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
Hayden Foundation
 
% HAYDEN FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)777 Woodward Ave Ste 1000   Room/suite
City or town, state, and ZIP code
Detroit, MI48226
A Employer identification number

38-6118718
B Telephone number (see page 10 of the instructions)

(561) 334-6600
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$19,096J 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) 272,613
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 16 16  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 272,629 16  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions)        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 1,000     1,000
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,000 0   1,000
25 Contributions, gifts, grants paid........ 708,829 707,829
26 Total expenses and disbursements. Add lines 24 and 25 709,829 0   708,829
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -437,200
b Net investment income (if negative, enter -0-) 16
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (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.......... 456,296 19,096 19,096
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 456,296 19,096 19,096
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.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 456,296 19,096
30 Total net assets or fund balances (see page 17 of the
instructions).................... 456,296 19,096
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 456,296 19,096
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)............... 1 456,296
2 Enter amount from Part I, line 27a..................... 2 -437,200
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 19,096
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 19,096
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.)
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  
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 850,866 410,044 2.07506
2009 772,070 1,112,103 0.694243
2008 1,120,679 2,726,194 0.411078
2007 1,515,487 3,167,176 0.478498
2006 249,567 4,063,897 0.061411
2 Total of line 1, column (d) ...................... 2 3.72029
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 0.744058
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 127,117
5 Multiply line 4 by line 3....................... 5 94,582
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7 94,582
8 Enter qualifying distributions from Part XII, line 4.............. 8 708,829
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 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 0
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 0
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 600
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.............. 7 600
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 10 600
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet600 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? Click to see list of attachments....................
1a
Yes
 
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$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changesClick to see attachment....
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.Click to see attachment
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)bulletMI
    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 addressbulletN/A
    14
    The books are in care ofbulletHAYDEN FOUNDATION Telephone no.bullet (561) 334-6600
    Located atbullet3420 NE SUGARHILL AVENUEJENSEN BEACHFL ZIP+4bullet34957
    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
     
