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
THE HERBERT & DOROTHY ZULLIG
FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 603   Room/suite
City or town, state, and ZIP code
SHERIDAN, WY82801
A Employer identification number

83-0282365
B Telephone number (see page 10 of the instructions)

(307) 672-6494
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$3,582,055J 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) 2,713,318
2 Check bullet
3 Interest on savings and temporary cash investments 1 1  
4 Dividends and interest from securities...... 128,197 128,197  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 175,859
b Gross sales price for all assets on line 6a 2,772,395
7 Capital gain net income (from Part IV, line 2)... 175,859
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).......      
12 Total. Add lines 1 through 11........ 3,017,375 304,057  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 1,400 1,050   350
c Other professional fees (attach schedule).... Click to see attachment 17,271 17,271    
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 7,448 1,770    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 105 53   52
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 26,224 20,144   402
25 Contributions, gifts, grants paid........ 49,500 49,500
26 Total expenses and disbursements. Add lines 24 and 25 75,724 20,144   49,902
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,941,651
b Net investment income (if negative, enter -0-) 283,913
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.......... 17,331 176,373 176,373
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........... 647    
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 191,031 Click to see attachment1,142,974 1,215,132
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 361,801 Click to see attachment2,196,052 2,188,457
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)   Click to see attachment2,093 Click to see attachment2,093
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 570,810 3,517,492 3,582,055
Liabilities 17 Accounts payable and accrued expenses..........   5,031
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)..........   5,031
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 570,810 3,512,461
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).................... 570,810 3,512,461
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 570,810 3,517,492
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)............... 1 570,810
2 Enter amount from Part I, line 27a..................... 2 2,941,651
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 3,512,461
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 3,512,461
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 4500-CONAGRA FOODS INC P   2011-09-20
b 1-BERKSHIRE HATHAWAY INC CL A P   2011-09-20
c 300-BOEING CO P 2010-09-28 2011-01-26
d CALL KO MAY 11 @ 67.50 P 2011-03-10 2011-05-19
e CALL DD DEC 11 @ 49.00 P 2011-10-25 2011-12-19
CALL HD JUL 11 @ 38.00 P 2011-05-24 2011-06-06
CALL INTC DEC 11 @ 26.00 P 2011-11-07 2011-12-19
CALL KFT OCT 11 @ 35.00 P 2011-08-23 2011-10-21
CALL MRK JAN 11 @ 37.00 P 2010-11-23 2011-01-24
CALL PFE AUG 11 @ 21.00 P 2011-06-22 2011-07-27
