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 07-01-2010 , and ending 06-30-2011
G
Check all that apply:
Name of foundation
INTERMEC FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)6001 36TH AVENUE WEST   Room/suite
City or town, state, and ZIP code
EVERETT, WA982031264
A Employer identification number

95-4453230
B Telephone number (see page 10 of the instructions)

(425) 265-2465
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$16,949,042J 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 158 158  
4 Dividends and interest from securities...... 322,635 322,635  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 531,718
b Gross sales price for all assets on line 6a 6,793,255
7 Capital gain net income (from Part IV, line 2)... 531,718
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........ 854,511 854,511  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 334 0   334
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 86,250 51,619   34,631
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 20,400 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 1,627 0   75
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 108,611 51,619   35,040
25 Contributions, gifts, grants paid........ 747,628 747,628
26 Total expenses and disbursements. Add lines 24 and 25 856,239 51,619   782,668
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,728
b Net investment income (if negative, enter -0-) 802,892
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 167,753 328,429 328,429
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 9,229,758 Click to see attachment11,046,851 11,046,851
c Investments—corporate bonds (attach schedule)........ 5,374,745 Click to see attachment5,573,762 5,573,762
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) 14,772,256 16,949,042 16,949,042
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 16,282,078 16,282,078
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds -1,509,822 666,964
30 Total net assets or fund balances (see page 17 of the
instructions).................... 14,772,256 16,949,042
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 14,772,256 16,949,042
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 14,772,256
2 Enter amount from Part I, line 27a...................... 2 -1,728
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 2,178,514
4 Add lines 1, 2, and 3.......................... 4 16,949,042
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 16,949,042
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 SALE OF PUBLICLY TRADED SECURITIES      
b DISALLOWED LOSSES ON SALE OF PUBLICLY TRADED SECURITIES      
c CAPITAL GAINS DIVIDENDS P    
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 6,618,962   6,263,324 355,638
b       1,787
c 174,293     174,293
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       355,638
b       1,787
c       174,293
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 2 531,718
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 671,126 15,082,827 0.044496
2008 1,181,365 14,361,241 0.082261
2007 793,210 20,149,896 0.039365
2006 431,474 21,397,612 0.020165
2005 579,804 19,738,241 0.029375
2 Total of line 1, column (d) ...................... 2 0.215662
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 0.043132
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 16,234,084
5 Multiply line 4 by line 3....................... 5 700,209
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 8,029
7 Add lines 5 and 6......................... 7 708,238
8 Enter qualifying distributions from Part XII, line 4.............. 8 782,668
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 8,029
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 8,029
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 8,029
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 17,977
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 17,977
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 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 9,948
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet8,200 Refunded Bullet 11 1,748
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)bulletCA, WA
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV...........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletFIDELITY PRIVATE FOUNDATION SERVICE Telephone no.bullet (800) 334-4438
    Located atbullet200 SEAPORT BOULEVARDBOSTONMA ZIP+4bullet02210
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
    No
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    MARY BRODD RESIGNED 382011 PRESIDENT
    1.00     		0 0 0
    6001 36TH AVENUE WEST
    EVERETT,WA98203
    PAULA BAUERT ASST. TREASURER
    0.50     		0 0 0
    6001 36TH AVENUE WEST
    EVERETT,WA98203
    JOCELYN KOVALENKO ASST. SECRETARY
    1.00     		0 0 0
    6001 36TH AVENUE WEST
    EVERETT,WA98203
    CONSTANCE CHAPMAN SECRETARY
    0.50     		0 0 0
    6001 36TH AVENUE WEST
    EVERETT,WA98203
    JANIS HARWELL RESIGNED 063011 DIRECTOR
    0.50     		0 0 0
    6001 36TH AVENUE WEST
    EVERETT,WA98203
    ROBERT DRIESSNACK DIRECTOR
    0.50     		0 0 0
    6001 36TH AVENUE WEST
    EVERETT,WA98203
    DOUGLAS STUBSTEN DIRECTOR
    0.50     		0 0 0
    6001 36TH AVENUE WEST
    EVERETT,WA98203
    FRANK MCCALLICK TREASURER
    0.50     		0 0 0
    6001 36TH AVENUE WEST
    EVERETT,WA98203
    SUE TAYLOR APPOINTED 32111 PRESIDENT
    1.00     		0 0 0
    6001 36TH AVENUE WEST
    EVERETT,WA98203
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet0
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    16,182,062
    b
    Average of monthly cash balances.......................
