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
THE ANDRE FAMILY FOUNDATION INC
 

Number and street (or P.O. box number if mail is not delivered to street address)341 4TH AVENUE   Room/suite
City or town, state, and ZIP code
INDIALANTIC, FL32903
A Employer identification number

20-3966428
B Telephone number (see page 10 of the instructions)

(321) 725-2232
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$1,434,418
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 231 231  
4 Dividends and interest from securities...... 36,785 36,785  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 84,543
b Gross sales price for all assets on line 6a 1,170,519
7 Capital gain net income (from Part IV, line 2)... 84,543
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........ 121,559 121,559  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 2,500 0   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) 246 84   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 9,326 8,346   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 12,072 8,430   0
25 Contributions, gifts, grants paid........ 280,845 280,845
26 Total expenses and disbursements. Add lines 24 and 25 292,917 8,430   280,845
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -171,358
b Net investment income (if negative, enter -0-) 113,129
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 94,257 158,967 158,967
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
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)........... 1,314,982 Click to see attachment1,275,451 1,275,451
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) 1,409,239 1,434,418 1,434,418
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 1,409,239 1,434,418
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).................... 1,409,239 1,434,418
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,409,239 1,434,418
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 1,409,239
2 Enter amount from Part I, line 27a...................... 2 -171,358
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 196,537
4 Add lines 1, 2, and 3.......................... 4 1,434,418
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 1,434,418
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 108.785 DFA U.S. LARGE CAP VALUE   2008-01-11 2011-03-18
b 28.758 DFA U.S. LARGE CAP VALUE   2008-03-10 2011-03-18
c 14.921 DFA U.S. LARGE CAP VALUE   2008-06-10 2011-03-18
d 1121.06 DFA SHORT-TERM GOVERNMENT   2010-05-19 2011-05-10
e 1101.456 DFA FIVE YR GLOBAL FIX INC   2010-05-19 2011-05-10
1190.049 DFA TWO YR GLOBAL FIXED INC   2010-05-19 2011-05-10
1170.877 DFA ONE YR FIXED INCOME   2010-05-19 2011-05-10
196.233 DFA EMERGING MARKETS SMALL CAP   2008-10-15 2011-05-10
90.521 DFA EMERGING MARKETS   2008-10-15 2011-05-10
35.927 DFA EMERG MKTS VALUE   2008-10-15 2011-05-10
6.753 DFA EMERG MKTS VALUE   2008-12-10 2011-05-10
35.541 DFA EMERG MKTS VALUE   2008-12-10 2011-05-10
475.787 DFA US TARGETED VALUE PORT FD   2008-01-11 2011-05-10
17.826 DFA US TARGETED VALUE PORT FD   2008-03-10 2011-05-10
1.436 DFA US TARGETED VALUE PORT FD   2008-06-10 2011-05-10
506.052 DFA GLOBAL REAL ESTATE   2008-12-29 2011-05-10
847.114 DFA GLOBAL REAL ESTATE   2009-08-11 2011-05-10
350.015 DFA INTL SMALL CO PORT   2008-10-15 2011-05-10
54.91 DFA INTERNATIONAL VALUE   2008-01-11 2011-05-10
