OMB No 1545-0052 dorm 990 -PF Return of Private Foundation or Section 4947(ax1) Nonexempt Charitable Trust Treated as a Private Foundation 201 0 Department of the Treasury Internal Revtrwe'Service Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements For calendar year 2010 or tax year be innin Dec 1 , 2010 , and endin g Nov 30 , 2011 G Check all that apply: Initial return Initial Return of a former public charity 11 Final return H Amended return Address change Name change Name of foundation A Employer identification number MENLO FOUNDATION , INC 95-3388159 Number andstreet (or P 0 box number if mail is not delivered to street address ) Room/suite B Telephone number (see the instructions) 4221 WILSHIRE BLVD 480 ( 323) 937-1050 City or town State ZIP code C If exemption application is pending, check here 01 LOS ANGELES CA 90010 D 1 Foreign organizations , check here H H Check type of organization ' X Section 501 (c)(3 exempt private foundation 2 Foreign organizations meeting the 85% test, check q here and attach computation 171 Section 4947 (a)( 1 ) nonexem pt charitable trust Other taxable private foundation E It private foundation status was terminated Cash Accrual 1 Fair market value of all assets at end of year J Accounting method: X under section 507(b )(1 )(A), check here (from Part ll, column (c), line 16) Other (specify) ______F If the foundation is in a 60-month termination $ 136 , 845. (Part column (d) must be on cash basis . under section 507(b)( 1)(B), check here Part Ana ysis of Revenue an d (a) Revenue and (b) Net investment (c) Adjusted net (d) Disbursements Expenses (The total of amounts In expenses per books income income for charitable columns (b), (c), and (d) may not neces- purposes sarily equal the amounts in column (a) (cash basis only) (see the instructions 1 Contributions , gifts. grants , etc, received (att sch) 3 , 3 7 8 0 0 0 . ''• +' r^ ;t e ^ 7;
2 Ck ' F] if the foundn is not req to att Sch B f ham' 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities 5a Gross rents b Net rental income or (loss) +'?' i i 1 4. .ass. t i rrvtx R 6a Net gain /(loss) from sale of assets not on line 10 "r E b Gross sales price for all + 4 • r - • ^t ; at ,^ y` ,. „?-(,"n ,-:,.'k{^;;;`xr V assets on line 6a E 7 Capital gain net income (from Part IV, line 2) ti t' ^•a Y " l 'n. ) .• N 8 Net short - term capital gain U 9 Income modifications 1 Oa Gross sales less E returns and , .. ^a > 1 M allowances b Less Cost of •.k goods sold ``' ^• ^+- - -•,x ^+a^r r c Gross profit/( loss) (att sch) 11 Other income (attach schedule) >' +»rt='R R,:.
12 Total. Add lines 1 through 11 3 , 378 , 000. 13 Compensation of officers, directors , trustees, etc 14 Other employee salaries and wages 15 Pension plans, employee benefits A 16 a Legal fees (attach schedulie b Accounting fees (attach sc ) ^^CE 164 . 164. M prof fees (attach sc 1 "0 100. 3 , 100. N c Other cP S 17 Interest ja 1 D ' schedulexsee instr Llne 18 Stm W 181 . 181. RE T 18 Taxes (attach A 19 Depreciation (attach v-r AT T sch) and depletion N 1 20 Occupancy ^G G E 21 Travel, conferences, and meetings A E 22 Printing and publications . D p 23 Other expenses (attach schedule) V=4 E N °1 s 24 Total operating and administrative ^ sE ex penses . Add lines 13 through 23 3 , 445. 3,445. 25 Contributions, gifts, grants paid 3 , 891 , 404 3,891,404. 1^1J 26 Total expenses and disbursements. Add lines 24 and 25 3 , 894 , 849. 3 , 894 , 849. 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements -516,849. - b Net Investment income ( f negative, enter -0-) C Adjusted net income (if negat ive , enter -0-) BAA For Paperwork Reduction Act Notice, see the instructions. TEEA0301 07/23/10 Form 990-PF (2010) Form 990-PF (2011) MENLO FOUNDATION. INC q5-VARR1 54 Pa.,o 7 Attached schedules and amounts in the description Beginning of year End of year Part II Balance Sheets column should be for end-of-year amounts only (See instructions) (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-interest-bearing 636 , 845. 134 896. 134 896. 2 Savings and temporary cash investments 1 849. 1 849. 1 , 849. , 3 Accounts receivable 111. ' '. 1 1 ------_-^ - Less allowance for doubtful accounts -______4 Pledges receivable - - _ _ _ _ - _ _ _ _ Less- allowance for doubtful accounts ------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 sch) ______100 S Less- allowance for doubtful accounts - _ - - _ _ _ _ - _ _ 15 , 000. 100. 100. S 8 Inventories for sale or use E 9 Prepaid expenses and deferred charges T S 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 ;;p,, equipment: basis • _ !:. ,^ _ r., t 4 Less- accumulated depreciation (attach schedule) ------12 Investments - mortgage loans 13 Investments - other (attach schedule) 14 Land, buildings, and equipment- basis - ______Less- accumulated depreciation (attach schedule) ------15 Other assets (describe 01 ______- ) 16 Total assets (to be completed by all filers - see the instructions. Also, see pag e 1, item I 653 , 694. 136 , 845. 136 , 845. L 17 Accounts payable and accrued expenses _ I 18 Grants payable B 19 Deferred revenue disqualified persons L 20 Loans from officers, directors, trustees, & other 21 Mortgages and other notes payable (attach schedule) T 22 Other liabilities (describe ------E 5 23 Total liabilities (add lines 17 throug h 22) Foundations that follow SFAS 117, check here u t ' " and complete lines 24 through 26 and lines 30 and 31.
N F 24 Unrestricted ' T U T N 25 Temporarily restricted - ^$' D 26 Permanently restricted - A B Foundations that do not follow SFAS 117, check here ` Ss A and complete lines 27 through 31. :ta E L T A 27 Capital stock, trust principal, or current funds S N 28 Paid-in or capital surplus, or land, building, and equipment fund H O E 29 Retained earnings, accumulated income, endowment, or other funds 653 , 694. 136 , 845. " ' R S 30 Total net assets or fund balances (see instructions) 653 , 694. 136 , 845. - 31 Total liabilities and net assets/fund balances - ` ' (see instructions ) 653 694. 136, 845. Part III I Analysis of Changes in Net Assets or Fund balances 1 Total net assets or fund balances at beginning of year - Part Il, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) 1 653 , 694. 2 Enter amount from Part I, line 27a 2 -516, 849. 3 Other increases not included in line 2 ( itemize) 3 ------4 Add lines 1, 2, and 3 4 136 , 845. 5 Decreases not included in line 2 (itemize) 5 ______6 Total net assets or fund balances at end of year ( line 4 minus line 5 - Part II, column (b) , line 30 6 136, 845. BAA TEEA0302 07114/11 Form 990-PF (2011) Form 990-PF 2010 MENLO FOUNDATION , INC 95-3388159 Page 3 [MarttIVM Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind (s) of property sold (e g. , real estate, ( b) How acquired (c) Date acquired (d) Date sold 2-story brick warehouse ; or common stock, 200 shares MLC Company) P - Purchase (month , day, year) (month , day, year) D - Donation 1a b c d e (e) Gross sales price (f) Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (or allowable) plus expense of sale (e) plus (f) minus (g)
a b c d e Com plete onl y for assets showin g gain in column (h) and owned by the foundation on 12/31 /69 (I) Gains (Column (h) (i) Fair Market Value (j) Adjusted basis (k) Excess of column (i) gain minus column (k), but not less as of 12/31 /69 as of 12/31 /69 over column (I), if any than -0-) or Losses (from column (h))
a b c d e If gain, also enter in Part I, tine 7 2 Capital gain net income or (net capital loss). ^ If (loss), enter - 0- in Part I , line 7 2 3 Net short - term capital gain or (loss) as defined in sections 1222(5) and (6) If gain, also enter in Part I, line 8, column (c) (see the instructions). If (loss), enter -0- in Part I, line 8 3 J1R,5'rtJVA@J 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? Yes No If 'Yes , ' the foundation does not qualify under section 4940 (e). Do not complete this part. 1 Enter the a ro nate amount in each column for each year , see the instructions before makin g any entries (a) (b) c (d) Base period years Adjusted qualifying distributions Net value of Distribution ratio Calendar year (or tax year noncharitable-use assets (column (b) divided by column (c)) beginning in) 2009 0. 0.000000 2008 0. 0.000000 2007 4 , 060 , 181. 546 162. 7.434023 2006 4 , 028 , 977. 1 , 056 , 020. 3.815247 2005 4,782,060. 1 , 788 , 620. 2.673603
2 Total of line 1, column (d) 2 13.922873 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 2 . 784575
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5 4 0.
