-PF Return ofPrivate Foundation990s.foundationcenter.org/990pf_pdf_archive/201/201835676/... · THE...

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

Department of the Treasury or Section 4947( a)(1) Nonexempt Charitable Trust Treated as a Private Foundation 004

Internal Revenue Service Note : The organization may be able to use a copy of this return to sates state reporting requirements

For calendar year 2004 , or tax y ear beginning 10 / 26 , 2004 , and ending 09 / 30 /2005

G Check all that app ly X Initial return 17Final return Amended return Address change Name change

Name of organization A Employer identification number

Use the IRS

label. THE CLARENCE S. BROOKS FOUNDATION 20-1835676

Otherwise , Number and street (or P 0 box number if mail is not delivered to street address) Room/suite B Telephone number (see page 10 of

print the Instructions)

or type .See Specific 8501 WILSHIRE BLVD. STE, 330 ( 310 ) 657-7711

Instructions . City or town, state , and ZIP codeIC If exemption application is 1,pending , check here

H

t-

c

p 1. Foreign organizations , check here . I" Li

IBEVERLY IHILLS , CA 90211 2. Foreign organ izations meeting the

Check type of organization X Section 501(c exempt private foundation

Section 4947 (a)( 1 ) nonexem p t charitable trust Other taxable private foundation

85% test , check here and attach ,q

computation . . . . . . . .

E If rivate foundation status was terminated

Fair market value of all assets at end

of year (from Part l!, col (c), line

16) 00. $ 32 , 175 , 3 31.

Accounting method Cash Accrual

)__.. ..... ............

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

p

under section 507(b)(1)(A), check here . 1111. 7

F If the foundation is in a 60-month tenrsnation

under section 507(b)( 1)(B), check here • 1111.

Analysis of Revenue and Expenses(The total of amounts in columns (b), (c), and(co may not necessarily equal the amounts incolumn (a) (see page 11 of the instructions)

( a) Revenue andexpenses per

books

(b) Net investmentincome

(c) Adjusted netincome

(d ) Disbursementsfor charitablepurposes

(cash basis only)

received (attach schedule ) .etc1 Contributions dts grants 32 135 682. STMT 1,,

2 Checkif the foundation is not required to

S h Battach c

3 Interest on savings and temporary cash investments 17 , 386. 17 , 396. STMT 2

4 Dividends and interest from securities 155. 155. STMT 3. . .

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

b Net rental income or (loss)

60 Net gain or ( loss) from sale of assets not on line 10 12 , 977.b Gross sales price for all

966,947.6assets on line a

line 2)7 Capital gain net income (from Part IV 115 , 091., .

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

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

and allowances • • • •

b Less Cost of goods sold

c Gross profit or (loss) (attach schedule) .

11 Other income (attach schedule) . , , • • ,

12 Total . Add lines 1 through 11 32 166 200. 132 632 .

13 Compensation of officers , directors, trustees, etc , ,

14 Other employee salaries and wages . . . . .

15 Pension plans, employee benefits , , . , , ,

16a Legal fees (attach schedule) , , , , , • • , •

b Accounting fees (attach schedule) , , , • • •

c Other professional fees (attach schedule), ,

17 Interest . . . . . . . . . . . . . . . . . . .

• 18 Taxes (attach schedule) ( see page 14 of the instructions)

E 19 Depreciation (attach schedule) and depletion

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

,0 21 Travel, conferences, and meetings , , , , , ,Ca 22 Printing and publications . . . . . . . . . .co

23 Other expenses (attach schedule) , , . . , .

411 24 Total operating and administrative expenses.

o Add lines 13 through 23

0 25 Contributions, gifts, grants paid . . . . . . .

27 Subtract line 26 from line 12

a Excess of revenue over expenses and disbursements

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

JSAFor Privacy Act and Paperwork Reduction Act Notice , see the Instructions.

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Form 990-PF (2004)

2 '7

r....., on oc ^nne% 7n-, RZr. r.7 o. Pnno 2

Attached schedules and amounts in the Beginnin g of year End of yearBalance Sheets descnphon column should be for

end-of-year amounts onl y ( See instructions (a) Book Value (b) Book Value c) Fair Market Value

1 Cash - non-interest-bearing . . . . . . . . . . . . . . . . . 10 , 000. 10 , 000.

2 Savings and temporary cash investments . . . . . . . . . 21 903 288. 21 , 903 , 288.3 Accounts receivable ►------------------------

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 page 15 of the instructions)

7 Other notes and loans receivable (attach schedule) ► - - _

Less allowance for doubtful accounts ► _ _ _

8 Inventories for sale or use . . . . . . . . . . . . . . . . . .

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

10 a Investments - U S and state government obligations (attach schedule)

b Investments - corporate stock (attach schedule) . $ A. 2 , 912. 2 , 500.

c Investments - corporate bonds (attach schedule) . . . . . ,11 Investments - land, buildings, ►

and equipment, basis ___________________Less accumulated depreciation ►(attach schedule ) ------ - - -- - -- - - --- -

12 Investments - mortgage loans . . . . . . . . . . . . . . . .

13 Investments - other (attach schedule) . . . . . . $TMQ .5. 10 250 000. 10 1 2 9543 .14 Land, buildings, and ►

equipment basis -------------------Less accumulated depreciation ►(attach schedule) --------------------

15 Otherassets(descnbe 00. _ ___ _ _ _ _ _ )_ __ _ _ _ ____ _

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

the instructions Also see page 1 Item I 32 166 200. 32 175 331.

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

18 Grants payable . . . . . . . . . . . . . . . . . . . . . .

19 Deferred revenue . . . . . . . . . . . . . . . . . . . . .

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

3 21 Mortgages and other notes payable (attach schedule) . . . . .

_ _ _ _ _ _ _22 Other liabilities (describe 0- )__ _ _ _ ____ _ _ _

23 Total lisiblifts add lines 17 hro h 22)

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

24 Unrestricted . . . . . . . . . . . . . . . . . . . . . . . . .C

25 Temporarily restricted . . . . . . . . . . . . . . . . . . . .

m 26 Permanently restricted . . . . . . . . . . . . . . . . . .

