r- t990s.foundationcenter.org/990pf_pdf_archive/954/... · 2017-06-21 · r- t 990^PF Return of Private Foundation OMBNo 1545-0052 Form or Section 4947(a)(1) Nonexempt Charitable

r- t

990^PF Return of Private Foundation OMB No 1545-0052

Form or Section 4947( a)(1) Nonexempt Charitable Trust

201 1Department of the Treasury Treated as a Private FoundationInternal Revenue Service Note . The foundation may be able to use a copy of this return to satis fy state report in g requirements

For calendar y ear 2011 or tax y ear be g inning , 2011 , and ending , 20

Name of foundation A Employer Identification number

THE DAVID GEFFEN FOUNDATION 95-4085811

Number and street ( or P O box number If mail is not delivered to street address )

12011 SAN VICENTE BLVD, SUITE 606

Room/suite B Telephone number (see instructions)

(310) 581-5900

City or town, state, and ZIP code

LOS ANGELES, CA 90049-4926

C If exemption application is ► qpending , check here • •

G Check all that apply Initial return

Final return

Initial return of a former public charity

Amended returnD I Foreign organ izations, check here . ► q

2 Foreign organ izations meeting the

Address change Name chang e85% test, check here and attach

computation . .. . .. .. . ►H Check type of organization: X Section 501 (c)(3) exempt private foundation

Section 4947 ( a)( 1 ) nonexem pt charitable trust Other taxable private foundationE If private foundati on status was terminated

under secti on 507(b)(1)(A), check here . ► q

I Fair market value of all assets at end

of year (from Part ll, col (c), line

16) ► $ 90, 490, 761.

J Accounting method X Cash L_J Accrual

q Other (specify) ----------------------

(Part 1, column (d) must be on cash basis)

F If the foundation is in a 60-month termination

under secb«+so7(b)(1)(B), check here , ►q

Analysis of Revenue and Expenses (Thetotal of amounts in columns (b), (c), and (d)may not necessarily equal the amounts incolumn (a) (see instructions))

(a) Revenue andexpenses per

books

(b ) Net investmentincome

(c) Adjusted netincome

(d) Disbursementsfor charitablepurposes

(cash basis onl y)

1 Contnbutw gdts, grants , etc, received ( attach schedule ) 140, 000. - - - • • - - - 'f

2 Check Ile,if the foundation is not required to

attach Sch B

°'•:: Y t. . .

3 Interest on savings and temporary cash investments 5, 609. 5, 609.

4 Dividends and interest from securities 1,299, 612. 1,258, 172..

S a Gross rents .. . . . . . . . . . . . . . .

b Net rental income or (loss)Pill, 6a Net gain or (loss ) from sale of assets not on line 10 -1 , 016 , 131.

9b Gross sales pnce for all 63, 202, 892.

assets on line 6a( f!1

47 Capital gain net income (from Part IV line 2) 730,090. flu

^J

,

8 Net short-term capital gain . . . . . . . . .

9 Income modifications . • . . . . . . .- 10a Gross sales less returns

and allowancesf'

b Less Cost of goods sold ,

c Gross profit or (loss) (attach schedule)

11 Other income (attach schedule) 797, 603. 797, 603. AT.CIi:= 1.

12 Total. Add lines 1 throu g h 11 1,226, 693. 2,791, 474 .

13 Compensation of officers , directors, trustees, etc

14 Other employee salaries and wages . . . . . 131,867. 131, 867

15 Pension plans , employee benefits 9,168. 9, 168, , , ,

16a Legal fees (attach schedule) ATCH 2 4,113. 4, 113LW

.,1b Accounting fees (attach schedule)ATCx 43,275. 43,275. .

c Other professional fees (attach schedule) . . .

0 17 Interest . . . . . . . . . . . . . . . . . 6

N 18 Taxes (attach schedule) ( see instructions ) , , , , ,* 850,000.

19 Depreciation (attach schedule) and depletion,

20 Occupancy . . . . . . . . . . . . . . . . .

21 Travel, conferences, and meetings 6,375. 6, 375Ccc

, ,

22 Printing and publications . . .

C 23 Other expenses (attach schedule) ATCH, 5 6, 405. 6, 352

T

a

24 Total operating and administrative expenses.

Add lines 13 through 23 .. .. .. .. .. 1 , 051, 209. 201, 150

25 Contributions, gifts, grants paid . . . . . 4, 773, 513. 4,748,513

26 Total expenses anddisbursements Add lines 24 and 25 5,824,722. 4,949,663

27 Subtract line 26 from line 12

a Excess of revenue over expenses and disbursements -4 , 598, 02 9 . _ '_ _ -- - • ' `_" _ _

b Net investment income (If negative, enter -0-) 2,791, 474 • E•.;': -

c Adjusted net income ( if ne atlve enter -0- ). ° 1 •

For Paperwork Reduction Act Notice , see instructions . iSA * * ATCH 4 Form 990-PF (2011)1E14101 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 3

^ ^1

F rm990-Pt=(2011 ) THE DAVID GEFFEN FOUNDATION 95-4085811 Page2

Attached schedules and amounts in the Beginning of year End of year®Balance Sheets description column should be for end-of-year

amounts only (See instructions) (a) Book Value (b) Book Value (c) Fair Market Value

, , , , , , ,, ,I Cash - non-interest-bearing 36 , 932. 45,001. 45,001., , , , , , , ,

2 Savings and temporary cash investments , , , , , 8, 850, 456. 11, 152, 097. 11, 152,097., , , ,

3 Accounts receivable lll'------------------------

Less allowance for doubtful accounts ► - - - - - - - - - - - - -

4 Pledges receivable ►------------------------

Less allowance for doubtful accounts ►

---' =.,- --:. =

- _ _ _ _ _

, , , , , ,5 Grants receivable , , , , , , , , , , , , , , , ,

6 Receivables due from officers, directors, trustees, and other

disqualified persons (attach schedule) (see instructions) . .

7 Other notes and loans receivable (attach schedule) ►

Less allowance for doubtful accounts ►

y

_ _ _ _ _ _ _ _ _ _ _ _ _

8 Inventories for sale or use

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

Q

, , , , , ,

10 a Investments - US and state government obligations ( attach schedule ), 54, 319, 702. 53, 079, 067. 53,373, 019.

b Investments - corporate stock (attach schedule) AFC -I 7 13, 312, 240. 16, 142, 752. 10,872,206., .8c Investments - corporate bonds (attach schedule)ATCH 13, 134, 878. 449, 335. 475,234., , ,

11 Investments - land, buildings. ►and equipment basis

------------------Less accumulated depreciation pp.(attach schedule) -------------------

12 Investments - mort a e loans . . . . . . . . . .g gATCH 913 Investments - other (attach schedule) 10, 346, 331. 14, 533, 954. 14,572, 865., , , , ,

14 Land , buildings , andequipment basis 10.

-----------24,638.

-Less accumulated depreciation ► 24,603.

l5. 5. 5.

e) --------------------(attach schedu15 Other assets (describe ► ) 304. 304.____________________

16 Total assets (to be completed by all filers - see the

instructions Also, see page 1, item 1) , 100, 000, 574. 95, 402, 545. 90,490,761.

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

18 Grants payable -

W

, , , , , , , , , , , , , , , , , , , , , ,

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

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

21 Mortgages and other notes payable (attach schedule)

l ` Y)22 Other liabilities (describe ► `___________________

23 Total liabilities (add lines 17 through 22) . .

y

4)

Foundations that follow SFAS 117, check here ►and complete lines 24 through 26 and lines 30 and 31.

. . . . . .24 Unrestricted

.' -'

. . . . . . . . . . . . . . . . . . .

25 Temporarily restricted

m

,

26 Permanently restricted

ii

o

,,,,,,,,,,,,,,,,,,,

Foundations that do not follow SFAS 117,

check here and complete lines 27 through 31. ►Q

trust principal, or current funds27 Capital stock ,, , , , , , , ,,

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

N accumulated Income, endowment , or other funds ,29 Retained earnings 100, 000, 574. 95,402,545.,

30 Total net assets or fund balances (see instructions) 100, 000, 574. 95, 402, 545.

Z

,

31 Total liabilities and net assets/fund balances (see

instructions) 100, 000, 574. 95, 402, 545.

TUM Analysis of Changes in Net Assets or Fund Balances

1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with

end-of-year figure reported on prior year's return) 1 100, 000, 574, , , , , , , , , , , , , , , , , , , , , , , , ,

2 Enter amount from Part I, line 27a 2 -4,598,029

3 Other increases not included in line 2 (itemize) ► 3

4 Add lines 1 2 and 3 4 95, 402, 545, ,

5 Decreases not included In line 2 (itemize) ► 5__ _-

6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b) , line 30 . 6 95,402,545

**ATCH 6

JSA

1E1420 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1

Form 990-PF (2011)

PAGE 4


Form 990- PF (2011) Page 3

Capital Gains and Losses for Tax on Investment Income--- - -- ----

(a) List and describe the kind(s) of property sold (e g, real estate,

2-story brick warehouse, or common stock, 200 shs MLC Co)

Howacquired

p^ton

(c) Dateacquired

(mo, day, yr)

(d) Date sold(mo, day, yr )

is PUBLICLY TRADED SECURITIES

bcde

(e) Gross sales price (0 Depreciation allowed(or allowable)

(g) Cost or other basis

plus expense of sale(h) Gain or (loss)

(e) plus (f) minus (g)

a 63,202,892. 62,472,802. 730,090.

bcde

Com plete onl y for assets showing g ain in column ( h ) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus

(i) F M V as of 12/31/69 0) Adjusted basisas of 12/31/69

(k) Excess of col (1)over col 0), if any

col (k), but not less than -0-) orLosses (from col (h))

a

b

cd

e

2 Capital gain net income or (net capital loss)If gain, also enter in Part I, line 7

{ If (loss), enter -0- in Part I, line 7 } 2 730, 090.

3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)

If gain, also enter in Part I, line 8, column (c) (see instructions) If (loss), enter -0- in 1

Part I, line 8 J 3 0

EMMIL-Qua Under Section 4940 (e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )

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

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? q Yes NoIf "Yes," the foundation does not qualify under section 4940 (e) Do not complete this part

i Enter the a pp ro p riate amount in each column Tor eacn year see the instructions oeTore makin any entries

Base period yearsCalendar year (or tax year beginning in) Adjusted ual

Ibn distributions4 ^ 9 Net value of nonchantable use assets

Distributtion ratio(col ( b) divided by col (c))

2010 2,944,364. 98,056,822. 0.030027

2009 4,192,225. 65,523,141. 0.063981

2008 1,878,581. 57,951,984. 0.032416

2007 2,006,718. 4,389,232. 0.457191

2006 1,338,439. 729,110. 1.835716

2 Total of line 1 , column (d) , , , , , , , , , , , , , , , , 2 2.419331

3 Average distribution ratio for the 5 -year base period - divide the total on line 2 by 5 , or by the

number of years the foundation has been in existence If less than 5 years , , .. .. .. .. 3 0.483866

4 Enter the net value of noncharitable - use assets for 2011 from Part X , line 5 4 91,687,293.

, , , , , , , , , ,5 Multiply line 4 by line 3 , , , , , 5 44, 364, 364., , , , , , , , , , , , ,,, ,, ,, , , , ,

6 Enter 1 % of net investment income ( 1% of Part I , line 27b) 6 27,915.,,,,,,, , , , , , , , , , , , , ,

7 Add lines 5 and 6 7 44, 392, 279.

8 Enter qualifying distributions from Part XII, line 4 8 4,949,663.If line 8 is equal to or greater than line 7 . check the box In Part VI . line 1b . and complete that Dart usina a 1% tax rate See the

Part VI instructionsJSA

1E7430 1 000Form 990-PF (2011)

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE

=orm 990 -PF(2011 ) THE DAVID GEFFEN FOUNDATION 95-4085811 Page 4

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

I a Exempt operating foundations described in section 4940 (d)(2), check here ► and enter "N/A" on line 1 _

Date of ruling or determination letter --------------- (attach copy of letter If necessary - see Instructions ) .._...: r -.

b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 55, 829.

here ► q and enter 1 % of Part I, line 27b = - e

c All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of

Part I, line 12 , col. (b).

