Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation ebon may be able to use e conv of this return to satisfy state renor6no reaulraments . 016118 M& 1545-0052 LOOI oapene,c ofma rti.ury Int~mIiWanw9rvks Note Use the IBS Name of organization A Employer Identification number label Otherwise, B ROOKLYN BENEVOLENT SOCIETY 11-1661344 print r+un~ .w .v..c(avo eoRnume .unrienot wti..am .ven .nar=s! I'loonwwhe B Telephone number or type 4 88 ATLANTIC AVENUE ( 718 ) 875-2066 See Spacific m ~v aWI d vmclina d,~n .. " D Instructions City or town, seta, and ZIP code C n ewe B ROOKLYN , NY 11217 D t Foreign orpantradons, check here H Check type of organization Section 501(c)(3) exempt private foundation Section 4947(a)( 1) nonexempt chaMa0le trust 0 Other taxable prnate foundation E If private foundation status was terminated I Fair market value of all assets at end o1 year J Aaoun6np metho0 0 Cash [ ::] Accrual under section 507(b)(1 )(A), check here (from Pert 1l, cc/ (e), line 76) EM Other (specify) MODIFIED CASH F If tea foundation Is In a 0-month termination " S 5 , 167 , 240 . (Pert 1, column (d) must be on cash basis ) under section 507 b 1 B check here 1 per{ ~ Analysis of Revenue and Enpemes (a) Revenue and (E) Disbursements (The tote! of amaints in coNmns (b) (0) Net investment (c) Adjusted net for charitable (e), end (d) J may not necesseny equal expenses per Income income purposes the amounts In column books (cash basis only) 1 Contributions, gifts, grants, etc . received IM "I C~O-EXI nfth-Monif= , wmcsmif 7 c CZ) 77 -T ~o 2 Distributions from splR-inleresttrusts N 9 'mn~~ ,mem ~b rw 7n4aQY ^ , ; 4,,",, . TATEM~N',f'~~'1° e Dividends andInterest from securities 160 544 . 1-6-0- , 5-4-4 5a Gross rents 1y4 ,~ 687 . zt 14 , 687 . TATEMEN'PA 2 ~ : 5 s ~ d [~kbf .yZa Y7~'x ~ .~.` W$$~~ .>Y~" ;Va Si ' ~^yq'f5 vt)~~~~SjQ[v ~vRS'/ ."X3~ ass 3a`[ s ~ yF2yf~6F`~t 5 G (NMTMI. or OM) 14 687 . Be Net yan aooe) nom .wo m .n .t on ~'~3a~Sa~F,s%';~ fine 0 404 , 443 . p [] 7 bGmoWm brW 404,443 . ~, ~ ~ W e5 . .on n~:s. rlu Z ~e 7 o.ad9wn rmt incom mon, Pert N,nm 2) ., .~ 404 , 443 . ~°~ `E "' Z cc B NBlShORiOrtncapital gain 8 Income modifications -e (q 10a GmaWaaIm nmrto x :, x 3 k .fr ~771 ;' 7"T' 77 -7 T 7777- b L. Cost of gootf. V, C Gross profit or (loss) 11 Other Income 6 , 834 . ~6 834 . 0 . ~TATEMENT, :s=~ ~ 12 Total nddlines ithroug h it 586 508 . 586 508 . 0 . . 19 cm~ eromo. .,au..m ..w.se, .m 27 780 . 7 , 489 . 0 . 20 , 291 td Other employee salaries andwages 3 , 380 . 3 1 380 . 0 . 0 . 15 Pension plans . employee benefits ~, tea Legal tees STMT 4 7 , 241 . 1 , 955 . 0 . 5 , 286 . g oAccounting fees STMT 5 14 , 000 . 12 , 040 . 0 . 1 , 960 . ~ c Other professional tees STMT 6 52 , 671 . 52 , 671 . 0 . 4 , 124 . 17 Interest 78 saxes STMT 7 15 , 744 . 644 . 0 . 1 740 . , .` a~ . . c 19 Depreciation anddepletion 20 Occupancy 2 , 400 . 1 1 200 . . 0 . mw ¢a 1 , 200 . 27 Travel, conferences, and meetings m 22 Printing and publications 23 Other expenses ~ 19 , 868, 12 , 184 . 0 . 7 684 . 20 Total operating and ad Intrtr~t ,~ eiperues .nuolines t3 rou h23 1(143 084 . 91 563 . 0 . 42 , 285 . " 25 Contributions, Oitts .pran 735 . 121 735 . 28 Total expenses an0 Abbu e . .T 27 Subtract tine 26 from line 1 W' . b Net Investment Income of negsv ...entw 4).) oiisax lHA For Paperwork Reduction An Notice . sae be Instructions Forth B90-PF (2001 ) 1 13080430 788832 11120000 2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001\ Form .990-PF
Transcript
Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation ebon may be able to use e conv of this return to satisfy state renor6no reaulraments .
