EXTENSION GRANTED UNTIL OCTOBER 15,2011 Return of Private Foundation OMB No 1545-0052 Form 990-PF a or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Department of the Treasury 2009 Internal Revenue Service Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements. For calendar year 2009, or tax year beginning DEC 1, 200 9 , and ending NOV 30, 2010 G Check all that apply: Initial return 0 Initial return of a former public charity LJ Final return n Amended return n Address chance n Name chance of foundation A Employer identification number Use the IRS Name label Otherwise , ROSSMAN FAMILY FOUNDATION 11-2994863 print Number and street (or P O box number if mad is not delivered to street address) Room/suite B Telephone number ortype. 1461 53RD STREET ( 718 ) -369-2200 See Specific City or town, state, and ZIP code C If exem p tion app lication is p endin g , check here 10-E] Instructions 0 1 BROOKLYN , NY 11219 Foreign organizations, check here ► 2. Foreign aanizations meeting % test, H Check type of organization. ®Section 501(c)(3) exempt private foundation chec here nd att ch comp t atiooe5 Section 4947(a )( nonexem pt charitable trust 0 Other taxable private foundation 1 ) E If p rivate foundation status was terminated I Fair market value of all assets at end of year J Accounting method: ® Cash 0 Accrual under section 507(b)(1)(A), check here (from Part Il, co! (c), line 16) 0 Other (specify) F If the foundation is in a 60-month terminatio n $ 3 , 333 , 88 0 . (Part 1, column (d) must be on cash basis) under section 507( b )( 1 B), check here Part I Analysis of Revenue and Expenses (a) Revenue and (b) Net investment (c) Adjusted net (d) Disbursements (The total of amounts in columns (b), (c), and (d) may not for charitable purposes necessarily equal the amounts in column (a)) ex penses p er books income income (cash basis only) I Contributions, gifts, grants, etc., received N / A

2 Check ► ® If the foundation is not required to aflach Sch B Interest on savings and temporary 3 cash investments 4 Dividends and interest from securities 1 , 836. 1 , 836. S tatement 1 5a Gross rents

b Net rental income or (loss)

J 6a Net gain or (loss ) from sale of assets not on line 10 Gross sales price for all C b assets on line 8a y 7 Capital gain net income (from Part IV, line 2) 0. cc 8 Net short-term capital gain 9 Income modifications Gross sales less returns 1oa and allowances

b Less Cost of goods sold c Gross profit or (loss) 11 Other income VI) 12 Total. Add lines 1 throu g h 11 1 , 836. 1 , 836. 13 Compensa tion of officeryd irectorstrusteesetc 0. 0. 0. 14 0 i em ei 15 P nsi n p ens, emp oyee enJ U) fees 16a L oaF a b Ac;6^'WAUB 2 W c Other rofesslonalfees 17 Inrest ®G® N V 18 Taxes 19 Depreciation and depletion 20 Occupancy a 21 Travel, conferences, and meetings r- 22 Printing and publications 0 23 Other expenses Stmt 2 389. 0. 389. 24 Total operating and administrative expenses Add lines 13 through 23 389. 0 . 389. 0 25 Contributions, gifts, grants paid 457 , 348. 457 , 348. 26 Total expenses and disbursements Add lines 24 and 25 457 737. 0. 457 737. 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements -455 , 901. b Net investment income (if negative, enter -0-) 1 , 836. c Adjusted net income (if negative, enter -0-) N / A 1^ 02-02-'1o LHA For Privacy Act and Paperwork Reduction Act Notice, see the instructions Form 990-PF (2009) 1 '® 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 'Form 990:PF (26091 nV nCCMAN t+ AMTT.V FnTTNT1ATTON 11-2994R93 Paoe2

andamounts Inthedescriphon Beginning of year End of year Part ll Balance Sheets A..chedschedules column should be for end-0I-year amounts only (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-Interest-bearing 561 , 313. 373 , 576. 373 , 576. 2 Savings and temporary cash investments 3 , 116 , 468. 2 , 018 , 304. 2 , 018 , 304. 3 Accounts receivable ► 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

7 Other notes and loans receivable ► Less: allowance for doubtful accounts ► 8 Inventories for sale or use 9 Prepaid expenses and deferred charges 10a Investments - U.S. and state government obligations b Investments - corporate stock c Investments - corporate bonds

11 Investments • land. buildings. and equipment basis ► Less accumulated depreciation ► 12 Investments - mortgage loans 13 Investments - other $tmt 3 112 000. 442 000. 442 000. 14 Land, buildings, and equipment: basis ► Less accumulated depreciation ► 15 Other assets (describe 0- Statement 4 ) 0. 500 000. 500 000.

16 Total assets to be com p leted by all filers 3 , 789 , 781. 3 333 , 880. 3 333 , 880. 17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue 20 Loans from officers, directors , trustees , and other disqualified persons ro 21 Mortgages and other notes payable _' 22 Other liabilities (describe ►

23 Total liabilities ( add lines 17 throw h 22 ) 0. 0. Foundations that follow SFAS 117, check here ► 0 and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted m 25 Temporarily restricted co 26 Permanently restricted C Foundations that do not follow SFAS 117, check here ► and complete lines 27 through 31. 27 Capital stock, trust principal, or current funds 3 , 789 , 781. 3 , 333 , 880. 28 Paid-in or capital surplus, or land, bldg., and equipment fund 0. 0. a 29 Retained earnings, accumulated income, endowment, or other funds 0. 0. 30 Total net assets or fund balances 3 , 789 , 781. 3 , 33-3 , 880.

31 Total liabilities and net assets/fund balances 3 , 789 , 781. 3 , 333 , 880. PartIII 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 3,789, 781 2 Enter amount from Part I, line 27a 2 -455 , 901 . 3 Other increases not included in line 2 (itemize) ► 3 0 4 Add lines 1, 2, and 3 4 3 333 , 880 . 5 Decreases not included in line 2 (itemize) ► 5 0 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 6 3 , 3 3 3, 8 8 0 Form 990-PF (2009) 923511 02-02-10 2 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 'Form 990•PF (2009) GROS SMAN FAMILY FOUNDATION 11-2994863 Page 3 Part,IV Capital Gains and Losses for Tax on I nvestment Income (b How acquired ()a List and describe the kinds() of P roP ertY sold (e.g., real estate, ()c Date ac q (d) Date sold Purchase (mo., yr.) 2-story brick warehouse; or common stock, 200 shs. MLC Co.) D - Donation Imo., day, yr.) day, la b NONE c d e Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (e) Gross sales price (f) (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 (I) Gains (Col. (h) gain minus (j) Adjusted basis (k) Excess of col. (i) col. (k), but not less than -0-) or Losses (from col. (h)) (i) F.M.V. as of 12/31/69 as of 12/31/69 over col (j), if any a b c d e If gain, also enter in Part I, line 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). If loss enter -0- in Part I line 8 3 Part V I 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? El Yes ® No If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part. 1 Enter the appropriate amount in each co lumn for each year; see instructions before making any entries.