    1b
    299,242
    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
    16,481,304
    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
    16,481,304
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    247,220
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    16,234,084
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    811,704
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    811,704
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    8,029
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,029
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    803,675
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    803,675
    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
    803,675
    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
    782,668
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    782,668
    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
    8,029
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    774,639
    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 7 803,675
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 193,139
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005.......  
    b From 2006.......  
    c From 2007.......  
    d From 2008.......  
    e From 2009.......  
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 782,668
    a Applied to 2009, but not more than line 2a 193,139
    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..... 589,529
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2010. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		214,146
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		0
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		0
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007....  
    c Excess from 2008....  
    d Excess from 2009....  
    e Excess from 2010....  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2010, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2010 (b) 2009 (c) 2008 (d) 2007
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ALBURNETT JR SR HIGH SCHOOL
    PO BOX 400
    ALBURNETT,IA52202     		N/A SCHOOL EDUCATION 2,000
    ALL SAINTS SCHOOL
    720 29TH STREET SE
    CEDAR RAPIDS,IA52403     		N/A SCHOOL EDUCATION 4,000
    ARAPAHOE HIGH SCHOOL
    2201 E DRY CREEK RD
    CENTENNIAL,CO80122     		N/A SCHOOL EDUCATION 2,000
    BETA THETA PI FOUNDATION
    PO BOX 6277
    OXFORD,OH45056     		N/A 509(A)(1) EDUCATION 1,000
    BIG BROTHERS BIG SISTERS
    3150 E AVENUE NW SUITE 103
    CEDAR RAPIDS,IA52405     		N/A 509(A)(1) COMMUNITY SERVICES 10,000
    BISHOP BLANCHET HIGH SCHOOL
    8200 WALLINGFORD AVENUE NORTH
    SEATTLE,WA98103     		N/A SCHOOL EDUCATION 2,500
    BROOKSIDE ELEMENTARY SCHOOL
    1950 RHYNE CARTER ROAD
    GASTONIA,NC28054     		N/A SCHOOL EDUCATION 4,000
    CARL COZIER ELEMENTARY
    1330 LINICOLN ST
