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
ALBERT W & EDITH V FLOWERS CHARITABLE 12630-00
 

Number and street (or P.O. box number if mail is not delivered to street address)FIRSTMERIT BANK 106 S MAIN ST16THFLRoom/suite
City or town, state, and ZIP code
AKRON, OH44308
A Employer identification number

34-6608643
B Telephone number (see page 10 of the instructions)

(330) 384-7301
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$2,518,655
J 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      
4 Dividends and interest from securities...... 70,975 70,975  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -35,650
b Gross sales price for all assets on line 6a 628,420
7 Capital gain net income (from Part IV, line 2)... 0
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)....... 2,154 2,154  
12 Total. Add lines 1 through 11........ 37,479 73,129  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 21,429 10,714   10,715
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 1,138 569   569
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions)        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 1,864 731   1,133
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 24,431 12,014   12,417
25 Contributions, gifts, grants paid........ 99,850 99,850
26 Total expenses and disbursements. Add lines 24 and 25 124,281 12,014   112,267
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -86,802
b Net investment income (if negative, enter -0-) 61,115
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...............      
2 Savings and temporary cash investments.......... 63,124 52,569 52,569
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) 500,867 Click to see attachment577,466 614,862
b Investments—corporate stock (attach schedule)........ 1,307,557 Click to see attachment1,154,711 1,395,232
c Investments—corporate bonds (attach schedule)........ 426,853 Click to see attachment426,853 455,992
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,298,401 2,211,599 2,518,655
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 0
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......... 2,298,401 2,211,599
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 0 0
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,298,401 2,211,599
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,298,401 2,211,599
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 2,298,401
2 Enter amount from Part I, line 27a...................... 2 -86,802
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 2,211,599
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 2,211,599
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 25 SHS CHARLES SCHWAB CORP P 2009-06-29 2010-01-15
b 695 SHS CHARLES SCHWAB CORP P 2006-10-12 2010-01-15
c 60 SHS ABBOTT LABS P 2009-06-29 2010-02-11
d 10 SHS APPLE INC P 2007-11-29 2010-02-11
e 10 SHS AUTOMATIC DATA PROCESSING INC P 2006-01-23 2010-02-11
60 SHS BAXTER INTL INC P 2009-06-29 2010-02-11
60 SHS BAXTER INTL INC P 2006-08-17 2010-02-11
130 SHS DISNEY WALT CO NEW P 2007-11-21 2010-02-11
70 SHS EMERSON ELEC CO P 1983-07-01 2010-02-11
30 SHS GENERAL ELECTRIC CORP P 2004-12-13 2010-02-11
10 SHS GENERAL MLS INC P 2008-01-31 2010-02-11
50 SHS HEWLETT PACKARD CO P 2009-09-01 2010-02-11
120 SHS INTEL CORP P 2008-05-20 2010-02-11
30 SHS MCDONALDS CORP P 2008-01-31 2010-02-11
10 SHS OCCIDENTAL PETE CORP P 2009-12-10 2010-02-11
