form 990-pf return of private foundation or section 4947(a...

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0 0 cam! c tU J 1 Form 990-PF Return of Private Foundation OMB No 1545-0052 or Section 4947( a)(1) Nonexempt Charitable Trust 200 6 Depatyhent of the Treasury Treated as a Private Foundation Internal Revenue Service Note The foundation may be able to use a copy of this return to satisfy state reporting requirements For calendar year 2006 , or tax year beginning , and ending r: !.hark all that annly F__ I Initial return F-1 Final return Amended return [1 Address chance [1 Name chance Use the IRS Name of foundation A Employer identification number label Otherwise , HE GOERGEN FOUNDATION, INC. 06-1180035 print Number and street (or P O box number if mail is not delivered to street address) Roomfsuite B Telephone number ortype /O THOMAS E. FINN, PC, 35 MASON STREE 203-661-7760 See Specific Instructions City or town, state, and ZIP code C If exemption application is pending , check here REENWICH, CT 06830 D 1. Foreign organizations , check here H Check a of organization X Section 501 c3 exempt private foundation type ()() 2 Forei gn organizations meeting the 85% test, check here and attach computation 0 Section 4947( a)(1) nonexempt charitable trust 0 Other taxable private foundation rivate foundation status was terminated E If I Fair market value of all assets at end of year J Accounting method 0 Cash 0 Accrual p under section 507(b)(1)(A), check here (from Part 11, col (c), line 16) = Other ( specify) F If the foundation is in a 60-month termination $ 14 5 09 2 0 7 . (Part 1, column (d) must be on cash basis) under section 507 ( b )( 1 ) B ), check here 0 part Analysis of Revenue and Expenses ( a) Revenue and (b ) Net investment ( c) Adjusted net (d) Disbursements (The total of amounts in columns ( b), (c), and (d) may not necessarily equal the amounts in column (a) ex p enses per books income income for charitable purposes (cash basis only) 1 Contributions , gifts, grants, etc , received N I A 2 Check F_X ] if the foundabon is not required to attach Sch B 3 I n terest nvestment9s and tempo rary 50,711. 50,711. S TATEMENT 1 4 Dividends and interest from securities 178,137. 174,778. S TATEMENT 2 5a Gross rents b Net rental income or (loss) 6a Net gain or (loss) from sale of assets not on line 10 711,245 . c Gross sales once for all 1 , 541 , 702. b assets on line 6a y 7 Capital gain net income ( from Part IV, line 2) 711,245. 0 8 Net short -term capital gain 9 Income modifications Gross sales less returns 1 Oa and allowances b Less Cost of goods sold c Gross profit or (loss) I 11 Other income 371,478. 371,478. S TATEMENT 3 12 Total Add lines 1 through 11 1,311,571. 1,308,212. 13 Compensation of officers , directors , trustees , etc 0 0 0 14 Other employee salaries and wages 15 Pension plans, employee benefits to 16a Legal fees a b Accounting fees STMT 4 15,461. 0. 15,461. W c Other professional fees STMT 5 108,977. 91,500. 17,477. 17 Interest 14,143. 6,071. 0. 18 Taxes STMT 6 19,990. 0. 0. •0 E 19 Depreciation and depletion E 20 Occupancy a 21 Travel, conferences , and meetings 2,726. 0 . 2,726. r- 22 Printing and publications m 23 Other expenses STMT 7 96,110. 84,438. 0. 24 Total operating and administrative c. expenses . Add lines 13 through 23 257 , 407. 182 00 9. 35 , 664. 0 25 Contributions , gifts, grants paid 733, 852. 733,852. 26 Total expenses and disbursements. Add lines 24 and 25 991,259. 182,009. 769 516. 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements 320,312 . b Net investment income ( if negative , enter -0-) 1,126,203. c Adjusted net income (if negative , enter -0-) N/A LHA For Privacy Act and Paperwork Reduction Act Notice , see the instructions Form 990-PF (2006) 623501 01-29 -07 b\k130-37.- U" 10421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

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Page 1: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

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Form 990-PF Return of Private Foundation OMB No 1545-0052

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

2006Depatyhent of the Treasury Treated as a Private FoundationInternal Revenue Service Note The foundation may be able to use a copy of this return to satisfy state reporting requirements

For calendar year 2006 , or tax year beginning , and ending

r: !.hark all that annly F__ I Initial return F-1 Final return Amended return [1 Address chance [1 Name chance

Use the IRS Name of foundation A Employer identification number

labelOtherwise , HE GOERGEN FOUNDATION, INC. 06-1180035

print Number and street (or P O box number if mail is not delivered to street address) Roomfsuite B Telephone numberortype /O THOMAS E. FINN, PC, 35 MASON STREE 203-661-7760

See SpecificInstructions

City or town, state, and ZIP code C If exemption application is pending , check here ►

REENWICH, CT 06830 D 1. Foreign organizations , check here ►H Check a of organization X Section 501 c 3 exempt private foundationtype ()()

2 Fore i gn organizations meeting the 85% test,check here and attach computation

0 Section 4947(a)(1) nonexempt charitable trust 0 Other taxable private foundationrivate foundation status was terminatedE If

I Fair market value of all assets at end of year J Accounting method 0 Cash 0 Accrualp

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

(from Part 11, col (c), line 16) = Other ( specify) F If the foundation is in a 60-month termination► $ 14 5 0 9 2 0 7 . (Part 1, column (d) must be on cash basis) under section 507 ( b )( 1 ) B ), check here ►0part Analysis of Revenue and Expenses ( a) Revenue and (b ) Net investment ( c) Adjusted net (d) Disbursements

(The total of amounts in columns ( b), (c), and (d) may notnecessarily equal the amounts in column (a) expenses per books income income for charitable purposes

(cash basis only)

1 Contributions , gifts, grants, etc , received NIA

2 Check ► F_X ] if the foundabon is not required to attach Sch B

3I n terestnvestment9s

and tempo rary 50,711. 50,711. STATEMENT 1

4 Dividends and interest from securities 178,137. 174,778. STATEMENT 2

5a Gross rents

b Net rental income or (loss)

6a Net gain or (loss ) from sale of assets not on line 10 711,245 .

cGross sales once for all 1 , 541 , 702.b assets on line 6a

y 7 Capital gain net income ( from Part IV, line 2) 711,245. 0

8 Net short -term capital gain

9 Income modificationsGross sales less returns

1 Oa and allowances

b Less Cost of goods sold

c Gross profit or (loss)

I 11 Other income 371,478. 371,478. STATEMENT 3

12 Total Add lines 1 through 11 1,311,571. 1,308,212.

13 Compensation of officers , directors , trustees , etc 0 • 0 • 0

14 Other employee salaries and wages

15 Pension plans, employee benefitsto

16a Legal fees

a b Accounting fees STMT 4 15,461. 0. 15,461.

W c Other professional fees STMT 5 108,977. 91,500. 17,477.

17 Interest 14,143. 6,071. 0.

18 Taxes STMT 6 19,990. 0. 0.

•0E 19 Depreciation and depletion

E 20 Occupancy

a 21 Travel, conferences , and meetings 2,726. 0 . 2,726.

r- 22 Printing and publications

m 23 Other expenses STMT 7 96,110. 84,438. 0.

24 Total operating and administrative

c. expenses . Add lines 13 through 23 257 , 407. 182 0 0 9. 35 , 664.

0 25 Contributions , gifts, grants paid 733, 852. 733,852.

26 Total expenses and disbursements.

Add lines 24 and 25 991,259. 182,009. 769 516.

27 Subtract line 26 from line 12

a Excess of revenue over expenses and disbursements 320,312 .

b Net investment income ( if negative , enter -0-) 1,126,203.

c Adjusted net income (if negative , enter -0-) N/A

LHA For Privacy Act and Paperwork Reduction Act Notice , see the instructions Form 990-PF (2006)62350101-29-07 b\k130-37.-U"

10421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 2: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

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Form 990-PF 1900fi1 THR GOERGFN FOUNDATION. TNC. 06-1180035 Pane2

A"fiedschedulesand amounts in the descnpbonI B l Sh t

Beginning of year End of year^ a ance ee sPart 11 column should beforend-of-year amounts only V( a) Book Value ( b) Book alue ( c) Fair Market Value

1 Cash - non-interest -beanng

2 Savings and tempora ry cash investments 1,800,025. 842,479. 842,479.3 Accounts receivable ► 500,233.

Less allowance for doubtful accounts ► 3,530. 500,233. 500,233.4 Pledges receivable ►

Less allowance for doubtful accounts ►5 Grants receivable

6 Receivables due from officers, directors , trustees , and other

disqualified persons

7 other notes and loans nxrmble ►

Less allowance for doubtful accounts ►8 Inventories for sale or use

9 Prepaid expenses and deferred charges

a 10a Investments - U S and state government obligations

b Investments - corporate stock STMT 9 1,062,630. 2,544,334. 4,918,577.c Investments - corporate bonds

11 investments - land buildings . and equipment basis ►

Less . accumulated depreciation

12 Investments - mortgage loans

13 Investments - other STMT 11 6,202,543. 6,142,209. 8,247,918.14 Land , buildings, and equipment basis ► 2 7 , 7 5 1 .

Less accumulated depreciation STMT 10110- 2 7 , 7 51 .15 Other assets ( describe ► ) 203,058. 0. 0.

16 Total assets to be com p leted b y all filers 9 271 , 786. 10 , 029 , 255. 14 , 509 , 207.17 Accounts payable and accrued expenses

18 Grants payable

u) 19 Deferred revenue

•`-' 20 Loans from officers , directors, trustees , and other disqualified persons

21 Mortgages and other notes payable

J 22 Other liabilities ( describe ►

23 Total liabilities (add lines 17 throu g h 22 ) 0. 0.

Foundations that follow SFAS 117 , check here ► 0and complete lines 24 through 26 and lines 30 and 31

N

24 Unrestricted

a 25 Temporarily restrictedTaM 26 Permanently restricted

Foundations that do not follow SFAS 117, check here ► LXLL and complete lines 27 through 310U, 27 Capital stock , trust principal , or current funds 0. 0.

28 Paid-fn or capital surplus, or land, bldg , and equipment fund 0. 0.

a 29 Retained earnings, accumulated income , endowment , or other funds 9,271,786. 10,029,255.

Z 30 Total net assets or fund balances 9 ,271,786. 10,029,255

131 Total liabilities and net assets and balances 9 , 271 , 786. 10 , 0 29 , 255

04Ill Analysis of Changes in Net Assets or Fund Balances

1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30

(must agree with end-of-year figure reported on prior year's return)

2 Enter amount from Part I, line 27a

3 Other increases not included in line 2 (itemize) ►4 Add lines 1, 2, and 3

5 Decreases not included in line 2 (itemize) ►6 Total net assets or fund balances at end of year (line 4 minus line 51- Part II. column (bl. line 30

62351103-08-07

9,271,786.

SEE STATEMENT 8

320,312.437,157.

10,029,255.0.

10,029,255.Form 990-PF (2006)

410421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

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Form 990-PF (2006) THE GOERGEN FOUNDATION , INC. 06-1180035 Page 3Part IV "Canital Gains and Losses for Tax on Investment Income

(a) List and describe the kind ( s) of property sold (e g , real estate ,2-story buck warehouse , or common stock , 200 shs MLC Co )

( b How acquired

D -PurchaseDonation

(c Date acquired(mo , day, yr )

( d) Date sold( mo , day, yr )

1a GABELLI 300697, PER SCH A ATTCH'D P VARIOUS VARIOUS

b AR SCHMEIDLER 1944, PER SCH B ATTCH'D P VARIOUS VARIOUS

c GOLDMAN CAPITAL 00141, PER SCH C ATTCH'D P VARIOUS VARIOUS

d GOLDMAN CAPITAL 00141, PER SCH C ATTCH'D P VARIOUS VARIOUS

e CAPITAL GAINS DIVIDENDS

(e) Gross sales puce ( f) Depreciation allowed(or allowable )

( g) Cost or other basisplus expense of sale

( h) Gain or (loss)(e) plus ( f) minus (g)

a 444,636. 413,003. 31,633.b 231,575. 220,627. 10,948.

c 100,756. 108,617. <7,861.:

d 124,266. 88,210. 36,056.e 640 ,469. 1 1 640,469.

Complete only for assets showing gain in column ( h) and owned by the foundation on 12/31 /69 (I) Gains ( Col (h) gain minus

(i) F M V as of 12/31/69(j) Adjusted basisas of 12 /31/69

(k) Excess of col (i)over col ( 1), if any col

th a n -0-)-) orcol (k),

bu tot

le ssLosse s (f rom

a 31,633.b 10,948.C <7,861.:d 36,056.e 640,469.

2If (loss) li ne

enter -0er -0-in

in PaPart

rt II ,Capital gain net income or (net capital loss ) f loss

als oli n e

77I

2 711,245.

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)If (loss), enter -0 - in Part I, line 8 3 N/A

I Part v 1 uuatttication Under Section 494U(e) for Reduced 1 ax 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? 0 Yes [X No

If'Yes," the foundation does not qualify under section 4940(e) Do not complete this part1 Enter the aooroonate amount in each column for each year . see instructions before makino any entries

Base period yearsCalendar year or tax year be g innin g in Adjusted qualifying distributions Net value of noncha)ntable use assets

Distribution ratio(col (b) divided by col (c))

2005 720,285. 12,933,866. .0556902004 435,921. 12,275,592. .0355112003 694,846. 11,926,479. .0582612002 1,825,536. 11,992,518. .1522232001 1 , 211 , 426 . 13 318 746. .090956

2 Total of line 1, column (d) 2 . 3 9 2 6 4 1

3 Average distribution ratio for the 5-year base period - divide

the foundation has been in existence if less than 5 years

the total on line 2 by 5, or by the number of years

3 . 0 7 8 5 2 8

4 Enter the net value of nonchantable - use assets for 2006 from Part X , line 5 4 13,783,758.

5 Multiply line 4 by line 3 5 1,082,411.

6 Enter 1% of net investment income ( 1 % of Part I, line 27b) 6 11 , 262.

7 Addlines5and6 7 1,093,673.

B Enter qualifying distributions from Part XII , line 4 8 769,516.

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

623521/01-29-07 Form 990-PF (2006)5

10421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION , INC 7217 1

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Form990 -PF(2006) THE GOERGEN FOUNDATION , INC. 06-1180035 Page4

Part VI I ' Excise Tax Based on Investment Income (Section 4940(a), 4940 (b), 4940(e), or 4948 - see instructions)

1 a Exempt operating foundations described in section 4940(d)(2), check here ► and enter'N/A' on line 1

Date of ruling letter ( attach copy of ruling letter if necessary-see instructions)

b Domestic foundations that meet the section 4940(e) requirements in Part V, check here ► and enter 1% 1 22,524.

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 22,524.

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 22,524.

6 Credits/Payments

a 2006 estimated tax payments and 2005 overpayment credited to 2006 6a

b Exempt foreign organizations - tax withheld at source 6b

c Tax paid with application for extension of time to file (Form 8868) 6c 35,000.

d Backup withholding erroneously withheld 6d

7 Total credits and payments Add lines 6a through 6d 7 35,000.

8 Enter any penalty for underpayment of estimated tax Check here 0 If Form 2220 is attached 8 1,337.

9 Tax due If the total of lines 5 and 8 is more than line 7, enter amount owed ► 9

10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10 1 1,139.

11 Enter the amount of line 10 to be Credited to 2007 estimated tax ► 11 13 9 . 1 Refunded ► 11 0.

Part Vu -14 Statements Regarding Activities1 a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yes No

any political campaign? l a X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? lb X

If the answer is "Yes" to 1 a or 1 b, attach a detailed descnption 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? 1 c X

d Enter the amount (If any) of tax on political expenditures (section 4955) imposed during the year

(1) On the foundation ► $ 0. (2) On foundation managers ► $ 0.

e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation

managers ► $ 0.2 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? 4b X

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 la w

remain in the governing instrument? 6 X

7 Did the foundation have at least $5,000 in assets at any time during the year? 7 X

If "Yes, " complete Part ll, col (c), and Part XV

Ba Enter the states to which the foundation reports or with which it is registered (see instructions) ►CT

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(I)(3) or 4942(1)(5) for calend ar

year 2006 or the taxable year beginning in 2006 (see instructions for Part XIV)' If "Yes," complete Part XIV 9 X

10 Did an y p ersons become substantial contributors durin g the tax year? It "Yes' attach a schedule listin g their names and addresses 10 X

Form 990-PF (2006)

62353101-29-07

610421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 5: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

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Form 990- PF (2006 ) THE GOERGEN FOUNDAT ION, INC. 06-1180035 Page5

Part VII-A Statements Regarding Activities Continued

11a 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) 11a X

b If 'Yes, did the foundation have a binding written contract in effect on August 17 , 2006, covering the interest, rents , royalties, and

annuities described in the attachment for line 1la' N/A 11b

12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract? 12 X

13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X

Web site address ► N/A

14 The books are in care of ► THOMAS E. FINN, P.C. Telephone no ► 203-661-7760I-ocatedat ► 35 MASON STREET, GREENWICH, CT ZIP+4 ►06830

15 Section 4947 ( a)(1) nonexempt charitable trusts filing Form 990 - PF in lieu of Form 1041 - Check here ►=and enter the amount of tax -exem pt interest received or accrued durin g the vear ► 15 N/A

Part VU-B Statements Regarding Activities for Which Form 4720 May Be RequiredFile Form 4720 if any item is checked in the "Yes" column , unless an exception applies . Yes No

1 a 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 EXI No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person' 0 Yes FXI No

(3) Furnish goods , services, or facilities to (or accept them from ) a disqualified person? 0 Yes LI No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? Yes 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 )? El Yes 0 No

(6) Agree to pay money or property to a government officials (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 ) 0 Yes No

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 22 of the instructions ) ' N/A 1 b

Organizations relying on a current notice regarding disaster assistance check here ►c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected

before the first day of the tax year beginning in 20069 1 c X

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 (j )(3) or 4942 (j )(5))

a At the end of tax year 2006, did the foundation have any undistributed income (lines 6d and 6e , Part XIII ) for tax year ( s) beginning

before 2006' Yes No

If "Yes ' list the years ►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

110.

