F.,.990-PF - Foundation Center

advertisement
F.,.990-PF
Return of Private Foundation
, 2004, and ending
For calendar dear 2004, or tax year beg inning
Initial return
G Check all 1 pat appl y:
Final return
Name of organization
PHE HAWKINS FOUNDATION
O WILLIAM M .
Otherwise,
print
or type
HAWKINS
Number and street (or P O
See Specific
Instructions.
Section 501 (c
X
Section 4947 ( a )( 1 ) nonexem p t charitable trust
a
791
3
4
Dividends and interest from securities
,
,
,
5a
Gross rents ,
,
,
.
y
6a
b
(a) Revenue and
expenses per
books
10 , 838 .
Net gain or (loss) from sale of assets not on line 10
Gross sales price for all
252 337 .
assets on line 6a
~'
ome (f m Part IV, line 2) .
70 , 318 .
,
,
.
.
,
.
.
,
,
,
1
(650)
210-5000
It exemption application is
pending check here
p
1 Foreign organizations, check here
,
1
2 Foreign organizations meeting the
85 % test, check here and attach
computation . . . . . . . .
'
,
II private foundation status was terminated
under section 507(b)(I)(A), check here .
L_J Accrual
_-__-_---
(b) Net investment
income
,
, .
99-3397646
B Telephone number (see page to of
the instructions)
C
exempt private foundation
~ Other (specify) __
Name change
A Employer identification number
Room/suite
(Part 1, column (d) must be on cash basis )
121 .
Contributions .gills grants, etc , received (attach schedule)
the foundation is not required to
Check ~ ~ attach
If
Sch B
Interest on savings and temporary cash investments
b
W
Address change
Other taxable p rivate foundation
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and
d ma not necessarily equal the amounts in
column a see page 11 of the instruchons
2
3
J Accounting method :LXJ Cash
of year (from Part 11, co/ (C), line
1
III
box number if mail is not delivered to street address)
Fair market value of al! assets at end
16) "
Amended return
City or town, state, and ZIP code
H Check type of organization
I
2004
Of Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation
Note The or anizabon ma be able to use a co
of this return to saps state re ortm requirement
Department of one Treasury
Internal Revenue Sernce
Use the IRS
label.
OMB No 1545-0052
F
II the foundation .s m a so-month termination
under section sm(e)(i)(e), check here , 1111. F
(d) Disbursements
(c) Adjusted net
for charitable
income
purposes
cash basis only)
$
10 , 838 .
Net rental income or (loss)
a
Ft~
~
. .
.
.
.
. .
.
70 , 318 .
.
4 , 960 .
Income modifications
a
~lo~gn~s (.v~+.i .
b Less Cost of goods sold
ia.7
o i
1 1
r
~~
r
~~ attac
schedule)
~(a!lActi sche
le)
Imes 1 throw h 11
1 3
.
81 , 156 .
Compensation of officers, directors trustees, etc ,
y 14
Other employee salaries and wages
.
, .
,
41 15
Pension plans, employee benefits
,
,
,
a 16a
W
,
Legal fees (attach schedule)
.
c
Other professional fees (attach schedule) . ,
.
Interest ,
,
18
,
.
.
.
. . .
.
.
,
. . .
.
,
. .
Taxes (attach schedule) (see page 14 0l the instructions)
.~ 19
Deprecation (attach schedule) and depletion
Q
Occupancy 20
a 21
c
R 22
Travel, conferences, and meetings ,
,
.
, ,
Printing and publications
.
.
,
c 23
Other expenses (attach schedule) $TM , q
24
4 , 960 .
,
b Accounting fees (attach schedule)STMT . 2
a 17
N
.
81 , 156 .
NO
.
.
,
. . .
.
. .
5 , 875 .
2 , 938 .
NONE
2 , 937 .
60 .
.
,
12 , 914 .
7 , 854 .
10 , 792 .
25 .
Total operating and administrative expenses .
a
,
,
, ,
,
,
,
18 , 849 .
25
Add lines 13 through 23
Contributions, gifts, grants paid
,
, . ,
,
.
28 , 070 .
26
Total expenses and disbursements Add lines 24 and 25
27
Subtract line 26 from line 12
3
.
,
Excess of revenue over expenses and disbursements
,
46 , 919 .
if ne gative, enter -0- ) .
M03089
517K
10 , 792 .
NONE
31 , 032 .
70 , 364 .
.
For Privacy Act and Paperwork Reduction Act Notice, see the instructions .
JSA
4 E 1410 2 000
2 , 962 .
28 , 070 .
34 , 237 .
b Net investment income (if negative, enter -0-)
c Adj usted net income
NONE
4 , 960 .
**STMT
HAW001-03
3
Form 990-PF (2004)
3
Form 990-PF (200Yti)
1
Attached schedules and amounts in the
description column should be for
Balance Sheets
nrnn
Cash - non-interest-bearing , , , , , , , , , , , , , , , , , ,
2
Savings and temporary cash investments , , , , , , _ , . , ,
3
Accounts receivable "
9 , 469 .
900 .
Less allowance for doubtful accounts
99-3347646
Book Value
I
4
ear
of
Page 2
(b) Book Value
Fair Market Value
10 , 777 . _
900 .
Pledges receivable
End of
28,292 .
400-
400 .
Less' allowance for doubtful accounts
5
Grants receivable
6
Recervabies due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the instructions)
T
Other notes and loans receivable (attach schedule) 1
Less allowance for doubtful accounts ~
8
Inventories for sale or use
9
Prepaid expenses and deferred charges ,
,
.
,
_ , ,
,
,
,
,
,
10 a Investments - U 5 and state government obligations (attach schedule)
b Investments - corporate stock (attach schedule) ,
$TNJT,
622 .586
,5, ,
c Investments - corporate bonds (attach schedule)
, , , _ , , ,
1 1
Investments - land, buildings,
,
and equipment basis
___________________
Less accumulated depreciation
(attach schedule)
___________________
12
Investments - mortgage loans
13
14
15
Investments - other (attach schedule) , , , , , , , , , , , , ,
Land, buildings, and
,
equipment basis
Less accumulated depreciation,
(attach schedule)
____________________
Other assets (describe "
)
,
,
,
,
,
, ,
.
,
,
,
,
,
,
,
,
16
Total assets (to be completed by all filers - see page 16 of
95
the instructions Also, see page 1, item I)
17
Accounts payable and accrued expenses , , , , , , , . , ,
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
18
Grants payable
. , _ , . UUIIIIW
,
,
1!
,
)
1111VU
II LL
Organizations that follow SFAS 117, check here " U
and complete lines 24 through 26 and lines 30 and 31 .
N
X24
Unrestricted, ., . . , _ , .,
X 25
Temporarily restricted
co 26
Permanently restricted " " " " ~ ~ ~
, , , . . . . . . . , , . , , , , , ,
Organizations that do not follow SFAS 117,
check here and complete lines 27 through 31 .
0 27
t
X
632 .955
Capital stock, trust principal, or current funds . . . . . . . .
28
W
,
10,
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 of
z
632,955
instructions) ., . , . . . ,_,
the instructions
" ~
~
-
632 .455
. . . . . . . .
92 .
