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
RALPH C SHELDON FOUNDATION INC
 

Number and street (or P.O. box number if mail is not delivered to street address)217 NORTH MAIN STREET   Room/suite
City or town, state, and ZIP code
JAMESTOWN, NY147020417
A Employer identification number

16-6030502
B Telephone number (see page 10 of the instructions)

(716) 664-9890
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$11,407,669J 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) 1,558,500
2 Check bullet
3 Interest on savings and temporary cash investments 3,289 3,289  
4 Dividends and interest from securities...... 304,476 304,476  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 248,816
b Gross sales price for all assets on line 6a 2,600,211
7 Capital gain net income (from Part IV, line 2)... 248,816
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 3,912    
12 Total. Add lines 1 through 11........ 2,118,993 556,581  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 85,204 42,602   42,602
14 Other employee salaries and wages...... 36,062 18,031   18,031
15 Pension plans, employee benefits....... 22,877 11,439   11,438
16a Legal fees (attach schedule)......... Click to see attachment 1,803 902   901
b Accounting fees (attach schedule)....... Click to see attachment 8,500 4,250   4,250
c Other professional fees (attach schedule).... Click to see attachment 24,650 24,650    
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 17,384 11,982   4,627
19 Depreciation (attach schedule) and depletion... Click to see attachment 6,887    
20 Occupancy.............. 13,430 6,715   6,715
21 Travel, conferences, and meetings....... 5,042 2,521   2,521
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 14,323 7,161   7,164
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 236,162 130,253   98,249
25 Contributions, gifts, grants paid........ 2,268,600 2,268,600
26 Total expenses and disbursements. Add lines 24 and 25 2,504,762 130,253   2,366,849
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -385,769
b Net investment income (if negative, enter -0-) 426,328
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 308,374 174,163 174,163
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) 747,813 Click to see attachment329,062 332,621
b Investments—corporate stock (attach schedule)........ 7,450,773 Click to see attachment7,485,754 8,430,780
c Investments—corporate bonds (attach schedule)........ 2,184,468 Click to see attachment2,218,375 2,366,813
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 bullet115,898
Less: accumulated depreciation (attach schedule) bullet12,606 4,050 Click to see attachment103,292 103,292
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 10,695,478 10,310,646 11,407,669
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) Click to see attachment4,437 Click to see attachment5,374
23 Total liabilities (add lines 17 through 22).......... 4,437 5,374
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 10,691,041 10,305,272
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    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 10,691,041 10,305,272
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 10,695,478 10,310,646
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 10,691,041
2 Enter amount from Part I, line 27a..................... 2 -385,769
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 10,305,272
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 10,305,272
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 PUBLICLY TRADED SECURITIES      
b CAPITAL GAIN DISTRIBUTION P 2010-12-31 2011-12-31
c
d
e
(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 2,528,958 0 2,351,395 177,563
b 71,253 0 0 71,253
c
d
e
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 0 177,563
b 0 0 0 71,253
c
d
e
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 2 248,816
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 2,466,062 11,770,665 0.209509
2009 1,984,373 10,485,400 0.189251
2008 1,969,966 11,648,640 0.169116
2007 2,385,866 13,615,342 0.175234
2006 1,852,657 12,458,481 0.148706
2 Total of line 1, column (d) ...................... 2 0.891816
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 0.178363
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 12,107,544
5 Multiply line 4 by line 3....................... 5 2,159,538
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 4,263
7 Add lines 5 and 6......................... 7 2,163,801
8 Enter qualifying distributions from Part XII, line 4.............. 8 2,366,849
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 4,263
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 4,263
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 4,263
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 4,800
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.............. : -4800 7 4,800
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 537
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet0 Refunded Bullet 11 537
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
Yes
 
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)bulletNY
    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 addressbulletWWW.RCSHELDONFOUNDATION.ORG
    14
    The books are in care ofbulletLINDA SWANSON EXECUTIVE DIRECTOR Telephone no.bullet (716) 664-9890
    Located atbullet217 NORTH MAIN STREETJAMESTOWNNY ZIP+4bullet14701
    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
     
