Q408A C]530(a] 523000 WASHINGTON, DC 20009-4443 Il529(a ... · Add lines 14 through 28 ... LPJ_A Application Is For Form 990 or Form 990-E2 Form 990-BL form 4?20_{["dlyldual)

$Page 1: Q408A C]530(a] 523000 WASHINGTON, DC 20009-4443 Il529(a ... · Add lines 14 through 28 ... LPJ_A Application Is For Form 990 or Form 990-E2 Form 990-BL form 4?20_{["dlyldual)$
990-T

DepartmgntotihBTreasyr/Internal Revenue Service

EXTENDED TO AUGUST 15, 2016Exempt Organization Business Income Tax Return

(and pro-xy tax under section 6033(e))For calendar year 2014 or other tax yeybeglnnlna OCT 1, 2014 ,andend!ng SEP 30, 2015

1^- fnformaflon about Form 990-T and its instructions Is available at www.li-s.gov/form990t.^ Do not enter SSN numbers on this form as it may be made pubfic if your organization Is a G01(c)(3).

OMB-No, 1645-0687

2014upen (amfUfii)i(ilmgp8CT!on-rw601(oX3) Ofganizattons On!y

A I_[ Check box ifaddress changed

B Exempl under section

[Z]50i(c)(3 )D408(e) If220fe)Q408A C]530(a]Il529(a)

Printor

Type

Mamo of organization (I_I Check box if name changed antf see insfriictiDns,)

PUBLIC WELFARE FOUNDATION, INC.Number, street, and room or suite no. If a P.O. box. see insiructions.1200 U STREET, NWCity or town, state or pravince, country, and ZIP or foreign post?! codeWASHINGTON, DC 20009-4443

QEmployer idaniificalion numbec(Employees' !<ua!, seÎns I rue (tons.)

54-0597601E Li nreiated business aQlluily cnrfes

(SOB inslrucUoiis.)

523000Booh value of ail assetsat end of year

482.933.144.

F Group exemption number (See fnstructtons.)

B Check organization type ^ i X I 501(c) corporation 501(c)frust I_I 401(a) trust I_I Other trustH DGscnbe the organization's primary unrefatsti business activity. ÛBIT FROM PARTNERSHIPS/INVESTMSNTSI During the tax year, was the corporation a subsicEiafy m an affiliated group or a parent-subsidiary controlled group? ................. ^- I_! Yss

If 'Yes," eoter Ihs name and idenilfying number of the parent corporation. ^

TUio"

^ M books areMcaro of > PUBLIC WELFARE! FOUNDATION, INC. Toisphone number > 202-965-1800lâHt^l Unrelated Trade or Business Income

1 a Gross receipts or sales

b Lsss returns and allowances

2 Cost of goods soid (Schedule A, line 7)cBatance ......... ^

3 Gross profit. Subtract line 2 from (!n81c

4 a Capital gain net income (attach Schedule D)

b Net gain (toss) (Form 4797, Part II, line 17} (attach Form 4797)c Capital lo$s deduction for trusts

5 Income (loss) from partnerships and Scorporations (attach statement)

6 Rent income (Schedule C)7 Unrelated debt-financed income (Schedule E)

8 Interest, annuities, royalties, and rents from controlled organizations (Sch. F).

9 Investment income of a sectEon 501(c)(7), (9), or (17) organization (ScheduiG G)|10 Exploited exempt activity income (Scheduis I)11 Advertising Income (Schedule J)12 Olher inGoms (Sw tnstructtons; atiach schedule)

13 Total. Combine lines 3 through 12.

^c

23

4aAb4c

56789

10111213

{A} Income

<78,638,

<78,638.

(B)Expenses

•^

(C) iUet

<78,638.>

<78/638.>;|3£jrtsM.li Deductions Not Taken Elsewhere (See instructions for limitations on deductions.)

(Except for contributions, deductions must be directly connected with the unrelated business Income.)

14 Componsafion of officers, directors, and trustees (Schedule K)

15 Salaries ancfwages

18 Repairs and maintenance

17 Bad debts18 IfiEerest (attach schedule)

18 Taxes and licenses

20 Chaniabie eontrtbutions (See instruciions for ilmttation mlBS)

21 Depreciation (attach Form 4562}22 Less depreciation claimed on Schedule A and elsewhere on returo

23 Dopieiion

2122a|

24 Contributions to deferred compensation plans

25 Employee benefit programs

26 Excess &xempl expenses (Sctiedule I)

27 Excess readership costs (Schedule J)

28 OEher deducllonii (attach schsdule)

29 Total deductEons. Add lines 14 through 28

30 Unrelated business taxabto income before net operatlrKj loss deduction. Subtract line 29 from line 13

31 Net operating loss deduction (limited to the amount on line 30) ......................................SEE., STATEMENT^.24

32 Unrelated business taxable Income before specific detfuction. Subtract line 31 from Drw 30

33 Specltfc deduction (Generaliy $1,COO, but see line 33 instructions for exceptions)

34 Unrelated business taxable ittcome. Subtract lino 33 from iine 32. If line 33 Is greaEer Ihan line 32, enter the smaller of zero or

Jin_e32

1415161718192fl

22li2324252627282930313233

94

~07

<78,638*>

<78,638.>1,000.

<78,638*>42370101-13-15 LHA For Papemo[i( ReductlOEi Act Notice, see fnslruGtlons.

74Form 990-T (2014)

Form 8868 (Rev. 1-2014) Page 2

• If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II and check this box .............................. ^ L2L

Note, Onty campiete Part I! if you have already been granted an automatic 3-month extension on a previously tiled Form 8868,• If you are filing for an Automatic 3-Month Extension, complete onty Part t (on page 1).

âim Additional (Not Automatic) 3-Month Extension of Time. Only file the original (no copies needed),Enter filer's identifyfn.q number, see instructions

Type or

printFile by theAia date forfiling yourreturn. Seetnsttucttons.

Name of exempt organization or other filer, see instructions.

EPUBLXC WELFARE FOUNDATION, INC.

Employer identification number (BN) or

54-0597601Number, street, and room or suite no. If a P.O, box, see [nsEructions.

|1200 U STREET/ NWSocial security number (SSN)

City, town or post office, state, and ZIP code, For a foreign address, see instructions.

WASHINGTON/ DC 20009-4443

Enter the Return code for the return that this application is for {file a separate application for each return) ................................................. LPJ_A

Application

Is For

Form 990 or Form 990-E2

Form 990-BL

form 4?20_{["dlyldual)Form 990-PF

Form 990-T (see. 401 (a) or 408(a) trust)

Form 990-T (trust other than above)

Return

Code

010203040506

Application

Is For

Form 1041-A

Form 4720 (otherthan [ndividyaJL

Form 5227

Form 6069

Form 8870

ReturnCode

0809101112

STOP! Do nptcqmpietePartlI if you were not already granted an automatic 3-month extension on a previously filed Form 8868.PUBLIC WELFARE FOUNDATION, INC.

• The books are in the care of ^ 1200 U STREET, NW - WASHINGTON/ DC 20009-4443

Telephone No. ^ 202-^65~18Q_0_ ____ Fax No. ^

* If the organization does not have an office or place of business in the United States, check this box.„,„.,„,...„„....,.„...„.,,..„„........ ^

• If this [s for a Group Return, enter the organization's four digit Group Exemption Number (GEN) _. ^ this is for the whole group, check this

box ^- I_I . if it is for part of the group, check this box ^ I_I and attach a list with the names and EINs of ati members the extension is for.i AUGUST I5~.~20I6

OCT~1/ 2014! request an additional 3-month extension of time untii

For calendar year _. > or other tax year beginning

If the tax year entered in ilne 5 is for less than 12 months, check reason:

Change in accounting period

State In detail why you need the extension

Initial return

, and ending SEP _3Q^ 2Q15_

Final return

ADDITIONAL TIME IS NECESSARY T0—FILE A-COM3PLETE AND ACCURATE TAXRETURN.

8a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any

nonrefundabie credits. See instructions.

b if this application is for Forms 990-PF, 990.T, 4720, or 6069, enter any refundable credits and estimated

tax payments made. Include any prior year overpayment allowed as a credit and any amount paid

previously with Form 8868.

c Balance due. Subtraot line Sb from line 8a. Include your payment with this form, if required, by using

EFTPS (Electronic Federal Tax Payment System). See instructions.

88

8b

8c

$ 1,050,100.

$ 1,050/100.

$ 0.Signature and Verification must be completed for Part 11 only.

Under penaitfss of perjury, 1 declare that I have examined this form, SncSuding accompanying schedules and statemenls, and to ths best of my !<now!s[fge and beitef,it is mae, correct, and compleEe, and that i am aulhorized to prepare this form,

Signature ^- Title ^ EFILBD Dale ^Form 88S8 (Rev. 1.2014)

423B42OS-15-U

125

Fo,m8go-T(2oi4i PUBLIC WELFARE FOUNDATION, INC. 54-0597601 Pag@ £

I Part III I Tax Computation35 Organizations Taxable as Corporalione. See instructions for tax computation.

Controlled group members (sections 1561 and 1563) check here ^ CZ3 See Instructions and:

a Enter your share of the $50,000, $25,000, and $9,925.000 taxable income brackets (in that order):

(1) [$_I (2) |$_| (3) [$_|b Enter organization's share of: (1) Atjditionai 5% tax (not more than $11,750) |$ j

(2) Additional 3% tax (not more than $100,000) .................................... |$ ,_J

d Income tax on the amount on line 34 ........_.................._........._............_......._.................................._....._....... N'

36 Trusts Taxable at Trust Rates. See Instructions for tax computation. Income tax on the amount on [ine 34 from:

CD Tax rate sctiedule or 01] Schedu[eD(Form 1041).................^.„„„„.......„...,..............„.......,..„..„.„..„. ^

37 Proxy tax. See instructions ........................._...................................._................._.........................._............... ^

38 Alternative minimum fax

39 Total. Add lines 37 and 38 to line 35c or 36, whichever applies

35C

36373839

0.

"07

I Part IV [ Tax and Payments40a Foreign laK cretiit (corporations attach Form 1118; trusts attach Form 1116)

b Other credits (see instructions)

c General business credit. Affach Form 3800

d Credltforprioryear minimum tax (attach Form 8801 or 8827)

B Total credils. Add lines 40a through 40d

40a40b40c

400

41 Subtract line 40e from line 39

42 Other taxes. Check if from: D Form 4255 D Form 8611 D Form 8697 D Form 8866 D Other (attach scheoute)

43 Total tax. Add lines 41 and 42

44 a Payments; A 2013 overpayment credited to 2014

b 2014 estimated tax payments

c Tax deposited with Form 8868

d Foreign organizations; Tax paid or withheid at source (see InsEructlons}

8 Backup wilhhojding (see instructions)

f Credit for small empioyer health insurance premiums (Attach Form 8941)

g Other credits and paymants; d] Form 2439D Form 4136 D Other Total ^

45 Total payments, Adci lines 44a through 44g

46 Estimaled tax penalty (see insEcuctions). Check if Form 2220 is attached ^ F^

47 Tax due. If line 45 is less than the total of lines 43 and 46, enter amount owed

48 Overpayment. If Ime 45 is larger than the total of lines 43 and AQ, enter amount overpaid

49 Enter the amount of line 48 you wanl: Credited to 2015 estimated tax ^-

44a44b

4̂4d44e44f

44g

20,000.

>>

I Refunded ^

406414243

4546474849

"57

"07

20/000.

20,000.20,000.

Part V i Statements Regarding Certain Activities and Other Information (see instructions)

1 At any time during the 2014 calendar year, did tha organizatton have an Intsrest En or a signature or other authoriEy ovar a financial accoitfit (bank,

securities, or other) in a foreign country? If YES, Ihe organization may bava to file Form FlnCEN Form 114, Report of Foreign Bank and Financia!

Accounts. If YES, enter the name of the foreign country here ^"2 During U>e tax year, did the organization feceivg a distribution from, orwasilttieBranKxoi, DTtTanslororlo/giofsign uusr/

If VES, see ifisduotlons (or oiher forms ihe organization may have la li!a.

3 Enter the amount of fax-exempt interest received or accrued during the tax year^$

Yes No

xx

Schedule A - Cost of Goods Sold. Enter method of Inventory valuation ^ N/A

1 Inventory at beginning of year

2 Purchases

3 Cost of labor.

4 a Aciditional section 263A costs (att. scheduie)

b Other costs (attach schedule)

5 lota!. Add lines 1lt)û&li.4&_

123

4a

4bg

8 Inventory at end of year

7 Cast of goods sold. Subtract line 6

(rom line 5. Enter here and In Part 1, iine 2

8 Do the rules of section 263A (wilh respect to

property produced or acquired for resale) apply to

the organization?

6

7Yes No

SignHere

Undec pe'coneot.

Vi i declare frleciaration

-ied this ret* •2!udlngaccoinp;myingschecfu!esandstatemsnls,an<itothebestofmyknow!edgoanilba!ief,1tislrueiban laxp-' jaseri on at! inioijnation qf which prepargr has any knowledgs.

^ticutireotufiicer "Dale"' Tifir

PaidPreparerUse Only

Prlnt/Type preparer's name

D-AN MAGILL

Preparer's signature

^JAN MAGILL

Date

08/11/16

May ttia IRS discuss this retufn wllh

the preparef shown below (see

idEtniGiions)? | Xl Yes | I No

Check I. I if

self- employed

Firm's name ^BENNETT THRASHER LLP

Firm's address

-3 6 2^-CUMBERLAND BOULEVARD^ # 1 O^D-ATLANTA, GA 30339

PTIN

P00446311Firm's EIN 58^T673613

Phoneno. 770-396-2200423711 01-13-15

75Form 990-T (2014)

Form9£»0-T(20W PUBLIC WELFARB FOUNDATION/ INC. 54-0597601 Page 3Schedule C - Rent Income (From Real Property and Personal Property Leased With Real Property)(sea insiructfons}

1, Description of property

-OL

_^_JSL<4)

2. Rent received or aecru&ci

(a) From p^faonai property (if tho pfifoentage ofroot for pefsonal pruparty Is mofe Ihan

10% but not more than 6C%[

^LAM.(4).Total 0 »

(b) From real and personal property (if the percentageof rent fw pefsonai property exceeds SOW or if

?19 rent is based on profit or income)

Total 0 ,

(c) Total income. Add totals oE columns 2(a) and 2(b). Enteriisre and on page 1, Part i, line 6, cuiuffln (A). ,„.„.....„..,„.. ^- 0»

3[3}Deduciions dkaclly cmnocted with Ide Ricome incolumns 2(a) and Efb)(attacti schedule)

(b) Total deductions.Enter here and on pags I,PafU,iJn96,ooSumn(0) ... ^ U *

Schedule E - Unrelated

1. Description of di

J1LJgL(3)(4L

4. AmounloravBragsaoqulsijIw)debt on dr allocattle to debt-nnanceit

property (attach sciiaduSe)

(DJ^LJ2Lw

Totals

Debt-Flnanced Income (se? instructions)

ebt-financed projiarty

5. Average adjusted basisoforailocabisto

dsbl'fiftanced propefty(attach schedule)

:. Qrosaincomaffomu-altocablelodebt-financed propady

6. Coiumn.'l dividodby cafumn 6

Total dIvlitends-receivBtf deducfions included in column 8

%%%%

.^

3. Deductions dfreclly connooled svilhoraHocatilato dabl-financed pioperty

(a) Sb-aigHUine depiecialiw^(attach schedule)

7. Cross incomersporlabte (column

2 it column 6)

Enter here and on page 1,

Part I, line 7, coiumn (A).

o.|-fed

(Other dedudionsfattaoh schadule)

B.AllocabIedsduCiilons(column S x lolal of columns

3(a)anit3(&g

Enter hare and on page 1,

Part 1, Uno 7, column (B).

0.

0.

Schedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instructions)

1. NameofcontroHedorganizaUon

(DJ2LAJ^L

2.Employer idwlification

number

Exempt Controtied Organizations

3.Net unrelated incoma

(lossKsoomstfuctfons)

4.Total of specifiedpaymwte made

5, part of column 41hat isInciudeel In tha controlling

orgaittzattwi's gsoss m come

6, Dedycrtions (iirscEfyconnectstf wiih ificomo

In column 6

Nonexempt Controiied Organizations7. Taxable Income

J1L.(2)(3)

M.

