PF Return of Private Foundation or Section 4947(ax1...

24
Return of Private Foundation or Section 4947(ax1) Nonexempt Charitable Trust Treated as a Private Foundation Note : The organization may be able to use a copy of this return to satisfy state OMB No 1545 .0052 2004 Department of the treasury Internal RevAnue Service For calendar ear 2004, or tax year beginnin g 4 01 G Check all that apply : Initial return Final return Use the IRS label . THE MARTIN FOUNDATION Otherwise, 3993 HUNTINGDON PIKE #100 print ortype . HUNTINGDON VALLEY, PA 19006-1927 See Specific Instructions . 2004, and ending 3/31 , 2005 Amended return Address change Employer identificatic 23-2182719 Names number telephone number (see instructions) C If exemption application is pending, check here 01 D 1 foreign organizations, check here . . . . H Check type of organization : U Section 501(c)(3) exempt private foundation 2 Foreign organizations meeting the 85% test, check Section 4947(a)(1) nonexempt charitable trust Other taxable p rivate foundation here and attach computation . . . . Fair market value of all assets at end of year J Accounting method : X Cash Accrual E If pnvate foundation status was terminated (from Part ll, column (c), line 16) u u under section 507(b)(1)(A), check here . . . Other (specify) - _ _ - - _ - - _ - _ ^ _ F If the foundation is in a 60-month termination 0. $ 3,494,791 . (Part l, column (d must be on cash basis) under section 507(b)(1)(B), check here ~ = Analysis of Revenue and a Revenue and ( ) (b) Net investment (c) Adjusted net (d) Disbursements Expenses (The total of amounts in expenses per books income income for charitable columns (b), (c), and (d) may not neces- purposes sanly equal the amounts in column (a) (cash basis only) 1 Contributions, gifts, grants, etc, received (att sch) 2 Ck I" if the foundn is not req to att Sch B 3 Intereson savings and temporary cash investments . . . . . . . . . 4 Dividends and interest from securities . . 5a Gross rents . . . . . . . b Net rental income or (loss) 6d Net gam/(loss) from sale of assets not on line 1Q b Gross sales price for all 523,759 . assets on line 6a 7 Capital gam net income (from Part IV, line 2) 8 Net short-term capital gain 9 Income modifications . . . . . 10a Gross sales less returns and allowances . b Less : Cost of goods sold . . c Gross profit/(loss) (aft sch) . . . . . . 11 Other income (attach schedule) See Statement 1 12 Total . Add lines 1 through 11 . . . 1$ Compensation of officers, directors, trustees, etc . . 14 Other employee salaries and wages .. . . 15 Pension plans, employee benefits 16a Legal fees (attach schedule) $ b Accounting fees (attach sch) See-St-3 c Other prof fees (attach sch) See St . 4 17 interest . . . . . . . . . . . . . . 18 Taxes (attach schedule) 19 Depreciation (attach schedule) and depletion . . . v 20 Occupancy . . . . . . 21 Travel, conferences, and meetings 22 Printing and publications . . . 23 Other expenses (attach schedule) See Statement 6 N 24 Total operating and administrative expenses. Add Imes 13 through 23 25 Contributions, gifts, grants paid Part XV 26 Total expenses and disbursements . Add lines 24 and 25 . . . P D~ ZA I (Z r Tl 10 N CN DID :1t IV 0 0 33,694 . 7,906 . 168,906 .1 33 9 694 . a Excess of revenue over expenses and disbursements . 492, 843 . b Net investment income (if negative, enter -0-) . . .;' , ; z 4 C Adjusted net income (if negative, enter -0-) BAA For Privacy Act and Paperwork Reduction Act Notice, see the instructions . TEEA0503L 01105/05 "IN ,I- A r Form .79o~' PF H I 1,980 . 82,650 . 75,287 . 1,832 4,750 . 0 .043 . 2,414 . 8,504 . 1,980 . 75,287 . 1,832 . 1,749 . 3,185 . 0,043 . 466 . .N t~-- 128, 055 . 63 . 1,565 . ~aY~~ . _ ~ra . 2,132 . 8,038 . 11,798 . 0 .1 132,798 . ?rt~'~ Form 990-PF (2004)

Transcript of PF Return of Private Foundation or Section 4947(ax1...

Page 1: PF Return of Private Foundation or Section 4947(ax1 ...990s.foundationcenter.org/990pf_pdf_archive/232/232182719/232182719... · Return of Private Foundation or Section 4947(ax1)

Return of Private Foundation or Section 4947(ax1) Nonexempt Charitable Trust

Treated as a Private Foundation Note : The organization may be able to use a copy of this return to satisfy state

OMB No 1545 .0052

2004 Department of the treasury Internal RevAnue Service

For calendar ear 2004, or tax year beginning 4 01 G Check all that apply : Initial return Final return Use the IRS label . THE MARTIN FOUNDATION Otherwise, 3993 HUNTINGDON PIKE #100 print ortype . HUNTINGDON VALLEY, PA 19006-1927

See Specific Instructions .

2004, and ending 3/31 , 2005 Amended return Address change

Employer identificatic

23-2182719

Names number

telephone number (see instructions)

C If exemption application is pending, check here 01 D 1 foreign organizations, check here . . . . H

Check type of organization : U Section 501(c)(3) exempt private foundation 2 Foreign organizations meeting the 85% test, check Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation here and attach computation . . . .

Fair market value of all assets at end of year J Accounting method : X Cash Accrual E If pnvate foundation status was terminated (from Part ll, column (c), line 16)

u u under section 507(b)(1)(A), check here . . . Other (specify) - _ _ - - _ - - _ - _ ̂ _ F If the foundation is in a 60-month termination 0. $ 3,494,791 . (Part l, column (d must be on cash basis) under section 507(b)(1)(B), check here

~ = Analysis of Revenue and a Revenue and ( ) (b) Net investment (c) Adjusted net (d) Disbursements Expenses (The total of amounts in expenses per books income income for charitable columns (b), (c), and (d) may not neces- purposes sanly equal the amounts in column (a) (cash basis only)

1 Contributions, gifts, grants, etc, received (att sch) 2 Ck I" if the foundn is not req to att Sch B 3 Intereson savings and temporary

cash investments . . . . . . . . . 4 Dividends and interest from securities . . 5a Gross rents . . . . . . . b Net rental income or (loss)

6d Net gam/(loss) from sale of assets not on line 1Q b Gross sales price for all 523,759 . assets on line 6a

7 Capital gam net income (from Part IV, line 2) 8 Net short-term capital gain 9 Income modifications . . . . . 10a Gross sales less

returns and allowances .

b Less : Cost of goods sold . .

c Gross profit/(loss) (aft sch) . . . . . . 11 Other income (attach schedule)

See Statement 1 12 Total . Add lines 1 through 11 . . . 1$ Compensation of officers, directors, trustees, etc . . 14 Other employee salaries and wages . . . . 15 Pension plans, employee benefits 16a Legal fees (attach schedule) $

b Accounting fees (attach sch) See-St-3 c Other prof fees (attach sch) See St . 4

17 interest . . . . . . . . . . . . . . 18 Taxes (attach schedule) 19 Depreciation (attach schedule) and depletion . . .

v 20 Occupancy . . . . . . 21 Travel, conferences, and meetings 22 Printing and publications . . . 23 Other expenses (attach schedule)

See Statement 6 N 24 Total operating and administrative

expenses. Add Imes 13 through 23 25 Contributions, gifts, grants paid Part XV 26 Total expenses and disbursements .

