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
PIEDMONT NATURAL GAS FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)1525 WEST WT HARRIS BLVD   Room/suite
City or town, state, and ZIP code
CHARLOTTE, NC28288
A Employer identification number

20-1786431
B Telephone number (see page 10 of the instructions)

(919) 881-6497
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$7,422,501J 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) 500,000
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 116,243 116,243  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 150,781
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 150,781
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).......      
12 Total. Add lines 1 through 11........ 767,024 267,024  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 66,348 6,555   59,793
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)....... Click to see attachment 624 0   624
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 66,972 6,555   60,417
25 Contributions, gifts, grants paid........ 981,836 981,836
26 Total expenses and disbursements. Add lines 24 and 25 1,048,808 6,555   1,042,253
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -281,784
b Net investment income (if negative, enter -0-) 260,469
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............... 58,665    
2 Savings and temporary cash investments..........      
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........... 1,536 1,720 1,720
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 6,958,038 Click to see attachment7,420,781 7,420,781
c Investments—corporate bonds (attach schedule)........      
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) 7,018,239 7,422,501 7,422,501
Liabilities 17 Accounts payable and accrued expenses..........   171,452
18 Grants payable................... 385,000 262,500
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).......... 385,000 433,952
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......... 6,633,239 6,988,549
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).................... 6,633,239 6,988,549
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 7,018,239 7,422,501
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 6,633,239
2 Enter amount from Part I, line 27a...................... 2 -281,784
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 637,094
4 Add lines 1, 2, and 3.......................... 4 6,988,549
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 6,988,549
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 CAPITAL GAIN FROM INTEREST IN FOUNDATION FOR THE CAROLINAS INVESTMENT POOL P 2008-01-01 2010-12-31
b
c
d
e
(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       150,781
b
c
d
e
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       150,781
b
c
d
e
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 2 150,781
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 1,064,216 5,903,922 0.180256
2008 777,339 6,730,594 0.115493
2007 849,027 7,732,517 0.109800
2006 972,507 7,895,644 0.123170
2005 412,393 7,313,893 0.056385
2 Total of line 1, column (d) ...................... 2 0.585104
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 0.117021
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 6,947,872
5 Multiply line 4 by line 3....................... 5 813,047
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,605
7 Add lines 5 and 6......................... 7 815,652
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,042,253
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 2,605
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 2,605
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 2,605
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 1,720
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 1,720
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 9 885
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)bulletNC
    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 FOUNDATION FOR THE CAROLINAS Telephone no.bullet (704) 973-4517
    Located atbullet217 S TRYON STREETCHARLOTTENC ZIP+4bullet28202
    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
     
