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Form990-PF X003

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Form990-PF X003 I Teturn of Private Foundation OMB No 1545-0052 Form990-PFDepartment ortneTreasury or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Internal Revenue service Note: The organization ma be able to use a co of this return to saps state reporting re quiremen X003 For calendar ear 2003, or tax ear beginning , 2003, and ending G Check all that apply I I initial return l- Final return ~ ~ Amended return Address change I I Name chant Name of organization A Employer identification number Use the IRS label. MIRIAM AND PETER HAAS FUND 94-6064551 Otherwise, Number and street (or P O box number if mad is not delivered to street address) Room/state B Telephone number (seepage 10 of pant the instructions) or type. FLOOR See Specific 201 FILBERT STREET FIFTH 1 (415) 296-9249 City or town, state, and ZIP code C If exemption application is , Instructions. pending. check here p 1 Foreign organizations, check here , 1 2 Foreign organizations meeting the as% test, check here and attach . , a H Check typ e of or ganization X Section 501 ~ c 3 exem pt Pp rivate foundation computation . 1 ) nonexempt charitable trust Other taxable private foundation Section 4947 (a)( ----- E If private foundation status was terminated 1 Fair market value of all assets at end J Accounting method x Cash Accrual under section 507(bx1KA), check here . of year (from Part 11, C0/ (C), line ~ Other (specify) _---- _ p Ii the foundation is in a 60-month termination 16) t $ 218 , 699 , 026 . (Part l, column (d) must be on cash basis ~ under section 507(b)(1)(8), check here Analysis of Revenue and Expenses (d) Disbursements a) Revenue and (The total of amounts in columns (6), (c), and ( ~ (b) Net investment (c) Adjusted net for charitable expenses per (d) may not necessarily equal the amounts in income income purposes books column lal (see page 10 0/ the instructions) ) (cash basis onlvl Contributions Ats, grants, ett , received (attach schedule) if the foundation is not required to Check ~ attach Sch B 2 Distributions from split-interest trusts , , , , 3 Interest on sarongs and temporary cash investments 13 , 632 . 1 STMT 1 4 Dividends and interest from securities , , , , 10 196 682 . 10,19 STMT 2 5 a Gross rents . , . , . , , , . b (Net rental income or (loss) ) 6 a Net gain or (lass) from sale of assets not on line 10 -1 .200 .104 . b Gross sales price for all y assets on line 6a 102 , 506 , 255 . NE D- 7 Capital gain net income (from Part IV, line 2) . e 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) STMT 3 9,016,025 . -T, 1 3 Compensation of officers, directors, trustees, etc 175,219 . 175 219 . a 14 Other employee salaries and wages 228,405 . 228 , 405 . ~c 15 Pension plans, employee benefits , , , , , , 131,837 . 131,837 . C) 16a Legal fees (attach schedule) . , b Accounting fees (attach schedule)STMT 4 80,173 . NONE 40 , 087 . > c Other professional fees (attach sc!191BW . $ . 739,711 . 39,711 . ~: 17 Interest . , , , , , , , . STMT . 6 . 16,609 . 16,609 . 18 Taxes (attach schedule) (sea page 13 or the instructions) 't ~~J!~ ,1c 93,442 . 19 Depreciation (attach schedule) and depletion 30,392 . Q 20 Occupancy . , . . 233,004 . 233 004 . 21 Travel, conferences, and meetings , , 6,031 . 6 , 031 . 22 Printing and publications , , , , , , , . 2,081 . 2 , 081 . ~tt 23 Other expenses (attach schedule) $TMT . 9 , 325,575 . 284,962 . 40 , 493 . `y 24 Total operating and administrative expenses . a O Add lines 13 through 23 . , . , 2,062,479 . 1,083,408 . NONE 857 157 . 25 Contributions, gifts, grants paid . , , , 9,296,415 . 9 , 296 , 415 . 1 .358,894 . 1,083,408 . NONE 10 153 572 . 27 Subtract line 26 from line 12 8 Excess of revenue over expenses and disbursements , , -2 , 342 , 869 b Net investment income (if negative, enter -0-) 9,13 721 . c Adjusted net income (ii neqatwe, enter-0-). -0- JSA 3E14102000 For Pa p erwork Reduction Act Notice, see the instructions . **STMT 7 Form 990-PF (zoos 05/06/2004 15 :49 :16 MPFD V60 rormaau-rr [uuo y4- JJl Na eL Attached sched nd amounts in the Be ginning of ear ~ End of ear 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-beanng , , , , , , , , . , , , , , , , , , 500 . 500 . 500 . 2 Savings and temporary cash investments , , , , , , , , , , , 5 , 010 , 748 . 