990-PF Return of Private Foundation
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7oiS ) (j0 oooS 2303 033'( Return of Private Foundation O M B No 1545.0052 Form 990-PF or Section 4947(a)(1) Trust Treated as Private Foundation ^O 1 Do not enter social security numbers on this form as it may be made public. 4 Department of the Treasury Internal Revenue Service ► Information about Form 990-PF and its separate instructions is at www. irs. ov/form990 f. For calendar year 2014 or tax year beginning , and ending Name of foundation A Employer identification number Adelson Family Foundation Number and street (or P O box number if mail is not delivered to street address) Room/suite 04-7024330 300 First Ave B Telephone number (see instructions) City or town State ZIP code Needham MA 02494 (781 ) 972-5950 Foreign country name Foreign province/ state/county Foreign postal code q 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 ► q Final return q Amended return 2 Foreign organizations meeting the 85% test, q q Address change q Name change check here and attach computation ► H Check type of organization 0 Section 501(c)(3) exempt private foundation E If private foundation status was terminated under section 507(b)(1)(A), check here q q Section 4947(a)(1) nonexempt charitable trust q Other taxable private foundation ► q q I Fair market value of all assets at J Accounting method Cash Accrual F If the foundation is in a 60-month termination q end of year (from Part Il, col (c), Other (specify) Modified-cash -- under section 507(b)(1)(B), check here ► line 16) ► $ 23,524 (Part I, column (d) must be on cash basis) (The total (d) Disbursements Analysis of Revenue and Expenses of (a) Revenue and (b ) Net investment ( c) Adjusted net for charitable amounts in columns (b), (C), and (d) may not necessarily expenses per income income purposes books equal the amounts in column (a) (see instructions)) ( cash basis only) I Contributions, gifts, grants, etc , received (attach schedule) 95,248,492 2 Check if the foundation is not required to attach Sch B 3 Interest on savings and temporary cash investments 905 905 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 (los schedule) I 11 Other Income atta h sch s`E+VCD 12_ Total .-Add lines 1 G - - - 95,249,397 905 - - 0 13 Compensation of rs, j^j^o s,ptrustees, 14 Other employee s I s a cf't) a e9 2015 d 15 Pension plans, a ?p^lo x 16a Legal fees (attach(scheN 151,898 151,898 W b Accounting fees (attach- UTA > c Other professional fees (attach schedule) 57,560 57,560 m 17 Interest 1,200 Ch y 18 Taxes (attach schedule) (see instructions) 1,000 r_ 19 Depreciation (attach schedule) and depletion 322 E 20 Occupancy Q 21 Travel, conferences, and meetings 22,211 22,211 M 22 Printing and publications m 23 Other expenses (attach schedule) 498,328 498,328 c 24 Total operating and administrative expenses. Add lines 13 through 23 731,519 0 0 730,997 d 25 Contributions, gifts, grants paid 94,520,295 94,520,295 0 26 Total ex penses and disbursements . Add l ines 24 and 25 95,251,814 0 0 95,251,292 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements -2,417 b Net investment income (if negative, enter -0-) 905 c Adjusted net income (if negative, enter -0-) 0 For Paperwork Reduction Act Notice , see instructions. Form 990-PF (2014) 1 HTA 9 3a Form 990-PF (2014) Adelson Family Foundation 04-7024330 Page 2 Attached schedules and amounts in the description column Beginning of year End of year Bal ance Sheets 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 25,000 22,906 22,906 2 Savings and temporary cash investments 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) ► J Less allowance for doubtful accounts ► ---------------------------- 8 Inventories for sale or use n 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 ► ______________________ 1,612 Less accumulated depreciation (attach schedule) ► ---- - ------ -- - 994 941 618 618 15 Other assets (describe ► ------------------------------------- 16 Total assets (to be completed by all filers-see the instructions Also, see pag e 1, item I 25,941 23,524 23,524 17 Accounts payable and accrued expenses N 18 Grants payable .41 19 Deferred revenue 22 20 Loans from officers, directors, trustees , and other disqualified persons 0 21 Mortgages and other notes payable (attach schedule) J 22 Other liabilities (describe ) ► ---------------------------------- 23 Total liabilities ( add lines 17 throu g h 22) 0 0 1 N Foundations that follow SFAS 117 , check here IN. and complete lines 24 through 26 and lines 30 and 31. ev 24 Unrestricted 25,941 23,524 -25 _ _ Temporarily restricted - - - - - - T - CD 26 Permanently restricted q Foundations that do not follow SFAS 117, check here ► LL and complete lines 27 through 31. 0 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 30 Total net assets or fund balances (see instructions) 25,941 23,524 % 31 Total liabilities and net assetsifund balances (see instructions ) 25,941 23,524 Anal ysis of Chan g 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 year's return) 1 25,941 2 Enter amount from Part I, line 27a 2 -2,417 Other increases not included in line 2 (itemize) 3 3 ► -------------------------------------------------------- 4 Add lines 1, 2, and 3 4 23,524 Decreases not included in line 2 ( itemize) 5 5 ► -------------------------------------------------------------- 6 Total net assets or fund balances at end of year (line 4 minus line 5)-Part II, column (b), line 30 6 23, 524 Form 990-PF (2014) Form 990-PF (2014) Adelson Family Foundation 04-7024330 Page 3 Capital Gains and Losses for Tax on Investment Income (b) How acquired (a) List and describe the kind(s) of property sold (e g , real estate, (c) Date acquired (d) Date sold P-Purchase 2-story bock warehouse, or common stock, 200 shs MLC Co) (mo , day, yr) (mo ,day, yr ) D-Donation 1a 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 0) Adjusted basis (k) Excess of col (i) col (k), but not less than -0-) or F M V as of 12/31/69 (i) as of 12/31/69 over cot 0), if any Losses (from cot (h)) a b c d e If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) 1 If (loss), enter -0- in Part I, line 7 2 0 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 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 No If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part I Enter the appropriate amount in each column for each year, see the instructions before making any entries ( d ) Base period years Distribution Adjusted qualifying distributions Net value of nonchantable - use assets Calendar y ear (or tax year be g innin g in ) col ( b ) divided by col (c)) - - 2013 - 53;299,700 - - - - 646,325 - - 82 465787 2012 45,287,772 186,488 242 845502 2011 21, 914, 858 115 ,347 189 990706 2010 17,136,215 20,952 817 879677 2009 31, 539, 495 47,244 667.587313 2 Total of line 1, column (d) 2 2,000 768985 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 3 400 153797 4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5 4 1,896,791 5 Multiply line 4 by line 3 5 759,008,121 6 Enter 1% of net investment income (1% of Part I , line 27b) 6 9 7 Add lines