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Return of Private Foundation or Section 4947a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Note : The organization may be able to use a copy of this return to satisfy state reporting requirements . OMB No 15 45 0052 2004 Department of the Treasury Infernal Revenue Service For calendar ear 2004, or tax ear beg innin g 11 / 01 , 2004, and e G Check all that app ly . Initial return Final return Amended return Use the IRS label . Horner Foundation otherwise, c/o Linda Hanan optype 442 Wellington #6E See Specific Chicago, IL 60657 Instructions . 2005 10/31 Address ;hange I I Name Employer identification number 36-6110236 Telephone number (see instructions) 773-477-1755 C If exemption application is pending, check here D 1 Foreign organizations, check here - H 2 Foreign organizations meeting the 85% test, check Q here and attach computation E If private foundation status was terminated under section 507(b)(1)(A), check here F If the foundation is in a 60-month termination under section 507(b)(1 )(B). check here n H Check type of organization . U Section 501(c)(3) exempt private foundation Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation I Fair market value of all assets at end of year J Accounting method . U Cash U Accrual (from Part fl, column (c), line 16) 11 Other (specify) ~ $ 1, 264, 288 . Part t, column (d must be on cash basis . vh ~* t Anal 's f R en e and y51 O ev U (a) Revenue and (b) Net investment (c) Adjusted net Expenses (The total of amounts m expenses per books income income columns (b), (c), and (d) may not neces- sanly equal the amounts in column (a) Contributions, grits, grants, etc, received fall sch) 2 Ck I' X if the toundn is riot req to aft Sch B 3 Interest on savings and temporary cash investments 2,470 . 2,470 . 4 Dividends and interest from securities 26,239 . 26,239 . 5a Gross rents b Net rental income or (loss) 68 Net gain/(loss) from sale of assets not on line 10 97 ,233 . R b Gross sales price for all 108 ,966 . assets on line 6a 7 Capital gain net income (from Part IV, line 2) i" 97 , 233 . 8 Net short-term capital gain N 9 , Income modifications 10a Gross sales less E returns and allowances b Less . Cost of goods sold c Gross profit/(loss) (alt sch) 11 Other income (attach schedule) t ++i 12 Total. Add fines 1 through 11 125 942 . 125 942 . 13 Compensation of officers, directors, trustees, etc 14 Other employee salaries and wages 15 Pension plans, employee benefits 0 16a Legal fees (attach schedule) M b Accounting tees (attach sch) age St 1 2,950 . MWE o N c Other prof fees (attach sch) '- T 17 Interest R 18 Taxes (attach schedule) See Stmt 2 11,518 . I ~ T r 19 Depreciation (attach schedule) and depletion x 1 1 C= v 20 Occupancy C= G E 21 Travel, conferences, and meetings E ?2 Printing and publications v P 23 Other expenses (attach schedule) See Statement 3 4,761 . 3,348 . N E 24 Total operating and administrative expenses. Add lines 13 through 23 19 , 229 . 3 , 348 . 25 Contributions, gifts, grants paid Part XV 82 , 220 . 26 Total expenses and disbursements. Add dries 24 and 25 101 , 449 . 3 , 348 . 27 Subtract line 26 from line 12 : a Excess of revenue over expenses and disbursements 24,4 93 . b Net investment income (it negative, enter 0 ) . 122 ,594 . C Adjusted net income (d negative, enter 0 ) uA A Cnr Privarv Art and Paeerwork Reduction Act Notice, see the instructions . TEEA0503L 01105!05 N 2,950 . 1,413 . 4 , 363 . 82 , 220 . 86 , 583 . r Form 990-PF (2004) Form 990-PF (d) Disbursements for charitable purposes (cash basis only) . . ...
Transcript
Page 1: 990-PF Return of Private Foundation Treated as a Private ...990s.foundationcenter.org/990pf_pdf_archive/366/366110236/366110236... · Treated as a Private Foundation Note: The organization

Return of Private Foundation or Section 4947a)(1) Nonexempt Charitable Trust

Treated as a Private Foundation Note : The organization may be able to use a copy of this return to satisfy state

reporting requirements .

OMB No 15 45 0052

2004 Department of the Treasury Infernal Revenue Service

For calendar ear 2004, or tax ear beginning 11 /01 , 2004, and e G Check all that app ly . Initial return Final return Amended return

Use the IRS label . Horner Foundation otherwise, c/o Linda Hanan optype 442 Wellington #6E

See Specific Chicago, IL 60657 Instructions .

