90 pf990s.foundationcenter.org/990pf_pdf_archive/456/... · 2017. 6. 21. · 01(1,9 t form990-pf...
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![Page 1: 90 PF990s.foundationcenter.org/990pf_pdf_archive/456/... · 2017. 6. 21. · 01(1,9 T Form990-PF (2013) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 2 P t f B l Sh ets Attached schedules](https://reader036.vdocuments.mx/reader036/viewer/2022071502/6121acced4c7c072f35edc21/html5/thumbnails/1.jpg)
01119
Form 990 PFReturn of Private Foundation OMB No 1545-0052
or Section 4947(a)(1) Trust Treated as Private Foundation
2013Department of the Treasury ► Do not enter Social Security numbers on this form as it may be made public.Internal Revenue Service ► Information about Form 990-PF and its separate instructions is at www. irs.gov/fo 990f. Open to Pubnclnspecaon
For calendar year 2013 or tax year beginning , and endingName of foundation A Employer Identification number
ALEX STERN FAMILY FOUNDATION 45-6013981Number and street ( or P 0 box number if mail is not delivered to street address ) Room/suite B Telephone number ( see instructions)
4141 28TH AVE S 701 -237-0170City or town , state or province , country , and ZIP or foreign postal code q
►FARGO ND 58104
C If exemption application is pending, check here
G Check all that apply Initial return Initial return of a former public charity D 1. Foreign organizations , check here ►
Final return Amended return 2. Foreign organizations meeting the
Address change Name change 85% test, check here and attach computation ►El
H Check type of organization Section 501(c)(3) exempt private foundation E If private foundation status was terminated under
► TiSection 4947 (a)( 1 ) nonexem pt charitable trust X Other taxable p rivate foundation section 507(b)(1)(A), check here
I Fair market value of all assets at J Accounting method [X Cash 1-1 Accrual F If the foundation is in a 60-month termination
end of year (from Part II, col (c), Other (specify) under section 507(b )(1)(B), check here ► El
line 16 ) ► $ 9 , 767 , 194 ( Part I column d must be on cash basis
Part I Analysis of Revenue and Expenses (The total of ( a) Revenue and(b ) Net investment ( c) Adjusted net
(d) Disbursementsfor charitable
amounts in columns ( b), (c), and ( d) may not necessarily equal expenses perb oks income income purposes
the amounts in column ( a) (see instructions )) o( cash basis onl y)
I Contributions , gifts, grants , etc , received (attach schedule)
2 Check ► XX if the foundation is not required to attach Sch B
3 Interest on savings and temporary cash investments 138,193 137,143
4 Dividends and interest from securities 135,769 135,769
5a Gross rents
c b Net rental income or (loss)
= 6a Net gain or ( loss) from sale of assets not on line 10 S Tom' 1 322,885
j IM Gross sales puce for all assets on line 6a 3,859,973
Capital gain net income (from Part IV , line 2) 14 , 802
78 Net short-term capital gain 0
71 Income modifications
:110a Gross sales less returns and allowances
b Less Cost of goods sold
c Gross profit or (loss) ( attach schedule)
1 J1 Other income (attach schedule ) STMT 2 12 , 357 12 , 000 357
, ,12 Total . Add lines 1 throug h 11 609,204 299,714 357
,13 Compensation of officers , directors , trustees , etc 24 , 000 4 , 800 19,200 .
y • 14 Other employee salaries and wages
cD 15 Pension plans , employee benefits
x 16a Legal fees (attach schedule)
W b Accounting fees (attach s 3 5,094 5,094
c Other professional fees (attac schedQ^C ^ 35,477 35,477
17 Interest
N 18 Taxes (attach schedule) (see TMT 5c'
o ) V) 1,060 424 636C 19 Depreciation (attach schedul
/
^ 9 2014I defi^ r
v 20 Occupancy 5,039 1,008 4, 031
21 Travel , conferences , and eetlyfg^s(^ r> C A I 1
22 Printing and publicationsvV LJG (V V _Jcc
lim 23 Other expenses (att sch ) STMT 6 3,288 578 2,410r_
24 Total operating and administrative expenses.
dAdd lines 13 through 23 73 , 958 47 , 381 0 26,277
Q- 25 Contnbuttors,gifts, grants pad 428,250 428,250
0 26 Total expenses and disbursements . Add lines 24 and 25 502,208 47,381 0 454 , 527
27 Subtract line 26 from line 12
a Excess of revenue over expenses and disbursements 106, 996
b Net investment income ( if negative , enter -0-) 252,333 1
c Adjusted net income ( if negative , enter -0- ) 357
For Paperwork Reduction Act Notice, see instructions.
DAA
Form 990-PF (2013) ^C)
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01(1,9T
Form 990-PF (2013 ) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 2
ets Attached schedules and amounts in the description columnShlP t f BBeginning of year End of year
ear a ance should be for endof-year amounts only (See instructions) (a) Book Value (b) Book Value (c) Fair Market Value
I Cash - non-interest-bearing 1,513 326 3262 Savings and temporary cash investments 248,018 172 , 765 172,7653 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 (alt schedule) ►
Less allowance for doubtful accounts ► 0
8 Inventories for sale or use
9 Prepaid expenses and deferred charges
Q 10a Investments - U S and state government obligations (attach schedule) STMT 7 2,311,011 2,139,178 2,127,512
b Investments - corporate stock (attach schedule) SEE STMT 8 4,154,050 3,761,392 4,943,112
c Investments - corporate bonds (attach schedule) SEE STMT 9 1,377,577 1,415,504 1,383,479
11 Investments - land, buildings, and equipment basis ► 1,138,429
Less accumulated depreciation (attach sch) ► STMT 10 428,429 1,138,429 1,140,00012 Investments - mortgage loans
13 Investments - other (attach schedule)
14 Land, buildings, and equipment basis ►
Less accumulated depreciation (attach sch) ►
15 Other assets (describe ►16 Total assets (to be completed by all filers - see the
17 Accounts payable and accrued expenses
18 Grants payable
aNi 19 Deferred revenue
20 Loans from officers, directors, trustees, and other disqualified persons
^_ 21 Mortgages and other notes payable (attach schedule)
22 Other liabilities (describe ►23 Total liabilities ( add lines 17 throug h 22 )
Foundations that follow SFAS 117 , check hereand complete lines 24 through 26 and lines 30 and 31.
c 24 Unrestrictedea
25 Temporarily restricted
26 Permanently restricted
Foundations that do not follow SFAS 117, check hereLL and complete lines 27 through 31.
