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
CLERMONT FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)C/O GLORIA CHOONG PO BOX 429   Room/suite
City or town, state, and ZIP code
SUMMIT, NJ079020429
A Employer identification number

22-3177379
B Telephone number (see page 10 of the instructions)

(908) 273-5085
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$4,588,331J 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...... 156,180 156,180  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 502,107
b Gross sales price for all assets on line 6a 2,592,944
7 Capital gain net income (from Part IV, line 2)... 502,107
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)....... Click to see attachment -4,063 -3,155  
12 Total. Add lines 1 through 11........ 654,224 655,132  
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)....... Click to see attachment 9,000 4,500   4,500
c Other professional fees (attach schedule).... Click to see attachment 1,536 1,536   0
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 4,069 4,039   30
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 747 521   80
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 15,352 10,596   4,610
25 Contributions, gifts, grants paid........ 182,232 182,232
26 Total expenses and disbursements. Add lines 24 and 25 197,584 10,596   186,842
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 456,640
b Net investment income (if negative, enter -0-) 644,536
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............... 7,056 7,057 7,057
2 Savings and temporary cash investments.......... 406,129 254,086 254,086
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)........... 2,273,240 Click to see attachment2,829,163 3,829,712
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment276,884 Click to see attachment329,643 Click to see attachment497,476
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,963,309 3,419,949 4,588,331
Liabilities 17 Accounts payable and accrued expenses.......... 600 600
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).......... 600 600
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 2,285,339 2,285,339
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 677,370 1,134,010
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,962,709 3,419,349
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,963,309 3,419,949
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 2,962,709
2 Enter amount from Part I, line 27a...................... 2 456,640
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 3,419,349
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 3,419,349
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 11000 SHARES NOBLE GROUP LTD P 2009-05-21 2010-01-14
b 600 SHARES AMERICA MOVIL-ADR SERIES L P 2009-10-16 2010-01-19
c 1700 SHARES MARKET VECTORS BRAZIL SMALL-CAP ETF P 2009-07-21 2010-01-21
d 11000 SHARES NOBLE GROUP LTD P 2009-05-21 2010-02-09
e 2000 SHARES IPATH S&P 500 VIX SHORT-TERM FUTURES ETN P 2010-01-27 2010-02-22
35000 SHARES CP ALL PCL - FOREIGN P 2009-09-01 2010-05-04
20000 SHARES MINTH GROUP LTD. P 2010-03-23 2010-05-07
58000 SHARES CP ALL PCL - FOREIGN P 2009-09-01 2010-05-18
15000 SHARES GLOW ENERGY PCL - NVDR P 2009-11-11 2010-05-18
5168.986 SHARES MAINSTAY HIGH YIELD CORPORATE BOND FUND P 2009-06-04 2010-05-21
14705.882 SHARES MAINSTAY HIGH YIELD CORPORATE BOND FUND P 2009-06-17 2010-05-21
400 SHARES DIAMOND OFFSHORE DRILLING, INC. P 2010-03-30 2010-05-25
450 SHARES COMPANHIA BRASILEIRA DE DISTRIBUICAO ADR P 2009-12-23 2010-05-26
450 SHARES AGRIUM INC P 2010-03-23 2010-05-28
4200 SHARES POWERSHARES PREFERRED PORTFOLIO P 2009-06-22 2010-05-28
9600 SHARES CHINA GREEN (HOLDINGS) LIMITED P 2010-04-08 2010-06-02
24900 SHARES CHINA GREEN (HOLDINGS) LIMITED P 2010-04-08 2010-06-03
13500 SHARES CHINA GREEN (HOLDINGS) LIMITED P 2010-04-08 2010-06-04
1500 SHARES INTEL CORP COM P 2010-01-19 2010-06-09
1000 SHARES NUVEEN MULTI-CURRENCY ST GOV. INCOME FUND P 2009-07-30 2010-06-22
300 SHARES AMBEV COMPANHIA DE BEBIDAS - ADR P 2009-08-03 2010-06-29
1300 UNITS PROSHARES ULTRASHORT EURO P 2010-05-20 2010-07-26
1200 UNITS PROSHARES ULTRASHORT EURO P 2010-06-02 2010-07-26
1000 SHARES HONG KONG EXCHANGES & CLEARING LIMITED P 2010-06-24 2010-07-28
