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
BLAIR FAMILY FOUNDATION INC
 

Number and street (or P.O. box number if mail is not delivered to street address)12900 STROH RANCH WAY   Room/suite
City or town, state, and ZIP code
PARKER, CO80134
A Employer identification number

94-3301545
B Telephone number (see page 10 of the instructions)

C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$4,146,691
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) 64,152
2 Check bullet
3 Interest on savings and temporary cash investments 66 66  
4 Dividends and interest from securities...... 100,191 100,191  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 207,940
b Gross sales price for all assets on line 6a 2,332,374
7 Capital gain net income (from Part IV, line 2)... 249,229
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 372,349 349,486  
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)......... 330      
b Accounting fees (attach schedule)....... 14,438 1,444   7,219
c Other professional fees (attach schedule).... 30,545 30,545    
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) 1,800      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 6,985 6,724    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 54,098 38,713   7,219
25 Contributions, gifts, grants paid........ 192,500 192,500
26 Total expenses and disbursements. Add lines 24 and 25 246,598 38,713   199,719
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 125,751
b Net investment income (if negative, enter -0-) 310,773
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 65,046 1,070,654 1,070,654
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)........ 3,650,798 Click to see attachment2,770,941 3,076,037
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,715,844 3,841,595 4,146,691
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 3,715,844 3,841,595
30 Total net assets or fund balances (see page 17 of the
instructions).................... 3,715,844 3,841,595
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 3,715,844 3,841,595
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 3,715,844
2 Enter amount from Part I, line 27a..................... 2 125,751
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 3,841,595
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 3,841,595
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 565 UNILEVER NV NY SHS P 2008-03-27 2011-10-27
b 416 TRANSOCEAN INC P 2007-11-27 2011-04-27
c 800 Target P 2008-12-12 2011-03-18
d 300 SONY CORP P 2002-09-12 2011-03-04
e 250 SONY CORP P 2002-12-09 2011-03-04
230 Schlumberger P 2005-10-14 2011-10-27
235 PPG INDUSTRIES INC P 2009-04-01 2011-10-27