     
    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
    MARK I HAMPTON SECRETARY & DIRECTOR
    1.00     		0 0 0
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    MILES L LASSER DIRECTOR EMERITUS
    1.00     		0 0 0
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    BARCLAY O WELLMAN PRESIDENT & DIRECTOR
    1.00     		0 0 0
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    PETER B SULLIVAN DIRECTOR
    1.00     		0 0 0
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    ALEXIS SINGLETON ASSISTANT TREASURER
    1.00     		0 0 0
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    BETSY SHULTS VP & DIRECTOR
    1.00     		0 0 0
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    KELLY A DAWSON TREASURER & DIRECTOR
    1.00     		0 0 0
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    RAYMOND FASHANO DIRECTOR
    1.00     		0 0 0
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    LINDA SWANSON EXECUTIVE DIRECTOR
    40.00     		85,204 8,400 0
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    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
    11,760,651
    b
    Average of monthly cash balances.......................
    1b
    531,272
    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
    12,291,923
    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
    12,291,923
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    184,379
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    12,107,544
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    605,377
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    605,377
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    4,263
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,263
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    601,114
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    601,114
    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
    601,114
    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
    2,366,849
    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
    2,366,849
    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
    4,263
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    2,362,586
    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 7 601,114
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 454,445
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006.......  
    b From 2007.......  
    c From 2008.......  
    d From 2009.......  
    e From 2010.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 2,366,849
    a Applied to 2010, but not more than line 2a 454,445
    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)...     		Click to see attachment1,813,979
    d Applied to 2011 distributable amount..... 98,425
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2011.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,813,979
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		 
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		 
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		502,689
    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) ...........     		1,813,979
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		 
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2007....  
    b Excess from 2008....  
    c Excess from 2009....  
    d Excess from 2010....  
    e Excess from 2011....  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2011, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2011 (b) 2010 (c) 2009 (d) 2008
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    LINDA SWANSON
    217 NORTH MAIN STREET
    JAMESTOWN,NY14701
    (716) 664-9890
    bThe form in which applications should be submitted and information and materials they should include:
    SEE THE FOLLOWING WEB ADDRESS HTTP://WWW.CHAUTAUQUAGRANTS.ORG/
    cAny submission deadlines:
    SEE THE FOLLOWING WEB ADDRESS HTTP://WWW.CHAUTAUQUAGRANTS.ORG/
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GEOGRAPHICAL, SOUTHERN CHAUTAUQUA COUNTY, NEW YORK
    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
    ALLEGHENY HIGHLANDS COUNCIL INC
    50 HOUGH HILL RD
    FALCONER,NY14733     		  501(C)(3) CAMP MERZ FACILITYNEEDS 18,000
    ALLEGHENY HIGHLANDS COUNCIL INC
    50 HOUGH HILL RD
    FALCONER,NY14733     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 2,000
    ALZHEIMER'S ASSOCIATION INC
    C/O MEMORY GARDEN 560 FAIRMOUNT AVE
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 250
    AMERICA'S JR MISS SCHOLARSHIP FOUNDATION
    LAKEWOOD AREA JR MISS C/O 150 ARLIN
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 250
    AMERICAN RED CROSS - CHAUT CO CHAPTER
    325 E FOURTH ST
    JAMESTOWN,NY14701     		  501(C)(3) FACILITY MAINTENANCE 16,200
    AMERICAN RED CROSS - CHAUT CO CHAPTER
    325 E FOURTH ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,750
    ARTS COUNCIL FOR CHAUTAUQUA CO
    116 E THIRD STREET
    JAMESTOWN,NY14701     		  501(C)(3) ARTS IN EDUCATION 65,000
