Form990-PF

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

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 50654   Room/suite
City or town, state, and ZIP code
HENDERSON, NV890160654
A Employer identification number

86-0872049
B Telephone number (see page 10 of the instructions)

(702) 270-2341
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$1,806,797
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 4,773 4,773  
4 Dividends and interest from securities...... 10,564 10,530  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 23,149
b Gross sales price for all assets on line 6a 270,878
7 Capital gain net income (from Part IV, line 2)... 23,149
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 38,486 38,452  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 450 450    
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 7,546 7,546    
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) 1,401 1,401    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 9,397 9,397   0
25 Contributions, gifts, grants paid........ 5,000 5,000
26 Total expenses and disbursements. Add lines 24 and 25 14,397 9,397   5,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 24,089
b Net investment income (if negative, enter -0-) 29,055
c Adjusted net income (if negative, enter -0-)...  
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 16,681 18,212 18,212
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)........ 433,362 Click to see attachment412,512 460,389
c Investments—corporate bonds (attach schedule)........ 64,188 Click to see attachment104,994 110,029
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) Click to see attachment1,213,489 Click to see attachment1,217,116 Click to see attachment1,218,167
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,727,720 1,752,834 1,806,797
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.................... 1,727,720 1,752,834
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 1,727,720 1,752,834
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,727,720 1,752,834
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 1,727,720
2 Enter amount from Part I, line 27a..................... 2 24,089
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 1,025
4 Add lines 1, 2, and 3.......................... 4 1,752,834
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 1,752,834
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 ADVISORS SER TR PIA BBB P 2007-02-21 2011-02-07
b ADVISORS SER TR PIA BBB P 2008-02-21 2011-08-17
c AARONS INC P 2010-09-28 2011-08-17
d ASAHI KAISEI CORP ADR P 2006-11-01 2011-10-12
e BANCO SANTANDER CENT F P 2009-03-16 2011-09-07
CMS ENERGY CORP P 2009-06-01 2011-02-07
CHURCH & DWIGHT INC P 2010-09-28 2011-09-23
CENTRAL JAPAN RAILWAYADR P 2009-03-16 2011-05-06
CONSTELLATION BRANDS -A P 2010-10-25 2011-06-21
DRIL-QUIP INC P 2010-09-28 2011-02-25
FOMENTO ECONOMICO MEX SA P 2010-03-16 2011-08-24
GOOGLE INC CL A P 2009-02-09 2011-02-07
INTEL CORP P 2009-03-02 2011-05-09
LKQ CORP P 2010-09-28 2011-02-25
MARATHON PETROLEUM CORP P 2009-01-20 2011-07-01
MICROSOFT CORP P 2008-02-28 2011-02-07
MTN GROUP LTD-SPONS ADR P 2010-08-27 2011-02-25
PARKER HANNIFIN CORP P 2010-06-01 2011-08-22
RAYTHEON COMPANY P 2009-01-20 2011-02-07
SANOFI ADR P 2011-09-09 2011-12-22
STATOIL ASA P 2008-04-29 2011-03-30
TARGET CORP P 2011-01-11 2011-08-08
ULTA SALON COSMTCS & FRG P 2010-09-28 2011-08-11
WAL-MART STORES INC P 2009-03-12 2011-02-28
FHLMC 4.875% 11/15/13 P 2011-08-11 2011-12-06
UST NOTES 4.625%08/31/11 P 2010-08-04 2011-03-23
ADVISORS SER TR PIA BBB P 2007-02-21 2011-08-17
ADVISORS SER TR PIA BBB P 2008-03-04 2011-08-17
AARONS INC P 2010-09-29 2011-08-17
ASTRAZENECA PLC SPON ADR P 2009-11-10 2011-02-25
BANCO SANTANDER CENT F P 2011-02-25 2011-09-07
CAPITAL ONE FINL CORP P 2010-04-05 2011-02-07
CISCO SYS INC P 2008-02-08 2011-02-07
CHUO MITSUI TR HOLDINGS P 2011-03-16 2011-04-01
CONSTELLATION BRANDS -A P 2010-12-02 2011-06-21
EATON CORP P 2010-02-03 2011-06-06
FOMENTO ECONOMICO MEX SA P 2010-03-16 2011-12-21
GRACO INCORPORATED COM P 2010-09-28 2011-02-25
INTL PAPER CO P 2009-08-31 2011-01-18
LKQ CORP P 2010-09-28 2011-11-15
MARATHON PETROLEUM CORP P 2009-03-12 2011-07-01
MICROSOFT CORP P 2008-02-28 2011-12-12
NABORS INDUSTRIES LTD P 2009-11-25 2011-02-07
PEPSICO INCORPORATED P 2009-01-20 2011-01-24
REXAM PLC-SPONSORED ADR P 2006-11-03 2011-02-25
SARA LEE CORP P 2010-06-21 2011-02-07
STATOIL ASA P 2009-03-16 2011-03-30
TELEFONICA SA P 2008-07-09 2011-02-25
UMPQUA HLDGS CORP P 2010-09-28 2011-02-25
WELLS FARGO COMPANY P 2009-05-18 2011-02-07
GENERAL 5.875% 01/14/38 P 2008-05-21 2011-02-07
UST NOTES 4.625%08/31/11 P 2011-03-03 2011-03-23
ADVISORS SER TR PIA BBB P 2007-03-02 2011-08-17
ADVISORS SER TR PIA BBB P 2008-04-02 2011-08-17
ACUITY BRANDS INC P 2010-09-28 2011-02-25
ASTRAZENECA PLC SPON ADR P 2009-11-10 2011-03-16
BANCO BILBAO VIZCAYA ADR P 2010-09-17 2011-09-14
CARDINAL HEALTH INC P 2009-12-29 2011-10-03
CISCO SYS INC P 2008-02-08 2011-09-06
COMCAST CORP NEW CL A P 2010-06-28 2011-02-07
COPART INC P 2010-09-28 2011-02-25
EATON CORP P 2010-02-05 2011-06-06
FOREST CITY ENTERPRISE P 2010-09-28 2011-02-25
GREENHILL & CO INC P 2010-09-28 2011-07-18
INTL PAPER CO P 2009-08-31 2011-02-07
LAFARGE COPPEE P 2006-11-03 2011-02-25
MARATHON PETROLEUM CORP P 2009-07-06 2011-07-01
MICROSOFT CORP P 2009-03-12 2011-12-12
NAT AUS BK LTD SPADR NEW P 2009-02-03 2011-02-25
