Return of Private Foundation
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OMB N o 1 54 5- 0052 F orm - Return of Private Foundation 990 PF or Section 4947(a)(1) Nonexempt Charitable Trust Treated a Private Foundation 4 as Department of the Treasury Note : The organization may be able to use a copy of this return to satisfy state 2003 Internal Revenue Service rennrhnn reniuremantc For calendar ear 2003, or tax ear beginning 2003, and e G Check all that apply Initial return Final return Amended return Address change Name cha Name of organization A Employer identification number Use the IRS label American Ex p ress Foundation 13-6123 529 Otherwise, Number and street (or P O box number if mail is not delivered Room/suite B Telephone number (see instructions) pant or type 200 Vese Street 40th Fl (212) 640-4648 $28 Specific City or town C If exemption application is pending, check here ~ - 11-4,s ut t io n s New York NY 10282 D 1 Foreign organizations, check here H Check type of organization X' Section 501(c)(3) exempt private foundation 2 Foreign organizations meeting the 85% test, check _ _ ~~ Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation here and attach computation If private foundation status was terminated I Fair market value o a assets at end year ~ Accountin g method 'Cash ~X i Accrual E (from Part H, column c, line 16) 9 - under section 507(b)(1)(A), check here L, Other (specify) F If the foundation is in a 60 month termination ~ $ 8,657,754 .o' I (Part l, column d must be on cash basis ) under section 501(b)(1)(B), check here Part[ Analysis of Revenue and (a) Revenue and (b) Net investment (c) Adjusted net (d) Disbursements Expenses (The total of amounts in expenses per books income income for charitable columns b, c, and d may not neces- purposes sanly equal the amounts in column a ) (cash basis only) (see instructlons) Contributions, gifts, grants, etc, received (atl sch) Z 6 , 63 7 , OOO (Y Ck ~ a d the loundn is not req to atl Sch B 2 Distributions from split-interest trusts 3 Interest on savings and temporary O cash investments 78,968 . 78,968 . 78,968 . 4 Dividends and interest from securities Sa Gross rents (Net rental income or (toss) ) ' 6a Net gain/(loss) from sale of assets riot on line 10 b Gross sales prices for all E assets on pine 6a 7 Capital gain net income (from Part IV, line ~ E 8 Net short-term capital gain 9 Income modifications 10a Gross sales less returns and allowances ' - b Less Cost of goods sold c Gross profit/(loss) (att sch) " 11 Other income (attach schedule) j 4,735 . 12 Total. Add lines 1 through 11 26,720,703 . 78,968 . 78,968 . ' E ~ ('qrppapyyo~ of oiti rs, directors, trustees, etc -~ ' N~~~j~W~ ee sala ies and wages = mployee benefits 16a Legal fees (att o~~~ ~ t~1~~g fee ch sch) e Ot~'e~7 prof fees h sch) L -1 :6c Stmt 653,641 :,' e, i7 -teresim -- xes a h sched le) See Line 18 Stmt 68 , 1 S 6 . N ~f chedule) and depletion x v 20 Occupancy G E 21 Travel, conferences, and meetings 22 Printing and publications o P 23 Other expenses (attach schedule) N Harris Bank Fees 18,267 . 18,267 . 18,267 . - 24 Total operating and administrative s expenses . Add lines 13 through 23 740 064 . 18,267 . 18,267 . 25 Contributions, gifts, grants paid 17,909,903 :- 17,909,903 . 26 Total expenses and disbursements. Add lines 24 and 25 18 649, 967 18,267 . 18,267 . 17, 909, 903 . 27 Subtract line 26 from line 12 : . -'I a Excess of revenue over expenses _ and disbursements 8 , 070 , 736 . b Net Investment Income (if negative, enter ~0~) 60, 701 . 1 C Adjusted net Income (d negative, enter -0-) 60,701 . 1 BAA For Paperwork Reduction Act Notice, see the instructions. TEEA0301 08/18/03 Form 990-PF (2003) Form990-PF(2003) American Exp ress Foundation 13-6123529 Page?_ Attached schedules and amounts in the description Beginning of year End of year lWart 11 Balance Sheets column should be (or end-of year amounts only (See instructions ~ (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non -interest-beanng 1,030, 120 8, 657, 754 . 