Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2014
Open to Public Inspection
For calendar year 2014, or tax year beginning 2014, and ending , 20
Name of foundation
THEODORE L CROSS
FAMILY CHARITABLE FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)100 MERRICK ROAD   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ROCKVILLE CENTRE, NY11570
A Employer identification number

04-3254361
B Telephone number (see instructions)

(516) 478-6000
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E 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$20,155,144
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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).............. 1,711,882
2 Check bullet
Sch. B ...............
3 Interest on savings and temporary cash investments 65 65 65
4 Dividends and interest from securities...... 241,365 241,365 241,365
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 306,334
b Gross sales price for all assets on line 6a 878,054
7 Capital gain net income (from Part IV, line 2)... 306,334
8 Net short-term capital gain......... 51,141
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........ 2,259,646 547,764 292,571
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 1,054      
c Other professional fees (attach schedule).... 72,546 72,546    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 7,641 2,922    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 2,686 351   2,335
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 83,927 75,819   2,335
25 Contributions, gifts, grants paid........ 931,000 931,000
26 Total expenses and disbursements. Add lines 24 and 25 1,014,927 75,819   933,335
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,244,719
b Net investment income (if negative, enter -0-) 471,945
c Adjusted net income (if negative, enter -0-)... 292,571
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2014)
Form 990-PF (2014)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 592,302 605,748 605,748
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 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........... 1,079 21,360 21,360
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 11,417,369 Click to see attachment12,428,361 13,277,971
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)........... 5,500,000 Click to see attachment5,700,000 6,250,065
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) 17,510,750 18,755,469 20,155,144
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 17,510,750 18,755,469
30 Total net assets or fund balances (see instructions)...... 17,510,750 18,755,469
31 Total liabilities and net assets/fund balances (see instructions).. 17,510,750 18,755,469
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 17,510,750
2 Enter amount from Part I, line 27a..................... 2 1,244,719
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 18,755,469
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 18,755,469
Form 990-PF (2014)
Form 990-PF (2014)
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 2 306,334
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 51,141
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 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))
2013 873,446 18,502,691 0.04721
2012 880,004 17,854,248 0.04929
2011 794,929 17,611,530 0.04514
2010 7,500 13,407,399 0.00056
2009 7,976 131,247 0.06077
2 Total of line 1, column (d) ...................... 2 0.20296
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 0.04059
4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5..... 4 19,566,043
5 Multiply line 4 by line 3....................... 5 794,225
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 4,719
7 Add lines 5 and 6......................... 7 798,944
8 Enter qualifying distributions from Part XII, line 4.............. 8 933,335
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 (2014)
Form 990-PF (2014)
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 4,719
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 4,719
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 4,719
6 Credits/Payments:
a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a 26,079
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 26,079
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 21,360
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet21,360 RefundedBullet 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 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
 
No
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNJ
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2014 or the taxable year beginning in 2014 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    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 addressbulletN/A
    14
    The books are in care ofbulletJOHN W HALLORAN CPA Telephone no.bullet (516) 478-6000
    Located atbullet100 MERRICK ROAD SUITE 304WROCKVILLE CENTRENY ZIP+4bullet11570
    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 2014, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 6
    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 instructions)? ........
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2014?.............
    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 2014, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2014?...............
    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
     
    No
    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 2014 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 2014.)....................
    3b
     
    No
    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 2014?
    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 4945(d)(4)(A)? (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
     