37000 SHARES NOBLE GROUP LTD P 2010-06-02 2010-08-18
750 SHARES THE SHERWIN-WILLIAMS COMPANY P 2010-05-21 2010-08-31
600 SHARES VISA INC. - CLASS A SHARES P 2010-05-25 2010-09-10
330 SHARES COVIDIEN LIMITED P 2010-03-30 2010-10-11
1000 SHARES ENCANA CORP P 2010-07-27 2010-10-11
400 SHARES J.P. MORGAN CHASE & CO P 2010-01-28 2010-10-19
800 SHARES CANADIAN NATURAL RESOURCES LTD P 2010-06-22 2010-10-20
231 SHARES STANDARD CHARTERED PLC RTS. EXP 11/5/10 P 2010-10-25 2010-10-27
STANDARD CHARTERED PLC RTS. EXP 11/5/10 P 2010-10-25 2010-10-28
900 SHARES HATTERAS FINANCIAL CORPORATION REIT P 2010-06-09 2010-11-03
1300 SHARES ANNALY CAPITAL MANAGEMENT INC P 2010-06-09 2010-11-04
2000 SHARES ANNALY CAPITAL MANAGEMENT INC P 2010-08-04 2010-11-04
1000 SHARES REPUBLIC SERVICES INC P 2010-06-22 2010-11-10
300 SHARES CPFL ENERGIA S.A. - ADR P 2010-09-08 2010-11-12
750 SHARES 3M CO. P 2010-05-21 2010-11-15
250 SHARES 3M CO. P 2010-06-02 2010-11-15
11000 SHARES TELSTRA CORPORATION LIMITED P 2010-07-09 2010-11-16
5000 SHARES VTECH HOLDINGS LIMITED P 2010-04-30 2010-11-23
1600 SHARES WILLIAMS COMPANIES, INC. P 2010-07-14 2010-12-01
600 SHARES HATTERAS FINANCIAL CORPORATION REIT P 2008-11-26 2010-01-05
1600 SHARES ANNALY CAPITAL MANAGEMENT INC P 2008-08-04 2010-01-05
387 SHARES SYMANTEC CORP P 2001-01-22 2010-02-02
400 SHARES AIR PRODUCTS & CHEMICALS INC P 2008-09-25 2010-02-11
200 SHARES HATTERAS FINANCIAL CORPORATION REIT P 2008-11-26 2010-02-17
2700 SHARES ANNALY CAPITAL MANAGEMENT INC P 2008-08-04 2010-03-23
1300 SHARES HATTERAS FINANCIAL CORPORATION REIT P 2008-11-26 2010-03-25
327 SHARES PACCAR INC P 2000-06-16 2010-04-01
65 SHARES PACCAR INC P 2000-06-16 2010-04-01
65 SHARES PACCAR INC P 2000-06-16 2010-04-01
65 SHARES PACCAR INC P 2000-06-16 2010-04-01
3479.125 SHARES LOOMIS SAYLES BOND FUND - RET CL R P 2008-11-12 2010-04-08
3803.804 SHARES LOOMIS SAYLES BOND FUND - RET CL R P 2008-11-17 2010-04-08
8000 SHARES MFA MORTGAGE INVESTMENTS, INC. P 2008-12-04 2010-04-08
1800 SHARES ANNALY CAPITAL MANAGEMENT INC P 2008-08-04 2010-04-09
42 SHARES NORTEL NETWORKS CORP P 2008-07-01 2010-05-19
110 SHARES EXXON MOBIL CORP P 2005-06-10 2010-06-01
450 SHARES EXXON MOBIL CORP P 2005-06-29 2010-06-01
932 SHARES THERMO FISHER SCIENTIFIC P 2005-04-01 2010-06-07
140 SHARES SYNGENTA AG P 2005-05-06 2010-06-15
100 SHARES HENRY SCHEIN INC P 2004-08-20 2010-06-21
1000 SHARES HENRY SCHEIN INC P 2004-11-23 2010-06-21
250 UNITS MAGELLAN MIDSTREAM PARTNERS LP P 2007-12-14 2010-06-30
1500 UNITS MAGELLAN MIDSTREAM PARTNERS LP P 2007-12-14 2010-06-30
1000 UNITS MAGELLAN MIDSTREAM PARTNERS LP P 2008-01-10 2010-06-30
350 UNITS ENTERPRISE PRODUCTS PARTNERS LP P 2007-12-14 2010-06-30
1086 UNITS ENTERPRISE PRODUCTS PARTNERS LP P 2008-01-10 2010-06-30
300 UNITS ENERGY TRANSFER EQUITY, LP P 2007-01-24 2010-06-30
276 UNITS KINDER MORGAN ENERGY PARTNERS LP P 2008-01-10 2010-06-30
1900 UNITS PLAINS ALL AMER PIPELINE LP P 2007-12-14 2010-06-30
200 UNITS PLAINS ALL AMER PIPELINE LP P 2007-12-14 2010-06-30
600 UNITS PLAINS ALL AMER PIPELINE LP P 2008-01-10 2010-06-30
1500 SHARES EATON VANCE SENIOR INCOME TRUST P 2009-02-04 2010-08-13
1000 SHARES EATON VANCE SENIOR INCOME TRUST P 2009-08-03 2010-08-13
300 SHARES AMBEV COMPANHIA DE BEBIDAS - ADR P 2009-08-03 2010-08-24
1000 SHARES EATON VANCE LIMITED DURATION INCOME FUND P 2008-10-29 2010-10-21
3600 SHARES EATON VANCE LIMITED DURATION INCOME FUND P 2008-12-30 2010-10-21
1200 SHARES CISCO SYSTEMS INC P 2008-01-18 2010-11-10
1900 SHARES ORACLE CORPORATION P 2009-06-19 2010-11-12
2000 SHARES CALAMOS CONVERTIBLE AND HIGH INCOME FUND P 2009-04-28 2010-11-23
150 SHARES HATTERAS FINANCIAL CORPORATION REIT P 2009-11-13 2010-02-17
700 SHARES MFA MORTGAGE INVESTMENTS, INC. P 2009-11-13 2010-03-25
400 SHARES BLACKROCK CREDIT ALLOCATION INCOME TR IV P 2009-11-13 2010-04-14
75 SHARES PEPSICO INC P 2009-06-24 2010-04-15
250 SHARES ANNALY CAPITAL MANAGEMENT INC P 2010-06-09 2010-11-04
50 SHARES 3M CO. P 2010-06-02 2010-11-15
125 SHARES CVS CORP P 2010-04-20 2010-12-01
150 SHARES TEMPLETON DRAGON FD COM P 2007-10-09 2010-01-14
300 SHARES ANNALY CAPITAL MANAGEMENT INC P 2007-09-05 2010-03-23
140.056 SHARES LOOMIS SAYLES BOND FUND - RET CL R P 2008-04-28 2010-04-08