10 SHS PEPSICO INC P 2001-05-23 2010-02-11
40 SHS HOME DEPOT INC P 2009-06-16 2010-02-11
10 SHS UNITED TECHNOLOGIES CORP P 2009-06-15 2010-02-11
40 SHS ECOLAB INC P 2009-04-17 2010-02-11
60 SHS MICROSOFT CORP P 2009-07-24 2010-02-11
10 SHS APACHE CORP P 2007-06-28 2010-02-11
5 SHS CISCO SYSTEMS INC P 2009-06-29 2010-02-11
135 SHS CISCO SYSTEMS INC P 1998-04-07 2010-02-11
10 SHS NIKE INC-CLASS B P 2009-06-29 2010-02-11
20 SHS NIKE INC-CLASS B P 2009-05-12 2010-02-11
20 SHS QUALCOMM INC P 2008-08-01 2010-02-11
10 SHS DANAHER CORP P 2006-08-22 2010-02-11
50 SHS WELLS FARGO & CO P 2009-07-14 2010-02-11
10 SHS GILEAD SCIENCES INC P 2007-08-24 2010-02-11
10 SHS EXXON MOBIL CORPORATION P 2004-01-14 2010-02-11
30 SHS VERIZON COMMUNICATIONS P 2006-12-12 2010-02-11
20 SHS FLUOR CORP NEW P 2009-10-09 2010-02-11
50 SHS XTO ENERGY INC P 2008-05-19 2010-02-11
20 SHS PRUDENTIAL FINL INC P 2009-06-15 2010-02-11
590 SHS ISHARES MSCI EAFE INDEX FUND P 2008-07-01 2010-02-11
5 SHS GOOGLE INC - CL A P 2009-06-29 2010-02-11
5 SHS GOOGLE INC - CL A P 2009-05-05 2010-02-11
180 SHS ISHARES S&P SMALLCAP 600 P 2008-08-01 2010-02-11
260 SHS ISHARES RUSSELL MIDCAP INDEX FUND P 2008-07-01 2010-02-11
10 SHS DUKE ENERGY HOLDING CORP P 2009-03-13 2010-02-11
70 SHS CAMERON INTERNATIONAL CORP P 2009-06-29 2010-02-11
240 SHS VANGUARD MSCI EMERGING MARKETS ETF P 2008-07-01 2010-02-11
60 SHS SPDR DJ WILSHIRE INTL REAL ESTATE P 2008-08-01 2010-02-11
45 SHS VANGUARD MATERIALS ETF P 2009-06-29 2010-02-11
280 SHS VANGUARD MATERIALS ETF P 2009-05-05 2010-02-11
30 SHS COVIDIEN PLC P 2009-02-02 2010-02-11
615 SHS DISNEY WALT CO NEW P 2007-11-21 2010-03-10
40 SHS VERIZON COMMUNICATIONS P 2008-08-01 2010-03-10
374 SHS VERIZON COMMUNICATIONS P 2006-12-12 2010-03-10
125 SHS XTO ENERGY INC P 2008-05-19 2010-03-10
60 SHS GOLDMAN SACHS GROUP INC P 2009-05-12 2010-04-22
65 SHS GOLDMAN SACHS GROUP INC P 2010-01-15 2010-04-22
10 SHS GOLDMAN SACHS GROUP INC P 2010-02-11 2010-04-22
308 SHS BAXTER INTL INC P 2006-08-17 2010-05-17
84 SHS XTO ENERGY INC P 2008-05-19 2010-05-26
80 SHS XTO ENERGY INC P 2008-08-01 2010-05-26
155 SHS XTO ENERGY INC P 2009-05-12 2010-05-26
10 SHS XTO ENERGY INC P 2009-06-29 2010-05-26
60 SHS THE VANGUARD GROUP INC ENERGY ETF P 2008-07-01 2010-05-26
160 SHS THE VANGUARD GROUP INC ENERGY ETF P 2008-08-01 2010-05-26
25 SHS THE VANGUARD GROUP INC ENERGY ETF P 2009-06-29 2010-05-26
50 SHS APPLE INC P 2007-11-29 2010-06-18
170 SHS JOHNSON & JOHNSON P 2006-01-23 2010-06-18
10 SHS JOHNSON & JOHNSON P 2010-02-11 2010-06-18
445 SHS QUALCOMM INC P 2008-08-01 2010-06-18
372 SHS GILEAD SCIENCES INC P 2007-08-24 2010-06-18
125 SHS UNITED TECHNOLOGIES CORP P 2006-01-23 2010-07-02
90 SHS UNITED TECHNOLOGIES CORP P 2009-06-15 2010-07-02
160 SHS PRAXAIR INC P 2006-08-31 2010-07-02
10 SHS PRAXAIR INC P 2010-02-11 2010-07-02
10 SHS GOOGLE INC - CL A P 2006-06-15 2010-07-02
25 SHS GOOGLE INC - CL A P 2009-05-05 2010-07-02
170 SHS COVIDIEN PLC P 2009-02-02 2010-07-02
115 SHS COVIDIEN PLC P 2009-06-29 2010-07-02
207 SHS ECOLAB INC P 2009-04-17 2010-07-21
137 SHS CHEVRON CORPORATION P 2006-01-23 2010-07-21
5 SHS CHEVRON CORPORATION P 2009-06-29 2010-07-21
70 SHS CHEVRON CORPORATION P 2010-02-11 2010-07-21
420 SHS NUCOR CORP P 2009-09-01 2010-09-23
30 SHS NUCOR CORP P 2010-02-11 2010-09-23
220 SHS ISHARES MSCI EAFE INDEX FUND P 2010-06-18 2010-09-23
1250 SHS ISHARES MSCI EAFE INDEX FUND P 2008-08-01 2010-09-23
