Table of Contents
- Completing the Heading
- Part I—Analysis of Revenue and Expenses
- Part II—Balance Sheets
- Part III—Analysis of Changes in Net Assets or Fund Balances
- Part IV—Capital Gains and Losses for Tax on Investment Income
- Part V—Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
- Part VI—Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948)
- Part VII-A—Statements Regarding Activities
- Part VII-B—Activities for Which Form 4720 May Be Required
- Part VIII—Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors
- Part IX-A—Summary of Direct Charitable Activities
- Part IX-B—Summary of Program-Related Investments
- Part X—Minimum Investment Return
- Part XI—Distributable Amount
- Part XII—Qualifying Distributions
- Part XIII—Undistributed Income
- Part XIV—Private Operating Foundations
- Part XV—Supplementary Information
- Part XVI-A—Analysis of Income-Producing Activities
- Part XVI-B—Relationship of Activities to the Accomplishment of Exempt Purposes
- Part XVII—Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
- Signature
The following instructions are keyed to items in the Form 990-PF heading.
If the organization operates under a name different from its legal name, give the legal name of the organization but identify its alternate name, after the legal name, by writing “aka”(also known as) and the alternate name of the organization. The address used must be that of the principal office of the foundation.
Include the suite, room, or other unit number after the street address. If the post office does not deliver mail to the street address and the organization has a P.O. box, show the box number instead of the street address.
The organization should have only one employer identification number. If it has more than one number, notify the Internal Revenue Service Center at the address shown under General Instruction J. Explain what numbers the organization has, the name and address to which each number was assigned, and the address of the organization's principal office. The IRS will then advise which number to use.
Enter a foundation telephone number (including the area code) that the public and government regulators may use to obtain information about the foundation's finances and activities. This information should be available at this telephone number during normal business hours. If the foundation does not have a telephone, enter a telephone number of a foundation official who can provide this information during normal business hours.
If the foreign organization meets the 85% test of Regulations section 53.4948-1(b), then:
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Check the box in D2 on page 1 of Form 990-PF,
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Check the box at the top of Part XI,
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Do not fill in Parts XI and XIII,
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Do not fill in Part X unless it is claiming status as a private operating foundation, and
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Attach the computation of the 85% test to Form 990-PF.
A private foundation that has terminated its status as such under section 507(b)(1)(A), by distributing all its net assets to one or more public charities without keeping any right, title, or interest in those assets, should check the box in E on page 1 of Form 990-PF. See General Instructions Q and T.
Check the box in F on page 1 of Form 990-PF if the organization is terminating its private foundation status under the 60-month provisions of section 507(b)(1)(B) during the period covered by this return. To begin such a termination, a private foundation must have given advance notice to TE/GE at the Cincinnati address given on page 10 and provided the information outlined in Regulations section 1.507-2(b)(3). See General Instruction U for information regarding filing requirements during a section 507(b)(1)(B) termination.
See General Instruction V for information regarding payment of the tax based on investment income (computed in Part VI) during a section 507(b)(1)(B) termination.
Check the box for “Section 501(c)(3) exempt private foundation” if the foundation has a ruling or determination letter from the IRS in effect that recognizes its exemption from federal income tax as an organization described in section 501(c)(3) or if the organization's exemption application is pending with the IRS.
Check the “Section 4947(a)(1) nonexempt charitable trust” box if the trust is a nonexempt charitable trust treated as a private foundation. All others, check the “Other taxable private foundation” box.
The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a).
The amounts entered in column (a) and on line 5b must be analyzed in Part XVI-A.
Enter in column (a) all items of revenue and expense shown in the books and records that increased or decreased the net assets of the organization. However, do not include the value of services donated to the foundation, or items such as the free use of equipment or facilities, in contributions received. Also, do not include any expenses used to compute capital gains and losses on lines 6, 7, and 8 or expenses included in cost of goods sold on line 10b.
All domestic private foundations (including section 4947(a)(1) nonexempt charitable trusts) are required to pay an excise tax each tax year on net investment income.
Exempt foreign foundations are subject to an excise tax on gross investment income from U.S. sources. These foreign organizations should complete lines 3, 4, 5, 11, 12, and 27b of column (b) and report only income derived from U.S. sources. No other income should be included. No expenses are allowed as deductions.

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A charitable activity generated $5,000 of income and $4,000 of expenses. Report all of the income and expenses in column (c) and none in column (d).
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A charitable activity generated $5,000 of income and $6,000 of expenses. Report $5,000 of income and $5,000 of expenses in column (c) and the excess expenses of $1,000 in column (d).
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If a nonoperating private foundation has no income from charitable activities that would be reportable on line 10 or line 11 of Part I, it does not have to make any entries in column (c).
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If a nonoperating private foundation has income from charitable activities, it must report that income only on lines 10 and/or 11 in column (c). These foundations do not need to report other kinds of income and expenses (such as investment income and expenses) in column (c).
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If a nonoperating private foundation has income that it reports on lines 10 and/or 11, report any expenses relating to this income following the general rules and the special rule. See Examples 1 and 2 above.
Expenses entered in column (d) relate to activities that constitute the charitable purpose of the foundation.
For amounts entered in column (d):
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Use the cash receipts and disbursements method of accounting no matter what accounting method is used in keeping the books of the foundation;
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Do not include any amount or part of an amount that is included in column (b) or (c);
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Include on lines 13-25 all expenses, including necessary and reasonable administrative expenses, paid by the foundation for religious, charitable, scientific, literary, educational, or other public purposes, or for the prevention of cruelty to children or animals;
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Include a distribution of property at the fair market value on the date the distribution was made; and
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Include only the part entered in column (a) that is allocable to the charitable purposes of the foundation.

