ive category General category Other } information Total foreign taxes paid Total tomign level Form 1116. Pan I Fenn 1118. Pan II Form 1116. Pan II Fens Ills. tie 12 Form 8873 Form 8873 See the Partners Instructions taxes accrued Reduction in tams amiable for Credit Faeign trading gross r

e thePartners instructions Faro 1040. Ine 64 See the Partner's Instructions Form lilt Part I ). Faro 1116. Pan I } Form 1118. Pan I Form 1118. Pan II Form 1116. Pan II Form Ills. die 12 Form 8873 Form 8873 See the Palmer's Instructions } See the Partners hstruCtions and the instruction for

ation 0 Section 4947(a)(1) nonexempt charitable trust 0 Other taxable private foundation I Fair market value of al assets at end of year (from Pan II, col. (c), line 16) Is. $ 0 J Accounting method: 0 Cash • Accrual M Other (specify) Parr I, column (d1 must be on cash basis.) litaal Analys

only) (C) Elected Call 6,516. 6,516. 80,130. 80,130. 7 Listed property. Enter the amount from line 29 8 9 10 11 12 13 Note: Do not use Pan II or Part Ill below for listed property. Instead. use Part V. I Part II I Special Depreciation Allowance and Other Depreciation (Do not include listed

ms arc not subject to the FSIA's protection. The Court will determine wheth- er it has personal jurisdiction over Prince Sultan and Prince Turki in Pan II. EFTA00795062 798 349 FEDERAL SUPPLEMENT, 2d SERIES Hastelti a Goodyear Tire & Rubber Ca, 79 N.Y2d 289, 295, 582 N.Y.S.2d 373, 591 N.E.2d 222

) as attorney(s)-in-fact: Section 2. Representative(s). Each representative must be listed Individually, and must sign and date this form on Page 2. Pan II. Nome and °cares, orcit.ce rote e"i'm Il applcatke rank address: Telephone numb°. ) fax number ( ) Cell phone number ( ) Name and address (i

0.EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(w), that checked Schedule A (Form 990 or 99012), Pan II, line 13, 16a, or 16b, and that received from any one contributor, during the year. total contributions of the greater of (1) $5,000 or (2)2% of the

he state law remain in the governing instrument/ 7 Did the foundation have at least $5,000 in assets at any time dunng the yearThe "Yes," complete Pan II, col (c), and Pan xV ea Enter the states to which the foundation reports or with which it is registered (see instructions) b If the answer is "Yes

ndation Harr market value of all assets at end )Accounting method p Cash (— Accrual F If the foundation is m a 60-month ternunabon of year (from Pan II, col (c), fine )6)0.$ 10,006,564 r Other (specify) under section 507(b)(1)(B), check hem p. r (Part I, column (d) must be on cash basis ) Part

he state law remain in the governing instrument/ 7 Did the foundation have at least $5,000 in assets at any time dunng the yearThe "Yes," complete Pan II, col (c), and Pan xV ea Enter the states to which the foundation reports or with which it is registered (see instructions) b If the answer is "Yes

te law remain in the governing instrument? 6 Yes 7 Did the foundation have at least $5,000 in assets at any time during the yearn, 'Yes/complete Pan II, col (c), and Pan XV 7 Yes 8a Enter the states to which the foundation reports or with which it is registered (see instructions) ►NY b If the a

foundation Harr market value of all assets at end )Accounting method p Cash Accrual F If the foundation is m a 60-month ternunatmn of year (from Pan II, col (c), fine )6)0.$ 1 0,0 0 6,5 6 4 r- Other (specify) under section 507(b)(1)(8), Med/ here p. r (Part I, column (d) must be on cash basis )

te law remain in the governing instrument? 6 Yes 7 Did the foundation have at least $5,000 in assets at any time during the yearn, 'Yes/complete Pan II, col (c), and Pan XV 7 Yes 8a Enter the states to which the foundation reports or with which it is registered (see instructions) ►NY b If the a

e foundation Harr market value of all assets at end )Accounting method p Cash Accrual F If the foundation n m a 60-month termsnahm of year (from Pan II, col (c), fine )6)0.$ 1 0,0 0 6,5 6 4 r- Other (specify) under section 507(b)(1)(B), deck here p. r (Part I, column (d) must be on cash basis )

oundation Harr market value of all assets at end )Accounting method p Cash (Accrual F If the foundation is m a 60-month ternunatspn of year (from Pan II, col (c), lone 16)I, s 10,006,564 r- Other (specify) under section 507(b)(1)(8), check heft p. r (Part I, column (d) must be on cash basis ) Pa

20,118,904 !cc AX:lz Page 2 Part III Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year—Pan II, column (a). line 30 (must agree With end-of-year figure reported on prior year's return). . . . 1 20,317,539 2 -198 838 2 Enter amount from

line 79; Form 1040A, line 51; Form 1040NR, line 76; Form 1040NR-EZ, line 26; or Form 1041, line 26. Don't file Form 2210 unless you chedced a box in Pan II 27 81. Form 2210 (2017) SEE ATTACHED WORKSHEET 712491 01-0548 EFTA00025664 UNDERPAYMENT OF ESTIMATED TAX WORKSHEET Name(s) SCOTT G. BOR

oundation Harr market value of all assets at end )Accounting method p Cash Accrual F If the foundation is m a 60-month ternunabon of year (from Pan II, col (c), fine )6)0.$ 10,006,564 r- Other (specify) under section 507(b)(1)(B), check here p. r (Part I, column (d) must be on cash basis ) Par