3376 10/ 19/2011 6 02 PM

Form

Return of Private Foundation

990 'PF

Department of the Treasury

Internal Revenue Service

^O^ O

Note . The foundation ma y be able to use a co py of this return to satis fy state re p ortin g re q uirements

For calendar year 2010 , or tax year beginning

G Check all that apply

OMB No 1545-0052

or Section 4947( a)(1) Nonexempt Charitable Trust

Treated as a Private Foundation
, and ending

Initial return of a former public charity

Final return
Address chan g e
Name chang e

Initial return
Amended return

Name of foundation

Employer identification number

20-1982204
MERCER FAMILY FOUNDATION
Number and street (or P 0 box number if mail is not delivered to street address)

Room/suite

240 RIVERSIDE

2 4A

BLVD

City or town, state, and ZIP code

NEW YORK

the amounts in column (a) (see page 11 of the instructions))

1
2

Contributions, gifts, grants, etc , received (attach schedule)

Check ^ If the foundation is not required to attach Sch B

Interest on savings and temporary cash investments

Dividends and interest from securities

Gross rents
Net rental income or (loss)
STMT

5,313,791

b
7
8
9
10a
b
c
11

Capital gain net income (from Part IV, line 2)

Net short-term capital gain
Income modifications
Gross sales less returns & allowances
Less Cost of goods sold
Gross profit or (loss) (attach schedule)
Other income (attach schedule)

12

Total. Add lines 1 throu g h 11

13
14
15
16a
b
c
17

Compensation of officers, directors, trustees, etc

Other employee salaries and wages
Pension plans, employee benefits
Legal fees (attach schedule)
Accounting fees (attach schedule)
Other professional fees (attach schedule)
Interest

18

Taxes (attach schedule) (see page 14 of the instructions) STS'

19
20
21
22

Depreciation (attach schedule) and depletion

Occupancy
Travel, conferences, and meetings
Printing and publications

23

Other expenses (att sch)

24

Total operating and administrative expenses.

Add lines 13 through 23

25
26

Contributions, gifts, grants paid

Total ex p enses and disbursements. Add lines 24 and 25

27

Subtract line 26 from line 12

y
K
2
N
G7
LV

-o

lp
0

w=-,

.r,

DA

1. Foreign organizations, check here

2. Foreign organizations meeting the

85% test, check here and attach computation ^

expenses per

(b)

section 507(b)(1)(A) , check here

If the foundation is in a 60-month termination

un d er section 507 ( b )( 1 )( B ), c h ec k h ere

(d) Disbursements
Net investment

(c)

income

books

Adjusted net

for charitable

income

purposes
( cash basis onl y)

11,036,463

606, 672

606, 672

606, 672

16,956 , 926

606 , 672

606 , 672

V
2

1 , 996

STMT

If private foundation status was terminated under

Excess of revenue over expenses and disbursements

Net investment income (if negative, enter -0-)

net income ( if ne g ative , enter -0-)
Adjusted
c
For Paperwork Reduction Act Notice, see page 30 of the instructions.
b

If exemption application is pending, check here

5,313,791

Net gain or (loss) from sale of assets not on line 10

Gross sales price for all assets on line 6a

f ".

6a

C
D

amounts in columns (b), (c), and (d) may not necessarily equal

Telephone number (see page 10 of the instructions)

NY 10069

Section 501 (c)(3) exempt private foundation

H Check type of organization
Other taxable p rivate foundation
Section 4947 ( a )( 1 ) nonexem pt charitable trust
Accrual
J Accounting method
Cash
I Fair market value of all assets at
end of year (from Part II, col (C),
Other (specify)
line 16 ) ^ $
28 , 184 , 706 ( Part I column (d ) must be on cash basis
(a) Revenue and
Analysis of Revenue and Expenses (The total of
Part I

5a
b

82

2 , 078

4,039,000
4,041,078

4,039,000
4,039,000

12,915,848
606, 672
606 , 672 1
Form 990-PF (2010)

GIG

10

3376 10/19/2011 6 02 PM

Fnrm gan_P9 (2n1n)

