EFTA00190062.pdf
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F.990-PF
Department el the Treesury
wend R•WIOLIO Serino
Note: The foundation may be able to use a copy of this return to satisfy state reporting requirements.
EXTENS!ON ATTACHED
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
OMB No 1545-0052
2006
For calendar year 2006, or tax year beginning
March 1
, 2006, and ending
February 28
, 20 07
G Check all that apply:
0 Initial return
O Final return
O Amended return
Use the IRS Name col foundation
A Employer identification number
label.
The C.O.U.Q. Foundation
Otherwise,
print
or type
Number and street (or P O box number if mail is not delivered to street address)
do George V. Delson Associates,
Room/suite
B Telephone number (see page 11 of the instructions)
Qty or town, state, and ZIP code
C If exemption app cation is pending, check here P 0
See Specific
Instructions. New York, NY 10022
D 1. Foreign organizations, check here .
. ► 0
H Check type of organization: in Section 501(c)(3) exempt private foundation
2. Foreign organisation meeting the 85% test, ,„
O Section 4947(a)(1) nonexempt charitable trust O Other taxable private foundation
check here and attach computation
P ❑LJ
I Fair market value of all assets at end J Accounting method: Z Cash O Accrual E If pnvate foundation status was terminated n
under section 507(b)(1)(A4. check here
. ► LJ
of year (from Part I!. col. (c),
O Other (specify)
F If the foundation is on a 60-month termination ,
fine 16) le $
22,832,814 (Part 4 Column (CO must be on cash basis)
under section 507(bXIXB), check here
. ► LI
Part I
Analysis of Revenue and Expenses (the total of
amounts in columns (b). (c). and (d) may not necessarily equal
the amounts in column (a) (see page 11 of the instructions))
(a) Revenue and
expenses per
bootie
(CO Net Investment
income
(c) Adjusted net
income
(d) Disbursements
for chantable
purposes
(cash basis only)
c
ry
CC
I
Contributions, grits, grants, etc., received
2 Check Ilv El if the foundation is not
3 Interest on savings and temporary
4 Dividends and interest from
5a Gross rents
b Net rental income or (loss)
6a Net gain or (loss) from sale of
b Gross sales price for all assets on line
7 Capital gain net income (from
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
11 Other income (attach schedule)
12 Total. Add lines 1 through
(attach schedule)
required to attach Sch.
cash investments
securities
I '
.:
•
• 5
41
414,646
414,646
141'. •
'r
i;
•
s
a.... • • Is
assets
6a
Part
schedule)
11
not on line 10
0
(52,333)
it
P.
•
"••
f.
IV, line 2)
0
.
k. 5
•
•
S
3 ttt
A
t er :
••• :
) 4.1/41
St 1
284,468
94,468
1i;
646,781
509,114
0
lu 2
5«
et
13
14
16
16a
17
to
19
20
Compensation of officers, directors,
Other employee salaries and
Pension plans, employee benefits
Legal fees (attach schedule
b Accounting fees (attach schedule)
trustees, etc.
wages
ch schedule)
.S • 2
ge 14 of the instructions)
le) and depletion
170,000
120,000
50,000
c othReepleglEepS
lot
Taxes
i'7-Lj
t tccuoancy
• act
(act
O
(attach sch2dai)
eprirtEcii aid•Wisc
25,000
e
tc
O
21
22—Printing-and-putfitcatianr
23
24
25
26
Trat5Getitp0FAitrrid meetings
St .3
expenses.
paid
. . . . . .
Add tines 24 and 25
Other expenses (attach schedule)
Total operating and administrative
Add lines 13 through 23
Contributions, gifts, grants
Total expenses and disbursements.
591,636
590,633
1,003
786,636
710,633
51,003
1,186,000
1,186,000
1,972,636
710,633
1,237,003
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements
b Net investment income (if negative, enter -0-)
c Adjusted net income (if negative, enter -0-) . .
(1,325,855)
0
O Address change
O Name change
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions.
Cat No. 11289%
Form 990-PF (2006)
EFTA00190062
Porm 990-PF (2006)
Page 2
Beginning of year
End of year
Part
Attached =heckles and arnourts in the desambon arm
II
Balance Sheets shood be ise assof-yeni amounts oily (See instnicacos I
(a) Book Value
(b) Book Value
(c) Fair Market Value
Assets
I
1 Cash—non-interest-bearing
2 Savings and temporary cash Investments
4,112,136
4,817,748
4,817,748
3 Accounts receivable li••
Less: allowance for doubtful accounts Ilv
4 Pledges receivable li.•
Less: allowance for doubtful accounts fr
5 Grants receivable
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 16 of the
instructions)
7 Other notes and loans receivable (attach schedule) le.
Less: allowance for doubtful accounts P.
8 Inventories for sale or use
9 Prepaid expenses and deferred charges
10a Investments—U.S. and state government obligations (attach schedule)
b Investments—corporate stock (attach schedule)
c Investments—corporate bonds (attach schedule)
11 Investments—land, buildings, and equipment: basis liv
Less: accumulated depreciation (attach schedule) 9.