Base periiod years Distnbutdion ratio Calendar ear or tax year be g inning m Ad justed qualify( in g distributions Net value of noncha)ntable use assets (col ( b) divided by col (c)) 2008 325 390. 3 , 838 , 423. .084772 2007 335 292. 3 , 598 , 344. .093180 2006 857 602. 3 , 161 , 088. .271300 2005 297 624. 2 , 176 , 306. .136757 2004 229 497. 1 , 761 , 177. .130309

2 Total of line 1, column (d) 2 .716318 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 . 143264

4 Enter the net value of noncharitable - use assets for 2009 from Part X, line 5 4 3 , 699 , 493.

5 Multiply line 4 by line 3 5 530 , 004.

6 Enter 1 % of net investment income (1% of Part I , line 27b) 6 18.

7 Add lines 5 and 6 7 530 , 022.

8 Enter qualifying distributions from Part XI I, line 4 8 457 , 737. If line 8 is equal to or greater than line 7, check the box in Part VI , line 1b, and complete that part using a 1% tax rate. See the Part VI instructions. 923S21 02-02 -10 Form 990-PF (2009) 3 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 • Form 990-PF (2009) GROSSMAN FAMILY FOUNDATION 11-2994863 Page 4 Part VI Excise Tax Based on In vestment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions) 1a 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 instructions) 37. b Domestic foundations that meet the section 4940(e) requirements in Part V, check here ► and enter 1% 1 of Part I, line 27b c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b) 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0. 3 Add lines 1 and 2 3 37. 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0. 5 Tax based on investment income . Subtract line 4 from line 3. If zero or less, enter -0- 5 37. 6 Credits/Payments: a 2009 estimated tax payments and 2008 overpayment credited to 2009 6a 1 , 429. b Exempt foreign organizations - tax withheld at source 6b c Tax paid with application for extension of time to file (Form 8868) 6c d Backup withholding erroneously withheld 6d 7 Total credits and payments Add lines 6a through 6d 7 1 , 429. 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 10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10 1 , 392. 11 Enter the amount of line 10 to be: Credited to 2010 estimated tax 00, 1 3 9 2 . Refunded 10, . 11 0. PartVII-A Statements Regardin g Activities la During the tax year , did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yes No any political campaign? la X b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? lb X If the answer is "Yes" to 1 a 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: foundation managers. No- $ 0. (1) On the foundation. ► $ 0 . (2) On e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation managers. ► $ 0. 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 3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes 3 X 4a Did the foundation have unrelated business gross income of $1,000 or more during the years 4a X b If "Yes," has it filed a tax return on Form 990-T for this year? N/A 4b 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 years 7 X If "Yes," complete Part ll, col (c), and Part XV 8a Enter the states to which the foundation reports or with which it is registered (see 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 G2 If 'No," attach explanation X 9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(I)(3) or 4942(j)(5) for calendar year 2009 or the taxable year beginning in 2009 (see instructions for Part XIV)? If "Yes, " complete Part XIV 91 IX A M.1 .,...... err...... hnrnme cuhet nfol rnntnhutnrc rlnnnn the, thy va2r9 .. •...__ • _..,.-^ ,. ....^...a..i., i...... w ...... a ..aa.-....-.. Form 990-PF (2009)

923531 02-02-10 4 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 • Form 99b-PF (2009) GROSSMAN FAMILY FOUNDATION 11-2994863 Page 5 Part VII -A Statements Reaardina 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 12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 20069 12 13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 Website address ► N/A 14 The books are m care of ► ORGANIZATI ON Telephone no. No- ( 718 ) - 36 9 - 2 2 0 0 ZIP+4 Located at ► 14 61 53RD ST, BROOKLYN, NY 1P, 11219 15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here ► EJ and enter the amount of tax-exemut interest received or accrued during the year ► 1 15 I N/A Part VII - B Statements Regarding Activities for Which Form 4720 May Be Required File Form 4720 if any item is checked in the "Yes" column , unless an exception applies. Yes No la During the year did the foundation ( either directly or indirectly): (1) Engage in the sale or exchange , or leasing of property with a disqualified person? Yes ® No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? Yes ® No (3) Furnish goods, services , or facilities to ( or accept them from) a disqualified person? Yes No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? 0 Yes ® 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 )? Yes ® No (6) Agree to pay money or property to a government officials (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 fail to qualify under the exceptions described in Regulations section 53.4941( d)-3 or in a current notice regarding disaster assistance ( see page 20 of the instructions)? N/A Organizations relying on a current notice regarding disaster assistance check here ► 0 c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected before the first day of the tax year beginning in 2009? Taxes on failure to distribute income ( section 4942 ) ( does not apply for years the foundation was a private operating foundation defined in section 4942( j)(3) or 4942 ( j)(5)): a At the end of tax year 2009, did the foundation have any undistributed income ( lines 6d and 6e, Part XIII ) for tax year ( s) beginning before 2009? 0 Yes No If "Yes,' list the years ► b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942 (a)(2) (relating to incorrect valuation of assets ) to the year's undistributed income? ( If applying section 4942( a)(2) to all years listed, answer "No" and attach statement - see instructions.) N/A c If the provisions of section 4942 ( a)(2) are being applied to any of the years listed in 2a, list the years here.

3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? Yes ® No b If "Yes ," did it have excess business holdings in 2009 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 2009) N/A 4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? b Did the foundation make any investment in a prior year ( but after December 31, 1969 ) that could jeopardize its charitable purpose that had not been removed from ieonardv before the first day of the tax year beainnina in 2009? Form 990-PF (2009)

923541 02-02.10 5 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 FAMILY F Form 4720 May Be Required 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))? 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 No (3) Provide a grant to an individual for travel, study, or other similar purposes? 0 Yes ® No (4) Provide a grant to an organization other than a charitable, etc., organization described in section 509(a )( 1), (2), or (3), or section 4940(d)(2)? Yes ® No (5) Provide for any purpose other than religious, charitable , scientific , literary, or educational purposes, or for the prevention of cruelty to children or animals? Yes ® No b It any answer is "Yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations section 53.4945 or in a current notice regarding disaster assistance ( see instructions )? N/A 5b Organizations relying on a current notice regarding disaster assistance check here ► 0 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? N/A Yes 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 ® 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? 0 Yes ® No b If yes , did the foundation receive any p roceeds or have an y net income attributable to the transaction? N / A 7b Information About Officers , Directors , Trustees, Foundation Managers, Highly Parta VIII Paid Employees, and Contractors 1 List all officers. directors. trustees. foundation manaaers and their compensation. (b) Title, and average (c) Compensation (d?Contributionsto (e)Expense tans (a) Name and address hours per week devoted ( If not paid , ° p anddeterred account, other to position enter - 0 compensation allowances MARTON B. GROSSMAN PRESIDENT 1461 - 53RD ST. BROOKLYN , NY 11219 2.00 0. 0. 0. SHEILA GROSSMAN ICE PRESIDE 1461 - 53RD ST. BROOKLYN , NY 11219 1.00 0. 0. 0. ISAAC GROSSMAN SECRETARY 1461 - 53RD ST. BROOKLYN , NY 11219 1.00 0. 0. 0.

2 Gomoensatlon of five hiahest-Daid emolovees (other than those included on line 1). If none. enter "NONE." (b) Title, and average (d) Contributions to (e)Expense emp andsdeetterrre plans (a) Name and address of each employee paid more than $50,000 hours per week (c) Compensation and reed account, other devoted to position compensation allowances NONE

Total number of other employees paid over $50,000 ► 1 0 Form 990-PF (2009)

923551 02-02-10 6 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 • Form 991j,-PF (2009) GROSSMAN FAMILY FOUNDATION 11-2994863 Page 7 Information About Officers , Directors , Trustees , Foundation Managers, Highly Part'viii Paid Employees, and Contractors (continued) 3 Five highest-paid independent contractors for professional services . If none , enter "NONE." (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation NONE

Total number of others receivin g over $50,000 for professional services ► 0 Part IX-A Summary of Direct Charitable Activities List the foundation's four largest direct charitable activities during the tax year. Include relevant statistical information such as the Expenses number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. 1 N A

2

3

4

Part IX-B I Summary of Program-Related Investments Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2 Amount 1 N / A

2

All other program-related investments. See instructions. 3

Total. Add lines 1 through 3 ► 0. Form 990-PF (2009)

923581 02-02-10

12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 'Form 990.PF (2009) GROSSMAN FAMILY FOUNDATION 11-2994863 Page 8 Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions)