600 POLO RALPH LAUREN P 2009-06-03 2011-05-25
775 PETROLEO BRASILEIRO P 2008-05-08 2011-04-13
425 PETROLEO BRASILEIRO P 2008-01-30 2011-04-13
750 PANASONIC (MATSUSHITA) P 2005-02-22 2011-02-03
1200 PANASONIC (MATSUSHITA) P 2002-09-19 2011-02-03
350 ORACLE CORP P 2007-11-15 2011-10-27
255 OCCIDENTAL PETE CORP P 2004-05-18 2011-05-19
250 OCCIDENTAL PETE CORP P 2004-05-18 2011-05-19
230 NORFOLK SOUTHERN CORP P 2009-06-01 2011-10-27
1500 NORDSTROM INC P 2009-06-02 2011-02-02
315 NESTLE S A ADR P 2009-06-15 2011-10-27
900 MITSUBISHI UFJ FINL P 2006-03-22 2011-12-13
275 MITSUBISHI TOKYO ADR P 2003-07-22 2011-12-13
2800 MITSUBISHI TOKYO ADR P 2003-07-22 2011-10-27
745 MICROSOFT CORP P 2008-03-19 2011-10-27
1750 ISHARES MSCI EMRG MKT P 2008-07-24 2011-02-14
300 ISHARES MSCI EMRG MKT P 2008-07-24 2011-02-14
150 ISHARES MSCI EMRG MKT P 2007-01-18 2011-02-14
300 ISHARES MSCI EMRG MKT P 2008-07-24 2011-02-14
150 ISHARES MSCI EMRG MKT P 2006-03-22 2011-02-14
525 ISHARES MSCI EMRG MKT P 2006-01-23 2011-02-14
950 HEWLETT-PACKARD CO P 2007-11-16 2011-02-24
743 FREEPORT MCMORN CP&GLD P 2007-03-20 2011-05-17
68 FREEPORT MCMORN CP&GLD P 2007-03-20 2011-05-17
154 FREEPORT MCMORN CP&GLD P 2007-03-23 2011-05-17
1100 FORTUNE BRANDS INC P 2009-04-09 2011-02-09
655 EMC Corp Mass P 2007-11-15 2011-10-27
270 DOVER CORPORATION P 2009-04-06 2011-10-27
975 CUMMINS INC P 2009-06-03 2011-06-08
400 CREDIT SUISSE P 2002-12-09 2011-10-18
450 CREDIT SUISSE GRP ADR P 2004-11-10 2011-10-18
225 CREDIT SUISSE GRP ADR P 2007-01-18 2011-10-18
200 CREDIT SUISSE GRP ADR P 2006-02-08 2011-10-18
695 COMPANHIA VALE DO P 2007-08-27 2011-10-27
600 CISCO SYSTEMS P 2007-08-27 2011-04-27
1950 CISCO SYSTEMS P 2008-05-21 2011-04-27
1200 CARNIVAL CORP NEW P 2009-02-09 2011-03-01
75 CATERPILLAR INC P 2005-07-13 2011-10-27
250 CATERPILLAR INC P 2005-07-13 2011-10-27
135 CATERPILLAR INC P 2004-11-10 2011-10-27
775 BNP PARIBAS ADR P 2008-06-03 2011-10-18
518 BERNSTEIN INTERNATIONAL P 2007-04-30 2011-12-22
306 BERNSTEIN INTERNATIONAL P 2010-12-10 2011-12-22
3819 BERNSTEIN INTERNATIONAL P 2010-05-03 2011-12-22
1 BERNSTEIN INTERNATIONAL P 2010-01-11 2011-12-22
108 BERNSTEIN INTERNATIONAL P 2009-12-14 2011-12-22
1276 BERNSTEIN INTERNATIONAL P 2009-12-10 2011-12-22
1302 BERNSTEIN INTERNATIONAL P 2009-12-02 2011-12-22
1 BERNSTEIN INTERNATIONAL P 2009-12-01 2011-12-22
2 BERNSTEIN INTERNATIONAL P 2009-11-23 2011-12-22
1058 BERNSTEIN INTERNATIONAL P 2009-11-18 2011-12-22
1232 BERNSTEIN INTERNATIONAL P 2009-11-17 2011-12-22
3019 BERNSTEIN INTERNATIONAL P 2009-09-21 2011-12-22
136 BERNSTEIN INTERNATIONAL P 2009-04-02 2011-12-22
1814 BERNSTEIN INTERNATIONAL P 2008-08-22 2011-12-22