Add lines 24 and 25 . . .

P D~ ZA

I (Z r Tl 10 N

CN

DID :1t IV 0 0

33,694 . 7,906 .

168,906 .1 3 39694 .

a Excess of revenue over expenses and disbursements . 492, 843 .

b Net investment income (if negative, enter -0-) . . .;' , ; z 4

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

BAA For Privacy Act and Paperwork Reduction Act Notice, see the instructions. TEEA0503L 01105/05

"IN

,I- A r

Form .79o~'PF

H

I

1,980 . 82,650 .

75,287 .

1,832

4,750 . 0 .043 .

2,414 .

8,504 .

1,980 .

75,287 .

1,832 . 1,749 .

3,185 . 0,043 .

466 .

.N t~--

128, 055 .

63 . 1,565 .

~aY~~ . _ ~ra .

2,132 .

8,038 .

11,798 .

0 .1 132,798 .

?rt~'~ Form 990-PF (2004)

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Form 940-PF (2004) THE MARTIN FOUNDATION 23-2182719 Page 2 Attached schedules and amounts in the description Beginning of year End of year Balance Sheets column should be for end-of-year amounts only (See instructions ) (a) Book Value (b) Book Value (c) Fair Market Value

1 Cash - non-interest-bearing . . . . . . . 53,151 . 95,981 . 95,981 . 2 Savings and temporary cash investments . . . . . . . . . . . . . . - T-r -.--- r-�. - - ---- 3 Accounts receivable . . . . . . . . . 01

Less : allowance for doubtful accounts 01 4 Pledges receivable . . . . ~----------

Less : allowance for doubtful accounts 5 Grants receivable . . . , . . . . . . . . . 6 Receivables due from officers, directors, trustees, and other

disqualified persons (attach schedule) (see instructions) . . . . . . . . ~ 4 7 Other notes and loans receivable (attach sch) SWIM

Y~~ ] 01 Less : allowance for doubtful accounts 10 - y

s 8 Inventories for sale or use . . . . . . . . . . . . . 9 Prepaid expenses and deferred charges . . . . . . . . . .

s 10a Investments - U.S . and state government obligations (attach schedule} . . . . . . . . . . . . .

b Investments - corporate stock (attach schedule) Statement 7 . . 1,114,343 . 1,690,833 . 3,149,054 . c Investments - corporate bonds (attach schedule) Statement 8. 372,594 . 1 246,117 . 249,756 .

P 11 Investments - land, buildings, and ,} . Y : Ii S ~ equipment : basis . . . . . . . . --------- ;~ ~, , .

Less : accumulated depreciation (attach schedule) . . . . . .

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

. . . . . . . . 13 Investments - other (attach schedule) . . . . . 14 Land, buildings, and equipment : basis 01 7i'l

Less: accumulated depreciation (attach schedule) . . . . . . . . . . . . . . .

15 Other assets (describe 01 ) 16 Total assets (to be completed by all filers -

see instructions. Also, see page 1, item I) . . . . . . . . . . 1, 540, 088 . 2, 032, 931 . 31494 791 . 17 Accounts payable and accrued expenses . . . . . . . - 18 Grants payable . . . . . . . r

d 19 Deferred revenue . . . . . . . . . . . . . . . . ., . . . . . . . 20 Loans from officers, directors, trustees, & other disqualified persons . . . . . 21 Mortgages and other notes payable (attach schedule) . . . . . . . . . .

x . . 22 Other liabilities (describe . - - - - - - - - - - - - - - - - - e 5 23 Total liabilities (add fines 17 through 22) . . . . . . . . . . 0 . 0 . ~

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

N F 24 Unrestricted . . . . . . . . . . . . . . , . . . . . -- e u t n 25 Temporarily restricted . . . . . . . . . . . . . . . . . d 26 Permanently restricted .

s IS Organizations that do not follow SFAS 117, check here ~ X s a and complete lines 27 through 31 . e 1 t a 27 Capital stock, trust principal, or current funds . . . . . . . 1,540,088 . 2, 032, 931 . s n 28 Paid-in or capital surplus, or land, budding, and equipment fund

o e 29 Retained earnings, accumulated income, endowment, or other funds . . F -° ~- r s 30 Total net assets or fund balances (see instructions) 1,540,088 . 2,032,931 . k

31 Total liabilities and net assets/fund balances (see instructions) . . . . . 1, 540, 088 . 2,032,931 .

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 returns . . . . . . . . . . , , 1 1,540,088 .

2 Enter amount from Part I, line 27a . . . . . . . . . . . . , . . . 2 492,843 . Other increases n included in line (itemize) . 3

4 Add lines 1, 2, and 3 . . . . , . . . . . , . . . . . , . 4 2, 032, 931 . 5 Decreases not included m line 2 (itemize) . 111~ 5 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II column (b), line 30 6 2,032,931 .

BAA TEEaosozL o712sioa Form 990-PF (2004)

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4 Form 990 N

4tl (-V ~~j 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 back warehouse; or common stock, 200 shares MLC Company)

7a See Statement 9 b c d e

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

n column (h) and owned Q) Adjusted basis as of 12/31/69

foundation on 12/31/69 (k) Excess of column (i) over column 0), if any

>mplete only for assets shows () Fair Market Value

as of 12/31/69

e I I

2 Capital gain net income or (net capital loss) . If gam, also enter in Part I, line 7 ~If (loss), enter -0- in Part I, line 7

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

If gain, also enter m Part I, line 8, column (c) (see instructions) . If .(loss),, enter -0- ~-in Part I, line 8 J 3 I 0 .

TEEA0303L 07/29/04

a b c d e

b c

(e) Gross sales pace (fl Depreciation allowed (or allowable)

(g) Cost or other basis plus expense of sale

23-2182719 Paae 3

b) How acquired (C) Date acquired (d) Date sold P - Purchase I (month, day, year) I (month, day, year) D - Donation

(I) Gams (Column (h) gain minus column (k), but not less

than -0-) or Losses (from column (h))

2 I 75,287

(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 organization liable for the section 4942 tax on the distnbutable amount of any year in the base period? X Yes F] No If 'Yes,' the organization does not qualify under section 4940(e) . Do not complete this part . N/A

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

a bn

(c?'' Base period years Adjusted qualifying distributions Net ae of Distribution ratio Calendar year (or tax year nonchantable-use assets (column (b) divided by column (c)) beginning in)

2003

2001 2000 1999

2 Total of line 1, column (d) 2

3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years 3

4 Enter the net value of nonchantable-use assets for 2004 from Part X, line 5 1 4

5 Multiply line 4 by line 3 1 5

6 Enter 1 % of net investment income (1 % of Part I, brie 27b) 1 - 6

7 Add lines 5 and 6 . . I 7

8 Enter qualifying distributions from Part XII, line 4 1 8

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 rate . See the Part VI instructions .