CALL MMM AUG 11 @ 97.50 P 2011-07-15 2011-07-27
2011-CONOCOPHILLIPS P   2011-09-20
662-BERKSHIRE HATHAWAY INC CL B P   2011-09-20
CALL BA JAN 11 @ 75.00 P 2010-10-13 2011-01-24
CALL KO JUN 11 @ 70.00 P 2011-05-19 2011-06-01
CALL GE MAR 11 @ 21.00 P 2011-02-07 2011-03-21
CALL HD SEP 11 @ 34.00 P 2011-08-08 2011-09-16
CALL JNJ JAN 11 @ 65.00 P 2010-11-23 2011-01-24
CALL KFT OCT 11 @ 36.00 P 2011-09-20 2011-10-24
CALL MRK MAR 11 @ 35.00 P 2011-01-26 2011-02-23
CALL PFE SEP 11 @ 20.00 P 2011-07-28 2011-08-26
CALL MMM SEP 11 @ 90.00 P 2011-07-28 2011-09-06
5000-DUKE ENERGY CORP P   2011-09-20
300-INTEL CORP P 2010-09-28 2011-11-02
200-CATERPILLAR INC P 2010-09-28 2011-01-14
CALL KO AUG 11 @ 70.00 P 2011-06-01 2011-08-22
CALL GE MAY 11 @ 21.00 P 2011-03-23 2011-05-13
CALL HD SEP 11 @ 37.00 P 2011-07-19 2011-08-08
CALL JNJ MAR 11 @ 62.50 P 2011-01-26 2011-03-21
CALL KFT DEC 11 @ 37.00 P 2011-10-25 2011-12-19
CALL MRK MAY 11 @ 34.00 P 2011-03-23 2011-05-09
CALL PFE OCT 11 @ 19.00 P 2011-08-26 2011-10-21
CALL MMM OCT 11 @ 85.00 P 2011-09-20 2011-10-24
5500-FEDERAL SIGNAL CORP P   2011-09-20
9149-MEADWESTVACO CORP P   2011-09-20
200-CHEVRON CORP P 2010-09-28 2011-02-11
CALL KO OCT @ 72.50 P 2011-08-23 2011-10-24
CALL GE JUN 11 @ 21.00 P 2011-05-13 2011-06-01
CALL HD OCT 11 @ 36.00 P 2011-09-20 2011-10-21
CALL JNJ MAY 11 @ 60.00 P 2011-03-23 2011-05-02
200-MCDONALDS CORP P 2010-09-28 2011-08-29
CALL MRK JUL 11 @ 37.00 P 2011-06-14 2011-07-18
CALL PFE OCT 11 @ 19.00 P 2011-09-20 2011-10-21
CALL MMM OCT 11 @ 82.50 P 2011-09-07 2011-10-24
10855-GLAXOSMITHKLINE PLC SP ADR P   2011-09-20
4000-MERCK & CO INC NEW P   2011-09-20
CALL CVX MAR 11 @ 100.00 P 2011-02-16 2011-03-17
CALL KO OCT @ 72.50 P 2011-09-20 2011-10-24
CALL GE AUG 11 @ 21.00 P 2011-06-01 2011-07-20
CALL HD OCT 11 @ 37.00 P 2011-09-16 2011-10-24
CALL JNJ JUL 11 @ 65.00 P 2011-05-02 2011-07-13
CALL MCD JAN 11 @ 85.00 P 2010-11-23 2011-01-24
CALL MRK SEP 11 @ 36.00 P 2011-07-19 2011-08-18
300-PROCTER & GAMBLE CO P 2010-09-28 2011-01-18
CALL MMM DEC 11 @ 82.50 P 2011-10-25 2011-12-19
3200-ELI LILLY & CO P   2011-09-20
CALL T JAN 11 @ 30.00 P 2010-11-23 2011-01-24
CALL CVX APR 11 @ 105.00 P 2011-03-17 2011-04-15
CALL KO DEC 11 @ 72.50 P 2011-10-25 2011-12-19
CALL GE SEP 11 @ 18.00 P 2011-08-04 2011-08-26
CALL HD DEC 11 @ 40.00 P 2011-10-25 2011-12-16
CALL JNJ AUG 11 @ 67.50 P 2011-07-13 2011-07-27
CALL MCD MAR 11 @ 80.00 P 2011-01-26 2011-03-21
CALL MRK OCT 11 @ 34.00 P 2011-08-23 2011-10-24
CALL PG MAR 11 @ 65.00 P 2011-02-07 2011-03-21
CALL VZ JAN 11 @ 34.00 P 2010-11-23 2011-01-03
1590-MEDCO HEALTH SOLUTIONS INC P   2011-09-20
CALL T MAR 11 @ 29.00 P 2011-01-26 2011-03-21
CALL CVX MAY 11 @ 110.00 P 2011-04-15 2011-05-23
300-E I DU PONT DE NEMOURS & CO P 2010-09-28 2011-02-10
CALL GE SEP 11 @ 20.00 P 2011-07-25 2011-08-04
100-INTEL CORP P 2011-03-23 2011-11-02
CALL JNJ SEP 11 @ 67.50 P 2011-07-28 2011-09-19
CALL MCD MAY 11 @ 75.00 P 2011-03-23 2011-05-09
CALL MRK OCT 11 @ 34.00 P 2011-09-20 2011-10-24
CALL PG MAY 11 @ 62.50 P 2011-03-23 2011-04-26
CALL VZ MAR 11 @ 35.00 P 2011-01-03 2011-03-18
2500-SPECTRA ENERGY CORP P   2011-09-20
CALL T MAY 11 @ 29.00 P 2011-03-23 2011-04-04
CALL CVX JUL 11 @ 105.00 P 2011-05-24 2011-07-15
CALL DD JAN 11 @ 49.00 P 2010-11-23 2011-01-24
