Fm ggo- I :
~
Depatrnent mm:reasuy
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Tnist
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.

For calendar gar 2012 or tax year beginning
Name of foundation

June 1

OMB ~o 154541052

, 2012, and ending
January 31
A Employer identification number

EPSTEIN INTERESTS
Number and street (or P.0. box number if mail is not delivered to street address)

Room/suite

CIO DARREN K INDYKE PLLC, 575 LEXINGTON AVENUE
City or town, state. and ZIP code

, 20

13

13-3643429
3 Telephone number (see instructions)

4th Fl
C If exemption application is pending, check here [I

NEW YORK. NY 10022
G

Check all that apply:

I] lnitial return

[I Initial return of a former public charity in 1. Foreign organizations, check here .

Fmal return
Address change

2. Foreign organizations meeting the 85% test,
check 1,5,5 555511555 wmpmmm . . .
5 ;F"=t" )rt_(')"7&')):f;'('l)" :;:"m'3 "; D
'
' ' ' '

I

F mhefoundanomsin awmonmtmlnmlon
under section 507(b)(1)(B). check here . . > :]

Fair market value of all assets at
end of year (from Part II, col. (c),
line 75) P $
0

b
g
5
5
K

W

6a
b
7
8
9

J

Accounting method:
Cash E] Accrual
[I other (specify) ______________________________ __
(Part I, column (d) must be on cash basis.)

Analysis of Revenue and Expenses (The total of

( )9

amounts in columns (b), (c), and (d) may not necessarily equal
the amounts in column (a) (see instructions))

aexp:bE:s?:s:ep:?d

(d) Disbursements
M Nl,'u':':;r::m"

M

';rgs::'
(cash basis only)

Contributions, gifts, grants, etc., received (attach schedule)
Check P E] if the foundation is not required to attach Sch. B
Interest on savings and temporary cash investments
Dividends and interest from securities
Gross rents .
. .
Net rental income or (loss)

;

Net gain or (loss) from sale of assets not on line 10
Gross sales price for all assets on line 6a
Capital gain net income (from Part IV, line 2)
Net short-term capital gain .
Income modications
. . . . . . .

10a
b
c
11

Gross sales less returns and allowances
Less: Cost of goods sold
. . .
Gross profit or (loss) (attach schedule)
Other income (attach schedule) . .

.

.

.

.

155

12

Total. Add  ines1 through 11

.

.

.

.

155

13

Compensation of officers, directors, trustees, t .

.

.

.

;
T

3
5 14
15
E} 16a

Other
employee
salaries and
wages .
Pension
plans, employee
benefits
Legal fees (attach schedule)

%

b

Accounting fees (attach schedule

.%
5
,52

17
18

c

Other professional fees (atta
Interest
. . . .
. .
Taxes (attach schedule)( e inst ction

\: ;\
\> /
/

-u

19
20

Depreciation (attach sche
Occupancy .
. . .

>/

g
g
ca
-L5

21
22
23
24

Travel. conferences, and meeti
. . .
Printing and publications
. . . .
.
Other expenses (attach schedule)
. . . . .
Total operating and administrative expenses.

Om \
gx\
>/ \

.

.

.

.

.

.

.

.

.

.

4,755

g

Add lines 13 through 23 .

5,755

4.755

Contributions, gifts, grants paid . . . . . .
Total egpenses and disbursements. Add lines 24 and 25
Subtract line 26 from line 12:

101,000
111,755

107L000
111,735

Excess of revenue over expenses and disbursements
Net investment income (if negative, enter -0-)

(111,510)

c Adjusted net income (if negative, enter -0-)
For Paperwork Reduction Act Notice, see instructions.

.

4,766

8- 25
28
27
a
b
J
2
N
<3
;>.m:;;;;
:

. > E]

H Check type of organization:
Section 501 (c)(3) exempt private foundation
E] Section 4947(a)(1) nonexempt charitable trust C] Other taxable private foundation

1
2
3
4
5a

l .
*3

I: Amended return
[I Name change

.

Cat. No. 112B9X

_k
Form 990-PF (2012)

 Fonn 990-PF (2012)
.
Attached schedules and amounts in me descn tion column
Balance sheets should be for entH>f-yea! amounts Only- (See structionsl
1
2

Cashnon-interest-bearing
. . .
Savings and temporary cash investments .