63 BERNSTEIN INTERNATIONAL P 2008-09-04 2011-12-22
61 BERNSTEIN INTERNATIONAL P 2008-09-05 2011-12-22
1296 BERNSTEIN INTERNATIONAL P 2008-09-02 2011-12-22
552 BERNSTEIN INTERNATIONAL P 2007-05-10 2011-12-22
624 BERNSTEIN INTERNATIONAL P 2007-11-07 2011-12-22
707 BERNSTEIN INTERNATIONAL P 2007-12-14 2011-12-22
19 BERNSTEIN EMERGING MKTS P 2010-12-10 2011-12-22
140 BERNSTEIN EMERGING MKTS P 2007-04-30 2011-12-22
335 BERNSTEIN EMERGING MKTS P 2010-05-03 2011-12-22
97 BERNSTEIN EMERGING MKTS P 2009-12-14 2011-12-22
14 BERNSTEIN EMERGING MKTS P 2009-12-08 2011-12-22
175 BERNSTEIN EMERGING MKTS P 2009-12-02 2011-12-22
105 BERNSTEIN EMERGING MKTS P 2009-11-18 2011-12-22
127 BERNSTEIN EMERGING MKTS P 2009-11-17 2011-12-22
159 BERNSTEIN EMERGING MKTS P 2009-09-21 2011-12-22
172 BERNSTEIN EMERGING MKTS P 2007-12-14 2011-12-22
305 BERNSTEIN EMERGING MKTS P 2008-08-22 2011-12-22
223 BERNSTEIN EMERGING MKTS P 2008-09-02 2011-12-22
172 BERNSTEIN EMERGING MKTS P 2008-12-09 2011-12-22
500 AXA SPONSORED ADR P 2002-12-30 2011-12-12
450 AXA SPONSORED ADR P 2002-09-24 2011-12-12
450 AXA SPONSORED ADR P 2005-02-22 2011-12-12
2500 APPLIED MATERIALS P 2010-05-11 2011-12-12
2800 APPLIED MATERIALS P 2009-02-25 2011-12-12
350 ANADARKO PETROLEUM P 2002-09-10 2011-05-19
300 ANADARKO PETROLEUM P 2006-05-26 2011-05-19
3249 ALLIANCEBERNSTEIN VALUE FUND P 2011-05-03 2011-12-22
7 ALLIANCEBERNSTEIN VALUE FUND P 2010-01-01 2011-12-22
565 ALLIANCEBERNSTEIN VALUE FUND P 2009-12-29 2011-12-22
1419 ALLIANCEBERNSTEIN VALUE FUND P 2009-12-10 2011-12-22
2512 ALLIANCEBERNSTEIN VALUE FUND P 2009-12-02 2011-12-22
1982 ALLIANCEBERNSTEIN VALUE FUND P 2009-11-18 2011-12-22
2544 ALLIANCEBERNSTEIN VALUE FUND P 2009-11-17 2011-12-22
3 ALLIANCEBERNSTEIN VALUE FUND P 2009-11-11 2011-12-22
369 ALLIANCEBERNSTEIN VALUE FUND P 2009-11-06 2011-12-22
18186 ALLIANCEBERNSTEIN VALUE FUND P 2009-11-05 2011-12-22
1344 ALLIANCEBERNSTEIN LARGE-CAP P 2010-05-03 2011-12-22
463 ALLIANCEBERNSTEIN LARGE-CAP P 2009-12-10 2011-12-22
939 ALLIANCEBERNSTEIN LARGE-CAP P 2009-12-02 2011-12-22
572 ALLIANCEBERNSTEIN LARGE-CAP P 2009-11-18 2011-12-22
739 ALLIANCEBERNSTEIN LARGE-CAP P 2009-11-17 2011-12-22
6115 ALLIANCEBERNSTEIN LARGE-CAP P 2009-11-05 2011-12-22
79 ALLIANCEBERNSTEIN GLOBAL P 2010-09-20 2011-12-22
130 ALLIANCEBERNSTEIN GLOBAL P 2010-06-21 2011-12-22
1401 ALLIANCEBERNSTEIN GLOBAL P 2010-05-03 2011-12-22
96 ALLIANCEBERNSTEIN GLOBAL P 2010-03-22 2011-12-22
522 ALLIANCEBERNSTEIN GLOBAL RE P 2009-12-28 2011-12-22
520 ALLIANCEBERNSTEIN GLOBAL RE P 2009-12-10 2011-12-22
806 ALLIANCEBERNSTEIN GLOBAL RE P 2009-12-02 2011-12-22
837 ALLIANCEBERNSTEIN GLOBAL RE P 2009-11-18 2011-12-22
938 ALLIANCEBERNSTEIN GLOBAL RE P 2009-11-17 2011-12-22
