EXTENSION GRANTED990s.foundationcenter.org/990pf_pdf_archive/132/...Use the IRS THE GOLDZE ANNA CHARITABLE TRUST label JO KENNETH L. STEIN 13-2897474 Otherwise, Number and drool

'' EXTENSION GRANTED

Forn.990-PF Return of Private Foundation OMB No . 1545.0052

OaponmentofNOTreasury Of Section 4947(x)(1) Nonexempt Charitable Trust Treated as a Private Foundation 2@04 miainternal Revenue service Note The organization may be able to use a co of (his return to satisfy state reporting requirements

For calendar ear 2004 or tax ear beginning , 2004, and ending G Check all that a Initial return Final return Amended return Address change Name change

Name of organization a Employer Identification number

Use the IRS THE GOLDZE ANNA CHARITABLE TRUST label JO KENNETH L . STEIN 13-2897474

Otherwise, Number and drool (or P O box number if mail is not dolivorod to street addroco) Room/auito B Telephone number (ace pogo 10 or print the inntrucUOnp)

or type . See Specific 5 WOODS WITCH LANE (212) 818-9600 -_

Instructions City or town, state, and 21P code C If exemption upplkolbn li pending, Check here

0

- - - - . . - "'H 1 . POIOIBn OfBnnI2olbr10 Cheek hwo

CHAPPA UA NY 10514 2 Foreign organizations rncounptno

H Check type of organization X Section 501 c 3 exempt private foundation esx io,c, check here and attach 71 10* ~ p computation . . . . . . . . .

Section 4947 (a )( 1 ) nonexem p t charitable trust Other taxable nvate foundation E it private foundation rtatua ~aa terminated I Fair market value of all~assets at end J Accounting method x Cash Accrual under section S07(Dx1xA) Check here . " a

of year (from Part i), cot (c), line Q Other (specify) _ _ _ _ F If the foundation is in a 60-month termination 24 , 902 , 155 16) 10. $ . (Part 1, column (d) must be on cash basis ) under section ,o7,bx,xe> check hero . 10,

Analysis of Revenue and Expenses (a) Revenue and (d) Disbursements

(The total of amounts in columns (b), (c), and (b) Net Investment (c) Adjusted net for charitable (d) may not necessarily equal the amounts In expenses per Income income

books purposes

column e) (see age 11 of the instructions).) cash basis on

1 Contrlbutbns Ifin, grants, etc., reCeArod (attach schedule) If the foundation is not required to

Check ~ ' ' LJ attach Sch . B 3 Interest on savings and temporary cash Investments 1 17Y. 1 , 173 . STMT 1

4 Dividends and interest from securities , , , , 492 , 366 . 492 , 366 . STMT 2

6a Gross rents . . . . . . . . , . . . . . . , , 333 335 . 333 335 . b Net rental income or (loss) 333,335 .

d 6 a Net gain or (loss) from sate of assets not on line 10 217 , 289 . b Gross sales price for all

d assets on line 6a 1,267,055 .

air 7 Capital gain not Income (from Part IV, line 2) . 217 , 289 .

e Net short-term capital gain . . . . . . . . . 9 Income modific -l1 0 a Gross sales less re rna

and allowances b Less Cost of good sot

c Gross profit or (I ~ (attath~sc)qdu(g) 2oOQ : O

11 Other income (o sc~i cduTo 1 ~ ~ ~ -11 , 865 . -11 , 865 . STMT 3 2 Total . Add line. ih - 1 , 032 ,298 . 1 , 032 ,298 . 13 Compensation of ears, bet 124 302 . 93 , 227 . 31 , 075 .

y 14 Other employoe nes and wages . . . . .

y 16 Pension plans, employee benefits , , , , , ,

a 16a Legal lees (attach schedule) . . . . , , , , , 6 , 247 . 4 , 695 . NONE 1 , 562 .

. b Accounting tees (attach schedule) , , , , , , 6 , 500 . 4 , 875. NONE 1 , 625

c Other professional fees (attach schedule), . . _&D

m 17 Interest , . , , , , , , , , , , , , . . . . .

* * 2 4 0 9 9 . 13 0 9 9 . i(1 ~ 18 Taxes (attach schedule) (see page 14 a me Instructions)

'4 E

19 Depreciation (attach schedule) and depletion 9 20 Occupancy � � � � � , . . . . . . Q 9 21 Travel, conferences, and meetings , , , , , , c

22 Panting and publications . . , , , , , , , .

W c 23 Other expenses (attach schedule) $T1ST . .5 . 886. 136 . i+ m 24 Total operating and administrative expenses . 4) . a Add lines 13 through 23 , 162 034 . 116 , 022 . NONE 34 , 262

. X 25 Contributions, gifts, grants paid , , , , . , . 995 765 . 995 , 765 26 Total expenses end disbursements Add lines 24 and 25 1 , 157 , 799 . 116 , 022 . NONE 1 , 030 , 027 .

27 Subtract line 26 from line 12

d Excess o1 revenue over expenses and disbursements . . -125 , 501 .

b Net investment income (if negative, enter -0-) 916 , 276 .

c Adjusted net incomeAif negatne, enter -0-~ . -0-

Form 990-PF (2004) ^ For Privacy Act and Paperwork Reduction Act Notice, see the instructions **STMT 4 JSA 4E 14 10 2 000

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

1 Cash - non-interest-bearing , , , , , , , , , , , , , , , .

2 Savings and temporary cash investments . , , , , , , , . , ,

3 Accounts receivable 10 - Less allowance for doubtful accounts

4 Pledges receivable Loss allowance for doubtful accounts Oil

6 Grants receivable , , , , , , , , , , , , , , 6 Rocoivablos duo from officers . directors, trustees . and other

disqualified persona (ottncn oehoduio) (ace pogo 15 of the Inotrucuonn) 7 Other notes and loans receivable (attach schedule) 1 _ _ _ _

Loss allowance (or doubtful accounts 111" 8 Inventories for solo or use , , , , , , , , , . ,

9 Prepaid expenses and deferred charges , , , , , , , , , , , ,

Q 10 n investments - U.S. and acme government obligations (attach schedule) b Investments - corporate stock (attach schedule) , $TM 6, ,

c Investments - corporate bonds (attach schedule) , , , , , . , 1 1 Investments - land, buildings, 1

and equipment basis ______________ -----Less accumulated depreciation (attach schedule) ___________________

12 Investments - mortgage loans , , , , , , , , , , , , , , , ,

13 Investments - other (attach schedule) , , , , , , $TW ,7, , 14 Land, buildings, and ,

equipment basis Less accumulated depreciation 1 (attach schedule) ____________________

16 Other assets (describe " )

16 Total assets (to be completed by all filers - sec page 16 of

the Instructions . Also see page 1 item I

17 Accounts payable and accrued expenses , . , , , , , , , . ,

18 Grants payable , , , , , , , , , , , , , , , , , , , , , , ,

19 Deferred revenue , , , , , , , , , , , , , , , , , , , , , ,

A 20 Loans from officers, directors, trustees, and other disqualified persons

A 21 Mortgages end other notes payable (attach schedule) , , , , ,

X 2 2 Other liabilities (describe " _ _ _ _ _ _ _ _ _ )

6 .381,115

764 .5

~o iuiai naomues spa i es i -you < i

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

X 24 Unrestricted . , . . . . , , , . . , , , , , . . . . . . . . .

A 26 Temporarily restricted . . , . . . . . . . . . . . . . . . . .

ap 26 Permanently restricted " " ~ ~ ~ " " ~

Organizations that do not follow SFAS 117, check here and complete lines 27 through 31 . " X

0 27 Capital stock, trust principal, or current funds . . . . . . . . . 14

28 Paid-in or capital surplus, or land, bldg , and equipment fund

�) 29 Retained earnings, accumulated income, endowment, or other funds . .

30 Total net assets or fund balances (see page 17 of the G! z instructions) . � � � � � � � � � � � � 19

31 Total liabilities and net assets/fund balances (see page 17 of

14 .014

7 .1 14 .014

the instructions . 14 , 139 , 747 . 1 14 , 014 , 246 .

Analysis of Changes in Net Assets or Fund Balances

14,139,747 . -125,501 .

14,014,246 ._

14,014,246 .

Form 990-PF (2004)

4E1420 JSA

2 000

AZVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

Attached schedules and amounts in the Balance Sheets description column should be (or _ ̂ y ..

nmng of yc~

Book Value

3-2897474 e2 End of ear

b Book Value c Fair Market Value

745 , 682 . _ 745 , 682 .

6 , 011 , 204 . 11 583 704 .

7 , 257 , 360 . 12 572 769 .

1

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

2 Enter amount from Part I, line 27a � � � � � � . � � � . , . . . . . . . . . , . . . . , 3 Other increases not included in line 2 (itemize) t 4 Add lines 1, 2, and 3 5 Decreases not included in line 2 (itemize) No 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b) . line 30 . . . . .

(1) Gains (Col (h) gain minus col (k), but not less than -0-) or

Losses (from col (h))

d

8 Enter qualifying distributions from Part XII, line 4 , , , , , , , , , , , , . . , , . . , , . , , , , 1 8 1 1,030,027 .

