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
AMOS-CHEVES FOUNDATION INC
 

Number and street (or P.O. box number if mail is not delivered to street address)6867 MOUNTAINBROOK DRIVE   Room/suite
City or town, state, and ZIP code
COLUMBUS, GA31904
A Employer identification number

58-2634947
B Telephone number (see page 10 of the instructions)

(706) 243-8133
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$20,571,773J 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) 1,517,080
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 378,134 378,134  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 3,702
b Gross sales price for all assets on line 6a 93,879
7 Capital gain net income (from Part IV, line 2)... 3,702
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........ 1,898,916 381,836  
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)......... 20,000 0 0 20,000
b Accounting fees (attach schedule)....... 6,175 0 0 6,175
c Other professional fees (attach schedule).... Click to see attachment 14,016 14,016    
17 Interest............... 4 4    
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 938 938    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 448     448
22 Printing and publications.......... 345     345
23 Other expenses (attach schedule)....... Click to see attachment 329     329
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 42,255 14,958 0 27,297
25 Contributions, gifts, grants paid........ 885,180 885,180
26 Total expenses and disbursements. Add lines 24 and 25 927,435 14,958 0 912,477
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 971,481
b Net investment income (if negative, enter -0-) 366,878
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.......... 892,884 1,237,568 1,237,568
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)........ 384,234 Click to see attachment11,209,106 19,309,127
c Investments—corporate bonds (attach schedule)........ 25,000 25,000 25,078
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 10,197,075 Click to see attachment0 0
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) 11,499,193 12,471,674 20,571,773
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.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 11,500,193 12,471,674
30 Total net assets or fund balances (see page 17 of the
instructions).................... 11,500,193 12,471,674
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 11,500,193 12,471,674
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 11,500,193
2 Enter amount from Part I, line 27a...................... 2 971,481
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 12,471,674
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 12,471,674
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 ADOBE SYSTEMS   2010-07-01 2010-08-11
b CTRIP COM INTL LTD   2009-07-08 2010-08-11
c DENDREON CORP     2010-08-11
d FIRST SOLAR   2009-07-08 2010-08-11
e GOLDCORP INC NEW   2009-07-08 2010-01-20
INTUITIVE SURGICAL   2009-07-08 2010-05-06
INTUITIVE SURGICAL   2009-07-08 2010-08-11
ITAU UNIBANCO HOLDING   2009-07-08 2010-08-11
NII HOLDINGS   2009-07-08 2010-08-11
PETRELEO BRASILEIRO   2010-03-08 2010-08-11
POTASH CORP   2009-07-08 2010-08-11
QUALCOMM   2010-03-08 2010-08-11
RESEARCH IN MOTION   2009-07-08 2010-08-11
PROSHARES TRUST   2009-07-08 2010-02-09
PROSHARES TRUST   2009-07-08 2010-02-09
WISDOMTREE TRUST   2010-02-16 2010-07-01
(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 3,834   3,553 281
b 4,567   2,305 2,262
c 5,909   7,272 -1,363
d 4,609   5,347 -738
e 10,978   9,717 1,261
330   145 185
5,053   2,324 2,729
4,888   3,157 1,731
5,154   2,545 2,609
3,179   3,947 -768
5,830   5,036 794
3,980   3,976 4
3,939   4,611 -672
8,942   11,115 -2,173
8,849   11,113 -2,264
13,838   14,014 -176
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       281
b       2,262
c       -1,363
d       -738
e       1,261
      185
      2,729
      1,731
      2,609
      -768
      794
      4
      -672
      -2,173
      -2,264
      -176
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 3,702
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 579,461 11,085,824 0.05227
2008 1,298,880 18,581,075 0.069903
2007 534,836 15,569,224 0.034352
2006 280,199 12,678,708 0.0221
2005 155,681 969,381 0.160598
2 Total of line 1, column (d) ...................... 2 0.339223
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 0.067845
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 15,837,480
5 Multiply line 4 by line 3....................... 5 1,074,494
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,669
7 Add lines 5 and 6......................... 7 1,078,163
8 Enter qualifying distributions from Part XII, line 4.............. 8 912,477
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 7,338
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 7,338
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 7,338
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 9,637
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 6,100
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 15,737
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 8,399
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet8,399 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 addressbulletN/A
    14
    The books are in care ofbulletCECIL M CHEVES Telephone no.bullet (706) 243-8133
    Located atbullet6867 MOUNTAINBROOK DRIVE STE 107COLUMBUSGA ZIP+4bullet31904
    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
    CECIL M CHEVES CHAIRMAN OF THE BOARD
    0     		0    
    211 N LINTON ROAD
    COLUMBUS,GA31904
    BETTYE A CHEVES PRESIDENT,SECRETARY,TREASURER
    0     		0    
    211 N LINTON ROAD
    COLUMBUS,GA31904
    AVERY C WOLFF BOARD MEMBER
    0     		0    
    45 CASCADE ROAD
    COLUMBUS,GA31904
    LUTHER H WOLFF III BOARD MEMBER
    0     		0    
    45 CASCADE ROAD
    COLUMBUS,GA31904
    OLIVIA C BLANCHARD BOARD MEMBER
    0     		0    
    227 SUNSET ROAD
    COLUMBUS,GA31904
    WILLIAM R BLANCHARD BOARD MEMBER
    0     		0    
    227 SUNSET ROAD
    COLUMBUS,GA31904
    ELIZABETH C MEEKS BOARD MEMBER
    0     		0    
    105 MORGAN DRIVE
    LAGRANGE,GA30240
    RYAN L MEEKS BOARD MEMBER
    0     		0    
    105 MORGAN DRIVE
    LAGRANGE,GA30240
    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
     