     
    .........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
     
     
    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
    Yes
     
    .........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
    AR HAYDEN PRESIDENT
    1.0     		0    
    3420 NE SUGARHILL
    JENSEN BEACH,FL34957
    HT RICE SECRETARY/TREASURER
    1.0     		0    
    3420 NE SUGARHILL
    JENSEN BEACH,FL34957
    DONALD HAYDEN JR VICE PRESIDENT
    1.0     		0    
    10260 ELK LAKE ROAD
    WILLIAMSBURG,MI49690
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (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
    0
    b
    Average of monthly cash balances.......................
    1b
    129,053
    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
    129,053
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    129,053
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    1,936
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    127,117
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    6,356
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    6,356
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    0
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    6,356
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    6,356
    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
    6,356
    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
    708,829
    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
    708,829
    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
    708,829
    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 6,356
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 0
    b Total for prior years:2009, 2008, 2007  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 53,542
    b From 2007....... 1,360,390
    c From 2008....... 1,121,321
    d From 2009....... 715,541
    e From 2010....... 830,164
    fTotal of lines 3a through e......... 4,080,958
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 708,829
    a Applied to 2010, but not more than line 2a 0
    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 2011 distributable amount..... 6,356
    e Remaining amount distributed out of corpus 702,473
    5 Excess distributions carryover applied to 2011.    
    (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 4,783,431
    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 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 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		 
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		53,542
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		4,729,889
    10 Analysis of line 9:
    a Excess from 2007.... 1,360,390
    b Excess from 2008.... 1,121,321
    c Excess from 2009.... 715,541
    d Excess from 2010.... 830,164
    e Excess from 2011.... 702,473
    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).)
    AGNES HAYDEN
    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.
    NONE
    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
    ACCION INTERNATIONAL
    56 Roland St Ste 300
    CHARLESTON,MA02129     		NONE 509(A)(1) General Support 300
    ACCURACY IN MEDIA
    4455 Connecticut Ave NW Ste 330
    Washington,DC20008     		NONE 509(A)(2) General Support 5,000
    ALLIANCE FOR NEIGHBORS INC
    PO BOX 160096
    ALTAMONTE SPRINGS,FL32716     		NONE 509(A)(2) General Support 1,000
    ALZHEIMER'S DISEASE RESEARCH
    22512 Gateway Center Drive
    Clarksburg,MD20871     		NONE 509(A)(1) General Support 250
    AMERICAN AIR MUSEUM IN BRITAIN
    4600 East West Hwy Ste 201
    Bethesda,MD20814     		NONE 509(A)(1) General Support 765
    AMERICAN BREAST CANCER FOUNDATION
    1220 -B EAST JOPPA RD STE 332
    Towson,MD21286     		NONE 509(A)(1) General Support 50
    AMERICAN CENTER FOR LAW & JUSTICE
    1000 REGENT UNIVERSITY DR
    VIRGINIA BEACH,VA23464     		NONE 509(A)(1) General Support 600
    AMERICAN CIVIL RIGHTS INSTITUTE
    PO Box 188350
    Sacramento,CA95818     		NONE 509(A)(1) General Support 250
    AMERICAN CIVIL RIGHTS UNION
    175 Cameron Station Blvd
    Alexandria,VA22304     		NONE 509(A)(1) General Support 300
    AMERICAN COUNCIL ON SCIENCE
    1995 Broadway
    New York,NY10023     		NONE 509(A)(1) General Support 600
    AMERICAN DIABETES ASSOCIATION
    1701 N Beauregard St
    Alexandria,VA22311     		NONE 509(A)(1) General Support 1,100
    AMERICAN FARMLAND TRUST
    1200 18th St NWSte 800
    Washington,DC20036     		NONE 509(A)(1) General Support 1,000
    AMERICAN HEART ASSOCIATION
    7272 Greenville Avenue
    Dallas,TX75231     		NONE 509(A)(1) General Support 500
    AMERICAN INDIAN COLLEGE FUND
    8333 Greenwood Blvd
    Denver,CO80221     		NONE 509(A)(1) General Support 1,000
    AMERICAN LUNG ASSOCATION- MI
    755 W BIG BEAVER RD STE 2300
    TROY,MI48084     		NONE 509(A)(1) General Support 150
    AMERICAN MAJORITY
    608 S Maple Ave
    Purcellville,VA20132     		NONE 509(A)(1) General Support 5,000
    AMERICAN MUSEUM OF NATURAL HISTORY
    79th St Central Park W
    New York,NY10024     		NONE 509(A)(1) General Support 500
    AMERICAN PARKINSON DISEASE
    135 Parkinson Ave
    Staten Island,NY10305     		NONE 509(A)(1) General Support 500
    AMERICAN RED CROSS - ST LUCIE CHAPTER
    2506 17TH AVENUE
    VERO BEACH,FL32960     		NONE 509(A)(1) General Support 1,000
    AMERICAN RED CROSS OF NW MI
    735 S Garfield Ave Ste B100
    Traverse City,MI49686     		NONE 509(A)(1) General Support 5,000
    AMERICAN RED CROSS TREASURE COAST
    825 Fern St
    West Palm Beach,FL33401     		NONE 509(A)(1) General Support 1,000
    AMERICAN RIVERS
    1100 14th Street NW 1100 14th Str
    Washington,DC20005     		NONE 509(A)(1) General Support 550
    AMERICAN SPECTATOR FOUNDATION
    1611 North Kent Street Suite 901
    Arlington,VA22209     		NONE 509(A)(1) General Support 1,000
    AMERICANS UNITED FOR LIFE
