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
STATLER FAMILY FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 60425   Room/suite
City or town, state, and ZIP code
COLORADO SPRINGS, CO80960
A Employer identification number

84-1568634
B Telephone number (see page 10 of the instructions)

(719) 630-8534
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$536,644
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) 2,500
2 Check bullet
3 Interest on savings and temporary cash investments 3 3  
4 Dividends and interest from securities...... 15,625 15,625  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 16,714
b Gross sales price for all assets on line 6a 441,806
7 Capital gain net income (from Part IV, line 2)... 16,600
8 Net short-term capital gain......... 3,956
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)....... 4,413 4,431  
12 Total. Add lines 1 through 11........ 39,255 36,659 3,956
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 2,265 2,265    
c Other professional fees (attach schedule).... 10,641 9,575   1,066
17 Interest............... 1,138 1,138    
18 Taxes (attach schedule) (see page 14 of the instructions) 591 591    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 509 509    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 15,144 14,078   1,066
25 Contributions, gifts, grants paid........ 27,700 0
26 Total expenses and disbursements. Add lines 24 and 25 42,844 14,078   1,066
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -3,589
b Net investment income (if negative, enter -0-) 22,581
c Adjusted net income (if negative, enter -0-)... 3,956
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.......... 19,890 31,935 31,935
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 502,870 Click to see attachment487,236 504,709
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 522,760 519,171 536,644
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 522,760 519,171
30 Total net assets or fund balances (see page 17 of the
instructions).................... 522,760 519,171
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 522,760 519,171
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)............... 1 522,760
2 Enter amount from Part I, line 27a..................... 2 -3,589
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 519,171
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 519,171
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 Seagate Tech 19 shrs P 2010-06-04 2011-03-03
b Ace Limited 19 Shrs P 2010-01-28 2011-01-25
c Albemarle Corp 36 Shrs P 2011-02-23 2011-10-21
d Alcatel-Lucent 29 Shrs P 2010-06-04 2011-02-25
e Altera Corp 17 Shrs P 2010-03-12 2011-03-03
Alumina Ltd Spons 16 Shrs P 2010-05-18 2011-01-21
Ameriprise Financial 52 shrs P 2010-01-28 2011-01-18
Amgen Inc 1 Shrs P 2010-06-04 2011-03-21
Analog Devices 58 Shrs P 2011-05-18 2011-08-26
Apache Corp 14 Shrs P 2010-05-17 2011-01-04
Applied Mater. Inc 3 Shrs P 2010-01-28 2011-01-19
Baker Hughes 2 Shrs P 2011-09-09 2011-11-29
Bank of America 63 Shrs P 2010-10-12 2011-08-15
Baxter Intl inc 24 Shrs P 2010-01-28 2011-01-27
Broadcom Corp 50 Shrs P 2010-02-16 2011-02-08
CBS Corp New 5 Shrs P 2011-10-25 2011-11-29
CB Richard Ellis Grp 72 Shrs P 2011-04-20 2011-08-17
Cardinal Health 52 Shrs P 2010-12-20 2011-08-09
Caterpillar Inc 8 Shrs P 2010-06-16 2011-03-21
Centrais Eletricas 94 Shrs P 2011-02-25 2011-02-25
Computer Sciences 47 Shrs P 2011-01-04 2011-05-04
Covance Inc 38 Shrs P 2011-09-16 2011-12-28
Dst Sys Inc 1 Shrs P 2010-06-04 2011-03-25
Daiici Sankyo CO 4 Shrs P 2011-04-15 2011-11-29
Danaher Corp 2 Shrs P 2011-07-15 2011-11-29
Darden Restau. 41 Shrs P 2010-11-10 2011-06-10
Donaldson Co Inc 31 Shrs P 2011-10-25 2011-11-29
Dresser-Rand Group 41 Shrs P 2011-06-10 2011-08-29
Eaton Corp 3 Shrs P 2011-06-20 2011-11-29
Embraer S A-Brl 9 Shrs P 2010-01-28 2011-01-28
Expedia Inc 3 shrs P 2011-08-17 2011-11-29
