Return of Private Foundation OMB No 1545-0052
Form 990 -P-F or Section 4947(a)(1) Nonexempt Charitable Trust ^oo^Department of the Treasury Treated as a Private FoundationInternal Revenue service Note : The oanization may be able to use a copy of this return to satis fy state reporting requirements
For calendar year 2005 , or tax y ear beg inning , 2005, and ending
G Check all that aDDly: Initial return Final return Amended return Address chanae Name channe
Name of organization A Employer Identification number
Use the IRS
label. HICKORY FOUNDATION 22-3472805Otherwise, Number and street (or P.O box number if mail is not delivered to street address) Room/suite B Telephone number (see page 10 of
print the instructions)
or type.See Specific P.O. BOX 281 -
Instructions . City or town, state, and ZIP code C If exemption application Is ►pending , check here
D 1. Foreign organizations , check here • ►
LAMBERTVILLE NJ 08530 2. Foreign organizations meeting theco tu .here and attach ►.
ElH Check type of organization: X Section 501 ( c 3 exem p t p rivate foundationon .ta
tmputacom ion
Section 4947 (a)( 1 ) nonexem pt chantable trust Other taxable p rivate foundationE If private foundation status was terminated
Fair market value of all assets at end J Accounting method. X Cash Accrual under section 507(b)(1)(A), deck here ►Q
of year (from Part fl, col. (c), line q Other (specify) F If th th tf d ti 60 tierminae oun a on is in a -mon on- - - - - - - - - - - - - - - - - _16) ► $ 19 , 679 , 840. (Part column (d) must be on cash basis) under section 507(b)(1)(B), check here • ►
Analysis of Revenue and Expenses (d) Disbursements(The total of amounts in columns (b), (c), and (a) Revenue and (b) Net investment (c) Adjusted net for charitable
may not necessarily equal the amounts in(d)y y
expenses perbooks
income income purposescolumn (a) (see page 11 of the instructions ( cash basis on ly)
1 Contributions Ats, grants, etc, scared (attach schedule) . 1 , 986 , 400. - - - -If the foundation is not required to
2 Check ► attach Sch B
3 Interest on savings and temporary cash investments 125 , 411. 125 , 411. . STMT 1
4 Dividends and interest from securities • • • • 102 287. 102 287. `-STMT 2
5a Gross rents . , • . • . • . . • . • . . . . • -
b Net rental income or (loss)
e 6a Net gain or (loss) from sale of assets not on line 10 195 , 154. "
ejb Gross sales price for all
assets on line 6a 7 , 93 7 , 0 91 .- + -
7 Capital gain net income (from Part IV, line 2) 1 , 790 , 121. -
8 Net short-term capital gain . . . . . . . . . ` •.
9 Income modifications • • • . . • . . • .10 a Gross sales less returns - • - •
and allowances . . • . - -
b Less Cost of oods so
c s^p ,GWVfiUPa sch ule) • .
sched11 rmcorrf¢-(8tta'!
F12 I Add lines Lt1oouah 2 409 252. 2 , 017 , 819.
13 t n o X, o stees, etc NON
114 emplpy-ee salaries andJ s . . . . .
15 t6^l loy^neftsIPens
16aCLL
. . . . . . . . .
b Accounting fees (attach schedule)STMT 3 14 , 688. 7 , 344. 7 , 344.•
c Other professional fees (attach schedule) . . .
17 Interest . . . . . . . . . . . . . . . . . . .
y 18 Taxes (attach schedule) ( see page 14 of the +nstrucbons' 37 , 399. 209.E 19 Depreciation (attach schedule) and depletion '
Q 20 Occupancy . . . . . . . . • . . . . . . .
0 21 Travel, conferences, and meetings • • • •ci 22 Printing and publications . • . . . . . . .
23 Other expenses (attach schedule) STMT. 5 . 282. 282.Wed16 24 Total operating and administrative expenses.
a Add lines 13 through 23 52 369. 7 835. 7 , 344.25 Contributions, gifts, grants paid . . . . . . . 1 028 500. 1 , 028 , 500.
26 Total expenses and disbursements. Add lines 24 and 25 1 , 080 , 869. 7 , 835. 1 035 , 844.27 Subtract line 26 from line 12' c • - '
a Excess of revenue over expenses and disbursements • • 1 , 328 , 383. •-- - '-s,' - . -b Net Investment income (if negative, enter -0-) • ' w' 2 , 009 , 984. .c Ad usted net Income ( if negative. enter -0-) . 71 -0-
JSA
-
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions . **STMT 4 Form 990-PF (2005)
5E14102000
3528-02 \_\
C n
Attached schedules and amounts in thet l h ld b fBalance Sheets d
Beginnin g of year `v v End of arescrip ion co umn s ou e or
end-of-year amounts only (See instructions (a ) Book Value (b ) Book Value (c ) Fair Market Value
I Cash - non-interest-bearing , , , , , , , , , , , , , , , ,
2 Savings and temporary cash investments .. . . . . .. . . 193 , 829. 1 , 431 , 061. 1 , 431 , 061.3 Accounts receivable ►
------------------------`, ^
;, ^- '^' ' ' - - --
Less allowance for doubtful accounts ► _ __
4 Pledges receivable--------------
Less. allowance for doubtful accounts ► _ _ _ _ _ __ _
5 Grants receivable . . . . . . . . . . . . . . . . . ,
6 Receivables due from officers, directors, trustees, and other
disqualified persons ( attach schedule ) (see page 15 of the instructions)
7 Other notes and loans receivable (attach schedule) ► _ _ _ _ _ _
Less- allowance for doubtful accounts ► _ _
M
_ _ _
8 Inventories for sale or use . . . . . . . . . . . „
y 9 Prepaid expenses and deferred charges . . . . . . . . . . ,
Q 10 a Investments - U S and state government obligations (attach schedule)
b Investments - corporate stock (attach schedule) . $TM' .6, , 9 , 159 , 380. 9 , 257 , 721. 17 229 196.C Investments - corporate bonds (attach schedule) ,
1 1 Investments - land, buildings, ►and equipment basis - - - - - - - - - - - - - - -
- - - - c•: .
yLess accumulated depreciation ►(attach schedule) ___________________
12 Investments - mortgage loans . . . . . . . . . . . . . . . .13 Investments - other (attach schedule) . . . . . . . . . . ,14 Land , buildings, and ►
•equipment basis -------------------;,.. . ,, -Less accumulated depreciation ►
(attach schedule ) ____________________
15 Other assets(describe ► _____________STMT_7_) 1 , 026 , 773. 1 , 019 , 583. .1 , 019 , 58316 Total assets (to be completed by all filers - see page 16 of
the instructions Also , see page 1 , item I 10 , 379 , 982. 11 708 365. 19 , 679 , 840.17 Accounts payable and accrued expenses . . . ,
18 Grants payable . . . . . . . . . . . . . . . . . . . . . . ,
m 19 Deferred revenue ,,,,,,,,,,,,,,,,,,,,,
20 Loans from officers, directors, trustees, and other disqualfied persons ,
21 Mortgages and other notes payable (attach schedule) ,
22 Other liabilities (describe ► )
23 Total liabilities ( add lines 17 through 22)
Organizations that follow SFAS 117, check here ► ,and complete lines 24 through 26 and lines 30 and 31. :; •_ .
4) 24 Unrestricted . . . . . . . . . . . . . . . . . . . . . . . . . . • "` -
A 25 Temporarily restricted . . . . . . . . . . . . . . . . . . . . -
M 26 Permanently restricted • . • • • • • • • • • • • • • . • • • •
c Organizations that do not follow SFAS 117, -ILL check here and complete lines 27 through 31. ►o 27 Capital stock, trust principal, or current funds . . .. .. . . . 10 379 982. 11 , 708 , 365.
28 Paid - in or capital surplus , or land , bldg . and equipment fund . . . . ,
29 Retained earnings , accumulated income , endowment , or other funds
30 Total net assets or fund bal n see 17 f th ,' r
Za ces ( page o e
instructions) . . . . . . . . . . . . . . . . . . . . ... . 10 379 982. 11 , 708 , 365.
_ } • _ :_ _
,31 Total liabilities and net assets/fund balances (see page 17 of
the instructions ) 10 379 982. 11 , 708 365.
Analysis of Changes in Net Assets or Fund Balances
I Total net assets or fund balances at beginning of year - Part II, column ( a), line 30 ( must agree withend-of-year figure reported on prior years return ) . . .. . . . .. .. . . . . . . . . . . . . . . . . . 1 10 , 379 , 982.