MERCER FAMILY

Balance Sheets

Part It

Attached schedules and amounts in the description column

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

Cash-non-interest-bearing

Savings and temporary cash investments

Accounts receivable ^

20-1982204

FOUNDATION

Beginning of year

Panes 2

End of year
(b) Book Value

(a) Book Value

(c) Fair Market Value

6,811,937

4,823,573

4,823,573

8,456 ,921

23, 361,133

23, 361,133

15, 268, 858

28 , 184 , 706

28,184, 706

15,268 ,858

28 ,184,706

15,268 ,858

28 ,184,706

15 , 268 , 858 _

28 , 184 , 706 1

Less allowance for doubtful accounts ^

Pledges receivable ^
Less allowance for doubtful accounts ^
Grants receivable
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the

4
5
6

instructions)

Other notes and loans receivable (att schedule) ^

8
9
10a

Less allowance for doubtful accounts ^

Inventories for sale or use
Prepaid expenses and deferred charges
Investments-U S and state government obligations (attach schedule)

Investments-corporate stock (attach schedule)

Investments-corporate bonds (attach schedule)

11

SEE STMT

Investments-land, buildings, and equipment basis ^

Less accumulated depreciation (attach sch) ^

12
13

Investments-mortgage loans
Investments-other (attach schedule)

14

Land, buildings, and equipment basis ^

15
16

Other assets (describe ^

Total assets (to be completed by all filers-see the

Less accumulated depreciation (attach sch ^

instructions Also see p a g e 1 item I

LO
J

17
18
19
20
21
22
23

Accounts payable and accrued expenses

Grants payable
Deferred revenue
Loans from officers, directors, trustees, and other disqualified persons
Mortgages and other notes payable (attach schedule)
Other liabilities (describe ^
Total liabilities ( add lines 17 throu g h 22 )
Foundations that follow SFAS 117, check here
^
and complete lines 24 through 26 and lines 30 and 31.

24
25
26

Unrestricted
Temporarily restricted
Permanently restricted

U)

to

Foundations that do not follow SFAS 117, check here ^

and complete lines 27 through 31.

LL
I-

LX

27
28

Capital stock, trust principal, or current funds

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 page 17 of the

31

Total liabilities and net assets/fund balances (see page 17

instructions)
of the instructions

Part III

Analysis of Chan g es in Net Assets or Fund Balances

1 Total net assets or fund balances at beginning of year-Part II, column (a), line 30 (must agree with
end-of-year figure reported on prior year's return)
2 Enter amount from Part I, line 27a
3 Other increases not included in line 2 (itemize) ^
4 Add lines 1, 2, and 3
5 Decreases not included in line 2 (itemize) ^

1
2

15,268,858
12,915,848

3
4
5

28, 184, 706

28,184,706
Form 990-PF (2010)
DAA

3376 10/ 19/2011 6 02 PM

Form 990-PI (2010) MERCER FAMILY FOUNDATION

Capital Gains and Losses for Tax on Investment Income
Part IV

20-1982204
( b) How acquired
P-Purchase
D-Donation

(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)

1a

Page 3
( c) Date acquired
( mo , day , yr)

(d) Date sold

(mo, day, yr)

N/ A

c
d

e
(e) Gross sales price

( f) Depreciation allowed
(or allowable)

(h) Gain or (loss)

( e) plus (f) minus (g)

(g) Cost or other basis

plus expense of sale

a
b

c
d

e
Complete only for assets showing gain in column ( h) and owned by the foundation on 12/31 /69
(i) F M V as of 12/31 /69

(j) Adjusted basis

as of 12/31/69

(I) Gains (Col (h) gain minus

col ( k), but not less than -0-) or
Losses (from col (h))

(k) Excess of col (i)

over col 0 ), if any

a
b
c
d

e
If gain , also enter in Part I, line 7
If (loss ), enter -0- in Part I , Ilne 7
3 Net short-term capital gain or ( loss) as defined in sections 1222(5 ) and (6)
If gain , also enter in Part I, line 8 , column ( c) (see pages 13 and 17 of the instructions)
If ( loss ), enter -0- in Part I line 8
2 Capital gain net income or ( net capital loss)

Part V

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?
If "Yes," the foundation does not qualify under section 4940 (e) Do not complete this part
1

LI Yes

No

Enter the appropriate amount in each co lumn for each year, see page 18 of the instructions before making any entries
(a)
Base as
Calendar year (orr taxx year
ar beginning in)