    No
    .........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
    MARGARET M GRIFFITH DIRECTOR
    40.00     		0 0 0
    1525 WEST WT HARRIS BLVD
    CHARLOTTE,NC28288
    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
    6,966,214
    b
    Average of monthly cash balances.......................
    1b
    87,463
    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
    7,053,677
    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
    7,053,677
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    105,805
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,947,872
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    347,394
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    347,394
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    2,605
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,605
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    344,789
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    344,789
    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
    344,789
    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
    1,042,253
    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
    1,042,253
    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
    2,605
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    1,039,648
    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 7 344,789
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 2,018
    b From 2006....... 586,351
    c From 2007....... 474,797
    d From 2008....... 446,744
    e From 2009....... 772,460
    fTotal of lines 3a through e......... 2,282,370
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 1,042,253
    a Applied to 2009, but not more than line 2a 0
    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..... 344,789
    e Remaining amount distributed out of corpus 697,464
    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 2,979,834
    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 ..........     		0
    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) .............     		2,018
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		2,977,816
    10 Analysis of line 9:
    a Excess from 2006.... 586,351
    b Excess from 2007.... 474,797
    c Excess from 2008.... 446,744
    d Excess from 2009.... 772,460
    e Excess from 2010.... 697,464
    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:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    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
    CRISIS CONTROL MINISTRY INC
    200 EAST TENTH STREET
    WINSTONSALEM,NC27101     		NONE 509(A)(1) HOPE DU JOUR 1,250
    FAMILY SERVICES INC OF FORSYTH STOKES & DAVIE COUNTIES NC
    1200 S BROAD STREET
    WINSTONSALEM,NC27101     		NONE 509(A)(2) CREATIVE EXPRESSION FOR HEAD START CHILDREN 2,500
    GIRL SCOUTS OF MIDDLE TENNESSEE INC
    4522 GRANNY WHITE PIKE
    NASHVILLE,TN372040466     		NONE 509(A)(2) GIRL SCOUTS OF MIDDLE TENNESSEE, PROJECT LEAD AND TROOP ACTIVITIES 1,000
    BIG BROTHERS BIG SISTERS OF MIDDLE TENNESSEE
    1704 CHARLOTTE AVENUE SUITE 130
    NASHVILLE,TN37203     		NONE 509(A)(1) OPERATION MENTOR 1,000
    CARING SERVICES INC
    PO BOX 6219
    HIGH POINT,NC272626219     		NONE 509(A)(2) STEP UP HOUSE 800
    CHILD ADVOCACY CENTER INC
    336 RAY AVENUE
    FAYETTEVILLE,NC28301     		NONE 509(A)(1) CHILD AND FAMILY SUPPORT SERVICES 500
    COMMUNITIES IN SCHOOLS OF ROWAN COUNTY
    204 E INNES STREET SUITE 240
