Form 990-PF Or Section 4947(Ax1) Nonexempt Charitable Trust Treated As a Private Foundation
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Return of Private Foundation OMB NO 1545 Form 990-PF or Section 4947(ax1) Nonexempt Charitable Trust Treated as a Private Foundation of fire Treasury Note, The organization may be able to use a copy of this return to satisfy state 202 capem,e~~ui aeant.enue semce reporting requirements G Check all that apply Initial return Final return Amen Employer Use we IRS label THE ASSISI FOUNDATION OF MEMPHIS, INC Otherwise, p,0 8 Telephone number (see irsUUChons) print . BOX 381937 or type MEMPHIS, TN 38183 (901)-684-1564 See Specific C It exemption application is pending, check here Instructions D 1 Foreign organizations, check here k type of organization U Section 501(c)(3 exempt private foundation 2Foreiqn organizations meeting the 85% test, check a '~echon 4947 a 1 nonexem pt charitable trust Other taxable ovate foundation here and attach computation ar e va ue a assets at en o year J Accounting method Cash E Accrual E If private foundation status was terminated Part ll, column t, lure 16) under section 501(ExIxA), check here []Other (specify) F If the foundation is in a 60 month termination 173, 762, 920 (Part I, column d must be on cash basis ) under section 507(6)(1)(8), check here IS of KCVCf1UC 3110 (a) Revenue and (b) Net investment (c) Adjusted net (d) Disbursements 'e5 (The total of amounts in expenses per books I income income for charitable b, c, and d may not neces- purposes ial the amounts m column a ) (cash basis only) O quannts,~c, received (att sM) N t rep to all 5th 8 from spl &~,rest busts ~Spyin S,ahd temporary N 3 securities 4 fit Net yaW(bu) from sale A assets not on lift lU tar ell R b Gross sales prices 136856711 E assets on line 6a V Capital pain net income (from Part IV line 2) wN 8 Net short term capital gain 9 Income modifications U E 10a Gross sales less returns and allowances b Less Cost of goods sold c Gross profiv(loss) (att sch) 11 Other income (attach schedule) See Statement 2 597 12 Total Add lines 1 through i l 13 Compensation of officers directors trustees, etc 14 Other employee solaria and wages A 75 Pension plans, employee benefits D M 16a Legal fees (attach schedule) See SL. i N b Accounting foes (attach sch) See Si, A O i t Other prof tea (attach sch) 5 E T 17 Interest R p A p 18 Taxes (attach schedule) Set Stmt 5 T T 19 Depreciation (attach schedule) and depletion I 20 Occupancy G 21 Travel, conferences, and meetings E publications N 7( ?2 Printing and D p 23 Other expenses (attach schedule) E N 5 E 24 Total operating and administrative 5 expenses Add lines 13 through 23 25 contributions, gifts, grand paid Part XV 26 Total expenses and disbursements a Excess of revenue over expenses and disbursements -8,906 .302 b Nit Inv.atmrn iMOme (d neqaoe enter o ) C Adj usted net Income (if negative enter 0 ) For Paperwork Reduction Act Notice, see instructions TEEA0503L 10/22102 990.PF (2002) i Jv Form 990-PF (2002) THE ASSISI FOUNDATION OF INC . 62-1558722 Page 2 Attached schedules and amounts n the desaiphon Beginning of year End of year Part II Balance Sheets column should he for end d year amounts only (See ins trucL ons) (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-interest-bearing 136 704 . 140 , 878 140, 878 2 Savings and temporary cash investments 3 Accounts receivable less allowance (or doubtful accounts lf~ 4 Pledges receivable ~ --__---___ Less allowance for doubtful accounts ~ 5 Grants receivable 6 Recervahles due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions) 7 Other notes and loans receivable (attach sch) A ~ S Less allowance for doubtful accounts S 8 Inventories for sale or use E Prepaid and deferred charges 207 893 . 207 T 9 expenses 211 , 416 843 . S 10a Investments - U S and slate government obligations (attach schedule) bInvestments -corporate stock (attach schedule) Statement 7 114 035 329 . 71 711 641 . 71 , 711 , 641 c Investments - corporate bonds (attach schedule) Statement 8 61 , 158 , 804 62 552 397 . 62 552 397 . 