joiilman securities positions long date 07-os-01 page 4...

27
. . I 1 PORTFOLIO ACCOUNT 038036695 BASE CURRENCY . USO DATE 07-OS-01 PAGE 4 MARKET MARKET UNREALIZED LT/ST PRICE VALUE GAIN(LOSS) (DAYS) 18,367 0 341 1 0000 18 .367 0 92,003 5 .997- 295 17 0300 84,297 5,897 295 20 3000 79,518 I .11B 295 10 6700 37 .803 1 .397- 295 10 2800 192 .637 3 .363- 295 10 3100 486,257 3 .743- 504,624 3,743- RPTi 404 DELA14EY FAMILY FOUNDATION joiilman SECURITIES POSITIONS LONG JUNE 30 . 2001 GATE LOT QUANTITY COST OR UNIT ACQUIRED OTHER BASIS COST HONEY MARKET INSTRUMENTS GS FIIIANCIAL SQUARE TRUST JUN 5 01 001 18,366 18 .366 81 1 000 PRIME OBLIGATION PORTFOLIO 81 TOTAL MONEY MARKET INSTRUMENTS 18,366 81 EQUITIES GOLDMAN SACHS FUNDS APR 20 01 001 5 .402 98 .000 00 18 140 IIffL EQUITY FD INSTL SHS 426 GOLDMAN SACNS ASSET NGM7' GROUP APR 20 01 001 4 .152 78 .400 .00 18 880 GOLDMAN SACHS GROWTH OPPORTUNI 542 GOLDMAN SACHS ASSET hGtfT GROUP APR 20 01 001 7,452 70 .400 00 10 520 GOLDMAN SACHS LARGE CAP VALUE 471 GOLDMAN SACHS ASSET MGITf GROUP APR 20 Ol 001 3,677 39 .200 00 10 660 GOLDMAN SACHS INTERNET TOLLKEE 298 GOLDMAN SACHS ASSET MGMT GROUP APR 20 01 001 18,684 196,000 00 10 490 GOLDMAN SACHS STRATEGIC GROWTH 461 TOTAL EQUITIES 490,000 00 TOTAL LONG ACCOUNT 508 .366 81,/ GOLDMAN SACHS PORTFOLIO REPOR LOPXO!

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Page 1: joiilman SECURITIES POSITIONS LONG DATE 07-OS-01 PAGE 4 ...990s.foundationcenter.org/990pf_pdf_archive/526/... · robert 8 pamela oelaiiey fd11 portfolio account 038023644 realized

.. I 1

PORTFOLIO ACCOUNT 038036695 BASE CURRENCY . USO

DATE 07-OS-01 PAGE 4

MARKET MARKET UNREALIZED LT/ST PRICE VALUE GAIN(LOSS) (DAYS)

18,367 0 341 1 0000

18 .367 0

92,003 5.997- 295 17 0300

84,297 5,897 295 20 3000

79,518 I .11B 295 10 6700

37 .803 1 .397- 295 10 2800

192 .637 3 .363- 295 10 3100

486,257 3.743-

504,624 3,743-

RPTi 404 DELA14EY FAMILY FOUNDATION joiilman SECURITIES POSITIONS LONG JUNE 30 . 2001

GATE LOT QUANTITY COST OR UNIT ACQUIRED OTHER BASIS COST

HONEY MARKET INSTRUMENTS

GS FIIIANCIAL SQUARE TRUST JUN 5 01 001 18,366 18 .366 81 1 000 PRIME OBLIGATION PORTFOLIO 81

TOTAL MONEY MARKET INSTRUMENTS 18,366 81

EQUITIES

GOLDMAN SACHS FUNDS APR 20 01 001 5 .402 98 .000 00 18 140 IIffL EQUITY FD INSTL SHS 426

GOLDMAN SACNS ASSET NGM7' GROUP APR 20 01 001 4 .152 78 .400 .00 18 880 GOLDMAN SACHS GROWTH OPPORTUNI 542

GOLDMAN SACHS ASSET hGtfT GROUP APR 20 01 001 7,452 70 .400 00 10 520 GOLDMAN SACHS LARGE CAP VALUE 471

GOLDMAN SACHS ASSET MGITf GROUP APR 20 Ol 001 3,677 39 .200 00 10 660 GOLDMAN SACHS INTERNET TOLLKEE 298

GOLDMAN SACHS ASSET MGMT GROUP APR 20 01 001 18,684 196,000 00 10 490 GOLDMAN SACHS STRATEGIC GROWTH 461

TOTAL EQUITIES 490,000 00

TOTAL LONG ACCOUNT 508 .366 81,/

GOLDMAN SACHS PORTFOLIO REPOR LOPXO!

Page 2: joiilman SECURITIES POSITIONS LONG DATE 07-OS-01 PAGE 4 ...990s.foundationcenter.org/990pf_pdf_archive/526/... · robert 8 pamela oelaiiey fd11 portfolio account 038023644 realized

ROBERT 8 PAMELA OELAIIEY FD11 PORTFOLIO ACCOUNT 038023644 REALIZED GAINS (LOSSES I REPORT BASE CURREtICY, USD

JULY 1 TO JUNE 30, 2001 DATE 07-05-OI PAGE S

QUANTITY SALES PROCEEDS COST OR FX TOTAL ST/LT OTHER BASIS GAIN/LOSS GAIN/LOSS OTHER

1,000 95,371 81 11 .820 94 0 00 83,550 87 LT

95 .371 81 11 .820 94 0 00 83 .550 87

TERM GAINS 95,371 81 11,820 9e, D 00 83 .550 87 LOSSES 0 00 0 00 0 00 0 00

G TERM GAIN 95,371 81 ]1,820 94 0 .00 83 .550 0

i

GOP%OS GOLDMAN SACHS PORTFOLIO REPOR

GoiUman RPI . 412

SacUs

SECURITY DATE DATE ACQUIRED/ SOLD/ SOLD SHORT COVERED

THE GOIDHAN SACHS GROUP, INC NOV 26 94 APR 20 01 QIII

TOTALS

LONG

NET L011

Page 3: joiilman SECURITIES POSITIONS LONG DATE 07-OS-01 PAGE 4 ...990s.foundationcenter.org/990pf_pdf_archive/526/... · robert 8 pamela oelaiiey fd11 portfolio account 038023644 realized

GOLDMAN SACHS PORTFOLIO REPORT

r RPT, A12 UELAIIEY FAMILY FOUNDATION PORTFOLIO ACCOUNT 038036695 ;o~~lman REALIZED GAINS (LOSSES) REPORT BASE CURRENCY U5n

~~CILS JULY 1 TO JUNE 30, 2001 GATE 07-OS-01 PAGE 5

SECURITY DATE GATE pUA1fTITY SALES PROCEEDS COST OR FX TOTAL ST/LT ACQUIRED/ SOLD/ OTHER BASIS GAI11/LOSS GAIN/LOSS OTHER SOLD SHORT COVERED

THE GOIDHAN SACHS GROUP . INC NOV 14 96 APR 20 Ol 2 .376 226 .603 43 5,000 00 0 00 221 .603 43 LT 0111 NOV 26 94 APR 20 01 2,912 277,722 73 34 .422 75 0 00 243,299 98 LT

TOTALS 504.326 16 39,422 75 0 00 464,903 41

LONG TERN GAINS 504,326 16 39,422 75 0 00 464,903 41 LOSSES a 00 0 00 0 00 0 00

11E7 LONG TERN GAIN 504,326 16 39,422 75 T- 0 464.903 41,E

N

Page 4: joiilman SECURITIES POSITIONS LONG DATE 07-OS-01 PAGE 4 ...990s.foundationcenter.org/990pf_pdf_archive/526/... · robert 8 pamela oelaiiey fd11 portfolio account 038023644 realized

.r r . .~....~ . . .. . ~.. ... . .... ...I we I new I v I JIG-, all cc" V V WV

~Deca.Nr :OtE>

Oqien~m n m . Tn.~»n .u.n .i w..~w ia..c.

