Form990-PF Or Section 4947(A)(1) Trust Treated As Private Foundation Do Not Enter Social Security Numbers on This Form As It May Be Made Public

l , Return of Private Foundation OMB No 1545-0052 Form990-PF or Section 4947(a)(1) Trust Treated as Private Foundation Do not enter social security numbers on this form as it may be made public. 2014 ' • Department of the Treasury ► Instructions is at www.irs.gov/four Internal Revenue Service ► Information about Form 990-PF and its separate For calendar y ear 2014 or tax y ear be g inning 12/01 , 2014 , and endin g 11/30, 20 15 Name of foundation A Employer identification number JACK ADJMI FAMILY FOUNDATION. INC, 13-3202295 Number and street ( or P 0 box number if mad is not delivered to street address) Room / suite B Telephone number (see instructions) (212) 629-9600 463 SEVENTH AVENUE, 4TH FLOOR City or town , state or province, country, and ZIP or foreign postal code q C If exemption application is . ► pending, check here - - • - - - NEW YORK, NY 10018

G Check all that apply: Initial return Initial return of a former public charity q D 1 Foreign organizations, check here. . ► Final return Amended return 2 Foreign organ izations meeting the q 85% test, check here and attach . ► Address change9a Name change computation ...... H Check type of organization : X Section 501 (c)(3) exempt private foundation E If private foundation status was terminated Section ) nonexem t charitable trust Other taxable p rivate foundation q 4947( l )( 1 p under section 507(bx1XA), check here , ► I Fair market value of all assets at J Accountin9 method : X Cash Accrual F If the foundation is in a 60-month termination end of year (from Part 11, col. (c), line Other ( specify ) ______under section 507(b)(1)(B), check here . 16) ► $ 1, 062, 7 3 2. (Part 1, column (d) must be on cash basis) Analysis of Revenue and Expenses (The (d) Disbursements (a) Revenue and (b) Net investment (c) Adjusted net for charitable total of amounts in columns (b), (c), and (d) expenses per may not necessarily equal the amounts in income income purposes column (a) (see instructions books ( cash basis only) CC 1 Contributions , grits, grants , etc , received (attach schedule ) , 4,276,581 . O the foundation is not required to N 2 Check if ► attach Sch B . . , 3 Interest on savings and temporary cash investments. cV 4 Dividends and interest from securities . . . 12, 12. 5a Gross rents ...... 0- Q b Net rental income or (loss) 6a Net gain or ( loss) from sale of assets not on line 10 11,318 . b Gross sales puce for all 30 , 037. w w assets on line 6a > 7 Capital gain net income (from Part IV, line 2) . 11,318. 7- ix 8 Net short - term capital gain ...... 9 Income modifications ...... 0 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, 287, 911. 11,330.

13 Compensation of officers , directors, trustees, etc 0 r---r3 f/! y 14 Other employee salaries and wages . . . . . 15 Pension plans, employee benefits . , , , , X 16a Legal fees (attach schedule ) . , , , , , , , W b Accounting fees (attach schedule) . , > c Other professional fees (attach schedule). L^ ] 9. OGU 1 17 Interest ...... 2 18 Taxes ( attach schedule) (see instructions )[ 2 ], 4,672. S 19 Depreciation (attach schedule ) and depletion Cl 20 Occupancy ...... 21 Travel, conferences , and meetings . . . . . cc 22 Printing and publications , ...... 23 Other expenses (attach schedule)A.Tc{i . 913. 407. 506 24 Total operating and administrative expenses. d Add lines 13 through 23 ...... 5, 594. 416. 506 0 25 Contributions , gifts, grants paid ... .. , 3, 963, 851. 3 , 963, 851 26 Total expenses and disbursements Add lines 24 and 25 3,969,44 5. 416. 3,964, 357 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements , 318,466. b Net investment income ( if negative , enter -0-) 10,914. c Adjusted net income ( if negative, enter -0-), , SSA For Paperwork Reduction Act Notice, see instructions . Form yyU-Yt- (2014) 4E1410 1 000 5847HS 3846 J17878 ti Forme90-PF (2014) JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Paget ® Attached schedules and amounts in the Beginning of year End of year Balance Sheets 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 ...... 583, 276. 1, 014, 462. 1,014,462 2 Savings and temporary cash investments ...... 172, 221. 48,270. 48,270 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 (attach schedule) (see instructions) , , ,

7 Other notes and loans receivable (attach schedule) ► _ _ _ _ Less. allowance for doubtful accounts ► - _ _ - - - _ - _ - - _ d 8 Inventories for sale or use ...... 9 Prepaid expenses and deferred charges ...... 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) , 755, 497. 1, 062, 732. 1,062,732 17 Accounts payable and accrued expenses , , , ...... 18 Grants payable ...... W 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 0

Foundations that follow SFAS 117, check here. ► and complete lines 24 through 26 and lines 30 and 31. m 24 Unrestricted ...... 25 Temporarily restricted ...... 9 26 Permanently restricted ...... LL Foundations that do not follow SFAS 117, ... ► 0 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 755, 497. 1, 062, 732. m 30 Total net assets or fund balances (see instructions), 755,497. 1,062,732. Z 31 Total liabilities and net assets/fund balances . (see instructions) ...... 755, 497. 1,062,732. Anal sis of Chang es in Net Assets or Fund Balances I 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 years return), , , , , , , , , , , , , , , , , , , , , , , , , 1 755,497 318,466 2 Enter amount from Part I, line 27a ...... 2 3 Other increases not included in line 2 (itemize) ►______3 1,073,963 4 Add lines 1, 2, and 3 ...... , 4 5 Decreases not included* in. line. ATCH 4 . g 11, 231 ------6 Total net assets or fund balances at end of ear line 4 minus line 5 - Part II, .column b , line 30 . . 6 1, 062, 732 Form 990-PF (2014)

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4E1420 1 000 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Form 990-PF (2014) Page 3 ffgNM Capital Gains and Losses for Tax on Investment Income (b) How (c) Date ()a List and describe the kinds() of property sold (a g real estate, acquired (d) Date sold 2-story brick warehouse, or common stock, 200 shs MLC Co) P-Purchase (mo,day, yr.) D - Donation (mo., day, yr) la SEE PART IV SCHEDULE b c d e (f) Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (e) 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) Gains (Col (h) gain minus Adjusted basis (k) Excess of col (i) col (k), but not less than -0-) or (i) M V. as of 12/31/69 (1) F as of 12/31/69 over col. Q), 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) { If (loss), enter -0- in Part I, line 7 } 2 11,318. 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 3 0 FUMM 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 penod7 Yes M No If "Yes," the foundation does not qualify under section 4940 (e). Do not complete this part. I Fntar the- annrnnriata amnrint in Par--h enliimn fnr aarh vaar• spa tha instnirhnns b fnre making any entrlAS ( d) Base period years Distribut ion ratio calendar yearlortaxyearbeginningin) Adj usted qualifying distributions Net value of nonchantable-use assets (col (b)dividedby col (c)) 2013 3,776,775. 470,202. 8.032239 2012 3,769,863. 166,830. 22.597033 2011 2,569,371. 126,484. 20.313803 2010 2,115,709. 272,430. 7.766065 2009 1,888,162. 172,826. 10.925220

2 Total of line 1 , column (d) ...... 2 69.634360 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 13.926872

4 Enter the net value of noncharitable -use assets for 2014 from Part X, line 5 ...... 4 1,094,048.

5 Multiply line 4 by line 3 ...... 5 15, 236, 666.

6 Enter 11 % of net investment income (1 % of Part I, line 27b) ...... 6 109.

7 Add lines 5 and 6 ...... 7 15, 236, 775.

8 Enter qualifying distributions from Part XII, line 4 ...... 8 3,964,357. 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 4E14301JSA 000 990-PF (2014) 5847HS 3846 J17878 ,Form,990 -PF(2014) JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Page4 JjM Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)

Ia 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 1 218. q here ► 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-) . . 2 218. 3 Add lines 1 and 2 ...... 3 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- ...... 5 218. 6 Credits/Payments a 2014 estimated tax payments and 2013 overpayment credited to 2014. . . . 6a 2,310. 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 2,310. 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 2,092 . 10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ... , , , ► 2, 092. 11 Enter the amount of line 10 to be Credited to 2015 estimated tax ► Refunded ► 11 FT.ffUM Statements Reg arding Activities Ia During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it Yes No participate or intervene in any political campaign? ...... 1 a X b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions for the definition)? ...... 1 b X If the answer is 'Yes" to la or 1b, attach a detailed description of the activities and copies of any materials published or distributed by the foundation in connection with the activities c Did the foundation file Form 1120-POL for this year? ...... 1c X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year. (1) On the foundation ► $ (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 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 year' ...... 4a X 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 X If "Yes,"attach the statement required by General Instruction T 6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either • By language in the governing instrument, or • By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law remain in the governing instrument? ...... 6 X 7 Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part fl, col. (c), and Part XV 7 X