    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
     
    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  
    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
    15,313,140
    b
    Average of monthly cash balances.......................
    1b
    765,520
    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
    16,078,660
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) Click to see attachment..............
    1e
    1,533,266
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d..........................
    3
    16,078,660
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    241,180
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    15,837,480
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    791,874
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    791,874
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    7,338
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,338
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    784,536
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4.............................
    5
    784,536
    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
    784,536
    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
    912,477
    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
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    912,477
    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
    912,477
    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 7 784,536
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only.......  
    b Total for prior years:2008, 2007, 2006  
    3 Excess distributions carryover, if any, to 2010:
    a From 2005.......  
    b From 2006.......  
    c From 2007.......  
    d From 2008....... 242,226
    e From 2009....... 32,220
    fTotal of lines 3a through e......... 274,446
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 912,477
    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..... 784,536
    e Remaining amount distributed out of corpus 127,941
    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 5 402,387
    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) .............     		 
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		402,387
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007....  
    c Excess from 2008.... 242,226
    d Excess from 2009.... 32,220
    e Excess from 2010.... 127,941
    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).)
    BETTYE A CHEVES
    CECIL M CHEVES
    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
    ALS ASSOCIATION OF GEORGIA
    1955 CLIFF VALLEY WAY
    SUITE 166
    ATLANTA,GA30329     		  PUBLIC TO FUND PATIENT ASSISTANCE AND RESEARCH 2,000
    BROOKSTONE SCHOOL
    440 BRADLEY PARK DRIVE
    COLUMBUS,GA319042989     		  PUBLIC TO FUND LOCAL EDUCATION 50,000
    CROSSPOINTE CHURCH
    PO BOX 1233
    FORTSON,GA31808     		  PUBLIC TO FUND CHRISTIAN CHURCH ACTIVITIES 75,500
    CUMBERLAND LAW SCHOOL
    800 LAKESHORE DRIVE