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

3 Add lines 1 and 2 3 55,829..

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

enter -0-5 Tax based on investment income. Subtract line 4 from line 3 If zero or less 5 55,829.. . . . . . . . . . . .,

6 Credits /Payments = ' -

a 2011 estimated tax payments and 2010 overpayment credited to 2011 , , , , 6a 97 ,209.

b Exempt foreign organizations - tax withheld at source . . . . . . . . . . . . 6b

c Tax paid with application for extension of time to file (Form 8868), , , , , , , 6 c 275, 000. 21

d Backup withholding erroneously withheld . . . . . . . . . . . . . . . . . 6 d

7 Total credits and payments Add lines 6a through 6d . . . . . . . . . . . . . . . . . . . . . . . . . 7 372 , 2 09 .

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

enter amount owed ►9 Tax due. If the total of lines 5 and 8 is more than line 7 9. . . . . . . . . . . . . . . .,

enter the amount overpaid ►10 Overpayment If line 7 is more than the total of lines 5 and 8 10 316,380.. . .,

11 Enter the amount of line 10 to be Credited to 2012 estimated tax ► 316 , 380. Refunded Op, 11

Statements Regarding Activities

or local legislation or did it participatedid the foundation attempt to influence any national state1a During the tax year Yes No, ,,

or intervene in any political campaign? 1 a X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Did it spend more than $100 during the year ( either directly or indirectly ) for political purposes (see page 19 of the

instructions for definition ) ? . . . . . . 1 b X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer is Wes" to 1a or 1b , attach a detailed description of the activities and copies of any matenals published or

distributed by the foundation in connection with the activities

c Did the foundation file Form 1120 -POL for this year? 1 c X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Enter the amount ( if any ) of tax on political expenditures ( section 4955) imposed during the year

(1) On the foundation 0 • (2) On foundation managers ► $ 0

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

on foundation managers ► $ 0.

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

If "Yes," attach a detailed description of the activities

3 Has the foundation made any changes, not previously reported to the IRS , in its governing instrument, articles of '

' attach a conformed copy of the changesor other similar instruments? If "Yesincorporation or bylaws 3 X. . . . . . . . . . ., , ,

,000 or more during the year?4a Did the foundation have unrelated business gross income of $1 4a X, , , , , , , , , , , , , , , ,,

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

or substantial contraction during the year?termination dissolution5 Was there a liquidation 5 X, , , , , , , , , , , , , , , , ,, ,,

If "Yes," attach the statement required by General Instruction T

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

• By language in the governing instrument, or

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

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

col (c), and Part XV000 in assets at any time during the year's If Wea "complete Part 117 Did the foundation have at least $ 5 7 X,,

8a Enter the states to which the foundation reports or with which it is registered (see instructions) ►

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

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

9 Is the foundation claiming status as a private operating foundation within the meaning of section 49420 )( 3) or -

49420 )(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV)' If "Yea" complete

PartXIV ......... 9 X.................................................

10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses ....................................................... 10 X

Form 990-PF (2011)

JSA

1E1440 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 6

orm 990-PF (2011) THE DAVID GEFFEN FOUNDATION 95-4085811 Page 5

Statements Regarding Activities (continued)

11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)' If "Yes," attach schedule (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 11 X

12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified

person had advisory privileges? If "Yes," attach statement (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 12 X

13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? . . . . 13 X

Website address ► N/A-----------------------------------------------------------------------------

14 The books are in care of ► RICHARD-SHERMAN

- - - - - - - - - - - --------- Telephone no 11 1P- - - -------- -----

Locatedat STE 606, LA, CA ZIP+4 ► 90049- 4 926_

^15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here . . . . . . . . . . . . . ►

and enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . . . N/A. . ► 15

16 At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority Yes No

over a bank, securities, or other financial account in a foreign country. . . . . . . . . . . . . . . . . . . . . . . . . . . 16 X

See the instructions for exceptions and filing requirements for Form TD F 90-221 If "Yes," enter the name of -

the forei g n count ry 10-

OWNIM Statements Regarding Activities for Which Form 4720 May Be Required

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

la During the year did the foundation (either directly or indirectly) -

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? . . . . . . . . q Yes Q No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a

disqualified person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No -

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? . . . . . . X Yes No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? . . . . . . . X Yes No -

(5) Transfer any income or assets to a disqualified person (or make any of either available for1771

the benefit or use of a disqualified person)? . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes 1- 1 No

(6) Agree to pay money or property to a government officials (Exception . Check "No" if the

foundation agreed to make a grant to or to employ the official for a period after S

termination of government service, if terminating within 90 days) . . . . . . . . . . . . . . . . q Yes 0 No

b If any answer is "Yes" to la(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53 4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? . . . . . . . . . . . . . 1 b X

Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . . ► q •'

c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that

. . . . . . . . . . . . . .were not corrected before the first day of the tax year beginning in 2011? 1 c X. . . . . . . . . . . . .

2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 49420)(3) or 4942(j)(5)) •-

a At the end of tax year 2011, did the foundation have any undistributed income (lines 6d and

6e, Part XIII) for tax year(s) beginning before 2011' . . . . . . . . . . . . . . . . . . . . . . . . . q Yes Q No

If "Yes," list the years.--------- .-------- ' --------

b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to

. . . . . . . . . . . . . . . . . . . . .answer "No" and attach statement - see instructions)all years listed 2 b N A, . . . . . . .

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

----------'------------------,--------3 a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise

at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Yes q No

b If "Yes," did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation or

disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved by the

Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (3) the lapse of

the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the -'

. . . . . . . . . . . . . . . . . . . .. .foundation had excess business holdings in 2011 ) 3b X. . . . . . . . . . . . . . .

4a Did the foundation invest during the year any amount in a manner that would jeopardize its chantable purposes' . . , . . . 4a X

b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable Duroose that had not been removed from ieooardv before the first day of the tax year beginning in 2011 4b X

JSA

1E1450 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1

Form 990-PF (2011)

PAGE 7

Form 990-PF(2011) THE DAVID GEFFEN FOUNDATION 95-4085811 Page 6

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

5a During the year did the foundation pay or incur any amount to

? qF-viA(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e)) . . . . . . Yes l NoI

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

directly or indirectly, any voter registration drive? . . . . . . . . . . . . . . . . . . . . . . Yes

q

X No

(3) Provide a grant to an individual for travel, study, or other similar purposes? . . . . . . . . . . . . Yes X No - -

(4) Provide a grant to an organization other than a charitable, etc, organization described in

? qsection 509(a)(1), (2), or (3), or section 4940(d)(2) (see instructions) . . . . . . . . . . . . . . Yes No

(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational

' q qpurposes, or for the prevention of cruelty to children or animals . . . . . . . . . . . . . . . . . Yes No

b If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in :- -

Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions)? . . . . . . . 5 b X

Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . . . ► q

c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax

? q E^because it maintained expenditure responsibility for the grant . . . . . . . . . . . . . . . . . . . Yes No

If "Yes, " attach the statement required by Regulations section 53 4945-5(d)

6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums

on a personal benefit contract?,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,, I Al No -

b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . 6b X

If "Yes" to 6b, file Form 8870. -1

7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? . q Yes No

b If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction? 7 b X

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

1 List all officers, directors , trustees, foundation managers and their com pensation see instructions ) .

(a ) Name and address( b) Title, and average

hours per weekdevoted to Position

(c) Compensation( If not paid , enter

-0-

(d) Contnbubons toemployee benefit plans

and deferred compensat ion

(e) Expense account,other allowances

DAVID GEFFEN-------------------------------------12011 SAN VICENTE BLVD, SUITE 606

TRUSTEE

<1HR/WK 0

RICHARD SHERMAN-------------------------------------12011 SAN VICENTE BLVD, SUITE 606

TRUSTEE<1HR/WK 0

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

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

2 Comoensation of five hiahest -oaid emolovees ( other than those included on line I - see instructi ons ). If none. enter"NONE."

(a) Name and address of each employee paid more than $50 ,000Title, and avers(b) Title. 9a

per weekdevoted to position

(c) Compensation

(d) Contributions toemployee benefitplans and deferredcom pensation

( e) Expense account,other allowances

-------------------------------------ATTACHMENT 10 131, 867. 9,168. 0

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

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

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

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

Total number of other employees paid over $50,000 . ►Form 990-PF (2011)

JSA

1E1460 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 8


Form 990-PF (2011) Page 7

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

3 Five hig hest-paid independent contractors for professional services (see instructions ). If none, enter " NONE."(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation

NONE

0

Summary of Direct Charitable Activities

List the foundation ' s four largest direct charitable activities during the tax year Include relevant statistical information such as the number of

organizations and other beneficiaries served , conferences convened, research papers produced, etcEases

1 N/A---------------------------------------------------------------------------

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

2---------------------------------------------------------------------------

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

3---------------------------------------------------------------------------

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

4

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

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

n T4IT:7 Siimmarv of Prnnram _Rplatprf lnvpctmPntc (sPe instructinnsl

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

1 N/A---------------------------------------------------------------------------

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

2---------------------------------------------------------------------------

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

All other program-related investments See instructions

3 NONE---------------------------------------------------------------------------

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

Total. Add lines 1 throug h 3 . ►Form 990-PF (2011)

JSA

1E1465 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 9


Form 990-PF (2011) Page 8

Minimum Investment Return (All domestic foundations must complete this part Foreign foundations,see instructions.)

I Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

a Average monthly fair market value of securities . ...... .. ..... . . . . . . . . . . la 72,728,289.

b Average of monthly cash balances, . , _ . , .. 1 b 9,609,937.

c Fair market value of all other assets (see instructions) Ic 10,745,320.

d Total (add lines 1a, b, and c) .. .. , ,, , , , , , ,, , , , , , , , , , , , , , , , ,, , , , Id 93,083,546*

e Reduction claimed for blockage or other factors reported on lines la and

1 c (attach detailed explanation) le

2 Acquisition indebtedness applicable to line 1 assets

.

.

2. .. .. ...

3 Subtract line 2 from line 1d 3 93, 083, 546..........................................4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount, see

instructions) .. . ........ 4 1,396,253... . . . . . .. . ............ .......5 Net value of noncharitable - use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 91, 687, 293.

6 Minimum investment return . Enter 5% of line 5 6 4, 584, 365.

Distributable Amount (see instructions) (Section 49420)(3) and 0)(5) private operating)foundations and certain foreign organizations check here ► E] and do not complete this part

1 Minimum investment return from Part X, line 6 . .. . . . .... .. . . . .. .. . . . . . . . . 1 4, 584, 365.

2a Tax on investment income for 2011 from Part VI, line 5 2a 55, 829.

b Income tax for 2011 (This does not include the tax from Part VI) 2b

c Add lines 2a and 2b 2c 55,829..............................................3 Distributable amount before adjustments Subtract line 2c from line 1 , , , , , , , , , , , , , ,, , 3 4, 528, 536.

4 Recoveries of amounts treated as qualifying distributions , , , , , , , , , , , , , , , , , , , , , , , , , 4

5 Add lines 3 and 4 5 4,528,536...............................................6 Deduction from distributable amount (see instructions) . , , ....... 6.. ....

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

line 1 7 4, 528, 536.

Qualifying Distributions (see instructions)

1 Amounts paid ( including administrative expenses ) to accomplish charitable , etc , purposes

a Expenses , contributions, gifts, etc - total from Part I, column (d), line 26 , , , , , , , , , , , , ,, , , , .Ia 4, 949, 663.

b Program - related investments - total from Part IX-B 1 b.. ... .. ....... .2 Amounts paid to acquire assets used (or held for use ) directly in carrying out charitable, etc,

purposes . . . . . . ... . . . . . . . . . .. . . . . . . . . ..... .... .. . . ... .. 23 Amounts set aside for specific charitable projects that satisfy the

a Suitability test ( prior IRS approval required ) . ... . . .. . . . ...... .. . .. . . . . . 3a

b Cash distribution test (attach the required schedule ) , , ,, , ,,, , , , , , , , , , , , , , , , , , 3b

4 Qualifying distributions . Add lines 1a through 3b Enter here and on PartV, line 8, and Part XIII, line 4 . . . . . . 4 4,949,663.

5 Foundations that qualify under section 4940 (e) for the reduced rate of tax on net investment income.

Enter 1 % of Part I , line 27b (see instructions), , , , , , , , , , , , , , , , , , , , , , , , , , , , , 5 0

6 Adjusted qualifying distributions . Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . 6 4, 949, 663.

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

JSA

1E1470 1 000

Form 990-PF (2011)

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 10


Form 990-PF

ndistributed Income

9

(a) (b) (c) (d)

1 Distributable amount for 2011 from Part XI, Corpus Years prior to 2010 2010 2011

line? - - = 4,528,536...... . .. .. ....... ..