5.665 DFA INTERNATIONAL VALUE   2008-03-10 2011-05-10
110.765 DFA INTERNATIONAL VALUE   2008-06-10 2011-05-10
29.144 DFA INTERNATIONAL VALUE   2008-09-09 2011-05-10
388.335 DFA INTERNATIONAL VALUE   2008-10-15 2011-05-10
23.186 DFA U.S. LARGE CAP VALUE   2008-06-10 2011-05-10
45.781 DFA U.S. LARGE CAP VALUE   2008-09-09 2011-05-10
728.299 DFA U.S. LARGE CAP VALUE   2008-10-15 2011-05-10
403.094 DFA US SMALL CAP PORT   2008-01-11 2011-05-10
1741.602 DFA US LARGE CO PORTFOLIO   2006-02-16 2011-05-10
366.233 DFA INTL SMALL CAP VALUE   2008-10-15 2011-05-10
7067.902 DFA SHORT-TERM GOVERNMENT   2008-01-11 2010-12-16
94.968 DFA SHORT-TERM GOVERNMENT   2008-03-10 2010-12-16
108.433 DFA SHORT-TERM GOVERNMENT   2008-06-10 2010-12-16
106.047 DFA SHORT-TERM GOVERNMENT   2008-09-09 2010-12-16
129.21 DFA SHORT-TERM GOVERNMENT   2008-12-10 2010-12-16
54.255 DFA SHORT-TERM GOVERNMENT   2009-03-10 2010-12-16
88.082 DFA SHORT-TERM GOVERNMENT   2009-06-09 2010-12-16
333.507 DFA SHORT-TERM GOVERNMENT   2009-08-11 2010-12-16
89.268 DFA SHORT-TERM GOVERNMENT   2009-09-09 2010-12-16
75.439 DFA SHORT-TERM GOVERNMENT   2009-12-09 2010-12-16
69.636 DFA SHORT-TERM GOVERNMENT   2009-12-09 2010-12-16
32.884 DFA SHORT-TERM GOVERNMENT   2010-03-09 2010-12-16
320.484 DFA SHORT-TERM GOVERNMENT   2010-05-19 2010-12-16
7078.316 DFA FIVE YR GLOBAL FIX INC   2008-01-11 2010-12-16
198.977 DFA FIVE YR GLOBAL FIX INC   2008-09-09 2010-12-16
60.821 DFA FIVE YR GLOBAL FIX INC   2008-12-09 2010-12-16
134.164 DFA FIVE YR GLOBAL FIX INC   2009-06-09 2010-12-16
321.723 DFA FIVE YR GLOBAL FIX INC   2009-08-11 2010-12-16
95.78 DFA FIVE YR GLOBAL FIX INC   2009-09-09 2010-12-16
162.248 DFA FIVE YR GLOBAL FIX INC   2009-12-08 2010-12-16
33.5 DFA FIVE YR GLOBAL FIX INC   2010-03-09 2010-12-16
367.552 DFA FIVE YR GLOBAL FIX INC   2010-05-19 2010-12-16
6814.696 DFA TWO YR GLOBAL FIXED INC   2008-01-11 2010-12-16
29.975 DFA TWO YR GLOBAL FIXED INC   2008-06-10 2010-12-16
228.978 DFA TWO YR GLOBAL FIXED INC   2008-09-09 2010-12-16
475.4 DFA TWO YR GLOBAL FIXED INC   2008-12-10 2010-12-16
128.226 DFA TWO YR GLOBAL FIXED INC   2009-06-09 2010-12-16
604.385 DFA TWO YR GLOBAL FIXED INC   2009-08-11 2010-12-16
54.189 DFA TWO YR GLOBAL FIXED INC   2009-09-09 2010-12-16
9.147 DFA TWO YR GLOBAL FIXED INC   2009-12-09 2010-12-16
115.258 DFA TWO YR GLOBAL FIXED INC   2009-12-09 2010-12-16
0.925 DFA TWO YR GLOBAL FIXED INC   2010-03-09 2010-12-16
662.388 DFA TWO YR GLOBAL FIXED INC   2010-05-19 2010-12-16
6983.107 DFA ONE YR FIXED INCOME   2008-01-11 2010-12-16
69.193 DFA ONE YR FIXED INCOME   2008-02-08 2010-12-16
54.429 DFA ONE YR FIXED INCOME   2008-03-10 2010-12-16
47.101 DFA ONE YR FIXED INCOME   2008-04-08 2010-12-16
39.663 DFA ONE YR FIXED INCOME   2008-05-08 2010-12-16
36.443 DFA ONE YR FIXED INCOME   2008-06-10 2010-12-16
39.917 DFA ONE YR FIXED INCOME   2008-07-08 2010-12-16
40.008 DFA ONE YR FIXED INCOME   2008-08-08 2010-12-16
43.5 DFA ONE YR FIXED INCOME   2008-09-09 2010-12-16
35.057 DFA ONE YR FIXED INCOME   2008-10-08 2010-12-16
45.402 DFA ONE YR FIXED INCOME   2008-11-10 2010-12-16
65.727 DFA ONE YR FIXED INCOME   2008-12-09 2010-12-16
28.426 DFA ONE YR FIXED INCOME   2009-02-10 2010-12-16
25.734 DFA ONE YR FIXED INCOME   2009-03-10 2010-12-16
29.988 DFA ONE YR FIXED INCOME   2009-04-08 2010-12-16
27.161 DFA ONE YR FIXED INCOME   2009-05-08 2010-12-16
25.779 DFA ONE YR FIXED INCOME   2009-06-09 2010-12-16