    No
    .........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 (2014)
    Form 990-PF (2014)
    Page 7
    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
    MARY CROSS Trustee
    5.00
    0    
    ONE CAMPBELTON CIRCLE
    PRINCETON,NJ08540
    AMANDA B CROSS Trustee
    5.00
    0    
    C/O FOUNDATION ADDRESS
    ROCKVILLE CENTRE,NY11570
    LISA W POWNALL-GRAY Trustee
    5.00
    0    
    42 LORDS HIGHWAY
    WESTON,CT06883
    ADRIENNE CANNELLA Trustee
    5.00
    0    
    83-04 267TH STREET
    FLORAL PARK,NY11004
    JOHN W HALLORAN TRUSTEE
    0.00
    0    
    11 FIELD DAISY LANE
    EAST NORTHPORT,NY11731
    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
    NONE
    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
    NONE
    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 (2014)
    Form 990-PF (2014)
    Page 8
    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 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
    13,122,863
    b
    Average of monthly cash balances.......................
    1b
    617,005
    c
    Fair market value of all other assets (see instructions)................
    1c
    6,124,135
    d
    Total (add lines 1a, b, and c).........................
    1d
    19,864,003
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    19,864,003
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    297,960
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    19,566,043
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    978,302
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    978,302
    2a
    Tax on investment income for 2014 from Part VI, line 5......
    2a
    4,719
    b
    Income tax for 2014. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,719
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    973,583
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    973,583
    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
    973,583
    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
    933,335
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    933,335
    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
    4,719
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    928,616
    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 (2014)
    Form 990-PF (2014)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2013
    (c)
    2013
    (d)
    2014
    1 Distributable amount for 2014 from Part XI, line 7 973,583
    2 Undistributed income, if any, as of the end of 2014:
    a Enter amount for 2013 only....... 769,791
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2014:
    a From 2009.......  
    b From 2010.......  
    c From 2011.......  
    d From 2012.......  
    e From 2013.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2014 from Part
    XII, line 4: bullet$ 933,335
    a Applied to 2013, but not more than line 2a 769,791
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions).........
    0
    d Applied to 2014 distributable amount..... 163,544
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2014.    
    (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  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    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 ...........
     
    e Undistributed income for 2013. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2014. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    810,039
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8Excess distributions carryover from 2009 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2015.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2010....  
    b Excess from 2011....  
    c Excess from 2012....  
    d Excess from 2013....  
    e Excess from 2014....  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 10
    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 2014, 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) 2014 (b) 2013 (c) 2012 (d) 2011
             