016118 M& 1545-0052
LOOI oapene,c ofma rti.ury Int~mIiWanw9rvks Note
Use the IBS Name of organization A Employer Identification number label
Otherwise, BROOKLYN BENEVOLENT SOCIETY 11-1661344 print r+un~ .w .v ..c(avo eoRnume .unrienot wti..am .ven .nar=s! I'loonwwhe B Telephone number
or type 4 88 ATLANTIC AVENUE ( 718 ) 875-2066 See Spacific
m ~v aWI d vmclina d,~n.. " D Instructions City or town, seta, and ZIP code C n ewe BROOKLYN , NY 11217 D t Foreign orpantradons, check here
H Check type of organization Section 501(c)(3) exempt private foundation Section 4947(a)( 1) nonexempt chaMa0le trust 0 Other taxable prnate foundation E If private foundation status was terminated
I Fair market value of all assets at end o1 year J Aaoun6np metho0 0 Cash [::] Accrual under section 507(b)(1 )(A), check here (from Pert 1l, cc/ (e), line 76) EM Other (specify) MODIFIED CASH F If tea foundation Is In a 0-month termination " S 5 , 167 , 24 0 . (Pert 1, column (d) must be on cash basis ) under section 507 b 1 B check here 1 per{ ~ Analysis of Revenue and Enpemes (a) Revenue and (E) Disbursements
(The tote! of amaints in coNmns (b) (0) Net investment (c) Adjusted net for charitable (e), end (d) J may not necesseny equal expenses per Income income purposes the amounts In column books (cash basis only)
1 Contributions, gifts, grants, etc . received IM "I C~O-EXI nfth-Monif= , wmcsmif 7 c CZ) 77 -T ~o 2 Distributions from splR-inleresttrusts
Less allowance for doubtful accounts 10, 4 Pledges receivable 10'
Less allowance for doubtful accounts 5 Gents ieceNable 6 RecervaDles due from officers, directors, trustees, and other
disqualified parsons 7 OevmaawhnmsFaot
Less allowance for doubtful accounts 01 8 Inventories for sale or use 9 Prepaid expenses and deterred charges t0a Investments -US anOstate government obligations STMT 9
b Investments-corporate stock STMT 10 c Investments -corporate bonds STMT 11
71 s~ waww,mWawao~e,* " 55,350
UM =wrwmmpmdailon 1 12 Investments - mortgage loans 13 Investments - other
Market Value
,3. 0
.411
F~ 99D-PF Romp
tzzsii oi-x4-ox
2 13080430 788832 11120000 2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001
ti 20 Low fro. olA~, Olncbn, bw~ rq MW dbquYIME p~ 21 Mortgages and other notes payable
22 OlherliaDiIRros (Oescnbe 1110-
Organizations that follow SFAS 117, cheat here 1 and complete lines 24 through 26 and lines 30 and 31
24 Unrestricted m 25 Temporarily restricted
28 Permanency restricted Organizations that do not follow SFAS 117, clack here 1 D end complete lines 27 through 31
27 Capital stock, trust principal . or current funds 28 Paid-in or capital surplus, or land, bldg , and equipment tunO 29 Retained earnings, accumulated Income. endowment, orotherfunds
Z 30 Total met assets or fund balances
Analysis of Changes In Net Assets or Fund Balances
7 Total net assets or fund balances at beginning of year- Part II, column (a), line 30 (must agree with and-of-year figure reported on prior years return)
2 Enter amount from Part 1 . line 27a 9 Other Increases not Inducted in line 2 (Aem¢e) 10, 4 Add lines 1, 2 . and 3 5 Decreases not Included m line 2 (itemize) B Total net assets or fund balances at end of veer (line 4 minus line 51- Part II . column Ibl. line
... . C . ...w~o~ a. .. ., t... ~~.. .. . ..x . .. . ~ ~
19 , 829 .
4 , 493, 594 .' ', Ile
4 , 493, 594 . `,
.'4,513,423.~~
Formsso-aF (2001 ) BROOKLYN BENEVOLENT SOCIETY pmt tY~ Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of properly sold (e q , real estate, 2-story brick warehouse, or common stock, 200 shs MLC Co )
to NEUBERGER 6 BERMAN o INSTALLMENT SALE - CURRENT PORTION c a e
(e) Gross sales price (1) Depreciation allowed (p) Cost or other basis (or allowable) plus expense of sale
in column (h) and owned by the foundation on 12/31/69 (1) Adjusted basis (k) Excess of col (I) as of 12/31r (I) FMV as at7213t/69
443 .
Yes DO No
a upon ratio o dad bycol (c))
.0817430
.0783318
.0742385
.0754412
.0760415
.3857960
.0771592
5,585,014 .
430,935 .
4,949 .
435 .884 .
