Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2011
For calendar year 2011, or tax year beginning 01-01-2011 , and ending 12-31-2011
G
Check all that apply:
Name of foundation
CHARLES F& ADELINE BARTH
CHARITABLE FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)3023 DAVENPORT ST PO BOX 3275   Room/suite
City or town, state, and ZIP code
SAGINAW, MI48605
A Employer identification number

38-6556893
B Telephone number (see page 10 of the instructions)

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$906,354
J 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 1,743 1,743 1,743
4 Dividends and interest from securities...... 14,387 14,387 14,387
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 65,581
b Gross sales price for all assets on line 6a 503,806
7 Capital gain net income (from Part IV, line 2)... 65,581
8 Net short-term capital gain......... 5,429
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)....... 164 164 164
12 Total. Add lines 1 through 11........ 81,875 81,875 21,723
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 2,400 600 600 1,800
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 10,839 9,243 9,243 1,596
c Other professional fees (attach schedule).... 10,121 10,121 10,121  
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) 8 8 8  
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 1,180 1,180 1,180  
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 24,548 21,152 21,152 3,396
25 Contributions, gifts, grants paid........ 41,030 41,030
26 Total expenses and disbursements. Add lines 24 and 25 65,578 21,152 21,152 44,426
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 16,297
b Net investment income (if negative, enter -0-) 60,723
c Adjusted net income (if negative, enter -0-)... 571
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.......... 73,993 117,851 117,851
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 731,137 Click to see attachment746,966 761,552
c Investments—corporate bonds (attach schedule)........ 69,445 Click to see attachment26,055 26,951
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis 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) 874,575 890,872 906,354
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.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 874,575 890,872
30 Total net assets or fund balances (see page 17 of the
instructions).................... 874,575 890,872
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 874,575 890,872
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)............... 1 874,575
2 Enter amount from Part I, line 27a..................... 2 16,297
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 890,872
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 890,872
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 ARCH CHEMICALS INC P 2011-03-07 2011-05-04
b PETROLEUM DEVELOPMENT P 2011-01-19 2011-08-01
c MARSHALL AND ILSLEY CORP P 2010-02-05 2011-01-10
d ARCH CHEMICALS INC P 2008-06-23 2011-05-08
e CAPITAL SOURCE INC P 2010-06-09 2011-09-22
HANCOCK HOLDINGS P 2006-04-13 2011-08-10
OIL STS INTL INC P 2007-06-25 2011-03-04
SUPERVALUE INC P 2007-01-24 2011-01-31
FREEPRT MCMRAN CPR P 2011-05-23 2011-10-10
FISERV INC P 2009-08-11 2011-01-03
TARGET CORP P 2009-12-07 2011-09-04
OPPENHEIMER COMMODITY P 2009-03-26 2011-01-18
