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
CEMEX Foundation
 
% CEMEX INC
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 1500   Room/suite
City or town, state, and ZIP code
Houston, TX772511500
A Employer identification number

34-6505254
B Telephone number (see page 10 of the instructions)

(713) 650-6200
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$6,132,538
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) 0
2 Check bullet
3 Interest on savings and temporary cash investments 652 652 652
4 Dividends and interest from securities...... 195,078 195,078 195,078
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 15,033
b Gross sales price for all assets on line 6a 15,033
7 Capital gain net income (from Part IV, line 2)... 15,033
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)....... 287,068    
12 Total. Add lines 1 through 11........ 497,831 210,763 195,730
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest............... 629 629 629  
18 Taxes (attach schedule) (see page 14 of the instructions) 11,000 11,000 5,000  
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 530 530 530  
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 12,159 12,159 6,159 0
25 Contributions, gifts, grants paid........ 607,790 607,790
26 Total expenses and disbursements. Add lines 24 and 25 619,949 12,159 6,159 607,790
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -122,118
b Net investment income (if negative, enter -0-) 198,604
c Adjusted net income (if negative, enter -0-)... 189,571
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............... 804,464 384,110 384,110
2 Savings and temporary cash investments.......... 585,211 586,787 586,787
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)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 4,852,868 Click to see attachment5,161,641 5,161,641
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) 6,242,543 6,132,538 6,132,538
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.................... 6,242,543 6,132,538
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).................... 6,242,543 6,132,538
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 6,242,543 6,132,538
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 6,242,543
2 Enter amount from Part I, line 27a..................... 2 -122,118
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 6,120,425
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 -12,113
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 6,132,538
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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 15,033
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . .
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2010 725,636 6,136,050 0.118258
2009 422,413 4,918,939 0.085875
2008 650,259 6,594,694 0.098603
2007 1,188,303 7,613,779 0.156073
2006 1,053,670 7,601,901 0.138606
2 Total of line 1, column (d) ...................... 2 0.597415
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 0.119483
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 5,726,670
5 Multiply line 4 by line 3....................... 5 684,240
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,986
7 Add lines 5 and 6......................... 7 686,226
8 Enter qualifying distributions from Part XII, line 4.............. 8 607,790
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 3,972
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 3,972
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 3,972
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 5,471
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 5,471
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  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,499
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet1,499 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? Click to see attachment....................
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 changesClick to see attachment....
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.Click to see attachment
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)bulletOH
    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 ofbulletCEMEX INC Telephone no.bullet (713) 650-6200
    Located atbullet929 GESSNER ROAD SUITE 1900HOUSTONTX ZIP+4bullet77024
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........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
    Karl H Watson Jr Chairman and President
    0
    0    
    PO Box 1500
    Houston,TX772511500
    Frank E Angelle VP and Assistant Secretary
    0
    0    
    PO Box 1500
    Houston,TX772511500
    Mike F Egan Secretary
    0
    0    
    PO Box 1500
    Houston,TX772511500
    Robert J Capasso Treasurer
    0
    0    
    PO Box 1500
    Houston,TX772511500
    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
     
    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
     
    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  
    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
    4,643,735
    b
    Average of monthly cash balances.......................
    1b
    1,170,143
    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
    5,813,878
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    5,813,878
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    87,208
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,726,670
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    286,334
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    286,334
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    3,972
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,972
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    282,362
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    282,362
    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
    282,362
    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
    607,790
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    607,790
    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
    607,790
    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 7 282,362
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 0
    b Total for prior years:2009, 2008, 2007  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 678,551
    b From 2007....... 815,628
    c From 2008....... 326,665
    d From 2009....... 357,365
    e From 2010....... 428,180
    fTotal of lines 3a through e......... 2,606,389
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 607,790
    a Applied to 2010, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
     
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
     
    d Applied to 2011 distributable amount..... 282,362
    e Remaining amount distributed out of corpus 325,428
    5 Excess distributions carryover applied to 2011.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 2,931,817
    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 ...........
    0
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
     
