Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2010
For calendar year 2010, or tax year beginning 01-01-2010 , and ending 12-31-2010
G
Check all that apply:
Name of foundation
SARVER CHARITABLE TRUST CO THE PEOPLES BANK
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 307   Room/suite
City or town, state, and ZIP code
SMITH CENTER, KS66967
A Employer identification number

48-6298990
B Telephone number (see page 10 of the instructions)

(785) 282-6682
C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$9,777,977J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 5,481 5,481  
4 Dividends and interest from securities...... 272,326 272,326  
5a Gross rents.............. 28,088 28,088  
b Net rental income or (loss) 28,088
6a Net gain or (loss) from sale of assets not on line 10 112,704
b Gross sales price for all assets on line 6a 3,830,217
7 Capital gain net income (from Part IV, line 2)... 112,704
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 68,216 68,216  
12 Total. Add lines 1 through 11........ 486,815 486,815  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 41,733 24,453   17,280
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 3,600 0   3,600
b Accounting fees (attach schedule)....... Click to see attachment 2,900 0   2,900
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 20,841 20,841   0
19 Depreciation (attach schedule) and depletion... 702 702  
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 18,769 18,769   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 88,545 64,765   23,780
25 Contributions, gifts, grants paid........ 285,566 357,661
26 Total expenses and disbursements. Add lines 24 and 25 374,111 64,765   381,441
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 112,704
b Net investment income (if negative, enter -0-) 422,050
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 1,380 1,383 1,383
2 Savings and temporary cash investments.......... 1,053,591 490,043 490,043
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 5,267,776 Click to see attachment5,641,450 5,582,362
b Investments—corporate stock (attach schedule)........ 1,225,415 Click to see attachment1,304,109 1,807,187
c Investments—corporate bonds (attach schedule)........ 218,191 Click to see attachment371,939 378,273
11 Investments—land, buildings, and equipment: basis bullet805,148
Less: accumulated depreciation (attach schedule) bullet14,266 782,675 790,882 1,351,065
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 166,855 Click to see attachment153,855 155,770
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment9,218 Click to see attachment12,047 Click to see attachment11,894
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 8,725,101 8,765,708 9,777,977
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable................... 245,263 173,166
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 245,263 173,166
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 6,433,342 6,433,342
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 2,046,496 2,159,200
30 Total net assets or fund balances (see page 17 of the
instructions).................... 8,479,838 8,592,542
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 8,725,101 8,765,708
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)............... 1 8,479,838
2 Enter amount from Part I, line 27a...................... 2 112,704
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 8,592,542
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 8,592,542
Form 990-PF (2010)
Form 990-PF (2010)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1 a FEDERAL HOME LOAN MORTGAGE P 2009-05-27 2010-05-12
b FEDERAL HOME LOAN MORTGAGE P 2010-02-16 2010-08-25
c FEDERAL HOME LOAN BANK P 2009-07-21 2010-02-08
d FEDERAL HOME LOAN BANK P 2009-07-21 2010-06-21
e FEDERAL HOME LOAN BANK P 2009-09-18 2010-04-15
FEDERAL HOME LOAN BANK P 2009-11-17 2010-09-10
FEDERAL HOME LOAN BANK P 2009-12-22 2010-03-30
FEDERAL HOME LOAN BANK P 2010-02-24 2010-06-17
FEDERAL NATL MORTGAGE ASSN P 2009-12-22 2010-02-22
FEDERAL NATL MORTGAGE ASSN P 2009-10-13 2010-03-25
FEDERAL NATL MORTGAGE ASSN P 2009-04-28 2010-02-22
FEDERAL NATL MORTGAGE ASSN P 2010-03-16 2010-09-10
FEDERAL NATL MORTGAGE ASSN P 2009-05-28 2010-03-25
FEDERAL NATL MORTGAGE ASSN P 2009-08-26 2010-03-25
FEDERAL NATL MORTGAGE ASSN P 2010-01-21 2010-06-30
FEDERAL NATL MORTGAGE ASSN P 2010-01-27 2010-07-29
FEDERAL NATL MORTGAGE ASSN P 2009-10-15 2010-08-13
FEDERAL NATL MORTGAGE ASSN P 2010-01-04 2010-07-26
FEDERAL NATL MORTGAGE ASSN P 2010-02-02 2010-07-26
FEDERAL NATL MORTGAGE ASSN P 2010-02-22 2010-07-26
FEDERAL NATL MORTGAGE ASSN P 2009-10-27 2010-05-25
FEDERAL NATL MORTGAGE ASSN P 2009-11-10 2010-08-20
FEDERAL NATL MORTGAGE ASSN P 2009-11-13 2010-09-13
FEDERAL NATL MORTGAGE ASSN P 2010-02-23 2010-06-30
FEDERAL NATL MORTGAGE ASSN P 2009-12-04 2010-06-29
FEDERAL NATL MORTGAGE ASSN P 2010-02-10 2010-09-03
FEDERAL NATL MORTGAGE ASSN P 2010-02-19 2010-09-17
FEDERAL NATL MORTGAGE ASSN P 2010-05-04 2010-11-19
FEDERAL NATL MORTGAGE ASSN P 2009-10-14 2010-05-03
FRONTIER COMMUNICATIONS CORP P 2009-11-27 2010-08-02
AMERICAN INTERNATIONAL GROUP INC. P 2007-07-26 2010-05-28
CATERPILLAR INC DEL COM P 2003-05-14 2010-04-05
CATERPILLAR INC DEL COM P 2003-06-12 2010-04-05
DEFERRED PATRONAGE - MIDWAY COOP, OSBORNE P 1991-07-12 2010-12-22
EXXON MOBIL CORP COM P 2001-11-19 2010-07-16
FEDERAL HOME LOAN MORTGAGE P 2004-11-03 2010-01-29
FEDERAL HOME LOAN MORTGAGE P 2006-03-15 2010-03-30
FEDERAL HOME LOAN MORTGAGE P 2009-02-23 2010-03-12
FEDERAL HOME LOAN MORTGAGE P 2009-02-26 2010-06-11
FEDERAL HOME LOAN BANK P 2008-01-30 2010-02-25
FEDERAL HOME LOAN BANK P 2008-05-21 2010-02-25
FEDERAL HOME LOAN BANK P 2008-12-31 2010-12-29
FEDERAL HOME LOAN BANK P 2008-04-02 2010-01-19
FEDERAL HOME LOAN BANK P 2008-04-15 2010-01-19
FEDERAL HOME LOAN BANK P 2007-05-29 2010-02-08
FEDERAL HOME LOAN BANK P 2007-01-30 2010-02-08
FEDERAL HOME LOAN BANK P 2007-04-10 2010-04-13
FEDERAL HOME LOAN BANK P 2008-06-03 2010-06-29
FEDERAL HOME LOAN BANK P 2007-06-07 2010-06-14
FEDERAL HOME LOAN BANK P 2007-11-09 2010-06-21
FEDERAL HOME LOAN BANK P 2008-09-05 2010-06-21
FEDERAL HOME LOAN BANK P 2008-09-05 2010-08-23
FEDERAL HOME LOAN BANK P 2007-10-23 2010-11-05
FEDERAL HOME LOAN BANK P 2008-03-24 2010-11-08
FEDERAL HOME LOAN BANK P 2008-12-31 2010-11-08
FEDERAL HOME LOAN BANK P 2007-09-20 2010-09-10
FEDERAL HOME LOAN BANK P 2008-01-10 2010-01-19
FEDERAL FARM CREDIT P 2009-01-27 2010-10-27
FEDERAL FARM CREDIT P 2007-08-22 2010-11-02
FEDERAL NATL MORTGAGE ASSN P 2007-03-06 2010-03-09
