Form 990.PF (2005) Page 4
itrag Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Exempt operating foundations descnbed in section 4940(d)(2), check here Pie 0 and enter -N/A" on line 1.
Date of ruling letter: (attach copy of ruling letter If necessary—see Instructions)
b Domestic organizations that meet the section 4940(e) requirements in Part V, check 1 14,927
hero P 0 and enter 1% 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, col (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2
3 Add lines 1 and 2 3 14,927
4 Subtlie A (income) tax (domestic section 4941(a)(1) busts and taxable foundations only. Others enter -CH 4
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- 5 14,927
6 Credits/Payments:
a 2005 estimated tax payments and 2004 overpayment credited to 2005 6a 9 007
b Exempt foreign organizations—tax withheld at source 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 25,0071
d Backup withholding erroneously withheld 6d
7 Total credits and payments. Add Ones 6a through 6d 7 34,007
8 Enter any penalty for underpayment of estimated tax. Check here 0 if Form 2220 Is attached 8
9 Tax due. It the total of lines 5 and 8 is more than line 7, enter amount owed ► 9
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid, . ► 10 19,080
11 Enter the amount of line 10 to be: Credited to 2006 estimated tax P 19,080 I Refunded ► 11
Part VII-A Statements Regarding Activities
Yes No
1a During the tax year, did the organization attempt to influence any national, state, or local legislation or did
it participate or intervene in any political campaign? la ✓
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page st
19 of the instructions for definition)? lb
II the answer is "Yes" to la or lb, attach a detailed description of the activities and copies of any materials
published or distributed by the organization in connection with the activities.
C Did the organization file Form 1120-POL for this year? 10
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the organization. ► $ (2) On organization managers. P. $
e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed
on organization managers. P $
2 Has the organization engaged in any activities that have not previously been reported to the IRS? 2 ✓
ff "Yes," attach a detailed description of the activities.
3 Has the organization made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If 'Yes,' attach a conformed copy of the changes 3
4a Did the organization have unrelated business gross income of $1,000 or more during the year? 4a
b If "Yes," has it filed a tax return on Form 990-T for this year? 4b
5 Was there a liquidation, termination, dissolution, or substantial contraction dunng the year? 6 ✓
If "Yes," attach the statement required by General Instruction T
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either
• By language in the governing instrument, or
• By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument? 8
7 Ltd the organization have at least $5,000 in assets at any time dunng the year? ti "Yes,' complete Part It, col (c), and Part 7
8a Enter the states to which the foundation reports or with which it is registered (see page 19 of the
instructions) P. Rew.York
b If the answer is "Yes" to line 7, has the organization furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction 6? If "No," attach explanation 8b
9 Is the organization claiming status as a private operating foundation within the meaning of section 49420(3)
or 49420(5) for calendar year 2005 or the taxable year beginning in 2005 (see instructions for Part XN on
page 26)? If "Yes," complete Part XIV 9 ✓
10 Did any persons become substantial contributors dunng the tax year? IrYes," attach a schedule listing theirnames andaddresses 10
11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? 11 ✓
Web site address ►
12 The books are in care of to George V. Deleon Associates Telephone no. lo 212.9094680
Located at ► 110 East 591h Streets New York, NY ZIP+4 ► 10022
13 Section 4947(a)(1) nonexempt charitable trusts fling Form 990-PF In lieu of Form 1041--Check hero P. 0
and enter the amount of tax-exempt Interest received or accrued dunng the year , . . ► I 13 I
Form 990-PF goes)
EFTA01714002
Form 990-PF (loes) Pepe 5
Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required
Fite Form 4720 if any item Is checked in the "Yes" column, unless an exception applies. Yes No
la During the yoar did the organization (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ❑ Yes 0 No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ❑ Yes 0 No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ❑ Yes 0 No
(4) Pay compensation to. or pay or reimburse the expenses of, a disqualified person? ❑ Yes 0 No
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ❑ Yes 0 No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the organization agreed to make a grant to or to employ the official for a period
after termination of government service, of terminating within 90 days ) ❑ Yes 0 No
b If any answer is "Yes" to la(1)-(6), did any of the acts fall to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)? lb
Organizations relying on a current notice regarding disaster assistance check here ►❑
c Did the organization engage in a prior year in any of the acts descnbed in la, other than excepted acts.
that were not corrected before the first day of the tax year beginning in 2005? lc
2 Taxes on (allure to distribute income (section 4942) (does not apply for years the organization was a private
operating foundation defined in section 49420(3) or 49429)(5)):
a At the end of tax year 2005, did the organization have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2005? ❑ Yes 0 No
If - Yes," list the years ► 20 .... 20.. , 20 . 20
b Are there any years listed In 2a for which the organization is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's undistnbuted income? (If applying section 4942(4(2)
to all years listed, answer "No" and attach statement—see page 20 of the instructions.) 26
c If the provisions of section 4942(a)(2) are being applied to any of the years listed In 2a. list the years here.
► 20 .... , 20 .... , 20 . 20
3a Did the organization hold more than a 2% direct or indirect interest in any business
enterpnse at any time during the year? ❑ Yes 0 No
b If "Yes," did it have excess business holdings in 2005 as a result of (1) any purchase by the organization
or disqualified persons after May 26. 1969; (2) the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
if the organization had excess business holdings in 2005) 36
4a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a
b Did the organization make any investment in a prior year (but after December 31, 1969) that could jeopardize its chantat(e _J
purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2005? 4b
5a During the year did the organization pay or incur any amount to:
(1) Carry on propaganda, or otherwise attempt to Influence legislation (section 4945(e))? ❑ Yes 21 No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? O Yes 0 No
(3) Provide a grant to an individual for travel, study, or other similar purposes?. . ❑ Yes 0 No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 509(a)(1), (2), or (3), or section 4940(c)(2)? O Yes 0 No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? . . ❑ Yes 21 No
b II any answer is "Yes" to 52(1)-(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 20 of the instructions)' 5b
Organizations relying on a current notice regarding disaster assistance check here ►❑
c If the answer is "Yee to question 5a(4), does the organization claim exemption from the
lax because it maintained expenditure responsibility for the grant? ❑ Yes ❑ No
ll "Yes," attach the statement required by Regulations section 53.4945-5(4.
6a Did the organization, during the year, receive any funds, directly or indirectly, to pay
premiums on a personal benefit contract? ❑ Yes El No
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . 6b
If you answered "Yes" fo 6b, also file Form 8870.
Form 990-PF (t005)
EFTA01714003
Form 990-PF (2005) nage 6
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
Part VIII
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation (see page 21 of the Instructions).
(b) Tale, and average C) Compensation Kg Contnbutions to tot Expense is
is) Name and address hours per week N not paid, enter Om/Noyes benefit plans other s eance, '
devoted to postmen -0-) and deferred componsetun
Jeffrey E. Epstein PresJDIrector 0 0 0
6100 Red Hook Qtrs, St. Thomas, USVI One hour
Darren K. Ind e Vice PredOlr. 0 0 0
., New York, NY One hour
sane swell Treasurer 0 0 0
do George V. Delson Associates Gee hour
110 East 59th Street, New York, NY
2 Compensation of five highest-paid employees (other than those included on line 1—see page 21 of the Instructions).
If none, enter "NONE."
fel) Contnbutuns le
(b) Tide and average
ernPleYee bemire lel Expense account,
In Name and address of each 07,210V00 Paid more that 150.000 hours per week th) COmPenstItIon plane and deferred other alkonnces
devoted to position compcnutson
None
Total number of other employees paid over $50,000 0
3. Five highest-paid independent contractors for professional services—(see page 21 of the instructions). If none, enter
"NONE."
Name and address el each person paid mole Ilan $60,000 (b) Type el mane lc) Compensation
K le Godfre
Consulting 12,500
, New York, NY 10019
Consulting 100,000
ellesley, MA 02482
Ma Muan
Consulting 10,000
Cambridge, MA 02138
Total number of others receiving over $50,000 for professional services ► 0
Part IX -A Summary of Direct Charitable Activities
List the foundation's four largest direct ()unions *amino thanng the lea year Include relevant etateemal se2011113tion such 23 the number
of organizations and other tenormianes served, conferences convened, reseann papers produced, etc.
treencie
1
2
3
4
Form 9904F mai
EFTA01714004
Fpm 99CFPF MS) PIP 7
P r I - mmary of Program-Related Investments (see pane 22 of the Instructions
Mamba tea two Woad program-related evrosimenta made by the foundation donne en tot year on bus I and 2 Penne
I
2
as antes prograregelated Investments Sao page 22 or the Inafrocenre
3
Total. Add hies 1 through 3 1
Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see page 22 of the instructions.)