BAA Form 990-PF (2004)

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~ 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 X

7 Did the organization have at least $5,000 m assets at any time during the years If 'Yes,'complete Part 1l, column (c), and PartXV . . . . . 7 X 8a Enter the states to which the foundation reports or with which it is registered (see instructions)

PENNSYLVANIA -------------------------------------------------------b If the answer is 'Yes' to line 7, has the organization 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 . . . . . . . . . 8 b X

9 Is the organization claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar year 2004 or the taxable year beginning in 2004 (see instructions for Part XI1)? If 'Yes,' complete Part XIV . . . . . . . . . . 9

- . . . X

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

11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? 11 X Web site address . . . . . . . . . N' N/A

12 The books are in care of ~ JOVINA ARMENTO Telephone no . ~ (215) 947-1783 --- --Located at m- HUNTINGDON VALLEY, PA ZIP + 4 P- 19006

13 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here . . . . . N./.A ~ and enter the amount of tax-exempt interest received or accrued during the year . 1-113 ~ . N/A

Form 990-PF (2004) BAA TEEA0304L 01/03/05

S

i Form 990-PF (2004) THE MARTIN FOUNDATION 23-2182719 Page 4 4ftu` l 'j` Excise Tax Based on Investment Income section asao(a), asa0(b), 49ao(e), or 4948 - see instructions) 1 a Exempt operating foundations described m section 4940(d)(2), check here . '-fland enter 'N/A' on line L

Date of ruling letter: (attach copy of ruling letter if necessary - see instructions) b Domestic organizations that meet the .section 4940(e) requirements in Part V, 1 2,561 . check here li" Fland enter 11% of Part I, line 27b . . . . . . . . . . . .

41, ~6 c All other domestic organizations enter 2% of line 27b . Exempt foreign organizations enter 4% of Part I, brie 12, column (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 2,561 . 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 2,561 . 6 Credits/Payments :

M . 1 a 2004 estimated tax pmts and 2003 overpayment credited to 2004 . . . . . . . 6a 2 040 .4 ~ b Exempt foreign organizations - tax withheld at source . . . . . 6b ` ~ ~

, . c Tax paid with application for extension of time to file (Form 8868) . . . . 6c ~ 1 ~ ~* d Backup withholding erroneously withheld . . . . . . . . . . . . . . . . . . . 6d

7 Total credits and payments . Add lines 6a through 6d . . . . . . . . . . . . . . . . . . 7 2,040 . 8 Enter any penalty for underpayment of estimated tax . Check here Flif Form 2220 is attached . . 8 9 Tax due . If the total of lines 5 and 8 is more than line 7, enter amount owed . . . . . . . . . . . . . . . . . . . . ~ 9 521 . 10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . . . . . . . . . . . . . . X 10 11 Enter the amount on line 10 to be: Credited to 2005 estimated tax. . . . ~ Refunded . ~ 11

Statements Regarding Activities

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did it Yes M -1. No participate or intervene in any political campaign? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 a X

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

!f the answer is 'Yes' to la or 1b, attach a detailed description of the activities and copies of any materials published `~ or distributed by the organization in connection with the activities.

c Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 c I X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year : { {'~

(1) On the organization W. $ 0 . (2) On organization managers . . 1~ $ 0 . e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on organization managers. . . I. $ 0 .

2 Has the organization engaged in any activities that have not previously been reported to the IRS? . . . . . . . 2 X If 'Yes,' attach a detailed description of the activities .

3 Has the organization made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other similar instruments? If 'Yes,' attach a conformed copy of the changes . 3 X

4a Did the organization 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? . . . . . . . . . . . . . . . . . . . . . . . . 4b N A

5 Was there a liquidation, termination, dissolution, or substantial contraction during the year . . . . . . . . . . . . . . . . . . . . . . . 5 X If 'Yes,' attach the statement required by General Instruction T.

M

6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either . 0 By language in the governing instrument, or

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c If the answer is 'Yes' to question 5a(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grants . . . . N/A [] Yes [] No If 'Yes,' attach the statement required by Regulations section 53.4945-5(d) . .,'

mar, receive any funds, directly or indirectly, o pay premiums - on a personal benefit contract? . . . . . . . . . . . . . Yes X~ No ~ Jr Y

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . ~- 6 b ~- X If you answered 'Yes' to 66, also file Form 8870

Form 990-PF (2004) TEEA0305L 07/29/04 BAA

R

Form 990-PF (2004) THE MARTIN FOUNDATION 23-2182719 Page 5 art V11~B= Statements Re ardin Activities for Which Form 4720 Ma Be Required

File Form 4720 if any item is checked in the'Yes' column, unless an exception applies . Yes No 1 a During the year did the organization (either directly or indirectly) :

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? . . . . . . . . ~ Yes NNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a _, disqualified persons . . . . . . . . . . . Yes X No

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

.

.

.

.

. .

.

.

.

.

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

(6) Agree to pay money or property to a government official? (Exception . Check 'No' if the organization agreed to make a grant to or to employ the official for a period after termination of government service, if terminating within 90 days .) . . . . Yes X~ No '

b If any answer is 'Yes' to l a(1)-(6), did any of the acts fad to qualify under the exceptions described in Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? 1 b N /A

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

c Did the organization engage in a prior year in any of the acts described m 1 a, other than excepted acts, that were not corrected before the first day of the tax year beginning in 2004? . . . . . 1 c I' X

2 Taxes on failure to distribute income (section 4942) (does not appl for years the organization was a ` ar' private operating foundation defined in section 4942Q)(3) or 49420~1(5)) :

r a At the end of tax year 2004, did the organization have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2004? . . . . . . . . . . . . . . . . . Yes X No If 'Yes,' list the years 0' 20 , 20 , 20 , 20

b Are there any years listed in 2a for which the organization is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to all years listed, answer 'No' and attach statement - see instructions ) . . . . . 2b N A

c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here . X 20- - , 20_ _ , 20_ - , 20-

3a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? . . . . . . . . . Yes X~ No

b If 'Yes,' did it have excess business holdings in 2004 as a result of (1) any purchase by the organization or disqualified persons after May 26, 1969 ; (2) the lapse of the 5-year period (or loner period approved b the Commissioner under section 4943(c)(7)) to dispose of holdings ac gwired by gift or bequest ; or (% the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the organization had excess business holdings in 2004.) . . . . . . . . . . . . . . . . . . . 3 b N A

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

b Did the organization make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2004? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . sob

5a During the year did the organization pay or incur any amount to- (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? . . . ~ Yes Lint] No s=

(2) Influence the outcome of any specific public election (see section 4955) ; or to carry on, directly or indirectly, any voter registration drive? . . . 8 Yes XB No - ' -, -~~

(~ Provide a grant to an individual for travel, study, or other similar purposes? . Yes X No

(4) Provide a grant to an organization other than a charitable, etc, organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)? . . ~0 Yes D X 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 . . . r] Yes X~ No

b If any answer is 'Yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described m Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions)? . . . . . . . . . . . . 3 5 b T N A Organizations relying on a current notice regarding disaster assistance check here . . . . ~ ~ = � ,

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r r Form 990-PF (2004) THE MARTIN FOUNDATION 23-2182719 Page 6 `R'`t,, ̀, p,, ~ Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,

and Contractors 1 List all officers, directors, trustees, foundation managers and their com ensation see instructions).