If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1 % tax rate Seethe Part VI instructions on page 18 JSA 4E1430 2 000 Forth 990-PF (2004)

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

It %

Farm 990-P-r 2004 -

Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (c g , real estate, 2-story brick warehouse, or common stock, 200 shs MLC Co )

1a SEE PART IV SCHEDULE b

c d c

(o) Gross salon price (f) Depreciation allowed (g) Cost or other basis (or nllowablo) pluo expense of sale

A

C

d

e

Complete only for assets showing sin in column h and owned b the foundation on 12/31/69

(I) F M V as of 12131169 (1) Adjusted basis (k) Excess of col (i) as of 12/31/69 over col Q), if any

b

3

(c) Date acauvoa acquired f d) Dale sold v-w~u+aco I Imo ,day, yr ) I lmo , day, yr ) 0-Donotbn

(Ii) Gain or (loco) (o) plus (0 minus (g)

If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) ~ ~ ~ ~ If (loss), enter -0- in Part I, line 7 } 2 217 , 289 . 3 Net short-term capital gain or (loss) as defined in secUons 1222(5) and (6)

If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions) If loss enter -0- in Part I line 8 . . ~ 3

Qualification Under Section 4940(e ) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )

If section 4940(d)(2) applies, leave this part blank

Was the organization liable for the section 4942 tax on the distnbutable amount of any year in we base period?. . . . E]Yes X No If "Yes," the organization does not qualify under section 4940(e) Do not complete this part

1 Enter the appropriate amount in each column for each year, see page 18 of the instructions before making any entries

Base period years Calendar year (b) (c) Distribution ratio or tax ear beg inning in Adjusted qualifying distributions Net value of nonchantable-use assets Col b drvided col c

2003 987 450 . 21 411 332 . 0 .04611810232 2002 1 , 091 , 795 . 20 744 243 . 0 .05263122882 2001 892 887 . 22 492 826 . 0 .03969652368 2000 696 949 . 22 582 990 . 0 .03086167952 1999 684,081 . 20,871,426 . 0 .03277595886

2 Total of line 1, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 0 .20208349320 3 Average distribution ratio for the 5-year'base period - divide the total on line 2 by 5, or by

the number of years the foundation has been m existence d less than 5 years , , , , , , , , , 3 0 . 04041669864

4 Enter the net value of nonchantable-use assets for 2004 from Part X, line 5 . . . . . . . . . 1 4 I 23,855,794 . .

5 Multiply line 4 by line 3 . . . . . . . . . , . . . . . . . . . . . . . . . , . . . . . . . . . . . . 5 964 , 172 .

6 Enter 1 % of net investment income (1% of Part 1, line 27b) . . . , . . , . . . . . . . . . . . . 6 9 , 3.63o

7 Add lines 5 and 6 7 973 , 335 .

13-2897474 4 e 18 of the Instruction s

1 la Exempt operating foundations described in section 4940(d)(2), check here Do- L and enter "NIA" on line 1

Date of ruling letter _ _ _ _ _ _ _ _ _ (attach copy of ruling letter if necessary - see instructions)

b Domestic organizations that meet the section 4940(0) requirements in Part V, chock . . .

hero " ~-] and enter 1 % of Part I, line 27b , . , , , , . . . , . , , , , . . , , ,

c All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4% of Port I, trop 12 cal (b)

2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)

3 Add lines 1 and 2 , , , , , , , , , , , , , , . , . , , , , , , , , , , , , , , , , , , , ,

4 Subtitle A (income) tax (domestic section 4947(0)(1) trusts and taxable foundations only Others enter -0-)

6 Tax booed on Investment Income . Subtract line 4 from line 3 If zero or lour, enter -0- . , , , . , , . . .

6 Crodita/Pnymonta~ n 2004 estimated tax payments and 2003 overpayment credited to 2004 . . . 6n 7 ,382 . b Exempt foreign organizations - tax withheld at source , , , , , , , , , , , , 6 b NONE c Tax paid with application for extension of time to file (Form 8868), , , , . . 6c 4 ' 000 . d Backup withholding erroneously withhold , , , , , , , , , , , , , 6 d

7 Total credits and payments . Add lines 6a through 6d ~ ~

. .

~ . . . . . . ~ . . . . . . . . . . . . . . .

8 Enter any penalty for underpayment of estimated tax Check here ED II Form 2220 is attached .

g Tax due Ii the total of lines 5 and 8 is more than line 7, enter amount owed

10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid , , , , , , , , 11 Enter the amount of line 10 to be Credited to 2006 estimated tax 1111, 2 182 . Refunded

7 11 , 382 . B 37 . 9

10 2 , 182 .

11 Activities Statements Re

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

Excise Tax Based on Investment Income Section 4940 (a ~, 4940 ( b ), 4940(e ), or 4948 - see

9 , 163 .

NONE 6 9 .163

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did Yes N o it participate or Intervene in any political campaign? , . , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 1 a X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page

19 of the instructions for definition)? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , , , , . , , 1 b X

If the answer is 'Yes' to 1 a or 1b, attach a detailed description of the actrvrties and copies of any materials

published or distributed by the organization !n connection with the activities

c Did the organization file Form 1120-POL for this year? , , . . , , , , , . . . , . . . . . . . . . . . . . . . . . . . . . . 1 c X d Enter the amount (If any) of tax on political expenditures (secUon 4955) imposed during the year

(1) On the organization 1 $ (2) On organization managers Ill. $

e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed

on organization managers jo. $

2 Has the organization engaged in any activities that have not previously been reported to the IRS , . . . . , . . . . . . , . 2 X

I/ 'Yes,' attach o detailed description of (he activities

3 Has the organization made any changes, not previously reported to the IRS, in its governing instrument, articles of Incorporation, or bylaws, or other similar Instruments? 11 'Yes,' attach a conformed copy o/fhe changes , , , , , , , , , , 3 X

4a Did the organization have unrelated business gross Income 0151,000 or more during the yeah , , , , , , , , , , , , , , , 4a X

b If "Yes," has It filed a tax return on Form 990-T for this year? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 4b A

6 Was there a liquidation, termination, dissolution, or substantial contraction during the year! . , , , , , , , , , , , , , , , , 6 X

/1'Yes,' attach the statement required by General Instruction T

6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either

By language In the governing Instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument? , , , . , , , , , , , , , , , , , , , , , , , , . . 6 X

7 Did the organization have at least $5,000 in assets at any time during the year? N'Yes,' complete Part ll, cal (c), and Part XV 7 X

e a Enter the states to which the foundation reports or moth which it is registered (see page 19 of the

instructions) ~ NEW_ YORK

b If the answer is "Yes" to line 7, has the organization furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G7 If 'No,' attach explanation . , . , . , , , . . . . . 8b X

9 Is the organization claiming status as a private operating foundation within the meaning of section 49420(3) or 49420(5) for calendar year 2004 or the taxable year beginning in 2004 (see instructions (or Part XIV on page 25)7 H 'Yes,' complete Part XIV � , . . , . . . . . . . . . . . � , . , . , . . � , . � � � � � . . . 9 X

10 Did any persons become substantial contributors during the tax year! 11 'vas, " attach a schedule listing their names and addresses , 10 X

11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? , , , , , 1 1 X

Web site address " ----- N1 p'----------------------- -----------------12 The books are in care of 1 -KENNETH _L,-STEIN --____--__-_-__-___-__Telephone no " __~914L241=0515_______

Located at 111. _5-WOODS _WITCH -LN_CHAP PAQUA-NYZ1P+4 . 10514_-__-___________ ~~

13 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 -Check here . . . "

. . . . N/8 . . . . . . and enter the amount of tax-exempt interest received or accrued during the year . " I 13 .I

Jsn <E1440 2 000 Form 990-PF (2004)

Form 990-PF

Statements Reaardina Activities for Which Form 4720 Mav Be wired

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

3-2897474 Pale 5

File Form 4720 if any item is checked in the "Yea" column, unless an exception applies. Yes NO

1a During the year did the organization (either directly or indirectly)

(1) Engage fn the sale or exchange, or leasing of property with a disqualified person? , , , , , , , , ~ Yes ~X No

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

(3) Furnish goods, services, or facilities to (or accept thorn from) a disqualified person? . , . . . . , Yo: X No

(4) Pay compensation to, or pay or reimburse the oxpencea of, a disqualified person? . . , . . . you X No

(6) Transfer any Income or assets to o disqualified person (or make any of either available

for the benefit or use of a disqualified person)? . . . . . . , . . . . . . . . . . . , . Yen ~X No

(6) Agree to pay money or property to a government official? (Exception. Check 'No" If the organization agreed to make o grant to or to employ the official for a period ~ ~ niter termination o1 government service, If terminating within 90 days ) . . . . . . . . . . . . . l-J Yes Exj- No

b If any answer Is "Yea" to 1a(1)-(6), did any of the acts fall to qualify under the exceptions described In Regulations

section 53 4941(d)-3 or In a current notice regarding disaster assistance (see page 20 of the Instructions)? " ~ ~ ~ ~ ~ . . . 1 b X

Organizations relying on a current notice regarding disaster assistance check hero , . . . , , . , . ,

c Did the organization engage In a prior year In any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2004? , , , , , , _ , , , , , , , , , , , , , , . , 1 c X

2 Taxes on failure to distribute Income (section 4942) (does not apply for years the organization eras a private

operating foundation defined In section 4942Q)(3) or 4942Q)(5))

a At the end of tax year 2004, did the organization have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 20047 . . . . . . . . . . . . . . . . . . . . . . Yes ~X No

If "Yes,., list the years " ----------'---------'---------'--------- b Are there any years listed in 2a for which the organization is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to all years listed, answer "No" and attach statement - see page 20 of the instructions ) , , , . , , . , , , . . . , , , , , . , Z b X

c If the provisions of section 4942(a)(2) are being applied to any of the years listed In 2a, list the years here

3a Did the organization hold more than a 2°h direct or Indirect Interest in any business

enterprise at any time during the year? , , , , , , , , , , , , , , , , , , , . , , , , , , , , , , , a yes X No

b If "Yes," did It have excess business holdings In 2004 as a result of (1) any purchase by the organization or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the organization had excess business holdings in 2004 ) , , . , . . . . , , . . . . , , , . . . . . . , . , . , . . , , , , 3 b N

