10000. O. 0. - Charity Blossom

Transcription

Pom, 990,pF Return
of Private Foundation" 5M5"5 1555-0052
or Section 4947(a)(1) Nonexempt Charitable Trust
,,,,pa,,men,o,,,,1, T,ea$u,y Treated as a Private Foundation
iniemai Revenue serv-ee Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
For calendaryear 2009, ortax year beginning ,and ending
G Check all that apply IJ Initial return I-,I Initial return ofaformer public charity I-,I Final return
III Amended return III Address change E Name change
use the ms Name of foundation A Employer identification number
label.
Otherwise, NTEL FOUNDATION 94-3092928
Instructions. D 9
print Number and street (or P O box number if mail is not delivered to street address) Ftoom/suite B Telephone numbef
WIYW- 200 NE ELAM YOUNG PARKWAY, #AG6-601 (503) 712-3355
See Spgcm City Of IOWII, S1318, and ZIP C008 C II exemption a plication is pendin .check here
D 1- Foreign organizations, check here P2
ILLSBORO , OR 97 124
H Check type of organization: LX1 Section 501(c)(3) exempt private foundation
1:1 Section 4947(a)(1) nonexempt charitable trust E Other taxable private foundation
2- 5:f.s.5t::s:ae5::f.r.5::2:r.":a.t1:f5* ,U
E
I Fair market value of all assets at end of year J Accounting method: 1X1 Cash I-l Accrual
(from Pan Il, col. (c), line 16) 1:1 Other (specify)
p$ 6 6 , 6 5 7 , 6 9 5 , (Part I, column (d) must be on cash basis.)
1 Part I I AMIYSIB 07 R9Ve""e and Expenses (a) Revenue and (b) Net investment
f.fI".*1".."l*.il.iT,f.?.I"uZi"Fif2 TJSJKTSTZ f2ll.ff.I"nat2.Si)(d) may "0" expenses ner b00kS income
1 Contributions, grtts, grants, etc., received 4 5 , 5 2 0 , 5 0 0 .
lf private foundation status was terminated
under section 507(b)(1)(A), check here PE
F
If the foundation is in a 60-month termination
under section 5o7(n)(1)(B), check here , LII
- (d) o b S as
(0) net for char:tsablIL
3255595
(cash basis only)
* N/A
2 Chef* , 1:1 if the toundatlon is not required to attach Sch B
3 Llf2If.i.222,1*Z$.1,9s 3"" """""a" 7 8 1 , 5 8 0 . 7 8 1 , 5 8 0
4 Dividends and interest from securities
5a Gross rents
0 Net rental income or (loss)
63 Net gain or (loss) from sale of assets not on line 10
bSQ2Z?5s,f,Iif,,2"$jf"a"" 57 , 948 , 727 .
-3,223,878. LSTATEMENT 1
7 Capital gain net income (from Part N, line 2) 1 4 , 2 4 6 , 6 2 2
B Net short-term capital gain
9 Income modltications
103 and allo aicgis
11
0. 0. 0.
I rLofit
*
Less
CIetoti
cbGrosse
Gross
or
(I
.
362,085. 0. LSTAII-EMI-:NT 2
11
12 Otherineugrijie
Total.Addlines.1.througl1. M
43,540,287. 15,028,202
13 Compenbation of @@ hms%IFtc
14 Othere riesan wages
15 Pension plans, employee benefits
1-0,74"2. 0. 171,742.
16a Legal fees 1
bAccounting fees I STMT 31 1
10,000. O. 0.
17
Interest 1
18 Taxes 1 1 STMT 4
c Other professional fees
-- 19 Depreciation and depletion
"" 20 Occupancy 1 1
21 Travel, conferences, and meetings
23 Other expenses STMT 5
24 Total operating and administrative
expenses. Add lines 13 through 23
25 Contributions, glfts, grants paid
26 Total expenses and disbursements.
Add lines 24 and 25 .
195,695. 97,169. 98,526T
216,437. 97,169.
109,268.
37,155,750.
40,481,300.
.
tg
, LRE 1, ,
22 Printingand publications 1
. 37,372,187. 97,169. 40,590,568.
27 Subtract line 26 from line 12: 4 1
3 Excess of revenue over expenses and disbursements 6 I 1 6 8 1 1 0 0 o
b Net investment incomeofneoaiweeoief-IH 1 14 I 9 31 1 0 3 3
c Adjusted net income of negative. eine. -ts) N/ A
8?-5619510 Ll-IA For Privacy Act and Paperwork Reduction Act Notice, see the instructions. Form 990-PF (2009)
19060521 099815 INTEL 2009.03060 INTEL FOUNDATION INTEL1
Form 990-PF (2009) INTEL FOUNDATION 9 4 - 3 0 9 2 9 2 8 Page 2
Balance sheets B(ea79r0I:I?l7LI1/iiaar (b) Book Value End of ye1:1)Fair Market Value
1 Cash-non-interest-bearing , 9,279,502. 21,351,994. 21,351,994.
2 Savings and temporary cash investments
3 Accounts receivable P
Less: allowance for doubtful accounts P
4 Pledges receivable P
5 Grants receivable . , ,
6 Receivables due from officers, directors, trustees, and other
disqualified persons , N l , ,
7 Other notes and loans receivable ,
8 Inventories for sale or use l , ,
9 Prepaid expenses and deferred charges ,
10a Investments - U.S. and state government obligations
b Investments - corporate stock
c Investments - corporate bonds
11 Investments -land,lJuildlngs, and equipment basis ,
Less accumulated depreciation ,
12 Investments - mortgage loans
13 Investments-other , STMT 6 51,210,093. 45,305,701. 45,305,701.
14 Land, buildings, and equipment basis P---i-1--km-H *W - W --N - - "QL W a A" h 5-- -m*WM v * Q , g I
Less accumuhted depreciation , 1 P
15 Other assets (describeP )
16 Totalassets(tobecompletedbyallfilers) 60,489,595. 66,657,695. 66,657,695.
17 Accounts payable and accrued expenses "
18 Grants payable
19 Deferred revenue
20 Loans from officers, directors, trustees, and other disqualified persons K
21 Mortgages and other notes payable
22 Other liabilities (describe P )
23Foundations
Total liabilities
(add lines 17through 22) 0 . 0 .
that follow SFAS 117, check here P LX., *
24 Unrestricted , 60,489,595. 66,657,695.
,- 25 Temporarily restricted , , , 1 . . .
and complete lines 24 through 26 and lines 30 and 31.
26 Permanently restricted , l A
Foundations that do not follow SFAS 117, check here P LJ
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds ,
28 Paid-in or capital surplus, or land, bldg., and equipment fund
29 Retained earnings, accumulated income, endowment, or other funds
30 Totalnetassetsorlundbalances 60,489,595. 66,657,695.
31 Total liabilities and net assets/fund balances . .. . . 60 , 489 , 59 5 . 66 , 657 , 69 5 .
part iii Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or tund balances at beginning of year - Pait ll, column (a), line 30
agree with end-of-year figure reported on prior year"s return) I U U . 1 6 0 , 4 8 9 , 5 9 5 .
23(must
Enter
amount from
Part I, line
27a2I(itemize)
, 1 6 8 , 0P 00 ..
Other
increases
not
included
in
line
4
AddIines1,2,and3
66,657,695.
5 Decreases
not included in line
2 (itemize) P 0 .
6 Total netassets or fund balances at end of year (line 4 minus line 5)- Part ll, column Q), line 30 6 6 , 6 5 7 , 6 9 5 .
FOIITI 990-PF (2009)
923511
o2-o2- io
2
Farm 990-PF (2009) INTEL FOUNDATION 9 4 - 3 0 9 2 9 2 8 Page a
I Part IV". Capital Gains and-Losses for Tax on Investment Income
OND SALES P
(a)
List and
the kmd(s)
of property
soldshs.
(e.g.,
realCo
estate,
(cz(ISV.
Date YF-I
acquired
Date VF-I
sold
2-story
brickdescribe
warehouse,
or common
stock, 200
MLC
) D , -ogflfccglfsie
Donauon 1110-.
(m0-.(d)
CIHY.
