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
SERUGAR CHAR
 

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

23-6908392
B Telephone number (see page 10 of the instructions)

(540) 563-7744
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$758,104J 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 16 16  
4 Dividends and interest from securities...... 25,080 24,579  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 53,032
b Gross sales price for all assets on line 6a 707,437
7 Capital gain net income (from Part IV, line 2)... 53,032
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........ 78,128 77,627  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 12,951 9,713   3,238
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 1,000 0 0 1,000
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 721 375   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 14,672 10,088 0 4,238
25 Contributions, gifts, grants paid........ 30,000 30,000
26 Total expenses and disbursements. Add lines 24 and 25 44,672 10,088 0 34,238
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 33,456
b Net investment income (if negative, enter -0-) 67,539
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.......... 18,820 29,875 29,875
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........   Click to see attachment551,013 547,178
c Investments—corporate bonds (attach schedule)........   Click to see attachment173,642 181,051
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 702,755   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) 721,575 754,530 758,104
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......... 721,575 754,530
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).................... 721,575 754,530
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 721,575 754,530
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)............... 1 721,575
2 Enter amount from Part I, line 27a..................... 2 33,456
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 1,479
4 Add lines 1, 2, and 3.......................... 4 756,510
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 1,980
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 754,530
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 316. DODGE & COX INCOME FD COM   2011-02-02 2011-08-09
b 309.943 DODGE & COX INCOME FD COM   2011-02-02 2011-09-19
c 340.057 DODGE & COX INCOME FD COM   2008-10-09 2011-09-19
d 657. DODGE & COX INCOME FD COM   2008-10-09 2011-10-13
e 899. DODGE & COX INCOME FD COM   2008-10-09 2011-11-17
60. PERKINS MID CAP VALUE F/C I #1167   2006-11-02 2011-02-02
374. PERKINS MID CAP VALUE F/C I #1167   2006-11-02 2011-09-19
374. PERKINS MID CAP VALUE F/C I #1167   2006-11-02 2011-10-13
502.124 PERKINS MID CAP VALUE F/C I #1167   2010-07-23 2011-11-17
100. MORGAN STANLEY INS INTN RE I #8001   2006-11-02 2011-02-02
778. MORGAN STANLEY INS INTN RE I #8001   2008-07-31 2011-10-13
102.725 MORGAN STANLEY INS INTN RE I #8001   2011-08-09 2011-11-17
944.167 MORGAN STANLEY INS INTN RE I #8001   2010-04-30 2011-11-17
388. PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2011-02-02 2011-08-09
133.602 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2008-10-09 2011-09-19
655.398 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2011-02-02 2011-09-19
796. PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2008-10-09 2011-10-13
1085. PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2008-10-09 2011-11-17
2214. PIMCO FDS PAC INVT MGMT SER HIGH YLD FD INSTL CL   2006-11-02 2011-10-13
2639.837 PIMCO FDS PAC INVT MGMT SER HIGH YLD FD INSTL CL   2010-04-30 2011-11-17
338.624 PIMCO FDS PAC INVT MGMT SER HIGH YLD FD INSTL CL   2011-02-02 2011-11-17
127. PIMCO FOREIGN BOND FUND-INST   2006-11-02 2011-10-13
166. PIMCO FOREIGN BOND FUND-INST   2006-11-02 2011-11-17
201. PIMCO EMERG MKTS BD-INST #137   2006-11-02 2011-08-09
828. PIMCO EMERG MKTS BD-INST #137   2006-11-02 2011-09-19
649.936 PIMCO EMERG MKTS BD-INST #137   2007-04-30 2011-10-13
176.064 PIMCO EMERG MKTS BD-INST #137   2011-02-02 2011-10-13
988.543 PIMCO EMERG MKTS BD-INST #137   2010-04-30 2011-11-17
122.579 PIMCO EMERG MKTS BD-INST #137   2011-02-02 2011-11-17
227.883 PIMCO COMMODITY REAL RET STRAT-I#45   2010-04-30 2011-02-02
142.117 PIMCO COMMODITY REAL RET STRAT-I#45   2010-02-01 2011-02-02
2100. PIMCO COMMODITY REAL RET STRAT-I#45   2010-02-01 2011-09-19
598. PIMCO COMMODITY REAL RET STRAT-I#45   2009-02-02 2011-10-13
803.854 PIMCO COMMODITY REAL RET STRAT-I#45   2009-02-02 2011-11-17
280. ROWE T PRICE REAL ESTATE FD COM   2007-11-05 2011-02-02
1800. ROWE T PRICE REAL ESTATE FD COM   2010-07-23 2011-09-19
585. ROWE T PRICE REAL ESTATE FD COM   2009-11-02 2011-10-13
785.907 ROWE T PRICE REAL ESTATE FD COM   2009-02-04 2011-11-17
60. SSGA EMERGING MARKETS FD S #1510   2006-11-02 2011-02-02
800. SSGA EMERGING MARKETS FD S #1510   2008-09-04 2011-09-19
451. SSGA EMERGING MARKETS FD S #1510   2009-11-02 2011-10-13
605.715 SSGA EMERGING MARKETS FD S #1510   2009-02-04 2011-11-17
22.756 VANGUARD INFLAT PROTECT SEC FD #119   2011-02-02 2011-08-09
237.244 VANGUARD INFLAT PROTECT SEC FD #119   2010-04-30 2011-08-09
568.126 VANGUARD INFLAT PROTECT SEC FD #119   2006-11-02 2011-09-19
231.874 VANGUARD INFLAT PROTECT SEC FD #119   2011-02-02 2011-09-19
620. VANGUARD INFLAT PROTECT SEC FD #119   2006-11-02 2011-10-13
834.409 VANGUARD INFLAT PROTECT SEC FD #119   2009-04-30 2011-11-17
905. WELLS FARGO ADV INTL EQ FD INS #4117   2008-09-04 2011-02-02
3689. WELLS FARGO ADV INTL EQ FD INS #4117   2003-10-22 2011-10-13
553.844 WELLS FARGO ADV INTL EQ FD INS #4117   2011-08-09 2011-11-17
