Iefile GRAPHIC print

DO NOT PROCESS

I As Filed Data

I

Return of Private Foundation

,.,,.990-PF

or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation

Department of the Treasury
Internal Revenue Service

A Employer identication number
13-3947890

Number and street (or P 0 box number if mail is not delivered to street address)
9 WEST 57TH STREET 43RD FLR

B Telephone number (see instructions)

Room/suite

(212) 515-3205

City or town, state, and ZIP code
NEW YORK, NY 10019
 _Initial return
Final return

 _Initia  return ofa former public charity
 _Amended return

 _Address change

 _Name change

H Check type of organization
FSECUOTI 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust  _Other taxable private foundation
'7 Cash  _ Accrual
I Fair market value ofall assets at end
J Accounting method
of year (from Part II, col. (C),
  Other (specify)
line 16)IP$ 8,935
(Part I, column (0') must be on cash basis.)
Analysis of Revenue and Expenses (The
[Ora] of amounts m co/umns (b), (C), and (,1) may not
necessanly equal the amounts In column (a) (see
Instructions) )

1

Contributions, gifts, grants, etc , received (attach schedule)

2
3

Check it  _ if the foundation IS not required to attach Sch B
Interest on savings and temporary cash investments

4

Dividends and interest from securities.

5a

Gross rents

b
6a

Net gain or(loss)from sale ofassets not online 10

%
3
'1

b
7
8

Gross sales price for all assets on line 6a
Capitalgain netincome (from PartIV, ine 2)
Netshort-term capital gain

9

Income modifications
Less Cost of goods sold

c

Gross profit or(loss)(attach schedule)

11

Other income (attach schedule)

12

Total. Add lines 1 through 11

13

Compensation of officers, directors, trustees, etc

Mn
E

14
15

Other employee salaries and wages
Pension plans, employee benefits

E
E

16a Legal fees (attach schedule).
b Accounting fees (attach schedule).
c

p- I-

D 1. Foreign organizations, check here

p- I_

2. Foreign organizations meeting the 85% test, F 'check here and attach computation

E If private foundation status was terminated
under section 507(b)(1)(A), check here
F If the foundation is in a 60-month temiination
under section 507(b)(1)(B), check here

(b) Net investment
 0C0m

(c) Adjusted net
income

F 'F '-

(d) Disbursements
for charitable
PUTP5e'5
(cash basis only)

1:000:000

9

9

0

Gross sales less returns and allowances

b

3

(e) Revenue end
expenses per
books

C If exemption application is pending, check here

Net rental income or (loss)

ED

10a

_
Open to Public
Inspection

, and ending 12-31-2012

Name of foundation
LEON BLACK FAMILY FOUNDATION INC

E

2012

Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements

For calendar year 2012, or tax year beginning 01-01-2012

G Check all that apply

DLN:93491210005583I
OMB No 1545-0052

1,000,009

9

0

0

0

Other professional fees (attach schedule)

E
Jr.

17
18
19

Depreciation (attach schedule) and depletion

E

20

Occupancy

:
E

21
22

Travel, conferences, and meetings .
Printing and publications .

E
'3

23
24

Other expenses (attach schedule).
Total operating and administrative expenses.

E
'2'

Add lines 13 through 23
Contributions, gifts, grants paid.

0
1,000,000

0

25

0
1,000,000

26
27

Total expenss and disbursements. Add lines 24 and 25
Subtract line 26 from line 12

110001000

0

1,000,000

a

Interest
Taxes (attach schedule) (see instructions)

Excess of revenue over expenses and disbursements

b

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

c

Adjusted net income (if negative, enter -0-)

For Paperwork Reduction Act Notice, see instructions.

9
9
Cat No 11289X

Form 990-PF (2012)

 Form 990PF (2012)
Attached schedules and amounts in the description column
Balance sheets should be for end-of-year amounts only (See instructions )
Cashnon-interest-bearing.
2

Savings and temporary cash investments

3

Accounts receivable IF

Beginning of year
(a) Book Value
8,926

Page 2
End of year
(b) Book Value
(c) Fair Market Value
8,935
8,935

Less allowance for doubtful accounts I*
4

Pledges receivable F
Less allowance for doubtful accounts I*

5

Grants receivable
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) I

E

8

Inventories for sale or use

,2?

9
10a

L

Less allowance for doubtful accounts F
Prepaid expenses and deferred charges .
InvestmentsU S and state government obligations (attach schedule)

b

Investmentscorporate stock (attach schedule).

c

Investmentscorporate bonds (attach schedule).

