EXTENDED TO FEBRUARY 15, 2019
Form

990-PF

Department of the Treasury
Internal Revenue Service

Return of Private FoundationOMB No. 1545-0052

For calendar year 2017 or tax year beginning

APR 1, 2017

A Employer identification number

SASAKAWA PEACE FOUNDATION USA, INC.

52-1728688

Number and street (or P.O. box number if mail is not delivered to street address)

Room/suite

1819 L STREET NW300

WASHINGTON, DC 20036
 Initial return
 Initial return of a former public charity
 Final return Amended return Address change Name change
X Section 501(c)(3) exempt private foundation
H Check type of organization:  Section 4947(a)(1) nonexempt charitable trust  Other taxable private foundation
X Accrual
I Fair market value of all assets at end of year J Accounting method:  Cash(from Part II, col. (c), line 16)
 Other (specify)
15,343,670. (Part I, column (d) must be on cash basis.)|$Analysisof
Revenue and Expenses
Part I (The total of amounts(a) Revenue and(b) Net investment
in columns (b), (c), and (d) may not
G Check all that apply:

Revenue

1 Contributions, gifts, grants, etc., received ~~~2 Check | if the foundation is not required to attach Sch. B
Interest on savings and temporary
3 cash investments ~~~~~~~~~~~~~~
4 Dividends and interest from securities~~~~~
5a Gross rents ~~~~~~~~~~~~~~~~
247,525.
b Net rental income or (loss)
6a Net gain or (loss) from sale of assets not on line 10 ~~expenses per books

B Telephone number

202-296-6694

City or town, state or province, country, and ZIP or foreign postal codenecessarily equal the amounts in column (a).)

Open to Public Inspection

MAR 31, 2018

, and ending

Name of foundation

Operating and Administrative Expenses

2017

or Section 4947(a)(1) Trust Treated as Private Foundation| Do not enter social security numbers on this form as it may be made public.
| Go to www.irs.gov/Form990PF for instructions and the latest information.

incomeC If exemption application is pending, check here ~ |D 1. Foreign organizations, check here ~~ |
2. Foreign organizations meeting the 85% test,
check here and attach computation ~~~~ |
E If private foundation status was terminatedunder section 507(b)(1)(A), check here ~ |F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ~ |(d) Disbursements
for charitable purposes(cash basis only)(c) Adjusted net
income3,994,667.

238.
1,606,770.

STATEMENT 1
STATEMENT 2
STATEMENT 3

238.
1,606,770.

Gross sales price for allb assets on line 6a ~~7 Capital gain net income (from Part IV, line 2) ~~~~~
8 Net short-term capital gain ~~~~~~~~~
9 Income modifications~~~~~~~~~~~~
Gross sales less returns
10a and allowances ~~~~b Less: Cost of goods sold ~c Gross profit or (loss) ~~~~~~~~~~~~
11 Other income ~~~~~~~~~~~~~~~
12 Total. Add lines 1 through 11 
13 Compensation of officers, directors, trustees, etc. ~~~14 Other employee salaries and wages ~~~~~~
15 Pension plans, employee benefits ~~~~~~
STMT 416a Legal fees ~~~~~~~~~~~~~~~~~
STMT 5b Accounting fees ~~~~~~~~~~~~~~
STMT 6c Other professional fees ~~~~~~~~~~~
17 Interest ~~~~~~~~~~~~~~~~~~
STMT 718 Taxes~~~~~~~~~~~~~~~~~~~
19 Depreciation and depletion ~~~~~~~~~
20 Occupancy ~~~~~~~~~~~~~~~~
21 Travel, conferences, and meetings ~~~~~~
22 Printing and publications ~~~~~~~~~~
STMT 823 Other expenses ~~~~~~~~~~~~~~
24 Total operating and administrative
expenses. Add lines 13 through 23 ~~~~~
25 Contributions, gifts, grants paid ~~~~~~~
26 Total expenses and disbursements.
Add lines 24 and 25 
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements ~b Net investment income (if negative, enter -0-)~~~c Adjusted net income (if negative, enter -0-)

723501 01-03-18

0.

5,601,675.
394,811.
1,126,300.
247,560.
8,089.
21,070.
250,753.

1,607,008.
42,153.
42,500.
36,683.
0.
10,535.
0.

0.
0.
0.
0.
0.
0.
0.

225,844.
276,148.
700,931.
644,888.
31,685.
367,274.

222,166.
256,724.
687,642.
0.
0.
60,842.

0.
0.
0.
0.
0.
0.

4,295,353.
1,075,741.

1,359,245.

0.

2,886,322.
1,069,967.

5,371,094.

1,359,245.

0.

3,956,289.

352,658.
1,042,236.
188,665.
8,089.
10,535.
249,847.
0.
8,217.
728,502.
20,535.
277,038.

230,581.

LHA For Paperwork Reduction Act Notice, see instructions.

247,763.
0.
Form 990-PF (2017)Form 990-PF (2017)

Part IISASAKAWA PEACE FOUNDATION USA, INC.