11 , 412 , 678 . 11 , 412 , 679 . 3 Accounts receivable " 28,499 . Less allowance for doubtful accounts " 135 , 2 67 . 28 , 499 . 28 , 499 . 4 Pledges receivable Less allowance for doubtful accounts -------- 5 Grants receivable 6 Recervables 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) 1 ' " Less allowance for doubtful accounts " ' y 8 Inventories for sale or use , , , , , , , , , , , , , , , , , .. y 9 Prepaid expenses and deferred charges , , , , , , , , , , , , Q 10a Investments-US and state government obligations (attach schedule)** 13 088 243 . 11 265 724 . 11 265 724 . b Investments - corporate stock (attach schedule) , $TRfg ;I 1 , 107 , 403 , 682 . 122 , 392 , 013 . 122 , 392 , 013 . c Investments - corporate bonds (attach schedule) $TtfT ;L2 , 49 , 469 , 375 . 54 , 559 , 661 . 54 , 559 , 661 . 111 Investments - land, buildings, and equipment bass 11110-- ___________ _5X550 _ , , STMT 13 Less accumulated depreciation 1 (attach schedule) ---------------____ 5 , 550 . 5 , 550 . 5 550 . 12 Investments - mortgage loans , , , , , , , , , , , , , , , , 13 Investments - other (attach schedule) , , , , , , $TRg ;L ¢ , 14 945 251 . 18 , 925 , 893 . 18 , 925 , 893 . 14 Land, buildings, and equipment basis 1_ _ _ _ _ _ _ _ _ _ 260,417 . ' ' STMT 17 Less accumulated depreciation l (attach schedule) --- 151,909 . 86 , 984 . 108 508 . 108 , 508 . 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 . 190 , 145 , 600 . 218 , 699 , 026 . 218 , 699 , 026 . 17 Accounts payable and accrued expenses , , , , , , , , , , , NO 12 , 055 . 18 Grants payable . , , , , , , , , , , , , , , , , , , , , , , X19 Deferred revenue 20 Loans from officers, directors, trustees, and other disqualified persons A 21 Mortgages and other notes payable (attach schedule) , , , J 22 Other liabilities (describe " ) 23 Total liabilities add lines 17 through 22 " NO 12 , 055 . Organizations that follow SFAS 117, check here " U and complete lines 24 through 26 and lines 30 and 31 . w X 24 Unrestricted . , . , . , . 190 145 600 . 218 , 686 , 971 . m 25 Temporarily restricted . , . , , , , m 26 Permanently restricted ~ " ~ ~ ~ ~ " ~ " ~ ~ " " " ~ " " " " ~ , Organizations that do not follow SFAS 117, ,i check here 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 y 29 Retained earnings, accumulated income, endowment, or other funds , 30 Total net assets or fund balances (see page 17 of the G! z instructions) , 190 145 600 . 218 , 696 , 971 . 31 Total liabilities and net assets/fund balances (see page 17 of - the instructions ~ ~ ~ ~ ~ 190 , 145 , 600 . 1 218 699 026 . Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) , , , , , , , , , , , , , , , , , , , , , , , , , 1 190 , 145 , 600 . 2 Enter amount from Part I, line 27a , , , , , , , , , , , , , , , , , , , , . , , , , . 2 -2 , 342 , 869 . 3 Other increases not included in line 2 (itemize) op.- SEE STATEMENT 18 ____--_______------ 3 30 884 240 . 4 Add lines 1, 2, and 3 , , , , , , , , , , , , , , , , , . , , . , , . , , , . , . 4 218 686 971 . 5 Decreases not included in line 2 (itemize) 1 SEE STATEMENT 19 5 NONE 6 Total net assets or fund balances at end of ear line 4 minus line 5 Part II column b line 30 . 6 219 , 686 , 971 . **STMT 10 Form 990-PF (zoos) JSA 3E`1420 1 000 05/06/2004 15 :49 :16 MPFD Form 990-PF 0 3 Ca o) How ~ (a) List and describe the kind(s) of property sold (e g , real estate, acquired acqu~iaed (d) Date sold P-Purchase (mo , day, yr ) 2-story brick warehouse, or common stock, 200 shs MLC Co ) 0.DDonaLOn onaLOn Imo , day, yr ) I 1a SEE PART IV SCHEDULE b c d e (e) Gross sales price I (0 Depreciation allowed I (g) Cost or other basis (h) Gain or (loss) (or allowable) plus expense of sale (e) plus (0 minus (g) a b c e I I Complete onl y for assets showing gain in column (h and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus (1) Adjusted basis (k) Excess of col (i) col (k), but not less than -0-) or (i) F M V as of 12/31/69 as of 12/31/69 over col 0), if any Losses (from col (h)) a c e If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) ~ ~ ~ ~ f If (loss), enter -0- m Part I, line 7 } 2 -1 , 200 3 Net short-term capital gain or (loss) as defined m 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 1 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 distnbutable amount of any year m the base period?.
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