Analysis of Changes in Net Assets or Fund Balances
1
2
3
4
5
6
Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree ninth
end-of-year figure reported on prior year's return) , , , , , . , , , , , , , , , , , , , , , , _ , , , _ , ,
Enter amount from Part l, line 27a , , . . , . . . . _ _ . , . , . , . . . . , . , . . . .
Other increases not included in line 2 (itemize) lo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Add lines 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Decreases not included in line 2 (itemize)
Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 .
632,455 .
34,237 .
666,692 .
Fog 990-PF (zooa)
JSA
4E1420 2 000
M03089
517K
HAW001-03
4
Form 990-PF 2004
I
FOYMM Ca pital Gains and Losses for Tax on Investment Income
Ho"'
acquired
P-~~ase
D Donation
(a) List and describe the kind(s) of property sold (e g ,real estate,
2-stor y brick warehouse, or common stock, 200 shs MLG Co
1a
b
c
d
e
SEE PART
IV SCHEDULE
(e) Gross sales price
Page 3
99-3347696
(g) Cost or other basis
(fl Deprecation allowed
(or allowable)
(c) Date
acquired
Imo, da y,
(d) Date sold
(mo ,day, yr )
(h) Gain or (loss)
plus expense of sale
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column h and owned by the foundation on 12/31/69
(k) Excess of col (i)
(j) Adjusted basis
(i) F M V as of 12131/69
as of 12131 /69
over col 0), rf any
(1) Gains (Col (h) gam minus
col (k), but not less than -0-) or
Losses (from col (h))
b
d
2 Capital gam net income or (net capital loss) ~ ~ ~ -
(
~
l
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
}
2
70,318 .
3 Net short-term capital gain or (loss) as defined m 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
~ 3
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 .)
4 , 960 .
If section 4940(d)(2) applies, leave this part blank
Was the organization liable for the section 4942 tax on the distributable amount of any year in the base period? . . . . E]Yes a No
If "Yes," the organization does not qualify under section 4940(e) . Do not complete this part .
1
Enter the appropriate amount in each column for each year, see page 18 of the instructions before making any entries
(a)
Base period years Calendar year
(or tax year beginning in)
2003
2002
2001
2000
JSA
Net value of nonchantable-use assets
cot
Distribution ratio
b divided b cot
c
32 , 469 .
595 , 057o
0 .05456952071
43 , 165 .
682 , 292*
0 .06326470192
25 , 750 .
857
162 .
0 .03009099575
1 , 019 , 391 .
0 .00763789361
7 , 786 .
1999
2
3
Adjusted qualifying distributions
NONE
91 .480_
NONE
Total of line 1, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 . , , , , , , , ,
2
4
Enter the net value of noncharilable-use assets for 2004 from Part X, line 5
4
775 , 185 .
5
Multiply line 4 by line 3
5
24 , 110 .
6
Enter 1% of net investment income (1% of Part I, line 27b)
6
704 .
7
Add lines 5 and 6
7
24 , 814 .
8
Enter qualifying distributions from Part XII, line 4 . , , , , , , , , , , , . , , . , , , , , , . . ,
8
31 , 032 .
If line 8 is equal to or greater than line 7 check the box in Part VI line 1 b, and complete th at pa rt using a 1 %a lax rate See the Part VI i nstruction s on page 18
4e,430 2000
. . , . _ . . . . . . , . . . . . , .
3
0 . 1555081
~ -
0 .0311016
Foam 990-PF (2004)
M03089
517K
HAW001-03
5
94-3397646
Form 990-PF
Excise Tax Based on Investment Income
1 a Exempt operating foundations described in section 4940(d)(2), check here
and enter "NIA" on line 1
1
Date of ruling letter _ _ _ _ _ _ - _ - attach copy of ruling letter if necessary - see instructions)
b Domestic organizations that meet the section 4940(e) requirements m Part V, check
here
" V] and enter I% of Part 1, line 27b
All other domestic organizations enter 2% of line 27b
.
Exempt foreign organizations enter 4% of Part I, line 12, cot (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)
3
Addlines land2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)
3
q
5
Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -0- , , , , . , , , , . , , ,
5
6
Credits/Payments
a 2004 estimated tax payments and 2003 overpayment credited to 2004
. , .
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 .
g
Enter any penalty for underpayment of estimated tax Check here " a "if Form 2220 is attached
~
.
. - .
~
.
.
. - . .
g
Tax due If the total of lines 5 and 8 is more than line 7, enter amount owed
2
, , ,
6a
, , , , , , , , , , , ,
b Exempt foreign organizations - tax withheld at source
Statements Re
1a
704 .
1
704 .
830 .
NONE
NONE
.
.
. . .
,
.
,
.
.
, , , .
. .
7
,
8
,
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 2005 estimated tax 6~
126 . Refunded 1
10
11
4
18 of the
Section 4940 (a~, 4940 (b), 4940 (e), or 4948 - see
830 .
126 .
10
Activities
During the tax year, did the organization attempt to influence any national, state, or local legislation a did
Yes
it participate or intervene m any political campaign? . , _ , , , , , , , , , , , , , , _ , , , , , , , , . , , , , , , , , .
No
1a
X
1b
X
1c
X
2
X
3
X
b 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 !a or 1b, attach a detailed description of the activities and copies of any mafenals
published or distributed by the organization in connection with the activities
c
Did the organization file Form 1120-POL for this year? , , , , , . , , , . . , . , , , , , . . . , , , , . , , , , , . , , ,
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year
(2) On organization managers 1 $
(1) On the organization 1 $
e
Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed
on organization managers
)o. $
Has the organization engaged in any activities that have not previously been reported to the IRS
2
, , , , , , , , , , , , , ,
If "Yes," attach a detailed description of the activities
Has the organization made any changes, not previously reported to the IRS, m its governing instrument, articles
3
of incorporation, or bylaws, or other similar instruments
4a
!f "Yes," attach a conformed copy of the changes , , , , , , , , , ,
Did the organization have unrelated business gross income of $1,000 or more during the year?
4a
, , , , , . , , , , , , . . ,
b If "Yes," has it filed a tax return on Form 990-T for this year? , , , , , , , , , , , , , , , , , . , , , , , . , , , , , , , ,
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year? , , _ , , , , , , , , , , , , . ,
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either
X
4b
A
5
X
If "Yes,"attach the statement required by General Instruction T
"
7
8a
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 instruments
, , . , , . . , , . , , , , , , . . , , , . , . , ,
Did the organization have at least $5,000 in assets at any time during the year? If "Vas," complete Part Il, cot (c), and Part XV
6
X
7
X
8b
X
Enter the states to which the foundation reports or with which it is registered (see page 19 of the
instructions) * CALIFORNIA -------------------------------------------------------b If the answer is "Yes" to tine 7, has the organization furnished a copy of Form 990-PF to the Attorney
9
General (or designate) of each state as required 6y General Instruction G? If "No," attach explanation , . , . , . . . , . . . .
