2016 Internal Re, Enue ,En Ice ► Do Not Enter Social Security Numbers on This Form As It May Be Made Public

l efile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN:93491132025977 OMB No 1545-0052 Form 990-PF Return of Private Foundation Department of the Trea,un or Section 4947 (a)(1) Trust Treated as Private Foundation 2016 Internal Re, enue ,en ice ► Do not enter social security numbers on this form as it may be made public. ► Information about Form 990-PF and its instructions is at www.irs.gov/form990pf.

For calendar year 2016, or tax year beginning 01 -01-2016 , and ending 12-31-2016 Name of foundation THE JIMMY AND BERTA KHEZRIE CHARITABLE FOUNDATION 47-6505143

Number and street (or P 0 box number if mail is not delivered to street address) Room/suite B Telephone number (see instructions) 801 AVENUE I (201) 210-5577 City or town, state or province, country, and ZIP or foreign postal code BROOKLYN, NY 11230 C If exemption application is pending, check here q

G Check all that apply q Initial return q Initial return of a former public charity D 1. Foreign organizations, check here ► El q Final return q Amended return 2. Foreign organizations meeting the 85% test, check here and attach computation ► El El Address change El Name change E If private foundation status was terminated H Check typ e of org anization q Section 501(c)(3) exem pt p rivate foundation under section 507(b)(1)(A), check here ► q Section 4947(a)(1) nonexempt charitable trust q Other taxable private foundation

I Fair market value of all assets at end J Accounting method 9 Cash q Accrual F If the foundation is in a 60-month termination of year (from Part II, col (c), under section 507(b)(1)(B), check here q ► l ne 16)101$ 4,062,461 Other (specify) (Part I, column (d) must be on cash bass )

JIM Analysis of Revenue and Expenses (The total ( a) Revenue and (d) Disbursements (b) Net investment (c) Adjusted net for charitable of amounts in columns (b), (c), and (d) may not necessarily expenses per income income purposes books basis equal the amounts in column (a) (see instructions) ) (cash s only) 1 Contributions, gifts, grants, etc , received (attach 4,000,000 schedule)

2 Check ► W if the foundation is not required to attach Sch B ...... 3 Interest on savings and temporary cash investments 4,017 4,017 4,017 4 Dividends and interest from securities . . . 5a Gross rents ...... b Net rental income or (loss) 6a Net gain or (loss) from sale of assets not on line 10

b Gross sales price for all assets on line 6a 7 Capital gain net income (from Part IV, line 2) 8 Net short-term capital gain ...... 9 Income modifications ......

10a Gross sales less returns and allowances b Less Cost of goods sold . . . . c Gross profit or (loss) (attach schedule) . . . . .

11 Other income (attach schedule) ......

12 Total . Add lines 1 through 11 ...... 4,004,017 4,017 4,017

13 Compensation of officers, directors, trustees, etc 14 Other employee salaries and wages ...... 0 15 Pension plans, employee benefits ...... ^C 16a Legal fees (attach schedule) ......

R. b Accounting fees (attach schedule) ...... 1,250 X w c Other professional fees (attach schedule) . . . .

17 Interest

18 Taxes (attach schedule) (see instructions) 278 3 275 19 Depreciation (attach schedule) and depletion . . .

20 Occupancy ...... 21 Travel, conferences, and meetings ...... 22 Printing and publications ...... 23 Other expenses (attach schedule) ...... 42 42

24 Total operating and administrative expenses. Add lines 13 through 23 ...... 1,570 45 275

25 Contributions, gifts, grants paid . . . 3,600,579 3,600,579

26 Total expenses and disbursements . Add lines 24 and 25 3,602,149 45 3,600,854 27 Subtract line 26 from line 12

a Excess of revenue over expenses and 401,868 disbursements b Net investment income (if negative, enter -0-) 3,972 c Adjusted net income (if negative, enter -0-) . . . 4,017 For Paperwork Reduction Act Notice, see instructions . Cat No 11289X Form 990-PF (2016) Form 990-PF (2016) Pan,- 2 Beginning of year End of year Balance Sheets Attached schedules and amounts in the 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 ...... 157,964 35,814 35,814 2 Savings and temporary cash investments ...... 3,500,129 4,024,147 4,024,147

3 Accounts receivable ► 2,500

Less allowance for doubtful accounts ► 2,500 2,500 2,500 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 schedule) ► Less allowance for doubtful accounts ► ,n 8 Inventories for sale or use ...... 0 9 Prepaid expenses and deferred charges ...... Q 10a Investments-U S and state government obligations (attach schedule) b Investments-corporate stock (attach schedule) ...... c Investments-corporate bonds (attach schedule) ......

11 Investments-land, buildings, and equipment basis ► 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 ► 16 Total assets (to be completed by all filers-see the instructions Also, see page 1, item I) 3,660,593 4,062,461 4,062,461

17 Accounts payable and accrued expenses ...... 18 Grants payable ...... o 19 Deferred revenue ...... 20 Loans from officers, directors, trustees, and other disqualified persons 21 Mortgages and other notes payable (attach schedule) ...... J 22 Other liabilities (describe ► 23 Total liabilities (add lines 17 through 22) ...... 0

Foundations that follow SFAS 117, check here ► and complete lines 24 through 26 and lines 30 and 31.

24 Unrestricted ...... 3,660,593 4,062,461 25 Temporarily restricted 26 Permanently restricted ......

q Foundations that do not follow SFAS 117 , check here ► and complete lines 27 through 31. 27 Capital stock, trust principal, or current funds 28 Paid-in or capital surplus, or land, bldg , and equipment fund 29 Retained earnings, accumulated income, endowment, or other funds d Z 30 Total net assets or fund balances (see instructions) . 3,660,593 4,062,461 31 Total liabilities and net assets / fund balances (see instructions) 3,660,593 4,062,461 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 3,660,593 2 Enter amount from Part I, line 27a ...... 2 401,868

3 Other increases not included in line 2 (itemize) ► 3 4 Add lines 1, 2, and 3 ...... 4 4,062,461

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 4,062,461 Form 990-PF (2016) Form 990-PF (2016) Page 3 Capital Gains and Losses for Tax on Investment Income

How acquired List and describe the kind(s) of property sold (e g , real estate, Date acquired Date sold P-Purchase 2-story brick warehouse, or common stock, 200 shs MLC Co (mo , day, yr) (mo , day, yr ) D-Donation la

( e) (f) (g) (h) Depreciation allowed Cost or other basis Gain or (loss) Gross sales price (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) (i) (j) (k) Gains (Col (h) gain minus Adjusted basis Excess of col (i) col (k), but not less than -0-) or F M V as of 12/31/69 as of 12/31/69 over col (j), if any Losses (from col (h)) a b C d e If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) ti 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 instructions) If (loss), enter -0- in Part I, line 8 ...... i 3

• 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? q Yes R No If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part 1 Enter the appropriate amount in each column for each year, see instructions before making any entries

Base period years Calendar Distributdon ratio Adjusted qualifying distributions Net value of noncha) stable-use assets year (or tax year beginning in) (col (b) divided by col (c)) 2015 839,536 4,017,861 0 208951 2014 2013 2012 2011 2 Total of line 1, column (d) ...... 2 0 208951 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 0 208951 4 Enter the net value of noncharitable-use assets for 2016 from Part X, line 5 ...... 4 1,891,858 5 Multiply line 4 by line 3 ...... 5 395,306 6 Enter 1% of net investment income (1% of Part I, line 27b) ...... 6 40 7 Add lines 5 and 6 ...... 7 395,346 8 Enter qualifying distributions from Part XII, line 4 ...... 8 3,600,854 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 Form 990-PF (2016) Form 990-PF (2016) Page 4 Excise Tax Based on Investment Income ( Section 4940 ( a), 4940 ( b), 4940(e), or 4948-see instructions)

q la 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)

b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 40

here ► M and enter 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 3 Add lines 1 and 2 ...... 3 40 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 40 6 Credits/Payments a 2016 estimated tax payments and 2015 overpayment credited to 2016 6a b Exempt foreign organizations-tax withheld at source ...... 6b c Tax paid with application for extension of time to file (Form 8868) . . . 6c 40 d Backup withholding erroneously withheld ...... 6d 7 Total credits and payments Add lines 6a through 6d ...... 7 40