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 G7If "No,' attach explanation ...... 8b X 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 2014 or the taxable year beginning in 2014 (see instructions for Part XIV)' If "Yes," X complete Part XIV ...... 9 10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses ...... 10 X Form 990-PF (2014)

JSA 4E14401 000 5847HS 3846 J17878 Form 990-PF (2014) JACK ADJMI FAMILY FOUNDATION, INC. 13 -3202295 Pages 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 ) ...... 11 X 12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges? If "Yes, " attach statement (see instructions ) ...... 12 X 13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? . 13 X Website address N/A ►------ERIC-ADJMI ------Telephone no 629_ 9600______14 Thebooksareincareof ► N-Y- 463 7TH AVENUE , 4TH FLOOR NEW YORK, ZIP+4 10018 Located at ► ► 15 Section 4947 ( a)(1)------nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here ......

and enter the amount of tax- exempt interest received or accrued during the year ...... ► 15 16 At any time during calendar year 2014 , did the foundation have an interest in or a signature or other authority Yes No over a bank , securities, or other financial account in a foreign country? ...... 16 X See the instructions for exceptions and filing requirements for FinCEN Form 114, (formerly TO F 90-221) If "Yes," enter the name of the forei gn country lo. Statements Re g arding Activities for Which Form 4720 May Be Re q uired 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? ...... q Yes 1fl No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Yes X No (3) Furnish goods , services, or facilities to ( or accept them from) a disqualified person'...... Yes X No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? , , , . , , . , , Yes X No (5) Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person )? ...... q Yes 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 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

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 2014? ...... 1 c X 2 Taxes on failure to distribute income ( section 4942 ) (does not apply for years the foundation was a private operating foundation defined in section 4942 (j)(3) or 49420)(5))- a At the end of tax year 2014 , did the foundation have any undistributed income ( lines 6d and 6e, Part XIII ) for tax year( s) beginning before 2014 ...... q 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 ) ...... 2b X 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? ...... q Yes a No b If "Yes ," did it have excess business holdings in 2014 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 2014 ) ...... 3b 4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a X b Did the foundation make any investment in a prior year ( but after December 31, 1969 ) that could jeopardize its charitable ouroose that had not been removed from leopardv before the first day of the tax year beginning in 2014 4b X Form 990-PF (2014)

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4E1450 1 000 5847HS 3846 J17878 .Form990-PF(2014) JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Page 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))" ...... 1:1 Yes a N o (2) Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly, any voter registration drive?...... Yes X No (3) Provide a grant to an individual for travel, study, or other similar purposes? ...... Yes X No (4) Provide a grant to an organization other than a charitable, etc, organization described in section 4945(d)(4)(A) ? (see instructions)...... 1:1 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 If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions)? ...... - 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 q because it maintained expenditure responsibility for the grant? ...... 1:1 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? ...... El Ye s DI N o b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ...... 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 ? . Yes 1 - 1 N o b If "Yes," did the foundation receive an y proceeds or have any net income attributable to the transaction? . . ISMIM Information About Officers, Directors , Trustees , Foundation Managers , Highly Paid Employe and Contractors I list all nffirarc rlirar_tnrs tructooc fnrunrfafinn mananarc and their romne nsatinn (sea instructionsl- (b) Title, and average (c) Compensation (d) Contributions to (e) Expense account, week ( If not paid , employee benefit plans (a) Name and address hours per other allowances devoted to osition enter-0- and deferred compensation

------• ATCH 5 0

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2 Comoensation of five highest- paid emolovees (other than those included on line I - see instructions). If none. enter "NONE." (d) Contributions to average (b) Title, and employee benefit (e) Expense account, week (c) Compensation (a) Name and address of each employee paid more than $50,000 hours per plans and deferred other allowances position devoted to compensation

------NONE

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Total number of other em p loyees paid over $50,000. . ► Form 990-PF (2014)

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4EI4601 000 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Form 990-PF(2014) Page 7 Information About Officers , Directors , Trustees , Foundation Managers, Highly Paid Employees, and Contractors (continued) 3 Five hi g hest -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

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11111. Summary of Direct Charitable Activities

List the foundation's four largest direct chantable Include relevant statistical information such as the number of activities during the tax year menses organizations and other beneficiaries served, conferences convened , research papers produced, etc N/A ------

2 ------

3 ------

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f9.nTVWi 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 NONE ------

2 ------

All other program-related investments See instructions 3 NONE --

Add lines 1 through 3 . ► Form 990-PF(2014)

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4E1465 1 000 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Form 990-PF (2014) 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 ...... 1a b Average of monthly cash balances ...... 1b 1,110,709. c Fair market value of all other assets (see instructions)...... 1c d Total (add lines 1 a, b, and c) ...... 1d 1,110,709. e Reduction claimed for blockage or other factors reported on lines 1 a and 1c (attach detailed explanation) , , , , , , , , , , , , , , , , , , 1 1e 2 Acquisition indebtedness applicable to line 1 assets , , , , , , , , , , , , , , , , , , , , , , , , , , , 2 1,110,709. 3 Subtract line 2 from line 1d ...... 3 4 Cash deemed held for charitable activiti.es. E.nter.1. .1/2.% of.line 3 ('fo'r greater amount, see instructions) ...... 4 16, 661. 5 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4 5 1,094,048. 6 Mini mum i nve stme nt return . Enter 5% of line 5 ...... 6 54,70 2 . ORM Distributable Amount (see instructions) (Section 49420)(3) and 0)(5) private operating foundations and certain foreign organizations check here ► and do not complete this part.) I Minimum investment return from Part X, line 6 ...... 1 54,702. 2a Tax on investment income for 2014 from Part VI, line 5 ...... 2a 218. b Income tax for 2014. (This does not include the tax from Part VI.). . 2b c Add lines 2a and 2b , , ,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,, 2c 218. 3 Distributable amount before adjustments. Subtract line 2c from line 1 ...... 3 54,484. 4 Recoveries of amounts treated as qualifying distributions ...... 4 5 Add lines 3 and 4 , , , ,,,,, , , , , ,, , ,, , ,,, , ,, , , 5 54,484. 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 54,484. 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 ...... 1a 3,964,357. b Program-related investments - total from Part IX-B . , 1b 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 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 4 3, 964, 357. 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 0 6 Adjusted qualifying distributions. Subtract line 5 from line 4 .. , , , , , , , , , , , , , , 6 3,964,357. Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when c alculating whether the foundation qualifi es for the section 4940(e) reduction of tax in those years. Form 990 -PF (2014)

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4E1470 1 000 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295

Form 990-PF 9 Undistributed Income (see instructions) (a) (b) (c) (d) 2014 1 Distributable amount for 2014 from Part A, Corpus Years prior to 2013 2013 line? ...... 54,484. 2 Undistributed income, if any, as of the end of 2014 a Enter amount for 2013 only . , , , b Total for prior years 20 12 20 11 20 10 3 Excess distributions carryover, if any, to 2014: a From 2009 1, 879, 521. b From 2010 2, 102, 087. c From2011 2,563,047. d From2012 .... 3,761,521. e From 2013 3,754,568. f Total of lines 3a through e , , , , , , , , , , 14,060,744. 4 Qualifying distributions for 2014 from Part XII, 3,964,357. line 4. ► $ a Applied to 2013, 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 2014 distributable amount .. , , 54,484. e Remaining amount distributed out of corpus . , 3,909,873. 5 Excess distributions carryover applied to 2014 (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 17,970,617. 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 2013 Subtract line 4a from line 2a. Taxable amount - see instructions ......

f Undistributed income for 2014 Subtract lines 4d and 5 from line 1. This amount must be distributed in 2015 , , , , , , , , , , , , , , 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 2009 not 1,879,521. applied on line 5 or line 7 (see instructions) . 9 Excess distributions carryover to 2015. 16,091,096. Subtract lines 7 and 8 from line 6a ...... 10 Analysis of line 9 a Excess from 2010 . 2,102,087. b Excess from 2011 . 2563,047. c Excess from 2012 . 3,761,521. d Excess from 2013 . 3,754,568. e Excess from 2014 3, 909, 873 . Form 990-PF(2014)

JSA

4E1480 1 000 5847HS 3846 J17878 .Form 990-PF(2014) JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Page 10 Private Operating Foundations (see instructions and Part VII-A, question 9) NOT APPLICABL I a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2014, enter the date of the ruling ...... ► L b Check box to indicate whether the foundation is a private operating foundation described in section 4942(j)(3) or I I 4942(j)(5) Tax year Prior 3 years 2 a Enter the lesser of the ad- (e) Tota l justed net income from Part (a) 2014 (b) 2013 (c) 2012 (d) 2011 I or the minimum investment return from Part X for each year listed , . . , , , .

