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
PETER J BLOSSER SCHOLARSHIP TRUST
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 6160   Room/suite
City or town, state, and ZIP code
CHILLICOTHE, OH45601
A Employer identification number

31-0629687
B Telephone number (see page 10 of the instructions)

(740) 773-0043
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$2,191,351J 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 26,274 26,274  
4 Dividends and interest from securities...... 28,975 28,975  
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 -22,589
b Gross sales price for all assets on line 6a 513,063
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 20,742 14,589  
12 Total. Add lines 1 through 11........ 53,402 69,838  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 9,150 4,575   4,575
14 Other employee salaries and wages...... 15,000 7,500   7,500
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 269 269   0
b Accounting fees (attach schedule)....... Click to see attachment 2,575 2,575   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 1,192 596   596
19 Depreciation (attach schedule) and depletion... Click to see attachment 606 0  
20 Occupancy.............. 4,500 2,250   2,250
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 40,985 11,253   5,922
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 74,277 29,018   20,843
25 Contributions, gifts, grants paid........ 12,002 12,002
26 Total expenses and disbursements. Add lines 24 and 25 86,279 29,018   32,845
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -32,877
b Net investment income (if negative, enter -0-) 40,820
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............... 18,101 25,400 25,400
2 Savings and temporary cash investments.......... 82,031 96,117 96,117
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) bullet455
Less: allowance for doubtful accounts bullet0 969 455 455
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 513,133 Click to see attachment761,363 882,780
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 680,482 Click to see attachment376,225 361,714
14 Land, buildings, and equipment: basis bullet4,987
Less: accumulated depreciation (attach schedule) bullet4,280 1,313 Click to see attachment707 707
15 Other assets (describe bullet) Click to see attachment820,966 Click to see attachment824,178 Click to see attachment824,178
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,116,995 2,084,445 2,191,351
Liabilities 17 Accounts payable and accrued expenses.......... 458 785
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).......... 458 785
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 2,116,537 2,083,660
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,116,537 2,083,660
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,116,995 2,084,445
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 2,116,537
2 Enter amount from Part I, line 27a...................... 2 -32,877
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 2,083,660
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 2,083,660
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 65 SHS EUROSEAS LTD NEW P 2009-05-19 2010-01-15
b 45 SHS BP PLC SPONS ADR P 2010-03-18 2010-05-27
c 75 SHS E N I SPA SPONS ADR P   2010-08-20
d 112 SHS K T CORP SPONS ADR P 2010-03-18 2010-12-09
e 158 SHS NOKIA CORP SPONS ADR P   2010-04-29
174 SHS RWE AG SPONS ADR P   2010-07-23
85 SHS SMUCKER JM CO NEW P   2010-08-20
182 SHS STATOIL ASA ADR P   2010-07-23
100 SHS TELECOM CORP LTD ADR NA P 2010-03-18 2010-06-24
154 SHS UNILEVER N V NY SHS NEW P   2010-08-20
803 SHS VANGUARD EUROPEAN ETF P   2010-07-23
269 SHS VANGUARD EUROPEAN ETF P 2009-11-04 2010-08-06
955 SHS EUROSEAS LTD NEW P 2008-05-21  
215 SHS BP PLC SPONS ADR P   2010-05-27
214 SHS E N I SPA SPONS ADR P   2010-08-20
570 SHS KT CORP SPONS ADR P   2010-12-09
465 SHS NOKIA CORP SPONS ADR P 2008-05-21 2010-04-29
245 SHS SMUCKER JM CO NEW P   2010-08-20
538 SHS STATOIL ASA ADR P   2010-07-23
500 SHS TELECOM CORP LTD ADR N Z P   2010-06-24
430 SHS UNILEVER N V NY SHS NEW P   2010-08-20
K-1 ALLIANCEBERNSTEIN HOLDING LP P 2008-05-21  
K-1 ALLIANCEBERNSTEIN HOLDING LP P    
K-1 AMERIGAS PARTNERS LP P    
K-1 KINDER MORGAN ENERGY PARTNERS LP P    
K-1 ENTERPRISE PRODUCTS PARTNERS LP P    
FNMA 2006-43 WB REDEEMED P 1926-05-30  
FHLM 3093AA REDEEMED P 2006-03-02  
FNMA 2005-84 TH RETURN OF PRINCIPAL P 2005-09-30  
FHLM 2936 DD REDEEMED P 2005-02-25  
FHLM 2936 EE REDEEMED P 2005-02-25  
FHLM 3040 UB REDEEMED P 2005-11-08  
FHLM 3040 UB REDEEMED P 2005-12-20  
FHLM 3071 GPA REDEEMED P 2005-11-25  
FHLM 3093 TAT REDEEMED P 2005-12-30  
FHLM 3093 TA REDEEMED P 2005-12-30  
GNMA 2005-3 WG REDEEMED P 2005-01-28  
GNMA 2005-18 JC RETURN OF PRINCIPAL P 2005-02-25  
FNMA 2004-60 JB RETURN OF PRINCIPAL P 2004-07-30  
FHLM 2774 HE REDEEMED P 2004-04-30  
