Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2010
For calendar year 2010, or tax year beginning 01-01-2010 , and ending 12-31-2010
G
Check all that apply:
Name of foundation
ALLEN E & MARIE A NICKLESS
MEMORIAL FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)3023 DAVENPORT   Room/suite
City or town, state, and ZIP code
SAGINAW, MI48602
A Employer identification number

23-7011258
B Telephone number (see page 10 of the instructions)

(989) 793-9830
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$5,093,868J 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) 7,248
2 Check bullet
3 Interest on savings and temporary cash investments 46,979 46,979 46,979
4 Dividends and interest from securities...... 114,946 114,946 114,946
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 17,938
b Gross sales price for all assets on line 6a 118,546
7 Capital gain net income (from Part IV, line 2)...  
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........ 187,111 161,925 161,925
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 2,800 800 800 2,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 2,688 2,688 2,688  
b Accounting fees (attach schedule)....... Click to see attachment 8,393 8,393 8,393  
c Other professional fees (attach schedule).... Click to see attachment 34,035 12,461 12,461 21,574
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 11,550 11,550 11,550  
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 1,123 1,123 1,123  
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 60,589 37,015 37,015 23,574
25 Contributions, gifts, grants paid........ 184,613 184,613
26 Total expenses and disbursements. Add lines 24 and 25 245,202 37,015 37,015 208,187
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -58,091
b Net investment income (if negative, enter -0-) 124,910
c Adjusted net income (if negative, enter -0-)... 124,910
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............... 36,937 5,707 5,707
2 Savings and temporary cash investments.......... 254,859 178,607 178,607
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) 75,465    
b Investments—corporate stock (attach schedule)........ 3,101,749 Click to see attachment3,101,749 3,083,040
c Investments—corporate bonds (attach schedule)........ 1,763,276 Click to see attachment1,888,132 1,826,514
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) 5,232,286 5,174,195 5,093,868
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 5,232,286 5,174,195
30 Total net assets or fund balances (see page 17 of the
instructions).................... 5,232,286 5,174,195
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 5,232,286 5,174,195
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 5,232,286
2 Enter amount from Part I, line 27a...................... 2 -58,091
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 5,174,195
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 5,174,195
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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  
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 165,873 4,173,467 0.039745
2008 135,398 4,391,270 0.030833
2007 71,418 2,494,612 0.028629
2006 59,942 1,656,233 0.036192
2005 63,573 1,389,484 0.045753
2 Total of line 1, column (d) ...................... 2 0.181152
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 0.036230
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 4,777,941
5 Multiply line 4 by line 3....................... 5 173,105
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,249
7 Add lines 5 and 6......................... 7 174,354
8 Enter qualifying distributions from Part XII, line 4.............. 8 208,187
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions on page 18.
Form 990-PF (2010)
Form 990-PF (2010)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 1,249
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 1,249
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,249
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 3,000
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 3,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,751
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet1,751 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletMI
    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
     
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV...........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.Click to see attachment
    10
    Yes
     
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
     
     
    Website addressbulletN/A
    14
    The books are in care ofbulletDAVID A BEYERLEIN Telephone no.bullet (989) 793-9830
    Located atbullet3023 DAVENPORT AVESAGINAWMI ZIP+4bullet48602
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
     
