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
2011
For calendar year 2011, or tax year beginning 01-01-2011 , and ending 12-31-2011
G
Check all that apply:
Name of foundation
E M ICH BANE TUA
 

Number and street (or P.O. box number if mail is not delivered to street address)1525 W WT HARRIS BLVD D1114-044   Room/suite
City or town, state, and ZIP code
CHARLOTTE, NC28288
A Employer identification number

54-6293471
B Telephone number (see page 10 of the instructions)

(336) 747-8187
C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$3,811,659J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 64 64  
4 Dividends and interest from securities...... 107,416 105,755  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 632,349
b Gross sales price for all assets on line 6a 7,076,075
7 Capital gain net income (from Part IV, line 2)... 632,349
8 Net short-term capital gain......... 0
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........ 739,829 738,168  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 55,855 41,891   13,964
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 3,445 0 0 3,445
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 3,283 1,584   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 62,583 43,475 0 17,409
25 Contributions, gifts, grants paid........ 166,391 166,391
26 Total expenses and disbursements. Add lines 24 and 25 228,974 43,475 0 183,800
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 510,855
b Net investment income (if negative, enter -0-) 694,693
c Adjusted net income (if negative, enter -0-)... 0
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
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.......... 85,150 151,477 151,477
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
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)........ 186,609 Click to see attachment2,830,377 2,796,119
c Investments—corporate bonds (attach schedule)........ 2,639,009 Click to see attachment885,894 864,063
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 432,656   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) 3,343,424 3,867,748 3,811,659
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 3,343,424 3,867,748
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).................... 3,343,424 3,867,748
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 3,343,424 3,867,748
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 3,343,424
2 Enter amount from Part I, line 27a..................... 2 510,855
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 20,390
4 Add lines 1, 2, and 3.......................... 4 3,874,669
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 6,921
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 3,867,748
Form 990-PF (2011)
Form 990-PF (2011)
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 50. AFLAC INC COM   2011-09-13 2011-11-04
b 225. AFLAC INC COM   2011-09-13 2011-12-21
c 662. AT&T INC   2004-08-16 2011-11-04
d 400. AETNA INC-NEW COM   2004-07-29 2011-11-04
e 60.228 AMERICAN CENTURY EQUITY INCOME-I#338   2009-08-24 2011-07-01
25073.367 AMERICAN CENTURY EQUITY INCOME-I#338   2009-08-24 2011-09-13
285. AMERICAN EXPRESS CO COM   2011-09-13 2011-11-04
55. AMERIPRISE FINANCIAL INC   2011-09-13 2011-11-04
245. AMERIPRISE FINANCIAL INC   2011-09-13 2011-12-21
10. APPLE COMPUTER INC COM   2011-09-13 2011-11-04
21529. ARTIO GLOBAL HIGH INCOME-I #1525   2009-08-24 2011-09-13
2585.033 ARTIO GLOBAL HIGH INCOME-I #1525   2011-07-01 2011-09-13
55. BMC SOFTWARE INC COM RTS EXP 05/12/2005   2011-09-13 2011-11-04
245. BMC SOFTWARE INC COM RTS EXP 05/12/2005   2011-09-13 2011-12-21
400. BECTON DICKINSON & CO COM   2006-07-14 2011-09-13
100. BRISTOL-MYERS SQUIBB CO COM   2011-09-13 2011-11-04
300. CVS CORP COM   2003-10-29 2011-11-04