8. Not unroiatod income (loss)(see mslrucll&nB)

9, Total of specified paymmlsmad a

Totals............................................................................................................... ^ I

10. Part of columns EhatlslnciudedIn ihe c<m[fo!llng organtation's

gross incomo

A<!d columns 5 and 10.

Enlaf here and on page 1.Part I.

lines, column (A).

0.

11. Deduolions directiy connool&dwith incoms In colurtin 10

Acid columns 6 and 1t.

Enter here and on page 1, Pwt 1,

iine 8, colurtKi (B}.

0.

^23721 01-13-16 Formfi90-T(2014)76

Form 890-T (2014) PUBLIC WELFARE FOUNDAO'ION/ INC *Schedule G - Investment Income of a Section 50-l(cj(7), (9), or (17) Organization

(see Instructions)

54-0597601 Page 4

1. Description of Income

^L^LJ3LATotals „.„ ^

2, Amount ot In consa

Enter hera and on page 1,Partt.llne9iCaiufnn(A).

0.

3. Deductionstiirectiy connected(atladi schetjule)

4, 5et-9sjdes(attach sche()u!@)

5. Toial deduclionsand sel-asldos

(col. 3 plus col, 4)

Enter here and on page 1,Part I, jirw B, column (B).

0.

Schedule I" Exploited Exempt Activity income, Other Than Advertising income(see instructions)

1. Description ofexpioltst! activity

_OL

_^_

A_d_

Totals.............................. ^

2. Grossunroiatad business

incofne ftonfttrade or fausift&ss

Enter hwa and onpage 1, Part),

iine10,coi.(A}.

0.

1. Expansas

direclly conoecisdwlih pmductlon

of unretaiedbusiness income

Enter her&anri onpage 1, Part I,

Vm 10, coL (8).

0.

L- Net income (logs)ftom uwelaterf trgde or

busfness (column 2mlnuscoltfmnli).l|ggain, compule cols. 5

through 7.

5. Gross Incomeffam activily thatIsnotunreialed

businass in&Cime

6.Expensesattribulabis 1o

column 5

7. Ewass ftxsjnp!expenses (column8 minus column 5,but not owe Ihaft

column 4).

Enter hora qndon page !,

Part ii, line 26.

o*schedule J - Advertising Income (see instructions)lîc^lH Income R'om Periodicals Reported on a Consolidated Basis

1. Name of periodical

_0)_

AM.ATotals (carry to Part II Im (5))...... >

,.Qrossadvertising

irreoms

0,

3. Directadvertising costs

0.

'I.Advertlalngoa1"oT(loss)(coL2mfnu&

col. 3). It a gain, computecols.SlhroughT,

5. CjfctilatioiiIncome

6, Readershipcasts

7. excess readershipcosts (cotumn 6 minuscolumn 5, but not mwo

Ihan column <!},

0.âjr^lKj Income From Periodicals Reported on a Separate Basis (For each periodical listed in part it. m in

columns 2 through 7 on a llne-by-line basis,)

1. NameorpBrfadical

(D~.î.

^_

ATotals from Part I .................... ^

Totais,Part II (lines 1-5) ,„„..,....... ^

2- Grossadvertising

income

'0':

Ente< here an d onpage 1,Part I,line 11, col. (A).

0.

3, D hectadvfittlalng costs

~Q~.

Enier here and onpage 1, Part I?[fne11,co!,(B).

0.

4. Advertising gainor((oss}{Go1. 2 minus

col. 3). !f a gain, compyiscols. 5 through 'f.

6, CirculationIncome

6. Readershipcosts

7. Excess roa<t<ireh1pcosts (column 6 minuscolumn 6, but not more

than column 4).

~0~

Enter here andon page 1,

Pf)rtH,lmia27,

0.Schedule K" Compensation of Officers, Directors, and Trustees (see instructions)

1> Mama

J1LJ2L(3)

M.

2. Titlo

3, Percent ofUma devoted tc>

business

"A

%%%

Total, Enter here and on page 1, Part!!, line 14 .,,„.....,......„.............,.....„.......................>............................,„,......... ^

4. Compensation aHri&utableto unrelated buainess

~07

42373101-13-15

Form 990-T (2014)

77

PUBLIC WELFARE FOUNDATION, INC. 54-0597601

FOOTNOTES STATEMENT 22

ELECTION TO FORGO THE TWO-YEAR NOL CARRYBACK PERIOD

TAXPAYER INCURRED A NET OPERATING LOSS IN THE YBAR ENDEDSEPTEMBER 30, 2015 AND IS ENTITLED TO A TWO-YEAR CARRYBACKOF THE LOSS UNDER IRS SEC. 172(B)(1)(A). PURSUANT TOIRS SEC. 172(B)(3)/ TAXPAYER HEREBY ELECTS TO RELINQUISHTHE ENTIRE CARRYBACK PERIOD WITH RESPECT TO ANYNET OPERATIISTG LOSS*

78 STATEMENT(S) 22

PUBLIC WELFARE FOUNDATION, INC. 54-0597601

FORM 990-T INCOME (LOSS) FROM PARTNERSHIPS STATEMENT 23AND S CORPORATIONS

DESCRIPTION AMOUNT

CARMEL PARTNERS I <8,043.>CARMEL PARTNERS 11 41,130.COMMOmjND PVT EQUITV V 8/186.COMMONFUND GLOBAL DISTRSSSED DEBT III <1/094.>COMMONFUND PVT EQUITY VII <17,946.>LIQUID REALTY IV 42/318.TIFF PTNRS IV 18,166.TIFF PTNRS V - US <1/932->TUCKE3RBROOK SB GL DIST FUND <2,956.>COMMONFUND CAPITAL VENTURE! PARTNERS IX <851.>COMMONFUND CAPITAL NATURAL RESOURCES IX <169,734.>COMMONFUND STRATEGIC SOLUTIONS RE OPP FUND 15/953.TUCKERBROOK - STYX 6/404.COMMONFUND PRIVATE EQUITY PARTNERS VIII <10,889.>COMMONFUND GLOBAL INVESTORS IV 2,849.COMMONFUND CAPITAL VENTURE PARTNERS X <3,895.>COMMONFUND CAPITAL INTERVATIONAL PARTNERS VII 3/696.

TOTAL TO FORM 990-T, PAGE 1, LINE 5 <78/638.>

FORM 990-T NET OPERATING LOSS DEDUCTION STATEMENT 24

LOSSPREVIOUSLY LOSS AVAILABLE

TAX YEAR LOSS SUSTAINBD APPLIED REMAINING THIS YEAR

09/30/13 156/179. 0. 156,179. 156,17909/30/14 162,759. 0. 162,759. 162/759

NOL CARRYOVER AVAILABLE THIS YEAR 318/938. 318/938

79 STATEMENT(S) 23, 24

Form(Rav. December 2013)Department of tiia TreasuryInternal R avenue Swvlcg

Return by a U.S. Transferor of Propertyto a Foreign Corporation

^ Information about Form 926 and its separate instructions is at www.ffs.gov/form926.^ Attach to your income tax return for the year of the transfer or distribution,

0MB No. 15<IE-0026

AtiachmontSequence No.

i^JEUHI U-S. Transferor Information [see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION/ INC«Identifying number (seiuisbiicBons}

54-05976011 if the transferor was a corporation, complete questions 1 a through 1 d.

a If the transfer was a section 361 (a) or pi) transfer, was the transferor controlled (under section 368(c}) by 5 or

fewer domestic corporations?

b Did the transferor remain [n existence after the transfer?

if not, list the controlling shareholder^) and their identifying numbers);

L_l Yes [Xj NoYes D No

ControliEng shareholder Identifying number

c If the transferor was a member of an affiliated group (iiing a consolidated return, was it the parent corporation?

If not, list the name and employer identification number (EiN) of the parent corporation:

Yes JiJNo

Name of parent corporation EIN of parent cocporation

TJd Have basis adjustments under section 387(a)(5) been made? Yes No

2 If the transferor was a partner In a partnership that was the actual transferor (but is not treated as such under section 367), complete

questions 2a through 2d.

a List the name and EIN ot the Iransferor's partnership:

Name of partnership

CF CAPITAL NATURMi RESOURCES PARTNERS IX, LP

EIN of partnership

37-1656529b Didthepartnerpickupitsproratashareof gîn on the transfer of partnership assets?...„„...,„,.„.„....................... I—i Yes LXJ No

c Is the partner disposing of Its entire interest in the partnership? .......„.....„.„„..„„...„......„..........„..........,..,..,....,„,. I—i Yes L2LJ No

d is the partner disposing of an interest In a limited partnership that is regularly traded on an estabiished

securities market? ........,,,^^...,.,.„.„..„,..,,.,,..........„.,,.....................................................,,^^ [—I Yes LX] No

târ^llMI Transferee Foreign Corporation Information (see instructions}3 Name of transferee (foreign corporation)

CENTURION GROUP SARL5 Address (including country)2-8 AVENUECHARLES DE GAULLE, L-1653 LUXEMBOURG

4a tdenttfying number, if any

4t> Reference ID number

6 Country code of country of incorporation or organbationLU

7 Foreign law characterization (see instructions)LIMITED COMPANY

Is the transferee foreign corporation a controlled forelqn corDoration? ...„.................,...................„........—.—..—.-.- i.—J Yes No

l-HA For Paperwork Reductiori Act Notice, see separate instructions.42463105-0 J-1-)

Form 926 (Rev. 12-2013)

80

Form 926 (Rev. 12.2013) PUBLIC WELFARE FOUNDATION, INC. 54-0597601 page2|WfH!H^ Informatio

Type ofproperty

Cash

Stock and

securities

Installment obligations,

account receivabfes or

similar property

Foreign currency or other

property denominaied In

foreign currency

inventory

Assets subject to

depreciation recapture

(see Temp. Regs. sec.

1.367(a)4T(b»Tangible property used in

trade or business not liste<

under another category

intangible

property

Property to be leased

(as described in final

and temp. Regs. sec.

1.367(aMCc))Property to be sold

(as described !n

Temp. Regs. sec.

1.367(a).4T(d))Transfers of oil and gas

working interests [as

described In Temp.

Regs. sec. 1.367(a).4T(e))_

Other property

regarding Transfer of Property (see instructions}

(a)Date oftransfer

>8/12/201^

(b).De&cMption of

property

[c)Fair market value 01

date of transfer

11/63C

(d]Cost or other

basis

(e)Gain recognized on

transfer

Supplemental Information Required To Be Reported (see instructions):ON 8/12/14, PUBLIC WELFARE FOUNDATION, INC. TRANSFERRED STOCKS ANDSECURITIES IN THE AMOUNT OF $11,630 TO CENTURION GROUP SARL IN TRANSFERSDESCRIBED UNDER IRC SECTION 351.

42fl532OS-01-14

Form 926 (Rev. 12*2013)

81

Form 926 (Rev. 12.2013) PUBLIC WELFARE FOUNDATION, INC. 54-0597601 pêaliRillrfc^l Additional Information Regarding Transfer of Property(see instructions)

9 Enter the fransferor's interest in the foreign transferee corporation before and after the -transfer;

(a) Before .0477 % (b) After •0256 %

10 Type of nonrecsognftlon transaction (see instructions) ^ 1RC SECTION 351

11 Indicate whether any transfer reported in Part Hi is subject to any of the foliowing:

a Gain recognition under section 904{f)(3) ....................................................................................................... I—I Yes L&J No

b Gain recognition under section 904(f)(5)(F) ................................................................................................. [—3 Yes FXl NO

c Recapture under section 1503(d) ...,.....„„...........„..............................„.........„.„.....„„...................„............._....... I—I Yes I-XLJ No

d Exchange gain under section 987 .....,.................„...........„„..,..,.................„.....„....................,....................„._...... I1 Yes DSJ No

12 Did this transfer resuit from a change in the ciassificstlon of the transferee to that of a foreign corporation?...,...^.,,,^ I_I Yes I XJ No

13 Indicate whether the transferor was required to recognize income under final and Temporary Regulations sections

1.367(a}-4 through 1.367(a)-6 for any of the following:

a Tainted property ...................................................................................................................................... I_I Yes !Xl No

b Depreciation recapture ............................................................................................................................ I_1 Yes !Xl No

o Branch loss recapture ............................................................................................................................. I_i Yes USJ No

d Any other income recognition provision contained in the above-referenced regulations „,,...„..........,..„....,..,.,,„.„..... I_S Yes t.X j No

14 Did the transferor transfer assets which qu^lfy for the trade or business exception under section 3G7(a)(3)? ............ I_i Yes I....X! No

15 a Did the transferor transfer foreign goodwill or going concern value as defined In Temporary Reguiations section

1,367(a)-1T(d)(5)(iii)?.,...............,........„„........,...„..„.„.,..,„......„.,„,„.,„...,,,...,,.„,,,...„„,., D Yes DQ No

b If the answer to line 15a is "Yes," entsr the amount of foreign goodwill or going concern value

transferred ^ $

16 Wascashtheonly property transferred?.,.„....................,..„„„..„„„........„,.,.............................„......„„..........„,.„.. i_I Yes l-^...l No

17 a Was intangible property (within the meaning of section 936(h)(3)(B}) transferred as a result of the transaction? .,„..... I—I Yes I X | No

b K "Yes," describe the nature of the rights to the intangible property that was transferred as a result of the

transaction:

Form 925 (Rev. 12-2013)

424533OG-O-i-1'1

82

PUBLIC WELFARE FOUNDATION, INC.EIN: 54-0597601

STATEMENT ATTACHED TO AND MADE PART OF INCOME TAX RETURNFOR TAXABLE YEAR-EiMDED SEPTEMBER 30, 2015

Statement Filed Pursuant to Treas. Reg. Section l,6038B"l{cl

and Temp. Reg. Section 1.6038B-lT(cl

(1) NameofTransferor: Public Welfare FoundationEIN: 54-0597601

Address; 1200 U Street, NW

Washington, DC 20009-4443

(2) Name of Transferee: Centurion Group SARL

El N: N/AAddress: 2-8 Avenue Charles De Gaulle L-1653

L-1653 Luxembourg

Country of Incorporation: Luxembourg

Public Welfare Foundation transferred 12,643 common shares of Australasian Fiuid

Management PTY LTD stock in the amount of $11,630 throughout the year through

CommonFund Capital Natural Resources Partners iX, LP to Centurlon Group SARL

The following list is the breakdown of the transfers made throughout the year, and totaled

above.

08/12/14

Total Transfer

$ 11,630

$ 11,630

(3) No considerations received directly.

Stock transferred Endirectiy through CommonFund Capital Natural Resources Partners IX, IP

resulting in a less than 1% ownership in Centurion Group SARL following transfer.

(i) Active trade or business property; None

(fi) Stock or securities: None

(iii) Depreciated property: None

(iv) Property to be leased: None

(v) Property to be sold: None

(vi) Transfers to FSCs: None

(vii) Tainted property; None

(viti) Foreign loss branch: None

(1x) Other intangibles: None

(4) (i) N/A(ii) N/A(iti) N/A(iv) N/A

(5) N/A

Form

(Rev, Dwomtief 2013]Depafiment of the TreasuryInternal Revenue Sefvica

Return by a U,S. Transferor of Property

to a Foreign Corporation^- Information about Form 926 and its separate instructions is at www.lrs.gov/form928.

Âttach to your income tax return for the year pfjthe transfer pr distribytlan.