C Organizations that do not follow SFAS 117,

ti check here and complete lines 27 through 31. ► x

o 27 Capital stock, trust principal, or current funds . . . . . . . . .

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

29 Retained earnings , accumulated income, endowment , or other funds , 32 , 166 , 200.

30 Total net assets or fund balances (see page 17 of the

Z instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 32 166 200.

31 Total liabilities and net assetsifund balances (see page 17 of

the instructions ) 32 , 166 , 200.

Analysis of Changes in Net Assets or Fund Balances

I 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

2 Enter amount from Part I, line 27a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . 2 32 , 166 , 200.

3 Other increases not included in line 2 (itemize)

4 Add lines 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . 4 32 166 200.

5 Decreases not included in line 2 (Itemize 5

6 Total net assets or fund balances at end of near (line 4 minus line 5) - Part II. column (b). line 30 • . • . 6 32.166.200.

Form 990-PF (2004)

JSA

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Form 990-PF 2004 - •]

•r, 20183566

c'Zains and Lnssps for Tax an 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- onat

(c) Dateacquired

(mo , day, yrfd) Date sold

, day, yr.)

1a SEE PART IV SCHEDULE

b

c

d

e

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

(9) Cost or other basisplus expense of sale

(h) Gain or (loss)(e) plus (f) minus (g)

ab

c

deCom p lete only 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 12/31/69Q) Adjusted basisas of 12/31/69

(k) Excess of col (i)over col (j), if any

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

a

bc

de

2 Capital gain net income or (net capital loss)I

If gain, also enter in Part I, line 7

If (loss), enter -0- in Part I, line 7 } 2 115 091.

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 pages 13 and 17 of the instructions)

If (loss). enter -0- in Part I, line 8 3Qualification 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 NOT AVAILABLE FOR INITIAL YEAR RETURNS

Was the organization liable for the section 4942 tax on the distributable amount of any year in the base period?. . . . Yes E] No

If "Yes ," the organization does not qualify under section 4940(e) Do not complete this part

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

(a)Base period years calendar year

(or tax year beginning in)

(b)Adjusted qualifying distributions

tclNet value of nonchantable use assets

(d)Distnbutron ratiocol (b ) divided by col c

2003

20022001

2000

1999

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

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, ,

4 Enter the net value of noncharltable-use assets for 2004 from Part X, line 5 4

5 Multiply line 4 by line 3 5

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

7 Add lines 5 and 6 7.. .. ..

8 Enter aualifvtno distributions from Part XII, line 4 .. . . . . . . .. .. . ......... .. . 6If line 8 is equal to or greater than line 7, check the box in Part VI, line 1 b, and complete that part using a 1 % tax rate See the Part VI instructions on page 18

1 Form 990-PF (2004)4EJSA4E 1430 2 000

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Form 990 - PF (2004 20-1835676 Pa 4

Excise Tax Based on Investment Income ( Section 4940 ( a ) , 4940( b ) , 4940( e ) , or 4948 - see page 18 of the instructions )

la Exempt operating foundations descnbed in section 4940 ( d)(2), check here ► and enter " N/A" on line 1 , . .

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

b Domestic organizations that meet the section 4940 ( e) requirements in Part V, check 1 2 , 653.

here ► and enter 1 % of Part I , line 27b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

C All other domestic organizations 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 2 , 653.

4 Subtitle A (income ) tax (domestic section 4947 ( a)(1) trusts and taxable foundations only Others enter -0-) , , , 4 NONE

enter -0.Subtract line 4 from line 3 If zero or lessed on Investment incomeb5 T 5 2 , 653.,.ax as . . . . . . . . . . . .

6 Credits/Payments

a 2004 estimated tax payments and 2003 overpayment credited to 2004 • , , 68

b Exempt foreign organizations - tax withheld at source . . . . . . . . . . . 6b NONE

c Tax paid with application for extension of time to file (Form 8868). Sc 15 , 000.

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

7 Total credits and payments Add lines 6a through 6d . . . . . . . . . . . . . . . . . . . . . . . 7 15 , 000 .

re q d Form 2220 is attachedd t Ch k h . . . . . . . . . . .ec eax8 Enter any ponatty for underpayment of estimate

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

10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . . . . . . . , , , ► 10 12 , 347.

11 Enter the amount of line 10 to be Cred ited to 2005 estimated tax plo. 12 347 . Refunded ► 11

_ Statements Regarding Activitiesor local legislation or didstateanization attempt to influence any nationaldid the orx rth tD

Yes No, ,gyea ,uring e aI a. . . . . . . . . .olitical campaign?r intervene in antit t 18 X. . . . . . . . . . . . . . . . . . . . . . . . . .y ppar cipa e oi

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

. . .instructions for definition ) ?f th19 lb X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .o e

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

published or distributed by the organization in connection with the activities

anization file Form 1120 -POL for this year?d the orD 1 C A• , , , , • , • . . . . . . . . . . . . . . . . . . . . . . . . . . .gc i

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

(1) On the organization ► $ NONE(2) On organization managers ► $ NONE

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

on organization managers ► $ NONE

activities that have not previously been reported to the IRS?ed in anaanization enoH th 2. . . . . . . . . . . . . .yg g2 as e rg

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

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

' attach a conformed copy of the changes . . . . . . . . .or other similar instruments? If 'Yeslawsor borationof incor 3 X,,yp ,. . . . . . . . .000 or more during the year?anization have unrelated business gross income of $14a D d the or 4a X. . . . . .,gi

" has it filed a tax return on Form 990-T for this year?b If "Y 4b A, • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .es ,

or substantial contraction during the year?dissolutionterminationuidationthere a liW 5 X. . . . . . . . . . . . . . . .,,,qas5

N '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

. . . . .overning instrument?th the state law remain in theflt t 6 X. . . . . . . . . . . . . . . . . . . . .gic wicontha' complete Part It, col (c), and PartXV.000 in assets at any time during the year? IF 'Yesn have at least $5i7 D td th 7 X,,e organ za ioi

8a Enter the states to which the foundation reports or with which it is registered ( see page 19 of the

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

. . . . . . . . . . . .' attach explanationnate) of each state as required by General Instruction G? if 'Nol deG 8b X.,( or sigenera

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

or 49420)( 5) for calendar year 2004 or the taxable year beginning in 2004 (see instructions for Part XIV on

. . . . . . . . . . ..lete PartXIV" come 25 ) ' If "Yesa 9 X.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .p,p g' attach a schedule hshng theirnames and addresses * *ersons become substantial contributors during the tax year? If 'Yes10 D d n 10 X,i y pa

ublic inspection requirements for its annual returns and exemption application ?with thetion com lni11 D d th 11 X•pp ye orga zai

Web site address N1p'--------------------------------------------------------------------_310=657 _712 The books are in care of lli . JEFFREY RATNER ----------------------- Telephone no No-_310 - 657-7

Located at 8501_ WILSHIRE_ PLVD #330 BEVERLY HILLS CA_____ ----------

13 Section 4947 ( a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here . . . , . I . . N/A .

and enter the amount of tax-exempt interest received or accrued during the year . ► 13

711 _____-_711

------

. . . . . .