CALL GE OCT 11 @ 17.00 P 2011-08-26 2011-10-24
CALL INTC FEB 11 @ 21.00 P 2010-12-15 2011-02-02
CALL JNJ OCT 11 @ 67.50 P 2011-09-20 2011-10-24
CALL MCD JUN 11 @ 77.50 P 2011-05-09 2011-05-25
CALL MRK DEC 11 @ 36.00 P 2011-10-25 2011-12-16
CALL PG JUN 11 @ 65.00 P 2011-04-26 2011-06-20
CALL VZ APR 11 @ 36.00 P 2011-03-18 2011-04-04
2239.547-TEMPLETON WORLD FUND CLASS P   2011-09-20
CALL T MAY 11 @ 30.00 P 2011-04-04 2011-05-18
CALL CVX AUG 11 @ 110.00 P 2011-07-15 2011-08-22
CALL DD MAR 11 @ 55.00 P 2011-02-14 2011-03-21
CALL GE OCT 11 @ 17.00 P 2011-09-20 2011-10-24
CALL INTC MAR 11 @ 22.00 P 2011-02-02 2011-03-21
CALL JNJ DEC 11 @ 67.50 P 2011-10-25 2011-12-19
CALL MCD JUL 11 @ 82.50 P 2011-05-25 2011-07-12
300-PFIZER INC P 2010-09-28 2011-02-01
CALL PG AUG 11 @ 67.50 P 2011-06-22 2011-07-25
CALL VZ MAY 11 @ 38.00 P 2011-03-23 2011-05-23
3848.932-TEMPLETON GLOBAL SMALLER CO P   2011-09-20
CALL T JUN 11 @ 31.00 P 2011-05-18 2011-06-20
CALL CVX OCT 11 @ 100.00 P 2011-08-23 2011-10-20
CALL DD MAY 11 @ 55.00 P 2011-03-23 2011-05-23
CALL GE DEC 11 @ 18.00 P 2011-10-25 2011-12-19
CALL INTC MAY 11 @ 21.00 P 2011-03-23 2011-04-25
CALL KFT JAN 11 @ 32.00 P 2010-11-23 2011-01-24
CALL MCD OCT 11 @ 87.50 P 2011-09-01 2011-10-20
300-PFIZER INC P 2011-02-03 2011-12-16
CALL PG OCT 11 @ 67.50 P 2011-07-25 2011-10-24
CALL VZ MAY 11 @ 38.00 P 2011-04-04 2011-05-23
2365-TRI CONTINENTAL CORP P   2011-09-20
CALL T AUG 11 @ 32.00 P 2011-06-22 2011-07-25
CALL CVX OCT 11 @ 105.00 P 2011-09-20 2011-10-21
CALL DD JUL 11 @ 52.50 P 2011-05-24 2011-07-13
300-HOME DEPOT INC P 2010-09-28 2011-02-08
CALL INTC JUN 11 @ 22.00 P 2011-04-25 2011-06-20
CALL KFT MAR 11 @ 32.00 P 2011-01-26 2011-03-21
CALL MCD OCT 11 @ 92.50 P 2011-09-20 2011-10-24
1300-PFIZER INC P 2011-09-20 2011-12-16
CALL PG DEC 11 @ 70.00 P 2011-10-25 2011-12-19
CALL VZ JUL 11 @ 38.00 P 2011-05-24 2011-06-23
2167.262-WASHINGTON MUTUAL INVESTORS P   2011-09-20
CALL T SEP 11 @ 31.00 P 2011-07-25 2011-09-06
CALL CVX DEC 11 @ 110.00 P 2011-10-20 2011-12-19
CALL DD AUG 11 @ 52.50 P 2011-07-13 2011-08-22
CALL HD JAN 11 @ 33.00 P 2010-11-23 2011-01-12
CALL INTC AUG 11 @ 22.00 P 2011-06-22 2011-08-01
CALL KFT MAY 11 @ 32.00 P 2011-03-23 2011-05-10
CALL MCD DEC 11 @ 92.50 P 2011-10-20 2011-12-12
CALL PFE JAN 11 @ 17.50 P 2010-11-23 2011-01-12
CALL MMM MAR 11 @ 90.00 P 2011-02-08 2011-03-21
CALL VZ AUG 11 @ 37.00 P 2011-06-23 2011-08-22
17000-WISCONSIN ENERGY CORP HLDG CO P   2011-09-20
CALL T OCT 11 @ 29.00 P 2011-09-07 2011-10-21
CALL CVX DEC 11 @ 110.00 P 2011-10-25 2011-12-19
CALL DD OCT 11 @ 50.00 P 2011-09-20 2011-09-23
CALL HD MAR 11 @ 39.00 P 2011-02-14 2011-03-21
CALL INTC SEP 11 @ 23.00 P 2011-08-01 2011-08-18
CALL KFT JUN 11 @ 33.00 P 2011-05-10 2011-06-15
CALL MCD DEC 11 @ 97.50 P 2011-10-25 2011-12-15
CALL PFE MAR 11 @ 20.00 P 2011-02-03 2011-03-18
CALL MMM MAY 11 @ 95.00 P 2011-03-23 2011-05-16
CALL VZ OCT 11 @ 37.00 P 2011-08-23 2011-10-21
20500-ZWEIG FUND INC P   2011-09-20
CALL T OCT 11 @ 30.00 P 2011-09-20 2011-10-24
CALL KO JAN 11 @ 65.00 P 2010-11-18 2011-01-24
CALL DD OCT 11 @ 45.00 P 2011-09-28 2011-10-21
CALL HD MAY 11 @ 38.00 P 2011-03-23 2011-05-23
CALL INTC OCT 11 @ 21.00 P 2011-08-23 2011-10-17
CALL KFT JUL 11 @ 34.00 P 2011-06-15 2011-07-12