3

Accounts receivable D
Less: allowance for doubtful accounts D

4

Pledges receivable D
Less: allowance for doubtful accounts D
Grants receivable .
. . . . . . . . . . .
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)

5
8

.9
<

8

Inventories for sale or use

.

.

.

Prepaid expenses and deferred charges
. . . . . . .
lnvestmentsU.S. and state government obligations (attach schedule)
lnvestmentscorporate stock (attach schedule) .
lnvestmentscorporate bonds (attach schedule)

11

Investments-land, buildings, and equipment: basis D ________________________
Less: accumulated depreciation (attach schedule) D
Investmentsmortgage loans .
lnvestmentsother (attach schedule)
. . .

14
15
16

Land, buildings, and equipment: basis D ____________________________________,
Less: accumulated depreciation (attach schedule) D
Other assets (describe D
)
Total assets (to be completed by all fiIerssee the
instructions. Also, see page 1, item I)
Accounts payable and accrued expenses .
Grants payable .
Deferred revenue
. . . . . .

20
21
22
23

Loans from ofcers, directors, tnistees, and other disqualified persons
Mortgages and other notes payable (attach schedule) .
Other liabilities (describe D
)
Total liabilities (add lines 17 through 22)
. . .

0,
3
g

24

Foundations that follow SFAS 117, check here
. D E]
and complete lines 24 through 26 and lines 30 and 31.
Unrestricted .

E
.0

25
26

Temporarily restricted
.
Permanently restricted . . . . . . . . . . . . .
Foundations that do not follow SFAS 117, check here D D
and complete lines 27 through 31.

3

27

Capital stock, trust principal, or current funds .

%
3

28
29

Paid-in or capital surplus, or land, bIdg., and equipment fund
Retained earnings, accumulated income, endowment, or other funds

f_
3

30
31

Total net assets or fund balances (see instructions)
.
Total liabilities and net assets/fund balances (see
instructions) . . . . . . . . . . . . . . . . .

E
.9
"

 -I-

__

>_

i

i V i

_> _

_

_

g

_

__ _

__ __

__ ___i

_> __ __ _*__%_

"L510

17
18
19

0,
Q

o
_

.

9
10a
b
c

12
13

0
_

Other notes and loans receivable (attach schedule)D ________________________ _
Less: allowance for doubtful accounts D
.

page 2
End 0' V33!
in) Book Value
(c) Fair Market Value

111,610

7

.

39"i9 0* Yea
la) Book Value

0

0
_

.

.

.

.

.

.

.

.

l

111,510

0

111,510

o

111.610

0

Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of yearPart ll, column (a), line 30 (must agree with
end-of-year gure reported on prior year's return)
.
. . . . . . . . .
2 Enter amount from Part I, line 27a . . . . .
3 Other increases not included in line 2 (itemize)
4AddIines1,2,and3. . . . . . . .

1
2
3
4

5 Decreases not included in line 2 (itemize) D
6 Total net assets or fund balances at end of year (line 4 minus line 5)Part ll, column (b), line 30 .

5
e

111,510
(111,610)
o
0
Form 990-PF (2012)

 Form 990-PF (2012)

page 3

Capital Gains and Losses for Tax on Investment Income
(13) List and describe the iunais) of property sold (e g . real estate,
2-story brick warehouse, or common stock, 200 shs MLC Co.)

("::F;" al"d
0: Dgr:a"a"*;:

(c) Date acquired
(mo , day, yr)

(cl) Date sold
(mo.. day, yr.)

1a
b
c
d
e
e>e~sssaespnce

"e:::.:.:::::::;',"e

:i.::;:;:;::..:f:

(..,.!.3(l',?n'.9.u1,,,

a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(I) F M.V. as of 131/69

a:l;f'g32's

(0 Gains (co, (h) gm minus

(:vEfc:f_sG?f,f:'nym

co (k 3o:su;::rt )er1:s<::)rlla;1h)-)0) or

a
b
c
d
e
2

Capital gain net income or (net capital loss)

{

3

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

gain, also
enter
in Part
Part I,I, line
line 77
If (loss),
enter
-0- in

}

2

Part
I, line
8 enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in]
If gain,
also
3
Qualication Under Section 4940(e) for Reduced Tax on Net Investm ent Income
(For optional use by domestic private foundations subject to the section 4940(3) 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?
If Yes, the foundation does not qualify under section 4940(e). Do not complete this part.