mpt Organization Return FJO a saparala siphcanon for each retm

OMB No 1545.170y

" M you a"o filing for a1i Automatic 3-Month ExFeneion, complete only Pen I era check this hox , , Is. 1 " It you are filing for an Additional (not aulomahcj 3 Month Extension complete only Part II (or. page 2 of this foi Note Do not complete Part Il unless you Navy already bean granted an automatic J-month extension on a pro wously filed Form 8868

FBI! by 11,0 Numuw, svaei,,na room or suPte no 11'a 'ip 1)04 see 11131rualoni cI.oa1e-v :̀'p (;OL~Ml~>1 S~1CH3 4 CO E5 B R(~AL' STREE : - ^_A~C DF PAF'?'f+ME:d^ imn9 W~~ _ raur, Sw City "o.n . or pass office .ta1a gb IiN FoCe For a rolcipn ~icumss ex MM aeon, wsn,taan : . NEW `: pRi; , n .̂ . 1[;00 1 Cheek type of return to a tiled (tie a saparntil appii~aiion for each roturn)

Form 990 I] fcrnf 390-7 (corporatiai) _] Fcrm 4720 [~ Form 99LLBL I Foril 930-7 t ;ec 401(ai or 408(x) trust) _] Form 5227

Fo'In 990-EZ ~ Forrtl 990.7 (u45t other than above) ~ ~ Form 6068 ]~ Form 99A-PF ~ Foml 1041 A Form 8870 0 11 the organize"ion does not have rtr o71ce or aca of 6isiriess in the United States, check this box ~ 9 If Tints is for a Group Return, eite, the organixpuon s four digit Gwuo Exam~ton Number (GEN) if tpis is for the whole group check this box pi~ :1 If it is0or pad of the group, check this box p. _1 and attacn a list with Ine names and EINs of ell niemberb trio extension will rover ~

1 t request an automatic 3-moncn (6~montn Ipr 99x7 corporation) extension o} time until -~es~~aF'( 1 5 , pp 0-to file the eunipl organuaLO-i ietum for thtl organa iLOn name-c! above The extension is for the organization's realm for t L_ c2lBndar year 2C - co P. [ tar yeas begmring --4un _~--

Z If this tax year is for less then :2 month;, cle:k rea..on I i

3a It this application is for Form 990-BL, 98DF~F 990-T a?2o nonrWi+ndablecredes See,nsi.ucuons i

" .r 11069 enter the tentative tax, less any

b If this application s for Form 3b0-PF or 99C-7 enter any retunaatle cretins ord estimated tax payments mane ~nclLCe any prior rear cverpayment'lioweU as a ;.react

c Balance Due Su:rtract line 30 rrom line 3a, Include your Daynent wCh Ins form or, it requited deposit wdh FTD coupar or, if required by using EijTPS (ci-ctronic Federal Tar Payment System) Set instructions

Signature ifi Verification s :i .coo 00

hCr-IS-0I 04 G7pr Frog T-11i POT/07 F-261

I Part I I Automatic 3-Month Extonslor)̀ of Time - Oriiy submit original (no copies nei;qed) Nots " Form 99x7 carparahons requesting an .~JtOIi47IY' bmontM axrensron "- check the? box and complete Pert 1 only All other corporations (mcludfrg Form 990-C (4orpJ must use Form 7004 to request an extension of lane to file income tax returns Partnersnp ;, REMICS and trusts; mist use Form 8736 to rr+quesi an extension o1 dune to trio Fo T) fi l6S d oss, or 7Pr1 Type or I Nemn of EaemDi Orgenvamn i Employer iAsn4fk~uon number prrrt RODE-IT a ?RttE-l, DEIiAN?Y FOI.ZV GA .̂50NT 1~ -398~31~

2G-andenUing T L"1~ 30 ,2p O1

-1 Initial retu "n L Final -arum 11 Crangein accounting penod

$ 12,77

$ 1,774

Jnet DoN~I ~s 71 pet ~q ~'Je_luc ~n .n I ,aw "~am r,K it n 4t~+ m]Raug i:comp, M,S ~:~paH ~n7 SU1'en ~nt~ enc IG Qie Cea1 U rry V1pn~e~ Y'1p x6d I O I'LB si- ¢I i10 ;cn01diG arc Thai I sin nip` `eC c u,apue sic I arm

/ I

For Paperwork Reduction Act Notice . Sire instruction Form 8868 ( .2 2x00)

V

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1 conmeumn+. gift. v-d.~. sce! r.e 1 7 U V . .~,-.eri 1r.~vc~a~ a a

2 Distributions from splR-Interesttrusts ;e;;,P" °°n°~-v 24 , 916 . 24 916 .

4 Dividends and interest from securities 30 , 989 . 30 , 9,8--9, _ 5o Gross rents

~ o 04st Miss 1~.W 0.) Net wInaAml~we o swunaton '

p 8, iim 10 Gmv was W1n b 0 estate On it. 8s O

Q 7 Gd41 Pin ins I~ (net Pmt N line Z 0 . 8 NetsAOA-tertncapital gain B Income modifications

t oss Drofi[ or (loss) 0 ' t

er`Ad`3" ~.4 ZO

~ ~ <69 . y <69 . Z~ ~STATEMENT 2

onG. "r tai Ine I mwu ~ 57 , 336 . 55 , 836 . 1 a~+. M 0 . 0 . 2- 0 " 11 Othe 75 Pension plans, employee benefits

$ 16a Legal fees 8 EAaounpnptoes STMT 3 1 , 500 . 0 . 1 , 500 . w c VL1101 professional tees z 17 Interest

to taxes STMT 4 33 , 300 . 0 . e-, 0 . 19 Depreciation and Repletion

of 20 Occupancy O a 21 Travel, conferences, and meetings

22 Printing and publications 23 Other expenses STMT 5 250 . 0 . e. 250 . 21 Total operating and administrative

$ anpeine: nCOlines f3through 23 35 050 . 0 . -x-~e_ 1 750 . 0 25 ContnbuUOns,pdts .grants paid 69 773 . 69 773 .

26 Total expenses and disbursements LLI aaalines zeano25 104 823 . 0 . ner-NP. 71 , 523 . Z 27 Subtract line 26 from line 12 _ ~ ~ ~ ~' ` A ,T '^

a Excess of revenue over expenses and disbursements <47 487 .

' ~ - ' o NetlmeslmemIncome pt ~wa .~do~ '" ~ 55 , 836 . 1 e Ad justed not Income at negrtn~erttar -C-) N/A

~L~ For Paperwork Reduction An Notice . see file Instructions Form 990-PF (2000) 01 10-01

For � 990-PF " Return of Private Foundation OMBNO 154~

w Section 4947(a)(1) Nonexempt Charttable Trust 2000 D,pvurwntolmeTr~fu7 Treated as a Private Foundation

'"'°"" Ftwei"" S°^'e Note The organization may be able to use a copy or this return to wash state reporting facliuMM1911ts.

Forcalendar year2000 orteiYearoeplnnlnp JUN 1, 2000 anoending MAY 31, 2001

G Check all that a InRUI return Final return Amended return [___J Address chan g e LJ Name chance

Use tie IRS Name o1 orpan¢a6on R Employer Idantillcition number

heel Otherwise, HE SASSOON FAMILY FOUNDATION 13-3748087

prim NunCe, anEitr~tlaPOOUnunibsllmWbnot"NwGbiIIwtdEnaf) P-^'ti"iti B Telephone number ortype /O GOLDMAN SACHS-SS BROAD ST-TAX DEPT . 212-902-6897

See Specific Instructions City or town, stale, and ZIP code C n wroeo~ .odem~ a w~wi~a ~ ~ 1

NEW YORK NY 10004 D 1 Foreqnorpanaations,check here Is

H Check type of oryanuatlon So on 501(c)(3) exempt private foundation 2 e°~,d,~n�'~"ine . ng ins &5% test ~0