FEDERAL NATL MORTGAGE ASSN P 2007-04-25 2010-03-09
FEDERAL NATL MORTGAGE ASSN P 2009-04-28 2010-08-20
FEDERAL NATL MORTGAGE ASSN P 2009-05-06 2010-08-30
FEDERAL NATL MORTGAGE ASSN P 2009-05-05 2010-08-30
FEDERAL NATL MORTGAGE ASSN P 2009-05-07 2010-08-27
FEDERAL NATL MORTGAGE ASSN P 2009-05-14 2010-08-30
FEDERAL NATL MORTGAGE ASSN P 2009-05-20 2010-06-17
FEDERAL NATL MORTGAGE ASSN P 2009-08-28 2010-09-16
FEDERAL NATL MORTGAGE ASSN P 2008-04-16 2010-12-03
FEDERAL NATL MORTGAGE ASSN P 2008-04-16 2010-12-03
FEDERAL NATL MORTGAGE ASSN P 2008-01-05 2010-02-16
FEDERAL NATL MORTGAGE ASSN P 2008-02-19 2010-03-05
FEDERAL NATL MORTGAGE ASSN P 2008-11-07 2010-07-19
FEDERAL NATL MORTGAGE ASSN P 2008-04-29 2010-02-16
FEDERAL NATL MORTGAGE ASSN P 2007-11-14 2010-05-03
FEDERAL NATL MORTGAGE ASSN P 2009-03-26 2010-05-11
FEDERAL NATL MORTGAGE ASSN P 2009-01-06 2010-05-17
FEDERAL NATL MORTGAGE ASSN P 2009-02-02 2010-05-17
FEDERAL NATL MORTGAGE ASSN P 2008-10-27 2010-06-28
FEDERAL NATL MORTGAGE ASSN P 2009-02-26 2010-03-03
FIDELITY SELECT PORTFOLIOS CONSUMER DISCRETIONA P 1999-12-02 2010-01-26
FRONTIER COMMUNICATIONS CORP P 2009-03-19 2010-08-02
LONGLEAF PARTNERS FUND P 2007-05-01 2010-12-09
MCDONALDS CORP COM P 1997-01-07 2010-04-05
MCDONALDS CORP COM P 1997-06-04 2010-04-05
PROCTER & GAMBLE CO COM P 1993-04-12 2010-04-05
PROCTER & GAMBLE CO COM P 1997-08-18 2010-04-05
S&P SPDR 500 TRUST UNIT SER 1 P 2002-12-24 2010-04-05
S&P SPDR 500 TRUST UNIT SER 1 P 2003-05-14 2010-04-05
SEALED AIR CORP NEW COM P 2005-04-19 2010-09-30
VALLEY CENTER G.O. P 2006-12-19 2010-07-01
WAL MART STORES INC COM P 1993-09-08 2010-04-05
WAL MART STORES INC COM P 1999-03-26 2010-04-05
WAL MART STORES INC COM P 2000-08-28 2010-04-05
FIDELITY SEL CONSUMER STAPLE P   2010-12-13
VANGUARD FIXED INCOME SECS GNMA PORTFOLIO P   2011-01-06
FEDERATED TOTAL RETURN BOND FUND INSTL SHARES P   2011-01-06
FIDELITY SELECT PORTFOLIOS HEALTH CARE P   2010-12-31
VANGUARD FIXED INCOME SECS GNMA PORTFOLIO P   2011-01-06
(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 25,000   25,002 -2
b 50,000   50,000 0
c 5,000   5,001 -1
d 15,000   15,002 -2
e 10,000   10,000 0
30,000   30,000 0
15,000   15,000 0
100,000   100,000 0
75,000   75,000 0
45,000   45,136 -136
10,000   10,000 0
25,000   25,000 0
200,000   200,000 0
5,000   4,930 70
50,000   50,000 0
50,000   50,000 0
50,000   50,000 0
25,000   25,000 0
5,000   4,973 27
100,000   100,000 0
20,000   20,000 0
70,000   70,000 0
40,000   40,000 0
35,000   35,000 0
120,000   120,000 0
50,000   50,000 0
50,000   50,000 0
25,000   25,000 0
15,000   15,001 -1
275   294 -19
360   13,386 -13,026
1,298   527 771
5,194   2,240 2,954
414   414 0
27   17 10
75,000   73,875 1,125
375,000   375,000 0
70,000   70,000 0
55,000   55,000 0
10,000   10,000 0
10,000   10,000 0
30,000   31,275 -1,275
20,000   20,001 -1
10,000   10,215 -215
200,000   200,000 0
10,000   10,000 0
15,000   15,000 0
5,000   5,000 0
55,000   55,000 0
100,000   100,007 -7
10,000   10,001 -1
5,000   5,000 0
30,000   30,000 0
25,000   25,002 -2
10,000   10,001 -1
75,000   75,001 -1
65,000   65,000 0
40,000   40,004 -4
5,000   5,019 -19
45,000   45,000 0
81,000   81,000 0
50,000   50,000 0
10,000   10,000 0
20,000   20,000 0
20,000   20,000 0
25,000   25,000 0
100,000   100,000 0
10,000   10,000 0
80,000   80,002 -2
25,000   25,001 -1
75,000   75,000 0
100,000   100,000 0
30,000   27,131 2,869
60,000   60,000 0
40,000   40,001 -1
15,000   15,002 -2
125,000   125,012 -12
15,000   15,001 -1
20,000   20,000 0
20,000   20,001 -1
1,732   3,000 -1,268
92   93 -1
7,560   10,000 -2,440
23,821   7,735 16,086
38,454   13,687 24,767
51,005   9,670 41,335
5,182   2,689 2,493
2,375   1,794 581
594   471 123
22,275   26,612 -4,337
20,000   20,000 0
50,495   10,897 39,598
4,994   4,187 807
6,936   6,203 733
40     40
228     228
31     31
9     9
826     826
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       -2
b       0
c       -1
d       -2
e       0
      0
      0
      0
      0
      -136
      0
      0
      0
      70
      0
      0
      0
      0
      27
      0
      0
      0
      0
      0
      0
      0
      0
      0
      -1
      -19
      -13,026
      771
      2,954
      0
      10
      1,125
      0
      0
      0
      0
      0
      -1,275
      -1
      -215
      0
      0
      0
      0
      0
      -7
      -1
      0
      0
      -2
      -1
      -1
      0
      -4
      -19
      0
      0
      0
      0
      0
      0
      0
      0
      0
      -2
      -1
      0
      0
      2,869
      0
      -1
      -2
      -12
      -1
      0
      -1
      -1,268
      -1
      -2,440
      16,086
      24,767
      41,335
      2,493
      581
      123
      -4,337
      0
      39,598
      807
      733
      40
      228
      31
      9
      826
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 112,704
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) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . . 		Bracket 3  
Part V
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.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2009 376,109 9,474,128 0.039699
2008 454,564 9,765,690 0.046547
2007 448,483 9,803,025 0.045749
2006 397,955 9,405,235 0.042312
2005 355,825 9,282,310 0.038334
2 Total of line 1, column (d) ...................... 2 0.212641
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 0.042528
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 9,642,941
5 Multiply line 4 by line 3....................... 5 410,095
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 4,221
7 Add lines 5 and 6......................... 7 414,316
8 Enter qualifying distributions from Part XII, line 4.............. 8 381,441
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 on page 18.
Form 990-PF (2010)
Form 990-PF (2010)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 8,441
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 8,441
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 8,441
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 7,522
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d 4
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,526
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 915
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet   Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
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?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
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?................
    6
    Yes
     
