Form 990- P F Return of Private Foundation Treated as a Private...

I

Form 990- P F P

Department of the Treasury Internal Revenue Service

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

fBp0rt1(!q (EqUIIBR'12(1fS

OMB No 1545-0052

2004 For calendar ear 2004, or tax ear be innin , 2004, and ending G Check all that appl y : Initial return Final return Amended return Address change Name ch ' Use the A Employer iden4ficabon number

IRS label . PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982 Otherwise, 5 JOSHUA DRIVE B Telephone number (see instructions) print ortype . HILLSBOROUGH, NJ 08844

See Specific C If exemption application is pending, check here ~ I Instructions. D 1 Foreign organizations, check here . H Check type of organization : X 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

I Fair market value of all assets at end of year J Accounting method : X Cash Accrual E If private foundation status was terminated (from Part 11, column (c), line 16) ~ ~ under section 501(b)(1 )(A), check here . .

Other (specify) _ - - _ - _ _ - _ _ _ _ _ F If the foundation is m a 60-month termination 1110. $ 7,075 . (Part l, column (d) must be on cash basis ) under section 507(b)(1 )(B), check here

#.>. . ..J*:' ~ 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 sandy equal the amounts In column (a) (cash basis only) (see instructions) ) - ; .~ . . . 1 Contributions gifts rants etc received (attsch) 6 630 . 9 i . . . . . n . . . . . . . . . . . . . . .

" . . . . . . . . ". . . ". . . . . : "" . . " . "". ". " ::. . . . . . :. . : . :. . : :. . . . . """"::: : " ~.~ "".:. .~ ". . . . :.": :. " . : .'" s: . " Ck ~ a rf the foundn is not req to att Sch 8

3 Interest On savings and temporary cash investments

4 Dividends and interest from securities . 38 . 38 . . . .f,...

5a Gross rents : . . . . . : " s. : b Net rental income %.~ 7777-77.77 : ": 7 : . . : ::" . :.. :: . .; . . . : . . ". . . . . . . . : '"y.: " . "' . . . . . . . . . . .

or (loss) . . . . . . ". :. . . . : ., . . . . ,, ,~ .

6 8 Net gain/(loss) from sale of assets not on line 10 R b Gross sales price for all

. . . . assets on line 6a 7 Capital gain net income (from Part IV, line 2)

8 Net short-term capital gain %,~" ` ` ' ` . :~ u . . , . .: ; ::. N 9 Income modifications .': f;, . 10 a Gross sales less f<`~': E returns and .F allowances . .:. . . b Less : Cost of r . ., , goods sold c Gross profit/(loss) (act sch)

11 Other income (attach schedule) `ww` See Statement 1 41,070 . 41 , 070 .

12 Total . Add lines t through 11 47 , 738 . 38 . 41 . 070 .

X 13 Compensation of officers, directors, trustees, etc

14 Other employee salaries and wages 15 Pen loyee benefits

0 16a Lega fees (attpiii ) ~, d M bAcc rid g e r fit, 1,195 . 598 . 597 .

o M c 0th fee$tach sch) V S 17 Int +~1 E T N s 200

T 18

T S ( CM SChCdUIe y T 19 De r 777

4 IN V ZO O E 21 Travel, conferences ; and-meeting E 22 Printing and publications

o P 23 Other expenses (attach schedule) See Statement 3 21,223 . 150 . 21,043 . 30 .

N 5 24 Total operating and administrative s expenses. Add lines 13 through 23 22 , 418 . 748 . 21 9 043 . 627 .

25 Contributions, gifts, grants paid Part XV 34 , 000 . 34 000 . 26 Total expenses and disbursements .

Add dries 24 and 25 56 4 418 . 748 . 21 043 . 34 , 627 . . " . . 27 Subtract line 26 from line 12 : .r :.. .. }

' ., r. a Excess of revenue over expenses and disbursements -8,680 .

.., ... . ,:.> .

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

C Adjusted net income (f negative, enter -0-) `' ~ 20, X27 .