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    678,551
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......
    2,253,266
    10 Analysis of line 9:
    a Excess from 2007.... 815,628
    b Excess from 2008.... 326,665
    c Excess from 2009.... 357,365
    d Excess from 2010.... 428,180
    e Excess from 2011.... 325,428
    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:
    VICE PRESIDENT HR CEMEX INC
    929 GESSNER ROAD SUITE 1900
    HOUSTON,TX77024
    (713) 650-6200
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN FORMAT; INCLUDE DESCRIPTION OF ORGANIZATION, DOCUMENTATION OF EXEMPT STATUS, AND DESCRIPTION OF HOW GRANT WOULD BE USED.
    cAny submission deadlines:
    NONE
    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
    FLORIDA MASONRY APPRENTICE & E
    398 CAMINO GARDENS BLVD 108
    BOCA RATON,FL334325827
    N/A 501(c)(3) Donation 108,000
    READY MIXED CONCRETE RESEARCH
    900 SPRING ST
    SILVER SPRING,MD209104015
      501(c)(3) Donation 101,500
    UNIVERSITY OF FLORIDA FOUNDATI
    PO BOX 14425
    Gainesville,FL32604
      501(c)(3) Donation 50,000
    AMERICAN HEART ASSOCIATION
    7272 Greenville Ave
    DALLAS,TX75231
      501(c)(3) Donation 30,000
    FLORIDA MASONRY APPRENTICE
    398 CAMINO GARDENS BLVD 108
    BOCA RATON,FL334325827
      501(c)(3) Donation 27,000
    CHICO STATE CIM PATRONS
    400 WEST 1ST STREET
    CHICO,CA95929
      501(c)(3) Donation 25,000
    Feeding America Donation
    35 EAST WACKER DRIVE SUITE 2000
    CHICAGO,IL60601
      501(c)(3) Donation 22,670
    Opportunity Village Foundation
    6300 WEST OAKEY BOULEVARD
    3640 Colonel Glenn Highway
    LAS VEGAS,NV89146
      501(c)(3) Donation 20,000
    WRIGHT STATE UNIVERSITY FOUNDA
    3640 COLONEL GLENN HIGHWAY
    DAYTON,OH45435
      501(c)(3) Donation 19,134
    MEXICAN WOMENS INITIATIVE OF H
    5644 WESTHEIMER PMB 336
    HOUSTON,TX77056
      501(c)(3) Donation 12,500
    ASU DEWSC-CIM
    PO BOX 875306
    TEMPE,AZ85287
      501(c)(3) Donation 10,000
    MEXICAN WOMENS INITIATIVE OF H
    5644 WESTHEIMER PMB 336
    HOUSTON,TX77056
      501(c)(3) Donation 10,000
    JUVENILE DIABETIS RESEARCH
    26 BROADWAY
    NEW YORK,NY10004
      501(c)(3) Donation 5,000
    OUR KIDS INC
    PO BOX 010951
    MIAMI,FL33101
      501(c)(3) Donation 5,000
    Urban Youth Impact
    2823 NORTH AUSTRALIAN AVENUE
    WEST PALM BEACH,FL33407
      501(c)(3) Donation 5,000
    TASIS FOUNDATION INC - THE AME
    112 S ROYAL STREET
    ALEXANDRIA,VA223143328
      501(c)(3) Donation 4,290
    SALEM UNITED METHODIST CHURCH
    183 E MAIN ST
    SALEM,WV264261324
      501(c)(3) Donation 4,155
    Mount Horeb Missionary Baptist
    3306 PARPENTER AVE
    DALLAS,TX75215
      501(c)(3) Donation 4,072
    ST JOHN VIANNEY CATHOLIC CHURCH
    625 NOTTINGHAM OAKS TR
    HOUSTON,TX770796234
      501(c)(3) Donation 3,956
    BOSTON COLLEGE - UNIVERSITY ADVANCE
    140 COMMONWEALTH AVE
    CHESTNUT HILL,MA024673800
      501(c)(3) Donation 3,385
    ST MICHAEL CATHOLIC SCHOOL
    1833 SAGE RD
    HOUSTON,TX770563502
      501(c)(3) Donation 3,343
    UNIVERSITY OF TEXAS FOUNDATION INC
    PO BOX 250
    AUSTIN,TX787670250
      501(c)(3) Donation 2,937