2 Undistributed income , if any, as of the end of 2011

a Enter amount for 2010 only

b Total for prior years 20 09 .20 0 8 2 0, 0 7 =

3 Excess distributions carryover, if any, to 2011

a From 2006 1,302,635.

b From 2007 .. ... 2,006,718.

c From 2008

d From 2009 1, 350, 193.

e From 2010

f Total of lines 3a through e 4, 659, 546.. .

4 Qualifying distributions for 2011 from Part XII,

4, 949, 663. ;-,

a Applied to 2010, but not more than line 2a

b Applied to undistributed income of prior years(Election required - see instructions) . . . . . .

c Treated as distributions out of corpus (Electionrequired - see instructions) , , , , , , , , , , , - - -

d Applied to 2011 distributable amount - - " -- 4, 528, 536.. . . .

e Remaining amount distributed out of corpus 421,127. . "

'5 Excess distributions carryover applied to 2011(If an amount appears in column (d), the sameamount must be shown in column (a))

6 Enter the net total of each column asindicated below:

4c and 4e Subtract line 5a Corpus Add lines 3f 5,080,673., ,

b Prior years' undistributed income Subtractline 4b from line 2b -

c Enter the amount of prior years' undistributedincome for which a notice of deficiency has beenissued, or on which the section 4942(a) tax hasbeen previously assessed . . . . . . . . . . .

d Subtract line 6c from line 6b Taxable

amount - see instructions -e Undistributed income for 2010 Subtract line

4a from line 2a Taxable amount - seeinstructions . .. . . . .. . . . . .. . . . .

f Undistributed income for 2011 Subtract lines

4d and 5 from line 1 This amount must be

distributed in 2012 . . . . . . . . . . . . . '

7 Amounts treated as distributions out of corpus

to satisfy requirements imposed by section

170(b)(1)(F) or 4942(g)(3) (see instructions)

8 Excess distributions carryover from 2006 not

applied on line 5 or line 7 (see instructions) 1,302,635.

9 Excess distributions carryover to 2012. '

Subtract lines 7 and 8 from line 6a 3, 778, 038.

10 Analysis of line 9

a Excess from 2007 2,006,718.

b Excess from 2008 , , , x• ,; ' . ;,,

c Excess from 2009 1, 350, 193.

d Excess from 2010 . . =

e Excess from 2011 421,127.

Form 990-PF (2011)

JSA

1E1480 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 11

Form 990-PF (2011) THE DAVID GEFFEN FOUNDATION 95-4085811 Page 10

971?M. Private Operating Foundations (see instructions and Part VII-A, question 9 ) NOT APPLICABLE

la If the foundation has received a ruling or determination letter that it is a private operating

foundation, and the ruling is effective for 2011, enter the date of the ruling . . . . . . . . . . ►

b Check box to indicate whether the foundation is a private operating foundation described in section 49420)(3) or 49420)(5)

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

(e) Total

justed net income from Part ( a) 2011 (b) 2010 (c) 2009 (d) 2008

I or the minimum investmentreturn from Part X for eachyear listed .

b 85%ofline2a . . . . .

C Qualifying distributions from Part

XII, line 4 for each year listed ,

d Amounts included in line 2c not

used directly for active conduct

of exempt activities. . . . .

e Qualifying distributions made

directly for active conduct of

exempt activities Subtract line

2d from line 2c

3 Complete 3a, b, or c for the

alternative test relied upon

a 'Assets- alternative test - enter

(1) Value of all assets . .

( 2) Value of assets qualifying

under section

494211 )(3)(8)(1) . .

b 'Endowment" alternative test-

enter 2/ 3 of minimum invest-

ment return shown in Part X,

line a for each year listed . .

C 'Support alternative test - enter

(1) Total support other than

gross investment income

(interest, dividends, rents,

payments on securities

loans ( section 512 (a)(5)),

or royalties). . . .

(2) Support from general

public and 5 or more

exempt organizations as

provided in section 4942

GX3)(8)( re) . . . . . .

(3) Largest amount of sup-

port from an exempt

organization . , ' . ,

4 Gross investment income ,

Supplementary Information (Complete this part only if the foundation had $5,000 or more in assetsat any time during the year - see instructions.)

1 Information Regarding Foundation Managers:

a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundationbefore the close of any tax year (but only if they have contributed more than $5,000) (See section 507(d)(2) )

DAVID GEFFEN

b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the

ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

N/A

2 Information Regarding Contribution , Grant, Gift, Loan , Scholarship, etc., Programs:

Check here ► if the foundation only makes contributions to preselected charitable organizations and does not accept

unsolicited requests for funds If the foundation makes gifts, grants, etc (see instructions) to individuals or organizations under

othe r co nd i t i o n s, comp lete i tem s 2a, b, c, a nd d

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

N/A

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

N/A

c Any submission dead

N/A

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

N/A7 Form 990-PF (2011)1E149o 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 12


Form 990-PF (2011) Page 11

1715971-Supplementary Information (continued)

3 Grants and Contributions Paid Durina the Year or Aonroved for Future PaymentRecipient It recipient is an indmdual .

show any relationship toFoundation

t t fPurpose of grant or Amount

Name and address (home or business)any foundation manageror substantial contnbutor

s a us orecipient

contribution

a Paid during the year

SEE ATTACHMENT A NONE PUBLIC GENERAL SUPPORT 4,748,513.

.................................................Total ► 3a 4, 748, 513.

b Approved for future payment

.................................................Total ► 3b

Form 990-PF (2011)

JSA

1E1491 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 13


Form 990 - PF (2011 ) Page 12

Enter gross amounts unless otherwise indicated Unrelated business income Excluded by section 512, 513, or 514 le)

(a) (b) (C)(d ) Related or exempt

function income

1 Program service revenue Business code Amount E)dusion code Amount ( See instructions

a

b

c

d

e

f

9 Fees and contracts from government agencies

2 Membership dues and assessments , , , , ,

3 Interest on savings and temporary cash investments 14 5,609.

4 Dividends and interest from securities 14 1,299,612.

5 Net rental income or (loss) from real estate =

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

b Not debt-financed property . . . . . . ,

6 Net rental income or ( loss) from personal property

7 Other investment income 01 797, 603.

8 Gain or (loss) from sales of assets other than inventory 18 -1, 016,131.

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

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

11 Other revenue a

b

c

d

e

12 Subtotal Add columns (b), (d), and (e) . . . 1, 086, 693.

13 Total Add line 12, columns (b), (d), and (e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 1,086,693.

(See worksheet in line 13 instructions to verify calculations )

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No. Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the

y accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes) (See instructions

N/A

SSA Form 990-PF (2011)1 E 1492 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 14

Form 990 - PF (2011 ) THE DAVID GEFFEN FOUNDATION 95-4085811 Page 13

Information Regarding Transfers To and Transactions and Relationships With NoncharitableExempt Organizations

1 Did the organization directly or indirectly engage in any of the following with any other organization described Yes No

in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political

organizations?

a Transfers from the reporting foundation to a noncharitable exempt organization of

(1) Cash ... ...................................................... 1a1 X

(2) Other assets ..... . . . . .. . . . . .. .. . . . ... ... . . . . . . . .. .. . . .. . . . . . . .. .. la ( 2 ) X

b Other transactions

(1) Sales of assets to a noncharitable exempt organization , , , , , , , , ,,,, , , , , , , , , ,,, , , ,, , , 1b X

(2) Purchases of assets from a noncharitable exempt organization , , ,, , , , , , , , , , , , , , , , ,,,, , , , 1b ( 2 ) X

(3) Rental of facilities, equipment, or other assets ,,,,, , , , , , , , , , , , , ,, , , , , ,, , , , , , , , , , , 1 bM X

(4) Reimbursement arrangements . . . . . .. .... .... ... . . . . . . . . . .. . ... . . . . . . ... 1 b ( 4 ) X

(5) Loans or loan guarantees . . .. . . . . .. . . . . . . . . ... . . . .. .. . . . . . . . . . ... . .... 1b ( 5 ) X

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

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

d If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair marketvalue of the goods, other assets, or services given by the reporting foundation If the foundation received less than fair marketvalue in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received

(a) Line no (b) Amount Involved (c) Name of nonchantable exempt organization (d) Description of transfers, transactions , and sharing arrangements

N/A

2a Is the foundation directly or indirectly affiliated with , or related to , one or more tax-exempt organizations

described in section 501 ( c) of the Code ( other than section 501(c )( 3)) or in section 527 , ,, , , , , , , , , , , q Yes Q No

b If "Yes " comnlete the following schedule

(a) Name of organization (b) Type of organization (c) Description of relationship

Under penalties of perjury , I declare that I hacorrect , and complete eclaraaon of preps

SignHere

Signature of officer or trustee

Print/Type preparer 's namePaid

ALFRED A. PEGUERO

camined this return , including accompanying schedules and statements, and to the best of my knowledge and belief , it is true,an taxpayer ) is based on all information of which preparer has any knowledge

Date

Preparer's signatu

1E1493 2 000

Schedule B I Schedule of Contributors(Form 990 , 990-EZ,or 990-PF) ► Attach to Form 990 , Form 990-EZ, or Form 990-PF.

Internal Revenue Service

OMB No 1545-0047

Department of the Treasury oilName of the organization

THE DAVID GEFFEN FOUNDATION

Employer identification number

95-4085811

Organization type (check one)-

Filers of:

Form 990 or 990-EZ

Form 990-PF

Section:

q 501(c)( ) (enter number) organization

q 4947(a)(1) nonexempt charitable trust not treated as a private foundation

q 527 political organization

501(c)(3) exempt private foundation

q 4947(a)(1) nonexempt charitable trust treated as a private foundation

q 501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.

Note . Only a section 501(c)(7), (8), or ( 10) organization can check boxes for both the General Rule and a Special Rule See

instructions

General Rule

0 For an organization filing Form 990 , 990-EZ , or 990-PF that received , during the year , $ 5,000 or more ( in money or

property ) from any one contributor Complete Parts I and II

Special Rules

q For a section 501(c)(3) organization filing Form 990 or 990 -EZ that met the 33 1/3 % support test of the regulations

under sections 509(a )(1) and 170(b)(1)(A)(vl ) and received from any one contributor , during the year , a contribution of

the greater of (1) $5,000 or ( 2) 2% of the amount on (I) Form 990 , Part VIII, line 1h, or ( II) Form 990 - EZ, line 1

Complete Parts I and li

q For a section 501 (c)(7), ( 8), or (10 ) organization filing Form 990 or 990 -EZ that received from any one contributor,

during the year , total contributions of more than $ 1,000 for use exclusively for religious , charitable , scientific , literary,

or educational purposes , or the prevention of cruelty to children or animals Complete Parts I , II, and III

q For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,

during the year, contributions for use exclusively for religious, charitable, etc , purposes, but these contributions did

not total to more than $1,000 If this box is checked, enter here the total contributions that were received during the

year for an exclusively religious, charitable, etc , purpose Do not complete any of the parts unless the General Rule

applies to this organization because it received nonexclusively religious, charitable, etc , contributions of $5,000 or

more during the year ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,

990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2, of its Form 990, or check the box on line H of its Form 990-EZ or on

Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF)

For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

JSA

1E1251 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 17

Schedule B ( Form 990 , 990-EZ, or 990-PF) (2011) Page 2

Name of organization THE DAVID GEFFEN FOUNDATION

1

Employer Identification number

95-4085811

Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.

(a) (b) (c) (d)

No. Name , address, and ZIP + 4 Total contributions Type of contribution

1 DAVID GEFFEN Person

Pay roll12011 SAN VICENTE BLVD, SUITE 606

-

Noncash

Compte is90049-4926 noncash contribution

(a) (b) (c) (d)

No. Name , address , and ZIP + 4 Total contributions Type of contribution

---- ------------------------------------------ Person

Payroll

------------------------------------------ $ ---------------- Noncash

(Complete Part II If there is__________________________________________ a noncash contribution )

(a) (b) (c) (d)

No. Name , address, and ZIP + 4 Total contributions Type of contribution

- --- ------------------------------------------ Person

Payroll

------------------------------------------ $ ---------------- Noncash

(Complete Part II if there is__________________________________________ a noncash contribution )

(a) (b) (c) (d)


- --- ---------------------------------------- Person

Payroll

------------------------------------------ $ ---------------- Noncash

(Complete Part II if there is__________________________________________ a noncash contribution

(a) (b) (c) (d)No. Name, address , and ZIP + 4 Total contributions Type of contribution

- - - - ----------------------------------- Person

Payroll

------------------------------------------ $---------------- Noncash

(Complete Part II If there is__________________________________________ a noncash contribution )

(a) (b) (c) (d)


- --- ------------------------- - - Person

Payroll

------------------------------------------ $---------------- Noncash

(Complete Part II if there is------------------------------------------ a noncash contribution

JSA Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

1E1253 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 18

Schedule B

Name of c

990, 990-EZ, or 990-PF) (2011)

ation THE DAVID GEFFEN FOUNDATION ntification number

95-4085811

3

Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.

