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 08-01-2011 , and ending 07-31-2012
G
Check all that apply:
Name of foundation
BENJAMIN S COHEN TRUST 361722010
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477   Room/suite
City or town, state, and ZIP code
CONCORD, NH033020477
A Employer identification number

02-6058742
B Telephone number (see page 10 of the instructions)

(603) 229-5990
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$1,442,994J 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 4 4  
4 Dividends and interest from securities...... 38,664 38,664  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -1,442
b Gross sales price for all assets on line 6a 591,421
7 Capital gain net income (from Part IV, line 2)... 0
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........ 37,226 38,668  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 15,069 15,069    
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 575 575 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 4,694 378   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)....... Click to see attachment 1,355 1,355    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 21,693 17,377 0 0
25 Contributions, gifts, grants paid........ 74,300 74,300
26 Total expenses and disbursements. Add lines 24 and 25 95,993 17,377 0 74,300
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -58,767
b Net investment income (if negative, enter -0-) 21,291
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.......... 6,660 64,333 64,333
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) 260,127 Click to see attachment291,721 303,113
b Investments—corporate stock (attach schedule)........ 803,109 Click to see attachment707,043 793,557
c Investments—corporate bonds (attach schedule)........ 322,977 Click to see attachment270,998 281,991
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........     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) 1,392,873 1,334,095 1,442,994
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......... 1,392,873 1,334,095
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).................... 1,392,873 1,334,095
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,392,873 1,334,095
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 1,392,873
2 Enter amount from Part I, line 27a..................... 2 -58,767
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 1,334,106
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 11
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 1,334,095
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 15000. BANK OF AMER CORP 3.125% 06/15/2012 DTD 12/04/08 FDIC GTY   2011-06-30 2011-08-23
b 50000. CATERPILLAR FIN 5.125% 10/12/2011 DTD 10/12/2006   2007-12-14 2011-08-24
c 10000. U S TREASURY NOTE 4.125% 08/31/2012 DTD 08/31/2007*   2010-07-09 2011-08-24
d 10. APACHE CORP COM   2010-11-19 2011-09-08
e 10. APACHE CORP COM   2011-05-06 2011-09-08
30. APACHE CORP COM   2010-06-24 2011-09-08
380. APPLIED MATERIALS INC.   2011-03-02 2011-09-08
10. CISCO SYSTEMS INC   2007-10-04 2011-09-08
10. EXXON MOBIL CORP   2011-05-09 2011-09-08
20. THERMO ELECTRON CORP   2011-06-02 2011-09-08
60. TOYOTA MOTOR CORP ADR   2011-03-02 2011-09-08
60. US BANCORP DEL NEW   2008-08-25 2011-09-08
2373.537 VANGUARD SHORT-TERM FEDERAL FUND(0049*   2011-02-17 2011-09-29
50. THERMO ELECTRON CORP   2008-07-22 2011-10-19
40. ACE LTD   2011-07-14 2011-10-19
