Return of Private Foundation

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1 Form or Section 4947(a)(1) Trust Treated as Private Foundation Department of the Treasury Do not enter social security numers on this form as it may e made pulic. Internal Revenue Service Information aout Form 990-PF and its separate instructions is at For calendar year 2016 or tax year eginning, and ending Name of foundation OMB Open to Pulic Inspection City or town, state or province, country, and ZIP or foreign postal code C If exemption application is pending, check here~ Net rental income or (loss) 6a Net gain or (loss) from sale of assets not on line 10 ~~ Gross sales price for all 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 ~~~~ Less: Cost of goods sold ~ Compensation of officers, directors, trustees, etc. ~~~ Net investment income (if negative, enter -0-) ~~~ c Adjusted net income (if negative, enter -0-) A Employer identification numer Numer and street (or P.O. ox numer if mail is not delivered to street address) Room/suite B Telephone numer 1400 BENEDUM-TREES, 223 FOURTH AVE G Check all that apply: Initial return Initial return of a former pulic charity D 1. Foreign organizations, check here ~~ Final return Amended return 2. Foreign organizations meeting the 85% test, Address change Name change check here and attach computation ~~~~ H Check type of organization: Section 501(c)(3) exempt private foundation E If private foundation status was terminated Section 4947(a)(1) nonexempt charitale trust Other taxale private foundation under section 507()(1)(A), check here ~ I Fair market value of all assets at end of year J Accounting method: Cash Accrual F If the foundation is in a 60-month termination (from Part II, col. (c), line 16) Other (specify) under section 507()(1)(B), check here ~ $ 347,304,439. (Part I, column (d) must e on cash asis.) Part I Analysis of Revenue and Expenses (a) Revenue and () Net investment (c) Adjusted net (d) Disursements (The total of amounts in columns (), (c), and (d) may not for charitale purposes necessarily equal the amounts in column (a).) expenses per ooks income income (cash asis only) Revenue Operating and Administrative Expenses ETENDED TO NOVEMBER 15, PF Return of Private Foundation 2016 CLAUDE WORTHINGTON BENEDUM FOUNDATION PITTSBURGH, PA a Gross rents ~~~~~~~~~~~~~~~~ 11 c Gross profit or (loss) ~~~~~~~~~~~~ 12 Total. Add lines 1 through Pension plans, employee enefits ~~~~~~ 16a Legal fees~~~~~~~~~~~~~~~~~ STMT 2 Accounting fees ~~~~~~~~~~~~~~ STMT 3 c Other professional fees ~~~~~~~~~~~ STMT Contriutions, gifts, grants, etc., received ~~~ Check if the foundation is not required to attach Sch. B Interest on savings and temporary cash investments ~~~~~~~~~~~~~~ Dividends and interest from securities~~~~~ Other income ~~~~~~~~~~~~~~~ Other employee salaries and wages~~~~~~ Interest ~~~~~~~~~~~~~~~~~~ Taxes~~~~~~~~~~~~~~~~~~~ STMT 5 Depreciation and depletion ~~~~~~~~~ Occupancy ~~~~~~~~~~~~~~~~ Travel, conferences, and meetings ~~~~~~ Printing and pulications ~~~~~~~~~~ Other expenses ~~~~~~~~~~~~~~ STMT 6 Total operating and administrative expenses. Add lines 13 through 23 ~~~~~ Contriutions, gifts, grants paid ~~~~~~~ Total expenses and disursements. Add lines 24 and 25 Sutract line 26 from line 12: STMT 20 a Excess of revenue over expenses and disursements ~ 22, ,351. 2,035,293. 5,587,396. 1,486, ,067, ,852, , STATEMENT 11 15,396, ,177, ,552, , ,055, , , , , , ,469. 5,824. 3, , ,977. 8, ,511. 1,681,373. 1,357, , , , , , , , , , , , , , ,285. 2, , ,336. 2,629, ,789. 5,131,834. 5,110, ,473, ,450, ,725, ,582,684. 5,110, ,199,529. <4,186,122.> 17,067,351. STATEMENT LHA For Paperwork Reduction Act tice, see instructions. Form 990-PF (2016) 1 0.

