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
2012
Open to Public Inspection
For calendar year 2012, or tax year beginning 01-01-2012 , and ending 12-31-2012
Name of foundation
THE STANLEY AND SUSAN ROSENBLATT FAMILY
FOUNDATION
% SUSAN ROSENBLATT ESQ
Number and street (or P.O. box number if mail is not delivered to street address)201 SOUTH BISCAYNE BOULEVARDSuite 818Room/suite
City or town, state, and ZIP code
MIAMI, FL33131
A Employer identification number

65-6355846
B Telephone number (see instructions)

(305) 374-6131
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,042,969J 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 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) 0
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 207 207  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)...  
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........ 207 207  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 303      
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)        
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 17,058 14,343    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 17,361 14,343   0
25 Contributions, gifts, grants paid........ 508,977 508,977
26 Total expenses and disbursements. Add lines 24 and 25 526,338 14,343   508,977
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -526,131
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
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............... 27,674 15,722 15,722
2 Savings and temporary cash investments.......... 1,541,426 1,027,247 1,027,247
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
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)...........      
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) 1,569,100 1,042,969 1,042,969
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
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.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 1,569,100 1,042,969
30 Total net assets or fund balances (see page 17 of the
instructions).................... 1,569,100 1,042,969
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,569,100 1,042,969
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 1,569,100
2 Enter amount from Part I, line 27a..................... 2 -526,131
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 1,042,969
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 1,042,969
Form 990-PF (2012)
Form 990-PF (2012)
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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  
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 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))
2011 529,723 1,805,717 0.293359
2010 382,979 2,261,789 0.169326
2009 410,729 2,719,241 0.151045
2008 215,034 2,974,574 0.072291
2007 200,443 3,078,868 0.065103
2 Total of line 1, column (d) ...................... 2 0.751124
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 0.150225
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 1,287,566
5 Multiply line 4 by line 3....................... 5 193,425
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 0
7 Add lines 5 and 6......................... 7 193,425
8 Enter qualifying distributions from Part XII, line 4.............. 8 508,977
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.
Form 990-PF (2012)
Form 990-PF (2012)
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 0
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 0
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 0
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a  
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 0
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
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 2013 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
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 instructions)
    bullet
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    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 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    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 instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletNONE
    14
    The books are in care ofbulletSUSAN ROSENBLATT ESQ Telephone no.bullet (305) 374-6131
    Located atbullet201 S BISCAYNE BLVD STE 818MIAMIFL ZIP+4bullet33131
    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 2012, 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
     
     
    See 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 (2012)
    Form 990-PF (2012)
    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 2012?.............
    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 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    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 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 2012 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 2012.)....................
    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 2012?
    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 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 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
     
    No
    Form 990-PF (2012)
    Form 990-PF (2012)
    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 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
    STANLEY M ROSENBLATT PRESIDENT/TRUSTEE
    5.0     		0 0 0
    201 SOUTH BISCAYNE BOULEVARD
    MIAMI,FL33131
    SUSAN ROSENBLATT SECRETARY/TRUSTEE
    5.0     		0 0 0
    201 SOUTH BISCAYNE BOULEVARD
    MIAMI,FL33131
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see 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
    0
    b
    Average of monthly cash balances.......................
    1b
    1,307,174
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,307,174
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,307,174
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    19,608
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,287,566
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    64,378
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    64,378
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    0
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    64,378
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    64,378
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    64,378
    Part XII
    Qualifying Distributions (see 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
    508,977
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    508,977
    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 instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    508,977
    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 (2012)
    Form 990-PF (2012)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2011     		(c)
    2011     		(d)
    2012
    1 Distributable amount for 2012 from Part XI, line 7 64,378
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 0
    b Total for prior years:2010, 2009, 2008 0
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 201,718
    b From 2008....... 215,034
    c From 2009....... 274,767
    d From 2010....... 269,890
    e From 2011....... 439,437
    fTotal of lines 3a through e......... 1,400,846
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 508,977
    a Applied to 2011, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		 
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		 
    d Applied to 2012 distributable amount..... 64,378
    e Remaining amount distributed out of corpus 444,599
    5 Excess distributions carryover applied to 2012.    
    (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 1,845,445
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...     		201,718
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......     		1,643,727
    10 Analysis of line 9:
    a Excess from 2008.... 215,034
    b Excess from 2009.... 274,767
    c Excess from 2010.... 269,890
    d Excess from 2011.... 439,437
    e Excess from 2012.... 444,599
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see 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 2012, 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) 2012 (b) 2011 (c) 2010 (d) 2009
             