(b)
Adjusted qualifying distributions

2009

1 , 765 , 693

2008

1 , 562 , 322

2007
2006

290 , 744
174 , 000 1

(c)
Net value of nonchantable- use assets

(d)
((b) divided by
(col b) divided
ded y col (c))

2005
2 Total of line 1, column (d)
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

4 Enter the net value of noncharltable-use assets for 2010 from Part X, line 5

5 Multiply line 4 by line 3

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

6 , 067

7 Add lines 5 and 6

6 , 067

8 Enter qualifying distributions from Part XII, line 4

8
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1 b, and complete that part using a 1 % tax rate See the
Part VI instructions on page 18

4 , 039 , 000

Form 990-PF (2010)

DAA

3376 10/19/2011 6 02 PM
'I

Form 990- PF (2010 ) MERCER FAMILY FOUNDATION

Part VI
1a
b
c
2
3
4
5
6
a
b
c
d
7
8
9
10
11

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)
Domestic foundations that meet the section 4940 ( e) requirements in Part V, check
here ^ IX and enter 1 % of Part I, line 27b
All other domestic foundations enter 2 % of line 27b Exempt foreign organizations enter 4% of
Part I, line 12 , col (b)
Tax under section 511 ( domestic section 4947( a)(1) trusts and taxable foundations only
Add lines 1 and 2
Subtitle A ( income) tax (domestic section 4947(a)(1) trusts and taxable foundations only
Tax based on investment income. Subtract line 4 from line 3 If zero or less , enter -0Credits/Payments
2010 estimated tax payments and 2009 overpayment credited to 2010
Exempt foreign organizations -tax withheld at source
Tax paid with application for extension of time to file (Form 8868)
Backup withholding erroneously withheld
Total credits and payments Add lines 6a through 6d

c
d
e
2
3
4a
b
5
6

7
8a

10

6 , 067

Others enter -0-)

Others enter -0-)

3
4

0
6 , 067
0

6 , 067

7
8

7 , 000
58

9
10
11

875

7 , 000

6a
6b
6c
6d

^
^
Refunded ^

Statements Reg ardin g Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it
participate or intervene in any political campaign?
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19
of the instructions for definition)?
If the answer is "Yes" to 1 a or I b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities
Did the foundation file Form 11 20-POL for this year?
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year
(1) On the foundation ^
(2) On foundation managers ^ $
$
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers ^ $
Has the foundation engaged in any activities that have not previously been reported to the IRS?
If "Yes," attach a detailed description of the activities
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
Did the foundation have unrelated business gross income of $1,000 or more during the year?
If "Yes," has it filed a tax return on Form 990-T for this year?
N/A
Was there a liquidation, termination, dissolution, or substantial contraction during the year's
If "Yes," attach the statement required by General Instruction T
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?
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
Enter the states to which the foundation reports or with which it is registered (see page 19 of the

instructions) ^
b

Enter any penalty for underpayment of estimated tax Check here 1X if Form 2220 is attached
Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed
Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid
Enter the amount of line 10 to be Credited to 2011 estimated tax ^
875

PartVII-A
1a

Page 4

20-1982204

Excise Tax Based on Investment Income ( Section 4940(a), 4940 ( b), 4940 ( e), or 4948-see page 18 of the instructions)

1a

Yes

No
X

lb

1c

3
4a
4b
5

X
X
X

6
7

X
X

8b

NONE

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
Is the foundation claiming status as a private operating foundation within the meaning of section 49420)(3) or
49420)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on page
27)? If "Yes," complete Part XIV
Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their
names and addresses

10

Form 990 -PF (2010)

DAA

3376 10/19/2011 6 02 PM

Form 990-Pr(2010) MERCER FAMILY FOUNDATION

PartVII A
Statements Re g ardin g Activities ( continued )

20-1982204

Page 5

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 page 20 of the instructions)
Did the foundation acquire a direct or indirect interest in any applicable insurance contract before
August 17, 2008?

11
12

11
12

13

Did the foundation comply with the public inspection requirements for its annual returns and exemption applications
Website address ^ N/A

14

REBEKAH MERCER
The books are in care of ^
240 RIVERSIDE BLVD.

