Form990-PF
Click to see attachment

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
Bertha Foundation
 

Number and street (or P.O. box number if mail is not delivered to street address)PO Box 1110   Room/suite
City or town, state, and ZIP code
Graham, TX76450
A Employer identification number

75-6050023
B Telephone number (see page 10 of the instructions)

(940) 549-1400
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$7,524,351
J 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 156 156 156
4 Dividends and interest from securities...... 223,975 223,975 223,975
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -175,038
b Gross sales price for all assets on line 6a 1,074,085
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)....... 180 180 180
12 Total. Add lines 1 through 11........ 49,273 224,311 224,311
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).........        
b Accounting fees (attach schedule)....... 6,250 5,000 5,000 1,250
c Other professional fees (attach schedule).... 10,949 8,759 8,759 2,190
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) 7,611 1,420 1,420 69
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 6,544 5,270 5,270 1,274
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 31,354 20,449 20,449 4,783
25 Contributions, gifts, grants paid........ 373,326 373,326
26 Total expenses and disbursements. Add lines 24 and 25 404,680 20,449 20,449 378,109
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -355,407
b Net investment income (if negative, enter -0-) 203,862
c Adjusted net income (if negative, enter -0-)... 203,862
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.......... 1,569,188 152,679 152,679
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)   Click to see attachment1,287,721 1,323,081
b Investments—corporate stock (attach schedule)........ 1,413,549 Click to see attachment1,273,154 2,200,665
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet6,642
Less: accumulated depreciation (attach schedule) bullet   6,642 Click to see attachment6,642 6,642
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 4,086,667 Click to see attachment4,000,000 3,840,839
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)   Click to see attachment443 Click to see attachment445
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,076,046 6,720,639 7,524,351
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......... 7,076,046 6,720,639
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).................... 7,076,046 6,720,639
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 7,076,046 6,720,639
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 7,076,046
2 Enter amount from Part I, line 27a..................... 2 -355,407
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 6,720,639
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 6,720,639
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 JP Morgan Clas Action El Paso 2nd Dist P 1999-01-01 2011-03-01
b United States Natural Gas Fund K-1 P 2011-01-01 2011-05-13
c UNG Straddles P 2010-01-01 2011-05-13
d UNG Straddles P 2011-01-01 2011-05-13
e Powershares DB US Dollar Index K-1 P 2011-01-01 2011-05-13
Powershares Straddles P 2010-01-01 2011-05-13
Powershares Straddles P 2011-01-01 2011-05-13
1500 Pfizer Inc P 2008-11-20 2011-10-06
62.50 Brcl YS S&P 500 Vix Etn P 2009-08-27 2011-02-11
125.00 Brcl YS S&P 500 Vix Etn P 2009-07-15 2011-02-11
62.50 Brcl YS S&P 500 Vix Etn P 2009-07-07 2011-02-11
125 Brcl YS S&P 500 Vix Etn P 2009-06-30 2011-02-11
1000 Bank of America P 2008-11-06 2011-05-13
1800 Bank of America P 2003-10-27 2011-05-13
1500 Altria Group Inc P 2009-02-19 2011-10-06
260000 UST Bill P 2011-11-22 2011-12-13
1224.00 Total S A Spons Adr P 2011-01-20 2011-06-17
1224 Total S A Spons Adr P 2011-01-12 2011-06-17
3000 Proshares Ultst 20+ Tres Etf P 2010-11-03 2011-01-25
2000 Proshares Ultst 20+ Tres Etf P 2011-01-04 2011-01-24
1000 Petmedexpress Inc P 2010-08-02 2011-01-03
1300 Mexco Energy Corp P 2011-01-14 2011-02-25
334 E N I Spa Spons Adr P 2011-01-20 2011-06-17
334 E N I Spa Spons Adr P 2011-01-12 2011-06-17
1700 Cabot Oil & Gas Corp P 2011-01-18 2011-06-17
1100 Amgen Inc P 2011-01-06 2011-06-30
1100 ABB Limited Spons Adr P 2010-12-31 2011-07-29
325 Colgate-Palmolive Co P 2011-01-21 2011-08-25
1250 Ipath S&P 500 Vix Short Term Futures ETN P 2010-03-19 2011-02-16
2000 Powershares DB US Dollar Index P 2010-10-13 2011-05-13
Partnership Interest in Golden Triangle P 2009-01-01 2011-04-12
375 United States Natural Gas Fund P 2008-09-08 2011-05-13
125 United States Natural Gas Fund P 2008-08-28 2011-05-13
125 United States Natural Gas Fund P 2008-08-25 2011-05-13
125 United States Natural Gas Fund P 2008-08-21 2011-05-13
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 3,192     3,192
b 114     114
c 28     28
d 19     19
e 1     1
    875 -875
    584 -584
26,724   22,173 4,551
1,777   14,893 -13,116
3,554   33,481 -29,927
1,777   18,279 -16,502
3,554   34,346 -30,792
12,029   20,193 -8,164
21,653   66,614 -44,961
39,669   23,718 15,951
259,993   259,991 2
67,272   71,135 -3,863
67,272   68,387 -1,115
113,453   104,913 8,540
77,194   75,904 1,290
17,755   16,130 1,625
15,952   10,859 5,093
15,081   15,723 -642
15,081   15,252 -171
101,361   66,879 34,482
63,949   62,243 1,706
26,252   24,864 1,388
28,387   25,428 2,959
35,137   110,850 -75,713
42,874   43,748 -874
5,000   32,363 -27,363
3,991   4,648 -657
1,330   1,550 -220
1,330   1,550 -220
1,330   1,550 -220
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       3,192
b       114
c       28
d       19
e       1
      -875
      -584
      4,551
      -13,116
      -29,927
      -16,502
      -30,792
      -8,164
      -44,961
      15,951
      2
      -3,863
      -1,115
      8,540
      1,290
      1,625
      5,093
      -642
      -171
      34,482
      1,706
      1,388
      2,959
      -75,713
      -874
      -27,363
      -657
      -220
      -220
      -220
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 -175,038
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 -25,743
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 381,003 7,652,057 0.04979
2009 418,991 7,756,416 0.05402
2008 267,750 8,276,463 0.03235
2007 614,048 9,067,769 0.06772
2006 151,799 9,142,290 0.01660
2 Total of line 1, column (d) ...................... 2 0.22048
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 0.04410
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 7,548,419
5 Multiply line 4 by line 3....................... 5 332,863
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,039
7 Add lines 5 and 6......................... 7 334,902
8 Enter qualifying distributions from Part XII, line 4.............. 8 378,109
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 2,039
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 2,039
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 2,039
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 3,823
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 3,823
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,784
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet1,784 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
 
