-
TIN:
Form
990-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
20
10
For calendar year 2010, or tax year beginning
01-01-2010
, and ending
12-31-2010
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
Name of foundation
CAPTAIN W J DIMITRIJEVIC MEMORIAL TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state, and ZIP code
WILSON
,
NC
278942907
A Employer identification number
52-6432623
B
Telephone number (see page 10 of the instructions)
(410) 626-6118
C
If exemption application is pending, check here
D 1.
Foreign organizations, check here .
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
2.
Foreign organizations meeting the 85% test,
check here and attach computation
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
1,651,025
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
E
If private foundation status was terminated
under section 507(b)(1)(A), check here
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here
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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
3
Interest on savings and temporary cash investments
13,133
13,133
4
Dividends and interest from securities
......
35,595
35,595
5a
Gross rents
..............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
80,388
b
Gross sales price for all assets on line 6a
854,436
7
Capital gain net income (from Part IV, line 2)
...
80,388
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
314
314
12
Total.
Add lines 1 through 11
........
129,430
129,430
13
Compensation of officers, directors, trustees, etc.
22,755
22,755
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see page 14 of the instructions)
1,279
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
31
31
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
24,065
22,786
0
0
25
Contributions, gifts, grants paid
........
36,647
36,647
26
Total expenses and disbursements.
Add lines 24 and 25
60,712
22,786
0
36,647
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
68,718
b
Net investment income
(if negative, enter -0-)
106,644
c
Adjusted net income
(if negative, enter -0-)
...
0
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X
Form
990-PF
(2010)
Form 990-PF (2010)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
...............
237
43
43
2
Savings and temporary cash investments
..........
10,598
31,918
31,918
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
...............
9
Prepaid expenses and deferred charges
...........
10a
Investments—U.S. and state government obligations (attach schedule)
257,156
153,562
159,531
b
Investments—corporate stock (attach schedule)
........
1,034,664
1,185,474
1,355,593
c
Investments—corporate bonds (attach schedule)
........
100,735
100,735
103,940
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
..............
13
Investments—other (attach schedule)
...........
0
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
1,403,390
1,471,732
1,651,025
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
)
23
Total liabilities
(add lines 17 through 22)
..........
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
....................
25
Temporarily restricted
................
26
Permanently restricted
................
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
.........
1,403,390
1,471,732
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)
....................
1,403,390
1,471,732
31
Total liabilities and net assets/fund balances
(see page 17 of
the instructions)
..................
1,403,390
1,471,732
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
1,403,390
2
Enter amount from Part I, line 27a
......................
2
68,718
3
Other increases not included in line 2 (itemize)
3
12
4
Add lines 1, 2, and 3
..........................
4
1,472,120
5
Decreases not included in line 2 (itemize)
5
388
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
..