PEPSICO INCORPORATED P 2009-03-12 2011-01-24
ROFIN-SINAR TECHNOLOGIES P 2010-09-28 2011-02-25
SARA LEE CORP P 2010-06-21 2011-12-05
STATOIL ASA P 2009-04-27 2011-03-30
TELEFONICA SA P 2008-07-09 2011-03-04
UNITEDHEALTH GROUP P 2009-03-02 2011-05-09
WESTERN UNION CO P 2010-11-01 2011-02-07
GOLDMAN 6.15% 04/01/18 P 2008-04-08 2011-06-20
ADVISORS SER TR PIA BBB P 2007-04-03 2011-08-17
ADVISORS SER TR PIA BBB P 2008-04-30 2011-08-17
AFFILIATED MANAGERS P 2010-09-28 2011-01-20
AXA-ADR P 2009-03-16 2011-02-25
BANK OF CHINA-UNSPON ADR P 2010-10-25 2011-02-25
CARLISLE COMPANIES INC P 2010-09-28 2011-02-25
CISCO SYS INC P 2009-03-12 2011-09-06
COMCAST CORP NEW CL A P 2010-06-28 2011-05-09
CREDIT SUISSE GROUP F P 2010-06-01 2011-02-25
REED ELSEVIER NV SPN ADR P 2006-11-03 2011-02-25
FOREST CITY ENTERPRISE P 2010-09-28 2011-06-15
GREENHILL & CO INC P 2011-03-15 2011-07-18
JACOBS ENGINEERNG GROUP P 2010-09-28 2011-02-25
LAFARGE COPPEE P 2007-07-20 2011-08-01
MARATHON PETROLEUM CORP P 2009-01-20 2011-07-06
MITSUBISHI CORP ADR P 2006-11-01 2011-02-25
NETEASE.COM INC P 2009-12-01 2011-02-25
PETROLEO BRASILEIRO - SA P 2011-02-04 2011-02-25
ROFIN-SINAR TECHNOLOGIES P 2010-09-28 2011-08-11
SARA LEE CORP P 2010-06-22 2011-12-05
STERICYCLE INC P 2010-09-28 2011-02-04
TELEFONICA SA P 2008-07-09 2011-03-09
VALMONT INDS INC P 2010-09-28 2011-02-25
WILLIAMS COMPANIES INC P 2010-07-12 2011-02-07
GOLDMAN 6.15% 04/01/18 P 2008-11-18 2011-06-20
ADVISORS SER TR PIA BBB P 2007-05-02 2011-08-17
ADVISORS SER TR PIA BBB P 2008-05-30 2011-08-17
AFFILIATED MANAGERS P 2010-09-28 2011-02-25
AXA-ADR P 2009-03-16 2011-09-13
BANK OF CHINA-UNSPON ADR P 2010-10-25 2011-11-23
CARMAX INC P 2010-09-28 2011-02-25
CITIGROUP INC P 2010-06-28 2011-02-07
COMPANHIA PARANAENSE DE P 2009-04-27 2011-02-25
DBS GROUP HOLDINGS F P 2006-11-03 2011-02-25
ENI S P A P 2005-02-02 2011-02-02
FUJI HEAVY INDS LTD ADR P 2011-03-16 2011-09-15
HCC INS HLDGS INC P 2010-09-28 2011-02-25
JOHN WILEY & SONS INC CL P 2010-09-28 2011-02-25
LAFARGE COPPEE P 2009-03-16 2011-08-01
MARATHON PETROLEUM CORP P 2009-03-12 2011-07-06
MORNINGSTAR INC P 2010-09-29 2011-02-25
NETEASE.COM INC P 2009-12-01 2011-07-27
POPSTNL N V SPON ADR P 2005-12-07 2011-06-02
ROLLS ROYCE GROUP S A P 2008-08-04 2011-02-25
ROYAL DUTCH SHELL ADR B P 2010-05-14 2011-02-25
TJX COS INC NEW P 2009-12-14 2011-02-07
TELEFONICA SA P 2009-04-27 2011-03-09
VALMONT INDS INC P 2010-09-28 2011-08-12
WILLIAMS COMPANIES INC P 2010-07-12 2011-07-11
GOLDMAN 6.15% 04/01/18 P 2011-03-03 2011-06-20
ADVISORS SER TR PIA BBB P 2007-06-04 2011-08-17
ADVISORS SER TR PIA BBB P 2008-06-30 2011-08-17
AFFILIATED MANAGERS P 2010-09-28 2011-04-15
AXA-ADR P 2010-10-07 2011-09-13
BANK OF CHINA-UNSPON ADR P 2011-05-05 2011-11-23
CENTURYLINK INC P 2009-01-20 2011-04-01
CITIGROUP INC NEW P 2011-05-06 2011-05-06
COMPANHIA PARANAENSE DE P 2009-04-27 2011-03-14
DBS GROUP HOLDINGS F P 2009-03-16 2011-05-05
ENI S P A P 2009-03-16 2011-02-02
FUJI HEAVY INDS LTD ADR P 2011-03-18 2011-09-15
HANNOVER RUEC ADR P 2006-11-03 2011-02-25
JOHN WILEY & SONS INC CL P 2010-09-29 2011-02-25
LAFARGE COPPEE P 2009-04-27 2011-08-01
MARATHON PETROLEUM CORP P 2009-07-06 2011-07-06
MORNINGSTAR INC P 2010-09-30 2011-02-25
NETEASE.COM INC P 2010-04-14 2011-07-27
POPSTNL N V SPON ADR P 2006-09-21 2011-06-02
ROLLS ROYCE HOLDING PLC P 2008-08-04 2011-12-21
SECOM LTD ADR P 2009-10-06 2011-02-25
TJX COS INC NEW P 2009-12-14 2011-02-28
TELENOR ASA-ADS P 2007-07-17 2011-02-25
VARIAN MEDICAL SYSTEMS P 2009-03-03 2011-02-25
WILLIAMS COMPANIES INC P 2010-08-16 2011-07-11
UST BD 5.375% 02/15/2031 P 2007-08-21 2011-02-03
ADVISORS SER TR PIA BBB P 2007-07-03 2011-08-17
ADVISORS SER TR PIA BBB P 2008-07-31 2011-08-17
ALLIANZ SE-ADR P 2006-11-01 2011-02-25
BASF SE SPONSORED ADR P 2006-11-01 2011-02-25
BIG LOTS INC P 2010-01-04 2011-01-03
CENTURYLINK INC P 2009-03-12 2011-04-01
CITIGROUP INC NEW P 2010-06-28 2011-07-05
COMPANHIA PARANAENSE DE P 2009-04-27 2011-08-30
DELL INC P 2011-02-07 2011-02-07
FACTSET RESERACH SYS INC P 2010-09-28 2011-02-25
FUJITSU LTD ADR NEW P 2010-03-31 2011-02-25
HENRY SCHEIN INC P 2010-09-28 2011-02-25
BAE SYSTEMS PLACE P 2009-05-21 2011-02-25
LAFARGE COPPEE P 2009-04-27 2011-08-02
MARKEL CORP P 2010-09-28 2011-02-25
MORNINGSTAR INC P 2010-09-30 2011-08-25
NEWS CORP INC-CL A P 2010-07-12 2011-02-07
POPSTNL N V SPON ADR P 2009-03-16 2011-06-02
ROSS STORES INC P 2010-01-25 2011-03-21
SECOM LTD ADR P 2009-10-06 2011-06-01
TJX COS INC NEW P 2009-12-15 2011-02-28
TITANIUM METALS CORP NEW P 2010-06-07 2011-02-07
VERISK ANALYTICS INC A P 2011-02-16 2011-02-25
XSTRATA PLC -ADR P 2010-04-16 2011-02-25
UST BD 5.375% 02/15/2031 P 2010-06-29 2011-02-03
ADVISORS SER TR PIA BBB P 2007-08-02 2011-08-17
ADVISORS SER TR PIA BBB P 2008-08-29 2011-08-17
ALTERA CORPORATION P 2010-11-08 2011-02-07
BASF SE SPONSORED ADR P 2006-11-01 2011-03-16
BIG LOTS INC P 2010-03-05 2011-01-03
CENTURYLINK INC P 2009-05-26 2011-04-01
CITIGROUP INC NEW P 2010-06-28 2011-08-08
CA INC P 2009-01-20 2011-02-07
DENTSPLY INTL INC NEW P 2010-09-28 2011-02-25
FAIR ISAAC INC P 2010-09-28 2011-02-25
FUJITSU LTD ADR NEW P 2010-04-09 2011-02-25
JACK HENRY & ASSOC INC P 2010-09-28 2011-02-25
BAE SYSTEMS PLACE P 2009-05-21 2011-03-16
LAFARGE COPPEE P 2010-08-11 2011-08-02
MARKEL CORP P 2010-09-28 2011-08-22
IHS INC CL A P 2010-09-28 2011-02-25
NEWS CORP INC-CL A P 2010-07-26 2011-02-07
PROCTER & GAMBLE CO P 2009-01-20 2011-02-07
