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
HELEN AND HARRY SAUL FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)2100 FIBER PARK DRIVE   Room/suite
City or town, state, and ZIP code
DALTON, GA30720
A Employer identification number

58-2063931
B Telephone number (see page 10 of the instructions)

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$3,725,016
J 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) 14,700
2 Check bullet
3 Interest on savings and temporary cash investments 18,587 18,587  
4 Dividends and interest from securities...... 88,265 88,265  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 100,373
b Gross sales price for all assets on line 6a 737,259
7 Capital gain net income (from Part IV, line 2)... 100,373
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)....... -2,278 358  
12 Total. Add lines 1 through 11........ 219,647 207,583  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 40 20   20
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) 1,544 1,544    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,584 1,564   20
25 Contributions, gifts, grants paid........ 331,850 331,850
26 Total expenses and disbursements. Add lines 24 and 25 333,434 1,564   331,870
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -113,787
b Net investment income (if negative, enter -0-) 206,019
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............... 211,742 117,048 117,048
2 Savings and temporary cash investments..........      
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)........ 2,476,074 Click to see attachment2,457,223 3,519,761
c Investments—corporate bonds (attach schedule)........ 397 Click to see attachment397 384
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 91,190 Click to see attachment90,948 87,823
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) 2,779,403 2,665,616 3,725,016
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 3,375,994 2,779,403
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds -596,591 -113,787
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,779,403 2,665,616
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,779,403 2,665,616
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 2,779,403
2 Enter amount from Part I, line 27a...................... 2 -113,787
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 2,665,616
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 2,665,616
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 WELLS FARGO P 2010-07-01 2010-12-31
b WELLS FARGO P 2009-01-01 2010-12-31
c GOLDMAN SACHS HIGH YIELD INSTL CL I P 2009-01-21 2010-12-07
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 384,902   372,409 12,493
b 52,357   46,295 6,062
c 300,000   218,182 81,818
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       12,493
b       6,062
c       81,818
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 2 100,373
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 12,493
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 272,131 2,809,557 0.096859
2008 188,182 4,010,473 0.046923
2007 373,642 2,634,257 0.141840
2006 181,048 3,231,295 0.056030
2005 237,361 1,865,888 0.127211
2 Total of line 1, column (d) ...................... 2 0.468863
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 0.093773
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 3,723,568
5 Multiply line 4 by line 3....................... 5 349,170
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,060
7 Add lines 5 and 6......................... 7 351,230
8 Enter qualifying distributions from Part XII, line 4.............. 8 331,870
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 4,120
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 4,120
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,120
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 1,581
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 1,581
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 5
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 2,544
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet0 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletGA
    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 addressbulletNONE
    14
    The books are in care ofbulletDEBBIE LYNCH Telephone no.bullet (706) 529-1900
    Located atbullet2100 FIBER PARK DRIVEDALTONGA ZIP+4bullet30721
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
     
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    JULIAN D SAULClick to see attachment TRUSTEE
    1.00
    0 0 0
    8 OCEAN DRIVE
    JUPITER INLET COLONY
    TEQUESTA,FL33469
    LINDA S SCHEJOLAClick to see attachment TRUSTEE
    1.00
    0 0 0
    688 CUMBERLAND CIRCLE
    ATLANTA,GA30306
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    3,653,029
    b
    Average of monthly cash balances.......................
    1b
    127,243
    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
    3,780,272
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d..........................
    3
    3,780,272
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    56,704
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,723,568
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    186,178
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    186,178
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    4,120
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,120
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    182,058
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4.............................
    5
    182,058
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
    182,058
    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
    331,870
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    331,870
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    331,870
    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 7 182,058
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 145,384
    b From 2006....... 20,669
    c From 2007....... 249,001
    d From 2008.......  
    e From 2009....... 133,071
    fTotal of lines 3a through e......... 548,125
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 331,870
    a Applied to 2009, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
     
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
     
    d Applied to 2010 distributable amount..... 182,058
    e Remaining amount distributed out of corpus 149,812
    5 Excess distributions carryover applied to 2010.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 697,937
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
     
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
     
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    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) ...........
     
