Form 990-PF , Return of Private Foundation
Total Page:16
File Type:pdf, Size:1020Kb
OMB No 1545 0052 Form 990-PF , Return of Private Foundation or section 4947(a)(1) Nonexempt Charitable Trust OepMmmlali1e7rmsury Treated as a Private Foundation 200 1 Interval Revenue s~~cs Note The organization may be able to use a copy of this return to satisfy state reporting requirements Use the IRS Name of organization Employer identification number label Otherwise, pant Numbs and strain (a P 0 boa numbs if mad is not delivne7 to sVeet softness) Roo^+/w^s IS Telephone number or type \010/ /0 /-J0 VV See Specific sown, ZIP Ilexemplionap0li,alioniepending check here Instructions City or state, and code D 1 Foreign organizations, check here No. Faeip~ apanixationa maeiinp ma e'A1 test , H Check type of organization LX.j Section 501(c)(3) exempt private foundation shark has ena shed, wm W tation Section 4941(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 al year J Accounting method M Cash ~ Accrual under section 507(6)(1)(A),check here "D (from Part Il, cot (c), line 76) 0 Other (specify) F If the foundation is in a 60-month termination a&E 2 S d R fl Q 5 _ !Part I. column !dl must be on cash basis) Analysis of Revenue and Expenses (d) Disbursements (a) Revenue and investment net (The total of amounts m columns (b), expenses per (b) Net (c) Adjusted for charitable (c), and (d) may not necessary equal books income income purposes the amounts m column (a)) (cash basis only) 1 Conuibubons, gifts, grants, etc , reserved CnxA,71 dNelaun07EOnisn0lRyNreEloaNfA$CA 8 2 Distributions from split-interest trusts m~>~~ o~, .,no send i~aaay 3 cats investments 1 Dividends and interest from securities 5a Gross rents b (Net rmw ,nmme n govt Net own a /lose) torn ease of assets not on sa line 10 b Grovfalse once laall '~ assets on line ft 924 .729 . Gap~tal pain not mcana (Iron, Pan N line 2) B Net short-term capital gain 9 Income modifications b L~5 Cost al goods sole - c Giossprofd or (loss) 1 u~l 11 Olhn.iocome,UG K13 12 Totel Add lines 1 through 11 ~= 13 c I Oth IN' k J I 4 , %emppyee salaries and wages 15 Pension plans, employee- benefits - 16a Legal fees b Accounting lees STMT 4 c Other professional lees > 17 Interest 18 Taxes STMT 5 19 Depreciation and depletion E 20 Occupancy a 21 Travel, conferences, and meetings v N q 22 Printing and publications ~ 23 Other expenses STMT 6 m 24 Tote! operating and administrative n expenses Add lines 13 through 23 0 25 Contributions, gifts, grants paid I 28 Total expenses and disbursements J 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements b Net investment income w hroat,.e ent> o ) c noiuaua nee income (if nwahve ent. o ~ I I I ~ is , i o .s .I ~'zi az LHA For Paperwork Reduction Act Notice, see the instructions Form 990-PF (2001) 1 12520718 702158 BOECKMANNCHA 2001 .08000 HOECKMANN CHARITABLE FOUNDA SOECICMAI Form 990-PF 95-3806976 Page 2 .mcneaYnmme+naamounts inmeaeanpoan End of year Part II Balance Sheets column should De lay end atlrL amounts unit, Book Value Book Value (c) Fair Market Value 1 Cash-non-interest-Gearing ,236,0 84 . 2 , 236 , 08 4 . 2 Savings and temporary cash investments 3 Accounts receivable " 206,200 . Less allowance for doubtful accounts 206,2 00 . 206 200 . 4 Pledges receivable Less allowance for doubtful accounts 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons OlAeinoles7naloans iaemEle 1 Less allowance for doubtful accounts 8 Inventories for sale or use 9 Prepaid expenses and deferred charges Q t0a Investments-US and state government obligations b Investments -corporate stock STMT 7 654,5 00 . 10 318 . c Investments - corporate bonds 1 InrcsimrnB 17n0 buildings and equipment isn't Pa. Less accumulated deprecation No. 12 Investments - mortgage loans 13 Investments-other STMT 8 95,4 93 . 95 493 . 