ROWAN COMPANIES INC P 2009-08-17 2011-01-18
SECOM LTD ADR P 2009-11-16 2011-06-01
TNT EXPRESS NV ADR P 2011-06-01 2011-07-05
TITANIUM METALS CORP NEW P 2010-06-07 2011-05-02
VERIZON COMMUNICATIONS P 2009-01-20 2011-02-07
ZURICH FINANCIAL SVCS P 2005-12-21 2011-02-25
UST BOND 6% 2/15/26 P 2011-03-03 2011-03-15
ADVISORS SER TR PIA BBB P 2007-08-22 2011-08-17
ADVISORS SER TR PIA BBB P 2008-09-30 2011-08-17
ALTERA CORPORATION P 2010-11-08 2011-10-31
BG GROUP PLC F P 2010-06-17 2011-02-25
BIO RAD LABS A P 2010-09-28 2011-02-25
CENTURYLINK INC P 2011-03-01 2011-04-01
CITIGROUP INC NEW P 2010-07-26 2011-08-08
CA INC P 2009-01-20 2011-05-02
DENTSPLY INTL INC NEW P 2010-09-29 2011-02-25
FIFTH THIRD BANCORP P 2010-08-02 2011-02-07
GAP INC P 2009-01-20 2011-02-07
ROCHE HOLDINGS LTD ADR P 2009-06-16 2011-02-25
BAE SYSTEMS PLACE P 2009-05-21 2011-03-17
LIMITED BRANDS INC P 2010-05-03 2011-02-07
MEADWESTVACO CORP P 2010-02-22 2011-02-07
IHS INC CL A P 2010-09-28 2011-04-19
NEWS CORP INC-CL A P 2010-07-27 2011-02-07
PRUDENTIAL PLC P 2006-11-03 2011-02-25
ROWAN COMPANIES INC P 2009-08-18 2011-01-18
SMITH & NEPHEW PLC ADR P 2010-12-02 2011-02-25
TNT EXPRESS NV ADR P 2011-06-01 2011-07-06
TITANIUM METALS CORP NEW P 2010-06-08 2011-05-02
VERIZON COMMUNICATIONS P 2009-01-20 2011-10-03
UST NTS 1.375% 031512 P 2009-07-28 2011-09-23
UST BOND 6% 2/15/26 P 2011-03-03 2011-04-12
ADVISORS SER TR PIA BBB P 2007-09-05 2011-08-17
ADVISORS SER TR PIA BBB P 2008-10-31 2011-08-17
ALTERA CORPORATION P 2010-11-09 2011-10-31
BG GROUP PLC F P 2010-06-17 2011-04-01
BORG WARNER INC P 2010-09-28 2011-02-16
CENTURYLINK INC P 2009-01-20 2011-04-04
CITIGROUP INC NEW P 2010-07-27 2011-08-08
CA INC P 2009-03-12 2011-05-02
DEUTSCHE LUFTHANSA A G P 2008-04-02 2011-02-25
FIFTH THIRD BANCORP P 2010-08-02 2011-05-02
GAP INC P 2009-01-20 2011-02-28
HUNT J B TRANS SVC INC P 2010-11-30 2011-02-25
BAE SYSTEMS PLACE P 2009-11-06 2011-03-17
LIMITED BRANDS INC P 2010-05-03 2011-05-09
MEDIASET SPA SPON ADR P 2008-05-21 2011-02-02
MOTOROLA MOBILITY HLDGS P 2010-09-07 2011-01-04
NOVARTIS AG P 2009-05-04 2011-02-25
QWEST COMMUNICATIONS P 2009-01-20 2011-02-07
SEI INVTS CO P 2010-09-28 2011-02-25
SOCIETE GEN FR SPON ADR P 2010-10-22 2011-02-25
TALISMAN ENERGY INC P 2006-11-01 2011-01-20
TITANIUM METALS CORP NEW P 2011-03-01 2011-05-02
VERIZON COMMUNICATIONS P 2009-03-12 2011-10-03
UST NTS 1.375% 031512 P 2011-03-03 2011-09-23
UST NTS 4.375% 8/15/12 P 2008-08-11 2011-10-04
ADVISORS SER TR PIA BBB P 2007-10-02 2011-08-17
ADVISORS SER TR PIA BBB P 2008-11-26 2011-08-17
AMETEK INC P 2010-09-28 2011-02-25
BG GROUP PLC F P 2010-06-17 2011-10-19
BORG WARNER INC P 2010-09-28 2011-02-25
CENTURYLINK INC P 2009-03-12 2011-04-04
CITIGROUP INC NEW P 2011-03-01 2011-08-08
CA INC P 2009-08-31 2011-05-02
DEUTSCHE LUFTHANSA A G P 2008-04-02 2011-03-16
FIFTH THIRD BANCORP P 2010-08-03 2011-05-02
GAP INC P 2009-03-12 2011-02-28
HUTCHISON WHAMPOA ADR P 2007-06-18 2011-01-21
KDDI CORP-UNSPONSORED P 2009-12-21 2011-02-25
LIMITED BRANDS INC P 2010-05-03 2011-07-11
MEDIASET SPA SPON ADR P 2008-05-21 2011-02-03
MOTOROLA MOBILITY HLDGS P 2010-10-11 2011-01-04
O'REILLY AUTOMOTIVE INC P 2010-09-28 2011-08-17
RR DONNELLEY & SONS CO P 2010-03-15 2011-02-07
SANDISK CORP P 2010-05-03 2011-02-07
SOCIETE GEN FR SPON ADR P 2010-10-22 2011-09-13
TALISMAN ENERGY INC P 2009-03-16 2011-01-20
TNT NV-ADR P 2005-12-07 2011-02-25
VERIZON COMMUNICATIONS P 2009-04-13 2011-10-03
FHLMC 5.125% 7/15/12 P 2007-10-24 2011-08-11
UST NTS 4.375% 8/15/12 P 2008-11-12 2011-10-04
ADVISORS SER TR PIA BBB P 2007-11-02 2011-08-17
ADVISORS SER TR PIA BBB P 2008-12-31 2011-08-17
ANALOG DEVICES INC P 2011-01-18 2011-02-07
BG GROUP PLC F P 2010-08-11 2011-10-19
BORG WARNER INC P 2010-09-28 2011-04-14
CENTURYLINK INC P 2009-05-26 2011-04-04
CITY NATIONAL CORP P 2010-09-28 2011-02-25
COMPUTER SCIENCES CORP P 2009-01-20 2011-06-06
DEUTSCHE LUFTHANSA A G P 2008-04-02 2011-03-17
FIFTH THIRD BANCORP P 2011-03-01 2011-05-02
GAP INC P 2009-11-16 2011-02-28
HUTCHISON WHAMPOA ADR P 2007-06-18 2011-02-24
KDDI CORP-UNSPONSORED P 2009-12-21 2011-05-06
LIMITED BRANDS INC P 2010-05-04 2011-07-11
MEDIASET SPA SPON ADR P 2009-03-16 2011-02-03
MOTOROLA MOBILITY HLDGS P 2010-09-07 2011-01-11
O'REILLY AUTOMOTIVE INC P 2010-09-28 2011-08-22
RR DONNELLEY & SONS CO P 2010-03-15 2011-07-11
SANDISK CORP P 2010-05-03 2011-06-06
SOUTHWEST AIRLINES CO P 2010-11-01 2011-02-07
TARGET CORP P 2009-12-07 2011-01-18
USINAS SIDERURGICAS DE F P 2009-08-20 2011-02-25
VOLKSWAGEN A G SPONS ADR P 2011-01-21 2011-02-25
FHLMC 5.125% 7/15/12 P 2008-02-12 2011-08-11
UST NTS 4.375% 8/15/12 P 2010-07-30 2011-10-04
ADVISORS SER TR PIA BBB P 2007-12-04 2011-08-17
ADVISORS SER TR PIA BBB P 2009-01-15 2011-08-17
ANALOG DEVICES INC P 2011-01-18 2011-04-11
BHP BILLITON LTD P 2009-03-17 2011-02-25
BORG WARNER INC P 2010-09-28 2011-07-19
CENTURYLINK INC P 2011-03-01 2011-04-04
CLIFFS NATURAL RESOURCES P 2011-05-02 2011-09-06
COMPUTER SCIENCES CORP P 2009-03-12 2011-06-06
DR PEPPER SNAPPLE GROUP P 2010-07-12 2011-02-07
FLIR SYSTEMS INC P 2010-09-28 2011-02-25
GAP INC P 2009-11-17 2011-02-28
HUTCHISON WHAMPOA ADR P 2009-03-16 2011-02-24
KIRBY CORP P 2010-09-28 2011-02-25
LIMITED BRANDS INC P 2010-05-10 2011-07-11
MERCK & CO INC NEW P 2009-12-07 2011-01-18
MOTOROLA MOBILITY HLDGS P 2010-10-11 2011-01-11
O'REILLY AUTOMOTIVE INC P 2010-09-28 2011-11-15
RR DONNELLEY & SONS CO P 2010-03-16 2011-07-11
SANDISK CORP P 2010-05-04 2011-06-06
