Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2011
For calendar year 2011, or tax year beginning 01-01-2011 , and ending 12-31-2011
G
Check all that apply:
Name of foundation
ALLAN C & MARGARET L MIMS CHARITABLE TR
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 75000   Room/suite
City or town, state, and ZIP code
DETROIT, MI482753302
A Employer identification number

56-6207750
B Telephone number (see page 10 of the instructions)

(252) 467-4743
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$1,089,255
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 6 6  
4 Dividends and interest from securities...... 28,823 28,823  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 28,495
b Gross sales price for all assets on line 6a 555,163
7 Capital gain net income (from Part IV, line 2)... 28,495
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 10    
12 Total. Add lines 1 through 11........ 57,334 57,324  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 19,633 19,633    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 275     275
b Accounting fees (attach schedule)....... 555     555
c Other professional fees (attach schedule).... 15,851 15,851   0
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) 1,389     0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 673 673    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 38,376 36,157 0 830
25 Contributions, gifts, grants paid........ 54,500 54,500
26 Total expenses and disbursements. Add lines 24 and 25 92,876 36,157 0 55,330
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -35,542
b Net investment income (if negative, enter -0-) 21,167
c Adjusted net income (if negative, enter -0-)... 0
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 52,972 33,290 33,290
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 750,280 Click to see attachment720,816 829,183
c Investments—corporate bonds (attach schedule)........ 213,133 Click to see attachment227,400 226,782
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,016,385 981,506 1,089,255
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......... 1,016,385 981,506
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 1,016,385 981,506
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,016,385 981,506
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 1,016,385
2 Enter amount from Part I, line 27a..................... 2 -35,542
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 663
4 Add lines 1, 2, and 3.......................... 4 981,506
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 981,506
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 17. ENI S P A SPON ADR   2010-11-01 2011-01-05
b 24. GLAXO WELLCOME PLC ADR   2010-11-01 2011-01-05
c 10. HSBC HOLDINGS PLC-SPONS ADR   2009-10-29 2011-01-05
d 45. HOYA CORP SPONSORED ADR   2005-12-02 2011-01-05
e 20. ING GROEP NV ADR   2010-10-25 2011-01-05
2. MITSUBISHI ESTATE LTD ADR   2009-09-10 2011-01-05
8. NIDEC CORP ADR SPONSORED ADR   2010-11-01 2011-01-05
11. SANOFI-SYNTHELABO ADR   2010-11-05 2011-01-05
155. SUMITOMO MITSUI FIN-UNSP ADR SPONSORED A   2006-04-10 2011-01-05
24. UNILEVER PLC-SPONSORED ADR   2009-10-29 2011-01-05
42. UBS AG-NEW   2010-09-23 2011-01-05
95. HEICO CORP CL A   2010-11-01 2011-01-07
12. POTASH CORP SASK INC   2010-11-05 2011-01-10
70. ECOLAB INC   2010-11-12 2011-01-13
125. ECOLAB INC   2009-07-17 2011-01-13
58. FANUC LTD ADR   2009-06-03 2011-01-13
59. NESTLE SA SPONSORED ADR   2009-10-29 2011-01-18
23. NESTLE SA SPONSORED ADR   2010-11-01 2011-01-18
12. NESTLE SA SPONSORED ADR   2011-01-05 2011-01-18
20. STERICYCLE INC   2010-04-14 2011-01-25
139. NIDEC CORP ADR SPONSORED ADR   2010-11-01 2011-01-27
47. BAE SYSTEMS PLC   2010-12-08 2011-02-01
172. BAE SYSTEMS PLC   2009-10-29 2011-02-01
85. PEPSICO INC   2009-08-18 2011-02-04
45. PEPSICO INC   2010-11-12 2011-02-04
56. MOODY'S CORPORATION   2008-10-21 2011-02-09
65. CANON INC ADR REPRESENTING 5 SHARES   2009-10-29 2011-02-14
10. CANON INC ADR REPRESENTING 5 SHARES   2011-01-05 2011-02-14
52. SINGAPORE TELECOMMUNICATIONS ADR   2010-11-01 2011-02-22
11. SINGAPORE TELECOMMUNICATIONS ADR   2011-01-05 2011-02-22
131. SINGAPORE TELECOMMUNICATIONS ADR   2009-03-24 2011-02-22
