Form990-PF
Click to see attachment

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
GILBERT M AND MARTHA H HITCHCOCK FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)1755 EAST LOCUST STREET   Room/suite
City or town, state, and ZIP code
OMAHA, NE68110
A Employer identification number

47-6025723
B Telephone number (see page 10 of the instructions)

(402) 345-0043
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$15,257,437J 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 245,665 245,665  
4 Dividends and interest from securities...... 154,668 154,668  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 389,265
b Gross sales price for all assets on line 6a 7,302,782
7 Capital gain net income (from Part IV, line 2)... 389,265
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 789,598 789,598  
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 2,250 2,250   0
c Other professional fees (attach schedule).... Click to see attachment 48,913 48,913   0
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 96,351 96,351   0
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 1,111 1,111   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 148,625 148,625   0
25 Contributions, gifts, grants paid........ 668,800 668,800
26 Total expenses and disbursements. Add lines 24 and 25 817,425 148,625   668,800
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -27,827
b Net investment income (if negative, enter -0-) 640,973
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 419,794 408,702 408,702
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) 2,684,041 Click to see attachment3,149,953 3,194,204
b Investments—corporate stock (attach schedule)........ 6,383,177 Click to see attachment6,150,465 8,738,892
c Investments—corporate bonds (attach schedule)........ 2,957,232 Click to see attachment2,707,297 2,915,639
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 12,444,244 12,416,417 15,257,437
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 8,302,655 8,302,655
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 4,141,589 4,113,762
30 Total net assets or fund balances (see page 17 of the
instructions).................... 12,444,244 12,416,417
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 12,444,244 12,416,417
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 12,444,244
2 Enter amount from Part I, line 27a...................... 2 -27,827
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 12,416,417
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 12,416,417
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 230,000 U S T BONDS 4.250% 05/15/39 P 2009-09-30 2010-01-06
b 10,000 U S T BONDS 4.250% 05/15/39 P 2009-10-26 2010-01-06
c 20,000 U S T BONDS 4.250% 05/15/39 P 2009-11-04 2010-01-06
d 30,000 U S T BONDS 4.250% 05/15/39 P 2009-11-24 2010-01-06
e 55,000 U S T BONDS 4.250% 05/15/39 P 2009-12-04 2010-01-06
35,000 U S TREASURY NOTE 4.750% 05/15/14 P 2007-05-14 2010-01-06
125,000 U S TREASURY NOTE 4.750% 05/15/14 P 2007-05-25 2010-01-06
265,000 U S TREASURY NOTE 4.750% 05/15/14 P 2007-08-07 2010-01-06
85,000 U S T NOTES 2.250% 05/31/14 P 2009-09-17 2010-01-06
5,000 U S T NOTES 2.250% 05/31/14 P 2009-10-16 2010-01-06
525,000 U S T NOTES 2.375% 08/31/14 P 2009-09-30 2010-01-06
45,000 U S T NOTES 2.375% 08/31/14 P 2009-12-15 2010-01-06
1,900 SH EXELON CORPORATION P 2009-07-01 2010-01-07
80,000 FNMA NTS SER BB 7.250% 01/15/10 P 2001-02-13 2010-01-15
35,000 U S T BOND 4.375% 11/15/39 P 2010-01-06 2010-01-29
25,000 US T NTS DTD 11/2/09 2.375% 10/31/14 P 2010-01-29 2010-02-03
2,975 SH COMCAST CORP CL A P 2007-09-26 2010-02-11
95,000 BOTTLING GROUP LLC 4.125% 06/15/15 P 2008-08-19 2010-02-18
10,000 US T NTS DTD 11/2/09 2.375% 10/31/14 P 2010-01-29 2010-02-22
35,000 US T NTS DTD 11/2/09 2.375% 10/31/14 P 2010-02-18 2010-02-22
10,000 US T NTS DTD 11/2/09 2.375% 10/31/14 P 2010-01-06 2010-02-22
30,000 REGIONS BANK FDIC 3.250% 12/09/11 P 2005-12-08 2010-03-01
50 SH AFLAC INC P 2007-09-26 2010-03-03
150 SH ABBOT LABS P 2009-07-01 2010-03-03
25 SH AIR PRODS & CHEMS INC P 2005-04-21 2010-03-03
75 SH ANADARKO PETE CORP P 2009-07-01 2010-03-03
75 SH APACHE CORP P 2009-12-04 2010-03-03
100 SH APPLIED MATERIALS INC P 2009-12-04 2010-03-03
200 SH APPLIED MATERIALS INC P 2009-07-01 2010-03-03
250 SH AVNET INC P 2009-07-01 2010-03-03
125 SH BB & T CORP P 2004-12-21 2010-03-03
100 SH CHEVRONTEXACO CORP P 1998-06-09 2010-03-03
100 SH CHUBB CORPORATION P 2005-09-07 2010-03-03
250 SH CISCO SYS INC P 2008-01-11 2010-03-03
125 SH EMERSON ELECTRIC CO P 2009-12-04 2010-03-03
50 SH EXXON MOBIL CORP P 1983-02-14 2010-03-03