16

Part VII-B
1a

c
2
a

c
3a
b

4a
b

13

X
X

Telephone no ^

Located at ^ NEW YORK

NY
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041-Check here
and enter the amount of tax-exempt interest received or accrued during the year
At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority
over a bank, securities, or other financial account in a foreign country?
See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22 1 If "Yes," enter
the name of the forei g n count ry ^

15

ZIP+4

^ 10069
^

15
Yes

No
X

Yes

No

16
'

Statements Re g ardin g Activities for Which Form 4720 May Be Re q uired

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

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a
disqualified person?
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?

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

(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 )

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 page 22 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts, that
were not corrected before the first day of the tax year beginning in 2010?
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 49420)(3) or 4942(j)(5))
At the end of tax year 2010, did the foundation have any undistributed income (lines 6d and
6e, Part XIII) for tax year(s) beginning before 20107

If "Yes," list the years ^ 20

, 20
, 20
, 20
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 page 22 of the instructions)
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
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise
at any time during the year?

If "Yes," did it have excess business holdings in 2010 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 2010)
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes'
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable aurpose that had not been removed from ieooardv before the first day of the tax year beainnina in 2010?

Yes

No

Yes
Yes
Yes

No
No
No

Yes

No

Yes

No

N/A

1b

N/A

Yes

No

N/A

Yes

1c

2b

No

N/A

3b
4a

4b

Form 990-PF (2010)

DAA

3376 10 / 19/2011 6 02 PM

Form 990- PF (2010 ) MERCER FAMILY FOUNDATION

Part VII-13
5a

6a
b
7a
b

20-1982204

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

El Yes

9 No

Yes
Yes

No
No

Yes

No

Yes

No

(3) Provide a grant to an individual for travel, study, or other similar purposes?
(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 page 22 of the instructions )
LI
(5) Provide for any purpose other than religious , charitable, scientific , literary, or educational
purposes , or for the prevention of cruelty to children or animals?
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 page 22 of the instructions ) ?
Organizations relying on a current notice regarding disaster assistance check here
If the answer is "Yes " to question 5a (4), does the foundation claim exemption from the tax
N/A
because it maintained expenditure responsibility for the grant?
If "Yes," attach the statement required by Regulations section 53 4945-5(d)
Did the foundation , during the year , receive any funds, directly or indirectly, to pay premiums
on a personal benefit contract?
Did the foundation , during the year , pay premiums, directly or indirectly, on a personal benefit contract?
If "Yes " to 6b, file Form 8870
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
If Yes , did the foundation receive an y p roceeds or have an y net income attributable to the transaction?

part VIII

Page 6

Statements Re g ardin g Activities for Which Form 4720 May Be Re q uired ( continued )

N/A

5b

^ El
Yes

No

Yes

No
6b

Yes

No
N/A

7b

Information About Officers , Directors, Trustees, Foundation Managers , Highly Paid Employees,
and Contractors

List all officers . directors . trustees . foundation manaaers and their compensation (see naae 22 of the instructionsl.

(b) Title, and average

hours per week
devoted to position

(a) Name and address

REBEKAH MERCER
240

RIVERSIDE

NEW YOK
BLVE APT 24A

NY

10069

(d) Contributions to
employee benefit
plans and deferred
compensation

(c) Compensation
( If not paid , enter
.0.),

(e) Expense account,

other allowances

DIRECTOR

30.00

Compensation of five highest-paid employees (other than those included on line 1 -seepage 23 of the instructions).
If none. enter "NONE."
(a) Name and address of each employee paid more than $50,000

(b) Title, and average

hours per week
devoted to position

(c) Compensation

(d) Contributions to
employee benefit
plans and deferred
compensation

(e) Expense account,

other allowances

NONE

Total number of other employees paid over $50,000

DAA

^ 1
0
Form 990-PF (2010)

3376 10/19/2011 6 02 PM

20-1982204
Form 990-Pr(2010) MERCER FAMILY FOUNDATION
Managers, Highly Paid Employees,
Foundation
Information
Officers,
Directors
,
Trustees,
About
Part VIII

Page 7

and Contractors (continued)

3

Five highest- paid independent contractors for professional services (see page 23 of the instructions). If none , enter "NONE."
(a) Name and address of each person paid more than $50,000

(c) Compensation

( b) Type of service

NONE

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

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

N/A

Curt EX-R

4rrmmarv of Prnnram - RplatPrt lnvpctmpntc (cap nari 74 of the instructinnsl

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2

Amount

N/A

All other program-related investments See page 24 of the instructions

3

Total. Add lines 1 throu g h 3

Form 990 -PF (2010)