FHLM 2871 GD REDEEMED P 2004-10-29  
FHLM 2898 CC REDEEMED P 2004-12-30  
FHLM 2722 BH REDEEMED P 2003-12-30  
GNMA 2001-57 D RETURN OF PRINCIPLE P 2002-01-25  
FNMA 1997-46 PL RETURN OF PRINCIPAL P 1999-05-27  
FHLMC 2621 JJ REDEEMED P 2007-12-10  
FHLMC 2617 WC REDEEMED P 2007-05-18  
FHLMC 2957 CH REDEEMED P 2007-12-10  
FHLMC 3329 GD REDEEMED P 2007-06-18  
ALLIANCEBERNSTEIN HOLDING LP 148 SHS P   2010-07-06
ALLIANCEBERNSTEIN HOLDING LP 422 SHS P   2010-07-06
AMERIGAS PARTNERS LP 172 SHS P   2010-07-20
AMERIGAS PARTNERS LP 491 SHS P   2010-07-20
KINDER MORGAN ENERGY PTRS LP 91 SHS P   2010-07-20
KINDER MORGAN ENERGY PTRS LP 261 SHS P   2010-07-20
ENTERPRISE PRODUCTS PTRS LP 183 SHS P   2010-07-06
ENTERPRISE PRODUCTS PTRS LP 514 SHS P   2010-07-06
ANNALY CAP MGMT INC P    
HEALTH CARE REIT INC P 2010-07-23 2010-11-19
(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 272   387 -115
b 2,009   2,613 -604
c 2,975   3,307 -332
d 2,294   2,262 32
e 1,912   2,414 -502
11,919   15,765 -3,846
5,057   5,153 -96
3,832   4,090 -258
694   769 -75
4,116   4,617 -501
36,315   38,820 -2,505
12,737   13,334 -597
4,059   15,972 -11,913
9,597   15,808 -6,211
8,491   9,470 -979
11,676   12,186 -510
5,628   13,717 -8,089
14,578   9,570 5,008
11,327   19,351 -8,024
3,468   7,067 -3,599
11,494   13,557 -2,063
      15
      6
      -12
      -8
      -13
8,000   8,006 -6
6,000   6,006 -6
1,982   1,982 0
12,000   12,006 -6
9,000   9,006 -6
18,000   18,006 -6
5,000   4,856 144
253   258 -5
5,573   5,579 -6
157   163 -6
27,066   27,072 -6
2,601   2,601 0
6,344   6,312 32
5,792   5,798 -6
48,000   48,006 -6
7,000   7,006 -6
5,116   5,122 -6
1,132   1,132 0
784   759 25
12,000   11,115 885
19,327   18,288 1,039
26,305   25,669 636
30,000   30,000 0
3,726   5,076 -1,350
10,623   14,474 -3,851
7,359   4,937 2,422
21,008   14,093 6,915
6,162   3,603 2,559
17,672   10,334 7,338
6,467   4,044 2,423
18,164   11,359 6,805
      182
      82
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       -115
b       -604
c       -332
d       32
e       -502
      -3,846
      -96
      -258
      -75
      -501
      -2,505
      -597
      -11,913
      -6,211
      -979
      -510
      -8,089
      5,008
      -8,024
      -3,599
      -2,063
      15
      6
      -12
      -8
      -13
      -6
      -6
      0
      -6
      -6
      -6
      144
      -5
      -6
      -6
      -6
      0
      32
      -6
      -6
      -6
      -6
      0
      25
      885
      1,039
      636
      0
      -1,350
      -3,851
      2,422
      6,915
      2,559
      7,338
      2,423
      6,805
      182
      82
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 -19,582
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 152,372 1,200,917 0.126880
2008 163,067 1,316,853 0.123831
2007 216,635 1,450,457 0.149356
2006 161,612 1,462,033 0.110539
2005 143,615 1,479,862 0.097046
2 Total of line 1, column (d) ...................... 2 0.607652
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 0.121530
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 1,283,997
5 Multiply line 4 by line 3....................... 5 156,044
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 408
7 Add lines 5 and 6......................... 7 156,452
8 Enter qualifying distributions from Part XII, line 4.............. 8 127,638
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 1 816
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............................ 3 816
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- ..... 5 816
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 1,563
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 1,563
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 10 747
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet747 Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
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)bulletOH
    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 addressbulletWWW.BLOSSERTRUST.ORG
    14
    The books are in care ofbulletPEGGY GRAY Telephone no.bullet (740) 773-0043
    Located atbulletPO BOX 6160CHILLICOTHEOH ZIP+4bullet45601
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    LORENE C WASHINGTON TRUSTEE
    2.50     		3,050 0 0
    102 EASTLOOK DRIVE
    CHILLICOTHE,OH45601
    DONALD C GATCHELL TRUSTEE
    2.50     		3,050 0 0
    1251 BETTY LN
    CHILLICOTHE,OH45601
    TIM NUSBAUM TRUSTEE
    2.50     		3,050 0 0
    62 APPLEWOOD DR
    CHILLICOTHE,OH45601
    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 PROVIDED 8 SCHOLARSHIPS TO QUALIFYING APPLICANTS TO AID IN FURTHERING THEIR EDUCATION. 12,000
    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 PROVIDED 40 LOANS TO QUALIFYING APPLICANTS TO AID IN FURTHERING THEIR EDUCATION. 94,793
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet94,793