(a) No.

from

Part I

(b)Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)Date received

(a) No.

from

Part I


(c)

FMV (or estimate)

(see instructions)(d)

Date received

(a) No.

from

Part I

b()

Description of noncash property given

(c)FMV (or estimate)

(see instructions)

d( )

Date received

(a) No.

from

Part I


(c)

FMV (or estimate)

(see instructions)

(d)Date received

(a) No.

from

Part I

b()



(see instructions)

d( )

Date received

(a) No.

from

Part I

b()



(see instructions)

d( )

Date received

JSA Schedule B (Forth 990, 990-EZ, or 990-PF) (2011)

1 E1254 1 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 19


ATTACHMENT 1 -

FORM 990PF, PART I - OTHER INCOME

DESCRIPTIONNZC GUGGENHEIM - OTHER INCOME

TOTALS

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1

REVENUEAND

EXPENSES

PER BOOKS797, 603.

NETINVESTMENT

INCOME797, 603.

797, 603. 797, 603.

ATTACHMENT 1

PAGE 21


ATTACHMENT 2

FORM 990PF, PART I - LEGAL FEES

DESCRIPTION

RODRIGUEZ, HORII, CHOI,CAFFERATADECASTRO, WEST, CHODOROW,GLICKFELD & NASS, INC.KAUFMAN LEGAL GROUP

2,144.

1,806.163.

NET ADJUSTED

INVESTMENT NET CHARITABLE

INCOME INCOME PURPOSES

2, 144.

1,806.163.

TOTALS 4,113. 4,113.

REVENUEAND

EXPENSESPER BOOKS

ATTACHMENT 2

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 22


ATTACHMENT 3

FORM 990PF, PART I - ACCOUNTING FEES

REVENUEAND NET

EXPENSES INVESTMENT

DESCRIPTION PER BOOKS INCOME

PRICEWATERHOUSECOOPERS LLP 35,275.

PAUL H. GLASS ACCOUNTANCY CORP 8,000.

TOTALS 43,275.

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1

ADJUSTEDNET CHARITABLEINCOME PURPOSES

35, 275.8,000.

43,275.

ATTACHMENT 3

PAGE 23


FORM 990PF, PART I - TAXES

REVENUEAND

EXPENSESDESCRIPTION PER BOOKS

FEDERAL ESTIMATED TAX PAYMENTS 15,000.FEDERAL EXTENSION TAX PAYMENTS 835,000.

TOTALS 850,000.

95-4085811

ATTACHMENT 4

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 24


ATTACHMENT 5

FORM 990PF, PART I - OTHER EXPENSES

REVENUEAND

EXPENSES CHARITABLE

DESCRIPTION PER BOOKS PURPOSES

AUTO 7. 7.

TRADEPAPERS 822. 822.

OFFICE SUPPLIES & EXPENSES 1,182. 1,182.

POSTAGE 212. 212.

TELEPHONE 2,091. 2,091.

FILING FEES 10. 10.

MISCELLANEOUS 2,028. 2,028.

PENALTY 53.

TOTALS 6,405. 6,352.

ATTACHMENT 5

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 25


FORM 990PF, PART II - U.S. AND STATE OBLIGATIONSATTACHMENT 6

BEGINNING ENDING ENDING

DESCRIPTION BOOK VALUE BOOK VALUE FMV

5 MIL F.H.L.B., CUSIP ONN4 5,000,000.

5 MIL F.H.L.B., CUSIP ONP9 5,000,000.

10 MIL F.H.L.B., CUSIP 1QZ2 10,000,000.5 MIL F.F.C.B., CUSIP JW25 4,998,750.4 MIL US TREASURY, CUSIP 8GA2 4,397,957.

14.5 MIL F.H.L.B., CUSIP 1QY5 14,420,625.4 MIL F.F.C.B., CUSIP KFJ4 4,036,714. 4,033,140.6 MIL F.F.C.B., CUSIP KHFO 6,054,050. 6,040,080.15 MIL F.H.L.B., CUSIP 6KN4 15,000,000. 15,025,015.15 MIL F.H.L.B., CUSIP 6KP9 15,000,000. 15,021,900.3 MIL F.F.C.B., CUSIP K2S8 3,000,415. 3,004,448.

US OBLIGATIONS TOTAL 43,817,332. 43,091,179. 43,124,583.

1 MIL CAL ST, CUSIP A5D2 1,113,920. 1,113,920. 1,140,615.1.25 MIL CMNWLTH, CUSIP PCX8 1,352,975. 1,352,975. 1,355,956.2 MIL CAL GO BDS, CUSIP BFQO 2,144,620. 2,144,620. 2,280,893.1 MIL MARIN CTY CA, CUSIP OBQ6 1,086,150. 1,086,150. 1,109,168.2 MIL ILLINOIS ST, CUSIP 18S5 2,015,560.

1 MIL SANTA MONICA,CUSIP ODZ8 1,000,000. 1,000,000. 1,025,250.475,000 DUKE UNI, CUSIP TAA5 514,482.

1.25 MIL ILL BDS, CUSIP 1800 1,274,663. 1,274,663. 1,308,894.MS ACCT 1226 - SEE ATTACHED 2,015,560. 2,027,660.

STATE OBLIGATIONS TOTAL 10,502,370. 9,987,888. 10,248,436.

US AND STATE OBLIGATIONS TOTAL 54,319,702. 53,079,067. 53,373,019.

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1

95-4085811

ATTACHMENT 6

PAGE 26


FORM 990PF, PART II - CORPORATE STOCK

BEGINNING

DESCRIPTION BOOK VALUE

375,000 SH DREAMWORKSANIMATION (DWA) STOCKMS ACCT 1226 - SEE ATTACHED

TOTALS

95-4085811

ATTACHMENT 7

ENDING ENDINGBOOK VALUE FMV

13,312,240. 11,565,000. 6,223,125.4,577,752. 4,649,081.

13,312,240. 16,142,752. 10,872,206.

ATTACHMENT 7

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 27


ATTACHMENT 8

FORM 990PF, PART II - CORPORATE BONDS

BEGINNING ENDING ENDING

DESCRIPTION BOOK VALUE BOOK VALUE FMV

3 MIL M.S. ST UNS, CUSIP UAF7 3, 009,866.

1 MIL JPM SR UNS, CUSIP 7AA2 1,031,113.

1 MIL HSBC SR UNS, CUSIP PAA5 1,029,325.2 MIL AMEXP BJ FSB, CUSIP HACO 2,061,853.4 MIL GS GP SR, CUSIP FAF8 3,994,181.

2 MIL JPM SR UNS, CUSIP 7AG9 2,008,540.MS ACCT 1226 - SEE ATTACHED 449,335. 475,234.

TOTALS 13,134,878 . 449,335. 475,234.

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1

95-4085811

ATTACHMENT 8

PAGE 28


FORM 990PF, PART II - OTHER INVESTMENTS

BEGINNING

DESCRIPTION BOOK VALUE

NZC GUGGENHEIM FUND 10,346,331.

MS ACCT 1226 - SEE ATTACHED

TOTALS 10,346,331.

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1

ATTACHMENT 9

ENDINGBOOK VALUE

11,143,934.3, 390, 020.

14, 533, 954.

ENDINGFMV

11,143,934.

3,428, 931.

14,572,865.

95-4085811

ATTACHMENT 9

PAGE 29

Morgan Stan ley 14t1t1:1\rnue of the Star, Sulk 24011Supplemental Report Los ringclcc. CA 000 7

Private Wealth Management f3 I0, 71(8-2000

Page; 12 Fixed Income Valuation valuutrnu Currcac%: USI)

279011226: THE DAVID GEFFEN FOUNDATION C/O RICHARD SH ERII.AN Surl Order: Days lu Redcmpliun

12/31/2011

Trade Date Reporting

Share or ,Vor,rll:+ Set Dole Or(j?. Cost 11arAct I blue L'trreali:ed Accrued Frs to ,tlrxl. FT,1116purch %Fare l:alu e Secu ri:r I)t;tcription /SJ P Currpen Red. Dare Bunk C,+tr 31arkct Price Gain (Loss) laeume 31ar. pnr, FT111iiinhr Port.

SHORT TERN IIQCUI,VGS

C.1SI1 AND C1SII ALTERNATIVES

8.-1A'ti DBPOSITS•

'1.*6S.878,030 BANK D! POSITS - his BANK NA l0'24'_011 11.3bii,$7&6 9.: 0S,37S 03 51 34 0.05 46390.3611.79 1i3 0.0S

_43,000.000 BANK DEPOSITS - MS TRI `1T 10 24'2011 245,611000 245.000 00 134 (1.05 1.21245.0 1u.(h) 0.05

BASK DEPOSITS* ').c,11.978 63 Q.6 1.1,878 (i 52 69 11.05 47,010.013,878.0: 0.05

CASH AND CASH ALTERNATIVES 9.013.8710 3 9,ol3.S7S.f+i 5'_.63 0.05 47.01"413.378 03 0 05

SHORT TERM HOLDINGS 9,6 13,878 63 9.03.878.63 52168 0.05 47.6111.05

LONG TERM HOLDI VGS

FIXED INCOME

CORPORATE NOTES500.000 .000 COMERICA BANK A2 5,700 11'2312011 539,1190.00 535.970.00 709.90 3,175.011 2.42 2.27 2.42 2.o$

5.700% DUE 06.0! , 2014(ti, 1110!1() A- 061)1,2014 53$,200.10 10779 23,6500,000 000 DIGITAL RF.ALT LP SER 13 Bsa2 4.500 121,01 col I St)' 555.00 510.090.00 2.005.64 10,375.00 3.54 3._6 4,05 2.58

4.500% DU E 07115/2015 +u. 100.00 6138 07,15'2015 507,391 14 102.00 3.89500,000.000 AFLAC INC SR U4S A3 3.450 11+21,2011 518.63{) 00 5151) )00) 12.100.281 G,S16 07 3112 3.40 2 40 2.54)

3 450%DIJE 08'15'2015 4%1 100.011 A- (1111517015 515.000.28 103._'1) 2 57

500.01110000 CEN ELEC CAP CRP ,'j,2 2.950 11,0,2011 507,7-01x, 514.240.00 h,70l,.81 ' 130.x0 4.36 4.08 2.58 77.50(50% DUE 05'09-2016,W- IW.00 AA 05'0') 2016 507,533.11) 102. 85 2126

500.010.000 IIYATT NOTLLS 13a22 3.875 11/17/201 I 504,875.1111 511.30).00 6.441 78 7.642.30 4.54 4 13 40') 2.573.875°,5, CALLABLE 07,15'2()16 ^j 1(10.090 1196 071512011+ 504'5$'2 102 24 ? 80DUE 05'15,201(,

This wport via)' ri'fle': postriunt field Ay rn lothans other than 41wt!nn .Stotler' A (,u 1.1.1. nr r vlccr rruneutfona cxerufad corm item It,, Securth In!u, mart'' , prlrrs and 1,u.rhntr rlurr:t pt u+'ided Irrrvan wills r i 4' et to rent 0rr)'pinjaont or pc,'nocllrnlS lint/' been prov ided by iou. We ln4Ac rto relaiesentrnlon x70 to the aectuat' Y or:he , VIUFs M a,nnwas .,I Surly 1'„1181-o' ur h,Hnncnurl! urtat on ri,ltidarl,,, rfiiIz its +r'r!f„hlrrr n1M/44r }irf(I t. ,iF) char a,e((rrlrr{r

fn ,t halt' or In part from titnrh urfw mruit,n Meamph7e ur rnntrur ;er r data non tnyurrr fhc uKUf , r:yh+rd o erngu ,irrd u! rhi+ arrur,nr,

Rank Pr,'i/ Jt^ um ru .11rrAnn Srunlrr Iirrn ,t. V, I unr1 . 1 fagwn ,Nunk.' Pritutr lroa f. 'VnIa,ml Ap(cIunun r Ile nb,n FMC) . ,t /tide, of Varga" ,Mande} A Co. LL(. Um,k depustp a . f gthfe for PD/C brtnrvrnru rye In apjrlrrrlltlrt lintlty Vat SIPC umured