4o Did the organization invest during the year any amount In a manner that would jeopardize its charitable purposes? . . . . , . , 4n X

b Did the organization make any Investment In a prior year (but after December 31, 1969) that could jeopardize its charitable

purpose that had not been removed from jeopardy before the first day of the tax year beginning In 20047 . . . . . . , , , , , 4 b X

6 a During the year did the organization pay or Incur any amount to (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? , , , , , , E]Yes a No

(2) Influence the outcome of any specific public election (see section 4955), or to carry

on, directly or Indirectly, any voter registration drive? . . . . . . . . . . . . . . . . . . . . 8 Yes BX No (3) Provide a grant to an individual for travel, study, or other similar purposes? Yes X No (4) Provide a grant to an organization other than a charitable, etc , organization described

in section 509(a)(1), (2), or (3), or section 4940(d)(2)? , , , , . . , , , , , . , . . , , , , . . Yes X No (5) Provide for any purpose other than religious, chardable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals? , , , , , , , , , , F Yes X No

b Ii any answer is "Yes" to 5a(1)-(5), did any of the transactions (ad to qualify under the exceptions described m Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 20 of the instructions)? ~ ~ ~ ~ 5 b N

Organizations relying on a current notice regarding disaster assistance check here . , , , . , , , , , , , , , 0

.c If the answer is "Yes" to question Sa(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grant? , , , , . . , , . , , , , , , , , Yes ~X No

I( 'Yes,' attach the statement required by Regulations section 53 494&5(d)

6 a Did the organization, during the year, reserve any funds, directly or indirectly, to pay premiums on a personal benefit contracts , , , , , , , , , , , , , . , , , , . . . . . , . . . . , a yes EZNo

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . 615 X I/ you answered "Yes' to 6b, also tie Form 8870

Form 990-PF (2004) Jsn 1 E 14 SO 2 000

2 Compensation of five highest-paid employees (other than those Included on line 1 - sec page 21 of the Instructions) . If none, enter "NONE."

b Title and uvc'age

I (d) Contributions to

~ c Compensation employee benefit (o) Expense account, hours per wCCk ( ) ~ plans and deferred other allowances devoted to position compensation

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

Total number of other employees paid over $50,000 3 Five highest-paid Independent contractors for professional services - (see page 21 of the Instructions) . K none, enter

"NON E." of service

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

Summary of Direct Charitable Activities

fist the foundation's lour largest direct charitable activities during the tax year Include relevant statistical information such as the number I tenses of organizations and other beneficiaries served, conferences convened, research papers produced, etc

1 NONE

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2

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3

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4

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Form990-PF (zoom

AZVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

13-2897474 Form 990-PF (2004) Page 6

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors

1 List all officers , directors , trustees foundation manages and their compensation see age 20 of the Instructions ).

(a) Name and address (b) hours per r week (f) oornae~n Qn~o~n

ompi pC ( p (a) oyeo oonoM plans (a) Expense account. other allowances

devoted l0 pOSiliOn ~1 and dofmrod comoonaatbn

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

SEE STATEMENT 8 I I 124

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

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

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

(a) Name and address of each employee paid more then $50 000

NONE

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

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

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

Nome and address of each person paid more than $50,000

NONE

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

4 E 1460 2 000

Page 7 Form 990-PF (2004 Summary of Program-Related Investments (see page

Describe the two largest program-related investments made by the foundation du the tax year on lines 1 and 2 Amount

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

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

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d lines 1 through 3 . . . . . . . . . . . . Minimum Investment Return (All d see page 22 of the instructions )

" I sticfoundations must complete this part . Foreign foundations,

1 Fair market value of assets not used (or held for use) directly m carrying out charitable, etc , purposes

a Average monthly fair market value of securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 a 11 , 383 , 832 b Average of monthly cash balances . . . . . . . . . , . . . , . . . . . . . . . . . . . . . . . . . . . . . . 1 b 869 , 876 . c Fair market value of all other assets (see page 22 of the mstrucUons) . . . . . . . . . . . . . . . . . . , 1 c 11 , 965 , 372 . d Total (add lines 1a, b, and c) . . . , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . , . . . 1 d 24 , 219 , 080 . e Reduction claimed for blockage or other factors reported on lines 1 a and

1c (attach detailed explanation) . . . . . . . . . . . . . . . . 1e 2 Acquisition indebtedness applicable to line 1 assets 2 NONE 3 Subtract line 2 from line 1d 3 29 219 080 . 4 Cash deemed held for charitable activities Enter 1 1/2 % of line 3 (for greater amount, see page 23

of the instructions) 4 363 , 286 . 5 Net value of noncharitable-use assets.~Subtract .line 4 from line 3 Enter here and on Part V, line 4 . . 5 23 , 855 , 794 . 6 Minimum Investment return . Enter 5% of line 5 . , 6

Distributable Amount (see page 23 of the instructions) (Section 49420(3) and 0)(5) private operating foundations and certain foreign organizations check here lo. n and do not complete this part )

1 Minimum investment return from Part X, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Tax on investment income for 2004 from Part VI, line 5 2a 9 , 163 . b Income tax for 2004 . (This does not include the tax from Part VI) . . . 2b c Add lines 2a and 2b

3 Distnbutable amount before adjustments Subtract line 2c from line 1 . . . . . . . . . . . . . . . . . . 4 Recoveries of amounts treated as qualifying distributions . . , , , . . . . , , , , , , . , , . , . , 5 Add lines 3 and 4 6 Deduction from distnbutable amount (see page 23 of the instructions)

. 7 Dlstrlbutable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, line 1

2c 9 163 . 3 1 ,183,627 .

4 NONE 5 1 , 183, 627 .

6 NONE

7 1 .183 .627 .

Qualifying Distributions (see page 23 of the instructions)

1 Amounts paid (including administrative expenses) to accomplish charitable, etc , purposes a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 . . . . . . . . , , . , , . . . . 1 a 1 , 030 , 027 . b Program-related investments - total from Part IX-13 1 b NONE

2 Amounts paid to acquire assets used (or field for use) directly m carrying out charitable, etc , purposes 2 NONE

3 Amounts set aside for specific charitable projects that satisfy the a Suitability test (prior IRS approval required) . . . . . . . , . . . , . . . . . , , . . . . . . . . . . . . 3a NONE b Cash distribution test (attach the required schedule) . . . , . . . . . . . , . , . . . . . . . . . . . . . 3 b NONE

4 Qualifying distributions . Add Dries 1a through 3b Enter here and on Part V, line B, and Part X111, line 4 . . . . . . 4 1 , 030 , 027 . 5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment

income Enter 1 % of Part I, line 27b (see page 24 of the instructions) . . . . . . . . . . . . . . . . . . 5 9 , 163 . 6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 1 , 020 , 864 .

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

Form 990-PF (2004)

Jsn 4E1470 z 000

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

NONE

2

othor program-rolutod invactmontu Soo pogo 22 01 the instructions

NONE

Jsn 4E14B02000

AZVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

Form 990-PF (2004) 13-2897474 Page 8

Undistributed Income (see page 24 of the instructions)

(d) 1 Distributable amount (or 2004 from Part XI, Corpus Years poor to 2003 2003 2004

line 7 . . . . . . . . . . . . . . . . . . . . . 1 183 627 . 2 Undielributod income if any, as of the end 012003 a Enter amount for 2003 only , , , , , , , , , , 1 027 437 .

b Total for prior years NONE

3 Excess distributions carryover, if any, to 2004

n From 1999 NO

b Frorn 2000 NO

c From 2001 , , , , , , NO

d From 2002 , , , , , , NO

e From 2003 , , , , , , NO

f Total of lines 3a through e , , , , , , , , , , , NO

4 Qualifying distributions- for 2004 from Part XII, line 4 " $ 1,030,027 .

a Applied to 2003, but not more than line 2a 1 , 027 , 437 .

b Applied to undistributed income of prior years (Election required - see page 24 of the instructions) NONE

c Treated as distributions out of corpus (Election required - see page 24 of the instructions) , , , NO

d Applied to 2004 distributable amount, , , , , , 2 , 590

e Remaining amount distributed out of corpus , , NO 6 Excess distributions carryover applied to 2004 NONE NONE

(N an amount appears in column (d), the same amount must be shown in column (a).)

6 Enter the net total of each column as Indicated below:

a Corpus Add lines 3f, 4c, and 4e Subtract line 5 NO

b Prior years' undistributed Income Subtract line 4b from line 2b , , , , , , , NONE

c Enter the amount of prior years' undistributed Income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed , , , , , , , , NONE

d Subtract line 6c from line 6b Taxable amount - see page 25 of the instructions . , . , NONE Undistributed Income for 2003 . Subtract line 4a from line 2a Taxable amount " see page 25 of the instructions

f Undistributed Income for 2004 . Subtract lines 4d and 5 from line 1 This amount must be distributed in 2005 1 , 181 , 037 .

7 Amounts treated as distributions out of . . corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(8)(3) (see page 25 of the instructions) . , , . . . NO

8 Excess distributions carryover from 1999 not applied on line 5 or line 7 (see page 25 of the instructions) . . . . . . . . . . . . .. . . NO

9 Excess distributions carryover to 2005. Subtract lines 7 and 8 from line 6a . . . . . . NO

10 Analysis of line 9 a Excess from 2000 . . . NO

b Excess from 2001 . . . NO

c Excess from 2002 . . . NO

d Excess from 2003 . . . NO~~

e Excess from 2004 . NONrI Forrn990-PF (2ooa)

9

1 a ~ II the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2004, enter the date of the ruling . . .

b Check box to indicate whether the organization is a private operating foundation described in section 4942(j)(3) or 4942(j)(5)

2 a Enter the lesser of the Tax year Prior 3 years

adjusted not income from (n) 2004 (b) 2003 (c) 2002 (d) 200 (a) Total Part I of the minimum investment return from Part X for ouch year listed .

b BS% 01 line 2fl . . . . .

c Qualifying distributions from Part xn line + for ouch year listed .

d Amounts Included in line 2c not used directly for active conduct of exempt activities .

