MOZAIK PHILANTHROPY INC: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MOZAIK PHILANTHROPY INC (EIN 20-8104037)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-13
IRS object ID
201302259349100105
Schema version
2012v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-13T09:31:08-00:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1One Hollow Lane Suite 212AddressLine1
CityLake SuccessCity
StateNYState
ZIP Code11042ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN208104037EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Neda Nobari FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEDANameControl
Phone8008391754Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Foundation Source 501 Silverside RdAddressLine1
CityWilmingtonCity
StateDEState
ZIP Code198091377ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNeda NobariName
TitlePresidentTitle
Date Signed2013-08-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeffrey D HaskellName
Phone8008391754Phone
Date Prepared2013-08-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY13641685FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Dividends Rev And Expnss487483DividendsRevAndExpnss
Dividends Net Invst Incm470066DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss13560NetGainSaleAssetsRevAndExpnss
Gross Sales Price6591057GrossSalesPrice
Capital Gain Net Incm Net Invst Incm13560CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses501043TotalRevenueAndExpenses
Total Net Investment Income483626TotalNetInvestmentIncome
Other Prof Fees Rev And Expnss31894OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm31894OtherProfFeesNetInvstIncm
Taxes Rev And Expnss7200TaxesRevAndExpnss
Other Expenses Rev And Expnss42045OtherExpensesRevAndExpnss
Other Expenses Dsbrs Chrtbl Prps42045OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss81139TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm31894TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps42045TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss596000ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps596000ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss677139TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm31894TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps638045TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-176096ExcessOfRevenueOverExpenses
Net Investment Income451732NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY24628SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY28502SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV28502SavingsAndTempCashInvstEOYFMV
Accounts Receivable2152AccountsReceivable
Accounts Receivable EOY2152AccountsReceivableEOY
Accounts Receivable EOYFMV2152AccountsReceivableEOYFMV
Investments Govt Oblig BOY6337412InvestmentsGovtObligBOY
Investments Govt Oblig EOY5691411InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV5843942InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY642562InvestmentsCorpStockBOY
Investments Corp Stock EOY635847InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV637461InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY5524812InvestmentsCorpBondsBOY
Investments Corp Bonds EOY6036231InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV6279628InvestmentsCorpBondsEOYFMV
Investments Other BOY728994InvestmentsOtherBOY
Investments Other EOY688169InvestmentsOtherEOY
Investments Other EOYFMV850000InvestmentsOtherEOYFMV
Total Assets BOY13258408TotalAssetsBOY
Total Assets EOY13082312TotalAssetsEOY
Total Assets EOYFMV13641685TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Retained Earnings BOY13258408RetainedEarningsBOY
Retained Earnings EOY13082312RetainedEarningsEOY
Total Net Assets BOY13258408TotalNetAssetsBOY
Total Net Assets EOY13082312TotalNetAssetsEOY
Total Liabilities Net Assets BOY13258408TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY13082312TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY13258408TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-176096ExcessOfRevenueOverExpenses
Subtotal13082312Subtotal
Total Net Assets Fund Balances EOY13082312TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo

FieldValueIRS element (for citing)
Description Of AssetPublicly-traded SecuritiesDescriptionOfAsset
Gross Sales Price6591057GrossSalesPrice
Cost Or Other Basis6577497CostOrOtherBasis
Gain Or Loss13560GainOrLoss
Gains Minus Excess Or Losses13560GainsMinusExcessOrLosses
FieldValueIRS element (for citing)
Capital Gain Net Income13560CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year1113464QualifyingDistributionsYear1
Noncharitable Assets Year113179840NoncharitableAssetsYear1
Distribution Ratio Year1000.008609DistributionRatioYear1
Qualifying Distributions Year267922QualifyingDistributionsYear2
Noncharitable Assets Year211708401NoncharitableAssetsYear2
Distribution Ratio Year2000.005801DistributionRatioYear2
Qualifying Distributions Year3175339QualifyingDistributionsYear3
Noncharitable Assets Year31248461NoncharitableAssetsYear3
Distribution Ratio Year3000.140444DistributionRatioYear3
Qualifying Distributions Year458460QualifyingDistributionsYear4
Noncharitable Assets Year444240NoncharitableAssetsYear4
Distribution Ratio Year4001.321429DistributionRatioYear4
Qualifying Distributions Year522588QualifyingDistributionsYear5
Noncharitable Assets Year57604NoncharitableAssetsYear5
Distribution Ratio Year5002.970542DistributionRatioYear5
Total Distribution Ratio004.446825TotalDistributionRatio
Average Distribution Ratio000.889365AverageDistributionRatio
Net Noncharitable Assets13454043NetNoncharitableAssets
Adjusted Noncharitable Assets11965555AdjustedNoncharitableAssets
One Percent Net Investment Income4517OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One11970072AdjNonchrtblAssetsAndOnePct
Qualifying Distributions638045QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax9035InvestmentIncomeExciseTax
Subtotal9035Subtotal
Tax Based On Investment Income9035TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment9330EstTaxPaymentsAndOverpayment
Total Credits And Payments9330TotalCreditsAndPayments
Tax Paid Original Return9330TaxPaidOriginalReturn
Form2220 AttachedXForm2220Attached
Overpayment295Overpayment
Amount Credited To Next Year295AmountCreditedToNextYear

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorsfalseNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1co Foundation SourceBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number8008391754BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1501 Silverside Road Suite 123AddressLine1
CityWilmingtonCity
StateDEState
ZIP Code198091377ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Uncorrected Prior ActsfalseUncorrectedPriorActs
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Business HoldingsfalseBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee

FieldValueIRS element (for citing)
Person NameNeda NobariPersonName

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Foundation Source 501 Silverside RdAddressLine1
CityWilmingtonCity
StateDEState
ZIP Code19809ZIPCode
FieldValueIRS element (for citing)
TitlePres / Dir / SecTitle
Avg Hours Per Wk Devoted To Position001.00AvgHoursPerWkDevotedToPosition
Compensation0Compensation

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities12725750AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances83177AvgMonthlyCashBalances
FMV All Other Noncharitable Assets850000FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets13658927TotalFMVOfUnusedAssets
Adj Total FMV Of Unused Assets13658927AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable204884CashDeemedCharitable
Net Noncharitable Assets13454043NetNoncharitableAssets
Minimum Investment Return672702MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return672702MinimumInvestmentReturn
Tax Based On Investment Income9035TaxBasedOnInvestmentIncome
Total Tax9035TotalTax
Distributable Amount Before Adj663667DistributableAmountBeforeAdj
Distributable Amount Before Ded663667DistributableAmountBeforeDed
Distributable Amount As Adjusted663667DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions638045ExpensesAndContributions
Qualifying Distributions638045QualifyingDistributions
Adj Qualifying Distributions638045AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted663667DistributableAmountAsAdjusted
Undistributed Income Prior Year636505UndistributedIncomePriorYear
Qualifying Distributions638045QualifyingDistributions
Applied To Year1636505AppliedToYear1
Applied To Current Year1540AppliedToCurrentYear
Undistributed Income CY662127UndistributedIncomeCY