BAA For Privacy Act and Paperwork Reduction Act Notice, see the instructions . . TEEA0503L JC5 Form ..990-PF (2004)

I Form 990-PF (2004) PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982 Attached schedules and amounts in the description

Balance Sheets column should be for end-of-year amounts only (See instructions )

1 Cash - non-interest-bearing . . 2 Savings and temporary cash investments 3 Accounts receivable

Less : allowance for doubtful accounts 4 Pledges receivable

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

disqualified persons (attach schedule) (see instructions 7 Other notes and loans receivable (attach sch) 01

Less : allowance for doubtful accounts s -----------s 8 Inventories for sale or use. . . . .

9 Prepaid expenses and deferred charges t ' s 10a Investments - U.S . and state government

obligations (attach schedule). . . b Investments - corporate stock (attach schedule) c Investments - corporate bonds (attach schedule)

11 Investments - land, buildings, and equipment : basis

Less : accumulated depreciation (attach schedule)

12 Investments - mortgage loans 13 Investments - other (attach schedule) 14 Land, buildings, and equipment: basis 01

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

15 Other assets (describe b' _-_----__-_-__--_ ) 16 Total assets (to be completed by all filers -

see instructions . Also, see page 1, item I) L 17 Accounts payable and accrued expenses

18 Grants payable . a b 19 Deferred revenue .

20 Loans from officers, directors, trustees, & other disqualified persons I i 21 Mortgages and other notes payable (attach schedule)

22 Other liabilities (describe b - ) e

23 Total liabilities (add lines 17 through 22) Organizations that follow SFAS 117, check here 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 B Organizations that do not follow SFAS 117, check here 11s

a and complete lines 27 through 31 .

t a 27 Capital stock, trust principal, or current funds ' s n 28 paid-in or capital surplus, or land, building, and equipment fund

29 Retained earnings, accumulated income, endowment, or other funds o e r s 30 Total net assets or fund balances (see instructions)

31 Total liabilities and net assetslfund balances

0 . 0 .

11,184 . 11,184 . 4,571 . -4,109 .

15, 7 55 . 7 , 075 .

15,755 . 7,075 . , , `tip', ~~f~r~`~~r,.

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 m 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 5) - Part II, column (b), line 30

BAA TEEA0302L 07129/04

15,755 . -8,680 .

75 .

7,075 . Form 990-PF (2004)

Beginning of year End of year (a) Book Value (b) Book Value (c) Fair Market Value

15,755 . 7,075 . 7,075 . . .

.,. ¢k~ +}f+ "$ .

. . . .

15,755 . 7,075 . 7,075 .

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

b ' c d

mplete only for assets showing gain m column (h and owned b the foundation on 12/31/69 (I) Gams (Column (h) (i) Fair Market Value (j) Adjusted basis (k) Excess of column (i) gain minus column (k), but not less

as of 12/31/69 as of 12/31/69 over column Q), if any than -0-) or Losses (from column (h))

gqq Form 990-PF (2004)

TEEA0303L 07/29104

Form 990-PF (2004) PAUL GUBITOSI CHARITABLE FUND, INC . .PjI* t1f Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e .g ., real estate, (b) How acquired 2-stdry brick warehouse ; or common stock, 200 shares MLC Company) P - Purchase

D - Donation 1 a N/A b c d e

(e) Gross sales price (f) Depreciation allowed (g) Cost or other basis (or allowable) plus expense of sale

81-0547982 Paae 3

Date acquired I (d) Date sold ith, day, year) (month, day, year)

a b c d

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

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

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

;..,#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 organization liable for the section 4942 tax on the distnbutable amount of any year in the base period? . Yes N No

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

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

a b c d Base period years Adjusted qualifying distributions Net value of Distribution ratio

Calendar year (or tax year noncharitable-use assets (column (b) divided by column (c)) beginning in)

2003 15,882 . 18 , 887 . 0.840896 2002 20,000 . 14,668 . 1.363512 2001 2000 1999

2 Total of line 1, column (d) . . 2 2 . 204408

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 1 .102204

4 Enter the net value of nonchantable-use assets for 2004 from Part X, line 5 1 4 1 17,762 .

5 Multiply line 4 by line 3 1 5 1 19,5

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

7 Add lines 5 and 6 1 7 1 19,577 .

8 Enter qualifying distributions from Part XII, line 4 1 8 1 34, 627a

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 °r6 tax rate . See the Part VI instructions