0MB No. 1645-0026

Attachment.Sequence No.

lîarlNt U.S, Transferor Information {see instructions)Namedftransferor

PUBLIC WELFARE FOUNDATION, INC.Idenllfyins number ^ fesimciinns)

54-05976011 if the transferor was a corporation, complets questions 1a through 1d.

a If the transfer was a section 361 (a) or (b) transfer, was the transferor controlled (under section 368(c}) by 5 or


b Did the transferor remain in existence after the transfer?

if not, list the controlling shareho!der(s) and their identif/ing number(s):

CH Yes [Xl NoS3 Yes i-U No

Controllins shareholder Identifying number

c if the transferor was a member of an affiliated group filing a consolidated return, was it the parent corporation?........ I—I Yes L^LI No

If not, list the name and employer identification number (EIN) of the parent corporation:

Name of parent corporation EIN of parent corporation

d Have basis adjustments under section 367(a)(S) been macfe? ........................................................................... I—I Yes LJLI No

2 Ifthetranste-orwasapartnerin a partnership that was the actual transferor (but is not treatecj as such under section 367), complete

questions 2a through 2d,a List the name and EiN of the transferor's partnership:

Name of partnership EIN of partnership

CF CAPITAL NATURAL RESOURCES PARTNERS IX/ LP | 37-1656529b Dtdthepartnerpickuprtsproratashareofgalnonthetransferof partnership assets? „..............„„,.....„.„„„..„,..„. I 1 Yes

c is the partner disposing of its entire Interest in the partnership? ...................................................................... I_1 Yes

d Is the partner disposing of an interest In a limited partnership that is regularly traded on an established

securities market? a Yes

-XJNoNo

No

;13riEirfjHtl Transferee Foreign Corporation Information (see instructions)

3 Name of transferee (foreign corporation)

CENTURION GROUP SARL

4a Identifying number, if any

5 Address including country)2-8 AVENUECHARLES DE GAULLE/ L-1653 LUXEMBOURG

4b Reference ID number

6 Country code of country of incorporation or organizationLU

7 Foreign iaw characterization (see instructions)LIMITED COMPANY

8 Is the transferee foreign corporation a controlled foreicjn corporation? I_I Yes LXJNoLHA For Paperwork Reduction Act Notice, see separate instructions.42'SS3105-01-14

Form 926 (Rev. 12-2013)

83

Form 926 (Rev. 12.2013) PUBLIC WELFARE FOUNDATION, INC. 54-0597601 paae2jâft^llll Informatior

Type ofproperty

Cash

Stock and

securffies

Installment obiigations,

account receivables or

similar property

Foreign curranciy or other

property denominated In

foreign currency

inventory

Assess subject-to


(see Temp. Regs. sec,

1.367(aKT(b))Tangible property used !n

trade or business not listed


Intangible

property



and temp. Regs, sec.

1.367(a)-4(c))

Property to be sold

(as described in

Temp. Regs. sec.

1.367(a)4T(d))Transfers of oil and gas

working interests (as

described in Temp.

Recjs, sec. 1,367(a)-4T(e))

Other property

regarding Transfer of Property (see instructions)

(a}Date oftransfer

)8/12/2014j

NDescription of

property

.(c)Fair market value on

date of transfer

8/510

(d)Cost or other

basis

NGain recognized on

transfer

Supplemental Information Required To Be Reported (see Instructions):ON 8/12/14, PUBLIC WELFARE FOUNDATION/ INC. TRANSFERRED STOCKS ANDSECURITIES IN THE AMOUNT OF $8,510 TO CENTURION GROUP SARL IN TRANSFERS"DESCRIBED UNDER IRC SECTION 351.

-12453205-01-14

Form 926 (Rev. 12-2013)

84

Form 926 (Rev. 12.20131 PUBLIC WELFARE FOUNDATION/ INC. 54-0597601 page3l^^trt^l Additional information Regarding Transfer of Property (see instructions)

9 Enter the transferor's interest in the foreign transferee corporation before and after the transfer;

(a} Before _. 0921 % (b) After < 0495 %

10 Type of nonrecognftion transaction (see Instructions) ^ IRC SECTION 3 5J_

11 Indicate whether any transfer reported in Part ill is subject to any of the following:

a Gain recoQnition under section 904(f)(3) ..................................................................................................... I—I Yes !JU No

b Gain recognition under section 904(f)(5)(F} .._._.....................,..,...^............................................^...^ ^1 Yes [XJ No

c Recapture under section 1503(d) .....................,,......................................,......................._.,...,....................^ C~Z! Yes [JLJ Mo

d Exchange gain under section 987 ................................................................................................................... i—i Yes LJU No

12 Did this transfer result from a change !n tiie classification of the transferee to that of a foreign corporation?.._^,^...., I—I Yes 1-XJ No

13 Indicate whether the transferor was required to recognize income under finai and Temporary Regulations sections

1.367(a)-4 through 1.367(a)-6 for any of the following:

a Tainted property ........................................................................................................................................... 1—J Yes ULJ No

b Depreciation recapture ................................................................................................................................. 1—J Ye? LXJ No

c Branch loss recapture ................................................................................................................................. 1-3 Yes DLJ No

d Any other income recognition provision contained !n the above-referenced regufations ........................................... I—! Yes ULi No

14 Did the transferor transfer assets which qualify for the trade or business exception under section 367(a)(3}? .„„„..... I—f Yes LXJ No

15 a Did the transferor transfer foreign goodwi!) or going concern vaiue as defined in Temporary Regulations section

1.367(a}-1T(d)(5)(jii)?....,,...„„...„,,,,..,....„,..,..,....,,...„..„.„.„,„,............,...„......„...,„ D Yes [X] No

b [f the answer to line l5a is "Yes," enter the amount of foreign goocfwi!) or going concern value

transferred ^- $

16 Was cash the only property transferred?,.......„...„.....................„.„.........................„„........,.,.„.,..............„,.......... t—I Yes LAJ No

17 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the transaction? ......... !—! Yes LXJ No

b Ef "Yes," describe the nature of the rights to the intangible property that was transferred as a result of tiie

transaction:

Form 926 (Rev, 12-2013}

42-!53305-01-14

85

PUBLIC WELFARE FOUNDATION, INC,EIN: 54-0597601

STATEMENT ATTACHED TO AND MADE PART OF INCOMETAX RETURNFOR TAXABLE YEAR-EMDED SEPTEMBER 30, 2015

Statement Ftled Pursuant to Treas, Reg. Section 1.6038B"l(cl


(1} NameofTransferor: Public Welfare Foundation

EIN: 54-0597601

Address: 1200 U Street, NW

Washington/ DC 20009-4443


EIN: 20-8691649

Address: 2-8 Avenue Charles De Gaulle L-1653

L-1G53 Luxembourg


Public Welfare Foundation transferred 85 common shares of Seanic Ocean Systems stock in the

amount of $8,510 throughout the year through CommonFund Capital Natural Resources

Partners !X, LP to Centurion Group SARL

The following list is the breakdown of the transfers made throughout the year^ and totaled

above.

08/12/14Total Transfer

$ 8,510

$ 8,510


Stock transferred indirectly through CommonFund Capital Natural Resources Partners IX, LP


(i) Active trade or business property: None

(ii) Stock or securities: None



(v) Property to be said: None(vl) Transfers to FSCs: None

(vii) Tainted property: None

(viii) Foreign loss branch: None

(ix) Other intangibles: None

(4) (i) N/A(ii) N/A(Hi) N/A(iv) N/A

(5) M/A

Form(Rev. December 2013)Departanwt of ihe TreasuryIn lem at Revenua Service

Return by a U.S. Transferor of Property

to a Foreign Corporation^ Information about Form 926 and its separate Instructions is at www.Jfs.gov/foTm32B.

^ Attach to your income tax return for the year of the transfer or distribution.

OMa No. 15'S6-Q026

AltachmentSequence No.

ligaifilsil U.S. Transferor Infomiation (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION, INC.Identifying numtierînstruetians)

54-05976011 If the transferor was a corporation, complete questions 1 a through 1d.

a !f the transfer was a section 361 (a) or (b) transfer, was the transferor controlled (under section 368(c)) by 5 or


b Did the transferor remain !n existence after the transfer?

[f not, list the controlling shareho!der(s) and their identifying number(s):

a YesDQ Yes

[S] NoI_! No

Controlling shareholder Identifying number

. c If the transferor was a member of an affiliated group fiilng 3 consolidated return, was It the parent corporation?......... I—i Yes E..ZJ No

if not, list the name and empioyer identification numbsr (EiN) of the parent corporatjon;

Name of parent corporation E!N of parent corporation

d Have basis adjustments under section 367(a}(5) been made? I_I Yes D^J No



a List the name and BN of the transferor's partnership:

Name of partnership

CF CAPITAL NATURAL RESOURCES PARTNERS IX/ LP

EIN of partnership

37-1656529b Did the partner pick up its pro rata share of gain on the transfer of partnership assets?....,^....„„..„.........„„.„„„„„.. !_I Yes

c !s-the partner disposing of its entire Interest in the partnership? ......................................................................... I_f Yes

d !s the partner disposing of an interest in a limited partnership that is regularly traded on an established

securities market? .......,......,-..,„...„,....,,,„„„„.,,..,,...-........„„„....„...,..,.........„......„,.....„.................,....„„.........,.

^l?an^l)^| Transferee Rsreign Corporation Information (see instructions)Yes

m No-XJNo

_ No


CBNTURION GROUP SARL

4a Identifying number Jf any

5 Address (including country)2-8 AVENUECHARLES DE GAULLE,


L-1653 LUXEMBOURG6 Country code of country of incorporation or organization

LU7 Foreign law characterization (sse inslructions)LIMITED COMPANY

8 Is •lhe transferee forel.qn corporation a controlled foreign corcoration? .............................................................. I_J Yes I..XJ No

Form 926 (Rev. 12-2013)LHA For Paperwork Reduction Act Notice, see separate instructions.43453105-01-M

86

Form 926 (Rev. 12.20131 PUBLIC WELFARE FOUNDATION/ IHC. 54-0597601 page2liRîirl^lilii Informatio

Type ofproperty

Cash

Stock and

securities

installment obiigations,


similar property



foreign currency

Inventory

Assets subject to



1,367(a)-4T(b)}Tangible property used in

trade or business not listet


Intangible

property



and temp. Regs. see.

1.367(a)-4(c))Property to be so!d

(as described in

Temp. Regs. sec,

1.367(a)-4T(d))

Transfers of oil and gas


described En Temp.

Regs. sec. 1.367(a)-4T(e))

Other property


(a)Date oftransfer

)8/12/201^

(b).Description of

property

.(c)Fair market value or

date of transfer

8/251

(ct)Cost or other

basis


transfer

I

Supplemental Information Required To Be Reported (see Instructions):ON 8/12/14, PUBLIC WELFARE FOUNDATION/ INC. TRANSFERREE) STOCKS ANDSECURITOES IN THE AMOUNT OF $8,251TO CENTURION GROUP SARL IN~TRANSFERSDESCRIBED UNDER IRC SECTION 351.

42453206-01-14

Form 926 (Rev. 12.2013)

87

Form 926 (Rev, 12-2013^ PUBLIC WELFARE FOUNDATION, INC. 54-0597601 page3_jl](3'aî\^| Additional Information Regarding Transfer of Property(see instructions}

9 Enter the fransferor's interest In the foreign transferee corporation before snct gfter the transfer

(a) Before * 0452 % (b) After • 0243 %

10 Type of nonrecognition transaction (see instructions) ^ IRC SECTION 351

11 Indicate whether any transfer reported in Part !1! Is subject to any of the tolfowing:

a Gain recognition under section 904(f)(3) ............................................................................................................ 1—i ^BS LAJ No

b Gain recognition under section 904(f)(5)(F) ..................................................................................................... I I Yes LAJ No

c Recapture under section 1503(d) ...................._......,..,.................................,........^..........................^ ^^ Yes DD No

d Exchange gain under section 987 .................................................................................................................... i—I Yes LXJ No

12 Did this transfer result from a change in the classificalion of the transferee to that of a foreign corporation? „...,,........ I—! Yes ULJ No

13 Indicate whether the transferor was required to recognize IncomB under fina! and Temporary Regulations sections

1,367(a)-4 through 1.367(a)-6 for any of the following;

a Tainted property .........................._.....__._.._...................................„............................................,.,....,........„....,„.. L-...1 Yes UU No

b Depreciation recapture .................................................................................................................................... 1-...... Yes LXJ NO

c Branch loss recapture ....................................................................................................................................... S—J Yes LXJ No

d Any other income recognition provision contained in the above-referenced regulations .........,...„.„._.„.....„.........,... i—I Yes LXJ No

14 Did the Iransferor transfer assets which quality for the trade or business exception under section 367(a)(3)? ...,....„,. I—! Yes L6J No

15 a Did the transferor transfer foreign goodwill or going concern va!ue as defined in Temporary Regulations section

1.367(a).1T(d)(5)(iii)?..,,...„„,..„...,.,.................,..,,„.,.,,,,,.,........^ D Yes St No

b If the answer to line l5a Is "Yes," enter the amount of foreign goodwill or going concern vaiue

transferred |^ $

16 Wascashtheonty property transferred?......................„.....„.._,...„..,...............„.„„....................................,............ J—I Yes UU No

17a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the transaction? ..„.„„ i—I Yes LAJ No

b if "Yes," describe the nature of-the rights to the Intangible property that was transferred as a result of the

transaction:

Form 926 (Rev. 12.2013)

42463305-01-14

88

PUBLIC WELFARE FOUNDATION, INC.E1N: 54-0597601

STATEMENT ATTACHED TO AND MADE PART OF INCOME TAX RETURNFOR TAXABLE YEAR-EMDED SEPTEMBER 30, 2015

Statement Filed Pursuant to Treas. Reg. Section 1.6038B-lfcl

and Teme-Jleg. Section 1.6Q38B-lT(cl

(1) NameofTransferor: Public Welfare FoundationEiN: 54-0597601


Wgshington, DC 20009-4443

(2} Name of Transferee; Centurion Group SARL

EIN: N/AAddress: 2-8 Avenue Charles De Gaulie L-1653

L-1653 Luxembourg


Public Welfare Foundation transferred 8,851 common shares of Jacks Wlnches Holding PT(f LTD

stock in the amount of $8,251 throughout the year through CommonFund Capital Natural

Resources Partners IX, LP to Centurion Group SARL.


above.


$ 8/251

$ 8,251

(3) No considerations received directiy.

Stock transferred indirectly through CornmonFund Capital Natural Resources Partners iX,LP

resulting !n a less than 1% ownership in Centurion Group SARL following transfer.

(t) Active trade or business property: None





(vi) Transfers to FSCs; None


(vili) Foreign foss branch: None


(4» (i) N/A(iij N/A(iii) N/A(iv) N/A

(5) N/A

.„ 926(Rev, Dacomtier 2013)DepafimgntoflheTreasury[ntemat Revenue Service

Return by a U.S. TransTeror of Propertyto a Foreign Corporation

^- Information about Form 926 and Its separate instructions is at www,{rs,gov/foi'm926.

Âttachtoyourincometaxreturnfortheyear of the transfer or distribution.

0MB No. 1G4S-OOSO

AttachmontSequence No.

i1?sjr<^||t U.S. Transfcror Information (see instructions)Name of fransferor

PUBLIC WELFARE FOUNDATION/ INC.lEfentifylng numbe^sEsinsintcBons)

54-0597601If the trarssferor was a corporation, complete questions 1 a through 1 d.

If the transfer was a section 361 (a) or (b) transfer, was the transferor contro!led (under section 3G8(c}) by 5 or


Did the transferor remain in existence after the transfer?

If not, llsl the controlling sharehoSderfs) and their identifying number(s):

[_! Yes [Xl NoDLl Yes CD No


c If the transferor was a member of an affiliated group filing a consoiidated return, was it the parent corporation?......... I_I Yes LJS-i No

If not, list the name and employer identification number (E!N) of the parent corporation:


d Have basis adjustments under section 367(a)(5) been made? I_I Yes LXJ No

2 if the transferor was a partner in a partnership that was the actua! transferor (but is not treated as such under section 367), complete


a List tha name and EfN of the transferor's partnership;

Name of partnership

CF CAPITAL NATURAL RESOURCES PARTNERS IX, LP

EiN of partnership

37-1656529b Didthepartnerpickupitsproratashareofgalnonthetransferof partnership assets?..„„..................................... !—I Yes L2U No

c is the partner disposing of its enUre interest in the partnership? ..................................................................... !_! Yes ULJ No

d Is the partner disposing of an interest in a limited partnership that is regularly traded on an esteblished

securities market? ,„....................,„.......-.......—..........„........„......„...„„......,......„.......„..............-....................„. f_I Yes LA-I N.P_

li?-aMt;tl Transferee Foreign Corporation Information (see instructions)3 Name of transferee (foreign corporation)

CEN'S'URION GROUP SARL

4a kientifying number, if any

5 Address (including country)2-8 AVENUECHARLES DE GAULLE, L-1653 LUXEMBOURG


6 Country code of country of incorporation or organEationLU

7 Foreign law characterization (see instructions)LIMITED COMPANY

8 Is the transferee forebn GorpQration a controlled foreign corporation? ................................................................... L—f Yes L&J No

Fomi 926 (Rev. 12-2013}f-HA Pof Paperwork Reduclion Act Notice, see separate instructions.42453(OS-Q1-1-)

89

Form926mev.l2.20l3) PUBLIC WELFARE FOUNDATION, INC. 54-0597601 Page2lipiai^lll^ Informatior

Type ofproperty

Cash

Stock £»nd

securities

lnsta!!ment obiigattons,


similar property

Foreign currency or olher

property denominated in

foreign currency

inventory

Assets subject to


(ses Temp. Regs. sec,

1.367(aMT(b»Tangible property used in

trade or business not fisted


Intangible

property




1.367(a).4(c»

Property to be sold

(as described in

Temp, Rggs, see.

