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 08-01-2010 , and ending 07-31-2011
G
Check all that apply:
Name of foundation
CHARLES AND M R SHAPIRO FOUNDATION INC
 

Number and street (or P.O. box number if mail is not delivered to street address)191 N WACKER DRIVE SUITE 1800   Room/suite
City or town, state, and ZIP code
CHICAGO, IL606061615
A Employer identification number

36-6109757
B Telephone number (see page 10 of the instructions)

(312) 521-2000
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$36,468,288J 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 894 894  
4 Dividends and interest from securities...... 787,696 787,696  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,923,895
b Gross sales price for all assets on line 6a 8,594,238
7 Capital gain net income (from Part IV, line 2)... 2,923,895
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).......      
12 Total. Add lines 1 through 11........ 3,712,485 3,712,485  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 158,000 52,661   105,339
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 13,000 0   13,000
c Other professional fees (attach schedule).... Click to see attachment 92,912 46,456   46,456
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 31,639 2,978   5,956
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 2,169 138   2,014
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 297,720 102,233   172,765
25 Contributions, gifts, grants paid........ 1,717,183 1,717,183
26 Total expenses and disbursements. Add lines 24 and 25 2,014,903 102,233   1,889,948
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,697,582
b Net investment income (if negative, enter -0-) 3,610,252
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...............      
2 Savings and temporary cash investments.......... 728,757 1,577,924 1,577,924
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) 1,400,000 Click to see attachment1,437,586 1,650,643
b Investments—corporate stock (attach schedule)........ 12,866,249 Click to see attachment14,584,637 19,937,206
c Investments—corporate bonds (attach schedule)........ 13,610,257 Click to see attachment12,702,698 13,302,515
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
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) 28,605,263 30,302,845 36,468,288
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.................... 28,605,263 30,302,845
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).................... 28,605,263 30,302,845
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 28,605,263 30,302,845
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 28,605,263
2 Enter amount from Part I, line 27a...................... 2 1,697,582
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 30,302,845
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 30,302,845
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 9,170 SHS ADR ROYAL DUTCH SHELL PLC P   2010-08-02
b 9,720 SHS UNITED TECHNOLOGIES P   2010-08-02
c 11,441.65 SHS MFO VANGUARD FXD INC SECS FD INC P   2010-08-27
d 41,705.28 SHS MFB NORTHERN FUNDS BD INDEX P   2010-08-27
e 55,658.63 SHS MFB NORTHERN FUNDS BD INDEX P   2010-11-23
UNITEDHEALTH GROUP SETTLEMENT P   2011-01-20
345 SHS ADR BHP BILLITON P   2010-08-02
175 SHS SUNCOR ENERGY P   2010-08-02
3,900 SHS ADR TEVA PHARMACEUTICALS P   2011-02-23
410 SHS ADR NOVARTIS P   2010-08-02
6,500 SHS ADOBE SYS P   2010-10-04
60 SHS ALTERA CORP P   2010-08-02
2,340 SHS ALTERA CORP P   2010-08-02
1,115 SHS AMAZON COM P   2010-11-10
85 SHS AMERICAN EXPRESS P   2010-08-02
1,290 SHS BANK OF AMERICA P   2010-08-02
16,970 SHS BANK OF AMERICA P   2010-12-03
2,550 SHS BERKSHIRE HATHAWAY CL B P   2011-07-06
9,260 SHS CISCO SYSTEMS P   1919-11-18
13,380 SHS CISCO SYSTEMS P   2011-04-11
20 SHS CITRIX SYS P   2010-08-02
215 SHS COLGATE-PALMOLIVE P   2010-08-02
2,100 SHS COLGATE-PALMOLIVE P   2011-02-02
380 SHS CUMMINS INC P   2010-09-10
564 SHS CUMMINS INC P   2010-09-10
1,041 SHS CUMMINS INC P   2010-09-13
1,308 SHS CUMMINS INC P   2010-12-17
2,720 SHS EXXON MOBIL P   2010-08-02
1,045 FEDEX CORP P   2011-03-25
2,545 SHS FED EX CORP P   2011-03-28
11,475 SHS GENERAL ELECTRIC P   2010-08-02
6,005 SHS HEWLETT PACKARD P   2010-10-04
2,272 SHS KELLOGG CO COM P   2010-08-18
1,395 SHS KELLOGG CO COM P   2010-08-19
1,453 SHS KELLOGG CO COM P   2010-08-20
6,540 SHS LOWES CO P   2011-06-24
4,720 SHS MEDCO HEALTH SOLUTIONS INC P   2011-06-24
11,655 SHS MICROSOFT P   2011-05-23
175 SHS NATIONAL OILWELL VARCO P   2010-08-02
1,409 SHS NIKE INC P   2011-04-26
1,156 SHS NIKE P   2011-04-27
3,185 SHS PEPSICO P   2011-03-08
6,510 SHS PG&E P   2010-09-13