    BELLINGHAM,WA98229     		N/A SCHOOL EDUCATION 2,000
    CEDAR PARK CHRISTIAN SCHOOL
    16300 112TH AVENUE NE
    BOTHELL,WA98011     		N/A SCHOOL EDUCATION 10,600
    CEDAR VALLEY CHRISTIAN SCHOOL
    3636 COTTAGE GROVE AVE SE
    CEDAR RAPIDS,IA52403     		N/A SCHOOL EDUCATION 2,000
    CEDAR WOOD ELEMENTARY SCHOOL
    3414 168TH ST SE
    BOTHELL,WA98012     		N/A SCHOOL EDUCATION 2,000
    CLAREMONT MCKENNA COLLEGE
    400 N CLAREMONT BLVD
    CLAREMONT,CA91711     		N/A COLLEGE EDUCATION 5,000
    CLEAR CREEK AMANA MIDDLE SCHOOL
    311 W MARENGO RD
    TIFFIN,IA52340     		N/A SCHOOL EDUCATION 2,000
    COOLIDGE ELEMENTARY SCHOOL
    6225 1ST AVENUE SW
    CEDAR RAPIDS,IA52405     		N/A SCHOOL EDUCATION 4,000
    DES MOINES CHRISTIAN SCHOOL
    13007 DOUGLAS PARKWAY
    URBANDALE,IA50323     		N/A SCHOOL EDUCATION 2,000
    ENVIRONMENTAL AND ADVENTURE SCHOOL
    8040 NE 132ND ST
    KIRKLAND,WA98034     		N/A SCHOOL EDUCATION 2,000
    EVERGREEN MIDDLE SCHOOL
    7621 BEVERLY LANE
    EVERETT,WA98023     		N/A SCHOOL EDUCATION 2,000
    EXCELSIOR MIDDLE SCHOOL
    3555 NORTH 10TH STREET
    MARION,IA52302     		N/A SCHOOL EDUCATION 2,000
    FOOD LIFELINE
    1702 NE 150TH STREET
    SHORELINE,WA98155     		N/A 509(A)(1) COMMUNITY SERVICES 40,000
    FOUNDATION 2 FOOD PANTRY
    1714 JOHNSON AVENUE NW
    CEDAR RAPIDS,IA52405     		N/A 509(A)(1) COMMUNITY SERVICES 40,000
    HEBREW HIGH SCHOOL OF NEW ENGLAND
    1244 NORTH MAIN STREET
    WEST HARTFORD,CT06117     		N/A SCHOOL EDUCATION 4,000
    HORIZON ELEMENTARY SCHOOL
    222 WEST CASINO ROAD
    EVERETT,WA98204     		N/A SCHOOL EDUCATION 4,000
    INDIAN CREEK ELEMENTARY
    2900 INDIAN CREEK ROAD
    MARION,IA52302     		N/A SCHOOL EDUCATION 6,000
    INGLEMOOR HIGH SCHOOL
    15500 SIMONDS ROAD
    KENMORE,WA98028     		N/A SCHOOL EDUCATION 2,000
    INTERLAKE HIGH SCHOOL
    16245 - NE 24TH STREET
    BELLEVUE,WA98008     		N/A SCHOOL EDUCATION 2,000
    ISAAC NEWTON CHRISTIAN ACADEMY
    1635 LINMAR DRIVE NE
    CEDAR RAPIDS,IA52402     		N/A SCHOOL EDUCATION 2,000
    JAMES MONROE ELEMENTARY SCHOOL
    10901 27TH AVENUE SE
    EVERETT,WA98208     		N/A SCHOOL EDUCATION 2,000
    KINGSWAY CHRISTIAN ACADEMY
    4161 N POWERS DRIVE
    ORLANDO,FL32818     		N/A SCHOOL EDUCATION 2,000
    LAURELHURST ELEMENTARY SCHOOL
    4530 46TH AVE NE
    SEATTLE,WA98115     		N/A SCHOOL EDUCATION 2,000
    LINN GROVE ELEMENTARY SCHOOL
    2301 50TH STREET
    MARION,IA52302     		N/A SCHOOL EDUCATION 2,000
    LINN MAR HIGH SCHOOL
    3111 N 10TH STREET
    MARION,IA52302     		N/A SCHOOL EDUCATION 8,000
    LOCUST CORNER ELEMENTARY
    3431 LOCUST CORNER ROAD
    CINCINNATI,OH45245     		N/A SCHOOL EDUCATION 2,000
    MADRONA K-8
    9300 236TH STREET SW
    EDMONDS,WA98020     		N/A SCHOOL EDUCATION 4,000
    MARION HIGH SCHOOL
    675 S 15TH STREET
    MARION,IA52302     		N/A SCHOOL EDUCATION 2,000
