OMB No 1545 0052 Form Return of Private Foundation 990-PF or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Department of the treasury Note: The organization may be able to use a copy of this return to satisfy state 2005 Inlernal Revenue Service reporting requirements For calendar year 2005, or tax year beginning , 2005, and ending G Check all that apply: Initial return Final return Amended return Address change Name change A Employer Identi ficati on number Use the IRS label. SHMUEL FUCHS FOUNDATION INC. 11-3372438 Otherwise , B Telephone number (see instructions) print 1271 60TH STREET or type. BROOKLYN, NY 11219 See Specific C If exemption application is pending, check here 01 Instructions. D 1 Foreign organizations, check here I H Check type of organization , Section 501(c)(3 exempt private foundation 2 Foreign organizations meeting the 85% test, check H❑ here attach computation Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation and E If private foundation status was terminated Fair market value of all assets at end of year J Accounting method: X Cash Accrual under section 507(b)( 1)(A), check here (from Part fl, column (c), line 16) Other (speedy) _ _ _ _ _ _ _ _ F If the foundation is in a 60-month termination $ 53,945. (Part I. column (d) must be on cash basis under section 507 b 1 B check here M. r] a Analysis o Revenue an (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 sarily equal the amounts in column (a) (cash basis only) _ (see instructions 1 Contributions , gifts, grants , etc, received (att sch) 560 016. 2 Ck s' X if the foundn is not req to aft Sch B 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities 5a Gross rents b Net rental income or (loss) 6 a Net gam/(loss) from sale of assets not on line 10 R b Gross sales price for all E assets on line 6a . V 7 Capital gain net income (from Pa rt IV, line 2) ....i.,,,.,.,.. E 8 Net short-term capital gain N 9 Income modifications E 10a Gross sales less E returns and allowances I . I b Less: Cost of . goods sold c Gross profit/(loss) sch). 11 Other income (ch schedule) 12 Total . Add lines throu h 11 560 016. 0 . CO 13 Compensation of offs, directors , trustees, etc 0 . O 0 14 Other employee salaand wages cV 15 Pension plans, ployee benefits D 16a Legal fees (attach sule) SEE ST 1 75 75 I b Accounting lees (at sch) SEE ST 2 2 000. 2 000 o 1 c Other prof fees (attsch) . E T 17 Interest R R 18 Taxes (attach s 0 T 19 �le) I pletlon W N to Z G VE es, d rigs A E Na N N D p ttach s I ) 111. rn NE EME T 3 111. s 24 al a a n e s ex ad rough 23 2 18 6. 2 18 6. nts paid PART XV 566 662. 566 662. 26 nses d disbursements. _ Add lines 24 an5 568 848. 0 . 568 848 . 27 Subtract line 26 om line 12: a Excess of reveover expenses and disbursems -8, 832. b Net Investment Inco (if negative , enter 0) 0 C Adjusted net Incomnegative , enter -0-) BAA For Privacy Act and Paperwork Reduction Act Notice, see the instructions . TEEA0503L 09/19/05 Form 990-PF (2005) Form 990-PF (2005) SHMUEL FUCHS FOUNDATION TNC _ 11 -1172d3R Pr,r,P 2 �y Attached schedules and amounts in the description Beginning of year End of year r apt ll Balance Sh eets column shou ld be for end o f year amounts only (See instructions (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-Interest-bearing 62,777. 53f945. 53f945. 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) ► s Less: allowance for doubtful accounts ► --------- s 8 Inventories for sale or use 9 Prepaid t expenses and deferred charges S 10a 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 Other assets (describe ► -------------- 16 Total assets (to be completed by all filers - see instructions. Also, see a e 1, item I 62, 777. 53, 945. 53, 945. 1 17 Accounts payable and accrued expenses aI 18 Grants payable b 19 Deferred revenue 20 Loans from officers, directors, trustees, & other disqualified persons 6 21 Mortgages and other notes payable (attach schedule) 22 Other liabilities (describe ► ) s 23 Total liabilities (add lines 17 through 22).. 0. 0. Organizations that follow SFAS 117, check here ► and complete lines 24 through 26 and lines 30 and 31. N F 24 Unrestricted e u It n 25 Temporarily restr icted ••• d 26 Permanently restricted s B Organizations that do not follow SFAS 117, check here ► X s a and complete lines 27 through 31. e t It o 27 Capital stock, trust principal, or current funds s n 28 Paid-in or capital surplus, or land, building, and equipment fund o ec 29 Retained earnings, accumulated income, endowment, or other funds 62, 777. 53,945. r s 30 Total net assets or fund balances (see instructions) 62, 777. 53, 945. 31 Total liabilities and net assets/fund balances (see instructions) 62, 777. 53, 945. a UI 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 62,777. 2 Enter amount from Part 1, line 27a 2 -8,832. 3 Other increases not included in line 2 (itemize) ► 3 - -- ----- ----- - --- --- -- --- -- -- 4 Add lines 1, 2, and 3 4 53,945. 5 Decreases not included in line 2 (itemize) ►___ _ ________________ _ __ _ ___ __ 5 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column b line 30 6 53,945. BAA TEEA0302L 09/19/05 Form 990-PF (2005) Form•990-PF 2005 SHMUEL FUCHS FOUNDATION INC. 11-3372438 Page 3 I*at't IV Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold (e .g., real estate, () How acquired (c) Date acquired () Date sold P - Purchase (month, day, year) (month, day, year) 2-story brick warehouse ; or common stock, 200 shares MLC Company) D - Donation l a N/A 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 (Column (h) (I) Fair Market Value 0) 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 0), if any than -0-) or Losses (from column (h)) _ a b _ c d e gain, also enter in Pa rt I, line 7 Capital gain net or (net capital loss). { ir 2 income If (loss), enter -0- in Part I , line 7 } 2 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 Wart V 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) N/A 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 7 . Yes 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) (c) (d) Base period years Adjusted qualifying distributions Net value of Distribution ratio Calendar year (or tax year noncharitable-use assets (column (b) divided by column (c)) beginning in) 2004 2003 2002 2001 2000 2 Total of line 1, column (d) 2 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 nonchantable-use assets for 2005 from Part X, line 5 4 5 Multiply line 4 by line 3 5 6 Enter 1 % of net investment income (1 % of Part I, line 27b) 6 7 Add lines 5 and 6 7 8 Enter qualifying distributions from Part XII, line 4 8 If line 8 is equal to or greater than line 7, check the box in Part VI, line 1 b, and complete that pa rt using a 1 % tax rate.