11

Investments and, buildings, and equipment basis it

12

Investmentsmortgage loans

13

Investmentsother(attach schedule)

14

Land, buildings, and equipment basis F

15

Other assets (describe?

16

Total assets (to be completed by all fi erssee the

17

Accounts payable and accrued expenses

13

Grants payable .

3
E

19
20

Deferred revenue
Loans from officers, directors, trustees, and other disqualified persons

-E

21

Mortgages and other notes payable (attach schedule)

3

22

Other liabilities (describe I

23

Total liabilities (add lines 17 through 22)

Less accumulated depreciation (attach schedule) I

Less accumulated depreciation (attach schedule) I''
)

instructions Also, see page 1, item I)

8,926

8,935

0

0

8,926

8,935

8,935

)

Foundations that follow SFAS 117, check here I* [7
and complete lines 24 through 26 and lines 30 and 31.
E 24
E 25

Unrestricted .
Temporarily restricted

E 26

Permanently restricted

E
If

Foundations that do not follow SFAS 117, check here F
and complete lines 27 through 31.

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E 27

Capital stock, trust principal, or current funds .

3 28

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

E 29
I 30

Retained earnings, accumulated income, endowment, or otherfunds
Total net assets or fund balances (see page 17 of the

E

instructions).
Total liabilities and net assets/fund balances (see page 1 7 of

8,926

8,935

the instructions)

8,926

8,935

31

Analysis of Changes in Net Assets or Fund Balances
1
2

Total net assets or fund balances at beginning ofyearPart 11, column (a), line 30 (must agree
with end-of-year figure reported on prior year's return)

1

8,926

Enteramountfrom PartI, ine 27a

2

9

3

Other increases not included in line 2 (itemize) P

3

0

4

Add lines 1,2,and3

4

8,935

5

Decreases not included in line 2 (itemize) F

5

0

6

Total netassets orfund balances at end ofyear( ine4 minus line 5)PartII,column (b),line 30

6

8,935
Form 990-PF (2012)

 Form 990-PF(2012)
Part IV
Capital Gains and Losses for Tax on Investment Income

Page3
(b) How acquired
(c) Date acquired
PP urchase
(mo , day, yr)
DDonation

(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)

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

1a

<e>

?IZii'lJEiZled

?3..::;.;.:::i::r:

..S3iS:ii,.:ii::i>.,

a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
w F M v as onz/wee

;::ii:*7:.72:'s

( ) Gains (co  ()1) gain minus

:i::::..:fi::'.;'>

2g:Z2.Le.:iTiE);" '

a
b
c
d
e
Ifgain, also enter in Part I, line 7
2

Capitalgain netincome or(netcapita  loss)

3

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

{ 1f( o55),ente.--0- .npart1l .ne7 }

in Part I, ine8
Ifgain,
also enter in Part I, line 8, column (c) (see instructions) If( oss), enter -0-

2

3

}

Qualification 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)
Ifsection 4940(d)(2) applies, leave this part blank
Was the foundation liable forthe section 4942 tax on the distributable amount ofany year in the base period?
IfYes," the foundation does not qualify under section 4940(e) Do not complete this part

I_ Yes I7 No

1 Enterthe appropriate amount in each column for each year, see page 18 ofthe instructions before making any entries
(3)
Base period years Calendar
Year (or tax year beginning In)
2011
2010
2009
2008
2007

(b
Adjusted qualifying distributions
500,000
550,000
753,634
0
0

2

Total ofline 1,co umn (d).

.

2

121 104602

3

Average distribution ratio forthe 5-year base perioddivide the total on line 2 by 5, or by
the number ofyears the foundation has been in existence ifless than 5 years
.
.
.

3

24 220920

4

Enterthe net value ofnoncharitab euse assets for 2012 from Part X, line 5.

4

8,801

5

M It I l
4 b I
3.
u ipy ine
y me

5

213,168

6

Enter 1% ofnetinvestment income (1% ofPartI, ine 27b).

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6

0

7

Add ines5and 6.

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7

213,168

8

1,000,000

8

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Enter qualifying distributions from Part XII, line 4.

.

(d)
Distribution ratio
(Col (b) divided by Col (Q)
56 753689
59 737157
4613756
0000000
0000000

(C)
_
Net value of noncharitable use assets
8,810
9,207
163,345
253,689
246,719

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Ifline 8 is equal to or greater than line 7, check the box in Part VI, line lb, and complete that part using a 1/o tax rate See
the PartVI instructions
Form 990-PF (2012)

 Form 990-PF(2012)
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948see page 18 of the instructions)
1a

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
inst ruct ions)
Domestic foundations that meet the section 4940(e) requIrements In Part V, check

b

page4

1

0

u1.hwN

oooo

7

0
O

here I*  7and enter 1/o ofPart I, line 27b
All other domestIc foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part 1, 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.
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 Ifzero or less, enter -0- .
101-hWNn

Credits/Payments
2012 estimated tax payments and 2011 overpayment credited to 2012
ExemptforeignorganIzatIonstaxwithheldatsource .