    MARLBOROUGH SCHOOL
    250 S ROSSMORE AVENUE
    LOS ANGELES,CA90004     		N/A SCHOOL EDUCATION 4,000
    MARVIN RIDGE HIGH SCHOOL
    2825 CRANE ROAD
    WAXHAW,NC28173     		N/A SCHOOL EDUCATION 2,000
    MILWAUKEE SCHOOL OF ENGINEERING
    1025 N BROADWAY
    MILWAUKEE,WI53202     		N/A COLLEGE EDUCATION 5,000
    MOUNT VERNON COMMUNITY HIGH SCHOOL
    731 PALISADES ROAD
    MOUNT VERNON,IA52314     		N/A SCHOOL EDUCATION 5,000
    MOUNTLAKE TERRACE HIGH SCHOOL
    21801 44TH AVE W
    MOUNTLAKE TERRACE,WA98043     		N/A SCHOOL EDUCATION 2,000
    NATIONAL MERIT SCHOLARSHIP CORPORATION
    PO BOX 99389
    CHICAGO,IL60693     		N/A 509(A)(1) EDUCATION 61,862
    NORTHEAST ELEMENTARY
    1705 NE TRILEIN DR
    ANKENY,IA50021     		N/A SCHOOL EDUCATION 2,000
    NORTHSHORE CHRISTIAN ACADEMY
    5700 23RD DRIVE W
    EVERETT,WA98203     		N/A SCHOOL EDUCATION 2,000
    OUR LADY OF MT CARMEL
    14596 OAK RIDGE ROAD
    CARMEL,IN46032     		N/A CHURCH EDUCATION 2,000
    PALOMARES ELEMENTARY SCHOOL
    6395 PALO VERDE ROAD
    CASTRO VALLEY,CA94552     		N/A SCHOOL EDUCATION 2,000
    PALOMARES PARENT TEACHER CLUB
    6395 PALO VERDE ROAD
    CASTRO VALLEY,CA94552     		N/A 509(A)(1) EDUCATION 1,200
    PEAK TO PEAK CHARTER SCHOOL
    800 MERLIN DRIVE
    LAFAYETTE,CO80026     		N/A SCHOOL EDUCATION 2,000
    PENN ELEMENTARY
    230 N DUBUQUE ST
    NORTH LIBERTY,IA52317     		N/A SCHOOL EDUCATION 4,000
    POLK ELEMENTARY SCHOOL
    1500 B AVE NE
    CEDAR RAPIDS,IA52402     		N/A SCHOOL EDUCATION 3,778
    POLYTECHNIC SCHOOL
    1030 EAST CALIFORNIA BOULEVARD
    PASADENA,CA91106     		N/A SCHOOL EDUCATION 1,000
    PORT SUSAN MIDDLE SCHOOL
    7506 267TH ST NW
    STANWOOD,WA98292     		N/A SCHOOL EDUCATION 2,000
    PORTLAND STATE UNIVERSITY FOUNDATION
    PO BOX 243
    PORTLAND,OR97207     		N/A 509(A)(1) EDUCATION 5,000
    PRAIRIE CREEK INTERMEDIATE
    401 76TH AVE SW
    CEDAR RAPIDS,IA52404     		N/A SCHOOL EDUCATION 2,000
    PRAIRIE CREST ELEMENTARY
    401 76TH AVENUE SW
    CEDAR RAPIDS,IA52404     		N/A SCHOOL EDUCATION 8,200
    PRAIRIE HEIGHTS ELEMENTARY SCHOOL
    401 76TH AVE SW
    CEDAR RAPIDS,IA52404     		N/A SCHOOL EDUCATION 2,000
    PRAIRIE HIGH SCHOOL
    401 76TH STREET SW
    CEDAR RAPIDS,IA52404     		N/A SCHOOL EDUCATION 6,000
    PRAIRIE POINT MIDDLE SCHOOL
    401 76TH AVENUE SW
    CEDAR RAPIDS,IA52404     		N/A SCHOOL EDUCATION 2,000
    PRAIRIE POINT MIDDLE SCHOOL AND 9TH GRADE ACADEMY
    401 7TH AVE NE
    CEDAR RAPIDS,IA52404     		N/A SCHOOL EDUCATION 4,000
    PRAIRIE SCHOOL FOUNDATION
    401 76TH AVE SW
    CEDAR RAPIDS,IA52404     		N/A 509(A)(1) EDUCATION 2,000
    PRAIRIE VIEW ELEMENTARY
    401 76TH AVE SW
    CEDAR RAPIDS,IA52404     		N/A SCHOOL EDUCATION 2,000
    PRINCE OF PEACE CATHOLIC SCHOOL
    16000 W 143RD STREET
    OLATHE,KS66062     		N/A SCHOOL EDUCATION 2,000