[I Yes

No

1

Enter the appropriate amount in each column for each year; see the instructions before making any entries.
la)
M
M
(d)
D,
Calendar y:f(?;x)1'e:.,,aseg,nnlng In)
Adjusted qualifying distributions
Net value of nonchantable-use assets
(col (gfmaggnbfgl (c
2011
50
108.583
0.000460
2010
45,050
178,292
0.252675
2009
0
199,950
0
2008
40,961
313,266
0.130755
2007
113,939
55101
0.297823

2
3

Total of line 1, column (d)
. . . . . . . . . . . . . . . . . . . .
Average distribution ratio for the 5-year base perioddivide the total on line 2 by 5, or by the
number of years the foundation has been in existence if less than 5 years
. . .

2

0531713

3

M35426

4

Enter the net value of noncharitable-use assets for 2012 from Part X, line 5

4

54,953

5

Multiply line 4 by line 3

5

L499

6

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

6

o

7

Add lines 5 and 6

7

L499

8

Enter qualifying distributions from Part XII, line 4 .
8
111,755
If line 8 is equal to or greater than line 7, check the box in Part VI, li.ne.1 b, and complete that part using a 1% tax rate. See the
Part VI instructions.
Form 990-PF (2012)

 FOFITI 990-PF (2012)

Page 4

m Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948see instructions)
13 Exempt operating foundations described in section 4940(d)(2), check here > I] and enter N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessarysee instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check
A 1
here I] andenter1%ofPartl,line27b . . . . . . . . . . . . . . . . .
6 All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of
Part I, line 12, col. (b).
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
Add lines 1 and 2

OIUI-F63

Q0505
7
8
9
10
11

Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .
Credits/Payments:
6a
2012 estimated tax payments and 2011 overpayment credited to 2012
6b
Exempt foreign organizationstax withheld at source . . . .
6c
Tax paid with application for extension of time to file (Form 8868)
6d
Backup withholding erroneously withheld
Total credits and payments. Add lines 6a through 6d
Enter any penalty for underpayment of estimated tax. Check here E) if Form 2220 is attached
. . . . >
Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed
Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . . >
Enter the amount of line 10 to be: Credited to 2013 estimated tax D
Refunded p

13
b

Ulrhtibhl

IDGNI
.A. A -IO

Statements Regarding Activities
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it
participate or intervene in any political campaign?
. . . . . . . . . . . . . . . . . . .

1a

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

1b

Yes

No

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 foundation in connection with the activities.
'1c

Did the foundation file Form 1120-POL for this year? . . . . . . . . . . . . . . .
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. > $
(2) On foundation managers. D $
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers. D $
Has the foundation engaged in any activities that have not previously been reported to the IRS?
If Yes, " attach a detailed description of the activities.
Has the foundation made any changes. not previously reported to the IRS, in its governing instrument, articles of
incorporation, or bylaws, or other similar instruments? If Yes, " attach a conformed copy of the changes .
Did the foundation have unrelated business gross income of $1,000 or more during the year? .
If Yes, has it filed a tax return on Form 990-T for this year? . . . . . . . . . . .
Was there a liquidation, termination, dissolution, or substantial contraction during the yeai?
If Yes, " attach the statement required by General lnstniction T.
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
0 By language in the governing instrument, or
0 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? . . . . . . . . . . . . . . .
8a

10

4a
4!)

NA

Did the foundation have at least $5,000 in assets at any time during the year? If Yes, complete Part II, col. (c), and Part xv
Enter the states to which the foundation reports or with which it is registered (see instructions) >
NEW YORK
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

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or
4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)? If Yes,
completePartXlV..............................

