Form990-PF
Click to see list of attachments

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
RNDC FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)ONE NATIONAL DRIVE   Room/suite
City or town, state, and ZIP code
ATLANTA, GA30336
A Employer identification number

20-4321215
B Telephone number (see page 10 of the instructions)

(404) 472-2242
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$0
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) 1,250,981
2 Check bullet
3 Interest on savings and temporary cash investments 44 44  
4 Dividends and interest from securities......      
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)...  
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 5,000    
12 Total. Add lines 1 through 11........ 1,256,025 44  
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).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions)        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 464 464    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 464 464   0
25 Contributions, gifts, grants paid........ 1,119,122 1,119,122
26 Total expenses and disbursements. Add lines 24 and 25 1,119,586 464   1,119,122
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 136,439
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 16,839    
2 Savings and temporary cash investments..........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 16,839 0 0
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 16,839  
30 Total net assets or fund balances (see page 17 of the
instructions).................... 16,839 0
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 16,839 0
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 16,839
2 Enter amount from Part I, line 27a..................... 2 136,439
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 153,278
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 153,278
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6  
Form 990-PF (2011)
Form 990-PF (2011)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . .
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2010 1,096,732 14,030 78.17049
2009 889,095 6,433 138.20846
2008 769,808 23,161 33.23725
2007 500,491 169,496 2.95282
2006 50,500 294,008 0.17176
2 Total of line 1, column (d) ...................... 2 252.74078
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 50.54816
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 46,384
5 Multiply line 4 by line 3....................... 5 2,344,626
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7 2,344,626
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,119,122
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions on page 18.
Form 990-PF (2011)
Form 990-PF (2011)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 0
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3  
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  
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a  
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  
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  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet0 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
No
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
Yes
 
If “Yes,” attach the statement required by General Instruction T.Click to see attachment
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    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, GA
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV..........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.Click to see attachment
    10
    Yes
     
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletSHARON GOOCHER Telephone no.bullet (404) 472-2242
    Located atbulletONE NATIONAL DRIVEATLANTAGA ZIP+4bullet30336
    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
    SHARON GOOCHER FOUNDATION DIR
    1.00
    0    
    ONE NATIONAL DRIVE
    ATLANTA,GA30336
    ALAN DREEBEN DIR/VP
    1.00
    0    
    6511 TRI COUNTY PARKWAY
    SCHERTZ,TX78154
    EDDIE BLOCK DIR/VP
    1.00
    0    
    6511 TRI COUNTY PARKWAY
    SCHERTZ,TX78154
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    47,090
    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
    47,090
    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
    47,090
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    706
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    46,384
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    2,319
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    2,319
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
     
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,319
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    2,319
    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
    2,319
    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
    1,119,122
    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
    1,119,122
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,119,122
    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 2,319
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 35,803
    b From 2007....... 492,018
    c From 2008....... 768,650
    d From 2009....... 888,773
    e From 2010....... 1,096,030
    fTotal of lines 3a through e......... 3,281,274
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 1,119,122
    a Applied to 2010, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
     
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
    0
    d Applied to 2011 distributable amount..... 2,319
    e Remaining amount distributed out of corpus 1,116,803
    5 Excess distributions carryover applied to 2011.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 4,398,077
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
     