1.367(a)-4T(d))Transfers of oil and gas


described in Temp.

Regs. see. 1,367(a)4T(e))

Other property


(a)Date oftransfer

38/12/20141'

(b».Description of

property

^

.tc)Fair market vaiue on

date of transfer

71/152

(d)Cost or other

basfs


transfer

Supplemental Information Required To Be Reported (see instructions):ON 8/12/14, PUBLIC WELFARE FOUNDATION/ INC. TRANSFERRED STOCKS ANDSECURITIES IN THE AMOUNT OF $71,152 TO CENTURION GROUP SARL IN TRANSFERSDESCRIBED UNDER IRC SECTION 351.

424S3205-01-14

Form 926 (Rev, 12-2013)

90

Form_926_(Rev, 12-2013) PUBLIC WELFARE FOUNDATION, XNC. 54-0597601 page3HBarii^l Additional Information Regarding Transfer of Property (see instruotions)9 Enter -the transferor's interest in the foreign transferee corporation before and after the transfer:

(a) Before .0 8 38 % (b) After _ .0732%

10 Type of nonrecognition -transaction (sea Instructions) ^ IRC SECTION 351

11 indicate whether any transfer reported in Part li! Is subject to any of the following:

a Gain recognition under section 904(f}(3) .................................................................................................... t_I Yes i.A.-t No

b Gain recognition under section 904(f)(5)(F) .................................................................................................... I_I Yes J Xl NO

c Recapture undersectfon 1503(d) .................................................................................................................. E—! Yes I XJ No

d Exchange gain under section 987 .............................._...................„....„„..„...............................„.„.........„.......„... I_I Yes i XJ No

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation?............... !—I Yes I X,[ MO

13 Indicate whether the transferor was required to recognize Income under final and Temporary Regulations sections

1,367(a)-4 through 1.367(a)-6 for any of the following:

a Tainted property ...„.,....„...............,....„......,„„...,........„.„..,.,,..„.......„..,...,.„...„,„..,.,.,,.,..„.....„,....„.„.....,......,... !_i Yes UU No

b Depreciation recapture .................................................................................................................................. I—I Yes LA I NO

c Branch loss recapture .................................................................................................................................... I_I Yes E..X I [ô

d Any other income recognition provision contained In the above-referenced regulations ......................................... 1_I Yes [Xl No

14 Did the transferor transfer assets which qualify for th^ trade or business exception under section 367(a)(3)? ............ !_i Yes l.X.I No

15 a Did the transferor transfer foreign goodwill or going concern value as defined in Temporary Regulations section

1.36?(a)-1T(d)(SH!il)?....,,,.,._...,..,,...,„,,..„..,,,,,„.„,,,.„,,„,.,,„....,.„„.,,...._ Q Yes [X] No

b If the answer to line 15a is "Yes," enter the amount of foreign goodwill or going concern value

transferred ^ $

16 Wascashtheonlypropertytransferred?^^^^........^^^..^...........^.^^^,.......^^^^^.,.........^.^^.^.....^^^.^^.^,,,,.^^ I_I Yes I...XJ No

17a Was intangible property (within the meaning af section 936(h)(3)(B)) transferred as a result of the transaction? ......... I_I Yes I Al No

b If "Yes," describe the nature of the rights to the intangible property that was transferred as a result of the

transaction:

Form 926 (Rev, 1S-2013)

424533Q5-01-H

91

PUBLIC WELFARE FOUNDATION/ INC.EIN: 54-0597601

STATEMENT ATTACHED TO AND MADE PART OF INCOME TAX RETURNFOR TAXABLE YEAR-ENDED SEPTEMBER 30, 2015

Statement Filed Pursuant to Treas, Reg. Section 1.6038B-l(cl

ancflem^.deg. Section 1.60388-lTfcl

(1) Name of Transferor: Public Welfare Foundation

EIN: 54-0597601




EIN: N/AAddress: 2-8 Avenue Charles De Gauile L-1653

L-1G53 Luxembourg


Public Welfare Foundation transferred 39,611 common shares ofCenturion Acquisition LTD

stock in the amount of $71/152 throughout the year through CommonFund Capital Natural

Resources Partners 1\ LP to Centurion Group SARL


above.


$ 71,152

$ 71,152


Stock transferred indirectly through CommonFund Capital Natural Resources Partners IX, LP


(i) Active trade or business property: None

(ii) Stock or securities; None

(iii) Depreciated property; None

(iv) Property to be leased; None






(4) (i) N/A(il) N/A(iii) N/A(h/) N/A

(5) N/A

FWM(flev, Dgwmbw2013)Depaflment of the Treasuryfntemai Revenua Sefvlce


^ Information about Form 926 and its separate instructions is at www.lrs.gov/form926.^•Attach to your income tax return for the year of the transfer or distribution.

0MB No. 15'f5-002fl

AttachmentSocju&<we No,

HlaiNI^J U.S. Transferor Information (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION/ INC.Ifienfifylng number (sMKistfncilons)

54-0597601if the Iransferor was a corporation, comptete questions 1 a through 1 d,

If the transfer was a section 361 (a) or (b) transfer, was Vne transferor controlled (under section 368(c)) by 5 or

fewerctomeBttccorporatlons?.^^.^,^ „.,.....„„„..„„„ , .,„.„..„.„.„„„.„„,„,....„„..„„.„.......„...........„.„....„.„,....„. L-.J Yes

Did the transferor remain in existence after the transfer? ... ................ ........ ULf Yes

if not, list the controDing shareholders) and their identifying numbers):

JLlNoQNQ


c If the trgnsferor was a member of an affiliated group filing a consolidated return, was it the parent corpffl-ation? .,.,,„„ I—! Yes I X.| No

If not, list the name and employer identification number (EfN) of the parent corporation:


d Have basis adjustments under section 367(a}(5) been made? ............................................................................. I—I Yes LXJ No

2 If the transferor was a partner En a partnership that was the actua! transferor (but is not treated as such under section 367), complete


a List th<3 name and EfN of the transferor's partnership:

Name of partnership

CF SS RE OPP FUND 2011

EIN of partnership

45-3015049I_lyes

Yesb Did the partner pick up its pro rata share of gain on the transfer of partnership assets?

c Is the partner disposing of Its entire interest in the partnership?

d Is the partner disposing of an Interest in a limited partnership that te regularly traded on an estabiished

securities market? ....^....^.^........................^...........^...................................................................^................... I—i Yes

JiJNoZ] No

S No^Renr^ltij Transferee Foreign Corporation Information (see instructions)


CVI EREP TG LTD JUPITER TRUSTEES LTD


98-12287245 Address (Snclucflng country)

P.O. BOX 344, MONT CREVELT HOUSE, BULWER AVENUEST. SAMPSON/ GYi 3US GUERNSEY


6 Country code of country of incorporation or organizationGK

7 Foreign law characterization (see instructions)CORPORATION

F3jt _ls_the transfers foreign corDQration a controSled foretgn corporation? Yes No

LHA Fw Paperwork Reduction Act Motice, see separate instructions.'!2-t63105-01-14

Form926(Rev,12'2013)

92

Form 9S6 (Rev. 12-2013) PUBLIC WELFARE FOUNDATION/ INC.jiEtaiîEII^ Information Regarding Transfer of Property (see instructions)

54-0597601 pase_2_

Type ofproperty

Cash

Stock and

securities

Installment obilgations,


similar property



foreign currency

Inventory

Assets subject to

deprfidation recapture


1.367(a)4T(b))Tangible property used intrade or business not listed


intangible

property

Property to be teased(as described in final

and temp, Regs, sec.

1,367(a)-4(c))

Property to be sold

(as described in

Temp. Regs. sec.

1.367(a)-4T(d)}Transfers of oil and gas

worMng interests (as

described !n Temp.

Regs. sec. 1,367(aHT(e)l_

Other property

(a)Date oftransfer

L2/31/201

(b).Description of

property

_(G)? market value on

date of transfer

192/110

(d)Cost or other

basis


transfer

Supplemental Information Required To Be Reported (see instructions):ON VARIOUS DATES/ PUBLIC WELFARE FOUNDATION/ INC. TRANSFEHHED CASH IN THEAMOUNT OF $192,110 TO CVI EREP TO LTD JUPITER TRUSTEES LTD IN TRANSFERSDESCRIBED UNDER IRC SECTION 351.

42453EOS-01-14

Form 926 (Rw. 12.2013)

93

Form926(Rev. 12-2013) PUBLIC WELFARE FOUNBATION, INC. 54-0597601 pagesI^RarîWfl Additional Information Regarding Transfer of Property (see instructions}

9 Enter the trgnsf^ror's interest in the foreign transferee corporation before and after the transfer:

(a) Before _% (b) After__%

10 Type of nonrecognition transaction (see Instructions) ^ IJR.C SECTION 351

11 Indicate whether any transfer reported ]n Part HI is subject to any of Ihe follDwing:

a Gain recognition under section 904(f)t3) ......................................................................................................... i—i Yes I X! NO

b Gain recognition under section 904(f)(5)(F) ................................................................................................... [—3 Yes CXJ NO

c Recapture under section 1503(c{) .................................................................................................................... I——I Yes [X] NO

d Exchange gain under section 987 .................................................................................................................. I_I Yes 1..^..,) No

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation? ^^^.., i—f Yes I At No

13 Indicate whether the transferor was required to recognize income under fins! and Temporary Regulations sections

1 -367(a)-4 -through 1.367(a)-6 for any of the foliowEng:

a Tainted property ........................................................................................................................................ S—i Vcs LAJ No

b Depreciation recapture .............................................................................................................................. I—! Yes l.AJ No

c Branch loss recapture ................................................................................................................................. I_I Yes I.AJ No

d Any other income recagnition provision contained In ?c above-referenced regulations „„.......................,,..„,.„.„.,,,. i_1 Yes J..&J No

14 Did the transferor transfer assets which qualify for the trade or business exception under section 367{a)(3)? ............ I—i Yes LX 1 No

15 a Did the transferor transfer foreign goodwill or going concern vaiue as defined in Temporary Regulations section

1.367(a}-1T(d)(5)(iii)?.....,,,..,,,..,..,,,....,....................................................,.^ i_I Yes LXJ No

b lftheQnswgrtoline15ais"Yes,"entertheamountof foreign goodwill or gohg concern value

transferred ^ $

16 Wascashtheoniy property transferred?........„....„...„........................................„.....„,.,...„.............................„.... ! A I Yes I—I No

17 a Was intangible property (within the meaning of section 936î}(3)(B)} transferred as a result of the transaction? ......... !—t Yes IXJ No

b if "Yes," describe the nature of the rights to the intangible property that was transferred as a resuit of the

transaction:

Form 926 (Rev. 12-2013)

42')533OS-Of-14

94

PUBLIC WELFARE FOUNDATION IEfN: 54-0597601

STATEMENT ATTACHED TO AND MADE PART OF INCOME TAX RETURN IFOR TAXABLE YEAR-ENDED SEPTEMBER 30, 2015

Statement Filed Pursuant to Treas. Reg. Section 1.6038B-l(cl |


I(1) NameofTransferor: Public Welfare Foundation |EIN: 54-0597601 I

Address: 1200 U Street/ NW I

Washington/ DC 20009-4443 I

I1i(2) Name of Transferee: CVI EREPTG LTD Jupiter Trustees LTD |

EIN: 98-1228724 I

Address: P.O. Box 344, Mont Creveit House |3

Bulwer Avenue, St. Sampson |

Guemsey, Chanhe! Islands |

GY13US United Kingdom |

Country of Incorporation: Guernsey |

On December 31, 20Uj Public Welfare Foundation transferred cash in the amount of $192,110

through CommonFund Strategic Solutions Real Estate Opp Fund 2011, LP to CVI EREP TG LTD

Jupiter Trustees LTD.


(4) (i) Active trade or business property; None


(Hi) Depreciated property; None(iv) Property to be leased: None





(ix) Other intangibies; None

(5} (i)(ii)(iii)(iv)

N7AN/AN/AN/A

(6) N/A

Formtnev.DecBn&er2013)Dgpariment of tha Tfeasuryfntemai Revenue Setviw


^ Information about Form 926 and its separate instructions Is at www.trs.gov/form926.^- Attacli to your income tax return for the yegr of the transfer or distribution.

OMBND-1S45-0026

AttachmentSequence No.

^Mlllll U.S. Transferor Information (see instructions)Nameof-transferor

PUBLIC WELFARE FOUNDATION, INC.Identifying number (sEsiiistfticb-ons)

54-05976011 If the transferor was a corporation, complete questions 1 a through 1 d.

a If the transfer was a section 361 (a) or (b) transfer, was the transferor controlled (under section 3G8(c)) by 5 or


b Did the transferor remafn In oxistence after the transfer?

If notj iist the controlling shareholders) and their Identifying number(s}:

Q Yes[X] Yes

J[J NoD No

Controlling shsreholder Identifying number

c If the transferor was a member of an affiliated group filing a consoildated return, was it the parent corporation? „..„... I_I Yes t.Xi No

if not, list the name and employer identification number (EIN) of the parent corporation:


d Have basis adjustments under section 367{a)(5) been made? ............................................................................ I_I Yes No



a List the name and EIN of the transferor's partnership:

Name of partnership

CF S3 RE OPP FUND 2011

EIN of partnership

45-3015049b Didthepartnerpickupitsproratashareofgainonthetransferof partnership assets?.....,.„„.„„.„.....,.^^,^.,.^^^.., I_! Yes L2LI No

c Is the partner disposing of its entire interest in the partnership? ......................................................................... I_I Yes l-?U No

d Is -the partner disposing of an interest in a iimltecj partnership that is regularly traded on an established

securities market? ................................................................................................................................... LZ] Yes I.^Ll No

;;Raff?Uil Transferee Foreign Corporation Information (sse insfructtons)


FORTRESS JAPA-N OPP FUND II HOLDINGS, LP

4a Identifying number, If any

5 Address (including country)1345 AVENUE OF THE AMERICASNEW YORK/ KY 10105


6 Country code of country of Incorporation or organizationJA


8 Is the transferee foreign corporation a controSied foreign corporation? ..,,,^........„.„,„.,,,....„................................ I, I Yes IX i Mp

Form 926 (Rev. 12-2013}LHA For Paperwork Reduction Act Notice, see separate instfuctlons.42453105-01-14

95

Form 926 (Rev. 12.2013) PUBLIC WELFARE FOUNDATION, INC. 54-0597601 pa^2iârtÛfl Informatior

Type ofproperty

Cash

Stock and

securities


account receivabies or

similar property



foreign currency

Inventory

Assets subject to


(see Temp, Regs. sec.

1.367(a)-4T(b))

Tangibie property used in



Intangible

property

Property to be leased(as described in final

and temp, Regs. sec.

1.367(3).4(c))

Property to be sold

(as described in

Temp. Regs, sec.

1.367(a)-4T(d})

Transfers of oii and gas

working Interests (as

described in Temp.

Regs. sec. 1,367(a)-4T(e))

Other property


(a)Date of-transfer

L2/31/2014H

(b).Description of

property

.{c»Fair market value on

date of transfer257,436

.(d)Cost or other

basis


transfer

Supplemental Information Required To Be Reported (see instructions):ON 12/31/14, PUBLIC WELFARE FOUNDATION, INC. TRANSFERRED CASH IN THE AMOUNTOF $257/436 TO FORTRESS JAPMf OPP FUND II HOLDINOS, LP IN TRANSFERSDESCRIBBD UNDER IRC SECTION 351.