3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time

during the year? Yes MX No

b If 'Yes ' did it have excess business holdings in 2006 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 2006) N/A 3b

4a Did the foundation invest during the year any amount in a manner that would j eopardize 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 purpose that

62354101-29-07

4b I XForm 990-PF (2006)

710421106 739634 7217 2006 . 07000 THE GOERGEN FOUNDATION , INC 7217 1

Page 6: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

THE GOERGEN FOUNDATION , INC. 06-1180035 Pag e 6Part VII- 13 Statements Regarding 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))'7 Yes No

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

any voter registration dnve7 L Yes 0 No

(3) Provide a grant to an individual for travel , study, or other similar purposes? ED Yes OX 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)7 = Yes 0 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? 0 Yes EXI No

b If any answer is 'Yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regula tions

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 0

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 Yes 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? 0 Yes 0 No

b Did the foundation , during the year , pay premiums , directly or indirectly, on a personal benefit contract? 6b X

If you answered " Yes" to 6b, also file Form 8870

7a At any time during the tax year , was the foundation a party to a prohibited tax shelter transaction? El Yes 0 No

b If yes , did the foundation receive an y p roceeds or have an y net income attributable to the transaction? N/A 7b

Part VIII Information About Officers, Directors , Trustees, Foundation Managers , HighlyPaid Employees , and Contractors

1 List all officers. directors. trustees. foundation managers and their compensation.

a) Name and address(a)(b) Title, and avera g e

per week devotedto position

(c) Compensation

(If not p aidenter -0 -)

(d)Contnbubonstoetoyeebenefi tans

andauaon

comp

(e) Exp enseaccount, otherallowances

ROBERT B. GOERGEN RESIDENT / T RUSTEEKHAKUM WOOD ROAD,

GREENWICH, CT 06831 0.00 0. 0. 0.PAMELA M. GOERGEN SEC/TREAS / T RUSTEEKHAKUM WOOD ROAD,

GREENWICH, CT 06831 0.00 0. 0. 0.ROBERT B. GOERGEN JR .P./TRUSTEE

129 GRAND STREET, APT R3

NEW YORK, NY 10013 0.00 0. 0. 0.

TODD A. GOERGEN .P./TRUSTEE

30 SUTTON PLACE, APT 2ANEW YORK , NY 10022 0.00 0. 0. 0.2 comoensation of five mahest-oaid emorovees (other than those included on line 1 ). it none. enter "NUNt."

(a) Name and address of each employee paid more than $50 , 000(b) Title and average

hours per weekdevoted to position

(c) Compensation(d)Contnbubonsto

^;^ee

^b^^tianscompensation

( e) Expenseaccount, otherallowances

NONE

Total number of other employees paid over $50,000 U

Form 990-PF (2006)

62355101-29-07

10421106 739634 72178

2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

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Form 990-PF (2006) THE GOERGEN FOUNDATION, INC. 06-1180035 Pagel

part Vtll 1Information About Officers, Directors, Trustees, Foundation Managers , HighlyPaid Employees, and Contractors Continued

3 Five highest - paid independent contractors for professional services. If none, enter " NONE."

(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation

ROPART INVESTMENTS LLC

1 EAST WEAVER STREET, GREENWICH, CT 06831 CONSULTING 108,977.

Total number of others receiving over $50,000 for professional services ► 0

I Part IX-A I Summary of Direct Charitable Activities

List the foundation ' s four largest direct charitable activities during the tax year Include relevant statistical information such as thenumber of organizations and other beneficiaries served , conferences convened , research papers produced, etc Expenses

1 N/A

2

3

4

I Pan !A-b 1 Summarv of Prnnram-RplatPd Invpstmpnts

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

1 N/A

2

All other program- related investments See instructions

3

Total . Add lines 1 through 3 ► 0.

Form 990-PF (2006)

62356101-29-07

9

10421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

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Form 990-PF (2006) THE GOERGEN FOUNDATION, INC. 06-1180035 Page8

Pmt K Minimum Investment Return (All domestic foundations must complete this part Foreign foundations, see instructions)

1 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 la 3,963,819.

b Average of monthly cash balances 11 b 1,315,040 .

c Fair market value of all other assets 1 c 8, 714 , 804 .

d Total ( add lines 1 a, b, and c) 1 d 13, 993 , 663 .

e Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation ) le 206,743.

2 Acquisition indebtedness applicable to line 1 assets 2 0 .

3 Subtract line 2 from line 1 d 13,993 , 663 .4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount , see instructions ) 4 209 , 905 .

5 Net value of noncharitable -use assets Subtract line 4 from line 3 Enter here and on Part V, line 4 5 13, 783 , 758 .

6 Minimum investment return Enter 5% of line 5 6 689 , 188 .x Distributable Amount (see instructions) (Section 4942(l)(3) and (I)(5) private operating foundations and certainart

foreign organizations check here ► 0 and do not complete this part )

1 Minimum investment return from Part X, line 6 1 689,188.

2a Tax on investment income for 2006 from Part VI, line 5 2a 22,524.

b Income tax for 2006 (This does not include the tax from Part VI) 2b 3,764.

c Add lines 2a and 2b 2c 26 , 288 .

3 Distributable amount before adjustments Subtract line 2c from line 1 3 6 6 2 , 9 0 0

4 Recoveries of amounts treated as qualifying distributions 4 0 .

5 Add lines 3 and 4 5 662,900 .6 Deduction from distributable amount (see instructions) 6 0 .

7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, line 1 7 6 6 2 , 9 0 0 .

Part X11 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 1 a 769,516.

b Program-related investments - total from Part IX-B 1b 0

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 1 a through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 769,516.

5 Foundations that qualrfy under section 4940(e) for the reduced rate of tax on net investment

income Enter 1% of Part I, line 27b 5 0.

6 Adjusted qualifying distributions Subtract line 5 from line 4 6 769,516.Note The amount on line 6 will be used in Part V, column (b), In subsequent years when calculating whether the

4940(e) reduction of tax in those years

foundation qualifies for the section

Form 990-PF (2006)

62357101-29-07

1010421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 9: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

• Form 990-PF (2006) THE GOERGEN FOUNDATION, INC. 06-1180035 Page9

Part X111 Undistributed Income (see instructions)

1 Distributable amount for 2006 from Part XI,

line 7

2 Undistributed income , if any, as of the end of 2005

a Enter amount for 2005 only

b Total for prior years

3 Excess distributions carryover, if any, to 2006

aFrom 2001 549,305.

bFrom2002 1,229, 554 .

c From 2003 105, 965 .

d From 2004

e From 2005 102 , 128 .

f Total of lines 3a through e

4 Qualifying distributions for 2006 from

Part Xll, line 4 ► $ 769, 516.

a Applied to 2005, 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 2006 distributable amount

e Remaining amount distributed out of corpus

5 Excess distributions carryover applied to 2006Qf an amount appears in column (d), the same amount

must be shown in column (a) )

6 Enter the net total of each column asindicated 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 ofdeficiency has been issued , or on whichthe section 4942 ( a) tax has been previouslyassessed

d Subtract line 6c from line 6b Taxable

amount - see instructions

e Undistributed income for 2005 Subtract line

4a from line 2a Taxable amount - see instr

f Undistributed income for 2006 Subtract

lines 4d and 5 from line 1 This amount must

be distributed in 2007

7 Amounts treated as distributions out of

corpus to satisfy requirements imposed by

section 170( b)(1)(E) or 4942(g)(3)

8 Excess distributions carryover from 2001

not applied on line 5 or line 7

9 Excess distributions carryover to 2007.

Subtract lines 7 and 8 from line 6a

10 Analysis of line 9

a Excess from 2002 1,229,554.

b Excess from 2003 105,965.

c Excess from 2004

d Excess from 2005 102,128.

e Excess from 2006 106,616.

(a) (b) (c) (d)Corpus Years prior to 2005 2005 2006

662,900.

0.

0.

1,986,952.

0.

0.

0.662,900.

106,616.0. 0.

2,093,568.

0.

0.

0.

0.

0.

0.

549,305.

1,544,263.

Form 990-PF (2006)62358101-29-07

1110421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 10: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

Form 990-PF ( 2006) THE GOERGEN FOUNDATION, INC.

Part XJV' Private Operating Foundations (see instructions and Part VII-A, question 9)

1 a If the foundation has received a ruling or determination letter that it is a pnvate operating

foundation, and the ruling is effective for 2006, enter the date of the ruling Bib.

b Check box to indicate whether the foundation is a p rivate o p eratin g foundation described in section

2 a Enter the lesser of the adjusted net

income from Part I or the minimum

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 2c3 Complete 3a, b, or c for the

alternative test relied upona 'Assets' alternative test - enter

(1) Value of all assets

(2) Value of assets qualifyingunder section 4942(I)(3)(B)(i)

b 'Endowment' alternative test - enter2/3 of minimum investment returnshown in Part X, line 6 for each yearlisted

c 'Support" alternative test - enter

(1) Total support other than grossinvestment income (interest,dividends, rents, payments onsecurities loans (section512(a)(5)), or royalties)

(2) Support from general publicand 5 or more exemptorganizations as provided insection 4942(I)(3)(B)(ui)

(3) Largest amount of support from

an exempt organization

( 4 ) Gross investment income

Part XV Supplementary Info

06-1180035 Page10N/A

494210131 or I 149421015/

Tax year Prior 3 years

(a) 2006 (b) 2005 (c) 2004 (d) 2003 ( e) Total

rmation (Complete this part only if the foundation had $5,000 or more in assetsat any time during the year-see page 28 of the 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 taxyear (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 orother entity) of which the foundation has a 10% or greater interest

NONE

2 Information Regarding Contribution , Grant , Gift, Loan, Scholarship , etc., Programs:

Check here 01 L1 if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds Ifthe 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 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

623601/01-29-07 Form 990-PF (2006)

10421106 739634 721712

2006 . 07000 THE GOERGEN FOUNDATION , INC 7217 1

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Form 990-PF (2006 ) THE GOERGEN FOUNDATION, INC. 06-1180035 Page11Part XV ' Supplementary Information (continued)

3 grants and Contributions Paid During the Year or Approved for Future Payment

Recipient If recipient is an individual,show any relationship to Foundation Purpose of grant or

Name and address (home or business) any foundation manager status of contribution Amountor substantial contributor recipient

a Paid during the year

SUPPORT OF

SEE ATTACHED SCHEDULE ONE PUBLIC ORGANIZATION 733,852.

Total ► 3a 733 852.b Approved for future payment

NONE

Total ► 3b I 0.623611 /01-29 -07 Form 990-PF (2006)

1310421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217

Page 12: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

Form 990-PF (2006) THE GOERGEN FOUNDATION, INC. 06-1180035 Page 12

Part XVI A Analysis of Income - Producing Activities

Enter

1 Pro

a

b

C

d

e

f

92 Me

3 Int

inv

4 Div

5 Net

ba

6 Net

p

7 0t

8 Gal

tha

9 Net

10 Gr

11 0th

a

b

c

d

e

12 Su

ross amounts unless otherwise indicated Unrelat ed business income Excluded b section 512 513 or 514 (e)

gram service revenue

(a)Businesscode

(b)Amount

ESJ„_see

( d)Amount

Related or exemptfunction income

Fees and contracts from government agencies

mbership dues and assessments

Brest on savings and temporary cashestments 14 5 0 , 711 .idends and interest from securities 14 17 8 , 13 7 .rental income or (loss ) from real estate

Debt-financed property

Not debt-financed property

rental income or (loss ) from personal

perty

er investment income 14 3 71 , 4 7 8 .

n or (loss ) from sales of assets othern inventory 18 711, 2 4 5 .income or (loss ) from special events

ss profit or ( loss) from sales of inventory

er revenue

btotal Add columns ( b), (d), and (e) 0 . 1, 311, 5 71 .

g

t

t

o

h

o

0 .

13 Total Add line 12, columns (b), (d), and (e) 13 1,31T-,571.

(See worksheet in line 13 instructions to verify calculations

P XVE»B Relationship of Activities to the Accomplishment of Exempt Purposes

1410421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

7 Form 990-PF (2006)01-29-0

Page 13: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

Form 990-PF (2006) THE GOERGEN FOUNDATION, INC. 06-1180035 Pag e 13Part XVII - 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 in section 501 (c) of Yes Nit

the Code ( other than section 501 (c )(3) organizations ) or in section 527, relating to political organizations?

a Transfers from the reporting foundation to a noncharitable exempt organization of

(1) Cash la ( l ) X

(2) Other assets 1a 2 X

b Other transactions

(1) Sales of assets to a nonchantable exempt organization 1 b ( l ) X

(2) Purchases of assets from a nonchantable exempt organization 1 b ( 2 ) X

(3) Rental of facilities, equipment, or other assets 1 b ( 3 )1 X

(4) Reimbursement arrangements 1b ( 4 ) X

(5) Loans or loan guarantees 1b (5 ) X

(6) Performance of services or membership or fundraising solicitations 1b ( 6 )

Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1 c X

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 sharing arrangement, show in

(a) Name of organization (b) Type of organization ( c) Description of relationship

N/A

Under penalties of pe u re that I ve examined this return , including accompanying schedu196 and st ements , and to the best of my knowledge and belief , it is true, correct,

and complete Dec o of r than taxpayer or fiduciary) is based on all information of ich pr arer has any knowledge

/ I4)

V

Slgnat re of fc r trustee

Preparer's21

'signature

THOMAS'a p, Firm sname (oryours

a j it sett-employed ), klli,35 MASONaddress andZiPcode GREENWICH,'

62362201-29-07

10421106 739634 7217

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 5279 Yes ® No

b If 'Yes , ' comp lete the followin g schedule

Page 14: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

WE'GOERGEN FOUNDATION, INC. 06-1180035

FORM 990-T INCOME (LOSS) FROM PARTNERSHIPS STATEMENT 12

DESCRIPTION

SCOTTWOODLINN ENERGY LLCKAYNE ANDERSON CAPITAL INCOME PARTNERSTRIANA FUND IX

TOTAL TO FORM 990-T, PAGE 1, LINE 5

AMOUNT

15,933.499.

<1,997.><47.>

14,388.

49 STATEMENT(S) 1210421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 15: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

ZL Gabelli & Company, Inc.

THE GOERGEN FOUNDATION

Realized Gain/Loss Detail for Year

Sub / Branch / Rep / Account No

170 / GA / M03D / 77300697

Realized Gain/Loss33.527

Page 15 of 15

Amended Date: 3/16/07

Short TermDescription Quantity Original Pnce Date Acquired Close Date Proceeds Cost/Adlusted Cost GaIn/Loss

AFCO APPLI ED FI LMS CHG 1,500 0000 28.3700 06/13/06 07/10/06 42,750.00 42,620 00 130.00AZTAR CORP CHG 500.0000 30.8480 11/04/05 08/24/06 26,025.50 15,449.00 10,576.50CHIRON CORP CHG 1,000.0000 44.2041 11/04/05 04/26/06 48,000 00 44,269 10 3,730.90DREYERS GRAND ICE CREXXXHLDGS INC CL A CALLABLEPUTTABLE COM 500 0000 82.3382 11/04/05 01/17/06 41 550 00 41 234 10 315.90GROUPE DANONESPONSORED ADR 500 0000 20.6161 11/30/05 08/02/06 14,15656 10333 05 3 823 51KERR-MC GEE CORPORATICHG 500.0000 69.4201 06/30/06 08/11/06 35,250.00 34,730.05 519.95LA QUINTA PRPTY PAIRECHGCOM 2,000.0000 10.8924 11/10/05 01/25/06 22 500 00 21 884 80 615.20NEXTEL P ARTNERS INC CHG 2,000.0000 28.0745 02/14/06 06/28/06 57,000.00 56,214.00 786.00OCEANEERING INTL INC 300.0000 50.4888 11/28/05 05/05/06 21,794.36 15,161.64 6,63272ROLLS-ROYCE GROUP PLCXXXCL B 107,600 0000 0.0000 07/13/06 07/17/06 197.91 0.00 0.00SCIENTIFIC ATLANTA INCHG 1,000.0000 42.1420 11/28/05 02/27/06 43 000.00 42 192.00 808 00SIEBEL SYS INC CHG 3 000 0000 10.3949 11/04/05 02/07/06 31,980.00 31,249.70 730.30TRIBUNE CO NEW XXX 500.0000 32 5300 11/03/05 07/05/06 16,250.00 16,290.00 -40.00WESTERN GAS RESOURCESCHGINC 500 0000 59.7599 06/29/06 08/23/06 30,500.00 29,899.95 600.05ZIMMER HOLDINGS INC 200 0000 57.3390 07/10/06 09/15/06 13,681.57 11,475 80 2,205 77Tota l - Short Term $444,635 .90 $413,003.19 31, 4.80

YT313079 001418 079084848313 NNNNN NNNNN NNNNNN 000008

Page 16: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

A.R. Schmeidler & Co., Inc.

REALIZED GAINS AND LOSSESThe Goergen Foundation Inc.

1944From 01 -01 -06 Through 12-31 -06

Open Close CostDate Date Quantity Securlt) Ba sis

01.24-06 04-06-06 0 49 Tronox Inc 9 18

01-24-06 04-12-06 1,500 00 Linn Energy LLC 31,945 0501-24-06 05-09-06 6000 Tronox Inc 1,1200905-12-06 05-24-06 061 Hugoton Roya lty Trust 17 24

01.11.06 06-08-06 200 00 Apache Corp 14,268 50

01-19-06 06-08-06 20000 Marathon Oil Corp 14,418 0001-24-06 07-11-06 60000 Kerr McGee Corp 30,326 73

01-19-06 09-20-06 300 00 Marathon Oil Corp 21,627 0001-24-06 11-20-06 500 00 Foundation Coal Holdings 22,89000

Inc

01-25-06 11-20-06 200 00 Foundation Coal Holdings 8,82900

,'Inc11-20-06 11-21-06 1.000 00 Enterprise Products Partners 28,386 00

LP07-28-06 11-28-06 20000 Phelps Dodge Corp 16,171 9007-28-06 12-21-06 200 00 Phelps Dodge Corp 16,171 90

05-12-06 12-27-06 59 00 Hugoton Royalty Trust 1,6699906-05-06 12-27-06 141 00 Hugoton Royalty Trust 4,146 9506-15-06 ' 12-27-06 300.00 1-lugoton Royalty Trust ('^ v Z 8,62900

TOTAL GAINSTOTAL LOSSES

220,626 53

Gain Or Loss

Proceeds Short Term Long Term

8 37 -0 8128,324 82 -3,620 23

955 96 -164 1318 14 0.90

11,807 75 -2,460 75

14,305 96 -112 0441,698 71 11,371 98

21,374.69 -252 31

17,514 46 -5,375 54

7,005.78 -1,82322

28,268 13 -117 87

24,212.69 8,040 7923,656.25 7,484 351,465 95 -204 04

3,503 37 -643.58

7,45399 -1,175 01

26,898 02 0 00-15,94953 000

231,575.02 10 ,948.49 0.00

TOTAL REALIZED GAIN/LOSS 10,94849

Page 17: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

Jefferies S'Jetferies & Company. Inc

REALIZED GAINS AND LOSSESTHE GOERGEN FOUNDATION INC

743-00141From 01-01-06 Through 12-31-06

Gabs Or LouOpen Close Unit cost We

Date_ Dale Quantity Symbol Security Coat Bazb Me Proceeds Short Term Loeb Term

COMMON STOCK06.19-06 10-11-06 4.019 FM Pad Tecb lac 12.59 50 ,60905 17 .28 69,437.86 18,828.81

06-19-06 10-12.06 981 PmK FbelTech be 12 .39 12 .353 19 17 Z5 16,917.60 4,56441

62,962 24 86,35546 23,393.22 0.00

02-04-05 10-16-06 10,000 HPOL Hutis k9cracfl a Inc 5 .17 31.711-27 6.19 61.873 .08 10,161.81

02-08-05 03-22.06 5,000 HYC Hypavvm Corp 4.34 21,678.08 8 81 44.053.63 22,375.55

1028-04 04- 10.06 1,500 IIG I®ergeat Inc 9.88 14.82099 12. 23 18,339- 18 3,518.20

01-11-06 12-04-06 10,000 NEST Neater Ice New 4.57 45,655.00 1.44 19,399.55 -31.255.45

196.82738 225,02090 -7 . 962-23 36,05536

1U[ALGA NS 23,393.22 36.05556TOTAL LOS,SES -31.255.45 OA0

19482448" 12.9,02090 -7,gdl.23 36ASS

TOTAL RR.ar MM GAIN/LOSS 28.193.33

'Itu report Is ftV informational pwpoms only and has boos prepared to seas[ you is the mviow of your socount. If you note any d pmcxa, please contact your Account E ccutive innaedLatcly Tau mfamumcaa is act meanI

to be mtied on for tu, accounting. regal or other purpWes. The 1ltfotmatlon a befLeved to be from reliable sources, but we make an topetaentatbcn as fo its aCCatacy m cc npkteoea crappropriateness for campaiaon.

