PP - 990s.foundationcenter.org990s.foundationcenter.org/990pf_pdf_archive/236/236951678/...Return of...

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111, 1

Return of Private Foundation OMB No 1545 W52

or Section 4947(ax1) Nonexempt Charitable Trust Treated as a Private Foundation "fool

Note, The organization may be able to use a copy o/ this return to satisfy state rennrlmn ranurramanlc Delta

rimenl of the Treasury Infernal Revenue Service

2002 ;hange Name change Employer Identification Number

23-6951678 TeleDrone Number (see instructions)

2001 . and ending 6/

C If exemphon application is pending, check here D 1 Foreign organizations, check here

H Check type of organization U Section 501(c)(3 exempt private foundation 2FOreign organizations meeting the 85% test, check Section 4947 a 1 nonexemp t charitable trust Other taxable resale foundation here and attach computation

air market va

ll~ 11

tie o a u asse a ~ a enu or year ~ Accountin method X Cash Accrual E If private foundation status was terminated r air i i (from Part ll, column c, line 16) 9 under section 507(bx1xA), check here

Other (specify) F If the loundabon is in a 60 month termination fe. $ 7,569, 346 art l, column d must be on cash bass under section 507(h)(1HB), check here W El art I 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 riot neces purposes sanly equal the amounts in column a ) I I I I (cash basis only)

1 .1 Compensation of officers directors trustees etc 14 Other employee salaries and wages

p 15 Pension plans, employee benefits M 16a Legal fees (attach schedule)

b Accounting fees (attach sch) N s c Other prol fees (attach sch) See S t 2

e T 17 Interest p p 18 Taxes (attach schedule � 2

Stmt 3

T T 19 e) rid depletion x ~ 20~

Travel, conferences, meetings

D

pi

Printing and pubhcat N "Mill hedulel

M E )" Y N L ( 5 ~`VI s

a-1

1

zs

612 .091 1 51 .284 280

BAA For instructions TEEnawu oiaamt see

4I

Form '.790' P

For calendar year 2001,ortax ear be mnin 7/01 PP_ _ G Check all that a I Initial return Final velum F

Use the iRSiabei Archie W & Grace Berry Foundation

See

Specific otherwise, 1122 Soldier Creek Rd instructions print Wolf, WY 82844 or type

1 Contributions gills grants etc received (aft sch)

Ck - Mil the IounEn is riot rea to aft $ch B

2 Distributions from split-interest trusts 3 Interest on savings and temporary

cash investments 4 Dividends and interest from securities Sa Gross rents 6 (Net rental

income or floss) G3 Nel qaiN(loss) from sale of assets nod on line 10

R b Gross safes prices for all 80 1 , 562 E assets on fine 6a 7 Capital pain net income (from Pan IV line 2)

E 8 Net short term capital gain 9 Income modifications 10a Gross seta less

returns and allowances

b Less Cost of goods sold

c Gross profiV(loss) (aft sch) 11 Other income (attach schedule)

1O 4i 13 t ough 23 paid P art XY

es and disbursements and 25

a Excess of revenue over expenses and disbursements

b Nit Inwsbnant income (t nepatne enter -0)

C AdlustW net Income it nmaeve mho A )

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 Recervables due from officers, directors, trustees, and other

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

q -----------Less allowance for doubtful accounts ~

S 8 Inventories for sale or use 9 Prepaid expenses and deferred charges t 10a Investments - U S and stale government

obligations (attach schedule) b Investments - corporate stork (attach schedule) St a tement 5 c Investments - corporate bonds (attach schedule) S t a t efoe n t 6

11 Investments - land, buildings, and equipment basis Las accumulated depreciation (attach schedule)

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

Less accumulated depreciation (attach schedule)

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

569 .346

N F yy Unrestricted E U T N 25 Temporarily restricted

26 Permanently restricted

S B Organizations that do not follow SFAS 117, check here ~ X

S A and complete lines 27 through 31

T A 27 Capital stock, trust principal, or current funds S C 28 Paid in or capital surplus, or land, building, and equipment fund 8,249, 163

O E 29 Retained earnings, accumulated income, endowment or other funds 854,838 R 5 30 Total net assets or fund balances (see instructions) 9, 104 , 001

31 Total liabilities and net assets/fund balances (see instructions) 9 . 104 .727

Part III Analysis of Changes in Net Assets or Fund Balances

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

2 Enter amount from Part I, line 27a 3 Other increase not included in line 2 (itemize) 4 Add lines 1, 2, and 3 5 Decrease 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 TEEno7oa os25roi