    SECOND HARVEST FOOD BANK OF METROLINA
    500-B SPRATT STREET
    CHAROLOTTE,NC28206     		N/A 509(A)(1) COMMUNITY SERVICES 40,000
    SHARED HARVEST FOODBANK
    5901 DIXIE HWY
    FAIRFIELD,OH45014     		N/A 509(A)(1) COMMUNITY SERVICES 40,000
    SIMON BUTLER ELEMENTARY SCHOOL
    200 BRITTANY DRIVE
    CHALFONT,PA18914     		N/A SCHOOL EDUCATION 2,000
    SKYLINE ELEMENTARY
    1033-91ST AVENUE SE
    EVERETT,WA98205     		N/A SCHOOL EDUCATION 6,000
    SOUNDVIEW SCHOOL
    6515 196TH STREET SW
    LYNNWOOD,WA98036     		N/A SCHOOL EDUCATION 500
    ST JOHN SCHOOL
    120 NORTH 79TH STREET
    SEATTLE,WA98103     		N/A SCHOOL EDUCATION 4,000
    ST JOSEPH CATHOLIC SCHOOL
    1430 14TH ST
    MARION,IA52302     		N/A SCHOOL EDUCATION 2,000
    ST MARYS EPISCOPAL SCHOOL
    60 PERKINS EXTENDED
    MEMPHIS,TN38117     		N/A SCHOOL EDUCATION 2,500
    ST CATHERINE LABOURE SCHOOL
    9740 SAPPINGTON ROAD
    SAINT LOUIS,MO63128     		N/A SCHOOL EDUCATION 3,750
    STANFORD UNIVERSITY
    326 GALVEZ STREET
    STANFORD,CA94305     		N/A UNIVERSITY EDUCATION 12,000
    STILLWATER ELEMENTARY SCHOOL
    11530 320TH AVE NE
    CARNATION,WA98014     		N/A SCHOOL EDUCATION 2,000
    TAFT MIDDLE SCHOOL
    5200 E AVE NW
    CEDAR RAPIDS,IA52405     		N/A SCHOOL EDUCATION 6,000
    THEATRE CEDAR RAPIDS
    102 THIRD STREET SE
    CEDAR RAPIDS,IA52401     		N/A 509(A)(1) COMMUNITY SERVICES 10,000
    TRINITY LUTHERAN SCHOOL
    1361 7TH AVENUE SW
    CEDAR RAPIDS,IA52404     		N/A SCHOOL EDUCATION 2,000
    UNITED WAY OF SNOHOMISH COUNTY
    3120 MCDOUGALL AVENUE 200
    EVERETT,WA98201     		N/A 509(A)(1) COMMUNITY SERVICES 63,195
    UNIV OF SOUTHERN CALIFORNIA
    UNIVERSITY GARDENS BUILDING 203
    LOS ANGELES,CA90089     		N/A UNIVERSITY EDUCATION 17,000
    UNIVERSITY AT BUFFALO FOUNDATION INC
    PO BOX 900
    BUFFALO,NY14226     		N/A 509(A)(1) EDUCATION 1,000
    UNIVERSITY OF ILLINOIS FOUNDATION
    HARKER HALL 1305 W GREEN ST
    URBANA,IL61801     		N/A 509(A)(1) EDUCATION 15,000
    VIOLA GIBSON ELEMENTARY SCHOOL
    6101 GIBSON DR NE
    CEDAR RAPIDS,IA52411     		N/A SCHOOL EDUCATION 2,000
    WASHINGTON HIGH SCHOOL
    2205 FOREST DRIVE SE
    CEDAR RAPIDS,IA52403     		N/A SCHOOL EDUCATION 10,000
    WEST WOODLAND ELEMENTARY SCHOOL
    5601 4TH AVE NW
    SEATTLE,WA98107     		N/A SCHOOL EDUCATION 2,500
    WESTFIELD ELEMENTARY SCHOOL
    901 EAST MAIN STREET
    ROBBINS,IA52328     		N/A SCHOOL EDUCATION 4,000
    WESTMINSTER CATAWBA CHRISTIAN SCHOOL
    2650 INDIA HOOK ROAD
    ROCK HILL,SC29732     		N/A SCHOOL EDUCATION 2,000
    WILTON COMMUNITY JRSR HIGH SCHOOL
    1002 CYPRESS STREET
    WILTON,IA52778     		N/A SCHOOL EDUCATION 2,000
    WOODINVILLE MONTESSORI SCHOOL
    10901NORTH CREEK PKWY SOUTH
    BOTHELL,WA98011     		N/A SCHOOL EDUCATION 2,000
    XAVIER HIGH SCHOOL
    6300 42ND STREET NE
    CEDAR RAPIDS,IA52411     		N/A SCHOOL EDUCATION 8,000