205 SHS ISHARES MSCI EAFE INDEX FUND P 2008-07-01 2010-09-23
10 SHS ISHARES MSCI EAFE INDEX FUND P 2009-06-29 2010-09-23
508 SHS AUTOMATIC DATA PROCESSING INC P 2006-01-23 2010-09-30
420 SHS MEDTRONIC INC P 2010-03-10 2010-10-26
820 SHS WELLS FARGO & CO P 2009-07-14 2010-11-16
503 SHS JP MORGAN CHASE & CO P 2008-04-08 2010-11-16
80 SHS JP MORGAN CHASE & CO P 2008-08-01 2010-11-16
25 SHS JP MORGAN CHASE & CO P 2008-07-01 2010-11-16
55 SHS JP MORGAN CHASE & CO P 2009-06-29 2010-11-16
40 SHS JP MORGAN CHASE & CO P 2010-02-11 2010-11-16
145 SHS NIKE INC-CLASS B P 2009-05-12 2010-12-09
385 SHS RAYTHEON COMPANY P 2010-04-22 2010-12-09
CAPITAL GAINS DIVIDENDS P    
(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 472   450 22
b 13,128   12,349 779
c 3,209   2,864 345
d 1,983   1,838 145
e 409   408 1
3,360   3,168 192
3,360   2,587 773
3,918   4,110 -192
3,232   351 2,881
467   1,111 -644
690   546 144
2,427   2,210 217
2,413   2,901 -488
1,910   1,597 313
800   769 31
607   448 159
1,154   943 211
664   547 117
1,668   1,504 164
1,688   1,395 293
994   812 182
119   95 24
3,221   1,536 1,685
630   519 111
1,260   1,017 243
758   1,102 -344
715   660 55
1,350   1,218 132
469   370 99
650   407 243
869   1,064 -195
888   977 -89
2,276   3,415 -1,139
967   736 231
30,663   39,747 -9,084
2,685   2,126 559
2,685   2,010 675
9,521   11,086 -1,565
20,910   24,648 -3,738
161   129 32
2,828   2,030 798
9,251   10,930 -1,679
2,004   2,785 -781
2,864   2,382 482
17,819   15,017 2,802
1,484   1,147 337
20,476   19,444 1,032
1,187   1,387 -200
11,102   13,269 -2,167
5,918   8,537 -2,619
9,523   8,054 1,469
10,317   10,816 -499
1,587   1,539 48
13,297   13,279 18
3,552   5,737 -2,185
3,382   3,854 -472
6,553   6,536 17
423   382 41
4,575   7,768 -3,193
12,199   17,753 -5,554
1,906   1,765 141
13,659   9,192 4,467
10,043   10,334 -291
591   630 -39
15,898   24,524 -8,626
13,418   13,760 -342
8,022   6,812 1,210
5,776   4,919 857
12,268   9,187 3,081
767   762 5
4,385   3,911 474
10,964   10,050 914
6,737   6,502 235
4,557   4,311 246
9,940   7,783 2,157
9,918   8,528 1,390
362   335 27
5,068   5,041 27
15,580   18,490 -2,910
1,113   1,228 -115
11,886   11,164 722
67,533   82,066 -14,533
11,075   13,810 -2,735
540   465 75
21,399   20,731 668
15,094   18,803 -3,709
22,148   19,982 2,166
19,763   22,758 -2,995
3,143   3,240 -97
982   848 134
2,161   1,906 255
1,572   1,560 12
12,695   7,376 5,319
17,660   22,881 -5,221
106     106
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       22
b       779
c       345
d       145
e       1
      192
      773
      -192
      2,881
      -644
      144
      217
      -488
      313
      31
      159
      211
      117
      164
      293
      182
      24
      1,685
      111
      243
      -344
      55
      132
      99
      243
      -195
      -89
      -1,139
      231
      -9,084
      559
      675
      -1,565
      -3,738
      32
      798
      -1,679
      -781
      482
      2,802
      337
      1,032
      -200
      -2,167
      -2,619
      1,469
      -499
      48
      18
      -2,185
      -472
      17
      41
      -3,193
      -5,554
      141
      4,467
      -291
      -39
      -8,626
      -342
      1,210
      857
      3,081
      5
      474
      914
      235
      246
      2,157
      1,390
      27
      27
      -2,910
      -115
      722
      -14,533
      -2,735
      75
      668
      -3,709