42453206.01-14

Form 926 (Rev. 12-2013)

96

Form 926 (Rev. 12-201 S) PUBLIC WELFARE FOUNDATION/ INC* 54-0597601 page3lârt^Sll Additional Information Regarding Transfer of Property (see instructions)


(a) Before _'J-7:2^% (b) After _*17P_9%


11 indicate whether any transfer reported In Part II! is subject to any of the following:

a Gain recognition under section 904(t}(3) ........................................................................................................... ^1 Yes EX] NO

b Gain recognition under section 904(f)(5)(i=) .................................................................................................... C—] Yes GLl No

c Recapture under section 1503(d) ................................................................................................................... !_I Yes i XJ NO

d Exchange gain under section 987 .......................................,.„........„.......„„...............................„......................_.._ I_I Yes LSJ No

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation?...........„„ I_I Yes I..X I No


1.367(a)4 through 1.367(a)-6 for any of the following;

a Tainted property .........„..„...................._................„................_............................„.........._...„.............................. (_S Yes LXJ No

b Depreciation recapture ................................................................................................................................... I_t Yes E-X| NO

c Branch toss recapture .................................................................................................................................... S_I Yes L.X I NO

d Any other income recognition provision contained in the above-referenced regulations ......................................... I_I Yes LA.) No

14 Did the transferor transfer assets which qualify for the trade or business exception under section 367(a)(3)? „...„.„„ L—l Yes LX-i No

15 a Did the transferor transfer foreign goodwili or going concern value as defined in Temporary Reguiations aeotion

^^^Î^W....................^...................................................................................................^^^ D Yes EXJNo

b If the answer to line 15ais "Yes," enter the amount of foreign goodwill or going concern value

transferred ^ $

16 Was cash the only property transferred?,,..„..............^............„....„„.„..„....„..„„„„_,..„„.,„„„„...„., ^^...„...„.,^, LAJ Yes I_I No

17 a Was intangible property (within the meaning of section 936(h){3)(8}) transferred as a result of the transaction? ......... 1_! Yes i.AJ No


transaction:

Form 926 (Rev. 12-2013)

42'tS3305-01-14

97

PUBLIC WELFARE FOUMDATiONEIN: 54-0597601


Statement Filed Pursuant to Treas. Reg. Section :L6038B-l(cl

and Temp. Reg. Section 1.60388-lT(c)


E IN: 54-0597601



(2) Name of Transferee: Fortress Japan Opp Fund !1 Holdings, LP

EIN: N/AAddress: P.O. Box 344, Mont Crevelt House

1345 Avenue of the Americas

New York, NY 10105

Country of Incorporation: Japan

(3) On December 31, 2014, Public Welfare Foundation transferred cash in the amount of $257,436

through CommonFund Strategic Soiutions Real Estate Opp Fund 2011, LP to Fortress Japan Opp

Fund II Hoidmgs, LP.

(4) No considerations received directly, Cash transferred indirectly through CommonFund Strategic

Soiutkms Real Estate Opp Fund 2011, LP resulting in a less than 10% ownership in Fortress Japan

Opp Fund II Holdings, LP foliowing transfer.

(5) (i) Active trade or business property: None(it) Stock or securities: None




(vij Transfers to FSCs: None


(vfii) Foreign loss branch: None


(6) (i) N/A(ii) N/A(iii) N/A(iv) N/A

(7) N/A

926(Hfiv.DecsfttlierSOia)DepartrnBnt of the Treasufyinternal Revenue Sen/loe

Return by a U.S. Transferor of Property

to a Foreign Corporation^- Information about Form 926 and Its separate instructions is at www.irs.gov/form926.

^- Attach to your income tax return for the year of the transfer or distrfbution.

0MB No, 154S-DD2S

AttaohmenlSociuenw No,

iijRaUfl U.S, Transferor Information (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION, INC.iElenIlfylngnijmbef^hstfyctions}

54-05976011 If tiiefransferor was a corporation, complete questions 1alhrough1d.

a If the transfer was a section 361{a) or ^>) transfer, was the transferor controlled (under section 368(c}) by 5 or


b Did the transferor remain En existence after the transfer?

if not, list the controillng shareho!der(s) and their identifying numbers):

D Yes Ci] No~Xt Yes D No


If the transferar was a member of an affilialed group filing a consolidated return, was it the parent corporation? ___ !—f Yes

If not, list-the name and employer identification number (BIN) of the parent corporation;

No

Name of parent corporation E!N of parent corporation

Have basis adjustments under section 367(a)(5) been made? ........................................................................... !—! Y^s Mo

2 If the transferor was a partner in a partnership that was the actuaj transferor (but is not treated as such under section 3G7), complete


a List the name and EiN of the transferor s partnership:


CF CAPITAL INT'L PARTNERS VII I 26-3669321b Didthepartnerpickupitsproratashareof gain on the transfer of partnership assets?...................................„.....,.. 1—J Yes LXJ No

c Is the partner disposing of its entire interest In the partnership? .„,„,..„........^.........................„.......„..„,„.„,„„,...„ I—i Yss L-XJ No

d Is the partner disposing of an interest in a limited partnership that is regularly traded on an established

securities market? .............................„..............„............-.....-..........,,,_^^^..........,..,.,,,^ I—I Yes LXJ NO_

ârKllill Transferee Foreign Corporation Information (see insiructlons)


OZNSR WATER INTERNATIONAL HOLDING LTD


5 Address (Inciuding country)190 ELGIN AVENUEGEORGE TOWN / KYl-9005 CAYMAN ISLANDS

4b Reference iD number

6 Country code of country of incorporation or organization

CJ7 Foreign law characterization (see instructions)CORPORATION

8 (s the transferee foreign corporatton a contrQlled foreSfln corporatton? nYes No

LHA Far Paperwork Reduction Act Notice, see separate instructions.42453105-01-U

Form 926 (Rev. 12-2013)

98

Form 926 (Rev. 12.2013) PUBLIC WELFARE FOUNDATION, INC,[RartsjHî Enformation Regarding Transfer of Property (see instructions)

54-0597601 paae2

Type ofproperty

Cash

Stock and

securities



similar property



foreign currency

Inventory

Assets subject to


(see Temp. Regs. see.

1.367(a)-4T(b)}Tangible property used En

trade or business not listei


Intangible

property



and temp, Regs. seo,

1.367(aH(c))Property to be sold

(as described in

Temp. Regs. sec.

1.367{a)-4T(d))Transfers of oil and gas


described in Temp.

Regs, see. 1.3G7(a)-4T(e})

Other property

(a)Date oftransfer

16/17/201

(b).Description of

property

.(c)Fair market value or

date of transfer

"19/071

.(tt)Cost or other

basis


transfer

Supplemental Information Required To Be Reported (see instructions):ON 6/17/14, PUBLIC WELFARE S'OUNDATION/ INC. TRANSFERRED STOCK ANDSECURITIES IN THE AMOUNT OF $19,071 TO OZNEB. WATER INTERNATIONAL HOLDINGLTD 3:N TRANSFERS DESCRIBED UNDER IRC SECTION 351.

4M53ROS-OS-14

Form 926 (R&v. 12-2013)

99

Form 926 (Rev. 12-2013) PUBLIC WELFARE FOUNDATION, INC. 54-0597601 pggeSL. IEÊ'artliy^ Additional Information Regarding Transfer of Property (see instructions)

9 Enter the transferor's interest In the foreign transferee corporation before and after the transfer; |

(a) Before • 0050 % (b) After * 0051 % j

10 Type of nonrecognition transaction (see instructions) ^ IRC SECTION 351 _

s

11 Indicate whether any transfer reported In Part 111 is subject to any of the followirsg:

a Gqin recogn'rtion under section 904(f}(3) ........................................................................................................ I I Yes DQ No I

b Gain recognition under section 9Q4(f}(5)(F) ........................................................................................................ F—] Yes [X] No |

c Recapture under section 1503(d) ................................................................................................................ !_I Yes I.AJ No |

d Exchange gain under section 987 ................................................................................................................... I_I Yes I -XJ No |

i

I—I I .,, ! . g12 Did this transfer result from 3 change in the classtflcallon of the transferee to that of a foreign corporation? ^^^^^^, j_i Yes f Aj No

13 Indicate whether the transferor was required to recognize income under i\na,\ and Temporary Regulations sections j


a Tainted property ....................................................................................................................................... 1—i Yes L-&J No

b Depreciation recapture ............................................................................................................................ I—J Yes LXJ NO

c Branch toss recapture .............................................................................................................................. i_J Yes E.X{ NO

d Any other incoms recognition provision contained in the above-referenced regulations ......................................... E_I Yes l.XI NO

14 Did the transferor transfer assets which qualify for Uie trade or business excsption under sec-tion 367(a)(3)? .....„„„. I—I Yes IX| No

15a Did the b-ansferor transfer foreign gaodwiil or going concern va!ue as defined En Temporary Regulations section

1.367(a)-1T(d)f5)(l!0?..,.,.,......,....,...,.....,............,,,,,,,,,,,„„,.„.„,„„,„,,,,,.,,,....„_ Q Yes DQ No


transferred ^ $

16 Was cash the only property transferred?.................„.............................„................,,.....„.,.................................. I—I Yes !-^J No

17 a Was intangible property (within the meaning of section 936î)(3)(B)) transferred as a result of the transaction? ......... !—i Yfes (...A,.! No

b If "Yes," describa the nature of the rights to the intangible property that was transferred as a resu!t of the

transaction:

Form 926 (Rev. 12-2013)

<<24S3305-01-14

100

PUBLIC WELFARE FOUNDATION, INC.EIN: 54-0597601


Statement Filed Pursuant to Treas, Refi.^ction 1.6038B-l(c)

and Temt?. Ree. Section 1.6038B-lT(d

(1) Name ofTransferor: Public Welfare FoundationE!N: 54-0597601

Add ress: 1200 U Street, NW


(2) Name of Transferee: Ozner Water International Holding LTD

EIN: N/AAddress: 190 Elgin Avenue

George Town, Grand Cayman, KY1-9005

Cayman Islands

Country of Incorporatton: Cayman Islands

Public Welfare Foundation transferred preferred stock in the amount of $19,071 throughout the

year through CommonFund Capital International Partners VII to Ozner Water International

Holding LTD.

Thefoilowing list is the breakdown of the transfers made throughout the year, and totaled

above,


$ 19,071

$ 19,071

(3) No considerations received directiy.

Stock transferred indirectly through CommonFund Capital International Partners VII resuitingin

a less than 1% ownership in Ozner Water International Holding LTD following transfer.

0} Active trade or business property: None


(iiJ) Depreciated property: None







(4) (t) N/A(ii) N/A(iii) N/A(iv) N/A

(5) N/A

.. 926(Rav, December 2013)Depariment of theTreasuryInternal Revenue ServlcB


^ Information about Form 926 and its separate instructiotis Is at www.frs.gov/form926.

l^-Attachlovourmcometaxreturnforthevearofthetransfer or distribution.

0MB Ho. 1645-OOSG


;13$ir^)lli U.S. Transferor information (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION, INC.Identifying numberîFisKuctions)

54-05976011 if the transferor was a corporation, compSete questions 1 a through 1d,

a If the transfer was a section 361 (a) or (b) transfer, was the Iransferor controiled (under section 36S(c)) by 5 or

fewer domsstic corporations?

b Did the transferor remain In existence after the transfer?

If not, list the controSSIng shareholder(s) and their identifying numbers):

[—IYOS

DLl YesJLfNoD No

Controiling shareholder identifying number

c If thett'ansferorwasamerTtbsrofanaff!t!atedgrciupfi[fngaconsoiidate(iretum,wa8ittheparentcorporafion?......... I_I Yes I..XJ No

K not, list the name and emp!oy9!' identification number (EiN) of the parent corparation:


d Have basis adjustments under section 367(a}(5) been made? 1_! Yes LZJ Mo

2 If the transferor was a partner in a partnership that was the actual fransferor (but is not treated as such under section 367), complete


a List the name and BN of the transferor's partnership;

Name of partnership

CF SS RE OPP FUND 2011

EIN of partnership

45-3015049b Did the partner pick up its pro rata share of gain on the transfer of partnership assets?..„...„....„.„.....„.....„„„.„..„.. !_I Yes

c Is the partner disposing of its entire interest !n the partnership?

d (s tha partner disposing of an Interest in a limited partnership that is regu!ar!y traded on an established

securities market? ................................................................................................................................... I_1 Yes

"DLJMo

Q Yes [Xl No

No?l?arfcM Transferee Foreign Corporation Information (see instructions)3 Name of transferee (foreign corporation)

PWP RE FUND XI US FEEDER LP C/0 SALTGATE LTD

4a identifying number, if any

98-10755505 Address (Including country)22-24 SfiALE STREETST HELIER, JE2 3QG JERSEY


6 Country code of country of incorporation or organizationJE


8 1$ the transferee foreifln corporation a controiied foreign corporation? ...„„.......„,.,.....„....................................... !_I Yes LX! No

Form 926 (Rev. 12-2013)LHA For Paperwork Reduction Act Notice, see separate instructions.42'!531OS-01-14

101

Form 926 (Rev, 12-2013) PUBLIC WELFARE FOUNDATION, INC 54-0597601 __ pago2hF'S^riHll?! Informafio]

Type ofproperty

Cash

Stock and

securities



sjmiiar property



foreign currency

Inventory

Assets subject to


(see Temp, Regs. sec.

1.367{a»-4T(b})Tangible property used In



intangible

property


and temp. Regs, sec.

1.367(a)-4(c)).

Property to be sold

(as described in

Temp, Regs. sec.

1.367(a).4T(d})Transfers of oii and gas

wording Interests (as

described in Temp.

Regs. sec. 1.367(a)-4T(e))

Other property


(a)Date oftransfer

-2/31/2014!:

(b).Description of

property


date of transfer255,413'

(d)Cost or other

basis


transfer

Supplemental Information Required To Be Reported (see instructions):ON VAHIOUS DATES, PUBLIC WELFARE FOUNDATION, INC. TRANSFERRED CASH IN THEAMOUNT OF $255,413 TO PWP RE FUND II US FEEDER LP C/0 SALTGATE LTD INTRANSFER-S—DSS^RTBED-[JNDER-^RC-SECTION

42453205-01-14

Form 926 (Rev. 12-2013}

102

Form 926 (Rev. 12-20131 PUBLIC WELFARE FOUNDATION/ INC. 54-0597601 pages|it:);M)V!?} Additional Information Regarding Transfer of Property (see mstructjons}

9 Enter the transferor's interest in the foreign transferee corporation before and after the transfer:

(a) Before < 0547 % [b) After .0547 %

10 Type of nonrecognition Iransaction (ses instructions) ^ IRC SECTION 351

11 Indicate whether any transfer reported in Part iil is subject to any of Ihe following;

a Gain recognition under section 904(f}(3).......................................................................................................... I—-] Yes t X | NO

b Gain recognition under section 904(f}(5)(F) ...................................................................................................... i—I Yes L&J No

c Recapture under section 1503(d) ....................................................................................................................... I ...i Yes LXJ Mo

d Exchange gain under section 987 ............................................................................................................... I...... I Yes I XJ No

12 Didthistransferresuitfromachangeintheclassificatlonof the transferee to that of a foreign corporation?,..„„........ I_I Yes !.X I No

13 indicate whether 1he transferor was required to recognize income under final and Temporary Regulations sections

1.367(a)-4 through 1.367(a)-6 for any of the following;

a Taintecf property .......................................................................................................................................... I—-I Yes !,.J^ I No

b Depreciation recapture .................................................................................................................................... !..._J Yes IXJ No

c Branch loss recapture ................................................................................................................................ |—J Yes LXJ No

d Any other income recognition provision contained in the above-referenced regulations .......................................... f—i Y&s LXJ Mo

14 Did the transferor transfer assets which quaiify for the trade or business exception under section 367(a}{3)? _...,„,.. [—I Yes f ^l No

15 a Did the transferor transfer foreign goodwill or going concern value as defined In Temporary Regulations section

1.367(3)-1T(d)(5)(ni)?.....„„....,,........,.,.,„.....,.....„........„..,,.....,,,...............„...,,,................^ E—i Ves [Xl No

b iftheanswerto[ine15ais"Yes,'1 enter the amount of foreign goodwill or going concern value

transferred ^ $

16 Was cash the only property transferred?...,..,,.......„...........„,..............„,..,„....,„,..................„.„............................. L2L1 Yes I—I No

17 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the transaction? ......... i—i Yes I..AJ No


transaction:

Form 926 (Rev. 12-2013)

43453305.01-14

103

PUBLIC WELFARE FOUNDATIONEIN: 54-0597601


Statement Filed Pursuant to Treas. Reg. Section l,6038B-3.fcl

and Temn. Reg. Section 1.6038B-lT(cl

(1) Name ofTransferor: Public Welfare FoundationEIN; 54-0597601



(2) l\iame of Transferee; PWP RE Fund II US Feeder LPc/oSaltgate LTD

EIN: 98-1075550

Address: 22-24 Scale Street

St. Hel!erJE2 3QG, Jersey

Country of Incorporation: Jersey

(3) On December 31, 2014, Public Welfare Foundation transferred cash in the amount of $255,413

through CommonFund Strategic Solutions Real Estate Qpp Fund 2011, LP to PWP RE Fund II US

Feeder LP c/o Saltgate LTD.