675 SHS PRINCIPAL FIN GROUP P   2010-08-02
6,990 SHS CHARLES SCHWAB P   2010-11-02
2,130 SHS CHARLES SCHWAB P   2010-11-03
80 SHS SYSCO CORP P   2010-08-02
7,301 SHS SYSCO CORP P   2010-11-19
91 SHS SYSCO CORP P   2010-11-19
3 SHS SYSCO CORP P   2010-11-19
4,945 SHS TJX COS INC P   2010-12-17
2,275 SHS TJX COS INC P   2010-12-20
5,035 SHS UNITED TECHNOLOGIES P   2010-08-02
4,410 SHS WALMART P   2010-08-02
5,110 SHS WALT DISNEY P   2011-07-15
335 SHS WHOLE FOODS MKT P   2010-08-02
CAPITAL GAINS 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 524,699   36,502 488,197
b 699,537   24,738 674,799
c 150,000   137,415 12,585
d 450,000   427,896 22,104
e 600,000   571,058 28,942
4,135     4,135
25,963   17,187 8,776
5,917   3,911 2,006
194,966   172,549 22,417
20,496   22,233 -1,737
167,611   160,621 6,990
1,673   1,050 623
101,561   40,940 60,621
182,945   87,005 95,940
3,825   4,035 -210
18,576   21,492 -2,916
196,494   294,914 -98,420
194,769   201,706 -6,937
181,508   150,011 31,497
233,803   226,662 7,141
1,121   931 190
16,929   17,231 -302
158,220   168,207 -9,987
31,041   17,098 13,943
46,314   25,377 20,937
87,689   46,840 40,849
141,780   58,853 82,927
167,068   8,574 158,494
94,593   94,003 590
233,743   222,624 11,119
187,613   12,655 174,958
243,394   226,679 16,715
115,652   99,381 16,271
69,555   61,020 8,535
72,139   65,559 6,580
151,692   182,534 -30,842
253,380   198,519 54,861
281,090   233,596 47,494
7,192   4,558 2,634
112,671   89,922 22,749
92,735   73,889 18,846
202,588   164,776 37,812
284,736   255,306 29,430
17,610   19,050 -1,440
107,546   107,054 492
32,559   31,868 691
2,506   2,461 45
209,708   224,556 -14,848
2,614   2,701 -87
86   89 -3
215,127   102,602 112,525
99,464   53,277 46,187
365,457   12,814 352,643
224,820   57,484 167,336
200,854   112,952 87,902
13,080   13,378 -298
91,394     91,394
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       488,197
b       674,799
c       12,585
d       22,104
e       28,942
      4,135
      8,776
      2,006
      22,417
      -1,737
      6,990
      623
      60,621
      95,940
      -210
      -2,916
      -98,420
      -6,937
      31,497
      7,141
      190
      -302
      -9,987
      13,943
      20,937
      40,849
      82,927
      158,494
      590
      11,119
      174,958
      16,715
      16,271
      8,535
      6,580
      -30,842
      54,861
      47,494
      2,634
      22,749
      18,846
      37,812
      29,430
      -1,440
      492
      691
      45
      -14,848
      -87
      -3
      112,525
      46,187
      352,643
      167,336
      87,902
      -298
      91,394
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 2,923,895
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 1,864,520 34,566,817 0.053940
2008 1,889,137 32,992,009 0.057260
2007 1,794,877 40,113,247 0.044745
2006 1,806,790 39,857,333 0.045331
2005 1,821,139 38,549,740 0.047241
2 Total of line 1, column (d) ...................... 2 0.248517
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 0.049703
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 36,207,374
5 Multiply line 4 by line 3....................... 5 1,799,615
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 36,103
7 Add lines 5 and 6......................... 7 1,835,718
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,889,948
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 36,103
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 36,103
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 36,103
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 20,000
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 20,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 16,103
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet   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$ 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)bulletIL
    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 ofbulletHEGRE MCMAHON SCHIMMEL LLC Telephone no.bullet (312) 345-6200
    Located atbullet29 E MADISON STREET SUITE 1010CHICAGOIL ZIP+4bullet60602
    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
    NORMAN A SHUBERT PRES & DIR
    25.00     		150,000 0 0
    3535 PATTEN ROAD UNIT 5C
    HIGHLAND PARK,IL60035
    MICHAEL D VICK TREAS & DIR
    1.00     		4,000 0 0
    810 KIMBALL RD
    HIGHLAND PARK,IL60035
    JOAN PINES VP, SEC & DIR
    1.00     		4,000 0 0
    776 THACKERAY DR
    HIGHLAND PARK,IL60035
    LINDA GODLEWSKI TREAS, ASST SECY & DIR
    1.00     		0 0 0
    10638 S AVENUE L
    CHICAGO,IL60667
    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
    36,764,043
    b
    Average of monthly cash balances.......................