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The amount of cash contributed,
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A description of any property contributed,
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Whether the foundation provided any goods or services to the donor, and
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A description and a good-faith estimate of the value of any goods or services the foundation gave in return for the contribution, unless:
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The goods and services have insubstantial value, or
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A statement is included that these goods and services consist solely of intangible religious benefits.
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Date acquired,
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Manner of acquisition,
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Gross sales price,
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Cost, other basis, or value at time of acquisition (if donated) and which of these methods was used,
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Date sold,
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To whom sold,
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Expense of sale and cost of improvements made subsequent to acquisition, and
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Depreciation since acquisition (if depreciable property).

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Amounts received or accrued as repayments of amounts taken into account as qualifying distributions;
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Amounts received or accrued from the sale or other disposition of property to the extent that the acquisition of the property was considered a qualifying distribution for any tax year;
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Any amount set aside for a specific project (see explanation in the instructions for Part XII) that was not necessary for the purposes for which it was set aside;
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Income received from an estate, but only if the estate was considered terminated for income tax purposes due to a prolonged administration period; and
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Amounts treated in an earlier tax year as qualifying distributions to:
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A nonoperating private foundation, if the amounts were not redistributed by the grantee organization by the close of its tax year following the year in which it received the funds, or
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An organization controlled by the distributing foundation or a disqualified person if the amounts were not redistributed by the grantee organization by the close of its tax year following the year in which it received the funds.
line 6a. Do not include any business expenses such as salaries, taxes, rent, etc., on line 10. Include them on lines 13-23. Attach a schedule showing the following items: Gross sales, Cost of goods sold, Gross profit or (loss). These items should be classified according to type of inventory sold (such as books, tapes, other educational or religious material, etc.). The totals from the schedule should agree with the entries on lines 10a-10c. In column (c), enter the gross profit or (loss) from sales of inventory shown in column (a), line 10c.
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A description of the property,
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The date acquired,
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The cost or other basis (exclude any land),
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The depreciation allowed or allowable in prior years,
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The method of computation,
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The rate (%) or life (years), and
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The depreciation this year.
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Description of the amortized expenses;
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Date acquired, completed, or expended;
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Amount amortized;
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Deduction for prior years;
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Amortization period (number of months);
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Current-year amortization; and
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Total amount of amortization.
1 year and used in a trade or business. A deduction for amortization is allowed but only for assets used for the production of income reported in column (c).
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Each class of activity,
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A separate total for each activity,
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Name and address of donee,
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Relationship of donee if related by:
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Blood,
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Marriage,
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Adoption, or
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Employment (including children of employees) to any disqualified person (see General Instruction C for definitions), and
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The organizational status of donee (for instance, public charity—an organization described in section 509(a)(1), (2), or (3)).
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A description of the contributed property,
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The book value of the contributed property,
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The method used to determine the book value,
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The method used to determine the fair market value, and
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The date of the gift.

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Do not include contributions to organizations controlled by the foundation or by a disqualified person (see General Instruction C for definitions). Do not include contributions to nonoperating private foundations unless the donees are exempt from tax under section 501(c)(3), they redistribute the contributions, and they maintain sufficient evidence of redistributions according to the regulations under section 4942(g).
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Do not include contributions paid from a nonoperating private foundation to a Type III supporting organization (as defined under section 4943(f)(5)) that is not a functionally integrated Type III supporting organization (as defined under section 4943(f)(5)(B)). See Notice 2006-109, 2006-51 I.R.B. 1121, available at www.irs.gov/irb/2006-51_IRB/index.html.
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Do not include contributions paid from a nonoperating private foundation to any supporting organization if a disqualified person of the private foundation controls the supporting organization or any of its supported organizations. See Notice 2006-109.
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Do not reduce the amount of grants paid in the current year by the amount of grants paid in a prior year that was returned or recovered in the current year. Report those repayments in column (c), line 9, and in Part XI, line 4.
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Do not include any payments of set-asides (see instructions for Part XII, line 3) taken into account as qualifying distributions in the current year or any prior year. All set-asides are included in qualifying distributions (Part XII, line 3) in the year of the set-aside, regardless of when paid.
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Do not include current year write-offs of prior years' program-related investments. All program-related investments are included in qualifying distributions (Part XII, line 1b) in the year the investment is made.
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Do not include any payments that are not qualifying distributions as defined in section 4942(g)(1).
For column (b), show the book value at the end of the year. For column (c), show the fair market value at the end of the year. Attached schedules must show the end-of-year value for each asset listed in columns (b) and (c).
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Foundations whose books of account included total assets of $5,000 or more at any time during the year must complete all of columns (a), (b), and (c).
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Foundations with less than $5,000 of total assets per books at all times during the year must complete all of columns (a) and (b), and only line 16 of column (c).
Instruction C.
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Borrower's name and title,
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Original amount,
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Balance due,
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Date of note,
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Maturity date,
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Repayment terms,
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Interest rate,
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Security provided by the borrower,
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Purpose of the loan, and
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Description and fair market value of the consideration furnished by the lender (for example, cash—$1,000; or 100 shares of XYZ, Inc., common stock— $9,000).