729 ALLIANCEBERNSTEIN GLOBAL RE P 2009-09-21 2011-12-22
159 ALLIANCEBERNSTEIN GLOBAL RE P 2009-04-02 2011-12-22
394 ALLIANCEBERNSTEIN GLOBAL RE P 2009-02-17 2011-12-22
328 ALLIANCEBERNSTEIN GLOBAL RE P 2009-01-26 2011-12-22
1172 ALLIANCEBERNSTEIN GLOBAL RE P 2008-08-22 2011-12-22
297 ALLIANCEBERNSTEIN GLOBAL RE P 2008-01-07 2011-12-22
814 ALLIANCEBERNSTEIN GLOBAL RE P 2008-09-02 2011-12-22
925 ALLIANCEBERNSTEIN GLOBAL RE P 2008-01-02 2011-12-22
243 ALLIANCEBERNSTEIN GLOBAL P 2007-11-07 2011-12-22
960 ADOBE SYSTEMS P 2010-05-07 2011-06-17
4300 MITSUBISHI UFJ FINL P 2011-08-05 2011-12-13
300 HEWLETT-PACKARD CO P 2010-10-07 2011-02-24
280 COACH INC P 2011-05-26 2011-10-27
381 BERNSTEIN INTERNATIONAL P 2011-12-14 2011-12-22
101 BERNSTEIN EMERGING MKTS P 2011-12-14 2011-12-22
403 ALLIANCEBERNSTEIN VALUE FUND P 2010-12-23 2011-12-22
41 ALLIANCEBERNSTEIN GLOBAL P 2011-09-20 2011-12-22
29 ALLIANCEBERNSTEIN GLOBAL P 2011-06-20 2011-12-22
91 ALLIANCEBERNSTEIN GLOBAL P 2011-03-21 2011-12-22
396 ALLIANCEBERNSTEIN GLOBAL P 2010-12-27 2011-12-22
481 ALLIANCEBERNSTEIN LARGE-CAP P 2011-11-09 2011-12-22
1929 ALLIANCEBERNSTEIN LARGE-CAP P 2011-11-08 2011-12-22
300 UNITED HEALTH GROUP D 2008-11-21 2011-11-08
1000 ORASURE TECHNOLOGY D 2009-09-21 2011-11-08
300 UNDER ARMOUR D 2010-01-25 2011-11-08
500 EBAY INC D 2008-10-20 2011-11-08
(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 19,626   18,909 717
b 29,344   15,310 14,034
c 39,875   31,004 8,871
d 9,320   13,260 -3,940
e 7,767   10,715 -2,948
17,294   9,304 7,990
20,815   8,964 11,851
70,500   35,011 35,489
28,985   40,814 -11,829
15,895   22,382 -6,487
10,006   11,350 -1,344
16,009   14,038 1,971
11,697   7,148 4,549
25,757   5,866 19,891
25,252   5,751 19,501
17,226   9,041 8,185
60,261   34,359 25,902
18,606   11,203 7,403
3,852   12,984 -9,132
1,177   1,244 -67
12,999   12,666 333
20,226   20,867 -641
79,825   55,395 24,430
13,684   11,183 2,501
6,842   5,592 1,250
13,684   9,771 3,913
6,842   4,886 1,956
23,947   16,618 7,329
40,492   47,642 -7,150
34,470   22,498 11,972
3,155   1,556 1,599
7,144   4,778 2,366
67,381   38,999 28,382
16,267   12,764 3,503
15,613   7,864 7,749
95,038   34,432 60,606
10,627   8,360 2,267
11,956   17,014 -5,058
5,978   15,509 -9,531
5,314   11,987 -6,673
18,297   16,676 1,621
10,408   18,629 -8,221
33,826   51,456 -17,630
48,301   25,442 22,859
7,211   2,842 4,369
24,035   5,363 18,672
12,979   5,974 7,005
15,439   39,412 -23,973
6,414   14,423 -8,009
3,785   4,678 -893
47,235   56,820 -9,585
10   9 1
1,339   1,643 -304
15,786   19,131 -3,345
16,104   20,398 -4,294
8   7 1
23   27 -4
13,081   16,542 -3,461
15,235   19,293 -4,058
37,349   45,355 -8,006
1,687   1,504 183