12 Investments—mortgage loans
13 Investments—other (attach schedule)
S t . 4
14 Land, buildings, and equipment: basis 10.
Less: accumulated depreciation (attach schedule) le•
15 Other assets (describe II.
I
16 Total assets (to be completed by all filers—see page 17 of
the instructions. Also, see page 1, Item I)
___ .
._ — . _
_.
_._ _ __. .
-- -- -- --- -----
-----
.1
.C.
..-_
15,458.186
13,426,719
18,015,066
..
I L_
....1
..
19,570,322
18,244,467
22,832,814
0
•
:1
.13
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 (descnbe 0
1
23 Total liabilities (add lines 17 through 22)
•
I:
''t
•
At / ti
•
•
.1
. .
.
•
t"
•
•11
;
.
Net Assets or Fund Balances
I
Foundations that follow SFAS 117, check here li• 0
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted
25 Temporarily restricted
26 Permanently restricted
Foundations that do not follow SFAS 117, check here Ill• 0
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 page 18 of the
instructions)
31 Total liabilities and net assets/fund balances (see page 18 of the
instructions)
19,570,322
18,244,467
19,570,322
18,244,467
19,570,322
18,244,467
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)
2 Enter amount from Part I, line 27a
3 Other increases not included in line 2 (itemize) 10.
4 Add lines 1, 2, and 3
5 Decreases not included in line 2 (itemize) 0.
6 Total net assets or fund balances at end of year (line 4 minus line 5}—Part II, column (b), line 30
1
19,570,322
2
(1,325.855)
3
4
18,244,467
5
6
18,244,467
Form 990-PF (2006)
EFTA00190063
Form 990-PF (2006)
Page 3
Part IV Capital Gains and Losses for Tax on Investment Income
(a) UM and describe the kinds) of property sold (e g , real estate.
2.story brick warehouse. or common stock, 203 she. PALO Co.) •
(mo
(h) HOW acquired
p_purchase
13—Donation
(C) Da
acquired
day, yr )
(d)
e sold
(mod ay, yr )
to Statement 5
b
c
d
e
(a) Gross sales price
(f) Depreciabon allowed
lot allowable)
(g)Cost or other bases
plus expense of sale
(h) Gain or (loss)
(e) plus (Q minus (9)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
p) awns (Col. (h) gain minus
col (It: ses
ta no(f t less than -01 or
rom col. (h))
0) F MI, as of 12/31/69
Q) Adjusted basis
as of 12/31/69
(k) Excises of col 0
over col 0. if any
a
b
c
d
e
2 Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
{
}
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 18 of the instructions).
If Qoss), enter -0- in Part I, line 8
J
2
(52,333)
3
Part
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic pnvate 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?
0 Yes 0 No
If "Yes; the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the anorooriate amount in each column for each year, see page 19 of the instructions before making any entnes.
le
Base penod years
Calendar year (or tax year begrming in)
03)
Adjusted qualifying distnbutions
(c)
Net value of noncharitable-use assets
KO
Distribution ratio
(col (b) divided by col kg
2005
1,255,795
22,630,448
0.055491
2004
936,665
20,159,106
0.046463
2003
1,041,560
12,227,806
0.085179
2002
1,243,915
12,221,528
0.101944
2001
902,103
7,498,097
0.120310
2 Total of line 1, column (d)
3 Average distribution ratio for the
number of years the foundation
4 Enter the net value of noncharitable-use
5 Multiply line 4 by line 3
6 Enter 1% of net investment income
7 Add lines 5 and 6
5-year base period—divide the
has been in existence if less than
assets for 2006 from
(1% of Part I, line 27b)
total on line 2 by 5, or by the
5 years
2
0.409387
3
0.081877
Part X, line 5
4
22,142,808
5
1,812,987
7
1,812,987
8 Enter aualifirina distnbutions from Part XII line 4
8
1,237,003
If line 8 is equal to or greater than line 7, check the box in Part VI, line lb. and complete that Mut using a 1% tax rate. See
the Part VI instructions on page 19.
Form 990-PF (2006)
EFTA00190064
Form 990-PF 2006)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 19 of the instructions)
enter "N/A" on line 1.
I
la Exempt operating foundations desafbed in section 4940(4)(2), check here O. • arid
Date of ruling letter:
(attach copy of ruling letter if necessary—see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part I, check
here lif. 0 and enter 1% of Part I, line 27b
1
0
'
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(aX1) trusts and taxable foundations only. Others enter -0-)
2
3 Add lines 1 and 2
3
0
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0-
5
0
. .
6
Credits/Payments:
a 2006 estimated tax payments and 2005 overpayment credited to 2006
b Exempt foreign organizations—tax withheld at source
c Tax paid with application for extension of time to file (Form 8868)
99
18,872
6b
8c
d Backup withholding erroneously withheld
6d
..._ ...