0 27 Capital stock, trust principal, or current funds
y 28 Paid-in or capital surplus, or land, bldg , and equipment fund
29 Retained earnings, accumulated income, endowment, or other funds
30 Total net assets or fund balances (see instructions)
ZI 31 Total liabilities and net assets/fund balances (see
8,520,598
►
► LJ
8,627,5941 9,767,194
0 0
8,520,598 $,627,5948,520,598 8.627.594
8,520,5 8,627,594
Part III Analysis of Changes in Net Assets or Fund Balances1 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) 1 8,520,598
2 Enter amount from Part I, line 27a 2 106, 996
3 Other increases not included in line 2 (itemize) ► 3
4 Add lines 1, 2, and 3 4 8,627,594
5 Decreases not included in line 2 (itemize) ► 5
6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 6 8,627,594
Form 990-PF (2013)
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0189
Form 990-PF (2043) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 3Part I V Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e g , real estate,2-story brick warehouse, or common stock, 200 shs MLC Co)
(b) How acquiredP - PurchaseD - Donation
(c) Date acquired(mo , day, yr)
(d) Date sold(mo, day, yr )
1a BLACKROCK HIGH YIELD BONDb DIMENSIONAL EMERGING MARKETSc DIMENSIONAL US SMALL CAP VALUd FEDERATED INTERMEDIATE CORPe VANGUARD TOTAL BOND MARKET
(e) Gross sales price(f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(a) plus (f) minus (g)
a 1 , 891 1 , 891b 512 512c 6 , 784 6 , 784d 5 , 425 5 , 425e 190 190Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus
F M V as of 12/31/69(i)0) Adjusted basis
as of 12/31/69
(k) Excess of col (i)
over col Q), if any
col (k), but not less than -0-) or
Losses (from col (h))
a 1 , 891b 512 ,c 6 , 784d 5 , 425e 190
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 2 14 , 802
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 3
Party Qualification Under Section 4940( e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )
If section 4940(d)(2) applies, leave this part blank
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period' Yes XX No
If "Yes ," the foundation does not qualify under section 4940 (e) Do not compl ete t hi s pa rt
1 Enter the appropriate amount in each column for each year, see the instructions before making any entries
Base period yearsCalendar year (or tax year beginning in)
(b)Adjusted qualifying distributions
(c)Net value of noncharitable-use assets
Distribution ratio(col (b) divided by col (c))
2012 493 , 986 8 , 920 , 063 0.0553792011 413 , 864 8 , 977 , 871 0.0460982010 464 180 8 , 936 , 313 0.0519432009 376 903 7 , 930 , 110 0.0475282008 463 , 190 9 , 043 , 852 0.051216
2 Total of line 1, column (d) 2 0.252164
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 0 .050433
4 Enter the net value of nonchantable-use assets for 2013 from Part X, line 5 4 9 , 351 , 457
5 Multiply line 4 by line 3 5 471 , 622
6 Enter 1% of net investment income (1% of Part I, line 27b) 6 2 , 523
7 Add lines 5 and 6 7 474 , 145
8 Enter qualifying distributions from Part XI I, line 4 8 454 , 527If line 8 is equal to or greater than line 7, check the box in Part VI, line 1 b , and complete that part using a 1 % tax rate See the
Part VI Instructions
Form 990-PF (2013)
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0169
Form 990-PF (20613) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 4PartVj Excise Tax Based on investment income (Section 4940(a), 4940(b), 4940(e), or 4948 - see Instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here ► 11 and enter "N/A" on line 1
Date of ruling or determination letter (attach copy of letter if necessary-see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 11, 1 5 , 047
here ► F1 and enter 1% of Part I, line 27b
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of
Part I, line 12, col (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 2 0
3 Add lines 1 and 2 3 5 , 047
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 5 , 0476 Credits/Payments
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 2 , 440
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
7 Total credits and payments Add lines 6a through 6d 7 2 , 440
8 Enter any penalty for underpayment of estimated tax Check here n 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 2 , 607
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10
11 Enter the amount of line 10 to be Credited to 2014 estimated tax ► Refunded ► 11
Part VII-A Statements Regardin g Activities1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it Yes No
participate or intervene in any political campaign? 1a X
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see
Instructions for the definition)? lb X
If the answer is "Yes" to I a or 1 b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities
c Did the foundation file Form 1120-POL for this year? 1c X
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year
(1) On the foundation ► $ (2) On foundation managers ► $
e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers ► $
2 Has the foundation 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 foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of
incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes 3 X
4a Did the foundation have unrelated business gross income of $1,000 or more during the year? 4a X
b If "Yes," has it filed a tax return on Form 990-T for this year? N/A 4b
5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? 5 X
If 'Yes,' attach the statement required by General Instruction T
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either
• By language in the governing instrument, or
• By state legislation that effectively amends the governing instrument so that no mandatory directions that
conflict with the state law remain in the governing instrument? 6 X
7 Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col (c), and Part XV 7 X
8a Enter the states to which the foundation reports or with which it is registered (see instructions) ►ND
b If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General
(or designate) of each state as required by General Instruction G? If "No," attach explanation 8b X
9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(1)(3) or
4942(1)(5) for calendar year 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)? If "Yes,"
complete Part XIV 9 X
10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their
names and addresses 10 X
Form 990-PF (2013)
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0169
Form 990-PF (2013) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 5PartVit-A Statements Regarding Activities (continued )
11 At any time during the year, did the foundation, directly or indirectly , own a controlled entity within the
meaning of section 512(b)( 13)? If "Yes," attach schedule (see instructions) 11 X
12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified
person had advisory privileges? If "Yes ," attach statement (see instructions) 12 X
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X
Website address ► N/A
14 The books are in care of ► DONALD L. SCOTT Telephone no ► 701-237-0170
4141 28TH AVE SLocated at ► FARGO ND ZIP+4 ► 58104
15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here ► Eand enter the amount of tax-exempt interest received or accrued during the year ► 15
16 At any time during calendar year 2013, did the foundation have an interest in or a signature or other authority Yes No
over a bank , securities , or other financial account in a foreign country? 16 X
See the instructions for exceptions and filing requirements for Form TD F 90-22 1 If "Yes," enter the name of
the foreig n count ry ►PartVU-B Statements Regarding Activities for Which Form 4720 May Be Req uired
File Form 4720 if any item is checked in the "Yes" column , unless an exception applies. Yes No
1a During the year did the foundation (either directly or indirectly)
(1) Engage in the sale or exchange , or leasing of property with a disqualified person? Yes No
(2) Borrow money from , lend money to, or otherwise extend credit to (or accept it from) a
disqualified person? Yes X No
(3) Furnish goods , services , or facilities to (or accept them from) a disqualified person? Yes X No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? Yes X No
(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 No
(6) Agree to pay money or property to a government official? ( Exception. Check "No" if the
foundation agreed to make a grant to or to employ the official for a period after
termination of government service , if terminating within 90 days ) 11 Yes No
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 in a current notice regarding disaster assistance (see instructions) ? N/A lb
Organizations relying on a current notice regarding disaster assistance check here D E
c Did the foundation engage in a prior year in any of the acts described in 1 a, other than excepted acts, that
were not corrected before the first day of the tax year beginning in 2013? N/A 1 c
2 Taxes on failure to distribute income (section 4942 ) (does not apply for years the foundation was a private
operating foundation defined in section 4942 0 )(3) or 4942(j)(5))
a At the end of tax year 2013 , did the foundation have any undistributed income ( lines 6d and
6e, Part XIII) for tax year( s) beginning before 2013? Yes X No
If "Yes ," list the years ► 20 , 20 , 20 , 20
b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets ) to the year's undistributed income? ( If applying section 4942 (a)(2) to
all years listed , answer "No" and attach statement - see instructions) N/A 2b
c If the provisions of section 4942 (a)(2) are being applied to any of the years listed in 2a , list the years here
► 20 , 20 , 20 , 20
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise
at any time during the year? El Yes AX No
b If "Yes ," did it have excess business holdings in 2013 as a result of (1) any purchase by the foundation or
disqualified persons after May 26 , 1969, (2) the lapse of the 5-year period (or longer period approved by the
Commissioner under section 4943 (c)(7)) to dispose of holdings acquired by gift or bequest, or (3) the lapse of
the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720 , to determine if the
foundation had excess business holdings in 2013) N/A 3b
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a X
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable Duroose that had not been removed from ieopardv before the first day of the tax near beginninq in 2013? 4b X
Form990-PF (2013)
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0169
Form 990-PF (2013 ) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 6Part VIM Statements Regardin g Activities for Which Form 4720 May Be Required (continued )5a During the year did the foundation pay or incur any amount to.
