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Return of Private Foundation 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).
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