    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).)
    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 or email address 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 (2014)
    Form 990-PF (2014)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    AMERICAN HEART ASSOCIATION
    7272 GREENVILLE AVENUE
    DALLAS,TX75231
    NONE N/A GENERAl 5,000
    AMFAR
    120 WALL STREET 13TH FLOOR
    NEW YORK,NY10005
    NONE N/A GENERAL PURPOSES 7,500
    ANGELO J MELLILO CENTER FR MENTAL H
    113 GLEN COVE AVENUE
    GLEN COVE,NY11542
    NONE N/A GENERAL PURPOSES 10,000
    BLESSINGS IN A BACKPACK
    1839 BROWNSBORO ROAD
    LOUISVILLE,KY40206
    NONE N/A GENERAL PURPOSES 5,000
    BRENNAN CENTER FOR JUSTICE AT NYU
    161 AVENUE OF THE AMERICAS 12TH FL
    NEW YORK,NY10013
    NONE N/A GENERAL PURPOSES 15,000
    CITY HARVEST
    6 EAST 32ND STREET 5TH FLOOR
    NEW YORK,NY10016
    NONE N/A GENERAL PURPOSES 10,000
    DING DARLING SOCIETY
    PO BOX 565
    SANIBEL,FL33957
    NONE N/A GENERAL PURPOSES 15,000
    FISH FRIENDS IN SERVICE HERE
    1630 PERIWINKLE WAY UNIT B
    SANIBEL,FL33957
    NONE N/A GENERAL PURPOSES 7,500
    FRIENDS OF LAUREL HOUSE
    1616 WASHINGTON BLVD
    STAMFORD,CT06902
    NONE N/A GENERAL PURPOSES 15,000
    HABITAT FOR HUMANITY
    1288 N TAMIAMI TRAIL
    NORTH FT MYERS,FL33903
    NONE N/A GENERAL PURPOSES 5,000
    HARRIS CENTER AT MASS GENERAL HOSPI
    165 CAMBRIDGE ST SUITE 600
    BOSTON,MA02114
    NONE N/A GENERAL PURPOSES 15,000
    HARRY CHAPIN FOOD BANK
    3760 FOWLER ST
    FORT MYERS,FL33901
    NONE N/A GENERAL PURPOSES 7,500
    HUMAN RIGHTS CAMPAIGN FOUNDATION
    1640 RHODE ISLAND AVE NW
    WASHINGTON,DC20036
    NONE N/A GENERAL PURPOSES 15,000
    HUMAN RIGHTS WATCH
    350 FIFTH AVE 34TH FLOOR
    NEW YORK,NY10118
    NONE N/A GENERAL PURPOSES 45,000
    LONG ISLAND CARES
    10 DAVIDS DRIVE
    HAUPPAUGE,NY11788
    NONE N/A General Purpose 10,000
    MCLEAN HOSPITAL
    115 MILL ST
    BELMONT,MA02478
    NONE N/A General Purpose 10,000
    MS FOUNDATION FOR WOMEN
    12 METRO TECH CENTER 26TH FLOOR
    BROOKLYN,NY11201
    NONE N/A General Purpose 40,000
    NATIONAL DOMESTIC WORKERS ALLIANCE
    330 7TH AVE 19TH FLOOR
    NEW YORK,NY10001
    NONE N/A General Purpose 10,000
    NEW YORK CARES
    65 BROADWAY 19TH FLOOR
    NEW YORK,NY10006
    NONE N/A General Purpose 5,000
    OPEN DOOR SHELTER NORWALK
    4 MERRITT ST
    SOUTH NORWALK,CT06854
    NONE N/A General Purpose 7,500
    PACE CENTER FOR GIRLS
    3760 SCHOOLHOUSE RD W
    FT MYERS,FL33916
    NONE N/A General Purpose 5,000
    PARTNERS IN HEALTH
    888 COMMONWEALTH AVE 3RD FL
    BOSTON,MA02215
    NONE N/A General Purpose 10,000
    PERKINS SCHOOL FOR THE BLIND
    175 NORTH BEACON ST
    WATERTOWN,MA02472
    NONE N/A General Purpose 25,000
    PLANNED PARENTHOOD
    434 WEST 33RD ST
    NEW YORK,NY10001
    NONE N/A General Purpose 50,000
    PREP FOR PREP
    328 WEST 71ST ST
    NEW YORK,NY10023
    NONE N/A General Purpose 35,000
    PROJECT ALS
    801 RIVERSIDE DRIVE SUITE 6G
    NEW YORK,NY10032
    NONE N/A General Purpose 5,000
    ROOT CAUSE
    11 AVENUE DE LAFAYETTE
    BOSTON,MA02111
    NONE N/A General Purpose 5,000
    STUDIO IN A SCHOOL
    410 WEST 59TH ST
    NEW YORK,NY10019
    NONE N/A General Purpose 5,000
    ARNOLD P GOLD FOUNDATION THE
    619 PALISADE AVE
    ENGLEWOOD CLIFFS,NJ07632
    NONE N/A General Purpose 5,000