(1) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945(e))? Yes No
(2) Influence the outcome of any specific public election (see section 4955), or to carry on,
directly or indirectly , any voter registration drive? YesH X No
U(3) 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)? (see instructions ) LI 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? Yes No
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 )? N/A 5b
Organizations relying on a current notice regarding disaster assistance check here ► fl
c If the answer is "Yes " to question 5a (4), does the foundation claim exemption from the tax
because it maintained expenditure responsibility for the grant? N/A Li Yes Li No
If "Yes," attach the statement required by Regulations section 53 4945-5(d)
6a Did the foundation , during the year , receive any funds , directly or indirectly , to pay premiums
on a personal benefit contract ? Li Yes XX No
b Did the foundation , during the year , pay premiums , directly or indirectly , on a personal benefit contract? 6b X
If "Yes " to 6b, file Form 8870
7a At any time during the tax year , was the foundation a party to a prohibited tax shelter transaction? Yes X No
b If "Yes , " did the foundation receive any p roceeds or have any net income attributable to the transaction? N/A 7b
Part Vill Information About Officers, Directors , Trustees , Foundation Managers, Highly Paid Employees,and Contractors
I List all officers . directors . trustees . foundation managers and their compensation (see instructions).
(b) Title, and average (c) Compensation (d) Contributions to
(a) Name and address hours per week ( If not paid ,employee benefit (e) Expense account,
devoted to position enter -0-) plans and deferred other allowancescompensation
DONALD L. SCOTT FARGO EXEC. DIR.
1858 34TH ST. S. # 20 ND 58103 30.00 16 , 000 0 0
DAN CAREY FARGO TRUSTEE
152 35TH AVE. NE ND 58102 1.00 4 , 000 0 0
H. MICHAEL HARDY FARGO TRUSTEE
1743 S. 9TH ST. ND 58103 1.00 4 , 000 0 0
2 Compensation of five highest-paid employees (other than those included on line 1 - see instructions). If none, enter
"NONE."
(a) Name and address of each employee paid more than $50,000
(b) Title, and average
hours per weekdevoted to position
(c) Compensation
(d) Contributions toemployee benefit
plans and deferredcompensation
(e) Expense account,
other allowances
NONE
Total number of other employees paid over $50,000 ► 0
Form 990-PF (2013)
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0169
FoT990-PF (2013) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 7
PartVill Information About Officers , Directors , Trustees, Foundation Managers , Highly Paid Employees,
and Contractors (continued)3 Five highest-paid independent contractors for professional services (see Instructions ). If none, enter "NONE."
( a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
NONE
Total number of others receiving over $50,000 for professional services 0
Part IX-A Summary of Direct Charitable Activities
List the foundation's four largest direct charitable activities during the tax year Include relevant statistical information such as the number of
organizations and other beneficiaries served, conferences convened, research papers produced, etc Expenses
1 N/A
2
3
4
Part IY.1% Snmmarv of Prnnram -Rplatpd Invastments (sPP instructinnsl
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2 Amount
I N/A
2
All other program-related investments See instructions
3
Total. Add lines 1 throu gh 3 10.
Form 990-PF (2013)
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0169
Form 990-PF (20.13) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 8Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see instructions1 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 1a 8 , 497 , 553b Average of monthly cash balances lb 211 , 312c Fair market value of all other assets (see instructions) 1c 785 , 000d Total (add lines 1a, b, and c) Id 9 , 493 , 865e Reduction claimed for blockage or other factors reported on lines 1 a and
1c (attach detailed explanation) 1e 0
2 Acquisition indebtedness applicable to line 1 assets 2 0
3 Subtract line 2 from line 1 d 3 9 , 493 , 8654 Cash deemed held for charitable activities Enter I%% of line 3 (for greater amount, see
instructions) 4 142 , 408
5 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4 5 9 , 351 , 4576 Minimum investment return. Enter 5% of line 5 6 467 , 573Part Xt Distributable Amount (see instructions) (Section 49420)(3) and 0)(5) private operating
-foundations and certain foreig n organizations check here ► 1 1 and do not complete this p art
1 Minimum investment return from Part X, line 6 1 467 , 5732a Tax on investment income for 2013 from Part VI, line 5 2a 5 047
b Income tax for 2013. (This does not include the tax from Part VI) 2b
c Add lines 2a and 2b 2c 5 , 0473 Distributable amount before adjustments Subtract line 2c from line 1 3 462 , 5264 Recoveries of amounts treated as qualifying distributions 4
5 Add lines 3 and 4 5 462 , 5266 Deduction from distributable amount (see instructions) 6
7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,
line 1 7 462 , 526
PartXLI 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 1a 454 , 527b Program-related investments - total from Part IX-B lb
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 1a through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 454 , 527 .5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income.
Enter 1 % of Part I, line 27b (see instructions) 5 0
6 Adjusted qualifying distributions. Subtract line 5 from line 4 6 454 , 527Note. The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax in those years
Form 990-PF (2013)
DAA
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0169 '
Form 990-PF (2013) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 9
PartX1iI U ndistributed Income (see instructions)
1 Distributable amount for 2013 from Part XI,
line 7
2 Undistributed income, if any, as of the end of 2013
a Enter amount for 2012 only
b Total for prior years: 20 , 20 , 20-
3 Excess distributions carryover, if any, to 2013
a From 2008
b From 2009
c From 2010
d From 2011
e From 2012
f Total of lines 3a through e
4 Qualifying distributions for 2013 from Part XII,
line4 ► $ 454,527
a Applied to 2012, but not more than line 2a
b Applied to undistributed income of prior years
(Election required - see instructions)
c Treated as distributions out of corpus (Election
required - see instructions)
d Applied to 2013 distributable amount
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2013
(If an amount appears in column (d), the same
amount must be shown in column (a) )
6 Enter the net total of each column as
indicated below:
a Corpus Add lines 3f, 4c, and 4e Subtract line 5
b Prior years' undistributed income Subtract
line 4b from line 2b
c Enter the amount of prior years' undistributed
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 for 2012 Subtract line
4a from line 2a Taxable amount - see
instructions
f Undistributed income for 2013 Subtract lines
4d and 5 from line 1. This amount must be
distributed in 2014
7 Amounts treated as distributions out of corpus
to satisfy requirements imposed by section
170(b)(1)(F) or 4942(g)(3) (see instructions)
8 Excess distributions carryover from 2008 not
applied on line 5 or line 7 (see instructions)
9 Excess distributions carryover to 2014.
Subtract lines 7 and 8 from line 6a
10 Analysis of line 9-
a Excess from 2009
b Excess from 2010
c Excess from 2011
d Excess from 2012
(a) (b) (c) (d)
Corpus Years prior to 2012 2012 2013
462,526
3,300
22,046
52,795
78,141
454,527
1 7,9991 1 1 7,999
70,142
0
70,142
17,347
52,795
Form 990-PF (2013)
DAA
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0169
ALEX STERN FAMILY FOUNDATION 45-6013981Private
Ia If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2013, enter the date of the ruling
b Check box to indicate whether the foundation is a private operating foundation described
2a Enter the lesser of the adjusted net Tax year
income from Part I or the minimum (a) 2013
investment return from Part X for
each year listed
b 85% of line 2a
c Qualifying distributions from Part XII,
line 4 for each year listed
d Amounts included in line 2c not used directly
for active conduct of exempt activities
e Qualifying distributions made directly
for active conduct of exempt activities
Subtract line 2d from line 2c
3 Complete 3a, b, or c for the
alternative test relied upon
a "Assets" alternative test - enter.