8 Enter any penalty for underpayment of estimated tax Check here q 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 11 Enter the amount of line 10 to be Credited to 2017 estimated tax ► Refunded ► 11 Statements Regarding Activities la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did Yes No it participate or intervene in any political campaign? ...... la No b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions for definition) ? ...... lb No If the answer is "Yes" to la or Ib, attach a detai led description of the activiti es and cop i es 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? ...... lc d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year

(1) On the foundation ► $ (2) On foundation managers ► $ e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers ► $ 2 Has the foundation engaged in any activities that have not previously been reported to the IRS? ...... 2 No 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 No 4a Did the foundation have unrelated business gross income of $1,000 or more during the year?...... 4a No b If "Yes," has it filed a tax return on Form 990-T for this year? ...... 4b 5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? ...... 5 No 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 Yes 7 Did the foundation have at least $5,000 in assets at any time during the year'If "Yes," complete Part II, col (c), and Part XV ...... 7 Yes 8a Enter the states to which the foundation reports or with which it is registered (see instructions)

► NY

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 G' If "No," attach explanation . 8b Yes 9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar year 2016 or the taxable year beginning in 2016 (see instructions for Part XIV)' If "Yes, " complete Part XIV ...... 9 Yes 10 Did any persons become substantial contributors during the tax year'? If "Yes," attach a schedule listing their names and addresses ...... 10 No Form 990-PF (2016) Form 990-PF (2016) Page 5 Statements Regarding 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)7 If "Yes," attach schedule (see instructions) ...... 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) ...... No 13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? Website address

14 The books are in care of ' JAMES KHEZRIE Telephone no 101 (201) 210-5577

Located at 101801 AVENUE I BROOKLYN NY ZIP+4 '11230

15 q 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 ...... ► I 15 16 At any time during calendar year 2016, did the foundation have an interest in or a signature or other authority over Yes No a bank, securities, or other financial account in a foreign country? 16 No See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR) If "Yes", enter the name of the foreign country 10, ff-7-MEW"; 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. 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? q Yes W No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? ...... q Yes 0 No (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? q Yes 0 No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? q Yes 0 No (5) Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)? ...... q Yes q 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 )...... q Yes W 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 instructions)? ...... lb q Organizations relying on a current notice regarding disaster assistance check here...... ► 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 2016? ...... lc 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 2016, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 20167 ...... q Yes 9 No If "Yes," list the years ► 20- , 20- , 20- , 20- b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed income? (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 enterprise at any time during the year? ...... q Yes q No b If "Yes," did it have excess business holdings in 2016 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 period7(Use Schedule C, Form 4720, to determine I f the foundation had excess business holdings n 2016 ) ...... 3b 4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? No 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 beginning in 2016' 4b I I No Form 990-PF (2016) Form 990-PF (2016) 6 Statements Regarding Activities for Which Form 4720 May Be Required (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 q Yes 9 No (2) Influence the outcome of any specific public election (see section 4955), or to carry on, directly or indirectly, any voter registration drive? ...... q Yes 0 No (3) Provide a grant to an individual for travel, study, or other similar purposes? q Yes W No (4) Provide a grant to an organization other than a charitable, etc , organization described in section 4945(d)(4)(A)'' (see instructions) ...... q Yes W 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?. . . • • q Yes 9 No b If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions desc ribed in Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions) ? ...... 5b q 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?...... q Yes q 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? ...... • q Yes 9 No b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . 6b No 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? q Yes W No b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? . . . . 7b Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, KEMMand Contractors

1 Lict all officers. directnrc. trustees. foundation manners and their cmmnencation (see inctructioncl.

Title, and average ( c) Compensation ( If Contributions to employee Expense account, (a) Name and address hours per week not paid, enter benefit plans and deferred (e) other allowances (b) devoted to position -0 - ) compensation JAMES KHEZRIE TRUSTEE 0 0 0 000 00 801 AVENUE I BROOKLYN, NY 11230 BERTA KHEZRIE TRUSTEE 0 0 0 000 00 801 AVENUE I BROOKLYN, NY 11230 2 Compensation of five highest-paid employees (other than those included on line 1-see instructions). If none, enter "NONE." Contributions to (a) Title, and average employee benefit Expense account, Name and address of each employee paid hours per week (c) Compensation plans and deferred (e) other allowances more than $50,000 (b) devoted to position (d) compensation NONE

Total number of other employees paid over $50,000 ...... ► Form 990-PF (2016) Form 990-PF (2016) Page 7 Information About Officers , Directors, Trustees , Foundation Managers , Highly Paid Employees, KEMM and Contractors (continued)

3 Five highest- paid independent contractors for professional services (see instructions ). 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 receiving over $50,000 for professional services ...... ► nn-summarv of Direct Charitable Activities List the foundation's four largest direct charitable activities during the tax year Include relevant statistical information such as the number of Expenses organizations and other beneficiaries served, conferences convened, research papers produced, etc 1 DISTRIBUTIONS TO 501(C)(3) ORGANIZATIONS 3,600,579 2

:C-l Summary of Program - Related Investments (see instructions) 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 ...... ► Form 990-PF (2016) Form 990-PF ( 2016) Page 8 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 0 b Average of monthly cash balances ...... lb 1,918,168 c Fair market value of all other assets (see instructions) ...... 1c 2,500 d Total (add lines la, b, and c) ...... Id 1,920,668 e Reduction claimed for blockage or other factors reported on lines la and 1c (attach detailed explanation) ...... le 2 Acquisition indebtedness applicable to line 1 assets ...... 2 3 Subtract line 2 from line ld ...... 3 1,920,668 4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount, see instructions) ...... 4 28,810 5 Net value of noncharitable-use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 1,891,858 6 Minimum investment return . Enter 5% of line 5 ...... 6 94,593 . Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign

organizations check here ► R and do not complete this part ) 1 Minimum investment return from Part X, line 6 ...... 1 2a Tax on investment income for 2016 from Part VI, line 5...... 2a b Income tax for 2016 (This does not include the tax from Part VI ). . . 2b c Add lines 2a and 2b ...... 2c 3 Distributable amount before adjustments Subtract line 2c from line 1...... 3 4 Recoveries of amounts treated as qualifying distributions ...... 4 5 Add lines 3 and 4 ...... 5 6 Deduction from distributable amount (see instructions ) ...... 6 7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, line 1. . . 7

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 3,600,854 b Program-related investments-total from Part IX-B ...... lb 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 3,600,854 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 (see instructions) ...... 5 40 6 Adjusted qualifying distributions . Subtract line 5 from line 4 ...... 6 3,600,814 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 Form 990-PF (2016) Form 990-PF (2016) Page 9 Undistributed Income (see instructions) (a) (b) (c) (d) Corpus Years prior to 2015 2015 2016 1 Distributable amount for 2016 from Part XI, line 7 2 Undistributed income, if any, as of the end of 2016 a Enter amount for 2015 only...... b Total for prior years 20- , 20- , 20- 3 Excess distributions carryover, if any, to 2016 a From 2011...... b From 2012...... c From 2013...... d From 2014...... e From 2015...... f Total of lines 3a through e...... 4 Qualifying distributions for 2016 from Part

XII, line 4 ► $ 3,600,854 a Applied to 2015, but not more than line 2a b Applied to undistributed income of prior years (Election required-see instructions). . . . . c Treated as distributions out of corpus (Election required-see instructions)...... d Applied to 2016 distributable amount. . . . . e Remaining amount distributed out of corpus 3,600,854 5 Excess distributions carryover applied to 2016 (If an amount appears n column (d), the same amount must be shown n column (a) ) 6 Enter the net total of each column as indicated below: a Corpus Add lines 3f, 4c, and 4e Subtract line 5 3,600,854 b Prior years' undistributed income Subtract line 4b from line 2b ...... 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...... d Subtract line 6c from line 6b Taxable amount -see instructions ...... e Undistributed income for 2015 Subtract line 4a from line 2a Taxable amount-see instructions ...... f Undistributed income for 2016 Subtract lines 4d and 5 from line 1 This amount must be distributed in 2017 ...... 7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) ...... 8 Excess distributions carryover from 2011 not applied on line 5 or line 7 (see instructions) . . . 9 Excess distributions carryover to 2017. Subtract lines 7 and 8 from line 6a ...... 10 Analysis of line 9 a Excess from 2012. . . . b Excess from 2013. . . . c Excess from 2014. . . . d Excess from 2015. . . . e Excess from 2016. Form 990-PF (2016) Form 990-PF (2016 Pace 10 Private Operating Foundations (see instructions and Part VII-A, question 9) If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2016, enter the date of the ruling...... ► Check box to indicate whether the organization is a private operating foundation described in section 9 4942(j)(3) or q 4942(j)(5) 2a Enter the lesser of the adjusted net Tax year Prior 3 years ( income from Part I or the minimum e) Total (a) 2016 (b) 2015 (c) 2014 (d) 2013 investment return from Part X for each year listed . 4,017 129 4,146 b 85% of line 2a ...... 3,414 110 3,524 c Qualifying distributions from Part XII, line 4 for each year listed . . . . . 3,600,854 839,536 4,440,390 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 . . . 3,600,854 839,536 4,440,390 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(j)(3)(B)(i) b "Endowment" alternative test- enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed. . . 63,062 133,929 196,991 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(j)(3)(B)(iii). . . . (3) Largest amount of support from an exempt organization (4) Gross investment income Sunolementarv Information ( Complete this Dart only if the oraanization had $5 , 000 or more in L&WW 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) ) 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

Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here ► 9 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 or e-mail address of the person to whom applications should be addressed JAMES KHEZRIE 801 AVENUE I BROOKLYN, NY 11230 (201) 210-5577 b The form in which applications should be submitted and information and materials they should include FORMAL REQUEST IN WRITING, COMPLETE INFO ON BACKGROUND OF ORGANIZATION c Any submission deadlines NONE d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors NONE Form 990-PF (2016) Form 990-PF (2016) Page 11 Supplementary Information (continued) 3 Grants and Contributions Paid During the Year or Approved for Future Payment If recipient is an individual, Recipient Foundation show any relationship to Purpose of grant or status o f Amount any foundation manager contribution Name and address (home or business) recipient or substantial contributor a Paid during the year See Additional Data Table Total . ► 3a 3,600,579 b Approved for future payment 7 Total...... ► 3b ^ Form 990-PF (2016) Form 990-PF (2016 ) Page 12 Analysis of Income - Producing Activities

Unrelated b usiness income Excluded by sectio n 512, 513, or 514 (e) gross amounts unless otherwise indicated Related or exempt (a) (b) (c) (d) function income ogram service revenue Business code Amount Exclusion code Amount (See instructions

Fees and contracts from government agencies lembership dues and assessments. . . . Interest on savings and temporary cash investments ...... 4,017 Dividends and interest from securities. . . . let rental income or (loss) from real estate Debt-financed property...... Not debt-financed property. . . . . Net rental income or (loss) from personal property >ther investment income. . . . . Gain or (loss) from sales of assets other than inventory ...... let income or (loss) from special events ;ross profit or (loss) from sales of inventory )ther revenue a

12 S ubtotal Add columns (b), (d), and (e). 4,017 13 Total . Add line 12, columns ( b), (d), and ( e)...... 13 4,U1/ See worksheet in line 13 instructions to verify calculations Relationship of Activities to the Accomplishment of Exempt Purposes Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to Line No . the accomplishment of the foundation 's exempt purposes (other than by providing funds for such purposes) (See instructions ) 3 SOURCE OF CHARITABLE CONTRIBUTIONS TO 501(C)(3) ORGS

Form 990-PF (2016) Form 990-PF (2016) Page 13 Information Regarding Transfers To and Transactions and Relationships With Noncharitable REMEM Exempt Organizations 1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 501 (c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? Yes No a Transfers from the reporting foundation to a noncharitable exempt organization of (1) Cash ...... la(1) No (2) Other assets ...... la(2) No b Other transactions (1) Sales of assets to a noncharitable exempt organization ...... lb(1) No (2) Purchases of assets from a noncharitable exempt organization ...... lb(2) No (3) Rental of facilities, equipment, or other assets ...... lb(3) No (4) Reimbursement arrangements ...... lb(4) No (5) Loans or loan guarantees ...... lb(5) No (6) Performance of services or membership or fundraising solicitations ...... lb(6) No

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees ...... IC No d If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market v alue of the goods, other assets, or services given by the reporting foundation If the foundation received less than fair market valu e in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received

Line No I (b) Amount involved I (c) Name of noncharitable exempt organization I (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 5277...... q Yes No b If "Yes," complete the following schedule (a) Name of organization (b) Type of organization (c) Description of relationship

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 Sign which preparer has any knowledge Here ****** 2017-05 Signature of officer or trustee Date

Print/Type preparer's name Preparer's Signature

ALAN GOLDMAN JD CPA aid CGMA DABFA epO l Firm' s name 10, KIMMEL BLAU & GOLDMAN LLP Use O nl y Firm's address ► 444 MERRICK RD SUITE 102

LYNBROOK, NY 11563 Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

Recipient If recipient is an individual, Foundation Purpose of grant or Amount show any relationship to status of contribution any foundation manager recipient Name and address (home or business) or substantial contributor

a Paid during the year

AF OF ARAM SOBA NONE GENERAL CHARITABLE PURPOSE 2,000 1030 EAST 7TH STREET BROOKLYN, NY 11230

AF OF BIRKAT EFRAIM NONE GENERAL CHARITABLE PURPOSE 20,000 14716 68TH DRIVE FLUSHING, NY 11367

AF OF DARCHEI NOAM NONE GENERAL CHARITABLE PURPOSE 7,000 226 SMITH STREET WOODMERE, NY 11598

AF OF KINDNESS & CHARITY NONE GENERAL CHARITABLE PURPOSE 300 405 AVENUE F BROOKLYN, NY 11218

AF OF KOL TORAH SAM LAW DR 10 NONE GENERAL CHARITABLE PURPOSE 12,000 MONSEY, NY 10952

AF OF KOL YEHUDA NONE GENERAL CHARITABLE PURPOSE 150 1786 NEW CENTRAL AVENUE LAKEWOOD, NJ 08701

AF OF KOL YERUSHALIYM NONE GENERAL CHARITABLE PURPOSE 100 2317 AVENUE K BROOKLYN, NY 11210

AF OF KOLLEL BAIS YECHIAL NONE GENERAL CHARITABLE PURPOSE 500 6080 N WHIPPLE STREET CHICAGO, IL 60659

AF OF KOLLEL ZICHRON NONE GENERAL CHARITABLE PURPOSE 360 1327 E 26TH STREET BROOKLYN, NY 11210

AF OF MESHI NONE GENERAL CHARITABLE PURPOSE 100 7711 SAN MATEO DRIVE EAST BOCA RATON, FL 33433

AF OF MISHKANE MEIR NONE GENERAL CHARITABLE PURPOSE 850 2230 E 13TH STREET BROOKLYN, NY 11229

AF OF NETIVAT HORAAH NONE GENERAL CHARITABLE PURPOSE 400 1420 46TH STREET BROOKLYN, NY 11219

AF OF RBS 55 W 39TH ST 4TH FLOOR NONE GENERAL CHARITABLE PURPOSE 300 NEW YORK, NY 10018

AF OF SHAAR HATALMUL NONE GENERAL CHARITABLE PURPOSE 100 41 HENRY STEET LAKEWOOD, NJ 08701

AF OF SHAAR HATORAH NONE GENERAL CHARITABLE PURPOSE 2,600 117-06 84TH AVENUE KEW GARDENS, NY 11418

Tota l ...... ► 3,600,579 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

AF OF SHAARE ZEDEK NONE GENERAL CHARITABLE PURPOSE 6,800 55 W 39TH ST 4TH FLOOR NEW YORK, NY 10018

AF OF SHETILE ZETIM NONE GENERAL CHARITABLE PURPOSE 75,000 1739 OCEAN PARKWAY BROOKLYN, NY 11223

AF OF YESHIVA MEAH SHEARIM NONE GENERAL CHARITABLE PURPOSE 360 1 YESHUOT YAAKOV STREET JERUSALEM, ISRAEL 91050 IS

AF OF YESHIVA REISHIT CHOCHMAN NONE GENERAL CHARITABLE PURPOSE 2,600 1931 HOMECREST AVENUE BROOKLYN, NY 11229

AF OF YESHIVA TIFFERET NONE GENERAL CHARITABLE PURPOSE 180 1146 55TH STREET BROOKLYN, NY 11219

AF OF YESHIVAT NACHALAT MOSHE NONE GENERAL CHARITABLE PURPOSE 2,600 1554 EAST 9TH STREET BROOKLYN, NY 11230

AFULA EDUCATIONAL CENTER NONE GENERAL CHARITABLE PURPOSE 1,000 49 DAKOTA ST PASSAIC,NJ 07055

AHAVAS CHESED VETORAH NONE GENERAL CHARITABLE PURPOSE 2,200 684 9TH STREET LAKEWOOD, NJ 08701

AHAVAT SHALOM 702 AVENUE U NONE GENERAL CHARITABLE PURPOSE 600 BROOKLYN, NY 11230

ALIYAT BET CHANNYA NONE GENERAL CHARITABLE PURPOSE 1,000 11 EAST 44TH STREET NEW YORK, NY 10017

AM YISROEL CHAI PO BOX 241 NONE GENERAL CHARITABLE PURPOSE 100 CEDARHURST, NY 11516

AMER FRIENDS OF KOL TORAH NONE GENERAL CHARITABLE PURPOSE 10,000 JERUSALEM 32 HAPISGAH STREET VEGAN JERUSALEM, ISRAEL 9116001 IS