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6a
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5b

Tax paid wIth app IcatIon for extension oftime to file (Form 8868)
.U'I

Backupwithholdingerroneouslywithheld.

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Totalcreditsandpayments Addlines 6athrough6d.

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6c

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5d

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Enter any penalty for underpayment of estimated tax Check here  _ IfForm 2220 Is attached
Taxdue.Ifthetota oflInes5and8Is morethan Ine7,enteramountowed. . . . . . .

P

9

10

Overpayment. Ifline 7 is more than the total oflines 5 and 8, enterthe amount overpaid.

F

10

11

Enter the amount of  Ine 10 to be Credited to 2013 estimated tax F

Refunded Iv

11

1a

Statements Regarding Activities
During the tax year, did the foundation attempt to Influence any national, state, or local legislation or did

BDQN

ItparticipateorinterveneInanypolItIca campaIgn7
b

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Yes
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No

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1a

No

.

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1b

No

1c

No

2

No

DId It spend more than $100 during the year (eIther directly or Indirectly) for political purposes (see page 19 of
theInstructionsfordefinition)?

..

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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.
DId the foundatIon file Form 1120-POL forthIs year?.

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Enterthe amount (Ifany) oftax on po ItIca  expendItures (section 4955) Imposed during the year
(1) On the foundatIon
e

P $

on foundation managers P $
2

0

(2) On foundation managers Ir $

0

Enterthe reImbursement (Ifany) paid by the foundation during the yearfor political expenditure tax Imposed
0

Has the foundation engaged In any activities that have not prevIous y been reported to the IRS?

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.

If Yes, attach a detailed description of the activities.
3

Has the foundation made any changes, not previously reported to the IRS, In its governing Instrument, artIcles
of IncorporatIon, or bylaws, or other similar Instruments? If Yes, attach a conformed copy of the changes

4a
b
5

3

No

DId the foundatIon have unrelated business gross Income of$1,000 or more during the year?.

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4a

No

IfYes, has It filed a tax return on Form 990-Tforthis year?.

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4b

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.

Was there a liquidation, termInatIon, dissolution, or substantial contraction during the year? .

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5

No

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6
7

Yes
Yes

8b

Yes

If Yes, attach the statement required by General Instruction T.
6

Are the requirements ofsection 508(e) (relatIng to sections 4941 through 4945) satisfied eIther
0 By language In the governIng Instrument, or
0

By state  egIslatIon that effectively amends the governing Instrument so that no mandatory dIrectIons

that conflict with the state law remain In the governing Instrument? . . . . . . . . . . .
Did the foundatIon have at least $5,000 In assets at any tIme during the year? If Yes, complete Pait1I, col (c), and PaitXV

7
8a
b

Enterthe states to which the foundation reports or with which It is regIstered (see Instructions)
FNY
Ifthe answer Is Yes to line 7, has the foundation furnished a copy of Form 990PF to the Attorney
General (or designate) of each state as required by General Instruction G7 If No/attach explanation .

9

Is the foundation c aImIng status as a private operating foundation wIthIn the meaning ofsection 494Z(_])(3)
or 4942(])(5)for calendar year 2012 or the taxable year begInnIng In 2012 (see Instructions for Part XIV)?

10

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

.

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.

9
10

No
No

Form 990-PF (2012)

 Form 990PF(2012)
Statements Regarding Activities (continued)
11 At any time during the year, did the foundation, directly or Indirectly, own a controlled entity within the

Page5

meaning ofsection 512(b)(13)? If"Yes," attach schedule (see instructions).
12
13

11

No

advisory privileges? If "Yes," attach statement (see instructions)

12

No

Did the foundation comply with the public Inspection requirements for its annual returns and exemption application?

13

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
Yes

Website address PNONE
14

The books are in care of ITHOMAS TURRIN CPA CO RAICH ENDE M
Located at F1375 BROADWAY NEW YORK NY

15

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

.

and enterthe amount oftax-exemptinterest received or accrued during the year.

I 15 I

16

Telephone no I'(212) 944-4433
ZIP+4 I*100l9

. P

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F I7

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? .

$2 No

See instructions for exceptions and filing requirements for Form TD F 90-22 1 If"Yes", enter the name ofthe foreign
country I
Part VII-B
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.
1a During the year did the foundation (either directly or indirectly)
(1) Engage in the sale or exchange, or leasing ofproperty with a disqualified person?

