📄 Extracted Text (433 words)
Form 990-P; (2016) Pace 13
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Part XVII
Exempt Organizations
I 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 organizations Yes No
a Transfers from the reporting foundation to a nonchantable exempt organization of
(1) Cash la(1) No
(2) Other assets la(2) No
b Other transactions
(1) Sales of assets to a nonchantable exempt organization 16(1) No
(2) Purchases of assets from a nonchantable exempt organization lb(2) No
(3) Rental of facilities, equipment, or other assets lb(3) No
(4) Reimbursement arrangements lb(4) No
(5) Loans or loan guarantees Ib(5) No
(6) Performance of services or membership or fundraising solicitations lb(6) No
c Shanng 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 market 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 sharing arrangement, show in column (d) the value of the goods, other assets, or services received
(a) Line No (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 5277 0 Yes RI No
b If "Yes,- complete the following schedule
(a) Name of organization (b) Type of organization (e) Descnption of relationship
Under penalties of perjury, I declare that I have examined 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
sign which preparer has any knowledge
Here h 12017-05-15 May the IRS discuss this return
with the simperer shown below
I S gnature of officer or trustee Date Title (see instr p S Yes 0 He
Print/Type preparers name Preparers Signature Date PTIN
Check if self-
employed ii 0
DAVID N HASSON CPA
Paid
Preparer Firm's name lk SHR CPAS LLC
Firm's EIN p.
Use Only
Firm's address IR 3000 MARCUS AVE STE 3W4
Phone no
LAKE SUCCESS, NY 110421009 •
Form 99O-PF (2016)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0031388
CONFIDENTIAL SDNY_GM_00177572
EFTA01345187
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