    CLIMATE REALITY PROJECT THE
    750 NINTH STREET NW SUITE 520
    WASHINGTON,DC20001
    NONE N/A General Purpose 7,500
    COUNCIL OF FASHION DESIGNERS OF AME
    65 BLEEKER STREET 11TH FLOOR
    NEW YORK,NY10012
    NONE N/A General Purpose 5,000
    IMMOKALEE FOUNDATION THE
    3960 RADIO ROAD SUITE 207
    NAPLES,FL34104
    NONE N/A General Purpose 5,000
    THERE WITH CARE
    2825 WILDERNESS PLACE SUITE 100
    BOULDER,CO80301
    NONE N/A General Purpose 10,000
    UNICEF SCHOOLS FOR AFRICA
    125 MAIDEN LANE
    NEW YORK,NY10038
    NONE N/A General Purpose 5,000
    WELLNESS IN THE SCHOOLS
    PO BOX 250832
    NEW YORK,NY10025
    NONE N/A General Purpose 10,000
    WOMEN'S FUNDING NETWORK
    505 SANSOME ST
    SAN FRANCISCO,CA94111
    NONE N/A General Purpose 7,500
    AMERICAN UNIVERSITY IN CAIRO SCHOLA
    420 FIFTH AVE 3RD FLOOR
    NEW YORK,NY10018
    NONE N/A General Purpose 5,000
    AMERICAN UNIVERSITY IN CAIRO
    420 FIFTH AVE 3RD FLOOR
    NEW YORK,NY10018
    NONE N/A General Purpose 10,000
    AMNESTY INTERNATIONAL
    5 PENN PLAZA 16TH FLOOR
    NEW YORK,NY10001
    NONE N/A General Purpose 5,000
    ARTS COUNCIL OF PRINCETON
    102 WITHERSPOON ST
    PRINCETON,NJ08542
    NONE N/A General Purpose 5,000
    CRISIS MINISTRY OF PRINCETON AND TR
    123 E HANOVER ST
    TRENTON,NJ08608
    NONE N/A General Purpose 7,000
    DEPT OF COMPARATIVE LIT - PRINCETON
    133 B EAST PYNE
    PRINCETON,NJ08542
    NONE N/A General Purpose 20,000
    DOCTORS WITHOUT BORDERS
    333 SEVENTH AVE 2ND FLOOR
    NEW YORK,NY10001
    NONE N/A General Purpose 25,000
    HOLLINS UNIVERSITY
    PO BOX 9658
    ROANOKE,VA24020
    NONE N/A General Purpose 6,000
    HOSPICE CARE OF PRINCETON
    3626 US ROUTE ONE
    PRINCETON,NJ08540
    NONE N/A General Purpose 5,000
    HUMAN RIGHTS WATCH
    350 5TH AVE
    NEW YORK,NY10118
    NONE N/A General Purpose 5,000
    MCCARTER THEATER COMPANY
    91 UNIVERSITY PLACE
    PRINCETON,NJ08540
    NONE N/A General Purpose 8,000
    METROPOLITAN OPERA
    LINCOLN PLAZA
    NEW YORK,NY10023
    NONE N/A General Purpose 5,000
    NAACP LEGAL DEFENSE AND EDUCATION F
    99 HUDSON STREET SUITE 1600
    NEW YORK,NY10013
    NONE N/A General Purpose 5,000
    NANTUCKET ATHENEUM
    1 INDIA ST
    NANTUCKET,MA02554
    NONE N/A General Purpose 5,000
    NANTUCKET CONSERVATION FOUNDATION
    118 CLIFF ROAD
    NANTUCKET,MA02554
    NONE N/A General Purpose 10,000
    NANTUCKET COTTAGE HOSPITAL
    57 PROSPECT ST
    NANTUCKET,MA02554
    NONE N/A General Purpose 10,000
    NANTUCKET HISTORICAL ASSOCIATION
    15 BROAD ST
    NANTUCKET,MA02554
    NONE N/A General Purpose 5,000
    PLANNED PARENTHOOD OF MERCER COUNTY
    437 E STATE ST
    TRENTON,NJ08608
    NONE N/A General Purpose 14,000
    PRINCETON PUBLIC LIBRARY
    65 WITHERSPOON ST
    PRINCETON,NJ08542
    NONE N/A General Purpose 5,000
    PRINCETON SYMPHONY ORCHESTRA
    PO BOX 250
    PRINCETON,NJ08542
    NONE N/A General Purpose 5,000
    SAVE - A FRIEND TO HOMELESS ANIMALS
    900 HERRINGTOWN RD
    PRINCETON,NJ08542
    NONE N/A General Purpose 1,500
    SEEING EYE FOUNDATION
    PO BOX 375
    MORRISTOWN,NJ07963
    NONE N/A General Purpose 3,000
    SWEET BRIAR COLLEGE
    PO BOX 1051
    SWEET BRIAR,VA24595
    NONE N/A General Purpose 3,500
    TRENTON AREA SOUP KITCHEN TASK
    72 1/2 ESCHER ST
    TRENTON,NJ08609
    NONE N/A General Purpose 3,000
    YMCA OF PRINCETON
    59 PAUL ROBESON PLACE