65. CAPITAL ONE FINL CORP COM RTS EXP 11/29/2005   2011-09-13 2011-11-04
70. CARDINAL HLTH INC COM   2011-09-13 2011-11-04
130. COMCAST CORP NEW CL A   2011-09-13 2011-11-04
455. CONOCOPHILLIPS COM   2003-12-30 2011-11-04
55. DANAHER CORP COM   2011-09-13 2011-11-04
466.813 DELAWARE POOLED TR INTL EQUITY PORTFOLIO   2010-12-17 2011-05-02
13950.735 DELAWARE POOLED TR INTL EQUITY PORTFOLIO   2009-12-17 2011-05-02
220. EXXON MOBIL CORP COM   1999-01-05 2011-11-04
4620.971 FLEMING CAP MUTUAL FUND GROUP J P MORGAN MID CAP VALUE FUND   2011-09-13 2011-11-04
235.671 GOLDMAN SACHS GROWTH OPPORTUNITIES INSTITUTIONAL SHARES   2009-08-24 2011-07-01
2614. GOLDMAN SACHS GROWTH OPPORTUNITIES INSTITUTIONAL SHARES   2009-08-24 2011-09-13
4756.329 GOLDMAN SACHS GROWTH OPPORTUNITIES INSTITUTIONAL SHARES   2009-08-24 2011-11-04
3593.067 HARBOR FD INTL FD   2011-07-01 2011-09-13
3446.738 HARBOR FD INTL FD   2009-08-24 2011-09-13
653.932 HARBOR FD CAP APPRECIATION   2009-08-24 2011-07-01
4707.068 HARBOR FD CAP APPRECIATION   2009-08-24 2011-09-13
80. HOME DEPOT INC COM   2011-09-13 2011-11-04
696.982 HUSSMAN STRATEGIC GROWTH FD   2011-09-13 2011-11-04
12465.587 ING INTERNATIONAL REAL EST-I #2664   2008-12-09 2011-09-13
1485.768 ING INTERNATIONAL REAL EST-I #2664   2011-07-01 2011-09-13
4235.509 ING REAL ESTATE FUND CL-I #2190   2011-07-01 2011-09-13
8875.635 ING REAL ESTATE FUND CL-I #2190   2008-12-09 2011-09-13
150. INTEL CORP COM   2011-09-13 2011-11-04
80. INTL BUSINESS MACHINES CORP COM   2002-12-24 2011-11-04
155. JP MORGAN CHASE & CO COM   2011-09-13 2011-11-04
45. JOHNSON & JOHNSON COM   2011-09-13 2011-11-04
4593.863 KEELEY SMALL CAP VAL FD CL I #2251   2011-09-13 2011-11-04
35. MCDONALDS CORP COM   2011-09-13 2011-11-04
35. MCKESSON HBOC INC COM   2011-09-13 2011-11-04
250. MEDCO HEALTH SOLUTIONS INC   2011-09-13 2011-11-04
169.178 MERGER FD SH BEN INT   2011-09-13 2011-11-04
300. NEXTERA ENERGY INC   2004-08-16 2011-11-04
650. NIKE INC CL B COM   2004-04-05 2011-09-13
6912.162 OPPENHEIMER DEVELOPING MKT-Y #788   2011-07-01 2011-09-13
31668.673 PIMCO FDS PAC INVT MGMT SER LOW DURATION FD INSTL CL   2011-07-01 2011-09-13
16354.981 PIMCO FDS PAC INVT MGMT SER MODE DUR INS   2008-02-28 2011-07-01
19278.819 PIMCO FDS PAC INVT MGMT SER MODE DUR INS   2008-01-10 2011-09-13
17267.743 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2008-04-04 2011-05-04
1672.48 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2011-07-01 2011-09-13
17236.432 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2009-08-24 2011-09-13
1407. PIMCO FOREIGN BOND FUND-INST   2011-07-01 2011-09-13
4402.894 PIMCO FOREIGN BOND FUND-INST   2011-07-01 2011-11-04
13738.19 PIMCO EMERG MKTS BD-INST #137   2009-08-24 2011-09-13
4735.203 PIMCO EMERG MKTS BD-INST #137   2011-07-01 2011-09-13
17808.09 PIMCO COMMODITY REAL RET STRAT-I#45   2009-01-07 2011-09-13
5998.041 PIMCO COMMODITY REAL RET STRAT-I#45   2011-07-01 2011-09-13
300. PRAXAIR INC COM   2002-08-12 2011-11-04
325. PROCTER & GAMBLE CO COM   2003-12-30 2011-11-04
45. QUALCOMM INC COM W/RTS ATTACHED   2011-09-13 2011-11-04
7329.544 ROWE T PRICE REAL ESTATE FD COM   2009-08-24 2011-07-01
1233.161 ROYCE PREMIER FUND W CLASS #566   2009-08-24 2011-07-01
5626.839 ROYCE PREMIER FUND W CLASS #566   2009-08-24 2011-09-13
3872.195 TCW GALILEO FDS INC SMALL CAP GROWTH FD   2011-09-13 2011-11-04
20. TARGET CORP COM   2011-09-13 2011-11-04
100. TEXAS INSTRS INC COM   2011-09-13 2011-11-04
445. UNITED TECHNOLOGIES CORP COM   2004-07-29 2011-11-04
60. UNITEDHEALTH GRP INC COM   2011-09-13 2011-11-04
809.792 VANGUARD INFLAT-PROT SECS-ADM #5119   2008-09-08 2011-07-01
4731.966 VANGUARD INFLAT-PROT SECS-ADM #5119   2009-08-24 2011-09-13
5085.457 VANGUARD SMALL CAP GROWTH INDEX FD CL A   2011-07-01 2011-09-13
16.249 CRM MIDCP VAL INST   2004-12-03 2011-07-01