C Qualifying distributions mode directly for active conduct of exempt activttles Subtract line 2d from line 2c .

3 Complete 3a, b, or c for the

olternutNe lest yelled upon 11 *Assets' alternative test " enter

0 ) value of all assets (2) Value of assets qual"g

under section

4912(Ix3K8KO " " " . . b 'EndowmenP alternative test -

enter W of minimum investment return sham In Part X line 8 for each year listed

e 'SuppoT alternative test - solar

1) Total support other than gross investment income (Interest dlvidenda, rents. payments on securities loans (section 512(ox5)), or royalties) .

(2) Support from general public and 5 or more exempt organizations as provided In section a9e2Qx3xBxllq

(3) Largest amount of support from on exempt organization

d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors

Jsn e 1490 2 000

AZVOBV C026 06/30/2005 09 :45 :12 V04-6 .3 Form 990-PF (2004)

Form 890~PF (2004) 13-2897 474_ Private Operating Foundations (see page 25 of the instructions and Part VII-A, qu

~- j,D.TJ Supplementary Information (Complete this part only if the organization had $5,000 or more in assets at any time during the year - see page 26 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 If they have contributed more than $5,000) (See section 507(d)(2) )

NONE

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) of which the foundation has a 10°.6 or greater interest

NONE

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc ., Programs : Check here 1 DO if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds

If the organization makes gifts, grants, etc (see pale 26 of the instructions) to Individuals or organizations under other conditions complete items 2a b, c, and d

a The name, address, and telephone number of the person to whom applications should be addressed

b The form in which applications should be submitted and information and materials they should include

c Any submission deadlines

13-2897474 Form 990-PF E2004) Page 10

Supplementary Information (continued)

Form 990-P F (2004)

Jsn 4 E 1a91 2000

AZVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

11 s

s Income Excluded b section 512, 513, or 514 M

(b) W (d) function it Exclu sion (Sco pago h

Business

Jsn 4E1492 2 000

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

Form 990-PF (2004)

Analysis of Income-Produci Enter gross amounts unless otherwise indicated

1 Program service revenue' code Amount cage Amount t e instructions) a

b

c

d

c

1

g Foos and contracts from government agencies 2 Membership dues and assessments 3 Interest on savings and temporary cash Investments 14 1 , 173

b Dividends and Interest from securities 14 492 , 366

6 Net rental Income or (loss) from real estate

a Debt-financed property , , , , , , , , ,

b Not debt-financed property , , , , , , , 16 333 , 335 .

6 Net rental income or (loss) from personal property

7 Other investment Income

8 Gain or (loss) from sales of assets other than inventory 18 217 , 289 .

9 Net income or (loss) from special events , , ,

10 Gross profit or (loss) from sales of inventory . .

11 Other revenue a b PARTNERSHIP LOSS -11 , 865 . c

d

e

12 Subtotal Add columns (b), (d), and (c) 1 , 032 , 298 .

13 Total. Add line 12, columns (b), (d), and (e) , , , , , , , , , , , , , , , , , , , . . , , , , , , , , , , , , , , 13 1,032,298 . (See worksheet in line 13 Instructions on page 26 to verify calculations )

Relationship of Activities to the Accomplishment of Exempt Purposes Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to

Line No . the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes) (See page 27 of the instructions .)

Form990-PF (2ooa)

Form 990-PF 2004 13-2897479 Page 12

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Org anizations

1 Did the organization directly or indirectly engage in any of the following with any other organization described in section Yes No 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

a Transfers from the reporting organization to a nonchantablo exempt organization of .

1a 1 y( (1) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . 1a2 X (2) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Other transactions. (1) Solos of ascots to a noncharltablo exempt organization , . , . . , , , . . , , , , , , , , , , , , , , , , , . 1 b(1 ) X

(2) Purchases of assets from a noncharitablo exempt organization , . . , , , . . . , , . , . , , , . , . , . . , , , , 1bWX

(3) Rental of facilities, equipment. or other aaEOta , . , , , , , , , , , . , . . , , . , , . , , , , , , . 1 b(3) X (4) Reimbursement arrongemente , , . . . , , , , , , , , , , , , , , , , , , , , , , . . , , . , , , , , , , , 1b (4) X

(6) Loans or loan guarantees , , , , , , , , , , . , , , . . , , . . . . . . . . . . . . . . . . . . . . . , . . . . . . , 1b (6) X

(6) Performance of services or membership or fundrolslng solicitations , . , , , , , , , , , . , , . , . , , , , , . , . . 1b (6 ) X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees , , , , , , , , , , , , , , , , , , , , , 1 c X

d If the answer to any of the above Is "Yes," complete the following schedule Column (b) should always show the fair market

value of the goods, other assets, or services given by the reporting organization I( the organization received less than fair

market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services

2 o Is the organization directly or Indirectly affiliated with, or related to, one or more tax-exempt organizations

described In section 501(c) of the Code (other than section 501(c)(3)) or In section 527? 0 Yes 7X No

of relationship (b) Type of organization

` 1 Sgna f of i/ r ee d

i ?~ Preparefs y ~ ~ p signature VV

0. Q. 0 Firm's name (or yours ii self-employed), address, and ZIP code

' SHA$`!RO LOBEL LL

220 WEST 42ND ST

JSA 4E1493 2 000

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

(a) Name of organization

Under penalti /of penury, I belief, d is t correct, and

rthat/ ha examined this velum, including accompanying schedules and statements, and to the best of my knowledge and

Df

lar ion of preparer (other than taxpayer or fiduciary) is based on all information o1 whic aver has any knowledge

N& 60"

SCHEDULE 0 (Form 1041)

Department of the Treasury Internal Revenue Service

OMB No 1545.0082 Capital Gains and Losses

Attach to Form 1041, Form 5227, or Form 980-T . See the separate Instructions for Form 1041 (also for Form 5227 or Form 990-T, If applicable) . 2004

Name of estate or trust

THE GOLDZE ANNA CHARITABLE TRUST

C/O KENNETH L. STEIN Note : Form 5227 (filers need to complete only Parts I and /I

Short-Term Capital Gains and Losses - Assets Held One Year or Less (n) poeCrlptlon of properly (b) 0t'1° (~) Date uolU (Exam lo, 100 ahprco 7% ocquircd (d) S[ilen price

_. ..P,. .... _. . ., . . n_ . i . ., . . ,~� .,. ([no day Yr (o) Cout or other banm ~0 c:mn or (LOSS)

for tho antlro yone (see pi~pu 33) I (gal (d) Icua cot (o)'

6

15 Total net gain or (loss). Combine lines 13 and 14a . . . . . . . 10- 1 15 1 1 1 217 , 289 .

Note : If line 15, column (3), is a net gain, enter the gain on Form 1041, line 4 If lines 14a and 15, column (2), are net gains, go to Part V, and do not complete Part IV If line 15, column (3), is a net loss, complete Part IV and the Capital Lass Carryover Worksheet, as necessary

For Paperwork Reduction Act Notice, see the Instructions for Form 1041 . Schedule D (Form 1041) 2004

Jsn 4F12104000

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

Employer identification number

2 Short-term capital gain or (loss) from Forms 4684, 6252, 6781, and 8824 , , , . , . , , , , , . . . , , . , , 2

3 Net short-term gain or (loss) from partnerships, S corporations, and other estates or trusts , , , . , , , . . , 3 -43 ,768 .

4 Short-term capital loss carryover Enter the amount, if any, from line 9 of the 2003 Capital Loss

Carryover Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Net short-term gain or (loss) . Combine lines 1 through 4 in column (f) Enter here and on line 13,

column 3 below , . " 5 -43 , 768 .

Long-Term Capital Gains and Losses - Assets Held More Than One Year

(n) Description of property (b) Date (Example, 100 shares 7% acquired (c) Date sold (e) Cost or other basis (~ Gain or (Loss)

referred of 'Z" Co mo day, (mo , day, yr ) (d) Sales pace (see page 33) for the entire year (cot d less cot e

LONG-TERM CAPITAL. GAIN DIVIDEND STMT 2 39 , 878 .

SEE STATEMENT 1 1 , 273 , 023 . 11049 .765 . 223 257 .

7 Long-term capital gain or (loss) from Forms 2439, 4684, 6252, 6781, and 8824 . . . . . . . . . . . . . . . 7

8 Net long-term gain or (loss) from partnerships, S corporations, and other estates or trusts 8 -2 9 078 . 9 Capital gam distributions�� _ �� , . �� . . �� , 9

10 Gam from Form 4797,Part l �� , . � . �� , . . �� 10

11 Long-term capital loss carryover Enter the amount, if any, from line 14 of the 2003 Capital Loss

Carryover Worksheet , , , , , , , , , , , , , , , , , , , , *-***-*--**-*

, , , , , 11

12 Net long-term gain or (loss) . Combine lines 6 through 11 in column (f) Enter here and on line 14a, column (3) below, , , , , , , , , , , " 12 261 057 .