    PRINCETON,NJ08540
    NONE N/A General Purpose 2,500
    YWCA OF PRINCETON
    59 ROBESON PLACE
    PRINCETON,NJ08540
    NONE N/A General Purpose 2,500
    OUR LADY OF THE SNOWS RC CHURCH
    258-15 80TH AVE
    FLORAL PARK,NY11004
    NONE N/A General Purpose 10,000
    BIDDEFORD FREE CLINIC
    PO BOX 325
    BIDDEFORD,ME04005
    NONE N/A General Purpose 5,000
    ACCESS YOUTH ACADEMY
    9370 WAPLES STREET SUITE 101
    SAN DIEGO,CA92121
    NONE N/A GENERAL 15,000
    ACLU FOUNDATION
    125 BROAD STREET 18TH FLOOR
    NEW YORK,NY10005
    NONE N/A GENERAL 7,500
    BOB WOODRUFF FOUNDATION
    1359 BROADWAY SUITE 800
    BRISTOW,NY10018
    NONE N/A GENERAL 5,000
    CARDINAL MCCLOSKY COMMUNITY SERVICE
    115 E STEVENS AVE SUITE LL5
    VALHALLA,NY10595
    NONE N/A GENERAL 5,000
    CHILD FIRST
    100 EAST AVENUE
    NORWALK,CT06851
    NONE N/A GENERAL 15,000
    COMMACK VOLUNTEER AMBULANCE CORPS
    200 BURR ROAD
    COMMACK,NY11725
    NONE N/A GENERAL 10,000
    DISABILITY OPPORTUNITY FUND
    201 IU WILLETS ROAD
    ALBERTSON,NY11507
    NONE N/A GENERAL 5,000
    LEE MEMORIAL HEALTH SYSTEM FOUNDATI
    16451 HEALTHPARK COMMONSSUITE 200
    FORT MYERS,FL33908
    NONE N/A GENERAL 50,000
    MEMORIAL SLOAN KETTERING CANCER CEN
    PO BOX 27106
    NEW YORK,NY10087
    NONE N/A GENERAL 20,000
    PROJECT HORSESHOE FARM
    745 HORSHOE BEND
    GREENSBORO,AL36744
    NONE N/A GENERAL 50,000
    SERVICE WOMAN'S ACTION NETWORK
    220 FIFTH AVENUE 8TH FLOOR
    NEW YORK,NY10001
    NONE N/A GENERAL 5,000
    RADCLIFF INSTITUTE
    10 GARDEN ST
    CAMBRIDGE,MA02138
    NONE N/A GENERAL 5,000
    THE ALI FORNEY CENTER
    224 W 35TH STREET 15TH FLOOR
    NEW YORK,NY10001
    NONE N/A GENERAL 5,000
    THE DOE FUND
    232 EAST 84TH STREET
    NEW YORK,NY10028
    NONE N/A GENERAL 5,000
    THE LOWER EAST SIDE GIRLS CLUB
    402 EAST 8TH STREET
    NEW YORK,NY10009
    NONE N/A GENERAL 5,000
    WISER WOMEN'S INSTITUTION FOR A SEC
    1140 19TH STREET NW SUITE 550
    WASHINGTON,DC20036
    NONE N/A GENERAL 10,000
    ARCHBISHOP MOLLOY HIGH SCHOOL - FUN
    83-53 MANTON STREET
    BRIARWOOD,NY11435
    NONE N/A GENERAL 10,000
    CITYMEALS-ON-WHEELS
    355 LEXINGTON AVENUE ATTNJENNIFER
    NEW YORK,NY10017
    NONE N/A GENERAL 5,000
    NEW HAVEN FARMS
    PO BOX 8953
    NEW HAVEN,CT06532
    NONE N/A GENERAL 5,000
    PALLIATIVE SUPPORTIVE CARE OF NANTU
    57 PROSPECT STREET
    NANTUCKET,MA02554
    NONE N/A GENERAL 2,500
    UNIVERSITY OF CONNECTICUT INC
    2390 ALUMNI DRIVE UNIT 3206
    STORRS,CT06269
    NONE N/A GENERAL 10,000
    DOCTORS WITHOUT BORDERS
    333 SEVENTH AVENUE 2ND FLOOR
    NEW YORK,NY10001
    NONE N/A GENERAL 5,000
    HOMEFRONT
    1880 PRINCETON AVENUE
    LAWRENCEVILLE,NJ08648
    NONE N/A GENERAL 2,500
    PALLIATIVE SUPPORTIVE CARE OF NANTU
    57 PROSPECT STREET
    NANTUCKET,MA02554
    NONE N/A GENERAL 7,500
    UNIVERSITY MEDICAL CENTER OF PRINCE
    1 PLAINSBORO ROAD
    PRINCETON TOWNSHIP,NJ08536
    NONE N/A GENERAL 15,000
    Total .................................bullet 3a 931,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 12
    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....          
    3
    Interest on savings and temporary cash investments ............
        14 65  
    4 Dividends and interest from securities....     14 241,365  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............
             