(b) Title and average I (c) Compensation (d) Contributions to I (e) Expense account, (a) Name and address hours per week (If not paid, enter-0-) employee benefit other allowances

~ devoted to position plans and deferred

(other than those included on line 1- see (b) Title and average (c) Compensation

hours per week devoted to position

trudions). If none, enter'NONE: (d) Contributions to (e) Expense account, employee benefit other allowances plans and deferred ~

NONE

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

Total number of others receiving over $50,000 for professional services

.#' Summary of Direct Charitable Activities

0

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 . Expenses

1 NOT APPLICABLE ------------------------------------------------------

2

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

3

4

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

TEEA0306L 01103/05 BAA Form 990-PF (2004)

k '

See Statement 10 ------------------------

2 Compensation of five highest-paid em p (a) Name and address of each employee

paid more than $50,000

0 .

Total number of other employees paid over $50,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Five highest-paid independent contractors for professional services - (see instructions) . If none, enter'NONE :

a) Name and address of each person aid more than $50,000 Type of service NONE

0

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TEEA0307L 01/74/05

1

r Form 990-PF (2004) THE MARTIN FOUNDATION 23-2182719 Page 7

rti Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2 . Amount 1 NOT APPLICABLE

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

2

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

All other program-related investments . See instructions . 3

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

Total . Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1 0 .

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 2, 937, 496 . b Average of monthly cash balances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 b 177, 946 . c Fair market value of all other assets (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 c d Total (add lines 1 a, b and c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 d 3,115,442 . e Reduction claimed for blockage or other factors reported on lines 1 a and 1 c (attach detailed explanation) . . . . . . . . . . . . . . . . . . . . . . . . . . . 1e 0 .

2 Acquisition indebtedness applicable to line 1 assets . . . . . . . . . . . . . . 2 0 . 3 Subtract line 2 from line 1d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3,115,442 . 4 Cash deemed held for charitable activities . Enter 1-1/2% of line 3 (for greater amount, see instructions) . 4 46, 732 . 5 Net value of noncharitable-use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 . . . . . 5 3, 068, 710 . 6 Minimum investment return . Enter 5% of line 5 . . . . . . . . . . . . . . . . . . . . . . . . 6 153, 436 .

DIStribUtable Amount (see instructions) (Section 49420(3) and Q)(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 . . . . . . . . . . . . . . . . . . . . . . . . . 1 153, 436 . 2a Tax on investment income for 2004 from Part VI, brie 5 . . . . . . . . . . . . 2a 2,561 . z b Income tax for 2004 . (this does not include the tax from Part VI .) . . . . . . 2b -- c Add lines 2a and 26 . . . . . . . . . . . . 2c 2,561 .

3 Distnbutable amount before adjustments . Subtract line 2c from line 1 . . . . . . . . . . . . . . . . . . 3 150 , 875 . 4 Recoveries of amounts treated as qualifying distributions . . . . . . . . . . . . . . . . . . . . . . . 4 5 Addlines 3and4. . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . ., . ., . . . . . . . . . 5 150,875 . 6 Deduction from distnbutable amount (see instructions) . . . . . . . . . . . .

.

. . . . . . . . 6

7 Distributable amount as adjusted . Subtract line 6 from line 5 . Enter here and on Part XIII, line 1 ~ 7 ~ 150,875 .

W 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 132,798 . b Program-related investments - total from Part IX-13 . . . . . . . . . . . . . . . . . . . 1 b

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) . . . . . . . . . . . . . . 3 b

4 Qualifying distributions . Add lines la through 3b . Enter here and on Part V, line 8, and Part XIII, line 4 4 132, 798 .

5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment income . Enter 1 % of Part I, line 27b (see instructions) . . . . . . . . . . . . 5

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

. .

. ~ 6 ~ 132,798 .

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 m those years .

BAA Form 990-PF (2004)

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a b (c) d Corpus Years prior to 2003 2003 2004

1 Distnbutable amount for 2004 from Part XI, Y ~ ~ 150 875 . line 7 . . ,. h ~'- 2 Undistributed income, if any, as of the end of 2003 : k

a Enter amount for 2003 only. 1 3 0 , 06` b Total for prior years: 20 , 20 , 20 ~

3 Excess distributions carryover, if an to 2004 : a From 1999 b From 2000 `)",: .

c From 2001 d From 2002 . . . . . . . . . . .

~E n '~~ ,t+~' J} c ~ . e From 2003 . . . . . . . . .

r :~5 ~ ~~ ti '~'r = ~ - r4 f Total of lines 3a through e . . . 0 l:! _ ~--~---- ~ I

4 Qualifying distributions for 2004 from Part XII, brie 4 ~ $ 132,798 .

a Applied to 2003, but not more than line 2a . 130,065 . ,

b A~plied 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 2004 distnbutable amount 2,733 . 1 ; e Remaining amount distributed out of corpus . . 0

5 Excess distributions carryover applied to 2004 . . . . . . . 0 . VIN 0 . (If an amount appears in column (d), the t same amount must be shown in column (a) .) yypp~~

6 Enter the net total of each column as indicated below: . E- . ._

a Corpus. Add lines 3f, 4c, and 4e Subtract line 5 . . . . . 0 . ~+~;fi �

b Prior years' undistributed income . Subtract a~ ! s line 4b from line 2b . . . . . 0 .

c Enter the amount of prior years' undistribut- ed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed 0 .

d Subtract line 6c from line 6b . Taxable f-s, amount - see instructions . . 0 . , y

e Undistributed income for 2003. Subtract line 4a from h line 2a . Taxable amount - see instructions 0 . f r

I f Undistributed income for 2004 . Subtract lines . ' 4d and 5 from line 1 . This amount must be distributed m 2005 148,142 .

7 Amounts treated as distributions out of I : . ° ~^ corpus to satisfy requirements imposed by section 170(6 (1)(E) or 4942(8)(3) ' (see instructions 0

8 Excess distributions carryover from 1999 not C applied on line 5 or line 7 (see instructions) 0 .

4 u rS. M i iT ~ ~ ~7 } ~ -

9 Excess distributions carryover to 2005 . Subtract lines 7 and 8 from line 6a . . . . 0 . E ~ ~`- ,~ ~,$ . ` ,I~i r------

10 Analysis of line 9 : i s aWuF

~ Y ~3 " a Excess from 2000 b Excess from 2001 ~ : TV~~ , I ~ ~`I L ,, ~ M I : ~,

r' S' . a

c Excess from 2002 d Excess from 2003 . . . e Excess from 2004 . ~~ tT_ ~ . I lh ... 1,

{ . S F : Ir

BMA Form 990-PFr 2004

TEEA0308L 07/29/04

r r

Form 990-PF (2004) THE MARTIN FOUNDATION 23-2182719 Page 8

Undistributed Income (see instructions)

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9

(2) Support from general public and 5 or more exempt organizations as provided m section 4942(j)(3)(B)(m)

(3) Largest amount of support from an exempt organization . . . . . . . .