AMER FRIENDS OF MEOR HATLMUD NONE GENERAL CHARITABLE PURPOSE 5,000 138-46 76TH AVENUE FLUSHING, NY 11367

AMER FRIENDS SHAAREI SIMCHA NONE GENERAL CHARITABLE PURPOSE 10,000 24 ENGLEWOOD TERRACE LAKEWOOD, NJ 08701

AMERICAN FRIENDS OF SANHEDRIA NONE GENERAL CHARITABLE PURPOSE 2,000 1121 WEST LAURELTON PARKW TEANECK,NJ 07666

Tota l 3 , 6 0 0 , 5 7 9 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

AMERICAN FRIENDS OF RCT NONE GENERAL CHARITABLE PURPOSE 1,504,200 510 SECOND STREET LAKEWOOD, NJ 08701

AMER FRIENDS OF MITZADEI GAVER NONE GENERAL CHARITABLE PURPOSE 452 2076 EAST 7TH STREET BROOKLYN, NY 11223

AMER FRIENDS OF YESHIVAT HECHAL NONE GENERAL CHARITABLE PURPOSE 1,000 EZR 1972 E 2ND STREET BROOKLYN, NY 11223

AMER FRIENDS OF YESHIVAT EZRA NONE GENERAL CHARITABLE PURPOSE 500 3054 BEDFORD AVENUE BROOKLYN, NY 11210

AMER FRIENDS OF YESHIVAT SHARI NONE GENERAL CHARITABLE PURPOSE 501 EZRA 1918 HOMECREST AVENUE BROOKLYN, NY 11229

AMUDEI CHESED NONE GENERAL CHARITABLE PURPOSE 600 1616 OCEAN PARKWAY BROOKLYN, NY 11223

ATARET SHALOM NONE GENERAL CHARITABLE PURPOSE 100 1375 CONEY ISLAND AVE BROOKLYN, NY 11236

ATERET TORAH 901 QUENTIN ROAD NONE GENERAL CHARITABLE PURPOSE 126,800 BROOKLYN, NY 11223

ATERET AHARON 39 HARAV KUK ST NONE GENERAL CHARITABLE PURPOSE 2,600 RAMAT HASHARON IS

ATERET YISROEL 1420 45TH STREET NONE GENERAL CHARITABLE PURPOSE 2,600 BROOKLYN, NY 11219

AVENUE J TORAH CENTER NONE GENERAL CHARITABLE PURPOSE 1,440 1035 OCEAN AVENUE BROOKLYN, NY 11230

AVENUE 0 SYNAGOGUE 808 AVENUE O NONE GENERAL CHARITABLE PURPOSE 1,000 BROOKLYN, NY 11230

AVI EZRI 1260 48TH STREET NONE GENERAL CHARITABLE PURPOSE 2,600 BROOKLYN, NY 11219

AISH KODESH 894 WOODMERE PLACE NONE GENERAL CHARITABLE PURPOSE 300 WOODMERE, NY 11598

BEIS MIDRASH TEHARUS NONE GENERAL CHARITABLE PURPOSE 52 17 FORT GEORGE 75 NEW YORK, NY 10040

Tota l ...... ► 3,600,579 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

BEIT ARIEL 2229 HOMECREST AVENUE NONE GENERAL CHARITABLE PURPOSE 360 BROOKLYN, NY 11229

BET AVRAHAM 396 NEW BRIDGE ROAD NONE GENERAL CHARITABLE PURPOSE 100 BERGENFIELD, NJ 07621

BET YAAKOV OF JERSEY SHORE NONE GENERAL CHARITABLE PURPOSE 10,000 200 WALL ST WEST LONG BRANCH, NJ 07764

BETH ABBA TRUST NONE GENERAL CHARITABLE PURPOSE 2,800 1524 EAST 22ND STREET BROOKLYN, NY 11210

BMHT 1616 EAST 10TH STREET NONE GENERAL CHARITABLE PURPOSE 21,600 BROOKLYN, NY 11223

BNEI BINYAMIN 727 AVENUE 0 NONE GENERAL CHARITABLE PURPOSE 500 BROOKLYN, NY 11230

BNEI YAAKOV 5402 11TH AVENUE NONE GENERAL CHARITABLE PURPOSE 4,000 BROOKLYN, NY 11219

BNOT YISRAEL 243 PROSPECT STREET NONE GENERAL CHARITABLE PURPOSE 40,000 LAKEWOOD, NJ 08701

BNOT YISROEL 17 HIGH STREET NONE GENERAL CHARITABLE PURPOSE 40,000 LAKEWOOD, NJ 08701

BNOT RACHEL HIGH SCHOOL NONE GENERAL CHARITABLE PURPOSE 5,000 1960 E 7TH STREET BROOKLYN, NY 11223

BYTF OF SHOM REI EMURAH NONE GENERAL CHARITABLE PURPOSE 1,000 6221 GREENSPRING AVENUE BALTIMORE, MD 21209

CARMEI HAIR PO BOX 6084 NONE GENERAL CHARITABLE PURPOSE 1,450 JERUSALEM, ISRAEL 91060 IS

CENTRAL FUND OF ISRAEL NONE GENERAL CHARITABLE PURPOSE 600 980 AVENUE OF AMERICAS NEW YORK, NY 10018

CHABAD TREATMENT CENTER NONE GENERAL CHARITABLE PURPOSE 5,000 5675 W OLYMPIC BLVD LOS ANGELES, CA 90095

CHAIM BERLIN 1310 AVENUE I NONE GENERAL CHARITABLE PURPOSE 500 BROOKLYN, NY 11230

Tota l 3 , 6 0 0 , 5 7 9 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

CHAIM VECHESED 1619 51ST STREET NONE GENERAL CHARITABLE PURPOSE 460 BROOKLYN, NY 11204

CHASDEI MOSHA 1269 51ST STREET NONE GENERAL CHARITABLE PURPOSE 3,600 BROOKLYN, NY 11219

CHASDEI SHIMON 1750 44TH STREET NONE GENERAL CHARITABLE PURPOSE 1,000 BROOKLYN, NY 11204

CHASDEI YITZCHAK NONE GENERAL CHARITABLE PURPOSE 226 5109 18TH AVENUE BROOKLYN, NY 11204

CHESED AVRAHAM NONE GENERAL CHARITABLE PURPOSE 1,000 59 GRAVESEND NECK ROAD BROOKLYN, NY 11223

CHESED LAVRAHAM 133 KEAP STREET NONE GENERAL CHARITABLE PURPOSE 1,500 BROOKLYN, NY 11211

CHESEDYAAKOV 1319 51ST STREET NONE GENERAL CHARITABLE PURPOSE 100 BROOKLYN, NY 11219

COLEL CHABAD NONE GENERAL CHARITABLE PURPOSE 2,500 806 EASTERN PARKWAY BROOKLYN, NY 11213

CONGREGATION AHAVAS TZDOKAH NONE GENERAL CHARITABLE PURPOSE 5,000 1347 42ND STREET BROOKLYN, NY 11219

CONGREGATION AHIEZER NONE GENERAL CHARITABLE PURPOSE 1,000 1950 EAST 7TH STREET BROOKLYN, NY 11223

CONGREGATION BAIS SHALOM NONE GENERAL CHARITABLE PURPOSE 500 PO BOX 109 LAWRENCE, NY 11559

CONGREGATION BETH TORAH NONE GENERAL CHARITABLE PURPOSE 1,553 1601 OCEAN PARKWAY BROOKLYN, NY 11230

CONGREGATION BMG NONE GENERAL CHARITABLE PURPOSE 500 5113 16TH AVENUE BROOKLYN, NY 11204

CONGREGATION BRESLEV INSTITUTION NONE GENERAL CHARITABLE PURPOSE 200 38 ALBERT DRIVE MONSEY, NY 10952

CONGREGATION CHEMDAT SHLOMO NONE GENERAL CHARITABLE PURPOSE 11,900 1243 43RD ST BROOKLYN, NY 11219

Tota l 3 , 6 0 0 , 5 7 9 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