7
Total credits and payments. Add lines 6a through 6d
7
18,872
8
Enter any penalty for underpayment of estimated tax. Check here 0 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
P.
9
0
10
Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . Irr.
10
18,872
11
Enter the amount of line 10 to be: Credited to 2007 estimated tax lio
18,8721
Refunded
lir.
11
Part VII-A Statements Regarding Activities
la During the tax
did the foundation attempt to Influence any national, state, or local legislation or did it
•
Yes No
year,
participate or intervene in any political campaign?
1a
1
b Did it spend more than $100 dunng the year (either directly or indirectly) for political purposes (see page 20
of the instructions for definition)?
lb
If the answer is "Yes" to la or lb, attach a detailed description of the activities and copies of any matenals
published or distnbuted by the foundation in connection with the activities.
. _....::: '
c Did the foundation file Form 1120-POL for this year?
lc
,•,t
....
..•
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year
(1) On the foundation. Illi. $
(2) On foundation managers. P. $
,
e Enter the reimbursement Of any) paid by the foundation during the year for political expenditure tax imposed on -:
foundation managers. Po $
' -
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
2
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
1
4a
1
4a Did the foundation have unrelated business gross income of $1,000 or more dunng the year?
. . .
4b
N
A
b If "Yes," has it filed a tax return on Form 990-T for this year?
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
5
1
I
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
1
7
1
7
Did the foundation have at least $5,000 in assets at any time dunng the year? If 'Yes,' complete Part I( col (c). and Part XV
8a Enter the states to which the foundation reports or with which it is registered (see page 20 of the
instructions) Iii. New York
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 GT If "No," attach explanation . .
8b
1
i
9 Is the foundation claiming status as a private operating foundation within the meaning of section 49420)(3) --
—
- --J
or 4942(1)(5) for calendar year 2006 or the taxable year beginning in 2006 (see instructions for Part XIV on
page 28)? If 'Yes," complete Part XIV
9
1
10
Did any persons become substantial contributors during the tax year? If "Yes,"attach a schedule listing their
names and addresses
10
1
Form 990-PF (2006)
EFTA00190065
form 990-PF (2006)
Page 5
Part VII-A Statements Regarding Activities Continued
11a 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)
b If "Yes,* did the foundation have a binding wntten contract in effect on August 17, 2006. covering the interest,
rents, royalties, and annuities described in the attachment for line 11a?
12
Did the foundation acquire a direct or indirect interest in any applicable insurance contract?
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
Website address ►
14
The books are
Gear e V. Delson Associates
Telephone no. le
Located at ►
New York, NY
ZIP+4 ►
10022
118
1 1 b
12
13
N
A
15
Section 4947(a)(1) nonexempt chantable trusts filing Form 990-PF in lieu of Form 1041—Check here
and enter the amount of tax-exempt interest received or accrued during the year . . . . ► 1 15
Statements Regarding Activities for Which Form 4720 May Be Required
Part VII-B
File Form 4720 if any item is checked In the "Yes" column, unless an exception applies.
la 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?
K Yes 0 No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a
disqualified person?
K Yes El No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
K Yes 0 No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
K Yes 0 No
(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)?
K Yes 0 No
(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 penod after
termination of government service, if terminating within 90 days )
K Yes 0 No
b If any answer is "Yes" to 1 a(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
. . . .
► K
c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that
were not corrected before the first day of the tax year beginning in 20069
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a pnvate
operating foundation defined in section 49420)(3) or 49420)(5))•
a At the end of tax year 2006, did the foundation have any undistributed income (lines 6d and
6e. Part XIII) for tax year(s) beginning before 2006?
K Yes K No
If "Yes." list the years ► 20 .... , 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? Of applying section 4942(a)(2)
to all years listed, answer "No" and attach statement—see page 22 of the instructions.)
c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
► 20 .... , 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?
K Yes VI No
b If "Yes," did it have excess business holdings in 2006 as a result of (1) any purchase by the foundation or
disqualified persons after May 26, 1969; (2) the lapse of the 5-year penod (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 2006.)
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its chantable
purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2006?
. .
.
Yes
►
No
lb
N
1c
3b
4a
N
4b
A
Fenn 990-PF (2006)
EFTA00190066
Form 990-PF (2006)
Page 6
Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required Continued
5a Dunng the year did the foundation pay or incur any amount to:
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
O Yes o No
(2) Influence the outcome of any specific public election (see section 4955); or to carry on,
directly or indirectly, any voter registration drive?
O Yes 0 No
(3) Provide a grant to an Individual for travel, study, or other similar purposes? . . .
O Yes 0 No
(4) Provide a grant to an organization other than a charitable, etc., organization described in
section 509(a)(1), (2). or (3), or section 4940(cf)(2)? (see instructions)
O Yes 0 No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? . K Yes iZ No
b If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 23 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
►
e 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?
O Yes O No
If "Yes," attach the statement required by Regulations section 53.4945-5(d).
ea Did the foundation, dunng the year, receive any funds, directly or indirectly, to pay premiums
on a personal benefit contract?