    SALISBURY,NC28145     		NONE 509(A)(1) BANNER CAMPAIGN TO RAISE AWARENESS OF CIS AND FUNDS TO HELP CHILDREN STAY IN 2,000
    COMMUNITY OUTREACH MAKING PARTNERSHIPS AT SUMNER SCHOOLS
    695 EAST MAIN STREET
    GALLATIN,TN370662472     		NONE 509(A)(2) INVESTOR 1,500
    CONNECTING FUTURES INC
    207 WEST JEFFERSON STREET
    MONROE,NC28110     		NONE 509(A)(1) CONNECTING FUTURES LIFE SKILLS/MENTORING PROGRAM 4,500
    DAN MILLS ELEMENTARY
    4106 KENNEDY AVENUE
    NASHVILLE,TN372162522     		NONE SCHOOL STAFF DEVELOPMENT ACCOUNT 1,500
    FANNIE BATTLE DAY HOME FOR CHILDREN INC
    911 SHELBY AVENUE
    NASHVILLE,TN372063735     		NONE 509(A)(1) FANNIE BATTLE CAROLING - 94TH SEASON 500
    FLYNN CHRISTIAN FELLOWSHIP HOUSES OF HICKORY NORTH CAROLINA
    PO BOX 3567
    HICKORY,NC28603     		NONE 509(A)(1) FLYNN HOME IMPROVEMENT PROJECT 2,500
    FUTURES FOR KIDS INC
    3000 HIGHWOODS BOULEVARD SUITE 301
    RALEIGH,NC27604     		NONE 509(A)(1) F4K EXPANSION 1,236
    JUNIOR ACHIEVEMENT OF EASTERN NORTH CAROLINA
    4900 WATERS EDGE DRIVE SUITE 175
    RALEIGH,NC27606     		NONE 509(A)(1) GOLDSBORO PROGRAM AT DILLARD MIDDLE SCHOOL AND WAYNE COUNTY JA EXPANSION 4,400
    PORT DISCOVER NORTHEASTERN NC CENTER FOR HANDS ON SCIENCE
    613 E MAIN STREET
    ELIZABETH CITY,NC27909     		NONE 509(A)(1) GETTING OFF THE GROUND: ENCOURAGING YOUTH TO PURSUE AVIATION SCIENCES 25,000
    SECOND HARVEST FOOD BANK OF MIDDLE TENNESSEE
    331 GREAT CIRCLE ROAD
    NASHVILLE,TN37228     		NONE 509(A)(1) FIGHTING HUNGER IN TENNESSEE 2,500
    SENIOR SERVICES INC
    2895 SHOREFAIR
    WINSTONSALEM,NC27105     		NONE 509(A)(1) SENIOR MEALS PROVIDERS BEST PRACTICE SERIES 25,000
    SILOAM FAMILY HEALTH CENTER
    820 GALE LANE
    NASHVILLE,TN37204     		NONE 509(A)(2) PROVIDING ACCESS TO QUALITY HEALTH CARE FOR THE UNINSURED 750
    TEACH FOR AMERICA
    315 W 36TH STREET 6TH FLOOR
    NEW YORK,NY10018     		NONE 509(A)(1) TEACH FOR AMERICA - EASTERN NORTH CAROLINA 1,000
    TENNESSEE PERFORMING ARTS CENTER MANAGEMENT CORPORATION
    505 DEADERICK STREET
    NASHVILLE,TN372431402     		NONE 509(A)(2) HUMANITIES OUTREACH IN TENNESSEE 1,000
    CHURCH WORLD SERVICE INC
    300 HAWTHORNE LANE
    CHARLOTTE,NC28204     		NONE 509(A)(1) CHARLOTTE CROP HUNGER WALK 2,000
    UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE
    230 CATO HALL UNIVERSITY CITY BLVD
    CHARLOTTE,NC28204     		NONE SCHOOL CHARLOTTE TEACHER'S INSTITUTE 5,000
    GRAHAM CHILDREN'S HEALTH SERVICES OF TOE RIVER
    P O BOX 15232
    BURNSVILLE,NC28714     		NONE 509(A)(1) YANCEY COUNTY MENTAL HEALTH ACTION TEAM 1,500
    JUNIOR ACHIEVEMENT OF THE CENTRAL CAROLINAS INC
    201 SOUTH TRYON STREET LL 100
    CHARLOTTE,NC28202     		NONE 509(A)(1) STEM CAPACITY BUILDING FOR STUDENT SUCCESS 5,000
    JUNIOR ACHIEVEMENT OF THE CENTRAL CAROLINAS INC
    201 SOUTH TRYON STREET LL 100
    CHARLOTTE,NC28202     		NONE 509(A)(1) SAVE JA PROGRAMMING 7,500
    NORTH CAROLINA WILDLIFE FEDERATION
    PO BOX 10626
    RALEIGH,NC276050626     		NONE 509(A)(1) PROMOTING NCWF HABITAT ENHANCEMENT PROJECTS IN PNG SERVICE AREAS 5,000
    UNITED WAY OF ANDERSON COUNTY
    PO BOX 2067
    ANDERSON,SC296222067     		NONE 509(A)(1) CORPORATE GIFT 3,740
    YMCA OF CATAWBA VALLEY
    1375 LENIOR RHYNE BOULEVARD SE
    HICKORY,NC28602     		NONE 509(A)(1) GOTR OF CATAWBA VALLEY SCHOLARSHIP FUND 1,000
    YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF HIGH POINT
    112 GATEWOOD AVENUE
    HIGH POINT,NC272624945     		NONE 509(A)(1) WOMEN'S RESOURCE CENTER 1,000
