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 Midvale Foundation
 

Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd   Room/suite
City or town, state, and ZIP code
Wilmington, DE198091377
A Employer identification number

20-8678873
B Telephone number (see page 10 of the instructions)

(800) 839-1754
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$3,763,270
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 Dividends and interest from securities...... 109,886 109,886  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -36,943
b Gross sales price for all assets on line 6a 1,029,229
7 Capital gain net income (from Part IV, line 2)... 0
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........ 72,943 109,886  
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).... 30,404 30,404    
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) 973 573    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 19,914 67   19,847
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 51,291 31,044   19,847
25 Contributions, gifts, grants paid........ 169,880 169,880
26 Total expenses and disbursements. Add lines 24 and 25 221,171 31,044   189,727
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -148,228
b Net investment income (if negative, enter -0-) 78,842
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.......... 37,834 149,113 149,113
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) 99,766    
b Investments—corporate stock (attach schedule)........ 2,759,637 Click to see attachment2,626,396 2,849,167
c Investments—corporate bonds (attach schedule)........ 765,298 Click to see attachment738,798 764,990
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,662,535 3,514,307 3,763,270
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 3,662,535 3,514,307
30 Total net assets or fund balances (see page 17 of the
instructions).................... 3,662,535 3,514,307
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 3,662,535 3,514,307
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 3,662,535
2 Enter amount from Part I, line 27a..................... 2 -148,228
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 3,514,307
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 3,514,307
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 Publicly-traded Securities      
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 1,029,229   1,055,099 -25,870
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       -25,870
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 -25,870
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 178,549 3,804,097 000.046936
2009 139,249 3,524,413 000.039510
2008 96,610 3,840,675 000.025154
2007 12,627 3,226,353 000.003914
2006      
2 Total of line 1, column (d) ...................... 2 000.115514
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
. . .
3 000.028879
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 3,913,461
5 Multiply line 4 by line 3....................... 5 113,017
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 788
7 Add lines 5 and 6......................... 7 113,805
8 Enter qualifying distributions from Part XII, line 4.............. 8 189,727
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 1 788
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............................ 3 788
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- ..... 5 788
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 1,022
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.............. Tax Paid Original Return: 1022 7 1,022
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 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 10 234
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet234 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)bullet
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV..........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletFoundation Source Telephone no.bullet (800) 839-1754
    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    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
    Yes
     
    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
    Moira Hintsa President / Director / Secretary
    001.00
    0    
    Foundation Source 501 Silverside Rd
    Wilmington,DE19809
    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
     
    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
    3,910,202
    b
    Average of monthly cash balances.......................
    1b
    62,855
    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
    3,973,057
    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
    3,973,057
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) Click to see attachment...........................
    4
    59,596
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,913,461
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    195,673
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    195,673
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    788
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    788
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    194,885
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    194,885
    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
    194,885
    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 Click to see attachment..........
    1a
    189,727
    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
    189,727
    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
    788
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    188,939
    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 7 194,885
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 185,923
    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.......  
    d From 2009.......  
    e From 2010.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 189,727
    a Applied to 2010, but not more than line 2a 185,923
    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..... 3,804
    e Remaining amount distributed out of corpus  
    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  
    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 ..........
    191,081
    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).)
    NONE
    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:
    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
    BUILDERS BEYOND BORDERS
    8 WILLARD RD
    NORWALK,CT06851
    N/A 509(a)(2) General Unrestricted 2,000
    CONNECTICUT HOSPICE INC
    100 DOUBLE BEACH RD
    BRANFORD,CT06405
    N/A 509(a)(1) General Unrestricted 1,000
    CORNELL DAILY SUN ALUMNI ASSOCIATIO
    401 E STATE ST STE 500
    ITHACA,NY14850
    N/A 509(a)(2) General Unrestricted 1,000
    CORNELL UNIVERSITY
    PO BOX 223623
    PITTSBURGH,PA15251
    N/A 509(a)(1) General Unrestricted 72,500
    GREENS FARMS ACADEMY INC
    PO BOX 998
    GREENS FARMS,CT06838
    N/A 509(a)(1) General Unrestricted 73,000
    HOMES WITH HOPE INC
    49 RICHMONDVILLE AVE STE 112
    WESTPORT,CT06880
    N/A 509(a)(1) General Unrestricted 9,000
    HORIZONS AT GREENS FARMS ACADEMY
    35 BEACHSIDE AVE
    GREEN FARMS,CT06436
    N/A 509(a)(1) General Unrestricted 1,000
    INNOVATIONS FOR POVERTY ACTION
    101 WHITNEY AVE
    NEW HAVEN,CT06510
    N/A 509(a)(1) General Unrestricted 500
    NARROW RIVER PRESERVATION ASSOCIATI
    PO BOX 8
    SAUNDERSTOWN,RI02874
    N/A 509(a)(2) General Unrestricted 930
    PARTNERS IN HEALTH A NONPROFIT CORP
    888 COMMONWEALTH AVE 3RD FL
    BOSTON,MA02215
    N/A 509(a)(1) General Unrestricted 7,950
    WORLD LEARNING INC
    PO BOX 676
    BRATTLEBORO,VT05302
    N/A 509(a)(1) General Unrestricted 1,000
    Total .................................bullet 3a 169,880
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments          
    4 Dividends and interest from securities....     14 109,886  
    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 -36,943  
    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)..   72,943  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1372,943
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID: 11000218
    Software Version: 2011.0.0
    Part VI Line 7 - Tax Paid Original Return: 1022


