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 06-01-2011 , and ending 05-31-2012
G
Check all that apply:
Name of foundation
ETHEL S C SMITH NO 5 CHARITABLE TW
 

Number and street (or P.O. box number if mail is not delivered to street address)1525 W WT HARRIS BLVD D1114-044   Room/suite
City or town, state, and ZIP code
CHARLOTTE, NC28288
A Employer identification number

23-6648857
B Telephone number (see page 10 of the instructions)

(336) 747-8186
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$12,496,936J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 449,234 449,004  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,536,450
b Gross sales price for all assets on line 6a 7,649,894
7 Capital gain net income (from Part IV, line 2)... 2,536,450
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 10,000    
12 Total. Add lines 1 through 11........ 2,995,684 2,985,454  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 93,827 70,370   23,457
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 7,017 5,264 0 1,752
b Accounting fees (attach schedule)....... Click to see attachment 8,010 0 0 8,010
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 25,046 4,319   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 13,089     13,089
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 146,989 79,953 0 46,308
25 Contributions, gifts, grants paid........ 609,500 609,500
26 Total expenses and disbursements. Add lines 24 and 25 756,489 79,953 0 655,808
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,239,195
b Net investment income (if negative, enter -0-) 2,905,501
c Adjusted net income (if negative, enter -0-)... 0
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 285,563 219,266 219,266
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 6,187 Click to see attachment273,600 274,335
b Investments—corporate stock (attach schedule)........ 2,906,246 Click to see attachment7,915,719 8,103,308
c Investments—corporate bonds (attach schedule)........   Click to see attachment206,000 209,700
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 6,640,929 Click to see attachment3,452,209 3,690,327
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 9,838,925 12,066,794 12,496,936
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 9,838,925 12,066,794
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).................... 9,838,925 12,066,794
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 9,838,925 12,066,794
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 9,838,925
2 Enter amount from Part I, line 27a..................... 2 2,239,195
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 7,113
4 Add lines 1, 2, and 3.......................... 4 12,085,233
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 18,439
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 12,066,794
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 1535. AMERICAN EXPRESS CO COM   2010-11-03 2011-10-17
b 275. APPLE COMPUTER INC COM   2011-09-19 2011-11-07
c 1500. BAKER HUGHES INC COM   2011-09-19 2011-11-07
d 3850. BRISTOL-MYERS SQUIBB CO COM   2010-11-03 2011-11-07
e 2000. CAPITAL ONE FINL CORP COM RTS EXP 11/29/2005   2011-07-26 2011-10-17
2685. CARDINAL HLTH INC COM   2011-02-14 2011-10-17
700. CHEVRONTEXACO CORP COM   2010-08-06 2011-10-17
885. CHEVRONTEXACO CORP COM   2010-08-06 2011-11-07
2500. CHUBB CORP COM   2009-05-20 2011-07-26
1950. CISCO SYS INC COM W/RIGHTS ATTACHED EXPIRING 6/10/2008   1997-02-12 2011-10-17
7050. CISCO SYS INC COM W/RIGHTS ATTACHED EXPIRING 6/10/2008   1997-02-12 2011-11-07
1125. COLGATE-PALMOLIVE CO COM   1994-11-01 2011-07-26
1875. COLGATE-PALMOLIVE CO COM   1994-11-01 2011-11-07
4885. COMCAST CORP NEW CL A   2011-06-06 2011-10-17
2450. CONOCOPHILLIPS COM   2003-10-24 2011-11-07
29695.62 DODGE & COX INCOME FD COM   2009-10-13 2011-07-26
4350. E M C CORP MASS COM   2011-06-06 2011-10-17
2275. EXXON MOBIL CORP COM   1980-07-10 2011-07-26
1200. EXXON MOBIL CORP COM   1979-08-09 2011-09-19
1525. EXXON MOBIL CORP COM   1979-08-09 2011-11-07
960. FRONTIER COMMUNICATIONS CORPORATION   1984-02-18 2011-06-06
515.69 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2011-06-15
157.05 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2011-07-15
156.73 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2011-08-15
165.48 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2011-09-15
170.17 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2011-10-15
170.15 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2011-11-15
458.93 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2011-12-15
142.58 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2012-01-15
143.7 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2012-02-15
144.6 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2012-03-15
145.59 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2012-04-15
146.72 GOVERNMENT NATL MTG ASSN GTD PASS THRU CTF POOL #434539 DTD   1999-08-16 2012-05-15
6.26 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2011-06-15
6.32 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2011-07-15
6.38 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2011-08-15