89

Report run at 11 :33:41 AM on W ay. January 03, 2007

mcnmWNC9M

NmW

mr

mcn

M0-u

0

to

m

Page 18: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

THE GOERGEN FOUNDATION

TIN it 06-1180035

2006 FORM 990-PF, PART X

LINE le. REDUCTION CLAIMED FOR BLOCKAGE AND OTHER FACTORS

THE FOUNDATION HELD 108,735 SHARES OF BLYTH INDUSTRIES ON 1/1/06 AND 89,487

SHARES AT 12/31/06 WHICH REPRESENTS APPROXIMATELY 1% OF TOTAL OUTSTANDING SHARES

SINCE THE STOCK IS NOT HEAVILY TRADED ON THE NEW YORK STOCK EXCHANGE, A BLOCK THIS SIZE

COULD ONLY BE LIQUIDATED AT A SUBSTANTIAL DISCOUNT A 10'/ DISCOUNT, AS ALLOWED BY IRC

SECTION 4942, HAS BEEN USED

THE CALCULATION IS AS FOLLOWS 1/1/06 12/31 /06 AVERAGE FMV

TOTAL BLYTH SHARES OUTSTANDING 108,735 89,487

SECTION 144 SHARES 0 0

NET SHARES OUTSTANDING 108,735 89,487

FAIR MARKET VALUE 2,277,998 1, 856,855 2,067,427

SECTION 4942 10% DISCOUNT 206,743

Page 19: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

THE GOERGEN FOUNDATION, INC.Charitable Contributions

For the Period From January 1, 2006 to December 31, 2006

Date Reference Journal Transaction Description Transaction Amount

1/8/06 4192 CDJ Boy Scouts - Greenwich Counsel - Invoice: 01.04 06 500.001/8/06 4193 CDJ Brunswick Annual Fund - Invoice: 01.04.06 2,500.001/8/06 4194 CDJ Children's Day School - Invoice: 01.04.06 500001/8/06 4195 CDJ Greenwich Library - Invoice: 01.06.06 1,000 001/8/06 4196 CDJ The Greenwich Roundtable - Invoice: 01.04.06 2,000.001/8/06 4197 CDJ Historical Society of Greenwic - Invoice: 01.04.06 15,000.001/8/06 4198 CDJ Port Chester Carver Center, In - Invoice: 01.04.06 1,000001/17/06 4199 CDJ East Side House Settlement - Invoice: 01.07.06 1,200.001/31/06 JPM013106 GENJ Record charitable contribution of 1,513 shares of Blyth Stock to the YWCA of Greenwich 33,013.661/31/06 JPM013106 GENJ Record charitable contribution of 2,127 shares of Blyth Stock to the Smithsonian Hirshhorn Museum 43,837.472/7/06 4201 CDJ The New York Public Library - Invoice: 02.07.06 1,000002/28/06 JPM022806 GENJ Record charitable donation of 4,400 shares of Blyth stock to Boys and Girls Club of Greenwich 99,528.002/28/06 JPM022806 GENJ Record charitable donation of 4,463 shares of Blyth stock to Greenwich Hospital 100,953.062128/06 JPM022806 GENJ Record charitable donation of 4,423 shares of Blyth stock to Greenwich Family YMCA 100,048.263/20/06 4203 CDJ Reach Prep • Invoice: 03.20.06 1,000.003/31/06 JPM 033106 GENJ Record charitable donation of 2,322 Blyth shares @ $21.54/share to The Children's Educational 50,015.884/6/06 4204 CDJ YWCA Greenwich - Invoice. 04.07 06 4,000.004/11/06 4205 CDJ YMCA of Greenwich - Invoice: 04.11.06 2,500.004/12/06 4206 CDJ Drawing Center - Invoice: 04.12.06 2,000.004/12/06 4207 CDJ Museum of the City of New York - Invoice: 0412.06 250004/17/06 4208 CDJ Avon Theatre Film Center - Invoice: 04.06.06 1,000.004/17106 4209 CDJ Bruce Museum of Arts and Sclen - Invoice: 04.06.06 500.004/17/06 4210 CDJ Cato Institute - Invoice: 04.06.06 1,000.004/17/06 4211 CDJ Drawing Center - Invoice: 04 06.06 2,000.004/17/06 4213 CDJ Group for the South Fork - Invoice- 04.06.06 500.004/17/06 4214 CDJ Hospice of Palm Beach County - Invoice: 04.06.06 100.004/17/06 4215 CDJ Museum of Modern Art - Invoice. 04.06.06 1,000004/17/06 4216 CDJ NYU Medical Center - Invoice: 04.06.06 100 004/17/06 4217 CDJ National Ctr for Learning Disa - Invoice: 04.06.06 500.004/17/06 4218 CDJ Partnership for Kids - Invoice, 04 06.06 1,000.004/17/06 4219 CDJ SoundWaters - Invoice, 04.06.06 100.004/17/06 4220 CDJ Southampton Hospital Foundatio - Invoice: 04.06 06 500.004/17/06 4221 CDJ YWCA Greenwich - Invoice: 04.06.06 500.004/17/06 4222 CDJ Yankee Institute for Public Po - Invoice: 04.06.06 250.004/26/06 4229 CDJ Bruce Museum of Arts and Scien - Invoice: 04.18.06 1,500.004/26/06 4230 CDJ Children's Day School - Invoice, 04 18.06 100 004/26/06 4231 CDJ Common Good - Invoice: 04.18.06 1,000 004/26/06 4238 CDJ Institute for Justice - Invoice: 04.18.06 500.004/26/06 4255 CDJ Malta House of Good Counsel - Invoice: 04.24 06 1,000.004/26/06 4256 CDJ The Wharton Fund - Invoice: 04.24.06 1,000.004/26/06 4223 CDJ African Wildlife Foundation - Invoice: 04.18 06 25.004/26/06 4224 CDJ American Humane Society - Invoice: 04 18 06 25004/26/06 4225 CDJ The American Society Preventio - Invoice. 04 18.06 50.00

10/10/2007 at 12 45 PMPage 1

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THE GOERGEN FOUNDATION, INC.

Charitable Contributions

For the Period From January 1, 2006 to December 31, 2006

Date Reference Journal Transaction Description Transaction Amount

4/26106 4226 CDJ Angeles National Forest - Invoice: 04 18.06 50.00

4/26/06 4227 CDJ Animal Legal Defense Fund - Invoice: 04 18.06 25.00

4/26106 4228 CDJ Bide A Wee Home Association - Invoice: 04.18.06 25.00

4/26/06 4232 CDJ Defenders of Wildlife - Invoice- 04.18 06 200.00

4/26/06 4233 CDJ Farm Sanctuary - Invoice: 04.18.06 30.00

4/26106 4234 CDJ Greenwich Academy - Invoice: 04.18.06 500.00

4/26/06 4235 CDJ THe Humane Society Internation - Invoice: 04.18.06 2500

4126/06 4236 CDJ The Humane Society of the Unit - Invoice: 04.18.06 100.00

4126/06 4237 CDJ IFAW Orphan Animal Rescue - Invoice: 04.18.06 50.00

4/26/06 4239 CDJ Lifesavers, Inc - Invoice: 04.18.06 25.00

4/26106 4240 CDJ National Wildlife Foundation - Invoice: 04.18.06 25.00

4/26/06 4241 CDJ Noah's Lost Ark - Invoice: 04.18.06 37.00

4/26/06 4242 CDJ Northwestern University - Invoice: 04.18.06 250.00

4126/06 4243 CDJ Partnership for Kids - Invoice: 04.18.06 100.00

4/26106 4244 CDJ People for the Ethical Treatme - Invoice: 04 18.06 50.00

4/26/06 4245 CDJ Pet Adoption Fund - Invoice: 04.18.06 2500

4/26/06 4247 CDJ Sierra Club - Invoice: 04.18.06 50.00

4/26/06 4249 CDJ Tiger Creek - Invoice: 04 18.06 35.00

4/26/06 4250 CDJ World Society for the Protects - Invoice: 04.18.06 100.00

4/26/06 4251 CDJ World Wildlife Fund - Invoice: 04.18.06 25.00

4/26/06 4252 CDJ IFAW Orphan Animal Rescue - Invoice: 04.18 06a 100.00

4/26/06 4253 CDJ IFAW Orphan Animal Rescue - Invoice: 04.18.06c 50.00

5/2/06 4257 CDJ Bruce Museum of Arts and Scien - Invoice: 05.02.06 3,000.00

5/2/06 4258 CDJ YMCA of Greenwich - Invoice, 05 02 06 1,000.00

5/11/06 4260 CDJ American Red Cross - Invoice: 05.1006 500.00

5/23/06 4261 CDJ ICI Independent Curators Inter- Invoice. 05.22 06 375.00

5/24/06 4263 CDJ Sisters of St. Francis of Assi - Invoice: 05.24 06 15.00

5/31/06 4265 CDJ Caramoor - Invoice: 05.31.06 2,500.00

6/8/06 4266 CDJ Bruce Museum of Arts and Scien - Invoice: 06.06.06 4,00000

6/8/06 4267 CDJ East End Hospice - Invoice. 06.06 06 100.00

6/8/06 4269 CDJ University of Rochester - Invoice: 06.06.06 28,000.00

6/8/06 4270 CDJ Leukemia & Lymphoma Society - Invoice: 06.06 06 250.00

6/20/06 4271 CDJ Alison Gertz Foundation for - Invoice: 06.20.06 600.00

6/23/06 4272 CDJ Breast Cancer Alliance - Invoice. 06.23 06 20,000.00

6/23/06 4273 CDJ United Way of Greenwich - Invoice: 06.23 06 10,000.00

6/27/06 4274 CDJ Buckley School - Invoice: 06.27.06 2,500.00

6/27106 4275 CDJ Help Funding Inc. - Invoice: 06 27.06 1,500.00

7/7/06 4277 CDJ Family Counseling Service - Invoice, 07 07 06 500.00

7/7/06 4280 CDJ Friends of the Forum - Invoice: 06.22.06 1,000.00

7/7/06 4282 CDJ Whitney Museum of American Art - Invoice: 06.01 06 100.00

7/7/06 4279 CDJ International Fund for Animal - Invoice: 06.21.06 25.00

7/12/06 4283 CDJ Global Leadership Foundation - Invoice 07 11 06 10,000 00

7/25/06 4284 CDJ Alliance for Cancer Gene There - Invoice: 07 25 06 2,00000

10/10/2007 at 12 45 PM Page 2

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THE GOERGEN FOUNDATION, INC.

Charitable Contributions

For the Period From January 1, 2006 to December 31, 2006

Date Reference Journal Transaction Description Transaction Amount

7/25/06 4285 CDJ Classroom, Inc. - Invoice: 07.18.06 1,000.00

7/25/06 4286 CDJ Institute for Justice - Invoice: 07.18.06 1,000.00

7/25/06 4287 CDJ Peconic Bay Medical Center - Invoice- 07.18.06 500.00

7/25/06 4288 CDJ Quogue Fire Department - Invoice. 07.18.06 100 00

7/25/06 4289 CDJ Quogue Junior Theater Troupe - Invoice: 07.19 06 100.00

7/25/06 4291 CDJ The Gale for Greenwich Hospita - Invoice: 07.25 06 3,000.00

7/25/06 4292 CDJ YMCA of Greenwich - Invoice: 07.25.06 500.00

7/26/06 4293 CDJ Greenwich Hospital - Invoice: 06.06 2,000.00

7/26/06 4294 CDJ University of Rochester - Invoice: 06.30.06 50,000.00

7/27/06 4295 CDJ New York Philharmonic - Invoice. 07.27.06 2,50000

8/1/06 4297 CDJ University of Rochester - Invoice: 08.01 06 14,000.00

8/15/06 WT 081806 CDJ National Gallery of Art - Invoice: 02.07.06 15,000.00

9/1/06 4298 CDJ Bruce Museum of Arts and Scien - Invoice: 08.25 06 2,500.00

9/1/06 4299 CDJ Good Counsel - Invoice: 09.01.06 50000

9/1106 4300 CDJ Kenmore West Alumni Foundation - Invoice: 08.25.06 200.00

9/1/06 4301 CDJ National Theatre Workshop - Invoice- 09 01 06 100.00

9/15/06 4302 CDJ Atlas Economic Research Founds - Invoice: 09.13.06 2,00000

9/15/06 4303 CDJ Cato Institute - Invoice: 09.15.06 25,000.00

9/15/06 4304 CDJ Memorial Sloan-Kettering Cance - Invoice. 091306 50000

9/15/06 4305 CDJ Pathways, Inc. - Invoice: 09.13.06 800.00

9/18/06 4308 CDJ The Inner-City Foundation - Invoice: 09.18.06 1,00000

9/18/06 4309 CDJ Waterside School - Invoice: 09.18.06 4,000.00

9/20/06 4310 CDJ The Battery Conservancy - Invoice- 09 20.06 250.00

9/20/06 4311 CDJ Center for Chamber Music, Inc. - Invoice- 09 20 06 350.00

9/20/06 4312 CDJ Historical Society of Greenwic - Invoice- 09 20 06 5,000.00

9/26/06 4314 CDJ Quogue Library - Invoice: 09.22.06 1,000.00

9/26/06 4313 CDJ The Fund for Park Avenue - Invoice: 09.22.06 100.00

9/29/06 4185V CDJ Room to Grow - Invoice: 12.20.05 (500.00)

9/29/06 4081V CDJ Revlon Run/Walk - Invoice: Mar.22.05 (10000)

10/2/06 4315 CDJ Audubon Greenwich - Invoice: 10.02.06 200.00

1012/06 4316 CDJ Lincoln Center Theater - Invoice: 10.02.06 2,000.00

10/2/06 4317 CDJ Women's Sports Foundation - Invoice 10 02 06 1,250.00

10/19/06 4318 CDJ Bruce Museum of Arts and Scien - Invoice 10 18 06 1,500.00

10/23/06 4321 CDJ ICI Independent Curators Inter - Invoice: 10.16.06 1,500 00

10/23/06 4322 CDJ ICI Independent Curators Inter - Invoice: 10 16 06a 1,000.00

10/31/06 4323 CDJ Doris Day Animal League - Invoice: 10.20 06 20.00

10/31/06 4324 CDJ East Side House Settlement - Invoice- 10 20 06 1,000.00

10/31/06 4326 CDJ Jane Goodall Institute - Invoice: 10.20 06 25000

10/31/06 4327 CDJ Noah's Lost Ark - Invoice: 10.23.06 74.00

10/31/06 4328 CDJ Northwestern University - Invoice: 10.20.06 250.00

10/31/06 4330 CDJ The Gorilla Foundation- Invoice: 10.2306 10000

10/31/06 4331 CDJ YMCA of Greenwich - Invoice: 10.31.06 2,50000

11/14/06 4333 CDJ Boy Scouts - Greenwich Counsel - Invoice. 11 09.2006 1,000.00

10/10/2007 at 12 45 PM Page 3

Page 22: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

THE GOERGEN FOUNDATION, INC.

Charitable Contributions

For the Period From January 1, 2006 to December 31, 2006

Date Reference Journal Transaction Description Transaction Amount

11/14/06 4334 CDJ Cancer Research - Invoice: 11.07.06 500.00

11/14/06 4335 CDJ Drawing Center - Invoice: 10.12.06 35000

11/21/06 4336 CDJ Drawing Center - Invoice: 11.21.06 200.00

11/21/06 4337 CDJ MS Clinic - Invoice: 11 21 06 100.00

12/4/06 4339 CDJ Hospice of Palm Beach County - Invoice: 12.04.06 50000

12/4/06 4340 CDJ Miami Art Museum - Invoice: 12.04.06 50000

12/4/06 4341 CDJ Mission of Kindness Children's - Invoice: 12.04.06 500.00

12/4/06 4342 CDJ University of Rochester - Invoice: 12.04.06 14,000.00

12/19/06 4344 CDJ Sanctuary for Families - Invoice: 12.20.06 500.00

12/19/06 4346 CDJ University of Richmond - Men's - Invoice. 12.18 06 2,500.00

12/22106 4347 CDJ Bomb Magazine - Invoice. 12.21.06 12000

12122106 4348 CDJ Global Partnership for Afgahan - Invoice: 12.21 06 1,500.00

12/22/06 4349 CDJ Greenwich Arts Council - Invoice: 12.21.06 100.00

12/22/06 4350 CDJ Group for the South Fork - Invoice. 12.21 06 100.00

12/22/06 4352 CDJ Robin Hood - Invoice: 12.21.06 1,000.00

12/22106 4351 CDJ Independent Curators Internet! - Invoice: 12.21 06 250.00

12/22/06 4353 CDJ TEAK Fellowship - Invoice 12 21.06 150.00

Charitable Contributions-2006 733,852.33

10/10/2007 at 12 45 PM Page 4

Page 23: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

2006 DEPRECIATION AND AMORTIZATION REPORT

FORM 990-PF PAGE 1 990-PF

AssetNo Description

DateAcquired Method Life

Cn

V

LUneNo

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction InBasis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

1 OFFICE FURNITURE 05/15/97 SL 7.00 H *1 1 6 24,954. 24,954. 24,954. 0. 24,954.

2 D8W COMPt R 08/31/90 SS. 5.00 6 2,797. 2,797. 2,797. 0. 2,797.

* TOTAL 990-PF PG 1 DEPR 27,751. 27,751. 27,751. 0. 27,751.

62811112-05-06 (D) - Asset disposed • ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

16

Page 24: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

• THE'GOERGEN FOUNDATION, INC. 06-1180035

FORM 9.90-PF INTEREST ON SAVINGS AND TEMPORARY CASH INVESTMENTS STATEMENT 1

SOURCE AMOUNT

AR SCHMEIDLER 1,130.

FIRST RESERVE FUND IX 7,088.J P MORGAN Q73373 41,059.PER BOOKS 1,416.TRIANA FUND IX 18.

TOTAL TO FORM 990-PF, PART I, LINE 3, COLUMN A 50,711.

FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 2

CAPITAL GAINS COLUMN (A)

SOURCE GROSS AMOUNT DIVIDENDS AMOUNT

ALTERNATIVE INVESTMENT INST LP 174,905. 148,912. 25,993.