24.295 DFA ONE YR FIXED INCOME   2009-07-08 2010-12-16
18.645 DFA ONE YR FIXED INCOME   2009-08-10 2010-12-16
570.403 DFA ONE YR FIXED INCOME   2009-08-11 2010-12-16
16.359 DFA ONE YR FIXED INCOME   2009-09-09 2010-12-16
10.422 DFA ONE YR FIXED INCOME   2009-10-08 2010-12-16
11.906 DFA ONE YR FIXED INCOME   2009-11-10 2010-12-16
12.53 DFA ONE YR FIXED INCOME   2009-12-08 2010-12-16
3.585 DFA ONE YR FIXED INCOME   2010-02-09 2010-12-16
5.379 DFA ONE YR FIXED INCOME   2010-03-09 2010-12-16
5.388 DFA ONE YR FIXED INCOME   2010-04-08 2010-12-16
4.488 DFA ONE YR FIXED INCOME   2010-05-10 2010-12-16
630.028 DFA ONE YR FIXED INCOME   2010-05-19 2010-12-16
308.301 DFA EMERGING MARKETS SMALL CAP   2008-01-11 2010-12-16
1.11 DFA EMERGING MARKETS SMALL CAP   2008-03-10 2010-12-16
18.052 DFA EMERGING MARKETS SMALL CAP   2008-06-10 2010-12-16
19.146 DFA EMERGING MARKETS SMALL CAP   2008-09-09 2010-12-16
725.423 DFA EMERGING MARKETS SMALL CAP   2008-10-15 2010-12-16
20.542 DFA EMERGING MARKETS   2007-12-19 2010-12-16
2.858 DFA EMERGING MARKETS   2007-12-19 2010-12-16
0.161 DFA EMERGING MARKETS   2007-12-19 2010-12-16
446.928 DFA EMERGING MARKETS   2008-01-11 2010-12-16
1.879 DFA EMERGING MARKETS   2008-03-10 2010-12-16
7.737 DFA EMERGING MARKETS   2008-06-10 2010-12-16
9.259 DFA EMERGING MARKETS   2008-09-09 2010-12-16
139.132 DFA EMERGING MARKETS   2008-10-15 2010-12-16
109.093 DFA EMERG MKTS VALUE   2008-01-11 2010-12-16
1.147 DFA EMERG MKTS VALUE   2008-03-10 2010-12-16
7.012 DFA EMERG MKTS VALUE   2008-06-10 2010-12-16
7.025 DFA EMERG MKTS VALUE   2008-09-09 2010-12-16
408.063 DFA EMERG MKTS VALUE   2008-10-15 2010-12-16
4220.454 DFA US TARGETED VALUE PORT FD   2008-01-11 2010-12-16
7698.395 DFA GLOBAL REAL ESTATE   2008-12-29 2010-12-16
47.283 DFA INTL SMALL CO PORT   2007-12-19 2010-12-16
10.417 DFA INTL SMALL CO PORT   2007-12-19 2010-12-16
7.775 DFA INTL SMALL CO PORT   2007-12-19 2010-12-16
1758.173 DFA INTL SMALL CO PORT   2008-01-11 2010-12-16
6.13 DFA INTL SMALL CO PORT   2008-03-10 2010-12-16
39.416 DFA INTL SMALL CO PORT   2008-06-10 2010-12-16
17.327 DFA INTL SMALL CO PORT   2008-09-09 2010-12-16
64.545 DFA INTL SMALL CO PORT   2008-10-15 2010-12-16
657.273 DFA INTERNATIONAL VALUE   2006-02-16 2010-12-16
45.068 DFA INTERNATIONAL VALUE   2006-06-08 2010-12-16
36.573 DFA INTERNATIONAL VALUE   2006-09-08 2010-12-16
15.013 DFA INTERNATIONAL VALUE   2006-12-18 2010-12-16
0.238 DFA INTERNATIONAL VALUE   2006-12-18 2010-12-16
39.439 DFA INTERNATIONAL VALUE   2006-12-18 2010-12-16
1.661 DFA INTERNATIONAL VALUE   2007-03-08 2010-12-16
43.974 DFA INTERNATIONAL VALUE   2007-06-08 2010-12-16
12.909 DFA INTERNATIONAL VALUE   2007-09-10 2010-12-16
18.817 DFA INTERNATIONAL VALUE   2007-12-19 2010-12-16
0.103 DFA INTERNATIONAL VALUE   2007-12-19 2010-12-16
44.318 DFA INTERNATIONAL VALUE   2007-12-19 2010-12-16
2448.104 DFA INTERNATIONAL VALUE   2008-01-11 2010-12-16
219.218 DFA U.S. LARGE CAP VALUE   2006-02-16 2010-12-16
8.813 DFA U.S. LARGE CAP VALUE   2006-03-08 2010-12-16
20.506 DFA U.S. LARGE CAP VALUE   2006-06-08 2010-12-16
16.861 DFA U.S. LARGE CAP VALUE   2006-09-08 2010-12-16
98.036 DFA U.S. LARGE CAP VALUE   2006-12-18 2010-12-16
30.526 DFA U.S. LARGE CAP VALUE   2006-12-18 2010-12-16
0.391 DFA U.S. LARGE CAP VALUE   2006-12-18 2010-12-16
9.381 DFA U.S. LARGE CAP VALUE   2007-03-08 2010-12-16
14.21 DFA U.S. LARGE CAP VALUE   2007-06-08 2010-12-16