260,415 SHARES VMW D
(t) Depreciation allowed (g) Cost or other basis
(h) Gain or (loss)
Ie) Gross sales pnce (or allowable) plus expense ot sale (e) plus (f) minus (g)
38,501,802. 24,182,490.
14,319,312.
19,446,925.
19,519,615.
-72,690.
Complete only for assets showing gain in column (h) and owned by the toundation on 12/31/69 (I) Gamg (C01, (n) gag) mmus
I -Ad tdb - K E 1 L col. (k), but not less than-0-) or
(r) F.ivi.v. as or 12/31/ee (Qs 0#"f2f31,SS"s Iolefggf-5(3) 2103),? Losses (from cor. (rg)
14,319,312.
-72.690.
If gain, also enter in Parl I, line 7
2 Capital gain net income or (net capital loss) If (1053), enter -0- in Pan I, ling 7 2 1 4 , 2 4 6 , 6 2 2 .
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part l, line 8, column (c).
ii loss enter -0 in Parri line e a N / A
I-Part V QuaIIfIcatIon UncIer Section 4"9T0"(E)-for Reduced"T ax on Net Qvestment Income
(For optional use by domestic private loundations subgect to the section 4940(a) fax on net investment income.)
If section 4940(d)(2) applies, leave this pan blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? . CI Yes IE No
If "Yes,* the foundation does not qualify under section 4940te). Do not complete this part
1 Enter the appropriate amount in each column for each year: see instructions before making any entries.
Base peggd years Ib) . ICI DistribiIII2Jn ratio
2008
36,469,208. 61,658,705.
.591469
2007
3-9,450,783.
54,865,699.
.719043
2005
41,463,444.
74,917,464.
.553455
2005
43,008,547. 73,526,822.
80,613,620. .463553
.533515
2004 34,083,580.
2 Totalof line 1,column (d) , I I , 2 2 . 861035
Camnda, yea, (0, tax yea, begmning in) Adlusted qualifying distributions Net value of noncharitable-use assets (co). (b) dwgded by C0). (0))
3 Average distribution ratio lor the 5-year base period - divide the total on line 2 by 5, or by the number of years
the foundation has been in existence if less than 5 years , 3 . 5 7 2 2 0 7
4 Enter the net value of noncharitable-use assets for 2009 from Part X, line 5 , 4 5 0 , 0 7 3 , 3 9 7 .
5 Multiplyline4byIine3 , , , , , 5 28,652,348.
6 Enter 1% of net investment income (1% of Part l, line 27b) , 6 1 4 9 , 3 1 0 .
7 Adurinessanue , 1 28,801,658.
8 Enter qualifying distributions from Part Xll, line 4 , 1 j 8 4 0 , 5 9 0 , 5 6 8 .
It line 8 is equal to or greater than line 7, check the box in Part Vl, line 1b, and complete that pan using a 1% tax rate.
See the Part VI instructions.
923521 oz-02-10 F0rm 990-PF (2009)
3
435 ", .,."9-. ,- -30. 03 ..
I-Part VI-I Excise Tax Based on Investment income (Section 49405), 4940(5), 494003), or 4948 - see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here P Li and enter "N/A" on line 1.
Date of ruling or determination letter: (attach copy of letter if necessary-see instructions) - I
of Part I, line 27b , , , , , , ,
b Domestic foundations that meet the section 4940(e) requirements in Part V, check here P IXI and enter 1% 1 1 4 9 , 3 1 0 .
Add lines 1 and 2 T Z I
61
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part l, line 12, col. (b) W W v
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 0 .
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter 0-)
Tax based on investment income Subtract line 4 from line 3 lf zero or less, enter 0
Credits/Payments
a
2009 estimated tax payments and 2008 overpayment credited to 2009 , 6a 3 2 , 7 1 7 .
Exempt foreign organizations -tax withheld at source m
c Tax paid with application for extension of time to file (Form 8868), E 1 3 0 , 0 0 0 . ,
b
d
Backup withholding erroneously withheld E
7 Total credits and payments. Add lines 6a through 6d
162,717.
8 Enter any penaltyfor underpayment of estimated tax. Check here if Form 2220 is attached
9 Tax due. lf the total of lines 5 and 8 is more than line 7, enter amount owed , , I I
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid P 10 1 3 , Z 0 7 .
11 Enter the amount of line 10 to be: Credited to 2010 estimated tax P 1 3 , 4 0 7 . I RefundedP 11 0 .
I Part VII-A I Statements Regarding Actmties
any political campaign? , fa X
1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yes N0
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? 1b X
If the answer is "Yes " to la or 1b, attach a detailed description of the activities and copies of any materials published or
by the foundation in connection with the activities. V I I .
cdistributed
Did the foundation
file Form 1120-POL for this year? , , lc X
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. P $ 0 . (2) On foundation managers. P $ 0 .
managers. P $ 0 . "M N W Q N
e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation
2 Has the foundation engaged in any activities that have not previously been reported to the IRS? , 2 X
lf "Yes, " attach a detailed descnption of the activities. "
3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or H H
bylaws, or other similar instruments? lf "Yes," attach a conlonned copy of the changes - X
4a Did the foundation have unrelated business gross income of $1,000 or more during the year? , X
b If "Yes," has it filed a tax return on Form 990-T for this year? N/ A
X
5 Was there a liquidation, termination, dissolution, or substantial contraction during the yeai?
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.
0 By language in the governing instrument, or
remain in the governing instrument? , , , , , 6 X
0 By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law - - K Q
7 Did the foundation have at least $5,000 in assets at any time during the year? U U 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) P
OR
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) M - I
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())(3) or 4942())(5) for calendar
year 2009 or the taxable year beginning in 2009 (see instructions for Part XlV)? lf "Yes," complete Part XIV 9 X
10 Did any persons become substantial contributors during the tax year? ii -vas: arisen a seiisauia iisimg their names ana aaafaseas 10 X
Form 990-PF (2009)
923531
02-02- 10
Fwm%0WQW% INTEL FOUNDATION 94-3092928 HWS
I Part VII-A I Statements Regarding Activities (continued)
August 17, 2008? X
11 Atany time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of
secuon 512(bX13)?lf*Yes"anachscheduIe(seeinsuucuons) , , , , 11 Ii
12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before
13Mmmmmmmmmmwmmmmmmmmmmmmwmmwmmmmmmmm mags
Wmmmmmwsb- WWW.INTEL.COM
14TmbwmammwmofP INTEL FOUNDATION RwmmwnoP(503) 712-3355
Located at p 5 2 0 o NE ELAM YOUNG PKWY, AG6 - 601 , HILLSBORO, oR zum p9"7T21l
15SwmnwHmNUmmmmmmmmmUwwMmFmmwownmwoHmmwh-wwkmm bl I
mdmmHmamwmoHuemmmmmmmwmNwomwmmdwmmmywr , )I15I N/A
I Part Vll-B I Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. YES N0
1a(1)Dunngtheyeardmthefoundahon(enherdnecuyorindnecuyy
I
Engage in the sale or exchange, or leasing of property with a disqualified person? III Yes I.-XII No *
a disqualrfled person? l E Yes IE No
(2) Borrow money from, lend money to, or otherwise extend credlt to (or accept it from)
(3) Furnlsh goods, services, or facilities to (or accept them from) a disqualified person? IE Yes E No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? lj Yes No
(5) Transfer any lncome or assets to a disqualified person (or make any of either available
for the benefit or use ol a disqualified person)? E Yes I-XI No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the offlcial for a period after
termination of government service, if terminating within 90 days.) lj Yes IXI No
b lf any answer is "Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations M m -W F v *Z *
section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 ofthe instructions)? 1b X
Organizations relying on a current notice regarding disaster assistance check here , , P III l
c Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts, that were not corrected Wm W 7*
before the first day of the tax year beginning in 2009? , , l , 1c X
2TawommwmommwwmwmHwwm4MDmmsmmwwmwwmmmwmwmwwamwmmmmmmmwmn i
before
2009?
