Form990-PF

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
MAX AND RACHEL JAVIT FAMILY FOUNDATION
C/O THOMAS M DIVINE TRUSTEE

Number and street (or P.O. box number if mail is not delivered to street address)CITYPLACE I 22ND FLOOR 185 ASYLUMSTRoom/suite
City or town, state or province, country, and ZIP or foreign postal code
HARTFORD, CT06103
A Employer identification number

06-6479632
B Telephone number (see instructions)

(860) 256-6358
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$771,390J 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).............. 1,172,170
2 Check bullet
Sch. B ...............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 1,419 1,419  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 586,834
b Gross sales price for all assets on line 6a 1,443,958
7 Capital gain net income (from Part IV, line 2)... 586,834
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........ 1,760,423 588,253  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 1,987 0   1,987
b Accounting fees (attach schedule)....... Click to see attachment 1,600 1,200   400
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 3,587 1,200   2,387
25 Contributions, gifts, grants paid........ 750,000 750,000
26 Total expenses and disbursements. Add lines 24 and 25 753,587 1,200   752,387
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,006,836
b Net investment income (if negative, enter -0-) 587,053
c Adjusted net income (if negative, enter -0-)...  
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...............   2,393 2,393
2 Savings and temporary cash investments..........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see 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)........ 341,253 Click to see attachment770,296 768,997
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) 341,253 772,689 771,390
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted................... 341,253 772,689
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)...... 341,253 772,689
31 Total liabilities and net assets/fund balances (see instructions).. 341,253 772,689
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)............... 1 341,253
2 Enter amount from Part I, line 27a..................... 2 1,006,836
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 113
4 Add lines 1, 2, and 3.......................... 4 1,348,202
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 575,513
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 772,689
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.)
1 a 21,545.039 SHARES BERNSTEIN SHORT DURATION PLUS PORTFOLIO D 2013-09-12 2014-02-07
b 254.669 SHARES BERNSTEIN SHORT DURATION PLUS PORTFOLIO D 2013-09-18 2014-05-21
c 425.170 SHARES BERNSTEIN SHORT DURATION PLUS PORTFOLIO D 2013-09-13 2014-07-17
d 71 SHARES AMZON.COM INC. D 2012-01-10 2014-01-22
e 95 SHARES AFFILIATED MANAGERS GROUP INC. D 2012-06-27 2014-01-22
71 SHARES BIOGEN IDEC INC. D 2012-07-25 2014-01-22
191 SHARES BOEING CO. D 2011-11-07 2014-01-22
107 SHARES CELGENE CORP. D 2012-11-30 2014-01-22
663 SHARES DELTA AIR LINES INC. D 2012-05-03 2014-01-22
427 SHARES WALT DISNEY CO. D 2011-09-28 2014-01-22
81 SHARES FLOWSERVE CORPORATION D 2011-08-12 2014-01-22