76 Form Department of the Treasury Internal Revenue Service Name of person filing this return Filer s address (if you are not filing this form with your tax return) C D E F Filer s share of liailities: nrecourse $ Return of U.S. Persons With Respect to Certain Foreign Partnerships Attach to your tax return. Information aout Form 8865 and its separate instructions is at Information furnished for the foreign partnership s tax year eginning JAN 1, 2016, and ending DEC 31, 2016 If filer is a memer of a consolidated group ut not the parent, enter the following information aout the parent: Name Address 8865 CLAUDE WORTHINGTON BENEDUM FOUNDATION (1) Name (2) Address (3) Identifying numer Attachment Sequence. Filer s identifying numer OMB A Category of filer (see Categories of Filers in the instructions and check applicale ox(es)): Filer s tax year B eginning JAN 1, 2016, and ending DEC 31, 2016 Qualified nonrecourse financing $ Other $ Check if any excepted specified foreign financial assets are reported on this form (see instructions) Information aout certain other partners (see instructions) EIN (4) Check applicale ox(es) Category 1 Category 2 Constructive owner G1 Name and address of foreign partnership H If "," Sign Here Only If You Are Filing This Form Separately and t With Your Tax Return. do not complete Schedules L, M-1, and M-2. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liaility company memer) is ased on all information of which preparer has any knowledge. Signature of general partner or limited liaility company memer Print/Type preparer s name Preparer s signature Date 2(a) EIN (if any) AIOM ASIA PRIVATE CAPITAL FUND III, LP 2() Reference ID numer C/O CODAN TRUST COMPANY (CAYMAN) LIMITED CRICKET SQ, HUTCHINS DR, PO BO 2681 GT 3 Country under whose laws organized GRAND CAYMAN, CAYMAN ISLANDS CAYMAN ISLANDS Date of Principal place Principal usiness Principal usiness Functional Exchange rate 4 organization 5 of usiness 6 activity code numer 7 activity 8a currency 8 (see instr.) 10/05/2012CAYMAN ISLANDS INVESTMENTS US DOLLARS Service Center where Form 1065 or 1065-B is filed: OGDEN, UT Name and address of person(s) with custody of the ooks and records of the foreign 3 Name and address of foreign partnership s agent in country of organization, if any 4 partnership, and the location of such ooks and records, if different AIOM ASIA PRIVATE CAPITAL ASSOC III STATE STREET FUND SVCS (HK) LIMITED CRICKET SQ, HUTCHINS DR POB 2681 GT 68/F, 8 FINANCE STREET GRAND CAYMAN, CAYMAN ISLANDS KY1-111 CENTRAL HONG KONG 5 Were any special allocations made y the foreign partnership? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information for the foreign partnership s tax year: 1 Name, address, and identifying numer of agent (if any) in the United States 2 Check if the foreign partnership must file: Form 1042 Form 8804 Form 1065 or 1065-B Enter the no. of Forms 8858, Info Return of U.S. Persons With Respect To Foreign Disregarded Entities, attached to this return ~ ~~~~~~~~~~~~~ How is this partnership classified under the law of the country in which it is organized? ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~ EEMPTED LP 8a Does the filer have an interest in the foreign partnership, or an interest indirectly through the foreign partnership, that is a separate unit under Reg (d)-1()(4) or part of a comined separate unit under Reg (d)-1()(4)(ii)? If "," skip question 8. If "," does the separate unit or comined separate unit have a dual consolidated loss as defined in Reg (d)-1()(5)(ii)? Does this partnership meet oth of the following requirements? The partnership s total receipts for the tax year were less than $250,000 and The value of the partnership s total assets at the end of the tax year was less than $1 million. = LHA For Privacy Act and Paperwork Reduction Act tice, see the separate instructions. Form 8865 (2016) 33 Check ~~~~~~~~~~~~ Paid self-employed PreparerMICHAEL M. COMSTOCK P Use Firm s name SISTERSON & CO. LLP Firm s EIN Only Firm s address 310 GRANT STREET, SUITE 2100 Phone no. PITTSBURGH, PA p m o if PTIN = Date

77 Form 8865 (2016) CLAUDE WORTHINGTON BENEDUM FOUNDATION Schedule A Constructive Ownership of Partnership Interest. Check the oxes that apply to the filer. If you check ox, enter the name, address, and U.S. taxpayer identifying numer (if any) of the person(s) whose interest you constructively own. See instructions. a Owns a direct interest Owns a constructive interest Name Address Identifying numer (if any) Check if foreign person Page 2 Check if direct partner Schedule A-1 Certain Partners of Foreign Partnership (see instructions) Name Address Identifying numer (if any) Check if foreign person Does the partnership have any other foreign person as a direct partner? Schedule A-2 STATEMENT 22 Affiliation Schedule. List all partnerships (foreign or domestic) in which the foreign partnership owns a direct interest or indirectly owns a 10% interest. Name Address EIN (if any) Total ordinary income or loss Check if foreign partnership Schedule B Income Statement - Trade or Business Income Caution: Include only trade or usiness income and expenses on lines 1a through 22 elow. See the instructions for more information. Income 1 a Gross receipts or sales ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a Less returns and allowances ~~~~~~~~~~~~~~~~~~~~~~~~ 1 2 Cost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Gross profit. Sutract line 2 from line 1c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) ~~~~~~~~~~~~~~~ 5 Net farm profit (loss) (attach Schedule F (Form 1040)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 7 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) ~~~~~~~~~~~~~~~~~~~~~~~~ Other income (loss) (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1c Deductions (see instructions for limitations) a Depreciation (if required, attach Form 4562) ~~~~~~~~~~~~~~~~~~ 16a Less depreciation reported elsewhere on return ~~~~~~~~~~~~~~~~ Total income (loss). Comine lines 3 through 7 Salaries and wages (other than to partners) (less employment credits) ~~~~~~~~~~~~~~~~~~~~~~ Guaranteed payments to partners ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repairs and maintenance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Bad dets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rent ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest Depletion ( Do not deduct oil and gas depletion.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Retirement plans, etc. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee enefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Total deductions. Add the amounts shown in the far right column for lines 9 through Ordinary usiness income (loss) from trade or usiness activities. Sutract line 21 from line Form 8865 (2016) 34

78 Transfer of Property to a Foreign Partnership SCHEDULE O (Form 8865) (under section 6038B) Department of the Treasury Attach to Form See Instructions for Form Internal Revenue Service Information aout Schedule O (Form 8865) and its separate instructions is at OMB Name of transferor Filer s identifying numer CLAUDE WORTHINGTON BENEDUM FOUNDATION Name of foreign partnership AIOM ASIA PRIVATE CAPITAL FUND I EIN (if any) Reference ID numer (see instr) C/O CODAN TRUST COMPANY (CAYMAN) Part I Transfers Reportale Under Section 6038B Cash Type of (a) Date of transfer () Numer of items transferred (c) Fair market value on date of transfer (d) Cost or other asis (e) Section 704(c) allocation method (f) Gain recognized on transfer (g) Percentage interest in partnership after transfer 210, Stock, notes receivale and payale, and other securities Inventory Tangile used in trade or usiness Intangile Other Supplemental Information Required To Be Reported (see instructions): Part II Dispositions Reportale Under Section 6038B (a) Type of () Date of original transfer (c) Date of disposition (d) Manner of disposition (e) Gain recognized y partnership (f) Depreciation recapture recognized y partnership (g) Gain allocated to partner (h) Depreciation recapture allocated to partner Part III Is any transfer reported on this schedule suject to gain recognition under section 904(f)(3) or section 904(f)(5)(F)? LHA For Paperwork Reduction Act tice, see the Instructions for Form Schedule O (Form 8865)