Summary of Parts I and II (1) Beneficiaries' (2) Estate's (3) Total Caution: Read the instructions before completing this part. I (see page 34) I or trust's

13 Net short-term gain or (loss) . . . . . . . . . . . . . . . . . . . . . 13 -43 , 768 .

14 Net long-term gain or (loss) : a Total for year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14a 261 057 .

b Unrecaptured section 1250 gam (see line 18 of the worksheet on page 34) . . . . . . . . . . . . . . . . . . . . . . 14b

c 28% rate gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . , . 14c

Schedule D (Form 1041) 2004 Page 2

Capital Loss Limitation

16 Enter here and enter as a (loss) on Form 1041, line 4, the smaller of a The loss on line 15, column (3) or b $3 .000 . . . . . . . . . . . . . . . . . . . . . 16 ~

1( the loss on line .15, column . (3), is, more than .$3, 000, or if . Form 1041, page 1, line 22, is a loss, complete the Capital Loss Carryover Worksheet on page 36 0( the instructions to determine your capitol l oss carryover

Tax Computation Using Maximum Capital Gains Rates (Complete this part only if both lines 14a and 1 5 in column (2) are gams, or an amount is entered in Part I or Part II and there is an entry on Form 1041 . line 2b(2), and Form 1041, line 22 is morn than zero )

Note : 11 line 14b, column (2) or line 14c, column (2) is more than zero, corTiplofo tlyo worksheet on page 37 0l the instructions and slop Part V. Otherwise, go to line 17

33 Addlines 27,31,and32�� _ �� , 3 34 Figure the tax on the amount on line 17 Use the 2004 Tax Rate Schedule on page 22 of the

instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 35 Tax on all taxable Income . Enter the smaller of line 33 or line 34 here and on line 1 a of

Jsn 1F 1220 2 000

AZVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

17 Enter taxable income from Form 1041, line 22 18 Enter we smaller of line 14a or 15 in column (2)

but not less than zero' 1 8 19 Enter the estate's or trust's qualified dividends

from Form 1041, line 2b(2) . . . . . . . . . . . . 19

20 Add lines 18 and 19 . . , . . . . . . . . . . . . . 24 21 If the estate or trust is filing Form 4952, enter the

amount from line 4g, otherwise, enter-0-

22 Subtract line 21 from line 20 If zero or less, enter -0- . . . . . .

23 Subtract line 22 from line 17 If zero or less, enter -0- . . . . . . . . . . . . .

24 Enter we smaller of the amount on line 17 or $1,950 , , , , , , , , , , , . , 25 Is the amount on line 23 equal to or more than the amount on line 24?

xe Yes . Skip lines 25 through 27 ; go to line 28 and check the "No" box No . Enter the amount from line 23

. . . . .

26 Subtract line 25 from line 24 , . � � . � � , . � , . . � . , . � , 1 26

27 Multiply line 26 by 5% (.OS) . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 28 Are the amounts on lines 22 and 26 the same?

xe Yes . Skip lines 28 through 31, go to line 32 No. Enter the smaller of line 17 or line 22

. . . . . . . . . . . . . . . . 28

29 Enter the amount from line 26 (If line 26 is blank, enter -0-) , , , . . , , , , , 1 29

30 Subtract line 29 from line 28 . . , . . . . . . . . . . . . . . , , . . . . , , , 30

31 Multiply line 30by15%(15) �� , 31 32 Figure the tax on the amount on line 23 Use the 2004 Tax Rate Schedule on page 22 of the

instructions . . . . . . . . . . . . . . . . . . . _***___*__*__ . . . . 32

Schedule G Form 1041 35 Schedule D (Form 1041) 2004

Underpayment of Estimated Tax by Corporations 10, See separate Instructions .

" Attach to the corporation's tax return .

Form

Dopartmont of the Treasury Internal Revenue Service X004 Nome THE GOLDIE ANNA CHARITABLE TRUST Employer Identification number

C/O KENNETH L . STEIN I13-2897474 Note : In most cases, the corporation is not required to file Form 2220 (see Part 1 below (or exceptions) because the IRS will (figure any penalty owed end bill the corporation Even if Form 2220 is not required, the corporation may still use if to (figure the penalty In such a case, enter the amount from page 2, line 38 on the estimated fax penalty line of the corporation's income tax return, but do not attach Form 2220

Reasons for Filing - Check the boxes below that apply If any boxes are checked, and line 6, below, is $500 or more, the corporation must file Form 2220 even if it dons not owe a penalty.

1 The corporation la using the ndJuetod seasonal Installment molhod

2 The corporation Is using the annualized Income Installment method

3 ~ ~ The corporation to a "largo corporation" figuring Its first required installment bayed on the =l Fiqurinq the Underpayment

I's tax

4 Total tax (sec Instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 4 1 9 ,16

c Credit for Federal tax paid on fuels (see instructions) , , , , , , , , , , , , . , 15c I

dTotal Addlines 5athrough 5c �� , . � Sd 6 Subtract line Sd from line 4 If the result is less than $500, do not complete or file this form The corporation

does not owe the penalty �� , s 9 163 .

7 Enter the tax shown on the corporation's 2003 Income tax return (see instructions) Caution If the taxis zero

or die lax year was for less than 12 months, skip this line and enter the amount from line 6 on line 8 , , , , , , , 7 11 , 618 .

e 9 , 163 . (d (e)

15/2004

n is reaulred to skin line 7. enter the amount from line 6 . .

1 7 Estimated tax paid or credited (or each period (see instructions) For column (a) only, enter the amount from line 11 on line 15 . . . . . , . 1 1

Complete lines 12 through 18 o/ one column before going to the next column .

12 Enter amount, if any, from line 18 of the preceding column . . . . . . . . . . . . . 1 2

1 3 Add lines 11 and 12 . . . . . . . 13 1 4 Add amounts on lines 16 and 17 of the preceding

column . . . . . . . . . . . . . . . . . . 14

1 6 Subtract line 14 ham line 13 it zero or lean, enter-0. . 1 5

509 . 2 .800 5 .09

AIVOBV C026 06/30/2005 09 .45 :12 V04-6 .3

5 a Personal holding company lax (Schedule PH (Form 1120) line 26) included on line 4 , , , Sa

b Look-back interest included on line 4 under section 460(b)(2) for completed long-term

contracts or section 167(8) for depreciation under the Income forecast method , , , , , , 6 b

e Enter the smaller of line 6 or line 7 I( the

8 Installment due dates Enter In columns (a) through (d) the 15th day of the 4th (Form 890-PFBlors: Use 5th month), 61h, 9th, and 12th months of the corporation's tax year , , , 9

Exception . If one of your installment due dates is September 15, 2004, see the instructions

10 Required Installments N the box on line 1 end/or line 2 above is checked, enter the amounts from Schedule A, line 38 II the box on line 3 (but not 1 or 2) Is checked, see Instructions for the amounts to enter If none of these boxes ere checked, enter 25% of line 8 above in each column . . . . . . . . . . 10

2004106/15/2004109/1

291 .1 2 .29

04

1 290-

16 If the amount on line 15 is zero, subtract line 13 from line 14 Otherwise, enter -0- , , . . , 16

17 Underpayment If line 15 is less than or equal to line 10, subtract line 15 from line 10 Then go to line 12 of the next column Otherwise, go to line 18 . . . . . . . , . . . , . . . 17 1 , 781 .

18 Overpayment If line 10 is less than line 15, subtract line 10 from line 15 Then go to line 12 or the next column . . . . . . . . . . , 1 e 5 , 091 . 2 , 800 . 1 509- Go to Part 111 on page 2 to figure the penalty. Do not go to Part III If were are no entries on line 17 - no penalty Is owed.

For Paperwork Reduction Act Notice, see separate Instructions . Form 2220 (2004)

JSA CX8006 3 000

34 Underpayment on line 17 1 Number of days on Ins 33 N

365

36 Number or days on nn . 7o .rtes 12/3112005 and before 2/1612000

3 6 Underpayment on line 17 x Number of days m One 35 . x

365

37 Add lines 22, 24 26 28 30, 32, 34, and 36 ,

37 .

AIVOBV C026 06/30/2005 09 :95 :12 V04-6 .3

Form 2220 (2004) Page 2 Figuring the Penalty

/w\ /1~\ / . .\ /J\

1 9 Enter the data of payment or the 151h day of the 3r0 man after the close of the tax yCar . whichaver 13 earlier (see Inatrvttbnn) (Form B90.PF and Form BBPT fliers UGo5th month Inoioad of 3r0 month ) ,

20 Number of days from duo data of installment on line 9 to

tho dole ohawn on line 19

21 Number of days on Ilna 20 after 4/15/200 4 Ind before

7/1/200

Z Underpayment on line 17 v Number of day, on ba 71 g 0%

308

2 3 Number of days on line xo .n. . 0130/200d end before 101112004

24 Underpayment on nn@ 17 . Number of days en one 23 1 4% ,

368

25 Number of days an line 20 after 9f3O/2OO4 and before 1/112005

T s Underpayment on Ilne 17 r Number of days on M 25 r S%

388

27 Number of days on line 20 after iv3,noa and below I/18005

8 Underpayment on Yne 11 r Number of days on Inc 271. 5X ,

365

29 Number of days on line 30 after 7/71/2005 and before 7/113003

3 0 Underpayment on line 17 a Number of days on line 29 x

ses

31 Number of days on line 20 after 613012005 and before 101112005

3 2 Underpayment on un . 17 x Number of days an fine 31

JBS

33 Number of days on line 20 after 013012005 and before 111/2006

38 Penalty Add columns (a) through (e) of line 37 Enter the total here and on Form 1120, line 33, Form 1120-A, line 29, or the comparable line (or other income tax returns , . 138 1 37

*For underpayments paid after March 31, 2005 : For lines 30, 32, 34, and 36, use the penalty interest rate for each calendar quarter, which the IRS will determine during the first month m the preceding quarter These rates are published quarterly in an IRS News Release and in a revenue ruling in the Internal Revenue Bulletin To obtain this informafion on the Internet, access the IRS website at www.irs .gov . You can also call 1-800-829-1040 to get interest rate information