1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes: a Average monthly fair market value of securities la 221 , 000 . b Average of monthly cash balances 1b 3 034 , 830 . c Fair market value of all other assets 1c 500 , 000 . d Total (add lines la, b, and c) td 3 755 , 830 . e Reduction claimed for blockage or other factors reported on lines la and 1c (attach detailed explanation) 1e 0. 2 Acquisition indebtedness applicable to line 1 assets 2 0 . 3 Subtract line 2 from line 1d 3 3 , 755 , 830 . 4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) 4 56 , 337 . 5 Net value of noncharitable - use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4 5 3 , 699 , 493 . 6 Minimum investment return Enter 5% of line 5 6 184 , 975 . Distributable Amount (see instructions) (Section 4942(l)(3) and (1)(5) private operating foundations and certain Part XI part.) foreign organizations check here ► = and do not complete this 1 Minimum investment return from Part X, line 6 1 184 , 975. 2a Tax on investment income for 2009 from Part VI, line 5 2a 37. b Income tax for 2009 (This does not include the tax from Part VI.) 2b c Add lines 2a and 2b 2c 37 . 3 Distributable amount before adjustments. Subtract line 2c from line 1 3 184 , 938 . 4 Recoveries of amounts treated as qualifying distributions 0 . 5 Add lines 3 and 4 5 184 , 938 . 6 Deduction from distributable amount (see instructions) 6 0 . 7 Distributable amount as ad usted. Subtract line 6 from line 5. Enter here and on Part XIII , line 1 7 184 , 938 . Part XII Qualifying Distributions (see instructions)

1 Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes: a Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26 la 457 , 737. b Program-related investments - total from Part IX-B lb 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 la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 4 457 , 737. 5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income. Enter 1% of Part I, line 27b 5 0. 6 Adjusted qualifying distributions Subtract line 5 from line 4 6 457 , 737. Note. The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation q ualifies for the section 4940(e) reduction of tax in those years. Form 990-PF (2009)

923571 02-02-10 8 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 Form 990-PF'(2009) GROSSMAN FAMILY FOUNDATION 11-2994863 Page 9 Pact XIII Undistributed Income (see instructions)

(a) (b) (c) (d) Corpus Years prior to 2008 2008 2009 1 Distributable amount for 2009 from Part XI, line 7 184 938. 2 Undistributed income , if any, as of the end of 2009 a Enter amount for 2008 only 0. b Total for prior years: 0. 3 Excess distributions carryover , it any, to 2009: a From 2004 141 , 746. bFrom2005 189 , 396. c From 2006 702 , 164. dFrom2007 163 , 042. e From 2008 133 , 957. f Total of lines 3a through e 1 , 330 , 305. 4 Qualifying distributions for 2009 from Part XI I, line 4: 00, $ 457,737. a Appl ied to 2008, but not more than line 2a 0. b Applied to undistributed income of prior years ( Election required - see instructions) 0. c Treated as distributions out of corpus (Election required - see instructions) 0. d Applied to 2009 distributable amount 184 938. e Remaining amount distributed out of corpus 272 799.

5 Excess distributions carryover applied to 2009 0. 0. (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 1 , 603 , 104. b Prior years' undistributed income. Subtract line 4b from line 2b 0. c Enter the amount of prior years' undistributed income for which a notice of deficiency has been issued , or on which the section 4942( a) tax has been previously assessed 0. d Subtract line 6c from line 6b. Taxable amount - see instructions 0. e Undistributed income for 2008. Subtract line 4a from line 2a . Taxable amount - see instr. 0. f Undistributed income for 2009. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2010 0. 7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F ) or 4942(g)(3) 0. 8 Excess distributions carryover from 2004 not applied on line 5 or line 7 141 746. 9 Excess distributions carryover to 2010 Subtract lines 7 and 8 from line 6a 1 , 461 , 358. 10 Analysis of line 9: a Excess from 2005 189 , 396. b Excess from 2006 702 , 164. c Excess from 2007 163 , 042. d Excess from 2008 133,957.

Form 990-PF (2009) 923581 02-02-10 9 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 'Form 990•PF 10 Part XIV I Private Operating 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 2009, enter the date of the ruling 100. b Check box to indicate whether the foundation is a p rivate o eratm foundation described in section 4942(1)( 3) or L J 4942(j)(5) 2 a Enter the lesser of the adjusted net Tax year Prior 3 years income from Part I or the minimum (a) 2009 (b) 2008 (c) 2007 (d) 2006 (e) Total investment return from Part X for each year listed b 85% of line 2a c Qualifying distributions from Part XII, line 4 for each year listed d Amounts included in line 2c not used directly for active conduct of exempt activities e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c 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( f)(3)(B)() 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( f)(3)(B)(in) (3) Largest amount of support from an exempt organization ( 4) Gross investment income Part XV Supplementary Information (Complete this part only if the foundation had $5.000 or more in assets at any time during the year-see the instructions.) 1 Information Regarding Foundation Managers: a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).) None 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 entry) of which the foundation has a 10% or greater interest. None 2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs Check here ► ® 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:

923601 02-02-10 Form 990-PF (2009) 10 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 Form 9^0-PF (2009) OR r G.MAN FAMILY FOTTNDATI ON 11-2994863 Page 11

3 Grants and Contributions Paid Durin the Year or Approved for Future Pa ment Recipient If recipient is an individual, show any relationship to Foundation Purpose of grant or any foundation manager status of contribution Amount Name and address (home or business ) or substantial contributor recipient a Paid during the year SCHEDULE ATTACHED /A LL PUBLIC OR GENERAL OPERATING 457,348. HARITIES EEDS OF RECIPIENT RGANIZATIO

Total ► 3a 457 , 348. b Approved for future payment

None

Total ► 3b 1 0. 923811 02 -02-10 Form 990-PF (2009) 11 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 'Form 990-PF (2009) GROSSMAN FAMILY FOUNDATION 11-2994863 Page 12 PartXVI-A Analysis of Income- Producing Activities Excluded section Enter gross amounts unless otherwise indicated. Unrelated business income by 512 , 513, or 514 (e) (a) (b) ExCc„- (d) Related or exempt Business Amount Sion Amount function income 1 Program service revenue: code 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 1,836. 5 Net rental income or (loss) from real estate: 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) 0.. 1 , 836. 0. 13 Total . Add line 12, columns ( b), (d), and (e) 13 1,836. (See worksheet in line 13 instructions to verify calculations.) Part XVI - B Relationship of Activities to the Accomplishment of Exempt Purposes

02.02-10 runic ^w-r 1 tcuud/ 12 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 -Form 990•PF 2009 GROSSMAN FAMILY FOUNDATION 11-2994863 Page 13 Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organ izations Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of Yes No the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? Transfers from the reporting foundation to a nonchardable exempt organization of: (1) Cash 180 ) X (2) Other assets la ( 2) X Other transactions: (1) Sales of assets to a noncharitable exempt organization 1b 1 X (2) Purchases of assets from a nonchardable exempt organization lb ( 2) X (3) Rental of facilities, equipment, or other assets lb( 3) X (4) Reimbursement arrangements lb ( 4) X (5) Loans or loan guarantees lb ( 5) X (6) Performance of services or membership or fundraising solicitations lb ( 6) X Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1c X If the answer to any of the above is 'Yes,' complete the following schedule. Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, show in

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 OX No b If "Yes," complete the following schedule. (a) Name of organization (b) Type of organization (c) Description of relationship N / A

Under penalties of perjury , I declare that I have examined this return , including accompanying schedules and statements, and to the best of my knowledge and belief , it is true, correct, and complete Dec atron of pr arer (other than tax yer or fidua ) is based on all information of which preparer has any knowledge r

d4 ' Signature of officer or trustee = Preparer's o signature / S OELBAUM CPA

nrm'sname lotyours RSCH OELBAUM BRAM HAN aQ el" a0) V) If self-employed), 111T BROADWAY SUITE 70 address, and ZIPcode NEW YORK , NY 10006

923822 02-02-10

12340801 grossmanfdtn GROSSMAN FAMILY FOUNDATION 11-2994863

Form 990-PF Dividends and Interest from Securities Statement 1

Capital Gains Column (A) Source Gross Amount Dividends Amount

VISTA GOVERMENT MONEY MARKET FUND 1,836. 0. 1,836.