(4) No considerations received directly. Cash transferred indirectly through CommonFund Strategic

Solutions Real Estate Opp Fund 2011, LP resulting in a less than 10% ownership in PWP RE Fund

11 US Feeder LP c/o Sattgate LTD following transfer.

(5) (i) Active trade or business property: None


(iii) Depreciated property; Mone







(6) (J) N/A(ii) N/A(iil) N/A(iv) N/A

(7) N/A

Foftfi(Rev. Decsmbsr 2013)Depaftment at ths TreasuryInterna! Revenue Serviw

Return by a U.S, Transferof of Propertyto a Foreign Corporation

^ Information about Form 926 and its separate instructions is at www.lrs.gov/forfnS26,


0MB No. 1645.0036


^ftW U,S. Transferor information (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION, INC.Idenllfytng number (sceinsmBniis}

54-0597601If the transferor was a corporation, comptefe questions 1 a through 1 d.

If the transfer was a seotjon 361 (a) or (b) transfer, was the iransferor controlied (under section 368(c)) by 5 or


Did the transferor remain in existence after the transfer?

If not, list ihecontr-o1[jngshareholder(s) and their identifying numb5r(s):

D YesBLlYes

-XjNo

D No

Controiling shareholder identifying number

c If the-transterof was a member of an affiliated group fiiing a consolidated return, was it the parent corporation?......... i_i Yes ! X[ No

K not, list the name and employer id&ntjfication number (EIN) of the parent corporation;

Name of parent corporation EEN of parent corporation

d Have basis adjustments under section 367(a)(5) been made? ............................................................................ i_I Yes J..X.I No


questions Sa through 2d.

a List the name and E)N of the transferor's partnership:

Name of partnership

C3? SS RE OPP FUND 2Q11

EIN of partnership

A5-3015049b Did the partner pick up its pro ratashareof gain on the transfer of partnership assets?.,^__^___.__.____. ,..^___^. I_1 Yes L&J No

c Is the partner disposing of its entire interest In the partnership? .................................................................... I_I Yes L-ftJ No

d Is the partner disposing of an interest in a limited partnership that is regularly traded on an established

securities market? .......................„........-.........—,.....,....„„....„,„,...............„...„......,..........„.„,.,............,.,„.....„.. L_I Yes , L&J No

|;Par(i:llsf| Transferee Foreign Corporation Information (see instructions)3 Name of transferee (foreign corporation)

REC FASHION MALL

4a identifying number, \i any

5 Address (including country)RUA DA QUITANDA NO 86, SALA 401, PARTE CENTRORIO DE JANEIRO/ 20091 BRAZIL


6 Counlry code of country of incorporation or organizationBR

7 Foreign Saw characterization (see instructions)CORPORATION

8 Is the transferee foreian corporation a controlled foreign corporation? .......................-.......„.....-.............—.„......... LKJ Yes i_i No

Form 926 (Rev. 12-2013)LHA For PaperworH Reduction Act Notice, see separate Instructions.42153-t05-01-14

104

Form 926 (Rev. 12-2013) PUBLIC WELFARE FOUNDATION/ INC. 54-0597601 pa9e2hf?air€il)li Informatioi

Type ofproperty

Cash

Stock and

securities

Instaliment obligations,


similar property


property denominated !n

foreign currency

inventory

Assets subject to


(see Temp. Rsgs. SBC.

1.367(a)-4T(b))

Tangible property used in

trade or business not fisted


Intangible

property


(as described In fina!


1.367(a)-4fc))

Property to be sold

(as ctescribed in

Temp. Regs. sec,

1.3Q7(a)-4T(d))



described in Temp.

Regs. sec. 1.3G7(a)4T(e))

Other property


(a)Date oftransfer

L2/31/201<

(blDescription of

property

.(c»Fair market value on

date of transfer215,743

.(d)Cost or other

basis

(6)Gain recognized on

transfer

Supplemental Information Required To Be Reported (see insfruciions):ON VARIOUS DATES/ PUBLIC WELFARE FOUNDATION/ INC. TRANSFERRED CASH IN THEAMOUNT OF $215,743 TO REC FASHION MALL IN TRANSFERS DESCRIBED UNDER IRCSECTION 351.

42453205.01-14

Form 926 (Rev. 12.2013}

105

Form 926 (Rev, 12-2013) PUBLIC WELFARE FOUNDATION/ INC. 54-0597601 page3_j^PNJr^t^l Additional information Regarding Transfer of Property (see instructions)


(a) Before ., • ?P_^0 % (b) After » 0014 %

10 Type of nonrecognltion iransaction (see instructions} )^- IRC SECTION

1-1 Indicate whether any transfer reported in Part ill is subject to any of the foiiowing:

a Gain recognition undsr section 904(f)(3) .......................................................................................................... LJ Yes 1..^ I No

b Gain recognition under section 904(f}(5)(F) ............................................................................................... [—] Ye3 [S No

c Recapture under section 1503{d) ................................................................................................................ [—3 Yes LXJ No

d Exchange gain under section 987 ...................................................................................................................... I_I Yes L&J No

12 Did this transfer reauit from a change in the classification of the transferee to that of E| foreign corporation?....„....„.„ !—I Yes LSJ No



a Tainted property ........................................................................................................................................ i—I Yes LXJ No

b Depreciation recapture ................................................................................................................................... [ _ _| Yes i X.1 No

c Branch loss recapture ................................................................................................................................ I.........."! Yes | X.| No

d Any other income recognition provision contained in the above-referenoed regulations ........................................ I—i Yes USJ No

14 Did the transferor transfer assets which qualify for the trade or business exception under section 367(a)(3)? ........... !_i yes IX j No

15 a Did the transferor transfer foreign goodwiti or going concern vaSue as defined in Temporary Regulations sectionLD Yes 03 No1,367(a)-1T(d)(5}(iii)?.

b If the answer to line15aisHYes,"entertheamountof foreign goodwill or going concern value

transferred ^ $

16 Wascashtheoniy propertytransferred?.,.... „..^.„.„,„.„„,.„,,„„.„,........„...„.....„„.„„......................................... UU Yes !—I No

17 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the transaction? .„.„... I—f Yes I-XJ No

b !f "Yes," describe the nature of the rights to the Intangible property Ihat was transferred as a result of the

transaction:

Form 926 (Rev. 12-2013}

42463305-01-14

106

PUBLIC WELFARE FOUNDATIONE!N: 54-0597601


Statement Filed Pursua nt to Treas. Reg. Section 1.6038B"l(c)

and Temp. Ree. Section 1.60388-lT(c1


EIN: 54-0597601



(2) Name of Transferee: Rec Fashion Mali I

EJN: N/A IAddress: Rua Da Quitanda

No 86, Sala 401, Parte Centro

Rio Oe Janeiro, Brazil 20091-005

ICountry of Incorporation; Brazil

On December 31, 2014, Public Welfare Foundation transferred cash in the amount of $215,743

through CommonFund Strategic Solutions Real Estate Opp Fund 2011, LP to Rec Fashion Mali.

(3) No considerations received directly. Cash transferred indirectly through CommonFund Strategic

Solutions Real Estate Opp Fund 2011, LP resulting in a less than 10% ownership in PWP RE Fund

I! US Feeder LP c/o Saltgate LTD following transfer,




(iv) Property to be Seased: None


(vi) Transfers to FSCs; None



(ixj Other intangibles: None

en

s:>

Z: ^ ^ 3:>'>":> s>

FOKH(Rav. December 2013)Dopwtmont of the Trtaeury[nlerna! Revenue Service


^ Information about Form 926 and its separate instructions is at www.frs.gov/form926.^ Attach to your income tax return for the year of the transfer or distribution.

0MB No. 1546-002S


fl%!if} U,S. Transferor Information (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION/ INC.Identifying number (sKinsifoctionst

54-05976011 if the fransfsror was a corporation, complete questions 1 a through 1 d.

a if the transfer was a section 361 (a) or (b) transfer, vras the transferor controiied (under section 368(c)) by 5 or


b Did the transferor remain In existence after the transfer?

if not, list the controlling sharehoider(s) and their identifying numbers):

QYesLZJYes

No

D No


c if the transferor was a member of an affiliated group filing a consolidated return, was it the parent corporation? ..,..,.„ I—i Yes ULI No

If not, list the name and employer identificatton number (E!hi) of the parent corporation:

Name of parent corporation E1N of parent corporation

d Have basis adjustments under section 367(a)(5) been made? I_I Yes UU No

2 If the trsnsferor was a partner In a partnership that was the actual transferor (but is not treated as such under section 367), complete


a Ust the name and EIN of the transferee's partnership;

Name of partnership

CF GLOBAL DISTRESSED INVSSTORS. LLC

E1N of partnership

56-2676315b Didthepartnerplckupitsproratashareofgainonthetransferof partnership assets?.......,„..„„...„,....„..,.......„..„. I—J Yes L2L1 No

c Is the partner disposing of its entire interest in the partnership? ....................................................................... I—I Yes UiJ No

d Is the partner disposing of an interest In a limited partnership that is regularly traded on an estabiished

securities market? ..............................................^.......^^^^..........^^,........^ I—! Yes L&J No

ÔTIllH Transferee Foreign Corporation Information (see hstructions)


TK ARRANGEMENT BETWEEN VARDE MAURITIUS LIMITED AND MRC6


5 Address (including country)IZUMI GARDEN TOWER 12FLROPPO^GI MINATO-KU/ 1-6-1 JAPAN


6 Country code of country of incorporation or organizationJA


TTJ8 Is the transferee foreian corporation a controlled foreign corporation? Yes No

LHA For Paperwork Reduction Act Notice, see separate instructions,424S3105-01-M

Form 926 (Rev. 12-2013)

107

Form_926.(Rev_12-2013)_PUBLIC WELFARE FOUNDATION, INC. 54-0597601 paaezi?13'9tpjiljj informatioi

Type ofproperty

Cash

Stock and

securities



similar property


property denominated ]n

foreign currency

Inventory

Assets subject to



1.367(a).4T(b))

Tangible property used intrade or business not listed


intangible

property




.1.367(a)-4(c)),Property to be sotd

(as described in

Temp. Regs. sec.

1,367(g)-4T(d))Transfers of all and gas


described in Temp.

Regs. sec. 1.367(a)-4T(e)}

Other property

regarding Transfer of Property (see jnstructiore)

(a)Date oftransfer

L2/31/201-

tb».Description of

property

.(c)Fair market vaiue on

date of transfer~^

(d)Cost or other

basis

(e»Gain recognized on

transfer

Supplemental Information Required To Be Reported (see instructions):ON VARIOUS DATES/ PUBLIC WELFARE FOUNDATION, INC* TRANSFERRED CASH IN THEAMOUNT OF $49 TO TK ARRANGEMENT BETWEEN VARDE MAURITIUS LIMITED AND MRC6 GKIN TRANSFERS DESCRTBED UNDER ^RC SECTION 3517

42453%05-01-14

Form 926 (Rev. 12.2013}

108

Form 926 (Rev. 12-2013) PUBLIC WELFARE FOUNDATION, INC. 54--0597601 page3l^^l^ll^] Additional Information Regarding Transfer of Property (see instructions)

9 Enter the transferor's interest in iho foreign transferee corporation before and after the transfer;

(a) Before .0083 % (b) After .0083 %

10 Type of non recognition transaction (see instructions) ^- ^.KC_ SECTION 351

11 Indicate whether any transfer reported In Part HI is subject to any of the following:

a Gain recognition under section 904®(3) ...................................................................................................... !_I Yes S Xi No

b Gain recognition under section 904(f)(5)(F) ........................................................................................................ I_I Yes \ X I No

c Recapture under section 1503(d} ................................................................................................................ i_J Yes 1..A.I No

d Exchange gain under section 987 ................................................................................................................... !_I Yes I X,,| No

12 Did this transfer result from a change in thociasslfjcation of the transferee to that of a foreign corporation?.„.„„.„„.. I_i Yes I X.l NO

13 indicate whether the transferor was required to recognize income under final and Temporwy Regulations sections

1.367fa)-4 through -i .367(a)-6 for any of the foliowing;

a Tainted property ...................................................................................................................................... S_I Yes 1. X j No

b Depreciation recapture .................................................................................................................................. I_I Yes I..X! NO

c Branch loss recapture ........................................................................................................................... I_i Yes L-XJ No

d Any other income recognition provision contained fn the above-referencedreguiations ,...........„„,.,..,.......„,.„.......... I_i Yes l.Xj No

14 Did the transferor transfer assets which qualify for Ihe trade or business excsption under section 367(a}(3)'? ............ I_I Yes LXJ No


1.367(a).1T(d)(5)(iii)?...................„.„..„„..,„,......„.......,...,..,...........,.„„,,,,...„„..,„...„.......„.„ C-l Yes EJ No


transferred ^ $

16 Was cash the only property transferred?...,„.„...„„........,..„..„,„„.,.„.,...„...„.............„......................„„„,.„„.......... I XJ Yes I—I No

17 a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the transaction? „.....„ I_I Yes I Ai No

b \f "Yes," describe the nature of the rights to the intangible property that was transferred as a result of the

transaction;

Form 926 (Rev. 12-2013)

f2't53305-01-14

109


STATEMENTAHACHEDTOAND MADE PART OF INCOME TAX RETURNFOR TAXABLE YEAR-ENDED SEPTEMBER 30, 2015

Statement Filed Pursuant to Treas. Reg. Section 1.^^

and Temp. Reg. Section 1.6038B-lT{c)

(1) Name ofTransferor: Public Welfare FoundationEIN: 54-0597601



(2) Name of Transferee: TKArrangement Between Varde Mauritius Limited and MRC6GK

EIN:N/AAddress: Izumi Garden Tower, 12FL

1-6-1 Roppongi Minato-KU


On December 31, 2014, Public Welfare Foundation transferred cash in the amount of $49

through CommonFund Global Distressed Investors, LLC to TK Arrangement Between Varde

Mauritius Limited and MRC6GK,

(3) No considerations received directly. Cash transferred indirectly through CommonFund Global

Distressed Investors, LLC resulting in 9 less than 10% ownership in TK Arrangement Between

Varde Mauritius Limited and MRC6 GK following transfer.




(tv) Property to be leased: None




(viii) Foreign loss branch: Mane



(6) N/A

Fortn

(Rev. Decombw 2013)Deparlment of itio TreasuryInurna) Revenue Service


^- Information ^bout Form 926 and its separate instructions IB at www.lrs.gov/form92B.

^- Attach to your income tax return "for the year of the transfer or distribution.

0MB No. 1546-OOSG

AHachmentSoquBllCB No,

IR'art^l U.S. Tânsferor Information (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION, INC.Identifying number [sea [nsîioss}

54-05976011 [f the transferor was a corporation, compteta questions 1 a throuoh 1 <^-

a If the transfer was a section 361 (a) or (b) transfer, was the Iransferor controlled (under section 368(c)) by 5 or

fewer domestic corporations?,,..„......................„,................................................„...........„................................. LJ Yes I X j No

b Did the transferor remain in existence after the transfer? .... ........................ .............._........._.._ .........._. 1...-&'-1 Yes I—i No

If hot, list the controlling shareholders) and the!r identifying number(s):


if the transferor was a member of an affiliated group filing a. consolidated return, was it the parent corporation?

if not, list the name and employer identilication number (EIN) of the parent corporation;

I_I Yes LXJ No


Have basis adjustments under section 367(a}(5) been made? .............................................................................. S—I Yes LXJ No

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367), complete


a List the name and EIN of the transferor's partnership;


CF GLOBAL DISTRESSED INVESTORS, LLC | 56-2676315b Didthepartnerpickupitsproratashareofgainonthetransferof partnership assets?.....,..,..„......„„.„,..,.„.„.,....„. L^J Yes

Is the partner disposing of its entire interest In the partnership?1—(i_I Yes

Is the partner disposing of an interest in a iimlted partnership that is regularly traded on an established

securities market? a Yes_

J^JNoS No

S No11?3rtlllf{ Transferee Foreign Corporation Information (see instructions)3 Name of transferee (foreign corporation)

TK ARRANGEMENT BETWEEN VAKDE MAURITIUS LIMITED AND MRC6

4a Identifying number, Ef any

5 Address {including country)IZUMI GAKDEN TOWER 12FLROPPONGI MINATO-KU, 1-6--1 JAPAN


6 Country code of country of incorporation or organizationJA

7 Foreign law characterization (see instrLicstlons)CORPORATION

1ST TH8 Is the transferee foreign corporation a controlled.foreign corporation? Yes No

LHA For Paperwork Reduction Act Notice, see separate instructions,42463106-01-11

Form 926 (Rev. 12-2013)

110

Form 926 (Rev. 12-2013) PUBLIC WSLFARE FOUNDATION, INC. 54-0597601 pagesiBarf^l Inform atioi

Type ofproperty

Cash

Stock and

securities

installment obligations,

account receivafaies or

similar property


property denomlhatecf in

foreign currency

Inventory

Assets subject to


(see Temp. Regs. sec,

1.367(a)-4T(b))

Tangible property used in

trade or business not listec


intangible

property


and temp, Regs. sec.