    BIRMINGHAM,AL35229     		  PUBLIC TO FUND SCHOLARSHIPS, MOOT COURT FUND, ANNUAL FUND 75,000
    FOCUS ON TRUTH
    PO BOX 5367
    COLUMBUS,GA319060367     		  PUBLIC TO FUND BIBLE TEACHING MINISTRY 1,500
    PASTORAL INSTITUTE
    PO BOX 8649
    ATTN DEVELOPMENT
    COLUMBUS,GA319088649     		  PUBLIC TO FUND CHRISTIAN COUNSELING AND EDUCATION 100,000
    YMCA OF COLUMBUS
    118 EAST 11TH STREET
    COLUMBUS,GA31901     		  PUBLIC TO FUND CHARACTER BUILDING ACTIVITIES 2,500
    YOUNG LIFE
    PO BOX 2920
    COLORADO SPRINGS,CO80901     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 1,000
    CAMPUS CRUSADE FOR CHRIST
    10726 SPRING BUCK TRAIL
    ORLANDO,FL32825     		  PUBLIC TO FUND COLLEGE CHRISTIAN MINISTRIES 2,400
    PIONEERS
    10123 WILLIAM CAREY DRIVE
    ORLANDO,FL32832     		  PUBLIC TO FUND MINISTRIES TO INTERNATIONALS 1,200
    THE NAVIGATORS
    BOX 6000
    COLORADO SPRINGS,CO80934     		  PUBLIC TO FUND MINISTRIES TO INTERNATIONALS 1,000
    HOUSE OF HEROES
    4713 MILGEN ROAD
    COLUMBUS,GA31907     		  PUBLIC TO FUND ASSISTANCE TO MILITARY FAMILIES 5,000
    HOPEGIVERS INTERNATIONAL
    PO BOX 8808
    COLUMBUS,GA31908     		  PUBLIC TO FUND AID TO INDIGENT PERSONS 250
    THE COLUMBUS MUSEUM
    1251 WYNNTON ROAD
    COLUMBUS,GA31906     		  PUBLIC TO FUND AID TO THE INJURED AND DISEASED 1,000
    TRINITY EPISCOPAL CHURCH
    1130 1ST AVENUE
    COLUMBUS,GA31901     		  PUBLIC TO FUND CHRISTIAN MINISTRIES 500
    ALZHEIMERS ASSOCIATION
    5900 RIVER ROAD SUITE 301
    COLUMBUS,GA31904     		  PUBLIC TO FUND PATIENT ASSISTANCE AND RESEARCH 6,500
    HARVESTERS INTERNATIONAL
    C/O MR ED HIRSHMAN PO BOX 22549
    HILTON HEAD,SC29925     		  PUBLIC TO FUND AID TO INDIGENT PERSONS 25,000
    THE HOUSE OF MERCY
    1532 THIRD AVENUE
    COLUMBUS,GA31901     		  PUBLIC TO FUND AID TO INDIGENT PERSONS 25,000
    COLUMBUS SCHOLARS PROJECT
    1340 13TH STREET
    COLUMBUS,GA31901     		  PUBLIC TO PROMOTE EDUCATION 10,000
    RMHC OF WEST GEORGIA INC
    1959 HAMILTON ROAD
    COLUMBUS,GA31904     		  PUBLIC TO FUND MEDICAL AID FOR THE INJURED AND INDIGENT 10,000
    YOUNG LIFE
    PO BOX 2920
    COLORADO SPRINGS,CO80901     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 100
    CHILDRENS MIRACLE NETWORK
    PO BOX 790
    COLUMBUS,GA31902     		  PUBLIC TO FUND AID TO INJURED/DISEASED 1,750
    BOY SCOUTS OF AMERICA
    5480 SCHATULGA ROAD
    COLUMBUS,GA31907     		  PUBLIC TO FUND CHARACTER BUILDING ACTIVITIES 2,000
    TROOP 35
    5480 SCHATULGA ROAD
    COLUMBUS,GA31907     		  PUBLIC TO FUND CHARACTER BUILDING ACTIVITIES 250
    PRECEPT MINISTRIES
    7324 NOAH REID ROAD PO BOX 182218
    CHATTANOOGA,TN37422     		  PUBLIC TO FUND MINISTRY 200
    YOUNG LIFE OF GREATER COLUMBUS
    1137 LOCKWOOD AVENUE
    COLUMBUS,GA31906     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 1,100
    ST ANNE CATHOLIC CHURCH
    3502 KAY CIRCLE
    COLUMBUS,GA31907     		  PUBLIC TO FUND CHRISTIAN CHURCH ACTIVITIES 25,000
    RALLY FOUNDATION FOR CHILDHOOD CANCER RESEARCH
    5775 GLENRIDGE DRIVE SUITE 120