6037.753 CRM MIDCP VAL INST   2004-12-16 2011-09-13
22904.215 WELLS FARGO ADV TOT RT BD FD-IN #944   2011-09-13 2011-11-04
10149.209 WELLS FARGO ADV EMG MK E-INS #4146   2006-09-20 2011-07-01
5121.171 WELLS FARGO ADV EMG MK E-INS #4146   2011-09-13 2011-11-04
894.808 WELLS FARGO ADV DS US CR FD-ADM #716   2007-02-28 2011-07-01
8543. WF ADV TRAD S/C GRWTH FD INST #4132   2009-08-24 2011-07-01
12107.336 WELLS FARGO ADV INTL BOND-IS #4705   2007-01-05 2011-07-01
9272.876 WELLS FARGO ADV INTL BOND-IS #4705   2011-09-13 2011-11-04
44796.48 WELLS FARGO ADV DIV INTL FD-I #3113   2011-09-13 2011-11-04
24763.231 WELLS FARGO ADV HI INC-INS #3110   2011-09-13 2011-11-04
26498.227 WF ADV GOVT SECURITIES- I #3101   2011-09-13 2011-11-04
16000. WF ADV SHORT-TERM BOND FUND-I#3102   2011-09-13 2011-11-04
20. WYNN RESORTS LTD   2011-09-13 2011-11-04
150. ACCENTURE PLC   2004-04-05 2011-11-04
55. ACE LIMITED   2011-09-13 2011-11-04
65. TYCO INTERNATIONAL LTD NEW   2011-09-13 2011-11-04
(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 2,266   1,712 554
b 9,369   7,704 1,665
c 19,277   13,575 5,702
d 15,792   8,341 7,451
e 454   376 78
170,750   152,386 18,364
14,529   13,623 906
2,542   2,357 185
12,092   10,498 1,594
4,014   3,855 159
206,033   203,018 3,015
24,739   26,781 -2,042
1,974   2,195 -221
8,077   9,778 -1,701
30,456   23,472 6,984
3,119   2,955 164
11,376   4,568 6,808
2,993   2,787 206
3,069   2,857 212
2,948   2,830 118
32,018   13,051 18,967
2,685   2,427 258
6,857   6,069 788
204,936   188,573 16,363
17,182   7,247 9,935
109,748   101,800 7,948
6,073   4,211 1,862
57,247   46,712 10,535
112,630   84,996 27,634
186,372   241,015 -54,643
178,782   223,322 -44,540
26,432   19,134 7,298
171,808   137,729 34,079
2,896   2,616 280
8,678   8,963 -285
95,985   75,417 20,568
11,440   13,253 -1,813
61,542   67,768 -6,226
128,963   112,852 16,111
3,579   3,117 462
14,895   6,401 8,494
5,244   5,051 193
2,892   2,867 25
110,574   101,800 8,774
3,274   3,019 255
2,837   2,597 240
13,653   12,950 703
2,700   2,654 46
16,810   10,122 6,688
55,783   23,009 32,774
214,554   249,391 -34,837
329,354   332,702 -3,348
176,307   168,940 7,367
207,826   198,186 9,640
190,291   189,254 1,037
18,364   18,397 -33
189,256   185,010 4,246
15,125   14,661 464
47,243   45,878 1,365
155,242   137,226 18,016
53,508   53,271 237
160,095   117,533 42,562
53,922   52,183 1,739
30,123   8,103 22,020
20,517   11,376 9,141
2,542   2,349 193
143,219   125,293 17,926
27,734   18,485 9,249
109,667   84,346 25,321
108,576   101,800 6,776
1,042   1,020 22
3,171   2,661 510
34,310   20,953 13,357
2,727   2,855 -128
21,330   20,198 1,132
131,785   116,231 15,554
103,540   124,695 -21,155
510   431 79
154,989   111,310 43,679
300,503   298,900 1,603
247,945   96,924 151,021
112,871   112,000 871
13,324   15,838 -2,514
161,463   102,260 59,203
145,530   126,382 19,148
110,069   113,500 -3,431
431,390   407,200 24,190
181,514   177,800 3,714
298,900   298,900  
139,680   140,000 -320
2,641   2,999 -358
8,740   3,818 4,922
3,965   3,382 583
2,940   2,675 265
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       554
b       1,665
c       5,702
d       7,451
e       78
      18,364
      906
      185
      1,594
      159
      3,015
      -2,042
      -221
      -1,701
      6,984
      164
      6,808
      206
      212
      118
      18,967
      258
      788
      16,363
      9,935
      7,948
      1,862
      10,535
      27,634
      -54,643
      -44,540
      7,298
      34,079
      280
      -285
      20,568
      -1,813
      -6,226
      16,111
      462
      8,494
      193
      25
      8,774
      255
      240
      703
      46
      6,688
      32,774
      -34,837
      -3,348
      7,367
      9,640
      1,037
      -33
      4,246
      464
      1,365
      18,016
      237