    SENIOR CITIZENS INC
    174 RAINS AVENUE
    NASHVILLE,TN372030000     		NONE 509(A)(1) FRIENDS LEARNING IN PARIS (FLIP) 4,000
    PENCIL FOUNDATION
    421 GREAT CIRCLE ROAD SUITE 100
    NASHVILLE,TN372281407     		NONE 509(A)(1) MATH PARTNERS 3,000
    DAN MILLS ELEMENTARY
    4106 KENNEDY AVENUE
    NASHVILLE,TN372162522     		NONE SCHOOL WILLIAM RIDLEY 4-H CENTER 2,500
    PREVENT BLINDNESS NORTH CAROLINA
    4011 W CHASE BOULEVARD SUITE 225
    RALEIGH,NC27607     		NONE 509(A)(1) PHOTO-REFRACTIVE VISION SCREENING IN NEW HANOVER, PENDER AND BRUNSWICK COUNT 1,000
    NASHVILLE AREA HABITAT FOR HUMANITY
    1006 8TH AVENUE SOUTH
    NASHVILLE,TN372034722     		NONE 509(A)(2) CRITICAL HOME REPAIR 5,000
    NORTH NASHVILLE FLOOD RELIEF GROUP
    3514 WEST HAMILTON AVENUE
    NASHVILLE,TN37218     		NONE 509(A)(2) FLOOD DISASTER RELIEF 5,000
    MT JULIET HELP CENTER
    PO BOX 719
    MOUNT JULIET,TN37122     		NONE 509(A)(2) FOOD PURCHASE TO SUPPLEMENT DONATED ITEMS 1,000
    CHARIS HEALTH CENTER
    9695 LEBANON ROAD SUITE 320
    MOUNT JULIET,TN371225540     		NONE 509(A)(2) INCREASE IN NURSE PRACTITIONER HOURS 1,000
    GIRL SCOUTS - NORTH CAROLINA COASTAL PINES
    P O BOX 91649
    RALEIGH,NC27675     		NONE 509(A)(1) UNIQUELY ME!: GIRL SCOUTS BUILDS SELF-ESTEEM 1,000
    ADVENTURE SCIENCE CENTER
    800 FORT NEGLEY BOULEVARD
    NASHVILLE,TN372034833     		NONE 509(A)(1) A GARDEN OF GIZMOS PRE-SCHOOL TEMPORARY EXHIBIT 5,000
    UNITED WAY OF PITT COUNTY
    PO BOX 1028
    GREENVILLE,NC278351028     		NONE 509(A)(1) 2010 UNITED WAY OF PITT COUNTY CAMPAIGN 375
    CHARLOTTE MECKLENBURG SCHOOLS
    701 EAST MARTIN LUTHER KING BLVD
    CHARLOTTE,NC28230     		NONE GOVERNMENT ENTITY BEVERLY WOODS ELEMENTARY SCIENCE LAB 5,000
    CATAWBA COUNTY CHAMPIONS OF EDUCATION FOUNDATION INC
    PO BOX 1828
    HICKORY,NC28603     		NONE 509(A)(1) PIEDMONT NATURAL GAS FOUNDATION TEACHING SCHOLARSHIP 2,500
    TEACH FOR AMERICA - CHARLOTTE
    5855 EXECUTIVE CENTER DRIVE 200
    CHARLOTTE,NC28212     		NONE 509(A)(1) EXPANDING EXCELLENT MATH AND SCIENCE EDUCATIONAL OPPORTUNITIES 10,000
    UNITED WAY OF ROCKINGHAM COUNTY INC
    PO BOX 317
    WENTWORTH,NC273750317     		NONE 509(A)(1) FUNDING STUDENT HEALTH CENTERS 2,820
    CITIZEN SCHOOLS INC
    5624 EXECUTIVE CENTER DRIVE SUITE
    105
    CHARLOTTE,NC28212     		NONE 509(A)(1) VIBRANT, HANDS-ON STEM LEARNING EXPERIENCES FOR CHARLOTTE'S MOST AT-RISK STU 5,000
    PIEDMONT LAND CONSERVANCY
    PO BOX 4025
    GREENSBORO,NC27404     		NONE 509(A)(1) PRICE PARK ENVIRONMENTAL EDUCATION ENRICHMENT 2,000
    ANDERSON COUNTY ARTS COUNCIL
    110 FEDERAL STREET
    ANDERSON,SC29625     		NONE 509(A)(2) ANNUAL COPRORATE DONOR PROGRAM 1,000
    BOYS & GIRLS CLUB OF GREATER HIGH POINT INC
    PO BOX 2834
    HIGH POINT,NC27261     		NONE 509(A)(1) POWER HOUR 2,000
    HIGH POINT AREA ARTS COUNCIL INC
    PO BOX 5526
    HIGH POINT,NC27262     		NONE 509(A)(2) 2010 UNITED ARTS FUND DRIVE 1,000
    UNITED WAY OF GREATER GREENSBORO
    P O BOX 14998
    GREENSBORO,NC274154998     		NONE 509(A)(1) HOMERUN FOR HOMELESSNESS 2,500
    PIEDMONT CONSERVATION COUNCIL INC
    847 CURRY DRIVE SUITE 103
    ASHEBORO,NC272050000     		NONE 509(A)(1) REIDSVILLE CHAMBER LEADER IN ME PROGRAM 4,000
    COMMUNITIES IN SCHOOLS OF GREATER GREENSBORO
    122 NORTH ELM STREET SUITE 301
    GREENSBORO,NC274012818     		NONE 509(A)(3) GREAT LEAPS READING PROGRAM 3,000
    ARTS & SCIENCE COUNCIL
    227 W TRADE STREET SUITE 250
