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 07-01-2010 , and ending 06-30-2011
G
Check all that apply:
Name of foundation
A R BURNETTE SCHOLARSHIP FUND
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 2907 - TRUST TAX DEPT   Room/suite
City or town, state, and ZIP code
WILSON, NC278942907
A Employer identification number

56-6593070
B Telephone number (see page 10 of the instructions)

(252) 246-4935
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$764,726
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...... 19,440 19,440  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 48,071
b Gross sales price for all assets on line 6a 284,617
7 Capital gain net income (from Part IV, line 2)... 48,071
8 Net short-term capital gain......... 0
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........ 67,511 67,511  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 12,081 12,081    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 20     20
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) 612     0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 55 55   55
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 12,768 12,136 0 75
25 Contributions, gifts, grants paid........ 40,000 40,000
26 Total expenses and disbursements. Add lines 24 and 25 52,768 12,136 0 40,075
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 14,743
b Net investment income (if negative, enter -0-) 55,375
c Adjusted net income (if negative, enter -0-)... 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.......... 26,202 19,770 19,770
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 354,738 401,930 477,400
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)........... 285,897 260,303 267,556
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) 666,837 682,003 764,726
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
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......... 666,837 682,003
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 666,837 682,003
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 666,837 682,003
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)............... 1 666,837
2 Enter amount from Part I, line 27a...................... 2 14,743
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 423
4 Add lines 1, 2, and 3.......................... 4 682,003
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.. 6 682,003
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. ABBOTT LABORATORIES   2009-10-16 2011-06-10
b 40. ADIDAS AG   2009-12-16 2011-03-22
c 45. AEROPOSTALE INC   2010-02-22 2011-03-22
d 30. AGILENT TECHNOLOGIES   2010-10-27 2011-02-10
e 387.83 AMERICAN CENTURY DIVERSIFIED BOND FUND #   2009-10-21 2010-07-29
775.877 AMERICAN CENTURY DIVERSIFIED BOND FUND #   2009-05-07 2010-07-29
.5 AMETEK INC COMMON   2009-08-14 2010-12-31
37. AMETEK INC COMMON   2009-08-14 2011-03-22
25. ANADARKO PETE CORP.   2009-08-14 2010-07-29
30. ANSYS INC COMMON   2009-08-14 2011-03-22
.481 AON CORPORATION COMMON   2009-10-16 2010-10-26
15. AON CORPORATION COMMON   2009-10-16 2010-10-27
.424 AON CORPORATION COMMON   2009-10-16 2010-10-29
16. APACHE CORPORATION COMMON   2009-08-14 2011-03-22
1. APERAM   2009-08-14 2011-03-22
40. ARCH COAL INC COMMON   2011-02-10 2011-03-22