AR SCHMEIDLER 3,930. 0. 3,930.FIRST RESERVE FUND IX LP 281,256. 276,307. 4,949.FIRST RESERVE FUND VII LP <6,703.> <6,737.> 34.FOUNDATION COAL HOLDINGS 242. 0. 242.

FR IX OFFSHORE 67,695. 67,695. 0.GABELLI 00697 18,537. 0. 18,537.GOLDMAN CAPITAL 4,215. 0. 4,215.HKW CAPITAL PARTNERS II, LP 70,522. 63,474. 7,048.HUGOTON ROYALTY TRUST 1. 0. 1.J P MORGAN Q73373 58,311. 2,342. 55,969.KAYNE ANDERSON 6,545. 2,114. 4,431.LINN ENERGY 4. 0. 4.MCKEE DRIVE ASSOC 292. 0. 292.MIDMARK EQUITY 9,354. 8,848. 506.NEUBERGER BERMAN 00141 16. 0. 16.PERMIAN BASIN ROYALTY TRUST 6. 0. 6.RII WORLD TIMBERFUND LLC 21,496. 0. 21,496.SCOTTWOOD 105,367. 74,899. 30,468.TRIANA FUND IX 2,615. 2,615. 0.

TOTAL TO FM 990-PF, PART I, LN 4 818,606. 640,469. 178,137.

17 STATEMENT(S) 1, 210421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 25: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

'• THE'GOERGEN FOUNDATION, INC. 06-1180035

FORM 9,90-PF OTHER INCOME STATEMENT 3

DESCRIPTION

ALTERNATIVE INVESTMENT INST LPMIDMARK EQUITY PARTNERS

MCKEE DRIVE ASSOCIATESSCOTTWOOD PARTNERS

KAYNE ANDERSON CAPITALCALLIDUS CLO

TRIANA FUND IX

GS GAMMA INVESTMENTS LTD-PFIC

HUGOTON ROYALTY TRUST

LINN ENERGYPERMIAN BASIN ROYALTY TRUST

AR SCHMEIDLER

TOTAL TO FORM 990-PF, PART I, LINE 11 371,478. 371,478.

FORM 990-PF ACCOUNTING FEES STATEMENT 4

DESCRIPTION

TAX PREPARATION FEES

(A) (B)

EXPENSES NET INVEST-

PER BOOKS MENT INCOME

15,461.

TO FORM 990-PF, PG 1, LN 16B 15,461.

(C) (D)

ADJUSTED CHARITABLENET INCOME PURPOSES

0.

0.

FORM 990-PF OTHER PROFESSIONAL FEES STATEMENT 5

DESCRIPTION

MANAGER FEESCONSULTING FEESADMIN FEE- RI LLC

(A)EXPENSES

PER BOOKS

0.91,500.17,477.

TO FORM 990-PF, PG 1, LN 16C 108,977.

(B)

NET INVEST-

MENT INCOME

0.91,500.

0.

91,500.

(C)ADJUSTED

NET INCOME

15,461.

15,461.

(D)

CHARITABLEPURPOSES

(A) (B) (C)REVENUE NET INVEST- ADJUSTED

PER BOOKS MENT INCOME NET INCOME

49,637. 49,637.<60,272.> <60,272.><2,554.> <2,554.>

<903.> <903.><2,026.> <2,026.>

282,905. 282,905.<47.> <47.>

96,200. 96,200.482. 482.499. 499.

2,815. 2,815.4,742. 4,742.

0.0.

17,477.

17,477.

18 STATEMENT(S) 3, 4, 510421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 26: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

• THE'GOERGEN FOUNDATION, INC. 06-1180035

FORM 990-PF TAXES STATEMENT 6

(A) (B) (C) (D)EXPENSES NET INVEST- ADJUSTED CHARITABLE

DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

FOREIGN TAX 343. 0. 0.EXCISE TAX 19,647. 0. 0.

TO FORM 990-PF, PG 1, LN 18 19,990. 0. 0.

FORM 990-PF OTHER EXPENSES STATEMENT 7

(A) (B) (C) (D)

EXPENSES NET INVEST- ADJUSTED CHARITABLEDESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

MISCELLANEOUS ADMINISTRATIVE

EXPENSES 484. 0. 0.INVESTMENT EXP 24,893. 24,893. 0.PORTFOLIO DEDUCTIONS -VARIOUS PARTNERSHIPS 59,545. 59,545. 0.CHARITABLE CONTRIBUTIONS 2. 0. 0.OTHER FEES 11,186. 0. 0.

TO FORM 990-PF, PG 1, LN 23 96,110. 84,438. 0.

FORM 990-PF OTHER INCREASES IN NET ASSETS OR FUND BALANCES STATEMENT 8

DESCRIPTION

BASIS ADJUSTMENT ON PROPERTY DONATED TO CHARITIESOTHER ADJUSTMENT

TOTAL TO FORM 990-PF, PART III, LINE 3

AMOUNT

426,747.

10,410.

437,157.

19 STATEMENT(S) 6, 7, 810421106 739634 7217 2006 . 07000 THE GOERGEN FOUNDATION , INC 7217 1

Page 27: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

THE GOERGEN FOUNDATION, INC. 06-1180035

FORM 990-PF CORPORATE STOCK STATEMENT 9

FAIR MARKET

DESCRIPTION BOOK VALUE VALUE

89,487 SHS BLYTH INDUSTRIES 1,217. 1,856,855.JPMORGAN EQUITIES 559,815. 725,067.GABELLI 1,036,180. 1,226,829.GOLDMAN 473,363. 611,120.AR SCHMEIDLER 473,759. 498,706.

TOTAL TO FORM 990-PF, PART II, LINE 10B 2,544,334. 4,918,577.

FORM 990-PF DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT 10

COST OR ACCUMULATEDDESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE

OFFICE FURNITURE 24,954. 24,954. 0.

DELL COMPUTER 2,797. 2,797. 0.

TOTAL TO FM 990-PF, PART II, LN 14 27,751. 27,751. 0.

FORM 990-PF OTHER INVESTMENTS STATEMENT 11

FAIR MARKET

DESCRIPTION BOOK VALUE VALUE

ALTERNATIVE INVESTMENTS LP 1,314,035. 2,110,299.

1ST RESERVE VII LP 87,722. 105,000.

RII WORLD TIMBERFUND, LLC 553,896. 1,133,588.PROTEIN SCIENCES CONV PROM 100,000. 100,000.MIDMARK EQUITY PARTNERS II LP 70,315. 190,925.

HKW CAPITAL PARTNERS II 517,009. 641,901.

FIRST RESERVE FUND IX,LP 131,667. 305,741.

MCKEE DRIVE ASSOCIATES 42,656. 43,088.

CALLIDUS CLO 1,329,413. 1,329,413.SCOTTWOOD PARTNERS, L.P. 685,160. 802,807.KAYNE ANDERSON CAPITAL 156,654. 224,140.

GS GAMMA INVESTMENTS 1,149,421. 1,256,755.FR IX OFFSHORE LP 4,261. 4,261.

TRIANA IX 0. 0.

TOTAL TO FORM 990-PF, PART II, LINE 13 6,142,209. 8,247,918.

20 STATEMENT(S) 9, 10, 1110421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 28: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

Form 926 Return by a U.S. Transferor of Property(Rev December to a Foreign CorporationDepartfient of th e TreasuryInternal Revenue Service ► Attach to your income tax return .

OMB No 15450026

AttachmentSequence No 128

Part 1 U.S. Transferor Information (see instructions)Name of transferor

THE GOERGEN FOUNDATION, INC.

Identifying number (seeinsmchos)

06-1180035

1 If the transferor was a corporation, complete questions 1 a, 1 b, and 1 c

a If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) by 5 or

fewer domestic corporations?

b Did the transferor remain in existence after the transfer"

If not, list the controlling shareholder(s) and their identifying number(s)

El Yes EXI No

^X Yes No

Controlling shareholder Identifying number

c If the transferor was a member of an affiliated group filing a consolidated return, was it the parent corporation9

If not, list the name and employer identification number (EIN) of the parent corporation:

LX Yes No

Name of parent corporation EIN of parent corporation

2 If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367), list the name and

EIN of the transferor's partnership

Name of partnership EIN of partnership

Part 11 Transferee Foreign Corporation Information (see instructions)3 Name of transferee (foreign corporation )

SEE ATTACHED LIST

4 Identifying number, if any

5 Address (including country)

6 Country of incorporation or organization

7 Foreign law characterization (see instructions)

8 Is the transferee foreign corporation a controlled foreign corporation'? E:J Yes 0 No

LHA For Paperwork Reduction Act Notice, see instructions . Form 926 (Rev 12-2005)

62453112-28-06

5310421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 29: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

2

Part In Information Regarding Transfer of Property (see instructions9 Date of transfer 10 Type of nonrecognition transaction (see instructions)

11 Description of property transferred-

12 Did this transfer result from a change in the classification of the transferee to that of a foreign corporation? II Yes IAI No

13 Was the transferor required to recognize income under Temporary Regulations sections 1.367 (a)•4T through

1 367(a)-6T (e g , for tainted property , depreciation recapture, branch loss recapture , etc )? ED Yes 0 No

14a Was intangible property (within the meaning of section 936(h)(3)(B)) transferred as a result of the transaction ? E:1 Yes 0 No

b If yes, describe the nature of the rights to the intangible property that was transferred in the transfer

62453212-28-06

5410421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1

Page 30: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

Alternative Investments Institutional, L.P The Goergen Foundation IncSCHEDULE K-1 SUPPORTING SCHEDULE - FORM 926

RETURN BY A U.S. TRANSFEROR OF PROPERTY TO A FOREIGN CORPORATION

Pursuant to Internal Revenue Code Section 60386 and related regulations, a partnership's contribution of property or cash to a foreign corporation is

deemed to be made by its underlying partners As a result, each partner has a potential filing requirement for such contributions (Form 926). Please

consult your tax advisor regarding this filing requirement Form 926 must be filed If cash In excess of $100,000 Is transferred to a foreign corporation, or

if the transferor owns at least 10% of the foreign corporation after the transfer. The form must be filed with the US transferor's annual Federal Income

tax return for the year that Includes the date of transfer. Partners that have participated in these investments either directly or indirectly through other

Investment entitles should aggregate the amount of their Investment when completing Form 926

Your applicable percentage of the below cash contributions to foreign corporations

during 2006 : .6600%

DATE OF

TRANSFER AMOUNT

Absolute Return (Cayman), Ltd. March 1, 2006 5,000.000

International Fund Services ( Ireland) Limited July 1. 2006 5,000.000

Third Floor, Bishop 's Square

Redmond's HillDublin 2, Ireland

EIN: N/A

The Canyon Value Realization Fund (Cayman), Ltd. January 1, 2006 4,000,000

clo Fords Fund Services (Cayman) LimitedGrand Pavillion Commercial Centre

802 West Bay Road

Grand Cayman BWI, Cayman IslandsEIN. WA

Cyrus Opportunities Fund II, Ltd. February 1, 2006 3,500,000

do GlobeOp Financial Services September 1, 2006 5,000,000

Walker House

Mary Street

P.O. Box 10201 APO

George Town, Grand Cayman

Cayman Islands

EIN N/A

Magnetar Capital Fund, Ltd. March 1, 2006 4,000,000

c/a Citco Fund Services (Cayman Islands) LtmIledWindward I, 2nd Floor

West Bay RoadP.O Box 31106

Grand Cayman, KY1-1205

Cayman Islands

EIN: WA

Polygon Global Opportunities Fund August 1, 2006 3,000,000

10 Duke of York Square September 1, 2006 7,000,000

London SW3 4LY

EIN: N/A

Scottwood Fund, Ltd. September 1, 2006 3,000,000

do Bank of New York Alternative Investment Services, Ltd.

129 Front Street

4th FloorHamilton HM 12, Bermuda

EIN: N/A

SCP Overseas Fund, Ltd. January 1, 2006 2,000,000

c/o Bank of Bermuda6 Front Street, Hamilton HM 11

P O. Box HM 1020, Hamilton HM DX

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Alternative Investments Institutional, L.P The Goergen Foundation IncSCHEDULE K-1 SUPPORTING SCHEDULE - FORM 928

RETURN BY A U.S. TRANSFEROR OF PROPERTY TO A FOREIGN CORPORATION

Your applicable percentage of the below cash contributions to foreign corporations

during 2006:

DATE OFTRANSFER

Seasons Core Fund, Ltd

do Citco Fund Services (Cayman Islands) Limited

Windward I, 2nd Floor

Regatta Office Park

West Bay Road

P O. Box 31106Grand Cayman, KYI-1205Cayman IslandsEIN: N/A

April 1, 2006

May 1, 2006

Seligman Tech Spectrum Fund

do PFPC International, Ltd.

Riverside Two

Sir John Rogerson's Quay

Grand Canal Dock

Dublin 2

Ireland

EIN. WA

Shepherd Investments International, Ltd

clo SEI Investment Global Fund Services Ltd.Styne House, Upper Hatch StreetDublin 2, Ireland

EIN• WA

Tiedemann Japan QP, Ltd.

HSBC House

Harcourt Ctr, Harcourt St.

Dublin 2, Ireland

EIN: 98-0445191

December 1, 2006

January 1, 2006

May 1, 2006

May 1, 2006

.6600%

AMOUNT

9,000,000

10,000,000

2,000,000

6,000.000

12,000,000

4,000,000

Westfield Life Sciences Fund (Cayman), Inc. May 1, 2006 6,000,000

do Admiral Administration Ltd

Admiral Financial Center, 5th Floor

90 Fort Street, Box 32021 SMB

Grand Cayman, Cayman Islands

EIN: N/A

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Form 8271(Rev December 2005)

investor Reporting of Tax shelter Kegistration Number.Attach to your tax return . OMB No 1545-0881

Department of the Treasury

Internet Revenue Seiv x ► If you received this form from a partnership , S corporation, or trust , see the instructions .AttachmentSequence No 71

Investors name(s) shown on return

SCOTTWOOD PARTNERS , LP

Investor's identifying number

01-0548708

Investor's tax year ended

12/31/2006

(a) Tax Shelter Name) Taxmber 11 te Registration

t(Nu

( c )

1 IDNEQK PARTNERS , LP 93271000031 93-112 0 8732

3

4

5

6

7

8

9

10

What's NewAfter October 22, 2004, tax shelterregistration numbers are no longerbeing issued. The American JobsCreation Act of 2004 amendedsection 6111 to replace the taxshelter registration requirement witha new disclosure requirement formaterial advisors who providematerial aid, assistance, or advicewith respect to any reportabletransaction, For more information,see Notice 2004-80, 2004-50 I.R.B.963. However, Form 8271 must befiled for any year you claim or reportincome or a deduction, loss, credit,or other tax benefit from aregistration-required tax shelter.

General Instructions

Section references are to theInternal Revenue Code.

Purpose of Form

Use Form 8271 to report the taxshelter registration number the IRSassigns to certain tax sheltersrequired to be registered undersection 6111 ("registration-requiredtax shelters") and to report the nameidentifying number of the taxshelter. This information must bereported even if the particularinterest is producing net income forthe filer of Form 8271. Useadditional forms to report more than10 tax shelter registration numbers.

Note : A tax shelter registrationnumber does not indicate that the taxshelter or its claimed tax benefitshave been reviewed, examined, orapproved by the IRS.

Who Must FileAny person claiming or reporting anydeduction, loss, credit, or other taxbenefit, or reporting any income onany tax return from an interestpurchased or otherwise acquired ina registration-required tax sheltermust file Form 8271. If the interest ispurchased or otherwise acquired bya pass-through entity, both thepass-through entity and its partners,shareholders, or beneficiaries mustfile Form 8271.

A pass-through entity that is theregistration-required tax shelter doesnot have to prepare Form 8271 andgive copies to its partners,shareholders , or beneficiaries unlessthe pass-through entity itself hasinvested in a registration -requiredtax shelter.

Note : Even if you have an interest ina registration-required tax shelter,you do not have to file Form 8271 ifyou did not claim or report anydeduction, loss, credit, or other taxbenefit, or report any income onyour tax return from an interest inthe registration-required tax shelter.This could occur, for example, if fora particular year you are unable to

claim any portion of a loss becauseof the passive activity losslimitations, and that loss is the onlytax item reported to you from theshelter.

Filing Form 8271Attach Form 8271 to any return onwhich a deduction, loss, credit, orother tax benefit is claimed orreported, or any income reported,from an interest in aregistration-required tax shelter.These returns include applicationsfor tentative refunds (Form 1045and 1139) and amended returns(Form 1040X and 1120X).

Furnishing Copies of Form8271 to InvestorsA pass-through entity that hasinvested in a registration-requiredtax shelter must furnish copies of itsForm 8271 to its partners,shareholders, or beneficiaries.

However, in the case where (a) thepass-through entity acquired at least;50% interest in one tax year in aregistered tax shelter (and in which ithad not held an interest in a prioryear), and (b) the investment wouldnot meet the definition of a taxshelter immediately following theacquisition if it had been offered forsale at that time, the pass-throughentity need not distribute copies ofForm 8271 to its investors. Thepass-through entity alone is requiredto prepare Form 8271 and include itwith the entity tax return.

For Paperwork Reduction Act Notice , see page 2 Form 8271 (Rev 12-2005)

JSA6X5400 1 000

82967H K355 V06-4.3

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Form 8271(Rev December 2005 )

Investor Reporting of Tax Shelter Registration Number► Attach to your tax return .

0MB No 1545-0881

Department of the Treasury

internal Paveme service ► If you received this form from a partnership , S corporation, or trust , see the Instructions.Attachment

Sequence No 71

Investor's name( s) shown on return

PARTNER # 132

GOERGEN FOUNDATION

Investors Identifying number

06-1180035

Investor's tax year ended

12/31/2006

Shelter Name(a ) Tax( b) Tax Shelter RegistrationNumber ( 11 digit number)

( c) Tax ShelterIdentifying Number

1 ATLAS PIPELINE PARTNERS LP 99344000008 23-3011077

2 DORCHESTER MINERALS LP 02305000012 81-0551518

3 ALLIANCE RESOURCE PARTNERS LP 99225000019 73-1564280

4 BUCKEYE PARTNERS LP 86280000273 23-2432497

5 NBRIDGE ENERGY PARTNERS LP 92008000124 39-1715850

6 ENERGY TRANSFER PARTNERS LP 96234000014 73-1493906

7 ENTERPRISE PRODUCTS PARTNERS LP 99061000007 76-0568219

8 ERRELLGAS PARTNERS LP 94201000010 43-1698480

9 GENESIS ENERGY LP 97043000153 76-0513049

10 ENTERPRISE GP HOLDINGS LP MA0500946 13-4297064

What's NewAfter October 22, 2004, tax shelterregistration numbers are no longerbeing issued. The American JobsCreation Act of 2004 amendedsection 6111 to replace the taxshelter registration requirement witha new disclosure requirement formaterial advisors who providematerial aid, assistance, or advicewith respect to any reportabletransaction, For more information,see Notice 2004-80, 2004-50 I R B.963. However, Form 8271 must befiled for any year you claim or reportincome or a deduction, loss, credit,or other tax benefit from aregistration-required tax shelter

General Instructions

Section references are to theInternal Revenue Code.