    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 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).)
    STANLEY M ROSENBLATT
    SUSAN ROSENBLATT
    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 (2012)
    Form 990-PF (2012)
    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
    Agudath Israel Chesed Fund
    David L Cohen c/o Eli Munk
    Brooklyn,NY11219     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,180
    Aish Friends of the Fax
    3150 Sheridan Ave
    Miami Beach,FL33140     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 252
    Alan Morrison SupCt Assistance Project
    1600 20th Street NW
    Washington,DC20009     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    Alzheimer's Disease Research
    22512 Gateway Center Drive PO Box
    Clarksburg,MD208711950     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 100
    AMA Foundation
    515 N State Street 14th Floor
    Chicago,IL60654     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    American Committee for Shaare Zedek
    3275 W Hillsboro Blvd Suite 200
    Deerfield Beach,FL33442     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    American Friends of Baruch U' Marpeh
    1274 49th Street Ste 603
    Brooklyn,NY11219     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    American Friends of Mercaz HaTorah
    5101 Seventeenth Avenue
    Brooklyn,NY11204     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    American Friends of Netiv Ohr
    5014 16th Ave Suite 167
    Brooklyn,NY11204     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 22,000
    American Friends of Shiloh
    39 W 37th Street 3rd Floor
    NY,NY10018     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    American Yedidim
    17515 NE 7th Avenue
    North Miami Beach,FL33162     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Amit
    2700 N 29 Avenue Suite 203
    Hollywood,FL33020     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Anshei Lubavitch of Greater Miami
    PO Box 398216
    Miami Beach,FL33239     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,950
    ASPCA
    PO Box 96929
    Washington,DC200777127     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Bayith Lepleitot Inc
    1362 East 21st Street
    Brooklyn,NY11210     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Beth Israel Congregation
    770 West 40th Street
    Miami Beach,FL33140     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 11,729
    Beth Medrash Govoha
    PO Box 277
    Lakewood,NJ087019942     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 10,000
    Beth Medrosh of Monsey
    One Harvest Court
    Monsey,NJ10952     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Boys Town Jerusalem
    1 Penn Plaza Suite 6250
    NY,NY101190002     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 24,000
    Cardozo School of Law
    55 5th Avenue
    NY,NY10003     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 8,000
    Center for Torah Vechesed
    1524 East 22nd Street
    Brooklyn,NY112105123     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Chabad Jewish Community Center Flagstaff
    1254 W University Ave
    Flagstaff,AZ86001     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,800
    Chai Lifeline
    2699 Stirling Road
    Ft Lauderdale,FL33312     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Chesed L'Yisroel
    1796 45th Street 103
    Brooklyn,NY11204     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Childrens Village of Jerusalem
    15 Beekman St
    NY,NY102730519     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 100
    Chofetz Chaim Heritage Foundation
    361 Spook Rock Road
    Suffern,NY109019921     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    Collegiate Learning Exchange
    PO Box 2277
    Miami Beach,FL33140     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 700
    Cong Oseh Tzdoko Vochesed
    383 Kingston Ave Apt 157
    Brooklyn,NY11213     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Congregation Beth-El
    PO Box 402785
    Miami Beach,FL33140     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Congregation Kav Chaim INC
    1642-54th Street
    Brooklyn,NY11204     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Congregation Magen Abraham
    10 West 33rd Street Suite 718
    New York,NY10001     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 7,500
    Debbie Kogan Lyda Ovarian Cancer Res Fund
    1530 3rd Avenue South
    Birmingham,AL35294     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    Democracy at Stake Inc
    1007 N federal Highway 9
    Fort Lauderdale,FL33304     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 10,000
    Diskin Orphan Home of Israel
    PO box 191041
    Brooklyn,NY112197041     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Emunah of America
    7 Penn Plaza
    New York,NY10001     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Eretz Tova Bridal Fund
    18 Heyward Street
    Brooklyn,NY11249     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 100
    Ezras Torah
    235 East Broadway
    NY,NY10002     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,400
    Ezras Yisroel
    4600 14th Avenue
    Brooklyn,NY11219     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Federal Bar Association
    701 Brickell Avenue Suite 3000
    Miami,FL33131     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    Federal Council of CKA
    PO Box 47
    Dunn Loring,VA22027     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Fifth Avenue Synagogue
    5 East Sixty Second St
    New York,NY10021     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,800
    Florida Supreme Court Historical Society
    PO Box 11344
    Tallahassee,FL32302     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    Friends of B'Ahavat Yisrael
    4809 Avenue N PMB 284
    Brooklyn,NY11234     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 560
    Friends of the Law Library
    201 S Biscayne Blvd