CONGREGATION DORESH NONE GENERAL CHARITABLE PURPOSE 2,160 2636 NE 205TH STREET MIAMI, FL 33180

CONGREGATION HOMECREST NONE GENERAL CHARITABLE PURPOSE 500 1949 EAST HOMECREST AVE BROOKLYN, NY 11223

CONGREGATION KEREN ORAH NONE GENERAL CHARITABLE PURPOSE 10,000 812 DITMAS AVENUE BROOKLYN, NY 11230

CONGREGATION KOLLEL AVREICHM NONE GENERAL CHARITABLE PURPOSE 200 20 ALBERT DRIVE MONSEY, NY 10952

CONGREGATION MAGEN DAVID NONE GENERAL CHARITABLE PURPOSE 560 395 DEAL ROAD OCEAN, NJ 07712

CONGREGATION RAMAT SHLOMO NONE GENERAL CHARITABLE PURPOSE 500 10 BUTTEL AVENUE LAKEWOOD, NJ 08701

CONGREGATION YESHIVA BRES LOV NONE GENERAL CHARITABLE PURPOSE 700 70 MAIN STREET MONSEY, NY 10952

DARCHEI DAVID NONE GENERAL CHARITABLE PURPOSE 19,000 1984 EAST FIRST STREET BROOKLYN, NY 11223

DARCHEI HILLEL NONE GENERAL CHARITABLE PURPOSE 5,200 1326 OCEAN PARKWAY BROOKLYN, NY 11230

DRS HEBREW ACADEMY OF LONG NONE GENERAL CHARITABLE PURPOSE 25,000 BEACH 132 SPRUCE STREET CEDARHURST, NY 11516

DSN COMMUNITY CENTER NONE GENERAL CHARITABLE PURPOSE 501 244 NORWOOD AVENUE OAKHURST,NJ 07755

DSY LEARNING CENTER NONE GENERAL CHARITABLE PURPOSE 1,800 543 WEST 42ND STREET NEW YORK, NY 10036

EDMOND J SAFRA SYNAGOGUE NONE GENERAL CHARITABLE PURPOSE 1,220 19275 MYSTIC PT DRIVE AVENTURA,FL 33180

EMRELL YOSER 506 E 7TH STREET NONE GENERAL CHARITABLE PURPOSE 1,000 BROOKLYN, NY 11218

EMUNAH DAILY 1038 OCEAN PARKWAY NONE GENERAL CHARITABLE PURPOSE 1,000 BROOKLYN, NY 11230

Tota l 3 , 6 0 0 , 5 7 9 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

EOM 1093 EAST 17TH STREET NONE GENERAL CHARITABLE PURPOSE 500 BROOKLYN, NY 11230

ESRAS YISROEL 4415 14TH AVENUE NONE GENERAL CHARITABLE PURPOSE 1,000 BROOKLYN, NY 11219

ETZ HAYIM 1649 E 13TH STREET NONE GENERAL CHARITABLE PURPOSE 10,000 BROOKLYN, NY 11229

EVEN HACHAIM 1889 48TH STREET NONE GENERAL CHARITABLE PURPOSE 1,000 BROOKLYN, NY 11204

FLATBUSH PARK JEWISH CENTER NONE GENERAL CHARITABLE PURPOSE 1,800 6363 AVENUE U BROOKLYN, NY 11234

FRIENDS OF AHAVATH SHALOM NONE GENERAL CHARITABLE PURPOSE 18,000 1412 BROADWAY STE 1400 NEW YORK, NY 10018

FRIENDS OF SHEOMM HAMETSYAMIN NONE GENERAL CHARITABLE PURPOSE 1,000 500 W 185TH STREET NEW YORK, NY 10033

FRIENDS OF TEHILAS SHLOMO NONE GENERAL CHARITABLE PURPOSE 500 PO BOX 79 LAKEWOOD, NJ 08701

FRIENDS OF YESHIVA ARAM NONE GENERAL CHARITABLE PURPOSE 5,200 357 BARNARD AVENUE WOODMERE, NY 11598

GEMILOS CHASODIM CHASDEI MOSHE NONE GENERAL CHARITABLE PURPOSE 2,000 1208 AVENUE M 2373 BROOKLYN, NY 11230

GMACH CHASDEI YITZCHOK NONE GENERAL CHARITABLE PURPOSE 500 74 ROSS STREET 4N BROOKLYN, NY 11211

HEICHAL SHMUEL YESHAYAHU 22 NONE GENERAL CHARITABLE PURPOSE 3,600 JERUSALEM, ISRAEL 94715 IS

HOCHMOT SHLOMO NONE GENERAL CHARITABLE PURPOSE 1,000 901 OCEAN AVENUE LONG BEACH, NJ 07740

ICHUD MOSDOS HACHINUCH NONE GENERAL CHARITABLE PURPOSE 13,000 1604 AVENUR R BROOKLYN, NY 11229

INSTITUTE FOR DAYANIM NONE GENERAL CHARITABLE PURPOSE 360 PO BOX 6 TELZ STONE DN HAVAI YEHUDA, ISRAEL 90840 IS

Tota l ...... ► 3,600,579 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

ISRAEL DISTRIBUTION FUND NONE GENERAL CHARITABLE PURPOSE 500 106 PENNINGTON AVENUE PASSAIC,NJ 07055

JERUSALEM OPEN HOUSE 3014 AVE L NONE GENERAL CHARITABLE PURPOSE 200 BROOKLYN, NY 11210

JEWISH COMMANAL FUND NONE GENERAL CHARITABLE PURPOSE 500 575 MADISON AVENUE SUITE 703 NEW YORK, NY 10022

KEHILAT BNEI YAAKOV 630 AVENUE S NONE GENERAL CHARITABLE PURPOSE 22,800 BROOKLYN, NY 11230

KEHILAT ETZ HAYIM 21 CEDAR STREET NONE GENERAL CHARITABLE PURPOSE 2,000 LAKEWOOD, NJ 08701

KEREM SHOLOM 659 ELM STREET NONE GENERAL CHARITABLE PURPOSE 200 CONCORD, MA 01742

KEREN CHAIM NONE GENERAL CHARITABLE PURPOSE 1,000 9190 W OLYMPIC BLVD 345 BEVERLY HILLS, CA 90212

KEREN EZRA HA ALIYAH 19/10 NONE GENERAL CHARITABLE PURPOSE 3,700 TEL AVIV, ISRAEL IS

KEREN HAYESHIVOT TRUST NONE GENERAL CHARITABLE PURPOSE 151,200 1616 EAST 10TH STREET BROOKLYN, NY 11223

KETER DAVID 6 GALED STREET NONE GENERAL CHARITABLE PURPOSE 1,000 OLD CITY JERUSALEM, ISRAEL IS

KETER SION 1914 E 8TH STREET NONE GENERAL CHARITABLE PURPOSE 3,600 BROOKLYN, NY 11223

KETER TORAH 600 ROEMER AVENUE NONE GENERAL CHARITABLE PURPOSE 42,600 TEANEC K, NJ 07666

KHT MESILAT 1616 EAST 10TH ST NONE GENERAL CHARITABLE PURPOSE 10,000 BROOKLYN, NY 11223

KIDS OF COURAGE NONE GENERAL CHARITABLE PURPOSE 12,000 445 CENTRAL AVE ST 216 CEDRHURST, NY 11516

KIHILET B'NAI YAAKOV NONE GENERAL CHARITABLE PURPOSE 5,000 176 WEST SIDE AVE JERSEY CITYJERSEWY, NJ 07305

Tota l ...... ► 3,600,579 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

KINIANEI HATORAH YESHIVA CENTER NONE GENERAL CHARITABLE PURPOSE 500 8 ELIHAZROV STREET JERUSALEM, ISRAEL IS

KNESSES BAIS AARON NONE GENERAL CHARITABLE PURPOSE 126 415 1ST STREET B LAKEWOOD, NJ 08701

KNESSES HATORAH NONE GENERAL CHARITABLE PURPOSE 100 111 KAHANEMAN STREET BNEI BERAK, ISRAEL IS

KOL ISRAEL CONGREGATION NONE GENERAL CHARITABLE PURPOSE 801 603 ST JOHNS PLACE BROOKLYN, NY 11238