5 Multiply line 4 by line 3 5 0.
6 Enter 1 % of net investment income (1 % of Part I, line 27b) 6
7 Add lines 5 and 6 7 0.
8 Enter qualifying distributions from Part XII, line 4 8 3 , 897 , 949. If line 8 is equal to or greater than line 7, check the box in Part VI, line 1 b, and complete that part using a 1 % tax rate See the Part VI instructions. BAA Form 990-PF (2010)
TEEA0303 07/23/10 form 990-PF (2010) MENLO FOUNDATION, INC 95- 4 Part VI I Excise Tax Based on Investment Income (Section 4940 (a), 4940(b), 4940(e), or 4948 - see the instructions ) 1 a Exempt operating foundations described in section 4940(d)(2), check here and enter 'N/A' on line 1. Date of ruling or determination letter: - _ (attach copy of letter if necessary - see instr.) b l omestic foundations that meet the section 4940(e) requirements in Part V, 1 check here and enter I% 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, column (b) _ 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 3 Add lines 1 and 2 3 0. 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 4 5 Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -0- 5 0 . 6 Credits/Payments: a 2010 estimated tax pmts and 2009 overpayment credited to 2010 6a ` k'^ r =ups b Exempt foreign organizations - tax withheld at source 6b c Tax paid with application for extension of time to file (Form 8868) 6c d Backup withholding erroneously withheld 6d 7 Total credits and payments. Add lines 6a through 6d 7 0 . 8 Enter any penalty for underpayment of estimated tax Check here 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 9 0 . 10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid 01 10 0 . 11 Enter the amount of line 10 to be Credited to 2011 estimated tax Refunded - 11 'Part VII-A Statements Regarding Activities 1 a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign' lal X
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see the instructions for definition)? 1b X If the answer is 'Yes' to la 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 X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year- (1) On the foundation I- $ (2) On foundation managers m. $ e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation managers Do. $ 2 Has the foundation engaged in any activities that have not previously been reported to the IRS? 2 X If 'Yes,' attach a detailed description of the activities r.^ ire... ^•.";k`^ 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 4a Did the foundation have unrelated business gross income of $1,000 or more during the year? X 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 X 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 X 7 Did the foundation have at least $5,000 in assets at any time during the year' If 'Yes,' complete Part 1l, column (c), and Part XV 7 X 8a Enter the states to which the foundation reports or with which it is registered (see the instructions)
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 G7 If 'No,' attach explanation 8b X
9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942 (1)(3) or 4942(1)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV) ? If 'Yes,' complete Part XIV 91 X
10 Did any persons become substantial contributors during the tax year? If ' Yes,' attach a schedule listing their names 1 10 1 X BAA Form 990-PF (2010)
TEEA0304 02/16/11 Form 990-PF 2011 MENLO FOUNDATION , INC 95-3388159 Page 5 Part VII -A Statements Reciardincl Activities (continued) 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 X 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 X 13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X Website address 11 N/A ------14 The books are in care of SAM MENLO - Telephone no (323J _ 937_ 1050_ _ ► ------Located at 4221 WILSHIRE BLVD #480 LOS ANGELES , CA ZIP + 4 90010 ► ------► ------15 Section 4947 (a)(1) nonexempt charitable 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 15 Yes 16 At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over a No bank , securities, or other financial account in a foreign country? 16 X See the instructions for exceptions and filing requirements for Form TD F 90-22 1 If 'Yes,' enter the name of the foreig n country PartVII-B Statements Regardin g 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 1 a 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? Li Yes No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person' Yes X No ' (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? Yes X No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? Yes X 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)? [I Yes XQ 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 period after termination of government service, if terminating within 90 days) Yes No
b If any answer is 'Yes ' to la( 1 )-(6), did any of the acts fai l to qua l ify under the exceptions descri b ed in Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? 1 b Organizations relying on a current notice regarding disaster assistance check here Li
c Did the foundation engage in a prior year in any of the acts descri bed in 1 a, other than excepted acts, - - that were not corrected before the first day of the tax year beginning in 20117 1 c X
2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundation defined in section 49420)(3) or 4,942(j)(5))
a At the end of tax year 2011, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2011? Yes 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) (relat ing 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. 20 20 , 20 20 3a Did the foundation hold more than a 2% direct or indirect interest in any business - j enterprise at any time during the year? . Q Yes No
b If 'Yes,' did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or _ (3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the foundation had excess business holdings in 2011) 3b
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a X
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 beginnmq in 2011' 4b i X BAA Form 990-PF (2011)
TEEA0305 07/14/11 Form 990-PF 2010 MENLO FOUNDATION , INC 95-3388159 Page 6 ParttrV.ll„Bt Statements Regardin g Activities for Which Form 4720 May Be Req uired (continued) 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))7 11 Yes No (2) Influence the outcome of any specific public election (see section 4955), or to carry on, directly or indirectly, any voter registration drive? Yes X No (3) Provide a grant to an individual for travel, study, or other similar purposes? H Yes X No (4) Provide a grant to an organization other than a charitable, etc, organization described in sec tion 509 (a)( 1 ), (2), or (3) , or section 4940(d)(2)'' (see instructions) E]Yes X] No (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the preven t ion of crue lty to c h i ld ren or anima l s ? E]Yes X1 N o 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 11111111110111 (see instructions)? 5b Organizations relying on a current notice regarding disaster assistance check here
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? E] Yes E] No 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 Yes Xj No b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 6b X 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? E]Yes No MEN b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction' 7b R-RUAVIIIIII Information About Officers , Directors , Trustees, Foundation Managers, H ighly Pai d Employees, and Contractors
1 1 :.,+ III -M,.- ------ ------ 7 (mmnnncafinn of fives hinhpct-nail emnlou c (other than those included on line 1- see instructionsl_ If none- enter'NONE ' (a) Name and address of each employee (b) Title and average (c) Compensation (d) Contributions to (e) Expense account, paid more than $50,000 hours per week employee benefit other allowances devoted to position plans and deferred com pensation NONE ------ 0------ 0------ 0------ 0------ Total number of other em p loyees paid over $50,000 ' None BAA TEEA0306 07/23/10 corm yyU-Pl- (LUIU) Form 990-PF 2010 MENLO FOUNDATION , INC 95-3388159 Page 7 FPart;VIII Information About Officers , Directors, Trustees , Foundation Managers , Highly Paid Employees, and Contractors (continued) 3 Five highest-paid independent contractors for professional services (see instructions). If none, ontar'Nf1NF' (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Com pensation ------NONE ------ ------ ------ ------ Total number of others receivin g over $50,000 for professional services None fPart IX'A1 Summary of Direct Charitable Activities of List the foundation's four largest direct charitable activities during the tax year Include relevant statistical information such as the number I Expenses organizat ions and other beneficiaries served, conferences convened, research papers produced, etc 1 ------N/A 0. 2 ------ 3 ------ 4 ------ PartalX-B] Summary of Program - Related Investments (see instructions) Describe the two larg est pro g ram-related investments made by the foundation durin g the tax year on lines 1 and 2 Amount 1 ------N/A ------. 2 ------ All other program-related investments See instructions 3 ------ Tota l. Add lines 1 throug h 3 None BAA Form 990-PF (2010) TEEA0307 02/16/11 orm 990-PF (2010) MENLO FOUNDATION, INC 95-3 388 1 59 Page 8 (PartJX6 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 ,verage monthly fair market value of securities 1 a b Average of monthly cash balances 1 b c Fair market value of all other assets (see instructions) 1 c d Total (add lines 1 a, b, and c) 1 d e Reduction claimed for blockage or other factors reported on lines 1 a and 1 c (attach detailed explanation) 1 e 2 Acquisition indebtedness applicable to line 1 assets 2 3 Subtract line 2 from line Id 3 0. 