      42,562
      1,739
      22,020
      9,141
      193
      17,926
      9,249
      25,321
      6,776
      22
      510
      13,357
      -128
      1,132
      15,554
      -21,155
      79
      43,679
      1,603
      151,021
      871
      -2,514
      59,203
      19,148
      -3,431
      24,190
      3,714
       
      -320
      -358
      4,922
      583
      265
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 2 632,349
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))
2010 183,937 3,795,939 0.048456
2009 175,696 3,346,265 0.052505
2008 193,832 3,867,525 0.050118
2007 197,300 4,524,620 0.043606
2006 145,701 3,524,966 0.041334
2 Total of line 1, column (d) ...................... 2 0.236019
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 0.047204
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 4,022,995
5 Multiply line 4 by line 3....................... 5 189,901
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 6,947
7 Add lines 5 and 6......................... 7 196,848
8 Enter qualifying distributions from Part XII, line 4.............. 8 183,800
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 (2011)
Form 990-PF (2011)
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 13,894
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 13,894
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 13,894
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 1,152
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,152
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 12,742
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 2012 estimated taxBullet   Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (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)bulletVA
    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 2011 or the taxable year beginning in 2011 (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 addressbullet  
    14
    The books are in care ofbulletWELLS FARGO Telephone no.bullet (336) 747-8187
    Located atbullet1 WEST 4TH ST - 2ND FLWINSTONSALEMNC ZIP+4bullet271013818
    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 2011, 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 (2011)
    Form 990-PF (2011)
    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 2011?.............
    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 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    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 2011 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 2011.)....................
    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 2011?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2011)
    Form 990-PF (2011)
    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
    WELLS FARGO TRUSTEE
    40     		55,855    
    1525 W WT HARRIS BLVD D1114-044
    CHARLOTTE,NC282881161
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    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
    3,956,320
    b
    Average of monthly cash balances.......................
    1b
    127,939
    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
    4,084,259
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    4,084,259
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    61,264
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,022,995
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    201,150
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    201,150
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    13,894
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    13,894
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    187,256
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    187,256
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    187,256
