treated as a private foundation...
TRANSCRIPT
F¢rm 990-PF Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation p¢p3Nnem of the Treasury Iniem2i Revenue Service Note The o n7atlon ma be able lo use a co of this return to Sails state re
Fnr ,alendar user 2001 . or tax veer bealnnlna , and ending
2001
A Employer Identification number 06-1519819
B Telephone cumber (see page 10 0l the instructions)
561-655-7776 C If exemption application is pending check he;;__10_ D t Foreign organi :atlons, check here 1
2 Foreign org meeting the 85%
test, check here and attach computation
E If private foundation status was terminated
under section 507(Ext)(A) check here
F If the foundation is In a 60-month termination
under Section 507(C)(1 HB) check here
Use the IRS Name of ofpanlzauon
label JANET A . CARRINGTON FOUNDATION Otherwise, Number end street (or P O box number II mall Is rot delivered to west address)
print C/O ROBERT C. SIMSES, ESQ or type 140 ROYAL PALM WAY
See Spetlflc City or down state and LP code Instructions PALM BEACH FL 33480
H Check type of organization Section 501(c)(3) exempt private foundation
RooMSwte
Cash I I Accrual
(a) Revenue and (d) DISDursements
expenses per (b) Net investment (G) Adjusted net /pr charitable Gooks Income income ( purposes
trash basis on~)
;x . - .
i
,$ y
2
27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements
b Net Investment Income (if negative, enter -0-)
~. _97~A~
(,q{y001 05IOBl2002 12 15 PM
1 Fair market value of all assets at J Accounting method
end of year (Born Part II, cot (c), a Other (specify)
line 1611f 4,164, 5471 (Part l,column (d)musl
Part 1 . � ~ Analysis of Revenue and Expenses (The tout of amount in cot (b), (c) 8 (d) may not necessanly
7 Contributions gifts . grants etc received (attach schedule)
Check 1 0 d the foundation Is not required to an Sch B
2 Distributions Nom split-interest trusts
3 Interest on savings and temporary cash Investments
4 Dividends and interest from securittes
Sa Gross rents R b (Net rental income or (toss) ) e 6a Net gain or (loss) horn sale of assets not on line 70
b Gross sags pro for an assets 101,351 e on line 6a n 7 Capital gain net inc (from Pan IV line 2) STMT 1
8 Net short-term capital gain
9 Income modifications 'IOa Gross sales less returns and allowances
b Less Cost of goods sold
c Gross profit or (loss)(att schedule) 17 Other income (attach schedule) 12 Total Add lines 1 throu gh 11
A 13 Compensation of officers, directors, trustees, etc m 14 Other employee salaries and wages I 15 Pension plans, employee benefits
n ^ t6a Legal lees (attach schedule) I
b Accounting fees (attach Schedule) e t c Other professional fees (att sch ) STMT Z r r 57 Interest a a a 18 Taxes (art scn)(sea 14 of tnelnstr) t t I I 19 ~ att s " ) 8 depletion
' ~ ve,)~renU ~andmeellngs re EI 122 Pnnlmveot72ublkaUbns
ON I GhBi expenses ( " F,h schedule) 24 T a~fd qdmlnistratlve expenses
s -- gifts, grants paid ,96
rormNau-rr cuul aJeuval n . l~eilcxlPIl9lVtv rvua~unalva~ vv-17i7017 rage t
fait !t Balance Sheets Attached schedules and amounts in the descApuon column Beginning o1 year End of ear should be for and of year amounts onry (Sae Instrucllons ~ e Book Value b Book Value c Fair Market Value
1 Cash-non-interestbearlng - 1 2 Savings and temporary cash investments 1 , 65-9 , 55-7 647 394 314 7 Accounts receivable
Less allowance for doubtful accounts 1 4 Pledges receivable "
Less allowance for doubtful accounts 5 Grants receivable 6 Recervables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the instructions)
A 7 Other notes 8 loans receivable 1 Less allowance for doubtful accounts 1 V
s 8 Inventories for sale or use e t 9 Prepaid expenses and deferred charges 5 10a imeestmenu-u s arm state po~emmem obligations (an schedule) STMT 3 1 , 497 , 505 2 , 494 , 335 2 , 578 , 21-5-
to Invesvnents-mrporatestock (attachschedWe) STMT 4 1 , 174 , 889 1 , 121 , 234 938 , 938 e Investments-corporate bonds (attach schedule)
17 Investments-land, buildings, 8 equipment basis 1 Lass accumulated deprecation 1
12 Investments-mortgage loans 13 Investments-other (attach schedule) 14 Land, buildings, and equipment basis 1
Less accumulated depreciation 11. 15 Other assets (describe 1 ) 78 Total assets (to be completed by all filers-see page 16 0(
the Instructions Also, see page 1 , Item 1 ) 4 . 331 , 950 4 , 262 , 963 4 , 16-4 , 54.7 17 Accounts payable and accrued expenses 40 , 000 210 000 18 Grants payable - , ,
~F4 ;` . b 19 Deferred revenue 20 Loans from officers, directors, trustees, and other disqualified persons
I 21 Mortgages and other notes payable (art. sch 22 Other liabilities (describe " ~ . ; . e.