Balance Sheets

1 Cash - non-interest-bearing ~~~~~~~~~~~~~~~~~~
2 Savings and temporary cash investments ~~~~~~~~~~~~
76,042.
3 Accounts receivable
Less: allowance for doubtful accounts
4 Pledges receivable
Less: allowance for doubtful accounts
5 Grants receivable ~~~~~~~~~~~~~~~~~~~~~~~
6 Receivables due from officers, directors, trustees, and otherdisqualified persons ~~~~~~~~~~~~~~~~~~~~~~
7 Other notes and loans receivable ~~~~~~~~
Less: allowance for doubtful accounts
8 Inventories for sale or use ~~~~~~~~~~~~~~~~~~~
9 Prepaid expenses and deferred charges ~~~~~~~~~~~~~
10a Investments - U.S. and state government obligations ~~~~~~~b Investments - corporate stock ~~~~~~~~~~~~~~~~~c Investments - corporate bonds ~~~~~~~~~~~~~~~~~
8,131,238.
11 Investments - land, buildings, and equipment: basis ~~STMT
103,574,199.
~~~~~~~~
Less: accumulated depreciation
12 Investments - mortgage loans ~~~~~~~~~~~~~~~~~
13 Investments - other ~~~~~~~~~~~~~~~~~~~~~~
198,778.
14 Land, buildings, and equipment: basis
STMT 11
137,330.
Less: accumulated depreciation ~~~~~~~~
RESTRICTED CASH
15 Other assets (describe)
16 Total assets (to be completed by all filers - see theinstructions. Also, see page 1, item I) 
17 Accounts payable and accrued expenses ~~~~~~~~~~~~~
18 Grants payable ~~~~~~~~~~~~~~~~~~~~~~~~
19 Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~
20 Loans from officers, directors, trustees, and other disqualified persons ~~~~
21 Mortgages and other notes payable ~~~~~~~~~~~~~~~
STATEMENT 12)
22 Other liabilities (describe

99AssetsAttached schedules and amounts in the description
column should be for end-of-year amounts only.

99Page 2End of year(b) Book Value(c) Fair Market Value

284,090.
20,212.

828,895.
20,206.

828,895.
20,206.

29,039.

76,042.

76,042.

100,608.

16,972.

16,972.

43,569.

20,781.

20,781.

4,603,965.

4,557,039.

14,255,140.

82,066.
88,965.

61,448.
64,186.

61,448.
64,186.

5,252,514.
236,998.

5,645,569.
445,104.

15,343,670.

9
9

9Liabilities(a) Book Value

52-1728688

9
9
9
9

8,635.

923 Total liabilities (add lines 17 through 22) 
X
Foundations that follow SFAS 117, check here ~~~~
and complete lines 24 through 26, and lines 30 and 31.
24 Unrestricted ~~~~~~~~~~~~~~~~~~~~~~~~~
25 Temporarily restricted ~~~~~~~~~~~~~~~~~~~~~
26 Permanently restricted ~~~~~~~~~~~~~~~~~~~~~
Foundations that do not follow SFAS 117, check here ~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 Total net assets or fund balances~~~~~~~~~~~~~~~~

9

Net Assets or Fund Balances

Beginning of year

85,083.

342,376.

330,716.

787,480.

4,921,798.

4,858,089.

4,921,798.

4,858,089.

5,252,514.

5,645,569.

931 Total liabilities and net assets/fund balances 

Part III

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 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~SEE STATEMENT 95 Decreases not included in line 2 (itemize)

99

6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 
723511 01-03-18

1
2
3
4
5
6

4,921,798.
230,581.
0.
5,152,379.
294,290.
4,858,089.
Form 990-PF (2017)

SASAKAWA PEACE FOUNDATION USA, INC.
Capital Gains and Losses for Tax on Investment Income

52-1728688

Form 990-PF (2017)

Part IV(b) How acquired
P - Purchase
D - Donation(a) List and describe the kind(s) of property sold (for example, real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
1a
b
c
d
e

(c) Date acquired(mo., day, yr.)

Page 3(d) Date sold(mo., day, yr.)

NONE(e) Gross sales price(f) Depreciation allowed(or allowable)(g) Cost or other basis
plus expense of sale(h) Gain or (loss)((e) plus (f) minus (g))

a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69.
(i) FMV as of 12/31/69(j) Adjusted basis
as of 12/31/69(l) Gains (Col. (h) gain minuscol. (k), but not less than -0-) orLosses (from col. (h))(k) Excess of col. (i)over col. (j), if any

a
b
c
d
e
2 Capital gain net income or (net capital loss)rqs

If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7~~~~~~

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 

Part V

p
m
o
p
m
o

2

3

Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.

X No
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? ~~~~~~~~~~~~~~~~ Yes 
If "Yes," the foundation doesn't qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see the instructions before making any entries.
(a)
(d)
(b)
(c)
Base period years
Distribution ratio
Adjusted qualifying distributions
Net value of noncharitable-use assets
Calendar year (or tax year beginning in)(col. (b) divided by col. (c))
2016
2015
2014
2013
2012

4,127,728.
4,029,995.
3,493,251.
1,872,967.
890,456.

15,993,237.
16,037,964.
15,481,375.
13,238,703.
15,925,547.

.258092.251278.225642.141477.055914

2 Total of line 1, column (d) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5.0, or by the number of years
the foundation has been in existence if less than 5 years~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

2.9324033.186481

4 Enter the net value of noncharitable-use assets for 2017 from Part X, line 5 ~~~~~~~~~~~~~~~~~~~~~

4

15,412,886.

5 Multiply line 4 by line 3 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

52,874,210.

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

6

2,478.

7 Add lines 5 and 6 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

7

2,876,688.

8 Enter qualifying distributions from Part XII, line 4~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

8

3,956,289.

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 rate.
See the Part VI instructions.
723521 01-03-18

Form 990-PF (2017)

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688
Page 4
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here | and enter "N/A" on line 1.

Form 990-PF (2017)

Part VI

p
n
n
n
m
n
n
n
o

Date of ruling or determination letter:(attach copy of letter if necessary-see instructions)
X and enter 1%b Domestic foundations that meet the section 4940(e) requirements in Part V, check here |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-) ~~~~~~~~
3 Add lines 1 and 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only; others, enter -0-) ~~~~~~~~
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~
6 Credits/Payments:
3,000.
a 2017 estimated tax payments and 2016 overpayment credited to 2017 ~~~~~~~~
6a0.
b Exempt foreign organizations - tax withheld at source ~~~~~~~~~~~~~~~~
6b0.
c Tax paid with application for extension of time to file (Form 8868) ~~~~~~~~~~
6c
0.
d Backup withholding erroneously withheld ~~~~~~~~~~~~~~~~~~~~~
6d
7 Total credits and payments. Add lines 6a through 6d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached ~~~~~~~~~~~~~
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed ~~~~~~~~~~~~~~~~~~~~ |10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid  |522. Refunded |11 Enter the amount of line 10 to be: Credited to 2018 estimated tax |Part VII-A

1

2,478.

2
3
4
5

0.
2,478.
0.
2,478.

7
8
9
10
11

3,000.
0.

Statements Regarding Activities

1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene inany political campaign? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~b Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions for the definition ~~~~
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials published or
distributed by the foundation in connection with the activities.
c Did the foundation file Form 1120-POL for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
0. (2) On foundation managers. | $0.
(1) On the foundation. | $e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation0.
managers. | $2 Has the foundation engaged in any activities that have not previously been reported to the IRS? ~~~~~~~~~~~~~~~~~~~~
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 ~~~~~~~~~~~~~~~~~~~~~~~~
4a Did the foundation have unrelated business gross income of $1,000 or more during the year? ~~~~~~~~~~~~~~~~~~~~~b If "Yes," has it filed a tax return on Form 990-T for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? ~~~~~~~~~~~~~~~~~~~~~~
If "Yes," attach the statement required by General Instruction T.
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:¥ By language in the governing instrument, or¥ By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law
remain in the governing instrument? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7 Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XV ~~~~~~~~
8a Enter the states to which the foundation reports or with which it is registered. See instructions.

DC

522.
0.

1a
1b

Yes No
X
X

1c

X

2

X

3
4a
4b
5

6
7

X
X
X
X

X
X

9

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 ~~~~~~~~~~~~~~~~~~~~~~~~~~~

X
8b
9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar
X
9year 2017 or the tax year beginning in 2017? See the instructions for Part XIV. If "Yes," complete Part XIV ~~~~~~~~~~~~~~~~
X
10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses 
10
Form 990-PF (2017)

723531 01-03-18

SASAKAWA PEACE FOUNDATION USA, INC.
Part VII-A Statements Regarding Activities (continued)

Form 990-PF (2017)52-1728688

Page 5

Yes No
11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning ofXsection 512(b)(13)? If "Yes," attach schedule. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
11
12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges?
X
If "Yes," attach statement. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12X
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? ~~~~~~~~~~~
13
Website address | WWW.SPFUSA.ORG
14 The books are in care of | SASAKAWA PEACE FOUNDATION USA INC
Telephone no. | 202-296-6694
Located at | 1819 L STREET NW SUITE 300, WASHINGTON, DC
ZIP+4 |20036
15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - check here ~~~~~~~~~~~~~~~~~~~~~~~ |N/Aand enter the amount of tax-exempt interest received or accrued during the year ~~~~~~~~~~~~~~~~~~~ | 15
16 At any time during calendar year 2017, did the foundation have an interest in or a signature or other authority over a bank,
Yes NoX
securities, or other financial account in a foreign country? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
16
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes," enter the name of theforeign country |Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required
Yes NoFile Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
1a During the year, did the foundation (either directly or indirectly):
X No(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ~~~~~~~~~~~~~~ Yes (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)X No
a disqualified person? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes 
X No(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ~~~~~~~~~~~~~ Yes 
X No(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ~~~~~~~~~~~~~~ Yes (5) Transfer any income or assets to a disqualified person (or make any of either available
X No
for the benefit or use of a disqualified person)?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes (6) Agree to pay money or property to a government official? ( Exception. Check "No"if the foundation agreed to make a grant to or to employ the official for a period after
X No
termination of government service, if terminating within 90 days.) ~~~~~~~~~~~~~~~~~~~~~ Yes b If any answer is "Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations

N/A
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ~~~~~~~~~~~~~~~~~~~~~~
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 1a, other than excepted acts, that were not corrected
before the first day of the tax year beginning in 2017?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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 2017, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning
X No
before 2017? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes 

1b

1c

X

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

N/A
statement - see instructions.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

2b

|
,
,
,
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time
X No
during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes b If "Yes," did it have excess business holdings in 2017 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 disposeof holdings acquired by gift or bequest; or (3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C,

N/AForm 4720, to determine if the foundation had excess business holdings in 2017.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? ~~~~~~~~~~~~~b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that
had not been removed from jeopardy before the first day of the tax year beginning in 2017? 

3b
4a

X

4b

X

Form 990-PF (2017)

723541 01-03-18

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688
Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required (continued)

Form 990-PF (2017)

5a During the year, did the foundation pay or incur any amount to:
X No(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ~~~~~~~~~~~~~ Yes (2) Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly,
X No
any voter registration drive? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes 
X No(3) Provide a grant to an individual for travel, study, or other similar purposes? ~~~~~~~~~~~~~~~~~ Yes (4) Provide a grant to an organization other than a charitable, etc., organization described in section
X No
4945(d)(4)(A)? See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for
X No
the prevention of cruelty to children or animals? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes b If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations
N/A
section 53.4945 or in a current notice regarding disaster assistance? See instructions ~~~~~~~~~~~~~~~~~~~~~~~~
Organizations relying on a current notice regarding disaster assistance, check here ~~~~~~~~~~~~~~~~~~~~~ |
c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax because it maintained
N/A Yes  No
expenditure responsibility for the grant?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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
X No
