<<

949133513308 IL EXTENDED TO NOVEMBER 15, 2018 - Return of Private OMB No 1545-005 Form 990-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 Departmcgt of the Treasury ► 2017 www for and the latest information Internal Revenue Service ► Go to Irs.gov/Form99OPF instructions . oen to Public nsoec For calendar year 2017 or tax year beginning , and endin Name of foundation Employer identification number

FAT.rfNwnfT) FOTTNT) ATT(TN _ TNC' _ 1 1-'149,F475 Number and street (or P 0 box number if mail is not delivered to street address) Room /suite B Telephone number 20 GRAMERCY PARK SOUTH 212-984-1444

City or town, state or province, country, and ZIP or foreign postal code C If exemption application is pending , check here NEW YORK , NY 10003 G Check all that apply Initial return Initial return of a former public D 1. Foreign organizations, check here Final return Amended return 2. Foreign organizations meeting the 85% test, Address chan g e Name change check here and attach computation ► H Check type of organization ® Section 501(c)(3) exempt private foundation E If private foundation status was terminated 0 Section 4947(a )( 1 ) nonexem pt = Other taxable private foundation under section 507(b)(1)(A), check here I Fair market value of all assets at end of year J Accounting method: ® Cash Accrual F If the foundation is in a 60-month termination (from Part II, col. (c), line 16) 0 Other (specify) under section 507(b)(1)(13), check here $ 224 , 141. (Part I, column (d) must be on cash basis.) P,j t l1 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, , grants, etc., received 4 , 789 , 052 . V f'i.c== ^r 2 Check [I] if the foundation is notrequnedtoattach Sch 8 Y7y; °f' jb7^w^^ r ?: r r, ors, KU ; Interest on savings and temporary ^ ' v 3 cash investments RIM, 4 Dividends and interest from securities 5a Gross rents b Net rental income or (loss) MAO '35•K^^a !xt >,a`u^ -. rr^ck^r'5 ^a^t '"'^i^

6a Net gain or (loss) from sale of assets not on line 10 r ,t L^?? r .'r,^ k: s j:* ? :': 5 r•, :^^"r: rig;^i

Gross sales p rice for all ' _^`'p <+^•; '"" yirv' SA"1-tP,t`^+st4.y}^, '^ r.•--^•, Y !} Y' ;.rt4t a z , `q"-' t'' W ^i .^ C b assets on tine 6a 5r", `Y^,,fir^4.a ht7da^r,.b+^x^ rr^^.^c^ c ^^Ciax- sd.i, ^E ^ :;ti?h:'^ IV Mr. r-^ 'r •I 1 _.%^,^K... tS'$ 0 "F' M l8 y'` ^', (a^ AA w 7 Capital gain net income (from Part IV, line 2 ) -W%%,n- .4 ^n,'^1' s ,rr a2. €a. . k 8 Net short-term capital gain q 9 Income modifications " _ :^ ^` AQ1 , 57 "„__ UUL `,1 ^^"; U '§ Gross sales less returns '• ' •i"` ^4'i'¢u1 .^za -'-' ,^^`•€%'"•s.=."s^e.^3.'r"^`k`,r`s;; " b ' r, s'^ `a°' 10a and allowance s ;y- ,.» x.., as vis' Li °G: a°is Y`#§ffia#z`^.../.,er+tt4l cr^i5'^ ?^ ;Y J r'.rh £;s (+ .^Fl v `a. .(^ ^' ,p'^^," r•'M%'^^^'w',4 ^. F> ^`Cp"'.u ^•5 r^-;l' ,K^ i :i -^,,^I "di.:. PCF^,'K' ,^A,,^. r`l%G^, '^""F'y,^5G^ "'Mr iI b Less Cost of goods sold ^,mss; :'c,.' .^`.^..t°' "" a,.+ :t; ^r_^;^Y, , ;' ,^^ ,<.,1"a.^,:a *t ,t-his "*'^ftR+°c• s..• .ns-'_ry rr>,i °+.i :?t t,;Y .: • s^.lti.,^ n^il,'^t

c Gross profit or (loss) ',^ 12a t:' f"rs v^ C 11 Other income c x 12 Total Add lines 1 throu g h 11 4 , 789 , 052 . 0 . 0

13 Compensation of officers, directors, trustees, etc 0. 0. 0. 0. 14 Other employee salaries and wages 15 Pension plans, employee benefits C L 00 16a Legal fees STMT 1 -47 , 389. 0. 0. -13 , 790. III. L b Accounting fees STMT 2 9 349 . 0. 0. 9 , 349. t MCLQ ^w c Other professional fees STMT 3 337 , 270 . 0. 0. 337 , 270. 17 Interest ' 18 Taxes STMT 4 25 . 0 0 25 . 5t 19 Depreciation and depletion "'` :,_ Asm =,s<= Ii 20 Occupancy a 21 Travel, conferences, and meetings 4 , 624. 0. 0. 4,624. r- 22 Printing and publications 23 Other expenses STMT 5 78 , 992. 0. 0. 78 , 992. 24 Total operating and administrative a expenses Add lines 13 through 23 382 , 871 . 0. 0. 416 , 470. 25 Contributions, gifts, grants paid 4 2 5 3 19 0 ^);'^`: 4 2 5 3 19 0 26 Total expenses and disbursements Add lines 24 and 25 4 6 3 6 0 61 . 0. 0. 4 66'9 660.

27 Subtract line 26 from line 12` 21

a Excess of revenue over expenses and d i sbursements s ^^05^ t`t> t q 1" S , ^ `Yr=. tlu, ,,; ^,,• s:,a^..;'q^, A b Net investment income (if negative enter -0-) 0 i_'"+^^,r`^x '^,, ^;,^-t:i _ 6 y'fyj ;Xa'+ ' :t J tifi^ eF.: <,y ytx r. .ia1A';^ t C Ad usted n et in come (if negativev enter -0 -) s•` ^ <(^,i, , ^f 1 t .^+.' 1,-0 2 ;7 0 `•~+tEx:r»a, i « 723501 01-03-18 LHA For Paperwork Reduction Act Notice , see instructions Form 99 -PF (2017) 2 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 It^ ' Form QQn-PF79ol71 FAT.C(1NGT(1(1Tl F(1TTNTlATT(1N TNr 1I-'dq,F47', Paoe2

Attached scheduiesand amounisin the description Beginning of year End of year •Part;ll-i' Balance Sheets column should be for end-of-year amounts only (a) Book Val ue (b) Book Val ue (c) Fair Market Va l ue 1 Cash - non-Interest-bearing 50 , 304. 114 141. 114 141. 2 Savings and temporary cash investments 3 Accountsrecely I ► ^ M^ + Less allowance for doubtful accounts ► `- 4 Pledges receivable 0, "u ^MMjg Less. allowance for doubtful accounts ► 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons 7 other nines and loans receivable ► 110 0 0 0 $TATEMENT^6 Less. allowance for doubtful accounts ► 0. 0 . 110 ' 000. 110 , 000. 8 Inventories for sale or use 9 Prepaid expenses and deferred charges 10a Investments - U.S. and state government obligations b Investments - corporate stock c Investments - corporate bonds A:" Y: 6"^Y"J ^,{f;• ^t_'^3'^'^ 'rS+^iw^Fi'y! ^w2'S'^' } -^ ^^s^' Lk;§f°^','p"}p^ ^M `e'.- . '^j+' ,, ' Investments land, buildings , and equipment basis v^b 2' 11 ► '^+. r1 Y - Less accumulated depreciation 1110. 12 Investments - mortgage loans 13 Investments - other 14 Land, buildings, and equipment: basis ► ^ `` Less accumulated depreciation ► 15 Other assets (describe ► 16 Total assets (to be completed by all filers - see the instructions. Also , see pag e 1 , item I 50 , 304. 224 , 141. 224 , 141. 17 Accounts payable and accrued expenses 18 Grants payable N 19 Deferred revenue LD 20 Loans from officers, directors , trustees, and other disqualified persons

^tv 21 Mortgages and other notes payable ` zt sk ^mk 22 Other liabilities (describe OTHER LIABILITIES ) 68 , 102 . 88 , 948 . uLqe+^!p ► fv"^

Yll*2^^v AS>5- *t`R•;^^ ^ , 23 Total liabilities (add lines 17 throu g h 22 ) 68 , 102 . 88 , 948 .

