990 PF Return of Private Foundation
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990_PF Return of Private Foundation OMB No 1545-0052 Form or Section 4947( a)(1) Nonexempt Charitable Trust Department of the Treasury Treated as a Private Foundation Internal Revenue Service Note . The foundation may be able to use a copy of this return to satisfy state re 2010 For calendar year 2010, or tax year beginning , 2010, and ending , 20 G Check all that apply Initial return initial return of a former public charity U Final return H Amended return Address change Name change Name of foundation A Employer identification number ALCON CARES, INC. 20-4118713 Number and street ( or P 0 box number If mad is not delivered to street address) Room /suite B Telephone number (see page 10 of the instructions) 6201 SOUTH FREEWAY 817-293-0450 Clty or town, state , and ZIP code C If exemption application is pending, check here FORT WORTH, TX 76134 D 1 Foreign organizations , check here 0 0 2 Foreign organizations meeting the tut a, check here and attach computa ► H Check type of organization X Section 501 ( c 3 exempt private foundation com tion . El Section 4947 ( a )( 1 ) nonexem pt charitable trust Other taxable p rivate foundation ----- E privat e fou n 507dation termi nat.ede 507(b)(1)(bj1j(A), ^I Fair market value of all assets at end J Accounting method X Cash Accrual underer section ( check here El n of year (from Part fl, col (c), line [::] Other (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ F If the foundation is in a 60-month termination 16) 11, $ (Part 1, column (d) must be on cash basis ) under section 507(b)( 1)(B), check here , ' Analysis of Revenue and Expenses (The (d ) Disbursements total of amounts in columns (b), (c), and (d) (a) Revenue and (b) Net investment (c) Adjusted net for charitable may not necessarily equal the amounts in expenses per income income purposes column (a) (see page 11 of the instructions)) books ( cash basis only) 1 Contributions f ts, grants , etc , received (attach schedule) • 220 , 953 if the foundation is not required to 2 Check 10' L_J attach Sch B . 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities S a Gross rents . b Net rental income or (loss) e 6 a Net gain or (loss ) from sale of assets not on line 10 b Gross sales price for all y assets on line 6a a,d 7 Capital gain net income (from Part IV, line 2) 0 8 Net short-term capital gain . 0 9 Income modifications . 10 a Gross sales less returns and allowances • • • • b Less Cost of goods sold c Gross profit or (loss) (attach schedule) . 11 Other income ( attach schedule) . • • • . , , 12 Total. Add lines 1 throu g h 11 220 , 953 0 0 13 Compensation of officers , directors , trustees, etc • • 14 Other employee salaries and wages . U) . 15 Pension plans , employee benefits . 16a Legal fees (attach schedule ) • • • . • • • • • CL Lu b Accounting fees ( attach schedule) • • . • . • c Other professional fees (attach schedule) . 17 Interest . 18 Taxes atta a the inst ctions) 19 Dep clatlo^iUe l tlon, a 20 Occ an , , , , , , , , , , , , ,^ Trav nfereces, o 21 I aniLme^tsr^^s 22 Pnntl d pMcl^eti` s2 . E 23 Othe x nsesjattas e 24 Total I^pera it er^d adr^t istra A-0 ses. CL Add Ii t1e5 through 23 . 0 25 Contributions , gifts, grants paid . , . 220, 95 3 220, 953 26 Total expenses and disbursements Add lines 24 and 25 220, 953 0 0 220, 953 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements 0 b Net investment income ( if negative , enter -0-) 0 c Adjusted net Income ( if n eg ative , enter -0- . 0 For Paperwork Reduction Act Notice , see page 30 of the instructions. JSA Form 990 -PF (2010) OE 1410 1 000 2 Form 990-PF (2010) Page 2 ® Attached schedules and amounts in the Beginning of year End of year Balance Sheets description column should be for end-of-year amounts only (See instructions) (a) Book Value (b) Book Value (c) Fair Market Value I Cash - non-interest-bearing . 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 Inventones 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) , , , , , , , , , , , , , 14 Land, buildings, and ► equipment basis __________________ Less accumulated depreciation ► (attach schedule) -------------------- 15 Otherassets(descnbe ►--------------------- ) 16 Total assets (to be completed by all filers - see the instructions Also, see page 1, item I) 0 0 0 17 Accounts payable and accrued expenses , , , , , , . , , , , 18 Grants payable ,,,,,,,,,,, ,,,,,,,,,,,, W 19 Deferred revenue 20 Loans from officers, directors, trustees, and other disqualified persons A 21 Mortgages and other notes payable (attach schedule) , , , , , J 22 Other liabilities (describe ) ► ------------------- 23 Total liabilities (add lines 17 through 22) . 0 0 Foundations that follow SFAS 117, check here ► and complete lines 24 through 26 and lines 30 and 31. in 24 Unrestricted . 25 Temporarily restricted , , , , , , , , , , , , , , , , , , , , co 26 Permanently restricted . Foundations that do not follow SFAS 117, q u 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 , , , , , UM) 29 Retained earnings, accumulated income, endowment, or other funds 30 Total net assets or fund balances (see page 17 of the z instructions),,,,,,,,,,,,,,,,,,,,,,,,, 31 Total liabilities and net assets/fund balances (see page 17 of the instructions) . ..................... MUM 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 0 2 Enter amount from Part I, line 27a ...................................... 2 0 3 Other increases not included in line 2 (Itemize) 3 ►------------------------------------- 4 Add lines 1, 2, and 3 4 0 5 Decreases not included in line 2 (itemize) 5 ► -------------------------------------- 6 Total net assets or fund balances at end of ear line 4 minus line 5 - Part II, column (b) , line 30 . 6 0 Form 990-PF (2010) JSA OE 1420 1 000 Form 990-PF (2010) Page 3 Ca ital Gains and Losses for Tax on Investment Income (b) Ho Date (a) List and describe the kind (s) of property sold (e g , real estate , acquired (c) sold P^^5e acquired moDdaysyr 2-story brick warehouse, or common stock, 200 shs MLC Co) D-Do ation (mo, day, yr ) 1a b c d e Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (e) Gross sales price (f) (or allowable) plus expense of sale (e) plus (f) minus (g) a 0 b 0 C 0 d 0 e 0 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 (1) col (k), buttnoless than -0-) or (i) F M V as of 12/31/69 (j) as of 12/31/69 over col 0), if any Losses (from col (h)) a 0 0 b 0 0 C 0 0 d 0 0 e 0 0 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 0 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 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 foundation liable for the section 4942 tax on the distributable amount of any year in the base period' Yes No If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part 1 Enter the annrnnrtate amount m each rrnhtmn fnr aarh vpnr cpp nnnp 1R of the incfnirtinnc before makinn env entries (a) (b) (c) (d) Base peri od years Distributi on ratio Calendar year (or tax yea r beginning in) Adjusted qualifying distributions Net value of nonchantable-use assets (col (b) divided by col (c)) 2009 0 2008 0 2007 0 2006 0 2005 0 2 Total of line 1, column (d) 2 0 3 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 . , 3 4 Enter the net value of noncharitable- use assets for 2010 from Part X, line 5 4 0 5 Multiply line 4 by line 3 . 5 0 6 Enter 1% of net investment income (1% of Part I, line 27b).