100.1 SHARES LOOMIS SAYLES BOND FUND - RET CL R P 2008-11-17 2010-04-08
79.904 SHARES MANAGERS BOND FUND P 2008-04-28 2010-04-19
150 SHARES HATTERAS FINANCIAL CORPORATION REIT P 2009-11-13 2010-02-17
700 SHARES MFA MORTGAGE INVESTMENTS, INC. P 2009-11-13 2010-03-25
400 SHARES BLACKROCK CREDIT ALLOCATION INCOME TR IV P 2009-11-13 2010-04-14
500 SHARES EATON VANCE SENIOR INCOME TRUST P 2010-01-28 2010-08-18
209.424 SHARES BLACKROCK LOW DURATION BOND PORTFOLIO P 2010-02-08 2010-10-04
250 SHARES ANNALY CAPITAL MANAGEMENT INC P 2010-06-09 2010-11-04
50 SHARES 3M CO. P 2010-06-02 2010-11-15
125 SHARES CVS CORP P 2010-04-20 2010-12-01
150 SHARES TEMPLETON DRAGON FD COM P 2007-09-27 2010-01-14
350 SHARES ANNALY CAPITAL MANAGEMENT INC P 2006-10-03 2010-03-22
140.056 SHARES LOOMIS SAYLES BOND FUND - RET CL R P 2008-04-28 2010-04-08
100.1 SHARES LOOMIS SAYLES BOND FUND - RET CL R P 2008-11-17 2010-04-08
79.904 SHARES MANAGERS BOND FUND P 2008-04-28 2010-04-19
FROM SB ASIA REDUX K-1 P    
FROM SB ASIA REDUX K-1 P    
FROM PROSHARES K-1 P    
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 26,440   12,693 13,747
b 28,100   28,876 -776
c 78,689   52,562 26,127
d 20,893   12,693 8,200
e 54,481   64,431 -9,950
31,671   17,828 13,843
26,359   33,145 -6,786
48,016   29,543 18,473
17,046   14,649 2,397
29,205   26,268 2,937
83,088   74,732 8,356
27,032   34,143 -7,111
27,246   32,791 -5,545
24,793   31,907 -7,114
56,166   50,501 5,665
8,838   12,401 -3,563
23,162   32,164 -9,002
12,610   17,438 -4,828
30,422   31,524 -1,102
13,598   15,606 -2,008
31,358   22,293 9,065
28,859   29,707 -848
26,639   27,422 -783
16,355   16,297 58
45,413   46,142 -729
52,336   56,300 -3,964
40,612   43,799 -3,187
13,452   16,585 -3,133
30,652   30,832 -180
15,313   15,861 -548
28,953   29,207 -254
1,859     1,859
2     2
26,669   25,649 1,020
23,073   22,686 387
35,498   34,886 612
28,662   31,213 -2,551
21,438   21,743 -305
64,971   60,024 4,947
21,657   19,526 2,131
27,831   31,140 -3,309
53,244   57,106 -3,862
37,433   30,875 6,558
16,665   15,168 1,497
27,788   24,281 3,507
6,650   2,605 4,045
27,341   28,415 -1,074
5,160   5,056 104
48,839   40,972 7,867
35,474   32,864 2,610
14,455   3,048 11,407
2,873   606 2,267
2,873   606 2,267
2,873   606 2,267
48,047   35,000 13,047
52,531   38,000 14,531
57,937   47,207 10,730
31,013   27,315 3,698
2   337 -335
6,651   6,400 251
27,210   26,406 804
46,725   25,161 21,564
32,622   14,805 17,817
5,676   3,128 2,548
56,758   32,381 24,377
11,672   5,740 5,932
70,030   34,439 35,591
46,687   22,959 23,728
12,524   8,772 3,752
38,860   27,218 11,642
10,080   6,205 3,875
18,124   2,500 15,624
112,443   47,892 64,551
11,836   5,041 6,795
35,508   15,124 20,384
10,143   6,080 4,063
6,762   5,111 1,651
32,623   22,293 10,330
16,533   9,886 6,647
59,519   35,591 23,928
29,072   29,411 -339
53,659   39,115 14,544
25,799   18,243 7,556
3,868   4,374 -506
5,070   5,168 -98
4,949   4,432 517
4,950   4,013 937
4,429   4,370 59
4,323   3,912 411
3,953   4,667 -714
4,079   4,966 -887
5,419   4,322 1,097
1,934   2,000 -66
1,382   1,000 382
2,017   2,000 17
3,868   4,374 -506
5,070   5,168 -98
4,949   4,432 517
3,356   3,331 25
2,031   2,000 31
4,429   4,370 59
4,323   3,912 411
3,953   4,667 -714
4,079   4,830 -751
6,540   4,689 1,851
1,934   2,000 -66
1,382   1,000 382
2,017   2,000 17
      1,938
      46,396
      1
469     469
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       13,747
b       -776
c       26,127
d       8,200
e       -9,950
      13,843
      -6,786
      18,473
      2,397
      2,937
      8,356
      -7,111
      -5,545
      -7,114
      5,665
      -3,563
      -9,002
      -4,828
      -1,102
      -2,008
      9,065
      -848
      -783
      58
      -729
      -3,964
      -3,187
      -3,133
      -180
      -548
      -254
      1,859
      2
      1,020
      387
      612
      -2,551
      -305
      4,947
      2,131
      -3,309
      -3,862
      6,558
      1,497
      3,507
      4,045
      -1,074
      104
      7,867
      2,610
      11,407
      2,267
      2,267
      2,267
      13,047
      14,531
      10,730
      3,698
      -335
      251
      804
      21,564
      17,817
      2,548
      24,377
      5,932
      35,591
      23,728