GOLDMAN SACHS SMALL CAP VALUE P 2009-07-13 2011-03-10
COLUMBIA SELECT LARGE CAP P 2011-07-13 2011-10-13
ARRIS GROUP INC P 2011-05-25 2011-09-22
QUICKSILVER RES INC P 2011-04-27 2011-08-26
MEREDITH CORP P 2010-09-01 2011-08-22
AMERIGROUP CORP P 2008-05-22 2011-06-16
CON-WAY INC P 2009-11-30 2011-05-25
HELMERICH PAYNE INC P 2008-09-23 2011-08-03
POLYONE CORP P 2010-05-12 2011-10-18
SWIFT ENERGY CO P 2010-08-20 2011-11-03
LAUDER ESTEE COS P 2011-05-31 2011-08-29
GAP INC P 2008-05-12 2011-05-02
UNITED HEALTH GROUP P 2009-04-06 2011-01-18
OPPENHEIMER COMMODITY P 2010-01-29 2011-01-18
JANUS INVT FUND P 2009-07-13 2011-03-10
EATON VANCE LARGE P 2009-07-13 2011-10-13
BRISTOW GROUP INC P 2011-01-20 2011-07-27
STONE ENERGY CORP P 2011-04-27 2011-07-13
POLYONE CORP P 2010-05-12 2011-02-08
ANN INC SHS P 2009-09-29 2011-11-15
CITY NATIONAL CORP P 2009-06-04 2011-03-29
INSIGHT ENTERPRISES P 2008-02-08 2011-11-04
PLATINUM UNERWRITERS HOLDINGS P 2010-07-09 2011-08-05
TANGER FACTORY OUTLET P 2007-08-21 2011-05-17
ORACLE CORP P 2011-05-02 2011-12-27
HERSHEY COMPANY P 2010-04-05 2011-06-06
VERISIGN INC P 2009-10-12 2011-02-14
OPPENHEMIER DISCOVERY P 2007-06-27 2011-01-18
VANGUARD 500 INDEX FUND P 2009-07-13 2011-03-10
JANUS INVT FUND P 2009-07-13 2011-10-13
BIG LOTS INC P 2011-01-12 2011-11-17
SAKS INC P 2011-01-06 2011-11-17
ROWAN COMPANIES P 2010-02-03 2011-02-03
AMN GREETINGS CORP P 2010-04-28 2011-10-21
COMMERCIAL METALS CO P 2008-11-20 2011-07-29
JONES LANG LASALLE INC P 2009-08-11 2011-01-10
PEPCO HOLDINGS INC P 2009-10-28 2011-06-16
THOMAS & BETTS CP P 2009-08-20 2011-10-21
STARBUCKS CORP P 2011-01-10 2011-09-19
MARATHON OIL CORP P 2009-07-13 2011-01-31
WELLPOINT INC P 2007-07-24 2011-01-31
ROWE T PRICE INTL P 2009-03-26 2011-01-18
WILLIAM BLAIR FUND P 2010-07-13 2011-05-25
WESTCORE SMALL CAP VALUE FUND P 2011-07-13 2011-10-13
CHILDRENS PL RETL STRS P 2011-07-14 2011-12-05
SUNSTONE HOTEL INVS INC P 2011-06-30 2011-08-25
SUNSTONE HOTEL INVS INC P 2010-11-16 2011-08-25
ARROW ELECTRONICS P 2008-08-22 2011-12-02
DANA HLDG CORP P 2009-12-16 2011-07-27
KINETIC CONCEPTS INC P 2010-03-11 2011-07-13
PAR PHARMACEUTICAL COS INC P 2010-05-18 2011-11-04
TEREX CORP P 2008-11-20 2011-03-24
ABBOTT LABS P 2010-09-27 2011-02-07
MARATHON PETROLEUM CORP P 2009-07-13 2011-07-15
AIM SECTORS FUNDS P 2009-03-26 2011-01-18
ISHARES TR P 2011-01-18 2011-04-29
COLUMBIA ACORN USA FUND P 2010-07-13 2011-05-25
ISHARES MSCI P 2009-07-13 2011-10-17
FRONTIER OIL CORP P 2011-01-26 2011-03-04
SEAGATE TECH PLC P 2011-10-21 2011-12-16
SIGNET JEWELERS LTD P 2010-09-29 2011-01-06
ASSOCIATED BANC CRP .01 P 2009-08-04 2011-03-29
FIRST NIAGARA FINL GROUP P 2008-04-01 2011-09-22
KELLY SVCS INC P 2008-02-12 2011-05-25
PORTLAND GEN ELEC P 2008-09-17 2011-10-06
TYSON FOODS INC P 2008-04-16 2011-11-18
FISERV INC P 2010-03-15 2011-01-03
MICROSOFT CORP P 2008-02-19 2011-01-03
AIM SECTORS FUNDS P 2010-12-14 2011-01-18
TOUCHSTONE STRATEGIC P 2006-10-13 2011-04-29
COLUMBIA MID CAP VALUE FUND P 2010-07-13 2011-05-25
EATON VANCE LARGE P 2009-07-13 2011-10-24
GAMESTOP CORP NEW P 2011-05-19 2011-09-22
TESORO CORP P 2011-02-15 2011-11-17
SOUTHERN UNION CO P 2010-06-30 2011-06-24
BRE PPTYS INC P 2010-08-04 2011-08-19
FOREST OIL CORP P 2009-08-28 2011-12-16
LIFEPOINT HOSPS INC P 2007-12-07 2011-08-05
ROCKWOOD HOLDINGS P 2008-10-29 2011-02-08