6.45 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2011-09-15
6.51 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2011-10-15
6.58 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2011-11-15
6.64 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2011-12-15
6.71 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2012-01-15
6.78 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2012-02-15
6.85 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2012-03-15
6.91 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2012-04-15
6.98 GOVERNMENT NATL MTG ASSN PL 063754X 11.5% 04/15/2013   1983-03-04 2012-05-15
9500. GENERAL ELEC CO COM   1979-08-09 2011-11-07
575. GOLDMAN SACHS GRP INC COM   2008-04-25 2011-06-06
2300. HEWLETT-PACKARD CO COM   2004-04-19 2011-10-17
3750. HOME DEPOT INC COM   2010-01-25 2011-10-17
2743.902 ING REAL ESTATE FUND CL-I #2190   2008-04-29 2011-07-26
5500. ILLINOIS TOOL WORKS INC COM   1993-06-30 2011-07-26
2500. INTEL CORP COM   2011-09-19 2011-11-07
1925. INTL BUSINESS MACHINES CORP COM   1998-05-27 2011-07-26
525. INTL BUSINESS MACHINES CORP COM   1998-05-27 2011-09-19
1045. INTL BUSINESS MACHINES CORP COM   1998-05-27 2011-11-07
5000. JP MORGAN CHASE & CO COM   2000-08-03 2011-10-17
3347.28 PERKINS MID CAP VALUE F/C I #1167   2008-04-29 2011-07-26
350. JOHNSON & JOHNSON COM   2005-11-10 2011-10-17
1120. JOHNSON & JOHNSON COM   2003-10-24 2011-11-07
2850. MCDONALDS CORP COM   2009-05-20 2011-11-07
1450. MCKESSON HBOC INC COM   2011-06-06 2011-10-17
1800. MEDCO HEALTH SOLUTIONS INC   2011-02-14 2011-10-17
2015. MICROSOFT CORP COM   2004-12-23 2011-10-17
1275. NEXTERA ENERGY INC   2003-10-24 2011-11-07
3400. NIKE INC CL B COM   2005-11-10 2011-06-06
4100. ORACLE CORP COM   2004-04-19 2011-11-07
37914.692 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD II INSTL CL   2009-07-22 2011-07-26
2000. PNC FINL SVCS GROUP INC COM W/RIGHTS ATTACHED EXP 5/25/2010   2010-08-06 2011-10-17
900. PEPSICO INC COM   2001-05-04 2011-10-17
850. PEPSICO INC COM   2001-05-04 2011-11-07
6000. PFIZER INC COM W/RTS ATTACHED EXP 10/15/2007   1991-03-18 2011-06-06
1550. PRAXAIR INC COM   2005-11-10 2011-07-26
675. PRAXAIR INC COM   2005-11-10 2011-09-19
775. PRAXAIR INC COM   2005-11-10 2011-11-07
1770. PROCTER & GAMBLE CO COM   2005-11-10 2011-10-17
800. PUBLIC SVC ENTERPRISE GRP INC COM   2011-09-19 2011-11-07
648. SPDR DOW JONES REIT ETF   2009-03-20 2011-07-26
1350. 3M CO COM   2010-01-25 2011-10-17
1700. UNITED TECHNOLOGIES CORP COM   2003-10-24 2011-11-07
1875. UNITEDHEALTH GRP INC COM   2011-07-26 2011-10-17
3000. UNUMPROVIDENT CORP COM   2011-09-19 2011-11-07
4000. VERIZON COMMUNICATIONS COM   1984-02-18 2011-11-07
1200. VISA INC-CLASS A SHRS   2010-01-25 2011-09-19
850. WYNN RESORTS LTD   2011-06-06 2011-10-17
1375. ACCENTURE PLC   2010-01-25 2011-10-17
1125. ACCENTURE PLC   2010-01-25 2011-11-07
1600. ACE LIMITED   2009-10-20 2011-10-17
1750. TYCO INTERNATIONAL LTD NEW   2011-07-26 2011-10-17
(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 69,530   64,163 5,367
b 109,808   112,896 -3,088
c 84,676   86,444 -1,768
d 120,624   102,564 18,060
e 80,672   97,880 -17,208
111,076   112,521 -1,445
69,027   55,023 14,004
94,913   69,565 25,348
160,272   96,450 63,822
33,218   13,379 19,839
126,263   48,371 77,892
98,025   17,143 80,882
165,231   28,572 136,659
113,868   118,363 -4,495
174,765   70,149 104,616
400,000   383,370 16,630
98,048   120,278 -22,230
193,144   8,527 184,617
88,042   4,028 84,014
120,627   5,118 115,509
8,064   1,448 6,616
516   514 2
157   157  
157   156 1
165   165  
170   170  
170   170  
459   457 2
143   142 1
144   143 1
145   144 1
146   145 1
147   146 1
6   6  
6   6  
6   6  
6   6  
7   6 1
7   6 1
7   7  
7   7  
7   7  
7   7  
7   7  
7   7  
155,140   10,526 144,614
77,124   109,867 -32,743
56,972   50,002 6,970
129,979   103,571 26,408
45,000   43,868 1,132
285,970   51,645 234,325
60,281   54,823 5,458
353,157   116,821 236,336
90,048   31,860 58,188
195,973   63,417 132,556
156,101   258,425 -102,324
80,000   72,138 7,862
22,354   18,224 4,130
71,365   55,843 15,522
268,152   160,322 107,830
105,980   122,616 -16,636
87,632   111,819 -24,187
54,304   51,489 2,815
71,503   40,527 30,976
272,789   149,951 122,838
133,944   50,266 83,678
400,000   387,266 12,734
98,926   119,661 -20,735
55,776   39,870 15,906
52,843   37,655 15,188
124,378   26,718 97,660
162,022   74,999 87,023
66,790   32,661 34,129
78,180   37,500 40,680
113,848   99,514 14,334
27,280   27,393 -113
45,132   16,202 28,930
102,686   111,335 -8,649
132,423   70,083 62,340
87,891   96,638 -8,747
65,669   66,779 -1,110
149,038   25,973 123,065
107,917   98,424 9,493
114,646   122,681 -8,035
79,015   57,530 21,485
65,366   47,070 18,296
99,108   88,224 10,884
76,316   82,409 -6,093
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       5,367
b       -3,088
c       -1,768
d       18,060
e       -17,208
      -1,445
      14,004
      25,348
      63,822
      19,839
      77,892
      80,882
      136,659
      -4,495
      104,616
      16,630
      -22,230
      184,617
      84,014
      115,509
      6,616
      2
       