2005 10/31 Address ;hange I I Name

Employer identification number

36-6110236 Telephone number (see instructions)

773-477-1755 C If exemption application is pending, check here D 1 Foreign organizations, check here - H

2 Foreign organizations meeting the 85% test, check Q here and attach computation

E If private foundation status was terminated under section 507(b)(1)(A), check here

F If the foundation is in a 60-month termination under section 507(b)(1 )(B). check here

n

H Check type of organization . U Section 501(c)(3) exempt private foundation Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

I Fair market value of all assets at end of year J Accounting method . U Cash U Accrual (from Part fl, column (c), line 16)

11 Other (specify) ~ $ 1, 264, 288 . Part t, column (d must be on cash basis .

vh ~* t Anal 's f R en e and y51 O ev U (a) Revenue and (b) Net investment (c) Adjusted net Expenses (The total of amounts m expenses per books income income columns (b), (c), and (d) may not neces- sanly equal the amounts in column (a)

Contributions, grits, grants, etc, received fall sch)

2 Ck I' X if the toundn is riot req to aft Sch B 3 Interest on savings and temporary

cash investments 2,470 . 2,470 . 4 Dividends and interest from securities 26,239 . 26,239 . 5a Gross rents b Net rental income

or (loss) 68 Net gain/(loss) from sale of assets not on line 10 97 ,233 .

R b Gross sales price for all 108 ,966 . assets on line 6a 7 Capital gain net income (from Part IV, line 2) i" 97 , 233 .

8 Net short-term capital gain N 9 , Income modifications

10a Gross sales less E returns and allowances

b Less . Cost of goods sold

c Gross profit/(loss) (alt sch) 11 Other income (attach schedule)

t ++i 12 Total. Add fines 1 through 11 125 942 . 125 942 . 13 Compensation of officers, directors, trustees, etc

14 Other employee salaries and wages 15 Pension plans, employee benefits

0 16a Legal fees (attach schedule) M b Accounting tees (attach sch) age St 1 2,950 .

MWE o N c Other prof fees (attach sch) '- T 17 Interest R 18 Taxes (attach schedule) See Stmt 2 11,518 .

I ~ T r 19 Depreciation (attach schedule) and depletion x 1 1 C= v 20 Occupancy

C= G E 21 Travel, conferences, and meetings E ?2 Printing and publications

v P 23 Other expenses (attach schedule) See Statement 3 4,761 . 3,348 . N

E 24 Total operating and administrative expenses. Add lines 13 through 23 19 , 229 . 3 , 348 .

25 Contributions, gifts, grants paid Part XV 82 , 220 . 26 Total expenses and disbursements.

Add dries 24 and 25 101 , 449 . 3 , 348 . 27 Subtract line 26 from line 12 :

a Excess of revenue over expenses and disbursements 24,4 93 .

b Net investment income (it negative, enter 0 ) . 122 ,594 . C Adjusted net income (d negative, enter 0 )

uA A Cnr Privarv Art and Paeerwork Reduction Act Notice, see the instructions . TEEA0503L 01105!05

N

2,950 .

1,413 .

4 , 363 . 82 , 220 .

86 , 583 .

r

Form 990-PF (2004)

Form 990-PF

(d) Disbursements for charitable purposes

(cash basis only)

. . . . .

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Form 990-PF (2004) Horner Foundation 36-6110236 Page 2 Attached schedules and amounts in the description Beginning of year End of year

Part If Balance Sheets column should be for end of year amounts only (See instructions ) (a) Book Value (b) Book Value (c) Fair Market Value

1 Cash - non-interest-bearing 61,114 . 10,238 . 10,238 . 2 Savings and temporary cash investments 3 Accounts receivable

Less allowance for doubtful accounts 4 Pledges receivable

~- Less . allowance for doubtful accounts P - 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other

disqualified persons (attach schedule) (see instructions) 7 Other notes and loans receivable (attach schl

Less . allowance for doubtful accounts I - - - _ _ - s 8 Inventories for sale or use

9 Prepaid expenses and deferred charges 701 . t 10a Investments - U.S . and state government

obligations (attach schedule) b Investments -corporate stack (attach schedule) 530, 769 . 606, 839 . 1,229,167 . e Investments - corporate bonds (attach schedule) 25, 202 . 25,202 . 24,883 .