2 Total of line 1, column (d) 9 Average distribution ratio for the 5-year base period -drvMe the total on tine 2 by 5, or 6y the number of years
the foundation has been in existence rt lass than 5 years
4 Enter the net value of nancharAaGle-use assets for 2001 from Part X . line 5
S Multiply line 4 by line 3
6 Enter 1 % of net investment Income (1 % of Pad I, line 27b)
7 Add ones 5 and 6
3 13080430 788832 11120000 2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001
assets
2 Capital pain net Income or (net capital loss) ~ h Cain, also enter in Part I, line 7 1 It 'loss),enter-0- mPart l,line 7 f
9 Net short-term capital pain or (loss) as defined In sections 1222(5) and (6) If pain, also enter m Part I, line 8, column (c) It (loss), enter-0- In Part I, line 8
1 rar[~r " 1 Uuauncation unaer zieciion aa4u(e) for Reduced Tax on Net Inve(For optional use by domestic private foundations subject to the section 4940(a) fax on net Investment Income
M section 4940(4)(2) applies, leave this part blank
Was the organization liable for the section 4942 tax on the distnbutable amount of any year in the base period?
the appropriate amount In each column for each year, see Instructions before making any entries
(b) W Base penod years arYear (ortaxYear beninninaln) Adjusted qualifying distributions Net value ofnoncharita0le-useassets
-1661344
(e Date acquired (d) Date sold ~mo,day,yr) I (mo,Uay,yr)
(8) Gam or (loss) (e) plus (f) minus (p)
(I) Gains (Col (h) pain minus col (k), but not less than -D-) or
Losses (from col (h))
8 Enter qualifying distributions from Part XII, line 4 164,020 . II tine 8 a equal to or greater than line 7, check the box in Part VI, line t b, and complete that part using a 1 % lax rate See the Pad VI Instructions
c~ 990-PF Room m-x4-M
pmt vi txcise i ax dasea on investmem income lisecnon aaqutai, 4awtoll, 4aau~
1 e Exempt operating foundations described In section 4940(d)(2), check here " and enter WA' online I Date of ruling letter (attach copy of ruling letter If necessary-see Instructions)
h Domestic organizations that meet the sactlon 4940(e) requirements in Part V, chock here " D and enter 1% ot Part 1 . line 27b
e All other domestic orqanrutions enter 2% of line 27b Exempt foreign organizations enter 4% of Part 1, line 12, col (b) 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 9 Add lines 1 and 2 0 Subtitle A (Income) tax (domestic section 4997(a)(1) trusts and taxable foundations only Others enter -0-) 6 Tax based on Investment Income Subtract line 4 from line 3 It zero or less, enter-0- 8 Credits/Payments e 2001 estimated fax payments and 2000 overpayment credited to 2001 6a 7 D Exempt foreign organizations -fax withheld at source 6D c Tax gold with application for extension of time to file (Form 8868) Bo 0 Backup withholding erroneously withheld 7 Total credits and payments Add lines 6a through 6d 8 Enter any penalty for underpayment of estimated tax Check here 0 it Form 2220 is attached
.Z
s 9 s 0 5 9 "1
t
7 5 60
4 13080430 788832 11120000 2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001
Form 990-PF 11-1661344 or 4948 - see instruc
9 Tax due it the total of dines 5 and B is more man line 7, enter amount owed IN. 9 339 . 10 Overpayment N line 7 is more than the total of lines 5 and 8, enter the amount overpaid " 10 11 Enter tie amount of line 10 to be Credited to 2002 estimated tax " Refunded " 11 pent VII-A Statements Regarding Activities
1a During the tax year, did the organization attempt to influence any national, stile, or local legislation of did it participate or intervene m ~ Yes No any political campaign? to X
6 Did R spend more than E100 during the year (either directly or indirectly) for political purposes (see Instructions for defingbon)? 1 b X If the answer is 'Yes' to 1 a or 1 b, attach a daterbd description of the ectm6es end copies of any metenels published or t distributed by the organization in connection with the ectMtros
c Did the organization file Form 1120-POL for this yea r? to X
0 Enter the amount (A any) of fax on political expenditures (section 4955) Imposed du rlnq the year (1) On the organization " $ 0 " (2) On organization managers " E -0 .
e Enter the reimbursement (rt any) paid by the organization during the year for political expenditure tax Imposed on organization managers " $ 0 . �
2 Has the orqanlu6on engaged in any activities that have not Dreviousy been reported to the IHSI; , VZ ~ ~,X ̀ ~ If 'Yes,' attach a detailed descrfpNon of the ectNlUes .