2 Enter amount from Part I, line 27a , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 2 1 , 328 , 383.3 Other increases not included in line 2 ( itemize ) ► -__----
----------------------------3-
4 Add lines 1 , 2, and 3 .. . . . . . _ . . . 4 11 708 365.5 Decreases not included in line 2 ( itemize ) ► _ _ 5_ _ _6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II , column (b). line 30 . 6 11, 708, 365.
JSA
5E1420 1 000
Form 990-PF (2005)
3528-02
Form 990-PF 2005 22 -3 4 7 2805 Page3
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kinds of pro() property sold (e.g real estate ,
2-sto ry brick warehouse , or common stock , 200 shs MLC CorY )
Howacquired
'^eD-Don-oonauon
(c) Dateacquired
(mo QcadaY , yr)
^d) Date soldmo., day, yr )
1a SEE PART IV SCHEDULE
b
cd
e
(e) Gross sales puce ( f) Depreciation allowed(or allowable )
(g) Cost or other basisplus expense of sale
( h) Gain or (loss)(e) plus (f) minus (g)
a
b
c
d
eCom p lete only for assets showing g ain in column ( h ) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus
(I) F.M V as of 12/31/69 U) Adjusted basisas of 12/31/69
( k) Excess of col (i)over col Q), if any
col (k), but not less than -0-) orLosses (from col. (h))
a
b
c
d
e
2 Capital gain net income or (net capital loss)If gain, also enter in Part I, line 7
{ If (loss), enter -0- in Part I, line 7 } 2 1 , 790 , 121.3 Net short-term capital gain or ( loss) as defined in sections 1222(5) and (6).
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).If ( loss ) , enter -0- in Part I, line 8 ................................. 3
FU.TMM Qualification Under Section 4940 ( e ) for Reduced Tax on Net Investment Income(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940( d)(2) applies , leave this part blank
Was the organization liable for the section 4942 tax on the distributable amount of any year in the base period? . . . . 7 Yes FX NoIf "Yes ," the organization does not qualify under section 4940 ( e) Do not complete this part
I Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries
( a )Base period years Calendar year
(or tax year beginning in )(b)
Adjusted qualifying distributions(o)
Net value of nonchantable -use assets
(d)Distribution ratio
col ( b ) divided by col c
2004 1 , 083 , 050. 13 410 032. 0.080764162232003 1 , 339 , 035. 11 006 579. 0.121657692192002 1 , 786 , 387. 9 , 876 , 737. 0.180868134892001 2 , 144 , 551. 10 311 660. 0.207973400982000 1 , 6 5050. 6 , 159 , 462. 0.27357097097
2 Total of line 1, column (d) . . . . . . . . . . .. . . . .. . . . .... . . . .. . . . . . . . . 2 0.864834361263 Average distribution ratio for the 5-year base period - divide 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. 17296687225
4 Enter the net value of noncharltable - use assets for 2005 from Part X, line 5 4 16 , 659 , 214.
5 Multiply line 4 by line 3 5 2 , 881 , 492.
6
..................................
Enter 1% of net investment income (1% of Part I, line 27b) , , .. • , • , • • . • • , •
....
. • • _ 6 20 , 100.
7 Addlines5and6 ..•.•••••• ........................... ... 7 2 , 901 , 592.
8 Enter qualifying distributions from Part XII, line 4 . .. . . . . . . . .. ... . . . . . . . . 8 1 , 035 , 844.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
JSA5E1430 1 000 Form 990-PF (2005)
3528-02
Form 990-PF(2005 22-3472805 Page4
Excise Tax Based on Investment Income ( Section 4940( a ) , 4940 ( b ) , 4940 ( e ) , or 4948 - see a e 18 of the instructions
1 a Exempt operating foundations described in section 4940 (d)(2), check here ► and enter 'N/A' on line 1
Date of ruling letter. _ - - - - - - - - (attach copy of ruling letter If necessary - see Instructions)
b Domestic organizations that meet the section 4940(e) requirements in Part V, check 1 .40 , 200here ► and enter 1 % of Part I, line 27b
c All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, col (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) • • 2
3 Add lines 1 and 2 • • • • • , , , • • • • • • • • • • • , • , . • • • . • • • . • • . . • . . • • . . 3 40 . 200.
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) . . 4 NONE
5 Tax based on investment Income . Subtract line 4 from line 3 If zero or less, enter -0- . . . . . . . . . . . . 5 40 , 200.
6 Credits/Payments:
a 2005 estimated tax payments and 2004 overpayment credited to 2005 6a 29 , 783. - ° a =; '•- :' J' ' .
b Exempt foreign organizations - tax withheld at source 6b NONE
c Tax paid with application for extension of time to file (Form 8868)• • . . • . Sc 30 , 000
d Backup withholding erroneously withheld . . . . . . . . . . . . . . • • 6d
7 Total credits and payments. Add lines 6a through 6d . . . . . . . . . . . . . . . . . . . . . . . . 7 59 , 7B3 .
8 Enter any penalty for underpayment of estimated tax Check here q if Form 2220 is attached • • • • • , • , • , , 8
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed • • , • • • • • • • ► 9
10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid , , • • • • • • • • ► 10 19 , 583.1 1 Enter the amount of line 10 to be Credited to 2006 estimated tax ► 19 , 583. Refunded ► 11
MMM Statements Regarding Activities
1 a During the tax year , did the organization attempt to influence any national, state , or local legislation or did ? Yes No
it participate or intervene in any political campaign ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . la 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 ) ? • • • • • • • , • , • • • • • • , • • • • • • • • . . • • • . • , . • . • . . . . ik. 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 in connection with the activities
c Did the organization file Form 1120 -POL for this year? • . • . . . . . . . . . . • • . • • • . . . . . . . . . ....cJ X
d Enter the amount ( if any) of tax on political expenditures ( section 4955) imposed during the year.
(1) On the organization ► $ (2) On organization managers ► $
e Enter the reimbursement (if 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 $1 , 000 or more during the year? . . . . . . . . . . . . . . •
.
4a X
b If "Yes ," has it filed a tax return on Form 990-T for this year? , • , • • • • • • • , • , • • • • , • . • . . . . . • • • . 4b A
5 Was there a liquidation , termination, dissolution , or substantial contraction during the year? • , • • • • • • • • , • , • • 5 X
If "Yes," 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 state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument? . . . . . . . . . . . . . . . . . . . . . . . . . 6 X
7 Did the organization have at least $5,000 in assets at any time during the year? It "Yes,"complete Part ll, col (c), and PartXV. 7 X
B a Enter the states to which the foundation reports or with which it is registered ( see page 19 of the =; •
instructions ) ► NJs----------------------------------------------------------------b If 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 G? If'No," attach explanation . . . . . . . . . . . . • 8b X
9 Is the organization claiming status as a private operating foundation within the meaning of section 49420)(3)
or 49420)(5) for calendar year 2005 or the taxable year beginning in 2005 (see instructions for Part XIV on
page 26)" N'Yes,"complete PartXIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 X
10 Did any persons become substantial contributors during the tax year? If 'Yes,' attach a schedule fisting their names and addresses 10
11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? 11 A, • • • •Web site address ► ----_ N.JA
------------------------------------------------------- -------- ----12 The books are in care of ' _ANCHIN1_ BLOCK ANCHIN LLP _-______-__ Telephone no. j212Z 840_ 3456____ ___
Located at ► 1375-BROADWAY,_NYI__NY_l_-_-_____-__ _ __ _ ZIP+4 ► 10018_ _ _ __ _ __
^13 Section 4947( a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here . . . N/A . . . ►and enter the amount of tax- exempt interest received or accrued during the year . . . . . . . . . . . . ► 1 13
JSA5E1440 1 000
Form 990-PF (2005)
3528-02
Form 990 -PF (2005 ) 22-3472805 Pape 5
- Statements Regarding Activities for Which Form 4720 May Be Req uired
File Form 4720 if any item is checked in the "Yes" column , unless an exception applies. Yes No
1a During the year did the organization ( either directly or indirectly):
(1) Engage in the sale or exchange , or leasing of property with a disqualified person? . . . . . . . . q Yes No =
(2) Borrow money from , lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No
(3) Furnish goods, services , or facilities to (or accept them from) a disqualified person? . . . . . . . Yes X No ,
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? . . . . . . . Yes X No
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q 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 official for a period =
after termination of government service , if terminating within 90 days ) . . . . . . . . . . . . . q Yes No
b If any answer is "Yes " to 1a(1 )-( 6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53 4941 ( d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)? . . . . . . 1 b N
Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . .
c Did the organization engage in a prior year in any of the acts described in 1 a, other than excepted acts, - -
that were not corrected before the first day of the tax year beginning in 2005" . . . . . . . . . . . . . . . . . . . . . . . 1 C N
2 Taxes on failure to distribute income (section 4942 ) (does not apply for years the organization was a private
operating foundation defined in section 49420)( 3) or 4942 (j)(5))
a At the end of tax year 2005, did the organization have any undistributed income (lines 6d
and 6e , Part XIII ) for tax year( s) beginning before 2005? . . . . . . . . . . . . . . . . . . . . . . El Yes No
If"Yes ," list the years ,_
b Are there any years listed in 2a for which the organization is not applying the provisions of section 4942 (a)(2)
(relating to incorrect valuation of assets ) to the year ' s undistributed income? ( If applying section 4942(a)(2) ..
to all years listed , answer "No" and attach statement - see page 20 of the instructions) . . . . . . . . . . . . . . . . . . . . 2b N
c If the provisions of section 4942 ( a)(2) are being applied to any of the years listed in 2a , list the years here.
----------- ' --------- ---------'---------3a Did the organization hold more than a 2% direct or indirect interest in any business
enterprise at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes No
b If "Yes ," did it have excess business holdings in 2005 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 10 -, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
if the organization had excess business holdings in 2005.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 b N /JA
4a Did the organization 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 not been removed from jeopardy before the first day of the tax year beginning in 2005? . . . . . . . . . . 4.b X
5 a During the year did the organization pay or incur any amount to.(1) Carry on propaganda , or otherwise attempt to influence legislation (section 4945(e))? . , • . • • q Yes q No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly , any voter registration drive?
11
Yes X No
(3) Provide a grant to an individual for travel , study , or other similar purposes Yes X No ' -
(4) Provide a grant to an organization other than a charitable , etc., organization described -
in section 509 ( a)(1), (2), or (3), or section 4940(d)(2)? . . . . . . . . .. . . . . . . . . . . . q Yes No
(5) Provide for any purpose other than religious , chartable , scientific , literary, or
educational purposes , or for the prevention of cruelty to children or animals? . . . . . . . . . . q Yes No
b If any answer is "Yes " to 5a(1 )-( 5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 20 of the instructions )? .. . . . . . 5b N
Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . .
c If the answer is "Yes" to question 5a ( 4), does the organization claim exemption from the
tax because it maintained expenditure responsibility for the grant? . . . . . . . . . . . . . . .N/A q Yes q No
If 'Yes,' attach the statement required by Regulations section 53 4945-5(d). .'
6 a Did the organization , during the year , receive any funds , directly or indirectly , to pay 'premiums on a personal benefit contract? . . , , , • , • . . • , , , . • . • • • . . , . . . . . . q Yes No
b Did the organization , during the year , pay premiums, directly or indirectly , on a personal benefit contract? . . . . 6b XIf you answered 'Yes" to 6b , also file Form 8870
Form 990-PF (2005)
JSA5E1450 1 000
3528-02
Form 990-PF
rs, uirectors,
22-3472805
nagers, HighijPage 6
mpioyees,
I List all officers, directors, trustees, foundation managers and their compensation see page 21 of the instructions .
(a) Name and address(b) Title, and average
hours per weekdevoted to position
(c) Compensation( If not paid, enter
-0-)
(d) Contributions toemployee benefit plans
and deferred compensation(e) dense accoun tanew
aneesother allowances
-------------------------------------SEE STATEMENT 8 NONE NONE NONE
-------------------------------------
-------------------------------------
--------------------------------------
2 Compensation of five highest-paid emolovees (other than those included on line 1 - see oaae 21 of the instructional.If none- enter "NONE."
(a) Name and address of each employee paid more than $ 50,000 (b Title and average)hours per weekp
devoted to position(c) Compensation
(d) Contnbutions toemployee benefitplans and deferredcom p ensation
(e) Expense account,other allowances
-------------------------------------NONE
-------------------------------------
-------------------------------------
-------------------------------------
-------------------------------------
Total number of other employees paid over $50,000 . ► I 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 person paid more than $ 50,000 (b) Type of service (c) Compensation
----------------------------------------------------NONE
----------------------------------------------------
----------------------------------------------------
----------------------------------------------------
-----------------------------------------------------
Total number of others receiving over $50,000 for professional services . , ► NONE
Summary of Direct Charitable Activities
List the foundation's four largest direct charitable activities during the tax year Include relevant statistical information such as the numberof organizations and other beneficiaries served, conferences convened, research papers produced, etc Expenses
1--NZA --------------------------------------------------------------------------------------------------------------------------------------------------
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4----------------------------------------------------------------------------
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Form 990-PF (2005)
JSA5E1460 1 000
3528-02
Form 990-PF (2005) 22-3472805 Page 7Summary of Program-Related Investments (see page 22 of the instructions)
Describe the two largest program -related investments made by the foundation during the tax year on lines 1 and 2 Amount
1 NONE
---------------------------------------------------------------------------
2---------------------------------------------------------------------------
---------------------------------------------------------------------------
All other program - related investments See page 22 of the instructions
3 NONE---------------------------------------------------------------------------
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Total . Add lines 1 throu g h 3 ►•ii Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see page 22 of the instructions )
I 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 . . . . . . Ia 15 276 929.b Average of monthly cash balances . . . . . . . . . . . . .. .. . . . ... .. .. . . . . . . . . . . . . lb 1 , 635 , 979.c Fair market value of all other assets (see page 23 of the instructions) ... .. .. . . . . . . . . . . . . Ic NONEd Total (add lines la, b, and c) . , . . . . . . . .. . . . . , . . Id 16 , 912 , 908 .e Reduction claimed for blockage or other factors reported on lines la and
.
.
1c (attach detailed explanation) le2 Acquisition indebtedness applicable to line 1 assets 2 NONE3 Subtract line 2 from line 1d ... ... .......... ... . .. ...
.
.
3 16 912 908 .4 Cash deemed held for charitable activities. Enter 1 1 /2 % of line 3 (for greater amount, see page 23
of the instructions) . . ... .......... .. ...... ........ 4 253 , 694.5 Net value of noncharitable-use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 16 659 214 .6 Minimum investment return . Enter 5% of line 5 6 832 961.
Distributable Amount (see page 23 of the instructions) (Section 49420)(3) and (j)(5) private operatingfoundations and certain foreign organizations check here ► and do not complete this part.)
1 Minimum investment return from Part X, line 6 . . . . . . . . . . .. . . . . . . . .. . . . . . . . 1 832 961.2a Tax on investment income for 2005 from Part VI, line 5 . .. _ 2a 40 , 200.b Income tax for 2005 (This does not include the tax from Part VI.) 2b
c Add lines 2a and 2b 2c 40 , 200.3 Distributable amount before adjustments Subtract line 2c from line 1 ... . .. . . . . . . . . . . . 3 792 761.4 Recoveries of amounts treated as qualifying distributions , , , , , , , , , , , , , , , , , , , , , , 45 Add lines 3 and 4 5 792 , 761.6 Deduction from distributable amount (see page 24 of the instructions) 67 Distributable amount as adjusted. Subtract line 6 from line 5 Enter here and on Part XIII,
line 1 7 792 761.
Qualifying Distributions (see page 24 of the instructions)
I Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes:a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 . . . .. . . . . . . . . . . . . Ia 1 , 035 , 844.b Program-related investments - total from Part IX-B ............................ lb NONE
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc ,purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . .
.
2 NONE3 Amounts set aside for specific charitable projects that satisfy the
a Suitability test (prior IRS approval required) 3a NONEb Cash distribution test (attach the required schedule) . , . _ ,
.
3b NONE4 Qualifying distributions . Add lines 1 a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 , , , , . , 4 1 , 035 , 844.5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment
income Enter 1 % of Part I, line 27b (see page 24 of the instructions) 5 N /A6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 1 , 035 , 844.
