0141e829 - foundation center990s.foundationcenter.org/990pf_pdf_archive/226/...al i f 10 form 990-pf...
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Al i F 10
Form 990-PF Return of Private Foundat io nor Section 4947 (a)( 1 ) Nonexempt Cha r i table Trust-
Department of t ha *easury Treated as a Private Foundat ionI nternal re v e nue Service Not e : The organization may be able to use a copy of this return to satisfy state repo rting requirements.
For calendar year 2003 , or tax yea r
cv
v cnecK an at apply u initial return u rinai return u Hine
Use the I RS N ame of organiza tio n
label . HE BARBARA FREID GOTTESMAN
Otherwise, HABITABLE FOUNDATIONpr int Number and street (or P O box number if ma l l Is not delivered to street address)
o r ty pe . 220 SOUTH ORANGE AVENUESee Specific City or town, stat e, and ZI P cod eInstructions
. V INGSTON NJ 0 7 0 3 9H C h eck ty pe of organiza tion ~X Sect ion 501 (c)(3) exem pt private foun d atio n
Q S ec t io n 4 9 4 7(a)( 1 ) n one xe mpt c ha ri ta b le trust = Other taxable private fo u ndat ion
I Fair market value of all assets at end of year J Accounting method 0 Cash
(from Part ll, col. (c), line 1 6) ~ O ther (s pecify )
►$ 8 9 9 4 7 4 . (Part 1, column (d) must be on cash basepWt 1 Analysis of Revenue and Expenses (a) R evenue a n d
(rho total of amounts i n columns (b) , (c), and (d) may not booksnecessari ty equal the amounts in column (a)) expenses pe r
1 Contributions, gifts, grants, etc , received 540,000 .Check III-0 if ft foundabon is not 2qu fred to at lach Sch B
2 Distributions from sp lit -interes t trust sInterest on savings and tempora ry
3 cas h Investments
4 D ividend s an d in terest from securities 38,582 .
5a Gross rent s
b (Net renta l Income or po ss )
7 sa Ilne 9p n or (loss) from sale of assets not on 23,430 .
b Gross sales price for al l 21528,192 .> a ss ets on line 6a d
7 Capital gain net i ncome (from Part IV, l ine 2)
8 Net short-term capital gain
9 Income m od ifications10 a Gross sales less retainsand allowances
b less cost of goods sol d
c Gross profit or (loss )
11 Other income < 1 17 1 .
12 Total . Ad d lines 1 through 11 600,841 .
13 Compensation of officers, d irectors, trustees, etc
14 Other employee salaries and wage s
H 15 Pension p lan s, employee b e n efi ts
y 16a Le gal fe e s
Q b A ccoun t in g fe es STMT 3 675 .
W c Other professional fees17 Interest
•r.20 18 Taxes
19 Dep re ciat ion an d d eple tion
20 Occu pa n cy
a 21 Travel, conferences, a n d meet in gs
22 Printing a nd p u b lica tion s
23 Other expenses STMT 4 52 .
24 Total ope rat in g a n d administrativ e
n expenses . Add lines 1 3 th rou gh 2 3 727 .0
25 C on tributio n s, gifts, grants paid 2 7 1 770 .
26 Total expenses and d isbursements .Add lines 2 4 and 25 272,497 .
27 Subt ract line 26 f rom line 1 2
a Excess of revenue over expenses and d i sbursements 328,344 .b Net In ve s tme nt Income (if neeavve, e nter -0- )c Adjusted net i ncome Of negative, enter - a )
~23~~ LHA For Paperwork Reduction Act Notice , see the i nstruct i ons .
and end i n g
'd re turn ~ Address change 0 Name
A Emp l oyer I dent i f i cat i on numbe r
22-678832 4Room /sui te B Teleph one numbe r
973-992-495 2
Acc rua l
(b) Ne t inve stmentincome
38,582 .
30 .
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THE BARBARA FREID GOTTESMANF orm 99 0 - PF (2003) CHARITABLE FOUNDATIO N
P~~~ Balance Sheets at~hed schedules andamoun5 inthed~scnpbon 621
$ column should be for end-of-year amounts only (a
1 ' Cash - non-in terest - beann g
2 Savings and temporary cash investments
3 A ccoun ts receivable 1111',
Less a llowance for dou btful accou nt s 1111,
4 Ple d ges receivable 1
Less allowance for d ou btfu l acco unt s 0,
5 Grants receivabl e
6 Receivables due fro m officers, direct ors, tr ustees, and other
disqualified p erso n s
7 Other notes and loans receivabl e
Less allowance for d ou btful account s
8 Inventories for sale or use
9 P re p ai d expenses and deferred charge s
a 10a Inves tmen ts - U S a nd state g over nm ent obligations STMT 6
b I n ves tmen ts - corporate s toc k
c Investments - corporate bonds STMT 711 Imesbnen5 -land, buildings, and equipment basis
Less. accumulated deD reciia4on 1110.
12 Inves t me n ts - mortg age loa n s
13 Inv es t men ts - other STMT 8
14 Lan d , buildings, a nd eq uipm ent ba si sLes accumulxhd depRC iabon 1111.
15 Ot h e r assets (describe ► DUE FROM BROKER
16 Total assets (to be completed by a ll filers)
17 Accou nt s pa yable and accrued exp e nses
18 Grants payabl e
w2
19 De ferre d re ven u e
20 Loans from office rs, directors, trustees, and other disqual i fied pers ons
21 M ortg ages a n d other notes payab le
'j 22 Othe r liabilities (describe ►
Organizations that follow SFAS 117 , check here
and complete lines 24 through 26 and lines 30 and 31 .
24 Unrestricte dm 25 Temporarily restricted
co 26 P e rman e ntly restric te d
Organizat i ons that do not fo l low SFAS 117 , check here 10-` L a n d compl ete lines 27 thr o u gh 31 .° 27 C ap ital s toc k , t ru st p rinci p al, or current fund s
28 P ai d -i n or capi tal s u r p lus, or la nd , bldg ,a nd equ ipmen t f und
4 29 R et aine d ea rnings, accu m ulate d inco me, end owment , o r oth er fu nd s
Z 30 Total net assets or f un d ba l a nces
w
22-6788324 Page tnnmg o f yea r
B ook Value (b) B oo k Value
E n d of
) F air M arket Valu e
27 .223 . 1 40,834 .1 40,834 .
71 .
124,598 .1 96,245 .
235,238 .
510,030 .
500,000 .0 .
10,030 .510,030 .
575,924 .
1,539 .
837,630 .
0 . 0 .
131,978 .
94,111 .
631,012 .
1,539 .
899,474 .
500,000 .0 .
337,630 .837,630 .
3 1 Total liabilities and net assets/fund ba lances 1 510,030 .1 837,630 .
Analysis of Changes in Net Assets or Fund Balance s
1 Total net asset s or fu nd balances at beginning of year - P art II, colu mn (a), line 3 0
(must agree wi th en d -of-year figure report ed on prior year's retu rn )
2 E n ter a moun t from Pa rt I, line 27a
3 Other increases not included in line 2 (itemize) ►4 Add lines 1, 2, and 3
5 D ecreases not included in line 2 (itemize) 1
6 To tal ne t asset s or fun d balances at end of year (line 4 m in us line 5) - P art II, colu m n
32351112-05-03
510,030 .328,344 .
0 .
SEE STATEMENT 5line 30
838,374 .744 .
837,630 .Form 990 -PF (2003 )
316011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 12009 1
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THE BAt2BARA FREID GOTTESMANForm 990-PF (2003) CHARITABLE FOUNDATIO N
11i . Capital Gains and Losses for Tax on Investment In
(a) List and describe the kind(s) of property sold (e g , real estate ,2-sto ry brick warehouse , or common stock , 200 shs MLC Co )
la SEE ATTACHED SCHEDULEb SEE ATTACHED SCHEDULEc FROM K-1 - GULFTERRA ENERGY PARTNERSa CAPITAL GAINS DIVIDENDS
(e) Gross sales price
a 2,324,018 .b 203,764 .c 186 .a 224 .
eComp le t e o n ly for a ss et s s h ows
(i) F M V . as of 1 2/31 /6 9
a
b
c
d
(f) D e p reciation allowe d(or all ow a b le )
in colu mn (h) and owne d
(J) Ad juste d b asi sas of 12/31/69
ia
22-6788324 Pag e 3
(b H ow acq uired (c) D ate acquired (d) Date s o ld- Purc has eD - Dona t ion (mo , day, yr) (mo , day, yr )
P VARIOUS 12/31/0 3P VARIOUS 12/31/0 3P VARIOUS 12/31/0 3
(g ) Cost o r ot her basisp lus expe n se o f sal e
2,310,698 .194,064 .
the foundation on 12/31/69
( k) Excess of col (i)over col (j), if any
(h) Gain or (loss)(e) plus (f) minus (g)
13,320 .9,700 .
186 .224 .
(1) Gains (Col (h) gain m inuscol ( k ), but n o t l ess than -0-) o r
posses (from col. (h))
13,320 .9,700 .