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,192,402
    b
    Average of monthly cash balances.......................
    1b
    110,441
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    707
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,303,550
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d..........................
    3
    1,303,550
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    19,553
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,283,997
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    64,200
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    64,200
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    816
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    816
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    63,384
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    73,595
    5
    Add lines 3 and 4.............................
    5
    136,979
    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
    136,979
    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
    32,845
    b
    Program-related investments—total from Part IX-B..................
    1b
    94,793
    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
    127,638
    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
    127,638
    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 7 136,979
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 12,535
    b From 2006.......  
    c From 2007....... 54,676
    d From 2008....... 11,162
    e From 2009....... 23,752
    fTotal of lines 3a through e......... 102,125
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 127,638
    a Applied to 2009, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		 0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		0
    d Applied to 2010 distributable amount..... 127,638
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2010. 9,341 9,341
    (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 92,784
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		0
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		3,194
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		89,590
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007.... 54,676
    c Excess from 2008.... 11,162
    d Excess from 2009.... 23,752
    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:
    PEGGY GRAY PETER J BLOSSER SCHOLARS
    38 S PAINT ST STE 1
    CHILLICOTHE,OH45601
    (740) 773-0043
    bThe form in which applications should be submitted and information and materials they should include:
    SEE ATTACHED APPLICATION
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    LOANS RESTRICTED TO RESIDENTS OF ROSS COUNTY, OHIO.
    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
    MEGGAN L ALKIRE
    267 COVE RUN ROADA
    BAINBRIDGE,OH45612     		NONE N/A EDUCATIONAL SCHOLARSHIP 1,500
    MEGAN B CLARK
    61 BERKLEY ROAD
    LONDONDERRY,OH45647     		NONE N/A EDUCATIONAL SCHOLARSHIP 1,500
    SAMANTHA C GRIZZELL
    P O BOX 278
    KINGSTON,OH45644     		NONE N/A EDUCATIONAL SCHOLARSHIP 1,500
    TYLER A HETTINGER
    1163 ST RT 207
    CHILLICOTHE,OH45601     		NONE N/A EDUCATIONAL SCHOLARSHIP 1,500
    MATTHEW S HUTTON
    4099 BLACK RUN ROAD
    CHILLICOTHE,OH45601     		NONE N/A EDUCATIONAL SCHOLARSHIP 1,500
    HEATHER MARTIN
    16496 ST RT 56
    LAURELVILLE,OH43135     		NONE N/A EDUCATIONAL SCHOLARSHIP 1,500
    JESSICA L SEYFANG
    160 BIERS RUN ROAD
    CHILLICOTHE,OH45601     		NONE N/A EDUCATIONAL SCHOLARSHIP 1,500
    BRITTANI A TARTER
    1063 MALONE ROAD
    CHILLICOTHE,OH45601     		NONE N/A EDUCATIONAL SCHOLARSHIP 1,500
    K-1 ALLIANCEBERSTEIN HOLDING LP
    1345 AVENUE OF THE AMERICAS
    NEW YORK,NY10105     		NONE N/A CASH DONATION 2
    Total .................................bullet 3a 12,002
    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 26,274  
    4 Dividends and interest from securities....     14 28,975  
    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.....         14,589
    8Gain or (loss) from sales of assets other than inventory     18 -22,589  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aRECOVERY OF BAD DEBTS         3,824
    bRECOVERY OF BANK CHARGES         329
    cRETURN OF SCHOLARSHIP         2,000
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 32,660 20,742
    13Total. Add line 12, columns (b), (d), and (e)...................
    1353,402
    (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.)
    7 INTEREST EARNED ON LOANS MADE TO STUDENTS ATTENDING INSTITUTIONS OF HIGHER LEARNING.
    11A RECOVERY OF STUDENT LOANS PREVIOUSLY WRITTEN OFF AS BAD DEBT EXPENSE.
    11B RECOVERY OF BANK CHARGES FROM STUDENTS.
    11C RETURN OF PRIOR YEAR SCHOLARSHIP
    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:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,575 2,575   0