9

I

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

10

I

Form 990-PF (2012)

 Form 990-PF (2012)

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
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
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
I
Website address D
14
The books are in care of D HARRY BELLER
Telephone no. D
212-971-1308
15
16

1a

I
./

Located at D 575 LEXINGTON AVENUE. NEW YORK. NY
ZlP+4 D ______________1_9_0_g;______________
Section 4947(a)(1) nonexempt charitable trusts ling Form 990-PF in lieu of Form 1041 Check here. . . . . . . D E)
and enter the amount of tax-exempt interest received or accrued during the year
. D   15  
At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority
over a bank, securities, or other financial account in a foreign country?. . . .
15
See the instructions for exceptions and ling requirements for Form TD F 90-22.1. If Yes, enter the name of
the foreign country D
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.
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?
. . Cl Yes
(2) Borrow money from, lend money to, or othenivise extend credit to (or accept it from) a
disqualifiedperson?. . . . . . . . . . . . . . . . . .
I:IYes
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? . . E] Yes
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
. . D Yes
(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)? . . . . . . . . . .
 :]Yes

Yes

No
,/
l

Yes

No

No
No
No
No
No

l

(6) Agree to pay money or property to a government ofcial? (Exception. Check No if the
foundation agreed to make a grant to or to employ the official for a period after
termination of government service, if terminating within 90 days.)
E) Yes
No
if any answer IS Yes to 1a(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)? .
. .

1b

Organizations relying on a current notice regarding disaster assistance check here
. . . . . .
DI]
Did the foundation 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 2012?
. . . . . . . . . . .

1c

NA

I

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942())(3) or 4942(j)(5)):
At the end of tax year 2012. did the foundation have any undistributed income (lines 6d and
6e, Part Xlll) for tax year(s) beginning before 2012? . . . . . . . . . . . . . . [jYes
If Yes," list the years D
20
, 20
, 20
, 20

No

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
all years listed, answer No and attach statementsee instructions.) . . . . . . .

3a

4a

2b

NA

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
D 20_____ , 20 ____ __ , 20 ____ __ , 20 ____ __
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise
atanytimeduringtheyear?. . . . . . . . . . . . . . . . . . . . . .  :]Yes No
If Yes, did it have excess business holdings in 2012 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, Fonn 4720, to detennine if the
foundation had excess business holdings in 2012.) . . . . . .

3;,

NA

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

4a

I

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?

4;,

_ _ M
,/

Form 990-PF (2012)

 Form 990-PF (2012)

Page 6

Part Vll-B
Statements Regarding Activities for Which Form 4720 May Be Required (continugi)
5a During the year did the foundation pay or incur any amount to:
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
. E] Yes
No
(2) Inuence the outcome of any specic public election (see section 4955); or to carry on,
directly or indirectly, any voter registration drive?
. . . . . . . .
[:  yes
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? . . . . . [I Yes
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)? (see instructions)
. . . . . . . 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? . . . .
Dyes
Na
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)?
.
c

6a
b
7a
b

Organizations relying on a current notice regarding disaster assistance check here
. . . . . .
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax
because it maintained expenditure responsibility for the grant? . . . . . . . . . . E] yes
If Yes, " attach the statement required by Regulations section 53.49455(d.
Did the foundation, during the year. receive any funds, directly or indirectly, to pay premiums

MP1

[j No

i

on a personal benet contract?
. . . . . . . . . . . . . . .
E] yes
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
If Yes to 6b, le Form 8870.

No
.

6b

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
[j Yes
If 'Yes," did the foundation receive any proceeds or have any net income attributable to the transaction?

No
.

'75

Part Vlll
1

55

> [I

__
I

~NA_

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

List all officers, directors, trustees, foundation managers and their compensation (see instructions).
(a) Name and address

(b) Itl)IlFl?"5 T33 agfge
devoted to position

M (?in"$i'i.'Ii5i3,'"
enter -0-)

eri(11p)lc(>:yferi=.trll>li)ei"isl(f)i?:)l!2(i)ns
()5:er; :f'af_e;"t'
and deferred compensation

JEFFREY E. EPSTEIN
6100 RED HOOK QUARTER, ST. THOMAS, USVI 00802
DARREN K. INDYKE

TRUSTEE, ONE

0

O

0

575 LEXINGTON AVENUE, NEW YORK, NY 10022

TRUSTEE, ONE

0

O

O

2

Compensation of ve highest-paid employees (other than those included on line 1see instructions). If none, enter
NONE
(cl) Contributions to