332 SHARES FACEBOOK INC. D 2012-11-09 2014-01-22
125 SHARES GAMESTOP CORP. D 2013-01-04 2014-01-22
284 SHARES HEWLETT PACKARD CO. D 2012-10-22 2014-01-22
284 SHARES MGM RESORTS INTERNATIONAL D 2012-07-30 2014-01-22
7 SHARES PRICELINE GROUP INC. D 2012-07-30 2014-01-22
166 SHARES TRW AUTOMOTIVE HOLDINGS CORP. D 2012-08-13 2014-01-22
663 SHARES TYSON FOODS INC. CLASS A D 2011-10-07 2014-01-22
237 SHARES VALERO ENERGY CORP. D 2011-12-20 2014-01-22
260 SHARES V F CORP. D 2011-08-04 2014-01-22
300 SHARES WELLPOINT INC. D 2011-08-17 2014-11-11
251 SHARES ALLERGAN INC. D 2011-03-30 2014-11-11
665 SHARES APPLE INC. D 2011-01-25 2014-11-11
800 SHARES APPLIED MATERIALS INC. D 2011-12-23 2014-11-11
2,100 SHARES BANK OF AMERICA CORP. D 2012-11-23 2014-11-11
152 SHARES BIOGEN IDEC INC. D 2013-01-11 2014-11-11
11 SHARES BOEING CO. D 2012-07-25 2014-11-11
246 SHARES DISCOVER FINANCIAL SERVICES D 2012-09-12 2014-11-11
165 SHARES WALT DISNEY CO. D 2012-01-06 2014-11-11
500 SHARES ELECTRONIC ARTS INC. D 2013-02-14 2014-11-11
418 SHARES FACEBOOK INC. D 2013-04-04 2014-11-11
100 SHARES GOOGLE INC. D 2012-04-24 2014-11-11
375 SHARES GAMESTOP CORP. D 2011-04-18 2014-11-11
176 SHARES GILEAD SCIENCES INC. D 2013-06-11 2014-11-11
125 SHARES INTERCONTINENTAL EXCHANGE INC. D 2012-08-02 2014-11-11
150 SHARES KUERIG GREEN MOUNTAIN INC. D 2013-03-01 2014-11-11
1,000 SHARES KROGER CO. D 2011-03-15 2014-11-11
36 SHARES LEAR CORP. D 2011-12-08 2014-11-11
162 SHARES LYONDELLBASEL INDUSTRIES INC. D 2012-10-05 2014-11-11
75 SHARES MCKESSON CORP. D 2012-05-15 2014-11-11
126 SHARES MONSANTO CO. D 2011-04-06 2014-11-11
300 SHARES MACY'S INC. D 2012-06-07 2014-11-11
10 SHARES PRICELINE GROUP INC. D 2012-05-21 2014-11-11
95 SHARES O'REILLY AUTOMOTIVE INC. D 2012-09-25 2014-11-11
200 SHARES STATE STREET CORP. D 2012-06-08 2014-11-11
200 SHARES UNITEDHEALTH GROUP INC. D 2012-08-10 2014-11-11
24 SHARES VISA INC. CLASS A D 2012-09-28 2014-11-11
800 SHARES WELLS FARGO & COMPANY D 2012-03-23 2014-11-11
302 SHARES DANAHER CORP. D 2009-09-18 2014-01-22
25 SHARES WALT DISNEY CO. D 2010-06-20 2014-01-22
72 SHARES FLOWSERVE CORPORATION D 2010-10-25 2014-01-22
98 SHARES LEAR CORP. D 2010-06-25 2014-01-22
24 SHARES MONSANTO CO. D 2010-08-15 2014-01-22
583 SHARES PFIZER INC. D 2009-06-26 2014-01-22
6,146.226 SHARES BERNSTEIN SHORT DURATION PLUS PORTFOLIO D 2012-11-21 2014-02-07
24 SHARES ALLERGAN INC. D 2010-11-18 2014-11-11
18 SHARES DANAHER CORP. D 2009-11-05 2014-11-11
213 SHARES HEALTH NET INC. D 2010-11-18 2014-11-11
298 SHARES PFIZER INC. D 2010-08-24 2014-11-11
272 SHARES PFIZER INC. D 2009-10-16 2014-11-11
24 SHARES SCHLUMBER LTD. D 2008-10-16 2014-11-11
(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 253,801   252,516 1,285
b 3,000   2,985 15
c 5,000   4,985 15
d 28,723   12,753 15,970
e 20,140   9,793 10,347
22,049   10,082 11,967
27,575   12,562 15,013
18,188   8,486 9,702
21,773   7,282 14,491
32,158   14,495 17,663
6,286   2,431 3,855
19,093   6,601 12,492
4,906   3,104 1,802
8,475   4,106 4,369
7,310   2,681 4,629
8,464   3,918 4,546
12,918   6,040 6,878
23,590   10,592 12,998
12,075   4,497 7,578
15,340   7,192 8,148
38,048   16,602 21,446
49,099   19,317 29,782
72,625   31,730 40,895
18,020   8,588 9,432