KOLEL CHASIDEI RACHMISTRIVKA NONE GENERAL CHARITABLE PURPOSE 250 6 HORIZON COURT 202 MONSEY, NY 10952

KOLLEL AVREICHIM D'CHASIDI BELZ NONE GENERAL CHARITABLE PURPOSE 360 12 MAPLE TERRACE MONSEY, NY 10952

KOLLEL BAIS YECHIEL NONE GENERAL CHARITABLE PURPOSE 1,800 6080 N WHIPPLE STREET CHICAGO, IL 60659

KOLLEL BEIT AHARON NONE GENERAL CHARITABLE PURPOSE 6,600 1638 EAST 7TH STREET BROOKLYN, NY 11230

KOLLEL CHAFETZ HASHEM NONE GENERAL CHARITABLE PURPOSE 4,320 24 HIGHVIEW SUFFERN,NY 10901

KOLLEL HADRAT KODESH PO BOX 109 NONE GENERAL CHARITABLE PURPOSE 1,000 LAWRENCE, NY 11559

KOLLEL OF JERSEY SHORE PO BOX 44 NONE GENERAL CHARITABLE PURPOSE 1,000 DEAL, NJ 07723

KOLLEL OHR MOSHE 1891 EAST 7TH ST NONE GENERAL CHARITABLE PURPOSE 2,000 BROOKLYN, NY 11223

KOLLEL OHR YEHUDA NONE GENERAL CHARITABLE PURPOSE 400 1364 EAST 7TH STREET BROOKLYN, NY 11230

KOLLEL SHAS YIDEN 231 MAIN STREET NONE GENERAL CHARITABLE PURPOSE 200 LAKEWOOD, NJ 08701

KOLLEL TIRERES SHLOMO NONE GENERAL CHARITABLE PURPOSE 1,000 329 LAWRENCE AVENUE LAKEWOOD, NJ 08701

Tota l 3 , 6 0 0 , 5 7 9 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

KOLLEL YETOV LEV 66 PENN STREET NONE GENERAL CHARITABLE PURPOSE 500 BROOKLYN, NY 11211

KONCH HATORAH NONE GENERAL CHARITABLE PURPOSE 100 226-20 FRANCIS LEWIS BLVD QUEENS, NY 11691

LCBY INC 5 SHARON COURT NONE GENERAL CHARITABLE PURPOSE 250 LAKEWOOD, NJ 08701

LE MANN ACHAI PO BOX 532 NONE GENERAL CHARITABLE PURPOSE 15,500 OCEANSIDE, NY 11572

LEV CHANA 291 MEADOWVIEW AVE NONE GENERAL CHARITABLE PURPOSE 9,300 HEWLETT BAY PARK, NY 11557

LEV EL YAHU 295 5TH AVENUE STE 102 NONE GENERAL CHARITABLE PURPOSE 500 NEW YORK, NY 10016

MACHON HARAV SHACH NONE GENERAL CHARITABLE PURPOSE 5,000 5014 16TH AVE STE 412 BROOKLYN, NY 11204

MAGEN ABRAHAM 1221 E 7TH STREET NONE GENERAL CHARITABLE PURPOSE 1,000 BROOKLYN, NY 11230

MAOR HATORAH TRUST NONE GENERAL CHARITABLE PURPOSE 1,000 250 PARK AVENUE LONG BRACH, NJ 07764

MA-OR YESHIVA 36 CEDAR AVE NONE GENERAL CHARITABLE PURPOSE 3,600 LONG BRANCH, NJ 07440

MARES KEREN TORAH NONE GENERAL CHARITABLE PURPOSE 200 4801 16TH AVENUE BROOKLYN, NY 11204

MISHKENOT YAKOV NONE GENERAL CHARITABLE PURPOSE 200 7-9 KIBUTZ GALUYOT STREET BNEI BERAK, ISRAEL IS

MASKOEL ED DAL SOCIETY NONE GENERAL CHARITABLE PURPOSE 3,000 1845 EAST 5TH STREET BROOKLYN, NY 11223

MAZKERET HALFON NONE GENERAL CHARITABLE PURPOSE 800 1744 OCEAN PARKWAY BROOKLYN, NY 11223

MEKOR HAIM 2710 AVE X NONE GENERAL CHARITABLE PURPOSE 157,000 BROOKLYN, NY 11235

Tota l 3 , 6 0 0 , 5 7 9 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

MEKOR HAIM YESHIVAT 2710 AVE X NONE GENERAL CHARITABLE PURPOSE 29,000 BROOKLYN, NY 11235

MENUCHA UKEDUSHA INC NONE GENERAL CHARITABLE PURPOSE 1,000 1756 46TH STREET BROOKLYN, NY 11204

ME'OHR BAIS YAAK 633 THIRD AVENUE NONE GENERAL CHARITABLE PURPOSE 180 NEW YORK, NY 10017

MESHIVAT NEFESH NONE GENERAL CHARITABLE PURPOSE 100 1700 BROADWAY STE 2000 NEW YORK, NY 10019

MESIVTA BEVET CHAZONISH NONE GENERAL CHARITABLE PURPOSE 500 2126 82ND STREET BROOKLYN, NY 11214

MIFAL TERUMAH 1638 E 7TH STREET NONE GENERAL CHARITABLE PURPOSE 25,000 BROOKLYN, NY 11230

MIKDASH MELECH NONE GENERAL CHARITABLE PURPOSE 115,725 1326 OCEAN PARKWAY BROOKLYN, NY 11230

MIR YERUSHALEM NONE GENERAL CHARITABLE PURPOSE 18,000 5227 NEW UTRECHT AVENUE BROOKLYN, NY 11219

MIRRER YESHIVA NONE GENERAL CHARITABLE PURPOSE 5,000 1791-5 OCEAN PARKWAY BROOKLYN, NY 11223

MISHKAN SHAUL 785 RIDGE ROAD NONE GENERAL CHARITABLE PURPOSE 360 HAMDEN, CT 06517

MISKAN MEIR 1274 49TH STREET NONE GENERAL CHARITABLE PURPOSE 200 BROOKLYN, NY 11219

MITZVAH MAN 2618 AVENUE M NONE GENERAL CHARITABLE PURPOSE 3,600 BROOKLYN, NY 11210

MOSDOS KRULA 799 KENT AVENUE NONE GENERAL CHARITABLE PURPOSE 6,200 BROOKLYN, NY 11205

MOSDOT 1931 HOMECREST AVENUE NONE GENERAL CHARITABLE PURPOSE 200 BROOKLYN, NY 11229

NACHALAT YOSEF 6 ELKABATZ STREET NONE GENERAL CHARITABLE PURPOSE 2,600 JERUSALEM, ISRAEL 91430 IS

Tota l ...... ► 3,600,579 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

NAOM HATORAH NONE GENERAL CHARITABLE PURPOSE 11,600 947 PARKWOOD AVENUE LAKEWOOD, NJ 08701

NEFESH YEHUDI PO BOX 212 NONE GENERAL CHARITABLE PURPOSE 5,000 E BRUNSWICK, NJ 08816

NER ELIYAHU NONE GENERAL CHARITABLE PURPOSE 100 640 MONTGOMERY STREET BROOKLYN, NY 11225

NER L SHIMON NONE GENERAL CHARITABLE PURPOSE 100 70 PROSPECT PARK W 1C BROOJLYN, NY 11215

NISHAMA TORAH CENTER NONE GENERAL CHARITABLE PURPOSE 1,000 1292 OCEAN PARKWAY BROOKLYN, NY 11230

NOAM HATORAH 947 PARK AVENUE NONE GENERAL CHARITABLE PURPOSE 250 LAKEWOOD, NJ 08701

OD YOSEF CHAI 18 NEW COUNTY ROAD NONE GENERAL CHARITABLE PURPOSE 2,000 MONSEY, NY 10952

OHAVA TORAH NONE GENERAL CHARITABLE PURPOSE 200 55 SUAVE VERDE DR 430 HENDERSON, NV 89012

OHEL MOSHE LUBAVITCH NONE GENERAL CHARITABLE PURPOSE 1,000 849 OCEAN PARKWAY BROOKLYN, NY 11230