40. ARM HOLDINGS PLC -SPONS ADR   2009-08-14 2011-02-10
143.335 ARTISAN INTERNATIONAL SMALL CAP FUND # 1   2009-10-16 2011-06-10
25. AVERY DENNISON CORP. COMMON   2009-08-14 2011-02-10
40. AVERY DENNISON CORP. COMMON   2009-08-14 2011-03-22
45. AVERY DENNISON CORP. COMMON   2009-08-14 2011-06-10
20. BOK FINANCIAL CORP COMMON   2010-04-08 2011-02-10
.5 BANCO BRADESCO S A   2009-10-16 2010-08-13
40. BARCLAYS PLC ADR   2009-08-14 2011-06-10
70. BAXTER INTERNATIONAL INCORPORATED   2009-08-14 2011-02-10
14. BERKSHIRE HATHAWAY INC DEL CL B COMMON   2009-08-14 2010-10-27
11. CME GROUP INC COMMON     2011-02-10
60. CVS CORP COMMON   2009-08-14 2011-03-22
30. CAMPBELL SOUP COMPANY   2009-10-16 2010-07-29
30. CAMPBELL SOUP COMPANY   2009-10-16 2011-02-10
15. CHINA MOBILE HONG KONG LTD   2009-08-14 2011-02-10
25. CONOCOPHILLIPS COM   2009-08-14 2011-02-10
110. DANONE SPONS ADR   2009-08-14 2011-03-22
35. DISCOVERY COMMUNICATIONS A COMMON   2009-08-14 2011-03-22
35. DISCOVERY COMMUNICATIONS A COMMON   2009-08-14 2011-06-10
20. DOLBY LABORATORIES INC CL A COMMON   2009-08-14 2010-10-27
20. DOLBY LABORATORIES INC CL A COMMON   2011-02-10 2011-06-10
20. DOLBY LABORATORIES INC CL A COMMON   2009-08-14 2011-06-10
40. DREAMWORKS ANIMATION SKG INC COMMON   2010-06-24 2011-03-22
25. DREAMWORKS ANIMATION SKG INC COMMON   2009-08-14 2011-03-22
25. DU PONT E I DE NEMOURS & COMPANY   2009-08-14 2011-03-22
30. DU PONT E I DE NEMOURS & COMPANY   2009-08-14 2011-06-10
40. EATON VANCE CORPORATION   2011-03-22 2011-06-10
40. EDISON INTERNATIONAL   2009-08-14 2011-03-22
70. ELECTRICITE DE FRANCE (EDF)UNSPONS ADR   2009-08-14 2011-02-10
20. EMERSON ELECTRIC COMPANY   2009-08-14 2010-10-27
35. EMERSON ELECTRIC COMPANY   2009-08-14 2011-03-22
110. ESPRIT HOLDINGS LIMITED SPONS ADR     2011-06-10
14. EXXON MOBIL CORPORATION   2011-03-22 2011-06-10
50. FEI COMPANY COMMON   2010-10-27 2011-02-10
80. FEI COMPANY COMMON   2010-02-22 2011-03-22
60. FAST RETAILING CO LTD UNSPON ADR   2009-12-16 2011-02-10
225.804 FEDERATED TOTAL RETURN GOV'T BOND FUND #647   2009-10-16 2010-08-04
60. FIDELITY NATIONAL INFORMATION SERVICES I   2011-02-10 2011-06-10
80. FIFTH THIRD BANCORP   2010-06-24 2010-07-29
20. FISERV   2009-08-14 2011-02-10
40. FISERV   2009-08-14 2011-03-22
60. FLOWERS FOOD INC WI   2009-08-14 2011-02-10
20. FRANCE TELECOM SPONS ADR COMMON   2009-08-14 2011-02-10
45. GENUINE PARTS COMPANY   2009-10-16 2011-03-22
12. B. F. GOODRICH COMMON   2011-03-22 2011-06-10
30. HANG LUNG PROPERTIES LIMITED SP ADR   2009-08-14 2011-02-10
25. HANOVER INSURANCE GROUP INC COMMON   2009-08-14 2011-03-22
50. HASBRO INC     2011-06-10
30. HASBRO INC   2010-02-22 2011-06-10
70. HEARTLAND EXPRESS   2010-07-29 2011-02-10
35. HEWITT ASSOCIATES INC CL A COMMON   2009-10-16 2010-07-29
20. HOSPIRA INC   2011-03-22 2011-06-10
30. HOSPIRA INC   2010-04-08 2011-06-10
40. ICON PLC SPONS ADR   2010-04-08 2011-03-22
20. IDEXX LABORATORIES INC COMMON   2009-08-14 2010-10-27
20. IDEXX LABORATORIES INC COMMON   2009-08-14 2011-03-22
22. IHS INC COMMON   2009-08-14 2010-10-27
33. IHS INC COMMON   2009-08-14 2011-06-10
15. INFOSYS TECHNOLOGIES SP ADR ISIN #US4567881085   2009-08-14 2011-03-22
10. INTERCONTINENTALEXCHANGE INC COMMON   2009-12-16 2010-10-27
60. INTERVAL LEISURE GROUP COMMON   2009-08-14 2011-02-10