Il PYes
If "Yes," list
the years
, , , IXI no
dehned in section 4942(1)(3) or 4942(i)(5)):
ii At the end of tax year 2009, dld the foundation have any undistnbuted income (lines 6d and Be, Part Xlll) for tax year(s) beglnning
P,,.
h Are there any years llsted in 2a for which the foundation is notapplying the provisions of section 4942(a)(2) (relating to incorrect
valuation of assets) to the year"s undistributed income? (lf applying section 4942(a)(2) to all years listed, answer "No" and attach
statement- see instructions.) . N/ A
during the yeaf? U , , , , III Yes No
n*
c If the provisions of section 4942(a)(2) are being applied to anyof the years listed in 2a, list the years here.
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time
b If "Yes," did it have excess business holdings in 2009 as a result of (1)any purchase by the foundation or dlsqualified persons alter
May 26, 19693 (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose
mmmmwmwwwwmmmmxmwwmwwmmMOJ&mZMwmmWnmwmWwwNwe&mmmQ g V A V
3b
Form 4720, to detemiine /fthe foundation had excess bus/ness holdings in 2009.) N/ A
4a Did the foundation invest during the year any amount in a manner that would ieopardize its charitable purposes?
4a X
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could ieopardize its chantable purpose that I I
had not been removed from ieopardy before the first day ofthe tax year beginning in 2009? . -tb X
Form 990-PF (2009)
923541
02-02-10
23330525 099815 INTEL 2009.0306O INTEL FOUNDATION INTEL1
Foim 990-PF zoos INTEL FOIJATION O 9 4 - 3 0 9 2 9 2 8 Page e
I Part Vll-B I 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 othenivise attempt to influence legislation (section 4945(e))?
Yes Elm
(2) lnlluence the outcome of any specific public election (see section 4955): or to carry on, directly or indirectly,
any voter registration drive? , l , ,
Sl Yes
(3) Provide a grant to an individual for travel, study, or other similar purposes?
(4) Provide a grant to an organization other than a charitable, etc., organization described in section
509(a)(1), (2), or (3), or section 4940(d)(2)?
(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for
ij Yes
(EM
EM
Yes CIM:
the prevention of cruelty to children or animals? lj Yes IEW
b lf any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations
section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ,
sb M X
bij
Organizations relying on a current notice regarding disaster assistance check here 1
c If the answer is "Yes" to question 5a(4), does the foundation claim exemption lrom the tax because it maintained
expenditure responsibility for the grant? , , , , , , , , IE Yes I:iNo
If "Yes, " attach the statement required by Regulations section 53.4945-5(d)
a personal benefit contract? , , , , I-J Yes
6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
I-X.lNo
b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
If "Yes" to 6b, file Fonn 8870
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? E Yes
b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction?
"eff " E MX
1-1-lil
E No
N/A
7b
Information About Officers, Directors, Trustees, Foundation Managers Highly
Part VI" Paid Employees, and Contractors ,
1 List all officers, directors, trustees, foundation managers and their compensation.
Ex ense
(b) Title, and average (c) Compensation faicuwiiuuniisio
agcinung other
(a) Name and address h0Uf5 gf" Week d9V0 ed
("l10fP3ld-enter
emplgifieubeigigenriplans
o position
-0 )
wmpensmn allowances
00 ol
SEE STATEMENT 7
0.
2 Compensation of five highest-paid employees (other than those included on line 1). If none, enter "NONE."
(b) l"itle, and average faioconmbunoiisro
(9) Ex ense
(a) Name and address of each employee paid more than $50,000 hours per week (c) Compensation ""9 Yg"d**,i"*?d"*""5
in
BCCUUHE Other
devoted to position
NONE
compenguon allowances
N Total number of other employees paid over $50,000 P l 0
Form 990-PF (2009)
923551
02-02-10
19060521 099815 INTEL 2009.03060 INTEL FOUNDATION
INTEL1
FUN" 990-PF (2009) INTEL FOUNDATION 9 4 - 3 0 9 2 9 2 8 Page 7
lnformation About Officers, Directors, Trustees, Foundation Managers, Highly
Part VI" Paid 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
SCHOLARSHIP AMERICA - 1550 AMERICAN BLVD E.,
#155, MINNEAPOLIS, MN 55425 AGEMENT SERVICES 104,650.
JK
GROUP
ROCESSING
GRANTS
P.O. BOX 7174, PRINCETON, NJ 08543 GIFTS 89,687.
Total number of others receiving over $50,000 for professional services . . . . , P 0
I Part IX-A I-Summary of"5irect Charita5le Actmiies
List the foundation"s four largest direct charitable activities during the tax year. lnclude relevant statistical information such as the Ex enses
of organizations and other beneficiaries served, conferences convened, research papers produced, etc. D
1number
N/A
2
3
4
I-Pan IX-B I Summary of Program-Related Investments
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 P 0
Form 990-PF (2009)
923561
oz-oz-io
7
19060521 099815 INTEL 2009-03060 INTEL FOUNDATION INTELI
F0fm 990"PF (2009) INTEL FOUNDATION 9 4 - 3 0 9 2 9 2 8 P808 5
Mil"limUm ll1VeStm9l1f Refi-IITI (All domestic foundations must complete this part. Foreign foundations, see instructions.)
1 Fair market value of assets not used (or held tor use) directly in carrying out charitable, etc., purposes: K
monthly fair market value of securities 1 5 0 , 5 1 0 , 3 0 5 .
ba Average
Average
of monthly cash balances 3 2 5 , 6 3 1 .
d Total(addlines1a,b,andc) 1 1 1 1 1d 50,835,936.
c Fair market value of all other assets 1
e Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed
explanation)
1 1 1 1 I teto
I 0line
. * 1 assets 0 .
Acquisition
indebtedness
applicable
Subtract line 2 from line 1d 5 0 , 8 3 5 , 9 3 6 .
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) 7 6 2 , 5 3 9 .
Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4 5 0 , 0 7 3 , 3 9 7 .
Minimum investment return. Enter 5% of line 5 , 6 2 , 5 0 3 , 6 7 0 .
Distributableforeign
Amount
(see instructions)
and this
(j)(5)
private operating foundations and certain
organizations
check here(Section
5 II) and 4942(j)(3)
do not complete
part.)
1 Minimum investment return from Part X, line 6 1 1 1 1 2 , 5 0 3 , 6 7 0 .
2a Tax on investment income for 2009 from Part VI, line 5 1 1 1 1 4 9 , 3 1 0 .
cDistributable
Addlines2aand2b
1 1 11 1 149,310.
amount before adjustments. Subtract line 2c from line 1 2 , 3 5 4 , 3 6 0 .
h Income tax for 2009. (This does not include the tax from Part VI.) 1 - V
Recoveries of amounts treated as qualifying distributions 1 3 1 , 8 4 8 .
AddIines3and4
1 1 1 1 2,486,208.
Deduction from distributable amount (see instructions) 1 1 1 1 1 1 1 0 .
Distributable amountas adjusted. Subtract line 6 lrom line 5. Enter here and on Part Xlll, line 1 2 , 4 8 6 , 2 0 8 .
Qualifying DiStribUfi0I1S (see instructions)
1 Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes: -A
a Expenses, contributions, gifts, etc. - total lrom Part I, column (d), line 26 1a 4 0 , 5 9 0 , 5 6 8 .
b Program-related investments - total from Part IX-B 1 1 1b 0 .
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes 1 2
3 Amounts set aside for specific charitable projects that satisfy the: a ,
a Suitability test (prior IRS approval required) 1 1 1 1 1 1 1 1 3a
b Cash distribution test (attach the required schedule) 1 1 1 11 1 1 3b
4 Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part Xlll, line 4 1 4 4 0 , 5 9 0 , 5 6 8 .
5 Foundations that qualify under section 4940(e) for the reduced rate ot tax on net investment
income. Enter 1% of Part l, line 27b 1 1 1 1 1 1 5 1 4 9 , 3 1 0 .
6 Adjusted qualitying distributions. Subtract line 5 from line 4 1 1 1 6 4 0 , 4 4 1 , 2 5 8 .
Note. The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualities for the section
4940(e) reduction of tax in those years.
Form 990-PF (2009)
923571
02-oz-io
8
F0fm 990-PF (2009) INTEL FOUNDATION 9 4 - 3 0 9 2 9 2 8 Page 9
(al (D) (Cl (dl
Part Xl" Undistributed lrlCOl11e (see instructions)
iinev
,
,
2,486,208.
a Enter amount for 2008 only 0 .
