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
CLAUDE P COOKSR CHARITABLE TRUST
 

Number and street (or P.O. box number if mail is not delivered to street address)SUNTRUST BANK POBOX 4248   Room/suite
City or town, state, and ZIP code
MACON, GA31208
A Employer identification number

33-6339018
B Telephone number (see page 10 of the instructions)

(478) 755-5290
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$4,478,685J 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...... 79,618 79,618  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 74,322
b Gross sales price for all assets on line 6a 1,172,175
7 Capital gain net income (from Part IV, line 2)... 74,322
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........ 153,940 153,940  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 1,530 1,530    
c Other professional fees (attach schedule).... Click to see attachment 23,495 23,495    
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 4,616 4,616    
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 4,540 2,879    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 34,181 32,520   0
25 Contributions, gifts, grants paid........ 208,500 208,500
26 Total expenses and disbursements. Add lines 24 and 25 242,681 32,520   208,500
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -88,741
b Net investment income (if negative, enter -0-) 121,420
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 2,230    
2 Savings and temporary cash investments.......... 132,849 15,299 15,299
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...........   1,290 1,290
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 2,324,339 Click to see attachment2,411,102 2,823,020
c Investments—corporate bonds (attach schedule)........ 1,060,598 Click to see attachment1,003,584 1,049,076
11 Investments—land, buildings, and equipment: basis bullet300,438
Less: accumulated depreciation (attach schedule) bullet   300,438 Click to see attachment300,438 590,000
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) 3,820,454 3,731,713 4,478,685
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.................... 3,820,454 3,731,713
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
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).................... 3,820,454 3,731,713
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 3,820,454 3,731,713
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 3,820,454
2 Enter amount from Part I, line 27a...................... 2 -88,741
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 3,731,713
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 3,731,713
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 ABB LTD SPONS P 2008-07-16 2019-01-04
b EXELON CORPORATION P 2007-01-22 2010-01-19
c MONSANTO CO P 2008-07-16 2010-01-19
d RIDGEWORTH FD-MIDCAP P 2007-05-15 2010-01-19
e WELLS FARGO P 2008-03-28 2010-01-19
QUALCOMM CORP P 2009-05-29 2010-04-29
RIDGEWORTH FD-MIDCAP P 2004-12-31 2010-05-24
HALLIBURTON CO P 2008-07-16 2010-06-08
EXELON CORP P 2007-03-22 2010-08-17
RIDGEWORTH FD-INTL P 2009-05-29 2010-10-25
AT&T P 2007-02-09 2010-01-19
EXPRESS SCRIPTS P 2007-10-17 2010-01-19
OCCIDENTAL PETE CORP P 2008-09-15 2010-01-19
RIDGEWORTH FD-MIDCAP P 2004-12-31 2010-01-19
INVESCO LTD P 2008-07-16 2010-01-19
QUALCOMM CORP P 2009-06-22 2010-04-29
RIDGEWORTH FD-MIDCAP P 2004-11-12 2010-05-24
HALLIBURTON CO P 2008-08-21 2010-06-08
EXELON CORP P 2009-05-29 2010-08-17
RIDGEWORTH FD-INTL P 2010-01-19 2010-10-25
ABBOTT LABS P 2007-10-31 2010-01-19
GENERAL ELECTRIC P 2005-06-30 2010-01-19
OPPENHEIMER DEVELOPING MKTS P 2009-10-26 2010-01-19
RIDGEWORTH FD-INTER P 2009-10-26 2010-01-19
TRANSOCEAN LTD P 2009-09-29 2010-01-19
EXXON MOBIL P 2010-01-19 2010-05-04
RIDGEWORTH FD-MIDCAP P 2004-12-29 2010-05-24
HALLIBURTON CO P 2009-05-29 2010-06-08
EXELON CORP P 2010-05-24 2010-08-17
RIDGEWORTH FD-INTL P 2010-05-24 2010-10-25
ABERDEEN EQUITY P 2009-10-26 2010-01-19
GILEAD SCIENCES INC. P 2009-05-29 2010-01-19
PIMCO FOREIGN BOND FUND P 2007-05-16 2010-01-19
RIDGEWORTH FD-INTER P 2009-07-20 2010-01-19
TARGET P 2005-02-23 2010-02-09
EXXON MOBIL P 2005-08-04 2010-05-04
RIDGEWORTH FD-MIDCAP P 2008-08-21 2010-05-24
HALLIBURTON CO P 2009-09-29 2010-06-08
MONSANTO P 2008-07-16 2010-08-17