90. ISHARES SILVER TRUST   2009-08-14 2010-10-27
100. KROGER COMPANY COMMON   2010-02-22 2010-10-27
50. KROGER COMPANY COMMON   2010-06-24 2011-03-22
16. LABORATORY CORP OF AMERICAN HOLDINGS   2009-08-14 2011-06-10
30. LANDSTAR SYSTEM INC COMMON   2011-03-22 2011-06-10
40. LASALLE HOTEL PPTYS COM SH BEN INT   2010-07-29 2011-02-10
60. LEUCADIA NATIONAL CORP COMMON   2009-10-16 2010-10-27
110. LIBERTY MEDIA INTERACTIVE A COMMON   2010-04-08 2010-07-29
50. LOWES COMPANIES INCORPORATED   2011-03-22 2011-06-10
40. MANULIFE FINANCIAL CORPORATION - DEMUTUALIZATION BENEFIT   2009-08-14 2011-02-10
80. MICROCHIP TECHNOLOGY INC     2011-06-10
40. MTN GROUP LTD ADR   2009-08-14 2010-07-29
20. NOBLE ENERGY INC   2009-08-14 2011-03-22
140. NOMURA HOLDINGS INC.   2009-12-16 2011-02-10
25. NORTHERN TRUST GROUP   2010-02-22 2011-02-10
40. ORACLE SYSTEM CORPORATION   2009-08-14 2010-10-27
90. OSHKOSH TRUCK B CL B     2011-06-10
30. OWENS ILLINOIS INC COM NEW   2010-04-08 2010-10-27
45. PALL CORPORATION COMMON   2009-08-14 2011-02-10
25. PALL CORPORATION COMMON   2009-08-14 2011-03-22
30. PALL CORPORATION COMMON   2009-08-14 2011-06-10
60. PETROHAWK ENERGY CORP   2010-06-24 2010-07-29
80. PFIZER INCORPORATED   2010-04-08 2011-06-10
350.066 PIMCO FOREIGN BOND FD UNHEDGED FD 1853 C   2009-05-07 2010-07-29
210.64 PIMCO FOREIGN BOND FD UNHEDGED FD 1853 C     2010-08-04
4756.551 PIMCO FOREIGN BOND FD UNHEDGED FD 1853 C     2011-02-10
90. PLEXUS CORP COMMON     2011-03-22
40. QUALCOMM INC COMMON   2009-08-14 2011-03-22
70. QUEST SOFTWARE INC   2010-04-08 2011-06-10
40. REINSURANCE GROUP OF AMERICA COMMON   2009-08-14 2011-03-22
16. RIO TINTO PLC SPONSORED ADR   2009-08-14 2011-06-10
25. ROPER INDS INC COMMON   2009-08-14 2011-03-22
30. ROVI CORPORATION COMMON   2009-12-16 2010-10-27
30. ROVI CORPORATION COMMON   2009-12-16 2011-02-10
40. RUDDICK CORPORATION   2009-08-14 2011-03-22
60. SEI INVESTMENTS CO   2009-08-14 2011-03-22
22. SPDR GOLD TRUST   2009-08-14 2010-10-27
100. SAFEWAY INC   2011-03-22 2011-06-10
10. SHIN-ETSU CHEMICAL CO LTD ADR   2009-08-14 2011-02-10
30. SMITH & NEPHEW PLC - SPON ADR   2009-08-14 2011-03-22
40. SOLERA HOLDINGS INC COMMON   2009-08-14 2010-10-27
25. STATE STR CORP   2009-12-16 2011-02-10
40. STATE STR CORP   2009-12-16 2011-03-22
16. STERICYCLE INC   2009-08-14 2010-10-27
19. STERICYCLE INC   2009-08-14 2011-03-22
20. STRYKER CORP COMMON   2010-10-27 2011-03-22
70. SUBSEA 7 SA   2009-12-16 2011-03-22
150. THE SUMITO TRUST AND BANKING CO   2009-08-14 2011-04-01
.5 SUMITOMO MITSUI TRUST HOLDINGS INC   2011-04-05 2011-04-20
35. SUNCOR ENERGY, INC   2009-08-14 2011-02-10
50. SYNOPSYS INC.   2009-08-14 2011-03-22
10. SYNGENTA AG   2009-08-14 2011-06-10
30. SYSCO CORPORATION   2009-08-14 2011-03-22
30. TELEFONICA S A   2009-08-14 2011-02-10
20. TEVA PHARMACEUTICAL INDS LTD ADR   2010-04-08 2011-03-22
60. US BANCORP   2009-08-14 2011-03-22
150. UNILEVER PLC-SPONSORED ADR   2009-08-14 2011-03-22
14. V F CORP COMMON   2011-03-22 2011-06-10
14. V F CORP COMMON   2010-02-22 2011-06-10
40. VALE SA SP ADR   2009-08-14 2011-06-10
35. VARIAN SEMICONDUCTOR EQUIPMENT ASSOC   2011-03-22 2011-06-10
70. VIRGIN MEDIA INC COMMON   2010-10-27 2011-02-10
130. VODAFONE GROUP PLC NEW SP ADR   2009-08-14 2010-10-27
40. WABCO HOLDINGS INC COMMON   2010-06-24 2010-10-27