100 SH FISERV INC P 2009-12-04 2010-03-03
350 SH GENERAL ELEC CO P 1971-04-29 2010-03-03
125 SH HEINZ (HJ) CO P 2004-12-21 2010-03-03
125 SH HEWLETT-PACKARD CO P 2009-12-04 2010-03-03
100 SH J P MORGAN CHASE & CO P 2008-01-11 2010-03-03
50 SH JACOBS ENGINEERING GROUP INC P 2009-07-01 2010-03-03
75 SH KIMBERLY-CLARK CORP P 1991-06-12 2010-03-03
75 SH MCGRAW HILL COMPANIES INC P 2008-10-16 2010-03-03
175 SH MEDTRONIC INC P 2005-05-31 2010-03-03
125 SH METLIFE INC P 2009-12-04 2010-03-03
375 SH MICROSOFT CORP P 2005-03-04 2010-03-03
25 SH MOHAWK INDUSTRIES INC P 2009-12-04 2010-03-03
25 SH MOHAWK INDUSTRIES INC P 2009-07-01 2010-03-03
100 SH PEABODY ENERGY CORP P 2007-09-26 2010-03-03
25 SH POTASH CORP P 2009-12-04 2010-03-03
100 SH PROCTER & GAMBLE CO P 2007-07-06 2010-03-03
75 SH PRUDENTIAL FINANCIAL INCORPORATED P 2008-10-08 2010-03-03
75 SH THE SOUTHERN CO P 2006-04-06 2010-03-03
225 SH TEXAS INSTRUMENTS INC P 2006-02-01 2010-03-03
100 SH THERMO FISHER SCIENTIFIC INC P 2009-07-01 2010-03-03
150 SH 3M CO P 1972-05-23 2010-03-03
50 SH UNITEDHEALTH GROUP INC P 2009-12-04 2010-03-03
400 SH WALGREEN CO P 2009-07-01 2010-03-03
250 SH WESTERN UNION COMPANY P 2009-09-24 2010-03-03
25 SH TRANSOCEAN LTD P 2009-07-01 2010-03-03
2,775 SH CARDINAL HEALTH INC P 2007-09-26 2010-03-04
200 SH CARDINAL HEALTH INC P 2009-12-04 2010-03-04
1,300 SH COCA COLA CO COM P 1982-03-18 2010-03-04
60,000 U S T NOTES 2.625% 12/31/14 P 2010-01-06 2010-03-11
12.2395 SH CHEVRONTEXACO CORP P 1998-06-09 2010-03-18
737.7605 SH CHEVRONTEXACO CORP P 1995-06-02 2010-03-18
2,325 SH CISCO SYS INC P 2008-01-11 2010-03-18
100 SH HEWLETT-PACKARD CO P 2009-12-04 2010-03-18
450 SH HEWLETT-PACKARD CO P 2009-07-01 2010-03-18
425 SH INTL BUSINESS MACHS CORP P 1972-01-10 2010-03-18
1,300 SH MICROSOFT CORP P 2005-03-04 2010-03-18
650 SH PEABODY ENERGY CORP P 2007-09-26 2010-03-18
525 SH TEXAS INSTRUMENTS INC P 2006-02-01 2010-03-18
625 SH TEXAS INSTRUMENTS INC P 2009-07-01 2010-03-18
675 SH CHUBB CORPORATION P 2005-09-07 2010-04-01
100,000 FHLB BDS 3.875% 06/14/13 P 2007-09-19 2010-04-01
10,000 U S T BOND 4.375% 11/15/39 P 2010-03-01 2010-04-01
185,000 U S T NOTES 2.625% 12/31/14 P 2010-01-06 2010-04-01
1,325 SH ABBOTT LABS P 2010-03-04 2010-04-15
1,875 SH UNITEDHEALTH GROUP INC P 2009-12-04 2010-04-15
1,250 SH PRUDENTIAL FINANCIAL INCORPORATED P 2008-10-08 2010-04-19
2,075 SH UNITEDHEALTH GROUP INC P 2009-12-04 2010-04-23
1,575 SH TRANSOCEAN LTD P 2009-07-01 2010-04-29
925 SH ANADARKO PETE CORP P 2009-07-01 2010-04-30
20,000 REGIONS BANK FDIC 3.250% 12/09/11 P 2008-12-08 2010-04-30
20,000 U S T BOND 4.375% 11/15/39 P 2010-04-30 2010-05-07
2,750 SH FISERV INC P 2009-07-01 2010-05-20
150 SH FISERV INC P 2009-12-04 2010-05-20
1,600 SH ANADARKO PETE CORP P 2009-07-01 2010-06-03
15,000 FNMA 4.875% 05/18/12 P 2008-10-03 2010-06-03
20,000 U S T NOTES 2.625% 12/31/14 P 2010-05-07 2010-06-15
25,000 U S T NOTES 2.625% 12/31/14 P 2010-01-06 2010-06-15
50,000 U S T NOTES 2.625% 12/31/14 P 2010-01-06 2010-06-16
10,000 U S T BOND 4.375% 11/15/39 P 2010-06-23 2010-06-22
30,000 U S T BONDS 4.375% 11/15/39 P 2010-06-16 2010-06-22
975 SH KIMBERLY-CLARK CORP P 1991-06-12 2010-06-24
2,075 SH WALGREEN CO P 2009-07-01 2010-07-02
20,000 U S T NOTES 2.625% 12/31/14 P 2010-01-06 2010-07-14
10,000 REGIONS BANK FDIC 3.250% 12/09/11 P 2008-12-08 2010-07-22
3,000 SH THERMO FISHER SCIENTIFIC INC P 2009-07-01 2010-07-22
2,925 SH MCGRAW HILL COMPANIES INC P 2008-10-16 2010-07-23
1,200 SH MCGRAW HILL COMPANIES INC P 2009-07-01 2010-07-23
1,225 SH MCGRAW HILL COMPANIES INC P 2010-05-21 2010-07-23
40,000 FHLMC 4.750% 11/17/15 P 2005-10-28 2010-07-29
10,000 U S T BOND 4.375% 11/15/39 P 2010-07-22 2010-07-29
25,000 US T NTS DTD 11/2/09 2.375% 10/31/14 P 2010-01-06 2010-08-04
925 SH THE SOUTHERN CO P 2006-04-06 2010-08-05
1,450 SH THE SOUTHERN CO P 2009-12-04 2010-08-05
50,000 FHLB 5.375% 08/19/11 P 2007-08-14 2010-08-10
316.7185 SH CHEVRONTEXACO CORP P 1995-06-02 2010-08-11
233.2815 SH CHEVRONTEXACO CORP P 1998-06-09 2010-08-11
675 SH PEABODY ENERGY CORP P 2007-09-26 2010-08-11
650 SH PEABODY ENERGY CORP P 2007-09-26 2010-08-12
550 SH POTASH CORP P 2009-07-06 2010-08-17
625 SH POTASH CORP P 2009-07-24 2010-08-17
25,000 FHLMC 4.750% 11/17/15 P 2005-10-28 2010-09-14
20,000 U S T BOND 4.375% 11/15/39 P 2010-07-14 2010-09-14
20,000 U S T BOND 4.375% 11/15/39 P 2010-08-04 2010-09-14
80,000 CISCO SYSTEMS 5.500% 02/22/16 P 2006-02-15 2010-09-16
75,000 METROPOLITAN LIFE 5.125% 04/10/13 P 2009-04-08 2010-09-23
1,150 SH PRUDENTIAL FINANCIAL INCORPORATED P 2008-10-08 2010-10-07
65,000 US T NTS DTD 11/02/09 2.375% 10/31/14 P 2010-01-06 2010-10-08