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    145,384
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......
    552,553
    10 Analysis of line 9:
    a Excess from 2006.... 20,669
    b Excess from 2007.... 249,001
    c Excess from 2008....  
    d Excess from 2009.... 133,071
    e Excess from 2010.... 149,812
    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
    ACTS SENIOR FOOD PROGRAM
    340 PARK AVE SW
    AIKEN,SC29801
        GENERAL OPERATIONS 100
    ALEXANDER THARPE FUND
    150 BOBBY DODD WAY
    ATLANTA,GA30332
        GENERAL OPERATIONS 15,000
    ALZHEIMER'S ASSOCIATION
    225 N MICHIGAN AVE
    CHICAGO,IL60601
        GENERAL OPERATIONS 2,200
    AMERICAN CANCER SOCIETY
    250 WILLIAMS STREET NW
    ATLANTA,GA30303
        GENERAL OPERATIONS 200
    AMERICAN HEART ASSOC
    7272 GREENVILLE AVE
    DALLAS,TX75321
        GENERAL OPERATIONS 100
    AMERICAN HUMANE SOCIETY
    1400 16TH STREET NW
    SUITE 360
    WASHINGTON,DC20036
        GENERAL OPERATIONS 100
    AMERICAN JEWISH DIST COMM
    711 3RD AVE 900
    NEW YORK,NY100174039
        GENERAL OPERATIONS 5,000
    AMERICAN RED CROSS
    1955 MONROE DRIVE NE
    ATLANTA,GA30324
        GENERAL OPERATIONS 5,000
    ATLANTA GROUP HOMES
    3160 HOWELL MILL RD NW
    ATLANTA,GA30327
        GENERAL OPERATIONS 500
    BLUE MTN PRESERVATION FD
    PO BOX 547
    KUNKLETON,PA18058
        GENERAL OPERATIONS 500
    BOBBY DODD COACH OF YEAR
    PO BOX 15908
    CHATTANOOGA,TN37415
        GENERAL OPERATIONS 500
    BOBBY JONES SCHOL EMORY
    1762 CLIFTON RD
    SUITE 1400
    ATLANTA,GA30322
        GENERAL OPERATIONS 1,000
    BOY SCOUTS OF AMERICA
    1800 CIRCLE 75 PKY SE
    ATLANTA,GA30339
        GENERAL OPERATIONS 2,500
    BOYS & GIRLS CLUB
    1275 PEACHTREE STREET NE
    ATLANTA,GA303093506
        GENERAL OPERATIONS 10,000
    CHATTANOOGA BRAIN INJURY
    1 SISKIN PLAZA
    CHATTANOOGA,TN37403
        GENERAL OPERATIONS 500
    CHILDREN'S HEALTH CARE
    1600 TULLIE CIRCLE NE
    ATLANTA,GA30329
        GENERAL OPERATIONS 5,000
    CHILDRENS NUTRITION-HAITI
    PO BOX 3720
    CHATTANOOGA,TN374040720
        GENERAL OPERATIONS 500
    CJ FOUNDATION FOR SIDS
    30 PROSPECT AVENUE
    HACKENSACK,NJ07601
        GENERAL OPERATIONS 100
    CREATIVE ARTS GUILD
    PO BOX 1485
    520 WEST WAUGH STREET
    DALTON,GA307221485
        GENERAL OPERATIONS 2,000
    CULVERHOUSE COLLEGE COMM
    THE UNIVERSITY OF ALABAMA
    BOX 870223
    TUSCALOOSA,AL35487
        GENERAL OPERATIONS 5,250
    CURE PSP
    30 E PADONIA ROAD
    SUITE 201
    TIMONIUM,MD21093
        GENERAL OPERATIONS 100
    CYSTIC FYBROSIS
    6931 ARLINGTON ROAD 2 FL
    BETHESDA,MD20814
        GENERAL OPERATIONS 100
    DALTON ST COLLEGE FOUND
    650 COLLEGE DRIVE
    DALTON,GA30720