6
1,471,732
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
50. ABB LTD SPONSORED ADR
2009-07-15
2010-03-22
b
140. ABB LTD SPONSORED ADR
2008-10-07
2010-03-22
c
160. ABB LTD SPONSORED ADR
2010-05-20
2010-12-16
d
30. AGCO CORPORATION COMMON
2010-05-20
2010-08-06
e
50. AGCO CORPORATION COMMON
2010-05-20
2010-09-23
130. AT&T INC
2009-07-15
2010-09-23
20. ABBOTT LABORATORIES
2004-03-17
2010-03-22
60. AEROPOSTALE INC
2010-01-04
2010-10-07
20. AIRGAS INC
2010-01-04
2010-03-22
40. AMERICAN MEDICAL SYS HLDGS
2010-01-04
2010-03-22
50. AMETEK INC COMMON
2009-07-15
2010-03-22
80. AMGEN INCORPORATED
2010-01-04
20. AMPHENOL CORP CL A
2009-07-15
2010-12-16
20. ANADARKO PETE CORP.
2003-11-26
2010-01-04
50. ANADARKO PETE CORP.
2004-02-25
2010-03-22
70. ANADARKO PETE CORP.
2004-02-25
2010-05-20
20. ANSYS INC COMMON
2009-07-15
2010-03-22
20. ANSYS INC COMMON
2009-07-15
2010-04-26
25. APACHE CORPORATION COMMON
2010-12-16
650. APPLIED MATERIALS
2009-07-15
2010-07-20
10. AUTOLIV INC COMMON
2010-05-20
2010-12-16
120. AVERY DENNISON CORP. COMMON
2007-11-28
2010-08-06
30. AVERY DENNISON CORP. COMMON
2007-11-28
2010-08-06
30. AVERY DENNISON CORP. COMMON
2010-07-20
2010-11-04
150. AVERY DENNISON CORP. COMMON
2007-11-28
2010-11-04
40. BOK FINANCIAL CORP COMMON
2010-09-23
50. BP AMOCO PLC ADS L C
2003-04-04
2010-05-20
290. BANK OF AMER CORP COMMON
2010-12-16
150. BARRICK GOLD CORP. EFF. 1-18-95
2010-02-18
2010-07-20
70. BAXTER INTERNATIONAL INCORPORATED
2009-07-15
2010-09-28
20. BAXTER INTERNATIONAL INCORPORATED
2010-05-20
2010-12-16
140. BAXTER INTERNATIONAL INCORPORATED
2010-12-16
40. BAYER A G SPONSORED ADR
2009-07-15
2010-08-06
60. BECKMAN COULTER INC.
2010-08-17
100. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2008-02-04
2010-02-18
50. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2008-02-04
2010-03-22
35. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2009-07-15
2010-09-28
20. BHP BILLITON LIMITED
2009-07-15
2010-07-20
30. BRIGGS & STRATTON CORP COMMON
2009-10-21
2010-03-22
100. BRIGGS & STRATTON CORP COMMON
2010-04-26
10. BRITISH AMERICAN TOB COMMON
2009-07-15
2010-02-18
70. BROADRIDGE FINANCIAL SOLUTIONS LLC COMMO
2009-07-15
2010-04-26
2. CME GROUP INC COMMON
2010-05-24
2010-09-23
80. CVS CORP COMMON
2003-04-04
2010-01-04
290. CAMPBELL SOUP COMPANY
2010-05-20
30. CHEVRON TEXACO CORP COMMON
2005-04-20
2010-03-22
30. CHEVRON TEXACO CORP COMMON
2005-04-20
2010-09-28
60. CHINA MOBILE HONG KONG LTD
2009-07-15
2010-01-04
50. CHINA UNICOM - AR
2010-01-04
2010-12-16
80. CISCO SYSTEMS
2005-11-18
2010-03-22
20. CISCO SYSTEMS
2005-11-18
2010-12-16
40. COCA COLA COMPANY
2010-05-28
2010-12-16
260. COMCAST CORP NEW CL A
2007-11-28
2010-07-20
50. COMCAST CORP NEW CL A
2007-11-28
2010-12-16
60. COMTECH TELECOMMUNICATIONS CORP COMMON
2009-07-15
2010-02-18
70. CONOCOPHILLIPS COM
2009-07-15
2010-09-23
90. CONOCOPHILLIPS COM
2004-03-17
2010-12-16
310. CORNING INCORPORATED
2009-07-15
2010-01-04
30. CROWN HOLDINGS INC COMMON
2009-10-21
2010-03-22
30. CROWN HOLDINGS INC COMMON
2009-10-21
2010-09-23
190. DISNEY WALT COMPANY
2004-08-19
2010-01-04
10. DISCOVER FINL SVCS
2010-04-26
2010-12-16
80. DISCOVERY COMMUNICATIONS A COMMON
2009-07-15
2010-04-26
20. DOLBY LABORATORIES INC CL A COMMON
2009-07-15
2010-03-22
20. DREAMWORKS ANIMATION SKG INC COMMON
2009-07-15
2010-01-04