Jan4E 1440 2 000

* * S 6 Form 990-PF (2004)

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Form 990-PF 5

IZTIKTA 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

1a During the year did the organization (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? . . . . . . . Yes X No

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

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

for the benefit or use of a disqualified person)? . . . . . . . . . . . . . . . . . . . . . . . . . q Yes aX No

(6) Agree to pay money or property to a government official? ( Exception . Check "No"

if the organization agreed to make a grant to or to employ the official for a period

after termination of government service , if terminating within 90 days ) . . . . . . . . . . . . . q Yes 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 page 20 of the instructions ) . . . . •. • • • • lb N

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

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

that were not corrected before the first day of the tax year beginning in 20047 . . . . . . . . . . . . . . . . . . . . . . . . 1 c X

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

operating foundation defined in section 4942 (j)(3) or 4942 (1)(5))

a At the end of tax year 2004, did the organization have any undistributed income (lines 6d

and 6e , Part XIII) for tax year (s) beginning before 2004 ? . . . . . . . . . . . . . . . . . . . . . . q Yes ^X No

If "Yes," lost the years ► - - - - - - - - - - I --------- ,--------- I---------

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

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

to all years listed , answer "No" and attach statement - see page 20 of the instructions) . . . . . . . . . . . . . . . . . . . . 2 b N

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

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

3a Did the organization hold more than a 2% direct or indirect interest in any business

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

b If "Yes ," did it have excess business holdings in 2004 as a result of (1) any purchase by the organization

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

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

the lapse of the 10-, 15-, or 20-year first phase holding penod? (Use Schedule C, Form 4720, to determine

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

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

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

purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2004' . . . . . . . . . . . 4b X

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

(1) Carry on propaganda , or otherwise attempt to influence legislation (section 4945(e))? , , , , , . q Yes No

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

on, directly or indirectly , any voter registration drive? . . , . , , , , , , , . e Yes 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 section 509 ( a)(1), (2), or ( 3), or section 4940(d)(2)? . . . . . . . . . . . . . . . . . . . . . q Yes No

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

educational purposes , or for the prevention of cruelty to children or animals'? . . . . . . . . . . q 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 page 20 of the instructions) ? .... . . 5b N) A

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

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

tax because it maintained expenditure responsibility for the grant? . . . . . . . . . . . . . . .N/A Yes No

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

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

Elpremiums on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . . . . YesqX No

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

If you answered "Yes" to 6b. also file Form 8870

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Form 990-PF (2004)

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20-1835676

Form 990-PF (2004)

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

I List all officers. directors . trustees . foundation manaaers and their comoensation (see nano 20 of the instructions).

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

hours per weekdevoted to position

(c) Compensation( If not paid , enter

-0-

(d) Contributions toemployee benefit plans

and deferred compensation

(a) Expense account,other allowances

-------------------------------------SEE STATEMENT 7 NONE NONE NONE

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

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

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

2 Compensation of five highest-paid employees ( other than those inc luded on line 1 - see oaae 21 of the instructions).If none. enter "NONE."

(a) Name and address of each employee paid more than $50,000Tale and acorn

(bhours 9aper week

devoted to position(c) Compensation

(d) Contributions toemployee benefitplans and deferredcompensation

(a) Expense account,other allowances

-------------------------------------NONE

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

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

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

Total number of other employees paid over $50,000 . ► I NONE

3 Five highest - paid independent contractors for professional services - (see page 21 of the instructions). If none, enter

"NONE."

(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation

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

Total number of others receiving over $50,000 for professional services , , , , , , , , , , , , , , , , , , , , , ► NONE

Summary of Direct Charitable Activities

List the foundation ' s four largest direct chantable activities during the tax year Include relevant statistical information such as the numberof organizations and other benefiaanes served , conferences convened, research papers produced, etc Expenses

1--Nlp'-----------------------------------------------------------------------

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4

JSAForm 990-PF (2004)

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Form 996-PF (2004) 20-1835676

S ummary of Program-Re lated Investments (see page 22 of the instructions)

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

1 NONE---------------------------------------------------------------------------

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

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

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

All other program -related investments See page 22 of the instructions

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

To 1. Add lines 1 throug h 3 ►Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see page 22 of the instructions )

1 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ia 208.b Average of monthly cash balances . _ , . , . _ . , lb 2 , 659 , 792.

c Fair market value of all other assets (see page 22 of the instructions) . . . . . . . . . . . . . . . . . . . Ic 854 , 962.

d Total (add lines 1a, b, and c) , , , , , , , , ,, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

.

Id 3 , 514 , 962.

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

.

.

.

1c (attach detailed explanation) . . . . . . . . . . le

2 Acquisition indebtedness applicable to line 1 assets 2 NONE3 Subtract line 2 from line ld .................................. 3 3 , 514 , 962.4 Cash deemed held for charitable activities Enter 1 112 % of line 3 (for greater amount, see page 23

of the instructions) . , , , 4 52 , 724.

5 Net value of noncharitable -use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 3 , 462 , 238.

6 Minimum investment return . Enter 5% of line 5 6 161 , 255.

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

I Minimum investment return from Part X, line 6 . . . . . . . . . . . . . .. . . .. . . . . . . . . 1 161 255.

2a

b

c

Tax on investment income for 2004 from Part VI, line 5 2a 2 , 653.