OSection 4947(a)(1)nonexempt cnarRaDbtrust F-1 Other taxable private foundation E ttprivate tounOahonstatus wasterminated I Fair market value of all assets at J AccounUnp method ~ Cash 0 Accrual under section 507(b)(1)(A), check sera

end of year (from Part ll, co/ (c), ~ Other (specify) F It the foundation a In a 60-monN termination line 16 " $ 1 10 7 999 . (Pert I, column (a) must be on cash basis) under section 507 b 1 B , check sera 10-0

part 1Analysis of Revenue and Expenses (0) Disbursements (The total olamounts in columns (b), (a) Revenue and (p) Net Investment (c) Adjusted net for charRable (e), and (4 may not necesseny equal

expenses per income Income purposes books u / a tram naKK nnNl

Page 6: joiilman SECURITIES POSITIONS LONG DATE 07-OS-01 PAGE 4 ...990s.foundationcenter.org/990pf_pdf_archive/526/... · robert 8 pamela oelaiiey fd11 portfolio account 038023644 realized

Organizations that to llow SFAS 117, check here No. U and complete lines 24 through 26 and lines 30 and 31

24 Unrestricted .9 25 Temporarily restricted cO 26 Permanently restricted

Organizations that 0o not follow SFAS 117, check here " D and complete lines 27 through 31

27 Capital Stock, trust principal, or arrant funds ,°n 28 Paid-in or capital surplus, or land, bldg , and equipment fund

29 Retained earnings, accumulated income, endowment, or other lands 30 Total not assets or fund balances

F. 990-PF Qmo,

GMii 01 ,o 01

Form 99o-PF(2000) - THE SASSOON FAMILY FO

Balance Sheets

t Cash - non-interest-bearing 2 Savings and temporary Cash investments 3 Accounts receivable 0-

Less allowance for doubtful accounts 4 Pledges receivable 1111-

Less allowance for doubtful accounts 5 Grants receivable 8 RecervaDlas due from officers. directors, trustees, and other

disqualffied persons 1 7 OPSrocMlmem=-ft

Less allowance for doubtful accounts B Inventories for sale or use 9 Prepaid expenses and deterred charges Joe Investments -U 5 and state government obligations STMT 6

G Investments - corporate stock c Investments " corporate bonds

11 ~ms tinaakancenaWprarce~ LM 11020mmaa~m 1

12 Investments -mortgage loans 13 Investments - other is Land, buildings, and equipment bass 1

LMAMINMI111movReirw NIP 15 Other assets (describe 110P

17 Accounts payable and accrued expenses 18 Grants payable 19 Deterred revenue 20 Losn . xom o111~ al~n ouatw and emr elq~lAW p~

m 21 Mortgages and other notes payable

22 Other liabilities (describe " 1

ON jinninp of year 1 Book Value IGI Book Value

5-18 , 76-6w . 6_14 , 475- 643,755 .

. .. ..~ ... . k.f .. a . .. .. .... ~ ... . .a ..... . . .a. m

1 , 126 , 207 . 1, 078 , 719 . 1 , 107 , 999 .

1,126,207

I31 Total liabilities and hat eueuAuna balances 1 1,126,207 .

p~ 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 and-of-year figure reported on prior years retain)

2 Enter amount from Part I, line 27a 3 Older increases not included in line 2 (itemize) 10,

d Add lines 1, 2, and 3

5 Decreases not included in line 2 (dem¢e) " ROUNDING 6 Total net auets or fund balanras at end o1 veer (brae 4 minus line 51- Part II column (D) line 30

126,207 . <47 .487 .>

Page 7: joiilman SECURITIES POSITIONS LONG DATE 07-OS-01 PAGE 4 ...990s.foundationcenter.org/990pf_pdf_archive/526/... · robert 8 pamela oelaiiey fd11 portfolio account 038023644 realized

pa~[V Capttal Going and Losses for Tax on ImeshneM Income

(e) List and describe the land(s) of property sold (e p , real estate, 2-story b ri c k wa re house. o r common stock, 200 5h5 MLC Co

la n NONE

c 0 B

(e) Gross sales pots (0 Depreciation allowed (p) Cost or other basis (or allowable) plus expense of sale

'omplete only for assets showing gain m column (h) and owned by the founOahon on 17/d1/69

(I) F M V a5 011~1f69 U) ~Iu5te0 DiSR (t) Excess M cot (i) asoft~t/69 over colQ).ttury

Yes [XI No

1 Enter the appropriate amount m each

Masz, 01 1o-m

2 Capital gain net income or (net capital loss) { It am, also enter in Part I, hoe 7 1 it Plou), enter- m Part I, line 7 1

9 Not short-term capital pain or (loss) as defined in sections 1222(5) and (6) It gain, also enter in Part I, line 8, column (c) If (loss) enter-0-In Part 1, line 8

Part V I Qualification Under Section 4900(n) for Reduced Tax on Net Investment Income

(For optional use by domestic private founOa4ons subject to the section 4940(a) tax on net investment income )

If section 4940(4)(2) applies, leave this part blank

Was the organization liable tar lie section 4942 fax on the GistnbuGbk amount o1 any year in the base period)

13-

(c) Date acquired (G) Date sold (mo,0ay yr) I (mo,day,yr)

(h) Gam or (loss) (e) Des (Q minus (p)

(I) Gains (Col (A) pain minus cot (k), but not less than -0-) or

losses (from cot (A))

DrstrIDU6on mho Adjusted qualifying distributions I Net value of nonchaiilaGle-use assets I (cot (G) divided by cot

2 Total ofline l,column (d) < < " ''°°' 9 Average distribution 2bo for the 5-year base period -dmde the total on line 2 by 5, or by the number of years

the foundation has been m existence d less than 5 years 9 .4866636

1 Enter tie net value of nonchanla6la-use assets for 2000 from Part X, line 5 0 1 u [ 1 v Y 1 .

5 MutUpyline 4Dyline 3 I 5 496,903 .

B Enter 1 % of net investment income (1% of Part I, hoe 27b) 6 > >

7 ndalines 5anA6 7 497 , 46

B Enter qualifying distributions from Part %1I, line a 71,523 .

It line 8 s equal to or greater lion hoe 7, check the box in Part VI hoe 1D, and complete that part using a 1% tax rate See the Part VI instructors;

corn 990-PF ¢mq

Page 8: joiilman SECURITIES POSITIONS LONG DATE 07-OS-01 PAGE 4 ...990s.foundationcenter.org/990pf_pdf_archive/526/... · robert 8 pamela oelaiiey fd11 portfolio account 038023644 realized

e7 Form 99o-PF

0~, 01 u-m

1 a Exempt operating foundations described m section A940(C)(2), check here " U and enter NIA' on line 1 ,

Date of ruling letter (attach tour of ruling saner M naoessentee Instructions)

h Domestic organizations that meet the section 4940(e) requirements in Part V, check hem " O and enter 1% ~ 1 1 117 .

ot Pail 1, line 271b c All other domestic organizations enter Z% of line 27b Exempt foreign organizations enter 4% of Part 1 . line 12, col (b)

2 lax under section 511 (domesLC section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 2

3 Add lines 1 and 2 3 1 117 .

4 Subtitle A (income) tax (domestic section 49<7(a)(1) trusts and taxable foundations only Others enter -D-) 4 0

5 Tax based on Investment Income Subtract line 4 from line 3 It zero or less, enter- 5 1 , 117 .

6 Ciedrts/Payments a 2000 estimated tax payments and 1999 overpayment credited to 2000 63 17 , 142 .

0 Exempt toreipn organizations -fax withhold at source 60

o Tax paid with application fore#ension of time to file (Form 8868) 0 Backup withholding erroneously withhold 60 7 Total credits and payments A00 lines 6a through 60 7 17 42 .