11 Investments - land, buildings, and equipment basis Less. 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 ~ ) 16 Total assets (to be completed by all filers -

see instructions Also, see page 1, item I) 617, 786 . 642, 279 . 1, 264, 288 . 17 Accounts payable and accrued expenses 18 Grants payable a

d 19 Deferred revenue 20 Loans from officers, directors, trustees, & other disqualified persons I 21 Mortgages and other notes payable (attach schedule) 22 Other liabilities (describe ~ )

e 23 Total liabilities (add lines 17 through 22) 0 . . 0 .

Organizations that follow SFAS 117, check here and complete lines 24 through 26 and lines 30 and 31 .

N F 24 Unrestricted e u t n 25 Temporarily restricted

d 26 Permanently restricted Organizations that do not follow SFAS 117, check here ~ X

s a and complete lines 27 through 31 . e I t a 27 Capital stock, trust principal, or current funds 617 786 . 642 279 . s n 28 Paid-in or capital surplus, or land, building, and equipment fund

29 Retained earnings, accumulated income, endowment, or other funds o e r s 30 Total net assets or fund balances (see instructions) 617, 786 . 642, 279 .

31 Total liabilities and net assets/fund balances (see instructions) 617, 786 . 642, 279 .

~ Analysis of Changes in Net Assets or Fund Balances

1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return)

2 Enter amount from Part I, line 27a 3 Other increases not included in line 2 (itemize) 4 Add lines 1, 2, and 3 5 Decreases not included in line 2 (itemize) 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part 11, column (b), line 30

Q AA TEEA0302L 07/29104

642,279 .

642,279 . Form 990-PF (2004

617, 786 . 24,493 .

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ro,;m 990"PF 2004 Horner Foundation Pert IV Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e .g ., real estate, 2-story brick warehouse; or common stock, 200 shares MLC Company)

See Attached Schedule b c d e

36-6110236 Page 3

b) How acquired (C) Date acquired (fl) Date sold P - Purchase (month, day, year) (month, day, year) D - Donation

P Various Various

(f) Depreciation allowed (g) Cost or other basis (or allowable) plus expense of sale

11,733 .

in column h and owned b the foundation on 12/31/69 (j) Adjusted basis (k) Excess of column (i) as of 12/31/69 over column 0), if any

(I) Gains (Column (h) gain minus column (k), but not less

than -0-) or Losses (from column (h))

97,233 . a b c a e

7 Add lines 5 and 6 7 77,2 51 .

8 Enter qualifying distributions from Part XII, line 4 8 86,583 .

If line 8 is equal to or greater than line 7, check the box m Part VI, line l b, and complete that part using a 11% tax rate . See the Part VI instructions

Form 990-PF2004

(e) Gross sales price

a 108, 966 . b c d e

mplete only for assets () Fair Market Value

as of 12131169

(h) Gain or (loss) (e) plus (f) minus (g)

97,233 .

2 Capital gain net income or (net capital loss) . If gain, also enter in Part I, line 7 -1 If (loss), enter -0- in Part I, line 7 } Z 97 , 233 .

3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6) .

If gain, also enter m Part I, line 8, column (c) (see instructions) If (loss), enter -0- ~ in Part I, line 8 . -J 3 0 .

P~RV 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 distrrbutable amount of any year in the base period? Yes a No If 'Yes,' the organization does not qualify under section 4940(e) . Do not complete this part .

1 Enter the appropriate amount in each column for each year ; see instructions before making any entries

(a) (b) (c) (d) Base period years Adjusted qualifying distributions Net value of Distribution ratio

Calendar year (or tax year nonchantable-use assets (column (b) divided by column (c)) beginning m)

2003 65 , 248 . 1,210,633 . 0 .053896 2002 61,224 . 1,023,134 . 0 .059840 toot 60,910 . 1, 088, 708 . 0 .055947 2000 115,102 . 1,356,110 . 0 .084877 1999 55,050 . 1,317,503 . 0 .041784

2 Total of line 1, column (d) 2 0 .296344

3 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 m existence if less than 5 years 3 0 .059269

4 Enter the net value of nonchantable-use assets for 2004 from Part X, line 5 1 4 1 1,282,713 .

5 Multiply line 4 by line 3 1 5 1 76,025 .

6 Enter 19'a of net investment income (1°/a of Part J, line 27b) L 61 - 1,226 .

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0 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 m assets at any time during the years if 'Yes,' complete Part ll, column (c), and Pad XV 7 X 8a Enter the states to which the foundation reports or with which it is registered (see instructions) ~--_--

Illinois ------------------------------------------------b Ii 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 4942(l)(3) or 4942(j)(5) for calendar year 2004 or the taxable year beginning in 2004 (see instructions for Part XIV)? !f'Yes,'completePart XIV 9 X

10 Did any persons become substantial contributors during the tax year? 10 X If 'Yes,' attach a schedule listing (heir names and addresses .

