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Return of Private Foundation

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Return of Private Foundation EXTENDED TO NOVEMBER 15, 2017 Return of Private Foundation OMB No 1545-0052 Form 990-PF or Section 4947(aX1) Trust Treated as Private Foundation Do not enter social security numbers on this form as it may be made public. Department of the Treasury ► 20 16 Internal Revenue Sarwce ► Information about Form 990-PF and its separate instructions is at www irs ov/form990 f en to u ric inspection For calendar year 2016 or tax year beginning , and ending Name of foundation A Employer identification number THE ARTHUR M. BLANK FAMILY FOUNDATION 38-3983213 Number and street (or P 0 box number it mail is not delivered to street address) Room/suite B Telephone number 3223 HOWELL MILL ROAD, NW (404) 367-2057 City or town, state or province, country, and ZIP or foreign postal code C If exemption application is pending , check here ATLANTA, GA 30327 G Check all that apply. Initial return initial return of a former public charity D 1. Foreign organizations, check here Final return Amended return 2. Foreign organizations meeting the 85% test, Address change 0 Name change check here and attach computation ► H Check type of organization: EX Section 501(c)(3) exempt private foundation If private foundation status was terminated Section 4947(a)( 1 ) nonexem pt charitable trust Other taxable private foundation under section 507(b)(1)(A), check here I Fair market value of all assets at end of year d Accounting method: E:J Cash a] Accrual If the foundation is in a 60-month termination (from Part 11, col (c), line 16) fl Other (specify) under section 507(b)(1)(B), check here 1111. $ 6 5 , 0 91, 2 4 3 . (Part 1, column (d must be on cash basis ) Part l Analysis of Revenue and Expenses (a) Revenue and (b ) Net investment (c) Adjusted net (d) Disbursements (The total of amounts in columns (b), (c), and (d) may not for charitable purposes necessarily equal the amounts in column (a)) expenses per books income income (cash basis only) 1 Contributions, gifts, grants, etc., received 12,071,155. 2 Check ► if the foundation is not required to attach Sch B Interest on savings and temporary 3 cash investments 4 Dividends and interest from securities 691,906. 691 , 906. 5a Gross rents b Net rental income or (loss) 7 T , 6a Net gain or (loss) from sale of assets not on line 10 517 , 486 . d Gross sales price for all C bassetsan Ime 6a 3,082,013. _ 7 Capital gain not income (from Part IV, line 2) 517 486 8 Net short-term capital gain V b 9 Income modifications Gross sales less returns . t' 10a and allowances I b Less Cost ofgDods sold c Gross profit or (loss) 11 Other income 7 A • .ti 13 Compensation of officers, directors, trustees , etc 935 195 . 93 , 520 841,675. 14 Other employee salaries and wages 564 , 350. 56 , 435. 507,915. 15 Pension plans, employee benefits 138 187 . 13 , 819 . 124,368. 16a Legal fees STMT 2 39,973. 3,997. 35,976. b Accounting fees STMT 3 8,000. 800. 7,200. W c Other professional fees STMT 4 78,147. 7,815. 70,332. 17 Interest 18 Taxes STMT 5 79,295. 7,930. 71,366. y 19 Depreciation and depletion 59,182. 5,918. 4} rn E 20 Occupancy ® 21 Travel, conferences, and meetings 62,160. 6,216. 55,944. 22 Printing and publications o v 23 Other expenses STMT 6 289 , 361. 36,194. 235.698. 24 Total operating and administrative expenses . Add lines 13 through 23 2, 253 , 850. 232,644. 4,950,474. 25 Contributions, gifts, grants paid 22, 526 336. 23,087,893. ® 26 Total expenses and disbursements. .Fb Rkli'D Add lines 24 and 25 24 780 186. 232 644. 28,038,367. 27 Subtract line 26 from line 12: _m_ 1 , 1 & a Excess of revenue over expenses and disbursements 11, 499 , 639. 4* I t i b Net investment income (if negative, enter -0-) ^ . 976,748. C Adjusted net inco me ( f negative, enter -0-) J, I _ ' .s' ' _". 623501 11-23-16 LHA For Paperwork Reduction Act Notice , see instructions. Form 99O-IF (2016) V Form 990-PF 2016 THE ARTHUR M. BLANK FAM ILY FOUNDATION 38-3983213 Page 2 Beginning of year : Part II Balance Sheets Alahedschedules and amounts in the description End of year column should be for end-ot-yearamounts oaly (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-interest-bearing 354,026. 552,491. 552,491. 2 Savings and temporary cash investments " 3 Accounts receivable ► _ ;_ iii is 2-11---1 It ILIL-1AA__m 1 Less: allowance for doubtful accounts ► 4 Pledges receivable 26,889,815. ► ^aEl III- _111 1 211-1 11- 1-211- 1 k 11. % L1121 ]a: Less: allowance for doubtful accounts ► 67,460,378. 26,889,815. 26,889,815. 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons 7 Other notes and loans receivable ^ 1 - ► 1_1 Is, III 11 i Less: allowance for doubtful accounts ► 8 Inventories for sale or use N 9 Prepaid expenses and deferred charges < 10a Investments - U.S. and state government obligations b Investments - corporate stock c Investments - corporate bonds 11 Investments- land, buildings, and equipment basis ` ► X Less accumulated depreciation ► 12 Investments - mortgage loans 13 Investments - other STMT 9 6,184,314. 36,325,200. 36,325,200. 14 Land, buildings, and equipment: basis ► 1,011,294 . Less accumulated depreciation ► 793,138. 312 , 084. 218, 156 . 218 156. 15 Other assets (describe ► OTHER ASSETS ) 164,374. 1,105,581. 1,105,581. 16 Total assets (to be completed by all fliers - see the instructions. Also, see page 1 items 74 , 475 176. 65 091,243. 65 091,243. 17 Accounts payable and accrued expenses 142 159. 303,479. 18 Grants payable 30,304 , 492. 29,580,707. 19 Deferred revenue E 20 Loans from officers, dvectors, frustees, and other disqualified persons A 21 Mortgages and other notes payable 3 -' 22 Other liabilities (describe ► ) 23 Total liabilities (add lines 17 throu gh 22) 30 , 446 , 651. 29,884 , 186. k % Foundations that follow SFAS 117, check here ► and complete lines 24 through 26 and lines 30 and 31 . 24 Unrestricted 9,722,822. 1,144,701. 25 Temporarily restricted 4,305,703. 4,062,356. Mm 26 Permanently restricted Foundations that do not follow SFAS 117, check here ► L 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 Z 30 Total net assets or fund balances 44,028,525. 35,207,057. , 31 Total liabilities and net assets/fund balances 74 , 475 , 176. 1 65 , 091,243. 4 ' ,4 o . Pat# 111 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 44,028,525. 2 Enter amount from Part I, line 27a 2 <11,499,639.> 3 Other increases not included in line 2 (itemize) ► SEE STATEMENT 8 3 2,695 080. 4 Add lines 1, 2, and 3 4 35,223,966. 5 Decreases not included in line 2 (itemize) ► EXCISE TAX PAYMENTS 5 16,909. 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 --Form 99O-PF;2016) --- -623511 11-23-16 Form 990-PF (2016) THE ARTHUR M. BLANK FAMILY FOUNDATION 38-3983213 Page 3 Part IVY Capital Gains and Losses for Tax on Investment Income SEE ATTACHED STATEMENT (a) List and describe the kind(s) of property sold (e.g., real estate, (b How acquired (c) Date acquired (d) Date sold D - Purchase 2-story brick warehouse; or common stock, 200 shs. MLC Co.) D -Donation (mo., day, yr.) (mo., day, yr.) is 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 -2 - d e 3,082,013. 2,564,527. 517,486. Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col. (h) gain minus (j) Adjusted basis (k) Excess of col. (i) col. (k), but not less than -0-) or Losses (from col. (h)) (i) F.M.V. as of 12/31/69 as of 12/31/69 over col. (j), if any a b c d e 517,486. 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 2 517 ,486. 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). If loss enter -0- in Part I line 8 3 N/A cart v q uuanrication under section 4u4u(e) Tor lieaucea 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? 0 Yes EX No If 'Yes;'the foundation does not qualify under section 4940(e).
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