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
DEGENSTEIN CHARITABLE FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)C/O SUSQ TR 1570 MANHEIM PIKE BX   Room/suite
City or town, state, and ZIP code
LANCASTER, PA176043300
A Employer identification number

23-6661599
B Telephone number (see page 10 of the instructions)

(717) 735-8764
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$2,642,972J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 7 7  
4 Dividends and interest from securities...... 85,434 85,434  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 88,114
b Gross sales price for all assets on line 6a 1,386,187
7 Capital gain net income (from Part IV, line 2)... 88,114
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).......      
12 Total. Add lines 1 through 11........ 173,555 173,555  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 28,755 28,755    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 18,350 18,350 0 0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 2,296 516   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)....... Click to see attachment 2,202 2,202    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 51,603 49,823 0 0
25 Contributions, gifts, grants paid........ 73,000 73,000
26 Total expenses and disbursements. Add lines 24 and 25 124,603 49,823 0 73,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 48,952
b Net investment income (if negative, enter -0-) 123,732
c Adjusted net income (if negative, enter -0-)... 0
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 1 1 1
2 Savings and temporary cash investments.......... 37,051 57,442 57,442
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 423,126 Click to see attachment368,640 411,047
b Investments—corporate stock (attach schedule)........ 1,288,683 Click to see attachment1,264,639 1,501,041
c Investments—corporate bonds (attach schedule)........ 527,718 Click to see attachment634,291 673,441
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,276,579 2,325,013 2,642,972
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......... 2,276,579 2,325,013
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).................... 2,276,579 2,325,013
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,276,579 2,325,013
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 2,276,579
2 Enter amount from Part I, line 27a..................... 2 48,952
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 126
4 Add lines 1, 2, and 3.......................... 4 2,325,657
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 644
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 2,325,013
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 200. AGCO CORP   2010-10-14 2011-01-03
b 150. FLUOR CORP NEW COM   2010-03-09 2011-01-03
c 150. FLUOR CORP NEW COM   2010-10-19 2011-01-03
d 250. KELLOGG COMPANY   2010-06-21 2011-01-03
e 100. CONOCOPHILLIPS   2010-12-02 2011-01-04
225. TRAVELERS COMPANIES INC   2010-05-21 2011-01-07
250. EXXON MOBIL CORPORATION   2010-12-02 2011-01-20
400. GLAXO WELLCOME PLC   2010-03-31 2011-02-04
150. FLUOR CORP NEW COM   2010-03-09 2011-02-07
325. AGCO CORP   2010-10-14 2011-02-09
50000. WAL MART STORES INC 4.125% 02/15/11   2008-02-05 2011-02-15
275. NIPPON TELEG & TEL CORP ADR   2007-02-07 2011-02-16
150. FLUOR CORP NEW COM   2010-07-06 2011-02-22
175. DEERE & CO COM   2009-09-16 2011-02-23
250. FEDEX CORP   2011-02-16 2011-02-23
175. FLUOR CORP NEW COM   2010-07-06 2011-02-23
50. EXXON MOBIL CORPORATION   2010-05-05 2011-03-02
50. EXXON MOBIL CORPORATION   2010-12-02 2011-03-02
125. CONOCOPHILLIPS   2010-12-02 2011-03-08