      2,166
      -2,995
      -97
      134
      255
      12
      5,319
      -5,221
      106
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 -35,650
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 128,268 2,219,686 0.057787
2008 145,721 2,600,349 0.056039
2007 139,989 2,985,259 0.046893
2006 140,056 2,834,382 0.049413
2005 118,552 2,751,616 0.043085
2 Total of line 1, column (d) ...................... 2 0.253217
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 0.050643
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 2,401,413
5 Multiply line 4 by line 3....................... 5 121,615
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 611
7 Add lines 5 and 6......................... 7 122,226
8 Enter qualifying distributions from Part XII, line 4.............. 8 112,267
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 1,222
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 1,222
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 1,222
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 686
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  
7 Total credits and payments. Add lines 6a through 6d.............. 7 686
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 9 536
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)bulletOH
    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 ofbulletFIRSTMERIT BANK NA Telephone no.bullet (330) 384-7301
    Located atbullet106 S MAIN ST 5TH FLAKRONOH ZIP+4bullet44308
    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
    FIRSTMERIT BANK NA TRUSTEE
    2.00
    21,429 0 0
    106 S MAIN ST 5TH FL
    AKRON,OH44308
    RONALD B TYNAN SR CHAIRMAN
    1.00
    0 0 0
    3021 12TH STREET NW
    MASSILLON,OH44646
    CHARLES TYBURSKI COMMITTEE MEMBER
    1.00
    0 0 0
    1000 UNITED BANK PLAZA 220 MARKET
    ST
    CANTON,OH44702
    F E MCCULLOUGH CPA COMMITTEE MEMBER
    1.00
    0 0 0
    3637 MCDOWELL ST NE
    NORTH CANTON,OH44721
    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
    2,298,078
    b
    Average of monthly cash balances.......................
    1b
    139,905
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,437,983
    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
    2,437,983
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    36,570
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,401,413
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    120,071
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    120,071
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    1,222
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,222
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    118,849
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    118,849
    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
    118,849
    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
    112,267
    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
    112,267
    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
    112,267
    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 7 118,849
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 99,513
    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$ 112,267
    a Applied to 2009, but not more than line 2a 99,513
    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..... 12,754
    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 ..........