4 Cash deemed held for charitable activities Enter 1-1/2% of line 3 (for greater amount, see instructions) 4 0. 5 Net value of noncharitable-use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 0. 6 Minimum investment return. Enter 5% of line 5 6 0. P5rt#XI6 Distributable Amount (see instructions) (Section 4942(1)(3) and (j)(5) private operating foundations and certain forei g n organizations check here and do not com p lete this art. 1 Minimum investment return from Part X, line 6 1 0. 2a Tax on investment income for 2010 from Part VI, line 5 2a 0. b Income tax for 2010 (This does not include the tax from Part VI.) 2b c Add lines 2a and 2b 2c 0. 3 Distributable amount before adjustments Subtract line 2c from line 1 3 0. 4 Recoveries of amounts treated as qualifying distributions 4 5 Add lines 3 and 4 . . . 5 0. 6 Deduction from distributable amount (see instructions) 6 7 Distributable amount as adj usted. Subtract line 6 from line 5. Enter here and on Part All, line 1 7 0. E-gt Xll 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 1 a 3 ,894,849. b Program-related investments - total from Part IX-B 1 b 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 1 a through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 3 , 894 , 849. 5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income Enter 11% of Part I, line 27b (see instructions) 5 6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 3 , 894 , 849. 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 BAA Form 990-PF (2010) TEEA0308 07/06/09 Form 990-PF (2010) MENLO FOUNDATION, INC 95-3388159 Page 9 Part XIII Undistributed Income (see instructions) (a) (b) (c) (d) Corpus Years prior to 2009 2009 2010 1 Distributable amount for 2010 from Part XI, line 7 0. 2 Undistributed income, if any, as of the end of 2010 a Enter amount for 2009 only 0 . b Total for prior years 20 20 20 _ {'•k• `' i 3 Excess distributions carryover , if any, to 2010 r a From 2005 b From 2006 , . 4 c From 2007 d From 2008 PA e From 2009 f Total of lines 3a through e 4 Qualifying distributions for 2010 from Part XIl , line 4 $ 3,894,849 a Applied to 2009, but not more than line 2a b Applied to undistributed income of prior years (Election required - see instructions) e ' +.f c Treated as distributions out of corpus 5-' '• ,,.::-' }' (Election required - see instructions) "`' "' r ! 3 d Applied to 2010 distributable amount e Remaining amount distributed out of corpus 3 , 894 , 849. 5 Excess distributions carryover applied to 2010 (If an amount appears in column (d), the same amount must be shown in column (a)) ' 6 Enter the net total of each column as indicated below : a Corpus Add lines 3f, 4c, and 4e. Subtract line 5 3 , 8 9 9 849. b Prior years' undistributed income Subtract • ""'^' line 4b from line 2b +• is c Enter the amount of prior years' undistribut- ed income for which a notice of d eficiency : e h ,^ has been issued, or on which the section 4942(a) tax has been previously assessed d Subtract line 6c from line 6b Taxable °c '' amount - see instructions 0. e Undistributed income for 2009 Subtract line 4a from line 2a Taxable amount - see instructions 0. .. ' f Undistributed income for 2010. Subtract lines 4d and 5 from line 1 This amount must be , distributed in 2011 ' •- 0 . 7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) ' - (see instructions) 8 Excess distributions carryover from 2005 not applied on line 5 or line 7 (see instructions) 0 9 Excess distributions carryover to 2011. Subtract lines 7 and 8 from line 6a 3, 894, 849. ' . 10 Analysis of line 9 a Excess from 2006 0. rl ' t b Excess from 2007 0 c Excess from 2008 0 ,. :~ ,• . , k d Excess from 2009 0 e Excess from 2010 3 8 9 4 8 4 9 BAA Form 990-PF (2010) TEEA0309 07/23/10 Form 990-PF 2010 MENLO FOUNDATION, INC 95 -3388159 Page 10 P.art!XlV.A Private Operatinq Foundations (see instructions and Part VII-A, question 9) N/A 1 a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2010, enter the date of the ruling 0. b Check box to indicate whether the foundation is a private operatin g foundation described in section 4942 0)(3 or 1 4942 5 2a Enter the lesser of the adjusted net Tax year Prior 3 years income from Part I or the minimum (a) 2010 (b) 2009 (c) 2008 (d) 2007 (e) Total investment return from Part X for each year listed b 85%a 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 exem pt 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 (I)(3)(B)(1) 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(t)(3)(B)(in) (3) Largest amount of support from an exempt organization (4) Gross investment income Partx*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.) 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(d)(2) SAM MENLO 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 NONE 2 Information Regarding Contribution, Grant , Gift, Loan, Scholarship , etc, Programs: Check here XI if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If the foundation makes gifts, grants, etc, (see 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 Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors: BAA TEEA0310 02/16/11 Form 990-PF (2010) form 990-PF 2010 MENLO FOUNDATION , INC 95-3388159 Page 11 PartXV Supplementary Information (continued) 3 Grants and Contributions Paid Durinq the Year or Approved for Future Payment If recipient is an individual, Recipient show any relationship to Foundation of Purpose of grant or any foundation manager or status contribution Amount recistatupsie nt Name and address (home or business substantial contributor a Paid during the year SEE ATTACHED DETAILED PUBLIC PUBLIC SUPPORT OF STATEMENT NONE CHARITY ORGANIZATION'S MISSION LOS ANGELES CA 90010 3,891,404. Total 3 a 3 , 891 , 404. b Approved for future payment Total 11 3bi BAA TEEA0501 07/23/10 Form 990-PF (2010) Form 990-PF (2010) MENLO FOUNDATION, INC 95-3388159 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) (a) (b) (c) (d) Related or exempt Business Amount Exclu- Amount function income code sion (see the instructions) Program service revenue code a b c d e f g Fees 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 5 Net rental income or (loss) from real estate 2 { = _^• ` b 1^^^. a Debt-financed property b Not 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 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) 13 Total. Add line 12, columns (b), (d), and (e) 13 (See worksheet in line 13 instructions to verify calculations ) Part'XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes BAA TEEA0502 02/17/11 Form 990-PF (2010) Form 990-PF (2010 MENLO FOUNDATION , INC 95-3388159 Pa a 13 PartXVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations Yes No 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 reporting foundation to a noncharitable exempt organization of (1) Cash .. . la (1 ) X (2) Other assets 1 a (2) X b Other transactions: (1) Sales of assets to a noncharitable exempt organization 1 b (1 ) X (2) Purchases of assets from a noncharitable exempt organization 1 b (2) X (3) Rental of facilities , equipment , or other assets 1 b (3) X (4) Reimbursement arrangements 1 b 4 X (5) Loans or loan guarantees 1 b (5) X (6) Performance of services or membership or fundraising solicitations 1 b (6) X c Sharing of facilities, equipment , mailing lists, other assets, or paid employees 1 c X 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 an y transaction or sharin g arrangement , show in column (d) the value of the goods, other assets, or services received. (a) Line no (b) Amount Involved (c) Name of noncharltable 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 Yes No h If 'Yes ' cmmnfete the fnllowina schedule (a) Name of or anization b T e of or anization c Descn tlon of relationshl Under penalties of perjury , I declare that I have a this return , including accompa correct , and complete Declaration of pre 7n taxpayer or fiduciary) is base Sign Here ow-l Signature of officer or trustee Print/Type preparer's name Prep rer's signature Paid JACOB GOLDFINGER Preparer Firm's name GOLDFINGER ACCOUNTANCY-'t0 3333 WILSHIRE BLVD STE 61 Use Only Firm's address LOS ANGELES BAA TEEA0503 OMB No -Schedule B 1545-0047 (Form 990, 990-EZ, 990-PF) Schedule of Contributors or PF) 2010 Department of the Treasury ► Attach to Form 990 , 990-EZ , or 990-PF Internal Revenue Service Name of the organization Employer Identification number MENL O FOUNDATION, INC 95-3388159 Organization type (check one): Filers of: Section: Form 990 or 990-EZ 501(c)( ) (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF X 501 (c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501 (c)(3) taxable private foundation 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 FXJ For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one contributor (Complete Parts I and II ) Special Rules For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33-1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2% of the amount on (I) Form 990, Part VIII, line 1h or (it) Form 990-EZ, line 1 Complete Parts I and II. LI For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ, that received from any one contributor, during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ, that received from any one contributor, during the year, contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not aggregate to more than $1,000 If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc, purpose Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc, contributions