Purpose of FormUse Form 8271 to report the taxshelter registration number the IRSassigns to certain tax sheltersrequired to be registered undersection 6111 ("registration-requiredtax shelters") and to report the nameidentifying number of the taxshelter. This information must bereported even if the particularinterest is producing net income forthe filer of Form 8271. Useadditional forms to report more than10 tax shelter registration numbers.

For Paperwork Reduction Act Notice, see page 2

JSA6X5400 1 000

Note : A tax shelter registrationnumber does not indicate that the taxshelter or its claimed tax benefitshave been reviewed, examined, orapproved by the IRS.

Who Must FileAny person claiming or reporting anydeduction, loss, credit, or other taxbenefit, or reporting any income onany tax return from an interestpurchased or otherwise acquired ina registration-required tax sheltermust file Form 8271. If the interest ispurchased or otherwise acquired bya pass-through entity, both thepass-through entity and its partners,shareholders, or beneficiaries mustfile Form 8271.

A pass-through entity that is theregistration-required tax shelter doesnot have to prepare Form 8271 andgive copies to its partners,shareholders, or beneficiaries unlessthe pass-through entity itself hasinvested in a registration-requiredtax shelter.

Note : Even if you have an interest ina registration-required tax shelter,you do not have to file Form 8271 ifyou did not claim or report anydeduction, loss, credit, or other taxbenefit, or report any income onyour tax return from an interest inthe registration-required tax shelter.This could occur, for example, if fora particular year you are unable to

claim any portion of a loss becauseof the passive activity losslimitations, and that loss is the onlytax item reported to you from theshelter.

Filing Form 8271Attach Form 8271 to any return onwhich a deduction, loss, credit, orother tax benefit is claimed orreported, or any income reported,from an interest in aregistration-required tax shelter.These returns include applicationsfor tentative refunds (Form 1045and 1139) and amended returns(Form 1040X and 1120X).

Furnishing Copies of Form8271 to InvestorsA pass-through entity that hasinvested in a registration-requiredtax shelter must furnish copies of itsForm 8271 to its partners,shareholders, or beneficianes.

However, in the case where (a) thepass-through entity acquired at least a50% interest in one tax year in aregistered tax shelter (and in which ithad not held an interest in a pnoryear), and (b) the investment wouldnot meet the definition of a taxshelter immediately following theacquisition if it had been offered forsale at that time, the pass-throughentity need not distribute copies ofForm 8271 to its investors. Thepass-through entity alone is requiredto prepare Form 8271 and include itwith the entity tax return.

Form 8271 (Rev 12-2005)

55687A 551R V06-5.4 QP-4861

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Form 8271( Rev December 2005 )

Investor Reporting of Tax Shelter Registration Number► Attach to your tax return .

OMB No 1545-0881

Department of the Treasury

intemai Raverue Service ► If you received this form from a partnership , S corporation , or trust , see the instructions .Attachment

Sequence No 71

Investor's name ( s) shown on return Investor's identifying number Investors tax year ended

Shelter Name(a) Tax(b) Tax Shelter RegistrationNumber ( 11 digit number)

( c) Tax ShelterIdentifying Number

ALERO LP 00294000008 74-2956831

2 ANEB PIPE LINE PARTNERS LP 93230000163 75-2287571

3 ROSSTEX ENERGY LP 02337000008 16-16166054 INDER MORGAN ENERGY PARTNERS LP 92289000496 76-0380342

5 RKWEST ENERGY PARTNERS LP 02184000024 27-0005456

8 RTIN MIDSTREAM PARTNERS LP 02318000009 05-0527861

7 ATURAL RESOURCE PARTNERS LP 02247000042 35-2164875

8 INERGY LP 01204000001 43-1918951

9 -SEA TRANSPORTATION PARTNERS LP 04006000034 20-0194477

10 ORTHERN BORDER PARTNERS LP 93271000031 93-1120873

What's NewAfter October 22, 2004, tax shelterregistration numbers are no longerbeing issued. The American JobsCreation Act of 2004 amendedsection 6111 to replace the taxshelter registration requirement witha new disclosure requirement formaterial advisors who providematerial aid, assistance, or advicewith respect to any reportabletransaction, For more information,see Notice 2004-80, 2004-50 I.R B.963 However, Form 8271 must befiled for any year you claim or reportincome or a deduction, loss, credit,or other tax benefit from aregistration-required tax shelter.

General Instructions

Section references are to theInternal Revenue Code.

Purpose of Form

Use Form 8271 to report the taxshelter registration number the IRSassigns to certain tax sheltersrequired to be registered undersection 6111 ('registration-requiredtax shelters") and to report the nameidentifying number of the taxshelter. This information must bereported even if the particularinterest is producing net income forthe filer of Form 8271 Useadditional forms to report more than10 tax shelter registration numbers.

For Paperwork Reduction Act Notice , see page 2

JSA6X5400 1 000

Note : A tax shelter registrationnumber does not indicate that the taxshelter or its claimed tax benefitshave been reviewed, examined, orapproved by the IRS.

Who Must FileAny person claiming or reporting anydeduction, loss, credit, or other taxbenefit, or reporting any income onany tax return from an interestpurchased or otherwise acquired ina registration-required tax sheltermust file Form 8271. If the interest ispurchased or otherwise acquired bya pass-through entity, both thepass-through entity and its partners,shareholders, or beneficiaries mustfile Form 8271.

A pass-through entity that is theregistration-required tax shelter doesnot have to prepare Form 8271 andgive copies to its partners,shareholders, or beneficiaries unlessthe pass-through entity itself hasInvested in a registration-requiredtax shelter

Note : Even if you have an interest ina registration-required tax shelter,you do not have to file Form 8271 ifyou did not claim or report anydeduction, loss, credit, or other taxbenefit, or report any income onyour tax return from an interest inthe registration-required tax shelterThis could occur, for example, if fora particular year you are unable to

claim any portion of a loss becauseof the passive activity losslimitations, and that loss is the onlytax item reported to you from theshelter.

Filing Form 8271Attach Form 8271 to any return onwhich a deduction, loss, credit, orother tax benefit is claimed orreported, or any income reported,from an interest in aregistration-required tax shelter.These returns include applicationsfor tentative refunds (Form 1045and 1139) and amended returns(Form 1040X and 1120X).

Furnishing Copies of Form8271 to InvestorsA pass-through entity that hasinvested in a registration-requiredtax shelter must furnish copies of itsForm 8271 to its partners,shareholders, or beneficianes

However, in the case where (a) thepass-through entity acquired at least a50% interest in one tax year in aregistered tax shelter (and in which ithad not held an interest in a pnoryear), and (b) the investment wouldnot meet the definition of a taxshelter immediately following theacquisition if it had been offered forsale at that time, the pass-throughentity need not distribute copies ofForm 8271 to its investors Thepass-through entity alone is requiredto prepare Form 8271 and include itwith the entity tax return.

Form 8271 (Rev 12-2005)

55687A 551R V06-5.4 QP-4861

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Form 8271( Rev December 2005 )

Investor Reporting of Tax Shelter Registration Number. Attach to your tax return. OMB No 1545-0881

Deperanent or the Treasury

internal Reveme SeMc ► If you received this form from a partnership, S corporation , or trust , see the Instructions.Attachment

Sequence No 71

Investor's name ( s) shown on return Investors Identifying number Investors tax year ended

Tax Shelter Name(a)( b) Tax Shelter RegistrationNumber ( 11 digit number )

( c) Tax ShelterIdentifying Number

1 PACIFIC ENERGY PARTNERS LP 02212000004 68-04905802 PLAINS ALL AMERICAN PIPELINE LP 99061000009 76-05821503 PENN VIRGINIA RESOURCE PARTNERS LP 01309000001 23-30875174 STAR GAS PARTNERS LP 96026000016 06-14377935 SUBURBAN PROPANE PARTNERS LP 96080000050 22-3410353s SUNOCO LOGISTICS PARTNERS LP 02042000005 23-30968397 C PIPELINE LP 99140000010 52-21354488 EPPCO PARTNERS LP 90036000017 76-02910589 TERRA NITROGEN COMPANY LP 92017000010 73-138968410 HOLLY ENERGY PARTNERS LP 04208000029 20-0833098

What's NewAfter October 22, 2004, tax shelterregistration numbers are no longerbeing issued. The American JobsCreation Act of 2004 amendedsection 6111 to replace the taxshelter registration requirement witha new disclosure requirement formaterial advisors who providematerial aid, assistance, or advicewith respect to any reportabletransaction, For more information,see Notice 2004-80, 2004-50 I.R.B.963. However, Form 8271 must befiled for any year you claim or reportincome or a deduction, loss, credit,or other tax benefit from aregistration-required tax shelter

General Instructions

Section references are to theInternal Revenue Code.

Purpose of Form

Use Form 8271 to report the taxshelter registration number the IRSassigns to certain tax sheltersrequired to be registered undersection 6111 ("registration-requiredtax shelters") and to report the nameidentifying number of the taxshelter. This information must bereported even if the particularinterest is producing net income forthe filer of Form 8271. Useadditional forms to report more than10 tax shelter registration numbers.

For Paperwork Reduction Act Notice, see page 2

JSA6X5400 1 000

Note : A tax shelter registrationnumber does not indicate that the taxshelter or its claimed tax benefitshave been reviewed, examined, orapproved by the IRS.

Who Must FileAny person claiming or reporting anydeduction, loss, credit, or other taxbenefit, or reporting any income onany tax return from an interestpurchased or otherwise acquired ina registration-required tax sheltermust file Form 8271. If the interest ispurchased or otherwise acquired bya pass-through entity, both thepass-through entity and its partners,shareholders, or beneficiaries mustfile Form 8271.

A pass-through entity that is theregistration-required tax shelter doesnot have to prepare Form 8271 andgive copies to its partners,shareholders, or beneficiaries unlessthe pass-through entity itself hasinvested in a registration-requiredtax shelter.

Note : Even if you have an interest ina registration-required tax shelter,you do not have to file Form 8271 ifyou did not claim or report anydeduction, loss, credit, or other taxbenefit, or report any income onyour tax return from an interest inthe registration-required tax shelter.This could occur, for example, if fora particular year you are unable to

claim any portion of a loss becauseof the passive activity losslimitations, and that loss is the onlytax item reported to you from theshelter.

Filing Form 8271Attach Form 8271 to any return onwhich a deduction, loss, credit, orother tax benefit is claimed orreported, or any income reported,from an interest in aregistration-required tax shelterThese returns include applicationsfor tentative refunds (Form 1045and 1139) and amended returns(Form 1040X and 1120X).

Furnishing Copies of Form8271 to InvestorsA pass-through entity that hasinvested in a registration-requiredtax shelter must furnish copies of itsForm 8271 to its partners,shareholders, or beneficiaries.

However, in the case where (a) thepass-through entity acquired at least a50% interest in one tax year in aregistered tax shelter (and in which ithad not held an interest in a prioryear), and (b) the investment wouldnot meet the definition of a taxshelter immediately following theacquisition if it had been offered forsale at that time, the pass-throughentity need not distribute copies ofForm 8271 to its investors. Thepass-through entity alone is requiredto prepare Form 8271 and include itwith the entity tax return.

Form t$Z11 (Rev 12-2005)

55687A 551R V06-5.4 QP-4861

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Form 8271(Bev December 2005)

Investor Reporting of Tax Shelter Registration Number'Attach to your tax return .

OMB No 1545-0881

Department of the Treasury

internal Revenue Service ► If you received this form from a partnership , S corporation , or trust , see the instructions .AttachmentSequence No 71

Investors name ( s) shown on return investor's identifying number Investor's tax year ended

Tax Shelter Name(a)( b) Tax Shelter RegistrationNumber ( 11 digit number )

(c) Tax ShelterIdentifying Number

1 MAGELLAN MIDSTREAM PARTNERS LP 01036000014 73-15990532 NEOK PARTNERS LP 93271000031 93-11208733

4

5

6

7

8

9

10

What's NewAfter October 22, 2004, tax shelterregistration numbers are no longerbeing issued. The American JobsCreation Act of 2004 amendedsection 6111 to replace the taxshelter registration requirement witha new disclosure requirement formaterial advisors who providematerial aid, assistance, or advicewith respect to any reportabletransaction, For more information,see Notice 2004-80, 2004-50 I.R B.963. However, Form 8271 must befiled for any year you claim or reportincome or a deduction, loss, credit,or other tax benefit from aregistration-required tax shelter.

General Instructions

Section references are to theInternal Revenue Code

Purpose of FormUse Form 8271 to report the taxshelter registration number the IRSassigns to certain tax sheltersrequired to be registered undersection 6111 ("registration-requiredtax shelters") and to report the nameidentifying number of the taxshelter. This information must bereported even if the particularinterest is producing net income forthe filer of Form 8271. Useadditional forms to report more than10 tax shelter registration numbers.

For Paperwork Reduction Act Notice, see page 2

JSA6X5400 1 000

Note : A tax shelter registrationnumber does not indicate that the taxshelter or its claimed tax benefitshave been reviewed, examined, orapproved by the IRS.

Who Must FileAny person claiming or reporting anydeduction, loss, credit, or other taxbenefit, or reporting any income onany tax return from an interestpurchased or otherwise acquired ina registration-required tax sheltermust file Form 8271. If the interest ispurchased or otherwise acquired bya pass-through entity, both thepass-through entity and its partners,shareholders, or beneficiaries mustfile Form 8271.

A pass-through entity that is theregistration-required tax shelter doesnot have to prepare Form 8271 andgive copies to its partners,shareholders, or beneficiaries unlessthe pass-through entity itself hasinvested in a registration-requiredtax shelter.

Note : Even if you have an interest ina registration-required tax shelter,you do not have to file Form 8271 ifyou did not claim or report anydeduction, loss, credit, or other taxbenefit, or report any income onyour tax return from an interest inthe registration-required tax shelter.This could occur, for example, if fora particular year you are unable to

claim any portion of a loss becauseof the passive activity losslimitations, and that loss is the onlytax item reported to you from theshelter.

Filing Form 8271Attach Form 8271 to any return onwhich a deduction, loss, credit, orother tax benefit is claimed orreported, or any income reported,from an interest in aregistration-required tax shelter.These returns include applicationsfor tentative refunds (Form 1045and 1139) and amended returns(Form 1040X and 1120X).

Furnishing Copies of Form8271 to InvestorsA pass-through entity that hasinvested in a registration-requiredtax shelter must furnish copies of itsForm 8271 to its partners,shareholders, or beneficiaries.

However, in the case where (a) thepass-through entity acquired at least a50% interest in one tax year in aregistered tax shelter (and in which ithad not held an interest in a prioryear), and (b) the investment wouldnot meet the definition of a taxshelter immediately following theacquisition if it had been offered forsale at that time, the pass-throughentity need not distribute copies ofForm 8271 to its investors. Thepass-through entity alone is requiredto prepare Form 8271 and include itwith the entity tax return.

Form 8271 (Rev 12-2005)

55687A 551R V06-5.4 QP-4861

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Fomi 8621 I Return by a Shareholder of a Passive Foreign(Rev December 2004 ) Investment Company or Qualified Electing FundDepartment of the Treasury

Name of shareholder

THE GOERGEN FOUNDATION, INC.

OMB No 1545-1002

Attachment

Seauence No 69

Identifying number (see page 2 of instructions)

06-1180035

Number , street , and room or suite no ( If a P 0 box , see page 2 of instructions ) I Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET andend,na

City or town, state, and ZIP code or countryGREENWICH, CT 06830

Check ty pe of shareholder film the return Individual X Corporation Partnershi p S Corporation Non rantor Trust Estate

Name of passive foreign investment company (PFIC) or qualified electing fund ( QEF) Employer identification number ( if any)

COATUE OFFSHORE FUND LTD

C/O GOLDMAN SACHS (CAYMAN) TRUST LTD

Address ( Enter number , street , city or town, and country ) Tax year of company or fund calendar year or otherPO BOX 896, HARBOUR CENTRE 2ND FLOOR tax year beginning JUL 1 2005 andGEORGETOWN, GRAND CAYMAN, CAYMAN ISL BWI ending JUN 30 2006

Part 1 Elections (See instructions )A OX Election To Treat the PFIC as a QEF I , a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part 11.

B Deemed Sale Election . I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV.

C Deemed Dividend Election . I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign corporation (CFC), elect to treat

an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV

D 0 Election To Extend Time For Payment of Tax. I, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part /l to calculate the tax that may be deferred

Note If any portion of line la or line 2a of Part ll is includible under section 551 or 951, you may not make this election Also, see sections

1294(c) and 1294(f and the related regulations for events that terminate this election

E 0 Election To Recognize Gain on Deemed Sale of PFIC . I, a shareholder of a former PFIC or a PFIC to which section 1279(e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings

and profits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part IV

F 0 Election to Mark-to-Market PFIC Stock . 1, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296(e) Complete Part l/I

Part 11 Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF la 1,815.

b Enter the portion of line la that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) lb 1,815.

c Subtract line 1 b from line la Enter this amount on your tax return as dividend income 1 c 0

2 a Enter your pro rata share of the total net capital gain of the QEF 2a 2 8,814.

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 2b 28 , 814.

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return (See instructions 2c 0.

3 a Add lines 1c and 2c 3a

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions 3b

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c 3d

e Subtract line 3d from line 3a, and enter the difference (if zero or less, enter amount in brackets) 3e

Important* If line 3e Is greater than zero, and no portion of line 1a or 2a is Includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See instructions ) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax, the time for payment of which is

extended by makin g Election D. See instructions 4c

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions Form 8621 (Rev 12-2004)61261105-01-06

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Forth 8621 (Rev 12-2004) Page 2

Part 111 ' Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions)5 Enter the fair market value of your PFIC stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year 6

7 Excess Subtract line 6 from line 5 If a gain, stop here. Include this amount as ordinary income

on your tax return If a loss, go to line 8 7

8 Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8

9 Enter the smaller of line 7 or line 8 Include this amount as an ordma loss on our tax return 9

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distribution (see instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year, see instructions 10a

b Enter the total distributions (reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 (a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or if shorter, the portion of the shareholder's holding period before the current tax year) 10b

c Divide line 10b by 3 (See instructions if the number of preceding tax years is less than 3 10c

d Multiply line 10c by 125% ( 1 25) 10d

e Subtract line 10d from line 10a This amount, if more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions it you

received more than one distribution during the current tax year Also, see instructions for rules for reporting a nonexcess

distribution on your income tax return 10e

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11 101

11 a Attach a statement for each distribution and disposition Show your holding period for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 1 la that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income 11b

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions 11c

d Foreign tax credit (See instructions ) 11d

e Subtract line 1ld from line 11c Enter this amount on your income tax return as "additional tax" (See instructions 11e

f Determine interest on each net increase in tax determined on line Ile using the rates and methods of section 6621

Enter the a gg reg ate amount of interest here See instructions 11f

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial ter mination of the section 1294 election

iv v vi1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Intent accrued on deferred

tax (line 3) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

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Form 8621 Return by a Shareholder of a Passive Foreign(Rev December2004) Investment Company or Qualified Electing FundDepartment of the TreasuryInternal Revenue Service 10, See separate instructions.