DAA

3376 10/19/2011 6 02 PM

MERCER FAMILY FOUNDATION

20-1982204
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see pag e 24 of the instructions. )

Page 8

Form 990-Pr(2010)

Part X
I
a
b
c
d
e
2
3
4
5
6

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc ,
purposes
Average monthly fair market value of securities
Average of monthly cash balances
Fair market value of all other assets (see page 25 of the instructions)
Total (add lines 1a, b, and c)
Reduction claimed for blockage or other factors reported on lines 1 a and
1c (attach detailed explanation)
le
Acquisition indebtedness applicable to line 1 assets
Subtract line 2 from line 1d
Cash deemed held for charitable activities Enter 11/2 % of line 3 (for greater amount, see page 25 of
the instructions)
Net value of noncharitable - use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4
Minimum investment return . Enter 5% of line 5

Part SCI
1
2a
b
c
3
4
5
6
7

1
a
b
2
3
a
b
4
5
6

0
0
0
0

lb
1C
1d
0
2
3

4
5
6

0
0
0

Distributable Amount (see page 25 of the instructions) (Section 49420)(3) and 0)(5) private operating
foundations and certain forei g n org anizations check here ^ 1-1 and do not com p lete this p art

Minimum investment return from Part X, line 6

Tax on investment income for 2010 from Part VI, line 5
2a
Income tax for 2010 (This does not include the tax from Part VI)
2b
Add lines 2a and 2b
Distributable amount before adjustments Subtract line 2c from line 1
Recoveries of amounts treated as qualifying distributions
Add lines 3 and 4
Deduction from distributable amount (see page 25 of the instructions)
Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,
line 1

Part XII

1a

1
6 , 067

6 , 067

2c
3
4
5
6
7

Qualifying Distributions (see page 25 of the instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc , purposes

Expenses , contributions, gifts, etc -total from Part I, column (d), line 26
1a
Program-related investments-total from Part IX-B
1b
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc ,
purposes
2
Amounts set aside for specific charitable projects that satisfy the
Suitability test (prior IRS approval required)
3a
Cash distribution test (attach the required schedule)
3b
Qualifying distributions . Add lines la through 3b Enter here and on Part V, line 8, and Part XIII, line 4
4
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 page 26 of the instructions)
5
Adjusted qualifying distributions . Subtract line 5 from line 4
6
Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax in those years

4 0 39 , 000

4- 1 0-39 , 000
6 , 067
4

032

, 933

Form 990-PF (2010)

DAA

3376 10/19/2011 6 02 PM

a,

Form 990-Pr(2010) MERCER FAMILY FOUNDATION

Part XIII

Distributable amount for 2010 from Part XI,

line 7
Undistributed income, if any, as of the end of 2010
2
a Enter amount for 2009 only
b Total for prior years 20
, 20
, 20
Excess distributions carryover, if any, to 2010
3
a From 2005
174 , 346
b From 2006
1

c From2007

293,256

d From 2008
e From 2009

1,567,678
1,774,307

Page 9

(a)

(b)

(c)

(d)

Corpus

Years pnor to 2009

2009

2010
0

3,809,587

f Total of lines 3a through e

4

20-1982204

Undistributed Income ( see pa q e 26 of the instructions )

Qualifying distributions for 2010 from Part XII,

line 4 ^ $

4,039,000

a Applied to 2009, but not more than line 2a

b Applied to undistributed income of prior years
(Election required-see page 26 of the instructions)
c Treated as distributions out of corpus (Election
required-see page 26 of the instructions)
d Applied to 2010 distributable amount

4,039,000

e Remaining amount distributed out of corpus

5

6
a
b
c

d
e

Excess distributions carryover applied to 2010

(If an amount appears in column (d), the same
amount must be shown in column (a) )
Enter the net total of each column as
indicated below:
Corpus Add lines 3f, 4c, and 4e Subtract line 5
Prior years' undistributed income Subtract
line 4b from line 2b
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
Subtract line 6c from line 6b Taxable
amount-see page 27 of the instructions
Undistributed income for 2009 Subtract line
4a from line 2a Taxable amount-see page

7 1848,587

27 of the instructions
Undistributed income for 2010 Subtract lines
4d and 5 from line 1 This amount must be
distributed in 2011
Amounts treated as distributions out of corpus
to satisfy requirements imposed by section
170(b)(1)(F) or 4942(g)(3) (see page 27 of the

instructions)
Excess distributions carryover from 2005 not
applied on line 5 or line 7 (see page 27 of the
instructions)
Excess distributions carryover to 2011.