    XAVIER HIGH SCHOOL FOUNDATION
    PO BOX 10956
    CEDAR RAPIDS,IA52410     		N/A 509(A)(1) EDUCATION 500
    ST MATTHEW SCHOOL
    2244 1ST AVENUE
    CEDAR RAPIDS,IA52405     		N/A SCHOOL EDUCATION 500
    WHIDBEY ISLAND CENTER FOR THE ARTS
    PO BOX 52
    LANGLEY,WA98260     		N/A 509(A)(1) COMMUNITY SERVICES 10,000
    NORTHWEST AFRICAN AMERICAN MUSEUM
    2300 S MASSACHUSETTS STREET
    SEATTLE,WA98144     		N/A 509(A)(1) EDUCATION 6,518
    PASADENA WALDORF SCHOOL
    209 EAST MARIPOSA STREET
    ALTADENA,CA91001     		N/A SCHOOL EDUCATION 1,000
    UNIVERSITY OF WASHINGTON FOUNDATION
    4333 BROOKLYN AVE NE BOX 359905
    SEATTLE,WA98195     		N/A 509(A)(1) EDUCATION 2,000
    BOISE STATE UNIVERSITY FOUNDATION INC
    2225 UNIVERSITY DRIVE
    BOISE,ID83706     		N/A 509(A)(1) EDUCATION 500
    UNIVERSITY OF NEBRASKA
    1400 R STREET
    LINCOLN,NE68588     		N/A UNIVERSITY EDUCATION 1,000
    IMMACULATE CONCEPTION OLPH SCHOOL
    2508 HOYT AVENUE
    EVERETT,WA98201     		N/A SCHOOL EDUCATION 2,525
    FAIRFIELD CITY SCHOOL DISTRICT
    211 DONALD DRIVE
    FAIRFIELD,OH45014     		N/A GOV'T EDUCATION 2,000
    HILLBROOK SCHOOL
    300 MARCHMONT DRIVE
    LOS GATOS,CA95032     		N/A SCHOOL EDUCATION 4,500
    HOPEWELL JR SCHOOL
    8200 COX ROAD
    WEST CHESTER,OH45069     		N/A SCHOOL EDUCATION 2,000
    NORTH DEARBORN ELEMENTARY
    5687 NORTH DEARBORN ROAD
    GUILFORD,IN47022     		N/A SCHOOL EDUCATION 2,000
    OUR FAITH OUR CHILDREN OUR FUTURE
    PO BOX 479
    DEBUQUE,IA52004     		N/A 509(A)(1) EDUCATION 8,000
    E L WRIGHT MIDDLE SCHOOL
    2740 ALPINE ROAD
    COLUMBIA,SC29223     		N/A SCHOOL EDUCATION 2,000
    MARVIN RIDGE MIDDLE SCHOOL
    2831 CRANE ROAD
    WAXHAW,NC28173     		N/A SCHOOL EDUCATION 2,000
    SUNSET PARK CENTER FOR ACCELERATED STUDIES
    1036 OGDEN ROAD
    ROCK HILL,SC29730     		N/A SCHOOL EDUCATION 2,000
    LONGFELLOW SCHOOL
    707 7TH STREET
    BELLE PLAIN,IA55208     		N/A SCHOOL EDUCATION 2,000
    WILKINS ELEMENTARY SCHOOL
    2127 27TH STREET
    MARION,IA52302     		N/A SCHOOL EDUCATION 2,000
    REGINA ELEMENTARY
    2120 ROCHESTER AVENUE
    IOWA CITY,IA52245     		N/A SCHOOL EDUCATION 2,000
    JOHN F KENNEDY HIGH SCHOOL
    4545 WENIG ROAD NE
    CEDAR RAPIDS,IA52402     		N/A SCHOOL EDUCATION 6,000
    BENTON COMMUNITY HIGH SCHOOL
    600 FIRST STREET
    VAN HORNE,IA52346     		N/A SCHOOL EDUCATION 4,000
    SHIMEK ELEMENTARY SCHOOL
    1400 GRISSELL PLACE
    IOWA CITY,IA52245     		N/A SCHOOL EDUCATION 2,000
    ST PIUS X ELEMENTARY SCHOOL
    4901 COUNCIL STREET NE
    CEDAR RAPIDS,IA52402     		N/A SCHOOL EDUCATION 4,000
    ANNIE JACKSON ELEMENTARY SCHOOL
    1306 SOUTH RIDGE ROAD
    GREEN BAY,WI54304     		N/A SCHOOL EDUCATION 2,000
    ST JOAN OF ARC SCHOOL
    500 E 42ND STREET
    INDIANAPOLIS,IN46205     		N/A SCHOOL EDUCATION 2,000
