AMENDED RETURN Form 990PF Return of Private...

31
Form 990 PF ,. 1 Departm8nt of the Treasury Internal Revenue Service AMENDED RETURN Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation OM B No 1 5 45-0052 Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements I O O For calendar year 2008, or tax year beginning DEC 1, 2 008 , and ending NOV 30, 2009 Use the IRS Name of foundation label. HE JEFFREY A ALTMAN FOUNDATION INC Otherwise , /O JEFFREY ALTMAN @ OWL CREEK ASSET MGT print Number and street (or P O box number if mail Is not delivered to street address ) Room/suite or type . 640 FIFTH AVENUE LR 2 See Specific City or town, state, and ZIP code Instructions EW YORK , NY 10019-6102 H Check type of organizat ion LX Section 501(c)(3) exempt private foundation Section 4947 ( a )( 1 ) nonexem p t charitable trust = Other taxable p rivate foundation I Fair market value of all assets at end of year J Accounting method L Cash Accrual (from Part fl, col. (c), line 16) = Other (specify) $ 82 7 4113. (Part 1, column (d) must be on cash basis) iarti Analysis of Revenue and Expenses ( a) Revenue and (b ) Net Investment (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts In column (a)) expenses per books income 1 Contributions gifts grants etc received 5000000. J Address chan g e E3 A Employer identification number 13-3979282 B Telephone number 212-688-2550 C If exemption application is pending, check here 0 1- Foreign organizations, check here 2. Foreign organizations meeting the 85% test, a 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 termination under section 507 ( b )( 1 )( 8 ) , check here (c) Adjusted net ( d) Disbursements income for chantable purposes (cash basis only) 2 Check if the foundation Is not required to attach Sch B Interest on savings and temporary 3 cash investments 4 Dividends and interest from securities 49807. 49807. S tatement I 5a Gross rents b Net rental income or (loss) d 6a Net gain or (loss) from sale of assets not on line 10 2 0 7 6 0 69 . b Gross sales price for all 9485201. assets online 6a 7 Capital gain net income ( from Part IV, line 2) 2 0 7 606 9 . - - - o a ' 8 Net short -term capital gain 'A cam 9 Income modifications - EQ Gross sales less returns 10a and allowances b Less Cost of goods sold U c Gross profit or (loss) 11 Other income t3 UJ_ 12 Total . Add lines 1 throu g h 11 7125876. 2125876. 0. 13 Compensation of officers , directors, trustees, etc 60000. 0. 0. 60000. 14 Other employee salaries and wages ,^yy 15 Pension plans , employee benefits y 16a Legal fees a b Accounting fees Stmt 2 6400. 0. 0. 6400. W c Other professional fees 17 Interest 18 Taxes Stmt 3 6607. 0. 0. 4909. 19 Depreciation and depletion 1503. 0. 0. 20 Occupancy < 21 Travel , conferences , and meetings co 22 Printing and publications i 23 Other expenses Stmt 4 63147. 53. 0. 4880. 24 Total operating and administrative a expenses . Add lines 13 through 23 137657. 53. 0 . 76189. 0 25 Contributions , gifts , grants paid 1784529. 1784529. 26 Total expenses and disbursements. Add lines 24 and 25 1922186. 53. 0 . 1860718. 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements 5203690. b Net Investment income (if negative , enter -0- ) 2125823. r c Ad j usted net income (if n egative , enter -0- 0 LHA For Privacy Act and Paperwork Reduction Act Notice , see the instructions . Form 990-PF (0 823501 01-02-09 1 15190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT -2

Transcript of AMENDED RETURN Form 990PF Return of Private...

Page 1: AMENDED RETURN Form 990PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/133/... · 2017. 6. 20. · 2004 675275. 683199. .988402 2003 307757. 351129. .876478

Form 990PF,. 1

Departm8nt of the TreasuryInternal Revenue Service

AMENDED RETURN

Return of Private Foundationor Section 4947(a)(1) Nonexempt Charitable Trust

Treated as a Private Foundation

OM B No 1 545-0052

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

For calendar year 2008, or tax year beginning DEC 1, 2 008 , and ending NOV 30, 2009

Use the IRS Name of foundation

label. HE JEFFREY A ALTMAN FOUNDATION INCOtherwise , /O JEFFREY ALTMAN @ OWL CREEK ASSET MGT

print Number and street (or P O box number if mail Is not delivered to street address ) Room/suite

or type . 640 FIFTH AVENUE LR 2See Specific

City or town, state, and ZIP codeInstructionsEW YORK , NY 10019-6102

H Check type of organizat ion LX Section 501(c)(3) exempt private foundation

Section 4947 (a )( 1 ) nonexem pt charitable trust = Other taxable p rivate foundation

I Fair market value of all assets at end of year J Accounting method L Cash Accrual

(from Part fl, col. (c), line 16) = Other (specify)

► $ 8 2 7 4113. (Part 1, column (d) must be on cash basis)iarti Analysis of Revenue and Expenses ( a) Revenue and (b ) Net Investment(The total of amounts in columns (b), (c), and (d) may not

necessarily equal the amounts In column (a)) expenses per books income

1 Contributions gifts grants etc received 5000000.

J Address chan g e E3

A Employer identification number

13-3979282B Telephone number212-688-2550

C If exemption application is pending, check here ►0 1- Foreign organizations, check here

2. Foreign organizations meeting the 85% test, ►acheck here and attach computation

E If private foundation status was terminatedunder section 507(b)(1)(A), check here

F If the foundation is in a 60-month terminationunder section 507 ( b )( 1 )( 8 ) , check here

(c) Adjusted net ( d) Disbursements

incomefor chantable purposes

(cash basis only)

2 Check ► if the foundation Is not required to attach Sch B

Interest on savings and temporary3 cash investments

4 Dividends and interest from securities 49807. 49807. Statement I5a Gross rents

b Net rental income or (loss)

d 6a Net gain or (loss) from sale of assets not on line 10 2 0 7 6 0 6 9 .b Gross sales price for all 9485201.assets online 6a

7 Capital gain net income ( from Part IV, line 2) 2 0 7 6 0 6 9 . - - -o a

'8 Net short-term capital gain 'A

cam9 Income modifications

-

EQ Gross sales less returns10a and allowances

b Less Cost of goods sold

U c Gross profit or (loss)

11 Other income

t3UJ_ 12 Total . Add lines 1 throu g h 11 7125876. 2125876. 0.13 Compensation of officers , directors, trustees, etc 60000. 0. 0. 60000.14 Other employee salaries and wages

,^yy 15 Pension plans , employee benefitsy

16a Legal fees

a b Accounting fees Stmt 2 6400. 0. 0. 6400.W c Other professional fees

17 Interest

18 Taxes Stmt 3 6607. 0. 0. 4909.19 Depreciation and depletion 1503. 0. 0.20 Occupancy

< 21 Travel , conferences , and meetings

co 22 Printing and publications

i 23 Other expenses Stmt 4 63147. 53. 0. 4880.24 Total operating and administrative

a expenses . Add lines 13 through 23 137657. 53. 0 . 76189.0 25 Contributions , gifts , grants paid 1784529. 1784529.