Income tax for 2004 (This does not include the tax from Part VI) 2b

Add lines 2a and 2b 2c 2 , 653.3 Distributable amount before adjustments Subtract line 2c from line 1 . . . . . . . . . . . . . . . . . . 3 158 602.

4 Recoveries of amounts treated as qualifying distributions , , , , , , , , , , ,, , ,, , , , , , , 4 NONE5 Add lines 3 and 4 . . . . . . . ... .. 5 158 , 602.

6................................ ..

Deduction from distributable amount (see page 23 of the instructions) , , , , , 6 NONE7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,

line 1 7 158 602.

® Qualifying Distributions (see page 23 of the instructions)

Ia

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

Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 , , , ,, , , , , , , , , , , , ,

b rogram-related investments - total from Part IX-BP_________________

.______

NONE2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc,

3

a

b

4

5

6

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

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

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

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

Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment

income Enter 1 % of Part I, line 27b (see page 24 of the instructions) , , . . , , . . . , . . 5

Adjusted qualifying distributions . Subtract line 5 from line 4 6

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

Form 990-PF (2004)JSA4E1470 2 000

32297K 551R 08/01/2006 13:01:55 V04-8 71125 8

Form 990-PF (2004) 20-1835676

Undistributed Income (see page 24 of the instructions)

1 Distributable amount for 2004 from Part XI,

line? ................

2 Undistributed income if any, as of the end of 2003

a Enter amount for 2003 only . . . . . . . . . .

b Total for prior years

3 Excess distributions carr ver, if any, to 2004

a From 1999 , , , , NON

b From 2000 , , , , NON

c From 2001 ,, NON

d From 2002 , , , , , , NON

e From 2003 , , , , , , NON

f Total of lines 3a through e . . . . . . . . . . .

4 Qualifying distributions for 2004 from Part

XII, line4 ► $ NONE

a Applied to 2003, but not more than line 2a , , ,

b Applied to undistributed income of prior years

(Election required - see page 24 of the instructions)

c Treated as distributions out of corpus (Electionrequired - see page 24 of the instructions) , , ,

d Applied to 2004 distributable amount. . . . . .

e Remaining amount distributed out of corpus5 Excess distributions carryover applied to 2004

(lf an amount appears in column (d), thesame amount must be shown in column (a) )

6 Enter the net total of each column as

indicated below:

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

b Prior years' undistributed income Subtract

line 4b from line 2bc Enter the amount of prior years' undistributed

income for which a notice of deficiency hasbeen issued, or on which the section 4942(a)tax has been previously assessed , . . . . . . .

d Subtract line 6c from line 6b Taxableamount - see page 25 of the instructions , , , ,

e Undistributed income for 2003 Subtract line4a from line 2a Taxable amount - see page25 of the instructions

f Undistributed income for 2004 Subtractlines 4d and 5 from line 1 This amount must

be distributed in 2005

7 Amounts treated as distributions out ofcorpus to satisfy requirements imposed bysection 170(b)(1)(E) or 4942(g)(3) (see page25 of the instructions) . . . . . .

8 Excess distributions carryover from 1999not applied on line 5 or line 7 (see page 25of the instructions) . . . . . . . . . . . . . . .

9 Excess distributions carryover to 2005.

Subtract lines 7 and 8 from line 6a . . . . . . .

10 Analysis of line 9

a Excess from 2000 . . . NON

b Excess from 2001 . . . NON

c Excess from 2002 . . . NON

d Excess from 2003 . . . NON

e Excess from 2004 . . . NON

(a) (b) (c) (d)Corpus Yea rs

prior to 2003 2003 2004

Form 990-PF (2004)

JSA4E1480 2 000

32297K 551R 08/01/2006 13:01:55 V04-8 71125 9

Form 990-PF (2004) 20-1835676

Private Oneratina Foundations (see page 25 of the instructions and Part VII-A, question 9) NOT APPLICABLE

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

foundation, and the ruling is effective for 2004, enter the date of the ruling . .

b Check box to indicate whether the organization is a private operating foundation described In section

2 a Enter the lesser of theTax year Prior 3 years

adjusted net income from (a) 2004 (b) 2003 (e) 2002

Part I or the minimum

investment return from Part

X for each year listed . . .

b 85% of line 2a . . . . .

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 . . . . .

Ch Qualifying distributions made

directly for active conduct of

exempt actrvAbs Subtract

line 2d from line 2c . . . . .

3 Complete 3a, b, or c for the

alternatne test relied upon

a "Assets" alternative test - enter

(1) Value of all assets . . .

(2) Value of assets qualifying

under section

49420 )( 3XB)(i) . . . . .b "Endowment - alternative test -

enter 213 of minimuminvestment return shown inPart X, late 6 for each yearlisted . . . . . . . . . .

C -Support- alternative teat - enter

(1) Total support her than

gross inestment income

(interest , dividends, rents,

payments on securitiesloans ( section 512( a)(5)),

or royalties) . . . .

(2) Support from generalpublic and 5 or moreexempt organcabonsas provided! in section49420 )( 3X6)(M) . . . .

(3) Largest amount of support

from an exempt

organization • • • "

20)(3) or 49420)(5)

2001 (e) Total

Supplementary Information (Complete this part only if the organization had $5,000 or more In

assets at any time during the year - see page 26 of the instructions.)

I Information Regarding Foundation Managers:

a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation

before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2) )

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

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

Check here if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds

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

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

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

c Any submission deadlines'

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

factors

4EA -4E1490 2 000 Form 990-PF (2004)

32297K 551R 08/01/2006 13:01:55 V04-8 71125 10

Forth 990 -PF (2004)20-1835676

3 Grants and Contributions Paid During the Year or Approved for Future PaymentRecip ient If recipient is an individual ,

show any relationship toFoundation Purpose of grant or

Name and address (home or business ) any foundation manageror substantialantial contributor

rech'ieP

contributionAmount

a Paid during the year

..................................................Total ► 3a

b Approved for future payment

Total ► 3b

Form 990-PF (2004)

JSA4E 1491 2 000

32297K 551R 08/01/2006 13:01:55 V04-8 71125 11

Foam 990-PF Page 1 1

Analysis of Income-Producin g Activities

Enter gross amounts unless otherwise indicated Unrelated business income Excluded b section 512, 513, or 514 Related or exempt(a) (b) (C) (d) function income

t6 ofBusiness Exclugion L^ee Rage

I Program service revenue code Amount code Amount e Instruc ions

a

b

c

d

e

f

g Fees and contracts from government agencies

2 Membership dues and assessments , . . . .

3 Interest on savings and temporary cash investments 14 17 , 386.

4 Dividends and interest from securities , . 14 155.

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 . . . . . . . . .