UMPQUA HLDGS CORP P 2010-02-05 2011-07-26
INTL PAPER CO P 2010-02-16 2011-01-31
MICRON TECHNOLOGY P 2010-05-03 2011-10-10
ADVISORS SER TR P 2009-03-26 2011-01-18
TOUCHSTONE STRATEGIC P 2011-01-18 2011-04-30
EATON VANCE LARGE P 2009-07-13 2011-05-25
HELIX ENERGY SOLUTIONS P 2011-02-08 2011-07-08
TAKE TWO INTER SOFTWARE P 2011-02-03 2011-10-31
SUPERVALUE INC P 2010-10-29 2011-01-31
BUNGE LIMITED P 2008-11-10 2011-10-05
FOOT LOCKER INC P 2008-12-17 2011-10-31
LONE PINE RES INC P 2009-09-23 2011-12-06
REINSURANCE GROUP P 2008-10-28 2011-01-24
UNISOURCE ENERGY CORP P 2010-11-09 2011-12-27
NEWS CORP P 2010-06-28 2011-02-08
NATIONAL-OILWELL VARCO P 2009-11-09 2011-10-10
ARTISAN FDS INC P 2006-10-13 2011-01-18
ARTISAN FDS INC P 2006-10-13 2011-09-14
FEDERATED STRATEGIC VALUE FUND P 2010-07-13 2011-05-25
KINETIC CONCEPTS INC P 2011-07-01 2011-07-13
UMPQUA HLDGS CORP P 2011-03-29 2011-07-27
TEEKAY CORP P 2010-05-18 2011-04-26
BRIGGS & STRATTON P 2007-11-13 2011-07-29
FIDELITY NATIONAL P 2007-07-31 2011-05-03
MF GLOBAL HOLDINGS P 2010-06-03 2011-10-25
ROWAN COMPANIES P 2009-08-11 2011-02-03
WASHIGNTON FEDL INC P 2008-07-31 2011-08-29
NETAPP INC P 2010-07-06 2011-01-10
NABORS INDUSTRIES LTD P 2009-11-16 2011-06-06
EATON VANCE SPECIAL P 2008-09-19 2011-01-18
ROWE T PRICE EQUITY P 2009-03-31 2011-09-14
JANUS INVT FUND P 2009-07-13 2011-05-25
MF GLOBAL HLDGS LTD P 2011-02-18 2011-10-25
AMERIGROUP CORP P 2010-09-03 2011-06-16
TEREX CORP P 2010-09-03 2011-03-24
CAMDEN PPTY TR COM P 2010-05-12 2011-09-28
FEDERAL MOGUL CORP P 2009-08-03 2011-03-29
MASCO CORP P 2009-05-12 2011-05-06
STEEL DYNAMICS INC P 2009-10-28 2011-08-11
WESCO INTERNATIONAL INC P 2009-07-08 2011-11-04
PIONEER NATURAL RES P 2010-05-24 2011-05-16
PHILIP MORRIS INTL INC P 2010-10-25 2011-11-28
EATON VANCE SPECIAL P 2010-03-10 2011-01-18
ROWE T PRICE EQUITY P 2010-09-30 2011-09-14
WESTCORE SMALL CAP VALUE FUND P 2010-07-13 2011-05-25
MUELLER INDUSTRIES INC P 2011-07-13 2011-08-23
AMTR FINL SRVS P 2010-12-09 2011-11-18
TRININTY INDUS INC P 2010-09-07 2011-04-19
CBL & ASSOC PPTYS P 2009-11-10 2011-04-26
GENERAL CABLE CORP P 2009-12-15 2011-05-02
MEREDITH CORP P 2010-07-29 2011-08-22
SUNSTONE HOTEL INVS INC P 2008-08-22 2011-08-22
WYNDHAM WORLDWIDE CORP P 2009-10-02 2011-06-16
SANDISK CORP P 2010-05-03 2011-04-11
ROSS STORES INC P 2009-12-29 2011-06-15
FIRST AMERICAN INVEST FDS P 2009-03-26 2011-01-18
ROWE T PRICE INTL FDS P 2009-03-26 2011-09-16
ISHARES MSCI P 2009-07-13 2011-05-27
O M GROUP INC P 2011-04-21 2011-10-14
ATMOS ENERGY CORP P 2010-12-01 2011-05-17
UNISOURCE ENERGY CORP P 2010-11-09 2011-10-17
CYTEC INDUSTRIES INC P 2009-01-16 2011-05-13
HEALTH NET INC P 2010-10-29 2011-11-18
MUELLER INDUSTRIES INC P 2005-09-12 2011-08-17
SIGNET JEWELERS LTD P 2009-06-22 2011-01-06
WEBSTER FINL P 2006-01-17 2011-03-29
CA INC P 2007-08-23 2011-05-02
ROWAN COMPANIES P 2010-01-04 2011-02-07
HARBOR FUND P 2006-10-13 2011-01-18
ROWE T PRICE INTL FDS P 2010-12-20 2011-09-16
ISHARES RUSSELL 1000 GROWTH P 2009-07-13 2011-05-27
PARTNERRE LTD P 2011-04-28 2011-09-28
FOREST CITY ENTERPRISES P 2010-10-19 2011-08-29
ANIXTER INTL P 2008-11-20 2011-04-21
CMS ENERGY CORP P 2009-06-11 2011-11-18
HUNTSMANN CORP P 2009-11-20 2011-04-25
NCR CORP P 2009-03-19 2011-09-22
SMITH A O CORP P 2009-04-27 2011-01-04
CENTURYLINK INC P 2011-02-07 2011-05-02
CISCO SYSTEMS INC P 2009-05-18 2011-09-06