20000. WELLS FARGO & CO 5.625% 12/11/2017 DTD 12/10/07*   2010-06-15 2011-10-20
327.391 VANGUARD SHORT-TERM FEDERAL FUND(0049*   2011-02-17 2011-10-25
10. AT&T INC   2010-11-19 2011-11-03
240. AT&T INC   2008-07-24 2011-11-03
50. ABBOTT LABORATORIES   2011-07-26 2011-11-03
20. COLGATE PALMOLIVE   2011-04-21 2011-11-03
70. GILEAD SCIENCES INC   2011-06-02 2011-11-03
20. PROCTER & GAMBLE CO   2011-05-06 2011-11-03
30. THERMO ELECTRON CORP   2010-11-19 2011-11-03
140. THERMO ELECTRON CORP   2010-03-16 2011-11-03
60. UNITEDHEALTH GROUP INC COM   2011-07-26 2011-11-03
10000. U S TREASURY NOTE 4.125% 08/31/2012 DTD 08/31/2007*   2010-07-09 2011-11-30
10000. U S TREASURY NOTE 4.125% 08/31/2012 DTD 08/31/2007*   2011-08-23 2011-11-30
120. AMERICAN EXPRESS CO   2010-11-19 2011-12-01
230. UNITEDHEALTH GROUP INC COM   2010-11-19 2011-12-01
60. UNITEDHEALTH GROUP INC COM   2011-07-26 2011-12-01
30. AMERICAN EXPRESS CO   2009-08-26 2011-12-16
10. APACHE CORP COM   2011-11-03 2011-12-16
20. APACHE CORP COM   2007-05-22 2011-12-16
40. CAPITAL ONE FINANCIAL CORP   2011-05-09 2011-12-16
140. VALERO ENERGY CORP COM   2011-04-25 2011-12-16
50. WELLS FARGO & COMPANY COM NEW   2010-03-16 2011-12-16
20. ACE LTD   2011-07-14 2011-12-16
170. EXELON CORP COM   2009-07-07 2012-01-09
10. EXELON CORP COM   2011-09-08 2012-01-09
100. TARGET CORP   2011-04-26 2012-01-09
200. TARGET CORP   2010-12-16 2012-01-09
100. UNITED TECHNOLOGIES   2010-11-19 2012-01-09
450. VALERO ENERGY CORP COM   2011-07-26 2012-01-09
20. DIAGEO PLC ADR   2011-06-02 2012-01-24
20. DIAGEO PLC ADR   2007-03-20 2012-01-24
60. EXELON CORP COM   2011-09-08 2012-01-24
90. EXELON CORP COM   2010-12-17 2012-01-24
20. DIAGEO PLC ADR   2010-11-19 2012-02-06
40. ECOLAB INC   2011-06-15 2012-02-06
60. ECOLAB INC   2010-11-19 2012-02-06
30. PROCTER & GAMBLE CO   2010-11-15 2012-02-06
20. ABBOTT LABORATORIES   2011-07-26 2012-02-16
30. ABBOTT LABORATORIES   2010-08-24 2012-02-16
10. CHEVRONTEXACO CORP   2011-05-09 2012-02-16
20. CHEVRONTEXACO CORP   2011-01-24 2012-02-16
10. COLGATE PALMOLIVE   2011-04-21 2012-02-16
50. JOHNSON & JOHNSON   2010-11-19 2012-02-16
30. PROCTER & GAMBLE CO   2010-11-19 2012-02-16
5000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-11 2012-02-16
15000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-11 2012-03-14
10000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2011-11-30 2012-03-14
130. AMERICAN TOWER CORP COM   2011-11-03 2012-03-23
170. HEWLETT PACKARD   2010-10-12 2012-03-23
100. MARATHON OIL   2011-07-26 2012-03-23
130. ORACLE CORP   2011-01-24 2012-03-23
60. HEWLETT PACKARD   2011-09-08 2012-03-26
90. HEWLETT PACKARD   2009-05-01 2012-03-26
60. ORACLE CORP   2010-12-17 2012-03-26
50. ORACLE CORP   2011-01-24 2012-03-26
10000. PEPSICO INC 3.100% 01/15/2015 DTD 01/14/10   2011-08-24 2012-03-28
10000. PEPSICO INC 3.100% 01/15/2015 DTD 01/14/10   2011-08-24 2012-03-28
50. CAPITAL ONE FINANCIAL CORP   2011-03-29 2012-04-12
10. EXXON MOBIL CORP   2011-05-09 2012-04-12
10. EXXON MOBIL CORP   2010-11-19 2012-04-12
10. 3M CO   2007-03-20 2012-04-12
40. J P MORGAN CHASE & CO   2007-05-22 2012-05-02
160. METLIFE INC   2012-02-16 2012-05-02
120. SYSCO CORP   2011-07-26 2012-05-02
10000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-11 2012-05-03
120. SYSCO CORP   2011-07-26 2012-05-04
20. ABBOTT LABORATORIES   2010-05-27 2012-05-08
20. AMERICAN EXPRESS CO   2009-08-26 2012-05-08
30. ARCHER DANIELS MID   2011-03-03 2012-05-08