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    DARCY NICKLESSClick to see attachment V PRESIDENT
    1.00     		800 0 0
    6 WILSHIRE DRIVE
    FRANKENMUTH,MI48734
    CHARLES NICKLESSClick to see attachment PRESIDENT
    1.00     		600 0 0
    655 WILLOW LANE
    FRANKENMUTH,MI48734
    DAVID A BEYERLEINClick to see attachment TREASURER
    1.00     		0 0 0
    4388 BROOKSTONE
    SAGINAW,MI48603
    B J HUMPHREYSClick to see attachment SECRETARY
    1.00     		600 0 0
    5090 STATE ST BLDG A SUITE 1
    SAGINAW,MI48603
    JOHN HUMPHREYSClick to see attachment TRUSTEE
    1.00     		800 0 0
    5090 STATE ST BLDG A SUITE 1
    SAGINAW,MI48603
    JOHN KUNITZERClick to see attachment TRUSTEE
    1.00     		0 0 0
    4328 LAKECRESS DR E
    SAGINAW,MI48603
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    4,583,898
    b
    Average of monthly cash balances.......................
    1b
    266,804
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,850,702
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d..........................
    3
    4,850,702
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    72,761
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,777,941
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    238,897
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    238,897
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    1,249
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,249
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    237,648
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4.............................
    5
    237,648
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
    237,648
    Part XII
    Qualifying Distributions (see page 25 of the instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    208,187
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    208,187
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    1,249
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    206,938
    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 7 237,648
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 176,259
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2010:
    a From 2005.......  
    b From 2006.......  
    c From 2007.......  
    d From 2008.......  
    e From 2009.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 208,187
    a Applied to 2009, but not more than line 2a 176,259
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		  
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		 
    d Applied to 2010 distributable amount..... 31,928
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2010.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		 
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		 
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		205,720
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		 
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		 
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		 
    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).)
    MARIE NICKLESS IRREVOCABLE TRUST
    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:
    BJ HUMPHREYS
    5090 STATE ST
    BUILDING A SUITE 1
    SAGINAW,MI48603
    (989) 792-2552
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER FORM
    cAny submission deadlines:
    ONGOING
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    PENDING BOARD APPROVAL
    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
    BRIDGEPORT TOWNSHIP ATHLE
    6206 DIXIE HIGHWAY
    BRIDGEPORT,MI48722     		NONE NON-PROFIT BARRIER-FREE YOUTH RECREATION 7,000
    CHILD ABUSE AND NEGLECT C
    1311 NORTH MICHIGAN AVE
    SAGINAW,MI48602     		NONE NON-PROFIT FREE CHILDREN FROM ABUSE AND NEGLECT 5,000
    COMMUNITY VILLAGE
    3200 HOSPITAL RD
    SAGINAW,MI48603     		NONE NON-PROFIT ASSISTED LIVING 5,000
    DELTA COLLEGE
    1963 DELTA RD
    UNIVERSITY CENTER,MI48710     		NONE UNIVERSITY SCHOLARSHIP FUND 12,000
    EAST SIDE SOUP KITCHEN
    940 E GENESSEE
    SAGINAW,MI48601     		NONE PUBLIC CHARI FEED INDIGENT PEOPLE 5,500
    EMMAUS HOUSE
    733 SOUTH 14TH STREET
    SAGINAW,MI48601     		NONE NON-PROFIT WOMEN'S RECOVERY HOUSE 5,000
    FIRST PRESBYTERIAN FOOD P
    121 S HARRISON ST
    SAGINAW,MI48602     		NONE NON-PROFIT FEED INDIGENT PEOPLE 2,000
    FRANKENMUTH CITY BEAUTIFI
    240 W GENESEE
    FRANKENMUTH,MI48734     		NONE NON-PROFIT IMPROVE CITY APPEARANCE 2,000
    FRANKENMUTH COMMUNITY FOU
    PO BOX 83
    FRANKENMUTH,MI48734     		NONE NON-PROFIT PUBLIC ENTERTAINMENT 500
    FRANKENMUTH PARKS & RECRE