Express Scripts 38 Shrs P 2010-09-28 2011-05-27
Exxon Mobil 3.4118 Shrs P 2010-06-04 2011-02-25
Family Dollar 40 Shrs P 2010-11-16 2011-01-27
FHLMC PL#G03819 10,000 Shrs P 2010-12-07 2011-05-06
FHLMC PL#G06085 1,000 Shrs P 2010-12-28 2011-08-10
FHLMC PL#A93093 6,000 Shrs P 2010-07-12 2011-05-23
FHLMC PL#A95147 14,000 Shrs P 2011-03-29 2011-07-13
Federal Natl Mtg Asso. 2,000 Shrs P 2011-08-19 2011-09-23
FNMA PL#Al6111 4,000 Shrs P 2011-08-09 2011-11-08
FNMA PL#Al7919 1,000 Shrs P 2011-08-09 2011-11-08
FNMA PL#Al7919 4,000 Shrs P 2011-08-29 2011-12-08
FNMA PL#Ai8082 3,000 Shrs P 2011-11-08 2011-11-21
FNMA PL#Aj1759 1,000 Shrs P 2011-09-27 2011-11-30
FNMA PL#AH5575 1,000 Shrs P 2011-07-26 2011-10-04
FNMA PL#AH5575 1,000 Shrs P 2011-07-26 2011-12-08
FNMA PL#AH5857 2,000 Shrs P 2011-09-23 2011-11-08
FNMA PL#AH6582 8,000 Shrs P 2011-04-26 2011-07-19
Fannie Mae 2,000 Shrs P 2011-03-17 2011-08-03
Fannie Mae 13,000 Shrs P 2011-03-17 2011-08-22
Fannie Mae 5,000 Shrs P 2011-03-17 2011-09-22
Fannie Mae 3,000 Shrs P 2011-03-17 2011-11-30
FNMA PL#888745 3,000 Shrs P 2011-03-09 2011-05-10
FNMA PL#889243 9,000 Shrs P 2011-01-13 2011-03-17
FNMA PL#889409 7,000 Shrs P 2010-11-15 2011-03-17
FNMA PL#890277 4,000 Shrs P 2011-04-19 2011-08-29
FNMA PL#890326 4,000 Shrs P 2011-07-13 2011-09-27
FNMA PL#929018 7,000 Shrs P 2010-11-05 2011-03-17
FNMA PL#946624 9,000 Shrs P 2010-10-08 2011-03-17
FNMA PL#946811 9,000 Shrs P 2010-10-07 2011-03-17
FNMA PL#947052 4,000 Shrs P 2010-10-07 2011-03-17
FNMA PL#954877 16,000 Shrs P 2010-11-05 2011-03-17
FNMA PL#AB1796 1,000 Shrs P 2011-08-25 2011-10-04
FNMA PL#AB1806 5,000 Shrs P 2011-03-09 2011-03-29
FNMA PL#AB2075 1,000 Shrs P 2011-09-22 2011-12-08
FNMA PL#AB3010 4,000 Shrs P 2011-07-26 2011-08-09
FNMA PL#AB3026 6,000 Shrs P 2011-05-23 2011-07-19
FNMA PL#AB3900 1,000 Shrs P 2011-11-08 2011-12-16
FNMA PL#AE0083 5,000 Shrs P 2011-01-25 2011-04-19
FNMA PL#AE0493 1,000 Shrs P 2010-11-19 2011-09-09
FNMA PL#AE0937 2,000 Shrs P 2011-09-22 2011-11-21
FNMA PL#AE8070 7,000 Shrs P 2010-12-07 2011-03-29
FNMA PL#AE9719 1,000 Shrs P 2010-12-07 2011-05-23
FNMA PL#AE9758 7,000 Shrs P 2010-12-13 2011-04-26
F5 Networks Inc 5 Shrs P 2011-08-15 2011-11-29
Gardner Denver Inc 2 Shrs P 2011-11-15 2011-11-29
Gazprom OAO Spons 8 Shrs P 2010-10-15 2011-03-09
Halliburton CO 15 Shrs P 2010-11-08 2011-01-04
Halliburton Co 11 Shrs P 2010-11-08 2011-02-18
Hewlett Packard CO 7 Shrs P 2011-03-21 2011-08-23
Honeywell Intl Inc 24 Shrs P 2010-01-28 2011-01-04
Impala Platinum Hold 31 Shrs P 2010-09-15 2011-02-08
International Game Tech 17 Shrs P 2011-09-27 2011-11-29
Intuit Inc 8 Shrs P 2011-08-03 2011-11-29
Jabil Circut Inc 2 Shrs P 2011-11-21 2011-11-29
Johnson & Johnson 2 Shrs P 2010-06-04 2011-02-16
KBR Inc 9 Shrs P 2011-03-21 2011-11-03
Kazakgold Group LTD .98 Shrs P 2011-06-24 2011-07-26
Lear Corp 43 Shrs P 2011-05-13 2011-11-11
Lexmark Intl Group 52 Shrs P 2010-06-03 2011-05-11
Limited Brands Inc 12 Shrs P 2011-03-04 2011-07-11
Limited Brands Inc 54 Shrs P 2011-03-04 2011-10-21
Magna Inter Inc 8 Shrs P 2010-01-28 2011-01-26
Mckesson Corp 2 Shrs P 2011-08-26 2011-11-29
Monsanto CO New 3 Shrs P 2011-07-28 2011-11-29
The Mosaic Comp 24 Shrs P 2011-05-27 2011-12-28
Motorola Mobility 82 Shrs P 2011-02-25 2011-08-16
Motorola Mobility 58 Shrs P 2011-03-02 2011-09-08
Nyse Euronext 7 Shrs P 2011-08-24 2011-11-29
National Oilwell Varco 7 Shrs P 2010-08-13 2011-01-04
National Oilwell Varco 8 Shrs P 2010-08-17 2011-02-18
National Oilwell Varco 9 Shrs P 2010-08-18 2011-07-26
Navistar Intl Corp 1 Shrs P 2011-07-28 2011-11-29
Netapp Inc 37 Shrs P 2010-06-16 2011-03-03
Nexen Inc 16 Shrs P 2010-10-05 2011-06-22
Nike Inc 23 Shrs P 2010-10-13 2011-03-03
Nordstrom Inc 4 Shrs P 2011-08-30 2011-11-29
Oceaneering Intrl 48 Shrs P 2011-07-13 2011-11-22
Omnicom Group 47 Shrs P 2010-05-12 2011-01-18
On Semiconductor Corp 41 Shrs P 2010-05-10 2011-01-04
