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
SHADY MAPLE FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)1137 MAIN STREET PO BOX 72   Room/suite
City or town, state, and ZIP code
BLUE BALL, PA17506
A Employer identification number

20-0903361
B Telephone number (see page 10 of the instructions)

(717) 354-5920
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$4,097,682J 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) 400,000
2 Check bullet
3 Interest on savings and temporary cash investments 138,036 138,036  
4 Dividends and interest from securities...... 970 970  
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)...  
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........ 539,006 139,006  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 125      
b Accounting fees (attach schedule)....... Click to see attachment 2,270      
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)....... Click to see attachment 3,363      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 5,758 0   0
25 Contributions, gifts, grants paid........ 161,950 161,950
26 Total expenses and disbursements. Add lines 24 and 25 167,708 0   161,950
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 371,298
b Net investment income (if negative, enter -0-) 139,006
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............... 2,855 35,321 35,321
2 Savings and temporary cash investments.......... 3,620,377 3,958,145 3,958,145
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)........ 194,625 Click to see attachment195,689 104,216
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) 3,817,857 4,189,155 4,097,682
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 3,817,857 4,189,155
30 Total net assets or fund balances (see page 17 of the
instructions).................... 3,817,857 4,189,155
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 3,817,857 4,189,155
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 3,817,857
2 Enter amount from Part I, line 27a..................... 2 371,298
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 4,189,155
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 4,189,155
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 164,100 3,310,442 0.049570
2009 231,800 2,211,230 0.104829
2008 194,825 1,179,336 0.165199
2007 137,400 375,081 0.366321
2006 88,500 224,329 0.394510
2 Total of line 1, column (d) ...................... 2 1.080429
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 0.216086
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 3,841,171
5 Multiply line 4 by line 3....................... 5 830,023
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,390
7 Add lines 5 and 6......................... 7 831,413
8 Enter qualifying distributions from Part XII, line 4.............. 8 161,950
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 2,780
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 2,780
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 2,780
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 2,400
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 2,400
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 9 380
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet0 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
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)bulletPA
    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.Click to see attachment
    10
    Yes
     
    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 ofbulletMARVIN R WEAVER Telephone no.bullet (717) 354-5920
    Located atbullet1137 MAIN ST PO BOX 72BLUE BALLPA ZIP+4bullet17506
    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
     