79 Form Department of the Treasury Internal Revenue Service Name of person filing this return Filer s address (if you are not filing this form with your tax return) C D E F Filer s share of liailities: nrecourse $ Return of U.S. Persons With Respect to Certain Foreign Partnerships Attach to your tax return. Information aout Form 8865 and its separate instructions is at Information furnished for the foreign partnership s tax year eginning JAN 1, 2016, and ending DEC 31, 2016 If filer is a memer of a consolidated group ut not the parent, enter the following information aout the parent: Name Address 8865 CLAUDE WORTHINGTON BENEDUM FOUNDATION (1) Name (2) Address (3) Identifying numer Attachment Sequence. Filer s identifying numer OMB A Category of filer (see Categories of Filers in the instructions and check applicale ox(es)): Filer s tax year B eginning JAN 1, 2016, and ending DEC 31, 2016 Qualified nonrecourse financing $ Other $ Check if any excepted specified foreign financial assets are reported on this form (see instructions) Information aout certain other partners (see instructions) EIN (4) Check applicale ox(es) Category 1 Category 2 Constructive owner G1 Name and address of foreign partnership KEYHAVEN SECONDARIES FUND I LP 2(a) 2() EIN (if any) Reference ID numer 1 MAPLE PLACE 3 Country under whose laws organized LONDON, UNITED KINGDOM W1T 4BB UNITED KINGDOM Date of Principal place Principal usiness Principal usiness Functional Exchange rate 4 organization 5 of usiness 6 activity code numer 7 activity 8a currency 8 (see instr.) 12/14/2011UNITED KINGDOM INVESTMENTS EURO H Provide the following information for the foreign partnership s tax year: 1 Name, address, and identifying numer of agent (if any) in the United States 2 Check if the foreign partnership must file: Form 1042 Form 8804 Form 1065 or 1065-B 3 Name and address of foreign partnership s agent in country of organization, if any SAME AS G1 Service Center where Form 1065 or 1065-B is filed: E-FILE Name and address of person(s) with custody of the ooks and records of the foreign 4 partnership, and the location of such ooks and records, if different SAME AS G Were any special allocations made y the foreign partnership? Enter the no. of Forms 8858, Info Return of U.S. Persons With Respect To Foreign Disregarded Entities, attached to this return ~ ~~~~~~~~~~~~~ How is this partnership classified under the law of the country in which it is organized? ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~ LIMITED PTRSHP Does this partnership meet oth of the following requirements? The partnership s total receipts for the tax year were less than $250,000 and The value of the partnership s total assets at the end of the tax year was less than $1 million. If "," Sign Here Only If You Are Filing This Form Separately and t With Your Tax Return. do not complete Schedules L, M-1, and M-2. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liaility company memer) is ased on all information of which preparer has any knowledge. Signature of general partner or limited liaility company memer Print/Type preparer s name ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8a Does the filer have an interest in the foreign partnership, or an interest indirectly through the foreign partnership, that is a separate unit under Reg (d)-1()(4) or part of a comined separate unit under Reg (d)-1()(4)(ii)? If "," skip question 8. If "," does the separate unit or comined separate unit have a dual consolidated loss as defined in Reg (d)-1()(5)(ii)? = Preparer s signature LHA For Privacy Act and Paperwork Reduction Act tice, see the separate instructions. Form 8865 (2016) 36 Date Check ~~~~~~~~~~~~ Paid self-employed PreparerMICHAEL M. COMSTOCK P Use Firm s name SISTERSON & CO. LLP Firm s EIN Only Firm s address 310 GRANT STREET, SUITE 2100 Phone no. PITTSBURGH, PA p m o if PTIN = Date

80 Form 8865 (2016) CLAUDE WORTHINGTON BENEDUM FOUNDATION Schedule A Constructive Ownership of Partnership Interest. Check the oxes that apply to the filer. If you check ox, enter the name, address, and U.S. taxpayer identifying numer (if any) of the person(s) whose interest you constructively own. See instructions. a Owns a direct interest Owns a constructive interest Name Address Identifying numer (if any) Check if foreign person Page 2 Check if direct partner Schedule A-1 Certain Partners of Foreign Partnership (see instructions) Name Address Identifying numer (if any) JP MORGAN CHASE BANK NA 100 N RIVERSIDE CHICAGO, IL Check if foreign person Does the partnership have any other foreign person as a direct partner? Schedule A-2 STATEMENT 23 Affiliation Schedule. List all partnerships (foreign or domestic) in which the foreign partnership owns a direct interest or indirectly owns a 10% interest. Name Address EIN (if any) Total ordinary income or loss Check if foreign partnership Schedule B Income Statement - Trade or Business Income Caution: Include only trade or usiness income and expenses on lines 1a through 22 elow. See the instructions for more information. Income 1 a Gross receipts or sales ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a Less returns and allowances ~~~~~~~~~~~~~~~~~~~~~~~~ 1 2 Cost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Gross profit. Sutract line 2 from line 1c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) ~~~~~~~~~~~~~~~ 5 Net farm profit (loss) (attach Schedule F (Form 1040)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 7 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) ~~~~~~~~~~~~~~~~~~~~~~~~ Other income (loss) (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1c Deductions (see instructions for limitations) a Depreciation (if required, attach Form 4562) ~~~~~~~~~~~~~~~~~~ 16a Less depreciation reported elsewhere on return ~~~~~~~~~~~~~~~~ Total income (loss). Comine lines 3 through 7 Salaries and wages (other than to partners) (less employment credits) ~~~~~~~~~~~~~~~~~~~~~~ Guaranteed payments to partners ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repairs and maintenance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Bad dets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rent ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest Depletion ( Do not deduct oil and gas depletion.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Retirement plans, etc. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee enefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Total deductions. Add the amounts shown in the far right column for lines 9 through Ordinary usiness income (loss) from trade or usiness activities. Sutract line 21 from line Form 8865 (2016) 37