300-MERCK & CO INC NEW P 2010-09-28 2011-06-10
CALL PFE APR 11 @ 21.00 P 2011-03-18 2011-04-18
CALL MMM JUL 11 @ 95.00 P 2011-06-06 2011-07-15
CALL VZ OCT 11 @ 38.00 P 2011-09-20 2011-10-24
4441-AT & T INC P   2011-09-20
CALL T DEC 11 @ 31.00 P 2011-10-25 2011-12-19
CALL KO MAR 11 @ 65.00 P 2011-01-26 2011-03-10
CALL DD OCT 11 @ 47.00 P 2011-08-23 2011-10-24
CALL HD JUL 11 @ 36.00 P 2011-06-06 2011-07-18
CALL INTC OCT 11 @ 23.00 P 2011-09-20 2011-10-20
CALL KFT AUG 11 @ 35.00 P 2011-07-12 2011-08-22
100-MERCK & CO INC NEW P 2011-03-23 2011-06-10
CALL PFE JUN 11 @ 21.00 P 2011-04-19 2011-06-20
CALL MMM JUL 11 @ 100.00 P 2011-05-16 2011-06-06
CALL VZ DEC 11 @ 39.00 P 2011-10-25 2011-12-19
(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 104,411   98,753 5,658
b 105,188   124,320 -19,132
c 21,084   19,131 1,953
d 228   360 -132
e 1,088     1,088
111   15 96
90     90
201   31 170
117     117
105   15 90
270   14 256
136,869   120,167 16,702
46,420   54,906 -8,486
746     746
111   22 89
88     88
66   279 -213
123     123
216     216
78   9 69
105   15 90
333   6 327
99,413   88,200 11,213
7,086   5,824 1,262
18,176   15,909 2,267
129     129
92   8 84
227   18 209
96     96
352     352
176   1,016 -840
126   15 111
792     792
27,897   29,975 -2,078
250,069   226,072 23,997
18,553   16,074 2,479
174     174
60   8 52
832   718 114
210   1,860 -1,650
17,483   14,928 2,555
68     68
273   65 208
379     379
455,957   451,025 4,932
129,038   147,340 -18,302
144   440 -296
1,339     1,339
68   16 52
123     123
560   833 -273
44     44
213   12 201
19,653   18,239 1,414
1,792     1,792
121,735   119,072 2,663
18     18
290   236 54
256     256
96   10 86
384   624 -240
414   57 357
44     44
134     134
182     182
63   726 -663
80,851   59,164 21,687
153     153
202     202
15,408   13,662 1,746
108   23 85
2,362   2,017 345
121     121
312   970 -658
676     676
174   474 -300
513   156 357
65,624   58,725 6,899
80   708 -628
442   197 245
180     180
116     116
300   189 111
458     458
530   1,090 -560
319   1,305 -986
183     183
135   780 -645
30,435   32,070 -1,635
389   456 -67
200     200
205     205
372     372
102     102
512     512
320   650 -330
5,583   5,183 400
69   21 48
48     48
23,594   26,789 -3,195
256     256
650   579 71
336     336
176     176
144   416 -272
48     48
957   353 604
6,078   5,716 362
108     108
333     333
32,755   29,846 2,909
120   16 104
656   208 448
383   687 -304
10,656   9,524 1,132
220     220
78     78
980     980
26,337   23,411 2,926
45     45
132   14 118
58,538   55,807 2,731
106   8 98
304     304
902     902
94   609 -515
220   274 -54
92   912 -820
240   1,070 -830
51   270 -219
272     272
128     128
549,178   494,785 54,393
168   28 140
1,688     1,688
507   104 403
76     76
188   20 168
573   464 109
570   700 -130
57   60 -3
320   220 100
264   118 146
63,213   65,293 -2,080
448     448
255     255
615   187 428
186     186
172   924 -752
197   640 -443
11,034   11,171 -137
54     54
110   99 11
180     180
127,506   125,769 1,737
96     96
141   186 -45
531     531
78     78
552   780 -228
401     401
3,678   3,258 420
84     84
179   18 161
229     229
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       5,658
b       -19,132
c       1,953
d       -132
e       1,088