1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a Average monthly fair market value of securities la
b Average of monthly cash balances lb 5 224 172
c Fair market value of all other assets (see page 23 of the instructions) le 17,750,902
ld 22,975,074
d Total (add lines la, b, and c)
e Reduction claimed for blockage or other factors reported on lines to and
Ic (attach detailed explanation) I lel
2 Acquisition Indebtedness applicable to line 1 assets 2
3 Subtract line 2 from line ld 3 22 975 074
4 Cash deemed held for charitable activities. Enter 11/2 % of line 3 (for greater amount, see page 23
of the instructions) 4 344 626
5 Net value of noncharitable-use assets. Subtract Ina 4 from line 3. Enter here and on Part V, line 4 5 22,630,443
6 Minimum investment return. Enter 5% of line 5 6 1,131,522
Distributable Amount (see page 23 of the instructions) (Section 49420)(3) and W(5) private operating
Part XI
foundations and certain foreign organizations check here 1 0 and do not complete the. pan )
1 Minimum investment return from Part X, line 6 1 I 131 522
2a Tax on investment income for 2005 from Part VI, line 5 14 927
b Income tax for 2005. (This does not Include the tax from Part VI.) 43
2b
e Add lines 2a and 2b 2c 14 927
3 Distributable amount before adjustments. Subtract line 2c from line 1 3 1 116 595
4 Recoveries of amounts treated as qualifying distributions 4
5 Add lines 3 and 4 5 1 116 595
6 Deduction from distnbutable amount (see page 24 of the instructions) 6
7 Distributable amount as adjusted. Subtract Me 6 from line 5. Enter here and on Part XIII,
line I 7 1,116,595
Part XII Qualifying Distributions (see page 24 of the Instructions)
1 Amounts paid (including administrative expenses) to accomplish charitable. etc., purposes:
a Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 la 1,255,795
b Program-related investments—total from Part IX-5 lb
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes 2
3 Amounts set aside for specific charitable projects that satisfy the:
a Suitability test (prior IRS approval required) 3a
b Cash distribution test (attach the required schedule) 3b
4 Qualifying distributions. Add lines la through 3b Enter here and on Pan V, me 8, and Part XIII, line 4 4 1,255,795
5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b (see page 24 of the instructions) 5
6 Adjusted qualifying distributions. Subtract line 5 from line 4 6 1,255.795
Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax In those yen.
roTn990-PF Roos)
EFTA01714005
Form 990-PF (2405) Page 8
Part XIII Undistributed Income (see page 24 of the instructions)
ILO (1st (s) tra
Caps Years poor to 2004 2004 2005
1 Distributable amount for 2005 from Part XI
line 7 1,116,595
2 Undistributed income, ii any, as of the end of 2004:
a Enter amount for 2004 only 0
b Total for pnor years' 20 20 20 0
3 Excess distnbutions carryover if any, to 2005:
a From 2000 • 172.814
b From 2001 794,417
c From 2002 638,745
d From 2003 432,491
0 From 2004
1 Total of lines 3a through e 2,038,567
4 Qualifying distributions for 2005 from Part
XII, line 4: 10. $ 1258795
a Applied to 2004, but not more than line 2a 0
b Applied to undistributed income of prior years
(Section required—see page 25 of the u151111CtiOnS) 0
c Treated as distributions out of corpus (Election
required—see page 25 of the instructions) 0
d Applied to 2005 distributable amount 1,116,595
e Remaining amount clistributed out of corpus 139,200 I
5 Excess dlstnbutions carryover applied to 2005 0 0
- . I
(If an amount appears in column (d), the
same amount must be shown in column (a).) , .
4 ' I
6 Enter the net total of each column as . i
indicated below: ' i• • • r f
a Corpus. Add lines 3f, 4c, and 4e. Subtract tine 5 2,177,767 — • ;
b Prior years' undistributed income. Subtract I
Ilne 4b from lino 2b ,t 0 . i
c Enter the amount of prior years' undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed 0
!
d Subtract line 6c from line 60. Taxable
amount—see page 25 of the Instructions i
0 Undistributed Income for 2004. Subtract line • • .' I
4a from line 2a. Taxable amount —see page
25 of the instructions • • 0 i
1 Undistnbuted income for 2005. Subtract • 1
lines 4d and 5 from line 1. This amount must
be distributed in 2006 • • 0
7 Amounts treated as distributions out of •
corpus to satisfy requirements imposed by
section 170(bX1)(E) or 4942(9X3) (see page
25 of the instructions) 0
8 Excess distributions carryover from 2000 not
applied on line 5 or line 7 (see page 25 of
the instructions) 172,914
9 Excess distributions carryover to 2006.
Subtract lines 7 and 8 from line 6a 2,004,853
10 Analysis of line 9:
a Excess from 2001 794,417
b Excess from 2002 . 638,745
c Excess Irom 2003 432,491
d Excess from 2004 . .
e Excess Irom 2005 . . 139,200
Form 990-PF goes)
EFTA01714006
Form 9908E (2005) Pine 9
PRIM Private Operating Foundations (see page 26 of the instructions and Part VII-A, question 9)
la li the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling Is effective for 2005, enter the date of the ruling . . . ►
b Check box to indicate whether the organization is a pnvate operating foundation described in section 0 4942Q)(3) or ❑ 4942(()(5)
2a Enter the lesser of the adiusted net Tax year Pnor 3 years (e) Tole
income from Part I Or the mnmum (a) 2005 11)12004 143 2003 (Own
Investment return from Pail X for each
year listed
b 65% of line 2a
c Ouablying distributions (torn Part XII,
line 4 for each year listed
d motets fadeout in Me2c not used directly
for active conduct of exempt attonlits
e Outlaying distributions made directly
for active conduct of exempt activities
Subtract Ime 20 from fine 2c
3 Complete 3a, b, or c for the
alternative test relied upon:
a "Assets' alternative test—enter.
(1) Value of an assets .
(2) Value of assets qualifying
under section 4942(l)(3X8)(0
b 'Endowment' allemabve lest—enter %
of mnmwm uwestment return shown n
Pail X, tine 6 for each year listed
c "Support" alternative test—enter:
(1) Total support other than gross
investment income (interest,
dividends, rents, payments
On securities loans (section
512(a)(6)), or royalties)
(2) Support from general public
and 5 or more exempt
organizations as provided In
section 49420)(3)(6)(n)
(3) Largest amount of support
from an exempt organization
(4) Gross investment income
Supplementary Informa ion (Complete his part only if the organization had $5,000 or more in
assets at any time during the year—see page 26 of the instructions.)
1 Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contnbutions received by the foundation
before the close of any tax year (but only if they have contnbuted more than $5,000). (See section 507(d)(2).)
Jeffrey E. Epstein
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here ► 0 if the organization only makes contnbutions to preselected chantable organizations and does not accept
unsolicited requests for funds. If the organization makes gifts, grants, etc. (see page 26 of the instructions) to individuals or
organizations under other conditions, complete items 2a, b, c, and d.
a The name, address, and telephone number of the person to whom applications should be addressed:
b The form in which applications should be submitted and information and materials they should include:
c Any submission deadlines:
it Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form 990-PF pees
EFTA01714007
Penn 990•PF noes) Page 10
karga Supplementary Information (continued)
3 Grants and Contributions Paid_During the Year or Approved for Future Payment
H fefsPosst is an wdrAduet Foundation
Recipient thew any relationship to .....,... , Purpose of grunt ce
any foundation conufbAlon Amount
Name and address (home or business) ft eutetammI catibutot reopens
a Paid during the year
Statement 5
Total a. 3a 1,125,133
b Approved for future payment
Total 10 3b 0
Form 990-PF pcos)
EFTA01714008
Foan S90-PF (2000 Page 11
Part XVI-A Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated Unrelated business income Excluded by section 512. 513. or 514 (el
Related ce exempt
(0) (b) (c) (Ci) flinCt011 tricorn°
Business code Amount Exclusion code Amount (See page 26 of
the instructions.)
1 Program service revenue:
a
b
e
d
e
I
g Fees and contracts from government agencies
2 Membership dues and assessments
3 Interest on savings and temporary cash investments 14 360,265
4 Dividends and interest from securities
5 Net rental Income or (loss) from real estate: l
a Debt-financed property
b Not debt-financed property
6 Net rental income or (loss) from personal property
7 Other Investment income
8 Gain or (loss) from sales of assets other than inventory 18 460,721
9 Net income or (loss) from special events
10 Gross profit or (loss) from sates of inventory
11 Other revenue' a From partnerships 14 51,609
b
c
d
e
12 Subtotal. Add columns (b). (c0. and (e) - • 872,595
13 Total. Add line 12, columns (b), (d), and (e) 13 872,595
See worksheet in line 13 instructions on page 27 to verify calculations.)
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
• the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). (See
page 27 of the instructions.)
N/A
Fenn 990-PF coos)
EFTA01714009
Term 990•PF poop Page 12
Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
1 Did the organization directly or indirectly engage in any 01 the tailoring with any other organization described in section Yes No
501(c) of the Code (other than section 501(c)(3) organizations) or m section 527, relating to political organizatons?
a Transfers from the reporting organization to a noncharitable exempt organization of:
(1) Cash la(1) ✓
(2) Other assets la(2) ✓
b Other transactions:
(1) Sales of assets to a nonchantable exempt organization 11)01 ✓
(2) Purchases of assets from a nonchantable exempt organization 11O ✓
(3) Rental of facilities, equipment, or other assets
(4) Reimbursement arrangements ✓
(5) Loans or loan guarantees lb(5) ✓
09 Performance of services or membership or fundraising solicitations
Sharing of facilites, equipment, mailing lists, other assets, or paid employees lo
d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the at market
value of the goods, other assets, or services given by the reporting organization. If the organization received less than fair
market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services
received.