    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.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletKS
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    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 year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV...........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletTHE PEOPLES BANK Telephone no.bullet (785) 282-6682
    Located atbulletPO BOX 307SMITH CENTERKS ZIP+4bullet669670307
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (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 termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    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 2010?.............
    1c
     
    No
    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 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    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 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    THE PEOPLES BANK TRUSTEE
    1.00     		41,733 0 0
    PO BOX 307
    SMITH CENTER,KS66967
    PETE BOHM BOARD MEMBER
    0.00     		0 0 0
    632 SOUTH BROADWAY
    SALINA,KS67401
    GEORGE EAKIN BOARD MEMBER
    0.00     		0 0 0
    225 SOUTH 8TH
    OSBORNE,KS67473
    PAUL S GREGORY BOARD MEMBER
    0.00     		0 0 0
    PO BOX 345
    OSBORNE,KS67473
    FRANCES LEADABRAND BOARD MEMBER
    0.00     		0 0 0
    630 W VERMONT
    OSBORNE,KS67473
    MELVIN WILCOXSON BOARD MEMBER
    0.00     		0 0 0
    2149 C 677 AVENUE
    OSBORNE,KS67473
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet0
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the 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...................
    1a
    6,964,943
    b
    Average of monthly cash balances.......................
    1b
    1,475,163
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    1,349,682
    d
    Total (add lines 1a, b, and c).........................
    1d
    9,789,788
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d..........................
    3
    9,789,788
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    146,847
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    9,642,941
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    482,147
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    482,147
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    8,441
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,441
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    473,706
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    473,706
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
    473,706
    Part XII
    Qualifying Distributions (see page 25 of the instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    381,441
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    381,441
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    381,441
    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 (2010)
    Form 990-PF (2010)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus     		(b)
    Years prior to 2009     		(c)
    2009     		(d)
    2010
    1 Distributable amount for 2010 from Part XI, line 7 473,706
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 157,361
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005.......  
    b From 2006.......  
    c From 2007.......  
    d From 2008.......  
    e From 2009.......  
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 381,441
    a Applied to 2009, but not more than line 2a 157,361
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		 0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		0
    d Applied to 2010 distributable amount..... 224,080
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2010. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    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......     		0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		249,626
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		0
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		0
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007....  
    c Excess from 2008....  
    d Excess from 2009....  
    e Excess from 2010....  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2010, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2010 (b) 2009 (c) 2008 (d) 2007
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative 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— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (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
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList 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).)
    bList 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 or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    SARVER CHARITABLE TRUST PAUL GREGOR
    PO BOX 12
    OSBORNE,KS67473
    (785) 346-5445
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATION FOR CHARITABLE TRUST - NAME, ADDRESS, PHONE NUMBER, CONTACT PERSON, AMOUNT REQUESTED AND REASON FOR REQUEST SHOULD BE ON THE APPLICATION.
    cAny submission deadlines:
    CHARITABLE ORGANIZATION - DECEMBER 31ST
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ANY CHARITABLE ORGANIZATION OF OSBORNE COUNTY.
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    SARVER CHARITABLE TRUST PAUL GREGOR
    PO BOX 12
    OSBORNE,KS67473
    (785) 346-5445
    bThe form in which applications should be submitted and information and materials they should include:
    HIGH SCHOOL SENIOR APPLICATION - NAME, ADDRESS, PARENTS NAME, HIGH SCHOOL INFORMATION, SCHOOL AND COMMUNITY ACTIVITIES, NUMBER OF SIBLINGS AND WHAT GRADES, OTHER SCHOLARSHIP AND GRANTS RECEIVING, HOW YOU WILL FINANCE EDUCATION, WHAT YOU HAVE DONE TO PREPARE SELF, WHY YOU DESERVE THE SCHOLARSHIP, AND ANY OTHER INFORMATION THAT WILL HELP THE BOARD SELECTION.
    cAny submission deadlines:
    SCHOLARSHIP APRIL 1ST
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ANY HIGH SCHOOL GRADUATE OR RESIDENT OF OSBORNE COUNTY
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    SARVER CHARITABLE TRUST PAUL GREGOR
    PO BOX 12
    OSBORNE,KS67473
    (785) 346-5445
    bThe form in which applications should be submitted and information and materials they should include:
    COLLEGE STUDENT APPLICATION - NAME, ADDRESS, PARENTS NAME, ATTACH A CERTIFIED TRANSCRIPT FORM POST-SECONDARY SCHOOL AND GPA, SCHOOL AND COMMUNITY ACTIVITIES, NUMBER OF SIBLINGS AND WHAT GRADES, OTHER SCHOLARSHIP AND GRANTS RECEIVING, HOW YOU WILL FINANCE EDUCATION, WHAT YOU HAVE DONE TO PREPARE SELF, WHY YOU DESERVE THE SCHOLARSHIP, AND ANY OTHER INFORMATION THAT WILL HELP THE BOARD SELECTION.
