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 12-01-2010 , and ending 11-30-2011
G
Check all that apply:
Name of foundation
SUSAN V BERSHAD CHARITABLE FUND INC
 

Number and street (or P.O. box number if mail is not delivered to street address)28 SOUTH MOUNTAIN AVE   Room/suite
City or town, state, and ZIP code
MONTCLAIR, NJ07042
A Employer identification number

36-4662468
B Telephone number (see page 10 of the instructions)

(973) 783-3330
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$2,721,857
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 4,680 4,680  
4 Dividends and interest from securities...... 55,537 55,537  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 38,514
b Gross sales price for all assets on line 6a 902,227
7 Capital gain net income (from Part IV, line 2)... 38,514
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)....... 22,865 273  
12 Total. Add lines 1 through 11........ 121,596 99,004  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 4,300 2,150   2,150
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) 5,215 2,608   2,607
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 16,697 8,349   8,348
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 26,212 13,107   13,105
25 Contributions, gifts, grants paid........ 179,137 179,137
26 Total expenses and disbursements. Add lines 24 and 25 205,349 13,107   192,242
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -83,753
b Net investment income (if negative, enter -0-) 85,897
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............... 131,249 134,259 134,259
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) 651,236 Click to see attachment0 0
b Investments—corporate stock (attach schedule)........ 1,213,304 Click to see attachment1,301,002 1,375,961
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 736,825 Click to see attachment1,189,911 1,211,637
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) 2,732,614 2,625,172 2,721,857
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....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 2,732,614 2,625,172
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,732,614 2,625,172
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,732,614 2,625,172
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 2,732,614
2 Enter amount from Part I, line 27a...................... 2 -83,753
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 2,648,861
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 23,689
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 2,625,172
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 1,000 SHS MARRIOTT INTL CLA P 2010-01-29 2011-02-18
b 500 SHS COCA COLA P 2010-01-29 2011-02-18
c 300 SHS COCA COLA P 2010-07-21 2011-02-18
d 2,000 SHS INTEL CORP P 2010-01-19 2011-04-13
e 400 SHS YUM BRANDS P 2010-07-21 2011-06-08
300 SHS SCHLUMBERGER LTD P 2010-01-19 2011-06-08
300 SHS HENRY SCHEIN INC P 2010-10-06 2011-06-08
150 SHS INTL BUSINESS MACHINES P 2010-01-19 2011-06-08
500 SHS QUALCOMM INC P 2010-01-19 2011-06-08
300,000 SHS US TREASURY NOTE 1.00% P 2010-08-13 2011-07-31
100,000 SHS US TREASURY NOTE .75% P 2010-06-02 2011-08-05
ENTERPRISE PRODUCTS PRTN - SEC 1231 LOSS   2004-12-28 2010-12-31
LESS: AMOUNTS REPORTED BY THE DAVID BERSHAD FAMILY FND (EIN 80-0315868)   2004-12-28 2010-12-31
75000 SHS UNITED STATES TREAS BILL P 2010-02-16 2011-01-26
175,000 SHS UNITED STATES TREASURY BILLS P 2010-02-16 2011-02-10
(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 40,872   26,458 14,414
b 32,193   27,284 4,909
c 19,316   16,269 3,047
d 39,534   42,125 -2,591
e 21,560   16,241 5,319
25,076   21,288 3,788
20,666   17,551 3,115
24,585   19,966 4,619
27,911   24,749 3,162
300,000   300,814 -814
100,476   100,713 -237
    62 -62
62     62
74,976   75,193 -217
175,000   175,000 0
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       14,414
b       4,909
c       3,047
d       -2,591
e       5,319
      3,788
      3,115
      4,619
      3,162
      -814
      -237
      -62
      62
      -217
      0
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 38,514
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 217,357 2,928,636 0.074218
2008 380,290 4,958,672 0.076692
2007 763,532 5,985,839 0.127556
2006 799,365 6,515,239 0.122692
2005 581,668 5,951,424 0.097736
2 Total of line 1, column (d) ...................... 2 0.498894
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 0.099779
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 2,825,049
5 Multiply line 4 by line 3....................... 5 281,881
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 859
7 Add lines 5 and 6......................... 7 282,740
8 Enter qualifying distributions from Part XII, line 4.............. 8 192,242
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 1,718
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 1,718
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 1,718
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a  
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 5,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 5,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 42
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 3,240
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet3,240 Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    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)bulletNJ
    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 ofbulletSUSAN V BERSHAD Telephone no.bullet (973) 783-3330
    Located atbullet28 SOUTH MOUNTAIN AVEMONTCLAIRNJ ZIP+4bullet07042
    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
    SUSAN V BERSHAD PRESIDENT & TREASURER
    0.00
    0 0 0
    28 SOUTH MOUNTAIN AVE
    MONTCLAIR,NJ07042
    BRADLEY J BERSHAD VICE PRESIDENT
    0.00
    0 0 0
    311 21ST STREET
    UNION CITY,NJ07087
    ELIZABETH J BERSHAD SECRETARY
    0.00
    0 0 0
    164 STANTON STREET 6B
    NEW YORK,NY10002
    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
    2,702,027
    b
    Average of monthly cash balances.......................
    1b
    166,043
    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