SIEMENS A G - ADR P 2011-06-01 2011-12-15
TARGET CORP P 2009-12-08 2011-01-18
USINAS SIDERURGICAS DE F P 2009-08-20 2011-10-24
VOLKSWAGEN A G SPONS ADR P 2011-01-21 2011-11-17
FHLMC 5.125% 7/15/12 P 2008-02-21 2011-08-11
UST NTS 4.375% 8/15/12 P 2011-03-03 2011-10-04
ADVISORS SER TR PIA BBB P 2008-01-03 2011-08-17
AGILENT TECH INC P 2011-01-18 2011-02-07
ANSYS INC P 2010-09-28 2011-02-25
BANCO SANTANDER CENT F P 2006-11-01 2011-09-07
BORG WARNER INC P 2010-09-28 2011-08-10
CHEVRON CORPORATION P 2009-01-20 2011-02-07
CENTRAL JAPAN RAILWAYADR P 2009-02-19 2011-02-25
CONSTELLATION BRANDS -A P 2010-09-28 2011-06-15
DR PEPPER SNAPPLE GROUP P 2010-07-12 2011-08-08
FLUOR CORP (NEW) P 2011-05-09 2011-09-06
GENERAL ELECTRIC COMPANY P 2007-04-17 2011-02-07
IDEX CORP P 2010-09-28 2011-02-25
KIRBY CORP P 2010-09-28 2011-09-23
L-3 COMMUNICATIONS HLDGS P 2009-01-20 2011-02-07
METTLER-TOLEDO INTL INC P 2010-09-28 2011-02-25
MOTOROLA SOLUTIONS INC P 2011-01-07 2011-01-07
OCEANEERING INTL INC P 2010-09-28 2011-02-25
RR DONNELLEY & SONS CO P 2010-03-29 2011-07-11
SANDISK CORP P 2010-08-02 2011-06-06
STATOIL ASA P 2007-10-11 2011-02-25
TARGET CORP P 2009-12-08 2011-02-07
ULTA SALON COSMTCS & FRG P 2010-09-28 2011-02-25
VOLKSWAGEN A G SPONS ADR P 2011-01-21 2011-11-25
FHLMC 5.125% 7/15/12 P 2010-07-16 2011-08-11
UST NTS 4.875% 5/31/11 P 2010-01-26 2011-02-03
ADVISORS SER TR PIA BBB P 2008-02-04 2011-08-17
AARONS INC P 2010-09-28 2011-02-25
ASAHI KAISEI CORP ADR P 2006-11-01 2011-02-25
BANCO SANTANDER CENT F P 2008-11-25 2011-09-07
BRISTOL MYERS SQUIBB P 2011-02-28 2011-10-03
CHURCH & DWIGHT INC P 2010-09-28 2011-02-25
CENTRAL JAPAN RAILWAYADR P 2009-02-19 2011-05-06
CONSTELLATION BRANDS -A P 2010-09-28 2011-06-21
DR PEPPER SNAPPLE GROUP P 2010-07-13 2011-08-08
FOMENTO ECONOMICO MEX SA P 2010-03-16 2011-02-25
GLAXOSMITHKLINE PLC-ADR P 2005-02-02 2011-02-25
INTEL CORP P 2009-03-02 2011-02-07
KONINKLIJKE AHOLD ADR P 2009-10-12 2011-02-25
MARATHON OIL CORP P 2009-01-20 2011-03-14
METTLER-TOLEDO INTL INC P 2010-09-28 2011-04-19
MOTOROLA SOLUTIONS INC P 2010-09-07 2011-02-07
PARKER HANNIFIN CORP P 2010-05-24 2011-08-22
RR DONNELLEY & SONS CO P 2011-03-01 2011-07-11
SANDISK CORP P 2011-03-01 2011-06-06
STATOIL ASA P 2007-10-11 2011-03-30
TARGET CORP P 2009-12-08 2011-08-08
ULTA SALON COSMTCS & FRG P 2010-09-28 2011-04-14
WAL-MART STORES INC P 2009-01-20 2011-02-28
FHLMC 5.125% 7/15/12 P 2011-03-03 2011-08-11
UST NOTES 4.625%08/31/11 P 2008-12-17 2011-03-23
(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 385   377 8
b 543   488 55
c 174   128 46
d 856   910 -54
e 534   428 106
19   12 7
928   715 213
745   498 247
926   844 82
387   310 77
1,338   920 418
617   370 247
1,165   638 527
620   527 93
9   5 4
113   113  
190   180 10
988   916 72
51   52 -1
2,157   1,990 167
411   536 -125
1,265   1,492 -227
2,172   1,109 1,063
313   288 25
2,173   2,205 -32
1,019   1,046 -27
595   552 43
72   65 7
274   203 71
380   365 15
419   626 -207
50   43 7
44   47 -3
1,799   1,779 20
452   447 5
1,351   910 441
456   322 134
768   585 183
1,337   1,060 277
884   608 276
3   1 2
711   790 -79
26   21 5
1,183   911 272
492   922 -430
17   15 2
137   85 52
526   582 -56
332   319 13
133   105 28
990   929 61
2,039   2,044 -5
39   36 3
85   76 9
614   488 126
2,137   2,143 -6
922   1,572 -650
788   627 161
1,041   1,620 -579
165   126 39
329   263 66
579   372 207
1,753   1,179 574
1,633   2,698 -1,065
29   23 6
454   1,000 -546
9   5 4
229   149 80
607   288 319
263   191 72
872   575 297
1,202   946 256
548   353 195
480   526 -46
1,108   386 722
85   71 14
1,092   1,019 73
92   85 7
73   65 8
900   708 192
497   250 247
127   147 -20
1,364   935 429
181   182 -1
2,382   1,691 691
369   309 60
1,063   1,625 -562
1,671   1,179 492
528   682 -154
1,033   789 244
257   883 -626
745   385 360
330   230 100
470   396 74
239   229 10
1,187   1,224 -37
1,071   851 220
2,169   1,783 386
126   138 -12
509   359 150
28   19 9
1,092   814 278
77   71 6
82   73 9
1,379   1,023 356
711   626 85
609   1,173 -564
243   193 50
59   48 11
1,476   681 795
223   263 -40
1,789   1,782 7
459   559 -100
590   494 96
234   204 30
192   167 25
228   100 128
1,163   879 284
2,036   1,583 453
75   221 -146
586   425 161
425   315 110
1,544   1,176 368
758   573 185
1,254   1,006 248
463   305 158
1,092   1,088 4
81   74 7
78   68 10
624   472 152
912   1,422 -510
822   1,471 -649
7   3 4
22     22
879   388 491
1,190   494 696
994   712 282
860   1,063 -203
431   318 113
94   82 12
103   110 -7
745   403 342
640   489 151
1,272   922 350
505   1,854 -1,349
893   567 326
310   307 3
798   607 191
244   299 -55
207   89 118
1,966   1,323 643
1,129   1,055 74
74   67 7
93   80 13
491   660 -169
406   221 185
183   173 10
5   2 3
1,065   1,006 59
1,372   752 620
14   14  
621   488 133
337   330 7
757   632 125
314   349 -35
518   578 -60
1,617   1,379 238
627   489 138
2,580   1,989 591
252   396 -144
1,998   1,287 711
634   676 -42
1,297   991 306
39   34 5
195   203 -8
263   234 29
1,129   1,220 -91
87   78 9
78   68 10
82   67 15
1,290   753 537
1,162   1,368 -206
11   7 4
712   960 -248
75   52 23
182   158 24
394   347 47
34   33 1
565   457 108
493   582 -89
444   458 -14
758   690 68
419   336 83
268   213 55
64   58 6
556   328 228
1,384   1,415 -31
497   681 -184
1,622   1,398 224
72   57 15
772   575 197
1,233   1,206 27
417   375 42
86   71 15
1,238   1,079 159
599   416 183
777   621 156
       