    ST STEPHENS LUTHERAN CHURCH
    5700 PHEASANT HILL RD
    MONONA,WI53716
      501(c)(3) Donation 2,787
    CHRIST THE REEDEMER CATHOLIC CHURCH
    11507 HUFFMEISTER RD
    HOUSTON,TX770651051
      501(c)(3) Donation 2,584
    ST CECILIA CATHOLIC CHURCH D
    11720 JOAN OF ARC
    HOUSTON,TX77024
      501(c)(3) Donation 2,458
    ALTERNATIVES IN MOTION
    201 MATILDA NE
    GRAND RAPIDS,MI49503
      501(c)(3) Donation 2,400
    CATHOLIC CHARITIES OF THE ARCHDIOCE
    29000 LOUISIANA
    HOUSTON,TX77006
      501(c)(3) Donation 2,364
    TASIS FOUNDATION INC
    1640 WISCONSIN AVE NW
    WASHINGTON,DC200077715
      501(c)(3) Donation 2,218
    THE SUNSHINE KIDS FOUNDATION
    2814 VIRGINIA
    HOUSTON,TX77098
      501(c)(3) Donation 2,096
    NEW BRAUNFELS TREE OF LIFE FELLOWSH
    5513 IH 35 S
    NEW BRAUNFELS,TX781325047
      501(c)(3) Donation 1,945
    CATHOLIC RELIEF SERVICES
    228 W LEXINGTON ST
    BALTIMORE,MD212013413
      501(c)(3) Donation 1,866
    EXECUTIVE WOMEN OUTREACH INC
    PO BOX 7476
    WEST PALM BEACH,FL334057476
      501(c)(3) Donation 1,796
    HILLDALE BAPTIST CHURCH
    533 SUNHILL RD NW
    CENTER POINT,AL352152346
      501(c)(3) Donation 1,701
    CENTRAL BAPTIST CHURCH
    2855 GREENHOUSE RD
    HOUSTON,TX770844411
      501(c)(3) Donation 1,699
    CARROLL SHELBY CHILDREN'S FOUNDATIO
    19021 S FIGUEROA ST
    GARDENA,CA902484510
      501(c)(3) Donation 1,688
    NORTH POINT COMMUNITY CHURCH
    4350 N POINT PKWY
    ALPHARETTA,GA300224101
      501(c)(3) Donation 1,548
    ST JUDE CHILDRENS RESEARCH HOSPITAL
    501 ST JUDE PL
    MEMPHIS,TN381051905
      501(c)(3) Donation 1,333
    ALZHEIMERS ASSOCIATION-N CALIFORNIA
    1060 LA AVENIDA ST
    MOUNTAIN VIEW,CA940431422
      501(c)(3) Donation 1,324
    FARRAGUT CHURCH OF CHRIST
    136 SMITH RD
    KNOXVILLE,TN379343702
      501(c)(3) Donation 1,255
    THE CUTTY LEGACY FOUNDATION
    215 W LODGE DR
    TEMPE,AZ852833652
      501(c)(3) Donation 1,232
    GUIDE DOGS FOR THE BLIND
    PO BOX 151200
    SAN RAFAEL,CA949151200
      501(c)(3) Donation 1,173
    EDUCATION FUND INC
    4862 S XENIA ST
    DENVER,CO802372955
      501(c)(3) Donation 1,165
    ST ANNES MATERNITY HOME
    155 N OCCIDENTAL BLVD
    LOS ANGELES,CA900264641
      501(c)(3) Donation 1,149
    KIDS IN DISTRESS - BROWARD
    819 NE 26TH ST
    WILTON MANORS,FL333051239
      501(c)(3) Donation 1,108
    YORKSHIRE FOUNDATION
    14120 MEMORIAL DR
    HOUSTON,TX770796825
      501(c)(3) Donation 1,100
    BOY SCOUT OF AMERICA
    1325 W WALNUT HILL LANE
    IRVING,TX75015
      501(c)(3) Donation 1,090
    KAPPA ALPHA THETA FOUNDATION
    8740 FOUNDERS ROAD
    INIDANAPOLIS,IN462681300
      501(c)(3) Donation 1,000
    FIRST ASSEMBLY OF GOD
    1820 53RD AVE W
    BRADENTON,FL342072351
      501(c)(3) Donation 987
    ASSUMPTION CATHOLIC CHURCH
    901 ROSELANE
    HOUSTON,TX77037
      501(c)(3) Donation 968
    PARKINSONS DISEASE FOUNDATION INC
    1359 BRAODWAY
    NEW YORK,NY100187102
      501(c)(3) Donation 965
    DOWN SYNDROME ASSOCIATION OF CENTRA
    204 N WYMORE RD
    WINTER PARK,FL327893455
      501(c)(3) Donation 961
    PLANNED PARENTHOOD OF SOUTHWEST
    736 CENTRAL AVE
    SARASOTA SPRINGS,FL342364042