Form 2220 (2004)

Jsn

4X8007 3 000

If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . . . " If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form) . Do not complete PaR 11 unless you have already been ranted an automatic 3-month extension on a previousl y filed Form 8868

Automatic 3-Month Extension of Time - Only submit original (no copies needed)

Form 890-T corporations requesting an automatic 6-month extension - chock 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 rile Form 1065, 1066, or 1041

Electronic Filing (e-file) . Form 8868 can be filed electronically if you want o 3-month automatic extension of time to file one of the returns noted below (6 months for corporate Form 990-T filers) However, you cannot file it electronically if you want the additional (not automatic) 3-month extension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868 For more details on the electronic filing of this form, visit www irs gov/elite . Type or Name of Exempt Organization THE GOLDIE ANNA CHARITABLE TRUST Employer Identification number

print C/O KENNETH L. STEIN 13-2897474 Number, street, and room or suite no If a P O box, see Instructions

File by the due date for filing your return See instructions

town or post office, slate, and ZIP code For a foreign address, see instructions

Jsn 4Feos4 s o00

AZVOBV C026 05/10/2005 14 :02 :59 V04-6 2

Form 8868 Application for Extension of Time To File an (Rev December 2004) Exempt Organization Return OMB No 7545-1709 Oapartmont of the Treasury Internal Revenue Service 1 File a separate application for each return

Check type of return to be filed (file a se crate application for each return) Form 990 Form 990-T (corporation) Form 4720 Forth 99U-BL Form 990-T(sec 401(a) or 408(a) trust) Form 5227 Form 990-EZ Form 990-T (trust other than above) Form 6069

U Form 99aPF Form 1041-A ~ Form 8870

The books are in the care of " KENNETH L . STEIN

Telephone No " 914 241-0515 FAX No

If the organization does not have an office or place of business in the United States, check this box . . . . , 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 " a . If it is for part of the group, check this box " and attach a list with the names and EINs of all members the extension will cover. 1 I request an automatic 3-month (6-months for a Form 890-T corporation) extension of time until 08/15 . 2005

to file the exempt organization return for the organization named above The extension is for the organ¢ahon's return for' 1 10. e calendar year 2004 or

tax year beginning , and ending

If this tax year is for less than 12 months, check reason El initial return E] Final return El Change in accounting paned

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 instructions b 11,38-2-

b if this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit E 7, 3 8 2-

c Balance 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 EFIPS (Electronic Federal Tax Payment System) See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ '/, d00

Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions .

For Privacy Act and Paperwork Reduction Act Notice, see Instructions . Form 8868 (Rep 12-2004)

PENALTY COMPUTATION DETAIL - FORM 2220

DATE PD UNDERPAYMENT BEG .DATE END DATE DAYS $ ------- ------------ -------- -------- ---- --

PENALTY

STATEMENT 1

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

!

THE GOLDIE ANNA CHARITABLE TRUST 13-2897474

QUARTER 4, RATE PERIOD 3 (12/15/2004 - 12/31/2004)

1,781 . 12/15/2004 12/31/2004 16

TOTAL TO FORM 2220, LINE 26, COLUMN D

QUARTER 4, RATE PERIOD 4 (12/31/2004 - 05/15/2005)

1,781 . 12/31/2004 05/15/2005 135

TOTAL TO FORM 2220

TOTAL UNDERPAYMENT PENALTY

5 4 .

4 .

5 33 .

33 .

37 .

FORM 990-PF - PART IV CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME

Kind of Property Description Date Date sold acquired

Gross sa le Deprec iation Cost or FMV Adj basis Excess o Ga n prico less allowed/ other as of ~ as of FMV over or e ses o sale _basin 1169~12L3_tIB9 a' s

TOTAL SHORT-TERM COMMON TRUST FUND AND

PARTNERSHIP, S CORPORATION, AND OTHER

ESTATES OR TRUST GAIN OR LOSS -43,768

TOTAL LONG-TERM CAPITAL GAIN DIVIDENDS 39,878 .

TOTAL LONG-TERM COMMON TRUST FUND AND

PARTNERSHIP, S CORPORATION, AND OTHER

ESTATES OR TRUST GAIN OR LOSS -2,078 .

3000 SHS APARTMENT INVESTMENT 6 MANAGEME 12/31/2002 02/03/2004 PROPERTY TYPE : SECURITIES

106,906 . 113,330 . -6,424 .

3000 SHS BRANDYWINE REALTY TRUST-SBI 03/23/1999 02/04/2004 PROPERTY TYPE : SECURITIES

83,729 . 49,987 . 33,742 .

2000 SHS CAMDEN PROPERTY TRUST-SBI 03/23/1999 02/04/2004 PROPERTY TYPE : SECURITIES

85,732 . 48,331 . 37,401 .

2000 SHS EQUITY RESIDENTIAL -SBZ 12/06/1994 02/04/2004 PROPERTY TYPE : SECURITIES

56,613 . 23,867 . 32,746 .

2000 SHS FANNIE MAE 03/19/2001 12/22/2004 PROPERTY TYPE : SECURITIES

143,520 . 150,814 . -7,294 .

2000 SHS LIBERTY PROPERTY TRUST 12/29/1999 02/04/2004

PROPERTY TYPE : SECURITIES 77,736 . 49,191 . 28,545 .

5000 SHS NATIONWIDE HEALTH PROPERTIES IN 04/15/1991 02/04/2004 PROPERTY TYPE : SECURITIES

109,264 . 42,119 . 67,145 .

3000 SHS NOKIA CORD SPONSORED ADR 02/07/2001 12/20/2004 PROPERTY TYPE : SECURITIES

45,634 . 93,649 . -48,015 .

JsA 4E1730 1 000

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3


Kind of Property Description Date Data sold acquired

Gross sa o De p reciation Cost or FMV Ad' basis Excess o1 Gain pnco less allowed/ othor ~ as of ~ as of FMV over or

o es sa allowable asls~77131169~].ZL311fi. ad' as s (loss)

1000 SHS NORTHROP GRUMMAN 7 .258 CONY PRE 03/21/2003 11/16/2004

PROPERTY TYPE : SECURITIES

101,205 . 101,205 .

2000 SHS PROLOGIS TRUST SBI 12/31/2002 02/04/2004


65,290 . 50,494 . 14,796 .

5328 QWEST COMMUNICATIONS INT INC 12/06/1994 12/20/2004

22,113 . 114,034 . -91,921 .

1352 SHS ROUSE CO 09/30/1993 02/04/2004 PROPERTY TYPE : SECURITIES

65,047 . 27,577 . 37,470 .

1000 SHS ROUSE CO 09/30/1993 11/15/2004 PROPERTY TYPE : SECURITIES

65,206 . 17,410 . 47,796 .

2000 SHS SIMON PROPERTY GROUP 06/13/2000 02/04/2004


103,029 48,009 . 55,020 .

3000 SHS UNITED DOMINION REALTY TRUST IN 10/12/1989 02/04/2004


55,642 . 22,775 . 32,867 .

1500 SHS WEZN6ARTEN REALTY INVESTORS SBI 10/12/1989 02/04/2004


70,487 . 29,376 . 41,111 .

3000 QWEST COMMUNICATIONS INT INC 01/07/2000 12/20/2004


12,451 . 64,208 . -51,757 .

.1 SHS NORTHROP GRUMMAN COMMON 03/21/2003 11/16/2004

6 . 5 .

.75 SHS ST PAUL TRAVELERS INC 03/06/1990 04/07/2004

31 . 2 . 29 .

Jsn E 17 30 1 000

AZVOBV C026 06/30/2005 09 :45 :12 V04-6 .3


Kind of Property Description Date Date sold acquired

Gross sale Depreciation Cost or FMV Adj basis xcoss of

Gain price less allowed/ other as of as of FMV over or c s s o 3_1L69 12L31L89 a8 floes)

864 SHS TRAVELERS PROPERTY 6 CASUALTY CL 08/27/1993 04/07/2004 PROPERTY TYPE : SECURITIES

1,051 . 1,051 .

1775 SHS TRAVELERS PROPERTY 6 CASUALTY C 08/27/1993 04/07/2004 PROPERTY TYPE : SECURITIES

2,331 . 2,331 .

TOTAL GAIN (LOSS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217,289 .

Jsn t E 17 30 1 000

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

REVENUE AND NET

EXPENSES INVESTME NT DESCRIPTION PER BOOKS INCOME

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

3 . 1,170 .

3 . 1,170 .

TOTAL -------------- --------------1,173 . 1,173 .

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3 STATEI4ENT 1


FORM 990PF, PART I - INTEREST ON TEMPORARY CASH INVESTMENTS

2/3RDS SHARE RENTAL PROPERTY CITIBANK

REVENUE AND NET

EXPENSES INVESTMENT DESCRIPTION PER BOOKS INCOME

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

304,441 . 16,257 . 78,282 . 75,365 . 4,777 . 2,000 . 11,244 .

--------------492,366 .

309,441 . 16,257 . 78,282 . 75,365 . 4,777 . 2,000 .

11,244 . --------------

492,366 .

ADVEST, INC FIDELITY INVESTMENTS HARBOR INTERNATIONAL FUND VANGUARD GROUP ADVEST, INC-OID ADVEST, INC-MISCELLANEOUS RIVERSIDE CAPITAL FUND, LP

AZVOBV C026 06/30/2005 09 :45 :12 V04-6 .3 STATEMENT 2


FORM 990PF, PART I - DIVIDENDS AND INTEREST FROM SECURITIES

TOTAL

NE T INVESTMENT

INCOME

-11,865 . --------------

-11,865 .

