-
TIN:
Form
990-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
20
11
For calendar year 2011, or tax year beginning
01-01-2011
, and ending
12-31-2011
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
Name of foundation
CAPTAIN W J DIMITRIJEVIC MEMORIAL TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state, and ZIP code
WILSON
,
NC
278942907
A Employer identification number
52-6432623
B
Telephone number (see page 10 of the instructions)
(410) 626-6118
C
If exemption application is pending, check here
D 1.
Foreign organizations, check here .
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
2.
Foreign organizations meeting the 85% test,
check here and attach computation
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
1,527,331
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
E
If private foundation status was terminated
under section 507(b)(1)(A), check here
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here
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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
3
Interest on savings and temporary cash investments
6,219
6,219
4
Dividends and interest from securities
......
42,647
42,647
5a
Gross rents
..............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
63,991
b
Gross sales price for all assets on line 6a
735,739
7
Capital gain net income (from Part IV, line 2)
...
63,991
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)
.......
11
11
12
Total.
Add lines 1 through 11
........
112,868
112,868
13
Compensation of officers, directors, trustees, etc.
22,906
22,906
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see page 14 of the instructions)
11,994
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)
.......
39
39
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
34,939
22,945
0
0
25
Contributions, gifts, grants paid
........
74,717
74,717
26
Total expenses and disbursements.
Add lines 24 and 25
109,656
22,945
0
74,717
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
3,212
b
Net investment income
(if negative, enter -0-)
89,923
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
1
Cash—non-interest-bearing
...............
43
2,813
2,813
2
Savings and temporary cash investments
..........
31,918
24,638
24,638
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
...............
9
Prepaid expenses and deferred charges
...........
10a
Investments—U.S. and state government obligations (attach schedule)
153,562
156,948
162,139
b
Investments—corporate stock (attach schedule)
........
1,185,474
1,290,915
1,337,741
c
Investments—corporate bonds (attach schedule)
........
100,735
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
..............
13
Investments—other (attach schedule)
...........
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
1,471,732
1,475,314
1,527,331
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
)
23
Total liabilities
(add lines 17 through 22)
..........
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
....................
25
Temporarily restricted
................
26
Permanently restricted
................
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
.........
1,471,732
1,475,314
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)
....................
1,471,732
1,475,314
31
Total liabilities and net assets/fund balances
(see page 17 of
the instructions)
..................
1,471,732
1,475,314
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
1,471,732
2
Enter amount from Part I, line 27a
.....................
2
3,212
3
Other increases not included in line 2 (itemize)
3
370
4
Add lines 1, 2, and 3
..........................