22,439   35,500 -13,061
780   1,151 -371
753   1,098 -345
16,033   24,952 -8,919
6,825   15,350 -8,525
7,721   18,150 -10,429
8,743   17,854 -9,111
459   615 -156
3,401   5,809 -2,408
8,146   10,109 -1,963
2,352   2,802 -450
351   420 -69
4,249   5,097 -848
2,551   3,050 -499
3,084   3,698 -614
3,865   4,252 -387
4,171   7,032 -2,861
7,418   9,911 -2,493
5,427   6,912 -1,485
4,170   2,520 1,650
6,876   6,677 199
6,188   4,180 2,008
6,188   11,675 -5,487
26,397   33,670 -7,273
29,564   25,563 4,001
25,168   7,908 17,260
21,572   6,778 14,794
27,973   29,499 -1,526
62   62  
4,863   4,708 155
12,219   11,851 368
21,627   21,149 478
17,066   16,869 197
21,905   21,601 304
25   26 -1
3,179   3,022 157
156,578   148,390 8,188
34,360   33,157 1,203
11,822   10,539 1,283
24,012   21,588 2,424
14,621   13,301 1,320
18,883   17,244 1,639
156,302   136,533 19,769
630   666 -36
1,038   1,010 28
11,192   11,848 -656
763   775 -12
4,169   4,081 88
4,158   4,204 -46
6,443   6,653 -210
6,691   6,853 -162
7,491   7,654 -163
5,828   5,853 -25
1,274   850 424
3,150   1,900 1,250
2,624   1,800 824
9,366   11,302 -1,936
2,375   3,293 -918
6,507   7,904 -1,397
7,393   10,708 -3,315
1,939   4,068 -2,129
29,374   31,315 -1,941
18,405   20,722 -2,317
12,787   12,234 553
17,889   17,687 202
4,712   4,563 149
2,452   2,413 39
3,469   3,639 -170
326   338 -12
231   261 -30
731   788 -57
3,163   3,439 -276
12,283   12,441 -158
49,307   52,085 -2,778
13,845   4,653 9,192
9,090   2,750 6,340
25,131   7,953 17,178
16,460   7,508 8,952
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       717
b       14,034
c       8,871
d       -3,940
e       -2,948
      7,990
      11,851
      35,489
      -11,829
      -6,487
      -1,344
      1,971
      4,549
      19,891
      19,501
      8,185
      25,902
      7,403
      -9,132
      -67
      333
      -641
      24,430
      2,501
      1,250
      3,913
      1,956
      7,329
      -7,150
      11,972
      1,599
      2,366
      28,382
      3,503
      7,749
      60,606
      2,267
      -5,058
      -9,531
      -6,673
      1,621
      -8,221
      -17,630
      22,859
      4,369
      18,672
      7,005
      -23,973
      -8,009
      -893
      -9,585
      1
      -304
      -3,345
      -4,294
      1
      -4
      -3,461
      -4,058
      -8,006
      183
      -13,061
      -371
      -345
      -8,919
      -8,525
      -10,429
      -9,111
      -156
      -2,408
      -1,963
      -450
      -69
      -848
      -499
      -614
      -387
      -2,861
      -2,493
      -1,485
      1,650
      199
      2,008
      -5,487
      -7,273
      4,001
      17,260
      14,794
      -1,526
       
