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Form 990 - PF (2015) Page 13
Part XVII Information Regarding Transfers To and Transactions and Relationships With
Noncharitable Exempt Organizations
1 Did the 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 Yes No
organizations ,
a Transfers from the reporting foundation to a nonc heritable exempt organization of
(1) Cash la(1) No
(2) Other assets la(2) No
b Other transactions
(1) Sales of assets to a noncharitable exempt organization 11)(1) NO
(2) Purchases of assets from a nonchantable exempt organization M(2) No
(3) Rental of facilities, equipment, or other assets lb(3) No
(4) Reimbursement arrangements lb(4) No
(5) Loans or loan guarantees lb(5) No
(6)Performance of services or membership or fundraising solicitations lb(6) No
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees Sc No
d if the answer to any of the above is "Yes: complete the following schedule Column (b) should always show the fair ma ket value
of the goods, other assets, or services given by the reporting foundation If the foundation received less than fair market value
in any transaction or shanng arrangement, show in column (d) the value of the goods, other assets, or services received
(a) Line No (b) Amount involved (c) Name of nonchantable exempt organists:in (d) Descnption of transfers, transactions, and shame ananflefneols
Zs Is the foundation directly or mdi ectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c )(3)) or in section 527 z Fres
ReNo
b 'Yes; complete the following schedule
(a) Name of organization (b) Type of onganuation (c) Description of relationship
Under penalties of penury, I declare that I have exam ned this return, including accompanying schedules and statements, and to
the best of my knowledge and belief, it is true, correct, and complete Declaration of preparer (other than taxpayer) is based on all
information of which preparer has any knowledge
Sign May the, IRS discuss this
12016-11-09 Iflt6rn
Here with the preparer show"
twi-Ohv
Signature of officer or trustee Date Title
(see ins° I , ryes No
Date Check if self- PT IN
P nnt/Type preparer's name Preparer's Signature
employed 6 r P00035228
DAVID M HASSON
CPA
Paid Firm's name P Firm's EIN kr
PfeParer SHR CPAS LLC
Use
Finn's address 6
Only
Phone no (516)488-8400
Form 990-PF (2015)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0078270
CONFIDENTIAL SDNY_GM_00224454
EFTA01380107
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