b 85% of line 2a , , , . ,

C Qualifying distributions from Part xll, line 4 for each year listed , d Amounts included in line 2c not used directly for active conduct of exempt activities . . . . . e Qualifyi ng distributions made directly for active conduct of exempt activities Subtract line 2d from line 2c ...... 3 Complete 3a, b, or c for the alternative test relied upon a 'Assets' alternative test - enter

(1) Value of all assets ( 2) Value of assets qualifying under section 4942OX3XB)(i). . . . . 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( aX5)), or royalties )...... (2) Support from general public and 5 or more exempt organizations as provided in section 4942 OX3)(B)(u) ...... (3) Largest amount of support from an exempt organization. . . . , (4) Gross investment income , Supplementary Information ( Complete this part only if the foundation had $5,000 or more in assets at any time during the year - see instructions.) 1 Information Regarding Foundation Managers: a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).) ERIC ADJMI b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

NONE 2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship , etc., Programs: FV1 Check here OP. 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:

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:

JSA 1 000 Form 990-PF (2014) 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295

Form 990-PF (2014) Page 11 FURTM. Supplementary Information (continued) 3 Grants and Contributions Paid During the Year or Approved for Future Payment If recipient is an mdmdual, Foundation Reci p tent relationship Purpose of grant or show any to status of Amou nt any foundation manager contribution Name and address (home or business) or substantial contributor recipi ent a Paid during the year

ATCH 6

Total ...... 3a 3,963,851. b Approved for future payment

Total ► 3b SSA Form 990-PF (2014) 4E1491 1000

5647HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Form 990-PF (2014) Page 12 Analysis of Income-Producing Activities Enter g ross amounts unless otherwise indicated Unrel ated business income Excluded by section 512, 513, or 514 (e) (d) Related or exempt (a) (b) (c) function income Amount Amount 1 Pro gram service revenue- Business code Exclusion code ( See instructions a b c d e f 9 Fees and contracts from government agencies 2 Me mbership dues and assessments , , , , 3 I nt B rest on savings and temporary cash investments 4 Dividends and interest from securities 14 12. 5 Nett 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 Ot h er investment income ...... , 8Gal n or (loss) from sales of assets other than inventory 18 11,318 . 9 Net income or (loss) from special events , , 10 Gro ss profit or (loss) from sales of inventory. 11 Oth er revenue: a b c d e 12 Su b total Add columns (b), (d), and (e) , , . 11, 330 . 13 Total. Add line 12, columns ( b), (d), and (e), ...... 13 11,3 3 0. (See worksheet in line 13 instructions to verify calculations.) MEWM. Relationship of Activities to the Accomplishment of Exempt Purposes Line No. Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the y accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes). (See instructions.)

JSA Form 990-PF (2014) 4E1492 1 000 5847HS 3846 J17878 .Form 990-PF (2014 ) JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Page 13 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations 1 Did the organization directly or indirectly engage in any of the following with any other organization described Yes No in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting foundation to a noncharitable exempt organization of: (1) Cash ...... a1 X (2) Other assets ...... la ( 2) X b Other transactions: (1) Sales of assets to a noncharitable exempt organization...... , ...... 1b 1 X (2) Purchases of assets from a noncharitable exempt organization ...... lb ( 2) X (3) Rental of facilities, equipment, or other assets ...... lb ( 3) X (4) Reimbursement arrangements ...... 11Ia X (5) Loans or loan guarantees ...... lb ( 5) X (6) Performance of services or membershipem or fundraising solicitations ...... 1b ( 6) X c Sharing of facilities, equipment, mailing lists, other assets, or paid employees ...... 1c X d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair m arket value of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair m arket value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or s ervices received.

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? ...... q Yes No b If "Yes , " com p lete the followin g 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 Declaration of preparer ( other than taxpayer) is based on all information of which preparer has any knowledge Sign May the IRS discuss this return ^qr- Here Signature of officerortrust Date

Pnnt/Type preparers name Prepa s Si n u Paid ATTHEW MULLANEY

4E1493 1 000 5847HS Schedule B Schedule of Contributors OMB No 1545-0047 (Form 990 , 990-EZ, or 990-PF) Attach to Form 990, Form 990-EZ, or Form 990-PF. Department of the Treasury ► 20014 Internal Revenue Service ► Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990. Name of the organization Employer identification number JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 Organization type (check one).

Filers of: Section:

Form 990 or 990-EZ q 501(c)( ) ( enter number) organization

q 4947( a)(1) nonexempt charitable trust not treated as a private foundation

q 527 political organization

Form 990-PF q 501(c)( 3) exempt private foundation

q 4947( a)(1) nonexempt charitable trust treated as a private foundation

q 501(c)( 3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule. Note . Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

0 For an organization filing Form 990 , 990-EZ, or 990-PF that received , during the year, contributions totaling $5,000 or more ( in money or property ) from any one contributor Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

q For an organization described in section 501(c)(3) filing Form 990 or 990- EZ that met the 33 1 /3 % support test of the regulations under sections 509(a )(1) and 170(b)(1)(A)(vl), that checked Schedule A ( Form 990 or 990-EZ ), Part II, line 13, 16a , or 16b , and that received from any one contributor , during the year , total contributions of the greater of (1) $ 5,000 or (2) 2% of the amount on (I) Form 990 , Part VIII, line 1 h, or (it) Form 990-EZ, line 1 . Complete Parts I and II.

q For an organization described in section 501 (c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III.

q For an organization described in section 501 (c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year .... , , , , , , , , , , , , , , , , , , , , , , , ► $

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

JSA 4E1251 2 000 5847HS 3846 J17878 Schedule B (Form 990, 990-EZ, or 990-PF) (2014) Page 2 Name of organization JACK ADTMI r INC. Employer Identification number 1 13-3202295 Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.

(a) (b) (c) (d) No. Name, address , and ZIP + 4 Total contributions Type of contribution

-- 1_ ERIC ADJMI------Person Payroll 463 7TH AVENUE, 4TH FLOOR $ ------_ 10,000. ------Noncash (Complete Part II for NEW YORK, NY 10018 ------noncash contributions )

(a) (b) (c) (d) No. Name, address , and ZIP +4 Total contributions Type of contribution

2 - BELUGA INC ------Person Payroll 463 7TH AVENUE, 4TH FLOOR $ ------_ 195,004. ------Noncash (Complete Part II for NEW YORK , NY 10018 ------noncash contributions )

(a) (b) (c) (d) No. Name , address , and ZIP + 4 Total contributions Type of contribution

3- IFG CORPORATION ------Person Payroll 463- 7TH-AVENUE,-4TH-FLOOR $ - 1,427,001. Noncash (Complete Part II for NEW YORK, NY 10018______noncash contributions )

(a) (b) (c) (d) No. Name , address, and ZIP + 4 Total contributions Type of contribution

4 KIM DABAH ------Person Payroll 463 7TH AVENUE, 4TH FLOOR $ -_-_----_ 36,000. ------Noncash (Complete Part II for NEW YORK, NY 10018______noncash contributions )

(a) (b) (c) (d) No. Name , address, and ZIP + 4 Total contributions Type of contribution

5 RACHEL ADJMI ------Person Payroll 463 7TH AVENUE, 4TH FLOOR $ 60,000 . ------Noncash (Complete Part II for NEW YORK, NY 10018______noncash contributions )

(a) (b) (c) (d) No. Name , address, and ZIP + 4 Total contributions Type of contribution

- - 6 RONALD-ADJMI ------_ Person Payroll 463 7TH AVENUE, 4TH FLOOR $ _ 1,028,900.

(Complete Part II for NEW YORK, NY 10018 noncash contributions )

JSA Schedule B (Form 990 , 990-EZ, or 990 -PF) (2014)

4E1253 1 000 5847HS 3846 J17878 Schedule B (Form 990, 990-EZ, or 990-PF) (2014) Page 2 Name of organization JACK A DJMI FOUNDATION , INC. Employer identification number 1 13-3202295 Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.

(a) (b) (c) (d) No. Name , address, and ZIP+4 Total contributions Type of contribution

7- MAG BRANDS ------Person Payroll 463 7TH AVENUE, 4TH 59,038. - FLOOR ------$ _-_ --____ Noncash (Complete Part II for NEW YORK, NY 10018______noncashcontributions

(a) (b) (c) (d) No. Name , address , and ZIP + 4 Total contributions Type of contribution

8- PS BRANDS ------Person Payroll 463 7TH AVENUE, 4TH FLOOR $ ------1,430,688. Noncash (Complete Part II for NEW YORK, NY 10016______noncash contributions.)