Corpus Years prior to 2008 2008 2009
1 Distributable amount tor 2009 trom Pan Xl,
2 Undistributed income, il any, as of the end ot 2009 M
b Total tor prior years:
0 *C
3 Excess distributions carryover, it any, to 2009:
aFmm2oo4 31,317,239.
brromzoos 38,932,392.
aFmm2oo7 , 36,666,718. I
cmmzoos 37,278,197.
eemmzoos , 33,225,153. -ww* um- V
1Totalotlines3athroughe , 177,419,699.
Parixii,iine4:b$
40,590,568.
W 2a
MO .
aApplied
to 2008, but
not more than* line
4 Qualifying distributions for 2009 from
b Applied to undistributed income ot prior
0.0.
years (Election required - see instructions) 0 .
c Treated as distributions out ot corpus
(Election required - see instructions)
0Q
dApplied
to 2009 distributable amount 2 , 4 8 6 , 2 0 8 .
eRemaining amount distributed out of corpus 3 8 , 1 0 4 , 3 6 0 .
must be shown in column (a) ) *
5 Excess distributions carryover applied to 2009
(tt an amount appears in column (d), the same amount
6 Enter the net total ot each column as
indicated below: vwmmnmnn -M
3Corpus Add lines 31, 4c, and 4a Subtract line 5 2 1 5 , 5 2 4 , O 5 9 Q
line 4b trom line 2b , , , 0 .
b Prior years" undistributed income. Subtract
assessed
,
0
.
amount- see instructions 0 .
c Enter the amount ol prior years"
undistributed income for which a notice ot
deficiency has been issued, or on which
the section 4942(a) tax has been previously
d Subtract line 6c from line 6b. Taxable
e Undistributed income tor 2008. Subtract line
4a from line 2a. Taxable amount- see instr. 0 .
be distributed in 2010 , , 0 .
t Undistributed income tor 2009. Subtract
lines 4d and 5 from line 1. This amount must *
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) 0 .
notappliedonline5orIine7 31,317,239.
8 Excess distributions carryover trom 2004
9 Excess distributions carryover to 2010.
Subtract lines 7 and 8 trom line 6a 1 8 4 , 2 O 6 , 8 2 0 .
10 Analysis ot line 9:
bExcesstrom2006 , 37,278,197. ,
aExcesstrom2005 38 , 932 , 392 .
cExcesstrom2007 , 3 ,66 ,718.
dExcesstrom2008 33,225,153.
eExcessfrom2009 38,104,360.
Form 990-PF (2009)
923581
02-02- 10
9
I Part XIV-I-Private Operating FOUf1dati0l1S (see instructions and Part VII-A, question 9) N/ A
and the ruling
is effective
for 2009,
the date ofthe
rulingthat it is a private operating
PI
1 a foundation,
If the foundation
has received
a ruling
orenter
determination
letter
b Check box to indicate whether the foundation is a private operating foundation described in section . .LJ 4942(i)(3) or L... 4942(i)(5)
2 a Enter the lesser ol the adjusted net
income from Part I or the minimum
investment return from Part X for
Tax year Prior 3 years
(E) 2009 (5) 2008 (E) 2007 (E) 2006 (e) Total
each year listed ,
b 85% of line 2a , ,
c Qualifying distributions from Part XII,
line 4 for each year listed
d Amounts included in line 2c not
used directly for active conduct of
exempt activities
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c , ,
3 Complete 3a, b, or c forthe
alternative test relied upon:
a "Assets" alternative test - enter.
(1) Value of allassets
(2) Value of assets qualifying
under section 4942(i)(3)(B)(i)
b *Endowment* alternative test - enter
2/3 of minimum investment return
shown in Part X, line 6 foreach year
listed ,
c *Support* alternative test - enter.
(1) Total support other than gross
investment income (interest,
dividends, rents, payments on
securities loans (section
512(a)(5)). or royalties) 1
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(i)(3)(B)(iii)
(3) Largest amount of support from
an exempt organization
I5) Gross investment income .
I Part XV I Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets
atanythnedudngtheyeanseetheinshucHonsJ
1 Information Regarding Foundation Managers:
a List any managers ofthe foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax
year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b List any managers of the foundation who own 10% or more ofthe stock ofa corporation (or an equally large portion ol the ownership of a partnership or
other entity) of which the foundation has a 10% or greater interest.
NONE
2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here P D if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds II
the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d.
a The name, address, and telephone number of the person to whom applications should be addressed:
PRESIDENT - INTEL FOUNDATION , 5 0 3 -7 12 - 3 3 5 5
AG6-601 , 5200 NE ELAM YOUNG PARKWAY , HILLSBORO , OR 97124-6497
b The form in which applications should be submitted and information and materials they should include:
SEE APPLICATION GUIDELINES AT ATTACHMENT A
c Any submission deadlines:
EVALUATION MAY TAKE UP TO 3 MONTHS
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:
SEE APPLICATION GUIDELINES AT ATTACHMENT A
923601 02-02-10
Form 990-PF (2009)
10
Fmm9%PF@WW INTEL FOUNDATION 94-3092928 PmeH
I Part XV I Supplementary information (eoniinued)
3 Grants and Contributions Paid During the Year or Agproved for Future Payment
Recipient If recipient is an. individual,
show
any relationship
to Foundation
PUFDOS?
lg gram Of Amount
any foundation
manager
S 2 US 0 C0"
fl U I0"
Name and address (home or business) or Substantial Contributor recipient
SEE ATTACHMENT B 40481300.
a Paid dur/ng the year
Total
.
...
P
3a
40481300.
SEE ATTACHMENT C 106513317.
b Approved for future payment
Tmu02-02-10
..H . PForm
u 006513317.
9235"
990-PF (2009)
11
Part XVI-A Analysis of Income-Producing Activities
Enter gross amounts unless otherwise Indicated. I Unrei5tE"buSineSS income I-&EEx)eiuaeo by section 512, 513, or 514 I (6)
1 Program service revenue:
Busgtriaass
(b) 3,11
EXCAmount
U. (d) Related
orincome
exempt
code Amount
iunction
a
b
1
9 Fees and contracts irom government agencies
2 Membership dues and assessments
3 Interest on savings and temporary cash
investments , 1 4 7 8 1 , 5 8 0 .
4 Dividends and interest from securities
5 Net rental income or (loss) irom real estate:
a Debt-tinanced property
b Not debt-financed property .
6 Net rental income or (loss) from personal
DFODBFIY . .
7 Other investment income .
thaninventory U . 18 -3,223,878.
8 Gain or (loss) irom sales 01 assets other
9 Net income or (loss) irom special events
10 Gross pro1itor(Ioss)1rom sales ot inventory
11 Other revenue:
a GRANTS
01 131,848.
cii REFUNDS/RECOVERIES
BANK ERROR O1 230,237.
d
e
12 subioiai. Adu columns (in, (a),ani:i ie) U 0 . - 2 , 0 8 0 , 21 3 . 0 .
1a roiai.Aiiiiiine12,coiiimns(n),(d),anu(e) h ,U , . 1 1a -2 , 080 , 213 .
iSee worksheet in line 13 instructions to verily calculations.)
Part " VI-B Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain below how each actwity tor which income is reported in column (e) ot Part XVl-A contributed importantly to the accomplishment ol
y the 1cundation"s exempt purposes (other than by providing funds tor such purposes).
$3310 Form 990-PF (2009)
12
Fmmowerwwm INTEL FOUNDATION 94-3092928 mute
I Part XVII I Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
1 Did the organization directly or indirectly engage in any ofthe following with any other organization described in section 501(c) of Yes N0
(1)
Cash
,
,
,
I
,
1a(1)
X
(2)
Other
assets
1
1a(2)
li Other transactions: -X*
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: -W- m- m* *K
(1)
Sales of assets to a noncharitable exempt organization 1b(1)
N (2) Purchases of assets from a noncharitable exempt organization 1b(2)
(3) Rental of facilities, equipment, or other assets 1b(3)
(5)
Loans or loan guarantees 1b(5)
(6) Performance of sen/ices or membership or fundraising solicitations 1 , ,
(4) Reimbursement arrangements ,
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees , A
d ll the answer to any ofthe above is "Yes," complete the following schedule. Column (b) should always show the fair market value ofthe goods, other assets,
or senrices given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, show in
column (d) the value of the goods, other assets, or services received.