    655 15th St NW Suite 470
    Washington,DC20005     		NONE 509(A)(1) General Support 250
    AmeriCares
    88 Hamilton Avenue
    Stamford,CT06902     		NONE 509(A)(1) General Support 4,000
    AMFAR THE FOUNDATION FOR AIDS RESEARCH
    120 Wall Street 13 Flr
    new York,NY10005     		NONE 509(A)(1) General Support 500
    AMNESTY LEADERSHIP GROUP
    5 PENN PLAZA
    New York,NY10001     		NONE 509(A)(1) General Support 500
    APPALACHIA SERVICE PROJECT
    4523 Bristol Highway
    Johnson City,TN37601     		NONE 509(A)(1) General Support 2,100
    ARBOR DAY FOUNDATION
    211 North 12th St
    Lincoln,NE68508     		NONE 509(A)(1) General Support 100
    ARC FLORIDA
    PO Box 7669
    Atlanta,GA30357     		NONE 509(A)(1) General Support 1,150
    ARTHRITIS FOUNDATION
    1330 W PEACHTREE ST NW STE 100
    Atlanta,GA30309     		NONE 509(A)(1) General Support 200
    ASPCA
    520 EIGHTH AVE 7TH FLR
    New York,NY10018     		NONE 509(A)(1) General Support 225
    ATLAS ECONOMIC RESEARCH FOUNDATION
    1201 L Street NW
    Washington,DC20005     		NONE 509(A)(1) General Support 5,000
    NATIONAL AUDUBON SOCIETY INC
    225 Varick Street 7th Floor
    New York,NY10014     		NONE 509(A)(1) General Support 450
    AUTISM SOCIETY OF AMERICA
    4340 East West Hwy
    Bethesda,MD20814     		NONE 509(A)(2) General Support 300
    BACK TO GOD MINISTRIES INTERNATIONAL
    2850 KALAMAZOO AVE SE
    Grand Rapids,MI49560     		NONE 509(A)(1) General Support 49
    BEAR HUG FOUNDATION
    139 W Maple Rd Ste E
    Birmingham,MI48009     		NONE 509(A)(2) General Support 2,500
    BIBLICA (FORMER INT BIBLE SOCIETY)
    1865 Broadway
    New York,NY10023     		NONE 509(A)(2) General Support 300
    BILL OF RIGHTS INSTITUTE
    200 North Glebe Rd
    Arlington,VA22203     		NONE 509(A)(1) General Support 1,000
    BILLY GRAHAM EVANGELISTIC ASSOCIATION
    PO Box 668129
    Charlotte,NC28266     		NONE 509(A)(1) General Support 1,700
    BRAILLE INSTITUTE
    741 North Vermont Ave
    Los Angeles,CA90029     		NONE 509(A)(2) General Support 600
    CRAVE
    100 NASSAU PARK BLVD STE 111
    PRINCETON,NJ08540     		NONE 509(A)(1) General Support 2,000
    CAPITAL RESEARCH CENTER
    1513 16th St Nw
    Washington,DC20036     		NONE 509(A)(1) General Support 500
    CARE
    PO BOX 7039
    MERRIFIELD,VA22116     		NONE 509(A)(1) General Support 2,000
    CENTER FOR COMPETITIVE POLITIC
    124 S West St Suite 201
    Alexandria,VA22314     		NONE 509(A)(1) General Support 1,000
    CENTER FOR SCIENCE IN PUBLIC
    1875 Connecticut Ave NW 300
    Washington,DC20009     		NONE 509(A)(1) General Support 35
    CENTER FOR URBAN RENEWAL & EDUCATION
    722 12TH ST NW FL 4
    Washington,DC20005     		NONE 509(A)(1) General Support 1,000
    CHERRYLAND HUMANE SOCIETY
    1750 AHLBERG RD
    Traverse City,MI49696     		NONE 509(A)(1) General Support 100
    CHILD & FAMILY SERVICES - MI
    PO Box 348
    Okemos,MI48805     		NONE 509(A)(1) General Support 30,300
    CHILD EVANGELISM FELLOWSHIP
    102 Victory Blvd
    Staten Island,NY10301     		NONE 509(A)(1) General Support 1,000
    Childrens Home Society of Florida
    6363 NW 6th Way
    Fort Lauderdale,FL33309     		NONE 509(A)(1) General Support 500
    CHOSEN PEOPLE MINISTRIES
    241 E 51st Street
    New York,NY10022     		NONE 509(A)(1) General Support 500
    CHRISTIAN APPALCHIAN PROJECT
    2610 Palumbo Drive
    Lexington,KY40509     		NONE 509(A)(1) General Support 2,100
    CHRISTIAN BLIND MISSION INTERNATIONAL INC
    PO Box 190000
    Greenville,SC29602     		NONE 509(A)(1) General Support 2,600
    CHRISTIAN COALITION
    8730 N PARK BLVD BLDG 1 STE D
    CHARLESTON,SC29406     		NONE 509(A)(1) General Support 225
    CLARE BOOTHE LUCE POLICY INSTITUTE
    112 Elden St Ste P
    Herndon,VA20170     		NONE 509(A)(1) General Support 3,500
    CLAREMONT INSTITUTE
    937 W FOOTHILL BLVD STE E
    CLAREMONT,CA91711     		NONE 509(A)(1) General Support 10,000
    COLONIAL WILLIAMSBURG FOUNDATION
    P O Box 1776
    Williamsburg,VA23187     		NONE 509(A)(1) General Support 200
    COMMITTEE FOR A CONSTRUCTIVE TOMORROW
    PO Box 65722
    Washington,DC20035     		NONE 509(A)(1) General Support 1,000
    Compassion International Inc
    12290 Voyager Pkwy
    Colorado Springs,CO80921     		NONE 509(A)(1) General Support 1,212
    COMPETITIVE ENTERPRISE INSTITUTE
    1899 L St Nw Fl 12
    Washington,DC20036     		NONE 509(A)(1) General Support 1,000
    CONCERNED WOMEN FOR AMERICA
    1015 15TH St Nw Ste 1100
    Washington,DC20005     		NONE 509(A)(1) General Support 350
    Coral Ridge Ministries Media Inc
    Post Office Box 1600
    Fort Lauderdale,FL33302     		NONE 509(A)(1) General Support 10,500
    THE COUNCIL ON AGING OF MARTIN COUNTY INC
    1071 E 10th St
    Stuart,FL34996     		NONE 509(A)(1) General Support 2,000
    CUMBERLAND COLLEGE
    6178 College Station Drive
    Williamsburg,KY40769     		NONE 509(A)(1) General Support 10,000
    CYSTIC FIBROSIS FOUNDATION
    8011 34TH AVE S SUITE 116
    BLOOMINGTON,MN55425     		NONE 509(A)(1) General Support 430
    DALLAS THEOLOGICAL SEMINARY
    3909 Swiss Ave
    Dallas,TX75204     		NONE 509(A)(1) General Support 300
    David Horowitz Freedom Center
    14148 Magnolia Blvd
    Los Angeles,CA90010     		NONE 509(A)(1) General Support 1,000
    DENNOS MUSEUM CENTER
    1701 EAST FRONT STREET
    Traverse City,MI49686     		NONE 509(A)(1) General Support 500
    Drug Policy Alliance
    70 W 36th St
    New York,NY10018     		NONE 509(A)(1) General Support 1,000
    EAGLE FORUM EDUCATION AND LEGAL DEFENSE Fund
    PO Box 618
    Alton,IL62002     		NONE 509(A)(1) General Support 2,000
    EASTER SEALSMICHIGAN
    2387 E WALTON BLVD
    AUBURN HILLS,MI48326     		NONE 509(A)(1) General Support 100
    EASTER SEALSPALM BEACHMARTIN
    2010 MIZELL AVE
    WINTER PARK,FL32792     		NONE 509(A)(1) General Support 500