(4) Gross investment income . . . . . . . . . . this in assets

BAA TEEA0309L 07/29/04 Form 990-PF (2004)

r Form 990-PF (2004) THE MARTIN FOUNDATION 23-2182719 Part }CM Private Operating Foundations (see instructions and Part VII-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 2004, enter the date of the ruling . . . . . . . . . . .

b Check box to indicate whether the organization is a private operating foundation described in section 4942Q)(3) or 4942( 2a Enter the lesser of the adjusted net Tax year Prior 3 years

income from Part I or the minimum (a) 2004 b 2003 c 2002 d) 2001 e)1 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 2c . . . . . . . .

3 Complete 3a, b, or c for the alternative test relied upon :

a 'Assets' alternative test - enter: (1) Value of all assets . . . . . . . . . (2) Value of assets qualifying under

section 49420)(3)(13)(1) . . . . . b 'Endowment' alternative test - Enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed . . . . . . . . . . . . . . . . . . .

c 'Support' alternative test - enter : (1) Total support other than gross

investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) . . . .

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 tax year (but only if they have contributed more than $5,000) . (See section 507(d)(2) .) None

b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 10% or greater interest . None

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc, Programs : Check here 1' F1 if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds . If the organization makes gifts, grants, etc, (see instructions) to individuals or organizations 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 :

MRS . JOVINA ARMENTO, HUNTINGDON VALLEY, PA 19006 b The form m which applications should be submitted and information and materials they should include : LETTER STATING AMOUNT REQUESTED AND HOW FUNDS WILL BE USED .

c Any submission deadlines:

d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors : APPLICANT/DONEE MUST BE A 501(C)(3) "PUBLIC CHARITY"

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. . . . . . . . . . . . I- 3 bl TEEA0310L 07129/04 Form 990-PF (2004) BAA

r

Form 990-PF (2004) THE MARTIN FOUNDATION 23-2182719 Page 10 P,~ Supplementary Information (continued)

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

Foundation Recipient show any relationship to status of Purpose of grant or Amount any foundation manager or recipient contribution

Name and address (home or business) substantial contributor a Paid during the year

See Statement 11

Total . . . . . . . . . . . . b Approved for future payment

Total .

. . . . . . . . . . . . . . . . . . . . 01 3a1 121,000 .

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Form 990-PF (2104) THE MARTIN FOUNDATION 23-2182719 Page 11

a~ ? Analysis of Income-Producing Activities

a b c d e f g Fees and contracts from government agencies

2 Membership dues and assessments 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities 5 Net rental income or (loss) from real estate : a Debt-financed property b Not debt-financed property

6 Net rental income or (loss) from personal property 7 Other investment income 8 Gam or (loss) from sales of assess other than inventory . . . 9 Net income or (loss) from special events 10 Gross profit or (loss) from sales of inventory 11 Other revenue :

14 1,832 . 18 75 .287 .

a b c d e

12 Subtotal . Add columns (b), (d), and (e) 161, 749 . 13 Total . Add line 12, columns (b), (d), and (e) . 13 161,749 . (See worksheet m the instructions for line 13 to verify calculations .)

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 of the organization's exempt purposes (other than by providing funds for such purposes) . (See instructions .)

BAA TEEAOSOIL 07/29/04 Form 990-PF (2004)

Enter gross amounts unless otherwise indicated

1 Program service revenue :

Unrelated business income Excluded by section 512, 513, or 514 b c d e ;~,a

' inss Amount Ezclu- Amount Related o~ exempt code sion function income

code (see instructions)

14 1,980 . 14 82,650 .

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2a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or m section 527? ~ Yes X No

b If 'Yes .' complete the following schedule . Type of organization (c Description of relationship Name of

N

s i G gnature of officer or trustee N

Preparer's , g Paid signature R Pre- foo~ 41,~_ -

E parer'S Firm's name (or Kempter , Holdren Sc AS USC yours if self-

emploved) . 701 Lakeside Drive 21P

BAA

7EEA0502L

Form 990-PF (2004) THE MARTIN FOUNDATION 23-2182719 Page 12 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

----- '' ~ I Yes No

1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 501 (c) of the Code (other than section 501(c)(3) organizations) or m section 527, relating to political organizations?

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

b Other transactions : , : ~ :~ ;' (1) Sales of assets to a nonchantable exempt organization . . . . 1 b (1) X (2) Purchases of assets from a nonchantable exempt organization . . . 1 b 2) X (3) Rental of facilities, equipment, or other assets . . . 1 b X (4) Reimbursement arrangements . . . . . . 1 b (4 X (5) Loans or loan guarantees . . . . . . . . . . 1 b X (6) Performance of services or membership or fundraising solicitations . . . . . . . . . . . . . . . . 1 b X

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

d If the answer to any of the above is 'Yes,' complete the following schedule . Column (b) should always show the fair market value of the goods, other assets, or services given by the reportin orgarnzation . If the organization received less than fair market value in any transaction or sharing arrangement, show in column id 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 N/A

Under penalties of penury, I declare that I have examined this return, including acc complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all

C

. P .

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OMB No 1545-0047 Schedule B (Form ~o_ ~-EZ, Schedule of Contributors

Department or the Treasury Supplementary Information for Internal Revenue Service line 1 Of Form 990, 990-EZ end 990-PF (see It151 Name of organization

THE MARTIN FOUNDATION

2004 Employer identification number

23-2182719

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

Schedule B (Form 990, 990-EZ, or 990-Phi (2004)

7EEA0701 L 11/24/04

Organization type (check one) : Filers of: Section : Form 990 or 990-EZ 501(c)( ) (enter number) organization

~4947(a)(1) nonexempt charitable trust not treated as a private foundation LI527 political organization

Form 990-PF X 501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation

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

contributor . (Complete Parts I and II )

Special Rules -

F ]For a section 501(c)(3) organization fling Form 990, or Form 990-EZ, that met the 33-113% support test of the regulations under sections 509(a)(1)/170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of $5,000 or 2% of the amount on line 1 of these forms . (Complete Parts I and II .)

For a section 501(c)(7), (8), or (10) organization fling 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 .)

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 .) . . . . . . . . . . . . . . . . . I.- $

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990, Form 990-EZ, and Form 990-PF.

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c I a

r

Schedule B (Form 990, 990-EZ, or 990-Name of organization

THE MARTIN FOUNDATION

ige 1 of 1 of Part I Employer identification number

23-2182719

Ear t l ; Contributors (See Specific Instructions .)