40. DREAMWORKS ANIMATION SKG INC COMMON
2009-07-15
2010-02-18
210. DU PONT E I DE NEMOURS & COMPANY
2010-02-18
40. DU PONT E I DE NEMOURS & COMPANY
2004-08-19
2010-03-22
40. E ON AG SPONSORED ADR
2009-07-15
2010-07-20
30. E ON AG SPONSORED ADR
2009-07-15
2010-12-16
40. EXCO RESOURCES INC COMMON
2009-10-21
2010-02-18
280. EBAY INC
2010-01-04
2010-04-26
180. EDISON INTERNATIONAL
2009-07-15
2010-02-18
30. EDISON INTERNATIONAL
2009-07-15
2010-04-26
50. EMERSON ELECTRIC COMPANY
2009-07-15
2010-01-04
170. EMERSON ELECTRIC COMPANY
2009-07-15
2010-02-18
20. EMERSON ELECTRIC COMPANY
2009-07-15
2010-03-22
90. EXELON CORPORATEION
2009-07-15
2010-02-18
70. EXXON MOBIL CORPORATION
2010-05-24
30. FEI COMPANY COMMON
2010-02-18
2010-04-26
100. FEI COMPANY COMMON
2010-12-16
40. FLIR SYSTEMS INC COMMON
2009-08-25
2010-04-26
10. FMC TECHNOLOGIES INC
2010-08-17
2010-12-16
20. FTI CONSULTING INC
2009-10-21
2010-04-26
1353.924 FEDERATED INTERMEDIATE FUND 303
2009-03-24
2010-05-20
60. FIFTH THIRD BANCORP
2010-05-24
2010-07-20
90. FIRST HORIZON NATIONAL CORP COMMON
2010-01-04
2010-02-18
60. FISERV
2009-07-15
2010-12-16
60. FLOWERS FOOD INC WI
2009-07-15
2010-02-18
60. FLOWERS FOOD INC WI
2009-07-15
2010-12-16
30. FOSSIL INC COM
2010-02-18
2010-03-22
30. FOSSIL INC COM
2010-02-18
2010-04-26
80. GENERAL ELECTRIC COMPANY
2003-11-26
2010-01-04
190. GENERAL ELECTRIC COMPANY
2010-12-16
40. GENUINE PARTS COMPANY
2009-10-01
2010-03-22
150. GENUINE PARTS COMPANY
2010-04-26
2. GOOGLE INC CL A
2008-11-24
2010-03-22
40. GRUPO TELEVISA SA DE CV SPONSORED ADR REPSTG ORD PARTN CTF (FREE O
2009-11-18
2010-03-22
20. HANOVER INSURANCE GROUP INC COMMON
2009-07-15
2010-01-04
30. HANOVER INSURANCE GROUP INC COMMON
2009-07-15
2010-03-22
110. HEARTLAND EXPRESS
2010-07-20
2010-09-23
70. HEWITT ASSOCIATES INC CL A COMMON
2010-07-20
70. HEWLETT PACKARD COMPANY
2009-06-11
2010-01-04
60. HEWLETT PACKARD COMPANY
2010-03-22
30. IDEXX LABORATORIES INC COMMON
2009-07-15
2010-04-26
20. IDEXX LABORATORIES INC COMMON
2009-07-15
2010-05-20
20. IHS INC COMMON
2009-07-15
2010-08-06
250. INTEL CORPORATION
2010-01-13
50. INTEL CORPORATION
2004-08-19
2010-12-16
10. INTERCONTINENTALEXCHANGE INC COMMON
2009-11-18
2010-12-16
25. INTERNATIONAL BUSINESS MACHINES CORP
2004-08-19
2010-08-06
5. INTERNATIONAL BUSINESS MACHINES CORP
2010-07-20
2010-12-16
70. INTERVAL LEISURE GROUP COMMON
2009-07-15
2010-04-26
250. ISHARES SILVER TRUST
2009-08-25
2010-01-13
170. ISHARES SILVER TRUST
2009-08-25
2010-02-18
390. ISHARES SILVER TRUST
2009-08-25
2010-03-22
30. JOHNSON & JOHNSON
2006-03-06
2010-03-22
70. KRAFT FOODS INC-A COMMON
2007-08-06
2010-01-04
80. KRAFT FOODS INC-A COMMON
2007-08-06
2010-05-24
560. KROGER COMPANY COMMON
2010-01-13
2010-09-23
10. LABORATORY CORP OF AMERICAN HOLDINGS
2009-07-15
2010-01-04
250.161 LAZARD EMERGING MKTS PORTFOLIO INST CLAS
2009-07-15
2010-09-23
110. LEUCADIA NATIONAL CORP COMMON
2010-08-17
40. LEUCADIA NATIONAL CORP COMMON
2010-05-20
2010-09-23
50. LIBERTY MEDIA INTERACTIVE A COMMON
2010-03-22
2010-05-20
70. LIBERTY MEDIA INTERACTIVE A COMMON
2010-03-22
2010-07-20
50. LIBERTY MEDIA INTERACTIVE A COMMON
2010-04-26
2010-08-06
50. LINCARE HOLDINGS INC COMMON
2010-07-20
2010-09-23
70. LIVE NATION COMMON
2010-03-22
2010-05-24
50. LIVE NATION COMMON
2010-04-26
2010-06-22
15. LORILLARD INC COMMON
2009-11-18
2010-02-18
60. LOWES COMPANIES INCORPORATED