186 .224 .
2 Capita l gain n et inc ome o r (n et cap ital loss.~ If a m, a lso ente r i n Pa rt I, line 7
If ?loss), ente r -0- in Part I, line 7
3 Net short-term capi tal gai n or (loss) a s define d in sections 1222 (5 ) an d (6) 'If gain, also enter in Par t I, line 8 , column (c)
2 23,430 .
If (loss ), en te r -0- in Pa rt I, line 8 3 N/APint V Qualification Under Section 4940(e) for Reduced Tax on Net Investment Incom e
(F or opt ional us e by d omest ic private fou ndatio n s subjec t to the sect io n 4940 (a) t ax o n n et inves tmen t income
If sect io n 4940( d )( 2 ) app li es, leave th i s par t b lan k
Was th e o rgan iz at ion lia b l e for the sect i on 4942 tax on the distributable amo unt of a ny year in the ba s e pe riod s 0 Ye s EX-1 No
If Ves, the organiza tio n d oes n ot qualify u n der sect ion 4940(e) D o no t co mp lete th is part1 E nt e r the ap p ro p riate a mount in each col um n fo r e ach y ear, see instru c ti o ns before mak ing an y e n tries .
B as ep(a
) an d ye a rs Adjus te d q ualifyi ng d i st ri b u tions N et value of n o n c
hantable-us e a sset s
D is tnbutlon rat i oC ale nd ar year o r tax year beginningm (col (b ) divided b y col (c ) )
2002 24,630 . 492,456 . .05001462001 25,598 . 473 407 . .05407192000 20r815 . 457,011 . .04554591999 29,875. 469,387 . .06364681998 0 . 10, 800 . .000000 0
2 Total of line 1 , colu mn ( d )
3 Av erage d is t ribu tio n ra tio fo r th e 5-yea r bas e p erio d - divide the to ta l on li ne 2 by 5, or by t he nu m ber o f yea rs
t he fou nda ti on has been in exist enc e if less than 5 yea rs
4 Enter the net value of noncharitable-use assets for 2003 from Part X, line 5
5 Multi p ly line 4 b y line 3
6 Enter 1 % of net investment income ( 1 % of Par t I , line 27b )
7 Add lines 5 and 6
2 .2132792
3 .0426558
4 689,090 .
5 29,394 .
s 608.
7 30 .002 .
8 E nter qualifyin g distributions f ro m Part X II, line 4 1 8 271r770 .
If line 8 is e q ual to or great e r than line 7, ch eck th e b ox in Part VI, line 1 b, and complete tha t part using a 1 % tax rateSe e the Pa r t VI ins truction s
32 3 521 /1 2 - 05 - 03 Form 990-PF (2003 )4
16011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 120091
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F orm 9 90- PF
HE BAABARA FREID GOTTESMANCHARITABLE FOUNDATION3x Based on Investment Income (Sec t i on
22-6788324 Pageaor 4948 - see instruct i ons)
1 a Exe mpt o pe rating fo u nda t ions described in sectio n 4 9 40(d)( 2 ), c h ec k here ► U and enter'N/A' o n line 1D8te of ruling letter (att ach copy of rul in g l e tte r i f n ece ss a ry-s ee Instructions )
b D o m es tic o rg a nizations th a t meet the section 4940 ( e ) require men ts in P art V, chec k he re ► M and en ter 1 %o f Pa rt 1, line 27 b
c All oth er d omestic organizat ions ent er 2 % of line 2 7 b Exe mp t foreig n organiza tio n s en ter 4 % of P a rt I, line 12, col (b)
2 Tax und er s ec tio n 511 (d o m es tic s ection 4 9 47( a )( 1 ) t ru st s a nd taxab le founda tio n s o nly . Ot h e rs e nter -0- )
3 Add li ne s 1 and 2
4 Subt itl e A (inco m e) tax (d omest ic s e c t io n 494 7(a )( 1 ) trusts and taxab le f oundations only . Oth ers en ter -0-)
5 Tax based on Investment Income . S u bt rac t line 4 fro m line 3 If ze ro or less, enter -0-
6 Credits/Payments .a 20 0 3 es timated tax pa y m ents and 20 0 2 overpaymen t cred ited to 2003 .. Be
b Exe m pt fo reig n org aniza tions - tax w ithh el d at sou rce 6b
c Tax pai d wi th a pp lic at ion fo r extension of t ime to file ( Form 886 8) 6c 1,400 .
d B ac kup withh ol d in g erroneously wi thhe ld 6d
7 T ot al c re d its a nd p ay m e nts Add line s 6 a th rou gh 6d
8 E nte r any penalty fo r u n de rpayment of est imat e d ta x C hec k here Q it F orm 2220 is attac h e d
9 Tax due . I f the to tal of lines 5 and 8 is m or e t han lin e 7, e nte r amount owed ►10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpa id
11 Ente r the a m ount of li ne 10 to b e Cred i ted to 2004 est imated tax► 7 9 2 . ~ Refunded►
1 608 .
2 0.3 608.4 0.5 608.
7 1,400 .891 0 792 .11 0.
1 a During the ta x yea r, d id the o rgan izatio n att em pt t o i nf lue n ce any natio nal, state, o r local legisla t io n or d i d it partici p at e or interv e ne in Yes No
a n y p olitica l campaign? 1 a X
b Di d it s pe n d m ore than $1 00 during t he year (eith er d irect ly or indirect ly) fo r politica l purp oses (se e inst ruc tions fo r definition)? 1 b X
I f the answer is "Yes" to 1 a or 1 h , attach a detailed description of the activities and copies of any materials pu blished or
dis tnbu ted by the o rganiza tion in connec tion with the ac tivi ties .
c D id the o rg an izat io n file Form 1120-POL f or th is year? . . . . . . . 1 c X
d Ente r the amou n t (if any) of t a x on p olitica l exp en d iture s (sect ion 4955 ) im p os ed durin g the ye a r.
(1) On the organization . ► $ 0 • ( 2 ) On organization managers ►$ 0e Ente r the rei mburseme nt (if an y) paid by the o rganiz at ion during the y ear fo r po li tical exp e nd itu re tax imp osed on organ izat ion
managers ► $ 02 Has th e o rga ni zat ion e ngag ed in an y a ct ivit ies t hat ha ve no t previously b ee n re p or t ed t othe IRS? 2 X
If "Yes," attach a detailed descnption of the ac tiviti es .
3 Has the orga ni z at ion made any c hange s, not p re viou sly re p orted to th e I RS , in i ts g ove rning instr u m ent , a r t icles of i ncorp orat ion , o r
b yla ws, o r ot h e r si milar instruments? If "Yes, " attach a con formed copy of the changes 3 X
4a D id the o rganiza ti on have un relate d b usiness g ross income o f $1,000 o r mor e during th e year? 4a X
b If 'Yes,' has it filed a tax return on Form 990 -T for this year? . . . . .. N/A 4b
5 Was t h e re a liquidation, t erminat ion, d issolut ion , or subs ta nt ia l cont ra ct ion during th eyear? _ 5 X
I f " Ye s, " attach the statemen t required by General Instruction T.
6 A re the requ ire m ents of s ec tion 508( e) (re latin g to sections 4941 t hrough 4945 ) satisfie d eithe r .
• B y la n gu age i n the governing instr u me nt o r
• B y state le g islation that effectively ame n d s the g ove rnin g inst ru me n t s o that no mandatory direc tio n s t ha t co nfl ic t wi th the state la w
remain in the governing instrument? 6 X7 D id t he or g aniza tion have a t l ea st $5 ,0 0 0 in asse ts at a ny ti me during the year? 7 X
I f " Yes, " complete Part 11, co l. (c), and Pa rt XV.Be E nter the states to which the foundation reports or with which it is registere d (see inst ructions) 1
NJb If the an s wer is Yes" to lin e 7, h as th e organi z at ion fu rnished a copy o f Fo rm 99 0-PF to the Attorney Genera l (or d esignate)
of eac h sta te a s required b y Genera l Instruct io n G? If "No," attach explana tion 8b X
9 Is the orga nizatio n cl a imin g status a s a private operating fou nd atio n with in the mea ning of sectio n 4 94 2(j)( 3 ) o r 4942(j)( 5 ) fo r ca lenda r
year 2 003 or the tax a b le ye a r beginnin g in 200 3 (se e inst ruc tions f or Par t X IV)? I f " Yes," co mplete Part XIV 9 X
10 Di d any persons b ecome su bs tantial contributors during th e t ax years if 'Yes,' attach a schedule l isting the ir names and addresses STMT 9 10 X
11 Did th e orga n izat io n comply with t he pu b lic ins p ection requirements f or it s an n ual ret ur n s a nd exemptio n application? 11 X
We b si te add re ss ► N/A12 The books are in care of ► TAXPAYER Telephone no io,973-992-4952
Locatedat ► 220 SOUTH ORANGE AVE, LIVINGSTON, NJ ZIP+4 ►0703 913 S ection 4 9 4 7(a)( 1 ) no nexempt charitable t rust s f iling Form 990- PF in lieu of Form 1041 - Check h ere ►
an d ent er the amoun t of tax-exempt interest received or accrue d during the year 10-1 13 I N/ A
iz osa~ Form 990 -PF (2003 )5
16011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 12009 1
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THE BARBARA FREID GOTTESMANForm 990-PF (2003) CHARITABLE FOUNDATION
Part VIE«B 'S tatements Reaardina Act ivi t ies for Whi ch Form 4720File Form 4720 if any item is chec ked in the "Yes" column, unless an exception applies .
