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
2011
For calendar year 2011, or tax year beginning 01-01-2011 , and ending 12-31-2011
G
Check all that apply:
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 BOULEVARD   Room/suite
City or town, state, and ZIP code
MIAMI, FL33131
A Employer identification number

65-6355846
B Telephone number (see page 10 of the instructions)

(305) 374-6131
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$1,569,100J 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) 0
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 232 232  
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)... 0
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........ 232 232  
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).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the 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 18,994 18,994    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 18,994 18,994   0
25 Contributions, gifts, grants paid........ 529,723 529,723
26 Total expenses and disbursements. Add lines 24 and 25 548,717 18,994   529,723
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -548,485
b Net investment income (if negative, enter -0-) 0
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 (2011)
Form 990-PF (2011)
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............... 32,397 27,674 27,674
2 Savings and temporary cash investments.......... 2,085,188 1,541,426 1,541,426
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) 2,117,585 1,569,100 1,569,100
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 2,117,585 1,569,100
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,117,585 1,569,100
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,117,585 1,569,100
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 2,117,585
2 Enter amount from Part I, line 27a..................... 2 -548,485
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 1,569,100
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 1,569,100
Form 990-PF (2011)
Form 990-PF (2011)
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 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))
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
2006 182,600 3,132,483 0.058292
2 Total of line 1, column (d) ...................... 2 0.516057
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 0.103211
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 1,805,717
5 Multiply line 4 by line 3....................... 5 186,370
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 0
7 Add lines 5 and 6......................... 7 186,370
8 Enter qualifying distributions from Part XII, line 4.............. 8 529,723
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 (2011)
Form 990-PF (2011)
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 2011 estimated tax payments and 2010 overpayment credited to 2011 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 2012 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 page 19 of the
    instructions)bullet
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    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 2011 or the taxable year beginning in 2011 (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 addressbulletNONE
    14
    The books are in care ofbulletSUSAN ROSENBLATT ESQ Telephone no.bullet (305) 374-6131
    Located atbullet201 S BISCAYNE BLVD STE 1318MIAMIFL 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 2011, 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 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 (2011)
    Form 990-PF (2011)
    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 2011?.............
    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 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    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 2011 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 2011.)....................
    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 2011?
    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
     
    No
    Form 990-PF (2011)
    Form 990-PF (2011)
    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
    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 page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    1,833,215
    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
    1,833,215
    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
    1,833,215
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    27,498
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,805,717
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    90,286
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    90,286
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    0
    b
    Income tax for 2011. (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
    90,286
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    90,286
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    90,286
    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
    529,723
    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
    529,723
    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
    529,723
    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 (2011)
    Form 990-PF (2011)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus     		(b)
    Years prior to 2010     		(c)
    2010     		(d)
    2011
    1 Distributable amount for 2011 from Part XI, line 7 90,286
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 0
    b Total for prior years:2009, 2008, 2007 0
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 182,600
    b From 2007....... 201,718
    c From 2008....... 215,034
    d From 2009....... 274,767
    e From 2010....... 269,890
    fTotal of lines 3a through e......... 1,144,009
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 529,723
    a Applied to 2010, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		  
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		 
    d Applied to 2011 distributable amount..... 90,286
    e Remaining amount distributed out of corpus 439,437
    5 Excess distributions carryover applied to 2011.    
    (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 1,583,446
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		0
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		0
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		 
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		182,600
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		1,400,846
    10 Analysis of line 9:
    a Excess from 2007.... 201,718
    b Excess from 2008.... 215,034
    c Excess from 2009.... 274,767
    d Excess from 2010.... 269,890
    e Excess from 2011.... 439,437
    Form 990-PF (2011)
    Form 990-PF (2011)
    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 2011, 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) 2011 (b) 2010 (c) 2009 (d) 2008
             
    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).)