    ARTS COUNCIL FOR CHAUTAUQUA CO
    116 E THIRD STREET
    JAMESTOWN,NY14701     		  501(C)(3) DISCRETIONARY GRANTEXECUTIVE DIRECTORGRANT WRITER 2,500
    ARTS COUNCIL FOR CHAUTAUQUA CO
    116 E THIRD STREET
    JAMESTOWN,NY14701     		  501(c)(3) DIRECTOR'SUNRESTRICTED GRANT 2,550
    BEMUS BAY POPS INC
    PO BOX 9250
    BEMUS POINT,NY14712     		  501(c)(3) DIRECTOR'SUNRESTRICTED GRANT 2,000
    CAMP GROSS FOUNDATION
    8175 ROUTE 60 NORTH
    CASSADAGA,NY14718     		  501(c)(3) DIRECTOR'SUNRESTRICTED GRANT 250
    CATHOLIC ACADEMY OF THE HOLY FAMILY
    1135 N MAIN STREET
    JAMESTOWN,NY14701     		  501(c)(3) DIRECTOR'SUNRESTRICTED GRANT 2,000
    CHAUTAUQUA ADULT DAY CARE CENTERS INC
    358 E FIFTH ST
    JAMESTOWN,NY14701     		  501(c)(3) NEW WHEELCHAIR BUS 9,595
    CHAUTAUQUA BLIND ASSOCIATION INC
    358 E FIFTH ST
    JAMESTOWN,NY14701     		  501(C)(3) NEW VEHICLEPURCHASE 18,000
    CHAUTAUQUA BLIND ASSOCIATION INC
    358 E FIFTH ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 250
    CHAUTAUQUA CO HUMANE SOCIETY
    2825 STRUNK ROAD
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,250
    CHAUTAUQUA INSTITUTION
    PO BOX 28
    CHAUTAUQUA,NY14722     		  501(C)(3) ANNUAL FUND DRIVE 40,000
    CHAUTAUQUA INSTITUTION
    PO BOX 28
    CHAUTAUQUA,NY14722     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 3,850
    CHAUTAUQUA LAKE ASSOCIATION INC
    429 EAST TERRACE AVE
    LAKEWOOD,NY14750     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 2,000
    CHAUTAUQUA LAKE ROWING ASSOCIATION
    46 PLEASANTVIEW DR
    JAMESTOWN,NY14701     		  501(C)(3) DOCK RAMPS 2,500
    CHAUTAUQUA OPPORTUNITIES INC
    17 W CUORTNEY ST
    DUNKIRK,NY14048     		  501(C)(3) VILLAGE BUILDINGCOI SAFETYPROJECT 4,251
    CHAUTAUQUA REGION COMMUNITY FOUNDATION
    418 SPRING ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 2,000
    CHAUTAUQUA REGIONAL YOUTH BALLET
    9 1/2 FALCONER ST
    JAMESTOWN,NY14701     		  501(C)(3) 2011 PROGRAMSUPPORT 18,000
    CHAUTAUQUA REGIONAL YOUTH BALLET
    9 1/2 FALCONER ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    CHAUTAUQUA REGIONAL YOUTH SYMPHONY
    PO BOX 3454
    JAMESTOWN,NY14701     		  501(c)(3) 2010/2011 DIRECTORHONORARIUM 3,000
    CHAUTAUQUA REGIONAL YOUTH SYMPHONY
    PO BOX 3454
    JAMESTOWN,NY14701     		  501(c)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    CHAUTAUQUA STRIDERS
    101 E FOURTH ST
    JAMESTOWN,NY14701     		  501(C)(3) PROGRAM SUPPORT 80,000
    CHAUTAUQUA STRIDERS
    101 E FOURTH ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 2,400
    CHAUTAUQUA WATERSHED CONSERVANCY
    413 NORTH MAIN ST
    JAMESTOWN,NY14701     		  501(C)(3) CONSERVATIONSTEWARDSHIP PROGRAM 25,000
    CHAUTAUQUA WATERSHED CONSERVANCY
    413 NORTH MAIN ST
    NORTH MAIN ST,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 200
    CITY OF JAMESTOWN
    MUNICIPAL BLDG
    JAMESTOWN,NY14701     		  501(C)(3) ROSELAND PARKPLAYGROUND PROJECT 25,000
    CITY OF JAMESTOWN
    MUNICIPAL BLDG
    JAMESTOWN,NY14701     		  501(C)(3) 2011 PLAYGROUND PROGRAM 5,000
    COMMUNITY MUSIC PROJECT
    715 FALCONER ST BLDG D
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,400
    DOWNTOWN JAMESTOWN DEVELOPMENT CORP
    19 W THIRD ST
    JAMESTOWN,NY14701     		  501(C)(3) OPERATING EXPENSES 20,000
    DOWNTOWN JAMESTOWN DEVELOPMENT CORP
    19 W THIRD ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,500
    FALCONER PUBLIC LIBRARY
    101 W MAIN ST
    FALCONER,NY14733     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    FENTON HISTORY CENTER
    67 WASHINGTON ST
    JAMESTOWN,NY14701     		  501(C)(3) DISCRETIONARY GRANT -EXECUTIVE DIRECTOR'SCLN TRAINING 375
    FENTON HISTORY CENTER
    67 WASHINGTON ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 200
    FIRST PRESBYTERIAN CHURCH - MINISTER'S FUND
    509 PRENDERGAST AVE
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    FOOD BANK OF WNY
    91 HOLT ST
    BUFFALO,NY14206     		  501(C)(3) GATEWAY CENTERFORKLIFT FOROPERATIONS 10,000
    FRIENDS OF CHILD ADVOCACY PROGRAM
    405 W THIRD ST
    JAMESTOWN,NY14701     		  501(C)(3) 2012 OPERATING EXPENSES 40,000
    FRIENDS OF CHILD ADVOCACY PROGRAM
    405 W THIRD ST
    JAMESTOWN,NY14701     		  501(C)(3) CAPITAL IMPROVEMENTS/EXPANSION 15,000
    GIRL SCOUTS OF WNY INC
    3332 WALDEN AVE STE 106
    DEPEW,NY14043     		  501(C)(3) TACK SHOP @CAMP TIMBERCREST 13,500
    GRANTMAKERS FORUM OF NEW YORK
    75 COLLEGE AVENUE
    ROCHESTER,NY14607     		  501(C)(3) DUES 2011 4,600
    HOSPICE CHAUTAUQUA COUNTY
    20 W FAIRMOUNT AVE
    LAKEWOOD,NY14750     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 900
    INFINITY PERFORMING ARTS PROGRAM INC
    115 E THIRD ST
    JAMESTOWN,NY14701     		  501(C)(3) CO-SER REGRANTPROGRAM 10,000
    INFINITY PERFORMING ARTS PROGRAM INC
    115 E THIRD ST
    JAMESTOWN,NY14701     		  501(C)(3) OPERATING &PROGRAM EXPENSES 35,000
    INFINITY PERFORMING ARTS PROGRAM INC