14.512 DFA U.S. LARGE CAP VALUE   2007-09-10 2010-12-16
0.203 DFA U.S. LARGE CAP VALUE   2007-12-19 2010-12-16
21.513 DFA U.S. LARGE CAP VALUE   2007-12-19 2010-12-16
210.663 DFA U.S. LARGE CAP VALUE   2007-12-19 2010-12-16
5606.202 DFA U.S. LARGE CAP VALUE   2008-01-11 2010-12-16
3352.689 DFA US SMALL CAP PORT   2008-01-11 2010-12-16
12557.442 DFA US LARGE CO PORTFOLIO   2006-02-16 2010-12-16
60.029 DFA INTL SMALL CAP VALUE   2007-12-19 2010-12-16
11.78 DFA INTL SMALL CAP VALUE   2007-12-19 2010-12-16
11.78 DFA INTL SMALL CAP VALUE   2007-12-19 2010-12-16
1735.908 DFA INTL SMALL CAP VALUE   2008-01-11 2010-12-16
5.622 DFA INTL SMALL CAP VALUE   2008-03-10 2010-12-16
46.774 DFA INTL SMALL CAP VALUE   2008-06-10 2010-12-16
13.259 DFA INTL SMALL CAP VALUE   2008-09-09 2010-12-16
57.563 DFA INTL SMALL CAP VALUE   2008-10-15 2010-12-16
CAPITAL GAINS DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 2,282   2,114 168
b 603   559 44
c 313   290 23
d 12,150   12,030 120
e 12,201   12,150 51
12,102   12,098 4
12,094   12,050 44
4,775   3,486 1,289
2,820   2,367 453
1,307   1,063 244
246   200 46
1,293   1,051 242
8,597   6,504 2,093
322   244 78
26   20 6
4,444   3,227 1,217
7,439   5,402 2,037
6,415   5,431 984
1,080   1,008 72
111   104 7
2,180   2,033 147
573   535 38
7,641   7,126 515
516   450 66
1,019   889 130
16,211   14,150 2,061
9,468   7,020 2,448
18,645   16,705 1,940
6,798   5,944 854
75,889   75,749 140
1,020   1,018 2
1,164   1,162 2
1,139   1,137 2
1,387   1,385 2
583   581 2
946   944 2
3,581   3,574 7
958   957 1
810   808 2
748   746 2
353   352 1
3,441   3,435 6
76,637   78,106 -1,469
2,154   2,196 -42
659   671 -12
1,453   1,480 -27
3,483   3,550 -67
1,037   1,057 -20
1,757   1,790 -33
363   370 -7
3,980   4,056 -76
69,014   69,248 -234
304   305 -1
2,319   2,327 -8
4,814   4,831 -17
1,299   1,303 -4
6,121   6,142 -21
549   551 -2
93   93 0
1,167   1,171 -4
9   9 0
6,708   6,731 -23
71,976   71,795 181
713   711 2
561   560 1
485   484 1
409   408 1
376   375 1
411   410 1
412   411 1
448   447 1
361   360 1
468   467 1
677   676 1
293   292 1
265   265 0
309   308 1
280   279 1
266   265 1
250   250 0
192   192 0
5,879   5,864 15
169   168 1
107   107 0
123   122 1
129   129 0
37   37 0
55   55 0
56   55 1
46   46 0
6,494   6,477 17
7,176   5,329 1,847
26   19 7
420   312 108
446   331 115
16,885   12,539 4,346
607   532 75
84   74 10
5   4 1
13,207   11,585 1,622
56   49 7
229   201 28
274   240 34
4,111   3,606 505
3,798   3,184 614
40   33 7
244   205 39
245   205 40
14,206   11,910 2,296
69,022   57,694 11,328
58,406   48,258 10,148
788   729 59
174   161 13
130   120 10
29,286   27,112 2,174
102   95 7
657   608 49
289   267 22
1,075   995 80
11,898   12,047 -149
816   826 -10
662   670 -8
272   275 -3
4   4 0
714   723 -9
30   30 0
796   806 -10
234   237 -3
341   345 -4
2   2 0
802   812 -10
44,317   44,871 -554
4,296   4,258 38
173   171 2
402   398 4
330   327 3
1,921   1,904 17
598   593 5
8   8 0
184   182 2
278   276 2
284   282 2
4   4 0
422   418 4
4,128   4,092 36
109,859   108,888 971
70,985   58,373 12,612
122,787   120,247 2,540
999   971 28
196   190 6
196   190 6
28,881   28,067 814
94   91 3
778   756 22
221   214 7
958   931 27
16,804     16,804
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       168
b       44
c       23
d       120
e       51
      4
      44
      1,289
      453