1 a D6 ring the year did the organization (either directly or indirectly)
(1) Engage In the sale or exchange, or leasing of property with a disqualified person?
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person ?
(3) Furnis h g oo d s, services, o r facilities t o (or accept th em f rom ) a d is q u a lifie d pe rson
(4) Pay co mpensa t ion to, or pay or reim b urs e the e xpenses o f, a d isqualified person
( 5 ) T ransfer a ny income or asse ts t o a d is q ualified person (or make a ny of either availa b le
for th e benef it or use of a d is q uali fied person)
22-6788324 Page s
0 Yes [K] N o
Q Yes 0 No
Q Yes 0 No
Yes 0 No
Q Yes FX1 No(6) Ag ree to pa y mo n ey or p ro perty to a govern m en t o fficials ( Exception . Check 'No'
if the organizatio n agreed to ma k e a g ran t to or to e mp loy the o fficial fo r a period a fter
termination of government service, i f term i nat in g within 9 0 days ) . . =Yes [K]No
b If any answer is 'Yes'to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulation s
sectio n 53 4941 ( d )-3 or in a current n ot ice re g ard in g d isa ster assista nce (see p age 1 9 of the inst ruc tions)? N/A
Or gan izat ions re lying on a curre nt notice re g ard in g d isaste r assis ta n ce che c k here
c Di d the o rga nization e ngage i n a prior yea r in a ny of the acts described in la, o th er than e xce pt ed a ct s, th a t were no t corr ected
before t h e firs t da y of the ta x y ea r b egin n in g in 200 3
Taxe s on failure to d ist ri b u te income (s ectio n 4942 ) (d o es n o t apply for ye a r s the org anization wa s a p rivate o pera t i ng fo u nd at ion
defin ed in sectio n 4942(j)(3) o r 4942 (j)(5 ))
a At the end of tax ye a r 2003 , d i d the o rg aniz ation ha ve a ny un d ist ribu te d inco me (lines 6d an d 6e , P art X III) f or tax yea r(s) be g inni n g
before 2003? . . . . . 0 Yes Q No
l b
1 c
If 'Yes,' lis t the ye a rs ►b A re the re a ny yea rs lis ted in 2a for wh ich th e orga nizat ion is not a p p lying the p rovisions of sect ion 4942 (a )( 2 ) (rel at ing to inc o rre ct
v a l uat i on of a ssets) to th e y ea r's un d ist rib ute d income s (I f app lyin g se ction 4942( a )( 2 ) t o all years liste d , a ns we r 'No' and a tta ch
statement - see instructions ) N/A 2b
c I f the p r o visions of s ection 4942 (a)(2 ) a re b eing a pp lie d to any of t h e years lis ted in 2a , list th e ye ars h ere
3a D id the o rgan izati o n ho l d m or e than a 2 % d ire ct or in d i rect i nte res t i n any b usin e ss ent erp ris e a t an y t ime
du ri ng the y ear s . Q Yes Q No
b It -Yes,* d id it ha ve exc ess busin ess h old in g s in 200 3 a s a result of (1) a ny purc has e by the o rga ni z at ion or d isq u a lified person s afte r
M ay 26, 1969, (2) th e l ap se o f the 5 -yea r p e ri od (o r lo ng er pe rio d a pp roved by the Commissione r u nder sect io n 494 3(c)(7)) t o d is p ose
of h ol d in g s acquired by g i ft o r b eque st , or (3) the l ap se of t h e 10-, 15-, or 20-yea r first phas e h olding period? (Use Schedule C,
Fo rm 4720, to determine if the organization had exce ss bu siness holdings in 2003) N/A 3b
4a D id the org a n izati on i nve st du ri ng t h e yea r any amoun t in a man n e r that w o u ld j e op ard ize its ch a rita b le pu rp oses? . . . . . . . 4a
b D id the o rgan izatio n make an y inve stmen t i n a p rior year ( but aft er D ecem ber 31, 1969) that coul d jeo pa rd ize its c ha ritab l e pu rp ose tha t
h ad n ot been r emoved from jeo pa rdy b ef ore the first d ay o f th e tax y ea r begi n ning in2003 4b
5a Du rin g the yea r d i d the orga nization pa y or i n cur any am o unt t o
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? E:1 Yes 0 No
(2) Inf luen c e the ou tco m e of any spe cific pub lic electio n (se e s ectio n 4955), or to c a rry on , d ir e ct ly o r ind irec tly ,
a n y vote r reg is tration drive'? O Yes 0 No
(3) P rovide a gra nt to a n individual fo r t ravel, stud y, o r other sim ilar pu r p oses .. D Yes 0 No
(4) Provid e a g ra nt to a n orga n i z ation other th an a charitable, etc., organiz at ion describe d in sect ion
509(a)(1), (2), or (3), or section 4940(d)(2)? Q Yes EXI No
(5) Provide fo r a ny p urp ose oth e r tha n religio u s, c h arita b le , scie ntific, liter a ry, o r edu catio n al pu rp oses , or f o r
th e p re v entio n of crue lt y t o ch ild re n o r animals? . . O Yes EX-1 N ob If any answer is'Yes'to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations
section 53 4945 or in a current notice regarding disaster assistance (see instructions) ?
Organizations relying on a current notice regarding disaster assistance check her ec If the answer is'Yes'to question 5a(4), does the organization claim exemption from the tax because it maintained
N/A 5b
►=
e x pend itu re responsibility for the grant7 N/A 0 Yes = N oIf " Yes, " attach the s ta temen t required by Regulations section 53.4945 -5(o)
6a Di d the organ iz ation, du ri ng t h e year, receive a ny fund s, d ire ct ly o r in d irectly, t o p ay premiums on
a p ersonal be n efit con tract
b D id th e organi z at ion, du ring the year, pay premiums, directly o r in d irectly, on a personal benefit contractIf you answered "Yes" to 6b, als o file Form 8870.
Q Yes M N o
X
X
X
X
Form 990-PF (2003 )
3235411 2 -05-0 3
16011004 792004 120096
2003 .06030 THE BARBARA FREID GOTTESMAN 12009
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THE BARBARA FREID GOTTESMANCHARITABLE FOUNDATION 22-6788324
Information About Officers, Directors, Trus tees, Foundat ion Managers, Highly Page 6Paid Employe es, and Contractors
1 'L i st all offi ers, d i recto rs , trustees, foundat i on managers and the i r compensation :
(b) Title, and average (c) Compensation (d~Confibubwisto (e) Expense(a) Name and address hours per weekdevoted ( If not pa id, ~;~~~~'~f ~'"s account, other
t o position enter -0- compemnon allowances
BARBARA FREID GOTTESMAN MANAGE R
37 BEVERLY ROADWEST ORANGE, NJ 07052 5 0. 0. 0 .
ELLEN GABBER TRUSTEE10 ADAMS AVENUESHORT HILLS, NJ 07078 2 0. 0. 0 .ROBIN GOTTESMAN TRUSTEE4 BOILING SPRINGS ROADHO HO KUS, NJ 07423 2 0. 0. 0 .ANDREW GOTTESMAN TRUSTEE28 OAK RIDGE AVENUESUMMIT, NJ 07901 2 0. 0. 0 .2 Compensat i on of five h ighest - pa i d employees (other than those included on l ine 1 ) . If none, enter " NONE. "
(b) Title and average (~(e) Expense(a) Name and address of each employee paid more than $50,000 hours per week (c) Compensation ~adaccount, other
devoted to position c urn allowances
NONE
Total numbe r of othe r emp loyees p aid over $5 0 ,000 ► f 03 Five highest - paid independent contractors for professional se rvices . If none , enter "NONE ."
(a) N ame a nd add ress o f eac h pe rso n pa i d mor e tha n $50 ,000 (b) Ty pe of se rv ice (c) C o mpen satio n
NONE
Total n umber of ot h e rs receiving ove r $50 ,000 f or ► I 0p JX-A Summary of Direct Charitable Activitie s
List the foundation's four largest direct charitable activities during the tax year . Include relevant statistical information such as the Expensesnumber of organizations and other beneficiaries served, conferences convened, research papers produced, etc
N/A
2
3
4
12 0~'~ Form 990-PF (2003)7
16011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 120091
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HE BARBARA FREID GOTTESMANForm 990-PF (2003) CHARITABLE FOUNDATION 22-6788324 Pagel
NH IA Summary of Program -Related Investments
Describe the two la1 N/A
2
program-re lated investments made by the foundation during the tax year on lines 1 a n d 2
A ll ot her program-relate d invest ment s See inst ructions
3
Total . Add lines 1 through 3 0. 1 0 .