81 Transfer of Property to a Foreign Partnership SCHEDULE O (Form 8865) (under section 6038B) Department of the Treasury Attach to Form See Instructions for Form Internal Revenue Service Information aout Schedule O (Form 8865) and its separate instructions is at OMB Name of transferor Filer s identifying numer CLAUDE WORTHINGTON BENEDUM FOUNDATION Name of foreign partnership KEYHAVEN SECONDARIES FUND I LP EIN (if any) Reference ID numer (see instr) Part I Transfers Reportale Under Section 6038B Cash Type of (a) Date of transfer () Numer of items transferred (c) Fair market value on date of transfer (d) Cost or other asis (e) Section 704(c) allocation method (f) Gain recognized on transfer (g) Percentage interest in partnership after transfer 169, Stock, notes receivale and payale, and other securities Inventory Tangile used in trade or usiness Intangile Other Supplemental Information Required To Be Reported (see instructions): Part II Dispositions Reportale Under Section 6038B (a) Type of () Date of original transfer (c) Date of disposition (d) Manner of disposition (e) Gain recognized y partnership (f) Depreciation recapture recognized y partnership (g) Gain allocated to partner (h) Depreciation recapture allocated to partner Part III Is any transfer reported on this schedule suject to gain recognition under section 904(f)(3) or section 904(f)(5)(F)? LHA For Paperwork Reduction Act tice, see the Instructions for Form Schedule O (Form 8865)

82 Form Department of the Treasury Internal Revenue Service Name of person filing this return Filer s address (if you are not filing this form with your tax return) C D E F Filer s share of liailities: nrecourse $ Return of U.S. Persons With Respect to Certain Foreign Partnerships Attach to your tax return. Information aout Form 8865 and its separate instructions is at Information furnished for the foreign partnership s tax year eginning JAN 1, 2016, and ending DEC 31, 2016 If filer is a memer of a consolidated group ut not the parent, enter the following information aout the parent: Name Address 8865 CLAUDE WORTHINGTON BENEDUM FOUNDATION (1) Name (2) Address (3) Identifying numer Attachment Sequence. Filer s identifying numer OMB A Category of filer (see Categories of Filers in the instructions and check applicale ox(es)): Filer s tax year B eginning JAN 1, 2016, and ending DEC 31, 2016 Qualified nonrecourse financing $ Other $ Check if any excepted specified foreign financial assets are reported on this form (see instructions) Information aout certain other partners (see instructions) EIN (4) Check applicale ox(es) Category 1 Category 2 Constructive owner G1 Name and address of foreign partnership OAKTREE OPPORTUNITIES FUND, LP 2(a) 2() EIN (if any) Reference ID numer 333 SOUTH GRAND AVENUE, 28TH FL 3 Country under whose laws organized LOS ANGELES, CA CAYMAN ISLANDS Date of Principal place Principal usiness Principal usiness Functional Exchange rate 4 organization 5 of usiness 6 activity code numer 7 activity 8a currency 8 (see instr.) 06/09/2014CAYMAN ISLANDS INVESTMENTS US DOLLARS H 1 Name, address, and identifying numer of agent (if any) in the United States 2 Check if the foreign partnership must file: OAKTREE CAPITAL MANAGEMENT LP Form 1042 Form 8804 Form 1065 or 1065-B 333 GRAND AVENUE, 28TH FL Service Center where Form 1065 or 1065-B is filed: LOS ANGELES, CA OGDEN, UT Name and address of person(s) with custody of the ooks and records of the foreign 3 Name and address of foreign partnership s agent in country of organization, if any 4 partnership, and the location of such ooks and records, if different WALKERS CORPORATE SERVICES LIMITED OAKTREE CAPITAL MANAGEMENT LP WALKER HSE, 87 MARY STREET 333 GRAND AVENUE, 28TH FL GEORGE TOWN, GRAND CAYMAN, CAYMAN IS LOS ANGELES, CA Were any special allocations made y the foreign partnership? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information for the foreign partnership s tax year: Enter the no. of Forms 8858, Info Return of U.S. Persons With Respect To Foreign Disregarded Entities, attached to this return ~ ~~~~~~~~~~~~~ How is this partnership classified under the law of the country in which it is organized? ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~ EEMPTED LP 8a Does the filer have an interest in the foreign partnership, or an interest indirectly through the foreign partnership, that is a separate unit under Reg (d)-1()(4) or part of a comined separate unit under Reg (d)-1()(4)(ii)? If "," skip question 8. If "," does the separate unit or comined separate unit have a dual consolidated loss as defined in Reg (d)-1()(5)(ii)? Does this partnership meet oth of the following requirements? The partnership s total receipts for the tax year were less than $250,000 and The value of the partnership s total assets at the end of the tax year was less than $1 million. If "," Sign Here Only If You Are Filing This Form Separately and t With Your Tax Return. do not complete Schedules L, M-1, and M-2. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liaility company memer) is ased on all information of which preparer has any knowledge. = Signature of general partner or limited liaility company memer Print/Type preparer s name Preparer s signature LHA For Privacy Act and Paperwork Reduction Act tice, see the separate instructions. Form 8865 (2016) 39 Date Check ~~~~~~~~~~~~ Paid self-employed PreparerMICHAEL M. COMSTOCK P Use Firm s name SISTERSON & CO. LLP Firm s EIN Only Firm s address 310 GRANT STREET, SUITE 2100 Phone no. PITTSBURGH, PA p m o if PTIN = Date