      244
      46
      242
      2,093
      78
      6
      1,217
      2,037
      984
      72
      7
      147
      38
      515
      66
      130
      2,061
      2,448
      1,940
      854
      140
      2
      2
      2
      2
      2
      2
      7
      1
      2
      2
      1
      6
      -1,469
      -42
      -12
      -27
      -67
      -20
      -33
      -7
      -76
      -234
      -1
      -8
      -17
      -4
      -21
      -2
      0
      -4
      0
      -23
      181
      2
      1
      1
      1
      1
      1
      1
      1
      1
      1
      1
      1
      0
      1
      1
      1
      0
      0
      15
      1
      0
      1
      0
      0
      0
      1
      0
      17
      1,847
      7
      108
      115
      4,346
      75
      10
      1
      1,622
      7
      28
      34
      505
      614
      7
      39
      40
      2,296
      11,328
      10,148
      59
      13
      10
      2,174
      7
      49
      22
      80
      -149
      -10
      -8
      -3
      0
      -9
      0
      -10
      -3
      -4
      0
      -10
      -554
      38
      2
      4
      3
      17
      5
      0
      2
      2
      2
      0
      4
      36
      971
      12,612
      2,540
      28
      6
      6
      814
      3
      22
      7
      27
      16,804
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 84,543
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 416,935 1,632,488 0.255399
2008 330,839 1,573,416 0.210268
2007 250,941 1,565,702 0.160274
2006 121,968 1,105,555 0.110323
2005 6,100 1,019,114 0.005986
2 Total of line 1, column (d) ...................... 2 0.742250
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 0.148450
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 1,793,914
5 Multiply line 4 by line 3....................... 5 266,307
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,131
7 Add lines 5 and 6......................... 7 267,438
8 Enter qualifying distributions from Part XII, line 4.............. 8 280,845
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 1,131
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 1,131
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 1,131
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a  
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 0
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 6
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,137
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet   Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletFL
    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.Click to see attachment
    10
    Yes
     
    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 ofbulletEDWARD A ANDRE Telephone no.bullet (321) 725-2232
    Located atbullet341 4TH AVENUEINDIALANTICFL ZIP+4bullet32903
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    JEANNE M ANDRE PRESIDENT
    1.50
    0 0 0
    341 4TH AVENUE
    INDIALANTIC,FL32903
    EDWARD A ANDRE VICE-PRESIDENT
    1.50
    0 0 0
    341 4TH AVENUE
    INDIALANTIC,FL32903
    JESSICA L ANDRE DIRECTOR
    1.50
    0 0 0
    341 4TH AVENUE
    INDIALANTIC,FL32903
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet0
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,591,305
    b
    Average of monthly cash balances.......................
