 0
    1130 E Kenyon Avenue
    Englewood,CO80113
    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
     
    Total number of other employees paid over $50,000...................bullet  
    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
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    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...........................bullet  
    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
    6,470,024
    b
    Average of monthly cash balances.......................
    1b
    667,630
    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
    7,137,654
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d..........................
    3
    7,137,654
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    107,065
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    7,030,589
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    351,529
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    351,529
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    9,701
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    9,701
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    341,828
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4.............................
    5
    341,828
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
    341,828
    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
    347,508
    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
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    347,508
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    347,508
    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 7 341,828
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 0
    b Total for prior years:2008, 2007, 2006 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 21,595
    b From 2006....... 110,825
    c From 2007....... 83,818
    d From 2008.......  
    e From 2009....... 19,908
    fTotal of lines 3a through e......... 236,146
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 347,508
    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)
     
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
     
    d Applied to 2010 distributable amount..... 341,828
    e Remaining amount distributed out of corpus 5,680
    5 Excess distributions carryover applied to 2010.    
    (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 5 241,826
    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......
     
    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) ...........
     
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    21,595
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......
    220,231
    10 Analysis of line 9:
    a Excess from 2006.... 110,825
    b Excess from 2007.... 83,818
    c Excess from 2008....  
    d Excess from 2009.... 19,908
    e Excess from 2010.... 5,680
    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).)
    RICHARD H LEWIS
    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.
    NONE
    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:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    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
    Youth for Christ
    PO Box 228822
    Denver,CO80222
    Unrelated Public Religious 250
    Global Connection International
    9250 E Costilla Ave Suite 600
    Greenwood Village,CO80112
    Unrelated Public Religious 2,500
    University of Colorado Foundation
    4740 Walnut St PO Box 1140
    Boulder,CO80306
    Unrelated Public Education 25,250
    Community Bible Study
    1765 Business Center Drive Suite 20
    Reston,VA20190
    Unrelated Public Religious 35,100
    Cherry Creek Presbyterian Church
    10150 E Belleview
    Englewood,CO80110
    Unrelated Public Religious 160,000
    Young Life
    PO Box 520
    Colorado Springs,CO80901
    Unrelated Public Religious 16,000
    Veterans of Foreign Wars
    406 West 34th Street
    Kansas City,MO64111
    Unrelated Public Support for Military Personnel 200
    YMCA of Metro Denver
    2625 South Colorado Blvd
    Denver,CO80210
    Unrelated Public Religious 1,000
    Salvation Army
    1370 Pennsylvania Street
    Denver,CO80203
    Unrelated Public CIVIC 1,000
    DPS Foundation
    900 Grant Street Suite 503
    Denver,CO80203
    Unrelated public Civic 1,000
    Fanconi Anemia Research Fund
    1801 Williamette Street Suite 200
    Eugene,OR97401
    Unrelated Public Civic 250
    Denver Rescue Mission
    PO Box 5206
    Denver,CO80217
    Unrelated Public Humanitarian 2,500
    Intervarsity
    6400 Schroeder Road
    Madison,CO53707
    Unrelated Public Religious 1,000
    COLORADO CHRISTIAN UNIVERSITY
    8787 W Alameda Ave
    Lakewood,CO80226
    Unrelated Public Education 2,000
    KIDS ACROSS AMERICA
    P O Box 930
    Branson,MO65615
    Unrelated Public Summer Camp for Inner City kids 1,500
    WAKE FOREST UNIVERSITY
    1834 Wake Forest Rd
    Winston Salem,NC27106
    Unrelated Public Education 1,000
    YOUNG VOICES OF COLORADO
    6325 S University Blvd
    Centennial,CO80121
    Unrelated Public Education 750
    Asian Hope
    PO Box 16031
    Denver,CO80216
    Unrelated Public Religious 4,000
    Colorado Uplift
    3914 King Street
    Denver,CO80211
    Unrelated Public Education 2,750
    Excelsior Youth Center
    15001 E Oxford Ave
    Aurora,CO80014
    Unrelated Public Education 2,000
    Mendenhall Ministries
    PO Box 368
    Mendenhall,MS39114
    Unrelated Public Low income and religious 1,500
    Denver Street School
    1567 Marion Street
    Denver,CO80218
    Unrelated Public Civic 2,000
    Dillon Community Church
    371 E La Bonte St
    Dillon,CO80435
    Unrelated Public Religious 6,000
    Promise Keepers
    PO Box 103001