2010-02-18
2010-03-22
240. LOWES COMPANIES INCORPORATED
2010-02-18
2010-04-26
20. MSCI INC A COMMON
2009-07-15
2010-01-04
30. MSCI INC A COMMON
2009-07-15
2010-03-22
30. MCKESSON HBOC INC
2009-07-15
2010-01-04
20. MCKESSON HBOC INC
2009-07-15
2010-03-22
50. MEDTRONIC INC
2006-03-06
2010-04-26
140. MERCK & CO INC
2009-07-15
2010-03-22
60. MERIDIAN BIOSCIENCE INC
2009-07-15
2010-04-26
210. MICROSOFT CORPORATION
2004-03-17
2010-01-04
30. MITSUBISHI CORPORATION
2010-02-18
2010-12-16
230. MITSUBISHI UJF FINANCIAL GROUP INC
2009-07-15
2010-01-04
40. MONOTYPE IMAGING HOLDINGS INC COMMON
2009-07-15
2010-12-16
10. MONSANTO CO COMMON
2010-05-24
2010-05-28
110. MONSANTO CO COMMON
2008-10-07
2010-05-28
100. NTT DOCOMO INC - SPON ADR
2009-07-15
2010-12-16
60. NYSE EURONEXT COMMON
2010-02-18
2010-03-22
30. NYSE EURONEXT COMMON
2010-02-18
2010-05-24
50. NALCO HOLDING CO COMMON
2009-11-18
2010-05-20
50. NASDAQ OMX GROUP COMMON
2009-10-21
2010-02-18
60. NASDAQ OMX GROUP COMMON
2010-05-20
2010-07-20
20. NESTLE SA ADR
2009-07-15
2010-01-04
20. NESTLE SA ADR
2009-07-15
2010-08-06
80. NEUTRAL TANDEM INC COMMON
2009-08-25
2010-02-18
50. NINTENDO LTD
2009-07-15
2010-01-04
70. NOKIA CORP
2010-02-18
2010-03-22
310. NOKIA CORP
2010-02-18
2010-05-20
80. NOKIA CORP
2010-02-18
2010-07-20
10. NORTHERN TRUST GROUP
2010-01-04
2010-03-22
50. NORTHERN TRUST GROUP
2010-02-18
2010-12-16
15. NOVO-NORDISK A S ADR
2009-07-15
2010-12-16
140. NUCOR CORPORATION
2010-05-24
30. OCEANEERING INTERNATIONAL INC
2010-07-20
150. ORACLE SYSTEM CORPORATION
2004-03-24
2010-01-13
160. ORACLE SYSTEM CORPORATION
2004-03-24
2010-09-23
60. ORACLE SYSTEM CORPORATION
2004-03-24
2010-10-28
50. O'REILLY AUTOMOTIVE
2010-03-22
2010-04-26
30. OWENS ILLINOIS INC COM NEW
2010-05-24
2010-12-16
629.496 PIMCO LOW DURATION INSTITUTIONAL
2009-10-21
2010-02-18
2515.695 PIMCO LOW DURATION INSTITUTIONAL
2007-01-17
2010-07-20
3812.661 PIMCO LOW DURATION INSTITUTIONAL
2007-01-17
2010-12-16
894.434 PIMCO TOTAL RETURN FUND 35
2009-08-25
2010-07-20
70. PALL CORPORATION COMMON
2008-11-24
2010-09-28
235. PALL CORPORATION COMMON
2008-11-24
2010-12-16
60. PENSKE AUTOMOTIVE GROUP, INC COMMON
2010-01-04
2010-03-22
30. PEPSICO INCORPORATED
2003-04-04
2010-04-26
40. PETROHAWK ENERGY CORP
2010-04-26
2010-08-06
170. PFIZER INCORPORATED
2010-02-18
2010-07-20
130. PFIZER INCORPORATED
2010-12-16
150. PHASE FORWARD INC COMMON
2010-03-22
40. PROCTOR AND GAMBLE COMPANY
2007-05-09
2010-01-04
70. PROCTOR AND GAMBLE COMPANY
2007-05-09
2010-02-18
70. QUALCOMM INC COMMON
2007-08-06
2010-08-06
40. QUALCOMM INC COMMON
2010-04-26
2010-09-28
50. QUALCOMM INC COMMON
2007-08-06
2010-09-28
40. QUEST SOFTWARE INC
2010-04-26
2010-09-23
40. QUEST SOFTWARE INC
2010-04-26
2010-12-16
10. REINSURANCE GROUP OF AMERICA COMMON
2009-07-15
2010-04-26
40. REINSURANCE GROUP OF AMERICA COMMON
2009-07-15
2010-07-20
90. ROCHESTER MEDICAL CORP COMMON
2009-07-15
2010-03-22
30. ROCK-TENN COMPANY "A"
2009-08-25
2010-04-26
40. ROCK-TENN COMPANY "A"
2010-02-18
2010-05-20
20. ROVI CORPORATION COMMON
2009-10-21
2010-08-06
40. ROVI CORPORATION COMMON
2009-10-21
2010-09-23
101.334 T ROWE PRICE EMERGING MARKETS STOCK FUND
2008-03-26
2010-09-23
483.314 T ROWE PRICE EMERGING MARKETS STOCK FUND
2010-12-16
50. ROYAL BK CDA MONTREAL QUE COM
2009-07-15
2010-12-16
50. RUDDICK CORPORATION
2009-07-15