      3,752
      11,642
      3,875
      15,624
      64,551
      6,795
      20,384
      4,063
      1,651
      10,330
      6,647
      23,928
      -339
      14,544
      7,556
      -506
      -98
      517
      937
      59
      411
      -714
      -887
      1,097
      -66
      382
      17
      -506
      -98
      517
      25
      31
      59
      411
      -714
      -751
      1,851
      -66
      382
      17
      1,938
      46,396
      1
      469
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 2 502,107
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 141,177 3,502,497 0.040308
2008 168,566 3,880,698 0.043437
2007 273,190 4,239,729 0.064436
2006 188,782 3,474,445 0.054334
2005 97,613 2,838,989 0.034383
2 Total of line 1, column (d) ...................... 2 0.236898
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 0.047380
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 4,213,009
5 Multiply line 4 by line 3....................... 5 199,612
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 6,445
7 Add lines 5 and 6......................... 7 206,057
8 Enter qualifying distributions from Part XII, line 4.............. 8 186,842
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 12,891
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 12,891
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 12,891
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 14,741
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 14,741
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 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 1,850
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet1,850 Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 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
Yes
 
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)bulletNJ
    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 ofbulletMARTHA KEITH TRUSTEE Telephone no.bullet (908) 273-5085
    Located atbulletC/O GLORIA CHOONG PO BOX 429SUMMITNJ ZIP+4bullet079020429
    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
    MARTHA H KEITH TRUSTEE
    1.00     		0 0 0
    C/O GLORIA CHOONG PO BOX 429
    SUMMIT,NJ079020429
    GARNETT L KEITH TRUSTEE
    1.00     		0 0 0
    C/O GLORIA CHOONG PO BOX 429
    SUMMIT,NJ079020429
    GLORIA CHOONG SECRETARY
    5.00     		0 0 0
    C/O GLORIA CHOONG PO BOX 429
    SUMMIT,NJ079020429
    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
    3,837,848
    b
    Average of monthly cash balances.......................
    1b
    439,319
    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
    4,277,167
    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
    4,277,167
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    64,158
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,213,009
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    210,650
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    210,650
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    12,891
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    12,891
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    197,759
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    197,759
    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
    197,759
    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
    186,842
    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
    186,842
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    186,842
    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 7 197,759
    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....... 13
    c From 2007....... 71,472
    d From 2008.......  
    e From 2009.......  
    fTotal of lines 3a through e......... 71,485
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 186,842
    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..... 186,842
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2010. 10,917 10,917
    (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 60,568
    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 ......     		60,568
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007.... 60,568
    c Excess from 2008....  
    d Excess from 2009....  