a personal benefit contract? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes 
b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ~~~~~~~~~~~~~~~~
If "Yes" to 6b, file Form 8870.
X No
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? ~~~~~~~~~ Yes N/Ab If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction? 

Part VIII

Page 6

Yes No

5b

X

6b

7b

Information About Officers, Directors, Trustees, Foundation Managers, Highly
Paid Employees, and Contractors

1 List all officers, directors, trustees, and foundation managers and their compensation.
(b) Title, and average
hours per week devoted(a) Name and address
to position(c) Compensation(If not paid,
enter -0-)(d) Contributions toemployee benefit plansand deferredcompensation(e) Expense
account, otherallowances

SEE STATEMENT 13

350,000. 44,811.

0.

2 Compensation of five highest-paid employees (other than those included on line 1). If none, enter "NONE."(b) Title, and average
hours per week(a) Name and address of each employee paid more than $50,000(c) Compensation
devoted to position

DANIEL BOB - 1819 L STREET NW SUITE
300, WASHINGTON, DC 20036
KAZUYO KATO - 1819 L STREET NW SUITE
300, WASHINGTON, DC 20036
JAMES KENDALL - 1819 L STREET NWSUITE 300, WASHINGTON, DC 20036
MISA IMANAKA-MILLER - 1819 L STREETNW SUITE 300, WASHINGTON, DC 20036
CHRISTOPHER DOCKREY - 1819 L STREETNW SUITE 300, WASHINGTON, DC 20036(d) Contributions toemployee benefit plansand deferredcompensation(e) Expense
account, otherallowances

DIRECTOR OF PROGRAMS & SR. FELLOW
35.00
241,169. 38,881.
DIRECTOR OF EDUCATION AND FINANCE
35.00
110,000. 11,759.
FELLOW
35.00
89,960. 22,502.
OFFICE/ACCOUNTING MANAGER
35.00
70,000. 26,318.
EMPLOYEE
35.00
64,961. 15,767.

Total number of other employees paid over $50,000  |

0.
0.
0.
0.
0.
2

Form 990-PF (2017)

723551 01-03-18

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688
Information About Officers, Directors, Trustees, Foundation Managers, Highly
Paid Employees, and Contractors (continued)

Form 990-PF (2017)

Part VIII

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

WRESI, INC. - 16800 WESTGROVE DR. SUITE 200,
ADDISON, TX 75001
J STREET BROKERAGE SERVICES, LLC - 16800
WESTGROVE DR. SUITE 200, ADDISON, TX 75001
ALLIED UNIVERSAL SECURITY
P.O. BOX 828854, PHILADELPHIA, PA 19182
RED COATS, INC. - 4520 EAST WEST HIGHWAY#200, BETHESDA, MD 20814
DAVID BOLGER
4925 OLLEY LANE, FAIRFAX, VA 22032(b) Type of service(c) Compensation

PROPERTY MANAGEMENT

169,894.

LEASING COMMISSIONS

111,903.

ON-SITE SECURITY

76,457.

JANITORIAL SERVICESMEDIA RELATIONSCONSULTING

63,573.

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

Part IX-A

Page 7

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.

958,013.
0
Expenses1

SEE STATEMENT 14
2 GRANT PROGRAMS - AWARDED 13 ORGANIZATIONS AND INDIVIDUALS TO
SUPPORT PROJECTS PROMOTING DIALOGUE AND STRENGTHENING THE
US-JAPAN RELATIONSHIP.

1,802,091.

1,075,741.

3

SEE STATEMENT 15

154,608.

4

Part IX-B 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.
1

AmountN/A

2

All other program-related investments. See instructions.
3

Total. Add lines 1 through 3 

723561 01-03-18

J

0.
Form 990-PF (2017)Form 990-PF (2017)

Part XSASAKAWA PEACE FOUNDATION USA, INC.

52-1728688

Page 8Minimum 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 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1ab Average of monthly cash balances ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1bc Fair market value of all other assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1cd Total (add lines 1a, b, and c) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1de Reduction claimed for blockage or other factors reported on lines 1a and0.
1c (attach detailed explanation) ~~~~~~~~~~~~~~~~~~~~~~
1e
2 Acquisition indebtedness applicable to line 1 assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2
3 Subtract line 2 from line 1d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) ~~~~~~~~
4
5 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4 ~~~~~~~~~~
5
6 Minimum investment return. Enter 5% of line 5 
6
Part XI Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain
foreign organizations, check here
 and do not complete this part.)

9

1 Minimum investment return from Part X, line 6 
12,478.
2 a Tax on investment income for 2017 from Part VI, line 5 ~~~~~~~~~~~
2a809.
b Income tax for 2017. (This does not include the tax from Part VI.) ~~~~~~~
2bc Add lines 2a and 2b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2c
3 Distributable amount before adjustments. Subtract line 2c from line 1 ~~~~~~~~~~~~~~~~~~~~~~~
3
4 Recoveries of amounts treated as qualifying distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4
5 Add lines 3 and 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5
6 Deduction from distributable amount (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 
7

0.
1,217,217.
14,430,383.
15,647,600.

0.
15,647,600.
234,714.
15,412,886.
770,644.

770,644.

3,287.
767,357.
0.
767,357.
0.
767,357.

Part XII Qualifying Distributions (see instructions)
1

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
3,956,289.
a Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26 ~~~~~~~~~~~~~~~~~~~~~~
1a0.
b Program-related investments - total from Part IX-B ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1b
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)~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3ab Cash distribution test (attach the required schedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3b
3,956,289.
4 Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8; and Part XIII, line 4~~~~~~~~~
4
5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
2,478.
income. Enter 1% of Part I, line 27b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5
3,953,811.
6 Adjusted qualifying distributions. Subtract line 5 from line 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section
4940(e) reduction of tax in those years.
Form 990-PF (2017)

723571 01-03-18

Form 990-PF (2017)

Part XIIISASAKAWA PEACE FOUNDATION USA, INC.

52-1728688

Page 9

Undistributed Income (see instructions)(a)Corpus(b)
Years prior to 2016

(c)
2016

1 Distributable amount for 2017 from Part XI,
line 7 ~~~~~~~~~~~~~~~~~
2 Undistributed income, if any, as of the end of 2017:a Enter amount for 2016 only ~~~~~~~b Total for prior years:,,
3 Excess distributions carryover, if any, to 2017:109,961.
a From 2012 ~~~
1,218,172.
b From 2013 ~~~2,724,342.
c From 2014 ~~~3,233,553.
d From 2015 ~~~3,333,958.
e From 2016 ~~~f Total of lines 3a through e ~~~~~~~~
4 Qualifying distributions for 2017 from3,956,289.
$
Part XII, line 4:

767,357.
0.
0.

10,619,986.

9

a Applied to 2016, but not more than line 2a ~b Applied to undistributed income of prioryears (Election required - see instructions) ~c Treated as distributions out of corpus(Election required - see instructions) ~~~d Applied to 2017 distributable amount ~~~e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2017 ~~

(d)
2017

0.
0.
0.
767,357.
3,188,932.
0.

0.

(If an amount appears in column (d), the same amountmust be shown in column (a).)

6 Enter the net total of each column as
indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 ~~b Prior years' undistributed income. Subtract
line 4b from line 2b ~~~~~~~~~~~c Enter the amount of prior years'
undistributed income for which a notice of
deficiency has been issued, or on which
the section 4942(a) tax has been previously
assessed ~~~~~~~~~~~~~~~d Subtract line 6c from line 6b. Taxable
amount - see instructions ~~~~~~~~e Undistributed income for 2016. Subtract line
4a from line 2a. Taxable amount - see instr.~f Undistributed income for 2017. Subtractlines 4d and 5 from line 1. This amount must
be distributed in 2018 ~~~~~~~~~~
7 Amounts treated as distributions out ofcorpus to satisfy requirements imposed bysection 170(b)(1)(F) or 4942(g)(3) (Election
may be required - see instructions) ~~~~
8 Excess distributions carryover from 2012
not applied on line 5 or line 7 ~~~~~~~
9 Excess distributions carryover to 2018.
Subtract lines 7 and 8 from line 6a ~~~~
10 Analysis of line 9:
1,218,172.
a Excess from 2013 ~
2,724,342.
b Excess from 2014 ~
3,233,553.
c Excess from 2015 ~3,333,958.
d Excess from 2016 ~
3,188,932.
e Excess from 2017 
723581 01-03-18

13,808,918.
0.

0.
0.
0.

0.

0.
109,961.
13,698,957.

Form 990-PF (2017)

SASAKAWA PEACE FOUNDATION USA, INC.
Part XIV Private Operating Foundations (see instructions and Part VII-A, question 9)

52-1728688

Form 990-PF (2017)

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

Page 10N/A

9foundation, and the ruling is effective for 2017, enter the date of the ruling ~~~~~~~~~~~b Check box to indicate whether the foundation is a private operating foundation described in section ~~~ 4942(j)(3) or  4942(j)(5)Prior 3 years
Tax year
2 a Enter the lesser of the adjusted net(a) 2017(b) 2016(c) 2015(d) 2014(e) Total
income from Part I or the minimum
investment return from Part X foreach 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 notused directly for active conduct of
exempt activities ~~~~~~~~~e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c~~~~3 Complete 3a, b, or c for thealternative test relied upon:a "Assets" alternative test - enter:(1) Value of all assets ~~~~~~(2) Value of assets qualifying
under section 4942(j)(3)(B)(i) ~b "Endowment" alternative test - enter2/3 of minimum investment returnshown in Part X, line 6 for each year
listed ~~~~~~~~~~~~~~c "Support" alternative test - enter:(1) Total support other than grossinvestment income (interest,
dividends, rents, payments on
securities loans (section
512(a)(5)), or royalties)~~~~(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii) ~~~(3) Largest amount of support froman exempt organization ~~~~
(4) Gross investment income Part XV
1

Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets
at any time during the year-see instructions.)

Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax
year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

NONE
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership orother entity) of which the foundation has a 10% or greater interest.

NONE
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
X if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If
Check here 
the foundation makes gifts, grants, etc., to individuals or organizations under other conditions, complete items 2a, b, c, and d.

9

a The name, address, and telephone number or email address 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:

723601 01-03-18

Form 990-PF (2017)

SASAKAWA PEACE FOUNDATION USA, INC.
Supplementary Information (continued)

52-1728688

Form 990-PF (2017)

Part XV
3

Grants and Contributions Paid During the Year or Approved for Future Payment
If recipient is an individual,
RecipientFoundation
show any relationship tostatus ofany foundation manager
Name and address (home or business)
recipientor substantial contributor

Purpose of grant orcontribution

Page 11Amount**a Paid during the year

ASPEN INSTITUTEONE DUPONT CIRCLE, NW, STE 700
WASHINGTON, DC 20036-1133

N/A

NON-PROFITORGANIZATION

U.S. ASSOCIATION OF FORMER MEMBERS OF N/ACONGRESS
1401 K STREET NW #503
WASHINGTON, DC 20005

NON-PROFITORGANIZATIONNATIONAL ASSOCIATION OF JAPAN-AMERICA N/A
SOCIETIES1819 L STREET NW, STE 800
WASHINGTON, DC 20036

NON-PROFITORGANIZATIONKIZUNA ACROSS CULTURES
718 7TH STREET NW, 2ND FLOORWASHINGTON, DC 20001

NON-PROFITORGANIZATIONINTERNATIONAL CENTER FOR JOURNALISTS
2000 M ST. NW, STE 250
WASHINGTON, DC 20036

N/A

N/A

NON-PROFITORGANIZATIONTO SUPPORT THE"AMERICA'S VITALINTERESTS IN ASIA:
TRADE, SECURITY &RESOURCE INTERESTS IN

501,952.

TO SUPPORT LEGISLATIVEEXCHANGE PROGRAMSCONDUCTED BY THE
CONGRESSIONAL STUDYGROUP ON JAPAN (CSGJ).

369,667.

TO SUPPORT A PROJECTOF THE "JAPAN-U.S.
MILITARY PROGRAM(JUMP)" ON THE THEMEOF "UPDATING AND

71,892.

TO SUPPORT THE "GLOBAL
CLASSMATES SUMMIT", AN
IN-PERSON EXCHANGE
BETWEEN AMERICAN AND
JAPANESE HIGH SCHOOL

31,182.

TO SUPPORT THE"SASAKAWA USA
JOURNALISMFELLOWSHIP", TO ENGAGE
AND EDUCATE MEMBERS OF

SEE CONTINUATION SHEET(S)Total 
b Approved for future payment

9

3a

9

3b

23,523.
1,075,741.

NONE

Total 
723611 01-03-18** SEE PURPOSE OF GRANT CONTINUATIONS

0.
Form 990-PF (2017)Form 990-PF (2017)

Part XVI-A

SASAKAWA PEACE FOUNDATION USA, INC.

52-1728688

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.
1 Program service revenue:
a
b
c
d
e
f
g Fees and contracts from government agencies ~~~2 Membership dues and assessments ~~~~~~~~~
3 Interest on savings and temporary cash
investments ~~~~~~~~~~~~~~~~~~~~
4 Dividends and interest from securities ~~~~~~~~
5 Net rental income or (loss) from real estate:

Unrelated business income(a)(b)
BusinessAmountcode

Excluded by section 512, 513, or 514(c)Exclusioncode(d)Amount16

Line No.

<

723621 01-03-18(e)
Related or exempt
function income238.

a Debt-financed property ~~~~~~~~~~~~~
16
247,525.
b Not debt-financed property ~~~~~~~~~~~~
6 Net rental income or (loss) from personal
property ~~~~~~~~~~~~~~~~~~~~~
7 Other investment income ~~~~~~~~~~~~~~
8 Gain or (loss) from sales of assets otherthan inventory ~~~~~~~~~~~~~~~~~~~
9 Net income or (loss) from special events ~~~~~~~
10 Gross profit or (loss) from sales of inventory ~~~~~
11 Other revenue:
a
b
c
d
e
0.
247,763.
12 Subtotal. Add columns (b), (d), and (e) ~~~~~~~~
13 Total. Add line 12, columns (b), (d), and (e) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Page 120.
247,763.

Relationship of Activities to the Accomplishment of Exempt Purposes

Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of
the foundation's exempt purposes (other than by providing funds for such purposes).

Form 990-PF (2017)

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688
Information Regarding Transfers to and Transactions and Relationships With Noncharitable
Exempt Organizations

Form 990-PF (2017)

Part XVIIPage 13

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c)Yes No(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:
X(1) Cash ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a(1)X(2) Other assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a(2)b Other transactions:
X(1) Sales of assets to a noncharitable exempt organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1b(1)X(2) Purchases of assets from a noncharitable exempt organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1b(2)X(3) Rental of facilities, equipment, or other assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1b(3)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)X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1c
d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market 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 incolumn (d) the value of the goods, other assets, or services received.
(a) Line no.
(b) Amount involved(c) Name of noncharitable exempt organization(d) Description of transfers, transactions, and sharing arrangements
1N/A

2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations describedin section 501(c) (other than section 501(c)(3)) or in section 527? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes
b If "Yes," complete the following schedule.
(a) Name of organization(b) Type of organization

X No(c) Description of relationship

N/A

Sign
Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

=

Signature of officer or trustee
Print/Type preparer's namePaid
Preparer
Use Only

Date
Preparer's
Preparparppa
arer's signature=

May the IRS discuss thiswith the preparer
CHIEF EXECUTIVE returnshown below? See instr.
OFFICERX Yes  No


Title
Date

1/30/19
PHILIP R. BAKER
CITRIN COOPERMAN
MAN & COMPANY,COMPANY LLP
L
Firm's name9
BETHESDA METRO CENTER, 11TH FLOOR
9 2BETHESDA,MD 20814

Check  if
self- employed
Firm's EIN

9

PTIN

P00010692
22-2428965

Firm's address

723622 01-03-18

Phone no.

301-654-9000
Form 990-PF (2017)

Part XV
3

SASAKAWA PEACE FOUNDATION USA, INC.
Supplementary Information

Grants and Contributions Paid During the Year (Continuation)
If recipient is an individual,
Recipientshow any relationship toany foundation manager
Name and address (home or business)or substantial contributor

EAST-WEST CENTER
1601 EAST-WEST ROAD
HONOLULU, HI 96848-1601

Foundation
status ofrecipient

N/A

NON-PROFITORGANIZATIONNATIONAL BUREAU OF ASIAN RESEARCHN/AGEORGE F. RUSSELL JR. HALL, 1414 NE
42ND ST. SUITE 300 SEATTLE, WA 98105

NON-PROFITORGANIZATIONUS JETAA US-JAPAN BRIDGING FOUNDATION N/A
1201 15TH ST, NW, SUITE 330
WASHINGTON, DC 20005

NON-PROFITORGANIZATIONAMERICAN POLITICAL SCIENCEASSOCIATION
1527 NEW HAMPSHIRE AVENUEWASHINGTON, DC 20036

N/A

NON-PROFITORGANIZATIONSHARON BURKE
609 SLIGO CREEK PARKWAY
TOKOMA PARK, MD 20912

NONE

INDIVIDUALGRACE B. CLEGG
1600 N. OAK STREET, UNIT 1429
ARLINGTON, VA 22209

NONE

INDIVIDUAL

YOKOSUKA COUNCIL ON ASIA-PACIFICSTUDIESPSC 473 BOX 5304 FPO AP 96349
JAPAN

N/A

NON-PROFITORGANIZATION

THE MAUREEN AND MIKE MANSFIELD
FOUNDATION
1156 15TH STREET, NW, STE 1105
WASHINGTON, DC 20005

N/A

NON-PROFITORGANIZATION

52-1728688

Purpose of grant orcontribution

TO SUPPORT THE"CONGRESSIONAL STAFF
PROGRAM ON ASIA"
PROGRAM, A
SEMESTER-LONG
TO SUPPORT THE"MARITIME AWARENESSPROJECT", TO ALLOWPOLICYMAKERS, THE
PRESS AND INTERESTEDTO SUPPORT THE"SASAKAWA USA/USJETAAGRANT PROGRAM FOR U.S.
JETAA CHAPTERS AND
SUBCHAPTERS" PROJECTTO SUPPORT THE "APSACONGRESSIONALFELLOWSHIP PROGRAM", A
NINE-MONTH PROGRAM TOEDUCATE THE APSATO SUPPORT SHARON
BURKE'S RESEARCH ON
JAPAN'S SHIFTINGSECURITY CONTEXT AND
HOLLISTIC DEFENSE.
TO SUPPORT GRACE
CLEGG'S RESEARCH ON
THE IMPACT OF
U.S.-JAPAN SISTER-CITY
RELATIONSHIPS"TO SUPPORT A PROJECTOF THE "JAPAN-U.S.
MILITARY PROGRAM(JUMP)" TO HOST A
SERIES OF SEMINARSTO SUPPORT THE"JAPAN-U.S. FRIENDSHIPCOMMISSION THOMAS S.
FOLEY LEGISLATIVEEXCHANGE", A PROGRAM

Total from continuation sheets 

72363104-01-17

Amount22,903.

14,924.

9,812.

9,600.

8,036.

7,500.

4,500.

250.

77,525.

Part XVSASAKAWA PEACE FOUNDATION USA, INC.
Supplementary Information

52-1728688

3a Grants and Contributions Paid During the Year Continuation of Purpose of Grant or Contribution

NAME OF RECIPIENT - ASPEN INSTITUTETO SUPPORT THE "AMERICA'S VITAL INTERESTS IN ASIA: TRADE, SECURITY &RESOURCE INTERESTS IN THE PACIFIC" PROJECT, A CONFERENCE IN JAPAN AND
KOREA TO HELP MEMBERS OF CONGRESS DEEPEN THEIR UNDERSTANDING OF THE
CHALLENGES UNDERLYING MANY POLICY QUESTIONS FACED BY THE U.S.

NAME OF RECIPIENT - NATIONAL ASSOCIATION OF JAPAN-AMERICA SOCIETIESTO SUPPORT A PROJECT OF THE "JAPAN-U.S. MILITARY PROGRAM (JUMP)" ON THE
THEME OF "UPDATING AND HONORING VETERANS: PERSPECTIVES ON THE
U.S.-JAPAN RELATIONSHIP."

NAME OF RECIPIENT - KIZUNA ACROSS CULTURESTO SUPPORT THE "GLOBAL CLASSMATES SUMMIT", AN IN-PERSON EXCHANGE
BETWEEN AMERICAN AND JAPANESE HIGH SCHOOL STUDENTS.

NAME OF RECIPIENT - INTERNATIONAL CENTER FOR JOURNALISTSTO SUPPORT THE "SASAKAWA USA JOURNALISM FELLOWSHIP", TO ENGAGE ANDEDUCATE MEMBERS OF THE U.S. MEDIA ON THE IMPORTANT ROLE THAT JAPANPLAYS IN INTERNATIONAL AFFAIRS.

NAME OF RECIPIENT - EAST-WEST CENTER
TO SUPPORT THE "CONGRESSIONAL STAFF PROGRAM ON ASIA" PROGRAM, A
SEMESTER-LONG CERTIFICATE PROGRAM TO EDUCATE U.S. CONGRESSIONAL
STAFFERS ON IMPORTANT ISSUES IN ASIA THAT AFFECTS THE UNITED STATES.

NAME OF RECIPIENT - NATIONAL BUREAU OF ASIAN RESEARCHTO SUPPORT THE "MARITIME AWARENESS PROJECT", TO ALLOW POLICYMAKERS, THE
PRESS AND INTERESTED PUBLIC BETTER UNDERSTAND CRITICAL MARITIME
723655 04-01-17

Part XVSASAKAWA PEACE FOUNDATION USA, INC.
Supplementary Information

52-1728688

3a Grants and Contributions Paid During the Year Continuation of Purpose of Grant or Contribution

PROBLEMS AND POSSIBLE ROUTES TO THEIR PEACEFUL RESOLUTION.

NAME OF RECIPIENT - US JETAA US-JAPAN BRIDGING FOUNDATIONTO SUPPORT THE "SASAKAWA USA/USJETAA GRANT PROGRAM FOR U.S. JETAACHAPTERS AND SUBCHAPTERS" PROJECT TO PROVIDE ALUMNI/ALUMNI ASSOCIATIONS
OF THE JAPAN EXCHANGE & TEACHING PROGRAMME (JET PROGRAM) IN THE UNITEDSTATES WITH AN OPPORTUNITY TO APPLY FOR GRANTS THROUGH USJETAA TO
ENHANCE JET ALUMNI ACTIVITIES AND FACILITATE JET ALUMNI'S CONTRIBUTIONSTO STRENGTHENING U.S.-JAPAN RELATIONS.

NAME OF RECIPIENT - AMERICAN POLITICAL SCIENCE ASSOCIATIONTO SUPPORT THE "APSA CONGRESSIONAL FELLOWSHIP PROGRAM", A NINE-MONTH
PROGRAM TO EDUCATE THE APSA FELLOWS ON CONGRESS AND PLACE THEM WITHIN ACONGRESSIONAL OFFICE TO WORK.

NAME OF RECIPIENT - YOKOSUKA COUNCIL ON ASIA-PACIFIC STUDIES"TO SUPPORT A PROJECT OF THE "JAPAN-U.S. MILITARY PROGRAM (JUMP)" TO
HOST A SERIES OF SEMINARS PROMOTING THE STRATEGIC, DIPLOMATIC, AND
LEGAL ISSUES AFFECTING THE UNITED STATES IN THE ASIA-PACIFIC REGION.

NAME OF RECIPIENT - THE MAUREEN AND MIKE MANSFIELD FOUNDATIONTO SUPPORT THE "JAPAN-U.S. FRIENDSHIP COMMISSION THOMAS S. FOLEYLEGISLATIVE EXCHANGE", A PROGRAM WHICH BRINGS TOGETHER U.S., JAPANESEAND KOREAN ELECTED OFFICIALS AND POLICY EXPERTS.

723655 04-01-17

Schedule B

Schedule of Contributors(Form 990, 990-EZ,
or 990-PF)| Attach to Form 990, Form 990-EZ, or Form 990-PF.
| Go to www.irs.gov/Form990 for the latest information.

Department of the Treasury
Internal Revenue Service

OMB No. 1545-0047

Name of the organization

2017
Employer identification number

SASAKAWA PEACE FOUNDATION USA, INC.

52-1728688

Organization type (check one):
Filers of:Section:Form 990 or 990-EZ

501(c)(



4947(a)(1) nonexempt charitable trust not treated as a private foundation527 political organizationX

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Form 990-PF) (enter number) organization

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 RuleX

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money orproperty) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under
sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received fromany one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h;or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during theyear, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or forthe prevention of cruelty to children or animals. Complete Parts I, II, and III.



For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during theyear, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box
is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc.,
purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively
religious, charitable, etc., contributions totaling $5,000 or more during the year ~~~~~~~~~~~~~~~ | $Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990-PF, Part I, line 2, tocertify that it doesn't meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
LHA For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.

723451 11-01-17

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

Page 2

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)
Name of organization

Employer identification number

SASAKAWA PEACE FOUNDATION USA, INC.
Part I

Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.

(a)
No.

1

52-1728688(b)Name, address, and ZIP + 4(c)Total contributions

THE SASAKAWA PEACE FOUNDATION
1-15-16 TORANOMON, MINATO-KU$

3,673,867.

2(b)Name, address, and ZIP + 4(c)Total contributions

THE EMBASSY OF JAPAN2520 MASSACHUSETTS AVENUE, N.W.

$

231,000.

3(b)Name, address, and ZIP + 4(c)Total contributions

PRIME MINISTER'S OFFICE OF JAPANEMBASSY OF JAPAN IN THE UNITED STATES
2520 MASSACHUSETTS AVENUE, N.W.

$

89,000.

(d)Type of contribution
PersonPayroll
Noncash

X




(d)
Type of contribution
PersonPayroll
NoncashX(Complete Part II for
noncash contributions.)

WASHINGTON, DC 20008
(a)
No.

X




(Complete Part II for
noncash contributions.)

WASHINGTON, DC 20008(a)No.

PersonPayroll
Noncash(Complete Part II for
noncash contributions.)

TOKYO, JAPAN 105-8524
(a)
No.

(d)
Type of contribution(b)Name, address, and ZIP + 4(c)Total contributions(d)Type of contribution
PersonPayroll
Noncash$(Complete Part II for
noncash contributions.)
(a)
No.

(b)
Name, address, and ZIP + 4(c)Total contributions(d)Type of contribution
PersonPayroll
Noncash$(Complete Part II for
noncash contributions.)
(a)
No.

(b)
Name, address, and ZIP + 4(c)Total contributions$(d)Type of contribution
PersonPayroll
Noncash(Complete Part II for
noncash contributions.)
723452 11-01-17

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

Page 3
Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)
Name of organization

SASAKAWA PEACE FOUNDATION USA, INC.
Part II

52-1728688

Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.

(a)
No.
from
Part I(b)
Description of noncash property given(c)
FMV (or estimate)(See instructions.)(d)
Date received(c)
FMV (or estimate)(See instructions.)(d)
Date received(c)
FMV (or estimate)(See instructions.)(d)
Date received(c)
FMV (or estimate)(See instructions.)(d)
Date received(c)
FMV (or estimate)(See instructions.)(d)
Date received(c)
FMV (or estimate)(See instructions.)(d)
Date received

$
(a)
No.
from
Part I(b)
Description of noncash property given

$
(a)
No.
from
Part I(b)
Description of noncash property given

$
(a)
No.
from
Part I(b)
Description of noncash property given

$
(a)
No.
from
Part I(b)
Description of noncash property given

$
(a)
No.
from
Part I(b)
Description of noncash property given$723453 11-01-17

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

Page 4
Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)
Name of organization

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 forPart IIIthe year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations
completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this info. once.) | $Use duplicate copies of Part III if additional space is needed.
(a) No.
fromPart I(b) Purpose of gift(c) Use of gift(d) Description of how gift is held(e) Transfer of gift
Transferee's name, address, and ZIP + 4(a) No.
fromPart I(b) Purpose of gift

Relationship of transferor to transferee(c) Use of gift(d) Description of how gift is held(e) Transfer of gift
Transferee's name, address, and ZIP + 4(a) No.
fromPart I(b) Purpose of gift

Relationship of transferor to transferee(c) Use of gift(d) Description of how gift is held(e) Transfer of gift
Transferee's name, address, and ZIP + 4(a) No.
fromPart I(b) Purpose of gift

Relationship of transferor to transferee(c) Use of gift(d) Description of how gift is held(e) Transfer of gift
Transferee's name, address, and ZIP + 4

723454 11-01-17

Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
DIVIDENDS AND INTEREST FROM SECURITIESSTATEMENT
1}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}SOURCE}}}}}}MERRILL LYNCH MM
TO PART I, LINE 4

CAPITAL
(A)
(B)
(C)
GROSS
GAINS
REVENUENET INVESTADJUSTEDAMOUNT
DIVIDENDSPER BOOKS MENT INCOME NET INCOME}}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}}
238.
238.
0.
238.
238.
}}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}}
238.
238.
238.
0.
238.
~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
RENTAL INCOME
STATEMENT
2}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}KIND AND LOCATION OF PROPERTY}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
1819 L STREET NWTOTAL TO FORM 990-PF, PART I, LINE 5A

ACTIVITYGROSSNUMBERRENTAL INCOME}}}}}}}} }}}}}}}}}}}}}}
1
1,606,770.
}}}}}}}}}}}}}}
1,606,770.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
RENTAL EXPENSES
STATEMENT
3}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
ACTIVITYDESCRIPTIONNUMBER}}}}}}}}}}}}}}}}}}}
DEPRECIATIONAMORTIZATIONBUILDING OPERATING EXPENSESTAXESCOMPENSATION OF OFFICERSOTHER EMPLOYEE SALARIESPENSION PLANS, EMPLOYEE BENEFITSACCOUNTING FEES
- SUBTOTAL 1

AMOUNT
TOTAL}}}}}}}}}}}}}} }}}}}}}}}}}}}}
256,724.
60,842.
687,642.
222,166.
42,153.
42,500.
36,683.
10,535.
1,359,245.
}}}}}}}}}}}}}}TOTAL RENTAL EXPENSES
1,359,245.
~~~~~~~~~~~~~~NET RENTAL INCOME TO FORM 990-PF, PART I, LINE 5B
247,525.
~~~~~~~~~~~~~~

STATEMENT(S) 1, 2, 3

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
LEGAL FEES
STATEMENT
4}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}DESCRIPTION}}}}}}}}}}}LEGAL
TO FM 990-PF, PG 1, LN 16A(A)
EXPENSESPER BOOKS}}}}}}}}}}}}
8,089.
}}}}}}}}}}}}
8,089.
~~~~~~~~~~~~