(a) leis no (b) Amount nvolved le) Name of nonduuttable exempt inarmation Deaccpbon ol transfers team ed:ens and champ arrangements
2a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? O Yes 0 No
b If "Yes." complete the Sowing schedule.
N) Name ca ergamoshen m Tyre or ottatetakat (4 oasenarron d relationship
------
;Aar penalties of penury, l hat I h as this velum. mcksthisa eocanpanymg schedules and statements, and to the best of my knowledge and
ballet it 3 Wu% correct. e of parr (other than taxpayer or &lobby)* baud en all Inityrnabon of which orobartir has any knowledge
I Owbri gt e2/004- t
Sign Here
Signature of dice Date T •
• Oats Preparer's SSN c a ge
PTilif
•
__. On signature pa 2$
Paid jleCc....--,---44101 sent- mitpidyed eiLi of Um irtstructreas I
Preparer's Negates j il i le
Signature
Use Only
Fin n' s nannr(0, YOWSA George V. Delson Associates EIN an Mr —
satscrnplayad). address.
I ano ZIP code 110 East 59th Street, New York, NY 10022 Phone no ( )
Farm 990-PF 12005)
EFTA01714010
THE C.O.U.Q. FOUNDATION INC. STATEMENT 5
13-3996471
FORM 990-PF Y/E 2/28/06
PART I, LINE 25 AND PART XV
CONTRIBUTIONS PAID
Date Name Amount Pumose
3/3/2005 Friends of Israel Defense Forces 25,000 Unrestricted
3/3/2005 92nd Street Pillar Project 10,000 Unrestricted
4/19/2005 Edge Foundation, Inc. 50,000 Unrestricted
5/6/2005 Stockholm School of Economics 25,000 Unrestricted
5/12/2005 Palm Beach Academy 10,000 Unrestricted
5/12/2005 WNET 13 100,000 Unrestricted
5/25/2005 Harvard University 10,000 Unrestricted
5/26/2005 Columbia Universitiy 25,000 Scholarship
6/20/2005 Edge Foundation, Inc. 150,000 Unrestricted
6/21/2005 The Jewish National Fund 15,000 Unrestricted
6/22/2005 Institute of International Education 35,000 Unrestricted
7/15/2005 Hillel Foundation 50,000 Unrestricted
7/21/2005 Sundry Charitable Organizations 1,158 Unrestricted
8/3/2005 Ballet Florida 10,000 Unrestricted
8/11/2005 Gergias Southern University 5,000 Scholarship
8/16/2005 Columbia Universitiy 58,600 Scholarship
8/19/2005 Freestatc Soccer Alliance 25,000 Unrestricted
8/23/2005 Harvard University 100,000 Unrestricted
9/6/2005 Santa Fe Institute 100,000 Unrestricted
9/7/2005 Kingsboro Community College 2,500 Scholarship
9/7/2005 City College 27,875 Scholarship
9/12/2005 Fashion For Relief 10,000 Unrestricted
9/22/2005 The Alliance for Lupus Research 10,000 Unrestricted
10/20/2005 Academy of Achievement 50,000 Unrestricted
10/20/2005 National Council of Jewish Women 5,000 Unrestricted
11/18/2005 Columbia Universitiy 10,000 Unrestricted
11/28/2005 Ballet Florida 15,000 Unrestricted
12/6/2005 Columbia Universitiy 50,000 Unrestricted
1/18/2006 Ncw Jersey Firebirds Baseball 15,000 Unrestricted
1/18/2006 Bay Point School 100,000 Unrestricted
1/25/2006 Intrepid Fallen Heroes Fund 25,000
1,125,133
EFTA01714011
THE C.O.U.Q. FOUNDATION, INC.
13-3996471
FORM 990-PF - Y/E 2/28/06
STATEMENT 1
Part I, Linc 11
Other Income
Second City Capital Partners I, LP
K-1 Entity 51,609
STATEMENT 2
Part 1, Line 16(c)
Other Professional Pees
Consulting 122,500
Second City Capital Partners I, L.P.
K-1 Entity 126,258
Total 248,758
EFTA01714012
THE C.O.U.Q. FOUNDATION, INC.
13-3996471
FORM 990-PF - Y/E 2/28/06
STATEMENT 3
Part I, Line 23
Other Expenses
Bank Charges 21
Sccond City Capital Partners L.P.
K-1 entity 2,901
Filing Fees 1,004
Other 138
Total 4,064
EFTA01714013
THE C.O.U.Q. FOUNDATION, INC.
EIN 13-3996471
FORM 990-PF - Y/E 2/28/06
STATEMENT 4
Part II, Line 13
Other Investments
Fair
Book Value Market Value
Bear Steams Asset Backed
Securities Partners LP 10,289,911 12,569,336
Second City Capital
Partners I, LP 5,168,275 5,181,566
15,458,186 17,750,902
EFTA01714014
OFFICE COPY
Form earn (Rev 12-2O04) Page 2
• if you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box . . ►ca
Note. Only complete Pad II if you have already been granted an automatic 3-monilt extension on a previously filed Form 8868.
tr Ii yuu are rung an an attnumauc a-monm extension, compare, °my ram i (on page lb
MEI Additional (not automatic) 3-Month Extension of Time—Must File Original and One Copy.
Type or Name of Exempt Organization Employer Identification number
print THE C.O.U.O. FOUNDATION 13 i 3996471
Filo by the Number. street, and room or suite no. U • P.O. box. see Instructions. For IRS use only
du
Wdoendeddotefor
do DELSON ASSOCIATES, 110 EAST 59TH STREET
fang the Crty, town or post *face state, and ZIP coos. For a foreign address, see instructions.
(MUT See
mstrucuons. NEW YORK, NY 10022
Check type of return to be filed (File a separate application for each return):
O Form 990 0 Form 990-T (sec. 401(a) or 408(3) trust) O Form 5227
O Rani 990-81 0 Form $90-T (trust other than above) O Form 6069
O Fomi 990-EZ 0 Form 1041-A O Form 8870
O Form 990-PF 0 Form 4720
STOP: Do not complete Part II If you were not already granted an automatic 3-month extension on a previously filed Form 886&
• The books are to theist 0. HARRY BELLER
Telephone No. h. (. MINN FAX No. Po ) MUM
• If the organization does not have an office or place of business in the United States, check this box
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is
for the whole group, check this box P.. ❑. If It is for part of the group. check this box to 0 and attach a list with the
names and EINs of all members the extension is fa.
4 I request an additional 3-month extension of time until JANUARY 15 • PO 07
S For calendar year , or other tax year beginning MARCH 1 PO 0$ , and ending FEBRUARY 28 .20 06a
6 If this tax year is for less than 12 months, check reason: 0 Initial return 0 Final return 0 In accounting period
7 State in detail why you need the extension CERTAIN INFORMATION NECESSARY FOR THE PROPER COMPLETION
OF THE RETURN IS NOT YET AVAILABLE
ea if this application is for Form 990-BL, 990-PF, 990-T, 4720, or 8069, enter the tentative tax, less any
$ 37,767
nonrefundable credits. See instructions . . . . . . . . . . . . . . .
b If this application is for Form 990-PE 990-T, 4720, or 6069, enter any refundable credks and estimated
tax payments made. Include any prior year overpayment allowed as a credit and any amount paid
previously with Form 8868 . . 37,767
c Balance Due. Subtract line 8b from line Ba. Include your payment with this form or, if required, deposit
' with F1D coupon or, if requ:red. by using EFTPS (Electronic Federal Tax Payment System). See instructions. $ 0
Signature and Verification
Untler penalbss of penny. I douse that I have auurmed Ira form, inducing actompanwng sched,res end statements, and to the best a my knowledge and behd.
a a the. coma, and complete, and that I am =boozed to moans this form
Signature e IS! GEORGE V DELSON Tale ► Date r /04
Notice to Applicant—To Be Completed by the IRS
0 We have approved this application. Please attach this form to the organization's return.
We have not approved this application However, wo have granted a 10-day grace period from the later of the date shown below or the due
date of the organization's return (including any prior extensions). Tits grace penod IS considered to bee void extension of time for elections
otherwise required to be made on a tmely return. Please attach this form to the organization's return.
0 We have not approved this cols/motion. After considering the reasons stated In item 7, we cannot grant your request for an extension cf time
to file. We aro not granting a 10-day grace penod.
We cannot consider this application because it was filed after the extended due date of the return for which en extension was requested
0 Other
By
Droclot Coate
Alternate Mailing Address — Enter the address if you want the copy of this application for an additional 3-month extension
returned to an address different than the one entered above.
Nome
GEORGE V. DELSON ASSOCIATES
Typo or Number and street (include suite, room, or opt no.) or • P.O. box number
print 110 EAST 59Th STREET
City or town, province or state, and country fincluding postal or ZIP code)
NEW YORK, NY 10022
Form 8868 (Rev 12.2004)
EFTA01714015
gPFICE COPY
cam 8868 Application for Extension of Time To File an
(flay. Oer.caeaer 2000 Exempt Organization Return OMB No 1545-1709
Depatnal of tee Trcasury
infernal Revenue Service ► File a separate application for each return.