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2010 DepreciationSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    TYPEWRITER 1985-12-31 737 737 SL 5.000000000000 0 0    
    SURGE PROTECTOR 2000-08-25 110 110 SL 5.000000000000 0 0    
    HP COPIER/PRINTER/FAX/SCANNER 2005-05-11 300 280 SL 5.000000000000 20 0    
    LEATHER OFFICE CHAIR 2005-04-09 110 76 SL 7.000000000000 16 0    
    CHERRY DESK 2005-04-08 484 328 SL 7.000000000000 69 0    
    4 CHAIRS 2005-04-08 512 347 SL 7.000000000000 73 0    
    LATERAL FILE 2005-04-08 140 95 SL 7.000000000000 20 0    
    MACBOOK LAPTOP 2006-07-12 1,354 948 SL 5.000000000000 271 0    
    FURNITURE 2006-04-13 411 221 SL 7.000000000000 59 0    
    COMPUTER CHARGER 2008-08-25 99 27 SL 5.000000000000 20 0    
    LAPTOP BATTERY 2008-09-15 142 37 SL 5.000000000000 28 0    
    PRINTER 2009-01-15 150 30 SL 5.000000000000 30 0    

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2010 GainLossSaleOtherAssetsSch
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    FROM K-1 ALLIANCEBERSTEIN HOLDING LP   PURCHASED           0 -201  
    FROM K-1 AMERIGAS PARTNERS LP   PURCHASED           0 -298  
    FROM K-1 KINDER MORGAN ENERGY PARTNERS LP   PURCHASED           0 -1,643  
    FROM K-1 ENTERPRISE PRODUCT PARTNER LP   PURCHASED           0 -865  