8 Has the organization made any changes . not previously reported to the IRS, m it governing instrument, articles of incorporation . or bylaws, or offer similar instruments? If 'Yas,' attach a conformed copy of the changes ~9 , �X
4a Did the orpantration have unrelated business gross income of $1,000 or more during the year? 4a X D II Yes; Aasilfiladataxreturn onForm 990-T forNIsyeal? N/A bb 5 Was then a liquidation, termination, dissolution, or substantial contraction during the year? 6 X
If 'Yes,' attach the statement required by General Instruction T 8 Are the requirements at section 508(e) (relating to sections 4941 through 4945) satisfied either
" By language In the governing Instrument or .' " By slate IeBKIaGon teal effectively amends the governing Instrument so that no mandatory directions teal conflict with the stile law ., ,
remain in the governing Instrument? ' YB~M `~X'~ m 7 Did the organization have at least E5,000 m assets at any time during the yea( 7 X
If 'Yes,' complete Pert Il, cot (c), end Part XV Be Enter the states to which the foundation reports or with which it Is registered (see Instructions) 10'
NEW YORK h It the answer Is 'Yes' to tine 7, has the organization furnished a copy of Form 99o-PF to the Attorney General (or designate) u ,
of each state as required by General Instruction G? If 'No,' attach explanation Bill X B Is the organization claiming status as a private operating foundation within the meaning of section 4942Q)(3) or 4942(j)(5) for calendar
year 2001 or the taxable year beginning In 2007 (sae instructions for Pad XIV)? II 'Yes,' complete Pert XIV 9 X 10 DIO any parsons became substantial contributors during the We year? 10 X
If 'Yes,' attach a schedule listing their names; and addresses. 11 X 11 DM Na organization compy with the public inspection requirements fords annual retains and exemption application?
Web site address 11111- N/A 12 tnebooksarelncare of " THOMAS POWERS, TREASURER Telephone no " (718) 875-2066
Locatedat " 488 ATLANTIC AVENUE, BROOKLYN, NY ziPi4 .11217 19 Section 4947(a)(1) nonexempt charitable trusts filing Forth 990-PF In Ilea of Form 1041 - Check here 10. ED
and enter the amount of tax-exempt Interest received or accrued during the veer 10.1 19 ~ NBA ='o1 4-oz F«ro B90-PF Roo»
Form 990-PF
5 13080430 788832 11120000 2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001
File Form 4720 N any Item is checked In the 'Yp' column, unless en exception applies . Yes No 1 e During the year did the organization (either directly or indirectly)
`(
77711
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ~ Yes ~ No (2) Borrow money from . lend money to, or otherwise extend credR to (or accept II from) u`p" i' ` "" :-a
a dlsqualAled person? 0 Yes X1 No i ;<< (3) Fu mish goods, services, or facilities to (or accept them ham) a disqualified parsons El Yea ~ No ( " ) Pay compensation to, or pay or reimburse the expenses o1, a disqualified person? 0 Yes ~ No ~y (5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a dlsqualRied person)? CD Yes 00 No i"̀~`" ` s r~. ; ~v (8) Agree to pay money or property to a povemment official? (Exception Check No' V
n the organization agreed to make a grant to or to employ the official for a period after termination otqovemmentsemu,tttertnlnatlnpwithin 90days ) ED Yes ENO
6 II any answer Is Yes'to ta(1){6), did any o1 the acts fail to quality under the exceptions described In Regulations section 53 4941(d)-3 or in a current notice regarding disaster assistance (see page 19 otthe Instructions)? N/A 1b Organizations relying on a current notice regarding disaster assistance check here
o DIG the organization engage in a pnor year in any of the acts deunbe0ln 1a, other than excepted acts, mat were not corrected ~? "� before the first day of the tax year beginning m 20017 ta' X
2 Taxes on failure to distribute Income (section 4902) (does not apply for years the organization was a private operating foundation ~='~~ Defined m seeUon 4942Q)(3) 0r 4942(j)(5))
a At the end o1 tax year 2001, did the organization have any undistributed Income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2001 ED Yes EE Nn �r~ -- ~` ̀ ° ~~ M'Yes: list Neyears "
b Aye there any years listed In 2a for which tie organization u not applying the provisions at section 4942(a)(2) (relating to Incorrect valuation of assets) t0 the year's undistributed Income? (11 applying section 4942(a)(2)10 all years listed. answer'NO' and attach ;,�; ~ ���~;v statement - see instructions N/A 2b
a ttMe provisions of section 4942(a)(2) art being applied to airy o1 the years listed In 2a, list the years here ~Sa? ,
3a Did the organization hold mare than a 2% direct or indirect Interest In any business enterprise at any dme ' 12