    ST JOHNS COLLEGE HIGH SCHOOL
    2607 MILITARY ROAD
    WASHINGTON,DC20015     		N/A SCHOOL EDUCATION 2,000
    POINT PLEASANT ELEMENTARY SCHOOL
    1035 DUMBARTON ROAD
    GLEN BURNIE,MD21060     		N/A SCHOOL EDUCATION 2,000
    SUE E RATTAN ELEMENTARY SCHOOL
    1221 SOUTH FERGUSON PKWY
    ANNA,TX75409     		N/A SCHOOL EDUCATION 2,000
    WEST HIGH SCHOOL
    2901 MELROSE AVENUE
    IOWA CITY,IA52246     		N/A SCHOOL EDUCATION 4,000
    GARFIELD ELEMENTARY SCHOOL
    1201 MAPLACEEWOOD DR NE
    CEDAR RAPIDS,IA52402     		N/A SCHOOL EDUCATION 2,000
    CLEVELAND ELEMENTARY SCHOOL
    2200 FIRST AVENUE NW
    CEDAR RAPIDS,IA52405     		N/A SCHOOL EDUCATION 2,000
    THE FREDERICK S PARDEE RAND GRADUATE SCHOOL
    1776 MAIN STREET
    SANTA MONICA,CA90407     		N/A SCHOOL EDUCATION 2,000
    PORTLAND ART MUSEUM
    1219 SOUTHWEST PARK AVENUE
    PORTLAND,OR97205     		N/A 509(A)(1) EDUCATION 6,500
    LITTLE CEDARS ELEMENTARY SCHOOL
    7408-144TH PLACE SE
    SNOHOMISH,WA98296     		N/A SCHOOL EDUCATION 2,000
    ENDEAVOR ELEMENTARY SCHOOL
    12300 HARBOUR POINTE BLVD
    MUKILTEO,WA98275     		N/A SCHOOL EDUCATION 2,000
    DUTCH HILL ELEMENTARY
    8231 131ST AVENUE SOUTHEAST
    SNOHOMISH,WA98290     		N/A SCHOOL EDUCATION 2,000
    EASTLAKE HIGH SCHOOL
    400 228TH NE
    SAMMAMISH,WA98074     		N/A SCHOOL EDUCATION 2,000
    SEAVIEW ELEMENTARY SCHOOL
    8426 188TH STREET SOUTHWEST
    EDMONDS,WA98026     		N/A SCHOOL EDUCATION 2,000
    SNOHOMISH SCHOOL DISTRICT
    1601 AVENUE D
    SNOHOMISH,WA98290     		N/A GOV'T EDUCATION 2,000
    ST MARY MAGDALEN CATHOLIC SCHOOL
    8615 7TH AVENUE SOUTHEAST
    EVERETT,WA98208     		N/A SCHOOL EDUCATION 2,000
    CEDAR WAY ELEMENTARY
    22222 39TH AVENUE WEST
    MOUNTLAKE TERRACE,WA98043     		N/A SCHOOL EDUCATION 2,000
    MT HOLLY ELEMENTARY
    1800 PORTER ROAD
    ROCK HILL,SC29730     		N/A SCHOOL EDUCATION 2,000
    SOUTH POINTE HIGH SCHOOL
    801 NEELY ROAD
    ROCK HILL,SC29730     		N/A SCHOOL EDUCATION 2,000
    CEDAR CREST ACADEMY
    308 118TH AVENUE SE
    BELLEVUE,WA98005     		N/A SCHOOL EDUCATION 2,000
    GRANITE FALLS MIDDLE SCHOOL
    205 N ADLER AVENUE
    GRANITE FALLS,WA98252     		N/A SCHOOL EDUCATION 2,000
    KINGS HIGH SCHOOL
    19303 FREMONT AVENUE N
    SEATTLE,WA98133     		N/A SCHOOL EDUCATION 2,000
    GETCHELL HIGH SCHOOL
    8301 84TH STREET NE
    MARYSVILLE,WA98270     		N/A SCHOOL EDUCATION 2,000
    ROSEMEADE ELEMENTARY SCHOOL
    3550 KIMBERLY DRIVE
    CARROLLTON,TX75007     		N/A SCHOOL EDUCATION 2,000
    EAGLE CREEK ELEMENTARY
    1216 E 5TH STREET
    ARLINGTON,WA98223     		N/A SCHOOL EDUCATION 2,000
    WESTGATE PARENT STAFF ORGANIZATION
    9601 220TH STREET SW
    EDMONDS,WA98020     		N/A 509(A)(1) EDUCATION 2,000
    CASCADE HIGH SCHOOL
    801 EAST CASINO ROAD
    EVERETT,WA98203     		N/A SCHOOL EDUCATION 2,000
    CANYON CREEK ELEMENTARY