    240 W GENESEE
    FRANKENMUTH,MI48734     		NONE NON-PROFIT PUBLIC PARKS AND FACILITIES 7,500
    FRANKENMUTH SCHOOL DISTRI
    941 EAST GENESEE STREET
    FRANKENMUTH,MI48734     		NONE SCHOOL SCHOLARSHIP FUND AND EDUCATION 6,100
    FRIENDS OF HOYT PARK
    100 S JEFFERSON
    STE 201
    SAGINAW,MI48607     		NONE NON-PROFIT BUILDING REHABILITATION 8,333
    HOLY CROSS CHILDREN'S SER
    3400 S WASHINGTON STREET
    SAGINAW,MI48601     		NONE NON-PROFIT CHILD CARE AND FAMILY PRESERVATION 5,000
    HOSPICE OF HOPE
    9710 JUNCTION RD
    STE A
    FRANKENMUTH,MI48734     		NONE NON-PROFIT HOSPICE CARE 3,000
    JUNIOR ACHEIVEMENT
    1781 FORDNEY ST
    SAGINAW,MI48601     		NONE NON-PROFIT EDUCATE CHILDREN 3,500
    MAKE A WISH FOUNDATION
    230 HURON VIEW BLVD
    ANN ARBOR,MI48103     		NONE NON-PROFIT GRANT THE WISHES OF CHILDREN 500
    MICHIGAN SPECIAL OLYMPICS
    PO BOX 474
    ALMA,MI48801     		NONE NON-PROFIT SPORTS OPPORTUNITIES FOR HANDICAP 2,000
    MID-MICHIGAN CHILDREN'S M
    315 WEST GENESEE
    SAGINAW,MI48602     		NONE NON-PROFIT EDUCATION OPPORTUNITIES FOR CHILDREN 3,000
    OLD TOWN SOUP KITCHEN
    600 GRATIOT
    SAGINAW,MI48602     		NONE PUBLIC CHARI CAPITAL CAMPAIGN 6,600
    OLD TOWN SOUP KITCHEN
    600 GRATIOT
    SAGINAW,MI48602     		NONE PUBLIC CHARI FEED INDIGENT PEOPLE 4,000
    PARISHIONERS ON PATROL
    2303 HESS ST
    SAGINAW,MI48601     		NONE NON-PROFIT FEED INDIGENT PEOPLE 2,000
    READ ASSOCIATION
    100 S JEFFERSON
    STE 40
    SAGINAW,MI48607     		NONE NON-PROFIT PROMOTE CHILDHOOD READING 2,530
    RESCUE MISSION OF SAGINAW
    1021 BURT ST
    SAGINAW,MI48607     		NONE PUBLIC CHARI FOR INDIGENT PEOPLE 3,000
    SAGINAW ADVOCACY FOR INDI
    919 VETERANS MEMORIAL PAR
    SAGINAW,MI48601     		NONE NON-PROFIT ASSIST DISABLED 2,500
    SAGINAW COMMUNITY FOUNDAT
    100 S JEFFERSON
    SAGINAW,MI48607     		NONE NON-PROFIT CHILDREN FOOD PROGRAM 17,050
    SAGINAW COMMUNITY OUTREAC
    3241 MACKINAW RD
    SAGINAW,MI48602     		NONE NON-PROFIT CHILDREN MENTORING PROGRAM 1,000
    SAGINAW FUTURE
    515 N WASHINGTON AVE
    3RD FLOOR
    SAGINAW,MI48607     		NONE NON-PROFIT ECONOMIC DEVELOPEMTN 1,000
    SAGINAW HABIAT FOR HUMANI
    315 W HOLLAND AVE
    SAGINAW,MI48602     		NONE NON-POFIT ECUMENICAL HOUSING MINISTRY 7,000
    SAGINAW TWP LITTLE LEAGUE
    3320 N CENTER RD
    SAGINAW,MI48603     		NONE NON-PROFIT YOUTH RECREATION 500
    SAGINAW TWP SOCCER ASSOC
    3575 MCCARTY ROAD
    SAGINAW,MI48603     		NONE NON-PROFIT YOUTH RECREATION 3,000
    SAGINAW VALLEY AFRICAN AM
    515 N WASHINGTON AVE
    2ND FLOOR
    SAGINAW,MI48607     		NONE NON-PROFIT EDUCATION 2,000
    SAGINAW VALLEY STATE UNIV
    7400 BAY RD
    UNIVERSITY CENTER,MI48710     		NONE UNIVERSITY SCHOLARSHIP FUND 1,000
    SALVATION ARMY
    2030 N CAROLINA
    SAGINAW,MI48601     		NONE NON-PROFIT FOR INDIGENT PEOPLE 7,000
    ST JOHNS EVANGELICAL LUT
    1200 E GENESSEE
    FRANKENMUTH,MI48734     		NONE CHURCH FELLOWSHIP 5,000
    ST LORENZ CHURCH
    140 CHURCHGROVE RD
    FRANKENMUTH,MI48734     		NONE CHURCH FELLOWSHIP 2,000
    ST LORENZ SCHOOL
    140 CHURCHGROVE RD
    FRANKENMUTH,MI48734     		NONE SCHOOL EDUCATE CHILDREN 2,000
    TEMPLE THEATRE FOUNDATION
    201 N WASHINGTON AVE
    SAGINAW,MI48607     		NONE NON-PROFIT CAPITAL CAMPAIGN 20,000
    UNDERGROUND RAILROAD
    1230 S WASHINGTON AVE
    SAGINAW,MI48601     		NONE NON-PROFIT ASSIST VICTIMS OF DOMESTIC VIOLENCE 3,000
    UNITED WAY
    100 S JEFFERSON
    SAGINAW,MI48607     		NONE NON-PROFIT PROMOTE VOLUNTEERISM AND CHARITY 5,000
    URBAN YOUTH TENNIS
    PO BOX 1994
    SAGINAW,MI48605     		NONE NON-PROFIT YOUTH RECREATION 2,000
    WICKSON JAMES E LIBRARY
    359 S FRANKLIN
    FRANKENMUTH,MI48734     		NONE PUBLIC LIBRA PUBLIC EDUCATION 2,000
    WOMEN OF COLORS INC
    PO BOX 5525
    SAGINAW,MI48603     		NONE NON-PROFIT MENTORING YOUTH PROGRAMS 500
    Total .................................bullet 3a 184,613
    bApproved for future payment
    Total ..................................bullet 3b  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 46,979  
    4 Dividends and interest from securities....     14 114,946  
    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         17,938
    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)..   161,925 17,938
    13Total. Add line 12, columns (b), (d), and (e)...................
    13179,863
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2010
    Name of organization
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    Employer identification number