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
     
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
     
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    35,803
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......
    4,362,274
    10 Analysis of line 9:
    a Excess from 2007.... 492,018
    b Excess from 2008.... 768,650
    c Excess from 2009.... 888,773
    d Excess from 2010.... 1,096,030
    e Excess from 2011.... 1,116,803
    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:
    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
    WOLDENBERG FOUNDATION
    301 MAGAZINE STREET 2ND FLOOR
    NEW ORLEANS,LA70130
    NONE PRIVATE COMMUNITY SERVICE 84,000
    GOLDRING FAMILY FOUNDATION
    809 JEFFERSON HIGHWAY
    JEFFERSON,LA70121
    NONE PRIVATE EDUCATIONAL 134,750
    VARIOUS SCHOLARSHIP GRANTS-SEE SCHE
    ONE NATIONAL DRIVE SW
    ATLANTA,GA30336
    NONE INDIVIDUA EDUCATION 442,750
    YOUTH EXPO OF HARRIS COUNTY
    PO BOX 672847
    HOUSTON,TX77267
    NONE NONPROFIT COMMUNITY SERVICE 250
    YOUNG LEADERSHIP COUNCIL
    PO BOX 56909
    NEW ORLEANS,LA70156
    NONE NONPROFIT COMMUNITY SERVICE 15,000
    YMCA OF CENTRAL FLORIDA
    433 NORTH MILLS AVE
    ORLANDO,FL32803
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    WEDONTWASTE INC
    3220 ZUNI ST
    DENVER,CO80211
    NONE NONPROFIT COMMUNITY SERVICE 500
    VOLUNTEERS OF AMERICA-SHREVEPORT
    360 JORDAN STREET
    SHREVEPORT,LA71101
    NONE NONPROFIT COMMUNITY SERVICE 1,500
    VILLAGE FAMILY SERVICES
    1201 25TH STREET SOUTH
    FARGO,ND58103
    NONE NONPROFIT COMMUNITY SERVICE 400
    UNIVERSITY OF THE INCARNATE WORD
    4301 BROADWAY
    SAN ANTONIO,TX78209
    NONE NONPROFIT EDUCATIONAL 3,000
    UNIVERSITY OF LOUISIANA-LAFAYETTE FDN
    PO BOX 44290
    LAFAYETTE,LA70504
    NONE NONPROFIT EDUCATIONAL 3,000
    UNIVERSITY OF LA-LAFAYETTE ALUMNI ASSOC
    600 E ST MARY BLVD
    LAFAYETTE,LA70505
    NONE NONPROFIT EDUCATIONAL 2,500
    UNIVERSAL ORLANDO FOUNDATION
    1000 UNIVERSAL STUDIOS PLAZA
    ORLANDO,FL32819
    NONE NONPROFIT COMMUNITY SERVICE 15,000
    UNITED WAY OF THE MIDLANDS
    1805 HARNEY ST
    OMAHA,NE68102
    NONE NONPROFIT COMMUNITY SERVICE 6,500
    UNITED WAY OF ACADIANA
    PO BOX 52033
    LAFAYETTE,LA70505
    NONE NONPROFIT COMMUNITY SERVICE 2,500
    UNITED WAY-SIOUX EMPIRE
    1000 N WEST AVE 120
    SIOUX FALLS,SD57104
    NONE NONPROFIT COMMUNITY SERVICE 1,500
    UNITED CEREBRAL PALSY OF SOUTH FLORIDA
    2700 81ST STREET
    HIALEAH,FL33016
    NONE NONPROFIT medical 5,000
    UCP OF CENTRAL FLORIDA
    3305 S ORANGE AVE
    ORLANDO,FL32806
    NONE NONPROFIT medical 20,000
    TRRFCC HORSEMANSHIP
    28248 N TATUM BLVD SUITE B-1
    CAVE CREEK,AZ85327