53. ENI S P A SPON ADR   2009-10-29 2011-02-23
29. ENI S P A SPON ADR   2010-11-01 2011-02-23
4. IMPERIAL TOBACCO GROUP ADR   2011-01-05 2011-02-23
47. IMPERIAL TOBACCO GROUP ADR   2009-02-27 2011-02-23
22. IMPERIAL TOBACCO GROUP ADR   2010-11-01 2011-02-23
5000. UNITED STATES TREAS NTS 4.5% 02/28/2011   2009-09-29 2011-02-28
49. ROPER INDS INC NEW   2010-11-01 2011-03-11
23. HSBC HOLDINGS PLC-SPONS ADR   2010-11-01 2011-03-15
72. HSBC HOLDINGS PLC-SPONS ADR   2009-10-29 2011-03-15
87. HSBC HOLDINGS PLC-SPONS ADR   2010-11-01 2011-03-16
24. CARBO CERAMICS INC   2010-11-01 2011-03-18
32. LINCOLN ELECTRIC HLDGS   2010-11-01 2011-03-22
78. BLACKBAUD INC   2010-11-01 2011-03-29
48. ADVISORY BOARD CO/THE   2010-11-01 2011-04-01
89. HOYA CORP SPONSORED ADR   2010-11-01 2011-04-04
124. HOYA CORP SPONSORED ADR   2009-10-29 2011-04-04
73. TULLOW OIL PLC ADR   2009-12-09 2011-04-11
6. INTUITIVE SURGICAL INC   2010-12-06 2011-04-12
20. JACOBS ENGR GROUP INC   2009-11-25 2011-04-12
65. PERRIGO CO   2010-11-04 2011-04-12
75. TECHNIP COFLEXIP ADR   2010-12-17 2011-04-12
123. SUN HUNG KAI PPTYS LTD ADR   2009-10-29 2011-04-18
130. SUN HUNG KAI PPTYS LTD ADR   2010-11-22 2011-04-18
33. TECHNIP COFLEXIP ADR   2010-12-17 2011-04-19
69. TULLOW OIL PLC ADR   2010-03-25 2011-04-19
205. LINEAR TECHNOLOGY CORP   2010-04-15 2011-04-21
38. TYCO INTERNATIONAL LTD   2008-10-21 2011-04-26
22. NOVO NORDISK A S ADR   2009-10-29 2011-04-28
210. FORWARD AIR CORP   2010-11-01 2011-05-10
16. BG GROUP PLC SPON ADR   2008-07-18 2011-05-11
5000. ABBOTT LABS 5.6% 05/15/2011   2006-09-18 2011-05-15
190. SUMITOMO MITSUI FIN-UNSP ADR SPONSORED A   2010-11-01 2011-05-17
160. SUMITOMO MITSUI FIN-UNSP ADR SPONSORED A   2011-03-16 2011-05-17
70. EXPRESS SCRIPTS INC CL A   2009-07-17 2011-06-03
18. CARBO CERAMICS INC   2010-11-01 2011-06-07
.5 ATLANTIA SPA ADR   2011-02-08 2011-06-20
5. ANHEUSER BUSCH INBEV SA/NV ADR   2010-11-01 2011-06-22
19. ASSA ABLOY AB ADR   2011-01-05 2011-06-22
15. ATLANTIA SPA ADR   2011-02-08 2011-06-22
7. BNP PARIBAS ADR   2009-10-29 2011-06-22
6. BAYERISCHE MOTOREN WERKE A G ADR   2011-04-01 2011-06-22
3. BHP LIMITED SPONS ADR   2011-02-25 2011-06-22
3. BRITISH AMERN TOB PLC SPONSORED ADR   2009-10-29 2011-06-22
25. COPART INC   2010-12-16 2011-06-22
2. DAITO TR CONSTR CO LTD ADR   2011-03-16 2011-06-22
16. DANONE SPONSORED ADR   2010-10-25 2011-06-22
10. FANUC LTD ADR   2010-06-03 2011-06-22
8. GLAXO WELLCOME PLC ADR   2009-10-29 2011-06-22
6. HONDA MOTOR NEW ADR   2011-03-16 2011-06-22
5. LVMH MOET HENNESSY LOUIS VUITTON ADR   2009-10-29 2011-06-22
1. MITSUBISHI ESTATE LTD ADR   2010-11-01 2011-06-22
7. NOVARTIS A G ADR   2010-02-01 2011-06-22
20. POOL CORP COM   2010-11-01 2011-06-22
3. POTASH CORP SASK INC   2010-12-16 2011-06-22
7. PRUDENTIAL PLC ADR   2007-12-12 2011-06-22
5. ROYAL DUTCH SHELL PLC-ADR A   2010-04-30 2011-06-22
13. SAMPO OYJ ADR   2010-11-01 2011-06-22
10. SANOFI-SYNTHELABO ADR   2005-12-02 2011-06-22
3. SAP AG SPONSORED ADR SAP AKTIENGESELLSCHAFT   2009-09-09 2011-06-22
13. TECHNE CORP   2011-01-07 2011-06-22
15. TELSTRA CORP LTD SPON ADR FINAL   2011-02-24 2011-06-22
48. TEMPUR-PEDIC INTL INC   2010-11-01 2011-06-22
6. TOTAL S A SPONSORED ADR   2009-10-29 2011-06-22
8. UNILEVER PLC-SPONSORED ADR   2009-10-29 2011-06-22
11. WM MORRISON SUPERMARKETS PLC ADR   2010-09-20 2011-06-22
56. XSTRATA PLC ADR   2011-01-05 2011-06-22
2. YAHOO JAPAN CORP ADR   2011-01-28 2011-06-22
14. UBS AG-NEW   2009-10-21 2011-06-22
15. AGILENT TECHNOLOGIES INC   2007-03-09 2011-06-24
4. CANON INC ADR REPRESENTING 5 SHARES   2004-08-11 2011-06-24
11. COCA COLA CO   2010-02-03 2011-06-24
27. COSTCO WHOLESALE CORP   2008-10-21 2011-06-24
15. DEVON ENERGY CORPORATION   2008-10-21 2011-06-24
15. ING GROEP NV ADR   2011-05-27 2011-06-24
30. IRON MOUNTAIN INC   2008-10-21 2011-06-24
4. JS GROUP CORP ADR   2011-03-14 2011-06-24
20. MICROSOFT CORP   2005-06-24 2011-06-24
15. OCCIDENTAL PETROLEUM CORP   2008-10-21 2011-06-24
20. PROGRESSIVE CORP   2010-09-29 2011-06-24
35. REXAM PLC SPONSORED ADR   2011-03-01 2011-06-24
35. SEALED AIR CORP NEW   2008-10-21 2011-06-24
20. TEXAS INSTRS INC   2008-10-21 2011-06-24
25. WELLS FARGO & CO NEW   2004-08-04 2011-06-24