Is the organization claiming status as a private operating foundation within the meaning of section 4942Q)(3)
or 4942(j)(5) for calendar year 2004 or the taxable year beginning in 2004 (see instructions for Part XIV on
page 25)? If "Yes," complete Part XIV
10
11
12
13
,15A
. , . , , , , , . , . _ . , , , , , , , , , , , , , , , . , , , , , . , , , , , , , ,
Did any persons become substantial contributors during the tax year? If "Yes "attach a schedule listing their names, and addresses
Did the organization comply with the public inspection requirements for its annual returns and exemption applications
,
9
, , , , ,
X
X
10
11
X
Web site address " _ _ _ _ _ Wk
The books aremcare of 1 -DAVID R ._KENYON ______-_______________Telephoneno " __650 210=5000_______Locatedat ~_ 1700_SEAPORT_BLVD1_REDWOOD_CITY_,_CA__________ZIP+4 .94063________
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
.
4 E1440 2 000
M03089
517K
HAW001-03
. . .
. 00, 1
. .
13 f
. . N/8 . . . . . . .
Form 990-PF (2044)
6
Form 990-PF
Statements Regarding Activities for Which
4720 May Be
5
wired
Yes
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies
is
During the year did the organization (either directly or indirectly)
(1) Engage in the sale or exchange, or leasing of property with a disqualified persons , , , , , , , ,
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
1:1 Yes
X No
Yes
X No
a disqualified persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified persons . . . . . . ,
Yes
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified persons . . . , . . , ,
(S) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)
. . , . . , . . . , . . . . . . . . . . . . . , _
X No
X No
Yes
~X
No
Yes
~X
No
(6) Agree to pay money or property to a government officials (Exception Check "No"
if the organization agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days ) . . . . . . . . . . . . .
b If any answer is "Yes" to 1a(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 20 of the instructions)? " " Organizations relying on a current notice regarding disaster assistance check here
. . , . , . . , . , . . .
1
1b
~.
c Did the organization engage m a prior year m any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning m 2004
2
, , , , , . , , . , . , , , , . , . , , , , , ,
1c
Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private
operating foundation defined in section 49420(3) or 49420(5))
a
At the end of tax year 2004, did the organization have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2004
If "Yes," list the years op-
Yes
. . . . . . . . . . . . . . . . . . . . . .
~X
No
b Are there any years listed m 2a for which the organization is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's undistributed incomes (If applying section 4942(a)(2)
to all years listed, answer "No" and attach statement - see page 20 of the instructions )
c
3a
. . . . . . . . . . . , . , , . , . , .
2b
If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here
Did the organization hold more than a 2% direct or indirect interest in any business
enterprise at any time during the years , , , , _ , , , , , , . , , , , , , , , , , , , , . , , , , .
b If "Yes," did it have excess business holdings in 2004 as a result of (1) any purchase by the organization
1:1 Yes
X No
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 organization had excess business holdings in 2004 )
4a
. , , . , . . . , , . . , . . . . , . , . , , . , . , . , . , . . .
. . . . . . .
4a
. . . . . , . . . . .
4b
Did the organization invest during the year any amount in a manner that would jeopardize it charitable purposes
b Did the organization make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable
purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2004
5 a During the year did the organization pay or incur any amount to
(1) Carry on propaganda, or otherwise attempt to influence legislation (section a945(e))? , , , , , ,
(2) Influence the outcome of any specific public election (see section 4955), or to carry
on, directly or indirectly, any voter registration drive?
. . . . . . . . . . . . . .
1:1 Yes
~X No
8 Yes
X No
Yes
X] No
Yes
a No
~ Yes
X 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)? , , , , . , , , , , , , , , , . . , , , ,
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
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 m a current nonce regarding disaster assistance (see page 20 of the instructions)'? "~
Organizations relying on a current notice regarding disaster assistance check here
c
6a
b
. , . . . , , . , , ,
If the answer is "Yes" to question 5a(4), does the organization claim exemption from the
tax because it maintained expenditure responsibility for the grants
3b
. , . , . . . . . . . . , . ,N./A D Yes
~ No
If "Yes, " attach the statement required by Regulations section 53 4945-5(d)
Did the organization, during the year, receive any funds, directly or indirectly, to pay
premiums on a personal benefit contracts , _ ,
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
If you answered "Yes" to 6b, also file Form 8870
X No
6b
Form 990-PF (2004)
JSA
4 E 1450 2 000
M03089 517K
Yes
.
HAW001-03
7
94-3347646
Form 990-PF(2004)
1
Page 6
information About Officers, Directo rs, T rus t e es, Foundation Managers, Highly Paid Employees, and Contractors
List all officers, directors, trustees, foundation managers and their com pensation (see page 20 of the instructions) .
(b) Title and average
hours per week
devoted to Dosition
a1 Name and address
'c) Compensation
(7f not paid, enter
-0-)
(d) contnbutwns to
employee benePn plans
and deferred compensation
(e) Expense account,
other allowances
------------------------------------SEE STATEMENT 6
NONE
------------------------------------------------------------------------------------------------------I
2
I
1
I
Compensation of five highest-paid employees bother than those included on line 1 - see page 21 of the instructions).
If none, enter "NONE."
(a) Name and address of each employee paid more than $50,000
~
6 Title and avers e
hours Pper weekg
devoted to position
(d) Contributions to
employee benefit
plans and deferred
compensation
(c) Compensation
(e) Expense account,
other allowances
NONE
-----------------------------------------------------------------------------------------------
-------------- - ---- -- ---------------- 1
I
I
. . 00
Total number of other employees paid over $50,000 .
3
Five highest-paid independent contractors for professional services - (see page 21 of the instructions) . If none, enter
"NONE ."
(b) Typ e of service
(a) Name and address of each person paid more than $50,000
NONE
(c) COMPE
------------------------------------------------!
-----------------------------------------------------------------------------------------------------------------------------------------------------Total number of others receiving over $50,000 for professional services
Summary of Direct Charitable Activities
List the foundation's tour 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
----N1`-a'------------------------
------------------------------2
-------------------------------
I
Expenses
-------------------------------------------------------------------
----------------------------------------------------------------------------------i
3
----------------------------------------------------------------------------I
4
----------------------------------------------------------------------------
Fog aau-rr (2ooa)
JSA
4E1460 Z 000
M03089
517K
HAW001-03
O
Form 990-PF (2004)
Summary o
rog
see page
Page 7
99-3397646
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2
I
Amount
--- N-l-`~ -----------------------------
--------------------------------------------------------------------------2
--------------------------------------------------------------------------Au other program-reiatea investments gee page zz or me instructions
NONE
---------------------------------------------------------------------------
lines 1 through 3
Minimum Investment Return (All domestic .foundations must complete this part.
see page 22 of the instructions )
1
ign foundations,
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes1a
a Average monthly fair market value of securities . . , . . . . . . , . _ . . . . . . . . . . . . . . . . . .
b Average of monthly cash balances . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . , . . .
1b
c Fair market value of all other assets (see page 22 of the instructions) _ . _ . . . . _ . . . . . . . , , . .
1c
d Total (add lines 1a, b, and c) . . . . . . . . . . . . . . . . . . . , _ . . . . . . . . . . . . . . . . . . , .
1d
e Reduction claimed for blockage or other factors reported on lines 1a and
1 c (attach detailed explanation) . . .
.
. . . . _ , . . . . . _ , .