     
    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
     
     
    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
     
     
    .........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
    MARVIN R WEAVERClick to see attachment PRESIDENT
    0.50     		0 0 0
    1137 MAIN ST PO BOX 72
    BLUE BALL,PA17506
    MIRIAM M WEAVERClick to see attachment 2ND VP
    1.00     		0 0 0
    1137 MAIN ST PO BOX 72
    BLUE BALL,PA17506
    PHILIP E WEAVERClick to see attachment 1ST VP
    0.50     		0 0 0
    419 MEETINGHOUSE RD
    GAP,PA17527
    CURTIS R WEAVERClick to see attachment SECRETARY
    0.50     		0 0 0
    1854 AGAPE COURT
    EAST EARL,PA17519
    LINFORD L WEAVERClick to see attachment TREASURER
    0.50     		0 0 0
    1852 AGAPE COURT
    EAST EARL,PA17519
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    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 N/A  
    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
    111,565
    b
    Average of monthly cash balances.......................
    1b
    3,788,101
    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
    3,899,666
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    3,899,666
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    58,495
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,841,171
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    192,059
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    192,059
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    2,780
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,780
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    189,279
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    189,279
    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
    189,279
    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
    161,950
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    161,950
    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
    161,950
    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 7 189,279
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 77,373
    b From 2007....... 118,854
    c From 2008....... 136,791
    d From 2009....... 122,754
    e From 2010....... 941
    fTotal of lines 3a through e......... 456,713
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 161,950
    a Applied to 2010, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		  
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		 
    d Applied to 2011 distributable amount..... 161,950
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2011. 27,329 27,329
    (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 5 429,384
    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 ...........     		 
    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) .............     		50,044
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		379,340
    10 Analysis of line 9:
    a Excess from 2007.... 118,854
    b Excess from 2008.... 136,791
    c Excess from 2009.... 122,754
    d Excess from 2010.... 941
    e Excess from 2011....  
    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).)
    MARVIN R MIRIAM M WEAVER
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    MIRIAM M WEAVER
    1137 MAIN ST PO BOX 72
    BLUE BALL,PA17506
    (717) 354-5920
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER DESCRIBING THEIR PROGRAM AND FINANCIAL NEEDS.
    cAny submission deadlines:
    NO DEADLINES REQUIRED
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CONTRIBUTIONS LIMITED TO TAX EXEMPT NON-PROFIT ORGANIZATIONS, WHICH QUALIFY AS PUBLIC CHARITIES ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES.
    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
    ALLEGHANY BOYS CAMP
    20700 WAGNER CUTOFF RD SE
    OLDTOWN,MD21555     		    CHARITABLE 500
    ASPCA
    520 EIGHT AVENUE
    NEW YORK,NY10018     		    CHARITABLE 400
    BALD EAGLE BOYS CAMP
    1077 WILDERNESS TRAIL
    MILL HALL,PA17751     		    CHARITABLE 500
    BIBLES FOR THE WORLD
    PO BOX 49759
    COLORADO SPRINGS,CO80949     		    CHARITABLE 500
    BLUE BALL CHURCH OF THE BRETHREN
    PO BOX 185
    BLUE BALL,PA17506     		    CHARITABLE 400
    BLUE BALL MENNONITE CHURCH
    PO BOX 401
    BLUE BALL,PA17506     		    CHARITABLE 10,000
    CALVARY CHURCH
    1051 LANDIS VALLEY ROAD
    LANCASTER,PA17601     		    CHARITABLE 400
    CAMP ANDREWS
    1226 SILVER SPRING ROAD
    HOLTWOOD,PA17532     		    CHARITABLE 6,000
    CHILDREN'S HOSPITAL OF PHILADELPHIA
    PO BOX 249
    GREENCASTLE,PA172250249     		    CHARITABLE 400
    CHILDREN'S MIRACLE NETWORK HERSHE
    A190 PO BOX 855
    HERSHEY,PA170330855     		    CHARITABLE 400
    CHRISTIAN AID MINISTRIES
    PO BOX 360
    BERLIN,OH44610     		    CHARITABLE 2,400
    CHRISTIAN LIGHT PUBLICATIONS
    PO BOX 1212