20. WAL MART STORES INCORPORATED   2011-02-10 2011-06-10
75. WASTE CONNECTIONS   2009-08-14 2011-03-22
20. ARCH CAPITAL GROUP LTD   2009-08-14 2011-03-22
10. CREDICORP LTD COM   2009-08-14 2011-02-10
65. COVIDIEN PLC   2010-10-27 2011-03-22
15. ENSTAR GROUP LTD   2009-08-14 2011-03-22
40. NABORS INDUSTRIES LTD. COMMON   2011-03-22 2011-06-10
60. XL CAPITAL LTD   2010-10-27 2011-02-10
250. WEATHERFORD INTL LTD   2010-06-24 2010-07-29
20. LOGITECH INTERNATIONAL S.A.   2009-08-14 2011-06-10
40. TE CONNECTIVITY LTD   2010-07-29 2011-03-22
12. MILLICOM INTL CELLULAR S.A. COMMON   2009-08-14 2011-06-10
(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 1,273   1,289 -16
b 1,248   1,115 133
c 1,078   1,067 11
d 1,285   1,033 252
e 4,247   4,134 113
8,496   8,007 489
20   10 10
1,546   768 778
1,258   1,282 -24
1,596   1,097 499
18   19 -1
607   589 18
17   17  
2,006   1,386 620
39   37 2
1,372   1,306 66
1,145   246 899
2,938   2,478 460
995   701 294
1,662   1,121 541
1,641   1,261 380
1,020   1,053 -33
9   9  
670   946 -276
3,485   3,839 -354
1,127   932 195
3,322   3,158 164
2,008   2,065 -57
1,071   982 89
1,035   982 53
709   840 -131
1,757   1,087 670
1,370   1,150 220
1,381   859 522
1,416   859 557
1,225   796 429
879   1,082 -203
879   796 83
1,028   1,136 -108
642   775 -133
1,341   799 542
1,501   959 542
1,166   1,248 -82
1,461   1,268 193
585   698 -113
1,080   702 378
2,004   1,229 775
773   1,735 -962
1,122   1,155 -33
1,551   1,086 465
2,594   1,703 891
919   1,079 -160
2,608   2,567 41
1,888   1,898 -10
1,026   1,058 -32
1,218   952 266
2,421   1,904 517
1,441   1,430 11
441   500 -59
2,354   1,725 629
1,044   1,010 34
602   488 114
1,153   1,001 152
2,138   2,226 -88
1,283   1,069 214
1,105   1,120 -15
1,692   1,308 384
1,087   1,038 49
1,631   1,670 -39
838   1,079 -241
1,206   1,006 200
1,522   1,006 516
1,553   1,038 515
2,782   1,556 1,226
971   632 339
1,132   1,070 62
1,014   680 334
2,065   1,311 754
2,174   2,212 -38
1,184   1,010 174
1,529   1,090 439
1,311   1,329 -18
1,139   964 175
1,489   1,502 -13
1,244   1,772 -528
1,115   1,321 -206
725   814 -89
2,899   2,684 215
625   653 -28
1,926   1,188 738
871   1,093 -222
1,297   1,362 -65
1,140   872 268
2,347   2,848 -501
839   1,107 -268
2,434   1,333 1,101
1,412   741 671
1,591   889 702
954   1,144 -190
1,620   1,374 246
3,665   2,899 766
2,239   1,813 426
49,801   39,126 10,675
2,687   2,599 88
2,104   1,834 270
1,457   1,252 205
2,486   1,724 762
1,071   626 445
2,126   1,143 983
1,489   931 558
1,891   931 960
1,486   1,001 485
1,358   1,143 215
2,842   2,057 785
2,206   2,235 -29
567   543 24
1,681   1,176 505
1,871   1,016 855
1,173   1,006 167
1,745   1,609 136
1,140   792 348
1,631   940 691
1,238   1,006 232
1,695   1,073 622
782   854 -72
2   2  
1,416   1,135 281
1,349   1,004 345
670   442 228
840   728 112
745   728 17
966   1,268 -302
1,585   1,336 249
4,431   4,094 337
1,293   1,319 -26
1,293   1,077 216
1,235   821 414
2,144   1,605 539
1,785   1,711 74
3,424   2,738 686
1,697   1,348 349
1,064   1,123 -59
2,121   1,387 734
1,846   1,246 600
991   709 282
3,412   2,618 794
1,415   946 469
1,053   1,090 -37
1,396   1,301 95
3,972   3,555 417
238   343 -105
1,360   1,083 277
1,252   846 406
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       -16
b       133
c       11