    106,095
    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:
    BRENDA MOUBRAY
    106 S MAIN ST 5TH FL
    AKRON,OH44308
    (330) 384-7301
    bThe form in which applications should be submitted and information and materials they should include:
    N/A
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    AWARDS GENERALLY GRANTED TO QUALIFYING ORGANIZATIONS IN STARK 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
    AKRON-CANTON REGIONAL FOODBANK
    350 OPPORTUNITY PARKWAY
    AKRON,OH44308
    NONE 501(C)(3) GENERAL SUPPORT 5,000
    BEACON JOURNAL CHARITY FUND
    333 SOUTH MAIN STREET SUITE 319
    AKRON,OH44309
    NONE 501(C)(3) CIVIC 1,500
    BOYS & GIRLS CLUBS OF MASSILLON
    730 DUNCAN STREET
    MASSILLON,OH44648
    NONE 501(C)(3) CIVIC 2,000
    CANTON EX-NEWSBOYS ASSOCIATION
    PO BOX 20124
    CANTON,OH447010124
    NONE 501(C)(3) GENERAL SUPPORT 5,000
    CENTRAL CATHOLIC HIGH SCHOOL
    4824 WEST TUSCARAWAS STREET
    CANTON,OH44709
    NONE 501(C)(3) GENERAL SUPPORT 5,000
    FRIENDS OF STARK COUNTY DISTRICT LIBRARY
    715 MARKET AVENUE NORTH
    CANTON,OH44702
    NONE 501(C)(3) GENERAL SUPPORT 1,500
    GIRL SCOUTS OF NORTH EAST OHIO
    ONE GIRL SCOUT WAY
    MACEDONIA,OH44057
    NONE 501(C)(3) GENERAL SUPPORT 1,000
    HAMMER & NAILS
    PO BOX 8224
    CANTON,OH44712
    NONE 501(C)(3) GENERAL SUPPORT 2,000
    KENT STATE UNIVERSITY FOUNDATION
    PO BOX 5190
    KENT,OH44213
    NONE 501(C)(3) EDUCATION 3,000
    MALONE UNIVERSITY
    2600 CLEVELAND AVENUE NW
    CANTON,OH44710
    NONE 501(C)(3) EDUCATION 5,000
    NATIONAL MULTIPLE SCLEROSIS SOCIETY OHIO BUCKEYE CHAPTER
    6155 ROCKSIDE ROAD SUITE 202
    INDEPENDENCE,OH44131
    NONE 501(C)(3) CIVIC 1,000
    NORTHEASTERN OHIO CHRISTIAN YOUTH CAMP
    2681 STATE ST NW
    CANTON,OH44685
    NONE 501(C)(3) FACILITIES 2,000
    OHIO OUTDOOR HISTORICAL DRAMA ASSOC TRUMPET IN THE LAND
    PO BOX 450
    NEW,OH44663
    NONE 501(C)(3) EDUCATION 1,000
    PATHWAY CARING FOR CHILDREN
    6370 WISE AVENUE NW
    NORTH CANTON,OH44721
    NONE 501(C)(3) CIVIC 1,000
    PEGASUS FARM
    7490 EDISON STREET NE
    HARTVILLE,OH44633
    NONE 501(C)(3) CIVIC 2,000
    RICHARD D WATKINS CANTON COMMUNITY CLINIC
    2725 LINCOLN STREET EAST
    CANTON,OH44707
    NONE 501(C)(3) CIVIC 2,000
    SALVATION ARMY - ALLIANCE
    P O BOX 2780
    ALLIANCE,OH44602
    NONE 501(C)(3) CIVIC 5,000
    SALVATION ARMY - CANTON
    420 MARKET AVENUE SOUTH
    CANTON,OH44703
    NONE 501(C)(3) CIVIC 5,000
    SALVATION ARMY - MASSILLON
    143 FIRST STREET SE
    MASSILLON,OH44647
    NONE 501(C)(3) CIVIC 5,000
    SISTER OF CHARITY OF ST AUGUSTINE
    3114 CLEVELAND AVENUE
    CANTON,OH44710