1 Minimum Investment Return (All domestic foundations must complete this pa rt . Foreign foundations , see i nstructions . )1 Fai r mar ket val u e of asset s not use d (or h eld f or use) d irect ly in ca rrying ou t c h arita b le, etc , purposes .
a Average monthly fair market value of securitie s
b Average of m o nth ly cas h b ala n ces
c Fai r ma r ket va lu e of all oth er as sets
d Total ( add lin es ia , b , and c )
e Red uc tio n claime d fo r b lockag e or other factors re p or t ed on lines 1 a a n d
1 c ( attac h d et aile d explan at ion ) le
2 Acqu isi tion indebted ness applica b le to line 1 assets
3 Subt ract li n e 2 f rom line 1 d
4 Ca s h deemed hel d fo r ch ari ta b le activities Enter 1 1/2% of line 3 (for greate r a m o u n t, see instr u ctio n s)
5 Net value of noncharitable -use assets . Su btract line 4 from line 3 Ent er h ere and o n P art V, line 4
6 M i nimum Investment return . E nter 5 % of li ne 5
p~ ~ Distributable Amount (see instru cti ons) (S ec tio n 49420)(3) and (1)( 5 ) p rivate ope ratin g founda tio n s and c e rtain
foreign organi zatio n s c h eck he re ► Q and do n ot com plete th is part )
1 M inimu m inves tmen t return f rom Pa rt X , line 62a Tax on inve st me nt inco me f or 2003 from Pa rt VI, line5 2
b Inco me tax fo r 2003 (This d oes n ot include the ta x fro m Pa rt VI) 2
c Add lines 2a and 2 b
3 D ist ributa b le a mou nt befor e ad j u stm ents S u bt ract line 2c fro m line 1
4a Re c overies of am o unts treated a s qualifying d ist ri buti on s 4
b Income distributions from section 4 947(a)(2) t rusts 4
c Ad d lines 4a a n d 4 b
5 Add lines 3 a nd 4 c
6 De du ct io n f rom d ist ributabl e a m ount (s ee ins t ru ct io ns)
7 Distributab l e amount as adjusted Subtract line 6 from line 5 Enter here and o n Par t X II
0 .
li ne 1
608 .
0 .
Part Qualifying Distributions (see instructions)
Amoun t
666,946 .32,638 .
699,584 .
0 .699,584 .10,494 .
689,090 .34,455 .
34,455 .
608 .33,847 .
0 .33,847 .
0 .33,847 .
1 Amounts paid (including administrative expenses) to accomplish charitable, etc , purpose s
a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 1 a 271,770 .
b Program-related investments -Total from Part IX-B 1b 0
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc , purposes 2
3 Amounts set aside for specific charitable projects that satisfy th e
a Suitability test (prior IRS approval required) 3a
b Cash distribution test (attach the required schedule) 3b
4 Qualifying distributions . Add lines la through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 271,770 .
5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investmen t
income . Enter 1%of Part I, line 27b 5 608 .
6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 271, 162 .
Note : The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section
4940(e) reduc tion of tax in those years.
Form 990-PF (2003 )
32356112- 05-03
8
16011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 120091
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THE BARBARA FREID GOTTESMANF orm 990- PF (2003) CHARITABLE FOUNDATION 22-6788324 Page 8
Rat K~~~ Undistributed Income (see instructions)
1 Distributable amount
for 2003 from Part XI, line 72 Un distribu ted income, If any, as of th e en d of 2002
a Enter amount for 2002 only
b Total for prior year s
3 Excess distributions carryover, if any, to 2003a F rom 199 8b F rom 1999 5,677 .c F ro m 200 0d From 2001 2,432 .
e From 2002 797 .f Total of lines 3a th r o ugh e
4 Qualifying distributions for 200 3 f romP art X ll,line41$ 2 7 1,770 .
a App lie d to 20 0 2 , but not mo re t han line 2ab App li ed to undistributed inco me of prior
y ea rs ( Elect io n required - see ins t ru ct ion s)
c Treate d as d ist ri butions out of corpu s
( Ele ct io n re qu ired - s ee inst ru ctions)
d App lie d to 2003 distributable am oun t
e R e maini ng amount distri b ut ed out ofcorp us
5 Excess d istributi ons carryover appl ied to 200 3Of an amount appears I n column (d) , the same amountmust be shown I n column (a) )
6 Enter the net total of each column asIndicated below :
a Corpus Add lines 3f, 4c , and 4e Subtract li ne 5
b P rior yea rs' u ndis t ribute d incom e. S u bt ract
line 4b fro m lin e 2 b
c E n ter the a mount of p ri o r y ears'u ndist ribu ted income for which a n o tice ofdefici ency has b ee n iss ued , or on wh ic hthe sect ion 4942 (a) tax h as b ee n p revio u slyass esse d
d Su bt ract lin e 6c f ro m line 6b Taxab le
amount - see instruction s
e U n d is t ribu ted in co me for 2002 S u bt rac t li ne
4a f rom tin e 2a . Taxab le am ou nt - see inst r
f U n d is t ribu ted in co me f or 200 3 . Subt r ac t
line s 4d and 5 f rom line 1 Th is am ou nt mus t
b e d is tributed in 20 0 4
7 Am ou nts t reated a s d ist ri butions out of
corpus to satisfy requirements im p ose d b y
section 170(b)(1)(E) or 4942(g)(3 )
8 Excess d is t ri b ut ions carryov e r from- 1998
n o t a pplied o n line 5 or line 7
9 Excess d is tri b uti on s carryove r to 2004 .
Subtract lines 7 a nd 8 f rom line 6a
10 Analysis o f line 9
a Excess from 1999 5,677 .b Excess fro m 2 00 0c Excess from 2001 2,432 .d Excess f ro m 2 00 2 797 .
e Excess from 2003 237, 923 .
32357112-05-0 3
16011004 792004 12009
(a) (b) (c)Corpus Yea rs prior to 2002 2002
(d)200 3
33,847 .
0 .
8,906 .
0 .
0 .
237,923 .0 .
246,829 .
0 .
0 .
0 .
0 .
0 .
0 .
33,847 .
0 .
0 .
0 .
246,829 .
Form 990-PF (2003 )
92003 .06030 THE BARBARA FREID GOTTESMAN 12009 1
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THE BA11BARA FREID GOTTESMAN
Form 99 0- PF (2003) CHARITABLE FOUNDATIO N
Rat XJV Private Operat i ng Foundat ions (see instructions and Part VII-A,
1 a I f the foundation has received a ruling or determination letter th at it is a private opera tingitwnda tion, an d the ruling is effective for 2003, enter th e d at e of t he rulin g
b C h ec k box to indicate whether the organizatio n is a private opera info u n d ation desc ri bed in
2 a En ter the lesser o f th e ad jus t ed ne t lax yea r
income f rom Par t I o r th e m inimum (a) 2003 (b) 200 2
i n vest ment re turn fro m Pa rt X fo r
each year lis te db 85% of line 2 ac Qualifying d ist ri butions fro m Pa rt XII,
line 4 for each year list ed
d A moun ts included in line 2c notu sed direc t ly for ac tive con d uct ofexempt activitie s
e Qualifying d ist ri butions m ade directly
for active condu ct of ex empt activities
Su bt ract li ne 2d f rom line 2 c3 Com p le te 3a , b , o r c f or th e
alternative te st relie d u p o na Asse ts' al te rna tive test - enter
(1) V al ue of all a sse ts
(2) Valu e of asse ts qualifyingu nder sectio n 4942 (j)(3)( 8 )(i)
b E n d owmen t' alternat ive tes t - Ente r2/3 of minimum investment returns h own in Pa rt X , line 6 fo r each yea rlisted . . .
c 'Support" alternative test - enter .