    NONE NONPROFIT COMMUNITY SERVICE 500
    TRANSPLANTS FOR CHILDREN
    7550 IH 10 WEST SUITE 104
    SAN ANTONIO,TX78229
    NONE NONPROFIT MEDICAL 2,500
    TOYS FOR TOTS
    ATTN SERGEANT KACY G POTTS
    OMAHA,NE68111
    NONE NONPROFIT COMMUNITY SERVICE 1,520
    TONYS PROSTATE CANCER RESEARCH
    PO BOX 7456
    HOUSTON,TX77248
    NONE NONPROFIT MEDICAL 4,000
    THE TUREK AUBERT MEMORIAL SCHOLARSHIP FD
    PO BOX 372278
    DENVER,CO80206
    NONE NONPROFIT EDUCATIONAL 2,000
    TEXAS CHILDRENS HOSPITAL
    PO BOX 300630
    HOUSTON,TX77230
    NONE NONPROFIT MEDICAL 500
    TESSA
    PO BOX 2662
    COLORADO SPRINGS,CO80901
    NONE NONPROFIT COMMUNITY SERVICE 3,000
    SUMMIT FOUNDATION
    PO BOX 4000
    BRECKENRIDGE,CO80424
    NONE NONPROFIT COMMUNITY SERVICE 3,500
    SPECIAL OLYMPICS-VIRGINIA
    PO BOX 71900
    RICHMOND,VA23255
    NONE NONPROFIT COMMUNITY SERVICE 1,525
    SPECIAL OLYMPICS-TEXAS
    10700 NORTHEAST FREEWAY 101
    HOUSTON,TX77092
    NONE NONPROFIT COMMUNITY SERVICE 1,500
    SKY RANCH FOUNDATION
    PO BOX 8420
    FREDERICKSBURG,VA22404
    NONE NONPROFIT COMMUNITY SERVICE 2,000
    SHRINERS HOSPITAL FOR CHILDREN
    3100 SAMFORD AVE
    SHREVEPORT,LA71103
    NONE NONPROFIT MEDICAL 1,000
    SENTINELS OF FREEDOM
    1811 WESTWIND COURT
    LEAGUE CITY,TX77573
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    SEMINOLE REGION CHARITY TOURNAMENT
    PO BOX 3070
    BOCA RATON,FL33431
    NONE NONPROFIT COMMUNITY SERVICE 10,000
    SCIENCE MUSEUM OF VIRGINIA FOUNDATION
    PO BOX 11624
    RICHMOND,VA23230
    NONE NONPROFIT EDUCATIONAL 5,000
    SAN ANTONIO LIVESTOCK EXPOSITION
    PO BOX 200230
    SAN ANTONIO,TX78220
    NONE NONPROFIT COMMUNITY SERVICE 11,000
    SAFEWAY FOUNDATION
    5918 STONERIDGE MALL ROAD
    PLEASANTON,CA94588
    NONE NONPROFIT COMMUNITY SERVICE 15,000
    RONALD MCDONALD HOUSE
    2330 MONUMENT AVE
    RICHMOND,VA23220
    NONE NONPROFIT COMMUNITY SERVICE 3,500
    RISING STAR LEARNING CENTER
    8849 WALKERS LANE
    KIRKLAND,OH44094
    NONE NONPROFIT EDUCATIONAL 500
    PROM TO REMEMBER
    1007 N FEDERAL HIGHWAY 384
    FT LAUDERDALE,FL33304
    NONE NONPROFIT COMMUNITY SERVICE 1,200
    PRAY FOR GRAY
    PO BOX 1923
    COUNCIL BLUFFS,IA51502
    NONE NONPROFIT RELIGIOUS 1,000
    PIKES PEAK UNITED WAY
    518 NORTH NEVEDA AVE
    COLORADO SPRINGS,CO80903
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    PALMETTO HEALTH FOUNDATION
    1600 MARION STREET
    COLUMBIA,SC29201
    NONE NONPROFIT MEDICAL 5,000
    PALM BEACH INDIA ASSOCIATION
    PO BOX 31225
    PALM BEACH GARDENS,FL33420
    NONE NONPROFIT COMMUNITY SERVICE 2,000
    OSU ALUMNI ASSOCIATION-TULSA CHAPTER
    700 N GREENWOOD AVE
    TULSA,OK74106
    NONE NONPROFIT EDUCATIONAL 2,500