11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? 11 X Web site address 01 N/A

12 The books are in care of - Linda Hdndn Telephone no. ~ 773-477-1755 Located at - 442 W . Wellin9ton,-#6E, - Chicago, IL ZIP +a ~ 60657 -------------------------------- ------------

13 Section 4947(a)(1) nonexempt charitable trusts fling 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 ~ N/A

Form 990-PF (2004) BAA TEEA0304L 01103/05

Form 990-PF (2004) Horner Foundation 36-6110236 Page 4 Pert VI Excise Tax Based on Investment Income section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)

1 a Exempt operating foundations described m section 4940(d)(2), check here ~ a and enter 'N/A' on line 1 Date of ruling letter . - _ _ - _ - - (attach copy of ruling letter it necessary - see instructions)

b Domestic organizations that meet the section 4940(e) requirements in Part V, 1 1,226 . check here 0' Mand enter 1 % of Part f, line 27b

c All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, column (b) 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only . Others enter -0-) 2 0 . 3 Add lines 1 and 2 3 1,226 . 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 4 0 . 5 Tax based on investment income. Subtract line 4 from line 3 . If zero or less, enter -0- 5 1,226 . 6 Credits[Payments . a 2004 estimated tax pmts and 2003 overpayment credited to 2004 6a 5,760 . b Exempt foreign organizations - tax withheld at source 6b c Tax paid with application for extension of time to file (Form 8868) 6c d Backup withholding erroneously withheld 6d

7 Total credits and payments Add lines 6a through 6d 7 5,760 . 8 Enter any penalty for underpayment of estimated tax . Check here r] 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 0. 9

10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid 01 10 4,534 . 11 Enter the amount on line 10 to be: Credited to 2005 estimated tax 11~ 4,534 .1 Refunded Ol I 11

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did it Yes No participate or intervene in any political campaign? 1 a X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? 1 b X

If the answer is 'Yes' to la or 16, 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 112Q-POL for this year? 1 c X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year .

(1) On the organization ~ $ 0 . (2) On organization managers ~ $ 0 . e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on organization managers ~ $ 0 .

2 Has the organization engaged m 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 fled a tax return on Form 990-T for this year? 4b N IA

5 Was there a liquidation, termination, dissolution, or substantial contraction during the years 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 0 By language m the governing instrument, or

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5

b If 'Yes,' did it have excess business holdings in 2004 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

A b the Commissioner under section 4943(c)(7)) to dispose of holdings ac uired by 8ift or bequest, or

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use schedule , Form 4720, to determine if the organization had excess busyness holdings in 2004 ) 3b N A

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 2004? 4b X

5a 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))? E]Yes Xa No

(2) Influence the outcome of any specific public election (see section 4955), or to carry on, directly or indirectly, any voter registration drives e Yes XB 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)? E] Yes N No

(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals? E ]Yes X No

b If any answer is 'Yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described m Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions)? 5b N A 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 grants N/A ~ Yes ~ No !f 'Yes,' attach the statement required by Regulations section 53.4945-5(d) .

6a Did the organization , during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contracts ~ Yes X~ No

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 6b X !f you answered 'Yes' to 6b, also file Form 8870.

BAA TEFA0305L 07129/04 Form 990-PF (2004)

Form 990-PF (2004) Horner Foundation 36-6110236 Page Dart 1tll-L3 Statements Regarding Activities for Which Form 4720 Ma Be Required

File Form 4720 if any item is checked in the 'Yes' column, unless an exception applies . Yes No 1 a During the year did the organization (either directly or indirectly) .