    HARRISONBURG,VA22803     		    CHARITABLE 500
    CLARE HOUSE
    342-344 E CHESTNUT STREE
    LANCASTER,PA17602     		    CHARITABLE 400
    CLINIC FOR SPECIAL CHILDREN
    PO BOX 128
    STRASBURG,PA17579     		    CHARITABLE 500
    CONESTOGA CHRISTIAN SCHOOL
    2760 MAIN STREET
    MORGANTOWN,PA19543     		    EDUCATIONAL 5,000
    DEEPER LIFE MINISTRIES
    5123 CONVERSE HUFF ROAD
    PLAIN CITY,OH43064     		    CHARITABLE 1,000
    BIBLICAL MENNONITE ALLIANCE
    63645 HIDDEN RIDGE COURT
    GOSHEN,IN46528     		    CHARITABLE 1,000
    DOOR OF HOPE
    PO BOX 321
    LYNN,NC28750     		    CHARITABLE 500
    EAST CHESTNUT STREET MENNONITE CHUR
    434 E CHESTNUT STREET
    LANCASTER,PA17602     		    CHARITABLE 400
    EDGELL FOUNDATION
    PO BOX 10214
    LANCASTER,PA17605     		    CHARITABLE 800
    EPHRATA MENNONITE SCHOOL
    598 STEVENS ROAD
    EPHRATA,PA17522     		    EDUCATIONAL 2,000
    EPHRATA UNITED ZION CHURCH
    408 E FULTON STREET
    EPHRATA,PA17522     		    CHARITABLE 800
    FAIRMOUNT HOMES RETIREMENT COMMUNIT
    333 WHEAT RIDGE DRIVE
    EPHRATA,PA17522     		    CHARITABLE 2,400
    FAIRVIEW CHRISTIAN SCHOOL
    410 S 14TH STREET
    READING,PA19602     		    EDUCATIONAL 1,000
    FAITH BUILDERS EDUCATIONAL PROGRAM
    28500 GUYS MILL ROAD
    GUYS MILL,PA16327     		    EDUCATIONAL 6,000
    FAITH FRIENDSHIP MINISTRIES INC
    128 W MAIN STREET PO BO
    MOUNTVILLE,PA17554     		    CHARITABLE 1,050
    FAITH MENNONITE HIGH SCHOOL
    5085 WOODLAND DRIVE
    KINZERS,PA17535     		    EDUCATIONAL 500
    FAMILIES OF SMA
    925 BUSSE RD
    ELK GROVE VILLAGE,IL60007     		    CHARITABLE 500
    FAMILY RESOURCE CENTER
    835 HOUSTON RUN DRIVE SU
    GAP,PA17527     		    CHARITABLE 1,000
    FELLOWSHIP OF CONCERNED MENNONITES
    PO BOX 106
    HARRISONBURG,VA22803     		    CHARITABLE 500
    FIEL-HUSA INC
    1848 CAMBRIDGE AVENUE
    PLACENTIA,CA928702308     		    CHARITABLE 400
    FOCUS ON THE FAMILY
    PO BOX 2816
    OMAHA,NE681032816     		    CHARITABLE 500
    FOLLOWERS OF JESUS SCHOOL
    3065 ATLANTIC AVENUE
    BROOKLYN,NY11208     		    EDUCATIONAL 500
    FRESH START
    113 N INDUSTRIAL PARK DR
    WASHINGTON,IN47501     		    CHARITABLE 1,000
    FRIENDS OF ISRAEL GOSPEL MINSTRY
    PO BOX 908
    BELLMAWR,NJ08099     		    CHARITABLE 400
    GEHMANS MENNONITE SCHOOL
    650 GEHMANS SCHOOL ROAD
    DENVER,PA17517     		    EDUCATIONAL 3,000
    GLOBAL DISCIPLES
    315 W JAMES STREET SUI
    LANCASTER,PA17603     		    CHARITABLE 400
    GLOBAL TRIBES OUTREACH
    PO BOX 130
    WASHINGTONVILLE,PA17884     		    CHARITABLE 500
    GOSPEL ECHOES TEAM
    PO BOX 555
    GOSHEN,IN46527     		    CHARITABLE 500
    GOSPEL EXPRESS
    PO BOX 217
    LYNN,NC28750     		    CHARITABLE 500
    GOSPEL LIGHT BAPTIST CHURCH
    PO BOX 22
    REFTON,PA17568     		    CHARITABLE 400
    HAVEN OF REST
    176 BOOT JACK ROAD
    NARVON,PA17555     		    CHARITABLE 500
    HERALDS OF HOPE
    PO BOX 3
    BREEZEWOOD,PA15533     		    CHARITABLE 500
    HINKLETOWN MENNONITE SCHOOL
    272 WANNER ROAD
    EPHRATA,PA17522     		    EDUCATIONAL 5,400
    HOSPICE OF LANCASTER COUNTY
    685 GOOD DRIVE
    LANCASTER,PA176044125     		    CHARITABLE 1,000
    HOUSE OF HIS CREATION
    PO BOX 266
    AKRON,PA17501     		    CHARITABLE 400
    HUMANE LEAGUE OF LANCASTER
    2195 LINCOLN HWY EAST
    LANCASTER,PA17602     		    CHARITABLE 400
    INSTITUTE FOR GLOBAL OPPURTUNITIES
    PO BOX 116
    EPHRATA,PA17522     		    CHARITABLE 2,400
    JOY EL MINISTRIES
    3741 JOY-EL DRIVE
    GREENCASTLE,PA17225     		    CHARITABLE 500
    LAMPETER UNITED METHODIST CHURCH
    PO BOX 188
    LAMPETER,PA17537     		    CHARITABLE 900
    LANCASTER BIBLE COLLEGE
    901 EDEN ROAD PO BOX 8
    LANCASTER,PA17608     		    EDUCATIONAL 500
    LIFE MINISTRIES
    250 MEADOW LANE
    CONESTOGA,PA17516     		    CHARITABLE 5,000
    LIGHTHOUSE VOCATIONAL SERVICES
    144 ORLAND ROAD
    NEW HOLLAND,PA17557     		    CHARITABLE 2,000
    LINVILLE HILL MENNONITE SCHOOL
    295 S KINZER ROAD
    PARADISE,PA17562     		    EDUCATIONAL 20,000
    MENNONITE GOSPEL MISSIONS
    171 N GROFFDALE ROAD
    NEW HOLLAND,PA17557     		    CHARITABLE 500
    MISSIONS OF TRUTH TO INDIA
    140 PLEASANT VALLEY RD
    EPHRATA,PA17522     		    CHARITABLE 1,000
    NATION TO NATION INTERNATIONAL
    PO BOX 1607
    JOPLIN,MO648021607     		    CHARITABLE 400
    NATIONAL PARKINSON'S FOUNDATION
    1501 NW 9TH AVE-BOB HOPE
    MIAMI,FL331361494     		    CHARITABLE 400
    NEW BEGINNINGS CHURCH
    PO BOX 252
    AKRON,PA17501     		    CHARITABLE 400
    NEW HORIZONS MINISTRY
    PO BOX 505
    CANON CITY,CO812150505     		    CHARITABLE 1,000
    NORTHERN YOUTH PROGRAMS
    PO BOX 171
    INTERNATIONAL FALLS,MN566490171     		    CHARITABLE 1,000
    OHIO WILDERNESS BOYS CAMP
