the helen coburn meier and tim meier charitable foundation for the arts

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  • 8/9/2019 The Helen Coburn Meier and Tim Meier Charitable Foundation for the Arts.

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  • 8/9/2019 The Helen Coburn Meier and Tim Meier Charitable Foundation for the Arts.

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    Form 990 PF 2013) Panes

    At ta c h e d s c h e du l es a n d a m o u n t s i n th e d e s c r i p t i o n co l u m n Be g in n in g o f ye a r End o f y e a rBalance Sheets s hou ld b e f o r e nd -of - e ar a m o u n t s o n l Se e i n s t r u c t i o n s B k V b B k V F M k V y a ) oo a ue oo a ue c ) ai r ar e t a ue

    1 Cash non interest bearing 109,170 69, 597 69,597

    2 S a v i n g s a n d t e mp or a ry c a s h i n v e s t m e n t s

    3 Accounts r ece iv ab le

    L e s s a l l o w a n c e f o r do u b t fu l a c c o u n t s O i l

    4 P l e d g e s r ece iv ab le

    L es s a ll owa nc e f o r do u b t fu l a c c o u n t s O i l

    5 G r a n t s r e c e i v a b l e

    6 Re c e i va b l e s d u e f rom o f f i c e r s , direc tors , t r u s tees , a n d o th e r

    disqual if ied p e r s o n s a t t ach s c h e d u l e ) se e i n s t ruc t ions )

    7 O t h e r no t e s a n d loans r ece iv ab le a t t ach s c h e d u l e )

    L es s a ll owa nc e f o r do u b t fu l a c c o u n t s

    8 I n v en to r ie s f o r s al e or u s e

    9 Pre pa i d e x p e n s e s a n d d ef e r r ed c h a r g e s u t i

    10a Investments U S a n d s t a t e government o b li g a t i on s a t t a c h s c h e d u l e )

    b I n v e s t m e n t s - c o r p o r a t e s t o c k a t t ach s c h e d u l e )

    c I n v e s t m e n t s - c o r p o r a t e b o n d s a t t ach s c h e d u l e ) .

    11 I n v e s t m e n t s - l a n d , buildings , a n d e q u i p m e n t b a s i s

    L e s s a c c u m u l a t e d d ep r ec ia t io n a t tach s c h e d u l e )

    12 Investments mortgage loans

    13 Investments other a t t ach s c h e d u l e )

    14 Lan d , buildings , a n d e q u i p m e n t b as i s

    L e s s a c c u m u l a t e d d ep r ec ia t io n a t tach s c h e d u l e )

    15 O t h e r a s s e t s d e s c r i b e

    16 To ta l a s s e t s t o be c o m p l e t e d b y a l l f i l e r s - s e e t he

    i n s t r u c t i o n s A l s o , see page 1, i t e m I ) 109 ,170 69, 597 69,597

    17 Accounts p ay ab l e a nd a c c r u e d expenses

    18 G ra nt s p ay ab l e

    19 De f e rre d r e v e n u e

    + 20 L o a n s from o f f i c e r s , direc tors , t r u s tees , a n d o t h e r d i sq u a l i f i ed pe r sons

    21 M o r t g a g e s a n d o t h e r n ot e s p ay a b le a t t ach s c h e d u l e )

    22 Other l iab i l i t ie s d e s c r i b e O i l

    23 To ta l l i a b i l i t i e s a d d l i n e s 17 t h rough 22) 0 0

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    Form 990-PF 2013) Page 3

    Ca i t a l Gains and Losses for Tax on Investment Income

    a ) L i s t a nd de sc r i be t h e k i nd s ) o f proper ty sold e g r e a l e s t a t e ,

    2-s t o ry brick w a r e h o u s e , or common stock , 200 s h s MLC Co

    b ) How a c qu i re dP-Purchase

    D-Donation

    c D a t e a c qu i re d mo day, yr

    d ) D a t e sold mo day, yr

    la

    e ) G r o s s sa les price f D e p r e c i a t i o n a l lo w ed

    o r allowable)

    g ) C o s t or o t he r b as isplus expense o f s a l e

    h ) G a i n o r l o ss )

    e plus f min u s g

    a

    b

    C

    d

    e

    Complete only f o r a s s e t s s h o w i n g g a i n i n c o l u m n h a nd owned by t h e f o un da t i o n o n 12/31/69 I G a i n s Co l h g a i n min u s

    i F M V as o f 12/31/69 j Ad ju s ted basis

    as o f 12/31/69

    k ) Excess o f c o l io v e r c o l j , i a ny

    c o l k , b ut no t less t h a n - 0- ) o r

    L o s s e s from c o l h

    a

    b

    C

    d

    e

    2I f g a i n , a l s o enter i n Par t I , l i n e 7

    Capital g ai n net i n c o m e o r net cap i t a l loss ) I f l o s s , e nt e r - 0- i n Par t I , l i n e 72