Oshkosh Truck Corp 59 Shrs P 2010-12-07 2011-05-11
Owens Illinois Inc 2 Shrs P 2010-08-27 2011-08-16
Philip Morris Intl 22 Shrs P 2010-01-28 2011-01-10
Polaris Inds Inc 3 Shrs P 2011-10-25 2011-11-29
Prudential Financial 2 Shrs P 2011-11-09 2011-11-29
Qlogic Corp 9 Shrs P 2011-03-21 2011-07-11
Qualcomm Inc 2 Shrs P 2011-11-21 2011-11-29
Ralcorp Hldgs Inc 10 Shrs P 2010-05-25 2011-05-23
Roper Industries 3 Shrs P 2011-11-09 2011-11-29
Royal Dutch Shell 4 Shrs P 2011-05-17 2011-10-17
Royal Dutch Shell 3 Shrs P 2011-05-17 2011-11-29
Skyworks Solutions 17 Shrs P 2010-11-24 2011-02-16
Skyworks Solutions 58 Shrs P 2010-11-24 2011-11-21
Sprint Nextel Corp 73 Shrs P 2011-01-10 2011-03-14
Sprint Nextel Corp 68 Shrs P 2011-01-10 2011-04-29
Sprint Nextel Corp 80 Shrs P 2011-01-10 2011-05-24
Sprint Nextel Corp 930 Shrs P 2011-01-10 2011-10-10
Starbucks Corp 68 Shrs P 2010-05-04 2011-03-18
Statoilhydro Asa 7 Shrs P 2010-11-10 2011-04-27
Sratoilhydro Asa 33 Shrs P 2010-11-10 2011-10-20
Sumitomo Mitsu .84 Shrs P 2011-04-01 2011-04-01
Sumitomo Trust & Banking 36 Shrs P 2010-06-04 2011-04-01
Suncor Energy inc 5 shrs P 2010-05-21 2011-02-09
Suncor Energy Inc 6 Shrs P 2010-05-21 2011-03-04
Suncor Energy Inc 8 Shrs P 2010-05-21 2011-04-08
Takeda Pharmaceutical 1 Shrs P 2010-06-04 2011-05-23
Teradata Corp 6 Shrs P 2011-03-04 2011-07-11
Tripadvisor Inc 33 Shrs P 2011-08-17 2011-12-30
United Parcel Service 29 Shrs P 2010-06-25 2011-01-06
U S Treasury Bonds 2,000 Shrs P 2010-12-14 2011-02-09
U S Treasury Notes E-2014 1,000 Shrs P 2011-10-25 2011-10-27
U S Treasury Notes E-2014 3,000 Shrs P 2011-10-25 2011-11-07
U S Treasury Notes B-2015 1,000 Shrs P 2011-10-25 2011-12-29
U S Treasury Notes B-2019 9,000 Shrs P 2011-07-19 2011-07-26
U S Treasury Notes B-2019 7,000 Shrs P 2011-07-19 2011-08-17
U S Treasury Notes B-2019 1,000 Shrs P 2011-07-28 2011-09-15
U S Treasury Notes B-2019 1,000 Shrs P 2011-08-02 2011-09-29
U S Treasury Notes B-2019 2,000 Shrs P 2011-08-02 2011-11-08
U S Treasury Notes B-2019 1,000 Shrs P 2011-08-02 2011-11-30
U S Treasury Notes B-2019 2,000 Shrs P 2011-10-25 2011-12-15
U S Treasury Notes C-2019 3,000 Shrs P 2010-09-14 2011-01-07
U S Treasury Notes C-2019 1,000 Shrs P 2010-09-30 2011-01-25
U S Treasury Notes C-2019 10,000 Shrs P 2010-12-02 2011-06-01
U S Treasury Notes C-2019 1,000 Shrs P 2011-05-26 2011-08-10
U S Treasury Notes G-2016 5,000 Shrs P 2011-02-22 2011-03-09
U S Treasury Notes AA-2012 2,000 Shrs P 2011-12-15 2011-12-19
U S Treasury Notes AC-2012 5,000 Shrs P 2010-12-02 2011-01-13
U S Treasury Notes AC-2012 1,000 Shrs P 2010-12-30 2011-03-11
U S Treasury Notes AC-2012 2,000 Shrs P 2010-12-30 2011-05-13
U S Treasury Notes Q-2016 1,000 Shrs P 2011-10-05 2011-10-14
U S Treasury Notes Q-2016 1,000 Shrs P 2011-10-25 2011-11-02
U S Treasury Notes Q-2016 1,000 Shrs P 2011-10-25 2011-12-08
U S Treasury Notes Q-2016 1,000 Shrs P 2011-12-27 2011-12-29
U S Treasury Notes AB-2011 1,000 Shrs P 2011-04-28 2011-05-06
U S Treasury Notes T-2014 1,000 Shrs P 2011-12-27 2011-12-28
U S Treasury Notes U-2014 3,000 Shrs P 2011-12-19 2011-12-20
U S Treasury Notes G-2015 5,000 Shrs P 2011-10-31 2011-12-15
U S Treasury Notes F-2010 1,000 Shrs P 2011-10-27 2011-12-08
U S Treasury Notes T-2016 1,000 Shrs P 2011-08-19 2011-09-27
U S Treasury Notes T-2016 2,000 Shrs P 2011-10-03 2011-11-14
U S Treasury Notes AE-2013 3,000 Shrs P 2011-01-28 2011-03-14
U S Treasury Notes K-2018 2,000 Shrs P 2011-10-31 2011-11-02
U S Treasury Notes C-2021 2,000 Shrs P 2011-06-01 2011-06-14
U S Treasury Notes C-2021 1,000 Shrs P 2011-06-01 2011-08-03
U S Treasury Notes C-2021 1,000 Shrs P 2011-06-01 2011-08-19
U S Treasury Notes C-2021 2,000 Shrs P 2011-06-01 2011-08-25
U S Treasury Notes C-2012 1,000 Shrs P 2011-06-01 2011-09-27
U S Treasury Notes C-2021 2,000 Shrs P 2011-06-01 2011-10-03
U S Treasury Notes C-2021 3,000 Shrs P 2011-06-01 2011-10-27