(1) Value of all assets
(2) Value of assets qualifying under
section 49420)(3)(8)(1)
b "Endowment" alternative test - enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
c "Support" alternative test - enter
(1) Total support other than gross
investment income (interest,
dividends, rents, payments onsecurities loans (section
512(a)(5)), or royalties)
(2) Support from general public
and 5 or more exempt
organizations as provided insection 49420)(3)(B)(w)
(3) Largest amount of support from
an exempt organization
2012
-A , q uestion 9
Po.n section n 4942(j)(3) or IPrior 3 years
(c) 2011 ( d) 2010(a) Total
PartXV Supplementary Information (Complete this part only if the foundation had $5 ,000 or more in assets atany time during the year - see instructions.)
1 Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any 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
NONE2 Information Regarding Contribution , Grant, Gift, Loan, Scholarship , etc., Programs:
Check here ► [ ] if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds If the foundation 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 or e-mail address of the person to whom applications should be addressed
DONALD SCOTT 701-237-0170
4141 28TH AVE S FARGO ND 58104b The form in which applications should be submitted and information and materials they should include
SEE ATTACHED SCHEDULE
c Any submission deadlines
MARCH 31 AND AUGUST 31
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors
FARGO MOORHEAD AREA ACTIVITIES
OAA Form 990-PF (2013)
10
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0169
Form 990-PF (2013) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 11PartXV Supplementary Information (continued)
3 Grants and Contributions Paid Durina the Year or ADoroved for Future Payment
RecipientIf recipient is an individual,
show any relationship toFoundation
Purpose of grant or
foundation manaan erstatuss of5tatu
contributionamount
Name and address ( home or business )y g
or substantialnt
a Paid during the year
SEE STATEMENT 11
428,250
Total ► 3a 428 , 250
b Approved for future payment
N/A
Total ► 3b
OAA Form 990-PF (2013)
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0169
Form 990-PF (20.13) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 12PartXVI-A Analysis of Income-Producin Activities
Enter gross amounts unless otherwise indicated Unrelated business income Excluded by section 512, 513, or 514
Program service revenue
(a)Business code
(b)Amount
(c)Exclusion
(d )
Amount
( e)
Related or exempt
function income
(See instructions )
a 14b
c
d
e
f
g Fees and contracts from government agencies
2 Membership dues and assessments
3 Interest on savings and temporary cash investments 14 138,193
4 Dividends and interest from securities 14 135,769
5 Net rental income or (loss) from real estate
a Debt-financed property
b Not debt-financed property
6 Net rental income or (loss) from personal property
7 Other investment income 16 12 , 000
8 Gain or (loss) from sales of assets other than inventory 14 14 , 802 308 , 083
9 Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory
11 Other revenue a
EXCISE TAX REFUNDb 1 357-c
d
e12 Subtotal Add columns (b), (d), and (e) 0 301, 121 308,083
13 Total. Add line 12, columns (b), (d), and (e) 13 609,204
(See worksheet in line 13 instructions to verify calculations )
Part.XVE_B Relationshi p of Activities to the Accomplishment of Exempt PurposesLine No.
V
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the
accomplishment of the foundation's exempt p urposes (other than by providing funds for such pu rposes) (See instructions
N/A
Form 990-PF (2013)
DAA
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0169
Form 990-PF (2013) ALEX STERN FAMILY FOUNDATION 45-6013981 Page 13PartXVtI Information Regarding Transfers To and Transactions and Relationships With Noncharitable
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?
Transfers from the reporting foundation to a nonchantable exempt organization of
(1) Cash
(2) Other assets
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 foundation If the foundation received less than fair market
value in any transaction or shanno arrangement, show in column (d) the value of the goods, other assets, or services receivec
No
XX
XXXXXXX
(a) Line no (b) Amount involved (c) Name of nonchantable exempt organization (d) Description of transfers, transactions, and sharing arrangements
N/A
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501 (c)(3)) or in section 527? F1 Yes [X No
b If "Yes ," complete the following schedule
(a) Name of organization (b) Type of organization (c) Description of relationship
N/A
Under penalties of penury, I declare that I have examined this return, including accomoanwna schedules and statements. and to the best of my knowledge and belief. it is true.correct, and complete Declaration of preparer (other than taxpayer) is based on all inf
SignHere
tt f ff tS icer or rusigna ure o o ee
Print/Type preparers name P pa
PaidDARLYS ANDERSON
PreparerFirm's name ► DARLYS ANDERSON , LTD
Use OnlyFirm's address ► 1220 MAIN AVE STE 20 5,
FARGO , ND 58108-260 3
DAA
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 1 - Form 990 -PF, Part I, Line 6a - Sale of Assets
HowDescription Received
Whom Date Date SaleSold Acquired Sold Price Cost
AGL CAPITAL CORPORATI ON PURCHASE
VARIOUS 4/15/13 $ 10,000 $ 9,570 $AT & T INC PURCHASE
VARIOUS VARIOUS 22,158 20,964ABBOTT LABORATORIES PURCHASE
VARIOUS VARIOUS 19,692 16,109ABBVIE INC PURCHASE
VARIOUS 4/12/13 51,248 32,171APACHE CORPORATION PURCHASE
VARIOUS VARIOUS 17,680 21,618APPLE COMPUTERS PURCHASE
VARIOUS VARIOUS 30,159 12,916BHP BILLITON FINANCE 6.75% PURCHASE
11/01/13 20,000 20,094BAKER HUGHES INC COMMON STK PURCHASE