Yes

No

I7 Yes I7 No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept It from)
a disqualified person?.

I7 Yes I7 No

(3) Furnish goods, services, orfacilities to (or accept them from) a disqualified person?

I7 Yes I7 No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?

I7 Yes I7 No

(5) Transfer any income or assets to a disqualified person (or make any ofeither available
for the benefit or use ofa disqualified person)?.

I7 Yes I7 No

(6) Agree to pay money or property to a government official? (Exception. Check No
Ifthe foundation agreed to make a grant to orto employ the official for a period
aftertermination ofgovernment service, ifterminating within 90 days).

I7 Yes I7 No

Ifany answer is Yes to 1a(1)(6), did any ofthe 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)?.
Organizations relying on a current notice regarding disaster assistance check here.

1b

.I' I-

Did the foundation engage In a prior year in any ofthe acts described in 1a, otherthan excepted acts,
that were not corrected before the first day ofthe tax year beginning in 2012?.

1c

No

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined In section 4942(J)(3) Ol'4942(_])(5))
At the end oftax year 2012, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) fortax year(s) beginning before 2012?.
IfYes, Ist the years? 20

,

20

,

20

,

I7 Yes I7 No
20

Are there any years listed In 2a for which the foundation is not applying the provisions ofsection 4942(a)(2)
(relating to Incorrect valuation ofassets) to the year's undistributed income? (lfapplying section 4942(a)(2)
to all years listed, answer No and attach statementsee instructions ) .

2b

Ifthe provisions ofsection 4942(a)(2) are being applied to any ofthe years listed In 2a, list the years here
I 20
3a

,

20

,

2o

,

20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year7.

I7 Yes I7 No

IfYes, 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 ofthe 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 ofthe 10-, 15-, or 20-yearfirst phase holding period? (Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2012.).

.

3b

Did the foundation Invest during the year any amount In a mannerthat would jeopardize its charitable purposes?

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4a

No

4b

No

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 ofthe tax year beginning in 2012?

Form 990-PF (2012)

 Form 990-PF (2012)
5a

Page 6

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

I_ Yes I7 No

(2) Influence the outcome ofany specific public election (see section 4955), orto carry
on, directly or indirectly, any voter registration drive'.

I_ Yes I7 No

(3) Provide a grant to an individual for travel, study, or other similar purposes?

I_ Yes I7 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)'r (see instructions).

I_ Yes I7 No

(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or forthe prevention ofcruelty to children or animals7.
b

c

.I_ Yes I7 No

Ifany answer IS Yes to 5a(1)(5), did any ofthe transactions fail to qualify under the exceptions described in
Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions)? .

.

.

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

.I" I-

.

5b

Ifthe answer is Yes to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility forthe grant7.

. I_ Yes I_ No

If Yes, attach the statement required by Regulations Section 53.49455(d).
6a

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract).

b

I_ Yes I7 No

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract7.

6b

No

If Yes "to 6b, file Form 8870.
7a
b

At any time during the tax year, was the foundation a party to a prohibited tax sheltertransaction?

I_ Yes I7 No

Ifyes, did the foundation receive any proceeds or have any net income attributable to the transaction? .

7b

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1

List all officers, directors, trustees, foundation managers and their compensation (see instructions).
(b) Title, and average
(c) Compensation
(cl) Contributions to
.
(a) Name and address
hours per week
(If not paid, enter
employee benefit plans
devoted to position
-0-)
and deferred compensation

(e) Expense account,
otherallowances

LEON DBLACK
c/o APOLLO MGT9W57TH ST
NEWYORK,NY 10019
DEBRA R BLACK

PRESIDENT/TREASURER
400

o

o

0

VICE

0

0

0

c/o APOLLO MGT9W57TH ST
NEWYORK,NY 10019
JEFFREY EPSTEIN
358 EL BRILLO WAY
PALM BEACH,FL 33480

PRESIDENT/SECRETARY
4 00
DIRECTOR
4 00

O

0

0

2

Compensation of five highestpaid employees (other than those included on line 1see instructions). If none, enter NONE."
(d) Contributions to
(b) Title, and average
(a) Name and address of each employee
employee benefit
(e) Expense account,
hours per week
(c) Compensation
other allowances
paid more than $50,000
plans and deferred
devoted to position
compensation
NONE

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

0
Form 990-PF (2012)

 Form 990-PF(2012)

Page7

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)
3 Five highestpaid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)Name and address ofeach person paid more than $50,000
(b) Type ofservice
(c)Compensation
NONE

Total number of others receivin

over

50 000 for rofessional 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 beneficiaries served, conferences convened, research papers produced, etc
1

Expenses

2

3

4

' =
Summar of Pro ram-Related Investments see instructions
Describe the two largest programrelated investments made by the foundation during the tax year on lines 1 and 2
1

A mount

2

All other programrelated investments See page 24 of the instructions
3

Total.Addlines1throuh3..........................P

0
Form 990-PF (2012)

 Form 990-PF(2012)
M Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc,

Page8

purposes
a

Average monthly fair market value ofsecurities.