Form 990-PF (2004) PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982 Paqe 4

TEEA0304L 01/03/05

Excise Tax Based on Investment Income section 4940(a) , 4940(b) , 4940(e), or 4948 - see instructions 1 a Exempt qperatmg foundations described m section 4940(d)(2), check here ~ and 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 0 . check here 0" IX land enter 1% of Part], line 27b . . . . . , , :',,, . ; .

c All other domestic organizations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, column (b) 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 . 4 0 . . 3 Add lines 1 and 2 . . 3 0 . 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 0 . 6 Credits/Payments . >" >~{, :', :,><.; ,

a 2004 estimated tax pmts and 2003 overpayment credited to 2004 6a 250 . b Exempt foreign organizations - tax withheld at source . 6b c Tax paid with application for extension of time to file (Form 8868) . . . . 6c d Backup withholding erroneously withheld . . . 6d °~ ,4f '~ + ,'~` '~{ � .~ %.;, .

7 Total credits and payments . Add lines 6a through 6d . . . , 7 250 .

8 Enter any penalty for underpayment of estimated tax . Check here 0 if 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

10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ~ 10 250 .

11 Enter the amount on line 10 to be' Credited to 2005 estimated tax . ~ 250 . 1 Refunded ~ 11

~~ . Y I~.».~'. Statements Regarding Activities

Yes No 1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did it 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

if the answer is 'Yes' to la or 16, attach a detailed description of the activities and copes 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 X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year : (1) On the organization . ~ $ 0 . (2) On organization managers IN. $ 0 .

e Enter the reimbursement if an y) Paid by the organization during the year for political expenditure tax imposed on organization managers 10. $ 0 . See Statement 4 ''?'~'~~'~''''''''

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, m 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 b 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

0 By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict ^ with the state law remain in the governing instrument? . . , .,,6 . , X-

7 .

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

NEW JERSEY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -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 , 8b 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 ear 2004 or the taxable year beginning m 2004 (see instructions for Part XIV)? If 'Yes,' complete Part X!V 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 Set Statement 5

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

12 The books are in care of ~ GUY GUBITOSI Telephone no . I . Located at - 5 JOSHUA DRIVE, HILLSBOROUGH, NJ ZIP + 4 ~ 08844

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

BAA Form 990-PF (2004)

Form 990-PF 2004 PAUL GUBITOSI CHARITABLE FUND, INC . »BJ Statements Regarding Activities for Which Form 4720 May Be R

File Form 4720 if any item is checked in the 'Yes' column, unless an exception applies. 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?

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

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?

(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)?

81-0547982

Yes No

Yes NNo

Yes X No Yes X No Y

X

es No

Yes X No .;i

Yes X D No ... .>. . . . . .slb N A

(6) Agree to pay money or property to a government officials (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 .)

b If any answer is 'Yes' to 1 a(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations section 53.4941(d)-3 or m a current notice regarding disaster assistance (see instructions) Organizations relying on a current notice regarding disaster assistance check here

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

2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 49420(3) or 49420(5)) :

a At the end of tax year 2004, did the organization have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2004? If 'Yes,' list the years 01 20_ _ , 20_ - , 20- - , 20_

lc jI x Xn . ;V-, - -,-pF ~b }. .s .

.`:

2bNA

Yes N No

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.)

c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here . 0- 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

b If 'Yes,' did it have excess business holdings in 2004 as a result of (1) any purchase by the organization or disqualified persons after May 26, 1969 ; (2) the lapse of the 5-year period (or longer period approved b the Commissioner under section 4943(c)(1)) to dispose of holdings acquired by g ift or bequest; or (~ the lapse of the 10-, 15-, or 20-year first phase holding period? ~.Ise Schedule C, Form 4720, to determine if the organization had excess busyness holdings in 2004 )

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

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?