Total to Fm 990-PF, Part I, In 4 1,836. 0. 1,836.

Form 990-PF Other Expenses Statement 2

(a) (b) (c) (d) Expenses Net Invest- Adjusted Charitable Description Per Books ment Income Net Income Purposes

STATE FILING FEES 250. 0. 250. DUES & SUBSCRIPTIONS 139. 0. 139.

To Form 990-PF, Pg 1, In 23 389. 0. 389.

Form 990-PF Other Investments Statement 3

Valuation Fair Market Description Method Book Value Value

US LIFE INSURANCE COST 442,000. 442,000.

Total to Form 990-PF, Part II, line 13 442,000. 442,000.

Form 990-PF Other Assets Statement 4

Beginning of End of Year Fair Market Description Yr Book Value Book Value Value

DEPOSIT ON REAL ESTATE INVESTMENT 0. 500,000. 500,000.

To Form 990-PF, Part II, line 15 0. 500,000. 500,000.

14 Statement(s) 1, 2, 3, 4 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21 12:37 PM ' GROSSMAN FAMILY FOUNDATION 08101/11 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Grants and Allo Yitty Liebel Chesed Fund 50 00 Rivkah Laufer Bikur Cholim 100 00 Ladies League Yesh Chasan Sofe 100 00 Satmar Bikur Cholim 100 00 Cong Yetev Lev 25 00 P'eylim Lev Lachim 50 00 Cong Dvar Moshe 500 00 Cong Chakal Yitzchok 1,00000 Cong Sheant Yisroel 50 00 Yeshiva Gedolah of Five Towns 180 00 Bikur Cholim of Boro Park 180 00 Kollel Shomrei Hachomos RMBH 180 00 Kollel Williamsburg 36 00 Friends of Torah Institutions of Israel 25 00 Lekovod Shabbos 25 00 Noam Shabbos 25 00 The Aleh Foundation 50 00 Cong Khal Yirei Hashem 360 00 Mesifta Ohr Torah 36 00 Kolel Avreichim Dsatmar 100 00 Cong Chakal Yitzchok 2,270 00 Yeshiva Imrei Yosef of Spinka 1,00000 Kolel Yakov Yosef 2,000 00 Tomer Dvora School 50 00 Cong Shearith Israel 250 00 Cong Rav Chesed 25 00 Tzedaka Vochesed 25 00 Yeshiva Torah Temimah 18 00 Tomchai Torah 3,000 00 Ahavas Chavarim 25 00 Rav Chesed 25 00 Bais Chana 25 00 Rav Chesed 25 00 Yeshiva Chasan Sofer 50 00 Haichal Avrohom 25 00 Tzedaka Vochesed 36 00 Rav Chesed 25 00 Nezer Shraga 50 00 Tzedaka Vochesed 36 00 Ahavas Tzedaka Vchesed 36 00 Rav Chesed 25 00 Gomlei chesed 25 00 Zichron Mordechai 25 00 Bais Chuna 25 00 Zichron Shlomo Refuah Fund 180 00 Kossiner Bikur Cholim 250 00 Nshei Yeshivas Vyolipol 100 00 Zichron Simcha Trust 100 00 Yeshivas Mir 1, 500 00 Yeshiva Mishkan Hatorah 1,500 00 Beth Jacob Day School 1,00000 Kupas Lelov 25 00 Rav Chesed 25 00 Bais Aharon 25 00 Keren Hatora 25 00 Chazon Avrohom 25 00 Machon Lhorah 25 00 Kdushas Simcha 25 00 Heichal Avrohom 25 00 Bais Moshe 25 00 Zichron Shlomo 25 00 Cong Sar Shalom 25 00 Yeshiva Torah Temimah 1,000 00 Yeshiva Torah Vodaath 1,000 00 Mosdos Spinka 1,00000 Ohr Meir Foundation 180 00 Yeshiva Pardes Yosef 10,000 00

Page 1 12:37 PM GROSSMAN FAMILY FOUNDATION 08/01/;, Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Tomchai Torah 3,00000 Vaad Hachnosas Orchim 180 00 Mesoros Bais Yaakov 2,500 00 Tiferet Mordechi Shlomo 25 00 Machon Shitnt 25 00 Toldos Aharon 25 00 Heichel Yitzchok 100 00 Tov L'Kol 25 00 Bais Chana 25 00 Ozer Dalim 25 00 Chasdei Avot 36 00 Cong Heichel Hatorah 25 00 Tiferes Achaim 50 00 Tzedaka Vochesed 18 00 Geffen 25 00 Ozer Dalim 25 00 Williamsburg Keren Chasanim 25 00 Yeshiva Medrash Chaim 1,800 00 Cong Toras Chaim 2,500 00 Cong Sar Shalom 25 00 Tzedaka Vochesed 25 00 Cong Yad Aharon 25 00 Ozer Dalim 25 00 Bais Chuna 25 00 Cong Beinch Moshe 25 00 Kupas Lelov 25 00 Cong Yetev Lev 25 00 Bais Mordechai 25 00 Cong Kletzkin 18 00 Bais Ulpano Drabeinu Yochanan 50 00 Cong Bais Yeshaya 25 00 Tzedaka Vochesed 25 00 Rav Chesed 25 00 Bais Chuna 25 00 Cong Nachlas Yitzchok 500 00 Cong M Kohn 25 00 Cong Matunas Ohel 25 00 Podeh Umatzil 25 00 A Stahl Foundation 25 00 A Stahl Foundation 25 00 Cong Reahim Ahuvim 25 00 Tzedaka Matnas Chinum 25 00 Matan Besaser 25 00 Keren Yitzchok 25 00 Mosdos Chasidei Square 25 00 SMA 25 00 Chasdei Reaim 25 00 Cong Melech 25 00 Cong Ahavas Yitzchok 25 00 Cong Toldos Yitzchok 180 00 Yeshiva Yagdil Torah 300 00 Yeshiva Chasan Sofer 5,000 00 Cong Sar Shalom 18 00 Mesivta & Kollel Boyan 25 00 Cong Bais Avrohom D'Krula 180 00 Cong Beth Rochel 25 00 Cong Tfilah LMoshe 25 00 Cong Sheant Yisroel 1,255 00 Cong Bais Avrohom 25 00 Ozer Dalim 25 00 Cong Chasdei Shlomo 180 00 Cong Bobov 25 00 Braun 25 00 Ozer Dalim 18 00 Machzikei Hadaas 25 00 Bais David 25 00 Cong Ahavat Achim 25 00 Ezras Cholim 25 00

