Milstein Family Foundation 2009
Milstein Family Foundation 2009
Milstein Family Foundation 2009
0MB No 1545-0052
Return of Private Foundation
Form990-PF or Section 4947(a)(1) Nonexempt Charitable Trust
',!;I Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements
2009
Department
of the Treasury
InternalRevenueService
For calendar year 2009, or tax year beginning 10-01-2009 , and ending 09-30-2010
G Check all that apply r In1t1al return r In1t1al return of a former public charity r Final return
r Amended return r Address change r Name change
A Employer identification number
Name of foundation
Use the IRS THE MILSTEIN FAMILY FOUNDATION
label. 95-4824595
Otherwise, B Telephone number (see page 10 of the instructions)
Number and street (or PO box number 1f mail 1snot delivered to street address) Room/
print
16027 VENTURA BLVD suite ( 818) 995- 7965
or type.
See Specific
''
City or town, state, and ZIP code C If exemption application 1spending, check here ~
Instruct ions.
ENCINO, CA 91436 D 1. Foreign organ1zat1ons,check here ~
H Check type oforgan1zat1on P"Section 501(c)(3) exempt private foundation 2. Foreign organ1zat1onsmeeting the 85% test,
'
~
r Section 4947(a)(1) nonexempt charitable trust r Other taxable private foundation
check here and attach computation
I Fair market value of all assets at end J Accounting method P"Cash r Accrual
E If private foundation status was temnmated
r '
under section 507(b)(l)(A), check here ~
of year (from Part II, col. (c), Other (specify) -
'
under section 507(b)(l)(B), check here ~
Sa Gross rents
6a Net gain or (loss) from sale of assets not on line 10 -16, 116
$
; b Gross sales price for all assets on line 6a
:r;
~ 7 Capital gain net income (from Part IV, line 2)
Ci:: 8 Net short-term capital gain
',!;I
.!::'
23 Other expenses (attach schedule) 298 298
-..,
,:::; 24 Total operating and administrative expenses.
'-
0
t A d d I Ines 1 3 through 23 4,715 4,715 0
26 Total expenses and disbursements. Add Imes 24 and 25 729,215 4,715 724,500
3 Accounts receivable,...
Less allowance for doubtful accounts,...
5 Grants receivable
'-""
Less allowance for doubtful accounts,... ~ 200,000 200,000
m
'-""
8 Inventories for sale or use
'-"" 9 Pre pa 1d ex pens es and deferred charges
~
10a Investments-Li S and state government obl1gat1ons (attach schedule)
12 Investments-mortgage loans
18 Grants payable
,fl
19 Deferred revenue
4'
-e 20 Loans from officers, directors, trustees, and other d1squal1f1ed persons
.3 Mortgages and other notes payable (attach schedule)
,:::; 21
.::i 22 Other l1ab1l1t1es (describe,... )
,fl
4' 24
u
and complete
Unrestricted
lines 24 through 26 and lines 30 and 31.
'
~
,:::; 25 Temporarily restricted
-,:::;
26 Permanently restricted
ca
Foundations that do not follow SFAS 117, check here
,...p-
!::
::::l and complete lines 27 through 31.
u.