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............
            306,334
    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)..   241,430 306,334
    13Total. Add line 12, columns (b), (d), and (e)..................
    13547,764
    (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 (2014)
    Form 990-PF (2014)
    Page 13
    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 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    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) 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 (2014)
    Additional Data


    Software ID: 14000265
    Software Version: 2014v5.0


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2014 AccountingFeesSchedule
    Name:
    THEODORE L CROSS
    FAMILY CHARITABLE FOUNDATION
    EIN: 04-3254361
    Software ID:14000265
    Software Version:2014v5.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BOOKKEEPING EXPENSES 1,054 0 0 0

    TY 2014 InvestmentsCorpStockSchedule
    Name:
    THEODORE L CROSS
    FAMILY CHARITABLE FOUNDATION
    EIN: 04-3254361
    Software ID:14000265
    Software Version:2014v5.0
    Name of Stock End of Year Book Value End of Year Fair Market Value
    100 SH BANK UTICA    
    875 SH ALTRIA GROUP INC    
    965 SH BERKSHIRE HATHAWAY INC    
    450 SH BROWN FORMAN CORP    
    350 SH COMCAST CORPORATION    
    225 SH MARTIN MARIETTA MATERIALS    
    90 SH MASTERCARD CLASS A    
    1,125 SH PHILLIP MORRIS INTL    
    100 SH SCRIPPS NETWRK INTER CL A    
    1,575 SH WELLS FARGO    
    525 SH ANHEUSER BUSCH INBEV    
    650 SH BRITISH AMERICAN TOBACCO    
    775 SH CIE FINANCIERE RICHMONT    
    1,050 SH DIAGEO PLC    
    1,175 SH HEINEKEN HOLDING NV    
    1,550 SH NESTLE S A SPONS    
    585 SH PERNOD-RICARD SA    
    1,425 SH SABMILLER PLC    
    1,300 SH UNILEVER N V    
    395 SH ALEXION PHARMACEUTICALS    
    167 SH BIOGEN IDEC INC    
    166 SH BLACKROCK    
    605 SH CELGENE CORPORATION    
    455 SH COGNIZANT TECHNOLOGY    
    555 DISCOVERY COMMUNICATIONS    
    890 SH DOLLAR GENERAL CORP    
    955 SH EBAY INC    
    280 SH ECOLAB INC    
    54 SH GOOGLE INC CL A    
    97 SH INTUITIVE SURGICAL INC    
    610 SH LAS VEGAS SANDS CORP    
    55 SH MASTERCARD INC CL A    
    540 SH MONSANTO CO    
    555 SH MONSTER BEVERAGE CORP    
    175 SH PRAXAIR INC    
    129 SH PRECISION CASTPARTS CORP    
    47 SH PRICELINE.COM INC    
    110 SH REGENERON PHARMACEUTICALS    
    545 SH THE ESTEE LAUDER CO    
    780 SH TIME WARNER INC    
    450 SH TJX COMPANIES    
    235 SH VISA INC CL A    
    270 SH WYNN RESORTS    
    615 SH YUM BRANDS INC    
    3,070 SH EUROPEAN AERO DEFENSE    
    1,005 SH INVESCO LTD    
    865 SH SWATCH GROUP    
    1,155 SH TENCENT HLDGS    
    29,781.605 SH FPA CRESCENT    
    6,194.66 SH VANGUARD 500 INDEX    
    27,424.53 SH VAN ECK FUNDS    
    26,788.37 SH DODGE & COX INTL STOCK    
    46,598.322 SH FIRST EAGLE OVERS FND    
    80,873.928 SH LAUDUS TR EMERGING MKT    
    12,455 SH VANGUARD FTSE EMERG    