      1
       
       
       
      2
      1
      1
      1
      1
      1
       
       
       
       
      1
      1
       
       
       
       
       
       
      144,614
      -32,743
      6,970
      26,408
      1,132
      234,325
      5,458
      236,336
      58,188
      132,556
      -102,324
      7,862
      4,130
      15,522
      107,830
      -16,636
      -24,187
      2,815
      30,976
      122,838
      83,678
      12,734
      -20,735
      15,906
      15,188
      97,660
      87,023
      34,129
      40,680
      14,334
      -113
      28,930
      -8,649
      62,340
      -8,747
      -1,110
      123,065
      9,493
      -8,035
      21,485
      18,296
      10,884
      -6,093
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 2,536,450
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 659,104 12,739,346 0.051738
2009 722,688 12,063,779 0.059906
2008 807,477 11,596,530 0.069631
2007 800,146 16,134,251 0.049593
2006 608,000 15,607,608 0.038955
2 Total of line 1, column (d) ...................... 2 0.269823
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 0.053965
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 12,595,482
5 Multiply line 4 by line 3....................... 5 679,715
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 29,055
7 Add lines 5 and 6......................... 7 708,770
8 Enter qualifying distributions from Part XII, line 4.............. 8 655,808
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 58,110
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 58,110
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 58,110
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 12,824
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 12,824
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 45,286
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet   Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletPA
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV..........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (336) 747-8186
    Located atbullet1 W 4TH ST - 6TH FLWINSTON SALEMNC ZIP+4bullet271013818
    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
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2011.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2011?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    WELLS FARGO BANK NA TRUSTEE
    40     		93,827    
    1525 W WT Harris Blvd D1114-044
    Charlotte,NC282881161
    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
    12,499,784
    b
    Average of monthly cash balances.......................
    1b
    287,507
    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
    12,787,291
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    12,787,291
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    191,809
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    12,595,482
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    629,774
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    629,774
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    58,110
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    58,110
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    571,664
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    10,000
    5
    Add lines 3 and 4............................
    5
    581,664
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    581,664
    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
    655,808
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    655,808
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    655,808
    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 7 581,664