2,075 SH APOLLO GROUP INC CL A P 2010-08-30 2010-10-26
7,100 SH BANK OF AMERICA CORP P 2010-04-01 2010-10-26
3,150 SH BANK OF AMERICA CORP P 2010-04-19 2010-10-26
10,525 SH COMCAST CORP CL A P 2007-09-26 2010-10-26
600 SH EMERSON ELECTRIC CO P 2009-10-01 2010-10-29
350 SH EMERSON ELECTRIC CO P 2009-07-01 2010-10-29
2,450 SH TEXAS INSTRUMENTS INC P 2009-07-01 2010-10-29
100,000 US T NTS DTD 11/02/09 2.375% 10/31/14 P 2010-01-06 2010-11-01
30,000 FNMA 4.875% 05/18/12 P 2008-10-03 2010-11-03
70,000 FNMA 4.875% 05/18/12 P 2007-06-12 2010-11-03
125 SH PRUDENTIAL FINANCIAL INCORPORATED P 2008-10-08 2010-11-03
700 SH PRUDENTIAL FINANCIAL INCORPORATED P 2008-10-27 2010-11-03
600 SH PRUDENTIAL FINANCIAL INCORPORATED P 2009-12-04 2010-11-03
20,000 U S T BOND 4.375% 11/15/39 P 2010-06-16 2010-11-03
5,000 U S T BOND 4.375% 11/15/39 P 2010-08-04 2010-11-03
5,000 U S T BOND 4.375% 11/15/39 P 2010-09-16 2010-11-03
5,000 U S T BOND 4.375% 11/15/39 P 2010-06-15 2010-11-03
50,000 U S T NOTES 2.625% 12/31/14 P 2010-08-10 2010-11-03
90,000 U S T NOTES 2.625% 12/31/14 P 2010-01-06 2010-11-03
75,000 REGIONS BANK FDIC 3.250% 12/09/11 P 2008-12-08 2010-11-04
25,000 REGIONS BANK FDIC 3.250% 12/09/11 P 2009-12-04 2010-11-04
15,000 U S T BOND 4.375% 11/15/39 P 2010-06-03 2010-11-04
40,000 U S T BOND 4.375% 11/15/39 P 2010-06-15 2010-11-04
10,000 U S T BOND 4.375% 11/15/39 P 2010-03-01 2010-11-04
200,000 US T NTS DTD 11/02/09 2.375% 10/31/14 P 2010-01-06 2010-11-23
75 SH BB & T CORP P 2004-12-21 2010-11-29
500 SH BB & T CORP P 2006-02-01 2010-11-29
3,000 SH BB & T CORP P 2008-01-11 2010-11-29
750 SH EMERSON ELECTRIC CO P 2009-07-01 2010-11-29
825 SH MEDTRONIC INC P 2005-05-31 2010-11-29
1,000 SH MEDTRONIC INC P 2006-07-27 2010-11-29
4,300 SH MEDTRONIC INC P 2009-12-04 2010-11-29
2,225 SH STATE STREET CORP P 2009-09-17 2010-11-29
975 SH STATE STREET CORP P 2009-09-25 2010-11-29
125 SH STATE STREET CORP P 2009-11-05 2010-11-29
400 SH STATE STREET CORP P 2009-11-06 2010-11-29
225 SH STATE STREET CORP P 2010-01-21 2010-11-29
1,100 SH 3M CO P 1972-05-23 2010-11-29
80,000 WISCONSIN ENERGY CORP SR NTS DTD 3/28/01 6.50% 04/01/2011 P 2008-03-13 2010-11-30
5,000 SG PACIFICORP P 2009-01-05 2010-12-07
75,000 FHLB 5.375% 08/19/11 P 2007-08-14 2010-12-09
(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 214,842   238,338 -23,496
b 9,341   9,812 -471
c 18,682   19,517 -835
d 28,023   29,819 -1,796
e 51,375   53,503 -2,128
38,648   35,209 3,439
138,027   124,365 13,662
292,617   266,366 26,251
84,711   84,721 -10
4,983   5,007 -24
523,071   527,237 -4,166
44,835   45,281 -446
92,002   98,236 -6,234
80,000   87,955 -7,955
34,212   33,392 820
25,101   25,146 -45
45,578   72,628 -27,050
99,494   88,937 10,557
10,016   10,058 -42
35,055   35,126 -71
10,016   9,933 83
31,241   29,972 1,269
2,505   2,855 -350
8,086   6,998 1,088
1,780   1,441 339
5,274   3,354 1,920
7,946   7,062 884
1,236   1,332 -96
2,472   2,243 229
7,110   5,445 1,665
3,425   5,304 -1,879
7,325   6,147 1,178
5,110   4,365 745
6,177   6,518 -341
6,006   5,240 766
3,277   189 3,088
4,911   4,684 227
5,586   343 5,243
5,761   4,793 968
6,382   6,205 177
4,151   4,190 -39
2,009   2,099 -90
4,494   1,002 3,492
2,567   1,861 706
7,828   9,496 -1,668
4,589   4,353 236
10,650   9,473 1,177
1,320   1,073 247
1,320   893 427
4,849   4,375 474
2,890   2,910 -20
6,351   6,147 204
3,964   3,390 574
2,404   2,451 -47
5,490   6,575 -1,085
4,916   4,049 867
12,150   548 11,602
1,704   1,376 328
14,196   11,792 2,404
3,932   4,875 -943
2,065   1,840 225
97,374   124,884 -27,510
7,018   6,426 592
70,875   1,723 69,152
60,773   60,089 684
911   752 159
54,894   36,452 18,442
61,175   60,613 562
5,270   4,964 306
23,715   17,403 6,312
54,500   1,320 53,180
38,350   32,838 5,512
31,176   28,438 2,738
12,925   15,342 -2,417
15,386   13,580 1,806
34,992   29,464 5,528
106,460   95,947 10,513
9,413   9,707 -294
186,163   185,275 888
69,291   71,841 -2,550
56,718   51,581 5,137
78,145   56,502 21,643
63,169   57,083 6,086
123,960   115,900 8,060
59,533   41,362 18,171
20,739   19,981 758
20,409   19,470 939
130,551   128,050 2,501
7,121   7,026 95
70,667   71,546 -879
16,121   15,648 473
20,598   20,445 153
25,747   25,037 710
51,531   50,074 1,457
10,369   10,480 -111
31,108   30,839 269
60,439   13,022 47,417
54,900   61,173 -6,273
20,837   20,030 807
10,371   9,991 380
150,237   121,466 28,771
87,357   72,560 14,797
35,839   36,898 -1,059
36,585   34,379 2,206
45,481   39,376 6,105
10,413   10,795 -382
26,065   24,832 1,233
33,000   30,225 2,775
51,730   47,488 4,242
52,538   50,678 1,860
24,586   15,649 8,937