2010-02-18
50. SEI INVESTMENTS CO
2009-11-18
2010-03-22
50. SLM CORPORATION COMMON
2010-04-26
2010-12-16
10. SPDR GOLD TRUST
2009-07-15
2010-03-22
55. SPDR GOLD TRUST
2010-10-07
50. SCOTTS CO CL A
2010-04-26
2010-05-24
10. SIEMENS AG SPONSORED ADR
2009-07-15
2010-07-20
20. SIGMA ALDRICH CORPORATION
2010-02-18
2010-04-26
40. SIGMA ALDRICH CORPORATION
2010-12-16
30. SILGAN HOLDINGS INC.
2009-07-15
2010-01-04
150. SILVER WHEATON CORP
2010-07-20
30. SNAP ON INC FKA SNAP ON TOOLS
2009-11-24
2010-01-04
30. SOLERA HOLDINGS INC COMMON
2009-08-25
2010-08-06
170. SOLUTIA INC COMMON
2010-04-26
50. SOLUTIA INC COMMON
2010-07-20
2010-12-16
150. STAPLES INC COMMON
2009-07-15
2010-01-04
220. STAPLES INC COMMON
2009-07-15
2010-02-18
60. STATE STR CORP
2009-11-24
2010-12-16
50. STEEL DYNAMICS INC COMMON
2009-11-18
2010-02-18
50. STEEL DYNAMICS INC COMMON
2009-11-18
2010-04-26
20. STERICYCLE INC
2009-07-15
2010-01-04
10. STERICYCLE INC
2009-10-21
2010-07-20
10. STERICYCLE INC
2009-07-15
2010-07-20
40. SUNCOR ENERGY, INC
2010-04-26
2010-09-23
200. SUNCOR ENERGY, INC
2009-07-15
2010-09-23
20. SYBASE INC COMMON
2010-01-04
2010-02-18
60. SYNOPSYS INC.
2009-07-15
2010-07-20
20. SYNGENTA AG
2009-07-15
2010-12-16
110. SYSCO CORPORATION
2004-09-27
2010-01-04
70. SYSCO CORPORATION
2006-02-17
2010-02-18
230. SYSCO CORPORATION
2006-02-17
2010-03-22
20. TECHNE CORP
2009-07-15
2010-04-26
40. TELEFONICA S A
2009-07-15
2010-05-20
100. TESCO PLC SPONS ADR
2009-07-15
2010-04-26
90. TEVA PHARMACEUTICAL INDS LTD ADR
2010-09-23
10. TEVA PHARMACEUTICAL INDS LTD ADR
2010-01-04
2010-12-16
30. THOR INDS INC COMMON
2010-03-22
2010-06-22
10. TORONTO DOMINION BANK ONT COMMON NEW
2009-07-15
2010-04-26
40. FINA S A SPONSORED
2009-07-15
2010-05-20
20. TOYOTA MOTOR CORP ADR 2
2010-02-18
50. THE TRAVELERS COMPANIES INC.
2009-07-15
2010-09-23
90. US BANCORP
2009-07-15
2010-01-04
90. US BANCORP
2009-07-15
2010-01-13
230. US BANCORP
2009-07-15
2010-02-18
100000. US TREASURY NOTE 5.750% DUE 08/15/2010
2006-08-24
2010-08-15
10. V F CORP COMMON
2010-01-04
2010-03-22
60. VALSPAR CORP COMMON
2009-07-15
2010-02-18
70. VESTAS WIND SYSTEMS A/S ADR
2009-07-15
2010-04-26
250. VODAFONE GROUP PLC NEW SP ADR
2009-07-15
2010-08-06
120. VODAFONE GROUP PLC NEW SP ADR
2009-07-15
2010-09-23
40. VODAFONE GROUP PLC NEW SP ADR
2010-07-20
2010-10-28
250. VODAFONE GROUP PLC NEW SP ADR
2009-07-15
2010-10-28
30. WABCO HOLDINGS INC COMMON
2010-05-20
2010-08-06
30. WABCO HOLDINGS INC COMMON
2010-05-20
2010-09-23
30. WABTEC CORP COMMON
2010-02-18
2010-05-20
90. WELLPOINT INC
2004-08-19
2010-04-26
60. WELLPOINT INC
2010-05-24
20. WELLPOINT INC
2008-03-18
2010-07-20
20. WELLS FARGO & CO NEW
2007-05-09
2010-04-26
30. WELLS FARGO & CO NEW
2007-05-09
2010-12-16
40. WESTERN UNION COMPANY COMMON
2009-10-21
2010-03-22
5. WESTPAC BANKING LTD COM
2009-07-15
2010-03-22
10. WESTPAC BANKING LTD COM
2009-07-15
2010-04-26
10. WHITING PETROLEUM CORP COMMON
2009-09-01
2010-12-16
20. WOLVERINE WORLD WIDE INC COMMON
2009-09-01
2010-12-16
50. ZENITH NATIONAL INSURANCE CORP COMMON
2009-07-15
2010-03-22
20. ALLIED WORLD ASSURANCE HOLDINGS LTD
2010-02-18
2010-08-06
20. ARCH CAPITAL GROUP LTD
2009-08-25
2010-01-04
10. ENSTAR GROUP LTD
2009-07-15
2010-12-16
120. INVESCO LTD
2010-02-18
2010-04-26
30. LAZARD LTD
2010-02-18
2010-05-20
20. LAZARD LTD
2009-08-25
2010-06-22