8 Gain or (loss) from sales of assets other than inventory 18 12 . 977.

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) . . 30 , 518.

13 Total . Add line 12, columns ( b), (d), and (e) . . . . . 13 30,518.

(See worksheet in line 13 instructions on page 26 to verify calculations )

Relationship of Activities to the Accomplishment of Exempt Purposes

. Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly toLine No. the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). (See

v page 27 of the instructions )

Form 990-PF (2004)

JSA4E1492 2 000

32297K 551R 08/01/2006 13:01:55 V04-8 71125 12

Form 990-PF 2004 20-1835676

Information Regarding Transfers To and Transactions and Relationships With Noncharitable

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

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

a Transfers from the reporting organization to a noncharltable exempt organization of

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

(2) Other assets l a ( 2)

Other transactions

(1) Sales of assets to a noncharltable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 b 1 X

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

(3) Rental of facilities , equipment , or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 b ( 3 ) 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 b B X

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

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

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

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

C

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

Under o perjury I declare that I have examined this m , including accompanying schedules and statements , and to the best of my knowledge and

it is true , Corr late Declaration of reparer °^ ^• ^' ^ °^` ° h°°M ^^ °'i i* m atinn of wh ich nronarer has any I nowledne

` Signature of officer or trued2

at i _ Preparer's. p signature

m Firm's name (or yours if RO EIN'IL self-employed), address , WILSHIRE B

eand ZIP code ,,.RT.Y HILLS

JSA4E14932000

32297K 551R 08/01/2006 13:01:55 V04-8

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

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

Schedule B Schedule of ContributorsOMB No 1545-0047

(Form 990 , 990-E2 , ^oo^

Internal

a

nternal

rtmen)

Revenue Service

Supplementa ry Information forDepartment of the Treasury line I of Form 990, 990 -Et, and 990 -PF (see instructions)

Name of organization Employer Identification number

THE CLARENCE S. BROOKS FOUNDATION

20-1835676

Organization type (check one)

Filers of: Section:

Form 990 or 990-EZ q 501(c)( ) ( enter number) organization

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

q 527 political organization

Form 990-PF ® 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 -

ER For organizations filing Form 990 , 990-EZ, or 990-PF that received , during the year, $5,000 or more ( in money orproperty ) from any one contributor (Complete Parts I and II )

Special Rules -

q For a section 501(c)(3) organization filing Form 990, or Form 990-EZ, that met the 33 1/3% support test of the regulationsunder sections 509(a)(1)/170(b)(1)(A)(vl) and received from any one contributor, during the year, a contribution of thegreater of $5,000 or 2% of the amount on line I of these forms. (Complete Parts I and 1I.)

q For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor,during the year, aggregate contributions or bequests 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 Form 990-EZ, that received from any one contributor,during the year, some contributions for use exclusively for religious, charitable, etc., purposes, but these contnbutlons didnot aggregate to more than $1,000 (If this box is checked, enter here the total contributions that were received duringthe 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 moreduring the year) . . . . . . . . . . . . . . . . . . . . . . . ... . . . .. . . . . . . . . . . . . . ► $

Caution : Organizations that are not covered by the General Rule and/or the Special Rules do not file Schedule B (Form 990,990-EZ, or 990-PF), but they must check the box in the heading of their Form 990, Form 990-EZ, or on line 2 of their Form990-PF, to certify that they do not meet the filing requirements of Schedule 8 (Form 990, 990-EZ, or 990-PF)

For Paperwork Reduction Act Notice, see the Instructions Schedule B (Form 990, 990 -EZ, or 990-PF) (2004)for Form 990, Form 990-EZ, and Form 990-PF.

JSA

4E1251 1 000

32297K 551R 08/01/2006 13:01:55 V04-8 71125 15

Schedule B (Forth 990, 990-EZ, or 990.PF) (2004 ) Page of of Part

Name of organization THE CLARENCE S. BROOKS FOUNDATION Employer Identification number

I

20-1835676

.. Contributors (See Specific Instructions.)

( a)No.

(b)Name, address, and ZIP + 4

(c)Aggregate contributions

(d)Type of contribution

1 CLARENCE S. BROOKS LIVING TRUST Person

8501 WILSHIRE BLVD., STE 330 31,178, 800.

Payroll

Noncash

BEVERLY HILLS, CA 90211(Complete Part II if there isa noncash contribution )

(a)No.

(b)Name , address , and ZIP + 4

(c)Agg regate contributions


2 CLARENCE S. BROOKS LIVING TRUST Person

8501 WILSHIRE BLVD., STE 330 956,882 .

Payroll

Noncash X

BEVERLY HILLS, CA 90211(Complete Part II if there isa noncash contribution )

(a)No.

(b)Name, address , and ZIP + 4



Person

Payroll

Noncash

(Complete Part II if there isa noncash contribution )

(a)No.

(b)Name, address, and ZIP + 4

(c)Agg regate contributions


Person

Payroll

Noncash

(Complete Part li if there isa noncash contribution )

(a)No.




Person

Payroll

Noncash

(Complete Part II if there isa noncash contribution.)

(a)No.


(c)Ag re ate contributions


Person

Payroll

Noncash

(Complete Part li if there isa noncash contribution )

JSA

4E1253 1 000

32297K 551R 08/01/2006 13:01:55 V04-8 71125

Schedule B(Form 990,990.EZ,oraaO.PF)12O04)

16

SchLdule B (Form 990, 990-EZ, or 990-PF) (2004)

Name of organization THE CLARENCE S. BROOKS FOUNDATION

of of Part II

Employer Identification number

Noncash Property (See Specific Instructions )

( a) No.

from

Part I

(b)Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)Date received

PUBLICLY TRADED SECURITIES

209/27/2005

956,882.