    1b
    229,927
    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
    1,821,232
    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
    1,821,232
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    27,318
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,793,914
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    89,696
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    89,696
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    1,131
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,131
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    88,565
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    88,565
    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
    88,565
    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
    280,845
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    280,845
    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
    1,131
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    279,714
    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 88,565
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005.......  
    b From 2006....... 67,754
    c From 2007....... 173,774
    d From 2008....... 252,890
    e From 2009....... 335,761
    fTotal of lines 3a through e......... 830,179
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 280,845
    a Applied to 2009, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
    0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
    0
    d Applied to 2010 distributable amount..... 88,565
    e Remaining amount distributed out of corpus 192,280
    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 1,022,459
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
    0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
    0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
    0
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    0
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......
    1,022,459
    10 Analysis of line 9:
    a Excess from 2006.... 67,754
    b Excess from 2007.... 173,774
    c Excess from 2008.... 252,890
    d Excess from 2009.... 335,761
    e Excess from 2010.... 192,280
    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).)
    JEANNE M ANDRE
    EDWARD A ANDRE
    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:
    JEANNE M ANDRE
    341 4TH AVENUE
    INDIALANTIC,FL32903
    (321) 725-2232
    bThe form in which applications should be submitted and information and materials they should include:
    COMPLETION OF THE ANDRE FAMILY FOUNDATION STRUCTURED GRANT APPLICATION FORM
    cAny submission deadlines:
    ONGOING
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEC 501(C)(3) ORGANIZATIONS
    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
    ADVENTURES IN MISSIONS
    6000 WELLSPRING TRAIL
    GAINESVILLE,GA30504
    N/A PUBLIC CHARITY CHARITABLE 1,000
    AMERICAN CANCER SOCIETY
    P O BOX 22718
    OKLAHOMA CITY,OK73123
    N/A PUBLIC CHARITY CHARITABLE 1,500
    AUBURN FUND AUF
    317 SOUTH COLLEGE STREET
    AUBURN UNIVERSITY,AL368495153
    N/A PUBLIC CHARITY CHARITABLE 8,000
    BOYS AND GIRLS CLUB
    801 N MAGNOLIA AVENUE
    ORLANDO,FL32803
    N/A PUBLIC CHARITY CHARITABLE 10,000
    CAMPUS CRUSADE FOR CHRIST INTERNATIONAL
    P O BOX 628222
    ORLANDO,FL328628222
    N/A PUBLIC CHARITY CHARITABLE 53,000
    CANCER CARE FOUNDATION
    1430 S PINE ST
    MELBOURNE,FL32901
    N/A PUBLIC CHARITY CHARITABLE 41,300
    CANDLELIGHTERS OF BREVARD INC
    581 W EAU GALLIE BLVD
    MELBOURNE,FL32901
    N/A PUBLIC CHARITY CHARITABLE 1,000
    CHETTE WILLIAMS MINISTRY - AUBURN REVIVAL
    P O BOX 3525
    AUBURN,AL36831
    N/A PUBLIC CHARITY CHARITABLE 10,000
    CHILDREN'S HOME SOCIETY OF FLORIDA BREVARD DIVISION
    3270 SUNTREE BLVD STE 100
    MELBOURNE,FL32940