4408.772 WELLS FARGO ADV INTL EQ FD INS #4117   2010-07-23 2011-11-17
90. WELLS FARGO ADV SM CP VL FD-ADM #737   2003-10-22 2011-02-02
280. WELLS FARGO ADV SM CP VL FD-ADM #737   2003-10-22 2011-09-19
279. WELLS FARGO ADV SM CP VL FD-ADM #737   2008-01-31 2011-10-13
375.598 WELLS FARGO ADV SM CP VL FD-ADM #737   2010-07-23 2011-11-17
355. WELLS FARGO ADV DISC VA FD-ADMN #786   2003-10-22 2011-02-02
160. WF ADV TRAD S/C GRWTH FD INST #4132   2003-10-22 2011-02-02
365. WF ADV TRAD S/C GRWTH FD INST #4132   2003-10-22 2011-09-19
365. WF ADV TRAD S/C GRWTH FD INST #4132   2008-01-31 2011-10-13
490.165 WF ADV TRAD S/C GRWTH FD INST #4132   2010-07-23 2011-11-17
185. WELLS FARGO ADV LG CP GR FD-INS #440   2010-07-23 2011-02-02
80. WELLS FARGO ADV LG CP GR FD-INS #440   2009-11-02 2011-02-02
1571.407 WELLS FARGO ADV LG CP GR FD-INS #440   2009-11-02 2011-09-19
28.593 WELLS FARGO ADV LG CP GR FD-INS #440   2011-08-09 2011-09-19
283. WELLS FARGO ADV LG CP GR FD-INS #440   2002-12-12 2011-10-13
381.245 WELLS FARGO ADV LG CP GR FD-INS #440   2009-02-04 2011-11-17
112.457 WELLS FARGO ADV INTL BOND-IS #4705   2011-02-02 2011-09-19
312.543 WELLS FARGO ADV INTL BOND-IS #4705   2010-04-30 2011-09-19
423. WELLS FARGO ADV INTL BOND-IS #4705   2006-11-02 2011-10-13
569.689 WELLS FARGO ADV INTL BOND-IS #4705   2009-04-30 2011-11-17
135. WELLS FARGO ADV ENTERPR CL I #3118   2006-11-02 2011-02-02
69.046 WELLS FARGO ADV ENTERPR CL I #3118   2011-08-09 2011-09-19
330.954 WELLS FARGO ADV ENTERPR CL I #3118   2006-11-02 2011-09-19
189. WELLS FARGO ADV ENTERPR CL I #3118   2010-07-23 2011-10-13
255.301 WELLS FARGO ADV ENTERPR CL I #3118   2009-11-02 2011-11-17
2352. WF ADV FUNDS LGE CO VAL- ADMIN #3607   2008-07-31 2011-10-13
2987.255 WF ADV FUNDS LGE CO VAL- ADMIN #3607   2010-07-23 2011-11-17
176.38 WF ADV FUNDS LGE CO VAL- ADMIN #3607   2011-08-09 2011-11-17
(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 4,275   4,190 85
b 4,184   4,110 74
c 4,591   3,856 735
d 8,679   7,450 1,229
e 12,011   10,195 1,816
1,397   1,241 156
7,985   7,737 248
7,858   7,737 121
10,871   9,775 1,096
1,930   3,243 -1,313
12,432   22,064 -9,632
1,540   1,744 -204
14,153   13,288 865
4,295   4,202 93
1,466   1,365 101
7,190   7,098 92
8,525   8,135 390
11,729   11,089 640
19,284   21,697 -2,413
23,547   24,982 -1,435
3,021   3,200 -179
1,349   1,327 22
1,776   1,735 41
2,255   2,275 -20
9,290   9,373 -83
7,214   7,354 -140
1,954   1,946 8
11,131   9,755 1,376
1,380   1,355 25
2,172   1,846 326
1,354   1,126 228
17,388   12,975 4,413
4,575   3,684 891
6,246   4,952 1,294
5,062   6,576 -1,514
31,788   30,226 1,562
9,688   6,127 3,561
13,777   6,545 7,232
1,343   1,269 74
15,312   16,902 -1,590
8,438   7,415 1,023
11,236   7,469 3,767
324   295 29
3,376   2,916 460
8,067   6,772 1,295
3,293   3,005 288
8,637   7,390 1,247
11,907   9,919 1,988
10,299   10,101 198
35,119   36,637 -1,518
5,167   5,461 -294
41,134   40,227 907
1,994   1,979 15
5,555   6,157 -602
5,560   5,727 -167
7,831   5,941 1,890
4,619   5,341 -722
2,731   2,419 312
5,752   5,519 233
5,610   5,343 267
7,715   5,789 1,926
5,844   4,719 1,125
2,527   2,031 496
47,975   32,467 15,508
873   824 49
8,549   5,586 2,963
11,567   7,403 4,164
1,370   1,300 70
3,807   3,368 439
4,996   4,458 538
6,700   5,985 715
5,042   3,999 1,043
2,322   2,193 129
11,130   9,803 1,327
6,233   5,490 743
8,762   5,415 3,347
26,907   34,622 -7,715
35,041   35,088 -47
2,069   2,086 -17
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       85
b       74
c       735
d       1,229
e       1,816
      156
      248
      121
      1,096
      -1,313
      -9,632
      -204
      865
      93
      101
      92
      390
      640
      -2,413
      -1,435
      -179
      22
      41
      -20
      -83
      -140
      8
      1,376
      25
      326
      228
      4,413
      891
      1,294
      -1,514
      1,562
      3,561
      7,232
      74
      -1,590
      1,023
      3,767
      29
      460
      1,295
      288
      1,247
      1,988
      198
      -1,518
      -294
      907
      15
      -602
      -167
      1,890
      -722
      312
      233
      267
      1,926
      1,125
      496
      15,508
      49
      2,963
      4,164
      70
      439
      538
      715
      1,043
      129
      1,327
      743
      3,347
      -7,715
      -47
      -17
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 53,032
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 28,951 757,631 0.038213
2009 37,876 658,139 0.05755
2008 43,873 806,580 0.054394
2007 43,373 956,074 0.045366
2006 45,667 906,092 0.0504
2 Total of line 1, column (d) ...................... 2 0.245922
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 0.049184
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 806,267
5 Multiply line 4 by line 3....................... 5 39,656
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 675
7 Add lines 5 and 6......................... 7 40,331
8 Enter qualifying distributions from Part XII, line 4.............. 8 34,238
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 1,351
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 1,351
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 1,351
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 236
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.............. 7 236
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 1,115
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet   Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)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.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (540) 563-7744