    107,724.936 SH PIMCO UNCONSTRAINED    
    17,632.737 SH TROWE PRICE NEW ERA FN    
    103,761.21 SH DODGE & COX INC FUND    
    86,785.45 PIMCO GLOBAL ADVANTAGE    
    100 SH BANK UTICA NY 26,400 45,250
    875 SH ALTRIA GROUP INC 26,356 43,111
    985 SH BERKSHIRE HATHAWAY INC 80,859 147,898
    450 SH BROWN FORMAN CORP 23,954 39,492
    350 SH COMCAST CORPORATION 10,279 20,148
    225 SH MARTIN MARIETTA MATERIALS 19,526 24,822
    1,000 SH MASTERCARD INC - CLASS A 45,149 86,160
    1,085 SH PHILLIP MORRIS INTL 93,840 88,373
    100 SH SCRIPPS NETWORK INTER - CL A 4,764 7,527
    1,575 SH WELLS FARGO 53,803 86,342
    525 SH ANHEUSER BUSCH INBEV 37,993 58,968
    650 SH BRITISH AMERICAN TOBACCO PLC 33,662 35,473
    835 SH CIE FINANCIERE RICHEMNT 53,938 75,007
    1,050 SH DIAGEO PLC 26,498 30,264
    1,175 SH HEINEKEN HOLDING N V 54,492 73,835
    1,555 SH NESTLE S A SPONS 97,290 113,437
    585 SH PERNOD-RICARD SA 61,575 65,309
    1,425 SH SABMILLER PLC 59,058 74,679
    1,445 SH UNILEVER NV 50,226 56,413
    1,200 SH ABBOTT LABORATORIES 48,710 54,024
    195 SH AFFILIATED MANAGERS GROUP 39,444 41,387
    375 SH ALEXION PHARMACEUTICALS 36,572 69,386
    193 SH BIOGEN IDEC INC 52,677 65,514
    75 SH BLACKROCK 19,608 26,817
    1,150 SH CELGENE CORPORATION 43,590 128,639
    1,220 COGNIZANT TECHNOLOGY 53,260 64,245
    875 SH COMCAST CORP CL A 44,948 50,759
    505 SH DISCOVERY COMMUNICATION - CL C 12,075 17,029
    505 SH DISCOVERY COMMUNICATIONS - CL A 12,398 17,397
    455 SH DOLLAR GENERAL 20,489 32,169
    610 SH DOLLAR TREE INC 35,565 42,932
    54 SH GOOGLE INC CL C 17,658 28,426
    54 SH GOOGLE INC CL A 17,715 28,656
    515 SH LAS VEGAS SANDS CORP 25,076 29,952
    550 SH MASTERCARD CL A 35,623 47,388
    405 SH MONSANTO CO 31,430 48,385
    385 SH MONSTER BEVERAGE CORP 22,840 41,715
    264 SH PRECISION CASTPARTS CORP 55,356 63,592
    142 SH REGENERON PHARMACEUTICALS 39,370 58,256
    735 SH STARBUCKS CORP 54,283 60,307
    54 SH PRICELINE.COM INC 57,914 61,571
    755 SH TIME WARNER INC 46,864 64,492
    235 SH VISA INC CL A 27,448 61,617
    210 SH WYNN RESORTS 28,604 31,240
    1,115 SH INVESCO LTD 38,756 44,065
    300 SH NXP SEMICONDUCTORS NV 22,298 22,920
    330 SH PERRIGO CO LTD 48,841 55,163
    1,935 SH SAFRON S A SPONS 32,513 29,528
    405 SH ALIBABA GROUP HOLDING 36,329 42,096
    180 SH BAIDU INC SPONS ADR 43,016 41,035
    3,650 SH TENCENT HOLDINGS LTD ADR 20,519 52,962
    29,781.602 SH FPA CRESCENT 900,000 1,004,831
    6,279.866 SH VANGUARD 500 INDEX FUND 785,643 1,192,484
    27,424.53 SH VAN ECK FUNDS 500,000 221,590
    29,079.846 SH DODGE & COX INTL STOCK 1,000,704 1,224,552
    50,976.606 SH FIRST EAGLE OVERSEAS FUND 1,100,000 1,131,171
    92,878.73 SH LAUDUS TR EMERGING MARKETS 800,000 767,178
    12,455 SH VANGUARD FTSE EMERGING 525,486 498,449
    107,724.936 SH PIMCO UNCONSTRAINED 1,242,069 1,204,365
    19,972.466 SH TROWE PRICE NEW ERA F 900,000 688,051
    125,297.46 SH DODGE & COX INCOME FUND 1,700,000 1,726,599
    86,785.45 SH PIMCO GLOBAL ADVANTAGE 993,008 922,529