    OKLAHOMA ZOOLOGICAL SOCIETY
    PO BOX 18424
    OKLAHOMA CITY,OK73154
    NONE NONPROFIT EDUCATIONAL 5,000
    OKLAHOMA CITY POLICE ATHLETIC LEAGUE
    1925 DOWNING STREET
    OKLAHOMA CITY,OK73120
    NONE NONPROFIT COMMUNITY SERVICE 5,000
    NORTH DAKOTA PATRIOT GUARD
    710 28TH STREET NORTH
    FARGO,ND58103
    NONE NONPROFIT COMMUNITY SERVICE 600
    NORTH DAKOTA COWBOY HALL OF FAME
    PO BOX 137
    MEDORA,ND58645
    NONE NONPROFIT EDUCATIONAL 1,000
    NEW ORLEANS WINE & FOOD EXPERIENCE INC
    PO BOX 4248
    NEW ORLEANS,LA70185
    NONE NONPROFIT COMMUNITY SERVICE 2,500
    NEBRASKA HUMANE SOCIETY
    8929 FORT STREET
    OMAHA,NE68134
    NONE NONPROFIT COMMUNITY SERVICE 1,520
    NATIONAL MINING HALL OF FAME & MUSEUM
    PO BOX 981
    LEADVILLE,CO80461
    NONE NONPROFIT EDUCATIONAL 700
    NATIONAL JEWISH HEALTH
    1400 JACKSON ST
    DENVER,CO80206
    NONE NONPROFIT MEDICAL 1,000
    MUSCULAR DYSTROPHY ASSOCIATION-PHOENIX
    13901 N 73RD STREET 209
    SCOTTSDALE,AZ85260
    NONE NONPROFIT MEDICAL 1,000
    MT VERNON LADIES ASSOCIATION
    1250 EYE STREET NW STE 400
    WASHINGTON,DC20005
    NONE NONPROFIT COMMUNITY SERVICE 10,000
    MICHAEL C CARLOS MUSEUM
    571 S KILGO CIRCLE NE
    ATLANTA,GA30322
    NONE NONPROFIT EDUCATIONAL 1,000
    MARCH OF DIMES-COLORADO
    1325 S COLORADO BLVD STE B-508
    DENVER,CO80222
    NONE NONPROFIT MEDICAL 700
    MAKE A WISH FOUNDATION-NORTH DAKOTA
    1102 43RD ST SOUTH STE E
    FARGO,ND58103
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    MAKE A WISH FOUNDATION-NORTH TEXAS
    6655 DESEO
    IRVING,TX75039
    NONE NONPROFIT COMMUNITY SERVICE 7,000
    MAKE A WISH FDN-TEXAS GULF COAST & LA
    1604 BISSONNET
    HOUSTON,TX77005
    NONE NONPROFIT COMMUNITY SERVICE 500
    LSU ATHLETICS TRADITION FUND
    PO BOX 25095
    BATON ROUGE,LA70894
    NONE NONPROFIT EDUCATIONAL 5,032
    LOUISIANA RESTAURANT ASSOCIATION
    2700 N ARNOULT
    METAIRIE,LA70002
    NONE NONPROFIT COMMUNITY SERVICE 2,500
    LAMAR AREA HOSPITAL
    108 WEST OLIVE ST
    LARMAR,CO81052
    NONE NONPROFIT MEDICAL 600
    KIWANIS CLUB OF RIVIERA BEACH
    8295 NORTH MILITARY TRAIL SUITE A
    PALM BEACH GARDENS,FL33410
    NONE NONPROFIT COMMUNITY SERVICE 6,000
    JUVENILE DIABETES RESEARCH FDN-OMAHA
    9202 WEST DODGE RD SUITE 304
    OMAHA,NE68114
    NONE NONPROFIT MEDICAL 3,770
    JUVENILE DIABETES RESEARCH FDN-LINCOLN
    2120 SOUTH 56TH SUITE 206
    LINCOLN,NE68506
    NONE NONPROFIT MEDICAL 2,405
    JUVENILE DIABETES RESEARCH FOUNDATION-KY
    133 EVERGREEN RD SUITE 101
    LOUISVILLE,KY40243
    NONE NONPROFIT MEDICAL 5,000
    JUVENILE DIABETES RESEARCH FDN-DALLAS
    9400 N CENTRAL EXPRESSWAY STE 1201
    DALLAS,TX75231
    NONE NONPROFIT MEDICAL 5,000