(a) (b) (c) (d) Number Name, address, and ZIP + 4 Aggregate Type of contribution

contributions

1 ESTATE-OF-ALFRED --S-M-A-RT-I-N ------------------- Person X Payroll

4001 TAMIAMI TRAIL-NORTH,-250 -_---__-_--_-_--$-_-__500,000- Noncash

(Complete Part II if there NAPLES, FL 34103 is a noncash contribution .)

Number Name, address, and ZIP + 4 Aggregate Type of contribution contributions

Person Payroll

-------------------------------------$----------- Noncash

(Complete Part II if there ___________________________-______-__ is anoncashcontribution .)

(a) (b) (c) -- (d) Number Name, address, and ZIP + 4 Aggregate Type of contribution

contributions

Person ------------------------------------- Payroll

-------------------------------------$----------- Noncash

(Complete Part II if there is a noncash contribution .)

(d) Number Name, address, and ZIP + 4 Aggregate Type of contribution

contributions

Person Payroll

-------------------------------------$----------- Noncash

(Complete Part II if there ______________________________-__---- is anoncashcontnbution .)

Number Name, address, and ZIP + 4 Aggregate Type of contribution contributions

Person Payroll

-------------------------------------$----------- Noncash

(Complete Part II if there is a noncash contribution .)

(a) (b) (c) (d) Number Name, address, and ZIP + 4 Aggregate Type of contribution

contributions

Person Payroll P

-------------------------------------$----------- Noncash

(Complete Part II if there is a noncash contribution )

TEEA0702L 09/13/04 Schedule B (Form 990, 990-EZ, or 990-PF) (2004) BAA

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Name of organization

, :,~I ;'' Noncash Property (See Specific Instructions .)

a b c dc No ~from Description of noncesh property given FMV (or estimate) Date reeived

Part I (see instructions)

TEEA0703L 09/13/04

C I ' a

N/A

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

b c dc

(a) frm Description of noncesh property given FMV (or estimate) Date reeived No

Part I (see instructions)

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

a b c d ~from Description of noncash property given FNN (or estimate) Date received No

Part I (see instructions)

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

a b c dc ~from Description of noncash properly given FNN (or estimate) Date received No

pad I (see instructions)

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

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

c d ~from Description of noncash property given FNN (or estimate) Date received No

Part I (see instructions) -------------------------------------------------

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

a b c dc ~from Description of noncash property given FMV (or estimate) Date received No

pad I (see instructions) ------------------------------------------

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

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

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Schedule B (Form 990, 990-EZ, or Name of organization

THE MARTIN FOUNDATION

1 of 1 of Part III Employer identification number

23-2182719

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

BAA Schedule B (Form 990, 990-E2, or 990-PF) (2004) TEEA0704L 09/13/04

, a '

Exclusively religious, charitable, etc, individual contributions to section 501 (c)(7), (8), or (10) organizations aggregating more than $1,000 for the year (complete cots (a) through (e) and the following line entry ) For organizations completing Part III, enter total of exclusively religious, charitable, etc, contributions of $1,000 or less for the year . (Enter this information once - see instructions .). . . ~ $ N/A

(a) (b) (c) (d) No. from Purpose of gift Use of gift Description of how gin is held Part I

N/A --------------------- ---------------------

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

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

(a) (b) (c) (d) No . from Purpose of gift Use of gift Description of how gift is held Part I

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

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 ~ Relationship of transferor to transferee

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

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

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

(a) (b) (c) (d)

No. from Purpose of gift Use of gift Description of how gift is held Part I

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

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

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

(a) (b) (c) (d) No. from Purpose of gift Use of gift Description of how gift is held Part I

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

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

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THE MARTIN FOUNDATION

. . . . $ 1,832 . Total $ 1,832 .

Statement 2 Form 990-PF, Part I, Line 16a Legal Fees

(a) (b) Net (c) (d) Expenses Investment Adjusted Charitable per Books Income Net Income Purposes

BANK FEES . . . . . . . . . . . . . . . . . . . . $ 5,486 . $ 5,486 . INVESTMENT ADVISORY FEES . . . 24 , 557 . 24,557 .

Total $ 30,043 . $ 30,043 . $ 0 . 0 .

2004

Statement 1 Form 990-PF, Part I, Line 11 Other Income

Other Investment Income

Federal Statements Page 1

23-2182715

(a) (b) Net (c) (d) Expenses Investment Adjusted Charitable Per Books Income Net Income Purposes

LEGAL FEES . . . . . . . . . . . . . . . . . . . . $ 63 . $ 63 . Total $ 63 . $ 0 . $ 0 . $ 63 .

Statement 3 Form 990-PF, Part I, Line 16b Accounting Fees

(a) (b) Net (c) (d) Expenses Investment 'Adjusted Charitable per Books Income Net Income Purposes

ACCOUNTING FEES . . . . . . . . . . . . . . . . . . . . $ 41750 . $ 3,185 . $ 1,565 . Total $ 4,750 . $ 3,185 . $ 0 . $ 1,565 .

Statement 4 Form 990-PF, Part I, Line 16c Other Professional Fees

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THE MARTIN FOUNDATION 23-218271

Statement 5 Form 990-PF, Part I, Line 18 Taxes

Valuation Book Fair Market Corporate Bonds Method Value Value CORPORATE BONDS Cost $ 246,117 . $ 249, 56 .

Total $ 246,117 . $ 249,756 .

2004 Federal Statements Page 2

(a) (b) Net (c) (d) Expenses Investment Adjusted Charitable per Books Income Net Income Purposes

EXCISE TAX BASED ON INVESTMENT INCOME $ 2 414 .

Total $ 2,414 . $ 0 . $ 0 . $ 0 .

Statement 6 Form 990-PF, Part I, Line 23 Other Expenses

(a) (b) Net (c) (d) Expenses Investment Adjusted Charitable per Books Income Net Income Purposes

ADMINISTRATIVE . . . . . . . . . . . . . . $ 8,038 . $ 8,038 . BANK CHARGES. . . . . . . . . . . 466 . $ 466 .

--Total $ 8,504 . $ 466 . $ 0 . $ 8,038 .

Statement 7 Form 990-PF, Part II, Line 10b Investments - Corporate Stocks

Valuation Book Fair Market Corporate Stocks Method Value Value COMMON AND PREFERRED STOCK Cost $ 1,625,328 . $ 3,044,864 . LIMITED PARTNERSHIPS Cost 65,505 . 104,190 .

Total $ 1,690,833 . $ 3,149,054 .