    Miami,FL33131     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    General Israel Orphans Home for Girls
    PO Box 3147
    New York,NY102770074     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 236
    Girls Town Beit Chana
    1489 President Street
    Brooklyn,NY11213     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 425
    Girls Town Jerusalem
    1362 E 21st Street
    Brooklyn,NY11210     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 36,000
    Girls Town Or Chadash
    c/o Anne Himmelstein Tower 41
    Miami Beach,FL33140     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 36,000
    Greater Miami Jewish Federation
    4200 Biscayne Blvd
    Miami,FL33137     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Harry Rosenberg Chesed Fund
    4101 Pine Tree Dr
    Miami Beach,FL33140     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Hebrew Academy
    2400 Pine Tree Drive
    Miami Beach,FL33140     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 25,925
    Humane Society Wildlife Land Trust
    PO Box 52157
    Phoenix,AZ850729994     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Israel Orphan's Home for Girls
    132 Nassau Street
    New York,NY10038     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Israel Special Kids Fund
    505 Eighth Avenue
    New York,NY101381357     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Jewish Museum of Florida
    301 Washington Ave
    Miami Beach,FL331396965     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Kollel Bais Aharon Zvi
    235 Penn Street
    Brooklyn,NY11211     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Kozyak Minority Mentoring Foundation
    2525 Ponce De Leon Blvd 9th Fl
    Coral Gables,FL33134     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    Kupas Chasanim
    617 6th Street
    Lakewood,NJ08701     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Lindsay Marie Lewis Memorial Fund
    3100 SW 62nd Ave
    Miami,FL33155     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    March of Dimes
    PO Box 8037
    Topeka,KS666080037     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Marian Center
    15701 NW 37th Ave
    Miami Gardens,FL330546397     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 36,000
    Matanah B'sesser
    1340 NE 171st Street
    Miami,FL33162     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Mesifta Beth Shraga
    28 Saddle River Road PO Box 412
    Monsey,NY109529908     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Mesivta of Long Beach
    205 West Beech St PO Box 630
    Long Beach,NY115619811     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Mesivta Yeshiva Rabbi Chaim Berlin
    1585 Coney Island Ave
    Brooklyn,NY11230     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,400
    Miami Lighthouse
    601 SW 8th Avenue
    Miami,FL331309979     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Miami Rescue Mission
    PO Box 420620
    Miami,FL332420620     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Noam Shabbos
    1688-59th Street
    Brooklyn,NY11204     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Ohr Hahalachah
    906 Seagirt Blvd
    Far Rockaway,NY11691     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 100
    Orech L'Shabbos Inc
    1355 52nd Street
    Brooklyn,NY11219     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Overseas Passover Campaign
    42 Broadway
    New York,NY102751107     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Park East Synagogue
    164 East 68th Street
    New York,NY10065     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 3,760
    Rofeh International
    1710 Beach Street
    Brookline,MA024452124     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 24,000
    Shalvat Chaim
    1375 Coney island Avenue 113
    Brooklyn,NY11230     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Sh'Or Yoshuv Institute
    1 Cedar Lawn Avenue
    Lawrence,NY115599860     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Society For The Education Of Russian Jews
    122 W 76th Street
    New York,NY10023     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    Southern Poverty Law Center
    400 Washington Ave PO Box 548
    Montgomery,AL361779621     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Special Olympics Florida
    PO Box 120128
    Clermont,FL347120128     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 125
    St Joseph's Indian School
    PO Box 200
    Chamberlain,SD573250200     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    The Home of the Sages of Israel
    25 Bialystoker Place Willet Street
    New york,NY100024008     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    To Save a Life
    16406 Equestrian LN
    Rockville,MD20855     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Torah Ore Seminary
    3006 Ave M Suite 1B
    Brooklyn,NY11210     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,000
    Torah Schools for Israel
    40 Exchange Place
    NY,NY10005     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 24,000
    Toras Chaim
    99 Griggs Avenue
    Teaneck,NJ07666     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 236
    United Charity Institutions ofJerusalem
    1778 45th Street
    Brooklyn,NY112041209     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 118
    Various Miscellaneous Charitable Organizations
    201 South Biscayne Boulevard
    Miami,FL33131     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,750
    Yachad
    11 Broadway 14th Floor
    New York,NY10004     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Yad Eliezer
    1102 E 26th Street
    Brooklyn,NY11210     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Yad Ezra
    25 Philmore Road
    Newton,MA024582719     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Yad L'Achim
    4018 18th Ave
    Brooklyn,NY11218     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,000
    Yad Yehudah
    PO Box 190-154