1a

0

b

Average of monthly cash balances.

1b

8,935

c

Fair market value of all other assets (see instructions).

1c

0

cl

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

1d

8,935

e

Reduction claimed for blockage or other factors reported on lines 1a and
2

O

1c (attach detailed explanation).
2

.

.

.

.

.

.

.

.

.

.

.

.

1e

Acquisition indebtedness applicable to line 1 assets.
Subtract line 2 from line 1d.

4

8,935

Cash deemed held for charitable activities Enter 1 1/2% ofline 3 (for greater amount, see
instructions).

4

134

Net value of noncharitableuse assets. Subtract line 4 from line 3 Enter here and on Part V, line 4
Minimum investment return. Enter 5% of line 5.

5
6

8,801
440

1

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations a nd
certain foreign organizations check here II l_ and do not complete this part.)
Minimum investment return from Part X, ine 6.
1

2a

Tax on investmentincome for 2012 from Part VI, ine 5.

b
c

.

.

.

Income tax for 2012 (This does notinclude the tax from PartVI ).
Add lines 2a and 2b.

.

.
.

440

2a
.

2b
2c

0
440

3

Distributable amount before adjustments Subtract line 2c from line 1.

3

4

Recoveries ofamounts treated as qualifying distributions.

4

O

5

Add  ines3and 4.

5

440

6

Deduction from distributable amount (see instructions).

6

O

7

Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,
line 1.

7

440

Expenses,contributions,gifts,etc tota from PartI,co umn (d), ine 26.

1a

1,000,000

Program-related investmentstota  from Part IX-B.

1b

0

Qualifying Distributions (see instructions)
1

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

2

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

3

Amounts set aside for specific charitable projects that satisfy the

purposes.

2

Suitability test (prior IRS approval required).

3a

Cash distribution test (attach the required schedule).

3b

Qualifying distributions.Add lines lathrough 3b Enterhere and on PartV, ine 8,and Part ><III, ine4

4

1,000,000

5

O

5

Foundations that qualify under section 4940(e) forthe reduced rate oftax on net investment

6

Adjusted qualifying distributions. Subtract line 5 from line 4.
6
1,000,000
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)

income Enter 1% ofPart 1, line 27b (see instructions).

 FoHn990-PF(2012)
Undistributed Income (see instructions)

Page9

(8)
Corpus

(b)
Years priorto 2011

(c)
2011

(d)
2012
440

Distributable amount for 2012 from Part XI, line 7
Undistributed income, ifany, as of the end of20l2
Enter amount for 201 1 only.
Total for prior years
, 20
20:, 20
Excess distributions carryover, ifany, to 2012
From 2007.
From 2008.
745,480
From 2009.
549,540
From 2010.
499,559
From 2011.
Total oflines 3a through e.
.
'5-nmn. u-nu:-niN" Qualifying distributions for 2012 from Part
1,000,000
XII, line 4 F $
a Applied to 2011, but not more than line 2a
b Applied to undistributed income ofprior years
(Election requiredsee instructions).
c Treated as distributions out ofcorpus (Election
requiredsee instructions).
d Applied to 2012 distributable amount.
e Remaining amount distributed out ofcorpus
5 Excess distributions carryover applied to 2012
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6 Enter the net total of each column as
indicated below:

1,794, 579

a Corpus Add lines 3f, 4c, and 4e Subtract line 5
b Prior yearsundistributed income Subtract
line 4b from line 2b .

2,794,139

c Enter the amount of prior years undistributed
income for which a notice ofdeficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed.
d Subtract line 6c from line 6b Taxable amount
seeinstructions .
. . . . . . .
e Undistributed income for 2011 Subtract line
4a from line 2a Taxable amountsee
instructions.
f Undistributed income for 2012 Subtract
lines 4d and 5 from line 1 This amount must
be distributed in 2013 .
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section l70(b)(1)(F) or4942(g)(3) (see
instructions).
8 Excess distributions carryoverfrom 2007 not
applied on line 5 or line 7 (see instructions).
9 Excess distributions carryover to 2013.
Subtract lines 7 and 8 from line 6a .
Analysis ofline 9
Excess from 2008.
Excess from 2009.
Excess from 2010.
Excess from 2011.
fD.U'A  Excess from 2012.