Statement 8 Form 990-PF, Part II, Line 10c Investments - Corporate Bonds

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2004 23-2182719 THE MARTIN FOUNDATION

ZACHARY S . MARTIN TRUSTEE 0 . 0 . 0 . 3993 HUNTINGDON PIKE, STE 100 None HUNTINGDON VALLEY, PA 19006

1 " 1

Federal Statements Page 3

Statement 9 Form 990-PF, Part IV, Line 1 Capital Gains and Losses for Tax on Investment Income

(b) How (c) Date (d) Date Item (a) Description Acquired Acquired Sold 1 .31 SH THE ST PAUL TRAVELERS COS INC Purchased Various 4/12/2004 2 2500 SHS AT&T WIRELESS GROUP Purchased Various 6/08/2004 3 945 SHS ALBERTSONS INC Purchased Various 6/08/2004 4 800 SHS EASTMAN CHEMICAL CO Purchased Various 6/15/2004 5 2130 SHS QWEST COMMUNICATIONS Purchased Various 6/08/2004 6 131 SHS THE ST PAUL TRAVELERS COS INC Purchased Various 6/08/2004 7 868 SHS SEAR ROEBUCK & CO Purchased Various 6/15/2004 8 500 SHS VERLO ENERGY CORD Purchased Various 6/08/2004 9 500 SHS VARIAN MEDICAL SYSTEMS INC Purchased Various 6/08/2004 10 200 SHS WELLS FARGO & COMPANY Purchased Various 6/08/2004 11 BANK ONE CORD 7 .25 8/15/04 Purchased Various 8/15/2004 12 .50 SH NATIONAL PENN BANCSHARES Purchased Various 10/06/2004 13 3000 SHS JOHNSON CONTROLS, INC Purchased 2/07/2005 3/16/2005

(e) (f) (g) (h) (i) (j) (k) (1) Gross Deprec . Cost Gain FMV Adj . Bas . Excess Gain

Item Sales Allowed Basis (Loss) 12/31/69 12/31/69 (i)-(i) (Loss) 1 14 . 2 . 12 . $ 12 . 2 35,399 . 20,379 . 15,020 . 15,020 . 3 22,765 . 32,346 . -9,581 . -9,581 . 4 35,567 . 31,811 . 3,756 . 3,756 . 5 7,689 . 12,407 . -4,718 . -4,718 . 6 5,352 . 668 . 4,684 . 4,684 . 7 34,025 . 19,612 . 14,413 . 14,413 . 8 33,659 . 20,550 . 13,109 . 13,109 . 9 41,179 . 4,355 . 36,824 . 36,824 . 10 11,733 . 377 . 11,356 . 11,356 . 11 125,000 . 126,476 . -1,476 . -1,476 . 12 13 . 11 . 2 . 2 .i 13 171,364 . 179,478 . -8,114 . -8,114 .

Total $ 75,287 . 1

Statement 10 Form 990-PF, Part VIII, Line 1 List of Officers, Directors, Trustees, and Key Employees

Title and Contri- Expense Average Hours Compen- bution to Account/

Name and Address Per Week Devoted sation EBP & DC Other MARY M . MARTIN TRUSTEE $ 0 . $ 0 . $ 0 . 3993 HUNTINGDON PIKE, STE 100 None HUNTINGDON VALLEY, PA 19006

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23-218271

Statement 10 (continued) Form 990-PF, Part VIII, Line 1 List of Officers, Directors, Trustees, and Key Employees

Title and Contri- Expense Average Hours Compen- bution to Account/

Name and Address Per Week Devoted sation EBP & DC Other

GEORGE J . HARTNETT TRUSTEE $ 0 . $ 0 . $ 0 . C/0 WHITE & WLMS, 1 LIBERTY PL None PHILADELPHIA, PA 19103

Total $ 0 . $ 0 . $ 0 .

Statement 11 Form 990-PF, Part XV, Line 3a Recipient Paid During the Year

DOYLESTOWN, PA 18901

2004 Federal Statements THE MARTIN FOUNDATION

Page

W . JAMES QUIGLEY TRUSTEE 3993 HUNTINGDON PIKE, STE 100 None HUNTINGDON VALLEY, PA 19006

0 . 0 . 0 .

Found-Donee ation Purpose of

Name and Address Relationship Status Grant Amount HUNTINGDN DISEASE SOCIETY NONE PUBLIC GENERAL SUPPORT $ 2,000 . 1401 WALNUT STREET PHILADELPHIA, PA 19102

HOLY CROSS CHURCH NONE PUBLIC GENERAL SUPPORT 6,750 . 154 E . MT . AIRY AVENUE PHILADELPHIA, PA 19119

J . WOOD PLATT SCHOLARSHIP FUN NONE PUBLIC GENERAL SUPPORT 2,000 . DRAWER 808 SOUTHEASTERN, PA 19399

REBECCA BLAYLOCK SCHOOL NONE PUBLIC GENERAL SUPPORT 1,500 . 608 GRAHAM STREET ROME, GA 30161

SUPPORT CNTR FOR CHILD ADVOCA NONE PUBLIC GENERAL SUPPORT 1,000 . 801 ARCH STREET,SUITE 608 PHILADELPHIA, PA 19107

BAGADUCE MUSIC LENDING LIBRAR NONE PUBLIC GENERAL SUPPORT 7,500 . GREENE'S HILL BLUE HILL, ME 04614

LUPUS FOUND . OF NEW ENGLAND NONE PUBLIC GENERAL SUPPORT 6,000 . 40 SPEEN STREET, STE 205 FRAMINGHAM, MA 01701

BUCKS CO . COUNCIL OF BSA NONE PUBLIC GENERAL SUPPORT 2,500 .

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THE MARTIN FOUNDATION 23-218271E

Statement 11 (continued) Form 990-PF, Part XV, Line 3a Recipient Paid During the Year

Found- Donee ation Purpose of

Name and Address Relationship Status Grant Amount FRIENDS OF FORT KNOX NONE PUBLIC GENERAL SUPPORT $ 2,000 . P .O . BOX 456 BUCKSPORT, ME 04416

HOLDERNESS SCHOOL NONE PUBLIC GENERAL SUPPORT 5,000 . PO BOX 1879 PLYMOUTH, NH 03264

BLITHEWOLD MANSION & GRDN NONE PUBLIC GENERAL SUPPORT 2,000 . FERRY ROAD BRISTOL, RI 02809

PHILA . SPECIAL OLYMPICS NONE PUBLIC GENERAL SUPPORT 1,000 . 13th & SPRING GARDEN ST . PHILADELPHIA, PA 19123

THE BEMENT SCHOOL NONE PUBLIC GENERAL SUPPORT 1,500 . 94 MAIN STREET DEERFIELD, ME 01342

PENINSULA AMBULANCE NONE PUBLIC GENERAL SUPPORT 2,000 . P .O . BOX 500 BLUE HILL, ME 04614

STONE SOUP FOODS NONE PUBLIC GENERAL SUPPORT 2,500 . P .O . BOX 1459 PORTLAND, ME 04104

ABINGTON FRIENDS SCHOOL NONE PUBLIC GENERAL SUPPORT 1,000 . 575 WASHINGTON LANE JENKINTOWN, PA 19046

ST . JOHN'S HOSPICE NONE PUBLIC GENERAL SUPPORT 1,000 . 1221 RACE STREET PHILADELPHIA, PA 19107

STEPPING STONE FOUNDATION NONE PUBLIC GENERAL SUPPORT 2,500 . 126 HIGH STREET BOSTON, MA 02110

THE JACKSON LABORATORY NONE PUBLIC GENERAL SUPPORT 1,000 . 400 MAIN STREET BAR HARBOR, ME 04609

CHERRYFIELD CHRISTIAN AC . NONE PUBLIC GENERAL SUPPORT 2,000 . 232A SCHOOL STREET CHERRYFIELD, ME 04622

HEIFER PROJECT INTERNATIONAL NONE PUBLIC GENERAL SUPPORT 3,000 . 1015 LOUISIANA STREET

1 ~# t

2004 Federal Statements Page

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', # .