(a) No.

from

Part I


(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


(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


(c)

FMV (or estimate)

(see instructions )

(d)Date received

JSA4E1254 1 000

32297K 551R 08/01/2006 13:01:55 V04-8 71125

Schedule B (Form 990, 990.EZ, or 990-PF) (2004)

17


FORM 990PF, PART I - CONTRIBUTIONS, GIFTS AND GRANTS RECEIVED

NAIL AND ADDRESS----------------

CLARENCE S. BROOKS LIVING TRUST

8501 WILSHIRE BLVD., STE 330

BEVERLY HILLS, CA 90211




TOTAL CONTRIBUTION AMOUNTS

20-1835676

DIRECT

PUBLIC

DATE SUPPORT

AUG/SEP 05 31,178,800.

09/27/2005 956,882.

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

32,135,682.

32297K 551R 08/01/2006 13:01:55 V04-8 71125 18 STATEMENT 1


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

DESCRIPTION

NATIONAL BANK OF CALIFORNIA

TOTAL

32297K 551R 08/01/2006 13:01:55 V04-8

REVENUE

AND

EXPENSESPER BOOKS

17,386.

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

17,386.

71125

20-1835676

NET

INVESTMENT

INCOME

17,386.

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

17,386.

19 STATEMENT 2

THE CLARENCE S. BROOKS FOUNDATION 20-1835676

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

REVENUEAND NET

EXPENSES INVESTMENT

DESCRIPTION PER BOOKS INCOME

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

CHARLES SCHWAB

TOTAL

155.--------------

155.

155.--------------

155.

32297K 551R 08/01/2006 13:01: 55 V04-8 71125 20 STATEMENT 3


FORM 990PF, PART II - CORPORATE STOCK

ENDING ENDINGDESCRIPTION BOOK VALUE FMV----------- ---------- ---

CHARLES SCHWAB 2,912. 2,500.--------------- ---------------

TOTALS 2,912. 2,500.

32297K 551R 08/01/2006 13:01:55 V04-8 71125 21 STATEMENT 4


FORM 990PF , PART II - OTHER INVESTMENTS

DESCRIPTION

PUBLIC MUTUAL FUNDS

TELESIS CONSTELLATION OFFSHORE

SILVER CREEK CAPITAL

LONE OAR MORTGAGE FUND, LLC

TOTALS

20-1835676

ENDING

BOOK VALUE

3,250,000.1,000,000.1,000,000.5,000,000.

10,250,000.

ENDING

FMV

3,250,000.1,000,000.1,000,000.5,009,543.

10,259,543.

32297K 551R 08/01/2006 13:01:55 V04-8 71125 22 STATEMENT 5


FORM 990PF , PART VII-A - NEW SUBSTANTIAL CONTRIBUTORS

NAME AND ADDRESS----------------

DATE

DIRECTPUBLIC

SUPPORT


8501 WILSHIRE BLVD., STE 330BEVERLY HILLS, CA 90211

AUG/SEP 05 31,178,800.

TOTAL CONTRIBUTION AMOUNTS

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

31,178,800.

32297K 551R 08/01/2006 13:01:55 V04-8 71125 23 STATEMENT 6


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

NAME AND ADDRESS----------------

TITLE AND TIME

DEVOTED TO POSITION-------------------

JEFFREY RATNER


BEVERLY HILLS , CA 90211

IRENE GELFEN



PRESIDENT CFO

36

SECRETARY

30

GRAND TOTALS

32297K 551R 08/01/2006 13:01:55 V04-8 71125 24 STATEMENT 7

SCHEDULE D

(Form 1041)

Department of the Treasury

Internal Revenue Service

Name of estate or trust Employer identification number

short-Term Canital Gains and Losses - Assets Held One Year or Less

(a) Description of property

(Example, 100 shares 7%p referred of "Z' Co

(b) Dateacquired

(mo, day. r

(c) Date sold

(Mo. day, yr)( d) Sales puce (a) Cost or other basis

( see page 33)

(f) Gain or (Loss)for the entire year(col (d) less col (e))

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

3

. . . . . . . .,.. . . ...and other estates or trustsS corporationsNet short-term gain or (loss) from partnerships 3

4

. .,,

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

. . . ..over WorksheetCarr 4

5

... . . . . . . . .. . . . . . .. ............ .... ... . . . .y

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

column (3) below . . . . . . . . . . . . .. . . . . . . _ . _ ► 5

I

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

(a) Description of property

(Example , 100 shares 7%

p referred of "Z" Co

(b) Date

acquired

mo , day , yr)

(c) Date sold

(mo , day, yr )d) S ales price(

(s) Cost or other basis

(see page 33)

(Q Gain or (Lou)for the entire year(col (d) less col (e))

SEE STATEMENT 1 966 947. 851 856. 115 091.

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

8

,S corporations, and other estates or trustsNet long -term gain or (loss) from partnerships 8

9

,

Capital gain distributions . . . . . . .. 9

10

. . . . . . . . . . .. . . . .. . . . . . . . . . ... . . . . . . . ........ ..Part IGain from Form 4797

.... ... . 10

11

. .. . . . . . . . ... . . . . . . . .. ... . .,

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

. ...... . .Carryover Worksheet 11

12. . . . . . . . . .. . . . . . .. .. . . . . . . . .. .... ... ..

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

column (3) below ►................................................ 12 115 , 091.

Summary of Parts I and IICaution : Read the instructions before completing this part.

(1 ) Beneficiaries'(see page 34)

(2) Estate'sor trust's

(3) Total

3 i ( l s)tN t h t 131

14

....................n or osor erm gae s -

Net long -term gain or (loss):..r earT t l f 14a 115 091.

a

b

. . . . . . . . . . . . . . . . . . . . . . . . . . . .yo oa

Unrecaptured section 1250 gain (see line 18 of

34)n ak hth t 14b. . . . . . . . . . . . . . . . . . . . ..p gee wor s ee o

.(loss)a28% t 145c

4 S

. . . . . .. . . . .. . . . . . . . . . . .in orra e g

Tntat apt naln nr 11ns1 Cnmhine lines 13 and 14a . . . . . .. ► 15 115 , 091.