    JUNIOR RATTLERS SPORTS ASSOCIATION
    502 HILLSIDE COURT
    SAN ANTONIO,TX78256
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    JUBILEE ACADEMY
    PO BOX 4476
    COLUMBIA,SC29240
    NONE NONPROFIT EDUCATIONAL 5,000
    JEWISH FAMILY SERVICES
    8487 RIDGE RD
    CINCINNATI,OH45236
    NONE NONPROFIT COMMUNITY SERVICE 500
    JEWEL CHARITY
    PO BOX 472149
    FORT WORTH,TX76147
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    IMAGINE FOUNDATION
    1400 DIXON ST
    LAFAYETTE,CO80026
    NONE NONPROFIT COMMUNITY SERVICE 2,500
    HOUSTON METRO FOP LODGE 98
    505 N SAM HOUSTON E SUITE 304
    HOUSTON,TX77060
    NONE NONPROFIT COMMUNITY SERVICE 200
    HOUSTON LIVESTOCK SHOW & RODEO
    PO BOX 20070
    HOUSTON,TX77225
    NONE NONPROFIT COMMUNITY SERVICE 3,000
    HOSPICE OF THE VALLEY-CO
    PO BOX 3768
    BASALT,CO81621
    NONE NONPROFIT MEDICAL 500
    HOSPICE OF THE VALLEY
    1510 E FLOWER ST
    PHOENIX,AZ85015
    NONE NONPROFIT MEDICAL 150
    HOSPICE & PALLIATIVE CARE OF WESTERN CO
    3090 B NORTH 12TH ST
    GRAND JUNCTION,CO81506
    NONE NONPROFIT MEDICAL 1,250
    HILMAN HOUSE
    644 HERNDON
    SHREVEPORT,LA71101
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    HAL SUTTON FOUNDATION
    212 TEXAS ST SUITE 106
    SHREVEPORT,LA71101
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    HABITAT FOR HUMANITY-EAGLE VALLEY
    PO BOX 4149
    AVON,CO81620
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    GONZMART FAMILY FOUNDATION
    2117 EAST 7TH AVE
    TAMPA,FL33605
    NONE NONPROFIT COMMUNITY SERVICE 5,000
    GLOBAL HOPE
    PO BOX 1052
    BROOMFIELD,CO80038
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    GIFT OF LIFE FOUNDATION
    PO BOX 6945
    CINCINNATI,OH45106
    NONE NONPROFIT MEDICAL 300
    FUND FOR THE ARTS
    623 W MAIN ST
    LOUISVILLE,KY40202
    NONE NONPROFIT COMMUNITY SERVICE 50,000
    FRIENDS OF BLACKWATER
    2145 KEY WALLACE DR
    CAMBRIDGE,MD21613
    NONE NONPROFIT COMMUNITY SERVICE 250
    FOUNDATION FOR HISTORICAL LOUSINANA
    502 NORTH BLVD
    BATON ROGUE,LA70802
    NONE NONPROFIT EDUCATIONAL 2,500
    FOWARD SIOUX FALLS
    200 N PHILLIPS SUITE 101
    SIOUX FALLS,SD57101
    NONE NONPROFIT COMMUNITY SERVICE 1,500
    FOREKIDS FOUNDATION INC
    11005 LAPALCO BLVD
    AVONDALE,LA70094
    NONE NONPROFIT COMMUNITY SERVICE 12,000
    FOOD BANK FOR THE HEARTLAND
    10525 J STREET
    OMAHA,NE68127
    NONE NONPROFIT COMMUNITY SERVICE 2,000
    FLORIDA RESTAURANT & LODGING ASSOCIATION
    PO BOX 566263
    MIAMI,FL33256
    NONE NONPROFIT CHARITABLE 3,550
    FIRST UNITED METHODIST CHURCH OF TAVARES
    600 W IANTHE ST
    TAVARES,FL32778
    NONE NONPROFIT RELIGIOUS 100
    FAMILY ROAD OF GREATER BATON ROUGE
    323 EAST AIRPORT AVE