"s`~,x i ̂ " s 23 Total liabilities add lines 17 through 22 4 0 , 000 210 , 000 ° ~~¢~; a N Organizations that follow SFAS 117, cheek here 1 ` u t and complete lines 24 through 26 and lines 30 and 31 A 24 Unrestricted " s 25 Temporarily restricted
28 Permanently restricted s Organizations that do not follow SFAS 117, check here
and complete lines 27 through 31 27 Capital stack, trust principal. or current funds qy,M M :
a 28 Paid-in or ca "bay, i, capital surplus, or land bldg " and equipment fund B 29 Retained earnings, accumulated income, endowment, or other funds 4 , 291 , 9 5 0 4,052,963 , :`sc i 30 Total net assets or fund balances (see page 17 of the " sriw
' )Li;o a instructions) 4 , 291 , 950 4 , _05_2 , 96_3_ ' ~~40 , a . a 31 Total liabilities and net assets/fund balances (see page 17 of ; s the lnstnicllons) 4 .331 .950 4 .262 .963
50
4
Form `J`JU-Pt(2001)
CARDO 10510812002 12 15 PM
Pert Ift �" Analysis of Changes in Net Assets or Fund Balances
7 Total net assets a land balances at beginning of year-Part II, column (a), line 30 (must agree with end-of-year Agure reported on prior year's return)
2 Enter amount from Part I, line 27a 3 Other increases not Included in line 2 (itemize) 1 4 Add lines 1, 2, and 3 5 Decreases not included in line 2 (itemize) 1111.
CAROM 05I08I2002 12 15 PM
(e) List and describe the kind(s) of propeMY sold (e g , real estate I (b) 2 story brick warehouse or common stoGC 200 sAs MLC Co ~
(h) Gain or (ion)
(e) plus (f) minus (g)
-14,28 -36,02 -94 .99
(I) Gains (Col (h) gain minus
col (k), but nod less than .0-) or
Lasses (from col (h))
-14,28 -36,02 -94,99
-145,29
_sn an
(k) Excess of col (1) 0) Adjusted basis (I) FMV as of 12/31/69
If section 4940(d)(2) applies, leave this part blank
Was the organization liable for the section 4942 tax on the dlsUibutable amount of any year In the base period? Yes No If 'Yes,' the organization does not quality under section 4940(e) Do not complete this part
Ibl I (c) Adjusted qualifying distributions Net value of rqnChadNable-use assets
56,107 4 .241,9 :
B Enter qualifying distributions from Part XII, line 4 1 8 ~ 2 21,55 6 If line 8 is equal to or greater than line 7, check the box In Part VI, line 1b, and complete that part using a 1% tax rate See the Part VI Instructions on page 18
ore Form 990-PF (xoo»
(e) GmSS sales pots (1) Depreciation allowed
P
(p) CoStwaNerba915
c
Z Capital gain net income or (net capital loss) I( gain, also enter In Pan I, line 7 If (loss), enter -0- m Part I, line 7
7 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6) If gain, also enter in Part I, line B, column (c) (see pages 13 and 17 of the insWChons)
If flossl enter-0. m Part 1 . line 9
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )
(c) Date acquired (d) Date Sold (mo, day, yr ) I into day, yr )
2 Total of line 1, column (d) 2 1 .6274 3 Average distribution raUo for the Syear base penoddivide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years 3 0 .5424