O Yes Ei No
5b
N
A
•
•
44
•
•
i
b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
if you answered 'Yes" to 6b, also fife Form 8870.
6b
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? . O Y.S 21 No
b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? . . .
7b
N
A
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation (see page 23 of the instructions).
(a) Name and address
(b) Trite, and average
hours per week
devoted to position
(c) Compensation
(d) Contnbutions to
employee benefit plans
and deferred compensation
(e) Expense account,
other allowances
(II not paid, enter
-0-)
Jeffrey E. Epstein
6100 Red Hook Quarters, St. Thomas, USVI
Pres./Director
nos hour
0
0
0
Darren K. Indyke
457 Madison Ave., New York, NY
VP/Director
fIns. hi-seer
0
0
0
Ghislaine Maxwell
do Geor • e V. Delson Associates
Treasurer
One. hnee•
0
0
0
New York, NY
2 Compensation of five highest-paid employees (other than those included on line 1—see page 24 of the instructions).
If none, enter "NONE."
(a) Name and address of each employee he'd more than 550.000
(b) Title, and tutelage
hours per week
devoted to position
(c) Compensation
(0) Connbvti
to
empyee benefit
Plans and deferred
ccagensabon
(e) Expense account,
other allowances
None
Total number of other employees paid over 550.000
Form 990-PF (2006)
EFTA00190067
•
Form 990•PF (2006)
edge 7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors Continued
3 Five highest-paid independent contractors for professional services (see page 24 of the instructions) If none, enter
"NONE."
(a) Name and address of each person paid more than $50,000
(b) TYPC of service
(c) Compensation
David Grosot
San Francisco, CA 94131
Consulting
50,000
Total number of others receiving over $50,000 for professional services
Part IX-A Summary of Direct Charitable Activities
►
50,000
Lest the foundation's tour largest direct charitable activities dunng the tax year Include relevant statistical information such as the number
of organizations and other beneficianes served, conferences convened, research papers produced. etc
Expenses
1
2
3
4
Part IX-8
Describe the two largest program-related mvestments made by the foundation during the lax Year on Ines f and 2
Amount
1
2
All other program-related investments See page 25 al the instructions.
3
Total. Add lines 1 through 3
►
Summary of Pro ram-Related investments (see page 24 of the instructions
Form 990-PF tam
EFTA00190068
form 990-PF (2006)
Page 8
2a Tax on investment income for 2006 from Part VI, line 5
b Income tax for 2006. (This does not include the tax from Part VI )
c Add lines 2a and 2b
3
Distnbutable amount before adjustments. Subtract line 2c from line 1
4
Recoveries of amounts treated as qualifying distnbutions
5
Add lines 3 and 4
6
Deduction from distnbutable amount (see page 26 of the instructions)
7
Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
line 1
Part X
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations.
see page 25 of the instructions.)
1 Fair market value of assets not used (of held for use) directly in carrying out charitable, etc ,
purposes:
a Average monthly fair market value of securities
b Average of monthly cash balances
c Fair market value of all other assets (see page 25 of the instructions)
d Total (add lines la, b, and c)
e Reduction claimed for blockage or other factors reported on lines la and
lc (attach detailed explanation)
1 1e
2
Acquisition indebtedness applicable to line 1 assets
3
Subtract line 2 from line Id
4
Cash deemed held for charitable activities. Enter 11/2 % of line 3 (for greater amount, see page 26
of the instructions)
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part
line 4
6
Minimum investment retum. Enter 5% of line 5
Part XI
la
lb
lc
td
4,464,942
18,015,066
22,480,008
2
3
22,480,008
4
5
6
337,200
22,142,808
1,107,140
Distributable Amount (see page 26 of the instructions) (Section 49420)(3) and (j)(5) pnvate operating
foundations and certain foreign organizations check here ► K and do not complete this part )
1
Minimum investment return from Part X, line 6
2a
2b
1
1,107,140
2c
3
4
5
6
0
1,107,140
1,107,140
7
1 107,140
Part XII Qualifying Distributions (see page 26 of the instructions)
1 Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a Expenses, contnbutions, gifts, etc.—total from Part I, column (d), line 26
b Program-related Investments—total from Part IX-8
2
Amounts paid to acquire assets used (or held for use) directly in carrying out chantable, etc ,
purposes
3
Amounts set aside for specific charitable projects that satisfy the:
a Suitability test (pnor IRS approval required)
b Cash distribution test (attach the required schedule)
4
Qualifying distributions. Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
1,237,003
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income
Enter 1% of Part I, fine 27b (see page 27 of the instructions)
5
0
6
Adjusted qualifying distributions. Subtract line 5 from line 4
6
1,237,003
Note:The amount on fine 6 will be used in Pad V, column (b), in subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax in those years.
