📄 Extracted Text (495 words)
Form 990-PF (2016) Page 6
Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
Sa During the year did the foundation pay or incur any amount to
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e)),
(2) Influence the outcome of any specific public election (see section 4955), or to carry
0 Yes 2No
on, directly or indirectly, any voter registration cInve>
0 Yes El No
(3) Provide a grant to an individual for travel, study, or other similar purposes>
(4) Provide a grant to an organization other than a charitable, etc , organization descnbed
0 Yes 2No
in section 4945(d)(4)(A), (see instructions)
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
0 Yes 2No
educational purposes, or for the prevention of cruelty to children or animals>
0 Yes
b If any answer is "yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions descnbed in
2No
Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructionsp Sb No
Organizations relying on a current notice regarding disaster assistance check here
P. 0
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 El 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 on
a personal benefit contract>
❑ Yes
0
b Did the foundation, during the year, pay premiums, directly or indirectlY, on a personal benefit contract>. . . .
2 No 6b No
If "Yes" to 6b, Me Form 8870
la At any time dunng the tax year, was the foundation a party to a prohibited tax shelter transaction>
0 Yes
b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction> . . . .
2 No 7b No
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
Part VIII
and Contractors
x List au officers, effectors, trustees, rouneation managers ana tneff compensation ssee instructions).
Title, and average (c) Compensation (If
(a) Name and address hours per week not paid, enter Contributionsdto employee Expense account,
benefit plans and deferred (e) other allowances
(b) devoted to position -0-) compensation
RICHARD KAHN Pres;dent 0
I 00
DARREN K INDYKE Treasurer 0
1 00
P
ERIKA A KEILERHALS Secretary 0
I 00
2 Compensation of five hiahest-paid employees (other than those Included on line I —see instructions). If none, enter "NONE."
Contributions to
(a) Title, and average
employee benefit Expense account,
Name and address of each employee paid hours per week (c) Compensation
plans and deferred (e) other allowances
more than $50,000 (b) devoted to position
(d) compensation
NONE
Total number of other employees paid over $50,000 ►
Form 990-PF (2016)
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0031605
CONFIDENTIAL SDNY_GM_00177789
EFTA01345326
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