Note : The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundationqualifies for the section 4940(e) reduction of tax in those years
Form 990-PF (2005)
JSA5E1470 1 000
3528-02
Form 990- PF (2005 ) 22-3472805 Page 8
Undistributed Income (see page 24 of the instructions)
• (a) (b) (c) (d)1 Distributable amount for 2005 from Part XI , Corpus Years prior to 2004 2004 2005
line 7 . ... . . . . . . . . . .. . .. . .. 792 F 761 .2 Undistributed income , if any, as of the end of 2004 i L - 21, ;
a Enter amount for 2004 only . . . . . . . . . . NONE
b Total for prior years 2003 NONE -
Excess distributions carryover , if any , to 20053 ^` t J
a From 2000 1 408,127.
b From 2001 1 , 718 , 637 .c From 2002 1 , 293 , 821 ;, -d From 2003 812 , 933. .`' • a; Ye From 2004 , , , , , , 439 , 521 .f Total of lines 3a through e . . . .. . .. . . 5 673 , 039
4 Qualifying distributions for 2005 from Part
XIl,line 1,035,844a Applied to 2004 , but not more than line 2a , NONE
b Applied to undistributed income of prior years(Election required - see page 25 of the instructions ) NONE
.
c Treated as distributions out of corpus ( Electionrequired - see page 25 of the instructions ) . . NONE
d Applied to 2005 distributable amount, , , , , r' -'. ° •' .
e Remaining amount distributed out of corpus 243 083. -5 Eess distributions carryover applied to 2005 NON E
(H an amount appears in column (a), thesame amount must be shown in column (a))
6 Enter the net total of each column asindicated below
a Corpus Add lines 3f , 4c, and 4e. Subtract line 5 5 916 122.
b Prior years ' undistributed Income Subtractline 4b from line 2b - NONE
c Enter the amount of prior years ' undistributed VIncome for which a notice of deficiency hasbeen issued , or on which the section 4942(a)tax has been previously assessed . . . . . . . NONE -
d Subtract line 6c from line 6b Taxableamount - see page 25 of the instructions v =:= NONE '
e Undistributed income for 2004 Subtract line -'4a from line 2a Taxable amount - see page ,25 of the instructions NONE
f Undistributed income for 2005 Subtractlines 4d and 5 from line 1 This amount mustbe distributed in 2006 NONE
7 Amounts treated as distributions out ofcorpus to satisfy requirements imposed bysection 170 ( b)(1)(E) or 4942 ( g)(3) (see page25 of the instructions ) . . . NON - • - -
8 Excess distributions carryover from 2000 notapplied on line 5 or line 7 (see page 25 ofthe instructions ) . . . . . . . . ... . . . . 1 408 127
9 Excess distributions carryover to 2006 . t:
Subtract lines 7 and 8 from line 6a 4 , 507 , 995.10 Analysis of line 9
a Excess from 2001 1 , 718 , 637 . 1
b Excess from 2002 . , . 1 293 , 821 .c Excess from 2003 812 , 933., , ,
d Excess from 2004 , , , 439 , 521 .e Excess from 2005 . . . 243.083.1
Form 990-PF (2005)
JSA5E1480 1 000
3528-02
Form 990-PF (2005 ) 22-3472805 Page9
JjMJM Private Operating Foundations (see page 26 of the instructions and Part VII-A, question 9) NOT APPLICABLEI a If the foundation has received a ruling or determination letter that it is a private operating
foundation , and the ruling is effective for 2005 , enter the date of the ruling , . , , ►b Check box to indicate whether the organization is a private operating foundation descnbed in section 4942 0)(3) or 4942(j)(5)
2 a Enter the lesser of theTax year Prior 3 years
adjusted net income from (a) 2005 (b) 2004 (c) 2003(e) Total
(d) 2002Part I or the minimum
investment return from Part
X for each year listed . . ,
b 85% of line 2a , , , , ,
C Qualifying distributions from Part
XII. line 4 for each year listed ,
d Amounts Included in line 2c not
used directly for active conduct
of exempt activities . . . . .
e Qualifying distributions made
directly for active conduct of
exempt activities Subtract
line 2d from line 2c . . . . .
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) (B)(I) . . . . .b 'Endowment alternative test-
enter 2/3 of minimum invest-
ment return shown in Part X
line 6 for each year l isted . .
C 'Support alternative test - enter
(1) Total support other thangross Investment income(Interest, dividends , rents,payments on secuntiesloans ( section 512 ( a)(5)).or royalties)
( 2) Support from generalpublic and 5 or moreexempt organizations asprovided In section 4942
(3) Largest amount of sup-port from an exemptorganization . . . . .
(4) Gross investment income ,
Supplementary Information (Complete this part only if the organization had $5 ,000 or more inassets 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 foundationbefore the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
VIRGINIA MANHEIMER
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of theownership of a partnership or other entity ) of which the foundation has a 10% or greater interest.
N/A2 Information Regarding Contribution , Grant , Gift, Loan, Scholarship, etc., Programs:
Check here . if the organization only makes contributions to preselected charitable organizations and does not acceptunsolicited requests for funds. If the organization makes gifts, grants, etc. (see page 26 of the instructions) to individuals ororganizations 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:
b The form in which applications should be submitted and information and materials they should include.
c Any submission deadlines
d Any restrictions or limitations on awards, such as by geographical areas , charitable fields, kinds of institutions, or otherfactors
JSA5E1490 1 000 Form 990-PF (2005)
3528-02
Form 990-PF (2005 ) 22-3472805 Page 10
Supplementary Information (continued)
3 Grants and Contributions Paid During the Year or Approved for Future PaymentRecipient 11 reci pient is an indmdual,
show any relationship toFounds on
Purpose of grant or AName and address (home or business ) or substantial
onmconanagtnbuteror rec i pient
contnbution mount
a Paid dunng the year
SEE STATEMENT 9
..................................................Total ► 3a 1 , 028 , 500.b Approved for future payment
Total ► 3b
Form 990-PF (2005)
JSA5E1491 1 000
3528-02
Form 990-PF (2005 ) 22-3472805 Page 1 1Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated . Unrelated business income Excluded b section 512 , 513, or 514 (e)
I Pro
a
b
c
d
0
f
9
2 Me
3 Inter
4 Divi
5 Net
a
b
6 Net
7 Oth
8 Gai n
9 Net
10 Gro
11 Oth
b
c
d
e
12 Sub
13 Total. Add line 12, columns (b), (d), and (e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 422,852.(See worksheet in line 13 instructions on page 27 to verify calculations )
Relationship of Activities to the Accomplishment of Exempt Purposes
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly toLine No. the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). (SeeV page 27 of the instructions )
JSA
5E1492 1 000
Rel t d
ram service revenue
(a)Businesscode
(b)
Amount
(c)ExcluS ion
code
(d)
Amount
a e or exemptfunction income( See page 26 ofthe instructions
Fees and contracts from government agencies
mbership dues and assessments , , , , ,
est on savings and temporary cash investments 14 125 , 411.
dends and interest from securities , , , , 14 102 , 287.rental income or (loss ) from real estate '
Debt-financed property , , , , , , , , ,
Not debt-financed property , , , . . . .
rental income or (loss) from personal property
er investment income
or (loss ) from sales of assets other than inventory 18 195 , 154.
income or ( loss) from special events . , ,
ss profit or ( loss) from sales of inventory.
er revenue a
total Add columns (b), (d), and (e) . , 422 852 .
Form 990-PF (2005)
3528-02
Form 990-PF (2005 ) 22-3472805 Page 12Information Regarding Transfers To and Transactions and Relationships With NoncharitableExem pt Organizations
1 Did the organization directly or indirectly engage in any of the following with any other organization described in section Yes No
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 nonchantable exempt organization of:
(1) Cash ..........................................................1a1x
(2) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a 2 X
b Other transactions: _' -
( 1 ) Sales of assets to a noncharitable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b 1 X
(2) Purchases of assets from a nonchantable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b 2 X
(3) Rental of facilities, equipment, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lb (3 ) X
(4) Reimbursement arrangements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lb (4 ) X
(5) Loans or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b 5 X
(6) Performance of services or membership or fundraising solicitations . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 b 6 X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees . . . . . . . . . . . . . . . . . . . . . . . . 1 c X
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 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
received
(a) Name of organization (b) Type of organization (c) Description of relationship
Under pbelief it
nalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge andtrue, correct, and co rn Ic Declar(other than taxpayer or fiduciary) is based pn all information of which preparer has any knowledge
` Sig nature f o icer or trustee41
y ? p
a d HCL
Preparer'ssignature
Firm's name (or
self-employed),
and ZIP codeNEW YORK, NY
JSA5E1493 1 000
2 a 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 in section 527' . . . . . . . . . . . . . . . . . . . Yes No
b If "Yes" complete the fnllowinn schedule
Schedule B Schedule of ContributorsOMB No 1545-0047
(Form 990 , 990-EZ,or 990 -PF) Supplementary Information for ^o05Department of the Treasury line I of Form 990, 990-EZ, and 990 -PF (see Instructions)Internal Revenue Service
Name of organization Employer identification number
HICKORY FOUNDATION
97-4d'77Rr1S
Organization type (check one)
Filers of:
Form 990 or 990-EZ
Form 990-PF
Section:
q 501(c)( ) (enter number) organization
q 4947( a)(1) nonexempt charitable trust not treated as a private foundation
q 527 political organization
501(c)(3) exempt private foundation
q 4947(a)(1) nonexempt charitable trust treated as a private foundation
q 501(c )( 3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. (Note : Only a section 501(c)(7), (8), or (10)organization can check boxes for both the General Rule and a Special Rule - see instructions.)