Subtract lines 7 and 8 from line 6a

10

7,848,587

Analysis of line 9

Excess from 2006

174,346

b
c
d

Excess from 2007

Excess from 2008
Excess from 2009

293,256
1,567,678
1,774,307

Excess from 2010

4,039 , 000

Form 990 -PF (2010)

DAA

3376 10/19/2011 6 02 PM

20-1982204
PartXIV'_
1a
b
2a

b
c
d
e

3
a

If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2010, enter the date of the ruling
Check box to indicate whether the foundation is a private operatma foundation described in section
Enter the lesser of the adjusted net

Tax year

income from Part I or the minimum

( a) 2010

^
n

Prior 3 years
( b) 2009

( c) 2008

( e) Total
(d) 2007

investment return from Part X for

each year listed
85% of line 2a
Qualifying distributions from Part XII,
line 4 for each year listed
Amounts included in line 2c not used directly
for active conduct of exempt activities
Qualifying distributions made directly
for active conduct of exempt activities
Subtract line 2d from line 2c
Complete 3a, b, or c for the
alternative test relied upon
"Assets " alternative test-enter
(1) Value of all assets
(2) Value of assets qualifying under
section 4942 0)(3)(B)(i)
"Endowment" alternative test-enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
"Support" alternative test-enter
(1) Total support other than gross
investment income ( interest,
dividends , rents , payments on
securities loans ( section
512(a)(5 )), or royalties)
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 49420)( 3)(B)(ui)
(3) Largest amount of support from
an exempt organization
( 4 ) Gross investment income

Part XV
1

Private Op era ting Foundations (see page 27 of the instructions and Part VII-A, question 9)

Supplementary Information ( Complete this part only if the foundation had $5 , 000 or more in assets at
any time during the year-see page 28 of the instructions.)

Information Regarding Foundation Managers:

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)
N/A
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

N/A
Information Regarding Contribution , Grant , Gift, Loan , Scholarship , etc., Programs:

Check here ^ 19 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 page 28 of the instructions ) to individuals or
organizations under other conditions , complete items 2a , b, c, and d

The name , address , and telephone number of the person to whom applications should be addressed
N/A

The form in which applications should be submitted and information and materials they should include
N/A
Any submission deadlines
N/A

c
d

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

N/A
AAA

Form 990-PF (2010)

3376 10/19/2011 6 02 PM

20-1982204
Form 990-Pr(2010) MERCER FAMILY FOUNDATION
Part XV
Supplementary Information (continued)
3 Grants and Contributions Paid Durina the Year or Anoroved for Future Payment

Recipient
Name and address ( home or business )
a

Foundation
status of
recipient

Purpose of grant or
contribution

Amount

Paid during the year

THE HEARTLAND INSTITUE

19 SO. LASALLE STE #903
CHICAGO IL 60603

NON PROFIT

OISM
PO BOX 1279
CAVE JUNCTION OR 97523

NON PROFIT

MEDIA RESEARCH CENTER

35 SO PATRICK STREET
ALEXANDRIA VA 22314

NON PROFIT

COUNCIL FOR NAT'L POLICY

1411 K STREET NW STE 601
WASHINGTON DC 20005

NON PROFIT

WOMENS SPORTS FOUNDATION

1899 HEMP. TPKE,
EAST MEADOW NY 11554

NON PROFIT

THE GEORGE W. BUSH FOUND.

PO BOX 600610
DALLAS TX 75360

NON PROFIT

SILVER HILLS HOSPITAL

208 VALLEY ROAD
NEW CANAAN CT 06840

NON PROFIT

9-1-1 VETERANS, INC.