    1b
    -5,288
    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
    36,758,755
    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
    36,758,755
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    551,381
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    36,207,374
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    1,810,369
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,810,369
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    36,103
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    36,103
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,774,266
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    1,774,266
    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
    1,774,266
    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
    1,889,948
    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
    1,889,948
    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
    36,103
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    1,853,845
    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 1,774,266
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 1,442,996
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005.......  
    b From 2006.......  
    c From 2007.......  
    d From 2008.......  
    e From 2009.......  
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 1,889,948
    a Applied to 2009, but not more than line 2a 1,442,996
    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..... 446,952
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........     		1,327,314
    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) .............     		0
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007....  
    c Excess from 2008....  
    d Excess from 2009....  
    e Excess from 2010....  
    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:
    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
    ADA S MCKINLEY COMMUNITY SERVICES INC
    725 S WELLS STREET SUITE 1A
    CHICAGO,IL60607     		N/A PUBLIC GENERAL 10,000
    AMER ASSOCIATES BEN GURION UNIV OF THE NEGEV
    1430 BROADWAY 8TH FLOOR
    NEW YORK,NY10018     		N/A PUBLIC OPEN APARTMENTS PROGRAM 15,000
    AMER FRIENDS SANZ MEDICAL CENTER-LANIADO HOSP
    18 W 45TH ST
    NEW YORK,NY10036     		N/A PUBLIC BEDSIDE PHYSIOLOGICAL MONITORS 40,000
    AMERICAN FRIENDS OF MAGEN DAVID ADOM
    3175 COMMERCIAL AVE STE 101
    NORTHBROOK,IL60062     		N/A PUBLIC DEFIBRILLATOR 25,000
    AMERICAN FRIENDS OF TEL AVIV UNIVERSITY
    39 BROADWAY 15TH FL
    NEW YORK,NY10006     		N/A PUBLIC PRESIDENTIAL SCHOLARS FUND 10,000
    AMERICAN FRIENDS OF THE HEBREW UNIVERSITY
    500 N MICHIGAN STE 1530
    CHICAGO,IL60611     		N/A PUBLIC MECHINA PROGRAM 30,000
    AMERICAN RED CROSS OF GREATER CHICAGO
    2200 W HARRISON
    CHICAGO,IL60612     		N/A PUBLIC RELIEF SERVICES 35,000
    AMERICAN TECHNION SOCIETY
    111 W WASHINGTON ST STE 1120
    CHICAGO,IL60602     		N/A PUBLIC FELLOWSHIP FUND 30,000
    ANTI-DEFAMATION LEAGUE
    309 W WASHINGTON ST STE 750
    CHICAGO,IL60606     		N/A PUBLIC WORLD OF DIFFERENCE PROGRAM 25,000