• If you are filing for an Automatic 3-Month Extension, complete only Part I and check ► g)
this box
• If you are filing for an Additional (not automatic) 3-Month Extension, complete only
Part II (on page 2 of this form)
Do not complete Part II unless you have already been oranted an automatic 3-month extension on a previously filed Form 8868.
Part I Automatic 3-Month Extension of Time—Only submit original (no copies needed)
Form 990-1 corporations requesting an automatic 6-month extension—check this box and complete Part I only .
. .► 0
AV other corporations Paulding Form 990-C tilers) must use Form 7004 to request an extension of time to file income tax
returns.
Partnerships, REM1Cs, and trusts must use Form 8736 to request an extension of time to The Form 1065, 1066, or 1041.
Electronic Filing (e-file). Form 8868 can be filed electronically If you want a 3-month automatic extension of time to file one of the
returns noted below (6 months for corporate Form 990-1 filers). However, you cannot file it electronically if you want the
(not automatic) 3-month extension, instead you must submit the fully completed signed page 2 (Part ID of Form 8868. additional
details on the electronic filing of this form, visit wwwits.gmlefile. For more
Type or Name of Exempt Organization Employer Identification number
print The C.O.U.Q. Foundation 13 3996471
Pe by Um Number, street, and room or state no. If a P.O. box, see instnicboris.
duo date for
Ming your c/o George V. Belson Associates, 110 East 59th Street
return. See
Instruclan. Gay, town or post office, state, and ZIP code. For a foreign address. see instructions.
New York, NY 10022
Check type of return to be filed (file a separate application for each return):
O Form 990 0 Form 990-T (corporation) O Form 4720
O Form 990-BL 0 Form 990-T (sec. 401(a) or 408(a) trust) O Fenn 5227
O Form 990-Q • 0 Form 990-T (trust other than above) O Form 6069
O Form 990-PF 0 Form 1041-A O Form 8870
• The books are in the care of ► Harry Beller
Telephone No. lo. (.. III ).IIIIIIIIIII FM No. lir- S ..) Mill
• If the organization does not have an office or place of business in the United States, check this box
► 0
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this
is for the whole group, check this box P.O. If it is for part of the group, check this box lo 0 and attach a list with the
names and EINs of all members the extension will cover.
1 I request an automatic 3-month (6-months for a Form 990-1 corporation) extension of time until October , 2091,
15
to file the exempt organization return for the organization named above. The extension is for the organization's return for:
lo• 0 calendar year 20... or
to 2) tax year beginning March 1 20 05. and ending February , 20 06
2 If thrS tax year Is for less than 12 months, check reason: 0 Initial return 0 Final return 0 Change in accounting period
3a if this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions $ 37,767
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments
made. Include any prior year overpayment allowed as a credit 12,767
c Balance Due. Subtract line 3b from lino 3a. Include your payment with this form, or, if required, deposit
with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See
instructions 25,000
Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see
Form 8453-EO and Form 8879-EO
for payment instructions.
For Privacy Act and Paperwork Reduction Act Notice, tee Instructions.
Cat No. 27918O Form 8868 Mee 12-200.4)
EFTA01714016
EXTENSION ATTACHED
;0.990-PF Return of Private Foundation OMB No 1545-0052
or Section 4947(a)(1) Nonexempt Charitable Trust
Department el the TIOSIlly
Interne( Revenue Same*
Treated as a Private Foundation
Note: The foundation may be able to use a copy of this ,erum to satisfy state reporting requirements.
2006
For calendar year 2006, or .tax year beginning March 1 , 2006, and ending February 28 , 20 07
G Check all that apply: 0 Initial return ❑ Final return O Amended return O Address change O Name change
foundation A Employer identincalion number
Use the IRS Pia" °I
label. The C.O.U.Q. Foundation 13 3996471
Otherwise, Number and strut (or P 0 box number d mad is not de weed to street address) RoonVsinte a Telephone numb. pee page 11 of the nstructions)
print cho George V. Delson Associates, 110 East 59th St.
or type. ( )
See Specific City of town, state, and ZIP code C Ilexemption appricatca is pondne. check hem lv O
Instructions. New York, NY 10022 D 1. Foreign organizations, check here . . li• O
H Check type of organization: A Section 501(0(3) exempt private foundation 2. Foreign oreanaalions meeting the 85% test. i—i
O Section 4947(a)(1) nonexempt charitable trust CI Other taxable private foundation check here and attach computation . Ilx• l...l
E lulnpdreirvast:olon
ctritcponi statu:hwashleee rrrnina.t?. O
I Fair market value of all assets at end .5 Accounting method: 0 Cash ■• Accrual
of year (from Part II, col. (c), O Other (specify) F If the foundation es in a 60-month termination r -i
under section 507(b)(1)0t check here . b Li
line 16) le S 22,832,814 (Part I, column (co must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of (a) Revenue and Id) Debasements
amounts in columns 04, (c), and (cl;may not necessanly equal expenses (Nit N Net Inv semen tej Adjusted net for chnntable
income income purposes
the amounts In column (a) (see page II of the instructions)) hooka Dash basis only)
I S • ' s
1 Contnbuhons, gifts, grants, etc., received (attach schedule) 1 • I
. i
2 Check le 0 d the foundahon is not required to attach Sch. 8 .. .c
3 Interest on savings and temporary cash investments .„ S t-: 1
4 Dividends and interest from securities 414,648 414,646
5a Gross rents
, s•ne
b Net rental income or (loss) "is ... v !.. '. 1 : .; : . ' •.. ....
•
Revenue
6a Net gain or (loss) from sale of assets not on line 10 (52,333) : 4 X1):4 =- a? ••
b Gross sates pits for al assets on Ina ea 0 ; 'I.:" . . li! .-1-!.:Ill ' :i . • Vit :3
7 Capital gain net income (from Part IV, hne 2) 0 'er •,:y z-,,1-• •
8 Net short-term capital gain i.-.1 ( 1 t":- • ; •
9 Income modifications ... . : : ; • • •• l. : •
• :!, t, •
, • .
10a Gross sales less returns and allowances i ' .' e ? 3 1 kit •
b Less: Cost of goods sold : Y• 14 i • •, r 1 4 - Cif •
c Gross profit or (loss) (attach schedule) . . . . r
-1 I
11 Other income (attach schedule) 284,468 94,468
St .1 • • •
12 Total. Add lines 1 through 11 848,781 509,114
a 13 Compensation of officers, directors, trustees, etc.
es
vs 14 Other employee salaries and wages
c
0 15 Pension plans, employee benefits
o.
x 16a Legal fees (attach schedule
ail
2 b Accounting fees (attach schedule)
0 OthiReeelegEBas (att tch schedule) 5t • 2 170,000 120,000 50,000
1 17 I erect
q a 18 a es (attach schedule (seem ge 14 of the instructions)
1 19 " eprDEEc$ atoiscle) and depletion
25,000
i
1 20 cuoancv Ot
fa 21 Traiefeeetrocetriihd meetings
23 Other expenses (attach schedule) St . 3 591,636 590,633 1,003
24 Total operating and administrative expenses.
°w
Je Add lines 13 through 23 786,636 710,633 51,003
0 25 Contributions, gifts, grants paid 1,186.000 1,186,000
26 Total expenses and disbursements. Add Ines 24 and 25 1,972,636 710,633 1,237.003 .
27 Subtract line 26 from line 12: _.
a Excess of revenue over expenses and disbursements (1,325,855)
b Net Investment income (if negative, enter -0-) 0
_ c Adjusted net income (if negative, enter -0-) . .
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions. Cal. No. 11289% Foal 990-PF (2006)
-(1)
EFTA01714017
Forrn 990-PF (2006) Page 2
Ailed* schedules and mounts in the descrobon ©diem Beginning of year End of year
Part II Balance Sheets sham be rot oe-e.yer amounts only pee ingnidicos)
(a) Book Value (b) Book Value (c) Fay Market %eve
1 Cash—non-interest-bearing
2 Savings and temporary cash investments 4,112,136 4,817,748 4,817,748
3 Accounts receivable Or —. __ .--- . ... _
Less: allowance for doubtful accounts OP
4 Pledges receivable lo —___ _ .___ ------ — - --.. _ .
Less: allowance for doubtful accounts liki
5 Grants receivable
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 16 of the
instructions)
7 Other notes and loans reservable (attach schedule) lo•
Assets
Less: allowance for doubtful accounts lir•
8 Inventories for sale or use
9 Prepaid expenses and deferred charges
10a Investments—U.S. and state government obligations (attach schedule)
b Investments—corporate stock (attach schedule) .
e Investments—corporate bonds (attach schedule)
; ..',S .._ _ _. : .• • i .: -
11 Investments—land, buildings, and equipment: basis Pri ►
Less: accumulated depreciation (attach schedule) lui.
12 Investments—mortgage loans
13 Investments—other (attach schedule) St . 4 15,458,186 13,426,719 18,015,066
14 Land, buildings, and equipment: basis lui• . Lt../ _i_E.:::. .
Less: accumulated depreciation (attach schedule) IP.