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M COMPANY 187+68=255 15,307 22,007
    ACCENTURE PLC IRELAND CLA 400+139=539 20,297 26,136
    ALLIANZ SE SPONS ADR 1481 16,481 17,579
    ANNALY CAPITAL MGT INC 905+320=1225 21,408 21,952
    ASTRAZENECA PLC SPON ADR 369+135=504 22,237 23,280
    AT&T INC 441+90=531 13,465 15,601
    AUTOMATIC DATA PROCESSING INC 292+98=390 14,361 18,049
    BOEING CO 151+44=195 10,665 12,726
    BRITISH AM TOBACCO PLC SPONS ADR 195+69=264 19,090 20,513
    CHEVRON CORP 160+57=217 20,218 19,801
    CONOCOPHILLIPS 246+81=327 15,526 22,269
    DE LA RUE PLC 1044 SHS 13,321 13,186
    DUKE ENERGY CORP NEW 786+281=1067 16,157 19,003
    EMERSON ELECTRIC CO 447+155=602 22,071 34,416
    EXELON CORP 159+253=412 17,660 17,156
    FRANCE TELECOM SPON ADR 838 SHS 17,716 17,665
    GLAXOSMITHKLINE PLC 349+121=470 19,796 18,433
    GOV'T PROPETIES INCOME TR 597 SHS 16,626 15,994
    HEALTH CARE REIT INC 368 SHS 16,375 17,531
    HONEYWELL INTL INC 450+156=606 20,974 32,215
    INTEL CORP 996 SHS 19,492 20,946
    JOHNSON & JOHNSON 220+80=300 19,336 18,555
    KIMBERLY CLARK CORP 231+81=312 19,141 19,668
    MCCORMICK & CO INC 334+116=450 14,304 20,939
    MICROSOFT CORP 640-185=455 4,532 12,699
    MICROSOFT CORP 50+180=230 6,066 6,419
    NIKE INC CL B 210+43=253 16,953 21,611
    NYSE EURONEXT 431+151=582 13,616 17,448
    PEPSICO INC 178+62=240 13,391 15,679
    PHILIP MORRIS INT'L INC 300+111=411 20,703 24,056
    PROCTER & GAMBLE CO 336 SHS 20,114 21,615
    ROYAL DUTCH SHELL PLC 307 SHS 15,977 20,468
    RPM INTL INC 325+561=886 18,257 19,581
    SANOFI AVENTIS SPON ADR 389+140=529 19,189 17,050
    SEADRILL LTD 868 SHS 17,667 29,442
    SIEMENS A G SPON ADR 125+43=168 18,283 20,874
    TAIWAN SEMICONDUCTOR MFG CO 2011 SHS 19,965 25,218
    TOTAL S A SPON ADR 332 SHS 15,956 17,755
    VIVENDI SA SPON ADR934 24,033 25,283
    VODAFONE GRP PLC NEW SPON ADR 602+118=720 19,427 19,037
    VANGUARD EUROPEAN ETF 1268 -494=774 34,834 37,996
    JPMORGAN CHASE & CO 1236 SHS 40,376 44,929
    EUROSEAS LTD NEW 1020 SHS 0 0
    KT CORP SPON ADR 570 SHS 0 0
    NOKIA CORP SPON ADR 520 SHS 0 0
    STATOILHYDRA ASA SPON ADR 410 SHS 0 0
    STATOIL ASA SPON ADR 128 SHS 0 0
    TELECOM CORP LTD ADR 450 SHS 0 0
    TELECOM CORP LTD ADR NEW ZEALAND 128 SHS 0 0
    UNILEVER NV NEW YORK NEW 430 SHS 0 0
    BP PLC SPON ADR 215 SHS 0 0
    ENI SPA SPON ADR 214 SHS 0 0