(a) (b) (c) (d) No. Name , address, and ZIP + 4 Total contributions Type of contribution

9- MARK ADJMI------Person Payroll 463 7TH AVENUE,4TH FLOOR $ -29,950 . X ------Noncash (Complete Part II for ----NEW ------YORK, NY_- 10018 - noncashsh contributions )

(a) (b) (d) No. Name , address, and ZIP + 4 Type of contribution

------Person Payroll ------Noncash (Complete Part II for noncash contributions )

(a) (b) (d) No. Name , address, and ZIP + 4 Type of contribution

------Person Payroll ------$ ------Noncash (Complete Part II for ______noncash contributions )

(a) (b) (c) (d) No. Name , address , and ZIP + 4 Total contributions Type of contribution

------Person Payroll ------$ ------Noncash (Complete Part II for ______noncash contributions )

JSA Schedule B (Form 990 , 990-EZ, or 990 -PF) (2014)

4E1253 1 000 5847HS 3846 J17878 Schedule B (Form 990, 990-EZ, or 990-PF) (2014) Name of organization JACK ADJMI FAMILY FOUNDATION, INC. Employer identification number 13-3202295 Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.

( a) No. (c) from (b) FMV (or estimate) (d) Description of noncash property given Date received Part I (see instructions)

530 SHS AMERICAN INTERNATIONAL GROUP ------9 ------29,950. ------12/31/2014

(a) No. b (c) d from ( ) FMV (or estimate) ( ) Description of noncash property given Date received Part I (see instructions)

------

(a) No. (c) from (b) FMV (or estimate) (d) Description of noncash property given Date received Part I (see instructions)

------

No. d (a from (b) FMV (or estimate) ( ) Description of noncash property given Date received Part I (see instructions)

------

(a) No. (c) from (b) FMV (or estimate) (d) Description of noncash property given Date received Part I ( see instructions)

------

(a) No. (c) from (b) FMV (or estimate) (d) Description of noncash property given Date received Part I (see instructions)

------

JSA Schedule B (Form 990, 990-EZ or 990 -PF) (2014)

4E1254 1 000 5847HS 3846 J17878 .Schedule B (Form 990 , 990-EZ , or990-PF) (2014) Page 4 Name of organization JACK ADJMI FAMILY FOUNDATION , INC. Employer identification number 13-3202295 FOM Exdusivelyreligious , charitable , etc., contributions to organizations described in section 501 (c)(7), (8), or (10) that total more than $ 1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) ► $------Use duplicate copies of Part III if additional space is needed. (a) No. from (b) Purpose of gift (c) Use of gift (d) Description of how gift is held Part I

------

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

------

(a) No. from (b) Purpose of gi t (c) Use of gift (d) Description of how gift is held Part l

------

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

------

(a) No. from (b) Purpose of gift (c) Use of gift (d) Description of how gift is held Part I

------

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

------

(a) No. from (b) Purpose of gift (c) Use of gift (d) Description of how gift is held Part 1

------

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

------

JSA Schedule B (Form 990 , 990-EZ, or 990-PF) (2014) 4E1255 1 000 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295

ATTACHMENT 1

FORM 990PF, PART I - OTHER PROFESSIONAL FEES

REVENUE AND NET EXPENSES INVESTMENT DESCRIPTION PER BOOKS INCOME

INVESTMENT FEES 9. 9.

TOTALS

ATTACHMENT 1 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295

ATTACHMENT 2

FORM 990PF, PART I - TAXES

REVENUE AND EXPENSES DESCRIPTION PER BOOKS

FEDERAL EXCISE TAX 4,672.

TOTALS 4,672.

5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295

ATTACHMENT 3

FORM 990PF, PART I - OTHER EXPENSES

REVENUE AND NET EXPENSES INVESTMENT CHARITABLE DESCRIPTION PER BOOKS INCOME PURPOSES BANK CHARGES 813. 407. 406. NYS DEPT OF LAW 100. 100.

TOTALS 913. 407. 506.

ATTACHMENT 3 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295

• ATTACHMENT 4

FORM 990PF, PART III - OTHER DECREASES IN NET WORTH OR FUND BALANCES

DESCRIPTION AMOUNT

EXCESS OF FMV OVER COST OF SECURITIES RECEIVED 11,231.

TOTAL 11,231.

5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295

FORM 990PF, PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES ATTACHMENT 5

CONTRIBUTIONS EXPENSE ACCT TITLE AND AVERAGE HOURS PER TO EMPLOYEE AND OTHER NAME AND ADDRESS WEEK DEVOTED TO POSITION COMPENSATION BENEFIT PLANS ALLOWANCES

RACHEL ADJMI DIRECTOR 0 0 0 463 7TH AVENUE, 4TH FLOOR 2.00 NEW YORK, NY 10018

ERIC ADJMI DIRECTOR 0 0 0 463 7TH AVENUE, 4TH FLOOR 2.00 NEW YORK, NY 10018

GRAND TOTALS 0 0 0

ATTACHMENT 5 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295

FORM 990PF PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR

ATTACHMENT 6

RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR AND RECIPIENT NAME AND ADDRESS FOUNDATION STATUS OF RECIPIENT PURPOSE OF GRANT OR CONTRIBUTION AMOUNT

SEE ATTACHED NONE GENERAL CHARITABLE, RELIGIOUS AND EDUCATIONAL 3,963,851. PUBLIC CHARITIES PURPOSES.

TOTAL CONTRIBUTIONS PAID 3.9 6 3 851.

ATTACHMENT 6 5847HS 3846 J17878 JACK ADJMI FAMILY FOUNDATION CHARITABLE CONTRIBUTIONS MADE DECEMBER 1, 2014 THROUGH NOVEMBER 30, 2015