U S Treasury Notes C-2021 3,000 Shrs P 2011-08-10 2011-12-14
U S Treasury Notes AN-2013 1,000 Shrs P 2011-09-29 2011-12-09
U S Treasury Notes AM-2013 1,000 Shrs P 2011-10-25 2011-11-08
United States Steel 63 Shrs P 2010-12-16 2011-03-25
Wallgreens CO 50 Shrs P 2011-01-06 2011-10-13
Whirlpool Corp 23 shrs P 2011-01-28 2011-07-15
Cooper Industries 4 Shrs P 2010-01-28 2011-11-29
Seagate Tech 94 Shrs P 2010-02-03 2011-03-03
Willis Group Hldgs 2 Shrs P 2010-01-28 2011-03-03
Willis Group Hldgs 4 Shrs P 2010-01-28 2011-08-23
Ace Limited 3 Shrs P 2010-01-28 2011-08-23
Ace Limited 5 Shrs P 2010-01-28 2011-11-29
Abbott Laboratories 8 Shrs P 2010-01-28 2011-04-15
Abbott Laboratories 24 Shrs P 2010-01-28 2011-06-29
Abbott Laboratories 6 Shrs P 2010-01-28 2011-11-29
Aetna Inc 5 Shrs P 2004-02-18 2011-03-03
Aetna Inc 6 Shrs P 2004-02-18 2011-05-16
Aetna Inc 9 Shrs P 2004-02-18 2011-11-29
Alcatel-Lucent 175 Shrs P 2001-11-29 2011-02-03
Alcatel-Lucent 70 Shrs P 2005-05-11 2011-02-15
Alcatel-Lucent 173 Shrs P 2007-04-19 2011-02-25
American Express 5 Shrs P 2010-08-25 2011-11-29
Amerisourcebergen 6 Shrs P 2010-01-28 2011-10-28
Amerisourcebergen 1 Shrs P 2010-01-28 2011-11-29
Ameriprise Financial 34 Shrs P 2010-09-09 2011-11-11
Amgen Inc 30 Shrs P 2007-11-15 2011-03-21
Anglogold Ashanti 5 Shrs P 2008-05-30 2011-11-29
Apple Inc 2 Shrs P 2009-03-12 2011-10-28
Apple Inc 1 Shrs P 2009-03-12 2011-11-29
Applied Materials Inc 21 Shrs P 2010-01-28 2011-09-27
Applied Materials Inc 6 Shrs P 2010-01-28 2011-11-29
Archer-Danials 15 Shrs P 2010-01-28 2011-03-03
Archer-Danials 6 Shrs P 2010-01-28 2011-11-29
Artisan Mid Cap 120.97 Shrs P 2010-01-28 2011-11-29
Astrazeneca 1 Shrs P 2007-06-04 2011-08-24
Astrazeneca 1 Shrs P 2007-06-04 2011-11-29
Autozone Inc 1 Shrs P 2008-10-29 2011-08-26
Autozone Inc 2 Shrs P 2008-10-29 2011-11-29
Bank of America 88 Shrs P 2010-04-27 2011-08-05
Bank of America 79 Shrs P 2010-04-30 2011-08-15
Bank New York 1 Shrs P 2010-01-28 2011-11-29
Barrick Gold Corp 7 Shrs P 2007-03-19 2011-04-08
Barrick Gold Corp 4 Shrs P 2007-03-19 2011-08-23
Barrick Gold Corp 6 Shrs P 2007-03-19 2011-11-29
Baron Small Cap 75 Shrs P 2010-01-28 2011-11-29
Baxter Intl 6 Shrs P 2010-01-28 2011-11-14
Baxter Intl 2 Shrs P 2010-01-28 2011-11-29
CVS Caremark 28 Shrs P 2010-01-28 2011-02-07
CVS Carmark 8 Shrs P 2010-01-28 2011-05-12
CVS Caremark 7 Shrs P 2010-01-28 2011-11-29
Carrefour 29 Shrs P 2010-01-28 2011-11-29
Caterpillar Inc 1 Shrs P 2010-06-16 2011-11-29
Cheesecake Factory 68 Shrs P 2010-03-18 2011-06-23
Chevron Corp 4 Shrs P 2010-01-28 2011-02-23
Chevron Corp 3 Shrs P 2010-01-28 2011-11-29
Cisco Sys 7 Shrs P 2009-05-21 2011-11-29
Coach Inc 8 Shrs P 2008-06-03 2011-07-26
Coach Inc 2 Shrs P 2008-06-03 2011-11-01
Coach Inc 2 Shrs P 2008-06-03 2011-11-29
Corning Inc 4 Shrs P 2010-02-01 2011-11-29
Corning Inc 34 Shrs P 2010-03-15 2011-11-30
Cummins Inc 5 Shrs P 2010-05-14 2011-10-28
Cummings Inc 1 Shrs P 2010-05-14 2011-11-29
Dst Sys Inc 18 Shrs P 2010-01-28 2011-03-11
DstSys Inc 19 Shrs P 2010-01-28 2011-03-23
Daiwa House Industries 4 Shrs P 2010-01-28 2011-04-06
Daiwa House Industries 8 Shrs P 2010-01-28 2011-08-23
Deere & CO 30 Shrs P 2010-03-30 2011-05-18
Dell Inc 12 Shrs P 2010-10-18 2011-11-29
Devon Energy 8 Shrs P 2010-01-28 2011-02-02
Devon Energy Corp 1 Shrs P 2010-01-28 2011-11-29
Dollar Tree 13 Shrs P 2009-03-04 2011-08-23
Dollar Tree 6 Shrs P 2009-03-04 2011-11-29
EMC corp 13 Shrs P 2009-02-18 2011-10-28
EMC Corp 4 Shrs P 2009-02-18 2011-11-29
Eaton Corp 49 Shrs P 2009-11-24 2011-09-14
Eaton Corp 3 Shrs P 2010-01-28 2011-11-29
Exxon Mobil 28.5882 Shrs P 2010-01-28 2011-02-23
Gazprom OAO 19 Shrs P 2010-10-15 2011-11-29
Gilead Sciences 5 Shrs P 2008-02-05 2011-11-29
Glaxosmithkline 3 Shrs P 2004-02-27 2011-06-01
Glaxosmithkline 7 Shrs P 2004-02-27 2011-11-08
Glaxosmithkline 4 Shrs P 2007-01-26 2011-11-29
Gold Fields LTD 7 Shrs P 2010-01-28 2011-10-10
Gold Fields LTD 8 Shrs P 2010-01-28 2011-11-29