    CHARLOTTE,NC28202     		NONE 509(A)(1) BUILDING PARTICIPATION, APPRECIATION AND SUPPORT FOR THE ARTS, SCIENCES, HIS 50,000
    CONSERVATION FUND
    1655 N FORT MYER DRIVE
    ARLINGTON,VA22209     		NONE 509(A)(1) ENERGY, ECONOMIC AND ENVIRONMENTAL SUSTAINABILITY IN EASTERN NC 100,000
    METRO ACTION COMMISSION
    1624 5TH AVENUE NORTH
    NASHVILLE,TN37208     		NONE 509(A)(1) NATURAL GAS APPLIANCE FLOOD REPLACEMENT 25,000
    PEACE CENTER FOUNDATION
    101 WEST BROAD STREET
    GREENVILLE,SC296012611     		NONE 509(A)(1) COMMUNITY ENGAGEMENT AND LEARNING 500
    UNITED WAY OF CENTRAL CAROLINAS INC
    150 FAIRVIEW ROAD
    MOORESVILLE,NC28117     		NONE 509(A)(1) ANNUAL CAMPAIGN 265
    YOU HAVE THE POWERKNOW HOW TO USE IT INC
    2814 12TH AVENUE SOUTH SUITE 211
    NASHVILLE,TN372042513     		NONE 509(A)(2) "DELIVER US' AN ELDER ABUSE RESOURCE GUIDE 500
    COMMUNITY FOUNDATION OF MIDDLE TENNESSEE
    3833 CLEGHORN AVENUE SUITE 400
    NASHVILLE,TN372152519     		NONE 509(A)(1) 2010 FLOOD RELIEF EFFORTS 25,000
    SENIOR CITIZENS INC
    174 RAINS AVENUE
    NASHVILLE,TN372030000     		NONE 509(A)(1) LIVING AT HOME SERVICES FOR OLDER ADULT FLOOD VICTIMS 5,000
    DONELSON GATEWAY PROJECT
    PO BOX 148983
    NASHVILLE,TN372148983     		NONE 509(A)(1) GATEWAY TO RECOVERY PROGRAM 5,000
    UNITED WAY OF ONSLOW COUNTY INC
    PO BOX 5124
    JACKSONVILLE,NC28540     		NONE 509(A)(1) 2009/2010 CAMPAIGN 150
    METROPOLITAN ARTS COUNCIL
    16 AUGUSTA STREET
    GREENVILLE,SC29601     		NONE 509(A)(1) CAMPAIGN FOR THE ARTS 2010 1,500
    JUNIOR ACHIEVEMENT WORLDWIDE
    ONE EDUCATION WAY
    COLORADO SPRINGS,CO80906     		NONE 509(A)(1) FINANCIAL LITERACY SUCCESS SKILLS 1,500
    MARCH OF DIMES - GREENVILLE
    37 VILLA ROAD SUITE 317 B-123
    GREENVILLE,SC29615     		NONE 509(A)(1) MARCH FOR BABIES 500
    HABITAT FOR HUMANITY OF ANDERSON COUNTY
    201 SOUTH MURRAY AVENUE
    ANDERSON,SC296240000     		NONE 509(A)(1) RIVER TRACE 2,500
    HANDS ON NASHVILLE INC
    209 10TH AVENUE SOUTH CUMMINS
    STATION STE 318
    NASHVILLE,TN37203     		NONE 509(A)(1) NASHVILLE FLOOD RELIEF 25,000
    AMERICAN RED CROSS
    NATIONAL HEADQUARTERS 430 17TH ST
    NW
    WASHINGTON,DC20006     		NONE 509(A)(1) NASVILLE AREA RED CROSS DISASTER RESPONSE TO FLOODING 25,000
    BOY SCOUTS OF AMERICA - BLUE RIDGE COUNCIL
    1 PARK PLAZA
    GREENVILLE,SC296075851     		NONE 509(A)(1) LEARNING FOR LIFE - CHARACTER AND CAREER EDUCATION PROGRAM 1,000
    UNITED WAY OF CATAWBA COUNTY INC
    PO BOX 2425
    HICKORY,NC28603     		NONE 509(A)(1) 2010 GIVING FROM THE HEART VOLUNTEER AWARDS 1,500
    ROANOKE VALLEY UNITED WAY
    PO BOX 760
    ROANOKE RAPIDS,NC278700760     		NONE 509(A)(1) 2010 ROANOKE VALLEY UNITED WAY CAMPAIGN 1,100
    ALEXANDER YOUTH NETWORK
    6220 THERMAL ROAD
    CHARLOTTE,NC28211     		NONE 509(A)(1) THE RELATIVES 1,500
    UNITED WAY OF MIDDLE TENNESSEE INC
    PO BOX 280420
    NASHVILLE,TN372280420     		NONE 509(A)(1) UNITED WAY PIEDMONT GRANT 25,000
    UNITED WAY OF SCOTLAND COUNTY
    PO BOX 742
    LAURINBURG,NC28353     		NONE 509(A)(1) 2009/10 UNITED WAY OF SCOTLAND COUNTY CAMPAIGN 500
    ROANOKE ISLAND HISTORICAL ASSOCIATION INC
    1409 NATIONAL PARK ROAD
    MANTEO,NC279540040     		NONE 509(A)(2) THE LIGHT TOWER REPLACEMENT PROJECT 2,000
    COMMUNITIES IN SCHOOLS OF HIGH POINT INC
    PO BOX 6735
    HIGH POINT,NC272626735     		NONE 509(A)(2) JUMP START READING PERFORMANCE LITERACY PROGRAM 2,000
    ANDERSON AREA YMCA
    201 EAST REED ROAD
    ANDERSON,SC296212095     		NONE 509(A)(2) "STRONG KIDS" SCHOLARSHIP CAMPAIGN 1,000