Charity AMOUNT A TIME Shas-A-Thon $ 1,136 Aahavat Hayim Vachesed 101 Afula Educational Center Inc 650 Agudat Israel Of Borough Park 500 Agudat Refua Vchaim 200 Agudath Israel Of Madison 52 Aharon Sofer Memorial Fund 250 Ahavas Chesed 600 Ahavas Yisroel 300 Ahavat Chesed 300 Ahavat Shalom Congregation 9,440 Ahi Ezer Congregation 950 Ahi Ezer Yeshiva 10,000 Aliyat Bet Chanania 1,200 Aliyos Shlomo 150 Alumni Of The Rabbinical College Knesseth Israel 1,000 Ameican Friends Of Agudath Beit Avraham Inc 600 Ameican Friends Of Lilmod Ulelamed 800 Ameican Friends Of Lomdei Torah 1,200 Ameican Friends Of Yeshivas Mekor Chaim 800 Ameican Friends Of Yeshivat Tifrach 800 American Committee For Sanz Institutions Of Israel Inc 2,600 American Friends Of Agudat Ahaba Ahaba Ve Achva 500 American Friends Of Agudat Shetile Zetim Inc 6,000 American Friends Of Agudath Beit Avraham Inc 700 American Friends Of Ahavat Israel 150 American Friends Of Ahavat Torah Inc 600 American Friends Of Aram Soba 2,000 American Friends Of Ateret Gabriel 800 American Friends Of Bais Hamedresh Taharos 250 American Friends Of Bait Shemaya School Inc 5,500 American Friends Of Be'er Chaim Yitzchok 1,300 American Friends Of Beer Chaim Yitzhak 153 American Friends Of Bet Yosef Maron 500 American Friends Of Beth Jechiel Torah Center 300 American Friends Of Binyan Av Foundation 2,000 American Friends Of Birkat Efraim 10,000 American Friends Of Chaim Layeled 350 American Friends Of Chochmat Shlomo Netiv Meir Inc 150 American Friends Of Chomat Shlomo 200 American Friends Of Congregation Meshech Chochma 200 American Friends Of Darche Noam 1,700 American Friends Of Darchei Avot 300 American Friends Of Darchei Hashleimas 250 American Friends Of Dvar Avraham 1,200 American Friends Of Emek Beracha 300 American Friends Of Epirion Shlomo L'Torah V'Chesed 5,000 American Friends Of Hadrat Melech Inc 700 American Friends Of Hebron Yeshiva In Jerusalem Inc 12,500 American Friends Of Imre Noam 1,000 American Friends Of Institution Noam Hatorah Zichron Sinai 1,800 American Friends Of Irgun Tomchei Torah-Kollelei Ramot 578 American Friends Of Kindness & Charity Inc 1,200 American Friends Of Kirat Chinuch Lebanim 1,000 American Friends Of Kol Itzhak 2,100 American Friends Of Kol Yehuda Inc 800 American Friends Of Kol Yerushalayim Inc 401 American Friends Of Kol Yitzchak 200 American Friends Of Kolel Tiferes Yisroel 700 American Friends Of Kollel Rabbi Eliezer Hagadol 400 American Friends Of Kollel Zichron Shimon Inc 400 American Friends Of Kollel Zichron Yosef 1,000 American Friends Of Ku pat Hair 500 American Friends Of Lev Aharon 14,400 American Friends Of L'Maan Achai Inc 300 American Friends Of L'mann Daat 700 American Friends Of Maayanei Torah L'Moshe 400 American Friends Of Meir Yisa Bracha 300 American Friends Of Merkaz Hatorah 3,000 American Friends Of Michkan Meir Inc 16,814 American Friends Of Mifal Chesed 500 American Friends Of Mikdash Shaul 2,401 American Friends Of Mitzadei Gaver Inc 900 American Friends Of Mosdos Bais Dovid 500 American Friends Of Mosdos Hakerem Inc 300 American Friends Of Mosdot Ner David 500 American Friends Of Mosdot Zera Yitzhak 1,000 American Friends Of Naclas Zvi 300 American Friends Of Neveh Zion 500 American Friends Of Nezer Hatorah 1,000 American Friends Of Nishmas Yisroel Inc. 476 American Friends Of Noam Eliezer Inc 400 American Friends Of Ohev Yisroel 500 American Friends Of Ora Vesimcha 350 American Friends Of Oseh Chayil 1,200 American Friends Of Otzar Hachesed 101 American Friends Of Peer Hashalom 1,000 American Friends Of Peer Hatalmud 700 American Friends Of Pischei Teshuvah 400 American Friends Of Rabbinical College Of Telzstone Inc 1,800 American Friends Of Ramat Bet Shemesh Inc 800 American Friends Of Ramot Torah Schools 2,300 American Friends Of Ruach Chaim 2,300 American Friends Of Sanhedria Jerusalem Inc 202 American Friends Of Shaar Hatalmud 700 American Friends Of Shaar Hatorah 400 American Friends Of Shevach Inc 1,600 American Friends Of Shoshanim Le David 900 American Friends Of Shuba Israel 2,600 American Friends Of Sucath David 3,000 American Friends Of Sulam Inc. 700 American Friends Of Sutherland Kollel 350 American Friends Of The Shemaya School For Deaf Children 600 American Friends Of Tiferes Chaim 1,000 American Friends Of Tiferes Yehoshua 300 American Friends Of Tiferet Moshe Betzalel Inc 500 American Friends Of Tiferet Tzvi 1,500 American Friends Of Torat Meir 700 American Friends Of Tzohar 500 American Friends Of WGH-Western Galilee 200 American Friends Of Yad Eliezer 1,200 American Friends Of Yad Shlomo 3,000 American Friends Of Yad Yemin Inc. 8,000 American Friends Of Yeshiva Ahavas Torah 450 American Friends Of Yeshiva Birchas Mordechai 700 American Friends Of Yeshiva Chabad Tzfat 52 American Friends Of Yeshiva D'mir Inc 13,000 American Friends Of Yeshiva Reishit Chochmah Inc 3,000 American Friends Of Yeshiva Tiferes Yaacov 300 American Friends Of Yeshivas Kodshim 1,001 American Friends Of Yeshivas ShearisAsherlnc 250 American Friends Of Yeshivat Ateret Hatorah 200 American Friends Of Yeshivat Chochmat Shlomo 551 American Friends Of Yeshivat Harei Yehuda Inc 1,000 American Friends Of Yeshivat Hechal Ezra 3,600 American Friends Of Yeshivat Imrei Daat Inc 3,600 American Friends Of Yeshivat Meah Shearim 800 American Friends Of Yeshivat Mekor Chaim 800 American Friends Of Yeshivat Nahalat David 1,000 American Friends Of Yeshivat Oraysoh 300 American Friends Of Yeshivat Sharei Ezra 450 American Friends Of Yeshivat Tiferet Mordechai 800 American Friends Of Yeshivat Zichron Shlomo Inc 200 American Friends Of Yeshivath Meor Hatalmud 202 American Friends Of Yirgun Y.R:A. 3,100 American Friends Of Yoru Mishpatecha 1,200 American Friends Of Zichron Eliyahu Ofakim 950 American Friends Of Zichron Nachum 600 American Friends On Michkane Meir Inc 270 American Yedidim 6,000 Amide Chesed 301 Amudei Chesed 23,500 Anshe Fallsberg 301 Anshe Ma'amed Foundation 2,128 Ateret Aharon 1,300 Ateret Avot 500 Ateret Shalom Tzedaka Vechesed Help Fund 400 Ateret Teman Congregation 153 Ateret Torah Center 650,902 Ave R Sefardic Congregation 2,000 Avenue 0 Synagogue 800 Avenue R Sephardic Congregation 3,901 Avi Ezra Foundation Inc 500 Ayelet Hashachar 300 Bais Avrohom 351 Bais Binyamin Academy Of Connecticut 1,800 Bais Chaya Esther 500 Bais Chuna 150 Bais Hamedrash Yeshias Yisroel 3,000 Bais Samuel Inc 3,200 Bais Ulpana D'rabeinu Yochanon 200 Barkai Yeshivah 2,600 Beer Yitzhak Foundation Inc 800 Beis Avraham 601 Beis Mid rash Zichron Moshe 1,001 Belt Ariel 300 Beit Chabad Almagro Inc 350 Belt Maor 450 Beit Yehuda Inc 600 Belt Yosef Jewish Heritage Center 2,000 Bet David Ariel 