11 Investments - land, buildings, and equipment basis Less accumulated deprenaUOn (attach schedule) 12 Investments - mortgage loans 13 Investments - other (attach schedule) Statement 9 21,141 .391 36 .849 .259 36 .899 .259 14 Land, buildings, and equipment basis lf~--_ 1,_42 8 _086 : Less accumulated depreciation (attach schedule) See Stmt 10 ~ 349,514 0 .876'I 1,078 1,078 .572 15 Other assets (describes See Statement 11 16 Total assets (lo be completed by all tilers - see instructions Also, see page 1, item I) 199,931,144 .1 173,762,920 173,7 17 Accounts payable and accrued expenses I A 18 Grants payable B 19 Deferred revenue I L 20 Loans from officers, directors, trustees, 8 other disqualified persons I 21 Mortgages and other notes payable (attach schedule) T 1 Yl Other liabilities (describe 1W See Statement- 12 organizations that follow SFAS 117, check here and complete lines 24 through 26 and lines 30 and 31 . N F 24 Unrestricted 192 587 396 . 167 , 604 , 793 E U T N 25 Temporarily restricted D 26 Permanently restricted A 5 B Organi:ahons that do not follow SFAS 117, check here S A and complete lines 27 through 31 E L T A 27 Capital stock, trust principal, or anent funds S N 28 Paid in or capital surplus, or land, building, and equipment fund C O E 29 Retained earnings, accumulated income, endowment, or other funds R 5 30 Total net assets or fund balances (see instructions) 31 Total liabilities and net assetslfund balances (see instructions) I 199, 431, 194 . 1 173, 762, 920 . Part III Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances al beginning of year - Part II, column (a), line 30 (must agree with end of-year figure reported on prior year's return) 1 192 , 587 , 396 2 Enter amount from Part 1, line 27a 2 -8 , 906 , 302 3 Other increases not included in line 2 (itemize) ~ 3 4 Add lines 1, 2, and 3 4 183 , 681 , 094 5 Decreases not included in line 2 (itemize) w See Statement 13 5 1-6, 076 , 301 6 Total net assets or fund balances al end of ear line 4 minus line 5 - Part II, column b , line 30 6 167 609 793 BAA ~sawxL iazvo2 Form 990-PF (2002) (a) List and describe the kind(s) of property, sold (e g , real estate, ]1~ acamrea I kc) Date acquired to) Date said P - Pwc~use (rronN day year) (month day Year) 2 story brick warehouse, or common stock, 20 shares MLC Company) D - Do wta n a P Various Various d price (Q Depreciation allowed I (g) Cost or other base in or (los'. (or allowable) plus expense of sale (Q minus (I) Gains (Column (h) Value I G) Adjusted basis I (k) Excess of column p; gain minus column (k), but not less as /69 as of 12131/69 over column 0), if any than 0 ) or Losses (from column (h)) a d If also enter in Part I, line 7 2 Capital gain net income or (net capital loss) {If ?loss),(loss), enter 0- in Part I, line 7 3 Net short term capital gain or (loss) as defined in sections 1Y22(5) and (6) If gain, also enter in Part I, line 8, column (c) (see instructions) If (loss), enter 0- (For optional use by domestic private foundations subject to the section 4440(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 periods Yes X No If 'Yes ; the organization does not qualify under section 4940(e) Do not complete this part 1 Enter the appropriate amount in each column for each year, see instructions before making any entries a b vc) Base period years Adjusted qualifying distributions Net alue of Distribution ratio Calendar year (or tax year noncharilable-use assets (column (b) divided by column (c)) beginning in) 7 193 .268 .762 1997 22 29 2 Total of line 1, column (d) 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 2002 from Part X, line 5 5 Multiply line 4 by line 3 6 Enter 7 % of net investment income (1 % of Part I, line 2715) 7 Add lines 5 and 6 1 8 Enter qualifying distributions from Part XII, line 4 ( 8 I 9,226,378 If line 8 is equal to or greater than line 7, check the box in Part VI, line l b, and complete that part using a 1% tax rate See the Part VI instructions BAA Form 990-PF (2002) heaw03L 10123102 orm 990-PF (2002) THE ASSISI FOUNDATION OF MEMPHIS INC 62-1558722 Page 4 part VI Excise Tax Based on Investment Income sectioN2 aa a 4940(b), 4940(e), or 4948 -see nstruclions) 1 a Exempt operating foundations descn6ed in section asaomxz), check here ~ and enter'N/A' on line I Date of ruling letter -- (attach copy of ruling letter it necessary - see instructions) b Domestic organizations that meet the section 4940(e) requirements in Part V, 1 100,291 check here ~ Fland enter 7 Yo of Part I, line 27b c All other domestic organizations enter 25'e a( fine 21b Exempt foreign orpaniza0ans enter 4% of Part I, line 11, column (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 3 100 , 291 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 5 100 , 291 6 Credits/Payments a 2002 aUmated tax pmts and 2001 overpayment credited to 2002 6a 200 , 372 .