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

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.

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Form 990-PF (2013) ^C)

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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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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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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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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

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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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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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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)

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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

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

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)

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

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

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



Statement 1 - Form 990-PF, Part I , Line 6a - Sale of Assets (continued)



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


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



Statement 1 - Form 990 -PF, Part I , Line 6a - Sale of Assets (continued)



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


FEDERAL HOME LOAN MTG CORP PURCHASEVARIOUS VARIOUS 10,513 11,052

FEDERAL NATL MORTGAGE PURCHASEVARIOUS VARIOUS 8,396 8,887



FEDERAL HOME LOAN MORTGAGE PURCHASEVARIOUS VARIOUS 41,001 43,448

FEDERAL HOME LOAN MORTGAGE PURCHASEVARIOUS VARIOUS 23,143 24,676


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



Statement I - Form 990-PF, Part I, Line 6a - Sale of Assets (continued)



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


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


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


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



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


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



Statement I - Form 990-PF, Part I, Line 6a - Sale of Assets (continued)



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


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



Statement 1 - Form 990-PF, Part I , Line 6a - Sale of Assets (continued)



VANGUARD INTERM TERM TREAS PURCHASE

VARIOUS VARIOUS $ 119,554 $ 125,000 $

VANGUARD REIT ETF PURCHASE


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



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



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


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


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



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

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



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



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



- 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



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

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;'

-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`lllâillNt() 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) ôtO

`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'ALULVTiMÌ 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 rcê 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

whxltâration• 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

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

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

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