753. LLOYDS TSB GROUP PLC SPON ADR   2010-11-08 2011-07-05
669. LLOYDS TSB GROUP PLC SPON ADR   2009-10-29 2011-07-05
20. AMERICAN EXPRESS CO   2010-05-17 2011-07-13
35. E M C CORP   2009-07-17 2011-07-13
120. ING GROEP NV ADR   2011-05-27 2011-07-13
105. ING GROEP NV ADR   2010-10-25 2011-07-13
5. INTUITIVE SURGICAL INC   2010-12-06 2011-07-13
20. VARIAN MEDICAL SYSTEMS INC   2009-07-17 2011-07-13
56. PROCTER & GAMBLE CO   2008-10-21 2011-07-20
150. PRUDENTIAL PLC ADR   2009-03-25 2011-07-20
9. HONDA MOTOR NEW ADR   2010-06-14 2011-08-04
26. HONDA MOTOR NEW ADR   2011-03-16 2011-08-04
15. SIEMENS AG ADR   2011-02-28 2011-08-04
27. WM MORRISON SUPERMARKETS PLC ADR   2010-09-20 2011-08-05
17. WM MORRISON SUPERMARKETS PLC ADR   2009-11-03 2011-08-05
45. JACOBS ENGR GROUP INC   2010-09-15 2011-08-09
100. JACOBS ENGR GROUP INC   2009-11-25 2011-08-09
5000. UNITED STATES TREASURY DTD 11/15/2010 2   2010-12-15 2011-08-09
45. VISA INC CL A   2010-05-19 2011-08-09
10000. U S TREAS NT 5.000% DUE 08/15/2011   2005-09-15 2011-08-15
63. WM MORRISON SUPERMARKETS PLC ADR   2010-11-01 2011-08-15
8. GOOGLE INC CL A   2010-04-28 2011-08-17
2. GOOGLE INC CL A   2010-11-12 2011-08-17
12. HONDA MOTOR NEW ADR   2010-11-26 2011-08-17
28. HONDA MOTOR NEW ADR   2010-11-26 2011-08-17
375. US BANCORP   2010-11-12 2011-08-23
200. DANONE SPONSORED ADR   2010-08-03 2011-08-26
20. GOLDMAN SACHS GROUP INC   2010-11-12 2011-09-06
61. GOLDMAN SACHS GROUP INC   2010-01-25 2011-09-06
10. GOLDMAN SACHS GROUP INC   2011-04-21 2011-09-06
32. ROYAL DUTCH SHELL PLC-ADR A   2010-11-05 2011-09-07
10000. FED HOME LN MTG 5.500% DUE 09/15/2011   2006-09-29 2011-09-15
20. AMAZON COM INC   2010-07-26 2011-09-19
5. APPLE COMPUTER INC   2009-07-17 2011-09-20
324. AIA GROUP LTD ADR   2011-03-09 2011-09-21
124. UBS AG-NEW   2010-11-01 2011-09-21
160. PFIZER INC   2010-02-16 2011-09-29
62. UBS AG-NEW   2010-11-01 2011-10-03
202. UBS AG-NEW   2009-10-29 2011-10-03
5000. MORGAN STANLEY 5.3% 03/01/2013   2008-04-24 2011-10-12
72. ADVISORY BOARD CO/THE   2010-11-01 2011-10-17
33. DAITO TR CONSTR CO LTD ADR   2010-10-06 2011-10-17
17. JS GROUP CORP ADR   2011-03-14 2011-10-17
70. SAMPO OYJ ADR   2010-11-01 2011-10-21
16. AMERICAN EXPRESS CO   2010-09-29 2011-11-01
9. AMERIPRISE FINL INC   2008-10-21 2011-11-01
7. ANHEUSER BUSCH INBEV SA/NV ADR   2010-11-01 2011-11-01
22. ASSA ABLOY AB ADR   2011-01-05 2011-11-01
19. ATLANTIA SPA ADR   2011-02-08 2011-11-01
3. BG GROUP PLC SPON ADR   2008-09-24 2011-11-01
10. BAYERISCHE MOTOREN WERKE A G ADR   2011-06-24 2011-11-01
4. BHP LIMITED SPONS ADR   2011-02-25 2011-11-01
4. BRITISH AMERN TOB PLC SPONSORED ADR   2009-10-29 2011-11-01
6. CVS CORPORATION (DEL)   2011-06-24 2011-11-01
22. CANADIAN NATURAL RESOURCES LTD ADR   2009-10-21 2011-11-01
4. CANON INC ADR REPRESENTING 5 SHARES   2010-11-01 2011-11-01
15. COSTCO WHOLESALE CORP   2008-10-21 2011-11-01
9. DAITO TR CONSTR CO LTD ADR   2010-10-06 2011-11-01
10. DANONE SPONSORED ADR   2010-10-25 2011-11-01
6. EXPRESS SCRIPTS INC CL A   2010-07-16 2011-11-01
11. FANUC LTD ADR   2010-09-21 2011-11-01
9. GLAXO WELLCOME PLC ADR   2009-10-29 2011-11-01
6. HONDA MOTOR NEW ADR   2010-11-01 2011-11-01
13. INFORMA PLC ADR   2011-02-02 2011-11-01
40. IRON MOUNTAIN INC   2008-10-21 2011-11-01
13. JOHNSON & JOHNSON   2010-04-27 2011-11-01
6. LVMH MOET HENNESSY LOUIS VUITTON ADR   2011-07-01 2011-11-01
6. LOEWS CORP   2007-10-23 2011-11-01
12. MERCK & CO INC NEW   2010-12-01 2011-11-01
1. MITSUBISHI ESTATE LTD ADR   2010-11-01 2011-11-01
6. NOVARTIS A G ADR   2010-11-01 2011-11-01
8. OCCIDENTAL PETROLEUM CORP   2008-10-21 2011-11-01
18. PFIZER INC   2010-09-29 2011-11-01
4. PHILIP MORRIS INTL INC   2004-08-04 2011-11-01
18. PROGRESSIVE CORP   2010-09-29 2011-11-01
10. PRUDENTIAL PLC ADR   2010-11-01 2011-11-01
6. REXAM PLC SPONSORED ADR   2011-03-01 2011-11-01
6. ROGERS COMMUNICATIONS INC CLASS B   2010-03-01 2011-11-01
3. ROYAL DUTCH SHELL PLC-ADR A   2010-04-30 2011-11-01
5. RYANAIR HLDGS PLC SPON ADR   2011-06-29 2011-11-01
12. SANOFI-SYNTHELABO ADR   2010-11-05 2011-11-01
5. SAP AG SPONSORED ADR SAP AKTIENGESELLSCHAFT   2009-09-09 2011-11-01
7. SEALED AIR CORP NEW   2008-10-21 2011-11-01
2. SIEMENS AG ADR   2011-02-28 2011-11-01