(a)i.me no (b) Amount involved (c) Name of noncharitable exempt organization (d) oesenpimn oi transfers, uarisaeuem, and sharing anangemams
N/A
2a ls the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described
in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? III Yes I-XI N0
b lf "Yes," complete the following schedule.
(a) Name of organization (b) Type of organization (c) Description of relationship
N/A
Under penalties ot per)ury, I declare that l have examined this reium, mcluaing accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct,
and complete Declaration of preparer (other ayer or fiduciary) is based on all lnformation of ich preparer has any k owledge
,mg uremmcemmustee (gag , Eufdgf-"na
Pfgpafgfs , D318 Preparef-3 identifying number
m-,,,,,,,,(,,,y,,,,,,
DELOITTE LLP EIN P
- "- si
nature
iseiiem
iu eu), ML04/0*VV
5 0 FREMON STREET /are/A" 5 gsnployed P E
Q
iddies.:rvy2iPwde ,SAN FRANCISCO , CA 9 4 1 0 5 Phone no. (4 1 5) 7 8 3 - 4 0 0 0
Form 990-PF (2009)
923622
02-02-10
13
19060521 099815 INTEL 2009.03060 INTEL FOUNDATION INTELI
Schedule B Schedule of Contributors ,,,,,,,,,, ,,.,,,,,,,,,
(Form 990, 990-EZ,
Of
990-PF) P Attach to Form 990, 990-Q, or 990-PF.
Department ol the Treasury
Intemal Revenue Service
Name of the organization Employer identification number
INTEL FOUNDATION 94-3092928
Organization type (check one):
Filers of: Section:
Form 990 or 990-EZ I3 501(c)( ) (enter number) organization
E 4947(a)(1) nonexempt chantable trust not treated as a private foundation
lj 527 political organization
Form 99OPF lil 501(c)(3) exempt prwate foundation
lj 4947(a)(1) nonexempt chantable trust treated as a private foundation
Z 501(c)(3) taxable pnvate foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
DU For an organization filing Form 990, 990-EZ, or 990-PF that recewed, dunng the year, $5,000 or more (in money or property) from any one
contnbutor. Complete Parts I and II.
Special Rules
E For a section 501 (c)(3) organization filing Form 990 or 990-I2 that met the 33 1/3% support test of the regulations under sections
509(a)(1) and 170(b)(1)(A)(vi), and received from any one contnbutor, dunng the year, a contnbution of the greater of (1) $5,000 or (2) 2%
of the amount on (D Form 990, Part VIII, line 1h or (ii) Fonn 99012, line 1. Complete Parts I and ll.
E For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contnbutor, during the year,
aggregate contnbutions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or
the prevention of cnielty to children or animals. Complete Parts I, Il, and Ill.
lj For a section 501(c)(7), (8), or (10) organization filing Fomi 990 or 990-EZ that received from any one contnbutor, during the year,
contnbutions for use exclusively for religious, chantable, etc., purposes, but these contnbutions did not aggregate to more than $1,000
If this box is checked, enter here the total contributions that were received dunng the year for an exclusively religious, chantable, etc.,
purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexcluswely
religious, chantable, etc., contnbutions of $5,000 or more during the year. , I l . l l P $
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF),
but it must answer "No" on Part IV, line 2 of its Form 990, or check the box on line H of its Form 990-EZ, or on line 2 of its Fomi 990-PF, to certify
that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
LI-IA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
for Form 990, 990-EZ, or 990-PF.
923451 02-01-10
Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page 1 of 1 OI Part I
Name ot organization Employer identification number
(8) Ib)
5-Part I - COrlfl*ibuiOl*$ (see instructions)
No.
Name, address, and ZIP + 4
Id
ld)
Aggregate contributions
Type of contribution
1 INTEL CORPORATION
5350 NE ELAM YOUNG PARKWAY
(al lb)
la) Ib)
Ia) Ib)
(2) (bl
Ia) Ib)
5 41,260,500.
No. Name, address, and ZIP + 4
ld
Id)
2 INTEL CORPORATION
5 4,000,000.
Noncash gl
(Cl
(dl
Person Z
Payroll lj
Noncash (II
$
(Complete Part ll if there
is a noncash contnbution.)
(Cl
(dl
Person IE
Payroll D
is a noncash contribution.)
HILLSBORO , OR 97124
Noncash IX(
HILLSBORO, OR 97124
Person U
Payroll lj
Person II
Payroll Cl
Noncash (3
$
(Cl
(dl
Person CI
Payroll E
Noncash III
$
is a noncash contnbution.)
(Cl
Id)
Person E
Payroll 1:1
$
Noncash I-J
923452 oz-oi-io Schedule B (Form 990,
990-EZ, or 990-PF) (2009)
15
schedule B (Form 990, 990-Ez, of ssrrvrf) (2009) Page 1 or 1 or
Name 01 organization Employer identiiication number
Part Il
ll I NODCBSI1 Pr0pel*1Zy (see instructions)
Ia)
No.
from
Part I
Ib)
Description of noncash property given
IC)
FMV (or estimate)
(see instructions)
Id)
Date received
PUBLICALLY TRADED SECURITIES
1
41,260,500.
Ia)
No.
Ib)
from
Part I
Ia)
No.
from
Part I
Ia)
No.
from
Part I
Ia)
No.
from
Part I
Ia)
No.
from
Part I
Ib)
Ib)
Ib)
Ib)
Ic)
FMV (or estimate)
(see instructions)
I0)
FMV (or estimate)
(see instructions)
I0)
FMV (or estimate)
(see instructions)
IC)
FMV (or estimate)
(see instructions)
IC)
F MV (or estimate)
(see instructions)
VAR I OUS
Id)
Date received
Id)
Date received
Id)
Date received
Id)
Date received
Id)
Date received
923453 02-or-to Schedule B (Form 990,
990-EZ, or 990-PF) (2009)
16
Form 8868 Api...c.-*Jn for Extension of Time .one an
(Rev /M2009) Exempt Organization Return OMB N0-1545-1109
Department ofthe Treasury
imemai Revenue service P File a separate application for each return
0 If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box P
0 lf you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part ll (on page 2 of this form)
Do not complete Part ll unless you have already been granted an automatic 3-month extension on a previously tiled Form 8868.
Part I only P D
AUiOfl1BtiC 3-M0nth EXtenSi0i1 Of Time. Only submit original (no copies needed).
A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete
All other corporations (including 1120-C fi/ers), 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 tile Form 8868 if you want a 3-month automatic extension of time to tile one of the returns
noted below (6 months for a corporation required to file Form 990-1). 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 ll) of Form 8868 For more details on the electronic tiling of this form, visit
www irs, ov/efile and click on e-file for Chanties & Nonprofits
Type or Name of Exempt Organization Employer identification number
print
Fileby the
due date io, Number, street, and room or suite no. lf a P O box, see instructions.
"""9
YOU* 5 2 0 O NE ELAM YOUNG PARKWAY , #AG6 -6 0 1
retum See
Instructions City, town or post office, state, and ZIP code. For a foreign address, see instructions.
HILLSBORO, OR 97 124
Check type of return to be tiled (file a separate application for each return)
1:1 Form 990 lj Form 990-T (corporation) lj Form 4720
lil Form 990-BL Lil Form 990-T (see. 4o1(e) or 4oa(e) mist) ll-l Form 5227
lj Form 990-EZ lj Form 990-T (trust other than above) 1:1 Form 6069
Form 990-PF Cl Ferm1o41-A lj Form aero
INTEL FOUNDATION
o ThebooksareinthecareofP 5200 NE ELAM YOUNG PKWY, AG6-601 - HILLSBORO, OR 97124
TelephoneNo.P (503) 456-1515 FAXNo.P
0 lf the organization does not have an office or place of business in the United States, check this box P 1:1
0 If this is for a Group Return, enter the organizations four digit Group Exemption Number (GEN) . If this is for the whole group, check this
box P lj . lf it is for part of the group, check this box P lj and attach a list with the names and ElNs of all members the extension will cover.