R .\:tyY : -Iad}01201[9

y str In 0ff165O5PDTl08ant79t

Morgan Stanley 1999 Avenue of the Sins. Suite 2400

Supplemental Report Los Angeles, CA 90067(310) 788-2000

Private Wealth Management

Page: 13 Fixed Income Valuation Valuation Currency: USD

279011226: THE DAVID GEFFEN FOUNDATION C/O RICHARD SHERMAN Sort Order: Days to Redemption

12/31/2011Trade Date Reporting

Shares or Hoodys Set. Date orig. Cost Market Value Unrealized 4ccrited Yrs to Mod. YTAleapurelr 9Face Value Securia' Description 1'S&P Coup,, ,, Red. Date Book Coar Marker Price Gain (Loss) Income Mat Dar. }'T,%I(p?rnkr Porx

00,000.000 SIMON PROP GP LP A3 2.8.00 1 1;17.2011 500.015.00 510,715.00 10.670.70 1,750.00 4.94 4.51 2.52 2.542 800%,CALLABLE 030/2016 @ 100.00 A- 10831!2016 500.044.30 102.14 2.10DUE 01130/2017

465,000.000 BOEING CAP CORP A2 2.900 12,16/2011 479.870.70 48.1.032.45 4.24S.16 5,618.75 6.54 5.95 2.61 2.422.900%CALLABLF 07115/2018f-f 100,00 A 07/15.2018 479.7814.29 104.09 2A6DLIE 09/1512018

400.000.000 CON EDISON NY A3 7.125 111- 11201I 514,116.00 514 c56.on 2.094 36 2-175.00 6.92 5.69 2.65 2.567.125% DUE 12/01/2018 tFtl 100.00 A- 13/01/2018 517.461.04 128.64 2 58

500.00(1.000, DELTA AIR 201 I-IA Ba,t2 5.300 12/01x`-'011 505.0(1(1.00 505.000.00 47.64 5,594.44 7 29 6.00 5 13 2.535.300% DUE 04/151_ 019 100.00 A- 04,15/2019 504,952.36 101.00 5.13

CORPORATE NOTES 4 235 4.577.751.70 4.604.703.45 31,421.73 44,377.78 4 87 4,34 3.16 23.024.573.281.72 3 02

CORPORATE BONDS

500,000.000 AM A1RLN, PT TRST 13303 5 250 11,17/2011 440334.72 4(4.31 ^_.55 14,585.70 10,921.33 10.59 7.94 6 50 2.355.250'/o Dl1F. ()?;3112023 i^_u1 100•(Hl BOB. 01/31r?U22 449.726.8.5 91.00 6.16PAYDOWN I'A('1'OR: 0.O98.522CURRENT FACE VALUE: 499,280.81

FOREIGN DEBT SECURITIES

450,000,000 BP CAPITAL PLC 112 3.125 12, 15/2011 468,400.50 471.139.00 3.147.13 3.515.63 3 75 3.54 2.00 2.353.125% DI) E 10101(2015@ 100 00 A 101171 /2015 408.191.87 104.74 1.81

425.000.000 13HP BILLITON FINANCE USt\ LTD Al 5400 12/14/2011 4415,227.00 492.559.75 (1,771.09) 5.865.00 5.25 4.61 2.09 2475.400% DUE 03'1-19/2(; 171 100.()0 A+ 0,29420 17 494,630.84 115.9? 2.16

FOREIGN DEBT SE('URITiLti 4.'_;4 963,627.50 4(4,1 1 .75 1,.+76.(9 9,.780.(1 4.52 4.11 r.(W 4.82962,822.71. 1.9$

FOREIGN.I GE:VCY DEBTSECUR/TIES

500,000.000 KOREA NATL OIL MTN )44A Al 4.000 111252011 511.2W.00 513.465.00 2,409.88 3,500.00 4.83 4.37 3.5() 2 564.000% DUE 1Ur27/2016 cFu 100.0(1 A 10/27/2016 $10 .995.12 102.681 3381

MEDIUM TERM VOTES

500.000.000 MORGAN STANLEY SFR I' A2 6.000 11.21!2011 503,175.10 50),870.00 (2,209.58) 5")50.(J() 3.33 2:95 5.79 2.510000% DU E 04/_2812015 (iti 100.(8) A- 04,,28/2015 503.079.88 100.17 $ 94

TILA re/ton mal'rt'J1L't I poslltatls In td 1n• c,acroJ,mis other than Dorgan Ataoh'i' & Co, L1.C ru• relleet nvn. nerkonm t:trrutevl oil tlv f,ten IA, kennrr luiw n,nuor. pricrv and /mari,acr dmr,, lrrailded brrrlit t,*h rt,..tg cr to w))',Irreb

pruluono or trunsucrtans have beet) p. iwldm i bytvu It f• emEe no n'rrtrnrari(rn its to !bc arrunrrv ofrhr L n/rn s or uInounta nfart er amt/it. or Inrn>urtennc ajar am re/ru/atlans (such us Iscighu'd al rra,'eylcld tomlt) alma ar?,krived

Jn+vlrnlc ox 10 part rom tuck (,11iH^reorlrnr, l,rtmut>lrte a, lunr,1natedata mar Irnparr Ilse rnlal rrcigbled ot•rragr v,rhl rO the arrouni

'Bunk !)epaet(r are a; 3)ory;an StrutleT Bang. X. I and,t 14x340 .Stan&.r Privare Bank. National 4um'latlon (tlrlnbcm FDJC). api//arc% of )lorpuu Sra,r/cv h C'n LLC Hunk rlcposit'. are elgib/o) u' FD/C inSwmat o tql to applicable ((rn/ts. Mu SIPC ('wan'd.

002!1\11 % .20120181.144533

Morgan Stanley 1999 Avenue of the SLars , Suite :400

Supplemental Report Loa Angela.. CA 9Q067

Private Wealth Management (31(1) 788-2000

Page: 14 Fixed Income Valuation Valuation Currenc%: 11SD

27901 1226: THE DAVID GEFFEN FOUNDATION C/O RICHARD SHERMAN Sort order: Daps is Rcc}em ption

12/31/2011Trade Date Reporting

Skaresor 31tof,lr. Set. Date orig. Co:t .11arlr t I alive G,reallzrd Accrurd Fn•tu .11ud. FT.llrryurcd ?n

Face Value Serurity Description /S.CP Caupnn Red. Dare 8no6 Cruz Market Prire Gain (Lass) Income Mar. Our. VT,U+utu /u Port.

5(90.010,0()0 AN1171k IEXPRIigS CR SER D Al 2 750 I 1 112,201 I 50(1'050 00 502.050.00 (3.153.67) 4.00 ul 371 3.51 2.32 2.51

2750% D1JE0l)'15:_0I5 ((i 10001 131313t- 11'N152015 505 80.67 100.53 2 (it)

\IEDIUNI TERM NOTES 4 375 1.1109 221;.00 I.003.520 00 (5.3o3.55) 9.208 (31 3.52 3.24 4.11) 5.02I.S O8.S8 ;.;5 4,27

MUNICIPAL 130,\ DS - TAXABLE

?.000JX)0.Utm ILLINOr ST Al 2 760 12;0012010 _1,015.56001 2.000.11w 00 27.6()A) (X) 2.0; 1004

2.766"K,Dlici0i:n1,2u1_/i,,119)t)n NC)rR 1110:201 2.tnu)c)00.00 (00.18)

PRl1 -1 TF- PL.ACEMEAT BO \%1S

415010.10u ST GEORGE BANK 144A A0 5 31N) 1211111-101 1 42(.537)7(} 428,75.1.10 2.332,52 4.64 39 3 79 3.42 4.51) 2.15

5.300% DUE 101152015 J. 100 00 10 I S 1015 -126.4302 103.31 4,34

500.000.000 MACQUARIE GROUP 1-14A Al 6 250 11 351201 1 47'}.430,00 477.075.00 (L')I9.81) 14:196.53 11.03 (78 6,9(' 244

6.250% DUI 01,142_021 tr 100.011 01113 01,14:2021 47051)4 84 05.53 6.92

PRIVATE PLACEMENT BONDS 5.819 903907 (ttl 906 128.10 412,0. 19.1 1(9.03 6.5 it 5,19 5 75 4.5wIIW.u 15.1: 5.71

FIXED INCOME 4.140 10.432 tlb5.9. 10.456,627.85 44.002,78 124.•7827 4.18 3.62 3 t2 52 3n10.41 1,725.07 2.88

L0.\'G TERM HOLDINGS 4.130 10.412k05.92 10,456.627.85 44,002.7) 124.278.27 4i8 3.62 3.32 52 391:1,41 1725.07 2 3$

TOTAL PORTFOLIO 2.127 29.1146-154 4.55 20.070,506.48 44.903.78 124-1311.95 2.18 1.89 1.75 100.00

20.025.6U3.70 1.50

fl/!S Ir)x/n lrlnr r^yfcc r youltw+s Iu•/d hr ru., tuluan{ ufht - Mon .tfrN^,m 5foltlrr cC Cu. LL(' ur rrth-rl rrrrrlaurlfolra t.lrrnfr f (n v+ I,Tg', to kcfnlh' R(fcf ltl.ufuu, prlcrs and purthrtsr done. p'v+•ul. d hrrcur {r)lh ri-Aperl lu unv u! 11

f'o\frlrHn nr mintrrrrl (41t 1:. i' 14 2('0 ill,, flf.', l !ll• 1TH We )nu1P no I 'rpirr¢urrrlfou at to ill,- rtreuror +• e j rile V,d,M1 ow trltll )I/lit,t tg { f1L111N}\ )1ff1 /f{ Ilf rl+Hl Wu'l luu{ ur lur all. cell lft11h119 \ / 11MI1111 It tflt, (f Ill euge (•!1211! !0!1115! dial fll+• drl'll trd

in It hole or : /1 par( if t"i a uc? ('/i117trtfon. lncoog712lcO trtufC,UUf/ ,'!(1711 d1171 )r+t/ru l Ntr meal It i%' tneJ uln rn:!Jut lilt',n er,um

'lluuk Dep"Aftl nlrIll Itor alt s'tt+ufcn U,nik .% J. 11110 ltrrptu VanI,'r 11/ba;,' li++rlk. 101talrrd lttn('Itllf( f71 1f /llllf'^l'{FL'10. all)1Ru .• 1a) Vu+bKm Sanllrt'1i Cu.LL('. Bookd'paxato e rdll'abh• rul FMC I,+,fnvlt.e fill 1•/ ulry'!/ru)11.•linrus . ,rite Sll1Cr+rsplerr

165 05PDT1 06 001 707k 0.11a3Hlghf

Ri:^fflv


990PF, PART VIII - COMPENSATION OF THE FIVE HIGHEST PAID EMPLOYEESATTACHMENT 10

TITLE AND AVERAGE CONTRIBUTIONS EXPENSE ACCTHOURS PER WEEK TO EMPLOYEE AND OTHER

NAME AND ADDRESS DEVOTED TO POSITION COMPENSATION BENEFIT PLANS ALLOWANCES

J. DALLAS DISHMAN EXECUTIVE DIRECTOR 131,867. 9,168. 0

12011 SAN VICENTE BLVD STE 606 40.00LOS ANGELES, CA 90049-4926

TOTAL COMPENSATION 131,867. 9,168. 0

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1

ATTACHMENT 10

PAGE 30

The David Geffen Foundation 2011 Contributions 95-4085811

Bene

92nd Street Y

Da a

611012011

®t

$5,000

A cst

1395 Lexington Avenue

dress2 Cj1

New York

Sta

NY

L^

10128

ACLU Foundation of Southern Cafifomia 11232011 $10,000 clo Phyllis Silverberg 1313 West Eight Street Los Angeles CA 90017

ACLU Lesbian/Gay Rights Project 4212011 $15,000 125 Broad Street 18th Floor NewYork NY 10004

Actors' Fund of America 4282011 $5,000 The Actors Fund 2011 Gala 232 Madison Avenue. Suite 1407 NewYork NY 10016

AIDS Project Los Angeles 7202011 $50,000 611 South IGngsley Drive Los Angeles CA 90005

AIDS Project Los Angeles 101142011 5500 The David Geffen Center 611 South IGngsley Dove Los Angeles CA 90005