    2,868,070
    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
    2,868,070
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    43,021
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,825,049
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    141,252
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    141,252
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    1,718
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,718
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    139,534
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    139,534
    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
    139,534
    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
    192,242
    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
    192,242
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    192,242
    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 7 139,534
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 309,310
    b From 2006....... 490,352
    c From 2007....... 489,912
    d From 2008....... 138,384
    e From 2009....... 83,769
    fTotal of lines 3a through e......... 1,511,727
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 192,242
    a Applied to 2009, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
    0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
    0
    d Applied to 2010 distributable amount..... 139,534
    e Remaining amount distributed out of corpus 52,708
    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 1,564,435
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
    0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
    0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
    0
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    309,310
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......
    1,255,125
    10 Analysis of line 9:
    a Excess from 2006.... 490,352
    b Excess from 2007.... 489,912
    c Excess from 2008.... 138,384
    d Excess from 2009.... 83,769
    e Excess from 2010.... 52,708
    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
    AMERICAN ACADEMY OF DERMATOLOGY
    38546 EAGLE WAY
    CHICAGO,IL60678
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 1,000
    AMERICAN ASSOCIATION FOR THE STUDY OF LIVER DIEASES
    1001 NORTH FAIRFAX STREET SUIT 400
    ALEXANDRIA,VA22314
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 25,000
    COMMITTEE TO PROTECT JOURNALISTS
    330 SEVENTH AVENUE 11TH FLOOR
    NEW YORK,NY10001
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 5,000
    EL MUSEO DEL BARRIO
    1230 5TH AVE
    NEW YORK,NY10029
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 2,500
    HUNTER COLLEGE FOUNDATION
    EAST BUILDING ROOM 1313 HUNTER
    COLLEGE 695 PARK AVE
    NEW YORK,NY10065
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 17,500
    MONTCLAIR CHILD DEVELOPMENT CENTER - CONCERNED PARENTS
    33 FULTON STREET
    MONTCLAIR,NJ07042
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 1,000
    MONTCLAIR ART MUSEUM
    3 SOUTH MOUNTAIN AVENUE
    MONTCLAIR,NJ07042
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 28,275
    MONTCLAIR COMM PRE-K
    49 ORANGE ROAD
    MONTCLAIR,NJ07042
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 6,000
    MONTCLAIR FUND FOR EDUCATIONAL EXCELLENCE
    22 VALLEY RD
    MONTCLAIR,NJ07042
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 2,500
    MONTCLAIR INTERNATIONAL FILM FESTIVAL
    494 BLOOMFIELD AVENUE
    MONTCLAIR,NJ07042
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 5,000
    MONTCLAIR VOLUNTEER AMBULANCE
    95 WALNUT ST
    MONTCLAIR,NJ07042
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 1,500
    MSU FOUNDATION
    1 NORMAL AVE
    MONTCLAIR,NJ07043
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 50,000
    MT SINAI MEDICAL CENTER
    1425 MADISON AVENUE
    NEW YORK,NY10029
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 5,000
    NATIONAL BREAST CANCER COALITION
    1101 17TH ST NW SUITE 1300
    WASHINGTON,DC20036
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 5,000
    NATIONAL PSORIASIS FOUNDATION
    6600 SW 92ND AVE - SUITE 300
    PORTLAND,OR97223
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 5,000
    OUTPOST IN THE BURBS
    40 SOUTH FULLERTON AVE
    MONTCLAIR,NJ07042
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 5,000
    PLANNED PARENTHOOD METROPOLITAN NEW JERSEY
    29 N FULLERTON AVE
    MONTCLAIR,NJ07042
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 1,000
    THE ACTORS FUND
    729 SEVENTH AVENUE 10TH FLOOR
    NEW YORK,NY10019
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 5,000
    THE DERMOTOLOGY FUND
    ONE GUSTAVE L LEVY PLACE BOX 1047
    NEW YORK,NY10029
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 1,000
    THE ENTERPRISE FUND
    320 7TH AVE 232
    BROOKLYN,NY11215
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 1,000
    THE METROPOLOTAN MUSEUM OF ART
    1000 FIFTH AVE
    NEW YORK,NY10028
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 3,662
    WFUV PUBLIC BRODCAST RADIO
    FORDHAM UNIVERSTY
    BRONX,NY10458
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 1,200
    YALE PARENTS FUND
    175 CHURCH STREET
    NEW HAVEN,CT06510
    NONE PUBLIC TO FURTHER THE CHAR. PURPOSE OF THE RECIP ORG 1,000
    Total .................................bullet 3a 179,137
    bApproved for future payment
    Total ..................................bullet 3b 0
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 4,680  
    4 Dividends and interest from securities....     14 55,537  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....     14 22,865  
    8Gain or (loss) from sales of assets other than inventory     18 38,514  
    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).. 0 121,596 0
    13Total. Add line 12, columns (b), (d), and (e)...................
    13121,596
    (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:
    SUSAN V BERSHAD CHARITABLE FUND INC
    EIN: 36-4662468
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCTG FEES 4,300 2,150   2,150