    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 (2011)
    Form 990-PF (2011)
    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
    AARP Membership Center
    PO Box 93103
    Long Beach,CA908099858     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 16
    Agudas Tov V'chesed
    46 Main Street Suite 379
    Monsey,NY10952     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Agudath Chasdei Malka
    5014 16th Ave 422
    Brooklyn,NY11204     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Agudath Israel Help Fund
    10 Emes Lane
    Monsey,NY10952     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 100
    Ahavat Chesed
    637 6th Street
    Lakewood,NJ08701     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 800
    Aish Denver
    9735 East Aberdeen Ave
    Englewood,CO80111     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Aish Friends of the Fax
    3150 Sheridan Ave
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 118
    American Committee for Shaare Zedek
    3275 W Hillsboro Blvd Suite 200
    Deerfield Beach,FL33442     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    American Friends of Kupat Ha' ir
    4415 14th Ave
    Brooklyn,NY112199833     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    American Friends of Magen David Adom
    PO Box 13769
    Newark,NJ101179848     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    American Friends of Mercaz HaTorah
    5101 Seventeenth Avenue
    Brooklyn,NY11204     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    American Friends of Migdal Torah
    1191 East 18th Street
    Brooklyn,NY11230     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    American Friends of Ora Tzfat
    71 West 47th Street Suite 1001
    New York,NY10036     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    American Medical Association Foundation
    515 N State ST Floor 14
    Chicago,IL606549986     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Amit
    2700 N 29 Avenue Suite 203
    Hollywood,FL33020     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 136
    Amit Geula Shalvah Center
    425 West 44th Street
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Aneinu Widows & Orphans Fund
    637 6th Street
    Lakewood,NJ08701     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Anshei Lubavitch of Greater Miami
    PO Box 398216
    Miami Beach,FL33239     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,800
    ASPCA
    PO Box 96929
    Washington,DC200777127     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Bais Ulpana D'Rabeinu Yochonon
    POB 190882
    Brooklyn,NY11219     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Bais Yaakov Miami
    1110 NE 163rd Street
    N Miami,FL33162     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,800
    Benjamin N Cardozo School of Law
    55 5th Avenue
    New York,NY10003     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 6,000
    Beth Israel Congregation
    770 West 40th Street
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 11,056
    Beth Medrash Govoha
    PO Box 277
    Lakewood,NJ087019942     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 10,000
    Beth Medrosh of Monsey
    One Harvest Court
    Monsey,NY10952     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Beth Torah
    20350 NE 26th Ave
    Miami,FL33180     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 108
    Boys Town Jerusalem
    1 Penn Plaza
    New York,NY101190002     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 26,000
    Camillus House
    336 NW 5th Street
    Miami,FL33128     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 600
    CL Fund
    637 6th Street
    Lakewood,NJ08701     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Chabad Jewish Community Center Flagstaff
    1254 W University Ave
    Flagstaff,AZ86001     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,800
    Chai Lifeline
    151 West 30th Street
    New York,NY10001     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 7,500
    Chasudim Tovim Bais Vaad Haartzi
    199 Lee Ave PMB 439
    Brooklyn,NY11211     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Chen V'Chesed V'rachamim
    1375 Coney Island Avenue Ave 113
    Brooklyn,NY11230     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Chesed L'Yisroel
    1796 45th Street 103
    Brooklyn,NY11204     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Cong Yesod Haemuna
    618 6th Street
    Lakewood,NJ08701     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Congregation Beth-El
    PO Box 402785
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Congregation Kav Chaim INC
    1642-54th Street
    Brooklyn,NY11204     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Congregation Kiruv Krovim
    1317 East 8th Street
    Brooklyn,NY11230     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 750
    Crisis Nursery-Regional Admin Offices
    1710 Administrative Dr Suite 18
    Saint Louis,MO631463407     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Derech Chaim
    741 Montgomery Street
    Brooklyn,NY11213     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Emunah of America
    7 Penn Plaza
    New York,NY10001     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Ezras Torah
    235 East Broadway
    New York,NY10002     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,600
    Ezras Yisroel
    4600 14th Avenue
    Brooklyn,NY11219     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Federal Council of CKA
    PO Box 47
    Dunn Loring,VA22027     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Fifth Avenue Synagogue
    5 East Sixty Second St
    New York,NY10021     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Florida Friends of Israel Defense Force