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerNeda NobariContributingManager
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (53 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
350ORG
155 WATER ST 6TH FLBROOKLYNNY11201N/A509a1General Unrestricted$5,000
AMAZON WATCH
221 PINE ST 4TH FLSAN FRANCISCOCA94104N/A509a1General Unrestricted$15,000
ARTS ENGINE INC
145 W 24TH STNEW YORKNY10011N/A509a1Terra Blight Project$10,000
AUDUBON SOCIETY OF NEW HAMPSHIRE
3 SILK FARM RDCONCORDNH03301N/A509a2General Unrestricted$5,000
BERKLEE COLLEGE OF MUSIC INC
1140 BOYLSTON STBOSTONMA02215N/A509a1Cliff Brodsky Endowed Scholarship Fund$12,500
CENTER FOR FOOD SAFETY
660 PENNSYLVANIA AVE SEWASHINGTONDC20003N/A509a1General Unrestricted$5,000
CENTER FOR REPRODUCTIVE RIGHTS INC
120 WALL STNEW YORKNY10005N/A509a1General Unrestricted$5,000
CHAPMAN UNIVERSITY
1 UNIVERSITY DRORANGECA92866N/A509a1Support Project W Documentary Film$50,000
CLAREMONT SOUP KITCHEN INC
PO BOX 957CLAREMONTNH03743N/A509a1General Unrestricted$10,000
DEMOCRACY NOW PRODUCTIONS INC
207 W 25TH STNEW YORKNY10001N/A509a1General Unrestricted$15,000
DOCS IN PROGRESS INC
8700 1ST AVESILVER SPRINGMD20910N/A509a1Were Not Broke Project$10,000
EARTHSAVE INTERNATIONAL
20555 DEVONSHIRE ST STE 105CHATSWORTHCA91311N/A509a2Support the Meal for Health Program in Partnership with Sacramento Food Bank and Family Services$5,000
ESALEN INSTITUTE
26435 CARMEL RANCHO BLVDCARMELCA93923N/A509a2General Unrestricted$10,000
GEFFEN PLAYHOUSE INC
10886 LE CONTE AVELOS ANGELESCA90024N/A509a1General Unrestricted$5,000
GREEN MOUNTAIN CHILDRENS CENTER
92 FARMVU DRWHITE RIV JCTVT05001N/A509a2Neda Nobari Fdn Scholarship Fund- Provide Professional Development Opportunities for the Single Mothers Working for GMCC in Claremont$25,000
HANNAH HOUSE INC
PO BOX 591LEBANONNH03766N/A509a1General Unrestricted$10,000
HARRIET BUHAI CENTER FOR FAMILY LAW
3250 WLSHRE BLVD STE 710LOS ANGELESCA90010N/A509a1General Unrestricted$15,000
HOMEBOY INDUSTRIES
130 BRUNO STLOS ANGELESCA90012N/A509a1General Unrestricted$10,000
HUMAN RIGHTS WATCH INC
350 5TH AVE FL 34NEW YORKNY10118N/A509a1General Unrestricted$5,000
INNER-CITY ARTS
720 KOHLER STLOS ANGELESCA90021N/A509a1General Unrestricted$10,000
INSTITUTE FOR RESPONSIBLE TECHNOLOGY
PO BOX 469FAIRFIELDIA52556N/A509a1General Unrestricted$5,000
INTERNATIONAL DOCUMENTARY ASSOCIATION
1201 W 5TH ST STE M270LOS ANGELESCA90017N/A509a1Citizen Corps$20,000
INTERNATIONAL DOCUMENTARY ASSOCIATION
1201 W 5TH ST STE M270LOS ANGELESCA90017N/A509a1The Invisible War Project$20,000
INTERNATIONAL DOCUMENTARY ASSOCIATION
1201 W 5TH ST STE M270LOS ANGELESCA90017N/A509a1Brooklyn Castle Campaign$10,000
INTERNATIONAL SOCIETY FOR CHILDREN WITH CANCER
16808 ARMSTRONG AVE STE 170IRVINECA92606N/A509a1General Unrestricted$25,000
LASELL COLLEGE
1844 COMM AVENEWTONMA02466N/A509a1Lasell Fund$1,000
LEAGUE OF NEW HAMPSHIRE CRAFTSMEN
13 LEBANON STHANOVERNH03755N/A509a2General Unrestricted$5,000
LICENSE TO FREEDOM