    3 Ne t s h o r t - t e r m cap i t a l g a i n or loss) a s d ef i ne d i n sec t io n s 1222 5) a nd 6 )

    I f g a i n , a l s o enter Par t I , l i n e 8 , c o l u m n c se e ins truct ions) I f l o s s , e nt e r - 0-i n Pa r t I , l i n e 8 3

    ualification Under Section 494 e) for Reduced Tax on Net Investment Income

    F o r o p ti o na l us e by d o m e s t i c private f o u nd a t i o n s s u bj e ct t o t he sec t io n 4940 a) t a x on ne t i n v e s t m e n t i n c o m e

    f s ec t io n 4940 d ) 2 ) a pp l i e s , leave t h i s part b lan k

    Was t h e f o u n d a t io n l i a b l e f or th e sec t io n 4942 t a x on t he dis tr ibutable amount o f a ny y ea r i n t he b a s e per iod? Ye s F No

    I f Yes, t h e f o u n d a t io n d o e s no t q u a l i f y under sec t io n 4940 e) Do no t c o m p l e t e t h i s part

    1 E n t e r t h e ap p r o p r ia te amount i n e a c h c o l u m n f o r e a c h year, s e e p a g e 18 o f t h e i n st r uc t i on s before m a k i n g a ny entries

    d)

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    Form 990-PF 2013) Page 4

    M x c i se Tax B as ed on Investment Income Sec t ion 4940 a ) , 4 9 4 0 b ), 4 9 4 0 e ) , or 4948-see page 18 of th e inst ruct ions)

    la Exempt operat ing f o u nd at i o ns d e s c r i b e d i n sec t io n 4940 d) 2), c h e c k h ere f l an d en te r N/A

    on l i n e

    Date o f r ul i n g or de te rmina t ion l e t t e r a tt ac h c o py of le t ter i f n e c e s s a r y - s e einst ruct ions)

    b D o m e s t i c foundations that meet th e sec t io n 4940(e) requ i remen t s i n Part V, c h e c k 1 0

    h ere Hand en te r 1 o f Part I , l i n e 27b

    c A l l other domes t i c f o u nd at i o ns e n te r o f l i n e 27b Exempt foreign organizations en te r 4 o f

    Part I , l i n e 12, c o l ( b )

    2 Tax under sec t io n 511 domest ic sec t io n 4947 a) 1) t rusts an d taxable foundations only O t h e r senter -0-) 2 0

    3 Add l i n e s 1 an d 2 3 0

    4 Subtitle A i nc om e) tax domes t i c sec t io n 4947 a) 1) t rusts and taxable foundations only O t h e r senter -0-) 4 0

    5 Ta x based on i n v e s t m e n t i n co m e Subtr ac t l i n e 4 f rom l i n e 3 I f zero or l e s s , en te r -0- 5 0

    6 C r e d i t s / P a y m e n t s

    a 2013 es t imated tax payments and 2012 overpayment cred i t ed t o 2013 6a

    b Exempt foreign organizat ions-tax withheld a t s o u r c e 6 b

    c Tax p ai d w i th application f o r ex tens ion o f t ime t o f i l e Fo rm 8868) 6c

    d Backup withholding e r roneous ly wi th h e ld 6d

    7 Total credits an d payments Add l i n e s 6a th rough 6 d 7 0

    8 Ente r an y pena l ty f o r underpayment o f es t imated tax Check h ere f F o rm 2220 i s a t ta ched 8

    9 Tax du e I f th e t o t a l o f l i ne s 5 an d 8 i s m o r e than l i n e 7 , enter amount owed 9 0

    10 Overpayment I f l in e 7 i s m o re than th e t o t a l o f l i ne s 5 an d 8 , en te r th e amount overpaid. 10

    11 Ente r th e amount o f l i n e 10 t o be credi ted t o 2014 est imated tax Refunded 11

    Statements Re g ardin g Act iv i t i e s

    l a Dur ing t he t ax year, d i d th e foundation a t t empt t o influence an y nat i onal , s t at e , o r l o c a l l e gi s l at i on or d i d Yes No

    i t par t i c i pa te o r in tervene i n an y p o l i t i c a l campaign la No

    b Di d i t s pe nd m or e than 100 during th e year either directly or indirectly) f o r p o l i t i ca l p u r p o s e s s ee page 19 o f

    t h e i n st r u c ti o ns f o r definition)? lb No

    I f th e a n s w e r i s Ye s t o l a o r 1b, attach a detailed description o f th e a c t i v i t i e s an d copies o f an y materials

    p u b l i s h e d or dist r ibuted b y th e foundation i n connection with th e a c t i v i t i e s .

    c Di d th e foundation f i l e Form 1120 -POL f or t h i s year? 1c No

    d E n t e r th e amount i f any) o f tax on p o l i t i c a l expendi tu re s sect ion 4955) i m p o s e d during th e year

    1) O n th e foundation 0 2) O n foundation managers k

    0e E nte r th e r e i m b u r s e m e n t i f any) paid by th e fo u n da t ion d u r ing th e year f o r p o l it i ca l expendi tu re tax i m p o s e d

    on foundation managers 0

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    F o rm 990-PF (2013) Page 5Statements Re g ardin g Activ i t ies continued

    11 At a ny t im e d ur ing t he y ea r, d i d th e foundation , directly or i n d i r e c t l y , o wn a control led en ti t y wit h i n th e

    m e a n i n g o f section 5 1 2 (b )(1 3 )? I f Yes, attach s c h e d u l e (see instructions 11 No