83 Form 8865 (2016) CLAUDE WORTHINGTON BENEDUM FOUNDATION Schedule A Constructive Ownership of Partnership Interest. Check the oxes that apply to the filer. If you check ox, enter the name, address, and U.S. taxpayer identifying numer (if any) of the person(s) whose interest you constructively own. See instructions. a Owns a direct interest Owns a constructive interest Name Address Identifying numer (if any) Check if foreign person Page 2 Check if direct partner Schedule A-1 Certain Partners of Foreign Partnership (see instructions) Name Address Identifying numer (if any) Check if foreign person Does the partnership have any other foreign person as a direct partner? Schedule A-2 STATEMENT 24 Affiliation Schedule. List all partnerships (foreign or domestic) in which the foreign partnership owns a direct interest or indirectly owns a 10% interest. Name Address EIN (if any) Total ordinary income or loss Check if foreign partnership Schedule B Income Statement - Trade or Business Income Caution: Include only trade or usiness income and expenses on lines 1a through 22 elow. See the instructions for more information. Income 1 a Gross receipts or sales ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a Less returns and allowances ~~~~~~~~~~~~~~~~~~~~~~~~ 1 2 Cost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Gross profit. Sutract line 2 from line 1c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) ~~~~~~~~~~~~~~~ 5 Net farm profit (loss) (attach Schedule F (Form 1040)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 7 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) ~~~~~~~~~~~~~~~~~~~~~~~~ Other income (loss) (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1c Deductions (see instructions for limitations) a Depreciation (if required, attach Form 4562) ~~~~~~~~~~~~~~~~~~ 16a Less depreciation reported elsewhere on return ~~~~~~~~~~~~~~~~ Total income (loss). Comine lines 3 through 7 Salaries and wages (other than to partners) (less employment credits) ~~~~~~~~~~~~~~~~~~~~~~ Guaranteed payments to partners ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repairs and maintenance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Bad dets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rent ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest Depletion ( Do not deduct oil and gas depletion.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Retirement plans, etc. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee enefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Total deductions. Add the amounts shown in the far right column for lines 9 through Ordinary usiness income (loss) from trade or usiness activities. Sutract line 21 from line Form 8865 (2016) 40

84 Transfer of Property to a Foreign Partnership SCHEDULE O (Form 8865) (under section 6038B) Department of the Treasury Attach to Form See Instructions for Form Internal Revenue Service Information aout Schedule O (Form 8865) and its separate instructions is at OMB Name of transferor Filer s identifying numer CLAUDE WORTHINGTON BENEDUM FOUNDATION Name of foreign partnership OAKTREE OPPORTUNITIES FUND, LP EIN (if any) Reference ID numer (see instr) Part I Transfers Reportale Under Section 6038B Cash Type of (a) Date of transfer () Numer of items transferred (c) Fair market value on date of transfer (d) Cost or other asis (e) Section 704(c) allocation method (f) Gain recognized on transfer (g) Percentage interest in partnership after transfer 200, Stock, notes receivale and payale, and other securities Inventory Tangile used in trade or usiness Intangile Other Supplemental Information Required To Be Reported (see instructions): Part II Dispositions Reportale Under Section 6038B (a) Type of () Date of original transfer (c) Date of disposition (d) Manner of disposition (e) Gain recognized y partnership (f) Depreciation recapture recognized y partnership (g) Gain allocated to partner (h) Depreciation recapture allocated to partner Part III Is any transfer reported on this schedule suject to gain recognition under section 904(f)(3) or section 904(f)(5)(F)? LHA For Paperwork Reduction Act tice, see the Instructions for Form Schedule O (Form 8865)