    Brooklyn,NY11219     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 10,000
    Yeshiva Toras Chaim Toras Emes
    1025 NE Miami Gardens Dr
    North Miami Beach,FL33179     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 6,000
    Yeshivas Bais Yisroel
    15 Belevedere Lane
    Lakewood,NJ08701     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Yeshivas Mir Yerushalayim
    5227 New Utrecht Ave
    Brooklyn,NY11219     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 7,000
    Yeshivas Toras Chaim
    1555 Stuart Street
    Denver,CO802049814     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Yeshivat Chasan Sofer
    1329 44th Street
    Brooklyn,NY11219     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,400
    Yeshivath Beth Moshe
    930 Hickory St PO Box 1141
    Scranton,PA185011141     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 118
    Yeshivath Divrei Chaim of Jerusalem
    268 East Broadway Room A-307
    New York,NY10002     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Zichron Meir Leib
    521 Fifth Street
    Lakewood,NJ08701     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 118
    American Friends of Childrens Town
    4510 16th Avenue
    Brooklyn,NY11204     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 24,000
    Bais Yaakov Ezer Yoldot
    906 Seagirt Blvd
    Far Rockaway,NY11691     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Bnei Torah
    1355 52nd Street
    Brooklyn,NY11219     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    Friends of Hamaayan
    7 Mill Brook Rd
    Wilton,NH030869502     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    Hadar Zion
    335 Central Avenue
    Lawrence,NY11559     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 720
    Heichal Hatalmud
    555 12 Street
    Oakland,CA94607     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Heichal Mordechai
    1710 Beach Street
    Brookline,MA024452124     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 9,500
    Helping Hand Foundation
    4000 Alton Road
    Miami Beach,FL33140     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 24,000
    Kollel Ahaly Abraham
    Elm Carlton Streets
    Bufallo,NY14263     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Kollel Ashmores Haboker
    722 Clay Avenue
    Scranton,PA18510     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Kollel Beth David
    1066 Virginia St
    Far Rockaway,NY11691     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Kollel Tchelet Mordechai
    1 Cedar Lawn Avenue
    Lawrence,NY115599860     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 425
    Medreshat Chen Hamakom
    PO Box 96208
    Washington,DC200906208     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Midrash Eliyahu
    PO Box 62067
    Tampa,FL336620678     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    Mosdot Bnei Hayeshivot
    122 W 76th Street
    New York,NY10023     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    Mosdot Sharey Limud
    400 Washington Ave
    Montgomery,AL361779621     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    Mosdoth darkei Menachem
    PO Box 120128
    Clermont,FL347120128     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    Nachalei Netzach
    865 Madison Avenue
    New York,NY10005     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Nir College of Judaic Studies
    PO Box 200
    Chamberlain,SD573250200     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 36,000
    Shaarei Daat Yeshiva
    1475 Nw 12th Ave
    Miami,FL33131     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Shaarei Limud
    28400 Euclid Ave
    Wickliffe,OH440929909     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    The Hebron Fund
    333 West 86th Street-1003
    New York,NY10024     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 24,000
    Tiferet Yehuda
    633 3rd Avenue 14th Floor
    New York,NY101643981     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Tzedoka Vochesed
    25 Bialystoker Place Willet Street
    New york,NY100024008     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    United Charity Institutions of Israel
    PO Box 9031
    Pittsfield,MA012029031     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Yeshivath Shoshanim Ledavid
    7509 Princeton Avenue
    College Park,MD20740     		NONE Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Total .................................bullet 3a 508,977
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    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 instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments          
    4 Dividends and interest from securities....     14 207  
    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          
    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)..   207  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13207
    (See worksheet in line 13 instructions 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 foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    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
    Sign Here
    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
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2012)
    Additional Data


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    Form 990PF - Special Condition Description:
    Special Condition Description

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    TY 2012 DepreciationSchedule
    Name:
    THE STANLEY AND SUSAN ROSENBLATT FAMILY
    FOUNDATION
    EIN: 65-6355846
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2012 LandEtcSchedule2
    Name:
    THE STANLEY AND SUSAN ROSENBLATT FAMILY
    FOUNDATION
    EIN: 65-6355846
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value


    TY 2012 OtherExpensesSchedule
    Name:
    THE STANLEY AND SUSAN ROSENBLATT FAMILY
    FOUNDATION
    EIN: 65-6355846
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ACCOUNT FEES 14,343 14,343    
    SUPPLIES 2,715