Form990-PF
Click to see attachment

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
Conservation Food and Health Foundation
Inc

Number and street (or P.O. box number if mail is not delivered to street address)c/o GMA Foundations 77 Summer St   Room/suite
City or town, state, and ZIP code
Boston, MA02110
A Employer identification number

22-2625024
B Telephone number (see page 10 of the instructions)

(608) 257-4690
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$15,374,765J 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) 30,000
2 Check bullet
3 Interest on savings and temporary cash investments 1,311 1,311 1,311
4 Dividends and interest from securities...... 35,956 35,956 35,956
5a Gross rents.............. 1,511,651 1,511,651 1,511,651
b Net rental income or (loss) 584,068
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 86,637
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)....... Click to see attachment 237,805 237,805 237,805
12 Total. Add lines 1 through 11........ 1,816,723 1,873,360 1,786,723
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 124,830 124,830 124,830  
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 3,082 3,082 3,082  
b Accounting fees (attach schedule)....... Click to see attachment 11,450 11,450 11,450  
c Other professional fees (attach schedule).... Click to see attachment 34,353 220 220 34,133
17 Interest...............        
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 125,433 125,433 125,433  
19 Depreciation (attach schedule) and depletion... Click to see attachment 124,985 124,985 124,985
20 Occupancy.............. 15,071 15,071 15,071  
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 562,224 562,224 562,224 265
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,001,428 967,295 967,295 34,398
25 Contributions, gifts, grants paid........ 1,004,072 1,004,072
26 Total expenses and disbursements. Add lines 24 and 25 2,005,500 967,295 967,295 1,038,470
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -188,777
b Net investment income (if negative, enter -0-) 906,065
c Adjusted net income (if negative, enter -0-)... 819,428
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............... 171,550 202,375 202,375
2 Savings and temporary cash investments.......... 683,222 512,723 512,722
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........... 18,610 18,809 18,810
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 2,073,000 2,216,445 1,918,429
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)........... 1,387,641 1,377,218 1,852,429
14 Land, buildings, and equipment: basis bullet3,828,587
Less: accumulated depreciation (attach schedule) bullet2,526,501 1,425,704 Click to see attachment1,302,086 10,870,000
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,759,727 5,629,656 15,374,765
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable................... 18,130  
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).......... 18,130 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......... 3,264,098 3,264,098
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 2,477,499 2,365,558
30 Total net assets or fund balances (see page 17 of the
instructions).................... 5,741,597 5,629,656
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 5,759,727 5,629,656
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 5,741,597
2 Enter amount from Part I, line 27a..................... 2 -188,777
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 86,637
4 Add lines 1, 2, and 3.......................... 4 5,639,457
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 9,801
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 5,629,656
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 86,637
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 928,003 15,662,045 0.05925
2009 813,603 15,371,858 0.05293
2008 853,627 15,660,793 0.05451
2007 888,891 16,192,123 0.05490
2006 918,161 16,125,118 0.05694
2 Total of line 1, column (d) ...................... 2 0.27852
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 0.05571
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 15,732,221
5 Multiply line 4 by line 3....................... 5 876,363
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 9,061
7 Add lines 5 and 6......................... 7 885,424
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,038,470
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 9,061
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 9,061
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 9,061
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 17,949
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 17,949
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 8,888
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet8,888 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
 
No
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)bulletMA
    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.Click to see attachment
    10
    Yes
     
    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 addressbullethttp://cfhfoundationgrantsmanagement10.com
    14
    The books are in care ofbulletWendy Fearnside Telephone no.bullet (608) 257-4690
    Located atbullet911 Van Buren StreetMadisonWI ZIP+4bullet53711
    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
     
    No
    .........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
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    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
     
    No
    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
     
    No
    .........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
     
    No
    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
    Tracy Fearnside Secretary
    2.00     		0    
    1112 Greenwood Avenue
    Palo Alto,CA94301
    Wendy Fearnside Treasurer
    15.00     		0    
    912 Van Buren Street
    Madison,WI53711
    Philip M Fearnside President
    2.00     		0    
    c/o GMA Foundtns 77 Summer St
    Boston,MA021101006
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    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
    2,310,637
    b
    Average of monthly cash balances.......................
    1b
    875,061
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    12,786,100
    d
    Total (add lines 1a, b, and c).........................
    1d
    15,971,798
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    15,971,798
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    239,577
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    15,732,221
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    786,611
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    786,611
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    9,061
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    9,061
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    777,550
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    777,550
    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
    777,550
    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
    1,038,470
    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
    1,038,470
    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
    9,061
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,029,409
    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 7 777,550
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 255,311
    b From 2007....... 888,891
    c From 2008....... 853,627
    d From 2009....... 813,603
    e From 2010....... 938,664
    fTotal of lines 3a through e......... 3,750,096
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 1,038,470
    a Applied to 2010, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		  
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		1,038,470
    d Applied to 2011 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2011. 777,550 777,550
    (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 4,011,016
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		 
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		 
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		 
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		 
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		4,011,016
    10 Analysis of line 9:
    a Excess from 2007.... 366,652
    b Excess from 2008.... 853,627
    c Excess from 2009.... 813,603
    d Excess from 2010.... 938,664
    e Excess from 2011.... 1,038,470
    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:
    Prentiss Zinn
    77 Summer Street
    Boston,MA02110
    (617) 426-7080
    bThe form in which applications should be submitted and information and materials they should include:
    Written
    cAny submission deadlines:
    March 1 and September 1 each year
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Conservation Food and Health Foundation seeks to promote the conservation of Natural resources, improve the production and distribution of food and improve health in the developing world. The foundation helps build capacity within developing countries in its three areas of interest with grants that supports research or projects that solves specific problems.The foundation supports projects that demonstrate strong local leadership, promote profession development in the conservation, agricultural and health sciences, develop the capacity of local organizations and address a particular problem in the field. It prefers to support projects addressing under-funded issues and geographic areas.The foundation's geographic focus is the developing world. It prefers to support organizations located in developing countries or to developed country organizations whose activities are of direct and immediate benefit to developing countries. The foundation does not consider the states of the former Sovi
    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
    Fundacion Amigos
    KM 71/2 Dobie via a la Guardia
    Santa Cruz,de la Sierra  
    BL     		N/A N/A Study the impact ofdeforestation in Bolivia 23,100
    Women and Children First
    United House North Road
    London   N7 9DP
    UK     		N/A N/A Family planning sevices for women in Mumbai 25,000
    Proximity Designs
    New Univ Ave Bldg C Site 203
    South Pasadena,Yangon11181
    ZA     		N/A N/A Increase the ability of rice farmers in Bolivia 24,226
    Project Muso
    1380 Monroe St NW Box 309
    Washington,DC20110     		N/A N/A Test a community based rapid respone program 25,000
    Population Media Center
    145 Pine Haven Shores Suite 2011
    Shelburne,VT05482     		N/A N/A Rebroadcast a radio drama in Rwanda 20,000
    One Heart World-Wide
    181 Pacheco Street
    San Francisco,CA94116     		N/A N/A One heart world-wide - safety 15,000
    One Acre Fund
    1742 Tatum Str
    Falcon Heights,MN55113     		N/A N/A Training and capacity building in Rwanda 25,000
    Mpala Research Center
    P O Box 555
    Nanyuki,Rift Valley Province  
    KE     		N/A N/A Sustainable camel production in the lands of Northerrn Kenya 17,173
    Lambi Fund of Haiti
    P O Box 18955
    Washington,DC20036     		N/A N/A For the center of Plantain propagation training 15,000
    GRAIN
    25 Girona
    Barcelona   08010
    SP     		N/A N/A Strengthen large-scale land acquisitions 20,000
    Consortium for Capacity Bldg- Univ
    1560 30th Str Campus Box 450
    Boulder,CO80309     		N/A N/A Implementation of clay pots sub-surface irrigation 24,995
    Centro Lianas
    Avda 10 De Agosto N21-214y
    Roca Officina, Quito   03-3
    EC     		N/A N/A Support of indigenous agriculture initiative 18,000
    Univ of Washington Ctr for Human Ri
    Box 353650
    Seattle,WA98195     		N/A N/A For the effects of upstream aro-industrial plantations 15,000
    Washington University in St Louis
    Department of Anthropology
    St Louis,MO63130     		N/A N/A Ecological relationship between two monkey species 27,400
    University of East Anglia
    School of EnviroScie
    Norfolk   NR4 7TJ
    UK     		N/A N/A Consequences of mega-ecological hydroelectric dams 19,940
    University of Bristol
    1000 N West Str Suite 1200
    Wilmington,DE19801     		N/A N/A Contribution of fruit bats to forest regeneration in Madagascar 15,822
    Universidad Nacional de Agricultura
    Barrio El Espanito
    Catacamas    
    HO     		N/A N/A Research and training project for local farmers in Uruguay 25,000
    Save the Golden Lion Tamarin
    1044 Hepner Road
    Mt Jackson,VA28842     		N/A N/A Conserving Golden Lion Tamarins in Brazil 27,280
    Laboratorio de Ecologa y Conservaci
    de Vertabados
    Mexico City   70-275
    MX     		N/A N/A Design of corridors; Strategy to conserve the Jaguar 18,000
    H John Heinz III Ctr for Science et
    17st NW Suite 700
    Washington,DC20006     		N/A N/A Study of the effect of lianas on tree growth 24,500
    Finding Species Inc
    P O Box 5289
    Tacoma Park,MD20913     		N/A N/A Protect the Antizana Ecological Reserve 21,724
    Nichols School of Environment- Duke
    P O Box 381
    Durham,NC27708     		N/A N/A Long-term study of the Amazon Forest 20,936
    Bank Information Center
    1100 H Street NW Suite 650
    Washington,DC20005     		N/A N/A Project with Red Mexicana de Organizaciones 25,000
    Amphibian Ark
    12101 Johnny Cake Ridge Road
    Apple Valley,MN55124     		N/A N/A Amphibian assessmentand conservation 9,956
    Fronteras Comunes
    Yacatas 483 Colonia Narvarte
    Mexico City,Distrito Federal03020
    MX     		N/A N/A project to develop geographic atlas of industrial contamination in Mexico 30,000
    Pacific Environment
    251 Kearny Street Suite 201
    San Francisco,CA94108     		N/A N/A Reduce industrial pollution in China 25,000
    Meds & Food for Kids
    4488 Forest Park Suite 230
    St Louis,MO63108     		N/A N/A Improve peanut production in Haiti to manufacture a treatment for child malnutrition 25,000
    Mali Health Organizing Project
    270 Lawrence Lane
    Wayne,PA19087     		N/A N/A To improve treatment of malaria in Mali 26,695
    The Hesparian Foundation
    1919 Addison Suite 304
    Berkeley,CA94704     		N/A N/A Support the publication of a newresource manual 20,000
    Global Community Monitor
    P O Box 1784
    El Cerrito,CA94530     		N/A N/A Training and support to Community Environment Monitor in India 13,338
    Ecology Action
    5798 Ridgewood Road
    Willis,CA95490     		N/A N/A Workshops for agricultural organizations in Latin America 25,000
    Azafady
    Ville Marshall AmpotatraFt Daupin
    London   614BP
    OC     		N/A N/A Improve nutrition and reduce deforestation in Madagascar 23,404
    American Friends Service Comm
    1501 Cherry Street
    Philadelphia,PA19102     		N/A N/A Introduce sustainable farming to North Korea 25,000
    Wuqu Kawoq SA
    P O Box 91
    Bethel,VT05032     		N/A N/A Training of midwives in Guatemala 14,235
    PCI-Media Impact Inc
    777 United Nations Plaza Fifth Fl
    New York,NY10017     		N/A N/A Work on a soap opera for Latin America that addresses women's issues and reproductive health 15,000
    Marie Stopes Intl Ltd dba MSI-US
    1560 30th Street Campus 450
    Boulder,CO80309     		N/A N/A To teach reproductive health and family planning in Afghanistan 24,940
    Health in Harmony Inc
    4110 SE Hawthorne Blvd 246
    Portland,OR97214     		N/A N/A Improve village healthcare and the environment in Borneo 30,053
    Concern America
    2015 N Broadway P O Box 1790
    Santa Ana,CA92702     		N/A N/A Improve drinking water in villages in Latin American countries 15,000
    Univ of Mass Ret of Unexpended Grant
    70 Butterfield Terrace
    Amherst,MA01003     		N/A N/A To train plant pathologists in Bangladesh -1,443
    Puente a la Salud Comunitaria
    109 Colonia Reforma
    Osxaca   68050
    MX     		N/A N/A To train rural subsistence farmers to be self sustaining in Mexico 25,000
    Gardens for Health
    9 Avon Street
    Cambridge,MA02138     		N/A N/A Nutrition for agriculture program for Rwanda 24,940
    Save Americas Forests Fund Inc
    4 Library Court SE
    Washington,DC20003     		N/A N/A To aid in monitoring potential threats to the environment from oil exploration and development 25,000
    Internation Rivers Network
    2150 Allston Way Suite 300
    Berkeley,CA94704     		N/A N/A To help civil population with regard to large dam projects 25,000
    Gunang Palung Orangutan Conservatn Prg
    19 Woodpark Circle
    Lexington,MA02421     		N/A N/A To support orangatan conservation in Borneo 25,000
    Lincoln Park Zoological Society
    2001 North Clark Street
    Chicago,IL60614     		N/A N/A Support research in gorilla health 19,858
    Earthrights International
    1612 K Street NW Suite 401
    Washington,DC20006     		N/A N/A Aid in Human Rights and Environment in the Mekong Region of Asia 20,000
    Amazon Watch
    221 Pine Street Fourth Floor
    San Francisco,CA94104     		N/A N/A Aid the Peruvian Amazon environment 25,000
    Total .................................bullet 3a 1,004,072
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 1,311  
    4 Dividends and interest from securities....     14 35,956  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     1 584,068  
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory          
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aU S Natural Gas fund K-1     16 -2,141  
    bTri-Net Realty K-1     16 12,126  
    cSigular Guff K-1     16 4,086  
    dPowershares K-1's     16 929  
    ePamlico Cap Ptrs K-1     16 2,511  
    fLazard Ltd     16 16  
    gLaundry Income     16 13,176  
    hATMO Lexington K-1     16 -1,321  
    iAtl Waltham K-1     16 44,213  
    jAtl Stetson K-1     16 6,794  
    kAtl Southborough K-1     16 31,857  
    lAtl Quincy K-1     16 16,666  
    mAtl Peabody K-1     16 4,860  
    nAtl Mansfield K-1     16 68,037  
    oAtl Holliston K-1     16 2,459  
    pAtl Gladstone K-1     16 7,964  
    qAtl Dracut K-1     16 25,573  
    12 Subtotal. Add columns (b), (d), and (e)..   859,140  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13859,140
    (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: 11000144
    Software Version: 2011v1.2