205   284 -79
49   35 14
438   382 56
15   13 2
81   47 34
369   332 37
789   931 -142
32   28 4
29   24 5
1,874   1,477 397
721   569 152
491   548 -57
1,702   1,037 665
401   325 76
354   486 -132
1,029   878 151
1,064   820 244
5,031   4,997 34
1,208   1,206 2
81   73 8
91   67 24
155   136 19
621   416 205
644   409 235
835   452 383
350   495 -145
366   251 115
303   420 -117
1,140   1,157 -17
473   246 227
451   402 49
789   849 -60
1,077   722 355
1,377   1,739 -362
11   9 2
385   265 120
58   29 29
320   281 39
396   353 43
2,733   2,025 708
178   162 16
294   207 87
2,012   2,022 -10
1,036   1,051 -15
75   67 8
71   52 19
790   602 188
1,629   1,247 382
379   256 123
601   269 332
47   74 -27
684   626 58
479   699 -220
550   565 -15
405   199 206
1,485   1,247 238
455   372 83
754   527 227
971   1,242 -271
6   5 1
854   751 103
19   20 -1
1,537   1,376 161
904   2,337 -1,433
547   252 295
528   587 -59
73   59 14
1,045   1,030 15
5,181   5,524 -343
82   75 7
115   90 25
160   158 2
543   398 145
1,144   818 326
1,416   906 510
295   259 36
799   751 48
535   783 -248
92   97 -5
473   471 2
1,705   1,496 209
2,923   2,286 637
516   355 161
97   64 33
921   758 163
495   429 66
1,186   1,225 -39
349   344 5
72   83 -11
1,048   877 171
160   176 -16
392   398 -6
7,315   7,509 -194
1,036   1,078 -42
72   66 6
597   483 114
899   909 -10
466   207 259
762   511 251
60   60  
1,193   1,493 -300
495   439 56
36   39 -3
604   489 115
113   112 1
284   131 153
1,442   1,079 363
476   319 157
1,421   1,546 -125
492   432 60
542   376 166
395   412 -17
262   254 8
561   800 -239
331   275 56
237   453 -216
267   275 -8
1,045   1,067 -22
4,145   4,226 -81
83   75 8
178   176 2
1,171   895 276
698   1,463 -765
1,522   1,176 346
196   139 57
222   152 70
1,171   982 189
328   347 -19
1,193   1,513 -320
42   70 -28
446   388 58
576   440 136
79   78 1
1,014   742 272
32     32
1,192   800 392
811   880 -69
1,178   1,217 -39
364   447 -83
55   46 9
1,014   700 314
160   184 -24
1,045   1,087 -42
2,030   2,118 -88
67   61 6
653   512 141
783   765 18
452   425 27
906   747 159
221   195 26
314   244 70
1,507   1,250 257
693   744 -51
381   322 59
114   135 -21
65   38 27
308   286 22
947   509 438
835   618 217
121   96 25
790   724 66
59   55 4
44   48 -4
1,426   1,661 -235
703   687 16
847   496 351
1,407   1,377 30
5,225   5,313 -88
4,078   4,427 -349
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       8
b       55
c       46
d       -54
e       106
      7
      213
      247
      82
      77
      418
      247
      527
      93
      4
       