B Enter any penalty for underpayment of estimated tax Check here 0 d Form 2220 is attached 8

9 Tax due M the total of lines 5 and 8 is more than line 7, enter amount owed 10. B

10 Overpayment it line 7 is more than the total 01 lines 5 and 8, enter the amount overpaid . 10 16 , 025 .

11 Enter the amount of line 10 to be Credited to 2001 estimated to " 16 02 5 . Refunded Do- 11

0part YII-R Statements Regarding Activities

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did it participate or intervene in Yes No

anypolitical rampaqn? 11 X

6 Did d spend more than $700 during the year (either dirady or indirectly) for political purposes (sae instructions for definrtion)? 1D X

If the answer is 'Yes' to 1 a or 1 D, attach a detailed description of the activities end copies of any materials published or

distributed by the orpen¢eCOn in connection *7th the actrvitio& e Did the organization file Form 1120-POL for the yeah 0 Enter the amount (d any) of tax on political expenditures (sec4on 4955) imposed durung the year

(1) On the organization " S 0 " (2) On the organization managers " S 0

e Enter the reimbursement (A any) paid by the organization during the year for political expenditure fax imposed on the orpamrabon

managers " S 02 Has the organization engaged in any activities that have not previously peen reported to the IRS

If 'Yes,' attach a detailed description of the aclivibas. 3 Has the organization mace any changes, net previously reported to the IRS, in ft governing instrument, articles of incorporation . or

bylaws, or outer similar instruments? If 'Yes,' attach a conformed copy of the changes 9 X

ba Did the organization have unrelated business gross income of $1 .000 or more during the yeah Is X

0 H Yes,' has R filed a tax retain on Form 990-T for this yeaf9 N/A 60

5 Was there a liquidation, termination, dissolution, or substantial contraction during the yeal~ 5 X

If 'Vas,' 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 seta legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law

remain in the governing instruments B X

7 Did the organization have at least $5,000 in assets at any lime during the yeah If 'Yes,' compote Part 11, cot (c), end Pert XV

So Enter the states to which the foundation reports or with which d a registered (see instructions) 1 NEW YORK

h If the answer is Yes' to line 7, has the organization fir mished a copy of Forth 99o-PF to the Attorney General (or designate)

of each state as required by General Instruction G? If 'No,' attach explanation BD X

B Is the organization claiming status as a private operating foundation within the meaning of section 4944(j)(3) or 4942(1)(5) for calendar

year 2000 or taxable year beginning in 2000 (see instructions for Part )(IV)? If 'Yes,' complete Part X1V 9

10 Did any persons become substantial contributors during the tax year? 10 X

If 'Yes' attach a schedule listing their names end addresses 11 X 11 Did the organization comply with the public inspection requirements for its annual retains and exemption application?

12 The books are in careot " GOLDMAN SACHS b CO - TAX DEPT . Telephone no "212-902-6897 Located at " 85 BROAD STREET, NEW YORK, NY ziPi4 .10004

13 Section 4947(a)(1) nonexempt charitable trusts filing Form 99o-PF in lieu o1 Form 1 Dal - Check sera

and enter the amount of tax-exempt interest received or accrued Cunnu the veer 10.1 13 ~ N/A F~ 990-PF goon,

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13-3748 Form FAMILY

File Form 4720 H any item is checked In the 'Yes' column, unless an "caption applies

to During the year did the organization (either directly or indirectly) (1) Engage m the sale or exchange, or leasing of property with a disqualified persons 0 Yes EU No

(2) Borrow money from, land money to, or otherwise extend cradR to (or accept 9 from)

a disqualified persons ~ Yes D Nn

(3) Fumish goods, services, or hGINes to (or accept them from) a disqualified persons 0 Yes 0 No ( " ) Pay compensation to, or pay or reimburse Ne expenses at . a disqualified persons =yes 0 No

(5) Transfer any income or assets to a disqualified person (or nuke any of e11Aer avaiWDle for the benefit or use of a disqualified person) ~ Yes EKI No

(8) Agree to pay money or properly to a government otfraal9 (Exception Check'NO' A the organization agreed to make a pant to or to employ the official for a period after termination of qovemmenl service, rttermlnatlnp within 90 days ) 0 Tat EXI No

o n the answer is Yes'to ta(lH6), as am of Ne ads fail to quality under the exceptions described in Regulations section 53 a941(0}3 or m a current notice regarding disaster assistance (see page 20 of Me instruchons)? N/A

Organizations relying on a current notice regarding disaster assistance check sera e DM the organization engage in a prior year m any of the acts described m 1a, other than excepted ads, that were not corradeE

before the first day of the fax year beginning m 2000 2 rues an failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation

defined In section 4942(1)(3) or 4942(j)(5)) e At the and of fax year 2000, did the organization have any undistributed income (hoes 6G and 6e, Part %11I) for fax year(s) beginning

0 Yep M No before 2000 n Yes; list the years

b Are there any years listed m 2a for which the orpan¢a6on is not applying the provisions of section 4932(a)(2) (relating to incorrect

valuaban of assets) to the years undistributed mcome9 (M applying section 4942(a)(2) to all years listed, answer 'No' and attach statement -see instructions )

c Infra provisions of section 4942(a)(2) are hemp applied to iffy o1 the years listed m 2a, list the years pert 1110.

3a Did the organization X010 more than a 2% direct or indirect interest N any business enterprise at any time during Neyeah Ayes M No

D It Yes,' Old it have excess business holdings In 2000 as a result o1 (1) any purchase by the organization or Cisquallfie0 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 pal or bequest, or (9) the lapse o1 Me to-, 15-, or 20year first phase holding panad7 (Use Schedule C,

Form 4720, to determine A the organization tied excess busness holdings in 2000) N/A

41 Did the organization Invest during the year any amount in a manner that would jeopardize its charitable purposes7 b Did the organization nuke any investment m a prior year (put after December 31, 1969) that could Jeopardize it charitable purpose that

had pat been removed from jeopardy before the first day of the tax year beginning m 2000 6a During the year did the organization pay or incur any amount to

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(a))? 0 Yes 0 No

(2) Influence the outcome o1 any specdic public election (see section 4955), or to carry on, EiroGry or inuvecty, any voter registration drive? ~ Yes ~ No

(3) Provide aqanttoanindividual fortravet,stuOy,orothersimilarpuryosas9 DYes ~No (1) ProvMe a goof to an organization, other than a charrta0le, etc , organization described in sermon

509(a)(1 ), (2), or (3), or section 4940(E)(2)? 0 Yes WNo

(5) Provide tar any purpose other than religious, charitable, scientific. literary, or educational purposes, or for the prevention o1 cruelly to children or animals ~ Yes D No

D h any answer a 'Yes* to Sa(1)-(5), as am at the transactions fad to quality under the exceptions described in Regulations section 53 4945, or m a current notice regarding disaster assistance (see instructions)) NBA

OrqanQations raying on a current notice regarding disaster assistance check here c if the answer is 'Ves'to question Sa(4), does the orpan¢ahon clam exemption from the tax because A maintained

expenditure responsibility for the grant? N/A Yes No If 'Yes,' attach the statement required by Regulations section 53 4945-5(d)

Ba Did the orqanQabon, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract) [:D Yes 0 No

D Did the organization, during the year, pay premiums directly or indirectly . on a personal benefit contract? 1/ you answered 'Yes' to 66, also file Form 8870

`9b 4e X

~oo` ~ ' ~X

56 , �

Bb X

F,m, 690-PF Rooq

ozav, Di 12 Oi

17 Page 5

Yes No

o ~~

X

~o ,

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'orm99o-PF(20oo) THE SASSOON FAMILY FOUNDATION 13-3748087 Pag e 12

Part XVII Information Regarding Tramten To and Transactions and Relationships With Nonahu11a61e Exempt Organizations

1 DO the organization directly or indirectly engage in any of the following with any other organization described in secUan 501(c) of Yes NO

Na Code (other than section 501(c)(3) orqanm4ons) or m section 527, relating to political organizations?

a Transfers from the reporting oryanvation to a noncharRaGla exempt organization of .~.M_ .. . ;.5 ie t X (1) Cash

(2) Other assets b Other Transactions

U2 X

(1) 52185 of assets to a nOnCh7nI7bIB exempt organization 111 1 1 ) X

(2) Purchases of assets from a noncharrtabb exempt organization 1 b (2) X

(3) Rental of facilities . equipment . or other assets 11(31 X

(0) Reimbursement arrangements 1D 0 X

(5) Loans or loan guarantees INS)

X

(6) Performance atservices ormembership orlundralsinpsolicitations c Sharing o1 facilities, equipment . mailing lists, other assets, or paid employees

0 if the answer to any of the above is Yes; complete the following schedule Column (G) should always snow the by market value of the goods, other assets,

or services given by tie reporting organization it tie organization received less than fair market value In any transaction or sharing arrangement, snow m