RIDGEWORTH FD-INTL P 2008-07-16 2010-10-25
AMGEN, INC. P 2009-05-29 2010-01-19
GOLDMAN SACS GROUP P 2007-03-22 2010-01-19
PIMCO FOREIGN BOND FUND P 2008-01-29 2010-01-19
ROWE T PRICE P 2008-04-02 2010-01-19
TARGET P 2008-08-21 2010-02-09
MCDONALDS CORP P 2007-09-24 2010-05-07
RIDGEWORTH FD-MIDCAP P 2009-10-26 2010-05-24
MICROSOFT CORP P 2005-06-30 2010-06-08
MONSANTO P 2009-05-29 2010-08-17
RIDGEWORTH FD P 2009-10-26 2010-10-25
APACHE CORP. P 2004-12-13 2010-01-19
HEWLETT PACKARD P 2007-08-01 2010-01-19
PIMCO FOREIGN BOND FUND P 2008-04-21 2010-01-19
SCHLUMBERGER LTD P 2008-01-28 2010-01-19
TARGET P 2009-05-29 2010-02-09
AT&T P 2007-02-09 2010-05-20
RIDGEWORTH FD P 2010-01-19 2010-05-24
MICROSOFT CORP P 2009-05-29 2010-06-08
MONSANTO P 2009-09-29 2010-08-17
RIDGEWORTH FD P 2010-01-19 2010-10-25
BERKLEY W. R. CORP. P 2007-10-16 2010-01-19
HOME DEPOT, INC. P 2009-05-29 2010-01-19
PIMCO FOREIGN BOND FUND P 2008-07-16 2010-01-19
SCHWAB CHARLES COP P 2009-05-29 2010-01-19
TARGET P 2009-09-28 2010-02-09
AT&T P 2008-07-16 2010-05-20
RIDGEWORTH FD-SEIX P 2008-01-29 2010-05-24
MICROSOFT CORP P 2010-01-19 2010-06-08
MONSANTO P 2010-05-24 2010-08-17
RIDGEWORTH FD P 2007-05-16 2010-10-25
CVS CORP P 2005-11-22 2010-01-19
INTEL CORP COM P 2008-07-16 2010-01-19
PIMCO FOREIGN BOND FUND P 2008-11-24 2010-01-19
SENTINEL SMALL P 2009-10-26 2010-01-19
GILEAD SCIENCES P 2009-05-29 2010-03-01
AT&T P 2008-08-21 2010-05-20
RIDGEWORTH FD-INTER P 2009-07-20 2010-05-24
MICROSOFT CORP P 2010-05-24 2010-06-08
TRANSOCEAN LTD P 2009-05-29 2010-09-28
RIDGEWORTH FD P 2008-01-29 2010-10-25
CHEVRONTEXACO CORP P 2005-07-25 2010-01-19
INTERNATIONAL BUSINESS MACHS P 2005-06-30 2010-01-19
PIMCO FOREIGN BOND FUND P 2009-02-02 2010-01-19
TARGET CORP P 2005-02-23 2010-01-19
SCHWAB CHARLES CORP P 2009-05-29 2010-03-01
AT&T P 2009-05-29 2010-05-20
RIDGEWORTH FD-INTER P 2008-01-29 2010-05-24
FRONTIER COMMUNICATIONS P 2008-08-21 2010-07-08
TRANSOCEAN LTD P 2009-07-20 2010-09-28
RIDGEWORTH FD P 2008-03-12 2010-10-25
CISCO SYSTEMS P 2007-08-13 2010-01-19
J P MORGAN CHASE P 2007-03-22 2010-01-19
PIMCO FOREIGN BOND FUND P 2009-10-26 2010-01-19
TEXAS INSTS P 2006-02-08 2010-01-19
UNION PAC P 2009-07-20 2010-03-01
ABERDEEN EQUITY P 2009-10-26 2010-05-24
ROWE T PRICE P 2008-04-02 2010-05-24
FRONTIER COMMUNICATIONS P 2009-05-29 2010-07-08
TRANSOCEAN LTD P 2009-09-29 2010-09-28
RIDGEWORTH FD P 2008-01-08 2010-10-25
COACH INC. P 2009-09-28 2010-01-19
JANUS PERKINS P 2009-10-26 2010-01-19
PEPSICO INC. P 2007-08-01 2010-01-19
UNION PAC CORP P 2008-08-21 2010-01-19
UNION PAC P 2009-06-22 2010-03-01
FORUM ABSOLUTE STRATEGIES P 2007-10-31 2010-05-24
ROWE T PRICE P 2008-07-16 2010-05-24
FRONTIER COMMUNICATIONS P 2008-07-16 2010-07-08
ADOBE SYS P 2010-06-08 2010-10-08
SENTINEL SMALL CO. P 2009-10-26 2010-10-25
DEVON ENERGY CORP P 2009-05-29 2010-01-19
JOHNSON & JOHNSON P 2008-01-28 2010-01-19
PIMCO INVT GRADE CORP P 2009-10-26 2010-01-19
UNITED PARCEL SVC P 2009-05-29 2010-01-19
DEVON ENERGY CORP P 2009-05-29 2010-03-11
JANUS PERKINS SMALL CAP P 2009-10-26 2010-05-24
ROWE T PRICE P 2009-05-29 2010-05-24
FRONTIER COMMUNICATIONS P 2007-02-09 2010-07-08
AMAZON P 2010-05-24 2010-10-14
PARKER HANNIFIN P 2010-01-19 2010-11-03
WALT DISNEY CO. P 2007-06-28 2010-01-19
KOHL'S CORP P 2009-05-29 2010-01-19
PRAXAIR INC. P 2009-05-29 2010-01-19
VERIZON COMMUNICATIONS P 2007-02-09 2010-01-19
HARRIS CORP P 2007-02-22 2010-04-29
PIMCO INVT GRADE P 2009-10-26 2010-05-24
ROWE T PRICE P 2009-07-20 2010-05-24
FRONTIER COMMUNICATIONS P 2010-05-24 2010-07-08
AMAZON P 2010-02-09 2010-10-14
PARKER HANNIFIN P 2010-05-24 2010-11-03
EMC CORP P 2008-07-16 2010-01-19
MANNING & NAPIER WORLD P 2009-10-26 2010-01-19
PROCTER & GAMBLE CO P 2005-06-30 2010-01-19
VISA INC. P 2009-05-29 2010-01-19
HARRIS CORP P 2009-05-29 2010-04-29
PIMCO INVT GRADE P 2009-05-18 2010-05-24
ROWE T PRICE P 2009-10-26 2010-05-24
FRONTIER COMMUNICAITONS P 2010-05-24 2010-07-15
HEWLETT PACKARD P 2010-05-24 2010-10-14
PARKER HANNIFIN P 2010-10-25 2010-11-03
EMERSON ELECTRIC P 2007-06-28 2010-01-19
MERCK & CO. P 2007-09-24 2010-01-19
QUALCOMM CORP P 2009-06-22 2010-01-19
WALMART STORES INC. P 2007-09-24 2010-01-19
HARRIS CORP P 2009-07-20 2010-04-29
RIDGEWORTH FD-MIDCAP P 2008-03-12 2010-05-24
SENTINEL SMALL P 2009-10-26 2010-05-24