      155
      368
      478
      197
      304
      -1
      157
      8,188
      1,203
      1,283
      2,424
      1,320
      1,639
      19,769
      -36
      28
      -656
      -12
      88
      -46
      -210
      -162
      -163
      -25
      424
      1,250
      824
      -1,936
      -918
      -1,397
      -3,315
      -2,129
      -1,941
      -2,317
      553
      202
      149
      39
      -170
      -12
      -30
      -57
      -276
      -158
      -2,778
      9,192
      6,340
      17,178
      8,952
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 2 249,229
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 161,590 4,075,600 0.03965
2009 199,435 3,183,484 0.06265
2008 148,013 4,007,342 0.03694
2007 135,075 4,669,201 0.02893
2006 111,898 3,620,393 0.03091
2 Total of line 1, column (d) ...................... 2 0.19907
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 0.03981
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 4,523,377
5 Multiply line 4 by line 3....................... 5 180,089
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,108
7 Add lines 5 and 6......................... 7 183,197
8 Enter qualifying distributions from Part XII, line 4.............. 8 199,719
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 3,108
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 3,108
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 3,108
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 3,342
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 2,500
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 5,842
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 2,734
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet2,734 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
     
    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)bulletCA
    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 ofbulletMCFARLANE CAZALE & ASSOCIATES Telephone no.bullet (408) 265-2950
    Located atbullet1631 WILLOW ST SUITE 200SAN JOSECA ZIP+4bullet95125
    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
    STEVEN R BLAIR CFO
    0.00
    0    
    6229 NORTHWOODS GLENN DR
    PARKER,CO80134
    DONNA R BLAIR SECRETARY
    0.00
    0    
    7924 FOREST KEEP CIRCLE
    PARKER,CO80134
    RONALD J BLAIR VICE PRESIDENT
    0.00
    0    
    9677 SARA GULCH CIRCLE
    PARKER,CO80138
    JAMES R BLAIR PRESIDENT
    0.00
    0    
    7924 FOREST KEEP CIRCLE
    PARKER,CO80134
    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 NONE 0
    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
    4,393,632
    b
    Average of monthly cash balances.......................
    1b
    198,629
    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
    4,592,261
    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
    4,592,261
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    68,884
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,523,377
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    226,169
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    226,169
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    3,108
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,108
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    223,061
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    223,061
    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
    223,061
    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
    199,719
    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
    199,719
    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
    3,108
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    196,611
    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 7 223,061
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 192,015
    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$ 199,719
    a Applied to 2010, but not more than line 2a 192,015
    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..... 7,704
    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 ..........
    215,357
    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).)
    JAMES R BLAIR
    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
    PORTER HOSPICE FOUNDATION
    1391 SPEER BLVD SUITE 600
    DENVER,CO80204
    NONE 501(c) THE BUTTERFLY PROGRAM 2,500
    RAINBOW ACRES
    PO BOX 1326
    CAMP VERDE,AZ86322
    NONE 501(c) ANNUAL FUND 6,000
    TOUCHING AFRICA
    PO BOX 460459
    AURORA,CO80046
    NONE 501(c) GENERAL PURPOSE DONATION 1,000
    GLOBAL DOWN SYNDROME FOUNDATION
    3300 E FIRST AVENUE SUITE 390
    DENVER,CO80206
    NONE 501(c) GENERAL PURPOSE DONATION 4,000
    SOUTHEAST CHRISTIAN SCHOOL
    9650 JORDAN ROAD
    PARKER,CO80134
    NONE 501(c) SCHOLARSHIP FUND CONTRIBUTION 12,500
    NATIONAL SPORTS CENTER FOR THE DISA
    PO BOX 1290
    WINTER PARK,CO80482
    NONE 501(c) SUMMER AND WINTER SPORTS PROGRAMS 6,500
    ELIZABETH STAMPEDE FOUNDATION
    PO BOX 1062
    ELIZABETH,CO80107
    NONE 501(c) GENERAL PURPOSE DONATION 17,000
    SPD FOUNDATION
    5420 S QUEBEC STREET SUITE 135
    GREENWOOD VILLAGE,CO80111
    NONE 501(c) GENERAL PURPOSE DONATION 15,000
    COLUMBUS ZOO AND AQUARIUM
    9990 RIVERSIDE DRIVE PO BOX 400
    POWELL,OH43065
    NONE 501(c) IMBABAZI ORPHANAGE 10,000
    DUMB FRIENDS LEAGUE
    2080 S Quebec St
    Denver,CO80231
    NONE 501(c) HOMES WITH HEARTS 10,000
    DOUGLAS COUNTY EDUCATION FNDN
    620 WILCOX STREET
    CASTLE ROCK,CO80104
    NONE 501(c) APPLE AWARDS 20,000
    EASTSIDE COLLEGE PREP SCHOOL
    1041 Myrtle Street
    East Palo Alto,CA94303
    NONE 501(c) SCHOLARSHIPS, SANTA CLARA HOUSE PROJECT 18,000
    NORTH PARK UNIVERSITY
    3225 WEST FOSTER AVE
    CHICAGO,IL60625
    NONE 501(c) CAMPAIGN NORTH PARK 50,000
    BELLARMINE COLLEGE
    960 WEST HEDDING STREET
    SAN JOSE,CA95126
    NONE 501(c) GENERAL PURPOSE DONATION 20,000
    Total .................................bullet 3a 192,500
    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 66  
    4 Dividends and interest from securities....     14 100,191  
    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     1 207,940  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   308,197  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13308,197
    (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
    BLAIR FAMILY FOUNDATION INC
     