10. CAPITAL ONE FINANCIAL CORP   2011-03-29 2012-05-08
10. CAPITAL ONE FINANCIAL CORP   2011-07-14 2012-05-08
10. CHEVRONTEXACO CORP   2010-11-19 2012-05-08
10. COLGATE PALMOLIVE   2012-04-12 2012-05-08
20. DANAHER CORP   2011-04-26 2012-05-08
10. DIAGEO PLC ADR   2010-11-19 2012-05-08
30. WALT DISNEY CO   2012-01-09 2012-05-08
40. E M C CORP MASS   2010-11-19 2012-05-08
20. GILEAD SCIENCES INC   2011-06-02 2012-05-08
20. HOME DEPOT INC   2011-04-25 2012-05-08
20. ILLINOIS TOOL WKS INC   2012-01-24 2012-05-08
10. INTERNATIONAL BUSINESS MACHINES   2011-04-25 2012-05-08
30. MERCK & CO INC NEW COM   2012-04-12 2012-05-08
40. MICROSOFT CORP   2007-05-22 2012-05-08
20. STARBUCKS CORP   2012-01-09 2012-05-08
30. WELLS FARGO & COMPANY COM NEW   2010-11-19 2012-05-08
20. YUM BRANDS INC   2012-01-09 2012-05-08
10. ACE LTD   2011-07-14 2012-05-08
10. ACE LTD   2010-11-19 2012-05-08
30. HOME DEPOT INC   2010-11-19 2012-05-10
130. MARATHON OIL   2011-07-26 2012-05-10
50. STARBUCKS CORP   2012-01-09 2012-05-10
110. MARATHON OIL   2011-06-07 2012-05-29
90. UNITED TECHNOLOGIES   2003-10-02 2012-05-29
310. INVESCO LTD SHS   2012-03-23 2012-05-29
100. PNC FINANCIAL CORP   2012-01-09 2012-06-15
50. STARBUCKS CORP   2011-09-08 2012-06-15
30. YUM BRANDS INC   2012-01-09 2012-06-15
10. YUM BRANDS INC   2007-07-19 2012-06-15
5000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-11 2012-06-26
210. MARATHON OIL   2012-01-09 2012-07-09
40. MARATHON OIL   2011-06-07 2012-07-09
170. PROCTER & GAMBLE CO   2010-11-19 2012-07-09
40. ABBOTT LABORATORIES   2012-05-29 2012-07-11
221.223 INVESCO INTERNATIONAL GROWTH FUND INSTITUTIONAL CLASS   2010-11-19 2012-07-11
10. AMERICAN EXPRESS CO   2009-08-26 2012-07-11
20. APACHE CORP COM   2012-02-16 2012-07-11
30. ARCHER DANIELS MID   2011-03-03 2012-07-11
20. BED BATH & BEYOND INC   2012-06-15 2012-07-11
10. BERKSHIRE HATHAWAY INC DEL CL B NEW   2012-05-29 2012-07-11
40. BROADCOM CORP COM   2012-03-26 2012-07-11
103.264 BUFFALO SMALL CAP FD #1444   2010-11-19 2012-07-11
10. CAPITAL ONE FINANCIAL CORP   2011-07-14 2012-07-11
20. CELGENE CORP   2012-04-12 2012-07-11
20. CHEVRONTEXACO CORP   2010-11-19 2012-07-11
110. CISCO SYSTEMS INC   2007-10-04 2012-07-11
20. COCA COLA CO   2012-05-10 2012-07-11
20. COLGATE PALMOLIVE   2012-05-29 2012-07-11
10. CONOCOPHILLIPS   2012-07-09 2012-07-11
20. DANAHER CORP   2011-04-26 2012-07-11
10. DIAGEO PLC ADR   2008-06-16 2012-07-11
30. WALT DISNEY CO   2012-01-09 2012-07-11
50. E M C CORP MASS   2010-11-19 2012-07-11
20. ECOLAB INC   2012-05-10 2012-07-11
30. EXXON MOBIL CORP   2010-01-11 2012-07-11
40. FREEPORT-MCMORAN COPPER & GOCL B   2012-02-06 2012-07-11
40. GILEAD SCIENCES INC   2012-05-29 2012-07-11
33.635 HARBOR INTERNATIONAL FUND   2010-11-19 2012-07-11
40. HOME DEPOT INC   2010-11-19 2012-07-11
10. ILLINOIS TOOL WKS INC   2012-01-24 2012-07-11
10. ILLINOIS TOOL WKS INC   2007-03-20 2012-07-11
10. INTERNATIONAL BUSINESS MACHINES   2011-04-25 2012-07-11
50. J P MORGAN CHASE & CO   2007-05-22 2012-07-11
8.715 PERKINS MID CAP VALUE FUND INSTITUTIONAL CLASS   2010-11-19 2012-07-11
20. JOHNSON & JOHNSON   2007-05-22 2012-07-11
30. KRAFT FOODS INC   2012-07-09 2012-07-11
20. L-3 COMMUNICATIONS HLDGS INC COM   2011-03-02 2012-07-11
50. MERCK & CO INC NEW COM   2012-05-29 2012-07-11
50. MICROSOFT CORP   2007-05-22 2012-07-11
30. NETAPP INC COM   2012-03-26 2012-07-11
30. NEXTERA ENERGY INC COM   2012-05-10 2012-07-11
40. ORACLE CORP   2011-06-15 2012-07-11