    TY 2010 InvestmentsOtherSchedule2
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    FNMA 1997-46 PL AT COST 4,822 4,998
    GNMA 2001-57 D AT COST 5,244 5,235
    FHLM 2722 BH AT COST 0 0
    RES ACCREDITED 2003-SQ10 A-2 AT COST 74,510 66,490
    FNMA 2004-60 JB AT COST 23,543 23,879
    FHLM 2774 HE AT COST 0 0
    FHLM 2871 GD AT COST 0 0
    FHLM 2898 CC AT COST 0 0
    GNMA 2004-101 BE AT COST 6,805 7,205
    MASTER ASSET SEC TRUST 2003-10 3A5 AT COST 25,006 25,139
    CITICORP MTG 2003-8 A6 AT COST 4,950 4,977
    BANK OF AM ALT 2003 10 4A2 AT COST 19,781 14,385
    FHLM 2936 DD AT COST 0 0
    FHLM 3071 GP AT COST 0 0
    GNMA 2005-3 WG AT COST 0 0
    FHLM 3040 UB AT COST 0 0
    FHLM 2936 EE NEW ISS AT COST 0 0
    GNMA 2005-18 JC AT COST 7,405 7,275
    FNMA 2005-68 GB AT COST 40,006 40,884
    STRUCTURED ASSET SEC 2005-5 2A3 AT COST 30,006 21,552
    FNMA 2005-84 TH AT COST 5,573 5,913
    FHLM 3093 TA AT COST 0 0
    BANK OF AMERICA 2004-4 2A3 AT COST 79,479 82,130
    FHLM 2724 LM AT COST 11,826 12,594
    FNMA 2005-109 GD AT COST 10,989 11,300
    FNMA 2006-43 WB AT COST 0 0
    FHLM 3093 AA AT COST 0 0
    FHLM 2617 WC AT COST 0 0
    FHLM 2621 JJ AT COST 0 0
    FHLM 2957 CH AT COST 0 0
    FNMA 2005-27 AD AT COST 11,280 12,341
    FHLM 3258 JD AT COST 15,000 15,417
    FHLM 3329 GD AT COST 0 0
    ALLIANCEBERNSTEIN HOLDING LTD AT COST 0 0
    AMERIGAS PARTNERS LP AT COST 0 0
    KINDER MORGAN ENERGY PARTNERS LP AT COST 0 0
    TEPPCO PARTNERS LP/ENTERPRISE PRODUCTS PTRS AT COST 0 0

    TY 2010 LandEtcSchedule2
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    TYPEWRITER 737 737   0
    SURGE PROTECTOR 110 110   0
    HP COPIER/PRINTER/FAX/SCANNER 300 300   0
    LEATHER OFFICE CHAIR 110 92 18 0
    CHERRY DESK 484 397 87 0
    4 CHAIRS 512 420 92 0
    LATERAL FILE 140 115 25 0
    MACBOOK LAPTOP 1,354 1,219 135 0
    SOFTWARE 438 438   0
    FURNITURE 411 280 131 0
    COMPUTER CHARGER 99 47 52 0
    LAPTOP BATTERY 142 65 77 0
    PRINTER 150 60 90 0


    TY 2010 LegalFeesSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 269 269   0


    TY 2010 OtherAssetsSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    STUDENT LOAN RECEIVABLE 820,966 824,178 824,178


    TY 2010 OtherExpensesSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BAD DEBTS 23,810 0   0
    BOND 500 0   500
    INSURANCE 375 0   375
    OFFICE EXPENSE 594 0   594
    POSTAGE 436 0   436
    SAFE DEPOSIT BOX 75 75   0
    STATE FILING FEE 200 200   0
    TELEPHONE & COMMUNICATIONS 1,841 0   1,841
    COURT COSTS 37 0   37
    COLLECTION FEES 1,586 0   1,586
    P O BOX RENTAL 100 50   50
    WEBSITE HOSTING FEE 111 0   111
    FOREIGN TAX WITHHELD 1,330 1,330   0
    MEMBERSHIP FEE 30 0   30
    INVESTMENT MANAGEMENT FEES 9,598 9,598   0
    ADVERTISING 362 0   362


    TY 2010 OtherIncomeSchedule2
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    STUDENT LOAN INTEREST 14,589 14,589 14,589
    RECOVERY OF BAD DEBTS 3,824   3,824
    RECOVERY OF BANK CHARGES 329   329
    RETURN OF SCHOLARSHIP 2,000   2,000


    TY 2010 TaxesSchedule
    Name:
    PETER J BLOSSER SCHOLARSHIP TRUST
    EIN: 31-0629687
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 1,192 596   596