of $5,000 or more during the year $ 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 their Form 990, or check the box on line H of its Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF) BAA For Pa perwork Reduction Act Notice , see the Instructions for Form 990, Schedule B (Form 990, 990-EZ, or 990-PF) (2010) 990EZ, or 990-PF. TEEA0701 12/28/10 'Part I- Contributors (see instructions.) (a) (b) (c) (d) Number Name , address , and ZIP + 4 Aggregate Type of contribution contributions 1 SAM MENLO Person ------X Payroll 4221 WILSHIRE BLVD,-SUITE 480______$_ __ 1,689L000_ Noncash (Complete Part II if there LOS ANGELES ______CA 90010_ - _ - _ is a noncash contribution.) (a) (b) (c) (d) Number Name, address , and ZIP + 4 Aggregate Type of contribution contributions 2 VERA MENLO ______- Person x ------Payroll 4221 WILSHIRE BLVD1SUITE 480 $_ __ 1L689L000_ Noncash (Complete Part II if there LOS ANGELES ______CA 90010 _ _ _ _ is a noncash contribution ) (a) (b) (c) (d) Number Name , address , and ZIP + 4 Aggregate Type of contribution contributions Person Payroll $ Noncash (Complete Part II if there _ is a noncash contribution ) ------(a) (b) (c) (d) Number Name , address, and ZIP + 4 Aggregate Type of contribution contributions Person ------Payroll $ Noncash (Complete Part II if there _ _ _ _ - _ _ is a noncash contribution.) ------(a) (b) (c) (d) Number Name, address , and ZIP + 4 Aggregate Type of contribution contributions Person ------Payroll $ Noncash (Complete Part 11 if there _ is a noncash contribution ) ------(a) (b) (c) (d) Number Name, address , and ZIP + 4 Aggregate Type of contribution contributions Person ------Payroll $ Noncash (Complete Part 11 if there is a noncash contribution ) BAA TEEA0702 10/26/10 Schedule 8 (Form 990, 990-EZ, or 990-PF) (2010) MENLO FOUNDATION, INC 95- 3388159 Form 990-PF, Page 1, Part I, Line 18 Line 18 Stmt Taxes (see the instructions) Rev/Exp Book Net Inv Inc Add Net Inc Charity Disb STATE FILING FEES 180. 180. FEDERAL EXCISE TAX 1. 1. Total 181. 181. MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 Name CK NUMBER Address Amount AGUDATH ISRAEL - HELP FUND 61520 RABBI JOSEF M. KANTOR 10 EMES LANE MONSEY, NY. 10952-2911 $ 100.00 AGUDATH IS RAEL OF AMERICA 61227 42 BROADWAY NEW YORK, NY 10004 $ 1,000.00 AISH TAMID OF LOS ANGELES 60951 5909 W. 3RD ST. LOS ANGELES CA 90036 $ 5,000.00 AISH TAMID OF LOS ANGELES 61003 5909 W. 3RD ST. LOS ANGELES CA 90036 $ 5,000.00 AISH TAMID OF LOS ANGELES 61064 5909 W. 3RD ST. LOS ANGELES CA 90036 $ 5,000.00 AISH TAMID OF LOS ANGELES 61098 5909 W. 3RD ST. LOS ANGELES CA 90036 $ 5,000.00 AISH TAMID OF LOS ANGELES 61158 5909 W. 3RD ST. LOS ANGELES CA 90036 $ 5,000.00 AISH TAMID OF LOS ANGELES 61186 5909 W. 3RD ST. LOS ANGELES CA 90036 $ 5,000.00 AISH TAMID OF LOS ANG ELES 61236 5909 W. 3RD ST. LOS ANGELES CA 90036 $ 5,000.00 ALEINU 61007 8838 WEST PICO BLVD. LOS ANGELES, CA. 90035 $ 50.00 ALEPH 61500 9540 COLLINS AVENUE MIAMI, FLORIDA 33154-7127 $ 15,000.00 AMERICAN FRIEND O F KESHER 61182 919 E. 24TH STREET BROOKLYN, NY 11210 $ 3,600.00 AMERICAN FRIEND OF SHABBOS 61177 C/O RABBI D. GROSSMAN 247 CITRUS AVE LOS ANGELES, CA. 90036 $ 180.00 AMERICAN FRIEND OF ZICHRON ELIYAHU 61061 1919 HOMECREST AVE BROOKLYN. NY 11229 $ 100.00 AMERICAN FRIEND OF BELZ 61021 1301 47TH STREET BROOKLYN, NY 11219 $ 25,000.00 AMERICAN FRIEND OF MEIR PANIM 61022 5316 NEW UTRECHT AVE. BROOKLYN, NY. 11219-9770 $ 50.00 AMERICAN FRIENDS OF HATZOLAH DAROM 61392 1271-45TH ST. BROOKLYN, NY. 11219 $ 100.00 AMERICAN FRIENDS OF YESHIVA MEAH S HEAR 61038 MEAH SHEARIM 136-84 71ST ROAD KEW GARDEN, NY 11367 $ 1,000.00 AMERICAN HEART ASSOCIATION 60950 WESTERN ESTATES AFFILAITE P.O. BOX 78851 PHOENIX, AZ. 85062-8851 $ 100.00 AMERICAN FRIEND OF DBI 61526 1049 EAST 13TH STREET BROOKLYN, NY. 11230 $ 5,700.00 AMERICA N FRI ENDS OF BIRHAS MORDECHAI 60973 15 HERSCHEL TERRACE MONSEY, NY 10952 $ 1,000.00 AMERICAN FRIENDS OF KESHER YESHIVA 61088 919 E. 24TH STREET BROOKLYN, NY 11210 $ 1,800.00 AMERICAN FRIENDS OF KESHER YESHIVA 61261 919 E. 24TH STREET BROOKLYN, NY 11210 $ 1,800.00 AMERICAN FRIENDS OF MAYANOT 61092 450 West 33rd St., 11th Floor New York, NY 10001-2603 $ 1,800.00 AMERICAN FRIENDS OF TZOHAR 61008 1431 CONEY ISLAND AVE. BROOKLYN, NEW YORK 11230 $ 18.00 AMERICAN FRIENDS OF YESHIVAS BEER HATO 61229 BEER HATORAH 2005 Avenue 1 Brooklyn, NY 11210 $ 500.00 AMERICAN FRIENDS OF ZICHRON NACHUM 61262 1665 45TH ST. BROOKLYN, NY. 11204 $ 500.00 ANSHE MA'AMED FOUNDATION 61393 1271 45TH STREET BROOKLYN, NY. 11219 $ 100.00 1//^ MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND END ING NOVEM BER 30, 2011 • CK NUMBER Name Address Amount AREIVIM, INC. 61321 FOR: ARYEH STEINMAN 20 BRIARCLIFF DRIVE MONSEY NY 10952 $ 500.00 ASHAR 61314 70 HIGHVIEW ROAD MONSEY, NY 10952 $ 5,000.00 ASHREINU/JAM 61129 FOUNDERS AND DIRECTORS 369 N. FAIRFAX AVE. STE 5 LOS ANGELES, CA 90036 $ 5,000.00 ASSOCIATION FOR ENRICHMENT OF JEWISH E 61316 1339 EAST 13TH STREET BROOKLYN, NY. 11230 $ 180.00 AYELET HASHACHAR 61203 ATTN. ALLEN HERSHBERG 455 NORTH FORMOSA LOS ANGELES, CA 90036 $ 5,000.00 BATS CHANA HIGH SCHOOL 61362 9017 W. PICO BLVD LOS ANGELES CA 90035 $ 6,000.00 BAIS CHANA OF CALIFORNIA 61009 WOMEN'S YESHIVA P. 0. BOX 480770 LOS ANGELES, CA 90048 $ 1,000.00 BATS CHAYA MUSHKA 61327 9051 WEST PICO BLVD. LOS ANGELES, CA 90036 $ 13,000.00 BATS FRIMA MUNKACS 61054 1377 42ND STREET BROOKLYN, NY. 11219 $ 1,800.00 BAIS GAVRIEL 61307 C/O SHLOMO YEHUDA RECHNITZ 143 N. FORMOSA AVE LOS ANGELES, CA 90036 $ 25,000.00 BAIS MENACHEM MENDEL 61165 4929 WILSHIRE BLVD, STE 388 LOS ANGELES, CA 90010 $ 20,000.00 BATS NOCHUM 61435 151 SOUTH DETROIT LOS ANGELES, CA 90036 $ 1,000.00 BATS NOCHUM 61481 151 SOUTH DETROIT LOS ANGELES, CA 90036 $ 1,000.00 BAIS YAAKOV SCHOOL FOR GILRS 61030 7353 BEVERLY BLVD., LOS ANGELES CA 90036 $ 4,250.00 BAIS YAAKOV SCHOOL FOR GILRS 61069 7353 BEVERLY BLVD., LOS ANGELES CA 90036 $ 5,000.00 BAIT LAYELED 61104 P. 0. BOX 417 (1575 50TH STREET) BROOKLYN NY 11219-0009 $ 100.00 BAYIT LEPLETOT 61130 543 BEDFORD AVENUE P.M.B. 314 BROOKLYN, NY 11211 $ 25,000.00 BAYIT LEPLETOT 61385 543 BEDFORD AVENUE P.M.B. 314 BROOKLYN, NY 11211 $ 25,000.00 BET MIDRASH 60984 RABBI SHIMON BAR YOCHAI 331 N. ALTA VISTA BLVD. LOS ANGELES CA 90036 $ 500.00 BET MIDRASH 61309 RABBI SHIMON BAR YOCHAI 331 N. ALTA VISTA BLVD. LOS ANGELES CA 90036 $ 500.00 BETH AARON V'ISRAEL 61051 CHESED FUND 606 EAST 2ND STREET BROOKLYN, NY 11218 $ 1,000.00 BETH AARON V'ISRAEL 61506 CHESED FUND 606 EAST 2ND STREET BROOKLYN, NY 11218 $ 1,000.00 BETH HATALMUD 61187 2127 82ND ST. P. 0. BOX 140085 BROOKLYN, NY 11214 $ 5,000.00 BETH HATALMUD 61216 2127 82ND ST. P. 0. BOX 140085 BROOKLYN, NY 11214 $ 5,000.00 BETH MIDRASH OD YOSSEF HAI 61522 517 N. FORMOSA AVE. LOS ANGELES, CA. 90036 $ 2,500.00 BIKUR CHOLIM MARKERETH FRIMA MUNKAC 61277 1372 47TH STREET BROOKLYN NY 11219 $ 1,800.00 BIKUR CHOLIM OF PALM SPRINGS 61105 P. 0. BOX 2934 PALM SPRINGS, CA 92263 $ 100.00 BIKUR CHOLIM OF PALM SPRINGS 61397 P. O. BOX 2934 PALM SPRINGS, CA 92263 $ 180.00 BIKUR CHOLIM 'SATMAR 61423 5422 14th Avenue, Brooklyn, NY 11219-4217 $ 200.00 a^ /-7 MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 Name CK NUMBER Address Amount BINYAN YERUSHLAIM FUND 61279 1274 49TH ST. #248 BROOKLYN, NY. 11219 $ 500.00 BNOS DEVORAH 61288 243 PROSPECT ST. LAKEWOOD NJ 08701 $ 1,800.00 BNOS DEVORAH HIGH SCHOOL 61185 461 N. LABREA AVE. LOS ANGELES CA 90036 $ 25,000.00 BNOS ESTER 61000 356 N. FORMOSA AVENUE LOS ANGELES CA 90036 $ 4,000.00 BNOS ESTER 61004 356 N. FORMOSA AVENUE LOS ANGELES CA 90036 $ 4,000.00 BNOS ESTER 61045 356 N. FORMOSA AVENUE LOS ANGELES CA 90036 $ 4,000.00 BNOS ESTER 61099 356 N FORMOSA AVENUE LOS ANGEELS CA 90036 $4,000.00 BNOS ESTER 61159 356 N FORMOSA AVENUE LOS ANGEELS CA 90036 $4,000.00 BNOS ESTE R 61188 356 N FORMOSA AVENUE LOS ANGEELS CA 90036 $4,000.00 BNOS ESTER 61200 356 N FORMOSA AVENUE LOS ANGEELS CA 90036 $10,000.00 BNOS ESTER 61237 356 N. FORMOSA AVENUE LOS ANGELES CA 90036 $ 4,000.00 BNOS ESTER 61292 356 N. FORMOSA AVENUE LOS ANGELES CA 90036 $ 4,000.00 BNOS ESTER 61332 356 N. FORMOSA AVENUE LOS ANGELES CA 90036 $ 4,000.00 BNOS ESTER 61373 356 N. FORMOSA AVENUE LOS ANGELES CA 90036 $ 4,000.00 B NOS ESTER 61436 356 N. FORMOSA AVENUE LOS ANGELES CA 90036 $ 4,000.00 BNOS ESTER 61482 356 N. FORMOSA AVENUE LOS ANGELES CA 90036 $ 4,000.00 BONEI OLAM 61437 1755 46TH STREET BROOKLYN NY 11204 $ 5,000.00 CALABASAS SHUL 61433 23930 CRAFTSMAN RD CALABASAS, CA 9 1302-1437 $ 1,800.00 CAMP GAN ISRAEL FLORIDA 61289 7170 LOXAHATCHEE ROAD, PARKLAND, FL. 33067 $ 4,800.00 CAMP HASC 61293 ATTN: CHAYA MILLER 5902 14TH AVENUE BROOKLYN NY 11219 $ 1,800.00 CENTER FOR TORAH VDCHESED 61263 5401 COLLINS AVE. #1019 MIAMI BEACH FL. 33140 $ 500.00 CENTRAL ORGANIZATION FOR JEWISH EDUCAT 60995 12510 33RD AVE SUITE #202 SEATTLE, WASHINGTON 98125 $ 25, 000.00 CH ABAD 61083 1500 S Griffith Avenue Los Angeles, CA 90021 $ 600.00 CHABAD JEWISH STUDENT CENTER @ USC 61070 2713 SEVERANCE ST. LOS ANGELES, CA. 90007 $ 1,800.00 CHABAD LUBAVITCH HOSPITALITY CENTER 61325 744 EASTERN PARKWAY BROOKLYN, NY. 11213 $ 100.00 CHABAD LUBAVITCH OF FREDERICK COUNTY 61089 805 AZTEC DRIVE FREDERICK, MD 21701 $ 100.00 CHABAD LUBAVITCH OF UTAH 61085 1760 SOUTH 1100 EAST SALT LAKE CITY UT 84105-3400 $ 1,600.00 CHABAD OF BURBANK 60974 2415 W. MAGNOLIA BLVD. BURBANK, CA 91506 $ 1,800.00 CHABAD OF GREATER LOS FELIZ 61189 1930 N. HILLHURST AVE LOS ANGELES CA 90027 $ 25,000.00 CHABAD OF GREATER LOS FELIZ I 61238 1930 N. HILLHURST AVE LOS ANGELES CA 90027 $ 2,500.00 307 MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 Name CK NUMBER Address Amount CHABAD OF GREATER LOS FELIZ 61302 1930 N . HILLHURST AVE LOS ANGELES CA 90027 $ 2,750.00 CHABAD OF GREATER LOS FELIZ 61343 1930 N. HILLHURST AVE LOS ANGELES CA 90027 $ 2, 500.00 CHABAD OF GREATER LOS FELIZ 61383 1930 N. HILLHURST AVE LOS ANGELES CA 90027 $ 2, 500.00 CHABAD OF GREATER LOS FELIZ 61438 1930 N . HILLHURST AVE LOS ANGELES CA 90027 $ 3,000.00 CHABAD OF GREATER LOS FELIZ 61483 1930 N . HILLHURST AVE LOS ANGELES CA 90027 $ 2, 750.00 CHABAD OF HEBRON 61204 686 EMPIRE BLVD . BROOKLYN, NY. 11213 $ 5, 000.00 CHABAD OF LARCHMONT 60966 637 N. LUCERNE BLVD LOS ANGELES, CA 90004 $ 500.00 CHABAD OF LARCHMONT 61123 637 N. LUCERNE BLVD LOS ANGELES, CA 90004 $ 1 ,000.00 CHABAD OF LARCHMONT 61166 637 N. LUCERNE BLVD LOS ANGELES, CA 90004 $ 1, 000.00 CHABAD OF LARCHMONT 61201 637 N. LUCERNE BLVD LOS ANGELES, CA 90004 $ 1,000.00 CHABAD OF LARCHMONT 61245 637 N. LUCERNE BLVD LOS ANGELES, CA 90004 $ 1, 000.00 CHABAD OF LARCHMONT 61401 637 N. LUCERNE BLVD LOS ANGELES, CA 90004 $ 5 , 000.00 CHABAD OF LARCHMONT 61439 637 N. LUCERNE BLVD LOS ANGELES, CA 90004 $ 5,000.00 CHABAD OF LARCHMONT 61469 637 N. LUCERNE BLVD LOS ANGELES, CA 90004 $ 37 ,500.00 CHABAD OF LARCHMONT 61480 637 N. LUCERNE BLVD LOS ANGELES, CA 90004 $ 5, 000.00 CHABAD OF MILL VALLEY 61239 355 STARLING RD. MILL VALLEY CA 9494 1 $ 2, 500.00 CHABAD OF MILL VALLEY 61254 355 STARLING RD. MILL VALLEY CA 9494 1 $ 2, 500.00 CHABAD OF OREGON 61353 2317 SW VERMONT ST. PORTLAND, OR 97219 $ 5,000.00 CHABAD ON 17TH 61251 P.O. BOX 1997 SANTA MONICA, CA. 90406 $ 1, 800.00 CHABAD SMICHA 61461 821 N FORMOSA AVE.STE 304 LOS ANGELES, CA 90046 $ 5,000.00 CHABAD TIBERIAS 60983 $ 180.00 CHABAD-LUBAVITCH OF THE PACIFIC 61264 NORTHWEST 4541 19TH AVENUE NORTHEAST SEATTLE, WA 98105 $ 25 , 000.00 CHAI CENTER 614 30 P.O. BOX 66861 LOS ANGELES, CA. 90066 $ 1 ,800.00 CHASDEI DOVID 61205 5314 16 AVENUE #221 BROOKLYN, NY 11204 $ 7 ,500.00 CHEDER MENACHEM 60990 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 5,000.00 CHEDER MENACHEM 61005 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 5, 000.00 CHEDER MENACHEM 61046 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 5,000.00 CHEDER MENACHEM 61100 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 5 , 000.00 CHEDER MENACHEM 61153 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 2 , 500.00 ^//7 MENLO FOUNDATION, INC DETAIL FOR LINE 25 , PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 Name CK NUMBER Address Amount CHEDER MENACHEM 61160 1606 South La Cienega Blvd ., Los Angeles CA 90035 $ 5,000.00 CHEDER MENACHEM 61190 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 5,000.00 CHEDER MENACHEM 61240 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 5,000.00 CHEDER MENACHEM 61294 1606 South La Cienega Blvd ., Los Angeles CA 90035 $ 5,000.00 CHEDER MENACHEM 61333 1606 South La Cienega Blvd ., Los Angeles CA 90035 $ 5,000.00 CHEDER MENACHEM 61374 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 5,000.00 CHEDER MENACHEM 61384 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 6,000.00 CHEDER MENACHEM 61441 1606 South La Cienega Blvd., Los Angeles CA 90035 $ 5,000.00 CHEMDAS HATORAH 61398 1216 49 ST. BROOKLYN , NY. 11219 $ 500.00 CHESED AVRAHAM INTERNATIONAL 60965 6255 W. OLYMPIC BLVD LOS ANGELES CA 90048 $ 500.00 CHESED AVRAHAM INTERNATIONAL 61276 6255 W. OLYMPIC BLVD LOS ANGELES CA 90048 $ 500.00 CHESED AVRAHAM INTERNATIONAL 61418 6255 W. OLYMPIC BLVD LOS ANGELES CA 90048 $ 500.00 CHESED AVRAHAM INTERNATIONAL 61489 6255 W. OLYMPIC BLVD LOS ANGELES CA 90048 $ 500.00 CHOFETZ CHAIM HERITAGE FOUNDATION 61167 16 MELNICK DRIVE MONSEY NY 10952-9834 $ 5,000.00 C OLEL CHABAD 61317 806 EASTERN PARKWAY BROOKLYN, NY 11213-9818 $ 500.00 CONG. AHAVATH TZEDOKAH VACHESED 61406 C/O HARAV ELIEZER GROSS 160 S. DETROIT ST. LOS ANGELES , CA. 90036 $ 180.00 CONG. KEHILAS YAAKOV 61394 7211 Beverly Blvd. Los Angeles, CA. 90036 $ 500.00 CONG.OHAVEI TORAH 61062 139 CARROL ST. LAKEWOOD , NJ 08701 $ 100.00 CONGRAGATION SHOMRAH EMUNAH 61219 5202 14TH STREET BROOKLYN , NY. 11219 $ 1,000.00 CONGREATION YESHIVAS HACHAIM 60954 247 S Citrus Ave., Los Angeles CA 90036 $ 5,000.00 CONGREGATIN OR HACHAIM 60955 C/O HOWARD GLUCK 176 S. POINSETTIA PLACE LOS ANGELES , CA 90036 $ 500.00 CONGREGATION BAIS NAFTOLI 61275 221 S. La BREA AVE. LOS ANGELES , CA. 90036 $ 180.00 CONGREGATION BAIS NAFTOLI 61407 221 S. La BREA AVE. LOS ANGELES , CA. 90036 $ 500.00 CONGREGATION BAIS SCHMUEL 61111 C/O RABBI ELIEZER CHAIM BLUM 6 PHYLLIS TERRACE MONSEY, NY. 10952 $ 1,000.00 CONGREGATION BAIS SCHMUEL 61328 C/O RABBI ELIEZER CHAIM BLUM 6 PHYLLIS TERRACE MONSEY, NY. 10952 $ 1,000.00 CONGREGATION BAIS SCHMUEL 61425 C/O RABBI ELIEZER CHAIM BLUM 6 PHYLLIS TERRACE MONSEY, NY. 10952 $ 500.00 CONGREGATION BAIS YAKOV YOSEF 61259 OSTROW 5 RIDGEWAY TERRACE WESLEY HILLS NY 10977 $ 500.00 CONGREGATION BETH AARON VELSRAEL 61295 4609 16TH AVENUE BROOKLYN NY 11204 $ 500.00 CONGREGATION BETH HILLEL 60956 470 East 2nd St. Brooklyn NY 11218 $ 1,000.00 511-7, MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND END ING NOVEM BER 30, 2011 CK NUMBER Name Address Amount CONGREGATION CHAZON YECHEZKAL 60957 1758 61 St. Brooklyn N.Y. 11204 $ 1,000.00 CONGREGATION E.O.M. 61334 C/O RABBI ARON T. GROSS 137 N.. DETROIT ST . LOS ANGELES CA 90036 $ 180.00 CONGREGATION ETZ CHAIM 61001 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 550.00 CONGREGATION ETZ CHAIM 61031 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 1,000.00 CONGREGATION ETZ CHAIM _ 61039 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 2,500.00 CONGREGATION ETZ CHAIM 61047 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 2,500.00 CONGREGATION ETZ CHAIM 61127 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 1,000.00 CONGREGATION ETZ CHAIM 61175 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 5,000.00 CONGREGATION ETZ CHAIM 61246 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 500.00 CONGREGATIO N ETZ CHAIM 61318 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 1,000.00 CONGREGATION ETZ CHAIM 61416 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 5,000.00 CONGREGATION ETZ CHAIM 61468 303 S. HIGHLAND AVE. LOS ANGELES CA 90036 $ 11,500.00 CONGREGATION KAHAL CHAREIDIM 61350 143 RODNEY ST. BROOKLYN, NY. 11211 $ 500.00 CONGREGATION KEHAL PREMISHLAN 61260 510 AVE. M BROOKLYN, NY. 11230 $ 1,800.00 CONGREGATION KEHILAS YAAKOV 61028 117 N. FULLER AVE LOS ANGELES CA 90036 $ 1,800.00 CONGREGATION KEHILAS YAAKOV 61071 117 N. FULLER AVE LOS ANGELES CA 90036 $ 180.00 CONGREGATION KEHILAS YAAKOV 61191 117 N. FULLER AVE LOS ANGELES CA 90036 $ 2,500.00 CON GREGATION KEHILAS YAAKOV 61408 117 N. FULLER AVE LOS ANGELES CA 90036 $ 500.00 CONGREGATION KEREN TORAH 61335 C/O RABBI SAMUEL B. MANNE 607 N. ALTA VISTA BLVD. LOS ANGELES, CA. 90036 $ 180.00 CONGREGATION LEVI YITZCHOK 60985 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 8,500.00 CONGREGATION LEVI YITZCHOK 61020 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 15,000.00 CONGREGATION LEVI YITZCHOK 61042 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 10,000.00 CONGREGATION LEVI YITZCHOK 61066 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 5,000.00 CONGREGATION LEVI YITZCHOK 61081 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 5,000.00 CONGREGATION LEVI YITZCHOK 61109 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 15,000.00 CONGREGATION LEVI YITZCHOK 61112 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 5,000.00 CONGREGATION LEVI YITZCHOK 61131 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 5,000.00 CONGREGATION LEVI YITZCHOK 61136 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 7,500.00 CONGREGATION LEVI YITZCHOK 61145 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 15,000.00 MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 Name CK NUMBER Address Amount CONGREGATION LEVI YITZCHOK 61151 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 15,000.00 CONGREGATION LEVI YITZCHOK 61164 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 10,000.00 CONGREGATION LEVI YITZCHOK 61221 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 5,000.00 CONGREGATION LEVI YITZCHOK 61226 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 1,000.00 CONGREGATION LEVI YITZCHOK 61252 1365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 12,000.00 CONGREGATION LEVI YITZCHOK 61312 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 25,000.00 CONGREGATION LEVI YITZCHOK 61354 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 15,000.00 CONGREGATION LEVI YITZCHOK 61375 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 10,000.00 CONGREGATION LEVI YITZCHOK 61442 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 25,000.00 CONGREGATION LEVI YITZCHOK 61471 365 N. LA BREA AVE. LOS ANGELES, CA 90036 $ 15,000.00 CONGREGATION MINCHAS YEHUDA 61162 1712 48TH STREET BROOKLYN, NY 11204 $ 3,000.00 CONGREGATION MISHKAN HATORAH 61386 6 Cabinfield Circle, Lakewood, New Jersey 08701 $ 10,000.00 CONGREGATION MOSDOS AMROM CHASIDA 61282 4617-10 AVE. BROO KLYN NY 11219 $ 36,000.00 CONGREGATION NACHLAS MOSHE 61056 16 Gwen Lane Monsey, NY 10952 $ 1,000.00 CONGREGATION OR YOSEF 61147 32 COLLEGE RD. MONSEY. NY $ 1,000.00 C ONGREGATION SHAAR HATFILAH 61454 133 GERRY STREET BROOKLYN, NY. 11206-4342 $ 50.00 CONGREGATION TAMAR 61181 RABBI TEITLBAUM 95 DYKSTRAS WAY E. MONSEY, NY 10952 $ 500.00 CONGREGATION TZON KUDESHIM 61180 C/O ABRAHAM NEWMAN 645 BEDFORD AVE. (FIRST FLOOR) BROOKLYN, NY 11211 $ 1,000.00 CONGREGATION ZEMACH DAVID OF