1e
2
Acquisition indebtedness applicable to line 1 assets
2
3
Subtract line 2 from line 1d
3
4
Cash deemed held for charitable activities . Enter 1 1/2 % of line 3 (for greater amount, see page 23
of the instructions)
4
5
Net value of noncharitable-use assets . Subtract line 4 from line 3 . Enter here and on Part V, line 4 .
5
6
Minimum investment return. Enter 5% of line 5 , ,
6
Distributable Amount (see page 23 of the instructions) (Section 4942Q)(3) and .0)(5) private operating
foundations and certain foreign organizations check here 10. F] and do not complete this part .)
1
2a
b
c
3
4
5
6
7
Minimum investment return from Part X line 6
Tax on investment income for 2004 from Part VI, line 5 . . . . . . . . I 2a I
704 .
2b
Income tax for 2004 . (This does not include the tax from Park VI .) . . .
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 23 of the instructions) .
Distributable amount as adjusted Subtract line 6 from line 5 . Enter here and on Part XIII, ~
line 1
769,772 .
16 .818 .
400 .
786,990 .
NONE
786,990 .
11,805 .
1
2c
4
5
7
Qualifying Distributions (see page 23 of the instructions)
1
2
a
b
3
4
5
6
Amounts paid (including administrative expenses) to accomplish charitable, etc ., purposes :
Expenses, contributions, gifts, etc - total from Part 1, column (d), line 26 . . . . . . . . . . . _ . . . . .
Program-related investments - total from Part IX-B
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
Amounts set aside for specific charitable projects that satisfy the :
1a
1b
2
NONE
NONE
a
Suitability test (prior IRS approval required) . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . .
3a
b
Cash distribution test (attach the required schedule)
3b
. . . . . . . . . , . . . . . , . . . . . . _ . . .
Qualifying distributions Add lines 1 a through 3b Enter here and on Part V, line 8, and Part XIII, fine 4
. _ . . .
Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment
31,032 .
NONE
NONE
4
31 , 032 .
income . Enter 1% of Part l, line 27b (see page 24 of the instructions) . . _ . . . _ . . . . . . . . . . .
5
Adjusted qualifying distributions . Subtract line 5 from line 4
6
Note : The amount on line 6 will be used m Part V, column (b), m subsequent years when calculating whether the foundation
qualifies for the section 4 9 4 0(e) reduction of tax in those yea rs.
704 .
30 , 328 .
Form 990-PF (2004)
JSA
4E1470 2 000
M03089
517K
HAW001-03
9
Form990-PF(2004)
,
Page 8
99-3347646
Undistributed Income (see page 24 of the instructions)
1
(b)
Years prior to 2003
Corpus
Distnbutable amount for 2004 from Part XI,
line 7 . . . . . . . . . . . . . . . . . . . . .
Undistributed income, if any as of the end of 2003
2
a Enter amount for 2003 only
. , , , , . , , ,
26 , 922 .
NONE
Excess distributions carryover, if any, to 2004
a
From 1999
, , , , , ,
b From 2000
, , , . ,
c
From 2001
, , , , , ,
d From 2002
, , , . , ,
e From 2003
, , , , , ,
f
4
NO
NO
NO
NO
NO
Total of lines 3a through e , , , , _ . . , , , ,
Qualifying distributions for 2004 from Part
XII, line 4 " $
NO
31,032 .
a Applied to 2003, but not more than line 2a , ,
26 , 922 .
b Applied to undistributed income of prior years
(Election required - see page 24 of the instructions) ,
c Treated as distributions out of corpus (Election
required - see page 24 of the instructions) . ,
d Applied to 2004 distnbutable amount, , , , ,
e Remaining amount distributed out of corpus
5
Excess distributions carryover applied to 2004
(If an amount appears m column (d), the
same amount must be shown m column (a) J
s
Enter the net total of each column as
indicated below:
a
Corpus Add lines 3f, 4c, and 4e Subtract line 5
NONE
NO
4 , 110 .
NO
NONE
d Subtract line 6c from line 6b Taxable
amount - see page 25 of the instructions
Undistributed income for 2003 Subtract line
4a from line 2a Taxable amount - see page
25 of the instructions
7
8
9
Excess distributions carryover to 2005 .
Subtract lines 7 and 8 from line 6a . . . . . . .
10
NONE
NONE
. . . .
Undistributed income for 2004 Subtract
lines 4d and 5 from line 1 This amount must
be distributed in 2005 .
. . . . . . . . . . .
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(E) a 4942(8)(3) (see page
25 of the instructions) , , ,
, , ,
Excess distributions carryover from 1999
not applied on line 5 or line 7 (see page 25
of the instructions) , . . . . . . . . , , , , , .
NONE
NO
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 , , _ . , , ,
f
(d)
2004
38 , 055 .
b Total for prior years
3
(c)
2003
NONE
33 , 945 .
NO
NO
NO
Analysis of line 9-
a Excess from 2000 . . .
NO
b Excess from 2001 . , ,
NO
Excess from 2002 . .
NO
c
d Excess from 2003 . . .
Excess from 2004 .
. ~
NO
NO
Form 990-PF (2004)
JSA
4E1480 2 000
M03089
517K
HAW001-03
10
Form 990-PF (2004)
99-33 47646
Private Operating Foundations (see page 25 of the instructions and Part VII-A, question 9)
1a
b
2a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2004, enter the date of the ruling
. ,
Check box to indicate whether the organization is a private operating foundation described in section
.
.
(a) 2004
b
85% of line 2a
C
Qualifying distributions from Part
t
4942(j)(3) or
4942(j)(5)
Prior 3 years
Tax year
Enter the lesser of the
adjusted net income from
Part I or the minimum
investment return from Part
X for each year listed . .
Page 9
NOT APPLICABLF
(b) 2003
(c) 2002
(d) 2001
(e) Total
,
XII, line 4 for each year listed
Amounts included in line 2c riot
used directly for active conduct
of exempt activities , , ,
e
Qualifying distributions made
.
d
directly for ache conduct of
exempt activities Subtract
line 2d from line 2c .
3
Complete 3a, b, or c (or the
aNernatrve test relied upon
8
"Assets" alternative test - enter
Value o1 all assets
Value of assets qualifying
under section
b
4942Gx3)(B)(1) .
'Endowment altematrve test enter 2/3 of minimum
investment return shown m
Part X, line 6 for each year
listed
C
'Support' alternative test - enter
Total support other than
gross investment income
(interest, dividends. rents,
payments on securities
loans (section 512(a)(5)),
or royallies) .
(2) Support from general
public and 5 or more
exempt organizations
as provided m sedan
49420)(3)(Bxmj
(3) largest amount al support
from an exempt
organization
Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year - see page 26 of the instructions .)