    e Excess from 2010....  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2010, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2010 (b) 2009 (c) 2008 (d) 2007
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    AGNES SCOTT COLLEGE
    141 EAST COLLEGE AVE
    DECATUR,GA300309802     		NONE EXEMPT EDUCATION 5,000
    AMERICAN RED CROSS SOUTHEAST MORRIS CHAPTER
    1 MADISON AVE
    MADISON,NJ079401499     		NONE EXEMPT HEALTH 2,000
    AMNESTY INTERNATIONAL USA
    PO BOX 98233
    WASHINGTON,DC200777014     		NONE EXEMPT HEALTH 1,000
    ARCHWAY SCHOOL
    250 41ST ST
    OAKLAND,CA94611     		NONE EXEMPT EDUCATION 5,000
    ASPEN MUSIC FESTIVAL & SCHOOL
    2 MUSIC SCHOOL ROAD
    ASPEN,CO81611     		NONE EXEMPT ARTS 2,000
    BENTONVILLE BATTLEFIELD HISTORICAL ASSOCIATION INC
    5466 HARPER HOUSE ROAD
    FOUR OAKS,NC27524     		NONE EXEMPT EDUCATION 1,982
    BIG SKY YOUTH EMPOWERMENT PROJECT INC
    PO BOX 6757
    BOZEMAN,MT59771     		NONE EXEMPT SOCIAL SERVICE 1,000
    BREAD FOR THE WORLD INSTITUTE
    425 3RD ST STE 1200
    WASHINGTON,DC20024     		NONE EXEMPT SOCIAL SERVICE 5,000
    CALIFORNIA STATE FIREFIGHTERS' ASSOCIATION
    PMB 211 9175 KIEFER BLVD
    SACRAMENTO,CA958265105     		NONE EXEMPT HEALTH 1,000
    CENTER FOR GRIEVING CHILDEN TEENS & FAMILIES-ELEANOR MALONEY SMER MEMORIAL
    1139 LUZERNE ST
    PHILADELPHIA,PA19124     		NONE EXEMPT SOCIAL SERVICE 500
    CENTRAL ASIA INSTITUTE
    PO BOX 7209
    BOZEMAN,MT597717209     		NONE EXEMPT EDUCATION 5,000
    DIRECT RELIEF INTERNATIONAL
    27 S LA PATERA LN
    SANTA BARBARA,CA93107     		NONE EXEMPT HEALTH 5,000
    DOCTORS WITHOUT BORDERS
    PO BOX 1869
    MERIFIELD,VA221169644     		NONE EXEMPT HEALTH 17,000
    DUKE UNIVERSITY (CLASS OF 1960)
    PO BOX 90572 614 CHAPEL DR
    DURHAM,NC277080581     		NONE EXEMPT EDUCATION 1,000
    ENVIRONMENTAL DEFENSE ATTN FRED KRUPP EX DIR
    257 PARK AVE S
    NEW YORK,NY10010     		NONE EXEMPT ENVIRONMENT 2,000
    FIRST PRESBYTERIAN CHURCH OF PORT TOWNSEND
    1111 FRANKLIN ST
    PORT TOWNSEND,WA98368     		NONE EXEMPT RELIGIOUS 3,000
    FRIENDS OF THE SOLANA BEACH LIBRARY
    157 STEVENS AVE
    SOLANA BEACH,CA92075     		NONE EXEMPT EDUCATION 200
    GALLATIN VALLEY LAND TRUST
    PO BOX 7021
    BOZEMAN,MT597717021     		NONE EXEMPT ENVIRONMENT 21,000
    GEORGIA TECH FOUNDATION ROLL CALL
    190 NORTH AVE NW
    ATLANTA,GA303320180     		NONE EXEMPT EDUCATION 250
    GREATER FOUR CORNER ACTION COALITION EASTERN SERVICE WORKERS ASSN
    247 BOWDOIN ST
    DORCHESTER,MA02122     		NONE EXEMPT SOCIAL SERVICE 7,000
    GRIFFIN NURSERY SCHOOL
    2410 PRINCE ST
    BERKELEY,CA94705     		NONE EXEMPT EDUCATION 1,000
    GTF INC - GAYE GWENSIMMS ENDOWED
    760 SPRING ST NW STE 400
    ATLANTA,GA30308     		NONE EXEMPT EDUCATION 10,000
    HSB FUND
    SOLDIERS FIELD RD
    BOSTON,MA021639904     		NONE EXEMPT EDUCATION 1,000
    KPBS SAN DIEGO STATE UNIVERSITY
    5200 CAMPANILE DR
    SAN DIEGO,CA921825400     		NONE EXEMPT ARTS 1,000
    LEXINGTON YOUTH AND FAMILY SERVICES
    7 HARRINGTON ROAD
    LEXINGTON,MA02421     		NONE EXEMPT SOCIAL SERVICE 5,000
    LOOMIS CHAFFEE SCHOOL
    PO BOX 600
    WINDSOR,CT060959956     		NONE EXEMPT EDUCATION 7,000
    MAYO FOUNDATION
    200 FIRST ST SW
    ROCHESTER,MN55905     		NONE EXEMPT HEALTH 10,000
    MONTANA STATE UNIVERSITY
    PO BOX 174160 183 STRAND UNION
    BOZEMAN,MT597174160     		NONE EXEMPT EDUCATION 25,000
    ONE GREAT HOUR OF SHARING CO SHALLOWFORD PRESBYTERIAN CHURCH
    2375 SHALLOWFORD RD NE
    ATLANTA,GA30345     		NONE EXEMPT RELIGIOUS 1,000