1 l request an automatic 3-month (6-months for a corporation required to tile Form 990-1) extension of time until
AUGUST 1 5 , 2 0 1 0 , to file the exempt organization return for the organization named above. The extension
is for the organization"s return for
P calendar year 2 0 O 9 or
P 1:) tax year beginning , and ending
2 lf this tax year is for less than 12 months, check reason: lj lnitial return 1:1 Final return 1--.1 Change in accounting penod
3a lf this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions. 3a $ 1 6 2 1 7 1 7
b lf this application is for Form 990-PF or 990-T, enter any refundable credits and estimated
tax payments made Include anlpnor year overpayment allowed as a credit. $ 3 2 1 7 1 7
c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required,
deposit with FFD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System)
See instructions. 3c 1 3 0 , 0 0 0 .
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 4-2009)
923831
05-26-09
INTEL FOUNDATION . . 94-3092928
FORM 990-PF GAIN OR (LOSS) FROM SALE OF ASSETS STATEMENT 1
(A) MANNER DATE
DESCRIPTION OF PROPERTY ACQUIRED ACQUIRED DATE SOLD
1,260,415 SHARES VMW DONATED
(B) (C) (D) (E) (F)
GROSS VALUE AT EXPENSE OE
SALES PRICE TIME OF ACQ. SALE DEPREC. GAIN OR LOSS
38,501,802. 41,620,500. 32,490. 0. -3,151,188.
(A) MANNER DATE
DESCRIPTION OF PROPERTY ACQUIRED ACQUIRED DATE SOLD
BOND SALES PURCHASED
(B) (C) (D) (E) (F)
GROSS COST OR EXPENSE OF
SALES PRICE OTHER BASIS SALE DEPREC. GAIN OR LOSS
19,446,925. 19,519,615. O. 0. -72,690.
CAPITAL GAINS DIVIDENDS FROM PART IV 0.
TOTAL TO FORM 990-PF, PART I, LINE 6A -3,223,878.
FORM 990-PF OTHE INCOME STATEMENT 2
R
(A)
(B)
(C)
DESCRIPTION PER BOOKS MENT INCOME NET INCOME
REVENUE NET INVEST- ADJUSTED
BANK ERROR 230,237. 0.
GRANTS REFUNDS/RECOVERIES 131,848. 0.
TOTAL TO FORM 990-PF, PART I, LINE 11 362,085. 0.
17 STATEMENT(S) 1, 2

FORM 990-PF ACCOUNTING FEES STATEMENT 3
(A) (B) (C) (D)
EXPENSES NET INVEST- ADJUSTED CHARITABLE
DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES
ACCOUNTING 10,742. 0. 10,742.
TO FORM 990-PF, PG 1, LN 16B 10,742. 0. 10,742.
FORM 990-PF TAXES STATEMENT 4
(A) (B) (C) (D)
FEDERAL EXCISE TAX 10,000. 0. 0.
TO FORM 990-PF, PG 1, LN 18 10,000. 0. 0.
FORM 990-PF OTHER EXPENSES STATEMENT 5
(A) (B) (C) (D)
ADMINISTRATIVE EXPENSES 194,337. 97,169. 97,168.
FILING FEES 1,358. 0. 1,358.
TO FORM 990-PF, PG 1, LN 23 195,695. 97,169. 98,526.
FORM 990-PF OTHER INVESTMENTS STATEMENT 6
FAIR MARKET
DESCRIPTION METHOD VALUATION
BOOK VALUE
VALUE
SHORTTERM
TERMFMV
FMV36,871,813.
8,433,888.36,871,813.
8,433,888.
LONG
TOTAL TO FORM 990-PF, PART II, LINE 13 45,305,701. 45,305,701.
18 STATEMENT(S) 3, 4, 5, 6
94-3092928
INTEL FOUNDATION
FORM 990-PF PART VIII - LIST OF OFFICERS, DIRECTORS STATEMENT 7
TRUSTEES AND FOUNDATION MANAGERS
EMPLOYEE
NAME AND ADDRESS
SHELLY ESQUE
5000 W CHANDLER BLVD
CHANDLER, AZ 85226
CRAIG BARRETT
5000 W CHANDLER BLVD
CHANDLER, AZ 85226
BRUCE SEWELL
2200 MISSION COLLEGE BLVD
SANTA CLARA, CA 95052
RICHARD TAYLOR
HILLSBORO, OR 97124
RAVI JACOB
LESLIE CULBERTSON
PATRICIA MURRAY
TITLE AND COMPEN- BEN PLAN EXPENSE
AVRG HRS/WK SATION CONTRIB ACCOUNT
5.00 0. 0. 0.
1.00 0. 0. 0.
1.00 0. 0. 0.
1.00 0. 0. 0.
1.00 0. o. 0.
PRESIDENT (4/7/09 To CURRENT)
CHAIRMAN (To 4/7/09)
CHAIRMAN (4/7/09 To 9/14/09)
SEC (4/7/09-12/6/09) THEN CHAIRMAN
TREASURER (4/7/09 To CURRENT)
1000 of ol 00
TREASURER (9/1/02 To 4/7/09)
1.00 0. 0. 0.
1.00 0. 0. 0.
1.00 0. 0. 0.
1.00 0. 0. 0.
SECRETARY (TO 4/7/09)
CHRISTIAN MORALES
IMU, DORNACHER STRASSE 1
FELDKIRCHEN, MUNICH, GERMANY BY
BOARD MEMBER (TO 4/7/09)
WILL SWOPE
BOARD MEMBER (4/7/09 TO CURRENT)
D-856
HILLSBORO, OR 97124
JUSTIN RATTNER
HILLSBORO, OR 97124
BOARD MEMBER (4/7/09 To CURRENT)
19 sTATEMENT(S) 7
l
0. O. 0
LILA IBRAHIM
BOARD MEMBER (4/7/09 To CURRENT)
WENDY HAWKINS
EXECUTIVE DIRECTOR
1.00
HILLSBORO, OR 97124
of ol 00
TOTALS INCLUDED ON 990-PF, PAGE 6, PART VIII
OO OO OU
20
sTATEMENT(s) 7
50.00
INTEL FOUNDATION D 0 94-3092928
intel Foundation FAQS
Q2 what are the funding objectives for the Intel Foundation?
R lntel foundation provides funding for both national grants with broad-based impact and, community grants focused where intel
has major facilities Contribution programs are guided by three major objectives: advance education in math, science, and
engineering promote the entrance of women and under-represented minorities into careers in science and engineering: and support
intel employees* efforts to improve the quality of life ln" their communities
Q: How does my organization apply for a Foundation grant?
A" The Intel Foundation does not accept unsolicited grant requests. lf you are an organization located in a community with a major
Intel facility, you may apply for lntel Corporate funds at http:I/www.lntgLconvcgj11mtmitv1ggnt.htm
Q: Does the lntel Foundation make donations of equipment?
A: Due to IRS rules. the Intel Foundation does not make donation of equipment
please sw
Q: what geographic areas are eligible for foundation grants?
A: lf the organization is in a community with a major intel site, grants should be requested through the local Corporate Affairs
office. For all other communities, the foundation does not accept unsolicited donation requests. To review the list of lntel sites,
Q: Does the lntel Foundation support programs outside of the United States?
A" Due to legal and tax requirements for a US organization to give funds to a non*US organization, the Intel Foundation limits grants
to non-US organizations that support specihc Intel Corporate programs. Unsolicited grants requests are not accepted and will not be
funded
Q: Does the lntel Foundation offer scholarships and fellowships to individuals?
PM Due to tax and legal rules. inchviduals are not eligible for scholarships. All scholarships (except through the lntel Scholarship for
Employees Children) and fellowships are given through specitic universities and community colleges. Please check with your school
to determine if Intel offers scholarshipslfellowships andthe selection criteria.
Q: what is the intel Foundations policy on matching disaster relief efforts?
A: The intel Foundation cannot respond to all msasters that occur around the world "lhe local Corporate Affairs Group in the local
countrylcommunity may request that the lntel Foundation to approve a matching program for a specific chsaster. The intel
Foundation
- QQQS, respond/match*
o Direct impact on Intel sltes/employees
o Existing resources overwhelmed
o Express public pressure and direct requests to intel from sr goi/t officials
- Does QL respondlmatclt V
o Man-made disasters
o US sanctions (keep Intel legal),
Regionally common (Hoods, etc).