1/17/13 20,622 21,735BECTON DICKINSON & CO PURCHASE
10/15/13 4,359 3,286BERKSHIRE HATHAWAY B PURCHASE
VARIOUS VARIOUS 24,695 16,805BLACKROCK INC PURCHASE
VARIOUS VARIOUS 10,775 7,293BROADCOM CORPORATION PURCHASE
VARIOUS VARIOUS 6,011 7,974CME GROUP PURCHASE
10/15/13 3,677 3,320CVS CORP PURCHASE
VARIOUS VARIOUS 12,878 8,471CARDINAL HEALTH PURCHASE
VARIOUS VARIOUS 26,571 25,031CHEVRONTEXACO CORP PURCHASE
VARIOUS VARIOUS 13,568 11,586CISCO SYSTEMS PURCHASE
VARIOUS VARIOUS 28,905 20,953
Expense DepreciationNet
Gain / Loss
430
1,194
3,583
19, 077
-3, 938
17,243
-94
-1, 113
1,073
7,890
3, 482
-1, 963
357
4,407
1,540
1,982
7,952
1
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 1 - Form 990-PF, Part I , Line 6a - Sale of Assets (continued)
HowDescription Received
Whom Date Date SaleSold Acquired Sold Price Cost
CITIGROUP INC 6% PURCHASE12/13/13 $ 70,000 $ 73,804 $
CITIGROUP CAPITAL VIII PREFERRED PURCHASE4/17/13 37,500 37,535
COACH INC PURCHASE9/11/13 22,071 22,470
COCA COLA COMPANY PURCHASE12/24/13 5,566 5,145
COGNIZANT TECH SOLUTIONS CORP PURCHASEVARIOUS VARIOUS 22,920 21,912
COHEN & STEERS INSTITUTIONAL PURCHASE3/04/13 58,154 45,540
COLGATE PALMOLIVE CO PURCHASE3/12/13 22,632 17,001
COMCAST CORP PURCHASE10/15/13 2,353 1,547
COMMONWEALTH EDISON PURCHASE7/01/13 15,000 15,312
CONSOLIDATED EDISON INC PURCHASE9/10/13 5,405 5,474
CORP BACKED TRUST CERTS PURCHASE1/11/13 35,625 35,625
DIMENSIONAL US SMALL CAP VALUE PURCHASEVARIOUS VARIOUS 41,635 33,535
DANAHER CORPORATION PURCHASE10/15/13 3,959 3,777
DIMENSIONAL DFA WORLD EX CORE PURCHASE8/21/13 44,000 43,602
DIMENSIONAL INTERNATIONAL VAULE PURCHASEVARIOUS VARIOUS 39,800 37,489
WALT DISNEY COMPANY PURCHASEVARIOUS VARIOUS 20,447 9,439
DUPONT E I DE NEMOURS & CO PURCHASEVARIOUS VARIOUS 12,708 11,351
Expense DepreciationNet
Gain / Loss
-3, 804
-35
-399
421
1,008
12, 614
5,631
806
-312
-69
8,100
182
398
2,311
11,008
1,357
1
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 1 - Form 990 -PF, Part I , Line 6a - Sale of Assets (continued)
HowDescription Received
Whom Date Date SaleSold Acquired Sold Price Cost
DUKE ENERGY CORPORATI ON PURCHASE
9/10/13 $ 12,040 $ 11,859 $EMC CORPORATION PURCHASE
12/30/13 10,995 10,165EMERSON ELECTRIC COMPANY PURCHASE
6/21/13 30,535 25,701EXPRESS SCRIPTS HLDG CO PURCHASE
8/23/13 12,683 10,418EXXON MOBIL CORP COM PURCHASE
VARIOUS VARIOUS 44,570 37,973FEDERAL HOME LOAN MTG CORP PURCHASE
VARIOUS VARIOUS 17,337 17,786
FEDERAL HOME LOAN MTG CORP PURCHASEVARIOUS VARIOUS 10,513 11,052
FEDERAL NATL MORTGAGE PURCHASEVARIOUS VARIOUS 8,396 8,887
FEDERAL NATL MORTGAGE PURCHASEVARIOUS VARIOUS 65,262 69,606
FEDERAL NATL MORTGAGE PURCHASEVARIOUS VARIOUS 57,446 61,198
FEDERAL HOME LOAN MORTGAGE PURCHASEVARIOUS VARIOUS 41,001 43,448
FEDERAL HOME LOAN MORTGAGE PURCHASEVARIOUS VARIOUS 23,143 24,676
FEDERAL NATL MORTGAGE PURCHASEVARIOUS VARIOUS 15,190 15,463
FEDERAL NATL MORGAGE PURCHASEVARIOUS VARIOUS 47,440 32,882
FEDERAL NATL MORTGAGE ASSN POOL PURCHASEVARIOUS VARIOUS 40,504 41,594
FEDERATED ULTRASHORT BOND FUND PURCHASEVARIOUS VARIOUS 345,219 346,418
F5 NETWORKS INC PURCHASEVARIOUS VARIOUS 10,195 10,837
Expense Depreciation
$
NetGain / Loss
$ 181
830
4,834
2,265
6, 597
-449
-539
-491
-4,344
-3, 752
-2,447
-1,533
-273
14, 558
-1,090
-1,199
-642
1
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement I - Form 990-PF, Part I, Line 6a - Sale of Assets (continued)
HowDescription Received
Whom Date Date SaleSold Acquired Sold Price Cost
FIDELITY ADVISOR INTL PURCHASE
VARIOUS VARIOUS $ 26,000 $ 21,508 $
GENERAL ELECTRIC CO PURCHASE
VARIOUS VARIOUS 32,237 22,097GENERAL MILLS INC PURCHASE
3/12/13 16,052 12,996GOOGLE INC PURCHASE
VARIOUS VARIOUS 16,803 11,526
GOVERNMENT NATL MORTGAGE PURCHASE12/18/13 714 707
HALLIBURTON COMPANY PURCHASE10/15/13 2,917 1,851
HARSCO CORP PURCHASE9/16/13 15,000 15,494
HONEYWELL INTL INC COM PURCHASE12/24/13 11,946 7,827
INTEL CORPORATION PURCHASEVARIOUS VARIOUS 39,961 40,822
ISHARES NASDAQ BIOTECH PURCHASEVARIOUS VARIOUS 23,712 17,656
JP MORGAN CHASE PREFERRED STOCK PURCHASE5/09/13 32,500 32,305
JP MORGAN CHASE & CO PURCHASE
VARIOUS VARIOUS 26,378 20,864
CMO JP MORGAN CHASE PURCHASEVARIOUS VARIOUS 73,419 70,368
JOHNSON & JOHNSON PURCHASEVARIOUS VARIOUS 35,178 26,560
LB-UBS COMMERCIAL MORTGAGE TR PURCHASEVARIOUS VARIOUS 77,543 76,017
MCDONALDS CORP COM PURCHASEVARIOUS VARIOUS 16,998 14,643
MICROSOFT CORPORATION PURCHASEVARIOUS VARIOUS 65,855 56,899
Expense DepreciationNet
Gain / Loss
4,492
10, 140
3,056
5, 277
7
1,066
-494
4,119
-861
6, 056
195
5,514
3,051
8,618
1,526
2,355
8,956
1
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement I - Form 990 -PF, Part I , Line 6a - Sale of Assets (continued)
HowDescription Receive
Whom Date Date SaleSold Acquired Sold Price
MONDELEZ INTL INC PURCHASE
VARIOUS VARIOUS $ 20,338 $
MONSANTO COMPANY PURCHASE10/15/13 1,768
NATIONAL OILWELL VARCO PURCHASE
VARIOUS VARIOUS 10,453
NIKE INC PURCHASE1/23/13 9,119
ORACLE CORPORATOIN PURCHASE
8/23/13 19,417PEPSICO INC PURCHASE
VARIOUS VARIOUS 24,885PFIZER INC PURCHASE
12/24/13 5,605PHILIP MORRIS PURCHASE
VARIOUS VARIOUS 29,445PIMCO MORTGAGE OPPORTUNITIES PURCHASE
10/23/13 56,196PRAXAIR INC PURCHASE
VARIOUS VARIOUS 4,754PRICELINE COM INC PURCHASE
5/13/13 18,271PROCTER & GAMBLE CO PURCHASE
10/15/13 9,849PRUDENTIAL FINANCIAL INC PURCHASE
VARIOUS VARIOUS 31,515QUALCOMM CORP PURCHASE
8/23/13 11,085ROYAL BANK CANADA PURCHASE
9/10/13 4,498ROYAL DUTCH SHELL PURCHASE
VARIOUS VARIOUS 5,668GUGGENHEIM RUSSELL PURCHASE
6/10/13 263,644
Cost
14,784 $
1, 424
6,791
7,080
11,567
20,535
5, 359
19, 813
56,836
4,295
15,333
7,030
23,511
10,986
3,926
5,747
233, 642
Expense DepreciationNet
Gain / Loss
5, 554
344
3, 662
2,039
7,850
4,350
246
9, 632
-640
459
2,938
2,819
8,004
99
572
-79
30,002
1