la
lb
1,237,003
2
3a
3b
Form 990-PF (2006)
EFTA00190069
'Form 990•PF (2006)
P.C. 9
new
1 Distributable amount for 2006 from Part Xl
41
corpus
ail
Years roar to 2005
(c)
2005
(0)
2006
1,107,140
line 7
2
Undistributed income, if any, as of the end of 2005:
a Enter amount for 2005 only
0
•
b Total for poor years: 20
20
20
0
I
3
Excess distributions carryover, if any, to 2006:
.
a From 2001
794.417
b From 2002
638.745
-
!
c From 2003
d From 2064
e From 2005
432,491
139,200
f Total of lines 3a through a
2,004,853
4
Qualifying distributions for 2006 from Part XII,
line 4: OP $
1,237,003
__.. —
a Applied to 2005, but not more than line 2a
0
b Applied to undistnbuted income of prior years (Election
f
l: .
ci
3
y,i
'•'
required—see page 27 of the instructions)
0
i
I .1:-
i
'.
c Treated as distnbutions out of corpus (Election
required—see page 27 of the instructions)
d Applied to 2006 distributable amount
0
...
•
.
''' •
.
,
r
_ .4
1,107,140
129,863
.
, P .1'
,
e Remaining amount distnbuted out of corpus
5
Excess distnbutions carryover applied to 2006
0
;
0
r
ft-
.t•
Of an amount appears in column (d), the same ,I:
;
..1
i is
:.
I . •,,
4
amount must be shown in column (a).)
• f
-P
• •
I
't / f •
q
6
Enter the net total of each column as •
i
6 1 •
r• tAL• 4 ' •
;
i
t
•
i .•
I
•
.
indicated below:
-
•
- '-'
tt
r 1 • c 1
-..:
.
)
'
a Corpus. Add lines 3f, 4c, and 40. Subtract line 5
2,134,716
3,- -
e's4
;
• 4
b Prior years' undistributed income. Subtract
-
'
-. ; .4
.:. : I
..1 i. . 4
line 4b from line 2b
44
0
y
: ' L. '• *
."b• •
c Enter the amount of prior years' undistributed -
•
:4 ;
: Ft-
4
• i
•
income for which a notice of deficiency has been
-
•: -
t.? /
.
. .0
,
issued, or on which the section 4942(a) tax has
been previously assessed
0
'
.0
.f
:' r''€.1
,.• .
• tte
)
li? : :.- :I
.
"
•••• ! 2
d Subtract line 6c from line 6b. Taxable
amount—see page 27 of the instructions
0
•
-
X :
r
I
.,
,
e Undistributed income for 2005. Subtract line
4a from line 2a. Taxable amount—see page
27 of the instructions
0
i
I
Undistnbuted income for 2006. Subtract lines
4d and 5 from line 1. This amount must be
distributed in 2007
0
I
7
Amounts treated as distnbutions out of corpus
i
1
to satisfy requirements imposed by section
17O(b)(1)(E) or 4942(g)(3) (see page 28 of the
instructions)
0
8
Excess distnbutions carryover from 2001 not
applied on line 5 or line 7 (see page 28 of the
instructions)
794,417
9
Excess distributions carryover to 2007.
Subtract lines 7 and 8 from line 6a
1,340,299
10
Analysis of line 9:
a Excess from 2002
638,745
. .
b Excess from 2003
c Excess from 2004
d Excess from 2005
. .
432,491
139,200
e Excess from 2006
. .
129,863
i
Form 990-PF 2o038
EFTA00190070
•
Form 990.PF (2006)
Page 10
Part XIV Private Operating Foundations (see page 28 of the instructions and Part VD-A, question 9)
la It the foundation has received a ruling or determination letter that it is a pnvate operating
foundation, and the ruling is effective for 2006, enter the date of the ruling
.
. . ►
b Check box to indicate whether the foundation is a private operating foundation described in section
2a Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for
each year listed
b 85% of line 2a
e Qualifying distributions from Part XII,
line 4 for each yew listed
d Amounts included in line 2c not used directly
tor active conduct of exempt adm0es
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 4944(3)(6k)
b -Endowment' alternative test—enter 35 of
minimum investment return shown in Part
X, ire 6 for each yew 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 49420X3)(OXui)
(3) Largest amount of support from
an exempt organization .
.
(4) Gross investment income . .
Part XV
Tax year
(a) 2006
M 2005
Prior 3 years
(c) 2004
K 49420113) or O 49420XS)
(d) 2003
(o) Total
Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets
at any time during the year—see page 28 of the instructions.)
1
Information Regarding Foundation Managers:
a List 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(4)(2).)