OMB No 1545-1002

Attachment

Sequence No 69

Name of shareholder I Identifying number (see page 2 of instructions)

THE GOERGEN FOUNDATION, INC. 106-1180035Number, street, and room or suite no (If a P 0 box, see page 2 of instructions ) I Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET nn,lend,nn

City or town, state, and ZIP code or countryGREENWICH, CT 06830

Check type of shareholder filin g the return Individual X Corporation Partnership S Corporation Non g rantor Trust 0 Estate

Name of passive foreign investment company (PFIC) or qualified electing fund (QEF ) Employer identification number (it any)

COBALT OFFSHORE FUND LTDC/O HEMISPHERE MGT ( BVI ) LTDAddress ( Enter number , street , city or town, and country ) Tax year of company or fund calendar year 2006 or otherPO BOX 3460 BISON COURT tax year beginning and

COLUMBUS CENTER, ROADTOWN, TORTOLA. BVI enrftnn

Part I Elections ( See Instructions )A OX Election To Treat the PFIC as a QEF . I, a shareholder of a PFIC , elect to treat the PFIC as a QEF Complete lines la through 2c of Part 11

B 0 Deemed Sale Election . I, a shareholder on the first day of a PFIC 's first tax year as a QEF , elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV

c 0 Deemed Dividend Election. I, a shareholder on the first day of a PFIC 's first tax year as a QEF that is a controlled foreign corporation ( CFC), elect to treat

an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV.

D Election To Extend Time For Payment of Tax . I, a shareholder of a QEF , elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculate the tax that may be deferred

Note If any portion of line la or line 2a of Part Il is includible under section 551 or 951, you may not make this election Also, see sections

1294(c) and 1294(1) and the related regulations for events that terminate this election

E 0 Election To Recognize Gain on Deemed Sale of PFIC . I, a shareholder of a former PFIC or a PFIC to which section 1279 ( e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC' s post - 1986 earnings

and profits deemed distributed , on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part IV

F 0 Election to Mark -to-Market PFIC Stock . I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296(e ) Complete Part 111

Part II Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are makingElection D , also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF 1 a 11,657.b Enter the portion of line la that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 1b 11,657.

c Subtract line 1 b from line la Enter this amount on your tax return as dividend income 11C 0.

2 a Enter your pro rata share of the total net capital gain of the QEF 2a 10,667.

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 2b 10 , 667.

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return (See instructions 2c 0.

3 a Add lines 1c and 2c 3a

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions 3b

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c 3d

e Subtract line 3d from line 3a, and enter the difference (If zero or less, enter amount in brackets) 3e

Important, If line 3e is greater than zero, and no portion of line la or 2a is includible in Income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See instructions ) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax, the time for payment of which is

extended by makin g Election D See instructions 4c

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions . Form 8621 (Rev 12-2004)61261105-01-06

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Form 8621 (Rev 12- 2004) Page L

Part 111 ' Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions)

5 Enter the fair market value of your PFIC stock at the end of the tax year

6 Enter your adjusted basis in the stock at the end of the tax year

7 Excess Subtract line 6 from line 5 If a gain, stop here Include this amount as ordinary income

on your tax return If a loss, go to line 8

8 Enter any unreversed inclusions (as defined in section 1296(d)) See Instructions

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions)Complete a separate Part IV for each excess distnbution (see instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year, see instructions 10a

b Enter the total distributions (reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 (a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or If shorter, the portion of the shareholder's holding period before the current tax year) 10b

c Divide line 10b by 3 (See instructions if the number of preceding tax years is less than 3) 10c

d Multiply line 10c by 125% (1 25) 10d

e Subtract line 10d from line 10a This amount, it more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year , do not complete the rest of Part IV See instructions it you

received more than one distribution during the current tax year Also, see instructions for rules for reporting a nonexcess

distribution on your income tax return 10e

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11 1 Of

11 a Attach a statement for each distribution and disposition Show your holding period for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 1 la that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income 11b

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions 11C

d Foreign tax credit (See instructions ) 11d

11 ee Subtract line 11d from line 1 lc Enter this amount on your income tax return as "additional tax" (See instructions

f Determine interest on each net increase in tax determined on line 11e using the rates and methods of section 6621

Enter the aggregate amount of interest here (See Instructions) 11f

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only it there is a partial termination of the section 1294 election

i ii iii ( iv ) v vi

1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax (line 3) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distnbuted during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

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Form 8621

(Rev December 2004)Department of the TreasuryInternal Revenue Service

Name of shareholder

Return by a Shareholder of a Passive ForeignInvestment Company or Qualified Electing Fund

► See separate instructions.

THE GOERGEN FOUNDATION, INC.

OMB No 1545-1002

AttachmentSequence No 69

Identifying number (see page 2 of instructions)

06-1180035Number, street, and room or suite no (If a P 0 box, see page 2 of instructions ) I Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET

City or town, state, and ZIP code or countryGREENWICH, CT 06830

Check ty pe of shareholder filin g the return Individual X Corporation Partnership S Corp oration Non rantor Trust Estate

Name of passive foreign investment company ( PFIC) or qualified electing fund ( QEF) Employer identification number (If any)

DORSET ENERGY FUND

Address ( Enter number, street , city or town , and country ) Tax year of company or fund calendar year 2006 or other73 FRONT STREET tax year beginning and

HAMILTON HM12 BERMUDA ending

Part I Elections (See Instructions

A 0 Election To Treat the PFIC as a QEF. I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part ll

B Deemed Sale Election I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV

C Deemed Dividend Election I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign corporation (CFC), elect to treat

an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV

D 0 Election To Extend Time For Payment of Tax I, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculate the tax that may be deferred

Note' If any portion of line la or line 2a of Part ll is includible under section 551 or 951, you may not make this election Also, see sections

1294(c) and 1294(f) and the related regulations for events that terminate this election

E 0 Election To Recognize Gain on Deemed Sale of PFIC . I, a shareholder of a former PFIC or a PFIC to which section 1279(e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings

and profits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part IV

F Election to Mark -to-Market PFIC Stock . I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296(e) Complete Part 111

Part 11 Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines 1a through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF la 572...........

b Enter the portion of line la that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 1b 572.

c Subtract line lb from line la Enter this amount on your tax return as dividend income 1c 0.

2 a Enter your pro rata share of the total net capital gain of the QEF 2a 11 , 689.

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 2b 11 689.

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return (See instructions 2c 0.

3 a Add lines 1c and 2c 3a

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions 3b

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c 3d

e Subtract line 3d from line 3a, and enter the difference (if zero or less, enter amount in brackets) 3e

Important If line 3e Is greater than zero, and no portion of line la or 2a is includible In income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See Instructions) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax, the time for payment of which is

extended by makin g Election D See instructions 4c

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions . Form 8621 (Rev 12-2004)61261105-01-06

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Form 8621 (Rev 12-2004) Page 2

Part Ill ' Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions)

5 Enter the fair market value of your PFIC stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year 6

7 Excess. Subtract line 6 from line 5 If a gain, stop here. Include this amount as ordinary income

on your tax return If a loss, go to line 8 7

8 Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8

9 Enter the smaller of line 7 or line 8 Include this amount as an ordina ry loss on your tax return 9

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distnbution (see instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year, see instructions 10a

b Enter the total distributions (reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 (a)(1)(8)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or if shorter, the portion of the shareholder's holding period before the current tax year) 10b

c Divide line 10b by 3 (See instructions if the number of preceding tax years is less than 3) 10c

d Multiply line 10c by 125% (1 25) 10d

e Subtract line 10d from line 10a This amount, if more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions it you

received more than one distribution during the current tax year Also, see instructions for rules for reporting a nonexcess

distribution on your income tax return lice

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11 10f

11 a Attach a statement for each distribution and disposition Show your holding period for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 11 a that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income 11b

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions 11 c

d Foreign tax credit (See Instructions) 11d

e Subtract line 1ld from line 11 c Enter this amount on your income tax return as "additional tax" (See instructions 11e

f Determine interest on each net increase in tax determined on line 11 a using the rates and methods of section 6621

Enter the a gg re g ate amount of interest here ( See instructions 111

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

i li III iv v vi

1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax (line 3 ) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

Page 43: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

Form 8621

(Rev December 2004)Department of the TreasuryInternal Revenue Service

Name of shareholder

Return by a Shareholder of a Passive ForeignInvestment Company or Qualified Electing Fund

► See separate instructions

OMB No 1545-1002

AttachmentSequence No 69

Identifying number (see page 2 of instructions)

THE GOERGEN FOUNDATION, INC. 06-1180035

Number , street , and room or suite no (If a P 0 box, see page 2 of instructions Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET and endin

City or town, state, and ZIP code or countryGREENWICH, CT 06830

Check ty pe of shareholder filin g the return Individual X Corporation Partnership S Corp oration Non g rantor Trust Estate

Name of passive foreign investment company (PFIC) or qualified electing fund ( QEF) Employer identification number (If any)

FORUM ABSOLUTE RETURN FUND LTD

C/O CITIGROUP FUND SERVICES ( BERMUDA ) LTDAddress ( Enter number , street , city or town, and country ) Tax year of company or fund calendar year 2 0 0 6 or other

WASHINGTON MALL 1, THIRD FLOOR, 22 CHURCH ST tax year beginning and

HAMILTON HM11, BERMUDA ending

Part I Elections ( See Instructions )A OX Election To Treat the PFIC as a QEF . I. a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part ll

B Deemed Sale Election I, a shareholder on the first day of a PFIC's first tax year as a QEF , elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV.

c Deemed Dividend Election. I, a shareholder on the first day of a PFIC 's first tax year as a QEF that is a controlled foreign corporation (CFC), elect to treat

an amount equal to my share of the post- 1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV

D Election To Extend Time For Payment of Tax . I, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculate the tax that may be deferred

Note If any portion of line la or line 2a of Part 11 is includible under section 551 or 951, you may not make this election Also, see sections

1294(c) and 1294(f and the related regulations for events that terminate this election

E Election To Recognize Gain on Deemed Sale of PFIC I, a shareholder of a former PFIC or a PFIC to which section 1279(e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, it I quality , my share of the PFIC's post-1986 earnings

and profits deemed distributed , on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part IV.

F 0 Election to Mark -to-Market PFIC Stock . I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296 ( e) Complete Part Ill

Part 11 Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines 1a through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF la

b Enter the portion of line la that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 1 b

c Subtract line 1b from line 1a Enter this amount on your tax return as dividend income 1c

2 a Enter your pro rata share of the total net capital gain of the QEF 2a 4,598.

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g ) 2b 4 , 598.

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return ( See instructions) 2c 0.

3 a Add lines 1c and 2c 3a

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF ( See instructions 3b

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c 3d

e Subtract line 3d from line 3a, and enter the difference (if zero or less , enter amount in brackets) 3e

Important* If line 3e is greater than zero, and no portion of line la or 2a is includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year ( See instructions ) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax, the time for payment of which is

extended by makin g Election D See instructions 4c

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions Form 8621 ( Rev 12-2004)61261105-01-06

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Form 8621 (Rev 12-2004) Page Z

Part Ill ' Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions)

5 Enter the fair market value of your PFIC stock at the end of the tax year

6 Enter your adjusted basis in the stock at the end of the tax year

7 Excess Subtract line 6 from line 5 If a gain, stop here . Include this amount as ordinary income

on your tax return If a loss, go to line 8

8 Enter any unreversed inclusions (as defined in section 1296(d)) See Instructions

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distribution (see instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year, see instructions

b Enter the total distnbutions (reduced by the portions of such distributions that were excess distnbutions but not

included in income under section 1291 (a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or it shorter, the portion of the shareholder's holding period before the current tax year)

c Divide line 10b by 3 (See instructions rf the number of preceding tax years is less than 3 )

d Multiply line 10c by 125% (1 25)

e Subtract line 10d from line 10a This amount, if more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions if you

received more than one distnbution dunng the current tax year Also, see instructions for rules for reporting a nonexcess

dlstnbution on your income tax return

t Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11

11 a Attach a statement for each distnbution and disposition Show your holding period for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 11 a that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions

d Foreign tax credit (See instructions )

e Subtract line 1ld from line 11c Enter this amount on your income tax return as 'additional tax' (See instructions

f Determine interest on each net increase in tax determined on line Ile using the rates and methods of section 6621

amount of interest here (See Instructions

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only it there is a partial termination of the section 1294 election

( iv ) v vi

1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax Qine 3) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

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• ,

• Form 8621

(Rev December 2004)Department of the TreasuryInternal Revenue Service

Name of shareholder

Return by a Shareholder of a Passive ForeignInvestment Company or Qualified Electing Fund

OMB No 1545-1002

AttachmentSeauence No 69

Identifying number (see page 2 of instructions)

THE GOERGEN FOUNDATION, INC. 06-1180035Number, street, and room or suite no (If a P 0 box, see page 2 of instructions ) I Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET andend,no

City or town, state, and ZIP code or countryGREENWICH, CT 06830

Check type of shareholder filin g the return Individual X Corporation Partnership S Corporation 0 Non rantor Trust Estate

Name of passive foreign investment company (PFIC) or qualified electing fund (QEF) Employer identification number ( if any)

LIBERTY SQUARE OFFSHORE PARTNERS LTD

PO BOX 30362 SMB, 2ND FLOOR

Address ( Enter number , street , city or town, and country ) Tax year of company or fund calendar year 2006 or otherGENESIS BUILDING, GEORGETOWN tax year beginning andGRAND CAYMAN , CAYMAN ISLANDS BWI endmo

Part I Elections (See Instructions )

A Election To Treat the PFIC as a QEF . I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part ll

B 0 Deemed Sale Election I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV

c Deemed Dividend Election . I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign corporation (CFC), elect to treat

an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV

D 0 Election To Extend Time For Payment of Tax I, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part /l to calculate the tax that may be deferred.

Note: If any portion of line la or line 2a of Part ll is includible under section 551 or 951, you may not make this election Also, see sections

1294(c) and 1294(t) and the related regulations for events that terminate this election

E 0 Election To Recognize Gain on Deemed Sale of PFIC. I, a shareholder of a former PFIC or a PFIC to which section 1279(e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, if I quality, my share of the PFIC's post-1986 earnings

and profits deemed distnbuted, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part IV.

F El Election to Mark -to-Market PFIC Stock I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296(e) Complete Part 111

Part II Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF 1 a

b Enter the portion of line 1 a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 1 b

c Subtract line 1b from line la Enter this amount on your tax return as dividend income

2 a Enter your pro rata share of the total net capital gain of the QEF 2a

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 2b

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part 11 of the Schedule D used for your income tax return (See instructions

3 a Add lines 1c and 2c

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions 3b

c Enter the portion of line 3a not already included in line 3b that is

attnbutable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c

e Subtract line 3d from line 3a, and enter the difference (if zero or less, enter amount in brackets)

Important - If line 3e is greater than zero, and no portion of line la or 2a Is includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See instructions ) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax, the time for payment of which is

15,069.

15,069.

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions.61261105-o1-06

0.

Form 8621 (Rev 12-2004)

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Form 8621 (Rev 12-2004) Page 2

Part 111 ' Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions)

5 Enter the fair market value of your PFIG stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year 6

7 Excess Subtract line 6 from line 5 If a gain, stop here. Include this amount as ordinary income

on your tax return If a loss, go to line 8 7

8 Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8

9 Enter the smaller of line 7 or line 8 Include this amount as an ordina ry loss on y our tax return 9

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distribution (see instructions).

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year, see instructions 10a

b Enter the total distributions (reduced by the portions of such distributions that were excess distnbutions but not

included in income under section 1291 (a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or if shorter, the portion of the shareholder's holding period before the current tax year) 10b

c Divide line 10b by 3 (See Instructions If the number of preceding tax years is less than 3) 10c

d Multiply line 10c by 125% (1 25) 10d

e Subtract line 10d from line 10a This amount, if more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions if you

received more than one distribution during the current tax year Also, see instructions for rules for reporting a nonexcess

distribution on your income tax return

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11 1 Of

11 a Attach a statement for each distribution and disposition Show your holding penod for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 1 la that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income 11b

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions 11c

d Foreign tax credit (See Instructions) 11 d

e Subtract line 1 ld from line 11 c Enter this amount on your income tax return as *additional tax' (See instructions 11 e

f Determine interest on each net increase in tax determined on line 11e using the rates and methods of section 6621

Enter the aggregate amount of interest here (See Instructions ) 11 f

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

i ( ii ) ( iii ) Iv v vl

1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax (line 3) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

Page 47: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

Forrn 8621

(Rev December 2004)Department of the TreasuryInternal Revenue Service

Name of shareholder

Return by a Shareholder of a Passive ForeignInvestment Company or Qualified Electing Fund

► See senarate instructionsAttachmentSequence No 69

Identifying number (see page 2 of instructions)

THE GOERGEN FOUNDATION, INC. 06-1180035Number, street, and room or suite no (If a P 0 box, see page 2 of instructions ) I Shareholder tax year calendar year2 0 0 6 or other tax year beg i nning

C/O THOMAS E. FINN, PC, 35 MASON STREET andend,no

OMB No 1545-1002

City or town, state, and ZIP code or countryGREENWICH, CT 06830

Check type of shareholder film the return E^j Individual X Corporation Partnership S Corporation Non g rantor Trust Estate

Name of passive foreign investment company (PFIC) or qualified electing fund (QEF ) Employer identification number ( if any)

MATTERHORN OFFSHORE FUND LTD

C/O C IITCI FUND SERVICES (CURACAO) LTDAddress ( Enter number , street , city or town, and country ) Tax year of company or fund calendar year 2 0 0 6 or otherKAYA FLAMBOYAN 9, PO BOX 4774 tax year beginning and

WILLEMSTED CURACAO NETHERLAND ANTILLES ending

Part I Elections (See Instructions )A LX Election To Treat the PFIC as a QEF . I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part ll.

B 0 Deemed Sale Election . I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV.

C Deemed Dividend Election . I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign corporation (CFC), elect to treat

an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV.

D Election To Extend Time For Payment of Tax I, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part 11 to calculate the tax that may be deferred.

Note: If any portion of line la or line 2a of Part ll is includible under section 551 or 951, you may not make this election Also, see sections

1294(c) and 1294(f and the related regulations for events that terminate this election

E 0 Election To Recognize Gain on Deemed Sale of PFIC. I, a shareholder of a former PFIC or a PFIC to which section 1279(e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings

and profits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part IV.

F 0 Election to Mark-to-Market PFIC Stock I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296(e) Complete Part 111

Part 11 Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are making

Election D, also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF la 2,176.

b Enter the portion of line la that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 1b 2,176.

c Subtract line 1 b from line la Enter this amount on your tax return as dividend income 1 c 0.

2 a Enter your pro rata share of the total net capital gain of the QEF 2a 6,713.