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 0
    b Total for prior years:2009, 20, 20 0
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 0
    b From 2007....... 0
    c From 2008....... 0
    d From 2009....... 28,212
    e From 2010....... 34,961
    fTotal of lines 3a through e......... 63,173
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 655,808
    a Applied to 2010, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		 0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		0
    d Applied to 2011 distributable amount..... 581,664
    e Remaining amount distributed out of corpus 74,144
    5 Excess distributions carryover applied to 2011. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 137,317
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		0
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		0
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		0
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		0
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		137,317
    10 Analysis of line 9:
    a Excess from 2007.... 0
    b Excess from 2008.... 0
    c Excess from 2009.... 28,212
    d Excess from 2010.... 34,961
    e Excess from 2011.... 74,144
    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:
    WELLS FARGO
    One West 4th Street
    Winston Salem,NC27101
    (888) 234-1999
    bThe form in which applications should be submitted and information and materials they should include:
    www.wellsfargo.com/privatefoundationgrants/smith
    cAny submission deadlines:
    March 1 and Sept 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Grants are for SE Pennsylvania charities with an emphasis on those serving community needs in Delaware County for capital projects, operating expenses, & special programs.
    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
    CHRIST LUTHERAN COMMUNITY
    OUTREACH DBA UPPER DARBY OUTREACH
    74240 WALMURT STREET
    UPPER DARBY,PA19082     		NONE EXEMPT GENERAL PURPOSE 5,000
    LEARNING ALLY INC
    20 ROSZEL ROAD
    PRINCETON,NJ08540     		NONE PUBLIC CHARITY GENERAL PURPOSE 3,000
    MEDIA ARTS COUNCIL
    301 N JACKSON STREET
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 2,000
    DELAWARE COUNTY VETERANS MEMORIAL
    ASSOCIATION
    PO BOX 183
    NEWTON SQUARE,PA19073     		NONE PUBLIC CHARITY GENERAL PURPOSE 8,500
    DREXEL NEUMANN ACADEMY
    1901 POTTER STREET
    CHESTER,PA19013     		NONE PUBLIC CHARITY GENERAL PURPOSE 30,000
    MAKE A WISH FOUNDATION OF
    PHILADELPHIA
    512 TOWNSHIP LINE ROAD
    BLUE BELL,PA19422     		NONE PUBLIC CHARITY GENERAL PURPOSE 2,000
    FAMILY & COMMUNITY SERVICE OF
    DELAWARE COUNTY
    600 N OLIVE STREET
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    ACADEMY OF NATURAL SCIENCE
    1900 BENJAMIN FRANKLIN PARKWAY
    PHILADELPHIA,PA19103     		EXEMPT PUBLIC CHARITY GENERAL PURPOSE 1,500
    ACADEMY OF VOCAL ARTS
    1920 SPRUCE ST
    PHILADELPHIA,PA191036685     		NONE PUBLIC CHARITY GENERAL PURPOSE 12,000
    BRYN MAWR REHAB HOSPITAL
    414 PAOLI PIKE
    MALVERN,PA19355     		NONE PUBLIC CHARITY GENERAL PURPOSE 7,000
    LINCOLN UNIVERSITY
    1570 OLD BALTIMORE PIKE BOX 179
    LINCOLN UNIVERSITY,PA193520999     		NONE PUBLIC CHARITY GENERAL PURPOSE 16,000
    WILLIAMSON FREE SCHOOL OF
    MECHANICAL TRADES
    160 S NEW MIDDLETOWN ROAD
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 10,000
    ST EDMOND'S HOME FOR CHILDREN
    320 SOUTH ROBERTS ROAD
    ROSEMONT,PA19010     		NONE PUBLIC CHARITY GENERAL PURPOSE 8,500
    ROYER-GREAVES SCHOOL FOR THE BLIND
    118 SOUTH VALLEY ROAD
    PAOLL,PA19301     		NONE PUBLIC CHARITY GENERAL PURPOSE 3,000
    CHILDREN AND ADULT DISABILITY
    AND EDUCATIONAL SERVICES
    401 RUTGERS AVENUE