(b) Title, and average
dehgiigsdegr wiglion
p

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

(c) Compensation

p,;':g'%?d:?$21 ())3"e"rE'u,svvaa"nc"e;""
compensation

NONE

Total number of other employees paid over $50,000 .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.>

0
Form 990-PF (2012)

 Fomi 990-PF (2012)

Page 7

lnfonnation About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)
Five highest-paid independent contractors for professional services (see instructions). If none, enter NONE.
la) Name and address oi each person paid more than $50,000
(b) Type of service
(c) Compensation

3

NONE

Total number of others receiving over $50,000 for professional services
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 beneciaries served, conferences convened. research papers produced. etc

Expenses

1
NONE

Part IX-B
Summary of Program-Related Investments (see instmctions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2
1
NONE

Amount

All other program-related investments See instmctions
3

Total. Add lines 1 through 3

D

0
Fon'n 990-PF (2012)

 Form 990-PF (2012)

Page 8

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see instructions.)
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
.'

1
a

Average monthly fair market value of securities

1a

0

b
c

Average of monthly cash balances
. . . . . .
Fair market value of all other assets (see instructions)

1b
1c

55,305
0

d
e

Total (add lines 1a, b, and c)
. . . . . . . . . . . . .
Reduction claimed for blockage or other factors reported on lines 1a and

1d

55,305

1c (attach detailed explanation). . . . . . . .
Acquisition indebtedness applicable to line 1 assets .

2
3
4

  1e I
. . .

.

.

.

.

E
2

.

Subtract line 2 from line 1d .
. . . . . . . . . . . . . . . . . . . . .
Cash deemed held for charitable activities. Enter 1 /2 % of line 3 (for greater amount, see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

5
Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
6
Minimum investment retum. Enter 5% of line 5 .
. . . . . . . . . . . . .
Part Xl
Distributable Amount (see instructions) (Section 4942(j)(3) and (ms) private operating
foundations and certain foreign organizations check here > E] and do not complete this part.)
.

.

.

.

.

.

.

.

.

0
55,805

4

337

5
3

54,933
2343

1

2,743

1

Minimum investment return from Part X, line 6 .

2a
b
c

Tax on investment income for 2012 from Part VI, line 5 .
.
Income tax for 2012. (This does not include the tax from Part VI.)
Add lines 2a and 2b
. . . . . . . . . . . .

3
4
5
6
7

Distributable amount before adjustments. Subtract line 2c from line 1
Recoveries of amounts treated as qualifying distributions .
Add lines 3 and 4
. . . . . . . . . . . . .
Deduction from distributable amount (see instructions) . . . . . . . . . . . . . . .
Distributable amount as ad1usted. Subtract line 6 from line 5. Enter here and on Part Xlll,

3
4
5
6

2,743
o
2,743
o

Ilne 1

7

21748

2a
2b

o ,1 ,",,
; _
2c

.

.

0

Qualifying Distributions (see instructions)
1
a
b
2
3
a
b
,

4
5

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
Expenses, contributions, gifts, etc.totaI from Part I, column (d), line 26 .
Program-related investmentstotaI from Part IX-B . . . . . . . . . . . . . . . .
Amounts paid to acquire assets used (or held for use) directly In carrying out charitable, etc.,
purposes...........................
Amounts set aside for specific charitable projects that satisfy the:
Suitability test (prior IRS approval required) .
Cash distribution test (attach the required schedule) .
.

.

.

.

.

.

.

.

.

.

.

.

1a
1b
2
3a
3b

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

4

Adjusted qualifying distributions. Subtract line 5 from line 4

6

.

.

.

.

.

111,755

111,766

5
111,753

Note. The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax in those years.
Form 990-PF (2012)

 Form 990-PF (2012)

Page 9

Undistributed Income (see instructions)
1

Distributable amount for 2012 from Part XI,
 ine7
. . . . . . . . . . .

2

Undistributed income, if any, as of the end of 2012:
Enter amount for 2011 only .
.
UN

Total for prior years: 20__.20
.20
Excess distributions carryover if any, to 2012:
From 2007
144,848
From 2008 . .
. . .
25,325
From2009
. . . . . .
0
From2010
. . . . . .
36,135
From 2011
.
0

"'0D.OU'I 

Total of lines 3a through e
. . . .
Qualifying distributions for 2012 from Part XII,
line 4: P $
111,155
Applied to 2011, but not more than line 2a .
Applied to undistributed income of prior years
(Election requiredsee instructions) .

