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990 Form 990-T (Corporation) Form 4720 Form 990-BL Form 990-T (Sec

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990 Form 990-T (Corporation) Form 4720 Form 990-BL Form 990-T (Sec P^CB/\/AIERHOUS^SOPERS § PricewaterhouseCoopers LLP 1100 Bausch & Lomb Place Rochester, NY 14604 Telephone (585) 232-4000 INSTRUCTIONS FOR FILING PARK FOUNDATION, INC. FORM 990PF - RETURN OF PRIVATE FOUNDATION FOR THE PERIOD ENDED DECEMBER 31, 2009 ************************* SIGNATURE... THE ORIGINAL RETURN SHOULD BE SIGNED (USING FULL NAME AND TITLE) AND DATED BY AN AUTHORIZED OFFICER OF THE ORGANIZATION. FILING... THE SIGNED RETURN SHOULD BE FILED ON OR BEFORE NOVEMBER 15, 2010 WITH... DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CENTER OGDEN, UT 84201-0027 OVERPAYMENT OF TAX... THE RETURN SHOWS AN OVERPAYMENT OF $44,945. OF WHICH NONE SHOULD BE REFUNDED TO YOU AND $44,945. HAS BEEN APPLIED TO YOUR 2010 ESTIMATED TAX. TO DOCUMENT THE TIMELY FILING OF YOUR TAX RETURN(S), WE SUGGEST THAT YOU OBTAIN AND RETAIN PROOF OF MAILING. PROOF OF MAILING CAN BE ACCOMPLISHED BY SENDING THE TAX RETURN(S) BY REGISTERED OR CERTIFIED MAIL (METERED BY THE U.S. POSTAL SERVICE) OR THROUGH THE USE OF AN IRS APPROVED DELIVERY METHOD PROVIDED BY AN IRS DESIGNATED PRIVATE DELIVERY SERVICE. DISTRIBUTION REQUIRED: PLEASE NOTE THAT AT LEAST $ 448,471. MUST BE DISTRIBUTED BY THE FOUNDATION BY THE END OF THE FOLLOWING FISCAL YEAR IN ORDER TO AVOID ADDITIONAL TAX ON UNDISTRIBUTED 2009 INCOME. ************************* XP066 6 000 Return of Private Foundation OMB No 1545-0052 Form 990-PF or Section 4947(a)(1) Nonexempt Charitable Trust Department of the Treasury Treated as a Private Foundation Internal Revenue Service Note: The foundation may be able to use a copy of this return to satisfy state reporting requirements. 09 For calendar year 2009, or tax year beginning , 2009 and ending ,20 G Check all that apply: Initial return Initial return of a former public charity Final return Amended return Address change Name change Name of foundation A Employer identification number Use the IRS label. PARK FOUNDATION, INC. 16-6071043 Otherwise, Number and street (or p O box number if mail is not delivered to street address) Room/suite B Telephone number (see page 10 of the instructions) print or type. PO BOX 550 (607) 272-9124 See Specific City or town, state, and ZIP code C If exemption application is ^ Instructions. pending, check here D 1. Foreign organizations, check here . ^ — ITHACA, NY 14851 2. Foreign organizations meeting the 85% test, check here and attach I I H Check type of organization: |J£j Section 501(c)(3) exempt private foundation computation ^ I I Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation x E If private foundation status was terminated i 1 I Fair market value of all assets at end J Accounting methocJ : Cash Accrual under section 507(b)(1)(A), check here . • | | of year (from Part II, col. (c), line 1 1 Other (specify) F If the foundation is in a 60-month termination 16) • $ 320, 897, 293. (Part 1, column (d) miist be on cash basis.) under section 507(b)(1)(B), check here . •! | E0 m Analysis of Revenue and Expenses (The (d) Disbursements total of amounts in columns (b), (c), and (d) (a) Revenue and (b) Net investment (c) Adjusted net for charitable may not necessarily equal the amounts in expenses per income income purposes books column (a) (see page 11 of the instructions).) (cash basis only) 1 Contributions, gifts, grants, etc, received (attach schedule) . 0. *» «u i k.Pl if the foundation is not required to 2 Check •! 1 attach Sch B 3 Interest on savings and temporary cash investments 2, 936,390. 3,048,249. ATCH 1 4 Dividends and interest from securities 3,733,250. 3,733,987. ATCH 2 5 a Gross r ents b Net rent al income or (loss) Q) 6 a Net gain or (loss) from sale of assets not on line 10 -34,475,526. 3 b Gross s ales price for all 157 932, 950. > assets o n line f>a 0 7 Capital qain net income (from Part IV, line 2) . £ 8 Net short-term capital qain 9 Income modifications 10a Gross sa les less returns and allo\ b Less Cc st of goods sold . c Gross profit or (loss) (attac h schedule) 11 Other income (attach sch edule) 12 Total. Add lines 1 throuq h 11 -27,805,886. 6,782,236. 320,760 13 Compensation of officers, directors, trustees, etc 468,000. 147,240. 14 Other employee salaries and wages ..... 609,418. 115,789. 493,629 CO 185,681. 35,279. 150,402 (f) 15 Pension plans, employee benefits ...... c 16a Legal fees (attach schedu le) ATCH 3 36,000. 18,000. 0. 18,000 U. X ATCH 4 72,450. 36,225. 0. 36,225 111 b Accounting fees (attach s>chedule) 3,107,586. 3,099,501. 8,086 > c Other professional fees (i attach schedule) .*. +3 (0 17 Interest 0 (0 1 8 Taxes (attach schedule) (see page 14 of the instructions) 493,133. 