AIDS Service Center • Pasadena 3/162011 $5,000 909 S Fair Oaks Pasadena CA 91105

All Forney Center 2/102011 $1,000 224 West 35th Street Suite 1102 NewYork NY 10001

Alliance for Children's Rights 1/5/2011 $3,500 3333 Wilshire Blvd Suds 550 Los Angeles CA 90010

Alternative Living for the Aging 5/192011 $3,000 cJo New Philanthropy Group 1015 Gayley Avenue, 1132 Los Angeles CA 90024

Alzheimer's Association 1212011 $12,500 c/o Michael Teta Associates 13636 Venture Blvd #445 Sherman Oaks CA 91423

Amanda Foundation, The 3/9/2011 $1,000 351 North Foothill Road Beverly His CA 90210

American Cmematheque 7/82011 $6,666 do Mann Productions 167 Granville Avenue Los Angeles CA 90049

American Film Institute 5/112011 $13,333 2021 North Western Ave Los Angeles CA 90027

American Friends of the Hebrew University 4212011 $25,000 11500 Olympic Blvd Suite 512 Los Angeles CA 90064

American Theatre Wing 9/22/2011 $8,333 570 Seventh Avenue Suite 501 NewYork NY 10018

aniAR 1/21/2011 $2,500 120 Wag SL 13th Floor NewYork NY 10005

amfAR 62/2011 $1,000 Inspiration Gala NewYorWamLAR 120 Wall Street 13th Floor NewYork NY 10005

Angels at Risk 9/16/2011 $5,000 At Visions 115 Banngton Walk Los Angeles CA 90049

AntiDefamation League 3/23/2011 $10,000 10495 Santa Monica Blvd Los Angeles CA 90025

AntsDefamatron League 10/72011 $1,500 10495 Santa Monica Blvd Los Angeles CA 90025

Avrva Center 4/13/2011 $7,500 c/o Grant Associates 5670 Wilshire Blvd. Suite 1590 Los Angeles CA 900,36

Bailey House 1212011 $1,000 156 Fifth Avenue Suite 1100 NewYork NY 10010

Being Alive 3/312011 $1,000 7531 Santa Monica Boulevard West Hollywood CA 90046

Bet Tzedek 12/92011 $5,0001 145 South Fairfax Ave Suite 200 Los Angeles CA 90036

Beth Chayrm Chadashun 51192011 $1,000 6090 West Pico Boulevard Los Angeles CA 90035

Beverly Hills Fireman's Relief Fund 3/312011 $1,000 clo FTA Events 427 N Canon Dove, Suite 108 Beverly Hills CA 90210

Beverly Hills Police Officers Association 10/282011 $1,000 464 N Rexford Drive Beverly Hills CA 90210

Beyond Shelter 3/92011 $10,000 1200 Wilshire Blvd Suite 600 Los Angeles CA 90017

Big Brothers Big Sisters of Greater LosAngeles 10/72011 $3,500 Uo Grant Associates 5670 Wilshire Blvd, Suite 1590 Los Angeles CA 90036

Break the Cycle 4/132011 S5,o00 5777 W Century Blvd Suite 1150 Los Angeles CA 90045

Breast Cancer Research Foundation 7282011 $5,000 60 East 56th Street 8th Floor New York NY 10022

Bridge School 2/102011 $1,000,000 545 Eucalyptus Ave Hillsborough CA 94010-6404

British Academy of Film & Television Arts 11/11/2011 $3,000 do MTA Events 13636 Ventura Blvd , Suite 445 Sherman Oaks CA 91423

Brooklyn Public Library 12/92011 $10,000 do Cathy Shomstem 10 Grand Army Plaza Brooklyn NY 11238-5619

Bugles Across America 3/1612011 $2,0D0 1 1 824 Cuyler Avenue Berwyn IL 60402

Camp Bravo 6/102011 $1,000 19360 Rinaldi Street Suite 406 Northridge CA 91326

Carousel Ranch 3192011 $1,000 34289 Rocking Horse Road Santa Clama CA 91390-3482

Center to Prevent Handgun Violence 5/112011 $1,000 1225 Eye Street, NW, Suite 1100 Washington D C 20005

Chicago Urban League 6242011 $12,000 4510 South Michigan Avenue Chicago IL 60653

Children's Action Network 12/232011 $5,000 10951 W Pico Blvd Los Angeles CA 90064

Children's Defense Fund 11/42011 $2,1100 rlo 5B Events 10536 Culver Blvd Culver City CA 90232

Childrens Hospital Los Angeles 4/132011 510,000 Special Events/Gala Department 8403 Los Angeles CA 9DO84b103

Chrysalis 4212011 $10,000 516S Main SL Los Angeles CA 90013

Chrysalis 5/112011 $2,500 1853 Lincoln Blvd Santa Monica CA 90404

City of Hope 41132011 $10,000 1055 Wilshire Blvd Los Angeles CA 90017

City Year 3/92011 $25,000 606 S Olive Street 2nd Floor Los Angeles CA 90014

CoOeyvdle Women's Club 211712011 $2,000 5308 ShadowGlen Road Grapevine TX 76051

Community Enrichment Center. The 9/162011 $2,500 6250 NE Loop 820 North Richland Hits TX 76180

Conservation International 4/282011 $10,000 Special Events Program 2011 Crystal Drive, Suite 500 Arlington VA 22202

Debbie Allen Dance Academy 1123/2011 $3,000 clo Eva Lu 3791 Santa Rosalie Drive LOs Angeles CA 90008

Decade for Human Rights, Inc 3/162011 $5,000 526 West 111th Street Suite 4E NewYork NY 10025

Doe Fund. The 6/312011 $10,000 232 East 84th Street NewYork NY 10028

Downtown Women's Center 2/172011 $5,000 325 S Los Angeles Street Los Angeles CA 90013

Eagle and the Badge Foundation 8262011 $5,000 5903 Noble Avenue Van Nuys CA 91411

Eldridge Street Project 4282011 $5,000 12 Eldridge Street NewYork NY 10002

Elton John AIDS Foundation 11232011 $50,000 584 Broadway, Suite 906 New York NY 10012

Entertainment Industry Foundation 1212011 $5,000 do 513 Events 10536 Culver Boulevard Culver City CA 90232

Environment of People Foundation 81312011 $2,500 12001 Ventura Place, 51h Floor Studio City CA 91604

Feminist Majority Foundation 3/92011 $5,000 433S Beverly Dr Beverly Hills CA 90212

Foundation for Contemporary a o nce

Arts 1212011 $2,500 820 Greenwhich SL NewYork NY 10014

Friends of Israel Disabled Veterans BedHatochem 4/28/2011 $6,500 1133 Broadway Suite 2323 New York NY 10010-8143

Friends of the Israel Defense Forces 7/28/2011 $4,000 4640 Admuafdy Way Suite 406 Manna del Rey CA 90292

Friends of the Lone Pavilion 10172011 $1,000 30 N Raymond Avenue SuIte 100 Pasadena CA 91103

Fulfillment Fund 3/92011 $1.000 1 6100 Wilshire Boulevard, Ste 600 Suite 600 Los Angeles CA 90048

Page 1 of 3 ATTACHMENT A


Benefx5a

Fulfillent Fund

Da

11/42011

®

$8,333

ss

6100 Wilshire Boulevard . Ste 600

ress2

Suite 600

C1ry

Los Angeles

Sul-

CA 90048

Gay and Lesbian Elder Housing Corporation 11/42011 $10,000 1602 N Nar Avenue Suite A Hollywood CA 90028

Gay and Lesbian Victory Fund 4282011 $10,000 1133 15th Street NW Suite 350 Washington DC 20005

Gay. Lesbian & Straight Education Network 3/162011 $10,000 90 Broad Street 2nd Floor Newyork NY 10004

Gay. Lesbian & Straight Education Network 922/2011 $11,666 90 Broad Street 2nd Floor NewYork NY 10004

GLAAD 11/23/2011 $25,000 5455 Wilshire Blvd Suite 1500 Los Angeles CA 90036

GMHC 3/92011 $25,000 119 West 24th Street 8th Floor Newyork NY 10011-1913

GMHC 12/92011 $150,000 446 West 33rd Street Newyork NY 10001.2601

Golden Rainbow Center - SAGE 91162011 $2,500 611 S Palm Canyon Dove Suds 201 Palm Springs CA 92264

Greenway Arts Alliance 8/312011 $5,000 544 North Fairfax Avenue Los Angeles CA 90036

Hammer Museum 7282011 $15,000 10899 Wilshire Blvd Los Angeles CA 90024-4314

Harlem United Community AIDS Center 12192011 $5,000 306 Lenox Avenue NewYork NY 10027

Harold Robinson Foundation 5/102011 $5,000 Alto Jeff Robinson 10008 National Boulevard , Suite 324 Los Angeles CA 90034

Heal the Bay 5/ 122011 $8,333 1444 9N Street Santa Monica CA 90401

HELP Group , The 11232011 $5,000 13130 Burbank Blvd Sherman Oaks CA 91401-6037

Hetndo-Martm Institute 10!72011 $25,000 2 Astor Place New York NY 10003-6998

HIV an d Lega l S ervices nce

(HALSA) 3232011 $5,000 3550 Wilshire Boulevard Suite 750 Los Angeles CA 90010

Hollenbecli Police Business Council 11 /42011 $3,000 2015 East 1st Street Los Angeles CA 90033

Hollywood Community Housing Corporation 11/42011 $5,000 5020 Santa Monica Blvd Los Angeles CA 90029

Homeboy Industries 3/82011 $1,000 1916 East First SL Los Angeles CA 90033

Human Rights Campaign Foundation 1212011 $2,500 Human Rights Campaign 20404 Roca Chica Drive Malibu CA 90265

Human Rights Watch 4/142011 $5,000 Cries from the Heart 11500 West Olympic Blvd , Suite 441 Los Angeles CA 90064

Human Rights Watch 5/112011 $250 ,000 c/o Tiffany Star 11500 West Olympic Blvd , Suite 441 Los Angeles CA 90064

Inner City Education Foundation 3192011 $100,000 5150 W Goldleaf Circle Suite 401 Los Angeles CA 90056

Innocence Project 4/132011 $10,000 100 Fifth Avenue 3rd Floor New York NY 10011

International Bodges to Justice 3/92011 $1,000 198 Tremont Street Suite 447 Boston MA 02116-4705

International Myeloma Foundation 8/312011 $5,000 12650 Riverside Drive Suds 206 North Hollywood CA 91607

Jacob Bums Film Center 6/242011 $5,000 405 Manville Road Pleasantville NY 10570

Jenkins Penn Haitian RetefOrganvahon 2/102011 $5,000 c/o Deborah Hughs Inc 630 Ninth Avenue. Suite 701 NewYork NY 10036

Jewish Association for Services for the Aged 6/ 10/2011 $10,000 132 West 31st Street Newyork NY 10001

Jewish Family Services of Los Angeles 12/92011 $ 150,000 3580 Wilshire Blvd . Suite 700 Los Angeles CA 90010

Jewish Federation Council 21172011 $25,000 4444 Lakeside Drive Burbank CA 91505

Jewish Federation Council 41132011 $5,000 Attention Janet Gilmore 6505 Wilshire Blvd , Suite 1000 on Angeles CA 90048

Jews h Hea ling an d Hospice Cen ter o f Los

Angeles 81152011 $15,000 10573 W Pica Blvd 8850 Los Angeles CA 90064

Juvenile Diabetes Research Foundation 12/92011 $10,000 Tessa' s Troopers c/a Greg Fomi 800 W Sixth Street , Suite 450 Los Angeles CA 90017

KaBooml 8/19/2011 51,800 4455 Connecticut Avenue , NW Suite 8100 Washington D C 20008

KCET 7282011 $10,000 4401 Sunset Blvd Los Angeles CA 90027

LA County Museum of An 1/52011 525,000 5905 Wilshire Blvd Los Angeles CA 90036

LA. County Museum of Art 2/102011 $1,500,000 5905 Wilshire Blvd Los Angeles CA 90036

LA Free Clinic 9/ 1612011 $1,500 8405 Beverly Blvd Los Angeles CA 90048.3476

LA Gay & Lesbian Center 3/23/2011 $7,500 LIFEWORKS 1625 N Schrader Blvd Los Angeles CA 90028-6213

LA Gay & Lesbian Center 6212011 $10,000 1625 N Schrader Blvd Los Angeles CA 90028.8213

L A. Gay & Lesbian Film Festival 5/4/2011 510,000 3470 Wilshire Blvd, Suite 1022 Los Angeles CA 90010