d Enter the net value of noncharilable-use assets for 2001 from Part X, line 5
5 Multiply line 4 by line 3 L5 1 - 22,06 2 .
8 Enter 1% of net investment income (1% of Part I, line 27b)
7 Add lines 5 and 6
CM007 05/0872002 12 15 PM
1a Exempt operating foundations described in section 4940(4)(2), check here 1 U and enter "NIA' on line 1
Dale of ruling letter (attach copy of ruling letter If necessaryaee Instructions)
b Domestic or anizahons that meet the section 4940(e) requirements in Part V, check
here 1 ~ and enter 1% of Part I, line 27b
C All other domestic organizations enter 2% of line 27E Exempt foreign organizations enter 4% of Part i line 12, cal (h)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter "0")
3 Add lines 1 and 2
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)
5 Tan based on Investment Income Subtract line 4 from line 3 If zero or less, enter -o-
6 Credits/Payments
a 2001 estimated tax payments and 2000 overpayment credited l0 2001 6a 6 3 7 ,
b Exempt foreign organizations-tax withheld al source 6b
c Tax paid with application for extension of lime to file (Form 8868) 6c
d Backup withholding erroneously withheld ~ 6d
7 Total credits and payments Add lines 6a through 6d
8 Enter any penalty for underpayment of estimated tax Check here O d Form 2220 is attached
9 Tax due It the total of lines 5 and B is more than line 7, enter amount owed 1
10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid 1 11 Enter the amount of tine 10 to be Credited to 2002 estimated tax 1 1 . 2 B 0 1 Refunded 1111-
6
to During the lax year, did we organization attempt to influence any national, state, or local legislation or did Yes No it participate or intervene in any political campaigns 1a X
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of the instructions for definition)? 1b X
If the answer is 'Yes' to 1a or 1b, attach a detailed description of the activities and copies of any materials published or distributed by the organization m connection with the activities
c Did the organization file Form 1120-POL for this year? 1c X d Enter the amount (if any) of lax on political expenditures (section 4955) imposed during the year
(1) On the organization 1 $ (2) On organization managers 1 $ e Enter the reimbursement (it any) paid by the organization during the year for political expenditure tax imposed
on organization managers " $ 2 Has the organization engaged in any activities that have not previously been reported to the IRS 2 X
If *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 X 4a Did the organization have unrelated business gross income of 57,000 or more during the year? 4a X b If "Yes," has it filed a tax return on Form 990-T (or this year? NBA 4b 5 Was there a liquidation, termination, dissolution, or substantial conVachon during we year? 5 X
If -Yes: attach the statement required by General Instruction T 6 Are the requirements of section 508(e) (relating to sections 4947 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 inslrument'+ 6 X
7 Did the organization have at least $5,000 In assets at any time during the yeah If 'Yes,* complete Pan II cot (c) and Pan XV 7 8a Enter the stales to which the foundation reports or with which it is registered (see page 19 of the
instructions) Bo- FL %
b I! 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 GI If "No,' sit explanation Bb X
9 Is we organization claiming status as a private operating foundation within the meaning of section 4942Q)(3) or 4942Q)(5) far calendar year 2001 or the taxable year beginning in 2001 (see instructions for Part XIV on page 25)? If 'Yes," complete Part XIV g ][
10 Did any persons become substantial contributors during the tax year? If 'Yes' an a sch listing their names 8 addr 10 11 Did the org comply with the public inspection requirements for its annual returns 8 exemption application? 11 X
Web site address 1 12 The books are incare of " ROBERT G . SIMSES, ESQ . Telephone no 1 561-655-7776
Lowteoat " PALM BEACH, FLORIDA ZIP+q " 33480 13 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF In lieu of Form 1041 -Check here
and enter the amount of tax-exempt interest received or accrued during we year 1 ~ 13 I DAA Form 990-PF (2oot)
CAROO1 05/08,12W2 12 15 PM
orw
-1
File Form 4720 if any Item Is checked In the "Yes" column, unless an exception applies Yes No ~> xy, :
to During the year did the organization (either directly or Indirectly)
(1) Engage in the sale or exchange, or leasing o! property wish a disqualified person? O Yes ~ No ~�---g°(