-573

8

r

Form 99o-yF(2oot) Archie W & Grace Berry Foundat anaMM schedules am amounts in the Gescnpbm

Part II Balance Sheets mhann should be M end-of year amounts, only (Sea ns4unions )

c3-oyDioits ra et nning of year End of year Book Value (b) Book Value (c) Fair Market Value

389,677 142,524 142,524

623 623

4 , 848,705 4,591,791 3,356,322 3,866,345 3,797,983 4,069,877

L 17 Accounts payable and accrued expenses 18 Grants payable

B 19 Deferred revenue 20 Loans from officers, directors, tasters, 8 other disqualified persons L 21 Mortgage and other notes payable (attach schedule) 22 Other liabilities (describe ~ See Statement-7 --__ > 726 2,826

S 23 Total liabilities add lines 17 throug h 22 726 2,826 Organizations that follow SFAS 117, check here and complete lines 24 through 26 and lines 30 and 31 H r

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

d

column n ana ownea o the rounaaiion on ius iioy (I) Gains (column (h) Adjusted basis (k) Excess of column (i) gain minus column (k), but not less as of 12/31 /69 over column 0), if any than 0 ) or Losses (from column (h)) as of 12/31/69

TEEAnmu o9rtsrot

Archie W & Grace art iv ca itai gains and posses ror i ax on investment income

(a) fist and describe the kinds) of property sold (e g , real estate, (o) raw ewuirea 2 story brick warehouse, or common stock, Z(0 shares MLC Company) P - P°`"s° D - Da+atim

to See Statement 8 b c d e

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

-6951678

Dale aCpurtW (O)Date sold iN day Ywf) I (manVi Day year)

a b

2 Capital gain net income or (net capital loss) If gain, also enter in Part I, line 7 ~If (loss), enter 0 in Part I, line 7 ~ p -263,729

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

If lain, also enter in Part I, line 8, column (c) (see instructions) If (loss), enter 0

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )

If section 49400(2) applies, leave this part blank

Was the organization liable for the section 4942 tax on the distribulable amount of any year in the base periods OYes FX~ No If 'Yes,' the organization does not quaky 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

b c 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)

X999 509,578 12,248 .152 0 041604 1998 265,222 10,173,042 ~ 0 026071 1997 370 .564 8 .901 .207 0 041631

2 Total of line 1, column (d) 2 0 205555

3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the number of years we foundation has been in existence d less than 5 years 3 0 041111

4 Enter the net value of noncharitable use assets for 2001 from Part X, line 5

5 Multiply tine 4 by tine 3 1 5 1 354,433

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

7 Add lines 5 and 6

8 Enter qualifying distributions from Part XII, line 4 1 8 1 558,280

If line 8 is equal to or greater than line 7, check the box in Part VI, line lb, and complete that part using a I% tax rate See the Part VI instructions

BAA Form 990.PF (2001)

TEEA0304L 01n4i02

'art VI Excise Tax Based on Investment Income Section 49ao a , 4940(b ), 4s40 e , or 4948 - see instructions) 1 a Exempt operating toundahons described in Section 494IXdHZ), check here ~ and enter 'N/A online t

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 2,506 check here ~ and enter 1% of Part I, line 27b

c All other domestic organizations enter 2°/, of line 21b 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 0 3 Add lines 1 and 2 3 2,506 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 2,506 6 Credits/Payments a 2001 estimated tax pmts and 2000 overpayment credited to 2001 6a 3 , 129 b Exempt foreign organizations - tax withheld at source 66 c Tax paid with application for extension of time to file (Form 8868) tic d Backup withholding erroneously withheld 6d

7 Total credits and payments Add lines 6a through 6d 7 3, 129 8 Enter any penalty for underpayment of estimated tax Check here ~ ii 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 It line 7 is mare than the total of lines 5 and 8, enter the amount overpaid ~ 10 623 11 Enter the amount on line 10 to he Credited to 2002 estimated tax ~ 623 ~ Refunded ~ 11 part VII-A 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 No participate or intervene in any political campaigns 1 a X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definilion)7 1 b X

If the answer is 'Yes' to 1a or Ib, attach a detailed description of the activities and copies of any maferrals published or distributed by the organization in connection with the activities

c Did the organization file Forth 1120-POL for this years 7 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 ~ $ 0 - -e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on organization managers W $ 0