      10
      72
      -1
      167
      -125
      -227
      1,063
      25
      -32
      -27
      43
      7
      71
      15
      -207
      7
      -3
      20
      5
      441
      134
      183
      277
      276
      2
      -79
      5
      272
      -430
      2
      52
      -56
      13
      28
      61
      -5
      3
      9
      126
      -6
      -650
      161
      -579
      39
      66
      207
      574
      -1,065
      6
      -546
      4
      80
      319
      72
      297
      256
      195
      -46
      722
      14
      73
      7
      8
      192
      247
      -20
      429
      -1
      691
      60
      -562
      492
      -154
      244
      -626
      360
      100
      74
      10
      -37
      220
      386
      -12
      150
      9
      278
      6
      9
      356
      85
      -564
      50
      11
      795
      -40
      7
      -100
      96
      30
      25
      128
      284
      453
      -146
      161
      110
      368
      185
      248
      158
      4
      7
      10
      152
      -510
      -649
      4
      22
      491
      696
      282
      -203
      113
      12
      -7
      342
      151
      350
      -1,349
      326
      3
      191
      -55
      118
      643
      74
      7
      13
      -169
      185
      10
      3
      59
      620
       
      133
      7
      125
      -35
      -60
      238
      138
      591
      -144
      711
      -42
      306
      5
      -8
      29
      -91
      9
      10
      15
      537
      -206
      4
      -248
      23
      24
      47
      1
      108
      -89
      -14
      68
      83
      55
      6
      228
      -31
      -184
      224
      15
      197
      27
      42
      15
      159
      183
      156
       