300 Bet Medrash Gadol Ateret Torah 63,395 Bet Medrash Hechal Shemuel 11,800 Bet Medrash Torat Chaim 400 Bet Midrash Torah Vehorea 1,300 Bet Shmuel 501 Bet Yaakov Of The Jersey Shore 38,850 Bet Yaakov Orot Sarah 10,101 Bet Yisrael 200 Beth Abba Trust 1,000 Beth Jacob Of Boro Park 500 Beth Jacobs Hachassidi 600 Beth Medrash Govoha Of Eretz Yisroel-Lakewood 650 Beth Medrash Of Asbury Park Inc 2,000 Beth Midrash Govoha 101 Beth Midrash Of Asbury Park Inc 5,000 Beth Oloth 400 Biala Yeshiva Or Kedoshim 202 Bina Ezras Cholim Inc 2,000 Binyan Yerushalayim 101 Bircas Yechezkel Inc 600 Birchat Mordechai 1,678 Birkei Yossef Yeshiva 3,550 BME 501 Bnei Aram Soba 2,400 Bnei Binyamin Congregation 350 Bnei Binyamin Torah Center 500 Bnei Torah Movement 500 Bnei Yerushalayim 650 Bnot Rachel High School 3,600 Bnot Yisrael 6,101 Bnot Yisrael Elementary School 200 Bonayich 500 Bonei Clam 3,000 Brooklyn Jewish Experience 300 Camp Hadeed 200 Carmei Ha'ir International Inc 5,050 Center For Torah VeChesed 400 Center Of Kindness Chesed Center Inc 602 Central Fund For Israel 900 Central Fund Of Israel 1,001 Chabad Schools, Israel 800 Chaff Lifeline 5,500 Chaim Veshalom Trust 250 Charity Of Light Fund 1,000 Charity Safe Box 7,900 Chasdei Shalom Inc 200 Chasdei Yitzchok 4,501 Chasdey Moshe V'shalom 450 Chaverei Yeshivat Magen Hayeled Inc 400 Chaverim 180 Chaye Olam Torah Institutions 200 Cheder 500 ChedvatYaakov 250 Chelkas Yaakov 350 Chemdat Hatorah 250 Chesed Avraham Inc 1,101 Chesed L'Avraham 8,500 Chicago Community Kollel Inc 600 Child Life Society 1,200 Children's Aid Fund 150 Chizuk Hatorah Inc. 3,676 Chizuk USA 610 Chofetz Chaim Heritage Foundation 5,000 Chomat Zion Inc 1,750 Colel Mishkan Salomon Inc 350 Columbia Grammar & Prep School CGPS 500 Cong & Yeshiva Ohel Yehoshea Inc 303 Cong Kolel Ahavas Yerushalayim & Bais Yisroel 200 Cong Mischknois Lavir Yakov Inc. 301 Cong. Benei Yakov 1,000 Cong. Bnei Yeshiva 360 Congregation & Kollel Harabanim Aram Soba 10,000 Congregation Ach Tov Vuchesed 2,000 Congregation Ahavas Chesed And Torah 200 Congregation Ahavas Chesed Tzdokah Vchesed Inc 5,000 Congregation Ahavas Tzdokah V'Chesed Inc. 3,500 Congregation Ahavat Shalom 20,052 Congregation Amudei Chesed 4,100 Congregation And Yeshiva Beth Hillel 2,701 Congregation Bais Aharon 150 Congregation Beirach Moishe Inc 101 Congregation Beis Avrohom 200 Congregation Beit Ariel 400 Congregation Benei Yakov 1,401 Congregation Bet Shmuel 1,200 Congregation Beth Hatifilah 150 Congregation Beth Medrash Govoha 2,150 Congregation Beth Midrash Yam Hatorah 3,538 Congregation Beth Torah 9,054 Congregation Bnei Yaacov 1,700 Congregation Bnei Yeshiva Inc. 9,450 Congregation Bnei Yeshiva-Chinese Auction 1,000 Congregation Casdei Menashe 400 Congregation Chaim Vachesed 2,551 Congregation Chemdot Shlomo 750 Congregation Chesed L'Avraham 3,600 Congregation Chevra Shas Inc 150 Congregation Edmond J. Safra 4,252 Congregation Emunas Yisroel 8,600 Congregation Ezras Yisroel 52 Congregation Geulas Israel 52 Congregation Gur Aryeh Institute 150 Congregation Kahal Minchas Chinuch 104 Congregation Kehal Adas Nasaud 300 Congregation Kehal Premishlan Inc. 501 Congregation Kehilas Yaakov 1,000 Congregation Keren Orah 200 Congregation Keter Sion 6,300 Congregation Keter Torah 6,000 Congregation Khal Aclas Krasna 200 Congregation Khal Bnei Joseph 502 Congregation Kolel Avreichim Chasidei Breslov 1,000 Congregation Kolel Chasidei Rachmistrivka Inc 500 Congregation Kollel Knesses Yisroel Inc 500 Congregation Kollel Tiferes Shlomo 1,500 Congregation Lemahn Achai 300 Congregation Machzeh Avraham 1,800 Congregation Madrich Bunim Inc 1,000 Congregation Magen David Of West Deal 4,000 Congregation Mazal Elul 500 Congregation Meor Yisroel Inc. 450 Congregation Merchaz Harav Yeshivas Yehud 250 Congregation Mesifta 1,800 Congregation Minyan Mir 1,200 Congregation Mishan Menachem Inc. 150 Congregation Mishkan Hatorah Inc 700 Congregation Mishkan Yosef-Bnei David 101 Congregation Mishmeres Kevorim 1,800 Congregation Mosdos Toldos Aharon 1,000 Congregation Neir Boruch 200 Congregation Ner Eliyahu 300 Congregation Ohr Eliyahu 200 Congregation Ohr Shraga D'Veretzky 7,200 Congregation Orach Chaim 1,000 Congregation Pri Etz Chaim 1,000 Congregation Ramat Schlomo 1,700 Congregation Rav Chased 2,301 Congregation Sfat Tammim 800 Congregation Shaare Rachamim 9,500 Congregation Shaare Tefilah 14,400 Congregation Soro Bohel Inc Bnos Leah 250 Congregation Supporters Of Torah Inc 500 Congregation Toldos Adam 350 Congregation Torat Hanachal 1,100 Congregation Yeshiva Bais Yitzchok 2,050 Congregation Yeshiva Eitz Chaim Kletzk 2,500 Congregation Yeshiva Me'on Hatorah 700 Congregation Yeshiva Of Telshe Alumni 5,200 Congregation Yeshiva Ohr Hameir 7,000 Congregation YeshivaKesserTorahYeshivaGedolah KesserTorah 800 Congregation Yeshivat Avir Yakov 540 Congregation Yeshivath Shiru LaHashem 1,400 Congregation Zichron Binyamin 54,600 Congregation Zichron Leyma Of Linden 2,500 Congregation Zichron Mayer Leib 250 Congregation Zichron Moshe Inc 2,300 Congregation Zichron Schneur 300 Congregation Zichron Yisroel Inc. 2,401 Cranbury KoIIel Inc. 500 Darchei David Foundation 5,200 Darchei Ish Yeshiva 600 Deal Sephardic Network 501 Deal Synagogue Youth Learning Program 2,600 Derech Chaim 601 Derech Harambam 750 Dysautonomia Foundation Inc. 2,500 Echo (National Jewish Institute For Health) 1,000 Edmond J. Safra Synagogue Of Deal 8,353 Educational Institute Oholei Torah 500 Efrat-C. R.I. B. 600 Elanei Chesed 300 Eric Adjmi (8,000) Etz Hayim 400 Even Hachaim Institutions Foundation 2,800 Exceed Network 13,000 Ezer Mizion Inc 1,000 Ezras Yisroel Charitable Foundation Inc. 400 Ezrat Cholim Veyoldot 401 Ezrat Israel Inc. 3,136 Ezrat Yisroel 101 Federation Of Jewish Communities Of The CIS Inc 200 Feeding America 18 Freehold Kollel Inc 1,200 Friends Of Ahavat Shalom 46,100 Friends Of Arachim 5,000 Friends Of Bais Yisroel 300 Friends Of Chabad Of Hebron 101 Friends Of Darchey Hillel Inc 2,000 Friends Of Eeyun Hatalmud 1,000 Friends Of Hadar Zion 600 Friends Of Hatorah 3,000 Friends Of Hatzolah Darom 600 Friends Of Kollel Avrechim Inc 1,800 Friends Of Mitzvas Haaretz Inc 800 Friends Of Mosdot Goor Inc 300 Friends Of N. Binyamin Inc 350 Friends Of Shaarei Torah Vechesed 400 Friends Of Shearim Hametsuyaniim Inc. 800 Friends Of Tiferet Tzion Inc 150 Friends Of United Hatzalah 252 Friends Of Yad Naftali 1,200 Friends Of Yad Naphtali 600 Friends Of Yeshiva Chofetz Chaim Kolel-Israel 250 Friends Of Yeshivat Haran Inc 1,200 Friends Of Yeshivat Mishkan Shelomo Vener Michael Inc 700 Friends Of Yeshivat Or Hachaim 5,000 Friends Of Yeshivat Yeshiva Ohr Elchonon 2,000 Friends Of