36,352   21,129 15,223
49,871   22,385 27,486
1,127   665 462
16,327   9,715 6,612
14,809   6,577 8,232
20,544   9,353 11,191
31,116   10,616 20,500
55,437   29,640 25,797
15,950   9,671 6,279
19,093   9,102 9,991
27,521   16,188 11,333
23,226   8,675 14,551
58,240   23,663 34,577
3,333   1,466 1,867
14,315   8,286 6,029
15,181   6,317 8,864
14,890   8,603 6,287
17,597   10,653 6,944
11,639   6,420 5,219
17,047   8,027 9,020
15,548   8,417 7,131
19,131   9,651 9,480
5,975   3,219 2,756
42,930   25,677 17,253
23,538   10,322 13,216
1,883   859 1,024
5,588   2,787 2,801
7,840   3,436 4,404
2,659   1,326 1,333
18,230   8,888 9,342
72,403   72,955 -552
4,695   1,652 3,043
1,462   641 821
10,206   5,984 4,222
9,015   4,724 4,291
8,228   4,789 3,439
2,356   1,308 1,048
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       1,285
b       15
c       15
d       15,970
e       10,347
      11,967
      15,013
      9,702
      14,491
      17,663
      3,855
      12,492
      1,802
      4,369
      4,629
      4,546
      6,878
      12,998
      7,578
      8,148
      21,446
      29,782
      40,895
      9,432
      15,223
      27,486
      462
      6,612
      8,232
      11,191
      20,500
      25,797
      6,279
      9,991
      11,333
      14,551
      34,577
      1,867
      6,029
      8,864
      6,287
      6,944
      5,219
      9,020
      7,131
      9,480
      2,756
      17,253
      13,216
      1,024
      2,801
      4,404
      1,333
      9,342
      -552
      3,043
      821
      4,222
      4,291
      3,439
      1,048
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 2 586,834
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . . 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see 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 749,083 249,463 3.002782
2012 513,142 537,805 0.954141
2011 45,525 566,543 0.080356
2010 45,775 479,243 0.095515
2009 49,531 401,497 0.123366
2 Total of line 1, column (d) ...................... 2 4.256160
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 0.851232
4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5..... 4 174,463
5 Multiply line 4 by line 3....................... 5 148,508
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 5,871
7 Add lines 5 and 6......................... 7 154,379
8 Enter qualifying distributions from Part XII, line 4.............. 8 752,387
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 5,871
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 5,871
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 5,871
6 Credits/Payments:
a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a 1,560
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 1,560
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 4,311
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 2015 estimated taxBullet   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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCT
    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 ofbulletTHOMAS M DIVINE TRUSTEE Telephone no.bullet (860) 256-6358
    Located atbullet185 ASYLUM STREET CITYPLACE I 22NDFLOORHARTFORDCT ZIP+4bullet06103
    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
     