Jeffrey E. Epstein
b List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here ► O if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requsts for funds. If the foundation makes gifts, grants, etc. (see page 28 of the Instructions) to individuals or
organizations under other conditions, complete items 2a, b, c, and d.
a The name, address, and telephone number of the person to whom applications should be addressed:
b The form in which applications should be submitted and information and materials they should include:
c Any submission deadlines:
d My restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Fyn, 990-PF (2008)
EFTA00190071
Form 990-PF (2000
Page 11
Part XV
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
I recipient is an and
show any relationship to
any foundabon manager
or substantsal contnbutor
Foundation
status of
res Pent
Purpose of grant or
contnbution
Amount
Name and address (home or business)
a Paid dunng the year
Statement 6
Total
Pt
3a
1,186,000
b Approved for future payment
Total
SP
3b
Supplementary Information (continued)
Form 990-PF (2006)
EFTA00190072
Conn 990-PF (2006)
Page 12
Line No.
Part XVI-A
-der gross amounts unless otherwise indicated.
I Program service revenue:
a
Unrelated business scorns
Exduded by section 512, 513, or 514
(a)
Related er exempt
function income
pee page 29 of
the instructions.)
(a)
Business code
(b)
Amount
(e)
Exclusion code
(d)
Amount
b
c
d
e
f
g Fees and contracts from government agencies
≥ Membership dues and assessments
I Interest on savings and temporary cash investments
I Dividends and interest from securities
i Net rental income or (loss) from real estate:
a Debt-financed property
b Not debt-financed property
I Net rental income or (loss) from personal property
r Other investment income
I Gain or (loss) from sales of assets other than inventory
I Net income or (loss) from special events
I Gross profit or (loss) from sales of inventory
I Other revenue: a
From partnerships
14
414,646
I
18
(52,333)
14
94,468
b
c
d
e
! Subtotal. Add columns (b). (d), and (e)
1
.
F r '
456,781
E
1
1
1
13 Total. Add line 12, columns (b), (cf), and (e)
(See worksheet in line 13 instructions on page 29 to verify calculations.)
Analysis of Income-Producing Activities
Relationship of Activities to the Accomplishment of Exempt Purposes
13
456,781
Explain below how each activity for which income is reported in column (e) of Part XVI-A contnbuted importantly to
the accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes). (See
page 29 of the instructions.)
N/A
Form 990-PF Rom
EFTA00190073
•Forrn 990-PF (2006)
Page 13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With
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
organizations?
a Transfers from the
(1) Cash
(2) Other assets
b Other transactions:
(1) Sales of assets to a noncharitable exempt organization
(2) Purchases of assets from a noncharitable exempt organization
(3) Rental of facilities, equipment, or other assets
(4) Reimbursement arrangements
(5) Loans or loan guarantees
(6) Performance of services or membership or fundraising solicitations
• Shanng of facilities, equipment, mailing lists, other assets, or paid employees
d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the air market
value of the goods, o her assets, or services given by the reporting foundation. If the foundation received less than fair market
value in any transaction or shanng arrangement, show in column (d) the value of the goods, other assets, or services received.
reporting foundation to a noncharitable exempt organization of:
Noncharitable
Yes
la(1)
la(2)
1b(1)
16(2)
1b(3)
1b(4)
1b(5)
lbg4
No
1c
(a) One no (Is) Amount involved
(c) Name of nonchantatste exempt organization
(d) Description of transfers, transactions, and shanng arrangements
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
descnbed in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?
Yes 21 No
b If "Yes," complete the following schedule.
(a) Name of organization
(h) Type of organization
lc) Desonotron of re13IK)nshtp
I
Sign Here
Under penalties of penury, I declare that I ve e
this return. including accompanying schedules and statements,
beket, it is true, correct, and corn fete De aranon
tamperer other than taxpayer or fiduciary) is based on a:: informaton
nts.A--,—e JA-
.
\
--...
1 is-vic-O-)
and to the
of which
1 /,,Ati.,
'
best of my knowledge and
prepare? has any knowledge.
Ru-4,60th'
Signe WO of officer or trustee
Dale
r
The
Paid
Preparers
Use Only
Preparers
signature
Date
i zt /46 '7
Check if
,__,
il. U
self-employed
Preparers SSN or PTIN
(See Signature on page 31
of the instrucuons )
Firrn's name (or yours If
• V. Delson Associates
EN Is
self-employed), address,
and ZIP code
, New York, NY 10022
Phone no. (
Form 990-PF (2006)
EFTA00190074
THE C.O.U.Q.
FORM 990
FOUNDATION, INC.
-PF - Y/E 2/28/07
Part I, Line I I
Other Income
Second City Capital Partners I, LP
K-I Entity
Prior period adjustment
Part I, Line 16(c)
Other Professional Fees
Consulting
Second City Capital Partners I, L.P.
K-1 Entity
Total
94,468
190,000
284,468
50,000
120,000
170,000
STATEMENT I
STATEMENT 2
EFTA00190075
THE C.O.U.Q. FOUNDATION, INC.
FORM 990-PF - Y/E 2/28/07
STATEMENT 3
Part I, Line 23
Other Expenses
Second City Capital Partners L.P.
K-I entity
1,926
Filing Fees
1,003
Professional fees - Second City
Capital Partners L.P. K-I entity
6,556
Bad debt expense - Second City
Capital Partners L.P. K-1 entity
582,151
Total
591,636
EFTA00190076
THE C.O.U.Q. FOUNDATION, INC.