General Rule -
For organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money orproperty) from any one contributor (Complete Parts I and II.)
Special Rules -
q For a section 501(c)(3) organization filing Form 990, or Form 990-EZ, that met the 33 1/3% support test under Regulationssections 1 509(a)-3/1.170A-9(e) and received from any one contributor, during the year, a contribution of the greater of$5,000 or 2% of the amount on line 1 of these forms (Complete Parts I and II.)
q For a section 501(c )(7), (8), or (10) organization filing Form 990 , or Form 990-EZ , that received from any one contributor,during the year , aggregate contributions or bequests of more than $ 1,000 for use exclusively for religious , charitable,scientific , literary, or educational purposes , or the prevention of cruelty to children or animals. (Complete Parts I, II, and III.)
q For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor,during the year, some contributions for use exclusively for religious, charitable, etc., purposes, but these contributions didnot aggregate to more than $1,000. (If this box is checked, enter here the total contributions that were received duringthe year for an exclusively religious, charitable, etc , purpose Do not complete any of the Parts unless the General Ruleapplies to this organization because it received nonexclusively religious, charitable, etc , contributions of $5,000 or moreduring the year) . . . . . . . . . . . . . . . .. .. .. . . .. . . .. . . . . . . . . . . . . . . . 10, $
Caution : Organizations that are not covered by the General Rule and/or the Special Rules do not file Schedule B (Form 990,990-EZ, or 990-PF), but they must check the box in the heading of their Form 990, Form 990-EZ, or on line 2 of their Form990-PF, to certify that they do not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions Schedule B (Form 990, 990-EZ, or 990-PF) (2005)for Form 990, Form 990-EZ, and Form 990-PF.
JSA
5E1251 1 000
3528-02
Schedule B (Form 990.990-EZ,or 990-PF) (2005)
Name of organization HICKORY FOUNDATION Employer identification number
Contributors (See Specific Instructions.)
(a)No.
(b)Name , address , and ZIP + 4
(c)Aggregate contributions
(d)Type of contribution
1 VIRGINIA MANHEIMER Person
PayrollPO BOX 60 1, 986, 400. Noncash
LAMBERTVILLE, NJ 08530-0060(Complete Part II if there isa noncash contribution )
(a)No.
(b)Name , address , and ZIP + 4
(c)Aggregate contributions
(d)Type of contribution
Person
Payroll
Noncash
(Complete Part II if there isa noncash contribution )
(a)No.
(b)Name , address, and ZIP + 4
(c)Aggregate contributions
(d)Type of contribution
Person
Payroll
Noncash
(Complete Part II if there isa noncash contribution.)
(a)No.
(b)Name , address , and ZIP + 4
(c)Aggregate contributions
(d)Type of contribution
Person
Payroll
Noncash
(Complete Part II if there isa noncash contribution )
(a)No.
(b)Name , address , and ZIP + 4
(c)Aggregate contributions
(d)Type of contribution
Person
Payroll
Noncash
(Complete Part II if there isa noncash contribution )
(a)No.
(b)Name , address , and ZIP + 4
(c)Aggregate contributions
(d)Type of contribution
Person
Payroll
Noncash
(Complete Part II if there isa noncash contribution.)
JSA
of Part
Schedule B (Form 990, 990-EZ. or 990-PF) (2005)
I
5E 1253 1 000
3528-02
Schedule B (Form 990. 990-EZ. or 990-PF) (2005) of Part II
Name of organization HICKORY FOUNDATION I Employer Identification number
' Noncash Property (See Specific Instructions.)
( a ) No.
from
Part I
( b)Description of noncash property g iven
FMV (or estimate)
(see instructions)
(d)Date received
26,000 SHS RESEARCH IN MOTION LTD(RIMM)
1
$ 1,986,400. 01/06/2005
( a) No.
from
Part I
bDescription of noncash property given
(c)
FMV (or estimate)
(see instructions)
d)Date received
( a) No.
from
Part I
b
()Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
d
( )Date received
( a ) No.
from
Part I
(b)Description of noncash property given
FMV (or estimate)
(see instructions)
(d)Date received
( a) No.
from
Part I
b
()Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
d
( )Date received
( a) No.
from
Part I
b
()Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
d
( )Date received
JSA5E1254 1 000
Schedule B (Form 990, 990-EZ, or 990-PF) (2005)
3528-02
FORM 990-PF - PART IVCAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Kind of Property Description Dateacquired
Date sold
Gross sale Depreciation Cost or FMV Adj. basis Excess of Gainprice less allowed / other as of as of FMV over or
expenses of sale a ll owable ad i basis floss )
SEE SCHEDULE 1 ATTACHED 01/01/2005 12/31/2005PROPERTY TYPE: SECURITIES
,952,115. 3,791,832. -839,717.
SEE SCHEDULE 1 ATTACHED 01/01/2004 12/31/2005
PROPERTY TYPE: SECURITIES
,997,961. 1,963,705. 1,034,256.
26,000 SHS RESEARCH IN MOTION LTD 05/18/2001 01/06/2005PROPERTY TYPE: SECURITIES
,987,015. 391,433. 1,595,582.
TOTAL GAIN(LOSS) ....... ......................................... 1,790,121.
Jon
5E1730 1 000
3528-02
HICKORY FOUNDATION
FORM 990PF, PART I - INTEREST ON TEMPORARY CASH INVESTMENTS----------------------------------------------------------------------------------------------------------------------
DESCRIPTION
CHASE MANHATTAN BANKBEAR STEARNSMISC INCOME
REVENUEAND
EXPENSESPER BOOKS
82,118.43,293.
82,118.43, 293.
TOTAL -------------- --------------
125,411. 125, 411.-------------- ---------------------------- --------------
22-3472805
NET
INVESTMENT
INCOME
3528-02 STATEMENT 1
HICKORY FOUNDATION
FORM 990PF, PART I - DIVIDENDS AND INTEREST FROM SECURITIES-----------------------------------------------------------
DESCRIPTION
BEAR STEARNS
TOTAL
22-3472805
REVENUE
AND
EXPENSESPER BOOKS
102,287.--------------
102,287.----------------------------
3528-02
NET
INVESTMENT
INCOME
102,287.--------------
102,287.
STATEMENT 2
HICKORY FOUNDATION
FORM 990PF, PART I - ACCOUNTING FEES------------------------------------------------------------------------
DESCRIPTION
ACCOUNTING FEE FOR BOOKKEEPINGAND TAX RETURN PREPARATION
SERVICES
22-3472805
REVENUEAND
EXPENSESPER BOOKS
14, 688.
-------------- -------------- -------------- --------------TOTALS 14,688. 7,344. NONE 7,344.
-------------- -------------- -------------- ---------------------------- -------------- -------------- --------------
3528-02
NET
INVESTMENT
INCOME
7,344.
ADJUSTED
NET
INCOMECHARITABLEPURPOSES
7,344.
STATEMENT 3
HICKORY FOUNDATION
FORM 990PF, PART I - TAXES----------------------------------------------------
DESCRIPTION
FEDERAL TAXESFOREIGN TAXES
TOTALS
REVENUE
ANDEXPENSES
PER BOOKS
37, 190.209.