15 Other assets (describe kir 1
16 Total assets (to be completed by all filers—see page 17 of
I the instructions. Also, see page 1, item I) 19.570.322 18,244,467 22,832,814
17 Accounts payable and accrued expenses . • ;:.
.4
18 Grants payable
.•I
Liabilities
19 Deferred revenue
20 Loans from officers, directors, trustees, and other disqualified persons .i . .:.!
21 Mortgages and other notes payable (attach schedule)
22 Other liabilities (descnbe Ir. )
23 Total liabilities (add lines 17 through 22) ..
I
Foundations that follow SFAS 117, check here Pi• • il
Net Assets or Fund Balances
and complete lines 24 through 26 and lines 30 and 31. - 0 i
24 Unrestncted
25 Temporarily restricted 3'
26 Permanently restricted •
Foundations that do not follow SFAS 117, check here ki. 0
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds
28 Paid-in or capital surplus, or land, bldg., and equipment fund
29 Retained earnings, accumulated income, endowment, or other funds 19,570.322 18.244,467
30 Total net assets or fund balances (see page 18 of the I
instructions) 19,570,322 18,244.467
31 Total liabilities and net assets/fund balances (see page 18 of the
instructions) 19,570,322 18,244,467
Pat Ill 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 19,570,322
2 Enter amount from Part I, line 27a 2 1,325,855)
3 Other increases not included in line 2 (itemize) P. 3
4 Add lines 1, 2, and 3 4 18,244,467
5 Decreases not included in line 2 (itemize) IP' 5
6 Total net assets or fund balances at end of year gine 4 minus line 5)—Part II, column (b), line 30 6 18,244,467
Form 990-PF (2006)
EFTA01714018
Form 990-PF (2006) Page 3
Part IV Capital Gains and Losses for Tax on Investment Income
lb) How acquired
(a) List and describe the kmd(s) of property ;old (e .g.. real estato, p—Donation (c) Cole acquired IQ Date said
2-story brick warehouse, or common stock, 200 shs. MLC Co.) 0—Donation Imo • day. Y* ) (me . day, yr)
ta Statement S
b
c
d
e
(e) Gross sales price tO Depreciation *Sowed (g) Cost or other basis 0,) Gain Or oosa)
(or allowable) plus expense of sale (e) plus (0 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
0) Owns (Col. pl) San minus
0) Adjusted basis (k) Excess 01 col 0) col (It butert less than -0-) or
0) 0 M V. as of 12/31/69 as of 12/31/69 ova col ((LH any oss gran col. ma
a
b
c
d
e
2 Capital gain net income or (net capital loss) ( If gain, also enter in Part I, line 7 1
If (loss) enter -0- in Part I, line 7 2 (52,333)
3 Net short-term capital gain or Coss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 18 of the Instructions).
If (loss), enter -0- in Pan I, line 8 J 3
Part V Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic pnvate 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? 0 Yes 0 No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this parl.
1 Enter the appropriate amount in each column for each year, see page 19 of the instructions before making any entnes.
la) 04 () _ d)
Base ported yew Adiusted quabhemg disinleueons Net value of noncchantable.use assets UKInbuttioil ratio
Calendar year (or tax year beginning in) (col M divided by col (c))
2005 1,255,795 22,630,448 0.055491
2004 936,665 20,159,106 0.046463
2003 1,041,560 12,227,806 0.085179
2002 1,243,915 12,221,528 0.101944
2001 902,103 7,498,097 0.120310
2 Total of line 1, column (d) 2 0.409387
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 lf less than 5 years 3 0.081877
4 Enter the net value of noncharitable-use assets for 2006 from Part X, line 5 4 22,142,808
5 Multiply line 4 by line 3 5 1,812,987
6 Enter 1% of net investment Income (1% of Part I, line 27b) 6 0
7 Add lines 5 and 6 7 1,812,987
8 Enter oualitvina distnbuttons from Part XII. line 4 8 1.237,003
If line 8 is equal to or greater than line 7, check the box in Pan VI, line lb. and complete that oart using a 1% tax rate. See
the Part VI instructions on page 19.
Fortis 990-PF 20%)
EFTA01714019
Form 99O-PF (2006) Page 4
Part VI Excise Tax Based on Investment Income (Section 4940(a), 494004, 4940(e), or 4948—see age 19 of the instructions)
la Exempt operating foundations described in section 4940(d)(2), check here IP 0 and enter "N/A" on line 1. I
Date of ruling letter: (attach copy of ruling letter if necessary—see instructions) _ .
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 0
here * O and enter 1% of Part I, line 27b
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% — .._.._ _
of Pan I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2
3 Add lines 1 and 2 3 0
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only, Others enter -0-) 4
5 Tax based on investment income. Subtract line 4 from tine 3. If zero or less, enter -0- 5 0
6 Credits/Payments:
a 2006 estimated tax payments and 2005 overpayment credited to 2006 ea 18,872 •
b Exempt foreign organizations—tax withheld at source 6b .,.
,
c Tax paid with application for extension of time to file (Form 8868) Go
d Backup withholding erroneously withheld 6d .....— .._ J
7 Total credits and payments. Add lines 6a through 6d 18,872
7
8 Enter any penalty for underpayment of estimated tax. Check here O if Form 2220 is attached 8
9 Tax due. If the total of lines 5 and 8 Is more than line 7, enter amount owed * 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . * 10 18,872
11 Enter the amount of line 10 to be: Credited to 2007 estimated tax * 18,872 I Refunded * 11
Part VII-A Statements Regarding Activities
. Yes No
la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it •
participate or intervene in any political campaign? la 1
b Did It spend more than $100 dunng the year (either directly or indirectly) for political purposes (see page 20
of the instructions for definition)? lb 1
If the answer is "Yes" to la or lb, attach a detailed description of the activities and copies of any materials .. . •I
published or distnbuted by the foundation in connection with the activities. . _tc: Ifil
c Did the foundation file Form 1120-POL for this year? 1c 1
.: •
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year
(1) On the foundation. * $ (2) On foundation managers. P. $ ;la'
J.
der. '
e Enter the reimbursement Of any) paid by the foundation during the year for political expenditure tax imposed on kt ,
foundation managers. * $ — _ s
2 Has the foundation engaged in any activities that have not previously been reported to the IRS? 2 1
If "Yes," attach a detailed description of the activities. . •
3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of ._. • 4 . t .
incorporation, or bylaws, or other similar Instruments? If "Yes,' attach a conformed copy of (he charges 3 i
4a Did the foundation have unrelated business gross income of $1,000 or more dunng the year? 4a 1
b If "Yes," has it filed a tax return on Form 990-T for this year? 4b N A
5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? 5 1
If "Yes," attach the statement required by General Instruction T. I
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either
• By language in the governing instrument, or
i
• By state legislation that effectively amends the governing instrument so that no mandatory directions that - • • •✓,
conflict with the state law remain in the governing instrument? 6 1
7 Old the foundation have at least $5000 in assets at any time during the year?lf 'Yes,' complete Part It col (c), and Part XV 7 I
8a Enter the states to which the foundation reports or with which it is registered (see page 20 of the
instructions) * New York
b If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General --- --
(or designate) of each state as required by General Instruction G? If "No," attach explanation 8b 1
i
9 is the foundation claiming status as a private operating foundation within the meaning of section 49426)(3) -- — -. - --J
or 49420)(5) for calendar year 2006 or the taxable year beginning in 2006 (see instructions for Part XIV on
page 28)7 If "Yes," complete Part XIV 9 1
10 Did any persons become substantial contributors during the tax year? If n'es,"attach a schedule listing their
names and addresses 10 I
ram 990-PF (2006)
EFTA01714020
Form 990.PF (2006) Page 5
Part VII-A Statements Regarding Activities Continued
lie At any time during the year, did the foundation, directly or Indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) 11a ✓
b If "Yes," did the foundation have a binding wntten contract In effect on August 17, 2006, covering the Interest,
rents, royalties, and annuities described in the attachment for line lla? llb N A
12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract? 12
13 OW the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 ✓
Website address ►
14 The books are in care of ► George V. Delson Associates Telephone no. ► 212909-9680
Located at ► 110 East 59th Street, New York, NY ZIP+4 ► 10022
15 Section 4947(a)(1) nonexempt chantable trusts filing Form 990-PF in lieu of Form 1041—Check here ► ❑
and enter the amount of tax-exempt interest received or accrued during the year . . . . ► I 15
PaTIVIF Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. Yes No
la During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ❑ Yes 0 No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept It from) a
disqualified person? ❑ Yes 0 No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ❑ Yes [23 No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ❑ Yes 0 No
(5) Transfer any income or assets to a disqualified person (or make any of either available for
the benefit or use of a disqualified person)? ❑ Yes El No
(6) Agree to pay money or property to a government official? (Exception. Check "No" if
the foundation agreed to make a grant to or to employ the official for a penod after
termination of government service, if terminating within 90 days ) ❑ Yes 0 No
b If any answer is "Yes" to la(1)-(6), did any of the acts fail to qualify under the exceptions descnbed in Regulations
section 53.4941K0-3 or in a current notice regarding disaster assistance (see page 22 of the instructions)? lb N A
Organizations relying on a current notice regarding disaster assistance check here . . . . ► ❑
c Did the foundation engage in a prior year in any of the acts described in Is, other than excepted acts, that
were not corrected before the first day of the tax year beginning in 2006? 10
2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a pnvate
operating foundation defined in section 49420)(3) or 4942W(5))
a At the end of tax year 2006, did the foundation have any undistributed income (lines 6d and
6e, Part XIII) for tax year(s) beginning before 2006? ❑ Yes ❑ No
If "Yes," fist the years ► 20 .... , 20 .... , 20 . , 20
b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2)
to all years listed, answer "No" and attach statement—see page 22 of the instructions.) 2b ✓
c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
► 20 .... , 20 .... , 20 . , 20
3a Did the foundation hold more than a 2% direct or indirect interest in any business
enterprise at any time during the year? ❑ Yes El No
b If "Yes," did it have excess business holdings in 2006 as a result of (1) any purchase by the foundation or
disqualified persons atter May 26, 1969; (2) the lapse of the 5-year penod (or longer period approved by the
Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3) the lapse
of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the
foundation had excess business holdings in 2006.) 3b N
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its chantable
purpose that had not been removed from jeopardy before the first day of the tax year beginning in 20067 . . . . 4b ✓
Form 990-PF (2006)
EFTA01714021
Ferri 990-PF (2006) p
Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required Continued
Sa Dunng the year did the foundation pay or Incur any amount to:
(1) Carry on propaganda, or otherwise attempt to Influence legislation (section 4945(e))? 0 Yes 0 No
(2) Influence the outcome of any specific public election (see section 4955); or to carry on,
directly or indirectly, any voter registration drive? 0 Yes 0 No
(3) Provide a grant to an Individual for travel, study, or other similar purposes? . . . 0 Yes 0 No
(4) Provide a grant to an organization other than a charitable, etc., organization described in
section 509(aX1), (2), or (3), or section 4940(d)(2)? (see Instructions) 0 Yes 0 No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? . 0 Yes 0 No
b II any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in •
Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 23 of the instructions)? 5b N A
Organizations relying on a current notice regarding disaster assistance check here ► "1
c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax
because it maintained expenditure responsibility for the grant? 0 Yes d No
If "Yes," attach the statement required by Regulations section 53.4945-5(d). •
6a Did the foundation, dunng the year, receive any funds, directly or indirectly, to pay premiums t I
on a personal benefit contract? 0 Yes 0 No
b Did the foundation, during the year, pay premiums, directly or Indirectly, on a personal benefit contract? 6b
If you answered "Yes" to Eh, also file Form 8870.