d       252
e       113
      489
      10
      778
      -24
      499
      -1
      18
       
      620
      2
      66
      899
      460
      294
      541
      380
      -33
       
      -276
      -354
      195
      164
      -57
      89
      53
      -131
      670
      220
      522
      557
      429
      -203
      83
      -108
      -133
      542
      542
      -82
      193
      -113
      378
      775
      -962
      -33
      465
      891
      -160
      41
      -10
      -32
      266
      517
      11
      -59
      629
      34
      114
      152
      -88
      214
      -15
      384
      49
      -39
      -241
      200
      516
      515
      1,226
      339
      62
      334
      754
      -38
      174
      439
      -18
      175
      -13
      -528
      -206
      -89
      215
      -28
      738
      -222
      -65
      268
      -501
      -268
      1,101
      671
      702
      -190
      246
      766
      426
      10,675
      88
      270
      205
      762
      445
      983
      558
      960
      485
      215
      785
      -29
      24
      505
      855
      167
      136
      348
      691
      232
      622
      -72
       
      281
      345
      228
      112
      17
      -302
      249
      337
      -26
      216
      414
      539
      74
      686
      349
      -59
      734
      600
      282
      794
      469
      -37
      95
      417
      -105
      277
      406
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 48,071
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      
2008      
2007      
2006      
2005      
2 Total of line 1, column (d) ...................... 2  
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  
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4  
5 Multiply line 4 by line 3....................... 5  
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7  
8 Enter qualifying distributions from Part XII, line 4.............. 8  
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 1,108
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 1,108
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 1,108
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 248
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 248
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 860
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 0
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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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 addressbullet  
    14
    The books are in care ofbulletBRANCH BANKING & TRUST COMPANY Telephone no.bullet (252) 246-4935
    Located atbullet223 W NASH STWILSONNC ZIP+4bullet27893
    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 bullet2008, 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
     
    No
    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
    BRANCH BANKING AND TRUST COMPANY TRUSTEE
    1
    12,081    
    PO BOX 2907
    WILSON,NC27894
    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...........................bullet  
    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
    739,848
    b
    Average of monthly cash balances.......................