    44642 ZERGER QUARRY ROAD
    SUMMERFIELD,OH43788     		    CHARITABLE 500
    OLIVE BRANCH MENNONITE MISSIONS
    2486 LEBANON ROAD
    MANHEIM,PA175459574     		    CHARITABLE 500
    ORPHAN RESOURCES INTERNATIONAL
    550 WEST TROUT RUN ROAD
    EPHRATA,PA17522     		    CHARITABLE 1,000
    PEQUEA VALLEY FOOTBALL BOOSTERS
    4033 E NEWPORT ROAD PO
    KINZERS,PA17535     		    CHARITABLE 800
    PETRA CHRISTIAN FELLOWSHIP
    565 AIRPORT ROAD
    NEW HOLLAND,PA17557     		    CHARITABLE 5,800
    PHIL HAVEN
    283 S BUTLER ROAD PO
    GRETNA,PA17064     		    CHARITABLE 500
    PLEASANT VALLEY MENNONITE CHURCH
    140 PLEASANT VALLEY ROAD
    EPHRATA,PA17522     		    CHARITABLE 1,000
    REAMSTOWN CHURCH OF GOD
    PO BOX 98
    STEVENS,PA17578     		    CHARITABLE 400
    RED ROSE SEARCH RESCUE
    431 WEAVER ROAD
    STRASBURG,PA17579     		    CHARITABLE 400
    REVELATION OF FREEDOM MINISTRIES
    PO BOX 585
    NEW HOLLAND,PA17557     		    CHARITABLE 400
    RICHLAND CHRISTIAN HOME
    211 S RACE STREET
    RICHLAND,PA17087     		    CHARITABLE 500
    RONALD MCDONALD HOUSE CHARITIES
    745 W GOVERNOR ROAD
    HERSHEY,PA17033     		    CHARITABLE 400
    S JUNE SMITH CENTER
    600-I EDEN ROAD
    LANCASTER,PA17601     		    CHARITABLE 1,000
    SAN FRANCISCO CHRISTIAN SCHOOL
    25 WHITTIER STREET
    SAN FRANCISCO,CA941124295     		    EDUCATIONAL 400
    SCHREIBER PEDIATRIC REHAB CENTER
    625 COMMUNITY WAY
    LANCASTER,PA176032301     		    CHARITABLE 400
    SHALOM MENNONITE SCHOOL
    1410 UNION GROVE ROAD
    TERRE HILL,PA17581     		    EDUCATIONAL 15,400
    SHARING GOD'S ABUNDANCE
    18555 F ROAD
    DELTA,CO81416     		    CHARITABLE 1,500
    SHARON MENNONITE BIBLE INSTITUTE
    7304 LINCOLN HWY HCR 64
    HARRISONVILLE,PA17228     		    EDUCATIONAL 1,000
    SPRING CITY CHURCH OF GOD
    PO BOX 307
    SPRING CITY,PA19475     		    CHARITABLE 400
    SUPPORT FOR PRISON MINISTRIES
    PO BOX 134
    LITITZ,PA17543     		    CHARITABLE 500
    SUSQUEHANNA VALLEY PREGNANCY SERVIC
    PO BOX 707
    LEBANON,PA17042     		    CHARITABLE 800
    SWORD TRUMPET
    PO BOX 575
    HARRISONBURG,VA22803     		    CHARITABLE 500
    TEEN CHALLENGE
    33 TEEN CHALLENGE ROAD P
    REHRERSBURG,PA19550     		    CHARITABLE 500
    TERRE HILL MENNONITE HIGH SCHOOL
    1416 UNION GROVE ROAD
    TERRE HILL,PA17581     		    EDUCATIONAL 5,000
    THE GIDEONS INTL - LANC NE CAMP
    PO BOX 684
    EPHRATA,PA17522     		    CHARITABLE 1,000
    THE OGLALA RE-CREATION CENTER
    PO BOX 108
    OGLALA,SD57764     		    CHARITABLE 400
    THE OUTPOURING OF LANCASTER
    343 WEST MAIN STREET
    LEOLA,PA17540     		    CHARITABLE 5,800
    THREE SPRINGS MINISTRIES
    874 LINCK HILL ROAD
    MORRIS,PA16938     		    CHARITABLE 400
    TIDINGS OF PEACE
    329 E POPLAR STREET
    YORK,PA17403     		    CHARITABLE 500
    TOTALLY COMMITTED YOUTH MINISTRY
    4221 MAIN STREET
    ELVERSON,PA19520     		    CHARITABLE 400
    TRANSITION TO COMMUNITY
    PO BOX 1545
    LANCASTER,PA17608     		    CHARITABLE 1,000
    TRANSPORT FOR CHRIST
    PO BOX 117
    MARIETTA,PA175470117     		    CHARITABLE 500
    URBAN INTERNATIONAL OUTREACH
    84-17 169TH STREET
    JAMAICA,NY11432     		    CHARITABLE 500
    URBAN MENNONITE MISSIONS
    3615 FALLS RD
    BALTIMORE,MD21211     		    CHARITABLE 500
    WASHINGTON AVENUE BIBLE CHURCH
    149 WASHINGTON AVENUE
    EPHRATA,PA17522     		    CHARITABLE 400
    WATER STREET RESCUE MISSION
    PO BOX 7267
    LANCASTER,PA17604     		    CHARITABLE 1,200
    WE CARE PROGRAM
    3493 HIGHWAY 21
    ATMORE,AL365024669     		    CHARITABLE 1,000
    WELSH MOUNTAIN COMMUNITY PARK
    564 SANDMINE ROAD
    NEW HOLLAND,PA17557     		    CHARITABLE 500
    WELSH MOUNTAIN HOME
    567 SPRINGVILLE ROAD
    NEW HOLLAND,PA17557     		    CHARITABLE 2,000
    WJTL
    1875 JUNCTION RD
    MANHEIM,PA17545     		    CHARITABLE 1,000
    WOODCREST RETREAT
    225 WOODCREST DRIVE
    EPHRATA,PA17522     		    CHARITABLE 400
    WORSHIP CENTER
    2384 NEW HOLLAND PIKE
    LANCASTER,PA17601     		    CHARITABLE 400
    WOUNDED EOD WARRIOR FOUNDATION
    725 JACKSON STREET SUIT
    FREDERICKSBURG,VA22401     		    CHARITABLE 400
    YOUTH WITH A MISSION COATESVILLE
    PO BOX 567
    COATESVILLE,PA19320     		    CHARITABLE 1,000
    YOUTH WITH A MISSION ORLANDO
    PO BOX 621057
    ORLANDO,FL32862     		    CHARITABLE 3,000
    Total .................................bullet 3a 161,950
    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         138,036
    4 Dividends and interest from securities....         970
    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)..     139,006
    13Total. Add line 12, columns (b), (d), and (e)..................
    13139,006
    (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
    SHADY MAPLE FOUNDATION
     