      -79
      14
      56
      2
      34
      37
      -142
      4
      5
      397
      152
      -57
      665
      76
      -132
      151
      244
      34
      2
      8
      24
      19
      205
      235
      383
      -145
      115
      -117
      -17
      227
      49
      -60
      355
      -362
      2
      120
      29
      39
      43
      708
      16
      87
      -10
      -15
      8
      19
      188
      382
      123
      332
      -27
      58
      -220
      -15
      206
      238
      83
      227
      -271
      1
      103
      -1
      161
      -1,433
      295
      -59
      14
      15
      -343
      7
      25
      2
      145
      326
      510
      36
      48
      -248
      -5
      2
      209
      637
      161
      33
      163
      66
      -39
      5
      -11
      171
      -16
      -6
      -194
      -42
      6
      114
      -10
      259
      251
       
      -300
      56
      -3
      115
      1
      153
      363
      157
      -125
      60
      166
      -17
      8
      -239
      56
      -216
      -8
      -22
      -81
      8
      2
      276
      -765
      346
      57
      70
      189
      -19
      -320
      -28
      58
      136
      1
      272
      32
      392
      -69
      -39
      -83
      9
      314
      -24
      -42
      -88
      6
      141
      18
      27
      159
      26
      70
      257
      -51
      59
      -21
      27
      22
      438
      217
      25
      66
      4
      -4
      -235
      16
      351
      30
      -88
      -349
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 23,149
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 10,089
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2010 2,500 50,218 0.049783
2009   540,500  
2008 103,000 622,321 0.165509
2007 105,500 764,124 0.138067
2006 104,500 823,702 0.126866
2 Total of line 1, column (d) ...................... 2 0.480225
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 0.120056
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 1,787,716
5 Multiply line 4 by line 3....................... 5 214,626
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 291
7 Add lines 5 and 6......................... 7 214,917
8 Enter qualifying distributions from Part XII, line 4.............. 8 5,000
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 1 581
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............................ 3 581
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- ..... 5 581
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a  
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 485
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 485
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 96
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet0 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletNV
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV..........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletROLAND VIVEIROS JR CPA Telephone no.bullet (702) 270-2341
    Located atbulletP O BOX 50654HENDERSONNV ZIP+4bullet890160654
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
     