    ART INSTITUTE OF CHICAGO
    111 S MICHIGAN AVE
    CHICAGO,IL60603     		N/A PUBLIC MUSEUM EDUCATION 5,000
    ASSOCIATED TALMUD TORAHS OF CHICAGO
    2828 W PRATT BLVD
    CHICAGO,IL60645     		N/A PUBLIC LEARNING DIFFICULTIES PROGRAM 20,000
    ASSOCIATION HOUSE OF CHICAGO
    1116 N KEDZIE AVENUE
    CHICAGO,IL60651     		N/A PUBLIC HEALTHY LIFESTYLES PROGRAM 5,000
    BEST BUDDIES ILLINOIS
    360 N ORLEANS ST STE 678
    CHICAGO,IL60654     		N/A PUBLIC BEST BUDDIES PROGRAM 4,500
    BIG BROTHERSBIG SISTERS OF METRO CHICAGO
    560 WEST LAKE ST
    CHICAGO,IL60661     		N/A PUBLIC GENERAL 5,000
    BOARD OF JEWISH EDUCATION
    3320 W DUNDEE ROAD
    NORTHBROOK,IL60062     		N/A PUBLIC GENERAL 135,000
    BRANDEIS UNIVERSITY
    PO BOX 5491 MS122
    WALTHAM,MA024549110     		N/A PUBLIC LIBRARY COLLECTION 10,000
    CANCER WELLNESS CENTER
    215 REVERE DR
    NORTHBROOK,IL60062     		N/A PUBLIC PROGRAMS 35,000
    CATHOLIC THEOLOGICAL UNION
    5401 N CORNELL AVE
    CHICAGO,IL60615     		N/A PUBLIC LECTURES & LIBRARY 12,500
    CENTER FOR DISABILITY AND ELDER LAW
    710 N LAKE SHORE DR 300
    CHICAGO,IL60611     		N/A PUBLIC GENERAL 7,500
    CHICAGO AREA COUNCIL - BOY SCOUTS OF AMERICA
    1218 W ADAMS ST
    CHICAGO,IL60607     		N/A PUBLIC GENERAL 7,500
    CHICAGO INSTITUTE FOR PSYCHOANALYSISBARR HARRIS
    122 S MICHIGAN
    CHICAGO,IL60603     		N/A PUBLIC GENERAL 15,000
    CHICAGO SHAKESPEARE THEATER
    800 E GRAND AVENUE
    CHICAGO,IL60611     		N/A PUBLIC GENERAL 5,000
    CHICAGO SYMPHONY ORCHESTRA
    220 S MICHIGAN AVE
    CHICAGO,IL60604     		N/A PUBLIC INSTITUTE FOR LEARNING, ACCESS, AND TRAINING 15,000
    CHICAGO YIVO SOCIETY
    141 W JACKSON BLVD STE 1910A
    CHICAGO,IL60606     		N/A PUBLIC PROGRAMS 7,500
    CHICAGOLAND JEWISH HIGH SCHOOL
    1095 LAKE COOK ROAD
    DEERFIELD,IL60015     		N/A PUBLIC GENERAL 5,000
    COMMUNITY FOUNDATION FOR JEWISH EDUCATION
    4709 W GOLF ROAD 400
    SKOKIE,IL60076     		N/A PUBLIC PROGRAMS 27,500
    CONGREGATION BENE SHOLOM
    4435 W OAKTON
    SKOKIE,IL60076     		N/A PUBLIC PROGRAMS 10,000
    COUNCIL FOR JEWISH ELDERLY
    3003 W TOUHY AVE
    CHICAGO,IL60645     		N/A PUBLIC CARE MANAGEMENT SERVICES PROGRAM 50,000
    DANIEL CENTERS FOR PROGRESSIVE JUDAISM
    1 W 4TH STREET
    NEW YORK,NY10012     		N/A PUBLIC JEWISH SOUL OVERHAUL PROGRAM 5,000
    DYSTONIA MEDICAL RESEARCH FOUNDATION
    1 E WACKER DR STE 2430
    CHICAGO,IL60601     		N/A PUBLIC RESEARCH GRANT 10,000
    FACING HISTORY AND OURSELVES
    200 E RANDOLPH STE 2100
    CHICAGO,IL60601     		N/A PUBLIC PROFESSIONAL DEVELOPMENT OF TEACHERS 5,000
    GREENVILLE COLLEGE
    315 E COLLEGE AVENUE
    GREENVILLE,IL62246     		N/A PUBLIC JEWISH CHRISTIAN STUDIES 10,000
    HEBREW IMMIGRANT AID SOCIETY
    333 SEVENTH AVENUE
    NEW YORK,NY10001     		N/A PUBLIC LATIN AMERICAN PROGRAMS 10,000
    HEBREW THEOLOGICAL COLLEGE
    7135 N CARPENTER RD
    SKOKIE,IL60077     		N/A PUBLIC SCHOLARSHIP ASSISTANCE 15,000
    HEBREW UNION COLLEGE
    ONE W 4TH ST
    NEW YORK,NY10012     		N/A PUBLIC YEAR-IN-ISRAEL PROGRAM 75,000