        GENERAL OPERATIONS 1,000
    DHS LINKSTERS CLUB
    8 OCEAN DRIVE
    JUPITER INLET COLONY
    TEQUESTA,FL33469
        GENERAL OPERATIONS 100
    DISCOVERY LAND CO FOUND
    301 N CANON DR STE 328
    BEVERLY HILLS,CA90210
        GENERAL OPERATIONS 750
    EAST LAKE COMMUN FOUND
    2606 ALSTON DRIVE SE
    ATLANTA,GA30317
        GENERAL OPERATIONS 1,000
    EMORY UNIVERSITY
    1762 CLIFTON RD
    SUITE 1400
    ATLANTA,GA30322
        GENERAL OPERATIONS 7,000
    FLOOR COVERING INDUS FD
    2211 E HOWELL AVE
    ANAHEIM,CA92806
        GENERAL OPERATIONS 5,000
    FOUNDATION FIGHTING BLIND
    7168 COLUMBIA GATEWAY DR
    COLUMBIA,MD21046
        GENERAL OPERATIONS 500
    FRIENDS OF THE GREENHOUSE
    PO BOX 983
    DALTON,GA30722
        GENERAL OPERATIONS 100
    GA STATE GOLF ASSOC
    121 VILLAGE PARKWAY
    BUILDING 3
    MARIETTA,GA30067
        GENERAL OPERATIONS 5,000
    GA TECH ALUMNI ROLL CALL
    190 NORTH AVENUE
    ATLANTA,GA30313
        GENERAL OPERATIONS 10,000
    GA TECH CLUB NW GA
    190 NORTH AVENUE
    ATLANTA,GA30313
        GENERAL OPERATIONS 500
    GEORGIA METH PROJECT
    3625 CUMBERLAND BLVD SE
    SUITE 980
    ATLANTA,GA30339
        GENERAL OPERATIONS 50,000
    GEORGIA TRANSPLANT FD
    6600 PEACHTREE DUNWOODY
    ATLANTA,GA30328
        GENERAL OPERATIONS 500
    GPS ANNUAL FUND
    PO BOX 4736
    CHATTANOOGA,TN37405
        GENERAL OPERATIONS 5,000
    GRAND TETON MUSIC FEST
    4015 LAKE CREEK DR N
    SUITE 100
    WILSON,WY83014
        GENERAL OPERATIONS 1,500
    GRAND TETON NAT'L PARK
    PO BOX 249
    MOOSE,WY83012
        GENERAL OPERATIONS 500
    GREATER YELLOWSTONE COAL
    PO BOX 1874
    BOXEMAN,MT59771
        GENERAL OPERATIONS 500
    HOSPICE OF CHATTANOOGA
    4411 OAKWOOD DRIVE
    CHATTANOOGA,TN37416
        GENERAL OPERATIONS 100
    HUNTER MUSEUM AMER ART
    10 BLUFF VIEW
    CHATTANOOGA,TN37403
        GENERAL OPERATIONS 500
    JACKSON HOLE CENTER ARTS
    PO BOX 860
    JACKSON,WY83001
        GENERAL OPERATIONS 1,000
    JACKSON HOLE COMM CENTER
    PO BOX 1868
    JACKSON,WY83001
        GENERAL OPERATIONS 500
    JACKSON HOLE LAND TRUST
    PO BOX 2897
    JACKSON,WY83001
        GENERAL OPERATIONS 2,500
    JACKSON HOLE THERAPEUTIC
    PO BOX 415
    TETON VILLAGE,WY83025
        GENERAL OPERATIONS 300
    JEWISH ASSOC RESID CARE
    3030 NORTHWESTERN HIGHWAY
    SUITE 100
    FARMINGTON HILLS,MI48334
        GENERAL OPERATIONS 1,000
    JEWISH COMM FEDERATION
    121 STEUART STREET
    SAN FRANCISCO,CA94105
        GENERAL OPERATIONS 75,000
    JR ACHIEVEMENT OF NW GA
    411 MITCHELL ST
    DALTON,GA30720
        GENERAL OPERATIONS 2,000
    JUPITER MEDICAL CENTER
    1210 S OLD DIXIE HWY
    JUPITER,FL33458
        GENERAL OPERATIONS 5,000
    JUPITER PERFORMING ARTS
    PO BOX 7167