    1 2 Di d th e f o u n d a t io n make a distribution t o a d o n o r a dv i se d fund o ve r wh i ch th e f o u n d a t io n or a disqualified p er so n h ad

    a dv i so ry privi leges? I f Yes, attach s t a t e m e n t ( s ee instructions 12 No

    1 3 Di d th e f o u n d a t io n c o m p l y with th e pu bl ic inspection r e q u i r e m e n t s f o r it s a nnua l re turns a nd e x e m p t i o n application? 13 Yes

    W eb si te a d d re ss J WWW MEIERFOUNDATION ORG

    14 The books ar e i n c a r e of HELEN MEIER AND TIM MEIER Telephone no 847 251-0149

    Located at 1 1 1 191 5 LINDEN AVENUE WILMETTE I L ZIP+4 X 600912712

    1 5 Se ct ion 4 9 4 7 (a) (1 ) nonexempt c ha r it a bl e t rus t s f i l i n g F o r m 990-PF i n l i e u o f Form 1 0 4 1 -Check h er e i k

    a nd enter th e amount o f t a x - e x e m p t interest received or accru ed dur ing th e y e a r. . 15

    1 6 At a ny t im e d ur ing c al e nd a r y e ar 2013, d i d th e f o u n d a t io n h a v e an interest i n or a s ig n a tu r e or o th e r authori ty ove r Yes No

    a bank, securities, or o th e r f i n a n c i a l a c c o u n t i n a foreign co u ntr y? 1 6 No

    S e e instructions f o r e xc ep ti on s a n d f i l i n g r e q u i r e m e n t s f o r F o r m TD F 90-22 1 I f Yes , e nt er th e name o f th e

    foreign c oun t ry l l l k ^

    Statements Re g ardin g A ct i vi t ie s f o r Which Form 4720 Ma y Be Re q u i r e d

    F i l e Form 4720 i f any i t em is c h e c k e d i n th e Ye s c o l u m n , u n les s a n e xc e p t i on applies. Yes No

    l a Dur i ng th e ye a r d i d th e f o u n d a t io n ( e it h er d i re ct l y o r i nd ir ec tl y )

    (1 ) ngage i n th e sa le or e x c h a n g e , or leasing o f proper ty with a disqualified p e r s o n ? fl Yes No

    (2 ) Bo rro w money f ro m, l end money t o , or otherwise e x t e nd credit t o o r accep t i t f r o m)

    a disqualified p e r s o n ? fl Yes No

    (3 ) Furnish goods , serv ices , or f ac il it ie s t o o r accep t them f r o m) a disqualified pe r son? Yes No

    (4) Pa y c o m p e n s a t i o n t o , or pa y or r e i m burse th e e x p e n s e s of , a disqualified p e r s o n ? fl Yes No

    (5) T r an s fe r a n y i n c o m e or a sse t s t o a disqualified pe r son o r make a ny o f either avai lablef o r t h e be ne f it or u se o f a disqualified pe r son)? fl Yes No

    (6) A g r e e t o pa y money or proper ty t o a government o f f i c i a l ? (Except ion Check No

    i f th e f o u n d a t io n a g r e e d t o make a grant t o or t o e m p l o y th e o f f i c i a l f o r a per iod

    a f t e r termination o f government service, i f terminating within 9 0 d ays . fl Yes No

    b I f a ny a n s w e r i s Ye s t o l a ( 1 )-(6 , d i d any o f th e acts f a i l t o q u a l i f y u n d e r th e e x ce p ti o ns d e s cr i be d i n Re gu l a t i ons

    section 53 4941 ( d) -3 o r i n a curren t notice r e g a rd i n g d i s a st e r a ss i s t a nc e (see p ag e 2 0 o f t h e i ns tr u ct io n s ? . l b

    Orga n i z a t i ons relying on a curren t notice r e g a rd i ng d i s a st e r a ss i s t a nc e c h e c k here . l k - F_

    c Di d th e f o u n d a t io n e n g a g e i n a p r i o r ye a r i n a ny o f th e acts de sc r i be d n 1 a , o th e r t h an ex cep ted acts,

    tha t were no t corrected b ef o re t h e f i r s t d a y o f th e ta x ye a r beginning i n 2013? 1c No

    2 Taxes on f a i lu r e t o distribute i n c o m e (section 4942 ( d o e s no t ap p ly f o r ye a r s th e f o u n d a t io n was a private

    o p e r at i ng f o u n d at i o n def ined n section 4 9 42 ( j ) ( 3 ) o r 4 9 42 ( j ) ( 5 ) )

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    Form 990-PF 2013) Page 6

    Statements Re g ardin g A ct i vi t ie s f or Which Form 4720 Ma y Be Re q u i re d continued )

    5a During th e ye a r d i d th e foundation pa y o r i nc ur a n y amount t o

    1) Ca r ry on p ro p ag an d a , or otherwise a t t e m pt t o influence legislation section 4 9 4 5 e ) )? fl Yes No

    2) Inf luence th e outcome o f a n y specific public election s ee s ec ti on 4955) , or t o carry

    o n, d ir ect l y or i n d i r e c t l y , a n y voter registration drive? fl Yes No

    3) Provide a grant t o an individual f o r t r a v e l , study, or o th e r similar p u rp o ses? Yes No