    1b
    0
    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
    739,848
    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
    739,848
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    11,098
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    728,750
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    36,438
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    36,438
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    1,108
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,108
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    35,330
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    35,330
    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
    35,330
    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
    40,075
    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
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    40,075
    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
    40,075
    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 35,330
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 28,157
    b Total for prior years:2008, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 0
    b From 2006....... 0
    c From 2007....... 0
    d From 2008....... 0
    e From 2009....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 40,075
    a Applied to 2009, but not more than line 2a 28,157
    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..... 11,918
    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 ..........
    23,412
    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.... 0
    b Excess from 2007.... 0
    c Excess from 2008.... 0
    d Excess from 2009.... 0
    e Excess from 2010.... 0
    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).)
    NONE
    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.
    NONE
    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:
    WILLIAM CREWS
    PO BOX 2907 BBT WEALTH MGMT
    WILSON,NC278942907
    (252) 246-4935
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATION
    cAny submission deadlines:
    MARCH 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    WORTHY AND DESERVING GRADUATES OF TARBORO HIGH SCHOOL THAT ARE ATTENDING A COLLEGE, JUNIOR COLLEGE OR UNIVERSITY
    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
    NC STATE UNIVERSITY FOR GENNELLE
    SCOTT WILSON
    1008 HARRIS HALL BOX 731
    RALEIGH,NC276957313
    NONE N/A COLLEGE SCHOLARSHIP 5,000
    NC STATE UNIVERSITY FOR JACOB
    MITCHELL PEARCE
    1008 HARRIS HALL BOX 7313
    RALEIGH,NC276957313
    NONE N/A COLLEGE SCHOLARSHIP 5,000
    NC STATE UNIVERSITY FOR CHRISTOPHER
    VICK
    1008 HARRIS HALL BOX 731
    RALEIGH,NC276957313
    NONE N/A COLLEGE SCHOLARSHIP 5,000
    WAKE FOREST UNIVERSITY FOR JOHN
    HUNTER DAVIDSON
    1834 WAKE FOREST ROAD
    WINSTONSALEM,NC27106
    NONE N/A COLLEGE SCHOLARSHIP 5,000
    MEREDITH COLLEGE - SAMANTHA
    WATSON
    3800 HILLSBOROGH ST
    WILSON,NC276075298
    NONE N/A COLLEGE SCHOLARSHIP 5,000
    UNC CHAPEL HILL FOR WILLIAM
    LELAND
    CB 2200 JACKSON HALL
    CHAPEL HILL,NC275992200
    NONE N/A COLLEGE SCHOLARSHIP 5,000
    NC A&T UNIVERSITY FOR SHAVONNE
    ROGERS
    1601 E MARKET ST
    GREENSBORO,NC27411
    NONE N/A COLLEGE SCHOLARSHIP 5,000
    EAST CAROLINA UNIVERSITY FOR MIRAND
    SPAIN
    EAST FIFTH STREET
    GREENVILLE,NC278584353
    NONE N/A COLLEGE SCHOLARSHIP 5,000
    Total .................................bullet 3a 40,000
    bApproved for future payment
    Total ..................................bullet 3b  
    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 19,440  
    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 48,071  
    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)..   67,511  
    13Total. Add line 12, columns (b), (d), and (e)...................
    1367,511
    (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 OtherIncreasesSchedule
    Name:
    A R BURNETTE SCHOLARSHIP FUND
    EIN: 56-6593070
    Description Amount
    DIFF IN MUTUAL FDS REC/REPORTED 419
    ADJUSTMENT FOR ROUNDING 4