    Employer identification number

    94-3301545
    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
    BLAIR FAMILY FOUNDATION INC
     
    Employer identification number

    94-3301545
    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
    4
     
     

    JAMES DONNA BLAIR    
    7924 FOREST KEEP CIRCLE
       
    PARKER, CO   80134

    $13,961




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
     
     

    JAMES DONNA BLAIR    
    7924 FOREST KEEP CIRCLE
       
    PARKER, CO   80134

    $9,205




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
     
     

    JAMES DONNA BLAIR    
    7924 FOREST KEEP CIRCLE
       
    Parker, CO   80134

    $25,187




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
     
     

    JAMES DONNA BLAIR    
    7924 FOREST KEEP CIRCLE
       
    Parker, CO   80134

    $15,800




    (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
    BLAIR FAMILY FOUNDATION INC
     
    Employer identification number

    94-3301545
    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
    4
    300 SHS UNITED HEALTH GROUP   $13,961 2011-11-02
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions).
    (d)
    Date received
    3
    1,000 SHS ORASURE TECHNOLOGY   $9,205 2011-11-02
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions).
    (d)
    Date received
    2
    300 SHS UNDER ARMOUR   $25,187 2011-11-02
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions).
    (d)
    Date received
    1
    500 SHS EBAY INC   $15,800 2011-11-02
    (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
    BLAIR FAMILY FOUNDATION INC
     
    Employer identification number

    94-3301545
    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 AccountingFeesSchedule
    Name:
    BLAIR FAMILY FOUNDATION INC
    EIN: 94-3301545
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 14,438 1,444 0 7,219

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    BLAIR FAMILY FOUNDATION INC
    EIN: 94-3301545
    Software ID:11000144
    Software Version:2011v1.2
    Name of Stock End of Year Book Value End of Year Fair Market Value
    1450 WELLS FARGO & CO 40,433 39,957
    775 WAL-MART STORES 43,376 46,314
    250 UNITED TECHNOLOGIES CORP 16,250 18,273
    150 UNITED TECHNOLOGIES CORP 7,629 10,964
    100 UNITED TECHNOLOGIES CORP 4,731 7,309
    150 UNITED TECHNOLOGIES CORP 7,629 10,964
    70 UNITED TECHNOLOGIES CORP 3,312 5,116
    375 TIME WARNER INC 11,931 13,553
    966 TIME WARNER INC 19,714 34,911
    242 TIME WARNER CABLE 6,953 15,384
    200 SIEMENS 17,568 19,122
    375 SIEMENS 32,126 35,854
    175 SIEMENS 7,861 16,732
    275 SCHLUMBERGER 17,760 18,785
    475 SCHLUMBERGER 19,213 32,447
    1850 SANOFI AVENTIS ADR 65,146 67,599
    900 ROCHE HLDG LTD 38,670 38,306
    675 ROCHE HLDG LTD 29,002 28,730
    300 RIO TINTO PLD SPON 15,680 14,676
    100 RIO TINTO PLD SPON 5,227 4,892
    300 RIO TINTO PLD SPON 15,755 14,676
    100 RIO TINTO PLD SPON 5,252 4,892
    700 QUALCOMM INC 36,927 38,290
    250 PROCTOR & GAMBLE 15,755 16,678
    200 PROCTOR & GAMBLE 11,931 13,342
    25 PROCTOR & GAMBLE 1,121 1,668
    170 PPG INDUSTRIES INC 15,119 14,193
    795 PNC FINL SERVICES GP 50,740 45,848
    2800 PFIZER INC 56,494 60,592
    140 OCCIDENTAL PETE CORP 11,516 13,118
    150 OCCIDENTAL PETE CORP 6,698 14,055
    150 OCCIDENTAL PETE CORP 6,698 14,055
    785 NETAPP INC 36,467 28,472
    885 NATIONAL OIL WELL VARCO 50,600 60,171
    435 MOSIAC COMPANY 28,524 21,937
    600 MICROSOFT CORP 14,767 15,576
    1100 MEDTRONIC INC 47,111 42,075