    BATON ROGUE,LA70806
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    ESCAPE FAMILY RESOURCE CENTER
    1721 PECH RD SUITE 300
    HOUSTON,TX77055
    NONE NONPROFIT COMMUNITY SERVICE 2,500
    EL PASO PUBLIC TELEVISION FOUNDATION
    9050 VISCOUNT BLVD A440
    EL PASO,TX79925
    NONE NONPROFIT COMMUNITY SERVICE 1,100
    ECUMENICAL SOCIAL MINISTRIES
    201 W WEBER ST
    COLORADO SPRINGS,CO80903
    NONE NONPROFIT RELIGIOUS 1,500
    EASTER SEALS COLORADO
    5755 W ALAMEDA AVE
    LAKEWOOD,CO80226
    NONE NONPROFIT MEDICAL 3,000
    DUCKS UNLIMITED
    ONE WATERFOWL WAY
    MEMPHIS,TN38120
    NONE NONPROFIT COMMUNITY SERVICE 500
    DRISCOLL CHILDRENS HOSPITAL
    3533 S ALAMEDA STREET
    CORPUS CHRISTI,TX78411
    NONE NONPROFIT MEDICAL 1,800
    DESTIN CHARITY WINE AUCTION FOUNDATION
    PO BOX 5396
    NICEVILLE,FL33541
    NONE NONPROFIT COMMUNITY SERVICE 5,000
    DALLAS CHILDRENS ADVOCACY CENTER
    PO BOX 720338
    DALLAS,TX75372
    NONE NONPROFIT COMMUNITY SERVICE 2,500
    DREAMS
    381 PARK AVE SOUTH SUITE 1118
    NEW YORK,NY10016
    NONE NONPROFIT COMMUNITY SERVICE 10,000
    DOVES INC
    PO BOX 1277
    NATCHITOCHES,LA71458
    NONE NONPROFIT COMMUNITY SERVICE 500
    CY-FAIR HIGH SCHOOL BAND BOOSTERS
    PO BOX 1481
    CYPRESS,TX77410
    NONE NONPROFIT COMMUNITY SERVICE 500
    CORTNEYS FOUNDATION
    7000 E SHEA BLVD SUITE 1430
    SCOTTSDALE,AZ85254
    NONE NONPROFIT COMMUNITY SERVICE 500
    COPS-IN-ACTION
    PO BOX 924454
    HOUSTON,TX77922
    NONE NONPROFIT EDUCATIONAL 500
    COMMUNITY FOUNDATION OF NOTHERN COLORADO
    4745 WHEATON DRIVE SUITE 100
    FORT COLLINS,CO80545
    NONE NONPROFIT COMMUNITY SERVICE 250
    COLORADO RESTAURANT ASSOC EDUCATION FUND
    439 E 7TH AVE
    DENVER,CO80203
    NONE NONPROFIT EDUCATIONAL 2,500
    COLLEGE SUCCESS FOUNDATION
    PO BOX 1976
    WOODINVILLE,WA98072
    NONE NONPROFIT COMMUNITY SERVICE 10,000
    CLAY COUNTY SOCCER CLUB INC
    4387 LAKESHORE DRIVE
    FLEMING ISLAND,FL32003
    NONE NONPROFIT COMMUNITY SERVICE 500
    CITY YEAR SAN ANTONIO
    109-B N SAN SABA
    SAN ANTONIO,TX78207
    NONE NONPROFIT COMMUNITY SERVICE 1,750
    CINCINNATI RECREATION FOUNDATION
    1513 4TH AND VINE STREETS
    CINCINNATI,OH45202
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    CHILDRENS NATIONAL MEDICAL CENTER
    801 ROEDER RD SUITE 300
    SILVER SPRINGS,MD20901
    NONE NONPROFIT MEDICAL 5,000
    CHESAPEAKE BAY MARITIME MUSEUM
    213 NORTH TALBOT ST
    ST MICHAELS,MD21663
    NONE NONPROFIT EDUCATIONAL 250
    CHEF DUKE FOUNDATION FOR KIDS
    117 RUE DECATUR
    NEW ORLEANS,LA70118
    NONE NONPROFIT EDUCATIONAL 1,000
    CASA
    701 S CASCADE AVE
    COLORADO SPRINGS,CO80903