EIN
FORM 990-PF - Y/E 2/28/07
STATEMENT 4
Part II, Line 13
Other Investments
Bear Steams Asset Backed
Book Value
Fair
Market Value
Securities Partners LP
7,289,911
11,870,413
Second City Capital
Partners I, LP
6,136,808
6,144,653
13,426,719
18,015,066
STATEMENT 5
Part IV, Line 2
Capital Gain Net Income (Lossi
Second City Capital
Partners I, LP K-1 entity
(52,333)
EFTA00190077
STATEMENT 6
THE C.O.U.Q. FOUNDATION INC.
FORM 990-PF V/E 2/28/07
PART I, LINE 25 AND PART XV
Amount
Purpose
CONTRIBUTIONS PAID
Qgg
Name
3/7/2006
Stockholm School of Economics
25,000
Unrestricted
5/3/2006
The Continium Center for Health & Hearing
25,000
Unrestricted
5/30/2006
Hunter College
3,000
Scholarship
6/1/2006
Martha Graham Dance Company
10,000
Scholarship
6/14/2006
Little Flower Children's Services
10,000
Unrestricted
6/28/2006
Robin Hood
50,000
Unrestricted
7/12/2006
Ballet Florida
20,000
Unrestricted
7/18/2006
Georgia Southern University
10,000
Scholarship
7/18/2006
William J. Clinton Foundation
25,000
Unrestricted
8/10/2006
Freestate Shooters
25,000
Unrestricted
8/11/2006
Zvi Tzedakah Fund
100,000
Unrestricted
9/1/2006
Institute of International Education
100,000
Unrestricted
9/6/2006
Alliance for Lupus Research
5,000
Unrestricted
9/8/2006
Happy Hearts Fund
100,000
Unrestricted
9/27/2006
Ovarian Cancer Research Fund
50,000
Unrestricted
10/3/2006
The Trilateral Commission
50,000
Unrestricted
10/5/2006
Faith in The Future, Inc.
5,000
Unrestricted
10/5/2006
National Council of Jewish Women
5,000
Unrestricted
11/10/2006
The Institute for Music & Brain Science
25,000
Unrestricted
11/16/2006
President and Fellows of Harvard College
100,000
Unrestricted
11/27/2006
Santa Fe Institute
75,000
Unrestricted
1/17/2007
Ballet Florida
15,000
Unrestricted
1/18/2007
Save Darfur Coalition
150,000
Unrestricted
2/7/2007
Stockholm School of Economics
50,000
Unrestricted
2/21/2007
Saint Peter's Prep
3,000
Unrestricted
2/22/2007
Scholar Rescue Fund
150,000
Unrestricted
1,186,000
EFTA00190078
OF iCE COPY
Fam 8868
(Rev Apra 2007)
Department el the Treasury
Internet Revenue Samos
Application for Extension of Time To File an
Exempt Organization Return
► File a separate application for each return.
OMB No 1545-1709
• If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box
P
• If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form).
Do not complete Part ll unless you have already been granted an automatic 3-month extension on a previously Ned Form 8868.
Automatic 3-Month Extension of Time. Only submit original (no copies needed).
Part I
Section 501(c) corporations required to file Form 990-T and requesting an automatic 6-month extension—check this box and
complete Part I only
P 0
AU other corporations (including 1720-C filers), partnerships, REMIC,s, and trusts must use Form 7004 to request an extension of
time to file income tax returns.
Electronic Filing (e-tile). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file
one of the returns noted below (6 months for section 501(c) corporations required to file Form 990-1). However, you cannot file Form
8868 electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group
returns, or a composite or consolidated Form 990-T. Instead, you must submit the fully completed and signed page 2 (Part II) of Form
8868. For more details on the electronic filing of this form, visit wwwirs.govIefile and click on e-file for Charities 8 Nonprofits.
Type or
print
Ale by the
Number, street, and room or suite no. If a P.O. box, see instructions.
due date for
filing your
do George V. Delson Associates.
return See
instyuctarls
City, town or post office, state, and ZIP code. For a foreign address, see instrucbons.
New York, NY 10022
Name of Exempt Organization
THE C.O.U.Q. FOUNDATION, INC.
Employer Identification number
Check type of return to be filed (file a separate application for each return):
O Form 990
0 Form 9904 (corporation)
O Form 990-BL
0 Form 990-1 (sec. 401(a) or 408(a) trust)
O Form 990-EZ
0
Form 990-T (trust other than above)
O Form 990-PF
0 Form 1041-A
O Form 4720
O Form 5227
O Forrn 6069
K Form 8870
• The books are in the care of P Harry Beller
Telephone No. P (,-U )
MINK
FAX No. • (,.IN. )
• If the organization does not have an office or place of business in the United States, check this box
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)
If this is
for the whole group, check this box
a. 0 . If it is for part of the group, check this box
•
0 and attach
a list with the names and Elfils of all members the extension will cover.