    23-7011258
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule—
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
    Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part I
    Name of organization
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION         		Employer identification number

    23-7011258
    Part I
    Contributors (see Instructions)
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    1
     
     

    MARIE A NICKLESS    
    3023 DAVENPORT AVENUE
       
    SAGINAW, MI   48602

    		$7,248




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part II
    Name of organization
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION         		Employer identification number

    23-7011258
    Part II
    Noncash Property (see Instructions)
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part III
    Name of organization
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION         		Employer identification number

    23-7011258
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2010 AccountingFeesSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 8,393 8,393 8,393  

    TY 2010 CompensationExplanation
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Person Name Explanation
    DARCY NICKLESS  
    CHARLES NICKLESS  
    DAVID A BEYERLEIN  
    B J HUMPHREYS  
    JOHN HUMPHREYS  
    JOHN KUNITZER  

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    TY 2010 GainLossSaleOtherAssetsSch
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    AMERICAN ELECTRIC POWER 2006-01 PURCHASE 2010-03   25,000 25,143     -143  
    US TREASURY NOTE 2006-09 PURCHASE 2010-08   15,324 15,342     -18  
    US TREASURY BOND 1993-12 PURCHASE 2010-08   78,222 60,123     18,099  

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AMERICAN ELECTRIC POWER 3/15/10    
    NM HOUSEHOLD FIN CORP 30,000 30,662
    FRANKLIN TEMPELTON LTD. DURATION INC 10,050 8,777
    HANCOCK JOHN PFD INC. 20,000 14,872
    BOND FUND OF AMERICA INC CLASS A 400,000 408,369
    CAPITAL WORLD BOND FUND CLASS A 400,000 420,244
    AMBAC FINANCIAL 2/28/03 15,016 942
    AT&T INC 6.375% 2/15/56 25,606 26,610
    BAC CAPITAL TRUST V 25,825 21,690
    BAC CAPITAL TRUST II 25,733 24,400
    BAC CAPITAL TRUST X 6.25% 102,580 92,400
    BANK OF AMERICA 8.625% 25,569 25,810
    BARCLAY BANK 7.1% PLC 50,731 49,860
    CITIGROUP CAPITAL TRUST 9/15/66 15,548 13,890
    FANNIE MAE 8.25% 25,477 560
    FREDDIE MAC VAR% 24,810 629
    GENERAL ELECTRIC CAPITAL 9/15/09    
    GMAC LLC SENIOR NOTES 7.375% 93,315 104,850
    GENERAL MOTORS SENIOR NOTES 7.5% 8,089 3,180
    ING GROUP NV 30,134 26,645
    JPM CHASE CAPITAL 25,630 25,110
    LINCOLN NATIONAL CORP 6.75% 48,424 50,280
    METLIFE INC. 6.5% 25,695 24,800
    MORGAN STANLEY CAP VIII 74,813 77,385
    ROYAL BANK OF SCOTLAND 6.40% 26,614 14,695
    ROYAL BANK OF SCOTLAND 7.25% 24,841 16,160
    US BANKCORP 7.875% 26,245 26,990
    USB CAPITAL X 6.5% 12,601 12,745
    USB CAPITAL XII 6.30% 74,458 81,972
    W.R. BERKLEY CAPITAL TRUST 29,415 28,739
    WACHOVIA CORP 8% 25,661 27,190
    BAC MARKET LINK STEP UP 50,000 56,000
    BANK OF AMERICA N.A. 50,000 47,550
    BAC VARIABLE COUPON NOTES 50,000 51,300
    HANCOCK JOHN PFD EQUITY INCOME FUND 15,252 11,208