52,328. C 19 Depreciation (attach schedule) and depletion. 10,410. 10,410. £ 57,988. 57,988 •u 20 Occupancy 115,975. 80,684 < 21 Travel, conferences, and meetings . .... 142,233. 55,288. £ (0 22 Printing and publications 93,043. 299,020. 46,688 £ 23 Other expenses (attach s chedule) ^TCH 7 (0 24 Total operating and administrative expenses. &- Add lines 13 through 23 5,333,929. 3,927,068. 0. 1,212,462 Q. o 25 Contributions, gifts, gran ts paid . 17,621,355. 17,719,762 18,932,224 2 6 Total expenses and disbursemerits . Add lines 24 and 25 22,955,284. 3,927,068. 0. 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements -50,761,170. b Net investment income (if negative, enter -0-) 2,855,168. c Adjustc? d net income (ifr legative, enter -0-). -0- For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions. * ATCH 5 JSA *' ATCH 6 Form 990-PF (2009) 9E141020005GTQTT 1211 11/8/2oiO 11:48:46 AM 640442 PAGE 2 Form 990-PF (2009) 16 -6071043 Page 2 •PHH _ Attached schedules and amounts in the Beginning of year End of year litHUJ BalanCG SheGtS description 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 179,713. 64,706. 64,705 2 Savings and temporary cash investments 39,624,640. 21,023,128. 21,023,128 3 Accounts receivable • 8 7 6,708. Less: allowance for doubtful accounts • 687,903. 876,708. 876,708 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 page 16 of the instructions) 7 Other notes and loans receivable (attach schedule) • Less: allowance for doubtful accounts • 0) 8 Inventories for sale or use 0) 25,724. 29,158. 29,158 (0 9 Prepaid expenses and deferred charges (0 < 10a Investments - U.S. and state government obligations (attach schedule) . b Investments - corporate stock (attach schedule) ATCH § 194,935,136. 246,824,888. 246,824,888 c Investments - corporate bonds (attach schedule) 11 Investments - land, buildings, ^. and equipment, basis ^ Less: accumulated depreciation ^ (attach schedule) 12 Investments - mortgage loans 13 Investments - other (attach schedule) . 14 Land, buildings, and ^ no /in equipment: basis w _Z_L_I_1 Less: accumulated depreciation ^ 115 0 98 16,777. 17,345. 17,345 (attach schedule) ' 15 Other assets (describe • ATCH 9 ) 39,268,463. 52,061,360. 52,061,361 16 Total assets (to be completed by all filers - see the instructions. Also, seepage 1, item I) 274,738,356. 320,897,293. 320,897,293 17 Accounts payable and accrued expenses 481,445. 522,294. 18 Grants payable 17,251,437. 17,153,030. 0) 19 Deferred revenue +3 20 Loans from officers, directors, trustees, and other disqualified persons (0 21 Mortgages and other notes payable (attach schedule) J 22 Other liabilities (describe •AT.CH JLQ. ) 36,527,053. 57,236,517. 23 Total liabilities (add lines 17 through 22) 54,259,935. 74,911,841. Foundations that follow SFAS 117, check here • x and complete lines 24 through 26 and lines 30 and 31. 0) 245,985,452. <D 24 Unrestricted 220,478,421. C 05 25 Temporarily restricted (0 m 26 Permanently restricted c Foundations that do not follow SFAS 117, 3 check here and complete lines 27 through 31. • | | u_ 27 Capital stock, trust principal, or current funds (0 o 28 Paid-in or capital surplus, or land, bldg., and equipment fund (0 29 Retained earnings, accumulated income, endowment, or other funds . < 30 Total net assets or fund balances (see page 17 of the z instructions) 220,478,421. 245,985,452. 31 Total liabilities and net assets/fund balances (see page 17 of the instructions) 274,738,356. 320,897,293. E qillll Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) 1 220,478,421 2 Enter amount from Part I, line 27a 2 -50,761,170 3 Other increases not included in line 2 (itemize) ^ ATTACHMENT 11 3 76,268,201 4 Add lines 1, 2, and 3 4 245,985,452 5 Decreases not included in line 2 (itemize) ^ 5 6 Total net assets or fund balances at end of year (line 4 minus ine 5) - Part II, column (b ), line 30 6 245,985,452 Form 990-PF (2009) JSA 9E1420 1 000 5GT0TT 1211 11/8/2010 11:48:46 AM 640442 PAGE 3 Form 990-PF (2009) 16-6071043 Page 3 M'jtTiMvm Capital Gains and Losses for Tax on Investment Income (b) How (c) Date (a) List and describe the kind(s) of property sold (e g , real estate, acquired (d) Date sold P-Purchase acquired (mo , day, yr) 2-story brick warehouse, or common stock, 200 shs MLC Co) D-Donation (mo , day, yr) 1a SEE PART IV SCHEDULE b c d e (g) Cost or other basis (e) Gross sales price (f) Depreciation allowed (h) Gain or (loss) (or allowable) plus expense of sale (e) plus (f) minus (g) a b c d e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (1) Gains (Col (h) gain minus (j) Adjusted basis col (k), but not less than -0-) or (i)FMV as of 12/31/69 (k) Excess of col (i) as of 12/31/69 over col 0).
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