F.990 PF Return of Private Foundation
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A V , F.990_PF Return of Private Foundation OMB No 1545-0052 Department of the Treasury I or Section 4947( a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Internal Revenue Service Note : The organization maybe able to use a copy of this return to satisfy state reporting requirement 2004 For calendar y ear 2004 , or tax year beg inning 12 / 01 , 2004 , and ending 11 / 30 / 2005 G Check all that apply Initial return Final return Amended return Address change Name change Name of organization A Employer identification number Use the IRS label. SIDNEY AND LISA GLENNER FOUNDATION 36-3557155 Otherwise, Number and street (or P 0 box number if mail is not delivered to street address) Room/suite B Telephone number (see page 10 of print the instructions) or type. See Specific 5454 W. FARGO ( 847 ) 674-5454 City or town, state, and ZIP code C If exemption application is Instructions . pending, check here • • • • . D I Foreign organizations , check here . 01 SKOKIE IL 60077 2 Foreign organizations meeting the 85% test, check here and attach , H Check type of organization X Section 501(c 3 exempt private foundation computation Section 4947 ( a )( 1 nonexem p t charitable trust Other taxable p rivate foundation E If private foundation status v as terminated q I Fair market value of all assets at end J Accounting method. X Cash L_J Accrual under section 507(bx1)(A), check here . of year (from Part ll, col (c), line [] Other (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ F If t h e f oun d ation is in a 60-month termination (Part column (d) must be on cash basis.) 16) ► $ 262 , 809. under section 507(b)(1)(B). check here . Analysis of Revenue and Expenses (d) Disbursements (The total of amounts in columns (b), (c), and (a) Revenue and (b) Net investment (c) Adjusted net for charitable expenses per (a) may not necessarily equal the amounts in income income purposes y books column (a) (see page 11 of the instructions).) (cash basis only) 1 Contnbueons, gilts, grants, etc ,received (attach schedule) 1 , 450 , 000. $TMT 1 if the foundation is not required to 2 Check attach Sch B 3 Interest on savings and temporary cash investments 431. 431. STMT 2 4 Dividends and interest from securities . 58 , 061. 58 , 061. STMT 3 5 a Gross rents . Asa b Net rental income or (loss) o 6 a Net gain or (loss) from sale of assets not on tine 10 -3 265. z b Gross sales price for all m assets on line 6a 3 , 857 , 981 . 0 7 Capital gain net income (from Part IV, line 2) , 8 Net short-term capital gain . 9 Income modifications • • 10 a Gross sales less retu and allowances • . 7 . b Less Cost of goods sold . 77. c Gross profit or (loss) (attach schedule) . O 11 Other income (attach schedule) . _ 4 , 375. 222. TMT 4 12 Total. Add lines 1 throu gh 11 1 , 509 , 602. 58,714. ` 13 Compensation of officers, directors, trustees, etc 14 Other employee salaries and wages . U) m 15 Pension plans, employee benefits . , . , C 16a Legal fees (attach schedule) . STMT 5 681. 681. NONE Q. b Accounting fees (attach schedule) . _ . c Other professional fees (attach schedule). 17 Interest . 18 Taxes (attach schedule) ( see page 14 of the Instructions) 19 Depreciation (attach schedule) and depletion 1 , 619. 1 , 619. a 20 Occupancy . 21 Travel, conferences, and meetings , , , , , 22 Printing and publications . , . , , , , , IM 23 Other expenses (attach schedule) ST 4''. C , 18 , 049. 18 , 049. 24 Total operating and administrative expenses. Add lines 13 through 23 , , , , , . 20 349. 20 , 349. NONE 0 25 Contributions, gifts, grants paid . 2 , 670 , 553. 2 670 , 553. 26 Total exensesand disbursementsAdd lines 24and 25 2 , 690 , 902. 20 , 349. 2 , 670 , 553. 27 Subtract line 26 from line 12. 8 Excess of revenue over expenses and disbursements -1 , 181 , 300. b Net investment income (if negative, enter -0-) 38 , 365. 1 c Adjusted net income ( if negative , enter -0-) . -0- For Privacy Act and Paperwork Reduction Act Notice , see the Instructions. Form 990 -PF (2004) JSA 4E14102000 40250-016-SLG A it Fnrm QQn -PF/9nndi Q^.-Qcci i cic Attached schedules and amounts in the Be g innin g of year End of year B a l ance Sheets description column should be for end-of-ear amounts only (See instructions (a) Book Value (b) Book Value (c ) Fair Market Value 1 Cash - non-interest-bearing . 