18,109   8,823 9,286
31,394   29,531 1,863
30,003   28,437 1,566
77,765   51,333 26,432
88,369   58,742 29,627
28,682   24,610 4,072
22,071   21,159 912
22,071   21,088 983
93,679   80,073 13,606
81,698   68,948 12,750
62,071   51,982 10,089
69,004   64,564 4,440
76,628   90,000 -13,372
80,740   128,083 -47,343
35,821   57,729 -21,908
207,439   256,945 -49,506
32,852   23,373 9,479
19,164   11,567 7,597
72,274   53,234 19,040
106,090   99,328 6,762
32,077   31,295 782
74,846   68,154 6,692
6,709   5,650 1,059
37,568   24,695 12,873
32,201   28,794 3,407
21,050   20,559 491
5,262   5,272 -10
5,262   5,405 -143
5,262   5,136 126
53,645   52,737 908
96,560   90,134 6,426
77,410   74,930 2,480
25,803   26,068 -265
15,845   15,206 639
42,253   41,085 1,168
10,563   9,707 856
210,492   198,657 11,835
1,761   3,182 -1,421
11,740   19,524 -7,784
70,439   84,528 -14,089
41,332   24,786 16,546
27,831   44,765 -16,934
33,734   49,697 -15,963
145,057   184,861 -39,804
96,676   120,127 -23,451
42,363   49,772 -7,409
5,431   5,221 210
17,380   16,840 540
9,776   10,417 -641
92,086   4,017 88,069
81,580   85,190 -3,610
5,628   5,053 575
77,633   76,016 1,617
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       -23,496
b       -471
c       -835
d       -1,796
e       -2,128
      3,439
      13,662
      26,251
      -10
      -24
      -4,166
      -446
      -6,234
      -7,955
      820
      -45
      -27,050
      10,557
      -42
      -71
      83
      1,269
      -350
      1,088
      339
      1,920
      884
      -96
      229
      1,665
      -1,879
      1,178
      745
      -341
      766
      3,088
      227
      5,243
      968
      177
      -39
      -90
      3,492
      706
      -1,668
      236
      1,177
      247
      427
      474
      -20
      204
      574
      -47
      -1,085
      867
      11,602
      328
      2,404
      -943
      225
      -27,510
      592
      69,152
      684
      159
      18,442
      562
      306
      6,312
      53,180
      5,512
      2,738
      -2,417
      1,806
      5,528
      10,513
      -294
      888
      -2,550
      5,137
      21,643
      6,086
      8,060
      18,171
      758
      939
      2,501
      95
      -879
      473
      153
      710
      1,457
      -111
      269
      47,417
      -6,273
      807
      380
      28,771
      14,797
      -1,059
      2,206
      6,105
      -382
      1,233
      2,775
      4,242
      1,860
      8,937
      9,286
      1,863
      1,566
      26,432
      29,627
      4,072
      912
      983
      13,606
      12,750
      10,089
      4,440
      -13,372
      -47,343
      -21,908
      -49,506
      9,479
      7,597
      19,040
      6,762
      782
      6,692
      1,059
      12,873
      3,407
      491
      -10
      -143
      126
      908
      6,426
      2,480
      -265
      639
      1,168
      856
      11,835
      -1,421
      -7,784
      -14,089
      16,546
      -16,934
      -15,963
      -39,804
      -23,451
      -7,409
      210
      540
      -641
      88,069
      -3,610
      575
      1,617
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 2 389,265
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 638,004 13,270,128 0.048078
2008 862,949 15,351,100 0.056214
2007 1,110,412 17,247,434 0.064381
2006 727,837 15,843,435 0.045939
2005 819,961 15,926,263 0.051485
2 Total of line 1, column (d) ...................... 2 0.266097
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 0.053219
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 14,412,005
5 Multiply line 4 by line 3....................... 5 766,992
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 6,410
7 Add lines 5 and 6......................... 7 773,402
8 Enter qualifying distributions from Part XII, line 4.............. 8 668,800
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 12,819
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 12,819
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 12,819
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 42,114
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 42,114
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 29,295
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet3,205 Refunded Bullet 11 26,090
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletNE
    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 ofbulletNEELY KOUNTZE Telephone no.bullet (402) 345-0043
    Located atbullet1755 EAST LOCUST STREETOMAHANE ZIP+4bullet68110
    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
     