      501(c)(3) Donation 917
    COLGATE UNIVERSITY
    13 OAK DR
    HAMILTON,NY133461398
      501(c)(3) Donation 912
    UNIVERSITY OF CHICAGO
    5801 SOUTH ELLIS AVE
    CHICAGO,IL606375418
      501(c)(3) Donation 912
    CHURCH OF THE WOODS - BLDG
    PO BOX 2000
    LAKE ARROWHEAD,CA923522000
      501(c)(3) Donation 900
    IMMANUEL BAPTIST CHURCH
    4020 E UNIVERSITY BLVD
    ODESSA,TX797628038
      501(c)(3) Donation 897
    BURLESON MINISTERIAL ALLIANCE AUXIL
    349 NW RENFRO ST
    BURLESON,TX760283460
      501(c)(3) Donation 870
    EASTERN STAR BAPTIST CHURCH
    ARCOLA RD
    DEMOPOLIS,AL367323130
      501(c)(3) Donation 849
    AMERICAN RED CROSS IN NEW MEXICO
    8550 ARLINGTON BLVD
    FAIRFAX,VA220314634
      501(c)(3) Donation 750
    HUMANE SOCIETY OF THE TENNESSEE
    PO BOX 71723
    KNOXVILLE,TN379409989
      501(c)(3) Donation 693
    OUR LADY OF LOURDES
    244 S GILA ST
    BENSON,AZ856026668
      501(c)(3) Donation 626
    IDLEWILD BAPTIST CHURCH
    PO BOX 44
    LUTZ,FL335480044
      501(c)(3) Donation 558
    UNITED WAY OF SANTA CRUZ COUNTY
    PO BOX 1458
    CAPITOLA,CA950101458
      501(c)(3) Donation 555
    SCOTTSDALE-PARADISE VALLEY YMCA
    6869 E SHEA BLVD
    SCOTTSDALE,AZ852545245
      501(c)(3) Donation 544
    ST JOSEPH ORPHANAGE-DAYTON
    5400 ED ALBERT DR
    CINCINNATI,OH452397604
      501(c)(3) Donation 536
    AMERICAN CANCER SOCIETY
    PO BOX 22718
    OKLAHOMA CITY,OK731231718
      501(c)(3) Donation 528
    DEMOPOLIS CITY SCHOOLS FOUNDATION I
    PO BOX 1338
    DEMOPOLIS,AL367321338
      501(c)(3) Donation 513
    AMERICAN RED CROSS - WASHI
    8550 ARLINGTON BLVD
    FAIRFAX,VA220314634
      501(c)(3) Donation 506
    SUSAN G KOMEN FOR THE CURE
    5005 LBJ FWY STE 250
    DALLAS,TX752446125
      501(c)(3) Donation 496
    UNITED WAY OF GREATER HOUSTON
    50 WAUGH DR
    HOUSTON,TX770075813
      501(c)(3) Donation 468
    HOUSTON SPCA
    900 PORTWAY DR
    HOUSTON,TX770248022
      501(c)(3) Donation 456
    HOPE CLINIC INTERNATIONAL
    PO BOX 980573
    YPSILANTI,MI481980573
      501(c)(3) Donation 383
    VICTORY JUNCTION GANG CAMP INC
    4500 ADAMS WAY
    RANDLEMAN,NC273178242
      501(c)(3) Donation 381
    ST HELEN CHURCH
    2209 OLD ALVIN RD
    PEARLAND,TX775814425
      501(c)(3) Donation 370
    AMERICAN RED CROSS-GREEN COUNTY
    8550 ARLINGTON BLVD
    FAIRFAX,VA220314634
      501(c)(3) Donation 368
    GEORGIA TECH - ALEXANDER THARPE FUN
    150 BOBBY DODD WAY NW
    ATLANTA,GA303322500
      501(c)(3) Donation 367
    CCV STARS YOUTH SPORTS
    7007 W HAPPY VALLEY RD
    PEORIA,AZ853833223
      501(c)(3) Donation 342
    FIRST BAPTIST CHURCH OF KATY
    600 PIN OAK RD
    KATY,TX774945526
      501(c)(3) Donation 338
    AMERICAN RED CROSS
    PO BOX 9035
    GREENVILLE,SC296049035
      501(c)(3) Donation 336
    ST THOMAS EPISCOPAL CHURCH & SCHOOL
    1416 N LOOP 1604 E
    SAN ANTONIO,TX782321427
      501(c)(3) Donation 322
    ACADEMY OF CONSTRUCTION
    PO BOX 592744
    ORLANDO,FL328592744
      501(c)(3) Donation 317
    CITY OF HOPE DON
    1055 WILSHIRE BLVD
    LOS ANGELES,CA900172431
      501(c)(3) Donation 314
    ROCKY MOUNTAIN ELK FOUNDATION
    2291 W BROADWAY ST
    MISSOULA,MT598082113