    Located atbullet213 S JEFFERSON ST 15 FLOOR MAC R40ROANOKEVA ZIP+4bullet240111705
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2011?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2011.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2011?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    WELLS FARGO BANK NA TRUSTEE
    40     		12,951    
    1525 WEST WT HARRIS BLVD D1114-044
    CHARLOTTE,NC28288
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    785,727
    b
    Average of monthly cash balances.......................
    1b
    32,818
    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
    818,545
    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
    818,545
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    12,278
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    806,267
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    40,313
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    40,313
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    1,351
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,351
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    38,962
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    38,962
    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
    38,962
    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
    34,238
    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
    34,238
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    34,238
    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 38,962
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 887
    b Total for prior years:2009, 20, 20 0
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 0
    b From 2007....... 0
    c From 2008....... 0
    d From 2009....... 0
    e From 2010....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 34,238
    a Applied to 2010, but not more than line 2a 887
    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..... 33,351
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2011. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		0
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		0
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		5,611
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		0
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		0
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2007.... 0
    b Excess from 2008.... 0
    c Excess from 2009.... 0
    d Excess from 2010.... 0
    e Excess from 2011.... 0
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2011, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2011 (b) 2010 (c) 2009 (d) 2008
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    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:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    BOYS & GIRLS CLUB
    720 N 6TH ST
    ALLENTOWN,PA18102     		NONE EXEMPT GENERAL SUPPORT 1,500
    LEHIGH COUNTY CONFERENCE
    534 W CHEW ST
    ALLENTOWN,PA18102     		NONE EXEMPT GENERAL SUPPORT 4,500
    ALLENTOWN ART MUSEUM
    31 N 5TH ST
    ALLENTOWN,PA18101     		NONE EXEMPT GENERAL SUPPORT 500
    MERCY SPECIAL LEARNING CTR
    830 S WOODWARD ST
    ALLENTOWN,PA18102     		NONE EXEMPT GENERAL SUPPORT 1,000
    DESALES UNIVERSITY
    2755 STATION AVE
    CENTER VALLEY,PA18034     		NONE EXEMPT GENERAL SUPPORT 1,500
    ARC-LEHIGH AND NORTHAMPTON
    COUNTIES
    2289 AVENUE A
    BETHLEHEM,PA18017     		NONE EXEMPT GENERAL SUPPORT 1,500
    PINE BROOK FAMILY SERVICE
    402 N FULTON ST
    ALLENTOWN,PA18102     		NONE EXEMPT GENERAL SUPPORT 2,000
    CIVIC THEATRE OF ALLENTOWN PA
    527 N 19TH ST
    ALLENTOWN,PA18104     		NONE EXEMPT GENRAL SUPPORT 1,000
    COMMUNITY MUSIC SCHOOL
    23 N 6TH ST 2ND FLOOR
    ALLENTOWN,PA18104     		NONE EXEMPT GENERAL SUPPORT 1,000
    GOOD SHEPHERS REHAB
    850 SOUTH 5TH STREET
    ALLENTOWN,PA18103     		NONE EXEMPT GENERAL SUPPORT 2,500
    JEWISH FAMILY SERVICE
    2004 ALLEN STREET
    ALLENTOWN,PA18104     		NONE EXEMPT GENERAL SUPPORT 2,500
    PHOEBE-DEVITT HOMES FOUNDATION
    1925 W TURNER ST
    ALLENTOWN,PA18104     		NONE EXEMPT GENERAL SUPPORT 1,000
    SHARECARE FAITH IN ACTION
    321 WYANDOTTE ST
    BETHLEHEM,PA18015     		NONE EXEMPT GENERAL SUPPORT 500
    SATORI
    2985 FAIRFIELD DRIVE NORTH
    ALLENTOWN,PA18103     		NONE EXEMPT GENERAL SUPPORT 500
    COMMUNITY BIKE WORKS
    235 NORTH MADISON ST
    ALLENTOWN,PA18102     		NONE EXEMPT GENERAL SUPPORT 1,000
    ALLENTOWN SYMPHONY ASSOC
    23 N 6TH ST
    ALLENTOWN,PA18101     		NONE EXEMPT GENERAL SUPPORT 500
    MEALS ON WHEELS OF LEHIGH COUNTY
    4234 DORNEY PK ROAD
    ALLENTOWN,PA18104     		NONE EXEMPT GENERAL SUPPORT 2,500
    VALLEY YOUTH HOUSE
    829 LINDEN ST
    ALLENTOWN,PA18101     		NONE PUBLIC CHARITY CONTRIBUTIONS 2,000
    AMERICAN RED CROSS
    LEHIGH VALLEY
    2200 AVE A
    BETHLEHEM,PA18017     		NONE PUBLIC CHARITY CONTRIBUTION 2,000
    CANCER SUPPORT COMM OF GREATER
    LEHIGH VALLEY
    3400 BATH PIKE
    BETHLEHEM,PA18017     		NONE EXEMPT GENERAL SUPPORT 500
    Total .................................bullet 3a 30,000
    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 16  
    4 Dividends and interest from securities....     14 25,080  
    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 53,032  
    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)..   78,128  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1378,128
    (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:
    SERUGAR CHAR
    EIN: 23-6908392
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,000     1,000