2 Has the organization engaged in any activities that have not previously been reported to the IRS 2 *X I/ '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

4a Did the organization have unrelated business gross income of $1,000 or more during the years 4a b If 'Yes,' has it filed a tax return on Form 990.7 for this years 46

5 Was there a liquidation, termination, dissolution, or substantial contraction during the years 5 11 'Yes,' attach the statement required 6y General Instruction T

6 Are the requirements of Section 508(e) (relating to Sections 4441 through 4945) satisfied either - " By language in the governing instrument or

" By stale 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 $5,0f10 in assets at any time during the years If 'Yes,'romplete Part II, column (c), and PartXV 7 X 8a Enter the states to which the foundation reports or with which it is registered (see instructions)

----- PennsY lvania

-------------------------------------------------- - --- b If the answer is 'Yes' to line 7, has the organization furnished a copy of Farm 990 PF to the Attorney General

(or designate) of each state as required by General Instruction G7 If 'No,'atfach explanation 8b X

9 Is the organization claiming status as a private operating foundation within the meaning of Section 4942(p(3) or 4942(j)(5) for calendar year 2001 or the taxable year beginning in 2001 (see instructions for Part XI1)7 ll'Yes,' complete Part XIY 9

10 Did any persons become substantial contributors during the lax years 10 If 'Yes,' attach a schedule listing then names and addresses

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

12 The books are in careof " Robert B BerrY_--__-__-_-_--__- Telephone no " (307) 67Z-7716 Located at- Sh2r7ddn, W Omln ZIP +4~ 82801

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

BAA Form 990-PF (2001)

Archie W & Grace Berrv Foundation 23-6951678

x I

Form 99O-PF (2001) BAA rEEn0305L 01124402

File Form 4720 if any item is checked m the 7es' 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 persons 11 Yes X No

(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 persons Yes N No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified persons Yes X No

(5) Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person) Yes XONo

(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 ) ayes Z No

b If any answer is 'Yes' to la(1) (6), did any of the acts fail to qualify under the exceptions described in Regulations Section 534941(d) 3 or in 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 1a, other than excepted acts, that were not corrected before the lust day of the tax year beginning in 20017

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 4942Q)(5))

a At the end of tax year 2001, did the organization have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 20017 a Yes Fx-]No Ii 'Yes,' list the years ~ 20 , 19 , 19 , 19

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 incomes (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 X20 ,19 ,19 ,19

3a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any lime during the years 11 Yes FX] No

b If 'Yes,' did it have excess business holdings in 2001 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

a b the Commissioner under Section 4943(c)(7)) to dispose of holdin s acquired by~,ift or bequest, or

the lapse of the 10 , 15 , or 20-year first phase holding period? Ae Schedule , Form 4720, to determine A the organization had excess business holdings in 2001 )

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 20017

Sa 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))7 ~ Yes X No

(2) Influence the outcome of any specific public election (see Section 4955), or to carry on, directly or indirectly, any voter registration drrve7

H 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)? ~ Yes ~ No

(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals [-I Yes X No

b If any answer is 'Yes' to 5a(l) (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 instruclions)7 Organizations relying on a current notice regarding disaster assistance check here

c If the answer is 'Yes' to question Sa(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the granl7 N/A [] Yes O No If 'Yes,' attach the statement required by Regulations Section 53 4945-5(cD

6a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit conlracl7 Yes ZNo

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit conlracl7

ssaPF kOt Archie W & Grace Berr y Foundation 23-6951678 VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,

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

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

devoted to position plans and deferred

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

If services - service

Part IX-A Summary of Direct Charitable Activities

List the foundation s four targ est direct charitable activities during the tax year Include relevant sUhshcal information such as the number of organizations and other benNinanes served, conferences convened, research papers produced, etc Expenses

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

2

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

3

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

4

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BAA TEEA0306L 01rz4Az

See Statement 9 ------------------------

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

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

2 Compensation o1 five highest-paid employe (a) Name and address of each employee

paid more than $50,000

None

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

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

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

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

hours per week devoted to position

0

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

None

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

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

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

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

Form 990.PF(~001) AfChie W & Grace Berry Foundation 23-6951678 Page

Part _IX_-_B_1 Summary of Program-Related Investments see instructions)

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2 ------------------------------------------------------

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Part X Minimum investment Return (All domestic foundations must complete this part Foreign foundations, see instructions )