1
a
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) )
WILLIAM M .
b
HAWKINS
& LISA WAItATES HAWKINS
List any managers of the foundation who own 10°/a 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% a greater interest
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc ., Programs :
Check here
1
X
if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds
If the organization makes gifts, grants, etc (see page 26 of the instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d
a
The name, address, and telephone number of the person to whom applications should be addressed-
b The form in which applications should be submitted and information and materials they should include
c
Any submission deadlines
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors
JSA
4 E 1490 2 000
M03089 517K
HAW001-03
Form 990-PF (2004)
11
99-3347646
Form 990-PF (2004)
Page 10
Supplementary Information (continued)
Fog 990-PF (2ooa)
JSA
14
4 E 9'I 2000
M03089
517K
HAW001-03
12
Page 1 1
-33976
Form 990-PF(2004)
Enter gross amounts unless otherwise indicated
1 Program service revenue
a
Unrelated business income
1
(b)
Business
Amount
code
Excluded by section 512, 513, or 514
(c)
(d)
Exclusion
Amount
code
Related or exempt
function income
(See page 26 of
the instructions
b
c
d
e
t
Fees and contracts from government agencies
g
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
14
10 , 838 .
18
70 , 318 .
, , , , . , ,
6 Net rental income or (lass) from personal property
7 Other investment income
8 Gain or (lass) from safes of assets other than inventory
9 Net income or (loss) from special events
,
,
10 Gross profit or (loss) from sales of inventory . .
1 1 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 m line 13 instructions on page 26 to verify calculations )
. _... .
81 , 156 .
, , , 13
81 , 156 .
Relationship of Activities to the Accomplishment of Exempt Purposes
dine No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes) . (See
page 27 of the instructions )
N/A
JSA
4E1492 2 000
M03089
Form 990-PF (2004)
517K
HAW001-03
13
Form 990-PF 2004
Page 1 2
94-3347646
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
Did the organization directly or indirectly engage in any of the following with any other organization described m section
1
Yes
No
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations
a Transfers from the reporting organization to a nonchantable exempt organization of
(1) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1a1
(2) Other assets
b Other transactions
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a 2
(1) Sales of assets to a nonchantable exempt organization , , , , , , , , , , , , , , . , , , , . , , , , , , , , , , , , ,
(2) Purchases of assets from a nonchantable exempt organization
(3) Rental of facilities, equipment, or other assets
, , , , . , , , , , , , , , , , , , , , , , . , , . , , , , , , , , , , , , 1b 3
(4) Reimbursement arrangements , , , , , , , . , , , , , , , , , , , , , , , , , , , _ , , , , , . , . , . , , , , , , ,
(5) Loans or loan guarantees
1b (l)
, , . , , , , , , , , , , _ , , , , , , , , , , , , , , , , 1b 2
1b 4
, , , _ _ , , _ , _ . , , , , , _ , , , , _ , _ _ , , , _ _ , _ _ _ , , , , , , , , _ , , _ _ , 1b 5
(6) Performance of services or membership a fundraising solicitations , , , . , , , , , , , , , , , , , , , , , , , , , , _ , 1 b 6
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees _ , , , , , , , . , , , , , . , , , , , , , , .
_1C
d If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market
X
X
X
X
X
X
X
X
X
value of the goods, other assets, or services given by the reporting organization If the organization received less than fair
market value in any transaction or sharing arrangement, show m column (d) the value of the goads, other assets, or sernces
received
2 a
Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described m section 501(c) of the Code (other than section 501(c)(3)) or m section 527
b If "Yes , " complete the following schedule
(a) Name of organization
(b) Type of organization
, , , , , , , , , , , , , , , , , ,
0 Yes a No
Jc) Description of relationship
Under penalties of perjury I declare that
De
ave examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief, it is true correct, and complete
~.I anon of preparer (other than taxpayer or fiduciary) is bTed
all information of which preparer has any knowledge
`
d
1
.ti .A
Signature of officer or trustee
2
pt
U)
y '^ Preparer's
0 signature
a v y Firm's name (or yours if
self-employed), address,
and ZIP code
JSA
4E1493 2 000
M03089
517K
1700 SEAPORT BLVD .,
FORM 990-PF - PART IV
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Kind of Property
Gross sale
price less
e enses of sale
P
Description
Depreciation
allowed/
allowable
Cost or
other
basis
FMV
as of
12L31,69
Add basis
as of
12/31 1AQ
Excess of
FMV over
ad basis
SEE ATTACHED SCHEDULE
37,900 .
32,940 .
214,937 .
JSA
4E 1730 1 000
Date
acquired
Gam
or
loss
VAR
VAR
VAR
199,079 .
VAR
65,358 .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
M03089 517K
Date sold
4,960 .
SEE ATTACHED SCHEDULE
TOTAL GAIN (LOSS)
p
HAW001-03
70,318 .
15
THE HAWKINS FOUNDATION
FORM 990PF,
PART
I
94-3347646
- DIVIDENDS AND INTEREST FROM SECURITIES
REVENUE
AND
DESCRIPTION
----------UBS FINANCIAL SERVICES INC
TOTAL
M03089 517K
NET
EXPENSES
PER BOOKS
---------
INVESTMENT
INCOME
------
10,838 .
-------------10,838 .
10,838 .
-------------10,838 .
HAW001-03
16
STATEMENT
1
94-3347646
THE HAWKINS FOUNDATION
FORM 990PF,
PART
I - ACCOUNTING FEES
REVENUE
AND
EXPENSES
PER BOOKS
---------
DESCRIPTION
ACCOUNTING FEES
TOTALS
M03089 517K
5,875 .
-------------5,875 .
NET
INVESTMENT
INCOME
------
ADJUSTED
NET
INCOME
------
CHARITABLE
PURPOSES
--------
2,938 .
-------------2,938 .
-------------NONE
2,937 .
-------------2,937 .
HAW001-03
17
STATEMENT
2
THE HAWKINS FOUNDATION
94-3347646
FORM 990PF, PART I - TAXES
---------------REVENUE
AND
EXPENSES
PER BOOKS
---------
DESCRIPTION
-----------
60 .
--------------
INCOME TAXES
TOTALS
60 .
STATEMENT
M03089 5178
HAW001-03
18
3
94-3347646
THE HAWKINS FOUNDATION
FORM 990PF,
PART
I
- OTHER EXPENSES
REVENUE
AND
EXPENSES
PER BOOKS
---------
DESCRIPTION
NET
INVESTMENT
INCOME
------
CHARITABLE
PURPOSES
25 .
25 .
FILING FEES
SERVICE CHARGES
2 .
2 .
MANAGEMENT FEES
7,801 .
7,801 .
51 .
51 .
5,035 .
-------------12,914 .
-------------7,854 .
FOREIGN TAX WITHHOLDING
MISCELLANEOUS EXPENSE
TOTALS
M03089 517K
HAW001-03
-------------25 .
19
STATEMENT
4
THE HAWKINS FOUNDATION
FORM 990PF,
PART
II
94-3347646
- CORPORATE STOCK
MS ACCT
48800
TOTALS
M03089 517K
I
ENDING
FMV
ENDING
BOOK VALUE
DESCRIPTION
655,515 .
--------------655,515 .
HAW001-03
712,429 .
--------------712,429 .