20. PNC FINANCIAL CORP   2011-12-16 2012-07-11
30. QUALCOMM, INC.   2010-11-19 2012-07-11
84.952 ROYCE SPECIAL EQUITY FD #327   2010-11-19 2012-07-11
60. SPECTRA ENERGY CORP   2012-01-09 2012-07-11
30. STARBUCKS CORP   2011-09-08 2012-07-11
20. 3M CO   2007-03-20 2012-07-11
70. US BANCORP DEL NEW   2008-08-25 2012-07-11
10. UNION PACIFIC CORP   2012-02-06 2012-07-11
10. UNITED PARCEL SVC INC CL B   2012-01-09 2012-07-11
40. VERIZON COMMUNICATIONS   2012-06-15 2012-07-11
10. WELLPOINT INC COM   2012-06-15 2012-07-11
40. WELLS FARGO & COMPANY COM NEW   2010-11-19 2012-07-11
10. YUM BRANDS INC   2007-07-19 2012-07-11
10. ACE LTD   2009-07-07 2012-07-11
40. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-26 2012-07-11
30. APACHE CORP COM   2012-02-16 2012-07-13
90. APACHE CORP COM   2007-05-22 2012-07-13
160. NETAPP INC COM   2012-03-26 2012-07-13
50. STARBUCKS CORP   2011-09-08 2012-07-13
40. YUM BRANDS INC   2007-07-19 2012-07-13
(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 15,348   15,407 -59
b 50,264   50,712 -448
c 10,407   10,742 -335
d 984   1,089 -105
e 984   1,270 -286
2,952   2,748 204
4,128   6,214 -2,086
162   323 -161
733   834 -101
1,057   1,276 -219
4,160   5,490 -1,330
1,373   1,820 -447
25,943   25,777 166
2,592   2,951 -359
2,634   2,666 -32
22,780   21,358 1,422
3,575   3,510 65
293   282 11
7,041   7,639 -598
2,685   2,651 34
1,766   1,617 149
2,861   2,895 -34
1,265   1,319 -54
1,499   1,537 -38
6,996   7,500 -504
2,767   3,094 -327
10,300   10,742 -442
10,300   10,407 -107
5,728   4,742 986
11,212   7,905 3,307
2,925   3,094 -169
1,416   1,073 343
897   1,013 -116
1,794   1,581 213
1,746   2,127 -381
2,880   4,045 -1,165
1,295   1,511 -216
1,342   1,301 41
7,015   8,158 -1,143
413   430 -17
4,860   4,994 -134
9,719   11,778 -2,059
7,405   5,072 2,333
8,905   12,478 -3,573
1,754   1,707 47
1,754   1,545 209
2,365   2,582 -217
3,547   3,650 -103
1,859   1,532 327
2,454   2,198 256
3,680   2,921 759
1,898   1,929 -31
1,111   1,047 64
1,667   1,487 180
1,055   1,044 11
2,109   1,883 226
930   809 121
3,248   3,183 65
1,948   1,921 27
5,218   5,280 -62
15,606   15,840 -234
10,491   10,188 303
8,025   7,480 545
3,990   6,599 -2,609
3,249   3,323 -74
3,723   4,211 -488
1,421   1,438 -17
2,131   3,310 -1,179
1,732   1,920 -188
1,443   1,619 -176
10,636   10,624 12
10,637   10,624 13
2,714   2,605 109
831   834 -3
831   702 129
865   763 102
1,726   2,094 -368
5,708   6,143 -435
3,446   3,754 -308
10,380   10,560 -180
3,389   3,754 -365
1,250   953 297
1,195   662 533
985   1,114 -129
539   517 22
539   493 46
1,028   835 193
993   972 21
1,084   1,081 3
1,004   759 245
1,321   1,197 124
1,095   873 222
986   827 159
1,015   750 265
1,130   1,030 100
2,016   1,679 337
1,155   1,150 5
1,220   1,238 -18
1,083   932 151
991   850 141
1,436   1,192 244
757   651 106
757   604 153
1,515   935 580
3,491   4,209 -718
2,727   2,329 398
2,774   3,427 -653
6,713   3,619 3,094
6,767   8,137 -1,370
5,831   5,983 -152
2,609   1,949 660
1,937   1,789 148
646   344 302
5,168   5,280 -112
5,120   5,950 -830
975   1,230 -255
10,456   7,043 3,413
2,599   2,479 120
5,836   6,123 -287
578   331 247
1,688   2,132 -444
826   1,114 -288
1,209   1,465 -256
838   794 44
1,243   1,545 -302
2,878   2,512 366
537   493 44
1,262   1,580 -318
2,093   1,667 426
1,800   3,554 -1,754
1,545   1,550 -5
2,073   1,981 92
542   543 -1
1,002   1,073 -71
1,030   756 274
1,411   1,197 214
1,171   853 318
1,341   1,298 43