during the year? ~ Yes ~ No b If Yes; did it have excess business holdings in 2001 as a result of (1 ) any purchase by the aryanhatlon or disqualified persons after , V ` ,T~ti< � ,r, May 26,1969, (2) the lapse o1 Ne 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to depose of holdings acquired by gift or bequest, or (9) Me lapse of the 10-, 15-, or 2 0-yaar first phase holding peno07 (Use Schedule C, ~~�� ;;~ �;x� Form 4720, to detemJne d the organization tied excess business holdings in 2001) N/A 9b
4a 010 the organization invest du ring the year any amount in a manner that would jeopardize it charitable DurposesT 4e X b OW the orqanhapon make any investment In a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that &�,Y IAI,,~ dad not been removed from 0oDardy before the first day of the tax year beginning In 2001? 4D X
5e During the year d10 Ma organization pay or incur any amount to 1I Carry on propaganda . or otherwise attempt to influence legislation (section 4905(e ))7 0 Yes EXI No ~y< <,%"i ~i~,~ i;. (2) Influence the outcome o1 any specific public election (see section 4955), or t0 carry on, directly or indirectly, ~ ~ ~ , ° ^�
any voter registration drNe7 -1 Yet [XI No (9) Provide agrant toanIndividual tortravel,shdy,orother similar purposes? El Yes ENO (<) Provide a grant to an organization other than a charitable, alc , organization described in section
509(a)(1), (2), or (3), or section 4940(4)(2)7 0 Yes ~ No N r'~:` , :�Fs (5) Provide for any purpose other than religious . charitable, scientific, literary, or educational purposes, or for t
the prevention of cruelly to children or animals? ~ Yn h 11 any answer Is Yes'to Sa(1)-(5), did any of the transactions fail to quality under the exceptions described In Regulations
section 53 4945 or m a current notice regarding disaster assistance (sea Instructions)? N/A "~SE~~ s Organizations relying on a current notice regarding disaster assistance check hers t ED y~~ y` ~"'`~
e I1 the answer K 'Yes* to question Sa(4), does the organization claim exemption from the tax because K maintained r ~ ~ g~a,s i "̀ ~ -~ ; expenditure responsibility forNe grant? N/A ~ Yes ~ No If 'Yes,' attach the statement required by Regulations section 53 4945-5(d)
Be Did Me orpanhahon, during the year, receive any funds, directly or Indirectly, to pay premiums on a personal benefit contract? ~ Yep ~ No ,~?�s;~
D Did the organization . during the year, pay premiums . directly or indirectly . on a personal benefit contract? 66 X If you answered 'Yes' to 66, also Me Form 8H70
fwn B90-PF Rcpt)
tzwt Ol-I4[IZ
11-1661344 Pape6 Managers, Highly Paid Employees,
Form 990-PF(2001)
peg! VIII and 7 List all officers. c
Ion About Offlc tractors irs, trustees, found
Is) Name and address
0 . 0
on line' Title and
inter "NONE.'
(e) Compensation
Total independent contractors for professional semcas. I1 none, enter 'NONE." Name and address of each person paid more than E50.000
List the foundation's four largest direct charitable activities during the fax year Include relevant staGs6cal inlortnaGon such a5 the number of organizations and other beneficianes served, con ferences convened, research papers produced, etc
i N/A
2
3
4
Expenses
o1-x4-M Fog 990-PF mop 6
13080430 788832 11120000 2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001
Trustees, F
d their compel
noui 1 s
(a) Name and address of each employee paid more than X50,000
7 13080430 788832 11120000 2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001
Fonn590-PF(2001) BROOKLYN BENEVOLENT SOCIETY 11-1661344 Page 7
P~t 1X-B Summary of Program-Related Investments
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2 Amount t N/A
2
All other program-related investments See instructions 9
Total . Add lines 1 through 3 1 1 0 .
P3R~X Minimum investment RBtUT (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 otsecurrties to 5 , 302 , 027 . 0 Average of monthly cash baWnces 11111 18 .7 , 160 . o Fair market value otanother assets to 180 878 . d Total (aOdlines la,b,andc) td 5 , 670 , 065 . a Reduction claimed for blockage or other tailors reported on lines to and
1c(altachdetailed expWnation) to 0 . '' 2 Acquisition indebtedness applicable to line 1 assets ,~ Z F 0 . 3 Subtract line 2from line ld I 3 5 , 670 , 065 . 4 Cash deemed held for charitable activities Enter 1 12% of tine 3 (forgreater amount, sae instructions) 4 ~ 85,051 . 5 Not value of nonaharttable-use assets Subtract line 4 from line 3 Enter here and on Pan V, line 4 S . 5,585,014 .
DISVlbutable Amount (see instructions) (Section 4942(j)(3) and (1)(5) private operating foundations and certain foreign organizations check here 1 E~:] and do not complete this part )
1 Minimum Investment return from Part X, line 6 1 279 , 251 . 2a Tax on investment income for 2007 from Part VI, line 5 2a 9 , 899 . h Income fax for 2001 (This does not include the tax from Part VI ) 2b c Add ones 2a and 2D '~2a~~ 9 899 .
9 DistnDufable amount before adjustments Subtract tine 2c from line 1 9 26-9 352 . 4 e Recoveries of amounts treated as Qualifying distributions 4a 0
h Income distributions from section C947(a)(2) trusts 4D 0 . e Add lines 4a and 4b Oc V 0 .