    JUPITER,FL33468
        GENERAL OPERATIONS 100
    KINGSWOOD UNITED METHOD
    5015 TILLY MILL RD
    DUNWOODY,GA30338
        GENERAL OPERATIONS 100
    LOOPER SPEECH & HEARING
    1011 PROFESSIONAL BLVD
    DALTON,GA30720
        GENERAL OPERATIONS 1,000
    LOXAHATCHEE RIVER SOCIETY
    500 CAPTAIN ARMOURS WAY
    JUPITER,FL33469
        GENERAL OPERATIONS 600
    MARCH OF DIMES
    1275 MAMARONECK AVENUE
    WHTIE PLAINS,NY10605
        GENERAL OPERATIONS 100
    MARCUS AUTISM CENTER
    1920 BRIARCLIFF ROAD NE
    ATLANTA,GA30329
        GENERAL OPERATIONS 3,500
    MARCUS HILLEL CENTER
    735 GATEWOOD ROAD
    ATLANTA,GA30322
        GENERAL OPERATIONS 5,000
    MARCUS JCC OF ATLANTA
    5342 TILLY MILL ROAD
    DUNWOODY,GA30338
        GENERAL OPERATIONS 100
    MCCALLIE SCHOOL
    500 DODDS AVENUE
    CHATTANOOGA,TN37404
        GENERAL OPERATIONS 5,000
    MIZPAH CONGREGATION
    923 MCCALLIE AVENUE
    CHATTANOOGA,TN374032738
        GENERAL OPERATIONS 100
    MOUNTAIN CREEK ACADEMY
    273 HARRIS ST
    ETON,GA30724
        GENERAL OPERATIONS 100
    MOUNTAIN TOP BOYS HOME
    65 MOUNTAIN TOP WAY
    SUGAR VALLEY,GA30746
        GENERAL OPERATIONS 500
    MUSCULAR DYSTROPHY ASSOC
    3300 EAST SUNRISE DRIVE
    TUCSON,AZ85718
        GENERAL OPERATIONS 50
    NAT'L JEWISH MED RESEARCH
    1400 JACKSON STREET
    DENVER,CO80206
        GENERAL OPERATIONS 500
    NAT'L MUS WILDLIFE ARTS
    PO BOX 6825
    JACKSON,WY83002
        GENERAL OPERATIONS 1,000
    NATIONAL ADOPTION CENTER
    1500 WALNUT STREET
    SUITE 701
    PHILADELPHIA,PA19102
        GENERAL OPERATIONS 500
    NATIONAL COMMODORE CLUB
    2601 JESS NEELY DRIVE
    NASHVILLE,TN37212
        GENERAL OPERATIONS 1,000
    NEWMAN SPRINGS UNITED M
    78 MONANAW AVENUE
    ROSSVILLE,GA307413074
        GENERAL OPERATIONS 100
    NW GA FAMILY CRISIS CENT
    PO BOX 554
    DALTON,GA307220554
        GENERAL OPERATIONS 10,000
    NW GA GIRLS HOME
    PO BOX 2939
    ROME,GA30164
        GENERAL OPERATIONS 250
    OLD BILL'S FUN RUN
    PO BOX 574
    JACKSON,WY83001
        GENERAL OPERATIONS 1,000
    ON JONAS MEM FOUNDATION
    PO BOX 1008
    DALTON,GA30722
        GENERAL OPERATIONS 1,500
    ORT AMERICA
    75 MAIDEN LN FL 10
    NEW YORK,NY10038
        GENERAL OPERATIONS 30,000
    POLLY BOYD SCHOL FUND
    PO BOX 23176
    CHATTANOOGA,TN37422
        GENERAL OPERATIONS 500
    RAMAH DAROM
    70 DAROM LANE
    CLAYTON,GA30525
        GENERAL OPERATIONS 5,000
    ROMAN OPEN CHARITIES
    PO BOX 672
    DALTON,GA30722
        GENERAL OPERATIONS 250
    SALVATION ARMY
    PO BOX 269
    ALEXANDRIA,VA22313
        GENERAL OPERATIONS 1,100
    SHEPHERD CENTER
    2020 PEACHTREE ROAD NW
    ATLANTA,GA303091465
        GENERAL OPERATIONS 10,000
    SISKIN CHILDRENS INSTIT
    1101 CARTER STREET