2,524   2,053 471
1,286   1,852 -566
2,025   2,037 -12
1,838   2,018 -180
2,062   1,246 816
503   515 -12
503   512 -9
1,840   1,679 161
1,724   2,618 -894
180   189 -9
1,355   1,270 85
1,178   1,168 10
1,429   1,578 -149
2,055   1,885 170
1,459   1,547 -88
856   1,379 -523
2,045   1,950 95
1,164   1,256 -92
1,221   1,108 113
1,618   1,437 181
1,760   1,669 91
1,744   1,828 -84
1,555   1,170 385
1,752   1,526 226
2,247   2,123 124
1,164   1,156 8
788   732 56
1,792   1,756 36
618   707 -89
1,326   1,096 230
619   344 275
701   429 272
1,780   2,358 -578
2,494   3,028 -534
7,482   7,114 368
4,576   7,306 -2,730
2,644   1,949 695
2,566   1,377 1,189
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       -59
b       -448
c       -335
d       -105
e       -286
      204
      -2,086
      -161
      -101
      -219
      -1,330
      -447
      166
      -359
      -32
      1,422
      65
      11
      -598
      34
      149
      -34
      -54
      -38
      -504
      -327
      -442
      -107
      986
      3,307
      -169
      343
      -116
      213
      -381
      -1,165
      -216
      41
      -1,143
      -17
      -134
      -2,059
      2,333
      -3,573
      47
      209
      -217
      -103
      327
      256
      759
      -31
      64
      180
      11
      226
      121
      65
      27
      -62
      -234
      303
      545
      -2,609
      -74
      -488
      -17
      -1,179
      -188
      -176
      12
      13
      109
      -3
      129
      102
      -368
      -435
      -308
      -180
      -365
      297
      533
      -129
      22
      46
      193
      21
      3
      245
      124
      222
      159
      265
      100
      337
      5
      -18
      151
      141
      244
      106
      153
      580
      -718
      398
      -653
      3,094
      -1,370
      -152
      660
      148
      302
      -112
      -830
      -255
      3,413
      120
      -287
      247
      -444
      -288
      -256
      44
      -302
      366
      44
      -318
      426
      -1,754
      -5
      92
      -1
      -71
      274
      214
      318
      43
      471
      -566
      -12
      -180
      816
      -12
      -9
      161
      -894
      -9
      85
      10
      -149
      170
      -88
      -523
      95
      -92
      113
      181
      91
      -84
      385
      226
      124
      8
      56
      36
      -89
      230
      275
      272
      -578
      -534
      368
      -2,730
      695
      1,189
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 -1,442
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 73,440 1,489,268 0.049313
2009 71,575 1,426,166 0.050187
2008 68,130 1,327,136 0.051336
2007 82,778 1,632,931 0.050693
2006 83,105 1,661,710 0.050012
2 Total of line 1, column (d) ...................... 2 0.251541
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 0.050308
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 1,451,797
5 Multiply line 4 by line 3....................... 5 73,037
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 213
7 Add lines 5 and 6......................... 7 73,250
8 Enter qualifying distributions from Part XII, line 4.............. 8 74,300
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 1 213
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............................ 3 213
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- ..... 5 213