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

(2) Influence the outcome of any specific public election (see section 4955) ; or to carry on, directly or indirectly, any voter registration drive? Yes Provide a grant to an individual for travel study, or other similar purposes? . H Yes

(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)? . a Yes

(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

4b X

No

N

X No

X No . . . . . . . :. ..~=~ry,~ .. b If any answer is 'Yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? tj 5b ..N A

Organizations relying on a current notice regarding disaster assistance check here

f ". answer is 'Yes' to question 5a(4), does the organization claim exemption from the ~'% c If the ans e~':~~ .;,., . ., ., tax because it maintained expenditure responsibility for the grant? . . N/A ~ Yes ~ No ..'u ". If 'Yes,' attach the statement required by Regulations section 53 4945-5(d)

6a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract7 Yes XaNo

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

If you answered 'Yes' to 6b, also file Form 8870

BAA TEEA0305L 07129/04 Form 990-PF (2004)

10. 11

F No LX ~J

3b NYA

P4 a

Form 990-PF 2004 PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982 Pat'tVl1V '~ 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 (c) Compensation (c) Contributions to (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 compensation

- ----------------------- See Statement 6 0 . 0 . 0 .

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

hours per week devoted to position

None

If none, enter 'NONE.' TvDe of service

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

.,P~1~r~~».h~ Summary of Direct Charitable Activities

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

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

2

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

3 ------------------------------------------------------

4

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

BAA TEEA0306L 01/03/05 Form 990-PF (2004)

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

paid more than $50,000

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

Total number of other employees paid over $50,000 3 Five highest-paid independent contractors for professional services - (s

(a) Name and address of each person paid more than $50,000 None

TEEA0307L 01/14/05

Form 990-PF (2004) PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982

Summary of Program-Related Investments (see instructions)

Describe the two lar gest program-related investments made b the foundation during the tax ear on lines 1 and 2 . Amount 1 N/A

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

2

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

All other program related investments . See instructions . 3

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

Total . Add lines 1 through 3 ~ 0

MIn111'IUt11 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 b Average of monthly cash balances 1 b 18 , 032 . c Fair market value of all other assets (see instructions) 1 c d Total (add I fines 1 a, b and c) . . . . 1 d 18,032 . e Reduction claimed for blockage or other factors reported on lines 1 a and 1 c

(attach detailed explanation) . . . . . . . 1 e 0 .

2 Acquisition indebtedness applicable to line 1 assets 2 0 . 3 Subtract line 2 from line Id . . . . 3 18 , 032 . 4 Cash deemed held for charitable activities . Enter 1-1/2% of line 3 (for greater amount, see instructions) 4 270 .

5 Net value of noncharitable-use assets . Subtract line 4 from line 3 . Enter here and on Part V, line 4 5 17 , 762 .

6 Minimum investment return . Enter 5% of line 5 ~

61- 888 .

Distributable Amount (see instructions) (Section 49420(3) and 0)(5) private operating foundations and certain forei gn organizations check here ~ and do not coin lete this art .

1 Minimum investment return from Part X, line 6 . 1 888 .

2a Tax on investment income for 2004 from Part VI, line 5 . 2a b Income tax for 2004. (this does not include the tax from Part VI .) 2b : ;: c Add lines 2a and 2b .

3 Distnbutable amount before adjustments . Subtract line 2c from line l . 3 888 4 Recoveries of amounts treated as qualifying distributions . . 4 5 Add lines 3 and 4 . . . . . . 5 888 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 ~ 888 .

- 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 34,627 .

b Program-related investments - total from Part IX-B . . . 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) . . 3b

4 Qualifying distributions . Add lines la through 3b . Enter here and on Part V, line 8, and Part XIII, line 4 4 34 , 627 .

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)

6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 34,627 .

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


Form 990-PF (2004) PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982

01~ Undistributed Income see instructions) [Pv-rkX

TEEA0308L 07/29104

Corpus Years pno~ to 2003 2003 2bd64 , . . . . ~+ ; k f

1 Distnbutable amount for 2004 from Part XI, pine 7 888 . . . .

2 Undistributed income if any, as of the end of 2003: a Enter amount for 2003 only ~ 0 . b Total for prior years : 20 , 20 , 20 Os .