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 2b 6 , 713.c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return (See instructions 2c 0

3 a Add lines 1c and 2c 3a

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions 3b

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c 3d

e Subtract line 3d from line 3a, and enter the difference (if zero or less, enter amount in brackets) 3e

Important . If line 3e is greater than zero, and no portion of line la or 2a is includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See instructions ) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax, the time for payment of which is

extended by making Election D. See instructions 4c

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions . Form 8621 (Rev 12-2004)61261105-o1-a6

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Form 8621

Part III ' Gain or (Loss) From Mark-to-Market Election (see page 5 of instructions)

5 Enter the fair market value of your PFIC stock at the end of the tax year

6 Enter your adjusted basis in the stock at the end of the tax year

7 Excess . Subtract line 6 from line 5 If a gain, stop here. Include this amount as ordinary income

on your tax return If a loss, go to line 8

8 Enter any unreversed inclusions (as defined in section 1296(d)) See Instructions

9 Enter the smaller of line 7 or line 8 Include this amount as an ordinary loss on your tax return 1 9 1

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distribution (see rnstnJctfons)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year, see instructions

b Enter the total distributions (reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 (a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or if shorter, the portion of the shareholder's holding period before the current tax year)

c Divide line 10b by 3 (See instructions it the number of preceding tax years is less than 3 )

d Multiply line 10c by 125% (1 25)

e Subtract line 10d from line 10a This amount, if more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions it you

received more than one distribution during the current tax year Also, see instructions for rules for reporting a nonexcess

distribution on your income tax return

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11

11 a Attach a statement for each distribution and disposition Show your holding penod for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding penod Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 1 la that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions

d Foreign tax credit (See instructions )

e Subtract line 1ld from line 11c Enter this amount on your income tax return as 'additional tax' (See instructions

f Determine interest on each net increase in tax determined on line 1 le using the rates and methods of section 6621

Enter the aggregate amount of interest here (See Instructions) 111f

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

it ill ( iv ) v ( vi )

1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax (line 3) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

Page 49: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

Form 8621

(Rev December 2004)Department of the TreasuryInternal t3evenue Service

Name of shareholder

Return by a Shareholder of a Passive ForeignInvestment Company or Qualified Electing Fund

OMB No 1545-1002

AttachmentSequence No 69

Identifying number (see page 2 of instructions)

THE GOERGEN FOUNDATION, INC. 06-1180035

Number, street, and room or suite no (If a P 0 box, see page 2 of instructions Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET and ending

City or town, state, and ZIP code or countryGREENWICH, CT 06830

Check typ e of shareholder filin g the return Individual X Corporation Partnership S Corporation Non rantor Trust Estate

Name of passive foreign investment company (PFIC) or qualified electing fund ( QEF) Employer identification number ( it any)

SELIGMAN TECH SPECTRUM FD

C/O PFPC INTERNATIONAL LTD

Address ( Enter number , street , city or town, and country ) Tax year of company or fund calendar year 2 0 0 6 or otherRVERSIDE 2, SIR JOHN ROGERSON'S QUAY tax year beginning andGRAND CANAL DOCK DUBLIN 2, IRELAND endin g

Part I Elections (See Instructions )A 0 Election To Treat the PFIC as a QEF I, a shareholder of a PFIC , elect to treat the PFIC as a QEF Complete lines la through 2c of Part 11

B Deemed Sale Election . I, a shareholder on the first day of a PFIC' s first tax year as a QEF , elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV

C 0 Deemed Dividend Election I , a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign corporation (CFC), elect to treat

an amount equal to my share of the post - 1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV

D Election To Extend Time For Payment of Tax I, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculate the tax that may be deferred

Note: If any portion of line la or line 2a of Part ll is includible under section 551 or 951, you may not make this election . Also, see sections

1294(c) and 1294(1) and the related regulations for events that terminate this election

E Election To Recognize Gain on Deemed Sale of PFIC . I, a shareholder of a former PFIC or a PFIC to which section 1279 ( e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, a I qualify, my share of the PFIC ' s post - 1986 earnings

and profits deemed distributed , on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part IV

F Election to Mark-to-Market PFIC Stock I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296 (e) Complete Part 111

Part 11 Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are makingElection 0 , also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF

b Enter the portion of line 1 a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g)

c Subtract line 1b from line la Enter this amount on your tax return as dividend income

2 a Enter your pro rata share of the total net capital gain of the QEF

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g)

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return (See instructions )

3 a Add lines 1c and 2c

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c

e Subtract line 3d from line 3a, and enter the difference ( If zero or less, enter amount in brackets)

Important If line 3e is greater than zero, and no portion of line la or 2a is includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See instructions )

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 14b

c Subtract line 4b from line 4a This is the deferred tax, the time for payment of which is

extended by making Election D. See instructions

142.

142.1c

31.

31.

2c

3a

3d

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions61261105-01-06

0.

0.

Form 8621 (Rev 12-2004)

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Form 8621 (Rev 12-2004) Page 2

Part III - Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions)

5 Eoter the fair market value of your PFIC stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year 6

7 Excess Subtract line 6 from line 5 If a gain, stop here. Include this amount as ordinary income

on your tax return If a loss, go to line 8 7

8 Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8

9 Enter the smaller of line 7 or line 8 Include this amount as an ordina ry loss on y our tax return 9

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distribution (see instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding penod of the stock began in the current tax year, see instructions 10a

b Enter the total distributions (reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 (a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or if shorter, the portion of the shareholder's holding period before the current tax year) 10b

c Divide line 10b by 3 (See instructions it the number of preceding tax years is less than 3 10c

d Multiply line 10c by 125% (1 25) 10d

e Subtract line 10d from line 10a This amount, If more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions it you

received more than one distribution during the current tax year Also, see instructions for rules for reporting a nonexcess

distribution on your income tax return 10e

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11 1011

11 a Attach a statement for each distribution and disposition Show your holding period for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 1 la that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income 11b

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions 11 c

d Foreign tax credit (See Instructions) 11d

e Subtract line 11d from line 11c Enter this amount on your income tax return as 'additional tax' (See instructions 11e

f Determine interest on each net increase in tax determined on line 11 a using the rates and methods of section 6621

Enter the agg reg ate amount of interest here See instructions 1111

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

i ( iv ) v vl1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax (line 3) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

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Form 8621 I Return by a Shareholder of a Passive Foreign(Rev December 2004) Investment Company or Qualified Electing FundDepartment of the Treasury -

Name of shareholder

OMB No 1545-1002

AttachmentSequence No 69

Identifying number (see page 2 of instructions)

THE GOERGEN FOUNDATION, INC. 06-1180035Number , street , and room or suite no (If a P 0 box , see page 2 of instructions Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET and end ing

City or town , state, and ZIP code or countryGREENWICH, CT 06830

Check type of shareholder film the return Individual X Corporation Partnership S Corporation Non g rantor Trust Estate

Name of passive foreign investment company ( PFIC) or qualified electing fund ( QEF) Employer identification number ( if any)

SPRING POINT OPPORTUNITY OFFSHORE FDC/O BISYS HEDGE FFD SERVICES ( CAYMAN ) LTDAddress ( Enter number , street , city or town , and country ) Tax year of company or fund calendar year 2006 or other3RD FLOOR, HARBOUR CENTRE PO BOX 3 0 3 6 2 SMB tax year beginning andCAYMAN ISLANDS, BWI endin g

Part 1 Elections (See instructions

A Election To Treat the PFIC as a QEF . I, a shareholder of a PFIC , elect to treat the PFIC as a QEF Complete lines la through 2c of Part /l

B Deemed Sale Election . I, a shareholder on the first day of a PFIC ' s first tax year as a QEF , elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV

C Deemed Dividend Election . I, a shareholder on the first day of a PFIC ' s first tax year as a QEF that is a controlled foreign corporation ( CFC), elect to treat

an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV

D E:1 Election To Extend Time For Payment of Tax . I, a shareholder of a QEF , elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part 11 to calculate the tax that may be deferred

Note: If any portion of line la or line 2a of Part 11 is includible under section 551 or 951, you may not make this election. Also, see sections

1294(c) and 1294(1) and the related regulations for events that terminate this election

E O Election To Recognize Gain on Deemed Sale of PFIC. I, a shareholder of a former PFIC or a PFIC to which section 1279(e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings

and profits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part IV

F Election to Mark-to-Market PFIC Stock . I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296(e) Complete Part Ill.

Part 11 Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF

b Enter the portion of line 1a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g)

c Subtract line lb from line la Enter this amount on your tax return as dividend income

2 a Enter your pro rata share of the total net capital gain of the QEF

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g)

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return (See instructions )

3 a Add lines 1c and 2c

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c

e Subtract line 3d from line 3a, and enter the difference ( if zero or less , enter amount in brackets)

Important : If line 3e is greater than zero, and no portion of line la or 2a is includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See instructions )

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

Subtract line 4b from line 4a This is the deferred tax , the time for payment of which is

ions

1,106.

1,106.

812.

812.

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions61261105-01-06

1c 0.

2c 0.3a

3d

3e

4c

Form 8621 (Rev 12-2004)

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.e

Form 8621 (Rev 12 - 2004) Page 2

Part 111 ' Gain or (Loss) From Mark-to-Market Election ( See page 5 of instructions)

5 Enter the fair market value of your PFIC stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year 6

7 Excess Subtract line 6 from line 5 If a gain, stop here Include this amount as ordinary income

on your tax return If a loss , go to line 8 7

8 Enter any unreversed inclusions ( as defined in section 1296(d)) See instructions 8

9 Enter the smaller of line 7 or line 8 Include this amount as an ordina loss on y our tax return 9

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distribution (see instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year , see instructions 10a

b Enter the total distributions ( reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 (a)(1)(B )) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or if shorter , the portion of the shareholder ' s holding penod before the current tax year) 10b

c Divide line 10b by 3 (See Instructions If the number of preceding tax years is less than 3) 10c

d Multiply line 10c by 125% ( 1 25) 10d

e Subtract line 10d from line 10a This amount, if more than zero , is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year , do not complete the rest of Part IV See instructions if you

received more than one distribution dunng the current tax year Also , see instructions for rules for reporting a nonexcess

distribution on your income tax return

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11

11 a Attach a statement for each distribution and disposition Show your holding period for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 1 la that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions )

d Foreign tax credit (See instructions )

e Subtract line 11d from line 11 c Enter this amount on your income tax return as 'additional tax' (See instructions

f Determine interest on each net increase in tax determined on line 11e using the rates and methods of section 6621

Enter the aggregate amount of interest here (See Instructions

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

11 0 fi of iv v of1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax Qine 3) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

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ad

Form 8621 I Return by a Shareholder of a Passive Foreign(Rev December 2904) Investment Company or Qualified Electing FundDepartment of the Treasury -

Name of shareholder

THE GOERGEN FOUNDATION, INC.

Attachment

Sequence No 69

Identifying number (see page 2 of instructions)

06-1180035Number, street, and room or suite no (If a P 0 box, see page 2 of instructions) I Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET andendma

OMB No 1545-1002

City or town, state, and ZIP code or countryGREENWICH, CT 06830

Check ty pe of shareholder filin g the return Individual X Corporation Partnership S Corporation Non rantor Trust Estate

Name of passive foreign investment company (PFIC) or qualified electing fund (QEF) Employer identification number ( if any)

TIEDEMANN JAPAN QP LTDC/O MORGAN STANLEY FUND SERVICES LTDAddress (Enter number, street, city or town, and country ) Tax year of company or fund calendar year 2006 or otherCLARENDON HOUSE, 2 CCHURCH ST tax year beginning andHAMILTON HM DX BERNUDA endin g

Part I Elections (See instructions )A WX Election To Treat the PFIC as a QEF I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part ll.

B Deemed Sale Election 1 , a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV

C Deemed Dividend Election I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign corporation (CFC), elect to treat

an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part /V.

D 0 Election To Extend Time For Payment of Tax 1, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part /l to calculate the tax that may be deferred

Note: If any portion of line la or line 2a of Part 11 is includible under section 551 or 951, you may not make this election Also, see sections

1294(c) and 1294(1) and the related regulations for events that terminate this election

E 0 Election To Recognize Gain on Deemed Sale of PFIC . I, a shareholder of a former PFIC or a PFIC to which section 1279(e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, if I quality, my share of the PFIC's post-1986 earnings

and profits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 1Of of Part IV

F Election to mark -to-Market PFIC Stock I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296(e) Complete Part III.

Part 11 Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF la

b Enter the portion of line la that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) lb

c Subtract line lb from line 1a Enter this amount on your tax return as dividend income 1c

2 a Enter your pro rata share of the total net capital gain of the QEF 2a 1,457.

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 2b 1 , 457.

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return (See instructions) 2c 0

3 a Add lines 1c and 2c 3a

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions 3b

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c 3d

e Subtract line 3d from line 3a, and enter the difference (if zero or less, enter amount in brackets) 3e

Important- If line 3e is greater than zero, and no portion of line la or 2a is includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See instructions ) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax , the time for payment of which is

extended by makin g Election D See instructions 4c

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions Form 8621 (Rev 12-2004)61261105-01-06

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aForm 8621 (Rev 12-2004) Page 2

Part 111 • Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions)

5 Egter the fair market value of your PFIC stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year 5

7 Excess. Subtract line 6 from line 5 If a gain, stop here. Include this amount as ordinary income

on your tax return If a loss, go to line 8 7

8 Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8

9 Enter the smaller of line 7 or line 8 Include this amount as an ordina ry loss on y our tax return 9

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distribution (see instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year, see instructions 10a

b Enter the total distributions (reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 (a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or if shorter, the portion of the shareholder's holding period before the current tax year) 10b

c Divide line 1 Ob by 3 (See instructions if the number of preceding tax years is less than 3) 10c

d Multiply line 10c by 125% (1 25) 10d

e Subtract line 10d from line 10a This amount, if more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions if you

received more than one distribution during the current tax year Also, see instructions for rules for reporting a nonexcess

distribution on your income tax return

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11

11 a Attach a statement for each distribution and disposition Show your holding penod for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 1 la that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income

c Enter the aggregate increases in tax (before credits) for each tax year in your holding penod

(other than the current tax year and pre-PFIC years) (See instructions )

d Foreign tax credit (See instructions )

e Subtract line 11d from line 11c Enter this amount on your income tax return as *additional tax' (See instructions

f Determine interest on each net increase in tax determined on line 11 a using the rates and methods of section 6621

ate amount of interest here (See instructions

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

iii Iv v vi1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax Qine 3) as of the filing date

5 Event terminating election

6 Earnings distnbuted or deemed

distnbuted during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)612612o5-ol-o6

Page 55: Form 990-PF Return of Private Foundation or Section 4947(a ...990s.foundationcenter.org/990pf_pdf_archive/061/... · 2 Total of line 1, column (d) 2 . 39264 1 3 Average distribution

aw

Form 8621

(Rev December 2004)

Department of the Treasury

Internal Revenue Service

Name of shareholder

Return by a Shareholder of a Passive ForeignInvestment Company or Qualified Electing Fund

► See separate instructions

THE GOERGEN FOUNDATION, INC.

OMB No 1545-1002

Attachment

Sequence No 69

Identifying number (see page 2 of instructions)

06-1180035Number , street , and room or suite no (If a P 0 box, see page 2 of instructions ) I Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET andendin4City or town, state , and ZIP code or countryGREENWICH, CT 06830

Check type of shareholder filing the return U Individual U Corporation L__J Partnership U S Corporation U Nongrantor Trust 0 Estate

Name of passive foreign investment company ( PFIC) or qualified electing fund ( QEF) Employer identification number ( if any)THIRD POINT OFFSHORE LTDC/O INTERNATIONAL FUND SERVICES (IRELAND) LT

Address ( Enter number , street , city or town, and country ) Tax year of company or fund calendar year 2006 or otherBISHOP'S SQUARE, THIRD FLOOR, REDMOND'S HILL tax year beginning andDUBLIN 2, IRELAND endin g

Pall I Elections ( See instructions

A [K] Election To Treat the PFIC as a QEF. I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part ll

B Deemed Sale Election I, a shareholder on the first day of a PFIC's first tax year as a QEF , elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV.

C Deemed Dividend Election I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign corporation (CFC), elect to treat

an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV

D Election To Extend Time For Payment of Tax. I, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculate the tax that may be deferred

Note If any portion of line la or line 2a of Part ll is includible under section 551 or 951, you may not make this election Also, see sections

1294(c) and 1294(f) and the related regulations for events that terminate this election

E Election To Recognize Gain on Deemed Sale of PFIC . I, a shareholder of a former PFIC or a PFIC to which section 1279(e) applies, elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings

and profits deemed distributed, on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Pan: IV.

F O Election to Mark-to-Market PFIC Stock . I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296(e) Complete Part Ill.

Part 11 Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are makingElection D, also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF la

b Enter the portion of line 1a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 1 b

c Subtract line 1b from line la Enter this amount on your tax return as dividend income 1c

2 a Enter your pro rata share of the total net capital gain of the QEF 2a 6,147.

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 2b 6 , 147.

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return (See instructions 2c 0.

3 a Add lines 1c and 2c 3a

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions 3b

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c 3d

e Subtract line 3d from line 3a, and enter the difference (If zero or less, enter amount in brackets) 3e

Important If line 3e is greater than zero, and no portion of line la or 2a is includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See instructions ) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax , the time for payment of which is

extended b y making Election D. See instructions 4c

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions Form 8621 (Rev 12-2004)61261105-01-06

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rForm 8621 (Rev 12-2004) Page 2

Part ill • Gain or (Loss) From Mark-to-Market Election (Seepage 5 of instructions)5 Enter the fair market value of your PFIC stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year 6

7 Excess Subtract line 6 from line 5 If a gain, stop here. Include this amount as ordinary income

on your tax return If a loss, go to line 8 7

8 Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8

9 Enter the smaller of line 7 or line 8 Include this amount as an ordina ry loss on our tax return 9

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distribution (see instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year, see instructions 10a

b Enter the total distributions (reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 (a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or if shorter, the portion of the shareholder's holding penod before the current tax year) 10b

c Divide line 10b by 3 (See instructions if the number of preceding tax years is less than 3) 10c

d Multiply line 10c by 125% (1 25) 10d

e Subtract line 10d from line 10a This amount, if more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions if you

received more than one distribution during the current tax year Also, see instructions for rules for reporting a nonexcess

distribution on your income tax return 108

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11 10f

11 a Attach a statement for each distribution and disposition Show your holding period for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 11 a that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income 11b

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions 11 c

d Foreign tax credit (See Instructions) 11d

e Subtract line 1ld from line 11c Enter this amount on your income tax return as "additional tax' (See instructions Ill e

f Determine interest on each net increase in tax determined on line 1 le using the rates and methods of section 6621

Enter the agg re g ate amount of interest here See instructions 11 f

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

i fl ui Iv v vi

1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax (line 3 ) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

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Forrn 8621

(Rev December 2g04)Department of the TreasuryInternal Revenue Service

Name of shareholder

Return by a Shareholder of a Passive Foreign OMB No 1545-11002

Investment Company or Qualified Electing Fund Attachment10, See seoarate instructions . Sequence No 69

Identifying number (see page 2 of instructions)

THE GOERGEN FOUNDATION, INC. 06-1180035

Number , street , and room or suite no ( If a P 0 box , see page 2 of instructions Shareholder tax year calendar year2 0 0 6 or other tax year beginning

C/O THOMAS E. FINN, PC, 35 MASON STREET and endin

City or town, state , and ZIP code or countryGREENWICH, CT 06830

Check ty pe of shareholder filin g the return Individual X Corporation Partnership S Corporation Non rantor Trust Estate

Name of passive foreign investment company ( PFIC) or qualified electing fund ( QEF) Employer identification number ( if any)

ANDOR TECHNOLOGY OFFSHORE FUNDC/O MORGAN STANLEY FUND SERVICESAddress ( Enter number , street , city or town, and country ) Tax year of company or fund calendar year 2 0 0 6 or other

CLARENDON HOUSE, 2 CHURCH STREET tax year beginning and

HAMILTOM HMDX, BERMUDA endin g

Part I Elections (See instructions )A Election To Treat the PFIC as a QEF . I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part ll

B fl Deemed Sale Election I, a shareholder on the first day of a PFIC' s first tax year as a QEF , elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV.