    ELK-SKEGEMOG LAKE ASSOCIATION
    PO Box 8
    Elk Rapids,MI49629     		NONE 509(A)(2) General Support 25
    ENGLISH FIRST FOUNDATION
    8001 Forbes Pl Ste 102
    Springfield,VA22151     		NONE 509(A)(1) General Support 300
    FAITH IN ACTION
    110 Pau Court
    Fairfield,CA94534     		NONE 509(A)(1) General Support 500
    Family Research Council Inc
    801 G St NW
    Washington,DC20001     		NONE 509(A)(1) General Support 500
    FATHER FRED FOUNDATION
    826 Hastings
    Traverse City,MI49686     		NONE 509(A)(1) General Support 500
    Feeding America
    35 E Wacker Drive
    Chicago,IL60601     		NONE 509(A)(1) General Support 450
    FEDERATION FOR AM IMMIGRATION REFORM
    25 MASSACHUSETTS AVE NW STE 330
    Washington,DC20001     		NONE 509(A)(1) General Support 3,000
    FIDELCO GUIDE DOG FOUNDATION
    103 Old Iron Ore Road
    Bloomfield,CT06002     		NONE 509(A)(1) General Support 1,000
    First Congregational Church
    6105 Center Road
    Traverse City,MI49686     		NONE 509(A)(1) General Support 22,300
    FIRST PRESBYTERIAN CHURCH
    1715 NW Pine Lake Road
    Stuart,FL34994     		NONE 509(A)(1) General Support 18,145
    FLORIDA SHERIFF YOUTH RANCHES
    PO Box 2000
    Live Oak,FL32060     		NONE 509(A)(1) General Support 1,000
    FLORIDA WILDLIFE FEDERATION
    PO Box 11010
    Tallahassee,FL32302     		NONE 509(A)(1) General Support 50
    FOOD FOR THE HUNGRY
    1220 E Washington St
    Phoenix,AZ85034     		NONE 509(A)(1) General Support 2,500
    FOUNDATION FOR EDUCATIONAL CHOICE
    1 AMERICAN SQ STE 2420
    INDIANAPOLIS,IN46282     		NONE 509(A)(1) General Support 500
    FOUNDATION FOR INTERNATIONAL COMM ASSIST
    1101 14th Street NW 11th Floor
    Washington,DC20005     		NONE 509(A)(1) General Support 1,100
    FOUNDATION FOR MORAL LAW INC
    1 Dexter Ave
    Montgomery,AL36104     		NONE 509(A)(1) General Support 200
    Foundation for Teaching Economics
    260 Russell Blvd Ste B
    Davis,CA95616     		NONE 509(A)(1) General Support 500
    FPAL (FLORIDA ATHLETIC LEAGUES
    PO BOX 350399
    JACKSONVILLE,FL32235     		NONE 509(A)(1) General Support 30
    Freedom From Hunger
    PO Box 2000
    Davis,CA95617     		NONE 509(A)(1) General Support 1,000
    FREEDOM VILLAGE USA
    PO Box 24
    Lakemont,NY14857     		NONE 509(A)(1) General Support 1,300
    FREEDOMS WATCH
    9701 Wilshire Blvd Fl 10 Ste 1029
    Beverly Hills,CA90212     		NONE 509(A)(1) General Support 500
    FREEDOM WORKS FOUNDATION
    601 Pennsylvania Avenue NW - North
    Washington,DC20004     		NONE 509(A)(1) General Support 2,000
    FRIENDS OF THE SMITHSONIAN
    PO Box 37012 MRC 712
    Washington,DC20013     		NONE 509(A)(2) General Support 518
    FRONTIERS OF FREEDOM INC
    12011 Lee Jackson Mem Hwy
    Fairfax,VA22033     		NONE 509(A)(1) General Support 300
    GEORGE MASON UNIVERSITY FOUNDATION INC
    4400 University Dr
    Fairfax,VA22030     		NONE 509(A)(1) General Support 15,000
    Gideons International
    50 CENTURY BLVD
    NASHVILLE,TN37214     		NONE 509(A)(1) General Support 250
    GIRL SCOUTS OF SE FLORIDA
    1224 West Indiantown Road
    Jupiter,FL33458     		NONE 509(A)(1) General Support 500
    Global Fund for Women
    222 Sutter Street
    San Francisco,CA94108     		NONE 509(A)(1) General Support 1,000
    Grand Traverse Bay YMCA
    3000 RACQUET CLUB DR
    Traverse City,MI49684     		NONE 509(A)(2) General Support 1,000
    GRAND TRAVERSE MUSICALE
    6393 E Lincoln Road
    Cedar,MI49621     		NONE 509(A)(2) General Support 5,000
    Grand Traverse Pavilions Foundation Inc
    1000 Andrew Weiszer Dr
    Traverse City,MI49684     		NONE 509(A)(1) General Support 51,000
    GUIDE DOG FOUNDATION FOR THE BLIND
    371 EAST JERICHO TURNPIKE
    SMITHTOWN,NY11787     		NONE 509(A)(1) General Support 500
    GUIDEPOSTS A CHURCH CORPORATION
    39 Seminary Hill Rd
    Carmel,NY10512     		NONE 509(A)(1) General Support 500
    Guideposts Foundation
    39 OLD RIDGEBURY ROAD
    DANBURY,CT06810     		NONE 509(A)(1) General Support 500
    GUN OWNERS FOUNDATION
    8001 Forbes Pl Ste 102
    Springfield,VA22151     		NONE 509(A)(1) General Support 250
    HABITAT FOR HUMANITY
    618 S CREYTS RD SUITE C
    LANSING,MI48917     		NONE 509(A)(1) General Support 35
    Habitat for Humanity International Inc
    121 Habitat St
    Americus,GA31709     		NONE 509(A)(1) General Support 2,000
    HEARTLAND INSTITUTE
    19 South LaSalle St 903
    Chicago,IL60603     		NONE 509(A)(1) General Support 1,000
    HEIFER INTERNATIONAL
    1 WORLD AVENUE
    LITTLE ROCK,AR72202     		NONE 509(A)(1) General Support 10,000
    Helen Keller International Inc
    352 Park Avenue South
    New York,NY10010     		NONE 509(A)(1) General Support 500
    HELP OUR WOUNDED
    4100 SW Leighton Farm Ave
    Palm City,FL34990     		NONE 509(a)(1) General Support 500
    HELP THE CHILDREN
    1726 M St NW
    Washington,DC20036     		NONE 509(a)(1) General Support 200
    HIBISCUS CHILDREN'S FOUNDATION
    PO Box 305
    Jensen Beach,FL34958     		NONE 509(A)(1) General Support 10,000
    HILLSDALE COLLEGE
    33 E COLLEGE ST
    HILLSDALE,MI49242     		NONE 509(A)(1) General Support 1,000
    Homes for Our Troops Inc
    6 Main St
    Taunton,MA02780     		NONE 509(A)(1) General Support 15,000
    HOSPICE OF MICHIGAN
    400 MACK AVENUE
    DETROIT,MI48201     		NONE 509(A)(1) General Support 1,000
    HOUSE OF HOPE
    812 Merrimack St
    Lowell,MA01854     		NONE 509(A)(1) General Support 3,000
    HUMAN RIGHTS WATCH
    350 FIFTH AVENUE
    New York,NY10118     		NONE 509(A)(1) General Support 500
    HUMANE SOCIETY OF THE TREASURE COAST INC
    4100 SW Leighton Farm Ave
    Palm City,FL34990     		NONE 509(A)(1) General Support 200
    HUMANE SOCIETY OF THE US
    PO BOX 87598
    MONTGOMERY VILLAGE,MD20866     		NONE 509(A)(1) General Support 20
    IMPACT A HERO
    707 AVENUE E