      96
      90
      170
      117
      90
      256
      16,702
      -8,486
      746
      89
      88
      -213
      123
      216
      69
      90
      327
      11,213
      1,262
      2,267
      129
      84
      209
      96
      352
      -840
      111
      792
      -2,078
      23,997
      2,479
      174
      52
      114
      -1,650
      2,555
      68
      208
      379
      4,932
      -18,302
      -296
      1,339
      52
      123
      -273
      44
      201
      1,414
      1,792
      2,663
      18
      54
      256
      86
      -240
      357
      44
      134
      182
      -663
      21,687
      153
      202
      1,746
      85
      345
      121
      -658
      676
      -300
      357
      6,899
      -628
      245
      180
      116
      111
      458
      -560
      -986
      183
      -645
      -1,635
      -67
      200
      205
      372
      102
      512
      -330
      400
      48
      48
      -3,195
      256
      71
      336
      176
      -272
      48
      604
      362
      108
      333
      2,909
      104
      448
      -304
      1,132
      220
      78
      980
      2,926
      45
      118
      2,731
      98
      304
      902
      -515
      -54
      -820
      -830
      -219
      272
      128
      54,393
      140
      1,688
      403
      76
      168
      109
      -130
      -3
      100
      146
      -2,080
      448
      255
      428
      186
      -752
      -443
      -137
      54
      11
      180
      1,737
      96
      -45
      531
      78
      -228
      401
      420
      84
      161
      229
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 2 175,859
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 31,846
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 28,280 586,964 0.048180
2009 30,470 528,969 0.057603
2008 19,860 695,498 0.028555
2007 49,620 867,076 0.057227
2006 21,707 773,906 0.028049
2 Total of line 1, column (d) ...................... 2 0.219614
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 0.043923
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 1,501,613
5 Multiply line 4 by line 3....................... 5 65,955
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,839
7 Add lines 5 and 6......................... 7 68,794
8 Enter qualifying distributions from Part XII, line 4.............. 8 49,902
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 5,678
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  
3 Add lines 1 and 2............................ 3 5,678
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 5,678
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 647
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.............. 7 647
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 5,031
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet0 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletWY
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV..........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletEVERETT J MOHATT Telephone no.bullet (307) 672-6494
    Located atbullet2 NORTH MAIN SUITE 301SHERIDANWY ZIP+4bullet82801
    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
     