440
999, 560
0

2,794,139

10

745,480
549,540
499,559
999,560
Form 990-PF (2012)

 Form 990-PF(2012)
Private Operating Foundations (see Instructions and Part VIIA, question 9)
1a Ifthe foundation has received a ruling or determinatlon letterthat It is a private operating
foundation, and the ruling is effective for 2012, enterthe date ofthe ruling. . . . . . .F
b Check box to Indicate whetherthe organization is a private operating foundatlon described In section l
2a

c
cl
e

3

Enterthe
lesser
of the
adjusted
net
income from
PartI
orthe
minimum
investment return from Part X for each
year listed.
85% ofline 2a.
. . . . .

Tax year
(a) 2012

(b) 2011

Pnor 3 years
(C) 2010

Page 10

494Z(_])(3) or l 494Z(_])(5)
( e )Ta
t I
((1)2009

Qualifylng distributlons from Part XII,
line 4 for each year listed .
Amounts included In line 2c not used directly
for active conduct of exempt activities .
Q ualifying distributions made directly
for active conduct ofexempt activities
Subtract line 2d from line 2c .

Complete 3a, b, or c for the
alternatlve test relied upon
a Assets alternative testenter
(1) Value ofall assets .
(2) Value ofassets quallfying
under section 4942(])(3)(B)(I)
b Endowment alternative test enter 2/3
ofminimum investment return shown In
Part X, line 6 for each year listed.
c Support alternative testenter
(1) Total support other than gross
Investment Income (Interest,
dividends, rents, payments
on securlties loans (section
5l2(a)(5)), or royalties).
(2) Support from general pub Ic
and 5 or more exempt
organizations as provlded In
sectlon 4942(])(3)(B)(III).
(3) Largest amount ofsupport
from an exempt organization
(4) Gross Investment Income

m

Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the yearsee instructions.)
1
Information Regarding Foundation Managers:
a List any managers ofthe foundation who have contrlbuted more than 2% of the total contributlons received by the foundatlon
before the close ofany tax year (but only If they have contributed more than $5,000) (See section 507(d)(2))
LEON D BLACK
b List any managers ofthe foundation who own 10% or more ofthe stock ofa corporation (or an equally large portIon of the
ownership ofa partnershlp or other entity) of which the foundation has a 10/o or greater Interest

2

Information Regarding Oontribut ion, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here PF If the foundatlon only makes contributions to preselected charltable organizatlons and does not accept
unsoliclted requests forfunds Ifthe foundation makes gifts, grants, etc (see Instructions) to Individuals or organizations under
other condltions, complete Items 2a, b, c, and d
a The name, address, and telephone number ofthe person to whom appllcations should be addressed

b The form In which appllcations should be submitted and Information and materials they should Include

c Any submisslon deadlines

d Any restrIctIons or limitations on awards, such as by geographical areas, charitable fields, kinds ofinstltutlons, or other
factors

Form 990-PF (2012)

 Form 990-PF (2012)
m Supplementary Information (continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Reclplent
Name and address (home or business)
a Paid during the year
HARLEM VILLAGE ACADEMIES
244 W 144 STREET 4TH FLR
NEWYORK,NY 10030
THE TONY BLAIR FAITH
FOUNDATION US
409 PROSPECT STREET
NEW HAVEN,CT 06511

Total.
. . . .
b Approved for future payment

Total.

Ifrecipient is an individual,
show any relationship to
any foundation manager
orsubstantlal Contributor
NONE

Foundation
status of
l'C P ent

Page 11

Purpose ofgrant or
contribution

Amount

501(C)(3)
CHARITABLE PURPOSES
ORGANIZATI

500,000

501(C)(3)
CHARITABLE PURPOSES
ORGANIZATI

500,000

.I*

3a

It

3b

1,000,000

0
Form 990-PF (2012)

 Form 990-PF (2012)

Page 12

Analysis of Income-Producing Activities
U nrelated business income
Enter gross amounts unless otherwise Indicated

1 Program service revenue

(a)
Business code

('3)
Amount

Excluded by section 512, 513, or 514
(C)
Exclusion code

(d)
Amount

(e)
Related or exempt
function Income
(See
Instructions)

fD.U'I
f
g Fees and contracts from government agencies
2 Membershlp dues and assessments.
3 Interest on savings and temporary cash investments
4 Dividends and interest from securitles.