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    BOYS & GIRLS CLUB OF ACADIANA
    1404 W PINHOOK RD 108
    LAFAYETTE,LA70503
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    BOYS & GIRLS CLUB OF SIOUX EMPIRE
    84 E 14TH STREET
    SIOUX FALLS,SD57104
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    BOYS & GIRLS CLUB OF BROWARD COUNTY
    877 NW 61ST STREET
    FT LAUDERDALE,FL33309
    NONE NONPROFIT COMMUNITY SERVICE 750
    BOGLE FAMILY CHARITABLE FOUNDATION
    740 UNIVERSITY AVE 110
    SACRAMENTO,CA95825
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    BEAM INC DISTRIBUTORS FOUNDATION
    510 LAKE COOK RD
    DEERFIELD,IL60015
    NONE NONPROFIT COMMUNITY SERVICE 35,000
    AVERA MCKENNAN FOUNDATION
    800 E 21ST ST
    SIOUX FALLS,SD57105
    NONE NONPROFIT COMMUNITY SERVICE 1,000
    AUTISM SOCIETY
    4340 EAST WEST HIGHWAY SUITE 350
    BETHESDA,MD20814
    NONE NONPROFIT EDUCATIONAL 200
    ARTHRITIS FOUNDATION-SOUTHWEST CHAPTER
    1313 E OSBORN RD SUITE 200
    PHOENIX,AZ85014
    NONE NONPROFIT EDUCATIONAL 1,000
    AMERICAN HEART ASSOCIATION-DALLAS
    7272 GREENVILLE AVE
    DALLAS,TX75231
    NONE NONPROFIT EDUCATIONAL 1,000
    AMERICAN DIABETES ASSOCIATION-HOUSTON
    2400 AUGUSTA DRIVE 175
    HOUSTON,TX77057
    NONE NONPROFIT EDUCATIONAL 3,000
    AMERICAN DIABETES ASSOCIATION-DALLAS
    4100 ALPHA DRIVE SUITE 100
    DALLAS,TX75244
    NONE NONPROFIT EDUCATIONAL 10,000
    AMERICAN CANCER SOCIETY-TAMPA
    2006 WEST KENNEDY BLVD
    TAMPA,FL33606
    NONE NONPROFIT EDUCATIONAL 5,500
    AMERICAN CANCER SOCIETY-FARGO
    101 BROADWAY
    FARGO,ND58102
    NONE NONPROFIT EDUCATIONAL 1,000
    AMERICAN CANCER SOCIETY-CORPUS CHRISTI
    4101 S ALAMEDA
    CORPUS CHRISTI,TX78411
    NONE NONPROFIT EDUCATIONAL 3,500
    AMERICAN CANCER SOCIETY-COLORADO
    8821 W 20TH STREET SUITE A
    GREELEY,CO80634
    NONE NONPROFIT EDUCATIONAL 500
    AID HEALTHCARE FOUNDATION
    6255 W SUNSET BLVD 21ST FLOOR
    LOS ANGELES,CA90028
    NONE NONPROFIT MEDICAL 500
    ACTORS THEATRE OF LOUISVILLE
    316 WEST MAIN STREET
    LOUISVILLE,KY40202
    NONE NONPROFIT COMMUNITY SERVICE 10,000
    ACADIANA OUTREACH CENTER
    PO BOX 2747
    LAFAYETTE,LA70502
    NONE NONPROFIT COMMUNITY SERVICE 2,500
    Total .................................bullet 3a 1,119,122
    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 44  
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory          
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aVOIDED GRANTS         5,000
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   44 5,000
    13Total. Add line 12, columns (b), (d), and (e)..................
    135,044
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2011
    Name of organization
    RNDC FOUNDATION
     