2a Is the organization directly or Indirectly affiliated with . or related to, one or mope tax-exempt orpanmdons described m section 501(c) of the Code (other than section 501(c)(3)) or m section 527 0 Yes EYLI No

v~ 990-PF (eom

m~sz, m iooi

Urbv pvyl0a a 7 I ErJVi Vut I h o1 (ovr

"7= o ' Sqnature of officer or tae

c PreDarers' signature

y a mQ rnm.~t>wo TH a~ n~mowan '1345

NEW

Adm, inducting s=nN/Inp WiaaNa ~0 Nbnsib, ~M b 7N Dst of m/ YroW~Ep. nG EYwI It u Nn, totted, W EOUVm a C~fb m III Inbm~Em of vTM Onp~~ Pe ~' bw~bP

Dr'~~`~ Dec. I1t. 001 'TRUSTEE Dale Title

r'P ,~ � a CheckA A.rw" SSNOrP

em to ed " 0 RSRN T.T.P FIN

AVENUE OF THE AMERICAS ORK . NY 10105

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THE ORGANIZATION'S PRIMARY ACTIVITY IS TO SUPPORT, BY CONTRIBUTIONS, OTHER ORGANIZATIONS QUALIFYING FOR E}CEDSP770N UNDER SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE THE TRUSTEES CHOOSE THESE ORGANI-ZATIONS BASED UPON THEIR KNOWLEDGE OF THE ORGANIZATIONS'ACTIVITTES NO CONTRIBUTIONS, GRANTS, GIFTS, LOANS OR SCHOLARSHIPS ARE MADE TO INDIVIDUALS THE ORGANIZATION DOES NOT PRESENTLY RECEIVE APPLIGq-TIONS OR CONDUCT PROGRAMS FOR DONATIONS IN ITS ACTIVITIES

FOUNDATION NAME: THE SASSOON FAMILY FOUNDATION

EIN 73-3748087

SUPPLEMENTARY STATEMENTS

PART XV LINE 2 SUPPLEMENTAL INFORMATION

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Page 1

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,THE SASSOON FAMILY FOUNDATION 13-3748087

GOLDMAN SACHS 6 CO .~ 85 BROAD STREET, NEW YORK, NY VARIOUS 10004 1,500 .

" NO GOODS OR SERVICES WERE TOTAL INCLUDED ON LINE IA PROVIDED IN CONSIDERATION 1,500 .

FOR THE ABOVE-MENTIONED CONTRIBUTION.

FORM 990-PF OTHER INCOME STATEMENT 2

AMOUNT

TOTAL TO FORM 990-PF, PART I, LINE 11, COLUMN A <69 .>

FORM 990-PF ACCOUNTING FEES STATEMENT 3

(C) (D) ADJUSTED CHARITABLE NET INCOME PURPOSES

TO FORM 990-PF, PG 1, LN 16B 0 . 1,500 . 1,500 .

FORM 990-PF TAXES STATEMENT 4

(C) (D) ADJUSTED CHARITABLE

NET INCOME PURPOSES

TO FORM 990-PF, PG 1, LN 18 33,300 . 0 . 0 .

STATEMENT S) 1, 2, 3, 4

FORM 990-PF CASH CONTRIBUTIONS OF $5000 OR MORE STATEMENT 1 INCLUDED ON PART I, LINE 1A

DATE OF CONTRIBUTOR'S NAME CONTRIBUTOR'S ADDRESS GIFT AMOUNT

DESCRIPTION

FOREIGN CURB EXC . LOSS <69 .>

DESCRIPTION

ACCOUNTING FEES

(A) EXPENSES PER BOOKS

1,500 .

1B1 NET INVEST-MENT INCOME

0 . 1,500 .

DESCRIPTION

FEDERAL TAX EXT . PYMNT FYE 2000

(A) (B) EXPENSES NET INVEST- PER BOOKS MENT INCOME

33,300 . 0 . 0 .

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THE SASSOON FAMILY FOUNDATION 13-3748087

FORM 990-PF OTHER EXPENSES STATEMENT 5

(D) CHARITABLE PURPOSES

250 .

250 .

EXPENSES NET INVEST-PER BOOKS MENT INCOME

250 . 0 .

250 . 0 .

(C) ADJUSTED

NET INCOME DESCRIPTION

NYS FILING FEE

TO FORM 990-PF, PG 1, LN 23

FORM 990-PF U .S . AND STATE/CITY GOVERNMENT OBLIGATIONS STATEMENT 6

643,755 .

643,755 .

614,475 .

614,475 . TOTAL U .S . GOVERNMENT OBLIGATIONS

TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS

TOTAL TO FORM 990-PF, PART II, LINE 10A

STATEMENT S) 5, 6

U .S . OTHER DESCRIPTION GOVT GOV T

SEE ATTACHED SECURITIES LONG X POSITION

BOOR VALUE FAIR MARKET

VALUE

614,475 . 643,755 .

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RPI' . 904 THE SASS" FAMILY FOUNDATION PORTFOLIO ACCOUNT 038007779 (~Q~$0 SECURITIES POSITIONS TANG BASE CURRENCY U50

I MAY 31, 2001 DAZE 08-30-01 PAGE 5

~ . DATE TAT QUANTITY COST OR UNIT MARKET MARKET UNREALIgD LT/S7

ACQUIRED Q171ER BASIS COST PRICE VALUE GAINILO5.41 (DAYS)

CURRENCIES

BRITISH POUNDS AUG 25 00 001 7 .672 11,205.73 1 .461 10 .867 339- 87 AUG 31 00 002 10 .000 14,539 .00 1 .054 14 .164 375- 93 SEP 7 00 001 10 .000 14,066.00 1 407 14.164 98 100 SEP 29 00 001 163 240.94 1 475 231 10- 121 OCT 31 00 001 180 260 86 1 .949 Y55 6- 154 NOV 23 00 001 23,000 32,625 .50 1 .419 32,577 48- 177 NOV 30 00 001 166 236 55 1 .425 235 1- 184 DEC 29 00 001 240 158.30 1 493 340 is- 212 JAN 31 O1 001 239 399.6; 1 .463 319 11- 246 FEB 28 O1 001 201 290.63 1 .446 2B5 6- 274 MAR 30 O1 001 205 290 59 1 418 290 0 304 APR 30 O1 001 213 104.76 1 .431 302 3- 335 MAY 31 01 001 2]1 298.86 ] .416 299 0 366

POSITION TOTAL 52 .490 75,066 115 1 .430 1 4164 74 .347 720-

TOTAL CURRENCIES 75,066 .85 74 .547 720-

MONEY MARKET INSTRUMENTS

lWP-WMEY 10(T PORTFOLIO IIIJ11 JAN 13 00 001 500,000 500,000.00 1 000 500,000 0 LT FEB 1 00 001 1,423 1,423 .18 1 .000 1,421 0 LT

.IB MAR 1 00 001 2,215 2,215 .02 1 .000 Y,215 0 L7

.02 APR 3 00 001 2 .401 2,401 .43 1 000 2,401 0 LT

43 MAY 1 00 001 2,379 2,379 84 1 .000 2,360 0 L7

.d4 JUN 1 00 001 2,552 2,552 26 1 .000 2,552 0 2

.P6 JUL 3 00 001 2 .620 2,620 .44 1 .000 2,620 O 34

.04 AUG 1 00 001 2 .744 2,744 .37 1 .000 2,744 0 63

37 SEP 1 00 001 2,754 2,754 .88 1 .000 2,755 0 94

OCT 2 00 001 2,676 2,676 20 1 000 2,676 0 125 .2

NOV 1 00 001 2,775 2,775 .83 1 .000 2,776 0 155 .B3

s

oer.ee GOLDMAN SACHS PORTFOLIO REPOR7

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POR[FOLIO ACCOUHi 038007779 BASE CURRENCY, USD