    ATLANTA,GA30328     		  PUBLIC TO FUND AID TO INDIGENT PERSONS 10,000
    YOUTH ORCHESTRA OF GREATER COLUMBUS
    PO BOX 8612
    COLUMBUS,GA31908     		  PUBLIC TO PROMOTE MUSICAL EDUCATION 500
    GIRL SCOUTS OF HISTORIC GEORGIA
    1344 13TH AVENUE
    COLUMBUS,GA31901     		  PUBLIC TO FUND CHARACTER BUILDING ACTIVITIES 1,000
    EASTER SEALS WEST GEORGIA
    PO BOX 1690
    FORTSON,GA31808     		  PUBLIC TO FUND AID TO INJURED/DISEASED 16,130
    JOHN B AMOS CANCER CENTER
    PO BOX 790
    COLUMBUS,GA31902     		  PUBLIC TO FUND PATIENT ASSISTANCE AND RESEARCH 1,750
    HISTORIC COLUMBUS FOUNDATION
    PO BOX 5312
    COLUMBUS,GA31906     		  PUBLIC TO FUND HISTORIC PRESERVATION 1,000
    ST LUKE UNITED METHODIST CHURCH
    PO BOX 867
    COLUMBUS,GA31901     		  PUBLIC TO FUND CHRISTIAN CHURCH ACTIVITIES 100
    JORDAN HIGH SCHOOL
    PO BOX 1978
    COLUMBUS,GA31902     		  PUBLIC TO FUND LOCAL EDUCATION 300
    MARLINS OF RALEIGH
    4900 WATERS EDGE DRIVE SUITE 200
    RALEIGH,NC27606     		  PUBLIC TO FUND HEALTH AND CHARACTER BUILDING ACTIVITIES 200
    GIRLS INC OF COLUMBUS
    PO BOX 3096
    COLUMBUS,GA31903     		  PUBLIC TO FUND CHARACTER BUILDING ACTIVITIES 10,000
    COMMUNITY FOUNDATION
    1340 13TH STREET
    COLUMBUS,GA31901     		  PUBLIC TO FUND DONOR-DIRECTED FUND 250,200
    COLUMBUS ROAD RUNNERS CLUB
    C/O REGGIE LUTHER 7 CHIVE COURT
    COLUMBUS,GA31909     		  PUBLIC TO FUND HEALTH AND CHARACTER BUILDING ACTIVITIES 17,250
    GLOBAL EFFECTS MINISTRY
    C/O MRS TERRI PARKER 2623 CARSON D
    COLUMBUS,GA31906     		  PUBLIC TO FUND AID TO INDIGENT PERSONS 1,000
    FELLOWSHIP OF CHRISTIAN ATHLETES
    PO BOX 8361
    COLUMBUS,GA31908     		  PUBLIC TO FUND HEALTH AND CHARACTER BUILDING ACTIVITIES 10,000
    ENRICHMENT SERVICES PROGRAM
    900 LINWOOD BLVD PO BOX 78
    COLUMBUS,GA31902     		  PUBLIC TO FUND PROGRAM 35,000
    LESEANDRIA THOMAS
    4732 13TH AVENUE
    COLUMBUS,GA31904     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    TAMARA TATE
    8223 TRAFALGAR WAY
    COLUMBUS,GA31904     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    AMBER KIEFER
    4732 SHENANDOAH COURT
    COLUNBUS,GA31907     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    KATHERINE HEFNER
    7221 SESAME STREET
    COLUMBUS,GA31909     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    SARAH SELVIDGE
    600 LEE ROAD
    PHENIX CITY,AL36867     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    JAMES ARD
    8020 DEERWOOD COURT
    UPATOI,GA31829     		  INDIVIDUAL TO FUND SCHOLARSHIP 1,000
    DARIUS LOCKHART
    4106 JAMESTOWN COURT
    PHENIX CITY,AL36869     		  INDIVIDUAL TO FUND SCHOLARSHIP 1,000
    JACK WARREN
    2723 FLEETWOOD DRIVE
    COLUMBUS,GA31906     		  INDIVIDUAL TO FUND SCHOLARSHIP 1,000
    KIMBERLEE ARNOLD
    7076 SOUTHWIND COURT
    COLUMBUS,GA31909     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    JOSHUA HOH
    26 MAPLEWOOD AVENUE
    ALBANY,NY12203     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    WILLIAM PRIDE
    701 FLOYD STREET