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    SERUGAR CHAR
    EIN: 23-6908392
    Name of Bond End of Year Book Value End of Year Fair Market Value
    256210105 DODGE & COX INCOME F 37,576 44,070
    261980494 DREYFUS EMG MKT DEBT 30,795 29,167
    51855Q655 LAUDUS MONDRIAN INTL 13,910 13,086
    693390700 PIMCO TOTAL RET FD-I 41,699 44,351
    693390882 PIMCO FOREIGN BD FD 13,152 13,561
    76628T645RIDGEWORTH SEIX HY BD 33,460 33,775
    77957P105 T ROWE PRICE SHORT T 3,050 3,041

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    SERUGAR CHAR
    EIN: 23-6908392
    Name of Stock End of Year Book Value End of Year Fair Market Value
    04314H204 ARTISAN INTERNATIONA 47,292 47,165
    22544R305 CREDIT SUISSE COMM R 38,325 36,365
    25264S833 DIAMOND HILL LONG-SH 22,276 23,210
    256206103 DODGE & COX INT'L ST 47,582 46,174
    339128100 JP MORGAN MID CAP VA 23,031 24,077
    38142Y401 GOLDMAN SACHS GRTH O 23,048 22,649
    411511504 HARBOR CAPITAL APRCT 52,436 51,796
    448108100 HUSSMAN STRATEGIC GR 30,683 29,840
    464287200 ISHARES S & P 500 IN 32,239 33,505
    487300808 KEELEY SMALL CAP VAL 23,038 23,704
    552983694 MFS VALUE FUND-CLASS 25,864 26,907
    56063J302 MAINSTAY EP US EQUIT 26,060 25,549
    589509108 MERGER FD SH BEN INT 15,135 14,918
    683974505 OPPENHEIMER DEVELOPI 30,233 28,577
    78463X863 SPDR DJ WILSHIRE INT 30,844 29,379
    87234N849 TCW SMALL CAP GROWTH 23,449 22,981
    922042858 VANGUARD MSCI EMERGI 29,919 28,772
    922908553VANGUARD REIT VIPER 29,559 31,610