    CHATTANOOGA,TN37402
        GENERAL OPERATIONS 2,600
    ST JOHNS MEDICAL CENTER
    1923 S UTICA AVE
    TULSA,OK74104
        GENERAL OPERATIONS 5,000
    STONECREEK CHURCH
    2502 S RACE ST
    URBANA,IL61801
        GENERAL OPERATIONS 100
    SUSAN G KOMEN CURE
    5005 LBJ FREEWAY
    DALLAS,TX75244
        GENERAL OPERATIONS 200
    TELLUS SCIENCE MUSEUM
    100 TELLUS DRIVE
    CARTERSVILLE,GA30120
        GENERAL OPERATIONS 2,500
    TETON RAPTOR CENTER
    5450 WEST HIGHWAY 22
    WILSON,WY83014
        GENERAL OPERATIONS 1,000
    TETON YOUTH & FAMILY SERV
    PO BOX 2631
    JACKSON,WY83001
        GENERAL OPERATIONS 1,000
    THE GREEN HOUSE
    8 OCEAN DRIVE
    JUPITER INLET COLONY
    TEQUESTA,FL33469
        GENERAL OPERATIONS 200
    TN GOLF FOUNDATION
    GOLF HOUSE TENNESSEE
    FRANKLIN,TN37069
        GENERAL OPERATIONS 500
    UNIV AL ALUMNI
    PO BOX 861928
    TUSCALOOSA,AL35486
        GENERAL OPERATIONS 100
    US HOLOCAUST MUSEUM
    100 RAOUL WALLENBERG PL
    WASHINGTON,DC200242126
        GENERAL OPERATIONS 500
    USGA
    PO BOX 23733
    EUGENE,OR97402
        GENERAL OPERATIONS 1,000
    UTC ATHLETICS DEVELOPMENT
    615 MCCALLIE AVENUE
    CHATTANOOGA,TN37403
        GENERAL OPERATIONS 3,500
    VANDERBILT HILLEL
    2421 VANDERBILT PLACE
    NASHVILLE,TN37212
        GENERAL OPERATIONS 1,000
    VICARS LANDING SCHOLAR
    1000 VICARS LANDING WAY
    PONTE VEDRA,FL32082
        GENERAL OPERATIONS 100
    WHITFIELD HEALTHCARE FOUN
    1200 MEMORIAL DRIVE
    DALTON,GA30720
        GENERAL OPERATIONS 100
    WILLIAM BREMAN JEWISH HOM
    3150 HOWELL MILL ROAD NW
    ATLANTA,GA303272108
        GENERAL OPERATIONS 100
    WINFIELD CITY SCHOOL ALUM
    232 PRIVATE COVE
    WINFIELD,AL35594
        GENERAL OPERATIONS 300
    Total .................................bullet 3a 331,850
    bApproved for future payment
    Total ..................................bullet 3b  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 18,587  
    4 Dividends and interest from securities....     14 88,265  
    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.....     14 358  
    8Gain or (loss) from sales of assets other than inventory         100,373
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aCNL INCOME & GROWTH FUND IV     14 729  
    bINLAND LAND APPRECIATION FU     14 -213  
    cSUBURBAN PROPANE PARTNERS     14 -3,295  
    dHOST HOTELS & RESORTS     14 -210  
    eTHE ENERGY GROUP     14 353  
    12 Subtotal. Add columns (b), (d), and (e)..   104,574 100,373
    13Total. Add line 12, columns (b), (d), and (e)...................
    13204,947
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash....................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements............................
    1b(4)
     