    Denver,CO80250
    Unrelated Public Religious 2,000
    Denver Inner City Parrish
    1212 Mariposa St
    Denver,CO80204
    Unrelated Public Religious 1,000
    Food for the Hungry
    1224 E Washington St
    Phoenix,AZ85034
    Unrelated Public Food for homeless 500
    Focus on the Family
    8605 Explorer Drive
    Colorado Springs,CO80995
    Unrelated Public Religious 1,500
    Kwanis Club of Castle Rock
    PO Box 222
    Castle Rock,CO80104
    Unrelated Public Service to children 500
    Campus Crusade for Christ - Jacobsen
    100 Lake Hart Drive
    Orlando,FL32832
    Unrelated Public Religious 2,000
    Campus Crusade for Christ - Leah Cook
    100 Lake Hart Drive
    Orlando,FL32832
    Unrelated Public Religious 2,000
    Cherry Hills Community Church
    3900 Grace Boulevard
    Highlands Ranch,CO80126
    Unrelated Pubic Religious 1,500
    Family Research Council
    801 G Street NW
    Washington,DC20001
    Unrelated Public Religious 1,000
    Providence Network
    801 Logan Street
    Denver,CO80203
    Unrelated Public Religious 500
    Special Olympics
    1133 19th Street NW
    Washington,DC20036
    Unrelated Public Education 350
    Syke Literacy
    7393 S Pontiac Way
    Centennial,CO80112
    Unrelated Pubic Education 100
    Urban Youth Ministries
    PO Box 46018
    Denver,CO80201
    Unrelated Public Religious 10,000
    Musana Children's Home
    6325 S University Blvd
    Centennial,CO80121
    Unrelated Public Humanitarian 200
    Wheaton College
    501 College Ave
    Wheaton,IL60187
    Unrelated Public Education 4,000
    Cal State Channel Islands
    One University Drive
    Camarillo,CA93012
    Unrelated Public Education 2,000
    Habitat for Humanity
    121 Habitat St
    Americus,GA31709
    Unrelated Public Humanitarian 100
    American Lung Association
    1301 Pennsylvania Ave Ste 800
    Washington,DC20004
    Unrelated Public Healthcare 50
    American Heart Association
    7272 Greenville Ave
    Dallas,TX75231
    Unrelated Public Healthcare 50
    UMOM
    3333 E Van Buren St
    Phoenix,AZ85008
    Unrelated Public Humanitarian 500
    Easter Seals
    5755 W Alameda Ave
    Lakewood,CO80226
    Unrelated Public Humanitarian 100
    Push America
    PO Box 241368
    Charlotte,NC28224
    Unrelated Public Humanitarian 200
    Fisher DeBerry Foundation
    8235 Loganwood Court
    Colorado Springs,CO80919
    Unrelated Public Humanitarian 1,500
    Susan Komen 3Day for the Cure
    5005 LBH Freeway Ste 250
    Dallas,TX75244
    Unrelated Public Healthcare 250
    Lookout Mountain Community Church
    534 Commons Dr
    Golden,CO80401
    Unrelated Public Religious 200
    Music in the Mountain
    530 Searls Ave Ste B
    Nevada City,CA95959
    Unrelated Public Education 500
    Tennyson Center for Children
    2950 Tennyson St
    Denver,CO80212
    Unrelated Public Humanitarian 500
    Doctors Without Borders
    333 7th Ave 2nd Floor
    New York,NY10001
    Unrelated Public Healthcare 250
    University of Colorado
    University of Colorado at Boulder
    Boulder,CO80309
    Unrelated Public Education 2,400
    CSU Channel Islands
    One University Dr
    Camarillo,CA93012
    Unrelated Public Education 2,000
    Colorado I Have a Dream Foundation
    1836 Grant St 2
    Denver,CO80203
    Unrelated Public Humanitarian 1,000
    ALS - MDA
    3300 E Sunrise Dr
    Tucson,AZ85718
    Unrelated Public Healthcare 250
    Centennial Institute
    8787 W Alameda Ave
    Lakewood,CO80226
    Unrelated Public Humanitarian 2,500
    SRSLF
    7393 S Pontiac Way
    Centennial,CO80112
    Unrelated Public Education 200
    KATA Foundation
    PO Box 3514
    Littleton,CO80161
    Unrelated Public Healthcare 200
    American Institute for Cancer Research
    1579 R St NW
    Washington,DC20009
    Unrelated Public Healthcare 50
    Campus Crusade
    100 Lake Hart Dr
    Orlando,FL32832
    Unrelated Public Religious 250
    National MS Society
    700 Broadway
    Denver,CO80202
    Unrelated Public Healthcare 50
    Quiet Waters Ministries
    9185 E Kenyon Ave 150
    Denver,CO80237
    Unrelated Public Religious 2,000
    Josiah Venture
    PO Box 4317
    Wheaton,IL60189
    Unrelated Public Religious 4,000
    Alliance for Choice in Education
    1201 East Colfax Ave Ste 302
    Denver,CO80218
    Unrelated Public Education 10,000
    University of Colorado (Delores)
    University of Colorado at Boulder
    Boulder,CO80309
    Unrelated Public Education 1,200
    East West Ministries
    4450 Sojourn Dr Suite 100
    Addison,TX750015043
    Unrelated Public Religious 6,500
    Markwest Energy Partners K-1 Contribution
    1515 Arapahoe St Tower 1 1600
    Denver,CO802022137
    Unrelated Public Charitable 2
    Community College of Denver
    1111 W Colfax Avenue
    Denver,CO80204
    Unrelated Public Education 650
    Campus Crusade for Christ
    100 Lake Hart Drive
    Orlando,FL32832
    Unrelated Public Religious 1,000
    Total .................................bullet 3a 337,152
    bApproved for future payment
    Total ..................................bullet 3b  
    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          
    4 Dividends and interest from securities....     14 273,407  
    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.....     18 7,880  
    8Gain or (loss) from sales of assets other than inventory     18 148,314  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aOTHER INCOME FROM K-1 211110 -32,748      
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. -32,748 429,601  
    13Total. Add line 12, columns (b), (d), and (e)...................
    13396,853
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2010
    Name of organization
    Richard H Lewis Family Foundation
     