    21400 35TH AVENUE SE
    BOTHELL,WA98021     		N/A SCHOOL EDUCATION 2,000
    WHIDBEY ISLAND WALDORF SCHOOL
    6335 OLD PIETILA ROAD
    CLINTON,WA98236     		N/A SCHOOL EDUCATION 2,000
    SPRUCE ELEMENTARY SCHOOL
    17405 SPRUCE WAY
    LYNNWOOD,WA98037     		N/A SCHOOL EDUCATION 2,000
    AMERICAN RED CROSS
    2530 LOMBARD AVENUE
    EVERETT,WA98201     		N/A 509(A)(1) COMMUNITY SERVICES 16,000
    SEATTLE GIRLS SCHOOL
    2706 SOUTH JACKSON STREET
    SEATTLE,WA98144     		N/A SCHOOL EDUCATION 500
    TRINITY LUTHERAN COLLEGE
    2802 WETMORE AVENUE
    EVERETT,WA98201     		N/A COLLEGE EDUCATION 2,500
    OHIO UNIVERSITY FOUNDATION
    PO BOX 869
    ATHENS,OH45701     		N/A 509(A)(1) COMMUNITY SERVICES 5,000
    STONY BROOK FOUNDATION INC
    230 ADMINISTRATION BLDG AT SUNY
    STONY BROOK,NY11794     		N/A 509(A)(1) EDUCATION 500
    Total .................................bullet 3a 747,628
    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     14 158  
    4 Dividends and interest from securities....     14 322,635  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 531,718  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 854,511 0
    13Total. Add line 12, columns (b), (d), and (e)...................
    13854,511
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash....................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements............................
    1b(4)
     
    No
    (5) Loans or loan guarantees..............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2010)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    INTERMEC FOUNDATION
    EIN: 95-4453230
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FIDELITY INVESTMENTS 5,573,762 5,573,762

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    INTERMEC FOUNDATION
    EIN: 95-4453230
    Name of Stock End of Year Book Value End of Year Fair Market Value
    FIDELITY INVESTMENTS 11,046,851 11,046,851

    TY 2010 LegalFeesSchedule
    Name:
    INTERMEC FOUNDATION
    EIN: 95-4453230
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 334 0   334


    TY 2010 OtherExpensesSchedule
    Name:
    INTERMEC FOUNDATION
    EIN: 95-4453230
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE FILING FEES 75 0   75
    INTEREST PAID ON FEDERAL EXCISE TAX PER IRS NOTICE 1,552 0   0


    TY 2010 OtherIncreasesSchedule
    Name:
    INTERMEC FOUNDATION
    EIN: 95-4453230
    Description Amount
    UNREALIZED GAIN ON INVESTMENTS 2,178,514


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    INTERMEC FOUNDATION
    EIN: 95-4453230
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 40,121 40,121   0
    FPFS FEES 45,993 11,498   34,495
    PROFESSIONAL FEES 136 0   136


    TY 2010 TaxesSchedule
    Name:
    INTERMEC FOUNDATION
    EIN: 95-4453230
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 20,400 0   0