52. SUMITOMO MITSUI FIN-UNSP ADR SPONSORED A   2010-11-01 2011-11-01
11. TECHNIP COFLEXIP ADR   2010-10-28 2011-11-01
19. TELSTRA CORP LTD SPON ADR FINAL   2011-08-12 2011-11-01
4. TOTAL S A SPONSORED ADR   2010-11-01 2011-11-01
19. TULLOW OIL PLC ADR   2010-03-25 2011-11-01
9. UNILEVER PLC-SPONSORED ADR   2005-12-02 2011-11-01
9. VODAFONE GROUP PLC ADR   2011-01-05 2011-11-01
6. WM MORRISON SUPERMARKETS PLC ADR   2009-11-03 2011-11-01
79. XSTRATA PLC ADR   2011-01-05 2011-11-01
21. XSTRATA PLC ADR   2010-11-01 2011-11-01
22. YAHOO JAPAN CORP ADR   2011-01-28 2011-11-01
17. AMERICAN EXPRESS CO   2010-07-26 2011-11-02
10. AMERICAN EXPRESS CO   2008-10-21 2011-11-02
5000. AMERICAN EXPRESS CO NT 4.875% 07/15/2013   2005-11-08 2011-11-02
4. ANHEUSER BUSCH INBEV SA/NV ADR   2010-11-22 2011-11-02
2. APPLE COMPUTER INC   2009-07-17 2011-11-02
9. BNP PARIBAS ADR   2010-11-08 2011-11-02
5000. BP CAPITAL MARKETS PLC GTD NT 3.875% 03/   2009-11-05 2011-11-02
10. BANK NEW YORK MELLON CORP   2011-04-08 2011-11-02
6000. BANK OF NEW YORK CO 4.3% 05/15/2014   2010-08-06 2011-11-02
15. BERKSHIRE HATHAWAY CL B   2011-02-04 2011-11-02
2. BHP LIMITED SPONS ADR   2011-02-25 2011-11-02
5000. BOTTLING GROUP LLC 4.625% 11/15/2012   2007-02-09 2011-11-02
2. BRITISH AMERN TOB PLC SPONSORED ADR   2010-11-01 2011-11-02
10. CVS CORPORATION (DEL)   2011-06-24 2011-11-02
10. CANADIAN NATURAL RESOURCES LTD ADR   2009-10-21 2011-11-02
5. COCA COLA CO   2010-09-29 2011-11-02
5000. COCA COLA CO 4.875% 03/15/2019   2009-03-04 2011-11-02
5. COSTCO WHOLESALE CORP   2008-10-21 2011-11-02
10. DEVON ENERGY CORPORATION   2008-10-21 2011-11-02
5000. DISNEY WALT CO 4.7% 12/01/2012   2007-12-17 2011-11-02
15. EOG RESOURCES INC   2010-09-29 2011-11-02
20. EXPRESS SCRIPTS INC CL A   2010-11-12 2011-11-02
4. EXPRESS SCRIPTS INC CL A   2010-07-16 2011-11-02
10000. FEDERAL HOME LN MTG CORP 4.5% 01/15/2015   2010-08-25 2011-11-02
5000. FEDERAL NATL MTG ASSN 5% 02/16/2012   2010-02-16 2011-11-02
10000. FEDERAL NATL MTG ASSN 4.625% 10/15/2013   2008-07-25 2011-11-02
10000. FEDERAL NATL MTG ASSN 4.75% 11/19/2012   2007-11-16 2011-11-02
10000. GENERAL ELEC CAP CORP 5.875% DUE 02/15/2012   2007-07-05 2011-11-02
25. GILEAD SCIENCES INC   2009-07-17 2011-11-02
4. GLAXO WELLCOME PLC ADR   2009-10-29 2011-11-02
5000. GOLDMAN SACHS 6.6% 01/15/2012   2007-09-27 2011-11-02
4. GRUPO TELEVISA GDR SA DE CV SPD ADR 1 GRD REPSTG 2 ORD PARTN CTF   2010-09-29 2011-11-02
26. ING GROEP NV ADR   2010-11-10 2011-11-02
5000. IBM CORP 4.75% 11/29/2012   2007-07-31 2011-11-02
2. INTUITIVE SURGICAL INC   2010-12-06 2011-11-02
5000. JPMORGAN CHASE & CO 4.75% 03/01/2015   2009-11-06 2011-11-02
4. JS GROUP CORP ADR   2011-03-09 2011-11-02
4. LOCKHEED MARTIN CORP   2010-11-11 2011-11-02
10. LOEWS CORP   2007-11-09 2011-11-02
5000. MCDONALDS CORP 5.35% 03/01/2018   2009-01-15 2011-11-02
6. MERCK KGAA ADR   2011-04-26 2011-11-02
5. MERCK & CO INC NEW   2010-12-01 2011-11-02
4. MICROSOFT CORP   2005-06-24 2011-11-02
15. NATIONAL-OILWELL INC   2011-09-22 2011-11-02
3. NOVARTIS A G ADR   2011-08-08 2011-11-02
10. OCCIDENTAL PETROLEUM CORP   2008-10-21 2011-11-02
9000. ORACLE CORPORATION 5.75% 04/15/2018   2008-05-15 2011-11-02
5000. ORACLE CORPORATION 4.95% 04/15/2013   2010-11-01 2011-11-02
5000. PFIZER INC 5.35% 03/15/2015   2010-01-27 2011-11-02
3. POTASH CORP SASK INC   2011-08-16 2011-11-02
7. PROGRESSIVE CORP   2008-10-21 2011-11-02
2. ROYAL DUTCH SHELL PLC-ADR A   2010-11-01 2011-11-02
13. SAMPO OYJ ADR   2011-01-05 2011-11-02
6. SANOFI-SYNTHELABO ADR   2010-11-05 2011-11-02
3. SAP AG SPONSORED ADR SAP AKTIENGESELLSCHAFT   2010-11-01 2011-11-02
7. SEALED AIR CORP NEW   2008-10-21 2011-11-02
15. SWEDBANK A B ADR   2011-04-08 2011-11-02
5000. SYSCO 5.25% 02/12/2018   2008-02-08 2011-11-02
9. TELSTRA CORP LTD SPON ADR FINAL   2011-08-12 2011-11-02
5. UNILEVER PLC-SPONSORED ADR   2010-11-01 2011-11-02
5000. U S BANCORP MEDIUM TERM 4.2% 05/15/2014   2011-08-23 2011-11-02
10000. U S TREAS NTS 4.375% DUE 08/15/2012   2011-08-16 2011-11-02
5000. UNITED STATES TREASURY 4.25% 08/15/2014   2009-12-15 2011-11-02
5000. UNITED STATES TREAS NTS 4.25% 11/15/2014   2008-05-30 2011-11-02
7000. UNITED STATES TREAS NTS 4.25% 11/15/2017   2010-09-16 2011-11-02