20
STATEMENT
5
THE HAWKINS FOUNDATION
FORM 990PF,
PART VIII
94-3347646
- LIST OF OFFICERS,
NAME AND ADDRESS
----------------
DIRECTORS,
AND TRUSTEES
TITLE AND TIME
DEVOTED TO POSITION
-------------------
CONTRIBUTIONS
TO EMPLOYEE
BENEFIT PLANS
-------------
COMPENSATION
------------
EXPENSE ACCT
AND OTHER
ALLOWANCES
----------
WILLIAM M . HAWKINS
8 BRITTANY MEADOWS COURT
RTHERTON, CA
94027
PRESIDENT
NONE
NONE
NONE
LISA WARNES HAWKINS
8 BRITTANY MEADOWS COURT
94027
ATHERTON, CA
TREASURER
NONE
NONE
NONE
--------------
--------------
--------------
GRAND TOTALS
M03089 517K
HAW001-03
NONE
21
NONE
STATEMENT
NONE
6
THE HAWICIN3 FOUNDATION
94-3397646
FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RECIPIENT NAME AND ADDRESS
FOUNDATION STATUS OF RECIPIENT
------------------------------
--------------------------
THE NUEVA SCHOOL
NONE
6565 SKYLINE BLVD .
PUBLIC CHARITY
PURPOSE OF GRANT OR CONTRIBUTION
--------------------------------
AMOUNT
GENERAL CHARITABLE PURPOSE
5,100 .
GENERAL CHARITABLE PURPOSE
1,000 .
HILLSBOROUGH, CA 94010-6221
SAN JOSE FAMILY SHELTER
1590 L?.S PLUMAS AVENUE
NONE
PUBLIC CHARITY
SAN JOSE, CA 95133-1667
SMITHSONIAN INTITUTION
NONE
WASHINGTON, DC
PUBLIC CHARITY
FRIENDS OF MONTALVO
NONE
15400 MONTALVO ROAD
SARATOGA, CA
GENERAL CHARITABLE PURPOSE
75
GENERAL CHARITABLE PURPOSE
60
PUBLIC CHARITY
95071
THE GIRLS' MIDDLE SCHOOL
NONE
180 NORTH RENGSTROFF AVENUE
PUBLIC CHARITY
MENLO PARK PRESBYTERIAN CHURCH
NONE
MOUNTAIN VIEW, CA
GENERAL CHARITABLE PURPOSE
5,000 .
GENERAL CHARITABLE PURPOSE
3,515 .
GENERAL CHARITABLE PURPOSE
1,500 .
GENERAL CHARITABLE PURPOSE
170 .
94039
950 SANTA CRUZ AVENUE
PUBLIC CHARITY
MENLO PARK, CA 94025
BOYS SCOUTS OF AMERICA
PACIFIC SKYLINE COUNCIL
NONE
PUBLIC CHARITY
1300 S AMPHLETT BLVD, SAN MATEO, CA 94402-1907
FOOTHILL AUXILIARY, FAMILY SERVICES AGENCY
24 2ND AVENUE
NONE
PUBLIC CHARITY
SAN MATEO, CA 94401
ALL STARS HELPING KIDS
970 MAIN STREET
NONE
GENERAL CHARITABLE PURPOSE
1,000
PUBLIC CHARITY
REDWOOD CITY, CA 94063
M03089
517K
HAW001-03
22
STATEMENT
7
THE HAWtCINS FOUNDATION
94-3347646
FORM 990PF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
RECIPIENT NAME AND ADDRESS
--------------------------
EXPLORATORIUM
FOUNDATION STATUS OF RECIPIENT
------------------------------
PURPOSE OF GRANT OR CONTRIBUTION
--------------------------------
AMOUNT
NONE
GENERAL CHARITABLE PURPOSE
1,250 .
NONE
GENERAL CHARITABLE PURPOSE
100 .
NONE
GENERAL CHARITABLE PURPOSE
lOG
BETTENCOURT FIELD FUND
NONE
GENERAL CHARITABLE PURPOSE
1,000 .
555 MIDDLE£IELD ROAD
PUBLIC CHARITY
GENERAL CHARITABLE PURPOSE
500 .
GENERAL CHARITABLE PURPOSE
500 .
3601 LYON STREET
SCI FRANCISCO, CA 94123
FRIENDS OF THE PALO ALTO JUNIOR MUSEUM b Z00
1451 MIDDLEFIELD ROAD
PUBLIC CHARITY
PUBLIC CHARITY
PALO ALTO, CA 94301
NOLBROOK-PALMER PARK FOUNDATION
150 wATKINS AVENUE
PUBLIC CHARITY
ATHERTON, CA 94027
ATHERTON, CA 94027
ARTHRITIS FOUNDATION
NONE
P.O . BOX 96280
PUBLIC CHARITY
WASHINGTON, DC 20090
FAMILY SERVICE AGENCY
1010 DOUGH STREET
NONE
PUBLIC CHARITY
SAN FRANCISCO, CA 99109
PHILLIPS BROOKS SCHOOL
2245 AVY AVENUE
NONE
GENERAL CHARITABLE PURPOSE
2,700
GENERAL CHARITABLE PURPOSE
500
GENERAL CHARITABLE PURPOSE
1,000
PUBLIC CHARITY
MENLO PARK, CA 94025
AIDS MARATHON-DC
NONE
1015 18TH STREET, NW, SUITE 400
PUBLIC CHARITY
WASHINGTON, DC 20036
PENINSULA HABITAT FOR HUMANITY
690 BROADWAY STREET
NONE
PUBLIC CHARITY
REDWOOD CITY, CA 94063
M03089
517K
HAW001-03
23
STATEMENT
8
THE HAWKINS FOUNDATION
94-3347696
FORM 990pF, PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
RECIPIENT NAME AND ADDRESS
--------------------------
FOUNDATION STATUS OF RECIPIENT
------------------------------
LUCILE PACKAFtD CHILDREN'S FUND
NONE
770 WELCH ROAD, SUITE 350
PUBLIC CHARITY
PURPOSE OF GRANT OR CONTRIBUTION
--------------------------------
AMOUNT
------
GENERAL CHARITABLE PURPOSE
1,000 .
GENERAL CHARITABLE PURPOSE
1,000
GENERAL CHARITABLE PURPOSE
1,000 .
PALO ALTO, CA 94304
ATHERTON POLICE PAL PROGRAM
NONE
83 ASHFIELD ROAD
PUBLIC CHARITY
ATHERTON, CA 94027
SEND INTERNATIONAL
NONE
P .O . BOX 513
PUBLIC CHARITY
FARMINGTON, MI 48332
-----------TOTAL CONTRIBUTIONS PAID
M03089
517K
HAW001-03
24
STATEMENT
28,070
9
SCHEDULE D
(Form
,04,)
OMB No i5a5-oos2
Capital Gains and Losses
Department of the Treasury
Internal Revenue Service
00, Attach to Form 7041, Form 5227, or Form 990-T. See the separate
instructions for Form 1041 (also for Form 5227 or Form 990-T, if applicable).
Name of estate or trust
200
Employer identification number
THE HAWKINS FOUNDATION
C / O WILLIAM M . HAWKINS
III
Note : Form 5227 filers need to complete only Parts I and IL
94-3397696
Short-Term Capital Gains and Losses -Assets Held One Year or Less
(a) Description of property
(Example 100 shares 7%
preferred of "Z" Co 1
1
(b) Dale
acquired
(mo, dav. yr )
(c) Date sold
Imo day, yr )
STATEMENT 1
2
3
7
Short-term capital gain or (loss) from Forms 4684, 6252, 6781, and 8824 . , , , , , , , , , , , , , , . ,
Net short-term gain or (loss) from partnerships, S corporations, and other estates or trusts , , , , , , , ,
Short-term capital loss carryover . Enter the amount, if any, from line 9 of the 2003 Capital Loss
Carryover Worksheet , , , _ , , , , , , , , , , . , , , . , . , _ , , , , , _ , , , , . , , . , _ , , , , , , ,
Net short-term gain or (loss) . Combine lines 1 through 4 in column (f) . Enter here and on line 13,
.
column 3 below .