SANDISK CORP P 2010-05-03 2011-08-01
IVY FUNDS INC CAPITAL P 2010-01-29 2011-01-18
ISHARES TR P 2011-01-18 2011-11-21
WILLIAM BLAIR INTL SMALL CAP P 2011-07-13 2011-10-13
PNM RESOURCES INC P 2011-05-13 2011-10-06
HERTZ GLOBAL HOLDINGS P 2010-03-24 2011-01-06
ALASKA AIR GROUP INC P 2008-05-22 2011-12-06
CONVERGYS CORP P 2008-08-21 2011-08-03
HELIX ENERGY SOLUTIONS P 2009-08-05 2011-07-07
NISOURCE P 2009-04-27 2011-08-01
SMITHFILDS FOODS PV P 2007-07-19 2011-07-13
CLIFFS NATURAL RESOURCES P 2011-02-28 2011-09-06
DIRECTV GROUP HOLDINGS P 2010-07-12 2011-11-07
TJX COS INC P 2009-05-26 2011-06-01
MUNDER SER TR MID CAP P 2006-10-13 2011-01-18
FEDL HOME LOAN MTG CORP P 2005-06-23 2011-03-15
COLUMBIA ACORN USA FUND P 2009-07-13 2011-10-13
PAR PHARMACEUTICAL COS INC P 2011-02-03 2011-11-04
INTRPUBLIC FRP OF CO P 2010-04-23 2011-03-24
AMDOCS LIMITED P 2009-09-18 2011-08-23
CB RICHARD ELLIS P 2009-11-11 2011-02-10
HERTZ GLOBAL HOLDINGS P 2008-09-24 2011-01-06
NV ENERGY INC P 2010-06-11 2011-09-22
SOUTHERN UNION CO P 2010-06-09 2011-06-24
EXPRESS SCRIPTS INC P 2011-04-11 2011-05-09
EXXON MOBIL CORP P 2009-11-09 2011-02-07
TELLABS INC P 2010-06-07 2011-09-06
MUNDER SER TR MID CAP P 2010-12-30 2011-01-18
COLUMBIA MID CAP VALUE FUND P 2010-07-13 2011-03-10
COLUMBIA MID CAP VALUE FUND P 2009-07-13 2011-10-13
(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 622   808 -186
b 1,265   1,433 -168
c 1,174   1,125 49
d 1,398   1,053 345
e 477   322 155
554   1,635 -1,081
1,444   629 815
379   879 -500
962   1,276 -314
298   239 59
1,285   1,196 89
7,440   5,848 1,592
7,426   6,403 1,023
7,825   8,355 -530
203   215 -12
905   1,521 -616
614   681 -67
1,314   528 786
953   735 218
1,962   1,147 815
239   246 -7
1,385   1,179 206
2,522   2,680 -158
1,012   803 209
611   326 285
2,519   2,183 336
3,125   1,890 1,235
9,175   7,851 1,324
296   281 15
589   637 -48
439   358 81
1,514   910 604
1,009   675 334
810   694 116
346   415 -69
1,472   980 492
904   1,269 -365
652   519 133
1,366   865 501
188   168 20
71,300   61,684 9,616
1,075   573 502
1,854   1,539 315
578   696 -118
361   230 131
1,351   1,837 -486
532   371 161
871   425 446
1,715   1,354 361
1,148   594 554
1,356   1,172 184
635   399 236
746   971 -225
683   331 352
1,775   1,726 49
675   742 -67
216   186 30
103   183 -80
438   840 -402
225   205 20
1,264   678 586
2,492   1,798 694
1,243   1,189 54
1,495   463 1,032
1,140   1,304 -164
1,020   622 398
4,430   2,392 2,038
9,665   8,946 719
975   752 223
3,886   5,055 -1,169
2,051   1,412 639
826   835 -9
168   128 40
308   218 90
355   501 -146
934   702 232
205   222 -17
195   179 16
1,012   860 152
785   799 -14
151   145 6
29,288   23,538 5,750
1,000   802 198
18,551   15,416 3,135
272   319 -47
1,266   1,176 90
1,183   671 512
693   632 61
723   685 38
642   537 105
1,636   450 1,186
741   727 14
1,519   1,223 296
585   1,108 -523
20,097   15,408 4,689
1,671   1,618 53
3,600   2,933 667
255   189 66
1,386   1,404 -18
201   294 -93
1,027   929 98
2,472   1,336 1,136
258   262 -4
524   329 195
1,273   1,232 41
637   482 155
735   546 189
42   41 1
8,433   8,679 -246
3,600   3,403 197
204   174 30
339   320 19
792   584 208
1,149   1,164 -15
643   800 -157
211   783 -572
1,016   616 400
434   541 -107
1,557   1,052 505
1,036   882 154
15,085   15,653 -568