447. 447. 2 Savings and temporary cash investments , , , , , , , , , , , 3 Accounts receivable ►------------------------ Less allowance for doubtful accounts ► ------------- 4 Pledges receivable ► ------------------------ Less allowance for doubtful accounts ► ------------- 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons (attach schedule) (see page 15 of the instructions) 7 Other notes and loans receivable (attach schedule) ► _ _ _ _ _ Less. allowance for doubtful accounts ► _ _ _ _ _ _ _ _ _ 8 Inventories for sale or use 9 Prepaid expenses and deferred charges . Q 10 a Investments - U S and state government obligations (attach schedule) b Investments - corporate stock (attach schedule) , , , , , , , c Investments - corporate bonds (attach schedule) . 11 Investments - land, buildings, and equipment basis ►___________________ Less accumulated depreciation ► (attach schedule) ------------------- _ ____________________ 12 Investments - mortgage loans . 13 Investments - other (attach schedule) , , , , , , $TN' 7, , 1 , 359 , 284. 224 195. 260 , 521 . 14 Land, buildings, and ► equipment basis ____---__-_-14474_ Less accumulated depreciation ► (attach schedule) _____________t12 633. 3 460. 1 841. 1 841. 15 Other assets(describe ► ____________STMT _8_) 11 , 500. 16 Total assets (to be completed by all filers - see page 16 of the instructions Also see page 1 item l 1 , 374 , 244. 226 483. 262 809. 17 Accounts payable and accrued expenses , , , , , , , , , , 18 Grants payable , , , , , , , , , , , , , , , , , , , , , m 19 Deferred revenue 20 Loans from officers, directors, trustees, and other disqualified persons m 21 Mortgages and other notes payable (attach schedule) , , , 22 Other liabilities (describe 84 , 927. 119 , 466. 23 Total liabilities ( add lines 17 throu gh 22 ) 84 , 927. 118 466. Organizations that follow SFAS 117, check here ► X and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted . 1 , 289 , 317. 108 017. A 25 Temporarily restricted . c0 26 Permanently restricted . 13 Organizations that do not follow SFAS 117, - i check here and complete lines 27 through 31. ► o 27 Capital stock, trust principal, or current funds . U) 28 Paid-in or capital surplus, or land, bldg , and equipment fund . , H 29 Retained earnings, accumulated income , endowment, or other funds 30 Total net assets or fund balances (see page 17 of the m Z instructions) . 1 289 317. 108 017. 31 Total liabilities and net assets/fund balances (see page 17 of the Instructions 1 , 374 , 244. 226 483. Analysis of Changes in Net Assets or Fund Balances I Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with end-of-year figure reported on pnor year's return) . .. .. .. .. .. ... .. .. 1 1 289 , 317. 2 Enter amount from Part I, line 27a , , , , , , , , , , , , , , , , , , , , , , , , , , , • , , , _ _ 2 -1 , 181 , 300. 3 Other increases not included in line 2 (itemize) ► 3 4 Add lines 1, 2, and 3 4 108 017. Decreases 5 not included in line 2 (itemize) ► _ 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II. column (b) line 30 . ... 6 108.017. Form 990-PF (2004) JSA 4E1420 2 000 40250-016-SLG 4 t' Vb Form 990-PF 2004 36-3557155 Page 3 Capital Gains and Losses for Tax on Investment Income Date (a) List and describe the kind(s) of property sold (e.g., real estate, acgutra (c) (d) Date sold P ia" acquired (mo , day, yr ) 2-story brick warehouse; or common stock, 200 shs MLC Co.) D-Donallon (mo, day, yr ) 1a SEE PART IV SCHEDULE 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 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 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. (j), if any Losses (from col (h)) a b c d e If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) 1 If (loss), enter -0- in Part I, line 7 } 2 -3 , 265. 3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6). If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions) If ( loss) , enter -0- in Part I, line 8 , , , , , , , , , , , , , • . _ . .. • • • • , , 3 -3 , 265. 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 distributable amount of any year in the base period ?. LJ Yes No If "Yes ," the organization does not qualify under section 4940(e). Do not complete this part I Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.