     
    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
     
     
    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
    EVERETT J MOHATTClick to see attachment TREASURER
    1.00     		0 0 0
    PO BOX 603
    SHERIDAN,WY82801
    ROBERT BERGERClick to see attachment SECRETARY
    1.00     		0 0 0
    PO BOX 603
    SHERIDAN,WY82801
    CAROL ZUERCHERClick to see attachment PRESIDENT
    2.00     		0 0 0
    PO BOX 603
    SHERIDAN,WY82801
    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  
    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.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,351,045
    b
    Average of monthly cash balances.......................
    1b
    173,435
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,524,480
    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
    1,524,480
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    22,867
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,501,613
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    75,081
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    75,081
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    5,678
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,678
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    69,403
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    69,403
    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
    69,403
    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
    49,902
    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
    49,902
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    49,902
    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 69,403
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 8,513
    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$ 49,902
    a Applied to 2010, but not more than line 2a 8,513
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		  
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		 
    d Applied to 2011 distributable amount..... 41,389
    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  
    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 ..........     		28,014
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		 
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		 
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		 
    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).)
    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:
    EVERETT J MOHATT
    PO BOX 603
    SHERIDAN,WY82801
    (307) 672-6494
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER OF REQUEST - PURPOSE - FINANCIAL STATEMENT
    cAny submission deadlines:
    N/A
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    N/A
    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
    GENESIS FOUNDATION INC
    445 WEST LOUCKS
    SHERIDAN,WY82801     		NONE PUBLIC SALVATION ARMY AND NEEDY 3,000
    SHERIDAN SENIOR CITIZENS
    211 SMITH STREET
    SHERIDAN,WY82801     		NONE PUBLIC PROVIDE NEEDED SERVICES FOR ELDERLY 10,000
    THE FREE CLINIC
    1428 W 5TH STREET
    SHERIDAN,WY82801     		NONE PUBLIC HEALTH CARE FOR NEEDY INDIVIDUALS 12,000
    LUNCH TOGETHERSOUP KITCH
    102 SOUTH CONNOR
    SHERIDAN,WY82801     		NONE PUBLIC FEED NEEDY INDIVIDUALS 7,500
    SHERIDAN HOSPITAL FOUNDAT
    PO BOX 391
    SHERIDAN,WY82801     		NONE PUBLIC NEW WELCH CANCER CENTER 5,000
    LIFE LINK OF SHERIDAN CTY
    PO BOX 2095
    SHERIDAN,WY82801     		NONE PUBLIC PROVIDE ASSISTANCE TO THE ELDERY 1,000
    ADVOCACY RESOURCE CENTER
    136 COFFEEN AVENUE
    SHERIDAN,WY82801     		NONE PUBLIC SUPPORT OPERATIONS 1,000
    PEOPLE ASSISTANCE FOOD BANK
    2560 NORTH MAIN STREET
    SHERIDAN,WY82801     		NONE PUBLIC FEED NEEDY INDIVIDUALS 3,000
    RAISING READERS IN WYOMING
    6 MAXINE PLACE
    SHERIDAN,WY82801     		NONE PUBLIC SUPPORT OPERATIONS 2,000
    SHERIDAN COLLEGE FOUNDATION
    PO BOX 6328
    SHERIDAN,WY82801     		NONE PUBLIC EQUIPMENT FOR NURSING SIMULATION CEN 5,000
    Total .................................bullet 3a 49,500
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 1  
    4 Dividends and interest from securities....     14 128,197  
    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     18 175,859  
    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)..   304,057  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13304,057
    (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
    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
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    Employer identification number

    83-0282365
    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
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION         		Employer identification number

    83-0282365
    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
     
     

    DOROTHY C ZULLIG TRUST    
    PO BOX 603
       
    SHERIDAN, WY   82801

    		$2,713,318




    (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
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION         		Employer identification number