6

Note : If line 15, column (3), Is a net gain, enter the gain on Form 1041, line 4 If lines 14a and 15, column (2), are net gains, go to

Part V, and do not complete Part IV If line 15, column (3), is a net loss, complete Part IV and the Capital Loss Carryover Worksheet

as necessary

For Paperwork Reduction Act Notice, see the Instructions for Form 1041.

OMB No 1545-0092

Capital Gains and Losses► Attach to Form 1041, Form 5227, or Form 990-T. See the separate 2004

instructions for Form 1041 (also for Form 5227 or Form 990-T, if applicable).

Schedule D (Form 1041) 2004

JSA4F12104000

32297K 551R 08/01/2006 13:01:55 V04-8 71125 25

Schedule D (Form 1041) 2004 Page 2

Capital Loss Limitation

16 Enter here and enter as a (loss ) on Form 1041, line 4, the smaller of

a The loss on line 15, column (3) or

b $3,000 ...................... ............................... 16

if the loss on line 15, column (3), more than $3,000, or Form 1041, page 1, line 22, a loss, complete the Capital Loss

Carryover Worksheet on page 36 of the instructions to determine your capital loss carryover

Tax Computation Using Maximum Capital Gains Rates (Complete this part only if both lines 14a and

15 in column (2) are gains, or an amount is entered in Part I or Part II and there is an entry on Form 1041,

line 2b(2), and Form 1041, line 22 is more than zero.)

Note : If line 14b, column (2) or line 14c, column (2) more than zero, complete the worksheet on page 37 of the instructions

and skip Part V Otherwise, go to line 17

17 Enter taxable income from Form 1041, line 22 , , , , , , , , , , , , , , ,

18 Enter the smaller of line 14a or 15 in column (2)

but not less than zero .. . . . . . . . . . . . . . 18

19 Enter the estate's or trust's qualified dividends

from Form 1041, line 2b(2) .. . .. .... . .. 18

20 Add Imes 18 and 19 . . . . . . . . . . . . . . . . 20

21 If the estate or trust is filing Form 4952, enter the

amount from line 4g, otherwise, enter -0- . . lip, 21

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

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

24 Enter the smaller of the amount on line 17 or $1,950 . . . .. . . . . . . . . 24

25 Is the amount on line 23 equal to or more than the amount on line 247

Xe Yes. Skip lines 25 through 27, go to line 28 and check the "No" box

No. Enter the amount from line 23 25

26 Subtract line 25 from line 24 . . . . . . . . . . . . . . . . . . . . . . .. . . 26

27 Multiply line 26 by 5% (.05) . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2T

28 Are the amounts on lines 22 and 26 the same?R Yes. Skip lines 28 through 31, go to line 32W^ I nt r fha ammllsr of line 17 nr Iiri 97 128

29 Enter the amount from line 26 (If line 26 is blank , enter -0-) . . . . . . . . . .. . . . . . . . . . .2 9

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

31 Multiply line 30 by 15% (.15) . . . . . . ... ... . . . . . . . . . . . .. . . . . . . . . . . . . ... .

32 Figure the tax on the amount on line 23. Use the 2004 Tax Rate Schedule on page 22 of the

instructions .................................................. .

33 Add lines 27, 31, and 32 . . . .... . . . . . .. .. . . . . . .. ....... ... .. . . . . ... . .

34 Figure the tax on the amount on line 17 Use the 2004 Tax Rate Schedule on page 22 of the

instructions .................................................. .

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

Schedule G Form 1041

4

1 351

Schedule D (Form 1041) 2004

JSA

4F12202000

^^^^^v Fr,,u 08/01/2006 13:01:55 V04-8 71125 26


Schedule D Detail of Long-term Capital Gains and Losses20-1835676

Description

Date

Acq uired

DateSold

Gross Sales

Price

Cost or Other

BasisLong-term

Gain/Loss

CAPITAL GAINS (LOSSES ) HELD FOR INVESTMENT PURPOSES

CHARLES SCHWAB SECURITIES VARIOUS 09 / 29 /2005 966 947. 851 856 . 115 091.

TOTAL CAPITAL GAINS (LOSSES ) HELD FOR INVE STMENT PURP ES 966 947. 851 856 . 115 091.

Totals 966 947. 851 856 . 115 091.

JSA

4F0970 2 000

32297K 551R 08/01/2006 13:01:55 V04-8 71125 27 STATEMENT 1


FEDERAL FOOTNOTES

PART VIII l(B)

20-1835676

THE FOUNDATION WAS FUNDED LATE IN THE FISCAL YEAR. THE AVERAGE NUMBER

OF HOURS REPRESENTS AVERAGE HOURS INCURRED DURING THAT TIME AS WELL

AS AVERAGE HOURS INCURRED SUBSEQUENTLY TO THE YEAR END.

STATEMENT 1

32297K 551R 08/01/2006 13:01:55 V04-8 71125 28

FORM 990-PF - PART IVf`ADITAI (AINC Akin I nccF:c rAR TAY AN INVESTMENT INCOME

Kind of Property DescriptionDate

acquiredDate sold

Gross sale Depreciation Cost or FMV Add basis Excess o Gain

price less allowed/ other as of as of FMV over or

ex enses of sale al l owab l e ad i basis loss

CHARLES SCHWAB SECURITIES VARIOUS 09/29/2005

PROPERTY TYPE: SECURITIES

966,947. 851,856. 115,091.

TOTAL GAIN(LOSS) ...... . . ........................................ 115,091.

JJH

4E 1730 1 000

32297K 551R 08/01/2006 13:01:55 V04-8 71125 14

Form 8858 Application for Extension of Time to File anp,v December 2004) Exempt Organization Return OMB No 1545-1709

Deparbr»nt of Mr TrwsuryInternal Revenue Service ► He a arate application for each return.

• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box.. . ... ► U• 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 l1 unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.

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

Form 990-T corporations requesting an automatic 6-month extension - check this box and complete Part I only ► 9Al? other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returnsPartnerships, REMICs and trusts must use Form 8736 to request an extension of time to file Form 1055, 1W, or 1041

Electronic Filing (*-!He). Form 8868 can be filed electronically it you want a 3-month automatic extension of time to file one of the returns notedbelow (6-months for corporate Form 990-T filers). However, you cannot file it electronically it you want the additional (not automatic) 3-monthextension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868. For more details on the electronic filing of thisform, visit www.rrs gov/e}Ue

Typ^ or

Fillfe by thedue date forfiling yourreturn. SeeInstructions.