    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
    183,800
    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
    183,800
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    183,800
    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 (2011)
    Form 990-PF (2011)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus     		(b)
    Years prior to 2010     		(c)
    2010     		(d)
    2011
    1 Distributable amount for 2011 from Part XI, line 7 187,256
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 166,964
    b Total for prior years:2009, 20, 20 0
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 0
    b From 2007....... 0
    c From 2008....... 0
    d From 2009....... 0
    e From 2010....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 183,800
    a Applied to 2010, but not more than line 2a 166,964
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		 0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		0
    d Applied to 2011 distributable amount..... 16,836
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2011. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		0
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		0
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		170,420
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		0
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		0
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2007.... 0
    b Excess from 2008.... 0
    c Excess from 2009.... 0
    d Excess from 2010.... 0
    e Excess from 2011.... 0
    Form 990-PF (2011)
    Form 990-PF (2011)
    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 2011, 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) 2011 (b) 2010 (c) 2009 (d) 2008
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2011)
    Form 990-PF (2011)
    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
    AMERICAN DIABETES ASSOCIATION
    VIRGINIA AFFILIATE INC
    1701 NORTH BEAUREGARD STREET
    ALEXANDRIA,VA22311     		NONE PUBLIC CHARITY CONTRIBUTION 3,300
    AMERCIAN CANCER SOCIETY
    ATTN PHILLIP R SAMRICK
    PO BOX 720366
    OKLAHOMA CITY,OK731720366     		NONE PUBLIC CHARITY CONTRIBUTION 8,250
    CYSTIC FIBROSIS FOUNDATION
    JOHN LEHR DIR MAJOR/PLAN GIFTS
    6931 ARLINGTON ROAD
    BETHESDA,MD20814     		NONE PUBLIC CHARITY CONTRIBUTION 3,300
    GRUNDY VOLUNTEER FIRE DEPARTMENT
    FOUNDATION
    MAPLE STREET
    Grundy,VA24614     		NONE PUBLIC CHARITY CONTRIBUTION 1,650
    PATTERSON RESCUE
    VIRGINIA 638
    Patterson,VA24631     		NONE PUBLIC CHARITY CONTRIBUTION 1,650
    SHRINERS HOSPITALS FOR CHILDREN
    POST OFFICE BOX 863770
    ORLANDO,FL328863770     		NONE PUBLIC CHARITY CONTRIBUTION 16,500
    AMERICAN RED CROSS BUCHANAN
    COUNTY CHAPTER
    117 W WASHINGTON ST
    Morris,IL60450     		NONE PUBLIC CHARITY CONTRIBUTION 8,250
    EMORY AND HENRY COLLEGE
    POST OFFICE BOX 950
    EMORY,VA24327     		NONE PUBLIC CHARITY CONTRIBUTION 8,250
    ROANOKE COLLEGE
    221 COLLEGE LANE
    SALEM,VA24153     		NONE PUBLIC CHARITY CONTRIBUTION 8,250
    EASTERN STAR HOME OF VA INC
    ATTN DAVID SMITH PRESIDENT
    4101 NINE MILE ROAD
    RICHMOND,VA23223     		NONE PUBLIC CHARITY CONTRIBUTION 1,650
    MASONIC HOME OF VIRGINIA
    4101 NINE MILE ROAD
    RICHMOND,VA23223     		NONE EXEMPT GENERAL 1,650
    VIRGINIA FOUNDATION FOR
    INDEPENDENT COLLEGES
    8010 RIDGE ROAD SUITE B
    Richmond,VA23229     		NONE PUBLIC CHARITY CONTIBUTION 8,250
    MOUNTAIN MISSION SCHOOL
    1760 EDGEWATER DRIVE
    GRUNDY,VA24614     		NONE PUBLIC CHARITY CONTRIBUTION 33,000
    OAKWOOD VOLUNTEER FIRE DEPT INC
    INTERSECTION US 460 STATE RT 624
    Oakwood,VA24631     		NONE PUBLIC CHARITY CONTRIBUTION 1,650
    WHITEWOOD FIRE DEPARTMENT
    1186 WIMMER GAP RD
    WHITEWOOD,VA246579456     		NONE PUBLIC CHARITY CONTRIBUTION 1,650