3 Excess distributions carryover, if any, to 2004: z fns? ~ . j a From 1999 ,

. ;.; ..:. . . . .r. . . f .: . .~: ., . > . . k ., .,, . Fr

f " r {C~ {vr " '/ i c From 2001 . , . , . ,, . . . h kk ::k. d From 2002 19 , 674 .

e From 2003 14 938 . 612 . Total of lines 3a through e 34 f r . . 1. . . . . . . 5 . . .

4 Qualifying distributions for 2004 from Part " . ~ ' . ., . ; . , . .< ; : . : : :"..~:::: .: .:: . :, : ."..:.::...: :;. . . . .:. . . ., . . . . ::." , .w . : . . :: . . , . :;~ .:. . . .< . 34 , 627 . . . . . .:.,~ ., . . .o-:~:.".: . . X11, line 4- 11, . . . . . . t . : ".n" . . . . . . . .

: A

Applied to 2003, but not more than line 2a 0 . ~ ::~: :. .

t p lied to undistributed income of prior ears (Election required - see instructions) 0 . f

c Treated as distributions out o corpus (Election required see instructions) 0 .. . .

888 d Applied to 2004 distnbutable amount

e Remaining amount distributed out of corpus 33 .739 . 5 Excess distributions carryover applied to 2004, . 0 0 .

the If an amount appears in column dr .a~ .< l amount must be shown in column a same

~~}, ~?y r$$ ~` ~ F." s. +.. r

4. , f. .,f L . { ., i~?fib s ~+ . . . . . : .. .," . x:, ~ " , ., . the net total of each column as .> .: Enter .:f .. ..fi :r!r..kr . .hss : ., n .,<n indicated below : c v.. . .a `~fh . V,f.°;

. ;s .̀~f: 68 ~ 351 . a Corpus Add lines 3f, 4c, and 4e. Subtract line 5

b Prior ears' undistributed income . Subtract line 4b from line 2b

..: . s irs

c Enter the amount of prior years' undistnbut- ed income for which a notice of deficienc y has been issued, or on which the section

een previously assessed tax has 4942(a)

line 6c from line 6b . Taxable d Subtract amount - see instructions

Undistributed income for 2003 . Subtract line 4a from e v O line 2a . Taxable amount - see instructions . , . :.f : :. :.: . , . . ' . 7

f Undistributed income for 2004 . Subtract lines 4d and 5 from line 1 . This amount must be distributed in 2005

7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b (1)(E) or 4942(8)(3) .,., . . ., (see instructions . . 0 . . . . .>

8 Excess distributions carryover from 1999 not 0 app . lied on line 5 or line 7 (see instructions) r ~f . ::

. .

9 Excess distributions carryover to 2005 . . . . . . .. , ~ . ' :~:> : . , , . . .. Subtract lines 7 and 8 from line 6a 68,351 . .; . . : . .,

10 Analysis of line 9 Excess from 2000 a Ex

b Excess from 2001 , , . . . . c Excess from 2002 19 674 .

, "" ks~ v f ~ .s :T d Excess from 2003 14 938 . e Excess from 2004 33, 739 . 1a


9

Total

Supplementary Information (Complete this part only if the organization had $5,000 or more in assets at any time during the 1 Information Regarding Foundation Managers:

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

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

Form 990-PF 2004 PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982 XJV Private Operatin g Foundations see instructions and Part VII-A, question 9

1 a If the fpundation 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 orgarnzation is a private o erating foundation described in section 4942 or 2a Enter the lesser of the adjusted net Tax ear Prior 3 ears

income from Part I or the minimum a) 2004 (b) 2003 c 2002 (d 2001 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 :

n 'Assets' alternative test - enter : (1) Value of all assets (2) Value of assets quali ing under

section 49420)(3)(B)(i . . b 'Endowment' alternative test - Enter 2/3 of minimum investment return shown in Part X, lane 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) . .