OHEL SHULAMIT 38 SPRUCE DRIVE NONE GENERAL CHARITABLE PURPOSE 10,000 LAKEWOOD, NJ 08701

OHELSIMCHA SUPERFUND NONE GENERAL CHARITABLE PURPOSE 250 295 PARK AVENUE ELBERON, NJ 07740

OHEL TORAH 2600 OCEAN PARKWAY NONE GENERAL CHARITABLE PURPOSE 11,000 BROOKLYN, NY 11223

OHR CHADASH NONE GENERAL CHARITABLE PURPOSE 200 1417 CONEY ISLAND AVENUE BROOKLYN, NY 11230

OHR HALACHA PO BOX 413 NONE GENERAL CHARITABLE PURPOSE 600 DEAL, NJ 07723

OHR NAAVA 2201 E 23RD STREET NONE GENERAL CHARITABLE PURPOSE 26,000 BROOKLYN, NY 11229

Tota l 3 , 6 0 0 , 5 7 9 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

OHR NOSSON 40 12TH STREET NONE GENERAL CHARITABLE PURPOSE 500 LAKEWOOD, NJ 08701

OR HACHAYIM INC 18 FORSHAY ROAD NONE GENERAL CHARITABLE PURPOSE 25,000 MONSEY, NY 10952

OR HADASH INSTITUTIONS NONE GENERAL CHARITABLE PURPOSE 1,000 350 FIFTH AVENUE 59TH FL NEW YORK, NY 10118

ORCHOT DAVID 2076 E 7TH STREET NONE GENERAL CHARITABLE PURPOSE 1,000 BROOKLYN, NY 11223

OHR JOSEPH INSTITUTIONS NONE GENERAL CHARITABLE PURPOSE 14,000 320 FIFTH AVENUE STE 705 NEW YORK, NY 10001

OHR HATORAH 14730 73RD AVENUE NONE GENERAL CHARITABLE PURPOSE 200 FLUSHING, NY 11367

OR LETZION YESHIVA NONE GENERAL CHARITABLE PURPOSE 2,600 22 SOROTZKIN STREET JERUSALEM, ISRAEL 94423 IS

OROT MAJARALIT 1 RUBIN 29 RAMOT 4 NONE GENERAL CHARITABLE PURPOSE 4,000 JERUSALEM, ISRAEL IS

PANIM EL PANEM HA ALIYAH 19/10 NONE GENERAL CHARITABLE PURPOSE 300 TEL AVIV, ISRAEL IS

PARK AVENUE SYNAGOGUE NONE GENERAL CHARITABLE PURPOSE 1,000 50 EAST 87TH STREET BROOKLYN, NY 10128

PEF 630 THIRD AVENUE 15TH FL NONE GENERAL CHARITABLE PURPOSE 50,760 NEW YORK, NY 10017

PROSPECT PARK YESHIVA NONE GENERAL CHARITABLE PURPOSE 9,000 1604 AVENUE R BROOKLYN, NY 11229

REHOVOT HANAHAR NONE GENERAL CHARITABLE PURPOSE 300 REHOVOT HANAHAR 14 RAMAT GAN, ISRAEL IS

RENEWAL 5903 13TH AVENUE NONE GENERAL CHARITABLE PURPOSE 2,300 BROOKLYN, NY 11219

SARAH DABAH SCHOOL NONE GENERAL CHARITABLE PURPOSE 17,400 2221 AVENUE R BROOKLYN, NY 11229

Tota l ...... ► 3,600,579 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

SEAD 1001 DEAL ROAD STE 103 NONE GENERAL CHARITABLE PURPOSE 1,000 OCEAN, NJ 07723

SEPHARDIC BIKUR CHOLIM NONE GENERAL CHARITABLE PURPOSE 52,000 425 KINGS HIGHWAY BROOKLYN, NY 11223

SEPHARDIC TORAH CENTER KOLLEL NONE GENERAL CHARITABLE PURPOSE 18,000 PO BOX 167 DEAL, NJ 07723

SHAARE TORAH 1768 OCEAN AVENUE NONE GENERAL CHARITABLE PURPOSE 36,000 BROOKLYN, NY 11218

SHAARE MISHPAT 5 REN MORGAN NONE GENERAL CHARITABLE PURPOSE 200 HOD HASHARON, ISRAEL IS

SHAARE RAHAMIM NONE GENERAL CHARITABLE PURPOSE 5,200 1244 EAST 7TH STREET BROOKLYN, NY 11230

SHAARE YOSHER 4102 16TH AVENUE NONE GENERAL CHARITABLE PURPOSE 10,000 BROOKLYN, NY 11204

SHAARE ZION TORAH CENTER NONE GENERAL CHARITABLE PURPOSE 10,000 2030 OCEAN PARKWAY BROOKLYN, NY 11223

SHAARET EZRA 676 9TH STREET NONE GENERAL CHARITABLE PURPOSE 1,000 LAKEWOOD, NJ 08701

SHAS YIDEN NONE GENERAL CHARITABLE PURPOSE 1,000 1274 49TH STREET STE 56 BROOKLYN, ISRAEL 11219 IS

SHAVEY YITZCHAK NONE GENERAL CHARITABLE PURPOSE 500 3838 SW 50TH COURT FT LAUDERDALE, FL 33312

SHIVAT ZION BEN YEHUDA STREET 86 NONE GENERAL CHARITABLE PURPOSE 1,200 TEL AVIV, ISRAEL IS

SHLUMI TORAH CENTER NONE GENERAL CHARITABLE PURPOSE 100 PO BOX 230271 BROOKLYN, NY 11223

SIMCHAT T ZION NONE GENERAL CHARITABLE PURPOSE 4,500 428 CLINTON AVENUE 44 LAKEWOOD, NJ 08701

SLABODKA YESHIVA NONE GENERAL CHARITABLE PURPOSE 5,000 169 PARKVILLE AVENUE BROOKLYN, NY 11230

Tota l ...... ► 3,600,579 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

STOM GEMILAS CHESED NONE GENERAL CHARITABLE PURPOSE 100 615 FOREST AVENUE LAKEWOOD, NJ 08701

TORAH FOR SPECIAL CHILDREN NONE GENERAL CHARITABLE PURPOSE 1,800 265 QUENTIN ROAD A3 BROOKLYN, NY 11223

TORAH ORE 3006 AVENUE M NONE GENERAL CHARITABLE PURPOSE 7,200 BROOKLYN, NY 11210

TORAH TMIMAH CONGREGATION NONE GENERAL CHARITABLE PURPOSE 600 1415 54TH STREET BROOKLYN, NY 11219

TORAT CHESED TRUST NONE GENERAL CHARITABLE PURPOSE 800 3805 15TH STREET BROOKLYN, NY 11218

TORAT ELIYAHU NONE GENERAL CHARITABLE PURPOSE 1,000 15 NACHAL ARUGAT STREET RAMAL BEIT SHEMESH JERUSALEM, ISRAEL IS

TORAT HANACHAL 303 PARK AVE NONE GENERAL CHARITABLE PURPOSE 2,200 ELBERON, NJ 07740

TORAT MOSHE MALKA NONE GENERAL CHARITABLE PURPOSE 18,000 4701 BAY PARKWAY BROOKLYN, NY 11230

TORAT TEMIMAH 555 OCEAN PARKWAY NONE GENERAL CHARITABLE PURPOSE 100 BROOKLYN, NY 11218

TOSFOT YOM TOV 1682 42ND STREET NONE GENERAL CHARITABLE PURPOSE 200 BROOKLYN, NY 11204

TZEDEK LEDAVID NONE GENERAL CHARITABLE PURPOSE 1,000 10 CHULDA HANINAH STREET BNEI BRAK, ISRAEL IS

TZIDKES SHALOM NONE GENERAL CHARITABLE PURPOSE 500 333 STANLEY AVENUE BROOKLYN, NY 11207

YAAKOV FARSHI NONE GENERAL CHARITABLE PURPOSE 3,000 609 BEACH 9TH STREET FAR ROCKAWAY, NY 11691

VAAD HARABANIM 221 REGENT DRIVE NONE GENERAL CHARITABLE PURPOSE 300 LAKEWOOD, NJ 08701

YAD ELIEZER 1102 EAST 26TH ST NONE GENERAL CHARITABLE PURPOSE 1,100 BROOKLYN, NY 11210