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? . O Yes 0 No
b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? . . . 7b N A
Part VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
'I List an officers, directors, trustees, foundation managers and their compensation (see page 23 of the Instructions).
(b) nag and average fo) Comporcation (0) Contrsbutions to (0) Expme account.
(a) Name and address per week (If not pad, enter employee benefit lama gun , s wam"
devoted to posaon -0-) and deferred compensation
Jeffrey E. Epstein
Pres./Director 0 0 0
6100 Red Hook Quarters, St. Thomas, USVI Ctn. linter
in-
Darren K. Indi ir
Ghlsiaine Maxwe
ke
New York, NY
VP/Director
nn• hater
0 0 0
Treasurer 0 0 0
do George V. Delson Associates Claus henry
110 East 59th Street, New York, NY
2 Compensation of five highest-paid employees (other than those included on line 1—see page 24 of the instructions).
If none, enter "NONE."
(CO Contnbutoos to
ia) Title, and average (C) Compensation employee benefit (a) Expense account,
(a) Name and address of oath emPlOYeo paid Mom elan $50,000 hours per week """ plans and deferred other aliowancea
devoted to position compensabon
None
Total number of other employees paid over 550,000
Form 990-PF cz000
EFTA01714022
Form 090-PF moos" Paso 7
Part VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors Continued
3 Five highest-paid independent contractors for professional services (see page 24 of the instructions). If none, enter
"NONE."
(a) Name and address of each person paid more than 150,000 (b) Type of service (c) Compensatecn
David Grosot Consulting 50,000
San Francisco, CA 94131 _.. _ ._
-
Total number of others receiving over $50,000 for professional services ► 150,000
Part IX-A Summary of Direct Charitable Activities
List the founders:ate four largest direct chantable activities dung the tax year Include relevant stansheal inforrnaben such as trio number Expenses
of organszabcns and other beneficiaries served. conferences convened, research papers produced. etc
1
2
3
Part IX-B Summary of Program-Related investments (see nape 24 of the instructions'
Describe the two largest program•related investments made by the foundation outing the tax year on line:stand 2 Arnotait
1
2
Al other progrem-reested investments See page 25 of the metructims.
3
Total. Add lines 1 through 3 • Po
Perin 990-PF gum
EFTA01714023
Form 990-PP (2006) Pago 8
• Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see page 25 of the instructions.)
1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a Average monthly fair market value of securities to
b Average of monthly cash balances lb 4 464,942
c Fair market value of all other assets (see page 25 of the instructions) lc 18,015,066
d Total (add lines la, b, and c) Id 22,480,008
e Reduction claimed for blockage or other factors reported on lines 1a and ,
10 (attach detailed explanation)
2 Acquisition indebtedness applicable to line 1 assets 2
3 Subtract line 2 from line 1d 3 22,480,008
4 Cash deemed held for charitable activities. Enter Viz % of line 3 (for greater amount, see page 26
of the instructions) 4 337,200
5 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4 5 22,142,808
6 Minimum investment return. Enter 5% of line 5 6 1,107,140
Part XI Distributable Amount (see page 26 of the instructions) (Section 4942Q)(3) and Q)(5) pnvate operating
foundations and certain foreign organizations check here ► 0 and do not complete this part )
1 Minimum investment return from Part X, line 6 1 1,107,140
2a Tax on investment income for 2006 from Part V1, line 5
b Income tax for 2006. (This does not include the tax from Part VI )
c Add lines 2a and 2b 2c 0
3 Distnbutable amount before adjustments. Subtract line 2c from line 1 3 1,107,140
4 Recoveries of amounts treated as qualifying distributions 4
5 Add lines 3 and 4 5 1,107,140
6 Deduction from dIstnbutable amount (see page 26 of the instructions) 6
7 Distributable amount as adjusted. Subtract line 6 from lino 5. Enter here and on Part XIII,
line 1 7 1 107 140
Part XII Qualifying Distributions (see page 26 of the instructions)
1 Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 la 1,237,003
b Program-related investments—total from Part IX-B lb
2 Amounts paid to acquire assets used (or held for use) directly in carrying out chantable, etc ,
purposes 2
3 Amounts set aside for specific charitable projects that satisfy the:
a Suitability test (pnor IRS approval required) 3a
b Cash distribution test (attach the required schedule) 3b
4 Qualifying distributions. Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 4 1,237,003
5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income
Enter 1% of Part I, line 27b (see page 27 of the instructions) 5 0
6 Adjusted qualifying distributions. Subtract line 5 from line 4 6 1,237 003
Note:7he amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax in those years.
Form 990-PF pow
EFTA01714024
•
form 990.PF (2006) Pogo 9
Part XIII Undistributed Income (see oaae 27 of the instructions
lal 04 to) fie
Corpus rem poor to 2005 2005 2006
1 Distributable amount for 2006 from Part XI
line 7 1,107,140
2 Undistnbuted income, if any, as of the end of 2005: . - — ---
a Enter amount for 2005 only 0
b Total for pnor years: 20 20 20 0
3 Excess distributions carryover, if any, to 2006:
a From 2001 794,417
b From 2002 638,745 . !
c From 2003 432,491
d From 2004
e From 2005 139,200 _ __ _. "
t Total of lines 3a through e 2,004,853
4 Qualifying distributions for 2006 from Part XII,
line 4: to $ 1,237,003 • --- —— l
1
a Applied to 2005, but not more than line 2a 0
. .
b Applied to undistnbuted income of prior years (Election • i 7- •v 0 i: S. ' rs-I. •.. ..i
required—see page 27 of the instructions)
-‘ .. . if !
c Treated as distnbutions out of corpus (Election ii; ‘
0 -. tt
required—see page 27 of the instructions) • . •
d Applied to 2006 distributable amount - . ,, r bi t 1,107,1401
' 0 • -, • I , ,..•1
e Remaining amount distnbuted out of corpus 129,863
. r 4 4 0
5 Excess distributions carryover applied to 2006 • • i ".4 A
,• f • • r • ?. t` . ' ? '5
Of an amount appears in column (d), the same I. ! ; I
amount must be shown In column (a).) , .
• •
• i il ' •
.' l
1
t' is . :4, i 4
6 Enter the net total of each column as I ; ,r.. I. .‘ .. f i • i.
.;
9 • i
indicated below: ; ": . 1.1
a Corpus. Add lines 3f, 4c, and 4e. Subtract rine 5 2,134,716
- :
- '-‘. ;) I.. lb% J • f: .40 -4
b Prior years' undistnbuted income. Subtract :-/:,
• fr.! .4
line 4b from line 2b 0 t 4 3 :- 2 ti •.,„ , ,
„,.‘ .... r -
' i t .e • ;
c Enter the amount of prior years' undistributed ' 0 Z :
income for which a notice of deficiency has been -. • ...s' r 4 i •
.{
issued, or on which the section 4942(a) tax has ' .s.: : r9) . • tg•
been previously assessed • , ,:: 0 . Iv.- :- .