0
1
I request an automatic 3-month (6 months for a section 501(c) corporation required to file Form 990-1) extension of time
.
,
October 15
20.07
until
to file the exempt organization return for the organization named above. The extension is
for the organization's return for
•
0 calendar year 20
or
•
0
tax year beginning
March 1
, Y0 06 and ending
February 28
. PO 07
2 if this tax year is for less than 12 months, check reason: 0 Initial return 0 Final return 0
Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-1', 4720, or 6069, enter the tentative tax,
less any nonrefundable credits. See Instructions.
b If this application is for Form 990-PF or 990-1, enter any refundable credits and estimated tax
payme nts made. Include any prior year overpayment allowed as a credit.
e Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required,
deposit with FED coupon or, if required, by using EFTPS (Electronic Federal Tax Payment
System). See instructions.
3c S
0
3a
3b
8,000
18.872
Caution. If you are going to make an electronic fund withdrawal with this Form 8868. see Form 8453-EO and Form 8879-EO
for payment instructions.
For Privacy Act and Paperwork Reduction Act Notice, see Instructions.
Cat No 279160
Form 8868 (Rev. 4-2007)
EFTA00190079
OFFICE.' copy
Form wee flay. 4-200?)
Page 2
• If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box . . ►
Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.
ial
are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).
Additional (not automatic) 3-Month Extension of Time. You must file original and one copy.
Type or
print
Fee by the
extended
due date lair
Ming the
ratan.
instructions.
Check type of return to be filed (File a separate application for each return):
O Form 990
0
Form 990-PF
O Form 1041-A
O Form 6069
O Form 990-BL
O Form 990-T (sec. 401(a) or 408(a) trust)
O Form 4720
O Form 8870
O Form 990-EZ
O Form 990-T (trust other than above)
O Form 5227
STOPI Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
• The books ere In the cda of w. HARRY BELLER
Telephone No. •
i. AI )
MIK
FAX No. ii• (---1. )
IIIIIII.
• If the organization does not have an office or place of business in the United States, check this box
W O
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEM
If this is
for the whole group, check this box
• O . If it is for part of the group, check this box
• O and attach a
list with the names and EINs of all members the extension is for.
4
I request an additional 3-month extension of time until
JANUARY 15
20 °S
6
For calendar year
or other tax year beginning
MARCH 1
, 20."., and ending
FEBRUARY a
P0.07
6
If this tax year is for less than 12 months, check reason: O Initial return O Final return O Change in accounting period
7
State in detail why you need the extension CERTAIN INFORMATION NECESSARY FOR A COMPLETE AND ACCURATE RETURN
IS NOT YET AVAILABLE
Nam* of Exempt Organization
THE C.O.U.O. FOUNDATION, INC.
Sea
:
• ry:
Employer Identification number
Number, street. and room or suite no. It a P 0 box, see instructions
do GEORGE V. DELSON ASSOCIATES
•
For IRS use only
Oty, town or post office. state. and ZIP code For a foreign address, see Institcbons.
NEW YORK, NY 10022
• • litv • . 1..
„.•.
. I I'd::
••• *
• •
..
. '
8a If this application is for Form 990-BL, 990-PF, 990•T, 4720, or 6069, enter the tentative tax,
less any nonrefundable credits. See instru tions
b If Ova application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit and any
amount paid previously with Form 8888.
c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, Of, if required, deposit
with FTD coupon or, if required, by usng EFTPS (Electronic Federal Tax Payment System). See instructions.
Ba
Bb
8c
S 8,000
18,872
$ 0
Signature and Verification
Under penalues cd peitury. I memo that I have examined this form including accceripanyirg schedules and staterrients. and to the best of my knowiccroo and bailer.
d a Imo. correct, and complete, and dud I am fitatKAZIld to prepare this loon.
Signature •
Title ►
Dale •
Notice to Applicant. (To Be Completed by the IRS)
Wo have approved this application Please attach this form to the organization's mtum.
We have not approved this application However, we have granted a 10-day grace period from the later of the dale shown below or the due
date of the organization's return (including any prior extensions). This grace period is considered to be a valid extension of limo for elections
otherwise required to be made on a timely return. Please attach this form to the organization's return.
We have not approved this application. After considenng the reasons stated in item 7. we cannot grant your request for an extension of time
to file. We are not granting a 10-day grace period
We cannot consider this application because rt was bled after the extended due date of the return for which an extension was requested
Other
By:
Director
Date
Alternate Mailing Address. Enter the address if you want the copy of this application for an additional 3-month extension
returned to an address different than the one entered above.
Type or
print
Name
Number and street (Include suite, room, or apt. no.) or a P.O. box number
City or town, province or state, and country (Including postal or ZIP code)
Form 8868 (Rev 4-2007)
EFTA00190080
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| Filename | EFTA00190062.pdf |
| File Size | 2606.8 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 49,929 characters |
| Indexed | 2026-02-11T11:13:24.813540 |