    ALZHEIMER DISEASE AND RELATED
    DISORDERS ASSOCIATION
    4600 COX ROAD SUITE 130
    GLEN ALLEN,VA23060     		NONE PUBLIC CHARITY CONTRIBUTION 3,300
    COUNCIL FIRE DEPARTMENT
    1/10 MILE ON RT 620 EAST OF RT 80
    Honaker,VA24260     		NONE PUBLIC CHARITY CONTRIBUTION 3,041
    SLATE CREEK VFD
    10087 SLATE CREEK RD
    GRUNDY,VA24614     		NONE PUBLIC CHARITY CONTRIBUTION 1,650
    RUSSELL PRATER FIRE
    LOVERS GAP RD RT 83
    Vansant,VA24656     		NONE PUBLIC CHARITY CONTRIBUTION 1,650
    DISMAL RIVER RESCUE
    1076 BROWN MOUNTAIN RD
    Whitewood,VA24657     		NONE PUBLIC CHARITY CONTRIBUTION 1,650
    KNOX CREEK FIRE & RESCUE
    FOUNDATION
    400 MAIN ST
    Knoxville,TN37902     		NONE PUBLIC CHARITY CONTRIBUTION 1,650
    DAVENPORT LIFE SAVING
    PO BOX 53
    DAVENPORT,VA24239     		NONE PUBLIC CHARITY GENERAL PURPSOE 1,650
    NATIONAL PARKINSON FOUNDATION
    C/O NATIONAL PARKINSON FDN INC
    1501 NW 9TH AVENUE
    MIAMI,FL331361494     		NONE PUBLIC CHARITY CONTRIBUTION 3,300
    NATIONAL RIGHT TO WORK
    LEGAL DEFENSE & EDUCATION FDN
    8001 BRADDOCK ROAD SUITE 600
    SPRINGFIELD,VA22160     		NONE PUBLIC CHARITY CONTRIBUTION 16,500
    PIKEVILLE COLLEGE
    147 SYCAMORE STREET
    PIKEVILLE,KY41501     		NONE PUBLIC CHARITY CONTRIBUTION 8,250
    BOY SCOUTS OF AMERICA SEQUOYAH
    ATTENTION DOUG MITCHELL
    129 BOONE RIDGE DRIVE
    JOHNSON CITY,TN37615     		NONE PUBLIC CHARITY CONTRIBUTION 16,500
    Total .................................bullet 3a 166,391
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2011)
    Form 990-PF (2011)
    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 64  
    4 Dividends and interest from securities....     14 107,416  
    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     18 632,349  
    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)..   739,829  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13739,829
    (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 (2011)
    Form 990-PF (2011)
    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 (2011)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 AccountingFeesSchedule
    Name:
    E M ICH BANE TUA
    EIN: 54-6293471
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREP FEE 3,445     3,445

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    E M ICH BANE TUA
    EIN: 54-6293471
    Name of Bond End of Year Book Value End of Year Fair Market Value
    04315J860 ARTIO GLOBAL HIGH IN    
    693390593 PIMCO MODERATE DURAT    
    693390700 PIMCO TOT. RTN    
    922031737 VANGUARD INFLATION P    
    94985D582 WELLS FARGO ADV.INTE    
    693391559 PIMCO EMERGING MKTS    
    025076209 AMERICAN CENTURY EQU    
    92934R769 CRM MID CAP VALUE    
    38142Y401 GOLDMAN SACHS GROWTH    
    411511504 HARBOR CAPITAL APPRE    
    780905451 ROYCE PREMIER FUND    
    94984B157 WELLS FARGO ADV. DIS    
    94975P751 WELLS FARGO ADV. EME    
    94985D244 WELLS FARGO ADV. TRA    
    246248306 DELAWARE POOLED TR    
    411511306 HARBOR INTERNATIONAL    
    261980494 DREYFUS EMG MKT DEBT 154,000 140,986
    51855Q655 LAUDUS MONDRIAN INTL 65,500 61,267
    693390882 PIMCO FOREIGN BD FD 64,156 65,141
    76628T645 RIDGEWORTH SEIX HY B 165,000 163,265
    921937819 VANGUARD INTERMEDIAT 146,354 144,805
    921937827 VANGUARD SHORT TERM 290,884 288,599

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    E M ICH BANE TUA
    EIN: 54-6293471
    Name of Stock End of Year Book Value End of Year Fair Market Value
    654106103 NIKE INC CL    
    126650100 CVS/CAREMARK CORP    
    742718109 PROCTER & GAMBLE CO 5,932 11,674
    20825C104 CONOCOPHILLIPS 3,701 10,566
    30231G102 EXXON MOBIL CORP 5,106 13,138
    00817Y108 AETNA INC-NEW    
    075887109 BECTON DICKINSON & C    