W W Grainer 16 Shrs P 2010-09-09 2011-09-27
Hachijuni Bank 1 Shrs P 2010-01-28 2011-11-29
Halliburton CO 3 Shrs P 2010-11-08 2011-11-29
Helmerich & Payne 10 Shrs P 2010-01-12 2011-03-03
Helmerich & Payne 1 Shrs P 2010-01-12 2011-11-29
Hess Corp 6 Shrs P 2007-04-11 2011-02-02
Hess Corp 3 Shrs P 2010-01-28 2011-10-27
Hess Corp 1 Shrs P 2010-01-28 2011-11-29
Hewlett Packard 37 Shrs P 2008-02-05 2011-08-23
Honeywell Intl 34 Shrs P 2010-01-28 2011-08-03
Honeywell Intl 11 Shrs P 2010-02-02 2011-11-14
Honeywell INtl 4 Shrs P 2010-08-20 2011-11-29
Hospira 6 Shrs P 2010-01-28 2011-11-29
Intel Corp 12 Shrs P 2009-05-18 2011-11-29
Intl Business 4 Shrs P 2008-02-05 2011-11-21
Johnson & Johnson 28 Shrs P 2008-02-05 2011-02-16
Joy Global 11 Shrs P 2009-08-06 2011-10-28
Joy Global 2 Shrs P 2009-08-06 2011-11-29
KBR Inc 19 Shrs P 2010-01-28 2011-03-03
KBR Inc 67 Shrs P 2010-01-28 2011-11-03
KOA Corp 28 Shrs P 2010-01-28 2011-08-11
Koa Corp 32 Shrs P 2010-01-28 2011-08-22
KOA Corp 31 Shrs P 2010-01-28 2011-08-31
KLinross Gold 22 Shrs P 2010-01-28 2011-09-06
Kinross Gold Corp 5 Shrs P 2010-01-28 2011-11-29
Lazard Emerging 67.963 Shrs P 2010-01-28 2011-11-29
MS&D Insurance 1 Shrs P 2006-11-30 2011-11-29
Medtronic Inc 7 Shrs P 2010-08-31 2011-11-29
Microsoft Corp 2 Shrs P 2010-01-28 2011-11-29
National Oilwell 7 Shrs P 2010-08-18 2011-11-29
Newcrest Mining 2 Shrs P 2010-01-28 2011-11-29
Nexen Inc 15 Shrs P 2010-01-28 2011-03-04
Nexen Inc 10 Shrs P 2010-01-28 2011-04-06
Nexen Inc 64 Shrs P 2010-01-28 2011-06-21
Nintendo CO 5 Shrs P 2010-01-28 2011-11-29
Nippon Tel & Tel 20 Shrs P 2005-01-20 2011-10-13
Nippon Tel & Tel 8 Shrs P 2007-05-07 2011-11-29
Norfolk Southern 38 Shrs P 2010-01-28 2011-04-19
Norfolk Southern 4 shrs P 2010-01-28 2011-06-17
Norfolk Southern 8 Shrs P 2010-01-28 2011-06-29
Norfolk Southern 10 Shrs P 2010-01-28 2011-10-28
Norfolk Southern 3 Shrs P 2010-01-28 2011-11-29
Occidental Petroleum 22 Shrs P 2009-05-21 2011-07-28
On Semiconductor 13 Shrs P 2010-05-10 2011-11-29
Oracle Corp 16 Shrs P 2008-02-05 2011-11-01
Oracle Corp 3 Shrs P 2008-02-05 2011-11-29
Owens Illinois 73 Shrs P 2010-07-02 2011-08-16
Parker-Hannifin 6 Shrs P 2010-04-14 2011-11-29
Petsmart Inc 12 Shrs P 2010-10-27 2011-11-29
Philip Morris 18 Shrs P 2007-03-19 2011-01-10
Pimco Emerging 121.956 Shrs P 2010-06-04 2011-11-29
Prudential Jennison 95.998 Shrs P 2010-01-28 2011-11-29
Qlogic Corp 99 Shrs P 2010-01-28 2011-07-11
Ralcorp Hlds 13 Shrs P 2010-01-28 2011-05-04
Ralcorp Hlds 10 Shrs P 2010-01-28 2011-05-23
Ross Stores Inc 4 Shrs P 2009-07-15 2011-07-26
Ross Stores Inc 7 Shrs P 2009-07-15 2011-11-29
Ross stores Inc 6 Shrs P 2009-07-15 2011-12-28
Royal Dutch Shell 3 Shrs P 2010-01-28 2011-04-08
Royal Dutch Shell 4 Shrs P 2010-01-28 2011-08-05
Royal Dutch Shell 28 Shrs P 2010-01-28 2011-10-11
Royce Premier Fund 105.969 Shrs P 2010-01-28 2011-11-29
Sk Telecom 8 Shrs P 2010-01-28 2011-05-25
Sandisk Corp 1 Shrs P 2010-03-25 2011-11-01
Seven & I Hldgs 5 Shrs P 2010-01-28 2011-06-24
Seven & I Hldgs 6 Shrs P 2010-01-28 2011-09-30
Seven & I Hldgs 4 Shrs P 2010-01-28 2011-12-22
Siemens A G 4 Shrs P 2010-01-28 2011-02-02
Sumitomo Trust 180 Shrs P 2010-01-28 2011-04-01
Suncor Energy 9 Shrs P 2010-05-21 2011-06-01
Suncor Energy 25 Shrs P 2010-05-21 2011-07-26
Swisscom AG Spons 1 Shrs P 2010-05-06 2011-07-29
Takeda Pharmaceuticals 18 Shrs P 2010-05-12 2011-05-23
Target Corp 26 Shrs P 2010-01-28 2011-02-18
Target Corp 21 Shrs P 2010-01-28 2011-11-16
Telecom Italia 69 Shrs P 2010-01-28 2011-03-28
Texas Instruments 73 Shrs P 2009-04-03 2011-08-15
Unilever NV 17 Shrs P 2009-09-10 2011-08-23
Union Pacific 7 Shrs P 2010-01-28 2011-10-28
United Health 15 Shrs P 2009-12-10 2011-05-11
Vodafone Group 14 Shrs P 2010-01-28 2011-08-23
Walter Energy 24 Shrs P 2010-02-16 2011-08-26
Western Union Co 34 Shrs P 2010-01-28 2011-06-29
Western Union Co 28 Shrs P 2010-01-28 2011-12-16
       