    4) Provide a grant t o a n o rg an iz at io n o th e r t h an a c ha ri ta b l e , e tc organization de sc r i be d

    i n section 509 a) 1), 2 ) , or 3 ) , or section 4940 d) 2)? s ee instructions). - Yes No 5) Provide f o r a n y p u rp o se o th er t ha n r e l i g i o u s , charitable, s c i e n t i f i c , l i t e r a r y , or

    educational purposes, or f o r th e prevent ion o f cruelty t o children or a n i m a l s? . . - Yes No

    b I f a n y a n s w e r i s Ye s t o 5a 1 )- 5 d i d any o f th e t r an sac t io n s f a i l t o q u a l i f y under th e e x c ep t i o ns d es c r ib e d i n

    Regulat ions section 5 3 4945 or i n a current notice r e ga r di n g d is a s te r a ss i s t a nc e s ee in st r uc t io n s )? 5 b

    Orga n i z a t i ons relying on a current notice r e ga r di n g d is a s te r a ss i s t a nc e c h e c k here. -

    c I f th e answer i s Ye s t o question 5a 4), d o es th e f o un d at i o n c l a i m e x e m p t i o n f rom th e

    ta x b e c a u s e i t m a i n t a in e d e x pe n di t ur e responsibility f o r th e grant?. Yes - No

    I f Yes, attach th e s t a t e m e n t required b y Regulations section 53.4945-5 d) .

    6a Di d th e foundation, during t h e y ea r, receive a n y funds, directly or i n d i r e c t l y , t o pa y premiums on

    a personal benefit co n t r ac t? fl Yes No

    b Did th e f o un d at io n, d ur in g t h e y ea r, pa y p remiu ms , directly or i n d i r e c t l y , on a personal benefit co n t r ac t? 6 b No

    I f Yes t o 6 b , f i l e Fo rm 8870.

    7a At a n y t ime during th e ta x yea r, w a s th e foundation a party t o a p ro h ib i te d t ax shelter t r an sac t io n ? Yes No

    b I f yes, d i d th e f o un da t i on r e ce i ve a n y p ro ceed s or h a v e a n y ne t income attributable t o th e t r an sac t io n ? 7 b

    I n f o r m a t i o n About Officers Directors , Tr u s t e e s F o u n d a t i o n Managers Highly Pa id Employeesand C o n t r a c t o r s

    1 L i s t a ll officers directors t rustees fo u n d a t io n managers a nd their c o m p e n s a t i o n se e instructions).

    b ) T i t l e , a n d a v e r a g e c ) Compensation d) Contr ibutions t o e) Expense account ,

    a) Name a n d ad d res s hours pe r week I f no t paid en te r employee benefit planso th e r a l l owa nc e s

    devoted t o position 0 - ) a n d deferred c o m p e n s a t i o n

    HELEN COBURN MEIER PRESI ENT N 0 0 0

    915 LINDEN AVE DIRECTOR

    WILMETTE IL 60091 0 00

    TIM MEIER DIRECTOR 0 0 0

    915 LINDEN AVE 0 00

    WILMETTE IL 60091

    MICHELE E SMITH DIRECTOR 84 000 0 0

    2626 NORTH LAKEVIEWAPT 3802 40 00

    CHICAGO IL 60614

    2 Compensation of five h ig h es t paid employees o t he r t h an t ho se included o n l i n e 1-see instructions). I f n o n e en te r NONE

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    Form 990-PF 2013) Page 7

    Information About Officers, Directors Tr u s t e e s Foundat ion Managers H ig hl y P aid Employeesand Contractors con t inued )

    3 Fiv e h ig h e st - paid i n d ep en d en t contractors f or p r of e s s io na l s e r v ic e s s e e instructions . I f none en te r NONE

    a) Name an d ad d res s o f e a c h p e r s o n paid more than 50 000 b ) Type o f se r v ice c ) Compensation

    NONE

    Total n u m b e r o f o t h er s r ec e iv i n g over 50,000 f o r p r o f e s s i o n a l s e r v i c e s . P H 0

    Summary of D i r e c t Charitable Activ i t ies

    L i s t the foundation s four l a r g e s t d i r e c t c h a r i t a b l e a c t i v i t i e s during the tax year Inc lud e re le v a nt s t a t i s t i c a l information such as th e number o fExpensesorganizations and other b e n e f i c i a r i e s served, conferences convened , research papers produced , e t c

    1

    2

    3

    4

    ff Summary of rogram - Related Investments s e e inst ruct ions)

    D e sc ri b e t he tw o l a r g e s t program-related investments made b y t he f ou nd at io n during the tax y e ar o n l i n e s 1 and 2

    1

    2

    A l l other progra m -re l a t e d i n v es tmen t s Se e p ag e 24 o f the ins t ruc t ions

    3

    Amount

    Total Add l i n e s 1 through 3 P k 1 0

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    Form 990-PF 2013 Page 8

    Minimum Investment Return A l l d o mes t ic foundations m u s t co mp le te t h i s p a r t . Fo rei g n fo u nd a t io ns ,see i n s t r u c t i o n s .