6 Addlines 3and4c 5 269 , 352 . Deduction from Olstnbufable amount (see instructions) ~ B ~ 0 .
7 Dldrlhutable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, line 1 7 269,35 2 .
ParYXtf QualHying Distributions (see Instructions)
1 Amounts pea (including administrative expenses) to accomplish charitable, etc , purposes ��.z~ a Expenses, contributions, lifts, etc -total ham Part I, column (d), tine 26 to 164 , 020 . b Program-related investments-Total from Part IX-13 _1b 0 .
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc , purposes 2 9 Amounts set aside for specific charitable projects that satisfy the e Suitability test (prior IRS approval required) 3a b Cash distribution test (attach the required schedule) 3b
4 Qualifying distributions Add lines to through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 164 , 020 . S Organizations that qualify under section 4940(e) tar the reduced me of tax on net Investment
income Ever I% of Part 1, line 27b 5 0 . 8 Adjusted qualifying distributions Subtract line 5 from line 4 ~ 8 ~ 164 020 .
Note* The amount on line 6 will be used In Pert V, column (b), in subsequent years when calalleGnp whether the foundation quaftfies for he section 4940(e) reduction of tax in those years
Fog 990-PF Room
izuei of xwz
Form 99o-PF(200t) BROOKLYN BENEVOLENT SOCIETY 11-1661344 Page e pmt X1ll Undistributed Income see instructions)
Isl 1b1 lel (e) Corpus Years prior to 2000 2000 2001
1 Distnbutable amount for 2001 from Part xi .line 7 - 269 352 .
Z UndhtrlbuOedlnoo~ ItmY~ eoltMmMO1700D
e Enter amount for 2000 ony
ixun m-zaax
13080430 788832 11120000 8
2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001
6 rom for pna y~ 19 .19 .19 -9 Ex a aiameueon . cmyav, If my, m zom a From 1996 131 , 906 bFrom 1997 150 , 839 sFrom 1998 169 , 897 dFrom 1999 215 581 a From 2000 212 , 190 1 Total of lines 3a through a
9 Oualdylnq distributions for 2001 from Part Xll,line 4 "S 164,020
a Applied to 2000, but not more than line 2a 6 Applied to undistributed income of poor years (Election required -see Instructions)
e Treated as distributions out of corpus (Election required - see instructions)
0 Applied to 2001 distnbutable amount e Remaining amount OIstnGuted out at corpus
5 e- ai.meuuan cmrw> waii.a oo xaoi of vi mount vpwa in mlurm (co. me unw amount moat a mown In cWUrm (q .)
8 Enter tie net total of each column as Indicated below
a cow. Am nn. . at 4a .~e ~. seven nn. s 6 Prior years' unCistnbute0 income Subtract line 4b from line 2b
a Enter the amount of poor years' undistn6uteC income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed
d Subtract line 6c from fine 6b Taxable amount-see Instructions
e Undistributed income for 2000 Subtract line 4a from line 2a Taxable amount-see Instr
1 Undistributed Income for 2001 Subtract lines 4d and 5 from line 1 This amount must be distributed In 2002
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(g)(3)
8 Excess distributions cartyover from 1996 not applied on line 5 or line 7
B Excess distributions carryover to 2002 Subtract lines 7 and 8 from line 6a
10 Analysis of line 9 a Excess from t997 150 , 83 9 . bExcess from t998 169 897 . e excess from 7999 215 581 . d excess from 2000 212 , 1190 .
0 >
880, ii3'1
, . ' . , ., . .,., ., ..., w �.,., . . 0. _ .
0 . 164 020 .
0 . ' ' - - 105 332 . 105 332 .
?.75,.,081 .~
0 .
, . . , 0 .
1, 1
0 .
0 .
0 . . . ., ,` . . . ; -
26 , 574 .
748 , 507 .
Fom, 98o-PF Rm71
1 e M tie foundation has received a ruling or determination letter that A h a prrvate operating foundation, and the ruling Is effective for 2001, enter the date of the ruling t
ear Prior 3 years 2001 I (b) 2000 I (c) 1999 I (d) 1998 I lei Total
each year listed e 'Support alternative test - enter
(1) Total support otherthan gross Investment income (Interest, dividends . rents, payments on securities loans (section 512(a)(5)), or royalties)
(2) Support from general public and 5 or mope exempt organmtions as provided In section 4942(j)(3)(8)(10)
(9) Largest amount of support from an exempt organization
Z Information Regarding Contribution, Grant, GHI, Loan, SehoWrshlp, Mc., Programs: Check here 1111111 0 it the orqanvatlon only makes contributions la preselected charitable organizations and does not accept unsolicited requests for funds H the organization makes pits, grants . etc (see instructions) to individuals or organizations under other conditions, complete items 4a, b, c, and d
a The name, address, and telephone number of the person to whom applications should be addressed CORNELIUS A . HEANEY 488 ATLANTIC AVENUE, BROOKLYN, NY (718) 875-2066
o me corm In which applications should be submitted and Information and materials they should Include DESCRIBE CHARITABLE ACTIVITIES OF PROGRAM 6 INTENDED USE
c Any submission deadlines OCTOBER 30TH
0 My restrictions or limitations on awards, such as by geographical areas, chanlabb fields, lands of Institutions . or other factors LIMITED TO NYC CHARITABLE ORGANIZATIONS, RECOGNIZED AS EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE . iu+nMf-x4-M 9 rw . 980-PF am)
13080430 788832 11120000 2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001
and
D Check box to indicate whether the orpanna6on rs a 2 B Enter the lesser oitha adjusted not Tax
income from Part I or the minimum (e) Investment return from Part X for each year listed
b 85% at line 2a C QualRyinp dlstnGWons from Part XII,
line a for each year listed d Amounts Included In line 2c not used directly for active conduct of exempt activities
e WalApnq distributions made direcity for active conduct of exempt activities Subtract line 2d from line 2c
9 Complete 3a, D, or c for the alternative test railed upon
e 'assets' anematrve test-enter (1) Value of all assets (2) Value o1 assets qualifying
under section 494Y(j)(3)(B)(i) b 'Endowment alternative lest -
Enter Y/3 of minimum Investment return shown In Part %, line 6 for F
~ art XY :~ Supplementary Information (Complete this part only if the organization had $5,000 or more in assets P at any time during the year-see page 26 of the instructions.)
