-
TIN:
Form
990-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
20
11
For calendar year 2011, or tax year beginning
01-01-2011
, and ending
12-31-2011
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
Name of foundation
ADA L AND ALBERT M WIBEL FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state, and ZIP code
WILSON
,
NC
278942907
A Employer identification number
20-6966139
B
Telephone number (see page 10 of the instructions)
(703) 383-5000
C
If exemption application is pending, check here
D 1.
Foreign organizations, check here .
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
2.
Foreign organizations meeting the 85% test,
check here and attach computation
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
6,211,226
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
E
If private foundation status was terminated
under section 507(b)(1)(A), check here
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here
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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
3
Interest on savings and temporary cash investments
38,938
38,938
4
Dividends and interest from securities
......
142,769
142,769
5a
Gross rents
..............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
206,556
b
Gross sales price for all assets on line 6a
3,469,263
7
Capital gain net income (from Part IV, line 2)
...
206,556
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)
.......
515
515
12
Total.
Add lines 1 through 11
........
388,778
388,778
13
Compensation of officers, directors, trustees, etc.
82,734
82,734
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
59
59
17
Interest
...............
0
18
Taxes (attach schedule) (see page 14 of the instructions)
5,799
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)
.......
455
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
89,047
82,734
0
59
25
Contributions, gifts, grants paid
........
360,000
360,000
26
Total expenses and disbursements.
Add lines 24 and 25
449,047
82,734
0
360,059
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-60,269
b
Net investment income
(if negative, enter -0-)
306,044
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
1
Cash—non-interest-bearing
...............
2
Savings and temporary cash investments
..........
7,032
84,834
84,834
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
...............
9
Prepaid expenses and deferred charges
...........
10a
Investments—U.S. and state government obligations (attach schedule)
650,532
647,188
688,562
b
Investments—corporate stock (attach schedule)
........
4,108,815
4,219,843
4,241,541
c
Investments—corporate bonds (attach schedule)
........
1,348,091
1,102,338
1,196,289
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
..............
13
Investments—other (attach schedule)
...........
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
6,114,470
6,054,203
6,211,226
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
)
23
Total liabilities
(add lines 17 through 22)
..........
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
....................
25