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

(3) Largest amount of support from an exempt organization

(4) Gross investment income

N/A

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) .) GUY GUBITOSI

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, Gin, Loan, Scholarship, etc, Programs : Check here 11 X 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-

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

c Any submission deadlines :

3b Total B AA Form 990-PF (2004) TEEA0310L 07/29/04

Form 990-PF 2004 PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982 P;rt-V.] 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 g rant or Amount any foundation manager or contribution Name and address home or business substantial contributor recipient

a Paid during the year JORDON BLOCH N/A EDUCATION 2,500 .

SEAN HENMINGS N/A EDUCATION 2,500 .

SARAH CALDWELL N/A EDdCATIONAL 1,000 .

WARD SANDLER N/A EDUCATION 1,000 .

BRIAN MILLER N/A EDUCATION 1,000 .

KATIE DILEO N/A EDUCATION 1,000 .

MATTHEW NEWMAN N/A EDUCATION 1,000 .

TOMORROWS CHILDREN N/A RESEARCH 24,000 . C/0 HACKENSACK MEDICAL CENTER HACKENSACK, NJ

Total ~ 3a 34,000 . b Approved for future payment

Form 990-PF (2004) PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982 Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated Unrelated business income Excluded by section 512, 513, or 514 (a) (b) (c) (d) (e)

Business Amount Exclu- Amount Related or exempt code sion function income

1 Program service revenue : code (see instructions) 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 . . 38 .

yr,~ : : { r±{ ,yF r r 5 N i et rental income or (loss) from real estate : a Debt-financed property b Not debt-financed property

6 Net rental income or (loss) from personal property 7 Other investment income 8 Gain or (loss) from sales of assets other than inventory 9 Net income or (loss) from special events 20,027 . 10 Gross profit or (loss) from sales of inventory

t 11 Other revenue : a b c d e

12 Subtotal . Add columns (b), (d), and (e) . , 13 Total. Add line 12, columns (b), (d), and (e) . . . . . . 13 20,065 . (See worksheet in the instructions for line 13 to verify calculations .)

Relationship of Activities to the Accomplishment of Exempt Purposes

BAA TEEA0501L 07/29/04 Form 990-PF (2004)

', Yes No 1 Did the organization directly or indirectly engage m any of the following with any other organization

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

a Transfers from the reporting organization to a noncharitable exempt organization of ~~' (1) Cash y 1 a 4 .1 . . .: . . ; . X.. . . (2) Other assets . 1 a X

b Other transactions : (1) Sales of assets to a nonchantable exempt organization . . . . +. ,1 b 1 . JX (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 5 X (6) Performance of services or membership or fundraising solicitations 1 b 6 X

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

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

a Lme no . b Amount involved c Name of nonchantable exem p t organization d Descri p tion of transfers, transactions, and sharing arrangements N/A

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 in section 527?

b If 'Yes,' complete the following schedule . (a) Name of organization ~ (b) Type of organization (c) Desc

N/A on of relationsh

TEEA0502L 01/05/05

Form 990-PF 2004 PAUL GUBITOSI CHARITABLE FUND, INC . 81-0547982 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

Yes M No

Under penalties of penury, I declare that ve examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and comp) Declaration of preparer 5;4~r or fiduciary) is based on all information of which preparer has any knowledge

~~--b ~ 3 -X G ign Wre of officer or trustee ~~ Date Title

Date Preparei s SSN or PTIN Prepareis ~ Check if (See instructions)

Paid signature f~" iS I self- c~ employed N/A E p8CeC5 Firm's name (or David Weiss CPA, PLLC EiN - N/A

llse y ours ~ 469 Seventh Avenue Ste 13 (212) 695-5771

Only address, and r]e4,~ Yo r k, ~ 10018 ZIP code Phone no

gqq Form 990-PF (2004)

OMB No 1545-0047 Schedule B (Form 990,990-E7,

or 990-PF) Schedule of Contributors Supplementary information for Department of tie Treasury

Internal Revenue Service line 1 of Form 990, 990-EZ and 990-PF (see instructions) 2004

Name of orpamzabon Employer identification number

PAUL GUBITOSI CHARITABLE FUND, INC . I81-0547982

TEEA0701L 11/24/04

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

4947(a)(1) nonexempt charitable trust not treated as a private foundation U 527 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 fling 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 -

0 For a section 501(c)(3) organization fling Form 990, or Form 990-EZ, that met the 331/3% 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 .)

a 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 .)