    1 F a i r m a r k e t v a lu e o f a s s e t s no t u sed o r held f o r use directly i n c a rr y in g o ut c ha r it a b le , e tc

    p u r p o s e s

    a Average m o n t h l y f a i r m a r k e t v a lu e o f securities la 0

    b Average o f m o nt hl y c a s h b a l a n c e s lb 89,383

    c F a i r m a r k e t v a lu e o f a l l o ther a s s e t s s ee instructions 1c 0

    d T ota l a dd l i n e s la , b , a nd c ld 89,383e R ed uc ti o n c l a i me d f o r b l o c k a g e or o th e r fac tors r ep o rt ed o n l i n e s la a nd

    1c attach detailed ex p lan a t io n le 0

    2 A c q ui s i tio n i n d eb ted n es s ap p l icab le t o l i n e 1 a s s e t s 2 0

    3 Sub tra c t l i n e 2 f r o m l i n e ld 3 89,383

    4 Cash deemed held f o r char itab le activities Enter 1 1/2 o f l i n e 3 f o r greater a m o u n t , s ee

    instructions 4 1,341

    5 N et v a lu e of nonc ha r i t a b l e - us e a sse t s Sub t ra c t l i n e 4 f rom l i n e 3 Enter here a nd on P art V, l i n e 4 5 88,042

    6 Minimum i n v e s t m e n t return Enter 5 o f l i n e 5 6 4 4 2

    D i s t r i b u t a b l e Amount s ee instructions Sect ion 4 9 4 2 0 3 a n d 0 5 private opera t ing foundations a nd

    c e r t a i n f o r e i g n o r g a n i z a t i o n s check here a nd do n o t com p l e t e t h i s p a r t .

    1 Minimum i n v es tmen t return f rom Part X , l i n e 6 1 4 4 2

    2a Tax on i n v es tmen t i n c o m e f o r 2013 f rom Part V I, l i n e 5 2a

    b Income ta x f o r 2013 This d o e s no t include th e ta x f rom Part V I 2b

    c Add l i n e s 2a a nd 2b 2c 0

    3 Distributable amount before ad ju s tmen t s Sub t ra c t l i n e 2c f r o m l i n e 1 . 3 4 4 2

    4 Re c ove r i e s o f amounts t re at ed a s qualifying distributions 4 0

    5 Add l i n e s 3 a nd 4 5 4 4 26 D e d u c t i o n f rom distributable amount s ee instructions 6 0

    7 Distr ibu tab le amount as a d ju st ed S ub tr ac t l i n e 6 f rom l i n e 5 Enter here a nd o n P art X II I ,

    l i n e 1 7 4 4 2

    Q u a l i f y i n g Dis t r ib u t io n s s ee i n s t r u c t i o n s

    1 Amounts p a i d i nc l ud i ng ad min is t r a t iv e e x p e n s e s t o a c c o m p l i s h chari table , etc p u rp o ses

    a E x p e n s e s , contributions, g i f t s , etc - to ta l f ro m P art I c o l u m n d , l i ne 26 . la 99,999

    b P r o g r a m - r e l a t e d i n v es tmen t s - to ta l f rom Part I X - B lb 0

    2 Amounts paid t o acq u i r e a s s e t s u sed o r held f o r use directly c a rr y in g o ut chari table , etc

    p u r p o s e s 2

    3 A t t id f i f i h i t b l j h i f th

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    F or m 990-PF (2013) Page 9 Undistributed Income (see ins t ruct ions)

    1 Di s t r i bu t a b l e amount f o r 2013 from Part XI , l i n e 7

    2 U n d i s t r i b u t e d i n c o m e , an y, as o f t he e n d o f 2013

    a E n t e r amount f o r 2012 o n ly.

    b T ot al f o r p r i o r y ears _ _ _

    3 xcess d is t r ib u t io n s c a r ryove r, i a ny, t o 2013

    a From 2008.

    b From 2009.

    c From 2010. 135,000

    d From 2011. 97,471

    e From 2012. 95,483

    f To t a l o f l i ne s 3a through e .

    4 Q u a l i f y i n g d i s t r i b u t i o n s for 2013 from P ar t

    X I I , l ine 4 99,999

    a Applied to 2012, b u t n ot more than l ine 2a

    b A p p l i e d t o u n d i s t r i b u t e d i n c o m e o f p r i o r y ears

    (E l e c t i on r e q u i r e d - s e e in s t r u c t io n s ) .

    c Tr e a t e d as d is t r ib u t io n s ou t o f c o r p u s (Elect ionr e q u i r e d - s e e in s t r u c t io n s ) .

    d A p p l i e d t o 2013 d i s t r i bu t a b l e a m o u n t .

    e R e m a i n i n g amount d i s t r i bu t e d ou t o f c o r p u s

    5 xcess d is t r ib u t io n s c a r r y o v e r appl ied t o 2013

    I f an amount appears i n c o l u m n d , t hesame amount must b e shown i n c o l u m n a .