    No
    .........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
    NEELY KOUNTZE PRESIDENT/TRUSTEE
    0.00     		0 0 0
    1755 EAST LOCUST STREET
    OMAHA,NE68110
    MARY L KOUNTZE VICE PRESIDENT/TRUSTEE
    0.00     		0 0 0
    5208 CUMING STREET
    OMAHA,NE68132
    JOHN Q BACHMAN SECRETARY/TRUSTEE
    0.00     		0 0 0
    10250 REGENCY CIRCLE SUITE 300
    OMAHA,NE68114
    JOHN W WEBSTER TREASURER/TRUSTEE
    0.00     		0 0 0
    8805 INDIAN HILLS DRIVE SUITE 375
    OMAHA,NE68114
    JAMES E LANDEN TRUSTEE
    0.00     		0 0 0
    1120 SOUTH 101 STREET
    OMAHA,NE68124
    TOWER KOUNTZE TRUSTEE
    0.00     		0 0 0
    300 SOUTH 16TH STREET 904
    OMAHA,NE68102
    W RUSSELL BOWIE III TRUSTEE
    0.00     		0 0 0
    4174 CHICAGO STREET
    OMAHA,NE68131
    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
    13,860,192
    b
    Average of monthly cash balances.......................
    1b
    771,285
    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
    14,631,477
    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
    14,631,477
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    219,472
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    14,412,005
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    720,600
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    720,600
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    12,819
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    12,819
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    707,781
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    707,781
    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
    707,781
    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
    668,800
    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
    668,800
    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
    668,800
    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 7 707,781
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 336,908
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005.......  
    b From 2006.......  
    c From 2007.......  
    d From 2008.......  
    e From 2009.......  
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 668,800
    a Applied to 2009, but not more than line 2a 336,908
    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..... 331,892
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2010. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		375,889
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		0
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		0
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007....  
    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:
    NEELY KOUNTZE
    1755 EAST LOCUST STREET
    OMAHA,NE68110
    (402) 345-0043
    bThe form in which applications should be submitted and information and materials they should include:
    GRANT REQUESTS AND SCHOLARSHIP AWARDS PROCEDURES HAVE BEEN ESTABLISHED BY THE FOUNDATION. THE GRANT REQUESTS ARE OPEN TO 501(C)(3) ORGANIZATIONS. THE GRANT REQUESTS ARE TO INCLUDE THE BASICS OF THE REQUEST IN ADDITION TO A LETTER CONTAINING THE ESSENTIAL INFORMATION SUCH AS THE PROJECT CONTEMPLATED, SOURCE OF FUNDS, TIMELINE OF IMPLEMENTATION, ETC. THE ORIGINAL GRANT REQUEST AND SEVEN COPIES ARE TO BE SENT TO THE FOUNDATION FOR THE BOARD OF TRUSTEES' REVIEW. GRANTEES ARE NOTIFIED IN WRITING OF THE FOUNDATION'S DECISIONS. SCHOLARSHIP AWARDS ARE OPEN TO ALL OMAHA WORLD HERALD LETTER CARRIERS WHO ARE IN THE 10TH, 11TH AND 12TH GRADES, HAVE BEEN A PAPER CARRIER FOR AT LEAST TWO YEARS AND MAINTAIN AT LEAST A C AVERAGE. SCHOLARSHIP AWARDS ARE GRADED BASED ON THREE POINTS: CITIZENSHIP, PROMPTNESS AND EFFICIENCY IN HANDLING THEIR NEWSPAPER ROUTE AND SCHOLASTIC RECORD. THE SCHOLARSHIP AWARD APPLICANT IS SUBJECT TO A PERSONAL INVESTIGATION.
    cAny submission deadlines:
    NOVEMBER 30 OF EACH YEAR
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NEBRASKA AND WESTERN IOWA PRIVATE EDUCATIONAL INSTITUTIONS, RELIGIOUS ORGANIZATIONS, ARTS AND RELATED ORGANIZATIONS
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ARCH INC
    604 S 37TH STREET
    OMAHA,NE68105     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    AUGUSTANA COLLEGE
    2001 S SUMMIT AVE
    SIOUX FALLS,SD57197     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    AUTISM ACTION PARTNERSHIP
    14301 FNB PARKWAY SUITE 115
    OMAHA,NE68154     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    BELLEVUE UNIVERSITY
    1000 GALVIN ROAD SOUTH
    BELLEVUE,NE68005     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 100,000
    BIG BROTHERSBIG SISTERS OF THE MIDLANDS
    10831 OLD MILL ROAD SUITE 400
    OMAHA,NE68154     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    BOYS SCOUTS OF AMERICA - MID AMERICA COUNCIL
    12401 WEST MAPLE ROAD
    OMAHA,NE68164     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    BROWNELL-TALBOT
    400 N HAPPY HOLLOW BLVD
    OMAHA,NE68132     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 31,800
    CAMP FIRE USA MIDLANDS COUNCIL
    3801 HARNEY STREET
    OMAHA,NE68131     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 20,000
    CHILDREN'S HOSPITAL FOUNDATION
    8401 WEST DODGE ROAD SUITE 160
    OMAHA,NE68114     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 10,000
    COLLEGE OF SAINT MARY
    7000 MERCY ROAD
    OMAHA,NE681062377     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 10,000
    COLUMBIA UNIVERSITY
    116TH STREET AND BROADWAY
    NEW YORK,NY10027     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 30,000
    DOANE COLLEGE
    1014 BOSWELL
    CRETE,NE68333     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    DOUGLAS COUNTY HISTORICAL SOCIETY
    5730 N 30TH ST 11A
    OMAHA,NE68111     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    DOUGLAS COUNTY SEPARATE JUVENILE COURT
    1445 K STREET
    LINCOLN,NE685098910     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 7,000
    GIRLS INC
    2811 N 45TH STREET
    OMAHA,NE681044518     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 12,000
    HABITAT FOR HUMANITY
    2204 AMES AVENUE
    OMAHA,NE68110     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    HATTIE B MUNROE HOME
    4420 DEWEY AVENUE
    OMAHA,NE68105     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 1,000
    IOWA STATE UNIVERSITY
    100 ENROLLMENT SERVICES CENTER
    AMES,IA50011     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    JOSLYN ART MUSEUM
    2200 DODGE STREET
    OMAHA,NE68102     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 20,000
    LAURITZEN GARDENS
    100 BANCROFT STREE
    OMAHA,NE68108     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 15,000
    MADONNA SCHOOL
    6402 N 71ST PLAZA
    OMAHA,NE68104     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 10,000
    MID-AMERICA ARTS ALLIANCE
    2679 FARNAM STREET SUITE 204
    OMAHA,NE68131     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    MISSION FOR ALL NATIONS
    5210 5218 S 21ST STREET
    OMAHA,NE68107     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 10,000
    MUSEUM OF NEBRASKA ART
    2401 CENTRAL AVENUE
    KEARNEY,NE68847     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    NEBRASKA ACADEMIC DECATHLON FOUNDATION
    2175 N 124TH AVE CIRCLE
    OMAHA,NE68164     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    NEBRASKA FOOD BANK NETWORK INC
    6824 J STREET
    OMAHA,NE68117     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 10,000
    NEBRASKA HUMANE SOCIETY
    8929 FORT STREET
    OMAHA,NE68134     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 10,000
    NEBRASKA SHAKESPEARE FESTIVAL
    2500 CALIFORNIA PLZ
    OMAHA,NE681780133     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 1,000
    NORTH OMAHA GOOD NEWS BEARS INC
    3223 N 45TH STREET
    OMAHA,NE68104     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 1,000
    NORTHSTAR FOUNDATION
    5076 AMES AVE
    OMAHA,NE68104     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 150,000
    OMAHA SYMPHONY
    1605 HOWARD STREET
    OMAHA,NE681022797     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    OPERA OMAHA
    1625 FARNAM STREET 100
    OMAHA,NE681022100     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    OUTLOOK NEBRASKA INC
    4125 S 72ND STREET
    OMAHA,NE68127     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    POTTAWATTAMIE CONSERVATION FOUNDATION - HITCHCOCK NATURE CENTER
    223 S 6TH STREET
    COUNCIL BLUFFS,IA51501     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 25,000
    PRESBYTERIAN OUTREACH INC
    8447 LAKE STREET
    OMAHA,NE681346329     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    SALVATION ARMY
    3612 CUMING STREET
    OMAHA,NE68131     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    SIENAFRANCIS HOUSE
    1702 NICHOLAS STREET
    OMAHA,NE68101     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 20,000
    ST PETER CLAVER CATHOLIC HIGH SCHOOL
    5301 S 36TH STREET
    OMAHA,NE68107     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 7,500
    TEAMMATES MENTORING PROGRAM
    11850 NICHOLAS ST 120
    OMAHA,NE681544476     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    THE KENT BELLOWS FOUNDATION
    3303 LEAVENWORTH
    OMAHA,NE68105     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 25,000
    TRINITY CATHEDRAL
    109 N 18TH STREET
    OMAHA,NE68102     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    TUESDAY MUSICAL CONCERT SERIES
    PO BOX 6132
    OMAHA,NE68102     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    UNITED WAY OF THE MIDLANDS
    1805 HARNEY STREET
    OMAHA,NE68102     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 10,000
    UNIVERSITY OF NEBRASKA - LINCOLN
    1401 Q STREET
    OMAHA,NE68588     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    UNIVERSITY OF NEBRASKA - SCHOOL OF JOURNALISM
    147 ANDERSEN HALL
    LINCOLN,NE685880443     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    UNO SCHOLARSHIP - PLANETARIUM
    6001 DODGE STREET
    OMAHA,NE68182     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 1,500
    UNO SCHOLARSHIP - SCIENCE
    6001 DODGE STREET
    OMAHA,NE68182     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 1,000
    VISITING NURSES ASSOCIATION
    1941 S 42ND STREET SUITE 126
    OMAHA,NE68105     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 10,000
    WHY ARTS INC
    1030 S 111TH PLAZA
    OMAHA,NE68154     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    YOUTH EMERGENCY SERVICES INC
    2679 FARNAM STREET SUITE 205
    OMAHA,NE681313653     		NONE PUBLIC CHARITY TO FURTHER THE CHARITABLE PURPOSE OF THE RECIPIENT 5,000
    Total .................................bullet 3a 668,800
    bApproved for future payment
    Total ..................................bullet 3b 0
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 245,665  
    4 Dividends and interest from securities....     14 154,668  
    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     18 389,265  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 789,598 0
    13Total. Add line 12, columns (b), (d), and (e)...................
    13789,598
    (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:
    GILBERT M AND MARTHA H HITCHCOCK FOUNDATION
    EIN: 47-6025723
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,250 2,250   0