19,835   23,639 -3,804
1,000   478 522
191   807 -616
566   340 226
405   225 180
690   613 77
1,885   991 894
607   452 155
255   289 -34
1,138   522 616
1,543   999 544
582   476 106
235   209 26
11,058   12,363 -1,305
325   324 1
281   320 -39
454   314 140
1,864   1,119 745
1,097   544 553
978   653 325
358   477 -119
689   988 -299
2,015   992 1,023
977   908 69
1,890   1,039 851
1,715   781 934
6,367   3,563 2,804
4,455   5,055 -600
770   1,011 -241
440   398 42
74   73 1
1,177   460 717
397   375 22
2,704   1,814 890
884   396 488
293   628 -335
709   723 -14
1,598   1,006 592
10,887   9,872 1,015
89   100 -11
7,552   6,625 927
1,090   1,601 -511
776   854 -78
657   205 452
227   133 94
752   334 418
473   261 212
834   438 396
2,413   2,613 -200
604   744 -140
1,312   1,292 20
25,651   21,177 4,474
8,466   9,297 -831
1,475   1,631 -156
363   349 14
437   293 144
1,128   267 861
140   159 -19
1,717   1,153 564
743   436 307
623   831 -208
1,141   1,446 -305
1,372   1,079 293
2,939   1,660 1,279
19,196   16,100 3,096
2,713   2,573 140
550   481 69
304   400 -96
1,900   1,349 551
725   693 32
1,482   702 780
990   525 465
195   169 26
1,380   774 606
2,069   1,963 106
1,875   1,385 490
666   1,215 -549
6   6  
3,700   2,981 719
575   542 33
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       -186
b       -168
c       49
d       345
e       155
      -1,081
      815
      -500
      -314
      59
      89
      1,592
      1,023
      -530
      -12
      -616
      -67
      786
      218
      815
      -7
      206
      -158
      209
      285
      336
      1,235
      1,324
      15
      -48
      81
      604
      334
      116
      -69
      492
      -365
      133
      501
      20
      9,616
      502
      315
      -118
      131
      -486
      161
      446
      361
      554
      184
      236
      -225
      352
      49
      -67
      30
      -80
      -402
      20
      586
      694
      54
      1,032
      -164
      398
      2,038
      719
      223
      -1,169
      639
      -9
      40
      90
      -146
      232
      -17
      16
      152
      -14
      6
      5,750
      198
      3,135
      -47
      90
      512
      61
      38
      105
      1,186
      14
      296
      -523
      4,689
      53
      667
      66
      -18
      -93
      98
      1,136
      -4
      195
      41
      155
      189
      1
      -246
      197
      30
      19
      208
      -15
      -157
      -572
      400
      -107
      505
      154
      -568
      -3,804
      522
      -616
      226
      180
      77
      894
      155
      -34
      616
      544
      106
      26
      -1,305
      1
      -39
      140
      745
      553
      325
      -119
      -299
      1,023
      69
      851
      934
      2,804
      -600
      -241
      42
      1
      717
      22
      890
      488
      -335
      -14
      592
      1,015
      -11
      927
      -511
      -78
      452
      94
      418
      212
      396
      -200
      -140
      20
      4,474
      -831
      -156
      14
      144
      861
      -19
      564
      307
      -208
      -305
      293
      1,279
      3,096
      140
      69
      -96
      551
      32
      780
      465
      26
      606
      106
      490
      -549
       
      719
      33
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 65,581
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 5,429
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 40,934 903,926 0.045285
2009 27,772 814,710 0.034088
2008 54,123 985,133 0.054940
2007 41,680 1,146,977 0.036339
2006 47,415 1,117,573 0.042427
2 Total of line 1, column (d) ...................... 2 0.213079
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 0.042616
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 958,096
5 Multiply line 4 by line 3....................... 5 40,830
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 607
7 Add lines 5 and 6......................... 7 41,437
8 Enter qualifying distributions from Part XII, line 4.............. 8 44,426
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 1 607
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 607
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 607
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 318
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 318
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 289
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet0 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
     
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletMI
    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 addressbulletNONE
    14
    The books are in care ofbulletDAVID A BEYERLEIN Telephone no.bullet (989) 793-9830
    Located atbullet3023 DAVENPORTSAGINAWMI ZIP+4bullet48602
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
     
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2011?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2011.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2011?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    JANE BARTHClick to see attachment PRESIDENT
    1.00
    1,200 0 0
    180 E 9TH
    COLLEGEVILLE,PA19426
    JUDY WELDYClick to see attachment TRUSTEE
    0.10
    600 0 0
    1185 GLENDALE
    SAGINAW,MI48603
    DAVID BEYERLEINClick to see attachment TREASURER
    0.50
    0 0 0
    4388 BROOKSTONE
    SAGINAW,MI48603
    RICHARD STRINGERClick to see attachment TRUSTEE
    0.10
    600 0 0
    104 CANTERBURY CT
    SAGINAW,MI48638
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    856,186
    b
    Average of monthly cash balances.......................
    1b
    116,500
    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
    972,686
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    972,686
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    14,590
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    958,096
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    47,905
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    47,905
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    607
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    607
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    47,298
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    47,298
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    47,298
    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
    44,426
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    44,426
    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
    607
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    43,819
    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 47,298
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006.......  
    b From 2007.......  
    c From 2008....... 4,973
    d From 2009.......  
    e From 2010.......  
    fTotal of lines 3a through e......... 4,973
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 44,426
    a Applied to 2010, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
     
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
     
    d Applied to 2011 distributable amount..... 44,426
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2011. 2,872 2,872
    (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 2,101
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
     
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
     
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    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) ...........
     
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
     
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......
    2,101
    10 Analysis of line 9:
    a Excess from 2007....  
    b Excess from 2008.... 2,101
    c Excess from 2009....  
    d Excess from 2010....  
    e Excess from 2011....  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2011, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2011 (b) 2010 (c) 2009 (d) 2008
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    DAVID A BEYERLEIN
    3023 DAVENPORT
    PO BOX 3275
    SAGINAW,MI48605
    (989) 793-9830
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER FORM - NO FORMAL REQUIREMENTS
    cAny submission deadlines:
    ONGOING
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    EAST SIDE SOUP KITCHEN
    940 EAST GENESEE AVE
    SAGINAW,MI48607
    NONE NON-PROFIT PROVIDE MEALS FOR INDIGENT 1,000
    EMMAUS HOUSE
    733 S 14 ST
    SAGINAW,MI48601
    NONE NON-PROFIT TRANSITION HOME FOR WOMEN 5,000
    HABITAT FOR HUMANITY
    315 W HOLLAND AVE
    SAGINAW,MI48602
    NONE NON-PROFIT BUILD HOMES FOR INDIGENT 2,500
    HOSPITAL HOSPITALITY HOUSE SAGINAW
    1701 N MICHIGAN AVE
    SAGINAW,MI48602
    NONE NON-PROFIT OVERNIGHT HOUSING FOR MED PATIENTS 1,000
    JAPANESE CULTURAL CENTER
    527 EZRA RUST DR
    SAGINAW,MI48601
    NONE NON-PROFIT CULTURAL ARTS 1,000
    OLD TOWN SOUP KITCHEN
    600 GRATIOT AVE
    SAGINAW,MI48602
    NONE NON-PROFIT PROVIDE MEALS FOR INDIGENT 6,500
    PIT & BALCONY
    805 N HAMILTON ST
    SAGINAW,MI48602
    NONE NON-PROFIT ENTERTAINMENT & EDUCATION LITERATURE 1,000
    READ ASSOCIATION
    100 S JEFFERSON STE 401
    SAGINAW,MI48607
    NONE NON-PROFIT EDUCATE CHILDREN 2,530
    SAGIANW VALLEY CONCERT A
    875 WAUKEE LN
    SAGINAW,MI48604
    NONE NON-PROFIT NATIONAL AND INTERNATIONAL ARTISTS 1,000
    SAGINAW ART MUSEUM
    1126 N MICHIGAN AVE
    SAGINAW,MI48602
    NONE NON-PROFIT EDUCATION AND PRESERVATION OF ART 1,000
    SAGINAW BAY SYMPHONY
    201 N WASHINGTON AVE
    SAGINAW,MI48607
    NONE NON-PROFIT ANNUAL CONCERT SERIES 1,000
    SAGINAW CHILDREN'S ZOO
    1730 S WASHINGTON AVE
    SAGINAW,MI48601
    NONE NON-PROFIT CELEBRATE NATURE, WILDLIFE, DISCOVER 500
    SAGINAW CHORAL SOCIETY
    326 S JEFFERSON AVE
    SAGINAW,MI48607
    NONE NON-PROFIT ENTERTAINMENT GROUPS 1,000
    SAGINAW RESCUE MISSION
    1021 BURT ST
    SAGINAW,MI48607
    NONE NON-PROFIT EMERGENCY ASSISTANCE PEOPLE IN NEED 1,000
    SAGINAW ZOOLOGICAL SOCIET
    1730 S WASHINGTON
    SAGINAW,MI48601
    NONE NON-PROFIT ANIMAL FEEDING AND CARE 1,000
    SAID
    1000 TUSCOLA ST
    SAGINAW,MI48607
    NONE NON-PROFIT ENHANCED DISABLED QUALITY OF LIFE 1,000
    UNDERGROUND RAILROAD
    1230 S WASHINGTON AVE
    SAGINAW,MI48601
    NONE NON-PROFIT SUPPORT VICTIM OF VIOLENCE & ASSAULT 10,000
    UNITED WAY OF SAGINAW
    100 S JEFFERSON AVE FL 3
    SAGINAW,MI48607
    NONE NON-PROFIT PROMOTE VOLUNTEERISM 1,000
    YMCA
    1915 FORDNEY ST
    SAGINAW,MI48601
    NONE NON-PROFIT ENHANCED OPPORTUNITIES FOR CHILDREN 1,000
    YMCA
    1915 FORDNEY ST
    SAGINAW,MI48601
    NONE NON-PROFIT ENRICHMENT & DEVELOPMENT OF KIDS 1,000
    Total .................................bullet 3a 41,030
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 1,743  
    4 Dividends and interest from securities....     14 14,387  
    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.....     14 164  
    8Gain or (loss) from sales of assets other than inventory     18 65,581  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   81,875  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1381,875
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 AccountingFeesSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATIVE FEES 6,383 4,787 4,787 1,596
    ACCOUNTING 4,456 4,456 4,456  

    TY 2011 CompensationExplanation
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Person Name Explanation
    JANE BARTH  
    JUDY WELDY  
    DAVID BEYERLEIN  
    RICHARD STRINGER  

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Name of Bond End of Year Book Value End of Year Fair Market Value
    JANNEY MONTGOMERY SCOTT FIXED INCOME 26,055 26,951

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ML 696-02019 140,221 137,629
    ML 696-02020 102,626 118,707
    BANK OF AMERICA 184,468 183,122
    JMS 2537-5845 195,651 197,538
    JMS 7355-8282 124,000 124,556

    TY 2011 OtherExpensesSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    INSURANCE 860 860 860  
    MICHIGAN ANNUAL REPORT 20 20 20  
    COUNCIL OF MI FOUNDATIONS 280 280 280  
    OFFICE EXPENSE 20 20 20  


    TY 2011 OtherIncomeSchedule2
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    UNRECAP. SEC 1250 GAINS 14 14 14
    NONDIVIDEND DISTRIBUTION 150 150 150


    TY 2011 OtherProfessionalFeesSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 10,121 10,121 10,121  


    TY 2011 TaxesSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 8 8 8