(1) Tota l s upport other than g rossinvestm e nt income (in teres t,divide nd s, rent s, pay m ents onsecurities loans (section512(a)( 5 )), o r roya lties)
(2) Supp ort f ro m ge neral pu b lican d 5 o r m ore exe m pto rganizations as provide d insection 4942(j)(3)(B)(iii )
(3) La rgest am o u nt of sup po rt f rom
an exempt organization
22-6788324 Page 9N/A
)42(1)(3) or 0 4942(1)(5 )
(d) 2000 (e)Tota lPrior 3 yea
(c1 200 1
Part X f Supplementa ry Information (Complete this part only if the organization had $5,000 or more in assetsat any time during the year-see page 25 of the instructions. )
1 Information Regarding Foundation Managers :
a L is t any ma nagers of the f o u n d a t ion who ha ve cont ributed more t ha n 2% o f the total con t ribu t ions received b y the f o und at ion be fore the close of an y t axye ar (b ut on ly if th ey h ave co nt ributed mor e than $5 , 000) . ( See se ct io n 507(d )( 2 ) )
BARBARA FREID GOTTESMAN
b L is t any ma n agers of t h e f oun datio n who ow n 10 % or mo re of th e s t oc k of a cor p orati on (or an eq u a lly la r ge portion o f the o wn e rs h i p of a p art n ersh ip orot her e nt ity) of whic h t h e found ation h as a 10 % o r gre ater int e re st
NONE2 Information Regarding Contribution , Grant, Gift, Loan , Scholarship , etc., Programs:
Check h ere 1 M if th e orga n iza tio n on ly ma kes c o n t ri butions to pre sele ct ed cha ritable orga niza tions an d does n ot accept unsolicite d req ue st s f or fu nds I ft he or g aniza tio n m a k es gifts, g ran ts, etc (s ee inst ru ct ions) to individuals o r org ani zations un d er ot h er condition s, comp le te items 2 a, b , c, a n d d
a The name, add ress, and tele ph one num b er o f the p erson t o wh om a pp lica t io n s sho u ld be add re ssed
b The form i n wh ich applications should be subm itted and information and mate rials they should mc l ude *
c Any sub m ission deadline s
d Any rest rictions or limitations on awards , such as by geographical areas , cha ritable fie l ds , kinds of institutions , or other factors
32358 1/01- 20-04 Form 990-PF (2003 )1 0
16011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 120091
-
fiHE BARBARA FREID GOTTESMAN
1 1
16011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 12009 1
323601/12-05- 03 Form 990 -PF (2003)
-
THE BARBARA FREID GOTTESMANForm 990-PF (2003) CHARITABLE FOUNDATION 22-6788324 Page 11
Part XYI-A Analysis of Income -Producing Activities
En ter g ross amou nt s unless otherwise in dicated 1.0111GlnWu wsu[ess u1Uu111e t:xauaea by section o,z 5 1J o r 5, 4 ( e )
(a) (b) ~c„- (d) Related or exem ptB usiness A mou nt ode Amount fun ction income1 P ro g ra m servic e re venue. code
a
b
c
d
e
1
g F ees and co ntrac ts f rom g over nm ent agencie s
2 M em bersh ip due s an d assess m ents
3 Interest on s avin g s an d tem p ora ry ca shinvestments
4 D ivid e nd s and i nte rest f rom securitie s 14 38,582 .
5 Net ren ta l in co me or ( l oss) f rom real es tat e
a Debt -fina nced p rop erty
b N o t d e bt-financed p ro pe rty
6 Ne t re nta l inco me o r (loss) f ro m perso na l
prope rty
7 Other investment income 1 4
-
THE BARBARA FREID GOTTESMANForm 990-PF (2003) CHARITABLE FOUNDATION 22-6788324 Page 12Part X1/tl Information Regard i ng Transfers To and Tran sact ions and Relation sh i ps W i th Noncha r i table
Exempt Organization s1 D id t he organiza t ion d irectly or indirectly engage in a ny of t he following wi th any other organization described in sec t ion 50 1 (c) of YE
the Code (ot her th a n sect ion 501 (c)(3) organizations) or in sect ion 527, relating to political organizations ?
a Transfers from th e re p ort ing organiza tion to a noncharitable exempt organization o f
( 1 ) Cash la(l)
(2) O th e r asset s 1 a(2)
b Othe r transac tion s
(1 ) Sales of assets to a nonchantable exempt organization 161
(2) Pu rc h ases of assets f rom a nonch a n t a b le exempt organization 1 b(2)
(3) R ental o f facilities, equipmen t , or other assets 1 b(3)
(4) R eimbursemen t arrangements 1 b(4)
(5) Loa n s or loan g uarantees 1 b(5)
(6) Performance of services or members h i p or fu nd raisin g solici ta tions 1 b(6)
c Sh aring of facilities, equipment, mailing lis ts, other asse ts, or p aid employees 1 c
d I f th e answe r to an y of th e ab ov e is 'Yes,' comple te th e f oll owin g sc h e du le C olumn (b) shoul d a lways s h o w th e fair m ark et value o f the go o d s, oth er assets,or services given by the reporting organization I f the organizati on received less tha n fair ma rke t value in any t ransa ct ion o r s ha nng a r ra ng e m e nt , show in
colu mn (d) th e valu e of the goo d s, other asse ts, or ser vic es receive d
No
XX
XXXXXXX
a) Lin e n o (b) Am o unt i n volved (c) Na m e of n onchanta b le exempt organization (d) Descript ion of t ran sf ers, t ra nsact io n s, and sharing a rra n gem en tsN/ A
2a Is th e organization directly or in d ire ctly a ffiliate d with, o r r e lated to, one o r mo re tax-exe m pt organiz at ions describe d
in sect io n 501 (c) of th e C o d e ( othe r th a n section 501 (c)(3)) o r in section 527 Q Yes ~ Nob It 'Yes,' complete the following sched ul e
(a) N a m e of o rga ni z at ion (b) Ty pe of org a ni zation (c) Description of relat ionsh i pN/ A
Under penal ties of penu ry, I declare that I have exam ined th is retu rn, including accompanying schedules and statements , and to the best of my knowledge and belle(, i t is true, cor rect,
and complete Declaration of preparer (other than taxpayer or fiduciary) Is based on all Information of whi ch preparer has any knowledg e
d ' S ign atu re o f o ffic e r or t ruste e
Preparer'sy ~ ~ signa ture
Oa a m Firm's na me (« yours F
a n irsaremVioyed), ' 6 Radd= and ZiP co L
3 236 2 112-05-03
IQ LLPT STREET SUITE 1TON, NEW JERSEY
16011004 792004 12009 2003 .06030
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THE BARBARA FRtID GOTTESMAN CHARITABLE F 22-6788324
FORM'990-Pk' DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 1
SOURCE
CORPORATE BONDSDIVIDENDSFROM K-1 - FERRELLGAS PARTNERS,LPFROM K-1 - GULFTERRA ENERGYPARTNERSFROM K-1 - PLAINS ALL AMERICANPIPELINE, LPFROM K-1 - TEPPCO PARTNERS, LPINTEREST INCOMETAXABLE MUNI INTERES T
TOTAL TO FM 990-PF, PART I, LN 4
8 .3 .
2,020 .8,769 .
0 .
0 .
0 .0 .0 .0 .
1 .
4 .
8 .3 .
2,020 .8,769 .
38,806. 224. 38,582 .
FORM 990-PF OTHER INCOME STATEMENT 2
DESCRIPTION
FROM K-1 - PLAINS ALL AMERICAN-PIPELINE, LPFROM K-1 - TEPPCO PARTNERS, L PFROM K-1 - FERRELLGAS PARTNERS, LPFROM K-1 - GULFTERRA ENERGY PARTNERSFROM K-1 - GULFTERRA ENERGY PARTNERSTEPPCO - ORDINARY GAINGULFTERRA ENERGY - ORDINARY GAI N
TOTAL TO FORM 990-PF, PART I, LINE 11, COLUMN A
1 .1,678 .4,279 .
FORM 990-PF ACCOUNTING FEES STATEMENT 3
'DESCRIPTION
ACCOUNTING
CAPITAL GAINS COLUMN (A)GROSS AMOUNT DIVIDENDS AMOUN T
7,580. 0. 7,580 .20,421. 224. 20,197 .
1 .
4 .
675 .
TO FORM 990-PF, PG 1, LN 16B 675 .
(A)EXPENSESPER BOOKS
(B)NET INVEST-MENT INCOME
0 .
0 .
AMOUNT
(C) (D)ADJUSTED CHARITABLENET INCOME PURPOSES
0 .
0 .
14 STATEMENT(S) 1, 2, 316011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 120091
-
THE BARBARA FREID GOTTESMAN CHARITABLE F 22-678832 4
FORM 990-PF OTHER EXPENSES STATEMENT 4
DESCRIPTION
MISCELLANEOUS
TO FORM 990-PF, PG 1, LN 23
(A) (B)EXPENSES NET INVEST-PER BOOKS MENT INCOME
52. 0.
52. 0.
(C) (D)ADJUSTED CHARITABLENET INCOME PURPOSES
0 .
0 .
FORM 990-PF OTHER DECREASES IN NET ASSETS OR FUND BALANCES STATEMENT 5
DESCRIPTION
FEDERAL INCOME TAXFOREIGN TAXES PAI D
TOTAL TO FORM 990-PF, PART III, LINE 5
AMOUNT
395 .349 .
744 .
FORM 990-PF U .S . AND STATE/CITY GOVERNMENT OBLIGATIONS STATEMENT 6
U .S . OTHERDESCRIPTION GOVT GOVT
MUNICIPAL BONDS X
TOTAL U .S . GOVERNMENT OBLIGATIONS
TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS
TOTAL TO FORM 990-PF, PART II, LINE 10A
123,088 . 131,978 .
123,088 . 131,978 .