--------------
37,399.----------------------------
22-3472805
NETINVESTMENT
INCOME
209.--------------
209.----------------------------
3528-02 STATEMENT 4
HICKORY FOUNDATION
FORM 990PF, PART I - OTHER EXPENSES----------------------------------------------------------------------
DESCRIPTION
MISC. TRANACTION FEES
TOTALS
22-3472805
REVENUEAND NET
EXPENSES INVESTMENTPER BOOKS INCOME--------- ------
282. 282.-------------- --------------
282. 282.-------------- ---------------------------- --------------
3528-02 STATEMENT 5
HICKORY FOUNDATION
FORM 990PF, PART II - CORPORATE STOCK
DESCRIPTION
VARIOUS SECURITIES
TOTALS
3528-02
22-3472805
ENDINGBOOK VALUE
9,257,721.---------------
9,257,721.------------------------------
ENDINGFMV
17, 229, 196.---------------
17,229,196.------------------------------
STATEMENT 6
HICKORY FOUNDATION 22-3472805
FORM 990PF, PART II - OTHER ASSETS--------------------------------------------------------------------
ENDINGDESCRIPTION BOOK VALUE----------- ----------
BRIGHTER CHOICE CHARTER SCHOOLFOR BOYS 500,000.
BRIGHTER CHOICE CHARTER SCHOOLFOR GIRLS 500,000.
PREPAID TAXES 19,583.
TOTALS 1, 019, 583.
ENDING
FMV
500, 000.
500, 000.19, 583.
---------------
1,019,583.
3528-02 STATEMENT 7
HICKORY FOUNDATION 22-3472805
FORM 990PF, PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES
NAME AND ADDRESS----------------
VIRGINIA MANHEIMERP.O. BOX 60LAMBERTVILLE, NJ 08530
CONTRIBUTIONS EXPENSE ACCTTITLE AND TIME TO EMPLOYEE AND OTHER
DEVOTED TO POSITION COMPENSATION BENEFIT PLANS ALLOWANCES------------------- ------------ ------------- ----------
PRESIDENT NONE NONE NONE0-5 HOURS
-------------- -------------- --------------GRAND TOTALS NONE NONE NONE
-------------- -------------- ---------------------------- -------------- --------------
3528-02 STATEMENT 8
HICKORY FOUNDATION
FORM 990PF, PART RV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RECIPIENT NAME AND ADDRESS
--------------------------
CAPITAL RESEARCH CENTER
CENTER FOR EDUCATION REFORM
COMMENTARY FUND
CORPORATION FOR EDUCATIONAL RADIO & TV
EVERGREEN FREEDOM FOUNDATION
PO BOX 552
OLYMPIA WA 98507
FLW BUILDING CONSERVANCY
FRIENDS OF CZECH GREENWAYS, INC.
410 W 20TH STREET
NEW YORK NY 10011
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
3528-02
22-3472805
PURPOSE OF GRANT OR CONTRIBUTION
--------------------------------
AMOUNT
------
GENERAL FUND 3,000.
GENERAL FUND 10,500.
GENERAL FUND 7,000.
GENERAL FUND 30,000.
GENERAL FUND 10,000.
GENERAL FUND 10,000.
GENERAL FUND 50,000.
STATEMENT 9
HICKORY FOUNDATION
FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RECIPIENT NAME AND ADDRESS
--------------------------
HOWARD CENTER OF FAMILY, RELIGION & SOC
FLW PRESERVATION TRUST
INSTITUTE FOR MARRIAGE & PUBLIC POLICY
LADY BIRD JOHNSON WILDFLOWER CENTER
LANDMARKS PRESERVATION COUNCIL OF IL
MACKINAC CENTER FOR PUBLIC POLICY
MANHATTAN INSTITUTE
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
------------------------------
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
3528-02
22-3472805
PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
-------------------------------- ------
GENERAL FUND 10,000.
GENERAL FUND 40,000.
GENERAL FUND 35,000.
GENERAL FUND 2,500.
GENERAL FUND 2,000.
GENERAL FUND 10,000.
GENERAL FUND 17,000.
STATEMENT 10
HICKORY FOUNDATION
FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RECIPIENT NAME AND ADDRESS
--------------------------
NATIONAL RESOURCES COUNCIL OF MAINE
NEW YORK CIVIL RIGHTS COALITION
NEW YORK FOUNDATION FOR THE ARTS
NY HOSPITAL CORNELL MEDICAL CENTER
PACIFIC RESEARCH INSTITUTE
SPENCE CHAPIN
BLUE HILL PUBLIC LIBRARY
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
------------------------------
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
3528-02
22-3472805
PURPOSE OF GRANT OR CONTRIBUTION
--------------------------------
AMOUNT
------
GENERAL FUND 5,000.
GENERAL FUND 10,000.
GENERAL FUND 15,000.
GENERAL FUND 5,000.
GENERAL FUND 12,000.
GENERAL FUND 2,500.
GENERAL FUND 500.
STATEMENT 11
HICKORY FOUNDATION
FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RECIPIENT NAME AND ADDRESS
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
NATIONAL CENTER FOR NEIGHBORHOOD ENTERPRISES NONE
PUBLIC CHARITY
AMERICAN CIVIL RIGHTS INSTITUTE NONE
1231 CAPITOL AVENUE PUBLIC CHARITY
SACRAMENTO CA 95816
BROOKLYN BOTANIC GARDEN NONE
PUBLIC CHARITY
CENTER FOR THE STUDY OF POPULAR CULTURE NONE
PUBLIC CHARITY
INSTITUTE FOR AMERICAN VALUES NONE
PUBLIC CHARITY
LANDMARK LEGAL FOUNDATION NONE
PUBLIC CHARITY
JOB PATH NONE
PUBLIC CHARITY
3528-02
22-3472805
PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
-------------------------------- ------
GENERAL FUND 20,000.
GENERAL FUND 100,000.
GENERAL FUND 1,500.
GENERAL FUND 10,000.
GENERAL FUND 14,000.
GENERAL FUND 10,000.
GENERAL FUND 1,000.
STATEMENT 12
HICKORY FOUNDATION
FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RECIPIENT NAME AND ADDRESS
--------------------------
PARENTS TELEVISION COUNCIL
BLUE HILL HERITAGE TRUST
FOUNDATION FOR LANDSCAPE STUDIES
COMMON GOOD
FRIEND MEMORIAL PUBLIC LIBRARY
HANCOCK COUNTY HOMECARE
HEARTLAND INSTITUTE, THE
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
------------------------------
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
3528-02
22-3472805
PURPOSE OF GRANT OR CONTRIBUTION
--------------------------------
AMOUNT
------
GENERAL FUND 10,000.
GENERAL FUND 1,000.
GENERAL FUND 10,000.
GENERAL FUND 10,000.
GENERAL FUND 2,000.
GENERAL FUND 500.
GENERAL FUND 3,000.
STATEMENT 13
HICKORY FOUNDATION
FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RECIPIENT NAME AND ADDRESS
--------------------------
NEW YORK LANDMARKS CONSERVATORY
JAMES MADISON PROGRAM IN AMERICA
BRONX PREPARATORY CHARTER SCHOOL
THE BOGLIASCO FOUNDATION
FLORIDA SCHOOL CHOICE FUND
FOUNDATION FOR ECONOMIC EDUCATION
FOUNDATION FOR EDUCATIONAL REFORM
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
------------------------------
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
NONE
PUBLIC CHARITY
3528-02
22-3472805
PURPOSE OF GRANT OR CONTRIBUTION
--------------------------------
AMOUNT
------
GENERAL FUND 2,500.
GENERAL FUND 10,000.
GENERAL FUND 5,000.
GENERAL FUND 5,000.
GENERAL FUND 10,000.
GENERAL FUND 500.
GENERAL FUND 75,000.
STATEMENT 14
HICKORY FOUNDATION 22-3472805
FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
RECIPIENT NAME AND ADDRESS
--------------------------
FOUNDATION STATUS OF RECIPIENT
------------------------------
PURPOSE OF GRANT OR CONTRIBUTION
--------------------------------
AMOUNT
------
MOUNT VERNON LADIES ASSOCIATION NONE GENERAL FUND 75,000.
PUBLIC CHARITY
NATIONAL FOUNDATION FOR TEACHING NONE GENERAL FUND 10,000.
PUBLIC CHARITY
NY BOTANICAL GARDEN NONE GENERAL FUND 2,500.
PUBLIC CHARITY
MORRIS ARBORETUM NONE GENERAL FUND 500.
PUBLIC CHARITY
ST. LUKES CHAMBER ENSEMBLE, INC. NONE GENERAL FUND 90,000.
PUBLIC CHARITY
PNAC - THE AMERICAN SOCIETY PROJECT NONE GENERAL FUND 50,000.