    cAny submission deadlines:
    SCHOLARSHIP APRIL 1ST
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ANY HIGH SCHOOL GRADUATE OR RESIDENT OF OSBORNE COUNTY
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    JULIE GASHAW
    238 N 1ST
    OSBORNE,KS67473     		    SCHOLARSHIP 700
    JESSICA WINKEL
    1937 D ROAD
    GLEN ELDER,KS67446     		    SCHOLARSHIP 500
    BETHANY KNOLL
    233 N 5TH
    OSBORNE,KS67473     		    SCHOLARSHIP 900
    KYLER JONES
    217 N HOBART
    GLEN ELDER,KS67446     		    SCHOLARSHIP 400
    SELENA EFKEN
    3510 HUDSON CIRCLE
    MANHATTAN,KS66503     		    SCHOLARSHIP 400
    MEGAN BURCH
    303 S 3RD
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    RENEE HENKE
    8 CIRCLE DRIVE
    DOWNS,KS67437     		    SCHOLARSHIP 800
    DARRIN SIMMONS
    713 DIVISION
    DOWNS,KS67437     		    SCHOLARSHIP 1,000
    KIMBERLY STREIT
    140 W HWY 181
    TIPTON,KS67485     		    SCHOLARSHIP 1,000
    TRAVIS THIBAULT
    622 W 25TH APT C
    LAWRENCE,KS66046     		    SCHOLARSHIP 800
    JONATHAN TROTTER
    30051 280 RD
    DOWNS,KS67437     		    SCHOLARSHIP 1,000
    DAVID CARY
    443 W 45TH DRIVE
    DOWNS,KS67437     		    SCHOLARSHIP 800
    DANIELLE HERMES
    770 N SILVER SPRINGS BLVD
    WICHITA,KS67212     		    SCHOLARSHIP 1,000
    STEVIE ST CLAIR
    233 S 120TH AVE
    PORTIS,KS67474     		    SCHOLARSHIP 1,000
    MONICA BADER
    905 S GOVEREOUR 303
    WICHITA,KS67207     		    SCHOLARSHIP 600
    ANDREA CADY
    515 W MAIN
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    NICOLE CARL
    617 DELAWARE
    DOWNS,KS67437     		    SCHOLARSHIP 800
    JOSHUA CARLIN
    1894 W 70TH DR
    ALTON,KS67623     		    SCHOLARSHIP 600
    RENZO DRAAYER
    15 CIRCLE DR
    DOWNS,KS67437     		    SCHOLARSHIP 800
    DEMI FRENCH
    118 S 9TH
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    CHELSEA GRIEVE
    1843 W 100TH DR
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    TRENTON HEINEN
    409 DIVISION ST
    DOWNS,KS67437     		    SCHOLARSHIP 800
    LINDSEY HOAR
    210 W JEFFERSON
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    ADRIENNE KOOPS
    343 S HWY 181
    DOWNS,KS67437     		    SCHOLARSHIP 800
    JODI KOOPS
    606 DELAWARE ST
    DOWNS,KS67437     		    SCHOLARSHIP 600
    MORGAN MCNEAL
    2154 W 240TH DR
    PARADISE,KS67658     		    SCHOLARSHIP 1,000
    NATHANIEL MICK
    1864 W 70TH DR
    ALTON,KS67623     		    SCHOLARSHIP 1,000
    KACI REYNOLDS
    688 S 230TH AVE
    ALTON,KS67623     		    SCHOLARSHIP 800
    ALLISON SCHOEN
    1609 LEAVENWORTH
    MANHATTAN,KS66502     		    SCHOLARSHIP 600
    CLARK SEAMAN
    25041 280TH ROAD
    PORTIS,KS67474     		    SCHOLARSHIP 1,000
    LEVI SPRICK
    800 APOLO AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    BRADLEY STANLEY
    918 BROWN AVE
    DOWNS,KS67437     		    SCHOLARSHIP 600
    HANNAH THIBAULT
    840 S 150TH AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    RENEE THOMPSON
    121 S 5TH
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    SARAH WAUGH
    227 N 1ST
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    CHACE WEIS
    1009 ROSS
    DOWNS,KS67437     		    SCHOLARSHIP 400
    TAYLOR WIESE
    508 LOCUST ST
    CAWKER CITY,KS67430     		    SCHOLARSHIP 800
    JESSICA WINKEL
    1397 D ROAD
    GLEN ELDER,KS67446     		    SCHOLARSHIP 1,000
    EMILY WOLTERS
    PO BOX 55
    PORTIS,KS67474     		    SCHOLARSHIP 1,000
    KATELYN WOLTERS
    111 MERCURY AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    LANDON WOLTERS
    302 W 4TH ST
    PORTIS,KS67474     		    SCHOLARSHIP 1,000
    JOSHUA CONWAY
    206 SOUTH 10TH
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    TAYLOR FUNKE
    PO BOX 97
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    BRIAN BEAR
    2305 S 130TH AVE
    WALDO,KS67673     		    SCHOLARSHIP 800
    TREVOR OLIVER
    1264 W 107TH DR
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    JAYME CLARK
    3313 ELM APT B
    HAYS,KS67601     		    SCHOLARSHIP 400
    JOEL CUSHING
    16 CIRCLE DR
    DOWNS,KS67437     		    SCHOLARSHIP 800
    CAMBRIA EICKHOFF
    PO BOX 305
    NATOMA,KS67651     		    SCHOLARSHIP 1,000
    PAIGE EICKHOFF
    913 5TH STREET
    NATOMA,KS67651     		    SCHOLARSHIP 800
    RYAN GASPER
    159 W 18TH DR
    TIPTON,KS67485     		    SCHOLARSHIP 800
    LACEY GORSUCH
    209 N 3RD
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    LINCOLN GRIFFIN
    3030 R RD
    NATOMA,KS67651     		    SCHOLARSHIP 1,000
    BESSIE HARP
    1450 S 412 COUNTRY DR
    WALDO,KS67673     		    SCHOLARSHIP 1,000
    LAURA HOFFLINGER
    2000 HWY 24
    GLEN ELDER,KS67446     		    SCHOLARSHIP 1,000
    MADISON LEROCK
    535 N 2ND
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    ERIC MANS
    913 S 130TH AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    TRACEY MANS
    913 S 130TH AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    LINDSEY MURPHY
    401 CHATHAM
    PORTIS,KS67474     		    SCHOLARSHIP 800
    NICK ROACH
    2550 W 70TH DR
    ALTON,KS67623     		    SCHOLARSHIP 600
    CHRISTINE SANDER
    PO BOX 72
    VICTORIA,KS67671     		    SCHOLARSHIP 400
    RYAN SCHULTZ
    621 COUNTY 412 DR
    LUCAS,KS67648     		    SCHOLARSHIP 600
    DEVIN SPEARS
    934 S HWY 281
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    CASSIDY STORER
    615 LAKE DR
    CAWKER CITY,KS67430     		    SCHOLARSHIP 1,000
    BLAKE THIBAULT
    648 E JAYHAWK
    CHENEY,KS67025     		    SCHOLARSHIP 800
    MARIAH WILES
    1760 S RD
    HUNTER,KS67452     		    SCHOLARSHIP 800
    KAYLA WILLIAMS
    917 W DELAY
    DOWNS,KS67437     		    SCHOLARSHIP 1,000
    TRISHA ZVOLANEK
    122 S 9TH
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    CLINT SHOEMAKER
    209 S MARSHALL
    GLEN ELDER,KS67446     		    SCHOLARSHIP 800
    SARA WINKEL
    1677 GLEN LANE
    GLEN ELDER,KS67446     		    SCHOLARSHIP 1,000
    JON EICKENBERG
    232 S 2ND
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    JARI BOLAND
    321 W VERMONT
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    LESLI CLARK
    400 E MAIN ST
    GLEN ELDER,KS67446     		    SCHOLARSHIP 600
    FRANK KOGBEY
    602 PETERMAN
    DOWNS,KS67437     		    SCHOLARSHIP 600
    JOHN KRAGER
    125 S OAK
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    KYLIE MOORE
    400 E ALLEN
    GLEN ELDER,KS67446     		    SCHOLARSHIP 600
    ELIZABETH WEST
    309 N 1ST