     
    .........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
     
     
    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
     
     
    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
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.......................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (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
    THOMAS M DIVINE TRUSTEE
    1.00     		0 0 0
    185 ASYLUM STREET CITYPLACE I 22ND
    FLOOR
    HARTFORD,CT061033460
    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 0
    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.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (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.........................bullet0
    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
    147,954
    b
    Average of monthly cash balances.......................
    1b
    29,166
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    177,120
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    177,120
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    2,657
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    174,463
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    8,723
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    8,723
    2a
    Tax on investment income for 2014 from Part VI, line 5......
    2a
    5,871
    b
    Income tax for 2014. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,871
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,852
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,852
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    2,852
    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
    752,387
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    752,387
    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
    5,871
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    746,516
    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 2,852
    2 Undistributed income, if any, as of the end of 2014:
    a Enter amount for 2013 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2014:
    a From 2009....... 29,572
    b From 2010....... 23,649
    c From 2011....... 18,996
    d From 2012....... 487,688
    e From 2013....... 739,694
    fTotal of lines 3a through e......... 1,299,599
    4Qualifying distributions for 2014 from Part
    XII, line 4: bullet$ 752,387
    a Applied to 2013, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		0
    d Applied to 2014 distributable amount..... 2,852
    e Remaining amount distributed out of corpus 749,535
    5 Excess distributions carryover applied to 2014. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 2,049,134
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2013. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2014. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    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) .......     		0
    8Excess distributions carryover from 2009 not
    applied on line 5 or line 7 (see instructions) ...     		29,572
    9Excess distributions carryover to 2015.
    Subtract lines 7 and 8 from line 6a ......     		2,019,562
    10 Analysis of line 9:
    a Excess from 2010.... 23,649
    b Excess from 2011.... 18,996
    c Excess from 2012.... 487,688
    d Excess from 2013.... 739,694
    e Excess from 2014.... 749,535
    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 e-mail address of the person to whom applications should be addressed:
    THOMAS M DIVINE TRUSTEE
    185 ASYLUM STREET CITYPLACE I 22ND
    FLOOR
    HARTFORD,CT06103
    (860) 256-6358
    bThe form in which applications should be submitted and information and materials they should include:
    NONE
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ORGANIZATION MUST BE QUALIFIED CHARITY UNDER I.R.C. SECTION 501 (C) (3)
    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 FRIENDS OF THE HEBREW UNIVERSITY
    ONE BATTERY PARK PLAZA 25TH FLOOR
    NEW YORK,NY100041405     		NONE OTHER PUBLIC CHARITY MEDICAL RESEARCH 250,000
    AMERICAN TECHNION SOCIETY
    55 EAST 59TH STREET
    NEW YORK,NY10022     		NONE OTHER PUBLIC CHARITY EDUCATIONAL ORGANIZATION 250,000
    BEN-GURION UNIVERSITY OF THE NEGEV
    1001 AVENUE OF THE AMERICAS 19TH
    FLOOR
    NEW YORK,NY10018     		NONE OTHER PUBLIC CHARITY EDUCATIONAL ORGANIZATION 250,000
    Total .................................bullet 3a 750,000
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ............     		         
    4 Dividends and interest from securities....     14 1,419  
    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 .............     		    18 586,834  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 588,253 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13588,253
    (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:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2014
    Name of the organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE
    Employer identification number

    06-6479632
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Page 2
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$20,137


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$28,372


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$17,821


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$26,828


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$17,873


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$24,918


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    7
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$20,599


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    8
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$18,692


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    9
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$11,800


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    10
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$4,706


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    11
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$8,463


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    12
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$7,842


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    13
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$7,500


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    14
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$2,715


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    15
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$18,125


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    16
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$8,246


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    17
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$12,573


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    18
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$23,231


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    19
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$12,187


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    20
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$15,285


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    21
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$33,439


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    22
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$53,900


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    23
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$72,492


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    24
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$17,944


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    25
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$36,456


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    26
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$49,396


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    27
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$1,120


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    28
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$16,904


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    29
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$20,470


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    30
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$31,601


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    31
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$16,384


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    32
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$18,735


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    33
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$54,641


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    34
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$10,013


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    35
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$27,318


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    36
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$22,935


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    37
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$57,800


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    38
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$3,325


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    39
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$14,169


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    40
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$17,964


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    41
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$14,949


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    42
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$14,419


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    43
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$17,005


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    44
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$17,054


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    45
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$10,946


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    46
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$2,369


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    47
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$15,562


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    48
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$18,722


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    49
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$6,058


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    50
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$14,850


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    51
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$37,245


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    52
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$43,072


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    53
     
     

    MAX JAVIT  
    20100 BOCA WEST DRIVE APT 175
     
    BOCA RATON, FL33434

    		$75,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Page 3
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 95 SHRS AFFILIATED MANAGERS GROUP $ 20,137 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    2
    		 71 SHRS AMAZON.COM $ 28,372 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    3
    		 71 SHRS BIOGEN IDEC INC $ 17,821 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    4
    		 191 SHRS BOEING CO $ 26,828 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    5
    		 107 SHRS CELGENE CORP $ 17,873 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    6
    		 320 SHRS DANAHER CORP $ 24,918 2014-01-06
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    7
    		 663 DELTA AIR LINES INC $ 20,599 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    8
    		 332 SHRS FACEBOOK INC $ 18,692 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    9
    		 153 SHRS FLOWSERVE CORP $ 11,800 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    10
    		 125 SHRS GAMESTOP CORP $ 4,706 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    11
    		 284 SHRS HEWLETT PACKARD $ 8,463 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    12
    		 98 SHRS LEAR CORP $ 7,842 2014-01-06
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    13
    		 284 SHRS MGM RESORTS $ 7,500 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    14
    		 24 SHRS MONSANTO CO $ 2,715 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    15
    		 583 SHRS PFIZER INC $ 18,125 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    16
    		 7 SHRS PRICELINE.COM INC $ 8,246 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    17
    		 166 SHRS TRW AUTOMOTIVE HOLDINGS INC $ 12,573 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    18
    		 663 SHRS TYSON FOODS INC $ 23,231 2014-01-06
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    19
    		 237 SHRS VALERO ENERGY CORP $ 12,187 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    20
    		 260 SHRS VF CORPORATION $ 15,285 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    21
    		 452 SHRS WALT DISNEY CO $ 33,439 2014-01-06
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    22
    		 275 SHRS ALLERGAN INC $ 53,900 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    23
    		 665 SHRS APPLE INC $ 72,492 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    24
    		 800 SHRS APPLIED MATERIALS INC $ 17,944 2014-11-10
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    25
    		 2100 SHRS BANK OF AMERICA CORP $ 36,456 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    26
    		 154 SHRS BIOGEN IDEC INC $ 49,396 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    27
    		 9 SHRS BOEING CO $ 1,120 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    28
    		 246 SHRS DISCOVER FINANCIAL SERVICES $ 16,904 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    29
    		 500 SHRS ELECTRONIC ARTS INC $ 20,470 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    30
    		 418 SHRS FACEBOOK INC $ 31,601 2014-11-10
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    31
    		 375 SHRS GAMESTOP CORP $ 16,384 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    32
    		 176 SHRS GILEAD SCIENCES INC $ 18,735 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    33
    		 50 SHRS GOOGLE INC $ 54,641 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    34
    		 213 SHRS HEALTH NET INC $ 10,013 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    35
    		 125 SHRS INTERCONTINENTAL EXCHANGE $ 27,318 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    36
    		 150 SHRS KEURIG GREEN MOUNTAIN $ 22,935 2014-11-10
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    37
    		 1000 SHRS KROGER CO $ 57,800 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    38
    		 36 SHRS LEAR CORP $ 3,325 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    39
    		 162 SHRS LYONDELLBASELL INDUSTRIES $ 14,169 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    40
    		 300 SHRS MACYS INC $ 17,964 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    41
    		 75 SHRS MCKESSON CORP $ 14,949 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    42
    		 126 SHRS MONSANTO CO $ 14,419 2014-11-10
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    43
    		 95 SHRS OREILLY AUTOMOTIVE $ 17,005 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    44
    		 570 SHRS PFIZER INC $ 17,054 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    45
    		 10 SHRS PRICELINE GROUP INC $ 10,946 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    46
    		 24 SHRS SCHLUMBERGER LTD $ 2,369 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    47
    		 200 SHRS STATE STREET CORP $ 15,562 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    48
    		 200 SHRS UNITED HEALTH CORP $ 18,722 2014-11-10
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    49
    		 24 SHRS VISA INC $ 6,058 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    50
    		 165 SHRS WALT DISNEY $ 14,850 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    51
    		 300 SHRS WELLPOINT INC $ 37,245 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    52
    		 800 SHRS WELLS FARGO & CO $ 43,072 2014-11-10
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
    Page 4
    Name of organization
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE         		Employer identification number

    06-6479632
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
    that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2014 AccountingFeesSchedule
    Name:
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE
    EIN: 06-6479632
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 1,600 1,200   400

    TY 2014 InvestmentsCorpStockSchedule
    Name:
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE
    EIN: 06-6479632
    Name of Stock End of Year Book Value End of Year Fair Market Value
    VARIOUS MARKETABLE SECURITIES 770,296 768,997

    TY 2014 LegalFeesSchedule
    Name:
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE
    EIN: 06-6479632
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 1,987 0   1,987


    TY 2014 OtherDecreasesSchedule
    Name:
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE
    EIN: 06-6479632
    Description Amount
       
       


    TY 2014 OtherIncreasesSchedule
    Name:
    MAX AND RACHEL JAVIT FAMILY FOUNDATION
    C/O THOMAS M DIVINE TRUSTEE
    EIN: 06-6479632
    Description Amount