    SWARTHMORE,PA190812499     		NONE EXEMPT GENERAL PURPOSE 30,000
    MENTAL HEALTH ASSOCIATION OF SE
    PENNSYLVANIA
    1211 CHESTNUT STREET
    PHILADELPHIA,PA19107     		NONE PUBLIC CHARITY GENERAL PURPOSE 15,000
    MANN CENTER FOR THE PERFORMING ARTS
    123 SOUTH BROAD STREET
    PHILADELPHIA,PA19109     		NONE PUBLIC CHARITY GENERAL PURPOSE 2,000
    BOYS AND GIRLS CLUB OF CHESTER
    201 EAST 7TH STREET
    CHESTER,PA19013     		NONE PUBLIC CHARITY GENERAL PURPOSE 8,500
    PENNSYLVANIA BALLETT
    1819 JFK BLVD SUITE 210
    PHILADELPHIA,PA19103     		NONE PUBLIC CHARITY GENERAL PURPOSE 7,000
    CROZER-CHESTER FOUNDATION
    ONE MEDICAL CENTER
    UPLAND,PA19013     		NONE PUBLIC CHARITY GENERAL PURPOSE 16,000
    CONSUMER CREDIT COUNSELING SERVICES
    OF DELAWARE VALLEY
    1608 WALNUT STREET 10TH FLOOR
    PHILADELPHIA,PA19103     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    WIDENER UNIVERSITY
    ONE UNIVERSITY PLACE
    CHESTER,PA19013     		NONE PUBLIC CHARITY GENERAL PURPOSE 50,000
    CHESTER YOUTHBUILD
    ONE EAST NINTH STREET
    CHESTER,PA19013     		NONE PUBLIC CHARITY GENERAL PURPOSE 10,000
    HEDGEROW THEATRE INC
    146 WEST ROSE VALLEY ROAD
    ROSE VALLEY,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 20,000
    CASAYOUTH ADVOCATES INC
    PO BOX 407
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 8,500
    WOMEN'S RESOURCE CENTER
    PO BOX 596
    WAYNE,PA19087     		NONE PUBLIC CHARITY GENERAL PURPOSE 7,000
    DARLINGTON ARTS CENTER
    977 SHAVERTOWN ROAD
    GARNET VALLEY,PA19061     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    CONTACT GREATER PHILADELPHIA
    PO BOX 167
    RICHBORO,PA18954     		NONE PUBLIC CHARITY GENERAL PURPOSE 7,000
    MATERNITY CARE COALITION
    2000 HAMILTON STREET SUITE 205
    PHILADELPHIA,PA19107     		NONE PUBLIC CHARITY GENERAL PURPOSE 10,000
    CENTER FOR RESOLUTIONS
    26 EAST FOURTH STREET
    MEDIA,PA19063     		NONE EXEMPT GENERAL PURPOSE 10,000
    FAIR HOUSING COUNCIL OF SUBURBAN
    PHILADELPHIA
    225 SOUTH CHESTER ROAD SUITE 1
    SWARTHMORE,PA19081     		NONE PUBLIC CHARITY GENERAL PURPOSE 2,000
    ARDEN THEATRE COMPANY
    40 NORTH SECOND STREET
    PHILADELPHIA,PA19106     		NONE PUBLIC CHARITY GENERAL PURPOSE 3,000
    STAGES OF IMAGINATION
    648 NORTH LEMON STREET
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    FAMILY SUPPORT LINE OF DELAWARE
    COUNTY INC
    100 WEST SIXTH STREET
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    PLANNED LIFETIME ASSISTANCE NETWORK
    OF PA
    PO BOX 154
    WAYNE,PA19087     		NONE PUBLIC CHARITY GENERAL PURPOSE 3,000
    SURREY SERVICES FOR SENIORS
    28 BRIDGE AVENUE
    BERWYN,PA19312     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    PHILADELPHIA SHAKESPEARE FESTIVAL
    2111 SANSOM STREET
    PHILADELPHIA,PA19103     		NONE PUBLIC CHARITY GENERAL PURPOSE 2,000
    MOTHER'S HOME INC
    52 NORTH MACDALE BLVD
    DARBY,PA19023     		NONE PUBLIC CHARITY GENERAL PURPOSE 8,500
    DELCO TENNIS ASSOCIATION INC
    122 MARLE CIRCLE
    ASTON,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 25,000
    BE PROUD FOUNDATION
    600 N JACKSON STREET
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 12,500
    JENKINS ARBORETUM
    631 BERWYN BAPTIST ROAD
    DEVON,PA19333     		NONE PUBLIC CHARITY GENERAL PURPOSE 2,000
    ST JAMES ALUMNI ASSOCIATION
    1499 E 9TH STREET
    EDDYSTONE,PA190221431     		NONE PUBLIC CHARITY GENERAL PURPOSE 8,500
    DELAWARE COUNTY COOPERATIVE
    EXTENSION ASSOC INC
    SMEDLEY PARK 20 PAPER MILL ROAD
    SPRINGFIELD,PA19064     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    NATIONAL LIBERTY MUSEUM
    321 CHESTNUT STREET