Zivhay Zedek 500 Gemach Burshtin Podayetz 101 Gemach Chasdei Yitzchak 1,000 Gemilas Chesed Chasdei Dovid 500 Gemilas Chesed Chasdei Yitzchok 9,332 Gemilos Chasodim Chasdei Moshe 965 Gesher Yehuda 18,000 Girls Town Beit Chana Safed Israel 600 Girls Town Or Chadash 6,478 Global Jewish Assistance & Relief Network 400 Graciousness Of Mashiach 6,900 Great Charity Chaye Olam Institutions Of Jerusalem Inc 300 Greenpeace 18 Hachaim Vehashalom 300 Hasdei Esther Charity Fund 1,000 Hatzalah EMS Jersey Shore 1,500 Hayim Shaal Congregation Inc 200 Heals 180 Hechal Shmuel 2,000 Hesed Foundation 6,000 Hillel Yeshiva 6,000 Hisachdis Hatalmidim Dkeren Shmiel 300 Hoch mat Shlomo Foundation Inc 1,200 Ichud Mosdos Hachinuch 9,000 Ilan High School 4,350 Imagine Academy 34,000 Institute For Dayanim 700 Israel Cancer Research Fund 7,200 Israel Family Services Inc 300 Israel Food Distribution 5,000 IUC 350 JCF 1,000 Jersey Shore Learning Program 1,000 Jerusalem Center For Research 500 Jesse Dweck Learning Center 750 Jewish Communal Fund 7,501 Jewish Experience Of Madison 500 Jewish Federation Of Monmouth County 252 Jewish National Fund 90 Just One Life 3,600 Kahal Jaredim Flores 1,500 Kahal Kiryat Sefer 1,200 Kanfey Nesharim 250 Karan Eluzar Inc 1,429 Kehal Bnei Torah 9,309 Keren Ahavat Chesed 8,000 Keren Eitz Chaim Inc 1,000 Keren Eluzer Inc 701 Keren Ezra 200 Keren Hachasodim Of Bais Medrash 400 Keren Hachesed 500 Keren Hasaot Vechinuch Torah Schools For Israel 16,000 Keren Hayeshivot Trust Chedvat Yaakov Campaign 4,400 Keren HaYeshivot Trust Darchei David Campaign 4,000 Keren Hayeshivot Trust Kol Yaakov Beitar Illit 2,600 Keren Hayeshivot Trust Kol Yaakov Campaign 9,000 Keren Hayeshivot Trust Meor Hatorah Campaign 9,000 Keren Hayeshivot Trust Mesilat Hatorah Campaign 5,000 Keren Hayeshivot Trust Mishkan Hayim 1,200 Keren Hayeshivot Trust Mishkanot Hatorah Campaign 20,000 Keren Hayeshivot Trust Neve Eretz Campaign 5,000 Keren Hayeshivot Trust Nezer Hatalmud Campaign 1,500 Keren HaYeshivot Trust Ohel Moed Campaign 1,400 Keren Hayeshivot Trust Yeshivat Rechasim Campaign 20,000 Keren Hayeshivot Trust Yeshivat Yesodot Campaign 10,000 Keren Hayim 301 Keren Letovah Student Aid Fund 7,501 Keren Lev David 1,400 Keren Ner Tomid 600 Keren Orah 200 Keren Peulos 500 Keren Shai 200 Keren Simchas Kallah 300 Keren Yehoshua & Yisroel 600 Keren Yehuda Zvi Foundation 500 Keren Yehudit Shwekey 500 Keren Yom Tov Inc 5,200 Keren Zichron Rabbeinu Yechezkel Shraga 200 Keren Zichron Rosh 800 Keter David Inc 4,000 Keter Shlomo Foundation Inc 4,500 Keter Sion 2,700 Keter Sion Miami Inc. 500 Keter Sion Torah Center 500 Keter Torah 700 Ketoret Tamid 200 Khal Adas Taimon 200 Khal Bnei Torah Inc 2,001 Khal Chasidei Lelov 500 Khal Ohel Shulamet 1,000 KHT Kollel Chaim Aharon 20,000 Kids Walk For Kids With Cancer 1,000 Kinyanei Hatorah Yeshiva Ctr Inc 2,000 Kiruv Krovim 300 Kiryat Hamativta Givat Olga 500 Kneses Hatorah Klor Stanley Ttee 1,000 Knesset Yehuda Inc 1,500 Kolel Chafetz Chaim 500 Kole[ Mateh Efraim 500 Kollel Beer Miriam Inc 200 Kollel Bet Aharon 1,000 Kollel Bet Shlomo 300 Kollel Bnei Yeshivos 800 Kollel Chabad 52 Kollel Chofetz Chaim 300 Kollel Hadrat Kodesh 350 Kollel Hashechuna Inc 300 Kollel international 5,000 Kollel Ner Hamizrach 2,500 Kollel Of The Jersey Shore 15,701 Kollel Ohel Surah - Kollel C. I.O. 360 Kollel Ohr Moshe 400 Kollel Vasikin Verashbi 150 Krula 501 Lahav Of North America 2,600 Learn & Return 500 Lehava 24,337 Lehava -RCCT 101 Lev Chana 5,100 Lev Eliyahu 300 Light Foundation Inc. 250 Limudei Da'as Inc 2,600 L'Maan Achai 20,800 L'tzion Berina 150 Lung Cancer Research Foundation 2,000 Ma Aynei Hayeshua 150 Maale Amos Yeshiva 500 Ma'alot Kedoshim 3,000 Ma'aynei Hayeshua 5,000 Mabas Fund Inc 5,301 Machon Avodah Berurah 250 Machon Beth -Aryeh Inc 600 Machon Hahalacha 101 Macon Ruth 701 Madison Torah Center 450 Magen Avraham Fund 300 Magen David Synagogue 381 Magen David Yeshiva 90,670 Manhattan Day School 5,000 Maor Hatorah Trust 2,167 Ma'or Yeshiva High School Inc 4,800 Maoz Torat Asaf 1,000 Mareh Keren Hatorah 251 Mareh Keren Torah 1,501 Mary Tawil Foundation 1,500 Maskeel El Dal Society 2,000 Maskeret Halfon 4,253 Mattan Basseter 1,800 Matteh Moshe Inc 1,700 Mazkeret Halfon 2,351 ME Ohr Bais Yaakov Inc 850 Mechon L'Hoyroa 600 Meir Panim Lachayal 300 Memorial Sloan-Kettering Cancer Center 655 Menachem Learning Institute 50,000 Me'ohr Bais Yaakov Inc 451 Meon Hatorah 8,170 Meor Yitzchok Inc. 10,000 Meorot Trust 800 Merkaz Chasidei Wiznitz 300 Merkaz Hageula Inc 137 Merkaz Jerusalem TYY Jerusalem 2,000 Merkaz Lechinuch Torani 1,000 Merkaz L'Shiurei Torah 176 Mesivta Of Long Beach 1,800 Mesivta Tifereth Jerusalem of America 600 Mesivta Yeshiva Rabbi Chaim Berlin 26,000 Midrash Bet Nassi 1,200 Mifael Chasodim Tovim 476 Mifal Chesed Inc 300 Mifal Hatrumah 2,000 Mifal Torah Vodaath 4,802 Mifal Yismach Lev Mevakshei Hashem 150 Mikdash Eliyahu 301 Mikdash Melech Jerusalem 200 Mirrer Yeshiva Central Institute 10,000 Misameach Inc 3,000 Mishkan Meir 500 Mishkan Moshe Institution 300 Mishkan Shlomo 600 Mishkan Yitzchak Congregation 400 Mitzadei Gaver Inc 600 Mitzvah Man Foundation 500 Moise Safra Community Center Inc 4,000 Moriah Birchas Mordechai 200 Mosdos Hatorah Vhachesed Ohr Peni Moshe 150 Mosdos Vayoel Moshe Hasfardi 750 Mosdot Beth Yaakov 6,300 Mosdot Botoshan Inc 3,283 Nachal Novea Mekor Chochma 1,200 Nachalat Moshe Inc 10,500 Nachalot Yehoshua 2,000 National Committee For The Furtherance Of Jewish Education 52 National Jewish Outreach Program Inc 500 Navat Yisrael Inc 2,600 Nefesh Academy 3,000 Nefesh Yehudie 101 Nesach Israel 126 Nesach Yisrael 301 Nesach Yisrael Institution 2,000 Netivey Hatora Institutions 650 Netivot Israel 800 Netzach Israel 4,500 Netzach Yisrael Inc 1,050 Neve Yerushalayim Inc 550 Nevei Hachesed 701 New York-Presbyterian Hospital 5,000 Nezer Aharon 1,000 Nissim Veniflaot Inc 2,000 No Kid Hungry 201 Noam Hatorah 7,600 .Nosei Beol Fund 200 Notzer Chesed 500 OfekYehuda 400 Ohel Adele Simcha 3,000 Ohel Malka Institutions 400 Ohel Rivka Foundation 500 Ohel Simcha Super Fund 9,402 Ohel Simha Adele 3,650 Ohel Simha Congregation 500 Ohel Torah 300 Ohel Yosef 38,100 Ohr Habitachon Institutions 7,200 Ohr Hagalil 300 Ohr Halacha 1,300 Ohr Hameir 2,500 Ohr Hatorah 900 Ohr Joseph Institutions 35,000 Ohr La Yehudim 1,000 Ohr Nosson 600 Ohr Shmuel 500 Ohr Simcha 300 Ohr Yaakov Inc 2,500 Ohr Yaakov L'Chozray B Tishuva Inc 500 OhrYosef Inc 1,200 Ohr Zaruah 550 Oorah Inc 1,800 Or Hachayim Inc. 28,000 Or Haddash Institutions Inc 3,600 Or Litzion Yeshiva 1,500 Or Torah Of Argentina Foundation 400 Orah Visimcha Inc 800 Orchos Chaim 3,000 Orchot David 400 Orot Mimizrach 201 