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement I - Form 990-PF, Part I, Line 6a - Sale of Assets (continued)
HowDescription Received
Whom Date Date SaleSold Acquired Sold Price Cost
SPDR TR UNIT SER 1 PURCHASE7/03/13 $ 124,535 $ 125,309 $
MFC SPDR GOLD TRUST PURCHASE5/15/13 45,317 53,800
SCHLUMBERGER LIMITED PURCHASE8/23/13 7,850 7,227
SELECT SECTOR SPDR TR UTILITIES PURCHASEVARIOUS VARIOUS 40,357 37,790
SOUTHERN COMPANY PURCHASE9/10/13 10,694 11,333
STARWOOD HOTELS & RESORTS PURCHASEVARIOUS VARIOUS 29,943 30,312
TIME WARNER CABLE INC PURCHASE9/03/13 18,897 14,617
US BANCAORP DEL PURCHASEVARIOUS VARIOUS 4,958 5,107
US TREASURY BOND PURCHASEVARIOUS VARIOUS 76,522 75,398
US TREASURY BOND PURCHASE10/11/13 73,658 93,606
US TREASURY NOTE PURCHASE10/11/13 21,263 21,244
UNITED TECHNOLOGIES CORP PURCHASEVARIOUS VARIOUS 12,952 8,795
UNITED HEALTH GROUP INC PURCHASEVARIOUS VARIOUS 17,511 13,405
VANGUARD FUND PURCHASE6/10/13 291,647 264,903
VANGUARD SMALL CAP GROWTH PURCHASEVARIOUS VARIOUS 15,350 12,285
VANGUARD TOTAL BOND MARKET PURCHASE1/15/13 61,501 62,352
VANGUARD TOTAL BOND MARKET PURCHASE1/15/13 30,585 30,340
Expense DepreciationNet
Gain / Loss
-774
-8,483
623
2,567
-639
-369
4,280
-149
1,124
-19, 948
19
4, 157
4,106
26,744
3,065
-851
245
1
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 1 - Form 990-PF, Part I , Line 6a - Sale of Assets (continued)
HowDescription Received
Whom Date Date SaleSold Acquired Sold Price Cost
VANGUARD INTERM TERM TREAS PURCHASE
VARIOUS VARIOUS $ 119,554 $ 125,000 $
VANGUARD REIT ETF PURCHASE
VARIOUS VARIOUS 33,112 34,412
VANGUARD SMALL CAP GROWTH INDEX PURCHASE4/03/13 9,700 8,629
VERIZON COMMUNICATOIN S PURCHASE8/23/13 5,803 4,484
VISA INC PURCHASE1/14/13 10,465 6,055
WALMART STORES INC PURCHASEVARIOUS VARIOUS 39,934 28,588
WELLS FARGO & COMPANY PURCHASEVARIOUS VARIOUS 49,505 33,693
ZIONS CAPITAL TRUST B PREFERRED PURCHASE5/06/13 37,500 37,500
COVIDIEN PLC PURCHASEVARIOUS VARIOUS 14,157 11,311
EATON CORP PURCHASEVARIOUS VARIOUS 24,842 18,792
MALLINCKRODT PURCHASEVARIOUS VARIOUS 2,094 1,585
TOTAL $ 3,845,171 $ 3,537,088 $
Expense Depreciation
0 $
NetGain / Loss
-5,446
-1,300
1,071
1,319
4,410
11,346
15,812
2,846
6, 050
509
0 $ 308,083
1
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 2 - Form 990-PF, Part I, Line 11 - Other Income
LAND RENTSEXCISE TAX
TOTAL
EFUND
Description$
$
Revenue perBooks
12,000357
12,357
Net InvestmentIncome
$ 12,000
$ 12,000
Adjusted NetIncome
$357
$ 357
Statement 3 - Form 990-PF, Part I, Line 16b - Accounting Fees
Net Adjusted CharitableDescription Total Investment Net Purpose
TAX PREP & ACCOUNTING $ 3,670 $ 3,670 $ $
ATTORNEY FEES 1,424 1,424
TOTAL $ 5,094 $ 5,094 $ 0 $ 0
Statement 4 - Form 990 -PF, Part I , Line 16c - Other Professional Fees
Net Adjusted CharitableDescription Total Investment Net Purpose
FIDUCIARY FEES $ 35,477 $ 35,477 $ $
TOTAL $ 35,477 $ 35,477 $ 0 $ 0
DescriptionPAYROLL TAXESEXCISE TAXES
TOTAL
Statement 5 - Form 990 -PF, Part I , Line 18 - Taxes
Net AdjustedTotal Investment Net
$ 1,060 $
$ 1,060 $
424 $
424 $
CharitablePurpose
$ 636
0 $ 636
2-5
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 6 - Form 990-PF, Part I , Line 23 - Other Expenses
Net AdjustedDescription Total Investment Net
$EXPENSES
OFFICE SUPPLIES, ETC
INSURANCE
TOTAL
2,888400
$ 3,288
Charitable_ Purpose
$
2,310100
0 $ 2,410
Statement 7 - Form 990-PF, Part II, Line 10a - US and State Government Investments
Beginning End of Basis ofDescription of Year Year Valuation
US GOVERNMENT AGENCIES $ 2,311,011 $ 2,139,178 COST
TOTAL $ 2,311,011 $ 2,139,178
Statement 8 - Form 990 -PF, Part II, Line 10b - Corporate Stock Investments
Beginning End of Basis ofDescription of Year Year Valuation
CORPORATE SECURITIES
TOTAL
$ $
578
$ 578 $
Fair MarketValue
$ 2,127,512
$ 2,127,512
Fair MarketValue
$ 4,154,050 $ 3,761,392 COST $ 4,943,112
$ 4,154,050 $ 3,761,392 $ 4,943,112
Statement 9 - Form 990 -PF, Part II, Line 10c - Corporate Bond Investments
Beginning End of Basis ofDescription of Year Year Valuation
CORPORATE BONDS $ 1,377,577 $ 1,415,504 COST
TOTAL $ 1,377,577 $ 1,415,504
Fair MarketValue
$ 1,383,479
$ 1,383,479
6-9
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 10 - Form 990-PF. Part II, Line 11 - Land, Building, and Equipment Investments
Beginning End End AccumulatedDescription Net Book Cost / Basis Depreciation
LAND $ 428,429 $ 1,138,429 $
TOTAL $ 428,429 $ 1,138,429 $ 0
NetFMV
$ 1,140,000
$ 1,140,000
10
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0169 ALEX STERN FAMILY FOUNDATION45-6013981 Federal StatementsFYE:' 12/31 /2013
Form 990-PF, Part XV, Line Ia - Managers Who Contributed Over 2% or $5,000
Name of ManagerNONE $
TOTAL $
Amount
0
Form 990-PF, Part XV, Line 1 b - Managers Who Own 10% or More Stock
NONE
TOTAL
Name of Manager Amount
$$ 0
Form 990-PF, Part XV, Line 2b - Application Format and Required Contents
DescriptionSEE ATTACHED SCHEDULE
Form 990-PF, Part XV, Line 2c - Submission Deadlines
DescriptionMARCH 31 AND AUGUST 31
Form 990-PF, Part XV, Line 2d - Award Restrictions or Limitations
Description
FARGO MOORHEAD AREA ACTIVITIES
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 11 - Form 990-PF, Part XV, Line 3a - Grants and Contributions Paid During theYear
Name Address
Address Relationship Status Purpose AmountCHARISM
FARGO ND 58102 NONE PUBLIC LIVING, LEARNING, & LEADING PROJECT 5,000
FM CHAMBER CHORALEFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 1,000
FM OPERAFARGO ND 58102 NONE PUBLIC GENERAL OPERATING 10,000
FRASER LTDFARGO ND 58103 NONE PUBLIC SKILLS ENHANCEMENT PROGRAM 10,000
GOOSEBERRY PARK PLAYERSMOORHEAD MN 56560 NONE PUBLIC GENERAL OPERATING SUPPORT 2,500
ND STATE SCHOOL OF SCIENCWAHPETON ND 58075 NONE PUBLIC SCHOLARSHIPS 7,500
YWCAFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 10,000
TNT KIDS FITNESS GYM.FARGO ND 58102 NONE PUBLIC CAPITAL CAMPAIGN 25,535
IMPACT FOUNDATIONFARGO ND 58104 NONE PUBLIC GENERAL OPERATING SUPPORT 30,000
JUNIOR ACHIEVEMENTFARGO ND 58102 NONE PUBLIC ELEMENTARY CLASSROOM PROJECT 1,000
MOORHEAD COMMUNITY COLLEGE FOUNDATIMOORHEAD MN 56560 NONE PUBLIC SCHOLARSHIP 7,500
FM SYMPHONYFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 10,000
HOSPICE OF THE RED RIVER VALLEYFARGO ND 58103 NONE PUBLIC COMMUNITY EDUCATION & OUTREACH 5,000
RED RIVER ZOOLOGICAL SOCI ETYFARGO ND 58103 NONE PUBLIC GENERAL OPERATING SUPPORT 10,000
RR REGIONAL MARKSMANSHIP CENTERWEST FARGO ND 58078 NONE PUBLIC CAPITAL CAMPAIGN 7,500
CONCORDIA COLLEGEMOORHEAD MN 56560 NONE PUBLIC SCHOLARSHIPS 7,500
DAILY BREADFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 10,000
11
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 11 - Form 990 -PF, Part XV, Line 3a - Grants and Contributions Paid During theYear (continued)
Name Address
Address Relationship Status Purpose
LEND A HAND (DMF)FARGO ND 58104 NONE PUBLIC GENERAL OPERATING SUPPORT
MAYVILLE STATE UNIVERSITYMAYVILLE ND 58257 NONE PUBLIC SCHOLARSHIPS
NOKOMIS CHILD CARE CENTERFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT
FM COMMUNITY THEATREFARGO ND 58102 NONE PUBLIC LIGHTING UPGRADE
SPECIAL OLYMPICSFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT
YMCAFARGO ND 58102 NONE PUBLIC CAMP SCHOLARSHIPS
ELKS CAMP GRASSICKFARGO ND 58102 NONE PUBLIC CAMP SCHOLARSHIPS
CASS COUNTY HISTORICAL SOCIETYWEST FARGO ND 58078 NONE PUBLIC GENERAL OPERATING SUPPORT
PLEASANT TOWNSHIPFARGO ND 58103 NONE PUBLIC PLAYGROUND EQUIPMENT
DOROTHY DAY HOUSEFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT
EMERGENCY FOOD PANTRYFARGO ND 58102 NONE PUBLIC AUTOMATED EXTERNAL DEFIBRILLATOR
FM AREA YOUTH SYMPHONIESFARGO ND 58102 NONE PUBLCI GENERAL OPERATING SUPPORT
FARGO PARK DISTRICTFARGO ND 58102 NONE PUBLIC CLASSIC MUSIC FESTIVAL
FARGO PUBLIC SCHOOLS DEVLP FOUNDFARGO ND 58102 NONE PUBLIC GOT MILK PROJECT FOR LOW INCOME
FIRST LINKFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT
HANDIWHEELS TRANSPORTATIONFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT
JAMESTOWN COLLEGEJAMESTOWN ND 58401 NONE PUBLIC SCHOLARSHIPS
Amount
5,000
7,500
10,105
5, 000
5, 000
10,000
5,000
5,000
2,500
10,000
1,575
3, 500
1,750
7,500
5,000
15,000
7,500
11
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
- Form 990-PF. Part XV. Line 3a -
Name Address
Address Relationship Status Purpose Amount
KAMP KACEFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 10,000
LEARNING BANKFARGO ND 58102 NONE PUBLIC FINE ART SERIES PROJECT 2,500
ND 4-H FOUNDATIONFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 3,500
ND SCOTTISH RITE CHILDHOOD LANGUAGE
FARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 2,500
ARTS PARTNERSHIPFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 2,000
RAPE & ABUSE CRISIS CENTERFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 5,000
RED RIVER BOYS CHOIRFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 2,500
RED RIVER VALLEY DENTAL ACCESSFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 4,000
COMMUNITY OF CAREFARGO ND 58102 NONE PUBLIC GENERAL OPERATING SUPPORT 4,000
VALLEY CITY STATE UNIVERSITYVALLEY CITY ND 58072 NONE PUBLIC SCHOLARSHIPS 7,500
VILLAGE BIG BROTHER/BIG SISTERFARGO ND 58102 NONE PUBLIC TRAIN MENTORS 10,000
BOYS & GIRLS CLUB OF RRVFARGO ND 58102 NONE PUBLIC RECREATI ON ROOM EQUIPMENT 2,785
SHAREHOUSEFARGO ND 58102 NONE PUBLIC REPLACE FURNITURE 5,000
VENTURE YOUTH ALLIANCEFARGO ND 58102 NONE PUBLIC YOUTH COMPASS MAPPING PROJECT 5,000
DAKOTA MEDICAL FOUNDATION
FARGO ND 58104 NONE PUBLIC CAPITAL CAMPAIGN 75,000
BLUE STEM PERFORMING CENTERMOORHEAD MN 56560 NONE PUBLIC GENERAL OPERATING 20,000
11
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0169 ALEX STERN FAMILY FOUNDATION
45-6013981 Federal StatementsFYE: 12/31/2013
Statement 11 - Form 990-PF, Part XV, Line 3a - Grants and Contributions Paid During theYear (continued)
Name Address
Address Relationship Status Purpose Amount
TOTAL 428,250
11
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Iti-I -' 7 1.: "I F;:'G(1-LfW 701-271 - 0402 T -22c: PSG!' (^li'' F-761
;X STERN FAMILY FOUND- SON
COMMON GRANT APPLICATION FORM
COVER SHEET(You may i eproduce this form on your oompatcr)
ORGANIZATION INFORA ATION:
/-egad Nome ofOrgi1d.?(1tiort
Date of Application:
Address
Ci i y/SYotr/ZIp Telephone PAY
Individuals Responsible:
Rojme of(op paid Siaff Title Direct dial Phone #
Contact Persar (ij dfferetu jronr top paid strf/ 7ltle Direct dial Phone N
E-mall address ofewliac•l person
Organization Description: (2-3 serzrenees)
Is your oiganizaf ion an IRS 501(c)(3) not-for-profit? Yes NoIf no, is your, organization a public agency/unit of governmcnt or religious institution: Yes NoIf no, name of fiscal agent ( fiscal sponsor)
AMOUNT & TYPE OF SUPPORT REOTJESTED:The dollar amount being requested: $
Funds are being requested for (make sure the fihnder provides the type of support you aie requesting, then check the appropriate line)_ general operating support capital Other:
1^1'oject support endowment__stai t- up costs technical assistance
If --J ptojecl , g ive project dur l:on• Month__-__ Year to Month YearIf operating support , fiscal year: Month Year to Month Year
BUDGET:Total annual organization budget. $Tootal project budget (for support other than geiier'al operating): $
PROPOSAL SUMMARY: I(-l'operutnrg yrstart - upsteppoit elar,ed to I/rc otgaJIJaatton Ifpiojcc1 and othersrrpport, relo(elo the project)
Project nanie (if applying for piojcct support):PIC,I)c g'ye t: 2•3 $Cntcncc s,.lmn17ry oath:: request:
Ucog,aphic area served:
Population served.