    PHILADELPHIA,PA19106     		NONE PUBLIC CHARITY GENERAL PURPOSE 8,000
    ART-REACH INC
    1819 JFK BLVD SUITE 200
    PHILADELPHIA,PA19103     		NONE EXEMPT GENERAL PURPOSE 3,000
    HOPE SPRINGS EQUESTRIAN THERAPY
    PO BOX 156
    CHESTER SPRINGS,PA19425     		NONE PUBLIC CHARITY GENERAL PURPOSE 1,000
    WINGS FOR SUCCESS
    PO BOX 1184
    FRAZER,PA19355     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    GIRARD COLLEGE DEVELOPMANT FUND
    2101 SOUTH COLLEGE
    PHILADELPHIA,PA19121     		NONE PUBLIC CHARITY GENERAL PURPOSE 10,000
    NORTHWESTERN HUMAN SERVICES
    620 GERMANTOWN PIKE
    LAFAYETTE HI,PA194441810     		NONE PUBLIC CHARITY GENERAL PURPOSE 12,000
    DELAWARE COUNTY INTERFAITH
    HOSPITALITY NETWORK
    PO BOX 2384
    ASTON,PA190142384     		NONE PUBLIC CHARITY GENERAL PURPOSE 8,500
    TRI COUNTY CONCERTS ASSOC
    PO BOX 222
    WAYBE,PA19087     		NONE PUBLIC CHARITY GENERAL PURPOSE 3,000
    LANSDOWNE SYMPHOMY ORCHESTRA
    ASSOCIATION
    28 NORTH LANSDOWNE AVE
    LANSDOWNE,PA19050     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    CHEYNEY UNIVERSITY OF PENNSYLVANIA
    1837 UNIVERSITY CIRCLE
    CHEYNEY,PA193190200     		NONE PUBLIC CHARITY GENERAL PURPOSE 20,000
    PENNSYLVANIA ENVIROMENTAL COUNCIL
    SE PA REGION
    1315 WALNUT STREET
    PHILADELPHIA,PA19104     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    PEOPLE'S LIGHT & THEATRE COMPANY
    39 CONESTOGA ROAD
    MALVERN,PA193551798     		NONE PUBLIC CHARITY GENERAL PURPOSE 3,000
    DELAWARE COUNTY YOUTH ORCHESTRA
    PO BOX 143
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    MUSICOPIA INC
    2001 MARKET STREET SUITE 3100
    PHILADELPHIA,PA191037044     		NONE PUBLIC CHARITY GENERAL PURPOSE 8,500
    DEAF HEARING COMMUNICATION CENTRE
    630 FAIRVIEW ROAD SUITE 100
    SWARTHMORE,PA190812335     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    THE WILMA THEATER
    265 SOUTH BROAD STREET
    PHILADELPHIA,PA191075659     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    MUSIC WORKS
    2050 WEST CHESTER PIKE SUITE 115
    HAVERTOWN,PA190832742     		NONE PUBLIC CHARITY GENERAL PURPOSE 3,000
    VETERAN'S NATIONAL EDUCATION
    PROGRAM
    PO BOX 354
    NEWTON SQUARE,PA190730354     		NONE PUBLIC CHARITY GENERAL PURPOSE 20,000
    THE LIBRARY FOUNDATION OF DELAWARE
    COUNTY
    340 NORTH MIDDLETOWN ROAD
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    AMERICAN RED CROSS SE PA CHAPTER
    2221 CHESTNUT STREET
    PHILADELPHIA,PA19103     		NONE PUBLIC CHARITY GENERAL PURPOSE 12,500
    BERNARDINE CENTER
    2625 WEST NINTH STREET
    CHESTER,PA19013     		NONE PUBLIC CHARITY GENERAL PURPOSE 6,000
    TIKVAH RESIDENCE INC
    PO BOX 551
    NEWTOWN SQUARE,PA19073     		NONE PUBLIC CHARITY GENERAL PURPOSE 15,000
    PENNSYLVANIA VETERANS MUSEUM
    12 EAST STATE STREET PO BOX 73
    MEDIA,PA19063     		NONE PUBLIC CHARITY GENERAL PURPOSE 25,000
    THE MASON SHAFFER FOUNDATION
    PO BOX 960
    LANDOWNE,PA19050     		NONE PUBLIC CHARITY GENERAL PURPOSE 5,000
    Total .................................bullet 3a 609,500
    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          
    4 Dividends and interest from securities....     14 449,234  
    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 2,536,450  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aRECOVERY     1 10,000  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   2,995,684  
    13Total. Add line 12, columns (b), (d), and (e)..................
    132,995,684
    (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.)
    11 0
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 AccountingFeesSchedule
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 8,010     8,010