    VALDOSTA,GA31601     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    LASHONDA JONES
    PO BOX 5932
    COLUMBUS,GA31906     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    LAUREN BOWEN
    336 LEE ROAD 288
    SMITHS STATION,AL36877     		  INDIVIDUAL TO FUND SCHOLARSHIP 1,000
    LESLIE DAVIS
    6915 ANTLER DRIVE
    COLUMBUS,GA31904     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    CIARA CORBITT
    29 LEE ROAD 978
    PHENIX CITY,AL36870     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    ANDREW GALCZYNSKI
    8008 DEERWOOD COURT
    UPATOI,GA31829     		  INDIVIDUAL TO FUND SCHOLARSHIP 1,000
    ASHLEY ANDERSON
    78 LEE ROAD 851
    PHENIX CITY,AL36870     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    DANIEL KUNZE
    3343 CHESLEY DRIVE
    COLUMBUS,GA31909     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    LAUREN ESPOSITO
    8 HARWICH DRIVE
    ALBANY,NY12205     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    LESLIE KELLY
    2362 LEE ROAD 318
    SMITHS,AL36877     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    REBECCA HARRISON
    7918 AMES CIRCLE
    OMAHA,NE68134     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    LAUREN FORD
    1201 FRONT AVENUE UNIT 214
    COLUMBUS,GA31901     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    JESSICA YATES
    111 TWELVE SPRINGS DRIVE
    NEWNAN,GA30263     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    ASHLEIGH MARIE BRADLEY
    6501 BILLINGS LAKE DRIVE
    COLUMBUS,GA31909     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    CATHERINE RENTZ
    1516 TOM BUK TU LANE
    COLUMBUS,GA31904     		  INDIVIDUAL TO FUND SCHOLARSHIP 5,000
    ARCACIA BUTLER
    624 8TH PLACE A7
    PHENIX CITY,AL36867     		  INDIVIDUAL TO FUND SCHOLARSHIP 500
    AMERICAN RED CROSS
    PO BOX 4002018
    DES MOINES,IA503402018     		  PUBLIC TO FUND AID TO INJURED/DISEASED 5,000
    THE MEDICAL CENTER AUXILLIARY
    PO BOX 951
    COLUMBUS,GA31902     		  PUBLIC TO FUND AID TO INJURED/DISEASED 50
    BROOKSTONE SCHOOL
    440 BRADLEY PARK DRIVE
    COLUMBUS,GA31904     		  PUBLIC TO FUND LOCAL EDUCATION 5,000
    CHILDREN HEALTHCARE OF ATLANTA
    1600 TULLIE CIRCLE NE
    ATLANTA,GA30329     		  PUBLIC TO FUND AID TO INJURED/DISEASED 1,000
    YOUNG LIFE FRONT RANGE REGION
    1986 S YORK STREET
    DENVER,CO80210     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 100
    MARCH OF DIMES
    6501 VETERANS PARKWAY SUITE 4B
    COLUMBUS,GA31909     		  PUBLIC TO FUND AID TO MEDICAL RESEARCH 50
    YOUNG LIFE OF GREATER ATHENS
    PO BOX 48883
    ATHENS,GA30604     		  PUBLIC TO FUND SCHOLARSHIP 1,000
    GLOBAL TEEN CHALLENGE
    PO BOX 511
    COLUMBUS,GA31902     		  PUBLIC TO FUND AID TO INDIGENT PERSONS 1,350
    YOUNG LIFE OF AUGUSTA
    WALTON WAY SUITE B
    AUGUSTA,GA30904     		  PUBLIC TO FUND SCHOLARSHIP 500
    COLUMBUS REGIONAL MEDICAL
    PO BOX 790
    COLUMBUS,GA31902     		  PUBLIC TO FUND LOCAL MEDICAL FACILITY 100
    HEIFER INTERNATIONAL
    1 WORLD AVENUE
    LITTLE ROCK,AR72202     		  PUBLIC TO FUND AID TO INDIGENT PERSONS 120
    YOUNG LIFE
    PO BOX 2920
    COLORADO SPRINGS,CO80901     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 250
    YOUNG LIFE OF ROME
    3 CENTRAL PLAZA SUITE 216
    ROME,GA30161     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 500
    OPERATION SMILE
    6435 TIDEWATER DRIVE
    NORFOLK,VA23509     		  PUBLIC TO FUND AID TO PERSONS INJURED/DISEASED 480
    LIVING WATER INTERNATIONAL
    PO BOX 35496
    HOUSTON,TX77235     		  PUBLIC TO FUND WATER SANITATION EDUCATION 100
    YOUNG LIFE
    PO BOX 2920
    COLORADO SPRINGS,CO80901     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 10,000
    DOUBLE IMPACT
    850 3RD AVENUE 8TH FLOOR
    NEW YORK,NY10022     		  PUBLIC TO FUND ENVIRONMENTAL PRESERVATION 1,000
    YOUNG LIFE ARKANSAS
    PO BOX 26066
    LITTLE ROCK,AR72221     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 1,000
    YOUNG LIFE BALDWIN
    PO BOX 1443
    MILLEDGEVILLE,GA31059     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 1,000
    YOUNG LIFE AUBURN
    PO BOX 1336
    AUBURN,AL36831     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 5,000
    CROSS POINTE CHURCH
    PO BOX 1233
    FORTSON,GA31808     		  PUBLIC TO FUND CHRISTIAN CHURCH ACTIVITIES 37,000
    LIVING WATER INTERNATIONAL
    PO BOX 35496
    HOUSTON,TX77235     		  PUBLIC TO FUND WATER SANITATION EDUCATION 500
    YOUNG LIFE
    PO BOX 2920
    COLORADO SPRINGS,CO80901     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 900
    ARCH FOUNDATION
    MILLEDGE CENTER SUITE 100 394 S MIL
    ATHENS,GA30602     		  PUBLIC TO FUND RESEARCH 300
    CLEARVIEW CHAPEL
    PO BOX 3086
    LAGRANGE,GA30241     		  PUBLIC TO FUND CHRISTIAN CHURCH ACTIVITIES 918
    YOUNG LIFE OF EAST ALABAMA
    1227 FINANCIAL COURT UNIT E
    AUBURN,AL36830     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 5,000
    WEST GEORGIA HOSPICE
    1510 VERNON ROAD
    LAGRANGE,GA30240     		  PUBLIC TO FUND AID TO PERSONS INJURED/DISEASED 300
    YOUNG LIFE INTERNATIONAL
    PO BOX 520
    COLORADO SPRINGS,CO80901     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 100
    YOUNG LIFE OF GREATER COLUMBUS
    1137 LOCKWOOD AVENUE
    COLUMBUS,GA31906     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 5,000
    YMCA OF COLUMBUS
    118 EAST 11TH STREET
    COLUMBUS,GA31901     		  PUBLIC TO FUND CHARACTER BUILDING ACTIVITIES 1,282
    YOUNG LIFE BALDWIN
    PO BOX 1443
    MILLEDGEVILLE,GA31059     		  PUBLIC TO FUND CHRISTIAN YOUTH MINISTRIES 100
    Total .................................bullet 3a 885,180
    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          
    4 Dividends and interest from securities....     14 378,134  
    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 3,702  
    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)..   381,836  
    13Total. Add line 12, columns (b), (d), and (e)...................
    13381,836
    (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
    AMOS-CHEVES FOUNDATION INC
     