(1) Engage in the sale or exchange, or leasing of property with a disqualified persons Yes X No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? Yes X No

(~ Furnish goods, services, or facilities to (or accept them from) a disqualified person? Yes X No (4) Pay compensation lo, 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)? Yes XaNo

(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 ) 11 Yes NNo

b If any answer is 'Yes' to l a(1)-(b), did any of the acts fad to q ualify under the exceptions described in Regulations section 53.4941(d)-3 or m a current notice regarding disaster assistance (see instructions)? 1 b N VA Organizations relying on a current nonce regarding disaster assistance check here D

c Did the organization engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected before the first day of the tax year beginning in 2004? 1 c X

2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 4942Q)(3) or 49420(5)) .

a At the end of tax year 2004, did the organization have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2004 E]Yes n No If 'Yes,' list the years ~ 20_ - , 20- _ , 20- ̀ , 20--

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 instructions ) 2b N ~A

c If the provisions of section 4942(a)(2) are bung applied to any of the years listed in 2a, list the years here . ~ 20 , 20 , 20 , 20

3a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? ~ Yes ~ No

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Form 990-PF (2004) Horner Foundation 36-6110236 Page 6 Part Vitf Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,

and Contractors 1 List all officers, directors, trustees, foundation managers and their com ensation (see instructions) .

(b) Title and average (c) Compensation (d) Contributions to (e) Expense account, (a) Name and address hours per week (If not paid, enter -0-) employee benefit other allowances

devoted to position plans and deferred compensation

- ----------------------- See Statement 4 ~ 0 .~ 0 .~ 0 .

;other than those included on line 1- see ii (b) Title and average (c) Compensation

hours per week devoted to position

ctions) . If none, enter'NONE : (d) Contributions to (e) Expense account, employee benefit other allowances plans and deferred

None

Total number of others receiving over $50,000 for professional services

1~'~~t tk-A 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 number of I Expenses organizations and other beneficiaries serv ed, conf e renc es convened, resear c h papers produced, etc

1 N/A ------------------------------------------------------

2

------------------------------------------------------

3

------------------------------------------------------

4

------------------------------------------------------

RAA TEEA0306L 01103105 Form 990-PF (2004)

2 Compensation of five highest-paid empl (a) Name and address of each employee

paid more than $50,000

Total number of other employees paid over $50,000 3 Five highest-paid independent contractors for professional services - (see instructions). If none, enter 'NONE .'

(a) Name and address of each person paid more than $50,000 (b) Type of service None

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Form s90-PF (2004) Horner Foundation 36-6110236 Page 7

NW-I3 Summary of Program-Related Investments see instructions)

Describe the two largest program-related investments made b the foundation during the tax ear on lines 1 and 2. Amount 1 N/A

2

All other program-related investments See instructions 3

0 . 111. Total. Add lines 1 through 3

Minimum Investment Return (All domestic foundations must complete this part . Foreign foundations, see instructions .)

1 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 b Average of monthly cash balances c Fair market value of all other assets (see instructions) d Total (add lines 1 a, b and c) e Reduction claimed for blockage or other factors reported on lines la and lc

(attach detailed explanation) I 1 e 2 Acquisition indebtedness applicable to line 1 assets 3 Subtract line 2 from line 1d 4 Cash deemed held for charitable activities . Enter 1-112% of line 3 (for greater amount, see instructions) 5 Net value of noncharitable-use assets. Subtract line 4 from line 3 . Enter here and on Part V, line 4 6 Minimum investment return . Enter 5% of line 5

1 a 1, 249, 326 . 1 b 52,921 . 1c 1d 1,302,247 .

0 . 2 0 . 3 1,302,247 . 4 19,534 . 5 1,282,713 . s 64,136 .

sting foundations and certain and do not complete this part )

1 64,136 .

Distribut8ble Amount (see instructions) (Section 49420(3) and 0)(5) private foreign orqarnzations check here 0'

1 Minimum investment return from Part X, line 6 2a Tax on investment income for 2004 from Part VI, line 5 2a b Income tax for 2004 (this does not include the tax from Part VI ) 2b c Add lines 2a and 2b

3 Distnbutable amount before adjustments . Subtract line 2c from line 1 4 Recoveries of amounts treated as qualifying distributions 5 Add lines 3 and 4 6 Deduction from distributable amount (see instructions) 7 Distributable amount as adwsted . Subtract line 6 from line 5 . Enter here and on Part XIII, line 1

1,226 .

Pkjrt Xlf Qualifying Distributions (see instructions)

5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment income Enter 1 % of Part I, line 2715 (see instructions)

6 Adjusted qualifying distributions . Subtract line 5 from line 4 1,226 .

85,357 .

TEEA0307L 01/14105

1 Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes-a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 b Program-related investments - total from Part IX-B

2 Amounts paid to acquire assets used (or held for use) directly m carrying out charitable, etc, purposes

3 Amounts set aside for specific charitable projects that satisfy the . a Suitability test (prior IRS approval required) b Cash distribution test (attach the required schedule)

4 Qualifying distributions Add lines la through 3b . Enter here and on Part V, line 8, and Part XIII, line 4

1,226 . 62,910 .