(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 241 0 289 -48
b 1,177 0 929 248
c 1,653 0 2,031 -378
d 138 0 72 66
e 750 0 424 326
154 0 92 62
3,091 0 2,168 923
53 0 54 -1
1,862 0 2,425 -563
1,698 0 1,311 387
46 0 38 8
103 0 113 -10
231 0 445 -214
1,187 0 1,398 -211
2,252 0 1,548 704
123 0 125 -2
1,154 0 2,121 -967
1,993 0 2,011 -18
858 0 511 347
1 0 0 1
2,062 0 2,397 -335
1,755 0 1,914 -159
52 0 38 14
70 0 75 -5
93 0 105 -12
1,935 0 1,963 -28
2,116 0 1,944 172
1,708 0 2,084 -376
127 0 141 -14
296 0 194 102
83 0 86 -3
2,226 0 1,855 371
292 0 199 93
1,720 0 1,925 -205
3,618 0 3,657 -39
901 0 911 -10
5,901 0 5,944 -43
13,763 0 13,383 380
2,004 0 1,998 6
3,784 0 3,809 -25
1,036 0 1,025 11
3,773 0 3,746 27
3,060 0 3,061 -1
1,005 0 1,016 -11
1,018 0 979 39
992 0 955 37
1,967 0 1,995 -28
7,935 0 7,801 134
1,932 0 1,930 2
12,534 0 12,547 -13
4,679 0 4,712 -33
2,594 0 2,632 -38
1,282 0 1,284 -2
3,908 0 3,905 3
3,198 0 3,225 -27
3,889 0 3,895 -6
4,151 0 4,175 -24
2,966 0 2,999 -33
3,255 0 3,269 -14
3,005 0 3,022 -17
1,402 0 1,404 -2
6,294 0 6,367 -73
990 0 971 19
4,816 0 4,835 -19
981 0 995 -14
4,057 0 4,051 6
6,020 0 5,990 30
1,019 0 1,018 1
4,004 0 4,034 -30
793 0 821 -28
1,979 0 2,013 -34
6,802 0 6,986 -184
1,018 0 1,017 1
7,825 0 7,753 72
520 0 423 97
158 0 166 -8
242 0 170 72
609 0 500 109
527 0 366 161
171 0 292 -121
1,286 0 961 325
907 0 791 116
284 0 256 28
406 0 366 40
38 0 41 -3
121 0 117 4
249 0 329 -80
3 0 4 -1
1,873 0 2,182 -309
1,626 0 1,985 -359
476 0 388 88
2,299 0 1,744 555
463 0 220 243
157 0 153 4
212 0 225 -13
1,206 0 1,682 -476
3,135 0 2,499 636
2,185 0 1,598 587
192 0 187 5
465 0 278 187
640 0 321 319
748 0 356 392
35 0 51 -16
1,943 0 1,523 420
339 0 353 -14
2,066 0 1,885 181
179 0 180 -1
2,080 0 2,095 -15
2,138 0 1,957 181
414 0 317 97
1,775 0 2,004 -229
37 0 52 -15
1,241 0 1,016 225
177 0 177 0
94 0 104 -10
145 0 155 -10
106 0 109 -3
877 0 592 285
249 0 247 2
275 0 277 -2
201 0 208 -7
624 0 442 182
966 0 1,507 -541
366 0 327 39
361 0 305 56
464 0 359 105
2,095 0 3,962 -1,867
2,380 0 1,784 596
200 0 149 51
801 0 710 91
3 0 3 0
187 0 193 -6
203 0 145 58
283 0 174 109
368 0 232 136
23 0 21 2
358 0 299 59
825 0 964 -139
2,103 0 1,743 360
2,529 0 2,560 -31
1,105 0 1,107 -2
3,324 0 3,319 5
1,110 0 1,019 91
9,235 0 9,264 -29
7,567 0 7,195 372
1,083 0 1,027 56
1,085 0 1,047 38
2,174 0 2,093 81
1,083 0 1,046 37
2,176 0 2,162 14
3,029 0 3,145 -116
1,008 0 1,063 -55
10,435 0 10,174 261
1,103 0 1,034 69
5,104 0 5,110 -6
2,016 0 2,016 0
5,069 0 5,072 -3
1,014 0 1,012 2
2,028 0 2,022 6
1,098 0 1,105 -7
1,108 0 1,102 6
1,110 0 1,100 10
1,108 0 1,103 5
1,003 0 1,003 0
1,050 0 1,049 1
3,201 0 3,200 1
5,009 0 5,009 0
1,067 0 1,037 30
1,051 0 1,053 -2
2,110 0 2,104 6
2,969 0 2,968 1
2,162 0 2,143 19
2,005 0 2,026 -21
1,046 0 1,013 33
1,096 0 1,013 83
2,158 0 2,025 133
1,105 0 1,013 92
2,217 0 2,025 192
3,201 0 3,105 96
3,334 0 3,278 56
1,003 0 1,002 1
1,003 0 1,002 1
3,482 0 3,490 -8
1,648 0 2,019 -371
1,742 0 2,084 -342
0 0 0 0
213 0 175 38
1,191 0 1,771 -580
77 0 52 25
145 0 106 39
185 0 147 38
331 0 245 86
414 0 433 -19
1,255 0 1,299 -44
319 0 325 -6
195 0 99 96
262 0 119 143
358 0 298 60
578 0 2,953 -2,375
315 0 802 -487
825 0 685 140
229 0 198 31
252 0 164 88
36 0 27 9
1,593 0 1,610 -17
1,595 0 1,757 -162
222 0 173 49
800 0 187 613
375 0 94 281
223 0 266 -43
62 0 76 -14
559 0 450 109
175 0 180 -5
2,476 0 2,107 369
47 0 53 -6
45 0 53 -8
298 0 119 179
648 0 268 380
324 0 925 -601
289 0 728 -439
18 0 29 -11
382 0 199 183
202 0 114 88
300 0 171 129
1,658 0 1,407 251
326 0 350 -24
99 0 117 -18
930 0 909 21
305 0 260 45
264 0 227 37
141 0 285 -144
91 0 64 27
2,042 0 1,839 203
412 0 295 117
293 0 221 72
124 0 128 -4
529 0 285 244
127 0 71 56
121 0 71 50
52 0 72 -20
446 0 616 -170
510 0 362 148
89 0 72 17
892 0 811 81
970 0 833 137
466 0 427 39
928 0 832 96
2,592 0 1,841 751
181 0 175 6
719 0 551 168
62 0 69 -7
853 0 339 514
479 0 157 322
324 0 154 170
89 0 47 42
1,975 0 1,556 419
127 0 94 33
2,454 0 1,821 633
207 0 202 5
197 0 229 -32
128 0 128 0
313 0 298 15
171 0 218 -47
107 0 85 22
126 0 97 29
2,580 0 1,806 774
57 0 58 -1
102 0 100 2
640 0 455 185
53 0 45 8
506 0 343 163
193 0 175 18
57 0 58 -1
903 0 1,661 -758
1,738 0 1,361 377
603 0 446 157
207 0 163 44
172 0 306 -134
285 0 194 91
729 0 427 302
1,698 0 1,773 -75
997 0 447 550
166 0 81 85
673 0 363 310
1,871 0 1,280 591
736 0 700 36
824 0 800 24
819 0 734 85
385 0 372 13
65 0 84 -19
1,212 0 1,187 25
9 0 20 -11
245 0 222 23
50 0 59 -9
475 0 277 198
70 0 58 12
408 0 330 78
251 0 220 31
1,357 0 1,397 -40
93 0 183 -90
500 0 448 52
194 0 207 -13
2,541 0 1,830 711
283 0 193 90
592 0 385 207
747 0 482 265
220 0 154 66
2,222 0 1,496 726
90 0 100 -10
509 0 313 196
90 0 59 31
1,358 0 2,061 -703
472 0 422 50
571 0 443 128
1,016 0 812 204
1,228 0 1,202 26
2,719 0 2,192 527
1,599 0 1,754 -155
1,168 0 811 357
877 0 623 254
307 0 171 136
626 0 299 327
290 0 128 162
225 0 164 61
254 0 218 36
1,873 0 1,520 353
2,074 0 1,691 383
149 0 142 7
49 0 35 14
262 0 220 42
335 0 264 71
217 0 176 41
516 0 367 149
936 0 988 -52
372 0 261 111
1,060 0 740 320
48 0 34 14
417 0 389 28