Page 2 12:37 PM GROSSMAN FAMILY FOUNDATION 08/01111 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Tzedaka Vochesed 25 00 A Stahl Foundation 25 00 Cong Anshei Tiferes 25 00 Tzedaka Vochesed 25 00 Mosdos Bobov 36 00 Cong Atzei Chaim 25 00 Bikur Cholim Bnos Chaytl 25 00 Bais Yeshaya 36 00 Rav Chesed 36 00 Tiferes Achaim 25 00 Yad Chana 25 00 Cong Sar Shalom 25 00 Meysed Oyzer Dalim 25 00 Meysed Oyzer Dalim 18 00 Cong Sar Shalom 25 00 Zichron Meir Leib 25 00 Meysed Oyzer Dalim 18 00 Mifal Torah Vodaath 18 00 Kolel Avreichim Torah Vyirah 18 00 Talmudical Yeshiva Of Philad 5,000 00 Beer Hagolah Institute 180 00 Cong Tzemach Tzadik 25 00 Cong Mosdos Botoshan 25 00 Cong Nachlas Moshe 25 00 Ozer Dalim 18 00 Toras Chesed 25 00 Mosdos Shopron 100 00 Yeshiva Toras Chaim 36 00 Keren Hatora 36 00 Yeshiva Ohr Moleh Koson 100 00 Cong Sheant Yisroel 50 00 Kollel Kehilat Yaakov 100 00 Yeshiva Bais Abraham 1,000 00 Cong Panim Meiroth 250 00 Heichel Avrohom Elimelech 36 00 A Landau 25 00 Bais Chuna 25 00 Cong Sar Shalom 25 00 Cong Sar Shalom 25 00 Cong Sar Shalom 25 00 Meysed Oyzer Dalim 25 00 Cong Ziditshoiv 25 00 Cong Mosdos Slonim 50 00 Cong Mosdos Slonim 25 00 Cong Mosdos Slonim 25 00 Cong Sar Shalom 25.00 Cong Mosdos Slonim 25 00 Cong Mosdos Slonim 25 00 EOM 2500 A Stahl Foundation 36 00 Cong Shearit Yisroel 9,000 00 Tzedaka Vochesed 18 00 Bais Chuna 25 00 Bais Chuna 25 00 Bais Chuna 25 00 Cong TSK 25 00 Ozer Dalim 25 00 Ozer Dalim 18 00 Chasdei Yisroel 25 00 Mesemaich Lev 25 00 Tov Verachem 25 00 Zichron Aron 25 00 Zichron David 25 00 Cong TSK 25 00 Orchas Chaim 25 00 A Stahl Foundation 25 00 Cong Sar Shalom 25 00 Mosdos Torah Veyirah 36 00

Page 3 12:37 PM GROSSMAN FAMILY FOUNDATION 08/01/11 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount

Bais Chuna 18 00 Tomchei Torah 3,000 00 Meysed Oyzer Dalim 25 00 Cong Sar Shalom 25 00 Cong Sar Shalom 25 00 Meysed Oyzer Dalim 25 00 Meysed Oyzer Dalim 25 00 Cong Sar Shalom 36 00 Tzedaka Vochesed 25 00 Cong Sar Shalom 25 00 Cong Sar Shalom 25 00 EOM 2500 Gmach Tomchei Torah 25 00 Cong Yisroel Vehazmanim 25 00 Yad Batya L'Kallah 180 00 Cong Sar Shalom 25 00 Cong Sheant Yisroel 250 00 Meysed Oyzer Dalim 25 00 Meysed Oyzer Dalim 25 00 Bais Chuna 36 00 Bais Chana 25 00 A Stahl Foundation 25 00 Bnei Avrohom 25 00 Chesed Intnl 180 00 Cong Sar Shalom 25 00 Yeshiva Mishkan Hatorah 1,500.00 Cong Shomrei Shabos Anshi Sfr 360 00 Cong Sheant Yisroel 360 00 Cong Tiferet Shalom D'Nadvorna 250 00 Bais Chana 25 00 Bais Chuna 25 00 Cong Sar Shalom 25 00 Cong Sar Shalom 25 00 Cong Sar Shalom 25 00 Meysed Oyzer Dalim 25 00 Gemach Ach Tov 25 00 Cong Sar Shalom 25 00 Zichron Shmiel Zanvil 25 00 Cong Sar Shalom 25 00 Cong Sar Shalom 25 00 Cong Sar Shalom 25 00 Beth Jacob Day School 1,500 00 Yeshiva Torah Temimah 1,000 00 Cong Khal Ohr Chaim 360 00 Cong Toldos Yitzchok 360 00 Cong Chakal Yitzchok 2,000 00 Yeshivas Mir 1,000 00 Yeshiva Rabbi Solomon Kluger 250 00 Kollel Yakov Yosef 250 00 Cong Bais Aharon 250 00 Nshei Ahavas Chesed 50 00 Pesha Elias Bikur Cholim Bobov 50 00 Tzelimer Bikur Cholim 50 00 Tomchei Torah 10,000 00 Meysed Oyzer Dalim 25 00 Cong Sar Shalom 25 00 NRS Shoe Fund 50 00 Ezras Yisroel 25 00 Tzedaka Vochesed 25 00 Vasikin 25 00 Bais Chana 25 00 Bais Chana 25 00 Kolel RN 25 00 Cong Achva 25 00 Tiferet Mordechi Shlomo 18 00 Cong Chakal Yitzchok 400 00 Cong Sheant Yisroel 100 00 Ohr Shalom 25 00 Page 4 12:37 PM GROSSMAN FAMILY FOUNDATION 08101111 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Ezras Torah 25 00 Ezer Mizron 25 00 Friends of Torah Institutions of Israel 25 00 Yad L'Achim 36 00 Great Charity of Jerusalem 25 00 Noam Shabbos 25 00 United Tiberias Institutions 25 00 American Friends of Tzohar 25 00 Cong Yetev Lev 360 00 Orphan Hospital Ward 25 00 Amer Assn Bikur Cholim Hospita 25 00 Kollel Shomrei Hachomos RMBH 36 00 Hasc 50 00 Tomche Shabbos 1,10000 Tikvah Leyeled 25 00 Moysed Oyzer Dalim 25 00 Tiferes Achaim 25 00 Cong Sheves Achim 25 00 Kollel Boker 25 00 Tzedaka Vochesed 25 00 Cong Anshei Mamon 25 00 Kolel LHorah 25 00 Moysed Oyzer Dalim 25 00 Ahavas Yisroel 25 00 Ahavas Yisroel 25 00 Kolel Dryer 25 00 Tiferes Achaim 25 00 Yeshuas Yosef 25 00 Cong Bais Dovid 25 00 Yismach Moshe 25 00 Moysed Oyzer Dalim 25 00 Kollel Avrohom 25 00 Central Fund of Israel 25 00 Friends of Habain Yaskill 25 00 Bais Chuna 25 00 Keren Chaim Moshe 25 00 Keren Ezra 25 00 Tiferes Yosef 25 00 Bais Mordechai 25 00 Keren Shmuel Zanvle 25 00 Cong Shearit Yisroel 2,000 00 Hatzolah Dorom 36 00 Cong Chok L'Yisroel 5,000 00 Cong Visznitz 25 00 Beth Jacob of Boro Park 300 00 Cong Beer Mayim Chaim 50 00 Cong Bais Eliyahu 50 00 Haichal Hatorah 25 00 Torah Vovoda 25 00 Gemach TMS 25 00 Moysed Oyzer Dalim 25 00 Cong Bais Yehuda Lieb 25 00 Bais Chuna 25 00 Bais Chuna 25 00 Bais Chuna 25 00 Bais Chuna 25 00 Bais Chuna 25 00 Cong Lev Sameiach 25 00 Yeshiva Karlin Stolin 25 00 Cong Toldos Yehuda 25 00 Moysed Oyzer Dalim 25 00 Tiferes Achaim 25 00 Cong Shomrei Shabbos 25 00 Cong Toldos Aharon 25 00 Jerusalem Open House 25 00 Cong Toldos Yitzchok 1,800 00 Yeshiva Torah Temimah 2,500 00 Yeshiva Ohel Torah 250 00