8, 657, 754 . 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 instructions) 7 Other notes and loans receivable (attach sch) Less allowance for doubtful accounts s 8 Inventories for sale or use t 9 Prepaid expenses and deferred charges - s l0a 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 deprecation (attach schedule) 12 Investments - mortgage loans 13 Investments - other (attach schedule) 14 Land, buildings, and equipment basis Less. accumulated depreciation (attach schedule) 15 Other assets (describe ~ ) - "---------- - 16 Total assets (to be completed by all filers - see instructions Also, see age 1, item I) 1,030, 120 . 8, 657, 754 . 8, 657, 754 . 17 Accounts payable and accrued expenses a 18 Grants payable j b 19 Deferred revenue 20 Loans from officers, directors, trustees, & other disqualified persons 21 Mortgages and other notes payable (attach schedule) t 22 Other liabilities (descnbel" - ) e 5 23 Total liabilities add lines 17 through 22 110. Organizations that follow SFAS 117, check here Ll and complete lines 24 through 26 and lines 30 and 31 . N IF 24 Unrestricted e u t n 25 Temporarily restricted d 26 Permanently restricted Organizations that do not follow SFAS 117, check here 01 X~ ; ° s a and complete lines 27 through 31 . t a 27 Capital stock, trust principal, or current funds s n 28 Paid-in or capital surplus, or land, building, and equipment fund o e 29 Retained earnings, accumulated income, endowment, or other funds 1,030 , 120 . 8,657 , 754 . r 5 30 Total net assets or fund balances (see instructions) 1,030 , 120 . 8,657 , 754 . 31 Total liabilities and net assetslfund balances (see instructions) 1, 030, 120 . 8,657,754_ 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 1,030,120 . ~2 Enter amount from Part I, line 27a 8 .070 .736 . 3 Other increases not included m line 2 (itemize) 4 Add lines 1, 2, and 3 . 9,100,856 . 5 Decreases notincluded inline 2(itemize) 0- 1997 Amended Return Item Ad]_u5t- 443,102 . 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 8,657,754 . BAA TEEA0302 08/15103 Form 990-PF (2003) Form 990-PF(2oo3) American Ex p ress Foundation 13-6123529 Page 3 Part IV Ca pital Gains and Losses for Tax on Investment Income How (C) Date acquired (d) Date sold (a) List and describe the kind(s) of property sold (e g ,real estate, )) acquired MLC Company) P - Purchase (month, day, year) (month, day, year) 2-story back warehouse, or common stock, 200 shares D - Donation 1a b c d e (e) Gross sales pace (Q Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (or allowable) I plus expense of sale (e) plus (D minus (g) a b c d e Complete only for assets in in column (h) and owned b the foundation on 12J31/69 (I) Gains (Column (h) (i) Fair Market Value (j) Adjusted basis (k) Excess of column (i) gain minus column (k), but not less as of 12/31/69 as of 12/31/69 over column Q), if any than 0-) or Losses (from column (h)) a b c d e If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) -r If (loss), enter -0- in Part I, line 7 3 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 instructions) If (loss), enter -0- in Part I, line 8 -' 3 dart V I Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income 0'For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income ) If section 494D(d)(2) applies, leave this part blank Was the organization liable for the section 4942 tax on the distnbutable amount of any year in the base penod7 F1 Yes XO 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 Base period years Adjusted qualifying distributions Net value of Distribution ratio Calendar year (or tax year nonchantable-use assets (column (b) divided by column (c)) beginning in) 2002 21,568,485 . 2,089,806 . 10 .320807 2001 18,876,826 . 9,135,000 . 2 .066429 2000 18,255,865 . 11,405,595 . 1 .600606 1999 17,468,365 . 27,951,580 . 0 .624951 1998 15 .828 .026 . 42,480 .425 . 0 .372596 2 Total of line 1, column (d) 2 14 .985389 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 .