-11,865 . --------------

-11,865 .

STATEMENT 3 AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3

THE GOLDIE ANNA CHARITABLE TRUST

FORM 990PF, PART I - OTHER INCOME ------------

DESCRIPTION

PARTNERSHIP LOSS - RIVERSIDE CAPITAL

TOTALS

REVENUE AND

EXPENSES PER BOOKS

13-2897474

11,000 . 13,099 . 13,099 .

-------------- -------------- 24,099 . 13,099 . TOTALS

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3 STATEMENT 4


FORM 990PF, PART I - TAXES

DESCRIPTION

INTERNAL REVENUE SERVICE FOREIGN TAXES WITHHELD ,ON DIVIDENDS

13-2897474

REVENUE AND NET

EXPENSES INVESTMENT PER BOOKS INCOME --------- ------

136 . 136 . -------------- --------------

886 . 136 .



FORM 990PF, PART I - OTHER EXPENSES

DESCRIPTION

NEW YORK LAW DEPARTMENT

INVESTMENT AND SANK FEES

TOTALS

13-2897474

REVENUE AND NET

EXPENSES INVESTMENT PER BOOKS INCOME --------- ------

750 .

13-2897474

FORM 990PF, PART II - CORPORATE STOCK -----------------


BEGINNING ENDING ENDING DESCRIPTION BOOK VALUE BOOK VALUE F'MV ----------- ---------- ---------- ---

SEE ATTACHED 6,381,115 . 6,011,204 . 11,583,704 . --------------- --------------- ---------------

TOTALS 6,381,115 . 6,011,204 . 11,583,704 .


AmvrtuinLiOCtnCPower 115,03813 115,6218 13 80,05000 Mivrlcan In10mpllOnnl Group Inc 91 77710 01 .77340 08,006 00 AmutICnn Intomolional Group Inc 80 760 Or, 9860600 np,anmont Invoatn,am 8 Winagonionj Co 11332006 nrchmauoSmdin Trust 07,900 65 0785000 270 021 50 nutonu1ucData Praoaolnp 121,171,00 121,1n00 721 70000 Arda"uuy Communities Inc 0036370 00.363.70 225 NO 00 Bank of nmodcn Corp 10470871 18790000 Blink of Now York Co Inc 50,10300 6010300 668.400 00 Boston Properties Inc 82.004,21 80 801 20 10401000 BPAmoco PLCADR 219,093 02 21000302 500,60400 BrOnaywln0 Realty TNaI "SDI 49,98000 - ComOOn Property Trust "SBI ~ e9,37108 Chevron Tpxnco Corp - 184,081 BO 210,04000 Cisco Systems Inc 81,722.73 81 .72273 11592000 Cifigroup Inc 49.72408 4972408 96360000 ComcaSt Corp Now C1 A 5.03486 5.03486 2888704 Developers Diversified Really Cory 5454200 54 .54200 177,48000 DlebolAlncOhio 118,41985 118.419 85 183,90900 Dlubold Inc Ohio 25,04852 25,048 52 39,011 00 Dortdnlon Resources Inc VA 107,891 89 10199189 189,350 00 Duke Energy Core 128,397 00 126.33700 126,850 00 Duke Realty Cory Now 27 247 14 26 .59845 88,280 00 E I Du Pond Do Nemours 8 Co 83,78000 93,780 00 19620000 Equity Office Properties Truss 32.11842 31,782 40 85 319 18 Equity Residential Properties Trust 4773320 2378620 72 .36000 Equity Residential Properties Truss-FIO 57,03300 57,833 00 103,500 00 Fannlo Mao 150,874 01 Federal Really investment Trust 48 .44329 48 .443 29 77,47500 General Dynamics Corp 118,44832 119,44032 15890000 General Electric Co 66,78917 80,789 17 73000000 General Mills inc 173.05100 173 051 00 29826000 Honeywell International 87,880 31 87,880 31 14164000 Honeywell international 108,21838 108,21938 141 (34000 International Business Machines inc 207.48423 207,46423 187,180 00 International Business Machines inc 100.11096 100.11090 98 580 00 International Business Machines Inc 80,48212 90 .482 12 9858000 International Business Machines inc 87,285 82 87 .26582 BB 580 00 JottorsonPilot Corp 123,84276 123.04278 15588000 Johnson 8 Johnson 69 .06264 5906264 6342000 Johnson 8 Johnson 80,721,10 80,721 14 120,840 00 JP Morgan Chase 126.860 00 125.800 00 486.64480 Liberty Properly 7rust-SBi 08,82 73 48 .704.99 8640000 Lowas Companion Inc 113,457.17 113,457.17 172,770 00 Marathon Oil 02 .017,00 02017.00 188,245 00 MCGrUw Hill Cornpanlps Inc 04,221.23 04 .221 23 91,64000 Millonlum Pharmaccullcoln Inc 50087.49 59,98749 2428000 Mdlenlum Phaffnacouticals Inc 5023842 6023842 2428000 n.Lilanlum Pharmaceuticals inc 3545969 3545959 48,56000 Nasdaq 100 Truss Sodas 1 66,808 0.1 55 .608 03 39 .91500 NaSdaq 100 Trust Series 1 60,714 30 50,71430 39,916 00 NaSQIq 100 Trust Series 1 70 .71849 70 .718 49 7983000 NasOaq 100 Truss Series 1 64 .94720 6494720 7983000 Nasdaq 100 Trust Series 1 25,325 10 23 325 10 39,91500 Nasdaa 100 Trust Series 1 76 .60506 79,805 00 11974500 National Clay Corp 87,425 00 87,425 00 450.60000 Nationwide Health Properties Inc 42 11890 NOkW CorpSppnsprpC ADR 83 .848 BS - - Nokla Core-Sponsored ADR 29,888 38 28 fi86 38 15,870 00 Nokia Carp-Sponsor( ADR 23,174 60 23 17460 15,870 00 Nokia Corp-Sponsored ADR 78,16821 78 16821 78,350 00 Northrop Grumman 7 25% PFD 98,32395 - - Northrop Grumman tomrrqn - 9831882 104 208 12 Pfizer Inc 152 869 33 152.869 33 13445000 Pfizer InC 157,858 38 15765838 13445000 Pfizer Inc _ - 148 708 84 134,450 00 Pitney Bowes Inc 205,094 49 205,094 49 46280000 Prologis Trust Sharon Beneficial Interest 700,887 82 49,783 54 88,680 00 Puget Energy Inc 733,221 00 13322100 123,500 00 Owest Communications international Inc 17824191 - Rouse Co 20.398 82 Rouse Ca 27,578 84 - - Simon Property Group 96.079 13 4769756 129,34000 St Paul Travelers Companies Inc 81,45300 8483324 180,651 01

- Travelers Property d Casualty Class A 1.05142 Travelers Progeny 8 Casualty Class B 2,33099 - United Dominion Realty Trust inc 45,550 19 22,328 81 7440000 VomaAO Realty Trust 113,68273 113,682 73 228,390 00 Wein(j2nen Realty Investors "SBI 58,75240 2910964 90,225 00 WyeN 127,90625 127,808 25 212.950 00

Total 8,381,175 11 8,011,207 97 77,583,701 4J

GOLDIE ANNA CHARITABLE TRUST 7]-2807474

PART II, LINE 10(b) INVESTMENTS-CORPORATE STOCK Dotombor 71, 200

Book vMUa 900k Value M.Imol value 121312009 12/3li2004 t1At/1.OOn


FORM 990PF, PART II - OTHER INVEST14ENTS

DESCRIPTION

2/3 INTEREST IN PROPERTY-391- 393, 395 & 399-401 AVENUE OF THE AMERICAS, NEW YORK, NY

HARBOR INTERNATIONAL FUND VANGUARD ADMIRAL S/T TREAS FD FIDELITY DIVERSIFIED INT FD FIDELITY NEW MARKETS INCOME FD PARTNERSHIP-RIVERSIDE CAPITAL

TOTALS

2,831,287 . 2,629,808 .

252,087 . 265,785 . 999,185 .

---------------7,257,360 .

2,813,792 . 2,625,910 .

NONE NONE

1,045,652 . ---------------

6,769,562 .


BEGINNING BOOK VALUE

279,208 .

ENDING F'MV

3,300,000 .

5,128,552 . 2,566,971 .

286,887 . 288,521 .

1,001,838 . ---------------

12,572,769 .

13-2897474

ENDING BOOK VALUE

279,208 .

THE GOLDZE ANNA CHARITABLE TRUST 13-2897474

FORM 990PF, PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES ------------ ------- -------

TITLE AND TIME NAIL AND ADDRESS DEVOTED TO POSITION COMPENSATION ---------------- ------------------- ------------

JEAN GREENFIELD 3716 CYPRESS CLUB DRIVE C-402 CHARLOTTE, NC 28210

--------------124,302 . GRAND TOTALS

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3 STATEI~ENT 8

KENNETH L . STEIN 5 WOODS WITCH LANE CHAPPAQUA, NY 10514

CO-TRUSTEE

CO-TRUSTEE

62,151 .

62,151 .

FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR

RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR

AND

FOUNDATION STATUS OF RECIPIENT ------------------------------

ANOHV C026 06/30/2005 09 .45'12 V04-6 3 -'r ;- 9


RECIPIENT NAME AID ADDRESS --------------------------

SEE SCHEDULE ATTACHED

FEE FOR SEMINAR TO PROMOTE INTERNATIONAL RELATIONS

13-2897474

PURPOSE OF GRANT OR CONTRIHITia` :ti"!OLNf -------------------------------- ------

994,265

1,500

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

TOTAL 995,765

A Home 8.500 AdirondoCk Scholarship Foundation 2.500 An,urlco Israel Cultural Foundation Soo American Ballot Theater Foundation Soo American Cancer Society 250 American Foundation 2.600 American Friends of Hebrew University 236,000 American Jewish Committee 2,500 American Jewish Society for Service 2,000 American Museum of Natural History 3,000 Andrew Golkin Memorial Scholarship Fund 1,000 Bat Torah 15,400 B'nai Brith International 250 Boys' Choir of Harlem 5.000 Brandels University 2.500 Bridge Fund 5,000 Brooklyn Law School 2,500 Calvary Hospital 1,800 Camphill Special Schools 500 Caramoor Center For The Performing Arts 2,500 Camegie Hall Isaac Stem Education Fund 2,500 CAST 20,000 Central Paik Conservancy 10,000 Channel 13 3,500 Chappaqua Summer Scholarship Program 10,000 Chappaqua Volunteer Ambulance 500 Charles House Association 500 Chatham Animal Rescue and Education 500 Chatham Educational Foundation 250 Chddrens' Aid Society 500 Chddrens' Storefront School 2.500 Childrens' Village 1,000 City Bar Fund 1,000 City Harvest 10 .000 City Meals on Wheels 12 .500 Columbia Law School 5 000 Community Fund 5 000 Community Works 500 Congregation Tdoreth Israel 1,500 Cool Culture 5,000 Copland House 1,000 Covenant House 2.500 Creative Tune 500 Crohn's And Colitis Foundation 1,500 Damon Runyon Cancer Research Fund 815 Dorot 1,800 East Coast Assistance Dogs 3.500 East End Seaport and Manna Foundation 500 East Marion Volunteer Fire Department 1,000 Eastern Long Island Hospital 10,000 Eldndge Street Project 58,000 Energy Share 500 Fellowship For Jewish Learning 500 Food For Needy _ 5,000 food Patch 30,500 Fresh Air Fund 1,000 Friends of Chappaqua Library 1,000 Fnends of the Charlotte Public Library 2,000 Fund For Public Schools 100,000 Gdda's Club 1,000 Girls and Boy's Town 1,000 Great Neck Student Aid Fund 1,500 Hadassah 250 Harvard Business School 1 .000 Helen Keller Services for the Blind 2,500 Horace Greeley Education Fund 2,500 Hospital For Special Surgery 5,000

GOLDIE ANNA CHARITABLE TRUST 13-2897474

CHARITABLE CONTRIBUTIONS FOR THE YEAR ENDED DECEMBER 31, 2004

Injured Marino SOmpor FI Foundation 50 .000 Inner City Scholarship Fund 15 .000 Jorlcho Project 5,000 Jewish Museum 1,800 Kolonoh Art Murourn 1 .000 Leukemia Society 1,000 Lower Lob School PTA 5,000 Main Line Art Center 1,000 Memorial Sloan-Kettering 5.000 Metropolitan Museum 01 Art 2.050 MiIlwood Volunteer Fire Department 250 Montefiore Chlldrons Hospital 20,000 Mount Kisko Day Care Center 5,000 Mount Kisko Interfaith Food Pantry 5,000 Museum of Modern Art 1,000 Naroolepsy Network 500 National Down's Syndrome Society 500 Nature Conservancy 1,000 Naval War College Foundation 12,500 New Castle PBA 500 New Rochelle Fund For Educational Excellence 2,500 Northern Westchester Hospital Center 50,000 NY Lawyers For The Public Interest 500 NY Philharmonic 2 .500 Oyster Ponds Historical Society 500 Peaceworks Foundation 2 .500 Phillips Exeter Academy 27,000 Pound Ridge Lion's Ambulance Corp 250 Pound Ridge PBA 250 Pound Ridge Volunteer Fire Department 250 Puppies Behind Bars 500 Recording for the Blind end Dyslexic 2,500 Services For The Undorservod 500 Shield Institute 1,000 Sky Rink Youth Scholarship Fund 2,100 Southern Center For Human Rights 1,000 Southhold Town PBA 500 Starlight Childrens Foundation 17,000 Stem Foundation 1,000 Student Advocacy Inc 1,000 Town of Now Casllo-AED 5,000 UJA Federation 12,850 U)amaa Community Development Corp 16,000 UNC Hospice 7,500 Unicef 050 United Way Of North Westchester 5 .000 University of Pennsylvania 55,000 US Holocaust Memorial Museum 1,000 Washington Institute 5,000 WCPE Radio 1,000 Westchester Conservatory of Musk 11,200 Westchester Holocaust Commission 1,000 Williams College 1,000 World Jewish Congress 2,000 W UN GTV 1,000 YMCA 500 North Carolina Symphony 500

Total 994,285

GOLDIE ANNA CHARITABLE TRUST 73.2897474

CHARITABLE CONTRIBUTIONS FOR THE YEAR ENDED DECEMBER 31, 2004

4F0970 2 000


THE GOLDIE ANNA CHARITABLE TRUST 13-2897474 Schedule D Detail of Long-term Capital Gains and Losses

Date Date Gross Sales Cost or Offer Long-term Descn tion Ac q uired Sold Pnce Basis Gain/Loss

CAPITAL GAINS LOSSES HELD FOR INVESTMENT PURPOSES

3000 SHS APARTMENT INVESTMENT & MANAGEMENT CO 12 /31 /2002 02 /03 /2004 106 906 . 113 330 . -6 , 424 .

3000 SHS BRANDYWINE REALTY TRUST-SBI 03 /23 /1999 02 /04 /2004 83 , 729 . 49 , 987 . 33 , 742 . 2000 SHS CAMDEN PROPERTY TRUST-SBI 03 /23/1999 02 /04 /2004 85 , 732 . 48 , 331 . 37 , 401 . 2000 SHS EQUITY RESIDENTIAL -SBI 12 /06/1994 02 /04 /2004 56 , 613 . 23 , 867 . 32 , 746 . 2000 SHS FANNIE MAE 03 / 19/2001 12 /22 /2004 143 520 . 150 814 . -7 , 294 . 2000 SHS LIBERTY PROPERTY TRUST 12 /29/1999 02 /04 /2004 77 , 736 . 49 , 191 . 28 , 545 . 5000 SHS NATIONWIDE HEALTH PROPERTIES 04 / 15 /1991 02 /04 /2004 109 264 . 42 , 119 . 67 , 145 . 3000 SHS NOKIA CORP SPONSORED ADR 02 /07 /2001 12 /20 /2004 45 , 634 . 93 , 649 . -48 , 015 . 1000 SHS NORTHROP GRUMMAN 7 .25 CONY

PREF EQUITY SECS-MATURED 03 /21 /2003 11 /16 /2004 101 205 . 101 205 .E 2000 SHS PROLOGIS TRUST SBI 12 /31 /2002 02 /04 /2004 65 290 . 50 494 . 14 , 796 . 5328 WEST COMMUNICATIONS INT INC 12 /06/1994 12 /20 /2004 22 113 . 114 034 .E -91 , 921 . 1352 SHS ROUSE CO 09 /30 /1993 02 /04 /2004 65 , 047 . 27 , 577 . 37 , 470 . 1000 SHS ROUSE CO 09 /30/1993 11 /15 /2004 65 206 . 17 , 410 . 47 , 796 . 2000 SHS SIMON PROPERTY GROUP 06 / 13/2000 02 /04 /2004 103 029 . 48 , 009 . 55 , 020 . 3000 SHS UNITED DOMINION REALTY TRUST 10 /12 /1989 02 /04 /2004 55 , 642 . 22 775 . 32 , 867 . 1500 SHS WEINGARTEN REALTY INVESTORS 10 /12 /1989 02 /04 /2004 70 , 487 . 29 376 . 41 , 111 . 3000 WEST COMMUNICATIONS ZNT INC 01 /07 /2000 12 /20 /2004 12 451 . 64 208 . -51 , 757 . .1 SHS NORTHROP GRUMMAN COMMON 03 /21 /2003 11 /16 /2004 6 . 5 .1 .75 SHS ST PAUL TRAVELERS INC 03 /06/1990 04 /07 /2004 31 . 2 .1 29 . 864 SHS TRAVELERS PROPERTY & CASUALTY I

CL A-MERGER 08 /27 /1993 04 /07 /2004 1 , 051 . 1 1 , 051 . 1 1775 SHS TRAVELERS PROPERTY & CASUALTY

CL B MERGER 08 /27 /1993 04 /07 /2004 2 , 331 . 1 2 , 331 .1

TOTAL CAPITAL GAINS LOSSES HELD FOR INVESTMENT PURP SES 1 , 273 , 023 .1 1 , 049 , 765 . 223 257 .

Totals 1,273,023 .E 1,049,765 .E 223,257 .

JSA

AIVOBV C026 06/30/2005 09 :45 :12 V04-6 .3


FEDERAL CAPITAL GAIN DIVIDENDS

LONG-TERM CAPITAL GAIN DIVIDENDS --------------------------------

15$ RATE CAPITAL GAIN DIVIDENDS

ADVEST 20,413 . FIDELITY NEW MARKETS INCOME FUND 1,970 . HARBOR INTERNATIONAL FUND 17,495 .

------------ TOTAL 15$ RATE CAPITAL GAIN DIVIDENDS 39,878 .

------------ TOTAL LONG-TERM CAPITAL GAIN DIVIDENDS 39,878 .

STATEMENT 2

Documents

EXTENSION GRANTED990s.foundationcenter.org/990pf_pdf_archive/132/...Use the IRS THE GOLDZE ANNA CHARITABLE TRUST label JO KENNETH L. STEIN 13-2897474 Otherwise, Number and drool