PO BOX 911
LINDENHURST NY 11757

NON PROFIT

ILLINOIS POLICY INSTITUTE

190 S. LA SALLE STREET
CHICAGO IL 60603

NON PROFIT

MISC ORGANIZED CHARITIES

NON PROFIT

Total
b

If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor

Page 11

DONATION

370,000

DONATION

100,000

DONATION

1,194, 000

DONATION

50,000

DONATION

25,000

DONATION

2,000,000

DONATION

25,000

DONATION

25,000

DONATION

100 , 000

DONATION

150,000

^ 3a

4 039, 000

Approved for future payment

N/A

Total

DAA

3b

Form 990-PF (2010)

3376 10 / 19/2011 6 02 PM

Form 990-Pr (2010) MERCER FAMILY FOUNDATION

Part XVI A
Anal ysis of Income - Producin g Activities
Enter gross amounts unless otherwise indicated

20-1982204
Unrelated business income

(a)
I
Business code

Excluded by section 512, 513 , or 514

(b)
Amount

(c)
Exc eon
cod

Program service revenue

Page 12
(e)
Related or exempt
function income
( See page 28 of

(d )
Amount

the instructions )

a
b
c
d
e
f
g Fees and contracts from government agencies
2 Membership dues and assessments
3 Interest on savings and temporary cash investments
4 Dividends and interest from securities
5 Net rental income or (loss) from real estate
a Debt-financed property
b Not debt-financed property
6 Net rental income or (loss) from personal property
7 Other investment income
8 Gain or (loss) from sales of assets other than inventory
9 Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory
11 Other revenue a
b
c
d
e
12 Subtotal Add columns (b), (d), and (e)
13 Total. Add line 12, columns (b), (d), and (e)
(See worksheet in line 13 instructions on page 29 to verify calculations )

Part XVI-B
Line No.
V

606,672

5,313.791

01

1
13

5,920,463
5,920,463

Relationshi p of Activities to the Accom p lishment of Exem pt Purposes

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 purposes (other than by providing funds for such purposes) (See page 29 of the
instructions

N/A

DAA

Form 990-PF (2010)

3376 10/19/2011 6 02 PM
1.

11

Y.

20-1982204
Form 990-PF (2010) MERCER FAMILY FOUNDATION
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Part XVII

Page 13

Exempt Organizations
1

Did the organization directly or indirectly engage in any of the following with any other organization described
in section 501(c) of the Code (other than section 501 (c)(3) organizations) or in section 527, relating to political
organizations'
a Transfers from the reporting foundation to a nonchantable exempt organization of
(1) Cash
(2) Other assets
b Other transactions
(1) Sales of assets to a nonchantable exempt organization

(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 an y transaction or sharin g arran g ement , show in column ( d ) the value of the g oods, other assets , or services received
(b) Amount involved

(c) Name of nonchantable exempt organization

No

a( l )
la(2)

X
X

1b1

X
X
X

1b( 2)1

(2) Purchases of assets from a nonchantable exempt organization

(3) Rental of facilities, equipment, or other assets
(4) Reimbursement arrangements

(a) Line no

Yes

1b( 3 )1
1b(4)1
1 b(5)
1b6
1c

X
X
X
X

(d) Description of transfers, transactions, and sharing arrangements

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'
h

El Yes XX No

If "Voc " rmmnloto tho fnllnwinn crheriula

(a) Name of organization

(b) Type of organization

N/A

S i gn
H ere

Under penalties of perjury , I declare that I have examined this return , including
rue, rrect, and complete Declaration of preparer (other than taxp
belief, it
IZILi4
Z_41

z4L

u re of officer

tru tee

Print/Type preparers name

Paid
Preparer BRIAN GOLL

Prepa

(c) Description of relationship

3376 10/19/2011 6 02 PM

Schedule'B
(Form 990 , 990-EZ,
or 990-PF)

Schedule of Contributors

2010

^ Attach to Form 990, 990 -EZ, or 990-PF.

Department of the Treasury

Internal Revenue Service
Name of the organization

Employer identification number

20-1982204

Y FOUNDATION
Organization type (check one)
Filers of:
Form 990 or 990-EZ

Section:
501(c)(

) (enter number) organization

4947( a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization
Form 990-PF

501 (c)(3) exempt private foundation

4947( a)(1) nonexempt charitable trust treated as a private foundation
501(c)( 3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.