      501(c)(3) Donation 304
    CHURCH OF THE ROCK
    4881 CHEROKEE DR
    CASTLE ROCK,CO801091540
      501(c)(3) Donation 290
    AMERICAN RED CROSS
    825 FERN ST
    WEST PALM BEACH,FL334025715
      501(c)(3) Donation 287
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    4600 KIETZKE LN STE K225
    RENO,NV895025017
      501(c)(3) Donation 275
    MARCH OF DIMES
    1649 FORUM PL STE 2
    WEST PALM BEACH,FL334012331
      501(c)(3) Donation 273
    BOYS & GIRLS CLUB OF TAMPA BAY
    1114 WEST SLIGHT AVENUE
    TAMPA,FL33604
      501(c)(3) Donation 272
    STETSON UNIVERSITY
    421 N WOODLAND BLVD UNIT 8286
    DELAND,FL327230001
      501(c)(3) Donation 272
    PATIENT ALLIANCE FOR NEUROENDOCRINE
    255 ALHAMBRA CIR STE 715
    CORAL GABLES,FL331347407
      501(c)(3) Donation 262
    SALVATION ARMY (THE)
    PO BOX 887
    BRISTOL,TN376210887
      501(c)(3) Donation 259
    AMERICAN RED CROSS
    8550 ARLINGTON BLVD
    FAIRFAX,VA220314634
      501(c)(3) Donation 249
    FOOD FOR THE POOR INC
    6401 LYONS RD
    COCONUT CREEK,FL330733602
      501(c)(3) Donation 249
    YELLOW SPRINGS COMMUNITY F
    PO BOX 55
    YELLOW SPRINGS,OH453870055
      501(c)(3) Donation 241
    SEMINOLE BOOSTERS INC
    PO BOX 1353
    TALLAHASSEE,FL323021353
      501(c)(3) Donation 236
    FELLOWSHIP OF THE WOODLANDS CHURCH
    1 FELLOWSHIP DR
    THE WOODLANDS,TX773844798
      501(c)(3) Donation 233
    HLEE MOFFITT CANCER CENTER AND R
    12902 USF MAGNOLIA DR
    TAMPA,FL336129416
      501(c)(3) Donation 220
    HUMANE SOCIETY OF CENTRAL FLORIDA
    PO B OX 783636
    WINTER GARDEN,FL347783636
      501(c)(3) Donation 219
    TEXAS BUDDHIST ASSOCIATION
    6969 WESTBRANCH DR
    HOUSTON,TX770722163
      501(c)(3) Donation 213
    COLQUITT FREEWILL BAPTIST CHURCH
    319 E GROW ST
    COLQUITT,GA398374019
      501(c)(3) Donation 207
    FIRST EVANGELICAL LUTHERAN CHURCH
    142 N DATE
    MESA,AZ852016419
      501(c)(3) Donation 206
    FARRAGUT HIGH SCHOOL EDUCATION FOUN
    11237 KINGSTON PIKE
    KNOXVILLE,TN379342840
      501(c)(3) Donation 203
    LAURELVILLE VOLUNTEER FIREMAN'S ASS
    18751 MAIN ST
    LAURELVILLE,OH43135
      501(c)(3) Donation 189
    UNITED WAY OF MID-OHIO VALLEY
    PO BOX 225
    PARKERSBURG,WV261020225
      501(c)(3) Donation 181
    BUONICONTI FUND TO CURE PARALYSIS
    1095 NW 14TH TER
    MIAMI,FL331361060
      501(c)(3) Donation 178
    DOWN SYNDROME ASSOCIATION
    1050 N DAVIS ST
    JACKSONVILLE,FL322096008
      501(c)(3) Donation 178
    NATIONAL BREAST CANCER FOUNDATION I
    2600 NETWORK BLVD STE 300
    FRISCO,TX750346010
      501(c)(3) Donation 146
    OTHER ORGANIZATION (2000 DONATION)
    2600 NETWORK BLVD STE 300
    FRISCO,TX750346010
      501(c)(3) Donation 61,722
    Total .................................bullet 3a 607,790
    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     14 652  
    4 Dividends and interest from securities....     14 195,078  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 15,033  
    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)..   210,763  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13210,763
    (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