    STAFFORD,TX77477     		NONE 509(A)(1) General Support 1,000
    INDEPENDENT WOMENS FORUM
    1875 I ST NW SUITE 500
    Washington,DC20006     		NONE 509(A)(1) General Support 500
    INSTITUTE FOR ENERGY RESEARCH
    1100 H St Nw Ste 400
    Washington,DC20005     		NONE 509(A)(2) General Support 500
    INSTITUTE FOR JUSTICE
    901 N Glebe Road
    Arlington,VA22203     		NONE 509(A)(1) General Support 500
    INTERLOCHEN CENTER FOR THE ARTS
    PO Box 199
    Interlochen,MI49643     		NONE 509(A)(1) General Support 1,000
    INTERLOCHEN PUBLIC RADIO
    PO Box 199
    Interlochen,MI49643     		NONE 509(A)(1) General Support 500
    INTERNATIONAL CAMPAIGN FOR TIBET
    1825 JEFFERSON PLACE NW
    Washington,DC20036     		NONE 509(A)(1) General Support 200
    INTERNATIONAL FELLOWSHIP OF CHRISTANS AND JEWS
    30 N LASALLE ST STE 2600
    CHICAGO,IL60602     		NONE 509(A)(1) General Support 700
    International Rescue Committee Inc
    122 EAST 42ND STREET
    NEW YORK,NY10168     		NONE 509(A)(1) General Support 1,000
    Judicial Watch
    425 THIRD ST SW STE 800
    Washington,DC20024     		NONE 509(A)(1) General Support 5,000
    THE JESSE HELMS CENTER FOUNDATION
    122 E 42nd St
    New York,NY10168     		NONE 509(A)(1) General Support 100
    KIDS WISH NETWORK - FLORIDA
    PO Box 247
    Wingate,NC28270     		NONE 509(A)(1) General Support 20
    LAW ENFORCEMENT LEGAL DEFENSE FUND
    4060 Louis Avenue
    Holiday,FL34691     		NONE 509(A)(2) General Support 200
    Leadership Institute
    1611 N Kent St Ste 901
    Arlington,VA22209     		NONE 509(A)(1) General Support 3,000
    LEELANAU CHILDREN'S CENTER
    PO BOX 317
    LELAND,MI49654     		NONE 509(A)(1) General Support 1,350
    Leelanau Conservancy
    5832 Macklind Avenue
    St Louis,MO63108     		NONE 509(A)(2) General Support 500
    The Legacy Foundation
    400 LOCUS STREET
    DES MOINES,IA50309     		NONE 509(A)(1) General Support 500
    LEUKEMIA & LYPHOMA SOCIETY
    PO Box 1007
    Leland,MI49654     		NONE 509(A)(1) General Support 100
    Liberty Counsel Inc
    1311 Mamaroneck Avenue Suite 310
    White Plains,NY10605     		NONE 509(A)(1) General Support 550
    THE LIBRARY FOUNDATION OF MARTIN COUNTY INC
    PO Box 540774
    Orlando,FL32854     		NONE 509(A)(2) General Support 500
    LIFE LEGAL DEFENSE FOUNDATION
    2351 Se Monterey Rd
    Stuart,FL34996     		NONE 509(A)(1) General Support 500
    LIGHTHOUSE INTERNATIONAL
    111 E 59TH ST
    New York,NY10022     		NONE 509(A)(1) General Support 1,000
    LYRIC THEATRE
    10 Chapel St
    Waterloo,NY13165     		NONE 509(A)(1) General Support 35
    MACKINAC CNTR FOR PUBLIC POLIC
    140 WEST MAIN STREET PO BOX 568
    MIDLAND,MI48640     		NONE 509(A)(1) General Support 1,000
    MAP International
    4491 S State Road 7 Suite 201
    Ft Lauderdale,FL33314     		NONE 509(A)(1) General Support 2,200
    MARINE TOYS FOR TOTS FOUNDATION
    620 E Fourth Street
    Monroe,MI48161     		NONE 509(A)(1) General Support 2,500
    Martin Memorial Foundation Inc
    18251 Quantico Gateway Drive
    Triangle,VA22172     		NONE 509(A)(1) General Support 280
    Media Research Center Inc
    P O Box 17268
    Chapel Hill,NC27516     		NONE 509(A)(1) General Support 5,000
    Medical Teams International
    325 S Patrick St
    Alexandria,VA22314     		NONE 509(A)(1) General Support 2,000
    MERCY CORPS
    PO Box 10
    Portland,OR97207     		NONE 509(A)(1) General Support 1,500
    MESSIAH COLLEGE
    1 COLLEGE AVENUE
    GRANTHAM,PA17027     		NONE 509(A)(1) General Support 51,000
    MICHAEL J FOX FOUNDATION FOR PARKINSON'S RESEARCH
    CHURCH STREET STATION PO BOX 780
    New York,NY10008     		NONE 509(A)(1) General Support 500
    MICHIGAN STATE UNIV OF COLLEGE OF OSTEOPATHIC
    EAST FEE HALL
    EAST LANSING,MI488241316     		NONE 509(A)(1) General Support 500
    MOLLY'S HOUSE
    430 SE OSCEOLA STREET
    STUART,FL34994     		NONE 509(A)(1) General Support 1,000
    MOVING PICTURE INSTITUTE
    375 Greenwich Street
    New York,NY10013     		NONE 509(A)(1) General Support 5,000
    MUNSON HEALTHCARE REGIONAL
    PO Box 1188
    Traverse City,MI49685     		NONE 509(A)(1) General Support 101,000
    Muscular Dystrophy Association
    3300 East Sunrise Drive
    Tucson,AZ85718     		NONE 509(A)(1) General Support 500
    MUSIC HOUSE MUSEUM
    PO BOX 297
    ACME,MI49610     		NONE 509(A)(1) General Support 500
    NATIONAL JOURNALISM CENTER
    225 Varick Street 7th Floor
    New York,NY10014     		NONE 509(A)(2) General Support 200
    NATIONAL LAW ENFORCEMENT
    110 Elden Street
    Herndon,VA20170     		NONE 509(A)(2) General Support 400
    NATIONAL OSTEOPOROSIS FOUNDATION
    PO Box 97072
    Washington,DC20090     		NONE 509(A)(2) General Support 100
    National Park Foundation
    1150 17th Street NW Suite 850
    Washington,DC20036     		NONE 509(A)(1) General Support 500
    National Wildlife Federation
    1201 Eye St NW
    Washington,DC20005     		NONE 509(A)(1) General Support 150
    NAT'L CAMPS FOR BLIND CHILDREN
    11100 Wildlife Center Dr
    Reston,VA20190     		NONE 509(A)(2) General Support 825
    NATIONAL CENTER FOR PUBLIC POLICY RESEARCH
    4444 South 52nd Street
    Lincoln,NE68516     		NONE 509(A)(1) General Support 1,700
    National Legal and Policy Center
    1800 Johnson Street
    Baltimore,MD21230     		NONE 509(A)(1) General Support 2,000
    NAT'L MUSEUM OF THE AMERICAN INDIAN
    107 Park Washington Ct
    Falls Church,VA22046     		NONE 509(A)(1) General Support 70
    NATIONAL RIGHT TO WORK LEGAL DEFENSE FDN
    PO Box 96836
    Washington,DC20090     		NONE 509(A)(1) General Support 1,750
    NEW FORESTS PROJECT
    8001 Braddock Rd Ste 600
    Springfield,VA22151     		NONE 509(A)(1) General Support 600
    NORMAN VINCENT PEALE FELLOWSHP
    PO Box 70272
    Washington,DC20024     		NONE 509(A)(1) General Support 1,000
    NORTHWESTERN MICHIGAN COLLEGE FOUNDATION