    TY 2010 GeneralExplanationAttachment
    Name:
    GILBERT M AND MARTHA H HITCHCOCK FOUNDATION
    EIN: 47-6025723
    Identifier Return Reference Explanation
    GRANT REQUEST AND SCHOLARSHIP AWARD PROCEDURES PART XV, SUPPLEMENTARY INFORMATION, LINE 2B. GRANT REQUEST PROCEDURES:THE FOUNDATION ASKS EACH REQUESTING ORGANIZATION TO PRESENT ITS GRANT REQUEST IN THE FOLLOWING MANNER:1) A LETTER SUMMARY, ONE PAGE IN LENGTH TO ACQUAINT TRUSTEES WITH BASICS OF GRANT REQUEST2) A LETTER, NO MORE THAN 5 PAGES IN LENGTH, CONTAINING THE ESSENTIAL INFORMATION, I.E. PROJECT CONTEMPLATED, COST, SOURCE OF FUNDS; TIMELINE FOR IMPLEMENTATION; SPECIFIC AMOUNT OF THE GRANT REQUEST; HOW PROJECT WOULD BE CONTINUED AFTER GRANT PAYOUT; AND3) CURRENT ANNUAL OPERATING BUDGET, LATEST FINANCIAL STATEMENTS, INCLUDING MANAGEMENT LETTER FROM AUDITOR, IF ANY4) IRS RULING LETTER UNDER 501(C)(3) OR 509(A) OF THE INTERNAL REVENUE CODE OF 1954, AS AMENDED. THIS LETTER MUST INDICATE (AND THE ORGANIZATION MUST BE WILLING TO SIGN A GRANT AGREEMENT, IF OFFERED, DECLARING) THAT THE REQUESTING ORGANIZATION IS: A) EXEMPT FROM FEDERAL INCOME TAXATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1954, AS AMENDED AND B) NOT A PRIVATE FOUNDATION, AS DEFINED IN SECTION 509 OF SAID CODE.5) A STATEMENT OF THE THREE TOP MEASURABLE RESULTS YOU EXPECT TO ACCOMPLISH IF THIS GRANT IS APPROVED AND YOUR PROJECT GOES FORWARD.AN ORIGINAL AND SEVEN (7) COPIES OF YOUR GRANT REQUEST AND ONE COPY OF ITEMS (2)-(5) SHOULD BE ADDRESSED TO THE UNDERSIGNED. WE DO NOT ACCEPT FAX REQUESTS.REQUESTS FOR GRANTS ARE CONSIDERED BY THE FULL BOARD OF TRUSTEES AT THEIR ANNUAL MEETING OR AT SPECIAL MEETINGS SOMETIMES HELD DURING THE YEAR. GRANTS APPROVED MAY BE PAID IN ONE PAYMENT OR IN PAYMENTS OVER SEVERAL YEARS AS CASH BECOMES AVAILABLE.PREFERENCE FOR CERTAIN PROGRAMS IS NOT A JUDGEMENT ON THE MERITS OF THOSE THAT ARE NOT SUPPORTED. RATHER, IT IS A REFLECTION OF THE FOUNDATION'S BELIEF THAT ADHERENCE TO ITS PROGRAMS, WHICH ARE CAREFULLY STRUCTURED AND REGULARLY REVIEWED, LEADS TO EFFECTIVE USE OF ITS RESOURCES.FOUNDATION CONTRIBUTIONS ARE MADE THE YEAR THE GRANT IS APPROVED AND ARE BASED ON THE FOUNDATION'S CALENDAR YEAR BUDGET. ORGANIZATIONS ARE NOTIFIED IN WRITING OF THE BOARD'S DECISION REGARDING REQUESTS, USUALLY BY MAY 31ST OF THE FOLLOWING YEAR.GRANT REQUESTS MUST BE POSTMARKED NO LATER THAN NOVEMBER 30.GILBERT M. AND MARTHA H. HITCHCOCK FOUNDATION P.O. BOX 31219OMAHA, NE 68132402-345-0043 SCHOLARSHIP AWARDSPLAN: THE HITCHCOCK FOUNDATION'S SCHOLARSHIP PLAN IS DESIGNED TO ASSIST DESERVING YOUNG INDIVIDUALS WHO ARE ALSO NEWSPAPER CARRIERS IN SECURING THE FINEST EDUCATION POSSIBLE. THROUGH LEADERSHIP SHOWN BOTH IN SCHOOL AND ON ROUTES, NEWSPAPER CARRIERS HAVE THE ELEMENTS TO FORGE AHEAD. THESE AWARDS ARE TO ENCOURAGE SUCH YOUNG PEOPLE TO DEVELOP THEIR OUTSTANDING QUALITIES BY ATTAINING ONE OF TODAY'S GREATEST NECESSITIES - A GOOD EDUCATION.THE SCHOLARSHIP WILL BE PAID DIRECTLY TO ANY ACCREDITED COLLEGE OR UNIVERSITY OF THE WINNER'S CHOICE.RULES: THESE RULES APPLY TO ALL APPLICANTS FOR HITCHCOCK FOUNDATION NEWSPAPER CARRIER SCHOLARSHIPS. READ THEM CAREFULLY. IF YOU ARE ELIGIBLE TO APPLY FOR A SCHOLARSHIP, FILL OUT AN APPLICATION AND RETURN IT TO THE ADDRESS INDICATED BELOW BY MARCH 1ST.NEWSPAPER CARRIERS WHO HAVE BEEN ON THEIR ROUTES A MINIMUM OF TWO YEARS BY JUNE 1ST ARE ARE IN THE 10TH, 11TH OR 12TH GRADE OF HIGH SCHOOL, ARE ELIGIBLE TO APPLY FOR A SCHOLARSHIP AWARD.AT THE TIME THE SCHOLARSHIP AWARDS ARE MADE, CARRIERS MUST HAVE BEEN ON THEIR ROUTES A MINIMUM OF TWO YEARS TO BE ELIGIBLE FOR A SCHOLARSHIP. IF THE CARRIER SHOULD LEAVER HIS/HER ROUTE BEFORE THIS DATE, HE/SHE AUTOMATICALLY CANCELS THE PRIVILEGE OF WINNING A SCHOLARSHIP.APPLICANTS MUST HAVE AT LEAST A "C" AVERAGE IN HIGH SCHOOL. IF YOUR AVERAGE SHOULD BE SLIGHTLY UNDER "C" BUT YOU THINK YOU WILL HAVE GOOD ENOUGH GRADES THIS YEAR TO BRING THE AVERAGE UP TO "C" OR BETTER, SEND IN YOUR APPLICATION. IF YOUR SCHOOL DOES NOT USE THE A, B, C METHOD OF GRADING, YOUR PRINCIPAL CAN TELL YOU IF YOUR AVERAGE IS THE EQUIVALENT OF A "C" AVERAGE. A PERSONAL INVESTIGATION WILL BE MADE OF EACH APPLICANT'S ROUTE, SCHOOL WORK, SCHOLASTIC RECORD AND CITIZENSHIP, TO ASSURE ABSOLUTE FAIRNESS IN JUDGING.HOW APPLICANTS WILL BE GRADEDAPPLICANTS WILL BE GRADED ON THESE THREE POINTS. NEWSPAPER CARRIERS WHO RANK HIGHEST WILL BE AWARDED THE SCHOLARSHIPS.1. CITIZENSHIP, AS SHOWN BY CONDUCT IN COMMUNITY; POLITENESS, COURTESY, ATTITUDE TOWARD SCHOOL AND GENERAL PUBLIC ... 40%2. PROMPTNESS AND EFFICIENCY IN HANDLING THEIR NEWSPAPER ROUTE ... 20%3. SCHOLASTIC RECORD ... 40%IF YOU ARE NOT IN THE 10TH, 11TH OR 12 GRADE OF HIGH SCHOOL, DO NOT FILL OUT THIS BLANK.PLEASE FILL OUT THIS APPLICATION AS SOON AS POSSIBLE AND RETURN TO:THE GILBERT M. & MARTHA H. HITCHCOCK FOUNDATIONP.O. BOX 31219OMAHA, NE 68132402-345-0043ALL APPLICATIONS MUST BE RECEIVED BY MARCH 1ST.(SAMPLE APPLICATION FORM PROVIDED UPON REQUEST.)