14 Land, buildings, and equipment basis tessaccumulated insouciance 1 15 Other assets (describe " ) 17 Accounts payable and accrued expenses 18 Grants payable d 19 Deferred revenue 20 Laansfrom oMicce Oirectas "sons and otheir disqualified poisons °m 21 Mortgages and other notes payable 22 Other liabilities (describe Is. Organizations that follow SFAS 117, check here " U VI end complete lines 24 through 26 and lines 30 and 31 24 Unrestricted A 25 Temporary restricted A m 26 Permanently restricted v Organizations that Eonotfollow SEAS 117,check here and complete lines 27 through 31 ,°~ 27 Capital stock, Vusl principal, or current funds 28 Paid-in or capital surplus, or land, bldg , and equipment fund xu°, a 29 Retained earnings, accumulated income, endowment, or other funds = 30 Total net assets or fund balances 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 3 Other increases not included in line 2 (itemize) 4 Add lines 1, 2, and 3 5 Decreases not included in line 2 (itemize) R Tntal not accafc nr hind hvlanrae at rind nl vnv Ilina d mmuc Lno Sl . Part It rnh ii F~M 990-PF (21)0+) 127511 a i sa az Z 12520718 702158 BOECKMANNCHA 2001 .08000 CHARITABLE FOUNDA BOECKMAI IV I capital Gains and Losses for lax on Investment Income (a) List and describe the kind(s) of property sold (e p ,real estate, (c) Data acquired (d) Date sold 2-story brick warehouse, or common stack, 200 shs MLC Co ) (mo , day, yr ) (mo ,day, yr ~ 15,000 SHARES OF ALPNET, INC kTIONS CASH RESERVE INVESTORS kTIONS CASH RESERVE INVESTORS kTIONS CASH RESERVE INVESTORS (e) Grass sales price (1) Depreciation allowed (p) Cost or other basis (h) Gain or (loss) (or allowable) plus expense of sale (e) plus (t) minus (p) for assets in column Ihl and a (I) Gains (Col (h) pain minus (i) Adjusted basis (k) Excess of col (q col (k), but not less than-0-)or (i) F M V as of 12/31/69 as of 12/31/69 I over col (1), d any Losses Whom col (h)) { II ain, also enter in Part I, line 1 i 2 Capital pain net income or (net capital loss) IIloss), enter -0- in Part I, line 7 f 3 Net short-term capital pain or (loss) as defined in sections 12225) and (6) II pain, also enter in Part I, line 8, column (c) If (loss). enter -0- in Part I, line 8 rart v I wuanncanon unaer secnon 4aaute) for neaucea i ax on net mve (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income ) If section 4940(0)(2) applies, leave this part blank Was the organization liable for the section 4942 tax on the distribulahle amount of any year in the base period? ~ Yes [E No If Yes: the organization does not quality under section 4940(e) Do not complete this parL 1 Enter the aooroorale amount in each column for each year, see instructions before making anv envies (h) I (~) Adjusted qualifying distributions Net value of noncharitable-use assets 2 Total of line 1, column (d) 3 Average distribution ratio far the 5-year base period -divide the total on line 2 6y 5, or by the number of years the foundation has been in existence A less than 5 years 4 Enter the net value of nonchariUble-use assets for 2001 from Part X, line 5 5 Multiply line 4 by line 3 6 Enter 1% of net investment income (1% of Part I, line 27b) 1 Add lines 5 and 6 8 Enter qualifying distributions tram Part XII, line 4 L3 ~ 1,736,265 . If line 8 is equal to or greater than line 7, check the box in Part VI, line 16, and complete that part using a 1% tax rate See the Part VI instructions Form 990-PF 1200,) 123521 ai z4-ox 3 12520718 702158 2001 .08000 BOECRMANN CHARITABLE FOUNDA BOECKMAI Form 990-PF 1i Exempt operating loundahons described in section 4940(d)(2), check here 1 U and enter 'N/A' on line 1 Dale of ruling letter (attach copy of ruling letter d neces»ry-see instructions) b Domestic organizations that meet the section 4940(e) requirements in Part V, check here " El and enter 1 I of Part I, line 27b c All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, cot (b) 2 Tax under section 511 (domestic section 4947(a)( 1) trusts and taxable foundations onry Others enter -0-) 3 Add lines 1 and 2 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 5 Tax based on investment income Subtract line 4 from line 3 II zero or less, enter -0- 6 Credits/Payments a 2001 estimated tax payments and 2000 overpayment credited l0 2001 6a 3 , 12 h Exempt foreign organizations - fax withheld at source 66 c Tax paid with application for extension of time to file (Form 8868) 6c d Backup withholding erroneously withheld 6d 7 Total credits and payments Add lines Sa through 6d 8 Enter any penalty for underpayment of estimated fax Check here [D d Form 2220 is attached 9 Tax due II the total of lines 5 and B is more than line 7, enter amount owed 11- 10 Overpayment If line 7 is mare than the total of lines 5 and 8, enter the amount overpaid 10.