Temporarily restricted
................
26
Permanently restricted
................
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
.........
6,114,470
6,054,203
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)
....................
6,114,470
6,054,203
31
Total liabilities and net assets/fund balances
(see page 17 of
the instructions)
..................
6,114,470
6,054,203
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
6,114,470
2
Enter amount from Part I, line 27a
.....................
2
-60,269
3
Other increases not included in line 2 (itemize)
3
2
4
Add lines 1, 2, and 3
..........................
4
6,054,203
5
Decreases not included in line 2 (itemize)
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
6,054,203
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
100000. US TREASURY 5% DUE 2/15/2011
2006-12-18
2011-02-15
b
1802. BANCO BRADESCO S A
2011-02-18
c
.5 APERAM
2010-03-18
2011-02-22
d
2430. KING PHARMACEUTICUALS INC COMMON
2010-11-03
2011-03-01
e
20. APERAM
2010-03-18
2011-03-22
850. AVERY DENNISON CORP. COMMON
2011-03-22
400. BAXTER INTERNATIONAL INCORPORATED
2009-06-22
2011-03-22
1210. BRISTOL MYERS SQUIBB COMPANY
2010-08-18
2011-03-22
500. CVS CORP COMMON
2008-10-29
2011-03-22
990. CHART INDUSTRIES INC COMMON
2010-03-18
2011-03-22
560. COCA COLA COMPANY
2010-11-03
2011-03-22
200. CONOCOPHILLIPS COM
2011-03-22
110. E ON AG SPONSORED ADR
2010-03-18
2011-03-22
250. INTEL CORPORATION
2007-02-13
2011-03-22
1380. MI DEVELOPMENTS INC
2010-03-18
2011-03-22
325. PALL CORPORATION COMMON
2008-12-10
2011-03-22
750. STATE STR CORP
2010-01-05
2011-03-22
1070. VERIZON COMMUNICATIONS INC
2010-08-18
2011-03-22
1710. MARVELL TECHNOLOGY GROUP LTDORD
2010-06-17
2011-03-22
.82 FIRST ENERGY CORP
2010-11-03
2011-04-05
100000. FED NATL MTG ASSN DTD 04/21/06 5.125% 04
2007-02-07
2011-04-15
3160. DOLE FOOD COMPANY INC COMMON
2010-08-18
2011-05-04
2930. JANUS CAPITAL GROUP INC COMMON
2011-03-22
2011-05-04
300. PALL CORPORATION COMMON
2009-06-22
2011-05-04
1980. PFIZER INCORPORATED
2010-03-18
2011-05-04
720. VIACOM INC NEW CL B
2009-07-13
2011-05-04
560. GENZYME CORPORATION
2009-07-13
2011-06-01
150000. FED FARM CREDIT BANK DTD 06/27/06 5.375%
2007-01-25
2011-07-18
280. ALLIANCE DATA SYSTEMS COMMON
2009-07-13
2011-07-19
1590. GRUPO FIN BANORTE SPON ADR
2010-11-03
2011-07-19
440. LOCKHEED MARTIN CORP
2010-01-05
2011-07-19
2080. LOGITECH INTERNATIONAL S.A.
2010-08-18
2011-07-19
430. AON CORPORATION COMMON
2011-03-22
2011-08-31
1900. ABB LTD SPONSORED ADR
2008-12-10
2011-10-13
400. ABBOTT LABORATORIES
2011-10-13
1700. ADIDAS AG
2009-07-13
2011-10-13
1390. ADMIRAL GROUP PLC
2011-03-22
2011-10-13
1150. ADOBE SYS INC
2010-08-18
2011-10-13
820. AMERICAN EXPRESS COMPANY
2010-11-03
2011-10-13
2000. ANNALY CAPITAL MANAGEMENT COMMON
2010-04-12
2011-10-13
340. APACHE CORPORATION COMMON
2010-11-03
2011-10-13
2160. ARM HOLDINGS PLC -SPONS ADR
2010-08-18
2011-10-13
1802. BANCO BRADESCO S A
2010-01-05
2011-10-13
2240. BANCO SANTANDER CENT HISPANO SA ADR
2009-07-30
2011-10-13
1820. BARCLAYS PLC ADR
2010-01-05
2011-10-13
520. BHP BILLITON LIMITED
2009-07-30
2011-10-13