(B)
(C)
(D)
NET INVESTADJUSTEDCHARITABLE
MENT INCOME
NET INCOMEPURPOSES}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
0.
0.
8,089.
}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
8,089.
0.
0.
~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
ACCOUNTING FEES
STATEMENT
5}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}(A)
EXPENSESDESCRIPTIONPER BOOKS}}}}}}}}}}}}}}}}}}}}}}}
ACCOUNTING FEES
21,070.
}}}}}}}}}}}}TO FORM 990-PF, PG 1, LN 16B
21,070.
~~~~~~~~~~~~

(B)
(C)
(D)
NET INVESTADJUSTEDCHARITABLE
MENT INCOME
NET INCOMEPURPOSES}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
10,535.
0.
10,535.
}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
10,535.
0.
10,535.
~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
OTHER PROFESSIONAL FEES
STATEMENT
6}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}(A)
EXPENSESDESCRIPTIONPER BOOKS}}}}}}}}}}}}}}}}}}}}}}}OTHER PROFESSIONAL FEES
250,753.
}}}}}}}}}}}}
250,753.
TO FORM 990-PF, PG 1, LN 16C~~~~~~~~~~~~

(B)
(C)
(D)
NET INVESTADJUSTEDCHARITABLE
MENT INCOME
NET INCOMEPURPOSES}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
0.
0.
249,847.
}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
0.
0.
249,847.
~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
TAXES
STATEMENT
7}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}(A)
EXPENSESDESCRIPTIONPER BOOKS}}}}}}}}}}}}}}}}}}}}}}}REAL ESTATE TAXES
222,166.
EXCISE TAX
3,678.
}}}}}}}}}}}}
225,844.
TO FORM 990-PF, PG 1, LN 18~~~~~~~~~~~~

(B)
(C)
(D)
NET INVESTADJUSTEDCHARITABLE
MENT INCOME
NET INCOMEPURPOSES}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
222,166.
0.
0.
0.
0.
0.
}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
222,166.
0.
0.
~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~

STATEMENT(S) 4, 5, 6, 7

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
OTHER EXPENSES
STATEMENT
8}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}DESCRIPTION}}}}}}}}}}}
INSURANCE EXPENSECOMMUNICATION/DELIVERYDUES & SUBSCRIPTIONSOFFICE SUPPLIES EXPENSE AND
MISC.
MAINTENANCE FEE
HONORARIUMSBANK FEESPAYROLL PROCESSING FEESEDUCATION AND TRAINING
AMORTIZATIONTO FORM 990-PF, PG 1, LN 23

(A)
(B)
(C)
(D)
EXPENSES
NET INVESTADJUSTEDCHARITABLEPER BOOKS MENT INCOME
NET INCOMEPURPOSES}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
13,883.
0.
0.
13,666.
82,875.
0.
0.
70,807.
28,703.
0.
0.
28,381.
7,441.
0.
0.
3,106.
24,101.
0.
0.
24,101.
116,030.
0.
0.
112,481.
2,883.
0.
0.
2,431.
20,305.
0.
0.
20,305.
2,008.
0.
0.
1,760.
69,045.
60,842.
0.
}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}
367,274.
60,842.
277,038.
~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
OTHER DECREASES IN NET ASSETS OR FUND BALANCESSTATEMENT
9}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}DESCRIPTION}}}}}}}}}}}RESTATEMENT DUE TO STRAIGHT-LINE AMORTIZATION OF LEASESTOTAL TO FORM 990-PF, PART III, LINE 5

AMOUNT}}}}}}}}}}}}}}
294,290.
}}}}}}}}}}}}}}
294,290.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
DEPRECIATION OF ASSETS HELD FOR INVESTMENT
STATEMENT 10}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}DESCRIPTION}}}}}}}}}}}
LAND
1819 L BUILDINGTENANT IMPROVEMENTS
BLDG IMPROV - BATHROOMRENOVATION
L/H IMPROVS - EAST-WEST CTR.
L/H IMPROVS - JAPAN AMER.
STUDENT CONF
L/H IMPROVS - FRIENDS OF WORLDFO
L/H IMPROVS - AMERICAN NAT'L
STAN
L/H IMPROVS - JAPAN INT'L
TRANSPORTCOST ORACCUMULATEDOTHER BASIS
DEPRECIATIONBOOK VALUE}}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}
1,200,000.
0.
1,200,000.
2,800,000.
2,231,602.
568,398.
105,706.
105,706.
0.
90,577.
42,868.

29,025.
35,725.

61,552.
7,143.

13,997.

11,663.

2,334.

26,826.

22,350.

4,476.

114,304.

95,250.

19,054.

14,000.

10,730.

3,270.

STATEMENT(S) 8, 9, 10

SASAKAWA PEACE FOUNDATION USA, INC.
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
L/H IMPROVS - FRIENDS OF WORLD
L/H IMPROVS - NAPS EXPANSION
L/H IMPROVS - EAST-WEST CTR
L/H IMPROVS - JAPAN AMER.
SOCIETYTENANT IMPORV - 2ND FLOOR RENOWORKTENANT IMPORV - MAG LOCKINSTALLATIONTENANT IMPORV - 2ND FLR
ADDITIONAL WORKTENANT IMPORV - CHANGE ORDERITMESTENANT IMPORV - SUITE 200 &210 BUILDINGTENANT IMPORV - 4TH FLOORMODIFICATIONTENANT IMPORV - JOB # C.11.517
4TH FLOORURASENKE INC - SUITE 220
IMPROVSTENANT IMPORVS - SUITE 600
TENANT IMPROVEMENTS - MEMRICONFERENCE ROOM EXPANSION PARTITIONCONFERENCE ROOM DOORCONFERENCE ROOM EXPANSION LIGHTINGBUILDING IMPROVEMENT - LOBBYBLDG IMPROV - LOBBY RENO
COORDINATOR FBLDG IMPROV - 3X3RD FLR
BOARDS. 2 LOBBYBLDG IMPROV - 2ND FLOOR DEMO CORR
NEW DOMESTIC BOOSTER PUMPELEVATOR MODERNIZATIONHVAC - BUILDING IMPROVEMENT
HVAC EQUIPMENT
EMERGENCY GENERATORREPLACEMENTTENANT IMPROVEMENTSS
ELEVATOR AND LOBBY RENOVATIONSHVAC - BOILDER/DUCT HEATER
FIRE PUMPHVAC - WATER FURNACE HEATPUMPSTENANT IMPROVEMENTSCOMMISSION/LEGAL EXP - VENTANACOMMISSION/LEGAL EXP - FRIEND
OF WF
COMMISSION/LEGAL EXP - JAPANAMERICACOMMISSION/LEGAL EXP - NO
AMER. PREC

48,518.
22,000.
42,111.

33,967.
15,403.
19,649.

52-1728688}}}}}}}}}}
14,551.
6,597.
22,462.

5,759.

2,720.

3,039.

8,306.

3,693.

4,613.

7,204.

3,200.

4,004.

2,370.

1,053.

1,317.

8,306.

3,693.

4,613.

53,805.

23,913.

29,892.

59,327.

24,389.

34,938.

20,354.

8,255.

12,099.

78,060.
20,642.
140,250.

31,224.
8,256.
45,192.

46,836.
12,386.
95,058.

37,114.
5,977.

20,204.
5,977.

16,910.
0.

5,540.
5,424.

3,014.
2,443.

2,526.
2,981.

1,750.

780.

970.

1,433.

616.

817.

11,069.
29,619.
563,060.
35,290.
24,827.

4,735.
4,934.
78,201.
5,882.
3,503.

6,334.
24,685.
484,859.
29,408.
21,324.

113,503.
13,128.
242,537.
79,150.
23,260.

16,005.
4,375.
31,095.
10,145.
2,980.

97,498.
8,753.
211,442.
69,005.
20,280.

13,242.
168,232.
127,412.

1,360.
44,860.
127,412.

11,882.
123,372.
0.

63,487.

63,487.

0.

13,327.

13,327.

0.

14,989.

14,989.

0.

STATEMENT(S) 10

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}COMMISSION/LEGAL EXP - MIDDLE
EAST R
17,984.
17,984.
0.
COMMISSION - EAST-WEST CENTER
25,933.
25,933.
0.
NATIONAL ASSOCIATION - LEASE
2,204.
2,204.
0.
JITI COMMISSION - SUITE 1000
LEASE CO
17,288.
17,288.
0.
HOLZWORTH & CATO - COMMISSION
7,927.
7,927.
0.
LEASE FEES - URASENKE INC SUIT
10,652.
10,652.
0.
LEASE COMMISSIONS/FEES NA
12,513.
12,513.
0.
LEASE FEES - SUITE 220
5,000.
5,000.
0.
LEASE FEES - SUITE 500 AND 410
9,500.
4,592.
4,908.
LEASE COMMISSIONS/FEES
105,128.
50,813.
54,315.
LEASING COMMISSIONS
25,450.
7,635.
17,815.
BUILDING IMPORV
156,728.
10,047.
146,681.
TENANT IMPORV
600,093.
100,015.
500,078.
COMMISSIONS/FEES
125,503.
31,375.
94,128.
BUILDING IMPROV
76,252.
2,933.
73,319.
TENANT IMPROV
97,636.
9,764.
87,872.
COMMISSIONS/FEES
21,360.
8,188.
13,172.
BUILDING IMPROV
37,054.
475.
36,579.
TENANT IMPROV
121,683.
4,056.
117,627.
COMMISSIONS/FEES
32,612.
6,341.
26,271.
COMMISSIONS/FEES
24,787.
6,196.
18,591.
COMMISSIONS/FEES
79,291.
5,286.
74,005.
}}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}TOTAL TO FM 990-PF, PART II, LN 11
8,131,238.
3,574,199.
4,557,039.
~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT
STATEMENT 11}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}DESCRIPTION}}}}}}}}}}}WEBSITE RE-DESIGNWEBSITE RE-DESIGNWEBSITE RE-DESIGNWEBSITE RE-DESIGNCONFERENCE ROOM TABLE SET 6 PC
12 GLOBAL ALRERO CHAIRS AND
PODIUM
LEATHER RECEPTION COUCH
OFFICE FURNITURELOGO SIGN
OFFICE FURNITURE
OFFICE FURNITURE
OFFICE FURNITURE
OFFICE FURNITURE
OFFICE FURNITURE
OFFICE FURNITURE
LASERJET PRINTER - 4200 DTN
PRINTER

COST ORACCUMULATEDOTHER BASIS
DEPRECIATIONBOOK VALUE}}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}
7,000.
7,000.
0.
10,750.
10,750.
0.
13,750.
13,750.
0.
13,900.
11,197.
2,703.
4,355.
4,355.
0.
7,400.
489.
29,104.
2,555.
3,234.
19,197.
870.
725.
2,133.
5,286.

7,400.
478.
14,899.
1,278.
1,579.
9,140.
413.
338.
966.
2,643.

0.
11.
14,205.
1,277.
1,655.
10,057.
457.
387.
1,167.
2,643.

1,797.

1,797.

0.

STATEMENT(S) 10, 11

SASAKAWA PEACE FOUNDATION USA, INC.
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}POLYCOM HDS 7200 HD VIDEOSHARP HDTV 46
SONY RDR VX560 DVD/VCR COMBOATLAS 120W 6 INPUT MIXER AMPSHURE SCM 262 MIXERSHUE WIRELESS MICROPHONESYSTEM
ATLAS FAP 62T 26" 2-WAY
SPEAKERJUNIPER SSG4 VPN / FIREWALLSONY DCR X4500V VIDEO CAMERAADOBE CREATIVE SUITE 4 DESIGNPREMDELL P2210 22" MONITOR
DELL OPTIPLEX 780 MINITOWER(PRGM BOB)MS OFFICE PROFESSIONAL ACADEM
DELL OPTIPLEX 790 MINITOWER
DELL OPTIPLEX 780 MINITOWER
MAC AIR
APPLE MONITOR
HP PRINTER
WIRELESS ACCESS POINT ROUTER
TWO LAPTOPSSHORETEL PHONESDELL LAPTOPSSHORETEL PHONESSERVER COMPUTERWIRELESS ACCESS POINT ROUTER
SMART SWITCHLAPTOPLAPTOPSLAPTOP
PHONESMONITORS AND DOCKSCOMPUTER
MACBOOK PRO
HP COLOR LASERJET 300-400
HP SPECTRE LAPTOPSHORETEL PHONES
HP SPECTRE X360 LAPTOPDELL LATITUDE 14 5000 SERIESLAPTOP
SECURITY CAMERASHP LAPTOP PROBOOK 645
IKEA FILING CABINETS
MAC AIRLATITUDE 15 3000
NEWEGG ASUS Z LAPTOPSHORETEL PHONE EQUIPMENTFEDSOLUTIONS WIRELESS NETWORKRODE NTK RECORDING MICROPHONEW MIXEROFFICE DESK FOR PODCAST

7,800.
3,060.
200.
400.
325.

7,800.
3,060.
200.
400.
325.

52-1728688}}}}}}}}}}
0.
0.
0.
0.
0.

600.

600.

0.

440.
500.
1,000.

440.
500.
1,000.

0.
0.
0.

1,805.
239.

1,805.
239.

0.
0.

1,139.
365.
904.
1,427.
999.
999.
445.
1,138.
2,141.
1,974.
1,893.
658.
5,435.
1,200.
566.
2,013.
740.
549.
2,303.
3,563.
549.
1,589.
423.
1,484.
987.
1,484.

1,139.
365.
904.
1,427.
783.
783.
349.
855.
1,605.
1,481.
1,389.
484.
3,805.
840.
396.
1,343.
493.
357.
1,460.
2,258.
348.
980.
255.
866.
575.
792.

0.
0.
0.
0.
216.
216.
96.
283.
536.
493.
504.
174.
1,630.
360.
170.
670.
247.
192.
843.
1,305.
201.
609.
168.
618.
412.
692.

896.
329.
682.
797.
2,349.
1,110.
900.
2,632.
1,210.

448.
165.
340.
398.
1,136.
537.
330.
877.
403.

448.
164.
342.
399.
1,213.
573.
570.
1,755.
807.

1,058.
698.

353.
158.

705.
540.

STATEMENT(S) 11

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}AEDDEFIBRILLATOR KIT
1,280.
405.
875.
DELL LAPTOP
762.
228.
534.
DELL LAPTOP
1,185.
296.
889.
DELL LAPTOP
1,296.
238.
1,058.
DELL LAPTOP
1,296.
216.
1,080.
DELL LAPTOP
1,367.
68.
1,299.
DELL LAPTOP
1,525.
25.
1,500.
DELL LAPTOP
1,525.
25.
1,500.
}}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}TOTAL TO FM 990-PF, PART II, LN 14
198,778.
137,330.
61,448.
~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
OTHER LIABILITIESSTATEMENT 12}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}DESCRIPTION}}}}}}}}}}}TENANT SECURITY DEPOSITSDEFERRED RENT LIABILITIESBOY AMOUNTEOY AMOUNT}}}}}}}}}}}}}} }}}}}}}}}}}}}}
85,083.
63,443.
0.
278,933.
}}}}}}}}}}}}}} }}}}}}}}}}}}}}
85,083.
342,376.
~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~TOTAL TO FORM 990-PF, PART II, LINE 22~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
PART VIII - LIST OF OFFICERS, DIRECTORSSTATEMENT 13
TRUSTEES AND FOUNDATION MANAGERS}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}NAME AND ADDRESS}}}}}}}}}}}}}}}}NOBUO TANAKA
1819 L STREET NW SUITE 300
WASHINGTON, DC 20036

EMPLOYEETITLE ANDCOMPENBEN PLAN EXPENSEAVRG HRS/WK
SATIONCONTRIB ACCOUNT}}}}}}}}}}}}} }}}}}}}}}}} }}}}}}}} }}}}}}}}DIRECTOR
1.00
0.
0.
0.

TATSUYA TANAMI (UNTIL SEPTEMBER
2017)
1819 L STREET NW SUITE 300
WASHINGTON, DC 20036

SECRETARYAKINORI SUGAI1819 L STREET NW SUITE 300
WASHINGTON, DC 20036
RYOICHI ORIKI
1819 L STREET NW SUITE 300
WASHINGTON, DC 20036

1.00

0.

0.

0.

TREASURER
1.00

0.

0.

0.

DIRECTOR
1.00

0.

0.

0.

STATEMENT(S) 11, 12, 13

SASAKAWA PEACE FOUNDATION USA, INC.
}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
JUNKO CHANOPRESIDENT
1819 L STREET NW SUITE 300
7.00
WASHINGTON, DC 20036

52-1728688}}}}}}}}}}
0.

0.

0.

DENNIS BLAIR
1819 L STREET NW SUITE 300
WASHINGTON, DC 20036

CHAIRMAN AND DISTINGUISHED SR FELLOW
6.00
125,000.
0.

0.

JAMES ZUMWALT
1819 L STREET NW SUITE 300
WASHINGTON, DC 20036

CHIEF EXECUTIVE OFFICER
35.00
225,000.

44,811.

0.

ICHIRO KABASAWA (EFF SEPTEMBER
2017)
1819 L STREET NW SUITE 300
WASHINGTON, DC 20036

DIRECTOR
0.

0.

1.00

TOTALS INCLUDED ON 990-PF, PAGE 6, PART VIII

0.

}}}}}}}}}}} }}}}}}}} }}}}}}}}
350,000. 44,811.
0.
~~~~~~~~~~~ ~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
SUMMARY OF DIRECT CHARITABLE ACTIVITIESSTATEMENT 14}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
ACTIVITY ONE}}}}}}}}}}}}"STRENGTHENING THE US-JAPAN RELATIONSHIP FROM USPERSPECTIVES" PROJECTHOSTED OR CO-HOSTED OVER 25 PUBLIC CONFERENCES, SEMINARS AND
WORKSHOPS THROUGHOUT THE UNITED STATES AND IN JAPAN,
ORGANIZED STUDY TRIPS FOR U.S. EMERGING EXPERTS, PROVIDED
POLICY BRIEFINGS AND EDUCATIONAL EVENTS TO STAFFERS AND
MEMBERS OF THE U.S. CONGRESS, PRODUCED TWO MAJOR
PUBLICATIONS, AND DOZENS OF COMMENTARY/ARTICLES ON POLICYISSUES OF IMPORTANCE TO STRENGTHEN THE U.S.-JAPANRELATIONSHIP.