(2) Borrow money from, lend money lo, or otherwise extend credit to (or accept it from) ` ~~c .~°
a disqualified person? Yea No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified parson? ~ Yea ~ No ,
(4) Pay compensation lo, or pay or reimburse the expenses of, a disqualified person? Yes No ° d= ~ a'?°
(5) Transfer any income or assets to a disqualified person (or make any of either available ''
�rya ~,~Va~` for the benefit or use o! a disqualified person)? 0 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 oMGal for a period ~;
after termination o! government service, I( terminating within 90 days ) ~ Yes ~ No :~F 3'~"y~.~u b I! any answer is 'Yes' to 1a(1 F(6), did any of the acts fail to quaky under the exceptions described in Regulations
section 53 4941(dF3 or in a current nonce regarding disaster assistance (see page 19 of the instructions)? N/A 11b
Organizations relying on a current nonce regarding disaster assistance check here
e Did the organization engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before we first day of the lax year beginning in 2001? N/A to
2 Taxes on failure to distribute income (section 4942) (does riot apply for years the organization was a private
operating foundation defined In section 4942Q)(3) or 49420(5)) ^'`f '` a Al the end of tax year 2001, did we organization have any undistributed income dines 6d ^ } y�(
and 6e, Part XIII) for tax year(s) beginning before 2001? ~ Yes ~ No If 'Yes,' list the years " 20 , 19 , 19 , 19 "" ,,'x �",`'ht
m n b Are there any years listed in 2a (or which the organization is not applying the provisions of section 4942(a)(2)
(relating to Incorrect valuation of assets) to the year's undistributed incomes (If applying section 4942(a)(2)
to all years listed, answer'No' and attach statement-see page 19 of the instructions ) N/A 3b^ c It the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here
20 , 19 , 19 , 19 3a Did we organization hold more than a 2°,6 direct or indirect interest in any business
enterprise at any time during we yeah O Yes 0 No b If 'Yes," did It have excess business holdings in 2007 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 70" , 15, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the organization had excess business holdings in 2001 ) N/A 7b
43 Did the organizaUOn invest during the year any amount In a manner that would jeopardize its charitable purposes? 4a X b Did the organization make any Investment in a prior year (but after December 31, 1969) that could jeopardize its charitable
purpose that had riot been removed from jeopardy before the first day of the tax year beginning in 20017 4b X Sa During the year did the organlzauon pay or Incur any amount to .�.£
(1) Carry on propaganda, or otherwise attempt to Influence legislation (section 4945(e))? ~ Yes ~ No (2) Influence the outcome of any specific public election (see section 4955), or to tarry `
on, directly or indirectly, any voter registration drives Yas No (J) Provide a grant to an individual !or navel, study, or other similar purposes? B Yes ~ No (4) Provide a grant to an organization other than a charitable, etc , organization described Y" s
in section 509(a)(1), (2), or (3), or section 4940(d)(2)? a Yes ~ No (5) Provide for any purpose other than religious . charitable, scientific, literary, or
educational purposes, or fog the prevention of cruelty to children or animals) El Yes id No b If any answer is 'Yes" to 5a(1 }(5), did any of the transactions fail to quaky under the exceptions described In ,
Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 20 of the instructions)? NBA Sb Organizations relying on a current notice regarding disaster assistance check here 10.
c If the answer Is "Yes' to question 5a(4), does the organization claim exemption from we ` tax because It maintained expenditure responsibility /or the grant? N/A Yes E] No If 'Yes," attach the statement required by Regulations section 53 494SS(d)
Ba Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums an a personal benefit contract? Yes No
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 6b~ ` X If you answered -Yes- to 6b, also file Form 8870 I
Forrn 990-PF (zooi)
" CAR001 05!08/2002 12 15 PM
Form 990.PF(2oot) JANET A . CARRINGTON FOUNDATION 06-1519819 Page e
dart Vltl Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, --J /` s-b-- "---
(h) Tlile a M ave~ape (c, hoursVe rwaek (II
Ceva1ed to oslHOn TRUSTEE
TRUSTEE
JANET A . CARRINGTON 441 COCONUT ISLE DR, FT . ROBERT L . ANDREWS 16 WEST AVENUE DARIEN, ROBERT G . SIMSES, ESQ .