DATE OB-30-O1 PAGE 6

MAIOKE7 MARKET UNREALIZED LT/ST PRICE VALUE GAINILO551 IUAYSI

2,704 0 185

2,805 0 217

2.707 0 247

2.230 0 275

2,317 0 307

2 .101 0 336

1 .0000 539 .408 0

539,408 0

613,755 720-

RPf, 804 THE SASSOON FAMILY FOUNDATION SECURITIES POSITIONS LONG

MAY 31, 2001

DATE LOT QUAWITY COST OR UNIT ACQUIRED QiFIER BASIS COST

MONEY MARKET INSTRUMENIS

lOIP-l1001EY !WT PORTFOLIO ALAI DEC 1 00 001 2 .704 2,704 .39 1 .000 ;9

JAN 2 O1 001 2,804 2,804.67 1 .000 .67

FEB 1 O1 001 2.707 (,707.23 1 .000 .23

MAR 1 01 001 2 .230 2,230 O4 1 .000 .04

APR 2 O1 001 2,317 2,317 .41 1 .000 91

MAY 1 O1 001 2,100 2,100.83 1 .000 .83

POSITION TOTAL 539,408 539,408 .02 1 000 .02

TOTAL MONEY MARKE7 I16TRUIff1(I9 539,408 02

TOTAL LONG ACCDUKr 614,474.87

oevKee GOLDMAN SACHS PORTFOLIO REPOR

Page 17: joiilman SECURITIES POSITIONS LONG DATE 07-OS-01 PAGE 4 ...990s.foundationcenter.org/990pf_pdf_archive/526/... · robert 8 pamela oelaiiey fd11 portfolio account 038023644 realized

THE SASSOON FAMILY FOUNDATION PORTFOLIO ACCOUNT 038007779 REALIZED GAINS (LOSSES) REPORT BASE CURRENCY . USD

JUNE 1 TO MAY 31, 2001 DATE 09-30-01 PAGE 7

QUANTITY SALES PROCEEDS CO'T OR FX TOTAL ST/LT QINER BASIS GAIN/LASS GAIN/LOSS DINER

0 0 00 90 .00 90 .00- 90 .00- .1 ORD 0 0 .00 76 00 76 00- 76 .00-7 OpO 0 0 00 IY9 00 129.00- 1C9 00-2 ORD 0 0 .00 19 .00 19.00 19 00 2 Olm 0 0 .00 249 .00 249 00- 249 00-7 Dim 0 0 00 960.00 460.00 460 00 2 Olm

0 00 69.00 69 .00- 69 .00-

iNARY GAINS 0.00 079.00 079.00 079 00 LOSSES 0.00 598.00 598,00_ B 00-

INApY L059 0 .00 69 00 69 .00- 69 00-

6 I

DATE DATE ACQUIRED/ SOLD/ SOLD SHORT COVERED

JUL 13 00 AUG 03 00 AUG 10 OD AUG IS 00 AUG 25 00 SEP 01 00 AUG 31 00 SEP 05 00 SEP 07 00 SEP 14 00 NOV 23 00 NOV 27 00

BRITISH POUNDS

TOTALS

Dim

MET OM

2 Gain/Loam !s a resin! of a Mark to the Market Adjustment

GOLDMAN SACHS PORTFOLIO REPORT avXu

RPI . 912 ~joldmau aces h. Y1

sr. .+ " .,~ :f SECURITY

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OCT 15 2001 14 39 p

Oft-15-01 02 32pm From- T-023 P 02/02 F-041

Form 8868 Appucatior~ for kxiension oT lime to rue an (December '~Di rl Exempt Organization Return Oke No 1545 7709

OvoYM1N 0l CM IrvO Wry ~~ P~ ;���e ~ File a Separate Application for each return

" If you are filing for an Automatic 3-Month Entltnsion, complete only Part I and Check this box W 13 " If you are filing for an Additional (not automi 3-Month Extension, complete only Part 11 (on page 2 of this form) Note Do not complete Part 11 unless you have ~Slroady been granted an automatic 3-month extension on a previously filed Form 9868. Pert I Automatic 3-Month Extension of Time - Only submit original (no copes needed) Note Form 99a7 corporations requesting en a romaf~c 6-month extension - check this pox and complete Part 1 ony IN. CD All other corporations (incfudmg Form 99aC Idero must use Form 7004 to request an extension of time to Me income tax returns Pannersnros kEMIGs and trusts must use Form 18736 to request an extension of tune to /He Form 7065 1066, or 1041

Type or Name of Exempt OrganisaVOn nmD"er memmcaLOn numoer

pant THE :ASSOON FAMILY OUNDATION I 13-3%48087 File oy ms NumDB( s70N M7IOOm or suds no It PO box See Mtructions a,ieants ior C/0 C,OLDMAN SACH & 0 - TAX DEPARTMENT filing yo01 rorvm Sue City, town a pmt ice. -late and DP ~ Fa .lamps adCrass see instructions ~nswroons

85 BPOAD STFEET, NE

~nI YORK, -NY, 10004 Check type of return to be filed (file a separate application for each return) [] Forth 990 ~] Form 990-7 (corporation) [] Form 4720

Form 99(f-BL ~] Form 990-T (sec 401(a) or 40B(a) trust) [] Form 5227 Form 99(FEZ ~] Form 990-T (trust other than above) [] Form 6069

~X Form 99 tFPF 1] Forml t0a1~A [] Form 8870

" If the organization does not have an office or p lace of business in we United Slates, check this box

" If this is fog a Group Return, enter the organsz#non's tour digs Group Exemption Number (GEN) _ It this is fog the whole group check this box lp [] It if is Itor pan of [he group, check this box ji~ C]and anach a list with the names and EINS of all members the extension will cover

r"--- 1 I requa:t an automanc 3-month (6-month Ipr 99o-T Corporation) extension of time until JANUARY SS . , pp 0 L ,

to file the exempt organization return for the organization named above The extension is for the organization's return for

calendar year 20 - or tax year beginning O 1 JOE_ ~ , 20 ~ and ending MAY 3 1, , 20 0 1

2 If this tax year i5 for 1855 than 12 months, Creek reason [] initial return 0 Final return [] Change in accounting penod

3a If this application is for Forth 99D,BL, 990~FIF, 990-T, 4720, or 6069, enter the tentative tax, less any nOf1fBtuflCl8bl6 CfEd115 $02 instructions 1 § 1 1 Ib

b If this application is for Form 990"PF or 99(j-7, erner any refundable trades and estimated tax payments made include any prior year overpayment ~Ilowea as a cretin S 0, 1 + 2

c Balance Due Subtract line 3G from line 3a, Include your payment with this form, or, if required, deposit with FlD coupon or, d rtquiren by using EfFTPS (Electronic Federal Tax Payment System) See instructions , g r4aM.6

Signature and Verification timer oeneuies of uenuh I o,-Clan mad 1 MA uununw ms b~ mch"anq icCOmpanPn) :cneoWH ena smemenu am to me obs~ of mr ~owisage arm ballet n . : we COnpCI i00 CO~~pl61i EOO f1441 am pbNOnL ID PrlPOfe tpR

I~1-1" tm

7we" ~ ./11 Daie1 / e 4/0 4 For Paperwork FeEUC[wn Act Natlee, set I)i51ru~ etlcn Fam 8868 i 12 2000)

5. S IF FEDDM6F i

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Return of Private Foundation or Section 4947(a)(7) Nonexempt Charitable Trust

Treated as a Private Foundation rte Tile orqaNiahm maybe able b use a coot/ of this realm 1o saeslv s1ata remnuv, r.