    2040 NE 163rd St Suite 207
    North Miami Beach,FL33162     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Florida Supreme Court Historical Society
    500 S Duval Street
    Tallahassee,FL32301     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    Fresh Air Fund
    633 3rd Ave
    New York,NY10017     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Friends of Ratzon Yehuda
    300 Robin Rd
    Englewood,NJ07631     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,000
    Friends of the Law Library
    201 S Biscayne Blvd
    Miami,FL33131     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Friends of the Smithsonian
    PO Box 9016
    Pittsfield,MA012029016     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Fund for Victims of Terror
    4200 Biscayne Blvd
    Miami,FL33137     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    General Israel Orphans Home for Girls
    PO Box 3147
    New York,NY102770074     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 118
    Girls Town Beit Chana
    1489 President Street
    Brooklyn,NY11213     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Girls Town Jerusalem
    1362 E 21st Street
    Brooklyn,NY11210     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 39,000
    Girls Town Or Chadash
    1417 Coney Island Ave
    New York,NY11230     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 39,000
    Great Charity of Jerusalem
    POB 786
    New York,NY102730161     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 136
    Greater Miami Hebrew Academy
    2400 Pine Tree Drive
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,880
    Hachnossos Kallah of Greater Miami
    1400 Lenox Avenue
    Miami Beach,FL33139     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Harry Rosenberg Chesed Fund
    4101 Pine Tree Dr
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Hebrew Academy
    2400 Pine Tree Drive
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 6,260
    Hebron Fund
    1760 Ocean Ave
    Brooklyn,NY11230     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,000
    Helping Hand Foods Ko Op
    4000 Alton Road
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Hesder Yeshiva of Sderot
    49 Dakota Street
    Passaic,NJ07055     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Hope for Vision
    145 E 49th St
    Hialeah,FL33013     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    Irgun YRA Yad Re'im Ahuvim
    320 5th Ave 3 Fl
    New York,NY10001     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Israel Special Kids Fund
    505 Eighth Avenue
    New York,NY101381357     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    JBI International
    110 East 30th Street
    New York,NY100167375     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    JCLE
    PO Box 2277
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    Jewish Museum of Florida
    301 Washington Ave
    Miami Beach,FL331396965     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Keren Racheim
    637 6th Street
    Lakewood,NJ08701     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Kesher LD Inc
    18900 NE 25th Avenue
    North Miami Beach,FL33180     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Kids Kicking Cancer
    645 Griswold Suite 444
    Detroit,MI48226     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Kollel Bais Aharon Zvi
    235 Penn Street
    Brooklyn,NY11211     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Kozyak Minority Mentoring Foundation
    2525 Ponce De Leon Blvd 9th Fl
    Coral Gables,FL33134     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    Ladies Bikur Cholim D'Satmar
    545 Bedford Avenue
    Brooklyn,NY112119990     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Legal Aid
    123 NW First Avenue
    Miami,FL33128     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Lezion Berina
    1436 42nd Street
    Brooklyn,NY11219     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Lmaan Daat
    3072 Brighton 3rd Street
    Brooklyn,NY11235     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,500
    March of Dimes
    PO Box 2547
    Decatur,IL625252547     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Marian Center
    15701 NW 37th Ave
    Miami Gardens,FL330546397     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 39,000
    Memorial Sloan-Kettering
    PO Box 5028
    Hagerstown,MD217415028     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Mesifta Beth Shraga
    28 Saddle River Road
    Monsey,NY109529908     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Mesivta of Long Beach
    205 West Beech St
    Long Beach,NY115619811     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 304
    Mesivta Yeshiva Rabbi Chaim Berlin
    1585 Coney Island Ave
    Brooklyn,NY11230     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Metropolitan Council on Jewish Poverty
    PO Box 907
    New York,NY10272     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Miami Beach Community Kollel
    3767 Chase Ave
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Miami Beach Eruv Council
    PO Box 403613
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Miami Dolphins Foundation
    347 Don Shula Drive
    Miami Gardens,FL33056     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,000
    Miami Herald Wishbook
    One Herald Plaza
    Miami,FL331321693     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    Miami Jewish Health Systems
    5066 NE 2nd Avenue
    Miami,FL33137     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Miami Lighthouse
    601 SW 8th Avenue
    Miami,FL331309979     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 100