_Part IXy4 1 Summary of Direct Charitable Activities
List the foundailon'e lour largest direct charitable actMtles during the tax year Include relevant statlsunl Information such as tie number
of organliallons and other beneficiaries served, conferences comened research papers produced ate
t N/A
Expenses
a
ore Form 990-PF (2oot)
(a) Name and address
2 Compensation of flue highest-paid employees (other than those included online 1-see page 21 of the Instructions) If none enter "NONE "
(b) True and average (d) ContnEwons to (a) Name and address of each employee paid more than $.̀0 400 devotM to pos~on (c) Compensaoon employee benefit (a) Expense account
plans and deferred other a4wancee compensabon
NONE
3 Five highest-paid Independent contractors for professional services-see page 21 of the Instructions) If none, enter "NONE"
(a) Name and address of each xenon paid more khan $50 000 (b) TvOa of service NONE
on
7 Distrlbutable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, ~ line d I 7 I 2 0 2 , 0 71-
Part XtE Qualifying Distributions (see page 23 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 1a 221 , 556 b Program-related investments-Total from Part IX-B 1b 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 to through 3b Enter here and on Part V, line B, and Pan XIII, line 4 d 2 2 1 , 55 6 5 Organizations that quaky under section 4940(e) for the reduced rate of tax on net investment
income Enter 1 % of Pan I, line 27b (see page 24 of the instructions) 5 1 , 27 9 6 Ad)usted qualifying distributions Subtract line 5 from line 4 ~ 6 220,2-77
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 lax in those years
DAA Form 990-PF (2m>>
CAR001 05/062002 12 15 PM
t N/A
2
All other program related investments See page 22 of the instructions
3
Part X Minimum Investment Return (All domestic foundations must complete this part Foreign foundations, see page 22 of the instructions
7 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 1a 3 , 455 . 356 b Average of monthly cash balances lb 673 , 577 c Fair market value of all other assets (see page 22 of the instructions) 1c d Total (add lines Ia . b . and c) Id 4 , 128 , 933 e Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) 1e 2 Acqwsibon indebtedness applicable to line 1 assets 2 3 Subtract line 2 from line 1d 3 4 , 128 933 4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount, see page 23
of the instructions) 4 61 934 5 Net value of noncharitabl"se assets Subtract line 4 from line 3 Enter here and on Part V, line 4 ~ ~ 4 , x ( ( , 999 6 Minimum Investment return Enter 5% of line 5 6 203,35-0-
Part Xf Distnbutable Amount (see page 23 of the instructions) (Section 49420(3) and Q)(5) private operating foundations and certain foreig n organizations check here 1 and do not complete this art
1 Minimum investment return from Part X, line 6 1 203 , 350 2a Tax on investment income for 2001 From Part VI, line 5 2a 1 , 27 9 b Income tax for 2001 (This does not include the tax from Part VI 2b c Add lines 2a and 2b 2c 1 , 27 9 3 DisVibutable amount before adjustments Subtract line 2c from line 1 3 2 02 , 071 4a Recoveries of amounts treated as qualifying distributions 4a b Income distributions firm section 4947(a)(2) trusts 4b c Add lines 4a and 4b 4c 5 Add lines 3 and 4c 5 202 , 071 6 Deduction from distribulable amount (see page 23 of the instructions) 6
CARR001 051082002 12 15 PM
Form 990-PF (2001) JANET A . CARRINGTON FOUNDATION 06-1519819 Page e
Part,Xlll Undistributed Income (see page 24 of the instructions)
(a) (E) (q (d)
° .,~~~<}
lyQ ~ ~T~
t°s ~ ..
174 , 015
d4~~sc
`~a'~F
^ ,^
DAA
1 DisUlbula6le amount for 2001 from Part XI, line 7
2 Undistributed income, If any, as of the end of 2000 a Enter amount for 2000 only b Total for poor years 19 ' 19 .19
3 Excess distnbuUOns carryover. d any, to 2001 a From 7996 b From 1997 e From 1998 d From 1999 e From 2000 1 Total of lines 3a through a
4 Qualifying distributions !or 2007 from Part XII,line 4 15 221,556
a Applied to 2000, but not more than line 2a b Applied to undistributed income of prior years
(Election required-see page 24 of the Instructions) c Treated as dislnbuUOns out of corpus (Election
required-see page 24 of the instructions) d Applied to 2001 dislributable amount e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2001 (If an amount appears in column (d), the same amount must be shown in 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 for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed
d Subtract line 6c from line 6b Taxable amount-see page 25 of the instructions
e Undistributed Income for 2000 Subtract line 4a from line 2a Taxable amount-see page 25 of the instructions
f Undistributed income for 2001 Subtract lines 4d and 5 from line 1 This amount must be distributed in 2002
7 Amounts treated as dislnbubons out of corpus b satisfy requirements imposed by section 170(b)(1)(E) or 4942(9)(3) (see page 25 of the instructions)
8 Excess distnbuhans carryover from 1996 not applied on line 5 or line 7 (see page 25 of the instructions)
9 Excess distributions carryover to 2002 Subtract lines 7 and 8 from line 6a
10 Analysis of line 9 a Excess from 1997 b Excess from 7998 c Excess from 1999 d Excess from 2000
3 500
"g.°t
.fly ^ ^ .'