    Employer identification number

    84-1568116
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    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—
    Special Rules
    ......................... Arrow Bullet   $    
    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-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
    Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part I
    Name of organization
    Richard H Lewis Family Foundation
     
    Employer identification number

    84-1568116
    Part I
    Contributors (see Instructions)
         
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Aggregate contributions
    (d)
    Type of contribution
    1
     
     

    RICHARD H LEWIS    
    7117 SOUTH LOCUST CIRCLE
       
    ENGLEWOOD, CO   80112

    $182,838




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Aggregate contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Aggregate contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Aggregate contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Aggregate contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Aggregate contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  




    (Complete Part II if there is
    a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part II
    Name of organization
    Richard H Lewis Family Foundation
     
    Employer identification number

    84-1568116
    Part II
    Noncash Property (see Instructions)
         
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    Stocks and Mutual Funds   $182,838 2010-10-06
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part III
    Name of organization
    Richard H Lewis Family Foundation
     
    Employer identification number

    84-1568116
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (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) (2010)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2010 AccountingFeesSchedule
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 11,507 1,151   10,356

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    TY 2010 DepreciationSchedule
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FIXED INCOME BONDS 1,023,815 1,178,582

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Name of Stock End of Year Book Value End of Year Fair Market Value
    STOCK INVESTMENTS 3,056,534 3,558,801

    TY 2010 InvestmentsOtherSchedule2
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    LEHMAN BROS LOAN OPPTNTY FUND AT COST 0 0
    MARKWEST ENERGY PARTNERS AT COST 242,581 259,860
    LUMINOUS CAPITAL PAULSON ADVAN AT COST 295,275 303,617
    LUMINOUS CAPITAL SENIOR CREDIT AT COST 584,653 648,021
    LUMINOUS LC - FCO II AT COST 162,031 162,589
    LUMINOUS CAPITAL DISTRESSED CR AT COST 147,181 152,680
    LUMINOUS CAPITAL NET LEASE INC AT COST 112,422 117,913
    TPH PARTNERS, LP AT COST 81,435 112,084
    TPH PARTNERS, GP AT COST 12,820 19,779
    BLACKSTONE GSO AT COST 76,979 71,611

    TY 2010 LandEtcSchedule2
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value


    TY 2010 OtherExpensesSchedule
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 2,354 2,354    
    K-1 PORTFOLIO DEDUCTIONS 25,788 25,788    
    K-1 NON DEDUCTIBLE EXPENSE 54      
    K-1 MISCELLANEOUS EXPENSE 320 320    


    TY 2010 OtherIncomeSchedule2
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Ordinary K-1 Income -39,536    
    MIscellaneous K-1 Income 7,880 7,880  
    Net Section 1231 Gain(Loss) -389    
    Ordinary Gain from K-1 7,177    


    TY 2010 OtherLiabilitiesSchedule
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Description Beginning of Year - Book Value End of Year - Book Value
    OTHER LIABILITIES 557 1,411


    TY 2010 TaxesSchedule
    Name:
    Richard H Lewis Family Foundation
    EIN: 84-1568116
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL INCOME TAX 7,000      
    FOREIGN TAX WITHHELD 529 529