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    GILBERT M AND MARTHA H HITCHCOCK FOUNDATION
    EIN: 47-6025723
    Name of Bond End of Year Book Value End of Year Fair Market Value
    LACLEDE GAS 1ST MTG 6.500% 10/15/12 73,870 85,936
    CHUBB CORP 6.800% 11/15/31 85,527 91,718
    PITNEY BOWES INC 5.250% 01/15/37 84,626 86,130
    TOSCO CORP 8.125% 02/15/30 82,198 84,191
    AMERICAN EXPRESS CO 6.800% 09/01/66 85,001 79,200
    WACHOVIA BANK NA 6.600% 01/15/38 95,459 104,602
    ALABAMA PWR CO 5.500% 10/15/17 71,278 78,590
    AT&T INC 5.500% 02/01/18 87,637 111,088
    CATERPILLAR INC 7.900% 12/15/18 91,474 115,835
    DAYTON PWR & LT CO 5.125% 10/01/13 91,737 98,606
    IBM CORP 7.000% 10/30/25 81,017 104,147
    KEY BANK NA 3.200% 06/15/12 209,531 212,663
    KIMBERLY CLARK CORP 6.125% 08/01/17 87,831 105,036
    MERRILL LYNCH 5.000% 01/15/15 90,946 98,923
    MORGAN STANLEY 4.750% 04/01/14 90,792 97,283
    REGIONS BANK FDIC 3.250% 12/09/11 72,423 71,851
    ACE INA HOLDINGS 5.900% 6/15/19 49,494 55,510
    BANK NEW YORK 4.950% 3/15/15 37,432 37,993
    CITIGROUP INC 6.500% 8/19/13 92,237 98,825
    ELECTRONIC DATA SYS 6.000% 8/01/13 87,418 89,171
    GENERAL ELEC CAP .074813% 1/08/16 81,025 89,762
    GOLDMAN SACHS GROUP 6.250% 9/01/17 93,766 104,837
    JP MORGAN CHASE 6.125% 6/27/ 64,088 65,828
    PACIFICORP 5.500% 1/15/19 85,905 95,838
    PNC FUNDING CORP .06875% 1/31/14 77,695 83,728
    PRICOA GLBL FUNDING 5.450% 6/11/14 62,035 66,516
    STANFORD LELAND JR 3.625% 5/01/14 85,746 89,979
    STATE STR BK & TR .082938% 12/08/15 77,137 82,158
    BB&T CORPORATION 5.700% 4/30/14 54,583 55,012
    MEDTRONIC INC 3.000% 3/15/15 59,995 61,571
    METROPOLITAN LIFE 5.125% 6/10/14 83,065 81,581
    PEPISCO INC 7.900% 11/01/18 61,671 64,331
    UBS PFD FDG TR V 6.243% 5/29/49 72,658 67,200