DINEV 61370 8 DARBY ROAD MONSEY, NEW YORK, 10952 $ 500.00 D ETROIT T EACHERS SEMINARY 61344 17100 WEST TEN MILE ROAD SOUTHFIELD, M! 48075 $ 1,800.00 DORESH 6131 9 RABBI SALFER 2220 NE. 203 TERRACE MIAMI FL 33180 $ 10,000.00 DORESH 61395 RABBI SALFER 2220 NE. 203 TERRACE MIAMI FL 33180 $ 5,000.00 EIN OD MILVADO 61512 621 5TH STREET, SUITE 2 LAKEWOOD NJ 08701 $ 100.00 EMEK HEBREW ACADEMY 61027 TEICHMAN FAMILY TORAH CENTER 15365 MAGNOLIA BLVD. SHERMAN OAKS CA 91403 $ 6,000.00 EMEK HEBREW ACADEMY 61232 TEICHMAN FAMILY TORAH CENTER 15365 MAGNOLIA BLVD. SHERMAN OAKS CA 91403 $ 6,000.00 EMEK HEBREW ACADEMY 61356 TEICHMAN FAMILY TORAH CENTER 15365 MAGNOLIA BLVD. SHERMAN OAKS CA 91403 $ 7,000.00 EMEK HEBREW ACADEMY 61502 TEICHMAN FAMILY TORAH CENTER 15365 MAGNOLIA BLVD. SHERMAN OAKS CA 91403 $ 7,000.00 ETTA ISRAEL CENTER 61052 12722 RIVERSIDE DR. SUITE 105 NORTH HOLLYWOOD, CA 91607 $ 5,000.00 ETTA ISRAEL CENTER 61192 12722 RIVERSIDE DR. SUITE 105 NORTH HOLLYWOOD, CA 91607 $ 10,000.00 77, MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 CK NUMBER Name Address Amount ETTA ISRAEL CENTER 61387 12722 RIVERSIDE DR. SUITE 105 NORTH HOLLYWOOD, CA 91607 $ 11,000.00 ETZ JACO B HEBREW ACADEMY 61025 7951 BEVERLY BOULEVARD LOS ANGELES, CA. 90048 $ 5,000.00 FRIENDS OF ADERES HATORAH 61376 1072 MADISON AVE. LAKEWOOD, NJ. 08701 $ 500.00 FRIENDS OF ARACHIM, INC. 61010 C/O M. HIDARY & CO. INC. 10 WEST 33RD ST. ROOM 900 NEW YORK, NY. 10001 $ 180.00 FRIENDS OF ISRAEL DISABLED VETERANS 61011 P. O. BOX 1548 NEW YORK, NY 10277-1920 $ 50.00 FRIENDS OF MEOR ISRAEL 61517 3725 SEVERN ROAD CLEVELAND OH 44118 $ 6,000.00 FRIENDS OF MOSDOT GOOR 60979 1310 48TH ST BROOKLYN NY 11219 $ 1,000.00 FRIENDS OF TORAT CHAYIM OFFICE 61315 C/O MR. CH. H.REISMAN ESQ. 3398 WINCHESTER, W. BLOOMFELD, MI.48322 $ 100.00 FRIENDS OF YESHIVAT LELUV OF JERUSALEM 61202 3311 OLD FOREST ROAD BALTIMORE, MD 21208 $ 360.00 GARDEN SCHOOL 61224 9051 W. PICO LOS ANGELES, CA. 90035 $ 1,000.00 GIRLS' TOWN/OR CHADASH 61106 1274 49TH STREET SUITE 414 BROOKLYN, NY 11219-1166 $ 100.00 GLOBAL KINDNESS 61444 9224 ALCOTT STREET LOS ANGELES, CA 90035 $ 500.00 GRIFFITH AVE SHUL 61331 1500 GRIFFITH AVE. LOS ANGELES, CA. 90021 $ 180.00 GYE CORP. 61243 3918 FALLSTAFF ROAD BALTIMORE, MD 21215 $ 5,000.00 HAAZINU CHARITABLE FOUNDATION 61012 350 N. McCADDEN PLACE LOS ANGELES, CA. 90004 $ 180.00 HACHNASSAT KALLAH OF GREATER L.A. 61072 200 SOUTH MCCADDEN PLACE LOS ANGELES, CA 90004-1054 $ 3,000.00 HATZOLAH OF LOS ANGELES 61241 1417 SOUTH DOHENY DR. LOS ANGELES CA 90035 $ 5,000.00 HEBREW ACADEMY COMM. SCHOOL 61363 1500 N. STATE RD.7 MARGATE FL 33063 $ 17,600.00 HEICHAL HATORAH 61013 411 15TH ST. LAKEWOOD NJ 08701 $ 5,000.00 HEICHAL MENACHEM 61206 1581 52ND STREET BROOKLYN, NY 11219 $ 7,500.00 HINDY COHEN MEMORIAL FUND 61247 C/O BARUCH & ADINA COHEN 230 SOUTH HIGHLAND LOS ANGELES, CA 90036 $ 500.00 ISRAEL PURIM FUND 61118 205 WEST BEECH STREET LONG BEACH, CA. 11561 $ 500.00 JEWISH EXPERINCE MADISON 61014 3453 N. 54TH ST. MILWAUKEE, WI. 53216 $ 100.00 JEWISH HEALTH CARE FO UNDATION BIKUR CH 61134 8489 WEST THIRD STREET LOS ANGELES, CA. 90048 $ 5,000.00 JEWISH HERITAGE CENTER 61057 OF QUEENS AND LONG ISLAND 68-29 MAIN STREET FLUSHING NY 11367-9802 $ 500.00 JEWISH HERITAGE CENTER 61079 OF QUEENS AND LONG ISLAND 68-29 MAIN STREET FLUSHING NY 11367-9802 $ 500.00 JEWISH LEARNING EXCHANGE 61266 512 N. LA BREA AVE. LOS ANGELES CA 90036 $ 180.00 K Z M 60992 151S MCCADDEN PL., LOS ANGELES, CA 90004 $ 500.00 I KEDUSHATZION 61207 1532 47th STREET BROOKLYN, NY 11219 $ 1,000.00 MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 Name CK NUMBER Address Amount KEHILAS YAAKOV 61349 7211 BEVERLY BOULEVARD LOS ANGELES, CA 90036 $ 1,800.00 KEHILAS YAAKOV 61419 7211 BEVERLY BOULEVARD LOS ANGELES, CA 90036 $ 1,000.00 KEREN ALMONA WITH 13 YESOMIM 61490 C/O RAV CHESED 34 ROSS STREET BROOKLYN, NY. 11211 $ 100.00 KEREN CHAIM SHLOMO 61015 20 West 33rd St.,-New-York, NY 10001-3305 $ 180.00 KEREN MELAMDIM T.A.Y. 61053 P.O. BOX 335 MONSEY, N.Y. 10952-0335 $ 180.00 KEREN ORAH 60972 C/O CHAIM ROTTENBERG 45 CIRCLE PL. LAKEWOOD NY 08701 $ 6,500.00 KEREN ORAH 61290 C/O CHAIM ROTTENBERG 45 CIRCLE PL. LAKEWOOD NY 08701 $ 11,735.00 KEREN ORAH VESIMCHA 61409 C/O RABBI A. MURIK 428 N. FULLER AVE LOS ANGELES, CA. 90036 $ 180.00 KEREN YEHOSHIRA V'YI SROEL, IN C. 61402 805 ROOSEVELT COURT FAR ROCKAWAY, NY 11691 $ 500.00 KEREN ZICHRON MOSHE 61093 C/O YOEL WEISS 151 S. MCCADEEN PLACE LOS ANGELES CA 90004 $ 500.00 KEREN ZICHRON MOSHE 61113 C/O YOEL WEISS 151 S. MCCADEEN PLACE LOS ANGELES CA 90004 $ 3,500.00 KEREN ZICHRON MOSHE 61267 C/O YOEL WEISS 151 S. MCCADEEN PLACE LOS ANGELES CA 90004 $ 1,500.00 KEREN ZICHRON MOSHE 61476 C/O YOEL WEISS 151 S. MCCADEEN PLACE LOS ANGELES CA 90004 $ 12,000.00 KETORET TAMID 61287 1403 44TH ST PMB 227 BROOKLYN, NY 11219-2202 $ 2,500.00 KETORET TAMID 6149 7 1403 44TH ST PMB 227 BROOKLYN, NY 11219-2202 $ 500.00 KHAL BAIS SHMIEL INC. 60971 16 SUZZANE DR. MONSEY, NY 10952 $ 1,000.00 KHAL ZICHRON MORDECHAI 61125 337 NORTH DETROIT ST. LOS ANGELES, CA. 90036 $ 180.00 KIDS OF COURAGE 61355 1315B BROADWAY, SUITE 207 HEWLETT NY 11227 $ 25,000.00 KOFER NEFESH 61310 88 SADDLE RIVER RD MONSEY, NY 10952 $ 2,500.00 KOLLE L EVEN YISRAEL 61148 25 DEKOTA ST. PASSAIC, NJ. 07055 $ 360.00 KOLLEL L'MECHANCHIM _ 61101 ZIRHRON YAAKOV 128 S. FORMOSA LOS ANGELES, CA 90036 $ 5,000.00 KOLLEL YECHIEL YEHUDA 60959 345 North Brea, La Suite 208 Los Angeles, CA. 90036 $ 5,000.00 KOLLEL YECHIEL YEHUDA 60970 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 10,000.00 KOLLEL YECHIEL YEHUDA 61006 345 North Brea, La Suite 208 Los Angeles, CA. 90036 $ 5,000.00 KOLLEL YECHIEL YEHUDA 61048 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 5,000.00 KOLLEL YECHIE L YEHUDA 61102 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 5,000.00 KOLLEL YECHIEL YEHUDA 61161 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 5,000.00 KOLLEL YECHIEL YEHUDA 61193 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 5,000.00 KOLLEL YECHIEL YEHUDA 61242 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 5,000.00 ?//-7 MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 CK NUMBER Name Address Amount KOLLEL YECHIEL YEHUDA 61285 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 30,000.00 KOLLEL YECHIEL YEHUDA 61336 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 6,000.00 KOLLEL YECHIEL YEHUDA 61377 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 6,000.00 KOLLEL Y ECHIE L YEHUDA 61445 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 6,000.00 KOLLEL YECHIEL YEHUDA 61478 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 10,000.00 KOLLEL YECHIEL YEHUDA 61485 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 6,000.00 KOLLEL YECHIEL YEHUDA 61503 345 North La Brea, Suite 208 Los Angeles, CA. 90036 $ 5,000.00 KOLLEL ZICHRON SHNEUR 61296 55 W. MAPLE AVENUE MONSEY, NY 10952 $ 1,800.00 KSAV SOFER RESOURCE CENTER 61176 1406 144th St. Rockaway Park, NY 11694-0000 $ 17,000.00 KU PAS RABBEINU 61234 1649 PRESIDENT ST. BROOKLYN, NY. 11213 $ 1,800.00 L.A.LADIES BIKUR CHOLIM 61197 143 N. FORMOSA LOS ANGELES, CA 90036 $ 10,000.00 LEV AVROHOM 61367 1331 EAST 34TH STREET BROOKLYN, NY 11210 $ 30,000.00 LEV AVROHOM 61462 1331 EAST 34TH STREET BROOKLYN, NY 11210 $ 9,000.00 LEV SIMCHA 61063 251 S. MAINSFIELD LOS ANGELES, CA 90036 $ 500.00 LINK 61306 10523 SANTA MONICA BLVD. LOS ANGELES, CA. 90025 $ 5,000.00 LOS ANGELES CHEDER 61029 801 N. LABREA AVE. LOS ANGELES CA 90038 $ 5,000.00 LOS ANGELES CHEDER 61231 801 N. LABREA AVE. LOS ANGELES CA 90038 $ 2,500.00 LOS AN GELES CHEDER 61428 801 N. LABREA AVE. LOS ANGELES CA 90038 $ 2,500.00 LOS ANGELES CHEDER TRUSTEE DINNER 61208 801 N. LA BREA AVE. LOS ANGELES, CA. 90038 $ 5,000.00 LOS ANGELES COMMUNITY ERUV 61209 P.O. BOX 351360 LOS ANGELES CA 90035-1360 $ 250.00 LOS ANGELES MESIVTA 61347 7561 BEVERLY BLVD. LOS ANGELES CA 90036 $ 5,000.00 MAAYON YIS ROEL 60996 140 N. LA BREA AVENUE LOS ANGELES, CA 90036 $ 15,000.00 MAAYON YISROEL 61511 140 N. LA BREA AVENUE LOS ANGELES, CA 90036 $ 15,000.00 MACHANEINU 61337 95 DEVANY RROAD FERNDALE, NY. 12734 $ 2,900.00 MACHANEINU 61467 95 DEVANY RROAD FERNDALE, NY. 12734 $ 2,900.00 MAIMONIDES JEWISH DAY SCHOOL 61194 6612 SW. CAPITOL HWY. PORTLAND OR 97219 $ 5,000.00 MARBEH TZEDAKAH 61060 C/O TOMCHEI SHABBOS P. O. BOX 481270 LOS ANGELES, CA 90048 $ 20,000.00 MARBEH TZEDAKAH 61149 C/O TOMCHEI SHABBOS P. O. BOX 481270 LOS ANGELES, CA 90048 $ 500.00 MARBEH TZEDAKAH 61427 C/O TOMCHEI SHABBOS P. O. BOX 481270 LOS ANGELES, CA 90048 $ 500.00 MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND EN DING NOVEM BER 30, 2011 CK NUMBER Name Address Amount MARBEH TZEDAKAH 61432 C/O TOMCHEI SHABBOS P. 0. BOX 481270 LOS ANGELES, CA 90048 $ 3,000.00 MARCH OF DIMES 61213 1275 MAMARONECK AVE WHITE PLAINS, NY 10605-5201 $ 500.00 MASEH CHESED 61280 PO BOX 481270 LOS ANGELES, CA 90048 $ 5,000.00 MATAN B'SETER BAMBI 61074 447 N. JUNE ST. LOS ANGELES, CA $ 500.00 MECHON L'HOYROA 61075 168 MAPLE AVE. MONSEY NY 10952 $ 10,000.00 MECHON L'HOYROA 61410 168 MAPLE AVE. MONSEY NY 10952 $ 15,000.00 MENACHEM EDUCATION FOUNDATION 60989 411 KINGSTON AVE. SUITE 300 BROOKLYN, NY. 11225 $ 5,000.00 MERKAZ HATORAH COMMUNITY KOLLEL 61465 9301 WILSHIRE BLVD SUITE 507 BEVERLY HILLS, CA 90210 $ 275,000.00 MESIFTA BETH SHRAGA 61178 28 SADDLE RIVER ROAD P. 0. BOX 412 MONSEY, NY 10952-9908 $ 100.00 MESIFTA BETH SHRAGA 61455 28 SADDLE RIVER ROAD P. 0. BOX 412 MONSEY, NY 10952-9908 $ 18.00 MESIVTA BEVET CHAZON IS H 61379 8210 21ST AVE BROOKLYN, NY 11214 $ 10,000.00 MESIVTA BIRKAS YITZCHO K 61032 6022 W. PICO