5000. UNITED STATES TREASURY 3.125% 09/30/201   2011-03-04 2011-11-02
5000. UNITED STATES TREAS NTS 1.75% 11/15/2011   2009-07-28 2011-11-02
9000. UNITED STATES TREASURY 3.125% 05/15/201   2011-10-14 2011-11-02
5000. UNITED STATES TREAS NTS 2.625% 04/30/201   2010-11-24 2011-11-02
5000. UNITED STATES TREAS NTS 2.625% 04/30/201   2009-05-01 2011-11-02
5000. UNITED STATES TREASURY 3.625% 08/15/201   2009-12-23 2011-11-02
5000. UNITED STATES TREAS NTS 1% 04/30/2012   2011-09-20 2011-11-02
5000. UNITED STATES TREAS NTS 1.375% 05/15/201   2011-05-16 2011-11-02
2000. UNITED STATES TREASURY DTD 11/15/2010 2   2010-12-15 2011-11-02
7. VALEO ADR   2011-06-29 2011-11-02
8. VISA INC CL A   2010-07-29 2011-11-02
7000. WALGREEN CO 5.25% 01/15/2019   2010-12-03 2011-11-02
7. WELLS FARGO & CO NEW   2004-08-04 2011-11-02
152. ATLANTIA SPA ADR   2011-02-14 2011-11-11
3. NOVO NORDISK A S ADR   2011-01-05 2011-12-22
21. NOVO NORDISK A S ADR   2010-11-01 2011-12-22
2. BHP LIMITED SPONS ADR   2011-02-25 2011-12-30
2. BRITISH AMERN TOB PLC SPONSORED ADR   2010-11-01 2011-12-30
3. BRITISH SKY BROADCASTING GROUP ADR   2011-10-24 2011-12-30
4. CANON INC ADR REPRESENTING 5 SHARES   2010-11-01 2011-12-30
9. DAITO TR CONSTR CO LTD ADR   2010-10-06 2011-12-30
3. GLAXO WELLCOME PLC ADR   2009-10-29 2011-12-30
5. HONDA MOTOR NEW ADR   2010-09-21 2011-12-30
13. INFORMA PLC ADR   2011-02-02 2011-12-30
23. JULIUS BAER GROUP LTD ADR   2011-07-01 2011-12-30
5. LVMH MOET HENNESSY LOUIS VUITTON ADR   2011-07-01 2011-12-30
3. NOVARTIS A G ADR   2010-11-01 2011-12-30
9. PRUDENTIAL PLC ADR   2010-09-29 2011-12-30
6. REXAM PLC SPONSORED ADR   2011-03-01 2011-12-30
6. RYANAIR HLDGS PLC SPON ADR   2011-06-29 2011-12-30
4. SANOFI-SYNTHELABO ADR   2005-12-02 2011-12-30
3. SAP AG SPONSORED ADR SAP AKTIENGESELLSCHAFT   2011-11-28 2011-12-30
29. SUMITOMO MITSUI FIN-UNSP ADR SPONSORED A   2006-04-10 2011-12-30
8. TELSTRA CORP LTD SPON ADR FINAL   2010-11-29 2011-12-30
4. UNILEVER PLC-SPONSORED ADR   2010-11-01 2011-12-30
6. WM MORRISON SUPERMARKETS PLC ADR   2009-11-03 2011-12-30
46. WOLSELEY PLC JERSEY ADR   2011-10-20 2011-12-30
72. XSTRATA PLC ADR   2011-10-27 2011-12-30
18. YAHOO JAPAN CORP ADR   2011-01-28 2011-12-30
(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 756   760 -4
b 937   941 -4
c 533   567 -34
d 1,084   1,474 -390
e 197   228 -31
366   365 1
205   193 12
362   395 -33
1,078   3,643 -2,565
733   734 -1
696   737 -41
3,662   3,523 139
1,980   1,737 243
3,427   3,427  
6,120   4,762 1,358
1,511   767 744
3,202   1,811 1,391
1,248   1,249 -1
651   676 -25
1,586   1,105 481
3,279   3,226 53
1,012   1,014 -2
3,705   5,310 -1,605
5,423   4,789 634
2,871   2,904 -33
1,678   1,351 327
3,103   2,800 303
477   515 -38
1,175   1,272 -97
249   261 -12
2,959   2,335 624
2,498   2,303 195
1,367   1,296 71
258   249 9
3,031   2,757 274
1,419   1,406 13
5,000   5,271 -271
4,112   3,433 679
1,204   1,205 -1
3,770   3,226 544
4,389   4,536 -147
2,979   2,014 965
2,338   1,910 428
2,082   1,969 113
2,446   2,228 218
1,930   2,049 -119
2,689   2,615 74
877   769 108
2,192   1,623 569
970   731 239
5,521   4,049 1,472
2,050   1,697 353
1,940   1,662 278
2,051   2,219 -168
864   718 146
773   670 103
7,005   6,424 581
1,863   981 882
2,770   1,203 1,567
6,867   5,600 1,267
1,837   1,750 87
5,000   5,057 -57
1,095   1,106 -11
922   1,038 -116
3,978   2,300 1,678
2,634   1,511 1,123
5   5  
285   314 -29
244   274 -30
156   163 -7
270   283 -13
188   172 16
271   279 -8
260   194 66
1,142   932 210
165   144 21
240   207 33
260   175 85
333   332 1
221   231 -10
170   106 64
168   176 -8
425   378 47
573   404 169
161   139 22
161   206 -45
351   314 37
206   182 24
381   414 -33
184   148 36
1,031   862 169
241   211 30
3,129   1,655 1,474
334   375 -41
256   245 11
259   265 -6
232   256 -24
222   254 -32
255   265 -10
731   475 256
187   123 64
717   603 114
2,152   1,545 607
1,161   1,125 36
166   179 -13
982   679 303
197   201 -4
486   505 -19
1,491   730 761
413   419 -6
1,039   1,057 -18
788   692 96
635   330 305
678   711 -33
2,344   3,348 -1,004
2,083   4,052 -1,969
1,051   820 231
951   485 466
1,293   1,433 -140
1,132   1,196 -64
1,810   1,352 458
1,422   655 767
3,600   3,545 55