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Name of Bond End of Year Book Value End of Year Fair Market Value
    94985D582 WELLS FARGO ADV INTL 206,000 209,700

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Name of Stock End of Year Book Value End of Year Fair Market Value
    437076102 HOME DEPOT INC    
    580135101 MCDONALDS CORP    
    654106103 NIKE INC CL B    
    194162103 COLGATE PALMOLIVE    
    713448108 PEPSICO INC    
    742718109 PROCTER & GAMBLE    
    166764100 CHEVRON CORP    
    20825C104 CONCOPHILLIPS    
    30231G102 EXXON MOBIL CORP    
    025816109 AMERICAN EXPRESS CO    
    171232101 CHUBB CORP    
    38141G104 GOLDMAN SACHS GROUP    
    46625H100 JP MORGAN CHASE    
    693475105 PNC FINANCIAL SER.    
    110122108 BRISTOL MYERS SQUIBB    
    478160104 JOHNSON & JOHNSON    
    717081103 PFIZER INC    
    369604103 GENERAL ELECTRIC    
    452308109 ILLINOIS TOOL WORKS    
    913017109 UNITED TECHNOLOGIES    
    88579Y101 3M CO    
    42836103 HEWLETT PACKARD CO    
    17275R102 CISCO SYSTEMS    
    459200101 INTERNATIONAL BUS.    
    594918104 MICROSOFT CORP    
    68389X105 ORACLE CORP    
    92826C839 VISA INC-CLASS    
    74005P104 PRAXAIR INC COM    
    35906A108 FRONTIER COMM.    
    92343V104 VERIZON COMM    
    65339F101 NEXTERA ENERGY INC    
    14149Y108 CARDINAL HEALTH INC    
    58405U102 MEDCO HEALTH SOLUTIO    
    25264S833 DIAMOND HILL LONG-SH 286,000 291,501
    277923728 EATON VANCE GLOBAL M 340,000 328,124
    314172560 FEDERATED STRAT VAL 1,560,000 1,600,258
    411511504 HARBOR CAPITAL APRCT 1,550,000 1,638,868
    448108100 HUSSMAN STRATEGIC GR 386,000 361,477
    44980Q518 ING INTERNATIONAL RE 300,018 214,624
    44981V706 ING REAL ESTATE FUND 113,084 117,133
    464287234 ISHARES TR MSCI EMER 776,667 641,202
    464287465 ISHARES MSCI EAFE 785,601 1,018,912
    464287655 ISHARES RUSSELL 2000 347,509 655,916
    47103C241 PERKINS MID CAP VALU 302,862 286,261
    722005667 PIMCO COMMODITY REAL 800,000 470,239
    78464A607 SPDR DOW JONES REIT 52,280 145,596
    949915367 WELLS FARGO ADV ENTE 315,698 333,197