'- 27 Capital stock, trust principal, or current funds
0
,fl
28 Pa1d-1n or capital surplus, or land, bldg, and equipment fund
4)
,fl 29 Retained earnings, accumulated income, endowment, or other funds 12,290,660 13,166,634
,fl
ci 30 Total net assets or fund balances (see page 17 of the
4) 1nstruct1ons). 12,290,660 13,166,634
z
31 Total liabilities and net assets/fund balances (see page 17 of
the Ins truct1ons) 12,290,660 13,166,634
1 Total net assets or fund balances at beg1nn1ng of year-Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year's return) 1 12,290,660
2 Enter amount from Part I, line 27a 2 867,751
3 Other increases not included In line 2 (1tem1ze),... ~ 3 8,223
4 Add lines 1, 2, and 3 4 13,166,634
5 Decreases not included In line 2 (1tem1ze),... 5
6 Total net assets or fund balances at end of year (line 4 minus line 5)-Part II, column (b), line 30. 6 13,166,634
Form 990-PF (2009)
Form 990-PF (2009) Page 3
.:r......... Capital Gains and Losses for Tax on Investment Income
(b) How acquired
(a) List and describe the k1nd(s) of property sold (e g, real estate, (c) Date acquired (d) Date sold
P-P urc hase
2-story brick warehouse, or common stock, 200 shs M LC Co) (mo, day, yr) (mo, day, yr)
D-Donat1on
la DETAIL AVAILABLE UPON REQUEST p 2000-01-01 2009-01-01
b
C
d
e
(f) Deprec1at1on allowed (g) Cost or other basis (h) Gain or (loss)
(e) Gross sales price
(or allowable) plus expense of sale (e) plus (f) minus (g)
a 16,116 -16,116
b
C
d
e
Complete only for assets showing gain 1n column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus
(j) AdJusted basis (k) Excess of col (1) col (k), but not less than -0-) or
(i) F M V as of 12/31/69 Losses (from col (h))
as of12/31/69 over col (J), 1f any
a -16,116
b
C
d
e
2 Capital gain net income or (net capital loss) { If gain, also enter 1n Part I, line 7
If (loss), enter -0- 1n Part I, line 7 } 2 -16,116
3 Net short-term capital gain or (loss) as defined 1n sections 1222(5) and (6)
Was the foundation liable for the section 4942 tax on the distributable amount of any year 1n the base period? I Yes P- No
If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part
1 Enter the appropriate amount 1n each column for each year, see page 18 of the 1nstruct1ons before making any entries
(a) (d)
(b) (c)
Base period years Calendar D1stnbut1onratio
Adjusted qualifying d1stnbut1ons Net value of nonchantable-use assets
year ( or tax year beg inning in) (col ( b) d 1v1dedby col (c))
2008 434,339 10,436,251 0 04162
2007 324,000 8,468,045 0 03826
2006 335,400 7,613,656 0 04405
2005 263,300 6,278,488 004194
2004 151,700 4,852,320 0 03126
4 Enter the net value of noncharitable-use assets for 2009 from Part X, line 5. 4 12,537,717
2 Tax under section 511 (domestic section 4947(a)(l) trusts and taxable foundations only Others enter -0-) 2
3 Add lines 1 and 2. 3 3,684
4 Subtitle A (income) tax (domestic section 4947(a)(l) trusts and taxable foundations only Others enter -0-) 4
5 Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -0-. 5 3,684
6 Credits/Payments
a 2009 estimated tax payments and 2008 overpayment credited to 2009 6a 4,000
b Exempt foreign organIzatIons-tax withheld at source 6b
c Tax paid with appl1cat1on for extension oft1me to file (Form 8868) 6c
d Backup w1thhold1ng erroneously withheld. 6d
7 Total credits and payments Add lines 6a through 6d. 7 4,000
s Enter any penalty for underpayment of estimated tax Check here 1 1f 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. ,... 10 316
11 Enter the amount of line 10 to be Credited to 2010 estimated tax,... 316 I Refunded,... 11
Part VII-A Statements Regarding Activities
la During the tax year, did the foundation attempt to influence any national, state, or local leg1slat1on or did Yes No
It partIcIpate or intervene In any pol1t1cal campaign? la No
b Did It spend more than $100 during the year (either directly or 1nd1rectly) for pol1t1cal purposes (see page 19 of
the InstructIons for def1n1t1on)? lb No
If the answer 1s "Yes" to la or lb, attach a detailed descnpt1on of the act1v1t1es and copies of any materials
published or d1stnbuted by the foundation in connection with the act1v1t1es.
c D 1d the foundation f1le Form 1120-POL for this year?. le No
d Enter the amount (1f any) of tax on pol1t1cal expenditures (section 4955) imposed during the year
(1) 0 n the foundation ,... $ ________ (2) 0 n foundation managers ,... $ _______ _
e Enter the reimbursement (1f any) paid by the foundation during the year for pol1t1cal expenditure tax imposed
on foundation managers ,... $ ________ _
2 Has the foundation engaged In any actIvItIes that have not previously been reported to the IRS? 2 No
If "Yes," attach a detailed descnpt1on of the act1v1t1es.
3 Has the foundation made any changes, not previously reported to the IRS, In its governing instrument, articles
of IncorporatIon, or bylaws, or other s1m1lar instruments? If "Yes," attach a conformed copy of the changes 3 No
4a Did the foundation have unrelated business gross income of $1,000 or more during the year?. 4a No
b If"Yes,"has 1tf1led a tax return on Form990-Tforth1s year?. 4b No
5 Was there a l1qu1dat1on, termInatIon, d1ssolut1on, or substantial contraction during the year? 5 No
If "Yes," attach the statement required by General Ins truct1on T.