    OVERLOOK HOSPITAL FOUNDATION
    PO BOX 220
    SUMMIT,NJ079020220     		NONE EXEMPT HEALTH 1,000
    OXFAM AMERICA - DARFUR FAMINE RELIEF
    PO BOX 55807
    BOSTON,MA022055807     		NONE EXEMPT HEALTH 1,000
    PROJECT RENEWAL
    200 VARICK ST
    NEW YORK,NY10014     		NONE EXEMPT SOCIAL SERVICE 1,000
    SALVATION ARMY
    2320 FIFTH AVE PO BOX 503580
    SAN DIEGO,CA921503580     		NONE EXEMPT HEALTH 500
    SAN DIEGO COUNTY FOSTER PARENT ASSN
    PO BOX 881572
    SAN DIEGO,CA921681572     		NONE EXEMPT SOCIAL SERVICE 500
    SHALLOWFORD PRESBYTERIAN CHURCH
    2375 SHALLOWFORD RD NE
    ATLANTA,GA30345     		NONE EXEMPT RELIGIOUS 2,500
    SNOWMASS WILDCAT FIRE DEPARTMENT
    BOX 6436
    SNOWMASS VILLAGE,CO81615     		NONE EXEMPT HEALTH 500
    SUMMIT VOLUNTEER FIRST AID SQUAD
    PO BOX 234
    SUMMIT,NJ079020234     		NONE EXEMPT HEALTH 500
    THE DISCOVERY ORCHESTRA
    PO BOX 4064
    WARREN,NJ07059     		NONE EXEMPT ARTS 10,000
    THE SCHOOL FOR CHILDREN WITH HIDDEN INTELLIGENCE
    812 EAST COUNTY LINE RD
    LAKEWOOD,NJ08701     		NONE EXEMPT EDUCATION 7,000
    TUFTS UNIVERSITY
    PACKARD HALL
    MEDFORD,MA021557056     		NONE EXEMPT EDUCATION 7,000
    UNIVERSITY OF IDAHO FOUNDATION CHEMICAL ENGINEERING
    PO BOX 441011
    MOSCOW,ID838441011     		NONE EXEMPT EDUCATION 7,000
    UNIVERSITY OF NORTH CAROLINA - BENSON WILCOX TSDA AWARD
    3040 BURNETT-WOMACK BLDG CB7065
    CHAPEL HILL,NC275997065     		NONE EXEMPT EDUCATION 500
    UNIVERSITY OF WASHINGTON FOUNDATION CHEMICAL ENGINEERING ENDOWMENT
    1200 5TH AVE STE 500
    SEATTLE,WA981011116     		NONE EXEMPT EDUCATION 7,000
    UPAYA INSTITUTE & ZEN CENTER
    1404 CERRO GORDO RD
    SANTA FE,NM87501     		NONE EXEMPT SOCIAL SERVICE 2,000
    US FUND FOR UNICEF
    125 MAIDEN LN
    NEW YORK,NY10038     		NONE EXEMPT HEALTH 5,000
    TUFTS UNIVERSITY - PRIOR YEAR CHECK NEVER CLEARED
    PACKARD HALL
    MEDFORD,MA021557056     		NONE EXEMPT EDUCATION -3,500
    AMNESTY INTERNATIONAL USA - PRIOR YEAR CHECK NEVER CLEARED
    PO BOX 98233
    WASHINGTON,DC200777014     		NONE EXEMPT HEALTH -1,000
    DOCTORS WITHOUT BORDERS - PRIOR YEAR CHECK NEVER CLEARED
    PO BOX 1869
    MERIFIELD,VA221169644     		NONE EXEMPT HEALTH -10,000
    KPBS SAN DIEGO STATE UNIVERSITY - PRIOR YEAR CHECK NEVER CLEARED
    5200 CAMPANILE DR
    SAN DIEGO,CA921825400     		NONE EXEMPT ARTS -500
    CALIFORNIA STATE FIREFIGHTERS' ASSOCIATION - PRIOR YEAR CHECK NEVER CLEARED
    PMB 211 9175 KIEFER BLVD
    SACRAMENTO,CA958265105     		NONE EXEMPT HEALTH -500
    OVERLOOK HOSPITAL FOUNDATION - PRIOR YEAR CHECK NEVER CLEARED
    PO BOX 220
    SUMMIT,NJ079020220     		NONE EXEMPT HEALTH -1,000
    OXFAM AMERICA - DARFUR FAMINE RELIEF - PRIOR YEAR CHECK NEVER CLEARED
    PO BOX 55807
    BOSTON,MA022055807     		NONE EXEMPT HEALTH -1,000
    SNOWMASS WILDCAT FIRE DEPARTMENT - PRIOR YEAR CHECK NEVER CLEARED
    BOX 6436
    SNOWMASS VILLAGE,CO81615     		NONE EXEMPT HEALTH -200
    Total .................................bullet 3a 182,232
    bApproved for future payment
    Total ..................................bullet 3b 0
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments          
    4 Dividends and interest from securities....     14 156,180  
    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     18 502,107  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aOTHER LOSSES FROM PARTNERSHIPS     14 -4,063  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 654,224 0
    13Total. Add line 12, columns (b), (d), and (e)...................