    TY 2011 InvestmentsOtherSchedule2
    Name:
    SERUGAR CHAR
    EIN: 23-6908392
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    256210105 DODGE & COX      
    693390841 PIMCO HIGH YIELD      
    693390700 PIMCO TOTAL RETURN      
    922031869 VANGUARD INFLATION P      
    94985D582 WELLS FARGO ADV      
    693391559 PIMCO EMERGING MKT      
    693390882 PIMCO FOREIGN BOND      
    47103C241PERKINS MID CAP      
    784924425 SSGA EMERGING MKT      
    94984B587 WELLS FARGO ADV      
    949915367 WELLS FARGO ADV      
    94984B348 WELLS FARGO ADV      
    94984B397 WELLS FARGO ADV      
    94985D277 WELLS FARGO ADV      
    94985D244 WELLS FARGO ADV      
    61744J317 MORGAN STANLEY INSTI      
    722005667 PIMCO COMMODITY REAL      
    779919109 T ROWE PRICE      

    TY 2011 OtherDecreasesSchedule
    Name:
    SERUGAR CHAR
    EIN: 23-6908392
    Description Amount
    MUTUAL FUND POSTING DATE AFTER TYE 947
    ROC BASIS ADJUSTMENT 1,033


    TY 2011 OtherIncreasesSchedule
    Name:
    SERUGAR CHAR
    EIN: 23-6908392
    Description Amount
    MUTUAL FUND TAX EFFECTIVE DATE BEFORE TYE 1,472
    ROUNDING 7


    TY 2011 TaxesSchedule
    Name:
    SERUGAR CHAR
    EIN: 23-6908392
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT - PRIOR YE 110 0   0
    FEDERAL ESTIMATES - PRINCIPAL 236 0   0
    FOREIGN TAXES ON QUALIFIED FOR 284 284   0
    FOREIGN TAXES ON NONQUALIFIED 91 91   0