    66 East Main Street
    Pawling,NY12564     		NONE 509(A)(1) General Support 1,000
    OCEAN CONSERVANCY
    PO Box 567
    Ojai,CA93024     		NONE 509(A)(1) General Support 300
    OXFAM-AMERICA INC
    600 SW 3rd Street
    Pompano Beach,FL33060     		NONE 509(A)(1) General Support 1,000
    PACIFIC JUSTICE INSTITUTE
    226 Causeway Street
    Boston,MA02114     		NONE 509(A)(1) General Support 250
    PACIFIC LEGAL FOUNDATION
    PO Box 276600
    Sacramento,CA95827     		NONE 509(A)(2) General Support 200
    PATRICK HENRY CENTER
    1359 Broadway Suite 1509
    New York,NY10018     		NONE 509(A)(1) General Support 1,000
    PATTON MUSEUM FOUNDATION
    PO BOX 1304
    Fort Knox,KY40121     		NONE 509(a)(1) General Support 100
    PHILLIPS FOUNDATION
    PO Box 492
    Traverse City,MI49685     		NONE 509(A)(2) General Support 1,000
    PLUS CLUB
    PO Box 209
    Stuart,FL34995     		NONE 509(A)(2) GENERAL SUPPORT 500
    POLICE PROTECTIVE FUND
    1009 W 6TH STREET STE 205
    AUSTIN,TX78703     		NONE 509(a)(1) General Support 50
    PORT ST LUCIE VOLUNTEER
    PO BOX 8026
    PORT ST LUCIE,FL34985     		NONE 509(a)(1) General Support 300
    PRESBYTERIAN WOMEN
    100 WITHERSPOON STREET
    LOUISVILLE,KY40202     		NONE 509(A)(1) General Support 1,500
    PRISON FELLOWSHIP MINISTRIES
    44180 Riverside Parkway
    LANDSDOWNE,VA20176     		NONE 509(A)(1) General Support 3,600
    PROJECT HOPE
    255 Carter Hall Lane
    Millwood,VA22646     		NONE 509(A)(1) General Support 3,000
    PROMETHEUS INSTITUTE
    18400 VON KARMAN AVE STE 610
    IRVINE,CA92612     		NONE 509(A)(1) General Support 1,000
    PROPERTY RIGHTS FOUNDATION OF AMERICA
    PO BOX 75
    STONY CREEK,NY12878     		NONE 509(A)(1) General Support 500
    RANCH HOPE INC
    PO BOX 3929
    TORRANCE,CA90510     		NONE 509(A)(2) General Support 1,000
    Reading Is Fundamental
    3900 16th ST NW APT 338
    Washington,DC20011     		NONE 509(A)(1) General Support 200
    YOUNG AMERICAN FOUNDATION
    110 Elden Street
    Herndon,VA20170     		NONE 509(A)(1) General Support 115
    Recording for the Blind & Dyslexic
    PO BOX 185
    PITTSBURGH,PA15230     		NONE 509(A)(1) General Support 285
    RELIGIOUS FREEDOM COALITION
    PO Box 7066
    Fredericksbrg,VA22404     		NONE 509(A)(1) GENERAL SUPPORT 300
    REMEMBER AMERICA'S HERITAGE
    PO BOX 37460
    ARLINGTON,VA32315     		NONE 509(A)(1) GENERAL SUPPORT 1,100
    RENEWING AMERICAN LEADERSHIP
    1015 15TH St Nw Ste 1100
    Washington,DC20005     		NONE 509(a)(1) General Support 500
    Ronald Reagan Presidential Foundation
    40 Presidential Dr
    Simi Valley,CA93065     		NONE 509(a)(1) General Support 3,000
    RUNNING STRONG FOR AMERICAN INDIAN YOUTH
    2550 Huntington Ave
    Alexandria,VA22303     		NONE 509(A)(1) General Support 1,100
    Safe Space
    89-74 162 STREET
    JAMAICA,NY11432     		NONE 509(A)(1) General Support 4,000
    SALVATION ARMY - MICHIGAN
    PO BOX M
    Grand Rapids,MI49501     		NONE 509(A)(1) General Support 1,000
    SALVATION ARMY THE - FLORIDA
    416 WEST COLONIAL DRIVE
    ORLANDO,FL32804     		NONE 509(A)(1) General Support 3,000
    Sat-7 North America
    PO Box 2770
    Easton,MD21601     		NONE 509(A)(1) General Support 500
    Save the Children
    54 WILTON RD
    WESTPORT,CT06880     		NONE 509(A)(1) General Support 3,000
    SHARED HOPE INTERNATIONAL
    PO Box 65337
    Vancouver,WA98665     		NONE 509(A)(1) General Support 1,600
    SIMON WIESENTHAL CENTER
    1399 S Roxbury 2ND Fl
    Los Angeles,CA90035     		NONE 509(A)(1) General Support 500
    SIPES ORCHARD HOME
    4431 County Home Rd
    Conover,NC28613     		NONE 509(A)(1) General Support 1,000
    Smile Train Inc
    41 Madison Ave
    New York,NY10010     		NONE 509(A)(1) General Support 1,000
    Smithsonian Institution
    PO Box 37012
    Washington,DC20013     		NONE 509(A)(1) General Support 300
    SOARING EAGLE
    PO Box 879
    Billings,MT59103     		NONE 509(A)(1) General Support 1,000
    Soldiers Angels
    1792 E Washington Blvd
    Pasadena,CA91104     		NONE 509(A)(1) General Support 1,000
    SOROPTMIST INTERNATIONAL OF STUART
    PO BOX 2246
    STUART,FL34995     		NONE 509(A)(1) General Support 50
    SOS CHILDREN'S VILLAGES
    3681 NW 59TH PLACE
    COCONUT CREEK,FL33073     		NONE 509(A)(1) General Support 500
    SOUTHEASTERN LEGAL FOUNDATION INC
    2255 SEWELL MILL RD STE 320
    MARIETTA,GA30062     		NONE 509(A)(1) General Support 450
    Special Olympics Florida Inc
    1915 DON WICKHAM DRIVE
    CLERMONT,FL34711     		NONE 509(A)(1) General Support 500
    ST JUDES CHILDREN'S RESEARCH HOSPITAL
    363 7th AVENUE 18
    New York,NY10001     		NONE 509(A)(1) General Support 1,000
    St Labre Indian School
    PO BOX 216 1000 TONGUE RIVER RD
    ASHLAND,MT59003     		NONE 509(a)(1) General Support 200
    ST STEPHENS INDIAN MISSION
    33 SAINT STEPHENS RD
    SAINT STEPHENS,WY82524     		NONE 509(A)(1) General Support 500
    STATE POLICY NETWORK
    1655 NORTH FORT MYER DR STE 360
    ARLINGTON,VA22209     		NONE 509(a)(1) General Support 4,000
    STATUE OF LIBERTY - ELLIS ISLAND FOUNDATION
    17 BATTERY PL STE 210
    New York,NY10004     		NONE 509(A)(1) General Support 200
    STUDENTS FOR LIFE OF AMERICA
    4141 N HENDERSON RD STE 7
    ARLINGTON,VA22203     		NONE 509(A)(1) General Support 200
    SUSAN G KOMEN FOR THE CURE
    5005 LBJ FREEWAY STE 250
    DALLAS,TX75244     		NONE 509(A)(1) General Support 300
    Tax Foundation
    2001 L ST NW STE 1050
    Washington,DC20036     		NONE 509(a)(1) General Support 1,000
    TEA PARTY PATRIOTS
    PO BOX 220183
    CHANTILLY,VA20153     		NONE 501(c)(4) General Support 1,000
    The ALS Association
    1275 K Street NW - Suite 1050
    Washington,DC20005     		NONE 509(a)(1) General Support 500
    THE COMMITTEE FOR MISSING CHILDREN
    242 STONE MOUNTAIN ST