26 Total expenses and disbursements.

Add lines 24 and 25 1922186. 53. 0 . 1860718.27 Subtract line 26 from line 12

a Excess of revenue over expenses and disbursements 5203690.b Net Investment income (if negative , enter -0- ) 2125823.rc Ad j usted net income (if negative , enter -0- 0

LHA For Privacy Act and Paperwork Reduction Act Notice , see the instructions . Form 990-PF (082350101-02-09

115190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm 990-PF ( 2008 ) C/O JEFFREY ALTMAN (d OWT, CREEK ASSET MGT 11-1979787 Pane2

Balance Sheets hedschedulesand amounts in the description Beginning of year End o f yearcolumn should be for end-of-year amounts only (a) Book Value (b) Book Value (c) Fair Market Value

T

1 Cash - non-interest-bearing 1835405. 143597. 143597.Savings and temporary cash investments:22 2372868. 2372868.

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

7 Other notes and loans receivable 100.

Less allowance for doubtful accounts ►

M8 Inventories for sale or use

9 Prepaid expenses and deferred charges

a 10a Investments - U S and state government obligations

b Investments - corporate stock Stmt 5 575099. 5097729. 5757648.c Investments - corporate bonds

11 Investments- land, buildings , and equipment basis ►

Less accumulated depreciation

12 Investments - mortgage loans

13 Investments - other

14 Land, buildings, and equipment basis ►Less accumulated depreciation ►

15 Other assets (describe ► )

16 Total assets (to be completed by all filers ) 2410504. 7614194 . 8274113.17 Accounts payable and accrued expenses 5380. 5 3 8 0.18 Grants payable

19 Deferred revenue

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

220 21 Mortgages and other notes payable

J 22 Other liabilities (describe ►

23 Total liabilities ( add lines 17 throu g h 22 ) 5380. 5380.Foundations that follow SFAS 117, check here ►and complete lines 24 through 26 and lines 30 and 31.

24 Unrestricted

w 25 Temporarily restricted

m 26 Permanently restricted

Foundations that do not follow SFAS 117, check here ► 0LL and complete lines 27 through 31.

,A 27 Capital stock, trust principal, or current funds 0. 0.

28 Paid-in or capital surplus, or land, bldg , and equipment fund 0. 0.

4 29 Retained earnings, accumulated income, endowment, or other funds 2405124. 7608814.Z 30 Total net assets or fund balances 2405124. 7608814.

31 Total liabilities and net assets and balances 2410504. 7614194. 1

p III Analysis of Changes in Net Assets or Fund Balances

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

(must agree with end-of-year figure reported on prior year's return)

2 Enter amount from Part I, line 27a

3 Other increases not included in line 2 (Itemize) ►4 Add lines 1, 2, and 3

5 Decreases not included in line 2 (Itemize) ►6 Total net assets or fund balances at end of year (line 4 minus line 51- Part II_ colu

82351101-02-09

line

2405124.5203690.

0.7608814.

0.7608814.

Form 990-PF (2008)

215190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm 990- PF(2008) C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Page 3,Pan IV, Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind ( s) of property sold (e g , real estate ,2-story brick warehouse , or common stock , 200 shs MLC Co )

( b How raccguired- s

D - Donationn

( c Date acquired(mo , day, yr)

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

is

b See Attached Statementsc

d

e

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

(g) Cost or other basisplus expense of sale

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

ab

C

d

e 9485201 . 1 1 7409132. 2076069.Complete only for assets showing gain in column ( h) and owned by the foundation on 12/31 /69 (I) Gains (Col (h) gain minus

of 12/31/69(i) F M V as(1) Adjusted basisas of 12/31/69

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

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

a

b

cd

e 2076069.

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

If (loss), enter -0- in Part I, line 7 2 2 0 7 6 0 6 9 .

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)If loss enter -0- in Part I line 8 3 N/A

I Part V I 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 )

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? 0 Yes EX NoIf'Yes'the foundation does not quality under section 4940(e) Do not complete this part1 Enter the appropriate amount in each column for each year, see instructions before making any entries

Base pe riod yearsCalendar year or tax year be innin g in Ad justed qualifY(bng distributions (c)Net value of nonchantable - use assets

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

2007 1341511. 2959554. .4532812006 1027797. 923209. 1.1132872005 924635. 950900. .9723792004 675275. 683199. .9884022003 307757. 351129. .876478

2 Total of line 1 , column (d) 2 4 .4038273 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5,

the foundation has been in existence if less than 5 years

or by the number of years

3 . 8 8 0 7 6 5

4 Enter the net value of nonchantable-use assets for 2008 from Part X, line 5 4 7 2 5 7 2 6 4 .

5 Multiply line 4 by line 3 5 6391944.

6 Enter 1 % of net investment income (1 % of Part I, line 27b) 6 21258.

7 Add lines 5 and 6 7 6413202.

8 Enter qualifying distributions from Part XII, line 4 8 1860718.

If 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 rateSee the Part VI instructions

823521 01-02-09 Form 990-PF (2008)3

15190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm 990-PF (2008) C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979 282 Pag e 4[PartV11 Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)

la Exempt operating foundations described in section 4940(d)(2), check here ►0 and enter'N/A" on line 1

Date of ruling letter ( attach copy of ruling letter if necessary -see instructions)

b Domestic foundations that meet the section 4940(e) requirements in Part V, check here ►0 and enter 1% 1 42516.of Part I, line 27b

c All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, col (b)

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

3 Add lines 1 and 2 3 42516.4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 4 0.

5 Tax based on Investment income . Subtract line 4 from line 3 If zero or less, enter -0- 5 42516.6 Credits/Payments

a 2008 estimated tax payments and 2007 overpayment credited to 2008 6a 14 4 0 .b Exempt foreign organizations - tax withheld at source 6b

c Tax paid with application for extension of time to file (Form 8868) 6c 5 0 0 0 0 .

d Backup withholding erroneously withheld 6d

7 Total credits and payments Add lines 6a through 6d 7 51440.8 Enter any penalty for underpayment of estimated tax Check here = if Form 2220 is attached 8 3.

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 ► 10 892 1

11 Enter the amount of line 10 to be Credited to 2009 estimated tax ► 8 9 2 1 . Refunded ► 11 0.

Part VII-A Statements Regarding Activities1 a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yes No

any political campaign? 1a X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)' 1b X

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

distributed by the foundation in connection with the activities

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

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

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

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

managers ► $ 0.2 Has the foundation engaged in any activities that have not previously been reported to the IRS? 2 X

If "Yes," attach a detailed descnption 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 3 X

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

b If'Yes " has it filed a tax return on Form 990 -T for this year? N/A 4b

5 Was there a liquidation, termination, dissolution, or substantial contraction during the years 5 X

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

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

• By language in the governing instrument, or

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

remain in the governing instrument? 6 X7 Did the foundation have at least $5,000 in assets at any time during the years 7 X

If "Yes," complete Part ll, col. (c), and Part XV.