TO FORM 990-PF, PART IX-A, LINE 1

EXPENSES}}}}}}}}}}}}}}
1,802,091.
~~~~~~~~~~~~~~

STATEMENT(S) 13, 14

SASAKAWA PEACE FOUNDATION USA, INC.
52-1728688}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-PF
SUMMARY OF DIRECT CHARITABLE ACTIVITIESSTATEMENT 15}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
ACTIVITY THREE}}}}}}}}}}}}}}"JAPAN U.S. MILITARY PROGRAM (JUMP)"ORGANIZED AT LEAST SIX MAJOR EVENTS THROUGHOUT THE UNITEDSTATES AND CONDUCTED SOCIAL NETWORK OUTREACH TO INFORM AND
CONNECT AMERICANS WHO HAVE SERVED OR ARE SERVING IN THE U.S.
FORCES IN JAPAN TO FACILITATE THEIR CONTRIBUTIONS TO
STRENGTHENING THE U.S.-JAPAN RELATIONSHIP.

TO FORM 990-PF, PART IX-A, LINE 3

EXPENSES}}}}}}}}}}}}}}
154,608.
~~~~~~~~~~~~~~

STATEMENT(S) 15

BUILDINGS

Description

Method05/15/91 ADS

Date
Acquired

HY43

60M
60M
48M

120M HY43

02/01/13
04/01/12
06/01/13
06/01/13

290 LEASE COMMISSIONS/FEES NA

291 LEASE FEES - SUITE 220
LEASE FEES - SUITE 500 AND
292 410293 LEASE COMMISSIONS/FEES

120M HY43

HY43

HY43

HY43

HY43

60M

60M

HY43

69M

HY43

HY43

60M

36M

HY43

60M

HY43

63,487.

HY4384M(D) - Asset disposed

105,128.

9,500.

5,000.

12,513.

10,652.

7,927.

17,288.

2,204.

25,933.

17,984.

14,989.

13,327.

127,412.

120M HY43

36M

728111 04-01-17

Bus
%
Excl

Section 179
Expense*
Reduction In
Basis
Basis For
Depreciation

Beginning
Accumulated
Depreciation

40,300.

3,642.

5,000.

10,429.

10,652.

7,927.

17,288.

2,204.

25,933.

17,984.

14,989.

13,327.

63,487.

Current
Sec 179
ExpenseEndingAccumulated
Depreciation

10,513.

950.

0.

2,084.

0.

0.

0.

0.

0.

0.

0.

0.

0.

50,813.

4,592.

5,000.

12,513.

10,652.

7,927.

17,288.

2,204.

25,933.

17,984.

14,989.

13,327.

63,487.

8,496. 127,412.

103,704.2,231,602.

103,704.2,231,602.

Current Year
Deduction* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

105,128.

9,500.

5,000.

12,513.

10,652.

7,927.

17,288.

2,204.

25,933.

17,984.

14,989.

13,327.

63,487.

127,412. 118,916.

2,800,000.2,127,898.

Unadjusted
Cost Or Basis

2,800,000.

Line
No.

1

2,800,000.2,127,898.

C
o
n
v

RENT

27.00 HY17 2,800,000.

Life286 NATIONAL ASSOCIATION - LEASE 06/14/11
JITI COMMISSION - SUITE 1000
287 LEASE CO
09/02/11
HOLZWORTH & CATO 288 COMMISSION
02/10/12
LEASE FEES - URASENKE INC 289 SUIT
03/01/12

TRANSPORTATION EQUIPMENTCOMMISSION/LEGAL EXP 280 VENTANA
12/01/07
COMMISSION/LEGAL EXP 281 FRIEND OF WF
08/01/07
COMMISSION/LEGAL EXP - JAPAN282 AMERICA
01/01/08
COMMISSION/LEGAL EXP - NO
283 AMER. PREC
02/01/08
COMMISSION/LEGAL EXP 284 MIDDLE EAST R
09/01/07
COMMISSION - EAST-WEST
285 CENTER
02/01/11

159 1819 L BUILDING* 990-PF RENTAL TOTALBUILDINGS

Asset
No.

1819 L STREET NW2017 DEPRECIATION AND AMORTIZATION REPORT09/01/17
03/01/17
12/01/17

354 COMMISSIONS/FEES

370 COMMISSIONS/FEES

371 COMMISSIONS/FEES* 990-PF RENTAL TOTAL
TRANSPORTATION EQUIPMENT

C
o
n
v
Line
No.

HY42

HY43

HY42

HY43

42,868.
13,997.
26,826.
114,304.
14,000.

15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17

169 L/H IMPROVS - EAST-WEST CTR. 10/01/05 ADS
L/H IMPROVS - JAPAN AMER.
170 STUDENT CONF
10/01/05 ADS
L/H IMPROVS - FRIENDS OF
171 WORLD FO
10/01/05 ADS
L/H IMPROVS - AMERICAN NAT'L
172 STAN
10/01/05 ADS
L/H IMPROVS - JAPAN INT'L
173 TRANSPORT
10/01/06 ADS(D) - Asset disposed

90,577.

39.00 MM16

105,706.

1,200,000.

10/01/05 SL

728111 04-01-17

24,787.

32,612.

21,360.

125,503.

25,450.

Basis For
Depreciation

1,239.

1,068.

18,825.

5,090.

Beginning
Accumulated
Depreciation

0.

9,797.

87,630.

20,562.

10,730.

32,867.

26,703.

Current
Sec 179
Expense5,286.

6,196.

6,341.

8,188.

31,375.

7,635.

EndingAccumulated
Depreciation

0.

933.

7,620.

1,788.

933.

2,858.

2,322.

10,730.

95,250.

22,350.

11,663.

35,725.

29,025.

0. 105,706.

0.

0.

60,842. 439,142.

5,286.

4,957.

6,341.

7,120.

12,550.

2,545.

Current Year
Deduction* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

14,000.

114,304.

26,826.

13,997.

42,868.

90,577.

105,706. 105,706.

1,200,000.

1,200,000.

742,347. 378,300.

*
Reduction In
Basis

742,347.

Section 179
Expense1

79,291.

Bus
%
Excl

RENT

79,291.

24,787.

32,612.

21,360.

125,503.

25,450.

Unadjusted
Cost Or Basis.000 HY16 1,200,000.

60M

60M

36M

36M

120M HY43

120M HY43

Life

5.00 HY17

Method

12/15/98 ADS

166 TENANT IMPROVEMENTS
BLDG IMPROV - BATHROOM
168 RENOVATION

OTHER* 990-PF RENTAL TOTAL LAND

157 LAND

05/15/91

03/01/17

338 COMMISSIONS/FEES

LAND

10/15/15

329 COMMISSIONS/FEES

Date
Acquired

03/31/15

Description

294 LEASING COMMISSIONS

Asset
No.

1819 L STREET NW2017 DEPRECIATION AND AMORTIZATION REPORTDescription

5,759.
8,306.
7,204.
2,370.
8,306.
53,805.
59,327.
20,354.
78,060.

140,250.
37,114.

15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17
15.00 HY17

04/01/12 ADS

186 TENANT IMPORVS - SUITE 600

187 TENANT IMPROVEMENTS - MEMRI 06/01/13 ADS
CONFERENCE ROOM EXPANSION 204 PARTITION
01/21/10 ADS

15.00 HY17207 BUILDING IMPROVEMENT - LOBBY 07/07/11 ADS

Bus
%
Excl

RENT

(D) - Asset disposed

5,424.

5,540.

15.00 HY17

728111 04-01-17

5,977.

7.00 HY17

205 CONFERENCE ROOM DOOR
02/24/10 ADS
CONFERENCE ROOM EXPANSION 206 LIGHTING
01/21/10 ADS

20,642.

22,000.
42,111.

48,518.

Unadjusted
Cost Or Basis

15.00 HY17

Line
No.

176 L/H IMPROVS - EAST-WEST CTR 03/25/11 ADS
L/H IMPROVS - JAPAN AMER.
177 SOCIETY
02/28/11 ADSTENANT IMPORV - 2ND FLOOR
178 RENO WORK
07/30/11 ADSTENANT IMPORV - MAG LOCK179 INSTALLATION
07/30/11 ADSTENANT IMPORV - 2ND FLR
180 ADDITIONAL WORK
07/03/11 ADSTENANT IMPORV - CHANGE ORDER
181 ITMES
07/03/11 ADSTENANT IMPORV - SUITE 200 &182 210 BUILDING
07/03/11 ADSTENANT IMPORV - 4TH FLOOR
183 MODIFICATION
01/31/12 ADSTENANT IMPORV - JOB #184 C.11.517 4TH FLOOR
02/29/12 ADS
URASENKE INC - SUITE 220
185 IMPROVS
03/25/12 ADS

C
o
n
v

15.00 HY17

Life175 L/H IMPROVS - NAPS EXPANSION 10/01/07 ADS

Method15.00 HY17

Date
Acquired

10/01/07 ADS

L/H IMPROVS - FRIENDS OF
174 WORLD

Asset
No.