3,257   2,385 872
337   265 72
974   1,002 -28
1,674   2,021 -347
635   650 -15
400   400  
1,501   1,636 -135
3,337   3,656 -319
5,119   4,670 449
3,556   3,295 261
10,000   10,517 -517
1,447   1,469 -22
4,275   3,934 341
1,069   1,211 -142
399   443 -44
930   1,014 -84
7,688   8,551 -863
2,628   2,381 247
2,088   3,315 -1,227
6,367   7,922 -1,555
1,044   1,540 -496
2,083   2,149 -66
10,000   10,275 -275
4,726   2,331 2,395
2,089   758 1,331
3,888   3,964 -76
1,430   2,062 -632
2,880   2,938 -58
681   1,030 -349
2,219   3,719 -1,500
5,006   4,936 70
4,620   3,342 1,278
766   518 248
729   846 -117
935   979 -44
791   536 255
395   235 160
383   439 -56
259   317 -58
137   207 -70
317   326 -9
255   312 -57
302   372 -70
364   258 106
212   219 -7
731   812 -81
180   182 -2
1,250   858 392
199   141 58
134   129 5
263   284 -21
287   227 60
396   373 23
181   206 -25
148   184 -36
1,197   905 292
824   838 -14
188   216 -28
230   298 -68
413   418 -5
167   176 -9
332   345 -13
711   390 321
351   298 53
274   100 174
335   307 28
194   200 -6
160   181 -21
215   204 11
207   188 19
140   146 -6
412   431 -19
294   247 47
121   138 -17
202   269 -67
282   303 -21
242   227 15
301   299 2
201   217 -16
203   181 22
297   174 123
247   248 -1
143   141 2
241   362 -121
64   83 -19
225   279 -54
854   769 85
505   257 248
5,271   4,904 367
217   244 -27
795   303 492
182   341 -159
5,358   5,195 163
209   302 -93
6,491   6,543 -52
1,158   1,241 -83
154   186 -32
5,198   4,841 357
182   153 29
360   365 -5
343   369 -26
340   292 48
5,792   4,954 838
422   286 136
653   750 -97
5,219   4,989 230
1,429   1,377 52
879   1,043 -164
177   189 -12
11,215   10,440 775
5,070   5,397 -327
10,825   10,217 608
10,473   10,172 301
10,133   10,108 25
1,025   1,197 -172
173   166 7
5,046   5,246 -200
85   75 10
201   292 -91
5,223   4,829 394
858   541 317
5,352   5,269 83
174   194 -20
300   280 20
391   463 -72
5,971   5,335 636
191   202 -11
171   174 -3
104   101 3
1,047   811 236
166   168 -2
926   487 439
10,887   9,104 1,783
5,324   5,517 -193
5,699   5,572 127
140   165 -25
131   98 33
138   131 7
170   174 -4
206   216 -10
181   154 27
124   138 -14
202   277 -75
5,876   5,077 799
143   142 1
165   144 21
5,385   5,393 -8
10,331   10,421 -90
5,542   5,467 75
5,582   5,196 386
8,262   7,966 296
5,277   5,272 5
5,003   5,057 -54
10,012   9,832 180
5,417   5,245 172
5,417   4,970 447
5,746   4,957 789
5,023   5,029 -6
5,090   5,081 9
2,128   1,868 260
168   236 -68
733   572 161
8,267   7,975 292
177   199 -22
1,093   1,651 -558
334   347 -13
2,337   1,787 550
142   186 -44
190   153 37
136   141 -5
177   182 -5
191   141 50
137   124 13
153   176 -23
144   184 -40
179   191 -12
142   180 -38
172   172  
178   181 -3
163   181 -18
167   175 -8
147   166 -19
159   170 -11
160   682 -522
136   110 26
134   116 18
151   141 10
150   130 20
213   254 -41
191   229 -38
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       -4
b       -4
c       -34
d       -390
e       -31
      1
      12
      -33
      -2,565
      -1
      -41
      139
      243
       
      1,358
      744
      1,391
      -1
      -25
      481
      53
      -2
      -1,605
      634
      -33
      327
      303
      -38
      -97
      -12
      624
      195
      71
      9
      274
      13
      -271
      679
      -1
      544
      -147
      965
      428
      113
      218
      -119
      74
      108
      569
      239
      1,472
      353
      278
      -168
      146
      103
      581
      882
      1,567
      1,267
      87
      -57
      -11
      -116
      1,678
      1,123
       
      -29
      -30
      -7
      -13
      16
      -8
      66
      210
      21
      33
      85
      1
      -10
      64
      -8
      47
      169
      22
      -45
      37
      24
      -33
      36
      169
      30
      1,474
      -41
      11
      -6
      -24
      -32
      -10
      256
      64
      114
      607
      36
      -13
      303
      -4
      -19
      761
      -6
      -18
      96
      305
      -33
      -1,004
      -1,969
      231
      466
      -140
      -64
      458
      767
      55
      872
      72
      -28
      -347