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 .) No. $

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

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2004) Name of orpan~za0on

PAUL GUBITOSI CHARITABLE FUND, INC .

ge 1 of 1 of Part I Employer identficabon number

81-0547982

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

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

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

(a) (b) I W Number Name, address, and ZIP + 4 Aggregate

contributions

(d) Type of contribution

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

Person Payroll

$ Noncash


BAA TEEA0702L 09113/04 Schedule B (Form 990, 990-EZ, or 990-PF) (2004)

Contributors (See Specific Instructions .)

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

contributions

1 GUY GUBITOSI Person X ------------------------------------- Payroll

5-JOSHUA DRIVE --________-_-_--_____-__-_-~-_____ 6, 630_ Noncash

(Complete Part II if there HILLSBOROUGH, NJ 08844 is a noncash contribution .)

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

contributions

Person Payroll

$ Noncash


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

contributions

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

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


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

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

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


TEEA0703L 09/13/04

Schedule B Form 990, 990-EZ, or 990-PF 2004 Page 1 of 1 of Part II Name of organization Employer fdentficahon number

PAUL GU ITOSI CHARITABLE FUND, INC . 1 81-0547982

,,~?A~j ~ ~ :; NonCash Property (See Specific Instructions .)

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

Part I (see instructions

N/A

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

. .

(a) (b) (c) (d) No . from Description of noncash property given FMV (or estimate) Date received Part I (see instructions)

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

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

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

(a) (b) (c) (d) No . from Description of noncash property given FMV (or estimate Date received Pan I (see instructions; -------------------------------------------

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

a c dc ~from Description of no nca sh property given FMV (or estimate) Date reeived No

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

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

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

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

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

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

Part I (see instructions)

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

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

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

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2004) Name o1 organization

PAUL GUBITOSI CHARITABLE FUND, INC .

1 of 1 of Part III Employer IdenUficaMon number

81-0547982 cAwuaivciyFWnyIvu--P, a.11anaauIc, c«., I I wIwuua11 16unLnuuuvna w sWL.uUI I ZPv1l%-llih l°1+ vI %I v) 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

(d) Description of how gift is held No . from Purpose of gift

Part I Use of gift

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

(e) Transfer of gift

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

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

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

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

Use of gift

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

(e) Transfer of gin

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

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

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

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

(e) Transfer of gift


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

-------------------------r--------- --------------------------- ---------------------------------------------------------------

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

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

(e) Transfer of gin


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

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

F 2004

PAUL GUBITOSI CHARITABLE FUND,INC.

$ 41 , 070 . Total -41,07-0 .

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

. . . $ 150 . $ 150 . 30 . $ 30 .

21,043 . , . . . $ 21 , 043 .

Total 21,223 . 150 . 21,043 . 30 .

BANK CHARGES . REGISTRATION FEE . Special Event Expenses SPECIAL EVENT EXPENSES

GUY GUBITOSI 5 JOSHUA DRIVE HILLSBOROUGH,NJ 08844

Federal Statements

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

Income From Special Events

Statement 2 Form 990-PF, Part I, Line 16b Accounting Fees

Statement 3 Form 990-PF, Part I, Line 23 Other Expenses

Page 1

81-05479821

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

. $ 1 , 195 . $ 598 . $ 597 . Total 1,195 . 598 . 0 . 597 .

Statement 4 Form 990-PF, Part VII-A, Line 2 Activities Not Previously Reported to the IRS

THE ORGANIZATION HELD A GOLF OUTING IN 2004,THE PROCEEDS OF WHICH WERE DONATED TO TOMORROWS CHILDREN'S FUND .ATTACHED IS A BROCHURE DESCRIBING THE EVENT .

Statement 5 Form 990-PF, Part VII-A, Line 10 Substantial Contributors During the Tax Year

2d . . . . . . . . . . . . . . . . . . . . . . . . . 2e . Total Government Grants

(add line 2a through 2d) . . . . . . . . . . . . . . . . . . . . . . . .