1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc, purposes a Average monthly fair market value of securities b Average of monthly cash balances c Fair market value of all other assets (see instructions) d Total (add lines la, b and c) e Reduction claimed for blockage or other factors reported on lines 1 a and 1 c

(attach detailed explanation) I 1 e 2 Acquisition indebtedness applicable to line 1 assets 3 Subtract line 2 from line Id 4 Cash deemed held for charitable activities Enter 1-7/2% of line 3 (for greater amount, see instructions) 5 Net value of noncharitable-use assets Subtract line 4 from line 3 Enter here and on Part V, line 4

588

0

131 .2

TEEa0307L i2Ji910i

t

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All other program-related investments See instructions 3

P81t XI DIStrIbUtBbIE Amount (see instructions) (Section 4942Q)(3) and Q)(5) private operating foundations and certain foreign organizations check here ~ and do not complete this art

1 Minimum investment return from Part X, line 6 1 431,069 2a Tax on investment income for 2001 from Part VI, line 5 2a 2,506 b Income tax for 2001 (This does not include the tax from Part VI ) 26 c Add lines 2a and 26 2c 2,506

3 Distributable amount before adjustments Subtract line 2c from line 1 3 428,563 4a Recoveries of amounts treated as qualifying distributions 4a b Income distributions from section 4947(a)(2) trusts 4b c Add lines 4a and 4h 4c

5 Add lines 3 and 4c 5 428, 563 6 Deduction from distributable amount (see instructions) 6 7 Distnbutable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, line 1 7 428, 563

Part XII 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 558, 280 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 4 558, 280

5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment income Enter 1 % of Part I, line 2Jb (see instructions) 5 2 , 506

6 Adjusted qualifying distributions. Subtract line 5 from line 4 ~ 6 ~ 555 , 774

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

BAA Form 990.PF (2001)

Form 99aPF('e00i) Archie W & Grace Berry Foundation 23-6951678 Page B

Part XIII Undistributed Income (see instructions)

a ( ) ( Corpus I Years prior to 2000 I 2000 I 20 1

546,391

0

0 I

0 9 Excess distributions carryover to 2002

Subtract lines 7 and 8 from line 6a 10 Analysis of line 9

a Excess from 1997 b Excess from 1998 c Excess from 1999 d Excess from 2000 e Excess from 2001

8AA Form 990.PF (2001)

TEEn030eL 0124M

1 Disiributable amount for 2001 from Part XI, line 7

2 Undistributed income, d any, as of the end of 2000 a Enter amount for 2000 only b Total far prior years 20 ' 19 1 19

3 Excess distributions carryover, d any, to 2001 a From 1996 b From 1997 c From 1998 d From 1999 e From 2000 1 Total of lines 3a through e

4 Qualifying distributions for 2001 from Part X11, line 4 ~ $ 558,280

a Applied to 2000, but not more than line 2a

b Applied to undistributed income of prior year. ?,action required - see instructions)

c Treated as distributions out of corpus (Election required - see instructions)

d Applied to 2001 distributable amount e Remaining amount distributed out of corpus

5 Excess dishi6uGOns carryover applied to 2001 (lean amount appears in column (d) , the same amount must be shown in column (a) )

6 Enter the net total of each column as indicated below

a Corpus Add lines 3t, 4c, and 4e Subtract line 5

b Prior years' undistributed income Subtract line 4b from line 2b

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

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

e Undistributed income tar 2000 Subtract brie 4a tram line 2a Taxable amount - see instructions

1 Undistributed income for 2001 Subtract lines 4d and 5 from line 1 This amount must be distributed in 2002

7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(6)(1)(E) or 4942(8)(3) (see instructions)

8 Excess distributions carryover from 1996 not applied on line 5 or line 7 (see instructions)

0

0

0

BAA TEE^noM 09125101 Form 990.PF (2001)

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 2001, enter the date of the ruling

b Check box to indicate whether the organization 2a Enter the lesser of the adjusted net

income from Part I or the minimum investment return from Part X for each year listed

b 85% of line 2a

c Qualifying distributions from Part XI1, 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 4942U)(3)(B)(p

b'EndowmenY alternative test - Enter 1/3 of minimum investment return shown in Part X, line 6 far 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 or anizations as provided in Section 4942(~x3xBxup