    13654,224
    (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:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTANT FEES 9,000 4,500   4,500

    TY 2010 InvestmentsOtherSchedule2
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    T. ROWE PRICE INT'L DISCOVERY FUND AT COST 23,962 40,978
    HARBOR INTERNATIONAL AT COST 120,370 237,776
    T ROWE PRICE INTL GROWTH & INCOME AT COST 1,813 1,506
    CHIMERA INVESTMENT CORP AT COST 4,180 4,110
    COSTCO WHOLESALE CORP AT COST 2,740 7,221
    HENRY SCHEIN INC AT COST 3,128 6,139
    ARES CAPITAL COPR AT COST 4,337 4,944
    AIR PROD & CHEMICALS INC AT COST 4,589 5,457
    AMERN TOWER CORP AT COST 4,198 5,164
    CRESCENT PT ENERGY CORP AT COST 4,309 5,120
    MICROSOFT CORP AT COST 4,177 4,884
    ABERDEEN ASIA PAC INCOME FUND AT COST 4,780 5,400
    CALAMOS STRATEGIC TOTAL RETURN FUND AT COST 4,283 4,630
    MAINSTAY HIGH YIELD CORPORATE BOND FUND AT COST 4,000 4,636
    T ROWE PRICE HIGH YIELD FUND AT COST 7,000 8,409
    DREYFUS SHORT TERM INCM FD AT COST 5,000 5,028
    WHG INCOME OPPTY FD AT COST 5,089 5,286
    DOUBLELINE TOTAL RETURN BOND FD AT COST 2,500 2,498
    MARKET VECTORS ETF TRUST AT COST 4,457 4,918
    STARWOOD PPTY TRUST AT COST 3,179 3,222
    EATON VANCE TAX MANAGED AT COST 3,475 3,393
    EATON VANCE TAX MGD GLBL AT COST 3,887 3,675
    CHIMERA INVESTMENT CORPORATION AT COST 4,180 4,110
    HENRY SCHEIN INC AT COST 6,256 12,278
    ARES CAPITAL CORP AT COST 4,337 4,944
    AIR PROD & CHEMICALS INC AT COST 4,589 5,457
    AMERN TOWER CORP CL A AT COST 4,198 5,164
    CRESCENT PT ENERGY CORP AT COST 4,309 5,119
    ABERDEEN ASIA PAC INCOME FUND AT COST 4,780 5,400
    CALAMOS STRATEGIC TOTAL RETURN FUND AT COST 4,283 4,630
    MAINSTAY HIGH YIELD CORPORATE BOND FUND AT COST 4,000 4,636
    T ROWE PRICE HIGH YIELD FUND AT COST 7,000 8,409
    BLACKROCK LOW DURATION BOND FUND AT COST 2,000 2,021
    WHG INCOME OPPTY FD INST AT COST 5,089 5,286
    DOUBLELINE TOTAL RETURN BD FD AT COST 2,500 2,498
    MARKET VECTORS ETF TRUST GOLD MINERS FUND AT COST 4,457 4,918
    STARWOOD PPTY TRUST INC AT COST 3,179 3,222
    EATON VANCE TAX MANAGED AT COST 3,475 3,393
    EATON VANCE TAX MANAGED GLOBAL AT COST 3,889 3,675
    ABERDEEN ASIA PAC INCOME FUND AT COST 65,527 67,500
    ANHUI EXPRESSWAY COMPANY AT COST 24,057 35,092
    ARES CAPITAL COPR AT COST 62,532 75,808
    BLACKROCK KELSO CAP CORP AT COST 34,630 33,180
    BALL CORP AT COST 21,558 77,509
    BANCO SANDTANDER BRA AT COST 48,237 47,600
    BAYERISCHE MOTOR NEW ORD F AT COST 33,501 55,265
    BAYTEX ENERGY TRUST UNITS AT COST 41,473 140,460
    BLACKROCK CREDIT ALLOCATION INCOME TR IV AT COST 31,474 30,250
    CALAMOS STRAGC TOT RET FUND AT COST 25,451 27,780
    CHIMERA INVESTMENT CORP AT COST 57,906 61,650
    CHUENG KING INSFRAS ORD F AT COST 69,524 77,853
    COSTCO WHOLESALE CORP AT COST 20,345 41,232
    CRESCENT POINT ENERGY CORP AT COST 75,578 89,036
    CTRIP COM AT COST 15,617 20,225
    DBS GROUP HOLDINGS LTD AT COST 30,500 33,535
    DBS GROUP HOLDINGS LTD AT COST 18,791 22,356
    DOUBLELINE TOTAL RETURN BD FD AT COST 66,000 65,939
    FAIRFAX FINANCIAL HOLDINGS LTD AT COST 38,753 51,195