    6 E n t e r t h e n et t ot al of e a c h column a si n d i c a t e d b e l o w :

    a C o r p u s Add l i n e s 3 f , 4c , a n d 4 e S u b t r a c t l i n e 5b Prior ye a r s und i s t r i bu t e d i n c o m e S u b t r a c t

    l i n e b from l i n e 2b

    c E n t e r t he amount o f p r i o r ye a r s und i s t r i bu t e di n c o m e f o r w h i c h a no t i c e o f d e f i c i e n c y h asb e e n i s sue d , or on w h i c h t he s e c t i o n 4942 at ax h as b e e n pre v i ous l y a s s e s s e d .

    d S u b t r a c t l i n e 6 c f ro m l i n e 6 b T ax ab le amount-see i n s t ruc t i ons

    e Un di st ri bu te d i n c o m e f o r 2012 S u b t r a c t l i n e4 a f ro m l i n e 2a Ta x a b l e amount-see

    i n s t ruc t i ons

    f U n d i s t r i b u t e d i n c o m e f o r 2013 S u b t r a c tl i n e s 4 d a n d 5 f ro m l i n e T h i s amount mustb e d i s t r i bu t e d i n 2014

    (a) (b ) c (d )

    C o r p u s Ye a r s pr i o r t o 2012 2012 2013

    4,402

    0

    0

    3 2 7 , 9 5 4

    0

    0

    0

    4,402

    95,597

    0 0

    4 2 3 , 5 5 1

    0

    0

    0

    0

    0

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    orm 990-PF (2013 Page 10

    Private O p eratin g Foundations see instructions and Part VII-A q ues t ion 9

    la I f th e foundation h as received a r u l i n g or determination l e t t e r that i t i s a private operat ingfoundation, an d th e r u l i n g i s effective f o r 2013, enter th e date o f th e r u l i n g .

    b Check b ox t o indicate whether th e organization i s a private o p er a ti n g f o u nd a ti o n described i n section 4942( j ) (3 ) or 4942(j)(5)

    2a Enter th e lesser o f th e adjusted ne t Tax year Prior 3 years(e) Totali n co m e from Part I or th e minimum

    (a) 2013 (b ) 2012 c 2011 (d ) 2010i nves tmen t return from Part X f o r eachyear l i s t e d

    b 85 o f l i n e 2a

    c Qualify ing distributions from Part XII ,l i n e 4 f o r each year l i s t e d

    d Amounts included i n l i n e 2c no t useddirectly f o r active c o n d u c t o f exemptactivities

    e Qualify ing distributions made directlyf o r active c o n d u c t o f exempt activitiesSubtr ac t l i n e 2d from l i n e 2c

    3 omplete 3a, b , or c f o r th ea l t ernat i ve t e st r e l i e d u p o n

    a Asse t s alternative t es t -en t e r(1 ) Value o f a l l assets

    (2) Value o f assets qualifyingunder sec t io n 4 9 4 2( j ) (3) (B)(i )

    b Endowment alternative t es t - e nt er 2 / 3o f minimum i nves tmen t return shown i nPart X , l i n e 6 f o r e ac h y ear l i s t e d .

    c Support alternative t es t -en t e r

    (1 ) Total suppor t other t ha n g ro ssi nves tmen t i n co m e i n t e r e s t ,dividends, rents, payments

    on securities l o an s ( se ct io n512(a)(5)), or roya l ti e s)

    (2) S u p p o r t from general publican d 5 or more exempto rg an i z at i on s a s provided i nsection 4942(j)(3)(B)(iii).

    (3) Largest amount o f suppor tfrom an exempt organization

    (4) G r o s s inves tmen t i n co m e

    Supplementary I n f o r m a t i o n Complete this p ar t o nl y i f th e organiza t ion had 5 , 000 or more i nasse t s at any t i me d u r i n g th e year-see instructions.)

    1 I n f o r ma t io n R eg a rd i n g F o u n d a t i o n Managers :a L i s t an y managers o f th e foundation who h a v e contributed m o re than o f th e t o t a l contributions received by th e foundation

    b ef o re t h e c lo se o f an y ta x year (but only i f they h a v e contributed m o re than 5,000) (See section 507(d ) (2 )

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    F o rm 990-PF 2013 Page 11

    Supplementary Information co n t i n u ed

    3 Grants and Contributions Pa i d During t he Year o r Approved fo r Future Payment

    Rec ip ien tI f recipient s an ind iv idual

    Founda t i onshow a n y re la t ionship t o

    P u r p o s e o f g r an t or

    a n y f o u n d a t io n managers ta tu s o

    contr ibutionAmount

    Name a n d a d d r e s s home or b u s i n e s sor su b s tan t ia l co n t r ib u to r

    rec ipient

    a Paid d u r in g the year

    SEAN GRANEY NONE UNRESTRICTED 33 333190 WALDEN CT

    CAMBRIDGE MA 02140

    ROB MAZUREK NONE UNRESTRICTED 33 3336501 27TH ST

    BERWYN IL 60402

    JULIA MILLER NONE UNRESTRICTED 33 3334400 N PAULINA 1ACHICAGO IL 60640

    To t a l . 3a 99 999

    b A p p r o v e d f o r future payment

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    orm 99 PF 2013) Page 12

    Anal y si s of n ome - Producin g Activities

    E n te r g r os s amounts u n l e ss o t h e rw i se indicated U n re l a te d b u si n e ss income E x c l u d e d b ys e c t i o n 5 12 , 5 13 , o r514 e )Re l a t e d or exempt

    a ) b ) c d funct ion income

    1 P r o g r a m serv ice r e v e n u eBusiness

    Amount E xc l us i on c o d e Amount S eec o d e instructions

    a

    b

    c

    d

    e

    f

    g Fe es a nd c o nt r ac t s f r om government a g e n c i e s

    2 Membership d u e s a n d assessments

    3 I nt er es t o n s av in g s a n d t e mp or a ry c a shin v es tmen t s

    4 D iv id e nd s a n d interest f rom securities.

    5 Ne t r e n t a l income or loss) f r o m r e a l estate

    a D e b t - f i n a n c e d property.

    b No t de b t - f i na nc e d property.