62,910 .

62,910 .

86,583 .

86,583 .

Note : The amount on line 6 will be used in Part V, column (b), m subsequent years when calculating whether the foundation qualifies for the section 4940(e) reduction of tax in those years.

BAA Form 990-PF (2004)

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Form 990-PF (2004) Horner Foundation 36-6110236 Page io Part XV Supplementary Information (continued)

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Form 990-PF (2004) Horner Foundation 36-6110236 Page ii

p~t'~?~V1"A Analysis of Income-Producing Activities

(e) Related or exempt function income (see instructions)

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 (lass) from sales of assets other than inventory 9 Net income or (loss) from special events 10 Gross profit or (loss) from sales of inventory 11 Other revenue .

181 97,233 .

a b c d e

12 Subtotal . Add columns (b), (d), and (e) ~~. .~ . .~.~ ~_ . . .T . .~ 125,942 . 13 Total . Add line 12, columns (b), (d), and (e) 13 125,942 . (See worksheet in the instructions for line 13 to verify calculations )

~a~ ~tl~~-8 Relationship of Activities to the Accomplishment of Exempt Purposes

Enter gross amounts unless otherwise indicated .

1 Program service revenue :

Unrelated business income Excluded by section 512, 513, or 514 (a) (b) (c) (d)

Business Amount Exclu- Amount code sion

code

14 2,470 . 14 26,239 .

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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 re portin organization If the organization received less than fair market value m 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 arrangem

2a 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 M No

b If 'Yes,' complete the following schedule .

Form 990-PF (2004) Horner Foundation 36-6110236 Page 12 FP~rt XVI! Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations Yes No

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?

a Transfers from the reporting organization to a noncharitable exempt organization of. (1) Cash 1 a 1) X (2) Other assets 1 a 2) X

b Other transactions .

]i I (1) Sales of assets to a noncharitable exempt organization 1 b 1 X (2) Purchases of assets from a nonchantable exempt organization 1 b 2) X (3) Rental of facilities, equipment, or other assets 1 b 3) X (4) Reimbursement arrangements 1 b (4) X (5) Loans or loan guarantees 1 b (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

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a) DESCRIPTION

L' )NG -TERM

A Istate Corp

N. organ Stanley Dean Wetter

$ 108,966.40 $ 11,732 .50 $ 97,233.90

HORNER FOUNDATION FEIN : 36-6110236

ATTACHMENT TO FORM 990-PF 10/31/05

Part IV Gains 8 Losses for Tax on Investment Income

TOCK:DISPOSITIONS . b) HOW c) DATE d) DATE e) SALE fl COST OR r h) GAIN/LOSS ACQUIRED ACQUIRED DISPOSED SHS t PROCEEDS BASIS ' ~ ON SALE

Purchase 06102/94 03/29/05 1000 $ 53,268.24 $ 6,097.50 $ 47,170.74

Purchase 06/02/94 03129/05 1000 $ 55,698.16 $ 5,635.00 $ 50,063.16

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HORNER FOUNDATION FEIN : 36-6110236