    Employer identification number

    20-4321215
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

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

    20-4321215
    Part I
    Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
         
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
     
     

    REPUBLIC NATIONAL    
    ONE NATIONAL DRIVE
       
    ATLANTA, GA   30336

    $1,245,500




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

         
     
       

    $  




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

         
     
       

    $  




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

         
     
       

    $  




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

         
     
       

    $  




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

         
     
       

    $  




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

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

    20-4321215
    Part II
    Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
         
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions).
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions).
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions).
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions).
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions).
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions).
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

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

    20-4321215
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  

    Use duplicate copies of Part III if additional space is needed
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b)
    Purpose of gift
    (c)
    Use of gift
    (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Additional Data


    Software ID: 11000144
    Software Version: 2011v1.2

    TY 2011 GeneralExplanationAttachment
    Name:
    RNDC FOUNDATION
    EIN: 20-4321215
    Software ID:11000144
    Software Version:2011v1.2
    Identifier Return Reference Explanation
        AS OF DECEMBER 31, 2011 THE RNDC FOUNDATION TRANSFERED ALL ASSETS (CASH) TO THE REPUBLIC NATIONAL DISTRBUTING COMPANY FOUNDATION, INC (TIN: 45-3842838) AND TERMINATED OPERATIONS.THE REPUBLIC NATIONAL DISTRIBUTING COMPANY FOUNDATION, INC ADDRESS IS ONE NATIONAL DRIVE, ATLANTA, GEORGIA 30336.$80,000 WAS TRANSFERED TO A BANK ACCOUNT FOR THE REPUBLIC NATIONAL DISTRIBUTING FOUNDATIONS, INC ON DECEMBER 29, 2011. THE CHECKING ACCOUNT (WHITNEY BANK) FOR THE RNDC FOUNDATION WAS LEFT OPEN IN ORDER FOR ALL OUTSTANDING CHECKS TO CLEAR. AS OF MAY 24, 2012 THIS ACCOUNT HAD APPROXIMATLY $20,000 WHICH WILL BE TRANSFERED TO THE REPUBLIC NATIONAL DISTRBUTING COMPANY FOUNDATION, INC.THE RNDC FOUNDATION DID NOT MAKE ANY DONATIONS OR PAID OUT ANY SCHOLARSHIPS AFTER 12/31/11.

    TY 2011 LiquidationExplanationStmt
    Name:
    RNDC FOUNDATION
    EIN: 20-4321215
    Software ID:11000144
    Software Version:2011v1.2
    Statement:
    AS OF DECEMBER 31, 2011 THE FOUNDATION TRANSFERED ALL REMAINING ASSETS (CASH) TO A NEW FOUNDATION THE REPUBILIC NATIONAL DISTRIBUTING COMPANY FOUNDATION, INC. TIN: 45-3842838. SEE STATMENT 4 ATTACHED.


    TY 2011 OtherDecreasesSchedule
    Name:
    RNDC FOUNDATION
    EIN: 20-4321215
    Software ID:11000144
    Software Version:2011v1.2
    Description Amount
    TRANSFER OF ASSETS TO NEW FOUNDATION SEE NOTE 1 153,278


    TY 2011 OtherExpensesSchedule
    Name:
    RNDC FOUNDATION
    EIN: 20-4321215
    Software ID:11000144
    Software Version:2011v1.2
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE SUPPLIES 114 114    
    BANK CHARGES 350 350    


    TY 2011 OtherIncomeSchedule2
    Name:
    RNDC FOUNDATION
    EIN: 20-4321215
    Software ID:11000144
    Software Version:2011v1.2
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    VOIDED GRANTS 5,000    


    TY 2011 SubstantialContributorsSch
    Name:
    RNDC FOUNDATION
    EIN: 20-4321215
    Software ID:11000144
    Software Version:2011v1.2
    Name Address
    REPUBLIC NATIONAL DISTRIBUTING CO ONE NATIONAL DRIVE
    ATLANTA,GA30336