    NONE 501(C)(3) CIVIC 2,000
    SPRING HILL HISTORIC HOME INC
    1401 SPRING HILL LANE NE
    MASSILLON,OH44647
    NONE 501(C)(3) CIVIC 1,000
    ST JAMES CATHOLIC CHURCH-WAYNESBURG
    400 WEST LISBON STREET
    WAYNESBURG,OH44689
    NONE 501(C)(3) CIVIC 500
    ST JOAN OF ARC CATHOLIC CHURCH
    4940 TUSCARAWAS WEST
    CANTON,OH44708
    NONE 501(C)(3) CIVIC 6,000
    ST MICHAEL SCHOOL
    3431 ST MICHAEL STREET NW
    CANTON,OH44718
    NONE 501(C)(3) CIVIC 1,000
    ST PAUL'S CATHOLIC CHURCH ENRICHMENT OUTREACH PROGRAM
    1459 SUPERIOR AVE
    CANTON,OH44705
    NONE 501(C)(3) CIVIC 3,500
    STARK SOCIAL WORKERS NETWORK
    PO BOX 8223
    CANTON,OH44712
    NONE 501(C)(3) CIVIC 2,000
    STARK STATE COLLEGE FOUNDATION
    6200 FRANK AVENUE NW
    NORTH CANTON,OH44721
    NONE 501(C)(3) CIVIC 5,000
    TURNING POINT OF STARK COUNTY
    1221 HARRISBURG RD NE
    CANTON,OH44712
    NONE 501(C)(3) CIVIC 2,000
    UNITED SERVICE ORGANIZATIONS INC USO
    PO BOX 96860
    ARLINGTON,OH20077
    NONE 501(C)(3) CIVIC 500
    VOYAGER PROGRAM
    330 THIRD STREET NW
    CANTON,OH44703
    NONE 501(C)(3) CIVIC 4,000
    WALSH UNIVERSITY
    2020 EAST MAPLE STREET
    NORTH CANTON,OH44721
    NONE 501(C)(3) CIVIC 5,000
    WESTERN STARK COUNTY MEDICAL CLINIC INC
    820 AMHERST ROAD NE
    MASSILLON,OH44646
    NONE 501(C)(3) CIVIC 5,000
    YOUNG MEN'S CHRISTIAN ASSOCIATION ALLIANCE FAMILY YMCA
    P O BOX 2780
    ALLIANC,OH44601
    NONE 501(C)(3) CIVIC 1,350
    YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL STARK COUNTY
    81300 YMCA ROAD
    CANTON,OH44699
    NONE 501(C)(3) CIVIC 1,000
    YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL STARK COUNTY
    81300 YMCA ROAD
    CANTON,OH44699
    NONE 501(C)(3) CIVIC 1,000
    YOUNG MEN'S CHRISTIAN ASSOCIATION OF WESTERN STARK COUNTY (MASSILLON)
    143 FIRST STREET SE
    MASSILLON,OH44646
    NONE 501(C)(3) CIVIC 3,500
    YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF CANTON OHIO
    420 MARKET AVENUE SOUTH
    CANTON,OH44702
    NONE 501(C)(3) CIVIC 500
    Total .................................bullet 3a 99,850
    bApproved for future payment
    Total ..................................bullet 3b 0
    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          
    4 Dividends and interest from securities....     14 70,975  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....     01 2,154  
    8Gain or (loss) from sales of assets other than inventory     18 -35,650  
    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 37,479 0
    13Total. Add line 12, columns (b), (d), and (e)...................
    1337,479
    (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.)