Page 5 12:37 PM GROSSMAN FAMILY FOUNDATION 08101 /11 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount UTA 100 00 Kolel Harbonim 1,00000 Beer Hagolah Institute 500 00 Khal Bais Aharon 250 00 Cong Chakal Yitzchok 250 00 Tomchei Shabbos 400 00 Yeshivas Mir 3,000 00 Mesivta lmrei Shufer 500 00 Yeshiva Binyan Dovid 2,500 00 Hatzolah 250 00 Cong Dvar Moshe 1,14600 Yeshiva Medrash Chaim 2,500 00 Ezras Yisroel 25 00 Gomlei chesed 25 00 Kupas Harabonim 25 00 Tzedaka Vochesed 25 00 Kolel Shomre Hachomos 25 00 Bialer Yeshiva 50 00 Cong Oholei Nochem 25 00 Beth Medrash Govoha 25 00 Yeshiva Derech Chaim 25 00 Shor Yoshuv Institute 25 00 Ezras Torah 25 00 Girls Town 25 00 Yeshiva of Far Rockaway 25 00 Kollel Emes VEmunah 36 00 Ozer Dalim 25 00 Mogen Shaul 36 00 Haichel Avrohom 25 00 Bais Aharon 25 00 Cong Beth Menachem 180 00 Cong Shomrei Shabbos 500 00 Cong Beer Mayim Chaim 100 00 Khal Dvar Shmuel 18 00 Ezras Yisroel 25 00 Tov L'Kol 25 00 Cong Bobov 25 00 Chasdei Yisroel 25 00 Haichel Avrohom 25 00 Sheves Achim 25 00 Cong Shem MShmuel 1,00000 Tzedaka Vochesed 25 00 Cong Sasov 25 00 Toldos Avrohom Yitzchok 25 00 Cong Mosdos Slonim 25 00 Beth Jacob Day School 1,50000 Yeshiva Torah Temimah 1,00000 Yeshivas Mir 1,00000 Tomchei Torah 3,000 00 Mesivta Kesser Torah 500 00 Bonei Olam 1,00000 Tzedaka Vochesed 25 00 Bais Yaakov High School 125 00 Hachnosas Orchim Rashbi Meron 25 00 Tzedaka Vochesed 36 00 Tiferet Mordechi Shlomo 18 00 Chesed Tzedaka 36 00 Yachel Yisroel of Seret Wiznitz 25 00 Oholei Torah 25 00 Bais Chana 25 00 Tzedaka Vochesed 25 00 Cong Heichel Hatorah 25 00 Am Kol Chai 25 00 Binyan Yerusalem 25 00 Beth Horog 25 00 Kollel Shomrei Hachomos RMBH 25 00 yeshiva Minchas Yitzchok 36 00 Ahavas Chavarim 25 00

Page 6 12:37 PM GROSSMAN FAMILY FOUNDATION 08/01 /11 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount

Mosdos Breslov 25 00 Tzedaka Vochesed 18 00 Bais Shlomo Eliezer 25 00 Cong Sar Eliezer 25 00 Cong Rav Chesed 36 00 Cong Sar Shalom 25 00 Rav Chesed 25 00 Mosdos Tzernobel 25 00 Heichal Avrohom 36 00 Toldos Avrohom Yitzchok 25 00 Tzedaka Vochesed 25 00 Orith Neyishi 25 00 Bais Chana 25 00 Bnai Moshe 25 00 Cong Bais Aharon 250 00 Ezras Torah 25 00 Kolel Shomrei Hachomos 25 00 Cong Ohr Chaim 1,00000 Cong Sar Shalom 25 00 Meor Hamitzvos 25 00 Cong Sar Shalom 18 00 Rav Chesed 25 00 Gomlei chesed 25 00 Chaya Olem 25 00 Tomchei Shabbos 36 00 Yeshivas Mishkan Hatorah 1,50000 Tzedaka Vochesed 25 00 Tzedaka Vochesed 25 00 Rav Chesed 25 00 Bais Chana 25 00 Kollel Shomrei Hachomos RMBH 25 00 Cong Boteshan 25 00 Mosdos Vizsnitz 25 00 Cong Sar Shalom 25 00 Bais Chuna 25 00 Yeshivas Yyelapol 2,500 00 Hatzolah 500 00 Tzedaka Vochesed 25 00 Kolel Siebenburgen 100 00 Tiferes Achaim 25 00 Tzedaka Vochesed 25 00 Bais Chana 25 00 Cong Bais Aharon 25 00 Ahavas Yerusalem 25 00 Chush 100 00 Zichron Moshe 25 00 Ezras Yisroel 25 00 Zichron Moshe 25 00 Chaya Olem 25 00 Rav Chesed 25 00 Cong Sar Shalom 25 00 Bnai Yosef 25 00 Chasdei Shalom 25 00 Cong Ahavas Yerushalem 25 00 American Friends of Shefa Chaim 25 00 Khal Chasidei Yerushlaim 25 00 Cong Hachnosas Kalah 25 00 Gomlei chesed 25 00 Bais Chana 25 00 Mesorah Heritage Foundation 25 00 Mosdos Chasidei Square 50 00 Mesifta Nachlas Yaakov 100 00 Ohel 100 00 American Friends of Shefa Chaim 50 00 Khal Chasidei Yerushlaim 25 00 Yad Efraim 50 00 Ateres Moshe Lelov 50 00 Rav Tov 25 00

Page 7 12:37 PM GROSSMAN FAMILY FOUNDATION

08/01/11 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Cong Emunat Yisroel 25 00 Emunas Yisroel 25 00 Bnai Zion Of Bobov 25 00 Cong Sheant Yisroel 500 00 Chesed Vemunah 18 00 Tomchei Torah 3,000 00 Cong Shearit Yisroel 2,400 00 Machon Bnos Yehuda 5,000 00 Cong Rachmistnvka 25 00 Cong Bnai Zion 25 00 Cong Nachlas Moshe 50 00 Cong Nadverna 25 00 Tzedaka Vochesed 25 00 Vaad Hachnosas Orchim 25 00 Ahavas Chavarim 25 00 Orchas Chaim 25 00 Cong Bobov 25 00 Gomlei chesed 25 00 Yismach Lev 25 00 Cong Sar Shalom 25 00 Derech Emes 25 00 Emunas Yisroel 25 00 Bais Chana 25 00 Rav Chesed 25 00 Bais Chuna 25 00 Tzedaka Vochesed 25 00 Bais Rochel 25 00 Yeshiva Ohr Hatorah 25 00 Ohel Torah 180 00 Tzedaka Vochesed 100 00 Bikur Cholim of Boro Park 50 00 SMA 25 00 Yeshiva Imrei Yosef of Spinka 250 00 Ladies League Yesh Chasan Sofe 50 00 Tomer Dvora Skwere Mosdos 50 00 Yeshiva Sharey Yosher 75,000 00 Cong Druhbitz 36 00 Heichel Avrohom Elimelech 25 00 Kedishas Pinchus 36 00 Vaad Harabonim 25 00 Flatbush Satmar Bikur Cholim 100 00 Kolel Shomrei Hachomos 100 00 Keren Mogen lmoisheya 25 00 Tzedoko Vochesed 25 00 Bais Yosef zvi 25 00 Rav Chesed 25 00 Bais Chuna 25 00 Tiferes Achaim 25 00 Khal Bais Dovid 18 00 Menucha Ukedusha 25 00 Tzedaka Vochesed 18 00 Chasdei Aharon 25 00 Lev Avrohom 25 00 Shuvu Bonim Inc 25 00 Cong Shesh Vargumun 25 00 Tzedaka Vochesed 18 00 Yeshiva Imrei Noam 25 00 TRA 25 00 YESHIVA DERECH HATORAH 18 00 Heichal Avrohom 25 00 Toldos Aharon 25 00 Ohel Avrohom 25 00 Tzedaka Vochesed 10 00 Cong Nachlas Yitzchok 180 00 Cong Beth Menachem 955 00 Yeshivas Mir 1,50000 Oseh Chesed Kimpatorian aid 100 00 Gemach Lehachnosas Kalah Pepi Licht 50 00

Page 8 12:37 PM GROSSMAN FAMILY FOUNDATION 08/01/11 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Westchester Jewish Center 500 00 Yeshiva Mishkan Hatorah 1,50000 Yeshiva Torah Temimah 1,500 00 Beth Jacob Day School 500 00 Tzedaka Vochesed 18 00 Chasdei Aharon 25 00 Tzedaka Vochesed 25 00 Ohr Yosef 25 00 Bais Vaad 25 00 Likras Shabbos 25 00 Bais Medrash Netzach Yisroel 360 00 Bais Chana 25 00 Bais Vaad 25 00 Cong Sar Shalom 36 00 Bais Aharon 25 00 Eizer Nesuin 36 00 Rav Chesed 25 00 Emunas Yisroel 18 00 Toldos Yitzchok 18 00 Zecher Torah 18 00 Emunas Yisroel 25 00 Heichal Avrohom 18 00 Ahavas Chavarim 18 00 Bais Yaakov Academy 18 00 Ozer Dalim 18 00 Toldos Yehuda 25 00 Tzedaka Vochesed 18 00 Ahavas Yisroel 18 00 Sheves Achim 36 00 Cong Nachlas Moshe 36 00 Cong Toldos Yitzchok 100 00 Rav Chesed 25 00 Vaad Horatzi 25 00 Bais Chana 25 00 Rav Chesed 25 00 Bais Vaad 25 00 Emunas Yisroel 25 00 Cong Sanz 25 00 Tzedaka Vochesed 25 00 Divrei meyer 25 00 Bais Aharon 25 00 Machon Lhorah 25 00 Binyan Yerusalem 25 00 Cong Bais Aharon 250 00 Tomchei Torah 3,000 00 Parnosa Initiative 5,000 00 Yad Batya L'Kallah 360 00 Yeshiva Binyan Dovid 9,000 00 Cong Shearit Yisroel 180 00 Chaya Clem 18 00 Ohel 360 00 Yeshiva of Mountaindale 500 00 Catskill Hatzolah 1,000 00 Tomchai Torah 3,000 00 Tzedoko Vochesed 25 00 Keren Eluzar Inc 25 00 Yeshiva And Mesivta Wizmtz 25,000 00 Kolel Shomrei Hachomos 25,000 00 Ezrath Nesuin 25,000 00 Cong Chasidei Wiznitz 25,000 00 Talmud Torah Habian Yakir 18 00 Cong Anshei Lake Forest 180 00 Yad Eliezer 25 00 P'eylim Lev Lachim 50 00 Yeshiva Torah Vodaath 500 00 Lev Bais Yakov 500 00 Rofeh Cholim Cancer Society 1,000 00 Tomchai Torah 3,000 00

Page 9 12:37 PM GROSSMAN FAMILY FOUNDATION 08/0111 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Yeshiva Harbotzas Torah 180 00 Yeshiva Minchas Eluzer 25 00 Tzedaka Vochesed 25 00 Yeshiva of South Fallsburg 250 00 Cong Khal Yereim 250 00 Cong Ohav Shalom 250 00 Noam Shabbos 25 00 Great Charity of Jerusalem 25 00 Amer Assn Bikur Cholim Hospita 25 00 Bais Pinchus 25 00 Girls Town 25 00 Ezras Torah 25 00 The Home of Sages of Israel 25 00 General Israel Orphanage 25 00 United Tiberias Institutions 25 00 Ozer Dalim 25 00 Colel Chabad 36 00 The House of Sages 25 00 Etz Chaim Torah Center 25 00 Mesivta Tifereth Jerusalem 50 00 Mesorah Heritage Foundation 36 00 Bikur Cholim of Boro Park 36 00 Cong Beth Ramu Khal Linsk 25 00 Irgun Shiurai Torah 500 00 Tomchai Torah 5,000 00 Bais Chana 25 00 Vaad Harabonim 25 00 Ezras Yisroel 25 00 Binyan Yerusalem 25 00 Bais Chana 25 00 Merkaz Leshiuri Torah 25 00 Anshei Mamid 25 00 Cong Druhbitz 36 00 Tzedaka Vochesed 18 00 Mayan Hatora 50 00 Haichal Hatorah 25 00 Toras Yisroel 18 00 Y&Y Charities 25 00 Tzedaka Vochesed 25 00 Mosdos Boteshan 25 00 Bais Chana 25 00 Tefila LeDovid 25 00 Rav Chesed 25 00 Bais Chana 25 00 Eizer Lyisroel 25 00 Toldos Yitzchok 25 00 Vaad Harabonim 25 00 Yad Efraim 25 00 Tzedaka Vochesed 25 00 Bais Chana 36 00 Emunas Yisroel 18 00 Rav Chesed 25 00 Bais David 25 00 Hachovesh Har Nof 1,99000 Cong Shearith Yisroel 4,21300 Tiferes Achaim 25 00 Bais Am 25 00 Toldos Aharon 25 00 Kollel Vayoel Moshe 25 00 Rav Chesed 25 00 Kodesh David 18 00 Cong Breslov 25 00 Tiferes Aharon 25 00 Ohr Lhalocho 25 00 Keren Eluzar Inc 25 00 Rav Chesed 25 00 Ezras Yisroel 25 00 Bais Chana 2000

Page 10 12:37 PM GROSSMAN FAMILY FOUNDATION 08/01 /11 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Tzedaka Vochesed 20 00 Bais Aharon 25 00 Emunas Yisroel 25 00 Tiferes Achaim 25 00 Cong Chernobel 25 00 Carmei Hair 108 00 Zichron Simcha Trust 100 00 Chasdei Chana 50 00 Ladies Bikur Cholim D'Satmar 50 00 March of Dimes 25 00 Cong Chakal Yitzchok 3,300 00 Kolel Tiferes Yakov Yosef 3,000 00 Cong Belz 25 00 Cong Shearith Israel 210 00 United Soup Kitchen 25 00 Cong Chok L'Yisroel 8,000 00 Cong Sheant Yisroel 500 00 Blev Echod 1,80000 Hasc 25 00 Kupas Ezra 25 00 Ozer Dalim 25 00 Boys Town of Jerusalem 25 00 Yeshiva Derech Chaim 25 00 Sinai Academy 50 00 Childrens Village 25 00 Shor Yoshuv Institute 25 00 Yeshiva Torah Vodaath 50 00 Telshe Yeshiva 50 00 Bais Hatalmud 25 00 Kollel Ahavas Zion Siebenbergen 36 00 Yeshiva Bais Binyomin 25 00 Chai Life-line 100 00 Shaare Zedek Hospital 50 00 Torah Schools for Israel 25 00 Kolel Shomre Hachomos 50 00 Ezer Mizion 25 00 Ptach 100 00 Masbia 100 00 Beer Hagolah Institute 50 00 Cong Shearith Yisroel 500 00 UTA 100 00 Cong Shearith Yisroel 500 00 Tov L'Kol 2,50000 Beth Jacob Day School 1,500 00 Tzedaka Vochesed 25 00 Yeshiva Torah Temimah 1,500 00 Yeshivas Mir 1,000 00 Tomchai Torah 6,000 00 Yeshiva Torah Temimah 6,000 00 Agudah Women of America 36 00 Tzedaka Vochesed 25 00 Yeshiva Chasan Sofer 36 00 Tiferet Mordechi Shlomo 25 00 Yad Eliezer 25 00 Beth Jacob Boro Park 2,500 00 Bais Yaakov High School 3,500 00 Cong Sheant Yisroel 100 00 Scranton Community Kollel 25 00 Nveh Chesed 25 00 Emunas Yisroel 25 00 Yad Ezra 100 00 Bonei Olam 500 00 Mesivtah Tifereth Jerusalem 360 00 Bais Shlomo Eliezer 25 00 Tzedaka Vochesed 25 00 Rav Chesed 25 00 Bais Chana 25 00 Bais Rochel 25 00

