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Return of Private Foundation Form 990-PF

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Return of Private Foundation Form 990-PF Z Foundation OMB No 15450052 Form 990-PF Return of Private or Section 4947(a)(1) Nonexempt Charitable Trust Department of the Treasury Treated as a Private Foundation Internal Revenue Service Note : The organrzafron may be able to use a copy of this return to satisfy state iepoi 2004 For calendar or tax veer baainnina . and ending Use the IRS Name of organization A Employer identification number label. otherwise, HE FRANK W . & SUE MAYBORN FOUNDATION 74-6067859 print Number and street (a P O box number A mad is not delivered to street address) Room/suite g Telephone number 01type. 10 S 3RD ST 254 778-4444 See specific City or town, state, ZIP code C H exemption application is pending, check here , Instructions . and TEMPLE , TX 76501-7619 D 1. Foreign organizations, check here 1[] 2 . Foreign organizations meehng the 85% test H Check type of organization : ~ Section 501(c)(3) exempt private foundation check here and anacn ~o~P~canon . ... ..1D Section 4947(a)(1) nonexempt charitable trust = Other taxable private foundation E If private foundation status was terminated I Fair market value of all assets at end of year J Accounting method: [f] Cash ~ Accrual under section 507(b)(1)(A), check here 10 (from Part 11, coL (c), line 76) D Other (specify) F If the foundation is to a 60-month termination 15 , 58 2 . 33 9 . (E'~ l~ column (d) must be on cash basis.) under section 507(b)( 1 B check here { / Analysis of Revenue and Expenses (e) Revenue and (6) Net investment (c) Adjusted net (d) Disbursements (The total of amounts in columns (b) (c), and (d) may not for charitable purposes necessarily equal me amounts .n column ~~a~.~ expenses per books income income (cash bay only) 1 Contributions, gifts, grants, etc., received , . 3 , 800 , 000 . N 2 Check 1o-= dthefiunda6on is not required to attach Sch B Ihege~tr and temporary 5 , 517 . 5 , 517 . STATEMENT 1 4 Dividends and interest from securities. 415 , 117 . 415 , 117 . STATEMENT 2 5a Gross rents . b Net rental income a puss) Net gam or Qoss) from sale of assess not on m 6a line 10 , . _ 7 Gross sales price for all m b assets on line 6a m 7 Capital gain net income (from Part IV, line 2) _ . 8 Net short-term capital gain 9 income modifications Gross sales less returns 108 ~d allowances b Less Cost of goods sold c Gross profit or (loss) i t Other income 12 Total. Add lines 1 through t t 4 , 220 , 634 . 420 , 634 . 13 Compensation of officers, directors, trustees etc. 0 . 0 . 0 . 0 14 Other employee salaries and wages 15 Pension plans, employee benefits 18a Legal fees o m b Accounting fees .. STMT . 3_ . 2 , 165 . 600 . 1 , 565 . c Other professional foes' _ _ ,.STMT 4 3 . 3 . 0 . > 17 Interest 18 Taxes STMT 5 6 , 104 . 0 . 0 . CJ 2 19 Depreciation and depletion _ _ 20 Occupancy a 21 Travel, conferences, and meetings V X 22 Printing and publications ~ 23 other expenses . _ . STMT 6_ _ 96 . 0 . 0 . m 24 Total operating area administrative expenses . Add lines 13 through 23 8 368 . 1 565 . 0 , 603 , 25 Contributions, gifts, grants paid 1 , 547 , 999 . 1 5 4 7 9 9 9 . 28 Total expenses end disbursements . Addlines 2aand2s 1 , 556 , 367 . 603 . 1 , 549 , 564 . 27 Subtract line 26 from line 12: 8 Excess of revenue over expenses and disbursements 2 , 664 , 267 . b Net investment income (if negative, enter -o-) 420 , 031 . 1 c Adjusted net income (t negative, enter -0-) _ N/ A LHA for Privacy Act and Paperwork Redaction Act Notice, see the instructions . Form 990-PF (2004) 423501 ~~,, 01-03-OS r Form 99o-PF (2004) THE FRANK W . & SUE MAYBORN FOUNDATION 74-6067859 Page 2 Beginning End of year ~~ Balance Sheets ndat~earamountsonly~n ~~mnsn udbefor (s) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-interest-bearing 2 Savings and temporary cash investments 3 , 648 , 979 . 6 , 929 , 676 . 