    No
    (5) Loans or loan guarantees..............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2010
    Name of organization
    HELEN AND HARRY SAUL FOUNDATION
     
    Employer identification number

    58-2063931
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




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

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part I
    Name of organization
    HELEN AND HARRY SAUL FOUNDATION
     
    Employer identification number

    58-2063931
    Part I
    Contributors (see Instructions)
         
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Aggregate contributions
    (d)
    Type of contribution
    1
     
     

    JULIAN D SAUL    
    8 OCEAN DRIVE
    JUPITER INLET COLONY  
    TEQUESTA, FL   33469

    $14,700




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

         
     
       

    $  




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

         
     
       

    $  




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

         
     
       

    $  




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

         
     
       

    $  




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

         
     
       

    $  




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

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part II
    Name of organization
    HELEN AND HARRY SAUL FOUNDATION
     
    Employer identification number

    58-2063931
    Part II
    Noncash Property (see Instructions)
         
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part III
    Name of organization
    HELEN AND HARRY SAUL FOUNDATION
     
    Employer identification number

    58-2063931
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2010 CompensationExplanation
    Name:
    HELEN AND HARRY SAUL FOUNDATION
    EIN: 58-2063931
    Person Name Explanation
    JULIAN D SAUL  
    LINDA S SCHEJOLA  

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    HELEN AND HARRY SAUL FOUNDATION
    EIN: 58-2063931
    Name of Bond End of Year Book Value End of Year Fair Market Value
    GOLDMAN SACHS 397 384

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    HELEN AND HARRY SAUL FOUNDATION
    EIN: 58-2063931
    Name of Stock End of Year Book Value End of Year Fair Market Value
    GOLDMAN SACHS 1,926,258 2,962,686
    WELLS FARGO 530,965 557,075

    TY 2010 InvestmentsOtherSchedule2
    Name:
    HELEN AND HARRY SAUL FOUNDATION
    EIN: 58-2063931
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    HOST MARRIOT AT COST 55,105 55,148
    CNL INCOME & GROWTH FUND, IV AT COST 17,793 17,793
    INLAND APPRECIATION FUND, II AT COST 17,035 13,902
    ENERGY GROUP PARTNERS AT COST 1,015 980

    TY 2010 LegalFeesSchedule
    Name:
    HELEN AND HARRY SAUL FOUNDATION
    EIN: 58-2063931
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT LEGAL FEES 40      


    TY 2010 OtherIncomeSchedule2
    Name:
    HELEN AND HARRY SAUL FOUNDATION
    EIN: 58-2063931
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    WELLS FARGO 323 323  
    OTHER INCOME 35 35  
    CNL INCOME & GROWTH FUND IV 729    
    INLAND LAND APPRECIATION FUND -213    
    SUBURBAN PROPANE PARTNERS -3,295    
    HOST HOTELS & RESORTS -210    
    THE ENERGY GROUP 353    


    TY 2010 TaxesSchedule
    Name:
    HELEN AND HARRY SAUL FOUNDATION
    EIN: 58-2063931
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PAID IN 2009 1,000 1,000    
    FOREIGN TAX PAID 544 544