700. EBAY INC   2011-02-16 2011-03-09
125. CHEVRONTEXACO CORP   2009-09-18 2011-03-10
600. CISCO SYS INC   2010-09-07 2011-03-10
375. CISCO SYS INC   2009-03-10 2011-03-10
400. GENERAL ELECTRIC COMPANY   2007-07-25 2011-03-11
300. ORACLE SYSTEMS CORP   2009-05-20 2011-03-15
325. SHAW GROUP INC   2010-08-18 2011-04-05
250. SHAW GROUP INC   2009-11-04 2011-04-05
50. CONOCOPHILLIPS   2010-08-27 2011-04-11
125. CONOCOPHILLIPS   2010-12-02 2011-04-11
150. AMAZON COM INC   2011-03-25 2011-04-12
125. BOEING COMPANY   2011-02-09 2011-05-04
425. CONSOL ENERGY INC   2011-03-25 2011-05-05
75. EXXON MOBIL CORPORATION   2010-05-05 2011-05-05
150. ROYAL DUTCH SHELL PLC SPONS ADR B   2008-01-23 2011-05-05
2000. TEMPLETON EMERGING   2010-03-29 2011-05-05
600. WASTE MANAGEMENT INC NEW   2008-12-11 2011-05-05
275. SOUTHWESTERN ENERGY CO   2011-01-04 2011-05-06
375. INTEL CORP   2008-12-11 2011-05-12
175. INTEL CORP   2010-05-26 2011-05-12
75. CHINA MOBILE LTD SPONS ADR   2010-08-06 2011-05-17
500. ISHARES INC MSCI JAPAN   2007-12-11 2011-05-25
200. MICROSOFT CORP   2006-10-12 2011-05-25
175. PNC BANK CORP   2011-04-12 2011-05-25
200. PNC BANK CORP   2010-12-23 2011-06-02
325. SOUTHWESTERN ENERGY CO   2011-01-04 2011-06-10
75. CHEVRONTEXACO CORP   2005-05-17 2011-06-15
50. 3M CO   2010-09-07 2011-06-16
200. BOEING COMPANY   2011-02-09 2011-06-23
100. ABBOTT LABORATORIES   2009-09-09 2011-06-29
225. DUKE ENERGY HLDG CORP   2011-01-21 2011-06-29
500. ISHARES INC MSCI JAPAN   2007-12-11 2011-06-29
300. MERCK & CO INC   2010-04-22 2011-06-29
250. TYSON FOODS INC   2011-02-11 2011-06-29
25000. U S TREASURY NOTES 4.875% 07/31/11   2006-08-28 2011-06-29
1000. JAPAN SMALLER CAP FD RT EX 7/22/11   2007-05-21 2011-07-01
100. MCDONALDS CORP   2011-02-04 2011-07-18
200. PNC BANK CORP   2010-12-23 2011-07-19
600. ORACLE SYSTEMS CORP   2009-05-20 2011-07-27
1000. TYSON FOODS INC   2011-02-11 2011-07-28
25000. U S TREASURY NOTES 4.875% 07/31/11   2006-08-28 2011-07-31
375. NIPPON TELEG & TEL CORP ADR   2007-12-06 2011-08-03
900. VALERO ENERGY CORP   2011-07-14 2011-08-03
125. CHEVRONTEXACO CORP   2002-07-26 2011-08-04
575. MEDTRONIC INC   2011-06-20 2011-08-04
200. MCDONALDS CORP   2011-02-04 2011-08-05
2350. BANK AMER CORP   2011-07-26 2011-08-10
1000. DUKE ENERGY HLDG CORP   2011-01-21 2011-08-10
225. CATERPILLAR INC   2011-08-04 2011-08-12
350. COCA COLA COMPANY   2008-12-11 2011-08-18
325. CENTRAL FUND CANADA   2009-12-08 2011-08-24
100. GOLDCORP INC NEW   2006-06-08 2011-08-24
1000. ISHARES INC MSCI JAPAN   2009-03-17 2011-08-24
1000. JAPAN SMALLER CAP FUND INC   2007-05-21 2011-08-24
150. 3M CO   2010-09-07 2011-08-24
100. BARRICK GOLD CORP   2007-03-22 2011-08-26
300. CENTRAL FUND CANADA   2009-09-18 2011-08-26
200. FLUOR CORP NEW COM   2011-08-04 2011-08-31
125. CONOCOPHILLIPS   2011-06-10 2011-09-01
150. DEERE & CO COM   2009-03-17 2011-09-01
200. FLUOR CORP NEW COM   2011-08-04 2011-09-01
325. CONOCOPHILLIPS   2011-08-16 2011-09-12
225. CHINA MOBILE LTD SPONS ADR   2010-08-06 2011-09-21
75. COCA COLA COMPANY   2008-12-11 2011-09-22
100. KIMBERLY CLARK CORP   2010-03-16 2011-09-22
850. NIPPON TELEG & TEL CORP ADR   2007-12-06 2011-10-04
50000. U S TREASURY NOTES 4.625% 10/31/11   2006-10-30 2011-10-06
325. UNITED PARCEL SERVICE-CLASS B   2011-06-15 2011-10-07
275. CONOCOPHILLIPS   2011-10-04 2011-10-11
425. EMERSON ELECTRIC COMPANY   2011-10-04 2011-10-12
125. CAMECO CORP   2008-11-17 2011-10-13
25. DEERE & CO COM   2009-03-17 2011-10-13
275. ABBOTT LABORATORIES   2009-09-09 2011-10-19
175. TRAVELERS COMPANIES INC   2010-05-21 2011-10-20
150. TRAVELERS COMPANIES INC   2011-06-23 2011-10-20