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 GeneralExplanationAttachment
    Name:
    The Midvale Foundation
    EIN: 20-8678873
    Software ID:11000218
    Software Version:2011.0.0
    Identifier Return Reference Explanation

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    The Midvale Foundation
    EIN: 20-8678873
    Software ID:11000218
    Software Version:2011.0.0
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ALCOA INC NOTE - 6.000 - 01/15/2012 ALC011512 1000000.00% 9,558 10,010
    BARCLAYS BANK-4.25-6/24/18 BAR42562418 2500000.00% 25,000 23,505
    BARCLAYS BK- 3.75- 12/13/2017 BK3751213 2500000.00% 25,000 23,178
    BELLSOUTH CORP - 4.750 - 11/15/2012 079860AJ1 5000000.00% 50,908 51,621
    CATERPILLAR FINL SVCS - 6.125 - 02/17/2014 14912L4F5 5000000.00% 50,271 55,359
    CITIGROUP INC SUB NT - 5.000 - 09/15/2014 172967CQ2 2500000.00% 23,774 24,851
    CONCOPHILLIPS NOTES 04.75000 02/01/2014 20825CAS3 5000000.00% 51,017 54,054
    DIAGEO CAP PLC GTD NT 5.20000 01/30/2013 25243YAL3 5000000.00% 51,272 52,360
    GE CAPITAL CORP NOTE - 5.500 - 02/15/2015 GE021515 2500000.00% 25,000 26,145
    HEWLETT-PACKARD CO - 4.250 - 02/24/2012 428236AU7 5000000.00% 51,204 50,225
    HSBC FINANCIAL CORP 4 1/15/15 HSBC011515 2500000.00% 25,000 24,458
    JOHN DEERE CAPITAL CORP SR UNSEC MTN 4.5 04/03/13 24422EQQ5 5000000.00% 49,402 52,387
    KRAFT FOODS NOTE - 6.250 - 06/01/2012 KT6256112 2500000.00% 25,883 25,545
    MEDTRONIC INC - 4.500 - 03/15/2014 585055AP1 5000000.00% 50,351 53,859
    MORGAN STANLEY MTN 04.00 07/30/2020 61745EZ61 2500000.00% 24,750 23,888
    ORACLE CORP - 5.250 - 01/15/2016 68402LAC8 5000000.00% 50,814 57,604
    PROTECTIVE LIFE SECD TR NT - 5.450 - 09/28/2012 PLST545 7500000.00% 74,872 77,009
    PRUDENTIAL INC. - 4.750 - 09/17/2015 74432QBJ3 2500000.00% 25,001 26,397
    VERIZON GLOBAL FDG CORP NT 4.375 06/01/2013 92344GAV8 5000000.00% 49,721 52,535