    Miami Rescue Mission
    PO Box 420620
    Miami,FL332420620     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Mifal Ezra V'Chesed
    313 W 37th Street
    New York,NY10018     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 136
    National Jewish Health
    PO Box 5898
    Denver,CO802179171     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Netiv Or Chadash
    5014 16th Ave
    Brooklyn,NY11204     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 26,000
    Neve Yerushalayim
    25 Broadway Suite 403
    New York,NY10004     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Noam Shabbos
    1688-59th Street
    Brooklyn,NY11204     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    North Miami Beach Community Kollel
    17400 NE 12th CT
    North Miami Beach,FL33162     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Ohel Children's Home and Family Services
    4510 16th Avenue
    Brooklyn,NY11204     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Ohr Hahalachah
    906 Seagirt Blvd
    Far Rockaway,NY11691     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Orech L'Shabbos Inc
    1355 52nd Street
    Brooklyn,NY11219     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Paralyzed Veterans of America
    7 Mill Brook Rd
    Wilton,NH030869502     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Project Extreme
    335 Central Avenue
    Lawrence,NY11559     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    Public Justice Foundation
    555 12 Street
    Oakland,CA94607     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 18,000
    Rofeh International
    1710 Beach Street
    Brookline,MA024452124     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 26,000
    Rohr Talmudic University
    4000 Alton Road
    Miami Beach,FL33140     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 3,000
    Roswell Park Alliance Foundation
    Elm Carlton Streets
    Bufallo,NY14263     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Scranton Community Kollel
    722 Clay Avenue
    Scranton,PA18510     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Sh'effa
    1066 Virginia St
    Far Rockaway,NY11691     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    Shor Yoshuv Institute
    1 Cedar Lawn Avenue
    Lawrence,NY115599860     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Smile Train
    PO Box 96208
    Washington,DC200906208     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Smithsonian
    PO Box 62067
    Tampa,FL336620678     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 54
    Society For The Education Of Russian Jews
    122 W 76th Street
    New York,NY10023     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,400
    Southern Poverty Law Center
    400 Washington Ave
    Montgomery,AL361779621     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Special Olympics Florida
    PO Box 120128
    Clermont,FL347120128     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 225
    St James Church
    865 Madison Avenue
    New York,NY10005     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    St Joseph's Indian School
    PO Box 200
    Chamberlain,SD573250200     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Sylvester Comprehensive Cancer Center
    1475 Nw 12th Ave
    Miami,FL33131     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,000
    Telshe Yeshiva
    28400 Euclid Ave
    Wickliffe,OH440929909     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 54
    The American Friends of CRIB-Efrat
    333 West 86th Street-1003
    New York,NY10024     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    The Fresh Air Fund
    633 3rd Avenue 14th Floor
    New York,NY101643981     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    The Home of the Sages of Israel
    25 Bialystoker Place Willet Street
    New york,NY100024008     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 136
    The Lukemia & Lymphoma Society
    PO Box 9031
    Pittsfield,MA012029031     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 100
    The Maryland Jewish Experience
    7509 Princeton Avenue
    College Park,MD20740     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    The Salvation Army
    PO Box 330607
    Miami,FL332330607     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 600
    Tomche Shabbos Fundlac
    2590 NE 202 St
    Miami,FL33180     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Torah Schools for Israel
    40 Exchange Place
    New York,NY10005     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 26,000
    United States Holocaust Memorial Museum
    PO Box 7022
    Albert Lea,MN560078022     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    United Tiberias Institutions
    PO Box 576
    New York,NY100029915     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 100
    University of Florida Hillel
    2020 West University Avenue
    Gainesville,FL32603     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    University of Miami School of Law
    1320 s Dixie Hwy
    Miami,FL331248087     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,000
    Veterans of Foreign Wars of the US
    PO Box 8942
    Topeka,KS666088942     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Voices for Children Foundation Inc
    1500 NW 12th Ave Suite 1117
    Miami,FL33136     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Wildlife Land Trust
    2100 L Street NW
    Washington,DC20037     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 250
    Yad L'Achim
    4018 18th Ave
    Brroklyn,NY11218     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,200
    Yeshiva Shar Yisoschor Dinov
    183 Wilson St 125
