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C Or Section 4947(A)(1) Nonexempt Charitable Trust Treated As A C • Return of Private Foundation - OMB No 1545-0052 Form -P or Section 4947 (a)(1) Nonexempt Charitable Trust Depa rt990ment of the Troasu ry Treated as a Private Foundation Internal Revenue Service Note : The organization may be able to use a copy of this return to satisfy state reporting re ufrements 2005 For calendar year 2005 , or tax year beginning , 2005, and endil)tg G Check all that arDly Initial return Final return Amended return Address chance Name chanae Name of organization A Employer identification number Use the IRS label. CHARLOTTE & HARRY KATZ FOUNDATION, INC. 11-3295712 Otherwise, Number and street (or P 0 box number if mail is not delivered to street address) Room/suite B Telephone number (see page 10 of print the instructions) or type. See Specific 76-19 171ST STREET - City or town, state, and ZIP code C If exemption app lication is Instructions . pending , check here • . D 1 Foreign organizations , check here , 1 FLUSHING NY 11366 2 Foreign organizations meeting the 85% test, check here and attach H Check type of organization X Section 501 (c 3 exempt private foundation computation . 0. Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation E If private foundation status was terminated I Fair market value of all assets at end J Accounting method X Cash Accrual under section 507 (b)(1)(A), check here I ❑ of year (from Part ll, col (c), line E] Other (specify ) _ _ _ _ _ _ _ _ _ _ _ _ F If the foundation is in a 60- month termination 16) No- $ 458 557. (Part column (d) must be on cassis)h ba under section 507(b )(1)(B), check here MIL Analysis of Revenue and Expenses (d) Disbursements Fa (The total of amounts in columns (b), (c), and (a) Revenue and (b) Net investment (c) Adjusted net for charitable (d) not necessarily equal the amounts in expenses per income income purposes may y q books column (a) (see page 11 of the instruc tions)) (cash basis only) I Contributions, its, grants , etc , received ( attach schedule ) . 100,000. if the foundation is not required to 2 Check No- attach Sch B 3 Interest on savings and temporary cash investments 7,874. 7,874. STMT 1 4 Dividends and interest from securities 5a Gross rents . b Net rental income or (loss) ar 6a Net gain or (loss) from sale of assets not on line 10 b Gross sales price for all y assets on line 6a w 7 Capital gain net income (from Part IV, line 2) 8 Net short-term capital gain . 9 Income modifications . 10 a 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 11 107 874. 7,874. 13 Compensation of officers, directors, trustees, etc . NON N 14 Other employee salaries and wages . y 15 Pension plans, employee benefits a 16a Legal fees (attach schedule) . L b Accounting fees (attach schedule)STMT 2 1,705. 853. NONE 853. c Other professional fees (attach schedule) . 17 Interest . 18 Taxes (attach schedule) ( see page 14 of the mstnxtionst 56. E 19 Depr ttach schedule) and depletion i 20 Occu ancy , , , r a 21 Trav c n 22 Print nd publications . , . , f c 23 Othe ens ah 4rhe .4 , 100. 100. 24 Tota op rating and administrative nses. Ca Add nes 1 1➢�tf2 5� 1,861. 853. NONE 953. 00 - 0 25 Con U , , 88,982. 88,982 . 26 Total expenses and disbursements Add lines 24 and 25 90,843. 853. NONE 89,935. 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements 17,031. t b Net investment income (if negative, enter -0-) 7,021. c Adjusted net income (if negative, enter -0-). -0- For Privacy Act and Paperwork Reduction Act Notice, see the instructions . **STMT 3 Form 990-PF (2005) JSA 5E14102000 470076 F482 05/08/2006 11:53:48 V05-6 I I I nnC-,9 n 11 Attached schedules and amounts in the Beginning of year End of year B a l ance Sh ee ts d escript ion co l umn shou ld be for end-of-year amounts only See instructions (a) Book Value (b) Book Value (c) Fair Market Value I Cash 'non-interest-beanng . 2 Savings and temporary cash investments , , , , , , , , , , , . 410, 830. 427 860. 427,860 . 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 page 15 of the instructions) 7 Other notes and loans receivable (attach schedule) ► _ _ _ _ _ Less allowance for doubtful accounts ► _ _ _ N 8 Inventories for sale or use . 9 Prepaid expenses and deferred charges . Q 10 a Investments - U S and state government obligations (attach schedule) b Investments - corporate stock (attach schedule) . STMT 5. , 50,054. 50,055. 30,697 . 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 p, (attach schedule) ____________________ 15 Other assets (describe ► -------------------- 16 Total assets (to be completed by all filers - see page 16 of the instructions Also, see page 1, item I 460 884. 477 915. 458,557 . 17 Accounts payable and accrued expenses , , , , , , , , , , , 18 Grants payable ,,,,,,,,,,,,,,,,,,,,,, 19 Deferred revenue 20 Loans from officers, directors, trustees, and other disqualified persons R_ 21 Mortgages and other notes payable (attach schedule) , , , , , J 22 Other liabilities (describe ► ) -------------------- 23 Total liabilities (add lines 17 through 22) Organizations that follow SFAS 117, check here ► and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted . ego 25 Temporarily restncted . ca 26 Permanently restricted . Organizations that do not follow SFAS 117, Li check here and complete lines 27 through 31. ► X J o 27 Capital stock, trust principal, or current funds . 531 446. 460,884. U) 28 Paid-in or capital surplus, or land, bldg , and equipment fund y 29 Retained earnings, accumulated income, endowment, or other funds • . -70,562. 17,031. 30 Total net assets or fund balances (see page 17 of the ai z instructions) . ... 460 884. 477 915. 31 Total liabilities and net assets/fund balances (see page 17 of the instructions) • • • • 460,884. 477,915. Analysis of Changes 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 year's return) . .. 1 460,884 . 2 Enter amount from Part I, line 27a , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 2 17,031 . 3 Other increases not included in line 2 (Itemize) ► - - - - - - - - ------ - 3 ---------------------- 4 Add lines 1, 2, and 3 4 477,915 . 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 . 6 477.915. Form 990-PF (2005) JSA 5E1420 1 000 470076 F482 05/08/2006 11:53:48 V05-6 Form 990-PF (2005) 11-3295712 Page 3 Capital Gains and Losses for Tax on Investment Income acquired (c) Date d (a) List and describe the kinds() of property sold ( a g real estate , ow e �) Date sold 0-P ��aon acquired mo , day, yr ) 2-story brick warehouse, or common stock, 200 shs MLC Co ) 0.Donauo (mo qda Y. yr) 1a b c d e (e) Gross sales price (f) Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (or allowable) plus expense of sale (e) plus (f) minus (g) a b c d e 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) F M V as of 12/31/69 U) as of 12/31/69 over col 0), 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 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 pages 13 and 17 of the instructions) If (loss), enter -0- in Part I, line 8 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 organization liable for the section 4942 tax on the distributable amount of any year in the base period? . F--] Yes FX No If "Yes ," the organization does not qualify under section 4940(e) Do not complete this pa rt I Enter the appropriate amount in each column for each year, see page 18 of the instructions before making any entries (a) (b) (c) (d) Base period years Calendar year Distribution ratio Adjusted qualifying distributions Net value of nonchantable-use assets (or tax year beginning in) (col (b) d ivided by col (c)) 2004 123 736. 437, 403 . 0.28288786314 2003 194 699. 475, 748 . 0.40924817340 2002 196 120.
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