(3) Largest amount of support from an exempt organization

4 Gross investment income art XV Su lementa Information tort 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 InfortnaUOn Regarding Contribution, Grant, Girt, Loan, Scholarship, etc, Programs Check here " XO 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 None

b The form in which applications should be submitted and information and materials they should include None

c Any submission deadlines

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

BAA TEEnnaia osrnoi Form 99aPF (2001)

Enter gross amounts unless otherwise indicated (a) (b) (c) (d) (e)

Business Amount Exclu Amount Related or exempt code sion function income

code see instructions

14 14 , 037 14 287,877

18 -263 .729

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 iname or (loss) tram personal properly 7 Other investment income 8 Gain or (loss) from sales of assets other than inventory 9 Net income or (loss) from special events 10 Gross profit or (loss) from sales of inventory 11 Other revenue

a

Line No I 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 Form 990.PF (2001) mown 0124M

Form 99o-aF(20ot) Archie W &'Grace Berry Foundation 23-6951678 r Part XVI-A Analysis of Income-Producing Activities

1 Program service revenue

c

e 12 Subtotal Add columns (b), (d), and (e) 38,185 13 Total Add line 12, columns (b), (d), and (e) ~ 13 38, 185 (See worksheet in the instructions for line 13 to verify calculations )

Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes

Information Regarding Transfers to and Transactions and Relationships with Nonchantable

no I (b) Amount

Yes XNo

a

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 in Section 527, relating to political organizations

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

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

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

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 in anv transaction or sharing arranaemenl . show in column (~ the value of the ooods . other assets . or services received

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 Ii Yes.' tomolete the following schedule

under penaiLes of perjury I Declare that I have examined this reNm including m correct and complete Declaration of preparer (ocher Wn taxpayer w (duuary) is

" Signature of Officer or Tr~stee

Sign Preparers . /~~~J Here Paid signature

Prr C%Oi?r1~/ILrG 5arers F irm ~~m~ a ~ Pradere Ebzery Moh se ,t WU emol o 1 Only address ,p,~ Z North Main, Suit

snn

23-6951678

Gross Sales Price 801,562 Cost or Other Basis 1 .065 .291

Total Net Gain (Loss) From Noninventory Sales -263,729

Statement 4 Form 990-PF, Part I, Line 23 Other Expenses

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

Investment Expenses $ 50,797 $ 50,797 Office Expense 55 $ 55 Penalty 21

Totals 50,873 50 ,797 V55

Federal Statements Archie W. & Grace Berry Foundation

Statement 1 Form 990-PF, Part 1, Line 6 Net Gam (Loss) from Noninventory Sales

Publicly Traded Securities

Page 1

Total Gain (Loss) Publicly Traded Securities -263,729

Statement 2 Form 990-PF, Part 1, Line 16c Other Professional Fees

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

Accounting $ 1,425 ~ 1,425 Professional Dues 300 300

Totals 1,725 0 1,725

Statement 3 Form 990-PF, Part I, Line 18 Taxes

(a) (b) Net (c) (d) Expenses Investment Adjusted Charitable

her Books Income Net Income Purposes Foreign Taxes Paid $ 487 $ 487 Form 990-PF 2001 2 506

Totals 2,993 487 ~ 0

23-6951678 Archie W. & Grace Berry Foundation

Statement 5 Form 990-PF, Part II, Line l Ob Investments - Corporate Stocks

Statement 8 Form 990-PF, Part IV, Line 1 Capital Gains and Losses for Tax on Investment Income

200 Teva Pharmaceutical Inc Purchased

(a) Description (b) How acquired

2001 Federal Statements Page 2

Valuation Book Fair Market Corporate Stocks Method Value Value Account 91116793 Equities Cost $ 2,431,393 8 1,414,327 Account 11957725 Equities Cost 2 160 398 1 941 995

Total 4,591 791 3,3S 53 2

Statement 6 Form 990-PF, Part II, Line l Oc Investments - Corporate Bonds

Valuation Book Fair Market Corporate Bonds Method Value Value Account 91116796 Bonds Cost S 3 797 983 8 4 069 877

Total 3,797,983 4,069,877

Statement 7 Form 990-PF, Part 11, Line 22 Other Liabilities

Reimbursements Owed $ 2,826

Total 2,826

1) (a) Description (b) How acquired (c) Date acquired (d) Date sold



4)

300 Target Corporation Purchased 10/22/97 5/16/02

1750 Broadwing Inc Purchased 1/12/01 S/29/OZ

225 AmerisourceBergen Corp Purchased 12/21/01 6106/02

2001 Archie W. & Grace Berry Foundation 23-6951678

Statement 8 (continued) Form 990-PF, Part IV, Line 1 Capital Gains and Losses for Tax on Investment Income