No
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)bulletTX
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV..........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletE Bruce Street Jr Telephone no.bullet (940) 549-1400
    Located atbulletPO Box 1110GrahamTX ZIP+4bullet76450
    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
     
    No
    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
     
    No
    .........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
     
    No
    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
    Melissa Street York Director
    0.00
    0    
    PO Box 900
    Graham,TX76450
    Malcolm B Street Jr Director
    0.00
    0    
    PO Box 1110
    Graham,TX76450
    E Bruce Street Jr Director
    0.00
    0    
    PO Box 900
    Graham,TX76450
    Vicki Mills Secretary
    0.00
    0    
    PO Box 1110
    Graham,TX76450
    Alice Ann Street Pres
    0.00
    0    
    924 Kintner
    Graham,TX76450
    Joe Montgomery Secretary/Treas
    0.00
    0    
    623 Elmo Street Suite 303
    Graham,TX76450
    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 Graham Community Foundation. To provide a fund in support of various charitable endeavors and projects in and around Graham, Texas serving the entire community of 9,000 residents and visitors. 300,000
    2 Graham Independent School District. Funds were provided for the IPAD Program of Graham Jr. High School. 34,000
    3 North Central Texas College. To provide funds for the Graham Area Medical Center and Dual Credit Scholarships. 14,458
    4 Graham Police Department. To provide funds that will be used to acquire a drug dog that will improve the safety and protection of the entire community. 7,500
    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
    6,557,734
    b
    Average of monthly cash balances.......................
    1b
    1,098,994
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    6,642
    d
    Total (add lines 1a, b, and c).........................
    1d
    7,663,370
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    7,663,370
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    114,951
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    7,548,419
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    377,421
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    377,421
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    2,039
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,039
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    375,382
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    375,382
    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
    375,382
    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
    378,109
    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
    378,109
    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
    2,039
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    376,070
    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 7 375,382
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 371,113
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006.......  
    b From 2007.......  
    c From 2008.......  
    d From 2009.......  
    e From 2010.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 378,109
    a Applied to 2010, but not more than line 2a 371,113
    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)...
    0
    d Applied to 2011 distributable amount..... 6,996
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2011.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    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 ..........
    368,386
    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) .............
     
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2007....  
    b Excess from 2008....  
    c Excess from 2009....  
    d Excess from 2010....  
    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).)
    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:
    Bertha Foundation
    PO Box 1110
    Graham,TX76450
    (940) 549-1400
    bThe form in which applications should be submitted and information and materials they should include:
    Apply in writing. Include contact name, address and telephone number, and nature of request.
    cAny submission deadlines:
    None
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Consideration given only to tax exempt organizations located in Young County Texas.
    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
    Graham Community Foundation
    C/O FNB PO Box 540
    Graham,TX76450
    N/A Exempt Set up fund for various charitable support for Graham TX. 300,000
    American Cancer Society
    PO Box 582
    Graham,TX76450
    N/A Exempt Provide funds to be used for expenses associated with cancer research,prevention, and detection programs. 1,000
    North Central Texas College Foundat
    928 Cherry Street
    Graham,TX76450
    N/A Exempt Provide funds for the Graham General and Dual Credit Scholarships. 14,458
    Old Post Office Museum Art Center
    510 Third Street
    Graham,TX76450
    N/A Exempt Operating Expenses. 500
    City of Graham
    City Hall
    Graham,TX76450
    N/A Exempt Provide funds for the purchase of a drug dog for the Graham Police Department, a washer for the Graham Fire Department and for maintenance costs associated with the Graham Library. 14,914
    Graham Regional Medical Center
    1301 Montgomery Rd
    Graham,TX76450
    N/A Exempt Health Fair sponsor and LVN Rose Sims Scholarship. 6,598
    Graham Concert Assn
    PO Box 1300
    Graham,TX76450
    N/A Exempt Operating expenses. 1,500
    Graham ISD
    400 3rd Street
    Graham,TX76450
    N/A Exempt Provided funds for the Ipad Project at Graham Junior High School, the teacher appreciation breakfast, and paid the computer finance costs. 34,356
    Total .................................bullet 3a 373,326
    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     14 156  
    4 Dividends and interest from securities....     14 223,975  
    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 -175,038  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aPartnership Income/Loss     14 180  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   49,273  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1349,273
    (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: 11000144
    Software Version: 2011v1.2