• .: . .. : i . " t. •i
d Subtract line 6c from line 6b. Taxable ' •
amount—see page 27 of the instructions 0 i. .- 9; : l'
e Undistributed income for 2005. Subtract line C.
C. 9
4a from line 2a. Taxable amount—see page •-• ' i , t •
27 of the instructions 0 i
f Undistnbuted income for 2006. Subtract fines . •
••
4d and 5 from line 1. This amount must be
distributed in 2007 0
1
7 Amounts treated as distnbutions out of corpus
to satisfy requirements imposed by section
170(b)(1)(E) or 4942(g)(3) (see page 28 of the
instructions) 0
8 Excess distributions carryover from 2001 not
applied on line 5 or line 7 (see page 28 of the
instructions) 794,417
9 Excess distributions carryover to 2007.
Subtract lines 7 and 8 from line 6a 1,340,299
10 Analysis of line 9:
a Excess from 2002 638,745
b Excess from 2003 432.491
c Excess from 2004
d Excess from 2005 . . 139,200
e Excess from 2006 . . 129,863
romi 990-PF (2036)
EFTA01714025
Form 990-PF 12006)
Page 10
Part XIV Private Operating Foundations (see page 28 of the instructions and Part VD-A, question 9)
to If the foundation has received a ruling or determination letter that it is a pnvate operating
foundation, and the ruling is effective for 2006, enter the date of the ruling ►
b Check box to indicate whether the foundation is a pnvate operati foundation described in section
n9 49420)(3) or ❑ 49420)(5)
2a Enter the lesser of the adjusted net Tax year Pnor 3 years
income from Part I or the minimum (a) Total
investment return from Part X for (a) 2006 to 2005 (c) 2004 (d) 2003
each year listed
b 85% of line 2a
c Qualifying distributions from Part XII,
line 4 for each year listed
d Amounts included in line 2c not used directly
for active conduct of exempt aclm0es
o qualifying distributions made directly
for active conduct of exempt activ0ies.
Subtract tine 2d from line 2c
3 Complete 3a, b, or c for the
alternative test relied upon:
a "Assets" alternative test—enter:
(1) Value of all assets
(2) Value of assets qualifying
under section 49420)(3)(B10)
b •Endowment' allemabve test—enter Ii of
minimum investment return shown in Part
X, line 6 for each year listed
c "Support" alternative test—enter
(1) Total support other than gross
investment income (interest,
dividends, rents, payments on
securities loans (section
512(a)(5)), or royalties)
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(JX3)(8)(M)
(3) Largest amount of support from
an exempt organization . .
(4) Gross Investment income . .
bawl Supplementary Information (Complete his part only if the foundation had $5,000 or more in assets
at any time during the year—see page 28 of the instructions.)
I Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(4)(2).)
Jeffrey E. Epstein
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion
of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here ► ❑ If the foundation only makes contributions to preselected charitable organizations and
unsolicited requsts for funds. If the foundation makes gifts, grants, etc. (see page 28 of the instructions) does not accept
to individuals or
organizations under other conditions, complete items 2a, b, c, and d.
a The name, address, and telephone number of the person to whom applications should
be addressed:
b The form in which applications should be submitted and Information and materials they should
include:
c Any submission deadlines:
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form 990-PF (20061
EFTA01714026
Form 99O-PF (2006) Page 11
Part XV Supplementary Information (continue
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient II reagent IF an "amIthlii• Foundation
show any relationship to ..„ . _, Purpose of grant or Amount
any founclabon manager `''`I-I' us contrifivben
or substantial contnbtaor ntoiPient
Name and address (home or business)
a Paid during the year
Statement 6
Total lio. 3a 1,186,000
b Approved for future payment
Total llo 3b 0
Form 990-PF (2006)
EFTA01714027
Pone 990-Pf (2006)
Page 12
Part XVI-A Analysis of Income-Producing Activities
Enter gross amounts unless otherwise Indicated Unrelated business income Excluded by section 512.513, or 514 (e)
Related or exempt
lo) (b) (c) (d) function income
Business code Amount Exclusion code Amount 0.ee page 29 of
1 Program service revenue: the instructions)
a
b -
c
d
0
f
g Fees and contracts from government agencies
2 Membership dues and assessments
3 Interest on savings and temporary cash investments 14 414,646
4 Dividends and interest from securities
5 Net rental income or (loss) from real estate: . , .
.
a Debt-financed property
b Not debt-financed property
6 Net rental income or (loss) from personal property
7 Other investment income
8 Gain or (loss) from sales of assets other than Inventory 18 (52,333)
9 Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory
11 Other revenue' a From partnerships 14 94,468
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) .i : i. r .' . 456,781
13 Total. Add line 12, columns (b), (d). and (e) 456,781
(See worksheet in line 13 instructions on page 29 to verify calculations.) 13
Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain below how each activity for which income is reported in column (a) of Part XVI-A contributed
V the accomplishment of the foundation's exempt purposes (other than by providing funds for such importantly to
Pape 29 of the instructions.) purposes). (See
N/A
roan 990-PF most
EFTA01714028
Form 99(hPF (2036)
Page 13
Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
1 Did the organization directly or indirectly engalte in any of the following with any other organization described Yes No
in section 501(c) of the Code (other than section 501(c)(3) organizations)
or in section 527. relating to politieel
organizations?
a Transfers from the reporting foundation to a noncharitable exempt organization of:
(1) Cash 1(i)
(2) Other assets 13(2)
b Other transactions:
(1) Sales of assets to a noncharitable exempt organization
(2) Purchases of assets from a noncharitable exempt organization
1b(1) '
11:(2)
(3) Rental of facilities, equipment, or other assets ttim ✓
(4) Rembursement arrangements 1b(4)
(5) Loens or ban guarantees 1b(5) ✓
(6) Performance of services or membership or fundraising solicitations 1b(6)
Shanng of facilities, equipment, mailing lists, other assets. Or parel employees le ✓
d If the answer to any of the above is "Yes: complete the following schedule. Column (b) should atways show the air manket
value of the goods, o her assets, or services given by the reporting foundation. II the foundation received less than
fair
value in any transactson or shanng arrangement, show in column(d) the value of the goods, other assets, services merkel
or received.
(a) Lno no (b) mount invoNed (c) Name of norichantable wieme' ofgancabon (d) Oescnption of fransten, transaCtrons, and shanng arrangenents
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
descnbed in section 501(e) of the Code (other than section 501(c)(3)) or in section 527?
0 Yes 0 No
b If "Yes complete the fotlowing schedute.
(a) Name of ereannahhn (b) Type of organaation (c) Ossenpoen of neatioraleP
Onder penallies ot perpsy. I deciare that I e ithasfietum. incluctne accompanyme schedeles and statements, and to Me bost of my knowkdge and
'tel, II Is In». correct, and tom We a n ereparer
ni.„4:450,24",}
;han taxpayer er aductary) es beseft on ah information of winch propere, tizS any knnvIedge.
1 ØSA --". I ia— s4--o--? \/„Ge•„ P
Sign Here
Signa tre of ofte! or trustee Dato 11(10
Q tstr
a ....__I
Date Preparets SSN er PUIN
Paid Check il (See Signaluro on page 31
selt-emPIoYed 1› 0 of tre insiructions I
Preparees Preparor's /g. /Ob 7
signaluro
Use Only Firm's name (or yØ Il
seh-effivloyed). adelraas.
Geo . e V. Delson Associates EIN I>
I and ZIP code New York. NY 10022 Phone no 1
Form 990-PF (Noe)
EFTA01714029
THE C.O.U.Q. FOUNDATION, INC.
13-3996471
FORM 990-FF - Y/E 2/28/07
STATENfENT 1
Part I, Line II
Other Income
Second City Capital Partners I, LP
K- I Entity 94,468
Prior period adjustment 190,000
284,468
STATEMENT 2
Part I, Line I 6(c)
Other Professional Fees
Consulting 50,000
Second City Capital Partners I, L.P.
K-I Entity 120,000
Total 170,000
EFTA01714030
THE C.O.U.Q. FOUNDATION, INC.
13-3996471
FORM 990-PF - Y/E 2/28/07
STATEMENT 3
Part I, Line 23
Other Expenses
Second City Capital Partners L.P.
K-I entity 1,926
Filing Fees 1,003
Professional fees - Second City
Capital Partners L.P. K-I entity 6,556
Bad debt expense - Second City
Capital Partners L.P. K-1 entity 582,151
Total 591,636
EFTA01714031
THE C.O.U.Q. FOUNDATION, INC.
EIN 13-3996471
FORM 990-PF - Y/E 2/28/07
STATEMENT 4
Part 11, Line 13
Other Investments
Fair
Book Value Market Value
Bear Steams Asset Backed
Securities Partners LP 7,289,911 11,870,413
Second City Capital
Partners I, LP 6,136,808 6,144,653
13,426,719 18,015,066
STATEMENT 5
Part IV, Line 2
Capital Gain Net Income (Loss)
Second City Capital
Partners I, LP K-I entity (52,333)
EFTA01714032
STATEMENT 6
THE C.O.U.Q. FOUNDATION INC.