1819 L STREET NW2017 DEPRECIATION AND AMORTIZATION REPORT

Section 179
Expense1*
Reduction In
Basis

2,081.

2,645.

5,977.

17,730.

35,842.

6,880.

26,020.

6,898.

20,434.

20,326.

3,139.

895.

2,720.

3,139.

2,336.

16,842.

13,936.

30,732.

Beginning
Accumulated
Depreciation

Current
Sec 179
Expense

362.

369.

0.

2,474.

9,350.

1,376.

5,204.

1,357.

3,955.

3,587.

554.

158.

480.

554.

384.

2,807.

1,467.

3,235.

Current Year
Deduction

2,443.

3,014.

5,977.

20,204.

45,192.

8,256.

31,224.

8,255.

24,389.

23,913.

3,693.

1,053.

3,200.

3,693.

2,720.

19,649.

15,403.

33,967.

EndingAccumulated
Depreciation* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

5,424.

5,540.

5,977.

37,114.

140,250.

20,642.

78,060.

20,354.

59,327.

53,805.

8,306.

2,370.

7,204.

8,306.

5,759.

42,111.

22,000.

48,518.

Basis For
Depreciation

39.00 MM1604/01/13 SL
04/01/14 SL
04/01/14 SL
10/15/15 SL
10/15/15 SL
10/15/16 SL
10/15/16 SL

219 FIRE PUMPHVAC - WATER FURNACE HEAT
220 PUMPS

221 TENANT IMPROVEMENTS

321 BUILDING IMPORV

322 TENANT IMPORV

336 BUILDING IMPROV

337 TENANT IMPROV

728111 04-01-17

39.00 MM1604/01/13 SL

218 HVAC - BOILDER/DUCT HEATER

16

16

15.00

16

39.00 MM16

15.00

39.00 MM16

15.00

39.00 MM1639.00 MM1604/01/13 SL

1639.00 MM16

10/01/12 SL
15.00

39.00 MM16

10/01/11 SL

214 HVAC EQUIPMENT
EMERGENCY GENERATOR
215 REPLACEMENT
04/01/13 SL

39.00 MM16213 HVAC - BUILDING IMPROVEMENT 10/01/11 SL

216 TENANT IMPROVEMENTSS
ELEVATOR AND LOBBY
217 RENOVATIONS

39.00 MM16

11/01/12 SL

212 ELEVATOR MODERNIZATION

Bus
%
Excl

RENT

(D) - Asset disposed

97,636.

76,252.

600,093.

156,728.

168,232.

13,242.

23,260.

79,150.

242,537.

13,128.

113,503.

24,827.

35,290.

563,060.

29,619.

39.00 MM16

09/29/11 SL

211 NEW DOMESTIC BOOSTER PUMP

Unadjusted
Cost Or Basis

11,069.

LineNo.

15.00 HY17

C
o
n
v

1,433.

Life

15.00 HY17

Method1,750.

Date
Acquired

15.00 HY17

Description

BLDG IMPROV - LOBBY RENO
208 COORDINATOR F
07/22/11 ADSBLDG IMPROV - 3X3RD FLR
209 BOARDS. 2 LOBBY
11/08/11 ADSBLDG IMPROV - 2ND FLOOR DEMO
10/31/11 ADS
210 - CORR

Asset
No.

1819 L STREET NW2017 DEPRECIATION AND AMORTIZATION REPORT

Section 179
Expense1*
Reduction In
Basis

3,255.

978.

60,009.

6,028.

33,645.

1,020.

2,384.

8,116.

24,876.

3,500.

13,095.

2,866.

4,977.

63,764.

4,175.

3,997.

520.

663.

Beginning
Accumulated
Depreciation

Current
Sec 179
Expense

10,047.

44,860.

1,360.

2,980.

10,145.

31,095.

4,375.

16,005.

3,503.

5,882.

78,201.

4,934.

4,735.

616.

780.

EndingAccumulated
Depreciation

6,509.

1,955.

9,764.

2,933.

40,006. 100,015.

4,019.

11,215.

340.

596.

2,029.

6,219.

875.

2,910.

637.

905.

14,437.

759.

738.

96.

117.

Current Year
Deduction* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

97,636.

76,252.

600,093.

156,728.

168,232.

13,242.

23,260.

79,150.

242,537.

13,128.

113,503.

24,827.

35,290.

563,060.

29,619.

11,069.

1,433.

1,750.

Basis For
Depreciation121,683.

37,054.

Basis For
Depreciation

Beginning
Accumulated
Depreciation

728111 04-01-17

Current
Sec 179
Expense4,056.

475.

EndingAccumulated
Depreciation

3,574,199.

0.

16,158.

3,558,041.

317,566.3,574,199.

153,020. 903,455.

4,056.

475.

Current Year
Deduction* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

4,557,039.

ENDING BOOK VALUE(D) - Asset disposed

0.
0. 8,131,238.3,256,633.

0.

0.

3,574,199.

8,131,238.

ENDING BALANCE

0.

270,640.

ENDING ACCUM DEPR

0.

DISPOSITIONS

0.

0. 7,860,598.3,256,633.

8,131,238.3,256,633.

*
Reduction In
Basis

8,131,238.

Section 179
Expense1

3,388,891. 750,435.

Bus
%
Excl

RENT

3,388,891.

121,683.

37,054.

Unadjusted
Cost Or Basis

270,640.

16

16

Line
No.

ACQUISITIONS

C
o
n
v

7,860,598.

15.00

39.00

Life

BEGINNING BALANCECURRENT YEAR ACTIVITY* 990-PF RENTAL TOTAL OTHER* GRAND TOTAL 990-PF RENTAL
DEPR & AMORT

10/15/17 SL

Method353 TENANT IMPROV

Date
Acquired

10/15/17 SL

Description

352 BUILDING IMPROV

Asset
No.

1819 L STREET NW2017 DEPRECIATION AND AMORTIZATION REPORT10/09/14 SL
11/12/14 SL
12/02/14 SL
12/05/14 SL
01/14/15 SL
01/26/15 SL
10/07/14 SL
10/15/15 SL
09/15/16 SL

198 OFFICE FURNITURE

199 OFFICE FURNITURE

200 OFFICE FURNITURE

201 OFFICE FURNITURE

202 OFFICE FURNITURE

203 OFFICE FURNITURE

312 IKEA FILING CABINETS(D) - Asset disposed473.

5.00 HY17

12/20/06 ADS

231 (D)SONY DIGITAL CAMERA

728111 04-01-17

1,797.

5.00 HY17

MACHINERY & EQUIPMENTLASERJET PRINTER - 4200 DTN
225 PRINTER
06/15/03 ADS

473.

1,797.

34,701.

58.

239.

1,888.

661.

234.

289.

6,398.

1,117.

913.

10,741.

408.

7,400.

4,355.

Beginning
Accumulated
Depreciation

Current
Sec 179
Expense0.

0.

9,344.

100.

159.

755.

305.

104.

124.

2,742.

462.

365.

4,158.

70.

0.

0.

Current Year
Deduction

473.

1,797.

44,045.

158.

398.

2,643.

966.

338.

413.

9,140.

1,579.

1,278.

14,899.

478.

7,400.

4,355.

EndingAccumulated
Depreciation* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone473.

1,797.

76,843.

797.

5,286.

2,133.

725.

870.

19,197.

3,234.

2,555.

29,104.

489.

7,400.

4,355.

Basis For
Depreciation

76,843.

*
Reduction In
Basis

698.

16

797.

5,286.

2,133.

725.

870.

19,197.

3,234.

2,555.

Section 179
Expense

698.

7.00

16

16

16

16

16

16

16

16

29,104.

Bus
%
Excl

990-PF

343 OFFICE DESK FOR PODCAST* 990-PF PG 1 TOTALFURNITURE & FIXTURES

5.00

7.00

7.00

7.00

7.00

7.00

7.00

7.00

16

197 LOGO SIGN

7.00

09/09/14 SL

196 OFFICE FURNITURE

489.

7.00 HY17

Unadjusted
Cost Or Basis

06/11/11 ADS

Line
No.

192 LEATHER RECEPTION COUCH

C
o
n
v

7,400.

Life

7.00 HY17

Method4,355.

Date
Acquired

7.00 HY17

Description

FURNITURE & FIXTURESCONFERENCE ROOM TABLE SET 6
189 PC
11/24/09 ADS
12 GLOBAL ALRERO CHAIRS AND
03/26/10 ADS
190 PODIUM

Asset
No.

FORM 990-PF PAGE 1

2017 DEPRECIATION AND AMORTIZATION REPORT5.00

05/09/14 SL
05/09/14 SL

262 MAC AIR

263 APPLE MONITOR

5.00

5.00 HY17259 DELL OPTIPLEX 780 MINITOWER 03/12/12 ADS

728111 04-01-17

5.00 HY17258 DELL OPTIPLEX 790 MINITOWER 01/12/12 ADS

16

16

3.00 HY17

01/12/12 ADS

3.00 HY17

3.00 HY17

5.00 HY17247 SONY DCR X4500V VIDEO CAMERA 03/25/10 ADS
ADOBE CREATIVE SUITE 4
248 DESIGN PREM
03/30/10 ADS

01/12/12 ADS

5.00 HY17

246 JUNIPER SSG4 VPN / FIREWALL 03/01/10 ADS

5.00 HY17

5.00 HY17

03/01/10 ADS

05/01/11 ADS

5.00 HY17

03/01/10 ADS

5.00 HY17

5.00 HY17

03/01/10 ADS

243 SHURE SCM 262 MIXERSHUE WIRELESS MICROPHONE
244 SYSTEMATLAS FAP 62T 26" 2-WAY
245 SPEAKER

10/25/10 ADS

1,805.

5.00 HY17

242 ATLAS 120W 6 INPUT MIXER AMP 03/01/10 ADS

253 DELL P2210 22" MONITOR
DELL OPTIPLEX 780 MINITOWER
255 (PRGM BOB)
(D)WINDOWS 7 ULTIMATE 256 JAPANESEMS OFFICE PROFESSIONAL
257 ACADEM

1,000.

5.00 HY17

Bus
%
Excl

990-PF(D) - Asset disposed

999.

999.

1,427.

904.

365.

500.

1,139.

239.

500.

440.

600.

325.

400.

200.

3,060.

7,800.

Unadjusted
Cost Or Basis

241 SONY RDR VX560 DVD/VCR COMBO 02/23/10 ADS

Line
No.

5.00 HY17Conv

5.00 HY17

Life

02/23/10 ADS

Method239 SHARP HDTV 46

Date
Acquired

02/23/10 ADS

Description

238 POLYCOM HDS 7200 HD VIDEO

Asset
No.

FORM 990-PF PAGE 1

2017 DEPRECIATION AND AMORTIZATION REPORT

Section 179
Expense*
Reduction In
Basis

583.

583.

1,427.

904.

365.

500.

1,139.

239.

1,805.

1,000.

500.

440.

600.

325.

400.

200.

3,060.

7,800.

Beginning
Accumulated
Depreciation

Current
Sec 179
Expense

200.

200.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

Current Year
Deduction

783.

783.

1,427.

904.

365.

500.

1,139.

239.

1,805.

1,000.

500.

440.

600.

325.

400.

200.

3,060.

7,800.

EndingAccumulated
Depreciation* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

999.

999.

1,427.

904.

365.

500.

1,139.

239.

1,805.

1,000.

500.

440.

600.

325.

400.

200.

3,060.

7,800.

Basis For
Depreciation

5.00
5.00
5.00

07/14/14 SL
08/15/14 SL
08/15/14 SL
09/30/14 SL

12/04/14 SL
12/04/14 SL
01/15/15 SL
01/27/15 SL
02/11/15 SL
02/13/15 SL
03/03/15 SL
04/15/15 SL
05/15/15 SL

268 DELL LAPTOPS

269 SHORETEL PHONES

270 SERVER COMPUTER

271 WIRELESS ACCESS POINT ROUTER 09/30/14 SL
09/30/14 SL

267 SHORETEL PHONES

272 SMART SWITCH

273 LAPTOP

274 LAPTOPS

275 LAPTOP

276 PHONES

277 MONITORS AND DOCKS

278 COMPUTER

279 MACBOOK PRO

299 HP COLOR LASERJET 300-400

306 HP SPECTRE LAPTOP

728111 04-01-17

5.00

06/30/14 SL

266 TWO LAPTOPS

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

Life

265 WIRELESS ACCESS POINT ROUTER 06/30/14 SL

Method5.00

Date
Acquired

05/09/14 SL

Description

264 HP PRINTER

Asset
No.