    6 Ne t r e n t a l income o r l os s) f rom personalproperty

    7 O t h e r i n v es tmen t i nc om e .

    8 Ga in o r l oss ) f rom sales o f a sse t s o t he r t h an

    inventory

    9 Ne t income o r l os s) f r o m s pe c ia l e v e n t s

    10 G r o s s p r o f i t or loss) f r om s al es o f inventory.

    11 Otherrevenue a

    b

    c

    d

    e

    12 Subto tal Add c o l u m n s b , d , a n d e . F o 0 013 To ta l Add l i n e 12, c o l u m n s b , d , a n d e 13 0

    S ee wo rk sh ee t n l i n e 13 instructions t o v e r i f y calcu lations

    nshi p o f A c t iv it ie s to th e Accom p l i shment of Exem p t Pu r p osesExplain b e lo w how e a c h activity f o r whi c h income s repor ted n c o l u m n e o f Part XVI A contr ibuted importantly t o

    Line No th e accomplishment o f th e foundation s exempt p u rp o ses other t ha n by providing f u n d s f o r s u c h purpose s) Se e

    instructions

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    Fo rm 990-PF (2013) Page 13Information Regarding Transfers To and Transactions and Relationships WithNoncharitable Exempt Organizations

    1 Di d th e o rg an iza t io n directly or ind irectly e n g a g e i n a n y o f t h e f ol l ow i ng w it h a n y o t h e r o rg an iza t io n d e s c r i b e d i n

    s e c t i o n 5 0 1 (c ) o f t h e Code (o ther t h a n s e c t i o n 501(c) (3 ) o rg an iza t io n s ) or i n sec t io n 527, relating t o p o l i t i ca l Yes No

    organ iza t ions?

    a Transfe r s f rom t h e r ep o rt i ng founda t ion t o a noncha r i tab le exempt o rg an iza t io n o f

    (1 ) Cash l a (1 )

    (2 ) O t h e r a s s e t s l a (2 )

    b O t h e r t r a n s a c t i o n s

    (1 ) S a l e s o f as se t s t o a noncha r i tab le exempt o rg an iza t io n lb (1)

    (2 ) P u r c h a s e s o f as se t s f r o m a noncha r i tab le exempt o rg an iza t io n lb (2)

    (3 ) Ren ta l o f f a c i l i t i e s , e q u i p m e n t , or othe r as se t s lb (3)

    (4 ) Reimbursement a r r a n g e m e n t s l b ( 4 )

    (5) Lo a n s or loan g u a r a n t e e s lb (5)

    (6 ) P e r f o r m a n c e o f se rv ice s or membership or fundrais ing sol ic i ta t ions l b ( 6 )

    c S h a r i n g o f f a c i l i t i e s , e q u i p m e n t , mai l in g l i s t s , o t h e r assets, o r p ai d employees 1c

    d I f th e a n s w e r t o a n y o f th e ab o v e i s Yes, c o m p l e t e t h e f ol l ow in g s c h e d u l e Column (b) s h o u l d a l w a y s show th e f a i r m a r k e t v a lu eo f t h e goods , o t h e r assets, or se rv ice s g iv en by t he report ing f o u n d a t i o n I f th e f o u nd a t io n r e c ei v ed less t h a n f a i r m ark e t va luei n a n y t ran sac t io n or sh ar in g a r r a n g e m e n t , show i n c o l u m n (d) t he va lue o f t h e g oo d s, o th e r a ss et s, or s er vi c e s r e c ei v ed

    No

    No

    No

    No

    No

    No

    No

    No

    No

    2a I s t he founda t ion directly or ind irectly a f f i l i a t e d w i t h , o r r el a te d t o , o n e or m o re t a x- ex em p t o rg an iza t io n s

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    S ch ed u l e B Form 9 9 0 , 9 9 0 - E Z , o r 9 9 0 - P F 2 0 1 3 P ag e 2

    Name o f organizationTHE H E L E N COBURN M E I E R AND TI M M E I E RCHARITABLE FOUNDATION FOR THE ARTS

    E m p l o y e r i d e n t i f i c a t i on number

    26 42 4237

    Contributors se e i n s t ru c t i o n s Use d u p l i c a t e cop i es of Part addi t ional space s n e e d e d

    a )

    No.

    b )

    Name a d d r e s s a n d Z IP + 4

    c )

    Total co n t r i b u t i o n s

    d )

    Type o f cont r ibut ion

    P e r s o n

    TIM AND HELEN COBURN MEIER P ay r o l l915 LINDEN AVE

    1 5 0 , 0 0 0 N o n c a s h

    WILMETTE IL600912712 C o m p l e t e P a r t for

    n o n c a s h contr ibutions

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    No.