    HUBBARD STREET DANCE CHICAGO
    1147 W JACKSON BLVD
    CHICAGO,IL60607     		N/A PUBLIC EDUCATION & COMMUNITY PROGRAM 5,000
    IDA CROWN JEWISH ACADEMY
    2828 W PRATT BLVD
    CHICAGO,IL60645     		N/A PUBLIC PROGRAMS 10,000
    INTERNATIONAL FELLOWSHIP OF CHRISTIANS AND JEWS
    30 NORTH LASALLE STREET
    CHICAGO,IL60602     		N/A PUBLIC PROGRAM FOR THE BENEFIT OF JEWS OF FORMER SOVIET UNION 5,000
    ISRAEL CENTER FOR EXCELLENCE THROUGH EDUCATION
    211 E CHICAGO ST STE 1020
    CHICAGO,IL60611     		N/A PUBLIC GENERAL 10,000
    JBI INTERNATIONAL (JEWISH BRAILLE INSTITUTE)
    110 E 30TH STREET
    NEW YORK,NY10016     		N/A PUBLIC PROGRAMS 5,000
    JEWISH CHILDREN'S ADOPTION NETWORK
    PO BOX 147016
    DENVER,CO80214     		N/A PUBLIC GENERAL 2,500
    JEWISH COMMUNITY CENTERS OF CHICAGO
    30 S WELLS ST RM 4000
    CHICAGO,IL60606     		N/A PUBLIC SCHOLARSHIP ASSISTANCE 50,000
    JEWISH COUNCIL FOR YOUTH SERVICES
    100 N LASALLE ST STE 400
    CHICAGO,IL60602     		N/A PUBLIC CAMP PROGRAM 30,000
    JEWISH NATIONAL FUND
    60 REVERE DR
    NORTHBROOK,IL60062     		N/A PUBLIC SOCIAL SERVICES PROGRAM 10,000
    JEWISH THEOLOGICAL SEMINARY
    3080 BROADWAY
    NEW YORK,NY10027     		N/A PUBLIC SCHOLARSHIP ASSISTANCE 50,000
    JEWISH UNITED FUNDJEWISH FEDERATION OF METROPOLITAN CHICAGO
    30 N WELLS
    CHICAGO,IL60606     		N/A PUBLIC GENERAL 125,000
    JOHN HOWARD ASSOCIATION
    375 EAST CHICAGO AVENUE SUITE 529
    CHICAGO,IL60611     		N/A PUBLIC GENERAL 5,000
    KAM ISAIAH ISRAEL CONGREGATION
    1100 E HYDE PARK BLVD
    CHICAGO,IL60615     		N/A PUBLIC SCHOLARS-IN-RESIDENCE PROGRAM 8,000
    LEGAL ASSISTANCE FOUNDATION OF CHICAGO
    111 W JACKSON BLVD STE 300
    CHICAGO,IL60604     		N/A PUBLIC GENERAL 20,000
    LES TURNER ALS FOUNDATION
    5550 W TOUHY AVE STE 302
    SKOKIE,IL60077     		N/A PUBLIC ALS RESEARCH 15,000
    LEUKEMIA RESEARCH FOUNDATION
    3520 LAKE AVENUE SUITE 202
    WILMETTE,IL60091     		N/A PUBLIC GENERAL 5,000
    LINKS NORTH SHORE YOUTH HEALTH SERVICE
    1779 MAPLE ST
    NORTHFIELD,IL60093     		N/A PUBLIC GENERAL 10,000
    LITTLE CITY FOUNDATION
    1760 WEST ALGOQUIN ROAD
    PALATINE,IL60067     		N/A PUBLIC GENERAL 7,500
    LYRIC OPERA OF CHICAGO
    20 N WACKER DR
    CHICAGO,IL60606     		N/A PUBLIC ANNUAL CAMPAIGN 25,000
    MAOT CHITIM OF GREATER CHICAGO INC
    4433 WEST TOUHY AVE SUITE 200
    LINCOLNWOOD,IL60712     		N/A PUBLIC HOLIDAY FOOD PROGRAM 10,000
    MEMORY CARE HOME SOLUTIONS
    1526 S BIG BEND BLVD
    ST LOUIS,MO63117     		N/A PUBLIC GENERAL 10,000
    MICHAEL ROLFE PANCREATIC CANCER FOUNDATION
    910 W VAN BUREN ST 3RD FL
    CHICAGO,IL60607     		N/A PUBLIC MEDICAL RESEARCH 25,000
    MIDWEST PALLIATIVE & HOSPICE CARECENTER
    2050 CLAIR CT
    GLENVIEW,IL60025     		N/A PUBLIC FELLOWSHIP PROGRAM 20,000
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    PO BOX 4527
    NEW YORK,NY10163     		N/A PUBLIC GENERAL 5,000
    NEW ISRAEL FUND
    PO BOX 96712
    WASHINGTON,DC20077     		N/A PUBLIC GENERAL 10,000
    OLIN-SANG-RUBY UNION INSTITUTE