    UNITED WAY OF MOORE COUNTY
    375-D SOUTHEAST BROAD STREET
    SOUTHERN PINES,NC28387     		NONE 509(A)(1) COMMUNITY FUND/ UNITED WAY CAMPAIGN 650
    UNITED WAY OF SAMPSON COUNTY INC
    PO BOX 1677
    CLINTON,NC28329     		NONE 509(A)(1) CAMPAIGN 2009/2010 450
    CHEROKEE COUNTY MEALS ON WHEELS
    P O BOX 1886
    GAFFNEY,SC29342     		NONE 509(A)(1) "SO NO SENIOR GOES HUNGRY" 1,000
    UNITED WAY TAR RIVER REGION
    230 SUNSET AVENUE
    ROCKY MOUNT,NC27804     		NONE 509(A)(1) UNITED WAY CAMPAIGN 950
    UNITED ARTS COUNCIL OF GREENSBORO
    PO BOX 877
    GREENSBORO,NC27402     		NONE 509(A)(2) UNITED ARTS FUND 2010 7,500
    SOUTH CAROLINA GOVERNOR'S OFFICE
    1205 PENDLETON STREET
    COLUMBIA,SC29209     		NONE GOVERNMENT ENTITY SHARE THE WARMTH 7,000
    MIRACLE HILL MINISTRIES INC
    PO BOX 2546
    GREENVILLE,SC29602     		NONE 509(A)(1) MIRACLE HILL OVERCOMER CENTER 3,000
    THE GREENVILLE CHAMBER FOUNDATION INC
    24 CLEVELAND STREET
    GREENVILLE,SC29601     		NONE 509(A)(2) ACCELERATE! 2,500
    UNITED WAY OF ROWAN COUNTY
    PO BOX 5065
    SALISBURY,NC281440088     		NONE 509(A)(1) UNITED WAY CAMPAIGN 3,900
    PALMETTO HEALTH FOUNDATION
    DEPARTMENT 274 PO BOX 100199
    COLUMBIA,SC29202     		NONE 509(A)(1) REACH OUT AND REACH SC QUALITY ENHANCEMENT INITIATIVE 500
    UNITED WAY OF COASTAL CAROLINA INC
    601 BROAD STREET
    NEW BERN,NC28560     		NONE 509(A)(1) PIEDMONT NATURAL GAS CONTRIBUTION TO ANNUAL CAMPAIGN 975
    LENOIR COUNTY UNITED WAY
    VERNON PARK MALL SUITE 804-A
    KINSTON,NC285043378     		NONE 509(A)(1) PIEDMONT NATURAL GAS FOUNDATION CONRTIBUTION TO THE LENOIR/GREENE UNITED WAY 1,300
    UNITED WAY OF HARNETT COUNTY
    PO BOX 1322
    DUNN,NC283351322     		NONE 509(A)(1) PIEDMONT NATURAL GAS CONTRIBUTION TO THE 2-1-1 PHONE FOR HARNETT COUNTY 250
    UNITED WAY OF BLADEN COUNTY
    PO BOX 2636
    ELIZABETHTOWN,NC283372636     		NONE 509(A)(1) SENIORS 150
    FRIENDS OF THE NC MUSEUM OF NATURAL SCIENCES
    11 W JONES STREET
    RALEIGH,NC276011029     		NONE 509(A)(1) PIEDMONT NATURE GAS CONTRIBUTION TO THE NATURE RESEARCH CENTER 250,000
    UNITED WAY OF RICHMOND COUNTY
    101 ROCKINGHAM ROAD
    ROCKINGHAM,NC28379     		NONE 509(A)(1) UNITED WAY OF RICHMOND COUNTY 2010 CAMPAIGN 1,000
    IVA COMMUNITY RECREATION ASSOCIATION
    PO BOX 747
    IVA,SC29655     		NONE 509(A)(2) IVA COMMUNITY RECREATION ASSOCIATION COMPLEX NEED 1,000
    CENTRE STAGE SOUTH CAROLINA
    501 RIVER STREET
    GREENVILLE,SC29601     		NONE 509(A)(2) NEW PLAY FESTIVAL 1,000
    CENTER FOR DEVELOPMENTAL SERVICES
    29 NORTH ACADEMY STREET
    GREENVILLE,SC296012629     		NONE 509(A)(2) FOOD PURCHASE TO SUPPLEMENT DONATED ITEMS 1,000
    COMMUNITIES IN SCHOOLS OF ROWAN COUNTY
    204 E INNES STREET SUITE 240
    SALISBURY,NC28145     		NONE 509(A)(1) COMPANIES AND CITIZENS IN SCHOOLS 1,000
    UNITED WAY OF ROBESON COUNTY
    PO BOX 2652
    LUMBERTON,NC28359     		NONE 509(A)(1) 2010 CAMPAIGN 1,600
    UNITED WAY OF THE PIEDMONT
    PO BOX 5624
    SPARTANBURG,SC29304     		NONE 509(A)(1) UNITED WAY COMMUNITY IMPACT 6,200
    BURKE COUNTY UNITED WAY
    301 EAST MEETING STREET
    MORGANTON,NC28655     		NONE 509(A)(1) SERVICE TO NEIGHBORS 800
    CALDWELL COUNTY UNITED FUND
    PO BOX 1316
    LENOIR,NC286451316     		NONE 509(A)(1) UNITED WAY OF CALDWELL COUNTY 2009-2010 CAMPAIGN 700
    UNITED WAY OF LINCOLN COUNTY
    PO BOX 234
    LINCOLNTON,NC28093     		NONE 509(A)(1) UNITED WAY OF LINCOLN COUNTY 2010 CAMPAIGN 700