PUBLIC CHARITY
BRIGHTER CHOICE FOUNDATION NONE GENERAL FUND 212,500.
4 CHELSEA PL PUBLIC CHARITY
CLIFTON PARK NY 12065
3528-02 STATEMENT 15
HICKORY FOUNDATION 22-3472805
FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
RECIPIENT NAME AND ADDRESS FOUNDATION STATUS OF RECIPIENT PURPOSE OF GRANT OR CONTRIBUTION
NONE
TOTAL CONTRIBUTIONS PAID
3528-02 STATEMENT 16
AMOUNT
1,028,500.
HICKORY FOUNDATIONSchedule D Detail of Short-term Capital Gains and Losses
22-3472805
Descri ptionDate
Acq uired
Date
Sold
Gross Sales
Price
Cost or Other
Basis
Short-term
Gain/Loss
APITAL GAINS ( LOSSES ) HELD FOR INVESTMENT PURPOSES
SEE SCHEDULE 1 ATTACHED 01 / 0 1 2005 12/31 / 2005 2 , 952 , 115. 3 , 791 , 832. -839 , 717.
TOTAL CAPITAL GAINS ( LOSSES ) HELD FOR INVE STMENT PURPOSES 2 , 952 , 115. 3 , 791 , 832. -839 , 717.
Totals 2 , 952 , 115. 3 791 832. -839 , 717.
JSA
5F0971 1 000
3528-02 STATEMENT
HICKORY FOUNDATIONSchedule D Detail of Long -term Capital Gains and Losses
22-3472805
Descri ption
Date
Ac quired
Date
Sold
Gross Sales
Price
Cost or Other
Basis
Long-term
Gain/Loss
APITAL GAINS ( LOSSES ) HELD FOR INVESTMENT PURPOSES
SEE SCHEDULE 1 ATTACHED 01 / 01 / 2004 12 / 31 / 2005 2 , 997 , 961. 1 , 963 , 705. 1 , 034 , 256.26 , 000 SHS RESEARCH IN MOTION LTD 05 / 18 / 2001 01 / 06 / 2005 1 , 987 , 015. 391 433. 1 , 595 , 582.
TOTAL CAPITAL GAINS ( LOSSES ) HELD FOR INVE STMENT PURPO SES 4 , 984 , 976. 2,355, 138. 2 , 629 , 838.
Totals 4 , 984 , 976. 2 , 355 , 138. 2 , 662299 , 883388..
JSA
5F0970 1 000
3528-02 STATEMENT
GILDER, GAGNON, HOWEa CO., LLC Tax Report 2005 HICKORYFOUNDATION1775 Broadway ATTN:VIRGINIA MANHEIMER *New York, NY 10019 P.O BOX 281Tel: (212) 765-2500 LAMBERTVILLE NJ 08530-0281
Account Number. 191-43002 Account Executive: RICHARD GILDER
Trade Security Trade Trade Closed Closed Purchase Purchase Short LongDate Description Quantity Proceeds Quantity Proceeds Date Cost Term Term Comment
01/0412005 MANOR CARE INC NEW 3,325 114,372.94 3,325 114,372.94 04/24/2002 84,839.48 29,533.480111112005 AUTODESK INC 9,400 309,325.77 9,400 309,325.77 11/03/2004 264,494.88 44,830.910210412005 "'CHINA MENGNIU DAIRY HKD0.1 118,000 86,230.07 118,000 86,230.07 01/03/2005 94,724.52 -8,494.4502117/2005 BRISTOL WEST HOLDINGS INC 634 11,488.07 634 11,488.07 03/19/2004 14,101.95 -2.613.880211812005 `KYOWA EXEO CORP 14,000 119,273.36 14,000 119,273.36 11/19/2003 72,028.32 47,245.0402/2812005 OPSWAREINC 36,900 212,050.87 36,900 212,050.87 12/1612003 220,204.18 -8,153.290310112005 "'ELAN CORP PLC-ADR 8,200 66,277.28 3,400 27,480.82 02/14/2005 93,133.44 -65,652.62
4,800 38,796.46 02/25/2005 130,444.30 -91,647.84
03109/2005 "'YUKOS CORP SPONSORED ADR 6,550 19,118.99 3,950 11,529.77 04/07/2004 233,088.12 -221,536.352,600 7,589.22 04/19/2004 146,001.34 -138,412.12
03115/2005 "'WESTJET AIRLINES LTD 4,900 65,354.86 4,900 65,354.88 09/14/2004 51,478.15 13,876.710410612005 BRISTOL WEST HOLDINGS INC 2,020 30,351.23 2,020 30,351.23 03/19/2004 44,930.49 -14,579.2604/07/2005 BRISTOL WEST HOLDINGS INC 3.471 52,453.72 3,471 52,453.72 03/19/2004 77,204.82 -24,751.1005102/2005 COMMERCE BANCORP INC-N.J. 7,050 194,914.00 7,050 194,914.00 05/22/2001 128,945.15 65,968.8505/0312005 WYNN RESORTS LTD 8,050 389,564.23 600 29,035.84 07/08/2003 10,779.65 18,256.19
7,450 360,528.39 08/26/2003 123,876.67 236,651.7205105/2005 COMMERCE BANCORP INC-N.J. 14,125 397,493.77 9,350 263,119.77 05/22/2001 171,012.37 92,107.40
4,600 129,449.30 06/29/2001 81,958.71 47,490.59
175 4,924.70 07/23/2002 3,442.80 1,481.9005109/2005 "'51JOB INC SPONSORED ADR 4,725 71,035.95 3,075 46,229.75 01/12/2005 141,953.38 -95,723.63
1,650 24,806.20 02/04/2005 45,574.22 -20,768.0205/10/2005 `51JOB INC SPONSORED ADR 2,942 40,902.95 2,942 40,902.95 02/04/2005 81,260.22 -40,357.2705/1212005 UNIVERSAL TECHNICAL INSTITUTE INC 4,247 136,804.52 4,247 138,604.52 04/2612004 169,880.00 -33,275.4805117/2005 NORFOLK SOUTHERN CORP 6,050 183,688.01 6,050 183,688.01 12/09/2004 213,584.52 -29,896.5106103/2005 "'51JOB INC SPONSORED ADR 1,758 24,269.09 1,758 24,269.09 02/04/2005 48,557.27 -24,288.1806117/2005 UNIVERSAL TECHNICAL INSTITUTE INC 1,803 55,550.74 628 19,348.79 04/26/2004 25,120.00 -5,771.21
1,175 36,201.95 06/2312004 47,962.82 -11,760.870612912005 FIRST MARBLEHEAD CORP 6,350 218,423.31 6,350 218,423.31 09/08/2004 280,661.14 -82,237.830710112005 NORFOLK SOUTHERN CORP 11,025 342,802.77 11,025 342,802.77 12/09/2004 389,218.06 -46,415.2907/06/2005 `P T BK CENTRAL ASIA 1DR125 572,000 199,649.05 572,000 199,649.05 12123/2004 185,294.70 14,354.3508104/2005 ZEBRA TECHNOLOGIES CORP-CL A 8,725 333,698.89 4,150 158,722.11 03/01/2005 212,239.60 -53,517.49
4,575 174,976.78 06/30/2005 203,352.66 -28,375.8808119/2005 MANOR CARE INC NEW 12,000 472,009.17 2,875 113,085.53 04/24/2002 73,357.43 39,728.10
8,450 332,373.12 11/11/2002 171,106.86 161,266.26675 26,550.52 11/13/2002 13,915.74 12,634.78
08/2512005 *"GUANGSHEN RAILWAY CO LTD H SHS 824,000 261,052.01 444,000 140,663.95 06/05/2002 85,820.76 54,843.19
380,000 120,388.08 06/12/2002 73,981.21 46,406.85
02/04/2006 We do not guarantee the accuracy of this report . Please compare with your records.
Se4-f 1P S/2,
GILDER, GAGNON, HOWE & CO., LLC Tax Report 2005 HICKORY FOUNDATION1775 Broadway ATTN:VIRGINIA MANHEIMER •New York, NY 10019 P.O BOX 281Tel: (212 ) 765-2500 LAMBERTVILLE NJ 08530-0281
Account Number. 191-43002 Account Executive: RICHARD GILDER
•5^^'^3^l^s^ak^^^1.
Trade Security Trade Trade Closed Closed Purchase Purchase Short LongDate Description Quantity Proceeds Quantity Proceeds Date Cost Term Term Comment
0813012005 ALPHA NATURAL RESOURCES INC 3,700 108 ,019.57 3,700 108,019.57 03/11/2005 101,582.59 8,438.9809/09/2005 CEVA INC 23,575 117,872.57 23.575 117,872.57 09/13/2004 199,680 .83 -81 , 808.2609113/2005 "*MITSUBI8HI TOKYO FINANCIAL GROUP... 13,750 146,969 .83 • 13 ,750 146,969.83 • 09/13/2005 146 ,969.83 •0911512005 MANOR CARE INC NEW 6,850 268,017.47 275 10 ,759.83 11 /13/2002 5 ,669.38 5,090.45
4,575 179,004.37 04/08/2003 90,587.72 88,416.65
2,000 78,253.27 04/09/2003 39 ,635.16 38,618.1109121 12005 '"MITSUB1SHI TOKYO FINANCIAL GROUP.- 22,800 258,479.37 • 22,800 258 ,479.37 • 09/21/2005 258,479.37 •0912712005 MANOR CARE INC NEW 4,750 179,728.12 4 ,750 179,728.12 04/09/2003 94,133.52 85,594.601010512005 COMMERCE BANCORP INC-N J. 5,125 150,706.22 2,725 80,131 .60 07/23/2002 53,609.35 26,522.25
2,400 70,574.62 10/03/2002 47,665 .23 22 , 909.391011212005 WEYERHAEUSER CO 2,700 167,607.64 2,700 167 ,607.64 09/28/2005 185,340.01 -17,732.3711/Z8/2005 ADVANCED MICRO DEVICES INC 6,400 169,017 .77 6,400 169,017.77 10/06/2005 157,698.76 11 ,319.011212012005 *'*GOLD FIELDS LTD NEW SPONSORED ADR 23,450 381 , 130.88 23,450 381 , 130.88 08/17/2005 270,426.57 110,704.31
Trade Total : 5,950,055.86 5,755,536.99 -839,716.59 1,034,235.48
02/04/2006 We do not guarantee the accuracy of this report. Please compare with your records.
Scr PEou. LE 1 Jp ^ 212-
Form 8868 ( Rev 12-2004) Page 2
• If you are filing for an Additional ( not automatic ) 3-Month Extension , complete only Part II and check this box , , . . ► X
Note : Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.
• If you ark filin for an Automatic 3-Month Extension , com plete only Part I (on page 1 ) .
- .. Additional ( not automatic) 3-Month Extension of Time - Must File Original and One Copy.
Type orName of Exempt Organization Employer identification number
print HICKORY FOUNDATION 22-3472805
File by the Number, street, and room or suite no. If a P 0 box, see instructions For IRS use onlyextended P.O. BOX 281due date forfiling the City, town or post office, state, and ZIP code. For a foreign address, see instructionsreturn Seeinstructions LAMBERTVILLE NJ 08530
Check type of return to be filed (File a se arate application for each return)-Form 990 Form 990-T(sec. 401(a) or 408(a) trust) Form 5227Form 990-BL Form 990-T (trust other than above) Form 6069
Form 990-EZ Form 1041-A Form 8870
x Form 990-PF Form 4720STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
• The books are in the care of ► ANCHIN, BLOCK & ANCHIN LLP
Telephone No. ► 212 840-3456- FAX No. ►• If the organization does not have an office or place of business in the United States, check this box . . . . ... . . . .. . .. . ►• If this is for a Group Return , enter the or anization's four digit Group Exemption Number (GEN ) . If this isfor the whole group, check this box ► f If it is for part of the group, check this box ► and attach a list with the
names and EINs of all members the extension is for
4 I request an additional 3-month extension of time until 11/15/20065 For calendar year 2005 , or other tax year beginning and ending
6 If this tax year is for less than 12 months, check reason: Initial return L_j Final return Change in accounting period
7 State in detail why you need the extension ALL OF THE INFORMATION REQUIRED TO FILE A
COMPLETE AND ACCURATE RETURN IS NOT YET AVAILABLE.
8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits. See instructions . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . ... $ ^01 ''OO
b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated
tax payments made Include any prior year overpayment allowed as a credit and any amount paidpreviously with Form 8868 , , , , , , , $ 51 , -7
c Balance Due. Subtract line 8b from line 8a . Include your payment with this form, or, if required, deposit
with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See AID....................................................instructions $
Signature and VerificationUnder penalti of perj u I declare t /I have examined this form , including accompanying schedules and statements , and to the best of my knowledge and belief,it is true , cor ct , an plete , and t am authorized to prepare this form
Si nature ► Title ► 40 Date ► Q J r/
Notice to Applicant - To Be Completed by the IRSWe have approved this applicatio lease attach this form to the organization's return.We have not approved this application . However , we have granted a 10-day grace period from the later of the date shown below or the duedate of the organization ' s return ( including any prior extensions) This grace period is considered to be a valid extension of time for electionsotherwise required to be made on a timely return . Please attach this form to the organization's return.
El We have not approved this application . After considering the reasons stated in item 7, we cannot grant your request for an extension of timeto file We are not granting a 10-day grace period.
e We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested.
Other
BY,Director Date
Alternate Mailing Address - Enter the address if you want the copy of this application for an additional 3-month extension
returned to an address different than the one entered aboveName
Type orprint
Number and street (include suite, room, or apt. no.) or a P.O. box number
5F8055 1 000
City or town, province or state, and country (including postal or ZIP code)
3528-02
Form 8868 (Rev 12-2004)
Form 8868 Application for Extension of Time To File an(Rev. December 2004) , Exempt Organization Return OMB No. 1545-1709Department of the TreasuryInternal Revenue S ervice ► File a separate application for each return.
• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box ► X• If you are filing for an Additional ( not automatic) 3-Month Extension , complete only Part II (on page 2 of this form).Do not complete Part 9 unless you have already been g ranted an automatic 3-month extension on a p reviously filed Form 8868.
Automatic 3-Month Extension of Time - Only submit original (no copies needed)
Form 990-T corporations requesting an automatic 6-month extension - check this box and complete Part I only... .. ..... ► EAll other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returnsPartnerships, REMICs, and trusts must use Form 8736 to request an extension of time to file Fonn 1065, 1066, or 1041.
Electronic Filing (e-file). Form 8868 can be filed electronically if you want a 3-month automatic extension of time to file one of thereturns noted below (6 months for corporate Form 990-T filers). However, you cannot file it electronically if you want the additional(not automatic) 3-month extension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868. For moredetails on the electronic filing of this form, visit www.irs.gov/efrle.
Type or Name of Exempt Organization Employer Identification number
print HICKORY FOUNDATION 22-3472805
File by the Number, street, and room or suite no. If a P.O. box, see instructions.
due date for P.O. BOX 281your
relturn See City, town or post office, state, and ZIP code. For a foreign address, see instructions.instructions -_ -----
Check type of return to be filed (file a se arate application for each return)
Form 990 Form 990-T (corporation) Form 4720
Form 990-BL Form 990-T(sec. 401(a) or 408(a) trust) Form 5227
Form 990-EZ Form 990-T (trust other than above) Form 6069
X Form 990-PF Form 1041-A Form 8870
• The books are in the care of ► ANCHIN, BLOCK & ANCHIN LLP
Telephone No ► 212 840-3456 FAX No. ►
• If the organization does not have an office or place of business in the United States, check this box ► 7• If this is for a Group Return , enter the organization's four digit Group Exemption Number (GEN) If this isfor the whole group, check this box ► . If it is for part of the group, check this box ► and attach a list with thenames and EINs of all members the extens ion will cover.
I request an automatic 3-month (6-months for a Form 990 -T corporation ) extension of time until 08/15 , 2006to file the exempt organization return for the organization named above. The extension is for the organization's return for► 8 calendar year 2005 or
► tax year beginning , and ending
2 If this tax year is for less than 12 months, check reason: fl Initial return 0 Final return El Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits See instructions $ 59,533.
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax paymentsmade Include any prior year overpayment allowed as a credit $ 29, 533.
c Balance Due . Subtract line 3b from line 3a Include your payment with this form, or, if required, depositwith FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). Seeinstructions .. . . . . . . . . . . . . . . . . . .. . . . . ... .. . .. . . . . . . . . . . . . .. . .... $ 30, 000.
Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EOfor payment instructions.
For Privacy Act and Paperwork Reduction Act Notice , see Instructions . Form 8868 (Rev 12-2004)
JSA5F8054 1 000
3528-02