4
1,475,314
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
1,475,314
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
10. APACHE CORPORATION COMMON
2010-08-17
2011-01-11
b
10. BASF AG SPONSORED ADR COMMON
2010-09-23
2011-01-11
c
5. BIO-RAD LABS CLASS A
2009-07-15
2011-01-11
d
12. CME GROUP INC COMMON
2011-01-11
e
10. CVS CORP COMMON
2010-09-23
2011-01-11
170. CVS CORP COMMON
2003-04-04
2011-01-11
10. CANADIAN NAT RES LTD
2009-07-15
2011-01-11
80. COCA COLA COMPANY
2010-05-28
2011-01-11
50. CONOCOPHILLIPS COM
2004-03-17
2011-01-11
10. DANONE SPONS ADR
2009-07-15
2011-01-11
10. DOLBY LABORATORIES INC CL A COMMON
2009-07-15
2011-01-11
30. E ON AG SPONSORED ADR
2010-05-24
2011-01-11
10. HSBC HLDGS PLC ADR
2009-07-15
2011-01-11
10. IHS INC COMMON
2009-07-15
2011-01-11
80. INTEL CORPORATION
2006-05-26
2011-01-11
50. INTERNATIONAL PAPER COMPANY
2010-08-06
2011-01-11
150. KONINKLIJKE AHOLD SP ADR
2009-07-15
2011-01-11
5. LABORATORY CORP OF AMERICAN HOLDINGS
2009-08-25
2011-01-11
30. LASALLE HOTEL PPTYS COM SH BEN INT
2010-08-17
2011-01-11
50. MERCK & CO INC
2009-07-15
2011-01-11
90. METLIFE COMMON
2009-11-24
2011-01-11
60. MICROSOFT CORPORATION
2011-01-11
60. MICROSOFT CORPORATION
2004-03-17
2011-01-11
30. MORGAN STANLEY DEAN WITTER DIS CO
2010-02-18
2011-01-11
50. OWENS ILLINOIS INC COM NEW
2010-04-26
2011-01-11
10. RAYONIER INC COMMON
2009-07-15
2011-01-11
40. SCHLUMBERGER LTD
2003-04-04
2011-01-11
40. STAPLES INC COMMON
2010-09-23
2011-01-11
40. STATE STR CORP
2010-04-26
2011-01-11
140. STATE STR CORP
2009-11-24
2011-01-11
20. STRYKER CORP COMMON
2010-08-06
2011-01-11
50. SUNCOR ENERGY, INC
2010-02-18
2011-01-11
10. TELEDYNE TECHNOLOGIES INC COM
2009-07-15
2011-01-11
20. TENARIS S.A.
2009-07-15
2011-01-11
10. TEVA PHARMACEUTICAL INDS LTD ADR
2010-01-04
2011-01-11
20. THE TRAVELERS COMPANIES INC.
2009-07-15
2011-01-11
130. VERIZON COMMUNICATIONS INC
2010-07-20
2011-01-11
20. WOLVERINE WORLD WIDE INC COMMON
2009-09-01
2011-01-11
80. TYCO INTERNATIONAL LTD
2010-03-22
2011-01-11
40. ACTUANT CORP CL A NEW
2010-08-06
2011-01-12
30. LASALLE HOTEL PPTYS COM SH BEN INT
2010-08-17
2011-01-12
70. ABB LTD SPONSORED ADR
2009-07-15
2011-02-04
60. AT&T INC
2009-07-15
2011-02-04
40. ABBOTT LABORATORIES
2004-03-24
2011-02-04
50. AGILENT TECHNOLOGIES
2010-09-23
2011-02-04
50. ALBEMARLE CORP COMMON
2011-02-04
20. AMPHENOL CORP CL A
2009-07-15
2011-02-04
20. ANSYS INC COMMON
2011-01-11
2011-02-04
80. BANK OF AMER CORP COMMON
2011-02-04
20. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2009-07-15
2011-02-04
20. BRUKER BIOSCIENCES CORP COMMON
2010-05-20
2011-02-04
20. CHEVRON TEXACO CORP COMMON
2005-04-20
2011-02-04
60. COMCAST CORP NEW CL A
2007-11-28
2011-02-04
50. COMERICA, INC. COMMON
2011-01-11
2011-02-04
50. CORNING INCORPORATED
2009-07-15
2011-02-04
30. CROWN HOLDINGS INC COMMON
2009-10-21
2011-02-04
70. DISNEY WALT COMPANY
2004-08-19
2011-02-04
10. DISCOVER FINL SVCS
2010-04-26
2011-02-04
70. FEI COMPANY COMMON
2010-02-18
2011-02-04
120. INTEL CORPORATION
2011-02-04
30. INTERNATIONAL PAPER COMPANY
2010-08-06
2011-02-04
70. KRAFT FOODS INC-A COMMON
2007-08-06
2011-02-04
70. METLIFE COMMON
2009-11-24
2011-02-04
50. MICROSOFT CORPORATION
2006-05-26
2011-02-04
20. MURPHY OIL CORPORATION
2011-01-11
2011-02-04
3052.543 PIMCO LOW DURATION INSTITUTIONAL
2011-02-04
30. RANDGOLD RESOURCES LTD ADR
2009-07-15
2011-02-04
20. ROPER INDS INC COMMON
2009-07-15
2011-02-04
10. ROPER INDS INC COMMON
2010-02-18
2011-02-04
20. SLM CORPORATION COMMON
2010-04-26
2011-02-04
30. UTILITIES SELECT SECTOR SPDR FUND
2010-02-18
2011-02-04
40. SOUTHWEST AIRLINES
2010-09-28
2011-02-04
10. STAPLES INC COMMON
2010-09-23
2011-02-04
30. SYNOPSYS INC.
2011-01-11
2011-02-04
30. SYNOPSYS INC.
2010-12-16
2011-02-04
40. TESCO CORP
2010-09-23
2011-02-04
340. UNILEVER PLC-SPONSORED ADR
2009-06-11
2011-02-04
30. WAL MART STORES INCORPORATED
2010-01-04
2011-02-04
10. WHITING PETROLEUM CORP COMMON
2009-09-01
2011-02-04
100. COVIDIEN PLC
2010-08-06
2011-02-04
10. ENSTAR GROUP LTD
2011-01-11
2011-02-04
10. ENSTAR GROUP LTD
2009-07-15
2011-02-04
20. INGERSOLL-RAND PLC
2011-01-11
2011-02-04
80. XL CAPITAL LTD
2010-08-06
2011-02-04
20. LOGITECH INTERNATIONAL S.A.
2009-07-15
2011-02-04
180. TYCO ELECTRONICS LTD
2010-03-22
2011-02-04
50000. FED HOME LOAN BANK DTD 01/06/06 4.625% 0
2008-11-25
2011-02-18
160. CVS CORP COMMON
2010-09-23
2011-02-23
50. LOCKHEED MARTIN CORP
2010-01-04
2011-02-23
50. AON CORPORATION COMMON
2011-01-11
2011-03-01
70. DREAMWORKS ANIMATION SKG INC COMMON
2011-03-01
10. HELMERICH & PAYNE INC COMMON
2010-08-17
2011-03-01
20. HELMERICH & PAYNE INC COMMON
2011-01-11
2011-03-01
20. NOBLE ENERGY INC
2011-03-01
10. NOBLE ENERGY INC
2010-05-20
2011-03-01
70. SEI INVESTMENTS CO
2010-05-20
2011-03-01
80. VIRGIN MEDIA INC COMMON
2010-08-06
2011-03-01
40. WELLS FARGO & CO NEW
2007-11-28
2011-03-01
50000. FANNIE MAE 5.5% DUE 03/15/11
2006-08-24
2011-03-15
110. ABB LTD SPONSORED ADR
2009-07-15
2011-05-06
20. CONOCOPHILLIPS COM
2004-03-17
2011-05-06
100. EXXON MOBIL CORPORATION
2011-05-06
80. FIDELITY NATIONAL INFORMATION SERVICES I
2011-02-04
2011-05-06
20. B. F. GOODRICH COMMON
2010-10-07
2011-05-06
40. HASBRO INC
2010-02-18
2011-05-06
20. HELMERICH & PAYNE INC COMMON
2010-08-17
2011-05-06
10. HITACHI LTD
2011-01-11
2011-05-06
10. HUBBELL INC
2010-12-16
2011-05-06
10. HUBBELL INC
2011-02-04
2011-05-06
40. ICON PLC SPONS ADR
2010-04-26
2011-05-06
20. IHS INC COMMON
2009-07-15
2011-05-06
40. INTEL CORPORATION
2004-09-27
2011-05-06
25. INTERNATIONAL BUSINESS MACHINES CORP
2004-08-19
2011-05-06
15. LABORATORY CORP OF AMERICAN HOLDINGS
2009-08-25
2011-05-06
270. LOWES COMPANIES INCORPORATED
2010-09-28
2011-05-06
100. MEDTRONIC INC
2011-05-06
110. NIDEC CORPORATION
2011-05-06
40. NISSAN COMMON STOCK
2010-07-20
2011-05-06
10. NOBLE ENERGY INC
2009-07-15
2011-05-06
90. OSHKOSH TRUCK B CL B
2011-05-06
300. PFIZER INCORPORATED
2011-05-06
90. PLEXUS CORP COMMON
2011-05-06
40. QUEST SOFTWARE INC
2010-08-17
2011-05-06
30. QUEST SOFTWARE INC
2010-04-26
2011-05-06
120. SAFEWAY INC
2011-05-06
40. STATOIL ASA ADR COMMON
2011-01-11
2011-05-06
70. STATOIL ASA ADR COMMON
2010-05-20
2011-05-06
80. STRYKER CORP COMMON
2011-05-06
10. V F CORP COMMON
2010-07-20
2011-05-06
20. V F CORP COMMON
2010-02-18
2011-05-06
30. WASTE CONNECTIONS
2010-07-20
2011-05-06
75. WASTE CONNECTIONS
2009-07-15
2011-05-06
20. WHITING PETROLEUM CORP COMMON
2010-04-26
2011-05-06
120. COVIDIEN PLC
2010-08-06
2011-05-06
110. TYCO INTERNATIONAL LTD
2010-03-22
2011-05-06
60. AMERICAN EXPRESS COMPANY
2010-10-07
2011-05-19
10. BASF AG SPONSORED ADR COMMON
2010-08-17
2011-05-19
5. BIO-RAD LABS CLASS A
2009-07-15
2011-05-19
30. DISCOVER FINL SVCS
2010-04-26
2011-05-19
50. HOSPIRA INC
2011-05-19
130. INTERNATIONAL PAPER COMPANY
2011-05-19
20. LANDSTAR SYSTEM INC COMMON
2011-03-01
2011-05-19
40. TENARIS S.A.
2009-07-15
2011-05-19
70. THERMO ELECTRON COMMON
2011-02-04
2011-05-19
30. VARIAN SEMICONDUCTOR EQUIPMENT ASSOC
2011-02-04
2011-05-19
50. ARCH COAL INC COMMON
2011-02-04
2011-06-01
4. CNOOC LTD - ADR
2009-07-15
2011-06-01
10. CANADIAN NATL RY CO
2009-07-15
2011-06-01
30. EATON VANCE CORPORATION
2011-05-06
2011-06-01
20. FRESENIUS MED CARE
2009-07-15
2011-06-01
20. LOCKHEED MARTIN CORP
2010-01-04
2011-06-01
40. LOWES COMPANIES INCORPORATED
2010-09-28
2011-06-01
90. MICROCHIP TECHNOLOGY INC
2011-06-01
10. NOVARTIS AG
2010-05-20
2011-06-01
66.925 PIMCO TOTAL RETURN FUND 35
2009-08-25
2011-06-01
50. WAL MART STORES INCORPORATED
2010-01-04
2011-06-01
10. WOLVERINE WORLD WIDE INC COMMON
2009-09-01
2011-06-01
40. NABORS INDUSTRIES LTD. COMMON
2011-05-06
2011-06-01
70. ABBOTT LABORATORIES
2004-03-24
2011-07-20
20. ANIXTER INTERNATIONAL INC
2011-05-06
2011-07-20
110. AON CORPORATION COMMON
2011-01-11
2011-07-20
80. BRUKER BIOSCIENCES CORP COMMON
2010-05-20
2011-07-20
160. CARNIVAL CORP PAIRED CTF 1 COM
2011-05-06
2011-07-20
20. CHART INDUSTRIES INC COMMON
2011-05-06
2011-07-20
40. COOPER TIRE & RUBR CO
2010-12-16
2011-07-20
50. COOPER TIRE & RUBR CO
2011-03-01
2011-07-20
20. DILLARDS INC
2011-05-06
2011-07-20
50. DISCOVER FINL SVCS
2010-04-26
2011-07-20
20. DOLBY LABORATORIES INC CL A COMMON
2011-03-01
2011-07-20
20. DOLBY LABORATORIES INC CL A COMMON
2011-07-20
1325.597 FEDERATED INTERMEDIATE FUND 303
2009-04-28
2011-07-20
30. GUESS INC COMMON
2010-12-16
2011-07-20
20. HASBRO INC
2010-02-18
2011-07-20
50. HUTCHINSON WHAMPIA ADR
2011-01-12
2011-07-20
170. INTERNATIONAL PAPER COMPANY
2010-09-23
2011-07-20
90. INTERVAL LEISURE GROUP COMMON
2009-07-15
2011-07-20
70. INTERVAL LEISURE GROUP COMMON
2011-05-19
2011-07-20
30. KBR INC COMMON
2011-02-04
2011-07-20
55. LOCKHEED MARTIN CORP
2011-07-20
60. MEDTRONIC INC
2006-08-08
2011-07-20
90. NOVARTIS AG
2011-07-20
10. OIL STATES INTERNATIONAL INC COM
2011-03-01
2011-07-20
105. PROGRESS SOFTWARE COMMON
2010-04-26
2011-07-20
110. TARGET CORP COM
2010-07-20
2011-07-20
30. TELEDYNE TECHNOLOGIES INC COM
2009-07-15
2011-07-20
50. TREEHOUSE FOODS INC COMMON
2011-05-06
2011-07-20
60. WAL MART STORES INCORPORATED
2011-07-20
20. CHECKPOINT SOFTWARE TECHNOLOGY COMMON
2010-12-16
2011-07-20
210. ABB LTD SPONSORED ADR
2009-07-15
2011-08-10
30. ACACIA RESEARCH COMMON
2011-05-06
2011-08-10
20. ANIXTER INTERNATIONAL INC
2011-05-19
2011-08-10
80. APPROACH RESOURCES INC COMMON
2011-08-10
10. BG GROUP PLC SPON ADR
2009-07-15
2011-08-10
20. BANK OF AMER CORP COMMON
2011-03-01
2011-08-10
330. BANK OF AMER CORP COMMON
2010-05-24
2011-08-10
30. CARNIVAL CORP PAIRED CTF 1 COM
2011-05-06
2011-08-10
70. CROWN HOLDINGS INC COMMON
2011-08-10
1301.396 FEDERATED INTERMEDIATE FUND 303
2011-08-10
70. GRAFTECH INTERNATIONAL LTD
2011-05-06
2011-08-10
20. GUESS INC COMMON
2011-01-11
2011-08-10
30. HSBC HLDGS PLC ADR
2009-07-15
2011-08-10
30. HARRIS CORP
2011-05-06
2011-08-10
20. HASBRO INC
2010-07-20
2011-08-10
200. HUNTINGTON BANCSHARES INC COMMON
2011-02-04
2011-08-10
30. INTERNATIONAL PAPER COMPANY
2010-09-23
2011-08-10
220. INTERPUBLIC GROUP
2011-05-06
2011-08-10
30. KAMATSU LTD
2010-12-16
2011-08-10
80. KRAFT FOODS INC-A COMMON
2007-08-06
2011-08-10
20. MITSUBISHI CORPORATION
2010-02-18
2011-08-10
30. MOODY'S CORPORATION
2011-05-06
2011-08-10
1728.283 PIMCO TOTAL RETURN FUND 35
2006-05-30
2011-08-10
90. ST MICROELETRONICS N.V.
2011-05-06
2011-08-10
50. UNITED RENTALS INC
2011-01-11
2011-08-10
40. NABORS INDUSTRIES LTD. COMMON
2011-05-19
2011-08-10
30. CHECKPOINT SOFTWARE TECHNOLOGY COMMON
2011-02-04
2011-08-10
50. ABB LTD SPONSORED ADR
2009-07-15
2011-08-31
20. ALBEMARLE CORP COMMON
2011-05-06
2011-08-31
50. CIT GROUP INC COMMON
2010-09-23
2011-08-31
20. CANADIAN NATL RY CO
2009-07-15
2011-08-31
140. CENOVUS ENERGY INC.
2010-09-28
2011-08-31
60. CISCO SYSTEMS
2005-11-18
2011-08-31
190. CISCO SYSTEMS
2005-11-18
2011-08-31
30. CROWN HOLDINGS INC COMMON
2011-07-20
2011-08-31
40. DILLARDS INC
2011-08-31
40. DRESSER-RAND GROUP INC COMMON
2011-08-31
30. GARTNER,INC COMMON
2011-05-06
2011-08-31
60. GRAFTECH INTERNATIONAL LTD
2011-08-31
100. HEWLETT PACKARD COMPANY
2009-07-15
2011-08-31
30. HEWLETT PACKARD COMPANY
2011-05-19
2011-08-31
90. HEWLETT PACKARD COMPANY
2010-09-23
2011-08-31
150. HUNTINGTON BANCSHARES INC COMMON
2011-08-31
20. JONES LANG LA SALLE INC
2011-08-10
2011-08-31
50. KBR INC COMMON
2011-02-04
2011-08-31
50. KUBOTA CORPORATION
2011-08-31
30. LIFE TECHNOLOGIES CORP COMMON
2011-02-04
2011-08-31
50. PFIZER INCORPORATED
2011-07-20
2011-08-31
10. PFIZER INCORPORATED
2011-07-20
2011-08-31
20. SIEMENS AG SPONSORED ADR
2009-07-15
2011-08-31
70. SOLUTIA INC COMMON
2010-07-20
2011-08-31
140. STAPLES INC COMMON
2010-09-23
2011-08-31
50. STAPLES INC COMMON
2011-05-06
2011-08-31
270. STAPLES INC COMMON
2011-08-31
20. TENARIS S.A.
2011-05-06
2011-08-31
20. TENARIS S.A.
2009-07-15
2011-08-31
40. TESCO CORP
2010-09-23
2011-08-31
50. UNITED RENTALS INC
2011-08-31
60. VERISIGN INC COMMON
2011-08-31
20. WHITING PETROLEUM CORP COMMON
2010-05-20
2011-08-31
20. WHITING PETROLEUM CORP COMMON
2011-01-11
2011-08-31
110. LOGITECH INTERNATIONAL S.A.
2009-07-15
2011-08-31
110. ABBOTT LABORATORIES
2011-10-27
20. ALBEMARLE CORP COMMON
2011-08-10
2011-10-27
550. ALCOA INC
2011-10-27
50. AMGEN INCORPORATED
2011-05-06
2011-10-27
12. APPLE COMPUTER CORPORATION COMMON
2010-05-20
2011-10-27
40. ASSOCIATED ESTATE REALITY CP REITS
2011-08-10
2011-10-27
20. BASF AG SPONSORED ADR COMMON
2011-10-27
110. BANK OF AMER CORP COMMON
2011-10-27
30. BE AEROSPACE INC COMMON
2011-05-06
2011-10-27
15. BIO-RAD LABS CLASS A
2010-04-26
2011-10-27
130. CENOVUS ENERGY INC.
2010-12-16
2011-10-27
40. COMSTOCK RES INC
2011-08-10
2011-10-27
100. DISCOVER FINL SVCS
2011-10-27
240. DOW CHEMICAL COMPANY
2011-10-27
70. ENSCO INTERNATIONAL PLC
2011-10-27
20. GARTNER,INC COMMON
2011-10-27
30. ILLUMINA INC
2011-08-31
2011-10-27
10. INTERCONTINENTALEXCHANGE INC COMMON
2009-11-18
2011-10-27
60. KAMATSU LTD
2011-10-27
20. KAMATSU LTD
2010-12-16
2011-10-27
20. MEDNAX INC COMMON
2010-02-18
2011-10-27
150. MICROSOFT CORPORATION
2004-03-24
2011-10-27
50. MICROCHIP TECHNOLOGY INC
2011-07-20
2011-10-27
80. MICROSEMI CORP
2011-06-01
2011-10-27
230. MORGAN STANLEY DEAN WITTER DIS CO
2011-10-27
50. PLANTRONICS INC COMMON
2011-10-27
40. RIO TINTO PLC SPONSORED ADR
2011-10-27
20. ROPER INDS INC COMMON
2011-08-31
2011-10-27
20. ROSETTA RESOURCES INC COMMON
2011-08-31
2011-10-27
30. SCHLUMBERGER LTD
2003-04-04
2011-10-27
10. SIEMENS AG SPONSORED ADR
2010-05-24
2011-10-27
50. SOLERA HOLDINGS INC COMMON
2011-10-27
590. SOUTHWEST AIRLINES
2011-10-27
50. SUNCOR ENERGY, INC
2010-02-18
2011-10-27
110. THERMO ELECTRON COMMON
2011-10-27
20. WABCO HOLDINGS INC COMMON
2011-08-10
2011-10-27
30. WASTE CONNECTIONS
2011-08-10
2011-10-27
70. WILLIS GROUP HOLDINGS
2011-10-27
170. TE CONNECTIVITY LTD
2011-10-27
80. TYCO INTERNATIONAL LTD
2011-10-27
140. TYCO INTERNATIONAL LTD
2011-10-27
CAPITAL GAIN DIVIDENDS
P
(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
1,248
928
320
b
739
610
129
c
539
355
184
d
3,721
3,154
567
e
353
302
51
6,004
2,055
3,949
426
270
156
5,017
4,145
872
3,405
1,757
1,648
119
102
17
666
380
286
873
902
-29
535
438
97
790
475
315
1,680
1,461
219
1,399
1,193
206
1,887
1,748
139
454
354
100
854
651
203
1,842
1,375
467
4,119
3,095
1,024
1,692
1,501
191
1,691
1,523
168
835
819
16
1,584
1,852
-268
565
361
204
3,277
755
2,522
910
808
102
1,883
1,767
116
6,592
5,782
810
1,158
952
206
1,890
1,523
367
439
329
110
941
547
394
537
578
-41
1,078
806
272
4,581
3,467
1,114
618
499
119
3,461
2,946
515
1,080
802
278
859
651
208
1,630
1,133
497
1,672
1,429
243
1,837
1,502
335
2,085
1,544
541
2,865
2,105
760
1,139
675
464
1,081
1,081
1,135
1,090
45
1,651
1,166
485
355
248
107
1,943
1,057
886
1,381
1,198
183
1,915
2,049
-134
1,138
799
339
1,082
809
273
2,831
1,545
1,286
204
161
43
2,204
1,474
730
2,574
2,304
270
866
716
150
2,162
2,294
-132
3,296
2,407
889
1,384
1,182
202
1,347
1,479
-132
31,685
29,909
1,776
2,393
1,905
488
1,591
896
695
796
544
252
287
264
23
951
878
73
465
528
-63
222
202
20
844
806
38
844
810
34
628
468
160
9,999
8,497
1,502
1,676
1,631
45
1,245
497
748
4,882
3,815
1,067
828
835
-7
828
585
243
945
938
7
1,865
1,429
436
378
293
85
6,586
4,957
1,629
50,000
51,526
-1,526
5,170
4,824
346
3,998
3,845
153
2,638
2,202
436
1,937
2,222
-285
658
380
278
1,316
981
335
1,867
1,190
677
933
615
318
1,611
1,481
130
2,161
1,701
460
1,286
1,238
48
50,000
50,826
-826
2,859
1,781
1,078
1,460
703
757
8,243
6,972
1,271
2,606
2,482
124
1,778
1,531
247
1,891
1,426
465
1,160
759
401
554
551
3
666
611
55
666
628
38
961
1,075
-114
1,734
949
785
930
806
124
4,221
2,118
2,103
1,465
1,062
403
6,923
6,022
901
4,267
5,037
-770
2,415
2,648
-233
768
560
208
884
571
313
2,736
2,938
-202
6,138
5,187
951
3,243
2,570
673
885
794
91
664
553
111
2,917
2,524
393
1,041
949
92
1,822
1,433
389
4,782
3,802
980
1,003
728
275
2,007
1,521
486
916
703
213
2,291
1,301
990
1,261
871
390
6,547
4,578
1,969
5,328
4,050
1,278
3,080
2,284
796
919
576
343
628
355
273
765
484
281
2,749
2,863
-114
4,143
2,928
1,215
946
882
64
1,891
1,094
797
4,567
3,903
664
1,835
1,328
507
1,463
1,672
-209
979
505
474
766
426
340
912
989
-77
1,443
889
554
1,529
1,538
-9
954
892
62
3,511
2,825
686
638
451
187
740
719
21
2,722
2,718
4
386
249
137
1,090
1,107
-17
3,684
2,628
1,056
1,302
1,445
-143
5,461
4,844
617
1,581
991
590
5,685
6,453
-768
1,212
953
259
747
953
-206
934
1,178
-244
1,191
964
227
1,303
806
497
869
1,003
-134
869
999
-130
13,534
11,785
1,749
1,180
1,460
-280
786
713
73
1,067
1,196
-129
5,127
3,590
1,537
1,215
989
226
945
976
-31
1,142
987
155
4,324
4,301
23
2,215
2,603
-388
5,639
4,350
1,289
845
729
116
2,677
2,252
425
5,607
5,522
85
1,523
988
535
2,652
2,847
-195
3,233
3,194
39
1,191
907
284
4,408
3,400
1,008
1,058
1,172
-114
987
1,396
-409
1,444
1,969
-525
973
852
121
141
285
-144
2,326
5,185
-2,859
905
1,210
-305
2,447
1,883
564
13,339
12,081
1,258
943
1,545
-602
643
853
-210
1,272
1,313
-41
1,060
1,448
-388
720
805
-85
989
1,490
-501
751
634
117
1,742
2,498
-756
777
893
-116
2,663
2,621
42
928
996
-68
894
1,145
-251
19,167
17,732
1,435
575
1,034
-459
752
1,253
-501
748
1,068
-320
1,506
1,361
145
1,062
810
252
1,010
1,380
-370
1,720
1,973
-253
1,477
852
625
4,986
3,914
1,072
937
1,024
-87
2,966
3,241
-275
1,061
1,155
-94
1,849
1,934
-85
1,693
2,139
-446
1,074
1,196
-122
941
1,283
-342
2,602
3,810
-1,208
781
1,093
-312
2,342
3,643
-1,301
746
1,035
-289
1,340
1,387
-47
1,499
1,645
-146
2,068
2,357
-289
1,259
1,576
-317
946
1,001
-55
189
200
-11
2,065
1,422
643
1,209
923
286
2,048
2,829
-781
731
1,049
-318
3,950
5,547
-1,597
662
958
-296
662
547
115
658
468
190
832
1,371
-539
1,868
2,048
-180
940
748
192
940
1,166
-226
1,274
1,613
-339
5,958
4,737
1,221
1,100
1,456
-356
6,229
7,505
-1,276
2,910
2,883
27
4,872
2,890
1,982
692
652
40
1,566
1,187
379
789
1,436
-647
1,144
1,116
28
1,543
1,674
-131
4,738
4,052
686
766
998
-232
2,460
1,639
821
6,987
8,204
-1,217
3,625
3,510
115
816
795
21
952
1,566
-614
1,324
1,090
234
1,552
1,850
-298
517
596
-79
1,342
1,089
253
4,099
3,660
439
1,822
1,635
187
1,540
1,745
-205
4,449
6,265
-1,816
1,703
1,816
-113
2,330
2,780
-450
1,649
1,538
111
921
908
13
2,287
567
1,720
1,115
878
237
2,713
2,696
17
5,218
7,407
-2,189
1,652
1,523
129
5,600
6,112
-512
1,031
959
72
1,064
911
153
2,616
2,547
69
6,252
4,816
1,436
3,728
3,273
455
6,523
5,194
1,329
6
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
320
b
129
c
184
d
567
e
51
3,949
156
872
1,648
17
286
-29
97
315
219
206
139
100
203
467
1,024
191
168
16
-268
204
2,522
102
116
810
206
367
110
394
-41
272
1,114
119
515
278
208
497
243
335
541
760
464
45
485
107
886
183
-134
339
273
1,286
43
730
270
150
-132
889
202
-132
1,776
488
695
252
23
73
-63
20
38
34
160
1,502
45
748
1,067
-7
243
7
436
85
1,629
-1,526
346
153
436
-285
278
335
677
318
130
460
48
-826
1,078
757
1,271
124
247
465
401
3
55
38
-114
785
124
2,103
403
901
-770
-233
208
313
-202
951
673
91
111
393
92
389
980
275
486
213
990
390
1,969
1,278
796
343
273
281
-114
1,215
64
797
664
507
-209
474
340
-77
554
-9
62
686
187
21
4
137
-17
1,056
-143
617
590
-768
259
-206
-244
227
497
-134
-130
1,749
-280
73
-129
1,537
226
-31
155
23
-388
1,289
116
425
85
535
-195
39
284
1,008
-114
-409
-525
121
-144
-2,859
-305
564
1,258
-602
-210
-41
-388
-85
-501
117
-756
-116
42
-68
-251
1,435
-459
-501
-320
145
252
-370
-253
625
1,072
-87
-275
-94
-85
-446
-122
-342
-1,208
-312
-1,301
-289
-47
-146
-289
-317
-55
-11
643
286
-781
-318
-1,597
-296
115
190
-539
-180
192
-226
-339
1,221
-356
-1,276
27
1,982
40
379
-647
28
-131
686
-232
821
-1,217
115
21
-614
234
-298
-79
253
439
187
-205
-1,816
-113
-450
111
13
1,720
237
17
-2,189
129
-512
72
153
69
1,436
455
1,329
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
63,991
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
.
.
.
.
.
.
.
.
.
.
.
.
.
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?
Yes
No
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
2009
2008
2007
2006
2
Total
of line 1, column (d)
......................
2
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
4
Enter the net value of noncharitable-use assets for 2011 from Part X, line 5
.....
4
5
Multiply line 4 by line 3
.......................
5
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7
Add lines 5 and 6
.........................
7
8
Enter qualifying distributions from Part XII, line 4
..............
8
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
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A” on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
1,798
here
and 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
1,798
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
1,798
6
Credits/Payments:
a
2011 estimated tax payments and 2010 overpayment credited to 2011
6a
2,136
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
2,136
8
Enter any
penalty
for underpayment of estimated tax.
Check here
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
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
338
11
Enter the amount of line 10 to be:
Credited to 2012 estimated tax
338
Refunded
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
MD
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 address
14
The books are in care of
BRANCH BANKING & TRUST COMPANY
Telephone no.
(410) 626-6118
Located at
23 WEST STREET
ANNAPOLIS
MD
ZIP+4
214012420
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
......
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
.........................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
.................
Yes
No
(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.)
.........
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
...............
Yes
No
If “Yes,” list the years
20
,
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.
20
,
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?
.....................
Yes
No
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
...............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(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)
...
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
........
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
............
Yes
No
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?
....................
Yes
No
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?
Yes
No
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
BRANCH BANKING & TRUST CO
TRUSTEE
1
22,906
23 WEST STREET
ANNAPOLIS
,
MD
214012420
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
...................
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
.............
0
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
..........................
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
1,621,100
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see page 24 of the instructions)
............
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,621,100
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
1,621,100
4
Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
of the instructions)
...........................
4
24,317
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,596,783
6
Minimum investment return.
Enter 5% of line 5
..................
6
79,839
Part XI
Distributable Amount
(see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
79,839
2a
Tax on investment income for 2011 from Part VI, line 5
......
2a
1,798
b
Income tax for 2011. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,798
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
78,041
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
78,041
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
78,041
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
74,717
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
74,717
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
74,717
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
78,041
2
Undistributed income, if any, as of the end of 2011:
a
Enter amount for 2010 only
.......
74,717
b
Total for prior years:
2009
,
20
,
20
25,939
3
Excess distributions carryover, if any, to 2011:
a
From 2006
.......
0
b
From 2007
.......
0
c
From 2008
.......
0
d
From 2009
.......
0
e
From 2010
.......
0
f
Total
of lines 3a through e
.........
0
4
Qualifying distributions for 2011 from Part
XII, line 4:
$
74,717
a
Applied to 2010, but not more than line 2a
74,717
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
.....
0
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2011.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
...........
25,939
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
......
25,939
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
..........
78,041
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
8
Excess distributions carryover from 2006 not
applied on line 5 or line 7 (see page 27 of the
instructions)
.............
0
9
Excess distributions carryover to 2012.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2007
....
0
b
Excess from 2008
....
0
c
Excess from 2009
....
0
d
Excess from 2010
....
0
e
Excess from 2011
....
0
Form
990-PF
(2011)
Form 990-PF (2011)
Page
9
Part XIV
Private Operating Foundations
(see page 27 of the instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2011, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see page 28 of the instructions) to individuals or organizations
under other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2011)
Form 990-PF (2011)
Page
10
Part XV
Supplementary Information
(continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
UNITED STATES NAVAL ACADEMY
ATTN MRS MONA QUINN
COMPTROLLER DEPT-181 WAINWRIGHT
ANNAPOLIS
,
MD
214025008
NONE
EXEMPT
SCHOLARSHIPS
74,717
Total
.................................
3a
74,717
b
Approved for future payment
Total
.................................
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash investments
14
6,219
4
Dividends and interest from securities
....
14
42,647
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than inventory
18
63,991
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
LITIGATION PROCEED
01
11
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
112,868
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
112,868
(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.
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?
...........
Yes
No
b
If “Yes,” complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
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.
Signature of officer or trustee
Date
Title
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's address
Firm's EIN
Phone no.
Form
990-PF
(2011)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description
-
TIN:
TY 2011 OtherIncreasesSchedule
Name:
CAPTAIN W J DIMITRIJEVIC MEMORIAL TRUST
EIN:
52-6432623
Description
Amount
DIFF IN MUTUAL FDS REC/REPORTED
370
ADJUSTMENT FOR ROUNDING
0