C Deemed Dividend Election. I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign corporation ( CFC), elect to treat

an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV

D 0 Election To Extend Time For Payment of Tax I, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculate the tax that may be deferred

Note. If any portion of line 1 a or line 2a of Part // is includible under section 551 or 951, you may not make this election Also, see sections

1294(c) and 1294(1) and the related regulations for events that terminate this election

E Election To Recognize Gain on Deemed Sale of PFIC I, a shareholder of a former PFIC or a PFIC to which section 1279 (e) applies , elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC , or, if I qualify, my share of the PFIC' s post - 1986 earnings

and profits deemed distributed , on the last day of its last tax year as a PFIC under section 1297 ( a) Enter gain on line 10f of Part /V.

F Election to mark -to-Market PFIC Stock . I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296 (e) Complete Part Ill

Part 11 Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are makingElection D , also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF la

b Enter the portion of line 1 a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 1b

c Subtract line lb from line la Enter this amount on your tax return as dividend income 1c

2 a Enter your pro rata share of the total net capital gain of the QEF 2a

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 2b

c Subtract line 2b from line 2a This amount is a net long -term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return ( See instructions 2c

3 a Add lines 1c and 2c 3a

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF ( See instructions 3b

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c 3d

e Subtract line 3d from line 3a , and enter the difference (If zero or less, enter amount in brackets) 3e

Important If line 3e is greater than zero, and no portion of line la or2a is Includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See Instructions) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax , the time for payment of which is

extended by makin g Election D See instructions 4c

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions Form 8621 (Rev 12-2004)61261105.01-06

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Forth 8621 (Rev 12-2004) Page 2

Part 111 • Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions )5 Epter the fair market value of your PFIC stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year 6

7 Excess Subtract line 6 from line 5 It a gain, stop here. Include this amount as ordinary income

on your tax return If a loss, go to line 8 7

8 Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8

9 Enter the smaller of line 7 or line 8 Include this amount as an ordina ry loss on your tax return 9

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions.)Complete a separate Part IV for each excess distribution (see instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year, see instructions 10a

b Enter the total distributions (reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 (a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year (or if shorter, the portion of the shareholder's holding period before the current tax year) 10b

c Divide line 10b by 3 (See instructions if the number of preceding tax years is less than 3) 10c

d Multiply line 10c by 125% (1 25) 10111

e Subtract line 10d from line 10a This amount, if more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions if you

received more than one distribution during the current tax year Also, see instructions for rules for reporting a nonexcess

distribution on your income tax return 10e

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11 10f 28 f 9 8 7

11 a Attach a statement for each distribution and disposition Show your holding period for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 1 la that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax

return as other income SEE STATEMENT 13 11b 28,987.

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) (See instructions 11 c

d Foreign tax credit (See Instructions) lid

e Subtract line 1 ld from line 11c Enter this amount on your income tax return as 'additional tax' (See instructions 11110

f Determine interest on each net increase in tax determined on line 11 e using the rates and methods of section 6621

Enter the a gg reg ate amount of interest here See instructions 111111

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

i u Iii iv v ( vi )1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Intent accrued on deferred

tax (line 3 ) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-01-06

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Form 8621

(Rev December 2004)Department of the TreasuryInternal Revenue Service

Name of shareholder

Return by a Shareholder of a Passive ForeignInvestment Company or Qualified Electing Fund

► See separate instructions.

OMB No 1545-1002

Attachment

Identifying number (see page 2 of instructions)

THE GOERGEN FOUNDATION, INC. 06-1180035Number , street , and room or suite no (If a P 0 box, see page 2 of instructions Shareholder tax year calendar year2 0 0 6 or other tax year beg i nning

C/O THOMAS E. FINN, PC, 35 MASON STREET and endin g

City or town, state, and ZIP code or country

GREENWICH, CT 06830Check ty pe of shareholder filin g the return Individual X Corporation Partnership S Corporation Nong rantor Trust Estate

Name of passive foreign investment company (PFIC) or qualified electing fund ( QEF) Employer identification number ( if any)

WHITNEY NEW JAPAN INVESTORS LTD

Address ( Enter number, street, city or town , and country ) Tax year of company or fund calendar year 2 0 0 6 or other177 BROAD STREET SUITE 502 tax year beginning andSTAMFORD, CT 06901 ending

Part I Elections ( See InstructionsA El Election To Treat the PFIC as a QEF . I, a shareholder of a PFIC, elect to treat the PFIC as a QEF Complete lines la through 2c of Part ll

B El Deemed Sale Election I, a shareholder on the first day of a PFIC' s first tax year as a QEF, elect to recognize gain on the deemed sale

of my interest in the PFIC Enter gain or loss on line 10f of Part IV.

C El Deemed Dividend Election I, a shareholder on the first day of a PFIC ' s first tax year as a QEF that is a controlled foreign corporation ( CFC), elect to treat

an amount equal to my share of the post - 1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e of Part IV.

D 0 Election To Extend Time For Payment of Tax . 1, a shareholder of a QEF , elect to extend the time for payment of tax on the undistributed

earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part ll to calculate the tax that may be deferred.

Note If any portion of line 1 a or line 2a of Part ll is includible under section 551 or 951 , you may not make this election Also, see sections

1294(c) and 1294(f) and the related regulations for events that terminate this election.

E 0 Election To Recognize Gain on Deemed Sale of PFIC I, a shareholder of a former PFIC or a PFIC to which section 1279 ( e) applies , elect to treat

as an excess distribution the gain recognized on the deemed sale of my interest in the PFIC, or, if I qualify, my share of the PFIC's post-1986 earnings

and profits deemed distributed , on the last day of its last tax year as a PFIC under section 1297(a) Enter gain on line 10f of Part IV.

F El Election to Mark -to-Market PFIC Stock . I, a shareholder of a PFIC , elect to mark-to-market the PFIC stock that is marketable within the

meaning of section 1296(e ) Complete Part///

Part II Income From a Qualified Electing Fund (QEF). All QEF shareholders complete lines la through 2c If you are makingElection D , also complete lines 3a through 4c (See page 5 of instructions )

1 a Enter your pro rata share of the ordinary earnings of the QEF 1a

b Enter the portion of line la that is included in income under

section 551 or 951 or that may be excluded under section 1293(g) 1 b

c Subtract line lb from line la Enter this amount on your tax return as dividend income

2 a Enter your pro rata share of the total net capital gain of the QEF

L2

b Enter the portion of line 2a that is included in income under

section 551 or 951 or that may be excluded under section 1293(g)

c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount

in Part II of the Schedule D used for your income tax return (See instructions )

3 a Add lines 1c and 2c

b Enter the total amount of cash and the fair market value of other property distributed

or deemed distributed to you during the tax year of the QEF (See instructions) 3b

c Enter the portion of line 3a not already included in line 3b that is

attributable to shares in the QEF that you disposed of, pledged,

or otherwise transferred during the tax year 3c

d Add lines 3b and 3c

e Subtract line 3d from line 3a, and enter the difference (if zero or less , enter amount in brackets)

Important If line 3e is greater than zero, and no portion of line la or 2a is includible in income

under section 551 or 951, you may make Election D with respect to the amount on line 3e

4 a Enter the total tax for the tax year (See instructions ) 4a

b Enter the total tax for the tax year determined without regard to

the amount entered on line 3e 4b

c Subtract line 4b from line 4a This is the deferred tax , the time for payment of which is

LHA For Paperwork Reduction Act Notice , see page 7 of separate instructions61261105-01-06

Form 8621 (Rev 12-2004)

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M?; 9Form 8621 (Rev 12-2004) Page 2

Part III • Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions)5 Enter the fair market value of your PFIC stock at the end of the tax year 5

6 Enter your adjusted basis in the stock at the end of the tax year 6

7 Excess Subtract line 6 from line 5 If a gain, stop here. Include this amount as ordinary income

on your tax return If a loss, go to line 8 7

8 Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8

9 Enter the smaller of line 7 or line 8 Include this amount as an ordina ry loss on your tax return 9

Part IV Distributions From and Disposition of Stock of a Section 1291 Fund (See page 6 of instructions)Complete a separate Part IV for each excess distribution (see Instructions)

10 a Enter your total distributions from the section 1291 fund during the current tax year with respect to the applicable stock If the

holding period of the stock began in the current tax year , see instructions 10a

b Enter the total distributions ( reduced by the portions of such distributions that were excess distributions but not

included in income under section 1291 ( a)(1)(B)) made by the fund with respect to the applicable stock for each of the 3 years

preceding the current tax year ( or if shorter , the portion of the shareholder's holding penod before the current tax year) 10b

c Divide line 1 Ob by 3 (See instructions if the number of preceding tax years is less than 3) 10c

d Multiply line 10c by 125% ( 1 25) 10d

e Subtract line 10d from line 10a This amount , it more than zero, is the excess distribution with respect to the applicable stock

If zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions if you

received more than one distribution during the current tax year Also , see instructions for rules for reporting a nonexcess

distribution on your income tax return 10e

t Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund If a gain,

complete line 11 If a loss, show it in brackets and do not complete line 11 1011 21 7 17

11 a Attach a statement for each distribution and disposition Show your holding period for each share of stock

or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts

that are allocated to days in each tax year

b Enter the total of the amounts determined in line 1 la that are allocable to the current tax year and tax years

before the foreign corporation became a PFIC ( pre-PFIC tax years ) Enter these amounts on your income tax

return as other income 11b

c Enter the aggregate increases in tax (before credits ) for each tax year in your holding period

(other than the current tax year and pre-PFIC years) ( See instructions 11 c

d Foreign tax credit ( See Instructions) 11d

e Subtract line 1 ld from line 11c Enter this amount on your income tax return as 'additional tax' (See instructions 11le

f Determine interest on each net increase in tax determined on line 1 le using the rates and methods of section 6621

Enter the agg re g ate amount of interest here See instructions 11 f

Part V Status of Prior Year Section 1294 Elections and Termination of Section 1294 ElectionsComplete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

ii iii ( iv ) v vi1 Tax year of outstanding

election

2 Undistributed earnings to

which the election relates

3 Deferred tax

4 Interest accrued on deferred

tax (line 3 ) as of the filing date

5 Event terminating election

6 Earnings distributed or deemed

distributed during the tax year

7 Deferred tax due with this

return

8 Accrued interest due with

this return

9 Deferred tax outstanding after

partial termination of election

10 Interest accrued after partial

termination of election

Form 8621 (Rev 12-2004)61261205-o1-06

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E` GOERGEN FOUNDATION, INC. 06-1180035

FORM 8621 DISTRIBUTIONS OF STOCK IN A SECTION 1291 FUND STATEMENT 13

1. DATE STOCK PURCHASED

2. DATE STOCK DISPOSED OF OR DISTRIBUTED

3. EXCESS DISTRIBUTION ALLOCATED TO EACH DAY IN HOLDING PERIOD4. TOTAL ALLOCABLE TO EACH TAX YEAR IN HOLDING PERIOD5. TOTAL ALLOCABLE TO THE CURRENT TAX YEAR AND

PRE-PFIC TAX YEARS, IF DIFFERENT 28,987.

6. TOTAL TO LINE 11B (LINE 4 OR 5) 28,987.7. TAX. TOTAL TO LINE 11C

8. FOREIGN TAX CREDIT. TOTAL TO LINE 11D

9. NET TAX. TOTAL TO LINE 11E 0.10. INTEREST. TOTAL TO LINE 11F

50 STATEMENT(S) 1310421106 739634 7217 2006. 07000 THE GOERGEN FOUNDATION , INC 7217 _1

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p.1 .

Form 8868(Aev December 2006)

Department of the Treasury

Internal Revenue Serwm

OMB No 1545-1709

• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box ►• If you are filing for an Additional (not automatic) 3-Month Extension , complete only Part li (on page 2 of this form)

Do not complete Part 11 unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.

Part l Automatic 3-Month Extension of Time. Only submit original (no copies needed).

Section 501 (c)(3) corporations required to file Form 990-T and requesting an automatic 6-month extension - check this box

and complete Part I only ► 0

All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time

to file income tax returns.

Electronic Filing (e-file). Generally , you can electronically file Form 8868 if you want a 3-month automatic extension of lime to file one of the returns

noted below (6 months for section 501 (c)(3) corporations required to file Form 990-T) However , you cannot file Form 8868 electronically If (1) you want

the additional (not automatic) 3-month extension or (2) you file Forms 990- BL, 6069 , or 8870 , group returns , or a composite or consolidated Form

990-T . Instead, you must submit the fully completed and signed page 2 (Part II ) of Form 8868 . For more details on the electronic filing of this form,visit www irs. oov/efile and click on a-file for Chanties & Nonprofits

Type or I Name of Exempt Organization I Employer identification number

print

File by the

due date for

filing your

return See

Instructions

THE GOERGEN FOUNDATION, INC.

Number , street , and room or suite no . If a P.O. box, see instructions.

C/O THOMAS E. FINN, PC, 35 MASON STREET

City, town or post office, state, and ZIP code . For a foreign address , see instructions.

GREENWICH, CT 06830

Check type of return to be filed (file a separate application for each return):

Form 990 Form 990-T (corporation) Form 4720

0 Form 990-BL Form 990-T (sec 401(a) or 408(a) trust ) Form 5227

O Form 990-EZ Form 990-T (trust other than above) Form 6069

0 Form 990-PF 0 Form 1041-A Form 8870

• The books are In the care of ► THOMAS E. F INN, P.C.

Telephone No ► 203-661-7760 FAX No ►• If the organization does not have an office or place of business in the United States , check this box ► El

• If this is for a Group Return , enter the organization 's four digit Group Exemption Number (GEN) . If this is for the whole group , check this

box ► 0 . If it is for part of the group , check this box ► El and attach a list with the names and EINs of all members the extension will cover.

I I request an automatic 3-month (6-months for a section 501(c)(3) corporation required to file Form 990-T) extension of time until

AUGUST 15, 200 7 , to file the exempt organization return for the organization named above The extension

is for the organization 's return for.

►L calendar year 2 0 0 6 or► El tax year beginning , and ending

2 If this tax year is for less than 12 months , check reason : 0 Initial return El Final return El Change in accounting period

3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any

nonrefundable credits. See instruction s 3a $ 35,000.

b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated

tax payments made. Include any prior year overpayment allowed as a credit. 3b $ 0 .

c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, If required,

deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System)

See Instructions 3c $ 35,000.

Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions.

LHA For Privacy Act and Paperwork Reduction Act Notice , see instructions . Form 8868 (Rev 12-2006)

Application for Extension of Time To File anExempt Organization Return

► File a separate application for each return.

06-1180035

62383102-07-07

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et ^' r

Form 8868 (Rev 4-2007) Page 2

• If you are filing for an Additional (not automatic ) 3-Month Extension , complete only Part II and check this box ► LX

Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868• If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).

Part 11 Additional (not automatic) 3-Month Extension of Time. You must file original and one copy.

Type orName of Exempt Organization Employer identification number

printHE GOERGEN FOUNDATION, INC. 06-1180035

File by the

extended Number, street, and room or suite no. If a P.O. box, see instructions For IRS use onlytluedatefor 2 /O THOMAS E. FINN, PC, 35 MASON STREETfiling thereturn see City, town or post office, state, and ZIP code For a foreign address, see instructions.instructions

GREENWICH, CT 06830

Check type of return to be filed (File a separate application for each return)

0 Form 990 0 Form 990-EZ EDForm 990-T (sec. 401(a) or 408(a) trust) Form 1041-A 0 Form 5227 Form 8870

= Form 990-BL 0 Form 990-PF 0 Form 990-T (trust other than above) Form 4720 Form 6069

STOP! Do not complete Part ll if you were not already granted an automatic 3-month extension on a previously filed Form 8868.

• The books are in the care of ► THOMAS E. FINN, P.C.

Telephone No. ► 203-661-7760 FAX No. ►• If the organization does not have an office or place of business in the United States , check this box ►• If this is for a Group Return , enter the organization 's four digit Group Exemption Number (GEN) If this is for the whole group, check this

box ► = . If it is for part of the group , check this box ►0 and attach a list with the names and EINs of all members the extension is for.

4 I request an additional 3-month extension of time until NOVEMBER 15, 2007 .

5 For calendar year 2 0 0 6 , or other tax year beginning , and ending

6 If this tax year is for less than 12 months, check reason = Initial return Final return Change in accounting period

7 State in detail why you need the extension

INFORMATION NECESSARY TO COMPLETE THE RETURN HAS NOT BEEN RECEIVED FROMTHIRD PARTIES.

8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any

nonrefundable credit s. See instructions.

b If this application is for Form 990-PF, 990-T, 4720, or 6069 , enter any refundable credits and estimated

tax payments made Include any prior year overpayment allowed as a credit and any amount paid

35.000.

35,000.c Balance Due. Subtract line 8b from line 8a Include your payment with this form, or, if required, deposit

with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions 8c $ 0.

Signature and VerificationUnder penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,it is true, correct, and complete, and that I am authorized to prepare this form

Signature ► Title ► CPA Date ►Notice to Applicant . (To Be Completed by the IRS)

We have approved this application Please attach this form to the organization's return.We have not approved this application. However, we have granted a 10-day grace period from the later of the date shown below or the due

date of the organization's return (including any prior extensions). This grace penod is considered to be a valid extension of time for elections

otherwise required to be made on a timely return Please attach this form to the organization's return

We have not approved this application. After considering the reasons stated in item 7, we cannot grant your request for an extension of time to

file We are not granting a 10-day grace period.

0 We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested.

0 Other

ByDirector Date

Alternate Mailing Address . Enter the address if you want the copy of this application for an additional 3-month extension returned to an addressdifferent than the one entered above.

Name

THOMAS E. FINN P. C.Type or Number and street (include suite , room , or apt. no.) or a P . O. box numberprint 35 MASON STREET

City or town , province or state , and country (including postal or ZIP code)

iosoo7 GREENWICH , CT 06830

Form 8868 (Rev 4-2007)

5210421106 739634 7217 2006.07000 THE GOERGEN FOUNDATION, INC 7217 1