    UNITED WAY OF CATAWBA COUNTY INC
    PO BOX 2425
    HICKORY,NC28603     		NONE 509(A)(1) 2009 CORPORATE CAMPAIGN GIFT FOR 2009/2010 CAMPAIGN YEAR 3,700
    UNITED WAY OF MITCHELL COUNTY INC
    31 CROSS STREET SUITE 210
    SPRUCE PINE,NC287770367     		NONE 509(A)(1) FUNDING FOR 10 COMMUNITY BASED AGENCIES 400
    UNITED WAY OF CUMBERLAND COUNTY
    222 MAIDEN LANE
    FAYETTEVILLE,NC28301     		NONE 509(A)(1) 2009-2010 UNITED WAY CAMPAIGN 7,000
    CAPE FEAR AREA UNITED WAY
    5919 OLEANDER DRIVE SUITE 115
    WILMINGTON,NC28401     		NONE 509(A)(1) COMMUNITY IMPACT 2,535
    ALBEMARLE AREA UNITED WAY INC
    PO BOX 293
    ELIZABETH CITY,NC279070293     		NONE 509(A)(1) ALBEMARLE AREA UNITED WAY, INC. 600
    UNITED WAY OF CENTRAL CAROLINAS INC
    301 SOUTH BREVARD STREET
    CHARLOTTE,NC28202     		NONE 509(A)(1) UNITED WAY OF CENTRAL CAROLINAS/ PNG ANNUAL CORPORATE GIFT 93,000
    UNITED MINISTRIES
    606 PENDLETON STREET
    GREENVILLE,SC29601     		NONE 509(A)(1) EMERGENCY ASSISTANCE 1,000
    UNITED WAY OF GREENVILLE COUNTY
    301 UNIVERSITY RIDGE SUITE 5300
    GREENVILLE,SC296014702     		NONE 509(A)(1) 2009/2010 UNITED WAY ANNUAL CAMPAIGN 13,060
    UNITED WAY OF WAYNE COUNTY INC
    PO BOX 73
    GOLDSBORO,NC275330073     		NONE 509(A)(1) COMMUNITY CAMPAIGN 1,050
    UNITED WAY OF DAVIDSON COUNTY - LEXINGTON NC
    PO BOX 492
    LEXINGTON,NC272930492     		NONE 509(A)(1) UNITED WAY CAMPAIGN 750
    UNITED WAY OF FORYSTH COUNTY
    301 N MAIN STREET SUITE 1700
    WINSTONSALEM,NC27101     		NONE 509(A)(1) 2009 UNITED WAY OF FORSYTH COUNTY CAMPAIGN 8,500
    UNITED WAY OF ALAMANCE COUNTY
    PO BOX 1268
    BURLINGTON,NC272161268     		NONE 509(A)(1) AGENCY INITIATIVES 5,000
    UNITED WAY OF GREATER HIGH POINT
    201 CHURCH AVENUE
    HIGH POINT,NC272624805     		NONE 509(A)(1) GENERAL OPERATING SUPPORT 4,180
    DAVIE COUNTY UNITED WAY INC
    PO BOX 744
    MOCKSVILLE,NC270280744     		NONE 509(A)(1) GENERAL CAMPAIGN & DIRECT PROGRAM SUPPORT 800
    UNITED WAY OF RANDOLPH COUNTY INC
    PO BOX 597
    ASHEBORO,NC272040597     		NONE 509(A)(1) 2009 COMMUNITY CAMPAIGN 1,500
    UNITED WAY OF GREATER GREENSBORO
    P O BOX 14998
    GREENSBORO,NC274154998     		NONE 509(A)(1) UNITED WAY OF GREATER GREENSBORO ANNUAL CAMPAIGN 15,750
    MID-CUMBERLAND COMMUNITY ACTION AGENCY
    PO BOX 310
    LEBANON,TN370880310     		NONE 509(A)(1) SHARE THE WARMTH 2,125
    METRO ACTION COMMISSION
    1624 5TH AVENUE NORTH
    NASHVILLE,TN37208     		NONE 509(A)(1) SHARE THE WARMTH 5,950
    HIGHLAND RIM ECONOMIC CORPORATION
    PO BOX 208
    ERIN,TN37061     		NONE 509(A)(1) SHARE THE WARMTH 425
    NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES
    325 NORTH SALISBURY STREET MSC 2420
    RALEIGH,NC27699     		NONE GOVERNMENT ENTITY PROJECT SHARE THE WARMTH 21,500
    CRISIS ASSISTANCE MINISTRY
    500-A SPRATT STREET
    CHARLOTTE,NC282062913     		NONE 509(A)(1) SHARE THE WARMTH 13,000
    Total .................................bullet 3a 981,836
    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....     14 116,243  
    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.....          
    8Gain or (loss) from sales of assets other than inventory     18 150,781  
    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).. 0 267,024 0
    13Total. Add line 12, columns (b), (d), and (e)...................
    13267,024
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2010
    Name of organization
    PIEDMONT NATURAL GAS FOUNDATION
     