ATTACHMENT TO FORM 990-PF 10/31/05

Part XV, Line 3a - Grants and Contributions Paid During Year

Description Purpose Amount

American Cancer Society Unrestricted Use 2500

American Jewish Committee Unrestricted Use 1,00000

Art Institute Unrestricted Use 3500

Art Institute Unrestricted Use 7000

Art Institute Unrestricted Use 2500

Art Institute Unrestricted Use 3500

Art Institute Unrestricted Use 12500

Art Institute Unrestricted Use 2,50000

Avon Breast Walk Unrestricted Use 2500

Camp Nebagamon Sch Fund Unrestricted Use 50000

Chicago Botanic Garden Unrestricted Use 5000

Chicago Child Care Unrestricted Use 50000

Chicago Child Care Unrestricted Use 2500

Chicago Drama League Unrestricted Use 5000

Chicago Drama League Unrestricted Use 1000

Chicago Historical Society Unrestricted Use 10000

Chicago Symphony Orchestra Unrestricted Use 2,50000

Children's Gardens Unrestricted Use 25000

Children's Memorial Hospital Unrestricted Use 50000

Citizens Info Service Unrestricted Use 25000

COD Foundation Unrestricted Use 5000

Colorado College Unrestricted Use 3500

Connecticut College Unrestricted Use 50000

Contemporary Arts Council Unrestricted Use 1,00000

Desert Literary Society Unrestricted Use 6500

Desert Town Hall Unrestricted Use 35000

Desert Town Hall Unrestricted Use 35000

Facing History Unrestricted Use 1,00000

Field Museum Unrestricted Use 1,000.00

Foundation For Hearing 8 Speech Unrestricted Use 2500

Friends of The Library Wmnetka Unrestricted Use 1000

GIRF Unrestricted Use 16000

GIRF Unrestricted Use 15000

GIRF Unrestricted Use 700.00

Greater Chicago Food Depository Unrestricted Use 5000

Greater Chicago Food Depository Unrestricted Use 50.00

Green Market Unrestricted Use 20000

Highland Park Hospital Unrestricted Use 5000

Hi-Jump Unrestricted Use 50000

JUF Unrestricted Use 2,50000

Juvenile Diabetes Research Unrestricted Use 45000

Kohl Children's Museum Unrestricted Use 35000

Lincoln Park Zoo Unrestricted Use 4000

MACC Fund Unrestricted Use 50000

Mann Abused Women's Service Unrestricted Use 5000

MCA Unrestricted Use 15000

McCormick Tribune Foundation Fund Unrestricted Use 50000

Merit Unrestricted Use 40000

Merit School of Music Unrestricted Use 25,000 00

Merit School of Music Unrestricted Use 2544

Merit School of Musk Unrestricted Use 5000

MIT Alumni Fund Unrestricted Use 15000

Museum Of Science And Industry Unrestricted Use 10,000 00

National Public Radio Unrestricted Use 3500

North Shore Senior Center Unrestricted Use 5500

North Shore Senior Center Unrestricted Use 15000

Northwestern University Coachella Valley Unrestricted Use 2500

Palm Springs Desert Museum Unrestricted Use 5000

Palm Springs Desert Museum Unrestricted Use 5000

Palm Springs Museum Unrestricted Use 5000

Palm Springs Museum Assoc Commitee Unrestricted Use 15000

Palm Springs Performing Arts Council Unrestricted Use 1,00000

Palm Springs Philharmonic Unrestricted Use 1,83500

Parker School Unrestricted Use 3,00000

Pets In Need Unrestricted Use 2500

Phi Beta Kappa Unrestricted Use 10000

II

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Part XV, Line 3a - Grants and Contributions Paid During Year

Description Purpose Amount j

Pine Manor College Unrestricted Use 10000

PSF Museum Unrestricted Use 3500

Rancho Public Library Unrestricted Use 4500

Ravinia Festival Unrestricted Use 2500

Ravinia Festival Unrestricted Use 10000

Ravinia Festival Unrestricted Use 5000

Ravinia Festival Unrestricted Use 50.00

Ravinia Festival Unrestricted Use 2,50000

Ravinia Festival Unrestricted Use 280.00

Ravinia Festival Unrestricted Use 25 00

Ravinia Festival Unrestricted Use 2500

Ravinia Festival Unrestricted Use 2500

Ravinia Festival Unrestricted Use 5000

Ravinia Festival Unrestricted Use 5000

Ravinia Festival Unrestricted Use 2500 Ravinia Festival Unrestricted Use 2,50000

Refund From Field Museum Unrestricted Use (50000) Sinai Community InsUtiute Unrestricted Use 35 00

Smart Museum Unrestricted Use 10000

Smart Museum Unrestricted Use 50.00

St Marks Unrestricted Use 1,00000

St Marks Endowment Unrestricted Use 3,00000

St Marks School Unrestricted Use 5000

Temple De Hirsch Sinai Unrestricted Use 5000

The Columbian Society Unrestricted Use 1.00000

The Gennger Foundation Unrestricted Use 1,00000

The One Family Fund Unrestricted Use 35.00

The Women's Board-University Of Chicago Unrestricted Use 6000

United States Holocaust Memorial Museum Unrestricted Use 1,25500

University Of California - Berkeley College Of Env Design Unrestricted Use 15000

University Of Chicago Unrestricted Use 1,500.00 University Of Chicago Unrestricted Use 3000

University Of Chicago - Graham School Unrestricted Use 5500 University Of Chicago Women's Board Unrestricted Use 30.00

University Of Chicago-Women's Board Unrestricted Use 1,00000

University Of Michigan Unrestricted Use 20000

University Of Michigan Business School Unrestricted Use 1,00000 University Of Michigan LSA Unrestricted Use 1,00000

University Of Notre Dame Unrestricted Use 10000

Winnetka Community House Unrestricted Use 2500 WITS Unrestricted Use 1,00000

WTTW Unrestricted Use 10000

Yale Parents Fund Unrestricted Use 1,500.00

Total Contributions For Year To Schedule $ 82,220 44

All of the above donations were paid to accomplish the religious, charitable, scientific, literary, or other public purpose of the organization All organizations qualify

as 501(c) organizations .