FORM 990-PF CORPORATE BONDS STATEMENT 7
DESCRIPTION
CORPORATE BOND S
TOTAL TO FORM 990-PF, PART II, LINE lOC
FAIR MARKETBOOK VALUE VALUE
123,088 . 131,978 .
BOOK VALUE
96,245 .
96,245 .
FAIR MARKETVALUE
94,111 .
94,111 .
15 STATEMENT(S) 4, 5, 6, 716011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 120091
-
THE BARBARA FREID G O'TTESMAN CHARITABLE F
NONE
FORM 990-PF OTHER INVESTMENTS STATEMENT 8
DESCRIPTION
SECURITIES
TOTAL TO FORM 990-PF, PART II, LINE 13
BOOK VALUE
575,924 .
575,924 .
1,000 .
FORM 990-PF LIST OF SUBSTANTIAL CONTRIBUTORS STATEMENT 9PART VII-A, LINE 1 0
NAME OF CONTRIBUTOR
BARBARA FREID GOTTESMANANDREW GOTTESMANELLEN GABBERROBIN GOTTESMAN
ADDRESS
37 BEVERLY ROAD, WEST ORANGE, NJ 0705228 OAK RIDGE AVE, SUMMIT, NJ 0790 110 ADAMS AVE, SHORT HILLS, NJ 0707 84 BOILING SPRINGS RD, HO HO KUS, NJ 0742 3
FORM 990-PF GRANTS AND CONTRIBUTIONS STATEMENT 10PAID DURING THE YEAR
RECIPIENT RECIPIENTRECIPIENT NAME AND ADDRESS STATUS PURPOSE OF GRANT RELATIONSHP AMOUNT
ALBERT EINSTEIN COLLEGE OF PUBLICMEDICINE, BRONX, NY CHARITY
CHILDRENS AID SOCIETY, 105 PUBLICE . 22ND ST ., NEW YORK, NY CHARITY10010
EDUCATIONAL NONE1,500 .
DOCTORS WITHOUT BORDERS, 6 PUBLICEAST 39TH ST ., NEW YORK, NY CHARITY
DOROT, INC ., 171 W . 85TH PUBLICST ., NEW YORK, NY 10024 CHARITY
FRESH AIR FUND, 1040 AVENUE PUBLICOF THE AMERICAS, NEW YORK, CHARITYNY 1001 8
HABITAT FOR HUMANITY, 10 PUBLICBANTA PL ., HACKENSACK, NJ CHARITY
CHARITABLE
CHARITABLE
CULTURAL
CHARITABLE
CHARITABLE
NONE500 .
NONE
NONE
22-678832 4
FAIR MARKETVALUE
631,012 .
631,012 .
1,000 .
1,000 .
NONE500 .
16 STATEMENT(S) 8, 9, 1016011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 12009 1
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THE BARBARA FkEID GOTTESMAN CHARITABLE F
HAPPINESS ,IN CAMPING, 2169 PUBLIC EDUCATIONALGRAND-CONCOURSE, BRONX, NY CHARITY104 5 3
ISRAEL CHILDRENS CENTERS, PUBLIC CHARITABLEFLORIDA CHARITY
JEWISH GUILD FOR THE BLIND, PUBLIC CHARITABLE15 W . 65TH ST ., NEW YORK, CHARIT YNY 1002 3
JIMMY FUND, 10 BROOKLINE PUBLIC CHARITABLEPL . WEST, BROOKLINE, MA CHARITY02445
MUSEUM OF JEWISH HERITAGE, PUBLIC CULTURAL1 BATTERY PARK PLAZA, NEW CHARITYYORK, NY
RONALD MCDONALD HOUSE, 405 PUBLIC CHARITABLEEAST 73RD ST ., NEW YORK, NY CHARITY
SPECIAL OLYMPICS, PO BOX PUBLIC CHARITABLE3589, PRINCETON, NJ 08543 CHARITY
ST . BARNABAS MED . CENTER, PUBLIC CHARITABLE94 OLD SHORT HILLS RD ., CHARITYLIVINGSTON, NJ 0703 9
UJA OF METRO WEST, 901 PUBLIC CHARITABLEROUTE 10, WHIPPANY, NJ CHARITY07981
MEMORIAL SLOAN KETTERING, PUBLIC CHARITABLE1275 YORK AVE ., NEW YORK, CHARIT YNY 1002 1
TOTAL TO FORM 990-PF, PART XV, LINE 3A
22-678832 4
NONE
NONE
NONE
2,500 .
350 .
1,500 .
NONE
500 .
NONE
NONE
NONE
NONE
500 .
420 .
250 .
250,000 .
NONE
NONE
10,000 .
250 .
271,770 .
17 STATEMENT(S) 1016011004 792004 12009 2003 .06030 THE BARBARA FREID GOTTESMAN 120091
-
BARBARA GOTTESMAN CHAR ITABLE FOU N DATIO N
T AX I . D : # 22 - 6788324SCHE DULE D : CAP ITAL GAI N S AND LOSS E ST AX YEAR : 2003
DESCR I PT IO N
ENBRIDGE ENERGY PARTNER S(TXBLE) ING PRIME RATE TR SER TH FLOATER(TXBLE) ING PRIME RATE TR SER TH FLOATERENTERPRISE PROD . PARTREGENCY CENTERS CORPMAGUIRE PROPERTIES INCNEWCASTLE INVESTMENT CORPGMAC SMARTNOTE CORPORATETEPPCO PARTNERS L.P.(TX FLTR) NICHOLAS APPLEGT FD FLOATERFIRSTENERGY CORP .FEDERATED ULTRA SHT BD FD AHERSHA HOSPITALITY TRUST(T)BLE) EATON VANCE LTD DURATION FLOATERFEDERATED ULTRA SHT BD FD ATECHNICAL OLYMPIC USA IN CGULFTERRA ENERGY PARTNERS LPCOMP DE SANEAMENTO SAO PAULOCOMP DE SANEAMENTO SAO PAULOFEDERATED ULTRA SHT BD FD AHRPT PROPERTIES TRUSTCHUNGHWA TELECOM CO LTDATMOS ENERGY CORPATMOS ENERGY CORPTHORNBURG MTGE INC COMMON STKJEFFERSON CNTY MO TAXMUNIFEDERATED ULTRA SHT BD FD AFEDERATED ULTRA SHT BD FD AFEDERATED ULTRA SHT BD FD A
PART I : SH ORT-T E RM G AI N (LOSS )
CALHFA MUNICIPALLEHMAN BROS HLDGS INC CORPORATE
ANTHRACITE CAPITAL IN CTEPPCO PARTNERS L P .THORNBURG MTGE INC COMMON STKTHORNBURG MTGE INC COMMON STKSTATE OF ISRAEL BON DCALIFORNIA HFA RE VCABCO TR JC PENNY DEBS (7 625) 3/1/97CABCO TR JC PENNY DEBS (7 625) 3/1/97JEFFERSON CNTY MO TAXMUNI
BOUG HT SOLD QUA NTITY PROCEEDS COST GAI N / (LOSS )
05/12/200303/28/200303/28/200306/04/200306/23/200306/27/200307/16/200301/29/200308/12/200308/05/2003
09/17/200309/18/200310/21/200310/22/200311/13/200311/19/200304/ 11 /200309/26/200309/26/200306/03/200306/20/200307/23/200306/23/200306/23/200308/05/200302/2 8/20031 1 /28/20031 1/28/20031 1/2 8 /2003
05/29/200305/30/200306/20/200306/23/200306/26/200307/10/200307/18/200308/15/200309/12/200309/16/200309/17/200310/21/200310/27/200311/12/200311/20/200311/28/200312/10/200312/26/200312/26/200308/05/200308/08/200308/08/200309/12/200309/12/200309/12/200309/15/200312/04/200312/09/200312/12/2003
1,000 00250,000 00250,000 00
1,500001,000 .001,500001,00000
1 3,000 00300 00
250,000 00750 .0 0
131,579 .002,000 .00
300,000 001 58,73 1 .00
1,00000600 .00
1,000001,000 .00
130,891 .003,000 001 ,500 001,100 .00
1 00 .0050 .00
20,000 001 0,000 .0015,870 .0010,58201
$45,61261 $44,790 00 $822 .61250,000 00 250,000.00 0.00250,000 00 250,000 00 0 0034,298 14 33,525 00 773 .1434,193.14 32,560.00 1,633 1429,558 .36 28,500.00 1,058 362 1 ,100 .75 20,350 00 750 7513,000 00 13,000 00 0.0010,544.39 10,480.00 64 39
250,000 .00 250,000.00 0.0022,958.67 22,500.00 458.67
250,000 .10 250,000.10 0.0 017,573.92 17,000 00 573 92
300,000.00 300,000 00 0.00301,583 .65 300,001.59 1,582 0626,853.48 26,000 00 853.4823,693 63 18,345 00 5,348 6313,906.72 11,080.00 2,826.7213,906.72 11,075 .25 2,83147
248,692 .90 250,001 .81 (1,308.91)26,965.48 28,530.00 (1,564 52)20,033 80 21,360.00 (1,326.20)26,960.73 27,84100 (880.27)2,421.36 2,531 00 (10964)1,270 79 1,380 00 (10921 )
20,000.00 20,95142 (95142)18,900 00 18,900 .33 (0 33)29,994 30 29,994 .82 (0 52)19,994 75 20,000 .35 (5 60 )
$2 .324,018 39 $2,310,697 .67 $13,320.72
04/03/200003/24/200011/07/200109/10/200208/13/200102/19/200212/28/199802/18/199903/25/199903/25/199908/13/2002
02/01/200303/01/200308/05/200309/12/200309/12/200309/12/200309/30/200302/01/200306/05/200306/05/200309/15/2003
5,000 0020,000 0 02,000 00
400 00450 00
1,0000025,000 0010,000 .0 0
1 00 001,90000
25,000 00
$5,000 00 $5,000 00 $0 0020,000 00 20,000.00 0.0024,063 61 19,120 00 4,943 6114,059 20 12,224 .00 1,835 2011,437.19 7,200 00 4,237 .1925,415.98 19,410 00 6,005 .9825,000 00 25,000 00 0 .0010,000 00 10,000 00 0.002,198.64 2,500.00 (30136)
41,589 04 47,500 00 (5,910 96)25,000 00 26,109 88 (1,109 88 )
PART II : LONG -TERM GA I N ( LOSS ) $203,763 66 $194,063 88 $9,699 .7 8
Page 1 of 1
-
THE S-P,
Y~4
State of New JerseyDEPARTMENT OF LAW & PUBLIC SAFETY
D IVISION OF CONSUMER AFFAIRS
OFFICE OF C ONSUMER PROTECTION
CHARITABLE REGISTRATION & I NVESTIGATION S ECTION
124 HALSEY STREET, PO Box 4502 1NEWARK, NJ 0710 1
(973) 504-621 5
Long Form Renewal Registration Statement CRI-300 R
To be completed annually by charitable organizations filing a Renewal Registration Statement and Finan-cial Report . If a pre-addressed mailing label is affixed and any information on the label is wrong, pleasecorrect it . If there is no label, print the full name of the organization and address below .
1 . Organization Name : BARBARA FREID GOTTESMAN CHARITABLE FOUNDATION
Registration Statement For Fiscal Year Endin g
CH 186830 0New Jersey Charities Registration number
Te lephone number 973-992-4952(In c lude ar ea code)
DECEMBER 31, 2003
Month Day Yea r
Federal Employer 22-6788324(Identification number)
Fax number 973-992-8655(Include area code)
Internet Addres s
2. Does the organization solicit funds under any name or names other than as indicated on the label as printed at the
top of this form? ❑ Yes 0 No If "Yes," indicate the other name or names .
3. Does the organization have any offices in New Jersey in addition to the one listed above? ❑ Yes [~j No
If "YES," attach a list indicating the address and telephone number of each office in New Jersey .
4. If the address listed above is not where the organization's official records are kept, or the organization maintains no
office, indicate the name and address of the person having custody of the organization's records, and to who m
correspondence should be addressed .
Name
Street address
Telephone number
STF NJ37900F 1
(Include area code)
City State
Fax number
ZIP Code
(Include a rea code)
-
5 . What are the specific programs and charitable purposes for which contributions are used?
CONTRIBUTIONS ARE USED TO BENEFIT PUBLIC CHARITIES FOR CULTURA L
EDUCATIONAL AND CHARITABLE ENDEAVORS .
6 . Since the last filing of its Initial or Renewal Registration Statement, did the organization use an independent paid
fund raiser or fund raising counsel? ❑ Yes [Z No
For each independent (attach separate sheet if more than one) paid fund raiser or fund raising counsel indicate :
Name
AddressCity State ZIP Code
Telephone # Fax#(Include area code) (Include area code)
CHNew Jersey Charities Regis tration num be r
7 . Has the organization permitted a charitable sales promotion to be conducted on its behalf by a commercial co-venturer this year? ❑ Yes Y No If "YES," please explain :
8 . Has the organization ever had its authority to conduct charitable activities denied, suspended, or revoked in any
jurisdiction or has the organization ever entered into any voluntary agreement of discontinuance with any govern-
mental entity? ❑ Yes N No If "YES," attach a copy of the denial, suspension, revocation or vol-
untary agreement of discontinuance . If the document does not explain the reasons for the denial, suspension o r
revocation, attach an explanation on a separate sheet of paper .
9 . Has the organization or any of its present officers, directors, trustees or principal salaried executive staff employe e
ever been convicted of any criminal offense committed in connection with the performance of activities regulate d
under this act or any criminal or civil offense involving untruthfulness or dishonesty or any criminal offense relat-
ing adversely to the registrants fitness to perform activities regulated by this act?
❑ Yes [X_1 No A plea of guilty, nonvult, nolo contendere or any similar disposition of alleged crimi-
nal activity shall be deemed a conviction .
If "YES," attach a copy of any orders, judgement or other documents which show the final disposition of the matter .
2STF N J379 00F 2
-
9a. Provide the following information for each officer, director, trustee and five most highly compensated executive
staff employees : (A list may be attached . )
Name Title Street address Telephone number
BARBARA GOTTESMAN MANAGER 37 BEVERLY RD, WEST ORANGE 973-992-4952
ELLEN GARBER TRUSTEE 10 ADAMS AVE, SHORT HILLS 973-992-495 2
ROBIN GOTTESMAN TRUSTEE 4 BOILING SPRINGS RD 973-992-495 2
HO-HO-KUS, NJ
ANDREW GOTTESMAN TRUSTEE 28 OAK RIDGE RD, SUMMIT 973-992-495 2
10. Has the organization or any of its present officers, directors, executive personnel or trustees ever been found to
have engaged in unlawful practices in the solicitation of contributions or administration of charitable assets or
been enjoined from soliciting contributions or are such proceedings, pending in this or any other jurisdiction ?
❑ Yes [Z No If "YES, " attach a copy of any orders, judgements or other documents which show the final
disposition of the matter.
We understand that this registration will be accepted only if the requirements of the CRI Act are met . We agree to
cooperate fully with any requests by the Attorney General or the Division of Consumer Affairs to inspect the
records of this organization in order to ascertain compliance with the statute and all pertinent regulations . We
hereby certify that the above statements are true . We are aware that if any of the above statements are willfully
false, we are subject to punishment .
Signatur e
Signature
Title a nd Da te
Title a nd Da t e
To be s igned by two authorized officers of the organization, inc luding the chief fisca l officer.
❑ If there is only one authorized officer, please check here .
After this report has been fully executed by two authorized officers, including the chief fiscal officer, send it to : New
Jersey Division of Consumer Affairs, Regulated Business Section, Charitable Registration & Investigation, P .O . Box
45021, Newark, New Jersey 07101 .
3STF NJ37900F 3
-
Contributions
Direct Public Support
1) Direct Mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2) Telephone Solicitation Campaign . . . . . . . . . . . . . . . . . . . . .
3) Commercial co-venturers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4) Gross receipts from fund raising events . . . . . . . . . . . .
5) Corporations and other businesses . . . . . . . . . . . . . . . . . . . .
6) Foundations and Trusts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7) Donated land, buildings, property, equipment ,
and materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8) Legacies and Bequests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9) Membership dues solel y
resulting from solicitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10) Other (Specify) CONTRIBUTIONS FROM.. . . . . . . . . . . . . . . . . . . . . . . . . .
FAMILY MEMBERS
Long Form Registration Statement CRI-300RFinancial Statement
Full official name and address of organization
Name BARBARA FREID GOTTESMAN CHARITABLE FOUNDATION
Street address 220 SO . ORANGE AVE . , LIVINGSTON, NJ 07039city State ZIP Code
CH 1868300 Telephone number 973-992-4952(New Jersey Charities Registration num be r) (include area code)
A. Receipts
Line 1 .
Line la
11 ) Total Direct Public Support
add lines lal thru 1a10 . . . . . . . . . . . . . . . . . . . . . . .
540,000 .0 0
540,000 .0 0
Line 1 b . Indirect Public Suppor t
1) Federated Fund Rai s ing Organizations . . . . . . . . . . . . .
2) From affiliated organizati ons . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3) From othe r fund rai s ing o rganizati on s . . . . . . . . . . . . . .
4) Total Indirect Public Supp ort
add lines lbl thru lb3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Line lc . Gross Contribution s
(add lines lal 1 and lb4) 540,000 .0 0
The tota l on this line is used todeterminethe proper registration fee.
4STF NJ37900F 4
-
L ine 2 . Government Grants Including Purchase of Service Contrac ts
Specify Agency
2a . . . . . . . . . . . . . . . . . . . . . . . . .
2b . . . . . . . . . . . . . . . . . . . . . . . . .
2c . . . . . . . . . . . . . . . . . . . . . . . . .
2d . . . . . . . . . . . . . . . . . . . . . . . . .