1.367(a)-4(c})

Property to be so!d

(as described in

Temp. Regs. sec.

1.367(a)-4T(d))Transfers of oil and gas


described in Temp.

Regs, $eic. 1.367(a)-4T(e))

Other property


(a)Date oftransfer

1/01/20K

(b).Description of

property

(clFair market value on

date of transfer

2/247,

(d)Cost or other

basis

(6)Gain recognized on

transfer

Supplemental Information Required To Be Reported (see instructions):ON 1/1/14, PUBLIC WELFARE FOUNDATION. INC* TRANSFERRED REAL ESTATE IN THEAMOUNT OF $2/247 TO TK ARRANGEMENT BETWEEN VARDE MAURITIUS LIMITED AND MRC6GK IN TRANSFERS DESCRIBED UNDER ZRC SECTION 351.

42453205-01-1-t

Form 926 (Rev. 12-2013}

Ill

Form 926 fRev. 12^0131 PUBLIC WELFARE FOUNDATXON, INC. 54-0597601 paae3i^N^l^ Additional Information Regarding Transfer of Property (see Enstnjcttons)

9 Enter the transferor's interest in the foreign transferee corporation before and after the transfer: j

(a) Before * 0083 % (b) After .0083 %

10 Type of nonrecognition transaction (see instructions) ^- XRC SECTION 351 _ |

8

11 Indicate whether any •trartsfer reported in Part [I! is subject to any of the following; _ _ |

a Gain recognition under section 904(f}(3) ............................................................................................................ I—i Yes LXJ No

b Gain recognition under gecstjon 904(f)(5)(F) ...........,.._.............................„,.,,..„,,.........„.....„.........,............„........ d Yes S3 No

c Recapture under section 1503(d) .................................................................................................................... I—1 Yes UU No

d Exchange gqin under section 987 ....................................................................................................................... 1 ...J Yes DU No I

12 Did this transfer resuit from a change in the claasillcation of the transferee to that of a foreign corporation?..,.^,,,..... I_J Yes L&J No |

F13 Indicate whether the transferor was required to racognlze fncome under final and Temporary Regulations sections J

1,367(a}4 through 1 -367(a}.6 for any of the following: _ _ j|

a Tainted property .......................................................................................................................................... L—j Yes U5J No |

b Depreciation recapture ............................................................................................................................. L—i Yes LJLI No |

c Branch toss recapture ............................................................................................................................ I..., J Yes ULJ No id Any other income recognition provision contained in Vne above-referenced regulations ......................................... f—1 Yes LAJ No |

14 Did the transferor transfer assets which qualify for the trade or business exception under section 367(a)(3}? ............ i—lYes LJU No |

15 a Did the transferor transfer foreign goodwill or going concern value as deElnect in Temporary Regulations section

1,3e7(a).1T(d)(5)Oil)?,...............................................................................................................^ [—I Yes [Xl No I

I!


transferred ^ $

i16 Wascashtheonly propertytransferred? .,.,.„.„...„„,..„.„....„......„.,.........„„„...,......„.„,.,..„„„.........„.................. I—I Yes LXJ No |

17 a Was Intangible property (within the meaning of section 936(hX3)(B)) transferred as a result of the transaction? _„.... I—I Yes L&J No


transaction:

Form 926 (Rev. 12-2013)

42453:105-01-U

112

PUBLIC WELFARE FOUNDATIONJNC.EIN: 54-0597601


Statement Filed Pursuant to Treas. Res. Section 1.6038B-l{cl

and Temp. Reg. Section 1.6038B-lT(c)

(1) NameofTransferor: Public Welfare Foundation

E1N: 54-0597601



(2) Name of Transferee: TK Arrangement Between Varde Mauritius Limited and MRC6GK

EfN: N/A

Address: Izumi Garden Tower, 12FL

1-6-1 Roppongi M!nato"KU


Pubiic Welfare Foundation transferred real estate in the amount of $2/247 throughout the year

through CommonFund Global Distressed Investors, LLC to TK Arrangement Between Varde

Mauritius Limited and MRC6 GK.

The following list is the breakdown of the transfers made throughout the year; and totaled

above.


$ 2,247

$ 2,247

(3) Mo considerations received directly.

(4) Real estate transferred indirectly through CommonFund Global Distressed Investors, LLC

resulting in a less than 1% ownership in TK Arrangement Between Varde Mauritius Limited

and MRC6 GK following transfer.

(i) Active trade or business property; None




(v) Property to be sold; None





(5) (i) N/A(ii) M/A

(iii) N/A(iv) N/A

(6) M/A

Form(Rev. December 2013)Department oElha TreasuryIfUwial Revenue Swvlw


^ Information about Form 926 and its separate instructions is at www,lrs.gov/form9&B.


OM8 No. 1645-0026

AtlachmentSGquanco Nd.

|IIaa?li U.S. Transferor Information (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION/ INC.identlfyino numberÊeinsxucunni)

54-05976011 If the transferor was a corporation, complete questions 1a through 1d.

a If the transfer was a section 361 (a) or (b) transfer, was the transferor conlrolied (under section 368(c)) by 5 or



if not, list the controlling shareho[der(s) and their identifying numbers):

D Yes [13 NoYes D No


c If the transferorwas a member of an affiliated group filing a consolidated return, was It the parent corporation?......... I_I Yes LXJ No

If not, list the name and employer idsntKicatlon number (EIN) of the parent corporation:


d Have basis adjustments under section 367(a)(5) been made? ........................................................................... i_I Yes LXJ No

2 if the transferor was a partner En a partnership that was the actual transfsror (but Is not treated as such under section 367), comptete


a List the name and £!N of the transferor's partnership:

Name of partnership El N of partnership

b Did the partner pick up its pro rata share of gain on the transfer of partnership assets?

c Is the partner disposing of its entire interest in the partnership?

d is the partnar disposing of an interest In a limited partnership that is regularly traded on an established

securities .market?

lîrfM Transferee Foreign Corporation Infor'mation [we instruction^3 Name of transferee (foreign corporation)

ALL BLUE LTD.5 Address Qnciudlng country)

P.O. BOX 309, UGLMED HOUSEGRAND CAYMAN / KYl-1104 CAYMAN ISLANDS

LJ Yes EJU NoE_| Yes [X] No

[_] Yes DO No..



6 Country code of country of incorporation or organizationCJ


8 is the transferee foreiffn corporation a controlled foreign corporation? J_J Yes LXJ NoLHA For Paperwork Reduction Act Notice, see separate Instructions.42453105.01-14

Form 926 (Rev. 12-2013)

113

Form_926 (Rev. 12.2013) PUBLIC WELFARE FOUNDATXON, INC. 54-0597601 paae2?anrfHI!| Informatior

Type ofproperty

Cash

Stock and

securities



similar property


property derominated in

forefgn currency

Inventory

Assets subject to



1.367(a)4T(b)}Tangible property used in



Intangible

property



1.367(at-4(c))

Property to be sold

(as described in

Temp. Regs. sec,

1.367(a)-4T(d))



described in Temp.

Regs. sec. 1.367(a)-4T(e))

Other property


(a)Date oftransfer

n/02/201'

(b)Description of

property

(0}Fair market value on

date of transfer

10/000,000

(djCost or other

basis

(ejGain recognized on

transfer

Supplemental Information Required To Be Reported (see instructions):ON 1/2/2015, PUBLIC WELFARE FOUNDATION, INC. TRANSFERRED CASH IN THE AMOUNTOF- $107000, 000 rFO~ALL BLUE LTD. IN TRANSFERS DESCRIBBD UNDER IRC SECTION3?T7

424G3e05-D1-U

Form 928 (Rev. 12-2013}

114

Form926(Rev,l2.20l3) PUBLIC WELFARE FOUNDATION, INC. 54-0597601 pages|^gart|^| Additional Information Regarding Transfer of Property (see instructions)

9 Enter the transferor's interest in the foreign transferee corporation before and after the transfer:

(a) Before * 0 0 00^ % (b) After .1400%

10 Type of nonrecognition transaction (see Instructions) )^ IRC SECTION 351

11 Indicate whether any transfer reported in Part ill issufajocttoanyofthefoitowing:

a Gain recognition under section 904(f)(3) .............................................................................................................. C-] Yes Dtf No

b Gain recognition under section 904(f)(5)(F) ..................................................................................................... I1 Yes [X]No

c Recapture under section 1503(cf) ................................................................................................................... I_I Yes l_Xi No

d Exchange gain under section 987 .............................................................................................................. I_I Yes L.X I No

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation?............. [—..] Yes I..X,,| NO

13 Indicate whether th9 transferor was required to recognize income under final and Temporary Regulations sections

1.367(a)-4 through •I.367(a}.6forgny of the foliowing:

a Tainted property ............................................................................................................................................ I_i Yes IXI No

b Depreciation recapture .................................................................................................................................. I_I Yes I..AJ No

c Branch ioss recapture .................................................................................................................................... !—i Yes ! X | No

d Any other income recognition provision contained En the above-referenced regulations .......................................... I—i Yes I X| Mo

14 DEd the trgnsferor transfer assets which quaijfy for the trade or business exception under section 367(a)(3)? ........... I_J Yes USJ No

15 a Did the transferor transfer foreign goodwill or going concern value as defined !n Temporary Regulations section

1.367(a)-1T(d)(5)(iii)7...,...............................................................................................^ Q Yes DQ No

b if the answer to line 15a Is "Yes," enter the amount of foreign goodwill or going concern value

transferred ^ $

18 Wascashtheonly property transferrsd?^^^,,,„.,^^^,^.^.^^^^^,^,^^^^^,,,^^^^,,,^,.,^^,,^.,.^^^^ ,^^^,^^^,^, LX I Yes i_i No

17a Was intangible property (within the meaning of section 936(h)(3}(B)} transferred as a result of the transaction? .__.. (_! Yes I XJ No

b If "Yes," describe the nature of the rights to Ihe intangible property that was transferred as a result of the

transaction;

Form 926 (Rev. 12-2013)

42453305-01-m

115



Statement Ftled_Pursyant_toTreas^Reg, Section 1.6038B-l(c)

and Temo. Reg. Section l,6038B-lT(c)

(1) Name ofTransferor: Public Welfare Foundation

E1N; 54-0597601



(2) Name of Transferee: AllBlueLTD

E IN: M/AAddress: P.O. Box 309

Ugiand House

Grand Cayman KY1-1104

Cayman Islands

Country of incorporation:

On January 2, 2015, Public Welfare Foundation transferred cash in the amount of $10,000,000

through CFAIiBIue LTD.

(3) No considerations received directly. Cash transferred indirectly through CF AH Blue, LTD

resuitingina less than 10% ownership in AllBlue LTD following transfer.




(iv) Property to be leased; None




(viii) Foreign toss branch: None

[ix) Other intangibles: None

z>

2 Z Z Z> > >~ >'

926(Rev. DecwnW 3013)Dgpaiimenl of \h9 TfeasuryInternal Revenue Ser/fcg

Return by a U.S. Transferor of Propertylo a Foreign Corporation

^ Information about Form 928 and its separate Instructions is at www.irs.gov/form926.^ Attach to your income tax return for the year_of the transfer pr_ distribution.

0MB No. 1545-0026

AttachmwiSequence No.

^srt^l U.S. Transferor Information (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION, INC.Identllyine numIierêiûcBiinsi

54-05976011 If the transferor was a corporation, complete questions 1 a through 1 d.

a If the transfer was a section 361 (a) or (b) transfer, was the transferor controlled (under section 368(c}) by 5 or


b Did the transferor remain in existence after the transfer? „,

If not, iist the controlling sharehoider(s) and their Identifying number(s):

Dyes[X] Yes

JU NoQ No


c Ifthetransferorwasamemberofqn affi!!ated group filing a consoitdafed return, was it ihe parent corporation?......... I—! Yes

If not, list the name and employer identlflcation number (EiN) of the parent corporation:

ULJNo

Name of parent corporation E1N of parent corporation

d Have basis adjustments under section 367(a)(5) been made? ....................................................................... 1—I Yes Mo



a List the name and E!N o{ the transferor's partnership;

Name of partnership EEN of partnership

1_I YesD Yes

b Did the partner pick up its pro rata share of gain on the transfer of partnership easets?

c is the partner disposing of Its entire interest In the partnership? ,,,

d Is the partner disposing of an interest in a limited partnership that Is regularly traded on an established

securities market? ... a Yes

-XJNo

S] No

S No(RsMlfl Transferee Foreign Corporation Information (see instructions)3 Name of transferee (foreign corporation)

BRIGADE LEVKRAGED CAPITAL STRUCTURES OFFSHORE LTD,


9610203305 Address (including country)98 NEXUS WAYCAMANA BAY, KYl-9007 CAYMAN ISLANDS

4b Reference iD number

6 Country code of country of Incorporation or organizationCJ


,,_LJ Yes8 Is the transferee foreign corporation a controlled foreian corporation? No

LHA Fof Paperwork Reduction Act Notice, see separate instructions.42^53105-01-14

Form 926 (Rev. 12-2013)

116

fomi926 (Hev,1_2.20l3) PUBLIC WELFARE FOUNDATION, INC. 54-0597601 page21-R^l^ Informatio

Type ofproperty

Cash

Stock and

securities

installment obligations,


similar property


property denominatsd in

foreign currency

Inventory

Assets subject to


(see Temp, Regs. ssc.

1.367(a)-4T(b))Tangible property used in

trade or business not lisiei


Intangible

property


[as described in final


1.367(a).4(c})

Property to be sold

{as described in

Temp. Regs. sec.

1.367fa).4T(d))



described in Temp.

Regs, sec. 1.367(a).4T(e))

Other property


(a)Date oftransfer

)l/02/201t

tblDescription of

property

.(G)Fair market value on

date of transfer10/000,000

(d)Cost or other

basis


transfer

Supplemental Information Required To Be Reported (see instructions):ON 1/2/2015, PUBLIC WELFAR3E FOUNDATION, INC. TRANSFERRED CASH IN THE AMOUNTOF ^TO/000,000 TO BRIGADE LEVERAGED CAPITAL STRUCTURES OFFSHORE LTD.TRANSFERS DESCRIBED UNDER IHC SECTION 351.