OMB No 15 4SO052

2

2o 01 Name change

number

age 10 of the msW chonsl

oscartnreni a the Tw..y Internal R.. Saroce

For calendar year 2000, or tax year beginning 10-1 , 2000, and ending 9-30 G Check all that apply 0 initial return 0 Final return ~ Amended return EJ Address change

identification Use the IRS namao, orpanirauon label BIEHLE FOUNDATION, INC

Otherwise, Number and street (or PO box number if mail is rot delivered to street address) Room/suite print ortype 9605 WEST U.S . HIGHWAY 50 See Specific City«iwm stale and ZIPCade Instructions SFYMQIIR . IN 47974 H Check type of organization U Section 501(c)(3) exempt private foundation ] Section 4947(a)(1) nonexempt charitable trust 0 Other taxable private foundation I Fair market value of all assets at end J Accounting method [:J Cash V] Accrual

of year (from Part ll, cot (c), [:] Other (speedy) line 16) lj~ E (Part l, column (d) must be on cash basis)

C M eamPdon appiw4on is pending Uack here jl~ 1-1 D 1 Foreign oyan¢ahons, check here 1 O 3 Foreign oiganlu6ons meehrg the BS% test

check here and attach wmputahon mi~ El E K pnvdte IourWahm status was terminated under section 507(b)(1)(A) check here

F H the foundation is in a 60-month tertninauon under section 507(b)(1)(B),check here mi~ El

(d) Disbursements (a) Revenue aM expenses per

books

(b) Net investment (c) Adjusted net for charitable income II1COme nurtvtcx

-0-

26,863

'V For Paperwork Reduction Act Notice, see the Instructions Isn STF FE02037F f

Ferri 990-PF (zooo)

Form 990-PF

Part I Analysts of Revenue and Expenses (ihetdald amam m od~ fbl, (c), and(d) rrdrnd neoessanH evd Use amounts m edam (a) (mspage f0 ame mwiaaa)l

1 Contributions, gifts, grants, etc , received (attach schedule) 2 Distributions from split-interest trusts 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities Sa Gross rents b (Net rental income or (loss) )

6a Net gain or (loss) from sale of assets not on line 1( b Gross sales price for all assets on line 6a m

7 Capital gain net income (from Part IV, line ?) 8 Net short-term capital gain 9 Income modifications 70a Gross sales less retains and allowances b Less Cost of goods sold c Gross profit or (loss) (attach schedule)

11 Other income (attach schedule) 12 Total. Add lines 1 through 11 13 Compensation of officers, directors, trustees, etc

y 14 Other employee salaries and wages 15 Pension plans, employee benefits 16a Legal fees (attach schedule)

LLJ b Accounting fees (attach schedule) c Other professional fees (attach schedule)

17 Interest 18 Taxes (attach schedule) (see page 14 0( the instructions)

c 19 Deprecation (attach schedule) and depletion c"! E 20 Occupancy 9) 'o ,r a 27 Travel, conferences, and meetings N c 22 Punting and publications

tm 23 Other expenses (attach schedule) 24 Total operating and administrative expenses

Add lines 13 through 23 N 0 25 Contributions, gifts, grants paid

26 Total expenses and disbursements Add lines w 24 and 25

27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements

6!p b Net Investment Income (if negative, enter -0-)

-0-

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8 Part XIII Undistributed income (see page 24 of the instructions)

(a) I (b) I (~) I (d)

Corpus Years prior to

1899 1999 2000

0 .00

N/A

N/A

0 .

0 .00

A

Form yyu-rr (zooo) STF FED2W7F B

Form ssaPF (2000)

1 Distnbutable amount (or 2000 from Part XI, line 7

2 Undistributed income, rf any, as a( the end of 1999 a Enter amount for 1999 only b Total for prior years 19-,19-,19-

3 Excess distributions carryover, if any, to 2000 a From 1995 N/F b From 1996 N/F c From 1997 N/F d From 1998 N/F

e From 1999 f Total of lines 3a through e

4 Qualifying distributions for 2000 from Part XII, line 4 ~$ N/A

a Applied to 1999, but not more than line 2a b Applied to undistributed income of prior years (Election

required - see page 25 of the instructions) c Treated as distributions out of corpus (Election

required - see page 25 of the instructions) d Applied to 2000 distnbutable amount e Remaining amount distributed out of corpus 5 Excess distributions carryover applied to 2000

(1/ an amount appears m column (d), the same amount must be shown m column (a))

6 Enter the net total of each column as indicated below

a Corpus Add lines 3f, 4c, and 4e Subtract line 5 b Prior years' undistributed income Subtract line

4b from line 2b c Enter the amount of prior years' undistributed

income far which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed

d Subtract line tic from line 6b Taxable amount -see page 25 of the instructions

e Undistributed income for 1999 Subtract line 4a from line 2a Taxable amount - see page 25 of the instructions

f Undistributed income for 2000 Subtract lines 4d and 5 from line 1 This amount must be distributed in 2001

7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(8)(3) (see page 25 of the instructions)

8 Excess distributions carryover from 1995 not applied on line 5 or line 7 (see page 25 of the instructions)

9 Excess distributions carryover to 2001 Subtract lines 7 and 8 from tine 6a

10 Analysis of line 9 a Excess from 1996 N A b Excess from 1997 N A c Excess from 1998 N A d Excess from 1999 e Excess from 2000 N A

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1a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2000, enter the date of the ruling ~ N/A

b Check box to indicate whether the organization is a private operating foundation described m section 49420(3) or 2a Enter the lesser of the adjusted net Tax yam, Prior 3 years income from Part I or the minimum

investment return from Part X for lad sooo (b) Hess (c) iese (a each year listed

b 85% of line 2a c Qualifying distributions from Part XII,

line 4 for each year listed N/A N/A N/A d Amounts included in tine 2c not used directly

for active conduct of exempt activities e Qualifying dislnbWons made directly for active

conduct of exempt activities Subtract line 2d from line 2c 0 .00 0 .00 0 .00

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)(8)(i) b 'Endowment* alternative test - Enter % of

minimum investment retain shown m Part X, tine 6 for each year listed

c 'Support' alternative test - enter (7) 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 49420)(3)(13)Gmq

(3) Largest amount of support from an exempt organization

(41 Gross investment income

N

Part XV Supplementary Information (Complete this part only if the organization had $5,000 or more m 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 contributions received by the foundation

before the close of any tax year (but only if they have contributed mare than $5,000) (See section 507(d)(2) )

Fog� 990-PF (sooo) 57FFEEM17F 9

Forth B90.PF (2000) Page 9

7987 1 (a) Total

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 N/A

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc , Programs Check here 1~ E] if the organization only makes contributions to preselected charitable 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 N/A

b The form in which applications should be submitted and information and materials they should include N/A

c Any submission deadlines N/A

d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other (actors N/A

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Fwm 980-PF (2000) Page 10

Part XV Supplementary information (continued)

$iF FE020J7F 10

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(a) I (b) I kl Business code Amount Exclusion code

g Foes and contracts from government agencies 2 Membership dues and assessments 3 Interest on sarongs and temporary cash investments 4 Dividends and interest from secunties 5 Net rental income or (loss) from real estate

a Debt-financed property b Not debt-financed property

6 Net rental income or (loss) horn personal property 7 Other investment income 8 Gam or (loss) Gam sales of assets other than inventory 9 Net income or (loss) from special events

10 Grass profit or (loss) from sales of inventory 77 Other revenue a

b c d e

12 Subtotal Add columns (b), (d), and (e) 13 Total Add line 12, columns (b), (d), and (e) (See worksheet in line 13 instructions on page 27 to

13

STF FED2077F 71

Form esarF

Enter gross amounts unless otherwise indicated

1 Program service revenue a N/A b c d e f

Unrelated business intone

Page 11

2, 513, a 514 (e) Related

or exa.pt

(d) function income Amount (See page 26 0l

Ne inSWChonS )

Line No I Explain below how each activity for which income is reported in column (e) of Part XVI-A contnbuted importantly to the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes) (See page

Farm 990-PF (zooo)

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Form B90.PF (2000) Page 12 Part XVII Information Regarding Transfers To and Transactions and Relationships With Nonchantable Exempt

1 Did the organization directly or indirectly engage m arty of the following with any other organization described m section 501(c) of the Code Yes No (other than section 501(c)(3) organizations) or m section 527, relating to political organizations?

a Transfers from the reporting organization to a nonchantable exempt organization of (1) Cash tell) X (2) Other assets 1a 2 X

b Other Transactions (1) Sales of assets to a nonchantable exempt organization 1b t X (2) Purchases of assets from a noncharitable exempt organization 1b ( 2) X (3) Rental of facilities, equipment, or other assets ' 1b 3 X (4) Reimbursement arrangements 1 4 X (5) Loans or loan guarantees 1b5 X (6) Performance of services or membership or fundraising solicitations 1b6 X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1c X d If the answer to any of the above is "Yes; complete the following schedule Column (b) should always show the tar market value

of the goods, other assets, or services given by the reporting organization Ii the organization received less than fair market value m any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received