4
5
(f) Gain or (Loss)
for the entire year
(col (d) less col (e)
(e) Cost or other bass
(see page 33)
(d) Sales price
, ,
, ,
2
3
,
4
"
5
Long-Term Capital Gains and Losses - Assets Held More Than One Year
(a) Description of property
(Example, 100 shares 7%
preferred of "Z" Co )
6
(b) Date
acquired
(mo, dav. Vr
(c) Date sold
(mo, day, yr )
STATEMENT 2
7
8
9
10
11
14
Long-term capital gain or (loss) from Forms 2439, 4684, 6252, 6781, and 8824 . . . . .
Net long-term gain or (loss) from partnerships, S corporations, and other estates or trusts
Capital gain distributions , . . . . . . . . . . .
Gain from Form 4797, Part l _ ,
Long-term capital loss carryover . Enter the amount, if any, from line 14 of the 2003 Capital
Carryover Worksheet . . . ., . , . ., ._, . . .,_ . . ., . .
Net long-term gain or (loss) . Combine lines 6 through 11 in column (f) . Enter here and on
column (3) below
12
Net short-term gain or (loss) . . . .
Net tong-term gain or (loss) :
a Total for year . . . . . . . . . . . . .
b Unrecaptured section 1250 gam (see
the worksheet on page 34) . . . . .
14
. . . . . . . . . . . . . . . .
13
. . . . . . . . . . . . . . . .
line 18 of
. . . . . . . . . . . . . . . ,
14a
Total net gain or (loss) . Combine lines 13 and 14a
. . . . . . .
7
8
9
10
65_,_3 .
(3) Total
9,960 .
65 .3
74b
c 28% rate gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . .
75
. . . . . . . . . .
. . . . . . . . . .
. . . . . ,
Loss
. . . .__ . . . . 11
line 14a,
1012
. (1) Beneficiaries' . . .(2).Estate's
(see page 34)
or trusts
Summary of Parts ( and II .
Caution : Read the instructions before completing this part .
13
(f) Gam 6r (Loss)
for the entire year
(col (d) less cot (e)',
(e) Cost or other basis
(see page 33)
(d) Sales puce
14c
No- 1 15 1
1
1
70,318 .
Note : If line 15, column (3), is a net gain, enter the gain on Form 1041, line 4 if lines 14a and 15, column (2), are net gains, go to
Part V, and do not complete Part IV If line 15, column (3), is a net loss, complete Part IV and the Capital Loss Carryover Worksheet,
as necessary
Schedule D (Form 1041) 2004
For Paperwork Reduction Act Notice, see the Instructions for Form 1041 .
JSA
4 F 1210 4 000
M03089 517K
HAW001-03
25
Schedule D (Form 1041) 20 04
ORM
pays 2
Capital Loss Limitation
16
Enter here and enter as a (loss) on Form 1041, line 4, the smaller ofa The loss on line 15, column (3) or
b $3,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
If the loss on line 15, column (3), is more than $3,000, or if Form 1041, page 1, line 22, is a loss, complete the Capital Loos
Carryover Worksheet on page 36 of the instructions to determine your capital loss carryover
Tax Computation Using Maximum Capital Gains Rates (Complete this part only if both lines 14a and
15 in column (2) are gams, or an amount is entered in Part I or Part II and there is an entry on Form 1041,
line 2b(2), and Form 1041, line 22 is more than zero )
Note : If line 14b, column (2) or line 14c, column (2) Is more than zero, complete the worksheet on page 37 of the instructions
and slop Part V Otherwise, go to line 17.
17
18
19
Enter taxable income from Form 1041, line 22
Enter the smaller of line 14a or 15 in column (2) . . . . . . . .
18
but not less than zero
Enter the estate's or trusts qualified dividends
from Form 1041, line 2b(2) . . . . . . . . . . . , 19
.
. .
.
20
21
Add lines 18 and 19 . . . . . . . . . . . . . . .
If the estate or trust is filing Form 4952, enter the
amount from line 4g, otherwise, enter -0- . . "
22
Subtract line 21 from line 20 If zero or less, enter-0-
. . . . . . - - - - . . . 1 22
23
Subtract line 22 from line 17 If zero or less, enter-0-
. . . . . . . . . . . . .
24
25
Enter the smaller of the amount on line 17 or $1,950 . , , , , , , , . , , ,
Is the amount on line 23 equal to or more than the amount on line 24?
X8 Yes . Skip lines 25 through 27, go to line
and check the-"No" box . .
No . Enter the amount from line 23
r
2
26
Subtract line 25 from line 24
27
28
Multiply line 26 by 5% ( 05) . . . . . . . . , , . , , , , , , , , , . , , , , , , _ , , , , . , , , , , . , ,
Are the amounts on lines 22 and 26 the same?
Yes . Skip lines 28 through 31 ; go to line 32 .
X
B No . Enter the smaller of line 17 or line 22 _ . , , , , , , , , , , , , ,
1 28
29
Enter the amount from line 26 (If line 26 is blank, enter -0-) , , , , , , , , , ,
30
Subtract line 29 from line 28
31
32
Multiply line 30by15%(15) . , _ . . . . . . , . . . . . . ._, . ,
Figure the tax on the amount on line 23 . Use the 2004 Tax Rate Schedule on page 22 of the
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r3
33
34
Add lines 27, 31, and 3 2 , . , , , , . , , , , , , , , ,
Figure the tax on the amount on line 17 . Use the 2004. Tax Rate Schedule on page 22 of the
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax on all taxable income. Enter the smaller of line 33 or line 34 here and on line 1 a of
Schedule G Form 1041
35
20
21
. . . , . . 23
26
27
29
_ , _ . , . 1 30
33
NOME
34
35
Schedule D (Form 1041) 2004
JSA
4 F 1220 2 000
M03089
517K
HAW001-03
26
THE HAWKINS FOUNDATION
94-3347646
Schedule D Detail of Short-term Capital Gains and Losses
Date
Ac quired
Descri ption
CAPITAL GAINS
SEE ATTACHED
LOSSES
HELD
LOSSES
Gross Sales
Price
Cost or Other
Basis
Short-term
Gain/Loss
FOR INVESTMENT PURPOSES
SCHEDULE
TOTAL CAPITAL GAINS
Date
Sold
VAR
HELD
FOR INVESTMENT
VAR
PURP O SES
Totals
37 , 900 .
32 , 940 .
4 , 960 .
37 , 900 .
32 , 940 .
4 , 960 .