14

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 Otherinvestmentincome.
8
9
10
11

Gain or (loss) from sales of assets otherthan inventory
Net income or (loss) from special events
Gross prot or (loss) from sales of inventory.
Other revenue a
b
c
d
e

12 Subtotal Add columns (b), (d), and (e).
13
13 Total. Add line 12, columns (b), (d), and (e).
See worksheet In line 13 Instructlons to veri calculations
=
Relationshi of Activities to the Accom lishment of Exem t Pur oses
Line No.
7

Explaln below how each activity for which Income is reported In column (e) ofPart XVI-A contributed importantly to
the accomplishment ofthe foundation's exempt purposes (other than by providing funds for such purposes) (See
instructions)

Form 990-PF (2012)

 Form 990PF(2012)
Information Regarding Transfers To and Transactions and Relationships With
Noncharitable Exempt Organizations
1 Dld the organization directly or indirectly engage In any of the following with any other organization described In section

Page 13

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 foundation to a noncharitable exempt organization of
(1) Cash.
(2) Other assets.
b Othertransactlons
(1) Sales ofassets to a noncharitable exempt organization.

1a(1)

No

1a(2)

No

1b(1)

No

. 1b(2)

No

(3) Rental of facilities, equipment, or other assets.

1b(3)

No

(4) Reimbursement arrangements.

1b(4)

No

(5) Loans or loan guarantees.

1b(5)

No

(6) Performance ofservices or membership orfundraising SO lCltatlOnS.

1b(6)

No

1c

No

(2) Purchases ofassets from a noncharitable exempt organization.

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

d Ifthe answerto any ofthe above is Yes, complete the following schedule Column (b) should always show the fair market value
ofthe goods, other assets, or services given by the reporting foundation Ifthe 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) Line No

(b) Amount Involved

(c) Name of noncharitable exempt organization

(d) Description of transfers, transactions, and sharing arrangements

2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described In section 501(c) ofthe Code (otherthan section 501(c)(3)) or In section 527?.
b IfYes, complete the following schedule
(a) Name of organization

_
Sign
Here

(b) Type of organization

FNO

(c) Description of relationship

Under penalties of perjury, I declare thatI have examined this return, including accompanying schedules and statements, and to
the best of my knowledge and belief, It is true, correct, and complete Declaration of preparer (other than taxpayer or fiduciary) is
based on all Information ofwhich preparer has any knowledge
******
Signature of officer or trustee
Print/Type preparer's name

 2013-O7-O3
Date
Preparer's Signature

******
Title

MaytheIRSdIscussthIsreturn
Wlth
the preparer shown below
(SeeInstr)I7V=5 N

Date

PTIN
Check Ifse femployed I-I-

.
Paid

. _Yes

THOMASTURRIN

Preparer FIrm's name
Use

I-

On y

P00850244

THOMASTURRIN
RAICH ENDE MALTER &co LLP

FIrm's EINI- 11-2336434

1375 BROADWAY
FIrm's address

h-

NEWYORK, NY 10018

Phone no (212)944-4433

Form 990-PF (2012)

 Iefile GRAPHIC print - DO NOT PROCESS
3h9dU'9 3
(Form 990, 990EZ,
of 990-PF)
Departrrent ofthe Treasury
Internal Revenue Service

  As Filed Data -  

DLN: 93491210005583]

Schedule of Contributors
P Attach to Form 990, 990EZ, or 990-PF.
2

Name of the organization
LEON BLACK FAMILY FOUNDATION INC

Employer identification number
13-3947890

Organization type (check one)
Filers of:

Section:

Form 990 or 990EZ

 _ 501(c)(

) (enter number) organization

I_ 4947(a)(1) nonexempt charitable trust not treated as a private foundation
 _ 527 political organization
Form 990-PF

'7 501(c)(3) exempt private foundation
 _ 4947(a)(1) nonexempt charitable trust treated as a private foundation
 _ 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
I7 For an organization filing Form 990, 990EZ, or 990PFthat received, during the year, $5,000 or more (in money or
property) from any one contributor Complete Parts I and II
Special Rules

 _ For a section 501(c)(3) organization filing Form 990 or 990EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the arrount on (I) Form 990, Part VIII, line 1h, or (ii) Form 99042, line 1 Complete Parts I and II
 _ For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals Complete Parts I, II, and
III
 _ For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exc/usive/yfor religious, charitable, etc , purposes, but these contributions did
not total to more than $1,000 If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc , purpose Do not corrplete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc , contributions of $5,000 or more
duringtheyear.........................I*$
Caution. An organization that is not covered by the General Rule andlor the Special Rules does not file Schedule B (Form 990,
990EZ, or 990-PF), but it must answer No" on Part IV, line 2 of its Form 990, or checkthe box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not rreet the filing requirerrents of Schedule B (Form 990,
990EZ, or 990-PF)
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990EZ, or 990-PF

Cat No 30613X

Schedule B (Form 990, 990EZ, or 990-PF) (2012)

 Schedule B (Form 990, 990.3, or 990-PF) (2012)

Page 2

Name of orga nizat ion
LEON BLACK FAMILY FOUNDATION INC

Employer identification number
1 3-394789O

la)
No.

COl'ItlIbUtOl'S (see instructions) Use duplicate copies of Part I if additional space is needed
(b)
I\Iarne, address, and ZIP + 4

(0)
Total contributions

I
LEON D BLACK
760 PARKAVENUE
NEWYORKINY

la)
No.

$

10001000

10021

(b)
I\Iarne, address, and ZIP + 4

Id)
Type of contribution
Person

I7

Payro  

'-

Noncash

'-

(Complete Partll if there is
a noncash contribution )
(0)
Total contributions

Id)
Type of contribution
Person

I-

Payroll

 _

Noncash

I-

(Complete Part II if there is
a noncash contribution )
la)
No.

(b)
I\Iarne, address, and ZIP + 4

(0)
Total contributions

Id)
Type of contribution
Person

I-

Payroll

 _

Noncash

I-

(Complete Part II if there is
a noncash contribution )
la)
No.

(b)
I\Iarne, address, and ZIP + 4

(0)
Total contributions

Id)
Type of contribution
Person

I-

Payroll

 _

Noncash

I-

(Complete Part II if there is
a noncash contribution )
la)
No.

(b)
I\Iarne, address, and ZIP + 4

(0)
Total contributions

Id)
Type of contribution
Person

I-

Payroll

 _

Noncash

I-

(Complete Part II if there is
a noncash contribution )
la)
No.

(b)
I\Iarne, address, and ZIP + 4

(0)
Total contributions

Id)
Type of contribution
Person

I-

Payroll

 _

Noncash

I-

(Complete Part II if there is
a noncash contribution )
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

 Schedule B (Form 990, 99042, Or 990-PF) (2012)
Name of organization
LEON BLACK FAMILY FOUNDATION INC

Page 3
Employer identification number
1 3-394789 0

Noncas h Property (see instructions) Use duplicate copies of Partll Ifadditlonal space is needed
(faf)0'\lTk1)Part I

- (b)
Description of noncash property given

FMV (or(2stimate)
Isee instructions)

(d) Date received

(1?r)0NII:'
Part I

. .
(b)
.
Description of noncash property given

FMV (or(:)stimate)
(see instructions)

(d) .
Date received

(faI')0NlTc1)'
Part I

. .
(b)
.
Description of noncash property given

FMV (or(:)stimate)
(see instiiictionsi

(d) .
Date received

(i?r)o'\r r(1)Part I

(b)
Description of noncash property given

FMV
(C) t'
t
Isee(iciirsteii:t'iTnasIe)

(d)
Date received

(:r)0'\r :Part I

(b)
Description of noncash property given

FMV or(:;timate
Iseginstiuctionsi )

(d)
Date received

(faf)0NfTc1)'
Part I

(b)
Description of noncash property given

FMV or(:)stimate
Iseginstiiintionsi )

(d)
Date received

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

 Schedule B (Form 990, 99042, or 990PF) (2012)
Name of organization
LEON BLACK FAMILY FOUNDATION INC

Page 4
Employer identification number
1 3-3947 890

M

(a) l\lo.
from
Part I

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry
For organizations completing Part III, enter the total of exclusively religious, charitable, etc ,
contributions of $1,000 or less for the year (Enter this inforrration once See instructions )I*
$
Use duplicate copies of Part III if additional space is needed
(b) Purpose of gift

Transferee's name, address, and ZIP 4

la) Nfrom
Part I

.
(b) Purpose of gift

Transferee's name, address, and ZIP 4

(a) No.
from
Part I

_
(b) Purpose of gift

Transferee's name. address, and ZIP 4

la) Nfrom
Part I

.
(b) Purpose of gift

Transferee's name, address, and ZIP 4

(c) Use of gift

(d) Description of how gift is held

(e) Transfer of gift
Relationship of transferor to transferee

_
(c) Use of gift

. _
. _
(d) Description of how gift is held

(e) Transfer of gift
Relationship of transferor to transferee

_
(c) Use of gift

_ _
_ _
(d) Description of how gift is held

(e) Transfer of gift
Relationship of transferor to transferee

_
(c) Use of gift

. _
. _
(d) Description of how gift is held

(e) Transfer of gift
Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)