~'`y ~aF.
193 , 500
` P
. .
~M~ .
d My restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors -N/A D^A Fwm98 -P izoot)
CPR001 05/0&2002 12 15 PM
1a IF we foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling Is effective for 2007 enter the date of tie ruling 1
D Check box to indicate whether the organization Is a p rivate o eratin foundation described in section 2a Enter the lesser of the adjusted net lax Year Prlor3 an
income from Part I or the minimum a 2007 b 2000 c 7999
investment velum from Part % for
each year listed b BS% of line 2a e Qualifying distributions from Part XII,
line 4 for each year listed d Amounts included in fne 2c not used directly
for active conduct of exempt aarvitles
e Ouahfymg disvibuuons made directly for active conduct of exempt acuv-Nes Subtract line 2d from line 2c
3 Complete 3a, b, or c for the alternative lest relied upon
a 'Assets' alternative test-enter (1) Value of all assets (2) Value of assets qualifying under
section 49420)(3)(8)(1) b 'EndowmenC alternative test-Enter
7/J of min investment velum shown In Pan 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 securibes loans (section 512(a)(5)), or royalties)
(2) Support from general public and 5 or more exempt organizations as provided In section 4942Q)(3)(B)(n)
(7) Largest amount of support from an exempt organization
Part XV Supplementary Information (Complete this part only if the organization had $5,000 or more in assets at any time dunnp the veer-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 d they have contributed more than $5,000) (See section 507(d)(2) ) SEE STMT 5
b List any managers of the foundation who own 70% 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°h or greater interest
2 Information Regarding Contribution, Grant, Gift. Loan, Scholarship, etc, Programs Check here 1 R 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 W whom applications should be addressed N/A
b The form in which applications should be submitted and informabon and materials they should include
t My submission deadlines
DM
" CAR001 05108/2002 12 19 PM
)rm990:PF(2001) JANET A. CAFL1i1Nli'1'ViV r'UUNUA'1'1ViV V0-1717017 raAaiu Part XV Supplementary Information (continued) Grants and Contributions Paid Durin the Year or A roved for Future Pa ment
rectp~am is an Individual FouMatron Recipient
N snow any rolaoonsnlp to status of Purpose of grant or Amount any foundation manaper recipient contnbution
Name and address home or business Or substantial contnbulor
a Paid during the year FRIENDS OF LES CHENEAUX NONE PUBLIC COMMUNITY LIBRARY CHARITABLE 50,000
P .O . SOX 332 HESSEL, MICHIGAN 49745
NYS WORLD TRADE CENTER NONE PUBLIC RELIEF FUND C HARITABLE 35,000
P .O . BOX 5028 ALBANY, NY 12205
AMERICARES NONE PUBLIC CHARITABLE 25,000
161 CHERRY STREET NEW CANNAN, CT 06840
AMERICAN RED CROSS NONE PUBLIC C HARITABLE 100,000
39 LEROY AVENUE DARIEN, CT 06820
b Approved for future payment N/A
~ ab I Form 990-PF (zooi)
(e) Related or exempt function Income (See page 26 0l
b Bu sianess Amount code
I
1 Program service revenue a b c d e f g Fees and contracts from government agencies
2 Membership dues and assessments 3 Interest on savings and temporary cash investments 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 9 Net income or (loss) ham special events 10 Gross profit or (loss) from sales of inventory 11 Other revenue a
b e d e
12 Subtotal Add columns (b), (d), and (e) 13 Total Add line 12, columns (b), (d), and (e)
1 1
1 13
DAA Form 'J`JU-Yh (2001)
. cCAR001 05108/2002 12 15 PM