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    SUSAN V BERSHAD CHARITABLE FUND INC
    EIN: 36-4662468
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AMERICAN EXPRESS 53,344 67,256
    ANDARKO PETE CORP 22,422 24,381
    BANK OF NEW YORK MELLON CORP COM 71,971 54,488
    CISCO SYSTEMS INC 64,623 55,920
    COCA COLA COMP 0 0
    DANAHER CORP COM 28,997 38,704
    DISNEY WALT CO 43,470 35,850
    EXXON MOBIL CO COM 54,781 64,352
    GENERAL ELECTRIC 36,658 35,002
    INTEL CORP COM 0 0
    INTERNATIONAL BUSINESS MACHS CORP 46,588 65,800
    INTUITIVE SURGICAL INC 34,236 43,421
    JP MORGAN CHASE & CO COM 39,303 27,873
    LOEWS CORP 44,577 48,020
    MARRIOT INTL INC NEW CL A 0 0
    MERCK & CO INC NEW COM 62,882 57,200
    MICROSOFT CORP COM 46,783 38,370
    MONSANTO CO NEW COM 49,573 66,105
    NORFOLK SOUTHERN CORP 35,251 37,770
    ORACLE CORP 59,229 56,430
    PEABODY ENERGY CORP COM 50,037 43,153
    PFIZER INC COM 47,767 48,168
    PRAXAIR 40,454 51,000
    PROCTOR & GAMBLE CO COM 70,617 74,256
    QUALCOMM INC 45,974 54,800
    HENRY SCHEIN INC 32,979 38,604
    SCHLUMBERGER LTD COM 38,344 45,198
    STRYKER CORP 51,259 48,830
    UNITED TECHNOLOGIES COM 43,359 45,960
    WAL MART STORES INC 49,905 53,010
    YUM BRANDS INC COM 35,619 56,040

    TY 2010 InvestmentsGovtObligationsSch
    Name:
    SUSAN V BERSHAD CHARITABLE FUND INC
    EIN: 36-4662468
    US Government Securities - End of Year Book Value:

    0
    US Government Securities - End of Year Fair Market Value:

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


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


    0


    TY 2010 InvestmentsOtherSchedule2
    Name:
    SUSAN V BERSHAD CHARITABLE FUND INC
    EIN: 36-4662468
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ISHARES GSCI COMMODITY INDEXED TR AT COST 37,702 39,703
    ISHARES INC MSCI BRAZIL FREE INDEX FD AT COST 23,911 20,657
    ISHARES INC MSCI UNITED KINGDOM INDEX AT COST 22,936 24,615
    ISHARES TR FTSE XINHUA HK CHINA 25 AT COST 23,961 21,732
    ISHARES TR MSCI EMERGING MKTS INDEX AT COST 82,747 80,020
    ISHARES TR IBOXX USD INVT GRADE CORP BD AT COST 195,479 199,242
    ISHARES TR MSCI EAFE INDEX FD AT COST 82,598 76,860
    ISHARES TR COHEN & STEERS REALTY MAJORS AT COST 46,601 55,828
    ISHARES TR RUSSELL 1000 INDEX FD AT COST 216,829 242,025
    ISHARES TR IBOXX HIGH YIELD CORP AT COST 153,753 147,220
    ISHARES TR BARCLAYS 1-3 YR CR BD AT COST 261,515 259,475
    ISHARES TR RUSSELL MICROCAP INDEX FD AT COST 41,879 44,260

    TY 2010 OtherDecreasesSchedule
    Name:
    SUSAN V BERSHAD CHARITABLE FUND INC
    EIN: 36-4662468
    Description Amount
    NON DED EXP 27
    TRANSFER OF ASSETS TO DAVID BERSHAD FAMILY FOUNDATION INC (EIN 80-0315868) 23,189
    UNREALIZED LOSS ON INVESTMENTS 473


    TY 2010 OtherExpensesSchedule
    Name:
    SUSAN V BERSHAD CHARITABLE FUND INC
    EIN: 36-4662468
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 815 408   407
    INVESTMENT ADVISOR FEES 15,882 7,941   7,941


    TY 2010 OtherIncomeSchedule2
    Name:
    SUSAN V BERSHAD CHARITABLE FUND INC
    EIN: 36-4662468
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PER K-1 FROM EQUITY PARTNERS SPECIAL PURPOSE LLC 156,595 156,595 156,595
    LESS: AMNTS REPORTED BY THE DAVID BERSHAD FAMILY FND (EIN 80-0315868) -156,595 -156,595 -156,595
    PER K-1 FROM PLAINS PIPELINE 273 273 273
    PER K-1 FROM ENTERPRISE PRODUCTS PARTNERS, L.P. -898 -898 -898
    LESS: AMNTS REPORTED BY THE DAVID BERSHAD FAMILY FND (EIN 80-0315868) 898 898 898
    INTERNAL REVENUE SERVICE - INCOME TAX REFUND 22,592 0 22,592


    TY 2010 TaxesSchedule
    Name:
    SUSAN V BERSHAD CHARITABLE FUND INC
    EIN: 36-4662468
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 5,215 2,608   2,607