    555 SKOKIE BLVD 225
    NORTHBROOK,IL60062     		N/A PUBLIC SCHOLARSHIP ASSISTANCE 50,000
    ORT AMERICAN INC
    3701 COMMERCIAL AVE STE 13
    NORTHBROOK,IL60062     		N/A PUBLIC SCHOLARSHIP ASSISTANCE 10,000
    PEOPLE FOR THE AMERICAN WAY FOUNDATION
    2000 M STREET NW SUITE 400
    WASHINGTON,DC20036     		N/A PUBLIC GENERAL 25,000
    RAVINIA FESTIVAL ASSOCIATION
    418 SHERIDAN RD
    HIGHLAND PARK,IL60035     		N/A PUBLIC EDUCATION & COMMUNITY PARTNERSHIPS 20,000
    ROOSEVELT UNIVERSITY
    430 S MICHIGAN AVE RM 8277
    CHICAGO,IL60605     		N/A PUBLIC SCHOLARSHIP ASSISTANCE 15,000
    RUSH UNIVERSITY MEDICAL CENTER
    1700 W VAN BUREN STE 250
    CHICAGO,IL60612     		N/A PUBLIC MEDICAL RESEARCH 155,700
    SCHOLARSHIP FUND OF ST LOUIS
    8211 CLAYTON ROAD
    ST LOUIS,MO63117     		N/A PUBLIC INTEREST FREE LOANS 7,500
    SHEDD AQUARIUM
    1200 S LAKE SHORE DRIVE
    CHICAGO,IL60605     		N/A PUBLIC GENERAL 5,000
    SOUTHERN INSTITUTE FOR EDUCATION AND RESEARCH TULANE UNIVERSITY
    MR BOX 1692 31 MCALISTER DR
    NEW ORLEANS,LA70118     		N/A PUBLIC TOLERENCE EDUCATION 2,000
    SOUTHERN POVERTY LAW CENTER
    400 WASHINGTON AVE
    MONTGOMERY,AL36104     		N/A PUBLIC TEACHING TOLERENCE PROGRAM 5,000
    SPERTUS INSTITUTE OF JEWISH STUDIES
    610 S MICHIGAN AVE
    CHICAGO,IL60605     		N/A PUBLIC EDUCATIONAL PROGRAMMING 25,000
    THE ARK
    6450 N CALIFORNIA AVE
    CHICAGO,IL60645     		N/A PUBLIC SARNOFF LEVIN RESIDENCE PROGRAM 42,500
    THE FIELD MUSEUM
    1400 S LAKE SHORE DRIVE
    CHICAGO,IL60605     		N/A PUBLIC MUSEUM EDUCATION 5,000
    THE HALDLEY SCHOOL FOR THE BLIND
    700 ELM ST
    WINNETKA,IL60093     		N/A PUBLIC CENTER FOR ENTREPRENEURSHIP 35,000
    THE HILLELS OF ILLINOIS
    30 S WELLS ST
    CHICAGO,IL60606     		N/A PUBLIC GENERAL 10,000
    THE LAMBS FARM INC
    14245 W ROCKLAND RD
    LIBERTYVILLE,IL60048     		N/A PUBLIC QUEST PROGRAM 7,500
    THRESHOLDS
    4101 N RAVENSWOOD AVE
    CHICAGO,IL60613     		N/A PUBLIC HOMELESS SERVICES PROGRAMS 15,000
    TURTLE WILL
    BOX 1147
    CAREFREE,AZ85377     		N/A PUBLIC SCHOOL IMPROVEMENTS 8,000
    US COMMITTEE FOR UNICEF
    500 N MICHIGAN AVE STE 1000
    CHICAGO,IL60611     		N/A PUBLIC SCHOOLS IN AFRICA 25,000
    UC CUMBERLAND COLLEGE
    816 WALNUT ST
    WILLIAMSBURG,KY40769     		N/A PUBLIC SCHOLARSHIP ASSISTANCE 10,000
    UNION FOR REFORM JUDAISM
    633 THIRD AVENUE
    NEW YORK,NY10017     		N/A PUBLIC REFUND OF PRIOR YEAR OVERFUNDED CONTRIBUTION -6,017
    UNITED NEGRO COLLEGE FUND
    8260 WILLOW OAKS CORPORATE DRIVE PO
    BOX 10444
    FAIRFAX,VA22031     		N/A PUBLIC GENERAL 5,000
    VICTORY GARDENS THEATER
    2257 N LINCOLN AVE
    CHICAGO,IL60614     		N/A PUBLIC EDUCATIONAL PROGRAMS 15,000
    YMCA OF THE USA
    101 N WACKER
    CHICAGO,IL60606     		N/A PUBLIC GENERAL 15,000
    Total .................................bullet 3a 1,717,183
    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     14 894  
    4 Dividends and interest from securities....     14 787,696  
    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.....          