    N/A PUBLIC CHARITY CHARITABLE 5,145
    CLUB ESTEEM
    3316 MONROE ST
    MELBOURNE,FL32901
    N/A PUBLIC CHARITY CHARITABLE 5,000
    CTEN
    P O BOSX 291307
    KERRVILLE,TX780291307
    N/A PUBLIC CHARITY CHARITABLE 5,000
    EASTMINSTER PRESBYTERIAN CHURCH
    PO BOX 33866
    INDIALANTIC,FL32903
    N/A PUBLIC CHARITY CHARITABLE 300
    FELLOWSHIP OF CHRISTIAN ATHLETES
    8701 LEEDS ROAD
    KANSAS CITY,MO641291680
    N/A PUBLIC CHARITY CHARITABLE 44,000
    FLORIDA INSTITUTE OF TECHNOLOGY
    150 W UNIVERSITY BLVD
    MELBOURNE,FL32901
    N/A PUBLIC CHARITY CHARITABLE 1,100
    GENESIS HOUSE
    PO BOX 2044
    MELBOURNE,FL32902
    N/A PUBLIC CHARITY CHARITABLE 5,000
    GLOBAL MISSIONS INC
    PO BOX 33866
    INDIALANTIC,FL32903
    N/A PUBLIC CHARITY CHARITABLE 20,000
    HEALTH FIRST FOUNDATION
    3462 N HARBOR CITY BLVD
    MELBOURNE,FL32935
    N/A PUBLIC CHARITY CHARITABLE 16,000
    HELPING HANDS MINISTIES
    2621 QUINCE LANE
    MCALLEN,TX78501
    N/A PUBLIC CHARITY CHARITABLE 5,000
    INTERNATIONAL COOPERATING MINISTRIES
    606 ABERDEEN ROAD
    HAMPTON,VA23661
    N/A PUBLIC CHARITY CHARITABLE 25,000
    NANA'S HOUSE
    2730 OSAGE
    ST LOUIS,MO63118
    N/A PUBLIC CHARITY CHARITABLE 3,000
    NATIONAL CHRISTIAN FOUNDATION
    11625 RAINWATER DRIVE SUITE 500
    ALPHARETTA,GA30009
    N/A PUBLIC CHARITY CHARITABLE 3,000
    PREGNANCY RESOURCES
    165 N BABCOCK STREET
    MELBOURNE,FL32935
    N/A PUBLIC CHARITY CHARITABLE 2,000
    PREVENT OF BREVARD
    1948 PINEAPPLE AVENUE
    MELBOURNE,FL32935
    N/A PUBLIC CHARITY CHARITABLE 1,000
    SERENE HARBOR INC
    PO BOX 100039
    PALM BAY,FL329100039
    N/A PUBLIC CHARITY CHARITABLE 500
    SPACE COAST OVARIAN CANCER ALLIANCE
    1855 W SR 434
    LONGWOOD,FL32750
    N/A PUBLIC CHARITY CHARITABLE 6,500
    SUZY GREENE MEMORIAL FUND PLAY FOR THE PINK FOUNDATION
    175 E 74TH ST 17B
    NEW YORK,NY10021
    N/A PUBLIC CHARITY CHARITABLE 2,000
    TEMPLE BETH SHALOM
    5995 N WICKHAM ROAD
    MELBOURNE,FL32940
    N/A PUBLIC CHARITY CHARITABLE 500
    THE MASTERS WORKSHOP
    2525 LIPSCOMB ST
    MELBOURNE,FL32901
    N/A PUBLIC CHARITY CHARITABLE 5,000
    Total .................................bullet 3a 280,845
    bApproved for future payment
    Total ..................................bullet 3b 0
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 231  
    4 Dividends and interest from securities....     14 36,785  
    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 84,543  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 121,559 0
    13Total. Add line 12, columns (b), (d), and (e)...................
    13121,559
    (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:
    THE ANDRE FAMILY FOUNDATION INC
    EIN: 20-3966428
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,500 0   0

    TY 2010 InvestmentsOtherSchedule2
    Name:
    THE ANDRE FAMILY FOUNDATION INC
    EIN: 20-3966428
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    FIDELITY INVESTMENTS FMV 1,275,451 1,275,451

    TY 2010 OtherExpensesSchedule
    Name:
    THE ANDRE FAMILY FOUNDATION INC
    EIN: 20-3966428
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 8,214 8,214   0
    LEGAL FEES 980 0   0
    BANK CHARGES 132 132   0


    TY 2010 OtherIncreasesSchedule
    Name:
    THE ANDRE FAMILY FOUNDATION INC
    EIN: 20-3966428
    Description Amount
    UNREALIZED GAIN 196,537


    TY 2010 SubstantialContributorsSch
    Name:
    THE ANDRE FAMILY FOUNDATION INC
    EIN: 20-3966428
    Name Address
    EDWARD JEANNE ANDRE 341 4TH AVENUE
    INDIALANTIC,FL32903


    TY 2010 TaxesSchedule
    Name:
    THE ANDRE FAMILY FOUNDATION INC
    EIN: 20-3966428
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL 26 0   0
    FOREIGN TAX PAID 84 84   0
    ANNUAL FILING FEE 136 0   0