1,347 0 1,355 -8
1,116 0 1,147 -31
903 0 784 119
1,998 0 1,433 565
581 0 336 245
713 0 434 279
748 0 441 307
385 0 304 81
1,879 0 1,844 35
670 0 625 45
504 0 515 -11
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 0 0 0 -48
b 0 0 0 248
c 0 0 0 -378
d 0 0 0 66
e 0 0 0 326
0 0 0 62
0 0 0 923
0 0 0 -1
0 0 0 -563
0 0 0 387
0 0 0 8
0 0 0 -10
0 0 0 -214
0 0 0 -211
0 0 0 704
0 0 0 -2
0 0 0 -967
0 0 0 -18
0 0 0 347
0 0 0 1
0 0 0 -335
0 0 0 -159
0 0 0 14
0 0 0 -5
0 0 0 -12
0 0 0 -28
0 0 0 172
0 0 0 -376
0 0 0 -14
0 0 0 102
0 0 0 -3
0 0 0 371
0 0 0 93
0 0 0 -205
0 0 0 -39
0 0 0 -10
0 0 0 -43
0 0 0 380
0 0 0 6
0 0 0 -25
0 0 0 11
0 0 0 27
0 0 0 -1
0 0 0 -11
0 0 0 39
0 0 0 37
0 0 0 -28
0 0 0 134
0 0 0 2
0 0 0 -13
0 0 0 -33
0 0 0 -38
0 0 0 -2
0 0 0 3
0 0 0 -27
0 0 0 -6
0 0 0 -24
0 0 0 -33
0 0 0 -14
0 0 0 -17
0 0 0 -2
0 0 0 -73
0 0 0 19
0 0 0 -19
0 0 0 -14
0 0 0 6
0 0 0 30
0 0 0 1
0 0 0 -30
0 0 0 -28
0 0 0 -34
0 0 0 -184
0 0 0 1
0 0 0 72
0 0 0 97
0 0 0 -8
0 0 0 72
0 0 0 109
0 0 0 161
0 0 0 -121
0 0 0 325
0 0 0 116
0 0 0 28
0 0 0 40
0 0 0 -3
0 0 0 4
0 0 0 -80
0 0 0 -1
0 0 0 -309
0 0 0 -359
0 0 0 88
0 0 0 555
0 0 0 243
0 0 0 4
0 0 0 -13
0 0 0 -476
0 0 0 636
0 0 0 587
0 0 0 5
0 0 0 187
0 0 0 319
0 0 0 392
0 0 0 -16
0 0 0 420
0 0 0 -14
0 0 0 181
0 0 0 -1
0 0 0 -15
0 0 0 181
0 0 0 97
0 0 0 -229
0 0 0 -15
0 0 0 225
0 0 0 0
0 0 0 -10
0 0 0 -10
0 0 0 -3
0 0 0 285
0 0 0 2
0 0 0 -2
0 0 0 -7
0 0 0 182
0 0 0 -541
0 0 0 39
0 0 0 56
0 0 0 105
0 0 0 -1,867
0 0 0 596
0 0 0 51
0 0 0 91
0 0 0 0
0 0 0 -6
0 0 0 58
0 0 0 109
0 0 0 136
0 0 0 2
0 0 0 59
0 0 0 -139
0 0 0 360
0 0 0 -31
0 0 0 -2
0 0 0 5
0 0 0 91
0 0 0 -29
0 0 0 372
0 0 0 56
0 0 0 38
0 0 0 81
0 0 0 37
0 0 0 14
0 0 0 -116
0 0 0 -55
0 0 0 261
0 0 0 69
0 0 0 -6
0 0 0 0
0 0 0 -3
0 0 0 2
0 0 0 6
0 0 0 -7
0 0 0 6
0 0 0 10
0 0 0 5
0 0 0 0
0 0 0 1
0 0 0 1
0 0 0 0
0 0 0 30
0 0 0 -2
0 0 0 6
0 0 0 1
0 0 0 19
0 0 0 -21
0 0 0 33
0 0 0 83
0 0 0 133
0 0 0 92
0 0 0 192
0 0 0 96
0 0 0 56
0 0 0 1
0 0 0 1
0 0 0 -8
0 0 0 -371
0 0 0 -342
0 0 0 0
0 0 0 38
0 0 0 -580
0 0 0 25
0 0 0 39
0 0 0 38
0 0 0 86
0 0 0 -19
0 0 0 -44
0 0 0 -6
0 0 0 96
0 0 0 143
0 0 0 60
0 0 0 -2,375
0 0 0 -487
0 0 0 140
0 0 0 31
0 0 0 88
0 0 0 9
0 0 0 -17
0 0 0 -162
0 0 0 49
0 0 0 613
0 0 0 281
0 0 0 -43
0 0 0 -14
0 0 0 109
0 0 0 -5
0 0 0 369
0 0 0 -6
0 0 0 -8
0 0 0 179
0 0 0 380
0 0 0 -601
0 0 0 -439
0 0 0 -11
0 0 0 183
0 0 0 88
0 0 0 129
0 0 0 251
0 0 0 -24
0 0 0 -18
0 0 0 21
0 0 0 45
0 0 0 37
0 0 0 -144
0 0 0 27
0 0 0 203
0 0 0 117
0 0 0 72
0 0 0 -4
0 0 0 244
0 0 0 56
0 0 0 50
0 0 0 -20
0 0 0 -170
0 0 0 148
0 0 0 17
0 0 0 81
0 0 0 137
0 0 0 39
0 0 0 96
0 0 0 751
0 0 0 6
0 0 0 168
0 0 0 -7
0 0 0 514
0 0 0 322
0 0 0 170
0 0 0 42
0 0 0 419
0 0 0 33
0 0 0 633
0 0 0 5
0 0 0 -32
0 0 0 0
0 0 0 15
0 0 0 -47
0 0 0 22
0 0 0 29
0 0 0 774
0 0 0 -1
0 0 0 2
0 0 0 185
0 0 0 8
0 0 0 163
0 0 0 18
0 0 0 -1
0 0 0 -758
0 0 0 377
0 0 0 157
0 0 0 44
0 0 0 -134
0 0 0 91
0 0 0 302
0 0 0 -75
0 0 0 550
0 0 0 85
0 0 0 310
0 0 0 591
0 0 0 36
0 0 0 24
0 0 0 85
0 0 0 13
0 0 0 -19
0 0 0 25
0 0 0 -11
0 0 0 23
0 0 0 -9
0 0 0 198
0 0 0 12
0 0 0 78
0 0 0 31
0 0 0 -40
0 0 0 -90
0 0 0 52
0 0 0 -13
0 0 0 711
0 0 0 90
0 0 0 207
0 0 0 265
0 0 0 66
0 0 0 726
0 0 0 -10
0 0 0 196
0 0 0 31
0 0 0 -703
0 0 0 50
0 0 0 128
0 0 0 204
0 0 0 26
0 0 0 527
0 0 0 -155
0 0 0 357
0 0 0 254
0 0 0 136
0 0 0 327
0 0 0 162
0 0 0 61
0 0 0 36
0 0 0 353
0 0 0 383
0 0 0 7
0 0 0 14
0 0 0 42
0 0 0 71
0 0 0 41
0 0 0 149
0 0 0 -52
0 0 0 111
0 0 0 320
0 0 0 14
0 0 0 28
0 0 0 -8
0 0 0 -31
0 0 0 119
0 0 0 565
0 0 0 245
0 0 0 279
0 0 0 307
0 0 0 81
0 0 0 35
0 0 0 45
0 0 0 -11
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 16,600
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 3,956
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 21,510 492,992 0.043632
2009 17,930 476,740 0.037610
2008 46,331 617,744 0.075000
2007 28,872 713,305 0.040476
2006 27,057 594,898 0.045482
2 Total of line 1, column (d) ...................... 2 0.242200
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 0.048440
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4  
5 Multiply line 4 by line 3....................... 5  
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 226
7 Add lines 5 and 6......................... 7 226
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,066
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 1 226
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............................ 3 226
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 226
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a  
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Tax Paid Original Return: 0 7  
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 226
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet0 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
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)bulletCO
    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 ofbulletJIMMY SUE GUGGENHIME Telephone no.bullet (719) 630-8534
    Located atbulletPO BOX 60425COLORADO SPRINGSCO ZIP+4bullet80960
    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
     