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 AccountingFeesSchedule
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Tax Preparation 6,250 5,000 5,000 1,250

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    Name of Stock End of Year Book Value End of Year Fair Market Value
    750 Tripadvisors Inc (FI) 16,736 18,908
    1150 Meredith Corp (FI) 35,992 37,548
    7000 K Swiss Inc Class A (FI) 40,966 20,440
    900 General Mills Inc (FI) 32,858 36,369
    750 Expedia Inc Del Com (FI) 16,869 21,765
    500 Colgate-Palmolive Co (FI) 39,119 46,195
    450 Berkshire Hathaway (FI) 34,427 34,335
    1500 Abitibibowater Inc (FI) 29,024 21,825
    1100 Conagra Foods Inc (SN) 25,051 29,040
    2324 Lilly Eli & Company (SN) 82,372 96,585
    3,500 Gas Natural Inc (SN) 32,031 39,970
    110 Washington Post Co Cl B (FI) 45,497 41,449
    650 Walmart Stores Inc (FI) 35,086 38,844
    1,200 Unilever Plc Ads-ea Repr 1 (FI) 35,888 40,224
    1236 Tootsie Rolls Inds (FI) 31,445 29,256
    4000 Medical Action Inds Inc (FI) 36,706 20,920
    3000 Liberty Media Hldg Corp (FI) 38,542 48,645
    600 Johnson & Johnson (FI) 34,358 39,348
    800 Heinz H J Co (FI) 36,408 43,232
    680 Glaxosmithline Adr Each (FI) 24,828 31,028
    110 Fairfax Financial Hldgs Ltd (FI) 40,450 47,210
    2,000 Employers Hldgs Inc Com (FI) 29,520 36,180
    1,800 Echostar Corp Cl A (FI) 34,380 37,692
    600 Coca Cola Co (FI) 32,648 41,982
    460 Clorox Co Del (FI) 30,616 30,618
    2,800 Barrett Bus Svcs Inc (FI) 34,748 55,888
    1,385 Ascent Media Corp Com Ser A (FI) 35,027 70,247
    3,500 Flagstone Reinsurance Holding (FI) 37,975 29,015
    130 White Mountains Insurance Group (FI) 41,551 58,950
    2,000 Montpelier RE Holdings Com (FI) 30,608 35,500
    1,000 AT&T Inc (SN) 24,275 30,240
    1,000 Colgate Palmolive Co (SN) 14,236 92,390
    1,800 Pepsico, Inc. (SN) 32,917 119,430
    1,500 Johnson & Johnson (SN) 30,116 98,370
    7,680 Exxon Mobil Corp (SN) 110,791 650,957
    1,000 Diebold Inc (SN) 9,093 30,070

    TY 2011 InvestmentsGovtObligationsSch
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    US Government Securities - End of Year Book Value:

    1,287,721
    US Government Securities - End of Year Fair Market Value:

    1,323,081
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2011 InvestmentsLandSchedule2
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Land 5,560   5,560 5,560
    Machinery and Equipment 1,082   1,082 1,082

    TY 2011 InvestmentsOtherSchedule2
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    360,642.14 FPA New Inc Fund Cl A AT COST 4,000,000 3,840,839

    TY 2011 OtherAssetsSchedule
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Rounding   -2  
    Accrued Income   445 445


    TY 2011 OtherExpensesSchedule
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Reimburse Office Expense 6,372 5,098 5,098 1,274
    Other Expenses 142 142 142  
    Office Expenses 15 15 15  
    Bank Fee 15 15 15  


    TY 2011 OtherIncomeSchedule2
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Partnership Income/Loss 180 180 180


    TY 2011 OtherProfessionalFeesSchedule
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Fees 10,949 8,759 8,759 2,190


    TY 2011 TaxesSchedule
    Name:
    Bertha Foundation
    EIN: 75-6050023
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Foreign Taxes 1,420 1,420 1,420  
    Federal Income Tax 6,122      
    Ad Valorem Tax 69     69