2e. To tal Governmen t Grants
(add l ine 2a through 2d ) . . . . . . . . . . . . . . . . . . . . . . . .
Line 3 . Other Support
3a . Bona fide Membership Dues . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3b . Program S ervice Revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3c . Profess ional serv i ces rendered by vo luntee rs . . . .
3d . Interes t, investment , renta l
and invento ry sales income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3e . Total Other Suppo rt
(add line s 3a thru 3d ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Line 4 Total Gross Revenue
60 .841 .0 0
60,841 .0 0
(add l ines l c, 2e, and3e) 600, 841.00
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The total on this line is used to determinethe proper financi al report.
B. Expenses
Line 1 . Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Line 2 . Management and General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Line 3 . Fund raising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Expenses
(add lines Bl, B2, and 133) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C . Excess or defic it for the year ended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subtract Line B4 from Line A4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
D . Fund Bal ance
Line 1 . Fund Balan ce at beg inning o f the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Line 2 . Other Changes in Fund Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Line 3. Fund Balance at the end of the year (add lines C , DI, and 132)
271,770 .00
727 .0 0
272,497 .0 0
DEC . 31,2003
328,344 .0 0
510,030 .00
(744 .00 )
837,630 .0 0
5STF NJ 37900F 5
-
We hereby certify that the above statements are true . We are aware that if any of the above statements arewillfully false, we are subject to punishment .
Signature
Signature
Title and Date
Title and Date
To be signed by two authorized officers of the organization, including the chief fiscal officer .
❑ If there is only one authorized officer, please check here .
STF NJ 37900F 6
-
Form 8868(December 2000)Depa rt ment of the Tre asuryIntern al Revenue Serv ice
Number, st re et , an d roo m or suite no . I f a P .O . box , see ins tructions .220 SOUTH ORANGE AVENU E
Application for Extension of Time To File anExempt Organization Return
Pilo- File a separate app lication for e ach return.
• I f yo u are f iling for an Automatic 3-Month Extensi on, complete only Part I an d check this box
• I f you are filing for an Add i tional (not automat i c) 3-Month Exten si on , complete only Par t II (on page 2 of this form) .
Note : Do not complete Part II unless you have already been granted an automatic 3 - month extension on a previously filed Form 8868 .
Part I Automatic 3 -Month Extension of Time - Only submit original (no copies needed )
Note : Form 990 - T corporations requesting an automa tic 6 -month extension - check this box and complete Part I only
All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax
returns. Partnerships, REMICs and trusts must use Form 8736 to request an extension of time to file Form 1 065, 10 66, or 104 1
Type or Name of Exempt Organization
print THE BARBARA FREID GOTTESMANCHARITABLE FOUNDATION
F ile by th ed ue da te forfiling yourreturn S eeInstructions
O MB N o. 1545-1709
Employer identification number
22 - 678832 4
City, tow n or p ost o ffice, state, an d ZI P code . For a f oreign add ress, se e ins truct i ons .LIVINGSTON, NJ 0703 9
Check type of return to be filed (file a sepa rate app licat ion for eac h retu rn) :
Q Form 990 Q Form 990 •T (corporation) Q Form 4720
Form 990-BL Q Form 990-T (sec . 401 (a) or 408(a) trust) Q Form 5227
Q Form 990-EZ 0 Form 990-T (trust other than above) Q Form 6069
Form 990-PF Q Form 1041 •A Q Form 8870
• I f the organization does not have an office or place of business in the United States, check this box 00 .
• If this is for a Grou p Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whol e group, check this
box No- = . If it is for part of the group, check this box ► Q and attach a list with the names and EINs of all members the extension will cover .
1 I request an automatic 3 - month (6-month, for 990-T corporation) extension of time until AUGUST 16, 2004
to fil e the exempt organization retu rn for the organization named above. The extension is for the organization 's retu rn for:
► E2 calendar year 2 0 0 3 or10. Q tax year beginning and end i n g
2 If this tax year is for less than 12 months , check reason : Q Initial return Q Fina l return Q Change in accounting pe ri od
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069 , enter the tentative tax , less any
nonrefundable credits . See instruction s
b I f this app licat i on is f or Fo rm 990-PF or990-T, enter any refun dabl e cred it s and e stimated
tax payments m ade. Inclu de any prior year ov er payment allowed as a cred it
$ 1,400 .
$ 0.
c B alance Due . Subtract line 3b from line 3a . Include your payment with this form, or, if required, deposit with FTD
coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) . See instructions $ 1,400 .
Signature and Verificatio n
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,it is true, correct, and complete, and that I am authorized to prepare this form.
Signature ► Title ► Date 00-LHA For Paperwork Reduct i on Act Not i ce, see instruction Form 8868 (12-2000 )
32383105-01-03
1509160507 792004 12009 2003 .05040 THE BARBARA FREID GOTTESMAN 120091
-
Form 8868 (12-2000) Page 2
R If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box . . . ► QNote : Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868 .• If you are filing for an Automatic 3-Month Extension, complete only Pa rt I (on page 1) .
dart If Additional (not automatic) 3-Month Extension of Time - Must file Original and One Copy.Name of Exempt Organization Employer identification number
Type or THE BARBARA FREID GOTTESMANprint. HABITABLE FOUNDATION 22-6788324
by theex'tentled Number, street, and room or suite no . If a P .O . box, see instructions. For IRS use onlydue Oate for 220 SOUTH ORANGE AVENU Efiling thereturn see City, town or post office, state, and ZIP code . For a foreign address, see instructions .instructions I V INGSTON NJ 0 7 0 3 9Check type of return to be filed (File a separate application for each return) :
Form 990 0 Form 990•EZ El Form 990•T (sec. 401 (a) or 408(a) trust) Q Form 1041 -A Q Form 5227 Q Form 8870
Q Form 990-BL 0 Form 990-PF [] Form 990•T (trust other than above) Q Form 4720 Q Form 606 9
STOP : Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868 .
• If the orga n i z at i on does not h ave an offic e o r place of b usi ne ss i n t he United States, c heck this box . . . . , , . . . . . ., ._ . . ► Q• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) - If this is for the whole group , check this
box ► Q . It it is for part of the group , check this box ► Q and attach a list with the names and EINs of all members the extension is for .
4 t request an additional 3 - month extension of time until NOVEMBER 15, 2004 .
5 For calendar year 2 0 0 3 , or other tax year beg in ning and ending
6 If this tax year is for less than 12 months , check reason : Q In itial return ~ Final return Q Change in accounting peri od7 State in deta i l why you need the extension
ADDITIONAL THIRD PARTY INFORMATION IS NEEDED TO PREPARE A COMPLETE ANDACCURATE TAX RETURN .
8a If this appl ication is for Form 990-BL, 990-PF, 990-T, 4720 , or 6069 , enter the tentative tax , less anynonrefundable credits . See instructions . . . . __ ._ ,. . . . . . . . _ . . $ 1,400 .
b If this appli cation Is for Form 990- PF , 990-T , 4720 , or 6069 , enter any refundable credits and estimatedtax payments made . Include any prior year overpayment allowed as a cred it and any amount pai dpreviously with Form 8868 . . ., . . . . . . . . . . . . . , , . . . . ., $ 1 , 4 0 0 .
c Balance Due . Subtract line 8b from line 8a . Inc l ude your payment with this form , or , if required, deposit with FTDcoupon or, if required , by using EFTPS (Electronic Federal Tax Payment System) . See instructions . . . ., $ 0 .
Signature and VerificationUnder penalties of perju ry, I declare that I have exam in ed this form, includ in g accompany ing schedules and statements , and to the best of my knowledge and belief ,it is true , correct , and complete , and onzed to prepare this form .
aii*
~/,,~0
4Si nat - - - - - ~ Date 10,Notice to Applicant - To Be Completed by the IRS
We have approved this applicat i on . Please attach th is form to the organization 's return .
E:]We have not approved this application . However , we have granted a 10 - day grace period from the later of the date shown below or the due
date of the organization's return (includ i ng any prior extensions) . This grace period is cons idered to be a val id extension of time for elections
otherwise required to be made on a t i mely return . Please attach this form to the organization's retu rn .
D We have not approved this appl i cat i on . After considering the reasons stated in it em 7 , we cannot grant your request for an extension of time to
file . We are not granting the 10•day grace period .
We cannot consider this application because it was fi l ed after the due date of the return for which an extension was requested .
0 Other 41 r;
Dire ctorB y
d ate
A l tern a te M a i li ng Address - Enter the address if you want the copy of this application for an additional 3-month extension returned to an addressdifferent than the one entered above .
NameFRIEDMAN LLP
Type Num ber and st reet (include su it e, room , or apt . no .) Or a P .O . box numberor print 6 REGENT STREET SUITE 10 0
C it y or town , provi n ce or s t a te , a nd count ry (inclu d i ng postal or Z I P code)LIVINGSTON, NEW JERSE Y 070 3 9
Form 8868 (12-2000 )
11350811 792004 12009 2003 .06010 THE BARBARA FREID GOTTESMAN 120091