Note . Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See
Instructions
General Rule
IX For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor Complete Parts I and II
Special Rules
For a section 501 ( c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under
sections 509 ( a)(1) and 170 (b)(1)(A)(vi), and received from any one contributor, during the year , a contribution of the
greater of (1) $5 ,000 or ( 2) 2% of the amount on (i) Form 990 , Part VIII , line 1 h or ( ii) Form 990- EZ, line 1 Complete Parts
I and II
F] For a section 501 (c)(7), ( 8), or (10 ) organization filing Form 990 or 990- EZ that received from any one contributor , during
the year, aggregate contributions of more than $ 1,000 for use exclusively for religious , charitable , scientific , literary, or
educational purposes , or the prevention of cruelty to children or animals Complete Parts I , II, and III
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during
the year, contributions for use exclusively for religious, charitable, etc , purposes, but these contributions did not
aggregate to more than $1,000 If this box is checked, enter here the total contributions that were received during the
year for an exclusively religious, charitable, etc , purpose Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexcluslvely religious, charitable, etc , contributions of $5,000 or more
during the year
^ $
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2 of its Form 990, or check the box on line H of Its Form 990-EZ, or on
line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF)
For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF.

DAA

Schedule B (Form 990 , 990-EZ , or 990 -PF) (2010)

3376 10/19/2011 6 02 PM
n

'M

Name of organization
MERCER FAMILY FOUNDATION

Part t
(a)
No.

Employer identification number

20-1982204

Contributors (see instructions)

(b)
Name , address , and ZIP + 4

(c)
Agg re g ate contributions

ROBERT MERCER
149 HARBOR ROAD

Person
Payroll

$
HEAD OF THE HARBOR

(a)
No.

(d)
Type of contribution

11, 036, 463

NY 11780

(b)
Name , address , and ZIP + 4

(c)
Agg re g ate contributions

Noncash

(Complete Part II if there is

a noncash contribution )
(d)
Type of contribution
Person

(b)
Name , address , and ZIP + 4

(c)
Agg re g ate contributions

(b)
Name , address , and ZIP + 4

(c)
Agg re g ate contributions

(b)
Name , address , and ZIP + 4

(c)
Agg re g ate contributions

(b)
Name , address , and ZIP + 4

(c)
Agg re g ate contributions

(d)
Type of contribution
Person

Payroll

Noncash
(Complete Part II if there is
a noncash contribution

(a)
No.

(d)
Type of contribution
Person

Payroll

Noncash

(Complete Part II if there is

a noncash contribution )

(a)
No.

(d)
Type of contribution
Person

Payroll

Noncash

(Complete Part II if there is

a noncash contribution

(a)
No.

Payroll

Noncash

(Complete Part II if there is

a noncash contribution

(a)
No.

X
8

(d)
Type of contribution
Person
Payroll
Noncash
(Complete Part II if there is
a noncash contribution )

Schedule B (Form 990 , 990-EZ, or 990-PF) (2010)

DAA

10/19/2011 6:02 PM

3376 MERCER FAMILY FOUNDATION

Federal Statements

20-1982204
FYE: 12/31/2010

Statement 1 - Form 990 -PF. Part I . Line 6a - Sale of Assets

Whom
Sold

Description
Date
Acquired

How
Received
Sale
Price

Date
Sold
$

PURCHASE
5,313,791 $

5,313,791

MEDALLION
VARIOUS

VARIOUS

TOTAL

Cost

Expense

Net
Gain / Loss

Dep reciation

5,313,791

0 $

0 $

0 $

5,313,791

Statement 2 - Form 990-PF, Part I, Line 18 - Taxes

FEDERAL EXCISE TAX

FEES TO NYS

TOTAL

Adjusted
Net

Net
Investment

Total

Descri ption
$

1,961
35

1,996

Charitable
Purpose

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

Net
Investment

Total

Description

Charitable
Purpose

Adjusted
Net

EXPENSES
82

BANK CHARGES
TOTAL

82

1-3

3376 MERCER FAMILY FOUNDATION

20-1982204

10/19/2011 6:02 PM

Federal Statements

FYE: 12/31/2010

Statement 4 - Form 990-PF, Part II, Line 10b - Corporate Stock Investments
Beginning
of Year

Description
MEDALLION
TOTAL

INVESTMENTS

End of
Year

8,456,921

23,361,133

8,456,921

23,361,133

Basis of
Valuation
MARKET

Fair Market
Value
$

23,361,133

23,361,133