37,900 . 1
32, 940 .; 1
4,960 .1
JSA
4F0971 2 000
M03089 517K
HAW001-03
27
STATEMENT
1
THE HAWKINS FOUNDATION
94-3347646
Schedule D Detail of Long-term Capital Gains and Losses
Date
Ac quired
Descri ption
CAPITAL GAINS
SEE ATTACHED
LOSSES
HELD
LOSSES
Gross Sales
Price
Cost or Other
Basis
Long-term
Gam/Loss
FOR INVESTMENT PURPOSES
SCHEDULE
TOTAL CAPITAL GAINS
Date
Sold
VAR
HELD
VAR
FOR INVESTMENT PURPOSES
Totals
214 437 .
149 079 .
65 , 358 .
214 437 .
149 079 .
65 , 358 .
214 437 .
149 079 .
__ 65 , 358 .
JSA
4F0970 2 000
M03089 517K
HAW001-03
28
STATEMENT
2
.......
Investment Account
Account Number: KP4880011
Your Financial Advisor
DUNCAN O. NAYLOR
650-233-0461/800-544-6611
PZ1A04187546
Statement Period : 2004 Year-End Summary
. 000002
2004 Realized gains and losses - continued
_
Estimated ?004 gains and losses for transactions with trade dates through 12131!04 have been incorporated into this statement. The oldest security lot Is liquidated first to calculate pains/losses (tint-In, first-out or FIFO
accounting method) unless you specified which !at to does when you placed your order (a versus purchase of VSP older) . An asterisk (') indicates a U8S Financial Services adjustment to cost basis, The number "Y indicates cost
basis information has been provided by a source other than U85 Financial Services . See the beak of the first peps for additional Information . This Information la provided for Informational purposes only and should net be rolled
upon for tax-filing purposes Rely only on year-end tax forms when preparing your tax return, Oalnsllosass may not be adjusted for all capita! changes. Cost balls for tax-exempt and AMT eligible coupon municipal securities has
been adjusted automatically /or estimated amortization of bond premiums . Estimates in the 'UnclassJlied" section can not be classified as short-term or long-term, due to missing Information or the product !s one for which a
palnlloss calculation Is not provided.
Quantityl
Purchase
Sale
Sale
Purchase
Not
Security description
Method
Face value
date
lets
amount
amount
Loss
Gain
gain/loss
Short-term capital gains and losses ;
AUTODESK INC
BARD C R INC
LIBERTY MEDIA CORP CL A
POLO RALPH LAUREN CORP
Total
FIFO
FIFO
FIFO
FIFO
Long-term capital gains and losses:
ALCON INC
FIFO
APPLE COMPUTER INC
AUTODESK INC
CINN FINANCIAL CORP
CYTEC INDUSTRIES INC
GILLETTE COMPANY
HONEYWELL INTL INC
ING GROEP N V NL SPON
ADR
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
100.000
100.000
1,800.000
350.000
08117/03
11118103
10/17103
03/24104
05128/04
07/02104
10114104
09116/04
2oo.ooo 10/ 16/02
12n2ioa
04130/04
12128/04
07!21104
04/15/04
12128104
11118104
1011 8104
05124104
05124104
04/22104
07121104
04105104
04105/04
04102104
02124/04
02I24I04
10/25104
150.000
100.000
150.000
100.000
200.000
100.000
200.000
50 .000
250.000
200.000
100.000
150.000
250.000
200.000
300.000
200.000
215 .000
03/21/02
11121101
11/21/01
11/21101
06/18/03
08/18!03
08117103
10106100
10116/02
10108100
08/21101
09118100
10118102
08118/00
09118100
10116/02
10!08101
Page
2 of
$
$
3
3,579.57 $
5,578.50
15,715.79
13,025.88
37,889.54 $
1,688.83
3,825.85
15,673 .37
11,752.27
52,940.12
$
15,965 .50
11,320 .23
8,388.85
4,745.88
2,873.93
7,683.82
5,979.42
9,904,00
2,087.88
10,438 .40
8,881 .58
4,829.88
5,812.11
9,888.84
7,771 .15
10,505.38
7,003.58
5,428.08
7,520.00
5,082.62
1,880.24
2,840.38
1,980.24
1,686.08
1,688.08
3,377.88
1,743.75
8,870.00
8,875.00
3,803.12
4,190.63
7,887.50
5,587.50
10,782 .50
4,380.00
5,888.88
i
S
-257.12
-261 .92
1,880.74
1,752.85
42 .42
1,273.41
4,959.42 $
4,959.42
8,445.50
6,237 .61
4,428 .61
1,85 .52
913.68
5,977.74
4,293.34
8,528.34
343.93
1, 568.40
1,706.59
1,228.76
1,621 .48
2,019.34 .
2,183.85
2,623.58
2004 Year-End Summary/ KP 48800 11
.vim. ;14% a ,e . r.
.
. r
.c
Investment Account
Account Number: KP4880011
Your Financial Advisor
DUNCAN O. NAYLOR
650-233-0461/800-W-6611
2004 Realized gains and losses - continued
Security description
Method
L-3 COMMUNICATIONS
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
FIFO
HOLDINGS CORP
MOTOROLA INC
NCR CORP NEW
NEENAH PAPER INC
SCHWAS CHARLES CORP NEW
SIERRA PAC RESOURCES NEW
XEROX CORP
3M Ca
Total
Quantltyl
Face value
PZtA041878 "X6
Statement Period : 2004 Year-End Summary
Purchase
date
Sale
date
50 .000
03114/03
04115104
800.000
100.000
250.000
200.000
50 .000
.090
400.000
300.000
800.000
400.000
600,000
400.000
400 .000
50 .000
100 .000
30 .004
20 .000
10/16/02
10/18/02
08118100
01/04/01
02/21/01
12/04/02
02104103
04119102
10/16/02
04/18/02
09/18100
12128101
10/16/02
09/18/00
10/16/02
09/18100
10/16/02
09/30/04
08/18/04
08117104
08117104
11/16/04
12/01/04
12128/04
09102104
09/02/04
04115I04
01/20!04
01/20/04
01/20/04
07/13/04
07/13/04
04/29/04
04129104
Net capitol gafnallosaea :
$
Sale
amount
Purchase
amount
3,035.92
1,969.98
10,796 .02
1,543.77
3,772.31
3,017.85
2,847 .99
3 .00
4,795.88
2,589 .51
5,179.01
2,915.93
8,057.98
5,371 .99
5,371 .99
4,386.56
8,733 .11
2,587.01
5,724.87
213,794.80 $
4,784.00
799.00
8,390.63
4,575.00
2,422.60
2 .39
3,548.32
2,758.50
3,180.00
3,678 .00
10,350 .00
4,004 .00
2,164.00
2,090,63
8,182.50
1,254.38
1,236.50
149,081 .69 $
Loss
-000003
Not
gainlicss
Gain
1,065.94
-4,618 .32
-1,557 .15
-168 .89
-762 .07
-2,292 .02
"9,917 .59 $
6,002.02
744.77
425.39
.61
1,249.56
1,899.01
1,367.99
3,207.99
2,275.93
2,550.61
1,332.63
488.17
74 .830 .70 $
S
Gains/Losses
15 .000
CINN FINANCIAL CORP
Total
7
06115104
$
$
645.82
645.82
~
64 ,713.11
69,672 .53
+ 6ys .~z.
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