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    GILBERT M AND MARTHA H HITCHCOCK FOUNDATION
    EIN: 47-6025723
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M CO - 2,725 SH 37,930 237,325
    CHEVRON CORP - 3,000 SH 75,140 273,750
    COCA-COLA CO - 5,000 SH 6,628 328,850
    EXXON MOBIL CORP - 3,850 SH 46,290 281,512
    GENERAL ELECTRIC CO - 15,750 SH 15,419 288,068
    INTERNATIONAL BUSINESS MACHINES CORP - 1,375 SH 16,662 201,795
    KIMBERLY CLARK CORP - 1,850 SH 23,048 116,624
    BB&T CORP - 3,575 SH 80,330 93,987
    H J HEINZ CO - 4,575 SH 172,336 226,280
    AIR PRODUCTS & CHEMICALS INC - 2,875 SH 174,318 261,481
    CHUBB CORP - 1,625 SH 70,931 96,915
    JP MORGAN CHASE & CO - 5,400 SH 211,111 229,068
    MEDTRONIC INC - 6,125 SH 220,745 227,176
    MICROSOFT CORP - 8,325 SH 210,289 232,351
    CISCO SYSTEMS INC - 7,325 SH 147,031 148,185
    SOUTHERN CO - 2,750 SH 90,062 105,133
    TEXAS INSTRUMENTS INC - 4,375 SH 95,061 142,188
    AFLAC INC - 2,850 SHARES 162,744 160,826
    COMCAST CORP CL A - 10,525 SHARES 212,709 231,234
    PEABODY ENERGY CORP - 1,600 SHARES 66,366 102,368
    PROCTER & GAMBLE CO - 3,500 SHARES 197,602 225,155
    ABBOTT LABORATORIES - 5,150 SHARES 242,537 246,737
    ADOBE SYSTEMS INC - 2,225 SHARES 63,991 68,486
    AMGEN INC - 2,550 SHARES 147,193 139,995
    APACHE CORP - 2,050 SHARES 194,291 244,422
    APPLIED MATERIALS INC - 10,400 SHARES 116,628 146,120
    AVNET INC - 6,050 SHARES 131,765 199,832
    EMERSON ELECTRIC CO - 4,475 SHARES 152,104 255,836
    GOLDMAN SACHS GROUP - 1,025 SHARES 165,130 172,364
    HEWLETT PACKARD CO - 4,000 SHARES 157,386 168,400
    JACOBS ENGINEERING GROUP INC - 3,250 SHARES 131,895 149,013
    METLIFE INC - 3,575 SHARES 100,682 158,873
    MOHAWK INDUSTRIES INC - 2,350 SHARES 83,948 133,386
    STATE STREET CORP - 4,650 SHARES 192,249 215,481
    WALGREEN CO - 3,925 SHARES 115,712 152,918
    WESTERN UNION COMPANY - 9,700 SHARES 183,482 180,129
    US BANCORP 7.189% PFD 87,299 66,321
    ALLEGHENY TECHNOLOGIES INC - 1,600 SHARES 83,488 88,288
    APOLLO GROUP INC CL A - 2,075 SHARES 71,337 81,942
    BANK OF AMERCIA CORP - 10,250 SHARES 116,133 136,735
    BEST BUY CO INC - 2,550 SHARES 87,071 87,440
    BLACKROCK INC - 900 SHARES 152,005 171,522
    FLOWSERVE CORP - 1,200 SHARES 126,709 143,064
    HOME DEPOT INC - 5,575 SHARES 160,291 195,460
    ORACLE CORP - 5,775 SHARES 131,760 180,758
    PG&E CORP - 2,175 SHARES 98,027 104,052
    PHILIP MORRIS INTERNATIONAL - 1,900 SHARES 87,905 111,207
    QUEST DIAGNOSTICS INC - 2,975 SHARES 133,661 160,561
    NOVARTIS AG ADR - 4,175 SHARES 213,431 246,116
    SCHLUMBERGER LTD - 1,475 SHARES 89,603 123,163

    TY 2010 InvestmentsGovtObligationsSch
    Name:
    GILBERT M AND MARTHA H HITCHCOCK FOUNDATION
    EIN: 47-6025723
    US Government Securities - End of Year Book Value:

    2,849,371
    US Government Securities - End of Year Fair Market Value:

    2,899,618
    State & Local Government Securities - End of Year Book Value:


    300,582
    State & Local Government Securities - End of Year Fair Market Value:


    294,586


    TY 2010 OtherExpensesSchedule
    Name:
    GILBERT M AND MARTHA H HITCHCOCK FOUNDATION
    EIN: 47-6025723
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATIVE EXPENSE 1,111 1,111   0


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    GILBERT M AND MARTHA H HITCHCOCK FOUNDATION
    EIN: 47-6025723
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK FEES 48,913 48,913   0


    TY 2010 TaxesSchedule
    Name:
    GILBERT M AND MARTHA H HITCHCOCK FOUNDATION
    EIN: 47-6025723
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 53 53   0
    FEDERAL INCOME TAXES 96,298 96,298   0