    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:
    ALBERT W & EDITH V FLOWERS CHARITABLE 12630-00
    EIN: 34-6608643
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEES 1,138 569   569

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    ALBERT W & EDITH V FLOWERS CHARITABLE 12630-00
    EIN: 34-6608643
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ANHEUSER BUSCH 5.050% 10/15/16 50,955 54,159
    BANK OF AMERICA 4.875% 9/15/12 50,750 52,207
    CITIGROUP INC 4.875% 5/07/15 49,375 51,070
    GENERAL ELEC CAP COR 4.750% 3/15/17 50,000 49,813
    LOOMIS SAYLES BOND FUND 75,183 90,847
    MERRILL LYNCH & CO 4.050% 2/09/11 50,000 49,992
    PFIZER INC 4.500% 2/15/14 50,125 54,354
    WELLS FARGO CO 4.950% 10/16/13 50,465 53,550

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    ALBERT W & EDITH V FLOWERS CHARITABLE 12630-00
    EIN: 34-6608643
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABS 21,070 21,560
    AMERICAN EXPRESS CO 25,789 25,967
    APACHE CORP 15,867 23,965
    APPLE INC 15,992 29,353
    BED BATH & BEYOND INC 25,660 29,244
    BOEING CO 11,957 11,421
    CAMERON INTERNATIONAL CORP 12,492 23,031
    CELGENE CORP 12,053 13,602
    CHEVRON CORPORATION 9,325 14,144
    CISCO SYSTEMS INC 12,296 21,869
    COCA COLA CO 13,229 16,640
    CONOCOPHILLIPS 23,283 28,943
    DANAHER CORP 20,302 30,189
    DU PONT E I DE NEMOURS & CO 18,892 24,691
    DUKE ENERGY HOLDING CORP 15,983 22,138
    ECOLAB INC 8,573 11,496
    EMERSON ELEC CO 1,544 17,608
    EXXON MOBIL CORPORATION 16,618 29,833
    FLUOR CORP NEW 18,555 25,179
    GENERAL ELECTRIC CORP 30,314 16,059
    GENERAL MLS INC 20,231 23,489
    GOOGLE INC - CL A 22,501 29,105
    HEWLETT PACKARD CO 26,106 25,050
    HOME DEPOT INC 17,093 25,419
    ILLINOIS TOOL WKS INC 13,025 17,088
    INTEL CORP 28,051 26,098
    ISHARES RUSSELL MIDCAP INDEX FUND 88,444 96,663
    ISHARES S&P SMALLCAP 600 77,542 88,326
    JOHNSON & JOHNSON 18,844 19,174
    KOHLS CORP 19,741 19,834
    MCDONALDS CORP 16,506 23,796
    MEDCO HEALTH SOLUTIONS INC 12,775 13,173
    MERCK & CO INC 18,188 17,840
    MICROSOFT CORP 20,233 24,282
    NIKE INC-CLASS B 11,701 19,647
    OCCIDENTAL PETE CORP 19,237 24,525
    ORACLE CORPORATION 20,351 21,754
    PEPSICO INC 19,563 24,368
    PRAXAIR INC 8,383 13,939
    PROCTER & GAMBLE CO 17,681 24,638
    PRUDENTIAL FINL INC 18,418 24,365
    SCHLUMBERGER LTD 18,085 25,050
    SPDR DJ WILSHIRE INTL REAL ESTATE 17,212 15,377
    SPDR DOW JONES REIT ETF 19,915 18,916
    STATE STREET CORP 21,400 25,997
    T ROWE PRICE GROUP INC 18,799 31,496
    UNION PAC CORP 18,426 20,849
    UNITED TECHNOLOGIES CORP 9,264 13,382
    VANGUARD FTSE ALL WO X-US SC 22,802 25,403
    VANGUARD FTSE ALL-WORLD EX-US 86,549 92,596
    VANGUARD MSCI EMERGING MARKETS ETF 64,673 73,663
    YUM! BRANDS INC 13,178 12,998

    TY 2010 InvestmentsGovtObligationsSch
    Name:
    ALBERT W & EDITH V FLOWERS CHARITABLE 12630-00
    EIN: 34-6608643
    US Government Securities - End of Year Book Value:

    577,466
    US Government Securities - End of Year Fair Market Value:

    614,862
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2010 OtherExpensesSchedule
    Name:
    ALBERT W & EDITH V FLOWERS CHARITABLE 12630-00
    EIN: 34-6608643
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OH FILING FEE 400 0   400
    DUES & SUBSCRIPTIONS 585 292   293
    MEETING EXPENSE 107 53   54
    INSURANCE EXPENSE 772 386   386


    TY 2010 OtherIncomeSchedule2
    Name:
    ALBERT W & EDITH V FLOWERS CHARITABLE 12630-00
    EIN: 34-6608643
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    LITIGATION PROCEEDS 2,154 2,154 2,154