Foundations that follow SFAS 117, check here ► ® ZZ,yk, `' and complete lines 24 through 26, and lines 30 and 31 -q_ X, ,.,•L°;

24 Unrestricted -17 , 798 . 3 0 413 ,^,,•^, :, `.''r ,1,^'.: y' ' 25 Temporarily restricted 10 4 7 8 0 2 r7^ m 26 Permanently restricted c :r,,'^'rk ^ r Foundations that do not follow SFAS 117 , check here ► 0 LL and complete lines 27 through 31 UMt T -> a, TMs;,iy^ -r_¢ ,f^t'y->M 27 Capital stock, trust principal, or current funds 28 Paid -in or capital surplus, or land, bldg . and equipment fund e ,Yx^',oatx:, .;d < 29 Retained earnings, accumulated income, endowment, or other funds 30 Total net assets or fund balances -17 , 798 . 135 , 193 . H,{;'

31 Total liabilities and net assets/fund balances 50 , 304. 1 224 , 141. ;Part III . 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) 2 Enter amount from Part I, line 27a 2 152,991. 3 Other increases not included in line 2 (itemize) ► 4 Add lines 1, 2, and 3- 1 4 1 1.55 , lyi . 5 Decreases not included in line 2 (itemize) ► line 4 135,193. Form 990-PF (2017)

723511 01-03-18 3 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Form 990-Pr(2017) FALCONWOOD FOUNDATION , INC. 13-3456475 Page 3 Part IV Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of sold (for example, real estate, (b How acquired (c) Date acquired (d) Date sold D - Purchase yr.) (mo., day, yr 2-story brick warehouse, or common stock, 200 shs MLC Co.) D - (mo., day, 1a b NONE C d e Depreciation allowed or other Gain or (loss) (e) Gross sales price (f) (g) Cost basis (h) (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 (j) Adjusted basis (k) Excess of col. (i) col. (k), but not less than -0-) or Losses (from col. (h)) (i) FMV as of 12/31/69 as of 12/31/69 over col (f), if any 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). If loss enter -0- in Part I line 8 3 Part.VA Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 1910(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 taA on the disti ibutable amount of any year in the base period ? Yes ® No If 'Yes,' the foundation doesn't qualify under section 4940 ( e) Do not complete this part. 1 Enter the appropriate amount in each column for each year; coo the instructions before making any entries.

Base periiod years (c) Distribution ratio Calendar year (or tax year beginning in) Adjusted quali fy(bin g di stributions Net value of noncharitable - use assets (col. (b divided by col (c)) 2016 4 , 301 , 245. 14 , 446. 297.746435 2015 4 , 711 , 658. 12 , 996. 362.546784 2014 3 , 921 , 258. 30 , 999. 126.496274 2013 4 , 031 , 46 . 5 , 030. 801.484095 2012 4 , 012 , 010. 1 4 , 716. 850.723070

2 Total of line 1, column (d) 2 2 438.996658 3 Average distribution ratio for the 5-year base period divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years 3 487 .799332

4 Enter the net value of noncharitable - use assets for 2017 fro m Part X, line 5 4 383 , 145.

5 Multiply line 4 by line 3 5 186 , 897 , 875.

6 Enter 1% of net investment income (1% of Part I, line 27b) 6 0.

7 Addlines5and6 7 186 897 875.

8 Enter qualifying distributions from Part XII, line 4 8 4 , 779 , 660. 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. 723521 01-03 -18 Form 990-PF (2017) 4 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Form 990-PF(2017) FALCONWOOD FOUNDATION, INC. 13-3456475 Page 4 Part VI Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)

la 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 here ► = and enter 1% 1 0. 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 0. 3 Add lines 1 and 2 3 0. 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 0. 6 Credits/Payments: -. a 2017 estimated tax payments and 2016 overpayment credited to 2017 6a 0. b Exempt foreign organizations - tax withheld at source 6b 0 . c Tax paid with application for extension of time to file (Form 8868) 6c 0 . d Backup withholding erroneously withheld 6d 0 . 7 Total credits and payments. Add lines 6a through 6d 7 0. 8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached 8 0. 9 Tax due If the total of lines 5 and 8 is more than line 7, enter amount owed ► 9 0. 10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10 11 Enter the amount of line 10 to be: Credited to 2018 estimated tax 00, Refunded 11 Part VII-A Statements Regarding Activities la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yes No any political campaign? la X b Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions for the definition lb 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. _ L1 I 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. ► $ 0 . (2) On foundation managers.'- $ 0. e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation managers. ► $ 0. 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 years 4a X b If "Yes," has it filed a tax return on Form 990 -T for this years N/A 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's 6 X 7 Did the foundation have at least $5,000 in assets at any time during the years If "Yes," complete Part II, 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 G' If "No," attach explanation 9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(I)(3) or 4942(l)(5) for calendar year 2017 or the tax year beginning in 2017? See the Instructions for Part XIV. If "Yes," complete Part XIV 9 X

0 Did any cersons become substantial contributors durlno the tax year? If "Yes." attach a schedule listino their names and addresses 10 X Form 990-PF (2017)

723531 01-03-18 5 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Form 990-PF

Yes No 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)'? 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? N/A 13 Website address ► N/A 14 The books are in care of ► DR. STANLEY A. LEFKOWITZ Telephone no. ► 212 - 9 8 4 -14 4 4 Located at ► 2 0 GRAMERCY PARK SOUTH, NEW YORK, NY ZIP+4 ►10 0 0 3 15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - check here ► 0 and enter the amount of tax-exempt interest received or accrued during the year ► 15 N/A 16 At any time during calendar year 2017, did the foundation have an interest in or a signature or other authority over a bank, Yes No securities, or other financial account in a foreign country's 16 X See the instructions for exceptions and filing requirements for FinCEN Form 114 If "Yes," enter the name of the forei g n country loo, Par,,t4;VIl16,P,- Statements Regarding Activities for Which Form 4720 May Be Required 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'? Yes ® No " y x^ zj (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) i 4 iwo a disqualified persons Yes ® No m +^ (3) Furnish goods, services, or facilities to (or accept them from) a disqualified Person ? 0 Yes ® No NAB , yy ^ ,i"a (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified persons Yes ® No r (5) Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disq ualified p erson )? Yes ®No 1*1 ^ (6) Agree to pay money or property to a government officia[9 (Exception Check "No" ' • .4 YY 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.) Yes Ef] 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 N/A lb Organizations relying on a current notice regarding disaster assistance, check here ► , w 4 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` 'aaA before the first day of the tax year beginning in 2017 1c X 2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundation x,, u f -.n< defined in section 4942(I)(3) or 4942(1)(5)): a At the end of tax year 2017, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 20179 Yes ® No If "Yes," list the years ► b Are there an y years listed in 2a for which the foundation is not applying the provisions of section 4942 (a )( 2 ) ( relatin g 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 r y statement - see instructions.) N/A 2b -x r41EP,14 c If the provisionsrovisions of section 4942(a)(2) are being9 appliedPP lied to anyY of the yearsears listed in 2a, list the ears here %;` n1

3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the years Yes ® No 'f , b If "Yes," did it have excess business holdings in 2017 as a result of (1) any purchase by the foundation or disq ualified p ersons afte r 4K 1 5P 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 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 2017 ) N/A 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 p rior year ( but after December 31, 1969 ) that could jeo pardize its chartable pur p ose that .^' ; had not been removed from jeopardy before the first day of the tax year beginning in 2017? 4b X Form 990-PF (2017)

723541 01-03-18

19461105 802100 49431.087 2017. 05000 FALCONWOOD FOUNDATION, INC. 49431171 Form-990-PF (2017) F. INC. 3-3456475 Page6 .,. ..ii ,In'. ^._•_ ___ arding Activities ch Form 4720 Be Required 5a During the year, did the foundation pay or incur any amount to Yes No (1)• Carry on propaganda , or otherwise attempt to influence legislation ( section 4945(e))7 0 Yes ® No (2) Influence the outcome of any specific public election ( see section 4955 ), or to carry on, directly or indirectly, any voter registration drive9 0 Yes ®No 3 a a ()( 3 ) Provide a g rant to an individual for travel, stud Y,y, or other similar P urposes7 0 Yes No 1 (4) Provide a grant to an organization other than a charitable, etc , organization described in section 4945( d)(4)(A)9 See instructions Yes ®No r, q (5) Provide for any purpose other than religious , charitable, scientific , literary, or educational purposes , or for the prevention of cruelty to children or anlmals7 0 Yes ® No g n5 b If any answer is "Yes' to 5a ( 1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations '-'' a • section 53.4945 or in a current notice regarding disaster asslstance7 See Instructions N/A 5b °." Organizations relying on a current notice regarding disaster assistance , check here ► , c If the answer is "Yes" to q uestion 5a ( 4 ), does the foundation claim exem ption from the tax because it maintained 0, , ;^mal expenditure responsibility for the grant9 N/A Yes No If "Yes," attach the statement required by Regulations section 53 4945-5 (d) 6 a D id th e foun dation, d uring th e year, receive any funds, d irectly or in d irectly, to pay pre m iu ms on .P ., a personal benefit contract9 Yes ® No b Did the foundation , during the year , pay premiums , directly or indirectly, on a personal benefit contract? 6b 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 transaction9 Yes ®No >^ ;-^. ^^` .^x; ^:^t:,^• b If "Yes ," did the foundation receive any p roceeds or have an y net income attributable to the transactlon7 N /A 7b RPa_rtV_III1j Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors 1 List all officers, directors, trustees, and foundation managers and their compensation. Title, and average (c) Compensation ( dContributions to (e) Exp ense (b) employee benefit plans (a) Name and address hours per week devoted (If not paid , and deferred account,accou other to position enter -0 compensation allowances DR HENRY G JARECKI RES/TREAS DI RECTOR 10 TIMBER TRAIL RYE , NY 10580 0.25 0. 0. 0. THOMAS A RUSSO DIRECTOR 1170 5TH AVE #12-B NEW YORK , NY 10029 0.05 0. 0. 0. DR STANLEY A LEFKOWITZ ICE-PRES/SEC DIRECTO R 60 EAST 8TH STREET , #22-J NEW YORK , NY 10003 0.50 0. 0. 0.

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

Total number of other employees paid over $50,000 ► 0 Form 990-PF (2017)

723551 01-03-18 7 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Form 990-PF 2017) FALCONWOOD FOUNDATION , INC. 13-3456475 Page 7 Part VIII Information About Officers, Directors , Trustees , Foundation Managers, Highly Paid Employees, and Contractors (continued) 3 Five highest-paid independent contractors for professional services. If none, enter "NONE." (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation GRATIAS PARTNERS , LLC 20 HASKEL , PRINCETON , NJ 08550 C ONSULTING 331 520. FRIEDMAN LLP - 50 CHARLES LINDBERGH BLVD SUITE 510 , UNIONDALE , NY 11553 ACCOUNTING 6 , 180. SHARON COSTELLO 247 WEST 10TH STREET 3C , NEW YORK , NY 10014 CONSULTING 5 , 500.

Total number of others receivin g over $50,000 for p rofessional services ► 0 Part IX-A Summary of Direct Charitable Activities List the foundation ' s four largest direct charitable activities during the tax year. Include relevant statistical information such as the Expenses number of organizations and other beneficiaries served, conferences convened , research papers produced, etc. 1SUPPLYING FOOD AND OTHER SUPPLIES TO THE THE BRITISH VIRGIN ISLANDS COMMUNITY AFFECTED BY HURRICANE IRMA. 78 , 756. 2

3

4

Part IX-B Summa ry of Program - Related Investments Describe the two largest program- related investments made by the foundation during the tax year on lines 1 and 2. Amount 1LOAN TO THE YEP FOUNDATION USED TO REBUILD PROPERTY USED BY THE FOUNDATION THAT WAS DAMAGED BY HURRICANE IRMA. 110 000. 2

All other program- related investments See instructions. 3

Total . Add lines 1 throu g h 3 ► 110 , 000. Form 990-PF (2017)

723561 01-03-18 8 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Form 990 -PF'(2017) FALCONWOOD FOUNDATION, INC. 13-34 56475 Page 8

Part X 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 1 a 0 . b Average of monthly cash balances 1b 388 , 980. c Fair market value of all other assets 1c d Total (add lines la, b, and c) 1d 388 , 980 . e Reduction claimed for blockage or other factors reported on lines la and tc (attach detailed explanation) le 0. _ 2 Acquisition indebtedness applicable to line 1 assets 2 0 . 3 Subtract line 2 from line 1d 3 388 , 980 . 4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) 4 5 8 3 5 5 Net value of noncharitable - use assets Subtract line 4 from line 3. Enter here and on Part V, line 4 5 383 , 145 6 Minimum investment return . Enter 5% of line 5 6 19 , 157 Part XI Distributable Amount (see instructions) (Section 4942(l)(3) and (1)(5) private operating foundations and certain foreign organizations, check here ► and do not complete this part.) 1 Minimum investment return from Part X, line 6 2a Tax on investment income for 2017 from Part VI, line 5 2a b Income tax for 2017. (This does not include the tax from Part VI.) 2b c Add lines 2a and 2b 3 Distributable amount before adjustments. Subtract line 2c from line 1 7. 4 Recoveries of amounts treated as qualifying distributions 5 Add lines 3 and 4 1 5 1 19.157. 6 Deduction from distributable amount (see instructions) 7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII. line 1 19.157. PartXII 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 la 4 , 669 , 660. b Program-related investments - total from Part IX-B lb 110 , 000. 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 la through 3b. Enter here and on Part V, line 8; and Part XIII, line 4 4 4 , 779 , 660. 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 5 0. 6 Adjusted qualifying distributions Subtract line 5 from line 4 6 4 , 779 , 660. Note, The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation q ualifie s for the section 4940(e) reduction of tax in those years Form 990-PF (2017)

723571 01-03-18 9 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Form 990-PF (2017) FALCONWOOD FOUNDATION, INC. 13-3456475 Page 9 Part XIII Undistributed Income (see instructions)

(a) (b) (c) (d) Corpus Years prior to 2016 2016 2017 1 Distributable amount for 2017 from Part XI, llne7 19 , 157.

2 Undistributed income , if any , as of the end of 2017 a Enter amount for 2016 only 0. b Total for prior years 0. 3 Excess distributions carryover, if any, to 2017: aFrom 2012 3 341 , 362. b From 2013 4 , 031 , 213. cFrom 2014 3 919 , 708. d From 2015 4 , 711 , 008. eFrom 2016 4 , 300 , 523. f Total of lines 3a through e 20 , 303 , 814. 4 Qualifying distributions for 2017 from Part Xll,line 4 , 779 , 660. a Applied to 2016, but not more than line 2a 0. b Applied to undistributed income of prior years (Election required - see instructions) 0. c Treated as distributions out of corpus (Election required - see instructions) 39 , 018. d Applied to 2017 distributable amount 19 , 157. e Remaining amount distributed out of corpus 4 , 721 , 485.

5 Excess distributions carryover applied to 2017 0. 0. (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 25 , 064 , 317. b Prior years' undistributed income. Subtract line 4b from line 2b 0. 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 0 d Subtract line 6c from line 6b. Taxable amount - see instructions 0 e Undistributed income for 2016. Subtract line 4a from line 2a. Taxable amount - see Instr 0 f Undistributed income for 2017 Subtract lines 4d and 5 from line 1 This amount must be distributed in 2018 0 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) 0 8 Excess distributions carryover from 2012 not applied on line 5 or line 7 3 , 3 41 3 6 2 9 Excess distributions carryover to 2018 Subtract lines 7 and 8 from line 6a 21 , 722 , 955. 10 Analysis of line 9 a Excess from 2013 4 0 31 213 . b Excess from 2014 3 , 919 , 708. c Excess from 2015 4 711 0 0 8. d Excess from 2016 4 , 300 , 523. e Excess from 2017 4 , 760 , 503.

723581 01-03-18 Form 990-PF (2017) 10 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Form 990-PF (2017 ) FALCONWOOD FOUNDATION , INC. 13-3456475 /f Page to Part XIV , Private Operating Foundations (see instructions and Part VII A, question 9) N/A 1 a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2017, enter the date of the ruling 11110. b Check box to indicate whether the faun el ation is a p rivate op eratin g foundation described in section L_J 4942 (1)( 3 ) or U 4942(j)(5) 2 a Enter the lesser of the adjusted net Tax year Prior 3 years income from Part I or the minimum (a) 2017 (b) 2016 (c) 2015 (d) 2014 (e) Total investment return from Part X for each year listed b 85% of line 2a c Qualifying distributions from Part XII, line 4 for each year listed d Amounts included in line 2c not used directly for active conduct of exempt activities e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c 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 4942(I)(3)(B)(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(a)(5)), or royalties) (2) Support from general public and 5 or more exempt organizations as provided in section 4942(I)(3)(B)(ui) (3) Largest amount of support from an exempt organization ( 4 ) Gross investment income Part XV 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).) DR HENRY G JARECKI 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: Check here ► 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 , to individuals or organizations under other conditions, complete items 2a, b, c, and d. a The name, address, and telephone number or email address of the person to whom applications should be addressed:

SEE STATEMENT 7 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

723601 01 -03-18 Form 990-PF (2017) 11 19461105 802100 49431.087 2017. 05000 FALCONWOOD FOUNDATION, INC. 49431171 171 FALCONWOOD FOUNDATION. INC. 13-3 456475 Pagel l nformation 3 Grants and Contributions Paid During the Year or Approved for Future Payment Recipient If recipient is an individual, show any relationship to Foundation Purpose of grant or status of contribution Amount Name and address (home or business) any foundation manager or substantial contributor recipient a Paid during the year

SEE ATTACHED SCHEDULE 4 253 190.

Total ► 3a 4 253 190 b Approved for future payment

NONE

Total ► 3b 1 0. Form 990-PF (2017)

723811 01-03-18 12 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Form 990-Pr(2017) FALCONWOOD FOUNDATION, INC. 13-3456475 Page 12 Part XVI -A Analysis of Income - Producing Activities

Enter gross amounts unless otherwise indicated Unrelate d business income Exclu ded b section 512, 513, or 514 (e) (a) (b) E^cf1u- (d) Related or exempt Business Amount 1 Program service revenue: code code5'o" Amount function income a b c d e f 9 Fees and contracts from government agencies 2 Membership dues and assessments 3 IntBrest on savings and temporary cash investments 4 Dividends and interest from securities 5 Net rental income or (loss) from real estate: I a Debt-financed property b Not debt-financed property 6 Net rental income or (loss) from personal property 7 0th er investment income 8 Gat n or (loss) from sales of assets other tha n inventory 9 Net income or (loss) from special events 10 Gross profit or (loss) from sales of inventory 11 0ther revenue* a b c d e 12 Subtotal. Add columns (b), (d), and (e) 0. 0. 0. Total Add line 12, columns (b), (d), and (e) 13 0. (See worksheet in line 13 instructions to verify calculations Part XVI- B Relationship of Activities to the Accomplishment of Exempt Purposes

723621 01-03-18 Form 990-PF (2017) 13 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Form 990-PF(2017 FALCONWOOD FOUNDATION , INC. 13-3456475 Page 13 Part XVII Information Regarding Transfers to and Transactions and Relationships With Noncharitable Exempt Organizations Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) Yes No (other than section 501(c)(3) organizations) or in section 527, relating to political orgamzatlons2 a Transfers from the reporting foundation to a noncharitable exempt organization of: (1) Cash la ( l ) (2) Other assets la ( 2 )1 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 lb ( 4 ) X (5) Loans or loan guarantees lb (5 ) X (6) Performance of services or membership or solicitations 1b X Sharing of facilities, equipment, mailing lists, other assets, or paid employees tc X If the answer to any of the above Is "Yes," complete the following schedule. Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, show in

2a Is the foundation directly or indirectly affiliated with , or related to, one or more tax-exempt organizations described in section 501 ( c) (other than section 501 (c)(3)) or in section 5279 0 Yes ® No b If "Yes,' com p lete the followin g schedule. (a) Name of organization (b) Type of organization (c) Description of relationship N/A

Under penalties of perjury. I declare i I have mined this recur , including accompanying schedules and statements, and to the best of my knowledge May the IRS discuss this h k I Sign and belief, it is true, co ect, an omelet claration of cep r (other than taxpayer) i Here Signature of flcer or tr stee Prl ype preparer's name Prepare

Paid PHILLIP A. BOTTARI

19461105 Schedule B Schedule of Contributors OMB No 1545-0047 (Form 990 , 990-EZ, Attach to Form 990, Form 990-EZ, or Form 990-PF. or 990-PF) ► 00- Go to www.irs.gov/Form990 for the latest information. Department of the Treasury 2017 Internal Revenue Service Name of the organization Employer identification number

F OD FOUNDATI Organization type (check one)

Filers of: Section:

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

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

El 527 political organization

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

0 4947(a)(1) nonexempt charitable trust treated as a private foundation

0 501(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

® 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

O 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 1h, or (u) Form 990-EZ, line 1 Complete Parts I and II

D 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 for the prevention of cruelty to children or animals Complete Parts I, II, and III

El 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 Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990 PF)

LHA 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) (2017)

723451 11-01-17 Schedule B'(Form 990, 990-EZ, or 990-PF) (2017) Page 2 Name of organization Employer identification number

INC. -345647

PartI 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 ANDREW R. JARECKI Person I-XI Payroll 0 131 EAST 66TH STREET, APT. 4-D $ 18,500. Noncash 0 (Complete Part II for NEW YORK, NY 10021 noncash contributions )

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

2 DR. HENRY G. JARECKI Person Payroll 0 10 TIMBER TRAIL $ 1,560,920. Noncash EJ (Complete Part II for RYE, NY 10580 noncash contributions )

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

3 SAMANTHA BRODY Person EK] Payroll 417 EAST 6TH STREET, APT. 12 $ 6,000. Noncash (Complete Part II for NEW YORK, NY 10009 noncash contributions )

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

4 BRIGHTWATER FUND Person Payroll 10 TIMBER TRAIL $ 12,500. Noncash fl (Complete Part II for RYE, NY 10580 noncash contributions )

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

5 LIANNA JARECKI Person Payroll 101 DERBY LANE $ 6,000. Noncash (Complete Part II for CHAPEL HILL, NC 27514 noncash contributions )

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

6 PAUL BRODY Person Payroll 673 WEED STREET $ 31,000. Noncash (Complete Part II for NEW CANAAN, CT 0 6 8 4 0 noncash contributions ) 723452 11-01- 17 Schedule B (Form 990 , 990-EZ , or 990 -PF) (2017) 16 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Schedule B'(Form 990, 990•EZ, or Name of organization Employer identification number

-3456475

Part I 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 DIVONNE HOLMES A' COURT Person Payroll 9 EAST 40TH STREET, FLOOR 6 $ 5,000. Noncash 0 (Complete Part II for NEW YORK, NY 10 016 noncash contributions )

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

8 EUGENE JARECKI Person Payroll Q 7858 MAIN STREET $ 24,500. Noncash fl (Complete Part II for WAITSFIELD, VT 0 5 6 7 3 noncash contributions )

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

9 NICHOLAS JARECKI Person Payroll 8232 SKYLINE DRIVE $ 18,500. Noncash (Complete Part II for LOS ANGELES, CA 9 0 0 4 6 noncash contributions )

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

10 THOMAS A. JARECKI Person Payroll 3 KENILWORTH LANE $ 12,000. Noncash (Complete Part II for RYE, NY 10580 noncash contributions )

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

11 TIMBER FALLS TRUST 1973 Person Payroll C/O WITHERS BERGMAN, 157 CHURCH STREET $ 2,848,882. Noncash (Complete Part II for NEW HAVEN, CT 0 6 5 0 2 noncash contributions )

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

12 TIMBER FALLS TRUST 2007 Person Payroll 89 ANTHONY DRIVE $ 115,000. Noncash (Complete Part II for LACONIA, NH 0 3 2 4 6 noncash contributions ) 723452 11- 0,-17 Schedule B (Form 990 , 990-EZ , or 990 - PF) (2017) 17 19461105 802100 49431 . 087 2017 . 05000 FALCONWOOD FOUNDATION, INC. 49431171 Schedule B-(Form 990, 990-EZ, or 990-PF) (2017) Page 2 Name of organization Employer identification number

Part I 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

13 MAC GLOBAL FOUNDATION INC. Person I-XI Payroll $ 47,000. Noncash (Complete Part II for noncash contributions )

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

14 DANIEL YATES Person Eil Payroll $ 20,000. Noncash (Complete Part II for noncash contributions )

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

15 BARBARA AND MICHAEL KRANCER Person Payroll $ 7,500. Noncash (Complete Part II for noncash contributions )

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

16 THE GRIFFIN-COLE FUND Person Ef] Payroll $ 10,000. Noncash (Complete Part II for noncash contributions )

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

17 COLIN BENNETT WESTBURY Person ERI Payroll $ 5 ,000. Noncash 0 (Complete Part II for noncash contributions )

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

18 DEBBIE OWEN Person Ef] Payroll 0 $ 5,000. Noncash (Complete Part II for noncash contributions ) 723452 11-01-17 Schedule B ( Form 990 , 990-EZ , or 990-PF) (2017) 18 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Schedule B*(Form 990, 990-EZ, or 990-PF) (2017) Page 2 Name of organization Employer identification number

FALCO Part 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

19 JOHN JARECKI Person If] Payroll fl 50 MURRAY STREET, APT# 1312 $ 5,000. Noncash El (Complete Part II for NEW YORK, NY 10007 noncash contributions )

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

20 LAURANCE ROCKEFELLER Person 50 Payroll $ 5,000. 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 )

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

Person Payroll 0 $ Noncash (Complete Part II for noncash contributions )

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

Person LI Payroll LI $ Noncash LI (Complete Part II for noncash contributions )

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

Person 0 Payroll 0 $ Noncash 0 (Complete Part II for noncash contributions ) 723452 11- 01-17 Schedule B (Form 990 , 990-EL, or 990 -PF) (2017) 19 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Schedule B-(Form 990, 990-EZ, or 990 3 Name of organization Employer identification number

FALCONWOOD FOUNDATION, INC. 1 13-3456475 PartII Noncash Property (see instructions) Use duplicate copies of Part II if additional space is needed

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

(a) (c) No. (b) FMV (or estimate) Description of noncash property given Date received (See(SSee instructions.) Part 1

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

(a) (c) No. (d) (b) FMV (or estimate) from Description of noncash property given Date re ceived (See instructions.) Part 1

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

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

723453 11-01-17 Schedule B (Form 990 , 990-EZ, or 990-PF) (2017) 20 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 Schedule B (Form 990, 990-EZ, or 990•PF; 4 Name of organization Employer identification number

FALCONWOOD FOUNDATION, INC. I 13-3456475 Part III Exclusively religious , 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 into once) Mo. $ Use duplicate coolies 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 Relationshi p 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 Relationshi p 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 Relationshi p 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 Relationshi p of transferor to transferee

723454 11- 01-17 Schedule B (Form 990 , 990-EZ , or 990 -PF) (2017) 21 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 The Falconwood Foundation Inc. EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount 5 Under 40 Foundation PC General Support, Unrestricted 10,000.00 36 West 9th Street, 1A New York, NY 10010

ACLU Foundation PC General Support, Unrestricted 556,000.00 125 Broad Street, 17th Floor New York, NY 10004 Attn: Katie Cecil

American Assistance for Cambodia, Inc. PC General Support, Unrestricted 2,750.00 4-1-7-605 Hiroo Shibuya-ku, Tokyo 150-0012, Japan

American Cancer Society PC General Support, Unrestricted 2,000.00 2 Lyon Place White Plains, NY 10601

American Film Institute PC General Support, Unrestricted 15,000.00 2021 North Western Avenue Los Angeles, CA 90027 Attn: Greg Copeland

AOPA Foundation PC General Support, Unrestricted 2,000.00 421 Aviation Way Fredrick, MD 21701 Attn: Justin Biassou

APA Foundation Minority Fellowhsip Program PC General Support, Unrestricted 2,500.00 1000 Wilson Boulevard, Suite 1825 Arlington, VA 22209 Attn: Dan Gillison

Artists For Peace and Justice PC General Support, Unrestricted 20,000.00 87 Walker Street, #6B New York, NY 10013 Attn: David Belle, CFO

Bard College PC General Support, Unrestricted 32,000.00 P.O. Box 5000 Annadale-on-Hudson, NY 12504 Attn: President Leon Botstein The Falconwood Foundation Inc. EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount Bard Prison Initiative PC General Support, Unrestricted 25,000.00 Bard College P.O. Box 5000 Annadale-on-Hudson, NY 12504 Attn: Laura Liebman

Boys & Girls Clubs Monmouth County PC General Support, Unrestricted 20,000.00 1201 Monroe Avenue Asbury Park, NJ 07712 Attn: Douglas Eagles

Breast Cancer Research Foundation PC General Support, Unrestricted 1,000.00 60 East 56th Street 8th Floor New York, NY 10022 Attn: Myra Biblowit

Bronx Freedom Fund PC General Support, Unrestricted 25,000.00 360 E. 161 St Bronx, NY 10451 Attn: Ezra Ritchin

BVI Ministry of Education and Culture GOV Chromebook Laptops 43,400.00 Road Town, Tortola BVI VG1110

Camp Arcadia Scholarship Foundation PC General Support, Unrestricted 1,000.00 Pleasant Lake P.O. Box 158 Casco, Maine 04015

Carolina Partners Foundation PC General Support, Unrestricted 1,500.00 1502 W Nc Highway 54 Ste 103 Durham , NC 27707-5572 Attn: Stanley Monroe, Esq.

Centurion Ministries PC General Support, Unrestricted 7,000.00 1000 Herrontown Road Princeton, NJ 08540 Attn: Kate Germond The Falconwood Foundation Inc. EIN: 13 -3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount Chapel Hill-Carrboro Public School Foundation PC General Support, Unrestricted 2,500.00 P.O. Box 877 Carrboro, NC 27510 Attn: Lynn Lehmann

Chapel Hill Public Library Foundation PC General Support, Unrestricted 1,000.00 100 Library Drive Chapel Hill, NC 27514

Children of the Night PC General Support, Unrestricted 20,000.00 14530 Sylvan Street Van Nuys, CA 91411 Attn: Lois Lee

Children's Health Fund PC General Support, Unrestricted 5,000.00 215 West 125th Street, Suite 301 New York, NY 10027 Attn: Dennis Wolto

Children 's Hospital of Los Angeles PC General Support, Unrestricted 2,500.00 P.O. Box 842712 Los Angeles, CA 90084

Classical Theatre of Harlem PC General Support, Unrestricted 20,000.00 566 West 159th Street Ste. #44 New York, NY 10032 Attn: Mr. Ty Jones

Cold Spring Harbor Laboratory PC General Support, Unrestricted 20,000.00 One Bungtown Road New York, NY 11724 Attn: Diana Fagiola

Columbia Business School PC General Support, Unrestricted 2,500.00 33 West 60th Street , 7th Floor New York, NY 10023-7905 Attn: Barbara Clapp The Falconwood Foundation Inc. EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount Columbia University PC General Support, Unrestricted 414,040.00 Sponsored Projects Finance (SPF) PO Box 29789 New York, NY 10087-9789

Columbia University Dept of Medicine PC General Support, Unrestricted 2,500.00 Herbert Irving Pavilion mpl 173 Fort Washington Ave., 4th FI New York, NY 10032 Attn: Jerry Gliklich, M.D.

Columbia University Medical Center PC General Support, Unrestricted 300.00 516 West 168th Street, 5th Floor New York, NY 10032 Attn: Rebecca Solinksky

Community Foundation of the Virgin Island PC General Support, Unrestricted 5,000.00 PO Box 11790 St. Thomas, VI 00801 Attn: Scott Crawford

Connecticut Food Bank PC General Support, Unrestricted 2,500.00 2 Research Parkway Wallingford , CT 06492-1929

Doctors Without Borders USA, Inc. PC General Support, Unrestricted 30,500.00 333 Seventh Avenue, 2nd FL New York, NY 10001-5004

Drug Policy Alliance PC General Support, Unrestricted 12,500.00 70 West 36th Street 16th Floor New York , NY 10018 Attn: Ethan Nadelman

Durham Literacy Center PC General Support, Unrestricted 4,000.00 1905 Chapel Hill Road Durham , NC 27707 Attn: Lizzie Ellis Furlong

Education Video Center PC General Support, Unrestricted 2,500.00 16 Clarkson St. #401 New York, NY 10014 Attn: Steve Goodman The Falconwood Foundation Inc. EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount Electronic Frontier Foundation PC General Support, Unrestricted 2,000.00 815 Eddy Street San Francisco, CA 94109

Environmental Defense Fund PC General Support, Unrestricted 5,000.00 257 Park Avenue South New York, NY 10010 Attn: Adrienne Allen

Environmental Working Group PC General Support, Unrestricted 1,000.00 1436 U Street NW, Suite 100 Washington , DC 20009 Attn: Joclyn Babuscio

Film Forum Inc. PC General Support, Unrestricted 25,000.00 209 West Houston Street New York, NY 10014 Attn: Denyse Owens

FIRE PC General Support, Unrestricted 5,000.00 510 Walnut Street, Suite 1250 Philadelphia, PA 19106

Food Bank For PC General Support, Unrestricted 30,000.00 39 Broadway, #10 New York, NY 10006 Attn: Emily Mead

Forman School' s Annual Fund PC General Support , Unrestricted 1,000.00 12 Norfolk Road Litchfield, CT 06759

FoodCorp, Inc. PC General Support, Unrestricted 10,000.00 281 Park Avenue South New York, NY 10010 The Falconwood Foundation Inc. EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount Friends of Chapel Hill Parks & Recreation PC General Support, Unrestricted 1,500.00 c/o, Department of Chapel Hills Parks and Recreation 200 Plant Road Chapel Hill, NC 27514

Friends of the HLSCC PC General Support, Unrestricted 22,000.00 via Lester Hyman, Esq. 3826 Van Ness Street NW Washington, DC 20016

Friends of the Jewish Museum Berlin PC General Support, Unrestricted 3,500.00 227 Ridgeview Road Princeton, NJ 08540

Friends of the North Carolina Museum of Natural Sciences PC General Support, Unrestricted 5,000.00 PO Box 26928 Raleigh NC 27611-6928

Gbowee Peace Foundation Africa USA PC General Support, Unrestricted 20,000.00 c/o Sarah Jewell 25 East 21st Street, 7th Floor New York, NY 10010 Attn: Ms. Leymah Gbowee

German School of Brooklyn PC General Support, Unrestricted 1,500.00 17 Eastern Parkway, 5th Floor Brooklyn, NY 11238-5675

Girls Leadership Istitute, Inc. PC General Support, Unrestricted 8,000.00 111 Myrtle Street, Suite 101 Oakland, CA 94607 Attn: Ms. Rachel Simmons & Ms. Simone Marean

Global Health Media Project PC General Support, Unrestricted 3,500.00 30 Common Rd. Waitsfield, VT 05673 Attn: Deborah Van Dyke

Gramercy Neighborhood Associates PC General Support, Unrestricted 200.00 Box 678, Madison Square Station New York, NY 10159

Gramercy Park Block Association PC General Support, Unrestricted 5,000.00 34 Gramercy Park East New York, NY 10003

Green VI PC General Support, Unrestricted 52,000 00 British Virgin Islands

Greenpeace, Inc. PC General Support, Unrestricted 5,000 00 702 H Street NW Suite 300 Washington DC 20001 The Falconwood Foundation Inc. EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount

Habitat for Humanity of Orange County Pc General Support, Unrestricted 3,000.00 88 Vilcolm Center Drive, Suite L110 Chapel Hill, NC 27514 Attn: Grace Johnston

Harlem School of the Arts PC General Support, Unrestricted 165,900.00 645 St. Nicholas Avenue New York, NY 10030

Harlem Stage PC General Support, Unrestricted 2,000.00 150 Convent Avenue - New York, NY 10031

Harrison Police Association PC General Support, Unrestricted 2,000.00 650 North Street Harrison, NY 10528

Harrison Volunteer Ambulance PC General Support, Unrestricted 200.00 P.O. Box 68 Harrison, NY 10528

Heidelberg University Association PC General Support, Unrestricted 330,000.00 Ms. Irmintraud Jost Executive Director 871 United Nations Plaza New York, NY 10017

Hereditary Disease Foundation PC General Support, Unrestricted 2,500.00 3960 Broadway, 6th Floor New York, NY 10032

Impact Matters PC General Support, Unrestricted 10,000.00 1460 Broadway New York, NY 10036 Attn: Dr. Michael Weinstein

Innocence Project PC General Support, Unrestricted 5,000.00 40 Worth Street, Suite 701 New York, NY 10013 Attn: Maddy del-one

Institute of International Education PC General Support, Unrestricted 355,000.00 Ms. Daniel Kaisth 809 United Nations Plaza New York, NY 10017 The Falconwood Foundation Inc. EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount International Rescue Committee PC General Support, Unrestricted 50,000.00 122 East 42nd Street New York, NY 10169 Attn: David Miliband

Internet Archive PC General Support, Unrestricted 2,000.00 300 Funsten Ave. San Francisco, CA 94118 Attn: Brewster Kahle

JIP HRO PC General Support, Unrestricted 30,000.00 6464 Sunset Blvd., Ste 1170 Los Angeles, California 90036

Journalism Development Network PC General Support, Unrestricted 3,000.00 4401A Connecticut Ave NW No 321 Washington, DC 20008

Keewaydin Foundation PC General Support, Unrestricted 10,000.00 10 Keewaydin Road Salisbury, VT 05679

Khan Academy, Inc. PC General Support, Unrestricted 57,000.00 P.O. Box 1630 Mountain View, CA 94042 Attn: Karla Gonzalez

KIPP NYC PC General Support, Unrestricted 5,000.00 470 7th Avenue, 10th Floor New York, NY 10018 The Falconwood Foundation Inc. EIN:13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount

LAC DCFS-Santa Clarita PC General Support, Unrestricted 7,500.00 28490 Avenue Stanford Suite 100 Santa Clarita, CA 91355

Leo Baeck Institute PC General Support, Unrestricted 5,000.00 15 West 16th Street New York, NY 10011 Attn: Carol Kahn Strauss, International Director

Los Angeles Regional Food Bank PC General Support, Unrestricted 5,000.00 1734 E 41st Street Los Angeles, California 90058-1502

Los Angeles County Museum of Art PC General Support, Unrestricted 2,500.00 5905 Wilshire Blvd Los Angeles, CA 90036

Maria Mitchell Association PC General Support, Unrestricted 2,000.00 4 Vestal Street Nantucket, MA 02554 Attn: Georgy Donnely

Memorial Sloan-Kettering Cancer Center PC General Support, Unrestricted 5,000.00 PO Box 27106 New York, NY 10087-7106

Mount Sinai Medical Center PC General Support, Unrestricted 15,000.00 36 Battery Place New York, NY 10280

Nantucket Cottage Hospital Pc General Support, Unrestricted 2,000.00 57 Prospect Street Nantucket, MA 02554

National Center for Reason and Justice PC General Support, Unrestricted 15,000.00 77 Highland Street #3 Roxbury, MA 02119

Natural Resources Defense Council PC General Support, Unrestricted 65,500.00 40 W 20th Street New York, NY 10011

NET Research Foundation PC General Support, Unrestricted 2,500.00 20 Park Plaza Suite 748 , MA 02116 The Falconwood Foundation Inc. EIN•13 -3456475 Tax Year End : December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount

New York City Rescue Mission PC General Support, Unrestricted 2,500.00 P.O. Box 275 Canal St Station New York, NY 10013-0275 Attn: Craig A. Mayes, PhD Executive Director

New York-Presbyterian Hospital PC General Support, Unrestricted 10,000.00 525 East 68th Street Payson #122 New York, NY 10021 Attn: Dr. Steven J. Corwin, CEO

NSSR Annual Fund PC General Support, Unrestricted 1,500.00 79 Fifth Avenue, 17th Floor New York, NY 10003

NY University, Scholars at Risk Network PC General Support, Unrestricted 20,000.00 194 Mercer Street, Room 410 New York, NY 10012 Attn: Robert Quinn

One to World PC General Support, Unrestricted 5,000.00 285 West Brodway, Sute 450 New York, NY 10013

Pine Plains Memorial Hall PC General Support, Unrestricted 10,000.00 PO Box 1024 Pine Plains, NY 12567 Attn: Brian Keeler

Planned Parenthood Federation of America PC General Support, Unrestricted 83,500.00 President's Circle P.O. Box 97166 Washington, DC 20090-7166

Princeton University PC General Support, Unrestricted 20,000.00 Box 46 Princeton, NJ 08543-3373

ProCon.org PC General Support, Unrestricted 1,000.00 233 Wilshire Blvd. Suite 200 Santa Monica, CA 90401 Attn: Steve Markoff

Remote Area Medical Foundation PC General Support, Unrestricted 8,000 00 2200 Stock Creek Vlvd Rockford, Tennessee 37853 The Falconwood Foundation Inc EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount

Robin Hood Foundation PC General Support, Unrestricted 265,000.00 826 Broadway, 9th Floor New York, NY 10003

Selfhelp PC General Support, Unrestricted 3,000.00 520 Eighth Avenue, 5th Floor New York. NY 10018

Social Tees Animal Rescue PC General Support, Unrestricted 30,000.00 325 East 5th Street New York, NY 10003

Sound Rivers, Inc. PC General Support, Unrestricted 1,500.00 P.O. Box 1854 Washington, NC 27889 Attn: Heather Deck

Southern Environmental Law Center PC General Support, Unrestricted 65,000.00 201 West Main Street, Suite 14 Charlottesville, VA 22902 Attn: Marie Hawthorne Director of Development & Marketing

Southern Poverty Law Center PC General Support, Unrestricted 49,000.00 400 Washington Avenue Montgomery, AL 36104 Attn: Elizabeth Spears Regional Advancement Director