6 , 929 , 676 . S Accounts receivable Less: allowance for doubtful accounts 10, 4 Pledges receivable 0, Less: allowance for doubtful accounts 5 Grants receivable 8 Recemables due from officers, directors, trustees, and other disqualified persons Offier notes and bans receivable Less: allowance for doubtful accounts 10, w 8 Inventories for sale or use . , . _. , . __ _ __ a wm 9 Prepaid expanses and deferred charges - - - -- a ton Investments - u.5. and state government obligations hSTMT. .8 . _ 9 , 096 , 278 . 8 , 479 , 944 . 8 , 652 , 663 . a Investments - corporate stock c Investments - corporate bonds _ 11 Investments -land, buildings, and equipment basis Less accumulated depreaahon . _ . _ _ _ .1 12 Investments - mortgage loans 13 Investments - other 14 Land, buildings, and equipment* basis " . Less accumulated depreciation 15 Other assets (describe " STATEMENT 4 ) 96 .1 0 . 1 0 . 17 Accounts payable and accrued expenses 18 Grants payable _ , m 19 Deferred revenue 20 Loans from officers, directors, trustees, and other disquatdied persons 2 21 Mortgages and other notes payable J 22 Other liabilities (describe No. ) Organizations that follow SEAS 117, chock here " U and complete lines 24 through 28 end lines 30 end 31. w 24 Unrestricted W 25 Temporarily restricted . _ _ a m 28 Permanently restricted Organizations that do not follow SFAS 117, check here " Ejfl . "' and complete lines 27 through 3 1. 27 Capital stock, trust principal, or current funds . 12 , 7 4 .1 15 .409 .620 . 10 28 Paid-in or capital surplus, or land, bldg., and equip'equipmentm" fund .. .. a 29 Retained earnings, accumulated income, endowment, or other funds .. m 30 Total net assets or fund balances -- -- 12 , 7 4 Part Itl 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 _ _ 3 Other increases not included in line 2 (itemize) 4 Add lines 1, 2, and 3 1 5 Decreases not included in line 2 (itemize) 8 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 Form 990-PF (2004) 423511 01-0305 ~I Form 990-PF (2004) THE FRANK W . & SUE MAYBORN FOUNDATION 74-6067859 Pac a Part IV Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold {e.g ., real estate, (b' How acquired I (c) Date acquired I (d) Date sold 2-story back warehouse ; or common stock, 200 shs. Mt~C Co.} p - DonaUon (mo, day, yr.) , (mo., da r. b c a e (e) Gross sales pace (f) Depreciation allowed I (y) Cost or other basis (h) Gam or (loss) (or allowable) plus expense of sale (e) plus (fl minus (g) e b c a e omplete only for assets in column (h) and owned by the foundation on 12131169 (I) Gams (Col . (h) gain minus (j) Adjusted basis (k) Excess of col. (i) col. (k), but not less than -0-) or (i) F.M.V. as of 12f31/69 as of 1?131/69 over col. (j), if any Losses (from col. (h)) A b c e e ! If gam, also enter in Part I, line 7 2 Capital gain net income or net capital loss). l If (toss), enter -0- m Part I, line 7 3 Net short-term capital gam or (loss) as defined m sections 1222(5) and (6): If gam, also enter in Part I, line 8, column (c). If (loss), enter -0- in Part 1. line 8 I Part V 1 waufication under tsection 494o(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 tar the section 4942 tax on the distrihuta6le amount of any year in the base period? =Yes EfI No If "Yes," the organization does not quality under section 9940(e) . Do not complete this part. 1 Enter the appropriate amount in each column for each year; see instructions before making any entries. Base period years Distribution ratio Calendar ear or tax ear beginning in Adjusted qualifying distributions Net value of nonchantable-use assets (col. (b) divided by col. (c)) 2003 4,915,432 . 11 .142,783 . .4411314 V ..' V i -#,Q V . 2 783 .841 . .0912337 2 Total of line 1, column (d) . .. ._ . _ . _ _ . .., 2 8 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 _ . _ _ . _ . _ _ . , . , ._ _ . , S 4 Enter the net value of nonchantable-use assets for 2004 from Part X, line 5 . .. _ ___. _ _ . _. _ . ., 4 5 Multiply line 4 by line 3 8 Enter 1% of net investment income (1% of Part I, line 276) _,. 8 7 Add lines 5 and 6 7 .3 1 Q 4 11 J . 8 Enter qualifying distributions from Part XII, line 4 s 1 , 549 , 564 . If line 8 is equal to or greater than line 7, check the box m Part VI, line 1b, and complete that part using a 1% tax rate . See the Part VI instructions . 423521/01-03-05 Form 990-PF (2004) Form 990-PF (2004) THE FRANK W .
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