1 Information Regarding Foundation Managers a tut any managers of the foundation who have contributed more than 2% of the total contributions recervad by the foundation before the close o1 any tax
year (but only d they have contributed more than E5,000) (See section 507(d)(2)
NONE 0 List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or
other entity) of which the foundation has a 10% or greater interest
-1661344 Forth 990-PF
Purposeofqrsntar contrlDUtlon Amount
121,735 .
NONE
Total W an 1 0 . 17JW1A1-7401 Fpm98p~PF Raoi)
10
13080430 788832 11120000 2001 .05020 BROOKLYN BENEVOLENT SOCIETY 11120001
Grants and Contnbutions Paid During the Year or Approved for Future
Recipient M recipient is an individual . Show any relationship t0
Name and address (home or business) any foundation manager orsubstantial contributor
e Paid during on year
SEE ATTACHED SCHEDULE
Total 0 Approved lorfuture payment
Line No I Explain below how each actmly for which income is reported in column (e) of Part 7NI-A contributed importantly to the accomplishment of the organization's exempt purposes (other than by providing funds tar such oumosesl
Form 99o-PF(200t) BROOKLYN BENEVOLENT SOCIETY 11-1661344 Page 11 Part XVI-Al Analysis of Income-Producing Activities
Enter gross amounts unless otherwise Indicated unreul ea ousmess income F~ ~aa ..mom s,: eu o. sip (a)
Busio)ess (b) �,w (4) Related or exempt 1 Program service revenue code Amount =1, Amount function income a h
C
e e
p Fees and contacts tram government agencies 2 Membership dues and assessments 3 Interest on savings and temporary cash
Investments 4 Dividends anOInterest from securities 14 160 , 544 . S Net rental Income or (loss) from real estate > >
e Debt-financed property o Notaent-financed procerty 16 14 , 687 .
8 Net rental income or (loss) from personal property
7Other Investment income 19 -6 1 834 . 8 Gain or (loss) from sales of assets other
than Inventory 19 4 04 44 3 . 9 Net Income or (loss) from special events 10 Gross profit or (loss) from sales of inventory 11 Other revenue
B
b e a e
72 Subtotal nuecolumns (b),(d),and(e) "-170. 586_,_508 . 0 . 13TaLIAdUline l2,columns (n),(a),ana(e) tis 586,508 . (See worksheet in line 13 instructions to verAv calculations I
Part M Relationship of Activities to the Accomplishment of Exempt Purposes
Form 99o-PF and
,x302, ma4ax
Did the organization directly or Indirectly engage in any of the following with arty other organization described in section 501(c) 01 "�?";' Y98 Nc the Code (other than section 501(c)(3) organizations) or in secUon 527, relatIng to political organizations?