EXELON CORP P 2007-02-22 2010-08-17
PIMCO COMMODITY P 2006-11-21 2010-10-25
PARKER HANNIFIN P 2009-12-23 2010-11-03
(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 486   685 -199
b 681   949 -268
c 731   1,020 -289
d 2,422   3,187 -765
e 977   1,049 -72
11,857   13,066 -1,209
5,083   6,007 -924
4,014   8,286 -4,272
457   746 -289
145,187   120,935 24,252
361   527 -166
1,083   697 386
236   210 26
9,237   10,803 -1,566
907   848 59
1,209   1,379 -170
13,183   15,000 -1,817
293   597 -304
2,161   2,490 -329
6,160   6,123 37
611   598 13
1,894   4,086 -2,192
4,024   3,732 292
53,508   53,305 203
639   601 38
199   206 -7
4,962   5,850 -888
361   369 -8
3,532   3,341 191
24,318   19,655 4,663
903   877 26
872   800 72
26,065   25,809 256
5,714   5,659 55
6,596   6,803 -207
5,367   4,794 573
318   300 18
7,103   8,620 -1,517
3,189   6,122 -2,933
484   539 -55
1,466   1,283 183
1,483   1,900 -417
1,842   1,882 -40
6,417   9,242 -2,825
1,034   1,065 -31
21,264   17,115 4,149
48,838   44,866 3,972
20,480   20,724 -244
2,244   3,087 -843
14,646   14,311 335
1,281   606 675
835   737 98
557   565 -8
418   478 -60
2,018   1,592 426
7,122   10,722 -3,600
7,170   7,148 22
2,033   1,674 359
5,551   7,279 -1,728
2,938   2,895 43
9,318   11,582 -2,264
1,593   1,286 307
6,806   6,779 27
1,481   1,341 140
8,761   8,500 261
750   960 -210
3,402   3,647 -245
843   1,044 -201
2,362   2,195 167
9,839   9,546 293
472   381 91
1,130   1,132 -2
29,740   27,193 2,547
2,557   2,411 146
9,822   8,715 1,107
725   891 -166
2,250   2,175 75
5,950   6,439 -489
6,809   8,493 -1,684
64,083   60,555 3,528
315   235 80
29,889   16,993 12,896
1,921   1,736 185
1,249   1,269 -20
12,198   11,500 698
2,249   2,197 52
30,256   28,909 1,347
59   74 -15
630   755 -125
26,890   25,360 1,530
392   498 -106
1,690   1,895 -205
2,267   2,294 -27
682   864 -182
202   173 29
393   397 -4
34,431   45,963 -11,532
166   174 -8
2,207   3,003 -796
30,470   28,681 1,789
555   489 66
7,150   6,667 483
868   920 -52
1,442   1,711 -269
6,587   4,855 1,732
3,017   3,125 -108
3,502   4,180 -678
35   44 -9
13,090   14,996 -1,906
1,266   1,073 193
800   693 107
2,246   2,212 34
3,810   3,817 -7
620   504 116
13,911   12,159 1,752
82,621   76,122 6,499
22,961   15,616 7,345
495   676 -181
4,670   3,686 984
155   123 32
703   779 -76
667   543 124
727   654 73
613   756 -143
8,677   8,257 420
759   758 1
6,833   4,427 2,406
163   162 1
778   592 186
6,966   5,452 1,514
963   682 281
6,328   6,071 257
610   536 74
430   336 94
941   556 385
3,622   3,275 347
13,178   11,088 2,090
4   4  
6,919   7,684 -765
2,709   2,700 9
486   524 -38
1,029   1,352 -323
1,214   1,112 102
377   309 68
366   213 153
9,268   8,550 718
4,316   4,052 264
12,465   19,131 -6,666
7,111   11,998 -4,887
10,682   7,556 3,126
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       -199
b       -268
c       -289
d       -765
e       -72
      -1,209
      -924
      -4,272
      -289
      24,252
      -166
      386
      26
      -1,566
      59
      -170
      -1,817
      -304
      -329
      37
      13
      -2,192
      292
      203
      38
      -7
      -888
      -8
      191
      4,663
      26
      72
      256
      55
      -207
      573
      18
      -1,517
      -2,933
      -55
      183
      -417
      -40
      -2,825
      -31
      4,149
      3,972
      -244
      -843
      335
      675
      98
      -8
      -60
      426
      -3,600
      22
      359
      -1,728
      43
      -2,264
      307
      27
      140
      261
      -210
      -245
      -201
      167
      293
      91
      -2
      2,547
      146
      1,107
      -166
      75
      -489
      -1,684
      3,528
      80
      12,896
      185
      -20
      698
      52
      1,347
      -15
      -125
      1,530
      -106
      -205
      -27
      -182
      29
      -4
      -11,532
      -8
      -796
      1,789
      66
      483
      -52
      -269
      1,732
      -108
      -678
      -9
      -1,906
      193
      107
      34
      -7
      116
      1,752
      6,499
      7,345
      -181
      984
      32
      -76
      124
      73
      -143
      420
      1
      2,406
      1
      186
      1,514
      281
      257
      74
      94
      385
      347
      2,090
       