13) (a) Description (b) Now acquired (c) Date acquired (d) Date sold

500 Elan Corp PLC Purchased 3/09/00 9/18/01

Federal Statements Page 3

5)

6)

7)

8)

9)

10)

11)

12)

(c) Date acquired (d) Date sold

(a) Description (b) How acquired (c) Date acquired (d) Date sold





(a) Description (b) Now acquired (c) Date acquired (d) Date sold



1/26/01 6/06/02

21 916 McData Corp Class A Purchased 10/22/99 8/01/01

22 084 McData Corp Class A Purchased 11/04/99 8/01/01

500 American Express Co Purchased 1/04/01 8/02/01

300 Comverse Technology Inc Purchased 10/23/00 8/07/01

200 Comverse Technology Inc Purchased 3/08/01 8/07/01

1200 MiniMed Inc Purchased 10/22/99 8/31/01

400 Boeing Co Purchased 4/26/01 9/18/01

400 Boeing Co Purchased 8/02/01 9/18/01

01 Archie W. & Grace Berrv Foundation 23-6951678

14)

23) (a) Description (b) How acquired

1000 Cadence Design Systems Inc Purchased



15)

16)

17)

is>

19)

ZO)

21)

22)

a) Description b) How acquired c) Date acquired d) Date sold

a) Description b) How acquired c) Date acquired d) Date sold







(a) Description (b) Haw acquired (c) Date acquired (d) Date sold

700 King Pharmaceuticals Inc Purchased 5/OS/00 9/18/01

1000 America Movil Sa L Adr Purchased 10/07/99 10/04/01

400 CVS Corp Purchased 3/20/01 10/10/O1

400 CVS Corp Purchased 6/07/01 ioiioioi

116 Avaya Inc Purchased 10/22/97 10/12/01

2000 Oracle Corp Purchased 2/15/00

10/12/01

200 Target Corp Purchased 10/22/97 10/22/01

800 Target Corp Purchased 12/17/97 10/22/01

600 Applied Materials Inc Purchased 12/09/97 11/13/01

23-6951678

Statement 8 (continued) Forth 990-PF, Part IV, Line 1 Capital Gains and Losses for Tax on Investment Income

32) 1400 Sun Microsystems Inc Purchased 2/15/00 12/17/01


Federal Statements Archie W. & Grace Berrv Foundation










Page 5

24)

25)

26)

27)

28)

29)

30)

31)

1/1Z/O1 11/13/01

500 Elan Corp PLC Purchased 3/09/00 11/13/01

600 Corning Inc Purchased 2/15/00 11/19/01

600 EMC Corp Purchased 10122199 11/19/01

600 EMC Corp Purchased 11/04/99 11/19/01

942 Nortel Networks Corp Purchased 5/08/00 11/19/01

58 Nortel Networks Corp Purchased 10/23/00 11/19/01

900 Enron Corp Purchased 8/19/99 11/28/01

500 Vodafone Group PLC Purchased 10/22/97 12/06/01

23-6951678

(a) Description 400 Tyco Intl Ltd (b) How acquired Purchased

Federal Statements Archie W. & Grace Berry Foundation

Statement 8 (continued) Form 990-PF, Part IV, Line 1 Capital Gains and Losses for Tax on Investment income

33) (a) Description 500 Home Depot Inc (b) How acquired Purchased (c) Date acquired 4/20/98 (d) Date sold 1/08/02

34) (a) Description 1000 Intel Corp (b) How acquired Purchased (c) Date acquired 10/22/97 (d) Date sold 1/08/02

35) (a) Description 100 IBM Corp (b) How acquired Purchased (c) Date acquired 10/22/97 (d) Date sold 1/08/02

36) (a) Description 100 IBM Corp (b) How acquired Purchased (c) Date acquired 12/15/97 (d) Date sold 1/08/02

37) (a) Description 800 Nokia Corp Sponsored ADR (b) How acquired Purchased (c) Date acquired 8/19/99 (d) Date sold 1/08/02

38) (a) Description 472000 FHLMC 6% 07/15/22 (b) How acquired Purchased (c) Date acquired 8/09/94 (d) Date sold 1/15/02

39) (a) Description 500 King Pharmaceuticals Inc (b) How acquired Purchased (c) Date acquired 5/OS/00 (d) Date sold 1/24/02