Lambda Legal DefenselEduc Fnd 2/172011 $30,000 120 Wag Street Suite 1500 New York NY 10005

LAMP , Inc 6110/2011 $10 ,000 528 San Pedro Street Los Angeles CA 90013

Leo Baeck Education Center Foundation 3/92011 $5,000 3555 Timmons Lane Suite 1400 Houston TX 77027

Les bian . Gay, Bisexua l ransgen er

Community Center 1/21/2011 510,000 208 W 13th Street Newyork NY 10011

Leukemia 8 Lymphoma Society 6/ 162011 $5,000 Team in Training 1311 Mamaroneck Avenue , Suite 310 White Plains NY 10605

Liberty Hill Foundation 3/1612011 $2,000 cJo Blue Room Events 5777 W Century Blvd , Ste 880 Los Angeles CA 90045

Los Angeles Ballet 4212011 $10,000 Alin Katherine Highstrete 11755 Exposition Boulevard Los Angeles CA 90064

on Angele s Commismion on Assau lts

Against Women 9/ 16/2011 $750 do Blue Room Events 5777 West Century Blvd. Suite 880 Los Angeles CA 90045

Los Angeles Conservancy 11/4/2011 $2,500 523 West Sixth Street Suite 826 Los Angeles CA 90014

Los Angeles Jewish Home for the Aging 82/2011 $20,000 7150 Tampa Ave Reseda CA 91335

Los Angeles Jewish Home for the Agog 81152011 $1,500 7150 Tampa Ave Reseda CA 91335

Los Angeles Museum of the Holocaust 728/2011 $1,500 100S The Grove Drne Los Angeles CA 90036

Los Angeles Police Foundation 7282011 $8,333 515 South Flower Street Suite 1680 Los Angeles CA 90071

Los Angeles Police Historical Society 7/15/2011 $1,000 6045 York Blvd Los Angeles CA 90042-3503

Los Angeles Press Club 11/11/2011 $2,000 4773 Hollywood Blvd Los Angeles CA 90027

Malaria No More 3232011 $5,000 cfo Hollywood Bites Backl 432 Park Avenue S, 4th Floor Newyork NY 10016

Malibu Foundation for Youth and Families 4212011 $10,000 1 30215 Morning View Drive Malibu CA 90265

Men Stopping Violence 10/72011 $5,000 1 2785 Lawrenceville Highway Suite 112 Decatur GA 30033



Ben_e fiaa

Mid-CNes Supporters of Safe Haven

®

9/162011

Amount

$1,500

A . sst

P O Box 247

Ad ese2 GI

Cotyvfe

Sta

TX

WPM

76034

MLA Partner Schools 9/162011 $5,000 c/o Levy. Pazanh 8 Associates 9911 W Pico Blvd Ste 510 Los Angeles CA 90035

Motion Picture & Television Fund 21172011 $10,000 23388 Mulholland Drive MS 220 Woodland Hills CA 91364-1530

Museum of Modem Art 12/92011 $50,000 11 West 53rd Street NewYork NY 10019

Museum of the Moving Image 1212011 $5,000 cJo Event Associates 162 West 56th Street Suite 405 New York NY 10019

Music Center 51112011 51,000 717 West Temple Street Suite 400 Los Angeles CA 90012

National Breast Cancer Coalition 101'72011 $5,000 110117th Street NW Suds 1300 Washington DC 20036

National Multiple Sclerosis Society 6242011 $2,500 2440 S Sepulveda Blvd Suite 115 Los Angeles CA 90064

National Public Radio 81312011 $100,000 635 Massachusetts Avenue, NW Washington D C 20001-3753

National Wildlife Federation 622011 $5,000 clo Grant Associates 5670 Washae Blvd Suite 1590 Los Angeles CA 90036

Natural Resources Defense Council 62/2011 $25,000 1314 Second Street Santa Monica CA 90401

New York Landmarks Conservancy 10/72011 $1,500 Living Landmarks Celebration One Whitehall Street New York NY 10004

New York Needs You 11232011 $25,000 589 8th Avenue 5th Floor NewYork NY 10018

New York Public Library 2/172011 $2,000 Stephen A. Schwarzman Building Fifth Avenue and 42nd Street Room 73 NewYork NY 10018

New York Restoration Project 3/312011 $1,000 clo Buckley Half Events 17-19 Marble Avenue New York NY 10570

Newport Festivals Foundation 6/10/2011 $5,000 150 East 69th Street 27K New York NY 10021

Oakland Military Institute College

Preparatory Academy 2242011 $5,000 3877 Lusk Street Oakland CA 94608

Pancreatic Cancer Action Network 10/72011 $3,000 2141 Rosecrans Ave Suite 7000 El Segundo CA 90245

Para Los Ninos 12/92011 $5,000 do Alex Lopez 500 Lucas Avenue Los Angeles CA 90017-2002

People Assisting the Homeless 5/122011 f 15,000 340 North Madison Ave Los Angeles CA 90004

People for Parks Chartable Fund 10!72011 $5,000 16161 Ventura Blvd Suite C-792 Encino CA 91436

People for the American Way 1212011 $25,000 2000 M Street NW Suite 400 Washington DC 20036

People for the American Way 11/182011 $10,000 do 5B Events 10536 Culver Blvd Culver City CA 90232

Project Angel Food 11/23/2011 $15,000 922 Vine Street Los Angeles CA 90038

Proyecto Pastoral at Dolores Mission 3/162011 $5,000 1 135 North Mission Road Los Angeles CA 90033

Public Counsel 3/92011 $1,000 610 South Armors Avenue Los Angeles CA 90005

Public Theater 4282011 $10,000 425 Lafayette SL NewYork NY 10003

Race to Erase MS 2/172011 $2,000 1801 Avenue of the Stars Suite 1400 Los Angeles CA 90067

Raps Foundation 6/2412011 $8,333 1223 Wilshire Blvd Suite 410 Santa Monica CA 90403

Rock and Roll Hall of Fame Foundation, Inc 21102011 $10,000 c/o Event Associates 162 West 56th Street Suite 405 New York NY 10019

SAGE 12/92011 $25.000 1 305 7th Avenue 15th Floor New York NY 10001

Sambsiu Project, The 11/42011 $500 2510 Main Street Suite 202 Santa Monica CA 90405

Serra Project 7282011 $5,000 5670 Wilshire Blvd Suite 1590 Los Angeles CA 90036

Shakespeare FesirvaVLA 5/112011 $10,000 Attn Levy, Pazanll 8 Associates 9911 W Pico Blvd. Suite 510 Los Angeles CA 90035

Share, Inc 3/162011 $5,000 Souvenir Program 2701 Palm Avenue Manhattan Beach CA 90266

Simon Wnsenthal Center 2/172011 $25,000 1399 South Roxbury Drive Los Angeles CA 90035

Society of Singers 8/312011 $1,000 26500 W Agoura Road Suite 102-554 Calabasas CA 91302

Sojourn to the Past 61102011 $5,000 137 Entrada Drive Suite 3 Santa Monica CA 90402

Songs for Kids Foundation 8/152011 $5,000 1579 Monroe Drive Suite F-927 Atlanta GA 30324

Songwriters Hall of Fame 3/23/2011 $5,000 c/o Buckly Hall Events 17-19 Marble Avenue Pleasantville NY 10570

South Florida Affiliate of Susan omen,

The 12/2312011 $1,000 clo Hennes Sports & Events 1624 St. Clair Avenue Cleveland OH 44114

Special Olympics Southern California 9/222011 $8,333 6730 E Carson Street Long Beach CA 90908

St Joseph Center 5/11/2011 $3,000 204 Hampton Drive Venice CA 90291-8633

Stephen Gaynor School 2/172011 $2,500 148 West 90th Street New York NY 10024

Susan G Komen Breast Cancer Foundation 5/112011 8500 929 Eastwnd Drive Suite 211 Westerville OH 43081

T J Martell Foundation 10172011 $5,000 825 81h Avenue 19th Floor New York NY 10019

Thalana Mental Health Center 3/16/2011 $1,800 P O Box 749 Beverly Hills CA 90213-0749

The Meseme.Kunhardt Foundation The

Gordon Parks Foundation 51122011 $7,500 48 Whetar Avenue 3rd Floor Pleasantville NY 10570

Trevor Project 11121/2011 $5,000 1 8704 Santa Monica Blvd Suite 200 West Hollywood CA 90069

UCLA Foundation 1212011 $25,000 UCLA School of Public Health Office of Development and Alunmi, Box 9511772 Los Angeles CA 90095-1772

UJA-Federation of New York 2/172011 $5,000 130 East 59th SL Suite 987 NewYork NY 10022

UJA-Federation of NewYork 61102011 $5,500 130 East 59th St Suite 967 New York NY 10022

United Friends of the Children 4/132011 $5,000 do 5B Event 10536 Culver Boulevard Culver City CA 90232

United Nations Children's Fund (UNICEF) 11/23/2011 $5,000 10351 Santa Monica Blvd Suite 402 Santa Monica CA 90025

Urban Zen Foundation 5262011 515,000 Deborah Hughes Inc 630 Ninth Avenue, Suite 701 NewYork NY 10036

Venice Family Clinic 21102011 $5,000 604 Rose Ave Venice CA 90291

Venice Family Clinic 3/31/2011 $5,000 604 Rose Ave Venice CA 90291

Women in Film 4282011 $4,000 do Levy, Pazanu 8 Associates 9911 W Pico Blvd, Suite 510 Los Angeles CA 90035

Women's Image Network 1/52011 $10,000 8950 W Olympic Blvd Suite 589 Beverly H0s CA 90211

Young Eisner Scholars 1212011 $50,000 969 Stone Canyon Road Los Angeles CA 90077

Young Eisner Scholars 8/52011 $50,000 969 Stone Canyon Road Los Angeles CA 90077

Young Musicians Foundation 12/92011 $5.000 1 195 South Beverly Dr Suite 414 Beverly Hills CA 90212

TOTAL GRANTS PAID $4,748,513


Form 4562Department of the Treasury

Internal Revenue Service i

Name ( s) shown on return

Depreciation and Amortization(Including Information on Listed Property)

► See separate instructions. ► Attach to your tax return.

011AttachmentSequence No 179

Identifying number

QS-A lS2 . 1 '

Business or activity to which this form relates

GENERAL DEPRECIATIONElection To Expense Certain Property Under Section 179Note : If you have any listed roe , complete Part V before you complete Part 1.

1 Maximum amount (see Instructions), , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 1

2 Total cost of section 179 property placed in service (see Instructions), , , , , , , , , , , , , , , , , , , , 2

3 Threshold cost of section 179 property before reduction in limitation (see instructions) , , , , , , , , , , , , 3

4 Reduction in limitation Subtract line 3 from line 2 If zero or less, enter -0- 45 Dollar limitation for tax year Subtract Tine 4 from line 7 If zero or less, enter -0- If married filing 5

. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .se p arately, see instructions

6 (a) Description of property (b) Cost ( business use only) (c) Elected cost

7 Listed property Enter the amount from line 29 7

8 Total elected cost of section 179 property Add amounts in column (c), lines 6 and 7 . . . . . . . . . . . . . 8

9 Tentative deduction Enter the smaller of line 5 or line 8 9..............................10 Carryover of disallowed deduction from line 13 of your 2010 Form 4562 , , , , , , , , , , , , , , , , 10

11 Business income limitation Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11

12 Section 179 expense deduction Add lines 9 and 10, but do not enter more than line 11 12

13 Carryover of disallowed deduction to 2012 Add lines 9 and 10, less line 12 . ► I 13

Note : Do not use Part ll or Part Ill below for listed property Instead, use Part V

Special Depreciation Allowance and Other Depreciation (Do not include listed property) (See instructions)

14 Special depreciation allowance for qualified property (other than listed property) placed in service

during the tax year (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

15 Property subject to section 168(0(1) election . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Other depreciation (including ACRS) 16

FYRVTF MACRS Depreciation ( Do not include listed property) (See instructions )

Section A

17 MACRS deductions for assets placed in service in tax years beginning before 2011 , , , , , , , , , , , 17

18 If you are electing to group any assets placed in service during the tax year into one or more general

asset accounts, check here . ►Section tl - Assets riacea in 3ervlce During Lull I ax rear using the ueneral ueprecfauon System

(a) Classification of property

(b) Month and yearplaced inservice

(c ) Basis for depreciation(businessfnvestment useonly - see instructions )

(d) Recovery

Period(e ) Convention ( 0 Method (g) Depreciation deduction

19a 3-year property

b 5-year property

c 7-year property

d 10-year property '

e 15-year property ,

f 20-year property •

g 25-year property 25 yrs S/L

In Residential rental 27 5 yrs M M S/L

property 27 5 yrs M M S/L

i Nonresidential real 39 yrs M M S/L

property MM S/L

Section C - Assets Placed in Service uring 2011 Tax Year Using the Alternative De reciation System

20a Class life = S/L

b 12-year 12 yrs S/L

c 40-year 40 yrs M M S/L

Summary (bee instructions.)