      -765
      9
      -38
      -323
      102
      68
      153
      718
      264
      -6,666
      -4,887
      3,126
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 74,322
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 34,993
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 244,854 4,625,761 0.052933
2008 144,631 4,461,994 0.032414
2007 11,200 4,910,115 0.002281
2006 198,462 4,060,343 0.048878
2005 85,100 3,973,570 0.021417
2 Total of line 1, column (d) ...................... 2 0.157923
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 0.031585
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 0
5 Multiply line 4 by line 3....................... 5  
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,214
7 Add lines 5 and 6......................... 7 1,214
8 Enter qualifying distributions from Part XII, line 4.............. 8 208,500
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 1,214
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  
3 Add lines 1 and 2............................ 3 1,214
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,214
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 1,290
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 1,290
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  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 76
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet76 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$   (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)bulletGA
    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 ofbulletKENNITH D MCLEOD CPA PC Telephone no.bullet (912) 375-0123
    Located atbulletP O BOX 670HAZLEHURSTGA ZIP+4bullet31539
    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
     
     
    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
     
     
    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
    SUNTRUST BANK MIDDLE GAClick to see attachment TRUSTEE
    10.00     		0 0 0
    P O BOX 4248
    MACON,GA31208
    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  
    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.............bullet  
    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 N/A  
    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
    0
    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
    0
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d..........................
    3
    0
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    0
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    0
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    0
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    1,214
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,214
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4.............................
    5
     