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    The Midvale Foundation
    EIN: 20-8678873
    Software ID:11000218
    Software Version:2011.0.0
    Name of Stock End of Year Book Value End of Year Fair Market Value
    275 shares of 3M CO MMM 25,032 22,476
    450 shares of ACCENTURE PLC ACN 14,282 23,954
    300 shares of AIR PRODS CHEM INC. APD 26,345 25,557
    500 shares of AMGEN INC AMGN 26,130 32,105
    150 shares of APPLE INC. AAPL 31,197 60,749
    1000 shares of BAC CAP TR III 7.0032 DUE 08/15/32 BAC-PX 12,243 20,740
    30 shares of BANK OF AMERICA CORP 7.250 CONV PFD SER L BAC-PL 12,542 23,580
    500 shares of BAXTER INTERNATIONAL INC. BAX 26,880 24,740
    650 shares of CARDINAL HEALTH INC. CAH 21,873 26,397
    700 shares of CELANESE CORPORATION CE 24,516 30,989
    700 shares of CHEVRONTEXACO CORP CVX 58,056 74,479
    750 shares of CISCO SYSTEMS INC CSCO 20,865 13,560
    200 shares of COACH INC COH 10,980 12,208
    750 shares of CONSTELLATION BRANDS INC STZ 14,871 15,503
    650 shares of COSTCO WHOLESALE CORP NEW COST 40,185 54,157
    650 shares of COVIDIEN LTD COV 26,199 29,257
    1950 shares of CSX CORP CSX 27,924 41,067
    1250 shares of CVS CAREMARK CORP. CVS 40,243 50,975
    300 shares of DEERE CO DE 16,781 23,205
    300 shares of DIAGEO PLC ADS DEO 24,112 26,226
    1163 shares of DODGE COX FUNDS INTERNATIONAL STOCK FUND DODFX 39,285 34,017
    400 shares of DOMINION RESOURCES INC D 19,376 21,232
    4204 shares of DREYFUS EMERGING MARKETS FUND C DRPEX 54,020 38,086
    800 shares of EATON CORP ETN 30,550 34,824
    250 shares of ECOLAB INC ECL 12,387 14,453
    600 shares of EMC CORP-MASS EMC 10,325 12,924
    600 shares of EMERSON ELECTRIC CO. EMR 26,868 27,954
    700 shares of EXXON MOBIL CORP XOM 53,286 59,331
    509 shares of FIDELITY DIVERSIFIED INTERNATIONAL FUND FDIVX 11,247 12,993
    4543 shares of FIDELITY FLOATING RATE HIGH INCOME FFRHX 45,000 43,799
    250 shares of FISERV INC FISV 13,073 14,685
    700 shares of FREEPORT-MCMORAN COPPER GOLD INC. FCX 17,370 25,753
    1500 shares of GENERAL ELECTRIC CO GE 23,678 26,865
    50 shares of GOOGLE INC CL A GOOG 20,807 32,295
    250 shares of H.J. HEINZ COMPANY HNZ 12,207 13,510
    2942 shares of HARBOR BOND FUND HABDX 34,122 35,858
    400 shares of HEWLETT PACKARD CO HPQ 17,723 10,304
    800 shares of HOME DEPOT INC. HD 25,240 33,632
    600 shares of HONEYWELL INTERNATIONAL INC. HON 30,026 32,610
    450 shares of HOSPIRA INC W/I HSP 24,210 13,667
    800 shares of HSBC HLDGS PLC PERPETUAL SUB CAP SECS 8.125 PERPE HCS 18,948 20,600
    2100 shares of INTEL CORP INTC 41,617 50,925
    175 shares of INTERNATIONAL BUSINESS MACHINES IBM 19,089 32,179
    750 shares of ISHARES MSCI CANADA INDEX FD EWC 17,977 19,950
    500 shares of ISHARES MSCI EMERGING MARKETS INDEX FD EEM 12,044 18,970
    250 shares of ISHARES SP GLOBAL MXI 18,355 14,300
    500 shares of ISHARES TR S P MIDCAP 400 INDEX FD IJH 42,888 43,805
    600 shares of ISHARES TRUST MSCI EAFE INDEX FUND EFA 48,203 29,718
    500 shares of JOHNSON JOHNSON JNJ 31,705 32,790
    1000 shares of JOHNSON CONTROLS INC. JCI 30,840 31,260
    1100 shares of JP MORGAN CHASE CO JPM 43,886 36,575
    1600 shares of KRAFT FOODS INC KFT 47,247 59,775
    200 shares of LABORATORY CORP AMER HLDGS LH 16,044 17,194
    433 shares of MATTHEWS PACIFIC TIGER FUND MAPTX 9,754 8,810
    175 shares of MCDONALDS CORP MCD 15,080 17,558
    450 shares of MEDTRONIC INC MDT 20,670 17,213
    438 shares of MERIDIAN GROWTH FUND MERDX 15,688 18,248
    800 shares of METLIFE INC PFD B - 6.500 MET-PB 19,159 20,384