    TY 2011 InvestmentsGovtObligationsSch
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    US Government Securities - End of Year Book Value:

    273,600
    US Government Securities - End of Year Fair Market Value:

    274,335
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2011 InvestmentsOtherSchedule2
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    44980Q518 ING INTERNATION RE      
    44981V706 ING REAL ESTATE      
    722005667 PIMCO COMMODITY REAL      
    78464A607 SPDR DOW JONES REIT      
    256210105 DODGE & COX INCOME F AT COST 566,630 627,717
    4812C0803 JPMORGAN HIGH YIELD AT COST 321,018 318,169
    693390551 PIMCO TOTAL RETN FD AT COST 982,734 1,087,123
    72369B406 PIONEER HIGH YIELD F AT COST 296,827 298,051
    922031737 VANGUARD INFLAT-PROT AT COST 425,000 494,775
    94985D582 WELLS FARGO ADV. INT      
    693390882 PIMCO FOREIGN BD FD AT COST 210,000 224,220
    464287655 ISHARES RUSSELL 2000      
    47103C241 PERKINS MID CAP VALU      
    949915367 WELLS FARGO ADV. EN      
    464287465 ISHARES MSCI EAFE      
    G1151C101 ACCENTURE PLC      
    H0023R105 ACE LIMITED      
    693391559 PIMCO EMERG MKTS BD- AT COST 410,000 414,500
    94985D418 WELLS FARGO ADV AST AT COST 240,000 225,772

    TY 2011 LegalFeesSchedule
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 7,017 5,264   1,752


    TY 2011 OtherDecreasesSchedule
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Description Amount
    MUTUAL FUND POSTING DATE AFTER TYE 18,184
    ROC BASIS ADJUSTMENT 254
    ROUNDING 1


    TY 2011 OtherExpensesSchedule
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DELAWARE COUNTY STANDARD FILIN 9,089 0   9,089
    ADVISORY COMMITTEE FEE 4,000 0   4,000


    TY 2011 OtherIncomeSchedule2
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RECOVERY 10,000 0  


    TY 2011 OtherIncreasesSchedule
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Description Amount
    MUTUAL FUND TAX EFFECTIVE DATE BEFORE TYE 7,113


    TY 2011 TaxesSchedule
    Name:
    ETHEL S C SMITH NO 5 CHARITABLE TW
    EIN: 23-6648857
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 338 338   0
    FEDERAL TAX PAYMENT - PRIOR YE 7,903 0   0
    FEDERAL ESTIMATES - PRINCIPAL 12,824 0   0
    FOREIGN TAXES ON QUALIFIED FOR 3,747 3,747   0
    FOREIGN TAXES ON NONQUALIFIED 234 234   0