On-going humanitarian efforts (e.g. famine, AIDS)
Clltzslfupwtin Mtidmfuusui l&nddwl:ndlngnuemnt:nshdL*@Cc:yozanmm&zU:oudScrumtiodz1oowBus
ATTACHMENT A
INTEL FOUNDATION U 0 94-3092928
lnstructions to complete
Attachment 1 to Grant Agreement
Grant Application
Instructions to Grant Seeker for Completing the Grant Application
Section 1.0:
Provide all information requested in Sections 1.1, and 1.2
Describe your entity*s programs and services in Section 1.3
Identify the type of entity by checking one box in the table in Section 1.4
Identify the entity*s tax status in Section 1.5 by checking the applicable blank
Attach document showing tax status ifappropriate (Section 1.5)
Fill in the name ofthe relevant Country in Section 1.5
Provide infonnation for all persons requested in Section 1.6 (add additional columns as
necessary)
Section 2.0:
Provide all information requested in Sections 2.1 through 2.1 1 and Section 2.13
Use the spreadsheet provided in Section 2.12 to show how use of Intel Foundation Grant
Funds is proposed, attach the completed spreadsheet to the application.
Section 4.0:
Certify that information provided is correct and signer has authority to make the grant request
Signature Blocks and Signer"s Contact Information: Provide the information and sign the document.
IMPORTA NTI Send application as a word.doc,
If you do not have an electronic signature, then print, sign, scan and send back the last page as
a pdf file.
Submit the Grant Application with four attachments:
l. Application as a word.doc
2. Signed final page as a pdf.file
3. Budget template as an excel file
4. Proof oftax status
ATTACHMENT A
INTEL FOUNDATION 0 0
94-3092928
Attachment l to Grant Agreement
Grant Application
INTEL FOUNDATION GRANT
INTERNATIONAL
Application to be completed by Grant Seeker
This document will become Attachment l to the Grant Agreement, ifthis Application is
approved by Intel Foundation.
1.0 ENTITY INFORMATION
l.l Entity
Name:
Address:
Country:
Phone:
Website:
l.2 Contact Information for Proposed Project"
Name:
Title:
Phone(s): (office) (cell)
Email:
1.3 Entig*s Mission:
l.4 Entity Type:
Entity ty-pe: Check one box: Explain if necessary:
Non-profit NGO
Public Entity
Other
1.5 Entity*s Tax Status: The entity is tax exempt which can be verified by:
1.5.1 www guidestar com
1.5.2 u- document (attached), or
1.5.3 1 the undersigned represents that the organization is a govemmental entity in the
country of and is, therefore, tax exempt.
l.6 Identify All Members of the Board of Directors, Officers. and Executives: (use as many rows
as necessary to include all required informationL
Position Name IS this- Pfl"S0" Of HHYOHC Phone(s) Email
in their immediate (include both
family an employee of nfflce number
lntel Corporation or one and cell pnnne)
ofits subsidiaries?
(Yes/No)
Chairman of Board
Board Member
Board Member
Board Member
ATTACHMENT A
INTEL FOUNDATION Q 0 94-3092928
Board Member
Chief Executive
Officer
2.0 INFORMATION ABOUT THE PROPOSED PROJECT
2.1 Project Name:
2.2 Project Goals and Objectives:
2.3 Project Description: Include where the Project will be conducted, the number of people to be
served by this Project, its geographic reach, how many instructors/teachers/leaders the Project
will have, and so on.
2.4 Description ofthe Need: What issues will the Project address? What approach will be used?
What research suggests that this Proj ect will succeed? How does the strategy for this Project
differ from others in the field?
2.5 Describe Project Activities: What tasks and activities will be undertaken to achieve the goals
and objectives ofthe Project?
2 6 Evaluation Criteria: How will the progress and success ofthis Project be measured?
2.7 Sustainability: How will the Project be sustained, scaled or transferred?
2.8 Diversity: Of the total population served, state what percent is expected to be made up ofthe
following:
2.8.1 Women %
2.8.2 African-American %
2.8.4 Native American %
2.8.3 Latino %
2.8.5 N/A %
2.9 Other: Provide relevant infonnation about the Project that is not covered in answers above.
2.10 Total Project Costs: $
2.11 Amount and Sources of Contributions/Pledges:
Source
Amount Proposed
Intel Foundation
XXApproved Comment
2.12 Budget for Intel Foundation Funds: Use the budget form, attached, to show how Intel
Foundation funds would be used.
2009 budget
applicauon ten
2.13 Project Schedule:
The Project begins on or about (date) and will end on or before
M*-(date)---Z-.
ATTACHMENT A
INTEL FOUNDATION 0 D 94-3092928
3.0 CERTIFICATION: By signing below, the undersigned certifies that the above
information is correct and that the signer is authorized by the governing board of the
organization to submit this grant application to Intel Foundation.
Signature
Signer"s Contact Information
(if other than provided above)
Phone(s):
Printed Name
Email:
Title:
Date:
r
ATTACHMENT A
l
INTEL FOUNDA N . 94-3092928
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Intel Fnunaulnn Matrmng Gdu to Educzuan Program
ATTACHMENT B
Intel Foundation EIN # 94-3092928
Attachment for Form 990PF
Part VII-B, Question 5c on page 6
Expenditure Responsibility Statement
For the year 2009
Pursuant to IRC Regulations 53.4945-5(d)(2), the Intel Foundation provides the
following information:
(i) Grantee: Actionaid India K
139 Richmond Rd.
Bangalore, 560025, India
(ii) Amount of Grant: $25,000.00 given in 2008
(iii) Purpose of Grant: Flood relief matching program (Grant #53679)
(iv) & (vi) Reports: The grantee submitted full and complete reports of its expenditure
on March 20, 2009. The remaining balance is $0.
(v) Diversions: To the knowledge ofthe grantor, no funds have been diverted to any
activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability ofthe
report from the grantee: therefore no independent verification of the report was made
Part VII-B, Question Sc on page 6
For the year 2009
(i) Grantee: Asociacion Empresarial para el Desarrollo
Oficentro ejecutivo La Sabana 2 piso del anexo de la torre 6
San Jose, Costa Rica
(iii)Purpose of Grant: Costa Rica Earthquake (Grant #53934
on November 30, 2009. Per the report, the remaining amount is $9,963.34
(v) Diversions: To the knowledge of the grantor, no funds have been diverted to any
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of the
For the year 2009
(i) Grantee: Academia lntemacional sobre Tecnologia y Conocimiento
Patricio Saenz 746, Colonia del Valle
Delegacion Benito Juarez
Mexico City, Mexico
(ii) Amount of Grant: $18,740.70 remained from a 2008 grant
(iii)Purpose of Grant: Support of Intel@ Learn (Grant #5 1233)
on February I7, 2009. Per the report, the remaining amount is $0
For the year 2009
(i) Grantee: ASSOCIACAO DE PAIS E MESTRES DA FUNDACAO LIBERATO
Rua lnconfidentes, 395
Novo Hamburgo, 93340-140
Brazil
(iii)Purp0Se Of Grant: 2009 Brazil Science Fair (Grant #55040)
on November 18, 2009. Per the report, the remaining amount is $0
For the year 2009
(i) Grantee: Arab Science and Technology Foundation
PO Box 27272
Sharjah
United Arab Emirates
(iii)Purpose of Grant: 2008 Arab Technology Business Plan Competition (Grant #523 I3)
on March 31, 2009. Per the final report, the remaining amount is $0.
report from the grantee, therefore no independent verification of the report was made
For the year 2009
(i) Grantee: Arab Science and Technology Foundation
PO Box 27272
Sharjah
United Arab Emirates
(ii) Amount ofGrant: $80,000.00 given in 2009
(iii)Purpose of Grant: 2009 Arab Technology Business Plan Competition (Grant #54986)
on November 23, 2009. Per the final report, the remaining amount is $0.
For the year 2009
(i) Grantee: Associacao do Laboratorio de Sistemas lntegraveis Tecnologico
Rua Paes Leme 524-cj. 95 e 9609 andar
Sao Paulo, 05424-904
Brazil
(iii)Purpose of Grant: 2009 Brazil Science Fair (Grant #5 5039)
on October 2, 2009. Per the report, the remaining amount is $0
report from the grantee, therefore no independent verification ofthe report was made
For the year 2009
(i) Grantee: Autonomous Organization IT Training Center
Vos*hod Street 26a
Novosibrisk 930102 Russia
(ii) Amount of Grant: $55,000.00 was given in 2009
(iii)Purpose of Grant: Support of Intel@ Learn (Grant #55050)
on July 24, 2009. Per the report, the remaining amount is $30,848.54.
i
For the year 2009
(i) Grantee: Bilge Adam Bilgisayer Egitim Hizmetleri Sanayi ve Ticaret
l9 Mayis Caddesi Co 59/61
UBM Plaza Kat 7 34360 Fulya-Sisli
Istanbul, Turkey
(ii) Amount ofGrant: $100,000.00 was given in 2008
(iii)Purpose of Grant: Support of lnteI@ Leam (Grant #5025 8)
on January 20, 2009. Per the report, the remaining amount is $0.
For the year 2009
(i) Grantee: Bilge Adam Bilgisayer Egitim Hizmetleri Sanayi ve Ticaret
19 Mayis Caddesi Co 59/61
UBM Plaza Kat 7 34360 Fulya-Sisli
Istanbul, Turkey
(iii)Purpose of Grant: Support of lntel@ Leam (Grant #54865)
on August 6, 2009. Per the report, the remaining amount is $53,100.00
For the year 2008
(i) Grantee: Bradesco Foundation
Rua Mario Milani, s/n - Vila Yara
Osasco, San Paulo
06029-900, Brazil
(ii) Amount ofGrant: $30,000.00 was given in 2008
(iii)Purpose of Grant: Support of Intel@ Learn (Grant #5 1739)
on February 27, 2009 and May 29, 2009. Per the report, the remaining amount is $0
For the year 2008
following infomation:
(i) Grantee: Bulgarian Institute for Management & Technology
Angel Kanchev Street 18A
Sophia, Bulgaria
(ii) Amount of Grant: $20,000.00 remained ofa grant given in 2008
(iii) Purpose of Grant: NOVATechCom Central Eastem Europe Business Plan
Competition (Grant #51745)
on August 26, 2009. Per the report, the remaining amount is $0
For the year 2009
(i) Grantee: China Association for Science and Technology
3, Fu Xing Road
Beijing, 100863 China
(ii) Amount of Grant: $21,239.00 remained from 2008 payment
(iii)Purpose of Grant: Intel Leam (Grant #49756)
report from the granteeg therefore no independent verification of the report was made
For the year 2009
3, Fu Xing Road
(iii)Purpose of Grant: Intel 2008 CASTIC (Grant #51966
For the year 2009
3, Fu Xing Road
(ii) Amount ofGrant: $435,000.00 given in 2009
(iii)Purpose of Grant: 2009 Intel Leam (Grant #53934
on April I7, August 3 and December 16, 2009. Per the report, the remaining amount
is $0.
For the year 2009
3, Fu Xing Road
(iii)Purpose of Grant: Intel 2009 CASTIC (Grant #56005)
on October I5, 2009. Per the report, the remaining amount is $22,050.29
For the year 2009
(i) Grantee: China City Education Foundation
Shishi xiang 6#, Wenmiaohoukie St.
Chengdu, 610041, China
(iii) Purpose of Grant: Intel Volunteer Matching Grant Program NGO (Grant #25759)
on February 26, 2009. The remaining balance is $0.
report from the grantee, therefore no independent verification ofthe report was made
For the year 2009
(i) Grantee: Red Cross Society of China
Dongcheng District, 8# Beixinqiao Santiao
(ii) Amount of Grant: $l,l05,382.00 given in 2008
(iii)PurpOSe 0fGrant: Support for disaster reliefefforts for China earthquake (Grant #5163 8)
on December I0, 2009. Per the report, the remaining amount is $0
1
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For the year 2009
(i) Grantee: Ciencia Joven, Asociacion Civil
Av. San Baltasar 2240. Col. Jardines de San Manuel
Puebla, 72570
Mexico
(iii)Purpose of Grant: National Science Fair (Grant #55 155)
on July 31, 2009 and December l, 2009. Per the report, the remaining amount is $0.
For the year 2009
(i) Grantee: Children"s Lovecastles Trust
462,l lth Main, 7th cross, RMV,
Bangalore 560 O80
Karnataka, India
(ii) Amount of Grant: $20,000 was given in 2008
(iii)Purpose of Grant: Intel Computer Clubhouse Soitware Refresh (Grant #l2087)
on January 27, 2009 and February 10, 2009. Per the report, the remaining amount is $0
Pan VII-B, Question Sc on page 6
For the year 2009
(i) Grantee: Corporacion Encuentro
AV. Grecia 6727, Penalolen
Santiago, Metropolitan Region
Chile
(ii) Amount of Grant: $40,185.00 remained from a grant given in 2008
(iii)Purpose of Grant: Support of Intel@ Learn (Grant #5 l 752)
on September 2, 2009. Per the report, the remaining amount is $1,778.00
For the year 2009
(i) Grantee: F undacion CRUSA
Ofrplaza Del Este, Bldg B, 2nd Fl.
(ii) Amount of Grant: $39,000.00 was given in 2008.
(iii)Purpose ofGrant: Interdisciplinary R&D Skills (Grant #5l76l)
on July 29, 2009 and October 28, 2009. Per the report, the remaining amount is $0.
For the year 2009
Pursuant to IRC Regulations 53.4945-5(d)(2), the lntel Foundation provides the following
information:
(i) Grantee: Digital Empowerment Foundation
12/17 Sarvapriya Vihar
New Delhi, 110016
India
(ii) Amount of Grant: $60,000 was given in 2007
(iii) Purpose of Grant: Support of Community Information & resource Centre (Grant
#47920)
on December 1, 2009. Per the report, the remaining amount is $10,911.66.00
(vii) Veritication: The grantor has no reason to doubt the accuracy or reliability of the
report from the grantee, therefore no independent veriication of the report was made
For the year 2009
(i) Grantee: Direccion Nacional de Ciencia Y Techologia
Innovation, Science & Technology
Dev. Ministry of Culture & Education of Uruguay
Montevideo, ll000
Uruguay
(iii)Purpose ofGrant: 2009 National Science Fair Sponsorship (Grant #55 180)
on December ll, 2009. Per the report, the remaining amount is $0
I
l
For the year 2009
(i) Grantee: Direccion Nacional de Ciencia Y Techologia
Innovation, Science & Technology for Dev.
Ministry of Culture & Education of Uruguay
Paraguay l470, 2nd Floor
Montevideo, Uruguay l 1000
(iii)Purpose of Grant: National Science Fair Sponsorship (Grant #5 1232)
on February 3, 2009. The remaining amount is $0
For the year 2009
(i) Grantee: Asociacion Oratorios Salesianos Don Bosco
De la Escuela Camien Lira 500 M Sur
(iii)Purp0Se of Grant: Intel Computer Clubhouse (Grant #1 l l67)
For the year 2009
(i) Grantee: Fundacion Feria Nacional de Ciencia y tecnologia de Colombia
Carera 14 No. 93B-29 Of406
Cundinamarca
Bogota, Colombia
(iii)Purp0Se of Grant: National Science Fair (Grant #54987)
(iv) & (vi) Reports: The grantee submitted hill and complete reports of its expenditure
on November 1 l, 2009. Per the report, the remaining amount is $0
For the year 2009
(i) Grantee: Getulio Vargas Foundation
Sao Paulo State Business School
Av. Nove de Julho 2029
San Paulo 01313-902 Brazil
(ii) Amount of Grant: $60,000.00 was given in 2009
(iii)Purpose of Grant: 4th GV-Intel Challenge - Venture Capital & Entrepreneurship
(Grant #55705)
on December 22, 2009. The remaining amount was $0
For the year 2009
(i) Grantee: Foundation for Information Technology Education and Development
3rd Floor, Orcel II Building, l6ll Quezon Avenue, Brgy. West Triangle
Quezon, ll00, Philippines
(iii)Purpose of Grant: Intel Computer Clubhouse Software Refresh (Grant # 49762)
on December I7, 2009. Per the report, the remaining amount is $0