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    GINA GOHEEN
    809 S 130TH AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    SHAWNA FRESQUEZ
    821 ROSS
    DOWNS,KS67437     		    SCHOLARSHIP 600
    JASON KNOLL
    317 S 2ND
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    DAVID ELLIOTT
    1952 COUNTY 412 DR
    WALDO,KS67673     		    SCHOLARSHIP 800
    NATHAN FOSTER
    913 MICHIGAN ST APT 1
    LAWRENCE,KS66044     		    SCHOLARSHIP 1,000
    AARON GEIST
    546 N 2ND
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    SARAH GREGORY
    218 S 4TH
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    SLOANE HARMAN
    204 E MAIN
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    JODI MURPHY
    1866 W 300TH DR
    WALDO,KS67673     		    SCHOLARSHIP 800
    PAIGE NOEL
    315 W 3RD
    PORTIS,KS67474     		    SCHOLARSHIP 1,000
    MOIRA OZIAS
    2804 LOCKRIDGE PLACE
    LAWRENCE,KS66047     		    SCHOLARSHIP 1,000
    TANA SPEARS
    918 W NEW HAMPSHIRE
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    EASTIN CASEY
    2140 28TH RD
    NATOMA,KS67651     		    SCHOLARSHIP 1,000
    BLAKE NICHOLS
    216 N 4TH
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    ERICA STREIT
    140 W HWY 181
    TIPTON,KS67485     		    SCHOLARSHIP 400
    LEANNA STREIT
    140 W HWY 181
    TIPTON,KS67485     		    SCHOLARSHIP 1,000
    MALLORY BOLAND
    2421 W 70TH DRIVE
    ALTON,KS67623     		    SCHOLARSHIP 600
    CHELSEA SWISHER
    1267 W 10TH DR
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    MEGAN BERKLEY
    1333 COUNTY 671 AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    ELIABETH MCKAIN
    809 OSBORNE ST
    DOWNS,KS67437     		    SCHOLARSHIP 600
    LOGAN PLETCHER
    234 S 2ND
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    MARK SIMON
    104 GEMINI AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    JUSTIN HASHENBERGER
    PO BOX 3
    NATOMA,KS67651     		    SCHOLARSHIP 600
    SIDNEY DOANE
    28081 BB RD
    DOWNS,KS67437     		    SCHOLARSHIP 1,000
    ROXANNE WALLACE
    R1 BOX 17A
    TIPTON,KS67485     		    SCHOLARSHIP 1,000
    MICHAELA GASPER
    159 W 180TH DR
    TIPTON,KS67485     		    SCHOLARSHIP 1,000
    STEFFAN KOOPS
    345 S HWY 181
    DOWNS,KS67437     		    SCHOLARSHIP 800
    KELLEN LONG
    1018 W MAIN
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    JANNICA SCHULTZE
    2065 S 180TH AVE
    WALDO,KS67673     		    SCHOLARSHIP 600
    TRAVIS GODFREY
    601 W ST
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    RIKKI LUNDY
    2452 W 170TH DR
    ALTON,KS67623     		    SCHOLARSHIP 1,000
    TAYLOR THIBAULT
    840 S 150TH AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    JENI WOLTERS
    906 W MAIN
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    JACOB SWISHER
    524 W MAIN
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    RACHEL RENKEN
    27051 DD RD
    DOWNS,KS67437     		    SCHOLARSHIP 1,000
    MIRANDA DEBEY
    83 W 1ST DR
    CAWKER CITY,KS67430     		    SCHOLARSHIP 800
    BENJAMIN GROENENDYK
    30051 280 RD
    DOWNS,KS67437     		    SCHOLARSHIP 600
    REGINA GROENENDYK
    30051 280 RD
    DOWNS,KS67437     		    SCHOLARSHIP 600
    SASHA WORLEY
    126 N OAK
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    JOCELYN CONWAY
    206 SOUTH 10TH
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    ADAM HENKE
    1642 W 110TH DR
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    JAMES FLOYD
    224 N 4TH
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    LEE ANN MICHEL
    327 S 80TH AVE
    DOWNS,KS67437     		    SCHOLARSHIP 1,000
    ALISA ROTMAN
    30072 310 RD
    CAWKER CITY,KS67430     		    SCHOLARSHIP 800
    RIORDAN CALDWELL
    302 DIVISION ST
    DOWNS,KS67437     		    SCHOLARSHIP 800
    RYAN DEBEY
    4115 AVENIDA DEL SOL
    LOVELAND,CO80538     		    SCHOLARSHIP 600
    KYLE SOMERS
    129 S MAIN
    NATOMA,KS67651     		    SCHOLARSHIP 900
    BAILOR HARDMAN
    204 E MAIN
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    CLAYTON THELEMAN
    2242 S 260TH AVE
    NATOMA,KS67651     		    SCHOLARSHIP 1,000
    REBECCA BEAR
    2305 S 130TH AVE
    WALDO,KS67673     		    SCHOLARSHIP 1,000
    EMILY GIRARD
    755 COUNTY 388 DR
    OSBORNE,KS67473     		    SCHOLARSHIP 800
    JOSEPH SUMPTER
    541 W 47TH DR
    DOWNS,KS67437     		    SCHOLARSHIP 800
    MASON ANGEL
    2539 W HWY 18
    PARADISE,KS67658     		    SCHOLARSHIP 1,000
    CHRISTOPHER EAKIN
    225 S 8TH
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    OLIVIA ARAMENDI
    715 W WISCONSIN ST
    CAWKER CITY,KS67430     		    SCHOLARSHIP 1,000
    ADAM CONWAY
    465 S 120TH AVE
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    AMBERLEIGH PLOWMAN
    2242 EMERSON ST
    DENVER,CO80204     		    SCHOLARSHIP 600
    KIMBERLY BRINKER
    216 S MARSHALL
    GLEN ELDER,KS67446     		    SCHOLARSHIP 1,000
    RAYLENE CUMPSTEN
    3691 WINE CUP ST
    WELLINGTON,CO80549     		    SCHOLARSHIP 600
    HUONG THI HUYNH NGUYEN
    907 N 2ND
    NATOMA,KS67651     		    SCHOLARSHIP 1,000
    STEPHANIE PLOWMAN
    211 S 2ND
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    NATHAN MORRISON
    111 S 5TH
    OSBORNE,KS67473     		    SCHOLARSHIP 1,000
    ANTHONY LONG
    380 W 130TH DR
    DOWNS,KS67437     		    SCHOLARSHIP 600
    CHELSEY OLIVER
    1264 W 107TH DR
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    TOBY REINERT
    302 S 4TH
    OSBORNE,KS67473     		    SCHOLARSHIP 600
    KENNETH WINDER
    403 N 2ND
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    ADRIENNE WOLTERS
    203 WALNUT
    PORTIS,KS67474     		    SCHOLARSHIP 600
    SHANE HUDSON
    226 S 1ST
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    JOEL CARLIN
    116 N 5TH
    OSBORNE,KS67473     		    SCHOLARSHIP 400
    CHRISTPHER STEINSHOUER
    366 S 70TH AVE
    DOWNS,KS67437     		    SCHOLARSHIP 600
    KIMBERLY VOGEL
    600 BEALE ST
    DOWNS,KS67437     		    SCHOLARSHIP 400
    ISAAC SUMPTER
    541 W 47TH DRIVE
    DOWNS,KS67437     		    SCHOLARSHIP 600
    SANDRA RICHMOND
    301 CODELL RD
    NATOMA,KS67651     		    SCHOLARSHIP 800
    NICOLE CARLIN
    1894 W 70TH DR
    ALTON,KS67623     		    SCHOLARSHIP 1,000
    DOWNS ART COUNCIL
    PO BOX 211
    DOWNS,KS67437     		    CHARITABLE GRANT 2,000
    OSBORNE COUNTY KANSAS LIVESTOCK ASSOC
    808 APOLLO AVE
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,700
    ALTON PRIDE
    415 1ST AVE
    ALTON,KS67623     		    CHARITABLE GRANT 500