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    Form 990PF - Special Condition Description:
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    TY 2011 DepreciationSchedule
    Name:
    CEMEX Foundation
    EIN: 34-6505254
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2011 InvestmentsOtherSchedule2
    Name:
    CEMEX Foundation
    EIN: 34-6505254
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    DIVERSIFIED INVESTMENT ADVISOR FMV 0 0
    VANGUARD - WELLESLEY INC FUND FMV 5,161,641 5,161,641

    TY 2011 LandEtcSchedule2
    Name:
    CEMEX Foundation
    EIN: 34-6505254
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value


    TY 2011 OtherDecreasesSchedule
    Name:
    CEMEX Foundation
    EIN: 34-6505254
    Description Amount
    OUTSTANDING PAYMENTS -12,113


    TY 2011 OtherExpensesSchedule
    Name:
    CEMEX Foundation
    EIN: 34-6505254
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSES 530 530 530  


    TY 2011 OtherIncomeSchedule2
    Name:
    CEMEX Foundation
    EIN: 34-6505254
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Unrealized Gain on Investment 287,068    


    TY 2011 TaxesSchedule
    Name:
    CEMEX Foundation
    EIN: 34-6505254
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    2010 EXTENSION TAX PAYMENT 6,000 6,000    
    2011 ESTIMATED TAX PAYMENT 5,000 5,000 5,000