6 A re the req uIre me nts of s ectIon 5 0 8 (e) (re lat1ng to s ectIons 4 941 through 4 94 5) s atIs f1ed e 1the r
By language In the governing instrument, or
By state leg1slat1on that effectively amends the governing instrument so that no mandatory d1rect1ons
that conflict with the state law remain In the governing instrument? 6 Yes
7 Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col (c), and Part XV 7 Yes
Sa Enter the states to which the foundation reports or with which It Is registered (see page 19 of the
ins truct1ons) ,...____________________________________________ _
b If the answer Is "Yes"to line 7, has the foundation 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. Sb Yes
9 Is the foundation cla1m1ng status as a private operating foundation w1th1n the meaning of section 4942(J)(3)
or 4942(J)(5) for calendar year 2009 or the taxable year beg1nn1ng In 2009 (see InstructIons for Part XIV on
page 2 7 )? If "Yes," complete Part XIV 9 No
10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule /Jstmg their names and addresses~ 10 Yes
Form 990-PF (2009)
Form 9 9 0- PF (2_0_0_9-'-)
_____________________________________________ P_a~g"-e_S
Part VII-A Statements Regarding Activities (continued)
11 Atanyt1m e during the year, did the foundation, directly or 1nd1rectly, own a controlled entity w1th1n the
meaning of section 512(b)(13)? If"Yes," attach schedule (see page 20 of the 1nstruct1ons). 11 No
12 Did the fo undat1on acquire a direct or 1nd1rect interest 1n any applicable insurance contract before August 17, 2008? 12 No
13 D 1d the fo undat1on comply with the public 1nspect1on requirements for its annual returns and exemption appl1cat1on? 13 Yes
Webs 1te address .,__N...c/_A
________________________________________________ _
14 The books are 1n care of ... FISHMAN BLOCK DIAMOND LLP Telephone no .,_(818) 783-7140
Located at ... 16830 VENTURABLVDSUITE 400 ENCINO CA ZIP+4 ... 91436
------------
15 Section 494 7(a)(1) nonexempt charitable trusts f1l1ng Form 990-PF 1n lieu of Form 1041-Check here.
and enter the amount of tax-exempt interest received or accrued during the year. 15
Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. Yes No
la During the year d 1d the foundation (e 1the r d 1rectly or ind I rectly)
( 1) Engage In the sale or exchange, or leas Ing of property with a d 1squa I 1f1ed person? I Yes F No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept 1t from)
a d1squal1f1ed person?. I Yes F No
(3) Furn1s h goods, s e rv 1ces, or fac 111t1esto (or accept them from) a d 1squa I 1f1ed person? I Yes F No
(4) Pay c ompe ns at1on to, or pay or re I mburs e the ex pens es of, a d 1squa I 1f1ed person? I Yes F No
(5) Transfer any income or assets to a d1squal1f1ed person (or make any of either available
for the benefit or use of a d1squal1f1ed person)?. I Yes F No
(6) Agree to pay money or property to a government off1c1al? (Exception. Check "No"
1fthe foundation agreed to make a grant to or to employ the off1c1al for a period
after term1nat1on of government service, 1f term1nat1ng w1th1n 90 days ). I Yes F No
b If any answer 1s "Yes" to la(l)-(6), did any of the acts fall to qualify under the exceptions described 1n Regulations
section 53 4941(d)-3 or 1n a current notice regarding disaster assistance (see page 20 of the 1nstruct1ons)?. lb No
0 rgan1zat1ons relying on a current notice regarding disaster assistance check here.