1480. CA INC COMMON
2009-07-30
2011-10-13
530. CANADIAN NATL RY CO
2010-11-03
2011-10-13
950. CARNIVAL CORP PAIRED CTF 1 COM
2011-05-04
2011-10-13
720. CHART INDUSTRIES INC COMMON
2010-03-18
2011-10-13
375. CHEVRON TEXACO CORP COMMON
2008-12-10
2011-10-13
300. CONOCOPHILLIPS COM
2011-10-13
1550. CORNING INCORPORATED
2008-12-10
2011-10-13
2670. DELL INC
2010-08-18
2011-10-13
1330. FIDELITY NATIONAL INFORMATION SERVICES I
2009-07-30
2011-10-13
973. FIRST ENERGY CORP
2010-11-03
2011-10-13
1190. FOREST OIL CORP
2009-07-13
2011-10-13
490. GENERAL DYNAMICS
2010-01-05
2011-10-13
750. HEWLETT PACKARD COMPANY
2009-07-30
2011-10-13
1475. INTEL CORPORATION
2011-10-13
270. INTERNATIONAL BUSINESS MACHINES CORP
2009-07-30
2011-10-13
4070. INTERPUBLIC GROUP
2010-06-17
2011-10-13
590. JGC CORPORATION
2011-07-19
2011-10-13
840. KB FINANCIAL GROUP INC COMMON
2009-07-13
2011-10-13
1075. KRAFT FOODS INC-A COMMON
2011-10-13
1600. L'OREAL SA ADR
2010-08-18
2011-10-13
480. L 3 COMMUNICATIONS HOLDINGS INC COMMON
2010-11-03
2011-10-13
1770. LAKELAND FINANCIAL CORP
2010-11-03
2011-10-13
1729.967 LAZARD EMERGING MKTS PORTFOLIO INST CLAS
2009-07-13
2011-10-13
1340. LEUCADIA NATIONAL CORP COMMON
2009-07-30
2011-10-13
728. LONE PINE RESOURCES INC COMMON
2009-07-13
2011-10-13
1280. MI DEVELOPMENTS INC
2010-03-18
2011-10-13
2500. MERIT MEDICAL SUSTEM INC COMMON
2010-06-17
2011-10-13
1120. MORGAN STANLEY DEAN WITTER DIS CO
2010-03-18
2011-10-13
1700. MTN GROUP LTD ADR
2011-07-19
2011-10-13
520. NESTLE SA ADR
2010-01-05
2011-10-13
860. NINTENDO LTD
2009-07-13
2011-10-13
650. NOVARTIS AG
2010-04-12
2011-10-13
590. LUKOIL COMMON
2010-03-18
2011-10-13
750. OMNICOM GROUP INCORPORATED
2011-05-04
2011-10-13
1850. ORACLE SYSTEM CORPORATION
2008-12-10
2011-10-13
850. ROCHE HOLDING LTD ADR
2010-04-12
2011-10-13
2000. SALLY BEAUTY COMPANY INC COMMON
2011-07-19
2011-10-13
1090. UTILITIES SELECT SECTOR SPDR FUND
2010-06-17
2011-10-13
2730. SOUTHWEST BANCORP INC/OKLA COMMON
2009-08-17
2011-10-13
2090. STAPLES INC COMMON
2011-05-04
2011-10-13
1580. SUPERIOR ENERGY SVCS INC
2010-03-18
2011-10-13
2310. TTM TECHNOLOGIES INC COMMON
2011-07-19
2011-10-13
760. TECK CORPORATION CL B COMMON
2010-11-03
2011-10-13
610. TEVA PHARMACEUTICAL INDS LTD ADR
2010-06-17
2011-10-13
670. THERMO ELECTRON COMMON
2011-03-22
2011-10-13
700. TORO COMPANY COMMON
2010-03-18
2011-10-13
660. FINA S A SPONSORED
2010-06-17
2011-10-13
500. THE TRAVELERS COMPANIES INC.
2008-10-29
2011-10-13
800. UNILEVER PLC-SPONSORED ADR
2009-06-22
2011-10-13
1100. UNILEVER N V NY SHS NEW F
2011-05-04
2011-10-13
1660. UNIVERSAL TECHNICAL INSTITUTE INC COMMON
2010-01-05
2011-10-13
1200. VODAFONE GROUP PLC NEW SP ADR
2009-06-22
2011-10-13
820. WMS INDUSTRIES INC COMMON
2010-03-18
2011-10-13
630. WAL MART STORES INCORPORATED
2010-04-12
2011-10-13
400. WELLPOINT INC
2008-12-10
2011-10-13
270. WESTPAC BANKING LTD COM
2010-03-18
2011-10-13
3430. XEROX CORPORATION
2010-03-18
2011-10-13
810. COVIDIEN PLC
2009-07-30
2011-10-13
1160. WILLIS GROUP HOLDINGS
2009-07-30
2011-10-13
930. TYCO INTERNATIONAL LTD
2010-03-18
2011-10-13
.857 LONE PINE RESOURCES INC COMMON