    Employer identification number

    20-1786431
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule—
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
    Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part I
    Name of organization
    PIEDMONT NATURAL GAS FOUNDATION
          		Employer identification number

    20-1786431
    Part I
    Contributors (see Instructions)
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    1
     
     

    PIEDMONT NATURAL GAS COMPANY    
    4720 PIEDMONT ROW DRIVE
       
    CHARLOTTE, NC   28210

    		$500,000




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part II
    Name of organization
    PIEDMONT NATURAL GAS FOUNDATION
          		Employer identification number

    20-1786431
    Part II
    Noncash Property (see Instructions)
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part III
    Name of organization
    PIEDMONT NATURAL GAS FOUNDATION
          		Employer identification number

    20-1786431
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    PIEDMONT NATURAL GAS FOUNDATION
    EIN: 20-1786431
    Name of Stock End of Year Book Value End of Year Fair Market Value
    MUTUAL FUND INVESTMENT 7,420,781 7,420,781

    TY 2010 OtherExpensesSchedule
    Name:
    PIEDMONT NATURAL GAS FOUNDATION
    EIN: 20-1786431
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSE 500 0   500
    POSTAGE & DELIVERY 41 0   41
    BANK FEES 83 0   83


    TY 2010 OtherIncreasesSchedule
    Name:
    PIEDMONT NATURAL GAS FOUNDATION
    EIN: 20-1786431
    Description Amount
    UNREALIZED GAIN 637,094


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    PIEDMONT NATURAL GAS FOUNDATION
    EIN: 20-1786431
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEE 6,555 6,555   0
    ADMINISTRATIVE FEES 59,793 0   59,793