Line 3. Other Support

3a . Bona fide Membership Dues . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3b . Program Service Revenue .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3c . Professional services renderedby volunteers . . . .

3d . Interest, investment, rental and inventory sales income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3e . Total Other Support

(add lines 3a thru 3d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Line 4 Total Gross Revenue

38 .00

(add lines 1c, 2e, and 3e) 47,738 .00 The total on this line is used to determine the proper financial report.

B. Expenses

Line 1 . Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Line 2. Management and General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Line 3. Fund raising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Expenses

(add lines B1, B2, and B3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,418 .00

(4,109-00)

STF NJ37900F 5

Line 2 . Government' Grants Including Purchase of Service Contracts

Specify Agency

2a . . . . . . . . . . . . . . . . . . . . . . . . .

2b. . . . . . . . . . . . . . . . . . . . . . . . .

2c

38 .00

34,000 .00

22,418 .00

C. Excess or deficit for the year ended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Subtract Line B4 from Line A4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D . Fund Balance

Line 1 . Fund Balance at beginning of the year . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Line 2. Other Changes in Fund Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Line 3 . Fund Balance at the end of the year (add lines C,Dl, and 132)

5

(8,680 .00)

4,571 .00

STF NJ37900F 6

We hereby certify that the above statements are true . We are aware that if any of the above statements are willfully false, we are su*ct to pip,nishment .

TRUSTEE Title and Date

TRUSTEE Title and Date

To be signed by two authorized officers of the organization, including the chief fiscal officer.

D If there is only one authorized officer, please check here .

Please make cheeks payable to : The Paul Gubitosi Charitable Fund

Detach and send to. Guy Gubitosi Charitable Fund 5 Joshua Dr Htllabarough, NJ 08844

Attach Business Card For Tee/Green and/or Program Advertisements

Total *Send all 4 registrations together for a foursome .

Please list the names of golfers you wish to play with .

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Name:

Address:

Phone and Email :

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(O ~p ~ c~ 0- Ln 0-1 p O (D (0 C LO W~-000 ~ C Y 005 Q' v

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Please Circle Choices . " Platinum Package $1000 " Gold Package $800 " Cardinal Package $700 " Individual $150 " Dinner only $50

I wish to sponsor : " Tee or Green $200 " Beverage Cart $500 " Dinner Refreshments $500 " Program Advertisement $100

Sponsors: " Tee or Green $200 " Beverage Cart* $500 " Dinner Refreshments* $500 " Program Advertisement* $100

*Includes Program Recognition

'{ r ms's' ~ ".i}~A~,{}t-ad {Yry

Where: Cranbury Golf Course

The Pawl u6ftasi Charfta6le Fund

The Fund is named in honor of Paul Gubitosi . Paul was an avid sportsfan, especially baseball and football, who enjoyed playing poker, pool and of course golf . He was a member of the Mock Trial and Model Congress clubs where his aspirations of being a lawyer were founded . He was to attend NYU to pursue his dreams as well as enjoy all the restaurants in Little Italy . All proceeds raised from this outing will go to The Tomorrows Children's Fund, a private ly-funded, non-profit organisation thats helps ease the pain of children fighting cancer or a

Events Include:

Q Dinner folloutirfhg the outing Beer and Wine included

(1) Hole in One Chance to win a car

Q (1) Closest to the Pin Contest

Q (2) Longest Drive Contests

Q 1st, 2nd, and 3rd place team prizes

Who: The Paul Gubitiosi Charitable Fund

What : Charity Golf Outing

When : Monday May 17, 2004 10 AID Shotgun Star Registration begins at 9 AM

Platinum Package $1000 " 4 Golfers " Tee or green Advertisement " Program Advertisement " Program Recognition

Gold Package $800 " 4 Golfers " Tee or Green Advertisement " Program Recognition

Cardinal Package $700 " 4 Golfers * Program Recognition

Individual golfer $150

Dinner Only $50

Form 990- P F Return of Private Foundation Treated as a Private...

Documents

Transcript of Form 990- P F Return of Private Foundation Treated as a Private...