    DOWNS HISTORICAL SOCIETY SOD & STUBBLE COMMITTEE
    714 RAILROAD ST
    DOWNS,KS67437     		    CHARITABLE GRANT 500
    NOTOMA HERITAGE SEEKERS INC
    PO BOX 116
    NATOMA,KS67651     		    CHARITABLE GRANT 700
    NORTHERN KANSAS ASSOCIATIN
    121 W WASHINGTON
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,500
    OSBORNE COUNTY HALL OF FAME
    410 W 1ST ST
    LUCAS,KS67648     		    CHARITABLE GRANT 350
    OSBORNE COUNTY GENEALOGICAL & HISTORICAL SOCIETY
    307 W MAIN
    OSBORNE,KS67473     		    CHARITABLE GRANT 500
    OSBORNE COUNTY TOURISM
    745 C 388 DRIVE
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    AMERICAN LEGION POST 87
    605 MILL STREET
    ALTON,KS67623     		    CHARITABLE GRANT 800
    USD 399
    710 5TH ST
    NATOMA,KS67651     		    CHARITABLE GRANT 1,200
    AMERICAN CANCER SOCIETY INC
    1315 SW ARROWHEAD RD C/O T FURJANIC
    TOPEKA,KS66604     		    CHARITABLE GRANT 35,206
    LEUKEMIA & LYMPHOMA SOCIETY INC
    ATTN JAN R SUMNER 6611 E CENTRAL
    SUITE C
    WICHITA,KS67206     		    CHARITABLE GRANT 35,206
    FORT HAYS STATE UNIVERISTY FOUNDATION
    610 PARK STREET
    HAYS,KS67601     		    CHARITABLE GRANT 35,206
    ST ALOYSIUS CATHOLIC CHURCH
    203 N ELM
    OSBORNE,KS67473     		    CHARITABLE GRANT 35,206
    THE SALVATION ARMY
    C/O MAJOR HARRY BROCKSIECK 126 N
    EMPORIA
    WICHITA,KS67202     		    CHARITABLE GRANT 35,206
    CITY OF OSBORNE
    128 N FIRST
    OSBORNE,KS67473     		    CHARITABLE GRANT 2,500
    OSBORNE COUNTY FAIR ASSOCIATION
    1771 COUNTY 388 DR
    OSBORNE,KS67473     		    CHARITABLE GRANT 2,000
    KANSAS NATURAL RESOURCE FOUNDATION
    1117 W HWY 24
    OSBORNE,KS67473     		    CHARITABLE GRANT 250
    ROSE VALLEY UNITED METHODIST CHURCH
    107 CO 685 AVE
    DOWNS,KS67437     		    CHARITABLE GRANT 2,500
    UNITED METHODIST OF DOWNS
    1000 MORGAN AVE
    DOWNS,KS67437     		    CHARITABLE GRANT 1,000
    ST MARY'S CATHOLIC CHURCH OF DOWNS
    1312 PRENTISS STREET
    DOWNS,KS67437     		    CHARITABLE GRANT 1,000
    MT AYR FRIENDS CHURCH
    1265 COUNTY 656 AVE
    ALTON,KS67623     		    CHARITABLE GRANT 1,000
    UNITED METHODIST CHURCH OF NATOMA
    804 4TH ST
    NATOMA,KS67651     		    CHARITABLE GRANT 1,000
    LUTHERAN CHURCH OF DOWNS
    1019 BLUNT
    DOWNS,KS67437     		    CHARITABLE GRANT 1,000
    PLEASANT PLAIN CHURCH
    2780 W 160TH DR
    ALTON,KS67623     		    CHARITABLE GRANT 1,000
    PEACE LUTHERAN CHURCH OF NATOMA
    705 5TH
    NATOMA,KS67651     		    CHARITABLE GRANT 1,000
    UNITED MEOTHODIST CHURCH OF PORTIS
    PO BOX 103
    PORTIS,KS67474     		    CHARITABLE GRANT 1,000
    SEVENTH DAY ADVENTIST CHURCH OF DOWNS
    713 DELAWARE ST
    DOWNS,KS67437     		    CHARITABLE GRANT 1,000
    CHRISTIAN CHURCH OF DOWNS
    1071 MORGAN AVE
    DOWNS,KS67437     		    CHARITABLE GRANT 1,000
    ROSE VALLEY CHURCH
    107 COUNTY 685 AVE
    DOWNS,KS67437     		    CHARITABLE GRANT 1,000
    UNITED METHODIST CHURCH OF ALTON
    408 MILL ST
    ALTON,KS67623     		    CHARITABLE GRANT 1,000
    OSBORNE ALUMNI ASSOCIATION
    PO BOX 70
    OSBORNE,KS67473     		    CHARITABLE GRANT 500
    NATOMA PARK PROJECT
    PO BOX 350
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    PORTIS PRIDE
    PO BOX 114
    PORTIS,KS67474     		    CHARITABLE GRANT 1,000
    OSBORNE PUBLIC LIBRARY
    325 W MAIN
    OSBORNE,KS67473     		    CHARITABLE GRANT 175
    OSBORNE HIGH SCHOOL ATHLETIC BANQUET COMMITTEE
    221 W MADISON
    OSBORNE,KS67473     		    CHARITABLE GRANT 2,000
    OSBORNE SENIOR CENTER
    108 W MAIN
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    OSBORNE COUNTY MEMORIAL HOSPITAL
    424 W NEW HAMPSHIRE ST
    OSBORNE,KS67473     		    CHARITABLE GRANT 16,556
    OSBORNE COUNTRY CLUB
    227 W NEW HAMPSHIRE
    OSBORNE,KS67473     		    CHARITABLE GRANT 3,000
    FORD FUND
    PO BOX 189
    OSBORNE,KS67473     		    CHARITABLE GRANT 750
    HEARTLAND SERVE
    123 S 9TH
    OSBORNE,KS67473     		    CHARITABLE GRANT 2,250
    OSBORNE MINISTERIAL ALLIANCE (FOOD BANK)
    125 S OAK
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    GRACE BRETHREN CHURCH
    108 E 5TH
    PORTIS,KS67437     		    CHARITABLE GRANT 1,000
    PARADISE VALLEY CHURCH
    PO BOX 37
    NATOMA,KS67651     		    CHARITABLE GRANT 1,000
    LIGHTHOUSE COMMUNITY CHURCH
    901 W BLUNT
    DOWNS,KS67437     		    CHARITABLE GRANT 1,000
    ASSEMBLY OF GOD CHURCH - OSBORNE
    125 S OAK
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    BIBLE BAPTIST CHURCH OF OSBRONE
    131 SOUTH 2ND
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    UNITED CHRISTIAN CHURCH OF OSBORNE
    212 N 2ND
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    FAITH LUTHERAN CHRUCH OF OSBORNE
    629 N 2ND
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    FREE MOETHODIST CHURCH OF OSBORNE
    724 WEST MAIN STREET
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    UNITED METHODIST CHURCH OF OSBORNE
    PO BOX 287
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    Total .................................bullet 3a 357,661
    bApproved for future payment
    OSBORNE COUNTY MEMORIAL HOSPITAL
    424 W NEW HAMPSHIRE ST
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,000
    OSBORNE COUNTY LIVESTOCK ASSOCIATION
    808 APOLLO AVE
    OSBORNE,KS67473     		    CHARITABLE GRANT 1,425
    Total ..................................bullet 3b 2,425
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments         5,481
    4 Dividends and interest from securities....         272,326
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....         28,088
    6Net rental income or (loss) from personal property          
    7 Other investment income.....         68,216
    8Gain or (loss) from sales of assets other than inventory         112,704
    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
    12 Subtotal. Add columns (b), (d), and (e).. 0 0 486,815
    13Total. Add line 12, columns (b), (d), and (e)...................
    13486,815
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    3 ALL INVESTMENT INCOME USED IN CONTRIBUTION DISTRIBUTIONS
    4 ALL INVESTMENT INCOME USED IN CONTRIBUTION DISTRIBUTIONS
    5B ALL INVESTMENT INCOME USED IN CONTRIBUTION DISTRIBUTIONS
    7 ALL INVESTMENT INCOME USED IN CONTRIBUTION DISTRIBUTIONS
    8 PRINCIPAL INCOME (LOSS) GENERATED NOT SUBJECT TO DISTRIBUTIONS
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash....................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements............................
    1b(4)
     