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2011
    Name of organization
    Conservation Food and Health Foundation
    Inc
    Employer identification number

    22-2625024
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 2
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    Conservation Food and Health Foundation
    Inc         		Employer identification number

    22-2625024
    Part I
    Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    Joseph Margevicius    
    1112 Greenwood Avenue
       
    Palo Alto, CA   94301

    		$10,000




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    PMF Trust    
    c/o GMA Foundtns 77 Summer St
       
    Boston, MA   021101006

    		$20,000




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 3
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    Conservation Food and Health Foundation
    Inc         		Employer identification number

    22-2625024
    Part II
    Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 4
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    Conservation Food and Health Foundation
    Inc         		Employer identification number

    22-2625024
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
    Use duplicate copies of Part III if additional space is needed
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Additional Data


    Software ID: 11000144
    Software Version: 2011v1.2

    TY 2011 AccountingFeesSchedule
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
      11,450 11,450 11,450 0

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2011 DepreciationSchedule
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    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
    Equipment 2009-06-30 1,367 1,128 57 17.49 % 239      
    Building Improvements 2006-08-18 29,500 4,694 85 3.64 % 1,073      
    Building Improvements 2003-07-01 223,519 60,615 85 3.64 % 8,127      
    Building Improvements 2002-07-01 92,963 28,590 85 3.64 % 3,380      
    Building Improvements 1999-07-01 15,690 6,874 85 3.64 % 571      
    Building Improvements 1992-07-01 6,326 4,360 85 3.64 % 230      
    Building Improvements 1990-07-01 14,836 11,040 85 3.64 % 539      
    Building Improvements 1989-07-01 36,572 28,539 85 3.64 % 1,330      
    Building Improvements 1989-07-01 12,060 9,417 91 35.0000 345      
    Building 1985-07-01 3,001,134 2,186,486 85 3.64 % 109,151      

    TY 2011 LandEtcSchedule2
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Land 333,459   333,459  
    Buildings 3,481,711 2,513,084 968,627 10,870,000
    Machinery and Equipment 1,367 1,367    
    Auto./Transportation Equip. 12,050 12,050    


    TY 2011 LegalFeesSchedule
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
      3,082 3,082 3,082 0


    TY 2011 OtherDecreasesSchedule
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Description Amount
    Federal Excise Tax 9,801


    TY 2011 OtherExpensesSchedule
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Water & sewer 47,179 47,179 47,179  
    Vehicle expense 4,630 4,630 4,630  
    Telephone 3,910 3,910 3,910  
    Supplies 517 517 517  
    Snow removal 4,831 4,831 4,831  
    Repairs 163,958 163,958 163,958  
    Plan USA program 1,440 1,440 1,440  
    Pest control 1,555 1,555 1,555  
    Payroll service 1,871 1,871 1,871  
    Office expense 4,078 4,078 4,078  
    Miscellaneous expense 4,791 4,791 4,791  
    Management fees 89,933 89,933 89,933  
    Investment Fees 32,539 32,539 32,539  
    Insurance- medical 33,541 33,541 33,541  
    Insurance- general 36,552 36,552 36,552  
    Heat & electric 110,526 110,526 110,526  
    Credit reports 263 263 263  
    Commissions 850 850 850  
    Charitable contributions via K-1's 423 423 423  
    Carpentry & floors 18,572 18,572 18,572  
    Annual report & filing fees 265 265 265 265


    TY 2011 OtherIncomeSchedule2
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    U S Natural Gas fund K-1 -2,141 -2,141 -2,141
    Tri-Net Realty K-1 12,126 12,126 12,126
    Sigular Guff K-1 4,086 4,086 4,086
    Powershares K-1's 929 929 929
    Pamlico Cap Ptrs K-1 2,511 2,511 2,511
    Lazard Ltd 16 16 16
    Laundry Income 13,176 13,176 13,176
    ATMO Lexington K-1 -1,321 -1,321 -1,321
    Atl Waltham K-1 44,213 44,213 44,213
    Atl Stetson K-1 6,794 6,794 6,794
    Atl Southborough K-1 31,857 31,857 31,857
    Atl Quincy K-1 16,666 16,666 16,666
    Atl Peabody K-1 4,860 4,860 4,860
    Atl Mansfield K-1 68,037 68,037 68,037
    Atl Holliston K-1 2,459 2,459 2,459
    Atl Gladstone K-1 7,964 7,964 7,964
    Atl Dracut K-1 25,573 25,573 25,573


    TY 2011 OtherIncreasesSchedule
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Description Amount
    Capital Gains via K-1's 86,637


    TY 2011 OtherProfessionalFeesSchedule
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Professional fees - other 220 220 220 0
    Grants Management Services 34,133 0 0 34,133


    TY 2011 SubstantialContributorsSch
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Name Address
    Joseph Margevicius 1112 Greenwood Avenue
    Palo Alto,CA94301
    PMF Trust c/o GMA Foundations 77 Summer Str
    Boston,MA021101006


    TY 2011 TaxesSchedule
    Name:
    Conservation Food and Health Foundation
    Inc
    EIN: 22-2625024
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Real estate taxes 118,139 118,139 118,139  
    Personal property taxes 43 43 43  
    Payroll taxes 4,999 4,999 4,999  
    Other 2,252 2,252 2,252