13-3996471
FORM 990-PF VIE 2/28/07
PART I. LINE 25 AM) PART XV
CONTRIBUTIONS PAID
Date Name Amount Purpose
3/7/2006 Stockholm School of Economics 25,000 Unrestricted
5/3/2006 The Continium Center for Health & Hearing 25,000 Unrestricted
5/30/2006 Hunter College 3,000 Scholarship
6/1/2006 Martha Graham Dance Company 10,000 Scholarship
6/14/2006 Little Flower Children's Services 10,000 Unrestricted
6/28/2006 Robin Hood 50,000 Unrestricted
7/12/2006 Ballet Florida 20,000 Unrestricted
7/18/2006 Georgia Southern University 10,000 Scholarship
7/18/2006 William J. Clinton Foundation 25,000 Unrestricted
8/10/2006 Freestate Shooters 25,000 Unrestricted
8/11/2006 Zvi Tzedakah Fund 100,000 Unrestricted
9/1/2006 Institute of International Education 100,000 Unrestricted
9/6/2006 Alliance for Lupus Research 5,000 Unrestricted
9/8/2006 Happy Hearts Fund 100,000 Unrestricted
9/27/2006 Ovarian Cancer Research Fund 50,000 Unrestricted
10/3/2006 The Trilateral Commission 50,000 Unrestricted
10/5/2006 Faith in The Future, Inc. 5,000 Unrestricted
10/5/2006 National Council of Jewish Women 5,000 Unrestricted
1 1/10/2006 The Institute for Music & Brain Science 25,000 Unrestricted
11/16/2006 President and Fellows of Harvard College 100,000 Unrestricted
11/27/2006 Santa Fe Institute 75,000 Unrestricted
1/17/2007 Ballet Florida 15,000 Unrestricted
1/18/2007 Save Darfur Coalition 150,000 Unrestricted
2/7/2007 Stockholm School of Economics 50,000 Unrestricted
2/21/2007 Saint Peter's Prep 3,000 Unrestricted
2/22/2007 Scholar Rescue Fund 150,000 Unrestricted
1,186,000
EFTA01714033
OFFICE COPY
8868
I
Film Application for Extension of Time To File an
(Rov Apo! 2007) Exempt Organization Return Cate No 15454709
Cepirtment of the Treasury ► Fite a separate application for each return.
Internal Renews Some
• If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box • 0
• if you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form).
Do not complete Part hl unless you have already been granted an automatic 3-month extension on a previously fled Form 8868.
Part I Automatic 3-Month Extension of Time. Only submit original (no copies needed).
Section 501(c) corporations required to file Form 990-T and requesting an automatic 6-month extension—check this box and
complete Part I only ► 0
Al other corporations (including 1120-C filers), partnerships REMICs, end trusts must use Form 7004 to request an extension of
Gme to bk. Thcorrie tax returns.
Electronic Filing (e-file). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file
one of the returns noted below (6 months for section 501(c) corporations required to file Form 990-7). However, you cannot file Form
8868 electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group
returns, or a composite or consolidated Form 990-1. Instead, you must submit the fully completed and signed page 2 (Part II) of Form
8868. For more defogs on the electronic filing of this form, visit Mini Irs.goviefile and click on e-ftle for Charities& Nonprofits.
Type or Name of Exempt Organization Employer identification number
print THE C.O.U.O. FOUNDATION, INC. 13 3996471
Pile by the Number, street, and room or suite no. If a P.O. box, see nstnictIons.
due Cate for
fAnCI ?Our do George V. Dotson Associates, 110 East 59th Street
return See Qty, town or post office, state, and ZIP cede. For a foreign address, see instructions.
,nseuccons
New York. NY 10022
Check type of return to be filed (file a separate application for each return):
O Form 990 0 Form 990-T (corporation) O Form 4720
O Form 990-Bt. O Form 9904 (sec. 401(a) or 408(a) trust) O Form 5227
O Form 990-EZ O Form 990-7 (Mist other than above) (-7 Form 6069
O Form 990-PF O Form 1041-A O Form 8870
• The books are In the care of • Harry Beller
Telephone No. • (. ) IMO FAX No. • 1.1111 )
• If the organization does not have an office or place of business In the United States, Check this box 0
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEM If this is
for the whole group, cheek this box ► 0. If it is for part of the group, check this box • 0 and attach
a list with the names and EINs of all members the extension will cover.
1 I request an automatic 3-month (6 months for a section 501(c) corporation required to file Form 990-1) extension of time
until October 15 . 20.07 , to file the exempt organization return for the organization named above. The extension is
for the organization's return for.
• 0 calendar year 20 or
• 0 tax year beginning March 1 , 20 06 , and ending February 28 . 20 07
2 If this tax year is for less than 12 months, check reason: 0 Initial return 0 Final return 0 Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax,
less any nonrefundable credits. See Instructions. 3a 8,000
b If this application is for Form 990-PF or 990.7, enter any refundable credits and estimated tax
payments made. Include any ono- year overpayment avowed as a credit. 3b 18,872
c Balance Due. Subtract line 3b from line Sa. Include your payment with this form, or, if required,
deposit with FTD coupon or, it required, by using EFTPS (Electronic Federal Tax Payment
System). See instructions. 3c 0
Caution. If you are going to make an electronic fund withdrawal with this Form 8868. see Form 8453-E0 and Form 8879-60
for payment Instructions.
For Privacy Act and Paperwork Reduction Act Notice, see Instructions. Cat No 279160 Pam 8868 ON. 4-2007)
EFTA01714034
OFFME COPY
Form nee Ace. 42007) Page 2
• If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box . . ►
Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.
• If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).
maw '
nouruonai mot automatic, o-montn extension • OT •TIMM r ou must rite • •
onqinal aria one copy.
Type or Name of Exempt Organization • • - Employer Identification number
print THE C.O.U.0. FOUNDATION, INC. 13 i 3996471
. .
File W the Number, street and roan or suite no. II a P 0 box, see instructions •: : . • • For IRS use ordy
extended tip GEORGE V. OBSON ASSOCIATES, 110 EAST 59111STREET
due dale jog ..
f irel ee Cry. linen or post office, state end ZIP code For a tosegn address, see ineurbons. t •:4.c.•. t ,,-, r.z.i",;". ' z •: • " x
instructora NEW YORK, NY 10022 .... .. ..
Check type of return to bo filed (File a separate application for each return):
O Form 090 O Fonn 990-PF O Form 1041-A O Form 6069
O Form 990-BL O Form 090-7 (sec. 401(a) or 408(a) trust) O Form 4720 O Form 8870
O Form 990-EZ O Form 990-T (trust other than above) O Form 5227
STOP: Do not complete Part II If you were not already granted an automatic 3-month extension on a previously filed Form 8568.
• The books are in the maid IP HARRY 801 ER
Telephone No. e• (. 1 FAX No. e )
• II the organization does not have an office or place of business in the United States, check this box a• O
• II this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is
for the whole group, check this box ► O . If it is for part of the group, check this box lo 0 and attach a
list with the names and EINs of all members the extension is for.
4 I request an additional 3-month extension of tine until JANUARY 16 20 00
6 For calendar year or other tax year beginning MARCH 1 , 20.01., and ending FEBRUARY 28 40 07
6 II this tax year is for less than 12 months, chock roascn: O renal return O Final return O Change in accounting period
7 State in detail why you need the extension CERTAIN INFORMATION NECESSARY FOR A COMPLETE AND ACCURATE RETURN
IS NOT YET AVAILABLE
Ba If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax.
less any nonrefundable credits. See instructions. 8a $ 8,009
b If this application is for Form 990-PF, 990-T. 4720. or 6009, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit and any
amount paid previously with Form 8888. Ob $ 18,812
c Balance Due. Subtract Ime 8b from line 8a. Include your payment with this form, or. if required, deposit
with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions 8c $0
Signature and Verification
UnCer penalties ef poetry, I aware that I nave eXanned llvs IOrrn Witluding aCCanparrong SCMCk.eeS and Slelemen15, and to rile bell of my knowledge and Whet.
LI is see. =rect. andcorn:Seto. and that I ant authorized to props° this foam
Signature ► Tide • Deo P-
Notice to Applicant (To Be Completed by the IRS)
C We have approved this application Please attach this form to the organization's return.
We have not approved this application However. we have granted a 10-day grace period from the later of the date shown below or the due
date of the urgent:cationic return (including any prior extercione). This grace period is considered to be a valid extension of time for elections
otherwise required to be made on a timely return. Please attach this form to the organization's return.
We have not approved this application. Atter considonng the reasons stated in item 7. we cannot grant your request for en extension of time
to Se. We are not granting a 10-day grace period
❑ Wo cannot consider this application because it was filed after the extended due date of the rotten for which an extension was requested
Other
Br.
Director Odle
Alternate Mailing Address. Enter the address if you want the copy of this application for an additional 3-month extension
returned to an address different than the one entered above.
Name
Type or Number and street (Include suits, room, or apt. no.) or a P.O. box number
print
City or town, province or state, and country Oncluding postal or ZIP code)
Form 8868 prey 4-2007)
EFTA01714035