2009-07-13
2011-10-21
50000. FED HOME LOAN MTG CORP DTD 10/21/09 1.12
2010-03-22
2011-12-15
(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
100,000
101,805
-1,805
b
175
175
c
21
23
-2
d
34,628
34,506
122
e
781
911
-130
35,261
27,310
7,951
21,072
20,248
824
31,872
31,962
-90
16,738
13,385
3,353
48,167
19,974
28,193
35,610
34,692
918
15,456
13,743
1,713
3,285
3,980
-695
5,030
5,235
-205
38,249
18,027
20,222
18,419
9,179
9,240
32,752
33,337
-585
39,432
32,388
7,044
26,573
32,859
-6,286
30
29
1
100,000
100,548
-548
44,774
31,877
12,897
33,992
35,189
-1,197
16,881
7,596
9,285
40,747
34,213
6,534
36,266
14,838
21,428
42,758
30,698
12,060
150,000
151,582
-1,582
27,291
10,561
16,730
35,727
35,028
699
34,302
34,066
236
20,932
32,340
-11,408
20,180
22,221
-2,041
36,391
26,005
10,386
20,832
21,250
-418
57,983
30,651
27,332
27,063
36,668
-9,605
29,413
32,488
-3,075
37,931
34,848
3,083
31,480
34,660
-3,180
29,065
35,054
-5,989
60,804
32,124
28,680
29,700
32,891
-3,191
18,561
31,472
-12,911
19,812
34,998
-15,186
39,168
32,590
6,578
31,392
31,661
-269
37,759
34,742
3,017
31,490
37,069
-5,579
36,319
14,526
21,793
36,324
29,591
6,733
19,901
20,044
-143
20,730
13,779
6,951
43,629
32,872
10,757
34,020
31,441
2,579
42,369
34,462
7,907
13,556
10,749
2,807
30,142
34,050
-3,908
19,063
32,325
-13,262
34,258
30,086
4,172
50,467
32,103
18,364
32,362
33,391
-1,029
30,685
35,300
-4,615
31,317
29,095
2,222
37,227
35,095
2,132
33,775
32,288
1,487
32,646
35,106
-2,460
38,891
34,565
4,326
31,624
24,168
7,456
32,560
32,235
325
4,714
4,113
601
35,519
16,720
18,799
32,193
32,932
-739
16,713
33,656
-16,943
28,561
35,326
-6,765
29,931
25,063
4,868
16,572
30,513
-13,941
37,618
34,874
2,744
31,399
34,525
-3,126
30,706
36,172
-5,466
56,906
32,301
24,605
33,336
34,859
-1,523
35,153
35,540
-387
36,541
33,043
3,498
11,722
31,654
-19,932
30,648
43,932
-13,284
38,710
33,695
5,015
24,805
35,730
-10,925
26,034
34,476
-8,442
23,777
32,965
-9,188
36,173
36,156
17
35,974
34,161
1,813
32,961
32,939
22
25,172
19,410
5,762
25,977
19,256
6,721
36,283
36,377
-94
23,528
33,510
-9,982
32,771
23,316
9,455
16,137
33,869
-17,732
34,540
34,574
-34
26,404
14,256
12,148
29,440
34,016
-4,576
25,250
33,723
-8,473
36,400
30,752
5,648
42,255
28,963
13,292
40,765
34,397
6,368
6
5
1
50,000
50,146
-146
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
-1,805
b
175
c
-2
d
122
e
-130
7,951
824
-90
3,353
28,193
918
1,713
-695
-205
20,222
9,240
-585
7,044
-6,286
1
-548
12,897
-1,197
9,285
6,534
21,428
12,060
-1,582
16,730
699
236
-11,408
-2,041
10,386
-418
27,332
-9,605
-3,075
3,083
-3,180
-5,989
28,680
-3,191
-12,911
-15,186
6,578
-269
3,017
-5,579
21,793
6,733
-143
6,951
10,757
2,579
7,907
2,807
-3,908
-13,262
4,172
18,364
-1,029
-4,615
2,222
2,132
1,487
-2,460
4,326
7,456
325
601
18,799
-739
-16,943
-6,765
4,868
-13,941
2,744
-3,126
-5,466
24,605
-1,523
-387
3,498
-19,932
-13,284
5,015
-10,925
-8,442
-9,188
17
1,813
22
5,762
6,721
-94
-9,982
9,455
-17,732
-34
12,148
-4,576
-8,473
5,648
13,292
6,368
1
-146
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
206,556
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
.