BLVD. LOS ANGELES, CA 90035 $ 10,000.00 MESIVTA MEOR YITZCHAK 61446 P.O BOX 942 MONSEY NY $ 5,000.00 MESIVTA OF GR EATER LOS ANGELES 61121 25115 MUREAU ROAD CALABASAS CA 91302 $ 5,000.00 MESIVTA OF LONG BEACH 61504 205 WEST BEACH STREET LONG BEACH, NY. 11561 $ 5,000.00 MESIVTA YESHIVA 61420 RABBI CHAIM BERLIN 1605 CONEY ISLAND AVE. BROOKLYN NY 11230 $ 500.00 MIDRASH OD YOSEF CHAI 61183 517 N Formosa Avenue Los Angeles, CA 90036 $ 6,000.00 MOSDOS SQUARE T.Y.Y. 61322 P.O. BOX 776 SPRING VALLEY, NY. 10977 $ 200.0 0 MOSDOS TOLDOS AHARON 61323 2 OR SAMEACH ST. P.O. BOX 7376 BEIS SHEMESH $ 100.00 NACHLAT NAFTALI FOUNDATION 60986 2418 AVENUE I BROOKLYN, NY 11210 $ 500.00 NER ARYEH 61033 12422 CHANDLER AVE. VALLEY VILLAGE, CA. 91607 $ 5,000.00 NER ARYEH 61380 12422 CHANDLER AVE. VALLEY VILLAGE, CA. 91607 $ 6,000.00 NER ARYEH 61491 12422 CHANDLER AVE. VALLEY VILLAGE, CA. 91607 $ 6,000.00 NER ARYEH 61515 12422 CHANDLER AVE. VALLEY VILLAGE, CA. 91607 $ 2,000.00 NEW ENGLAND ACADEMY OF TORAH 60975 450 ELMGROVE AVE. PROVIDENCE, RI 02906 $ 1,000.00 NITZA 61195 P.O. B. 292 TELZSTONE HAREI YEHUDA ISRAEL, 90838 $ 200.00 NOTZER CHESED 61210 5014-16 AVE. STE. 354 BROOKLYN, NY. 11204 $ 180.00 N'SHEI BOBOV 61120 4803 15TH AVENUE BROOKLYN, NY 11219 $ 500.00 OD YOSEF CHAI 61128 C/O RABBI PERETZ GREENWALD 1054 CARTAGENA STREET LONG BEACH, CA 90807 $ 180.00 1^/7 MENLO FOUNDATION, INC 1 DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 Name CK NUMBER Address Amount OD YOSEF CHAI 61426 C/O RABBI PERETZ GREENWALD 1054 CARTAGENA STREET LONG BEACH, CA 90807 $ 180.00 OHR ELIYAHU ACADEMY 60997 241 S. DETROIT ST. LOS ANGELES, CA. 90036 $ 100.00 OHR ELIYAHU ACADEMY 61137 241 S. DETROIT ST. LOS ANGELES, CA. 90036 $ 25,000.00 OHR ELIYAHU ACADEMY 61303 241 S. DETROIT ST. LOS ANGELES, CA. 90036 $ 25,000.00 OHR HAMIER SEMINARY OF PEEKSKILL 61211 PO Box 2130/Furnace Woods Road Peelskill, NY 10566 $ 5,000.00 OHR SHMUEL 61345 C/O GUEN 4319 10TH AVE BROOKLYN, NY. 11219 $ 100.00 OHR SHOLOM V'CHESED 61139 285 Division Ave. #25 Brooklyn, NY 11211 $ 1,000.00 OHR ZARUAH 61297 C/O MARK MENDELBAUM 178 N. JUNE STREET LOS ANGELES, CA. 90004 $ 500.00 OR HACHAIM 61364 12411 SYLVAN ST. N. HOLLYWOOD, CA. 91606 $ 3,000.00 ORTHODOX JEWISH CHAPLAINCY BOARD 61473 P.O. BOX 480454 LOS ANGELESS, CA. 90048 $ 2,500.00 PRIVATE REDEMPTION FOUNDATION 61126 8950 W. OLYMPIC BLVD. #479 BEVERLY HILLS CA 90211 $ 1,000.00 PROJECT EXTREME 61041 1335 CENTRAL AVENUE LAWRENCE, NY 11559 $ 20,000.00 PROJECT EXTREME 61094 335 CENTRAL AVENUE LAWRENCE, NY 11559 $ 20,000.00 PROJECT EXTREME 61228 335 CENTRAL AVENUE LAWRENCE, NY 11559 $ 20,000.00 PROJECT EXTREME 61463 335 CENTRAL AVENUE LAWRENCE, NY 11559 $ 20,000.00 P'TACH ISRAEL 61017 919 E 24th Street Brooklyn, NY 11210 $ 180.00 RABBI JACOB JOSEPH SCHOOL 61143 ONE PLANFIELD AVE. EDISON NJ 08817 $ 1,000.00 RABBI MAIR BAAL HANESS CHARITY 61411 75 MEAH SHEARIM ST. JERUSALEM, ISRAEL 91050 $ 360.00 RABBINICAL SEMINARY OF AMERICA 61040 7601 147TH STREET FLUSHING, NY 11367-9806 $ 5,000.00 RECOVERY THROUGH TORAH 61124 1720 PACIFIC AVE, SUITE # 235 VENICE CA 90291 $ 1,800.00 RECOVERY THROUGH TORAH 61447 1720 PACIFIC AVE, SUITE # 235 VENICE CA 90291 $ 5,000.00 ROFEH CHOLIM CANCER SOCIETY 61076 762 BEDFORD AVE BROOKLYN, NY. 11205 $ 1,800.00 S.G.C.F. HATZOLAS TALMID CHOCHOM FUND 61077 C/O RABBI YOEL BURSZTYN 435 N. FULLER AVE LOS ANGELES, CA 90036 $ 180.00 SBCAF 61050 653 PASEO NUEVO SANTA BARBARA, CA93101, 805-884-5900 $ 150.00 CHESED FUND SG 61412 C/O BARUCH Y. GRADON 151 S. McCADDEN PLACE LOS ANGELES CA 90004 $ 180.00 SHAAREI CHESED 61268 440 SQUANKUM RD. LAKEWOOD, NJ 08701 $ 360.00 SHAAREI TORAH 61357 334 N. LA BREA AVE. LOS ANGELES, CA. 90036 $ 1,000.00 SHALOM TORAH CENTERS 61456 P.O. BOX 1545 LAKEWOOD NJ 08701-9988 $ 500.00 SHAREI TORAH CHARITY FUND 61146 5967 W. 3RD STREET, # 307 LOS ANGELES, CA. 90036 $ 150,000.00 19117 MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND END ING NOVEM BER 30, 2011 CK NUMBER Name Address Amount SHAREI TORAH RABBINICAL COLLEGE 60969 525 N. GARDNER ST. LOS ANGELES CA 90036 $ 1,000.00 SHAREI TORAH RABBINICAL COLLEGE 61084 525 N. GARDNER ST. LOS ANGELES CA 90036 $ 1,000.00 SHAREI TORAH RABBINICAL COLLEGE 61223 525 N. GARDNER ST. LOS ANGELES CA 90036 $ 10,000.00 SHAREY ZEDEK CO NGREGATION 61133 12800 CHANDLER BLVD. VALLEY VILLAGE, CA. 91607 $ 500.00 SHAREY ZEDEK CONGREGATION 61358 12800 CHANDLER BLVD. VALLEY VILLAGE, CA. 91607 $ 500.00 SHOR YOSHUV INSTITUTE 60961 One Cedarlawn Avenue, Lawrence NY 11559 $ 1,000.00 SIMCHA VILLAGE 61067 5417 18th Avenue Brooklyn, NY 11204 $ 25,000.00 SPECIAL OLYMPICS 61448 SOUTHER CALIFORNIA P. 0. BOX 2006 SANTA MONICA, CA 90406-2006 $ 50.00 T. E.P. 61298 C/O MRS. FRUME KRAUSE 183 S. MAINSFIELD AVE LOS ANGELES CA 90036 $ 180.00 TALM UD TO RAH TIFERES BUNIM 61278 MUNKACS 5202-13TH AVENUE BROOKLYN, NY 11219 $ 15,000.00 TALMUDIC RESEARCH CENTER OF N.NEW YER 61058 35 ASCENSION STREET PASSAIC, NJ 07055 $ 5,000.00 TEAM LIFELINE 61403 YEHUDA COHEN 400 MOUNT WILSON LANE PIKESVILLE, MD. 21208 $ 500.00 TEEN C ENTER FOR EDUCATION AND OPPORTU 61212 82 Cabinfield Circle Lakewood, NJ 08701 $ 1,500.00 THE ALUMNI OF THE RABBINICAL COLLEGE 61249 COLLEGE "KNESSETH ISRAEL" OF SLABODKA, INC. 169 PARKVILLE AVE. $ 10,000.00 THE DONALD BERMAN MESHI CHILDREN 61457 REHABILITATION CENTER 1125 OCEAN AVENUE LAKEWOOD, NJ 08701 $ 500.00 THE FRIENDSHIP CIRCLE 61018 9581 WEST PICO BLVD. #102 LOS ANGELES, CA 90035 $ 5,000.00 THE SHLUCHIM OFFICE 61460 816 EASTERN PARKWAY BROOKLYN, NY. 11213 $ 1,000.00 TIFERES ACHIM 60976 1271 45TH STREET BROOKLYN NY 11219 $ 1,000.00 TIFERES ACH I M 61169 1271 45TH STREET BROOKLYN NY 11219 $ 5,000.00 TIFERES ACHIM 61421 1271 45TH STREET BROOKLYN NY 11219 $ 5,000.00 TIKVAH LAYELED FOUNDATION 61107 322 WEST 52ND STREET P. 0. BOX 1097 NEW YORK, NY 10101-1097 $ 100.00 TOLDOS AHARO N 61299 777 KENT AVENUE BROOKLYN, NY 11206 $ 7,200.00 TOMCHAI TORAH 60988 P. 0. BOX 17 MONSEY, NY. 10952 $ 16,885.00 TOMCHAI TORAH 60991 P. 0. BOX 17 MONSEY, NY. 10952 $ 11,200.00 TOMCHAI TORAH 61233 P. 0. BOX 17 MONSEY, NY. 10952 $ 16,250.00 TOMCHAI TORAH 61284 P. 0. BOX 17 MONSEY, NY. 10952 $ 16,250.00 TOMCHAI TORAH 61329 P. 0. BOX 17 MONSEY, NY. 10952 $ 20,000.00 TOMCHAI TORAH 61368 P. 0. BOX 17 MONSEY, NY. 10952 $ 21,500.00 TOMCHAI TORAH 61417 P. 0. BOX 17 MONSEY, NY. 10952 $ 20,000.00 MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEM BER 30, 2011 CK NUMBER Name Address Amount TOMCHAI TORAH 61472 P. O. BOX 17 MONSEY, NY. 10952 $ 20,000.00 TOMCHAI TORAH 61521 P. O. BOX 17 MONSEY , NY. 10952 $ 20 ,000.00 TOMCHEI SHABBOS 61170 P.O BOX 481270 LOS ANGELES CA 90048 $ 25 ,000.00 TOMCHEI SHABBOS 61431 P .O BOX 481270 LOS ANGELES CA 90048 $ 25,000.00 TOMCHEI TORAH INSTITUTE 61024 1352 47TH ST. BROOKLYN NY 11219 $ 16,885.00 TOMCHEI TORAH INSTITUTE 61043 1352 47TH ST. BROOKLYN NY 11219 $ 16 ,885.00 TOMCHEI TORAH INSTITUTE 61110 1352 47TH ST. BROOKLYN NY 11219 $ 15,885.00 TOMCHEI TORAH INSTITUTE 61157 1352 47TH ST. BROOKLYN NY 11219 $ 15 ,885.00 TOMCHEI TORAH INSTITUTE 61199 1352 47TH ST. BROOKLY N NY 11219 $ 16,250.00 TOMCHEI TORAH INSTITUTE 61400 1352 47TH ST. BROOKLYN NY 11219 $ 6,500.00 TOMCHEI YOTZEI L.A. 61171 @ RABBI GERSON BESS 438 N . DETROIT ST. LOS ANGELES CA 90036 $ 500.00 TOMCHEI YOTZEI L.A. 61339 @ RABBI GERSON BESS 438 N . DETROIT ST. LOS ANGELES CA 90036 $ 180.00 TORAH EMETH ACADEMY 61096 YESHIVA RAV ISACSOHN 540 N . LA BREA AVENUE LOS ANGELES , CA 90036 $ 250.00 TORAH EMETH ACADEMY 61198 YESHIVA RAV ISACSOHN 540 N . LA BREA AVENUE LOS ANGELES , CA 90036 $ 100.00 TORAH EMETH ACADEMY 61222 YESHIVA RAV ISACSOHN 540 N . LA BREA AVENUE LOS ANGELES, CA 90036 $ 2,500.00 TORAH EMETH ACADEMY 61351 YESHIVA RAV ISACSOHN 540 N . LA BREA AVENUE LOS ANGELES , CA 90036 $ 100,000.00 TORAH ENCOUNTERS _ 61388 32 WEST 73RD STR.#1A NEW YORK, NY. 10023-3121 $ 10,000.00 TORAH V' CHESED 61119 6407 WEST ORANGE LOS ANGELES , CA 90048 $ 500.00 TORAH V'CHESED 61413 6407 WEST ORANGE LOS ANGELES, CA 90048 $ 180.00 TORAS CHAIM 61513 99 Griggs Ave., Teaneck, NJ 07666-4129 $ 180.00 TZEDOKA F UND 61144 162 N. Alta Vista Blvd. Los Angeles , CA 90036 $ 2 ,800. 00 TZEDOKA FUND 61405 162 N. Alta Vista Blvd. Los Angeles , CA 90036 $ 1 ,800.00 TZEDOKA FUND 61475 162 N. Alta Vista Blvd. Los Angeles, CA 90036 $ 2,000.00 UNITED LUBAVITCHER YESHIVOTH 61235 1382 PRESIDENT STREET BROOKLYN NY 11213 $ 1 ,000.00 UNITED MIKVAH OF AMERICA 61514 3900 12TH AVE. BROOKLYN, NY. 11218 $ 1,800.00 VAAD HARABBANIM 60963 5203 12TH AVENUE BROOKLYN NY 11219 $ 1,000.00 VAAD L' MAAN YAHADUS 61340 P.O.BOX 480327 LOS ANGELES CA 90048-9928 $ 180.00 VALLEY TORAH HIGH SCHOOL 60994 12517 CHANDLER BLVD. VALLEY VILLAGE CA 91607 $ 250,000.00 I VALLEY TORAH HIGH SCHOOL 61135 12517 CHANDLER BLVD. VALLEY VILLAGE CA 91607 $ 100,000.00 ^ Y/ MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND END ING NOVEM BER 30, 2011 CK NUMBER Name Address Amount VALLEY TORAH HIGH SCHOOL 61218 12517 CHANDLER BLVD. VALLEY VILLAGE CA 91607 $ 50,000.00 VALLEY TORAH HIGH SCHOOL 61286 12517 CHANDLER BLVD. VALLEY VILLAGE CA 91607 $ 100,000.0() VALLEY TORAH HIGH SCHOOL 61381 12517 CHANDLER BLVD. VALLEY VILLAGE CA 91607 $ 5,000.0() VALLEY TORAH HIGH SCHOOL 61390 12517 CHANDLER BLVD. VALLEY VILLAGE CA 91607 $ 100,000.0() VALLEY TORAH HIGH SCHOOL 61477 12517 CHANDLER BLVD. VALLEY VILLAGE CA 91607 $ 75,000.0() VALLEY TORAH HIGH SCHOOL 61523 12517 CHANDLER BLVD. VALLEY VILLAGE CA 91607 $ 100,000.0() WEST C OAST FRIENDS OF SANZ MEDICAL 61458 CENTER LANIADO HOSPITAL 9171 WILSHIRE BLVD.