e Transfers from the reporting organization to a noncharitabla exempt organization of (1) Cash 111110YX
to 2 X (2) Other assets D Other Transactions ' >! TM ~772
(1) Sales of assets to a noncharrtaGle exempt Organization t b( l ) X (2) Purchases o1 assets from a noncharrtable exempt organization 1 b(2) X (9) Rental of facilities . equipment, or other assets 11111 3) X (4) Reimbursement arrangements 1b(4) X
(6) Loans or loan guarantees 1 b(5) X
(B) Performance of services or membership or fundrshlnp solicitations 1 b(S) Shannp of facilities, equipment, mailing lists . other assets. or gab employees 1 o X If the answer to any of the above is Yes; complete the following schedule Column (h) Should always show the fair market value o1 the goods . other assets, or services given by the reporting organization M Me organization received less than fair market value in any transaction or sharing arrangement. show In column (C) the value of the goods, other assets, or services received ie no (U) amount involved (c) Name of nonchanhble exempt organization (E) Description of transfers, transactions, and shannq arrangements
2e Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section SOt(c) of the Code Comer than section 501(c)(3)) or In section 5277 0 Yep OX No
b K Yes; complete the following schedule (a) Name of organization (E) Type of organization (c) Description of relationship
N/A
lN~ p~tln of I GCan t I Mv~ n~0 ~rR NWE4q ~cconpayirq a~0ulw ~n0 oblenwnb, W m Or bmt of my IoioN6Op* ~E Wick It la MW mr~ ~q m^R~~Oa Dad of oMWpe IburlrY) b DwE m a Infammtbn of "_p py7w i° " ~Y
O o . Signature of office r or trustee
Preparers' ~ spnarors
a$o ,M���e~�e� O'CONNOR DAVIES MUNNS S d~ umf.vb,em '60 EAST 42ND STREET, 36
NEW YORK, NY 10165-3698
FORM 990-PF PAGE 1 990-PF
ito-ai (Q)-Asset disposed
13
2001 DEPRECIATION AND AMORTIZATION REPORT
BROOKLYN BENEVOLENT SOCIETY 11-1661344
FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 1
CAPITAL GAINS COLUMN (A) GROSS AMOUNT DIVIDENDS AMOUNT SOURCE
FORM 990-PF RENTAL INCOME STATEMENT 2
TOTAL TO FORM 990-PF, PART I, LINE 11, COLUMN A 6,834 .
Academy of Mount Saint Ursula American Lung Association Bayfort Benevolent Society Bishop Ford High School Bishop Loughlm High School Boys Hope Girls Hope - Jesuit Program for Living and Learning Brooklyn Bureau of Community Service Brooklyn Kindergarten Society Brooklyn Society for the Prevention of Cruelty to Children Builders for Family and Youth - "Dr. White Center" Calvary Fund Catholic Youth Organization - Diocese of Brooklyn Covenant House DOB - Special Education - Laboure & Prosper Epiphany Center - "Aruba Juntos" Fontbonne Hall Academy Franciscan Sisters of the Poor - Duos House Good Shepherd Services - Family Reception Center Helen Keller Services Helen Keller Services for the Blind Holy Child Middle School - Cornelia Connelly Center Holy Rosary Church Jesuit Volunteer Corps-East Little Sisters of the Poor - Queen of Peace Residence Mary Louis Academy Monsignor McClancy High School Nativity Jesuit Higher Achievement Program Nativity Mission Center New Hope Manor Notre Dame High School Manhattan Notre Dame Academy High School - Staten Island Oratory of St Philip Neri Scholarship Fund - Duffield Street Parish of St . Gregory of the Great
4,000 1,650 325
4,000 4,000 2,650 2,650 650 500 825 325
1,150 1 .150
YEAR ENDED DECEMBER 31 . 2001 (Continued)
1,650 4,000 1,000 1,000 4,000 3,200 2,000
160 1,650 1,650 4,000 1,650 825
$ 121,735
9
T , BROOKLYN BENEVOLENT SOCIE
SCHEDULE OF CHARITABLE DISTRIBUTIONS
Organization
Rev Patrick J. Duffy RFK Incentive Program - Diocese of Brooklyn Rosalie Hall Seton Hall Prep Seton Hall University St. Aloysius School St. Edmund Preparatory High School St Gabriel's School - East Elmhurst St . Ignatius Parish - Carroll Street, Brooklyn 5t Ignatius School - Hunts Point Avenue, Bronx St John's Bread and Life Program - Lewes Avenue St John's Residence, Far Rockaway St . Joseph's High School St . Peter's Prep St Peter/St . Paul/Our Lady of Pilar St . Rita's School - Brownsville St. Rose's Home St. Savour High School St Saviour Parish Church St. Vincent de Paul- Diocese of Brooklyn Stella Maris High School - Far Rockaway The Emerald Association The Maura Clark - ITA Ford Center The Salvation Army - Wayside Home/School - Valley Stream Ursulme Residence Visitation of the Blessed Virgin Mary Parish Xavier High School - HMS Xavier Jesuit Higher Achievement Program Xavier Society for the Blind
Total charitable distributions
See independent auditors' report .
100 650 650
4,000 800
2,500 1,650 825
2,000 3,300 825
1,150 4,000 4,000 1,150 825
I1hY-06-02 hON 01 .39 PM AMERI )AN LAW MEDIA ~ FAX H0. 212 481 8074 P. 02/(2
STATE OF NEW YORK County of New York, s:
, . . . Tfll 1 .1[ : 'I 1~) VOC
Awl NV roiN
:
Jay Can-:-;) i, being duly sworn, says that he is the PRINCIPAL CLERK c f the Publishes of the NEW YORK LAW ,fOURNAI.,, a Daily Newspaper; that the Advertisement hereto annexed has been published in the said NEW YORK LAW JOURrA L one time on the I 9th day of April, 2002.