(3)
Corpus

(bl
Years pnor to 2011

lo)
201 1

id)
2012
2,748

206.300

Treated as distributions out of corpus (Election
required see instructions)
Applied to 2012 distributable amount
Remaining amount distributed out of corpus
Excess distributions carryover applied to 2012
(If an amount appears in column (d), the same
amount must be shown in column (a).)
Enter the not total of each column as
indicated below:
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
Prior years undistributed income. Subtract
line 4b from line 2b

109.018

315,236

Enter the amount of prior years undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed .
Subtract line 6c from line 6b. Taxable
amountsee instructions
Undistributed income for 2011. Subtract line
4a from line 2a. Taxable amount-see
instructions
Undistributed income for 2012. Subtract lines
4d and 5 from line 1. This amount must be
distributed in 2013 .
. . . . .
Amounts treated as distributions out of corpus
to satisfy requirements imposed by section
170(b)(1)(F) or 4942(g)(3) (see instructions)

10

OQOUII

Excess distributions carryover from 2007 not
applied on line 5 or line 7 (see instructions) .

144.848

Excess distributions canyover to 2013.
Subtract lines 7 and 8 from line 6a

170,478

Analysis of line 9:
Excess from 2008
Excess from 2009
Excess from 2010
Excess from 2011
Excess from 2012

.
.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

25,325
0
36,135
0
109,013
Form 990-PF (2012)

 Form 990-PF (2012)
Page 1 0
Part XIV
Private Operating Foundations (see instructions and Part VII-A, question 9)
18 If the foundation has received a niling or determination letter that it is a private operating
foundation, and the ruling is effective for 2012, enter the date of the ruling . . . . . . >
b Check box to indicate whether the foundation is a private operating foundation described in section E] 4942(j)(3) or [:1 4942(j)(5)
23
Enter
lesser
adjusted
net
Tax year
Prior3years
(Total
incomethefrom
PartofI the
or the
minimum
investment return from Part X for
(3)2012
M2011
M2010
M 209
each year listed
. . . .
85% of line 2a
. . . . .
Qualifying distributions from Part XII,
line 4 for each year listed
.
Amounts included in line 2c not used directly
for active conduct of exempt activities .
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
Complete 3a. b, or c for
alternative test relied upon:
Assets alternative testenter:

the

(1) Value of all assets . . . . .
(2) Value of assets qualifying under
section 4942(j)(3)(B)(i)
"Endowment" alternative testenter 2/:
of minimum investment return shown in
Part X, line 6 for each year listed .
"Support" alternative testenter.
(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(i)(3)(B)(iii) .
.
(3) Largest amount of support from
an exempt organization
4 Gross investment income . . .
Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets at
any time during the yearsee instructions.)
1
Information Regarding Foundation Managers:
3 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).)
JEFFREY E. EPSTEIN
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
i
l
l

lnforrnation 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
other conditions, complete items 2a, b, c, and d.
The name, address, and telephone number or e-mail of the person to whom applications should be addressed:

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

Any submission deadlines:
Any restrictions or limitations on awards, such as by geographical areas. charitable fields, kinds of institutions, or other
factors:
Form 990-PF (2012)

 Form 990-PF (2012)

Page 1 1

SuppIementary Information (continueLdL
3
Grants and Contributions Paid During the Year or Approved for Future Payment
- Ii recipient is an indiv dual.
Remplent
show
any
relationship
to
F;ua':::;n
Purposembut
of grant or
,
any foundation maria er
Name and address (home or business)
or substantial contnbigxtor
re<='P'en*
"
'"
a

Amoum

Paid during the year

SEE STATEMENT

b

Total
. . . . .
Approved for future payment

P

Total

P

3a

101000

3b
Form 990-PF (2012)

 Form 990-PF (2012)

Page 1 2

; Analysis of Income-Producing Activities
Unrelated business income
Enter gross amounts unless otherwise indicated.
(a)
Business code
Program service revenue:

(bl
Amount

Excluded by section 512, 513. or 514
(cl
Exclusion code

id)
Amount

(0)
Related or exempt
function income
(See instructions.)