      -15
       
      -135
      -319
      449
      261
      -517
      -22
      341
      -142
      -44
      -84
      -863
      247
      -1,227
      -1,555
      -496
      -66
      -275
      2,395
      1,331
      -76
      -632
      -58
      -349
      -1,500
      70
      1,278
      248
      -117
      -44
      255
      160
      -56
      -58
      -70
      -9
      -57
      -70
      106
      -7
      -81
      -2
      392
      58
      5
      -21
      60
      23
      -25
      -36
      292
      -14
      -28
      -68
      -5
      -9
      -13
      321
      53
      174
      28
      -6
      -21
      11
      19
      -6
      -19
      47
      -17
      -67
      -21
      15
      2
      -16
      22
      123
      -1
      2
      -121
      -19
      -54
      85
      248
      367
      -27
      492
      -159
      163
      -93
      -52
      -83
      -32
      357
      29
      -5
      -26
      48
      838
      136
      -97
      230
      52
      -164
      -12
      775
      -327
      608
      301
      25
      -172
      7
      -200
      10
      -91
      394
      317
      83
      -20
      20
      -72
      636
      -11
      -3
      3
      236
      -2
      439
      1,783
      -193
      127
      -25
      33
      7
      -4
      -10
      27
      -14
      -75
      799
      1
      21
      -8
      -90
      75
      386
      296
      5
      -54
      180
      172
      447
      789
      -6
      9
      260
      -68
      161
      292
      -22
      -558
      -13
      550
      -44
      37
      -5
      -5
      50
      13
      -23
      -40
      -12
      -38
       
      -3
      -18
      -8
      -19
      -11
      -522
      26
      18
      10
      20
      -41
      -38
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 28,495
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 38,550 1,084,318 0.035552
2009 60,338 1,001,073 0.060273
2008 87,041 1,299,620 0.066974
2007 65,330 1,514,770 0.043129
2006 66,570 1,439,570 0.046243
2 Total of line 1, column (d) ...................... 2 0.252171
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 0.050434
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 1,134,375
5 Multiply line 4 by line 3....................... 5 57,211
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 212
7 Add lines 5 and 6......................... 7 57,423
8 Enter qualifying distributions from Part XII, line 4.............. 8 55,330
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 1 423
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 423
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 423
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 248
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 172
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 420
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 3
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet   Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletNC
    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 ofbulletCOMERICA BANK Telephone no.bullet (877) 405-1091
    Located atbullet101 NORTH MAIN STREETANN ARBORMI ZIP+4bullet48104
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2011?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2011.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2011?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    G ALLEN IVES DIRECTOR
    1
    3,000    
    411 SHADY CIRCLE DR
    ROCKY MOUNT,NC27803
    LOU UZZLE BLACKMAN DIRECTOR
    1
    3,000    
    19 A GLENMORE DR
    DUNHAM,NC27707
    WILLIAM R JOHNSTON JR DIRECTOR
    1
    3,000    
    3332 WHITEOAK RD
    RELEIGH,NC27609
    THOMAS A BETTS JR DIRECTOR
    1
    3,000    
    PO 1220 ROCKY MOUNT
    ROCKY MOUNT,NC27802
    COMERICA BANK CO- TRUSTEE
    1
    7,633    
    PO BOX 75000 M/C 3302
    DETROIT,MI482753302
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,104,753
    b
    Average of monthly cash balances.......................
    1b
    46,897
    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
    1,151,650
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,151,650