85 Form Department of the Treasury Internal Revenue Service Name of person filing this return Filer s address (if you are not filing this form with your tax return) C D E F Filer s share of liailities: nrecourse $ Return of U.S. Persons With Respect to Certain Foreign Partnerships Attach to your tax return. Information aout Form 8865 and its separate instructions is at Information furnished for the foreign partnership s tax year eginning JAN 1, 2016, and ending DEC 31, 2016 If filer is a memer of a consolidated group ut not the parent, enter the following information aout the parent: Name Address 8865 CLAUDE WORTHINGTON BENEDUM FOUNDATION (1) Name (2) Address (3) Identifying numer Attachment Sequence. Filer s identifying numer OMB A Category of filer (see Categories of Filers in the instructions and check applicale ox(es)): Filer s tax year B eginning JAN 1, 2016, and ending DEC 31, 2016 Qualified nonrecourse financing $ Other $ Check if any excepted specified foreign financial assets are reported on this form (see instructions) Information aout certain other partners (see instructions) EIN (4) Check applicale ox(es) Category 1 Category 2 Constructive owner G1 Name and address of foreign partnership H Provide the following information for the foreign partnership s tax year: 3 Name and address of foreign partnership s agent in country of organization, if any 2(a) EIN (if any) WLR RECOVERY FUND V DSS AIV, LP 2() Reference ID numer C/O WL ROSS & CO LLC 1166 AVENUE OF THE AMERICAS, 25TH FL 3 Country under whose laws organized NEW YORK, NY CAYMAN ISLANDS Date of Principal place Principal usiness Principal usiness Functional Exchange rate 4 organization 5 of usiness 6 activity code numer 7 activity 8a currency 8 (see instr.) 07/21/2011CAYMAN ISLANDS INVESTMENTS US DOLLARS 1 Name, address, and identifying numer of agent (if any) in the United States 2 Check if the foreign partnership must file: Form 1042 Form 8804 Form 1065 or 1065-B Service Center where Form 1065 or 1065-B is filed: E-FILE Name and address of person(s) with custody of the ooks and records of the foreign 4 partnership, and the location of such ooks and records, if different Were any special allocations made y the foreign partnership? Enter the no. of Forms 8858, Info Return of U.S. Persons With Respect To Foreign Disregarded Entities, attached to this return ~ ~~~~~~~~~~~~~ How is this partnership classified under the law of the country in which it is organized? ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~ PARTNERSHIP Does this partnership meet oth of the following requirements? The partnership s total receipts for the tax year were less than $250,000 and The value of the partnership s total assets at the end of the tax year was less than $1 million. If "," Sign Here Only If You Are Filing This Form Separately and t With Your Tax Return. do not complete Schedules L, M-1, and M-2. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liaility company memer) is ased on all information of which preparer has any knowledge. Signature of general partner or limited liaility company memer Print/Type preparer s name ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8a Does the filer have an interest in the foreign partnership, or an interest indirectly through the foreign partnership, that is a separate unit under Reg (d)-1()(4) or part of a comined separate unit under Reg (d)-1()(4)(ii)? If "," skip question 8. If "," does the separate unit or comined separate unit have a dual consolidated loss as defined in Reg (d)-1()(5)(ii)? = Preparer s signature LHA For Privacy Act and Paperwork Reduction Act tice, see the separate instructions. Form 8865 (2016) 42 Date Check ~~~~~~~~~~~~ Paid self-employed PreparerMICHAEL M. COMSTOCK P Use Firm s name SISTERSON & CO. LLP Firm s EIN Only Firm s address 310 GRANT STREET, SUITE 2100 Phone no. PITTSBURGH, PA p m o if PTIN = Date

86 Form 8865 (2016) CLAUDE WORTHINGTON BENEDUM FOUNDATION Schedule A Constructive Ownership of Partnership Interest. Check the oxes that apply to the filer. If you check ox, enter the name, address, and U.S. taxpayer identifying numer (if any) of the person(s) whose interest you constructively own. See instructions. a Owns a direct interest Owns a constructive interest Name Address Identifying numer (if any) Check if foreign person Page 2 Check if direct partner Schedule A-1 Certain Partners of Foreign Partnership (see instructions) Name Address Identifying numer (if any) Check if foreign person Does the partnership have any other foreign person as a direct partner? Schedule A-2 STATEMENT 25 Affiliation Schedule. List all partnerships (foreign or domestic) in which the foreign partnership owns a direct interest or indirectly owns a 10% interest. Name Address EIN (if any) Total ordinary income or loss Check if foreign partnership Schedule B Income Statement - Trade or Business Income Caution: Include only trade or usiness income and expenses on lines 1a through 22 elow. See the instructions for more information. Income 1 a Gross receipts or sales ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a Less returns and allowances ~~~~~~~~~~~~~~~~~~~~~~~~ 1 2 Cost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Gross profit. Sutract line 2 from line 1c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) ~~~~~~~~~~~~~~~ 5 Net farm profit (loss) (attach Schedule F (Form 1040)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 7 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) ~~~~~~~~~~~~~~~~~~~~~~~~ Other income (loss) (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1c Deductions (see instructions for limitations) a Depreciation (if required, attach Form 4562) ~~~~~~~~~~~~~~~~~~ 16a Less depreciation reported elsewhere on return ~~~~~~~~~~~~~~~~ Total income (loss). Comine lines 3 through 7 Salaries and wages (other than to partners) (less employment credits) ~~~~~~~~~~~~~~~~~~~~~~ Guaranteed payments to partners ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repairs and maintenance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Bad dets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rent ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest Depletion ( Do not deduct oil and gas depletion.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Retirement plans, etc. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee enefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Total deductions. Add the amounts shown in the far right column for lines 9 through Ordinary usiness income (loss) from trade or usiness activities. Sutract line 21 from line Form 8865 (2016) 43

87 Transfer of Property to a Foreign Partnership SCHEDULE O (Form 8865) (under section 6038B) Department of the Treasury Attach to Form See Instructions for Form Internal Revenue Service Information aout Schedule O (Form 8865) and its separate instructions is at OMB Name of transferor Filer s identifying numer CLAUDE WORTHINGTON BENEDUM FOUNDATION Name of foreign partnership WLR RECOVERY FUND V DSS AIV, LP EIN (if any) Reference ID numer (see instr) C/O WL ROSS & CO LLC Part I Transfers Reportale Under Section 6038B Cash Type of (a) Date of transfer () Numer of items transferred (c) Fair market value on date of transfer (d) Cost or other asis (e) Section 704(c) allocation method (f) Gain recognized on transfer (g) Percentage interest in partnership after transfer 138, Stock, notes receivale and payale, and other securities Inventory Tangile used in trade or usiness Intangile Other Supplemental Information Required To Be Reported (see instructions): Part II Dispositions Reportale Under Section 6038B (a) Type of () Date of original transfer (c) Date of disposition (d) Manner of disposition (e) Gain recognized y partnership (f) Depreciation recapture recognized y partnership (g) Gain allocated to partner (h) Depreciation recapture allocated to partner Part III Is any transfer reported on this schedule suject to gain recognition under section 904(f)(3) or section 904(f)(5)(F)? LHA For Paperwork Reduction Act tice, see the Instructions for Form Schedule O (Form 8865)