.
.
.
.
.
.
.
.
.
.
.
.
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?
Yes
No
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
336,143
6,502,805
0.051692
2009
224,305
6,047,583
0.03709
2008
286,532
6,827,854
0.041965
2007
372,219
7,636,650
0.048741
2006
184,830
7,578,681
0.024388
2
Total
of line 1, column (d)
......................
2
0.203876
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
0.040775
4
Enter the net value of noncharitable-use assets for 2011 from Part X, line 5
.....
4
6,746,309
5
Multiply line 4 by line 3
.......................
5
275,083
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
3,060
7
Add lines 5 and 6
.........................
7
278,143
8
Enter qualifying distributions from Part XII, line 4
..............
8
360,059
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
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A” on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
3,060
here
and 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
3,060
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
3,060
6
Credits/Payments:
a
2011 estimated tax payments and 2010 overpayment credited to 2011
6a
1,244
b
Exempt foreign organizations—tax withheld at source
.......
6b
c
Tax paid with application for extension of time to file (Form 8868)
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
1,244
8
Enter any
penalty
for underpayment of estimated tax.
Check here
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
.......
9
1,816
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2012 estimated tax
Refunded
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
VA
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 address
14
The books are in care of
BRANCH BANKING & TRUST COMPANY
Telephone no.
(703) 383-5000
Located at
4117 CHAIN BRIDGE RD
FAIRFAX
VA
ZIP+4
220304120
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
......
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
.........................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
.................
Yes
No
(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.)
.........
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
...............
Yes
No
If “Yes,” list the years
20
,
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.
20
,
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?
.....................
Yes
No
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
...............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(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)
...
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
........
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
............
Yes
No
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?
....................
Yes
No
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?
Yes
No
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
BRANCH BANKING & TRUST CO
TRUSTEE
1
79,734
4117 CHAIN BRIDGE RD
FAIRFAX
,
VA
220304120
KAREN N CONRAD
C0-TRUSTEE
1
3,000
PO BOX 37
GOSHEN
,
KY
40026
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
...................
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
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Form
990-PF
(2011)
Form 990-PF (2011)
Page
7
Part IX-B
Summary of Program-Related Investments
(see page 23 of the instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See page 24 of the instructions.
3
Total.
Add lines 1 through 3
..........................
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations,
see page 24 of the instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
6,849,045
b
Average of monthly cash balances
.......................
1b
0
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
6,849,045
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
6,849,045
4
Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
of the instructions)
...........................
4
102,736
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
6,746,309
6
Minimum investment return.
Enter 5% of line 5
..................
6
337,315
Part XI
Distributable Amount
(see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
337,315
2a
Tax on investment income for 2011 from Part VI, line 5
......
2a
3,060
b
Income tax for 2011. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
3,060
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
334,255
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
334,255
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
334,255
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
360,059
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
360,059
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
3,060
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
356,999
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
334,255
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
.......
19,986
b
From 2007
.......
0
c
From 2008
.......
0
d
From 2009
.......
0
e
From 2010
.......
13,485
f
Total
of lines 3a through e
.........
33,471
4
Qualifying distributions for 2011 from Part
XII, line 4:
$
360,059
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
.....
334,255
e
Remaining amount distributed out of corpus
25,804
5
Excess distributions carryover applied to 2011.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
59,275
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
8
Excess distributions carryover from 2006 not
applied on line 5 or line 7 (see page 27 of the
instructions)
.............