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
    0
    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
    208,500
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    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
    208,500
    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
    1,214
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    207,286
    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 0
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 205,552
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2010:
    a From 2005.......  
    b From 2006.......  
    c From 2007.......  
    d From 2008.......  
    e From 2009.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 208,500
    a Applied to 2009, but not more than line 2a 205,552
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		  
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		 
    d Applied to 2010 distributable amount.....  
    e Remaining amount distributed out of corpus 2,948
    5 Excess distributions carryover applied to 2010.    
    (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 2,948
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    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......     		 
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		 
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		 
    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) ...........     		 
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		 
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		2,948
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007....  
    c Excess from 2008....  
    d Excess from 2009....  
    e Excess from 2010.... 2,948
    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:
    DISTRIBUTION COMMITTEE
    541 BURKETTS FERRY ROAD
    HAZLEHURST,GA31539
    (912) 375-2712
    bThe form in which applications should be submitted and information and materials they should include:
    REQUEST DETAILING PURPOSE OF FUNDING AND VERIFICATION OF SEC 501(C)(3) STATUS.
    cAny submission deadlines:
    DECEMBER 1 OF EACH YEAR
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SECTION 501(C)(3) ORGANIZATIONS IN JEFF DAVIS COUNTY, GA.
    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
    JEFF DAVIS BOARD OF EDUC
    44 CHARLES ROGERS BLVD
    HAZLEHURST,GA31539     		N/A   ATHLETIC AND RELATED PROGRAMS 3,500
    JEFF DAVIS BOARD OF EDUC
    44 CHARLES ROGERS BLVD
    HAZLEHURST,GA31539     		N/A   ATHLETIC AND RELATED PROGRAMS 50,000
    JEFF DAVIS HOSP AUTHORITY
    163 S TALLAHASSEE STREET
    HAZLEHURST,GA31539     		N/A   EQUIPMENT AND/OR RENOVATIONS 100,000
    JEFF DAVIS CTY COMMISSION
    P O BOX 609
    HAZLEHURST,GA31539     		N/A   EMS SUPPLIES & EQUIPMENT 50,000
    FIRST UNITED METHODIST CH
    P O BOX 1776
    HAZLEHURST,GA31539     		N/A   SOUND SYSTEM AND YOUTH FUND 5,000
    Total .................................bullet 3a 208,500
    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....         79,618
    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         74,322
    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)..     153,940
    13Total. Add line 12, columns (b), (d), and (e)...................
    13153,940
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash....................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements............................
    1b(4)
     
    No
    (5) Loans or loan guarantees..............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2010 AccountingFeesSchedule
    Name:
    CLAUDE P COOKSR CHARITABLE TRUST
    EIN: 33-6339018
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    KENNITH D. MCLEOD, CPA 1,530 1,530    

    TY 2010 CompensationExplanation
    Name:
    CLAUDE P COOKSR CHARITABLE TRUST
    EIN: 33-6339018
    Person Name Explanation
    SUNTRUST BANK MIDDLE GA  

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    CLAUDE P COOKSR CHARITABLE TRUST
    EIN: 33-6339018
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BONDS - MUTUAL FUNDS - FIXED INCOME 1,003,584 1,049,076

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    CLAUDE P COOKSR CHARITABLE TRUST
    EIN: 33-6339018
    Name of Stock End of Year Book Value End of Year Fair Market Value
    COMMON STOCKS - SCHEDULE ATTACHED 2,411,102 2,823,020

    TY 2010 InvestmentsLandSchedule2
    Name:
    CLAUDE P COOKSR CHARITABLE TRUST
    EIN: 33-6339018
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    REAL ESTATE LOT AND BUILDING 300,438   300,438 590,000

    TY 2010 OtherExpensesSchedule
    Name:
    CLAUDE P COOKSR CHARITABLE TRUST
    EIN: 33-6339018
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    APPRAISAL & INSPECTION FEE 100 100    
    INSURANCE EXPENSE - BLANKET P 82 82    
    INSURANCE EXPENSE - REAL ESTA 2,688 2,688    
    MISCELLANEOUS 1,670 9    


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    CLAUDE P COOKSR CHARITABLE TRUST
    EIN: 33-6339018
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SUNTRUST BANK - MANAGEMENT FEES 14,439 14,439    
    SUNTRUST BANK - MANAGEMENT FEES 9,056 9,056    


    TY 2010 TaxesSchedule
    Name:
    CLAUDE P COOKSR CHARITABLE TRUST
    EIN: 33-6339018
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 427 427    
    REAL ESTATE TAXES 3,543 3,543    
    EXCISE TAX ON INVESTMENT INCOME 646 646