    TY 2014 InvestmentsOtherSchedule2
    Name:
    THEODORE L CROSS
    FAMILY CHARITABLE FOUNDATION
    EIN: 04-3254361
    Software ID:14000265
    Software Version:2014v5.0
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    FIR TREE INTERNATIONAL VALUE AT COST    
    SOMERSET SMALL MID CAP AT COST    
    JOHNSTON INTERNATIONAL EQUITY AT COST    
    THE WEATHERLOW OFFSHORE FUND I AT COST    
    NYES LEDGE CAPITAL OFF FD LTD AT COST    
    THE TAP FUND LTD AT COST    
    FIR TREE INTERNATIONAL VALUE AT COST 550,000 537,976
    SOMERSET SMALL MID CAP AT COST 400,000 397,821
    JOHNSTON INTERNATIONAL EQUITY AT COST 900,000 917,941
    THE WEATHERLOW OFFSHORE FUND I AT COST 1,700,000 2,052,757
    NYES LEDGE CAPITAL OFFSHORE FUND LTD AT COST 1,650,000 1,990,126
    THE TAP FUND AT COST 500,000 353,444

    TY 2014 OtherExpensesSchedule
    Name:
    THEODORE L CROSS
    FAMILY CHARITABLE FOUNDATION
    EIN: 04-3254361
    Software ID:14000265
    Software Version:2014v5.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DEPOSITORY FEE 351 351    
    INSURANCE 1,076     1,076
    SUPPLIES 1,259     1,259


    TY 2014 OtherProfessionalFeesSchedule
    Name:
    THEODORE L CROSS
    FAMILY CHARITABLE FOUNDATION
    EIN: 04-3254361
    Software ID:14000265
    Software Version:2014v5.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISOR FEES 72,546 72,546 0 0


    TY 2014 TaxesSchedule
    Name:
    THEODORE L CROSS
    FAMILY CHARITABLE FOUNDATION
    EIN: 04-3254361
    Software ID:14000265
    Software Version:2014v5.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE 4,719      
    FOREIGN TAX 2,922 2,922