    530 JOHNSON & JOHNSON 34,218 34,757
    850 JOHNSON & JOHNSON 57,357 55,743
    1295 ISHARES MSCI ALL COUNTRY 66,520 64,621
    2300 ISHARES FTSE CHINA 25 80,471 80,201
    275 INTL BUSINESS MACHINES 46,157 50,567
    2325 INTEL 47,269 56,381
    200 HONEYWELL INTERNATIONAL 6,685 10,870
    375 HONEYWELL INTERNATIONAL 15,873 20,381
    1500 HONDA MOTOR CO 32,294 45,825
    610 HITACHI LTD ADR 31,401 31,805
    765 HALLIBURTON CO HLDG 35,114 26,400
    89 GOOGLE INC 46,727 57,485
    805 GLAXOSMITHKLINE 34,280 36,731
    350 GLAXOSMITHKLINE 17,128 15,971
    400 GLAXOSMITHKLINE 15,464 18,252
    1700 GENERAL ELECTRIC 34,453 30,447
    375 GENERAL ELECTRIC 10,771 6,716
    325 GENERAL ELECTRIC 11,585 5,821
    1700 GENERAL ELECTRIC 57,552 30,447
    250 FREEPORT MCMORN COPPER 12,733 9,198
    905 EXXON MOBIL CORP 75,752 76,708
    650 EMERSON ELECTRIC CO 31,390 30,284
    625 DEERE & CO 50,134 48,344
    875 COMPANHIA VALE DO 20,995 18,769
    231 CNOOC LIMITED ADR 50,351 40,351
    2400 CHEUNG KONG HLDG 33,555 28,553
    450 CENOVUS ENERGY INC 15,862 14,940
    625 CENOVUS ENERGY INC 14,797 20,750
    180 CATERPILLAR INC 16,069 16,308
    200 CATERPILLAR INC 15,102 18,120
    675 BOEING CO 45,432 49,511
    775 BHP BILLITON LTD ADR 29,201 54,738
    185 BASF SE ADR 17,625 12,942
    325 BASF AG SPON 10,722 22,736
    325 BASF AG SPON 10,722 22,736
    350 BASF AG SPON 7,060 24,485
    1100 BANK OF NOVA SCOTIA 45,525 54,791
    51 BANCO SANTANDER 663 384
    44 BANCO SANTANDER 704 331
    1500 BANCO SANTANDER 17,927 11,280
    900 BANCO SANTANDER 13,078 6,768
    1575 BANCO SANTANDER 10,719 11,844
    2000 BANCO BRADESCO NEW 42,985 33,360
    445 BAIDU INC ADR 17,457 51,829
    1456 ANGLO AMERICAN PLC ADR 30,839 26,916
    150 ANADARKO PETROLEUM 4,082 11,450
    150 ANADARKO PETROLEUM 4,082 11,450
    125 ANADARKO PETROLEUM 6,395 9,541
    125 ANADARKO PETROLEUM 6,395 9,541
    750 AMERICA MOVIL 21,426 16,950
    750 AMERICA MOVIL 21,426 16,950
    315 AMAZON COM INC 57,609 54,527
    575 ALLERGAN INC 48,033 50,451
    1200 ABBOTT LABORATORIES 57,887 67,476
    1200 ABB LTD ADR 14,599 22,596
    1500 ABB LTD ADR 21,113 28,245
    1635 UNILEVER NV NY 54,725 56,195
    70 SCHLUMBERGER 2,832 4,782
    415 PPG INDUSTRIES INC 15,829 34,648
    2450 ORACLE CORP 50,033 62,843
    170 OCCIDENTAL PETE CORP 3,910 15,929
    670 NORFOLK SOUTHERN CORP 26,337 48,816
    1035 NESTLE SA ADR 36,808 59,769
    1180 MICROSOFT CORP 33,052 30,633
    521 FREEPORT MCMORN CP&GLD 16,164 19,168
    2145 EMC CORP MASS 41,800 46,203
    780 DOVER CORPORATION 22,719 45,279
    180 COMPANHIA VALE DO 4,319 3,861
    65 CATERPILLAR INC 2,877 5,889
    50 ANADARKO PETROLEUM 1,130 3,817
    870 COACH INC 54,955 53,105

    TY 2011 LegalFeesSchedule
    Name:
    BLAIR FAMILY FOUNDATION INC
    EIN: 94-3301545
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 330 0 0 0


    TY 2011 OtherExpensesSchedule
    Name:
    BLAIR FAMILY FOUNDATION INC
    EIN: 94-3301545
    Software ID:11000144
    Software Version:2011v1.2
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Miscellaneous 189      
    FOREIGN TAX PAID 6,724 6,724    
    FILING FEES 60      
    BANK CHARGES 12      


    TY 2011 OtherProfessionalFeesSchedule
    Name:
    BLAIR FAMILY FOUNDATION INC
    EIN: 94-3301545
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PORTFOLIO MANAGEMENT FEES 30,545 30,545 0 0


    TY 2011 TaxesSchedule
    Name:
    BLAIR FAMILY FOUNDATION INC
    EIN: 94-3301545
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAXES 1,800