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 2,568
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 2,568
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  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,355
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet216 Refunded Bullet 11 2,139
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)bulletNH
    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 ofbulletTD Bank NA Telephone no.bullet (603) 229-5990
    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet03301
    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
     
    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
    TD Bank NA TRUSTEE
    1     		15,069    
    PO BOX 477
    CONCORD,NH033020477
    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 NONE  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,439,696
    b
    Average of monthly cash balances.......................
    1b
    34,210
    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
    1,473,906
    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
    1,473,906
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    22,109
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,451,797
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    72,590
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    72,590
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    213
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    213
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    72,377
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    72,377
    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
    72,377
    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
    74,300
    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
    74,300
    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
    213
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    74,087
    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 72,377
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 0
    b Total for prior years:2009, 20, 20 0
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 6,221
    b From 2007....... 2,091
    c From 2008....... 2,411
    d From 2009....... 1,085
    e From 2010....... 1,545
    fTotal of lines 3a through e......... 13,353
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 74,300
    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)    		 0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		0
    d Applied to 2011 distributable amount..... 72,377
    e Remaining amount distributed out of corpus 1,923
    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 15,276
    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 ..........     		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) ...........     		0
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		6,221
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		9,055
    10 Analysis of line 9:
    a Excess from 2007.... 2,091
    b Excess from 2008.... 2,411
    c Excess from 2009.... 1,085
    d Excess from 2010.... 1,545
    e Excess from 2011.... 1,923
    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).)
    NONE
    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:
    TD Bank NA co Monique Brown
    PO Box 477
    Concord,NH033020477
    (603) 229-5990
    bThe form in which applications should be submitted and information and materials they should include:
    Letter to above address specifying amount requested and detailing what funds are to be used for
    cAny submission deadlines:
    None
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Restricted to charitable organizations in NH
    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
    JEWISH COMMUNITY CTR-MANCHESTER
    698 BEECH STREET
    MANCHESTER,NH03103     		NONE 501(C)(3) DAILY OPERATIONS 500
    DANIEL WEBSTER COUNCIL
    BOY SCOUTS OF AMERICA
    MANCHESTER,NH03103     		NONE 501(C)(3) DAILY OPERATIONS 100
    ST ANSELM COLLEGE
    ATTN MARK A COOPER OSB
    100 ST ANSELM DRIVE
    MANCHESTER,NH031021310     		NONE 501(C)(3) FATHER JOHN LYNCH MEMORIAL SCHOLARSHIPS 67,200
    MANCHESTER YMCA
    JANIS CLARK
    MANCHESTER,NH03101     		NONE 501(C)(3) DAILY OPERATIONS 200
    NH ASSOCIATION FOR THE BLIND
    MCGREAL SIGHT CENTER
    CONCORD,NH03301     		NONE 501(C)(3) DAILY OPERATIONS 200
    MANCHESTER BOYS & GIRLS CLUB
    PINARDVILLE BOYS CLUB
    555 UNION STREET
    MANCHESTER,NH03104     		NONE 501(C)(3) DAILY OPERATIONS 500
    TEMPLE ADATH YESHURUN-MANCHESTER
    152 PROSPECT STREET
    MANCHESTER,NH03104     		NONE 501(C)(3) DAILY OPERATIONS 500
    SPAULDING YOUTH CENTER
    130 SHEDD ROAD
    NORTHFIELD,NH032764607     		NONE 501(C)(3) DAILY OPERATIONS 200
    MOORE CENTER SERVICES INC
    195 MCGREGOR STREET - UNIT 400
    MANCHESTER,NH03102     		NONE 501(C)(3) DAILY OPERATIONS 200
    CATHOLIC MEDICAL CENTER
    ATTN PHILANTHROPY OFFICE
    MANCHESTER,NH03102     		NONE 501(C)(3) DAILY OPERATIONS 1,000
    GOFFSTOWN PUBLIC LIBRARY
    DIANNE HATHAWAY
    2 HIGH STREET
    GOFFSTOWN,NH03045     		NONE 501(C)(3) DAILY OPERATIONS 200
    TEMPLE ISRAEL MANCHESTER
    JOHN M WEBER TREASURER
    MANCHESTER,NH03104     		NONE 501(C)(3) DAILY OPERATIONS 500
    SHRINER HOSPITAL -
    SPRINGFIELD MA
    2900 ROCKY POINT DRIVE
    TAMPA,FL336313356     		NONE 501(C)(3) DAILY OPERATIONS 2,000
    NATIONAL JEWISH HEALTH
    ATTN ALICE M ALBRITTON
    DENVER,CO80206     		NONE 501(C)(3) DAILY OPERATIONS 1,000
    Total .................................bullet 3a 74,300
    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 4  
    4 Dividends and interest from securities....     14 38,659  
    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 -1,437  
    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)..   37,226  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1337,226
    (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:
    BENJAMIN S COHEN TRUST 361722010
    EIN: 02-6058742
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 575 575    

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    BENJAMIN S COHEN TRUST 361722010
    EIN: 02-6058742
    Name of Bond End of Year Book Value End of Year Fair Market Value
    5000 AT&T INC 5,088 5,842
    15000 BERKSHIRE HATHAWAY 5.40% 16,565 18,111
    10000 CATERPILLAR FINL SE 2.05 10,307 10,391
    5000 CISCO SYSTEMS INC 4.95% 5,461 5,997
    15000 COCA COLA CO 1.500% 14,335 15,409
    15000 CONCOCPHILLIPS 4.75% 16,342 15,944
    5000 GE COMPANY 5.00% 5,432 5,114
    10000 GEN ELEC CAP CORP 10,897 11,767
    10000 HEWLETT PACKARD CO 4.75% 10,913 10,590
    15000 JPMORGAN CHASE & CO 6.00 16,266 17,754
    20000 ONTARIO PROVINCE 2.95% 21,106 21,157
    5000 PROVINCE OF QUEBEC 2.75% 5,082 5,254
    5000 SBC COMMUNICATIONS 5.10% 5,525 5,470
    20000 WACHOVIA CORP 5.75% 22,601 23,796