    No
    (5) Loans or loan guarantees..............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    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 in column (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
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    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 or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2010)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2010 AccountingFeesSchedule
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,900 0   2,900

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ALCOA INC. 26,383 28,163
    FORTUNE BRAND INC. 19,988 20,019
    GENERAL ELECTRIC CAP CORP 34,738 35,352
    GENERAL ELECTRIC CAPITAL COR 25,000 26,438
    WM WRIGLEY JR. CO 48,880 51,856
    ZURICH REINSURANCE 49,500 52,003
    ISHARES INV GRADE CORP BOND 14,421 16,266
    AMEREN ENERGY 59,813 58,226
    J.C. PENNEY COMPANY 28,344 27,250
    POWERSHARES BUILD AMERICA BOND EFT 64,872 62,700

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AT&T INC 20,146 19,920
    ABBOTT LABS 34,103 35,453
    AMERICAN STS WTR CO 13,781 12,926
    AQUA AMERICA INC 151,150 146,120
    BERKSHIRE HATHAWAY INC 13,671 40,055
    BP PLC 11,679 8,834
    BRISTOL MYERS SQUIBB CO. 5,099 5,296
    CARNIVAL CORP 34,744 31,124
    CATERPILLAR INC DEL 2,800 9,366
    CHEVERON CORP 7,885 27,923
    COCA COLA CO 45,603 55,576
    COMMERCE BANKSHARES INC 17,251 27,811
    CONAGRA 16,352 15,806
    CONOCOPHILLIPS 12,481 31,735
    DANAHER CORP 14,174 28,302
    DISNEY WALT CO COM DISNEY 34,707 60,016
    DOW CHEM CO 27,398 30,726
    DUKE ENERGY CORP 78,094 73,199
    E M C CORP MASS 7,027 4,580
    EMERSON ELEC CO 17,644 57,170
    EXELON CORP 4,790 4,164
    EXXON MOBIL CORP 18,989 35,975
    FRANKLIN RES INC 13,269 31,139
    GENERAL DYNAMICS CORP 16,386 35,480
    GENERAL ELEC CO 17,661 13,352
    HEINZ H J CO 8,068 9,892
    HOME DEPOT INC 23,976 27,522
    INTEL CORP 11,860 10,515
    I SHARES INC MSCI AUSTRALIA INDEX F 9,352 9,667
    ISHARES TR DJ SEL DIVIDEND INDEX 2,980 2,493
    I SHARE S&P 500 GROWTH INDEX FUND 23,068 32,825
    I SHARE S&P 500 VALUE INDEX FUND 19,331 26,458
    JOHNSON & JOHNSON 22,415 46,511
    KIMBERLY CLARK CORP 10,359 12,608
    KRAFT FOODS INC. 5,126 6,302
    LOWES COS INC 17,512 21,067
    MMEC ELECTRONICS MATERIAL INC 3,305 563
    MCDONALDS CORP 21,788 76,760
    MERCK & CO INC. NEW 1,295 613
    MICROSOFT CORP 17,047 11,164
    NOKIA CORP SPONDARED ADR 2,638 2,064
    MIDWAY COOP, OSBORNE 10 10
    PEABODY ENERGY CORP 7,046 12,796
    PEPSICO INC 28,369 71,863
    PFIZER INC 12,816 7,792
    POWERSHARES QQQ 7,231 12,798
    PROCTER & GAMBLE CO 19,059 32,165
    PROGRESS ENERGY INC 28,703 29,436
    QUEST DIAGNOXTICS INC 7,207 7,286
    SCHLUMBERGER LTD 5,766 25,050
    S & P SPDR MATERIALS 3,198 3,841
    S & P SPYDER HEALTHCARE 3,325 3,150
    S & P SPDR CONSUMER STAPLES 2,541 2,931
    S & P SPDR CONSUMER DISCRETIONARY 5,353 5,986
    S & P SPDR ENERGY 5,262 6,825
    S & P SPDR FINANCIALS 7,851 6,380
    S & P SPDR INDUSTRIALS 3,430 3,487
    S & P SPDR TECHNOLOGY SBI INT-TECH 2,231 2,519
    I SH S & P UTILITIES 3,456 3,134
    SOUTHERN CO 6,371 7,646
    SYSCO CORP 13,887 58,800
    TARGET CORP 13,106 30,065
    VALERO ENERGY CORP NEW 16,366 6,358
    VERIZON COMMUNICATIONS INC. 5,863 7,156
    WALMART 48,280 53,930
    WALGREEN CO 14,741 23,376
    AMERICAN ELEC PWR INC 3,467 3,598
    CVS CAREMARK CORPORATION 3,504 3,477
    CISCO SYS INC 30,900 30,345
    ILLINOIS TOOL WORKS INC 4,679 5,340
    JP MORGAN CHASE & CO 7,544 8,484
    MEDTRONIC INC 59,457 64,351
    METLIFE INC 26,726 31,108
    NEXTERA ENERGY INC. COM 39,349 70,187
    S&P SPDR 500 TRUST UNIT SER 1 8,703 12,575
    SPDR DOW JONES INDUSTRIAL AVE ETF TRUST 9,218 11,563
    GUGGENHEIM BRIC ETF 2,090 2,307