c Did the foundation engage 1n a prior year 1n any of the acts described 1n la, other than excepted acts,
that were not corrected before the first day of the tax year beg1nn1ng 1n 2009?. le No
2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined 1n section 4942(J)(3) or 4942(J)(5))
a At the end of tax year 2009, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beg1nn1ng before 2009?. I Yes F No
If "Yes," 11st the years.,_ 20 __ , 20 __ , 20 __ , 20 __
b Are there any years listed 1n 2a forwh1ch the foundation 1s not applying the prov1s1ons 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 1nstruct1ons). 2b No
c If the prov1s1ons of section 4942(a)(2) are being applied to any of the years listed 1n 2a, 11st the years here
... 20 20 __ , 20 __ , 20
3a D 1d the foundation hold more than a 2 % d I rect or ind I rect I nte rest In any bus 1nes s
enterprise at any time during the year?. I Yes F No
b If "Yes," did 1t have excess business holdings 1n 2009 as a result of (1) any purchase by the foundation
or d1squal1f1ed persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved
by the Comm1ss1oner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (3)
the lapse of the 10-, 15-, or 2 0-yea r first phase hold 1ng pe nod? (Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2009.). 3b No
4a Did the foundation invest during the year any amount 1n a manner that would Jeopardize its charitable purposes? 4a No
b Did the foundation make any investment 1n 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 beg1nn1ng 1n 2009? 4b No
Form 990-PF (2009)
Form 9 9 0- PF (2_0_0_9-'-)
_____________________________________________ P_a~g"-e_6
Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required (continued
Sa During the year did the foundation pay or incur any amount to
(1) Carry on propaganda, or otherwise attempt to influence leg1slat1on (section 4945(e))? I Yes p- No
(2) Influence the outcome of any spec1f1c public election (see section 4955), or to carry
on, directly or 1nd1rectly, any voter regIstratIon drive?. I Yes p- No
(3) Provide a grant to an 1nd1v1dual for travel, study, or other s1m1lar purposes? I Yes p- 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)? (see page 22 of the 1nstruct1ons). I Yes p- No
(5) Provide for any purpose other than rel1g1ous, charitable, sc1ent1f1c, literary, or
educational purposes, or for the prevention of cruelty to children or animals?. .1 Yes p- No
b If any answer Is "Yes"to 5a(1)-(5), did any of the transactions fall to qualify under the exceptions described In
Regulations section 53 4945 or In a current notice regarding disaster assistance (see page 22 of the 1nstruct1ons)? Sb No
0 rganIzatIons relying on a current notice regarding disaster assistance check here. Jr,.'
C If the answer Is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because It ma1nta1ned expenditure respons1b1l1ty for the grant?. I Yes f7 No
If "Yes," attach the statement required by Regulations section 53.4945-S(d).
6a D 1d the foundation, during the year, rec e Ive any funds, d 1rectly or ind I rectly, to pay
premiums on a personal benefit contract?. I Yes [7 No
b Did the foundation, during the year, pay premiums, directly or 1nd1rectly, on a personal benefit contract?. 6b No
If "Yes" to 6b, file Form 8870.
7a At any time during the tax year, was the foundation a party to a proh1b1ted tax shelter transaction? I Yes f7 No
b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? 7b No
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
l:ffil!illl and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
(b) Title, and average (c) Compensation (d) Contributions to
(e) Expense account,
(a) Name and address hours per week (If not paid, enter employee benefit plans
other allowances
devoted to posItIon -0-) and deferred compensation
GILA MIL.STEIN Secretary 0
16027 VENTURA BLVD 550 0 00
ENCINO,CA 91436
ADAM MILSTEIN President 0
16027 VENTURA BLVD 550 0 00
ENCINO,CA 91436
2 Compensation of five highest-paid employees (other than those included on line 1-see page 23 of the instructions).
If none, enter "NONE."
(d) Contributions to
(b) Title, and average
(a) Name and address of each employee employee benefit (e) Expense account,
hours per week (c) Compensation
paid more than $50,000 plans and deferred other allowances
devoted to posItIon
compensation
NONE
Total number of others rece1v1ng over $50,000 for professional services. ...
iihilf!#.;I Summary of Direct Charitable Activities
List the foundation's four largest direct charitable act1v1t1esduring the tax year Include relevant stat1st1calinformation such as the number of
organizations and other benef1c1ariesserved, conferences convened, research papers produced, etc Expenses
1:1.fiS:a Distributable Amount (see page 25 of the instructions) (Section 4942(J)(3) and (J)(5) private operating
foundations and certain fore1qn orqarnzat1ons check here.., and do not complete this part.) r
1 M1n1mum investment return from Part X, line 6. 1 626,886
2a Tax on investment income for 2009 from Part VI, line 5. I 2a I 3,684
b Income tax for 2009 (T h Is does not I n c I u de the tax from P a rt V I ) I 2b I
C Add lines 2a and 2b. 2c 3,684
3 Distributable amount before adJustments Subtract line 2c from line 1. 3 623,202
4 Recoveries of amounts treated as qual1fy1ng d1stribut1ons. 4
5 Add lines 3 and 4. 5 623,202
6 Deduction from distributable amount (see page 25 of the 1nstruct1ons). 6
7 Distributable amount as adJusted Subtract line 6 from line 5 Enter here and on Part XIII,
line 1. 7 623,202
b Check box to 1nd1cate whether the organIzatIon IS a private operating foundation described In section r 4942(J)(3) or r 4942(J)(5)
2a Enter the lesser of the adJusted net Tax year P ri or 3 ye a rs
income from Pa rt I or the mI nImum (e) Total
(a) 2009 (b) 2008 (c) 2007 (d) 2006
Inves tme nt return from Pa rt X for each
year listed.
b 85% ofl1ne 2a.