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    P e r s o n

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    N o n c a s h

    C o m p l e t e P a r t for

    n o n c a s h contr ibutions

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    No.

    b )

    Name a d d r e s s a n d Z IP + 4

    c )

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    Type o f cont r ibut ion

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    N o n c a s h

    C o m p l e t e P a r t for

    n o n c a s h contr ibutions

    a )

    No.

    b )

    N am e , a dd r es s a n d Z IP + 4

    c )

    Total co n t r i b u t i o n s

    d )

    Type o f cont r ibut ion

    P e r s o n

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    S ch ed u l e B Form 9 9 0 , 9 9 0 - E Z , o r 9 9 0 - P F 2 0 1 3 P ag e 3

    Name o f organizationTHE H E L E N COBURN M E I E R ND TI M M E I E RCHARITABLE FOUND TION FOR THE RTS

    E m p l o y e r i d e n t i f i c a t i on number

    26 42 4237

    I^IOncas h Property se e i n s t r u c t i o n s Us e d u p l i c a t e copies of Part i a d d i t i o n a l s p a c e n e e d e d

    a No.

    f r o m

    Par t

    b

    Descr ip t ion o f n o n c a s h p r o p e r t y g i v e n

    c

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    d

    Date r e c e i v e d

    a No.

    f r o m

    Par t

    b

    Descr ip t ion o f n o n c a s h p r o p e r t y g i v e n

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    FMV o r estim tes e e i n s t r u c t i o n s

    d

    Date r e c e i v e d

    a No.

    f r o m

    Par t

    b

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    a No.

    f r o m

    Par t

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    FMV o r estim tes e e i n s t r u c t i o n s

    d

    Date r e c e i v e d

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    Sc h e d u l e B ( Fo rm 9 9 0 , 9 9 0 -E Z , o r 9 9 0 -P F ) (2013) P age 4

    Name o f organization Employer iden t i f icat ion numberTHE H E L E N COBURN M E I E R ND TI M M E I E RCHARITABLE FOUND TION FOR THE RTS 26 42 4237

    Exclusive ly rel igious charitable e t c . , i n d i v i d u a l contr ibut ions t o sect ion 5 0 1 ( c 7 8 , o r 1 0 ) organizat ions

    t h a t t o t a l more than 1 0 0 0 f o r th e yea r Complete co lumns a) through e ) a nd t h e f o l lo w in g l i n ee n t r yF o r o r g an iz a t i o ns c o m p l e t in gP a r t I I I e n t e r t h e t o t a l o f e x c l u s i v e l y r e l i g i o u s , c h a r i t a b l e , e t c

    c o n t r i b u t i o n s o f 1 , 0 0 0 o r l e s s f o r t h e year E n t e r t h i s i n f o r m a t i o n once Se e i n s t r u c t i o n s

    Us e d u p l i c a t e copies o f P a r t a d d i t i o n a l s p a c e i s needed

    a ) No.f r o mPart I

    b ) P u r p o s e of g i f t c ) Us e o f g i f t d ) Descr ipt ion o f how g i f t i s h e l d

    e ) Transfer of g i f t

    Tra n s fe re e s n a m e , a d d r e s s , a nd Z IP 4 Relat ionship o f t r ansfero r t o t ransferee

    a ) No.f r o mPart I

    b ) P u r p o s e of g i f t c ) Us e o f g i f t d ) Descr ipt ion o f how g i f t i s h e l d

    e ) Transfer of g i f t

    Tra n s fe re e s n a m e , a d d r e s s , a nd Z IP 4 Relat ionship o f t r ansfero r t o t ransferee

    a ) No.f r o mPart I

    b ) P u r p o s e of g i f t c ) Us e o f g i f t d ) Descr ipt ion o f how g i f t i s h e l d

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    ef i l e GRAPHIC p r in t DO NOT PROCESS As F i l e d Data DLN: 9349 58 2 74

    TY 2 3 A c c o u n t i n g F e e s S c h e d u l e

    Name THE HELEN COBURN MEIER AND TIM MEIER

    CHARITABLE FOUNDATION FOR THE ARTS

    EIN: 26 42 4237

    Category Amount Net Investment A d j u s t e d Net Disbursements forIncome Income C h a r i t a b l e

    Purposes

    OUNTING 4 3 5

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    ef i l e GRAPHIC p r in t DO NOT PROCESS As F i l e d Data DLN: 9349 58 2 74

    TY 2 3 Ot h e r Expenses Schedule

    Name THE HELEN COBURN M R AND TIM MEIER

    CHARITABLE FOUNDATION FOR THE ARTS

    EIN: 26 42 4237

    D escr ip t io n Revenue an d Ex pe n s espe r Books

    Ne t nvestment

    Income

    A d j u s t e d Ne t Income D i s b u r s e m e n t s fo rChar itab le P u r p o s e s

    W R S 554

    W R DINNER 59

    FILING F EE 5

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    ef i l e GRAPHIC p r in t DO NOT PROCESS As F i l e d Data DLN: 93491 58 2 74

    TY 2 13 S ub st a n ti a l C on t r i b ut o r s S c h e d u l e

    Name THE HELEN COBURN M R AND TIM MEIER

    CHARITABLE FOUNDATION FOR THE ARTS

    EIN: 26 42 4237

    Name A d d r e s s

    TIM HELEN MEIER 915 LINDEN AVENUE

    WILMETTE IL 6 91