Oru Mishnatchim Two Thousand Inc 150 Otsar Family Services Inc 1,000 Ozar Hatorah Inc 7,000 P.E.F. Israel Endowment Funds, Inc. 4,798 Partners Charity Fund For Israel 52 P'eylim/Lev L'Achim 11,000 Porat Yosef Foundation 1,500 Propel Network 1,000 Rabbi Meir Baal Haness 1,872 Ramaz School 3,600 Rav Chased 251 Rav Pe'alim Institutions 500 Reach For The Stars 7,226 Reach For The Stars Learning Center 14,000 Rehovot Hanahar 2,600 Renewal Of Life 3,800 Revach V'Hazalah 300 Rochel Leah Chesed Fund 5,600 S.A. F. E. 18,000 S.S.E.A.D. 12,700 Sara Michael Learning Program 180 Sarah Dabah School Inc 2,554 Sarah Sutton Food Pantry 2,800 Sephardic Academy Of Manhattan 600 Sephardic Bikur Holim 20,470 Sephardic Community Center 50,525 Sephardic Congregation Of Lakewood 9,900 Sephardic Food Fund 13,500 Sephardic Institute 1,001 Sephardic Kehila Of Lakewood Inc 850 Sephardic Torah Center Of Marine Park 5,500 Sfat Tammim 1,200 Shaar Hatalmud Institute 700 Shaare Ezra Congregation Inc 500 Shaare Tefilah 1,400 Shaare Tefilah Ben Moshe Inc 1,000 Sha'are Yosef Kollel 800 Shaare Zion Congregation 800 Shaarie Emunah 600 Shalhevet Inc 400 Shalvat Chayim 500 Sheerit David Colel 500 She'erit Ezra 4,000 Sheves Achim Gam Yachad 3,000 Shivat Zion Torah Center Inc. 1,000 Shmiras Hasdorim 301 Shulamith School For Girls 300 Shuvu Banim Miami Inc 3,000 Sid Jacobson Jewish Community Center 3,600 Sidakot Yisrael 1,300 Simcha Layeladim Inc 3,000 Simchas Kallah Inc Tiferes Devorah Lkallah 800 Skechers Foundation 2,500 St. Jude Children's Research Hospital 18 Stam Gemilas Chesed Fund Inc 1,000 Sunset Road Sephardic Congregation 5,000 Synagogue Of Deal 901 TAC 750 TAC David Fund Inc 1,252 TAG Flatbush 106,100 TAT 1,001 Technology Awareness Group 2,000 Tehila LeDavid Community Inc. 800 Tehilas Shlomo 400 Tekumah 800 The Berkeley Carroll School 350 The Cheder 1,500 The Jacob S. Kassin Hesed Fund 2,000 The Kesher Organization 3,600 The Sarah Dabah Elementary School 4,000 The Shelly Cohen Bridal Fund Inc 500 The Special Children's Center 8,000 Tiferes Achim 1,051 Tiferes Gedalia Inc 300 Tiferet 250 Tomche Torah Gur Aryeh Institute 200 Tomchei Torah Of Ponevez Inc 300 Tomchei Tzedakah Of Lakewood 8,259 Torah Academy Of Brooklyn 8,252 Torah Community Fund Inc 400 Torah Learning Resources Ltd 7,506 Torah Ohr Seminary 301 Torah Or Seminary 200 Torah Ore Seminary 10,000 Torah Synagogue Foundation 300 Torah Temimah Congregation Chasidei Breslev Inc 350 Torah Tmimah Congregation Chasidei Breslev Inc 300 Torat Chesed Trust 852 Torat Hanachal 302 Tosfot Yom Tov 300 Tov Vachesed 2,600 Tzdaka Vchayim 208 UJA Federation Of New York 5,200 United Institute Karlin Stolin 1,500 United Institutions Of Karlin Stolin Jerusalem Inc 101 United Kaliver Yeshivos 52 United Lubavitcher Yeshiva 221 United Way 1,000 Upper Modiin Residents Foundation 500 Vaad Hachnusas Orchim 200 Vaad Harabbanim Linyanei Tzeduka Inc 600 Vaad Harabonim 26 Vaad L'Hachnusas Orchim Inc 1,711 Ve Chag Achicha 201 Veretsky Yeshiva 301 We Love To Help Inc 1,850 West Coast Va'ad HaChesed 451 WW P 300 Yad Aharon Inc 500 Yad Chaya Inc 700 Yad David Inc 8,000 Yad Ezra V'shulamit Inc 1,000 Yad L'Achim 900 Yad LeAzor Torah VoChesed Fund 1,000 Yad Michael Charity 5,000 Yad Rashbi Inc 301 Yad Yosef 504,478 Yad Yosef Bridal Fund 11,750 Yad Yosef Charity Fund 15,000 Yad Yosef Congregation 69,671 Yad Yosef Kollel 641 Yad Yosef Torah Center 21,651 Yagdil Torah Incorporated 202 Yakirei Yerushalaim 31,000 YEB Educational Programs 270 Yerucham Center Of Torah Education 950 Yeshiva Ateret Yisrael Inc 355 Yeshiva Bais Aharon 501 Yeshiva Bais Binyamin 1,200 Yeshiva Bais Moshe Inc 200 Yeshiva Beit Rafael 3,800 Yeshiva Birkat Yisrael Inc 1,000 Yeshiva Chayei Olam 600 Yeshiva Chofetz Chaim 360 Yeshiva Chug Chasam Sofer Machne Avrohom 400 Yeshiva Derech Chaim 100 Yeshiva Eitz Chaim Of Hillside Inc 1,501 Yeshiva Gedola Bais Yisroel 500 Yeshiva Gedola Beer Hatorah 300 Yeshiva Gedola Of Brookhill 1,700 Yeshiva Gedola Zichron Yosef Aryeh 500 Yeshiva Gedolah Bais Yisroel 1,200 Yeshiva Gedolah Of Bayonne 10,000 Yeshiva Keren Orah 200 Yeshiva Ner Eliezer 36 Yeshiva Noam Hatalmud 501 Yeshiva Of Bayonne 2,000 Yeshiva Of Brooklyn 3,100 Yeshiva Of Far Rockaway 1,000 Yeshiva Of Flatbush 7,000 Yeshiva Of Kasho 250 Yeshiva Of Telshe Riverdale 2,000 Yeshiva Ohr Torah 101 Yeshiva Ohr Yitzchok 2,600 Yeshiva Shaar Hatalmud Inc 1,200 Yeshiva Shaare Yosher 1,200 Yeshiva Tal Torah 301 Yeshiva Tiferes Naftali 500 Yeshiva Toferot Baruch 1,200 Yeshiva Toras Imecho Inc 300 Yeshiva Toras Yisrael 201 Yeshiva Zichron Mayir 700 Yeshiva Zichron Meilech Inc 200 Yeshivah Beth Israel Tifereth Menachem Foundation 400 Yeshivah Of Flatbush 52 Yeshivas Birkas Sholom Inc 500 Yeshivas Chsan Sofer Inc 1,551 Yeshivas Dvar Torah Inc 700 Yeshivas Kodshim 501 Yeshivas Nachlas Bnei Shimon 500 Yeshivat Mekor Chaim 3,000 Yeshivat Amudei Ore 1,000 Yeshivat Ateret Torah 72,142 Yeshivat Ateret Yisrael Inc. 3,650 Yeshivat Beth Meir 600 Yeshivat Birkat David 1,500 Yeshivat Darchei Eres Inc. 33,333 Yeshivat Hanegev Inc. 1,100 Yeshivat Keter Torah 27,300 Yeshivat Lev Aharon 152 Yeshivat Lev Torah 18,000 Yeshivat Magen Abraham 25,100 _Yeshivat Mekor Chaim 15,000 Yeshivat Mikdash Melech 25,050 Yeshivat Mishkan Shimon 600 Yeshivat Nachalat Yosef 1,000 Yeshivat Nezer Aharon 701 Yeshivat Noam Ezra 1,600 Yeshivat Ohel Torah 4,200 Yeshivat Ohr Haiim 2,600 Yeshivat Or Hachaim Of Lakewood 10,501 Yeshivat Or Hatorah 51,000 Yeshivat Shaare Teshuva Vehaim 2,000 Yeshivat Shaare Torah 41,000 Yeshivat Shaare Torah PTA 500 Yeshivat Sharei Ezra 150 Yeshivat Sheerith Yosef 3,000 Yeshivat Tiferet Moshe 1,500 Yeshivat Torat Hachen Inc 541 Yeshivat Yagdil Torah 6,600 Yeshivat Zichron Yehoshua 700 Yeshivath Beth Joseph Novardok Of Jerusalem Inc 350 Yeshivath Beth Moshe Milton Eisner Yeshiva 1,000 Yeshivos Karlin Stolin Beth Aron Veisrael 101 YOB 300 YTA 3,600 YzI 301 Zichron Amiel Inc 1,650 Zichron Avot 500 Zichron David Of Bnei Brak Inc 900 Zichron Eliyahu 201 Zichron Menachem Inc 551 Zichron Naftuli Hertzka 300 Zichron Shlomo Refuah Fund 200 Zichron Yaakov 800 Zichron Yehuda Fund 226 Zohar Hatorah Inc 17,501 TOTAL CHARITABLE CONTRIBUTIONS PAID OUT: $ 3,963,851 JACK ADJMI FAMILY FOUNDATION, INC. 13-3202295 FORM 990-PF - PART IV CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME

Kind of Property Description Date Date sold D acquired Gross sale Depreciation Cost or FMV Add basis Excess of Gain price less allowed / other as of as of FMV over or exp enses of sale all owa b le ad i basis ( loss )

PUBLICLY TRADED SECURITIES 12/30/2014 12/31/2014 30,037. 18,719. 11,318.

TOTAL GAIN( OSS) ...... 11,318.

JSA 4E1730 1 000 5847HS 3846 J17878