Found- Donee ation Purpose of

Name and Address Relationship Status Grant Amount MANNA MINISTRIES NONE PUBLIC GENERAL SUPPORT $ 3,000 . P .O . BOX 2763 BANGOR, ME 04402

DOWNEAST YMCA NONE PUBLIC GENERAL SUPPORT 750 . P .O . BOX 25 ELLSWORTH, ME 04605

S .A .F .E ., INC . NONE PUBLIC GENERAL SUPPORT 1,000 . 475 E . FRANKLIN STREET WILKES-BARRE, PA 18702

GEORGE STEVENS ACADEMY NONE PUBLIC GENERAL SUPPORT 10,000 . 23 UNION STREET BLUE HILL, ME 04614

ABBE MUSEUM NONE PUBLIC GENERAL SUPPORT 500 . P .O . BOX 286 BAR HARBOR, ME 04609

PENIKESE ISLAND SCHOOL NONE PUBLIC GENERAL SUPPORT 6,000 . P .O . BOX 161 WOODS HOLE, MA 02543

FRANCIS OUIMET CADDY SCHOLARS NONE PUBLIC GENERAL SUPPORT 1,000 . 190 PARK ROAD WESTON, MA 02193

BRIDGE OVER TROUBLED WATERS NONE PUBLIC GENERAL SUPPORT 2,000 . 47 WEST STREET BOSTON, MA 02111

SOUTHFIELD SCHOOL NONE PUBLIC GENERAL SUPPORT 3,000 . 10 NEWTON STREET BROOKLINE, MA 02445

DANA HALL SCHOOL NONE PUBLIC GENERAL SUPPORT 1,000 . BOX 9010, 45 DANA HALL SCHOOL WELLESLEY, MA 02482

CAFE OF LIFE NONE PUBLIC GENERAL SUPPORT 1,500 . PO BOX 367794 BONITA SPRINGS, FL 34136

CHESTNUT HILL COLLEGE NONE PUBLIC GENERAL SUPPORT 1,000 . 9601 GERMANTOWN AVENUE PHILADELPHIA, PA 19118-2693

QUABOAG VALLEY HOSPICE NONE PUBLIC GENERAL SUPPORT 1,000 . 103 FAIRVIEW AVENUE

2004 Federal Statements Page 6 THE MARTIN FOUNDATION 23-2182719

Statement 11 (continued) Form 990-PF, Part XV, Line 3a Recipient Paid During the Year

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Total

a

2004 Federal Statements Page THE MARTIN FOUNDATION 23-218271

Statement 11 (continued) Form 990-PF, Part XV, Line 3a Recipient Paid During the Year

Found- Donee ation Purpose of

Name and Address Relationship Status Grant Amount BLUE HILL HERITAGE TRUST NONE PUBLIC GENERAL SUPPORT $ 1,000 . PO BOX 222 BLUE HILL, ME 04614

MAINE MARITIME ACADEMY NONE PUBLIC GENERAL SUPPORT 3,000 . CASTINE,ME 04420

MASS . GEN . HOSP . FOR CHILDREN NONE PUBLIC GENERAL SUPPORT 5,000 . 100 CHARLES RIVER PLAZA BOSTON, MA 02114

MUSIC LAOS PROJECT NONE PUBLIC GENERAL SUPPORT 500 . P .O . BOX 1114 BLUE HILL, ME 04614

ISLE OF HOPE HISTORICAL ASSOC NONE PUBLIC GENERAL SUPPORT 500 . 27 BLUFF DRIVE SAVANNAH, GA 31406

THE SMILE TRAIN NONE PUBLIC GENERAL SUPPORT 2,000 . 245 FIFTH AVENUE, SUITE 2201 NEW YORK, NY 10016

DEBBIE ROMANO MEM FOUNDATION NONE PUBLIC GENERAL SUPPORT 1,000 . 105 SAVORY LANE NORTH WALES, PA 19454

LEARN THROUGH PLAY PROGRAM NONE PUBLIC GENERAL SUPPORT 2,500 . C/0 BLUE HILL SCHOOL60 HIGH S BLUE HILL, ME 04614

ST . BEDE'S NURSE MINISTRY NONE PUBLIC GENERAL SUPPORT 1,000 . 1071 HOLLAND ROAD HOLLAND, PA 18966

MAINE ENVIRONMENTAL RSCH INST NONE PUBLIC GENERAL SUPPORT 2,000 . PO BOX 1562 BLUE HILL, ME 04614

KOLLEGEWIDGWOK SAIL&EDUC ASSO NONE PUBLIC GENERAL SUPPORT 7,000 . PO BOX 368 BLUE HILL, ME 04614

AMERICAN RED CROSS NONE PUBLIC TSUNAMI RELIEF 3,000 . PO BOX 97089 FUND WASHINGTON, DC 20090-7089

CHESTNUT HILL COLLEGE NONE PUBLIC CAPITAL GIFT 5,000 . 9601 GERMANTOWN AVENUE INITIATIVE, PHILADELPHIA, PA 19118-2693 PHASE II

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°9031/2005 10 :18 2159472343

'Purhs Counfg, 6m6m

dep

MME INC PAGE 01/01

NOTICE MARTIN FOUNDATION The annual ropert Of The Martin Foundation is wailame for Inspection of 3993 Huntingdon Pike, suite 100, Huntlnpdon Val" 13Y, PA 196 dining regu-lar business hoots by any citizen who so rsqvslts . Within 111110 days after pua IICGtiOn Of this notice. o! Its WOlldbilify. The prinGi " poi , manapar is ZatMarv s; Martin.

71M27'

NOTARIAI SEAL 1 NORMAJEAN LEIDY, NOTARY PUBLIC DOYLESTOWN TWP� COUNTY OF BUCKS MY COMMISSION DTIRES APRIL 26, 2007

Susan McGurk Being duly affirmed according co haw, deposes and says that he/she is the

Billing Manager

(Manager or Designated Agent)

of the CALKINS NEWSPAPER INCORPORATED, Publisher

of The Intelligencer, a newspaper of general circulation,

published and having its place of business at Doylestown, Bucks

County, Pa. and Horsham, Montgomery County, Pa . ; that said

newspaper was established in 1886; that securely attached hereto

is a printed notice which is exactly as printed and published in

said newspaper on

May 27, 2005 and is a true copy thereof-, and that this affiant is not interested in said subject mater of advertising; and that alb of the allegations in this statement as to the time, place and eliaracter of publication are true.

Affirmed and subscribed to me before me

This 27th day of May

A.A.2005