ItT

42453205-01-14

Form 926 (Rev. 12-2013)

117

Form 926 (Rev. 12.20131 PUBLIC WELFARE FOUNDATION/ INC. 54-0597601 pgae3|;Rariti!Vj Additional Information Regarding Transfer of Property (see tnatructions)

9 Enter the transferor's interest In the foreign transferee corporation before and after the transfer:

(a) Before • 0000 % (b) After .6300 %


1't Indicate whether any transfer reported in Part III is subject to any of the following:

a Gain recognition under section 904(f}(3) ........................................................................................................... I_I Yes I X! No

b Gain recognition under section 904(f)(5)(F) ...................................................................................................... LJ Yes i .X..I No

c Recapture under section 1503(d} ................................................................................................................. t_I Yes I X,,| No

d Exchange gain under section 987 ................................................................................................................ 1_i Yes I XJ No

•12 Did this transfer resu!t from a change in the classification of the transferee to that of a foreign corporation?............... I—} Yes IXJ No

13 Indicate whether the trsinsferorwas required to recognize Income under fjnai snd Temporary Regulations sections

•i .367(a)-4 through 1,367(a)-6 for any of the following:

a Tainted property ......................................................................................................................................... 1_I Yes LX I No

b Depreciation recapture ..................................................................................................................................... i_I Yes US I No

c Branch loss recapture ................................................................................................................................ I_I Y&s LA. J No

d Any other income recognition provision contained in the above-referenced regulations ........................................... i—i Ves L&J No

14 Did the transferor transfer assets which qualify for the trade or business exception under section 367(a)(3}? ............ I_I Yes I A I Ho

16 a Did the transferor transfer foreign goodwill or going concern value as defined In Temporary Regulations section

1.367(a)-1T(d)(5}(iiQ?...,.......,.......,,....._,....,.,....„„....,.,....„„„..„.„.„,...„...„.,..,,„„„....,„.„ D Yes \S] No


transferred ^ $

16 Was cash the only property transferred?..,.........„,......................„........„....„„.„„.......„........„.„.....,.,........„„.„...... LAJ Yes i—I No

17a Was intanglbfe property (within the meaning of section 936(h](3)(B)) transferred as a result of the transaction? ......... I_I Yes l..-?U No

b If "Yes," dsscribeths nature of the rights to the intangible property that was transferred as a result of the

transaction:

Form 926 (Rev. 12.2013}

42453305-01-10

118



Statement Ftled Pursuant to Treas. Re^. Section 1.6038B"lfcl

and Temo. Reg. Section 1.6038B-XT(c1




(2) Name of Transferee: Brigade Leveraged Capital Structures Offshore LTD

EIN: 98-1020330

Address: 89 Nexus Way

Camana Bay

Grand Cayman KY 1-9007

Cayman Islands

Country of incorporation:

(3) On January 2, 201S, Public Welfare Foundation transferred cash in the amount of $10,000,000

through CF Brigade Leveraged Capita) Structures Offshore LTD.

(4) Mo considerations received directly. Cash transferred indirectly through CF Brigade Leverage

Capital resulting in a less than 10% ownership in Brigade Leveraged Capital Structures Offshore

LTD following transfer.







(vii) Tatnted property: None


(ix) Other intangibles; Mone

CT>

^ -y. -ZL -Z.

>~ > > >

Fwm(Rw,Dei;embw2013)Depa/tmenl of the TfaasufyInSemal Revsnue Senrics


^ Information about Form 926 and its separate instructions is at www.irs.gov/form9Z6.^ Attach to your income tax return for the year of the transfer or distribution.

0MB No. 1545-0026

Attach man i:Sequence No.

ilRait^^l U,S. lYansferor [nformation (see instructions)Name of transferar

PUBLIC WELFARE FOUNDATION/ INC.Identifying nymbsrjseifnûetions)

54-05976011 If the transferor w^9 a corporation, complete questions 1 a through 1 d.

a If the transfer was a section 361 (a) or (b) transfer, was the transferor controlled (under section 368(c)) fay 5 or



If not, list the controlling sharehoider(s) and their identifying number(s):

D Yes QQ NoS] Yes D No


c If thetransferGr'wssamemberofanaffiliatecf group tiling a consoiidat^d return, was stthe parent corporation? „..„.,. I_I Yes LXJ No

if not, [1st the name and employer identification number (ESN) of ths parent corporation:

Name of parent corporation BIN of parent corporation

d Have basis adjustnnents under section 367(a)(5) been made? I_I Yes UL1 No

2 IF the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367), complete


a Listthe name and EIN ofthetrgnsferor's partnership:



c Is the partner disposing of Its entire Interest in the partnership?

d Is the partner disposing of an interest in a limited partnership that !s regularly traded on an established

securities market?

I_I Yes LXJ NoD Yes DO No

a Yes No|^''eir^l^l Transferee Foreign Corporation Information (see instructions)


HUDSON BAY INTERNATIONAL FUND LTD

4a Identifying numberjf any

96-12943515 Address (including country)

WALKER HOUSE/ 87 MARY STREETGEORGE TOWN , KYl-9005 CAYMAN ISLANDS




8 Is the transferee foreign corporation a controlled foreigncorporation? !_! Yes LXJ.No_

LHA Fof Paperwork Reduction Act Noticet see separate instructions.424531OG-01-14

Form 926 (Rev. 12-2013)

119

Form 926 (Rev. 12.2013) PUBLIC WELFARE FOUNDATION/ INC. 54-0597601 paae2?rtW Informatioi

Type ofproperty

Cash

Stock and

securities



similar property


property denomlnated in

foreign currency

Inventory

Assets subject to


[see Temp, Regs. see.

1.36Z{ai-4T(b))Tangible property used in



intangible

propsrty

Property to be leased(as described In fjna!


1,367(a).4(c))Property to be so!d

(as described in

Temp. Regs. sec.

1.367(a).4T(d})Transfers of oil and gas


described in Temp.

Regs. sec, -(.367(a)-4T(e))

Other property


(a)Date oftransfer

31/02/201!

(b).Description of

propsrty

{a}Fair market value on

date of transfer

10,000,000

wCost or other

basis

(e»Gain recognized on

transfer

Supplemental Information Required To Be Reported (see instructions):ON 1/2/2015, PUBLIC WELFARE FOUNDATION, INC. TRANSFERRED CASH IN THE AMOUNTOF $10,000,000 TO HUDSON BAY INTERNATONAL FUND LTD. IN TRANSFERS DESCRIBEDUNDER IRCÊCTION-351T

42453205.D1-14

Fonn 926 (Rev. 12-2013)

120

Form 926 (Rev. 12-2013) PUBLIC WELFARE FOUNDATION, INC. 54-0597601 paae3|13a!tpV|i Additional information Regarding Transfer of Property (see instructions)9 Enter the transferor's interest in the foreign transferee corporation before and after the transfer;

(a) Before _,_^0_000 % (b) After •,410_0_%

10 Type of nonrecognitlon transaction (seo instructions) ^ IRC SEIC_rElIQN35 1

11 indicate whether any transfer reported In Part lil is subject to any of the folfowing;

a Gain rscognition under section 904(f}(3) ............................................................................................................. i—1 Yes LAJ No

b Gain recognition under section 904(f}(5)(F) ..................................................................................................... i_i Yes LXJ No

c Recapture under section 1503(d) .................................................................................................................. LJ Yes LXJ No

d Exchange gain under seclion 987 ..................................................................................................................... i—i Yes LHJ No

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation? .......„..„,. I_I Yes I-XI No

13 Indicate whether the transferor was required to recognize income under final and Temporary Reguiations sections

1,367(a}-4 through 1,367(a)-6 for any of the fo!!owhg:

a Tainted property ...................................................................................................................................... 1—I Yes IA..I No

b Depreciation recapture .....„„....._..................................._...............„............................................._........................ !—I Yes LAJ No

c Branch loss recapture .......................................................................................................................................... i_I Yes LAJ No

d Any other income recognition provision contained In the above-referenced regulations .......................................... S—1 Yes l-AJ No

14 Did the transferor transfer assets which qualify for the trade or business exception under section 367(a)(3)? ........:.., I_t Yes LXJ No


1.367[a)-1T(d)(5)(iii)?...,..,...,...„..................,....„,,....„„,.„..,.,.....................................,.......^ l—f Yes [Xl No

b If the answer to line 15a is "Yes," enter the amount of foreign goodwll! or going concern vafue

transferred ^ $

16 Was cash the oniy property transferred?........,.....................................„...................„„..............„,.....„.................. l.X i Yes !—I No

17a WRS intangible property (within tho meaning of section 936(h)[3](B)) transferred as a result of the transaction? ......... LJ Yes IX I No

b If "Yes," describe the nature of the rights to the intangible property that was transfef-red as a result of the

transaction:

Form 926 (Rev. 12.2013)

424533OS-Dt-U

121

PUBLIC WELFARE FOUNDATIONE!N: 54-0597601


Statement Filed Pursuant to Treas. Reg. Section 1.6038B-l(c)

and Temp. Reg. Section 1.6038B"lT(c)




(2) Name of Transferee: Hudson Bay international Fund LTD

EIN: 98-1294351

Address: Walker House, 87 Mary Street |

George Town, a KY1-9005 tI

Country of Incorporation: II

(3) On January 2, 2015, Public Welfare Foundation transferred cash in the amount of $10,000,000 f

through CF Hudson Bay International Fund LTD.

(4) No considerations received directly. Cash transferred indirectly through CF Hudson Bay

International resulting in a less than 10% ownership in Hudson Bay International Fund LTD

following transfer,




(iv) Property to be ieased: None



(vil) Tainted property: None




(7) N/A

Form(Rev. December 2013}Depailmant of the TreasuryInlema! Re vs nuo Sen/tea

Return by a U-$. Transferor of Propertyto a Foreign Corporation

^ Information about Form 92.G and Its separate Instructions is at www.iis.gov/form926.

^- Attach to your income tax return for the year of the transfer or distribution.

0MB No. 1545-OU26

AltachmeniSequence No.

^SjrEOIIIII U.S. Transferor Information (see instructions)Name of transferor

PUBLIC WELFARE FOUNDATION/ INC.Identifying number (see msuueHons)

54-0597601If the transferor was a corporation, complete questions 1a through Id.

If the transfer was a section 361 (a) or (b) transfer, was the transferor controlled (under section 368(c)) by 5 or


Did the transferor remain in existence alter the transfer?

(f not, list the controSiing shareholder(s) and their identifying number(s);

Q YesJLJY6S

J<JNOD No

Controlling shareholder Identrfying number

c If the transferor was a mennbsr of an affiliated group ffling a consolidated return, was it the parent corporation? „..„... I—I Yes LAJ No

If not, list the name and employer [dentifioation number (EIN) of the parent corporation:


d Have basis adjustments under section 367(a)(5) been made? I_I Yes ULI No


questions 2a through 26,

a List the name and EIN of the transferor's partnership:



c is the partner disposing of its entire interest in the partnership?

d Is the partner disposing of an Interest In a limited partnership that is regularly traded on an established

securities market?

!_I Yes

D Yes

DYes

LXJNo-Xl No

JtlNoâ]rtt1l^| Transferee Foreign Corporation Information (see instructions)


WESTERN ASSET MACRO OPPORTUNITIES PORTFOLIO LTD


5 Address (Including couniry)190 ELGIN AVENUEGEORG3S TOWN , KYl-9005 CAYMAN ISLANDS



7 Foreign law characterization (see instructions}CORPORATION

138 Is the transferee foreign corporation a contralied foreign corporation?. Yes No

LHA For Paperwork Reduction Act Notice, see separate instructions.'12453105-01-14

Form 926 (Rev. 12.2013)

122

Form 926 (Rev. 12-2013) PUBLIC WELFARE; FOUNDATIOEL INC. 54-0597601 page2j1?arm informatio

Type ofproperty

Cash

Stock and

securities



similar property


property denominatecf in

foreign currency

Inventory

Assets subject to


(see Temp. Regs. see.

1.367(a)-4T(b))Tangible property used in



Intangible

property

Property to b& [eased

(as described tn final

and lemp. Regs, sec.

1.367(a)-4(c))Property to be sold

(as described in

Temp. Regs. sec.

1.367(a).4T(d))Transfers of oil and gas


described In Temp.

Regs. see. 1.367(a)-4T(e})

Other property


(a)Date oftransfer

L2/31/201^

<b).Description of

property


date of transfer10/000/000

(d)Cost or other

basis


transfer

Supplemental Information Required To Be Reported (see instructions):ON 12/31/2014, PUBLIC WELFARE FOUNDATION/ INC. TRANSFERRED CASH IN THEAMOUNT OF $10/000,000 TO WESTERN ASSET MACRO OPPORTUNITIES PORTFOLIO"LTD.IN TRANSFERS DESCRIBED UNDER IRC SECTION 351.

424532OEi-01-U

Form 926 (Rev. 12-2013)

123

Form 926 (Rev. 12-20131 PUBLIC WELFARE FOUNDATION, INC. 54-0597601 paoe3|15aJrÎV^| Additional Information Regarding Transfer of Property(see Enstructions)

9 Enter the transferor's Interest In the foreign transferee corporation before and after the transfer;

(a) Before <0000 % (b) After _ 12. 8400 %

10 Type of nonrecognition transaction (see fnstructions) |^ IRC SECTIOIT 351

11 indicate whether any transfer reported in Part III is subject to any of the foliowing:

a GsEn recognition under section 904(0(3)....................................................................................................... 1—I Vss l-.-^l No

b Gain recognition under section 904(f)(5)(F) ...................................................................................................... LJ Yes iJLJ No

c Recapture under section 1503(d) .................................................................................................................... LJ Yes LAJ No

d Exchange gain under section 987 .................................................................................................................. i—i Yes LAJ Mo

12 Did this transfer result from a change In the classification of the transferee to that of a foreign corporation? .....,.,.,..... I—J Yes L&J No

13 indicate whether Ihe transferor was required to recognize income under finsi and Temporary Regulations sections

1.367(a}.4 through 1.3S7(a}.6 for any of the following:

a Tainted property „............_._.._.....................................„.....„.....................„..............„.................,.......„..„....,...... I—I Yes I X.l No

b Depreciation recapture .................................................................................................................................. L. I Yes I XJ No

c Branch loss recapture .................................................................................................................................. 1, J Yes LXJ No

d Any other income recognition provision contained in the above-referenced reguiafions ............................................ S—i Yes L&J No

14 Did the transferor transfer assets which qualify for the trade or business exception under section 367(a)(3)? ....„„.... I—i Yeg DLI No

15 a Did ihe tr^nsferor transfer foreign goodwill or going concern value as defined in Temporary Regulations section

^^W^T(f^W....^^,.^.,^....,..,,,.,....^..^.^.^^,^,....^.^..^._.^.,_....^^.^.................^_..,....^^^^^ F-lYes CX| NO

b !f the answer to line 15a is "Yes," enter the amount of foreign goodwill or going concern value

transferred ^ $

16 Was cash the only property transferred?....„......„.„.„„.....,.,„....,.„„............„„„......„.....„................„........,.....,.„„. l^J Yes I—I No

17a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the transaction? ......... !—I Yes LXJ No

b )f "Yss," describe the nature of the rights to the Intangible property that was transferred as a result of the

transaction:

Form 926 (Rev. 12-2013)

42453305-01-14

124

PUBLIC WELFARE FOUNDATION

EiN: 54-0597601

STATEMENT ATTACHED TO AND MADE PART OF INCOME TAX RETURN

FOR TAXABLE YEAH ENDED 9/30/2015

STATEMENT FILED PURSUANT TO TREAS,_REG. SECTION X.351-3(A1

BY PUBLIC WELFARE FOUNDATION, 54-0597601, A SIGNIFICANT TRANSFEROR

(1) NAME AND EfN OF TRANSFEREE CORPORATION;

(2) DATE OF TRANSFER:

(3) AGGREGATE FMVOF PROPERTY TRANSFERRED:AGGREGATE BASIS OF PROPERTY TRANSFERRED:

(4) DATE & CONTROL NUMBER OF ANY PRIVATELETTER RULING ISSUED BYTHE INTERNAL REVENUESERVICE:

Western Asset Macro

Opportunities Portfolio Ltd.

El N: N/A

12/31/2014

$10,000,000$10/000,000

N/A

j

PUBLIC WELFARE FOUNDATfONEIN: 54-0597601


Statement Filed Pursuant to Treas. Reg. Section L6038B-l(d

and Temo. ReR. Section 1.6038B-lT(c)

(1) Manne oflransferor: Public Welfare Foundation

EIN: 54-0597601


Washington/ DC 20009-4443

(2) Name of Transferee; Western Asset Macro Opportunities Portfolio, LTD

EIN: N/AAddress: 190 Elgin Avenue

George Town, 0 KY1-9Q05

Country of Incorporation:

(3) On December 31, 2014j Public Welfare Foundation transferred cash in the amount of

$10,000,000 through Western Asset Macro Opportunities Portfoiio, LTD.

(4) No considerations received directly. Cash transferred indirectiy through Western Asset Macro

Opportunities Portfolio, LTD.

(5} (I) Active trade or business property: None









(6) (i) N/A

z>^

Z 2 Z>^ > >

Documents

Q408A C]530(a] 523000 WASHINGTON, DC 20009-4443 Il529(a ... · Add lines 14 through 28 ... LPJ_A Application Is For Form 990 or Form 990-E2 Form 990-BL form 4?20_{["dlyldual)