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ALTRIA GROUP 10,435 9,848
    AMERICAN INTERNATIONAL 21,235 864
    AUTOMATED DATA PROC 3,407 23,140
    BAXTER INTERNATIONAL INC 9,605 15,186
    BROADRIDGE FINANCIAL 365 2,741
    CISCO 7,614 10,115
    COMCAST 12,682 13,182
    CONOCOPHILLIPS 46,208 54,480
    DANAHER CORP 11,576 18,868
    E I DUPONT 6,295 9,976
    ELI LILLY & CO. 11,676 7,008
    EMC CORP 6,738 11,450
    EXXON 26,935 40,508
    GENERAL ELECTRIC 4,222 13,260
    GENON ENERGY INC. 3,671 3,002
    INTEL CORP. 10,328 23,659
    JP MORGAN 19,140 21,210
    JOHNSON & JOHNSON 22,627 37,110
    KRAFT FOODS 3,266 8,697
    LOWE'S 9,846 7,524
    MARATHON OIL 8,699 11,109
    MERCK & CO 38,387 36,040
    MICROSOFT 12,022 44,656
    NEWS CORP. LTD. CLASS A 723 728
    NEWS CORP. LTD. CLASS B 11,004 8,210
    PEPSICO INC. 9,960 13,066
    PHILIP MORRIS INTL INC 7,253 23,412
    PROCTOR & GAMBLE 27,490 32,165
    RELIANT ENERGY INC. TEXAS    
    STRYKER CORP 28,018 32,220
    VALERO ENERGY 5,246 11,560
    VODAFONE GRP. PLC. 19,600 23,135
    XTO ENERGY INC.    
    AMCAP FUND 138,000 132,168
    AMERICAN MUTUAL FUND INC CLASS A 200,000 273,730
    CAPITAL INCOME BUILDER FUND 205,567 165,315
    CAPITAL WORLD GROWTH & INCOME FUND 346,000 285,809
    EUROPACIFIC GROWTH FUND 120,437 153,467
    FUNDAMENTAL INVESTORS FUND 346,000 298,112
    GROWTH FUND OF AMERICA 278,000 253,908
    INCOME FUND OF AMERICA 205,000 176,203
    INVESTMENT CO OF AMERICA 219,848 211,339
    NEW ECONOMY FUND 139,000 131,841
    NEW PERSPECTIVE FUND 165,000 143,223
    NEW WORLD FUND 73,000 69,555
    SMALL CAP WORLD FUND 148,624 138,861
    WASHINGTON MUTUAL INVESTORS FUND 101,000 81,380

    TY 2010 LegalFeesSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 2,688      


    TY 2010 OtherExpensesSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    DUES 947 947 947  
    INVESTMENT EXPENSES 176 176 176  


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATIVE FEES 34,035 12,461 12,461 21,574


    TY 2010 SubstantialContributorsSch
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Name Address
    M NICKLESS IRREV TR
          		3023 DAVENPORT AVE
    SAGINAW,MI48602


    TY 2010 TaxesSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
    MEMORIAL FOUNDATION
    EIN: 23-7011258
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 10,003 10,003 10,003  
    FOREIGN TAX 1,547 1,547 1,547