400. AGNICO EAGLE MINES LTD   2011-08-02 2011-10-21
300. CAMECO CORP   2008-11-17 2011-10-21
450. CAMECO CORP   2011-07-22 2011-10-21
275. TEXAS INSTRUMENTS INC   2011-10-04 2011-10-25
250. BERKSHIRE HATHAWAY INC CL B   2011-10-04 2011-11-01
375. TEXAS INSTRUMENTS INC   2011-10-04 2011-11-09
20000. CS FIRST BOSTON 6.125% 11/15/11   2001-11-06 2011-11-15
250. SANOFI ADR   2011-05-17 2011-11-17
175. SANOFI ADR   2011-05-19 2011-11-17
450. INTEL CORP   2010-05-26 2011-11-21
450. SANOFI ADR   2011-05-17 2011-11-21
625. BROADCOM CORP CL A   2011-11-15 2011-11-28
625. J P MORGAN CHASE & CO   2011-08-22 2011-12-07
825. EMC CORPORATION   2011-10-04 2011-12-14
(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 10,572   8,412 2,160
b 10,174   6,746 3,428
c 10,174   7,288 2,886
d 12,703   13,475 -772
e 6,760   6,363 397
11,923   10,891 1,032
19,497   17,839 1,658
15,113   15,307 -194
10,647   6,746 3,901
16,840   13,669 3,171
50,000   51,100 -1,100
6,493   7,513 -1,020
10,608   6,535 4,073
15,681   7,884 7,797
22,196   24,218 -2,022
11,681   7,378 4,303
4,214   3,337 877
4,214   3,568 646
9,745   7,954 1,791
21,618   24,180 -2,562
12,360   8,565 3,795
10,780   14,635 -3,855
6,737   5,483 1,254
8,048   14,322 -6,274
9,199   5,726 3,473
11,500   10,747 753
8,846   6,666 2,180
4,007   2,627 1,380
10,017   7,954 2,063
27,042   26,011 1,031
9,900   9,051 849
21,434   23,801 -2,367
6,169   5,006 1,163
11,116   9,880 1,236
45,698   29,117 16,581
23,214   19,689 3,525
11,800   10,567 1,233
8,795   5,437 3,358
4,104   3,756 348
3,342   3,989 -647
4,980   7,130 -2,150
4,852   5,624 -772
10,704   11,018 -314
11,962   12,037 -75
13,806   12,488 1,318
7,340   3,399 3,941
4,573   4,150 423
14,210   14,481 -271
5,208   4,661 547
4,221   4,088 133
5,145   7,130 -1,985
10,482   10,212 270
4,845   4,648 197
25,103   25,117 -14
243     243
8,526   7,403 1,123
11,123   12,037 -914
18,516   11,453 7,063
17,626   18,592 -966
25,000   25,117 -117
9,104   9,412 -308
21,132   22,842 -1,710
12,460   4,344 8,116
19,285   22,232 -2,947
16,760   14,806 1,954
16,124   23,615 -7,491
17,386   18,170 -784
20,157   20,573 -416
23,772   15,721 8,051
7,624   4,408 3,216
4,888   2,580 2,308
9,450   9,621 -171
7,490   11,038 -3,548
11,903   12,450 -547
5,030   2,922 2,108
7,444   3,956 3,488
12,072   11,171 901
8,558   9,035 -477
12,191   5,551 6,640
11,920   11,171 749
20,580   22,698 -2,118
11,406   11,967 -561
5,069   3,325 1,744
6,878   6,045 833
19,987   20,041 -54
50,150   49,992 158
21,487   22,343 -856
18,316   16,487 1,829
19,763   17,416 2,347
2,551   1,853 698
1,741   758 983
15,058   12,592 2,466
9,395   8,471 924
8,052   8,523 -471
17,748   23,013 -5,265
5,928   4,448 1,480
8,893   12,314 -3,421
8,503   7,443 1,060
19,110   17,551 1,559
11,599   10,150 1,449
20,000   20,054 -54
8,306   9,469 -1,163
5,814   6,801 -987
10,573   9,658 915
14,878   17,044 -2,166
18,803   22,482 -3,679
21,015   21,143 -128
18,310   16,607 1,703
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       2,160
b       3,428
c       2,886
d       -772
e       397
      1,032
      1,658
      -194
      3,901
      3,171
      -1,100
      -1,020
      4,073
      7,797
      -2,022
      4,303
      877
      646
      1,791
      -2,562
      3,795
      -3,855
      1,254
      -6,274
      3,473
      753
      2,180
      1,380
      2,063
      1,031
      849
      -2,367
      1,163
      1,236
      16,581
      3,525
      1,233
      3,358
      348
      -647
      -2,150
      -772
      -314
      -75
      1,318
      3,941
      423
      -271
      547
      133
      -1,985
      270
      197