19,986
9
Excess distributions carryover to 2012.
Subtract lines 7 and 8 from line 6a
......
39,289
10
Analysis of line 9:
a
Excess from 2007
....
0
b
Excess from 2008
....
0
c
Excess from 2009
....
0
d
Excess from 2010
....
13,485
e
Excess from 2011
....
25,804
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
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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.)
1
Information Regarding Foundation Managers:
a
List 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
b
List 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
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see page 28 of the instructions) to individuals or organizations
under other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number of the person to whom applications should be addressed:
BRANCH BANKING TRUST COMPANY
6400 ARLINGTON BLVD
FALLS CHURCH
,
VA
22042
(703) 241-3168
b
The form in which applications should be submitted and information and materials they should include:
LETTER FORM-FUNDS RESTRICTED TO WASHINGTON METRO AREA TO (1) PROVIDE CARE AND AID, AND DELIVER/REDUCED MEALS, VISITING NURSE ORGANIZATIONS AND PROVIDE ROUTINE OR SPECIAL TRANSPORATION FOR THE ELDERLY
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
(CONTINUED) (2) PROVIDE FOOD, SHELTER, MEDICAL CARE & HOUSING TO DISADVANTAGED CHILDREN, (3) PROVIDE HOSPICE CARE FOR TERMINALLY ILL PATIENTS AND (4) SUPPORT CAREGIVERS ORGANIZATIONS
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)
a
Paid during the year
ALZHEIMER'S ASSOCIATION
3701 PENDER DRIVE
FAIRFAX
,
VA
22030
NONE
EXEMPT
GENERAL FUND
12,000
SHEPHERDS CENTER OF OAKTON-VIENNA
c/o VIENNA BAPTIST CHURCH
541 MARCHALL ROAD SW
VIENNA
,
VA
22180
NONE
PUBLIC
GENERAL GRANT
12,000
MARINE TOYS FOR TOTS FOUNDATION
18251 QUANTICO GATEWAY DR
TRAINGLE
,
VA
22172
NONE
EXEMPT
GENERAL FUNDS
12,000
CAPITOL HILL VILLAGE
C/O GEOFFREY LEWIS
422 7TH ST SE
WASHINGTON
,
DC
20003
NONE
EXEMPT
GENERAL FUND
12,000
CARE RING CRISIS LINK
2503-D N HARRISON ST 114
ARLINGTON
,
VA
22207
NONE
EXEMPT
GENERAL FUND
12,000
GOOD SHEPHERD HOUSING & FAMILY
SERVICES INC
ALEXANDRIA
,
VA
22309
NONE
EXEMPT
GENERAL FUND
12,000
IONA SENIOR SERVICES
4125 ALBEMARLE ST NW
WASHINGTON
,
DC
20016
NONE
EXEMPT
GENERAL FUNDS
12,000
DOWNTOWN CLUSTERS GERIATRIC
926 11TH STREET
WASHINGTON
,
DC
20001
NONE
EXEMPT
GENERAL FUNDS
12,000
CAPITAL AREA FOOD BANK INC
645 TAYLOR STREET NE
WASHINGTON
,
DC
20017
NONE
EXEMPT
COMMUNITY
12,000
SHELTER HOUSE
P O BOX 4081
FALLS CHURCH
,
VA
22044
NONE
EXEMPT
GENERAL FUNDS
12,000
EMMAUS SERVICES FOR THE AGING
INC
WASHINGTON
,
DC
20001
NONE
EXEMPT
GENERAL FUND
12,000
CROSSWAY COMMUNITY INC
3015 UPTON DRIVE
KENSINGTON
,
MD
20895
NONE
EXEMPT
GENERAL FUND
12,000
MANNA FOOD CENTER INC
9311 GAITHER RD
GAITHERSBURG
,
MD
20877
NONE
EXEMPT
COMMUNITY
12,000
CALVERT HOSPICE
PO BOX 838