Sponsors for Educational Opportunity PC General Support, Unrestricted 25,000.00 55 Exchange Place New York, NY 10005

Temple University PC General Support, Unrestricted 5,000.00 Senior Vice President Institutional Development Temple University Philadelphia, PA 19182

The Baruch College PC General Support, Unrestricted 1,000 00 One Bernard Baruch Way Box A-1603 New York, NY 10010-5585

The Brightwater Fund PC General Support, Unrestricted 500,000.00 10 Timber Trail Rye, NY 10580 The Falconwood Foundation Inc. EIN:13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount

The Carver Center PC General Support, Unrestricted 5,000.00 400 Westchester Avenue Port Chester, NY 10573

The Icahn School of Medicine PC General Support, Unrestricted 75,000.00 One Gustave L. Levy Place, Box 1049 New York, NY 10029

The Marshall Project PC General Support, Unrestricted 35,000.00 156 West 56th Strret Suite 701 New York, NY 10019 Attn: and Mr. Neil Barsky

The Picture House PC General Support, Unrestricted 15,000.00 175 Wolfs Lane Pelham, NY 10803 Attn: Laura deBuys

The Wende Museum PC General Support, Unrestricted 8,000.00 5741 Buckingham Parkway Suite E Culver City, CA 90230

The YEP Foundation PC General Support, Unrestricted 184,100.00 Road Town, Tortola VI

Thirteen/WNET PC General Support, Unrestricted 2,500.00 825 Eighth Ave. New York, NY 10019-7435

Triangle Land Conservancy PC General Support, Unrestricted 4,000.00 514 South Duke Street Durham, NC 27701 Attn: Christine Wilson/Sandy Sweiter

Union of Concerned Scientists PC General Support, Unrestricted 2,000.00 2 Brattle Square Cambridge, MA 02138-3780 The Falconwood Foundation Inc. EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount USCRI Vermont Refugee Resettlement Program PC General Support, Unrestricted 1,000.00 462 Hegeman Ave., Ste. 101 Colchester, VT 05446

Utopia Scientific PC General Support, Unrestricted 4,000.00 P.O. Box 221100 San Diego, CA 92192 Attn: Caitlin O'Connell-Rodwell

Waterkeeper Alliance Pc General Support, Unrestricted 13,000.00 180 Maiden Lane (Ste 603) New York, NY 10038 Attn: Mary Beth Postman

Weill Cornell Medical College PC General Support, Unrestricted 30,000.00 1300 York Avenue Box 314 New York, NY 10131

Mr. Jeffrey Tiese, Senior VP and COO PC General Support, Unrestricted 20,000 00 Dr. Michael Palumbo, Medical Director White Plains Hospital 41 East Post Road White Plains, NY 10601

Weissman Center for Intl Business PC General Support, Unrestricted 30,000.00 Baruch College One Bernard Baruch Way Box J-0810 New York, NY 10010-5585

Wikimedia Foundation PC General Support, Unrestricted 12,000.00 PO Box 98204 Washington, DC 20090

Wildlife Conservation Network PC General Support, Unrestricted 2,500.00 209 Mississippi Street San Francisco, CA 94107 Attn: Madison Pruett The Falconwood Foundation Inc. EIN: 13-3456475 Tax Year End: December 31, 2017 Attachment to IRS Form 990-PF

Part XV, Line 3(a) Grants & Contributions Paid During the Year: Foundation Organization Status Purpose Amount World Wide Web PC General Support, Unrestricted 15,000.00 1110 Vermont Ave NW, Suite 500 Washington, DC 20005 Attn: Teddy Woodhouse

John H. Krystal, M.D. PC General Support, Unrestricted 10,000.00 Office of the Chair Yale University School of Medicine Chief of Psychiatry, Yale-New Haven Hospital 300 George Str., Suite 901 New Haven , CT 06511

Gramercy Neighborhood Associates reversed check from 2016 (200.00)

Total Contributions to Charity 4,253, 190.00 FAICONWOOD FOUNDATION, INC. 13-3456475

FORM 990-PF LEGAL FEES STATEMENT 1

(A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

WITHERS BERGMAN LLP - LEGAL FEES 19,810. 0. 0. 19,810. WITHERS BERGMAN LLP - REIMBURSEMENT OF LEGAL FEES -67,199. 0. 0. -33,600.

TO FM 990-PF , PG 1, LN 16A -47,389. 0. 0. -13,790.

FORM 990-PF ACCOUNTING FEES STATEMENT 2

(A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

ELLEN BRODY CHANDLER - ACCOUNTING 3,169. 0. 0. 3,169. FRIEDMAN LLP - ACCOUNTING 6,180. 0. 0. 6,180.

TO FORM 990-PF, PG 1, LN 16B 9,349. 0. 0. 9,349.

FORM 990-PF OTHER PROFESSIONAL FEES STATEMENT 3

(A) (B) (C) (D) EXPENSES NET INVEST - ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

GRATIAS PARTNERS, LLC - CONSULTING FEES 331,520. 0. 0. 331,520. SHARON COSTELLO - CONSULTING FEES 5,500. 0. - 0. 5,500. NGO SOURCE - FEES 250. 0 . 0. 250.

TO FORM 990-PF, PG 1, LN 16C 337,270. 0. 0. 337,270.

22 STATEMENT(S) 1, 2, 3 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 FADCONWOOD FOUNDATION, INC. 13-3456475

FORM 990-PF TAXES STATEMENT 4

(A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

NEW YORK STATE FILING FEE 25. 0. 0. 25.

TO FORM 990-PF, PG 1, LN 18 25. 0. 0. 25.

FORM 990-PF OTHER EXPENSES STATEMENT 5

(A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

MISCELLANEOUS EXPENSES 236. 0. 0. 236. FOOD AND SUPPLIES - BVI RELIEF (HURRICANE IRMA) 78,756. 0. 0. 78,756.

TO FORM 990-PF, PG 1, LN 23 78,992. 0. 0. 78,992.

FORM 990-PF OTHER NOTES AND LOANS RECEIVABLE STATEMENT 6

DOUBTFUL ACCT DESCRIPTION BALANCE DUE ALLOWANCE FMV OF LOAN

THE YEP FOUNDATION 110,000. 0. 110,000.

TOTAL TO FM 990-PF, PART II, LN 7 110,000. 0. 110,000.

23 STATEMENT(S) 4, 5, 6 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171 FALCONWOOD FOUNDATION, INC. 13-3456475 14

FORM 990-PF GRANT APPLICATION SUBMISSION INFORMATION STATEMENT 7 PART XV, LINES 2A THROUGH 2D

NAME AND ADDRESS OF PERSON TO WHOM APPLICATIONS SHOULD BE SUBMITTED

THE FALCONWOOD FOUNDATION, INC. C/O STANLEY A. LEFTKOWITZ, VP/SECRETARY 20 GRAMERCY PARK SOUTH NEW YORK, NY 10003

FORM AND CONTENT OF APPLICATIONS

NO SET FORM; APPLICANTS ARE REQUESTED TO SEND DETAILED INFORMATION REGARDING EACH REQUEST.

ANY SUBMISSION DEADLINES

NONE

RESTRICTIONS AND LIMITATIONS ON AWARDS

NONE

24 STATEMENT(S) 7 19461105 802100 49431.087 2017.05000 FALCONWOOD FOUNDATION, INC. 49431171