"OQ.OU')
9 Fees and contracts from government agencies
Membership dues and assessments
. . . .
Interest on savings and temporary cash investments
Dividends and interest from securities .
U!-FUN Net rental income or (loss) from real estate:
a Debt-nanced property
. . . . .
b Not debt-financed property . . . . . .
Net rental income or (loss) from personal property
Other investment income
. . . . . .
Gain or (loss) from sales of assets other than inventory
Net income or (loss) from special events
Gross profit or (loss) from sales of inventory
4.: -lODQ~lUI Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b). (d), and (e) .
13 Total. Add line 12, columns (b), (d), and (e)
13
calculations.
(See worksheet in line 13 instructions to
Relationshi of
to the A4
ment of
Line No.
V
accomplishment
of theeach
foundation
Explain below how
activitysexemp
for which
purposes
incometis
0 errfhportgd
an yprovi
in zaolurnn
ing un e)fof
s or suc
Parr: purposes.
XVI-A C)0lEl'Ibl.lte?
eeins ruc
irrtiporta)intly
ions.
to the
NJA

Form 990-PF (2012)

 Form 990-PF (2012)

Page 1 3

Information Regarding Transfers To and Transactions and Relationships with Noncharitable
Exempt Organizations
Did the organization directly or indirectly engage in any of the following with any other organization described
V68
in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
organizations?

1

a

Transfers from the reporting foundation to a noncharitable exempt organization of:
(1) Cash
(2) Other assets

N0

___ _ P __
1a(1)
I
1a(2)
I

b

Other transactions:
_ g _ _ ~_ _ _
(1) Sales of assets to a noncharitable exempt organization
.
1b(1)
/
(2) Purchases of assets from a noncharitable exempt organization .
1b(2)
I
(3) Rental of facilities, equipment, or other assets
1b(3)
I
(4) Reimbursement arrangements .
1b(4)
I
(5) Loans or loan guarantees
. . . . . . . . . . .
1b(5)
/
(6) Performance of services or membership or fundraising solicitations
1b(6)
I
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
. . . . . . .
1c
/
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 foundation. If the foundation 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 received.
(a) l_ine no (b) Amount involved
(c) Name of noncharitable exempt organization
(d) Description of transfers, transactions, and sharing arrangements

2a
b

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? .
D Yes
If Yes, complete the following schedule.
(a) Name of organization
(b) Type of organization
(c) Description of relationship

No

Under penalties of pequry, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
Sign

correct, and complete. Declaration of preparer( her than taxpayer) is based on all information of which preparer has any knowledge

Here)
0..
.
Signature of officer or trustee

Ma y me ms 6 iscuas mis return

/i~(o-ll)-L3}'1"~s4<~
/ /bate
'litle

Paid
Print/TYPB Preparers name
P
r's S
prepare, PAUL M. EVANS
/
/04,4/Q
use only I-irm's name > PAUL M. EVANS
Finn's address > PO Box 372156, SATELLITE BEACH, FL 32937

Date//
check I] If PTIN
J 7 /J7
selfemployed
P00353520
Finn's EIN >
22-3008721
Phone no.
Form 990-PF (2012)

 STATEMENT REQUIRED BY GENERAL INSTRUCTION T

EPSTEIN INTERESTS
13-3643429
FORM 990-PF
YEAR ENDED JANUARY 31 2013

Distribution of Asset in Termination

During the current year, the Foundation made the following distributions in termination.
These distributions constitute a nal distribution of the Foundations assets. The nal
distribution of assets was made on December 5 and 6 respectively to the following recipients,
qualifying public charities.

Recipient Name

Assets Distributed

_F_l\

Massachusetts Institute of Technology
77 Massachusetts Avenune

Cash

$50,000

Cash

$57,000

Cambridge, MA 02139

The Terramar Project, Inc.
116 East 65" Street
New York, NY 10065

 EPSTEIN INTERESTS
13-3643429
FORM 990-PF
YEAR ENDED JANUARY 31 2013

STATEMENT 1
Part 1

Line 11

Other income
Tax refund

$156

STATEMENT 2

Part XV, Line 3 (a)
Contributions

Recipient
Massachusetts Institute

Amount
$50,000

Purpose
Unrestricted

$57,000

Unrestricted

of Technology

The Terramar Project, Inc.