    LAWRENCEVILLE,GA30046     		NONE 509(a)(1) General Support 50
    CORNWALL HISTORICAL ALLIANCE
    PO BOX 56
    CORNWALL,PA17016     		NONE 509(A)(1) General Support 1,000
    THE FOUNDATION ENDOWMENT
    611 CAMERON STREET
    Alexandria,VA22314     		NONE 509(a)(1) General Support 2,000
    THE FRANKLIN CENTER
    50 CLAIBORNE AVENUE
    ROCKY MOUNT,VA24151     		NONE 509(a)(1) General Support 1,500
    The Fund for American Studies
    1706 NEW HAMPSHIRE AVENUE NW
    Washington,DC20009     		NONE 509(A)(1) General Support 6,000
    GLAUCOMA FOUNDATION INC
    80 MAIDEN LN RM 700
    New York,NY10038     		NONE 509(A)(2) General Support 100
    NATIONAL HERITAGE FOUNDATION INC
    115 KENNEDY DR
    ORANGE,CT06477     		NONE 509(A)(1) General Support 5,000
    THE JAMES MADISON INSTITUTE
    PO BOX 37460
    TALLAHASSEE,FL32315     		NONE 509(A)(2) General Support 5,000
    THE JESUS FILM PROJECT
    100 LAKE HART DRIVE
    ORLANDO,FL32832     		NONE 509(A)(1) General Support 1,000
    THE JUNE BUCHANAN SCHOOL
    100 PURPOSE RD
    PIPPA PASSES,KY41844     		NONE 509(A)(1) General Support 1,000
    THE NATIONAL WORLD WAR II MUSEUM INC
    945 MAGAZINE ST
    NEW ORLEANS,LA70130     		NONE 509(A)(1) General Support 1,000
    Rutherford Institute
    PO BOX 7482
    CHARLOTTESVLE,VA22906     		NONE 509(A)(1) General Support 500
    SECOND AMENDMENT FOUNDATION
    12500 NE 10TH PL
    BELLEVUE,WA98005     		NONE 509(A)(1) General Support 1,000
    SELOUS FOUNDATION
    325 Pennsylvania Ave Se
    Washington,DC20003     		NONE 509(A)(1) General Support 6,000
    THE WATERSHED CENTER
    85 STANTON STREET
    NEW YORK,NY10002     		NONE 509(A)(1) General Support 250
    THE WILDERNESS SOCIETY
    1615 M ST NW 2ND FL
    WASHINGTON,DC20036     		NONE 509(A)(1) General Support 115
    Thomas More Law Center
    24 FRANK LLOYD WRIGHT DR PO BOX 39
    ANN ARBOR,MI48106     		NONE 509(A)(1) General Support 2,000
    TOYS FOR KIDS
    4008 243rd pl
    issaquah,WA98029     		NONE 509(A)(1) General Support 1,000
    Trans World Radio
    PO Box 8700
    Cary,NC27512     		NONE 509(A)(1) General Support 125
    TRAVERSE BAY CHRISTIAN SCHOOL
    1895 KEYSTONE RD N
    Traverse City,MI49696     		NONE 509(A)(2) General Support 2,500
    TRAVERSE HEALTH CLINIC
    3147 LOGAN VALLEY ROAD
    Traverse City,MI49684     		NONE 509(A)(2) General Support 200
    TRAVERSE LIFE CENTER
    3050 S AIRPORT RD
    Traverse City,MI49684     		NONE 509(A)(2) General Support 26,000
    Traverse Symphony Orchestra
    121 E FRONT ST STE 301
    Traverse City,MI49684     		NONE 509(A)(1) General Support 27,500
    Treasure Coast Food Bank Inc
    3051 INDUSTRIAL 25TH ST
    Fort Pierce,FL34946     		NONE 509(A)(1) General Support 5,000
    Trees Water and People
    633 REMINGTON STREET
    FORT COLLINS,CO80524     		NONE 509(A)(2) General Support 1,750
    HOSPICE OF THE TREASURE COAST
    1201 SE INDIAN ST
    STUART,FL34997     		NONE 509(A)(2) General Support 200
    TROOPS NEED YOU
    12058 EDGEMERE CIR
    RESTON,VA20190     		NONE 509(A)(1) General Support 700
    USO
    2111 WILSON BLVD STE 1200
    ARLINGTON,VA22201     		NONE 509(A)(1) General Support 500
    UNITED AMERICAN PATRIOTS INC
    7800 AIRPORT CENTER DR
    GREENSBORO,NC27409     		NONE 509(A)(1) General Support 1,000
    UNITED STATES HOLOCAUST
    100 RAOUL WALLENBERG PL SW
    Washington,DC20024     		NONE 509(A)(1) General Support 500
    UNITED STATES OLYMPIC COMMITTEE
    1 Olympic Plaza
    Colorado Springs,CO80909     		NONE 509(A)(1) General Support 2,000
    UNITED WAY OF NORTHWEST MICHIGAN
    521 S UNION
    Traverse City,MI49684     		NONE 509(A)(1) General Support 5,000
    UNITED WAY OF ST LUCIE COUNTY
    4800 S US 1
    Fort Pierce,FL34982     		NONE 509(A)(1) General Support 2,000
    USA SHOOTING TEAM
    1 Olympic Plaza
    Colorado Springs,CO80909     		NONE 509(A)(1) General Support 900
    VETERANS OF FOREIGN WARS OF THE US INC
    8123 HARFORD RD
    BALTIMORE,MD21234     		NONE 509(A)(1) General Support 20
    VITALCARE HOSPICE OF LITTLE TRAVERSE BAY
    ONME HILAND DRIVE
    PETOSKEY,MI49770     		NONE 509(A)(1) General Support 3,000
    WARM BLANKETS ORPHAN CARE INTERNATIONAL
    5105 TOLLVIEW DRIVE STE 155
    ROLLING MEADOWS,IL60008     		NONE 509(A)(1) General Support 3,000
    WOMEN FOR WOMEN INTERNATIONAL
    4455 CONNECTICUT AVE NW STE 200
    Washington,DC20008     		NONE 509(A)(1) General Support 1,400
    WOMEN'S RESOURCE CENTER
    3471 E GRAND RIVER AVE
    HOWELL,MI48843     		NONE 509(A)(1) General Support 1,000
    World Jewish Congress Foundation
    2125 BISCAYNE BLVD STE 310
    MIAMI,FL33137     		NONE 509(A)(1) General Support 325
    WORLD MEDICAL RELIEF INCORPORATED
    11745 ROSA PARKS BLVD
    DETROIT,MI48206     		NONE 509(A)(1) General Support 2,000
    WORLD VISION
    800 W CHESTNUT AVE
    MONROVIA,CA91016     		NONE 509(A)(1) General Support 5,300
    WOUNDED WARRIORS FAMILY SUPPORT
    920 S 107TH AVE STE 250
    OMAHA,NE68114     		NONE 509(A)(1) General Support 500
    WPBT COMMUNICATIONS FOUNDATION INC
    14901 SESAME ST
    MIAMI,FL33181     		NONE 509(A)(1) General Support 500
    WQCS - 889FM
    3209 VIRGINIA AVE
    Fort Pierce,FL34981     		NONE 509(A)(1) General Support 200
    YOUNG AMERICA'S FOUNDATION
    110 Elden Street
    HERNDON,VA20170     		NONE 509(A)(1) General Support 10,500
    Total .................................bullet 3a 708,829
    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          
    4 Dividends and interest from securities....     14 16  
    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          
    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)..   16  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1316
    (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
    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
    2011
    Name of organization
    Hayden Foundation
     