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 m section 5277 ~ Yes [] No

b If "Yes," complete the following schedule Name of

A A

Under penalties of penury, l declare that I haw examined W5 return including accompanying schedules and statements, and to true cortect and complete Declaration of preparcr (other than taxpayer or fiduciary) is based m all information of which pre

_ w. ~ . /~ .G. Y / i / , i

it o/ my knowledge and belief, it is any knowledge

d / Signature of officer

d S

Date Preparei s SSN or PTIN Check if (See Signature on page 28 self-employed 0- of the instructions I

-/~~t> Z EIN " 351832992

noun, IN 97279 Phone no 812-522-7717 Form 990-PF (2000)

Preparer's

, ~~' A

Rrtn's name (or yours d Ma .[nc uu-emyoyea) enaress, . John, P .S

and zirmae 115 W . Tioton, Se

STF FE070J7F 12

iZ aeo a° a m a

Date / Title

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SALOMON SMITH BARNEY Page 1 of 4 A member of cidqroupAr Client Statement

Ref 000077050DOD1752 September 1 - September 30, 200 1 ppFx/FA 1 o~23-m H

Account number 190-05585.19 827

Branch 800.826-7597 Email aeN h beliben@rssmb com

Earnings summary This Penod This year Dividends $11195

Account value Last period Th is penod °

Moneylunds t2373854 123,30834 2597 Accrued money fund dividends 4430 26 68 03 Mutuelfunde 69.81187 88,64168 7404 Not value 11193,092 51 " 88,87948 100

Money funds earning Total

'Galnlloss sums Unrealized oam a, (k

This period This yeai 14.128861 Nnlrsnnl,nh/a

i S; 87j

19010162705585000001205 301271AJ01 WEB00190A BIEHLE FOUNDATION INC. ATfN MICHAEL BIEHLE 9607 W. US HIGHWAY 50 SEYMOUR IN 47274-9424

SALOMON SMITH BARNEY INC. Your Financial Consultant SETH H BALIBAN $7E 10D N 1ST TRUST x(70 SOUTH 5 STREET LOUISVILLE KY90203 5025614097

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Page 2 of 4 A member of cmqroup'f Client Statement Ref 00001105 0000¢253 September 1 - September 30, 2001

Account number 190.05585-19 627 --- - Portfolio summary This period Year-to-clate Opening value of securities 9309251 99,01833

+ Opening cash balance 000 ODD =Opening portfolio balance 9309251 9901833

Securities depositeCIwiMdrewnnet 000 000 Capital depositediwithdrawn not 000 000 Adjusted opening value 93,097 51 99,018 33 Closing value of securities 89,87348 89,87348

+ Closing cash balance 000 001) = Closing portfolio value 89.873 48 89,873 48

Note Securities dspoolted/wlCidrewn net - The value of securities on the day they were debited from or credited to the account as reflected In the "Other security activity' section Capital deposited/withdrawn net - Cash withdrawals and deposits, credlt card payments, FMA Card activity, ehect$ written, and Money funds/Insured Deposit AaounN' transfers

Cash, Money funds and Bank deposits Thispenod

Opening balance $23,23854

Securities bouarit end other subtractions -11195

000 11195

Securities gold and other additions Dividends credited

Money funds earnings reinvested 6980 Closing balance $23,30634

Number Date Share Curtant Current Unrealized Yield/Anticipated of shares Description acquired Cost cost share price value gain/(loss) income (annualized)

740298 BLACKROCK INDEX EDUITV FD 11/08100 18,50000 12705 . 1981 14,71270 (11,7878p) S7 204248 CLASS C 01/08N1 5,00000 2440 1981 4,00530 1994701 5T 213311 03/06101 5,00000 2344 1987 4,18303 1878971 S7 232342 0.3/43/01 6,00000 2152 1961 4.55823 (44377) ST 890 187 21,800 00 24 162 17,468 78 (4,OA3 24) 238

4183

SALOMON SMITH BARNEY

BIEHLE FOUNDATION INC.

Portfolio details _ The values of your holdings are as of 09128101 . Please note, unrealized gem/(loss) is being prepared for informational puiposes only and should not be used (or tax preparation without the assistance of your fax advisor

Money funds Number Currant Accrued

Annualized % dividend Yield/Antidpated of shares Description value dividends Income (annualized)

23,308 34 SB MONEY FUNDS CASH PORT CL A $23,30634 $2558 2 98% 1 894 64

Total money funds $23,30834 . 11,2558 297, .. --- _-,

- -- - __ _ . , . .___ _ _ 189482

Mutual Yield is the current distribution annualized, divided by the fund's net asset value at the end o/ the statement period Distributions may consist of funds income, capital gams or the return of capital Distributions /or funds not sponsored by Salomon Smith Barney are based upon information provided

n outside vendor and are not ven(ed by Salomon Smith Barney 'Total Value (Tax Based)" is being provided for information purposes only und Performance", when shown, is provided to assist you In companng your total Investment, excluding reinvested distributions, with the currant

value of the fund's shares in your account "Fund Performance" does not take into account cash distributions

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Page 3 of 4 A member of cmqroupT Client Statement

Transaction details

Investment Date AcIINry Descrtptlon Quantity Price Amount activity W/04101 Reinvest PIMCO TOTAL RETURN FUND CL C 10433 $ 1073 $_117y5

Total securities bought end other subtractions $_> Total securities sold and other additions

SALOMON SMITH BARNEY

Red 00002(15 00001254 September 1 - September 30, 2001

BIEHLE FOUNDATION INC. Account number 190-0558519 827

Mutual Number Dale Share Current Current Unrealized Yield/AntIGpated funds of shares Description acquired Cost cost share pnce value gain/(loss) Income (annualized) con(inued 328 9e2 MASS INVESTORS GROWTH STOCK 17/08/00 !6,50000 " 1988 11042 13,40694 If3,093081 ST

329815 FUND CLASS C 01/08/01 500000 1518 1042 3,43867 17,583331 5T 355872 03/05i01 500000 1405 1042 3,70819 1191811 ST

1,012849 Total Purchases 18,60000 1828 1042 10,66180 15,948 20) 33481 Heinveatmentetodate 53450 18089 1042 39858 1187921 S7

1,06691 Total Value (Tax based) 17,03460 18287 10JIM 38 X8,138121 Fund Performance 18,60000 10,89838 15,19010216

1042701 PIMCO TOTAL RETURN FUND CL C 11/08/00 10,50000 1007 1087 11,334 16 83416 ST 712251 01/08/01 750000 1053 1087 7,74217 24217 ST 475737 03/05/01 5,00000 1051 1087 5.17126 17128 ST 472144 03/23/07 5,00000 1059 1087 5,13221 13221 ST

2,M2 833 Total Purchases 28,0D0 00 1038 1087 28,97880 1,37880 84083 Reinvestments to date 89099 1048 1087 91376 3277 ST

2,788898 Total Value lTexbessdl 28,88088 10383 308368 1,41467 4768 1,0082

Fund Performance 28,0100 00 30,29358 2,283 60804 VANKAMPENEMERGING GROWTH FD 11/06/00 450000 88 5B 3485 1,77046 (2,72955) ST 57394 CLASS C 01/08r01 3,00000 5227 3485 2,00018 (99982) ST 106219 03/0501 5.00000 4752 3485 388888 11333121 S7 413416 Total Purchases 12,60D00 6867 3486 7,3761 (6,08248) 13066 Reinvestments rodate 75493 57778 3485 45535 (79958) ST

428181 Total Value (7axbeesd) 13,26493 68628 7,89288 16,382071 Fund Performance 12.1500 00 7,89288 14007 t41

Total mutual funds (Tax based) 80.6M 42 _ " 68,64156 1. 14,128 861 ST 222 , _- F600 LT " 148286

Total portfolio value _ "_103,97878 . 189,84790 1" 1",12888) ST 242 _1000 LT _ _ " 4.77777,