88 Form Department of the Treasury Internal Revenue Service Name of person filing this return Filer s address (if you are not filing this form with your tax return) C D E F Filer s share of liailities: nrecourse $ Return of U.S. Persons With Respect to Certain Foreign Partnerships Attach to your tax return. Information aout Form 8865 and its separate instructions is at Information furnished for the foreign partnership s tax year eginning FEB 2, 2016, and ending DEC 31, 2016 If filer is a memer of a consolidated group ut not the parent, enter the following information aout the parent: Name Address 8865 CLAUDE WORTHINGTON BENEDUM FOUNDATION (1) Name (2) Address (3) Identifying numer Attachment Sequence. Filer s identifying numer OMB A Category of filer (see Categories of Filers in the instructions and check applicale ox(es)): Filer s tax year B eginning JAN 1, 2016, and ending DEC 31, 2016 Qualified nonrecourse financing $ Other $ Check if any excepted specified foreign financial assets are reported on this form (see instructions) Information aout certain other partners (see instructions) EIN (4) Check applicale ox(es) Category 1 Category 2 Constructive owner G1 Name and address of foreign partnership H If "," Sign Here Only If You Are Filing This Form Separately and t With Your Tax Return. do not complete Schedules L, M-1, and M-2. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liaility company memer) is ased on all information of which preparer has any knowledge. Signature of general partner or limited liaility company memer Print/Type preparer s name Preparer s signature Date 2(a) EIN (if any) AIOM ASIA IV, LP 2() Reference ID numer COLLAS CRILL CORPORATE SERVICES LIMITED WILLOW HOUSE, CRICKET SQUARE, PO BO Country under whose laws organized GRAND CAYMAN, CAYMAN ISLANDS CAYMAN ISLANDS Date of Principal place Principal usiness Principal usiness Functional Exchange rate 4 organization 5 of usiness 6 activity code numer 7 activity 8a currency 8 (see instr.) 02/02/2016CAYMAN ISLANDS INVESTMENTS US DOLLARS Service Center where Form 1065 or 1065-B is filed: OGDEN, UT Name and address of person(s) with custody of the ooks and records of the foreign 3 Name and address of foreign partnership s agent in country of organization, if any 4 partnership, and the location of such ooks and records, if different MISSION CAPITAL GP IV LP STATE STREET FUND SVCS (HK) LIMITED ZEPHYR HSE, 122 MARY ST 68/F, 8 FINANCE STREET GRAND CAYMAN, CAYMAN ISLANDS KY1-110 CENTRAL HONG KONG 5 Were any special allocations made y the foreign partnership? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information for the foreign partnership s tax year: 1 Name, address, and identifying numer of agent (if any) in the United States 2 Check if the foreign partnership must file: Form 1042 Form 8804 Form 1065 or 1065-B Enter the no. of Forms 8858, Info Return of U.S. Persons With Respect To Foreign Disregarded Entities, attached to this return ~ ~~~~~~~~~~~~~ How is this partnership classified under the law of the country in which it is organized? ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~ EEMPTED LP 8a Does the filer have an interest in the foreign partnership, or an interest indirectly through the foreign partnership, that is a separate unit under Reg (d)-1()(4) or part of a comined separate unit under Reg (d)-1()(4)(ii)? If "," skip question 8. If "," does the separate unit or comined separate unit have a dual consolidated loss as defined in Reg (d)-1()(5)(ii)? Does this partnership meet oth of the following requirements? The partnership s total receipts for the tax year were less than $250,000 and The value of the partnership s total assets at the end of the tax year was less than $1 million. = LHA For Privacy Act and Paperwork Reduction Act tice, see the separate instructions. Form 8865 (2016) 45 Check ~~~~~~~~~~~~ Paid self-employed PreparerMICHAEL M. COMSTOCK P Use Firm s name SISTERSON & CO. LLP Firm s EIN Only Firm s address 310 GRANT STREET, SUITE 2100 Phone no. PITTSBURGH, PA p m o if PTIN = Date

89 Form 8865 (2016) CLAUDE WORTHINGTON BENEDUM FOUNDATION Schedule A Constructive Ownership of Partnership Interest. Check the oxes that apply to the filer. If you check ox, enter the name, address, and U.S. taxpayer identifying numer (if any) of the person(s) whose interest you constructively own. See instructions. a Owns a direct interest Owns a constructive interest Name Address Identifying numer (if any) Check if foreign person Page 2 Check if direct partner Schedule A-1 Certain Partners of Foreign Partnership (see instructions) Name Address Identifying numer (if any) Check if foreign person Does the partnership have any other foreign person as a direct partner? Schedule A-2 STATEMENT 26 Affiliation Schedule. List all partnerships (foreign or domestic) in which the foreign partnership owns a direct interest or indirectly owns a 10% interest. Name Address EIN (if any) Total ordinary income or loss Check if foreign partnership Schedule B Income Statement - Trade or Business Income Caution: Include only trade or usiness income and expenses on lines 1a through 22 elow. See the instructions for more information. Income 1 a Gross receipts or sales ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a Less returns and allowances ~~~~~~~~~~~~~~~~~~~~~~~~ 1 2 Cost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Gross profit. Sutract line 2 from line 1c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) ~~~~~~~~~~~~~~~ 5 Net farm profit (loss) (attach Schedule F (Form 1040)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 7 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) ~~~~~~~~~~~~~~~~~~~~~~~~ Other income (loss) (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1c Deductions (see instructions for limitations) a Depreciation (if required, attach Form 4562) ~~~~~~~~~~~~~~~~~~ 16a Less depreciation reported elsewhere on return ~~~~~~~~~~~~~~~~ Total income (loss). Comine lines 3 through 7 Salaries and wages (other than to partners) (less employment credits) ~~~~~~~~~~~~~~~~~~~~~~ Guaranteed payments to partners ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repairs and maintenance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Bad dets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rent ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest Depletion ( Do not deduct oil and gas depletion.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Retirement plans, etc. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee enefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Total deductions. Add the amounts shown in the far right column for lines 9 through Ordinary usiness income (loss) from trade or usiness activities. Sutract line 21 from line Form 8865 (2016) 46