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

b If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General (or designate)

of each state as required by General Instruction G? If "No," attach explanation 8b X

9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(I)(3) or 4942(l)(5) for calendar

year 2008 or the taxable year beginning in 2008 (see instructions for Part XIV)? If "Yes," complete Part XIV 9 X

10 Did any persons become substantial contributors during the tax year? If "Yes.' attach a schedule listing their names and addresses Stmt 6 10 X

Form 990-PF (2008)

82353101-02-09

415190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm 990 - PF (2008 ) C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13- 3979282 Page5Park V1I-A• 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)2 If "Yes," attach schedule (see instructions) 11 X

12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before

August 17 , 20087 12 X

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

Website address ► JEFF@OWLCREEKLP . COM

14 The books are m care of ► KEMPISTY & COMPANY CPAS Telephone no ► 212-406-72 72I-ocatedat ► 15 MAIDEN LANE SUITE 1002, NEW YORK, NY ZIP+4 ►10038

15 Section 4947 (a)(1) nonexempt charitable trusts filing Form 990 - PF in lieu of Form 1041 - Check here ►0and enter the amount of tax-exem pt interest received or accrued dune the year ► 15 N/A

Part V11-6 . I Statements Regarding Activities for Which Form 4720 May Be RequiredFile Form 4720 if any item is checked in the "Yes" column , unless an exception applies. Yes No

1 a 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? Yes No

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

a disqualified persons Yes No

(3) Furnish goods , services , or facilities to ( or accept them from) a disqualified person? 0 Yes No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person' Yes 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 ) Yes 0 No

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

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

termination of government service , if terminating within 90 days ) Yes M No

b If any answer is "Yes" to la(1)-(6), did any of the acts fail to quality 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 ) N/A lbOrganizations relying on a current notice regarding disaster assistance check here ►

c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts , that were not corrected

before the first day of the tax year beginning in 20087 1 c X

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

defined in section 4942 (j )(3) or 4942 (l)(5))

a At the end of tax year 2008 , did the foundation have any undistributed income ( lines 6d and 6e, Part XIII ) for tax year( s) beginning

before 20089 Yes NoIf "Yes," list the years ►

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

valuation of assets ) to the year ' s undistributed income? ( If applying section 4942(a)(2) to all years listed , answer "No" and attach

statement - see instructions ) N/A 26c 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 foundation hold more than a 2% direct or indirect interest in any business enterprise at any timedunng the years Yes 0 No

b If "Yes ; did it have excess business holdings in 2008 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 periods (Use Schedule C,

Form 4720, to determine if the foundation had excess business holdings in 2008) N/A 3b4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes 4a X

b Did the foundation make any investment in a prior year ( but after December 31, 1969 ) that could jeopardize its charitable purpose thathad not been removed from jeopardy before the first day of the tax year beginning in 20087 4b X

Form 990-PF (2008)

82354101-02-09

5

15190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCC/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 i

F Part V1.1.-B.] Statements Regarding Activities for Which Form 4720 May Be Required (continued)5a During the year did the foundation pay or incur any amount to

(?) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945 (e))' Yes EXI No

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

any voter registration dnve9 0 Yes OX No

(3) Provide a grant to an individual for travel, study , or other similar purposes = YesYes LXI 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)7 L Yes EXI 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? = Yes EXI No

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

section 53 4945 or in a current notice regarding disaster assistance ( see instructions ) 9 N/A 5b

Organizations relying on a current notice regarding disaster assistance check here

c 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? N/A Yes No

If "Yes, " attach the statement required by Regulations section 53.4945-5(c).

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

a personal benefit contracts Yes 0 No

b Did the foundation , 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

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

b If yes , did the foundation receive any proceeds or have any net income attributable to the transaction? N/A 7b

Awl itlll Information About Officers, Directors, Trustees, Foundation Managers, HighlyPaid Employees, and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation.

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

hours p er week devotedto position

(c) Compensation( If not paid ,,enter

-aid(d) Connbubonstoemp oojeebennre^fitplans

andcompensation

(e) Exp enseaccount, otherallowances

JEFFREY A. ALTMAN DIRECTOR205 EAST 22ND STREETNEW YORK , NY 10010 12.00 0. 0. 0.LAWRENCE ALTMAN DIRECTOR910 E. COOPER STREETASPEN, CO 81611 2.00 0. 0. 0.GEORGIA ALTMAN DIRECTOR259 PEARSALL PLACELAWRENCE, NY 11559 36.00 60000. 0. 0.

c ,vmpen5auvn vI live munesl-Pala emoluvees coiner inan inose mciuaea on Sine IS. IT none - enter "NONE."

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

hours per weekdevoted to position

(c) Compensation e(md)Contn efionlatosanddefere1compensation

(e) Exp enseaccount, otherallowances

NONE

60000.

Total number of other employees paid over $50,000 1 0

Form 990-PF (2008)

82355101-02-09

615190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm 990-PF (2008) C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Pagel

Pf[MInformation About Officers , Directors , Trustees, Foundation Managers, Highly

Q Paid Employees , and Contractors (continued)

3 Five highest-paid independent contractors for professional services . If none , enter " NONE."

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

NONE

Total number of others receiving over $50 ,000 for p rofessional services ► 0

pad IX-A Summary of Direct Charitable Activities

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

N/A

2

3

4

[ Part IX-B I Summary of Program - Related InvestmentsDescribe the two largest program- related investments made by the foundation during the tax year on lines 1 and 2 Amount

1 N/A

2

All other program- related investments See instructions

3

Total . Add lines 1 throu g h 3 ► 0.

Form 990-PF (2008)

82356101-02.09

15190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm 990-PF ( 2008 ) C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-39792 82 Page 8

p, x 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 , purposes

a Average monthly fair market value of securities 1 a 6456594.

b Average of monthly cash balances l b 911187.

c Fair market value of all other assets 11C

d Total (add lines 1a, b, and c ) 1d 7367781 .

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

1c (attach detailed explanation) le 0.

2 Acquisition indebtedness applicable to line 1 assets 2 0 .

3 Subtract line2fromlineld 3 7367781.

4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount , see instructions ) 4 110517 .

5 Net value of noncharitable -use assets . Subtract line 4 from line 3 Enter here and on Part V , line 4 5 7 2 5 7 2 6 4 .

6 Minimum investment return Enter 5% of line 5 s 3 6 2 8 6 3.Foiiri Yj Distributable Amount (see instructions) (Section 4942(1)(3) and (1)(5) private operating foundations and certain

foreign organizations check here ► and do not complete this part )

1 Minimum investment return from Part X, line 6 1 362863.2a Tax on investment income for 2008 from Part VI, line 5 2a 42516.

b income tax for 2008 (This does not include the tax from Part VI) 2b

c Add lines 2a and 2b 2c 42516.3 Distributable amount before adjustments Subtract line 2c from line 1 3 320347.

4 Recoveries of amounts treated as qualifying distributions 4 0.

5 Addlines3and4 5 320347.

6 Deduction from distributable amount (see instructions) 6 0 .

7 Distributable amount as ad justed Subtract line 6 from line 5 Enter here and on Part XIII , line 1 7 3 2 0 3 4 7 .

P Xll Qualifying Distributions (see instructions)

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

a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 1 a 1860718.

b Program-related investments - total from Part IX-B 1 b 0.

2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc , purposes 2

3 Amounts set aside for specific charitable projects that satisfy the

a Suitability test (prior IRS approval required) 3a

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

4 Qualifying distributions . Add lines la through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 1860718.

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

income Enter 1% of Part I, line 27b 5 0.

6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 1860718.

Note. The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation4940(e) reduction of tax in those years

qualifie s for the section

Form 990-PF (2008)

82357101-02-09

815190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm 990-PF ( 2008 ) C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Page9

P ?f^1 Undistributed Income (see instructions)

(a) (b) (c) (d)Corpus Years prior to 2007 2007 2008

1 Distributable amount for 2008 from Part XI,

line? 320347.2 Undistributed income , if any, as of the end of 2007

a Enter amount for 2007 only 0.

b Total for prior years

-1 -1 0.3 Excess distributions ca rryover , if any, to 2008

a From 2003 290341.b From 2004 643139.c From 2005 881054 .d From 2006 9 8 3 2 3 7.e From 2007 1194935.f Total of lines 3a throug h e 3 992706.

4 Qualifying distributions for 2008 from

PartXll , line4 01 $ 1860718.a Applied to 2007 , but not more than line 2a 0.

b Applied to undistributed income of prior

years ( Election required - see instructions) 0.

c Treated as distributions out of corpus

(Election required - see instructions) 0.

d Applied to 2008 distributable amount 320347.e Remaining amount distributed out of corpus 1540371.

5 Excess distributions carryover applied to 2008 0. 0.(If an amount appears in column (d), the same amountmust be shown in column (a) )

6 Enter the net total of each column asindicated below:

a Corpus Add lines 3f , 4c, and 4e Subtract line 5 5533077.b Prior years ' undistributed income Subtract

line 4b from line 2b 0.

c Enter the amount of prior years'undistributed income for which a notice ofdeficiency has been issued , or on whichthe section 4942 ( a) tax has been previouslyassessed 0 .

d Subtract line 6c from line 6b Taxable

amount - see instructions 0 .e Undistributed income for 2007 Subtract line

4a from line 2a Taxable amount - see instr 0

f Undistributed income for 2008 Subtract

lines 4d and 5 from line 1 This amount must

be distributed in 2009 0

7 Amounts treated as distributions out of

corpus to satisfy requirements imposed by

section 170 ( b)(1)(F) or 4942 (g)(3) 0

8 Excess distributions carryover from 2003

not applied on line 5 or line 7 290341.9 Excess distributions carryover to 2009.

Subtract lines 7 and 8 from line 6a 5242736.10 Analysis of line 9

a Excess from 2004 643139.b Excess from 2005 881054.

c Excess from 2006 983237.d Excess from 2007 1194935.e Excess from 2008 1540371.

Form 990-PF (2008)82358101-02-09

915190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm990-PF 2008 C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Page10

P XJV Private Operating Foundations (see instructions and Part VlI•A, question 9) N/A

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 2008 , enter the date of the ruling lo. I

b Check box to indicate whether the found ation is a private operating foundation described in section 4942(l)(3) or El 4942(1)(5)

2 a Enter the lesser of the adjusted net

income from 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

e Qualifying distributions made directly

for active conduct of exempt activities

Subtract line 2d from line 2c3 Complete 3a, b, or c for the

alternative test relied upona "Assets" alternative test - enter

(1) Value of all assets

(2) Value of assets qualifyingunder section 4942(I)(3)(B)(i)

b 'Endowment' alternative test - enter2/3 of minimum investment returnshown in Part X, line 6 for each yearlisted

c "Support" alternative test - enter

(1) Total support other than grossinvestment income (interest,dividends, rents, payments onsecurities loans (section512(a)(5)), or royalties)

(2) Support from general publicand 5 or more exemptorganizations as provided insection 4942(t)(3)(B)(m)

(3) Largest amount of support from

an exempt organization

(4 ) Gross investment income

Tax year Prior 3 years

(a) 2008 (b) 2007 ( c) 2006 (d) 2005 ( e) Total

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

1 Information Regarding Foundation Managers:

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

JEFFREY A. ALTMAN

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 orother entity) of which the foundation has a 10% or greater interest

None2 Information Regarding Contribution , Grant , Gift, Loan, Scholarship , etc., Programs:

Check here 01 OX if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds Ifthe foundation makes gifts, grants, etc (see instructio n s) to individua l s or organ izations under other conditions, complete items 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

823601 01-02-09 Form 990-PF (2008)10

15190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm 990-PF (2008 ) C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Page 11

3 Grants and Contributions Paid During the Year or Anoroved for Future Payment

Recipient If recipient is an individual,show any relationship to Foundation Purpose of grant or

d AA , ^ ^ ^..1d any foundation manager status of contribution Amountame an . e "or a or uuaiuwSlivanic an aUU . (1

or substantial contributor recipient

a Paid during the year

See Statement 7Total ► 3a 1784529.

b Approved for future payment

None

Total ► 3b 0.823611 01-02-09 Form 990-PF (2008)

1115190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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, THE JEFFREY A ALTMAN FOUNDATION INCForm 990 - PF (2008 ) C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Page 12

P ?ti»A Analysis of Income-Producing Activities

Enter,

1 Pro

b

C

d

e

f

92 Me

3 Int

my

4 Div

5 Net

a

b

6 NeNet

pro

7 Ot

8 Gai

tha

9 NeNet

10 Gr

11 0t

a

b

C

d

e12 Su13 Total . Add line 12 , columns ( b), (d), and (e) 13 2125876.

(See worksheet in line 13 instructions to verify calculations

part XVt-B Relationship of Activities to the Accomplishment of Exempt Purposes

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

4 INTEREST/DIVIDEND INCOME PRODUCED BY THE ASSETS8 CAPITAL GAINS/LOSSES ON SALE OF ASETS

82362101-02-09

ross amounts unless otherwise indicated Unrelated business income Excluded by section 512 , 513 , or514 (e)d

gram service revenue

(a)Businesscode

(b)Amount

^ -soncode

( d)Am ou nt

Related or exemptfunction income

Fees and contracts from government agencies

mbership dues and assessments

Brest on savings and temporary cash

estments

idends and interest from securities 14 4 9 8 0 7 .rental income or (loss ) from real estate

Debt-financed property

Not debt-financed property

rental income or (loss ) from personal

perty

er investment income

n or (loss ) from sales of assets other

n inventory 18 2076069.income or ( loss) from special events

oss profit or ( loss) from sales of inventory

errevenue

btotal Add columns ( b), (d), and (e) 0 . 212 5 8 7 6 .

h

h

0 .

Form 990-PF (2008)12

15190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INCForm990-PF(2008) C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Pag e 13Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of Yes No

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 1a 1 X

(2) Other assets la(2)1 I X

b Other transactions:

(1) Sales of assets to a noncharitable exempt organization lb ( l ) X

(2) Purchases of assets from a noncharitable exempt organization lb ( 2 ) X

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

(4) Reimbursement arrangements lb ( 4 ) X

(5) Loans or loan guarantees lb ( 5 ) 1 X

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

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1c 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 go ods, 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 incolumn (d) the value of the goods, other assets, or services received.

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

N/A

Under pe It s erJ 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, correct,and com Is I i of preparer (other than taxpayer or fiduciary ) is based on all information of which preparer has any knowledge

Si n of off r or trusteeg D

= P parer's p-E- signature

CLp d Rrm s name ( or yours KEMPISTY & COMPANY CPASaj itself-employed) 15 MAIDEN LANE SUITE 100

address and ZIP code NEW YORK, NY 10038'

82362201-02-09

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

in section 501(c) of the Code (other than section 501(c)(3)) or in section 5279 Yes ® Nob If "Yes," complete the following schedule.

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Schedule BjForm 990, 990-EZ,or 990-PF)

Department of the TreasuryInterna l Revenue Service

Schedule of Contributors► Attach to Form 990, 990-EZ, and 990-PF. 2008

Name of the organization I Employer identification number

THE JEFFREY A ALTMAN FOUNDATION INC

C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282Organization type (check one):

Filers of: Section:

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

0 4947(a)(1) nonexempt chantable trust not treated as a private foundation

0 527 political organization

Form 990-PF 0 501 (c)(3) exempt private foundation

0 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

1XI For organizations filing Form 990 , 990-EZ , or 990-PF that received , during the year, $5,000 or more (in money or property) from any one

contributor . Complete Parts I and II.

Special Rules

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

509(a)(1)/170 (b)(1)(A)(vl), and received from any one contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2% of the

amount on Form 990 , Part VIII , line 1h or 2% of the amount on Form 990 - EZ, line 1 . Complete Parts I and II

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.

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 answer "No" on Part IV, line 2 of their Form 990, or check the box in the heading of their Form 990-EZ, or on line 2 of their Form 990-PF, to

certify that they do not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

LHA For Privacy Act and Paperwork Reduction Act Notice , see the Instructions Schedule B (Form 990 , 990-EZ, or 990-PF) (2008)

for Form 990. These instructions will be issued separately.

823451 12-18-08

1415190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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 contributions did not aggregate to more than

$1,000. (If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable,

etc , purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively

religious, charitable, etc., contributions of $5,000 or more during the year.) ► $

OMB No 1545- 0047

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Schedule B (Form 990, 990-E

Name of organization

THE-JEFFREYC/O JEFFREY

or 1 of 1 of Part I

A ALTMAN FOUNDATION INCALTMAN @ OWL CREEK ASSET MGT

Employer identification number

13-3979282

Port I Paontrbutnrs (see inStruct'ons)

(a)

No.(b)

Name, address, and ZIP + 4

(c)

Aggregate contributions

(d)

Type of contribution

1 JEFFREY A. ALTMAN Person ^X

205 EAST 22ND STREET, #420 $ 5000000.Payroll QNoncash

NEW YORK, NY 10 010(Complete Part II if thereIs a noncash contribution.)

(a)

No.

(b)

Name, address , and ZIP + 4

(c)

Aggregate contributions

(d)

Type of contribution

Person

$

Payroll

Noncash

(Complete Part II if thereis a noncash contribution.)

(a)

No.

(b)

Name , address , and ZIP + 4(c)

Aggregate contributions

(d)

Type of contribution

Person

$

Payroll fl

Noncash

(Complete Part II if thereis a noncash contribution.)

(a)

No.

(b)

Name, address, and ZIP + 4(c)

Aggregate contributions

(d)

Type of contribution

Person

$

Payroll 0

Noncash

(Complete Part II if thereis a noncash contribution.)

(a)No.

(b)Name, address , and ZIP + 4

(c)Aggregate contributions

(d)

Type of contribution

Person

$

Payroll 0

Noncash fl

(Complete Part II if thereis a noncash contribution.)

(a)No.

(b)Name, address, and ZIP + 4

(c)Aggregate contributions

(d)Type of contribution

Person

$

Payroll

Noncash

(Complete Part II if thereis a noncash contribution.)

823452 12- 18-08 Schedule B (Form 990 . 990-EZ . or 990-PF)120Q8115

15190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INC Continuation for 990-PF, Part IVC/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Page 1 of 3F-K.Wi IV Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind (s) of property sold, e g , real estate ,2-story brick warehouse , or common stock, 200 shs MLC Co

( b How acquired

D - Don ation

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

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

la 35000 SHS BANK OF AMERICA P 03/23/09 09/17/09

b 1000000 SHS FIFTH THIRD BANCORP P 03/23/09 05/15/09

c 5000 SHS WILLIAMS COMPAN IES P 03/23/09 10/27/09

d 10000 SHS WILLIAMS COMPANIES P 03/23/09 09/17/09

e 15000 SHS QUICKSILVER RESOURCES P 04/28/09 10/27/09f 1400 SHS QUICKSILVER RESOURCES P 04/28/09 11/09/0918600 SHS QUICKSILVER RESOURCES P 04/28/09 11/12/09

h 15655 SHS AETNA INC P 05/06/09 09/17/09i 18500 SHS HARTFIELD FINANCIAL SERVICES GROUP P 05/06/09 05/27/098740 SHS LINCOLN NATIONAL CORP IND P 05/06/09 05/27/09

k 6500 SHS JOHNSON & JOHNSON P 05/07/09 09/17/0916850 SHS PROCTER & GAMBLE CO P 05/07/09 08/12/09m4650 SHS RESEARCH IN MOTION LTD P 05/07/09 08/12/09n 9550 SHS GENERAL MILLS INC P 05/11/09 08/12/09o 109 SHS VECTOR GROUP LTD P 06/30/09 09/15/09

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

( g) Cost or other basisplus expense of sale

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

a 580986. 255859. 325127.b 839126. 243009. 596117.C 98002. 63789. 34213.d 182690. 127577. 55113.e 231377. 121478. 109899.f 18781. 11338. 7443.

241998. 150633. 91365.h 473729. 347660. 126069.

278783. 197289. 81494.146036. 99429. 46607.

k 393573. 348745. 44828.1 355185. 347436. 7749.m 363443. 347695. 15748.n 548451. 500333. 48118.o 1765. 1579. 186.

Complete only for assets showing gain in column ( h) and owned by the foundation on 12/31 /69 (I) Losses (from col (h))

(1) F M V as of 12/31/69(j) Adjusted basisas of 12/31/69

(k) Excess of col (Qover col (I), if any

Gains (excess of col (h ) gain over col (k),but not less than '-0-")

a 325127.b 596117.c 34213.d 55113.e 109899.f 7443.

91365.h 126069.

81494.46607.

k 44828.1 7749.m 15748.n 48118.0 186.

If e r in Part 1 , 72 Capital gain net income or ( net capital loss ) l If (loss), Ientert-0 " in art I, line 7 1 2

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)If (loss), enter"-V in Part I, line 8 3

82359104-25-08

1615190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INC Continuation for 990-PF, Part IV

C/ JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Page 2 of 3

[Part IV Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind (s) of property sold, e g , real estate ,2-story brick warehouse , or common stock , 200 shs MLC Cory

( b How acquired- Purchase

0 - Donation

( c Date acquired(mo , day , yr )

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

1a 5000 SHS BANK OF AMERICA P 07/30/09 07/30/09

b _5963 SHS VERIZON INC P 10/10/06 03/19/09c 3900 SHS ALLEGHENY ENERGY INC P 10/10/06 05/21/09

d 92612 SHS LADENBERG THALMAN P 10/10/06 09/17/09

e 112 SHS FAIRPOINT COMMUNICATIONS P 03/07/08 09/17/09

f 39 80 SHS VECTOR GROUP LTD P 10/26/04 09/10/0985 000 SHS CITIGROUP INC P 08/04/09 09/17/09

h 19 8000 SHS CITIGROUP INC P 08/04/09 11/09/09

i 27 000 SHS QUICKSILVER RESOURCES P 08/25/09 11/09/0940 000 SHS SANDBRIDGE ENERGY INC P 08/25/09 09/15/09

k 8060 SHS EXXON MOBIL P 09/15/09 09/25/09

1 10700 SHS EXXON MOBIL P 09/17/09 09/25/09

m 44800 SHS BANK OF AMERICA P 07/30/09 11/09/09

n 15000 SHS QUICKSILVER RESOURCES P 08/25/09 11/09/09

o 80000 SHS FIFTH THIRD BANCORP ( ADJ ) P 10/22/09 10/22/09

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

( g) Cost or other basisplus expense of sale

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

a 82998. 65160. 17838.b 179286. 221074. -41788.c 93475. 158028. -64553.d 70378. 84092. -13714.e 74. 74.f 64462. 64562. -100.

374835. 226101. 148734.h 815736. 526684. 289052.

362199. 320319. 41880.504415. 498035. 6380.

k 563399. 570326. -6927.1 747937. 749112. -1175.m 670185. 583835. 86350.n 201221. 177955. 23266.o 400. 400.

Complete only for assets showing gain in column ( h) and owned by the foundation on 12/31 /69 (I) Losses (from col (h))

2/31/69( 1 ) F M V as of 12/31/69(1) Adjusted basis

of 12/31/69( k) Excess of col (i)over col (j), if any

Gains (excess of col (h) gain over col (k),but not less than "-0-")

a 17838.b -41788.c -64553.d -13714.e 74.f -100.

148734.h 289052.

41880.6380.

k -6927.1 -1175.m 86350.n 23266.0 400.

2 Capital am net income or net capital lossIf ain, also enter in Part I, line 7

9 ( ) t If ((loss), enter "-O-' in Part I , line 7 1 2

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)If (loss), enter'-021n Part I , line 8 3

82359104-25-08

1715190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE JEFFREY A ALTMAN FOUNDATION INC Continuation for 990-PF, Part IV

C/O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282 Page 3 of 3

Part IV Ca p ital Gains and Losses for Tax on Investment Income

(a) List and describe the kind ( s) of property sold, e g , real estate ,2-story brick warehouse , or common stock , 200 shs MLC Co

( b How acquired

D -Purchase

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

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

is CENTRAL ENERGY PARTNERS LP K-1 SECTION 1231 P 01/01/08 12/31/08

b

c

d

ef

h

k

mn

0

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

(g) Cost or other basisplus expense of sale

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

a 276. 276.

b

c

d

ef

h

k

I

mn

0Complete only for assets showing gain in column ( h) and owned by the foundation on 12/31/69 (I) Losses (from col (h))

(i) F M V as of 12 /31/69(1) Adjusted basisas of 12/31/69

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

Gains ( excess ( h) g ain ovecol (k),but not less than "-0-" )

a 276.b

cd

ef

h

k

mn

0

2 Capital ain net income or net capital loss)If ain , also enter in Part I, line 7 1

9 ( ) ` If ?loss ), enter "-0= in Part I, line 7 ) 2 2 0 7 6 0 6 9 .

3 Net short-term capital gain or (loss ) as defined in sections 1222 ( 5) and (6) 1If gain , also enter in Part I, line 8 , column (c) 1If (loss ), enter "-O-'in Part I , line 8 3 N/A

82359104-25-08

1815190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE.JEFFREY A ALTMAN FOUNDATION INC C/O 13-3979282

Form 990-PF Dividends and Interest from Securities Statement 1

Source Gross AmountCapital Gains Column (A)

Dividends Amount

AXIOM CAPITAL MGTCENTRAL ENERGY PARTNERS LPUBS FINANCIAL SERVICES

Total to Fm 990-PF, Part I, In 4

14546. 0. 14546.1348. 0. 1348.

33913. 0. 33913.

49807. 0. 49807.

19 Statement(s) 115190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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. THEIJEFFREY A ALTMAN FOUNDATION INC C/O 13-3979282

Form 9.90-PF Accounting Fees Statement 2

Description

(a) (b)

Expenses Net Invest-

Per Books ment Income

6400. 0.

(c)Adjusted

Net Income

0.ACCOUNTING

To Form 990-PF, Pg 1, in 16b 6400. 0. 0.

(d)CharitablePurposes

6400.

6400.

20 Statement(s) 215190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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. THE-JEFFREY A ALTMAN FOUNDATION INC C/O

(a) (b) (c)Expenses Net Invest- AdjustedPer Books ment Income Net Income

Form 990-PF Taxes Statement 3

Description

PAYROLL TAXESFEDERAL TAXES

To Form 990-PF, Pg 1, In 18

15190928 746354 exempt

4909. 0. 0.1698. 0. 0.

13-3979282

(d)CharitablePurposes

4909.0.

6607. 0. 0. 4909.

21 Statement(s) 32008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE^JEFFREY A ALTMAN FOUNDATION INC C/O

(c)Adjusted

Net Income

Form 990-PF Other Expenses Statement 4

Description

NYS FEEPAYROLL PROCESSINGMISCELLANEOUS FEESINSURANCECENTRAL ENERGY PARTNERS K-1LOSSCENTRAL ENERGY PARTNERS K-1SEC 59(e)(2) EXPENSES

To Form 990-PF, Pg 1, In 23

(a) (b)Expenses Net Invest-Per Books ment Income

250. 0.1418. 0.383. 53.

3462. 0.

43602. 0.

14032. 0.

63147. 53.

0.0.0.0.

0.

0.

13-3979282

(d)CharitablePurposes

0.1418.

0.3462.

0.

0.

0. 4880.

22 Statement(s) 415190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE,JEFFREY A ALTMAN FOUNDATION INC C/O 13-3979282

Form 990-PF Corporate Stock Statement 5

Description

3900 SHS ALLEGHENY ENERGY92612 SHS LADENBURG THALMAN13044 UTS CENTRAL ENERGY PARTNERS LP3980 SHS VECTOR GROUP INC.5963 SHS VERIZON COMMUNICATION112 FAIRPOINT COMMUNICATIONS10000 SHS WILLIAMS COS45200 SHS CIGNA CORP48540 SHS HUDSON CITY BANCORP2250 SHS MASTER CARD INC CL A16000 SHS NRG ENERGY INC140000 SHS REGIONS FINANCIAL CORP68000 SHS RRI ENERGY INC25500 SHS WELLPOINT INC

Total to Form 990-PF, Part II, line 10b

Fair MarketBook Value Value

0.0.

-10475.0.0.0.

127578.913800.655663.400758.456409.700005.477602.1376389.

0.0.

5935.0.0.0.

198900.1450016.645097.541935.383040.820400.334560.

1377765.

5097729. 5757648.

23 Statement(s) 515190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE.JEFFREY A ALTMAN FOUNDATION INC C/O 13-3979282

Form 990-PF List of Substantial Contributors Statement 6Part VII-A, Line 10

Name of Contributor Address

JEFFREY A. ALTMAN 205 EAST 22ND STREET, #2M, NEW YORK, NY10010

24 Statement(s) 615190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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']HE,JEFFREY A ALTMAN FOUNDATION INC C/O 13-3979282

Form 990-PF Grants and Contributions Statement 7Paid During the Year

Recipient Relationship RecipientRecipient Name and Address and Purpose of Grant Status Amount

ACRIA - AIDS COMMUNITY RESEARCH NONE 501 (C) (3) 5000.230 WEST 38TH ST - 17TH FLOOR, DONATIONNEW YORK, NY 10018

AMERICAN FRIENDS OF TABLE TO NONE 501 (C) (3)TABLE ISRAEL NOT-FOR-PRO

IT ORG 10000.1402 TEANECK RD., TEANECK, NJ DONATION07666

AMERICAN JEWISH COMMITTEE, 165 NONE 501 (C) (3)EAST 56TH STREET, NEW YORK, NY NOT-FOR-PRO10022 IT ORG 10000.

DONATION

AMERICAN MUSEUM OF NATURAL NONE 501 (C) (3)HISTORY NOT-FOR-PRO

IT ORG 25000.79TH ST & CENTRAL PARK WEST, NEW DONATIONYORK, NY 10024

ASPCA, 520 8TH AVENUE 7TH FLOOR, NONE 501 (C) (3)NEW YORK, NY 10018 NOT-FOR-PRO

IT ORG 500.DONATION

ASPEN BUDDY PROGRM, 110 E HALLAM NONE 501 (C) (3)SUITE 125, ASPEN, CO 81611 NOT-FOR-PRO

IT ORG 5000.DONATION

BABY BUGGY INC NONE 501 (C) (3) 5000.306 WEST 37TH STREET, NEW YORK, DONATIONNY 10018

BOB LEWIS BILLFISH CHALLENGE NONE 501 (C) (3) 3500.PO BOX 560237, MIAMI, FL 33256 DONATION

25 Statement(s) 715190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE,JEFFREY A ALTMAN FOUNDATION INC C/O 13-3979282

BUONICONTI FUND NONE 501 (C) (3) 20000.1095 NW 14 AVENUE, MIAMI, FL DONATION33136

CHABAD OF THE WEST SIXTIES, 145 NONE 501 (C) (3)WEST 67TH STREET, #3C, NEW YORK, NOT-FOR-PRONY 10023 IT ORG 10000.

DONATION

CHAI LIFELINE NONE 501 (C) (3) 10000.151 WEST 30TH ST, 3RD FL., NEW DONATIONYORK, NY 10001

CHIEFS MEMORIAL FUND, 34 GIFFORD NONE 501 (C) (3)LAKE DRIVE, ARMONK, NY 10504 NOT-FOR-PRO

IT ORG 150000.DONATION

CHILDRENS CARDIOMYOPATHY NONE 501 (C) (3)FOUNDATION NOT-FOR-PRO

IT ORG 10000.P.O. BOX 547, TENAFLY, NJ 07670 DONATION

CORNELL UNIVERSITY (PM ALTMAN NONENURSING'76 FUND) 25000.410 THURSTON AVENUE, ITHACA, NY DONATION14853

CUSTOM SHOOT-OUT HARBOR ISLAND - NONE NOT FORBREAST CANCER RESEARCH PROFIT 5000.2931 NE 16TH STREET, POMPANO DONATIONBEACH, FL 33062

CYSTIC FIBROSIS FOUNDATION, 6931 NONE 501 (C) (3)ARLINGTON ROAD, BETHESDA, MD NOT-FOR-PRO20814 IT ORG 447300.

DONATION

DIABETES RESEARCH INSTITUTE NONE 501 (C) (3)FOUNDATION NOT-FOR-PRO

IT ORG 30000.200 SOUTH PARK RD - SUITE 100, DONATIONHOLLYWOOD, FL 33021

26 Statement(s) 715190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE-JEFFREY A ALTMAN FOUNDATION INC C/O

DJONIBA DANCE CENTER NONE350 FIFTH AVENUE, SUITE 7412, NEW DONATIONYORK, NY 10118

ELEM YOUTH IN DISTRESS, 211 NONECENTRAL PARK WEST #6E, NEW YORK,NY 10024

DONATION

FACING HISTORY & OURSELVES, 16 NONEHURD ROAD, BROOKLINE, MA 02445

DONATION

FRIENDS OF ISRAEL DEFENSE FORCES, NONE350 5TH AVENUE, SUITE 2011, NEWYORK, NY

DONATION

FRIENDS OF THE HIGH LINE NONE529 W 20TH ST, SUITE 8W, NEW DONATIONYORK, NY 10011

GIVE TO COLUMBIA, 6705 RED ROAD, NONESUITE 502, CORAL SPRINGS, FL33143

DONATION

GROWTH & DEVELOPMENT SERVICES, NONE216 FT WASHINGTON AVE, NEW YORK,NY 10032

DONATION

HARLEM VILLAGE ACADEMIES NONE15 PENN PLAZA #15, NEW YORK, NY DONATION10001

HILLEL - FOUNDATION FOR JEWISH NONECAMPUS LIFE

800 EIGHTH ST NW, WASHINGTON, DC DONATION20001

13-3979282

501 (C) (3) 25000.

501 (C) (3)NOT-FOR-PROIT ORG 25000.

501 (C) (3)NOT-FOR-PROIT ORG 10000.

501 (C) (3)NOT-FOR-PRO

IT ORG 25000.

501 (C ) (3) 5000.

501 (C) (3)NOT-FOR-PROIT ORG 10000.

501 (C) (3)NOT-FOR-PROIT ORG 277380.

501 (C) (3) 210000.

501 (C) (3)NOT-FOR-PROIT ORG 20000.

27 Statement(s) 715190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE,JEFFREY A ALTMAN FOUNDATION INC C / O 13-3979282

JACOBS CURE , 601 PURCHASE STREET , NONE 501 (C) (3)RYE, NY 10580 NOT-FOR-PRO

IT ORG 1375.DONATION

JANET BURROS MEMORIAL FOUNDATION, NONE 501 (C) (3)65 EAST 55TH STREET, NEW YORK, NY NOT-FOR-PRO10022 IT ORG 15000.

DONATION

JAZZ AT ASPEN SNOW MASS, 110 E NONE 501 (C) (3)HALLAM SUITE 104, ASPEN, CO NOT-FOR-PRO81611 IT ORG 5000.

DONATION

JUVENILE DIABETES RESEARCH NONE 501 (C) (3)FOUNDATION NOT-FOR-PRO

IT ORG 2500.120 WALL STREET 20TH FLOOR, NEW DONATIONYORK, NY 10005

LOVE HEALS, 2 FIFTH AVENUE #2Q, NONE 501 (C) (3)NEW YORK, NY 10011 NOT-FOR-PRO

IT ORG 9500.DONATION

MELANOMA RESEARCH FOUNDATION, 170 NONE 501 (C) (3)TOWNSHIP LINE RD, BLDG B, NOT-FOR-PROHILLSBOROUGH, NJ IT ORG 10000.

DONATION

MICHAEL J. FOX FOUNDATION, P.O. NONE 501 (C) (3)BOX 780 CHURCH ST STATION, NEW NOT-FOR-PROYORK, NY 100 IT ORG 25000.

DONATION

MUSEUM OF THE MOVING IMAGE, 3601 NONE 501 (C) (3)35TH AVENUE, ASTORIA, NY 11106 NOT-FOR-PRO

IT ORG 5000.DONATION

NORTHSIDE CENTER FOR CHILD NONE 501 (C) (3)DEVELOPMENT INC NOT-FOR-PRO

IT ORG 31000.1301 FIFTH AVENUE, NEW YORK, NY DONATION10029

28 Statement(s) 715190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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THE.JEFFREY A ALTMAN FOUNDATION INC C/O 13-3979282

NYU LANGONE MEDICAL CENTER, 317 NONE 501 (C) (3)EAST 34TH STREET, NEW YORK, NY NOT-FOR-PRO10016 IT ORG 15000.

DONATION

OVERCOMING OBSTACLES, 111 WARWICK NONE 501 (C) (3)DRIVE, MONROE, LA 70203 NOT-FOR-PRO

IT ORG 5000.DONATION

PAJAMA PROGRAM INC, 34 E 39TH NONE 501 (C) (3)STREET, SUITE B, NEW YORK, NY NOT-FOR-PRO10016 IT ORG 5000.

DONATION

PROJECT ALS, 900 BROADWAY, SUITE NONE 501 (C) (3)901, NEW YORK, NY 10003 NOT-FOR-PRO

IT ORG 5000.DONATION

ROBIN HOOD FOUNDATION, 826 NONE 501 (C) (3)BROADWAY, 7TH FLOOR, NEW YORK, NY NOT-FOR-PRO10003 IT ORG 81000.

DONATION

SOUTHAMPTON FRESH AIR HOME NONE 501 (C) (3) 2500.P.O. BOX 244 - 36 BARKERS ISLAND DONATIONRD, SOUTHHAMPTON, NY 11969

STARLIGHT CHILDRENS FOUNDATION NONE 501 (C) (3) 7255.1560 BROADWAY, SUITE 600, NEW DONATIONYORK, NY 10036

THE FRESH AIR FUND, 633 THIRD NONE 501 (C) (3)AVE, 14TH FL., NEW YORK, NY NOT-FOR-PRO10017 IT ORG 20000.

DONATION

THE FRIENDS SUNY COLLEGE NONE 501 (C) (3)FOUNDATION 7500.1 HAWK DRIVE, NEW PALTZ, NY DONATION12561

29 Statement(s) 715190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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TRE.JEFFREY A ALTMAN FOUNDATION INC C/O

THE NEW YORK CENTER FOR CHILDREN NONE333 EAST 70TH STREET, NEW YORK, DONATION

NY 10021

TRIBECA FILM INSTITUTE INC, 375 NONEGREENWICH STREET, NEW YORK, NY10013

DONATION

TULANE UNIVERSITY, 6823 ST NONECHARLES AVE, NEW ORLEANS, LA70118

DONATION

UJA FEDERATION OF NEW YORK, 130 NONEEAST 59TH STREET, NEW YORK, NY10022

DONATION

US HOLOCAUST MEMORIAL MUSEUM NONE

100 RAOUL WALLENBERG PL SW, DONATIONWASHINGTON, DC 20024

USJ CHARITY "THE MAGIC OF NONESTARLIGHT BENEFIT"2-1-33 SAKURAJIMA, KONOHANA-RU, DONATIONOSAKA, JAPAN

WHITE COLUMNS, 320 WEST 13TH NONE

STREET, NEW YORK, NY 10014

DONATION

Total to Form 990-PF, Part XV, line 3a

13-3979282

501 (C) ( 3) 5000.

501 (C) (3)NOT-FOR-PROIT ORG 15000.

501 (C) (3)NOT-FOR-PROIT ORG 100500.

501 (C) (3)NOT-FOR-PROIT ORG 10000.

501 (C) (3) 10000.

FOREIGNCORP 5219.

501 (C) (3)NOT-FOR-PRO

IT ORG 7500.

1784529.

30 Statement(s) 715190928 746354 exempt 2008 .05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2

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iFo

,rm 8868 (Rev 4-2009) Page 2

o If you bre filing for an Additional (Not Automatic) 3-Month Extension , complete only Part II and check this box ► FRI

Note. bnly complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.• If you are filing for an Automatic 3-Month Extension , complete only Part I (on page 1).

Additional (Not Automatic) 3-Month Extension of Time . Only file the original (no copies needed).

Name of Exempt Organization Employer identification numberType or

HE JEFFREY A ALTMAN FOUNDATION INCprint /O JEFFREY ALTMAN @ OWL CREEK ASSET MGT 13-3979282File by the

extended Number, street , and room or suite no . If a P.O . box, see instructions . For IRS use onlyduedatefor 640 FIFTH AVENUE , No. FLR 20filing thereturn see City , town or post office , state, and ZIP code . For a foreign address , see instructions.instructions

EW YORK, NY 10019-6102Check type of return to be filed ( File a separate application for each return).

Form 990 Form 990-EZ Form 990-T (sec. 401(a) or 408 (a) trust ) Form 1041 -A Form 5227 Form 8870

Form 990•BL Form 990-PF Form 990•T (trust other than above) Form 4720 Form 6069

STOP! Do not complete Part I I if you were not a lready granted an automatic 3-month extension on a previously filed Form 8868.

KEMPISTY & COMPANY CPAS

• The books are in the care of ► 15 MAIDEN LANE SUITE 1002 - NEW YORK, NY 10038212-406-7272 FAX

• If the organization does not have an office or place of business in the United States, check this box ► [D

• 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 ► 0 . If it is for part of the group, check this box ► El and attach a list with the names and EINs of all members the extension is for.

4 I request an additional 3-month extension of time until October 15, 2010 .

5 For calendar year , or other tax year beginning DEC 1 , 2008 , and ending NOV 30, 2009

6 If this tax year is for less than 12 months, check reason: 0 Initial return Final return = Change in accounting period

7 State in detail why you need the extension

INFORMATION NECESSARY TO COMPLETE AN ACCURATERETURN HAS NOT YET BEEN RECEIVED FROM THIRD PARTIES

8a If this application is for Form 990- BL, 990 -PF, 990•T, 4720, or 6069 , enter the tentative tax, less any

b If this application is for Form 990 - PF, 990-T, 4720, or 6069 , enter any refundable credits and estimated

tax payments made . Include any prior year overpayment allowed as a credit and any amount paid

Balance Due. Subtract line 8b from line 8a . Include your payment with this form, or, if required, deposit

with FTD coupon or. If reaulred. by using EFTPS (Electronic

$ 42484.

$ 51440.

$ 0.Signature and Verification

Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements , and to the best of my knowledge and belief,it is true , correct , and complete , and that I am authorized to prepare this form

Sig nature ► Titl e ► PRESIDENT Date ►Form 8868 (Rev 4-2009)

82383205-26-09

3115190928 746354 exempt 2008.05000 THE JEFFREY A ALTMAN FOUNDA EXEMPT-2