# 600 BEVERLY HILLS, CA. 90210 $ 5,000.0() WEST COAST VA'AD HaCHESED 60999 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.0() WEST COAST VA'AD HaCHESED 61049 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.00 WEST COAST VA'AD HaCHESED 61103 1 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.0() WEST COAST VA'AD HaCHESED 6 1156 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.0() WEST COAST VA'AD HaCH ESED 61250 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.0() WEST COAST VA'AD HaCHESED 61330 1 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.0() WEST COAST VA'AD HaCHESED 61372 1 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.00 WES T COAST VA'AD HaC HESED 61391 17200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.0() WEST COAST VA'AD HaCHESED 61424 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.0(1 WEST COAST VA'AD HaCHESED 61470 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 10,000.00 WEST COAST VA'AD HaCHESED 61492 7200 BEVERLY BLVD LOS ANGELES CA 90036 $ 5,000.00 YAD ELIEZER 61034 1102 East 26th Street Brooklyn, NY 11210 $ 5,000.00 YAD ELIEZER 61172 1102 East 26th Street Brooklyn, NY 11210 _ $ 5,000.0(1 YAD ELIEZER 61341 1102 East 26th Street Brooklyn, NY 11210 $ 500.0(1 YAD L'ACHIM 61269 579 5TH AVE.STE 1420 NEW YORK NY 10164-2630 $ 180.00 YESHIVA ACHAI TMIMIM 61464 22 NEWTON AVE. WORSCTER, MA. 01602 $ 1,800.00 YESHIVA AMALAH SHEL TORAH 61068 1072 MADISON AVE. LAKEWOOD, NJ 08701 $ 500.00 YESHIVA ATERES SHMUEL OF WATERBURY 61059 47 Buckingham Street Waterbury, CT 06710 $ 5,000.00 YESHIVA BACHURIE CHEMED 61217 15 TAFT LANE SPRING VALLEY. NY 10977 $ 1,000.00 YESHIVA BACHURIE CHEMED 61270 15 TAFT LANE SPRING VALLEY. NY 10977 $ 1,500.00 YESHIVA BACHURIE CHEMED 61311 15 TAFT LANE SPRING VALLEY. NY 10977 $ 2,200.00 YESHIVA BACHURIE CHEMED 61414 15 TAFT LANE SPRING VALLEY. NY 10977 $ 2,770.00 MENLO FOUNDATION, INC DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND END ING NOVEM BER 30, 2011 - CK NUMBER Name Address Amount YESHIVA BACHURIE CHEMED 61519 15 TAFT LANE SPRING VALLEY. NY 10977 $ 2,000.00 YESHIVA BAIS MEIR 61271 330 MILLER ROAD LAKEWOOD , NJ. 08701 $ 1,000.00 YESHIVA BETH ABRAHAM OF JERUSALEM INC. 61493 73 WEST 47TH STREET NEW YORK, N.Y. 10036 $ 1,000.00 YESHIVA CHAYEI OLAM 61369 23 7TH ST. LAKEWOOD NJ 08701 $ 1,000.00 YESHIVA CHUG CHASAM SOFER MACHNE AVR 61518 48 WAS HINGTON AVE. SP RING VALLEY, NEW YORK $ 5,000.00 YESHIVA DARCH EI NOAM 61272 4 WIDMAN COURT SPRING VALLEY, NY.10977 $ 50,000.00 YESHIVA DARCHEI TORAH 61486 MESIVTA CHAIM SHLOMO 1214 HEYSON ROAD FAR ROCKAWAY, NY. 11691 $ 1,000.00 YESHIVA DERECH CHAIM 61459 P. O. BOX 180250 1573 39TH STREET BROOKLYN, NY 11218-9828 $ 18.00 YESHIVA GEDOLA ATERES MORDECHAI 61035 24600 Greendfield Road Oak Park, Michigan 48237 $ 500.00 YESHIVA GEDOLA OF BRIDGEPORT 61 452 85 ARLINGTON ST. BRIDGE PORT, CT. 06606 $ 1,800. 00 YESHIVA GEDOLA OHR HATORA 61036 25 DECATUR AVE., SPRING VALLEY, NY. 10977 $ 180.00 YESHIVA GEDOLA H 61304 77 STORMONT AVE. TORONTO, ONTARIO M5N2C3 $ 25,000.00 YESHIVA GEDOLAH OF LOS ANGELES 61214 5444 W. OLYMPIC BLVD. LOS ANGELES, CA 90036-9795 $ 25,000.00 YESHIVA GEDOLAH OF LOS ANGELES 61352 5444 W. OLYMPIC BLVD. LOS ANGELES, CA 90036-9795 $ 25,000.00 YESHIVA GEDOLAH OF LOS ANGELES 61524 5444 W. OLYMPIC BLVD . LOS ANGELES, CA 90036-9795 $ 20,000.00 YESHIVA GEDOLAH OF MIDWOOD 61326 201 AVE. F BROOKLYN NY 112 18 $ 500.00 YESHIVA GEDOLAH-ZICHRO N MOOSHE 61090 P. O. BOX 580 S. FALLSBURG, NY 12779-0580 $ 5,000.00 YESHIVA IMREI YOSEF SPINKA 61091 1462 56 ST BROOKLYN, NY 11219 $ 500.00 YESHIVA KESER DOVID 61346 C/O EISNER 10 CELLER ROAD EDISON, NJ. 08817 $ 1,000.00 YESHIVA LEV AVRAHAM 61002 C/O MICHAEL PANETH 1331 EAST 34TH STREET BROOKLYN NY 11210 $ 10,000.00 YESHIVA LEV AVRAHAM 61044 C/O MICHAEL PANETH 1331 EAST 34TH STREET BROOKLYN NY 11210 $ 25,000.00 YESHIVA LEV AVRAHAM 61152 C/O MICHAEL PANETH 1331 EAST 34TH STREET BROOKLYN NY 11210 $ 25,000.00 YESHIVA LEV AVRAHAM 61154 C/O MICHAEL PANETH 1331 EAST 34TH STREET BROOKLYN NY 11210 $ 10,000.00 YESHIVA LEV AVRAHAM 61173 C/O MICHAEL PANETH 1331 EAST 34TH STREET BROOKLYN NY 11210 $ 1,000.00 YESHIVA LEV AVRAHAM 61283 C/O MICHAEL PANETH 1331 EAST 34TH STREET BROOKLYN NY 11210 $ 7,500.00 YESHIVA LEV AVRAHAM 61308 C/O MICHAEL PANETH 1331 EAST 34TH STREET BROOKLYN NY 11210 $ 2,500.00 YESHIVA MACHZIKEI HADAS 61382 D'CHASIDEI BELZ 1601 42ND ST BROOKLYN, NY 11204 $ 1,800.00 YESHIVA MESIVTA TORAH TEMIMAH 61300 555 OCEAN PARKWAY BROOKLYN, NY. 11218 $ 7,200.00 YESHIVA NER ARYEH 61450 5425 WHITSETT AVE. VALLEY VILLAGE, CA. 91607 $ 10,000.00 6 17 MENLO FOUNDATION, INC - DETAIL FOR LINE 25, PART 1, FORM 990-PF, CONTRIBUTIONS PAID PERIOD BEGINNING DEC 1, 2010 AND ENDING NOVEMBER 30, 2011 CK NUMBER Name Address Amount YESHIVA OF BROOKLYN 61253 11200 OCEAN PKWY. BROOKLYN, NY. 11230 $ 5,000.00 YESHIVA OHEV SHALOM 61281 525 South Fairfax Avenue , Los Angeles, CA 90036 $ 180.00 YESHIVA OHR HAMEIR 61415 P. O. BOX 2130 P EEKSKILL, NY. 10566 $ 10,000.00 YESHIVA OHR HATORAH 61324 C/O RABBI A. POLLACK 5610 12TH AVE. BROOKLYN, NY. 11219 $ 1,000.00 YESHIVA OHR YISRAEL OF ATLANTA 60977 C/O RABBI MAYER NEUBERGER 1458 HOLLY LANE NE ATLANTA, GA 30329 $ 2,500.00 YESHIVA PISCHEI SHEARIM 61150 AMERICAN FRIENDS 6 FOX LANE SPRING VALLEY , NY. 10977 $ 2,500.00 YESHIVA RAV ISACSOHN 61220 540 N . LA BREA AVE . LOS ANGELES, CA 90036 $ 1,800.00 YESHIVA SHAAREI CHAIM 61023 3 SOROTZKIN STREET P.O. BOX 6597 JERUSALEM, ISRAEL $ 100.00 Y ESHIVA SHAAREI TORAH . 61466 91 WEST CARLTON ROAD SUFFERN, NY. 10901 $ 1,800.00 YESHIVA TORAH ORE 61487 3006 AVENNUE M, FLR2 BROOKLYN NY 11210 $ 500.00 YESHIVA TORAS CHAIM 61138 1555 STUART STREET P.O. BOX 40067 DENVER CO 80204-0067 $ 5,00 0.00 YESHIVA TORAS CHAIM 61301 1555 STUART STREET P.O. BOX 40067 DENVER CO 80204-0067 $ 5,000.00 YESHIVAS VIZNITZ 61196 P .O. BOX 446 20 ASHEL LANE MONSEY, NY. 10952 $ 500.00 YESH IVATH KN E SSET HEZEKIAH 6108 6 C/O RABBI AARON LEVINE 957 EAST 19TH STREET BROOKLYN, NY 11230 $ 1,800.00 YOEC 61132 7215 WARING AVENUE LOS ANGELES, CA 90046 $ 5,000.00 YOEC 61155 7215 WARING AVENUE LOS ANGELES, CA 90046 $ 250.00 YOEC 61348 72 15 WARING AVENUE LOS ANGELES, CA 90046 $ 25,000.00 YOUNG ISRAEL OF CENTURY CITY 61078 9317 WEST PICO BLVD. LOS ANGELES , CA 90035 $ 1,700.00 YULA TRUSTEES SOCIETY 61273 1619 S. ROBERTSON BOULEVARD LOS ANGELES CA 90035 $ 3,600.00 ZEH L'ZEH 61097 415 S . JUNE STREET LOS ANGELES , CA 90020 $ 1,000.00 ZICHROM AVROHOM ELIYAHU INC . 61274 944 PARK TERRACE LAKEWOOD, N.J. 08701 $ 1,800.00 ZION ORPHAN HOME FOR BOYS 61108 1572 51ST STREET BROOKLYN, NY 11219-9932 $ 100.00 $ 3,891,404.00 1 17 Application for Extension of Time To File an Form 8868 Exempt Organization Return (Rev. January 2012) OMB No 1545-1709 Department of the Treasury ► File a separate application for each return. Internal Revenue Service • If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box ...... ► • 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 filed Form 8868. Electronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for a corporation required to file Form 990-T), or an additional (not automatic) 3-month extension of time. You can electronically file Form 8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit www.irs.gov/efile and click on e-file for Charities & Nonprofits. EMNE Automatic 3-Month Extension of Time. Only submit original (no copies needed). A corporation required to file Form 990-T and requesting an automatic 6-month extension-check this box and complete Part I only ...... ► q All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns. Enter filer's identifying number, see instructions Type or Name of exempt organization or other filer, see instructions . Employer identification number (EIN) or print MENLO FOUNDATION, INC ®95-3388159 File by the Number, street, and room or suite no. If a P.O. box, see instructions. Social security number (SSN) due date for 4221 WILSHIRE BLVD #480 q filing your return. See City, town or post office, state , and ZIP code. For a foreign address , see instructions. Instructions . LOS ANGELES CA 90010 Enter the Return code for the return that this application is for (file a separate application for each return) . . . . 0 4 Application Return Application Return Is For Code Is For Code Form 990 01 Form 990-T (corporation) 07 Form 990-BL 02 Form 1041-A 08 Form 990-EZ 01 Form 4720 09 Form 990-PF 04 Form 5227 10 Form 990-T (sec. 401 a or 408(a) trust) 05 Form 6069 11 Form 9907T (trust other than above) 06 Form 8870 12 • The books are in the care of ► SAM MENLO 937-1050 FAXNo 323 937-0098 Telephone No ------q • 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 q q for the whole group, check this box . . . ► . If it is for part of the group, check this box . . . . ► and attach a list with the names and EINs of all members the extension is for. 1 I request an automatic 3-month (6 months for a corporation required to file Form 990 -T) extension of time until July 16 , 20 12 , to file the exempt organization return for the organization named above . The extension is ------for the organization ' s return for: q ► calendar year 20 or ® tax year beginning December 1 , 20 10 , and ending .November 30 , 20 11 ► ------2 If the tax year entered in line 1 is for less than 12 months , check reason : q Initial return q Final return q Change in accounting period If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter tentative tax, less any nonrefundable credits. See instructions. $ 0 b If this 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. $ 0 c balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions. $ 0.00 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 . Form 8868 (Rev 1-2012) ISA