60. MARVELL TECHNOLOGY GROUP LTDORD
2009-10-21
2010-02-18
50. WEATHERFORD INTL LTD
2010-01-04
2010-02-18
730. WEATHERFORD INTL LTD
2010-08-06
60. FOSTER WHEELER AG
2009-11-24
2010-02-18
20. NOBLE CORPORATION
2009-11-24
2010-02-18
115. TRANSOCEAN LTD
2009-07-15
2010-05-20
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
1,064
810
254
b
2,981
2,191
790
c
3,448
2,618
830
d
1,089
863
226
e
1,990
1,439
551
3,713
3,097
616
1,081
774
307
1,416
1,376
40
1,283
968
315
758
792
-34
1,998
1,739
259
4,609
4,325
284
1,061
675
386
1,293
452
841
3,491
1,251
2,240
3,864
1,751
2,113
898
611
287
910
611
299
2,917
2,365
552
7,858
7,911
-53
799
448
351
4,235
6,174
-1,939
1,059
1,544
-485
1,129
1,013
116
5,646
8,203
-2,557
1,730
2,019
-289
2,271
1,959
312
3,609
4,022
-413
6,242
5,864
378
3,361
3,718
-357
1,039
837
202
7,270
6,930
340
2,589
2,099
490
2,773
3,336
-563
7,608
9,148
-1,540
4,096
4,574
-478
2,896
2,040
856
1,367
1,118
249
590
693
-103
2,366
2,114
252
678
573
105
1,623
1,125
498
526
650
-124
2,637
967
1,670
10,128
9,112
1,016
2,237
1,585
652
2,421
1,585
836
2,824
2,909
-85
726
666
60
2,099
1,365
734
394
341
53
2,605
2,073
532
4,854
5,192
-338
1,082
999
83
1,869
1,952
-83
3,900
2,905
995
5,904
3,163
2,741
6,058
4,956
1,102
820
809
11
849
809
40
6,084
4,194
1,890
184
161
23
2,986
1,907
1,079
1,160
759
401
801
555
246
1,624
1,111
513
7,020
8,715
-1,695
1,488
1,648
-160
1,124
1,372
-248
889
1,029
-140
814
801
13
6,829
6,697
132
6,043
5,603
440
1,031
934
97
2,164
1,631
533
8,112
5,545
2,567
973
652
321
3,974
4,586
-612
4,238
4,934
-696
686
632
54
2,557
1,974
583
1,253
928
325
885
643
242
831
855
-24
13,512
11,833
1,679
690
770
-80
1,165
1,210
-45
3,624
2,822
802
1,550
1,347
203
1,600
1,347
253
1,162
1,097
65
1,286
1,097
189
1,237
2,300
-1,063
3,361
6,040
-2,679
1,721
1,488
233
6,501
5,650
851
1,121
516
605
828
842
-14
891
761
130
1,292
1,142
150
1,577
1,686
-109
3,269
2,675
594
3,667
2,635
1,032
3,155
2,277
878
1,998
1,343
655
1,238
895
343
1,266
949
317
5,210
5,958
-748
1,063
1,104
-41
1,171
1,090
81
3,220
2,118
1,102
722
624
98
1,044
769
275
4,550
3,537
1,013
2,669
2,405
264
6,384
5,518
866
1,961
1,742
219
1,915
2,234
-319
2,323
2,553
-230
12,230
11,529
701
763
671
92
5,073
3,657
1,416
2,313
2,854
-541
922
856
66
613
738
-125
776
1,033
-257
565
945
-380
1,217
1,254
-37
852
946
-94
540
826
-286
1,136
1,187
-51
1,490
1,379
111
6,780
5,515
1,265
638
526
112
1,060
789
271
1,902
1,318
584
1,304
879
425
2,208
2,668
-460
5,433
3,850
1,583
1,164
1,360
-196
6,500
5,332
1,168
1,579
1,493
86
1,132
1,346
-214
441
281
160
505
545
-40
5,554
8,647
-3,093
1,674
1,472
202
1,742
1,519
223
845
759
86
1,100
1,223
-123
922
1,026
-104
1,059
1,109
-50
991
789
202
974
789
185
1,266
2,091
-825
1,541
1,743
-202
1,052
939
113
3,075
4,160
-1,085
709
1,074
-365
557
524
33
2,725
2,610
115
1,627
821
806
5,983
6,074
-91
1,412
1,703
-291
3,720
1,731
1,989
4,376
1,846
2,530
1,721
692
1,029
2,320
2,121
199
907
895
12
6,534
6,459
75
26,440
24,855
1,585
39,232
37,669
1,563
10,125
9,606
519
2,904
1,733
1,171
11,743
5,816
5,927
937
921
16
1,945
1,160
785
685
931
-246
2,458
2,999
-541
2,228
2,263
-35
1,984
1,975
9
2,443
2,484
-41
4,372
4,347
25
2,675
2,850
-175
1,758
1,541
217
2,198
2,036
162
953
737
216
1,104
737
367
560
346
214
1,817
1,384
433
1,114
1,135
-21
1,548
1,504
44
1,967
1,634
333
879
573
306
1,909
1,147
762