    FAIRFAX FINANCIAL HOLDINGS LTD AT COST 16,585 18,430
    FOMENTO ECONOMICO MEXICANO SAB AT COST 22,643 33,552
    FREEPORT MCMORAN COPPER AT COST 34,219 42,032
    GOOGLE INC. CL A AT COST 40,346 80,186
    GUANGDONG INVT LTD ORD F AT COST 71,717 69,986
    HENGAN INTL ORD AT COST 23,280 21,563
    INTL BUS MACHINES AT COST 29,968 36,690
    ITAU UNIBANCO HOLDINGS SA AT COST 33,926 48,020
    JOHNSON MATTHEY PIC AT COST 35,213 38,402
    KASIKORNBANK PCL ORD F AT COST 35,113 36,364
    KEPPEL LAND LTD ORD AT COST 33,841 41,216
    KRUNG THAI BANK AT COST 26,546 26,395
    MEDCOHEALTH SOLUTIONS AT COST 47,402 61,270
    METTLER-TOLEDO INTL INC. AT COST 38,404 60,484
    MFS CHARTER INCOME TRUST AT COST 28,725 28,260
    MICROSOFT CORP AT COST 62,140 69,775
    MINERAL RESOURCES ORD F AT COST 31,832 37,917
    PERUSAHAAN GAS NEGARA PT AT COST 54,042 73,293
    PRAXAIR INC AT COST 30,405 38,188
    SICHUAN EXPRESSWAY COMPANY LTD AT COST 14,846 23,155
    SIA ENGINEERING CO ORD AT COST 40,345 49,530
    SOLAR CAPITAL LTD AT COST 74,621 79,296
    STANDARD CHARTERED ORD AT COST 44,780 50,404
    STARWOOD PPTY TRUST AT COST 73,981 75,180
    SYMRISE AG ORG AT COST 46,127 54,100
    THERMO FISHER SCIENTIFIC AT COST 26,997 55,360
    WALMART DE MEXICO SA ADR V AT COST 22,230 91,558
    WANT WANT CHINA HOLDINGS LIMITED AT COST 27,556 61,320
    WESTERN ASSET EMERGING MKTS AT COST 65,601 64,085
    ZHEJIANG EXPRESSWAY COMPANY LTD AT COST 26,956 29,562
    SICHUAN EXPRESSWAY ORD F AT COST 68,886 83,616
    SEADRILL LTD AT COST 49,393 67,840
    ADVENT CLAYMORE CONVERTIBLE SEC & INC FUND AT COST 23,934 36,180
    CALAMOS GLOBAL DYNAMIC INCOME FUND AT COST 22,557 25,110
    KAYNE ANDERSON ENERGY TOTAL RETURN FUND AT COST 71,700 200,858
    MARKET VECTORS GOLD MINERS ETF AT COST 23,978 43,029
    MARKET VECTORS GOLD MINERS ETF AT COST 27,758 36,882
    MARKET VECTORS ETF TRUST AT COST 47,266 52,250
    NUVEEN MULTI STRATEGY INCOME AND GROWTH FUND 2 AT COST 23,237 35,200
    NUVEEN MULTI STRATEGY INCOME AND GROWTH FUND 2 AT COST 11,405 17,600
    NUVEEN MULTI-CURRECNY ST GOV INCOME FUND AT COST 15,606 13,770
    T ROWE PRICE HIGH YIELD FUND AT COST 50,000 60,260
    EATON VANCE TAX MANAGED AT COST 54,308 53,157
    EATON VANCE TAX MANAGED GBL AT COST 51,738 49,000
    NUBEEN EQTY PREM OPTY FUND AT COST 47,582 46,368

    TY 2010 OtherAssetsSchedule
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    SEABRIDGE ASIA TECH, LLC 276,884 329,643 497,476


    TY 2010 OtherExpensesSchedule
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NON-DEDUCTIBLE EXPENSES-FROM PASSTHROUGH ENTITIES 146 0   0
    ADR & OTHER INVESTMENT FEES 441 441   0
    MISCELLANEOUS 101 50   51
    POSTAGE 59 30   29


    TY 2010 OtherIncomeSchedule2
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER LOSSES FROM PARTNERSHIPS -4,063   -4,063


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 1,536 1,536   0


    TY 2010 TaxesSchedule
    Name:
    CLERMONT FOUNDATION
    EIN: 22-3177379
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 4,010 4,010   0
    NJ DIV OF CONSUMER AFFAIRS 55 27   28
    OTHER TAXES 4 2   2