AUTHORIZATION:Ivan, of (,ppsid staff and/or !:IIIr1I Chair (ty)e):
:i.;l,^tilur
P.gi I of 3
041 -1 412007 11 I: 1i9. 5(, 1 '! (IR NO Ii.3Y;'
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-II
ALEX STERN TAMri,Y FO[INUATTON
GRANT AI'PTJJCATI ON 7;ORM
PROPOSAL MkKRATn*P,:11(cme nrundc I(tc mUc.*up mf mmn,an in rrmatin; foil to this Indic Ft•r to scren tegcs of leas is to -itlnindeal rrdo.lnro>,nst.hnnacc Be lure ti imluJca _avn tcttet, wlueh iartcifn n yourorrnntra&i3od rat, nl.
A. Oll0.1M7Xf(0i\-11 INPORM.ii U)i!
I Bc f suanntrr of o aurstion htrl^ url'.11txt sunnun cf c usz an,m tnurton earl gall t-• 2
3 I)CCt f (I nil Of cnrmur Fingrsun . aclimeq, Serf t n torn. iatlElKo`lll^aillNt() ItlluttelllC.
1 '(nor ayin.7n iirxt c o iatirt,shtp rvttlt utbrr utwuritlrna a,•attn;: to mcec iix lath: ncoin or pcnvtdlnp In hr
mnizes PI, ntr rr ius how 5uu diffro from llt^.le oil iii n,°,crten.
5 Motto of Low tuemhna, full rink pad s3d1•, patr•timiatn7 and vohut(cats.
6, Ctiort rl,C fn,•tiuo unai for delivrly ofearnen Lutd)l oiler adJnesns wlxtoyou'n.,i3 uvidr-scn•iccs
D. PURPO OF CRM,,'r
• 1 ticrtran: ,•v • apromnml', pto ietw, ante, neelk and dx crmumuuty-timtl rte l.,ntpoual addrrsra tiroC'7 dx,c scn•tax rnmrtly avmlabk lhrt ac sinnht to tbi r pttlpocnl7.J, , Hntrmta 11111 fmtn detetmined^ 14na anrcrl x+ccns^m conrinctecli
• Win w,, m.,±tvcd m that dccui,n-cmkiog pcC.uui
SpcdCcaehvltiat
t-- SNYlftr wio i . hn rrhIdt you wk timdinw
fit N to is t rev out iltnseachvitrs? (ft nsdivkhr th ore; ljmuwo, c(eeliuUe quA6entioua)
YERIC nveril) ^otO
`t J ypr; ilu. tbiran ei at voyn naim;h N7a mill Intel the tint(s)
• Acuuo+ thta „ill r,-l ji ,ti h your uhlau,cx
• lime hanoi m which id t L 'cull take plax
3. (mpnLt at xu,•ukv
• don• the pronurd aan•tucs will j%=fir tic eem a muy ht Mturh they will =tr. brm4 nu clenray, you ran
ah.oc tint (,aru xt ;t>., e}pcet: to Ita11:
• 1.aag•tcnnnu,tep^cs(if;tfp1xal>k)lnt•svsnint thater7ort
I ('. R'ALULVTiM`I I Hoer cull you tniaun r the vCf cuscneq cf yrou, octj it ^
1. Tau cnlrni Itncxm,gI-;e. .f plavthlc) ox s nucc<asfnl ptonu nnsand the irmhs yon to hire arhinvt{ by -II dsrninl•ihc4n.ln>bioas ! • -
J Wa+ ell hr inmh ed m, ,aluntittb t1,u nvrl (staff, bjarti, cnuWlhr ntr, community, cnatultuttr111 tt^wvdla.tluatmm)r,o^d^
U-
,Cr(M RNTS-
I )'manures
' • 1'tnan. nil rat hn',n 60.t• yuy moa rntirrly cnmPlettJ Iis, ai 1¢hr, v,lutlrc nodded tx tunuttldcd.mot' Ila e i m,14e f, ^,m navt fSud f,er ( are ottxhed fatml
• h6ue rc^e nt UtFon a90 , tf pphcahk_, • Lit aetna it.a,l•:ujlcsnt Und fuisjUtlartooc tint y uJ ire 5nlc.iuIrCm for fltndS, wi h,lollx nm•nmte. ,n,txihug
whxlt^aration• c imnuir : d, p,-o in In anhiCt oted.1 1 Oiler Sopporilac )+lntaitic
Lt4 nfb-mi nh,xIxvs • t,ttt (hen n(Cihatianc
r•, ua+pef n^,^1F ; k^^rt s+ a n(kcp Sn1T, toludirp qualnil5uxu teltnanl to ft cnenlie mlucst• 4unpyuCyro r .JointfkSJctannmatim , Iruer ( of 9nmmeal ,Ltaot•;),txrIMunVtax-rumprsutn.
7-1
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ALEX STERN FAMILY FOUNDATION FORM2JO Ef (Yo, niayrn,.r .1neoIllstame on you conilxrWr)
I( du rkeurry Ixr:cvm amrir iron ana ai fci kudgets that coat iii Ls in tnni uin {dear nfeel 1:t p it qttm9 Urn h tr& a f;nlaIJ nnrs _
Clunk wh^:C a sIis4(s} +ra ry:>v hd (k)uui:alron LMWget amjrct Our111e1 - -
9rmC•t fn'd•e ILrtYt
i IFFCOI E O PE1tSE
Sarrca 1nm ,rnt Itom Amount rb RIPT
Supports kylz3a^ramPorTrtje'&
•' ' C.^•emnaXylranls ` auJ3exs b is dunn by
^_- f. rrlnlr is I mdnIc t po iIron and
Frduu1(dro and to h1 a nl Gna
Carr r 4crn ^_ ^'11rltrt IMn y or ralu:r
Mdeii1611 cc rn u'g ss
'narotlual cvnDLucorts
undrabbr "IV,
!. preduetu Subtotal
1.tnrrerNpineurn u Inarancebpxei rand
ai- uxl w r nr( olher related lards
CmSUllanle S ^' 3 PlohSSkxrali
r
-• Revenue
1--- [lined Inmm; 1 ravel
3
CYfsr r '3 (Ina7rn) (655
u.. rn. ax,vu ; xr>S ny1t O .tpen%31
• Pago 1'113