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2011?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2011.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2011?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    MARILYN LARSONClick to see attachment PRESIDENT
    2.00
    0 0 0
    13000 LAS VEGAS BLVD SO
    LAS VEGAS,NV89044
    MEL LARSONClick to see attachment VICE-PRESIDE
    2.00
    0 0 0
    13000 LAS VEGAS BLVD SO
    LAS VEGAS,NV89044
    ROLAND VIVEIROS JR CPAClick to see attachment SECRETARY
    2.00
    0 0 0
    P O BOX 50654
    HENDERSON,NV89016
    ROLAND VIVEIROS JR CPAClick to see attachment TREASURER
    2.00
    0 0 0
    P O BOX 50654
    HENDERSON,NV89016
    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
    593,144
    b
    Average of monthly cash balances.......................
    1b
    21,796
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    1,200,000
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,814,940
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    1,814,940
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    27,224
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,787,716
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    89,386
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    89,386
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    581
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    581
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    88,805
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    88,805
    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
    88,805
    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
    5,000
    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
    5,000
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    5,000
    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 88,805
    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....... 45,187
    d From 2009.......  
    e From 2010....... 951
    fTotal of lines 3a through e......... 46,138
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 5,000
    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..... 5,000
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2011. 46,138 46,138
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
     
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
     
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    37,667
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
     
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
     
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2007....  
    b Excess from 2008....  
    c Excess from 2009....  
    d Excess from 2010....  
    e Excess from 2011....  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2011, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2011 (b) 2010 (c) 2009 (d) 2008
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    MARILYN AND MEL LARSON
    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:
    ROLAND VIVEIROS JR
    P O BOX 50654
    HENDERSON,NV89016
    (702) 270-2341
    bThe form in which applications should be submitted and information and materials they should include:
     
    cAny submission deadlines:
     
    dAny 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)
    aPaid during the year
    LAS VEGAS ANIMAL FOUNDATI
    655 NORTH MOJAVE ROAD
    LAS VEGAS
    LAS VEGAS,NV89101
    NONE   ANIMAL WELFARE AND ADOPTIONS 5,000
    Total .................................bullet 3a 5,000
    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 4,773  
    4 Dividends and interest from securities....     14 10,564  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory         23,149
    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)..   15,337 23,149
    13Total. Add line 12, columns (b), (d), and (e)..................
    1338,486
    (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.
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    Form 990-PF (2011)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 CompensationExplanation
    Name:
    THE MARILYN AND MEL LARSON
    FOUNDATION
    EIN: 86-0872049
    Person Name Explanation
    MARILYN LARSON  
    MEL LARSON  
    ROLAND VIVEIROS JR CPA  
    ROLAND VIVEIROS JR CPA  

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    THE MARILYN AND MEL LARSON
    FOUNDATION
    EIN: 86-0872049
    Name of Bond End of Year Book Value End of Year Fair Market Value
      104,994 110,029

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    THE MARILYN AND MEL LARSON
    FOUNDATION
    EIN: 86-0872049
    Name of Stock End of Year Book Value End of Year Fair Market Value
      412,512 460,389

    TY 2011 LegalFeesSchedule
    Name:
    THE MARILYN AND MEL LARSON
    FOUNDATION
    EIN: 86-0872049
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT LEGAL FEES 450      


    TY 2011 OtherAssetsSchedule
    Name:
    THE MARILYN AND MEL LARSON
    FOUNDATION
    EIN: 86-0872049
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    MUTUAL FUNDS 13,489 17,116 18,167
    SANDY VALLEY ESTATE 1,200,000 1,200,000 1,200,000


    TY 2011 OtherIncreasesSchedule
    Name:
    THE MARILYN AND MEL LARSON
    FOUNDATION
    EIN: 86-0872049
    Description Amount
    PRIOR PERIOD ADJUSTMENT TO COST OF SECURITIES 1,025


    TY 2011 OtherProfessionalFeesSchedule
    Name:
    THE MARILYN AND MEL LARSON
    FOUNDATION
    EIN: 86-0872049
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISORY FEES 7,546 7,546    


    TY 2011 TaxesSchedule
    Name:
    THE MARILYN AND MEL LARSON
    FOUNDATION
    EIN: 86-0872049
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT INCOME TAX 950 950    
    FOREIGN TAXES 451 451