C Qua l1fy Ing d Is tribut1ons from Pa rt XI I,
line 4 for each year listed.
d Amounts included in line 2c not used directly
for active conduct of exempt actIvItIes .
e Q ual1fy1ng d1stribut1ons 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 qual1fy1ng
under section 4942(J)(3)(B)(1)
b "Endowment" alternative test- enter 2/3
of mInImum investment return shown In
Part X, line 6 for each year listed.
C "Support" alternative test-enter
(1) Total support other than gross
investment income (interest,
d1v1dends, rents, payments
on securities loans (section
512(a)(S)), or royalties).
(2) Support from general public
and 5 or more exempt
organIzatIons as provided In
section 4942 (J)(3 )(8)(111).
(3) Largest amount of support
from an exempt organIzatIon
(4) Gross investment income
'.t'
I :r-Tili Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year-see page 27 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 foundation
before the close of any tax year (but only 1f they have contributed more than $5,000) (See section 507 (d)(2))
b 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) ofwh1ch the foundation has a 10% or greater interest
a The name, address, and telephone number of the person to whom appl1cat1ons should be addressed
b The form In which appl1cat1ons should be submitted and 1nformat1on and materials they should include
d Any restrictions or l1m1tat1ons on awards, such as by geographical areas, charitable fields, kinds of InstItutIons, or other
facto rs
Total. ....3b
Form 990-PF (2009)
Form 9 9 0- PF (2_0_0_9-'-)
_____________________________________________ P_a~g'-e_1_2
Part XVI-A Analysis of Income-Producing Activities
Enter gross am ounts unless otherwise 1nd1cated Unrelated business income Excluded by section 512, 513, or 514 (e)
Related or exempt
function income
(a) (b) (c) (d)
(See page 28 of
1 Program ser vice revenue Business code A mount Exclusion code A mount
the 1nstruct1ons )
a
b
C
d
e
f
g Fees and contracts from government agencies
2 Members h1p dues and assessments.
3 Interest on savings and temporary cash investments 99,672
4 D1v1dends a nd interest from securities. 269,111
5 Net rental 1ncome or (loss) from real estate
a Debt-f1na need property.
bNotdebt- f1na nc ed property.
6 Net renta I income or (loss) from personal property
7 Other1nves tment income.
8 Gain or ( loss) from sales of assets other than inventory -16, 116
9 Net income or (loss) from special events
10 Gross prof1 tor (loss) from sales of inventory.
11 Otherreven ue aLOSS FROM NORTH IMPERIAL 4,299
b ___ _
c ___ _
d ___ _
e ___ _
12 Subtotal A dd columns (b), (d), and (e). 356,966
13 Total. Add line 12, columns (b), (d), and (e). 13 __________ 3_5_6~,9_6_6
(See worksheet 1n line 13 1nstruct1ons on page 28 to verify calculations
Part XVI-B Relationshi of Activities to the Aecom lishment of Exem t Pur oses
Line No.