90 Transfer of Property to a Foreign Partnership SCHEDULE O (Form 8865) (under section 6038B) Department of the Treasury Attach to Form See Instructions for Form Internal Revenue Service Information aout Schedule O (Form 8865) and its separate instructions is at OMB Name of transferor Filer s identifying numer CLAUDE WORTHINGTON BENEDUM FOUNDATION Name of foreign partnership AIOM ASIA IV, LP EIN (if any) Reference ID numer (see instr) COLLAS CRILL CORPORATE SERVICES L Part I Transfers Reportale Under Section 6038B Cash Type of (a) Date of transfer () Numer of items transferred (c) Fair market value on date of transfer (d) Cost or other asis (e) Section 704(c) allocation method (f) Gain recognized on transfer (g) Percentage interest in partnership after transfer 233, Stock, notes receivale and payale, and other securities Inventory Tangile used in trade or usiness Intangile Other Supplemental Information Required To Be Reported (see instructions): Part II Dispositions Reportale Under Section 6038B (a) Type of () Date of original transfer (c) Date of disposition (d) Manner of disposition (e) Gain recognized y partnership (f) Depreciation recapture recognized y partnership (g) Gain allocated to partner (h) Depreciation recapture allocated to partner Part III Is any transfer reported on this schedule suject to gain recognition under section 904(f)(3) or section 904(f)(5)(F)? LHA For Paperwork Reduction Act tice, see the Instructions for Form Schedule O (Form 8865)

91 Form Department of the Treasury Internal Revenue Service Name of person filing this return Filer s address (if you are not filing this form with your tax return) C D E F Filer s share of liailities: nrecourse $ Return of U.S. Persons With Respect to Certain Foreign Partnerships Attach to your tax return. Information aout Form 8865 and its separate instructions is at Information furnished for the foreign partnership s tax year eginning DEC 22, 2016, and ending DEC 31, 2016 If filer is a memer of a consolidated group ut not the parent, enter the following information aout the parent: Name Address 8865 CLAUDE WORTHINGTON BENEDUM FOUNDATION (1) Name (2) Address (3) Identifying numer Attachment Sequence. Filer s identifying numer OMB A Category of filer (see Categories of Filers in the instructions and check applicale ox(es)): Filer s tax year B eginning JAN 1, 2016, and ending DEC 31, 2016 Qualified nonrecourse financing $ Other $ Check if any excepted specified foreign financial assets are reported on this form (see instructions) Information aout certain other partners (see instructions) EIN (4) Check applicale ox(es) Category 1 Category 2 Constructive owner G1 Name and address of foreign partnership H Provide the following information for the foreign partnership s tax year: 3 Name and address of foreign partnership s agent in country of organization, if any 2(a) EIN (if any) WLR RECOVERY FUND III IAC AIV, LP 2() Reference ID numer C/O WL ROSS & CO LLC 1166 AVENUE OF THE AMERICAS, 25TH FL 3 Country under whose laws organized NEW YORK, NY CAYMAN ISLANDS Date of Principal place Principal usiness Principal usiness Functional Exchange rate 4 organization 5 of usiness 6 activity code numer 7 activity 8a currency 8 (see instr.) 12/22/2016CAYMAN ISLANDS INVESTMENTS US DOLLARS 1 Name, address, and identifying numer of agent (if any) in the United States 2 Check if the foreign partnership must file: Form 1042 Form 8804 Form 1065 or 1065-B Service Center where Form 1065 or 1065-B is filed: E-FILE Name and address of person(s) with custody of the ooks and records of the foreign 4 partnership, and the location of such ooks and records, if different Were any special allocations made y the foreign partnership? Enter the no. of Forms 8858, Info Return of U.S. Persons With Respect To Foreign Disregarded Entities, attached to this return ~ ~~~~~~~~~~~~~ How is this partnership classified under the law of the country in which it is organized? ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~ PARTNERSHIP Does this partnership meet oth of the following requirements? The partnership s total receipts for the tax year were less than $250,000 and The value of the partnership s total assets at the end of the tax year was less than $1 million. If "," Sign Here Only If You Are Filing This Form Separately and t With Your Tax Return. do not complete Schedules L, M-1, and M-2. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liaility company memer) is ased on all information of which preparer has any knowledge. Signature of general partner or limited liaility company memer Print/Type preparer s name ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8a Does the filer have an interest in the foreign partnership, or an interest indirectly through the foreign partnership, that is a separate unit under Reg (d)-1()(4) or part of a comined separate unit under Reg (d)-1()(4)(ii)? If "," skip question 8. If "," does the separate unit or comined separate unit have a dual consolidated loss as defined in Reg (d)-1()(5)(ii)? = Preparer s signature LHA For Privacy Act and Paperwork Reduction Act tice, see the separate instructions. Form 8865 (2016) 48 Date Check ~~~~~~~~~~~~ Paid self-employed PreparerMICHAEL M. COMSTOCK P Use Firm s name SISTERSON & CO. LLP Firm s EIN Only Firm s address 310 GRANT STREET, SUITE 2100 Phone no. PITTSBURGH, PA p m o if PTIN = Date

Date Type Of Activity Refund/(Due) Updated By esign Date

Date Type Of Activity Refund/(Due) Updated By esign Date Product: Exempt Name: Food Bank For New York City FEIN: *****9546 Fiscal Year Begin Date: 7/1/2014 Category: IRS Center: Ogden e-postmark: 1/14/2016 1:12:49 PM Notification: Fiscal Year esigned: End Date: