Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2010
For calendar year 2010, or tax year beginning 07-01-2010 , and ending 06-30-2011
G
Check all that apply:
Name of foundation
UNITED SAMARITANS FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)220 S BROADWAY   Room/suite
City or town, state, and ZIP code
TURLOCK, CA95380
A Employer identification number

77-0393321
B Telephone number (see page 10 of the instructions)

(209) 668-4853
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$13,338,122J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 2,211,705
2 Check bullet
3 Interest on savings and temporary cash investments 2,229 2,229 2,229
4 Dividends and interest from securities...... 85,227 85,227 85,227
5a Gross rents.............. 237,379 237,379 237,379
b Net rental income or (loss) 121,497
6a Net gain or (loss) from sale of assets not on line 10 29,833
b Gross sales price for all assets on line 6a 1,116,453
7 Capital gain net income (from Part IV, line 2)... 29,833
8 Net short-term capital gain......... 28,807
9 Income modifications...........  
10a Gross sales less returns and allowances 81,354
b Less: Cost of goods sold.... 155,288
c Gross profit or (loss) (attach schedule)..... Click to see attachment -73,934 -73,934
11 Other income (attach schedule)....... Click to see attachment 10,304    
12 Total. Add lines 1 through 11........ 2,502,743 354,668 279,708
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 66,692     66,692
14 Other employee salaries and wages...... 375,066     375,066
15 Pension plans, employee benefits....... 76,811     76,811
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 7,265     7,265
c Other professional fees (attach schedule)....        
17 Interest............... 310     310
18 Taxes (attach schedule) (see page 14 of the instructions)        
19 Depreciation (attach schedule) and depletion... Click to see attachment 162,206 70,030  
20 Occupancy.............. 43,588     43,588
21 Travel, conferences, and meetings.......        
22 Printing and publications.......... 1,683     1,683
23 Other expenses (attach schedule)....... Click to see list of attachments 666,819 284,638   612,771
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,400,440 354,668   1,184,186
25 Contributions, gifts, grants paid........ 2,090 2,090
26 Total expenses and disbursements. Add lines 24 and 25 1,402,530 354,668   1,186,276
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,100,213
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)... 279,708
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............... 63,282 97,459 97,459
2 Savings and temporary cash investments.......... 358,855 559,706 559,706
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............... 36,036 44,951 44,951
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 72,551 Click to see attachment105,090 105,090
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet2,845,021
Less: accumulated depreciation (attach schedule) bullet777,291 2,137,760 Click to see attachment2,067,730 4,267,532
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 1,139,767 Click to see attachment2,185,102 2,185,102
14 Land, buildings, and equipment: basis bullet4,438,581
Less: accumulated depreciation (attach schedule) bullet1,439,127 3,059,118 Click to see attachment2,999,454 6,078,257
15 Other assets (describe bullet)   Click to see attachment25 Click to see attachment25
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 6,867,369 8,059,517 13,338,122
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................   146
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment1,539 Click to see attachment1,955
23 Total liabilities (add lines 17 through 22).......... 1,539 2,101
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 6,851,397 8,047,859
25 Temporarily restricted................ 14,433 9,557
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 6,865,830 8,057,416
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 6,867,369 8,059,517
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 6,865,830
2 Enter amount from Part I, line 27a...................... 2 1,100,213
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 91,523
4 Add lines 1, 2, and 3.......................... 4 8,057,566
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 150
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 8,057,416
Form 990-PF (2010)
Form 990-PF (2010)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 29,833
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 28,807
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 1,033,984 1,617,479 0.63926
2008 1,117,694 1,695,801 0.65910
2007 1,127,268 2,243,334 0.50250
2006 1,083,052 2,429,695 0.44576
2005 881,543 2,305,411 0.38238
2 Total of line 1, column (d) ...................... 2 2.62899
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 0.52580
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 2,286,900
5 Multiply line 4 by line 3....................... 5 1,202,445
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7 1,202,445
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,186,276
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 0
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 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  
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a  
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  
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  
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
 
No
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletCA
    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
    Yes
     
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletwww.unitedsamaritans.org
    14
    The books are in care ofbulletJOHN S ROGERS Telephone no.bullet (209) 668-4853
    Located atbullet220 S BROADWAYTURLOCKCA ZIP+4bullet95380
    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
     
    No
    .........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
     
    No
    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
     
    No
    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
     
    No
    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
    Barbara J Bawanan Executive Direc
    40.00     		66,692    
    220 S Broadway
    Turlock,CA95380
    Cathee Vaughn Director
    0.00     		0    
    220 S Broadway
    Turlock,CA95380
    June A Rogers Director
    0.00     		0    
    220 S Broadway
    Turlock,CA95380
    Steven Pallios Director
    0.00     		0    
    220 S Broadway
    Turlock,CA95380
    Judy Navarro Director
    0.00     		0    
    220 S Broadway
    Turlock,CA95380
    Michael Gemperle Director
    0.00     		0    
    220 S Broadway
    Turlock,CA95380
    Dan Courtney Secretary
    0.00     		0    
    220 S Broadway
    Turlock,CA95380
    Lisa Mazza Treasurer
    0.00     		0    
    220 S Broadway
    Turlock,CA95380
    Ron Emerzian Vice President
    0.00     		0    
    220 S Broadway
    Turlock,CA95380
    John S Rogers President
    0.00     		0    
    220 S Broadway
    Turlock,CA95380
    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 DAILY BREAD MINISTRIES, FEEDING THE POOR & HOMELESS381,979 lunches provided at 36 locations 1,097,144
    2 COMMUNITY SERVICE SUPPORTINCLUDING SERVICES TO 30+ HOMELESS PER DAY 65,735
    3 EMERGENCY FOOD PROGRAMPROVIDED 3,117 FOOD BOXES TO 6,874 INDIVIDUALS 23,397
    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
    1,476,415
    b
    Average of monthly cash balances.......................
    1b
    845,311
    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
    2,321,726
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d..........................
    3
    2,321,726
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    34,826
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,286,900
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    114,345
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
     
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4.............................
    5
     
    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
     
    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
    1,186,276
    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
    1,186,276
    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
    1,186,276
    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  
    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.......  
    b From 2006.......  
    c From 2007.......  
    d From 2008.......  
    e From 2009.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$  
    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.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2010.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		 
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		 
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		 
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		 
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		 
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007....  
    c Excess from 2008....  
    d Excess from 2009....  
    e Excess from 2010....  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2010, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2010 (b) 2009 (c) 2008 (d) 2007
    114,345 80,874 84,790 112,167 392,176
    b 85% of line 2a ......... 97,193 68,743 72,072 95,342 333,350
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		1,186,276 1,033,984 1,117,694 1,128,803 4,466,757
    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 ....     		1,186,276 1,033,984 1,117,694 1,128,803 4,466,757
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ...... 13,338,122 12,002,649 11,053,461 11,467,680 47,861,912
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		 10,390,765 10,368,194 10,261,072 10,261,072 41,281,103
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		        0
    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).)
    June A Rogers
    John S Rogers
    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
    Hughson Family Resource Center
    PO Box 264
    Hughson,CA95326     		None Charity Unrestricted Support 300
    American Red Cross
    1230 6th Street
    Modesto,CA95354     		None Charity Unrestricted Support 30
    Salvation Army
    893 Lander Avenue
    Turlock,CA95380     		None Charity Unrestricted Support 150
    United Way of Stanislaus County
    PO Box 3066
    Modesto,CA95353     		None Charity Unrestricted Support 240
    Sierra Vista Child Family Services
    1400 K Street Suite F
    Modesto,CA95354     		None Charity Unrestricted Support 1,370
    Total .................................bullet 3a 2,090
    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 2,229  
    4 Dividends and interest from securities....     14 85,227  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 121,497  
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 29,833  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..     41 -73,934  
    11 Other revenue: aInsurance Reimbursement     1 10,304  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   175,156  
    13Total. Add line 12, columns (b), (d), and (e)...................
    13175,156
    (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: 10000105
    Software Version: 2010v3.2


    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
    UNITED SAMARITANS FOUNDATION
     
    Employer identification number

    77-0393321
    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 4 of Part I
    Name of organization
    UNITED SAMARITANS FOUNDATION
          		Employer identification number

    77-0393321
    Part I
    Contributors (see Instructions)
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    22
     
     

    Bert Bertolotti    
    135 Bonita Circle
       
    Modesto, CA   95354

    		$10,000




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    21
     
     

    Save Mart    
    1631 Lander Ave
       
    Turlock, CA   95380

    		$5,117




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    20
     
     

    Kozy Shack Enterprises Inc    
    600 S Tegner Rd
       
    Turlock, CA   95380

    		$6,395




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    19
     
     

    Wruck Revocable Trust    
    2755 N Walnut Rd Spc 135
       
    Turlock, CA   95382

    		$6,514




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    18
     
     

    Mary H Rodrigues Estate    
    4919 Little Bob Court
       
    Denair, CA   95316

    		$16,658




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    17
     
     

    Panahi Estate    
    624 Crane
       
    Turlock, CA   95380

    		$1,310,000




    (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 2 of 4 of Part I
    Name of organization
    UNITED SAMARITANS FOUNDATION
          		Employer identification number

    77-0393321
    Part I
    Contributors (see Instructions)
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    16
     
     

    Winco    
    2200 Plaza Parkway
       
    Modesto, CA   95350

    		$17,927




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    15
     
     

    Pepsi Bottling Company    
    200 River Rd
       
    Modesto, CA   95351

    		$24,842




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    14
     
     

    ENG LIM dba Paradise Donuts    
    615 Paradise Rd
       
    Modesto, CA   95351

    		$18,352




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    13
     
     

    Gemperle Enterprises    
    10218 Lander Ave
       
    Turlock, CA   95380

    		$23,565




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    12
     
     

    Food Maxx    
    1845 Countryside Drive
       
    Turlock, CA   95380

    		$6,260




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    11
     
     

    Costco Wholesale    
    2955 N Tegner Rd
       
    Turlock, CA   95380

    		$6,077




    (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 3 of 4 of Part I
    Name of organization
    UNITED SAMARITANS FOUNDATION
          		Employer identification number

    77-0393321
    Part I
    Contributors (see Instructions)
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    10
     
     

    Coca-Cola    
    1733 Morgan Rd Suite 200
       
    Modesto, CA   95358

    		$10,463




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    9
     
     

    United Way of Stanislaus County    
    PO Box 3066
       
    Modesto, CA   95353

    		$18,026




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    8
     
     

    Samaritan Project Inc    
    209 Ridgewood Avenue
       
    Glen Ridge, NJ   07028

    		$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
    7
     
     

    Joaquin and Myrna Rose    
    1924 Arbor Way
       
    Turlock, CA   95380

    		$5,000




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    6
     
     

    John and June Rogers    
    c/o PMB 306 1801 H St Ste B-5
       
    Modesto, CA   95354

    		$77,018




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    5
     
     

    Gemperle Enterprises    
    10218 N Lander Ave
       
    Turlock, CA   95380

    		$5,000




    (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 4 of 4 of Part I
    Name of organization
    UNITED SAMARITANS FOUNDATION
          		Employer identification number

    77-0393321
    Part I
    Contributors (see Instructions)
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    4
     
     

    Mary C Gallo    
    c/o PO Box 292
       
    Modesto, CA   95354

    		$177,146




    (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
     
     

    Mary C Gallo    
    c/o PO Box 292
       
    Modesto, CA   95354

    		$27,000




    (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
     
     

    E J Gallo Winery    
    PO Box 1130
       
    Modesto, CA   95353

    		$10,000




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    1
     
     

    Bright Family Foundation    
    1620 N Carpenter Rd Ste B
       
    Modesto, CA   95351

    		$23,000




    (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 2 of Part II
    Name of organization
    UNITED SAMARITANS FOUNDATION
          		Employer identification number

    77-0393321
    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
    21
    		 26,931 Pounds of Surplus Food @ .19/LB   $5,117 2010-12-31
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    20
    		 33,657 Pounds of Surplus Food @ .19/LB   $6,395 2010-12-31
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    16
    		 94,350 Pounds of Surplus Food @ .19/LB   $17,927 2010-12-31
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    15
    		 130,745 Pounds of Surplus Food @ .19/LB   $24,842 2010-12-31
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    14
    		 Donuts - Donated Weekly   $18,352 2010-12-31
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    13
    		 Eggs - Donated Weekly   $23,565 2010-12-31
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 2 of 2 of Part II
    Name of organization
    UNITED SAMARITANS FOUNDATION
          		Employer identification number

    77-0393321
    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
    12
    		 32,945 Pounds of Surplus Food @ .19/LB   $6,260 2010-12-31
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    11
    		 29,883 Pounds of Surplus Food @ .19/LB   $6,077 2010-12-31
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    10
    		 55,067 Pounds of Surplus Food @ .19/LB   $10,463 2011-12-31
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    4
    		 490 Shs Ociidental Petroleum765 Shs Fedex Corporation1,435 Shs Capital One Finl Corp   $177,146 2010-12-27
    (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
    UNITED SAMARITANS FOUNDATION
          		Employer identification number

    77-0393321
    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: 10000105
    Software Version: 2010v3.2

    TY 2010 AccountingFeesSchedule
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Financial Audit and Information Returns 7,265 0 0 7,265

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

    TY 2010 DepreciationSchedule
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    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
    Delivery Truck 2011-02-11 22,995   91 7.0000 1,369      
    Washer/Dryer - Hughson 2011-06-09 1,055   91 7.0000 13      
    Egg Grinder - Modesto 2011-04-22 1,768   91 7.0000 42      
    Telephone System - DB Tur 2011-01-10 6,040   91 7.0000 431      
    HP Computer - Accounting 2010-09-15 654   91 5.0000 109      
    Forklift- CAT P5000LP 2010-04-16 14,631 348 91 7.0000 2,090      
    Cooler Box 2009-11-25 42,324 633 91 39.0000 1,085      
    Washer- Homeless Window 2010-03-02 594 28 91 7.0000 85      
    Washer- Homeless Ctr 2009-10-02 726 78 91 7.0000 104      
    Samaritan House Plumbing 2008-02-28 25,795 1,505 91 40.0000 645 645    
    Samaritan House Roof 2001-09-04 6,793 1,537 91 39.0000 174 174    
    Samaritan House Reno. 1998-05-01 201,290 61,215 91 40.0000 5,032 5,032    
    Bldg - Samaritan House 1997-01-15 218,645 73,791 91 40.0000 5,466 5,466    
    CSA Office 2002-09-03 929,634 186,723 91 39.0000 23,837 23,837    
    Stan Cnty Improvements 2007-03-01 106,594 9,110 91 39.0000 2,733 2,733    
    Bldgs - 417 5th Modesto 2002-04-29 61,200 12,495 91 40.0000 1,530 1,530    
    Hughson Site Work 1998-11-01 169,321 51,134 91 39.0000 4,342 4,342    
    Hughson Health & Resource 1998-11-01 1,024,572 306,495 91 39.0000 26,271 26,271    
    Turlock Site Wk-Fixtures 2003-01-16 1,388 267 91 39.0000 36      
    Turlock Site Work 2002-01-10 63,897 13,923 91 39.0000 1,638      
    Kitchen/Warehouse 2002-01-10 1,674,815 365,024 91 39.0000 42,944      
    Hughson Site Work 1998-11-01 169,321 51,134 91 39.0000 4,342      
    Hughson Community Center 1998-11-01 992,161 289,380 91 40.0000 24,804      
    Turlock Warehouse 1997-11-15 320,239 101,410 91 40.0000 8,006      
    Hand Rails 1999-11-14 1,715 470 91 39.0000 44      
    AIM Electric 3 Phs Hookup 1996-05-15 1,580 566 91 40.0000 40      
    Guenther Construction 1996-03-15 2,451 875 91 40.0000 61      
    Lift Truck - Cat GC25K LP 2007-10-17 8,600 3,277 91 7.0000 1,229      
    Deep Fryer Gas 45lb-Cafe 2007-03-19 1,341 624 91 7.0000 192      
    Ladder FG Twin 14ft 2007-02-09 575 280 91 7.0000 82      
    Dell Computers (3) 2007-01-17 2,870 1,961 91 5.0000 574      
    Dell Computer 2007-01-17 957 653 91 5.0000 191      
    Food Processor 2007-01-12 1,442 721 91 7.0000 206      
    Dell Computers (2) 2006-08-10 2,778 2,177 91 5.0000 556      
    Freezer 2006-01-03 3,320 2,094 91 7.0000 474      
    Pallet Racks 1998-03-05 2,699 1,665 91 20.0000 135      
    2005 Ford Ranger Pickup 2008-02-07 3,000 1,450 91 5.0000 600      
    Generator Truck #5 2007-09-25 4,860 1,909 91 7.0000 694      

    TY 2010 GeneralExplanationAttachment
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Identifier Return Reference Explanation
        United Samaritans Foundation has filed notice of intent to terminate its Private Foundation Status under IRC Section 507(B)(1)(b) during the 60 months beginning July 1, 2008. The Foundation has been granted an advance ruling period and accordingly is treated as a public charity during this period. Excise tax on investment income has not been reported within this return.

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Name of Stock End of Year Book Value End of Year Fair Market Value
    TD Ameritrade Invest Portfolio 105,090 105,090

    TY 2010 InvestmentsLandSchedule2
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Miscellaneous 2,845,021 777,291 2,067,730 4,267,532

    TY 2010 InvestmentsOtherSchedule2
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    TD Ameritrade Invest Portfolio FMV 460,494 460,494
    Bel Air Invest Portfolio FMV 1,724,608 1,724,608

    TY 2010 LandEtcSchedule2
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Miscellaneous 4,438,581 1,439,127 2,999,454 6,078,257


    TY 2010 OtherAssetsSchedule
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Payroll Tax Deposits   25 25


    TY 2010 OtherDecreasesSchedule
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Description Amount
    Prior Year Adjustment 150


    TY 2010 OtherExpensesSchedule
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    x-Adjust Invest Inc- see footnote   230,590    
    Truck Expenses 83,176     83,176
    Telephone 10,733     10,733
    Supplies 56,202     56,202
    Security 14,587     14,587
    Repairs & Maintenance 33,494     33,494
    Rental Expenses 45,852 45,852    
    Postage 2,219     2,219
    Operation Expense 10,771     10,771
    Office Expenses 16,522     16,522
    Miscellaneous Expense 719     719
    Investment Fees 8,196 8,196    
    Insurance 60,552     60,552
    Fundraising Expense 38,402     38,402
    Food 260,583     260,583
    Equipment Maintenace 19,884     19,884
    Employee Recognition 4,927     4,927


    TY 2010 OtherIncomeSchedule2
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Insurance Reimbursement 10,304    


    TY 2010 OtherIncreasesSchedule
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Description Amount
    Change in FMV of Investments 91,523


    TY 2010 OtherLiabilitiesSchedule
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2
    Description Beginning of Year - Book Value End of Year - Book Value
    Sales Tax Payable 1,539 1,955


    TY 2010 SalesOfInventoryList 
    Name:
    UNITED SAMARITANS FOUNDATION
    EIN: 77-0393321
    Software ID:10000105
    Software Version:2010v3.2

    Category Gross Sales Cost of Goods Sold Net (Gross Sales Minus
    Cost of Goods Sold)
    3rd Street Cafe 81,354 155,288 -73,934