    115 E THIRD ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 250
    ITALIAN AMERICAN CHARITY GOLF ASSOC INC
    PO BOX 352
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    JAMES PRENDERGAST LIBRARY ASSOC
    509 CHERRY ST
    JAMESTOWN,NY14701     		  501(C)(3) BOOK GRANT 116,000
    JAMES PRENDERGAST LIBRARY ASSOCIATION
    509 CHERRY ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 5,700
    JAMES PRENDERGAST LIBRARY ASSOCIATION
    509 CHERRY ST
    CHERRY ST,NY14701     		  501(C)(3) CAPITAL PROJECTS 93,612
    JAMESTOWN AUDUBON SOCIETY
    RD5 RIVERSIDE RD
    JAMESTOWN,NY14701     		  501(C)(3) EDUCATION &COMMUNICATIONS PLAN 11,056
    JAMESTOWN AUDUBON SOCIETY
    RD5 RIVERSIDE RD
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,400
    JAMESTOWN BOYS & GIRLS CLUB
    62 ALLEN STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,500
    JAMESTOWN CHAPTER NSDAR
    70 PROSPECT ST
    JAMESTOWN,NY14701     		  501(C)(3) DISCRETIONARY GRANT -EXECUTIVE DIRECTOR'SPORCH REN. PROJECT 2,500
    JAMESTOWN COMMUNITY COLLEGE
    525 FALCONER ST
    JAMESTOWN,NY14701     		  501(C)(3) NEW SCIENCE FACILITY 200,000
    JAMESTOWN COMMUNITY COLLEGE FOUNDATION
    525 FALCONER ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 800
    JAMESTOWN COMMUNITY LEARNING COUNCIL CO LINCOLN SCHOOL
    301 FRONT ST
    JAMESTOWN,NY14701     		  501(C)(3) SUSTAIN JCLC 55,000
    JAMESTOWN CONCERT ASSOCIATION
    315 N MAIN STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 900
    JAMESTOWN CONCERT ASSOCIATION
    315 N MAIN STREET
    JAMESTOWN,NY14701     		  501(C)(3) 2011-2012CONCERT SERIES 8,200
    JAMESTOWN CITY SCHOOLS
    197 MARTIN ROAD
    JAMESTOWN,NY14701     		  501(C)(3) PROJECT SAFARI 17,000
    JAMESTOWN RENAISSANCE CORPORATION
    119-21 W THIRD STREET
    JAMESTOWN,NY14701     		  501(C)(3) NEIGHBORHOODCOORDINATOR 10,000
    JAMESTOWN RENAISSANCE CORPORATION
    119-21 W THIRD STREET
    JAMESTOWN,NY14701     		  501(C)(3) NEIGHBORHOODREVITALIZATION PROGRAM 7,500
    JOINT NEIGHBORHOOD PROJECT
    532 E SECOND ST
    JAMESTOWN,NY14701     		  501(C)(3) AGENCY PROGRAMS 55,000
    JOINT NEIGHBORHOOD PROJECT
    532 E SECOND ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 300
    JUNIOR ACHIEVEMENT OF WNY INC
    181 FRANKLIN ST
    BUFFALO,NY14202     		  501(C)(3) JA PROGRAMS INSOUTHERN CHAUTAUQUA COUNTY 10,000
    KIDDER MEMORIAL UNITED METHODIST CHURCH
    385 S MAIN ST
    JAMESTOWN,NY14701     		  501(C)(3) UNRESTRICTED GRANTDIRECTOR'S(ANGEL FOOD MINISTRY) 1,000
    KIDNEY CONNECTION INC
    57 WESTMINISTER DR WE
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    LAKEWOOD MEMORIAL LIBRARY
    12 W SUMMIT ST
    LAKEWOOD,NY14750     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    LAWSON BOATING HERITAGE CENTER
    PO BOX 10
    BEMUS POINT,NY14712     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,000
    LOVE INC
    GATEWAY CENTER 31 WATER ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 250
    LUCILLE BALL-DESI ARNAZ CENTER INC
    300 N MAIN ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,000
    LUCILLE BALL LITTLE THEATRE OF JAMESTOWN
    18-24 E SECOND ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,250
    LUTHERAN SOCIAL SERVICES FOUNDATION
    715 FALCONER ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 900
    MANUFACTURING TECHNOLOGY INSTITUTE
    512 FALCONER STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,000
    MEALS ON WHEELS OF THE JAMESTOWN AREA
    PO BOX 56
    JAMESTOWN,NY14701     		  501(C)(3) VEHICLE REPLACEMENTPROJECT 18,000
    MEALS ON WHEELS OF THE JAMESTOWN AREA
    PO BOX 56
    JAMESTOWN,NY14702     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    MYERS MEMORIAL LIBRARY
    PO BOX 559 IVORY RD
    FREWSBURG,NY14738     		  501(C)(3) DISCRETIONARY GRANT -EXECUTIVE DIRECTOR'SWINDOW PROJECT 2,500
    NATIONAL FIRE SAFETY COUNCIL INC
    C/O JFD 200 SPRING ST
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 250
    ONE HUNDRED MEMBER CLUB INC
    PO BOX 704
    JAMESTOWN,NY14702     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    REG LENNA CIVIC CENTER
    116 EAST THIRD STREET
    JAMESTOWN,NY14701     		  501(C)(3) SIGNATUREPERFORMANCE SERIES 25,000
    REG LENNA CIVIC CENTER
    116 EAST THIRD STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 800
    ROBERT H JACKSON CENTER INC
    305 EAST FOURTH STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,900
    ROGER TORY PETERSON INSTITUTE
    311 CURTIS STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 5,500
    ROGER TORY PETERSON INSTITUTE
    311 CURTIS STREET
    JAMESTOWN,NY14701     		  501(C)(3) RAILINGS, STEPS &WALKWAY REPAIR 15,000
    ST SUSAN CENTER INC
    PO BOX 1276
    JAMESTOWN,NY147021276     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 5,750
    SEA LION PROJECT LTD
    C/O 3445 ROUTE 430
    BEMUS POINT,NY14712     		  501(C)(3) BEMUS-STOW FERRYBICENTENNIAL 3,000
    THE RELIEF ZONE INC
    5 FREW RUN ROAD