    83-0282365
    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
    1
    		 7,241 SHARES AT & T INC   $204,631 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 5,000 SHARES DUKE ENERGY CORP   $95,400 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 6,600 SHARES MERCK & CO INC   $211,992 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 2,167.262 SHARES WASHINGTON MUT   $57,758 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 1 SHARE BERKSHIRE HATHAWAY INC A   $104,400 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 5,500 SHARES FEDERAL SIGNAL CORP   $28,325 2011-09-14
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION         		Employer identification number

    83-0282365
    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
    1
    		 2,500 SHARES SPECTRA ENERGY CORP   $63,800 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 17,000 SHARES WISCONSIN ENERGY C   $530,060 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 662 SHARES BERKSHIRE HATHAWAY B   $45,949 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 10,855 SHARES GLAXOSMITHKLINE   $445,055 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 2,239.547 SHARES TEMPLETON WORLD   $29,988 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 20,500 SHARES ZWEIG FUND INC   $62,525 2011-09-14
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION         		Employer identification number

    83-0282365
    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
    1
    		 800 SHARES CHEVRON CORP   $77,848 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 3,200 SHARES ILI LILLY & CO   $118,944 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 3,848.932 SHARES TEMPLETON GLOBA   $23,555 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 4,500 SHARES CONAGRA FOODS INC   $105,525 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 9,149 SHARES MEADWESTVACO CORP   $249,493 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 2,365 SHARES TRI CONTINENTAL COR   $31,904 2011-09-14
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION         		Employer identification number

    83-0282365
    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
    1
    		 2,011 SHARES CONOCOPHILLIPS   $132,666 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 1,590 SHARES MEDCO HEALTH SOLUTI   $80,518 2011-09-14
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 1,000 SHARES VERIZON COMMUNICATI   $35,600 2011-09-14
    (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
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION         		Employer identification number

    83-0282365
    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:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 1,400 1,050   350

    TY 2011 CompensationExplanation
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Person Name Explanation
    EVERETT J MOHATT  
    ROBERT BERGER  
    CAROL ZUERCHER  

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCKS & OPTIONS    
    AT&T INC 90,604 95,520
    BOEING CO    
    CATERPILLAR INC    
    CHEVRON CORP 84,190 103,100
    COCA-COLA CO 108,748 110,440
    E I DU PONT DE NEMOURS & CO 75,623 72,392
    GENERAL ELECTRIC CO 26,922 27,568
    HOME DEPOT INC 54,466 64,912
    INTEL CORP 37,892 40,928
    JPMORGAN CHASE & CO 72,611 72,677
    JOHNSON & JOHNSON 101,875 104,608
    KRAFT FOODS INC CLASS A 54,012 59,408
    MCDONALDS CORP 105,650 117,631
    MERCK & CO INC NEW 105,852 107,851
    PFIZER INC 40,177 40,926
    PROCTER & GAMBLE CO 18,887 19,899
    3M COMPANY 111,905 113,736
    VERIZON COMMUNICATIONS 53,560 63,536

    TY 2011 InvestmentsOtherSchedule2
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS:      
    BARON GROWTH FUND AT COST 104,850 114,665
    GOLDMAN SACHS GROWTH OPP AT COST 135,665 139,103
    JANUS MID CAP VALUE FUND AT COST 138,100 137,397
    LAZARD EMERGING MKTS EQUITY AT COST 327,799 308,442
    PIMCO TOTAL RETURN FUND AT COST 511,628 508,338
    PIMCO REAL RETURN FUND CL D AT COST 257,873 255,268
    PIMCO LOW DURATION FUND CL D AT COST 302,259 302,334
    ROYCE PREMIER FUND INV CLASS AT COST 108,578 109,380
    EMPLETON FOREIGN FUND CLASS A AT COST 128,570 129,086
    THORNBURG INTERNATIONAL VALUE AT COST 180,730 184,444

    TY 2011 OtherAssetsSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DIVIDENDS RECEIVABLE   2,093 2,093


    TY 2011 OtherExpensesSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    SECRETARY OF STATE 25 13   12
    OFFICE SUPPLIES 80 40   40


    TY 2011 OtherProfessionalFeesSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 17,271 17,271    


    TY 2011 TaxesSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,770 1,770    
    EXCISE TAXES 5,678