Page 11 12:37 PM GROSSMAN FAMILY FOUNDATION 08!00 1 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Pesha Elias Bikur Cholim 50 00 Ohr Meir Foundation 180 00 Mogen Imoshia 25 00 Bais Aharon 25 00 Chesed L Avraham 25 00 Tzedaka Vochesed 25 00 Bais Aharon 25 00 Chug Chasan Sofer 25 00 Bais Chana 75 00 Cong Bais Avrohom 1,000 00 Cong Sheant Yisroel 2,200 00 Yeshiva Mishkan Hatorah 1,000 00 Cong Sar Shalom 25 00 Tzedaka Vochesed 25 00 Tiferes Aharon 25 00 Orchas Chaim 25 00 Bais Chana 25 00 Cong Oholei Yakov 25 00 Anshei Mamid 25 00 Tzedaka Vochesed 25 00 Heichal Yitzchok 100 00 Tzedaka Vochesed 25 00 kollel Mareh Yechezkel 25 00 Cong Yetev Lev 25 00 Cong Shearit Hapleita 25 00 Bais Tzipora 25 00 Rav Chesed 25 00 Chasdei Ger 25 00 Anshei Mamid 25 00 Kolel Ger 25 00 Cong Krasna 25 00 Cong Boteshan 25 00 Cong Torah Utifila 25 00 Yagdil Torah 25 00 Hotzuas Urefiah 25 00 Vaad Hachnosas Orchim 100 00 Yeshiva Chasan Sofer 2,500 00 Bais Medrash of Central Jersey 4,000 00 Yeshiva Medrash Chaim 4,000 00 Mesoras Bais Yaakov 2,000 00 Mesivta Tifereth Jerusalem 360 00 Tiferes Achaim 25 00 Gmach Ahavas Yisroel 25 00 Tzedaka Vochesed 25 00 Bais Aharon 25 00 Rav Chesed 25 00 Mosdos Biala 25 00 Nezer Shraga 36 00 Bais Chana 25 00 Ezras Yisroel 25 00 Keren Eluzar Inc 25 00 Keren Mordechai Zvi 25 00 Bais Aharon 25 00 Tzedaka Vochesed 25 00 Bais Chana 25 00 Binyan Yerusalem 25 00 Bais Aharon 25 00 Bnei Yechiel 25 00 Mosdos Marsham 25 00 Bais David 25 00 Cong Sar Shalom 25 00 Tzedaka Vochesed 25 00 Bais Avrohom 25 00 Ahavas Chesed 25 00 Chasdei Ger 25 00 Ahavas Yisroel 25 00 Bais Yisroel 25 00 Tiferes Achaim 25 00

Page 12 12:37 PM GROSSMAN FAMILY FOUNDATION 081o1111 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount Ezrat Yisroel 25 00 Bais Aharon 25 00 Kehilas Yakov 25 00 Cong Toldos Yitzchok 500 00 Cong Bobov 25 00 Kolel Marham Schik 36 00 Rav Chesed 25 00 Cong Sar Shalom 25 00 Ahavas Yerusalem 25 00 Bais Chana 20 00 Shomrei Emunim 25 00 Rav Chesed 25 00 Emunas Yisroel 25 00 Heichal Avrohom 25 00 Zichron Eliezer 25 00 Ahavas Chesed 25 00 Heichal Avrohom 25 00 Toldos Avrohom Yitzchok 25 00 Ahavas Chavarim 25 00 Gomlei chesed 25 00 Bais Chana 25 00 Kupas Lelov 25 00 Anshei Lubavitch 25 00 Toldos Yitzchok 25 00 Tzedaka Vochesed 25 00 Cong Sheant Hapleita 25 00 Bnei Yechiel 25 00 Emunas Yisroel 25 00 Bais Aharon 25 00 Tzedaka Vochesed 25 00 Ohel Mordechai 25 00 Cong Boteshan 25 00 Zichron Menachem 25 00 Mishan Menachem 25 00 Kehilas Yakov 25 00 UTA 25 00 Rav Chesed 25 00 Cong Binyan Dovid 2,500 00 Eizer Lamuzon 100 00 Ladies League Yesh Chasan Sofe 50 00 Make A Wish Foundation 25 00 Yitty Liebel Chesed Fund 50 00 Bikur Cholim Nefesh Chaya Tiferes Yosef 50 00 Yeshiva Mishkan Hatorah 1,50000 Beth Jacob Day School 1,500 00 Yeshiva Torah Temimah 1,000 00 Yeshivas Mir 1,000 00 Tomchai Torah 3,000 00 United Spinka International 1,000 00 Tzedaka Vochesed 25 00 American Friends of Meir Panim 25 00 Cong Sar Shalom 25 00 Tzedaka Vochesed 25 00 Cong Glogov 180 00 Chai Life-line 180 00 Cong Osher Bchaim 25 00 Bikur Cholim of Boro Park 180 00 Cong Hafloh 360 00 Kolel Shomre Hachomos 250 00 Tomer Dvora Skwere Mosdos 50 00 Nshei Yeshivas Vyolipol 100 00 Mesifta R' Chaim Berlin 600 00 Tzedaka Vochesed 25 00 Rav Chesed 25 00 Ozer Dalim 25 00 Vaad Hachnosas Orchim 25 00 Bais Yisroel 50 00

Page 13 12:37 PM GROSSMAN FAMILY FOUNDATION 08/0111 Transaction Detail By Account Accrual Basis December 2009 through November 2010

Name Amount

Torah Tmima 25 00 Childrens Village 18 00 Total Grants and Allo 455,740 00

TOTAL 455,740.00

Page 14 - Form 8869 (Rev. 4-2009) Page 2

• If you are filing for an Additional (Not Automatic ) 3-Month Extension, complete only Part II and check this box ► Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868 • If you are filing for an Automatic 3-Month Extension , com plete only Part I (on page 1) Part II Additional (Not Automatic) 3-Month Extension of Time. Only file the original (no copies needed) Name of Exempt Organization Employer identification number Type or print ROSSMAN FAMILY FOUNDATION 1 1-2994 863 File by the extended Number, street , and room or suite no. If a P.O box, see instructions For IRS use only due data for 53RD STREET Sling the 1461 return see City, town or post office , state , and ZIP code For a foreign address , see instructions instructions BROOKLYN. NY 11219 Check type of return to be filed (File a separate application for each return): Form 990 Form 990-EZ Form 990-T (sec 401 (a) or 408(a) trust) Form 1041-A Form 5227 Form 8870 Form 990- BL ® Form 990-PF Form 990-T (trust other than above) Form 4720 Form 6069

STOP! Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868. ORGANIZATION • The books are in the care of ► 14 61 53 RD ST - BROOKLYN, NY 11219 Telephone No ► (718) - 3 6 9 - 2 2 0 0 FAX No ► • If the organization does not have an office or place of business in the United States , check this box ► 0 • If this is for a Group Return , enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group, check this box ► 0 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. 4 I request an additional 3-month extension of time until October 15, 2011 . 5 For calendar year , or other tax year beginning DEC 1 , 2009 , and ending NOV 30 , 2010 6 If this tax year is for less than 12 months, check reason 0 Initial return Final return 0 Change in accounting period 7 State in detail why you need the extension INFORMATION NEEDED TO FILE RETURN HAS NOT BEEN RECEIVED

8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069 , Enter the tentative tax, less any nonrefundable credits See instructions. 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 and any amount paid 429. c Balance Due . Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) See instructions 8c $ 0. Signature and Verification Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements , and to the best of my knowledge and belief, it is true, correct, and complete , and that I am authorized to prepare this form. Date Signature ► Title ► ► Form 8868 (Rev. 4-2009)

923832 05-28-09

15 12340801 807829 grossmanfdtn 2009.05020 GROSSMAN FAMILY FOUNDATION GROSSM21