    Employer identification number

    58-2634947
    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
    AMOS-CHEVES FOUNDATION INC
          		Employer identification number

    58-2634947
    Part I
    Contributors (see Instructions)
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    1
     
     

    CECIL M CHEVES    
    211 N LINTON ROAD
       
    COLUMBUS, GA   31904

    		$15,000




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    2
     
     

    BETTYE A CHEVES    
    211 N LINTON ROAD
       
    COLUMBUS, GA   31904

    		$25,000




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    3
     
     

    OLIVIA D AMOS CHARITABLE LEAD TRUST    
    6867 MOUNTAINBROOK DRIVE SUITE 107
       
    COLUMBUS, GA   31904

    		$1,412,080




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

    ELIZABETH CHEVES MEEKS    
    105 MORGAN DRIVE
       
    LAGRANGE, GA   30240

    		$65,000




    (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
    AMOS-CHEVES FOUNDATION INC
          		Employer identification number

    58-2634947
    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
    AMOS-CHEVES FOUNDATION INC
          		Employer identification number

    58-2634947
    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:  

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

    TY 2010 DepreciationSchedule
    Name:
    AMOS-CHEVES FOUNDATION INC
    EIN: 58-2634947
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    AMOS-CHEVES FOUNDATION INC
    EIN: 58-2634947
    Name of Stock End of Year Book Value End of Year Fair Market Value
    MORGAN STANLEY SMITH BARNEY 11,104,517 19,170,781
    STIFEL NICOLAUS 104,589 138,346

    TY 2010 InvestmentsOtherSchedule2
    Name:
    AMOS-CHEVES FOUNDATION INC
    EIN: 58-2634947
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MILTON INVESTMENTS, L.P.   0 0

    TY 2010 LandEtcSchedule2
    Name:
    AMOS-CHEVES FOUNDATION INC
    EIN: 58-2634947
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value


    TY 2010 OtherExpensesSchedule
    Name:
    AMOS-CHEVES FOUNDATION INC
    EIN: 58-2634947
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSES 129     129
    MISCELLANEOUS 200     200


    TY 2010 OtherIncomeSchedule2
    Name:
    AMOS-CHEVES FOUNDATION INC
    EIN: 58-2634947
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND      


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    AMOS-CHEVES FOUNDATION INC
    EIN: 58-2634947
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 2,217 2,217    
    MILTON INV K-1-INVESTMENT FEES 11,799 11,799    


    TY 2010 ReductionExplanationStatement
    Name:
    AMOS-CHEVES FOUNDATION INC
    EIN: 58-2634947
    Explanation:
    THE AMOS-CHEVES FOUNDATION OWNS AN 18.49% LIMITED PARTNERSHIP INTEREST IN MILTON INVESTMENTS, L.P. THE AVERAGE MONTHLY FAIR MARKET VALUE OF 18.49% OF THE PARTNERSHIP'S UNDERLYING ASSETS IS $15,332,661 THE UNDERLYING ASSETS ARE COMPRISED OF SECURITIES. THE PARTNERSHIP INTEREST WAS APPRAISED AT A DISCOUNT OF 32.8%. HOWEVER, THE FOUNDATION HAS LIMITED THE DISCOUNT TO 10%, OR $1,533,266.

    TY 2010 TaxesSchedule
    Name:
    AMOS-CHEVES FOUNDATION INC
    EIN: 58-2634947
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MILTON INV K-1 REAL ESTATE TAX 890 890    
    FOREIGN TAXES 48 48