PRINCE FREDERICK
,
MD
20678
NONE
EXEMPT
GENERAL FUND
12,000
YOUTH FOR TOMORROW NEW LIFE
CENTER INC
BRISTOW
,
VA
20136
NONE
EXEMPT
GENERAL FUND
12,000
TOP BANANNA GROCERIES
14100 BRANDYWINE ROAD
BRANDYWINE
,
MD
20613
NONE
EXEMPT
GENERAL FUNDS
12,000
OUR DAILY BREAD INC
4080 CHAIN BRIDGE RD
FAIRFAX
,
VA
22030
NONE
EXEMPT
GENERAL FUNDS
12,000
JOSEPH'S HOUSE INC
C/O MS PATRICIA WUDEL
1730 LANIER PLACE NW
WASHINGTON
,
DC
20009
NONE
EXEMPT
GENERAL FUND
12,000
BRIGHT BEGINNINGS
128 M STREET NW SUITE 150
WASHINGTON
,
DC
20001
NONE
EXEMPT
GENERAL FUNDS
12,000
THE SENIOR CONNECTION OF
MONTGOMERY COUNTY INC
SILVER SPRING
,
MD
20906
NONE
EXEMPT
GENERAL FUND
12,000
THE WASHINGTON HOME & COMMUNITY
HOSPICES
WASHINGTON
,
DC
20016
NONE
EXEMPT
GENERAL FUND
12,000
STODDART BAPTIST NURSING HOME
ATTN KEISHA CLARKE
1818 NEWTON STREET NW
WASHINGTON
,
DC
20010
NONE
EXEMPT
GENERAL FUNDS
12,000
LITTLE SISTERS OF THE POOR OF
WASHINGTON DC
NE WASHINGTON
,
DC
20017
NONE
EXEMPT
GENERAL FUNDS
12,000
NORTHERN VA FAMILY SVC
10455 WHITE GRANITE DR
OAKTON
,
VA
22124
NONE
EXEMPT
COMMUNITY
12,000
SENIOR SVCS OF ALEXANDRIA
700 PRINCESS STREET
ALEXANDRIA
,
VA
22314
NONE
EXEMPT
GENERAL FUNDS
12,000
INOVA VNA HOME CARE INC
8110 GATEHOUSE RD STE 400W
FALLS CHURCH
,
VA
22042
NONE
EXEMPT
GENERAL FUNDS
12,000
ARLINGTON FOOD ASSISTANCE CENTER
27008 S NELSON STREET
ARLINGTON
,
VA
22206
NONE
EXEMPT
GENERAL FUNDS
12,000
THE CHILD & FAMILY NETWORK
CENTERS
ALEXANDRIA
,
VA
22305
NONE
EXEMPT
GENERAL FUND
12,000
FOOD FOR OTHERS INC
2938 PROSPERITY AVENUE
FAIRFAX
,
VA
22031
NONE
EXEMPT
GENERAL FUNDS
12,000
CAKES FOR CAUSE
629 N MARKET ST
FREDERICK
,
MD
21701
NONE
EXEMPT
GENERAL FUND
12,000
Total
.................................
3a
360,000
b
Approved for future payment
Total
.................................
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash investments
14
38,938
4
Dividends and interest from securities
....
14
142,769
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than inventory
18
206,556
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
LITIGATION PROCEED
01
27
b
VISTA TAX REFUND
01
488
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
388,778
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
388,778
(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.
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?
...........
Yes
No
b
If “Yes,” complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
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.
Signature of officer or trustee
Date
Title
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's address
Firm's EIN
Phone no.
Form
990-PF
(2011)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description
-
TIN:
TY 2011 OtherIncreasesSchedule
Name:
ADA L AND ALBERT M WIBEL FOUNDATION
EIN:
20-6966139
Description
Amount
DIFF IN MUTUAL FDS REC/REPORTED
0
ADJUSTMENT FOR ROUNDING
2