    TY 2010 InvestmentsGovtObligationsSch
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    US Government Securities - End of Year Book Value:

    2,651,205
    US Government Securities - End of Year Fair Market Value:

    2,703,766
    State & Local Government Securities - End of Year Book Value:


    2,990,245
    State & Local Government Securities - End of Year Fair Market Value:


    2,878,596


    TY 2010 InvestmentsOtherSchedule2
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BRANDYWINE BLUE AT COST 11,500 8,670
    DODGE AND COX AT COST 4,600 3,167
    FIDELITY SEL. ENERGY AT COST 5,000 11,577
    FIDELITY SELECT AT COST 48,491 55,897
    FRANKLIN UTILITIES FUND AT COST 6,200 7,235
    NORTHERN INTERNATIONAL GROWTH EQUITY AT COST 50,000 41,786
    TEMPLETON FDS INC FOREIGN FD A AT COST 6,251 4,930
    VANGUARD INDEX - 500 AT COST 21,813 22,508

    TY 2010 LegalFeesSchedule
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 3,600 0   3,600


    TY 2010 OtherAssetsSchedule
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DEFFERED PATRONAGE 9,152 9,944 9,944
    ACCRUED DIVIDENDS, INTEREST, AND CAPITAL GAINS RECEIVABLE 66 2,103 1,950


    TY 2010 OtherExpensesSchedule
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CHEMICAL 2,692 2,692   0
    FERTILIZER 7,777 7,777   0
    INSURANCE 3,901 3,901   0
    FARM REPAIRS 3,070 3,070   0
    MISCELLANEOUS EXPENSE 64 64   0
    REIMBURSEMENTS 1,265 1,265   0


    TY 2010 OtherIncomeSchedule2
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    GRAIN SALES 55,517 55,517 55,517
    PATRONAGE DIVIDEND 2,411 2,411 2,411
    ASCS PAYMENT 1,338 1,338 1,338
    INSURANCE PROCEEDS 974 974 974
    REIMBURSEMENTS 1,928 1,928 1,928
    SCHOLARSHIP & GRANTS REFUNDS 5,700 5,700 5,700
    SECURITY LITIGATION RECEIPTS 348 348 348


    TY 2010 TaxesSchedule
    Name:
    SARVER CHARITABLE TRUST CO THE PEOPLES BANK
    EIN: 48-6298990
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    REAL ESTATE TAXES 10,686 10,686   0
    INCOME TAX 10,155 10,155   0