.. Explain below how each act1v1ty for which income
the accomplishment of the organ1zat1on's
page 28 of the 1nstruct1ons)
exempt
1s reported
purposes
1n column
(other than
(e) of Part XVI-A contributed importantly
by prov1d1ng funds for such purposes) (See
to
(a) Line No (b) Amount involved (c) Name of nonchantable exempt organIzatIon (d) Description of transfers, transactions, and sharing arrangements
2a Is the foundation d 1rectly or ind I rectly aff1I 1ated with, or re lated to, one or more tax-exempt orga nIzatIons
described In section S0l(c) of the Code (other than section 501(c)(3)) or In section 5277. .I Yes
b If"Yes," complete the following schedule
(a) Name of organization (b) Type of organization (c) Description of relat1onsh1p
Under penalties of perJury, I declare that I have examined this return, 1nclud1ng accompanying schedules and statements, and to
the best of my knowledge and belief, It Is true, correct, and complete Declaration of preparer (other than taxpayer or f1duc1ary) Is
based on all 1nformat1on ofwh1ch preparer has any knowledge
i 2010-12-10
~ ~
****** ******
Signature of officer or trustee Date Title
General Rule-
P" For an organIzatIon filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more ( In money or
property) from any one contributor Complete Parts I and II
Special Rules
1 For a section 501 ( c )(3) organIzatIon filing Form 990 or 990-EZ, that met the 33 1/3% support test of the regulations
under sections 509( a)( 1) and 170( b )( 1)(A)(v1), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on ( 1)Form 990, Part V Ill, line 1h, or ( 11)Form 990-EZ, line 1 Complete Parts I and II
1 For a section 501 ( c )(7), ( 8), or ( 10) organIzatIon filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exc/us,vely for religious, charitable,
sc1ent1f1c,literary, or educational purposes, or the prevention of cruelty to children or animals Complete Parts I, II, and
Ill
1 For a section 501 ( c )(7), ( 8), or ( 10) organIzatIon filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exc/us,vely for religious, charitable, etc , purposes, but these contributions did
not aggregate to more than $1,000 If this box Is checked, enter here the total contributions that were received during
the year for an exc/us,vely religious, charitable, etc, purpose Do not complete any of the parts unless the General Rule
applies to this organIzatIon because It received nonexclus1vely religious, charitable, etc , contributions of $5,000 or more
during the year . . . . . . . . . . . . . . . . . . . . . . . . . ,... $
Caution. An Organ1zat1onthat Is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but It must answer" No" on Part IV, line 2 of its Form 990, or check the box In the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that It does not meet the filing requirements of Schedule B ( Form 990,
990-EZ, or 990-PF)
For Paperwork Reduction Pct Notice, see the Instructions Cat No 30613X Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
for Form 990, 990-EZ, or 990-PF
Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page _1_ of _1_ of Part I
-- 4 Person p
NATALIE
16027
MILSTEIN
550
Payroll r
VENTURA BLVD
$ 130,000 Noncash r
ENCINO, CA 91436 (Complete Part II 1f there 1s
a noncash contribution )
-- 3 Person p
LYRON
16027
MILSTEIN
550
Payroll r
VENTURA BLVD
$ 130,000 Noncash r
ENCINO, CA 91436 (Complete Part II 1f there 1s
a noncash contribution )
-- 2 Person p
MERAV
16027
MILSTEIN
550
Payroll r
VENTURA BLVD
$ 130,000 Noncash r
ENCINO, CA 91436 (Complete Part II 1f there 1s
a noncash contribution )
-- 1 Person p
ADAM
16027
GILA MILSTEIN
550
Payroll r
VENTURA BLVD
$ 850,000 Noncash r
ENCINO, CA 91436 (Complete Part II 1f there 1s
a noncash contribution )
-- Person r
Payroll r
$ Noncash r
(Complete Part II 1f there 1s
a noncash contribution )
-- Person r
Payroll r
$ Noncash r
(Complete Part II 1f there 1s
a noncash contribution )
--
--
--
--
--
--
--
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
(a) No.
(b) (c) (d)
from
Part I Purpose of gift Use of gift Description of how gift is held
--
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
(a) No.
(b) (c) (d)
from
Part I Purpose of gift Use of gift Description of how gift is held
--
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
(a) No.
(b) (c) (d)
from
Part I Purpose of gift Use of gift Description of how gift is held
--
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
Name Address
NATALIE MILSTEIN 16027 VENTURA BLVD 550
ENCINO,CA 91436
Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment
Rec1p1ent If recIpIent Is an 1nd1v1dual, Foundation Purpose of grant or A mount
show any relat1onsh1p to stat us of contribution
Name and address (home or business) any foundation manager recIpIent
or substantial contributor
STAND WITH USPO BOX 341069 N/A CHARITY GENE RA L USE 65,000
LOS ANGELES,CA 90034
PEYLIM LEV L'ACHIM 1034 EAST N/A CHARITY GENE RA L USE 25,000
12TH STREET
BROOKLYN,NY 11230
BANK CHARGES 30 30
Description Amount
FEDERAL TAX REFUND 8,223
lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN:93491344001010
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Borrower's Relationship to Original Balance Date of Maturity Repayment Interest Rate Security Provided Purpose of Description of Lender Consideration
Name Insider Amount of Due Note Date Terms by Borrower Loan Consideration FMV
Loan