    20000 WAL-MART STORES 4.55% 21,937 20,638
    5141.837 FIDELITY HIGH INCOME 46,158 46,842
    2818.744 VANGUARD INFLATION PR 36,983 41,915

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    BENJAMIN S COHEN TRUST 361722010
    EIN: 02-6058742
    Name of Stock End of Year Book Value End of Year Fair Market Value
    150 BED BATH & BEYOND INC 9,308 9,143
    170 COMCAST CORP NEW CL B 5,403 5,534
    320 WALT DISNEY CO 10,589 15,725
    320 HOME DEPOT INC 8,859 16,698
    120 STARBUCKS CORP 4,678 5,434
    90 YUM BRANDS INC 3,099 5,836
    300 ARCHER DANIELS MIDLAND CO 10,453 7,827
    180 COCA COLA CO 13,845 14,544
    150 COLGATE PALMOLIVE CO 10,377 16,104
    110 DIAGEL PLC ADR 7,596 11,759
    230 KRAFT FOODS INC 8,955 9,133
    220 TRANSOCEAN LTD ZUG 10,144 10,303
    140 CHEVRON CORPORATION 11,622 15,341
    100 CONOCOPHILLIPS 5,428 5,444
    190 EXXON MOBIL CORP 12,200 16,502
    320 SPECTRA ENERGY CORP 9,550 9,821
    140 ACE LTD 6,012 10,290
    185 AMERICAN EXPRESS CO 4,882 10,676
    100 BERKSHIRE HATHAWAY INC DEL 7,840 8,484
    160 CAPITAL ONE FINANCIAL CORP 7,793 9,038
    250 J P MORGAN CHASE & CO 11,600 9,000
    80 PNC BANK CORP 4,431 4,728
    420 US BANCORP DEL NEW 8,793 14,070
    340 WELLS FARGO & CO NEW 4,702 11,495
    240 ABBOTT LABS CO 11,426 15,914
    130 CELGENE CORP 8,372 8,900
    270 GILEAD SCIENCES INC 10,826 14,669
    180 JOHNSON & JOHNSON CO 11,411 12,460
    350 MERCK & CO INC NEW 12,625 15,460
    70 WELLPOINT INC COM 4,947 3,730
    250 DANAHER CORP SHS BEN INT 13,217 13,203
    13.334 ENGILITY HOLDINGS INC 247 195
    225 ILLINOIS TOOL WKS INC 10,939 12,227
    80 L-3 COMMUNICATIONS HLDGS IN 5,965 5,671
    120 3M CO 9,157 10,948
    60 UNION PACIFIC CORP 6,074 7,357
    80 UNITED PARCEL SERVICE CL B 5,859 6,049
    210 CHECK POINT SOFTWARE TECH 11,932 10,200
    190 BROADCOM CORP 7,313 6,437
    600 CISCO SYSTEMS INC 12,233 9,570
    480 EMC CORPORATION/ MASS 7,617 12,581
    80 INTL BUSINESS MACHINES CORP 13,293 15,678
    540 MICROSOFT CORPORATION 14,861 15,914
    350 ORACLE CORPORATION 10,549 10,570
    160 QUALCOMM INCORPORATED 7,639 9,549
    170 ECOLAB INC 8,229 11,127
    230 FREEPORT-MCMORAN COOPER 10,295 7,744
    300 VERIZON COMMUNICATIONS 9,099 13,542
    190 NEXTERA ENERGY INC 11,542 13,471
    2736.794 INVESCO INTERNATIONAL 75,754 74,578
    529.864 BUFFALO SMALL CAP FD 12,892 14,635
    1320.814 HARBOR INTERNATIONAL 79,249 74,335
    671.053 HARTFORD MUT FDS INC 15,126 14,703
    724.131 PERKINS MID CAP VALUE 15,706 15,323
    718.901 ROYCE SPECIAL EQUITY F 14,126 15,032
    440 SPDR GOLD TRUST 60,364 68,856

    TY 2011 InvestmentsGovtObligationsSch
    Name:
    BENJAMIN S COHEN TRUST 361722010
    EIN: 02-6058742
    US Government Securities - End of Year Book Value:

    291,721
    US Government Securities - End of Year Fair Market Value:

    303,113
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2011 OtherDecreasesSchedule
    Name:
    BENJAMIN S COHEN TRUST 361722010
    EIN: 02-6058742
    Description Amount
    ROUNDING ADJUSTMENT 11


    TY 2011 OtherExpensesSchedule
    Name:
    BENJAMIN S COHEN TRUST 361722010
    EIN: 02-6058742
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE/PROBATE FEES 1,355 1,355   0


    TY 2011 TaxesSchedule
    Name:
    BENJAMIN S COHEN TRUST 361722010
    EIN: 02-6058742
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF TAXES 4,316 0   0
    FOREIGN TAXES ON QUALIFIED FOR 378 378   0