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    17,275
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,134,375
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    56,719
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    56,719
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    423
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    423
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    56,296
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    56,296
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    56,296
    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
    55,330
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    55,330
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    55,330
    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 56,296
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 0
    b Total for prior years:2009, 20, 20 0
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 0
    b From 2007....... 0
    c From 2008....... 3,731
    d From 2009....... 10,379
    e From 2010....... 0
    fTotal of lines 3a through e......... 14,110
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 55,330
    a Applied to 2010, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
    0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
    0
    d Applied to 2011 distributable amount..... 55,330
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2011. 966 966
    (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 13,144
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
    0
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
    0
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    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) ...........
    0
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    0
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......
    13,144
    10 Analysis of line 9:
    a Excess from 2007.... 0
    b Excess from 2008.... 2,765
    c Excess from 2009.... 10,379
    d Excess from 2010.... 0
    e Excess from 2011.... 0
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2011, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2011 (b) 2010 (c) 2009 (d) 2008
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    SHARON STEPHENS
    130 S FRANKLIN RD
    ROCKY MOUNT,NC27802
    (252) 467-4743
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER FORM
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ORGANIZATIONS LOCATED IN THE EASTERN PORTION OF NORTH CAROLINA PREFERABLY IN THE CITY OF ROCKY MOUNT.
    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
    ALDERT ROOT ELEMENTARY SCHOOL
    3202 NORTHAMPTON STREET
    RALIEGH,NC27609
    NONE EXEMPT SUPPORT 5,000
    NASH COMMUNITY COLLEGE
    522 N OLD CARRIAGE RD
    ROCKY MOUNT,NC27804
    NONE EXEMPT NURSING SCHOLARSHIP 10,000
    NORTH CAROLINA WESLEYAN COLLEGE
    3400 N WESLEYAN BLVD
    ROCKY MOUNT,NC27804
    NONE EXEMPT SUPPORT 37,500
    ALDH
    3027 SUNSET AVENUE
    ROCKY MOUNT,NC27804
    NONE EXEMPT SUPPORT 2,000
    Total .................................bullet 3a 54,500
    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 6  
    4 Dividends and interest from securities....     14 28,823  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 28,495  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aOTHER REVENUE     14 10  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   57,334  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1357,334
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







    Firm's EINbullet
    Phone no.
    Form 990-PF (2011)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    ALLAN C & MARGARET L MIMS CHARITABLE TR
    EIN: 56-6207750
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 227,400 226,782

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    ALLAN C & MARGARET L MIMS CHARITABLE TR
    EIN: 56-6207750
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK 720,816 829,183

    TY 2011 OtherIncreasesSchedule
    Name:
    ALLAN C & MARGARET L MIMS CHARITABLE TR
    EIN: 56-6207750
    Description Amount
    DIFFERENCE BETWEEN TAXABLE INCOME AND ACCOUNTING INCOME 663