    8Gain or (loss) from sales of assets other than inventory     18 2,923,895  
    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 3,712,485 0
    13Total. Add line 12, columns (b), (d), and (e)...................
    133,712,485
    (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 AccountingFeesSchedule
    Name:
    CHARLES AND M R SHAPIRO FOUNDATION INC
    EIN: 36-6109757
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    O'DELL & SCHIMMEL, LLC - AUDIT & FORM 990-PF 13,000 0   13,000

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    CHARLES AND M R SHAPIRO FOUNDATION INC
    EIN: 36-6109757
    Name of Bond End of Year Book Value End of Year Fair Market Value
    MFB NORTHERN FDS BD INDEX 12,702,698 13,302,515

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    CHARLES AND M R SHAPIRO FOUNDATION INC
    EIN: 36-6109757
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LAB COM - 3765 SHS 190,011 193,219
    ADOBE SYS INC - 0 SHS 0 0
    ADR BILLITON LTD - 3400 SHS 215,151 311,270
    ADR NOVARTIS AG - 4950 SHS 268,661 302,940
    ADR ROYAL DUTCH SHELL PLC - 0 SHS 0 0
    ADR TEVA PHARMACEUTICAL INDS - 0 SHS 0 0
    ALTERA CORP COM - 4930 SHS 88,118 201,538
    AMAZON COM INC - 1258 SHS 107,089 279,930
    AMERICAN EXPRESS CO. - 7915 SHS 371,989 396,067
    APPLE INC - 2026 SHS 259,547 791,112
    BANK OF AMERICA CORP 0 0
    BERKSHIRE HATHAWAY INC CL B - 0 SHS 0 0
    CHEVRON CORP COM - 5010 SHS 364,524 521,140
    CISCO SYS INC - 0 SHS 0 0
    CITRIX SYS INC COM - 5000 SHS 273,940 360,200
    COLGATE-PALMOLIVE CO - 0 SHS 0 0
    COSTCO WHOLESALE CORP - 4685 SHS 261,932 366,601
    COVIDIEN PLC - 5130 SHS 215,860 260,553
    CUMMINS INC - 2817 SHS 140,734 295,447
    DANAHER CORP COMMON - 10925 SHS 248,064 536,527
    DU PONT E I DE NEMOURS & CO - 8560 SHS 333,125 440,155
    EMC CORP COM - 16750 SHS 330,342 436,840
    EMERSON ELECTRIC CO COM - 7615 SHS 278,228 373,820
    EXXON MOBIL CORP, COMMON - 7935 SHS 34,030 633,134
    FEDEX CORP COM - 0 SHS 0 0
    FRANKLIN RES INC - 3147 SHS 366,088 399,543
    GENERAL ELECTRIC, COMMON - 26525 SHS 291,396 475,063
    GOOGLE INC CL A - 714 SHS 288,581 431,035
    HEWLETT PACKARD CO - 0 SHS 0 0
    INTERNATIONAL BUSINESS MACHS - 3390 SHS 311,463 616,472
    JOHNSON & JOHNSON - 2660 SHS 156,379 172,341
    JOHNSON CTL INC - 7425 SHS 208,602 274,354
    JPMORGAN CHASE & CO - 11385 SHS 343,805 460,523
    KELLOGG CO - 0 SHS 0 0
    LOWES COS INC - 0 SHS 0 0
    MCKESSON CORP - 5120 SHS 313,722 415,334
    MEDCO HEALTH SOLUTIONS INC - 0 SHS 0 0
    MICROSOFT CORP - 0 SHS 0 0
    NATIONAL OILWELL VARCO - 4845 SHS 149,606 390,362
    NIKE INC - 2345 SHS 163,063 211,402
    NOBLE ENERGY INC - 2305 SHS 137,792 229,762