HORNER FOUNDATION FEIN 36-6110236

ATTACHMENT TO FORM 990-PF 10/31105

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Title and Contri- Expense Average Hours Compen- bution to Account/

Name and Address Per Week Devoted sation EBP & DC Other

Nancy Horner President $ 0 . $ 0 . $ 0 . As Required

Winnetka, IL

Secretary As Required

0 . 0 . 0 .

Chicago, IL

2004 Federal Statements Page 1 Horner Foundation c/o Linda Hanan 36-6110236

Statement 1 Form 990-PF, Part I, Line 16b Accounting Fees

(a) (b) Net (c) (d) Expenses Investment Adjusted Charitable per Books Income Net Income Purposes

Accounting Fees $ 2 , 950 . $ 2950 . Total 2,950 . 0 . _~_'2, 950 .

Statement 2 Form 990-PF, Part I, Line 18 Taxes

(a) (b) Net (c) (d) Expenses Investment Adjusted Charitable per Books Income Net Income Purposes

Excise Tax $ 11,518 . Total $ 11,518 . 0 . 0 .

Statement 3 Form 990-PF, Part I, Line 23 Other Expenses

(a) (b) Net (c) (d) Expenses Investment Adjusted Charitable per Books Income Net Income Purposes

Administrative Fees $ 1,393 . $ 1,393 . Investment Fees 3,348 . $ 3,348 . State Filing Fees 20 . 20 .

Total 4,761 . $ 3,348 . 1,413 .

Statement 4 Form 990-PF, Part VIII, Line 1 List of Officers, Directors, Trustees, and Key Employees

Linda Hanan

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Total $ 0 . $ 0 . $ 0 .

Il

2004 Federal Statements Page 2 Horner Foundation c/o Linda Hanan 36-6110236

Statement 4 (continued) Form 990-PF, Part VIII, Line 1 List of Officers, Directors, Trustees, and Key Employees

Title and Contri- Expense Average Hours Compen- bution to Account/

Name and Address Per Week Devoted sation EBP & DC Other

Jill Levi Treasurer $ 0 . $ 0 . $ 0 . As Required

Chicago, IL

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$ 606,838.80 1,229,167 .83

Part 1l. Line 10c - Investments - Corporate Bonds 25,201 .73 24,883 .00

Eastman Kodak Co Medium Term Nts 6 375% $ 25,201 .73 $ 24,883 00

HORNER FOUNDATION FEIN : 36-6110236

ATTACHMENT TO FORM 990-PF 10/31/05

Description Book Value Fair Mkt Value

Part 1l, Line 10b - Investments - Corporate Stocks

Allstate Corp $ 40,231 .85 $ 348,308.42

Amylm Parmaceuticals 14,624 .00 26,840.00

Applied Materials 8,144.49 9,816.00

Morgan Stanley Dean Wetter 23,832.95 230,045.48

AT&T Corp 7,338.16 1,978.00

Boeing Company 29,638.00 45,248.00

Bristol Myers Squibb Co 31,004.18 12,702 .00

Caci Intl Inc 26,430.10 38,178.00

Celestica Inc 26,641 .00 16,252.00

Comcast 32,736.64 21,163.41

Conocophdlips 26,181 .15 55,834 .52

Devon Energy Corporation 23,790.00 60,380.00

Dominion Resources 25,900.00 26.628 00

Electronic Data Sys Corp 7,193.51 4,662.00

Emerson Electric 20,757.00 27,820 00

Fedex Corporation 30,108.00 36,772 .00

Flextronics International 26,969.00 15,759 00

Hormel Foods 22,572.00 28,620 00

Merck 8 Co 28,483 13 16,932 00

San Juan Basin royalty Trust 28,805 .00 62,400.00

US Bancorp 22,196.15 29,580 00

Schering-Plough 36,801 .25 26,442.00

Thereto Electron Corp 18,578 .24 27,171 00

Unilever 26,764.00 28,124 00

Vodafone Group PLC 21,119 00 31,512.00


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