131 AVOCADO AVEEL CAJONCA92020N/A509a1General Unrestricted$10,000
LINK MEDIA INC
PO BOX 2008SAN FRANCISCOCA94126N/A509a1General Unrestricted$30,000
LOS ANGELES CONSERVATION CORPS
PO BOX 15868LOS ANGELESCA90015N/A509a1General Unrestricted$10,000
LOS ANGELES HOUSE OF RUTH
605 N CUMMINGS STLOS ANGELESCA90033N/A509a1General Unrestricted$10,000
MISS REPRESENTATION
PO BOX 437ROSSCA94957N/A509a2Expand Marketing and Outreach Efforts for Town Hall Events$5,000
MISS REPRESENTATION
PO BOX 437ROSSCA94957N/A509a2Miss Representation Salon to Promote the Film and Engage Media$5,000
NEW HAMPSHIRE PUBLIC RADIO INC
2 PILLSBURY ST STE 600CONCORDNH03301N/A509a1General Unrestricted$10,000
NEW ORGANIZING INSTITUTE EDUCATION FUND
1850 M ST NW STE 1100WASHINGTONDC20036N/A509a1UltraViolet$10,000
PLANNED PARENTHOOD LOS ANGELES
400 W 30TH STLOS ANGELESCA90007N/A509a1General Unrestricted$10,000
PLANNED PARENTHOOD LOS ANGELES
400 W 30TH STLOS ANGELESCA90007N/A509a1Education$10,000
PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND
128 LAKESIDE AVE STE 301BURLINGTONVT05401N/A509a1General Unrestricted$10,000
SCHOOL ON WHEELS INC
PO BOX 23371VENTURACA93002N/A509a1General Unrestricted$10,000
SOCIAL & ENVIRONMENTAL ENTREPRENEURS SEE INC
22231 MULHOLLAND HWY STE 209CALABASASCA91302N/A509a2SEE - Arkana Alliance Division$5,000
SOUTHERN CALIFORNIA PUBLIC RADIO
474 S RAYMOND AVEPASADENACA91105N/A509a1General Unrestricted$15,000
SPARKY PRODUCTIONS INC
PO BOX 903TELLURIDECO81435N/A509a1Bidder 70 Project$15,000
SPEAK OUT
PO BOX 22748OAKLANDCA94609N/A509a2Solarize This$10,000
ST ANNES TRANSITIONAL HOUSING & CHILDCARE CENTER
155 N OCCIDENTAL BLVDLOS ANGELESCA90026N/A509a1General Unrestricted$10,000
THE LOS ANGELES VALLEY COLLEGE FOUNDATION
5800 FULTON AVEVAN NUYSCA91401N/A509a1Speech Team$5,000
THE UNIVERSITY CORPORATION SAN FRANCISCO STATE
1600 HOLLOWAY AVESAN FRANCISCOCA94132N/A509a1Guardian Scholarship Fund$20,000
TREEPEOPLE INC
12601 MULHOLLAND DRBEVERLY HILLSCA90210N/A509a1General Unrestricted$10,000
TRUSTEES OF DARTMOUTH COLLEGE
7 LEBANON ST STE 309HANOVERNH03755N/A509a1HOP Division$5,000
TURNING POINTS NETWORK
11 SCHOOL STCLAREMONTNH03743N/A509a1General Unrestricted$5,000
UNIVERSITY OF CALIFORNIA SANTA BARBARA
DEVELOPMENT OFCSANTA BARBARACA93106N/A509a1Support for Outreach Engagement Work for the Documentary Film Nothing Like Chocolate$2,500
UPPER VALLEY HAVEN INC
713 HARTFORD AVEWHITE RIV JCTVT05001N/A509a1Joonie Fund$20,000
VERMONT PUBLIC RADIO
365 TROY AVECOLCHESTERVT05446N/A509a1General Unrestricted$10,000
VSA VERMONT INC
20 W CANAL ST STE C8WINOOSKIVT05404N/A509a1Engage Exhibition$10,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year596000TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$487,483ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$13,560ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Exclusion$501,043ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA501043TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAsset

FieldValueIRS element (for citing)
NamePublicly-traded SecuritiesName
Gross Sales Price6591057GrossSalesPrice
Basis6577497Basis
Total Net13560TotalNet

General Explanation Attachment GeneralExplanationAttachment

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (31 entries)

Name Of BondNameOfBondEOY Book ValueEOYBookValueEOYFMVEOYFMV
AMERICAN EXPRESS CR CORP - 2.800 - 09/19/2016238584248642
ANHEUSER BUSCH INBEV WWIDE - 5.375 - 11/15/2014123826119409
ATT INC NOTE - 2.400 - 08/15/2016230123239881
BARCLAYS BK 4.5 3/10/17242198260000
BOTTLING GROUP 6.95 3/15/147543969893
CBS CORP NOTES CR SENS - 8.875 - 05/15/2019121113128132
CITIGROUP INC SR NT 6.12500 11/21/2017224517249934
CME GROUP INC - 3.00 - 09/15/2022344438350051
CONOCPHILLIPS CDA FDG 05.625 10/15/16237168246259
DAIMLERCHRYSLER N. AMER - 6.500 - 11/15/2013264160262435
DELL INC NT 5.87500 06/15/2019235594236392
DEUTSCHE BANK-3.250-01/11/2016255835264550
DOW CHEMICAL CO THE NOTE - 4.250 - 11/15/2020128289144522
FORD MOTOR CREDIT CO-3.00-06/12/2017149945154113
GE CAP CORP MTN BE 2.150 01/09/2015 FR364620374906
GOLDMAN SACHS - 5.625 - 01/15/2017129689142633
HEWLETT-PACKARD CO GLBL NT 04.75000 06/02/2014241997234540
HSBC FINANCE CORP NT 5.500 01/19/2016139443145269
IBM - 7.625 - 10/15/2018164490173640
JEFFERIES GROUP INC 8.5 07/15/2019127486131450
JP MORGAN CHASE NOTE 6.000 10/01/2017233356248606
KIMCO REALTY CORP NOTE 06.87500 10/01/2019124958129699
METLIFE INC NOTES 07.71700 02/15/2019223469242537
MORGAN STANLEY NOTES 05.50000 01/26/2020225439252403
ONTARIO PROVINCE OF BOND - 1.600 - 09/21/2016359723371455
SHELL INTERNATIONAL FIN 01.87500 03/25/2013131808130464
SYMANTEC CORP - 2.750 - 09/19/2010121325129283
TARGET 6 1/15/2018131258135255
VERIZON COMMUNICATIONS - 5.550 - 02/15/2016235156239135
WACHOVIA BK NATL ASSN MTN SUB 4.800 11/01/20143231332454
WACHOVIA CORP GLOBAL MTN 5.75000 02/01/2018NT178472191686

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (2 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
34763 shares of EATON VANCE FLOATING RATE FUND INSTI SHARE316000317043
37520 shares of IVY HIGH INCOME FUND CLASS I319847320418

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value5442320USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV5552015USGovtSecuritiesEOYFMV
State Local Securities EOY Book Val249091StateLocalSecuritiesEOYBookVal
State Local Securities EOYFMV291927StateLocalSecuritiesEOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther

FieldValueIRS element (for citing)
Category Or ItemGOLUB CAPITAL PARTNERS INTERNATIONAL VII LPCategoryOrItem
Book Value688169BookValue
EOYFMV850000EOYFMV

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksDisbursements Charitable PrpsDisbursementsCharitablePrps
Administrative Fees4102041020
State or Local Filing Fees10251025

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

FieldValueIRS element (for citing)
CategoryInvestment Management ServicesCategory
Amount$31,894Amount
Net Investment Income31894NetInvestmentIncome

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryEstimated Tax for 2012Category
Amount$7,200Amount

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