      -14
      243
      1,123
      -914
      7,063
      -966
      -117
      -308
      -1,710
      8,116
      -2,947
      1,954
      -7,491
      -784
      -416
      8,051
      3,216
      2,308
      -171
      -3,548
      -547
      2,108
      3,488
      901
      -477
      6,640
      749
      -2,118
      -561
      1,744
      833
      -54
      158
      -856
      1,829
      2,347
      698
      983
      2,466
      924
      -471
      -5,265
      1,480
      -3,421
      1,060
      1,559
      1,449
      -54
      -1,163
      -987
      915
      -2,166
      -3,679
      -128
      1,703
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 88,114
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . . 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2010 80,135 2,450,975 0.032695
2009 75,110 2,315,338 0.03244
2008 136,545 2,541,806 0.05372
2007 149,769 2,803,873 0.053415
2006 150,908 2,714,623 0.055591
2 Total of line 1, column (d) ...................... 2 0.227861
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 0.045572
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 2,597,887
5 Multiply line 4 by line 3....................... 5 118,391
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,237
7 Add lines 5 and 6......................... 7 119,628
8 Enter qualifying distributions from Part XII, line 4.............. 8 73,000
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 2,475
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 2,475
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 2,475
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. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,231
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet   Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletPA
    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 addressbullet  
    14
    The books are in care ofbulletSUSQUEHANNA TR & INV CO Telephone no.bullet (717) 735-8764
    Located atbullet1570 MANHEIM PIKE PO BOX 3300LANCASTERPA ZIP+4bullet176043300
    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
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2011?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2011.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2011?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    SUSQUEHANNA TRUST AND INVESTMENT CO TRUSTEE / PART-TIME
    0     		28,755    
    1570 MANHEIM PIKE PO BOX 3300
    LANCASTER,PA176043300
    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
    2,637,449
    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
    2,637,449
    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
    2,637,449
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    39,562
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,597,887
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    129,894
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    129,894
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    2,475
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,475
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    127,419
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    127,419
    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
    127,419
    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
    73,000
    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
    73,000
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    73,000
    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 7 127,419
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 34,938
    b Total for prior years:2009, 20, 20 0
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 0
    b From 2007....... 0
    c From 2008....... 0
    d From 2009....... 0
    e From 2010....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 73,000
    a Applied to 2010, but not more than line 2a 34,938
    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..... 38,062
    e Remaining amount distributed out of corpus 0
    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).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    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 ..........     		89,357
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		0
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		0
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2007.... 0
    b Excess from 2008.... 0
    c Excess from 2009.... 0
    d Excess from 2010.... 0
    e Excess from 2011.... 0
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2011, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2011 (b) 2010 (c) 2009 (d) 2008
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    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:
    JOHN W STARTZEL VICE PRESIDENT
    48 ORCHARD DRIVE
    SHAMOKIN DAM,PA17876
    (570) 743-4958
    bThe form in which applications should be submitted and information and materials they should include:
    PRE-PRINTED FORM FROM THE FOUNDATION
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    APPLICANT MUST RESIDE IN SNYDER, UNION OR NORTHUMBERLAND COUNTY
    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
    SHIKELLAMY SCHOOL DISTRICT
    200 ISLAND BOULEVARD
    SUNBURY,PA17801     		NONE N/A SUPPORT STUDENT PROGRAMS 4,500
    THE SALVATION ARMY
    40 SOUTH FOURTH STREET
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 2,500
    LEUKEMIA AND LYMPHOMA SOCIETY INC
    800 CORPORATE CIRCLE STE 100
    HARRISBURG,PA17110     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 1,000
    THE IMPROVED MILTON EXPERIENCE
    139 S FRONT STREET
    MILTON,PA17847     		NONE N/A SUPPORT TIME FOR TEENS PROGRAM 1,000
    A COMMUNITY CLINIC
    335 MARKET STREET
    SUNBURY,PA17801     		NONE N/A FOR OPERATIONAL EXPENSES 2,500
    SUNBURY'S REVITALIZATION INC
    ATTN CHERLY DELSITE
    225 MARKET STREET
    SUNBURY,PA17801     		NONE N/A PURCHASE OF GLOVES AND BOOKS FOR CHILDREN 2,000
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    2209 FOREST HILLS DRIVE SUITE 18
    HARRISBURG,PA17112     		NONE N/A INDIVIDUALS WITH M/S IN NORTHUMBERLAND CNTY 1,500
    UNITED WAY OF CENTRAL SUSQ VALLEY
    335 MARKET STREET SUITE 2A
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 1,500
    SELINSGROVE AREA RECREATION INC
    WEST PINE STREET
    SELINSGROVE,PA17870     		NONE N/A FOR RENOVATIONS OF THE COMMUNITY POOL 2,500
    SNYDER COUNTIES LIBRARIES INC
    ONE NORTH HIGH STREET
    SELINSGROVE,PA17870     		NONE N/A FOR OPERATING EXPENSES OF LIBRARIES 4,000
    CONCERNED CITIZENS FOR CHILD CARE
    INC
    801 SUSQUEHANNA AVE
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 2,000
    FAMILY PLANNING SERVICES OF SNYDER
    UNION AND NORTHUMBERLAND COUNTIES
    4612 WESTBRANCH HIGHWAY
    LEWISBURG,PA17837     		NONE N/A SUPPORT PROGRAMS OF ORGANIZATION 1,000
    UNION COUNTY UNITED FUND
    11 REITZ ROAD STE 107
    LEWISBURG,PA232038274     		NONE N/A EARLY CARE AND EDUCATION PROGRAMS 1,500
    PREISTLEY CHAPEL ASSOCIATES
    PO BOX 333
    NORTHUMBERLAND,PA17857     		NONE N/A CONSTRUCTION OF REST ROOMS AT CHAPEL 1,000
    PENN VALLEY AIRPORT AUTHORTY
    100 AIRPORT ROAD
    SELINSGROVE,PA17870     		NONE N/A FOR AIR SHOW AT AIRPORT 2,000
    RONALD MCDONALD HOUSE OF DANVILLE
    INC
    PO BOX 300
    DANVILLE,PA17821     		NONE N/A FOR OPERATING EXPENSES AND RENOVATIONS 2,000
    PUBLIC LIBRARY FOR UNION COUNTY
    255 REITZ BOULEVARD
    LEWISBURG,PA17837     		NONE N/A SUPPORT OPERATIONS OF LIBRARY 2,000
    WEST BEAVER TOWNSHIP MEMORIAL POOL
    ATTN PHILIP A LASH PRESIDENT
    730 SNYDER AVENUE
    BEAVER SPRINGS,PA17812     		NONE N/A POOL SCHOLARSHIPS FOR NEEDY FAMILIES 1,000
    HAVEN MINISTRY INC
    ATTN CATHERINE A TEISHER EXECUTIVE
    1043 S FRONT ST
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 12,500
    DONALD HEITER COMMUNITY CENTER
    100 NORTH FIFTH STREET
    LEWISBURG,PA17837     		NONE N/A SUMMER DAY CAMP FOR LOW-INCOME CHILDREN 2,000
    CAMPS FOR SPIFFY KYDS INC
    196 ROSE LANE
    PORT TREVORTON,PA17864     		NONE N/A SEND CAMPERS TO CAMP VICTORY 1,000
    THE CITY BAND
    6 MAPLE STREET
    SHAMOKIN DAM,PA17876     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 500
    FAR POINT ANIMAL RESCUE
    1105 RED HILL ROAD
    PORT TREVORTON,PA17864     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 1,000
    COLUMBIA MONTOUR REGIONAL ARTS
    COUNCIL INC
    203 WEST MAIN
    BLOOMSBURG,PA17815     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 500
    SUSQUEHANNA VALLEY DETACHMENT 308
    MARINE CORPS LEAGUE INC
    226 ASH STREET
    DANVILLE,PA17821     		NONE N/A PURCHASE OF CHRISTMAS PRESENTS FOR NEEDY 1,000
    SNYDER COUNTY CHILDREN & YOUTH
    SERVICES
    713 BRIDGE STREET STE 15
    SELINSGROVE,PA17870     		NONE N/A ASSISTANCE FOR NEEDY FAMILIES 1,500
    4H CLUBS AND AFFILIATED 4H
    ORGANIZATIONS SNYDER COUNTY
    PO BOX 217
    MIDDLEBURG,PA07842     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 1,000
    CITY OF SUNBURY
    C/O JAMES EISTER-PARKS & RECREATION
    225 MARKET STREET
    SUNBURY,PA17801     		NONE N/A PROGRAMS FOR CHILDREN, PARKS & RECREATION 3,000
    DEGENSTEIN COMMUNITY LIBRARY
    40 SOUTH FIFTH STREET
    SUNBURY,PA07801     		NONE N/A OPERATING EXPENSES FOR LIBRARY 1,000
    THE PRIESTLEY FORSYTH MEM LIBRARY
    ATTN C LYNN WILLIAMS
    100 KING ST
    NORTHUMBERLAND,PA17857     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 7,000
    NORTUMBERLAND COUNTY CHILDREN
    AND YOUTH
    322 NORTH SECOND STREET
    SUNBURY,PA17801     		NONE N/A FOR HOLIDAY DISTRIBUTION FOR NEEDY CHILDREN 1,500
    HERR MEMORIAL LIBRARY
    500 MARKET STREET
    MIFFLINBURG,PA17844     		NONE N/A SUPPORT OPERATIONS OF ORGANIZATION 1,000
    MONTGOMERY HOUSE INC
    WARRIOR RUN AREA PUBLIC LIBRARY
    20 CHURCH STREET
    MCEWENSVILLE,PA17749     		NONE N/A ZACH SMITH EAGLE SCOUT PROJECT 1,000
    PENNSYLVANIA ENVIROTHON INC NP
    208 W THIRD STREET SUITE 101
    WILLIAMSPORT,PA17701     		NONE N/A SUPPORT OUTDOOR COMPETITIONS FOR STUDENTS 1,000
    SUMMER SEALS DAY CAMP
    PO BOX 395
    SELINSGROVE,PA17870     		NONE N/A SUPPORT OPERATIONS OF SUMMER DAY CAMP 1,000
    Total .................................bullet 3a 73,000
    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 7  
    4 Dividends and interest from securities....     14 85,434  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 88,114  
    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)..   173,555  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13173,555
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BOEING CAP CORP 4.7% 10/27/19 25,219 28,457
    COCA COLA CO NT 4.875% 3/15/19 24,981 29,278
    CS FRST BOSTON 6.125% 11/15/11    
    DUPONT DE NEMRS 4.75% 11/15/12 50,611 51,705
    FPL GRP CAP INC 2.55% 11/15/13 25,225 25,434
    GENERL ELEC CAP CORP 6% 8/7/19 52,210 57,432
    GOLDMAN SACHS 4.000% 3/15/16 25,000 23,810
    MEDTRONIC INC 3.000% 3/15/15 100,650 105,602
    ORACLE CORP 5.25% 1/15/16 100,750 115,470
    STATOIL ASA 3.125% 8/17/17 26,388 26,368
    TEVA PHARMACEUTICAL 3% 6/15/15 25,530 26,034
    WALMRT STRS INC 4.125% 2/15/11    
    UNLEVER CAP CORP 4.25% 2/10/21 25,140 28,491
    AT&T INC 2.95% 5/15/16 51,313 52,107
    JOHN DEERE CAP CO 2.8% 9/18/17 49,997 52,455
    JPMRGN CHASE & CO 3.45% 3/1/16 51,277 50,798

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M CO 31,826 32,692
    AT&T INC 41,327 48,384
    ABBOTT LABORATORIES 37,182 44,984
    AGCO CORP    
    ARCHER DANIELS MIDLAND 42,142 43,615
    BARRICK GOLD CORP 26,389 38,462
    BRISTOL-MYERS SQUIBB CO 26,345 40,526
    CAMECO CORP    
    CENTRAL FUND CANADA 38,778 70,596
    CHEVRON CORP    
    CHINA MOBILE LTD SPONS ADR 20,365 20,608
    CISCO SYS INC 21,215 24,408
    COCA COLA COMPANY 19,523 33,235
    COLGATE-PALMOLIVE COMPANY 29,445 34,646
    CONOCOPHILLIPS    
    DEERE & CO COM 16,372 19,337
    EXXON MOBIL CORPORATION 26,686 31,785
    FLUOR CORP NEW    
    GENERAL ELECTRIC COMPANY 35,144 31,790
    GLAXO SMITHKLINE PLC SPONS ADR    
    GOLDCORP INC NEW 23,944 48,675
    INTEL CORP 28,569 32,737
    ISHARES MSCI JAPAN INDEX    
    JAPAN SMALLER CAP FUND INC    
    JOHNSON & JOHNSON 64,490 67,219
    KELLOGG COMPANY    
    KIMBERLY CLARK CORP 15,113 18,390
    MERCK & CO INC 44,625 50,895
    MICROSOFT CORP 53,431 55,814
    NEWMONT MINING 30,409 54,009
    NIPPON TELEG & TEL CORP ADR    
    ORACLE SYSTEMS CORP    
    PEPSICO INC 36,750 39,810
    PFIZER INC 60,348 56,805
    PNC FINL SVCS GROUP INC    
    PROCTOR & GAMBLE 38,927 46,697
    RYL DTCH SHELL PLC SPONS ADR B 8,810 11,401
    SHAW GROUP INC    
    TEMPLETON EMERGING    
    TRANSCANADA CORP COM 22,510 26,202
    TRAVELERS COMPANIES INC 20,910 23,668
    VERIZON COMMUNCATIONS 53,985 68,204
    VODAFONE GRP PLC NEW SPONS ADR 19,648 25,031
    WAL MART STORES INC 41,553 49,302
    WASTE MANAGEMENT INC 34,027 35,981
    AUTOMARIC DATA PROCESSING INC 29,572 32,406
    CLOROX 22,764 23,296
    DISNEY WALT COMPANY 22,664 26,250
    DUPONT DE NEMOURS EI CO 21,528 21,745
    ELI LILLY & COMPANY 22,422 24,936
    EXELON CORP 40,374 41,201
    KRAFT FOODS INC 24,427 28,954
    PAYCHEX INC 26,194 30,110
    SYSCO CORP 20,946 22,731
    YAMANA GOLD INC 22,960 23,504

    TY 2011 InvestmentsGovtObligationsSch
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    US Government Securities - End of Year Book Value:

    368,640
    US Government Securities - End of Year Fair Market Value:

    411,047
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2011 LegalFeesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - PRINCIPAL (ALLOCA 18,350 18,350    


    TY 2011 OtherDecreasesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Description Amount
    ACCRUED INT PD/2011 PURCHASES 91
    ADJUSTMENT FOR ROUNDING 6
    ADJUSTMENT FOR WASH SALES 547


    TY 2011 OtherExpensesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ALLOCABLE EXPENSE-PRINCI 2,199 2,199   0
    OTHER ALLOCABLE EXPENSE-INCOME 3 3   0


    TY 2011 OtherIncreasesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Description Amount
    ACCRUED INT PD/ 2010 PURCHASES 126


    TY 2011 TaxesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 497 497   0
    FEDERAL TAX PAYMENT - PRIOR YE 536 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,244 0   0
    FOREIGN TAXES ON QUALIFIED FOR 14 14   0
    FOREIGN TAXES ON NONQUALIFIED 5 5   0