FORM 990-PF PAGE 1

2017 DEPRECIATION AND AMORTIZATION REPORT

C
o
n
v

16

16

16

16

16

16

16

16

16

16

16

16

16

16

16

16

16

16

Line
No.

Bus
%
Excl

(D) - Asset disposed

1,484.

423.

1,589.

549.

3,563.

2,303.

549.

740.

2,013.

566.

1,200.

5,435.

658.

1,893.

1,974.

2,141.

1,138.

445.

Unadjusted
Cost Or Basis

990-PF
Section 179
Expense*
Reduction In
Basis

569.

170.

662.

238.

1,545.

999.

247.

345.

940.

283.

600.

2,718.

352.

1,010.

1,086.

1,177.

627.

260.

Beginning
Accumulated
Depreciation

Current
Sec 179
Expense

297.

85.

318.

110.

713.

461.

110.

148.

403.

113.

240.

1,087.

132.

379.

395.

428.

228.

89.

Current Year
Deduction

866.

255.

980.

348.

2,258.

1,460.

357.

493.

1,343.

396.

840.

3,805.

484.

1,389.

1,481.

1,605.

855.

349.

EndingAccumulated
Depreciation* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

1,484.

423.

1,589.

549.

3,563.

2,303.

549.

740.

2,013.

566.

1,200.

5,435.

658.

1,893.

1,974.

2,141.

1,138.

445.

Basis For
Depreciation

5.00
5.00

11/15/15 SL
11/15/15 SL
06/15/16 SL
08/15/16 SL
08/15/16 SL
08/15/16 SL
09/15/16 SL
10/15/16 SL
01/15/17 SL
05/15/17 SL
06/15/17 SL
01/15/18 SL
03/15/18 SL

313 MAC AIR

314 LATITUDE 15 3000

339 NEWEGG ASUS Z LAPTOP

340 SHORETEL PHONE EQUIPMENTFEDSOLUTIONS WIRELESS
341 NETWORKRODE NTK RECORDING
342 MICROPHONE W MIXER

344 AEDDEFIBRILLATOR KIT

345 DELL LAPTOP

346 DELL LAPTOP360 DELL LAPTOP

361 DELL LAPTOP

362 DELL LAPTOP

363 DELL LAPTOP

728111 04-01-17

5.00

10/15/15 SL

311 HP LAPTOP PROBOOK 645

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

10/15/15 SL

310 SECURITY CAMERAS

16

16

16

16

16

16

16

16

16

16

16

16

16

16

16

16

5.00

16

Line
No.

16

C
o
n
v

5.00

Life

308 HP SPECTRE X360 LAPTOP
08/15/15 SL
DELL LATITUDE 14 5000 SERIES
10/15/15 SL
309 LAPTOP

Method5.00

Date
Acquired

05/15/15 SL

Description

307 SHORETEL PHONES

Asset
No.

FORM 990-PF PAGE 1

2017 DEPRECIATION AND AMORTIZATION REPORT

Bus
%
Excl

(D) - Asset disposed

1,525.

1,367.

1,296.

1,296.

1,185.

762.

1,280.

1,058.

1,210.

2,632.

900.

1,110.

2,349.

682.

329.

896.

1,484.

987.

Unadjusted
Cost Or Basis

990-PF
Section 179
Expense*
Reduction In
Basis

59.

76.

149.

141.

161.

351.

150.

315.

666.

204.

99.

269.

495.

378.

Beginning
Accumulated
Depreciation

Current
Sec 179
Expense

25.

68.

216.

238.

237.

152.

256.

212.

242.

526.

180.

222.

470.

136.

66.

179.

297.

197.

Current Year
Deduction

25.

68.

216.

238.

296.

228.

405.

353.

403.

877.

330.

537.

1,136.

340.

165.

448.

792.

575.

EndingAccumulated
Depreciation* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

1,525.

1,367.

1,296.

1,296.

1,185.

762.

1,280.

1,058.

1,210.

2,632.

900.

1,110.

2,349.

682.

329.

896.

1,484.

987.

Basis For
Depreciation

Description

03/15/13
07/14/14
10/30/14
10/30/15

132 WEBSITE RE-DESIGN

133 WEBSITE RE-DESIGN

144 WEBSITE RE-DESIGN

16

Line
No.

728111 04-01-17

ENDING BOOK VALUE(D) - Asset disposed

198,778.

973.

DISPOSITIONSENDING BALANCE
ENDING ACCUM DEPR LESSDISPOSITIONS

7,009.

0.

0.

0.

973.

0.

Current
Sec 179
Expense42,697.

11,197.

13,750.

10,750.

7,000.

51,561.

25.

EndingAccumulated
Depreciation

137,330.

973.

572.

137,731.

27,627. 138,303.

8,203.

4,633.

2,674.

896.

0.

10,080.

25.

Current Year
Deduction* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

61,448.

137,330.

198,778. 109,703.

973.

7,009.

192,742. 110,676.

199,751. 110,676.

199,751.

34,494.

6,564.

11,076.

9,854.

7,000.

45,400.

13,900.

13,750.

10,750.

7,000.

41,481.

Beginning
Accumulated
Depreciation

45,400.

13,900.

13,750.

10,750.

7,000.

0.

Basis For
Depreciation

77,508.

*Reduction In
Basis

77,508.

Section 179
Expense1,525.

Bus%
Excl

990-PF

1,525.

Unadjusted
Cost Or BasisACQUISITIONS

HY43

HY43

HY43

HY43

C
o
n
v

192,742.

36M

36M

36M

36M

5.00

Life

BEGINNING BALANCECURRENT YEAR ACTIVITY* 990-PF PG 1 TOTAL OTHER* GRAND TOTAL 990-PF PG 1
DEPR & AMORT

Method03/15/18 SL

Date
Acquired

131 WEBSITE RE-DESIGNOTHER

364 DELL LAPTOP* 990-PF PG 1 TOTALMACHINERY & EQUIPMENT

Asset
No.

FORM 990-PF PAGE 1

2017 DEPRECIATION AND AMORTIZATION REPORT2018 ESTIMATED TAX FILING INSTRUCTIONSFORM 990-W

FOR THE YEAR ENDING
March 31, 2019~~~~~~~~~~~~~~~~~~
Prepared for
Sasakawa Peace Foundation USA, Inc.
1819 L Street NW No. 300
Washington, DC 20036
Prepared by
Citrin Cooperman & Company, LLP
2 Bethesda Metro Center, 11th Floor
Bethesda, MD 20814
Amount of tax

Total Estimated Tax
Less credit from prior year
Less amount already paid on 2018 estimate
Balance due

5,175$ ~~~~~~~~~~~~~
375$ ~~~~~~~~~~~~~$ ~~~~~~~~~~~~~04,800$ ~~~~~~~~~~~~~

Payable in full or in installments as follows:
Installment

Amount

No. 1
No. 2
No. 3
No. 4

1,200
$ ~~~~~~~~~~~~~
1,200$ ~~~~~~~~~~~~~
1,200$ ~~~~~~~~~~~~~
1,200$ ~~~~~~~~~~~~~

Due Date

August 15, 2018
September 17, 2018
December 17, 2018
March 15, 2019

Make checkpayable to

Payments should be made using the Electronic Federal Tax
Payment System (EFTPS).

Mail voucher
and check (ifapplicable) to

Not applicableSpecialInstructions

700021 04-01-17

SASAKAWA PEACE FOUNDATION USA, INC.
Form

990-W

(Worksheet)
Department of the Treasury
Internal Revenue Service

52-1728688

Estimated Tax on Unrelated Business Taxable
Income for Tax-Exempt Organizations
FORM 990-T

OMB No. 1545-0976

2018(and on Investment Income for Private Foundations)| Go to www.irs.gov/F990W for instructions and the latest information.
| Keep for your records. Do not send to the Internal Revenue Service.

1

Unrelated business taxable income expected in the tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

1

2

Tax on the amount on line 1. See instructions for tax computation ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

2

3

Alternative minimum tax for trusts. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

3

4

Total. Add lines 2 and 3 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

4

5

Estimated tax credits. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

5

6

Subtract line 5 from line 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

6

7

Other taxes. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

7

8

Total. Add lines 6 and 7 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

8

9

Credit for federal tax paid on fuels. See instructions~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

9

10 a Subtract line 9 from line 8. Note: If less than $500, the organization is not required to makeestimated tax payments. Private foundations, see instructions ~~~~~~~~~~~~~~~
10ab Enter the tax shown on the 2017 return. See instructions. Caution: If
zero or the tax year was for less than 12 months, skip this line
and enter the amount from line 10a on line 10c ~~~~~~~~~~~~~~~~~~~~~
10bc 2018 Estimated Tax. Enter the smaller of line 10a or line 10b. If the organization is required to skip line 10b, enter the amountfrom line 10a on line 10c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

10c

(a)

(b)

(c)

08/15/18

09/17/18

12/17/18

5,175.
(d)

03/15/19

11

Installment due dates. See instructions ~~~~~

11

12

Required installments. Enter 25% of line 10c incolumns (a) through (d). But see instructions if
the organization uses the annualized income
installment method, the adjusted seasonal
installment method, or is a "large organization." ~~12

1,294.

1,294.

1,294.

1,293.

132017 Overpayment. See instructions ~~~~~~~

13

94.

94.

94.

93.

14

Payment due (Subtract line 13 from line 12) 14
For Paperwork Reduction Act Notice, see instructions.

1,200.

1,200.

1,200.

LHA

ESTIMATED TAXOVERPAYMENT APPLIEDAMOUNT DUE

723801 04-10-18

1,200.
Form 990-W (2018)

5,175.
375.
4,800.

8868

Form(Rev. January 2017)
Department of the Treasury
Internal Revenue Service

Application for Automatic Extension of Time To File an
Exempt Organization Return
OMB No. 1545-1709| File a separate application for each return.
| Information about Form 8868 and its instructions is at www.irs.gov/form8868 .

Electronic filing (e-file). You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of theforms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit
Contracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronic
filing of this form, visit www.irs.gov/efile, click on Charities & Non-Profits, and click on e-file for Charities and Non-Profits.

Automatic 6-Month Extension of Time. Only submit original (no copies needed).
All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts
must use Form 7004 to request an extension of time to file income tax returns.
Enter filer's identifying number
Name of exempt organization or other filer, see instructions.

Type or
print

Employer identification number (EIN) or

SASAKAWA PEACE FOUNDATION USA, INC.
File by thedue date forfiling yourreturn. See
instructions.

52-1728688

Number, street, and room or suite no. If a P.O. box, see instructions.

Social security number (SSN)

1819 L STREET NW, NO. 300
City, town or post office, state, and ZIP code. For a foreign address, see instructions.

WASHINGTON, DC

20036

Enter the Return Code for the return that this application is for (file a separate application for each return)  0 4
Application
Return Application
ReturnIs ForCode Is For
Code
Form 990 or Form 990-EZ
01
Form 990-T (corporation)
07
Form 990-BL
02
Form 1041-A
08
Form 4720 (individual)
03
Form 4720 (other than individual)
09
Form 990-PF
04
Form 5227
10
Form 990-T (sec. 401(a) or 408(a) trust)05
Form 6069
11
Form 990-T (trust other than above)
06
Form 8870
12

SASAKAWA PEACE FOUNDATION USA INC¥ The books are in the care of | 1819 L STREET NW SUITE 300 - WASHINGTON, DC 20036
Telephone No. | 202-296-6694
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 thisbox |  . If it is for part of the group, check this box | and attach a list with the names and EINs of all members the extension is for.
1

FEBRUARY 15,
I request an automatic 6-month extension of time until
for the organization named above. The extension is for the organization's return for:2019

, to file the exempt organization return| calendar yearor
X tax year beginning APR 1, 2017|, and ending MAR 31, 2018.
 Initial return Final return2
If the tax year entered in line 1 is for less than 12 months, check reason:
 Change in accounting period
3a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
2,478.
nonrefundable credits. See instructions.
3a$b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and
3,000.
estimated tax payments made. Include any prior year overpayment allowed as a credit.
3b$c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required,0.
by using EFTPS (Electronic Federal Tax Payment System). See instructions.
3c$
Caution: If you are going to make an electronic funds withdrawal (direct debit) 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.

723841 04-01-17

Form 8868 (Rev. 1-2017)