    PEPSICO INC - 3200 SHS 172,817 204,928
    PG& E CORP - 0 SHS 0 0
    PRINCIPAL FINL GROUP INC - 10725 SHS 307,076 296,332
    PROCTER & GAMBLE CO - 6395 SHS 389,289 393,229
    SALESFORCE.COM INC - 2660 SHS 254,714 384,929
    SCHWAB CHARLES CORP - 0 SHS 0 0
    SIMON PROPERTY GROUP INC - 3412 SHS 313,256 411,180
    SPECTRA ENERGY CORP - 16360 SHS 262,348 442,047
    SUNCOR ENERGY INC. NEW - 6990 SHS 203,120 267,158
    SYSCO CORP COM - 0 SHS 0 0
    TJX COS INC - 0 SHS 0 0
    TRAVELERS COS INC COM - 6310 SHS 336,562 347,870
    UNITEDHEALTH GROUP INC - 10500 SHS 332,874 521,115
    UNITED TECHNOLOGIES CORP - 3015 SHS 11,074 249,763
    US BANCORP - 12235 SHS 294,461 318,844
    WAL-MART STORES, COMMON - 3600 SHS 49,759 189,756
    WALT DISNEY CO - 6500 SHS 203,163 251,030
    WELLS FARGO & CO - 13955 SHS 356,565 389,903
    WHOLE FOODS MKT INC - 5680 SHS 244,872 378,856
    AUTODESK INC COM - 4860 SHS 203,050 167,184
    BRISTOL MYERS SQUIBB CO COM - 8815 SHS 256,889 252,638
    VF CORP - 3500 SHS 369,593 408,800
    STARWOOD HOTELS & RESORTS - 3200 SHS 191,827 175,872
    CONOCOPHILLIPS COM - 3465 SHS 213,872 249,445
    DOMINION RES SINC VA NEW COM - 6780 SHS 298,152 328,491
    EATON CORP COM - 6120 SHS 333,479 293,454
    GRAINGER W W INC COM - 1512 SHS 172,959 224,335
    HJ HEINZ - 5745 SHS 269,056 302,417
    JUNIPER NETWORKS INC COM - 9670 SHS 365,766 226,181
    OMNICOM GHSROUP INC - 6730 S 309,664 315,772
    ORACLE CORP COM - 15270 SHS 415,846 466,957
    PAYCHEX INC COM - 6145 SHS 206,281 173,473
    QUALCOMM INC COM - 3705 SHS 203,295 202,960
    SCHLUMBERGER LTD COM - 3603 SHS 331,116 325,603

    TY 2010 InvestmentsGovtObligationsSch
    Name:
    CHARLES AND M R SHAPIRO FOUNDATION INC
    EIN: 36-6109757
    US Government Securities - End of Year Book Value:

    1,437,586
    US Government Securities - End of Year Fair Market Value:

    1,650,643
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2010 OtherExpensesSchedule
    Name:
    CHARLES AND M R SHAPIRO FOUNDATION INC
    EIN: 36-6109757
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INSURANCE 1,200 0   1,200
    DUES & SUBSCRIPTIONS 695 0   695
    CORPORATE FILING FEES 125 55   70
    MISCELLANEOUS EXPENSES 132 83   49
    PENALTIES 17 0   0


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    CHARLES AND M R SHAPIRO FOUNDATION INC
    EIN: 36-6109757
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NORTHERN TRUST COMPANY - CUSTODIAL 92,912 46,456   46,456


    TY 2010 TaxesSchedule
    Name:
    CHARLES AND M R SHAPIRO FOUNDATION INC
    EIN: 36-6109757
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 8,934 2,978   5,956
    FEDERAL EXCISE TAX 22,705 0   0