    Employer identification number

    20-0903361
    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
    SHADY MAPLE FOUNDATION
          		Employer identification number

    20-0903361
    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
     
     

    MARVIN MIRIAM WEAVER    
    1137 MAIN ST PO BOX 72
       
    BLUE BALL, PA   17506

    		$400,000




    (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
    SHADY MAPLE FOUNDATION
          		Employer identification number

    20-0903361
    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
    SHADY MAPLE FOUNDATION
          		Employer identification number

    20-0903361
    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


    Software ID:  
    Software Version:  

    TY 2011 AccountingFeesSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN: 20-0903361
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEE 2,270      

    TY 2011 CompensationExplanation
    Name:
    SHADY MAPLE FOUNDATION
    EIN: 20-0903361
    Person Name Explanation
    MARVIN R WEAVER  
    MIRIAM M WEAVER  
    PHILIP E WEAVER  
    CURTIS R WEAVER  
    LINFORD L WEAVER  

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN: 20-0903361
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SMITH BARNEY INVESTMENT ACCOUNT    
    COMMON STOCK - 12096 SHS SUSQ BK 193,073 101,599
    CASH - MONEY FUND 2,616 2,617

    TY 2011 LegalFeesSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN: 20-0903361
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT LEGAL FEES 125      


    TY 2011 OtherExpensesSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN: 20-0903361
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    FEES 215      
    US EXCISE TAX ON INVEST INC 1 748      
    US EXCISE TAX ON INVEST INC 1 2,400      


    TY 2011 SubstantialContributorsSch
    Name:
    SHADY MAPLE FOUNDATION
    EIN: 20-0903361
    Name Address
    MARVIN R MIRIAM M WEAVER 1137 MAIN ST PO BOX 72
    BLUE BALL,PA17506