    FREWSBURG,NY14738     		  501(C)(3) OPERATING &PROGRAM EXPENSES 17,800
    THE RELIEF ZONE INC
    5 FREW RUN ROAD
    FREWSBURG,NY14738     		  501(C)(3) RESTROOMRENOVATIONS 8,000
    THE RELIEF ZONE INC
    5 FREW RUN ROAD
    FREWSBURG,NY14738     		  501(C)(3) DISCRETIONARY GRANT -EXECUTIVE DIRECTOR'SAFTER SCHOOL PROGRAM 2,500
    THE SALVATION ARMY
    83 SOUTH MAIN STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 4,400
    UNITARIAN UNIVERSALIST CONGREGATION - PIANO SALON
    1255 PRENDERGAST AVE
    JAMESTOWN,NY14701     		  501(C)(3) UNRESTRICTED GRANTDIRECTOR'S(PIANO SALON) 400
    UNITED WAY OF SOUTHERN CHAUTAUQUA CO
    413 NORTH MAIN STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 5,000
    UNITED WAY OF SOUTHERN CHAUTAUQUA CO
    413 NORTH MAIN STREET
    JAMESTOWN,NY14701     		  501(C)(3) ANNUAL FUNDDRIVE - 2011 140,000
    UNIVERSITY AT BUFFALO FOUNDATION
    672 DELAWARE AVE
    BUFFALO,NY14209     		  501(C)(3) DENTAL CARE INSCHOOL-BASED MOBILECHAUTAUQUA COUNTY 72,700
    WBFO PUBLIC RADIO
    3435 MAIN STREET
    BUFFALO,NY14214     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,000
    WCA HOSPITAL FOUNDATION
    207 FOOTE AVENUE
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 500
    WCA HOSPITAL
    207 FOOTE AVENUE
    JAMESTOWN,NY14701     		  501(C)(3) EMERGENCY DEPT.PROJECT 500,000
    WCA HOSPITAL
    207 FOOTE AVENUE
    JAMESTOWN,NY14701     		  501(C)(3) ED PROJECTCHALLENGE GRANT 140,711
    WCA HOSPITAL
    207 FOOTE AVENUE
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,000
    WNY PUBLIC BROADCASTING ASSOCIATION-WNED-FMTV
    PO BOX 1263
    BUFFALO,NY14240     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,500
    WORKFORCE INVESTMENT BOARD
    23 EAST THIRD STREET
    JAMESTOWN,NY14701     		  501(C)(3) HEALTHCARE TALENTPIPELINE INITIATIVE 42,000
    YANAA INC
    PO BOX 291
    FALCONER,NY14733     		  501(C)(3) CAPITALIMPROVEMENTS 5,000
    YANAA INC
    PO BOX 291
    FALCONER,NY14733     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 1,000
    YMCA OF JAMESTOWN
    101 EAST FOURTH STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 2,000
    YMCA OF JAMESTOWN
    101 EAST FOURTH STREET
    JAMESTOWN,NY14701     		  501(C)(3) EASTSIDE YOPERATIONS 60,000
    YMCA OF JAMESTOWN
    101 EAST FOURTH STREET
    JAMESTOWN,NY14701     		  501(C)(3) CAMP ONYAHSASCHOLARSHIPS 25,000
    YMCA OF JAMESTOWN
    101 EAST FOURTH STREET
    JAMESTOWN,NY14701     		  501(C)(3) TEEN CENTER 20,000
    YWCA OF JAMESTOWN
    401 NORTH MAIN STREET
    JAMESTOWN,NY14701     		  501(C)(3) TEAM CHILD CAREPROGRAM 25,000
    YWCA OF JAMESTOWN
    401 NORTH MAIN STREET
    JAMESTOWN,NY14701     		  501(C)(3) DIRECTOR'SUNRESTRICTED GRANT 250
    Total .................................bullet 3a 2,268,600
    bApproved for future payment
    CHAUTAUQUA REGIONAL YOUTH BALLET
    9 1/2 FALCONER ST
    JAMESTOWN,NY14701     		  501(C)(3) PROGRAM SUPPORT 27,000
    CHAUTAUQUA STRIDERS INC
    101 E FOURTH ST
    JAMESTOWN,NY14701     		  501(C)(3) WRAP AROUND PROGRAM 160,000
    CHAUTAUQUA WATERSHED CONSERVANCY
    413 NORTH MAIN STREET
    JAMESTOWN,NY14701     		  501(C)(3) CONSERVATIONSTEWARDSHIP PROGRAM 25,000
    DOWNTOWN JAMESTOWN DEVELOPMENT CORP
    19 WEST THIRD STREET
    JAMESTOWN,NY14701     		  501(C)(3) OPERATING ANDACTIVITY SUPPORT 20,000
    JAMESTOWN COMMUNITY LEARNING COUNCIL
    301 FRONT ST
    JAMESTOWN,NY14701     		  501(C)(3) SUSTAIN JCLCPROGRAMS 110,000
    JAMESTOWN RENAISSANCE CORPORATION
    119-21 WEST THIRD STREET
    JAMESTOWN,NY14701     		  501(C)(3) NEIGBORHOODREVITALIZATION PROGRAM 7,500
    JOINT NEIGHBORHOOD PROJECT INC
    532 E SECOND ST
    JAMESTOWN,NY14701     		  501(C)(3) AGENCY PROGRAMS 60,000
    MEALS ON WHEELS OF THE JAMESTOWN AREA
    3045 FLUVANNA AVE
    JAMESTOWN,NY14701     		  501(C)(3) VEHICLE REPLACEMENTPROJECT 36,000
    JAMES PRENDERGAST LIBRARY ASSOCIATION
    509 CHERRY STREET
    JAMESTOWN,NY14701     		  501(C)(3) PURCHASE OF BOOKS 154,000
    WCA HOSPITAL
    207 FOOTE AVENUE
    JAMESTOWN,NY14701     		  501(C)(3) EMERGENCY DEPT.PROJECT 155,112
    YMCA OF JAMESTOWN
    101 EAST FOURTH STREET
    JAMESTOWN,NY14701     		  501(C)(3) EASTSIDE Y 120,000
    Total .................................bullet 3b 874,612
    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 3,289  
    4 Dividends and interest from securities....     14 304,476  
    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     18 248,816  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aMISCELLANEOUS INCOME         3,912
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   556,581 3,912
    13Total. Add line 12, columns (b), (d), and (e)..................
    13560,493
    (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.)
    11A CLASS ACTION LAWSUIT REVENUE
    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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2011
    Name of organization
    RALPH C SHELDON FOUNDATION INC
     
    Employer identification number

    16-6030502
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 2
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    RALPH C SHELDON FOUNDATION INC
          		Employer identification number

    16-6030502
    Part I
    Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    ISABELLA M SHELDON TRUST UA 6848    
    C/O JP MORGAN SERVICES 1 CHASE SQUA
       
    ROCHESTER, NY   14623

    		$1,558,500




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

         
     
       

    		$  




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

         
     
       

    		$  




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

         
     
       

    		$  




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

         
     
       

    		$  




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

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 3
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    RALPH C SHELDON FOUNDATION INC
          		Employer identification number

    16-6030502
    Part II
    Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 4
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    RALPH C SHELDON FOUNDATION INC
          		Employer identification number

    16-6030502
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
    Use duplicate copies of Part III if additional space is needed
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2011 AccountingFeesSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BAHGAT & LAURITO-BAHGAT, CPAS ACCOUNTING 8,500 4,250   4,250

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2011 DepreciationSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    TYPEWRITER 1986-11-25 940 940 SL 5.00        
    FILE 1995-06-01 202 202 SL 5.00        
    ALARM SYSTEM 1998-06-01 660 660 SL 5.00        
    PAPER SHREDDER 2000-06-01 296 296 SL 5.00        
    OKIFAX MODEL 4580 FAX MACHINE 2003-10-03 699 699 SL 7.00        
    FIREPROOF CABINET 2005-06-23 1,035 1,035 SL 5.00        
    SPARTAN SMY15WL NOTEBOOK COMPUTER 2007-03-06 1,879 1,441 SL 5.00 375      
    SAMSUNG CLX8380ND COPIER 2010-03-16 3,890 278 SL 7.00 556      
    FURNITURE & FIXTURES 2011-04-01 36,179   SL 7.00 2,584      
    NEW OFFICE RENOVATIONS 2011-04-01 19,449   SL 10.00 972      
    LEASEHOLD IMPROVEMENTS 2011-04-01 48,000   SL 10.00 2,400      

    TY 2011 DistributionFromCorpusElection
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Election:
    PURSUANT TO CODE SEC. 4942(H)(2) AND REG. 3.4942(A)-3(D)(2), RALPH C. SHELDON FOUNDATION INC. ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS COMING FROM CORPUS. BARCLAY O. WELLMAN, PRESIDENT

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    TY 2011 GainLossSaleOtherAssetsSch
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    1,618.62 SHS 500 INDEX FUND ADM         196,123 156,629     39,494  
    1,159.357 SHS EQUITY INCOME FUND ADM         49,442 49,165     277  
    101.528 SHS INTERNATIONAL GROWTH ADM         6,245 4,952     1,293  
    1,109.001 SHS GROWTH AND INCOME ADM         47,305 46,080     1,225  
    823.306 SHS EXPLORER FUND ADMIRAL         56,487 48,173     8,314  
    4,312.485 SHS INFLATION-PROTECT SEC ADM         120,000 107,946     12,054  
    11,840.423 SHS INTER-TERM BOND INDEX ADM         140,000 125,882     14,118  
    487.313 SHS MID-CAP INDEX FUND ADM         45,939 27,168     18,771  
    HUNTINGTON SHORT-TERM SECURITIES         707,665 691,692     15,973  
    HUNTINGTON LONG-TERM SECURITIES         1,159,752 1,093,708     66,044  
    HUNTINGTON SHORT-TERM CAPITAL GAINS DIVIDENDS         3,843       3,843  
    HUNTINGTON LONG-TERM CAPITAL GAINS DIVIDENDS         25,102       25,102  
    VANGUARD CAPITAL GAINS DIVIDENDS         29,705       29,705  
    HUNTINGTON CAPITAL GAINS DIVIDENDS         12,603       12,603  

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Name of Bond End of Year Book Value End of Year Fair Market Value
    135,839.965 SHS INTERMEDIATE-TERM BOND INDEX FUND VANGUARD 1,445,898 1,603,640
    60,216.804 SHS MANNING & NAPIER CORE PLUS BOND SERIES 651,918 642,513
    11,714.604 SHS MANNING & NAPIER HIGH YIELD BOND SERIES 120,559 120,660

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Name of Stock End of Year Book Value End of Year Fair Market Value
    18,164.217 SHS EQUITY INCOME FUND VANGUARD 770,295 833,919
    6,016.373 SHS EXPLORER FUND VANGUARD 352,027 399,848
    18,261.925 SHS GROWTH AND INCOME FUND VANGUARD 758,799 789,463
    29,005.105 SHS INFLATION-PROECT SEC ADM VANGUARD 727,700 803,731
    12,762.327 SHS 500 INDEX FUND VANGUARD 1,234,976 1,477,877
    9,383.559 SHS INTERNATIONAL GROWTH FUND VANGUARD 457,684 487,851
    4,382.736 SHS MID-CAP INDEX FUND VANGUARD 244,337 390,721
    3,202.239 SHS PRECIOUS METALS & MINING VANGUARD 84,355 62,091
    4,758.879 SHS REIT INDEX FUND VANGUARD 259,344 390,942
    24,770.343 SHS TOTAL INTERNATIONAL STOCK INDEX FUND VANGUARD 401,888 540,984
    100 SHS ALEXANDRIA REAL ESTATE EQUITIES 6,463 6,897
    470 SHS AMERICAN EXPRESS 20,547 22,170
    1,390 SHS BANK OF AMERICA MELLON CORP 40,388 27,675
    390 SHS BIOMED REALTY TRUST INC 6,944 7,051
    310 SHS CORPORATE OFFICE PROPERTIES 7,705 6,591
    120 SHS DIGITAL REALTY 6,682 8,000
    1,150 SHS DISCOVER FINANCIAL SVS 26,237 27,600
    310 SHS DUPONT FABROS TECHNOLOGY 7,067 7,508
    690 SHS MOODY'S CORPORATION 22,787 23,239
    3,640 SHS SCHWAB (CHARLES) CORP 50,537 40,986
    850 SHS STATE STREET CORP 41,362 34,264
    1,180 SHS ALLSCRIPTS HEALTHCARE SOLUTIONS, INC 20,699 22,349
    300 SHS BECTON DICKINSON 21,927 22,416
    5,940 SHS BOSTON SCIENTIFIC CORP 40,560 31,720
    1,000 SHS CERNER CORP 51,027 61,250
    200 SHS WATERS CORP W/1 RT/SH 14,715 14,810
    1,990 SHS QIAGEN NV 34,057 27,482
    360 SHS COCA COLA CO 18,393 25,189
    970 SHS KRAFT FOODS INC 28,840 36,239
    1,110 SHS KROGER CO 24,780 26,884
    1,140 SHS UNILEVER PLC ADR NEW 34,066 38,213
    620 SHS AMC NETWORKS INC 24,299 23,300
    130 SHS AMAZON.COM INC 25,232 22,503
    1,030 SHS CARNIVAL CORPORATION 33,711 33,619
    1,960 SHS WALT DISNEY CO 59,959 73,500
    730 SHS DIRECTV CLASS A 33,682 31,215
    420 SHS LIBERTY GLOBAL INC CL A 14,277 17,233
    1,650 SHS NEWS CORP INC CL A 27,206 29,436
    1,700 SHS TIME WARNER INC 51,346 61,438
    230 SHS TOYOTA MTR LTD COM 2 ADR 18,580 15,210
    1,490 SHS VIRGIN MEDIA INC 33,146 31,856
    660 SHS ANHEUSER-BUSCH INBEV NV 36,618 40,231
    1,220 SHS AUTODESK INC W/1 RT/SH 31,344 37,003
    3,370 SHS CISCO SYSTEMS 72,726 60,930
    2,350 SHS CORNING INC 34,797 30,503
    1,720 SHS EMC CORP/MASS 28,604 37,049
    120 SHS GOOGLE INC - CL A 60,243 77,508
    80 SHS MASTERCARD INC CL A 18,552 29,826
    620 SHS QUALCOMM INC W 1 RT P/S EXP 22,937 33,914
    290 SHS VISA INC CLASS A SHARES 21,374 29,444
    2,320 SHS TELENOR ASA 37,255 37,709
    920 SHS AMADEUS IT HOLDINGS SA 16,502 14,614
    270 SHS FEDEX CORP 21,488 22,548
    380 SHS FLOWSERVE CORP 38,256 37,742
    300 SHS NORFOLK SOUTHERN CORP W/1 RT/SH 19,263 21,858
    3,930 SHS SOUTHWEST AIRLINES CO 38,158 33,641
    490 SHS UNITED PARCEL SERVICE CL B 30,609 35,863
    60 SHS SYNGENTA AG-REG 18,219 17,440
    640 SHS BAKER HIGHES INC 26,899 31,130
    900 SHS HESS CORP 51,466 51,120
    450 SHS SCHLUMBERGER LTD 29,732 30,740
    1,620 SHS WEATHERFORD INTL LTD 31,422 23,717
    920 SHS MONSANTO CO 52,221 64,464
    8,887 SHS MANNING & NAPIER SMALL CAP SERIES 66,119 74,295
    6,332.597 SHS MANNING & NAPIER TECHNOLOGY SERIES 61,892 65,416
    14,791.104 SHS MANNING & NAPIER INTERNATIONAL SERIES 128,432 112,412
    7,636.412 SHS MANNING & NAPIER WORLD OPPORTUNITIES SERIES 62,380 50,629
    7,655.453 SHS MANNING & NAPIER LIFE SCIENCES SERIES 78,600 83,827
    12,391.881 SHS MANNING & NAPIER FINANCIAL SERVICES SERIES 71,959 65,429
    3,521.573 MANNING & NAPIER EMERGING MARKET SERIES 35,214 34,652
    3,397 SHS MANNING & NAPIER INFLATION FOCUS EQUITY FUND 34,025 33,800
    6,012.356 SHS MANNING & NAPIER REAL ESTATE SERIES 69,822 76,056

    TY 2011 InvestmentsGovtObligationsSch
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    US Government Securities - End of Year Book Value:

    329,062
    US Government Securities - End of Year Fair Market Value:

    332,621
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2011 LandEtcSchedule2
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    TYPEWRITER 940 940    
    FILE 202 202    
    ADDING MACHINE 66 66    
    FRAMING 103 103    
    ALARM SYSTEM 660 660    
    PAPER SHREDDER 296 296    
    OKIFAX MODEL 4580 FAX MACHINE 699 699    
    FIREPROOF CABINET 1,035 1,035    
    SPARTAN SMY15WL NOTEBOOK COMPUTER 1,879 1,815 64  
    COPIER 3,890 834 3,056  
    FURNITURE & FIXTURES 36,179 2,584 33,595  
    ARTWORK 2,500   2,500  
    NEW OFFICE RENOVATIONS 19,449 972 18,477  
    LEASEHOLD IMPROVEMENTS 48,000 2,400 45,600  


    TY 2011 LegalFeesSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ERICKSON WEBB SCOLTON & HAJDU LEGAL 1,000 500   500
    WRIGHT, WRIGHT & HAMPTON LEGAL 488 244   244
    HODGSON RUSS, LLP LEGAL 315 158   157


    TY 2011 OtherExpensesSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DUES & SUBSCRIPTIONS 2,027 1,013   1,014
    INSURANCE 4,484 2,242   2,242
    MISCELLANEOUS 685 343   344
    POSTAGE & SUPPLIES 1,354 677   677
    REPAIRS & MAINTENANCE 2,526 1,263   1,263
    PUBLIC RELATIONS 3,247 1,623   1,624


    TY 2011 OtherIncomeSchedule2
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    SETTELEMENT INCOME 3,912    


    TY 2011 OtherLiabilitiesSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Description Beginning of Year - Book Value End of Year - Book Value
    TAXES WITHHELD/PAYABLE 4,437 5,374
    TAXES WITHHELD/PAYABLE 4,437 5,374


    TY 2011 OtherLiabilitiesSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Description Beginning of Year - Book Value End of Year - Book Value
    TAXES WITHHELD/PAYABLE 4,437 5,374
    TAXES WITHHELD/PAYABLE 4,437 5,374


    TY 2011 OtherProfessionalFeesSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES INVESTMENT MANAGEMENT FEES 24,650 24,650    


    TY 2011 TaxesSchedule
    Name:
    RALPH C SHELDON FOUNDATION INC
    EIN: 16-6030502
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NYS ANNUAL FEE 775      
    PAYROLL TAXES 9,254 4,627   4,627
    FOREIGN TAX ON INVESTMENTS 751 751    
    FEDERAL EXCISE TAX 6,604 6,604