40) (a) Description 500 Global Crossing ltd (b) How acquired Purchased (c) Date acquired 11/04/99 (d) Date sold 1/30/02

41) (a) Description 500 Tyco Intl Ltd (b) How acquired Purchased (c) Date acquired 2/18/99 (d) Date sold 1/30/02

42)

Page 6



51) 760 Williams Commns Group Inc Purchased 11/15/O1 3/08/02



43)

44)

45)

46)

47)

48)

49)

so)


(a) Description (b) Haw acquired (c) Date acquired (d) Date sold








5/06/99 1/30/02

400 Tyco Intl Ltd Purchased 8/19/99 1/30/02

200 Tyco Intl Ltd Purchased 10/22/99 1/30/02

200 Qualcomm Inc Purchased 5/OS/00 2/11/OZ

200 Qualcomm Inc Purchased 9/28/01 2/11/02

700 Safeway Inc Purchased 1/11/O1 2/11/02

500 Sungard Data Systems Inc Purchased 6/26/01 2/11/02

600 Noble Energy Inc Purchased 6/13/00 2/20/02

740 Williams Commns Group Inc Purchased 3/20/01 3/08/02


52)


300 Home Depot Inc Purchased 4/20/98 5/16/02

(e) (f) (B) (h) (i) (J) (k) (l) Gross Deprec Cost Gain FMV Add Bas Excess Gain Sales Allowed Basis (Loss) 12/31/69 12/31/69 (i)-Q ) (Loss)

1) 12,960 4,646 8,314 8,314 2) 5,588 47,683 -42,095 -42,095 3) 17,108 14,141 2,967 2,967 4) 12,822 11,340 1,482 1,482 5) 439 434 5 S 6) 442 482 -40 -40 7) 20,624 27,413 -6,789 -6,789 8) 8,880 31,811 -22,931 -22,931 9) 5,920 16,375 -10,455 -10,455 10) 57,600 46,733 10,867 10,867 11) 13,347 24,324 -10,977 -10,977 12) 13,347 23,564 -10,217 -10,217 13) 23,798 19,589 4,209 4,209 14) 26,354 15,651 10,703 10,703 15) 14,616 14,256 360 360 16) 12,932 22,240 -9,308 -9,308 17) 12,932 22,500 -9,568 -9,568 18) 1,184 1,659 -475 -475 19) 29,015 61,588 -32,573 -32,573 20) 6,274 3,097 3,177 3,177 21) 25,095 13,085 12,010 12,010 22) 24,065 10,481 13,584 13,584 23) 23,249 29,685 -6,436 -6,436



53)

54)

55)





400 Citigroup Inc Purchased 1Z/03/98 3/14/02

300 Fed Natl Mortgage Assoc Purchased 1/04/01 3/14/02

300 Fifth Third Bancorp Purchased 4/11/01 3/14/02

300 Apache Corp Purchased 2/08/01 4/29/02

2001 Federal Statements Archie W. & Grace Berry Foundation 23-6951678

Archie Berry Jr Trustee RFD #3 Box 7500 Farmington, ME 04938

Louis F Rivituso Trustee

Page 9

Statement 8 (continued) Form 990-PF, Part IV, Line 1 Capital Gams and Losses for Tax on Investment Income

(e) (f) (S) (h) <i) (7) (k) (l) Gross Deprec Cost Gain FMV Adz Bas Excess Gain Sales Allowed Basis (Loss) 12/31/69 12/31/69 (i1-M (Loss)

24) 20,352 19,588 764 764 25) 6,126 35,115 -28,989 -28,989 26) 9,942 19,531 -9,589 -9,589 27) 9,942 21,501 -11,559 -11,559 28) 7,894 55,284 -47,390 -47,390 29) 486 3,908 -3,422 -3,422 30) 540 39,386 -38,846 -38,846 31) 13,705 5,793 7,912 7,912 32) 17,724 65,632 -47,908 -47,908 33) 25,380 11,708 13,672 13,672 34) 35,572 21,219 14,353 14,353 35) 12,488 5,265 7,223 7,223 36) 12,488 4,878 7,610 7,610 37) 19,008 16,803 2,205 2,205 38) 2,480 0 2,480 2,480 39) 19,880 11,179 8,701 8,701 40) 65 16,608 -16,543 -16,543 41) 14,720 19,941 -5,221 -5,221 42) 11,776 16,563 -4,787 -4,787 43) 11,776 20,413 -8,637 -8,637 44) 5,888 8,913 -3,025 -3,025 45) 7,832 22,038 -14,206 -14,206 46) 7,832 9,628 -1,796 -1,796 47) 29,092 36,705 -7,613 -7,613 48) 15,245 14,017 1,228 1,228 49) 19,521 23,258 -3,737 -3,737 50) 155 3,254 -3,099 -3,099 51) 160 1,870 -1,710 -1,710 52) 19,428 9,830 9,598 9,598 53) 23,913 23,081 832 832 54) 20,200 15,639 4,561 4,561 55) 17,342 16,941 401 401 56) 14,019 7,025 6,994 6 994