    Brooklyn,NY11211     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Yeshivas Bais Yisroel
    15 Belevedere Lane
    Lakewood,NJ08701     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 10,000
    Yeshivas Mir Yerushalayim
    5227 New Utrecht Ave
    Brooklyn,NY11219     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 2,500
    Yeshivas Toras Emes Academy
    1025 NE Miami Gardens Drive
    North Miami Beach,FL33179     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,000
    Yeshivat Chasan Sofer
    1329 44th Street
    Brooklyn,NY11219     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 1,600
    Yeshivath Beth Moshe
    930 Hickory St
    Scranton,PA185011141     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Yeshivath Divrei Chaim of Jerusalem
    268 East Broadway
    New York,NY10002     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    American Friends of Childrens Town
    POB 5135
    Jerusalem   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 26,000
    Beth Jacob
    6-8 Breslov St
    Beitar Illit   90500
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 760
    Chasdi Lev
    PO Box 8388
    Tsfat   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Federation of Jewish Communities
    Babushkima 28
    Astrakhan   41400
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Free Loan Society
    Beth Yacov V Rachel
    PO Box   5703
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 218
    Hadar Zion
    38 Yechezkel Street
    Jerusalem   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Heichal Hatalmud
    3 Wasserman St
    Bnei Brak   51510
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 180
    Heichal Mordechai
    26 Rabbeinu Gershom Street
    Jerusalem   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 6,000
    Helping Hand Foundation
    POB 5135
    Jerusalem   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 26,000
    Hesder Yeshiva Shiloh
    Mobile Post Ephraim
    Jerusalem   44830
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 500
    Kolel Bet David
    David 18 St
    Jerusalem Israel   6899
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Kollel Ahaly Abraham
    113 Erets Hefets St
    Jerusalem   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Kollel Shaarei Limud
    Shaulzon 80 BB
    Jerusalem   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Kollel Tchelet Mordechai
    Kfar Gidon
    D.N. Emek Yizrael   19310
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    Kollel Tiferet Asher Yeruham
    Rechov Amnon V Tamar 13
    Dimona   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Laniado Hospital
    PO Box 5021
    Netanya   42150
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 360
    Mishkan YA'ACOV
    PO Box 4073
    Slomi   22832
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 560
    Mosad Heichal Menachem
    Yeshayahv 22
    Jerusalem   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 350
    Mosdos Bnei Torah
    Rechov Abarbanel 50
    Bnei Brak   51510
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Mosdos Chernobel
    Rechov Ravad 10
    Bnei Brak   51101
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Mosdoth darkei Menachem
    PO Box 50018
    Jerusalem   91056
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 236
    Nir College of Judaic Studies
    POB 1444
    Kiryat Arba   90100
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 38,000
    Or Vishua
    PO Box 4073
    Slomi   22832
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 560
    Rabbi Mair Baal Haness Charities
    75 Meah Shearim St
    Jerusalem   91050
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 136
    Rechov Or Hachayyim
    22 Bnei Brak
    Bnei Brak   51501
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Refua Va'Chesed
    13 Hagra St
    Bnei Brak   51423
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 400
    The Hebron Fund
    PO Box 105
    Kiryat Arba   90100
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 24,000
    The Widow and Orphan Aid Fund
    75 Meah Shearim St POB 5061
    Jerusalem   91050
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    United Charity Institutions of Israel
    Jaffa Round 77
    Jerusalem   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 136
    VAAD LE'ORER YESHAINIM
    Ramot Polin 62/16
    Jerusalem   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 300
    Yeshiva Sha'arei Daat
    Ezra 16st
    Bnei Brak   51501
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Yeshivas Beis Yosef Navardok
    14 Polanski St
    Jerusalem   91050
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 150
    Yeshivas Beth Joseph
    14 Polanski st POB 5056
    Jerusalem   91050
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 5,200
    Yeshivath Shoshanim Ledavid
    Zonenfeld st 46
    Beth Israel   91000
    IS     		  Public Charity GRANTS PAID TO SUPPORT VARIOUS PUBLIC CHARITIES 200
    Total .................................bullet 3a 529,723
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments          
    4 Dividends and interest from securities....     14 232  
    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)..   232  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13232
    (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 (2011)
    Form 990-PF (2011)
    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 (2011)
    Additional Data


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    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

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    TY 2011 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 2011 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 2011 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 18,994 18,994