Nina of

THE CLARENCE S. BROOKS FOUNDATIONNumber, of , t , and mom or suile number . If a P.0 box, sae instnuhons.

8501 WILSHIRE BLVD.Cily, town or post office . For a forepn a

330

BEVERLY HILLS, CA 90211-3128

employer Id..Eftcation number

20-1835676

state 23P code

Checktype of return to be filed (file a separate application for each return):

Form 990 Form 990-T (corporation) Form 4720

Form 990-BL Form 990-T (section 401(a) or 408(a) trust) Form 5227

Form 990-EZ Form 990-T (trust other than above) Form 6069

X Form 990-PF Form 1041-A Form 8870

• The books are In the care of ► JEFF RATNER & ASSOCIATES, INC .

Telephone No 657-77_1_1______ FAX No. "_(310) 657-436_2______• If the organization does not have an office or place of business in the United States, check this box ► 9• 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. ► 9 . If It is for part of the group, check this box ► Q and attach a list with the names and EINs of all membersthe extension will cover.

1 1 request an automatic 3-month (6-months for a Form 990-T corporation) extension of time until _ 5/15-_

- , 20 061to file the exempt organization return for the organization named above. The extension is for the organization's return for:► calendar year 20 - _ _ or

► X tax year beginning 10/01-___,20 04 _ , and ending _ _9/ 30_ 20 05 _.

2 If this tax year is for less than 12 months, check reason: 9 Initial return 0 Final return 9 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 anynonrefundable credits . See instructions. . . . . . . . . $ 15,000.

b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made.include any prior year overpayment allowed as a credit . , $ 0.

c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required, deposit with FTDcoupon or, if required, by using EFTPS (Electronic Federal7ax Payment System). See instructions $ 15,000.

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

BAA For Privacy Act and Paperwork Reduction Act Notice , see instructions . Form 8868 (Rev 12-2004)

FIFZ10501L 01/07/05

Form 8868 (Rev 12-2004 Page 2

• if you are filing for an Additional (not automatic) 3-Month Extension , complete only Part 11 and check this box ► XNote . Only complete Part It 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 (an page 1).Aelel finn al lent antnan atirl !R_Mnnth Fvfoneinn of Timo - M,. f Rif. [lrinieasl and Ans (`Went,

Name of Exempt Organization Etnployet ld.nlMcatlon number

Type orprint THE CLARENCE S. BROOKS FOUNDATION 20-1 335676

Number sheet and room or suite number If a P 0 box, see instructions For IRS use only

File by theextended

de.,:t°r 8501 WILSHIRE BLVD., #330rehim Seeinstructions City, town or post office , state, and ZIP code For a foreign address , see instru ctions

BEVERLY HILLS CA 90211-3128Check type of return to be filed (File a separate application for each return)

Form 990 Form 990-T (section 401(a) or 408(a) trust) Form 5227

Form 990-BL Form 990-T (trust other than above)

H

Form 6069

Form 990-EZ Form 1041 -A Form 8870

Form 4720X Form 990-PF

STOP: 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 care of JEFF RATNER & ASSOCIATES,----INC .

-----------------7711

- - - - - - - - - -- FAX----No. ► (310) 657-4362Telephone No 0- (310) 657-

• If the organization does not have an office or place of business in the United States, check this box ►• If this is for a Group Return, enter the organizations four digit Group Exemption Number (GENE . If this is for the

whole group, check this box ► F] It it is part of the group, check this box ► []and attach a list with the names and EINs of all

members the extension is for.

4 1 request an additional 3-month extension of time until _ 8 / 15 _ - _ _ , 20 06.

5 For calendar year - _ _ _ , or other tax year beginning 10 / 01_ , 20 0_4 , and ending- 9/30

-

_ _ _ _ , 20 05.6 If this tax year is for less than 12 months, check reason: fl Initial return 0Flnal return (Change in accounting period

7 State in detail why you need the extension TAXPAYER REQUESTS ADDITIONAL TIME TO GATHER INFORMATIONIN-ORDER TO COMPLETE AN ACCURATE TAX RETURN

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

_- - - - - - - - - - - - - - - -

-------------------------------------------------------------------------------------------------tativ--e -tax-, l -ess-any--------------------8a Ifthis application Is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tennonrefundable credits See Instructions.. $ 2,653,

b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated taxpayments made, Include any prior year overpayment allowed as a credit and any amount paid previously withForm 8868 $ 15,000.

c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit withFTD coupon or, if required, by using EFTP(Electronic Federal Tax Payment System). See instructions $ 0.

Signature and VerificationU r^der-penain. fperryry, I dada,, that I havi,named-YusJ including accompanying schedules and statements, and to the best of my knowledge and belie f, it is truegreet, and complete , and r t 1 m authanzad to prepare this

ignature ► / r PRESIDENT Data ► l2 v bice to Applicant - To be Completed by the IRS

8 We have approved this application Please attach this form to the organization's return

We have not approved this application However, we have granted a 10-day grace period from the later of the date shown below or thedue date of the organization's return (including any prior extensions) This grace period is considered to be a valid extension of time forelections otherwise required to be made an a timely filed return. Please attach this form to the organization's return.

We have not approved this application. After considering the reasons stated in item 7, we cannot grant your request for an extension oftime to file We are not granting a 10-day grace period.

F-1 We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested.-

L-J1 Other.

By

Director Date

Alternate Mailing Address - Enter the address If you want the copy of this application for an additional 3-month extens)on returned to anaddress different than the one entered above

;JEFF RATNER & ASSOCIATES, INC.Type or 1 Number and street (Include suite, room. or apartment number) or a

print 18501 WILSHIRE BLVD, SUITE 330, C i ty or town. provi nce orstate,andcountry (inc l u d ing postal or Zf-f

(BEVERLY HILLS, CA 90211-3128BAA FI=z0502L 01ro005 Form 8868 (Rev i2-2004}

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