    500 shares of METLIFE INC. MET 14,496 15,590
    950 shares of NABORS INDUSTRIES LTD NBR 15,683 16,473
    500 shares of NOBLE CORPORATION NE 12,822 15,110
    200 shares of NOVARTIS AG ADR NVS 12,864 11,434
    125 shares of NOVO NORDISK A S NVO 15,576 14,408
    300 shares of OCCIDENTAL PETE CORP OXY 18,755 28,110
    750 shares of ORACLE CORP ORCL 15,922 19,238
    1678 shares of PENNSYLVANIA MUTUAL FD, INVESTMENT CLASS PENNX 15,033 18,058
    1000 shares of PEOPLES UNITED FINANCIAL, INC. PBCT 13,759 12,850
    950 shares of PEPSICO INC PEP 57,075 63,032
    550 shares of PETSMART INC. COM PETM 12,839 28,210
    1100 shares of PFIZER INC. PFE 21,069 23,804
    600 shares of PLAINS EXPL AND PRODCTN PXP 18,803 22,032
    550 shares of POLYCOM, INC. PLCM 14,425 8,965
    1000 shares of POWERSHARES DYN BIOTECH GENO PBE 18,406 20,060
    900 shares of PROCTER GAMBLE CO PG 56,455 60,038
    350 shares of QUALCOMM INC QCOM 15,987 19,145
    350 shares of RIVERBED TECHNOLOGY, INC. RVBD 15,498 8,225
    250 shares of ROVI CORP. ROVI 14,097 6,145
    500 shares of ROYAL CARRIBEAN CRUISE RCL 14,136 12,385
    150 shares of SCHLUMBERGER LTD SLB 12,969 10,247
    200 shares of SEMPRA ENERGY COM SRE 9,410 11,000
    250 shares of SOUTHWESTERN ENERGY SWN 8,827 7,985
    500 shares of STATE STREET CORPORATION STT 21,886 20,155
    200 shares of STERICYCLE INC SRCL 10,921 15,584
    1046 shares of T ROWE PRICE MID CAP VALUE TRMCX 20,000 22,374
    2400 shares of TAIWAN SEMICONDUCTOR MFG CO LTD TSM 25,800 30,984
    900 shares of TARGET CORPORATION TGT 47,731 46,098
    2518 shares of TEMPLETON GLOBAL BD TGBAX 35,000 31,147
    250 shares of TERADATA CORPORATION TDC 12,355 12,128
    500 shares of TEVA PHARMECEUTICAL SP ADR TEVA 22,065 20,180
    400 shares of TEXTRON INC. TXT 22,756 7,396
    500 shares of THERMO FISHER SCIENTIFIC INC TMO 19,469 22,485
    350 shares of TRAVELERS COMPANIES INC THE TRV 14,920 20,710
    879 shares of UMB SCOUT INTERNATIONAL UMBWX 30,000 24,582
    300 shares of UNDER ARMOUR INC UA 20,596 21,537
    800 shares of UNILEVER N V N Y UN 24,376 27,496
    350 shares of UNION PACIFIC UNP 18,191 37,079
    800 shares of UNITED TECHNOLOGIES CORP UTX 55,271 58,471
    2000 shares of UNUM CORP UNM 49,700 42,140
    700 shares of VALE SA VALE 24,045 15,015
    2200 shares of VANGUARD GNMA FUND VFIIX 22,026 24,358
    4999 shares of VANGUARD SHORT-TERM CORPORATE FD ADMIRAL SHS VFSUX 52,794 53,194
    800 shares of VERIZON COMMUNICATIONS VZ 26,072 32,096
    1500 shares of VODAFONE GROUP PLC VOD 31,353 42,045
    1350 shares of WELLS FARGO CO. WFC 42,287 37,206
    800 shares of WELLS FARGO CAPITAL IX PFD - 5.625 - 04/08/2034 JWF 19,696 20,040
    550 shares of YUM BRANDS INC YUM 19,013 32,456
    350 shares of ZIMMER HOLDINGS INC ZMH 21,917 18,697

    TY 2011 OtherExpensesSchedule
    Name:
    The Midvale Foundation
    EIN: 20-8678873
    Software ID:11000218
    Software Version:2011.0.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 19,822     19,822
    Bank Charges 67 67    
    State or Local Filing Fees 25     25


    TY 2011 OtherProfessionalFeesSchedule
    Name:
    The Midvale Foundation
    EIN: 20-8678873
    Software ID:11000218
    Software Version:2011.0.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 30,404 30,404    


    TY 2011 TaxesSchedule
    Name:
    The Midvale Foundation
    EIN: 20-8678873
    Software ID:11000218
    Software Version:2011.0.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Estimated Tax for 2011 400 0 0 0
    Foreign Tax Paid 573 573 0 0