     
    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
     
    No
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    JIMMY SUE GUGGENHIME Director
    1.00
    0 0 0
    PO BOX 60425
    COLORADO SPRINGS,CO80960
    DAVID JAMES GUGGENHIME Director
    1.00
    0 0 0
    PO BOX 60425
    COLORADO SPRINGS,CO80960
    KRISTIN GUGGENHIME Director
    1.00
    0 0 0
    PO BOX 60425
    COLORADO SPRINGS,CO80960
    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  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    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
    0
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    0
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    0
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    0
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    0
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    226
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    226
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    0
    Part XII
    Qualifying Distributions (see page 25 of the instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,066
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,066
    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
    226
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    840
    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 0
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 24,609
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006.......  
    b From 2007.......  
    c From 2008.......  
    d From 2009....... 17,930
    e From 2010....... 21,510
    fTotal of lines 3a through e......... 39,440
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 1,066
    a Applied to 2010, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
     
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
     
    d Applied to 2011 distributable amount.....  
    e Remaining amount distributed out of corpus 1,066
    5 Excess distributions carryover applied to 2011.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 40,506
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
     
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
    24,609
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
     
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
     
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......
    40,506
    10 Analysis of line 9:
    a Excess from 2007....  
    b Excess from 2008....  
    c Excess from 2009.... 17,930
    d Excess from 2010.... 21,510
    e Excess from 2011.... 1,066
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2011, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2011 (b) 2010 (c) 2009 (d) 2008
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    HUMANE SOCIETY
    610 ABBOTT LANE
    COLORADO SPRINGS,CO80905
      503(c)(3) Program Support 5,000
    CHEYENNE MOUNTAIN ZOO
    4250 CHEYENNE MOUNTIAN ZOO RD
    COLORDO SPRINGS,CO80906
      503(c)(3) Program Support 5,000
    GROWING GARDENS OF BOULDER COUNTY
    1630 HAWTHORN AVE
    BOULDER,CO80304
      503(c)(3) Program Support 10,000
    GOODWILL INDUSTRIES
    PO BOX 6300
    COLORADO SPRINGS,CO809346300
      503(c)(3) Program Support 7,700
    Total .................................bullet 3a 27,700
    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 3  
    4 Dividends and interest from securities....     14 15,625  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory          
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   15,628  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1315,628
    (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:  
    Part VI Line 7 - Tax Paid Original Return: 0


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    STATLER FAMILY FOUNDATION
    EIN: 84-1568634
    Name of Stock End of Year Book Value End of Year Fair Market Value
    Smith Barney - 24255 487,236 504,709

    TY 2011 OtherExpensesSchedule
    Name:
    STATLER FAMILY FOUNDATION
    EIN: 84-1568634
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Bank Charges 116 116    
    State Filing Fee 10 10    
    Administrative 383 383    


    TY 2011 OtherIncomeSchedule2
    Name:
    STATLER FAMILY FOUNDATION
    EIN: 84-1568634
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Smith Barney - 24255 4,413 4,431  


    TY 2011 OtherProfessionalFeesSchedule
    Name:
    STATLER FAMILY FOUNDATION
    EIN: 84-1568634
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Smith Barney Investment Advisory 10,641 9,575   1,066


    TY 2011 TaxesSchedule
    Name:
    STATLER FAMILY FOUNDATION
    EIN: 84-1568634
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Smith Barney - 24255 Foreign Tax 550 550    
    Government 41 41