3,313
3,818
-505
16,616
13,072
3,544
2,572
2,166
406
1,420
1,156
264
1,048
897
151
602
661
-59
1,072
924
148
7,150
5,086
2,064
2,283
2,470
-187
938
711
227
1,182
971
211
2,678
2,054
624
1,698
1,497
201
2,718
2,730
-12
1,283
1,107
176
1,169
790
379
3,014
2,079
935
1,156
660
496
3,669
2,998
671
5,471
4,398
1,073
2,738
2,478
260
820
827
-7
841
827
14
1,102
1,009
93
647
533
114
647
504
143
1,255
1,390
-135
6,276
5,824
452
866
888
-22
1,264
1,162
102
1,145
936
209
3,089
3,308
-219
1,984
2,119
-135
6,631
6,961
-330
1,312
1,216
96
2,292
2,732
-440
2,097
1,793
304
4,914
5,267
-353
523
578
-55
743
953
-210
768
539
229
1,864
2,138
-274
1,474
1,662
-188
2,632
2,015
617
2,052
1,613
439
2,217
1,613
604
5,458
4,122
1,336
100,000
103,594
-3,594
804
733
71
1,646
1,404
242
1,512
1,699
-187
6,125
4,755
1,370
3,061
2,282
779
1,088
878
210
6,802
4,755
2,047
1,157
876
281
1,209
876
333
1,299
1,165
134
5,237
3,665
1,572
3,085
2,507
578
1,041
941
100
667
723
-56
896
1,084
-188
676
783
-107
620
409
211
1,283
818
465
1,131
497
634
640
499
141
1,912
1,064
848
997
920
77
1,440
1,279
161
866
585
281
2,650
2,316
334
981
1,076
-95
615
743
-128
1,184
912
272
783
947
-164
11,916
10,454
1,462
1,656
1,889
-233
845
830
15
6,919
8,249
-1,330
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
254
b
790
c
830
d
226
e
551
616
307
40
315
-34
259
284
386
841
2,240
2,113
287
299
552
-53
351
-1,939
-485
116
-2,557
-289
312
-413
378
-357
202
340
490
-563
-1,540
-478
856
249
-103
252
105
498
-124
1,670
1,016
652
836
-85
60
734
53
532
-338
83
-83
995
2,741
1,102
11
40
1,890
23
1,079
401
246
513
-1,695
-160
-248
-140
13
132
440
97
533
2,567
321
-612
-696
54
583
325
242
-24
1,679
-80
-45
802
203
253
65
189
-1,063
-2,679
233
851
605
-14
130
150
-109
594
1,032
878
655
343
317
-748
-41
81
1,102
98
275
1,013
264
866
219
-319
-230
701
92
1,416
-541
66
-125
-257
-380
-37
-94
-286
-51
111
1,265
112
271
584
425
-460
1,583
-196
1,168
86
-214
160
-40
-3,093
202
223
86
-123
-104
-50
202
185
-825
-202
113
-1,085
-365
33
115
806
-91
-291
1,989
2,530
1,029
199
12
75
1,585
1,563
519
1,171
5,927
16
785
-246
-541
-35
9
-41
25
-175
217
162
216
367
214
433
-21
44
333
306
762
-505
3,544
406
264
151
-59
148
2,064
-187
227
211
624
201
-12
176
379
935
496
671
1,073
260
-7
14
93
114
143
-135
452
-22
102
209
-219
-135
-330
96
-440
304
-353
-55
-210
229
-274
-188
617
439
604
1,336
-3,594
71
242
-187
1,370
779
210
2,047
281
333
134
1,572
578
100
-56
-188
-107
211
465
634
141
848
77
161
281
334
-95
-128
272
-164
1,462
-233
15
-1,330
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
80,388
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
.
.
.
.
.
.
.
.
.
.
.
.
.
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?
Yes
No
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
66,142
1,383,587
0.047805
2008
57,286
1,426,820
0.040149
2007
38,609
1,722,055
0.02242
2006
2005
2
Total
of line 1, column (d)
......................
2
0.110374
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
0.027594
4
Enter the net value of noncharitable-use assets for 2010 from Part X, line 5
.....
4
1,537,002
5
Multiply line 4 by line 3
.......................
5
42,411
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,066
7
Add lines 5 and 6
.........................
7
43,477
8
Enter qualifying distributions from Part XII, line 4
..............