    913017109 UNITED TECHNOLOGIES    
    459200101 IBM CORP 5,601 12,872
    74005P104 PRAXAIR INC COM    
    00206R102 AT & T INC    
    65339F101 NEXTERA ENERGY    
    G1151C101 ACCENTURE PLC 4,935 10,646
    031162100 AMGEN INC 7,201 8,347
    03524A108 ANHEUSER-BUSCH INBEV 10,440 10,795
    037833100 APPLE INC 17,345 18,225
    04351G101 ASCENA RETAIL GROUP 9,541 9,956
    057224107 BAKER HUGHES INC COM 10,034 8,512
    110122108 BRISTOL MYERS SQUIBB 11,820 14,096
    14040H105 CAPITAL ONE FINANCIA 11,360 11,207
    14149Y108 CARDINAL HEALTH INC 9,998 9,949
    156700106 CENTURYLINK, INC 10,000 10,602
    166764100 CHEVRON CORP 11,943 12,768
    17275R102 CISCO SYSTEMS INC 7,581 7,594
    191216100 COCA COLA CO 11,304 11,545
    20030N101 COMCAST CORP CLASS A 10,232 11,144
    22160K105 COSTCO WHOLESALE COR 10,932 10,832
    22544R305 CREDIT SUISSE COMM R 202,200 178,375
    235851102 DANAHER CORP 10,371 11,054
    25264S833 DIAMOND HILL LONG-SH 114,200 118,951
    278865100 ECOLAB INC 10,497 10,810
    345370860 FORD MOTOR COMPANY 8,347 7,962
    369604103 GENERAL ELECTRIC CO 9,664 10,567
    375558103 GILEAD SCIENCES INC 10,434 10,437
    437076102 HOME DEPOT INC 9,973 12,822
    438516106 HONEYWELL INTERNATIO 11,057 11,142
    448108100 HUSSMAN STRATEGIC GR 142,437 137,674
    458140100 INTEL CORP 9,351 10,913
    45865V100 INTERCONTINENTALEXCH 10,907 10,247
    461202103 INTUIT COM 10,454 10,360
    464287200 ISHARES S & P 500 IN 171,758 171,935
    464287465 ISHARES MSCI EAFE 483,189 461,124
    464287606 ISHARES S&P MIDCAP 4 125,709 120,451
    464287705 ISHARES S&P MIDCAP 4 129,014 128,406
    464287804 ISHARES TR SMALLCAP 258,466 260,565
    46625H100 JPMORGAN CHASE & CO 7,985 8,146
    478160104 JOHNSON & JOHNSON 11,468 11,804
    50075N104 KRAFT FOODS INC 10,347 11,208
    580135101 MCDONALDS CORP 12,076 14,046
    58155Q103 MCKESSON CORP 9,645 10,128
    583334107 MEADWESTVACO CORP 9,957 10,333
    589509108 MERGER FD SH BEN INT 73,046 72,580
    594918104 MICROSOFT CORP 9,454 9,346
    637071101 NATIONAL OILWELL INC 10,019 9,519
    674599105 OCCIDENTAL PETE CORP 11,196 10,776
    68389X105 ORACLE CORPORATION 11,727 9,234
    744573106 PUBLIC SVC ENTERPRIS 10,362 10,233
    747525103 QUALCOMM INC 10,699 11,214
    78463X863 SPDR DJ WILSHIRE INT 155,550 141,675
    87612E106 TARGET CORP 9,182 9,220
    882508104 TEXAS INSTRUMENTS IN 9,713 10,625
    887389104 TIMKEN CO 12,137 10,645
    913017109 UNITED TECHNOLOGIES 7,298 11,329
    91324P102 UNITEDHEALTH GROUP I 10,706 11,403
    91529Y106 UNUM GROUP 9,194 8,849
    922042858 VANGUARD MSCI EMERGI 322,713 296,395
    922908553 VANGUARD REIT VIPER 157,871 164,140
    983134107 WYNN RESORTS LTD 11,997 8,839
    H0023R105 ACE LIMITED 12,300 14,024
    H89128104 TYCO INTERNATIONAL L 10,701 12,145

    TY 2011 InvestmentsOtherSchedule2
    Name:
    E M ICH BANE TUA
    EIN: 54-6293471
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    44980Q518 ING INTER      
    44981V706 ING REAL ESTATE      
    722005667 PIMCO COMMODITY REAL      
    779919109 T ROWE PRICE RE      

    TY 2011 OtherDecreasesSchedule
    Name:
    E M ICH BANE TUA
    EIN: 54-6293471
    Description Amount
    MUTUAL FUND TAX EFFECTIVE DATE AFTER TYE 3,899
    ROC BASIS ADJUSTMENT 3,022


    TY 2011 OtherIncreasesSchedule
    Name:
    E M ICH BANE TUA
    EIN: 54-6293471
    Description Amount
    MUTUAL FUND TAX EFFECTIVE DATE BEFORE TYE 20,387
    ROUNDING 3


    TY 2011 TaxesSchedule
    Name:
    E M ICH BANE TUA
    EIN: 54-6293471
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 79 79   0
    FEDERAL TAX PAYMENT - PRIOR YE 547 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,152 0   0
    FOREIGN TAXES ON QUALIFIED FOR 938 938   0
    FOREIGN TAXES ON NONQUALIFIED 567 567   0