21 Listed property Enter amount from line 28 21

22 Total . Add amounts from line 12 , lines 14 through 17, lines 19 and 20 in column (g), and line 21 Enter here

and on the appropriate lines of your return Partnerships and S corporations - see instructions . 22

23 For assets shown above and placed in service during the current year , enter the - "' •

portion of the basis attributable to section 263A costs , 23

SSA For Paperwork Reduction Act Notice , see separate instructions. Form 4562 (2011)1X2300 2 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1 PAGE 36

Farm 4562 (2011)95-4085811

Page 2Listed Property (Include automobiles, certain other vehicles, certain computers, and property used forentertainment, recreation, or amusement.)Note : For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a,24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable.

Section A.- Depreciation and Other Information (Caution : See the instructions for limits for passenger automobiles.24a Do you have evidence to suonort the husmessrinvestment use claimed9 Yes No 2dh If "Yes " is the evidenrp wntten9 Yes No

(a) (b) (c) (e) (f) (g) (h) (i)Type of property ( list Date placed Business/

investment use(d)

Cost or other basisBass for depreaauon(businessruwestment

Recovery Method / Depreciation Elected section

vehicles first) in servicepercentage use only) period Convention deduction 179 cost

25 Special depreciation allowance for qualified listed property placed in service during the tax

year and used more than 50% in a qualified business use (see instructions) . 25 =

26 Property used more than 50% in a qualified business use

S/L - -

S/L-

S/L -

28 Add amounts in column (h), lines 25 through 27 Enter here and on line 21, page 1 . . . . . . . . . . . . . 28

29 Add amounts in column (I), line 26 Enter here and on line 7, page 1 I 29

Section B - Information on Use of VehiclesComplete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person If you provided vehicles to your

employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles

(a) (b) (c) (d ) ( e) (f)Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6

30 Total business/investment miles driven duringthe year (do not include commuting miles) . . .

31 Total commuting miles driven during the year . . .

32 Total other personal (noncommuting) miles

driven .. . . . . . . . . . . . .. . . . . .. . .33 Total miles driven during the year Add lines

30 through 32 , , , , , , , , , , , , , , , , , , ,

34 Was the vehicle available for personal use Yes No Yes No Yes No Yes No Yes No Yes No

during off-duty hours? , , , , , , , , , , , , , , ,

35 Was the vehicle used primarily by a more

than 5% owner or related person' , , , , , , , , , ,

36 Is another vehicle available for personal

uses

Section C - Questions for Employers Who Provide Vehicles for Use by Their EmployeesAnswer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not

more than 5% owners or related persons (see instructions)

37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by Yes No

your employees' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees?

See the instructions for vehicles used by corporate officers, directors, or 1% or more owners , , , , , , , , , , , , , , , , , , , , , ,

39 Do you treat all use of vehicles by employees as personal use' , , . . . . .

40 , Do you provide more than five vehicles to your employees, obtain information from your employees about the

use of the vehicles, and retain the information received?

41 Do you meet the requirements concerning qualified automobile demonstration use' (See instructions.)

Note : If your answer to 37, 38, 39, 40, or 41 is "Yes, ° do not complete Section B for the covered vehicles

( a) (b) (c) (d ) Amortization (f)Description of costs

beginsamortization

Amortizable amount Code section period or Amortization for this yearbegins

percentage

42 Amortization of costs that begins during your 2011 tax year (see instructions)

43 Amortization of costs that began before your 2011 tax year 43

44 Total. Add amounts in column (f) See the instructions for where to report . . . . . . . . . . . . . . . . . . . . . 44

JSA

1X2310 2 000

CAY039 2054 11/5/2012 10:00:17 PM V 11-6.1

Form4562 (2011)

PAGE 37

27 Property used 50% or less in a qualified business use

muc nnvTn rRR'FN RnnNnATTnN2011 95-4085813

Description of Property

GENERAL DEPRECIATION

DEPRECIATION

Asset descri ption

Dateplaced inservice

UnadjustedCost

or basisBus%

179 expreductionin basis

BasisReduction

Basis forde reaction

BeginningAccumulatedde reciation

EndingAccumulateddepreciation

Me-thnd Cony Life

ACRclass

MACRSclass

Current-year179

expenseCurrent-yeardepreciation

OFFICE FURNITURE 07/19/1993 3 127 100.000 3 , 127. 3 , 127 3 127 200DB HY 7

OFFICE FURNITURE 07 / 01/1995 2 , 544 100 000 2 544 2 544. 2 544 200DB HY 7

FAX MACHINE 09/08/1995 690. 100 000 690 690. 690. 200DB HY 5

AUDIO/VISUAL EQUIP 09/25/1995 738. 100.000 738 738 738 200DB HY 5

OFFICE FURNITURE 01/17/1996 363 100 000 361 361 20008 HY 7

COMPUTERS 01/17/1996 5 , 629 100 000 5 629. 5 , 629 200DB HY 5

OFFICE FURNITURE 01/17/1996 8 , 194. 100.000

E

8 161 8 , 161. 2000E HY 7

OFFICE FURNITURE 10/21/1996 752 100.000 752. 752 200DB HY 7

OFFICE FURNITURE 11/21/2003 2,601. 100 000 2,601. 2 601 2 601. SL 7 000

Less Retired Assets i, ;y ;o•'',^ " ; `"

Subtotals . 24 638. 24 , 638 24 , 603. 24 , 603

Listed Prope rty

Less Retired Assets c ; r

Subtotals

TOTALS. 24 638 24 , 638 24 603. 24 , 603.

AMORTIZATION

Asset descri ption

Dateplaced inservice

Costor

basisAccumulatedamortization

EndingAccumulatedamortization Code Life

;^ ,..; ck, , „'• Current-yearamortization

V ' 's

'Assets RetiredJSA1X9024 1 000

CAY039 2054 11/5/2012 10:00.17 PM V 11-6.1 PAGE 38

Form 8868 (Rev. 1 -2012) Page 2

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

Note . Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.

• If you are filing for an Automatic 3-Month Extension , complete only Part I (on page 1 ) .

92,Mit Additional (Not Automatic ) 3-Month Extension of Time . Only file the original (no copies needed).

Enter filer's Identifying number, see instructions

Type orprint

File by thedue date forfiling yourreturn, SeeInstnutons,

Number . street, and room or suite no. If a P.O box see instructions.

12011 SAN VICENTE BLVD, SUITE 606City, town or post office , state , and ZIP code . For a foreign address, see


Enter the Return code for the return that this -application is for (file a separate application for each return.... , ...... u q

Application

Is For

Return

Code

Application

Is For

Return

Code

Form 990 01 SNEWForm 990-8L 02 Form 1041-A 08

Form 990-EZ 01 Form 4720 09

Form 990-PF 04 Form 5227 10

Form 990-T (sec. 401 a or 408 (a ) trust) 05 Form 6069 11

Form 990-T (trust other than above) 06 Form 8870 12

STOPI Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.

• The books are in the care of ► RICHARD SHERMAN

Telephone No. ► 310 581-5900 FAX No. ►• If the organization does not have an office or place of business in the United States , check this box . . . . . .. . ....... ► q

• If this is for a Group Return , enter the organization' s four digit Group Exemption Number (GEN) . If this is

for the whole group , check this box , , , , , , ►q . If it is for part of the group , check this box . , , , , . , ► and attach a

list with the names and EINs of all members the extension is for.

4 I request an additional 3-month extension of time until 11/15 , 20 12

5 For calendar year 2011 , or other tax year beginning , 20 , and ending 20

6 If the tax year entered In line 5 is for less than 12 months , check reason: Initial return Final return

q Change in accounting period7 State in detail why you need the extension ALL INFORMATION NECESSARY TO FILE A COMPLETE

AND ACCURATE RETURN HAS NOT YET BEEN OBTAINED.

exempt organization or other filer, see


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

nonrefundable credits. See instructions.

b If this application is for Form 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. Subtract line 8b from line 8a. Include your payment with this form, if required, by using EF1PS

(Electronic Federal Tax Payment System). See instructions.

407,209.

407,209.

NONE

Signature and Verification must be completed for Part 11 only.Under penalties of perjury. I declare that I have examined this form. Including accompanying schedules and statements, and to the best of my knowledge and belief,

It is true. correct, and complete, and that I am authorized to prepare this form.

► ( /{ --f Title ► CPA

9r)-4085811al security number

or

Form 8868 (Rev. 1-2012)

JSA

1 F8055 4,000

CAY039 2054 7/31/2012 12:32:05 PM V 11-5 PAGE 1

Form 8868

(Rev January 2012)

Department of the TreasuryInternal Revenue Service ► File a separate a for each return.

• If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . . . . . . . .. . . .. . . . ►• If you are filing for an Additional ( Not Automatic ) 3-Month Extension , complete only Part II (on page 2 of this form)

Do not complete Part ll unlesou have already been granted an automatic 3-month extension on a previously filed Form 8868.

Electronic filing (e-file) You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for

a corporation required to file Form 990-T), or an additional (not automatic) 3-month extension of time You can electronically file Form

8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information

Return for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (see

instructions) For more details on the electronic filing of this form, visit www irs gov/efile and click on a-file for Chanties & Nonprofits.

F9Mit Automatic 3-Month Extension of Time. Only submit original (no copies needed)

A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete

Part Ionly q

All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time

to file income tax returns Enter filer ' s identifying number, see Instructions

Name of exempt organization or other filer, see instructions Employer identification number (EIN) orType or

printTHE DAVID GEFFEN FOUNDATION X 95-4085811

File by the Number , street , and room or suite no If a P 0 box, see instructions Social security number (SSN)due date for

filing your 12011 SAN VICENT E BLVD, SUITE 606 IF]return See City, town or post office, state, and ZIP code For a foreign address , see instructionsinstructions


Application for Extension of Time To File anExempt Organization Return OMB No. 1545-1709

Enter the Return code for the return that this application is for (file a separate application for each return)

Application

Is For

Return

Code

Application

Is For

Return

Code

Form 990 01 Form 990-T (corporation ) 07

Form 990-BL 02 Form 1041-A 08

Form 990-EZ 01 Form 4720 09

Form 990-PF 04 Form 5227 10

Form 990-T (sec 401 a or 408 (a ) trust ) 05 Form 6069 11

Form 990-T (trust other than above ) 06 Form 8870 12

• The books are in the care of ► RICHARD SHERMAN

Telephone No ► 310 581-5900 FAX No. ►• If the organization does not have an office or place of business in the United States , check this box , , , , , , , , , , , ► q

• If this is for a Group Return , enter the organization's four digit Group Exemption Number (GEN) If this is

for the whole group , check this box , , , , , , ► q If it is for part of the group , check this box , , , , , , , ► and attach

a list with the names and EINs of all members the extension is for.

1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time

until 0 8 / 15 , 20 12 , to file the exempt organization return for the organization named above . The extension is

for the organization ' s return for:

► q calendar year 20 11 or

► tax year beginning , 20 , and ending , 20

2 If the tax year entered in line 1 Is for less than 12 months, check reason q Initial return q Final return

q Change in accounting period

3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069 , enter the tentative tax, less any

nonrefundable credits See instructions . 3a $ 407,209.

b If this application is for Form 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. 3b $ 132,209.

c Balance due . Subtract line 3b from line 3a Include your payment with this form, if required, by using EFTPS

(Electronic Federal Tax Payment System). See instructions. 3c $ 275, 000 .

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

payment instructions.

For Privacy Act and Paperwork Reduction Act Notice , see Instructions . Form 8868 (Rev 1-2012)

JSA1 F8054 4 000

CAY039 2054 5/10/2012 12:15:22 PM V 11-4.4 PAGE 1

Documents

r- t990s.foundationcenter.org/990pf_pdf_archive/954/... · 2017-06-21 · r- t 990^PF Return of Private Foundation OMBNo 1545-0052 Form or Section 4947(a)(1) Nonexempt Charitable