8
36,647
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
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A” on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
2,133
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
............................
3
2,133
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-).
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
2,133
6
Credits/Payments:
a
2010 estimated tax payments and 2009 overpayment credited to 2010
6a
544
b
Exempt foreign organizations—tax withheld at source
.......
6b
c
Tax paid with application for extension of time to file (Form 8868)
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
544
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
1,589
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2011 estimated tax
Refunded
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
MD
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 address
14
The books are in care of
BRANCH BANKING & TRUST COMPANY
Telephone no.
(410) 626-6118
Located at
23 WEST STREET
ANNAPOLIS
MD
ZIP+4
214012420
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
......
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
.........................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
.................
Yes
No
(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.)
.........
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
...............
Yes
No
If “Yes,” list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer “No” and attach statement—see page 20 of the instructions.)
.........
2b
No
c
If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
20
,
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?
.....................
Yes
No
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
...............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(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)
...
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
........
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
............
Yes
No
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?
....................
Yes
No
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?
Yes
No
b
If yes, did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
Form
990-PF
(2010)
Form 990-PF (2010)
Page
6
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to
employee benefit plans
and deferred compensation
(e)
Expense account,
other allowances
BRANCH BANKING & TRUST COMPANY
TRUSTEE
1
22,755
23 WEST STREET
ANNAPOLIS
,
MD
214012420
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
...................
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
.............
0
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
...........................
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
1,560,408
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see page 24 of the instructions)
............
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,560,408
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
1,560,408
4
Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
of the instructions)
............................
4
23,406
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,537,002
6
Minimum investment return.
Enter 5% of line 5
...................
6
76,850
Part XI
Distributable Amount
(see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
76,850
2a
Tax on investment income for 2010 from Part VI, line 5
......
2a
2,133
b
Income tax for 2010. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
2,133
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
74,717
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
.............................
5
74,717
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
74,717
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
36,647
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
................................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
36,647
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
36,647
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
74,717
2
Undistributed income, if any, as of the end of 2010:
a
Enter amount for 2009 only
.......
62,586
b
Total for prior years:
2008
,
20
,
20
0
3
Excess distributions carryover, if any, to 2010:
a
From 2005
.......
0
b
From 2006
.......
0
c
From 2007
.......
0
d
From 2008
.......
0
e
From 2009
.......
0
f
Total
of lines 3a through e
.........
0
4
Qualifying distributions for 2010 from Part
XII, line 4:
$
36,647
a
Applied to 2009, but not more than line 2a
36,647
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
.....
0
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2010.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
...........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable
amount—see page 27 of the instructions
...
0
e
Undistributed income for 2009. Subtract line
4a from line 2a. Taxable amount—see page 27
of the instructions
...........
25,939
f
Undistributed income for 2010. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2011
..........
74,717
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
8
Excess distributions carryover from 2005 not
applied on line 5 or line 7 (see page 27 of the
instructions)
.............
0
9
Excess distributions carryover to 2011.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2006
....
0
b
Excess from 2007
....
0
c
Excess from 2008
....
0
d
Excess from 2009
....
0
e
Excess from 2010
....
0
Form
990-PF
(2010)
Form 990-PF (2010)
Page
9
Part XIV
Private Operating Foundations
(see page 27 of the instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2010, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see page 28 of the instructions) to individuals or organizations
under other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any 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)
a
Paid during the year
UNITED STATES NAVAL ACADEMY
ATTN MRS MONA QUINN
COMPTROLLER DEPT-181 WAINWRIGHT
ANNAPOLIS
,
MD
214025008
NONE
EXEMPT
SCHOLARSHIPS
36,647
Total
.................................
3a
36,647
b
Approved for future payment
Total
..................................
3b
Form
990-PF
(2010)
Form 990-PF (2010)
Page
11
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See page 28 of
the instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash investments
14
13,133
4
Dividends and interest from securities
....
14
35,595
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than inventory
18
80,388
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
FID TAX REFUND
01
174
b
LITIGATION SETTLE
01
140
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
129,430
13
Total.
Add line 12, columns (b), (d), and (e)
...................
13
129,430
(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.
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?
...........
Yes
No
b
If “Yes,” complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
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.
Signature of officer or trustee
Date
Title
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's address
Firm's EIN
Phone no.
Form
990-PF
(2010)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description
-
TIN:
TY 2010 OtherDecreasesSchedule
Name:
CAPTAIN W J DIMITRIJEVIC MEMORIAL TRUST
EIN:
52-6432623
Description
Amount
DIFF IN MUTUAL FDS REC/REPORTED
388
-
TIN:
TY 2010 OtherIncreasesSchedule
Name:
CAPTAIN W J DIMITRIJEVIC MEMORIAL TRUST
EIN:
52-6432623
Description
Amount
ADJUSTMENT FOR ROUNDING
12