    Employer identification number

    38-6118718
    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 on line H of its
    Form 990-EZ or on Part I, 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) (2011)

    Page 2
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    Hayden Foundation
          		Employer identification number

    38-6118718
    Part I
    Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    AGNES R HAYDEN    
    3420 NE SUGARHILL AVE
       
    JENSEN BEACH, FL   34957

    		$272,613




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

         
     
       

    		$  




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

         
     
       

    		$  




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

         
     
       

    		$  




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

         
     
       

    		$  




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

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 3
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    Hayden Foundation
          		Employer identification number

    38-6118718
    Part II
    Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 4
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    Hayden Foundation
          		Employer identification number

    38-6118718
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total 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 $  
    Use duplicate copies of Part III if additional space is needed
    (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) (2011)

    Additional Data


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    TY 2011 DepreciationSchedule
    Name:
    Hayden Foundation
    EIN: 38-6118718
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2011 ExplanOfLegisPoliticalActvts
    Name:
    Hayden Foundation
    EIN: 38-6118718
    Explanation:
     

    TY 2011 LandEtcSchedule2
    Name:
    Hayden Foundation
    EIN: 38-6118718
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value


    TY 2011 TaxesSchedule
    Name:
    Hayden Foundation
    EIN: 38-6118718
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    2009 EXCISE TAX        
    2010 ESTIMATED EXCISE TAX        
    IRS TAXES/PENALTIES