Total -263,729

Statement 9 Form 990-PF, Part VIII, Line 1 List of Officers, Directors, Trustees, and Key Employees

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

Name and Address Per Week Devoted sation EBP & DC Other Robert B Berry Trustee $ 0 $ 0 8 1122 Soldier Creek Rd Wolf, WY 82844

Found-Donee ation Purpose of

Name and Address Relationship Status Grant Amount American Friends Svc Comm None 990 Charitable S 10,000 1501 Cherry St Philadelphia, PA 19102

Church Farm School None 990 Charitable 5,000 P 0 Box 2000 Paoli, PA 19301

Church World Service None 990 Charitable 10 .000 P 0 Box 968 Elkhart, IN 46515

Heifer Project Internatl None 990 Charitable 10,000 P 0 Box 808 Little Rock, AR 72203

Peregrine Fund None 990 Charitable 100,000 5666 W Flying Hawk Ln Boise, ID 83709

Holt Intl Childrens Svcs None 990 Charitable 10,000 P 0 Box 2880 Eugene, OR 97402

Tandem Productions None 990 Charitable 2,000 40 S Main Sheridan, WY 82801

Oxfarm America None 990 Charitable 10,000 26 West St 4th Floor Boston, MA 02111-9986

Howard Steel Ortho Fdn None 990 Charitable 50,000 1526 Mt Pleasant Rd Villanova, PA 19085

Phila Museum of Art None 990 Charitable 25,000 Ben 7 Frnln Pkwy Box 7646 Phila, PA 19101


Archie W. & Grace Berry Foundation 23-6951678

Statement 9 (continued) Farm 990-PF, Part VIII, Line 1 List of Officers, Directors, Trustees, and Key Employees

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

Name and Address Per Week Devoted sation EBP & DC Other

1129 Windsor Rd Hestchester, PA 19380

Total T0 T-0

Statement 10 Form 990-PF, Part XV, Line 3a Recipient Paid During the Year

Federal Statements Archie W. & Grace Berry Foundation 23-6951678

Found-Donee ation Purpose of

Name and Address Relationship Status Grant Amount

Project Hope None 990 Charitable S 10,000 P 0 Box 250 Millwood, VA 22646

Phila Senior Center None 990 Charitable 20,000 509 South Broad St Phila, PA 19147

WYO Theater None 990 Charitable 10,000 P 0 Box 528 Sheridan, WY 82801

Wyoming Outdoor Cncl None 990 Charitable 10,000 262 Lincoln St Lander, WY 82520

Americares None 990 Charitable 10,000 161 Cherry St New Canaan, CT 06840

Sheridan Arts Council None 990 Charitable 5,000 P 0 Box 844 Sheridan, WY 82801

Superkids of Montgom Co None 990 Charitable 10,000 P 0 Box 1472 Blue Bell, PA 19422

World Vision None 990 Charitable 10,000 P 0 Box 9716 Federal Way, WA 98063

Raptor Center None 990 Charitable 35,000 1920 Fitch Ave St Paul, MN 55108

Wyoming Audobon None 990 Charitable 10,000 101 Garden Creek Rd Casper, WY 82601

Cornell Laboratory of Ornith None 990 Charitable 25,000 55 Brown Road Ithaca, NY 14850

Piedmont Environ Council None 990 Charitable 50,000 P 0 Box 460 Warrenton, VA 20188

Bradford Brinton Mem Mus None 990 Charitable 5,000 P 0 Box 460 Big Horn, WY 82833

Roger Tory Peterson Inst None 990 Charitable 10,000 311 Curtis St lamestoWn . NY 14701-9620

Statement 10 (continued) Form 990-PF, Part XV, Line 3a Recipient Paid During the Year

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