Tota l ...... ► 3,600,579 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

YAD MOSHE 4706 12TH AVENUE NONE GENERAL CHARITABLE PURPOSE 200 BROOKLYN, NY 11219

YAD NAFTALI 1268 48TH ST NONE GENERAL CHARITABLE PURPOSE 3,200 BROOKLYN, NY 11219

YAD YOSEF 1036 OCEAN PARKWAY NONE GENERAL CHARITABLE PURPOSE 134,702 BROOKLYN, NY 11230

YAM HATORAH 2716 HEALY AVENUE NONE GENERAL CHARITABLE PURPOSE 1,000 FAR ROCKAWAY, NY 11691

YDE 49 AVENUE T NONE GENERAL CHARITABLE PURPOSE 6,000 BROOKLYN, NY 11223

YESHIVA AMOD HATORAH NONE GENERAL CHARITABLE PURPOSE 500 1363 60TH STREET BROOKLYN, NY 11219

YESHIVA BAYONNE 747 AVENUE C NONE GENERAL CHARITABLE PURPOSE 500 BAYONE, NJ 07002

YESHIVA BIRKEL YOSEF NONE GENERAL CHARITABLE PURPOSE 1,000 422 QUENTIN ROAD BROOKLYN, NY 11223

YESHIVA CHASEN SOFER NONE GENERAL CHARITABLE PURPOSE 1,000 1876 50TH STREET BROOKLYN, NY 11204

YESHIVA GEDOLA BAIS YISROEL NONE GENERAL CHARITABLE PURPOSE 3,000 1212 TODD COURT LAKEWOOD, NJ 08701

YESHIVA GEDOLA KESSER TORAH NONE GENERAL CHARITABLE PURPOSE 1,800 28 CEDAR LANE MONSEY, NY 10952

YESHIVA KETANA OF BENSONHURST NONE GENERAL CHARITABLE PURPOSE 500 2056 67TH STREET BROOKLYN, NY 11204

YESHIVA KETER TORAH NONE GENERAL CHARITABLE PURPOSE 20,000 296 JERSEY AVE LONG BRANCH, NJ 07740

YESHIVA LEV AHARON NONE GENERAL CHARITABLE PURPOSE 2,000 1127 EAST 5TH ST BROOKLYN, NY 11230

YESHIVA MEOR HATORAH NONE GENERAL CHARITABLE PURPOSE 1,200 198 UTICA AVENUE BROOKLYN, NY 11230

Tota l ...... ► 3,600,579 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

YESHIVA MISHKAN HATALMUD NONE GENERAL CHARITABLE PURPOSE 1,000 46 BRIAN STREET LAKEWOOD, NJ 08701

YESHIVA NACHALAS BNEI SHIMON NONE GENERAL CHARITABLE PURPOSE 2,500 1440 EAST 29TH STREET BROOKLYN, NY 11210

YESHIVA OF NITRA NONE GENERAL CHARITABLE PURPOSE 3,000 194 DIVISION AVENUE BROOKLYN, NY 11211

YESHIVA OR HATORAH NONE GENERAL CHARITABLE PURPOSE 8,000 2119 HOMECREST AVENUE BROOKLYN, NY 11229

YESHIVA WOLOZIN NONE GENERAL CHARITABLE PURPOSE 2,800 1778 EAST 15TH STREET BROOKLYN, NY 11229

YESHIVA ZICHRON MAYIR NONE GENERAL CHARITABLE PURPOSE 200 5 RONALD TAWIL WAY MOUNTAINDALE, NY 12763

YESHIVAT BEIS MEIR NONE GENERAL CHARITABLE PURPOSE 250 715 PRINCETON AVENUE LAKEWOOD, NJ 08701

YESHIVAT BEIT TITYAHU NONE GENERAL CHARITABLE PURPOSE 1,800 7520 VLEIGH PLACE FLUSHING, NY 11367

YESHIVAT BIRKAT ISRAEL NONE GENERAL CHARITABLE PURPOSE 500 7616 171ST STREET FLUSHING, NY 11366

YESHIVAT LEV TORAH 875 AVENUE Z NONE GENERAL CHARITABLE PURPOSE 7,600 BROOKLYN, NY 11235

YESHIVAT MAGEN ABRAHAM NONE GENERAL CHARITABLE PURPOSE 3,000 732 AVENUE Z BROOKLYN, NY 11223

YESHIVAT NACHALAT MOSHE NONE GENERAL CHARITABLE PURPOSE 6,600 1548 EAST 10TH STREET BROOKLYN, NY 11230

YESHIVAT OHR YITZHAK NONE GENERAL CHARITABLE PURPOSE 6,000 1214 EAST 15TH STREET BROOKLYN, NY 11230

YESHIVAT OR HACHAIM OF LAKEWOOD NONE GENERAL CHARITABLE PURPOSE 1,000 37 FREEDOM ROAD LAKEWOOD, NJ 08701

YESHIVAT OR HATORAH NONE GENERAL CHARITABLE PURPOSE 10,000 2119 HOMECREST AVE BROOKLYN, NY 11229

Tota l 3 , 6 0 0 , 5 7 9 3a Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

a Paid during the year

YESHIVAT YAGDIL TORAH NONE GENERAL CHARITABLE PURPOSE 113,000 525 SECOND STREET LAKEWOOD, NJ 08701

YESHIVA BIRKEI YOSEF NONE GENERAL CHARITABLE PURPOSE 1,000 422 QUENTIN ROAD BROOKLYN, NY 11223

YETEV LEV 13 HOOPER STREET NONE GENERAL CHARITABLE PURPOSE 250 BROOKLYN, NY 11230

YIKEREI YERUSHALIM NONE GENERAL CHARITABLE PURPOSE 25,000 10 HALAMED-HEY STREET JERUSALEM, ISRAEL IS

ZICHRON BINYOMIN NONE GENERAL CHARITABLE PURPOSE 50,500 701 PRINCETON AVENUE LAKEWOOD, NJ 08701

ZICHRON SHOLOMO NONE GENERAL CHARITABLE PURPOSE 250 5014 16TH AVENUE STE 132 BROOKLYN, NY 11204

ZICHRON YAAKOV 720 UNION ROAD NONE GENERAL CHARITABLE PURPOSE 1,400 SPRING VALLEY, NY 10977

ZOHAR HATORAH 4 EAST 34TH STREET NONE GENERAL CHARITABLE PURPOSE 10,000 NEW YORK, NY 10016

Tota l ...... ► 3,600,579 3a l efile GRAPHIC p rint - DO NOT PROCESS I As Filed Data - DLN: 93491132025977 TY 2016 Accounting Fees Schedule

Name : THE JIMMY AND BERTA KHEZRIE CHARITABLE FOUNDATION EIN: 47-6505143

Category Amount Net Investment Adjusted Net Disbursements Income Income for Charitable Purposes

INDIRECT ACCOUNTING FEES 1,250 l efile GRAPHIC p rint - DO NOT PROCESS I As Filed Data - DLN: 93491132025977 TY 2016 Other Expenses Schedule

Name : THE JIMMY AND BERTA KHEZRIE CHARITABLE FOUNDATION EIN: 47-6505143 Other Expenses Schedule

Description Revenue and Net Investment Adjusted Net Disbursements for Expenses per Income Income Charitable Books Purposes

EXPENSES

BANK CHARGE 42 42 l efile GRAPHIC p rint - DO NOT PROCESS I As Filed Data - DLN: 93491132025977 TY 2016 Taxes Schedule

Name : THE JIMMY AND BERTA KHEZRIE CHARITABLE FOUNDATION EIN: 47-6505143

Category Amount Net Investment Adjusted Net Disbursements Income Income for Charitable Purposes

REGISTRATION 275 275

FEDERAL INCOME TAX 3 3