Enter gross amounts unless otherwise indicated
Amount
-145
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
Form 990-PF (2001 ) JANET A . CARRINGTON FOUNDATION 06-1519819 Page 12 Part XVlI Information Regarding Transfers To and Transactions and Relationships With Noncharitable
X
Line no
2a Is we organization directly or indirectly affiliated with, or related lo, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in secUon 527? Yes 0 No
CAR001 05108/2002 12 15 PM
Did we organization directly or indirectly engage in any of the following with any other organization described In section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting organization to a nonchariWble exempt organization of (t) Cash (2) Other assets
b Other Transactions (1) Sales of assets to a nonUaritable exempt organizabon (2) Purchases of assets from a nonchantable exempt organization (3) Rental of faulNes, equipment, or other assets (4) Reimbursement arrangements (5) Loans or loan guarantees (6) Performance of services or membership or fundraising solicitations
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees d If the answer to any of the above is "Yes," complete we following schedule Column (b) should always show the (air 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
X
1-2
CAR001 JANET A CARRINGTON FOUNDATION 518/2002 12 15 PM 06-1519819 Federal Statements FYE~ 12/31/2001
Statement 1 - Form 990-PF. Part I . Line 6a - Sale of Assets
How Whom Desc Recd Sold
Date Date Sale Cost & Net Acquired Sold Price Expense Deprec GlL
1,560 SHS EMERSON ELEC CO PURCHASE 9/26/00 8/15/01 $ 86,265 $ 100,545 $ $ -14,280
2,000 SHS NEWPOWER HOLDINGS INC PURCHASE 10/04/00 9/21/01 5,980 42,000 -36,020
2,900 SHS NOVELL INC PURCHASE 1/20/00 9/21/01 9,106 104,098 -94,992
TOTAL $ 101,351 $ 246,643 $ 0 $ -145,292
Statement 2 - Form 990-PF . Part I, Line 16c - Other Professional Fees
Net Adjusted Charitable Description Total Investment Net Purpose
LAWRENCE CAPITAL MANAGEMENT $ 38,364 $ 26,855 $ $ 11,509 CUSTODIAN/EMA FEES 155 108 47
TOTAL $ 38,51 9 $ 26, 96 3 $ 0 $ 11,556
Statement 3 - Form 990-PF, Part II, Line 10a - US and State Government Investments
Description
1,000,000 US TREASURY NOTE, 6 .5% DUE 2/28/02
500,000 US TREASURY NOTE, 5 75% DUE 10/31/02
500,000 US TREASURY NOTE, 5 00% DUE 02/15/11
500,000 US TREASURY NOTE, 4 625 DUE 2/28/03
ACCRUED INTEREST
TOTAL
499,115
497,395 COST 499,435 COST
43,920
$ 2,578,215 $ 1,497,505 $ 2,494,335
Statement 4 - Form 990-PF. Part II . Line 10b - Corporate Stock Investments
Beginning End of Basis of Fair Market of Year Year Valuation Value 105,220 $ 105,220 COST $ 70,000 140,996 140,996 COST 108,216 144,317 144,317 COST 114,772 108,916 108,916 COST 88,300 124,402 124,402 COST 109,345 93,950 93,950 COST 88,088 104,493 104,493 COST 88,722 105,950 105,950 COST 89,220 100,544 104,097 42,004
Description
5,000 SHS LIBERTY MEDIA CORP A 2,700 SHS GENERAL ELECTRIC 2,250 SHS HOME DEPOT INC 2,000 SHS VIACOM INC. CL B 1,900 SHS WAL MART STORES, INC . 1,745 SHS CITIGROUP, INC . 5,400 SHS CHARTER COMMUNICATIONS 2,000 SHS EL PASO ENERGY CORP 1,560 SRS EMERSON ELECTRIC 2,900 SHS NOVELL INC 2,000 SHS TNPC INC 2,200 SHS COMCAST CORP SPL CL A 1,750 TYCO INTL LTD NEW COM
TOTAL $ 1,174,889 $ 1,121,239
3-4
CAR001 JANET A CARRINGTON FOUNDATION 5/812002 12'15 PM os-1's1ssis Federal Statements FYE 1213112001
Be inning of Year
S 998,390
End of Basis of Year Valuation
998,390 COST
499,115 COST
Fair Market Value
S 1,007,190
515,545
498,125 513,435
93,328 COST 99,662 COST
79,200 103,075
$ 938,938